Revista da Associacao Medica Brasileira (1992)最新文献_第2页

The mediatıng role of insomnia in the effect of depression on healthy lifestyle behaviors in post-menopausal women.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20240943

Mehmet Ali Sen, Eda Yakıt Ak

引用次数: 0

Evaluation of the effect of delivery type on dynamic thiol-disulfide balance: a prospective randomized controlled study.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20240295

Merve Keskin Paker, Mehmet Zahit Çıracı, Hayrullah Yazar, Hilal Uslu Yuvaci

{"title":"Evaluation of the effect of delivery type on dynamic thiol-disulfide balance: a prospective randomized controlled study.","authors":"Merve Keskin Paker, Mehmet Zahit Çıracı, Hayrullah Yazar, Hilal Uslu Yuvaci","doi":"10.1590/1806-9282.20240295","DOIUrl":"10.1590/1806-9282.20240295","url":null,"abstract":"Objective: Thiols play an essential role in eliminating oxidative stress in cells. We aimed to evaluate the oxidative stress occurring during labor with thiol-disulfide balance.Methods: A total of 97 healthy pregnant women in the 37th-41st gestational weeks who underwent delivery between June 2021 and August 2022 were included in the study. Elective cesarean section group 1 (n=33), vaginal deliveries group 2 (n=29), and cesarean section due to cephalopelvic disproportion group 3 (n=35) were determined. Blood samples were taken before delivery, and from the umbilical artery just after the fetus and placenta were delivered. Serum native thiol (μmol/L), total thiol (μmol/L), and disulfide (μmol/L) were measured. Disulfide/native thiol (%), disulfide/total thiol (%), and native thiol/total thiol (%) ratios were calculated.Results: No significant difference was observed in thiol values in maternal blood (p>0.05). There was a significant difference between the groups in terms of native/total thiol (p=0.017), disulfide/total thiol (%) (p=0.018), and disulfide/native thiol (%) (p=0.018) in cord blood.Conclusion: In the literature, evidence concerning the impact of the mode of delivery on the level of neonatal and maternal oxidative stress is inconsistent. It is not clear whether parturition accompanied by pain, as in spontaneous vaginal delivery, poses more oxidative stress than a planned operative delivery. Prospective studies in larger cohorts are needed to better understand the impact of oxidative stress on pregnant women and neonates.","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"70 11","pages":"e20240295"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782140","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}

引用次数: 0

Reinterpretation on a comparison of cytological adequacy between 23- and 25-gauge in thyroidology: smaller needle gauges "ratio"nale or (over)use it?

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20240874

Demet Sengul, Ilker Sengul

引用次数: 0

The relationship between YKL-40 and preeclampsia remains controversial.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20241165

Lianlian Song, Huaxiao Tang

引用次数: 0

Translation and validation of the Second Victim Experience and Support Tool-Revised into Brazilian Portuguese.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20241154

Ana Paula Almeida Lima, Marcos Antônio Almeida Matos, Carolina Villa Nova Aguiar

{"title":"Translation and validation of the Second Victim Experience and Support Tool-Revised into Brazilian Portuguese.","authors":"Ana Paula Almeida Lima, Marcos Antônio Almeida Matos, Carolina Villa Nova Aguiar","doi":"10.1590/1806-9282.20241154","DOIUrl":"10.1590/1806-9282.20241154","url":null,"abstract":"Introduction: The term second victim arises when a healthcare professional experiences an adverse event that has an emotional impact and/or physical suffering for the healthcare professional. The experiences of the second victim can be measured using the Second Victim Experience and Support Tool, originally developed in English, translated and validated internationally in several languages. A revised version of the tool (Second Victim Experience and Support Tool-Revised) has been published since 2020.Objective: The objective of this study was to translate and gather evidence of the validity of the Second Victim Experience and Support Tool-Revised Version into Brazilian Portuguese.Methods: This is a methodological study that involved the necessary procedures for the translation and cross-cultural adaptation of the instrument, carefully following the stages of translation, back-translation, pre-testing, evaluation by a panel of experts, and a test on a large population for validity and reliability.Results: A total of 146 health professionals took part in the study, with a greater predominance of doctors (38.4%) and physiotherapists (30.8%). Seven items were excluded, all with factor loadings of less than 0.50. The \"institutional support\" dimension had to be excluded due to its low factor loadings. The fit indices of the re-specified model were χ2/df=1.60, CFI=0.90, TLI=0.88, and RMSEA=0.07 (CI 0.06-0.08).Conclusion: The adapted version of the instrument showed satisfactory psychometric properties when composed of 28 items distributed in eight dimensions, making it a valid and reliable instrument for assessing second victim experiences in different professions, suitable for dissemination in Brazil.","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"70 11","pages":"e20241154"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782247","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}

引用次数: 0

Epidemiological of chronic kidney disease based on a database of health.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20240644

Bertrand Saulo Vieira Cariry, Ysabely de Aguiar Pontes Pamplona, Fernando Luiz Affonso Fonseca, Lourdes Conceição Martins

{"title":"Epidemiological of chronic kidney disease based on a database of health.","authors":"Bertrand Saulo Vieira Cariry, Ysabely de Aguiar Pontes Pamplona, Fernando Luiz Affonso Fonseca, Lourdes Conceição Martins","doi":"10.1590/1806-9282.20240644","DOIUrl":"10.1590/1806-9282.20240644","url":null,"abstract":"Introduction: Chronic kidney disease has presented frequencies that exceed the installed capacity of dialysis services, and data on prevalence are uncertain worldwide.Objective: The objective of this study was to analyze the epidemiological profile of patients assisted in renal replacement therapy and details on the assistance provided.Methods: Population-based cross-sectional study with information obtained from the Unified Health System database. The research location was the state of Paraíba, and the observation period was from January 1, 2009, to December 31, 2013, n = 64,676 documents, and the variables observed were: gender; age group, race, or color; place of residence; place where the therapy was performed; vascular access; modality if hemodialysisor peritoneal dialysis; registration on the kidney transplantation list; infection by hepatitis B, C, and HIV viruses; and costs.Results: A higher prevalence of request for highly complex procedure was observed in males (56.8%) and white (39%). The cities with the highest prevalence of dialysis patients were João Pessoa, Campina Grande, Santa Rita, Sousa, Bayeux, and Patos. Most of the sample referred to patients undergoing hemodialysis as a renal replacement therapy modality, with 42.2% not having definitive arteriovenous fistula access. The renal replacement therapy expenses observed were increasing, and in 2009, they accounted for 2.89% of health spending, reaching 3.32% of state health spending in 2013.Conclusion: Using secondary data from DATASUS to understand the population with chronic kidney disease and the assistance offered is possible.","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"70 11","pages":"e20240644"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782133","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}

引用次数: 0

Prenatal diagnosis and postnatal follow-ups of 38 clubfoot cases in a tertiary reference center.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20240938

Refaettin Sahin, Atakan Tanacan, Hakki Serbetci, Osman Onur Ozkavak, Murat Haksever, Mehmet Utku Basarir, Ozgur Kara, Dilek Sahin

{"title":"Prenatal diagnosis and postnatal follow-ups of 38 clubfoot cases in a tertiary reference center.","authors":"Refaettin Sahin, Atakan Tanacan, Hakki Serbetci, Osman Onur Ozkavak, Murat Haksever, Mehmet Utku Basarir, Ozgur Kara, Dilek Sahin","doi":"10.1590/1806-9282.20240938","DOIUrl":"10.1590/1806-9282.20240938","url":null,"abstract":"Objective: The objective of this study was to evaluate the descriptive outcomes of 38 prenatally suspected clubfoot cases.Methods: This is a retrospective cohort study conducted in Ankara Bilkent City Hospital's perinatology clinic. All consecutive cases with the diagnosis of fetal clubfoot between 2020 and 2023 were included. Multiple pregnancies and skeletal dysplasias were excluded from the study. Demographic features, prenatal ultrasound findings, prenatal screening test results, invasive diagnostic test results, clinical approaches, short-term and long-term postnatal outcomes, and treatment types of clubfoot were reported.Results: There were a total of 38 prenatally diagnosed clubfoot cases noted during the study period. The mean gestational age at diagnosis was 15.3±1.4 weeks. Prenatal ultrasound screening noted bilateral clubfoot in 16 (42.1%) cases and unilateral clubfoot in 22 (57.8%) cases. Clubfoot was isolated in 7 (18.4%) cases, and additional anomalies were present in 31 (81.6%) cases. The gender of the fetuses was 26 (68.4%) males and 12 (31.6%) females. The prenatal noninvasive screening test was high risk in 7 (18.4%) patients and low risk in 16 (42.1%) patients. As a result of amniocentesis performed in 16 (42.1%) patients, abnormal karyotypes were detected in 2 patients (trisomy 18, 22q11.2 del). Six pregnancies were terminated before 24 weeks, and 27 pregnancies resulted in live birth at an average of 37.8±2.5 weeks. The diagnosis was correct in 84.2% of the cases, and 84.6% of the pregnancies resulted in live births.Conclusion: The outcomes of congenital clubfoot are generally favorable, especially in isolated cases.","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"70 11","pages":"e20240938"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782232","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}

引用次数: 0

Reliability and quality of information provided by artificial intelligence chatbots on post-contrast acute kidney injury: an evaluation of diagnostic, preventive, and treatment guidance.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20240891

Seray Gizem Gur Ozcan, Merve Erkan

{"title":"Reliability and quality of information provided by artificial intelligence chatbots on post-contrast acute kidney injury: an evaluation of diagnostic, preventive, and treatment guidance.","authors":"Seray Gizem Gur Ozcan, Merve Erkan","doi":"10.1590/1806-9282.20240891","DOIUrl":"10.1590/1806-9282.20240891","url":null,"abstract":"Objective: The aim of this study was to evaluate the reliability and quality of information provided by artificial intelligence chatbots regarding the diagnosis, preventive methods, and treatment of contrast-associated acute kidney injury, while also discussing their benefits and drawbacks.Methods: The most frequently asked questions regarding contrast-associated acute kidney injury on Google Trends between January 2022 and January 2024 were posed to four artificial intelligence chatbots: ChatGPT, Gemini, Copilot, and Perplexity. The responses were evaluated based on the DISCERN score, the Patient Education Materials Assessment Tool for Printable Materials score, the Web Resource Rating scale, the Coleman-Liau index, and a Likert scale.Results: As per the DISCERN score, the quality of information provided by Perplexity received a rating of \"good\", while the quality of information acquired by ChatGPT, Gemini, and Copilot was scored as \"average.\" Based on the Coleman-Liau index, the readability of the responses was greater than 11 for all artificial intelligence chatbots, suggesting a high level of complexity requiring a university-level education. Similarly, the understandability and applicability scores on the Patient Education Materials Assessment Tool for Printable Materials and the Web Resource Rating scale were low for all artificial intelligence programs. In consideration of the Likert score, all artificial intelligence chatbots received favorable ratings.Conclusions: While patients increasingly utilize artificial intelligence chatbots to acquire information about contrast-associated acute kidney injury, the readability and understandability of the information provided may be low.","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"70 11","pages":"e20240891"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782236","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}

引用次数: 0

Taking hypoglycemic drugs may affect the association between ferritin and nonalcoholic steatohepatitis.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20241181

Rong Hu, Ling-Hai Zeng

引用次数: 0

Brazilian research on eating disorders: historical factors, research management, and consequences.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.1590/1806-9282.20241210

Jônatas de Oliveira

引用次数: 0