scholarly journals Prevalência de alteração do frênulo de língua em cantores com disfonias comportamentais / Prevalence of language frenulum alteration in singers with behavioral dysphonies

2021 ◽  
Vol 66 (1u) ◽  
pp. 1
Author(s):  
Suelen Rocha Silva ◽  
Adriana Rahal Rebouças de Carvalho
Keyword(s):  
General Population ◽  
Outpatient Clinic ◽  
Sao Paulo ◽  
São Paulo ◽  
Significant Difference ◽  
The Mean ◽  
Lingual Frenum ◽  
Tongue Mobility ◽  
Tip Of The Tongue

Introdução: A qualidade de uma voz depende da fonte produtora e do filtro. Características da voz devem estar adequadas como, por exemplo, a ação da fonte com o filtro e a frequência, pois se estiverem alteradas e se essa voz for utilizada de forma inadequada, pode causar várias alterações vocais, que são chamadas de disfonias comportamentais. Essas disfonias ocorrem por conta do mau uso ou abuso vocal. Objetivo: Verificar se há maior prevalência de alterações de frênulo de língua em cantores com disfonia comportamental atendidos no Ambulatório de Artes Vocais da Santa Casa de São Paulo quando comparados a população. Método: participaram 18 cantores com idades entre 18 e 40 anos e 11 meses, de ambos os sexos que possuíam diagnóstico de disfonia comportamental e 23 indivíduos da população geral, da mesma faixa etária sem queixa de disfonia. A presença da disfonia comportamental foi verificada após análise do prontuário do Ambulatório de Artes Vocais da Santa Casa de São Paulo. Os dois grupos foram submetidos a avaliação clínica do frênulo de língua por meio de protocolo descrito por Marchesan (2010). Resultados: a média de idade dos cantores foi de 35,4 anos e da população geral de 26,57 anos. As medidas realizadas com paquímetro com a boca aberta e com a ponta da língua na papila palatina geram uma média que auxilia na avaliação do frênulo de língua. Em nosso estudo, 63,8% dos cantores e 71,1% da população geral apresentaram média superior a 50%, o que é considerado normal. As alterações apresentadas nos dois grupos foram: 5 cantores e 6 indivíduos da população geral apresentaram alteração nas provas de mobilidade de língua, 2 cantores e 9 indivíduos da população geral apresentaram alguma alteração em relação a praxia de língua e quanto a alteração de frênulo de língua, 5 cantores e 6 indivíduos da população geral apresentaram alguma alteração. Conclusão: Não houve diferença significativa entre os dois grupos nos aspectos avaliados. Desta maneira, não podemos concluir que há maior prevalência de alteração de frênulo de língua no grupo de cantores. Palavras chave: Frênulo da língua, Disfonia, Voz, PrevalênciaABSTRACT Introduction: The quality of a voice depends on the producing source and the filter. Voice characteristics must be appropriate, such as the action of the source with the filter and the frequency, because if they are altered and if this voice is used inappropriately, it can cause various vocal alterations, which are called behavioral dysphonias. These dysphonias occur because of vocal misuse or abuse. Objective: to verify if there is a higher prevalence of tongue frenulum alterations in singers with behavioral dysphonia seen at the Vocal Arts Outpatient Clinic of Santa Casa de São Paulo when compared to the general population. Method: 18 singers aged 18-40 years and 11 months, of both sexes who were diagnosed with behavioral dysphonia, after analysis of the medical records of the Vocal Arts Outpatient Clinic of Santa Casa de Sao Paulo and 23 individuals from the general population in the same age group without complaints of dysphonia. Both groups underwent clinical evaluation of the tongue frenulum using the protocol described by Marchesan (2010). Results: the mean age of the singers was 35.4 years and the mean age of the general population was 26.57 years. The measurements taken with a pachymeter with an open mouth and with the tip of the tongue on the palatal papilla generate an average that assists in the assessment of the tongue frenulum. In our study, 63.8% of singers and 71.1% of the general population had an average greater than 50%, which is considered normal. The alterations seen in both groups were: 5 singers and 6 individuals from the general population had altered tongue mobility tests; 2 singers and 9 individuals from the general population had some alteration in relation to tongue praxis, and as for tongue frenulum alterations, 5 singers and 6 individuals from the general population had some alteration. Conclusion: There was no significant difference between the two groups in all the aspects evaluated. Thus, we cannot conclude that there is a higher prevalence of tongue frenulum alteration in the group of singers. Keywords: Lingual frenum, Dysphonia, Voice, Prevalence

scholarly journals Exploratory analysis of requests for authorization to dispense high-cost medication to COPD patients: the São Paulo “protocol”

2019 ◽  
Vol 45 (6) ◽  
Author(s):  
Regina Maria Carvalho-Pinto ◽  
Ingredy Tavares da Silva ◽  
Lucas Yoshio Kido Navacchia ◽  
Flavia Munhos Granja ◽  
Gustavo Garcia Marques ◽  
...  
Keyword(s):  
Sao Paulo ◽  
Public Health Care ◽  
São Paulo ◽  
Local Public Health ◽  
Copd Patients ◽  
Male Patients ◽  
The Mean ◽  
The Government ◽  
Long Acting

ABSTRACT Objective: A resolution passed by the government of the Brazilian state of São Paulo established a protocol for requesting free COPD medications, including tiotropium bromide, creating regional authorization centers to evaluate and approve such requests, given the high cost of those medications. Our objective was to analyze the requests received by an authorization center that serves cities in the greater metropolitan area of (the city of) São Paulo between 2011 and 2016. Methods: Data regarding the authorization, return, or rejection of the requests were compiled and analyzed in order to explain those outcomes. Subsequently, the clinical and functional data related to the patients were evaluated. Results: A total of 7,762 requests for dispensing COPD medication were analyzed. Requests related to male patients predominated. Among the corresponding patients, the mean age was 66 years, 12% were smokers, 88% had frequent exacerbations, and 84% had severe/very severe dyspnea. The mean FEV1 was 37.2% of the predicted value. The total number of requests decreased by 24.5% from 2012 to 2013 and was lowest in 2015. Most (65%) of the requests were accepted. The main reasons for the rejection/return of a request were a post-bronchodilator FEV1/FVC ratio > 0.7, a post-bronchodilator FEV1 > 50% of the predicted value, and failure to provide information regarding previous use of a long-acting β2 agonist. During the study period, the total number of requests returned/rejected decreased slightly, and there was improvement in the quality of the data included on the forms. Conclusions: Here, we have identified the characteristics of the requests for COPD medications and of the corresponding patients per region served by the authorization center analyzed, thus contributing to the improvement of local public health care measures.

scholarly journals Quality of life of hypertensive and diabetic elderly in an outpatient clinic

2017 ◽  
Vol 50 (1) ◽  
pp. 18
Author(s):  
Marlene Esteves ◽  
Silvia H. F. Vendramini ◽  
Maria de Lourdes S. G. Santos ◽  
Vânia Z. Brandão ◽  
Zaida A. S. G. Soler ◽  
...  
Keyword(s):  
Social Sciences ◽  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Outpatient Clinic ◽  
Sao Paulo ◽  
São Paulo ◽  
Spss Software

Modelo do estudo: Estudo populacional descritivo, de corte transversal. Objetivo: Avaliar a qualidade de vida de pacientes idosos hipertensos e diabéticos em um ambulatório de um hospital universitário no interior do Estado de São Paulo, Brasil. Metodologia: Estudo realizado em um ambulatório de Geriatria, em São José do Rio Preto, envolvendo 62 pacientes idosos com pressão arterial elevada e/ou diabetes mellitus, atendidos no período de dezembro de 2009 a fevereiro de 2010. Os dados foram coletados com o WHOQOL-OLD, analisados com o Statistical Package for Social Sciences (SPSS) software, com testes Mann-Whitney e Kruskal-Wallis não paramétricos e correlação de Pearson, o nível de significância foi ajustado para um valor de p<0,05. Resultados: 38 (61,3%) idosos eram hipertensos e 23 (37,1%) diabéticos. A idade dos idosos foi de 67±7 (média, DP). Houve prevalência do sexo feminino (58 %), ensino fundamental (87,1%), casados (56,5%), profissões ligadas ao setor de serviços (56,4%), renda de 1 salário mínimo (66,1%) e morando com esposo(a) (58,1%). O maior escore mediano (75,0) foi encontrado nas facetas "Atividades passadas, presentes e futuras", "Participação social", "Morte e morrer" e "Intimidade". A faceta "Autonomia" apresentou o menor escore, correspondendo a 62,5. Os idosos hipertensos tiveram escore inferior aos diabéticos na faceta do "Funcionamento Sensório" (62,2 vs. 73,6, respectivamente). Conclusão: Os idosos apresentaram qualidade de vida inferior na faceta "Autonomia" e melhor qualidade para as facetas "Atividades passadas, presentes e futuras", "Participa- ção social", "Morte e morrer" e "Intimidade". Não houve diferença na qualidade de vida entre diabéticos ou hipertensos, exceto por tendência a menor "Funcionamento do sensório" entre os hipertensos

scholarly journals Quality of life evaluation of frail elderly in Campinas, São Paulo

2015 ◽  
Vol 61 (5) ◽  
pp. 423-430 ◽  
Author(s):  
Flávia Regina de Andrade Varela ◽  
Rozana Mesquita Ciconelli ◽  
Alessandro Gonçalves Campolina ◽  
Patricia Coelho de Soarez
Keyword(s):  
Quality Of Life ◽  
Frail Elderly ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Convenience Sample ◽  
Life Evaluation ◽  
Sf 36 ◽  
The Mean

Summary Objective: describe the quality of life of frail elderly assisted by the Centro de Referência à Saúde do Idoso (CRI), Campinas, São Paulo, Brazil. Methods: the convenience sample included 122 frail elderly being treated from January 2010 to July 2011, out of a total of 668 frail elderly who were referred to the CRI after application of the brief evaluation form of the elderly, recommended by Ministry of Health, which identifies the elderly with some degree of frailty. Descriptive observational study collected data through sociodemographic questionnaire and quality of life questionnaires: WHOQOL-BREF, WHOQOLOLD and SF-36. Results: the study included 122 frail elderly. Of these, 74.6% (91) were female, mean age 73 years, 46.7% (57) were married, 51.6% (63) had less than 3 years of schooling and 87.7% (107) reported income of one to four minimum wages. The mean total score of the WHOQOL-BREF was 56.6, the WHOQOL-OLD 57.6 and SF-36 Physical Component Summary 34.5 and Mental Component Summary 43.6. Conclusion: knowledge of the impairment profile of quality of life among frail elderly is, therefore, essential for planning health care to this population.

scholarly journals Knowledge and attitudes in dementia held by general practitioners in the primary care setting of Botucatu, São Paulo, Brazil

2021 ◽  
Vol 79 (2) ◽  
pp. 107-113
Author(s):  
Vânia Ferreira de Sá Mayoral ◽  
Paulo José Fortes Villas Boas ◽  
Alessandro Ferrari Jacinto
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Sao Paulo ◽  
São Paulo ◽  
Dementia Prevalence ◽  
Study Results ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Randomized Intervention Study

ABSTRACT Background: Alzheimer's disease (AD) is the leading cause of dementia worldwide. Despite alarming evidence on dementia prevalence, the condition is still underdiagnosed by general practitioners (GPs) in primary care. Early detection of the disease is beneficial for patients and relatives, who should be provided comprehensive guidance on dealing with dementia complications, covering medical, family and social aspects, thereby providing an opportunity to plan for the future. Objective: The objective of this study was to assess the knowledge of and attitudes toward dementia held by GPs from a city in the interior of São Paulo State, Brazil. Methods: A non-randomized intervention study was conducted involving six lectures about dementia. Before and after the intervention, the participating physicians completed two quizzes about knowledge of and attitudes towards dementia. The study was carried out in the primary care services of the town and a total of 34 GPs participated in the study. Results: The mean age of the sample was 33.9 (±10.2) years and the majority (76.5%) of the sample had not undertaken medical residency training. The mean number of correct answers on the Knowledge Quiz about dementia before and after the training intervention was 59.6 and 71.2% (p<0.001), respectively. The comparison of the mean responses on the Attitude Quiz revealed no statistically significant difference between the two applications of the instrument, before and after intervention (p=0.059). Conclusions: More training for GPs on dementia should be provided.

scholarly journals Avaliação da qualidade de vida de universitários da área da saúde

2017 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Mariana Jordino de Barros ◽  
Cristina Mendes Gigliotti Borsari ◽  
Antonio de Olival Fernandes ◽  
Alexandre Silva ◽  
Eduardo Filoni
Keyword(s):  
Quality Of Life ◽  
Undergraduate Students ◽  
Social Relations ◽  
Structured Interview ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Health Area ◽  
Significant Difference

<p>A vida universitária propicia ao indivíduo o encontro de um ambiente favorável para desenvolver e aprimorar valores relacionados à sua futura vida profissional e pessoal. Assim, por meio da busca do conhecimento científico, deve encontrar condições para potencializar o desenvolvimento de pensamento crítico e do seu papel enquanto cidadão, essenciais para a formação do profissional da área da saúde e de seu compromisso com a sociedade. Objetivou-se identificar as características inerentes à qualidade de vida em estudantes dos cursos de graduação em Biomedicina, Enfermagem, Farmácia e Fisioterapia. Trata-se de estudo transversal foi realizado, com 320 acadêmicos de enfermagem, farmácia, biomedicina e fisioterapia de uma Universidade particular do Estado de São Paulo. Foi utilizado uma entrevista estruturada com dados sociodemográficos e o questionário genérico sobre qualidade de vida da OMS, WHOQOL-BREF. Os resultados demonstraram diferença estatisticamente significativa na piora da qualidade de vida entre os ingressantes e concluintes dos cursos de graduação da área da saúde nos domínios psicológico, relações sociais e meio ambiente. Os estudantes do período noturno apresentaram prejuízo em sua Qualidade de Vida, devido à rotina de trabalho e estudo.</p><p align="center"><strong><em>Evaluation of quality of life in college students of the health area</em></strong></p><p><strong>Abstract: </strong>University life provides individuals with a favorable environment to develop and improve values related to their future professional and personal lives. Thus, through the search for scientific knowledge, it must find conditions to enhance the development of critical thinking and its role as a citizen, essential for the training of the health professional and his commitment to society. The objective of the research was to identify and analyze the inherent quality of life characteristics of undergraduate students in Biomedicine, Nursing, Pharmacy and Physiotherapy. This cross-sectional study was conducted with 320 nursing academics, pharmacy, biomedicine and physiotherapy from a private university in the State of São Paulo. We used a semi-structured interview with sociodemographic data and the WHOQOL-BREF generic questionnaire on quality of life. The results showed a statistically significant difference in the quality of life worsening among the students and graduates of the undergraduate courses of the health area in the psychological, social relations and environment domains. The students of the night period presented impairment in their Quality of Life, due to the routine of work and study.<strong></strong></p>

scholarly journals Gamma radiation treatment applied to microbial decontamination of products derived from eggs collected from the retail market in São Paulo

2017 ◽  
Vol 69 (6) ◽  
pp. 1683-1692
Author(s):  
S. Aquino ◽  
C.C. Lui ◽  
B. Corrêa
Keyword(s):  
Gamma Radiation ◽  
Radiation Treatment ◽  
Sao Paulo ◽  
Most Probable Number ◽  
Retail Market ◽  
São Paulo ◽  
Probable Number ◽  
Significant Difference ◽  
Egg Powder

ABSTRACT The quality of products derived from eggs depends on the quality of the raw material source and the industrial production. The contamination by fungi and bacteria can occur after exposure of the product in the retail market. The objective of this study was to evaluate the microbiological quality of 60 samples of derivated egg products and evaluate the effects of gamma radiation of cobalt-60, using the dose of 5 and 10 kGy, for decontamination of products collected in the retail market in the São Paulo city. The bacterial count was performed by the most probable number (MPN) and the fungal counts by serial dilution after plating surface. It was observed a decrease in the humidity and water activity (Aw) values of irradiated whole egg powder and white egg powder samples (p<0.05), but there was no significant change in the pH of the same samples irradiated with 5 and 10 kGy (p>0.05). In the powdered yolk the values of pH and Aw presented a significant difference (p<0.05), but no significant difference in the humidity values of 5 and 10 kGy irradiated samples (p>0.05). Effective microbial sterilization of all products occurred at the dose of 10 kGy.

QUALIDADE DE VIDA DE MULHERES E AS CARACTERÍSTICAS SOCIODEMOGRÁFICAS ASSOCIADAS

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Larissa Giovanna Cazella ◽  
Letícia Yamawaka De Almeida ◽  
Jaqueline Lemos De Oliveira ◽  
Ana Carolina Guidorizzi Zanetti ◽  
Jacqueline De Souza
Keyword(s):  
Quality Of Life ◽  
Social Vulnerability ◽  
Sao Paulo ◽  
Life Assessment ◽  
Sociodemographic Characteristics ◽  
São Paulo ◽  
Calidad De Vida ◽  
Primary Health ◽  
Las Mujeres

Objetivo: analisar as características sociodemográficas associadas à percepção da qualidade de vida de mulheres atendidas na atenção primária. Metodologia: estudo transversal, quantitativo, desenvolvido com 113 mulheres em uma unidade de saúde do interior de São Paulo. Utilizou-se um questionário sociodemográfico e a versão abreviada do instrumento de avaliação de qualidade de vida. Para análise dos dados, foram empreendidos testes de associação. Resultados: a maioria das participantes era de classes sociais menos favorecidas e apresentava boa percepção de qualidade de vida e saúde. Os fatores renda, escolaridade e idade foram os mais relevantes na associação com a qualidade de vida. Conclusão: Apesar de mencionarem boa qualidade de vida e saúde, foram identificados piores resultados nos domínios físicos, psicológicos e meio ambiente.  Os achados reforçam a necessidade de que as ações de saúde estejam contextualizadas aos aspectos sociais/territoriais e vinculadas a políticas mais amplas de redução da vulnerabilidade social. WOMEN'S QUALITY OF LIFE AND ASSOCIATED SOCIO DEMOGRAPHIC CHARACTERISTICSObjective: to analyze the sociodemographic characteristics associated to the perception of the quality of life of the women attended in the Primary Health Care. Methodology: this cross-sectional quantitative study was carried out with 113 women aged 20 to 65 years in a health unit in the interior of São Paulo. A sociodemographic questionnaire and the abbreviated version of the WHOQOL-bref quality of life assessment instrument were used. For data analysis, association tests were undertaken. Results: the majority of participants were from less favored social classes and had a good perception of quality of life and health. The factors income, schooling and age were the most relevant in the association with quality of life. Conclusion: in view of the sociodemographic characteristics associated with quality of life in the present study, it is emphasized that health actions should be linked to broader policies to reduce social vulnerability, enabling empowerment strategies and, above all, increasing women's access to education and income.Descriptors: Quality of Life; Health Centers; Social Vulnerability; Women; Primary Health Care.CALIDAD DE VIDA DE LAS MUJERES Y LAS CARACTERÍSTICAS SOCIODEMOGRÁFICAS ASSOCIADASObjetivo: analizar las características sociodemográficas asociadas a la percepción de la calidad de vida de mujeres que acuden a atención primaria. Métodos: este estudio cuantitativo transversal se realizó con 113 mujeres de 20 a 65 años en una unidad de salud en el interior de São Paulo. Se utilizó un cuestionario sociodemográfico y la versión abreviada del instrumento de evaluación de calidad de vida WHOQOL-bref. Para el análisis de los datos, se realizaron pruebas de asociación. Resultados: la mayoría de los participantes provenían de clases sociales más bajas y tenían una buena percepción de la calidad de vida y la salud. Los factores ingresos, educación y edad fueron los más relevantes en asociación con la calidad de vida. Conclusión: en vista de las características sociodemográficas asociadas con la calidad de vida en el presente estudio, se enfatiza que las acciones de salud están vinculadas a políticas más amplias para reducir la vulnerabilidad social, permitiendo estrategias de empoderamiento y, sobre todo, aumentando el acceso de las mujeres a educación e ingresos.Descriptores: Calidad de Vida; Centros de Salud; Vulnerabilidad Social; Mujeres; Atención Primaria de Salud.

scholarly journals Quality of life of obstetrics fistula patients before and after surgical repair in the Jimma University Medical Center, Southwest Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tilahun Fufa Debela ◽  
Zerihun Asefa Hordofa ◽  
Aster Berhe Aregawi ◽  
Demisew Amenu Sori
Keyword(s):  
Quality Of Life ◽  
Surgical Repair ◽  
Obstetric Fistula ◽  
Medical Center ◽  
Mean Value ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Jimma University

Abstract Background The consequences of obstetric fistula on affected women are more than the medical condition. It has extensive physical, psychological, social, and economic consequences on them. Obstetric fistula affects the entire health and entire life of women. Women suffering from obstetric fistula are often abandoned by her partner, relatives, and the community. This study aimed to determine the quality of life of obstetrics fistula patients before and after surgical repair. Methods Institutional-based prospective, before and after study design was conducted in the Jimma University Medical Center from November 1, 2019–October 30, 2020. A face-to-face interview was conducted with fistula patients who visited Jimma University Medical center, fistula clinic during the study period. All fistula patients were included in the study. Accordingly, 78 women who underwent surgical repair were interviewed. The means and the standard deviation were computed using conventional statistics formulas. The unpaired t-test was used to compare two independent means, and one-way analysis of variance (ANOVA) was used to compare the quality of life before repair and after a successful repair. Linear regression analysis was done for identifying determinants of quality of life. A P value of 0.05 will be considered statistical significance. Result The overall quality of life of women was 58.17 ± 7.2 before the surgical repair and 71.20 ± 10.79 after surgical repair. The result indicates there is a significant difference in the mean value of pre and post-operative (P < 0.001). The overall satisfaction of women with their health status before the surgical repair was 22.5 ± 1.30and it has increased to 53.0 ± .90after surgical repair. The physical health dimension score was 16.51 ± 5.27 before the surgical repair while it has increased to 21.77 ± 5.38 after the surgical repair. The score of the social domain before the surgical repair was 5.19 ± 1.34 and it has increased to 7.13 ± 3.67 after the surgical repair. The score of the environmental health domain was 17.41 ± 2.89 before the surgery while it also increased to 21.65 ± 4.04 after the surgical repair. The results have shown there was a significant difference in the mean values of pre and post-operatives in both social and environmental scores (P < 0.001). The score of the psychological health domain before the surgery was 19.06 ± 1.46 and it was increased to 19.84 ± 3.21 after the surgical repair. The result showed there is a significant difference in mean value pre and post-operative (P = 0.048), though it is a slight improvement compared to other domains. Conclusion The overall quality of life of the patient with fistula was improved after successful surgical repair. Although all domains of quality of life had shown significant improvement after successful surgical repair, the psychological domain showed slight improvement.

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