Sao Paulo Medical Journal最新文献

{"title":"Cervical Intraepithelial Neoplasia grade 2 biopsy: Do p16INK4a and Ki-67 biomarkers contribute to the decision to treat? A cross-sectional study.","authors":"Amanda Leal Ferreira, Nasle Domingues Dibe, Bruna Rodrigues de Paiva, Elyzabeth Avvad Portari, Dione Corrêa de Araújo Dock, Nilma Valéria Caldeira Ferreira, Saint Clair Gomes Junior, Fábio Bastos Russomano, Cecília Vianna de Andrade","doi":"10.1590/1516-3180.2022.0527.R2.280423","DOIUrl":"10.1590/1516-3180.2022.0527.R2.280423","url":null,"abstract":"<p><strong>Background: </strong>Managing cervical intraepithelial neoplasia grade 2 (CIN2) is challenging, considering the CIN2 regression rate, perinatal risks associated with excisional procedures, and insufficient well-established risk factors to predict progression.</p><p><strong>Objectives: </strong>To determine the ability of p16INK4a and Ki-67 staining in biopsies diagnosed with CIN2 to identify patients with higher-grade lesions (CIN3 or carcinoma).</p><p><strong>Design and setting: </strong>Cross-sectional study conducted at a referral center for treating uterine cervical lesions.</p><p><strong>Methods: </strong>In 79 women, we analyzed the correlation of p16INK4a and Ki-67 expression in CIN2 biopsies with the presence of a higher-grade lesions, as determined via histopathology in surgical specimens from treated women or via two colposcopies and two cytological tests during follow-up for untreated women with at least a 6-month interval. The expression of these two biomarkers was verified by at least two independent pathologists and quantified using digital algorithms.</p><p><strong>Results: </strong>Thirteen (16.8%) women with CIN2 biopsy exhibited higher-grade lesions on the surgical excision specimen or during follow-up. p16INK4a expression positively and negatively predicted the presence of higher-grade lesions in 17.19% and 86.67% patients, respectively. Ki-67 expression positively and negatively predicted the presence of higher-grade lesions in 40% and 88.24% patients, respectively.</p><p><strong>Conclusions: </strong>Negative p16INK4a and Ki67 immunohistochemical staining can assure absence of a higher-grade lesion in more than 85% of patients with CIN2 biopsies and can be used to prevent overtreatment of these patients. Positive IHC staining for p16INK4a and Ki-67 did not predict CIN3 in patients with CIN2 biopsies.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 1","pages":"e2022527"},"PeriodicalIF":1.3,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10452003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10151603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary patterns and socioeconomic, demographic, and health-related behaviors during pregnancy. A cross-sectional study.","authors":"Tatiane Irene de Oliveira,&nbsp;Lais Dos Santos,&nbsp;Doroteia Aparecida Höfelmann","doi":"10.1590/1516-3180.2022.0629.R1.190523","DOIUrl":"10.1590/1516-3180.2022.0629.R1.190523","url":null,"abstract":"<p><strong>Background: </strong>The identification and understanding of dietary factors and other characteristics that influence gestational weight gain can contribute to the formulation of strategies to promote healthy eating habits before and during pregnancy.</p><p><strong>Objective: </strong>To investigate the association between dietary patterns, sociodemographic and obstetric characteristics, and health-related behaviors in pregnant women.</p><p><strong>Design and setting: </strong>A cross-sectional study was conducted on women undergoing prenatal care in the Unified Health System of Colombo, Paraná, Brazil, from February 2018 to September 2019.</p><p><strong>Method: </strong>A weekly food frequency questionnaire was administered, and dietary patterns were identified through factor analysis. Median regression models were constructed to identify the associations between dietary pattern scores and variables.</p><p><strong>Results: </strong>Complete data were obtained from 495 pregnant women. Three dietary patterns were identified: 1) \"healthy,\" with higher factor loadings for the weekly consumption of raw vegetables, cooked vegetables, and fresh fruits; 2) \"Western,\" including soft drinks or artificial juice, candies, milk, and dairy products, and processed cold meat; and 3) \"traditional,\" beans and meat. Pregnant women aged 30 years or older (coefficient [Coef.] 0.86, 95% confidence interval [CI] 0.38-1.33) with moderate/intense physical activity (Coef. 0.32, 95% CI 0.02-0.62) had higher adherence to the \"healthy\" pattern. Adolescents and smokers adhered more to the \"traditional\" pattern (Coef. 0.17, 95% CI 0.01-0.33).</p><p><strong>Conclusion: </strong>Age, smoking status, and physical activity were associated with dietary patterns in pregnant women.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 1","pages":"e2022629"},"PeriodicalIF":1.4,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10452006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10206611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing understanding of SARS-CoV-2 infection among individuals with Down syndrome: An integrative review.","authors":"Maria Vitoria Gomes da Silva,&nbsp;Laura Resende Guimarães Pereira,&nbsp;Lucimar Retto da Silva de Avó,&nbsp;Carla Maria Ramos Germano,&nbsp;Débora Gusmão Melo","doi":"10.1590/1516-3180.2023.0015.R1.230523","DOIUrl":"10.1590/1516-3180.2023.0015.R1.230523","url":null,"abstract":"<p><strong>Background: </strong>Down syndrome (DS) is a non-rare genetic condition that affects approximately 1 in every 800 live births worldwide. Further, it is associated with comorbidities, anatomical alterations of the respiratory tract, and immunological dysfunctions that make individuals more susceptible to respiratory infections.</p><p><strong>Objective: </strong>To systematize the current scientific knowledge about the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among individuals with DS.</p><p><strong>Design and setting: </strong>This integrative review was conducted at the Universidade Federal de São Carlos, São Paulo, Brazil.</p><p><strong>Methods: </strong>This review was conducted in the following databases: the Virtual Health Library (Biblioteca Virtual em Saúde, BVS), PubMed, and Web of Science, using MeSH descriptors. The search included English or Portuguese studies published between January 1, 2020, and October 14, 2022.</p><p><strong>Results: </strong>A total of 55 articles from 24 countries were selected, comprising 21 case-control or cohort studies, 23 case reports or series, and 11 narrative reviews or opinion studies. The articles were grouped into five categories: previous comorbidities, coronavirus disease 2019 (COVID-19) clinical features and evolution, cytokine storm and interleukins, living in institutions as a risk factor, and behavioral actions as a protective factor against SARS-CoV-2 infection.</p><p><strong>Conclusion: </strong>Individuals with DS are more susceptible to COVID-19 infection due to variables such as previous comorbidities, immunological factors, and their habitable environments. These aspects confer a higher risk of infection and an unfavorable clinical course. The precise pathways involved in the pathophysiology of COVID-19 in individuals with DS are not clear, thus requiring further studies.</p><p><strong>Systematic review registration: </strong>The Open Science Framework registered the research protocol (https://osf.io/jyb97/).</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 2","pages":"e2023015"},"PeriodicalIF":1.4,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10116224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global research trends related to coronavirus disease 2019 and the aged: a bibliometric analysis.","authors":"Ana Raquel Batista de Carvalho,&nbsp;Antonio Rosa de Sousa Neto,&nbsp;Márcia Daiane Ferreira da Silva,&nbsp;Daniela Reis Joaquim de Freitas,&nbsp;Maria Eliete Batista Moura","doi":"10.1590/1516-3180.2022.0662.R1.190523","DOIUrl":"10.1590/1516-3180.2022.0662.R1.190523","url":null,"abstract":"<p><strong>Background: </strong>A bibliometric analysis covering only the production of original studies or considering world production until 2022 has yet to be conducted. The creation and advancement of vaccines have also influenced research priorities, demonstrating the need for a new approach to this subject.</p><p><strong>Objectives: </strong>To analyze worldwide scientific production related to coronavirus disease 2019 (COVID-19) and the aged and to describe what has already been produced.</p><p><strong>Design and setting: </strong>Bibliometric analysis with a quantitative approach.</p><p><strong>Method: </strong>The search terms \"COVID-19,\" \"SARS-CoV-2,\" \"Aged,\" and \"Elderly\" were used to retrieve articles from the Web of Science database. A total of 684 articles were included in the analysis. Data were imported into RStudio Desktop Software and linked to R Software. The Bibliometrix R package and VOSviewer software were used for analysis.</p><p><strong>Results: </strong>Most articles were published in 2020. These were produced by 4,937 authors and published in 379 journals. The keyword most used by the authors was \"COVID-19.\" Publications from 77 countries were obtained. China had the highest article production ranking, and Spain collaborated the most. The articles addressed the implications of the pandemic on the aged, the relationship between vaccination in the aged, and the implications for the disease itself.</p><p><strong>Conclusion: </strong>Further research should be conducted, mainly concerning vaccines and vaccination of the aged, owing to the need for and importance of immunization in this risk group, including assessing the long-term effects of vaccines.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 2","pages":"e2022662"},"PeriodicalIF":1.4,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10331124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of nutritional status and growth curves of children and adolescents in the city of Goiânia, Goiás: cross-sectional study.","authors":"Rafael Ribeiro Alves,&nbsp;Tadeu Baptista,&nbsp;Vitor Alves Marques,&nbsp;Weder Alves da Silva,&nbsp;Marcelo Henrique Silva,&nbsp;Douglas de Assis Teles Santos,&nbsp;Carlos Alexandre Vieira","doi":"10.1590/1516-3180.2022.0643.R1.010623","DOIUrl":"10.1590/1516-3180.2022.0643.R1.010623","url":null,"abstract":"<p><strong>Background: </strong>Nutritional status and growth curves can affect cognitive development, increase the risk of infection, and contribute to the development of chronic diseases. Its etiology is related to food, socioeconomic, and maternal conditions. However, to date, no data on these parameters exist in the state of Goiás, Brazil.</p><p><strong>Objective: </strong>To compare the nutritional status and growth curves of children and adolescents in the city of Goiânia, Goiás, Brazil.</p><p><strong>Design and setting: </strong>This was a cross-sectional study. A total of 529 individuals were recruited from a primary health center in the municipality.</p><p><strong>Methods: </strong>To assess nutritional status, the sample was divided into three categories: 3-4, 5-10, and 11-19 years, with z-score classification considering body mass index for age. The classification of growth curves was performed considering the median height values for age, assuming two references: (a) young Brazilian population and (b) one recommended for international use. The independent sample T-test was used to compare anthropometric variables.</p><p><strong>Results: </strong>The results showed that the classification of eutrophics represents a predominant percentage between both sexes (men: 03-04 = 55.4%; 05-10 = 57.6%; 11-19 = 53.5 % and women: 03-04 = 53.5%; 05-10 = 63.9%; 11-19 = 56.9%), and growth curves showed differences in specific periods in both sexes.</p><p><strong>Conclusions: </strong>It can be concluded that children and adolescents from the city of Goiânia present as predominance the eutrophic nutritional status, followed by the risk of overweight, underweight, obesity, and malnutrition of both sexes.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 2","pages":"e2022643"},"PeriodicalIF":1.4,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Providers Survey in the Brazilian context of mental health: a validation study.","authors":"Mayara Karoline Silva Lacerda,&nbsp;Maria Aparecida Vieira,&nbsp;Fabrine Costa Marques,&nbsp;Juliana Pereira Alves,&nbsp;Matheus Mendes Pereira,&nbsp;Andreia Cristina Feitosa do Carmo,&nbsp;Mark Napoli Costa,&nbsp;Antônio Prates Caldeira,&nbsp;Cristina Andrade Sampaio","doi":"10.1590/1516-3180.2022.0444.R3.010623","DOIUrl":"10.1590/1516-3180.2022.0444.R3.010623","url":null,"abstract":"<p><strong>Background: </strong>Precisely determining the aspects related to an instrument's validity and reliability measures allows for greater assurance of the quality of the results.</p><p><strong>Objectives: </strong>To analyze the psychometric properties of The Providers Survey in the Brazilian context of mental health services.</p><p><strong>Design and setting: </strong>The instrument validation study was conducted in Montes Claros, Minas Gerais, Brazil.</p><p><strong>Methods: </strong>The validation study was conducted using the Consensus-based Standards for the Selection of Health Measurement Instruments checklist to analyze its validity and reliability.</p><p><strong>Results: </strong>A committee of expert judges performed content validation after which the Content Validity Index was calculated. Construct validation took place through Exploratory Factor Analysis using the Kaiser-Meyer-Olkin Test criterion and Bartlett's Sphericity Test. Reliability was verified using test-retest reliability. The significance level adopted for the statistical tests was 5% (P < 0.05). The final instrument comprised 54 questions. The Content Validity Index was 97%. Exploratory Factor Analysis identified a Kaiser-Meyer-Olkin index of 0.901 and Bartlett's Sphericity Test with P < 0.001. We obtained a Cronbach's alpha coefficient of 0.95 and an intraclass correlation coefficient of 0.849.</p><p><strong>Conclusions: </strong>The Providers Survey, translated and adapted into Portuguese, was named the Work Assessment Instrument for the Recovery of Mental Health. It presented adequate psychometric properties for evaluating work-related practices for the recovery of psychosocial care network users.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 2","pages":"e2022444"},"PeriodicalIF":1.4,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral health of an indigenous population in northeastern Brazil: a cross-sectional Study of the Fulni-ô ethnic group.","authors":"Bruna Del Vechio Koike,&nbsp;Rosangela Maria Pereira Valões,&nbsp;Claudia Cazal,&nbsp;Vanessa Cardoso Pereira,&nbsp;Carlos Alberto de Carvalho Fraga,&nbsp;Rodrigo Feliciano do Carmo,&nbsp;Meireane Firmino Pereira,&nbsp;Manoel Pereira Guimarães,&nbsp;Carlos Dornels Freire de Souza,&nbsp;Anderson da Costa Armstrong","doi":"10.1590/1516-3180.2022.0355.R1.10042023","DOIUrl":"10.1590/1516-3180.2022.0355.R1.10042023","url":null,"abstract":"<p><strong>Background: </strong>There is a lack of studies evaluating the oral health of traditional indigenous communities in Brazil.</p><p><strong>Objectives: </strong>Thus, the objective of this study was to describe the oral health characteristics of the indigenous Fulni-ô ethnic group in Northeast Brazil.</p><p><strong>Design and setting: </strong>A cross-sectional observational investigation was conducted within the Project on Atherosclerosis among Indigenous Populations.</p><p><strong>Methods: </strong>This study included participants of both sexes from the Fulni-ô ethnic group. The participants included in this investigation underwent a comprehensive oral health evaluation by a registered and experienced dentist to assess oral health and identify potentially malignant oral lesions. Participants with suspicious lesions were referred for biopsy. Shapiro-Wilk, Mann-Whitney, and Student's t-tests were used, and measures of central tendency and dispersion were described. Statistical significance was 5%.</p><p><strong>Results: </strong>A total of 104 individuals were included in this study. The prevalence of the use of tobacco derivatives was 94.0%, with similarities between sexes. The prevalence of oral changes in this study population was 84.4%. Fifty-one individuals who underwent oral reassessment were referred for oral lesion biopsy.</p><p><strong>Conclusions: </strong>This study demonstrated a high prevalence of oral alterations in the Fulni-ô population. Histopathological analyses indicated the presence of mild oral epithelial dysplasia in five cases.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 1","pages":"e2022355"},"PeriodicalIF":1.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10307455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is ankle taping effective to limit the ankle dorsiflexion in a single-training session? An observational study in semi-professional basketball players.","authors":"Carlos Romero-Morales,&nbsp;Isabel Pedraza-García,&nbsp;Daniel López-López,&nbsp;Luis Berlanga,&nbsp;Blanca de la Cruz,&nbsp;César Calvo-Lobo,&nbsp;Fernando García-Sanz","doi":"10.1590/1516-3180.2022.0578.R1.06032023","DOIUrl":"10.1590/1516-3180.2022.0578.R1.06032023","url":null,"abstract":"<p><strong>Background: </strong>Ankle taping (AT) is effective in preventing ankle sprain injuries in most common sports and is employed in rehabilitation and prevention sports.</p><p><strong>Objective: </strong>This study aimed to investigate the effectiveness of AT to restricting excessive frontal plane ankle movements in semi-professional basketball players throughout the training session.</p><p><strong>Design and setting: </strong>A cross-sectional study was performed at the Universidad Europea de Madrid.</p><p><strong>Methods: </strong>Forty male and female semi-professional basketball players were divided into two groups. The ankle dorsiflexion range of motion (ROM) and interlimb asymmetries in a weight-bearing lunge position were evaluated at four time points: 1) with no tape, 2) before practice, at 30 min of practice, and 3) immediately after practice.</p><p><strong>Results: </strong>In male basketball players, no differences were observed in the right and left ankles between the baseline and 30 min and between baseline and 90 min of assessment. In female athletes, significant differences were reported between baseline and pre-training assessments for the right ankle and also significant differences between baseline and 90 min in both ankles.</p><p><strong>Conclusions: </strong>Ankle taping effectively decreased the ankle dorsiflexion ROM in male and female basketball players immediately after application. However, ROM restriction was very low after 30 and 90 min, as assessed in a single basketball practice. Therefore, the classic taping method should be revised to develop new prophylactic approaches, such as the implementation of semi-rigid bracing techniques or the addition of active stripes during training or game pauses.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 3","pages":"e2022578"},"PeriodicalIF":1.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9932421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic pain among older adults and its impact on satisfaction with social participation: development and validation of the \"Instrument to Assess Older Adults' Social Participation\". A descriptive quantitative study.","authors":"Gabriela Costa Mastela,&nbsp;Júlia de Carvalho Galiano,&nbsp;Ligia Cangussu Tomaz Garcia,&nbsp;Maria Carolyna Fonseca Batista Arbex,&nbsp;Naira de Fatima Dutra Lemos,&nbsp;Fania Cristina Santos","doi":"10.1590/1516-3180.2022.0217.R1.310523","DOIUrl":"10.1590/1516-3180.2022.0217.R1.310523","url":null,"abstract":"<p><strong>Background: </strong>We aimed to develop and validate a practical instrument to assess older adults' satisfaction with their social participation (SP).</p><p><strong>Design and setting: </strong>This methodological validation study was conducted at a public higher education institution.</p><p><strong>Methods: </strong>A two-phase study was designed, developed, and validated to assess older adults' satisfaction with their SP. In the first phase, we conceptualized SP and developed an \"instrument to assess older adults' satisfaction with their SP (IAPSI),\" as approved by a committee of specialists, pre-tested, and partially validated. Second, we determined the IAPSI's reproducibility using Cronbach's alpha to measure internal consistency, Pearson's and Spearman's coefficients to measure correlations, the Bland-Altman plot and intraclass correlation coefficient (ICC) to measure reproducibility. We also generated a receiver operating characteristic (ROC) curve.</p><p><strong>Results: </strong>102 older adults (mean age, 87.29) participated in the first phase. Moderate internal consistency (Cronbach's alpha 0.7) and significant moderate correlations with quality of life by World Health Organization Quality of Life (WHOQOL)-bref and by WHOQOL-old social domains (Pearson's coefficients 0.54 and 0.64, respectively; P < 0.001) were found. The ROC curve indicated an IAPSI score of 17 as the threshold for the impact of pain on satisfaction with SP (83.3% sensitivity and 88.9% specificity, P < 0.001). In the second phase, 56 older adults (between 81 and 90 years old) participated. We found adequate intra- and inter-observer reproducibility for the IAPSI (ICC 0.96 and 0.78, respectively).</p><p><strong>Conclusion: </strong>We have developed a practical instrument with appropriate psychometric properties to assess older adults' satisfaction with their SP.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 2","pages":"e2022217"},"PeriodicalIF":1.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9987072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Brazilian army and the low prevalence of sexually transmitted infections in women of the military garrison of Campinas between 2017 to 2020: a prospective, cross-sectional epidemiological study.","authors":"Fabia Lopes,&nbsp;Fernanda Kesselring Tso,&nbsp;Neila Maria de Góis Speck","doi":"10.1590/1516-3180.2022.0557.R1.010623","DOIUrl":"10.1590/1516-3180.2022.0557.R1.010623","url":null,"abstract":"<p><strong>Background: </strong>Given the characteristics of military missions, intense interpersonal contact, and wide variation in casual relationships, the military has long been recognized as a high-risk population for sexually transmitted infections (STIs).</p><p><strong>Objective: </strong>To assess the prevalence of STIs and socioepidemiological profile of women in the military garrison of Campinas.</p><p><strong>Design and setting: </strong>This prospective, cross-sectional epidemiological study, assisted by the Health Fund in the military garrison of Campinas, assessed the prevalence of human immunodeficiency virus (HIV), hepatitis B and C, syphilis, human papillomavirus (HPV), chlamydia, and gonococcus in military women or companions of soldiers with active or previously active sexual life.</p><p><strong>Methods: </strong>This study included 647 women based on the non-inclusion criteria. They underwent clinical and laboratory tests for diagnosis of STIs. For statistical analysis, patients were divided into groups according to the presence or absence of STIs and into age groups.</p><p><strong>Results: </strong>Most women were military dependents, and the majority were asymptomatic. The prevalence of STIs, in ascending order, was 0.3% for hepatitis B and C, 0.62% for syphilis, 0.62% for gonorrhea, 1.08% for chlamydia, and 2.63% for HPV. There were no cases of HIV infection.</p><p><strong>Conclusions: </strong>The Brazilian Army has the most women-like dependents in the military, belonging to the hierarchical circle of the squares. Early onset of sexual activity favored STIs approximately twice, and younger women had approximately seven times more chlamydia infections. In the general population studied, the prevalence of STIs was lower than expected than in the armed forces of other nations.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 2","pages":"e2022557"},"PeriodicalIF":1.4,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9935326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}