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Artigos Originais
Evaluation of image parameters of pelvic adnexal masses in tele-echography
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(10):464-468
12-09-2013
Summary
Artigos OriginaisEvaluation of image parameters of pelvic adnexal masses in tele-echography
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(10):464-468
12-09-2013DOI 10.1590/S0100-72032013001000007
Views108See morePURPOSE: To evaluate the sonographic parameters related to morphological characteristics of pelvic adnexal masses by obtaining two-dimensional images by an observer presence, forwarded electronically (via tele-ultrasound) in static and dynamic modes observers do not face (distance) for comparative analyzes inter intraobserver and to the validation of a second opinion. METHODS: From March to August 2010 were selected 50 patients with adnexal mass viewing of the pelvic ultrasound. They were subjected to ultrasound for abdominal and transvaginal routes. The images were captured in static and dynamic modes, electronically forwarded for evaluation of non-presence and two examiners evaluated according to morphological ultrasonographic parameters previously determined. RESULTS: The evaluators did not face in static and dynamic modes obtained almost perfect agreement for all morphological parameters with Kappa values between 0.6 and 0.8. There was no difference between the methods employed, except for the morphological parameter papillary projection in the static mode , in which the agreement was almost perfect ( 0.8 ) while in dynamic mode was substantial (0.6). CONCLUSIONS: The sonographic parameters of the features of adnexal masses pelvic sent by tele-ultrasound are capable of being validated for issuing a second opinion. There were no significant differences in the methodology used in the issue of tele-ultrasound images (static or dynamic) to characterize the composition of pelvic adnexal masses.
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Artigos Originais
Confiability and reliability of an on-line version of the Female Sexual Function Index by test-retest
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(10):469-474
12-09-2013
Summary
Artigos OriginaisConfiability and reliability of an on-line version of the Female Sexual Function Index by test-retest
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(10):469-474
12-09-2013DOI 10.1590/S0100-72032013001000008
Views65See morePURPOSE: It was to test the validity and reliability of an online version of the Female Sexual Function Index (FSFI). METHODS: An online version of the FSFI was compared to the pen and paper traditional version. Physiotherapy students in three cities were randomly allocated to two groups - G-pp/ol (n=126) and G-ol/pp (n=147). G-pp/ol women replied to th FSFI using the traditional pen and paper method, while G-ol/pp women answered an online version of the same questionnaire. Data were collected ageing after 15 days, when G-pp/ol women answered the online version while G-ol/pp women answered on paper. All data were transferred to SPSS software. Demographic differences between the test two groups were determined by Student's t-test or Fisher exact (95%CI; p>0.05). Association and correlation between the responses of G-pp/ol and G-ol/pp were assessed for each sample by the t-test and Pearson's coefficient. An identical strategy was used for intragroup comparisons. RESULTS: A total of 273 women participated in the study and 28 (10.2%) giving up the second collection. There were no demographic differences between groups. Fifteen of the 19 FSFI questions were associated and correlated between the two groups in both test and the retest. The intragroup analysis revealed that all FSFI questions and scores were associated and weakly correlated for the same group during both test and retest. CONCLUSION: The online version of the FSFI showed acceptable validity and reliability when compared to the paper version, and can justify the choice of this modality, especially in studies involving private questions.
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Artigos Originais
Maternal mortality in a reference center in the Brazilian Southeast
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(9):388-393
11-06-2013
Summary
Artigos OriginaisMaternal mortality in a reference center in the Brazilian Southeast
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(9):388-393
11-06-2013DOI 10.1590/S0100-72032013000900002
Views105PURPOSE: To describe the prevalence of maternal mortality at a tertiary care hospital and to assessits preventability. METHODS: This study, through the analysis of maternal deaths that occurred during the period from 1999 to 2010 at a reference in Campinas - Brazil, CAISM/ UNICAMP, discusses some of the factors associated with the main causes of death and some structural problems of structure of the health services. It is a retrospective descriptive study with evaluation of sociodemographic variables and the medical and obstetric history of women, and the causes of death. RESULTS: The majority of maternal deaths occurred due to direct obstetric (45%) and avoidable (36%) causes, in women with preterm gestation, who delivered by cesarean section (56%) and received various management procedures, including blood transfusion, ICU admission and need for laparotomy and/or hysterectomy. The hospital transfer was associated with the predominance of direct obstetric (19 versus 6, p=0.02) and avoidable causes (22 versus 9, p=0.01). CONCLUSIONS: We conclude that, despite current advances in Obstetrics, infections and hypertensive disorders are still the predominant causes of maternal mortality. We observed an increase of clinical-surgical conditions and neoplasms as causes of death among women during pregnancy.
Key-words BrazilMaternal mortalityMaternal welfarePregnancy complications, infectiousPregnancy, high riskSee more -
Artigos Originais
Preterm birth prediction: sequential evaluation of the cervix and the test for phosphorylated protein-1 linked to insulin-like growth factor
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(9):394-400
11-06-2013
Summary
Artigos OriginaisPreterm birth prediction: sequential evaluation of the cervix and the test for phosphorylated protein-1 linked to insulin-like growth factor
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(9):394-400
11-06-2013DOI 10.1590/S0100-72032013000900003
Views58PURPOSE: To investigate the usefulness of the measurement of cervical length and of the test for phosphorylated insulin-like growth factor binding protein-1 (phIGFBP-1) performed sequentially in the prediction of preterm birth and the correlation between tests. METHODS: We analyzed data from 101 asymptomatic pregnant women with a history of premature delivery. The ultrasound measurement of cervical length and phIGFBP-1 test were performed in parallel every three weeks, between 24 and 34 week. The best cutoff value for each cervical evaluation was established by the ROC curve, and the two tests were compared using nonparametric tests. We determined the sensitivity, specificity and predictive values of each test and of the association of the exams for the occurrence of delivery before the 37th weeks. RESULTS: There were 25 preterm births (24.8%). The cervix length showed the highest sensitivity and was able to predict preterm birth in all evaluations, with similar accuracy at different gestational ages. The test for phIGFBP-1 was not helpful at 24 weeks, but was able to predict prematurity when performed at 27, 30 and 33 weeks. The combination of tests increased the sensitivity (81.8%) and negative predictive value (93.7%) when compared to the separate use of each test. The mean cervical length was lower in women with a positive test. CONCLUSIONS: Both cervical length and the test for phIGFBP-1 were able to predict premature delivery, and sequential combination of both tests showed a high sensitivity and high negative predictive value.
Key-words Biological markersCervical length measurementCervixInsulin-like growth factor binding protein-1Premature birthRisk assessmentSee more -
Artigos Originais
Habits and traditions of female college students related to intimate clothing, genital adornments, genital hair removal and sexual practices
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(9):401-406
11-06-2013
Summary
Artigos OriginaisHabits and traditions of female college students related to intimate clothing, genital adornments, genital hair removal and sexual practices
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(9):401-406
11-06-2013DOI 10.1590/S0100-72032013000900004
Views104See morePURPOSE: To describe the practices and care with the genital area of female college students. METHODS: A descriptive analytical study evaluated the habits and traditions of 364 students from the University of Campinas (Unicamp) regarding the use of underwear, body piercings, tattoos, hair removal and sexual practices. A questionnaire with 42 questions assessed the most current practices among female college students. All questions were self answered and the questionnaires, without any identification, were placed in sealed ballot boxes to ensure the confidentiality of information. The responses were tabulated in Microsoft® Excel 2007 to obtain univariate analysis. RESULTS:The mean age of the college students in the study was 21 years (SD±2.7), and 84% were white. The volunteers who participated in this study were from the biological science area (50%), the exact science area (29%) or the humanity area (21%). It was observed that 61.8% of the respondents wear cotton panties, but at the same time 75.4% wear tight jeans, and only 18.4% wore no panties when sleeping. Only one participant reported having had genital piercing and none of them reported tattooing. Most female college students do genital waxing, and approximately 1/3 of them do so completely. After hair removal, 2/3 apply an anti-inflammatory and/or moisturizer to the region. Only 62% use condoms and 17.6% use a lubricant during intercourse. Half of them receive oral sex, 17.9% practice anal sex and 26.6% of them report feeling pain during sexual intercourse. Vaginal discharge after intercourse was reported in 25.6% of the cases. CONCLUSION:Young female college students from Brazilian public universities have many inadequate care habits related to their genital area. They do not use genital piercing and tattoos, but report having pain during sexual intercourse and vaginal discharge after sex in a large number of cases.
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Artigos Originais
Metabolic profile in women of different body mass indices with polycystic ovary syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(9):413-420
11-06-2013
Summary
Artigos OriginaisMetabolic profile in women of different body mass indices with polycystic ovary syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(9):413-420
11-06-2013DOI 10.1590/S0100-72032013000900006
Views127PURPOSE: To characterize and compare clinical, anthropometric and biochemical-metabolic variables in patients with polycystic ovary syndrome (PCOS), stratified according to body mass index (BMI). METHODS: A cross-sectional study conducted on 78 women aged 18 to 45 years with a clinical diagnosis of PCOS by the Rotterdam criteria. Patients were stratified according to BMI. The variables analyzed were: age, marital status, physical inactivity, menstrual irregularity, blood pressure (BP), anthropometric measurements, lipid profile, fasting glucose, and hormone measurements. To compare the variables between the different BMI values we used analysis of variance and the Kruskal-Wallis test. The level of significance was set at 5% for all tests. RESULTS: The patients had a mean age of 26.3 years, 79.5% of them were sedentary and 68% had hyperandrogenism. Waist circumference, waist/hip ratio, waist/height ratio and percentage of body fat were higher in the obese group. The markers of cardiovascular risk (CVR - fasting glucose, systolic and diastolic BP and LDL-cholesterol) were directly proportional to BMI, whereas HDL-cholesterol and SHBG were inversely related to BMI. CONCLUSION: The presence of markers of CVR factors increased proportionally to BMI, indicating that the metabolic profile of obese women with PCOS is more unfavorable than that of non-obese patients.
Key-words Body mass indexComorbidities, Cardiovascular diseasesPolycystic ovary syndromeRisk factorsSee more -
Artigos Originais
Evaluation of perinatal factors that influence the incidence of necrotizing enterocolitis in very low birth weight infants
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(8):363-367
10-10-2013
Summary
Artigos OriginaisEvaluation of perinatal factors that influence the incidence of necrotizing enterocolitis in very low birth weight infants
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(8):363-367
10-10-2013DOI 10.1590/S0100-72032013000800005
Views86See morePURPOSE: To evaluate the perinatal factors that influence the incidence of necrotizing enterocolitis (NEC) in newborns infants (NBI) weighing less than 1,500 g. METHODS: A prospective study that analyzed all infants with birth weight (BW) less than 1,500 g born between January 2006 to December 2010 (n=183). They were divided into two groups, i.e. infants diagnosed with NEC (n=18) and infants without a diagnosis of NEC (n=165), which were compared in terms of perinatal factors that could influence the incidence of NEC. Mean data were compared by Student's t-test or nonparametric tests and percentages of categorical variables were compared by the χ² test. When the variables showed differences between groups, they were analyzed using logistic regression with the dependent variable as the presence of NEC. The statistical package used was SPSS 16.0 for Windows. RESULTS: The two groups were similar in terms of most of the clinical and demographic neonatal and maternal data, except for the presence of preeclampsia (PE), which was higher in patients whose children developed NEC (61.1 versus 35,6%). The presence of PE increased the chance of occurrence of NEC by 2.84 times (95%CI 1.0 - 7.7). CONCLUSION: The only factor that can interfere with the incidence of NEC in infants of very low birth weight was the presence of PE. Awareness of this fact can guide the perinatal team in providing more judicious care regarding the prevention of NEC in this specific population.
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Artigos Originais
Facial palsy and pregnancy: management and treatment
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(8):368-372
10-10-2013
Summary
Artigos OriginaisFacial palsy and pregnancy: management and treatment
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(8):368-372
10-10-2013DOI 10.1590/S0100-72032013000800006
Views110PURPOSE: To compare the degree of peripheral facial palsy of pregnant women and puerperae at admission and at discharge and to evaluate related factors. METHODS: Retrospective, cross-sectional study, with analysis of medical records of pregnant and postpartum women with facial palsy, over a period of 12 months, with application of a standardized protocol for patient evaluation and of the House-Brackmann scale on the occasion of the first visit and at discharge. RESULTS: Six patients were identified, mean age of 22.6 years. Five cases were classified as stage IV and one as stage II on the House-Brackmann scale, being two of them puerperae and four pregnant. All showed improvement on the House-Brackmann scale. CONCLUSION: The Bell's palsy has a good prognosis even in pregnant and postpartum women, being important to perform the correct treatment to reduce the sequelae in this group identified as more susceptible to peripheral facial palsy.
Key-words Adrenal cortex hormonesBell palsyFacial paralysisPostpartum periodPregnancy complicationsPuerperiumSee more