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1.
Enferm. foco (Brasília) ; 11(2): 29-34, jul. 2020. graf, tab
Artigo em Português | LILACS (Américas), BDENF | ID: biblio-1104006

RESUMO

Objetivo: descrever a prevalência dos tipos de feridas com indicação para oxigenoterapia hiperbárica. Método: estudo transversal, quantitativo e retrospectivo. Foram analisados prontuários de pacientes atendidos no setor de medicina hiperbárica referentes ao período de janeiro a dezembro de 2015. Empregou-se estatística descritiva e analítica. Resultados: Nos 60 prontuários analisados foram prevalentes: idade entre 19-49 anos e 61-72 anos (ambas com 27,1%), sexo masculino (68,3%), Diabetes Mellitus (44,1%) e deiscência cirúrgica (20,3%). Pessoas com idade de 61-72 anos tiveram maior tempo de sessões (mediana = 40 sessões). A regressão por modelagem linear utilizando como preditor a variável tempo de tratamento pela doença, demonstrou significância estatística do tabagismo e doença hematológica. Discussão: Os achados corroboram com estudos sobre a ocorrência de feridas. Conclusão: O estudo de prevalência poderá contribuir para a elaboração de um plano de cuidados de enfermagem individualizado ao portador de feridas que realizam tratamento no setor de oxigenoterapia hiperbárica. (AU)


Objective: Describe the prevalence of types of wounds indicated for hyperbaric oxygen therapy. Method: cross-sectional, quantitative and retrospective study. Were analyzed medical records of patients seen in the hyperbaric medicine sector for the period from January to December 2015. Descriptive and analytical statistics were used. Results: In the 60 medical records analyzed, the following were prevalent: age between 19-49 years and 61-72 years (both with 27,1%), male (68,3%), Diabetes Mellitus (44,1%) and surgical dehiscence (20,3%). People aged 61-72 years had longer sessions (median = 40 sessions). Regression by linear modeling using the variable duration of treatment for the disease as a predictor, demonstrated statistical significance of smoking and hematological disease. The findings corroborate with studies on the occurrence of wounds. Conclusion: The prevalence study may contribute to the development of an individualized nursing care plan for patients with wounds undergoing treatment in the hyperbaric oxygen therapy sector. (AU)


Objetivo: describir la prevalencia de los tipos de heridas indicadas para la oxigenoterapia hiperbárica. Método: estudio transversal, cuantitativo y retrospectivo. Se analizaron los registros médicos de pacientes atendidos en el sector de la medicina hiperbárica para el período de enero a diciembre de 2015. Se utilizaron estadísticas descriptivas y analíticas. Resultados: en los 60 registros médicos analizados, prevalecieron los siguientes: edad entre 19-49 años y 61-72 años (ambos con 27.1%), hombres (68.3%), diabetes mellitus (44.1%) y dehiscencia quirúrgica ( 20,3%). Las personas de 61 a 72 años tuvieron sesiones más largas (mediana = 40 sesiones). La regresión por modelado lineal utilizando la duración variable del tratamiento de la enfermedad como predictor, demostró la importancia estadística del tabaquismo y la enfermedad hematológica. Los hallazgos corroboran con los estudios sobre la aparición de heridas. Conclusión: El estudio de prevalencia puede contribuir al desarrollo de un plan de atención de enfermería individualizado para pacientes con heridas que reciben tratamiento en el sector de oxigenoterapia hiperbárica. (AU)


Assuntos
Oxigenação Hiperbárica , Cicatrização , Ferimentos e Lesões , Prevalência , Enfermagem
2.
Int. j. morphol ; 38(3): 714-719, June 2020. tab, graf
Artigo em Inglês | LILACS (Américas) | ID: biblio-1098310

RESUMO

The morphological variations of the mental foramen (MF) and mandibular foramen (MBF) have been studied for several years, and the prevalence and morphometric characteristics of double and triple foramina have been reported. The objective of this study was to establish the prevalence of variations in the MF and MBF, and to carry out a morphometric analysis of a Chilean population using digital panoramic radiographs. The study included 927 radiographs; the observed prevalence of double MF was 2.58 %, while the prevalence of double MBF was 1.51 %. No cases of triple foramina were found. In men, double MF was found more frequently in the left hemiarch (64.28 % of cases), while in women it was more frequent in the right hemiarch (80 %). Double MBF was found more frequently in the right hemiarch in women (80 % of cases), while the distribution between left and right in men was even. The mean area, width and height of the double MF were 5.46 mm2, 2.77 mm and 2.57 mm respectively. The means of the same morphometric measurements in double MBF were 6.37 mm2, 2.27 mm and 3.19 mm respectively. In both foramina, statistically significant differences were only found between the height of the foramen and the age of the subjects, with the observation that the greater the subject's age, the smaller the height. Dental surgeons must take these anatomical variants into consideration in clinical and surgical actions; timely diagnosis by radiograph is important to avoid possible complications.


Las variaciones morfológicas del foramen mental (FM) y mandibular (FMB) han sido estudiadas durante varios años, reportándose su prevalencia y las características morfométricas de forámenes dobles y triples. El objetivo de este estudio fue establecer la prevalencia de variaciones de los FM y FMB y realizar un análisis morfométrico a través de radiografías panorámicas digitales de una muestra de población chilena. En el estudio se incluyeron 927 radiografías y se observó una prevalencia de FM doble de 2,58 %, mientras que la prevalencia de FMB doble fue de 1,51 %. No se encontraron casos de forámenes triples. En hombres, el FM doble se encontró mayoritariamente en la hemiarcada izquierda (64,28 % de los casos), mientras que en mujeres fue en la hemiarcada derecha (80% de los casos). Para el caso de los FMB dobles, en mujeres se presentó mayoritariamente en la hemiarcada derecha (80 % de los casos), mientras que en hombres fue equitativo en ambos lados. El promedio del área, ancho y alto de los FM dobles fue de 5,46 mm2, 2,77 mm y 2,57 mm, respectivamente. Asimismo, los promedios de estas medidas morfométricas para el FMB doble fueron 6,37 mm2, 2,27 mm y 3,19 mm, respectivamente. Para ambos forámenes sólo se encontraron diferencias estadísticamente significativas entre el alto y la edad de los sujetos, observando que, a mayor edad menor era el alto del foramen. Los cirujanos dentistas deben tener en consideración estas variantes anatómicas para la realización de distintas acciones clínicas y quirúrgicas, su diagnóstico radiográfico oportuno es importante para prevenir posibles complicaciones.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Variação Anatômica , Forame Mentual/anatomia & histologia , Forame Mentual/diagnóstico por imagem , Mandíbula/anatomia & histologia , Mandíbula/diagnóstico por imagem , Radiografia Panorâmica , Prevalência , Estudos Transversais , Distribuição por Idade e Sexo
3.
Int. j. morphol ; 38(3): 787-792, June 2020. tab, graf
Artigo em Espanhol | LILACS (Américas) | ID: biblio-1098320

RESUMO

El bazo se localiza en el cuadrante superior izquierdo del abdomen, relacionándose posteriormente con la 9a a 11a costilla, de las que se separa por el diafragma y el receso costodiafragmático, se localiza por detrás del estómago y lateralmente al riñón izquierdo. Por alteraciones en su desarrollo pueden generarse bazos accesorios (BA), considerándose un tejido ectópico del bazo. Se consideran tejido normal, con los mismos procesos fisiológicos que el bazo principal. Con el propósito de localizar y determinar aspectos biométricos de los mismos, se realizó un estudio de corte transversal y de carácter descriptivo, sobre una muestra de 220 exámenes de TC pertenecientes a pacientes mayores de 18 años del Hospital Regional Hernán Henríquez Aravena, Temuco, Chile. Para este estudio se excluyeron toda aquellas TC con antecedentes de esplenectomía y lesiones de Bazo o peri-esplénicas. El análisis de los datos mostró una prevalencia de 32,3 % de BA, pudiendo ser de una única presencia, dos e incluso tres BA por paciente.De un total de 71 personas que tienen al menos un BA, 34 (47,89 %) fueron de sexo femenino y 37 (52,11 %) de sexo masculino. Hubo 56 pacientes (78,9 %) con un BA, 29 (40,85 %) del sexo femenino y 27 (38,03 %) del masculino; 15 (21,1 %) presentaron más de un BA, 5 (7,04 %) de sexo femenino y 10 (14,08 %) de sexo masculino, si bien se puede observar variación en la cantidad de BA según sexo, no existe una relación estadísticamente significativa entre dichas variables. La ubicación más frecuente encontrada en el plano axial fue la zona antero-medial con 59 casos (66,29 %); asimismo, en el plano sagital, la localización más frecuente fue en el polo inferior con 40 casos (44,44 %). Datos biométricos de estos BA son mostrados en Tablas. Esta información será de gran valor morfológico y médico debido a la escasa literatura existente sobre esta materia en individuos chilenos.


The spleen is located in the upper left quadrant of the abdomen, subsequently related to the 9th to 11th rib, from which it is separated by the diaphragm and the cost-diaphragmatic recess, it is located behind the stomach and laterally to the left kidney. Due to alterations in its development, accessory spleens (AS) can be generated, being considered an ectopic tissue of the spleen. The AS are considered normal tissue, with the same physiological processes as the main spleen. With the purpose of locating and determining biometric aspects of them, a cross-sectional and descriptive study was carried out on a sample of 220 CT scans belonging to patients over 18 years of age at the Hernán Henríquez Aravena Regional Hospital, Temuco, Chile. For this study, all CT scans with a history of splenectomy and spleen or peri-splenic lesions were excluded. The analysis of the data showed a prevalence of 32.3 % of AS, being able to be of a single presence, two and even three AS per patient. Of a total of 71 people who have at least one AS, 34 (47.89 %) were female and 37 (52.11 %) male. There were 56 patients (78.9 %) with a one AS, 29 (40.85 %) of the female sex and 27 (38.03 %) of the male; 15 (21.1 %) presented more than one AS, 5 (7.04 %) female and 10 (14.08 %) male, although variation in the amount of AS according to sex can be observed, no there is a statistically significant relationship between these variables. The most frequent location found in the axial plane was the anteromedial zone with 59 cases (66.29 %); also, in the sagittal plane, the most frequent location was in the lower pole with 40 cases (44.44 %). Biometric data of these AS are shown in tables. This information will be of great morphological and medical value due to the limited existing literature on this subject in Chilean individuals.


Assuntos
Humanos , Masculino , Feminino , Adulto , Baço/anormalidades , Baço/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Baço/anatomia & histologia , Chile , Fatores Sexuais , Prevalência , Estudos Transversais
4.
Univ. salud ; 22(1): 52-57, ene.-abr. 2020. tab
Artigo em Espanhol | LILACS (Américas), COLNAL | ID: biblio-1094579

RESUMO

Introducción: La indicación de una endoscopia de vías digestivas altas (EVDA) en niños con dolor abdominal crónico (DAC) tiene poca evidencia; sin embargo, se continúa solicitando en niños con desórdenes gastrointestinales funcionales (DGFs). Objetivo: Determinar la prevalencia y posibles asociaciones de DGFs en escolares de una Unidad de Endoscopia Digestiva Pediátrica mediante los Criterios de Roma III. Materiales y métodos: Estudio de prevalencia en 37 escolares. Fueron consideradas variables sociodemográficas, antropométricas y clínicas. El análisis estadístico incluyó estimación de la proporción de niños con DGFs y su correspondiente IC95%, estimación de porcentajes, promedios, desviaciones estándar y rangos, análisis univariado, posible presencia de asociación entre las variables; prueba exacta de Fisher, a dos colas, con un valor de significancia p<0,05. Resultados: La edad media fue de 11,3±2,1 años, siendo un 62,2% mujeres, con una prevalencia de DGFs del 73%, presentando más de la mitad de ellos, dolor abdominal funcional (DAF) y síndrome de intestino irritable (SII). No hubo diferencias significativas en cuanto a las variables sociodemográficas, antropométricas y clínicas. Conclusiones: En niños a quienes se les realiza una EVDA dentro del estudio de su DAC, la prevalencia de DGFs es alta, siendo los más frecuentes el DAF y el SII.


Introduction: The indication of an upper digestive tract endoscopy (UDTE) in children with chronic abdominal pain (CAP) has little evidence. However, this test continues to be requested in children with functional gastrointestinal disorders (FGIDs). Objective: To determine the prevalence and possible associations of FGIDs in children of a Pediatric Digestive Endoscopy Unit using the Rome III Criteria. Materials and methods: A prevalence study of 37 schoolchildren. Sociodemographic, anthropometric and clinical variables were assessed. The statistical analysis included estimation of the proportion of children with FGIDs and its corresponding 95% CI. Other assessments included estimation of percentages, averages, standard deviations, ranges, univariate analysis, possible occurrence of associations between the variable, and a two-tailed Fisher's exact test with a significance set at p<0.05. Results: The mean age of child participants was 11.3±2.1 years and 62.2% of them were female. The prevalence of FGIDs was 73%, more than half of them presenting functional abdominal pain (FAP) and irritable bowel syndrome (IBS). There were no significant differences in terms of sociodemographic, anthropometric and clinical variables. Conclusions: The prevalence of FGIDs is high in children with CAP who undergo UDTE as part of the study of this disorder, being FAP and IBS the most frequent.


Assuntos
Criança , Adolescente , Gastroenteropatias , Dor Abdominal , Criança , Prevalência , Endoscopia
5.
Univ. salud ; 22(1): 58-69, ene.-abr. 2020.
Artigo em Espanhol | LILACS (Américas), COLNAL | ID: biblio-1094580

RESUMO

Introducción: Los adolescentes experimentan cambios físicos y psicosociales que los hacen vulnerables a múltiples comportamientos de riesgo, evidenciando la necesidad de generar políticas de prevención. Objetivo: Identificar los principales comportamientos de riesgo de los adolescentes, su prevalencia, factores predisponentes; así como las guías y escalas validadas que existen para su detección. Materiales y métodos: Se realizó una búsqueda bibliográfica en diferentes bases de datos y páginas oficiales de las principales organizaciones de salud. Se seleccionaron 45 artículos completos en español e inglés, publicados entre los años 2003 y 2017. Resultados: Se agruparon los comportamientos de riesgo en cinco dominios de los cuales se identificó su prevalencia se describieron las guías y escalas validadas existentes para su detección. Conclusiones: Al identificar los comportamientos de riesgo en los adolescentes se disminuye su morbimortalidad si se intervienen de forma precoz. Se recomienda a los profesionales de salud utilizar las mejores herramientas de tamizaje disponibles, que evalúan de manera rápida y simultánea múltiples comportamientos tales como las guías: Education/employment, peer Activities, Drugs, Sexuality and Suicide/depression, Rapid Assessment for Adolescent Preventive Services, Global school-based student health survey, de fácil aplicación en atención primaria y permiten realizar un adecuado abordaje y manejo de esta población.


Introduction: Adolescents experience physical and psychosocial changes that make them vulnerable to multiple risk behaviors, highlighting the need to generate prevention policies. Objective: To identify main risk behaviors of adolescents and their prevalence, as well as the validated guides and scales for their detection. Materials and methods: A bibliographic search was carried out in different databases and official pages of main health organizations. 45 complete articles published in Spanish and English from 2013 to 2017 were selected. Results: Risk behaviors were grouped into five domains, identifying their prevalence and describing the validated guides and scales that exist for their detection. Conclusions: The identification of risk behaviors and early intervention in adolescents decrease their morbidity and mortality. It is recommended that health professionals use the best available screening tools such as Home/environment, Education/employment, peer Activities, Drugs, Sexuality and Suicide/depression (HEADDS); Rapid Assessment for Adolescent Preventive Services (RAAPS); and Global school-based student health survey (GSHS). These guides quickly and simultaneously assess multiple behaviors, are easily applied in primary care, and facilitate the approach and management of this population.


Assuntos
Adolescente , Comportamentos de Risco à Saúde , Comportamento , Prevalência , Medição de Risco , Fatores de Proteção
6.
Rev. Univ. Ind. Santander, Salud ; 52(1): 21-31, ene.-mar. 2020. tab
Artigo em Espanhol | LILACS (Américas) | ID: biblio-1092270

RESUMO

Resumen Introducción: Colombia experimenta una transición alimentaria sumada a la nutricional. Objetivo: Establecer en Colombia para el período 2010-2015 la prevalencia y la frecuencia/día del consumo usual de 28 alimentos y dos prácticas de interés para la nutrición pública. Además, establecer las diferencias en la prevalencia y frecuencia/día entre años. Metodología: Estudio analítico en población entre 5 y 64 años, con datos de corte transversal recolectados en las dos últimas Encuestas Nacionales de Situación Nutricional en Colombia, ENSIN-2010 y 2015. Los datos de consumo fueron los obtenidos a través de un Cuestionario de Frecuencia de Consumo. A través de modelos de regresión lineal se estimaron las diferencias crudas y ajustadas para la prevalencia y la frecuencia/día del consumo usual de 28 alimentos y dos prácticas asociadas. Resultados: En el período 2010-2015, en los niños, la prevalencia de consumo de leche, carne, atún, vísceras, leguminosas, pan, tubérculos, azúcar, gaseosas y alimentos fritos disminuyó, al igual que la de verduras y frutas. En los adultos, la prevalencia de leche, carne, atún, vísceras, pan, tubérculos, azúcar, alimentos fritos y alimentos light disminuyó, al igual que la de verduras y frutas. En niños y adultos la prevalencia de consumo de alimentos de paquete aumentó, pero su frecuencia/día disminuyó. La prevalencia de uso del salero disminuyó en niños y adultos, pero su frecuencia/día aumentó. Discusión: El cambio alimentario establecido es similar en niños y adultos confirmando que la cultura alimentaria se hereda socialmente y se transmite de manera vertical entre padres e hijos. Conclusiones: Colombia experimenta una transición alimentaria. Se requiere política pública para orientar el consumo.


Abstract Introduction: Colombia experiences a food transition coupled with nutritional transition. Objective: Establish in Colombia for the period 2010-2015 the prevalence and frequency/day of the usual consumption of 28 foods and two practices of interest for public nutrition. Also, establish differences in prevalence and frequency/day between years. Methodology: Analytical study in population between 5 and 64 years, with cross-sectional data collected in the last two National Surveys of Nutritional Situation in Colombia, ENSIN-2010 and 2015. The consumption data were obtained through a Food Frequency Questionnaire. Through linear regression models, raw and adjusted differences were estimated for the prevalence and frequency/day of usual consumption of 28 foods and two associated practices. Results: In the 2010-2015 period, in children, the prevalence of consumption of milk, meat, tuna, viscera, legumes, bread, tubers, sugar, soft drinks, and fried foods decreased, as did those of vegetables and fruits. In adults, the prevalence of milk, meat, tuna, offal, bread, tubers, sugar, fried foods, and light foods decreased, as did those of vegetables and fruits. In children and adults, the prevalence of packaged food consumption increased, but its frequency/day decreased. The prevalence of saltshaker use decreased in children and adults, but its frequency/day increased. Conclusions: The established dietary change is similar in children and adults confirming that the food culture is inherited socially and transmitted vertically between parents and children. Colombia experiences a food transition. Public policy is required to guide food consumption.


Assuntos
Humanos , Inquéritos Nutricionais , Política Pública , Criança , Prevalência , Colômbia , Adulto , Dieta , Ingestão de Alimentos , Obesidade
7.
Int. arch. otorhinolaryngol. (Impr.) ; 24(1): 31-37, Jan.-Mar. 2020. tab, graf
Artigo em Inglês | LILACS (Américas) | ID: biblio-1090554

RESUMO

Abstract Introduction Diseases of the salivary glands are rare in children and adolescents, with the exception of viral-induced infections. Objective To determine the clinical course of the disease, the diagnostic procedures, the treatment and the outcome of all children and adolescents affected with salivary gland diseases at our clinic over a period of 15 years. Methods A retrospective chart review including a long-term follow-up was conducted among 146 children and adolescents treated for salivary gland disorders from 2002 to 2016. Results Diagnosing acute sialadenitis was easily managed by all doctors regardless of their specialty. The diagnosis of sialolithiasis was rapidly made only by otorhinolar- yngologists, whereas diagnosing juvenile recurrent parotitis imposed difficulties to doctors of all specialties - resulting in a significant delay between the first occurrence of symptoms and the correct diagnosis. The severity-adjusted treatment yielded improve- ments in all cases, and a full recovery of 75% of the cases of sialolithiasis, 73% of the cases of juvenile recurrent parotitis, and 100% of the cases of acute sialadenitis. Conclusions Due to their low prevalence and the lack of pathognomonic symptoms, salivary gland diseases in children and adolescents are often misdiagnosed, resulting in an unneces- sarily long period of suffering despite a favorable outcome following the correct treatment.


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Doenças das Glândulas Salivares/diagnóstico , Doenças das Glândulas Salivares/patologia , Doenças das Glândulas Salivares/terapia , Doenças das Glândulas Salivares/epidemiologia , Parotidite/epidemiologia , Sialadenite/epidemiologia , Espectroscopia de Ressonância Magnética , Cálculos das Glândulas Salivares/epidemiologia , Tomografia Computadorizada por Raios X , Registros Médicos , Incidência , Prevalência , Estudos Retrospectivos , Estudos Longitudinais , Ultrassonografia , Biópsia por Agulha Fina , Alemanha
8.
Int. arch. otorhinolaryngol. (Impr.) ; 24(1): 93-98, Jan.-Mar. 2020. tab
Artigo em Inglês | LILACS (Américas) | ID: biblio-1090556

RESUMO

Abstract Introduction Hearing is important for the proper development of every child, especially for those younger than 5 years of age, because it helps in the development of language and speech. Emotional and social problems, as well as issues with academic performance, can result from hearing loss even of mild degree. Early diagnosis and management can overcome those negative impacts. Objective To determine the prevalence of mild hearing loss in primary-school children and its association with their school performance. Methods A comparative cross-sectional study was conducted at a regular school. The study included the random selection of 120 apparently normal students (aged 6-9 years) who were considered as having normal hearing by their parents. A total of 20 students were excluded from the study due to the presence of wax in their ears. Finally, the study was conducted with 100 students. All participants were subjected to a basic audiological evaluation, and the Screening Instrument for Targeting Educational Risk (SIFTER) question- naire was given to their teachers to evaluate their school performance. Results From a total of 100 students, we confirmed that 23 (23%) had mild hearing loss, 17 (17%) had bilateral conductive hearing loss, and 6 (6%) had bilateral sensorineural hearing loss. The students who had low attention and communication performance were significantly associated with mild hearing loss. Conclusion The prevalence of mild hearing loss was of 23% (23 cases). This problem had an effect on the communication and attention in school; and it might affect academic performance later in life. A hearing assessment is highly recommended for every child, especially those who have a low rate of academic performance.


Assuntos
Humanos , Masculino , Feminino , Criança , Desempenho Acadêmico , Perda Auditiva/epidemiologia , Audiometria de Tons Puros , Testes de Impedância Acústica , Prevalência , Estudos Transversais , Inquéritos e Questionários , Ensino Fundamental e Médio , Otopatias/diagnóstico , Egito , Anamnese
9.
Rev. argent. coloproctología ; 31(1): 8-20, mar. 2020. tab
Artigo em Espanhol | LILACS (Américas) | ID: biblio-1102158

RESUMO

Introducción: La región perianal es un área muy rica en terminaciones nerviosas sensitivas, hecho que determina que el erotismo anal sea frecuente, independientemente de la identidad y orientación sexuales. Pese a ello, el impacto del sexo anal receptivo (SAR) en la salud anal ha sido poco estudiado. Algunas personas experimentan dolor durante las relaciones sexuales anorreceptivas. Los objetivos del presente trabajo fueron evaluar su prevalencia en una muestra del colectivo de hombres que tienen sexo con hombres (HSH) residentes en la Argentina, e identificar potenciales factores asociados a su aparición.Diseño: Estudio descriptivo, transversal.Población y método: Se diseñó una encuesta que incluyó variables demográficas y factores relacionados con el SAR. Fue respondida de forma voluntaria y anónima por Internet entre marzo de 2015 y febrero de 2016. Se incluyeron HSH mayores de 18 años residentes en la Argentina, que hubieran practicado SAR durante las últimas cuatro semanas. Se realizaron análisis estadísticos bivariados y multivariados en modelos de regresión logística. Resultados: Respondieron la encuesta 208 HSH. Se seleccionaron para el análisis 135 (64,9%) que acreditaron haber mantenido SAR en las últimas cuatro semanas. El 76,3% pertenecía a la Ciudad Autónoma de Buenos Aires y Provincia de Buenos Aires. El 92,6% tenía estudios superiores. El 88,9% manifestó experimentar algún nivel de dolor durante el SAR, siendo grave en el 5,5% de los casos. En el análisis bivariado se identificaron como variables asociadas al desarrollo de dolor: "edad", "edad de inicio de las relaciones sexuales en general", "miedo a sufrir dolor", "fisting" y "miedo al ensuciamiento". En el modelo multivariado surgieron como potenciales factores de riesgo, "edad de salida del placard", "miedo a sufrir dolor" y "uso de poppers". Como posibles factores protectores, "fisting", "edad al momento del estudio" y "edad de inicio de relaciones con otros hombres". Conclusiones: Este estudio se focalizó en la anodispareunia experimentada específicamente por el colectivo homosexual masculino en Argentina. El 88,8% experimentó algún nivel de dolor, siendo grave en el 5,5%. Como en otros estudios, en éste se identificaron posibles factores predisponentes, algunos modificables y otros no. Un mayor conocimiento de los potenciales factores influyentes permitirá un mejor asesoramiento de los profesionales sanitarios a la población afectada sobre prevención del dolor en particular y sobre el erotismo anal en general. (AU)


Introduction: The perianal region is very rich in sensory nerve endings, which determines that anal erotism is frequent, regardless of sexual identity and sexual orientation. Despite this, the impact of receptive anal sex (RAS) on anal health has been little studied. Some people experience pain during anoreceptive sex. The objectives of this study were to evaluate its prevalence in a sample of men who have sex with men (MSM) resident in Argentina and identify potential factors associated with its appearance.Design: Descriptive, transversal study.Population and method: A voluntary and anonymous survey was designed. It included demographic variables and factors related to RAS. It was answered on the Internet between March 2015 and February 2016. MSM over 18 years of age resident in Argentina, who had practiced RAS during the last four weeks, were included. Bivariate and multivariate statistical analyzes were performed in logistic regression models.Results: Two hundred and eight MSM answered the survey. One hundred and thirty-five (64.9%) who had maintained RAS in the last four weeks were selected for the analysis. 76.3% belonged to the Ciudad Autónoma de Buenos Aires and the Buenos Aires Province. 92.6% had higher education. 88.9% reported that they experienced some level of pain during RAS, being severe in 5.5% of cases. In the bivariate analysis were identified as variables associated with the development of pain: "age", "age of onset of sexual relations in general", "fear of suffering pain", "fisting" and "fear of getting dirty". In the multivariate model, the "age of coming out", the "fear of suffering pain" and the "use of poppers" appeared as possible risk factors. As possible protective factors, "fisting", "outing age", "age" and "age when starting relationships with other men". Conclusions: This study focused on the anodyspareunia experienced specifically by the male homosexual group in Argentina. 88.9% experienced some level of pain, being severe in 5.5%. As in other studies, possible predisposing factors have been identified in this one; some modifiable and others not. A greater knowledge of the potential influential factors will allow a better advice of health professionals to the affected population on pain prevention and on anal erotism in general. (AU)


Assuntos
Humanos , Masculino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Doenças do Ânus/epidemiologia , Medição da Dor/estatística & dados numéricos , Homossexualidade Masculina/estatística & dados numéricos , Dispareunia/epidemiologia , Argentina , População , Comportamento Sexual/estatística & dados numéricos , Epidemiologia Descritiva , Prevalência , Análise de Variância
10.
Arch. argent. pediatr ; 118(1): 38-43, 2020-02-00. tab
Artigo em Inglês, Espanhol | LILACS (Américas), BINACIS | ID: biblio-1095346

RESUMO

Introducción. El asma es una enfermedad inflamatoria crónica con alta prevalencia en pacientes pediátricos. Existen resultados contradictorios respecto al efecto de esta enfermedad en los índices de caries dental. El objetivo del estudio fue determinar la prevalencia de caries dental en pacientes pediátricos asmáticos con medicación inhalatoria. Población y métodos. Estudio de casos y controles cuya muestra estuvo conformada por pacientes pediátricos que acudieron al Centro Médico Naval "Cirujano Mayor Santiago Távara" de diciembre de 2014 a marzo de 2015. Se dividieron en dos grupos: el primero (casos), integrado por pacientes asmáticos que utilizaban inhaladores en su tratamiento; el segundo (controles), por pacientes sanos del mismo nosocomio. Se realizó una evaluación médica para determinar tipo, tiempo y frecuencia del tratamiento y un examen oral para determinar la prevalencia de caries dental y el índice de dientes cariados, perdidos y obturados (CPOD). Resultados. Se encontró que la prevalencia de caries dental en el grupo control fue del 34,2 %, mientras, en el grupo casos, fue del 28,3 % (p = 0,094). Con respecto al índice de caries dental, el grupo control presentó CPOD de 4,73 ± 0,32, y el grupo casos, de 3,98 ± 0,31 (p = 0,08). Sin embargo, se evidenció que, a mayor tiempo de tratamiento con los inhaladores, el índice CPOD aumentaba significativamente (p = 0,04).Conclusiones. La medicación inhalatoria no incrementa la prevalencia de caries dental en pacientes pediátricos asmáticos. Sin embargo, existe una relación directa entre la duración del tratamiento y la prevalencia de caries dental


Introduction. Asthma is a chronic inflammatory disease that is highly prevalent among pediatric patients. The results about the effect of asthma on the rate of dental caries are contradictory. The objective of this study was to determine the prevalence of dental caries in asthma pediatric patients using inhaled drugs. Population and methods. Case-control study in a sample made up of pediatric patients who attended Centro Médico Naval "Cirujano Mayor Santiago Távara" between December 2014 and March 2015. Patients were divided into two groups: group A (cases) included asthma patients using inhalers as part of their treatment; group B (controls), healthy subjects who attended the same facility. A medical examination was done to determine the type, time, and frequency of treatment and an oral exam, to establish the prevalence of dental caries and the decayed, missing, and filled teeth (DMFT) index. Results. The prevalence of dental caries was 34.2 % in the control group and 28.3 % in the case group (p = 0.094). In relation to the rate of dental caries, the DMFT index in the control group was 4.73 ± 0.32, and 3.98 ± 0.31 in the case group (p = 0.08). However, it was evidenced that a longer duration of inhaler use led to a significantly higher DMFT index (p = 0.04).Conclusions. Inhaled drugs do not increase the prevalence of dental caries in asthma pediatric patients. However, there is a direct relationship between treatment duration and the prevalence of dental caries.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Asma/tratamento farmacológico , Suscetibilidade à Cárie Dentária , Inaladores Dosimetrados , Inaladores de Pó Seco , Broncodilatadores/administração & dosagem , Estudos de Casos e Controles , Epidemiologia Descritiva , Prevalência , Perda de Dente , Corticosteroides/administração & dosagem , Assistência Odontológica para Crianças
11.
Arch. argent. pediatr ; 118(1): e1-e7, 2020-02-00. tab, ilus
Artigo em Inglês, Espanhol | LILACS (Américas), BINACIS | ID: biblio-1095407

RESUMO

Introducción: Los niños con síndrome de Down presentan mayor prevalencia de alteraciones de la capacidad auditiva, secundaria a variaciones anatómicas y fisiológicas. En Colombia, no se realiza tamizaje auditivo universal, y no hay datos sobre la prevalencia de hipoacusia en esta población. El propósito de este estudio fue determinar la frecuencia y tipo de estas alteraciones en nuestra población por medio de evaluación audiológica.Pacientes y métodos: Se realizó un estudio de corte trasversal en dos instituciones especializadas en el acompañamiento y terapia de familias de niños con síndrome de Down en Bogotá D. C., Colombia. Entre octubre de 2017 y septiembre de 2018, se realizó audiometría comportamental y/o tonal e impedanciometría en 40 y en 37 niños respectivamente. Los sujetos asistían a las instituciones dos veces por semana y estaban integrados en diferentes grados escolares hasta quinto de primaria. Se estimó la prevalencia y se describieron las características, antecedentes clínicos e hitos del desarrollo del lenguaje. Resultados: Se obtuvo una muestra de 40 niños (22 mujeres) con edades entre 6 y 18 años (media: 11,23). Se encontró antecedente de otitis en 19 sujetos e hipoacusia de leve a moderada en 17 niños, predominantemente, conductiva. Hubo retraso en hitos del desarrollo del lenguaje, en apariencia, no asociado a hipoacusia.Conclusiones: En una muestra de niños con síndrome de Down en Bogotá, se encontró una alta prevalencia de hipoacusia, consistente con resultados de estudios previos. Estos datos resaltan la necesidad de un control estricto de la capacidad auditiva basado en parámetros y guías estandarizadas.


Introduction: Children with Down syndrome have a higher prevalence of hearing disorders, secondary to anatomical and physiological variations. No universal hearing screening is implemented in Colombia, so there are no data available on the prevalence of hearing loss in this population. The objective of this study was to determine the frequency and type of such disorders in this population based on hearing tests.Patients and methods: This was a cross-sectional study conducted at two institutions specialized in accompanying and supporting the families of children with Down syndrome in Bogotá, D.C., Colombia. Between October 2017 and September 2018, a behavioral and/or pure-tone audiometry and an impedance audiometry were done in 40 and 37 children respectively. Subjects attended the institutions twice a week and were integrated at school, up to fifth grade. Prevalence was estimated and characteristics, clinical history, and language developmental milestones were described.Results: The sample was made up of 40 children (22 girls) aged 6-18 years (mean: 11.23). A history of otitis was found in 19 children and of mild to moderate hearing loss, in 17, predominately conductive. A delay in language developmental milestones was observed, apparently not associated with hearing loss. Conclusions: A sample of children with Down syndrome from Bogotá showed a high prevalence of hearing loss, consistent with the results of previous studies. These data stress the need for a strict control of hearing status based on standardized parameters and guidelines.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Síndrome de Down , Perda Auditiva/diagnóstico , Audiometria , Prevalência , Estudos Transversais , Colômbia/epidemiologia , Perda Auditiva Condutiva/diagnóstico
12.
Arch. Clin. Psychiatry (Impr.) ; 47(1): 13-18, Jan.-Feb. 2020. tab
Artigo em Inglês | LILACS (Américas) | ID: biblio-1088744

RESUMO

Abstract Background A coalmine disaster has occurred in Turkey on 13 May 2014, which caused the death of 301 miners. Objective This study aimed to determine the prevalence of posttraumatic stress disorder (PTSD) symptoms and the risk factors for PTSD among mine workers, 2 years after the coalmining disaster. Methods This was a cross-sectional survey conducted between June 2016 and July 2016 among mine workers who were the employees of either the mine where the accident occurred or three other mines in the same area. Sociodemographic data form and PTSD Symptom-Scale Self-Report (PSS-SR) were used to collect data. Results 672 mine workers participated in the study. At the time of the accident, 23.7% (n = 159) of them were in the mine where the accident occurred. The mean score on total PSS-SR was 4.27 (SD: ±4.49). Eighteen (2.7%) participants screened positive for PTSD. Logistic regression analysis revealed the significant risk factors for PTSD are: being single/divorced/widowed, having a chronic disease, having a family history of psychiatric illness and previously experiencing traumatic events more than one. Discussion Coalmining workers have considerably high prevalence rate of PTSD symptoms after a coalmining disaster. Assessing PTSD and associated risks is important for preventive mental health services.


Assuntos
Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Acidentes de Trabalho , Minas de Carvão , Mineradores/psicologia , Atenção Primária à Saúde , Sinais e Sintomas , Transtornos de Estresse Pós-Traumáticos/prevenção & controle , Turquia , Riscos Ocupacionais , Saúde Mental , Epidemiologia Descritiva , Prevalência , Estudos Transversais , Fatores de Risco , Saúde do Trabalhador
13.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 42(1): 63-67, Jan.-Feb. 2020. tab
Artigo em Inglês | LILACS (Américas) | ID: biblio-1055364

RESUMO

Objective: To determine whether people with a Sardinian genetic background who live in the megacities of South America have a higher frequency of hypomania than residents of Sardinia. Methods: A community survey of Sardinian immigrants was carried out in four Brazilian metropoles (n=218) and Buenos Aires (n=306). The results were compared with those of a study involving a similar methodology (Mood Disorder Questionnaire [MDQ] as a screening tool) conducted in seven Italian regions, including a sub-sample from Sardinia. Results: There was a higher prevalence of lifetime hypomania among Sardinians living in the Brazilian metropoles than among those living in Sardinia. This result was also consistent with Sardinian immigrants in Buenos Aires. After stratification by sex and age, the lifetime prevalence of MDQ scores ≥ 8 among Sardinians in South-American megacities and Sardinia was 8.6% vs. 2.9%, respectively (p < 0.0001). Conclusions: The higher frequency of hypomania in migrant populations appears to favor an evolutionary view in which mood disorders may be a maladaptive aspect of a genetic background with adaptive characteristics.


Assuntos
Humanos , Masculino , Feminino , Adulto , Migrantes/psicologia , Transtorno Bipolar/epidemiologia , Argentina/epidemiologia , Brasil/epidemiologia , Comparação Transcultural , Prevalência , Inquéritos e Questionários , Fatores de Risco , Cidades/epidemiologia , Distribuição por Sexo , Distribuição por Idade , Itália/etnologia
14.
Fisioter. Pesqui. (Online) ; 27(1): 28-33, jan.-mar. 2020. tab
Artigo em Português | LILACS (Américas) | ID: biblio-1090415

RESUMO

RESUMO O objetivo deste artigo é avaliar o índice de função sexual de mulheres submetidas à histerectomia total com ooforectomia bilateral (HT-OB), a prevalência de incontinência urinária por esforço (IUE) e sua associação com a realização desse procedimento cirúrgico em um hospital de referência em Belém (PA). Foram incluídas 162 mulheres, com vida sexual ativa, alocadas em dois grupos: aquelas que realizaram HT-OB em período superior a 12 meses (n=68), e aquelas que não realizaram (n=94). Utilizou-se o questionário female sexual function index (FSFI) para avaliação da função sexual, e um questionário desenvolvido pelos pesquisadores para coletar dados sociais, econômicos e clínicos, incluindo informações quanto à presença de IUE. O valor de significância foi definido como p<0,05. Houve diferença significativa no índice de função sexual entre o grupo HT-OB e o grupo-controle, com escore geral do FSFI de 23,56 e 28,68, respectivamente (p=0,0001). Os domínios desejo, excitação, lubrificação (p<0,0001), orgasmo (p=0,04), satisfação (p=0,0006) e dor (p=0,015) apresentaram escores inferiores em mulheres histerectomizadas. A prevalência de sintomas de IUE no grupo HT-OB foi de 35,3%, sendo observada associação significativa entre a presença desses sintomas e a realização da histerectomia (p=0,02). Mulheres que realizam HT-OB têm maior risco de disfunção sexual, e este procedimento cirúrgico é associado ao desenvolvimento de IUE.


RESUMEN El presente artículo tuvo el objetivo de evaluar el índice de función sexual de mujeres sometidas a histerectomía total con ooforectomía bilateral (HT-OB), la prevalencia de incontinencia urinaria de esfuerzo (IUE) y su asociación con la realización de este procedimiento quirúrgico en un hospital de referencia en Belém (Brasil). Se incluyeron a 162 mujeres con vida sexual activa, que fueron divididas en dos grupos: las que se sometieron a HT-OB durante el período superior a 12 meses (n=68) y las que no lo había hecho (n=94). Se les aplicaron el cuestionario female sexual function index (FSFI), para evaluar la función sexual, y un cuestionario desarrollado por investigadores para recopilar datos sociales, económicos y clínicos, con informaciones en cuanto a la presencia de IUE. El valor de significación fue de p<0,05. Hubo una diferencia significativa en el índice de función sexual entre el grupo HT-OB y el grupo control, con un puntaje general de FSFI de 23,56 y 28,68, respectivamente (p=0,0001). Los dominios deseo, excitación, lubricación (p<0,0001), orgasmo (p=0,04), satisfacción (p=0,0006) y dolor (p=0,015) tuvieron puntajes más bajos en mujeres histerectomizadas. La prevalencia de síntomas de IUE fue del 35,3% en el grupo HT-OB, además se observó una asociación significativa entre la presencia de estos síntomas y la realización de la histerectomía (p=0,02). Las mujeres que se someten a HT-OB tienen un mayor riesgo de disfunción sexual, y este procedimiento quirúrgico está asociado al desarrollo de IUE.


ABSTRACT The objective of this article was to evaluate the sexual function index of women submitted to total hysterectomy with bilateral oophorectomy (THBO), the prevalence of urinary incontinence (SUI) and its association with the performance of this surgical procedure in a reference hospital in Belém, Pará. One hundred sixty-two women with active sexual life were included in two groups: those who have undergone THBO for more than 12 months (n=68), and those who have not (n=94). The Female Sexual Function Index (FSFI) questionnaire was used to evaluate sexual function along with a questionnaire developed by the researchers to collect social, economic and clinical data, including information on the presence of SUI. The significance level was defined as p<0.05. There was a significant difference in the sexual function index between THBO group and the control group, with an FSFI overall score of 23.56 and 28.68, respectively (p=0.0001). Desire, arousal, lubrication (p<0.0001), orgasm (p=0.04), satisfaction (p=0.0006) and pain (p=0.015) domains had lower scores in hysterectomized women. The prevalence of SUI symptoms in THBO group was 35.3%, and a significant association was observed between the presence of SUI and hysterectomy (p=0.02). Women who undergo THBO have a higher risk of sexual dysfunction, and this surgical procedure is associated with the development of SUI.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Disfunções Sexuais Fisiológicas/etiologia , Incontinência Urinária/etiologia , Histerectomia/efeitos adversos , Histerectomia/métodos , Complicações Pós-Operatórias , Qualidade de Vida , Incontinência Urinária/epidemiologia , Prevalência , Inquéritos e Questionários , Sexualidade , Estudo de Avaliação
15.
Fisioter. Pesqui. (Online) ; 27(1): 85-92, jan.-mar. 2020. tab, graf
Artigo em Português | LILACS (Américas) | ID: biblio-1090410

RESUMO

RESUMO O objetivo foi estimar a prevalência de incapacidade para realizar tarefas de vida diária e identificar associação com dor e fatores sociodemográficos. Trata-se de um estudo transversal, com amostra de conveniência, composta por indivíduos que buscaram ativamente assistência à saúde em um município de pequeno porte com queixas de dor musculoesquelética e dificuldades na realização de atividades de vida diária. Compuseram a amostra 766 indivíduos. Foram aplicados questionários para avaliar o grau de dificuldade de realização de atividades de vida diária e dor (Questionário Nórdico de Queixas Musculoesqueléticas e Escala Numérica de Dor). Foram estimadas as prevalências de incapacidade e dor, bem como foram construídos cinco modelos de regressão logística para incapacidade considerando sexo, idade, ocupação e presença e características da dor. Os dados encontrados mostraram que a prevalência de alguma dificuldade para realizar atividades de vida diária foi de 87,6%, de muita dificuldade 66,1%; a de dor musculoesquelética foi de 67,5%. Os indivíduos apresentaram incapacidade para realização de 3,6 atividades de vida diária em média. A dor foi o principal fator de associação para explicá-la (OR 9,9; IC95% 5,9-16,5), seguida da idade. A dificuldade na execução de atividades de vida diária foi associada à dor em membros inferiores, com frequência maior que quatro dias na semana, início há mais de cinco anos e intensidade forte ou insuportável nos episódios de crise. As prevalências de incapacidade e dores foram altas. A dor musculoesquelética e a idade impactaram na incapacidade funcional. Este estudo contribui para direcionar a construção de ações de cuidado que visem minimizar e prevenir dificuldades para realizar tarefas do dia a dia.


RESUMEN El objetivo fue estimar la prevalencia de incapacidad para realizar tareas de la vida diaria e identificar una asociación con el dolor y los factores sociodemográficos. Este es un estudio transversal, con una muestra de conveniencia compuesta de individuos que buscaron activamente asistencia médica en un municipio de pequeño porte, quejándose de dolor musculoesquelético y dificultades para llevar a cabo actividades de la vida diaria. La muestra comprendió 766 individuos. Se aplicaron cuestionarios para evaluar el grado de dificultad en la realización de actividades de la vida diaria y el dolor (Cuestionario nórdico musculoesquelético y Escala numérica del dolor). Se estimaron las prevalencias de incapacidad y dolor, así como se construyeron cinco modelos de regresión logística para la incapacidad considerando el sexo, la edad, la ocupación y la presencia y características del dolor. Los hallazgos evidenciaron el 87,6% de prevalencia de alguna dificultad, el 66,1% de mucha dificultad en la realización de actividades de la vida diaria; y el 67,5% de prevalencia de dolor musculoesquelético. Los individuos tuvieron incapacidad en la realización de 3,6 actividades como promedio en la vida diaria. El dolor fue el principal factor asociado para explicarla (OR 9,9; IC95% 5,9-16,5), seguido de la edad. La dificultad para realizar actividades de la vida diaria se asoció con el dolor en los miembros inferiores, con una frecuencia superior a cuatro días a la semana, que había comenzado hace más de cinco años, y de intensidad fuerte o insoportable en los episodios de crisis. Fueron altas las prevalencias de incapacidad y dolor. El dolor musculoesquelético y la edad influyen en la incapacidad funcional. Este estudio puede orientar la elaboración de acciones de cuidado con el fin de minimizar y prevenir dificultades en la realización de tareas diarias.


ABSTRACT The objective is to estimate the prevalence of incapacity to perform tasks of daily living and to identify its association with pain and sociodemographic factors. This is a cross-sectional study, with a convenience sample, composed of individuals who actively sought healthcare in a small city with complaints of musculoskeletal pain and difficulties in carrying out activities of daily living. The sample comprised 766 individuals. Questionnaires were applied to assess the degree of difficulty in performing activities of daily living and pain (Nordic Musculoskeletal Complaints Questionnaire and Numerical Pain Scale). The prevalence of disability and pain was estimated, as well as five logistic regression models for disability were constructed considering sex, age, occupation and presence and characteristics of pain. The data found showed that the prevalence of some difficulty in performing activities of daily living was 87.6%, with a lot of difficulty 66.1%; musculoskeletal pain was 67.5%. The individuals were unable to perform 3.6 activities of daily living on average. Pain was the main association factor to explain it (OR 9.9; 95%CI 5.9-16.5), followed by age. Difficulty in performing activities of daily living was associated with pain in the lower limbs, with a frequency greater than four days a week, beginning more than five years ago and severe or unbearable intensity in crisis episodes. The prevalence of disability and pain was high. Musculoskeletal pain and age impacted functional disability. This study contributes to direct the construction of care actions that aim to minimize and prevent difficulties to perform daily tasks.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Pessoas com Deficiência , Dor Musculoesquelética/fisiopatologia , Dor Musculoesquelética/epidemiologia , Fatores Socioeconômicos , Medição da Dor , Brasil , Atividades Cotidianas , Modelos Logísticos , Demografia , Doença Crônica/epidemiologia , Prevalência , Estudos Transversais , Inquéritos e Questionários , Indicadores de Desenvolvimento , Estratégia Saúde da Família , Assistência à Saúde , Avaliação da Deficiência , Política de Saúde
16.
Fisioter. Pesqui. (Online) ; 27(1): 71-77, jan.-mar. 2020. tab, graf
Artigo em Português | LILACS (Américas) | ID: biblio-1090411

RESUMO

RESUMO A sarcopenia é uma síndrome caracterizada pela perda progressiva de massa muscular e está associada a desfechos adversos na saúde de idosos. A atividade física tem sido apontada como uma importante ferramenta para a prevenção da sarcopenia. Diante disso, este estudo investigou a relação da duração e frequência da prática de atividade física com os indicativos de sarcopenia de idosos. Participaram deste estudo transversal 551 idosos praticantes de atividade física nas academias da terceira idade do município de Maringá (PR). Como instrumentos foram utilizados o international physical activity questionnaire (IPAQ) e o SARC-F. A análise dos dados foi conduzida por meio dos testes de Kolmogorov-Smirnov, correlação de Spearman e a análise de equações estruturais (p<0,05). Os resultados evidenciaram que os idosos deste estudo realizam atividades físicas leves (Md=3) e moderadas (Md=2) semanalmente, mas não praticam atividades vigorosas (Md=0), e apresentam baixo indicativo de sarcopenia (Md=1). A análise de equações estruturais revelou que as variáveis de atividades leves e moderadas apresentaram associação significativa (p<0,05), e negativa com o escore de indicativo de sarcopenia, entretanto fraca (β<0,20), explicando 7% da sua variabilidade. Concluiu-se que a prática de atividades física leves e moderadas parece ser fator interveniente no indicativo de sarcopenia em idosos.


RESUMEN La sarcopenia es un síndrome caracterizada por la pérdida progresiva de masa muscular y que está asociada a resultados adversos en la salud de los ancianos. La actividad física ha sido señalada como una importante herramienta para la prevención de la sarcopenia. Por lo tanto, este estudio investigó la relación de la duración y frecuencia de la práctica de actividad física con los indicativos de sarcopenia de ancianos. En este estudio transversal participaron 551 ancianos practicantes de actividad física en las Academias de la tercera edad del municipio de Maringá (PR). Como instrumentos se utilizaron el International Physical Activity Questionnaire (IPAQ) y el SARC-F. El análisis de los datos fue conducido por medio de las pruebas de Kolmogorov-Smirnov, correlación de Spearman y el análisis de ecuaciones estructurales (p<0,05). Los resultados evidenciaron que los ancianos realizan actividades físicas leves (Md=3) y moderadas (Md=2) semanalmente, pero no actividades vigorosas (Md=0), además de bajo indicativo de sarcopenia (Md=1). El análisis de ecuaciones estructurales reveló que las variables de actividad leves y moderadas presentaron una asociación significativa (p<0,05) y negativa con la puntuación del indicativo de sarcopenia, sin embargo débil (β<0,20), explicando el 7% de su variabilidad. Se concluyó que la práctica de actividades físicas leves y moderadas parece ser un factor interviniente en el indicativo de sarcopenia en ancianos.


ABSTRACT Sarcopenia is a syndrome characterized by progressive loss of muscle mass and associated with adverse health outcomes in older adults. Physical activity has been pointed out as an important tool for its prevention. Therefore, this study investigated the relationship of sedentary lifestyle, duration and frequency of physical activity with the indicator of sarcopenia in older adults. Five hundred and fifty-one physically active older adults enrolled in senior fitness centers of Maringá (PR) participated in this cross-sectional study. The International Physical Activity Questionnaire (IPAQ) and the SARC-F were the instruments used. Data analysis was conducted using the Kolmogorov-Smirnov tests, Spearman correlation coefficient and the Structural Equation Analysis (p<0.05). Results showed that older adults participated in mild to moderate physical activities weekly, but not vigorous ones, besides exhibiting low sarcopenia indicators. Structural Equations analysis revealed that the variables of mild and moderate activity presented a significant (p<0.05) and negative correlations with the sarcopenia indicators score, however weak (β<0.20), explaining its 7% variability. It was concluded that the practice of mild and moderate physical activity affect sarcopenia indicators in older people.


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Sarcopenia/fisiopatologia , Sarcopenia/epidemiologia , Comportamento Sedentário , Atividade Motora/fisiologia , Envelhecimento/fisiologia , Exercício Físico , Prevalência , Estudos Transversais , Inquéritos e Questionários , Interpretação Estatística de Dados , Caminhada/fisiologia , Corrida Moderada , Sistema Musculoesquelético/fisiopatologia
17.
Fisioter. Pesqui. (Online) ; 27(1): 22-27, jan.-mar. 2020. tab, graf
Artigo em Inglês | LILACS (Américas) | ID: biblio-1090405

RESUMO

ABSTRACT The purpose of this study is to analyze association between stress perception and physical activity with the prevalence of symptoms of musculoskeletal disorders (SMSD) in police officers. The police officers (n=142) answered the Perceived Stress Scale-10 (PSS-10) and the Nordic Musculoskeletal Questionnaire. Pearson's linear correlation coefficient was used to measure strength and direction of relationship between PSS-10 and prevalence of SMSD and showed a positive correlation between variables in the last 7 days (r=0.34, p=0.00001) and in the last 12 months (r=0.40, p=0.00001). The mean prevalence of SMSD in the last 12 months was lower among police officers practicing physical activity (W=1888.5, p=0.04). Multiple logistic regression analysis showed that the practice of physical activities as well as efforts to reduce stress perception both decrease the odds of musculoskeletal disorders. This study indicated that stress level and physical activity practice influenced in prevalence of SMSD. Multidisciplinary interventions with actions to reduce stress level and encourage physical activity practice are needed to control SMSD prevalence.


RESUMO O objetivo deste estudo foi analisar a associação entre percepção de estresse e atividade física com a prevalência de sintomas de distúrbios musculoesqueléticos (SDM) em policiais. Os policiais (n=142) responderam à escala de estresse percebido-10 (EEP-10) e ao questionário nórdico-musculoesquelético. O coeficiente de correlação linear de Pearson foi utilizado para mensurar a força e o sentido da relação existente entre EEP-10 e a prevalência de SDM e mostrou que existe uma correlação positiva entre as variáveis nos últimos 7 dias (r=0,34, p=0,00001) e nos últimos 12 meses (r=0,40, p=0,00001). A prevalência média de SDM nos últimos 12 meses é menor entre os policiais que praticam atividade física (W=1888,5, p=0,04). A análise de regressão logística múltipla mostrou que a prática de atividades físicas e a diminuição na percepção do estresse reduzem a prevalência de SDM. Este estudo indicou que o nível de estresse e a prática de atividade física influenciaram a prevalência de SDM. Intervenções multidisciplinares com ações para reduzir o nível de estresse e encorajar a prática de atividade física são necessárias para controlar a prevalência de SDM.


RESUMEN El objetivo de este estudio fue analizar la asociación entre estrés percibido y actividad física con prevalencia de síntomas del trastorno musculoesquelético (STM) en los agentes de policía. Los oficiales de policía (n=142) respondieron la escala de estrés percibido-10 (EEP-10) y el Cuestionario nórdico-musculoesquelético. Coeficiente de correlación lineal de Pearson se utilizó para medir fuerza y dirección entre EEP-10 y prevalencia de STM y mostró que hubo una correlación positiva entre las variables últimos 7 días (r=0,34, p=0,00001) y últimos 12 meses (r=0,40, p=0,00001). La prevalencia promedio de STM en últimos 12 meses es menor entre los oficiales que realizan actividad física (W=1888,5, p=0,04). El análisis de regresión logística múltiple mostró que actividad física y disminución de percepción del estrés reducen prevalencia de STM. El presente estudio indicó que nivel de estrés y actividad física influyó en prevalencia de STM. Las intervenciones multidisciplinarias con acciones para reducir los niveles de estrés y fomentar la actividad física son necesarias para controlar la prevalencia de STM.


Assuntos
Humanos , Masculino , Adulto , Percepção , Doenças Musculoesqueléticas/epidemiologia , Estresse Ocupacional/psicologia , Atividade Motora , Psicometria/métodos , Brasil , Riscos Ocupacionais , Índice de Massa Corporal , Prevalência , Estudos Transversais , Inquéritos e Questionários , Polícia
18.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-762470

RESUMO

Active surveillance culture (ASC) can help detect hidden reservoirs, but the routine use of ASC for extended spectrum β-lactamase-producing Enterobacteriaceae is controversial in an endemic situation. We aimed to determine the prevalence and risk factors of extended spectrum β-lactamase-producing Klebsiella pneumoniae (EBSL-Kpn) colonization among intensive care unit (ICU)-admitted patients. Prospective screening of ESBL-Kpn colonization was performed for ICU-admitted patients within 48 hours for two months. A perirectal swab sample was inoculated on MacConkey agar supplemented with 2 µg/mL ceftazidime. ESBL genotype was determined by PCR-sequencing, and clonal relatedness was evaluated by pulsed-field gel electrophoresis (PFGE). The risk factors of ESBL-Kpn colonization were evaluated. The ESBL-Kpn colonization rate among the 281 patients at ICU admission was 6.4% (18/281), and bla(CTX-M-15) was detected in all isolates. ESBL producers also showed resistance to fluoroquinolone (38.9%, 7/18). All isolates had the same ESBL genotype (bla(CTX-M-15)) and a highly clustered PFGE pattern, suggesting cross-transmission without a documented outbreak. In univariate analysis, the risk factor for ESBL-Kpn colonization over the control was the length of hospital stay (odds ratio=1.062; P=0.019). Routine use of ASC could help control endemic ESBL–Kpn for ICU patients.


Assuntos
Ágar , Ceftazidima , Colo , Cuidados Críticos , Eletroforese em Gel de Campo Pulsado , Enterobacteriaceae , Genótipo , Humanos , Unidades de Terapia Intensiva , Klebsiella pneumoniae , Klebsiella , Tempo de Internação , Programas de Rastreamento , Prevalência , Estudos Prospectivos , Fatores de Risco
19.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-762182

RESUMO

PURPOSE: Data are lacking on the association between the allergic rhinitis (AR) phenotype and sensitization to specific allergens or bronchial hyperresponsiveness (BHR) in children. We here investigated risk factors and comorbidities, including sensitization to specific allergens and BHR, for the AR phenotype by AR and its Impact on Asthma (ARIA) classification in a general population-based birth cohort study. METHODS: We enrolled 606 children aged 7 years from the Panel Study of Korean Children. The AR phenotype was assigned in accordance with the ARIA classification in children. Skin prick tests and Provocholine provocation test were performed. Risk factors and comorbidities for AR phenotypes were then analyzed. RESULTS: The prevalence of mild and moderate to severe AR in our study cohort was 37.2% and 8.8%, respectively. Recent use of analgesics or antipyretics and current cat ownership were associated with the risk of mild persistent AR. Sensitizations to Dermatophagoides Pteronyssinus (Der p), Japanese hop and cat were associated with moderate to severe persistent AR. Children with moderate to severe AR had a higher risk of current asthma and BHR compared to mild AR cases (adjusted odds ratio [aOR], 5.26; 95% confidence interval [CI], 1.77–15.62). Moderate to severe AR with allergic sensitization was associated with the highest risk of BHR (aOR, 11.77; 95% CI, 3.40–40.74). CONCLUSIONS: Moderate to severe-persistent AR is more closely related to respiratory comorbidities and sensitizations than mild AR. Stratifying the AR phenotype by ARIA classification may assist in disease management.


Assuntos
Alérgenos , Analgésicos , Animais , Antipiréticos , Grupo com Ancestrais do Continente Asiático , Asma , Hiper-Reatividade Brônquica , Gatos , Criança , Classificação , Estudos de Coortes , Comorbidade , Dermatophagoides pteronyssinus , Gerenciamento Clínico , Humanos , Cloreto de Metacolina , Razão de Chances , Propriedade , Parto , Fenótipo , Prevalência , Rinite Alérgica , Fatores de Risco , Pele
20.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-786071

RESUMO

OBJECTIVE: This study investigated whether serum bilirubin levels can predict the progression of carotid atherosclerosis in individuals with type 2 diabetes mellitus (T2DM).METHODS: This observational study included 1,381 subjects with T2DM in whom serial measurements of carotid intima-media thickness (CIMT) were made at 1- to 2-year intervals for 6–8 years. The progression of carotid atherosclerosis was defined as newly detected plaque lesions on repeat ultrasonography. After dividing total serum bilirubin levels into tertiles, the association between total serum bilirubin at baseline and plaque progression status was analyzed.RESULTS: Among 1,381 T2DM patients, 599 (43.4%) were categorized as having plaque progression in their carotid arteries. Those with plaque progression were significantly older; showed a higher prevalence of hypertension, abdominal obesity, and chronic kidney disease; and had a longer duration of T2DM, higher levels of total cholesterol (TC), triglycerides, and insulin resistance, and lower total bilirubin concentrations than those with no plaque progression. When total serum bilirubin levels were divided into tertiles, the highest tertile group was younger than the lowest tertile group, with higher levels of TC and high-density lipoprotein cholesterol. Multiple logistic regression analysis demonstrated that higher serum bilirubin levels were associated with a significantly lower risk of CIMT progression (odds ratio, 0.584; 95% confidence interval, 0.392–0.870; p=0.008). Age (p<0.001), body mass index (p=0.023), and TC (p=0.019) were also associated with the progression of carotid atherosclerosis in T2DM patients.CONCLUSION: Total serum bilirubin is independently associated with progression of atherosclerosis in the carotid arteries in T2DM patients.


Assuntos
Aterosclerose , Bilirrubina , Índice de Massa Corporal , Artérias Carótidas , Doenças das Artérias Carótidas , Espessura Intima-Media Carotídea , Colesterol , Diabetes Mellitus Tipo 2 , Humanos , Hipertensão , Resistência à Insulina , Lipoproteínas , Modelos Logísticos , Obesidade Abdominal , Estudo Observacional , Prevalência , Insuficiência Renal Crônica , Triglicerídeos , Ultrassonografia
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