Evaluation of the effects of different applications of kinesio taping on postural control in healthy women.

It has been demonstrated that Kinesio Tape (KT) application has immediate positive effects on balance in healthy individuals, but its mid-term effects have not yet been investigated. OBJECTIVE: Evaluate the effects of KT on postural control in young women, using four strategies. METHODS: Forty-eight healthy women aged 18-35 years old were randomly assigned to four groups with different elastic bandages (G1: ankle; G2: hamstrings; G3: lumbar; G4: different taping applications) and their postural control was evaluated using stabilographic parameters obtained on a force platform during right and left unipodal (UNP-R and UNP-L) and semi-tamdem tests at pre-intervention (PRE), immediately after (IME), and 24 and 48 h after the application of bandages. RESULTS: G1 showed a significantly lower velocity in the antero-posterior direction for the PRE compared to the IME period (p = 0.0204) in the UNP-R task, and the same was observed in the medio-lateral velocity when comparing the results for PRE with IME (p = 0.0340 and p = 0.0244) in the UNP-L task. Regarding the frequency, G2 had a significantly lower mean for the PRE, compared to IME (p < 0.001) in the UNP-R in antero-posterior direction, and in medio-lateral direction in the UNP-R (p = 0.003) and in the UNP-L task (p = 0.020). CONCLUSIONS: The use of KT changed postural control, mainly considering the velocity and frequency of COP oscillations, and especially immediately after its application.

Socioeconomic and demographic determinants in the provision of assistance to elderly people with a fractured femur. / Determinantes socioeconômicos e demográficos na assistência à fratura de fêmur em idosos.

Femur fracture affects the elderly with high morbidity and mortality. The purpose of the present study was to analyze the profile of the assistance given to the elderly who have femoral fractures, relating to their socioeconomic and demographic conditions, in the state of Paraná between the years 2008 to 2013. These relationships were obtained through factor analysis and the development and analysis of the following rates: PAE - the potential of primary health care to the elderly, whose variable was represented by the contribution of the elderly to the municipal GDP, PAP - the potential of the primary health care to the population, represented by GDP per capita and TE - treatment efficiency represented by the annual rate of fractures and annual rate of death per residence. The municipalities were classified according to the rate variation range. In relation to PAE, 10 municipalities were classified with low potential of care for the elderly, 357 with moderate potential and 32 had low potential. In relation to PAE, 12 municipalities were classified with low potential of primary care for the elderly, 303 with moderate potential and 84 had low potential. In relation to TE, 109 municipalities showed high treatment efficiency, 110 with moderate efficiency and 180 had low efficiency. Our conclusion was that the performance of the economy exerts significant influence on femoral fracture morbidity in the elderly.

A fratura de fêmur afeta os idosos apresentando alta morbimortalidade. O objetivo do estudo foi analisar o perfil da assistência à fratura de fêmur em idosos, relacionando às condições socioeconômicas e demográficas, no Paraná entre os anos 2008 a 2013. As relações foram obtidas por meio de análise fatorial e construção dos índices: PAI - potencial de atenção ao idoso, cuja variável foi representada pelo PIB municipal idoso; PAP - potencial de atenção à população, representado pelo PIB per capta; e ET - eficiência do tratamento representado pela taxa anual de fraturas e taxa anual de óbitos por residência. Os municípios foram classificados de acordo com a faixa de variação por índice. Em relação ao PAI, 10 municípios foram classificados com baixo potencial de atenção ao idoso; 357 com moderado potencial; e 32 com baixo potencial. Em relação ao PAP, 12 municípios foram classificados com alto potencial de atenção à população; 303 com moderado potencial; e 84 com baixo potencial. Em relação ao ET, 109 municípios apresentaram alta eficiência do tratamento; 110 com moderada eficiência; e 180 com baixa eficiência. Conclui-se que o desempenho da economia exerce significativa influência na assistência à fratura de fêmur em idosos.

Determinantes socioeconômicos e demográficos na assistência à fratura de fêmur em idosos / Socioeconomic and demographic determinants in the provision of assistance to elderly people with a fractured femur

Resumo A fratura de fêmur afeta os idosos apresentando alta morbimortalidade. O objetivo do estudo foi analisar o perfil da assistência à fratura de fêmur em idosos, relacionando às condições socioeconômicas e demográficas, no Paraná entre os anos 2008 a 2013. As relações foram obtidas por meio de análise fatorial e construção dos índices: PAI - potencial de atenção ao idoso, cuja variável foi representada pelo PIB municipal idoso; PAP - potencial de atenção à população, representado pelo PIB per capta; e ET - eficiência do tratamento representado pela taxa anual de fraturas e taxa anual de óbitos por residência. Os municípios foram classificados de acordo com a faixa de variação por índice. Em relação ao PAI, 10 municípios foram classificados com baixo potencial de atenção ao idoso; 357 com moderado potencial; e 32 com baixo potencial. Em relação ao PAP, 12 municípios foram classificados com alto potencial de atenção à população; 303 com moderado potencial; e 84 com baixo potencial. Em relação ao ET, 109 municípios apresentaram alta eficiência do tratamento; 110 com moderada eficiência; e 180 com baixa eficiência. Conclui-se que o desempenho da economia exerce significativa influência na assistência à fratura de fêmur em idosos.

Abstract Femur fracture affects the elderly with high morbidity and mortality. The purpose of the present study was to analyze the profile of the assistance given to the elderly who have femoral fractures, relating to their socioeconomic and demographic conditions, in the state of Paraná between the years 2008 to 2013. These relationships were obtained through factor analysis and the development and analysis of the following rates: PAE - the potential of primary health care to the elderly, whose variable was represented by the contribution of the elderly to the municipal GDP, PAP - the potential of the primary health care to the population, represented by GDP per capita and TE - treatment efficiency represented by the annual rate of fractures and annual rate of death per residence. The municipalities were classified according to the rate variation range. In relation to PAE, 10 municipalities were classified with low potential of care for the elderly, 357 with moderate potential and 32 had low potential. In relation to PAE, 12 municipalities were classified with low potential of primary care for the elderly, 303 with moderate potential and 84 had low potential. In relation to TE, 109 municipalities showed high treatment efficiency, 110 with moderate efficiency and 180 had low efficiency. Our conclusion was that the performance of the economy exerts significant influence on femoral fracture morbidity in the elderly.

Noise level analysis in adult intensive care unit / Análise do nível de ruído em unidade de terapia intensiva adulto

Objective: to analyze the noise level in adult intensive care unit. Methods: a quantitative study, in which the sound levels of the intensive care unit have been assessed by means of a decibel meter. Results: comparing the groups, there was a reduction in noise levels in both periods studied, but only in the afternoon there was a statistically significant difference (p<0.05). The health professionals pointed out that the unit had moderate noise, coming mainly from equipment and professionals. Conclusion: adjusting the ventilator alarms contributed to the reduction of noise levels in the unit, and there was the perception that it is a moderate noise environment, although the noise levels in decibels observed were above the recommended values.

Analisar o nível de ruído em unidade de terapia intensiva adulto. Métodos: estudo quantitativo, em que se aferiram os níveis sonoros da unidade de terapia intensiva por meio de decibelímetro. Resultados: comparando-se os grupos, verificou-se a redução dos níveis de ruído em ambos os períodos estudados, porém somente no período da tarde houve diferença estatisticamente significativa (p<0,05). Os profissionais apontaram que a unidade apresentava ruído moderado, oriundo principalmente dos equipamentos e profissionais. Conclusão: o ajuste dos alarmes de ventilação mecânica contribuiu para a redução dos níveis de ruído na unidade, e houve percepção de que se trata de um ambiente de ruído moderado, apesar de os níveis de ruído em decibéis observados estarem acima dos valores recomendados.