Brazilian Journal of Medicine and Human Health最新文献_第6页

FUNCTIONAL PROFILE OF POPULATION SUFFERING FROM CHRONIC LOWER BACK PAIN IN SALVADOR-BAHIA, BRAZIL: A POPULATION-BASED STUDY 巴西萨尔瓦多-巴伊亚州慢性腰痛患者的功能概况:一项基于人群的研究

Brazilian Journal of Medicine and Human Health Pub Date : 2015-10-30 DOI: 10.17267/2317-3386BJMHH.V3I2.663

K. Sá, R. S. Dias, I. Souza, Í. Lessa, A. Baptista

{"title":"FUNCTIONAL PROFILE OF POPULATION SUFFERING FROM CHRONIC LOWER BACK PAIN IN SALVADOR-BAHIA, BRAZIL: A POPULATION-BASED STUDY","authors":"K. Sá, R. S. Dias, I. Souza, Í. Lessa, A. Baptista","doi":"10.17267/2317-3386BJMHH.V3I2.663","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V3I2.663","url":null,"abstract":"Objective: To describe the chronic lower back pain functional profile in a population-based sample. Methods: A total of 2,297 individuals aged around ≥ 20 years were selected from 34 regions of Salvador, Bahia, Brazil. In order to characterize samples, sociodemographic data were collected. And, in order to describe functional profile, the body map and functional items were applied based on Oswestry questionnaire. Results: Between 28.6% and 68.8% of the population with CLBP presented disability, depending on the analyzed function. Chronic lower back pain was negatively associated with function in lifting objects (rarely, OR 2.39 IC 95%, 1.15-4.97) and remaining seated (OR 10.40 IC 95% 3.32- 32.46). In opposition to that, walking was associated to increased function (frequently, OR 0.47 IC 95% 0.30 – 0,72). Conclusions: Chronic lower back pain is frequently associated with disability. Lifting objects and remaining seated were the functional items that presented higher association with disability. Walking habits seem to be a protector from this disability in chronic lower back pain individuals.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122275860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

TRAVEL MEDICINE PRACTICE, EDUCATION AND RESEARCH IN BRAZIL – CURRENT STATE AND FUTURE PERSPECTIVES 巴西的旅游医学实践、教育和研究——现状和未来展望

Brazilian Journal of Medicine and Human Health Pub Date : 2015-05-06 DOI: 10.17267/2317-3386BJMHH.V3I1.500

F. Oliveira, A. Souza, G. Flaherty

引用次数: 0

MESENTERIC VASCULITIS IN LUPUS: CASE REPORT AND LITERATURE REVIEW 狼疮的肠系膜血管炎:1例报告及文献复习

Brazilian Journal of Medicine and Human Health Pub Date : 2015-05-06 DOI: 10.17267/2317-3386BJMHH.V3I1.595

O. A. Barbosa, J. Paiva, Max Victor Carioca Freita, R. Brasileiro, Leilane da Conceição Almeida Guimarães, J. W. Correia

引用次数: 0

HEPATITIS C VIRUS AND HEPATITIS C-INFECTION 丙型肝炎病毒和丙型肝炎感染

Brazilian Journal of Medicine and Human Health Pub Date : 2015-05-06 DOI: 10.17267/2317-3386BJMHH.V3I1.453

L. J. O. Andrade, Paulo Roberto Santana de Melo, Isabel Cristina Pithon Lins, R. Paraná, A. Lins

{"title":"HEPATITIS C VIRUS AND HEPATITIS C-INFECTION","authors":"L. J. O. Andrade, Paulo Roberto Santana de Melo, Isabel Cristina Pithon Lins, R. Paraná, A. Lins","doi":"10.17267/2317-3386BJMHH.V3I1.453","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V3I1.453","url":null,"abstract":"Hepatitis C virus (HCV) belongs to the Hepacivirus genus, Flaviviridae family, has six major genotypes and more than 70 subtypes. HCV has a major impact on public health, because it infects around 3% worldwide population, with an estimated global incidence of three to four million new infections per year. HCV infection was first suspected in the 1970s, when this new type of hepatitis transmitted by blood was then called “non-A, non-B” hepatitis. HCV is an enveloped, positive-stranded RNA virus, and its genome was identified in 1989. It’s transmitted primarily via the blood route through of injection drug use, sharing syringes, and blood transfusion. Anti-HCV antibody and HCV RNA testing are used to diagnose acute and chronic hepatitis C, and HCV genotype should be systematically determined for indication and duration of treatment. After acute infection, 15%-25% of persons appear to resolve their infection without sequelae, whereas 75%-85% evolve to chronicity, which may exhibit various complications with the evolution of the infection. The standard treatment for chronic infection with HCV in the last decade has been the combination therapy of pegylated interferon alpha plus ribavirin. However, this therapy is associated with significant adverse effects, but recent developments of new drugs’ combinations are changing the treatment paradigm in HCV infection. In this article, we review the information on HCV, how the HCV biology, diagnosis, management, preventive modalities, and therapeutics.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122323206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SOCIODEMOGRAPHIC CHARACTERISTICS OF PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFTING 冠状动脉旁路移植术患者的社会人口学特征

Brazilian Journal of Medicine and Human Health Pub Date : 2015-05-06 DOI: 10.17267/2317-3386BJMHH.V3I1.502

Patricia Veiga Nascimento, Ana Paula Santos de Jesus, E. Cunha, Neuma Carla Santos do Rosário, A. Guimarães

{"title":"SOCIODEMOGRAPHIC CHARACTERISTICS OF PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFTING","authors":"Patricia Veiga Nascimento, Ana Paula Santos de Jesus, E. Cunha, Neuma Carla Santos do Rosário, A. Guimarães","doi":"10.17267/2317-3386BJMHH.V3I1.502","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V3I1.502","url":null,"abstract":"Introduction: Coronary artery bypass grafting restores the coronary circulation in ischemic areas, preventing muscle necrosis, chronic and acute, preserving and/or improving ventricular function, prolonging life and improving its quality considerably. Objective: To describe the demographic characteristics of patients undergoing myocardial revascularization in a reference public hospital with excellent reputation in cardiology. Method: Descriptive and analytical cross sectional transversal study with evaluation and data collection of 165 patients preoperatively, February 2012 to March 2013. Results: The main data included: men, 102 (61.8%), age 62.69 ± 9.26 years (42 to 84), 37 (22.5%) 60 years; women, 63 (38.2%), age 62.16 ± 8.52 years (40 to 77), 25 (15.2%) <60 years; 107 (64.9%) married or common-law marriage, race/color self-declared as brown/dark-skinned in 102 (61.8%), limited schooling at elementary school in 105 (63.6%); family income ≤ minimum wage in 136 (82.5%) and 95 (57.5 %) retirees/pensioners, domestic labor activity in 44 (26.7 %) women, between 46 to 77 years, and Catholic 111 (67,4 %).Conclusion: Population with low education and low income, with emphasis to the percentage of individuals aged <60 years and minimum age of 40 years, characterizing poverty as major risk factor of coronary artery disease.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115536699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

MEDICINAL PLANTS AND HERBAL MEDICINES USAGE IN THE SOCIOECONOMIC REALITY OF NORTHEAST BRAZILIAN COCOA REGION 药用植物和草药的使用在巴西东北可可地区的社会经济现实

Brazilian Journal of Medicine and Human Health Pub Date : 2014-12-18 DOI: 10.17267/2317-3386BJMHH.V2I3.413

Leonardo Galvão Cardoso, R. S. Silva, Gesael P. F. Júnior, L. A. M. Cardoso, Alexandre J. de Oliveira, M. Pires, A. M. D. Conceição

{"title":"MEDICINAL PLANTS AND HERBAL MEDICINES USAGE IN THE SOCIOECONOMIC REALITY OF NORTHEAST BRAZILIAN COCOA REGION","authors":"Leonardo Galvão Cardoso, R. S. Silva, Gesael P. F. Júnior, L. A. M. Cardoso, Alexandre J. de Oliveira, M. Pires, A. M. D. Conceição","doi":"10.17267/2317-3386BJMHH.V2I3.413","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V2I3.413","url":null,"abstract":"Objective: This work describes the medicinal plants and/or herbal medicines usage by the population assisted by Brazilian Public Health System (SUS), and their prescription by health professionals in the Brazilian Northeast. Methods: Questionnaires were applied for public health system users; pharmacists who work at compounding pharmacies; physicians and nurses. Data were submitted to descriptive statistical analysis. Results: The sociodemographic profile was individuals between 40 and 59 yearsold, majority of females, low family income, and low schooling levels. A great number of individuals (89.3%) used plant products, without prescription and based on traditional knowledge. There was a common trend regarding a lack of knowledge of plant toxicity potential. Regarding health professionals, 90% stated having knowledge about medicinal plants and/or herbal medicines, and 80% believe that its effect is important. Conclusion: The study reveals the major usage of herbal medicines and/or medicinal plants by familiar low income and low schooling level without prescription from a physician. These factors may cause a risk/benefit imbalance where could have a reduction in therapy efficacy and high toxicity potential of the drugs. This reinforces the need of pharmacosurveillance toward usage of medicinal plants and herbal medicines in the public health system.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"354 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122798529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ASSOCIATION BETWEEN CRYOGLOBULINEMIA AND THYROID DYSFUNCTION IN HEPATITIS C CARRIERS 丙型肝炎携带者冷球蛋白血症与甲状腺功能障碍之间的关系

Brazilian Journal of Medicine and Human Health Pub Date : 2014-12-18 DOI: 10.17267/2317-3386BJMHH.V2I3.425

L. J. O. Andrade, A. Atta, M. Atta, R. Paraná

{"title":"ASSOCIATION BETWEEN CRYOGLOBULINEMIA AND THYROID DYSFUNCTION IN HEPATITIS C CARRIERS","authors":"L. J. O. Andrade, A. Atta, M. Atta, R. Paraná","doi":"10.17267/2317-3386BJMHH.V2I3.425","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V2I3.425","url":null,"abstract":"Introduction: Cryoglobulinemia is a biomarker of autoimmunity correlated with hepatitis C virus (HCV) infection. Objective: Report the association between the presence of mixed-cryoglobulinemia and thyroid dysfunction (TD) in hepatitis C virus carriers before and during treatment with pegylatedinterferon-alpha (Peg-IFN-α). Methods: Prospective cohort study. Results: Sixty-five untreated HCV patients, 38 women and 27 men were included in this study. Mean age of patients was 49.61 ± 11.83 years. Cryoglobulinemia was demonstrated in 24 (36.92%) patients. The TD was demonstrated in 2 patients (3.10%) before treatment with IFN-α, in 4 patients (6.20%) at 12th week, and 8 patients (12.30%) at 24th week; whereas autoimmune thyroid (TPO-Ab) positive was demonstrated in 3 patients (4.60%) before treatment, in 7 patients (10.80%) at 12th week, and 12 patients (18.50%) at 24th week. In the sample analyzed, the risk of a patient with cryoglobulinemia develop TD was 2.74 (95% CI: 1.95–12.95) times that of a patient without cryoglobulinemia in the 12th week of treatment and 1.83 (95% CI: 1.03–7.08) times in the 24th week of antiviral treatment, and risk of a patient with cryoglobulinemia for develop TPO Ab positive was 2.44 (95% CI: 1.46–5.98) times that of a patient without cryoglobulinemia in the 12th week of treatment, and 1.31 (95% CI: 1.05–2.89) times in the 24th weeks of antiviral treatment. Conclusion: We concluded that thyroid function evaluation should be recommended for HCV carriers that are seropositive for cryoglobulinemia.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128319222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DUAL TASK PERFOR MANCE BETWEEN ADULTS AND ELDERLY POS T STROKE PATIENTS 成人与老年脑卒中后患者的双重任务表现

Brazilian Journal of Medicine and Human Health Pub Date : 2014-12-18 DOI: 10.17267/2317-3386BJMHH.V2I3.464

A. Sasaki, E. Pinto, Mayra Castro de Matos Sousa, Maiana Monteiro, J. Oliveira-Filho, Argemiro D'Oliveira Júnior

{"title":"DUAL TASK PERFOR MANCE BETWEEN ADULTS AND ELDERLY POS T STROKE PATIENTS","authors":"A. Sasaki, E. Pinto, Mayra Castro de Matos Sousa, Maiana Monteiro, J. Oliveira-Filho, Argemiro D'Oliveira Júnior","doi":"10.17267/2317-3386BJMHH.V2I3.464","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V2I3.464","url":null,"abstract":"Objective: Studies that assessed motor performance comparing healthy adults and old, shown agerelated differences in several parameters. It is not known whether these differences remain evident when people are under stroke condition. Our aim was to describe clinical and functional characteristics and to compare a dual task performance between older and younger post stroke individuals. Methods: We evaluated hemiparetic patients with independent gait between August/2011 and August/2012. The following scales/tests were applied: NIH Stroke Scale (NIHSS), Modified Barthel Index (mBI), Timed Up and Go Test (TUG) and TUG with cognitive task (TUGcog). X2, Fisher tests or Mann Whitney U test were used when appropriated. Results: Amongst 92 participants 54.3% were adults and 45.7% were elder adults. Adults and elder adults presented similar characteristics, although statistical difference was observed at instruction level (P = .01), hypertension (P= .02), verbal fluency (P < .01) and delta time for TUGcog (P < .01). Conclusion: Individuals post stroke in this study presented slightly clinical and functional differences, but it was possible to observe that older need more time to perform multitasking. Probably, age alone is not an important factor in differentiating independent stroke patients. However, postural instability, in elderly patients, should be evaluated more carefully taking into account the attentional demands, since dual task is used in many activities of daily life.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130237966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ASSOCIATION OF CARDIAC STRUCTURAL AND FUNCTIONAL ABNORMALITIES WITH GESTATIONAL DIABETES 心脏结构和功能异常与妊娠糖尿病的关系

Brazilian Journal of Medicine and Human Health Pub Date : 2014-12-18 DOI: 10.17267/2317-3386BJMHH.V2I3.487

H. D. Vasconcellos, A. M. L. Silva, Jeová Cordeiro de Moraes Júnior, A. Armstrong, E. Victor

{"title":"ASSOCIATION OF CARDIAC STRUCTURAL AND FUNCTIONAL ABNORMALITIES WITH GESTATIONAL DIABETES","authors":"H. D. Vasconcellos, A. M. L. Silva, Jeová Cordeiro de Moraes Júnior, A. Armstrong, E. Victor","doi":"10.17267/2317-3386BJMHH.V2I3.487","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V2I3.487","url":null,"abstract":"Introduction: Pregnancy leads to changes in the cardiovascular system. Gestational diabetes relates to maternal and fetus later development of chronic cardiovascular diseases. We perform an exploratory analysis to assess the prevalence of cardiac structural and functional abnormalities in pregnant women with gestational diabetes. Methods: We enrolled 20 consecutive pregnant women with gestational diabetes and 30 healthy pregnant women as controls. Participants with age less than 18 years, previous gestational diabetes, hypertension, cardiac diseases, lung diseases, or medications other than vitamins were excluded. A comprehensive echocardiography protocol was performed in all participants, including 2D views, M-mode technique, flow assessment, and tissue Doppler imaging to acquire cardiac structural and functional parameters. A cross-sectional analysis was performed to assess relations of gestational diabetes with echocardiography-derived parameters. Results: Women with gestational diabetes had higher weight compared to normal pregnant participants, but the cardiovascular risk profile was similar in both groups. LV mass index was significantly higher in women with gestational diabetes when compared to normal pregnant controls, but the other echocardiography-derived parameters were similar in both groups. Gestational diabetes had significant predictive power on higher values of LV mass index, consistent after adjustment for anthropometrics, risk factors, and gynecological history. Conclusion: The presence of gestational diabetes has a consistent independent relation with higher values of LV mass index, but not with other measurements of LV systolic and diastolic function. Myocardial hypertrophy appears to be an early marker of gestational diabetes-related cardiac injury.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124254381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THE rs7903146 SNP Of TCF7L2 GENE AND ITS ASSOCIATION WITH THE METABOLIC SYNDROME A REVIEW TCF7L2基因rs7903146 SNP及其与代谢综合征的关系综述

Brazilian Journal of Medicine and Human Health Pub Date : 2014-12-18 DOI: 10.17267/2317-3386BJMHH.V2I3.490

S. R. Rangel, E. Araújo, Erijessyka Mariá Oliveira de Matos, G. Carvalho, D. Rios

{"title":"THE rs7903146 SNP Of TCF7L2 GENE AND ITS ASSOCIATION WITH THE METABOLIC SYNDROME A REVIEW","authors":"S. R. Rangel, E. Araújo, Erijessyka Mariá Oliveira de Matos, G. Carvalho, D. Rios","doi":"10.17267/2317-3386BJMHH.V2I3.490","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V2I3.490","url":null,"abstract":"Objective: To Conduct a systematic review of the literature in order to clarify and discuss the effects of SNP rs7903146 in the TCF7L2 gene and predisposition to Metabolic Syndrome (MS) modulation by dietary factors such variant. Methods: We performed a review of the literature in a systematic way from original studies between 2000 and 2013, found in Medline, PubMed, Wiley library, SciELO, ScienceDirect, Springer link, The University of Adelaide, DeepDyve, Cambridge journals. Results: The clinical trials reported in this study indicated a significant correlation between the risk allele of rs7903146 polymorphism and pathophysiological characteristics of MS, with the most consistent findings with changes in glucose homeostasis, insulin metabolism and atherogenic dyslipidemia for each study population. Conclusions: This review highlights the scientific evidence for rs7903146 polymorphism as one of the etiologic basis for MS. However, demonstrates the need for greater standardization of investigations, to reduce possible population variables with potential influence on the results, such as environmental factors and genetic heterogeneity.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"42 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134288862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2