Perfil de pacientes com trombose venosa cerebral internados em um Hospital Universitário / Profile of patients with cerebral venous thrombosis hospitalized in a University Hospital

Objetivo: Caracterizar o perfil clínico e epidemiológico dos pacientes diagnosticados com trombose venosa cerebral em um Hospital Universitário de Teresina. Métodos: Trata-se de um estudo retrospectivo, transversal e descritivo, realizado através da avaliação de prontuários eletrônicos dos pacientes internados no Serviço de Neurologia de um Hospital Universitário de Teresina/PI, no período de maio a julho de 2021. Resultados: A amostra foi composta por 13 pacientes. A maioria era do sexo feminino (69,2%), com idade média de 39,2 anos. A cefaléia (92%) foi a manifestação clínica mais observada. O uso de contraceptivo oral foi o fator de risco mais associado à TVC, com 46%. A média de internação observada foi de 18,1 dias. Conclusão: Apesar de ser uma doença potencialmente grave, não foi observado óbito na população do estudo, que pode estar atrelado ao diagnóstico adequado e o tratamento em tempo hábil, capaz de refletir no êxito do desfecho de pacientes com TVC.

Objective: Characterize the clinical and epidemiological profile of patients diagnosed with cerebral venous thrombosis (CVT) in a University Hospital from Teresina. Methods: This is a retrospective, cross-sectional, and descriptive study, performed through the evaluation of electronic medical records of patients hospitalized in the Neurology Service of a University Hospital in Teresina/PI, from May to July 2021. Results: The sample consisted of 13 patients. The majority were female (69.2%), with an average age of 39.2 years. Cephalea (92%) was the most observed clinical manifestation. The use of oral contraceptives was the risk factor most associated with CVT, with 46%. The average of hospitalization observed was 18.1 days. Conclusion: Despite being a potentially serious disease, no death was observed in the study population, which may be tied to the appropriate diagnosis and timely treatment, capable of reflecting on the success of the outcome of patients with CVT.

Rehabilitación física de los pacientes con accidente vascular cerebral diagnosticados con hemiparesia / Physical rehabilitation of patients with cerebral vascular accident diagnosed with hemiparesis

Introduction: The present investigation arises from the insufficiencies in the physical rehabilitation of the hemiparesic patients of the orthopedic center of Viana, in many cases, determined by the low preparation of the physiotherapists for the use of the physical exercises with therapeutic aims. Objective: To elaborate a set of therapeutic physical exercises to favor the physical rehabilitation of patients diagnosed with hemiparesis. Methods: To develop the present investigation, the following methods were used: analytical-synthetic, hypothetical-deductive, inductive-deductive and systemic-structural-functional; and as empirical methods were used document analysis, observation, the Tinetti test and the experiment, which were supported by the survey and interview techniques, as well as by the statistical-mathematical empirical frequency distribution method. Conclusions: The correct selection, dosage and application of the physical therapeutic exercises allowed favoring the physical rehabilitation of two patients diagnosed with hemiparesis of the orthopedic center of Viana, results evaluated by the Tinetti test(AU)

Introducción: La presente investigación surge de las insuficiencias en la rehabilitación física de los pacientes hemiparésicos del centro ortopédico de Viana, en muchos casos, determinadas por la baja preparación de los fisioterapeutas para el uso de los ejercicios físicos con fines terapéuticos. Objetivo: Elaborar un conjunto de ejercicios físicos terapéuticos para favorecer la rehabilitación física de los pacientes diagnosticados con hemiparesia. Métodos: Para desarrollar la presente investigación se utilizaron como métodos teóricos los siguientes: analítico-sintético, hipotético-deductivo, inductivo-deductivo y sistémico-estructural-funcional; y como métodos empíricos se utilizaron el análisis de documentos, la observación, la medición, el test de Tinetti y el experimento, que fueron apoyados por las técnicas de encuesta y entrevista, así como por el método estadístico-matemático distribución empírica de frecuencias. La muestra utilizada estuvo constituida por seis pacientes y tres fisioterapeutas del centro ortopédico de Viana, Luanda, Angola. Resultados: Después del diagnóstico inicial, se elaboró el conjunto de ejercicios físicos terapéuticos, el cual se aplicó desde el mes de mayo hasta el mes de noviembre del 2018, donde se aplicó al medición final, que permitió determinar las mejoras en la rehabilitación física de los pacientes diagnosticados con hemiparesia, al mejorar la marcha y el equilibrio Conclusiones: La correcta selección, dosificación y aplicación de los ejercicios físicos terapéuticos permitió favorecer la rehabilitación física dos pacientes diagnosticados con hemiparesia del centro ortopédico de Viana, resultados evaluados mediante el test de Tinetti(AU)

Clinical analysis of acute cerebral vascular accident related factors of patients with nosocomial infection / 中国基层医药

Objective To explore acute cerebral vascular accident factors in patients with nosocomial infection. Methods Clinical data with 680 cases with acute cerebral vascular accident were retrospectively analyzed,and the patients with hospital flu infected as the observation group, selected in accordance with 1 ∶ 1 over the same period without cerebrovascular accident combined hospital patients feel as control group. The patient age,gender,state of consciousness , invasive operation, dehydrating agent application time, whether use of antibiotics and other differences were compared . Results In 680 cases of patients with acute cerebral vascular accident, there were 90 cases of hospital infection; two groups gender, dehydrating agent application time had no difference(P ＞ 0. 05 ); the observation group compared with the control group older, unconscious, to implement invasive operation to prevent high proportion of antibiotics(P ＜0. 05), hospital infection-related factors. Conclusion Acute cerebral vascular accident patients should have a higher incidence of nosocomial infection, and be related with many factors. Taking corresponding measures against the relevant factors could prevent hospital infection.

Habilidad de cuidado de cuidadores familiares principales de pacientes con ACV: Cartagena (Colombia) / Care abilities of familiy caregiver the principal of patients with VCA: Cartagena (Colombia)

El accidente cerebrovascular (ACV) es la enfermedad neurológica que más incapacidad e institucionalización origina. Su alta supervivencia no es pareja a una recuperación total, pues hasta el noventa por ciento sufre secuelas, lo cual genera una demanda de cuidados y la presencia de un cuidador para realizar las actividades básicas. Estos cuidadores están expuestos a padecer cambios en su vida que afectan sus diferentes roles, lo cual los convierte en una población vulnerable que requiere atención de los servicios de salud. Objetivo: Identificar las habilidades de cuidado de los cuidadores principales de los pacientes con secuelas de ACV en Cartagena. Método: Estudio descriptivo, realizado a 152 cuidadores de pacientes con secuelas de ACV en la ciudad de Cartagena. Se utilizaron dos instrumentos: Caracterización de los Cuidadores e Inventario de Habilidad de Cuidado, instrumento que mide la habilidad de cuidado en las dimensiones conocimiento, valor y paciencia. Resultados: Los cuidadores en su mayoría son mujeres en edad adulta, menores que el sujeto de cuidado, dedicadas al hogar, llevan más de 37 meses dedicados al cuidado, no son las únicas cuidadoras; primer grado de consanguinidad (51,3%), presentan habilidad de cuidado media. Las dimensiones de habilidad de cuidado, el conocimiento (75,7%) y la paciencia (87,5%) estuvieron en categoría alta y el valor en categoría alta (2,6%). Conclusiones: Los cuidadores de personas con ACV no cuentan con la habilidad necesaria para establecer la relación de cuidado, es necesario realizar intervenciones orientadas a disminuir los riegos del rol de cuidador.

Cerebrovascular accident (CVA) is the neurological disease that causes more disability and institutionalization. Its high survival is not even a full recovery, since until ninety percent suffer consequences, creating a demand for care and the presence of a caregiver to perform the basic activities. These caregivers are exposed to suffer changes in their lives that affect different roles, making them a vulnerable population that requires care from health services. Objective: Identify the skills of care from care givers of patients with sequelae of CVA in Cartagena. Method: Descriptive study, made to 152 caregivers of patients with sequelae of CVA in the city of Cartagena. It was used two instruments, Characterization of the care givers and Inventory Caregiver's Ability to Care, an instrument that measures the ability of care in the dimensions knowledge, courage and patience. Results: Caregivers are mostly women in adulthood, younger than the subject of care, homemakers. They have more than 37 months devoted to the care, generally there are more carers, they have first degree of consanguinity (51.3%), and average ability to care. The dimensions of caring ability, knowledge (75.7%) patience (87.5%) and courage (2.6%) were in the high category. Conclusions: Caregivers of people with ACV, do not have the skills necessary to establish the relationship of care, interventions are needed to reduce the risks of the caregiver role.

O envelhecimento cortical e a reorganização neural após o acidente vascular encefálico (AVE): implicações para a reabilitação / Cortical aging and neural reorganization following cerebral vascular accident (CVA): implications for rehabilitation

Este artigo apresenta uma síntese sobre o envelhecimento do córtex cerebral humano e uma revisão das abordagens para a reabilitação do controle motor após o acidente vascular encefálico (AVE). Na discussão sobre as implicações clínicas na compensação das perdas, é enfatizado que os profissionais de reabilitação devem incentivar os pacientes idosos a usarem os dois membros superiores para a realização das atividades da vida diária (AVDs) ao invés de reforçarem o uso do membro superior não afetado.

This article presents a synthesis on aging of the human cerebral cortex, and also a review of the approaches to motor control rehabilitation following a cerebral vascular accident (CVA). Throughout the discussion on the clinical implications, the author advises the rehabilitation professionals to encourage older patients perform their activities of daily living (ADL) using both upper extremities, rather than reinforcing the use of the unaffected upper extremity.

Perfil do cuidador familiar do paciente com seqüela de acidente vascular encefálico / Profile of the family caregiver caring for patients with sequels of cerebral vascular accident

Este estudo descritivo, por meio de uma abordagem qualitativa, teve como objetivo conhecer quem são os cuidadores familiares e entender como se dá a escolha do cuidador dentro da família de pacientes com seqüela de acidente vascular encefálico. Participaram do estudo dez cuidadores familiares através de entrevistas e anotações de campo. As entrevistas foram gravadas e posteriormente transcritas e analisadas. Entre os entrevistados, predominaram as mulheres, casadas, cônjuges e filhos, com média etária de 54 anos. Em relação os fatores que determinam que o familiar assuma os cuidados, percebe-se que o cuidar é muito mais uma obrigação do que uma opção. No entanto, esse sentimento de obrigação une-se ao afeto proveniente das relações estabelecidas anteriormente à doença.

This descriptive study using a qualitative approach aimed to identify who are the family caregivers and to understand how the caregiver is chosen amongst the family members of stroke patients. Data were collected by means of a semi-structured questionnaire applied to ten family caregivers. In addition, these caregivers were observed during the interview.The interviews were recorded, transcribed and analyzed. Most of the caregivers who participated in this study were females, married, partners and daughters, with a mean age of 54 years. The statements demonstrated that the "choice" of taking care is not so much an option but closely related to a feeling of obligation. Besides, this choice is also related to the affective relation established with the patient before the illness.

Clinical Observation of Recuperative Effect of Opposing Needling Accompanying Continual Static Stretch in Treating High Muscular Tension of Apoplectic Hemiplegia / 浙江中医药大学学报

[Objective]To observe the effect of opposing needling accompanying continual static stretch(CSS) on high-spasticity poststroke.[Methods]80 patients with high spasticity poststroke were randomly divided into four groups.A group:treated with opposing needling accompanying CSS;B group:treated with opposing needling;C group:treated with CSS;D group:acupoints selected from anti-spasm muscle.The therapeutic effect of the four methods was evaluated on proving spasm degree and motor function.[Results]Four methods had effect on high muscle tension in patients poststroke.The marks of Ashworth scale and Fugl-Meyer scale of the four groups had remarkable difference(P

Nosocomial Infection among 656 Acute Cerebral Vascular Accident Cases / 中华医院感染学杂志

OBJECTIVE To investigate the nosocomial infection circumstance in the acute cerebral vascular accident(CVA) in recently two years,and explore the risk factors of nosocomial infection,so that can obtain the methods of controlling the infection.METHODS An restrospective analysis of nosocomial infection circumstance had been accomplished among 656 acute CVA cases from our department ward from Jul 2004 to Jun 2006.RESULTS It was showed cases with nosocomial infection were found among 656 cases.The nosocomial infection rate was 32.67% among inpatients of acute CVA.Nosocomial infection mostly took place within the first 2 weeks after patients hospitalized.Among inpatients with nosocomial infection,the lower respiratory tract infection was the highest(59.15%),the second one was the urinary tract(16.90%).Pathogenic bacteria were mostly the conditional ones.Nosocomial infection was closely related with such factors as the invasive operation,disorder of consciousness,diabetes,age,chronic bronchitis,antibiotic prophylaxis,hospitalization days,and plasma total protein.CONCLUSIONS Nosocomial infection is still a high frequent complication in acute CVA and those related factors should be paid attenion.It is the most important step for the effective control of nosocomial infection and rehabilitation of acute CVA.

Results of rehabilitation at Hospital the abilities in sitting, stading and walking function for hemiplegic patient because of cerebral vascular accident

There are some different methods of movement rehebilitation for stroke patients. Bobath's method is one of the best that we can put into practice of our condition. 115 stroke patients were rehebilitated at Rehabilitation department Bach Mai hospital from 1996 to 2000. The avarage time for rehebilitation of patients in hospital is 4 weeks. After rehebilitation, all of movement indexes of sitting, standing and walking of stroke patients had statistic significance change. Patients under 60 years old had better results than patients above 60 years old. After rehebilitation 4 weeks in the Rehabilitation department 79.1% of patient can sit; 68.7% patient can stand; 61.7% patient can walk independently.