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1.
Rev Assoc Med Bras (1992) ; 70(1): e20231004, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38294125

RESUMO

OBJECTIVE: The objective of the present study was to verify the indication of common mental disorder and changes in healthy lifestyle among individuals affected by coronavirus disease, as well as to evaluate if changes in healthy lifestyle are predictors of common mental disorder. METHODS: This descriptive, cross-sectional study employed an exploratory approach and quantitative methodology, using the Self-Reporting Questionnaire to assess the indication of common mental disorder and questions regarding healthy lifestyle during the pandemic. RESULTS: A total of 280 individuals affected by coronavirus disease, aged 18 years and above, participated in the study. The average indication for common mental disorder was 5.0±5.34. The average age was characterized by adults (41.24±14.03 years), with the majority being women (57.9%), White (51.4%), and those in stable relationships (55.7%). Worsening sleep quality (ß==6.327; p<0.001) was the main predictor of common mental disorder, followed by female gender (ß==2.814; p<0.001) and worsening dietary habits (ß==2.227; p<0.012). CONCLUSION: These factors should be considered in the assessment of individuals affected by coronavirus disease to provide comprehensive care.


Assuntos
Infecções por Coronavirus , Coronavirus , Transtornos Mentais , Adulto , Humanos , Feminino , Pessoa de Meia-Idade , Masculino , Estudos Transversais , Infecções por Coronavirus/epidemiologia , Estilo de Vida Saudável , Transtornos Mentais/epidemiologia
2.
Rev. Assoc. Med. Bras. (1992, Impr.) ; 70(1): e20231004, 2024. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1529355

RESUMO

SUMMARY OBJECTIVE: The objective of the present study was to verify the indication of common mental disorder and changes in healthy lifestyle among individuals affected by coronavirus disease, as well as to evaluate if changes in healthy lifestyle are predictors of common mental disorder. METHODS: This descriptive, cross-sectional study employed an exploratory approach and quantitative methodology, using the Self-Reporting Questionnaire to assess the indication of common mental disorder and questions regarding healthy lifestyle during the pandemic. RESULTS: A total of 280 individuals affected by coronavirus disease, aged 18 years and above, participated in the study. The average indication for common mental disorder was 5.0±5.34. The average age was characterized by adults (41.24±14.03 years), with the majority being women (57.9%), White (51.4%), and those in stable relationships (55.7%). Worsening sleep quality (β==6.327; p<0.001) was the main predictor of common mental disorder, followed by female gender (β==2.814; p<0.001) and worsening dietary habits (β==2.227; p<0.012). CONCLUSION: These factors should be considered in the assessment of individuals affected by coronavirus disease to provide comprehensive care.

3.
Artigo em Inglês | LILACS | ID: biblio-1538375

RESUMO

Objective: This study aims to evaluate the associations between quality of life and sociodemographic characteristics, motivation, and frequency and time of practice in practitioners of an extreme conditioning program. Methods:Observational descriptive-exploratory type research, with a convenience sample consisting of CrossFit® practitioners. The practitioners answered a demographic data questionnaire, and the WHOQOL-bref instrument was used to assess the quality of life. Results: Of the 260 practitioners evaluated, 59.61% were female. The highest means of QoL scores were for the physical domain (79.8 ± 11.76), social domain (74.1 ± 15.59), psychological do-main (73.2 ± 13.67), and environment domain (70.7 ± 12.14). Practice time showed positive correlations with all QoL domains. Conclusions: The practitioners showed good results for quality of life, with the highest scores for the physical domain, followed by the social domain, the psychological domain, and finally, the environment domain. Longer practice time was correlated with higher averages for all QoL domains (AU).


Objetivo: O objetivo deste estudo foi avaliar as associações entre a qualidade de vida com características sociode-mográficas, motivação, frequência e tempo de prática em praticantes de um programa de condicionamento extremo. Métodos: Pesquisa de caráter observacional, do tipo descritivo-exploratória, sendo a amostra por conveniência composta por praticantes de Crossfit®. Os praticantes responderam um questionário de dados demográficos e, para avaliar a qualidade de vida, utilizou-se o instrumento validade WHOQOL-bref. Resultados: Dos 260 praticantes avaliados, 59,61% foram do sexo feminino. As maiores médias dos escores da qualidade de vida foram para o do-mínio físico, (79,8 ± 11,76), domínio social (74,1 ± 15,59), domínio psicológico (73,2 ± 13,67) e domínio ambiente (70,7 ± 12,14). O tempo de prática mostrou correlações positivas com todos os domínios qualidade de vida. Con-clusão: Os praticantes apresentam bons resultados para a QV, sendo os maiores escores no domínio físico, seguido pelo domínio social, domínio psicológico e por último domínio ambiente. Maior tempo de prática indicou correlação com maiores médias em todos os domínios da QV (AU).


Assuntos
Humanos , Qualidade de Vida , Exercício Físico , Inquéritos e Questionários
4.
Clin Interv Aging ; 18: 1351-1359, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37605751

RESUMO

Purpose: Impaired respiratory muscle strength has been associated with some geriatric syndromes. However, no studies have previously evaluated the relationship between respiratory muscle strength and dynapenic abdominal obesity. This study aimed to analyze whether there is an association between respiratory muscle strength and abdominal obesity, dynapenia and dynapenic abdominal obesity (DAO) in community-dwelling older adults. Patients and Methods: Cross-sectional study conducted with community-dwelling older adults (n=382 / 70.03 ± 7.3 years) from Macapá, Amapá, Brazil. Respiratory muscle strength was assessed by measuring maximal inspiratory and expiratory pressures (MIP and MEP, respectively), using an analog manovacuometry. DAO was defined as the combination of dynapenia (grip strength < 26 kgf for men and < 16 kgf for women) and abdominal obesity (abdominal circumference > 102 cm for men and > 88 cm for women). We performed descriptive and inferential statistical analyses using the student's t-test for independent and related samples and linear regression model. Results: Older adults with abdominal obesity, dynapenia, and DAO presented lower mean values (obtained and obtained versus predicted; except abdominal obesity versus MIP) for maximal respiratory pressures compared to individuals without these conditions. However, the adjusted analysis only indicated an association between MIP and the following conditions: dynapenia (MIP - ß =-0.171; p<0.001), abdominal obesity (MIP - ß=0.102; p=0.042), and DAO (MIP - ß=-0.101; p=0.028). Conclusion: Older adults with abdominal obesity, dynapenia, and DAO showed impaired maximal respiratory pressures. The results of the adjusted analysis indicate that inspiratory muscle strength may require greater attention by health professionals aiming at preventing respiratory complications and improving respiratory health care in older people with these conditions.


Assuntos
Vida Independente , Obesidade Abdominal , Masculino , Feminino , Humanos , Idoso , Obesidade Abdominal/epidemiologia , Estudos Transversais , Obesidade/epidemiologia , Força Muscular , Músculos Respiratórios
5.
Conscientiae Saúde (Online) ; 22: e23445, 01 jun. 2023.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1552279

RESUMO

Introdução: O Pronto Socorro é destinado a prestar assistência cujos agravos à saúde necessitam de atendimento imediato. Uma estratégia para atender as demandas desse serviço é a formação de equipes interdisciplinares. Objetivos: Analisar a atuação fisioterapêutica nos pacientes com emergências neurológicas internados, identificar os recursos fisioterapêuticos utilizados e associar com o desfecho clínico do paciente. Métodos: Estudo retrospectivo observacional descritivo. A coleta de dados foi realizada por meio de análises dos prontuários fisioterapêuticos. Resultados: O diagnóstico clínico mais prevalente foi de Acidente Vascular Encefálico isquêmico. As principais intervenções realizadas foram mobilização passiva e alongamentos. A comparação de proporções entre mobilização precoce e desfecho foi significante, assim como entre desfecho e extubação. Conclusões: A atuação do fisioterapeuta no Pronto Socorro é ampla, sendo realizada por meio de diversos recursos, principalmente mobilização precoce e manejo ventilatório, levando ao favorecimento do desfecho clínico do paciente. Contudo, mais pesquisas nessa área são necessárias.


Introduction: The Emergency Unit is assigned to provide assistance to health problems that require immediate care. One strategy to meet the demands of this service is the creation of interdisciplinary teams. Objectives: To analyze the physiotherapeutic work in hospitalized patients with neurological emergencies, to identify the physiotherapeutic resources used and to associate them with the patient's clinical outcome. Methods: Retrospective, observational and descriptive study. The information was collected through analysis of physical therapy records. Results: The prevailing clinical diagnosis was ischemic stroke. The main interventions performed were passive mobilization and stretching. The comparison between the proportions of early mobilization and outcome was significant, as well as between clinical outcome and extubation. Conclusions: The work of the physical therapist in the Emergency Unit is vast, and it is carried out through several resources, mainly early mobilization and ventilatory management, aiding the patient's clinical outcome. However, more studies are necessary in this field.

6.
Conscientiae Saúde (Online) ; 22: e23962, 01 jun. 2023.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1552899

RESUMO

Introdução: As úlceras de difícil cicatrização caracterizam-se como uma patologia que afeta cerca de 20 milhões de pessoas pelo mundo. A terapia fotodinâmica TFD é um método que atua nas fases da cicatrização, bioestimulando o tecido e promovendo a morte dos microorganismos Objetivo: O objetivo deste estudo foi avaliar a TFD como técnica de ação bactericida na cicatrização das úlceras de usuários de um serviço público de saúde acometidos por úlceras venosas UV. Métodos: Para avaliar a presença de bactérias nas úlceras, foi utilizado um swab stuart. Foi aplicado o medicamento à base de curcumina na úlcera e a mesma foi imediatamente ocluída com papel alumínio durante 20 minutos. Resultados: Durante todo período de coleta houve crescimento de bactérias nas úlceras. Os participantes obtiveram redução da área das úlceras, avaliadas pela quantificação do software Image J Conclusão: A TFD foi capaz de acelerar o tempo de cicatrização de úlceras venosas, ao efeito bactericida, a técnica carece ainda de mais estudos.


Introduction: Ulcers that are difficult to heal are characterized as a pathology that affects about 20 million people around the world. PDT photodynamic therapy is a method that acts in the healing phases, biostimulating the tissue and promoting the death of microorganisms affected by UV. Methods: To assess the presence of bacteria in the ulcers, a stuart swab was used. the medicine based on curcumin was applied to the ulcer and it was immediately occluded with aluminum foil for 20 minutes. Results: During the entire collection period, there was growth of bacteria in the ulcers. The participants obtained a reduction in the area of the ulcers, evaluated by the quantification of the Image J software. Conclusion: PDT was able to accelerate the healing time of venous ulcers, due to its bactericidal effect, the technique still needs further studies.

7.
Rev Bras Med Trab ; 21(1): e2023770, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37197350

RESUMO

The sitting position is one of the most common positions in the workplace and one that can contribute to overloading the musculoskeletal system. Ergonomics can play a significant role in ensuring an appropriate relationship between people and their work and in achieving better conditions for workers' health. The objective of this study was to consult the available evidence on the results of different ergonomic interventions for the musculoskeletal systems of workers who perform their jobs in a sitting position. This was an integrative review, searching the LILACS, MEDLINE, PubMed, SciELO, and CINAHL electronic databases for articles published from 2010 to 2019. The following keywords were used: Trabalhadores OR Workers OR Trabajadores AND Dor OR Pain OR Dolor AND Postura Sentada OR Sitting Position OR Sedestación AND Ergonomia OR Ergonomics OR Ergonomía. A total of 183 articles were identified, 14 of which were selected for the review. For qualitative analysis, the articles were organized by author, year, sample/population, objective, analytical instrument, intervention and type of intervention: combinations of physical exercise programs and postural and ergonomic guidance; different types of guidance and facilitating instruments; or configuration of furniture and use of supporting devices. A quantitative analysis of study quality was conducted using the Physiotherapy Evidence Database, based on the Delphi list. The interventions contributed to improve physical conditions and the tasks being carried out, making them more appropriate for the workers.


A postura sentada é uma das mais adotadas nos ambientes de trabalho e pode contribuir na sobrecarga do sistema musculoesquelético. A ergonomia pode apresentar um papel significativo para manter a relação adequada do homem com o trabalho e para abordar melhores condições à saúde dos trabalhadores. O objetivo deste estudo foi verificar as evidências disponíveis sobre os resultados de diferentes intervenções ergonômicas no sistema musculoesquelético de trabalhadores que exercem atividades na postura sentada. Tratou-se de uma revisão integrativa, utilizando as bases de dados eletrônicas LILACS, MEDLINE, PubMed, SciELO e CINAHL, com busca de artigos publicados no período de 2010 a 2019. Utilizaram-se os seguintes descritores: Trabalhadores OR Workers OR Trabajadores AND Dor OR Pain OR Dolor AND Postura Sentada OR Sitting Position OR Sedestación AND Ergonomia OR Ergonomics OR Ergonomía. Foram encontrados 183 artigos, sendo 14 selecionados. A análise qualitativa organizou os artigos de acordo com autor, ano, amostra/população, objetivo, instrumento de análise, intervenção e tipo de intervenção: associação de programas de exercícios físicos e orientações posturais e ergonômicas; diferentes formas de orientação e instrumentos facilitadores; e configuração do mobiliário e utilização de dispositivos auxiliares. A análise quantitativa da qualidade dos estudos considerou a escala Physiotherapy Evidence Database, baseado na lista Delphi. As intervenções contribuíram para melhorar as condições físicas e as tarefas executadas, tornando-as mais apropriadas para os trabalhadores.

8.
Acta Ortop Bras ; 31(1): e254450, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36844132

RESUMO

Objective: To evaluate the knowledge about scoliosis in teachers of municipal public schools. Methods: In total, 126 professionals were interviewed using a standard questionnaire containing issues related to scoliosis. Results: 31% of interviewees did not know what scoliosis is. Of those who knew 89.65% were partially correct about the definition. Of those who claimed to know how the scoliosis diagnosis is made, only 25.58% were completely correct. When questioned about the Adams test, 84.9% did not know it. Among the interviewees, 57.9% answered that it is impossible to identify scoliosis by a simple examination of their students and, off these, 86.3% stated the lack of knowledge about the subject; and 92.1% considered that training for the diagnosis and early identification of scoliosis in students. Conclusion: This study holds social impact since the interviewed teachers were not knowledgeable about the subject and had difficulty in providing a definition of the condition and in how to proceed with the investigation. Continuous education activities and the inclusion of this subject on the curricula of teacher education programs would improve the early diagnosis and treatment of scoliosis, with high success rates. Level of Evidence IV, Economic and Decision Analyses.


Objetivo: Avaliar o conhecimento de professores de escola municipal sobre escoliose. Métodos: Foram entrevistados 126 profissionais por meio de formulário online padronizado contendo perguntas relativas à escoliose. Resultados: Dos entrevistados, 31% não sabiam o que é escoliose. Dos que sabiam, 89,65% estavam parcialmente corretos quanto à definição. Dos professores que responderam saber como era feito o diagnóstico de escoliose, apenas 25,58% estavam totalmente corretos. Quando questionados sobre o teste de Adams, 84,9% não sabiam do que se tratava. Dos entrevistados, 57,9% disseram que não é possível identificar escoliose por meio de um exame simples de seus alunos em sala de aula e, destes, 86,3% alegaram falta de conhecimento sobre o assunto; e 92,1% consideraram que é importante haver uma capacitação sobre o diagnóstico de escoliose para identificação precoce nos alunos. Conclusão: Este estudo tem impacto social, pois os professores entrevistados não apresentavam domínio sobre o assunto, demonstrando dificuldade em definir a condição e como proceder com a investigação. A realização de capacitações e a inclusão dessas questões no currículo profissional aumentaria o diagnóstico precoce de escoliose nas escolas, possibilitando o tratamento precoce e maiores chances de sucesso terapêutico. Nível de Evidência IV, Análise Econômica e de Decisão.

9.
J Clin Med ; 12(2)2023 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-36675475

RESUMO

The scientific literature mentions the existence of factors associated with fear of falling in older adults. However, the direct and indirect paths of its predictors have not yet been fully explored. This study aimed to analyze the socioeconomic, clinical, and health factors directly and indirectly associated with fear of falling in community-dwelling older adults. This is a cross-sectional study conducted in older adults (n = 410 - 70.11 ± 7.22 years). Clinical and health-condition data were collected, as were data on fear of falling using the Falls Efficacy Scale International-Brazil (FES-I Brazil). It was found that being female and having a higher number of self-reported morbidities, worse physical performance, and a higher number of depressive symptoms were directly associated with greater fear of falling. Regarding indirect associations, physical inactivity, mediated by a greater number of morbidities, worse physical performance, and a greater number of depressive symptoms, was associated with greater fear of falling. In addition, worse self-rated health, mediated by a greater number of depressive symptoms, as well as older age, mediated by worse physical performance, were associated with the outcome. This study provides information on the predictors directly and indirectly associated with fear of falling, expanding current understanding of this relationship.

10.
Acta ortop. bras ; 31(1): e254450, 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1419969

RESUMO

ABSTRACT Objective: To evaluate the knowledge about scoliosis in teachers of municipal public schools. Methods: In total, 126 professionals were interviewed using a standard questionnaire containing issues related to scoliosis. Results: 31% of interviewees did not know what scoliosis is. Of those who knew 89.65% were partially correct about the definition. Of those who claimed to know how the scoliosis diagnosis is made, only 25.58% were completely correct. When questioned about the Adams test, 84.9% did not know it. Among the interviewees, 57.9% answered that it is impossible to identify scoliosis by a simple examination of their students and, off these, 86.3% stated the lack of knowledge about the subject; and 92.1% considered that training for the diagnosis and early identification of scoliosis in students. Conclusion: This study holds social impact since the interviewed teachers were not knowledgeable about the subject and had difficulty in providing a definition of the condition and in how to proceed with the investigation. Continuous education activities and the inclusion of this subject on the curricula of teacher education programs would improve the early diagnosis and treatment of scoliosis, with high success rates. Level of Evidence IV, Economic and Decision Analyses.


RESUMO Objetivo: Avaliar o conhecimento de professores de escola municipal sobre escoliose. Métodos: Foram entrevistados 126 profissionais por meio de formulário online padronizado contendo perguntas relativas à escoliose. Resultados: Dos entrevistados, 31% não sabiam o que é escoliose. Dos que sabiam, 89,65% estavam parcialmente corretos quanto à definição. Dos professores que responderam saber como era feito o diagnóstico de escoliose, apenas 25,58% estavam totalmente corretos. Quando questionados sobre o teste de Adams, 84,9% não sabiam do que se tratava. Dos entrevistados, 57,9% disseram que não é possível identificar escoliose por meio de um exame simples de seus alunos em sala de aula e, destes, 86,3% alegaram falta de conhecimento sobre o assunto; e 92,1% consideraram que é importante haver uma capacitação sobre o diagnóstico de escoliose para identificação precoce nos alunos. Conclusão: Este estudo tem impacto social, pois os professores entrevistados não apresentavam domínio sobre o assunto, demonstrando dificuldade em definir a condição e como proceder com a investigação. A realização de capacitações e a inclusão dessas questões no currículo profissional aumentaria o diagnóstico precoce de escoliose nas escolas, possibilitando o tratamento precoce e maiores chances de sucesso terapêutico. Nível de Evidência IV, Análise Econômica e de Decisão.

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