scholarly journals Epidemiological Profile of Surgically-Treated Peripheral-Nerve Diseases

Author(s):  
Helen Kerlen Bastos Fuzari ◽  
Armèle Dornelas de Andrade ◽  
Renata Janaina Pereira de Souza ◽  
Silvya Nery Bernardino ◽  
Fernando Henrique Moraes de Souza ◽  
...  

Abstract Objective To outline the epidemiological profile of surgical patients treated at the peripheral-nerve outpatient clinic of a public hospital in the state of Pernambuco, Brazil, from 2008 (the year this service was implemented in the hospital ) to 2016. Material and Methods A cross-sectional study with data collection from the medical records. A descriptive analysis was performed with the qualitative variables presented as relative and absolute frequencies, and the quantitative variables, as means and standard deviations. The studied variables were gender, age, diagnosis, and surgical techniques. Results In total, 506 medical records were analyzed. Of these, 269 were of male patients (53%), and 238 were of female patients (46%). The age of the sample ranged from 5 to 84 years (41 ± 14 years). The most prevalent diagnoses were: carpal tunnel syndrome (38.9%) followed by traumatic brachial plexus injury (33.2%). The first diagnosis was more frequent among women, while the second, among men. This collaborates with the predominant findings of upper-limb lesions (91%), in which men accounted for 52,75% (244) and women, for 47,25% (217). Conclusion The present study provided relevant information regarding the reality of peripheral-nerve surgeries performed at a public hospital in the state of Pernambuco, Brazil. Public health issues increasingly require the continuity of public policies and government incentive.

2011 ◽  
Vol 5 (6) ◽  
pp. 1475
Author(s):  
Marco Aurélio Soares Amorim ◽  
Denismar Borges Miranda ◽  
Renata Campos Simões Cabral ◽  
Ana Verônica Mascarenhas Batista

ABSTRACTObjective: to describe the clinical and epidemiological profile of patients with HIV/AIDS hospitalized at the Hospital for Reference in the state of Bahia, Brazil. Method: a descriptive retrospective cross-sectional study. The sample comprised of patients admitted to the hospital for the treatment of HIV/AIDS in Salvador, Bahia, Brazil, from January to December 2008; the data was obtained from medical records upon approval by the Committee for Ethics in Research of Hospital Couto Maia (protocol 15/2009). Results: for the 194 patients studied, the average age was 37.8 years, ± 10.7 years. The predominant age group was 21 to 50 years old, which represented 87.5% of the all patients. Prior to hospitalization, about 150 patients were already diagnosed with HIV/AIDS and 54 were in regular use of antiretroviral therapy. Diarrhea, toxoplasmosis and esophageal candidiasis were the most common opportunistic diseases encountered. The average CD4 was 82 cells/mm3, ranging from 7 to 1,099. Of the 194 patients studied, 65 (33.5%) died and the highest mortality rates were attributed to Kaposi's sarcoma (75.0%) and toxoplasmosis (42.2%). Conclusions: the clinical and epidemiological profile of the patients with HIV/AIDS analyzed consists of young heterosexuals adult males, who were diagnosed previously to their hospitalization and whose main reason for hospitalization was related to opportunistic diseases. Descriptors: acquired immunodeficiency syndrome; health profile; aids-related opportunistic infections.RESUMOObjetivo: descrever o perfil clínico-epidemiológico dos pacientes internados com HIV/AIDS no Hospital de Referência do Estado da Bahia. Método: estudo descritivo retrospectivo, de corte transversal. A amostra foi composta pelos pacientes internados no hospital de referência no tratamento de HIV/AIDS da cidade de Salvador-Ba, entre janeiro a dezembro de 2008; os dados foram obtidos de prontuários médicos após aprovação do Comitê de Ética em Pesquisa do Hospital Couto Maia com protocolo 15/2009. Resultados: dos 194 pacientes, observou-se média de idade de 37,8 anos ± 10,7 anos. Predominou faixa etária entre 21 e 50 anos somando 87,5% dos pacientes. Cerca de 150 pacientes tinham diagnóstico prévio à internação e 54 estavam em uso regular de TARV na admissão. Diarréia, neurotoxoplasmose e candidíase esofágica foram as doenças oportunistas mais freqüentes. A mediana de CD4 foi de 82 variando de 7-1.099 células/mm3. Observou-se que, 65 (33,5%) foram a óbito e as maiores taxas de letalidade foram atribuídas ao Sarcoma de Kaposi (75,0%) e neurotoxoplasmose (42,2%). Conclusão: o perfil clínico-epidemiológico dos pacientes com HIV/AIDS internados em estudo é composto por adultos jovens, do gênero masculino, heterossexuais que possuíam diagnóstico prévio a internação, cujo principal motivo de internação esteve relacionado à doença oportunista. Descritores: síndrome de imunodeficiência adquirida; perfil de saúde; infecções oportunistas relacionadas com a aids.RESUMENObjetivo: describir las características clínicas y epidemiológicas de los pacientes con VIH/SIDA en el hospital de referencia del estado de Bahía, Brasil. Método: estudio retrospectivo observacional descriptivo de corte transversal. La muestra se compone de los pacientes ingresados en el hospital para el tratamiento del VIH/SIDA, en Salvador, Bahía, Brasil, entre enero y diciembre de 2008; los datos se obtuvieron a partir de los registros médicos seguidamente a la aprobación por el Comité de Ética en Investigación del Hospital Couto Maia (protocolo 15/2009). Resultados: de los 194 pacientes estudiados la edad promedio fue de 37,8 años ± 10,7 años. El grupo de edad predominante fue de 21 a 50 años, lo que representa 87,5% del total de pacientes. Alrededor de 150 pacientes fueron diagnosticados antes de la admisión y 54 hacían uso regular de la terapia antirretroviral cuando del ingreso. Se observó que la diarrea, toxoplasmosis y candidiasis esofágica fueron las enfermedades oportunistas más frecuentes. El promedio de CD4 fue de 82 células/mm3, entre 7 y 1.099. De los 194 pacientes estudiados, 65 (33,5%) fallecieron y las tasas de mortalidad más altas se atribuyen al sarcoma de Kaposi (75,0%) y toxoplasmosis (42,2%). Conclusiones: el perfil clínico y epidemiológico de los pacientes con VIH/SIDA analizados se compone de jóvenes adultos, hombres, heterosexuales, que habían sido diagnosticados previamente a la hospitalización y cuyo principal motivo para el ingreso en el hospital estaba relacionado con enfermedades oportunistas. Descriptores: síndrome de inmunodeficiencia adquirida; perfil de salud; infecciones oportunistas relacionadas con la sida.


2019 ◽  
Vol 9 ◽  
pp. 159
Author(s):  
Silas Santos Carvalho ◽  
Bruno Rodrigues de Oliveira

Este estudo objetivou conhecer o perfil epidemiológico de puérperas e neonatos atendidos em um hospital de referência. Trata-se de um estudo transversal quantitativo realizado em um hospital público, onde foram analisados o cartão de gestante e os prontuários das puérperas e do recém-nascido. Participaram 457 puérperas, destas, 51,4% tinham idade entre 17 e 26 anos, 85,4% eram casadas/ união estável, 39,6% eram primigestas e 64,6% tiveram parto normal; e 461 neonatos, destes, 84,2% eram a termo e tiveram Índice de Apgar maior que 7 e 8 no 1º (92,2%) e no 5º (94,8%) minuto de vida. Baixo peso ao nascer e prematuridade foram constatados em 11,3% e 9,1% dos neonatos, respectivamente. A pesquisa permitiu traçar o perfil epidemiológico de puérperas e de seus neonatos, possibilitando a compreensão da interação dos fatores de risco e a reorganização de estratégias de serviços mais efetiva.AbstractThis study had the objective of to trace the epidemiological profile of puerperae and neonates treated in a referral hospital. A quantitative cross-sectional study was carried out in a public hospital, where the pregnant woman’s card, the medical records of the puerperae and the newborn were analyzed. 457 postpartum women participated, 51.4% were between 17 and 26 years of age, 85.4% were married / stable, 39,6% were primigravidae and 64.6% had normal births; and 461 neonates, of whom 84.2% were at term and had an Apgar score greater than 7 and 8 in the 1st (92.2%) and in the 5th (94.8%) minute of life. Low birth weight and prematurity were found in 11.3% and 9.1% of neonates, respectively. The research allowed us to trace the epidemiological profile of puerperal women and their newborns, enabling the understanding of the interaction of risk factors and the reorganization of more effective service strategies.


2017 ◽  
Vol 25 (5) ◽  
pp. 202-205 ◽  
Author(s):  
MARCELO JOSÉ CORTEZ BEZERRA ◽  
IGOR MAGALHÃES BARBOSA ◽  
THALES GONÇALVES DE SOUSA ◽  
LARISSA MEIRELES FERNANDES ◽  
DIEGO LEONARDO MENEZES MAIA ◽  
...  

ABSTRACT Objective: To describe the epidemiological profile, presented deformities, associated comorbidities, and impact on quality of life in patients with knee osteoarthritis. This study was conducted in a philanthropic hospital in Fortaleza from 2014 to 2015. Methods: Data were collected from medical records, epidemiological forms, and by applying the Lequesne index questionnaire, which contains several questions related to pain, discomfort and functional limitation to assess the severity of symptoms. Results: Females were more prevalent (76.7%), as were patients over 65 years of age (61.6%) and non-whites (81.6%). As for comorbidities, 83.3% had hypertension and 31.7% had diabetes. Of the total, 76.5% cases were genu varum, and 23.5% genu valgum. According to the Lequesne index findings, 61.6% cases were “extremely severe,” and women had higher scores. Conclusion: Females were more prevalent and whites were less prevalent. The most frequent comorbidity was hypertension. Female and elderly patients have more severe disease according to Lequesne index score, and these findings were statistically significant. Level of Evidence II, Prospective Study.


2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
João Vitor Lopes Lima ◽  
Douglas Mateus Pereira Jorge ◽  
...  

Background: The incidence of Cerebrovascular Diseases (CVD) increases significantly with age, being more frequent in the elderly. For this reason, there are still few studies that describe the epidemiological profile of these pathologies in youn g adults. Methods and Objective: From the data collected prospectively and allocated on the TabNet platform (DataSUS, MS), an observational, descriptive and cross-sectional study was carried out. As a primary objective, we seek to describe the demographic information most associated with CVD mortality in individuals between 20 and 49 years old, in São Paulo. Results: The year 2011 emerged in relation to mortality, with 1,432 deaths; in the 2010- 2019 period, the average number of deaths (± standard deviation [SD]) was 1,318 (± 61), per year. In this period, the number of deaths was higher in the capital (4,605; 34.9% of the total in the state). The mean deaths (± SD), per year, in the capital and in the interior cities were, respectively: 442 (± 58) and 2.4 (± 6.2). People with schooling from 4 to 7 years old and from 8 to 11 years old were the most affected. The ratio of male deaths to female deaths was 1.05. Conclusion: There is relative stability in relation to mortality per year among young adults in the state of SP, the capital being the city with the highest number of deaths. Male individuals, with a medium level of education were responsible for most of the deaths.


2021 ◽  
Vol 11 (1) ◽  
pp. 44-50
Author(s):  
Bianca Sousa de Almeida Neves ◽  
Mariana Bastos Amanajás ◽  
Carla Andréa Avelar Pires

Objective: To quantify patients diagnosed with acquired syphilis and the prevalence of the disease in the state of Pará, Brazil, from January 2017 to June 2019, in addition to characterizing the demographic aspects of patients included in the sample. Methods: observational, descriptive and cross-sectional study, conducted by reviewing the database of the Notifiable Diseases Information System made available by the State Health Department of Pará, of reported cases of acquired syphilis, in the defined period. This study included patients of both sexes, aged 18 years or older, who had acquired syphilis and were notified. Results: 5,620 cases of acquired syphilis were reported, of which the majority were male (n = 3,229; 57.45%), mixed race (n = 4,058; 72.2%), low education (n = 2,250; 40%) and in the young adult range (18–30 years; n = 2,514; 44.74%). The highest concentration of cases was observed in the metropolitan mesoregion of Belém and the Lower Amazon. Conclusions: Acquired syphilis is still prevalent and is characterized as a public health problem. Epidemiological surveillance needs to be constant, and more efficient public policies need to be employed in primary care to reduce the number of cases and make early diagnoses with appropriate treatment.


2020 ◽  
Vol 2 (2) ◽  
pp. 541-546
Author(s):  
Motuta Amisi Christian ◽  
Djolu Djoza Ruphin ◽  
Masengo Ashande Colette ◽  
Gbolo Zoawe Benjamin ◽  
Bongo Ngiala Gédéon ◽  
...  

A cross sectional study was carried out on intestinal ascariasis, which is a helminth of fecal peril that colonizes the digestive tract with the possibility of complications in organs such as the intestines, liver, lungs and even the brain. The study was carried out at the General Reference Hospital of Kinshasa where medical records were used to collect data and the study period was from January 2016 and December 2017. The findings show females (61.19%) are predominant than males (38.80%), and the gender sex ratio (M/F) was 0.63. The incidence was high in June 2016 and November 2017 are the most affected months by Ascariasis in our study with 7 cases or 18.98% and 6 cases or 20% for each year. The age group between 31 - 40 years of age predominated by the attack of this parasitic affection with the extreme ages of 8 months and 75 years. The incidence varied with a peak in June with 7 cases or 18.98%. A variable incidence with a peak in November with 6 cases or 20%.


2011 ◽  
Vol 5 (11) ◽  
pp. 2635
Author(s):  
Ana Luzia Medeiros Araújo da Silva ◽  
Anne Christine Cardoso Moreno ◽  
Laís Abath Neves ◽  
Ednaldo Cavalcante de Araújo ◽  
Iracema Da Silva Frazão

ABSTRACTObjective: to draw the epidemiological profile of crack users from the Psychosocial Care Center for alcohol and other drug users (CAPS ad) in the town of Camaragibe, Pernambuco, Brazil. Method: is a descriptive and cross-sectional study with a documental design and a quantitative approach to the medical records of crack users. The data collection was carried out through a structured form, adapted from the document used by the service for the initial attention register, which comprises socioeconomic characteristics, way and pattern of drug use, users’ clinical characterization. The data were collected in the CAPS ad on July, in all medical records from the service (active, inactive ones) and triage cards. The data analysis was carried out through the statistical software EpiInfo, version 3.5.2 for Windows. The research was approved by the Research Ethics Committee of UFPE under CAAE- 0196.0.172.000-11. Results: it was found that the majority were men (89.2%), young (average age 25.63 years), single (53.9%), unemployed (46.65%), with low economic (67.7%) and education (46.2%) levels, presenting a serious pattern of drug use, in combination to other drugs, mainly marijuana (77.8%), alcohol (75.6%), and tobacco (63.4%). Conclusion: the study enables health professionals to increase their knowledge on crack users, and thus design in a more effective way an assistance plan for this clientele. Descriptors: crack; epidemiological profile; drug users.RESUMOObjetivo: traçar o perfil epidemiológico dos usuários de crack do Centro de Atenção Psicossocial para usuários de álcool e outras drogas (CAPS ad) do município de Camaragibe-PE. Método: trata-se de estudo descritivo e transversal do tipo documental com abordagem quantitativa dos prontuários dos usuários de crack. A coleta de dados foi realizada por meio de um formulário estruturado, adaptado do documento usado pelo serviço para registro de atendimento inicial, que engloba características socioeconômicas, forma e padrão de uso da droga e caracterização clínica dos usuários. Os dados foram coletados no CAPS ad no mês de julho, em todos os prontuários do serviço (ativos, inativos) e fichas de triagem. A análise dos dados foi processada utilizando-se o programa estatístico EpiInfo, versão 3.5.2 for Windows. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da UFPE sob CAAE- 0196.0.172.000-11. Resultados: verificou-se que a maioria era do sexo masculino (89,2%), jovem (idade média de 25,63 anos), solteiro (53,9%), desempregado (46,65%), com baixo nível econômico (67,7%) e escolar (46,2%), apresentando padrão grave de consumo da droga, sendo seu uso concomitante com outras drogas, principalmente, a maconha (77,8%), o álcool (75,6%) e o tabaco (63,4%). Conclusão: o estudo permite aos profissionais de saúde ampliar seu conhecimento sobre os usuários de crack, e, assim, delinear de forma mais efetiva um plano assistencial para essa clientela. Descritores: crack; perfil epidemiológico; usuários de drogas.RESUMENObjetivo: trazar el perfil epidemiológico de los usuarios de crack del Centro de Atención Psicosocial para usuarios de alcohol y otras drogas (CAPS ad) del municipio de Camaragibe, Pernambuco, Brasil. Método: esto es un estudio descriptivo y transversal del tipo documental con abordaje cuantitativo de los prontuarios de los usuarios de crack. La recogida de datos fue realizada por medio de un formulario estructurado, adaptado del documento utilizado por el servicio para registro de atendimiento inicial, que engloba características socioeconómicas, forma y patrón de uso de la droga y caracterización clínica de los usuarios. Los datos fueron recogidos en el CAPS ad en el mes de julio, en todos los prontuarios del servicio (activos, inactivos) y fichas de selección. El análisis de los datos fue procesado por medio del programa estadístico EpiInfo versión 3.5.2 for Windows.  La investigación fue aprobada por el Comité de Ética en Investigación de la UFPE bajo CAAE- 0196.0.172.000-11. Resultados: se verificó que la mayoría era del sexo masculino (89,2%), joven (edad media de 25,63 años), soltero (53,9%), desempleado (46,65%), de bajo nivel económico (67,7%) y escolar (46,2%),  presentando patrón grave de consumo de la droga, junto a otras drogas, principalmente la marihuana (77,8%), el alcohol (75,6%)  y el tabaco (63,4%). Conclusión: el estudio permite a los profesionales de salud ampliar su conocimiento acerca de los usuarios de crack y así, delinear de manera más efectiva, un plan de asistencia para esa clientela. Descriptores: crack; perfil epidemiológico; usuarios de drogas.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Alotaibi ◽  
E Tolma ◽  
W Alali ◽  
D Alhuwail ◽  
S Aljunid

Abstract Introduction Electronic Health Records (EHR) help physicians make effective decisions in patient care. With limited research in this area in Kuwait, we sought to identify the factors that contribute to the current use and satisfaction of EHR in Kuwait. Methods This cross-sectional study took place in a public hospital in 2019. Three-hundred ten physicians were recruited through convenience sampling (response rate: 95%). The survey which was translated into Arabic, was self-administered and it contained 48 statements. The Technology Acceptance Model was used as the theoretical framework. The dependent variables were satisfaction with EHR and current use of EHR. The main independent variables were barriers of using the EHR, perceived level of ease for using EHR, and effect of EHR on the physicians' work. Descriptive analysis, followed by bivariate, multivariate linear regression adjusted for demographics were conducted. Results The study sample consisted of predominantly males (82%), non-Kuwaiti (84%), and of young age (42% were 30-39 years old). The majority of the participants (76%) were currently using the EHR system. The physicians' satisfaction with use of EHR system was moderate (Mean: 3.47, SD: 0.81, range 1.33-5). The EHR effect on the physicians' work was the most significant predictor of satisfaction (β = 0.491, p = 0.000), followed by the level of ease (β = 0.274, p = 0.000), and length of use of EHR (β = 0.100, p = 0.006). Perceptions of barriers was the strongest predictor of current use of EHR (β=-0. 417, p = 0.000), followed by level of ease (β = 0.227, p = 0.000) and quality of a related training (β = 0.195, p = 0.000). Conclusions In the promotion of EHR use and related satisfaction, making the use of EHR functions (e.g. registration of clinical notes) as easy as possible seems to be a key factor. Other factors to consider are removing the barriers physicians face, making the benefits of use of EHR visible, and ensuring a high quality related training. Key messages Most physicians in a Kuwaiti public hospital use the EHR system. Perceived barriers, effect of EHR on the physicians’ work, and user-friendly application of EHR are associated with satisfaction and EHR use.


Mastology ◽  
2021 ◽  
Vol 31 ◽  
Author(s):  
Jardeson Saraiva Jorge ◽  
Fabio Siqueira ◽  
Jessica Vick de Oliveira Leal

Introduction: In Brazil, for the 2020–2022 triennium, the estimated incidence of breast cancer in women was 66,280/year. It is the most incident type of cancer in all Brazilian regions. Several risk factors are associated with the probable etiology of breast cancer, though the complexity of the disease makes it difficult to define its main cause. Objective: To investigate the prevalence of factors associated with breast cancer in an outpatient population at a public hospital in the Federal District, and to verify the epidemiological profile of this population to compare the data obtained with data published in the literature. Method: This is a descriptive cross-sectional study, with 115 participants diagnosed with breast cancer undergoing treatment in a highly complex unit of oncology care in the Federal District between July and October 2020. Data collection was done through a questionnaire. The electronic medical record was consulted to complement the data. Results: The majority of women were brown, married, with an average age of 52. Hormone therapy was reported by 73.9%, early menarche by only 33.9% and late menopause by 25.2%. Most had children before the age of 30 and more than 80% breastfed. A family history of breast cancer was present in 30.4% of the sample. The consumption of alcoholic beverages was reported by more than half of the women, but the use of cigarettes was denied by the majority. The practice of some physical activity before the diagnosis of cancer was reported by 69.6%. Most were overweight or had some degree of obesity. Non-special invasive carcinoma was the most common type. Conclusions: This study showed that the main factors present in the sample were: advanced age, alcohol consumption, use of hormone therapy and overweight.


Author(s):  
Nehad J. Ahmed

Aim: The aim of this study was to describe the seasonal variations in dispensing antibiotic prescriptions in the outpatient setting of a public hospital in Alkharj. Methodology: A retrospective cross-sectional study was conducted. The outpatient prescriptions in 2017 and 2018 were collected from medical records in a public hospital in Alkharj. The data include the number of prescribed antibiotics in general, the number of prescribed antibiotics in different months and seasons in the outpatient setting. Results: In the outpatient setting in 2017 and 2018, antibiotics were prescribed excessively in most of the months. About 27.84 %of the prescriptions in 2017 were in spring season and about 26.64% of the prescriptions in 2018 were in autumn. Total number of antibiotics prescriptions in 2017 and 2018 were 5348 in spring followed by 5097 in autumn. Conclusion: The results of the present study showed the widespread use of antibiotics by practitioners that was associated with season of prescribing. In general, there are excess use of antibiotics in all months. It is important to understand how the prescribing of antibiotic varies throughout the year to design an appropriate intervention to decrease incorrect antibiotic use.


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