scholarly journals Prevalence of pain and fatigue in post-stroke patients: a study transverse.

2021 ◽  
Author(s):  
Emille de Souza Apolinario Barreto ◽  
Afonson L. M. Gondim ◽  
Raíssa S. Taveira, Denise S. Araújo ◽  
Felipe R. Araújo ◽  
Emanuel S. Macêdo ◽  
...  

Background: Motor and functional recovery in post-stroke individuals is a process of interference from non-motor aspects such as pain and fatigue.The prevalence of these symptoms and their impact on the rehabilitation process need to bebetter understood and studied, mainly in the strategies for the construction of therapeutic approaches. Objectives: To analyze the prevalence of pain and fatigue in individual’s post-stroke. Design and setting: Cross-sectional study that followed the STROBE recommendations. An outpatient clinic at UFRN / FACISA in Santa Cruz-RN institution. Approved by the Research Ethics Committee (Opinion No. 2,622,853). Methods: One sample perconvenience, had 29 post-stroke individuals. The individuals were evaluated using the following clinical instruments: the Mini Mental State Examination (MMSE),Functional Independence (FI), Fulg-Meyer Scale (FMS), Sensory Assessment of Nottingham (SAN), McGill Pain Question (MOQ) and the Severity of Fatigue (SSF). The data were analyzed descriptively. Results: Participants presented the following characteristics clinical: MMSE, 19 (median), (0(1ºQ)/24 (3ºQ)); FI, 80 (0/121); FMS, 36 (36/88); SAN, 108 (0/108); SSF, 9 (0/27). Thus, the prevalence of pain was 28% (8) and the fatigue was present in 76% (22) of the individuals. Conclusions: We found a high prevalence of fatigue in patients with chronic stroke, however we did not find relationship with pain. Further studies are needed to understand these conditions and identify which factors contribute to the prevalence of such symptoms.

2014 ◽  
Vol 62 (1) ◽  
pp. 47-51
Author(s):  
Fernanda Lopez ROSELL ◽  
Aylton VALSECKI JÚNIOR ◽  
Elaine Pereira da Silva TAGLIAFERRO ◽  
Silvio Rocha Corrêa da SILVA

OBJECTIVE: To evaluate the prevalence and severity of oral pain in pregnant women. METHODS: A cross-sectional study was conducted on a sample of pregnant women who were receiving dental care at a Dental School. A structured questionnaire about self-perception of oral conditions and the presence and severity of orofacial pain in the mouth or teeth in the last 6 months was applied. RESULTS: 80 pregnant women participated in the study and, of these, 58.8% reported having a problem with their teeth, 31.3% periodontal problems, 61.3% bad taste in mouth and 62.5% bad breath. Only 22.5% of pregnant women did not exhibit any form of oral pain. The most frequently reported pains were: pain with hot/cold liquids or sweets (56.2%) and spontaneous toothache (38.8%). With regard to severity, mild and moderate pain were the most frequently reported, but there was a group of 23.8% of pregnant women with severe or very severe pain caused by hot or cold liquids and 18.8% in the same condition in relation to spontaneous pain. CONCLUSION: The results of this study showed that, despite the high prevalence of pain detected in the pregnant women, severity was low and referred to specific situations.


2020 ◽  
Vol 12 (1) ◽  
pp. 125-132
Author(s):  
Glauko André Figueiredo Dantas ◽  
Clarissa Lula de Menezes Cruz ◽  
Flávio Santos Silva ◽  
Mikhail Santos Cerqueira ◽  
Bento João Abreu ◽  
...  

SummaryStudy aim: The purpose of this study was to determine the prevalence and factors associated with pain and musculoskeletal injuries in Brazilian kickboxers.Material and methods: This is a cross-sectional study composed of a population of kickboxers from the academies affiliated to the Rio Grande do Norte State Federation of Kickboxing. The study was conducted by means of a questionnaire regarding their demographic data, graduation and level of participation in the modality, routines of procedures during training, and pain/ discomfort regions and respective intensities. In addition, the characteristics, types, and regions of the injuries were evaluated.Results: Of the 132 kickboxers included, a high prevalence of pain (84.09%) was observed and associated with the female gender (OR = 3.62; CI95% 1.29–10.13) and body mass index (OR = 0.80; CI95% 0.71–0.91). In addition, the kickboxers presented a moderate percentage of injuries (40.91%) that were associated with longer training time (OR = 5.82; CI95% 2.68–12.61) and contact level in the training sessions (OR = 3.53; CI95% 1.85–6.72).Conclusions: There was a high prevalence of musculoskeletal pain in kickboxers, mainly associated with female gender and with lower body mass. Musculoskeletal injuries were moderately prevalent in kickboxers who trained more than one hour per session and with an intense contact level.


2021 ◽  
Author(s):  
Ingrid Sanchez ◽  
Gabriel Suzart, Daniel Guimarães ◽  
Pedro Augusto Assis Lopes ◽  
Jamary Oliveira Filho ◽  
Pedro Antonio Pereira de Jesus

Background: The literature is scarce in descriptions of post-stroke outcomes related to socioeconomic status. Our objective is to describe the association between stroke outcomes and Human Development Index and to evaluate this relation’s geographical distribution in the city of Salvador, Brazil. Design and Settings: Cross-sectional study at Hospital Geral Roberto Santos. Methods: Georeferencing was made using the 2010 Brazil Census. Mortality, post discharge improvement and functional independence at 90 days after stroke were the outcomes obtained with the modified Rankin Scale. Results: From 382 patients with ischemic stroke, 193 were included because they lived in Salvador and had available address information. Only 01 patient was from a low HDI, 74 (38,3%) medium HDI, 90 (46,6%) high HDI and 28 (14,5%) very high HDI region. These groups had, respectively, 4,3%, 12,1% and 10,8% mortality rate, 56,5%, 53% and 56,9% functional independence rate and 45,4%, 40,3% and 35,7% post discharge improvement rate. Only 87 patients had complete address information to be included in the geographical distribution of these results. The results were proportional to the number of individuals in each HDI region. Conclusion: The only outcome that had a direct relation with HDI is post discharge improvement. Likely, it is the outcome that better reflects the recovery assistance available to the patient with stroke. *Authors contributed equally.


2020 ◽  
Vol 33 ◽  
Author(s):  
Márcio Antônio dos Santos ◽  
Carlos Eduardo Viana Santos ◽  
Adriano Rodrigues ◽  
Luciana Crepaldi Lunkes

Abstract Introduction: The protective role of muscles in the passive structures of the spine means that their stability and consequent maintenance are associated with pain, especially in the region of the lumbo-pelvic-hip complex. Objective: To determine the prevalence of pain and its association with muscle deficits in higher education students. Method: Descriptive, observational, cross-sectional study that evaluated 120 university students through questionnaires (sample characterization, Nordic musculoskeletal symptoms, pain visual analogue scale and international physical activity). Trunk muscle strength and bridge tests with unilateral knee extension (pelvic alignment) were performed. Results: A high prevalence of pain was found in the lower back (58.41%). There was no association between the presence of pain, muscle strength and pelvic alignment (p> 0.05). There was an association between the trunk extension and pelvic tilt tests (p = 0.009). Conclusion: A high prevalence of low back pain, poor performance in the trunk muscle endurance tests and mild and moderate pelvic misalignment were identified. There was no association between pain, trunk muscle weakness and pelvic misalignment. There was an association between pelvic misalignment and trunk extensor muscle weakness.


2015 ◽  
Vol 85 (3-4) ◽  
pp. 129-144 ◽  
Author(s):  
Zahra Heidari ◽  
Awat Feizi ◽  
Leila Azadbakht ◽  
Nizal Sarrafzadegan

Abstract. Background: Minerals are required for the body’s normal function. Aim: The current study assessed the intake distribution of minerals and estimated the prevalence of inadequacy and excess among a representative sample of healthy middle aged and elderly Iranian people. Methods: In this cross-sectional study, the second follow up to the Isfahan Cohort Study (ICS), 1922 generally healthy people aged 40 and older were investigated. Dietary intakes were collected using 24 hour recalls and two or more consecutive food records. Distribution of minerals intake was estimated using traditional (averaging dietary intake days) and National Cancer Institute (NCI) methods, and the results obtained from the two methods, were compared. The prevalence of minerals intake inadequacy or excess was estimated using the estimated average requirement (EAR) cut-point method, the probability approach and the tolerable upper intake levels (UL). Results: There were remarkable differences between values obtained using traditional and NCI methods, particularly in the lower and upper percentiles of the estimated intake distributions. A high prevalence of inadequacy of magnesium (50 - 100 %), calcium (21 - 93 %) and zinc (30 - 55 % for males > 50 years) was observed. Significant gender differences were found regarding inadequate intakes of calcium (21 - 76 % for males vs. 45 - 93 % for females), magnesium (92 % vs. 100 %), iron (0 vs. 15 % for age group 40 - 50 years) and zinc (29 - 55 % vs. 0 %) (all; p < 0.05). Conclusion: Severely imbalanced intakes of magnesium, calcium and zinc were observed among the middle-aged and elderly Iranian population. Nutritional interventions and population-based education to improve healthy diets among the studied population at risk are needed.


2012 ◽  
pp. 129-134
Author(s):  
Thi Lan Tran ◽  
Thi Huong Le ◽  
Xuan Ninh Nguyen

Objectives: Assess the nutritional status, worm infection status and some related factors among children aged 12-36 months of Dakrong district, Quang Tri province. Subject and method: A cross sectional study was carried out in 2010, in 680 children aged 12-36 months in 4 communes of Dakrong district, Quang Tri province. Results: The malnutrition rate was 55.0% for underweight, 66.5% for stunting and 16.2% for wasting. The prevalence of malnutrition increases by age group. The prevalence of worm infection was 31.6%, the highest prevalence was belong to Ascaris infection (24.6%), followed by Hookworm and Trichuris (6.5% and 6.2%, respectively). The prevalence of worm infection among children under two is very high (27.0%). The prevalence of worm infection was distributed quite equally between the malnutrition children group and normal children group. Recommendation: Early deworming forchildren from 12 months should be considered as important strategy against the malnutrition of children in Dakrong district, Quang Tri province


2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Shweta R Singh ◽  
Bunsoth Mao ◽  
Konstantin Evdokimov ◽  
Pisey Tan ◽  
Phana Leab ◽  
...  

Abstract Background The rising incidence of infections caused by MDR organisms (MDROs) poses a significant public health threat. However, little has been reported regarding community MDRO carriage in low- and middle-income countries. Methods We conducted a cross-sectional study in Siem Reap, Cambodia comparing hospital-associated households, in which an index child (age: 2–14 years) had been hospitalized for at least 48 h in the preceding 2–4 weeks, with matched community households on the same street, in which no other child had a recent history of hospitalization. Participants were interviewed using a survey questionnaire and tested for carriage of MRSA, ESBL-producing Enterobacterales (ESBL-E) and carbapenemase-producing Enterobacterales (CPE) by culture followed by antibiotic susceptibility testing. We used logistic regression analysis to analyse associations between collected variables and MDRO carriage. Results Forty-two pairs of households including 376 participants with 376 nasal swabs and 290 stool specimens were included in final analysis. MRSA was isolated from 26 specimens (6.9%). ESBL-producing Escherichia coli was detected in 269 specimens (92.8%) whereas ESBL-producing Klebsiella pneumoniae was isolated from 128 specimens (44.1%), of which 123 (42.4%) were co-colonized with ESBL-producing E. coli. Six (2.1%) specimens tested positive for CPE (4 E. coli and 2 K. pneumoniae). The prevalence ratios for MRSA, ESBL-producing E. coli and ESBL-producing K. pneumoniae carriage did not differ significantly in hospital-associated households and hospitalized children compared with their counterparts. Conclusions The high prevalence of ESBL-E across both household types suggests that MDRO reservoirs are common in the community. Ongoing genomic analyses will help to understand the epidemiology and course of MDRO spread.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. Calas ◽  
N. Zemali ◽  
G. Camuset ◽  
J. Jaubert ◽  
R. Manaquin ◽  
...  

Abstract Background Recommendations for sexually transmitted infection (STI) screening vary significantly across countries. This study evaluated the prevalence of urogenital and extragenital infections with Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Mycoplasma genitalium (MG) in patients visiting a French STI clinic in the Indian Ocean region to determine whether current STI screening practices should be updated. Methods This cross-sectional study examined all patients who visited the STI clinic between 2014 and 2015. Triplex polymerase chain reaction screening for CT, NG, and MG was performed on urine, vaginal, pharyngeal, and anal specimens (FTD Urethritis Basic Kit, Fast Track Diagnostics, Luxembourg). Results Of the 851 patients enrolled in the study, 367 were women (367/851, 43.2%) and 484 were men (484/851, 56.0%). Overall, 826 urogenital specimens (826/851, 97.1%), 606 pharyngeal specimens (606/851, 71.2%), and 127 anal specimens (127/851, 14.9%) were taken from enrolled patients. The prevalence of urogenital CT and MG was high in women ≤25 years (19/186, 10.21%; 5/186, 2.69%) and in men who have sex with women ≤30 years (16/212, 7.54%; 5/212, 2.36%). Among patients with urogenital CT infection, 13.7% (7/51) had urethritis. All patients with urogenital MG infection were asymptomatic. Men who have sex with men had a high prevalence of pharyngeal CT (2/45, 4.44%) and NG (3/44, 6.81%) and a high prevalence of anal CT (2/27, 7.41%), NG (2/27, 7.40%), and MG (1/27, 3.70%). After excluding patients with concomitant urogenital infection, extragenital infections with at least 1 of the 3 pathogens were found in 20 swabs (20/91, 21.9%) taken from 16 patients (16/81, 19.7%), all of them asymptomatic. Conclusions Routine multisite screening for CT, NG, and MG should be performed to mitigate the transmission of STIs in high-risk sexually active populations.


2021 ◽  
pp. 089198872110026
Author(s):  
Sivan Klil-Drori ◽  
Natalie Phillips ◽  
Alita Fernandez ◽  
Shelley Solomon ◽  
Adi J. Klil-Drori ◽  
...  

Objective: Compare a telephone version and full version of the Montreal Cognitive Assessment (MoCA). Methods: Cross-sectional analysis of a prospective study. A 20-point telephone version of MoCA (Tele-MoCA) was compared to the Full-MoCA and Mini Mental State Examination. Results: Total of 140 participants enrolled. Mean scores for language were significantly lower with Tele-MoCA than with Full-MoCA (P = .003). Mean Tele-MoCA scores were significantly higher for participants with over 12 years of education (P < .001). Cutoff score of 17 for the Tele-MoCA yielded good specificity (82.2%) and negative predictive value (84.4%), while sensitivity was low (18.2%). Conclusions: Remote screening of cognition with a 20-point Tele-MoCA is as specific for defining normal cognition as the Full-MoCA. This study shows that telephone evaluation is adequate for virtual cognitive screening. Our sample did not allow accurate assessment of sensitivity for Tele-MoCA in detecting MCI or dementia. Further studies with representative populations are needed to establish sensitivity.


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