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Aerobic exercise reduces anxiety symptoms and improves fitness in patients with panic disorder 有氧运动可以减轻恐慌症患者的焦虑症状,提高健康水平
Medical Express Pub Date : 2016-04-05 DOI: 10.5935/MEDICALEXPRESS.2016.03.06
M. Lamego, E. Lattari, A. S. Filho, F. Paes, Jarbas Mascarenhas, G. M. Neto, A. Oliveira, Carlos Campos, N. Rocha, A. Nardi, S. Machado
{"title":"Aerobic exercise reduces anxiety symptoms and improves fitness in patients with panic disorder","authors":"M. Lamego, E. Lattari, A. S. Filho, F. Paes, Jarbas Mascarenhas, G. M. Neto, A. Oliveira, Carlos Campos, N. Rocha, A. Nardi, S. Machado","doi":"10.5935/MEDICALEXPRESS.2016.03.06","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.03.06","url":null,"abstract":"OBJECTIVE: To investigate the effects of a regularly repeated aerobic exercise series on anxiety and maximum oxygen consumption (VO2max) in Panic Disorder patients. METHODS: Ten previously sedentary female subjects diagnosed with Panic Disorder performed 36 sessions of aerobic exercise (at 70 to 75% of VO2max), 3 times per week during 12 weeks. A cardiopulmonary evaluation (ergospirometry test) was used to set the intensity of training as well as to establish baseline and post-training VO2max parameters. The assessment of anxiety symptoms was performed at baseline, at the end of the 6th and 12th weeks, using the Trait Anxiety Inventory (STAI-T) and State Anxiety Inventory (STAI-S), and the Subjective Units of Distress Scale (SUDS) questionnaires. One-way ANOVA for repeated measurements (at 3 moments: Baseline, 6th week (mid-training) and 12th week (post-training) was used to compare the evolution of the questionnaires; the Bonferroni post hoc test was applied to identify differences between moments. A dependent t-test was performed for measures of VO2max. RESULTS: Compared to baseline, (a) STAI-T showed significant anxiety reductions at mid- and post-training moments; (b) STAI-S and SUDS recorded anxiety reductions only at Post-training; (c) VO2max showed a significant improvement at Post-training. CONCLUSION: This protocol promoted beneficial effects on cardiorespiratory fitness and anxiety levels of Panic Disorder patients.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189820","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: 7
Low intensity static stretching does not modulate heart rate variability in trained men 低强度静态拉伸不能调节训练男性的心率变异性
Medical Express Pub Date : 2016-04-04 DOI: 10.5935/MEDICALEXPRESS.2016.03.04
G. C. E. Silva, R. Conceição, F. Masi, Thiago Domingos, Carlos Herdy, A. Silveira
{"title":"Low intensity static stretching does not modulate heart rate variability in trained men","authors":"G. C. E. Silva, R. Conceição, F. Masi, Thiago Domingos, Carlos Herdy, A. Silveira","doi":"10.5935/MEDICALEXPRESS.2016.03.04","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.03.04","url":null,"abstract":"OBJECTIVE: To investigate the acute effect of static stretching on heart rate variability in trained men. METHODS: Eight subjects were randomly submitted to two situations, as follows: a static stretch protocol and 20 minutes at rest. The stretch protocol consisted of two sets of 30 seconds of static stretch of the chest muscles with a 40 second of interval between them. After 48 hours, the procedures were reversed so that all the subjects should were submitted to the two situations. The values of heart rate variability were measured before and after the experimental and control situation (stretch vs. rest). We registered the following cardiac variables: root mean square of standard deviation (rMSSD), the number of pairs of successive beats that differ by more than 50 ms (pNN50), low frequency (LF) and high frequency (HF). The Shapiro-Wilk and the paired Student's test were used for statistical analysis; a critical level of significance of p 0.05) were found (stretching vs. control) to the RMSSD, pNN50, LF and HF indices. However, although no statistical differences were observed, the figures show large changes on mean values, suggesting an unclear effect on the sympathetic-vagal modulation. CONCLUSION: The present results suggest that a low intensity (motion range until discomfort point) and volume (1 minute) of static stretching does not significantly affect the acute sympathetic-vagal control in trained men. Because the protocol did not show differences regarding the studied variables, we suggest that there is not a sufficient level of physiological basis to perform this type of exercise in a traditional pre-exercise setting, if the purpose is obtain gains in physical performance.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189777","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: 6
Positive correlation of postural balance evaluation by two different devices in community dwelling women 两种不同装置对社区妇女体位平衡评价的正相关
Medical Express Pub Date : 2016-04-01 DOI: 10.5935/MEDICALEXPRESS.2016.02.03
G. C. Brech, N. M. Luna, A. Alonso, J. Greve
{"title":"Positive correlation of postural balance evaluation by two different devices in community dwelling women","authors":"G. C. Brech, N. M. Luna, A. Alonso, J. Greve","doi":"10.5935/MEDICALEXPRESS.2016.02.03","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.02.03","url":null,"abstract":"OBJECTIVE: To establish the convergent validity or relationship of the Balance Master® as balance assessment device by comparing its performance results with those obtained from the AccuSway Plus® force plate. METHOD: Cross-sectional observational study, without intervention, of 126 postmenopausal women (60.3 ± 3.2 years; body mass index = 27.6 ± 4.7 kg/m2). Two devices were used for the independent assessments of static balance: (a) Static postural balance assessment (posturography) was performed on a force platform (AccuSway Plus); (b) static evaluation was performed on the Balance Master®System. The variables studied in the two devices, were: (i) the Mean Velocity of the Center of Pressure Displacement in all directions (Vavg or Mean Firm), (ii) the Anteroposterior (Mean-Y) and (iii) the Mediolateral (Mean-X) Centers of Pressure Displacement. The Spearman correlation coefficient was calculated to measure the correlation of the variables of balance obtained with the two different devices. RESULTS: Significant correlations were obtained when the relationships between both variables were described by fitting multiple linear regression models. There was an association between the mean velocity of center of pressure displacement in both devices, with eyes open (r = 0.21) and eyes closed (r = 0.47). In the eyes open condition, Vavg increased, on average, 0.26 units, while Mean Firm increased 1.0 unit; in the Mean-Firm; in eyes closed condition, Vavg increased, on average, 1.27 units, while Mean-Firm increased by 1,0 unit. CONCLUSION: The devices investigated presented a significant correlation for the mean velocity calculated from the total displacement of the center of pressure in all directions.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189692","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: 7
MedicalExpress: your article online one month after acceptance 医学快讯:您的文章在录用后一个月上线
Medical Express Pub Date : 2016-04-01 DOI: 10.5935/MEDICALEXPRESS.2016.02.08
M. Rocha-e-Silva
{"title":"MedicalExpress: your article online one month after acceptance","authors":"M. Rocha-e-Silva","doi":"10.5935/MEDICALEXPRESS.2016.02.08","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.02.08","url":null,"abstract":"Dear Authors, Readers, Reviewers If MedicalExpress can claim one asset, this has to be it: in our last three issues (Dec/15, Feb and Apr/16) articles were online, on average, 31 days (range 6 60 days) after acceptance: we take responsibility for some of the longer delays, but many are due to slow turnaround times of draft-PDFs by some of our authors, not forgetting that January is the peak summer month for for Brazilian authors. So, we are keeping to our pledge to publish within 45 days after acceptance. Only 15% of our articles exceeded this time limit in this period. We are now effectively in SciELO. For Brazilian graduate students and teachers, this means we can look","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189901","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
Correlation between Hounsfield Unit Value and Stone Composition in Nephrolithiasis 肾结石患者Hounsfield单位值与结石组成的相关性研究
Medical Express Pub Date : 2016-03-28 DOI: 10.5935/MEDICALEXPRESS.2016.03.03
T. R. Silva, M. Lima
{"title":"Correlation between Hounsfield Unit Value and Stone Composition in Nephrolithiasis","authors":"T. R. Silva, M. Lima","doi":"10.5935/MEDICALEXPRESS.2016.03.03","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.03.03","url":null,"abstract":"OBJECTIVE: To examine whether the Hounsfield Unit value predicts calcium oxalate monohydrate stones in patients who are undergoing percutaneous nephrolithotomy. METHOD: 119 patients who underwent percutaneous nephrolithotomy were prospectively evaluated between February 2012 and August 2014. Using thin cuts, the highest single-energy computed tomography attenuation value within a pixel was measured for each stone. Data regarding age and gender were assessed before surgery. The extracted stones were analyzed using infrared spectrophotometry. RESULTS: By receiver operating characteristics analysis, a cutoff value of 1548 Hounsfield Unit and an age of 42.5 years were used to determine the likelihood of a stone being composed of calcium oxalate monohydrate. A higher Hounsfield Unit value and increased age augmented the chances of a stone being composed of calcium oxalate monohydrate. In general, females had a greater likelihood of harboring calcium oxalate monohydrate stones than males. CONCLUSION: The maximum Hounsfield Unit value, as determined by unenhanced single-energy computed tomography in association with gender, predicts the presence of calcium oxalate monohydrate stones in patients who are undergoing percutaneous nephrolithotomy.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189773","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: 1
Ibuprofen and indomethacin for the closure of the patent ductus arteriosus 布洛芬和吲哚美辛用于动脉导管未闭闭合
Medical Express Pub Date : 2016-03-07 DOI: 10.5935/MEDICALEXPRESS.2016.03.01
G. Pacifici
{"title":"Ibuprofen and indomethacin for the closure of the patent ductus arteriosus","authors":"G. Pacifici","doi":"10.5935/MEDICALEXPRESS.2016.03.01","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.03.01","url":null,"abstract":"The ductus arteriosus connects the pulmonary artery with the aorta and allows right ventricular blood to bypass the unexpanded lungs. In mature infants, the ductus arteriosus closes after birth. Patent ductus arteriosus occurs in 70% of preterm infants with a birth weight < 1,000 grams. Failure of the ductus arteriosus to close has been associated with intraventricular hemorrhage, necrotizing enterocolitis, bronchopulmonary dysplasia, periventricular leukomalacia, renal failure, and persistent pulmonary hypertension. The drugs used to treat the patent ductus arteriosus are ibuprofen and indomethacin which are potent non-selective inhibitors of cyclo-oxygenase (COX) and therefore inhibit prostaglandin E2 synthesis. Prostaglandin E2 relaxes smooth muscle and tends to inhibit the closure of the patent ductus arteriosus. Intravenous ibuprofen and indomethacin inhibit prostaglandin E2 synthesis and thereby close the patent ductus arteriosus with similar efficacy. Indomethacin reduces the blood flow velocity in kidneys, intestine and brain. Ibuprofen has less effect on blood flow velocity in these organs. There is a significant increase in serum creatinine after indomethacin administration but not after ibuprofen and infants treated with ibuprofen have higher creatinine clearance. Oliguria (urine output < 1 ml/kg/h) occurs more frequently with indomethacin than with ibuprofen. Indomethacin requires furosemide for urine output more often than ibuprofen. Ibuprofen reduces the risk of necrotizing enterocolitis and transient renal insufficiency and it is the drug of choice for closing the patent ductus arteriosus. Ibuprofen and indomethacin may be administered orally. In conclusion, intravenous ibuprofen and indomethacin close the patent ductus arteriosus at the same rate, but indomethacin is more toxic than ibuprofen.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189754","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
Goal-directed therapy for decompensated heart failure and renal dysfunction. A pilot randomized clinical trial 目标导向治疗失代偿性心衰和肾功能不全。一项试点随机临床试验
Medical Express Pub Date : 2016-03-04 DOI: 10.5935/MEDICALEXPRESS.2016.02.07
J. Bastos, M. Ferri, J. J. D. Lima, L. Kopel, S. Lage
{"title":"Goal-directed therapy for decompensated heart failure and renal dysfunction. A pilot randomized clinical trial","authors":"J. Bastos, M. Ferri, J. J. D. Lima, L. Kopel, S. Lage","doi":"10.5935/MEDICALEXPRESS.2016.02.07","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.02.07","url":null,"abstract":"OBJECTIVES: Acute heart failure is associated with low cardiac output syndrome and renal dysfunction. However, it is not known whether a goal-directed protocol guided by tightly controlled hemodynamic variables, including pulmonary artery catheter, will safely improve clinical renal dysfunction markers in these patients when compared to a less invasive approach. METHODS: Pilot, randomized clinical trial aimed at patients with known heart failure, low cardiac output syndrome and renal dysfunction with less than 48 hours from onset. We randomized two groups: (a) goal-directed therapy monitored with pulmonary artery catheter and (b) conventional therapy with central venous catheter. Hemodynamic parameters, venous oxygen saturation, serum lactate, fluid repositions and vasoactive drugs were compared considering renal function improvement after 72 hours as the primary study endpoint. We included 15 goal-directed therapy and 16 conventional therapy patients. The study has assessed patients on baseline looking for significant improvement at 72 hours of the following parameters in the goal-directed therapy and conventional therapy groups: urine output, serum creatinine, venous oxygen saturation and serum lactate. RESULTS: Baseline characteristics were similar in both groups. In the first 24 hours there was a lower volume of fluid reposition in the goal-directed therapy group, although 72 hours later such reposition was equivalent. The use of inotropic agents was similar between groups. There was an improvement to the renal function and the hemodynamic parameter in both study groups. CONCLUSIONS: The option for the protocol with pulmonary artery catheter setting is justified only if there is clinical evidence of serious pulmonary congestion associated to low peripheral perfusion.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2016-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189893","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
Acute cardiovascular responses to strength exercise for biceps and quadriceps muscles in middle-aged women 中年妇女肱二头肌和股四头肌力量锻炼的急性心血管反应
Medical Express Pub Date : 2016-02-17 DOI: 10.5935/MEDICALEXPRESS.2016.02.06
R. Pedreiro, R. F. Santos, S. Machado, G. M. Neto
{"title":"Acute cardiovascular responses to strength exercise for biceps and quadriceps muscles in middle-aged women","authors":"R. Pedreiro, R. F. Santos, S. Machado, G. M. Neto","doi":"10.5935/MEDICALEXPRESS.2016.02.06","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.02.06","url":null,"abstract":"OBJECTIVE: Strength Training is increasingly popular and is studied for its efficacy in increasing muscular power and endurance. It has been claimed that cardiovascular responses are related to the muscle mass involved during execution, but some studies do not confirm these findings. We analyzed the behavior of heart rate, systolic/diastolic blood pressure, and double product in middle-aged women while performing exercises for two muscle groups with different volumes: elbow flexors (small mass) and knee extensors (large mass). METHOD: The study sample comprised eight women physically active for at least 6 months. The experimental procedure was performed in 3 sessions. In the first session, the characterization of the sample and a 10 repetition maximum (10RM) test were conducted. In the second, participants performed a warm up and then (depending on randomization), either the elbow flexion or the knee extension exercises in 3 series of 10 repeats. In the third session, participants performed the alternate exercise, folllowing the same procedures. Systolic and diastolic pressures and heart rate were measured 5 minutes before warm up and at the end of each series. RESULTS: No difference was observed in the acute cardiovascular responses for exercises involving the two different muscle mass volumes in normotensive women above age 45 years. CONCLUSION: The cardiovascular response is not affected by the exercised muscular mass in this specific population. Further studies should examine these variables in different conditions such as weather, climate and other populations.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189881","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
Relationship of comorbidities and heart failure mortality in the city of São Paulo, Brazil 巴西圣保罗市合并症与心力衰竭死亡率的关系
Medical Express Pub Date : 2016-02-16 DOI: 10.5935/MEDICALEXPRESS.2016.02.05
M. Koike, V. Silva, Flávia Alves Ribeiro Monclús Romanek, Mirian Matsura Shirassu
{"title":"Relationship of comorbidities and heart failure mortality in the city of São Paulo, Brazil","authors":"M. Koike, V. Silva, Flávia Alves Ribeiro Monclús Romanek, Mirian Matsura Shirassu","doi":"10.5935/MEDICALEXPRESS.2016.02.05","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.02.05","url":null,"abstract":"OBJECTIVE: The epidemiology of heart failure mortality in the city of Sao Paulo, Brazil has not been studied. The present study aims to characterize comorbities associated to cardiac heart failure deaths in Sao Paulo between 2000 and 2012. METHOD: The mortality information system (SIM/DataSUS) was evaluated and the following parameters were retrieved: age, sex, race, level of education and comorbidities (hypertension, diabetes, obesity, chronic obstructive pulmonary disease). Socioeconomic status was estimated by years of schooling, as: lower (0-3 years) and higher (> 3 years). We analyzed 14,814 death certificates. RESULTS: There was a prevalence of subjects in the subgroup: female, white, married or divorced, aged 78 years and lower socioeconomic status. Hypertension and diabetes were the most frequent comorbidities. There were associations of (a) diabetes with age, (b) age, gender and educational level with hypertension in individuals belonging to both the lower and higher socioeconomic levels. CONCLUSION: Individuals who died of congestive heart failure in Sao Paulo are mostly elderly, women, caucasian, with little education. Hypertension and diabetes are the two most common chronic diseases associated with death bycongestive heart failure.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"164 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189715","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: 3
Evaluation of efficacy, efficiency and effectiveness of community projects of visual health in the population of the amazon riversides 亚马逊河沿岸地区人群视觉健康社区项目的功效、效率和效果评价
Medical Express Pub Date : 2016-02-05 DOI: 10.5935/MEDICALEXPRESS.2016.03.08
Vagner Loduca, J. Rehder, Halmélio Sobral Neto, G. Daher, M. Gracia, P. Jorge, N. Kara-Júnior
{"title":"Evaluation of efficacy, efficiency and effectiveness of community projects of visual health in the population of the amazon riversides","authors":"Vagner Loduca, J. Rehder, Halmélio Sobral Neto, G. Daher, M. Gracia, P. Jorge, N. Kara-Júnior","doi":"10.5935/MEDICALEXPRESS.2016.03.08","DOIUrl":"https://doi.org/10.5935/MEDICALEXPRESS.2016.03.08","url":null,"abstract":"OBJECTIVE: To estimate the prevalence of eye diseases in the Amazon region and evaluate the efficacy, efficiency and effectiveness of community projects of visual health in underserved communities. METHODS: Retrospective, observational and ecological study, which covers the underserved communities of the Brazilian Amazon by the Amazon Project Vision 2000. The data were retrieved from a total sample of 1,276 patients. A questionnaire was applied to patients with 22 questions divided into general and health data. All patients were submitted to a complete eye examination. All project data were stored in a database for later evaluation. RESULTS: Of the 1,276 patients evaluated, 65% were female, 51.9% said they had never had an eye examination and 91% believed to have some visual problem. Emmetropia was detected in 3.8% and 47.2% had presbyopia. Cataract (16.2%) and pterygium (23.6%) were the prevalent diseases. During the project, cataract surgeries were performed in 27.6% and pterygium in 6.9% of patients. When asked why they had not operated before, 24.1% said they had no financial conditions and 55.2% because there was no specialized doctor nearby. CONCLUSION: Refractive errors, pterygium and cataract were the most common ocular findings in the population evaluated. The Amazon Project Vision 2000 provided the equipment and resources for the activities proposed, reaching the pre-defined goal.","PeriodicalId":31471,"journal":{"name":"Medical Express","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71189435","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
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