M.F. Fonseca

Prevalência de hipertensão arterial em comunidades ribeirinhas do Rio Madeira, Amazônia Ocidental Brasileira

The aim of this cross-sectional study was to estimate the prevalence of hypertension among adults (n = 841) in communities along the Madeira River in the Brazilian Amazon, prior to startup of the Santo Antônio Hydroelectric Plant. The study gathered information on sociodemographic conditions, history of diseases, habits, fish consumption, and anthropometric parameters. Logistic regression was used to calculate odds ratios and the respective confidence intervals. Among the riverine communities, 26% (95%CI: 23%-29%) of adults presented hypertension (29% in men [95%CI: 24%-33%] and 23% in women [95%CI: 19%-27%]). Factors associated with hypertension were age, BMI, and place of residence in men and age, triglycerides, and blood glucose in women. The findings can contribute to strategies for state and municipal health services to monitor and prevent cardiovascular events.The aim of this cross-sectional study was to estimate the prevalence of hypertension among adults (n = 841) in communities along the Madeira River in the Brazilian Amazon, prior to startup of the Santo Antonio Hydroelectric Plant. The study gathered information on sociodemographic conditions, history of diseases, habits, fish consumption, and anthropometric parameters. Logistic regression was used to calculate odds ratios and the respective confidence intervals. Among the riverine communities, 26% (95%CI: 23%-29%) of adults presented hypertension (29% in men [95%CI: 24%-33%] and 23% in women [95%CI: 19%-27%]). Factors associated with hypertension were age, BMI, and place of residence in men and age, triglycerides, and blood glucose in women. The findings can contribute to strategies for state and municipal health services to monitor and prevent cardiovascular events.

Risk of urinary retention after nerve‐sparing surgery for deep infiltrating endometriosis: A systematic review and meta‐analysis

Recently, nerve‐sparing (NS) techniques have been incorporated in surgeries for deep infiltrating endometriosis (DIE) to prevent urinary complications. Our aim was to perform a systematic review and meta‐analysis to assess the risk of urinary retention after NS surgery for DIE compared with classical (non‐NS) techniques.

Urodynamic observations and lower urinary tract symptoms associated with endometriosis: a prospective cross-sectional observational study assessing women with deep infiltrating disease

Introduction and hypothesisThe objective was to assess the association between lower urinary tract disease (LUTD) and the presence of endometriosis at different anatomical sites.MethodsOur prospective cross-sectional observational study evaluated 138 women with deep infiltrating endometriosis who had undergone preoperative evaluation of urodynamics and detailed assessment of lower urinary tract symptoms between August 2013 and May 2016. After laparoscopy, the anatomical sites of histologically confirmed endometriosis lesions were mapped.ResultsThe presence of endometriosis in the bladder demonstrated significant negative angular coefficients for bladder compliance (mL/cmH2O) (P = 0.007; B = −54.65; 95%CI: −93.76 to −15.51) and for maximum cystometric capacity (mL; P = 0.001; B = −39.79; 95%CI: −62.51 to −17.06), whereas endometriosis in the parametrium showed significant positive coefficients for opening pressure (cmH2O) (P = 0.016; B = 5.89; 95%CI: 1.10–10.69) and post-void residual (mL) (P = 0.015; B = 31.34; 95%CI: 6.14–56.55). The presence of endometriosis in the bladder was a statistically significant independent predictor of low bladder compliance (P < 0.001; OR = 30.10; 95%CI: 9.48–95.55), whereas endometriosis in the parametrium was a statistically significant independent predictor of both abnormal residual urine (P = 0.019; OR = 5.21; 95%CI: 1.32–20.64) and bladder outlet obstruction (P = 0.011; OR = 7.91; 95%CI: 1.61–38.86). Correspondence analysis suggested two possible independent ways through which endometriosis acts on the genesis of urinary dysfunctions.ConclusionsOur findings strongly suggest that endometriosis involving the bladder might disturb storage function, whereas endometriosis in the parametrium disturbs the voiding phase.

Predictors of fluid intravasation during operative hysteroscopy: a preplanned prospective observational study with 200 cases

PURPOSE To verify the predictors of intravasation rate during hysteroscopy. METHODS Prospective observational study (Canadian Task Force classification II(-1)). All cases (n=200 women; 22 to 86 years old) were treated in an operating room setting. Considering respective bag overfill to calculate water balance, we tested two multiple linear regression models: one for total intravasation (mL) and the other for absorption rate (mL.min(-1)). The predictors tested (independent variables) were energy (mono/bipolar), tube patency (with/without tubal ligation), hysterometry (cm), age ≤ 50 years, body surface area (m(2)), surgical complexity (with/without myomectomy) and duration (min). RESULTS Mean intravasation was significantly higher when myomectomy was performed (442 ± 616 versus 223 ± 332 mL; p<0.01). In the proposed multiple linear regression models for total intravasation (adjusted R(2)=0.44; p<0.01), the only significant predictors were myomectomy and duration (p<0.01).In the proposed model for intravasation rate (R(2)=0.39; p<0.01), only myomectomy and hysterometry were significant predictors (p=0.02 and p<0.01, respectively). CONCLUSIONS Not only myomectomy but also hysterometry were significant predictors of intravasation rate during operative hysteroscopy.

Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study

Objective To assess the correlation between different pain symptoms and different domains of womens health-related quality of life (HRQoL). Methods Seventy-seven women with deep infiltrating endometriosis were successively enrolled between June 2011 and August 2013 while being prepared to undergo laparoscopy due to pain and/or infertility. We quantified the intensities of dysmenorrhea, deep dyspareunia, chronic pelvic pain, and dyschezia (menstrual and non-menstrual) using a 11-point visual analog scale (VAS: 0–10) and the validated full versions of the Short Form 36 (SF36) and Endometriosis Health Profile (EHP30) questionnaires to assess HRQoL. The pain symptoms were considered simultaneously in a hierarchical agglomerative clustering method (exploratory multivariate approach) and the associations among scores were tested by bivariate correlation. Results Dysmenorrhea showed the lowest similarity on to the multivariate cluster analysis and no statistically significant correlation with the other pain symptoms: deep dyspareunia (P=0.244), chronic pelvic pain (P=0.108), menstrual dyschezia (P=0.238), and non-menstrual dyschezia (P=0.380). Dysmenorrhea and chronic pelvic pain were the main symptoms correlated with all domains of the SF36 and the EHP30 (core instrument) questionnaires (P<0.05). Conclusion Dysmenorrhea and chronic pelvic pain were independent factors associated with HRQoL.

Prevalence of arterial hypertension in communities along the Madeira River, Western Brazilian Amazon

The aim of this cross-sectional study was to estimate the prevalence of hypertension among adults (n = 841) in communities along the Madeira River in the Brazilian Amazon, prior to startup of the Santo Antônio Hydroelectric Plant. The study gathered information on sociodemographic conditions, history of diseases, habits, fish consumption, and anthropometric parameters. Logistic regression was used to calculate odds ratios and the respective confidence intervals. Among the riverine communities, 26% (95%CI: 23%-29%) of adults presented hypertension (29% in men [95%CI: 24%-33%] and 23% in women [95%CI: 19%-27%]). Factors associated with hypertension were age, BMI, and place of residence in men and age, triglycerides, and blood glucose in women. The findings can contribute to strategies for state and municipal health services to monitor and prevent cardiovascular events.The aim of this cross-sectional study was to estimate the prevalence of hypertension among adults (n = 841) in communities along the Madeira River in the Brazilian Amazon, prior to startup of the Santo Antonio Hydroelectric Plant. The study gathered information on sociodemographic conditions, history of diseases, habits, fish consumption, and anthropometric parameters. Logistic regression was used to calculate odds ratios and the respective confidence intervals. Among the riverine communities, 26% (95%CI: 23%-29%) of adults presented hypertension (29% in men [95%CI: 24%-33%] and 23% in women [95%CI: 19%-27%]). Factors associated with hypertension were age, BMI, and place of residence in men and age, triglycerides, and blood glucose in women. The findings can contribute to strategies for state and municipal health services to monitor and prevent cardiovascular events.

La prevalencia de la hipertensión en las comunidades que bordean el río Madeira, occidente de la Amazonia brasileña

The aim of this cross-sectional study was to estimate the prevalence of hypertension among adults (n = 841) in communities along the Madeira River in the Brazilian Amazon, prior to startup of the Santo Antônio Hydroelectric Plant. The study gathered information on sociodemographic conditions, history of diseases, habits, fish consumption, and anthropometric parameters. Logistic regression was used to calculate odds ratios and the respective confidence intervals. Among the riverine communities, 26% (95%CI: 23%-29%) of adults presented hypertension (29% in men [95%CI: 24%-33%] and 23% in women [95%CI: 19%-27%]). Factors associated with hypertension were age, BMI, and place of residence in men and age, triglycerides, and blood glucose in women. The findings can contribute to strategies for state and municipal health services to monitor and prevent cardiovascular events.The aim of this cross-sectional study was to estimate the prevalence of hypertension among adults (n = 841) in communities along the Madeira River in the Brazilian Amazon, prior to startup of the Santo Antonio Hydroelectric Plant. The study gathered information on sociodemographic conditions, history of diseases, habits, fish consumption, and anthropometric parameters. Logistic regression was used to calculate odds ratios and the respective confidence intervals. Among the riverine communities, 26% (95%CI: 23%-29%) of adults presented hypertension (29% in men [95%CI: 24%-33%] and 23% in women [95%CI: 19%-27%]). Factors associated with hypertension were age, BMI, and place of residence in men and age, triglycerides, and blood glucose in women. The findings can contribute to strategies for state and municipal health services to monitor and prevent cardiovascular events.