Perfil da Linguagem em Pacientes com Acidente Vascular Encefálico Atendidos pelo Serviço Assistencial Domiciliar Multidisciplinar em Porto Velho – Rondônia

REVISTA FIMCA ◽  
2018 ◽  
Vol 5 (1) ◽  
pp. 34-42
Author(s):  
Amanda Leite Silva Cabral ◽  
Flávia Peres Lima ◽  
Jéssica Iara Costa Bessa Paraguassú

Introdução: A afasia é uma das sequelas mais importantes que ocorrem após lesão cerebral de acidente vascular encefálico (AVE). Objetivos: Identificar o perfil da linguagem oral de pacientes com AVE, atendidos pelo Serviço Assistencial Multidisciplinar Domiciliar (SAMD) na cidade de Porto Velho – RO. Materiais e Métodos: Trata-se de um estudo transversal e quantitativo, realizado na residência dos pacientes que estavam sendo atendidos pelo SAMD. Onde foi utilizado o protocolo de Teste de Reabilitação das Afasias composto inicialmente de um questionário que foi aplicados com os familiares dos pacientes para coletar dados quanto ao AVE e os Testes de Comunicação Oral para avaliar dos pacientes. Resultados: Foram avaliados 11 sujeitos com AVE e oito sujeitos apresentaram afasia emissiva do tipo Broca (100%) com presença de agramatismo e anomia (87,5%), e déficit na organização da comunicação e na memória (100%). Referente à etiologia do AVE, verificou-se que 62,5% dos sujeitos apresentaram etiologia decorrente de hipertensão, com tempo de sequelas com tempo entre um ano menos e a três anos (37,5%). Todos os sujeitos (100%) eram muito falantes antes do AVE, porem 50% continuaram muito falantes após o AVE e os outros 50% se tornaram pouco falantes. Conclusão: Os resultados evidenciam que a maioria dos sujeitos apresentaram afasia emissiva do tipo Broca, em decorrência de Acidente Vascular Encefálico Isquêmico tendo como fator etiológico a hipertensão. Desencadeando alterações de linguagem como anomia e agramatismo, afetando ainda suas habilidades de comunicação como a memória e a organização da linguagem. Introduction: Aphasia is one of the most important sequels that occur after brain injury from stroke. Objectives: To identify the oral language profile of patients with stroke, assisted by the Multidisciplinary Home Care Service (SAMD) in the city of Porto Velho - RO. Materials and Methods: This was a cross-sectional and quantitative study carried out at the residence of the patients who were being treated by the SAMD. Where the Aphasia Rehabilitation Test protocol was used, composed initially of a questionnaire that was applied with the relatives of the patients to collect data regarding the AVE and the Oral Communication Tests to evaluate the patients. Results: Eleven subjects with EVA were evaluated, and eight subjects presented Embryonic Emphasis of Broca type (100%) with presence of agramatism and anomia (87.5%), and deficits in the organization of communication and memory (100%). Regarding the etiology of the AVE, 62.5% of the subjects presented etiology due to hypertension, with sequelae time between one year less and three years (37.5%). All subjects (100%) were very talented before the AVE, but 50% remained very talented after the AVE and the other 50% became less talkative. Conclusion: The results show that most of the subjects presented Embryonic Emphasis of the Broca type, due to Ischemic Stroke, having as etiologic factor hypertension. Unleashing language changes such as anomie and agramatism, still affecting his communication skills as memory and the organization of language.

2013 ◽  
Vol 131 (5) ◽  
pp. 289-295 ◽  
Author(s):  
Erica Endo Amemiya ◽  
Barbara Niegia Garcia Goulart ◽  
Brasilia Maria Chiari

CONTEXT AND OBJECTIVE: Nouns and verbs indicate actions in oral communication. However, hearing impairment can compromise the acquisition of oral language to such an extent that appropriate use of these can be challenging. The objective of this study was to compare the use of nouns and verbs in the oral narrative of hearing-impaired and hearing children. DESIGN AND SETTING: Analytical cross-sectional study at the Department of Speech-Language and Hearing Sciences, Universidade Federal de São Paulo. METHODS: Twenty-one children with moderate to profound bilateral neurosensory hearing impairment and twenty-one with normal hearing (controls) were matched according to sex, school year and school type. A board showing pictures was presented to each child, to elicit a narrative and measure their performance in producing nouns and verbs. RESULTS: Twenty-two (52.4%) of the subjects were males. The mean age was 8 years (standard deviation, SD = 1.5). Comparing averages between the groups of boys and girls, we did not find any significant difference in their use of nouns, but among verbs, there was a significant difference regarding use of the imperative (P = 0.041): more frequent among boys (mean = 2.91). There was no significant difference in the use of nouns and verbs between deaf children and hearers, in relation to school type. Regarding use of the indicative, there was a nearly significant trend (P = 0.058). CONCLUSION: Among oralized hearing-impaired children who underwent speech therapy, their performance regarding verbs and noun use was similar to that of their hearing counterparts.


2021 ◽  
Vol 74 (suppl 5) ◽  
Author(s):  
Ana Paula Dias França Guareschi ◽  
Maria Aparecida de Oliveira Freitas ◽  
Maria Inês Nunes

ABSTRACT Objective: To correlate the satisfaction of graduates with their training according to their professional characteristics and general competences. Method: Descriptive cross-sectional study with a sample of 192 Nursing graduates from a private higher education institution in the city of São Paulo. Data were collected between 2016 and 2017. Results: Graduates placed in the job market within one year (p=0.01) had nursing as their main source of income (p=0.011) and occupation (p=0.014); those who considered themselves professionally successful and those who would choose the profession again (p=<0.001), if they could choose, were more satisfied with their training. Satisfaction with training was linked to the competences acquired during graduates’ training, such as decision making (p=0.002), leadership (p=0.004) and continuing education (p=0.005). Conclusion: The study shows that most graduates consider their training satisfactory when analyzed with the study variables.


2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Balaji Utla ◽  
Shailendra Kumar B. Hegde ◽  
Sri Ranga Prasad Saride ◽  
Ramanuja Chary Kandaala ◽  
Sridhar Upadhya ◽  
...  

This paper describes a cross-sectional analysis of data pertaining to accidents that occurred on the National Highway between Hyderabad and Vijaywada, over a period of one year. A fully equipped trauma ambulance was despatched to the site as soon as a call comes on 1033. The victim was attended to by well-trained paramedics in the ambulance and transported to the nearest health care facility. This service attended to 60% of the accidents in the service area. Incidence of fatalities was 5.63%. This service can be established at the national level to provide emergency ambulance care service to accident victims on National Highways.


Author(s):  
Amanda Ferracini ◽  
Aline Rodrigues ◽  
Marília Visacri ◽  
Rebeca Stahlschmidt ◽  
Nice Silva ◽  
...  

Introduction In the pregnancy-puerperal cycle, women may develop complications that require admission to the Intensive Care Unit (ICU). Thus, special attention to pharmacotherapy is necessary, particularly to potential drug interactions (PDIs) and to the effect of the drugs on the fetus and newborn. Objective The aim of this study was to determine the profile of PDIs and the potential risk of drugs used during pregnancy and breastfeeding among patients admitted to the ICU. Methods We conducted an observational, cross-sectional and prospective study, including pregnant and breastfeeding women admitted to the ICU at the Women's Hospital of a university in the city of Campinas, Brazil, for one year. Online databases were used to identify and classify the PDIs and the potential risk of the drugs used during pregnancy and breastfeeding. Results We evaluated 305 prescriptions of 58 women, 31 pregnant and 27 breastfeeding, and 284 (91%) prescriptions presented PDIs. A total of 175 different combinations of PDIs were identified in the prescriptions, and adverse effects caused by the simultaneous use of drugs were not actually observed in the clinical practice. A total of 26 (1.4%) PDIs were classified as contraindicated. We identified 15 (13.8%) drugs prescribed with risk D, and 2 (1.8%) with risk X for pregnant women, as well as 4 (4.9%) drugs prescribed with high risk for breastfeeding women. Conclusions This study demonstrates that there is a high incidence of PDIs in prescriptions. Most drugs used by pregnant and breastfeeding women at the ICU did not present serious risks to their fetus and newborns, but sometimes drugs with risk D or X are necessary in the course of the treatment.


2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Kishwar Naheed ◽  
Shirza Nadeem ◽  
Muhammad Iqbal ◽  
Altaf Pervez Qasim ◽  
Summyia Sadia ◽  
...  

Background:  Due to high increase in the population, there is sharp increase in the accidental, homicidal, suicidal and natural deaths. Objective: To evaluate and audit the frequency of death patterns in the city of Faisalabad. Study Design: It is a cross sectional study.  Setting & Duration:  Study was conducted in the Department of Forensic Medicine, Faisalabad Medical University (FMU) Faisalabad for a period of one year i.e. 1st January, 2017 to 31st December, 2017. Methodology:  The record of all unnatural deaths brought for medicolegal autopsies during the study period were examined in detail with special reference to the frequency of death patterns, manners & modalities of those cases. The data was entered in the predesigned performa & analysed by using SPSS.  Results: Study revealed that frequency of unnatural death in Faisalabad is similar to those conducted in other cities, but higher rates may be due to the fact that Faisalabad is thickly populated & third largest city of Pakistan. Out of total 255 cases of unnatural deaths reported for medico-legal autopsies in FMU Faisalabad (80.40 %) were male and (19.6%) females.     Accidental deaths occurred in (28.62%) cases, homicidal deaths involved (50.58%), suicide took the lives of (3.9%) cases and (2.7%) persons died of natural causes whereas manner of death remained undetermined in (14.11%) cases. Unnatural deaths were reported more frequently in the age group 20–29 years involving (24.70%) cases. Conclusion: Homicide is higher in this region and Firearm is the weapon of choice for assailants. This increasing death toll of homicide may be due to increase in frustration and intolerance in the society.


2015 ◽  
Vol 14 (3) ◽  
pp. 303-313 ◽  
Author(s):  
Madonna Stinson

Purpose – The purpose of this paper is to consider the growing interest in oracy and to propose the pedagogy of process drama as an ideal model for the dialogic classroom. Design/methodology/approach – This paper takes the form of an explanatory case study where the author draws on a successful drama/oracy project in a primary school in Brisbane, Australia, to illustrate the connections between Alexander’s five indicators of a dialogic classroom and the process drama in which the students participated. Findings – The application of this process drama as pedagogy for the teaching and learning of oracy has contributed positively to students’ oral communication skills and intercultural awareness. In addition, parents provide positive feedback about student engagement in school and developing self-confidence because “they have something to say”. Research limitations/implications – There was no formal pre-post test for the oral communication skills on this study, instead the researchers developed a draft “oracy” checklist which deserves further interrogation and development. Practical implications – There are implications for the use of process drama as a means of creating and sustaining the dialogic classroom. Teacher professional development would be required to assist the planning and delivery of dramas that allow for the deep and complex learning evidenced in this study. Social implications – This is an ideal vehicle for assisting in the development of empathy, collaboration, emotional intelligence and intercultural understanding. Originality/value – This is an example of an extremely high-quality curriculum plan and implementation. The importance of engaging in implicit and explicit instruction of oral communication for the twenty-first century should not be underestimated. The process drama allows oral language to be foregrounded, with additional learning opportunities from a range of other learning areas, brought together in a coherent and complex model of practice.


2014 ◽  
Vol 2 (1) ◽  
pp. 14-17
Author(s):  
Abu Saleh Mohammed Monirul Alam ◽  
Md Humayun Kabir Talukder ◽  
Farhana Haque ◽  
Shah Mohammed Hafizur Rahman ◽  
Md Shoheilul Amin ◽  
...  

This cross-sectional descriptive study was carried out among the teachers and interns doctors of four medical colleges of Dhaka city in last one year (2010-2011).Data was collected by conveniance sampling. In-depth interview of the teachers were taken to explore their views regarding current situation, what should be, and recommendations for future curriculum about teaching communication skills. Information was collected from interns by semi-structured questionnarie. Alocation of score for response of each item was based on 5 point Likert scale.Total respondents were 249 out of which intern doctors were 218 and 31 were teachers. Teachers were chosen from eight clinical subjects as the conveniance of the researcher. Selected 14 variables of communication skills were used in this study. By reviewing the study it was seen that most of the interns gave opinion that they were not taught communication skills in their cinical classes. It was seen in the study that majority of the teachers confessed that they don't teach communication skills in stuctured way. All of them agreed that it must be taught in stuctured way and assessed. DOI: http://dx.doi.org/10.3329/bjme.v2i1.18132 Bangladesh Journal of Medical Education Vol.2(1) 2011: 14-17


2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Daniel Vinícius Alves Silva ◽  
Júlia Rocha Do Carmo ◽  
Monique Évellin Alves Cruz ◽  
Carolina Amaral Oliveira Rodrigues ◽  
Edileuza Teixeira Santana ◽  
...  

Objetivo: caracterizar clínica e epidemiologicamente os pacientes atendidos por um programa público de atenção domiciliar na cidade de Montes Claros, Minas Gerais, Brasil. Métodos: Estudo transversal e exploratório, realizado entre junho de 2017 e janeiro de 2018, com 131 pacientes cadastrados e atendidos pelo Serviço de Atenção Domiciliar - Melhor em Casa. Para o levantamento dos dados utilizou-se um instrumento contendo variáveis sociodemográficas, clínicas e funcionais. Os dados foram analisados por estatística descritiva. Resultados: A maioria dos pacientes eram idosos (67,9%), do sexo feminino (55%), pardos (47,3%), casados (31,3%) e/ou solteiros (31,3%), restritos ao leito (71%) e alimentavam-se via oral (68,7%). As doenças vasculares (42%) foram as mais prevalentes, 45,8% dos pacientes apresentavam lesão por pressão e o atendimento domiciliar foi realizado principalmente pelo enfermeiro (83,2%) e médico (82,4%). Conclusão: A identificação do perfil clínico e epidemiológico é fundamental para planejar e implementar cuidados adequados às necessidades específicas dos pacientes.Descritores: Pacientes Domiciliares; Serviços de Assistência Domiciliar; Perfil de Saúde; Idoso.CLINICAL AND EPIDEMIOLOGICAL CHARACTERIZATION OF PATIENTS TREATED BY A PUBLIC HOME CARE PROGRAMObjective: to characterize clinically and epidemiologically the patients attended by a public home care program in the city of Montes Claros, Minas Gerais, Brazil. Methodology: A cross - sectional and exploratory study was carried out between June 2017 and January 2018, with 131 patients enrolled and attended by the Home Care Service - Better at Home. Data were collected using an instrument containing sociodemographic, clinical and functional variables and were analyzed by descriptive statistics. Results: The majority of the patients were elderly (67.9%), female (55%), brown (47.3%), married (31.3%) and / or unmarried to bed (71%) and were fed orally (68.7%). Vascular diseases (42%) were the most prevalent, 45.8% of the patients had pressure lesions, and home care was performed mainly by the nurse (83.2%) and the physician (82.4%). Conclusion: The characterization of the profile, besides describing problems, contributes to patient care, impacting on the planning and implementation of appropriate interventions.Descriptors: Homebound Persons; Home Care Services; Health Profile; Aged.CARACTERIZACIÓN CLÍNICA Y EPIDEMIOLÓGICA DE PACIENTES ATENDIDOS POR UN PROGRAMA PÚBLICO DE ATENCIÓN DOMICILIARIAObjetivo: caracterizar clínica y epidemiológicamente a los pacientes atendidos por un programa público de atención domiciliaria en la ciudad de Montes Claros, Minas Gerais, Brasil. Metodología: Estudio transversal y exploratorio, realizado entre junio de 2017 y enero de 2018, con 131 pacientes catastrados y atendidos por el Servicio de Atención Domiciliar - Mejor en Casa. Para el levantamiento de los datos se utilizó un instrumento que contenía variables sociodemográficas, clínicas y funcionales, analizados por estadística descriptiva. Resultados: La mayoría de los pacientes eran ancianos (67,9%), del sexo femenino (55%), pardos (47,3%), casados (31,3%) y / o solteros (31,3%), restringidos al lecho (71%) y se alimentaban vía oral (68,7%). Las enfermedades vasculares (42%) fueron las más prevalentes, el 45,8% de los pacientes presentaban lesión por presión y la atención domiciliaria fue realizada principalmente por el enfermero (83,2%) y médico (82,4%). Conclusión: La caracterización del perfil, además de describir problemas, contribuye al cuidado del paciente, impactando en la planificación e implementación de intervenciones adecuadas.Descriptores: Personas Imposibilitadas; Servicios de Atención de Salud a Domicilio; Anciano.


Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 662
Author(s):  
Concetta Paola Pelullo ◽  
Fabio Curcio ◽  
Francesco Auriemma ◽  
Giuseppe Cefalo ◽  
Antonio Fabozzi ◽  
...  

Background and Objectives: The aims of this study are to: describe the sociodemographic characteristics and typology of drug addiction among people who use drugs that attend the Servizio per le Dipendenze (SerD), and evaluate the competence and ability of these rehabilitation services to improve their health status and wellness. Materials and Methods: A cross-sectional study was conducted from January to July 2017. Patients attending two selected SerD facilities in the city of Naples, Italy were interviewed with a questionnaire gathering information on sociodemographic data, characteristics of drug addiction, characteristics of enrolment at the SerD, self-reported health status and wellness, and reports of the discrimination suffered. Results: Among the 451 people interviewed, 72.3% had started taking drugs by the age of 20, and half of them have used drugs within the last year. 54.5% of responders attended SerD for more than 10 years, and the two main reasons for attendance were to get help and to get methadone. 79.4% were declared to have a good/very good/excellent health status at the time of interviewing. 53.7% reported suffering from discrimination. Conclusions: Based on our study, discrimination is higher in participants who attended SerD for more than one year, who were formerly in prison, or who were current drug users.


2011 ◽  
Vol 6 (1) ◽  
pp. 18
Author(s):  
Katia Fernanda Alves Moreira ◽  
Adriano Pinheiro Costa ◽  
Tathiane Souza Oliveira ◽  
Maria Margarette O. Andrade ◽  
Roberta Loretha Sousan Cruz ◽  
...  

ABSTRACTObjective: to describe the socio-demographic profile of women and the occurrence of domestic violence in the District of Jacy-Paraná, city of Porto Velho-RO. Method: cross-sectional study, home health inquiry way which was approved by the Committee of Ethics in Research of UNIR letter 047/2009/CEP/NUSAU. The population consisted of 663 women. The data collection was carried out through some interviews with women aged 15 years old or more. It was used  the programs Excel and SPSS 15.0 for the tabulation. Results: it was found that (49,2%) of the interviewed women were victims of  psychological violence, more than half (56,2%) of the physical abuse have happened in the home environment and (68,7%) of women reported having been abused for the first time after having started the marital cohabitation. Conclusion: this study provides significant breakthrough data on the occurrence of domestic violence among women who live in the country of the city of PortoVelho-RO. The presented data show the dimension and the real magnitude of the problem. Descriptors: domestic violence, mistreated women, public policies.RESUMOObjetivo: descrever o perfil sociodemográfico da mulher e a ocorrência de violência doméstica no Distrito de Jacy–Paraná, município de Porto Velho-RO. Método: estudo transversal, na forma de inquérito de saúde domiciliar, o qual foi aprovado pelo Comitê de Ética em Pesquisa da UNIR sob Carta 047/2009/CEP/NUSAU. A população foi composta de 663 mulheres com a coleta de dados realizada por meio de entrevista com mulheres com idade maior ou igual a 15 anos. Os dados foram trabalhados estatisticamente através dos programas Excel e SPSS 15.0 e a análise dos resulta­dos foi realizada à luz da literatura pertinente. Resultados: foi observado que (49,2%) das entrevistadas foram vítimas de violência psicológica, mais da metade (56,2%) das violências praticadas ocorreram no ambiente doméstico e (68,7%) das mulheres declararam terem sido agredidas pela primeira vez depois de iniciarem o convívio conjugal. Conclusão: o presente estudo fornece dados pioneiros sobre a ocorrência de violência doméstica entre mulheres da zona rural do município de Porto Velho-RO. Os dados apresentados mostram a dimensão e a real magnitude do problema. Descritores: violência doméstica; mulheres maltratadas; políticas públicas. RESUMENObjetivo: describir el perfil socio-demográfico de la mujer y el acaecimiento de violencia doméstica de género en el Distrito de Jacy-Paraná, Porto Velho (Rondonia, Brasil). Método: estudio transversal, en forma de encuesta de salud domiciliar, aprobado por el Comité de Ética en Investigación de la UNIR mediante Carta 047/2009/CEP/NUSAU. El universo se compone de 663 mujeres con la recogida de datos realizada por medio de entrevista con mujeres con 15 años o más de edad. Los datos se trabajaron estadísticamente a través de los programas Excel y SPSS 15.0 y el análisis de los resultados se realizó a la luz de la literatura pertinente. Resultados: se observó que (49,2%) de las entrevistadas fueron víctimas de violencia psicológica, pero la mitad (56,2%) de las violencias practicadas sucedieron en ambiente doméstico y el 68,7% de las mujeres declararon haber sido agredidas por primera vez tras iniciada la convivencia conyugal. Conclusión: el presente estudio suministra datos pioneros sobre el acaecimiento de violencia doméstica entre mujeres de la zona rural del municipio de Porto Velho (Rondônia, Brasil). Los datos presentados muestran la auténtica magnitud del problema. Descriptores: violencia doméstica; mujeres maltratadas; políticas públicas.


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