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1.
Rev. bras. parasitol. vet ; 28(2): 330-332, Apr.-June 2019. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1042502

ABSTRACT

Abstract The hippoboscids are cosmopolitan permanent obligate hematophagous ectoparasites of birds, domestic and wild mammals and, occasionally, humans. Some species may act as vectors or hosts of etiological pathogenic agents. The aims of this study were to report on the first cases of Hippoboscidae in Crax blumenbachii and Parabuteo unicinctus; to provide new reports from Brazil on Tyto furcata and Asio stygius parasitized by Icosta americana; to report on individuals of Bubo virginianus, Falco sparverius and Accipiter striatus parasitized by genera Ornithoctona; and to provide new reports on parasitism of O. erythrocephala in the state of Rio Grande do Sul. The birds of prey and C. blumenbachii were attended at a rehabilitation center in Porto Alegre and at a veterinary hospital in Cruz Alta. These new records demonstrate the huge gap that exists regarding studies on avian ectoparasites and highlight potential vectors of hemoparasites for the bird species studied.


Resumo Os hipoboboscídeos são ectoparasitos hematófagos obrigatórios, permanentes e cosmopolitas de aves, mamíferos domésticos e silvestres e, ocasionalmente, humanos. Algumas espécies podem atuar como vetores ou hospedeiros de agentes patogênicos etiológicos. Os objetivos deste estudo foram relatar os primeiros casos de Hippoboscidae em Crax blumenbachii e Parabuteo unicinctus; fornecer novo relato do Brasil sobre Tyto furcata e Asio stygius parasitados por Icosta americana; relatar indivíduos de Bubo virginianus, Falco sparverius e Accipiter striatus parasitados pelo gênero Ornithoctona; e fornecer novos relatos sobre parasitismo de O. erythrocephala no estado do Rio Grande do Sul. As aves de rapina e C. blumenbachii foram atendidas em um centro de reabilitação em Porto Alegre e em um hospital veterinário em Cruz Alta. Esses novos registros demonstram a enorme lacuna que existe em relação aos estudos sobre ectoparasitas aviários e destacam potenciais vetores de hemoparasitos para as espécies de aves estudadas.


Subject(s)
Animals , Bird Diseases/parasitology , Diptera/classification , Rehabilitation Centers , Animals, Wild
2.
Rev. bras. parasitol. vet ; 28(2): 187-193, Apr.-June 2019. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1013745

ABSTRACT

Abstract Portugal has some rehabilitation centers for wild animals, which are responsible for the rehabilitation and reintroduction of birds, among other animals, into the wild. Coccidian parasites of these wild birds in rehabilitation centers are especially important because these centers can introduce coccidian species into new environments through the reintroduction of their respective hosts. In this context, the current study aimed to identify intestinal coccidia from wild birds at two rehabilitation centers for wild animals located in two municipalities of Portugal. Eighty-nine wild birds of 9 orders and 11 families were sampled, of which 22 (25%) were positive for Coccidia. Avispora spp. were found in raptors. Sporocysts of Sarcocystinae subfamily were recovered from owls. An Isospora sp. was found in Turdus merula Linnaeus, 1758, and an Eimeria sp. was found in Fulica atra Linnaeus, 1758. Among the coccidian species, Avispora bubonis (Cawthorn, Stockdale, 1981) can be highlighted. The finding of this species indicates that transmission of coccidians from the New World to the Old World may be occurring, potentially through dispersion by Bubo scandiacus (Linnaeus, 1758) through Arctic regions or by means of anthropic activities, and/or through other unknown mechanisms.


Resumo Portugal possui alguns centros de reabilitação de animais silvestres, responsáveis ​​pela reabilitação e reintrodução de aves, entre outros animais, na natureza. Os coccídios parasitas dessas aves silvestres em centros de reabilitação são especialmente importantes porque esses centros podem introduzir espécies de coccídios em novos ambientes através da reintrodução de seus respectivos hospedeiros. Neste contexto, o presente estudo visou identificar coccídios intestinais de aves silvestres em dois centros de reabilitação de animais silvestres localizados em dois municípios de Portugal. Oitenta e nove aves silvestres de 9 ordens e 11 famílias foram amostradas, das quais 22 (25%) foram positivas para coccídios. Avispora spp. foram encontradas em aves de rapina. Esporocistos de coccídios da subfamilia Sarcocystinae foram encontrados em corujas. Uma Isospora sp. foi encontrada em Turdus merula Linnaeus, 1758 e uma Eimeria sp. foi encontrada em Fulica atra Linnaeus, 1758. Entre as espécies de coccídios, Avispora bubonis (Cawthorn, Stockdale, 1981) pode ser destacada. O encontro dessa espécie indica que a transmissão de coccídios do Novo Mundo para o Velho Mundo pode estar ocorrendo, potencialmente através da dispersão por Bubo scandiacus (Linnaeus, 1758) pelas regiões árticas ou por meio de atividades antrópicas, e/ou através de outros mecanismos desconhecidos.


Subject(s)
Animals , Bird Diseases/parasitology , Birds/parasitology , Coccidia/isolation & purification , Coccidiosis/veterinary , Portugal , Rehabilitation Centers , Birds/classification , Coccidia/classification , Coccidiosis/diagnosis , Feces/parasitology , Animals, Wild
3.
Acta fisiátrica ; 26(1)mar. 2019.
Article in English, Portuguese | LILACS (Americas) | ID: biblio-1046643

ABSTRACT

A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) vem sendo utilizada na Associação de Assistência à Criança com Deficiência (AACD) desde 2011 no setor de Fisioterapia Adulto. Esta Classificação, desde então, serve como base para nortear os objetivos funcionais traçados, para melhorar a comunicação entre os setores multiprofissionais e para indicar qualidade assistencial para fins de auditoria de serviço institucional. A experiência foi válida para a instituição e bem aceita pelos seus colaboradores, e seu uso pôde ser expandido. A Organização Mundial da Saúde (OMS) sugere que o uso dos códigos da CIF não está completo sem a utilização dos seus qualificadores. Dessa forma o presente trabalho tem como objetivo descrever a implantação da CIF e seus qualificadores no setor de fisioterapia de adultos da instituição. O instrumento adaptado para uso neste serviço permite avaliar o paciente na sua admissão e acompanhar sua evolução ao longo do seu processo de reabilitação, de forma a ser utilizado como indicador de evolução setorial. Será relatado nesse trabalho o processo que foi realizado: a implantação da classificação, o estudo de aprofundamento na qualificação preconizada; desenvolvimento de um instrumento adequado para a prática clínica do serviço; treinamento dos profissionais e projeto piloto; além de reportar dados iniciais na forma de indicadores de evolução.


The International Classification of Functioning, Disability and Health (ICF) has been used in the Association of Assistance for Disabled Children (AACD) since 2011 in the Adult Physiotherapy division. Since then, the Classification serves as foundation for guiding the functional objectives set, improving communication between multiprofissional divisions and indicating quality of care for institutional audit service purposes. The experience was valid for the institution and well accepted by its employees, and the use was expanded. The World Health Organization (WHO) suggests that the ICF codes' use is not complete without their qualifiers. Therefore, this paper aims to describe the implementation of ICF and its qualifiers in the adult physiotherapy division of the institution. The instrument, which was adapted for use in our servisse, allows the patients to be evaluated on their admission and to monitor the evolution throughout their rehabilitation process, in order to be used as an evolution indicator. This study will report the process we performed: the implementation of the Classification; the study to deepen knowledge on the recommended qualification; development of an appropriate instrument to be used for clinical practice of this service; staff training and pilot application; and, in addition, to report initial data as progress indicators.


Subject(s)
Humans , Rehabilitation Centers , International Classification of Functioning, Disability and Health , Disabled Persons , Neurologic Manifestations
4.
Article in English | WPRIM (Western Pacific) | ID: wprim-739328

ABSTRACT

To investigate vitamin D status according to the diseases in patients admitted to the department of rehabilitation medicine. In total, 282 patients admitted to the department of rehabilitation medicine in our hospital were included. Patients were classified into 4 groups according to ailment: stroke, traumatic brain injury, spinal cord injury, and fracture. All patients were also classified as ambulatory or non-ambulatory. Serum 25-hydroxyvitamin D (25[OH]D) levels were estimated at admission and at discharge. Bone mineral density (BMD) and ionized calcium levels were also measured. All subjects completed the Desmond Fall Risk Questionnaire for fall risk assessment. In total, 92 patients (59 males and 33 females; mean age, 69.09 ± 9.4 years) was enrolled. Low serum 25(OH)D levels (6–28 ng/mL) were observed in all patients in this study, and these were lower in the group of fractures resulting from falls than in the group of strokes (p < 0.05). Significant correlations were found between BMD and ionized calcium levels, Desmond Fall Risk Questionnaire scores and BMD, and questionnaire scores and serum 25(OH)D (p < 0.05). Serum 25(OH)D levels were lower in the department of rehabilitation medicine inpatients in our study than in the general population. The ambulatory patients had higher serum 25(OH)D levels at discharge than the non-ambulatory patients'. The hospitalized rehabilitation patients had lower serum 25(OH)D compared with the community. There were lower serum 25(OH)D levels in patients with fractures and non-ambulatory groups. We should pay attention to serum vitamin D levels of rehabilitation center inpatients.


Subject(s)
Accidental Falls , Bone Density , Brain Injuries , Calcium , Female , Humans , Inpatients , Male , Rehabilitation Centers , Rehabilitation , Risk Assessment , Spinal Cord Injuries , Stroke , Vitamin D , Vitamins
5.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-765409

ABSTRACT

PURPOSE: This study assessed the current working conditions and job satisfaction on aquatic therapy performed by physical therapists in South Korea. METHODS: A total of 139 (managers: 53, staff: 86) physical therapists participated in this survey (90 questionnaires) and the data were analyzed using the SPSS 21.0 Windows. RESULTS: The retention conditions of aquatic therapy facilitation was high in the rehabilitation centers (or disabled living facilities) and rehabilitation hospitals. On the other hand, there were regional variations. The physical therapists in this field were likely to have limitations or restrictions of professional aquatic therapy education. The subjects showed a tendency for a career interruption during their fifth working year. The overall job satisfaction on aquatic therapy of physical therapists was high (managers: 94.3%, staff: 95.3%, p=0.276), but the work intensity was higher than the other parts of physical therapy and the relative reward was comparatively low (managers: 60.3%, staff: 66.3%, p=0.865). CONCLUSION: Based on this study, the current working conditions regarding aquatic therapy by physical therapists were assessed. These results will help enhance aquatic therapy and/or in aquatic therapy facilitation.


Subject(s)
Education , Hand , Humans , Job Satisfaction , Korea , Physical Therapists , Rehabilitation , Rehabilitation Centers , Reward
6.
Article in English | WPRIM (Western Pacific) | ID: wprim-763087

ABSTRACT

The goal of the present study was to test the reliability and validity of the Japanese version of the Quality of Life after Brain Injury (QOLIBRI) scale. Correlations between the QOLIBRI and Glasgow Coma Scale scores, anxiety, depression, general quality of life (QOL), and demographic characteristics were examined to assess scale validity. The structure of the QOLIBRI was investigated with exploratory and confirmatory factor analyses, as well as the Partial Credit Model. Test–retest reliability was assessed over a 2-week interval. Participants were 129 patients with traumatic brain injury (TBI) recruited from rehabilitation centers in Japan. The QOLIBRI showed good-to-excellent internal consistency (Cronbach's α: 0.82–0.96), test–retest reliability, and validity (r = 0.77–0.90). Factor analyses revealed a 6-factor structure. Compared to an international sample (IS), Japanese patients had lower QOLIBRI scores and lower satisfaction in several domains. There were positive correlations between the QOLIBRI scales and the Short Form 36 Health Survey (r = 0.22–0.41). The Japanese version of the QOLIBRI showed good-to-excellent psychometric properties. Differences between JS and IS may reflect sampling bias and cultural norms regarding self-evaluation. The QOLIBRI could be a useful tool for assessing health-related QOL in individuals with TBI.


Subject(s)
Anxiety , Asian Continental Ancestry Group , Brain Injuries , Brain , Depression , Diagnostic Self Evaluation , Glasgow Coma Scale , Health Surveys , Humans , Japan , Psychometrics , Quality of Life , Rehabilitation Centers , Reproducibility of Results , Selection Bias , Weights and Measures
7.
Article in English | WPRIM (Western Pacific) | ID: wprim-762669

ABSTRACT

OBJECTIVE: To investigate the effect of decreased Skeletal Muscle Index (SMI) and hand grip strength on functional recovery in subacute ambulatory stroke patients. METHODS: Subacute stroke patients who were referred to the rehabilitation center were recruited. Decreased SMI and hand grip strength were diagnosed according to the Asian Working Group on Sarcopenia. Diagnostic criteria were decreased SMI and decreased unaffected hand grip strength. SMI was measured by bioelectrical impedance analysis. Unaffected hand grip strength was measured with a hand dynamometer. Patients were divided into two groups, decreased group (DG) and not-decreased group (NDG), according to the presence of decreased SMI and hand grip strength. Both groups received conventional stroke rehabilitation for 3 weeks. All patients were evaluated at the baseline and at 3 weeks after treatment. Functional status was evaluated with 4-meter walk test (4MWT), 6-minute walk test (6MWT), Timed Up and Go test (TUG), and Modified Barthel Index (MBI). RESULTS: Both groups showed improvement in 4MWT, TUG, and MBI. NDG showed improvement in 6MWT. Comparing improvements between the two groups, NDG showed more improvement in 6MWT and TUG than DG. CONCLUSION: The presence of decreased SMI and hand grip strength had negative effects on functional recovery in subacute ambulatory stroke patients.


Subject(s)
Asian Continental Ancestry Group , Electric Impedance , Hand Strength , Hand , Humans , Muscle, Skeletal , Rehabilitation , Rehabilitation Centers , Sarcopenia , Stroke
8.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-770074

ABSTRACT

PURPOSE: This study examined the residential environment and accessibility of rehabilitation for cerebral palsy (CP) to identify the problems with residential laws pertaining to the disabled and provide basic data on the health legislation for the rights of the disabled. MATERIALS AND METHODS: The literature was searched using three keywords: residence, rehabilitation, and accessibility. Two items were selected: residential environment and rehabilitation accessibility. The questionnaire included 51 items; 24 were scored using a Likert scale and 27 were in the form of multiple-choice questions. RESULTS: This study included 100 subjects, of which 93 lived at home and seven lived in a facility. Of these 93 subjects, 65% were living in apartments, usually two or more floors above ground, and 40% of them were living without elevators. According to the Gross Motor Function Classification System, subjects with I to III belonged to the ambulatory group and IV, V were in the non-ambulatory group. Subjects from both groups who lived at home found it most difficult to visit the rehabilitation center by themselves. In contrast, among those who lived at the facility, the ambulatory group found it most difficult to leave the facility alone, while the non-ambulatory group found it most difficult to use the toilet alone. Moreover, 83% of respondents thought that rehabilitation was necessary for CP. On the other hand, 33% are receiving rehabilitation services. Rehabilitation was performed for an average of 3.6 sessions per week, 39 minutes per session. CONCLUSION: There is no law that ensures secure and convenient access of CP to higher levels. Laws on access routes to enter rooms are insufficient. The disabled people's law and the disabled person's health law will be implemented in December 2017. It is necessary to enact laws that actually reflect the difficulties of people with disabilities. Based on the results of this study, an investigation of the housing and rehabilitation of patients with CP through a large-scale questionnaire will necessary.


Subject(s)
Cerebral Palsy , Classification , Disabled Persons , Elevators and Escalators , Hand , Housing , Humans , Jurisprudence , Legislation as Topic , Rehabilitation Centers , Rehabilitation , Surveys and Questionnaires
9.
Rev. salud pública ; 20(5): 554-559, oct.-nov. 2018. tab, graf
Article in Spanish | LILACS (Americas) | ID: biblio-1004468

ABSTRACT

RESUMEN Objetivos Diseñar y validar un instrumento de evaluación del desempeño de las AVDI, acorde a las necesidades y características actuales de los adultos considerando la actualización terminológica en Terapia Ocupacional. Métodos La investigación se encasilla como un estudio investigativo-evaluativo cuantitativo multivariado. Se diseñó un instrumento de tres dimensiones, una para valorar el nivel de desempeño, otra para valorar las razones de dependencia y una tercera para valorar la importancia de la actividad. Se realizó una prueba de campo a una muestra de 38 personas, usuarios de Centros de Rehabilitación Comunitaria y posteriormente el instrumento diseñado se sometió a validación de constructo y de contenido, a través de juicio de expertos y análisis factorial a los datos a una muestra de 89 personas adultas según los criterios de inclusión. Resultados El análisis se realizó mediante validación de constructo a través de un análisis estadístico factorial, identificando y obteniendo en las tres dimensiones un alfa de Cronbach con valores por sobre 0,7 lo que resulta en un instrumento fiable. Conclusión Gracias a la validación de contenido y construcción, se establece que el instrumento es adecuado para la población propuesta, por lo tanto, se puede difundir y utilizar para contribuir a la disciplina.(AU)


ABSTRACT Objective To design and validate an instrument for a performance evaluation of the instrumental activities of daily living according to the current needs and features of adults, considering the terminological update in Occupational Therapy. Materials and Methods This is a multivariate, quantitative, evaluation research study. A three-dimensional instrument was designed, one to assess the level of performance, another to assess the reasons for dependency and a third one to assess the importance of the activity. A field test was carried out in 38 users of community rehabilitation centers. Subsequently, the designed instrument was submitted to construct and content validation through expert judgment and factorial analysis of data from a sample of 89 people from the aforementioned rehabilitation centers according to the inclusion criteria. Results An analysis was performed by means of construct validation through a factorial statistical analysis. A Cronbach's alpha value above 0.7 was obtained for the three dimensions of the instrument, which results in a reliable instrument. Conclusion Due to the content and construct validation, together with a statistical analysis of its dimensions, the instrument can be considered as a suitable tool for the proposed population and can therefore be disseminated and used within this discipline.(AU)


Subject(s)
Humans , Rehabilitation Centers/organization & administration , Activities of Daily Living , Occupational Therapy/instrumentation , Statistical Analysis , Multivariate Analysis
10.
Pesqui. vet. bras ; 38(9): 1838-1843, set. 2018. tab, graf
Article in Portuguese | LILACS (Americas), VETINDEX | ID: biblio-976515

ABSTRACT

Muitas espécies de animais silvestres de vida livre servem como reservatório de bactérias patogênicas que ameaçam a saúde humana e dos animais domésticos. Algumas bactérias, como Campylobacter jejuni, Campylobacter coli, Yersinia enterocolitica e Salmonella enterica, causam enfermidades em humanos e podem contaminar os animais domésticos e silvestres. O Núcleo de Reabilitação da Fauna Silvestre da Universidade Federal de Pelotas (NURFS-UFPel) soluciona uma demanda regional específica de atenção à fauna silvestre brasileira. O objetivo desse trabalho foi identificar a presença de Campylobacter jejuni, Campylobacter coli, Salmonella spp. e Yersinia enterocolitica em animais silvestres que se encontravam em processo de reabilitação. Foram coletadas amostras de fezes, com uso de zaragatoas estéreis, de 34 aves, 16 mamíferos e 23 répteis. Dos 73 animais amostrados, quatro (5,48%) albergavam Y. enterocolitica, sendo duas aves, um mamífero e um réptil. Salmonella e Campylobacter não foram isolados. Os perfis de bandas dos isolados de Y. enterocolitica analisados pela rep-PCR foram diferentes entre si. Esses resultados indicam que as cepas isoladas não estão relacionadas entre si, não possuindo uma origem comum recente. Vanellus chilensis, Turdus rufiventris, Didelphis albiventris e Pantherophis guttatus podem albergar Y. enterocolitica e eliminá-la nas fezes, oferecendo risco de disseminação desse micro-organismo no ambiente, além de constituírem possíveis fontes de contaminação para humanos e outros animais.(AU)


Wild animals can transmit pathogenic bacteria to human and domestic animal's health. Some bacteria, such as Campylobacter jejuni, Campylobacter coli, Yersinia enterocolitica and Salmonella enterica, cause diseases in humans and can contaminate domestic and wild animais. The Núcleo de Reabilitação da Fauna Silvestre of Universidade Federal de Pelotas (Nurfs-UFPel) attend a specific regional demand of wildlife in Brazil. The aim of this paper was to identify the presence of these pathogenic bacteria in wild animals in rehabilitation. Stool samples were collected using sterile swabs from 34 birds, 16 mammals and 23 reptilian that were housed at Nurfs. Of the 73 collections, Y. enterocolitica was isolated from four (5.48%) of two birds, one mammal and one reptile. Salmonella and Campylobacter were not isolated. The molecular profile of bands of Y. enterocolitica identified in rep-PCR had differences. These results indicated that the isolates did not have a recent common origin. Pantherophis guttatus, Didelphis albiventris, Turdus rufiventris and Vanellus chilensis could shelt Y. enterocolitica and eliminate the bacteria in stool, offering risk of dissemination of these microorganisms in the environment with possible contamination of humans and other animals.(AU)


Subject(s)
Animals , Yersinia enterocolitica/pathogenicity , Campylobacter jejuni/pathogenicity , Campylobacter coli/pathogenicity , Animals, Wild/microbiology , Rehabilitation Centers
11.
Acta fisiátrica ; 25(2): 54-59, jun. 2018.
Article in English, Portuguese | LILACS (Americas) | ID: biblio-999547

ABSTRACT

Discussão a partir de dados extraídos da pesquisa "Estudo da oferta e análise de programas de reabilitação para a população infanto-juvenil com deficiência no Município do Rio de Janeiro". Objetivo: Ampliar o conhecimento sobre as instituições que oferecem reabilitação para a população de crianças e adolescentes com deficiência. Método: Estudo descritivo tipo inquérito, por questionário, especificamente preparado para este fim. Resultados: A amostra composta por 7 (12,6%) instituições de ensino, 16 (29,6%) instituições pertencentes ao Sistema Único de Saúde (SUS) e 31 (57,41%) representam: 11 organizações não governamentais, 15 filantrópicas e 5 privadas conveniadas com o SUS e/ou Sistema único de Assistência Social (SUAS), mostrando que a maior parte dos atendimentos não ocorre na rede pública. Este dado sugere rotatividade de profissionais por falta de estabilidade e consequente descontinuidade de tratamento. Maioria das organizações, fora a rede pública, tem convênio com o SUAS, cuja missão é regular e organizar serviços, programas e benefícios socioassistenciais, o que pode levar ao não aproveitamento de avanços técnicos na área da saúde. Avaliações médicas especializadas e recursos como óculos, cadeira de rodas, andadores, mostraram não ser de fácil obtenção. Considerações sobre dificuldade para reabilitação são levantadas. Conclusão: O fato de que esta população quando reabilitada tem ampliada sua condição para participação ativa na sociedade, com consequente redução de custo e aumento do capital social é uma realidade. Ampliar conhecimentos sobre a gestão em reabilitação está se tornando cada vez mais premente, visto que avanços científicos e tecnológicos aliados a constantes conquistas sociais viabilizam, cada vez mais, inserção de pessoas que antes estariam restritas a uma vida de exclusão social.


This paper analyses some data extracted from the Research "Study of supply and analysis of rehabilitation programs for children and adolescents with disabilities in the city of Rio de Janeiro.


Subject(s)
Humans , Child , Adolescent , Rehabilitation Centers , Disabled Persons , Rehabilitation Services , Epidemiology, Descriptive , Surveys and Questionnaires
12.
Rev. bras. neurol ; 54(2): 28-33, abr.-jun. 2018. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-907023

ABSTRACT

INTRODUÇÃO: O Traumatismo Cranioencefálico (TCE)é definido como uma alteração na função encefálica, devido a uma causa externa, ou seja, algum trauma físico de origem externa e que leva à morbimortalidade e incapacidades em todo o mundo. OBJETIVO: Analisar as características (aspectos sociodemográficos, causa do TCE; custos com saúde) de indivíduos com sequelas de traumatismo cranioencefálico em um centro de referência em reabilitação. METODOLOGIA: Estudo de natureza descritiva,retrospectiva e quantitativa no período de janeiro de 2009 a dezembro de 2013, por meio de análise documental, resultando em uma amostra final de 88 prontuários analisados. Foram incluídos indivíduos de ambos os sexos, com idade igual ou superior a dois anos de vida. RESULTADOS: Dos indivíduos com sequelas de TCE, 86,36% eram do sexo masculino, com idade entre 18 e 59 anos (80,68%), apresentando ensino médio completo (26,14%), de cor parda (52,27%) e com renda familiar entre um e cinco salários mínimos (60,23%). A causa mais frequente de TCE foi o acidente motociclístico (68,18%). Não houve diferença estatística entre tipos de causa de TCE e custos com saúde. CONCLUSÃO: O presente estudo demonstrou que grande parte dos indivíduos eram homens jovens e vítimas de acidente motociclístico.(AU)


INTRODUCTION: traumatic brain injury (TBI) is defined as a change in brain function due to an external cause, that is, some external physical trauma that leads to morbidity and mortality, disabilities and mortality worldwide. OBJECTIVE: To analyze the characteristics (Socio-demographic aspects; causes of TBI; Health costs) of individuals with traumatic brain injury sequelae in a referral center for rehabilitation. METHODOLOGY: descriptive, retrospective and quantitative study from January 2009 to December 2013, Through documentary analysis, resulting in a final sample of 88 analyzed medical records. Individuals of both sexes, aged 2 years or more, were included. RESULTS: Of the individuals with TBI sequelae, 86.36% were male, aged between 18 and 59 years (80.68%), with completed secondary education (26.14%), mulatto (52.27 %) and family income between 1 and 5 minimum wages (60.23%). The most frequent cause of TBI were motorcycle accidents (68.18%). There was no statistical difference between types of cause of TBI and health care costs. CONCLUSION: This study showed that most individuals were young men, motorcycle accident victims and who lost work capacity. (AU)


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Young Adult , Violence/statistics & numerical data , Accidents, Traffic/statistics & numerical data , Craniocerebral Trauma/complications , Craniocerebral Trauma/etiology , Rehabilitation Centers , Socioeconomic Factors , Unified Health System/economics , Epidemiology, Descriptive , Health Care Costs
13.
SMAD, Rev. eletrônica saúde mental alcool drog ; 14(3): 128-135, jan.-mar. 2018. tab
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-985849

ABSTRACT

Este estudo teve como objetivo verificar a influência dos jogos teatrais nas competências sociais de pessoas com diagnósticos de transtornos mentais de um Centro de Atenção Psicossocial (CAPS). Pesquisa qualitativa, utilizando o Fichário de Jogos Teatrais de Viola Spolin; um guia de técnicas teatrais para a realização dos jogos e um roteiro de entrevista aplicado aos participantes do estudo, antes e após os oito encontros, baseado na Escala de Avaliação de Competência Social em Pacientes Psiquiátricos. Os resultados mostraram que os jogos tiveram influência positiva nas competências sociais e sinalizaram terem um grande potencial para serem transformados em oficinas terapêuticas nos CAPS.


This study aimed to verify the influence of theater games in social skills of people with diagnoses of mental disorders of a Psychosocial Care Center (CAPS). Qualitative research, being conducted eight meetings using theater games .The binder of Viola Spolin Theater Games, a guide of theatrical techniques for the hosting of the games and screenplay by interview applied to participants of the study, before and after eight meetings, which was based on the Social Competence Assessment Scale in Patients psychiatrists. The results showed that the games had a positive influence on the skills and social skills and have signaled a great potential to be transformed into therapeutic workshops in CAPS.


Este estudio tuvo como objectivo verificar la influencia de juegos teatrales en habilidades sociales de las personas con diagnóstico de transtornos mentales en un Centro de Atención Psicosocial (CAPS). La investigación cualitativa, siendo cumplidos ocho reuniones con juegos teatrales un guía de trabajo de técnicas teatrales para la celebración de los juegos y um guia de entrevista aplicado a los participantes del estúdio, antes y despúes de ocho reuniones, que se basó em la Escala de Evaluación de la Competencia Social en los Pacientes Psiquiátricos. Los resultados mostraron que los juegos tuvieron una influencia positiva en las habilidades y destrezas sociales y han manifestado un gran potencial para ser transformado em talleres terapéuticos en los CAPS.


Subject(s)
Humans , Male , Female , Art Therapy , Psychiatry , Rehabilitation Centers , Mental Health Services
14.
Safety and Health at Work ; : 314-318, 2018.
Article in English | WPRIM (Western Pacific) | ID: wprim-716721

ABSTRACT

BACKGROUND: Musculoskeletal disorders (MSDs) in the health industry are quite common, however, there have only been a few studies regarding physiotherapists, while in Greece, there is an apparent lack of research and data. The aim of this study is to investigate MSDs experienced by physiotherapists in Greece, their causes and specific measures, and good practices followed. Additional emerging risk factors will be examined. METHODS: A questionnaire of MSDs followed by individual and workplace characteristics was completed by 252 physiotherapists. It covered the major workplace categories such as public hospitals, private rehabilitation centers, and private practices. RESULTS: Analysis indicated that 89% of the respondents had experienced a work-related MSD; 32.2% of those injuries occurred within the first 5 years of working. The most lumbered physiotherapists were those working as private practitioners and almost half of the injured respondents chose to work while injured. The most common measure taken to tackle work related MSDs was found to be physical therapy sessions. Job satisfaction and psychosocial issues were also identified as side-effects of the economic slowdown. CONCLUSION: Physiotherapists in Greece were found to suffer from MSDs; workplace musculoskeletal injuries were quite common but under-reported. The body parts most affected were the lower back, the upper back, the shoulders, and the neck. There was a strong correlation between the workplace setting and the number of MSDs. A well-defined occupational safety and health management system and strict administration steering were found to reduce MSDs. The economic slowdown experienced in Greece during the execution of this study placed additional pressure on physiotherapists.


Subject(s)
Greece , Hospitals, Public , Human Body , Humans , Job Satisfaction , Neck , Occupational Health , Physical Therapists , Private Practice , Rehabilitation Centers , Risk Factors , Shoulder , Surveys and Questionnaires
15.
Article in English | WPRIM (Western Pacific) | ID: wprim-715926

ABSTRACT

BACKGROUND: Elderly people's life is affected by multiple factors including social support, which is of the utmost importance. This study aimed to explore the association between social support and happiness as well as the impact of types of social support on happiness among elders. METHODS: This descriptive and analytical study was carried out on 411 elderly men and women referred to the retirement, cultural, and rehabilitation centers in Hamadan, west of Iran. Participants were selected by a multi-stage random sampling method. The research instrument included a questionnaire consisting of three parts: demographic information, the Oxford Argyle Happiness Inventory, and a Questionnaire derived from Social Support Theory. The questionnaire was completed through a self-report study. The collected data were analyzed using Pearson correlation coefficients, multiple linear regression, independent t-tests, and one-way analysis of variance in IBM SPSS Software ver. 22.0 (IBM Corp., Armonk, NY, USA). RESULTS: The mean for happiness was reported as 41.17±15.2. The values given for social support were 29.40±11.95 and for its dimensions were 7.53±3.89 and 13.70±4.90 for informational support and emotional support, respectively. Moreover, the mean value for appraisal support was 3.48±2.37 and was 4.70±2.56 for instrumental support. Multiple linear regression analysis revealed that social support and demographic variables could account for approximately 25% (R2=0.25) of changes in the variable of happiness. CONCLUSION: High social support could increase happiness among elders. The quality and quantity of social support can be taken into account as proper determinants and predictors of happiness among elders.


Subject(s)
Aged , Female , Happiness , Humans , Iran , Linear Models , Male , Methods , Rehabilitation Centers , Retirement
16.
Acta fisiátrica ; 24(2): 77-81, jun. 2017.
Article in English, Portuguese | LILACS (Americas) | ID: biblio-906909

ABSTRACT

Polirradiculopatia inflamatória, aguda, de caráter progressivo, a Síndrome de Guillain Barré normalmente acontece pós exposição a um agente infeccioso, ou a um estímulo, desencadeando o comprometimento dos motoneurônios periféricos. Objetivo: Comparar alterações eletrofisiológicas com ganhos funcionais na SGB, observando a relação entre prognóstico e alteração no exame eletroneuromiográfico e verificando a condição dos pacientes após um ano do início do quadro clínico. Métodos: Revisão de prontuários dos pacientes atendidos no Centro de Reabilitação e Readaptação Dr. Henrique Santillo ­ CRER, no período de 2008 a 2014. Resultados: Inicialmente localizados quarenta e oito casos, destes apenas dezenove, inicialmente, foram selecionados por terem estado internados no CRER no período selecionado para o estudo, houve exclusão de um paciente por não constar em prontuário o resultado da eletroneuromiografia, permanecendo na pesquisa, então, dezoito pacientes. Conclusão: A reabilitação tem um papel fundamental no resultado final e cuidados ao longo prazo em pacientes que tiveram SGB, sendo um trabalho diferenciado a internação em centro de reabilitação melhorando a capacidade de diminuir os danos causados pela doença, independente dos déficits funcionais adquiridos. Os dados apontaram que os ganhos funcionais ao longo de um ano após início da doença, não têm relação direta com o que é encontrado no exame eletroneuromiográfico


Progressive acute inflammatory polyradiculopathy, Guillain Barré syndrome (GBS) is commonly associated to a post exposition to an infectious agent or a stimulus, thereby compromising peripheral motor neurons. Objective: The objective is to compare electrophysiological changes with functional improvements of GBS on the relation between prognosis and alterations of the electroneuromyography assessment, and to evaluate patients after one year of onset GBS. Methods: Retrospective study based on medical reports of the Centro de Reabilitação e Readaptação Dr. Henrique Santillo ­ CRER of patients registered from 2008 to 2014. Results: Forty-eight cases were found, nineteen reports were selected, once they attended the time period criteria. One of these was excluded due to lack of electroneuromyography data, therefore data of eighteen patients were analyzed. Conclusion: Rehabilitation is substantial in the final results and in the long term of patients with GBS, whereas rehabilitation program for hospitalized patients is a distinctive work to diminish the losses imposed by GBS, regardless of the functional deficits. The data have shown that the functional improvements acquired one year after GBS onset have no evident relation to what is found in electroneuromyography


Subject(s)
Humans , Rehabilitation Centers , Guillain-Barre Syndrome/rehabilitation , Electromyography/instrumentation , Retrospective Studies , Longitudinal Studies , Observational Study
17.
Acta fisiátrica ; 24(1): 13-16, mar. 2017.
Article in English, Portuguese | LILACS (Americas) | ID: biblio-906642

ABSTRACT

O Acidente Vascular Encefálico (AVE) é o evento neurológico que mais acomete a sociedade nos últimos anos, gerando incapacidades na população e morte. Pode ser definido como um conjunto de afecções neurológicas de causa vascular com sintomatologia semelhante, mas com etiologias diferentes. Atualmente o Centro de Reabilitação Lucy Montoro de São José dos Campos é referência no tratamento de pacientes com lesões neurológicas do Vale do Paraíba. Objetivo: Realizar um levantamento epidemiológico do perfil dos pacientes acometidos pelo AVE na região e atendidos neste centro. Métodos: Foram analisados os prontuários dos pacientes recebidos neste centro entre setembro de 2011 e dezembro de 2014. Foram excluídos pacientes com hemiplegia causada por outras etiologias. Resultados: Dos 230 prontuários válidos para o estudo, 60% eram homens e o perfil sócio demográfico mostrou que destes, 76% tinham idade superior a 50 anos. Tratando-se do tipo de evento, o AVE isquêmico foi o mais prevalente em nossa amostra. Foi constatada equivalência de acometimento da amostra, hemicorpos direito e esquerdo acometidos igualmente, 46% e 8 % classificados em dupla hemiparesia, já o padrão motor predominante da amostra foi de paresia 87%. Conclusão: Foi verificado que a população atendida pelo Centro de Reabilitação Lucy Montoro de SJC é constituída por maioria de homens acima dos 50 anos de idade, acometidos pelo AVE isquêmico (direito ou esquerdo) e com padrão motor parético prevalente


Vascular Accident (CVA) is the neurological event that most affects society in recent years, causing disabilities in the population and death. It can be defined as a set of neurological disorders causing similar symptoms, but with different etiologies. Currently, Lucy Montoro Rehabilitation Center of São José dos Campos is a reference in the treatment of patients neurologically squealed. Thus, the aim of this study was to make an epidemiological survey of the profile of patients affected by CVA in this region and seen at this center. Methods: The records of patients received in this center between September 2011 and December 2014 were used during this research. Patients with hemiplegia caused by other etiologies were not analyzed. Results: Of the 230 valid records for the study, 60% were men and the socio-demographic profile showed that of these, 76% were older than 50 years. Considering the type of event, ischemic stroke was the most prevalent in our sample. It was found the same involvement of body parts affected, right and left 46% and 8% classified into double hemiparesis, since the prevailing motor pattern of the sample was paresis 87%. Conclusion: It was found that the population served by Lucy Montoro Rehabilitation Center of SJC consists most of men above 50 years of age affected by ischemic stroke (right or left) and prevalent paretic motor pattern


Subject(s)
Humans , Rehabilitation Centers , Health Profile , Stroke/epidemiology , Medical Records/statistics & numerical data
18.
Fisioter. Bras ; 18(2): f: 154-I: 164, 2017000.
Article in Portuguese | LILACS (Americas) | ID: biblio-884351

ABSTRACT

Introdução: Estamos vivendo na Era do Envelhecimento, e este processo de envelhecimento demográfico tem se apresentado com um grande número de indivíduos idosos que, apesar de viverem mais, apresentam dificuldade de realizar tarefas que fazem parte do cotidiano do ser humano e são indispensáveis para uma vida independente e com qualidade. Objetivo: O objetivo deste estudo foi traçar o perfil de atividade dos pacientes idosos que frequentam Centros de Reabilitação, no intuito de, posteriormente, contribuir para a prevenção e melhora das atividades funcionais dessa população. Métodos: Trata-se de uma pesquisa descritiva da qual fizeram parte 176 idosos, de ambos os sexos, que são pacientes de centros de reabilitação nos municípios de Diadema e São Bernardo do Campo, São Paulo. Resultados: Foram classificados, segundo o escore de atividade ajustado (EAA), 67 indivíduos como debilitados ou inativos, 88 moderadamente ativos e apenas 21 ativos. Conclusão: Nota-se a necessidade de mais investimento e incentivo na atividade física para os idosos nos centros de reabilitação, com foco na prevenção e não somente na assistência, o que se torna essencial para a promoção da saúde e qualidade de vida durante o processo de envelhecimento. (AU)


We live in the Age of Aging, with a large number of elderly who, despite living more, have difficulty in performing tasks that are part of human daily life and indispensable for autonomy and quality of life. The aim of this study was to trace the profile of activity of elderly patients attending rehabilitation centers, in order to subsequently contribute to the prevention and improvement of functional activities of this population. This is a descriptive study, with 176 elderly men and women who are patient in rehab centers in the cities of Diadema and São Bernardo do Campo, São Paulo, Brazil. According to the adjusted activity score (AAS), we classified 67 individuals as weak or inactive, 88 moderately active and only 21 active. It can be observed that the profile of the activity of these elderly is mostly moderately active and inactive, and knowing that physical activity is one way to improve the functional capacity and slow its decline, we see the importance of physical therapy intervention in the prevention and motivation to a more active lifestyle in this population. Therefore, there is a need for more investment and encouraging physical activity for older people in rehabilitation centers, focusing on prevention and not only in assistance, which is essential to promoting health and quality of life for the aging process.(AU)


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Aged , Exercise , Human Activities , Rehabilitation Centers
19.
Rio de Janeiro; s.n; 2017. 133 p.
Thesis in Portuguese | LILACS (Americas) | ID: biblio-983664

ABSTRACT

A presente pesquisa tem como objetivo analisar a produção de sentidos de sujeitos comtranstorno mental grave sobre os cuidados clínicos e/ou cirúrgicos recebidos por conta de seusprocessos de adoecimento. Para tanto, o estudo orientou-se pela abordagem clínica psicossociológica,tendo como ferramentas de pesquisa entrevistas em profundidade e observação participante,com uso do diário de campo. O campo selecionado foi um CAPS II do município doRio de Janeiro. Os resultados da investigação foram organizados em quatro eixos: produçõesde sentidos sobre o próprio adoecimento; sobre as produções de cuidado; sobre as relações comos profissionais do cuidado; e sobre os resultados das intervenções. As experiências singularesdos sujeitos da pesquisa apontam para conclusões de outras pesquisas sobre cuidado em saúde,que destacam que os usuários consideram que os cuidados são mais efetivos e satisfatóriosquando produzidos de forma mais dialógica, considerando as subjetividades de todos os atoresenvolvidos.


The present research aims to analyze the production of senses of subjects with severe men-tal disorder on the clinical and / or surgical care received due to their illness processes. For this, the study was oriented by the clinical psychosociological approach, having as research tools in-depth interviews and participative observation, using the field diary. The selected field was a CAPS II of the municipality of Rio de Janeiro. The results of the investigation were organized in four axes: productions of meanings about the own illness; on care productions; on relation-ships with care professionals; and on the results of the interventions. The unique experiences of the research subjects point to conclusions from other researches on health care, which point out that the users consider that care is more effective and satisfactory when produced in a more dialogical way, considering the subjectivities of all the actors involved.


Subject(s)
Humans , Delivery of Health Care , Mental Disorders , Mental Health Services , Mental Health , Rehabilitation Centers
20.
Article in English | WPRIM (Western Pacific) | ID: wprim-191584

ABSTRACT

OBJECTIVE: To determine the frequency and characteristics of vascular cognitive impairment (VCI) in patients with subacute stroke who underwent inpatient rehabilitation and to analyze whether cognitive function can predict functional assessments after rehabilitation. METHODS: We retrospectively reviewed the medical records of patients who were admitted to our rehabilitation center after experiencing a stroke between October 2014 and September 2015. We analyzed the data from 104 patients who completed neuropsychological assessments within 3 months after onset of a stroke. RESULTS: Cognitive impairment was present in 86 out of 104 patients (82.6%). The most common impairment was in visuospatial function (65, 62.5%) followed by executive function (63, 60.5%), memory (62, 59.6%), and language function (34, 32.6%). Patients with impairment in the visuospatial and executive domains had poor scores of functional assessments at both admission and discharge (p<0.05). A multivariate analysis revealed that age (β=−0.173) and the scores on the modified Rankin Scale (β=−0.178), Korean version of the Modified Barthel Index (K-MBI) (β=0.489) at admission, and Trail-Making Test A (TMT-A) (β=0.228) were related to the final K-MBI score at discharge (adjusted R²=0.646). CONCLUSION: In our study, VCI was highly prevalent in patients with stroke. TMT-A scores were highly predictive of their final K-MBI score. Collectively, our results suggest that post-stroke executive dysfunction is a significant and independent predictor of functional outcome.


Subject(s)
Cognition , Cognition Disorders , Executive Function , Humans , Inpatients , Medical Records , Memory , Multivariate Analysis , Neurobehavioral Manifestations , Rehabilitation Centers , Rehabilitation , Retrospective Studies , Stroke
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