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1.
Rev. bras. enferm ; 72(4): 1036-1043, Jul.-Aug. 2019.
Artigo em Inglês | LILACS-Express | ID: biblio-1020551

RESUMO

ABSTRACT Objective: identify the sources that generate feelings of pleasure at work in the perception of primary care nurses. Methods: this is a descriptive study with a qualitative approach, developed with eleven nurses working in Primary Health Care Units. Data were collected using semi-structured interviews, systematized and analyzed using Bardin's content analysis technique and based on the theoretical framework of Psychodynamics of Work. Results: pleasure at work was related to the resolubility of the nurse's work, interpersonal relationship with the team, therapeutic relationship with the community, positive professional return, identification with work in nursing and public health. Final considerations: The factors that generate feelings of pleasure may contribute to guide actions that value the optimization of the nurses' work and, consequently, the care provided to the primary care user.


RESUMEN Objetivo: identificar las fuentes que generan sensaciones de placer en el trabajo en la percepción del personal de enfermería de atención primaria. Método: se trata de un estudio descriptivo con un abordaje cualitativo, desarrollado con once enfermeras que trabajan en las Unidades de Atención Primaria de Salud. Los datos se recogieron mediante entrevistas semiestructuradas, se sistematizaron y analizaron utilizando la técnica de análisis de contenido de Bardin y se basaron en el marco teórico de la Psicodinámica del Trabajo. Resultados: el placer en el trabajo estaba relacionado con la resolución del trabajo de la enfermera, la relación interpersonal con el equipo, la relación terapéutica con la comunidad, el retorno profesional positivo, la identificación con el trabajo en la enfermería y en la salud pública. Consideraciones finales: los factores que generan sensaciones de placer pueden contribuir a orientar acciones que valoren la optimización del trabajo de las enfermeras y, en consecuencia, la atención al usuario de la atención primaria.


RESUMO Objetivo: Identificar as fontes geradoras de sentimentos de prazer no trabalho na percepção de enfermeiras da atenção básica. Métodos: Trata-se de um estudo descritivo com abordagem qualitativa, desenvolvido com onze enfermeiras atuantes em Unidades Básicas de Saúde. Os dados foram coletados por meio de entrevistas semiestruturadas, sistematizados e analisados utilizando-se a técnica de análise de conteúdo de Bardin e fundamentada no referencial teórico da Psicodinâmica do Trabalho. Resultados: O prazer no trabalho foi relacionado à resolutividade do trabalho do enfermeiro, relacionamento interpessoal com a equipe, relacionamento terapêutico com a comunidade, retorno profissional positivo, identificação com o trabalho na enfermagem e na saúde pública. Considerações finais: Os fatores geradores de sentimentos de prazer podem contribuir para orientar ações que prezem pela otimização do trabalho dos enfermeiros e, por conseguinte, do cuidado prestado ao usuário do serviço da atenção básica.

3.
J. pediatr. (Rio J.) ; 94(1): 23-30, Jan.-Feb. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-894095

RESUMO

Abstract Objective: Community-acquired pneumonia is an important cause of morbidity in childhood, but the detection of its causative agent remains a diagnostic challenge. The authors aimed to evaluate the role of the chest radiograph to identify cases of community-aquired pneumonia caused by typical bacteria. Methods: The frequency of infection by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis was compared in non-hospitalized children with clinical diagnosis of community acquired pneumonia aged 2-59 months with or without radiological confirmation (n = 249 and 366, respectively). Infection by S. pneumoniae was diagnosed by the detection of a serological response against at least one of eight pneumococcal proteins (defined as an increase ≥2-fold in the IgG levels against Ply, CbpA, PspA1 and PspA2, PhtD, StkP-C, and PcsB-N, or an increase ≥1.5-fold against PcpA). Infection by H. influenzae and M. catarrhalis was defined as an increase ≥2-fold on the levels of microbe-specific IgG. Results: Children with radiologically confirmed pneumonia had higher rates of infection by S. pneumoniae. The presence of pneumococcal infection increased the odds of having radiologically confirmed pneumonia by 2.8 times (95% CI: 1.8-4.3). The negative predictive value of the normal chest radiograph for infection by S. pneumoniae was 86.3% (95% CI: 82.4-89.7%). There was no difference on the rates of infection by H. influenzae and M. catarrhalis between children with community-acquired pneumonia with and without radiological confirmation. Conclusions: Among children with clinical diagnosis of community-acquired pneumonia submitted to chest radiograph, those with radiologically confirmed pneumonia present a higher rate of infection by S. pneumoniae when compared with those with a normal chest radiograph.


Resumo Objetivo: Avaliar o papel do raios X de tórax na identificação de casos de pneumonia adquirida na comunidade (PAC) causada por agentes bacterianos. Métodos: A frequência de infecção por Streptococcus pneumoniae, Haemophilus influenzae e Moraxella catarrhalis em crianças com PAC não hospitalizadas foi comparada com a presença de confirmação radiológica da pneumonia (n = 249 crianças com pneumonia radiologicamente confirmada e 366 crianças com raios X de tórax normal). Infecção por S. pneumoniae foi diagnosticada com base na resposta sorológica a pelo menos uma dentre oito proteínas pneumocócicas investigadas (aumento ≥ 2 vezes nos níveis de IgG em relação a Ply, CbpA, PspA1 e 2, PhtD, StkP-C e PcsB-N ou aumento≥ 1,5 vez em relação aPcpA). Infecção por H. influenzae e M. catarrhalis foi definida por aumento ≥ 2 vezes nos níveis de IgG específica a antígenos de cada agente. Resultados: Crianças com pneumonia radiologicamente confirmada apresentaram maior taxa de infecção pelo pneumococo. Além disso, a presença de infecção pneumocócica foi um fator preditor de pneumonia radiologicamente confirmada, o que aumenta sua chance de detecção em 2,8 vezes (IC 95%: 1,8-4,3). O valor preditivo negativo do raios X normal para a infecção por S. pneumoniae foi 86,3% (IC95%: 82,4%-89,7%). Não houve diferença nas frequências de infecção por H. influenzae e M. catarrhalis entre crianças com PAC com ou sem confirmação radiológica. Conclusão: Crianças com diagnóstico clínico de PAC submetidas a um raios X de tórax que apresentam confirmação radiológica têm maior taxa de infecção por S. pneumoniae comparadas com as crianças com raios X normal.


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Radiografia Torácica , Pneumonia Bacteriana/microbiologia , Pneumonia Bacteriana/diagnóstico por imagem , Infecções por Moraxellaceae/diagnóstico por imagem , Infecções por Haemophilus/diagnóstico por imagem , Imunoglobulina G/imunologia , Imunoglobulina G/sangue , Haemophilus influenzae/isolamento & purificação , Haemophilus influenzae/imunologia , Moraxella catarrhalis/imunologia , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/diagnóstico por imagem , Anticorpos Antibacterianos/sangue , Antígenos de Bactérias/sangue
4.
J Pediatr (Rio J) ; 94(1): 23-30, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-28668258

RESUMO

OBJECTIVE: Community-acquired pneumonia is an important cause of morbidity in childhood, but the detection of its causative agent remains a diagnostic challenge. The authors aimed to evaluate the role of the chest radiograph to identify cases of community-aquired pneumonia caused by typical bacteria. METHODS: The frequency of infection by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis was compared in non-hospitalized children with clinical diagnosis of community acquired pneumonia aged 2-59 months with or without radiological confirmation (n=249 and 366, respectively). Infection by S. pneumoniae was diagnosed by the detection of a serological response against at least one of eight pneumococcal proteins (defined as an increase ≥2-fold in the IgG levels against Ply, CbpA, PspA1 and PspA2, PhtD, StkP-C, and PcsB-N, or an increase ≥1.5-fold against PcpA). Infection by H. influenzae and M. catarrhalis was defined as an increase ≥2-fold on the levels of microbe-specific IgG. RESULTS: Children with radiologically confirmed pneumonia had higher rates of infection by S. pneumoniae. The presence of pneumococcal infection increased the odds of having radiologically confirmed pneumonia by 2.8 times (95% CI: 1.8-4.3). The negative predictive value of the normal chest radiograph for infection by S. pneumoniae was 86.3% (95% CI: 82.4-89.7%). There was no difference on the rates of infection by H. influenzae and M. catarrhalis between children with community-acquired pneumonia with and without radiological confirmation. CONCLUSIONS: Among children with clinical diagnosis of community-acquired pneumonia submitted to chest radiograph, those with radiologically confirmed pneumonia present a higher rate of infection by S. pneumoniae when compared with those with a normal chest radiograph.


Assuntos
Infecções por Haemophilus/diagnóstico por imagem , Infecções por Moraxellaceae/diagnóstico por imagem , Pneumonia Bacteriana/diagnóstico por imagem , Pneumonia Bacteriana/microbiologia , Radiografia Torácica , Anticorpos Antibacterianos/sangue , Antígenos de Bactérias/sangue , Pré-Escolar , Infecções Comunitárias Adquiridas/diagnóstico por imagem , Infecções Comunitárias Adquiridas/microbiologia , Feminino , Haemophilus influenzae/imunologia , Haemophilus influenzae/isolamento & purificação , Humanos , Imunoglobulina G/sangue , Imunoglobulina G/imunologia , Lactente , Masculino , Moraxella catarrhalis/imunologia , Moraxella catarrhalis/isolamento & purificação , Pneumonia Pneumocócica/diagnóstico por imagem , Estudos Prospectivos , Sensibilidade e Especificidade , Streptococcus pneumoniae/imunologia , Streptococcus pneumoniae/isolamento & purificação
5.
Rev Bras Reumatol Engl Ed ; 57(3): 197-203, 2017.
Artigo em Inglês, Português | MEDLINE | ID: mdl-28535890

RESUMO

We aimed to assess the impact of social support on symptoms in Brazilian women with FM. An observational, descriptive study enrolling 66 women who met the 1990 American College of Rheumatology (ACR) criteria. Social support was measured by the Social Support Survey (MOS-SSS), functionality was evaluated using the Fibromyalgia Impact Questionnaire (FIQ), depression was assessed using the Beck Depression Inventory (BDI), anxiety was measured using the Hamilton Anxiety Scale (HAS), affectivity was measured by Positive and Negative Affect Schedule (PANAS), and algometry was carried out to record pressure pain threshold (PPth) and tolerance (PPTo) at 18 points recommended by the ACR. Patients were divided into normal (NSS) or poor social support (PSS) groups with PSS defined as having a MOS-SSS score below the 25th percentile of the entire sample. Mann-Whitney or Unpaired t-test were used to compare intergroup variables and Fisher's for categorical variables. Analysis of covariance and Pearson correlation test were used. No differences in sociodemographic variables between PSS and NSS were found. Differences between NSS and PSS groups were observed for all four subcategories of social support and MOS-SSS total score. Significant differences between NSS and PSS on depression (p=0.007), negative affect (p=0.025) and PPTh (p=0.016) were found. Affectionate subcategory showed positive correlation between pain and positive affect in PSS. Positive social interaction subcategory showed a negative correlation between FIQ and depression state. Therefore social support appears to contribute to ameliorate mental and physical health in FM.


Assuntos
Fibromialgia/psicologia , Apoio Social , Adulto , Idoso , Ansiedade/etiologia , Ansiedade/prevenção & controle , Brasil , Depressão/etiologia , Depressão/prevenção & controle , Feminino , Fibromialgia/complicações , Fibromialgia/diagnóstico , Humanos , Pessoa de Meia-Idade , Limiar da Dor/psicologia , Escalas de Graduação Psiquiátrica , Qualidade de Vida/psicologia , Índice de Gravidade de Doença
6.
Rev. bras. reumatol ; 57(3): 197-203, May-June 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-899415

RESUMO

ABSTRACT We aimed to assess the impact of social support on symptoms in Brazilian women with FM. An observational, descriptive study enrolling 66 women who met the 1990 American College of Rheumatology (ACR) criteria. Social support was measured by the Social Support Survey (MOS-SSS), functionality was evaluated using the Fibromyalgia Impact Questionnaire (FIQ), depression was assessed using the Beck Depression Inventory (BDI), anxiety was measured using the Hamilton Anxiety Scale (HAS), affectivity was measured by Positive and Negative Affect Schedule (PANAS), and algometry was carried out to record pressure pain threshold (PPth) and tolerance (PPTo) at 18 points recommended by the ACR. Patients were divided into normal (NSS) or poor social support (PSS) groups with PSS defined as having a MOS-SSS score below the 25th percentile of the entire sample. Mann-Whitney or Unpaired t-test were used to compare intergroup variables and Fisher's for categorical variables. Analysis of covariance and Pearson correlation test were used. No differences in sociodemographic variables between PSS and NSS were found. Differences between NSS and PSS groups were observed for all four subcategories of social support and MOS-SSS total score. Significant differences between NSS and PSS on depression (p = 0.007), negative affect (p = 0.025) and PPTh (p = 0.016) were found. Affectionate subcategory showed positive correlation between pain and positive affect in PSS. Positive social interaction subcategory showed a negative correlation between FIQ and depression state. Therefore social support appears to contribute to ameliorate mental and physical health in FM.


RESUMO Objetivou-se avaliar o impacto do apoio social sobre os sintomas de mulheres brasileiras com fibromialgia (FM). Trata-se de um estudo observacional descritivo que selecionou 66 mulheres que atendiam aos critérios do Colégio Americano de Reumatologia (ACR) de 1990. O apoio social foi medido com o Social Support Survey (MOS-SSS), a funcionalidade com o Questionário do Impacto da Fibromialgia (FIQ), a depressão com o Inventário de Depressão de Beck (BDI), a ansiedade com a Escala de Ansiedade de Hamilton (HAS), a afetividade com o Positive and Negative Affect Schedule (Panas) e foi feita algometria para registrar o limiar da dor à pressão (LDP) e a tolerância álgica à pressão (TAP) nos 18 pontos recomendados pelo ACR. Os pacientes foram divididos nos grupos apoio social normal (ASN) ou ruim (ASR); o ASR foi definido como uma pontuação nos MOS-SSS abaixo do percentil 25 da amostra total. Usou-se o teste de Mann-Whitney ou o teste t não pareado para comparar variáveis intergrupos e o de Fisher para as variáveis categóricas. Usaram-se a análise de covariância e o teste de correlação de Pearson. Não houve diferença nas variáveis sociodemográficas entre os grupos ASN e ASR. Observaram-se diferenças entre os grupos ASN e ASR para todas as quatro subcategorias de apoio social e pontuação total do MOS-SSS. Encontraram-se diferenças significativas entre o ASN e o ASR na depressão (p = 0,007), afeto negativo (p = 0,025) e LDP (p = 0,016). A subcategoria apoio afetivo mostrou correlação positiva entre a dor e o afeto positivo no grupo ASR. A subcategoria interação social positiva mostrou uma correlação negativa entre o FIQ e o estado de depressão. Portanto, o apoio social parece contribuir para a melhoria na saúde mental e física na FM.


Assuntos
Humanos , Feminino , Adulto , Idoso , Apoio Social , Fibromialgia/psicologia , Ansiedade/etiologia , Ansiedade/prevenção & controle , Escalas de Graduação Psiquiátrica , Qualidade de Vida/psicologia , Índice de Gravidade de Doença , Brasil , Fibromialgia/complicações , Fibromialgia/diagnóstico , Limiar da Dor/psicologia , Depressão/etiologia , Depressão/prevenção & controle , Pessoa de Meia-Idade
7.
Educ. revEduc. rev ; 33: e158274, 2017.
Artigo em Português | LILACS-Express | ID: biblio-891201

RESUMO

RESUMO: Este artigo analisa o que dizem os jovens sobre futuro. O objetivo central é refletir sobre as possibilidades de articulação entre tempo, juventude e escolarização, com material empírico produzido em uma escola pública de Porto Alegre-RS. A metodologia de pesquisa foi a entrevista narrativa, analisada na perspectiva dos estudos culturais. Os jovens entrevistados frequentavam a oitava série, sendo a última oferecida pela escola, e se deparavam com a necessidade de pensar o que fazer no "ano que vem". Como resultados, a escola continua se mostrando como um importante lugar para a construção de um futuro de sucesso. A escolarização como imperativo se fixa, então, na certificação, no status e nos acessos que, supostamente, viabiliza.


ABSTRACT: The article analyzes what youngsters say about future. The main objective is to reflect on the possibilities of articulating time, youth and schooling, with empirical material produced in a public school from Porto Alegre/RS. The research methodology was the narrative interview, analyzed from the cultural studies approach. The interviewed youngsters attended the eighth grade, being the last offered by the school, and faced the need to think of what to do "next year".As results, the school keeps showing itself as an important place to build a successful future. Schooling as an imperative is determined, then, in the certification, in status, and in the accesses that supposedly enables.

8.
Rev. dor ; 17(3): 205-209, July-Sept. 2016. tab
Artigo em Inglês | LILACS-Express | ID: lil-796269

RESUMO

ABSTRACT BACKGROUND AND OBJECTIVES: Fibromyalgia has multivariate symptoms, also affecting temporomandibular region. This study aimed at comparing facial signs and symptoms of females with fibromyalgia and females with temporomandibular disorder. METHODS: This is a crossover study with 61 females divided in two groups: fibromyalgia group (31) and temporomandibular disorder group (30). Evaluated variables in all patients were: pain intensity in temporomandibular joint by means of visual analog scale, report of pain or discomfort during daily activities (mouth opening/closing, during meals, when talking), presence of joint noises (clicking and popping), dizziness, tinnitus, headache and mouth opening capacity. Variables were compared by unpaired t and Chi-square tests. RESULTS: Facial pain was reported by 100% of studied patients with no difference in intensity among fibromyalgia and temporomandibular disorder groups (p=0.2170). Fibromyalgia group has reported more pain during daily life activities as compared to temporomandibular disorder group (p<0.0001). With regard to joint noises, there has been more right temporomandibular joint clicking (p=0.006) in the temporomandibular disorder group. Fibromyalgia group patients have higher percentage of signs and symptoms associated to temporomandibular disorder, such as dizziness, tinnitus and headache (p<0.000). CONCLUSION: Fibromyalgia patients have clinical signs and symptoms similar to those found in temporomandibular disorder patients, being pain, discomfort during daily activities, tinnitus, hum and headache more exacerbated in the fibromyalgia group.


RESUMO JUSTIFICATIVA E OBJETIVOS: A fibromialgia apresenta sintomas multivariados acometendo também a região temporomandibular. O objetivo deste estudo foi comparar os sinais e sintomas faciais de mulheres com fibromialgia e mulheres com disfunção temporomandibular. MÉTODOS: Foi realizado um estudo de corte transversal com 61 mulheres, divididas em dois grupos: grupo fibromialgia (31) e grupo disfunção temporomandibular (30). As variáveis avaliadas em todas as pacientes foram: intensidade da dor na articulação temporomandibular por meio da escala visual analógica, relato de dor ou desconforto nas atividades diárias (abrir/fechar a boca, durante a alimentação, ao falar), presença de ruídos articulares (estalo e crepitação), tontura, zumbido, cefaleia e capacidade na abertura de boca. As variáveis foram comparadas pelos testes t não pareado e Qui-quadrado. RESULTADOS: Dor na região facial foi relatada por 100% das pacientes do estudo, não havendo diferença da intensidade entre os grupos fibromialgia e disfunção temporomandibular (p=0,2170). O grupo fibromialgia relatou maior percentual de dor nas atividades de vida diária quando comparado ao grupo disfunção temporomandibular (p<0,0001). Quanto aos ruídos articulares observou-se maior percentual para crepitação da articulação temporomandibular direita (p=0,006) do grupo disfunção temporomandibular. As pacientes do grupo fibromialgia apresentaram maior percentual dos sinais e sintomas associados à disfunção temporomandibular como tontura, zumbido e cefaleia (p<0,000). CONCLUSÃO: Pacientes com fibromialgia possuem sinais e sintomas clínicos semelhantes aos encontrados em pacientes com disfunção temporomandibular, sendo a dor, desconforto nas atividades diárias, tontura, zumbido e cefaleia mais exacerbada no grupo fibromialgia.

9.
Rev. RENE ; 17(3): 310-317, maio.-jun.2016.
Artigo em Inglês | LILACS | ID: lil-790951

RESUMO

Avaliar o impacto da implantação da rede cegonha nas hospitalizações em Unidade de Terapia IntensivaNeonatal. Métodos: estudo retrospectivo e transversal, com 283 prontuários de recém-nascidos hospitalizadosem unidade de terapia intensiva neonatal antes e após a implantação da Rede Cegonha, correlacionando dadosda gestante às condições dos bebês. Resultados: após a implantação da Rede Cegonha, a porcentagem degestantes que realizaram seis ou mais consultas aumentou 6,5% e diagnóstico de doença hipertensiva específicada gestação reduziu 10,8%. Notou-se também redução de uma semana na idade gestacional média dos bebêsbem como redução de 14,4% na porcentagem de bebês com peso ≥2500 gramas. O número de óbitos durantea hospitalização passou de 2,4% para 14,5%. Conclusão: a meta de realizar triagem e monitoramento dasgestações de risco foi atingida, entretanto, a redução da taxa de mortalidade neonatal ainda é desafio.Descritores: Morte do Lactente; Prematuro; Unidades de Terapia Intensiva Neonatal...


Assuntos
Humanos , Recém-Nascido , Lactente , Criança , Morte do Lactente , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal
10.
Rev. bras. reumatol ; 55(3): 209-215, May-Jun/2015. tab
Artigo em Português | LILACS | ID: lil-752082

RESUMO

Objetivo: Avaliar e comparar o efeito da cinesioterapia na qualidade de vida, função sexual e sintomas climatéricos em mulheres climatéricas com e sem fibromialgia. Métodos: Participaram 90 mulheres climatéricas, divididas em dois grupos: fibromialgia (47) e controle (43). As pacientes foram avaliadas nas variáveis: qualidade de vida (Utian Quality of Life [UQOL]), função sexual (questionário do quociente sexual/versão feminina [QS-F]) e intensidade dos sintomas climatérios (Índice Menopausal de Blatt-Kupperman [IMBK]). Os grupos fizeram cinesioterapia para o assoalho pélvico, composto de 20 sessões, duas vezes por semana. Análise estatística foi feita por meio dos testes t de Student pareado, análise de variância de delineamento misto e Kappa de Cohen. Resultados: Na qualidade de vida, foi observada melhoria em ambos os grupos para todos os domínios avaliados. Na análise intergrupo foi evidenciada diferença nos domínios emocional (p = 0,01), saúde (0,03) e sexual (p = 0,001) com ganhos mais expressivos para o grupo controle. Na função sexual, foi verificada melhoria nos grupos, após a intervenção; na análise intergrupo as fibromiálgicas apresentaram escores inferiores ao grupo controle (p < 0,001). Em relação aos sintomas climatéricos não houve diferença na análise intergrupo pós-intervenção (p = 0,73). Entretanto, ambos os grupos apresentaram redução significativa da sintomatologia após a intervenção (p < 0,001). Conclusões: A cinesioterapia do assoalho pélvico exerce efeito benéfico sobre os domínios da qualidade de vida, função sexual e sintomatologia climatérica em mulheres com e sem fibromialgia na fase do climatério. Entretanto, a fibromialgia parece ser fator limitante para melhores resultados em alguns aspectos avaliados .


Objective: To evaluate the effect of the kinesiotherapy in the quality of life, sexual function and menopause-related symptoms and compare in climacteric women with and without fibromyalgia (FM). Methodology: The group was composed of 90 climacteric women divided in 2 groups: FM (47) and control (43). The patients were analyzed on their quality of life (Utian Quality of Life [UQoL]), sexual function (Sexual Quotient-Female Version [SQ-F] questionnaire) and intensity of the climacteric symptoms (Blatt–Kupperman menopausal index [BKMI]). Both groups performed pelvic floor kinesiotherapy, composed of 20 sessions, twice a week. Statistical analysis was performed using Student's t-test, mixed-design analysis of variance (ANOVA) and Cohen's Kappa. Results: In the quality of life, an improvement was noticed in both groups for all domains analyzed. In the comparison between groups it was noticed a difference in the emotional (p = 0.01), health (p = 0.03) and sexual (p = 0.001) domains with considerable gains verified in the control group. Improvement was also noticed in the sexual function. In the analysis between groups, FM group showed a lower score compared to the control group (p < 0.001). With respect to the climacteric symptoms, there was no difference in the analysis between groups after the intervention (p < 0.001). Conclusions: The pelvic floor kinesiotherapy promotes a positive effect in the domains of quality of life, sexual function and climacteric symptoms in women with and without fibromyalgia in the climacteric period; however, fibromyalgia seems to be a limiting factor to achieve better results in some of the aspects evaluated. .


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Idoso , Fibromialgia/terapia , Modalidades de Fisioterapia , Qualidade de Vida , Fibromialgia/fisiopatologia , Menopausa , Sexualidade/fisiologia
11.
Rev Bras Reumatol ; 55(3): 209-15, 2015.
Artigo em Português | MEDLINE | ID: mdl-25959268

RESUMO

OBJECTIVE: To evaluate the effect of the kinesiotherapy in the quality of life, sexual function and menopause-related symptoms and compare in climacteric women with and without fibromyalgia (FM). METHODOLOGY: the group was composed of 90 climacteric women divided in 2 groups: FM (47) and control (43). The patients were analyzed on their quality of life (Utian Quality of Life [UQoL]), sexual function (Sexual Quotient-Female Version [SQ-F] questionnaire) and intensity of the climacteric symptoms (Blatt-Kupperman menopausal index [BKMI]). Both groups performed pelvic floor kinesiotherapy, composed of 20 sessions, twice a week. Statistical analysis was performed using Student's t-test, mixed-design analysis of variance (ANOVA) and Cohen's Kappa. RESULTS: In the quality of life, an improvement was noticed in both groups for all domains analyzed. In the comparison between groups it was noticed a difference in the emotional (p=0.01), health (p=0.03) and sexual (p=0.001) domains with considerable gains verified in the control group. Improvement was also noticed in the sexual function. In the analysis between groups, FM group showed a lower score compared to the control group (p < 0.001). With respect to the climacteric symptoms, there was no difference in the analysis between groups after the intervention (p < 0.001). CONCLUSIONS: The pelvic floor kinesiotherapy promotes a positive effect in the domains of quality of life, sexual function and climacteric symptoms in women with and without fibromyalgia in the climacteric period; however, fibromyalgia seems to be a limiting factor to achieve better results in some of the aspects evaluated.


Assuntos
Fibromialgia/terapia , Modalidades de Fisioterapia , Qualidade de Vida , Idoso , Feminino , Fibromialgia/fisiopatologia , Humanos , Menopausa , Pessoa de Meia-Idade , Sexualidade/fisiologia
14.
Rev. dor ; 15(4): 260-263, 2014. tab, graf
Artigo em Inglês | LILACS-Express | ID: lil-730603

RESUMO

BACKGROUND AND OBJECTIVES: Fibromyalgia syndrome is a chronic condition causing spontaneous widespread pain associated with hypersensitivity. This study aimed at investigating the pressure pain endurance in women with fibromyalgia syndrome to determine the range of painful stimulation that an individual with fibromyalgia syndrome can resist acceptably. METHODS: We conducted an observational, descriptive, crosssectional study with 60 subjects (51.23±8 years), who met the American College of Rheumatology/1990 (ACR) criteria for fibromyalgia syndrome, and 42 healthy volunteers (48.33±9 years) as the control group. Algometry was performed to record pressure pain detection threshold and pressure pain tolerance, and fibromyalgia impact questionnaire was used to determine the impact of fibromyalgia syndrome. Pressure pain endurance was calculated as the arithmetic difference between pressure pain tolerance and pressure pain detection threshold. RESULTS: A significant difference in fibromyalgia impact questionnaire (p<0.0001), pressure pain detection threshold, and pressure pain tolerance (p<0.0001) was found between both groups. Furthermore, a significant difference in pressure pain endurance (p<0.0001) for each of the 18 points identified by ACR was noted between both groups, with the highest range of physical stimulation observed in the control group. A correlation between pressure pain endurance and pressure pain detection threshold (r=0.8334; p<0.0001) and pressure pain tolerance (r=0.8387; p< 0.0001) was observed in the fibromyalgia syndrome group. CONCLUSION: Pressure pain endurance of the fibromyalgia syndrome group was extremely lower, when compared with that of healthy controls, and may be used as an additional component to measure the disturbance in pain perception and to determine the range of painful stimulation that an individual with fibromyalgia syndrome can acceptably resist. .

15.
J Antimicrob Chemother ; 69(7): 1954-9, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24648506

RESUMO

OBJECTIVES: Oral amoxicillin (50 mg/kg/day) thrice daily is the first-line therapy for non-severe childhood pneumonia. Compliance could be enhanced if two daily doses are employed. We assessed the equivalence of oral amoxicillin (50 mg/kg/day) thrice or twice daily in those patients. PATIENTS AND METHODS: This randomized (1 : 1), controlled, triple-blinded investigation conducted at one centre in Brazil included children aged 2-59 months with non-severe pneumonia diagnosed by trained paediatricians based on respiratory complaints and radiographic pulmonary infiltrate/consolidation. Participants were randomly assigned to receive one bottle (Amoxicillin 1) at 6 am, 2 pm and 10 pm and the other bottle (Amoxicillin 2) at 8 am and 8 pm: one bottle contained amoxicillin and the other placebo and vice versa. Only the pharmacist knew patients' allocation. Follow-up assessments were done at 2, 5 and 14 days after enrolment. Chest radiographs were read by three independent radiologists. Primary outcome was treatment failure (development of danger signs, persistence of fever, tachypnoea, development of serious adverse reactions, death and withdrawal from the trial) at 48 h. ClinicalTrials.gov: identifier NCT01200706. RESULTS: Four hundred and twelve and 408 participants received amoxicillin thrice or twice daily, respectively. Treatment failure was detected in 94 (22.8%) and 94 (23.0%) patients in intention-to-treat analysis (risk difference 0.2%; 95% CI: -5.5%-6.0%) and in 80 (20.1%) and 85 (21.3%) patients in per-protocol analysis (risk difference 1.2%; 95% CI: -4.4%-6.8%). Pneumonia was radiologically confirmed by concordant reading in 277 (33.8%) cases, among whom treatment failure was registered in 25/133 (18.8%) and 27/144 (18.8%) participants from the thrice and twice daily doses subgroups, respectively (risk difference -0.05%; 95% CI: -9.3%-9.2%). CONCLUSIONS: Oral amoxicillin (50 mg/kg/day) twice daily is as efficacious as thrice daily.


Assuntos
Amoxicilina/administração & dosagem , Antibacterianos/administração & dosagem , Pneumonia Bacteriana/tratamento farmacológico , Administração Oral , Brasil , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Resultado do Tratamento
17.
Pediatr Pulmonol ; 48(5): 464-9, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-22888091

RESUMO

This study assessed the inter-observer agreement in the interpretation of several radiographic features in the chest radiographs (CXR) of 803 children aged 2-59 months with non-severe acute lower respiratory tract infection (ALRI). Inclusion criteria comprised: report of respiratory complaints, detection of lower respiratory findings, and presence of pulmonary infiltrate on the CXR taken on admission and read by the pediatrician on duty. Data on demographic and clinical findings on admission were collected from children included in a clinical trial on the use of amoxicillin (ClinicalTrials.gov Identifier NCT01200706). CXR was later read by two independent pediatric radiologists blinded to clinical information and pneumonia was finally diagnosed if there was agreement on the presence of pulmonary infiltrate or pleural effusion. The kappa index (κ) of agreement was calculated. The radiologists agreed that 774 (96.4%) and 3 (0.4%) CXR were appropriate or inappropriate for reading, respectively, and that 222 (28.7%) and 459 (59.3%) CXR presented or did not present pneumonia. In intent to treat analysis, that is, considering the 803 enrolled patients, κ for the presence of pneumonia was 0.725 (95% CI: 0.675-0.775). The overall agreement was 78.7% (normal CXR [n = 385, 60.9%], pneumonia [n = 222, 35.1%], other radiological diagnosis [n = 22, 3.5%], inappropriate for reading [n = 3, 0.5%]). The most frequent radiological findings were alveolar infiltrate (33.2%) and consolidation (32.9%) by radiologist 1 and consolidation (28.3%) and alveolar infiltrate (19.3%) by radiologist 2. Concordance for consolidation was 86.7% (k = 0.683, 95%CI: 0.631-0.741). Agreement was good between two pediatric radiologists when diagnosis of pneumonia among children with non-severe ALRI was compared.


Assuntos
Infecções Respiratórias/diagnóstico por imagem , Pré-Escolar , Infecções Comunitárias Adquiridas , Feminino , Humanos , Lactente , Masculino , Variações Dependentes do Observador , Valor Preditivo dos Testes , Radiografia , Reprodutibilidade dos Testes
18.
J Pediatr (Rio J) ; 88(5): 423-9, 2012.
Artigo em Inglês, Português | MEDLINE | ID: mdl-23093203

RESUMO

OBJECTIVES: To determine the prevalence of lower respiratory tract infection (LRTI) due to Chlamydia trachomatis in newborn infants and to describe the clinical, laboratory, and radiological characteristics of the disease. METHODS: A cross-sectional study carried out over a 12-month period. All infants up to 6 months of age admitted consecutively at the Centro Pediátrico Professor Hosannah de Oliveira of the Universidade Federal da Bahia in Salvador, Brazil, and diagnosed with LRTI according to clinical and/or radiological criteria were included in the study. C. trachomatis infection was diagnosed by the enzyme-linked immunosorbent assay (ELISA) for the detection of IgM-class antibodies. The prevalence of LRTI by C. trachomatis was determined and the prevalence ratios for the infection and clinical or laboratory variables were calculated. RESULTS: One hundred and fifty-one infants were submitted to serology for C. trachomatis and 15 (9.9%) tested positive. Chlamydial infection was found only in infants under 5 months of age, mainly in those aged under 2 months. Three of the infants with C. trachomatis infection were born by cesarean section. Conjunctivitis and eosinophilia had occurred in 33.3% of the cases. Chest X rays were abnormal in 92.0% of cases. There was an association between C. trachomatis infection and the duration of hospitalization exceeding 15 days (p = 0.0398) and oxygen therapy (p = 0.0484). CONCLUSIONS: There was a high prevalence of C. trachomatis respiratory infection in the population studied. The infection was associated with a more severe form of the disease, emphasizing the importance of testing pregnant women for this infection to avoid infection in the newborn infant.


Assuntos
Bronquiolite/epidemiologia , Infecções por Chlamydia/epidemiologia , Chlamydia trachomatis , Pneumonia por Clamídia/epidemiologia , Pobreza/estatística & dados numéricos , Brasil/epidemiologia , Bronquiolite/diagnóstico , Bronquiolite/microbiologia , Pneumonia por Clamídia/diagnóstico , Estudos Transversais , Ensaio de Imunoadsorção Enzimática , Feminino , Hospitalização/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Masculino , Prevalência
19.
J. pediatr. (Rio J.) ; 88(5): 423-429, set.-out. 2012. ilus, tab
Artigo em Português | LILACS | ID: lil-656034

RESUMO

OBJETIVOS: Determinar a prevalência de infecção do trato respiratório inferior (ITRI) por Chlamydia trachomatis em lactentes internados e descrever as características clínicas, laboratoriais e radiológicas da doença. MÉTODOS: Este foi um estudo do tipo corte transversal, realizado durante um período de 12 meses. Foram incluídos todos os lactentes de até 6 meses internados consecutivamente no Centro Pediátrico Professor Hosannah de Oliveira da Universidade Federal da Bahia, em Salvador, BA, com diagnóstico clínico ou clínico-radiológico de ITRI. O diagnóstico de infecção por C. trachomatis foi realizado através da pesquisa de anticorpos da classe IgM, utilizando-se o ensaio imunoenzimático (ELISA). A prevalência de ITRI por C. trachomatis foi determinada, e foram calculadas as razões de prevalência para essa infecção e variáveis clínicas e laboratoriais. RESULTADOS: Cento e cinquenta e um lactentes realizaram sorologia para C. trachomatis, das quais 15 (9,9%) foram positivas. A infecção por C. trachomatis ocorreu unicamente entre os menores de 5 meses, principalmente naqueles menores de 2 meses. Três crianças com infecção por C. trachomatis nasceram de parto cesáreo. Conjuntivite e eosinofilia ocorreram em 33,3% dos casos. As radiografias de tórax se mostraram alteradas em 92% dos casos. Demonstrou-se associação da infecção por C. trachomatis com duração de internação superior a 15 dias (p = 0,0398) e com oxigenoterapia (p = 0,0484). CONCLUSÕES: Houve alta prevalência de ITRI por C. trachomatis na população estudada. A infecção por esta bactéria foi associada a uma forma mais grave da doença, demonstrando a importância de se investigar essa infecção na gestante de forma a evitar o adoecimento de recém-nascidos.


OBJECTIVES: To determine the prevalence of lower respiratory tract infection (LRTI) due to Chlamydia trachomatis in newborn infants and to describe the clinical, laboratory, and radiological characteristics of the disease. METHODS: A cross-sectional study carried out over a 12-month period. All infants up to 6 months of age admitted consecutively at the Centro Pediátrico Professor Hosannah de Oliveira of the Universidade Federal da Bahia in Salvador, Brazil, and diagnosed with LRTI according to clinical and/or radiological criteria were included in the study. C. trachomatis infection was diagnosed by the enzyme-linked immunosorbent assay (ELISA) for the detection of IgM-class antibodies. The prevalence of LRTI by C. trachomatis was determined and the prevalence ratios for the infection and clinical or laboratory variables were calculated. RESULTS: One hundred and fifty-one infants were submitted to serology for C. trachomatis and 15 (9.9%) tested positive. Chlamydial infection was found only in infants under 5 months of age, mainly in those aged under 2 months. Three of the infants with C. trachomatis infection were born by cesarean section. Conjunctivitis and eosinophilia had occurred in 33.3% of the cases. Chest X rays were abnormal in 92.0% of cases. There was an association between C. trachomatis infection and the duration of hospitalization exceeding 15 days (p = 0.0398) and oxygen therapy (p = 0.0484). CONCLUSIONS: There was a high prevalence of C. trachomatis respiratory infection in the population studied. The infection was associated with a more severe form of the disease, emphasizing the importance of testing pregnant women for this infection to avoid infection in the newborn infant.


Assuntos
Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Bronquiolite/epidemiologia , Chlamydia trachomatis , Infecções por Chlamydia/epidemiologia , Pneumonia por Clamídia/epidemiologia , Pobreza/estatística & dados numéricos , Brasil/epidemiologia , Bronquiolite/diagnóstico , Bronquiolite/microbiologia , Estudos Transversais , Pneumonia por Clamídia/diagnóstico , Ensaio de Imunoadsorção Enzimática , Hospitalização/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Prevalência
20.
Rev Esc Enferm USP ; 46(4): 816-21, 2012 Aug.
Artigo em Português | MEDLINE | ID: mdl-23018388

RESUMO

The objectives of this study were to assess the interrater reproducibility of the instrument to classify pediatric patients with cancer; verify the adequacy of the patient classification instrument for pediatric patients with cancer; and make a proposal for changing the instrument, thus allowing for the necessary adjustments for pediatric oncology patients. A total of 34 pediatric inpatients of a Cancer Hospital were evaluated by the teams of physicians, nurses and nursing technicians. The Kappa coefficient was used to rate the agreement between the scores, which revealed a moderate to high value in the objective classifications, and a low value in the subjective. In conclusion, the instrument is reliable and reproducible, however, it is suggested that to classify pediatric oncology patients, some items should be complemented in order to reach an outcome that is more compatible with the reality of this specific population.


Assuntos
Neoplasias , Pacientes/classificação , Adolescente , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Pediatria
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