PROPHYLAXIS OF VENOUS THROMBOEMBOLISM IN ORTHOPAEDIC SURGERY.

The relevance of prophylaxis of venous thromboembolism and its complications in orthopedic surgery is increasingly significant. This review discusses the pathophysiology of thrombus formation in general and orthopedic surgery, its incidence, predisposing factors and complications. It also presents an updated presentation and critique of prophylaxis currently available in our environment.

Profilaxia do tromboembolismo venoso em cirurgia ortopédica / Prophylaxis of venous thromboembolism in orthopaedic surgery

A importância da profilaxia do tromboembolismo venoso e de suas complicações em cirurgia ortopédica é cada vez mais significativa. Esta revisão aborda as bases fisiopatológicas da formação dos trombos em geral e em cirurgia ortopédica, sua incidência, fatores predisponentes e complicações. Apresenta, ainda, uma abordagem atualizada e crítica dos meios de profilaxia atualmente disponíveis em nosso meio.

The relevance of prophylaxis of venous thromboembolism and its complications in orthopedic surgery is increasingly significant. This review discusses the pathophysiology of thrombus formation in general and orthopedic surgery, its incidence, predisposing factors and complications. It also presents an updated presen tation and critique of prophylaxis currently available in our environment.

Evaluation of the quality of life among elderly female athletes

OBJECTIVE: To analyze quality of life (QOL) in elderly athletes. DESIGN: Transversal, controlled study. METHODS: Female athletes over 60 years who run 15 km, and a control group consisting of 15 healthy, sedentary, women over 60 were studied. Questionnaires on QOL and Depression were applied. RESULTS: Athletes show better functional capa-city (98.8 versus 73.3), less pain (90.6 versus 64.9), better general state of health (86.8 versus 66.8) and better vitality (86.2 versus 67.3). Differences were observed in emotional characteristics (89.6 versus 60.0) and mental health (84.3 versus 68.3), with fewer depressive answers (1.9 versus 3.8). CONCLUSION: Regular physical activity was related to better quality of life.

OBJETIVO: Analisar qualidade em vida de atletas idosas. TIPO DE ESTUDO: Estudo transversal controlado. MÉTODOS: Atletas maiores de 60 anos, que correm 15 km, e grupo controle com 15 mulheres saudáveis, sedentárias foram estudados. Aplicados questionários de qualidade de vida e depressão. RESULTADOS: A capacidade funcional das atletas foi maior (98,8 versus 73,3). As atletas referiram menos dor (90,6 versus 64,9), melhor condição geral de saúde (86,8 versus 66,8), melhor vitalidade (86,2 versus 67,3). Houve diferença no aspecto emocional (89,6 versus 60,0) e saúde mental (84,3 versus 68,3), com menos respostas depressivas (1,9 versus 3,8). CONCLUSÃO: A atividade física regular foi relacionada com melhor qualidade de vida.

Evaluation of the quality of life among elderly female athletes.

OBJECTIVE: To analyze quality of life (QOL) in elderly athletes. DESIGN: Transversal, controlled study. METHODS: Female athletes over 60 years who run 15 km, and a control group consisting of 15 healthy, sedentary, women over 60 were studied. Questionnaires on QOL and Depression were applied. RESULTS: Athletes show better functional capacity (98.8 versus 73.3), less pain (90.6 versus 64.9), better general state of health (86.8 versus 66.8) and better vitality (86.2 versus 67.3). Differences were observed in emotional characteristics (89.6 versus 60.0) and mental health (84.3 versus 68.3), with fewer depressive answers (1.9 versus 3.8). CONCLUSION: Regular physical activity was related to better quality of life.

Trombose venosa profunda em artroplastia total de quadril / Deep venous thrombosis in total hip arthroplasty

Total hip arthroplasty is a common surgical procedure in a population with the organic frailty of aging. Deep venous thrombosis and pulmonary thromboembolism are the more common and dangerous complications of this procedure. Therefore, surgeon knowledge of diagnosis, prevention and treatment of these complications is mandatory both technically and ethically. The authors make a descriptive and critical revision of the literature regarding the most recent acquisitions in diagnosid, prevention, and treatment of these complications

Fisioterapia em pacientes idosos / Physical therapy in aged patients

Aborda os aspectos preventivos da fisioterapia dos idosos, determinando o grau de independência e autonomia através de avaliações físico-funcionais da capacidade de realizar as atividades básicas de vida diária (ABVD) e as atividades instrumentais de vida diária (AIVD). Apresenta as principais causas de incapacidades nos idosos, as respectivas atuações fisioterápicas e o idoso acamado, as medidas profiláticas sobre as complicações secundárias