EPIDEMIOLOGY OF VERTEBRAL SPINE FRACTURES IN A HOSPITAL IN SÃO PAULO IN THE TWO-YEAR PERIOD 2017-2018

ABSTRACT Objectives: To evaluate the epidemiological profile of patients with spinal fractures over a two-year period (2017 and 2018) in a quaternary hospital in the city of São Paulo. Methods: A cross-sectional study was carried out through the analysis of the electronic medical records of patients treated by the Spine group of the Department of Orthopedics and Traumatology at the Orthopedics and Traumatology Emergency Room of Hospital das Clínicas de São Paulo in the years 2017 and 2018. Results: A total of 185 patients were evaluated over two years. Males were the gender most frequently evaluated (69.19%), and the mean patient age was 43.95 years. The most common trauma mechanisms were falls from a height (45.95%) and traffic accidents (29.73%). The cervical spine, affected in 28.65%, was the most affected region, followed by the thoracolumbar region (26.56%). Most patients did not present deficits at the initial moment (71.89%) and 54.05% of patients underwent surgery for treatment. Conclusion: Most traumas involving the spine affect adults of working age (from 20 to 60 years old), with a predominance of males. Most injuries occurred in the cervical region, which is the region most commonly associated with severe trauma and neurological injuries. This study can help in planning prevention and precaution strategies for spinal trauma. Level of evidence III; Cross-sectional study.

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ORTHOPEDIC INJURIES IN MEN'S PROFESSIONAL SOCCER IN BRAZIL: PROSPECTIVE COMPARISON OF TWO CONSECUTIVE SEASONS 2017/2016

Acta Ortopédica Brasileira ◽

10.1590/1413-785220182605194940 ◽

2018 ◽

Vol 26 (5) ◽

pp. 338-341 ◽

Cited By ~ 1

Author(s):

Eduardo Ramalho de Moraes ◽

Gustavo Gonçalves Arliani ◽

Paulo Henrique Schmidt Lara ◽

Eli Henrique Rodrigues da Silva ◽

Jorge Roberto Pagura ◽

...

Keyword(s):

Cross Sectional Study ◽

Sao Paulo ◽

Lower Limbs ◽

São Paulo ◽

Level Of Evidence ◽

Cross Sectional ◽

Paulo State ◽

Professional Soccer ◽

Prospective Comparison ◽

São Paulo State

ABSTRACT Purpose: The purpose is to compare the incidence and characteristics of injuries sustained in two consecutive seasons of the São Paulo State Football Championship. Methods: Prospective study performed using an electronic form previously developed by the Medical Committee of the São Paulo State Football Federation, sent to the physicians responsible for the tournament's series A1 and A2 teams, after each round. Results: 17.63 injuries sustained per 1000 hours of matches in the A1 series and 14.91 injuries sustained per 1000 hours of matches in the A2 series. Incidence of injuries per 1000 hours of matches decreased from 24.16 to 17.63 in the A1 series (p<0.037) and from 19.10 to 14.01 in the A2 series (p<0.064). External defenders suffered most injuries, while muscular injuries were most common and lower limbs, the most affected areas. Most injuries occurred between 30 and 45 minutes of the match and only 11.9% of the injuries required surgery. Conclusions: Prevalence and frequency of injuries decreased between seasons. Most injuries were sustained in the lower limbs; strains were the most common injuries, followed by strains and contusions; MRIs were the most frequently requested exams and most injuries were classified as moderate (8-28 days). Level of evidence III, Cross-Sectional Study.

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Seroprevalence of Helicobacter pylori infection among children of low socioeconomic level in São Paulo

Sao Paulo Medical Journal ◽

10.1590/s1516-31802010000400002 ◽

2010 ◽

Vol 128 (4) ◽

pp. 187-191 ◽

Cited By ~ 13

Author(s):

Aurea Cristina Portorreal Miranda ◽

Rodrigo Strehl Machado ◽

Edina Mariko Koga da Silva ◽

Elisabete Kawakami

Keyword(s):

Helicobacter Pylori ◽

Cross Sectional Study ◽

Sao Paulo ◽

Helicobacter Pylori Infection ◽

Socioeconomic Level ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

Low Socioeconomic ◽

H Pylori

CONTEXT AND OBJECTIVE: Helicobacter pylori infection is mainly acquired during childhood, and is associated with significant morbidity in adults. The aim here was to evaluate the seroprevalence and risk factors of H. pylori infection among children of low socioeconomic level attended at a public hospital in São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study, among patients attended at an outpatient clinic. METHODS: 326 children were evaluated (150 boys and 176 girls; mean age 6.82 ± 4.07 years) in a cross-sectional study. Patients with chronic diseases or previous H. pylori treatment, and those whose participation was not permitted by the adult responsible for the child, were excluded. The adults answered a demographic questionnaire and blood samples were collected. The serological test used was Cobas Core II, a second-generation test. Titers > 5 U/ml were considered positive. RESULTS: H. pylori infection was diagnosed in 116 children (35.6%). Infected children were older than uninfected children (7.77 ± 4.08 years versus 5.59 ± 3.86 years; p < 0.0001). The seroprevalence increased from 20.8% among children aged two to four years, to 58.3% among those older than 12 years. There were no significant relationships between seropositivity and gender, color, breastfeeding, number of people in the home, number of rooms, bed sharing, living in a shantytown, maternal educational level, family income or nutritional status. In multivariate analysis, the only variable significantly associated with H. pylori seropositivity was age. CONCLUSION: Infection had intermediate prevalence in the study population, and age was associated with higher prevalence.

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A cross-sectional study of swine influenza in intensive and extensive farms in the northeastern region of the state of São Paulo, Brazil

Tropical Animal Health and Production ◽

10.1007/s11250-016-1153-z ◽

2016 ◽

Vol 49 (1) ◽

pp. 25-30 ◽

Cited By ~ 5

Author(s):

Henrique Meiroz de Souza Almeida ◽

Gabriel Yuri Storino ◽

Daniele Araújo Pereira ◽

Igor Renan Honorato Gatto ◽

Luis Antonio Mathias ◽

...

Keyword(s):

Swine Influenza ◽

Cross Sectional Study ◽

Sao Paulo ◽

The State ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

Northeastern Region

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A cross-sectional study assessing the pharyngeal carriage of Neisseria meningitidis in subjects aged 1–24 years in the city of Embu das Artes, São Paulo, Brazil

The Brazilian Journal of Infectious Diseases ◽

10.1016/j.bjid.2017.06.005 ◽

2017 ◽

Vol 21 (6) ◽

pp. 587-595 ◽

Cited By ~ 6

Author(s):

Lily Yin Weckx ◽

Rosana Fiorini Puccini ◽

Antónia Machado ◽

Maria Gisele Gonçalves ◽

Suely Tuboi ◽

...

Keyword(s):

Neisseria Meningitidis ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

The City

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A cross-sectional study of sociodemographic factors and their influence on quality of life in medical students at Sao Paulo, Brazil

PLoS ONE ◽

10.1371/journal.pone.0180009 ◽

2017 ◽

Vol 12 (7) ◽

pp. e0180009 ◽

Cited By ~ 4

Author(s):

Mario Ivo Serinolli ◽

Marcia Cristina Zago Novaretti

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional

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The influence of gender and body mass index on the FPI-6 evaluated foot posture of 10- to 14-year-old school children in São Paulo, Brazil: a cross-sectional study

Journal of Foot and Ankle Research ◽

10.1186/s13047-016-0183-0 ◽

2017 ◽

Vol 10 (1) ◽

Cited By ~ 3

Author(s):

Barbarah Kelly Gonçalves de Carvalho ◽

Patrícia Jundi Penha ◽

Nárima Lívia Jundi Penha ◽

Rodrigo Mantelatto Andrade ◽

Ana Paula Ribeiro ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

School Children ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

Foot Posture

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Letter to the editor: Association between participation and compliance with Continuing Medical Education and care production by physicians: a cross-sectional study. einstein (São Paulo). 2015;13(1):1-6

Einstein (São Paulo) ◽

10.1590/s1679-45082015ce3387 ◽

2015 ◽

Vol 13 (2) ◽

pp. 341-341

Author(s):

Thiago Gonçalves dos Santos Martins ◽

Ana Luiza Fontes de Azevedo Costa

Keyword(s):

Medical Education ◽

Continuing Medical Education ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

Letter To The Editor ◽

Education And Care

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Trends Associated with Stillbirth in a Maternity Hospital School in the North Zone of São Paulo: A Cross-Sectional Study

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0039-1693984 ◽

2019 ◽

Vol 41 (10) ◽

pp. 597-606

Author(s):

Raissa Magalhães de Mendonça Fonseca ◽

Carolina Laila Garcia ◽

Talita Sampaio Angimahtz ◽

Cindy Fazio Battaglia ◽

Elisa Chalem ◽

...

Keyword(s):

Placental Abruption ◽

Maternity Hospital ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

The North ◽

Fetal Malformations ◽

Hospital School

Objective To evaluate conditions associated with stillbirth (SB), and possible trends related with it, in a maternity hospital school in the North zone of São Paulo. Methods An observational, cross-sectional study conducted at the Hospital Maternidade-escola de Vila Nova Cachoeirinha with 1,139 SBs in the period of 2003 to 2017. Cases of intermediate SB (ISB) (weight between 500 and 999 g) and late SB (LSB) (weight ≥ 1,000 g) were compared. We evaluated clinical data, laboratory tests, and fetal and placental studies. Data were stored in Windows Excel (Microsoft Corp., Redmond, WA, USA) worksheets, according to which graphs and tables were constructed. We used the statistical software SPSS for Windows version 18.0 (SPSS In., Chicago, IL, USA), estimating the prevalence ratio (PR) and odds ratio (OR), considering the 95% confidence interval (95% CI). Results The general SB rate was 11.9%, and the in-hospital SB rate was 2.8%. Pregnant women younger than 16 years of age were more likely to have ISB (OR 0.32, 0.15–0.76), while patients older than 40 years old had a higher chance of LSB (PR 0.85, 0.72–0.99). A total of 25.7% of the general population did not have prenatal care, and 77.1% of the cases presented fetal death at admission. The cases of ISB had a statistically significant association with home birth (OR 0.61, 0.46–0.80). Cesarean section was performed in 16.1% of the subjects, and misoprostol was the most used method for induction. Necropsy and placental study of the fetuses were performed, respectively, in 94.2% and 97.3% of the cases. Associated causes were not identified in 22.1% of the cases, and the main causes identified were amniotic sac infections (27.9%), fetal malformations (12.5%), placental abruption (11.2%), hypertensive syndromes (8.5%), and maternal syphilis (3.9%), the latter with an increasing trend. Conclusion Among the factors associated to SB were: hypertensive syndromes, amniotic sac infections, fetal malformations, placental abruption and syphilis. There was a growing trend in the number of cases of syphilis, which translates an alert. Diagnostic limitations justify indeterminate causes.

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