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Original Article07-10-2000
Analysis of Avoidable Mortality Among Women in Reproductive Age
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):579-584
Abstract
Original ArticleAnalysis of Avoidable Mortality Among Women in Reproductive Age
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):579-584
DOI 10.1590/S0100-72032000000900007
Views91See morePurpose: to evaluate the avoidable mortality among women in reproductive age, living in Campinas, SP, comparing two five-year periods: 1985-89 and 1990-94. Methods: death certificates of 3.086 women aged 10 to 49 years were studied, representing the total number of deaths during the period from January 1985 through December 1994. The criteria for avoidance were applied to these deaths using preventive, sanitary, early diagnosis and treatment, and mixed measures. The deaths were also classified as: with hardly avoidable causes, not well-defined causes and other causes. The specific mortality coefficient for each period of five years and the ratio between these coefficients were calculated. Results: there was a 20% increase in the avoidable mortality rate from the first to the second period. The main failure was observed among the group of avoidable causes by preventive and sanitary measures. The main increase in death causes by preventive measures resulted from AIDS. Among the causes of death avoidable by mixed measures, the increase of 50% in maternal mortality caused by abortion, as well as causes due to violence specially homicides, are emphasized. Conclusion: there was an increase in the proportion of avoidable death causes. Measures to prevent AIDS, abortion and to reduce violent deaths, specially homicides, should be political and social priorities in our Country.
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Original Article07-10-2000
Treatment of Eclampsia: Comparative Study on the Use of Magnesium Sulfate and Phenytoin
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):543-549
Abstract
Original ArticleTreatment of Eclampsia: Comparative Study on the Use of Magnesium Sulfate and Phenytoin
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):543-549
DOI 10.1590/S0100-72032000000900002
Views63See morePurpose: to compare the efficiency between magnesium sulfate and phenytoin in the control of convulsions in patients with eclampsia and to evaluate the effects of magnesium sulfate and phenytoin on the maternal and perinatal prognosis in patients with eclampsia. Methods: this is a prospective, randomized and controlled study in which the results obtained with the use of anticonvulsive treatment in 77 women with eclampsia, treated with either magnesium sulfate or phenytoin, were analyzed comparatively. The drugs which were used in both therapeutic schemes were distributed in a one to one ratio, in randomly numbered boxes which presented similar characteristics. When a patient was admitted, a box was opened and its contents were given to the patient. Results: in the group whose patients were treated with magnesium sulfate, 19.5% had recurrent convulsions while in the group whose patients used phenytoin, 36.1% had new crises (p<0,05). The patients who were treated with magnesium sulfate showed a greater prevalence of postpartum hemorrhage (14,7%) than those to whom phenytoin was administered (2.7%) (p<0.05). In relation to the newborns, 17.0% of the group from mothers treated with magnesium sulfate presented respiratory distress as opposed to the group of newborns from mothers treated with phenytoin (11.8%), (p> 0,05). Conclusion: magnesium sulfate is shown to be more efficient than phenytoin in the control and the prevention of convulsions in patients with eclampsia. However, its utilization showed a higher prevalence of postpartum hemorrhage and respiratory distress. Phenytoin should be used in cases where the use of magnesium sulfate is contraindicated.
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Recadastramento de Sócios
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):541-541
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Original Article07-04-2003
Treatment of bacterial vaginosis with Schinus terebinthifolius Raddi vaginal gel: a randomized controlled trial
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):95-102
Abstract
Original ArticleTreatment of bacterial vaginosis with Schinus terebinthifolius Raddi vaginal gel: a randomized controlled trial
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):95-102
DOI 10.1590/S0100-72032003000200004
Views86See morePURPOSE: to test the efficacy of and tolerance to Schinus terebinthifolius Raddi gel in the treatment of bacterial vaginosis. METHODS: forty-eight women with symptomatic bacterial vaginosis (according to Amsel’s criteria) were enrolled in a randomized, double-blind, controlled trial comparing Schinus terebinthifolius Raddi gel (25 cases) with placebo (23 cases). The main outcome parameters were: rate of cure, presence of lactobacilli in Pap smear after treatment and side effects. Statistical analysis was performed using the chi2 and the Fisher exact test at 5% level of significance. RESULTS: using Amsel’s clinical parameters of bacterial vaginosis, the cure rate was 84% in the Schinus group and 47.8% in the placebo group (p=0.008). A significant increase in the frequency of lactobacilli was observed in the Pap smear of the group treated with Schinus (43.5%) compared to the patient group (4.3%) (p=0.002). Treatment-related adverse events were not frequent in either group. CONCLUSIOS: the present study indicates that Schinus vaginal gel is effective and safe in the treatment of bacterial vaginosis. In addition, potential beneficial effects on the vaginal flora are suggested.
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Original Article07-04-2003
Grading systems for breast carcinoma: comparative study of cytohistological agreement
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):87-94
Abstract
Original ArticleGrading systems for breast carcinoma: comparative study of cytohistological agreement
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):87-94
DOI 10.1590/S0100-72032003000200003
Views67See morePURPOSE: to assess the concordance of cytological tumoral and nuclear grading systems on fine needle aspiration biopsies of breast carcinoma with histological specimens and compare them to identify the best results. METHODS: cytohistological agreement was evaluated in a retrospective study of 50 cases of fine needle aspiration biopsies of histologically confirmed invasive ductal carcinoma of the breast, with 5 grading systems being applied for comparative purposes.The classifications were divided according to criteria of tumoral grading (nuclear and architectural criteria – Mouriquand and Guilford systems) and nuclear criteria (Black modified by Fisher (BM), simplified Black system (SB) and Hunt system). The grading systems used for histological analysis were those of Scarff-Bloom-Richardson modified by Elston (SBR modified) for tumor evaluation and the BM systems for nuclear evaluation. RESULT: the cytological grading systems that showed best agreement were BM and SB based on nuclear criteria (anisonucleosis, size, mitosis, and chromatin). Among the cytological grading systems based on nuclear and architectural criteria (combined), Guilford’s classification showed the best agreement, possibly due to the larger number of variables used, which permitted a smaller margin of error. CONCLUSION: the methods evaluated in the present study can be considered reasonable as cytological grading systems.
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Original Article07-04-2003
Cervical cancer precursor lesions in adolescent and young adult women of Rio Branco – Acre
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):81-86
Abstract
Original ArticleCervical cancer precursor lesions in adolescent and young adult women of Rio Branco – Acre
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):81-86
DOI 10.1590/S0100-72032003000200002
Views113See morePURPOSE: to describe the frequency of precursor lesions of cervical cancer in 15 to 29-year-old women, associating the degree of damage with the epidemiologic characteristics and associated risk factors. METHODS: a transverse study was performed, where the precursor lesions of cervical cancer were investigated through Papanicolaou test in 15 to 29 year-old women with active sexual life, living in Rio Branco (AC), in the period from January to September 2001. The investigated data included epidemiologic information, risk factors and physical-ginecological examination results, including Schiller test and smears for cytopathologic test. RESULTS: of the 2,397 women studied, 155 (6.4%) showed some kind of cellular epithelial alteration, 146 (94.2%) squamous lesions and 9 (5.8%) glandular lesions. In 15 to 19 year old women, the frequency (6.9%) of cellular epithelial alteration was similar to that observed in 20 to 29-year-old women (p>0.65). These alterations were associated with low educational level (p<0.003), with the number of sexual partners (p<0.04), with STD history (p<0.001) and smoking habits (p<0.01). CONCLUSION: the high frequency of precursor lesions in an age lower than expected, and following an epidemiologic pattern observed in other phases of women's life, shows the early exposure to risk factors, which anticipates the development of cervical cancer.
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Tego: Valor Comercial?
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):79-79
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Resumos de Teses07-04-2003
Estudo exploratório: ultra-sonografia, ecocardiografia fetal e resultados perinatais em gestantes portadoras do HIV em uso de terapia anti-retroviral
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):136-136
Abstract
Resumos de TesesEstudo exploratório: ultra-sonografia, ecocardiografia fetal e resultados perinatais em gestantes portadoras do HIV em uso de terapia anti-retroviral
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):136-136
DOI 10.1590/S0100-72032003000200011
Views41RESUMO DE TESE Estudo exploratório: ultra-sonografia, ecocardiografia fetal e resultados perinatais em gestantes portadoras do HIV em uso de terapia anti-retroviral […]See more
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