scholarly journals Pain intensity, disability and depression in individuals with chronic back pain

2014 ◽  
Vol 22 (4) ◽  
pp. 569-575 ◽  
Author(s):  
Márcia de Oliveira Sakamoto Silva Garbi ◽  
Priscilla Hortense ◽  
Rodrigo Ramon Falconi Gomez ◽  
Talita de Cássia Raminelli da Silva ◽  
Ana Carolina Ferreira Castanho ◽  
...  
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Chronic Back Pain ◽  
Pain Treatment ◽  
Sao Paulo ◽  
São Paulo ◽  
Arithmetic Means ◽  
Cross Sectional ◽  
Pain Disability ◽  
The University

OBJECTIVES: to measure the pain intensity, identify the disability and depression levels in people with chronic back pain and to correlate these variables. A cross-sectional, descriptive and exploratory study was undertaken at the Pain Treatment Clinic of the University of São Paulo at Ribeirão Preto Hospital das Clínicas, between February and June 2012, after receiving approval from the Ethics Committee at the University of São Paulo at Ribeirão Preto College of Nursing.METHOD: sixty subjects with chronic back pain participated. The instruments used were: the 11-point Numerical Category Scale, the Roland-Morris Disability Questionnaire and the Beck Depression Inventory. To analyze the data, the arithmetic means, standard deviations and Spearman's correlation coefficient were calculated.RESULTS: the findings show that the participants presented high pain, disability and depression levels. The correlation between pain intensity and disability and between pain intensity and depression was positive and weak and, between disability and depression, positive and moderate.CONCLUSION: the study variables showed moderate and weak indices and the mutual correlations were positive.

Outcomes of a Rehabilitation Programme for Patients with Chronic Back Pain

1995 ◽  
Vol 58 (10) ◽  
pp. 435-438 ◽  
Author(s):  
Monica Moran ◽  
Jenny Strong
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Functional Capacity ◽  
Chronic Back Pain ◽  
Rehabilitation Programme ◽  
Therapeutic Interventions ◽  
Pain Disability ◽  
Perceived Pain ◽  
Disability Questionnaire ◽  
Objective Outcome

In order to evaluate the effectiveness of a rehabilitation programme for patients with chronic back pain, data on the subjective outcomes of perceived pain intensity (as measured by the Visual Analogue Scale Horizontal) and perceived level of disability (as measured by the Oswestry Low Back Pain Disability Questionnaire), and the objective outcome of functional capacity (as measured by the West Standardised Evaluation), were collected on 51 subjects prior to entry into a back pain rehabilitation programme and at discharge. The results at discharge showed a significant reduction in the perceived level of disability and a significant Increase in the functional capacity. The perceived pain intensity did not change significantly. The discussion focuses on the importance of directing therapeutic interventions towards increasing physical function rather than concentrating on the reduction or elimination of pain.

scholarly journals Clinical pharmacology profile of care in Hepatology clinic

2017 ◽  
Vol 63 (5) ◽  
pp. 401-406
Author(s):  
Talita Rocha Passos ◽  
Fabiana Silva Santos ◽  
Maria Cleusa Martins ◽  
Vanusa Barbosa Pinto ◽  
Flair José Carrilho ◽  
...  
Keyword(s):  
Elderly Population ◽  
Health Spending ◽  
Secondary Level ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Medical Specialties ◽  
The University ◽  
Basic Health Units

Summary Since 2010, the Clinical Gastroenterology and Hepatology Division of the Central Institute of Hospital das Clínicas of the University of São Paulo Medical School (HC-FMUSP, in the Portuguese acronym) has been developing specialized electives assistance activities in the Outpatient Specialty Clinic, Secondary Level, in São Paulo NGA-63 Várzea do Carmo. The objective of this study was to analyze the pharmacotherapeutic profile of patients. This is a cross-sectional and retrospective study in which patients were seen at the Hepatology sector and the results were submitted to descriptive statistics. During the study period, 492 patients were treated at the clinic, with a mean age of 58.9 years and frequency of 61.2% female and 74.8% living in São Paulo. This population was served by various other medical specialties (cardiology and endocrine among others) and the major liver diagnoses were: chronic hepatitis B and C and fatty liver. Comorbidities were also identified, such as diabetes, hypertension and dyslipidemia. Most patients took their medication in the Basic Health Units. We found that 30% of patients use of more than five medications and the most prescribed were omeprazole 208 (42.3%), metformin 132 (26.8%) and losartan 80 (16.3%). Because it is an adult/elderly population, with several comorbidities and polymedication, it is important to be aware of the rational use of medication. The multidisciplinary team is important in applying correct conducts for the safe use of medicines, to reduce the burden on health spending and improving the quality of life of patients.

scholarly journals Conhecimento e atitudes de estudantes da área da saúde sobre a doação de córneas

2020 ◽  
Vol 30 (1) ◽  
pp. 35854
Author(s):  
Isabela Mirandola Bartolomeu ◽  
Sidney Júlio Faria e Sousa ◽  
Miriane Lucindo Zucoloto ◽  
Edson Zangiacomi Martinez
Keyword(s):  
Speech Therapy ◽  
Corneal Transplantation ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Knowing That ◽  
Knowledge Questionnaire ◽  
Corneal Donation ◽  
The University

Aims: assess the knowledge and attitudes toward corneal donation among health sciences undergraduate students.Methods: this is an observational, descriptive, cross-sectional study, that included students enrolled in the undergraduate courses in Speech Therapy, Nutrition and Metabolism, Physical Therapy and Occupational Therapy, offered by the University of São Paulo at Ribeirão Preto Medical School (FMRP), University of São Paulo (USP), Ribeirão Preto campus. The students responded to a structured instrument in the classroom. A questionnaire containing 16 items regarding knowledge about corneal transplantation and questions about attitudes towards donation was applied. The questionnaire was based on instruments used in similar studies.Results: 335 students (83.1% female) participated in the research. Only 6.6% reported knowing how to proceed to be a corneal donor, and 55.5% reported knowing that corneal removal can only be performed after the donor’s death. Among the 16 items of the knowledge questionnaire, the students had a mean of only 5.6 correct answers, with a standard deviation of 3.1.Conclusions: the knowledge of the interviewed students about corneal donation is quite unsatisfactory. Given the known shortage of corneas for transplantation, educational actions are needed to make these future professionals able to spread the practice of corneal donation among their future patients and their families.

scholarly journals Prevalence and factors associated to back pain in adults from the northeast of São Paulo, Brazil: a population-based study

2017 ◽  
Vol 30 (2) ◽  
pp. 255-265
Author(s):  
Alberto De Vitta ◽  
Marta Helena Souza De Conti ◽  
Nicoly Machado Maciel ◽  
Débora de Melo Trize ◽  
José Eduardo Corrente ◽  
...  
Keyword(s):  
Back Pain ◽  
Public Health Problem ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
High Association ◽  
Cross Sectional ◽  
Significant Difference ◽  
Occupational Activities ◽  
The City

Abstract Introduction: Back pain has become a serious public health problem. Objective: To determine the prevalence of back pain in a population-based sample of subjects over 20 years old living in the city of Bauru (São Paulo, Brazil) and to analyze the associations to variables- sociodemographic, ergonomic and lifestyle-related - and to morbidity. Methods: a cross-sectional study which evaluated 600 adults over 20 years old, both gender and living in the city. We used a structured protocol and the Nordic questionnaire. Also, we developed a descriptive analysis, bivariate and multivariate by binary logistic regression. Results: The prevalence of back pain was of 50.3% (CI 46.3 to 54.3), since 42.3% (CI 36.9 to 48.0) in men and 57.6% (CI 51.9 to 63.0) in women, with statistical significant difference (p = 0.001). Different variables remained in final models when assessed by gender. For male to be widowed and divorced and smoking habits and, for women to be widowed and divorced, to work in seated position and to perform occupational activities that demand carrying and lifting weight. Conclusion: We verified high prevalence in back pain in the population of Bauru and high association to widowed/divorced in both gender, with women performing occupational activities usually or always in seated position, those who carry or lift weight in work and men who smoke.

scholarly journals Low back pain prevalence in Sao Paulo, Brazil: A cross-sectional study

2021 ◽  
Author(s):  
Gabrielle Z. Gonzalez ◽  
Tatiane da Silva ◽  
Marina A. Avanzi ◽  
Gabriel T. Macedo ◽  
Shirley S. Alves ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Low Back ◽  
São Paulo ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pain Prevalence

scholarly journals Mix of destinations and sedentary behavior among Brazilian adults: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex Antonio Florindo ◽  
Gavin Turrell ◽  
Leandro Martin Totaro Garcia ◽  
João Paulo dos Anjos Souza Barbosa ◽  
Michele Santos Cruz ◽  
...  
Keyword(s):  
Built Environment ◽  
Sedentary Behavior ◽  
Latin American ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Sitting Time ◽  
São Paulo ◽  
Related Factors ◽  
Cross Sectional ◽  
Economies In Transition

Abstract Background Sedentary behavior is influenced by contextual, social, and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods This study uses data from the Health Survey of Sao Paulo. Sedentary behavior was assessed by a questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. The mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500 m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and the mix of destinations score in 500 m buffers was the exposure variable. Associations between the mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results After adjustment for covariates, the mix of destinations was inversely associated with minutes of sitting time on a weekday (β=− 8.8, p=0.001) and weekend day (β=− 6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion Greater mix of destinations within 500 m of peoples’ residences was inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.

Anemia and dementia among the elderly: the São Paulo Ageing & Health Study

2011 ◽  
Vol 24 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Itamar S. Santos ◽  
Márcia Scazufca ◽  
Paulo A. Lotufo ◽  
Paulo R. Menezes ◽  
Isabela M. Benseñor
Keyword(s):  
Low Income ◽  
Univariate Analysis ◽  
The Elderly ◽  
Sao Paulo ◽  
Health Study ◽  
São Paulo ◽  
Total Blood ◽  
Cross Sectional ◽  
The Relationship ◽  
Life Function

ABSTRACTBackground: Anemia and dementia are common diseases among the elderly, but conflicting data are available regarding an association between these two conditions. We analyzed data from the São Paulo Ageing & Health Study to address the relationship between anemia and dementia.Methods: This cross-sectional observational study included participants aged 65 years and older from a deprived area of the borough of Butantan, São Paulo, Brazil. Data about demographics, education, income, and cognitive and daily life function were collected, as well as blood samples. Anemia and dementia were defined according to WHO and DSM-IV criteria, respectively.Results: Of the 2267 subjects meeting the inclusion criteria, 2072 agreed to participate in the study; of whom 1948 had a valid total blood count and were included in the analysis. Anemia was diagnosed in 203 (10.2%) participants and dementia in 99 (5.1%). The frequency of anemia was higher in patients with dementia according to univariate analysis (odds ratio (OR) = 2.00, 95% confidence interval (CI) = 1.17–3.41, p = 0.01), but this association was not present after adjusting for age (OR = 1.33, 95% CI = 0.76–2.33, p = 0.32). Further multivariate adjustment did not change the results.Conclusion: Although anemia and dementia are frequent disorders in older people, we found their relationship to be mediated exclusively by aging in this low-income population from São Paulo.

A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain

2021 ◽  
Author(s):  
Kristina M Post ◽  
David A Smith ◽  
John W Burns ◽  
Laura S Porter ◽  
Francis J Keefe
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Hierarchical Linear Modeling ◽  
Chronic Back Pain ◽  
Pain Behavior ◽  
Linear Modeling ◽  
Electronic Diary ◽  
Higher Criticism ◽  
Depressed Affect ◽  
And Behavior

Abstract Background Depression and marital discord are characteristic not only of individuals with chronic low back pain (ICPs) but also of their spouses. Purpose We examined actor–partner interdependence models to evaluate associations among depressed affect and criticism and support of partners at the same time point (concurrent effects) and 3 hr later (lagged effects). Fully dyadic models were used to account for both within-person and cross-spouse associations among depressed affect, criticism, and support for ICPs and spouses. We also examined the direction of the relationships (depressed affect predicting behavior and behavior predicting depressed affect) all while controlling for pain intensity, pain behavior, and the prior dependent variable. Methods ICPs (n = 105) and their spouses completed electronic diary measures of depressed affect and behavior (criticism and support) five times a day for 2 weeks. Hierarchical linear modeling with person-mean centering was used for data analysis. Results Within the same 3 hr epoch, more depressed affect was related to higher criticism and generally less support. Lagged analyses suggested bidirectional relationships between spouse’s own depressed affect and spouse’s own criticism of ICPs. Spouse depressed affect was also associated with decreased support received from ICPs. Pain behavior and pain intensity were also related to depressed affect, criticism, and support especially concurrently. Conclusions Theories and interventions need to address not only ICP depressed affect but also spouse depressed affect, as spouse depressed affect may be a stress generating precursor to criticism and support.

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