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Respiratory mechanics behavior after heart surgery: an experimental study 心脏手术后呼吸力学行为的实验研究
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.55460
Francisco José Nascimento Lima, K. Avena, Helder Duarte, Kristine Menezes Barberino Mendes, Yasmin Silva Gomes, L. F. Feijó, Flávia Milholo Olivieri
Changes in ventilatory mechanics and their consequent pulmonary complications are common after surgical procedures, particularly in cardiac surgery (CS), and may be associated with both preoperative history and surgical circumstances. This study aims to compare ventilatory mechanics in the moments before and after cardiac surgery (CS), describing how pulmonary complications occurred. An experimental, uncontrolled study was conducted, of the before-and-after type, and with a descriptive and analytical character. It was carried out in a private hospital in the city of Salvador, Bahia, Brazil, and involved 30 adult patients subjected to CS. In addition to clinical and epidemiological variables, minute volume (VE), respiratory rate (RR), tidal volume (VT), forced vital capacity (FVC), maximum inspiratory pressure (MIP), and peak expiratory flow (PEF) were also recorded. Data were collected in the following moments: preoperative (PRE-OP) period, immediate postoperative (IPO) period, and 1st postoperative day (1st POD). The sample was aged 48.1 ± 11.8 years old and had a body mass index of 25.5 ± 4.9 kg m-2; 60% of the patients remained on mechanical ventilation for less than 24 hours (17.5 [8.7-22.9] hours).  There was a significant reduction in VT, FVC, MIP and PEF when PRE-OP versus IPO, and PRE-OP versus 1st POD were compared (p < 0.05). There were no significant changes between IPO and the 1st POD. The highest incidence of pulmonary complications involved pleural effusion (50% of the patients). This study showed that patients subjected to CS present significant damage to ventilatory parameters after the surgery, especially in the IPO period and on the 1st POD. It is possible that the extension of this ventilatory impairment has led to the onset of postoperative pulmonary complications.
外科手术后,尤其是心脏手术(CS),通气力学的改变及其随之而来的肺部并发症很常见,可能与术前病史和手术情况有关。本研究旨在比较心脏手术(CS)前后的通气力学,描述肺部并发症的发生。进行了一项实验,无控制的研究,前后类型,并具有描述性和分析性。该研究在巴西巴伊亚州萨尔瓦多市的一家私人医院进行,涉及30名接受CS治疗的成年患者。除临床和流行病学变量外,还记录了分气量(VE)、呼吸速率(RR)、潮气量(VT)、用力肺活量(FVC)、最大吸气压力(MIP)和呼气峰流量(PEF)。数据收集于以下时刻:术前(PRE-OP)期、术后即刻(IPO)期和术后第1天(第1 POD)。年龄48.1±11.8岁,体质指数25.5±4.9 kg m-2;60%的患者机械通气持续时间小于24小时(17.5[8.7-22.9]小时)。术前与IPO比较,术前与第1次POD比较,VT、FVC、MIP和PEF均显著降低(p < 0.05)。首次公开募股与第一次公开募股之间没有显著变化。肺部并发症发生率最高的是胸腔积液(50%的患者)。本研究显示,CS患者术后通气参数明显受损,尤其是在IPO期和第1次POD。通气功能损害的扩大可能导致术后肺部并发症的发生。
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引用次数: 0
Football society players over the age of 55: how stressful can a match be? 55岁以上的足球运动员:一场比赛能有多大压力?
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.53357
Jos © Luiz Lopes Vieira, F. Silva, Vânia de Fátima Matias de Souza, Adolpho Amorim, Luciana Ferreira
This study aimed at assessing the physical activity level, heart rate and the salivary cortisol level of football society players. The sample consisted of 19 male masters football players with an average age of 56.7 ± 3.9 years. The long form of the International Physical Activity Questionnaire (IPAQ) and Polar® heart rate monitors were used as instruments, in addition to Salivette® tubes to measure salivary cortisol. Data analysis was performed by using the repeated measures Analysis of Variance (ANOVA) with Bonferroni post hoc test, and Spearman’s Rank Correlation Coefficient. The results showed that the salivary cortisol concentration indicated an index of 1.97 ng/ml at the beginning of the match; 40 minutes after that these values increased to 8.00 ng/ml, and 60 minutes after the match had started they reached 8.40 ng/ml. Considering the post-match moment, a moderate and positive correlation between the salivary cortisol concentration and heart rate (average and maximum) was seen. In conclusion, the physical effort expended during football Society practice needs to be monitored due to the high heart rate and high increase in the salivary cortisol concentration of this age group.
本研究旨在评估足球运动员的身体活动水平、心率和唾液皮质醇水平。研究对象为19名男性足球运动员,平均年龄56.7±3.9岁。长形式的国际体育活动问卷(IPAQ)和Polar®心率监测器被用作仪器,除了Salivette®管测量唾液皮质醇。数据分析采用重复测量方差分析(ANOVA),采用Bonferroni事后检验和Spearman秩相关系数。结果表明,配对开始时唾液皮质醇浓度指数为1.97 ng/ml;40分钟后,这些数值增加到8.00 ng/ml,比赛开始60分钟后,它们达到8.40 ng/ml。考虑到赛后时刻,唾液皮质醇浓度与心率(平均和最大)之间存在适度的正相关。总之,由于这个年龄组的高心率和唾液皮质醇浓度的高增加,需要监测足球协会练习期间消耗的体力。
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引用次数: 0
Quality of life of family caregivers of children with microcephaly 小头畸形患儿家庭照顾者的生活质量
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.54159
Layla Beatriz Melo de Oliveira, A. Oliveira, D. Rocha, M. Gouveia, Rosana dos Santos Costa, L. Nogueira
Assess the quality of life of family caregivers of children with microcephaly. This is an analytical cross-sectional study developed in Teresina-PI, carried out in a rehabilitation center. For data collection a form was used to investigate the sociodemographic profile and the Medical Outcomes Study 36 - Item Short-Form Health Survey instrument to assess quality of life. For data analysis, we used the statistical tests Student's t, ANOVA, U- Mann Whitney and Kruskal-Wallis. The descriptive analysis of the results showed that the functional capacity domain presented the most impairment by obtaining the highest score. The dimensions vitality and pain showed the lowest averages, representing the less affected domains. The associations between the sociodemographic characteristics and the domains of quality of life were significant between the variables marital status and pain, education and the domains vitality and emotional aspect, and between employment status and general health status. The quality of life of family caregivers presented losses related to the change of routine and the difficulties faced on a daily basis, highlighting the importance of covering the health of caregivers within the assistance offered to children with special needs, contributing to the well-being of those who care and consequently of those who are cared for.
评估小头症患儿家庭照顾者的生活质量。这是在Teresina-PI开展的一项分析性横断面研究,在一家康复中心进行。在数据收集方面,使用了一份表格来调查社会人口统计概况,并使用了医疗结果研究36项简短健康调查工具来评估生活质量。对于数据分析,我们使用了Student’st、ANOVA、U- Mann Whitney和Kruskal-Wallis统计检验。描述性分析结果显示,功能能力域损伤最大,得分最高。活力和疼痛表现出最低的平均值,代表了受影响较小的领域。社会人口学特征与生活质量领域之间的关联在婚姻状况与痛苦、教育程度与活力和情感领域之间、就业状况与一般健康状况之间具有显著性。家庭照料者的生活质量由于日常生活的改变和日常生活中面临的困难而有所下降,这突出了在向有特殊需要的儿童提供的援助中涵盖照料者健康的重要性,从而有助于照料者以及被照料者的福祉。
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引用次数: 0
Epidemiological characterization of congenital syphilis in a health region of the northern zone in the state of Ceará, Brazil 巴西塞埃尔<e:1>州北部卫生区先天性梅毒的流行病学特征
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.55046
David Gomes Araújo Júnior, M. A. M. D. Silva, Anna Larissa Moraes Mesquita, V. Ferreira, Maria Socorro Carneiro Linhares
The study sought to investigate the epidemiological profile of congenital syphilis in a health region in the State of Ceará, in the period from 2015 to 2019. This is a descriptive epidemiological study, with a quantitative approach, with secondary data collected through the Health System. Information on Notifiable Diseases and Live Birth Information System. There were a total of 248 cases: 65 cases in 2015, 50 in 2016, 45 in 2017, 51 in 2018 and 37 in 2019. The incidence of congenital syphilis was: 8.1 (2015), 6.1 (2016), 5.1 (2017), 5.3 (2018) and 3.9 (2019). In 62.9% of cases from all the years, women were between 20 and 34 years old and in 45.5% of cases they had less than eight years of educational instruction. 57.2% never had a miscarriage, 63.3% had vaginal deliveries and 59.2% had full-term deliveries. Most women received prenatal care (95.9%). In 49.5% of cases, the diagnosis of maternal syphilis occurred during prenatal care. Only 67 (27%) of the pregnant women were treated properly and only 52 (29%) had their partners treated. The study shows a flaw in prenatal care with low effectiveness of the prevention actions, determining factors in the control of congenital syphilis.
该研究旨在调查2015年至2019年期间塞里尔州某卫生区域先天性梅毒的流行病学概况。这是一项描述性流行病学研究,采用定量方法,通过卫生系统收集二手数据。法定呈报疾病资讯及活产资讯系统。2015年65例,2016年50例,2017年45例,2018年51例,2019年37例,共248例。先天性梅毒发病率分别为:8.1(2015年)、6.1(2016年)、5.1(2017年)、5.3(2018年)和3.9(2019年)。在所有年份的62.9%的病例中,妇女年龄在20至34岁之间,45.5%的病例中她们的受教育年限不足8年。57.2%从未流产,63.3%阴道分娩,59.2%足月分娩。大多数妇女接受了产前护理(95.9%)。在49.5%的病例中,产妇梅毒的诊断发生在产前护理期间。只有67名(27%)孕妇得到了适当治疗,只有52名(29%)孕妇的伴侣得到了治疗。研究表明,产前护理存在缺陷,预防措施效果不佳,是控制先天性梅毒的决定性因素。
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引用次数: 0
Scientific production of Nutrition courses in Food and Nutrition in Collective Health: contributions to the debate on professional performance 《集体健康中的食品和营养》营养课程的科学制作:对专业表现辩论的贡献
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.53939
Taiana Brito Menêzes Flor, L. Noro
This study aims to analyze the scientific production of Nutrition courses on knowledge core Food and Nutrition in Collective Health (FNCH) and its associations with institutional characteristics and advisor’s academic degree. A bibliometric study was performed on 195 final projects of five nutrition courses in Rio Grande do Norte state (Brazil) from the year 2013. Information related to higher education institutions and academic degree of advisor were collected. From the reading of sections of final projects, screening was performed on final project involvement with knowledge core FNCH, being collected general methodological characteristics, classification on sub cores of FNCH, and theme approached. Pearson’s chi-square test was used with a significance level at p-value ≤ 0.05 and 95% confidence interval in a univariate and bivariate way. From the total of analyzed final projects, 54 (27.7%) were related to knowledge core FNCH, prevailing final projects with a quantitative approach (61%), presented as scientific articles (57%), and performed in public services (45%). There was an emphasis on the sub-core of Nutritional Epidemiology (63%) [p < 0.001], with the theme Nutritional Assessment (57%) [p < 0.001]. There was no significant association between FNCH final projects proportion and institutional characteristics or advisor’s academic degree. Thinking about nutritionists’ practice, limitations were identified on FNCH scientific production, with an emphasis on nutritional diagnosis researches, with less involvement in public health policies and human and social sciences.
本研究旨在分析以“集体健康中的食物与营养”(Food and Nutrition in Collective Health, FNCH)为核心知识的营养课程的科学生产及其与院校特色和指导教师学历的关系。对2013年以来巴西北里奥格兰德州5门营养学课程的195个期末项目进行了文献计量学研究。收集了导师的高等教育机构和学位等相关信息。通过对期末项目章节的阅读,对期末项目涉及知识核心FNCH进行筛选,收集总体方法学特征,对FNCH子核心进行分类,对主题进行探讨。采用单因素和双因素的皮尔逊卡方检验,p值≤0.05显著性水平,95%置信区间。从分析的期末项目总数中,54个(27.7%)与知识核心FNCH相关,流行的期末项目采用定量方法(61%),作为科学文章(57%),并在公共服务中执行(45%)。重点是营养流行病学(63%)[p < 0.001],主题是营养评估(57%)[p < 0.001]。FNCH期末项目比例与院校特征、导师学历无显著相关。考虑到营养学家的实践,确定了FNCH科学生产的局限性,重点是营养诊断研究,较少参与公共卫生政策以及人文和社会科学。
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引用次数: 0
In vivo protective effect of cinnamon aqueous extract in carbon tetrachloride-treated male albino rats 肉桂水提物对四氯化碳处理的雄性白化大鼠的体内保护作用
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.52826
O. Baothman, Bhaa Nagaty, M. Zamzami, Hasan Al-Talhi
The liver as an organ is important for the metabolism of drugs and toxins. However, it is not immune from environmental insults. Exposure of liver cells to carbon tetrachloride (CCl4) results in the generation of tricholoromethyl radicals, which induce liver toxicity. This study aims at investigating the ameliorative effect of the cinnamon aqueous extract (CAE) against CCl4-induced hepatotoxicity in male albino rats. Hepatotoxicity was induced in rats through the intraperitoneal administration of 0.5 mL kg-1 body weight of CCl4. The analyses of the results obtained showed significant reduction in the levels of serum biochemical markers for 400 and 600 mg kg-1 bw of CAE protected rats as compared with CCl4 group. In addition, CAE administration reversed liver tissue damaged via increased antioxidants markers. Histopathological examination of CAE treatment on rats showed improved changes to the liver damage caused by CCl4 with no evidence of steatosis and inflammation. This result hence suggests that CAE has marked hepatoprotective and healing activities against CCl4-induced liver damage and could serve as a suitable candidate in drug discovery for the treatment of liver toxicity.
肝脏是药物和毒素代谢的重要器官。然而,它也不能幸免于环境的损害。肝细胞暴露于四氯化碳(CCl4)会产生三氯甲基自由基,从而引起肝毒性。本研究旨在探讨肉桂水提物(CAE)对ccl4诱导的雄性白化大鼠肝毒性的改善作用。通过腹腔注射0.5 mL kg-1体重CCl4诱导大鼠肝毒性。结果分析显示,与CCl4组相比,400和600 mg kg-1 bw CAE保护大鼠血清生化指标水平显著降低。此外,CAE通过增加抗氧化剂标记物逆转肝组织损伤。CAE治疗大鼠的组织病理学检查显示,CCl4引起的肝损伤改善,无脂肪变性和炎症的证据。因此,这一结果表明CAE对ccl4诱导的肝损伤具有显著的肝保护和愈合活性,可以作为治疗肝毒性药物的合适候选药物。
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引用次数: 1
Nutritional profile of cancer patients treated at an outpatient oncology center in the south region of Brazil 在巴西南部地区的门诊肿瘤中心治疗的癌症患者的营养概况
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.54996
Rebecca Dias Zaia, Antonio Augusto Claudio Pereira, Gustavo Henrique Gandolfo Souza, G. Pacheco, Alvo Orlando Vizzotto Junior, T. Ferrari, R. Andreola, Ariana Ferrari
To evaluate the nutritional profile of cancer patients treated at an oncology center in South Brazil. This is a descriptive, exploratory and sectional study that was developed in a process that involved 100 patients aged between 18 and 75 years old, suffering from cancer. The anthropometric variables studied were weight, height, Body Mass Index (BMI), arm circumference (AC), arm muscle circumference (AMC), triceps skinfold (TSF) and corrected arm muscle area (cAMA). For subjective nutritional assessment, we used the Patient-Generated Subjective Global Assessment (PG-SGA). Nearly half of the patients evaluated had a critical need for nutritional intervention. There was a statistically significant association between cAMA and marital status, age and gender; between AC and age, gender and staging; between AMC and staging; between BMI and marital status and age; and between TSF and marital status. Patients diagnosed with IV stage had the lowest values for nutritional variables. There was no significant association between nutritional status of patients obtained by the PG-SGA instrument and sociodemographic characteristics. Malnutrition should be diagnosed as soon as possible, aiming at early intervention and improving survival and quality of life. Therefore, early nutritional assessment in cancer patients is required, combining subjective and objective methods.
评估在巴西南部肿瘤中心接受治疗的癌症患者的营养状况。这是一项描述性、探索性和分段性的研究,是在一个涉及100名年龄在18到75岁之间的癌症患者的过程中发展起来的。研究的人体测量变量包括体重、身高、身体质量指数(BMI)、臂围(AC)、臂肌围(AMC)、肱三头肌皮褶(TSF)和矫正臂肌面积(cAMA)。对于主观营养评估,我们使用患者生成主观整体评估(PG-SGA)。在接受评估的患者中,近一半的人迫切需要营养干预。cAMA与婚姻状况、年龄、性别有显著相关;AC与年龄、性别、分期呈正相关;在AMC和分期之间;BMI与婚姻状况、年龄之间的关系;TSF与婚姻状况之间的关系。诊断为IV期的患者营养变量值最低。通过PG-SGA仪器获得的患者营养状况与社会人口学特征之间没有显著关联。营养不良应尽早诊断,旨在早期干预,提高生存率和生活质量。因此,需要对癌症患者进行早期营养评估,主客观相结合。
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引用次数: 0
Health: bioecological analysis of subjective well-being in teaching 健康:教学主观幸福感的生物生态学分析
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.55912
Morgana Christmann, Sílvia Maria de Oliveira Pavão
Reflect on the concepts that go through the history of people with disabilities, in the context of their rights, as the processes involving their education is an emerging theme. The objective of this work was to understand the conceptions about health of university professors based on the Bioecological Theory of Human development. This is an exploratory case study research with a mixed approach carried out with professors from a public university in the State of Rio Grande do Sul. The method of data collection was the interview and the self-administered questionnaire. 73 professors and 6 interview participants from different fields of knowledge, selected at random participated answering to the questionnaire. It was observed that the systems that constitute the organizational basis of the participants' lives were similar and that their life stories, their culture, the media and the relationships they establish at work are factors that influence their conceptions about health and about the relationship established with people with disabilities in Higher Education. The participants' conception of health, however, still runs through the biomedical model, but has been undergoing a progressive change. It is concluded that the conceptions about health are linked to life history, when then one starts to subjectivity. Combined with the contextual issues of a particular place, the concept of health has been progressively detaching itself from the concept of disease.
在残疾人权利的背景下,反思贯穿残疾人历史的概念,因为涉及残疾人教育的过程是一个新兴的主题。本研究的目的是基于人类发展的生物生态学理论,了解大学教授的健康观念。这是一项探索性案例研究,采用混合方法,与南里奥格兰德州一所公立大学的教授一起进行。资料收集方法为访谈和自填问卷。随机抽取不同知识领域的73名教授和6名访谈对象参与问卷调查。据观察,构成参与者生活的组织基础的系统是相似的,他们的生活故事、他们的文化、媒体和他们在工作中建立的关系都是影响他们关于健康和在高等教育中与残疾人建立关系的概念的因素。然而,参与者的健康概念仍然贯穿于生物医学模型,但已经经历了一个渐进的变化。得出健康观念与生命史相联系的结论。结合特定地点的环境问题,健康的概念已经逐渐从疾病的概念中分离出来。
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引用次数: 0
Retrospective study of polytrauma patients’s medical records that presented abdominal trauma, comperad to abdominal trauma and extra-abdominal injuries 以腹部外伤为主的多发伤患者病历的回顾性分析,并与腹部外伤和腹外外伤进行比较
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.56944
Izadora Gabriela Coutinho, Thiago Henriqque Crema, Bruno Filipe Viotto Petta, C. E. Fontes
This study sought to retrospectively assess the relationship between intra and extra-abdominal injuries in polytrauma patients undergoing laparotomy at the Regional University Hospital of Maringá between 2017 and 2018.This study was based on 111 electronic medical records from the Brazilian public health system “SUS”, admitted to the hospital due to trauma and undergoing laparotomy, comparing two groups: abdominal injury without extra-abdominal injury (WoEI) and abdominal injury with extra-abdominal injury (WiEI).A total of 111 medical records were analyzed, 57 from 2017 and 54 from 2018. Of these 111records, 43 (39%) were trauma victims with only abdominal injuries and 68 (61%) trauma victims with abdominal and extra-abdominalinjuries. Most patients were male (85%), with an average age of 33 years, ranging from 14 to 87 years. In statistical analysis, according to the T-test, there was significance (p > 0.05) between the WoEI and WiEI groups for data collected regarding death rates and hospitalization days. As for the morbidity rate and difference between genders (male and female), there was no statistical significance (p < 0.05). Polytrauma patients are exposed to greater kinetic energy, with more severe conditions and therefore required more in-hospital care.
本研究旨在回顾性评估2017年至2018年期间在马林地区大学医院接受剖腹手术的多创伤患者腹内和腹外损伤之间的关系。本研究基于来自巴西公共卫生系统“SUS”的111例因创伤入院并进行剖腹手术的电子病历,比较两组:无腹外损伤的腹部损伤(WoEI)和有腹外损伤的腹部损伤(WiEI)。共分析了111份医疗记录,其中2017年57份,2018年54份。在这111例病例中,43例(39%)为仅腹部损伤的创伤患者,68例(61%)为腹部和腹部外损伤的创伤患者。患者以男性居多(85%),平均年龄33岁,14 ~ 87岁不等。在统计分析中,根据t检验,WoEI组和WiEI组之间收集的死亡率和住院天数的数据有显著性(p > 0.05)。男女发病率差异无统计学意义(p < 0.05)。多发创伤患者暴露在更大的动能下,病情更严重,因此需要更多的住院治疗。
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引用次数: 0
Epidemiological profile of orthopedics and traumatology patients in Palmas, Tocantins, Brazil 巴西托坎廷斯帕尔马斯骨科和创伤科患者的流行病学分析
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.54797
Ediana Vasconcelos da Silva, Kércio Jeaneryson Nogueira de Sousa Leite, Roqueline A G M F Aversi-Ferreira, T. Aversi-Ferreira
Epidemiological studies, both in general and specifically, are part of the health promotion process and prophylactic actions that can generate treatment plans for a population, however, the accomplishment of prophylactic work in relation to musculoskeletal (i.e., traumatological) problems must start from the specific and go to the general, from cities to a national plan, since each population has its own characteristics in the general picture of conditions. Hypothetically, the epidemiological profile in traumatology and orthopedics, due to the general behavior in the national territory, presents the lack of prevention; in this way, is necessary to verify. This work aims to determine the incidence of orthopedic and traumatological problems in the region of Palmas, state of Tocantins (TO), Brazil, in order to contribute to a possible prophylactic plan for the population of the region. The data of the present study agree with most other studies about the orthopedic profile in terms of gender, age and problems with vertebral column, in general. However, the finding that most of the conditions were associated with scoliosis was unexpected, as it differs from the findings of most studies. It was possible to establish a profile of patients seen at the clinic-school and indicate the management of training for health professionals related to the treatment of people over the age of 40 years. The importance of the action of physiotherapists in the processes of prevention and primary care was evident given the patients indicated in this and other articles who need help with traumatic diseases.
一般和具体的流行病学研究是促进健康进程和预防行动的一部分,可以为人口制定治疗计划,但是,完成与肌肉骨骼(即创伤)问题有关的预防工作必须从具体开始,然后走向一般,从城市到国家计划,因为每个人口在总体情况方面都有自己的特点。假设,由于全国范围内的普遍行为,创伤学和骨科的流行病学概况缺乏预防;这样,是有必要进行验证的。这项工作旨在确定巴西托坎廷斯州帕尔马斯地区骨科和创伤问题的发生率,以便为该地区的人口制定可能的预防计划。总的来说,本研究的数据与大多数其他关于性别、年龄和脊柱问题的骨科研究一致。然而,大多数情况与脊柱侧凸相关的发现是出乎意料的,因为它与大多数研究的结果不同。有可能建立在诊所-学校就诊的病人概况,并指出与治疗40岁以上的人有关的保健专业人员的培训管理情况。考虑到这篇文章和其他文章中指出的需要帮助治疗创伤性疾病的患者,物理治疗师在预防和初级保健过程中的重要性是显而易见的。
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引用次数: 0
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