José Mauro Braz de Lima

Amyotrophic lateral sclerosis in Brazil: 1998 national survey

OBJECTIVES To assess the epidemiologic characteristics of amyotrophic lateral sclerosis (ALS) in Brazil in 1998. METHOD Structured Clinical Report Forms (CRFs) sent to 2,505 Brazilian neurologists from January to September 1998 to be filled with demographic and clinical data regarding any ALS patient seen at any time during that year. RESULTS Five hundred and forty CRFs were returned by 168 neurologists. Data on 443 patients meeting the criteria of probable or definite ALS according to El Escorial definition were analysed: 63 probable (14.2%) and 380 definite (85. 8%). Two hundred and fifty-nine (58.5%) of the patients were male, mean age of onset was 52. Spinal onset occurred in 306 patients (69%); bulbar onset in 82 (18.5%), and both in 52 (11.7%). Twenty-six (5.9%) had a family history of ALS. Two hundred and fifty-nine (58.6%) were seen by private practitioners, and 178 (40. 2%) at a hospital clinic. Age-ajusted incidence shows a peak incidence at the 65-74 years old range. CONCLUSIONS The diseases characteristics are similar to those described in international studies, except for age of onset (Brazilian patients are younger). This difference is not confirmed when figures are age-adjusted.

Uso de álcool em vítimas de acidentes de trânsito: estudo do nível de alcoolemia

Se trata de estudio epidemiologico exploratorio y descriptivo. El objetivo fue correlacionar los niveles de alcoholemia detectados en las victimas fatales por accidentes de transito, en la ciudad de Rio de Janeiro (datos de los registros del Instituto Medico Legal/IML) con el perfil de la victima y las caracteristicas de los accidentes. Los datos fueron recolectados del archivo del IML, a traves de los registros que constaban en las fichas de victimas fatales por accidentes de transito; fueron compilados y se elaboraron tablas con el Programa estadistico SPSS, en el periodo comprendido entre enero y mayo de 2005. Fueron levantados datos sobre 348 victimas fatales por accidentes de transito, de estos, apenas 94 realizaron el examen de alcoholemia, siendo que en 83 fueron detectados niveles de alcoholemia; el 60,2% presento niveles por encima de 0,6g de alcohol por litro de sangre. Se mostro evidente el envolvimiento del alcohol en accidentes de transito con victimas fatales, en niveles por encima y por debajo de 0,6g de alcohol por litro de sangre.This was an exploratory, descriptive study that aimed to correlate alcohol levels detected in fatal victims of traffic accidents, in Rio de Janeiro city, with the victims profile and the characteristics of the accident. The data were retrieved from the registers of the Legal Medicine Institute/IML, through the registers of the medical records of the fatal victims of traffic accidents. Compiled and tabulated using the Statistics Program SPSS, for the period between January and May 2005, 348 fatal victims of traffic accidents were reported. Of these victims, 94 had been tested for alcohol, of these, 83 had levels of alcohol detected, 60.2% presented levels above 0.6g/l blood. The use of alcohol was evident, at levels above and below 0.6g per liter of blood, in the cases of fatal victims of traffic accidents.

Acidentes de trânsito e a frequência dos exames de alcoolemia com vítimas fatais na cidade do Rio de Janeiro

El objetivo fue analizar las muertes por accidentes de transito, registrados en el Instituto Medico Legal (IML), en la ciudad del Rio de Janeiro, segun la frecuencia de realizacion de los examenes sobre los niveles de alcoholemia. Fueran analizados 533 prontuarios, en el periodo de seis meses, que correspondieron a 12,3% del total de muertes registradas. Hay evidencias que el examen de alcoholemia fue prioritariamente realizado en las victimas que vinieran de la calle y dieron entrada en el IML en las primeras 12 horas despues del accidente. La realizacion de los testes de alcoholemia tuvo significativa relacion con el tiempo transcurrido entre el accidente y la muerte. Se han identificado, sin embargo, gran perdida de oportunidad de realizacion del examen para un gran numero de victimas venidas directamente de la calle en las primeras 12 horas del accidente (50,1%), colaborando para una subnotificacion de los verdaderos numeros de alcohol en el transito.

Alcoolismo feminino: subsídios para a prática profissional da enfermagem

Resumen Se trata de una investigación cualitativa. El método utilizado es el Método de Historia de Vida y tuvo como objetivos analizar las consecuencias del uso abusivo de bebida alcohólica y discutir la asistencia a la salud que es necesaria y cual la asistencia médica que está disponible. Las 30 (treinta) personas declarantes tenían entre 20 y 60 años. El estudio mostró que las mujeres hacen uso abusivo de bebida alcohólica para olvidar o amenizar las consecuencias de las dificultades financieras; divergencias en la relación conyugal; violencia física; exhaustiva jornada de trabajo. Las consecuencias del consumo abusivo son problemas de salud; privaciones; malos tratos; dificultades en la relación familiar y conyugal; problemas físicos; psicológicos; tentativa de suicidio; abandono de los hijos y del marido. Conclusiones: las mujeres no mencionaron ninguna ofer ta de servicios de salud. Toda y cualquier iniciativa gubernamental tiene que ser incluyente, valorizando y dando incentivo a la participación de la comunidad y de Organizaciones de la Sociedad Civil, congregando acciones y conocimientos de las áreas tecnológicas, humanas y de salud. 1 Professora Adjunta do DEMI/EEAN/UFRJ. Doutora em Enfermagem. Membro do Grupo Interdisciplinar de Adictologia e DrogasGIAD e-mail: juremagouvea@gmail.com. 2 Professor Adjunto da Faculdade de Medicina da UFRJ. Instituto de Neurologia Deolindo Couto. Phd. Membro do Grupo Interdisciplinar de Adictologia e Drogas-GIAD. 3 Professora Titular do DEMI/EEAN/UFRJ. Doutora em Enfermagem. Pesquisadora 1 C do CNPq/FAPERJ/UFRJ. Membro dos Núcleos de Pesquisa: NUPESM/NUPESC/GIAD. PESQUISA RESEARCH INVESTIGACIÓN Rosângela da Silva Santos3 Palabras-claves: Enfermería. Mujer. Alcoholismo. The present is a qualitative research. It has taken the Life History Method and aimed to assess the consequences of alcohol abuse and discuss necessary and accessible health care. The 30 deponents were in a band age of 20 to 60 years old. The study showed that the women abuse alcohol in order to forget or minimize the consequences of financial difficulties; differences in marital relationships; physical violence and; exhausting work journeys. Outcomes of alcohol abuse are health problems; deprivation; maltreatment; difficulties in family life and in marital relations; physical and psychological problems; suicide attempts and; abandoning of children and husband. The study followed to conclude that the women have not mentioned any health care offer, and affirm that any governmental initiative has to be inclusive, valuing and encouraging community and Civil Society Organizations engagement, so as to congregate technological, human and medical actions and know-how.

Níveis de alcoolemia e mortalidade por acidentes de trânsito na cidade do Rio de Janeiro

Se trata de un estudio epidemiologico descriptivo. Con el objetivo de describir el perfil de las victimas fatales de transito en la ciudad de Rio de Janeiro desde los registros del Instituto Medico Legal (IML) y compararlos a los niveles de alcoholemia detectados a traves del examen en laboratorio. La colecta de los datos obedecio a la Resolucion 196/96 del Consejo Nacional de Salud. Los datos fueran levantados en el archivo del IML, a traves de los registros en los prontuarios de victimas fatales por accidentes de transito, del universo de las victimas por todas las causas externas, y registrados desde un sistema de informacion especifico, compilados y tabulados por el programa estadistico EPI INFO, en el periodo comprendido entre enero y febrero de 2005. Fue evidenciado que 27,8% de la victimas fatales presentaran alcoholemia detectada. En 64% de esos, el nivel de alcoholemia fue arriba de 0,6g/L, mientras 36% presentaran un porcentual significativo de mortalidad con niveles abajo del limite legal establecido en el Brasil.

O impacto do álcool na mortalidade em acidentes de trânsito: uma questão de saúde pública

Resumen

Atrofia hemifacial progressiva (doença de Parry-Romberg): estudo de um caso

A caracteristic case of hemifacial progressive atrophy at right is reported. The patient was a man with 45 year-old. There were epileptic crisis at left too. Alterations observed in clinical-neurological examination are referred. In computadorized tomographic axial examination there were parietotemporal atrophy at left and frontal contrast hipercaptation at right. In EEG there were lentification at right and depression at left who was in concordance with the pathological alterations of the patient: atrophy and cortical depression at left with facial atrophy at right and lentification and contrast hipercaptation at right with epileptic crisis at left. EMG showed facial velocity condution slowed at right. The authors believe in atrophy hemifacial progressive has been a disease which injuries central and peripheral nervous system at one time.: A caracteristic case of hemifacial progressive atrophy at right is reported. The patient was a man with 45 year-old. There were epileptic crisis at left too. Alterations observed in clinical-neurological examination are referred. In computadorized tomographic axial examination there were parietotemporal atrophy at left and frontal contrast hipercaptation at right. In EEG there were lentification at right and depression at left who was in concordance with the pathological alterations of the patient: atrophy and cortical depression at left with facial atrophy at right and lentification and contrast hipercaptation at right with epileptic crisis at left. EMG showed facial velocity conduction slowed at right. The authors believe in atrophy hemifacial progressive has been a disease which injuries central and peripheral nervous system at one time.

Alcohol use and traffic accidents: a study of alcohol levels

Se trata de estudio epidemiologico exploratorio y descriptivo. El objetivo fue correlacionar los niveles de alcoholemia detectados en las victimas fatales por accidentes de transito, en la ciudad de Rio de Janeiro (datos de los registros del Instituto Medico Legal/IML) con el perfil de la victima y las caracteristicas de los accidentes. Los datos fueron recolectados del archivo del IML, a traves de los registros que constaban en las fichas de victimas fatales por accidentes de transito; fueron compilados y se elaboraron tablas con el Programa estadistico SPSS, en el periodo comprendido entre enero y mayo de 2005. Fueron levantados datos sobre 348 victimas fatales por accidentes de transito, de estos, apenas 94 realizaron el examen de alcoholemia, siendo que en 83 fueron detectados niveles de alcoholemia; el 60,2% presento niveles por encima de 0,6g de alcohol por litro de sangre. Se mostro evidente el envolvimiento del alcohol en accidentes de transito con victimas fatales, en niveles por encima y por debajo de 0,6g de alcohol por litro de sangre.This was an exploratory, descriptive study that aimed to correlate alcohol levels detected in fatal victims of traffic accidents, in Rio de Janeiro city, with the victims profile and the characteristics of the accident. The data were retrieved from the registers of the Legal Medicine Institute/IML, through the registers of the medical records of the fatal victims of traffic accidents. Compiled and tabulated using the Statistics Program SPSS, for the period between January and May 2005, 348 fatal victims of traffic accidents were reported. Of these victims, 94 had been tested for alcohol, of these, 83 had levels of alcohol detected, 60.2% presented levels above 0.6g/l blood. The use of alcohol was evident, at levels above and below 0.6g per liter of blood, in the cases of fatal victims of traffic accidents.

Ensaio clínico com barbexaclone nas epilepsias

A open clinic assay with barbexaclone which is an association of phenobar-vital with light stimulant of the central nervour system (i-l-ciclohexil-2-methilaminopropane) for the treatment of epileptic disorders is reported. The authors have studied 40 patients aged between 0-12 years of age, of both sexes, all of them having convulsive seizures of the Grand Mal type associated or not to other epileptic manifestations. After analysing the different aspects of the group they consider satisfactory the results obtained: very good or good in 82,5% of the cases.

A enfermeira pediatra cuidando de crianças/ adolescentes com Síndrome Alcoólica Fetal (SAF)

Study accomplished in a public Institution of Neurology, with six children with Fetal Alcoholic Syndrome (SAF). The Objectives were: To describe the basic human needs affected in children with Fetal Alcoholic Syndrome (SAF). To identify the areas of development harmed. To evaluate the childrens development with Fetal Alcoholic Syndrome (SAF). Methodology: Researches qualitative. The study was approved by the Committee of Ethics and Research of Hospital Escola Sao Francisco de Assis (HESFA) and school of Nurse Anna Nery. The development was evaluated by the scale of development of Heloisa Marinho. Results: All of the children presented discrepancy in the Mental; Social and Physical area. Children presented alienation, shyness, and refuse in to verbalize and to maintain visual contact and hyperactivity; learning difficulty; difficulty in the motive coordination; shyness; motive agitation. The affected needs were: hydration, oral hygiene, corporal hygiene, communication, motive coordination, learning, alimentary education, vision. All presented great discrepancy in relation to the chronological age, development age, graphic age and low development quotient.Abstract Resumen Keywords:Nursing. Infantile development. Fetal Alcoholic Syndrome.Palabras clave:Enfermeria. Desarrollo infantil. Sindrome Alcoholico Fetal. A ENFERMEIRA PEDIATRA CUIDANDO DE CRIANCAS/ADOLESCENTES COM SINDROME ALCOOLICA FETAL (SAF) The Pediatrician Nurse Taking Care of Children/Adolescents with Fetal Alcoholic Syndrome (SAF)La Enfermera Pediatra Cuidando de Ninos/Adolescentes con el Sindrome Alcoholico Fetal (SAF) Flavia Atanazio do Nascimento 1 Mariana Coutinho de Almeida 2 Jurema Gouvea de Souza 3 Jose Mauro Braz de Lima 4 Rosângela da Silva Santos 5 Estudo realizado em uma instituicao publica de Neurologia com seis criancas que apresentavam diagnostico de sindromealcoolica fetal (SAF). Os Objetivos foram: Descrever as necessidades humanas basicas afetadas em criancas com SAF; identificaras areas de desenvolvimento defasadas; e avaliar o desenvolvimento das criancas. Metodologia: Pesquisa qualitativa, aprovadapelo Comite de Etica e Pesquisa do Hospital Escola Sao Francisco de Assis (HESFA) e Escola de Enfermagem Anna Nery. Odesenvolvimento infantil foi avaliado com a Escala de Desenvolvimento de Heloisa Marinho. Resultados: Todas as criancasapresentaram defasagem na area mental, social e fisica. As criancas apresentaram alheamento, timidez, recusa em verbalizar emanter contato visual, hiperatividade; dificuldade de aprendizagem; dificuldade na coordenacao motora; timidez; e agitacaopsicomotora. As necessidades afetadas foram: hidratacao, higiene oral, higiene corporal, comunicacao, coordenacao motora,aprendizagem, educacao alimentar e visao. Todos apresentaram grande defasagem em relacao a idade cronologica, idade dedesenvolvimento e idade grafica e baixo quociente de desenvolvimento.Study accomplished in a public Institution of Neurology, withsix children with Fetal Alcoholic Syndrome (SAF). The Objectiveswere: To describe the basic human needs affected in childrenwith Fetal Alcoholic Syndrome (SAF). To identify the areas ofdevelopment harmed. To evaluate the children’s developmentwith Fetal Alcoholic Syndrome (SAF). Methodology: Researchesqualitative. The study was approved by the Committee of Ethicsand Research of Hospital Escola Sao Francisco de Assis(HESFA) and school of Nurse Anna Nery. The developmentwas evaluated by the scale of development of Heloisa Marinho.Results: All of the children presented discrepancy in the Mental;Social and Physical area. Children presented alienation, shyness,and refuse in to verbalize and to maintain visual contact andhyperactivity; learning difficulty; difficulty in the motivecoordination; shyness; motive agitation. The affected needs were:hydration, oral hygiene, corporal hygiene, communication, motivecoordination, learning, alimentary education, vision. All presentedgreat discrepancy in relation to the chronological age,development age, graphic age and low development quotient.El estudio fue realizado en una Institucion publica de Neurologia,con seis ninos con el Sindrome Alcoholico Fetal (SAF). LosObjetivos eran: Describir las necesidades humanas basicasafectadas en los ninos con el Sindrome Alcoholico Fetal (SAF).Identificar las areas de desarrollo danadas. Evaluar el desarrollode los ninos con el Sindrome Alcoholico Fetal (SAF).Metodologia: Investigacion Cualitativa, aprobada por el Comitede Etica y Investigacion del Hospital Escuela Sao Francisco deAssis (HESFA) y Escuela de Enfermeria Anna Nery. El desarrolloinfantil se evaluo por la Escala de Desarrollo de Heloisa Marinho.Resultados: Todos los ninos presentaron defasaje en el area mental,social y fisica. Los ninos presentaron alienacion, timidez, y negacionen verbalizar y mantener contacto visual, hiperactividad; dificultadde aprendizaje; dificultad en la coordinacion motora; timidez yagitacion psicomotora. Las necesidades afectadas fueron:hidratacion, higiene oral, higiene corporea, comunicacion,coordinacion motora, aprendizaje, educacion alimentar, vision.Todos presentaron gran defasaje cuanto a la edad cronologica,edad de desarrollo y edad grafica y cociente de desarrollo bajo.