Kesley Pablo Morais de Azevedo

Level of pain and quality of life of people living with HIV/AIDS pain and quality of life in HIV/AIDS

ABSTRACT The aim of this descriptive study was to correlate the level of pain with the quality of life in 261 people living with HIV/AIDS. Mild pain/no pain was reported by 47.5% of subjects, 24.1% reported moderate pain, and 28.4% reported severe pain; pain levels were correlated with gender (p = 0.02), health status (p < 0.001), perception (p < 0.001), and stage of infection (p = 0.005). Being female represented a risk factor for moderate (p < 0.001) and intense pain (p = 0.004). Poor health represented a risk for moderate (p < 0.038) and intense pain (p = 0.005). Being young was a factor of protection for moderate pain (21–30 years, p = 0.046; 41–50 years, p = 0.023; and 51–60 years, p < 0.030). The low quality of life averages was identified and correlated with pain in all evaluated domains (p < 0.001). The risk factors for moderate and severe pain were a low level of independence (p = 0.004) and compromised social relations (p = 0.029), respectively. Psychological control behaved as a protection factor for moderate pain (p = 0.011), and bad physical domain proved to be a protection factor for severe pain (p = 0.007). The level of pain is a negative impact on the quality of life of people with HIV/AIDS.

Physical Training and Upper Limb Strength of people with paraplegia: A Systematic Review

CONTEXT Physical training improves the strength of upper limbs, contributing directly to the performance of activities of daily life, confirming one more time that the strengthened muscle is imperative for a rapid rehabilitation. OBJECTIVE To investigate the scientific implications of the impact of physical training on the strength of the upper limbs of people with paraplegias. EVIDENCE ACQUISITION The search strategy with truncations and Boolean operator was defined as: (spinal cord inju* OR traumatic myelopat* OR paraplegi*) AND (physical exercise OR strength training OR resisted training) AND (upper limb* OR arm OR armrest), for all of the databases. There were included experimental and quasi-experimental studies, published in the English language and with the complete text available, with at least 1 physical exercise that worked with the strength of the upper limbs. Two independent evaluators extracted from each article data on study characteristics (publishing year, country of origin, and study design), of the subjects (gender and age), and of the disability (level of lesion and cause). EVIDENCE SYNTHESIS Seven articles were included in the systematic revision. The procedure used the most for measuring the maximum strength was the 1-repetition maximum test, followed by the isokinetic dynamometer and Quantitative Muscle Testing System. Furthermore, the most commonly associated variables in the included studies were pain in the shoulder, cardiorespiratory capacity, and functionality, respectively. The results showed that all of the variables improved because of the training. CONCLUSIONS The training improved the strength, the functionality, and reduced the pain in the shoulder of the people with paraplegia.

Lifestyle and sleep patterns among people living with and without HIV/AIDS

INTRODUCTION Negative lifestyles affect the health and quality of sleep of those living with and without HIV/AIDS. METHODS Individuals were divided into two groups based on whether or not they were living with HIV/AIDS. RESULTS Among the 20 participants, 95% displayed a poor lifestyle, and both groups demonstrated low-quality sleep with significant differences between groups in the early sleep variables, total sleep time, and sleep patterns. CONCLUSIONS Both groups demonstrated similar behavior with unsatisfactory lifestyles, poor sleep quality, and irregular sleep patterns.

Pubertal maturation and health risk behaviors in adolescents: a systematic review

Objective: The objective of this academic work is to demonstrate evidences available in literature about the association among the pubertal maturation and health risk behavior in adolescents. Methods: It was used the database from MEDLINE/Pubmed, Scopus, Lilacs and Web of Science. The terms used in the research, with its variations, were “puberty”, “maturation”, “maturity”, “risk behaviors”, “risk factors”, “adolescent” and “student”. Results: Out of 838 manuscripts found in the databases, after the sorting and applied the eligibility criteria, remained in this systematic review 13 articles. Early maturation was associated significantly with the use of alcohol, cigarettes and illegal drugs, early sexual initiation, sedentary behaviors and involvement in fights, where girls showed higher prevalence. Conclusions: Henceforth, the results from the current study indicates that the early maturation is associated with health risk behaviors in adolescents, especially with the use of alcohol and cigarettes.