Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · Jan 2024
Observational StudyPrevalence of obstructive sleep apnea syndrome and predictors of difficult orotracheal intubation.
Obstructive sleep apnea syndrome (OSAS) is an underdiagnosed condition that causes recurrent episodes of partial or total collapse of the upper airways during sleep. It is associated with perioperative pulmonary complications. The STOP-BANG is a screening tool for assessing patients at risk of OSAS. The aim of this study was to assess the prevalence of patients with OSAS during pre-anesthetic evaluation at a hospital and its correlation with predictors of ventilation and difficult airway. ⋯ The study had the participation of 221 patients, of whom 121 presented with a STOP-BANG ≥3, with a prevalence of 54.2%. All patients undergoing bariatric surgeries presented STOP-BANG ≥3. No significant statistical relationships were found between predictors of difficult orotracheal intubation and STOP-BANG ≥3. However, significant statistical relationships were found in relation to predictors of difficult ventilation through the facial mask.
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Rev Assoc Med Bras (1992) · Jan 2024
The effect of genital self-image on sexual satisfaction and stress in women after vaginal delivery.
Pregnancy, childbirth, and postpartum periods bring along biological, psychological, and social changes that could affect women's sexual health. The aim of this study was to evaluate the effect of genital self-image on sexual satisfaction and stress in women who had a vaginal delivery. ⋯ This study found that women had a medium level of genital self-image and sexual satisfaction and a low level of sexual distress.
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Rev Assoc Med Bras (1992) · Jan 2024
Factors affecting poor sleep quality in last trimester pregnant women: a cross-sectional research from Turkey.
The aim of the study was to determine the factors affecting poor sleep quality in the last trimester pregnant women. ⋯ According to the findings, increasing hemogram levels, attending antenatal education programs, and improving the ability of pregnant women to manage stress are opportunities to improve sleep quality during pregnancy. Careful evaluation of pregnant women in terms of insomnia and affecting factors can be suggested during antenatal follow-up.
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Rev Assoc Med Bras (1992) · Jan 2024
Antibiotic stewardship and nosocomial infection prevention in critically ill patients: a quality improvement program.
The objective of this study was to evaluate the impact of the implementation of a bundle of interventions through a "Program for Antibiotic Management and Nosocomial Infection Prevention" in the intensive care unit on antibiotic and devices use and healthcare-associated infections. ⋯ Quality improvement actions focused primarily on antimicrobial management and prevention of healthcare-associated infection are feasible and have the potential to decrease antibiotic use and healthcare-associated infection rates.
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Rev Assoc Med Bras (1992) · Jan 2024
Genetic association of the BsmI variant of vitamin D receptor gene with risk of morbid obesity.
The aim of this study was to evaluate the vitamin D receptor (VDR) BsmI variant in morbidly obese patients compared with healthy normal controls. ⋯ The BsmI variant in the VDR gene may not seem to predispose to morbid obesity in our study population. Further studies with a larger number of subjects are needed to make a more precise evaluation of this relationship.