Volume 14, Number 3, July/September 2016

Randomized double-blind clinical trial comparing two anesthetic techniques for ultrasound-guided transvaginal follicular puncture

Gilvandro Lins de Oliveira Júnior, Fernando Cesar Serralheiro, Fernando Luiz Affonso Fonseca, Onésimo Duarte Ribeiro Junior, Fernando Adami, Denise Maria Christofolini, [...]

DOI: 10.1590/S1679-45082016AO3714

ABSTRACTObjective:To compare the anesthetic techniques using propofol and fentanyl versus midazolam and remifentanil associated with a paracervical block with lidocaine in performing ultrasound-guided transvaginal oocyte aspiration.Methods:A randomized double-blind clinical trial (#RBR-8kqqxh) performed in 61 women submitted to assisted reproductive treatment. The patients were divided into two groups: anesthetic induction with 1mcg/kg of fentanyl associated with 1.5mg/kg of propofol (FP Group, n=32), in comparison with anesthetic induction using 0.075mg/kg of midazolam associated with 0.25mcg/kg/min of remifentanil, and paracervical block with 3mL […]

Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival

Flavia Westphal, Suzete Maria Fustinoni, Vânia Lopes Pinto, Patrícia de Souza Melo, Anelise Riedel Abrahão

DOI: 10.1590/S1679-45082016AO3721

ABSTRACTObjective:To identify the profile of women seen in a Fetal Medicine unit, diagnosed with fetal abnormality incompatible with neonatal survival in their current pregnancy, and to check the association of gestational age upon diagnosis with the option of pregnancy termination.Methods:This is a retrospective cohort study carried out in the Fetal Medicine Outpatients Clinic of a university hospital, in the city of São Paulo (SP), Brazil, using medical records of pregnant women with fetus presenting abnormalities incompatible with neonatal survival. The […]

Frequency and risk factors for the birth of small-for-gestational-age newborns in a public maternity hospital

Marina Parca Cavelagna Teixeira, Tatiana Peloso Reis Queiroga, Maria dos Anjos Mesquita

DOI: 10.1590/S1679-45082016AO3684

ABSTRACTObjective:To determine the frequency and risk factors of small-for-gestational-age newborns in a high-risk maternity.Methods:This is an observational, cross-sectional, and case-control study, conducted in a public tertiary care maternity hospital. Data from 998 newborns and their mothers were collected through interviews and review of medical records and prenatal care cards. Some placentas underwent histopathological analysis. The variables of small-for-gestational-age and non-small-for-gestational-age newborns and of their mothers were statistically compared by means of Student’s t test, Fisher’s exact test, and odds ratio. […]

Associated factors with mammographic changes in women undergoing breast cancer screening

Ricardo Soares de Sant'Ana, Jacó Saraiva de Castro Mattos, Anderson Soares da Silva, Luanes Marques de Mello, Altacílio Aparecido Nunes

DOI: 10.1590/S1679-45082016AO3708

ABSTRACTObjective:To evaluate association of sociodemographic, anthropometric, and epidemiological factors with result of mammogram in women undergoing breast cancer screening.Methods:This is a cross-sectional study with data obtained through interviews, anthropometric measurements, and mammography of 600 women aged 40 to 69 years at the Preventive Medicine Department of Hospital de Câncer de Barretos, Brazil, in 2014. The results of these examinations in the BI-RADS categories 1 and 2 were grouped and classified in this study as normal mammogram outcome, and those of […]

Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations

Pedro Nazareth Aguiar Jr., Gustavo Trautman Stock, Gilberto de Lima Lopes Jr., Michelle Samora de Almeida, Hakaru Tadokoro, Bárbara de Souza Gutierres, [...]

DOI: 10.1590/S1679-45082016AO3754

ABSTRACTObjective:To assess aspects related to cancer in indigenous population.Methods:This is a retrospective study developed in a public university hospital. We included patients with 18 or more years of age, diagnosed with solid tumors, and followed between 2005 and 2015. Clinical features were assessed by descriptive statistics, and survival was evaluated by Kaplan-Meier curves and multivariate Cox regression.Results:Fifty patients were included. The cancer incidence was 15.73 per 100,000. The mean age at diagnosis was 54 years and most patients were female […]

Comparative study of knowledge about oral cancer among undergraduate dental students

Samara Ribeiro da Silva, Yara Juliano, Neil Ferreira Novo, Ilan Weinfeld

DOI: 10.1590/S1679-45082016AO3729

ABSTRACTObjective:To evaluate and compare the knowledge of dental undergraduate students about oral cancer.Methods:The students were divided into two groups according to semester attended in the undergraduate course: Group A, the first semester; and Group B, seventh semester. They were asked to answer a questionnaire about epidemiology, risk factors, clinical aspects, therapeutic solutions and oral self-examination. For statistical analysis, the Fisher’s exact test, the Cochran’s G test and Kendall’s concordance test were used, with significance level set at 0.05.Results:Regarding the prevalent […]

Clinical and sociodemographic variables associated with diabetes-related distress in patients with type 2 diabetes mellitus

Flávia Cristina Zanchetta, Danilo Donizetti Trevisan, Priscila Peruzzo Apolinario, Juliana Bastoni da Silva, Maria Helena de Melo Lima

DOI: 10.1590/S1679-45082016AO3709

ABSTRACTObjective:To evaluate the relation between diabetes-related distress and the clinical and sociodemographic characteristics of type 2 diabetes mellitus patients.Methods:A cross-sectional study based on a secondary analysis of data collected at a specialized care outpatient center in Brazil. Participants completed a questionnaire on sociodemographic and clinical characteristics and the Brazilian version of the Diabetes Distress Scale (B-DDS).Results:About 31% of the 130 eligible patients reported diabetes distress, and the mean B-DDS score was 2.6. Multiple regression analysis showed the B-DDS score was […]

Increased ultrasensitive C-reactive protein is not associated with obesity in hospitalized heart failure patients

Vânia Ames Schommer, Airton Tetelbom Stein, Aline Marcadenti, Estefania Inez Wittke, André Luís Câmara Galvão, Guido Bernardo Aranha Rosito

DOI: 10.1590/S1679-45082016AO3705

ABSTRACTObjective:To evaluate the association between obesity and levels of high-sensitivity C-reactive protein (hs-CRP) in patients with heart failure admitted to a tertiary hospital.Methods:Cross-sectional study with a consecutive sampling of hospitalized patients with heart failure. Sociodemographic and clinical data were collected, and the nutritional status was assessed through indicators such as body mass index (in kg/m2), waist circumference (in cm), waist-hip ratio, triceps skinfold (in mm) and subscapularis skinfold (in mm). Neck circumference (in cm) was measured as well as serum […]

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