Revista da Associacao Medica Brasileira最新文献

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IF 1.4 4区医学 Q2 Medicine

Revista da Associacao Medica Brasileira

Pub Date : 2023-08-21 DOI: 10.1590/1806-9282.20230182ERRATUM

[This corrects the article doi: 10.1590/1806-9282.20230182].

[这更正了文章doi: 10.1590/1806-9282.20230182]。

引用次数: 0

Anatomical features of sella turcica with comprehensive literature review. 蝶鞍的解剖学特征及文献综述。

IF 1.4 4区医学 Q2 Medicine

Revista da Associacao Medica Brasileira

Pub Date : 2023-08-21 eCollection Date: 2023-01-01 DOI: 10.1590/1806-9282.20230402

Vildan Önal, Ayşegül Evren, Gki Onoul Nteli Chatzioglou, Ayfer Metin Tellioğlu

Objective: This study aimed to explore the relationship between skeletal patterns and the frequency of sella turcica bridging in a sample of young Turkish adults in order to provide a better understanding of the relationship between craniofacial morphology and sella turcica abnormalities.

Methods: A total of 90 individuals aged between 18 and 25 years were examined in this study. The individuals were classified according to their skeletal pattern, specifically Class I, Class II, and Class III. Each group consisted of 15 males and 15 females. The length, depth, and anteroposterior diameter of sella turcica were calculated. The shape and bridging of sella turcica were estimated using lateral cephalometric images. All data were correlated and statistically analyzed according to skeletal patterns, genders, and age.

Results: The mean length, depth, and anteroposterior diameter of sella turcica were 7.02±2.13, 7.56±1.38, and 10.54±1.3 mm in Classes I-III, respectively. There was no significant difference between the dimensions of sella turcica according to gender and age (p˃0.05). The length of sella turcica was larger in Class III, and the depth of sella turcica was larger in Class II individuals (p<0.05). A total of 44.4% of the individuals had normal sella turcica, while the remaining 56.6% had other types of sella turcica. It was determined that 31.1% of the individuals have no calcification, 62.2% had partial calcification, and 6.7% had total calcification.

Conclusion: The normal dimensions, shape, and bridging of the sella turcica can be used by the orthodontist for diagnosis, treatment planning, and evaluation of various pathological conditions associated with the sella turcica.

目的:本研究旨在探讨年轻土耳其成年人的骨骼模式和蝶鞍桥接频率之间的关系，以便更好地了解颅面形态和蝶鞍异常之间的关系。方法:对90名年龄在18 ~ 25岁之间的个体进行了调查。这些个体根据他们的骨骼模式进行分类，具体分为I类、II类和III类。每组15名男性和15名女性。计算蝶鞍的长度、深度和前后径。蝶鞍的形状和桥接通过侧位头颅图像估计。所有数据根据骨骼类型、性别和年龄进行关联和统计分析。结果:ⅰ~ⅲ类蝶鞍平均长度为7.02±2.13 mm，深度为7.56±1.38 mm，前后径为10.54±1.3 mm。蝶鞍尺寸在性别、年龄上差异无统计学意义(p > 0.05)。III类患者的蝶鞍长度较大，II类患者的蝶鞍深度较大(p结论:蝶鞍的正常尺寸、形状和桥接可用于正畸医师的诊断、治疗计划和评估与蝶鞍相关的各种病理状况。

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引用次数: 0

A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II. 在灾难性灾害中，利用计算机断层扫描技术对地震受害者的伤情进行必要、独特和到位的评估！2023 年土耳其-叙利亚地震：第二部分。

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista da Associacao Medica Brasileira

Pub Date : 2023-08-14 eCollection Date: 2023-01-01 DOI: 10.1590/1806-9282.20230550

Gokhan Tonkaz, Demet Sengul, Tumay Bekci, Ilker Sengul, Ismet Mirac Cakir, Ramazan Orkun Onder, Duygu Erkal Tonkaz, Uluhan Eryuruk, Iskender Aksoy, Eduardo Carvalho de Arruda Veiga, Serdar Aslan

Objective: This study aimed to determine the computed tomography findings associated with very recent catastrophic 2023 Turkey-Syria earthquake-related injuries and their anatomotopographic distribution in the adult population.

Methods: The incorporated computed tomography scans of 768 adult cases who had been admitted to the hospital and had undergone computed tomography imaging after these tragic disasters had been examined on the Teleradiology Reporting System of the Turkish Ministry of Health. To this end, the injuries were classified into six categories: head, thoracic, spinal, pelvic, extremity, and abdominal injury, with three age groups (18-34, 35-64, and ³65 years) and four different imaging intervals (<24, 24-48, 49-72, and >72 h).

Results: This study incorporated 316 (41.1%) cases on the first day, 57 (7.5%) on the second day, 219 (28.5%) on the third day, and 176 (22.9%) on the fourth day after the earthquake or later. Of the 768 cases, 109 (14.2%) had a head injury, 100 (13.0%) had a thoracic injury, 99 (12.9%) had a spinal injury, 51 (6.6%) had a pelvic injury, 41 (5.4%) had an extremity injury, and 11 (1.4%) had an abdominal injury.

Conclusion: In these regrettable earthquake disasters, we determined a high ratio of head injuries, which was closely followed by thoracic and spinal injuries, in our preliminary outcomes for the pediatric population, Part I. The frequency of abdominal injuries was low among individuals who experienced the earthquake. Last but not least, we have noticed a higher likelihood of spinal injury in individuals older than 65 years in the studied population.

目的：本研究旨在确定与最近发生的 2023 年土耳其-叙利亚地震相关的灾难性伤害有关的计算机断层扫描结果及其在成年人群中的解剖分布情况：本研究旨在确定与最近发生的 2023 年土耳其-叙利亚地震灾难性伤害相关的计算机断层扫描结果及其在成年人群中的解剖分布：方法：土耳其卫生部的远程放射学报告系统对这些悲剧性灾难发生后入院并接受计算机断层扫描的 768 名成人病例的计算机断层扫描结果进行了检查。为此，这些伤员被分为六类：头部、胸部、脊柱、骨盆、四肢和腹部损伤，三个年龄组（18-34 岁、35-64 岁和³65 岁）和四个不同的成像间隔（72 小时）：本研究纳入了地震后第一天的 316 例（41.1%）、第二天的 57 例（7.5%）、第三天的 219 例（28.5%）和第四天或更晚的 176 例（22.9%）。在 768 个病例中，109 人（14.2%）头部受伤，100 人（13.0%）胸部受伤，99 人（12.9%）脊柱受伤，51 人（6.6%）骨盆受伤，41 人（5.4%）四肢受伤，11 人（1.4%）腹部受伤：结论：在这些令人遗憾的地震灾害中，我们对儿科人群第一部分的初步结果显示，头部受伤的比例较高，紧随其后的是胸部和脊柱受伤。最后但并非最不重要的一点是，我们注意到在所研究的人群中，65 岁以上的老年人脊柱受伤的可能性较高。

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引用次数: 0

18F-fluoroestradiol positron emission tomography in patients with breast cancer: a systematic review and meta-analysis. 18F-氟雌二醇正电子发射断层扫描在乳腺癌患者中的应用：系统回顾和荟萃分析。

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista da Associacao Medica Brasileira

Pub Date : 2023-08-04 eCollection Date: 2023-01-01 DOI: 10.1590/1806-9282.2023S116

Cristina S Matushita, Francisco de Assis Romeiro Figueiroa Benicio Coelho, Camila Edith Stachera Stasiak, Denise Ferreira Rodrigues, Diego Bromfman Pianta, Flávia Dornelas Kurkowski, Marcelo Moreira da Silva, Sergio Augusto Lopes de Souza, Rafael Willain Lopes, Paulo Henrique Rosado de Castro

引用次数: 0

The challenge of tobacco and nicotine use among women. 妇女使用烟草和尼古丁的挑战。

IF 1.4 4区医学 Q2 Medicine

Revista da Associacao Medica Brasileira

Pub Date : 2023-08-04 eCollection Date: 2023-01-01 DOI: 10.1590/1806-9282.2023S124

Paulo César Rodrigues P Corrêa, Roberta Karla B de Sales, Marli Maria Knorst, Suzianne Ruth H Lima Pinto, Laura Fonseca Queiroz Ragnini, Cristiane Almeida Pires Tourinho, Karin Mueller Storrer, Maria Enedina C De A Scuarcialupi, Maria Vera C De O Castellano, Aldo Agra De Albuquerque Neto, Sofia Belo Ravara

引用次数: 0

Venous thromboembolism in women. 女性静脉血栓栓塞。

IF 1.4 4区医学 Q2 Medicine

Revista da Associacao Medica Brasileira

Pub Date : 2023-08-04 eCollection Date: 2023-01-01 DOI: 10.1590/1806-9282.2023S128

Ana Paula Rolim Maia Peclat, Marcos Arêas Marques, André Luiz Malavasi Longo de Oliveira, Alcides José Araújo Ribeiro, Marcone Lima Sobreira, Júlio César Peclat de Oliveira, Edwaldo Edner Joviliano, Walter Junior Boim de Araújo, Rossano Kepler Alvim Fiorelli, Bianca Gutfilen

INTRODUCTION Pregnant women have all the following three etiopathogenic components of Virchow’s triad: (a) venous stasis, caused by compression of the inferior vena cava and left common iliac vein by the gravid uterus and by reduced venous tone because of the myorelaxant action of progesterone; (b) hypercoagulability, secondary to induction of hepatic synthesis of coagulation factors VII, VIII, and X by placental estriol, increased levels of fibrinogen and plasminogen activator inhibitor types I and II, and reduced synthesis of protein S; and (c) endothelial injury, which occurs during nidation, endovascular remodeling of the uterine spiral arteries, and expulsion of the placenta1,2. During pregnancy, the risk of venous thromboembolism (VTE) increases by 5–10 times and can be 35 times higher during puerperium when compared with the rate among non-pregnant women of the same age. After delivery, the frequency reduces rapidly, but there is a residual risk for up to 12 weeks. Approximately two-thirds of deep venous thrombosis (DVT) occurs during the gestational period, equally distributed across the three trimesters. However, 43–60% of pulmonary embolism episodes occur during the first 6 weeks of the puerperium1,2. Among pregnant women, when compared with non-pregnant women, DVTs in the left lower limb (90 vs. 55%) and the iliofemoral segment (72 vs. 9%) are even more predominant. This is because of the accentuated compression of the left common iliac vein against the fifth lumbar vertebra by the right common iliac artery, caused by the gravid uterus1,2. The main risk factors for VTE during pregnancy are overweight, obesity, age of 35 years or more, inherit or acquired thrombophilias, long-distance travel, immobility, hospital admission during pregnancy, certain comorbidities (inflammatory intestinal disease, urinary tract infection, systemic lupus erythematosus, pregnancy-induced systemic arterial hypertension or pre-eclampsia, and non-obstetric antenatal surgery), obstetric hemorrhage, and hyperemesis. Prevention of VTE in pregnancy by means of application of guidelines and implementation of mechanical and/or pharmacological prophylaxis is still the best strategy for reducing the rate of these events1,2.

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引用次数: 0

ERRATUM. 勘误表。

IF 1.4 4区医学 Q2 Medicine

Revista da Associacao Medica Brasileira

Pub Date : 2023-07-24 DOI: 10.1590/1806-9282.20220893ERRATUM

[This corrects the article doi: 10.1590/1806-9282.20220893].

[这更正了文章doi: 10.1590/1806-9282.20220893]。

引用次数: 0

ERRATUM. 勘误表。

IF 1.4 4区医学 Q2 Medicine

Revista da Associacao Medica Brasileira

Pub Date : 2023-07-24 DOI: 10.1590/1806-9282.20221163ERRATUM

[This corrects the article doi: 10.1590/1806-9282.20221163].

[这更正了文章doi: 10.1590/1806-9282.20221163]。

引用次数: 0

ERRATUM. 勘误表。

IF 1.4 4区医学 Q2 Medicine

Revista da Associacao Medica Brasileira

Pub Date : 2023-07-24 DOI: 10.1590/1806-9282.20220255ERRATUM

[This corrects the article doi: 10.1590/1806-9282.20220255].

[这更正了文章doi: 10.1590/1806-9282.20220255]。

引用次数: 0

Labor analgesia and its impact on the maternal and perinatal outcomes. 分娩镇痛及其对产妇和围产期结果的影响。

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista da Associacao Medica Brasileira

Pub Date : 2023-07-17 eCollection Date: 2023-01-01 DOI: 10.1590/1806-9282.20230500

Georgeana Debs Guesine, Marina Carvalho Paschoini, Giselle Agreli Melo, Edward Araujo Júnior, Alberto Borges Peixoto

Objective: This study aimed to assess adverse maternal and perinatal outcomes in parturients undergoing labor analgesia.

Methods: This was a retrospective cohort study in parturients who underwent labor analgesia. Parturients were categorized into three groups: Group 1 (n=83)-analgesia performed with cervical dilatation ≤4.0 cm; Group 2 (n=82)-analgesia performed with cervical dilatation between 5.0 and 8.0 cm; and Group 3 (n=83)-analgesia performed with cervical dilatation ≥9.0 cm.

Results: Analgesia in parturients with cervical dilatation ≥9.0 cm showed a higher prevalence and a 3.86-fold increase (OR 3.86; 95%CI 1.50-9.87; p=0.009) in the risk of forceps delivery. Analgesia in parturients with cervical dilatation ≤4.0 cm showed a higher prevalence and a 3.31-fold increase (OR 3.31; 95%CI 1.62-6.77; p=0.0016) in the risk of cesarean section. Analgesia in parturients with cervical dilatation ≥9.0 cm was associated with a higher prevalence of fetal bradycardia (20.7%), a need for neonatal oxygen therapy (6.1%), and a need for admission to a neonatal intensive care unit (4.9%). Analgesia in parturients with cervical dilatation ≤4 cm was associated with a higher prevalence of Apgar score <7 at 1st minute (44.6%).

Conclusion: Performing labor analgesia in parturients with cervical dilatation ≤4.0 or ≥9.0 cm was associated with a higher prevalence of adverse maternal and perinatal outcomes.

研究目的本研究旨在评估接受分娩镇痛的产妇的不良孕产结局和围产期结局：这是一项对接受分娩镇痛的产妇进行的回顾性队列研究。产妇分为三组：第一组（83人）--宫颈扩张≤4.0厘米时进行镇痛；第二组（82人）--宫颈扩张5.0至8.0厘米时进行镇痛；第三组（83人）--宫颈扩张≥9.0厘米时进行镇痛：结果：宫颈扩张≥9.0 cm的产妇进行镇痛的发生率更高，产钳助产的风险增加了3.86倍（OR 3.86; 95%CI 1.50-9.87; p=0.009）。宫颈扩张≤4.0 厘米的产妇接受镇痛的比例较高，剖宫产的风险增加了 3.31 倍（OR 3.31；95%CI 1.62-6.77；p=0.0016）。宫颈扩张≥9.0 cm的产妇镇痛与胎儿心动过缓（20.7%）、新生儿氧疗需求（6.1%）和新生儿重症监护室入院需求（4.9%）的发生率较高有关。对宫颈扩张≤4厘米的产妇进行镇痛与Apgar评分的发生率较高有关：对宫颈扩张≤4.0或≥9.0厘米的产妇实施分娩镇痛与产妇和围产期不良结局的发生率较高有关。

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