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[PMID]:28284020
[Au] Autor:O'Shea JE; Foster JP; O'Donnell CP; Breathnach D; Jacobs SE; Todd DA; Davis PG
[Ad] Endereço:Royal Hospital for Children, Glasgow, UK.
[Ti] Título:Frenotomy for tongue-tie in newborn infants.
[So] Source:Cochrane Database Syst Rev;3:CD011065, 2017 03 11.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Tongue-tie, or ankyloglossia, is a condition whereby the lingual frenulum attaches near the tip of the tongue and may be short, tight and thick. Tongue-tie is present in 4% to 11% of newborns. Tongue-tie has been cited as a cause of poor breastfeeding and maternal nipple pain. Frenotomy, which is commonly performed, may correct the restriction to tongue movement and allow more effective breastfeeding with less maternal nipple pain. OBJECTIVES: To determine whether frenotomy is safe and effective in improving ability to feed orally among infants younger than three months of age with tongue-tie (and problems feeding).Also, to perform subgroup analysis to determine the following.• Severity of tongue-tie before frenotomy as measured by a validated tool (e.g. Hazelbaker Assessment Tool for Lingual Frenulum Function (ATLFF) scores < 11; scores ≥ 11) (Hazelbaker 1993).• Gestational age at birth (< 37 weeks' gestation; 37 weeks' gestation and above).• Method of feeding (breast or bottle).• Age at frenotomy (≤ 10 days of age; > 10 days to three months of age).• Severity of feeding difficulty (infants with feeding difficulty affecting weight gain (as assessed by infant's not regaining birth weight by day 14 or falling off centiles); infants with symptomatic feeding difficulty but thriving (greater than birth weight by day 14 and tracking centiles). SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase and CINAHL up to January 2017, as well as previous reviews including cross-references, expert informants and journal handsearching. We searched clinical trials databases for ongoing and recently completed trials. We applied no language restrictions. SELECTION CRITERIA: Randomised, quasi-randomised controlled trials or cluster-randomised trials that compared frenotomy versus no frenotomy or frenotomy versus sham procedure in newborn infants. DATA COLLECTION AND ANALYSIS: Review authors extracted from the reports of clinical trials data regarding clinical outcomes including infant feeding, maternal nipple pain, duration of breastfeeding, cessation of breastfeeding, infant pain, excessive bleeding, infection at the site of frenotomy, ulceration at the site of frenotomy, damage to the tongue and/or submandibular ducts and recurrence of tongue-tie. We used the GRADE approach to assess the quality of evidence. MAIN RESULTS: Five randomised trials met our inclusion criteria (n = 302). Three studies objectively measured infant breastfeeding using standardised assessment tools. Pooled analysis of two studies (n = 155) showed no change on a 10-point feeding scale following frenotomy (mean difference (MD) -0.1, 95% confidence interval (CI) -0.6 to 0.5 units on a 10-point feeding scale). A third study (n = 58) showed objective improvement on a 12-point feeding scale (MD 3.5, 95% CI 3.1 to 4.0 units of a 12-point feeding scale). Four studies objectively assessed maternal pain. Pooled analysis of three studies (n = 212) based on a 10-point pain scale showed a reduction in maternal pain scores following frenotomy (MD -0.7, 95% CI -1.4 to -0.1 units on a 10-point pain scale). A fourth study (n = 58) also showed a reduction in pain scores on a 50-point pain scale (MD -8.6, 95% CI -9.4 to -7.8 units on a 50-point pain scale). All studies reported no adverse effects following frenotomy. These studies had serious methodological shortcomings. They included small sample sizes, and only two studies blinded both mothers and assessors; one did not attempt blinding for mothers nor for assessors. All studies offered frenotomy to controls, and most controls underwent the procedure, suggesting lack of equipoise. No study was able to report whether frenotomy led to long-term successful breastfeeding. AUTHORS' CONCLUSIONS: Frenotomy reduced breastfeeding mothers' nipple pain in the short term. Investigators did not find a consistent positive effect on infant breastfeeding. Researchers reported no serious complications, but the total number of infants studied was small. The small number of trials along with methodological shortcomings limits the certainty of these findings. Further randomised controlled trials of high methodological quality are necessary to determine the effects of frenotomy.
[Mh] Termos MeSH primário: Anquiloglossia/cirurgia
Aleitamento Materno
Freio Lingual/cirurgia
[Mh] Termos MeSH secundário: Aleitamento Materno/efeitos adversos
Feminino
Idade Gestacional
Seres Humanos
Recém-Nascido
Mastodinia/etiologia
Mamilos
Medição da Dor
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170312
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD011065.pub2


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[PMID]:28279206
[Au] Autor:Al-Sharydah AM; Al-Abdulwahhab AH; Alghnimi IA; El Shawarby MA; Katbi FA
[Ad] Endereço:Department of Radiology, King Fahd Hospital of the University, University of Dammam, P.O. Box 4398, 31952, Dammam, Eastern Province, Saudi Arabia. amsharydah@uod.edu.sa.
[Ti] Título:Mastalgia as an atypical presentation of hepatocellular carcinoma: a case report.
[So] Source:World J Surg Oncol;15(1):58, 2017 Mar 09.
[Is] ISSN:1477-7819
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: As the incidence of hepatocellular carcinoma (HCC) diagnoses in Saudi Arabia has recently increased due to better diagnostic techniques, the incidence of diagnosed HCC metastasis has also increased. Here, we report a case of HCC metastasis to the rib with an initially atypical presentation of mastalgia caused by extrahepatic metastasis. CASE PRESENTATION: A 31-year-old woman with a prior hepatitis B viral infection presented with a mass in the left breast accompanied by mastalgia for a 6-month duration. The patient's liver enzymes were elevated, and her serum α-fetoprotein level was particularly high. Computed tomography of her chest and abdomen showed a soft-tissue mass adhering to the upper chest wall, rib deterioration, and multiple hepatic lesions. A needle biopsy was immunohistochemically analyzed for Glypican-3, Pan-CK, and CK7 and was confirmed to be metastatic HCC. CONCLUSIONS: This metastatic HCC case is unique because it initially presented as mastalgia. We should consider the possibility of metastatic disease when assessing patients with unusual presentations who have risk factors for metastatic carcinoma.
[Mh] Termos MeSH primário: Carcinoma Hepatocelular/diagnóstico
Neoplasias Hepáticas/diagnóstico
Mastodinia/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Carcinoma Hepatocelular/cirurgia
Diagnóstico Diferencial
Feminino
Seres Humanos
Neoplasias Hepáticas/cirurgia
Mastodinia/cirurgia
Prognóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1186/s12957-017-1133-4


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[PMID]:28027762
[Au] Autor:de Groot JE; Hopman IGM; van Lier MGJTB; Branderhorst W; Grimbergen CA; den Heeten GJ
[Ad] Endereço:Sigmascreening, Meibergdreef 45, 1105 BA, Amsterdam, The Netherlands. Electronic address: jerry.degroot@sigmascreening.com.
[Ti] Título:Pressure-standardised mammography does not affect visibility, contrast and sharpness of stable lesions.
[So] Source:Eur J Radiol;86:289-295, 2017 Jan.
[Is] ISSN:1872-7727
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: A recent technological development allows pressure-standardised mammography by personalizing the compression force to the breast size and firmness. The technique has been shown to reduce pain and compression variability between consecutive exams, but also results in a slightly thicker compressed breast during exposure. This raises the question whether visibility, contrast and sharpness of lesions are affected? METHODS: Four experienced radiologists compared 188 stable lesions and structures including (clusters of) calcifications, (oil) cysts and lymph nodes that were visible in mammograms obtained in 2009 with a pain-tolerance limited 18 daN target force compression protocol, and in 2014/2015 obtained with a 10kPa (75mmHg) pressure-standardised compression protocol. Observers were blinded for all DICOM metadata and rated which of the randomly ordered, side by side presented images had better lesion visibility, contrast and sharpness, or whether they saw no difference. They also indicated which overall image they preferred, if any, and whether the non-preferred image was still adequate. Statistical non-inferiority is concluded when the lower limit of the 95% confidence interval of the 4-rater averaged 'new protocol better' proportions exceed the non-inferiority limit of 0.463. RESULTS: In 2014/2015, the compressions were significantly milder, with on average 17% (mediolateral oblique) to 29% (craniocaudal) lower forces. Breasts remained on average 2.4% (1.4mm) thicker. Dose was significantly lower (6.5%), which is explained by glandular atrophy. The 95% confidence interval lower limits are 0.479 for visibility, 0.473 for contrast, 0.488 for sharpness and 0.486 for preference, all exceeding the non-inferiority limit. Of the 60 non-preferred mammograms, multiple observers found only five to be inadequate: 4 obtained with the force protocol and 1 with the pressure protocol. CONCLUSION: Pain-reduced mammography with 10kPa pressure-standardised compression has non-inferior visibility, contrast and sharpness for stable lesions compared to pain-tolerance limited 18daN target force compression.
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico por imagem
Mamografia/normas
[Mh] Termos MeSH secundário: Mama/diagnóstico por imagem
Compressão de Dados
Feminino
Seres Humanos
Mamografia/efeitos adversos
Mamografia/métodos
Mastodinia/prevenção & controle
Pressão
Radiologistas
Distribuição Aleatória
Padrões de Referência
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161229
[St] Status:MEDLINE


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[PMID]:28002858
[Au] Autor:Feder K; Grunert JH
[Ad] Endereço:Centre for Radiology, Hannover Medical School, Hannover.
[Ti] Título:Is Individualizing Breast Compression during Mammography useful? - Investigations of pain indications during mammography relating to compression force and surface area of the compressed breast.
[Ti] Título:Ist eine Individualisierung der mammografischen Brustkompression sinnvoll? ­ Untersuchungen zu Schmerzangaben bei der Mammografie in Bezug auf Kompressionskraft und Fläche der komprimierten Brust..
[So] Source:Rofo;189(1):39-48, 2017 Jan.
[Is] ISSN:1438-9010
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The aim of this paper is to determine how the presence of pain during mammographic compression could be reduced. To this end, we examine its relationship with compression force, surface-area of the compressed breast, breast density (ACR) and former operations. In 199 women 765 mammograms were performed. Women were asked to rate the level of pain on a scale of 0 - 10 (0: no, 10: highest pain). The surface-area of the breast under compression captured by the mammograms was measured using planimetry. 52 of the 199 women were asked to identify the area of the upper body with the highest level of pain. The thickness of the compressed breast was 65.2 % of the uncompressed breast at a force of 10 daN (57.8 % at 15 daN). When the force was increased from 10 daN to 15 daN, the average glandular dose (AGD) declined by 17 %. Tolerance of compression was associated with the size of the breast. More than 50 % of the mammograms with a small compression less than 9 daN were associated with higher level of pain. In the oblique projection, 60 % of the women specified the axilla as the area of maximum pain. Women with larger breasts tolerated a greater force of compression. This implies a need for individualised examination depending on the size of the breast. Women with increased pain susceptibility terminated the compression early regardless of a small compression less than 9 daN. More than 50 % of the women identified areas outside breast as especially painful. Therefore, during examination, the areas around the breast should also be taken into consideration in order to minimize unnecessary discomfort. · With increased mammographic compression force, the effectiveness of breast thickness reduction declined.. · A compression force of 15 daN enabled an additional reduction by 17 % in average glandular dose (AGD) compared to 10 daN.. · Tolerance of increased compression force was related to breast surface area.. · Women with increased susceptibility of pain terminated the compression at a low force of less than 9 daN. · Pain relating to the mammographic procedure was identified outside the breast by more than 50 % of the women.. · Feder K, Grunert JH. Is Individualizing Breast Compression during Mammography useful? - Investigations of pain indications during mammography relating to compression force and surface area of the compressed breast. Fortschr Röntgenstr 2017; 189: 39 - 48.
[Mh] Termos MeSH primário: Mamografia/efeitos adversos
Mamografia/métodos
Mastodinia/etiologia
Mastodinia/prevenção & controle
Exposição à Radiação/prevenção & controle
Proteção Radiológica/métodos
[Mh] Termos MeSH secundário: Força Compressiva
Feminino
Seres Humanos
Mastodinia/diagnóstico
Meia-Idade
Manejo da Dor/métodos
Palpação/efeitos adversos
Palpação/métodos
Exposição à Radiação/análise
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Estresse Mecânico
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-119450


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[PMID]:27746121
[Au] Autor:Cho MW; Grimm LJ; Johnson KS
[Ad] Endereço:Division of Breast Imaging, Department of Radiology, Duke University Medical Center, Box 3808, Erwin Road, Durham, NC 27710. Electronic address: michael.w.cho@dm.duke.edu.
[Ti] Título:Focal Breast Pain: Does Breast Density Affect the Need for Ultrasound?
[So] Source:Acad Radiol;24(1):53-59, 2017 Jan.
[Is] ISSN:1878-4046
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE AND OBJECTIVES: This study aimed to determine the utility of directed ultrasound and digital mammogram for evaluating focal breast pain in women with different mammographic breast densities. MATERIALS AND METHODS: This institutional review board-approved and Health Insurance Portability and Accountability Act-compliant retrospective study included 413 cases of focal breast pain in 369 women (mean age 53 years). All cases were evaluated with both mammogram and ultrasound and had at least 2 years of imaging follow-up. Exclusion criteria were non-focal, axillary, or radiating pain; palpable or skin changes; pregnancy or lactation; and history of trauma or infection. Breast density, imaging findings, and biopsy results were recorded. Specificity, positive predictive values, and negative predictive values were calculated. RESULTS: Eighteen percent (76 of 413) of cases demonstrated an imaging correlate. Of these, 74% (56 of 76) occurred in dense breasts and 26% (20 of 76) in nondense breasts. Seventy percent (14 of 20) of lesions in nondense breasts were seen with mammography and ultrasound, whereas 30% (6 of 20) were detected only with ultrasound. Of lesions detected in dense breasts, 29% (16 of 56) were seen with mammography and ultrasound, whereas 71% (40 of 56) were detected only with ultrasound. Thirty-one percent (24 of 76) of cases were biopsied, 42% (10 of 24) of which were detected by ultrasound only. No cancer was detected in initial workup. At 2-year follow-up, three women, all with dense breasts, developed cancer in the same quadrant as the initial pain. CONCLUSIONS: Directed ultrasound, when performed in conjunction with digital mammography for the evaluation of focal breast pain in women with nondense breasts, is of low utility and may contribute to unnecessary intervention as a result of incidental findings.
[Mh] Termos MeSH primário: Densidade da Mama
Neoplasias da Mama/patologia
Mama/patologia
Mastodinia/patologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Axila/diagnóstico por imagem
Axila/patologia
Biópsia
Mama/diagnóstico por imagem
Neoplasias da Mama/diagnóstico por imagem
Feminino
Seres Humanos
Mamografia/métodos
Mastodinia/diagnóstico por imagem
Meia-Idade
Estudos Retrospectivos
Sensibilidade e Especificidade
Ultrassonografia Mamária
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161018
[St] Status:MEDLINE


  6 / 101 MEDLINE  
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[PMID]:27680898
[Au] Autor:Marcu A; Black G; Vedsted P; Lyratzopoulos G; Whitaker KL
[Ad] Endereço:School of Health Sciences, University of Surrey, Guildford, UK.
[Ti] Título:Educational differences in responses to breast cancer symptoms: A qualitative comparative study.
[So] Source:Br J Health Psychol;22(1):26-41, 2017 Feb.
[Is] ISSN:2044-8287
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Advanced stage at diagnosis for breast cancer is associated with lower socio-economic status (SES). We explored what factors in the patient interval (time from noticing a bodily change to first consultation with a health care professional) may contribute to this inequality. DESIGN: Qualitative comparative study. METHODS: Semi-structured interviews with a sample of women (≥47 years) from higher (n = 15) and lower (n = 15) educational backgrounds, who had experienced at least one potential breast cancer symptom. Half the participants (n = 15) had sought medical help, half had not (n = 15). Without making breast cancer explicit, we elicited women's sense-making around their symptoms and help-seeking decisions. RESULTS: Containment of symptoms and confidence in acting upon symptoms emerged as two broad themes that differentiated lower and higher educational groups. Women from lower educational backgrounds tended to attribute their breast symptoms to trivial factors and were reticent in using the word 'cancer'. Despite 'knowing' that symptoms could be related to cancer, women with lower education invoked lack of medical knowledge - 'I am not a doctor' - to express uncertainty about interpreting symptoms and accessing help. Women with higher education were confident about interpreting symptoms, seeking information online, and seeking medical help. CONCLUSIONS: Our findings suggest that knowledge of breast cancer alone may not explain socio-economic differences in how women respond to breast cancer symptoms as women with lower education had 'reasons' not to react. Research is needed on how to overcome a wider spectrum of psycho-social factors to reduce future inequality. Statement of contribution What is already known on this subject? Seven of ten breast cancers in the UK are diagnosed after people contact their doctor with symptoms. Women from lower socio-economic backgrounds are more likely to be diagnosed with advanced disease. There is little evidence related to potential drivers of this SES inequality. What does this study add? We qualitatively explored socio-economic (SES) differences in help-seeking for breast symptoms. Women with higher education were more confident about interpreting symptoms and navigating health care. Women with lower education were more reluctant to seek help due to fear of cancer.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Neoplasias da Mama
Dermatite
Escolaridade
Comportamento de Busca de Informação
Mastodinia
Derrame Papilar
Aceitação pelo Paciente de Cuidados de Saúde
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Axila
Feminino
Seres Humanos
Meia-Idade
Dor
Pesquisa Qualitativa
Encaminhamento e Consulta
Classe Social
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170306
[Lr] Data última revisão:
170306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160930
[St] Status:MEDLINE
[do] DOI:10.1111/bjhp.12215


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[PMID]:27454814
[Au] Autor:Burbage J; Cameron L
[Ad] Endereço:a Department of Sport & Exercise Science , University of Portsmouth , Portsmouth , UK.
[Ti] Título:An investigation into the prevalence and impact of breast pain, bra issues and breast size on female horse riders.
[So] Source:J Sports Sci;35(11):1091-1097, 2017 Jun.
[Is] ISSN:1466-447X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:For female horse riders, breast pain, bra issues and breast size may be important concerns which have yet to be considered. This study aimed to establish the prevalence of breast pain and bra issues in female horse riders and explores the impact of breast size on breast pain and bra issues. A 6-part, 32 question online survey was completed by 1324 females who participated in horse riding activities. Descriptive and chi-squared (χ ) analyses were utilised; data for 1265 participants were included in the final analysis. Breast pain was experienced by 40% of all participants and this was significantly related to self-reported cup size (χ = 54.825, P < 0.001), increasing linearly. Breast pain was experienced most frequently during sitting trot and 21% of symptomatic participants reported that breast pain affected their horse riding performance. At least one bra issue was reported by 59% of participants; larger-breasted participants reported experiencing all bra issues more frequently than smaller-breasted participants (P < 0.001). These results demonstrate that educational initiatives are needed to ensure female horse riders are informed about appropriate bra fit and breast support during horse riding to increase comfort and help reduce the potential negative associations with performance.
[Mh] Termos MeSH primário: Mama/anatomia & histologia
Vestuário
Mastodinia/epidemiologia
Esportes/fisiologia
[Mh] Termos MeSH secundário: Animais
Feminino
Educação em Saúde
Cavalos
Seres Humanos
Mastodinia/prevenção & controle
Postura
Prevalência
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160726
[St] Status:MEDLINE
[do] DOI:10.1080/02640414.2016.1210818


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[PMID]:28028952
[Au] Autor:Pirti O; Barlas AM; Kuru S; Temel S; Urhan MK; Kismet K; Hasanoglu A; Guler O
[Ad] Endereço:Department of General Surgery, Ankara Education and Research Hospital, Ankara, Turkey.
[Ti] Título:Mastalgia Due to Degenerative Changes of the Spine.
[So] Source:Adv Clin Exp Med;25(5):895-900, 2016 Sep-Oct.
[Is] ISSN:1899-5276
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mastalgia is a common and enigmatic condition; the cause and optimal treatment are still inadequately defined. Cervical radiculopathy, which is the result of cervical nerve root pathology often caused by spaceoccupying lesions such as cervical disc herniation, spondylosis, or osteophytosis, is frequently encountered in physical therapy. OBJECTIVES: The aim of the study was to evaluate the incidence of vertebral pathologies in patients with non-cyclic mastalgia and the efficacy of conservative treatment of these pathologies on relieving breast pain. MATERIAL AND METHODS: One hundred patients were included in the study, all with breast pain continuing throughout the day and lasting at least three months. Breast and axillary physical examinations, mammographic and/or ultrasonographic evaluations were normal in all the patients. The patients' pain levels were scored using a visual analog scale (VAS). Cervical and thoracic spine magnetic resonance imaging (MRI) was performed on all the participants. RESULTS: Among 96 patients that had pathological findings on magnetic resonance imaging (96%), 49 women had diffuse annular bulging of the cervical spine, and 47 had cervical disc protrusion. Additionally, 12 patients had thoracic disc protrusion. At the end of the three-month period, the patients who were given only conservative treatment returned for follow-up evaluations. According to the VAS scores, five patients had mild to moderate improvement, 55 showed significant improvement, and 29 achieved complete remission. CONCLUSIONS: The authors concluded that if none of the known causes of breast pain are found in a patient, the patient should be evaluated for vertebral pathologies.
[Mh] Termos MeSH primário: Mastodinia/etiologia
Doenças da Coluna Vertebral/complicações
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Mastodinia/diagnóstico por imagem
Meia-Idade
Doenças da Coluna Vertebral/diagnóstico por imagem
Ultrassonografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161229
[St] Status:MEDLINE
[do] DOI:10.17219/acem/28820


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[PMID]:27763798
[Au] Autor:Sood R; Kuhle C; Kapoor E; Rullo J; Thielen J; Frohmader K; Mara K; Schroeder D; Faubion S
[Ad] Endereço:a Women's Health Clinic, Division of General Internal Medicine , Mayo Clinic , Rochester , MN , USA.
[Ti] Título:A negative view of menopause: does the type of symptom matter?
[So] Source:Climacteric;19(6):581-587, 2016 Dec.
[Is] ISSN:1473-0804
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the association between the type of symptom and women's self-reported view of menopause. METHODS: The study was conducted at Mayo Clinic, Rochester MN, between January 2006 and October 2014. Women aged 40-64 were included. Data from 1420 women were analyzed in a cross-sectional design. The Menopause Health Questionnaire was used for symptom assessment. Odds ratios (ORs) and population attributable risk (PAR) (OR × percent frequency) were calculated for each symptom. Logistic regression analyses were performed with the view of menopause as the dependent variable. RESULTS: Anxiety (2.34), depressed mood (2.24), irritability (2.22), vaginal itching (2.27), crying spells (2.1) and breast tenderness (2.08) were associated with highest odds of having a negative view of menopause. Highest PAR (population impact) symptoms were anxiety (22.27), weight gain (20.66), fatigue (20.28) and irritability (19.41). Hot flushes and night sweats, although common, were not associated with a negative view of menopause (OR 1.3 and 1.16; PAR 3.85 and 4.42, respectively). CONCLUSION: Mood symptoms, vaginal itching, weight gain, breast tenderness and fatigue, although less common than hot flushes, were noted to have greater association with a negative view of menopause. Specifically addressing these symptoms during menopausal consultation may improve patient satisfaction and outcomes.
[Mh] Termos MeSH primário: Atitude
Menopausa/fisiologia
Menopausa/psicologia
[Mh] Termos MeSH secundário: Adulto
Afeto
Ansiedade
Estudos Transversais
Depressão/psicologia
Fadiga/psicologia
Feminino
Fogachos
Seres Humanos
Humor Irritável
Mastodinia/psicologia
Meia-Idade
Prurido/psicologia
Inquéritos e Questionários
Sudorese
Doenças Vaginais/psicologia
Ganho de Peso
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE


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[PMID]:27577291
[Ti] Título:Women experience needless breast pain when horse-riding.
[So] Source:Nurs Stand;31(1):17, 2016 Aug 31.
[Is] ISSN:2047-9018
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:While 40% of women feel breast pain while riding, fewer than 20% wear a sports bra.
[Mh] Termos MeSH primário: Cavalos
Mastodinia/etiologia
Esportes
[Mh] Termos MeSH secundário: Animais
Feminino
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE
[do] DOI:10.7748/ns.31.1.17.s21



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