Correlation between Generic and Disease-Specific Quality of Life Questionnaires in Patients with Venous Ulcerations: A Cross-Sectional Study Carried out in a Primary Health Care Setting in Brazil.

Venous Ulcers (VU) are a serious health problem that affect the Quality of Life (QoL). They are evaluated by many different scales in the literature. We aimed to analyze the correlation between the Medical Outcomes Short-Form Health QoL (SF-36) and Charing Cross Venous Ulcer Questionnaire (CCVUQ) scales. This is a cross-sectional study conducted in a Brazilian center specializing in chronic VU of the Primary Health Care (PHC) provided to patients with active VU. The general QoL instrument SF-36 and the CCVUQ, specific for people with VU, were used. Spearman's Rho Test determined the correlation between the variables analyzed. Our sample had a total of 150 patients. We found a direct correlation between the domestic activities division (CCVUQ) aspect and the SF-36 Physical role functioning (strong), and Physical functioning (moderate) domains. The Social interaction division (CCVUQ) aspect presented moderate correlation with the domains of the SF-36 Physical role functioning and Physical functioning. The Vitality domain (SF-36) showed moderate correlation with the aspects of CCVUQ Cosmesis division and Emotional status division. The greatest forces of direct correlation were observed between the physical, functional and vitality aspects of SF-36 with those represented by domestic activities and social interaction in the CCVUQ.

Depression and quality of life in Brazilian and Portuguese older people communities: Analysis of association.

ABSTRACT: We aimed to compare the association of depression with aspects of quality of life (QoL) among older people users of primary health care (PHC) living in Brazil and Portugal.We carried out an observational, cross-sectional and comparative study with a quantitative approach in the PHC scope in Brazil and Portugal, where we obtained a nonrandom sample of 150 participants aged 65 years or older (100 Brazilians and 50 Portuguese). We used the socioeconomic and health data questionnaire, the Medical Outcomes Short-Form Health Survey QoL (SF-36) questionnaire and the Beck Inventory.Among the socioeconomic profiles, most were females aged between 65 and 80 years in both countries. There was a significant difference between groups in the income variable, with 100.0% of Portuguese people earning up to 1 minimum wage (P value <.001), and the presence of chronic diseases in 92.0% of respondents in Portugal (P value = .033). In the association analysis, most aspects of QoL had a higher median score (>50.0) within the categorical variables of "absent" and "mild" depression. The Emotional role functioning, Physical role functioning, Physical functioning, Mental health, Total score domains and the Mental health and Physical health summary measures stood out with this behavior in Brazil and in Portugal, where these latter 2 presented moderate to strong correlation values (ρ > 0.400) in Portugal. Greater associations of depression on QoL were revealed in Portugal than in Brazil. Among their most expressive associations, the Physical role functioning (odds ratio [OR] = 4.776; 95.0% confidence interval [CI]: 2.41-9.43), Physical functioning (OR = 3.037; 95.0% CI: 3.037), Vitality (OR = 6.000; 95.0% CI: 1.56-23.07) and Total score (OR = 3.727; 95.0% CI: 2.24-6.17) domains and the Mental health summary measure (OR = 3.870; 95.0% CI: 2.13-7.02) stood out.Aspects related to the emotional, physical, functional and mental health components stood out. The association and correlation with depression were more expressive in Portugal compared to Brazil. However, similar results were obtained in Brazil but with less relevance.

Avaliação do trauma nos acidentes com motocicletas atendidos por um serviço pré-hospitalar móvel de urgência / Evaluación de trauma en accidentes de motocicleta atendidos por un servicio móvil pre-hospitalaria de urgencias / Assessment of trauma after motorbike accidents assisted by a pre-hospital emergency mobile service

Introdução: os acidentes de trânsito configuram-se como um relevante problema na saúde pública diante de grande impacto no que concerne à morbimortalidade da população e ganha destaque entre os jovens do sexo masculino. Objetivo: descrever o perfil epidemiológico e avaliar a gravidade do trauma de vítimas de acidentes com motocicletas atendidas pelas equipes do Serviço de Atendimento Móvel de Urgência do Rio Grande do Norte (SAMU 192 RN). Métodos: estudo descritivo, transversal, com abordagem quantitativa. Coletou-se dados de 667 fichas de atendimentos de enfermagem do SAMU 192 RN de vítimas de acidentes com motocicletas, no período de janeiro a junho de 2014. Resultados: a faixa entre 25 e 34 anos de idade apresentou 32,5 percento, destacando-se, dentro dessa faixa, os homens, com 26,4 percento de todos os atendimentos. A pontuação máxima (melhor prognóstico) do instrumento, esteve presente em 95,7 percento dos atendimentos. Conclusões: a caracterização do perfil epidemiológico da população enfatizou a presença masculina nos eventos acidentais com motocicletas, além dos jovens entre 15 e 34 anos de idade(AU)

Introducción: los accidentes de tráfico configuran como un problema de salud pública importante, de gran impacto en la morbilidad y mortalidad de la población y se destaca entre los hombres jóvenes. Objetivo: describir el perfil epidemiológico y evaluar la gravedad del trauma de las víctimas de los accidentes de motocicleta atendidos por los equipos de Atención Móvil de Urgencia de Rio Grande do Norte (SAMU 192 RN). Métodos: estudio descriptivo, transversal, con abordaje cuantitativo. Los datos fueron recolectados por 667 fichas de cuidados de enfermería SAMU 192 RN de víctimas de accidentes de motocicleta en el periodo enero-junio de 2014. Resultados: el intervalo entre 25 y 34 años de edad representa 32,5 por ciento, destacando, dentro de esta gama, los hombres, con 26,4 por ciento de todas las asistencias. La puntuación máxima (mejor pronóstico) del instrumento, estuvo presente en 95,7 por ciento de los casos. Conclusiones: la caracterización del perfil epidemiológico de la población destacó la presencia de los hombres en todos los accidentes con motocicletas, además de los jóvenes entre 15 y 34 años de edad(AU)

Introduction: Car accidents constitute an important public health concern, which has a great impact on population morbidity and mortality mainly standing out among young men. Objective: To describe the epidemiological profile and to assess trauma severity in victims of motorcycle accidents assisted by Rio Grande do Norte Emergency Mobile Assistance teams (SAMU 192 RN). Methods: Descriptive, cross-sectional study with a quantitative approach. The data were collected by 667 SAMU 192 RN nursing care records from motorcycle accident victims in the period January-June 2014.Results: The range between 25 and 34 years of age represents 32.5 percent, standing out in this range, men, with 26.4 percent of all assistance. The maximum score (best prognosis) of the instrument was present in 95.7 percent of the cases. Conclusions: The characterization of the epidemiological profile of the population highlighted the presence of men in all motorcycles accidents, in addition to young people aged 15-34 years(AU)