Objective To assess the functional status of post-ICU patients using the Barthel Index (BI) and the Katz Index (KI) and to assess which is more suitable for this population. Design Retrospective longitudinal study. Setting Public tertiary hospital in Sao Paulo (Brazil). Participants Patients aged ≥18 years old, admitted to ICU, who were treated with mechanical ventilation (MV) ≥ 24 h and were discharged to ward. Exclusion criteria Inability to answer the BI and the KI; limiting neurological or orthopaedic conditions; ICU stay ≥90 days. Patients transferred to or from other hospitals or who died in the wards were not analysed. Intervention BI and KI were scored pre-ICU and post-ICU and the variation was calculated. Main outcome measures BI and KI scores were compared using analysis based on item response theory (IRT), using degree of difficulty and discriminating items as parameters. Results Median age was 52 years old, median APACHE II score was 15. Median ICU stay was 11 days and median MV duration was 4 days. BI variation was 44% and KI variation was 55%. In IRT analysis, BI considered a larger number of items with different levels of difficulty. Conclusion Both the BI and the KI revealed significant deterioration of functional status after ICU discharge. The IRT analysis suggested that the Barthel Index might be a better scale than the Katz Index for the assessment of functional status of patients discharged from ICU, since it presented better discrimination of the ability to carry out the tasks.

Assessing functional status after intensive care unit stay: the Barthel Index and the Katz Index.

Avaliar os formandos de um curso de Educacao Fisica torna-se importante, pois a partir dos resultados obtidos e possivel perceber os motivos da ocorrencia de dores, lesoes e assim desenvolver acoes que auxiliem os fatores intervenientes na saude e na capacidade para o trabalho do futuro profissional. Em virtude disso, realizou-se uma pesquisa exploratoria de carater quantitativo. A amostra da pesquisa foi composta por 20 estudantes de Educacao Fisica, voluntarios, de ambos os sexos. Como instrumentos de coleta de dados foram utilizados cinco questionarios que objetivaram avaliar a dor, as lesoes, a imagem corporal e a capacidade para o trabalho. Os resultados demonstram que os individuos tem boa capacidade para o trabalho, contudo o numero de lesoes sofridas e a incidencia de dores e muito alta. Ja os resultados da Imagem Corporal apontam que em geral os alunos do curso de Educacao Fisica estao satisfeitos com seu corpo.

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Indice de capacidade para o trabalho e imagem corporal em formandos em educação física

Chinese dental students' knowledge and attitudes toward HIV/AIDS

Se busco conocer y comprender vivencias de gestacion y maternidad adolescentes en asentamientos rurales. El estudio se desarrollo con abordaje cualitativo, sustentado en metodo biografico. Los entrevistados fueron mujeres que experimentaron gravidez y maternidad en la adolescencia. La recoleccion de datos se realizo en enero y febrero de 2009, mediante entrevista biografica tematica. Las biografias muestran historias familiares inestables, con cambios constantes, ademas de habitacion y empleo precarios. La aceptacion de la gravidez por las familias de las adolescentes esta directamente ligada a la condicion del companero para asumir la paternidad del nino, y a la madre adolescente como companera o esposa. Los cambios en la vida personal derivados de la gravidez y maternidad relatados mas frecuentemente fueron la perdida de libertad y el aumento de responsabilidad. En el plano institucional, se constata ausencia de politicas publicas y de servicios adecuados a las especificidades de salud en asentamientos rurales.

Biografías de gravidez y maternidad en laadolescencia en asentamientos rurales en Rio Grande do Sul

BACKGROUND AND OBJECTIVES:Dysmenorrhea is a word derived from the Greek language and means difficult menstrual cycle. It may be classified as primary, leading to poorer quality of life indices of several women. This study aimed at investigating, by means of literature review, the efficacy and accuracy of existing therapies for primary dysmenorrhea, specifically in Physiotherapy.CONTENTS:Narrative literature review by querying electronic databases Medline, Scielo, Lilacs, Cochrane library, PEDro and Pubmed), where articles were selected and analyzed from August 2013 to February 2014. For data collection, materials from 2005 to current literature were included using the following keywords: “dysmenorrhea”, “physiotherapy” and their Portuguese equivalent “dismenorreia” and “fisioterapia”, combining them with the operators AND and OR.CONCLUSION:Studies were found describing the use of thermotherapy, cryotherapy, transcutaneous electric nerve stimulation and connective tissue massage, Pilates and acupuncture with improvement of such women's symptoms. However, it is clear the need for studies regarding physiotherapeutic maneuvers with further methodological rigor.

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Physiotherapy in primary dysmenorrhea: literature review

Background: Viral hepatitis B (VHB) is an occupational risk for dentists. It is necessary that dental students start clinical practice immunized with the vaccine, response monitored and informed about the means of transmission of the disease. Rarely, there are studies, which evaluate concomitantly knowledge of these academics and their vaccine situation? Objectives: To evaluate the knowledge about Hepatitis B, the vaccine situation and the immunization status of dental students and to investigate the probable correlation between the status of immunization, vaccination membership and adherence to the test of seroconversion and associated factors. Patients and Methods: 189 students from the dentistry course at the Federal University of Piaui (UFPI) who attended from the 3rd to 9th period were invited to participate in the research. Their knowledge about HBV, attitude regarding protection and their vaccine situation were assessed through a self-administered form. Antibodies against surface antigens of Hepatitis B virus (Anti-HBs) and against the antigens of the virus nucleous of Hepatitis B (Anti-HBc total) were measured qualitatively using the enzyme-linked immunosorbent assay (ELISA). Results: Of the 179 students surveyed, 58.1% knew about the degree of virulence of the Hepatitis B virus (HBV). As to the means of transmission, 98.3% considered blood transmission, 82.6% plates and cutlery, 15.6% cough and 12.3% vertical transmission. Most students (87.4%) knew that they should take 3 doses of the vaccine and 62.2% completed the immunization schedule. A minority of students (48.6%) knew the about the Anti-HBs test and 5.6% took the test. Among the students who reported having taken three doses of the vaccine, 12.5% were not seroconverted. There was no significant correlation between the variables. Conclusions: Dental academics were unsure about the means of infection and prevention against HBV. Many of them had not completed the immunization scheme and did not have the test of seroconversion. The serological analysis revealed unprotection, even after students completed the vaccination schedule.

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Hepatitis B: knowledge, vaccine situation and seroconversion of dentistry students of a public university.

Uma importante consequencia do envelhecimento e o aumento do numero de idosos com dependencia funcional e propensao a quedas. Esta pesquisa teve por objetivo correlacionar o risco de quedas com a autonomia funcional em idosos institucionalizados na cidade de Teresina-PI. O modelo de estudo adotado foi observacional, descritivo e transversal, tendo sido realizado em tres instituicoes de longa permanencia, com 47 idosos. Os instrumentos da pesquisa foram a escala de equilibrio de Berg (EEB) e o indice de Katz. Observou-se que o genero feminino apresentou pior desempenho funcional medio quando comparado ao masculino (34,95 ± 16,22 vs 47,07 ± 11,67; p<0,01) e houve correlacao positiva e forte (r=0,735 e p<0,001) entre os escores da EEB e o indice de Katz. Houve forte correlacao entre as duas escalas no estudo, ou seja, quanto melhor o resultado da escala de equilibrio de Berg, melhor o desempenho nas atividades basicas de vida diaria e vice-versa.

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Correlação entre o risco de queda e autonomia funcional em idosos institucionalizados

cativa em todos os componentes da dor antes e depois do tratamento: sensorial (p < 0,001), afetivo (p < 0,05), avaliativo (p < 0,001) e miscelânea (p < 0,001). CONCLUSAO: O metodo Pilates como pratica de atividade fisica, proporcionou melhora dos sinto- mas associados a dismenorreia primaria, interferin- do de forma positiva na reducao da dor das pacien- tes, mostrando-se se alternativa nao medicamentosa promissora. Descritores: Avaliacao da dor, Dismenorreia, Fisioterapia. SUMMARY

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Diminuição da dor em mulheres com dismenorreia primária, tratadas pelo método Pilates* Pain improvement in women with primary dysmenorrhea treated by Pilates

BACKGROUND AND OBJECTIVES: Precise estimates about the prevalence of low back pain in college students, especially in physiotherapy students, are necessary to evaluate their development landscape, producing global health indicators for the investigated group and preventing habits that can accelerate the generation of the pain incapacitation process. Therefore, this study aimed to analyze the factors associated with low back pain in physiotherapy students. METHODS: A total of 410 undergraduate students were surveyed, answering questionnaires relating to socio-demographic data, health aspects, lifestyle and the Nordic Questionnaire for Musculoskeletal Symptoms to determine the presence of low back pain. RESULTS: The prevalence of low back pain reported in the last year was 56.3% (95% CI: 51.5-61.2) and was associated with social class A and B, having an occupation, visited the doctor in the last 12 months, self-report of low back pain and to the year in course. CONCLUSION: There was a high prevalence of low back pain in university students, so it is suggested that some measures are incorporated to understand the magnitude of the effects caused by this pain, and consequently find the best preventive and intervention strategies.

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Prevalence of low back pain and associated factors among physiotherapy students

Objetivou-se analisar fatores intervenientes nas relacoes sociais e familiares de jovens dois anos pos-parto. Estudo transversal com 464 jovens de Teresina, Piaui, Brasil, que finalizaram uma gravidez no primeiro quadrimestre de 2006, em seis maternidades do municipio. Dados foram coletados de maio a dezembro de 2008 apos identificacao das jovens nos registros das maternidades. A analise multivariada se deu por meio de regressao logistica multinomial. Jovens com lacos conjugais eram 80% menos propensas a terem relacoes negativas com o conjuge. Participantes com idade de 20-22 anos se relacionavam 2,4 vezes melhor com a mae do que aquelas com idade de 17-19 anos. Jovens que nao estudavam tinham 97% mais chances de mudancas negativas na relacao com os amigos e as catolicas eram 50% menos propensas a terem piorado suas relacoes de amizade apos o parto. Sao necessarias acoes orientadoras aos individuos que convivem com as jovens maes sobre a importância do apoio neste momento da vida, principalmente o parceiro e a mae, incentivando-a a manter-se estudando.

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José Mário Nunes da Silva

Papers

Hepatitis B: knowledge, vaccine situation and seroconversion of dentistry students of a public university.

Correlação entre o risco de queda e autonomia funcional em idosos institucionalizados

Diminuição da dor em mulheres com dismenorreia primária, tratadas pelo método Pilates* Pain improvement in women with primary dysmenorrhea treated by Pilates

Prevalence of low back pain and associated factors among physiotherapy students

Fatores que influenciam as relações familiares e sociais de jovens após a gestação