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  • Original Article

    WhatsApp and Gynecologist-Patient Interaction: Development and Validation of a Questionnaire to Assess the Stress Perceived by the Doctor

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):497-502

    Summary

    Original Article

    WhatsApp and Gynecologist-Patient Interaction: Development and Validation of a Questionnaire to Assess the Stress Perceived by the Doctor

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):497-502

    DOI 10.1055/s-0042-1744289

    Views5

    Abstract

    Objective

    Construction and validation of the WhatsApp Stress Scale (WASS), a questionnaire designed for physicians that measures how the use of smartphones and related software communication applications affects the quality of life of gynecologists who use this tool to communicate with patients.

    Methods

    The present cross-sectional observational study analyzed 60 gynecologists according to weekly WhatsApp usage time for communication with patients and compared the data with the perception of the doctor on the use of this virtual interaction as a stressor. Physicians were equally divided into three groups:<2hours, 2 to 5 hours, and>5 hours. The authors created a questionnaire in Likert scale format. The study proceeded in three phases: development of the questionnaire items, pretesting, constructing, and validity and reliability testing using factor analysis, Cronbach α coefficient, and paired t-test.

    Results

    A 9-item instrument using a 5-point Likert scale was created and administered to the participants in 3 different times: T0, T1 (15minutes after the end of T0), and T2 (15 days later). All questionnaire items possessed adequate content validity indices and the internal consistency of the instrument was satisfactory (Cronbach α 0.935; 95% confidence interval [CI]: 0.744-0.989; p=0.0001). No statistically significant differences were observed in the responses between the rounds of testing, indicating good test-retest reliability. A positive association between the high frequency of WhatsApp usage for communication with patients and the stress perceived by the doctor was shown.

    Conclusion

    The WASS is a valid and reliable instrument for assessing the use of messaging applications to communicate with patients as a stressor perceived by gynecologists.

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  • Original Articles

    The Influence of CYP3A4 Polymorphism in Sex Steroids as a Risk Factor for Breast Cancer

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(11):699-704

    Summary

    Original Articles

    The Influence of CYP3A4 Polymorphism in Sex Steroids as a Risk Factor for Breast Cancer

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(11):699-704

    DOI 10.1055/s-0038-1673365

    Views8

    Abstract

    Objective

    Epidemiological studies have shown evidence of the effect of sex hormones in the pathogenesis of breast cancer, and have suggested a relationship of the disease with variations in genes involved in estrogen synthesis and/or metabolism. The aim of the present study was to evaluate the association between the CYP3A4*1B gene polymorphism (rs2740574) and the risk of developing breast cancer.

    Methods

    In the present case-control study, the frequency of the CYP3A4*1B gene polymorphism was determined in 148 women with breast cancer and in 245 women without the disease. The DNA of the participants was extracted from plasma samples, and the gene was amplified by polymerase chain reaction. The presence of the polymorphism was determined using restriction enzymes.

    Results

    After adjusting for confounding variables, we have found that the polymorphism was not associated with the occurrence of breast cancer (odds ratio = 1.151; 95% confidence interval: 0.714–1.856; p= 0.564). We have also found no association with the presence of hormone receptors, with human epidermal growth factor receptor 2 (HER2) overexpression, or with the rate of tumor cell proliferation.

    Conclusion

    We have not observed a relationship between the CYP3A4*1B gene polymorphism and the occurrence of breast cancer.

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    The Influence of CYP3A4 Polymorphism in Sex Steroids as a Risk Factor for Breast Cancer
  • Original Article

    Association between Matrix Metallopeptidase 9 Polymorphism and Breast Cancer Risk

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):620-624

    Summary

    Original Article

    Association between Matrix Metallopeptidase 9 Polymorphism and Breast Cancer Risk

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):620-624

    DOI 10.1055/s-0038-1673366

    Views0

    Abstract

    Objective

    Epidemiological studies have shown evidence of the effect of genetic variations in the pathogenesis of breast cancer and have suggested a relationship of the disease with genetic polymorphisms. Matrix metallopeptidase 9 (MMP-9) is a collagenase responsible for the degradation of type IV collagen, the major component of the basement membrane, and other essential extra cellular matrix components, being involved in the tumor cell invasion and metastasis. Our objective was to evaluate the relationship between the MMP-9-1562 C/T polymorphism (rs 3918242) and the risk of developing breast cancer.

    Methods

    In this case-control study, the frequency of the MMP-9-1562 C/T polymorphism (rs 3918242) was determined in 148 women with breast cancer and 245 women without the disease. The DNA was extracted from plasma samples, and the gene was amplified by polymerase chain reaction (PCR); the presence of the polymorphism was determined using restriction enzymes.

    Results

    After adjusting for confounding variables, we found that the polymorphism was not associated with the occurrence of breast cancer (odds ratio [OR] = 1.159, 95% confidence interval [CI]: 0.6625-1.997, p = 0.5964). We also found no association with more advanced disease, the presence of hormone receptors, human epidermal growth factor receptor 2 (HER2) overexpression, or rate of tumor cell proliferation.

    Conclusion

    We did not observe a relationship between MMP-9-1562 C/T polymorphism (rs 3918242) and the occurrence of breast cancer.

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