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Prevalence of self-reported diabetes and hypertension among users of primary health care services 初级卫生保健服务使用者自我报告的糖尿病和高血压患病率
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I1.34781
E. Martinez, N. Terada, Flávia Masili Giglio, M. Zucoloto
The objective of this cross-sectional study was to estimate the prevalence of self-reported hypertension and diabetes among the users of primary health care services of Southeast Ribeirao Preto, Brazil, and identify variables which may be associated with these chronic conditions. A stratified sample of 1,055 adult individuals surveyed. Associations were examined by log-binomial regression models and expressed as prevalence ratios (PRs). The prevalence of self-reported hypertension among women was 20.2% (95%CI: 17.5-23.1) and among men was 29.0% (95%CI: 22.9-35.5). The prevalence of self-reported diabetes among women was 6.9% (95%CI: 5.2-8.8) and among men was 12.2% (95% CI: 8.1-17.3). The prevalence of both conditions increases significantly with age. Crude and adjusted PRs indicate no association between socioeconomic status and the self-reported chronic conditions.
本横断面研究的目的是估计巴西里贝拉普雷托东南部初级卫生保健服务使用者中自我报告的高血压和糖尿病的患病率,并确定可能与这些慢性疾病相关的变量。对1055名成年人进行了分层抽样调查。通过对数二项回归模型检验相关性,并以患病率(pr)表示。女性自我报告的高血压患病率为20.2% (95%CI: 17.5-23.1),男性为29.0% (95%CI: 22.9-35.5)。女性自我报告的糖尿病患病率为6.9% (95%CI: 5.2-8.8),男性为12.2% (95%CI: 8.1-17.3)。这两种情况的患病率都随着年龄的增长而显著增加。粗糙和调整后的pr表明社会经济地位和自我报告的慢性病之间没有关联。
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引用次数: 1
Is motivation to physical activity practice associated with the lifestyle of individuals who undergo weight training in the context of higher education 体育锻炼的动机是否与接受高等教育背景下重量训练的个人的生活方式有关
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I0.39109
J. N. Junior, Carla Thamires Laranjeira Granja, D. B. Silva, D. Oliveira, M. P. Gonçalves, F. Carvalho
This study aimed at investigating the association between motivation to physical activity practice and the lifestyle of the staff and students from the university known as Universidade Federal do Vale do Sao Francisco , Petrolina-PE, who undergo weight training. The sample comprised 659 subjects. the physical activity and leisure motivation scale, as well as the Fantastic Lifestyle questionnaire were used. Data analysis was carried out by using Kruskall-Wallis, Mann-Whitney, Spearman correlation and Path Analysis (p < 0.05). Considering all the subjects of the present research, the results showed that the highest motivation indexes were related to health/fitness issues, and the lowest ones with the social factor. It is worth mentioning that the students, when compared to the administrative staff and professors, are more motivated to practice physical activity for having fun and improving their physical appearance, in addition to making new friends. The health/fitness and appearance factors had a significant impact on the lifestyle of the professors, whereas fun/interest had a significant impact on the lifestyle of the students. It was concluded that intrinsic motivation is intervenient in the sense that students develop healthy habits. On the other hand, autonomous motivation shall influence the increase healthy behavior among the professors, whereas extrinsic motives may discourage a healthy lifestyle.
这项研究的目的是调查体育锻炼的动机和生活方式之间的关系,从大学的教职员工和学生被称为联邦河谷圣弗朗西斯科,petrolina体育,谁接受重量训练的学生。样本包括659名受试者。采用体育活动和休闲动机量表,以及梦幻生活方式问卷。数据分析采用Kruskall-Wallis、Mann-Whitney、Spearman相关和通径分析(p < 0.05)。综合本研究的所有研究对象,结果显示,与健康/健身问题相关的动机指标最高,与社会因素相关的动机指标最低。值得一提的是,与行政人员和教授相比,学生们更有动力进行体育活动,除了结交新朋友外,还可以获得乐趣和改善他们的外表。健康/健身和外表因素对教授的生活方式有显著影响,而乐趣/兴趣因素对学生的生活方式有显著影响。从学生养成健康习惯的意义上说,内在动机具有干预作用。另一方面,自主动机会影响教授健康行为的增加,而外在动机可能会阻碍健康的生活方式。
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引用次数: 1
Fitness centers demonstrate CO2 concentration levels above recommended standards 健身中心显示二氧化碳浓度高于建议标准
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I0.35768
A. Andrade, F. H. Dominski, M. Pereira, C. M. D. Liz, G. Buonanno
This study aims to compare carbon dioxide (CO 2 ) concentration levels measured in fitness centers with the applicable guidelines from Brazil, France, and Europe. Three fitness centers in Florianopolis, Santa Catarina State, Brazil (fitness centers A, B, and C) participated in this study. The fitness centers have different physical characteristics and ventilation systems. Fitness centers A and B have split ventilation systems, while fitness center C has a central ventilation system. The air quality was assessed by determining the CO 2 concentration level, as measured by a non-dispersive infrared CO 2 concentration sensor. Data was analyzed with descriptive and inferential statistics. All three fitness centers recorded CO 2 concentrations significantly above (p = 0.00) the maximum level of 750 ppm recommended by the European standard. Fitness centers A (= 3752.13 ppm) and C (= 1360.89 ppm) also had CO 2 concentrations significantly above (p = 0.00) the maximum level of 1000 ppm recommended by the Brazilian and French guidelines. CO 2 concentrations in fitness centers were significantly above the maximum permitted levels. Besides suggesting inefficient ventilation in these fitness centers, high CO 2 concentrations can impair indoor air quality and increase risks to the health of practitioners.
本研究旨在比较健身中心测量的二氧化碳(CO 2)浓度水平与巴西、法国和欧洲的适用指南。巴西圣卡塔琳娜州弗洛里亚诺波利斯的三个健身中心(健身中心A、B和C)参与了这项研究。健身中心有不同的物理特征和通风系统。A、B健身中心采用分体式通风系统,C健身中心采用中央通风系统。空气质量通过测定二氧化碳浓度水平来评估,二氧化碳浓度水平由非色散红外二氧化碳浓度传感器测量。数据分析采用描述性统计和推理统计。所有三个健身中心记录的二氧化碳浓度都显著高于(p = 0.00)欧洲标准建议的750 ppm的最高水平。健身中心A (= 3752.13 ppm)和C (= 1360.89 ppm)的二氧化碳浓度也显著高于(p = 0.00)巴西和法国指导方针建议的1000ppm的最大水平。健身中心的二氧化碳浓度明显高于最高允许水平。除了提示健身中心通风效率低下外,高浓度的二氧化碳还会损害室内空气质量,增加从业人员健康风险。
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引用次数: 6
Aspects of tuberculosis in the elderly 老年肺结核的几个方面
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I0.38173
Izaura Luzia Silvério Freire, Fernanda Rafaela dos Santos, Luzia Clara Cunha de Menezes, Anderson Brito de Medeiros, Juliana Teixeira Jales Menescal Pinto, Bárbara Coeli Oliveira da Silva
Tuberculosis is an infectious-contagious disease, whose etiological agent is Mycobacterium tuberculosis , and currently stands as the second leading cause of death from infectious diseases in the world. This study aims to describe its clinical, diagnostic and therapeutic aspects in the elderly. This is an exploratory-descriptive cross-sectional study with a quantitative approach, developed in a Sanitary District in Natal/RN, from January 2010 to December 2015. Among the 94 participants, the majority were males (51.1%) aged between 60 and 69. The pulmonary form of the disease was predominant (86.2%) in the studied group and most of the cases were new (59.6%). The treatment was self-administered (52.1%) and completed within the appropriate period (57.4%). The tuberculin test was not undergone by the majority of the elderly (76.6%), neither was histopathology (86.2%), while chest X-ray was suggestive of tuberculosis (72.3%). It was observed that the elderly did not undergo the first bacilloscopy (59.5%) and, out of those who were subjected to the second, it was positive for most (54.2%). It is worth mentioning that the Human Immunodeficiency Virus serology was not carried out in 54.2% of the senior patients with tuberculosis. Older individuals make up a risk population group and should be given special attention from health professionals.
结核病是一种传染性疾病,其病原是结核分枝杆菌,目前是世界上第二大传染病死亡原因。本研究旨在描述其在老年人的临床,诊断和治疗方面。这是一项探索性描述性横断面研究,采用定量方法,于2010年1月至2015年12月在纳塔尔/RN的一个卫生区开展。在94名参与者中,大多数是60至69岁的男性(51.1%)。研究组以肺型为主(86.2%),以新发病例居多(59.6%)。患者自我给予治疗(52.1%),并在适当时间内完成治疗(57.4%)。大多数老年人未行结核菌素试验(76.6%),组织病理学检查也未行结核菌素试验(86.2%),而胸片提示结核(72.3%)。我们观察到,老年人没有接受第一次结核菌镜检查(59.5%),而在接受第二次结核菌镜检查的人中,大多数(54.2%)呈阳性。值得一提的是,54.2%的老年肺结核患者未进行人类免疫缺陷病毒血清学检查。老年人是一个危险人群,应得到卫生专业人员的特别关注。
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引用次数: 1
Influence of n-3 Polyunsaturated Fatty Acid in the Proliferative Activity of Lymphocytes During Experimental Infection with Paracoccidioides brasiliensis n-3多不饱和脂肪酸对巴西副球虫实验感染时淋巴细胞增殖活性的影响
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I1.30674
Vinícius João Navarini, Sheisa Cyléia Sargi, J. Visentainer, C. D. Oliveira, J. Visentainer
It has been shown that diets containing polyunsaturated omega-3 fatty acids may modulate the immune system. Paracoccidioidomycosis (PCM) is a systemic mycosis of great importance in Latin America, caused by the thermo-dimorphic fungus Paracoccidioides brasiliensis . The aim of this study was to evaluate the influence of n-3 PUFAs in lymphoproliferative activity in murine experimental PCM. Spleen lymphocytes from animals infected with an isolate of P. brasiliensis (Pb18) and fed with diets supplemented with flaxseed oil or a commercial diet for eight weeks, were obtained and cultured for evaluation of lymphoproliferative activity by MTT assay. In uninfected animals and those fed an enriched-flaxseed diet the evaluated lymphoproliferative activity was inhibited in the first week; however, this activity resumed at later stages. On the other hand, in animals infected and fed an enriched-flaxseed diet, the interaction between the stimulus given by the presence of the fungus and the action of n-3 PUFAs appeared to stimulate lymphocyte proliferation after the first week of infection. n-3 PUFAs are shown to influence lymphoproliferative activity of mice in experimental PCM.
研究表明,含有多不饱和omega-3脂肪酸的饮食可以调节免疫系统。副球孢子菌病(PCM)是一种在拉丁美洲非常重要的系统性真菌病,由热二态真菌巴西副球孢子菌引起。本研究的目的是评价n-3 PUFAs对小鼠实验性PCM淋巴细胞增殖活性的影响。用添加亚麻籽油的饲料或商业饲料喂养8周的巴西芽孢杆菌(Pb18)感染动物的脾脏淋巴细胞,用MTT法进行淋巴细胞增殖活性评价。在未感染的动物和喂食富含亚麻籽的饲料的动物中,评估的淋巴细胞增殖活性在第一周受到抑制;但是,这种活动在后来的阶段又恢复了。另一方面,在感染并喂食富含亚麻籽的饲料的动物中,真菌的存在和n-3 PUFAs的作用之间的相互作用似乎在感染的第一周后刺激了淋巴细胞的增殖。n-3 PUFAs可影响实验性PCM小鼠的淋巴细胞增殖活性。
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引用次数: 0
Cardiac autonomic profile in cervical spinal cord injury subjects practitioners of the physical exercise 心脏自主神经谱在颈脊髓损伤受试者体育锻炼中的应用
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I1.33469
Edgar William Martins, R. Magalhães, M. Marocolo, A. Maior
The aim was investigate the time-course of cardiac autonomic response in men with incomplete cervical spinal cord injury (SCI) practitioners or not of physical exercise. Twenty men were separated into three groups: control group without SCI (CON; 28.3 ± 4.5 yrs; 178.4 ± 6.5 cm; 82.1 ± 6.8 kg; n=8), regularly engaged in strength training and low aerobic training; exercise group with cervical SCI (EG, 32.3 ± 4.5 yrs, 175.1 ± 5.3 cm, 73.6 ± 9.6 Kg; n=8) that practiced wheelchair rugby and sedentary group with cervical SCI (SG, 30.8 ± 5.3 yrs, 173.4 ± 10.1 cm, 69.7 ± 7.1 Kg; n=4) who did not practice physical exercise. Heart rate variability variables were calculated from ECG, in rest. CON showed high values compared to EG and SG of: standard deviation of R-R intervals (SDNN), proportion of adjacent R-R intervals differing by more than 50 ms, number of interval differences of successive NN intervals greater than 50 ms, root mean square of successive differences and the high-frequency spectral power. SDNN was significantly lower in EG compared to CON. changes in cardiac autonomic function could be noted in subjects with cervical SCI regularly engaged in an exercise program.
目的是探讨不完全性颈脊髓损伤(SCI)患者心肌自主神经反应的时间过程。20名男性分为3组:无SCI的对照组(CON;28.3±4.5岁;178.4±6.5 cm;82.1±6.8 kg;N =8),经常进行力量训练和低有氧训练;运动组伴有颈椎脊髓损伤(EG, 32.3±4.5岁,175.1±5.3 cm, 73.6±9.6 Kg;n=8)进行轮椅橄榄球和久坐组的颈椎脊髓损伤患者(SG, 30.8±5.3岁,173.4±10.1 cm, 69.7±7.1 Kg;N =4)没有进行体育锻炼的人。心率变异性变量由心电图计算,休息时。与EG和SG相比,CON在以下方面表现出较高的值:R-R区间标准差(SDNN)、相邻R-R区间差异大于50 ms的比例、连续NN区间差异大于50 ms的间隔数、连续差异的均方根和高频频谱功率。与对照组相比,EG组的SDNN明显降低。在经常参加运动项目的颈椎脊髓损伤患者中,可以注意到心脏自主神经功能的变化。
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引用次数: 2
Influence of β-Hydroxy-β-methylbutyrate on predominantly white and red muscles of rats not submitted to physical exercise β-羟基-β-甲基丁酸酯对未进行体育锻炼的大鼠主要为白色和红色肌肉的影响
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I0.38270
Mizael Pereira, L. R. Daré, C. R. Bueno, Idvaldo Aparecido Favaretto-Junior, R. Buchaim, J. Andreo
This study evaluated the influence of β-hydroxy-β-methylbutyrate (HMB) on the body weight and morphometry of white and red muscle fibers of sedentary rats. 29 male rats were divided in: initial control group (ICG ) (n = 5), euthanized at study onset, and three treated groups (n = 8 each): placebo control group (PCG) received saline for 4 weeks; experimental group (EG) received 0.3 g kg -1 of HMB daily and controlled diet; and experimental group  ad libitum , (EGA) received 0.3g kg -1 of HMB daily, without food restriction. There was no difference in food intake and body weight between treated groups. For the EDL muscle, treated groups were different from ICG. Concerning the soleus muscle, no treated group was different from each other and only the EGA presented difference compared to the ICG. Data also did not reveal correlation between the variables food intake and body weight. HMB did not change the body weight or morphometry of EDL muscle fibers. However, the HMB combined with  ad libitum  feeding was able to change the morphometry of soleus muscle fibers.
本研究评价了β-羟基-β-甲基丁酸酯(HMB)对久坐大鼠体重及白、红肌纤维形态的影响。29只雄性大鼠分为:初始对照组(ICG) (n = 5),在研究开始时安乐死,三个治疗组(n = 8):安慰剂对照组(PCG)给予生理盐水4周;试验组(EG)每天添加0.3 g kg -1 HMB,并控制饮食;试验组(EGA)每日随意饲喂HMB 0.3g kg -1,不限制食物。治疗组之间的食物摄入量和体重没有差异。对于EDL肌,处理组与ICG组不同。在比目鱼肌方面,各组间无差异,仅EGA与ICG有差异。数据也没有显示食物摄入量和体重之间的相关性。HMB没有改变EDL肌纤维的体重和形态。然而,HMB联合自由摄食能够改变比目鱼肌纤维的形态。
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引用次数: 0
Evaluation of oxidative DNA damage in elderly patients with type 2 Diabetes mellitus living in Ivoti, State of Rio Grande do Sul 南里奥格兰德州伊沃蒂市老年2型糖尿病患者DNA氧化损伤评价
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I0.37813
Larissa Carlos da Silva, D. Berlese, G. Lara, G. Santos, Gilson Cunha
Due to the increase in life expectancy and changes in eating habits, the elderly and obese population has increased in recent years. The objective of this study was to analyze the correlation between type 2 Diabetes mellitus (DM2) and oxidative DNA damage in elderly residents of the municipality of Ivoti, State of Rio Grande do Sul. This study had an exploratory, descriptive, cross-sectional and quantitative approach based on the data bank of the institutional project of the Feevale University. There was a predominant population of married women, retired, with monthly income up to 2 minimum wages, with education until to the 4th grade of fundamental school and bilingual. Statistical difference was detected for fasting glycemia, HbA1c and 8-hydroxydioxy-2-guanosine (8-OHdG) between DM2 and control subjects, as well as a positive Spearmann correlation between HbA1c and 8-OHdG in patients with DM2. It was possible to identify through fasting glycemia and HbA1c that elderly people who had poor glycemic control also showed a significant increase in the production of reactive oxygen species and consequent DNA damage when compared to the elderly with good glycemic control.
由于预期寿命的延长和饮食习惯的改变,近年来老年人和肥胖人口有所增加。本研究的目的是分析南里奥格兰德州伊沃蒂市老年居民中2型糖尿病(DM2)与氧化性DNA损伤的相关性。本研究采用探索性、描述性、横断面性和定量的研究方法,以菲维尔大学机构项目数据库为基础。主要人口是已婚妇女、退休妇女,月收入可达最低工资的两倍,受教育程度达到基础学校四年级,掌握双语。DM2与对照组空腹血糖、HbA1c、8-羟基二氧基-2-鸟苷(8-OHdG)差异有统计学意义,DM2患者HbA1c与8-OHdG呈Spearmann正相关。通过空腹血糖和HbA1c可以确定,与血糖控制良好的老年人相比,血糖控制较差的老年人活性氧的产生和随之而来的DNA损伤也显著增加。
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引用次数: 0
Common mental disorders of health care workers in Bahia state 巴伊亚州卫生保健工作者的常见精神障碍
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I0.38398
S. Rocha, A. Barbosa, T. Araújo
To estimate the prevalence of common mental disorders (CMDs) and check the characteristic symptoms of CMDs in workers in the health sector.Cross-sectional study conducted in four municipalities in the state of Bahia. The study included 2,684 workers (21.6% men and 78.4% women), with ages ranging from 19 to 82 years (38.38 ± 10.1). CMDs were identified through the Self-Reporting Questionnaire-SRQ-20. Sociodemographic and occupational data were investigated and described using simple frequency and the calculation of ratios, and their respective 95% confidence intervals. The association between CMD and the explanatory variables (according to sex) were assessed using regression gross and adjusted Poisson regression analysis. The prevalence of CMD was more pronounced among women (22.7; 95% CI: 20.8 to 24.5%). The most reported symptom among men (38%) and women (50%) was feeling nervous, tense or worried. The prevalence of TMC was more prevalent among women and workers gazetted .The prevalence of CMD among health workers is high and differed between the sexes and dependence employment bond.
估计卫生部门工作人员常见精神障碍(CMDs)的患病率,并检查CMDs的特征症状。横断面研究在巴伊亚州的四个城市进行。研究纳入2684名工人,其中男性21.6%,女性78.4%,年龄19 ~ 82岁(38.38±10.1)。通过自我报告问卷- srq -20来识别疾病。对社会人口统计和职业数据进行调查,并使用简单频率和比率计算及其各自的95%置信区间进行描述。CMD与解释变量(按性别)之间的相关性采用回归gross和调整泊松回归分析进行评估。CMD的患病率在女性中更为明显(22.7;95% CI: 20.8 ~ 24.5%)。男性(38%)和女性(50%)报告最多的症状是感到紧张、紧张或担心。在医务工作者中,慢性阻塞性肺病的患病率较高,且在性别和依赖就业关系之间存在差异。
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引用次数: 1
Child in conservative renal treatment: maternal interactions with the social support network 儿童保守肾治疗:母亲与社会支持网络的相互作用
Pub Date : 2018-11-30 DOI: 10.4025/ACTASCIHEALTHSCI.V40I0.36924
F. Lise, E. Schwartz, Viviane Marten Milbrath, Bianca Pozza Dos Santos, Eliana Buss, Rita Maria Heck
This study aimed to know the interaction of the mother of the child in renal conservative treatment with the social support network. Qualitative delineation, whose theoretical reference was Symbolic Interactionism. For data collection, we used semi-structured interview, genogram and ecomap. Eleven mothers of children undergoing conservative renal treatment participated. The data were analyzed with conventional content analysis. It was possible to construct two categories: Being supported by the formal social support network; Being supported by the informal social support network. The analysis showed that the main source of maternal support was related to the family. In addition, the mothers stressed the importance of the support of professionals, health services and non-governmental organization. It is concluded that Nursing can improve the targeting of care actions aimed at the family of the child in renal conservative treatment, expanding the social support network.
本研究旨在了解患儿母亲在肾保守治疗中与社会支持网络的相互作用。定性描述,其理论参考是符号互动主义。在数据收集方面,我们使用了半结构化访谈、基因图谱和ecomap。11位接受保守肾治疗的儿童母亲参与了研究。采用常规含量分析法对数据进行分析。可以构建两类:得到正式社会支持网络的支持;得到非正式社会支持网络的支持。分析表明,产妇支持的主要来源与家庭有关。此外,母亲们强调了专业人员、保健服务机构和非政府组织的支持的重要性。由此可见,护理可以提高在肾保守治疗中针对患儿家庭护理行动的针对性,扩大社会支持网络。
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引用次数: 1
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Acta Scientiarum. Health Science
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