RESUMO
Trata-se de um estudo transversal, cujo objetivo foi avaliar a qualidadede vida de mulheres climatéricas com e sem perdas urináriasfrequentes, comparando-as mediante o efeito das diferenças sociaissobre a qualidade de vida. Os sujeitos deste estudo foram 52 mulheresentre 45 e 55 anos, período pré e pós-menopausa. Estas foramdivididas em dois grupos: Grupo I, 26 mulheres atendidas pela redepública de saúde, com renda familiar inferior a três salários mínimos;Grupo II, 26 mulheres atendidas pela rede privada de saúde, comrenda familiar superior a cinco salários mínimos. Os instrumentosdo estudo foram questionários contendo dados pessoais, o WomensHealth Questionnaire e o International Consultation on IncontinenceQuestionnaire - Short Form (ICIQ-SF). Observou-se que as mulheresdo grupo II apresentaram melhor índice de qualidade de vida e menorinterferência das perdas urinárias em sua vida diária. Obteve-secorrelação negativa entre a escolaridade e os domínios e pontuaçãototal do WHQ (ρ = - 0,427) e do ICIQ-SF (ρ = - 0,287), apontandoque quanto maior a escolaridade menores os sintomas observados.Conclui-se, portanto, que fatores socioeconômicos, assim como asperdas urinárias interferem na percepção de qualidade de vida damulher durante o período do climatério...
Th is is a cross-sectional study aimed at evaluating the qualityof life of menopausal women with and without frequent urinaryleakage, comparing them among themselves via the eff ect of socialdiff erences on the quality of life. Th e subjects of this study werewomen between 45 to 55 years old, in pre-and postmenopausalperiod. Th ese were divided into two groups: Group I, womenassisted by public health with family income below three minimumwages; Group II, women served by the private health withfamily income above fi ve minimum wages. Th e study instrumentswere questionnaires containing personal data, the WHQ and theInternational Consultation on Incontinence Questionnaire - ShortForm (SF-ICIQ). It was observed that women in group II hadmore education, get best quality of life and less interference fromurinary loss in their daily lives. We obtained a negative correlationbetween education and the domains and total score of the WHQand ICIQ-SF, indicating that higher education implies in lowersymptoms. Th e authors conclude that socioeconomic factors, as wellas urinary incontinence interfere with the perception of quality oflife in women during the climacteric...
Assuntos
Humanos , Feminino , Climatério/metabolismo , Climatério/urina , Qualidade de Vida , Incontinência Urinária , Cobertura de Serviços de SaúdeRESUMO
BACKGROUND: Listeriosis occurs mainly in persons at extremes of age and with immunocompromising conditions. It is believed that most cases of listeriosis are acquired in the community. A cluster of listeriosis in hospitalized patients prompted the present investigation. METHODS: We conducted a case series study of listeriosis from August 21, 2006, to June 1, 2007, in a hospital in the city of Rio de Janeiro, Brazil. RESULTS: Six patients with Listeria monocytogenes infection were identified: 5 during hospitalization and 1 at a day clinic. By the time the infection was diagnosed, 5 patients had been in the hospital for a mean of 9 days. All patients were elderly (median age, 80 years) and had immunocompromising conditions. Five (83%) patients died. Four patients developed bloodstream infections, 3 caused by serotype 1/2b. Two patients had peritonitis: one caused by serotype 3b and another by serotype 1/2b. Four L monocytogenes isolates belonged to a single pulse-field gel electrophoresis genotype, suggesting a common source. An epidemiologic investigation pointed to the hospital kitchen as the possible contamination. CONCLUSION: Data suggest a health care-associated outbreak of listeriosis and highlight the importance of developing guidelines for prevention and treatment of health care-associated foodborne diseases, especially in hospitals with immunocompromised adult patients.
