المؤلفون: Cavalcante Marcelo Borges, Zanforlin Filho Sebastião Marques, Chagouri Ocké Winnie Bastos Nunes, Pessoas Caldas Maria Madalena, da Silva Pedro Henrique Alcantara, Ferraz Alexandre Andrade, Pires Cláudio Rodrigues, Júnior Edward Araujo

المصدر: Journal of Ultrasonography, Vol 23, Iss 93, Pp e73-e79 (2023)

مصطلحات موضوعية: ultrasound phantom, homemade simulator, simulation, oocyte retrieval, antral follicle count, Medicine (General), R5-920, Medical technology, R855-855.5

الوصف: We sought to create and describe a self-made simulator designed and created for teaching purposes: a high-fidelity ultrasound phantom for demonstrating antral follicle count, ultrasound supervision of controlled of ovarian stimulation, and ultrasound-guided oocyte retrieval.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2451-070XTest

الوصول الحر: https://doaj.org/article/24985261cbcb44409c565d1bc1de9d24Test

المؤلفون: Santana, Eduardo Félix Martins, Castello, Renata Gomes, Rizzo, Giuseppe, Grisolia, Gianpaolo, Júnior, Edward Araujo, Werner, Heron, Lituania, Mario, Tonni, Gabriele

المساهمون: Santana, Efm, Castello, Rg, Rizzo, G, Grisolia, G, Júnior, Ea, Werner, H, Lituania, M, Tonni, G

مصطلحات موضوعية: Settore MED/40 - GINECOLOGIA E OSTETRICIA

العلاقة: info:eu-repo/semantics/altIdentifier/wos/WOS:000929653400001; volume:12; issue:11; firstpage:2810; journal:DIAGNOSTICS; https://hdl.handle.net/2108/308455Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85148745077

الإتاحة: https://doi.org/10.3390/diagnostics12112810Test
https://hdl.handle.net/2108/308455Test

المؤلفون: Rios, Salete S., Chen, Ana C.R., Chen, Juliana R., de Resende, Ceres N., Júnior, Edward Araujo

المصدر: Annals of Medicine & Surgery ; volume 82 ; ISSN 2049-0801

الإتاحة: https://doi.org/10.1016/j.amsu.2022.104746Test
https://api.elsevier.com/content/article/PII:S2049080122015060?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S2049080122015060?httpAccept=text/plainTest

المؤلفون: Rabachini Caetano, Ana Carolina, Machado Nardozza, Luciano Marcondes, Perez Zamarian, Ana Cristina, Silva Drumond, Luiza Grosso, Chiaratti de Oliveira, Allan, Dualib, Patricia Medici, Júnior, Edward Araujo, Mattar, Rosiane

المصدر: Journal of Perinatal Medicine; Sep2023, Vol. 51 Issue 7, p913-919, 7p

مصطلحات موضوعية: COMPUTER software, DIGITAL image processing, PREDICTIVE tests, LUNGS, FETAL development, PREGNANT women, COMPARATIVE studies, RISK assessment, DESCRIPTIVE statistics, RESEARCH funding, GESTATIONAL diabetes, SENSITIVITY & specificity (Statistics), RESPIRATORY distress syndrome, FETAL ultrasonic imaging, DISEASE risk factors, DISEASE complications, CHILDREN, FETUS

مستخلص: The present study aimed to evaluate the performance of QuantusFLM^® software, which performs quantitative ultrasound analysis of fetal lung texture, in predicting lung maturity in fetuses of diabetic mothers. The patients included in this study were between 34 and 38 weeks and 6 days gestation and were divided into two groups: (1) patients with diabetes on medication and (2) control. The ultrasound images were performed up to 48 h prior to delivery and analyzed using QuantusFLM^® software, which classified each fetus as high or low risk for neonatal respiratory morbidity based on lung maturity or immaturity. A total of 111 patients were included in the study, being 55 in diabetes and 56 in control group. The pregnant women with diabetes had significantly higher body mass index (27.8 kg/m² vs. 25.9 kg/m², respectively, p=0.02), increased birth weight (3,135 g vs. 2,887 g, respectively, p=0.002), and a higher rate of labor induction (63.6 vs. 30.4 %, respectively, p<0.001) compared to the control group. QuantusFLM^® software was able to predict lung maturity in diabetes group with 96.4 % accuracy, 96.4 % sensitivity and 100 % positive predictive value. Considering the total number of patients, the software demonstrated accuracy, sensitivity, specificity, positive predictive value and negative predictive value of 95.5 , 97.2, 33.3, 98.1 and 25 %, respectively. QuantusFLM^® was an accurate method for predicting lung maturity in normal and DM singleton pregnancies and has the potential to aid in deciding the timing of delivery for pregnant women with DM. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Perinatal Medicine is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Benevides, Fernanda Teixeira¹, Júnior, Edward Araujo^2,3 araujojred@terra.com.br, Costa Maia, Carla Soraya⁴, Maia e Holanda Moura, Sammya Bezerra⁵, Montenegro Junior, Renan Magalhães¹, Costa Carvalho, Francisco Herlânio¹

المصدر: Journal of Maternal-Fetal & Neonatal Medicine. Dec2022, Vol. 35 Issue 25, p9821-9829. 9p.

مصطلحات موضوعية: *FIRST trimester of pregnancy, *SECOND trimester of pregnancy, *ABDOMINAL adipose tissue, *GESTATIONAL diabetes, *BODY mass index, *SKINFOLD thickness

مستخلص: Objective To evaluate whether ultrasound abdominal fat measurements in the first and second trimesters can predict adverse gestational outcomes, particularly gestational diabetes mellitus (GDM), and identify early patients at higher risk for complications. Methods A prospective cohort study of 126 pregnant women at 11–14 and 20–24 weeks of gestation with normal fasting glucose levels during early pregnancy. From 126 participants with complete data, 13.5% were diagnosed with GDM, based on the cutoffs established for the peripherical blood glucose. Subcutaneous, visceral, and maximum preperitoneal abdominal fat were measured using ultrasound techniques. GDM status was determined by oral glucose tolerance test (OGTT) with 75 g glucose overload, and the following values were considered abnormal: fasting glucose ≥92 mg/dl and/or 1 h after overload ≥180 mg/dl and/or 2 h after overload ≥153 mg/dl. The receiver operator characteristic (ROC) curve was used to determine the optimal threshold to predict GDM. Results Maximum preperitoneal fat measurement was predictive of GDM, and subcutaneous and visceral abdominal fat measurements did not show significant differences in the prediction of GDM. According to the ROC curve, a threshold of 45.25 mm of preperitoneal fat was identified as the optimal cutoff point, with 87% sensitivity and 41% specificity to predict GDM. The raw and adjusted odds ratios for age and pre-pregnancy body mass index were 0.730 (95% confidence interval [CI], 0.561–0.900) and 0.777 (95% CI, 0.623–0.931), respectively. Conclusion The use of a 45.25 mm threshold for maximum preperitoneal fat, measured by ultrasound to predict the risk of GDM, appears to be a feasible, inexpensive, and practical alternative to incorporate into clinical practice during the first trimester of pregnancy. [ABSTRACT FROM AUTHOR]

المؤلفون: Martins Santana, Eduardo Felix, Mendonça Casati, Murilo Furtado, Sousa Prado Geraldo, Mariana de, Werner, Heron, Júnior, Edward Araujo

المصدر: Journal of Maternal-Fetal & Neonatal Medicine; Dec2022, Vol. 35 Issue 25, p6062-6068, 7p

مصطلحات موضوعية: ZIKA virus infections, DIAGNOSTIC imaging, BRAIN imaging, FETAL MRI, ZIKA virus, DENGUE hemorrhagic fever

مصطلحات جغرافية: BRAZIL

مستخلص: Zika virus (ZIKV) is a widespread flavivirus transmitted to humans through the bite of Aedes mosquitoes. The number of ZIKV cases increased significantly between 2015 and 2016, and Brazil was the first to report autochthonous transmission of infection. The main neurological disorder related to ZIKV infection is microcephaly. Fetal magnetic resonance imaging (MRI) is the gold standard examination for the analysis of fetal brain infection, followed by obstetric ultrasonography. Cerebral atrophy, intracranial calcifications, ventriculomegaly, cerebellar, and brain gyrus abnormalities are some of the most common findings. Postnatal MRI shows high sensitivity and specificity. Corpus callosum abnormalities, cerebellar hypoplasia, and choroid plexus dilation can be also observed. We present a review of congenital ZIKV infection with emphasis on pre and postnatal brain findings using ultrasonography, MRI, computed tomography, and three-dimensional reconstruction models. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Maternal-Fetal & Neonatal Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Muniz, Cesaltina Soares, Dias, Beatriz Frota, Pereira Motoyama, Paula Vitoria, Catunda Almeida, Camila Timbó, de Lucena Feitosa, Francisco Edson, Júnior, Edward Araujo, Gurgel Alves, Júlio Augusto

المصدر: Journal of Maternal-Fetal & Neonatal Medicine; Dec2022, Vol. 35 Issue 25, p7276-7279, 4p

مصطلحات موضوعية: FETAL growth retardation, PREGNANT women, PLACENTA diseases, UMBILICAL arteries, FETAL anoxia

مستخلص: Objective To compare Doppler alterations and perinatal outcomes in pregnant women who evolved with early- and late-onset fetal growth restriction (FGR). Methods A retrospective, observational cohort study with pregnant women who evolved with FGR treated between January 2018 and April 2019, in which all live births from singleton pregnancies, over 24 weeks, with FGR ultrasound diagnosis and under 2700 g weight were included in the study. Results Pregnancies with early-onset FGR were more associated with hypertensive disorders (p = .00) and placental vascular insufficiency, resulting in a high degree of umbilical artery Doppler involvement (p = .00) in a short period of pregnancy and higher rates of adverse perinatal outcomes (p = .00). The time of prenatal follow-up of early- and late-onset FGR cases was similar, but the degree of prematurity of the former made the evolution more unfavorable. Conclusion Early-onset FGR had a lower prevalence but was associated with higher maternal and fetal morbidity and mortality than late-onset FGR. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Maternal-Fetal & Neonatal Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: França, Marcelo Santucci, Hatanaka, Alan Roberto, de Jesus Cruz, Jader, de Andrade Júnior, Valter Lacerda, Kawanami Hamamotoa, Tatiana Emy, Sarmento, Stephanno G. P., Júniora, Júlio Elito, da Silva Pares, David Baptista, Mattar, Rosiane, Júnior, Edward Araujo, Moron, Antonio Fernandes

المصدر: Journal of Maternal-Fetal & Neonatal Medicine; Dec2022, Vol. 35 Issue 25, p6670-6680, 11p

مصطلحات موضوعية: PROGESTERONE, PREMATURE labor, PREGNANCY, SURVIVAL analysis (Biometry)

مستخلص: Background Several studies were published about cervical pessary, with controversial results. These studies demonstrated that the patient follow-up after pessary insertion is very different between the study centers and the number of pessary insertions per center was often <30 cases. This study aims to determine cervical pessary performance in singleton pregnancies with a short cervix based on a single center learning curve. Methods Between 2011 and 2018, 128 singleton pregnancies between 18 and 24 gestational weeks with a short cervix (<25 mm) were referred to our clinic. All cases were treated with progesterone, and when available in our supplies (due to low resources) cervical pessary was also offered. Three groups were created for statistical analysis: Group 1 (n = 33), treated with progesterone-only; Groups 2 and 3, treated with cervical pessary plus progesterone. Group 2 included the first cases (n = 30) of pessary, defined by a learning curve and cumulative sum analysis, while Group 3 included the subsequent 65 cases. The primary outcome was preterm birth (PTB) < 34 gestational weeks. Results The learning curve was performed with all cases of pessary plus progesterone, and 30 patients were obtained as the number needed for learning, in our study with two operators. The PTB rate < 34 weeks was 27.3, 20, and 4.6% in groups 1, 2, and 3, respectively. There was no significant difference between Group 1 and 2 (OR 1.1; 95% CI 0.066 − 18.45; p = .945). When comparing Groups 1 and 3 there was a significant difference in PTB rates (OR 0.08; CI95% 0.01–0.42; p = .003). Considering Kaplan-Meyer Survival analysis, we can observe that the performance of progesterone alone (Group 1) was similar to Group 2 (progesterone + first 30 cases of pessary) (p = .432), but the performance of Group 3 (progesterone + subsequent 65 cases of pessary) and Group 1 shows a statistically significant difference (p = .011). Conclusion Learning curve and cumulative sum analysis determined that the application and surveillance of at least 30 patients is required to see significant improvements in the primary outcome of PTB < 34 weeks. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Maternal-Fetal & Neonatal Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Rozo Bahia, Maria Luiza, Velarde, Guillermo Coca, da Silva, Fernanda Campos, Júnior, Edward Araujo, Moreira de Sá, Renato Augusto

المصدر: Journal of Maternal-Fetal & Neonatal Medicine; Dec2022, Vol. 35 Issue 25, p8666-8672, 7p

مصطلحات موضوعية: FETAL growth retardation, CEREBRAL anoxia-ischemia, AMNIOTIC liquid, NEONATAL death, UMBILICAL arteries, PREGNANT women

مستخلص: Objective To evaluate perinatal outcomes in fetuses with severe late-onset fetal growth restriction. Methods This was a retrospective and observational cohort study in which pregnant women diagnosed with late-onset fetal growth restriction assisted at perinatal maternity birth from 2010 to 2017 were included. The outcomes were intensive care unit (ICU) admission and perinatal complications, such as neonatal death, intraventricular hemorrhage, periventricular leukomalacia, hypoxic-ischemic encephalopathy, necrotizing enterocolitis, bronchopulmonary dysplasia, and sepsis. Results We selected 277 pregnant women, of whom 124 newborns (44.76%) went to the ICU. The chance of a newborn needing ICU decreases by 62, 7, and 9% according to an increase of one gestational week, 1 cm of the abdominal circumference, or 1 cm of the amniotic fluid index, respectively. Oligohydramnios increases the risk of going to the ICU by 2.13 times. The increase in the umbilical artery pulsatility index (PI) Doppler increases the chance of ICU admission by 7.9 times. The normal middle cerebral artery PI Doppler and the normal cerebroplacental ratio reduce the risk of ICU admission. Conclusion The estimated fetal weight, abdominal circumference, and amniotic fluid index diagnosed severe late-onset fetal growth restriction. With the decrease in middle cerebral artery PI Doppler, there is a greater probability of admission to the ICU, with the most common complications being intraventricular hemorrhage and necrotizing enterocolitis. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Maternal-Fetal & Neonatal Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Słodki, Maciej, Zych-Krekora, Katarzyna, Axt-Fliedner, Roland, Bianchi, Ana, Junior, Edward Araujo, Blickstein, Isaac, Kelekci, Sefa, Yeo, Lami, Pruetz, Jay D., Rizzo, Giuseppe, Seligman, Neil, Sklansky, Mark, de Catte, Luc, Weiner, Stuart, Chervenak, Frank, Cruz, Jader, Kurkevych, Andrii, Krekora, Michał, Respondek-Liberska, Maria

المصدر: Journal of Ultrasonography 16(64)

الوصف: The International Prenatal Cardiology Collaboration Group – a new concept for global research study ; cc-by-nc-nd-3.0

العلاقة: https://zenodo.org/record/1157410Test; https://doi.org/10.15557/JoU.2016.0010Test; oai:zenodo.org:1157410

الإتاحة: https://doi.org/10.15557/JoU.2016.0010Test
https://zenodo.org/record/1157410Test