Trends in mortality due to traffic accidents in Brazil during the period from 1997 to 2015 for the male population / Tendências da mortalidade em decorrência de traumas de trânsito no Brasil e nas unidades federativas entre os anos de 1997 e 2015 na população masculina

Abstract Background Traffic accidents are one of the main causes of death in Brazil and the increase in the mortality rate is concerning. Objective The study aims to perform a temporal analysis of mortality trends related to traffic accidents in Brazil and its states. Method This is an ecological study of time series of mortality from traffic accidents in Brazil and its Federative Units. Data was obtained from the Information System for Mortality (SIM), processed by Datasus and classified under the headings V01 to V89 (CID-10). Specific mortality rates were calculated and adjusted by age. The temporal tendency analysis was run on the Joinpoint Regression Program. Results The Brazilian male population showed no change in the average annual percentage for the mortality rate (-0.8%; CI 95% -1.7;0.1). Ten states showed increased mortality rates; nine presented a decline, and eight remained constant throughout the period. Conclusion The male population showed no change in the rates, but the mortality rate for the general Brazilian population decreased by 1% per year from 1997 to 2015. Both general and male populations had a decrease of 4.6% and 4.9% per year during the last years, respectively (2012-2015).

Resumo Introdução Acidentes de trânsito são uma das principais causas de morte no Brasil e no mundo. Objetivo O estudo teve por objetivo realizar uma análise temporal da tendência de mortalidade por acidentes de transportes terrestres no Brasil. Método Estudo ecológico de séries temporais da mortalidade por acidentes de transporte terrestre no Brasil no período de 1997 a 2015 para a população masculina. Os dados são provenientes do Sistema de Informação sobre Mortalidade (SIM), processados pelo Datasus e classificados nas rubricas V01 a V89 (CID-10). Foram calculadas as taxas específicas de mortalidade, ajustadas por idade, e realizada análise da tendência temporal através do software Joinpoint Regression Program. Resultados A população brasileira masculina não apresentou mudanças na taxa de mortalidade ao longo dos anos (-0.8%; CI 95% - 1.7;0.1). Dez estados tiveram aumento nas taxas de mortalidade, nove reduziram e oito mantiveram as taxas. Conclusão A população masculina não apresentou diferença nas taxas, entretanto, a população geral apresentou redução de 1% ao ano na taxa mortalidade. Além disso, ambas populações geral e masculina mostraram uma redução de 4,6% e 4,9% ao ano durante os últimos anos (2012- 2015).

Dry Needling and Photobiomodulation Decreases Myofascial Pain in Trapezius of Women: Randomized Blind Clinical Trial.

OBJECTIVE: The purpose of this study was to assess whether dry needling (DN) added to photobiomodulation (PBM) has effects on the treatment of active myofascial trigger points in the upper trapezius. METHODS: This study was a randomized clinical trial, with 43 participants divided into 3 groups: DN and PBM (DNP), DN, and DN outside of the trigger point (DNout). Each group received 1 session of DN followed by PBM therapy with the machine turned on or off. Pain, disability, pain pressure threshold, and muscle activity were assessed before the intervention and afterward at intervals of 10 minutes, 30 minutes, 1 week, and 1 month. RESULTS: Pain decreased after intervention in the DNP and DNout groups, with mean differences, respectively, of 1.33 cm (95% confidence interval [CI], 0.019-2.647) and 2.78 cm (95% CI, 1.170-2.973). Scores for the disability questionnaire decreased in all groups after intervention (F = 36.53, P < .0001) after the intervention, with mean differences of 3.8 points in the DNP group (95% CI, 1.082-5.518), 3.57 in the DN group (95% CI, 0.994-6.149), and 5.43 in the DNout group (95% CI, 3.101-7.756). There were no significant differences between or within groups in pain pressure threshold (F = 2.14, P = .139), with mean differences after 30 minutes of 0.139 kgf for the DNP group (95% CI, -0.343 to 0.622), 0.273 for the DN group (95% CI, -0.661 to 1.209), and -0.07 for the DNout group (95% CI, -0.465 to 0.324). Muscle activation for the DN group increased 8.49% after the intervention, where for the DNP group it decreased 11.5%, with a significant difference between groups. CONCLUSION: DN added to PBM presented similar results compared to DNout and DN. In this sample, the effects of the application of DN outside of the trigger point had better effects on pain and disability scores than DN applied directly on the trigger point.

Trends in hospitalizations due to motorcycle accidents involving men aged 20 to 39 years in the state of Santa Catarina - Southern Brazil / Tendência das internações por acidentes motociclísticos em homens de 20 a 39 anos no Estado de Santa Catarina - Sul do Brasil

Abstract Introduction Motorcycles accidents are responsible for most of the injuries due to external causes and consequent high hospitalization rates. Objective This study aimed to analyze the temporal trend in motorcycle accident morbidity among young male adults in the State of Santa Catarina. Methods This is an ecological study on motorcycle accident morbidity in men aged 20 to 39 years in the State of Santa Catarina between 1998 and 2012. Data from the Hospital Information System of the Brazilian Unified Health System were used in the study. Specific hospital morbidity rates adjusted for age, age group and geographical region, were calculated to analyze the temporal trend in the State through regression model estimates obtained using the Joinpoint program. Results A total of 19.889 hospital admissions for motorcycle accidents occurred in the State of Santa Catarina in the period studied, with a significant increase of 10.9% per year. In the studied age groups, the 20-29 year old group increased 9.7% per year, whilst the 30-39 year old group increased 13.7%. Except for Foz do Rio Itajaí, all geographical regions of the state showed a significant increase of morbidity. Conclusion There has been an increasing trend of morbidity for motorcycle accidents in State of Santa Catarina. These results show the need for improvement of policies to reduce the causes of this type of accident.

Resumo Introdução Os acidentes motociclísticos são responsáveis por grande parte dos agravos devido a causas externas e ocasionam altas taxas de internação. Objetivo Este estudo objetivou analisar a tendência temporal de morbidade dos acidentes motociclísticos em adultos jovens do sexo masculino. Métodos Estudo ecológico da morbidade por acidentes motociclísticos em homens de 20 a 39 anos no Estado de Santa Catarina entre os anos de 1998 e 2012. Os dados são oriundos do Sistema de Informações Hospitalares do Sistema Único de Saúde. Calcularam-se as taxas específicas de morbidade hospitalar, ajustadas por idade, faixa etária e macrorregião, para analisar a tendência temporal no Estado por meio das estimativas de modelos de regressão pelo programa Joinpoint. Resultados Houve incremento médio significativo de 10,9% ao ano. Nas faixas etárias estudadas, a de 20-29 anos apresentou aumento anual de 9,7%, enquanto a de 30-39 anos, 13,7%. Com exceção da Foz do Rio Itajaí, todas as macrorregiões apresentaram aumento significativo na taxa de morbidade. Conclusão Houve aumento da tendência de morbidade por acidente motociclístico no Estado. Os resultados demonstram necessidade de aprimoramento das políticas de redução dessa causa de acidentes.