scholarly journals Caracterização de usuários de drogas psicoativas residentes em comunidades terapêuticas no Brasil

2020 ◽  
Vol 19 (2) ◽  
pp. 421-465
Author(s):  
Alisséia Guimarães Lemes ◽  
Elias Marcelino da Rocha ◽  
Vagner Ferreira do Nascimento ◽  
Liliane Santos da Silva ◽  
Maria Aparecida Sousa Oliveira Almeida ◽  
...  
Keyword(s):  
Drug Users ◽  
Therapeutic Community ◽  
Sao Paulo ◽  
Therapeutic Communities ◽  
São Paulo ◽  
Chemical Dependence ◽  
Cross Sectional ◽  
Salud Mental ◽  
Quantitative Descriptive ◽  
Willingness To Use

Introducción: El consumo de drogas psicoactivas es cada vez mayor, precoz y abusivo, causando dependencia química. Esta dependencia requiere tratamiento y control. Uno de los lugares disponibles en Brasil para esa atención es el servicio comunitario terapéutico.Objetivo: Identificar el perfil de los usuarios de drogas psicoactivas que residen en comunidades terapéuticas.Métodos: Estudio descriptivo cuantitativo, transversal, realizado con usuarios de drogas de tres comunidades terapéuticas, en el interior de la región centro-oeste de Brasil. Para la recopilación de datos, se utilizó un cuestionario semiestructurado, cuyas respuestas se analizaron y analizaron en el programa BioEstat versión 5.0, luego de la aprobación ética de la Universidad de São Paulo, según la opinión de 2.487.000. Resultados: Participaron 21 hombres, adultos jóvenes, solteros, escolarización baja, desempleados y con religión. El uso de drogas fue precoz, a través del alcohol, tabaco y marihuana, usado por amigos y curiosidad. Hubo una historia de admisiones múltiples para tratar la dependencia química, y la comunidad terapéutica es el servicio más buscado. El conflicto familiar, la pérdida del tabajo remunerado y los problemas de salud mental, así como la forma en que el usuario considera el tratamiento recibido y la disposición a consumir drogas durante el tratamiento, se han asociado con el consumo de drogas. Conclusión: Conocer el perfil de los usuarios de drogas puede subsidiar acciones de salud dirigidas a satisfacer las demandas integrales de los usuarios, contribuyendo a la elaboración de políticas públicas y estrategias de rehabilitación que contribuyan a la adhesión al tratamiento. Introduction: The consumption of psychoactive drugs is increasing, precocious and abusive, causing chemical dependence. This dependence requires treatment and control. One of the places available in Brazil for this host is the therapeutic community service.Objective: to identify the profile of psychoactive drug users residing in therapeutic communities. Methods: cross-sectional, quantitative descriptive study with drug users from three therapeutic communities, located in the interior of the Central-West region of Brazil. For data collection, a semi-structured questionnaire was used, whose responses were analyzed and analyzed in the BioEstat version 5.0 program, after ethical approval by the University of Sao Paulo, under opinion 2,487,000. Results: 21 men, young adults, single, low schooling, unemployed and with religion participated. The use of drugs was precocious, through alcohol, tobacco and marijuana, used by friends and curiosity. There was a history of multiple admissions to treat chemical dependence, with the therapeutic community being the most sought after service. Family conflict, loss of reemployment, and problems with mental health, as well as the way in which the user considers the treatment received and the willingness to use drugs during treatment have been strongly associated with drug use. Conclusion: Knowing the profile of drug users can subsidize health actions aimed at meeting the integral demands of users, contributing to the elaboration of public policies and rehabilitation strategies that contribute to adherence to treatment.

scholarly journals AVALIAÇÃO DA ADESÃO AO TRATAMENTO MEDICAMENTOSO DE PACIENTES COM DISTÚRBIOS PSIQUIÁTRICOS NO SERVIÇO DE EMERGÊNCIA

2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Maria Carolina Barbosa Teixeira Lopes ◽  
Gabriela Parizzi Bianche ◽  
Andréa Fachini Da Costa ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista ◽  
...  
Keyword(s):  
Drug Treatment ◽  
Psychiatric Disorders ◽  
Drug Users ◽  
Sao Paulo ◽  
São Paulo ◽  
Chi Square ◽  
Cross Sectional ◽  
Medicinal Treatment ◽  
High Adherence ◽  
Chi Square Test

Objetivo: Identificar o perfil sociodemográfico e clínico e avaliar a adesão ao tratamento medicamentoso domiciliar e, os fatores associados, de pacientes com distúrbios psiquiátricos atendidos no Serviço de Emergência. Metodologia: Estudo transversal e analítico, realizado no Serviço de Emergência do Hospital São Paulo (HSP), de maio a dezembro de 2015. Foram incluídos 98 adultos com transtorno psiquiátrico agudo ou crônico agudizado. A adesão medicamentosa foi avaliada pelo Teste de Morisky-Green. Para verificar os fatores associados à adesão, utilizou-se o teste Qui-Quadrado (p< 0,05). Resultados: Houve predomínio de homens, adultos, que procuraram o serviço para contenção de comportamento por psicose não orgânica não especificada. Os pacientes com abstinência alcoólica e que não eram usuários de drogas apresentaram maior percentual de alta adesão ao tratamento medicamentoso. Conclusões: A adesão foi baixa e associada ao uso de psicotrópicos e drogas ilícitas.Descritores: Adesão à Medicação; Pacientes; Transtornos Mentais; Serviços Médicos de Emergência; Enfermagem.EVALUATION OF ACCESSION TO THE MEDICINAL TREATMENT OF PATIENTS WITH PSYCHIATRIC DISORDERS IN THE EMERGENCY SERVICEObjective: To identify the socio-demographic and clinical profile and to evaluate the adherence to home drug treatment and, the associated factors, of patients with psychiatric disorders attended at the Emergency Department. Methodology: A cross-sectional and analytical study carried out at the Emergency Service of the São Paulo Hospital (HSP), from May to December, 2015. 98 adults with acute or chronic psychiatric disorders were included. Drug adherence was assessed by the Morisky-Green Test. The chi-square test was used to verify the factors associated with adherence (p <0.05). Results: There was a predominance of men, adults, attending the service to contain behavior by unspecified nonorganic psychosis. Patients with alcohol withdrawal and who were not drug users had a higher percentage of high adherence to drug treatment. Conclusions: Adherence was low and associated with the use of psychotropic drugs and illicit drugs.Descriptors: Medication Adherence; Patients; Mental Disorders; Emergency Medical Services; Nursing.EVALUACIÓN DE LA ADHESIÓN AL TRATAMIENTO MEDICAMENTOSO DE PACIENTES CON DISTURBIOS PSIQUIÁTRICOS EN EL SERVICIO DE EMERGENCIAObjetivo: Identificar el perfil sociodemográfico y clínico y evaluar la adhesión al tratamiento medicamentoso domiciliar y, los factores asociados, de pacientes con disturbios psiquiátricos atendidos en el Servicio de Emergencia. Metodología: Estudio transversal y analítico, realizado en el Servicio de Emergencia del Hospital São Paulo (HSP), de mayo a diciembre de 2015. Se incluyeron 98 adultos con trastorno psiquiátrico agudo o crónico agudizado. La adhesión medicamentosa fue evaluada por la prueba de Morisky-Green. Para verificar los factores asociados a la adhesión se utilizó la prueba Qui-Cuadrado (p <0,05). Resultados: Hubo predominio de hombres, adultos, que buscaban el servicio para contención de comportamiento por psicosis no orgánica no especificada. Los pacientes con abstinencia alcohólica y que no eran usuarios de drogas presentaron mayor porcentaje de alta adhesión al tratamiento medicamentoso. Conclusiones: La adhesión fue baja y asociada al uso de psicotrópicos y drogas ilícitas.Descriptores: Cumplimiento de la Medicación; Pacientes, Trastornos Mentales; Servicios Médicos de Urgencia; Enfermería.

scholarly journals INCIDENCE OF PEDESTRIAN TRAFFIC INJURY IN SÃO PAULO, BRAZIL, IN 2016

2018 ◽  
Vol 26 (2) ◽  
pp. 112-116 ◽  
Author(s):  
RODRIGO TADASHI MARTINES ◽  
WASHINGTON GOMES DE ARAUJO ◽  
CINTIA LECI RODRIGUES ◽  
JANE DE ESTON ARMOND
Keyword(s):  
Traffic Accidents ◽  
Total Sample ◽  
Sao Paulo ◽  
Social Consequences ◽  
São Paulo ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Limb Injuries ◽  
The Government ◽  
Quantitative Descriptive

ABSTRACT Objective: Globally, more than 1.2 million people die from traffic accidents each year. In order to reduce the rate of traffic accidents and their subsequent social consequences in Sao Paulo, Brazil, the aim of this study was to characterize pedestrian victims of traffic accidents and occurrences. Methods: This is a cross-sectional, quantitative, descriptive and retrospective epidemiological study of 2723 pedestrians injured in traffic accidents during 2016 in Sao Paulo. Results: Of the total sample, 37.3% participants were female and 62.7% male; incidence was highest in the 10-19 year old age group (19.9%) and lower limb injuries were most frequent (28.6%). Of the cases attended in urgent health care units, 75.6% progressed to hospital discharge. Accidents were more frequent in the afternoon (44.6%), and most commonly involved cars (47.2%). Conclusions: This study showed the importance of making detailed records of traffic accidents to guide the government in intensive education efforts to develop a healthy society and respect for traffic regulations, to promote urban improvements involving signage and pavement, and to maintain pre-hospital and hospital care teams in strategic locations to minimize the time elapsed between the accident and care provided to the victim. Level of Evidence II; Retrospective study.

scholarly journals Conhecimento da equipe de enfermagem acerca da prevenção e manejo de extravasamento de drogas quimioterápicas

2017 ◽  
Vol 11 (12) ◽  
pp. 4789
Author(s):  
Lóris Aparecida Prado da Cruz ◽  
Thais De Oliveira Gozzo ◽  
Laleska Andres Costa Santos
Keyword(s):  
Treatment Method ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Chemotherapeutic Agents ◽  
São Paulo ◽  
Cross Sectional ◽  
Chemotherapy Drugs ◽  
Chemotherapy Administration ◽  
Quantitative Descriptive ◽  
Nursing Professionals

RESUMOObjetivo: identificar o conhecimento dos profissionais da equipe de Enfermagem acerca da prevenção e manejo do extravasamento de drogas quimioterápicas durante o tratamento oncológico. Método: estudo quantitativo, descritivo e transversal, com 16 profissionais da equipe de Enfermagem que atuam em um hospital no interior do Estado de São Paulo (SP), Brasil. Utilizou-se um questionário autoaplicável composto por variáveis sociodemográficas, questões sobre o tempo de exercício profissional, tempo de atuação na área oncológica e treinamentos sobre administração de quimioterápicos. Resultados: observou-se que 62,5% dos profissionais não sabiam a ordem de escolha da punção periférica; 12,5%, que agentes quimioterápicos não podem ser administrados em membros com alterações motoras; 43,7%, que o aumento da resistência da infusão é um sinal indicativo de extravasamento; 75% desconhecem o uso da compressa quente para determinados quimioterápicos e 87,5% referiram que conhecem o protocolo de extravasamento da instituição. Conclusão: nota-se a necessidade de estruturação de um programa de educação permanente devido à carência de conhecimentos técnicos e científicos acerca da prevenção e manejo do extravasamento por drogas quimioterápicas. Descritores: Enfermagem; Conhecimento; Quimioterapia.ABSTRACTObjective: to identify the knowledge of the professionals of the Nursing team about the prevention and management of extravasation of chemotherapy drugs during cancer treatment. Method: a quantitative, descriptive and cross-sectional study with 16 Nursing professionals working in a hospital in the interior of the state of São Paulo (SP), Brazil. A self-administered questionnaire was used, composed of socio-demographic variables, questions about professional practice time, oncological activity time and training on chemotherapy administration. Results: it was observed that 62.5% of the professionals did not know the order of choice of the peripheral puncture; 12.5%, that chemotherapeutic agents can not be administered to limbs with motor alterations; 43.7%, that increased infusion resistance is an indication of extravasation; 75% are unaware of the use of the hot compress for certain chemotherapeutic agents; and 87.5% reported knowing the institution's extravasation protocol. Conclusion: there is a need for structuring a permanent education program due to the lack of technical and scientific knowledge about the prevention and management of extravasation by chemotherapeutic drugs. Descriptors: Nursing; Knowledge; Drug Therapy.RESUMENObjetivo: identificar el conocimiento de los profesionales del equipo de Enfermería acerca de la prevención y manejo de la extravasación de drogas quimioterápicas durante el tratamiento oncológico. Método: estudio cuantitativo, descriptivo y transversal, con 16 profesionales del equipo de Enfermería que actúan en un hospital en el interior del Estado de São Paulo (SP), Brasil. Se utilizó un cuestionario auto aplicable compuesto por variables sociodemográficas, cuestiones sobre el tiempo de ejercicio profesional, tiempo de actuación en el área oncológica y entrenamientos sobre administración de quimioterápicos. Resultados: se observó que el 62,5% de los profesionales no sabían el orden de elección de la punción periférica; 12,5%, que agentes quimioterápicos no pueden ser administrados en miembros con alteraciones motoras; 43,7%, que el aumento de la resistencia de la infusión es un signo indicativo de extravasación; 75% desconocen el uso de la compresa caliente para determinados quimioterápicos; y el 87,5% señaló que conocen el protocolo de extravasación de la institución. Conclusión: se nota la necesidad de estructuración de un programa de educación permanente debido a la carencia de conocimientos técnicos y científicos acerca de la prevención y manejo de la extravasación por drogas quimioterápicas. Descriptores: Enfermería; Conocimiento; Quimioterapia.

scholarly journals A study on the social reproduction conditions of nursing undergraduates of two universities in São Paulo

2020 ◽  
Vol 54 ◽  
Author(s):  
Celia Maria Sivalli Campos ◽  
Vania Ferreira Gomes Dias ◽  
Eloá Otrenti ◽  
Daniela Miori Pascon ◽  
Everson Meireles ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
Social Reproduction ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Living Conditions ◽  
São Paulo ◽  
Cross Sectional ◽  
The Social ◽  
Quantitative Descriptive ◽  
Working And Living Conditions

Abstract Objective: To identify the social reproduction characteristics of nursing undergraduates. Method: A quantitative descriptive cross-sectional study conducted in two undergraduate degree courses in nursing, one public and one private, in the state of São Paulo. Results: There were 285 students who participated, with 195 from the public university and 90 from the private one, who answered a questionnaire to classify social reproduction profiles. Four groups with different social conditions were identified. Although most families had stable living conditions, the percentage of families with poor working and living conditions was not negligible. Conclusion: The analysis on the social reproduction of the families of undergraduate students of the two courses exposed stability gradients which are compatible with intermediate social strata.

scholarly journals Mix of destinations and sedentary behavior among Brazilian adults: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex Antonio Florindo ◽  
Gavin Turrell ◽  
Leandro Martin Totaro Garcia ◽  
João Paulo dos Anjos Souza Barbosa ◽  
Michele Santos Cruz ◽  
...  
Keyword(s):  
Built Environment ◽  
Sedentary Behavior ◽  
Latin American ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Sitting Time ◽  
São Paulo ◽  
Related Factors ◽  
Cross Sectional ◽  
Economies In Transition

Abstract Background Sedentary behavior is influenced by contextual, social, and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods This study uses data from the Health Survey of Sao Paulo. Sedentary behavior was assessed by a questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. The mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500 m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and the mix of destinations score in 500 m buffers was the exposure variable. Associations between the mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results After adjustment for covariates, the mix of destinations was inversely associated with minutes of sitting time on a weekday (β=− 8.8, p=0.001) and weekend day (β=− 6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion Greater mix of destinations within 500 m of peoples’ residences was inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.

scholarly journals Formal education and nurses' attitudes towards alcohol and alcoholism in a Brazilian sample

2005 ◽  
Vol 123 (4) ◽  
pp. 175-180 ◽  
Author(s):  
Sandra Cristina Pillon ◽  
Ronaldo Ramos Laranjeira
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Formal Education ◽  
Practical Knowledge ◽  
Sao Paulo ◽  
São Paulo ◽  
Brazilian Sample ◽  
Postgraduate Studies ◽  
Quantitative Descriptive ◽  
Nursing Teachers

CONTEXT AND OBJECTIVE: Nurses are one of the largest groups of healthcare professionals sharing in patient care responsibilities, including caring for those who use and abuse psychoactive substances. The objective was to evaluate the theoretical-practical knowledge acquired by nurses in undergraduate and postgraduate studies and their perceptions about alcohol users. DESIGN AND SETTING: Quantitative, descriptive survey at Universidade Federal de São Paulo - Escola Paulista de Medicina and Hospital São Paulo. METHODS: The sample included nurses, students and nursing teachers. The survey included questions about sociodemographic characteristics; a nurses' attitudes and beliefs scale; and a questionnaire to identify formal nursing education on the use of alcohol and its consequences. RESULTS: 59.7% out of 319 volunteers were nurses, 22.7% were nursing teachers and 17.6% were nursing students. 70% of the participants had received little or no information on physical, family and social problems related to alcohol use; 87% had received little or no information on high risk related to specific segments of the population; 95% had received little or no information on nursing procedures for alcohol-abuse patients. CONCLUSION: Formal education regarding the use of alcohol and its consequences is limited, especially with regard to offering adequate care and management for patients who have problems with or are addicted to alcohol.

Anemia and dementia among the elderly: the São Paulo Ageing & Health Study

2011 ◽  
Vol 24 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Itamar S. Santos ◽  
Márcia Scazufca ◽  
Paulo A. Lotufo ◽  
Paulo R. Menezes ◽  
Isabela M. Benseñor
Keyword(s):  
Low Income ◽  
Univariate Analysis ◽  
The Elderly ◽  
Sao Paulo ◽  
Health Study ◽  
São Paulo ◽  
Total Blood ◽  
Cross Sectional ◽  
The Relationship ◽  
Life Function

ABSTRACTBackground: Anemia and dementia are common diseases among the elderly, but conflicting data are available regarding an association between these two conditions. We analyzed data from the São Paulo Ageing & Health Study to address the relationship between anemia and dementia.Methods: This cross-sectional observational study included participants aged 65 years and older from a deprived area of the borough of Butantan, São Paulo, Brazil. Data about demographics, education, income, and cognitive and daily life function were collected, as well as blood samples. Anemia and dementia were defined according to WHO and DSM-IV criteria, respectively.Results: Of the 2267 subjects meeting the inclusion criteria, 2072 agreed to participate in the study; of whom 1948 had a valid total blood count and were included in the analysis. Anemia was diagnosed in 203 (10.2%) participants and dementia in 99 (5.1%). The frequency of anemia was higher in patients with dementia according to univariate analysis (odds ratio (OR) = 2.00, 95% confidence interval (CI) = 1.17–3.41, p = 0.01), but this association was not present after adjusting for age (OR = 1.33, 95% CI = 0.76–2.33, p = 0.32). Further multivariate adjustment did not change the results.Conclusion: Although anemia and dementia are frequent disorders in older people, we found their relationship to be mediated exclusively by aging in this low-income population from São Paulo.

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

2018 ◽  
Vol 26 (5) ◽  
pp. 338-341 ◽  
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.

scholarly journals Do our newly graduated medical doctors have adequate knowledge about neonatal resuscitation?

2007 ◽  
Vol 125 (3) ◽  
pp. 180-185
Author(s):  
Ana Paula de Carvalho Panzeri Carlotti ◽  
Maria Lúcia Silveira Ferlin ◽  
Francisco Eulógio Martinez
Keyword(s):  
Medical School ◽  
Neonatal Resuscitation ◽  
Medical Schools ◽  
Sao Paulo ◽  
The State ◽  
Basic Knowledge ◽  
São Paulo ◽  
Cross Sectional ◽  
Resuscitation Training ◽  
Practical Exam

CONTEXT AND OBJECTIVE: Neonatal resuscitation should be part of medical school curriculums. We aimed to evaluate medical school graduates' knowledge of neonatal resuscitation. DESIGN AND SETTING: Cross-sectional study on the performance of candidates sitting a medical residency exam at Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, in 2004. METHODS: There were two questions on neonatal resuscitation. One question in the theory test aimed at evaluating basic knowledge on the initial approach towards newly born infants. The question in the practical exam was designed to evaluate the candidate's ability to perform the initial steps of resuscitation and to establish bag-mask ventilation. RESULTS: Out of 642 candidates from 74 medical schools, 151 (23.5%) answered the theory question correctly. Significantly more physicians from public medical schools in the State of São Paulo answered correctly than did those from other schools in Brazil (52.5% versus 9.2%; p < 0.05). A total of 436 candidates did the practical exam. The grades among graduates from medical schools belonging to the State of São Paulo were significantly higher than among those from other schools (5.9 ± 2.6 versus 4.1 ± 2.1; p < 0.001). The grades for the practical question among candidates who had answered the theory question correctly were significantly higher than those obtained by candidates who had given wrong answers (p < 0.05). CONCLUSION: Medical school graduates' knowledge of neonate resuscitation in the delivery room is quite precarious. Emphasis on neonatal resuscitation training is urgently needed in medical schools.

scholarly journals Morbidity due trauma in children of the community of Paraisopolis, São Paulo, Brazil

2014 ◽  
Vol 12 (1) ◽  
pp. 1-5
Author(s):  
Renata Dejtiar Waksman ◽  
Renato Melli Carrera ◽  
Erica Santos ◽  
Sulim Abramovici ◽  
Cláudio Schvartsman
Keyword(s):  
Family Income ◽  
Concrete Slab ◽  
Sao Paulo ◽  
Easy Access ◽  
Controlled Study ◽  
Free Access ◽  
São Paulo ◽  
Child Victim ◽  
Cross Sectional ◽  
Her Family

Objective : To identify the factors that determine unintentional injuries in children living in the community of Paraisopolis, in the city of São Paulo, Brazil. Methods : A cross-sectional and non-controlled study. Data collected during 4 consecutive months through questionnaires filled out for the Einstein Program in Paraisopolis Community included identification of the patient and his/her family, scholarity level, housing conditions, storage of hazardous products, access to the streets and concrete slab ceilings, supervision, and trauma mechanism involved. The observed data were treated as absolute and relative frequencies; χ2, Fisher’s exact test, Student’s t test, and Mann-Whitney’s tests were implemented, with a significance level of 5% (p<0.05). Results : A total of 1,490 questionnaires were analyzed. There was a predominance of trauma within boys (59.6%) and the medium age was 5.2 years. The predominant educational level of the parents was incomplete junior school education. The main caregiver identified was the mother (69.4%). Among the children that suffered trauma, 56.4% belonged to large families (≥6 people), lived in houses up to three rooms, and a family income up to R$ 1,000.00 (76.6%). Easy access to hazardous materials was considerable and free access to concrete slab ceilings was reported in 92.8% of the cases. The main trauma mechanisms were falls and burns. In this study, the child victim of a fall was aged under 5 years. Conclusion : Small children that live in a hazardous environment have a significant tendency to suffering trauma

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