Revista da Associacao Medica Brasileira (1992)最新文献

{"title":"Erratum.","authors":"","doi":"10.1590/1806-9282.20241008ERRATUM","DOIUrl":"10.1590/1806-9282.20241008ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20241008].</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 4","pages":"e20241008ERRATUM"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12088684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113193","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 effect of sexually transmitted disease education via instagram on the knowledge and attitudes of university students: a pilot study.","authors":"Özlem Can Gürkan, Begüm Kırık, Yusuf Eş, Necmedin Modanlar, Enes Atakan, Furkan Demir","doi":"10.1590/1806-9282.20241602","DOIUrl":"https://doi.org/10.1590/1806-9282.20241602","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate the effects of sexually transmitted disease education provided via Instagram on university students' knowledge and attitudes about sexually transmitted diseases.</p><p><strong>Methods: </strong>This pretest-posttest control group experimental study was conducted on 69 participants (Instagram group: 30, control group: 39). Participants in the Instagram group followed the @sexualinfectmarmara Instagram account prepared by the researchers. Five modules about sexually transmitted diseases prepared by the researchers were shared on this account.</p><p><strong>Results: </strong>When the pre-training STD scores of the Instagram and control groups were compared with the analysis of covariance (ANCOVA) analysis, it was found that the scores of the Instagram group were statistically significantly higher than those of the control group. No significant difference was found between the sexually transmitted disease scores. After the training, the participants in the Instagram group responded significantly more with disagreement to the statement \"sexually transmitted disease patients are easily recognized in society.\"</p><p><strong>Conclusion: </strong>Instagram can be a new and alternative educational tool for increasing the sexually transmitted disease knowledge and attitude levels of university students.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e20241602"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061504","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":"Approach to external cephalic version through social media: experience from a tertiary center in Brazil.","authors":"Suellyn de Pinho Alves, Rafaela Tessaro de Assis, Cintia Yurie Yamachi, Jorge Francisco Kuhn Dos Santos, Edward Araujo Júnior, Sue Yazaki Sun","doi":"10.1590/1806-9282.20240935","DOIUrl":"https://doi.org/10.1590/1806-9282.20240935","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to develop a communication and health education page on external cephalic version through the social media Instagram and, second, to assess the degree of patients' prior understanding of the external cephalic version procedure.</p><p><strong>Methods: </strong>We conducted a prospective cohort study on 133 singleton pregnancies (until 41 weeks of gestation), for which an online questionnaire (Google Forms) was applied on the social media Instagram, with four sections. The questionnaire was applied between January 2022 and December 2023. Before the intervention (reading the content displayed on Instagram), sections 1, 2, and 3 were applied, and after reading, section 4. Pregnant women of any gestational age who received prenatal care at our service were included. Patients<14 years of age and those who could not read were excluded.</p><p><strong>Results: </strong>A statistically significant difference was found after reading the content made available on Instagram, with a positive evolution after reading (p<0.001). Of this sample, 100% felt that knowledge about the external cephalic version should reach the major population of pregnant women, 131 (98.50%) opined that they would talk to other pregnant women about it, and 113 (84.96%) said that they would perform the procedure if they had indications for it.</p><p><strong>Conclusion: </strong>This study provided a comprehensive overview of pregnant women's knowledge about external cephalic version. Through the results obtained, it is possible to observe the evolution of pregnant women's knowledge about external cephalic version after reading the content available on Instagram. In addition, the pregnant women expressed a strong desire to share information about the external cephalic version with other pregnant women.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e20240935"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048713","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":"Human papillomavirus vaccination: if the vaccine is important and available, why not use it?","authors":"Georgiana Sousa Freire, Carolina Lavacchini Ramunno Amaral, Juliana Jorge Romano, Camila Bussamra Aulicino, Cláudia Vaz de Melo Sette, Juliana Vieira Biason Bonometto, Jean Henri Maselli-Schoueri, Luiz Vinicius de Alcantara Sousa, Auro Del Giglio, Daniel de Iracema Gomes Cubero","doi":"10.1590/1806-9282.20240865","DOIUrl":"https://doi.org/10.1590/1806-9282.20240865","url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus (HPV) is the most common virus of the reproductive tract, is linked to cervical cancer, and can be prevented by vaccination, which is most effective if the vaccine is administered before sexual activity begins.</p><p><strong>Methods: </strong>This descriptive, cross-sectional, and qualitative study was based on a survey containing 15 questions delivered to schools in three cities in the ABC region. Two schools from high-income neighborhoods and two from low-income neighborhoods were selected in each city based on real estate values. Data were expressed in absolute numbers and percentages and interpreted by descriptive analysis. The statistical tests of association were performed.</p><p><strong>Results: </strong>Twelve schools were invited and nine agreed to participate. Of the 4,503 questionnaires delivered, 1,921 were completed by parents and guardians. The vaccination rate was 56.05% in private schools and 66.58% in public schools. Private vs. public school was not an independent factor for vaccination, but residing in a low-income neighborhood and city was a determinant factor. Approximately 40% of the parents/guardians reported not having their children vaccinated, primarily due to concerns about adverse effects.</p><p><strong>Conclusion: </strong>Despite being freely available and proven effective, the human papillomavirus vaccine remains underutilized. The reasons exposed in this paper may be useful in strategies to enhance vaccination coverage.</p><p><strong>Trial registration: </strong>This study was approved by the research ethics committee under the number 2.143.196.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e20240865"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048871","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 role of 18F-fluorodeoxyglucose positron emission tomography/computed tomography SUVMax in deciding on a computed tomography-guided lung biopsy in solid solitary pulmonary nodules.","authors":"Bekir Sıtkı Said Ulusoy, Ali Burak Binboga, Mehmet Onay, Cetin Murat Altay, Ahmet Burak Kara","doi":"10.1590/1806-9282.20241741","DOIUrl":"https://doi.org/10.1590/1806-9282.20241741","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to calculate a useful cut-off point of the 18F-fluorodeoxyglucose positron emission tomography/computed tomography SUVMax value to decide on a computed tomography-guided percutaneous transthoracic needle biopsy for solitary pulmonary nodules of sizes between 11 and 20 mm.</p><p><strong>Methods: </strong>Between January 2015 and April 2020, patients with solitary pulmonary nodules who underwent computed tomography-guided percutaneous transthoracic needle biopsy were retrospectively reviewed, and those with solitary pulmonary nodules of 11-20 mm in diameter, who had undergone an 18F-fluorodeoxyglucose positron emission tomography/computed tomography examination before computed tomography-guided percutaneous transthoracic needle biopsy, were included in the study. A total of 76 patients who met the inclusion criteria were evaluated.</p><p><strong>Results: </strong>There was no distinguishing finding on the computed tomography examination (p>0.05). The SUVMax values of the malignant solid solitary pulmonary nodules were higher than the benign solitary pulmonary nodules (p<0.05).</p><p><strong>Conclusion: </strong>The benign and malignant solid solitary pulmonary nodules between 11 and 20 mm have similar computed tomography features. 18F-fluorodeoxyglucose positron emission tomography/computed tomography is a useful imaging technique for distinguishing benign and malignant solitary pulmonary nodules. Notably, 4.85 SUVMax value can be used to decide on a computed tomography-guided percutaneous transthoracic needle biopsy procedure in solid solitary pulmonary nodules between 11 and 20 mm with excellent sensitivity and moderate specificity rates.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e20241741"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046832","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":"Ventrogluteal site as the preferred choice for pediatric intramuscular injections: impact on pain and fear.","authors":"Hongmei Xuan, Lifeng Meng, Peiyu Chen","doi":"10.1590/1806-9282.20241782","DOIUrl":"https://doi.org/10.1590/1806-9282.20241782","url":null,"abstract":"","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e20241782"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059284","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 role of inflammatory indices for the prediction of preeclampsia in the first trimester: a case-control study from a tertiary center.","authors":"Göksun İpek, Atakan Tanaçan, Nazan Görmüşer, Zahid Ağaoğlu, Ayça Peker, Özgür Kara, Dilek Şahin","doi":"10.1590/1806-9282.20241231","DOIUrl":"https://doi.org/10.1590/1806-9282.20241231","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the role of systemic inflammation response index, systemic immune-inflammation index, platelet/hemoglobin ratio, and other defined low-grade inflammatory indices in predicting preeclampsia.</p><p><strong>Methods: </strong>The presented retrospective case-control study was conducted on 304 patients diagnosed with preeclampsia and 240 low-risk pregnant women who gave birth between 2019 and 2021 in Ankara Bilkent City Hospital, a tertiary center. Patient information was obtained from the hospital database. Patients diagnosed with preeclampsia, along with possible predictive indices in the first trimester, were evaluated to predict the development of preeclampsia. The indices were neutrophil/lymphocyte ratio, AST/platelet ratio, platelet/lymphocyte ratio, lymphocyte/monocyte ratio, platelet/hemoglobin ratio, creatinine/platelet ratio, systemic immune-inflammation index (neutrophil×platelet/lymphocyte), and systemic inflammation response index (neutrophil×monocyte/lymphocyte). These indices were calculated from the first-trimester routine blood test results and compared between preeclampsia and control groups. The indices were also evaluated for the predictive value regarding the severity and onset time of the disease.</p><p><strong>Results: </strong>In the first trimester, hemoglobin counts were lower in the preeclampsia group, whereas creatinine and monocyte counts were higher. The platelet/hemoglobin count ratio was significantly higher in the preeclampsia group, with a p-value of 0.025. According to receiver operating characteristic analyses, a platelet/hemoglobin count ratio of 21.41 was identified as the optimal cut-off value for the disease prediction.</p><p><strong>Conclusion: </strong>Systemic inflammation response index and platelet/hemoglobin ratio were evaluated along with the other indices to predict preeclampsia. The platelet/hemoglobin ratio was found to be higher in the preeclampsia group in the first trimester, making it a promising index for preeclampsia prediction.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e20241231"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013770","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":"\"Organ transplantation was a second chance given to me\": a qualitative study of the experiences of solid organ transplantation patients.","authors":"Yeliz Sürme, Eda Albayrak Günday, Handan Topan","doi":"10.1590/1806-9282.20241640","DOIUrl":"https://doi.org/10.1590/1806-9282.20241640","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to qualitatively examine the needs of patients undergoing organ transplantation.</p><p><strong>Methods: </strong>The sample of the study consisted of 17 patients. Data were evaluated using Colaizzi's seven-stage content analysis method.</p><p><strong>Results: </strong>Two themes such as returning to daily life after organ transplantation and difficulties experienced after organ transplantation were determined.</p><p><strong>Conclusion: </strong>Individuals experienced physiological problems and fear of rejection after organ transplantation. Moreover, patients who experienced rejection fell into despair. However, their quality of life increases in the long term. Besides, individuals could not receive social support during transplantation.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e20241640"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048870","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 mediating role of loneliness in the effect of social media addiction on aesthetic procedures in women.","authors":"Eda Yakit Ak, Mehmet Ali Şen, Özden Tandoğan","doi":"10.1590/1806-9282.20241129","DOIUrl":"https://doi.org/10.1590/1806-9282.20241129","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to determine the mediating role of loneliness in the effect of women's social media addiction on aesthetic procedure behavior.</p><p><strong>Methods: </strong>The study was carried out with a total of 1,166 women. The data were evaluated by correlation and SPSS PROCESS macro 4 regression analysis with the Introductory Information Form, Social Media Addiction Scale-Adult Form, Social Media and Changing Perception of Aesthetic Procedures in Society Scale, and Ruls-6 Loneliness Scale.</p><p><strong>Results: </strong>When the mediating role of loneliness was examined in the effect of social media addiction on having aesthetic procedures, it was determined that both social media addiction (β=0.481) and loneliness (β=0.075) significantly positively affected the perception of having social media aesthetic procedures. A positive relationship was determined between Social Media Addiction Scale-Adult Form, Social Media and Changing Perception of Aesthetic Procedures in Society Scale total score, sub-factor mean scores, and Ruls-6 Loneliness total scores (p<0.001).</p><p><strong>Conclusion: </strong>It was found that loneliness had a low-level effect on the effect of social media addiction on aesthetic behavior.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e20241129"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045471","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":"Melatonin, programmed death ligand-1, programmed death ligand-1, and cancer: imagine beyond the future?","authors":"José Maria Soares Junior, Ilker Sengul, Demet Sengul","doi":"10.1590/1806-9282.0713EDIT","DOIUrl":"https://doi.org/10.1590/1806-9282.0713EDIT","url":null,"abstract":"","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 3","pages":"e0713EDIT"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063784","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}