ABSTRACT
Abstract Background: ST-segment elevation myocardial infarction (STEMI) is the acute coronary syndrome with the highest severity and mortality. It can affect physical health and well-being of patients, and consequently their quality of life (QoL). Objective: To describe the QoL of patients at 30 days and 180 days after STEMI, focusing on sex differences and repercussions on physical and mental dimensions. Methods: Observational study with 174 STEMI patients included in the study on STEMI conducted in the city of Salvador, Brazil (PERSISST). The QoL of patients at 30 days (D30) and 180 days (D180) after the coronary event was assessed using the 12-item short form health survey (SF-12). Physical and mental components of QoL were calculated using the SF-12 OrthoToolKit. Descriptive analysis of data was made using the IBM SPSS software, version 25.0. Results: Mean age of participants at D30 and D180 was 57.1±11.4 years and 60.5±10.9 years, respectively, with a higher prevalence of men (55.8% and 56.8%). In general, patients had a poor QoL at both time points (scores 49.1±8.9 and 49.9±8.4, respectively). Analysis by sex, however, showed that men had a good QoL at both 30D (score 51.8±7.4) and 180 D (score 51.3±7.7), whereas a poor QoL was found among women at these time points (45.7±9.6 and 48.1±9.0, respectively). Men showed higher physical and mental health scale scores than women at both D30 and D180, and there was a greater impairment of the physical component in both sexes. Conclusion: Patients had poor QoL at 30 days and 180 days after STEMI, with a greater impairment of the physical component and a worse QoL perception among women than men at both time points.
ABSTRACT
Doenças transmitidas por alimentos (DTA) oferecem riscos à saúde. No Brasil em 2016 foram notificadas 9.935 pessoas com DTA, reforçando a importância de conhecer os fatores associados para prevenção e planejamento da redução de incidentes. Crianças estão expostas às DTA, principalmente no carnaval. O objetivo deste artigo é descrever as características clínicas e fatores associados às DTA em crianças durante o carnaval de Salvador. Este é um estudo transversal, com análise das fichas de atendimento de crianças de 0 a 12 anos, durante o carnaval de Salvador/2016. Para análise dos dados foi utilizada a estatística descritiva, aplicou-se o teste qui-quadrado de Pearson para medidas de associação (p < 0,05). A amostra foi constituída de 127 crianças, sendo que 37,8% foram diagnosticadas com DTA. Dentre as crianças com DTA, houve o predomínio da faixa etária de 1 a 9 anos (70,8%) e sexo masculino (54,2%), folião de rua (95,8%), atendidos no circuito Osmar (52,1%), no período da tarde (31,3%). Na análise bivariada identificou-se associação de DTA com: náuseas/vômitos (p < 0,001) e dor abdominal (p = 0,001). Prevaleceu o número de crianças de 1 a 9 anos, sexo masculino e a maioria sendo folião de rua, atendidos no turno da tarde. As DTA foram associadas com náuseas/vômitos e dor abdominal.
Foodborne diseases pose a health risk, regardless of age groups. In Brazil, in 2016, 9,935 people with foodborne diseases were notified, reinforcing the importance of knowing the associated factors to prevention and planning to reduce incidents. This paper describes the clinical characteristics and factors associated with foodborne diseases in children during Carnival in Salvador. This is a cross-sectional study with a retrospective analysis of the medical charts of children from 0 to 12 years old, during the Carnival in Salvador/2016. For data analysis, descriptive statistics was used, and Pearson's Chi-Square test was applied for association measures (p<0.05). The sample consisted of 127 children, and 37.8% were diagnosed with foodborne diseases. Among children with foodborne diseases, there was a predominance of: age group 1-9 years old (70.8%), male (54.2%), street carnival revelers (95.8%), having attended the Osmar circuit (52.1%), in the afternoon (31.3%). Bivariate analysis showed an association of foodborne diseases with: nausea/vomiting (p<0.001) and abdominal pain (p=0.001). Children from 1 to 9 years old, male, and most of them being street carnival revelers, having attended during the afternoon shift. Foodborne diseases were associated with nausea/vomiting and abdominal pain.
Las enfermedades transmitidas por alimentos (ETA) ofrecen riesgos a la salud humana. En Brasil en 2016 se notificaron 9.935 personas con ETA, lo que refuerza la importancia de conocer los factores asociados para la prevención y planificación de la reducción de incidentes. Los niños están expuestos a las ETA, principalmente durante el carnaval. El presente artículo objetivó describir las características clínicas y los factores asociados a las ETA en los niños durante el carnaval de Salvador. Es un estudio transversal, con análisis de las fichas de atención de los niños de 0 a 12 años, durante el carnaval de Salvador en 2016. Para el análisis de datos, se utilizó la estadística descriptiva, se aplicó el test chi-cuadrado de Pearson para medidas de asociación (p < 0,05). La muestra constó de 127 niños, de los cuales un 37,8% tuvieron diagnóstico de ETA. En el caso de los niños con ETA, hubo un predominio del grupo de edad de 1 a 9 años (70,8%), del sexo masculino (54,2%), rumberos del carnaval (95,8%), atendidos en el circuito Osmar (52,1%), en el turno de la tarde (31,3%). En el análisis bivariado se identificó asociación de ETA con: náuseas/vómitos (p < 0,001) y dolor abdominal (p = 0,001). Han prevalecido niños de 1 a 9 años, del sexo masculino y la mayoría rumberos del carnaval, atendidos en el período de la tarde. Las ETA se asociaron con náuseas/vómitos y dolor abdominal.