Qualidade de vida relacionada à saúde de adultos após cirurgia defêmur ou quadril / Quality of life related to adults health after hip or femur surgery

Objetivo: identificar mudanças ocorridas na avaliação da qualidade de vida relacionada à saúde(QVRS) de adultos entre o terceiro e sexto mês após cirurgia de fêmur ou quadril. Métodos: abordagemquantitativa, de delineamento longitudinal realizado de junho a novembro de 2013. Aplicadoquestionário de caracterização e o Short Form Health Survey (SF-36). Realizadas análises descritivas,teste de Mann-Whitney e Wilcoxon. Adotado p=0,05, como nível de significância. Resultados:participaram 24 adultos. Houve redução das médias de pontuação em cinco dos oito domínios do SF-36, representando piora da QVRS no sexto mês. O domínio Aspecto físico foi o mais afetado. As médiasdo domínio Dor foram maiores e estatisticamente significantes para as mulheres (p=0,04), houvemelhora nas médias de Estado geral de saúde (p=0,01) e Aspecto emocional (p=0,05) no sexto mês.Conclusão: há piora da QVRS nos adultos submetidos a cirurgia de fêmur ou quadril nos seis primeirosmeses após cirurgia.

Objective: identifying changes occurred during the evaluation of health-related quality of life(HRQOL) of adults between the third and the sixth month after surgery. Methods: quantitativeapproach, longitudinal design, conducted from June to November 2013. A characterizationquestionnaire and the Short Form Health Survey (SF-36) were applied. Descriptive analyses, MannWhitneyand Wilcoxon test were carried out. Significance level p=0.05. Results: 24 adults participated. There was a reduction of average scores in five of the eight domains of the SF-36,representing worsening of HRQOL in the sixth month. The domain Physical aspect was the mostaffected. The averages of Pain domain were higher and statistically significant for women (p=0.04),there was improvement in the general health status (p=0.01) and Emotional aspect (p=0,05) in thesixth month. Conclusion: there is worsening of HRQOL between adults undergoing surgery of hip orfemur during the first six months after discharge the day of surgery.

[The evaluation of the hemodynamic effects of captopril one year after a myocardial infarct]. / Avaliação dos efeitos hemodinâmicos do captopril um ano após enfarte do miocárdio.

In the present study, the authors evaluate the haemodynamic effects of continuous captopril therapy during one-year after a first anterior myocardial infarction (MI). Haemodynamic measurements are made during the first 48 hours after de MI and repeated one year later. Patients are divided in two groups: The first group had therapy with acetylsalicylic acid (ASA) and isosorbide dinitrate (ISDNI) and the second group had therapy with ASA, ISDNI and captopril. From their results the authors conclude that captopril helps peripheral resistances elevations, and that this is one of the mechanisms by which it can have a favourable effect after an anterior MI.

[A case of "fluctuating" arterial hypertension]. / Um caso de hipertensão arterial "flutuante".

A case of arterial hypertension with clinical and laboratory findings typical of renovascular hypertension is presented. The situation normalized after prolonged rest and exacerbated on orthostatism. Directed study demonstrated a giant pseudo cyst of pancreas that caused the situation which normalized after elective pancreatectomy. A brief comment and a review of literature is presented.

[Hemodynamic effects of captopril in acute infarct of the anterior myocardium]. / Efeitos hemodinâmicos do captopril no enfarte agudo do miocárdio anterior.

OBJECTIVE: Evaluation of haemodynamic effects after sublingual administration of 25 mg of captopril in patients with Acute Anterior Myocardial Infarction within the first 48 hours. DESIGN: Determination of basal parameters and 30 minutes after 25 mg of captopril. SETTING: Patients admitted in the ICU with Anterior Myocardial Infarction diagnosis. PATIENTS: 41 consecutive patients; 22 patients submitted to thrombolysis with streptokinase; 19 patients submitted to conventional therapy. RESULTS: A) In the whole group: No significant change in the HR, PAP, CI, SI, MAP, SVR, PR. RA and CWP were reduced. B) In thrombolysed patients: No significant change in HR, RA, PAP, CWP, MAP, SVR, PR. CI and SI were significantly increased. C) In non-thrombolysed patients: No significant change in HR, PAP, CI, SI, SVR, PR. RA, CWP and MAP were reduced. CONCLUSION: 1. We found no significant hypotension with sublingual captopril in Acute Myocardial Infarction. 2. Non-thrombolysed patients showed a greater reduction of arterial pressure. 3. Thrombolysed patients had significant increases in systolic function indices.