Fabiana Pavan Viana

Estudo dos principais fatores de risco maternos nas síndromes hipertensivas da gestação

FUNDAMENTO: Os fatores de risco para as sindromes hipertensivas gestacionais (SHG) sao varios e podem relacionar-se a regiao e etnia da populacao. No Estado de Goias, sao escassos os estudos sobre esse tema. OBJETIVO: Investigar os fatores de risco maternos para SHG. METODOS: Utilizou-se um estudo caso-controle por meio da analise dos prontuarios das parturientes da Maternidade do Hospital das Clinicas da Universidade Federal de Goias (HC-UFG), em 2005. Os fatores de risco foram analisados pela analise de regressao logistica e pelo teste exato de Fisher. RESULTADOS: Em 2005, houve 890 partos na Maternidade do HC-UFG, e 129 gestantes apresentaram diagnostico de SHG (14,5%). A analise multivariada identificou a obesidade como fator de risco tanto para hipertensao gestacional (HG) (OR: 17,636; IC 95%: de 2,859 a 108,774) como para hipertensao arterial cronica superajuntada a pre-eclâmpsia (HCSPE) (OR: 27,307; IC 95%: de 4,453 a 167,440). Primiparidade constituiu fator de risco para HG (OR: 5,435; IC 95%: de 1,923 a 15,385). Idade acima de 30 anos foi fator de risco para HCSPE (OR: 5,218; IC 95%: de 1,873 a 14,536) e fator de protecao para pre-eclâmpsia (PE) (OR: 0,035; IC 95%: de 0,003 a 0,364). Raca nao-branca representou risco independente para PE (OR: 13,158; IC 95%: de 1,672 a 100,000) e PE previa para HCSPE (OR: 4,757; IC 95%: de 1,261 a 17,938). Das gestantes com hipertensao arterial cronica (HAC), 73,5% desenvolveram HCSPE (p < 0,001). CONCLUSAO: Os fatores obesidade, raca nao-branca, PE previa, idade acima de 30 anos e HAC identificados foram semelhantes a maioria dos achados da literatura.

Desempenho funcional de crianças com paralisia cerebral participantes de tratamento multidisciplinar

Cerebral palsy (CP) is described as a set of postural and movement disorders that cause functional limitations; it is assigned to non-progressive, changeable disorders due to immature brain injury. The purpose of the study was to assess functional dimensions affected and the evolution over a four-month period of gross motor function of children with CP undergoing multidisciplinary treatment. The sample was made up by 27 children (mean age 7.6 years) who attended the Pestalozzi Association of Goiania, GO. Severity level was assessed by the Gross Motor Function Classification System (GMFCS); the Gross Motor Function Measure (GMFM) was applied at study onset and four months later. Results show that 55.6% of children were in GMFCS levels IV and V; children showed a positive gross motor function evolution in all GMFM dimensions, except in the skills at the sitting position - suggesting that position changes and locomotion should be focussed in multidisciplinary treatment of these children with CP.

Evolution of a child with Treacher Collins syndrome undergoing physiotherapeutic treatment

Introduction Treacher Collins syndrome, or mandibulofacial dysostosis, is a hereditary disorder and is manifested by craniofacial malformations. The incidence is close to one case per 40,000 live births, without relation to gender or race. The infant carrier may present neurological development. This rare syndrome requires documentation of its main clinical and kinetic-functional consequences.Objectives The purpose of this study was to describe the clinical and kinetic-functional findings for a child who has Treacher Collins syndrome and receives treatment in the Physiotherapy Department at the Pestalozzi Association in Goiania, and to present the evolution of motor function and psychomotor development during rehabilitation.Materials and methods The information was obtained through interviews with the mother, and evaluation of the child at nine and eleven months old, using the infant neurological assessment sheet, Inventory Operational Portage (IPO) and Gross Motor Function Measure (GMFM).Results The GMFM showed that the child had a higher trend in the items for lying and rolling, sitting, crawling and kneeling and minor changes in the items for standing, walking, running and jumping. In the IPO, the child progressed in all of the assessed areas: infant stimulation, motor development, socialization, self-care, cognition and language.Conclusion The child showed progress in psychomotor development in accordance with that expected for their age and initial assessment. It is suggested that children with this syndrome be treated by multidisciplinary teams in the first years of life, preventing delays and deviations in development.

Modelos de Intervenção para o Tratamento da Obesidade no Brasil

Resumo: o objetivo desta pesquisa foi investigar os diferentes modelos de intervencao utilizados no Brasil para tratamento da obesidade, sobre o indice de massa corporal e o perfil lipidico. Os principais modelos de intervencao para tratamento da obesidade foram: dieta associado ao exercicio, dieta isoladamente e exercicio isoladamente. O modelo de intervencao que mostrou o melhor resultado quanto a diminuicao do indice de massa corporal foi a dieta associado ao exercicio fisico. Palavras-chave: Obesidade. Dieta. Exercicio Fisico. Lipidios plasmaticos.