Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · Jan 2024
Validation of a scale to measure fathers' confidence in supporting breastfeeding.
The objective of this study was to describe the process of cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale-Short Form among Fathers for use in Brazil. ⋯ The cross-cultural adaptation process was carried out within validated international parameters and represents a potential instrument for promoting maternal and child health in Brazil.
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Rev Assoc Med Bras (1992) · Jan 2024
Comparative Study Observational StudyComparison of subclavian vein and inferior vena cava collapsibility index in the intensive care unit.
The aim of this study was to evaluate the correlation between changes in the inferior vena cava collapsibility index and subclavian vein collapsibility index in patients undergoing passive leg raising tests in the intensive care unit, considering that respiratory changes affecting the inferior vena cava may similarly affect the subclavian vein. ⋯ ΔSCV-CI% values are compatible and correlated with ΔIVC-CI% values. Inferior vena cava and subclavian vein responded similarly to fluid changes during passive leg raising.
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Rev Assoc Med Bras (1992) · Jan 2024
Transfusion of packed red blood cells in adults with sickle cell anemia treated at an emergency hospital.
The aim of this study was to analyze the prescription of packed red blood cells performed by emergency physicians for adults with sickle cell anemia. ⋯ This study found low adequacy in the indication and calculation of the transfusion volume of packed red blood cells in asymptomatic individuals. Few patients received filtered red blood cells, resulting in increased risks of transfusion reactions. On the contrary, non-indicated subtypes were prescribed in a quarter of transfusions, which resulted in higher costs and delay in receiving packed red blood cells.
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Rev Assoc Med Bras (1992) · Jan 2024
Investigation of rational drug use behaviors and knowledge levels of older individuals: a cross-sectional study.
The aim of this study was to examine older individuals' rational drug use behavior, their knowledge of rational drug use, and the factors affecting it. ⋯ The results showed that the rational drug use knowledge level of older adults was low and that there were differences in the knowledge levels of rational drug use according to certain behaviors and factors.
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Rev Assoc Med Bras (1992) · Jan 2024
Can supplementation of tryptophan in parenteral nutrition increase melatonin and alleviate inflammatory response?
Endogenous melatonin is produced from tryptophan which is an essential amino acid. Besides its role in the regulation of sleep patterns, melatonin has anti-inflammatory effects. In this case-control study, we aimed to compare tryptophan and melatonin levels and their relationship with the inflammatory response, specifically serum interleukin-1, interleukin-6, and c-reactive protein levels following major abdominal surgery in patients with food restriction and who receive parenteral nutritional therapy. ⋯ The tryptophan levels in the experimental group were higher than in the control group but failed to reach any statistical difference. Melatonin levels were increased in both groups following the surgery compared with preoperative levels. The increase in the experimental group was statistically different 3 days after the surgery. The difference in the level of interleukin-1 between the control and the experimental groups was greatest on postoperative day 3. On postoperative day 3, the interleukin-6 level in the treatment group was slightly higher than in the control group. We did not find any difference in the levels of c-reactive protein between the groups. As a result, the levels of tryptophan and melatonin were increased in the parenteral nutrition group, irrespective of the postoperative inflammatory response.