Accuracy of infrared thermography evaluation in burn wound healing: a systematic review and meta-analysis.

OBJECTIVE: Accurate assessment of burn depth and burn wound healing potential is essential to determine early treatments. Infrared thermography (IRT) is a non-invasive and objective tool to do this. This systematic review evaluated the accuracy of IRT to determine burn wound healing potential. METHOD: This systematic review and meta-analysis used MEDLINE, EMBASE, CINAHL, PEDro, DiTA and CENTRAL databases. IRT data were extracted from primary studies and categorised into four cells (i.e., true positives, false positives, true negatives and false negatives). Subgroup analysis was performed according to methods used to capture thermal images. RESULTS: The search strategy identified 2727 publications; however, 15 articles were selected for review and 11 for meta-analysis. In our meta-analysis, the accuracy of IRT was 84.8% (63% sensitivity and 81.9% specificity). CONCLUSION: IRT is a moderately accurate tool to identify burn depth and healing potential. Thus, IRT should be used carefully for evaluating burn wounds.

Effects of the Quality of Life on the Adaptation of People With An Intestinal Stoma.

The study aimed to examine the effects of the quality of life on the adaptation of people with an intestinal stoma. Cross-sectional study with 152 people with an ostomy. Three instruments were used: the sociodemographic and clinical characterization, Scale for the Level of Adaptation of Ostomy Patients, and City of Hope Quality of Life - Ostomy Questionnaire. The multiple linear regression model, multivariate technique, and cluster were used. The determination coefficient showed that 94.1% of the variability of the Adaptation scores is explained by the dimensions of quality of life. It can be seen that the highest standardized coefficients are the psychological dimension (ß = .386) and the social dimension (ß = .365), in which they produce the greatest changes in the average adaptation scores. The psychological and social well-being dimensions are the ones that most contribute to raising the levels of adaptation.

Integration of health services in the care of people living with aids: an approach using a decision tree.

The care offer to people living with HIV/AIDS must transcend specialized outpatient services and include the participation of the Family Health Strategy. By understanding the importance of integration between these two points in the care network, the study aimed to build a decision support model to assist professionals of specialized health services in identifying behavior patterns in the use of Family Health Strategy services by people living with HIV/AIDS attended in the outpatient clinic. Thus, was proposed a model called decision tree, created from a database of 141 people with AIDS, users of a specialized outpatient clinic. The decision-making variable was the use of Family Health Strategy services by evaluating the integration of care. The model enabled the establishment of 23 rules with 80.1% hit percentage, what may support the decision-making of professionals in identifying situations in which it is necessary to stimulate the use of the Family Health Strategy by users.

Análise do prognóstico de hipertensos cadastrados no HiperDia / Hypertension prognostic analysis of registered patients in HiperDia

A Hipertensão Arterial Sistêmica (HAS) apresenta alta prevalência no mundo, Isso acarreta um grande impacto na saúde pública, uma vez que provoca sérias complicações cardiovasculares, elevado índice de morbimortalidade e custos referentes ao tratamento. Acredita-se que há uma limitação no direcionamento das ações de prevenção da HAS, quando tratamos da Atenção Primária à Saúde, para grupos específicos e com maiores demandas em saúde. Assim, este estudo tem como objetivo descrever e analisar o perfil de hipertensos cadastrados no programa HiperDia no estado da Paraíba, a partir do Risco Estratificado e Quantificação de Prognóstico presente no sistema de informação DATASUS. Para análise dos resultados, optou-se por uma análise descritiva das variáveis relacionadas com a HAS. Para um maior entendimento da relação entre a Classificação de Risco e a faixa etária, será utilizada a Análise de Correspondência para melhor relacionar as categorias destas variáveis. Constata-se a associação entre a classificação do prognóstico e a faixa etária, na qual o risco elevado se aproxima da faixa etária entre 40 e 59anos. Ressalta-se a crescente relação da Estratificação de Risco com as condições de vida e comorbidades. Diante dos achados, destaca-se a importância de identificar a relação entre a quantificação do prognóstico e as Faixas Etárias mais prevalentes, com o intuito de fornecer subsídios para minimizar o impacto socioeconômico provocado pela HAS e colaborar para a melhoria na qualidade de vida da população

Hypertension is highly prevalent in the world causing a major impact on public health due to cause serious cardiovascular complications, high rates of morbidity and costs related to treatment. It is believed that there is a limitation in the direction of prevention of hypertension at the level of primary health care for specific groups and greater demands on health. Therefore, this study aims to describe and analyze the profile of hypertensive patients enrolled in the program HiperDia in the state of Paraíba, from Stratified Risk Quantification and Prognosis with the information provided by the DATASUS system. For data analysis, we chose a descriptive analysis of the variables related to hypertension. For a greater understanding of the relationship between the risk rating and age group, it will be used correspondence analysis to better relate the categories of these variables. Finds an association between the classification of the prognosis and age, in which the high risk approaches theage group between 40 and 59 years. We highlightthe growing relationship of Risk Stratification in the living conditions and comorbidities. Given the findings, it is highlightedthe importance of identifying the relationship between theprediction and quantification of the most prevalent age groups, with the aim of providing subsidies to minimize the socioeconomic impact caused by hypertension and to help improve the quality of life.

Protocolo de esforço durante a corrida em piscina funda / Effort protocol during a deep-pool swimming race

Tanto a frequência cardíaca, quanto a percepção subjetiva de esforço, aumentaram linearmente em relação ao incremento das cadências durante o exercício de corrida em piscina funda