Adriane Pires Batiston

Conhecimento e prática sobre os fatores de risco para o câncer de mama entre mulheres de 40 a 69 anos

OBJECTIVES: to investigate knowledge of and practices regarding risk factors for breast cancer among users of the Family Health Strategy (FHS). METHODS: a cross-sectional study was carried out among 393 women aged between 40 and 69 years using the FHS in the city of Dourados, in the Brazilian State of Mato Grosso do Sul. An interview was conducted using a semi-structured questionnaire to investigate socio-demographic variables, family history and awareness/practices regarding the risk factors for breast cancer. The variables were described using simple frequency and a percentage. The association between awareness of the risk factors and the variables was confirmed using Fishers exact test and the chi-square with a level of significance of 5%. RESULTS: the mean age was 52.5 ± 8.1 years, the mean years of schooling was 4.4±3.6 years, 52.4% of the women were black/colored and 66.6% had a partner. Of the women, 86.5% had received some information on breast cancer. The risk factors for the disease are known by 54.2% of the women. Awareness of the risk factors was associated with family history (p=0.004) and years of schooling (p=0.01). Where the risk factors were known, 52.2% of the women took preventive measures. CONCLUSION: the identification of variables related to greater awareness of the disease may facilitate the adoption of strategies aimed at the most vulnerable groups.

Efeitos de técnicas de desobstrução brônquica na mecânica respiratória de neonatos prematuros em ventilação pulmonar mecânica

OBJECTIVES: This research aimed to evaluate the repercussions of specific chest physiotherapy procedures in mean airway resistance and in dynamic compliance in preterm infants in mechanical ventilation. METHODS: Eighteen preterm infants in conventional mechanical ventilation were submitted to one session of chest physiotherapy (manual chest compression during expiration + intermittent aspiration of intratracheal cannula). Mean airway resistance and dynamic compliance measurements were taken prior to, 10, 40 and 70 minutes after intervention using a pneumotachograph with graphic display (Newport Navigator GM-250®), coupled to a flow transducer (Varfley-Bicore®). For analysis of results the infants were divided into 2 groups; less than 5 days (group mechanical ventilation 5) on mechanical ventilation. Values were analyzed by Friedman Test, with Dunns Multiple Comparisons Test (p 5 mean airway resistance had a significant reduction at the 10th (p 5 improved mean airway resistance and dynamic compliance, with best results for the mean airway resistance.

Visita domiciliar e cuidado domiciliar na Atenção Básica: um olhar sobre a saúde bucal

ABSTRACT The objective of the present work was to analyze the process of home care within the primary care teams that joined the National Program for Access and Quality Improvement. A study was conducted from the database of the program related to the dimension that has evalua -ted the accomplishment of home visit and home care, with emphasis on the practices of the oral health team. Almost 100% of the evaluated family health teams perform home visits. The home care is performed by more than 90% of the professionals of the minimum team, and by appro-ximately 50% of professionals of the oral health team. The oral health team has challenges to overcome towards the new practices in primary care. ERDS Home visit; Oral health; Primary Health Care. SAUDE DEBATE | rio de Janeiro, v. 39, n. 105, p.441-450, aBr-JUn 2015 441 Visita domiciliar e cuidado domiciliar na Atenao Basica um olar sobre a saude bucal Home visit and home care in the primar Care: a loo on oral health Alessandro Diogo De-Carli

Maximal respiratory pressures in healthy boys who practice swimming or indoor soccer and in healthy sedentary boys

The purpose of this study was to investigate respiratory muscle strength in boys who practice swimming or indoor soccer and in their sedentary counterparts. Seventy-five 7- and 8-year-old boys were included; 25 were swimmers (group 1), 25 played indoor soccer (group 2), and 25 were sedentary (group 3). All subjects underwent anthropometric evaluation. Maximal respiratory pressures were measured by manometry. Data were analyzed by using ANOVA and the Tukey–Kramer post hoc test (significance level: p < 0.05). Mean maximal inspiratory pressures in groups 1, 2, and 3 were –109.67 ± 11.06, –90.74 ± 16.06, and –90.67 ± 19.93 cm H2O, respectively (p < 0.001 by ANOVA; group 1 × group 2: p < 0.001; group 1 × group 3: p < 0.001; group 2 × group 3: p > 0.05 by Tukey–Kramer). Mean maximal expiratory pressures in groups 1, 2, and 3 were 108.17 ± 9.90, 92.32 ±11.67, and 91.33 ±15.17 cm H2O, respectively (p < 0.0001 by ANOVA; group 1 × group 2: p < 0.001; group 1 × group 3: p < 0.001; group 2 × group 3: p > 0.05 by Tukey–Kramer). Swimmers showed better maximal respiratory pressures than indoor soccer players and sedentary subjects. No significant difference was observed between the results for soccer players and sedentary subjects.

Fatores emocionais associados ao hábito de fumar em usuários de um programa antitabagismo

Objective: To characterize the population enrolled in a smoking treatment program and to identify the emotional factors associated with smoking. Methods: Cross-sectional study carried out in 2016 using secondary data extracted from the records of a smoking treatment program in the municipality of Agua Clara, Mato Grosso do Sul, Brazil. The data analyzed refer to 173 participants who had undergone the initial interview of the program from January 2012 to September 2015. The following variables were studied: gender, age, smoking history, degree of nicotine dependence, emotional factors and other health-disease conditions. The data were analyzed using descriptive statistics, and the association between the degree of dependence and emotional factors was analyzed using Fisher’s exact test. Results: There was a predominance of women (63.6%, n=110), with a mean age of 45.99 years, mean age of onset of smoking of 14.38 years and mean time of cigarette use of 31.62 years. Of the symptoms presented, emotional disorders were predominant (75.1%, n=130), with a 38.2% (66) rate of depression. Regarding the degree of nicotine dependence, 68.2% of the participants presented high or very high levels, with an association between high and very high levels of dependence and emotional factors such as anxiety and depression (p<0.05). Conclusion: The program participants are adult women with a long time of cigarette use and consequently compromised health. There was an association between emotional factors and a greater degree of nicotine dependence.

Fear of falling associated with sociodemographic and lifestyle variables and clinical conditions in elderly people registered with the Family Health Strategy in Campo Grande, Mato Grosso do Sul

Objective: To investigate the prevalence of fear of falling among the elderly and its association with sociodemographic and lifestyle variables, morbidities, balance, mobility and a history of falls (HF). Method: A cross-sectional study was performed in nine family health units in the southern district of Campo Grande, Mato Grosso do Sul. An interview was conducted to obtain data relating to the sociodemographic and clinical variables and the history of falls. The Falls Efficacy Scale-International-Brazil (FES-I-Brazil) and the Timed Up and Go (TUG) test were also applied. Statistical analysis was performed using the Pearson linear correlation test (FES-I-Brazil related to TUG score), the Students t-test (FES-I-Brazil related to lifestyle, comorbidities and HF) and ANOVA one way, followed by Tukey post-hoc (FES-I-Brazil related to HF and TUG score). Results: Two hundred and one elderly persons with an average age of 70.85 (±7.72) years were included. On the FES-I-Brazil scale, the overall score was 28.80 (±0.82) points. The average TUG time was 12.00 (±0.57) seconds. There was a significant positive linear correlation between the FES-I-Brazil score and the TUG time (p<0.001) and the variables of gender (p=0.008), hypertension (p=0.002), FH (p=0.005) and frequency of falls (p=0.011). Conclusion: There is a high frequency of fear of falling among the studied population, as the majority reported fear of falling in at least one of the sixteen FES-I-Brazil tasks. Such fear was significantly associated with hypertension, diabetes mellitus, history of falls, perception of always suffering falls and low scores for mobility and balance.

Nível de independência funcional de pacientes após acidente vascular cerebral atendidos por equipe multiprofissional em uma unidade de reabilitação

DOI: 10.5935/0104-7795.20160021 ABSTRACT Objective: Evaluating the functional recovery of stroke patients assisted by multidisciplinary team in a Continuous Care Unit (UCCI) and identifying factors associated with the functionality gains. Methods: It is a cross-sectional study using secondary data from 34 patients assisted during one year in a rehabilitation unit, in which the team works in a comprehensive and humane way, providing functionality gains and rescuing autonomy. The medical records were investigated for sociodemographic data, lifestyle, type of stroke, duration of hospitalization and level of functional independence at the time of admission and of discharge based on the Barthel Index. Results: Most of the patients at admission presented whole or severe dependence (55.9%); at discharge, most patients presented mild dependence or full independence (55.9%). About total dependence, there was a significant decrease in the percentage of patients with such degree of dependence (p < 0.001). No relationship was observed between the functionality gain and the variables studied. Conclusion: The results showed that the proposed rehabilitation program has brought a positive outcome on functionality and the functionality gains were not associated with the variables studied.Objective: Evaluating the functional recovery of stroke patients assisted by multidisciplinary team in a Continuous Care Unit (UCCI) and identifying factors associated with the functionality gains. Methods: It is a cross-sectional study using secondary data from 34 patients assisted during one year in a rehabilitation unit, in which the team works in a comprehensive and humane way, providing functionality gains and rescuing autonomy. The medical records were investigated for sociodemographic data, lifestyle, type of stroke, duration of hospitalization and level of functional independence at the time of admission and of discharge based on the Barthel Index. Results: Most of the patients at admission presented whole or severe dependence (55.9%); at discharge, most patients presented mild dependence or full independence (55.9%). About total dependence, there was a significant decrease in the percentage of patients with such degree of dependence (p < 0.001). No relationship was observed between the functionality gain and the variables studied. Conclusion: The results showed that the proposed rehabilitation program has brought a positive outcome on functionality and the functionality gains were not associated with the variables studied