Revista da Associacao Medica Brasileira (1992)最新文献

{"title":"Mycoplasma genitalium infection and risk of ovarian cancer: a systematic review and meta-analysis.","authors":"Hui Li, Liyuan Shi, Chuan Wang, Li Tian, Yufan Yuan, Ling Jia, Sha Wang","doi":"10.1590/1806-9282.20250562","DOIUrl":"10.1590/1806-9282.20250562","url":null,"abstract":"","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250562"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prophylactic administration of parecoxib sodium for postoperative delirium in hip surgery of the elderly: a prospective, randomized, placebo-controlled trial.","authors":"Qin Tan, Yingchuan Li, Quanhong Zhou","doi":"10.1590/1806-9282.20250548","DOIUrl":"10.1590/1806-9282.20250548","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the effect of prophylactic administration of parecoxib sodium on postoperative delirium in elderly orthopedic patients.</p><p><strong>Methods: </strong>In this prospective, single-center, randomized, double-blind, placebo-controlled trial, a total of 166 elderly orthopedic patients were included. Patients were randomly divided into placebo group (Group A) and parecoxib sodium group (Group B) with normal saline and parecoxib sodium 40 mg given, respectively, before operation. Delirium was evaluated by the Confusion Assessment Method-Chinese Reversion. The main outcome was the incidence of delirium within 48 h after operation. The secondary outcomes were the average delirium and pain scores. The follow-up outcome was measured by the Activities of Daily Living scale after 2 months and 6 months.</p><p><strong>Results: </strong>Finally, 53 of 166 patients developed postoperative delirium (31.9%), of which the incidence of Group B was significantly lower than that of Group A (42.2 vs. 21.7%, p=0.015). The average delirium scores of Group B were lower than those of Group A (p<0.05). However, the average pain scores only differed at 8 pm in the second day after surgery. There was no significant difference in Activities of Daily Living scale scores between the two groups at either 2 months (67.12±19.82 vs. 65.19±19.53, p=0.609) or 6 months (68.36±18.56 vs. 66.63±19.44, p=0.927).</p><p><strong>Conclusion: </strong>Preoperative prophylactic administration of parecoxib sodium significantly reduced the incidence of postoperative delirium in elderly orthopedic patients but did not improve long-term functional recovery.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250548"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of ınsomnia with fatigue and mood in postmenopausal osteoporosis.","authors":"Büşra Şirin Ahısha, Nurdan Paker, Nur Kesiktaş, Nazlı Derya Buğdaycı, Sedef Ersoy, Yiğit Can Ahısha","doi":"10.1590/1806-9282.20250426","DOIUrl":"10.1590/1806-9282.20250426","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to investigate the prevalence of insomnia in postmenopausal osteoporotic women. It also evaluated the relationship between insomnia, fatigue, and mood disorders.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with 200 postmenopausal osteoporotic women aged 50-75 years. Insomnia severity was assessed using the Insomnia Severity Index, while fatigue and mood disorders were measured using the Fatigue Severity Scale and the Hospital Anxiety and Depression Scale, respectively. The participants were divided into two groups based on the Insomnia Severity Index scores, using a cutoff of 15. We then analyzed the clinical characteristics of these two groups, focusing on the relationship between insomnia severity and factors such as fatigue, anxiety, depression, and bone mineral density.</p><p><strong>Results: </strong>Among the participants, 20.5% were clinically diagnosed with insomnia (Insomnia Severity Index≥15). Sleep initiation difficulties were reported by 73.5%, sleep maintenance difficulties by 57.5%, and early awakening by 45%. Insomnia severity was significantly correlated with higher levels of fatigue (r=0.342, p<0.001), depression (r=0.297, p<0.001), and anxiety (r=0.323, p<0.001). There was no significant correlation between insomnia and bone mineral density or T-scores.</p><p><strong>Conclusion: </strong>Insomnia is common in postmenopausal osteoporotic women and is closely linked to higher fatigue, anxiety, and depression levels. Early detection and management of insomnia in this population are essential to reduce fall risk and prevent fractures.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250426"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of pregnancy happiness on prenatal attachment and maternity function: a longitudinal study.","authors":"Sümeyye Barut, Nuray Kurt, Esra Sabanci Baransel","doi":"10.1590/1806-9282.20250040","DOIUrl":"10.1590/1806-9282.20250040","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to investigate the relationship between pregnancy happiness and prenatal attachment, as well as postpartum maternal functioning.</p><p><strong>Methods: </strong>The study was conducted between December 2022 and January 2024 and involved 312 women. Data were collected using the Oxford Happiness Scale Short Form, Prenatal Attachment Inventory, and Barkin Maternity Function Scale. The Oxford Happiness Scale Short Form was administered during the second trimester of pregnancy, the Prenatal Attachment Inventory during the third trimester, and the Barkin Maternity Function Scale at 6-10 weeks postpartum.</p><p><strong>Results: </strong>The study found that prenatal attachment mediates the effect of pregnancy happiness on maternal functioning. Additionally, it was observed that both pregnancy happiness and prenatal attachment have a direct impact on maternal functioning.</p><p><strong>Conclusion: </strong>This study clarifies the mechanism linking pregnancy happiness and maternal functioning. The findings suggest that increasing levels of pregnancy happiness and prenatal attachment may improve positive attitudes and ensure high maternal functioning.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250040"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in appetite-related hormones may not necessarily lead to changes in appetite response.","authors":"Weijia Meng, Zheying Jiang, Cuiping Li, Jingjin Yang, Huaqin Su","doi":"10.1590/1806-9282.20250410","DOIUrl":"10.1590/1806-9282.20250410","url":null,"abstract":"","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250410"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anti-hepatitis C virus threshold value in predicting hepatitis C virus viremia in hemodialysis patients.","authors":"Vahibe Aydın Sarıkaya, Uğur Ayan, Sebahat Aksaray, Selami Erdinç, Burak Sarıkaya, Recep Balık, Seniha Şenbayrak, Serpil Erol, Asuman İnan, Nurgül Ceran","doi":"10.1590/1806-9282.20250184","DOIUrl":"10.1590/1806-9282.20250184","url":null,"abstract":"<p><strong>Objective: </strong>Hepatitis C virus prevalence is higher in hemodialysis patients than in the general population. It is recommended that patients who are detected to be anti-hepatitis C virus seropositive should be dialyzed in separate machines. In patients requiring urgent hemodialysis treatment, anti-hepatitis C virus seropositivity may cause confusion and delay in dialysis sessions.</p><p><strong>Methods: </strong>The aim of the study was to determine the most appropriate signal-to-cutoff value to predict hepatitis C virus viremia in hemodialysis patients and to evaluate the effect of genotype differences. A total of 12,280 anti-hepatitis C virus results from hemodialysis patients between 2021 and 2024 were examined.</p><p><strong>Results: </strong>The mean age of 563 patients included in the study was 57 years, and 330 (58.6%) were male. Of the 563 patients, 68 (12.07%) were true hepatitis C virus patients. The mean age of hepatitis C virus-ribonucleic acid(+) patients was higher than that of the hepatitis C virus-ribonucleic acid(-) group (p<0.018). Anti-hepatitis C virus signal-to-cutoff value was >1 in all true hepatitis C virus patients. Hepatitis C virus-ribonucleic acid was accepted as the gold standard to determine the best threshold value in receiver operating characteristic curve analysis, and the most appropriate signal-to-cutoff value was found to be 2.23. Sensitivity was 98.5%, specificity was 87.1%, positive predictive value was 51.2%, and negative predictive value was 99.8%. 49 (85.96%) of the patients were identified as genotype(-1; the most common subtype was genotype-1b (n=43).</p><p><strong>Conclusion: </strong>Anti-hepatitis C virus negativity is a reliable result in hemodialysis patients. If anti-hepatitis C virus signal-to-cutoff ≥2.23 is detected, confirmation by direct hepatitis C virus-ribonucleic acid testing is recommended. In hemodialysis patients with anti-hepatitis C virus signal-to-cutoff values between 1 and 2.23, false positivity should be considered first, and confirmatory tests should be performed if anti-hepatitis C virus is reactive in a second sample.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250184"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ERRATUM: Sertraline plus repetitive transcranial magnetic stimulation for the treatment of postpartum depression / Evaluation of cinitapride's efficacy and safety in treating functional dyspepsia with overlapping symptoms: a real-world study in Chinese healthcare settings / Conditions of vulnerability to the inadequate treatment of bronchiolitis.","authors":"","doi":"10.1590/1806-9282.20241001-ER","DOIUrl":"10.1590/1806-9282.20241001-ER","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20241001] [This corrects the article doi: 10.1590/1806-9282.20241628] [This corrects the article doi: 10.1590/1806-9282.66.2.187].</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20241001ER"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of hyaluronic acid on skin at the cellular level: a systematic review.","authors":"Mehmet Uğur Karabat, Mehmet Cudi Tuncer","doi":"10.1590/1806-9282.20250208","DOIUrl":"10.1590/1806-9282.20250208","url":null,"abstract":"","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250208"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpretations on Chat Generative Pre-training Transformer vs. surgeons on pancreatic cancer queries: accuracy and empathy evaluated by patients and experts.","authors":"Ilker Sengul, Demet Sengul","doi":"10.1590/1806-9282.20250500","DOIUrl":"10.1590/1806-9282.20250500","url":null,"abstract":"","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250500"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between adiponectin level, leptin level, and preeclampsia: a systematic review and meta-analysis.","authors":"Pablo Andres Yanez Marcayata, Alicia Ivonne Villacres Herrera, Eduardo Carvalho de Arruda Veiga, Ligia Saltos, Enrique Teran, Jose Augusto Duran, Ricardo Carvalho Cavalli","doi":"10.1590/1806-9282.20250112","DOIUrl":"10.1590/1806-9282.20250112","url":null,"abstract":"","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 8","pages":"e20250112"},"PeriodicalIF":1.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}