Revista da Associacao Medica Brasileira (1992)最新文献

{"title":"Sociodemographic profile of patients treated by the Hemodynamics and Interventional Cardiology Service from Hospital São Paulo-Brazil.","authors":"Solange Regina Generozo, Fernando Sabia Tallo, Marcelo Pires-Oliveira, Carlos Eduardo Braga Filho, Joyce Umbelino da Silva Yamamoto, Lucas de Oliveira Sassi, Maykon Anderson Pires de Novais, Adriano Henrique Pereira Barbosa, Afonso Caricati-Neto, Renato Delascio Lopes, Francisco Sandro Menezes-Rodrigues","doi":"10.1590/1806-9282.20250127","DOIUrl":"10.1590/1806-9282.20250127","url":null,"abstract":"<p><strong>Objective: </strong>Ischemic heart disease and acute myocardial infarction are the main causes of death and morbidity worldwide. It has been proposed that knowledge of the profile of patients treated allows the development of more effective strategies to improve adherence to treatment and consequently the best clinical results. The aim of this study was to develop a descriptive and observational study to identify and describe the sociodemographic profile of patients treated by the medical complex of Hemodynamics and Interventional Cardiology Service of Hospital São Paulo from Escola Paulista de Medicina/Universidade Federal de São Paulo.</p><p><strong>Methods: </strong>This study was performed on 3,593 patients from the Hemodynamics and Interventional Cardiology Service/Hospital São Paulo/Escola Paulista de Medicina/Universidade Federal de São Paulo complex between July 1, 2020, and October 30, 2022. Using data collected on the REDCap platform, variables, such as gender, age group, ethnicity, education level, and origin of the patients, were analyzed.</p><p><strong>Results: </strong>Of the total patients (3,593), 60.1% were male, 59.18% were older adults, 66.34% belonged to White race, and 33.69% had incomplete primary education. Geographically, most patients were from the capital of São Paulo State (76.46%), with a smaller proportion coming from the greater São Paulo area (16.77%) and other regions.</p><p><strong>Conclusion: </strong>Understanding the sociodemographic profile of patients treated by the medical complex of Hemodynamics and Interventional Cardiology Service/Hospital São Paulo/Escola Paulista de Medicina/Universidade Federal de São Paulo will be fundamental for developing more effective and personalized medical intervention strategies, aiming to increase treatment adherence and improve the quality of care provided. These data may also be useful for other medical centers in Brazil and other parts of the world.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 2","pages":"e20250127"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766312","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 advanced maternal age and gestational weight gain on newborns.","authors":"Ayse Yazan Arslan, Cüneyt Ardic, Beril Kara Esen","doi":"10.1590/1806-9282.20240961","DOIUrl":"10.1590/1806-9282.20240961","url":null,"abstract":"<p><strong>Introduction: </strong>Advanced maternal age is defined as the mother being ≥35 years of age at the time of birth. Gestational weight gain is the difference between the weight measurements of the pregnant woman at prenatal follow-up just before birth and at pre-conception or at the beginning of the first trimester. In our study, we examined the effects of maternal age and gestational weight gain on neonatal outcomes.</p><p><strong>Methods: </strong>This study was conducted, in the Rize province between April 2022 and January 2023, on pregnant women registered in seven Family Health Centers in the last 5 years and their resulting newborns. In total, this study analyzed the data of 642 pregnant women and their 642 newborns. Data records in the study are pregnant-puerperal follow-up form, newborn-child follow-up form, and family medicine information system.</p><p><strong>Results: </strong>The probability of newborns of mothers with excessive gestational weight gain being large-for-gestational-age was found to be 1.81 times higher in univariate analysis and 1.72 times higher in multivariate analysis. While the effect of gestational weight gain status on birth weight Z-score was significant, gestational age had no significant effect (p=0.001 and p=0.136, respectively).</p><p><strong>Conclusion: </strong>In this period, when obesity, which is a disease of our age, is widespread and the gestational age has moved to older ages, there is a need for more extensive research on this subject in future studies.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 2","pages":"e20240961"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766315","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":"Agreement between magnetic resonance imaging and ultrasonography in deep pelvic endometriosis.","authors":"Mihriban Alkan, Gülsüm Kılıçkap","doi":"10.1590/1806-9282.20241235","DOIUrl":"10.1590/1806-9282.20241235","url":null,"abstract":"<p><strong>Objective: </strong>Deep pelvic endometriosis is the most common cause of chronic pelvic pain and infertility. Guidelines proposed standardized approaches for the diagnosis of deep pelvic endometriosis with ultrasonography and magnetic resonance imaging; however, knowing the reasons for discrepancy is crucial. We aimed to analyze the agreement between ultrasonography and magnetic resonance imaging for deep pelvic endometriosis findings and provide potential pitfalls and reasons for discordant findings.</p><p><strong>Methods: </strong>The study group consists of consecutive patients with deep pelvic endometriosis diagnosed on pelvic (n=1) or transvaginal ultrasonography (n=34) who underwent noncontrast pelvic magnetic resonance imaging. The agreement between the ultrasonography and magnetic resonance imaging was assessed using the prevalence and bias-adjusted kappa statistics. Potential pitfalls and reasons for discordant findings were presented.</p><p><strong>Results: </strong>The study group consisted of 35 patients with deep pelvic endometriosis. The mean age was 39.5±6.2 years. The most common site of involvement was the rectosigmoid colon (n=34, 97.1%), followed by endometrioma/hemorrhagic cyst (n=32, 91.4%). There was a perfect agreement for endometrioma/hemorrhagic cyst (100%), almost perfect agreement for bladder involvement (PABAK=0.886), and moderate agreement for other sites. The number of uterosacral ligament involvement was lower with ultrasonography than with magnetic resonance imaging. However, due to the impact of gas signals on magnetic resonance imaging imaging, the number and boundaries of rectosigmoid deep pelvic endometriosis were better defined with ultrasonography.</p><p><strong>Conclusion: </strong>The agreement between ultrasonography and magnetic resonance imaging for deep pelvic endometriosis findings varies according to the sites of involvement. Ultrasonography and magnetic resonance imaging are not standalone diagnostic techniques but are complementary to each other. We provided potential diagnostic pitfalls.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 2","pages":"e20241235"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766296","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 postpartum depression between mother-infant contact barriers and maternal attachment: a cross-sectional study from Turkey.","authors":"Sümeyra Topal, Sinem Yalnizoğlu Çaka","doi":"10.1590/1806-9282.20241413","DOIUrl":"10.1590/1806-9282.20241413","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate the role of postpartum depression in the relationship between mother-infant contact barriers and maternal attachment in mothers of premature infants.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 113 mothers who applied to the pediatric outpatient clinic of a hospital between April and November 2022 and whose premature babies were discharged at least 1 month ago. The data were collected using the Edinburgh Postnatal Depression Scale, the Mother-Infant Contact Barriers Scale, and the Maternal Attachment Scale.</p><p><strong>Results: </strong>The mothers' mean Maternal Attachment Scale score was 82.25±10.57, the mean Mother-Infant Contact Barriers Scale score was 60.65±17.87, and the mean Edinburgh Postnatal Depression Scale score was 18.41±8.38. The mean Edinburgh Postnatal Depression Scale score of 78.8% (n=89) of the mothers was 14 and above. There was a statistically significant positive effect of the Mother-Infant Contact Barriers Scale on the Edinburgh Postnatal Depression Scale (B=0.95, p<0.001) and a statistically significant negative effect of the Edinburgh Postnatal Depression Scale on the Maternal Attachment Scale (B=-0.29, p<0.001). Hence, it was found that the Edinburgh Postnatal Depression Scale (B=-0.27, p<0.001) played a mediating role in the impact of the Mother-Infant Contact Barriers Scale on the Maternal Attachment Scale.</p><p><strong>Conclusion: </strong>Accordingly, it can be stated that maternal attachment decreases and postpartum depression increases as mother-infant contact barriers increase.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 2","pages":"e20241413"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766316","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":"Eating attitude and body satisfaction of adolescent and non-adolescent pregnant women.","authors":"Arife Soyturk, Nuray Egelioglu Cetisli","doi":"10.1590/1806-9282.20241184","DOIUrl":"10.1590/1806-9282.20241184","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare eating attitudes and body satisfaction between adolescent and nonadolescent pregnant women.</p><p><strong>Methods: </strong>A descriptive and comparative study was conducted with 169 pregnant women, comprising 85 adolescents and 84 nonadolescents, who presented to the obstetrics outpatient clinic of a hospital in western Turkey. Data were collected using a Personal Information Form, the Multidimensional Body-Self Relations Questionnaire, and the Eating Attitudes Test-40. Descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test, and Pearson correlation analysis were used for data analysis.</p><p><strong>Results: </strong>The mean scores of the Eating Attitudes Test-40 were higher for adolescent pregnant women compared with nonadolescent pregnant women (p=0.040). It was determined that 15.3% of adolescent pregnant women and 4.8% of nonadolescent pregnant women were predisposed to eating disorders (p=0.038). The study found that the mean total score of the Multidimensional Body-Self Relations Questionnaire was lower for adolescent pregnant women compared with nonadolescent pregnant women, and the difference was statistically significant (p=0.000). Additionally, there was a statistically significant weak negative correlation between the scores of the Eating Attitudes Test-40 and the Multidimensional Body-Self Relations Questionnaire among adolescent pregnant women (r=-0.33, p<0.002).</p><p><strong>Conclusion: </strong>Adolescent pregnant women exhibit lower levels of body satisfaction and higher susceptibility to eating disorders compared with nonadolescent pregnant women.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 2","pages":"e20241184"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766300","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.","authors":"","doi":"10.1590/1806-9282.20230801ERRATUM","DOIUrl":"10.1590/1806-9282.20230801ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20230801].</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 2","pages":"e20230801ERRATUM"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766302","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":"Mammographic screening: hero or villain.","authors":"Ruffo Freitas-Junior, Aline Ferreira Bandeira de Melo Rocha, Luciano Fernandes Chala, Rafael Batista João, André Mattar","doi":"10.1590/1806-9282.20241501","DOIUrl":"10.1590/1806-9282.20241501","url":null,"abstract":"","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 2","pages":"e20241501"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766308","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":"Investigation of the relationship between venous thromboembolism and thrombophilic variants.","authors":"Ayca Kocaaga, Müfide Okay Özgeyik","doi":"10.1590/1806-9282.20241171","DOIUrl":"10.1590/1806-9282.20241171","url":null,"abstract":"<p><strong>Objective: </strong>Venous thromboembolism could be manifested as deep venous thrombosis or pulmonary embolism. The aim of this study was to assess the impact of genetic risk factors including prothrombin 20210, Factor V Leiden, plasminogen activator inhibitor 4G/5G, and Factor XIII V34L on the occurrence of venous thromboembolism in patients.</p><p><strong>Methods: </strong>This study was conducted on 128 patients with deep venous thrombosis and 84 patients with pulmonary embolism. The diagnosis of venous thromboembolism was based on the patient's history, clinical findings, and D-dimer and confirmed by Doppler ultrasonography or computed tomography angiography. After confirmation of venous thromboembolism diagnosis, both groups were assessed for the four abovementioned mutations.</p><p><strong>Results: </strong>The majority of deep venous thrombosis patients were much younger than pulmonary embolism patients, with a median age of 51.7 years. It was observed that plasminogen activator inhibitor 4G/5G was most commonly represented in the deep venous thrombosis (44.5%) group, followed by the pulmonary embolism (44.0%) group. The second-highest frequency of Factor XIII V34L was observed in the deep venous thrombosis (28.1%) and pulmonary embolism (32.1%) groups. Factor V Leiden heterozygosity was also common in the deep venous thrombosis (18.0%) and pulmonary embolism (27.4%) groups. We found that coagulation factor II (FII) G20210A heterozygosity was the least in the deep venous thrombosis (10.9%) and pulmonary embolism (9.5%) groups.</p><p><strong>Conclusion: </strong>To date, only a few studies have been thrombophilia parameters associated with venous thromboembolism, particularly Factor XIII V34L, in Turkish population with venous thromboembolism patients. Our findings suggest that genetic risk factors play a role in the formation of venous thromboembolism.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 1","pages":"e20241171"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659845","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":"Functional decline in nonagenarians admitted for hip fracture.","authors":"Sonia Jiménez-Mola, María Plaza-Carmona, Francisco Javier Idoate Gil, Pilar Sáez-López, Paula Fernández García, Jesús Seco-Calvo","doi":"10.1590/1806-9282.20240796","DOIUrl":"10.1590/1806-9282.20240796","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to determine the characteristics of nonagenarian patients admitted for hip fracture and assess whether they present differences in complications and functional outcomes at discharge compared to younger patients.</p><p><strong>Methods: </strong>Prospective longitudinal study in patients over 75 years of age admitted for hip fracture over a 1-year period. A total of 542 patients were included, of which 165 patients were aged over 90 years (30.9%). Demographic variables, pre-fracture functional status, medical history, type of fracture, functional evolution, discharge destination, and mortality were collected. Differences between the two population groups were analyzed.</p><p><strong>Results: </strong>Of the 542 patients over 75 years admitted for hip fracture, 165 were aged over 90 years (30.9%), 74.5% were women, 62% were independently ambulatory prior to the fracture, and 70% had a Barthel Index score >60. Cognitive impairment was absent in 49% of cases. Surgical treatment was performed in 91.5% of cases. There were no differences in the baseline status when compared to younger patients (aged 75-89 years) except for a higher likelihood of residing in a nursing home (OR 1.74; CI 1.18-2.55). Nonagenarian patients were at higher risk of not being able to walk at discharge (OR 2.00; CI 1.29-3.10). Discharge to a nursing home or functional recovery unit was more likely (OR 1.85; CI 1.22-2.81).</p><p><strong>Conclusion: </strong>Patients over 90 years of age are more susceptible to worsening their function during admission and have a higher risk of not being able to walk at discharge. Efforts should be made to reverse this decline in order to reduce the associated mortality.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 1","pages":"e20240796"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660265","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":"Pregnancy and delivery outcomes in coronavirus disease 2019: a cross-sectional study from a tertiary center.","authors":"Suzan Şahin, Bülent Kaya, Emre Mat, Gazi Yıldız, Adil Barut","doi":"10.1590/1806-9282.20240842","DOIUrl":"10.1590/1806-9282.20240842","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to document the clinical and laboratory characteristics and maternal and delivery outcomes of pregnant women with coronavirus disease 2019.</p><p><strong>Methods: </strong>We retrospectively assessed pregnant women who had been admitted either with symptoms of coronavirus disease 2019 or for delivery from March 2020 to January 2023. The participants were evaluated in two cohorts: the initial cohort included all pregnant women hospitalized with coronavirus disease 2019, and the final cohort included those who delivered under the circumstances of coronavirus disease 2019.</p><p><strong>Results: </strong>The initial cohort included 295 pregnant women with symptomless (n=124, 42%), mild (n=122, 41.4%), moderate (n=18, 6.1%), and severe (n=31, 10.5%) coronavirus disease 2019. Among comorbidities, hypothyroidism (n=40, 13.6%) had the highest share. The most frequent laboratory abnormality was elevated D-dimer levels (94.6%). The final cohort included 193 women. Eight patients (4.1%) required intensive care unit (ICU) stay. Mortality occurred in five patients (2.6%). Out of 121 cesarean section (SC) deliveries, 61.2% were on an emergency basis. Rates of preterm, low birth weight, and stillbirth were 18.7%, 14.5%, and 3.1%, respectively. Moderate-severe coronavirus disease 2019 showed significant inverse correlations with delivery week, birth weight, and APGAR scores at 1 and 5 min (p<0.0001).</p><p><strong>Conclusion: </strong>A considerable proportion of pregnant women with coronavirus disease 2019 experienced maternal and delivery complications, particularly preterm and low birth weight. Hypothyroidism had a notable share among comorbidities.</p>","PeriodicalId":94194,"journal":{"name":"Revista da Associacao Medica Brasileira (1992)","volume":"71 1","pages":"e20240842"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660058","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}