Perfil de crianças submetidas ao tratamento de fratura de antebraço

RESUMO Objetivo: traçar o perfil de crianças submetidas a tratamento cirúrgico de fratura de antebraço. Método: trata-se de estudo quantitativo, descritivo, transversal. Estudaram-se 20 crianças de 0 a 11 anos. Coletaram-se os dados diariamente, por meio de acompanhamento dos casos e aplicação de questionários. Exerceram-se, após a tabulação dos dados coletados, funções de análises estatísticas, descritiva e inferencial, com os resultados apresentados em tópicos, com números e/ou porcentagens em forma de tabelas e figura. Resultados: resultaram-se da pesquisa 13 pacientes, sendo a maioria do sexo masculino, entre sete a oito anos, sendo que o período com maior incidência de eventos foi o vespertino; 61,54% das ocorrências aconteceram durante atividades de lazer; as crianças estavam desacompanhadas, em sua maioria, e o antebraço esquerdo foi o mais acometido (53,85%). Conclusão: revela-se que as fraturas de antebraço na criança ocorrem, em sua maioria, com os meninos entre sete e oito anos, no período da tarde, durante atividades de lazer e não estando acompanhados. Torna-se o conhecimento desses dados fundamental para aperfeiçoar o processo de cuidar, com estratégias de prevenção e promoção à saúde que atendam às particularidades dessa população. Descritores: Perfil de Saúde; Criança; Procedimentos Cirúrgicos Operatórios; Fixação Interna de Fraturas; Traumatismos do Antebraço; Enfermagem.ABSTRACT Objective: to trace the profile of children submitted to surgical treatment of forearm fracture. Method: this is a quantitative, descriptive, cross-sectional study. Twenty children from zero to 11 years old were studied. The data were collected daily, through case follow-up and questionnaires. After the tabulation of the collected data, statistical, descriptive and inferential analysis functions were performed, with results presented in topics, with numbers and / or percentages in the form of tables and figures. Results: 13 patients were studied, the majority being male, between seven and eight years, and the period with the highest incidence of events was the evening; 61.54% of occurrences occurred during leisure activities; the children were mostly unaccompanied, and the left forearm was the most affected (53.85%). Conclusion: it is revealed that forearm fractures in children occur mostly with boys between the ages of seven and eight years, during the afternoon, during leisure activities and not being accompanied. It becomes the knowledge of these data fundamental to improve the process of caring, with strategies of prevention and health promotion that meet the peculiarities of this population. Descriptors: Health Profile; Child; Surgical Procedures; Internal Fixation of Fractures; Injuries to the Forearm; Nursing.RESUMEN Objetivo: trazar el perfil de niños sometidos a tratamiento quirúrgico de fractura del antebrazo. Método: se trata de un estudio cuantitativo, descriptivo, transversal. Se estudiaron 20 niños de 0 a 11 años. Se recolectaron los datos diariamente, por medio de seguimiento de los casos y aplicación de cuestionarios. Se realizaron, después de la tabulación de los datos recolectados, funciones de análisis estadístico, descriptivo e inferencial, con los resultados presentados en tópicos, con números y / o porcentajes en forma de tablas y figura. Resultados: resultaron de la investigación 13 pacientes, siendo la mayoría del sexo masculino, entre siete a ocho años, siendo que el período con mayor incidencia de eventos fue el vespertino; El 61,54% de las ocurrencias ocurrieron durante actividades de ocio; los niños estaban desacompañados, en su mayoría, y el antebrazo izquierdo fue el más afectado (53,85%). Conclusión: se revela que las fracturas de antebrazo en el niño ocurren, en su mayoría, con los niños entre siete y ocho años, durante la tarde, durante actividades de ocio y no estando acompañados. Se convierte en el conocimiento de estos datos fundamental para perfeccionar el proceso de cuidar, con estrategias de prevención y promoción a la salud que atiendan a las particularidades de esa población. Descriptores: Perfil de Salud; Niño; Procedimientos Quirúrgicos Operativos; Fijación Interna de Fracturas; Traumatismos del Antebrazo; Enfermería.

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Development and administration of a postural and ergonomic assessment tool: a pilot study

Fisioterapia em Movimento ◽

10.1590/0103-5150.028.003.ao10 ◽

2015 ◽

Vol 28 (3) ◽

pp. 509-523

Author(s):

Renata Chlalup Silveira ◽

Marcelo La Torre ◽

Isabel Guglielmone

Keyword(s):

Content Validity ◽

Assessment Tool ◽

Intraclass Correlation ◽

Cross Sectional Study ◽

Wilcoxon Test ◽

Cross Sectional ◽

Sitting Posture ◽

Prevention And Health Promotion ◽

Quantitative Descriptive ◽

High Degree

AbstractIntroduction Prevention of occupational diseases depends on the identification of risk factors, which can be complemented by the functional assessment of workers.Objective The aim of this study was to develop a postural and ergonomic assessment tool for the analysis of subjects’ sitting posture at the computer workstation.Materials and methods This is a quantitative, descriptive, observational, cross-sectional study. Eighty-two employees in the administrative sector of FIERGS were invited to participate in the study. The mean age was 32.8 ± 7.7 years. The IAPE (Instrumento de Avaliação Postural Ergonômica [Postural and Ergonomic Assessment Tool]) development and administration process was performed in four stages: 1) observation of the most commonly adopted postures by employees in the workplace; 2) development of the first version of the IAPE; 3) content validation by two ergonomics experts and content validity index (CVI) calculation; 4) inter-evaluator reproducibility assessment. Reproducibility was assessed by Wilcoxon test and intraclass correlation coefficient (ICC) (p < 0.05).Results The results obtained from the calculation of the CVI showed that the IAPE possesses a high degree of content validity (CVI = 1). Inter-evaluator reproducibility assessment showed no differences between evaluators (p < 0.05) and ICC values above 0.80 (p < 0.05). This shows an adequate inter-evaluator reproducibility of the tool.Conclusion Based on the results of the IAPE development process, it can be concluded that the tool has content validity and adequate inter-evaluator reproducibility. This tool can aid in the development of occupational disease prevention and health promotion strategies.

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Hearing Outcome of Stapes Surgery in NIENT, Bangladesh

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v26i1.47950 ◽

2020 ◽

Vol 26 (1) ◽

pp. 31-36

Author(s):

Md Zakaria Sarkar ◽

AHM Ferdows Nur ◽

Utpal Kumar Dutta ◽

Muhammad Rafiqul Islam ◽

Debabrota Roy ◽

...

Keyword(s):

Hearing Loss ◽

Cross Sectional Study ◽

Surgical Trauma ◽

Group 14 ◽

Progressive Hearing Loss ◽

Cross Sectional ◽

Hearing Gain ◽

Hearing Outcome

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36

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EFFICACY OF TREATMENT OF H.PYLORI EARDICATION WITH STANDARD TRIPLE THERAPY IN PEPTIC ULCER PATIENTS

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2011.3.17 ◽

2011 ◽

pp. 122-129

Author(s):

Quang Di Bui ◽

Phuoc Lam Nguyen

Keyword(s):

Peptic Ulcer ◽

Adverse Effects ◽

Triple Therapy ◽

Cross Sectional Study ◽

Cross Sectional ◽

Duodenal Ulcers ◽

Ulcer Disease ◽

Intention To Treat ◽

Standard Triple Therapy

Objectives: The aim of study is to evaluate the efficacy, tolerability and adverse effects of a standard triple therapy including Rabeprazole, Clarithromycin and Amoxicilline at Sai gon Hoan My hospital in order to consider treatment H.pylori for patients who have not yet eradicated before or need to be undertaked by alternative regimens. Methods: By descriptive cross-sectional study, the authors have examined 116 patients sufferring from peptic ulcer received 10-day therapy including Rabe (20mg b.d) plus Clari(500mg b.d) plus Amoxi(1g b.d). Eradication is confirmed with endoscopy after 4 weeks from completing of treatment. Results and Discussion: 100% of patients were initially included and noboby was dropped out of the follow-up satges. The mean age was 49 in which 62% was male, 73(62,9%) presented duodenal ulcer, 28(24,1%) gastric ulcer and 15(13%) simultaneous gastric and duodenal ulcers. All patients took medications correctly. Per-protocol and intention to treat eradication rates were both 75%(95% CI=73,4-78,3). Additionally, 62(53,4%) patients had at least one risky factor for peptic ulcer disease, smoking being the most common one 44(37,9%).The adverse effects were reported overall in 67% of the patients, mainly including changed taste, very bitter, tired 49%, trouble sleeping 12% and diarrhea 5%. Conclusion: this ten-day standard triple therapy used in this study is ineffective with high adverse effects.The first line eradication with new regimens should be alternative.

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Predictors of loss to follow-up in art experienced patients in Nigeria: a 13 year review (2004–2017)

AIDS Research and Therapy ◽

10.1186/s12981-019-0241-3 ◽

2019 ◽

Vol 16 (1) ◽

Author(s):

Ahmad Aliyu ◽

Babatunde Adelekan ◽

Nifarta Andrew ◽

Eunice Ekong ◽

Stephen Dapiap ◽

...

Keyword(s):

Patient Adherence ◽

Cross Sectional Study ◽

Emergency Plan ◽

Cross Sectional ◽

Loss To Follow Up ◽

Viral Loads ◽

Review Period ◽

Lost To Follow Up ◽

Differentiated Care

Abstract Background Expanded access to antiretroviral therapy (ART) leads to improved HIV/AIDS treatment outcomes in Nigeria, however, increasing rates of loss to follow-up among those on ART is threatening optimal standard achievement. Therefore, this retrospective cross-sectional study is aimed at identifying correlates and predictors of loss to follow-up in patients commencing ART in a large HIV program in Nigeria. Methods Records of all patients from 432 US CDC Presidents Emergency Plan for AIDS Relief (PEPFAR) supported facilities across 10 States and FCT who started ART from 2004 to 2017 were used for this study. Bivariate and multivariate analysis of the demographic and clinical parameters of all patients was conducted using STATA version 14 to determine correlates and predictors of loss to follow-up. Results Within the review period, 245,257 patients were ever enrolled on anti-retroviral therapy. 150,191 (61.2%) remained on treatment, 10,960 (4.5%) were transferred out to other facilities, 6926 (2.8%) died, 2139 (0.9%) self-terminated treatment and 75,041 (30.6%) had a loss to follow-up event captured. Males (OR: 1.16), Non-pregnant female (OR: 4.55), Patients on ≥ 3-monthly ARV refills (OR: 1.32), Patients with un-suppressed viral loads on ART (OR: 4.52), patients on adult 2nd line regimen (OR: 1.23) or pediatric on 1st line regimen (OR: 1.70) were significantly more likely to be lost to follow-up. Conclusion Despite increasing access to anti-retroviral therapy, loss to follow-up is still a challenge in the HIV program in Nigeria. Differentiated care approaches that will focus on males, non-pregnant females and paediatrics is encouraged. Reducing months of Anti-retroviral drug refill to less than 3 months is advocated for increased patient adherence.

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Religion: Interrelationships and Opinions in Children and Adolescents. Interaction between Age and Beliefs

Religions ◽

10.3390/rel12050357 ◽

2021 ◽

Vol 12 (5) ◽

pp. 357

Author(s):

Rafael López Cordero ◽

Francisca Ruiz Garzón ◽

Lourdes Medina Martínez ◽

María del Carmen Olmos-Gómez

Keyword(s):

Children And Adolescents ◽

Current Trend ◽

Age Groups ◽

Cross Sectional Study ◽

Experimental Methodology ◽

Cross Sectional ◽

Younger Age ◽

Religious Issue ◽

Quasi Experimental ◽

Quantitative Descriptive

The current trend of secularization seems to be leading to a gradual withdrawal of religion from public spaces. However, in an increasingly internationalized world, it is becoming more and more important to study the roles of religion and religiosity and their potential in relation to dialogue and social conflicts and tensions. Education is a vital field within which to address this religious issue and create an educational dialogue in order to promote coexistence. By following a quantitative, descriptive, cross-sectional study, based on a quasi-experimental methodology with a social–analytical character, our aim is to assess the existing connections between religion, interrelation and opinion in Spanish children and adolescents. Special attention is paid to the interaction between age and beliefs. We carried out our study with the use of a questionnaire distributed to eleven secondary schools, with students aged between 11 and 16 years old, in three regions of southern Spain (Andalusia, Ceuta, and Melilla) characterized by high religious diversity and multiculturalism. The multivariate analysis carried out in this study identifies the effects of variance on the influence of age and religion, highlighting the interaction between the two. It is observed that the youngest students are those who express their opinions about religion the least, while those belonging to younger age groups and majority religions are those who express a greater religious coexistence, with Muslims externalizing their religious condition the most.

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The causes of infertility in women presenting to gynaecology clinics in Harare, Zimbabwe; a cross sectional study

Fertility Research and Practice ◽

10.1186/s40738-020-00093-0 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Mugove G. Madziyire ◽

Thulani L. Magwali ◽

Vasco Chikwasha ◽

Tinovimba Mhlanga

Keyword(s):

Assisted Reproduction ◽

Cross Sectional Study ◽

Male Factor ◽

Cross Sectional ◽

Unprotected Sexual Intercourse ◽

Assisted Reproduction Techniques ◽

Public Facilities ◽

Tubal Blockage ◽

Private And Public

Abstract Background Infertility affects 48.5 million couples globally. It is defined clinically as failure to conceive after 12 months or more of regular unprotected sexual intercourse. The contribution of various aetiological factors to infertility differs per population. The causes of infertility have not been assessed in Zimbabwe. Our objectives were to determine the reproductive characteristics, causes and outcomes of women presenting for infertility care. Methods A retrospective and prospective study of women who had not conceived within a year of having unprotected intercourse presenting in private and public facilities in Harare was done. A diagnosis was made based on the history, examination and results whenever these were deemed sufficient. Data was analysed using STATA SE/15. A total of 216 women were recruited. Results Of the 216 women recruited, two thirds (144) of them had primary infertility. The overall period of infertility ranged from 1 to 21 years with an average of 5.6 ± 4.7 years whilst 98 (45.4%) of the couples had experienced 2–4 years of infertility and 94 (43.5%) had experience 5 or more years of infertility. About 1 in 5 of the women had irregular menstrual cycles with 10 of them having experienced amenorrhoea of at least 1 year. Almost half of the participants (49%) were overweight or obese. The most common cause for infertility was ‘unexplained’ in 22% of the women followed by tubal blockage in 20%, male factor in 19% and anovulation in 16%. Of the 49 (22.7%) women who conceived 21(9.7%) had a live birth while 23 (10.7%) had an ongoing pregnancy at the end of follow up. Thirty-seven (17.1%) had Assisted Reproduction Techniques (ART) in the form of Invitro-fertilisation/Intracytoplasmic Sperm Injection (IVF/ICSI) or Intra-Uterine Insemination (IUI). Assisted Reproduction was significantly associated with conception. Conclusion Most women present when chances of natural spontaneous conception are considerably reduced. This study shows an almost equal contribution between tubal blockage, male factor and unexplained infertility. Almost half of the causes are female factors constituted by tubal blockage, anovulation and a mixture of the two. Improved access to ART will result in improved pregnancy rates. Programs should target comprehensive assessment of both partners and offer ART.

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Vitamin D and Hospital Admission in Older Adults: A Prospective Association

Nutrients ◽

10.3390/nu13020616 ◽

2021 ◽

Vol 13 (2) ◽

pp. 616

Author(s):

Avril Beirne ◽

Kevin McCarroll ◽

James Bernard Walsh ◽

Miriam Casey ◽

Eamon Laird ◽

...

Keyword(s):

Older Adults ◽

Vitamin D ◽

Hospital Admission ◽

Cross Sectional Study ◽

Vitamin D Supplementation ◽

Inverse Association ◽

Cross Sectional ◽

Prospective Association ◽

Randomised Controlled

The health effects of vitamin D are well documented, with increasing evidence of its roles beyond bone. There is, however, little evidence of the effects of vitamin D on hospitalisation among older adults. This study aimed to prospectively determine the relationship of vitamin D status in older adults with hospital admission and emergency department (ED) attendance. Trinity University of Ulster Department of Agriculture (TUDA) is a large cross-sectional study of older adults with a community population from three disease-defined cohorts (cognitive dysfunction, hypertension, and osteoporosis). Participants included in this analysis were recruited between 2008 and 2012. ED and hospital admission data were gathered from the date of TUDA participation until June 2013, with a mean follow up of 3.6 years. Of the 3093 participants, 1577 (50.9%) attended the ED during the period of follow-up. Attendees had lower mean serum 25(OH)D concentrations than non-attendees (59.1 vs. 70.6 nmol/L). Fully adjusted models showed an inverse association between vitamin D and ED attendance (Hazard Ratio (HR) 0.996; 95% Confidence Interval (CI) 0.995–0.998; p < 0.001). A total of 1269 participants (41%) were admitted to hospital during the follow-up. Those admitted had lower mean vitamin D concentrations (58.4 vs. 69.3 nmol/L, p < 0.001). In fully adjusted models, higher vitamin D was inversely associated with hospital admission (HR 0.996; 95% CI 0.994–0.998; p < 0.001) and length of stay (LOS) (β = −0.95, p = 0.006). This study showed independent prospective associations between vitamin D deficiency and increased hospitalisation by older adults. The need for further evaluation of current recommendations in relation to vitamin D supplementation, with consideration beyond bone health, is warranted and should focus on randomised controlled trials.

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Chemotherapy-induced peripheral neuropathy: longitudinal analysis of predictors for postural control

Scientific Reports ◽

10.1038/s41598-021-81902-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Jana Müller ◽

Charlotte Kreutz ◽

Steffen Ringhof ◽

Maximilian Koeppel ◽

Nikolaus Kleindienst ◽

...

Keyword(s):

Peripheral Neuropathy ◽

Peripheral Nerve ◽

Postural Control ◽

Action Potentials ◽

Exercise Intervention ◽

Cross Sectional Study ◽

Nerve Function ◽

Cross Sectional ◽

Peripheral Nerve Function

AbstractImpaired postural control is often observed in response to neurotoxic chemotherapy. However, potential explanatory factors other than chemotherapy-induced peripheral neuropathy (CIPN) have not been adequately considered to date due to primarily cross-sectional study designs. Our objective was to comprehensively analyze postural control during and after neurotoxic chemotherapy, and to identify potential CIPN-independent predictors for its impairment. Postural control and CIPN symptoms (EORTC QLQ-CIPN20) were longitudinally assessed before, during and three weeks after neurotoxic chemotherapy, and in three and six months follow-up examinations (N = 54). The influence of peripheral nerve function as determined by nerve conduction studies (NCS: compound motor action potentials (CMAP) and sensory action potentials (SNAP)), physical activity, and muscle strength on the change in postural control during and after chemotherapy was analyzed by multiple linear regression adjusted for age and body mass index. Postural control, CIPN signs/symptoms, and CMAP/SNAP amplitudes significantly deteriorated during chemotherapy (p < .01). During follow-up, patients recovered from postural instabilities (p < .01), whereas CIPN signs/symptoms and pathologic NCS findings persisted compared to baseline (p < .001). The regression model showed that low CMAP and high SNAP amplitudes at baseline predicted impairment of postural control during but not after chemotherapy. Hence, pre-therapeutically disturbed somatosensory inputs may induce adaptive processes that have compensatory effects and allow recovery of postural control while CIPN signs/symptoms and pathologic peripheral nerve function persist. Baseline NCS findings in cancer patients who receive neurotoxic chemotherapy thus might assist in delineating individual CIPN risk profiles more precisely to which specific exercise intervention programs could be tailor-made.

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