Mónica Cecilia De-La-Torre-Ugarte-Guanilo

Caracterização de pessoas com diabetes em unidades de atenção primária e secundária em relação a fatores desencadeantes do pé diabético

OBJETIVO: estudo descritivo que caracterizou pessoas com diabetes da rede basica de saude em relacao aos fatores desencadeantes do pe diabetico, considerando variaveis socio-demograficas, historia clinica e risco para complicacoes nos pes. METODOS: obtiveram-se dados mediante entrevista e avaliacao dos pes. Na analise foi considerada avaliacao dermatologica, estrutural, circulatoria e neurologica e classificados conforme proposta de Sims e colaboradores. RESULTADOS: a idade media foi 58,5±8,5 anos; tempo da doenca 8,7±6,7 anos, com ensino fundamental incompleto. Nos antecedentes clinicos 73% referiram hipertensao arterial e 22% dislipidemia. A glicemia media foi 159±79 mg/dl e HbA1c 7,8±2%. Na avaliacao dos pes 73% apresentaram higiene/corte de unhas improprios, 63% pele ressecada/descamativa, 52% unhas alteradas, 49% calos/rachaduras e 33% pe plano. Na classificacao de risco identificou-se 7,9% com insensibilidade plantar e 6,9% com insensibilidade plantar e deformidade nos pes. CONCLUSOES: estas alteracoes poderiam ser prevenidas com intervencoes basicas e educacao para cuidados com os pes.

Revisão sistemática: noções gerais

Systematic review is a useful methodology in health, as it makes it possible to identify the best evidence and sumamrize them so as to found proposals for changes in the areas of prevention, diagnosis, treatment and rehabilitation. The purpose of this article is to provide support for planning systematic reviews by answering the following questions: What is evidence-based practice? What is systematic review? Should systematic reviews be anchored on qualitative or quantitative research? What are the pertinent information sources to identify the evidence? What is evidence? What are the procedures to validate a systematic review? How can the quality of evidence be evaluated? What methodology is used to summarize the evidence? How should a systematic review be planned?A revisao sistematica e uma metodologia util em saude, dado que possibilita identificar as melhores evidencias e sintetiza-las, para fundamentar propostas de mudancas nas areas de prevencao, diagnostico, tratamento e reabilitacao. Este artigo tem como objetivo oferecer subsidios para o planejamento da revisao sistematica respondendo as seguintes perguntas: O que e Pratica Baseada em Evidencias? O que e revisao sistematica? A revisao sistematica deve estar ancorada em pesquisas qualitativas ou quantitativas? Quais sao as fontes de informacao pertinentes para identificar as evidencias? O que e evidencia? Quais os procedimentos para validar a revisao sistematica? Como avaliar a qualidade das evidencias? Qual metodologia e empregada para a sintese das evidencias? Como planejar a revisao sistematica?

Systematic review: general notions

Systematic review is a useful methodology in health, as it makes it possible to identify the best evidence and sumamrize them so as to found proposals for changes in the areas of prevention, diagnosis, treatment and rehabilitation. The purpose of this article is to provide support for planning systematic reviews by answering the following questions: What is evidence-based practice? What is systematic review? Should systematic reviews be anchored on qualitative or quantitative research? What are the pertinent information sources to identify the evidence? What is evidence? What are the procedures to validate a systematic review? How can the quality of evidence be evaluated? What methodology is used to summarize the evidence? How should a systematic review be planned?A revisao sistematica e uma metodologia util em saude, dado que possibilita identificar as melhores evidencias e sintetiza-las, para fundamentar propostas de mudancas nas areas de prevencao, diagnostico, tratamento e reabilitacao. Este artigo tem como objetivo oferecer subsidios para o planejamento da revisao sistematica respondendo as seguintes perguntas: O que e Pratica Baseada em Evidencias? O que e revisao sistematica? A revisao sistematica deve estar ancorada em pesquisas qualitativas ou quantitativas? Quais sao as fontes de informacao pertinentes para identificar as evidencias? O que e evidencia? Quais os procedimentos para validar a revisao sistematica? Como avaliar a qualidade das evidencias? Qual metodologia e empregada para a sintese das evidencias? Como planejar a revisao sistematica?

Characteristics of people with diabetes regarding factors associated with the development of diabetic foot ulcer

OBJETIVO: estudo descritivo que caracterizou pessoas com diabetes da rede basica de saude em relacao aos fatores desencadeantes do pe diabetico, considerando variaveis socio-demograficas, historia clinica e risco para complicacoes nos pes. METODOS: obtiveram-se dados mediante entrevista e avaliacao dos pes. Na analise foi considerada avaliacao dermatologica, estrutural, circulatoria e neurologica e classificados conforme proposta de Sims e colaboradores. RESULTADOS: a idade media foi 58,5±8,5 anos; tempo da doenca 8,7±6,7 anos, com ensino fundamental incompleto. Nos antecedentes clinicos 73% referiram hipertensao arterial e 22% dislipidemia. A glicemia media foi 159±79 mg/dl e HbA1c 7,8±2%. Na avaliacao dos pes 73% apresentaram higiene/corte de unhas improprios, 63% pele ressecada/descamativa, 52% unhas alteradas, 49% calos/rachaduras e 33% pe plano. Na classificacao de risco identificou-se 7,9% com insensibilidade plantar e 6,9% com insensibilidade plantar e deformidade nos pes. CONCLUSOES: estas alteracoes poderiam ser prevenidas com intervencoes basicas e educacao para cuidados com os pes.

Patients with multidrug-resistant tuberculosis in a reference center: sociodemographic and clinical-epidemiological profile

The objective of this is quantitative, descriptive, retrospective and sectional study was to describe the sociodemographic and clinical-epidemiological profile of the patients with Multidrug-Resistant Tuberculosis (MRTB) enrolled in the State of Sao Paulo Reference Center for Tuberculosis (TB). Data was collected from notification forms and medical records of subjects registered between August 2002 and December 2009. Data collection was performed February to June 2010, using a structured instrument, and then systematized using Excel and Epi Info. It was identified 188 people, 74.2% from the municipality of Sao Paulo; 93.1% in the productive age group; 61.6% were unemployed; 64.4% men; 34.6% had 4 to 7 years of education; 98.9% with prior TB treatment; 98.4% with pulmonary MRTB; 71.4% with bilateral lesion cavity and all tested for antimicrobial sensitivity. The findings evidenced that subjects developed MRTB mainly due to living conditions and accessibility to health services. Insufficient data from notification forms and files limited an extensive approach as required by TB, a disease proven to be socially determined.The objective of this is quantitative, descriptive, retrospective and sectional study was to describe the sociodemographic and clinical-epidemiological profile of the patients with Multidrug-Resistant Tuberculosis (MRTB) enrolled in the State of São Paulo Reference Center for Tuberculosis (TB). Data was collected from notification forms and medical records of subjects registered between August 2002 and December 2009. Data collection was performed February to June 2010, using a structured instrument, and then systematized using Excel and Epi Info. It was identified 188 people, 74.2% from the municipality of São Paulo; 93.1% in the productive age group; 61.6% were unemployed; 64.4% men; 34.6% had 4 to 7 years of education; 98.9% with prior TB treatment; 98.4% with pulmonary MRTB; 71.4% with bilateral lesion cavity and all tested for antimicrobial sensitivity. The findings evidenced that subjects developed MRTB mainly due to living conditions and accessibility to health services. Insufficient data from notification forms and files limited an extensive approach as required by TB, a disease proven to be socially determined.

Portadores de tuberculosis multirresistente en un centro de referencia: perfil sociodemográfico y clínico-epidemiológico

The objective of this is quantitative, descriptive, retrospective and sectional study was to describe the sociodemographic and clinical-epidemiological profile of the patients with Multidrug-Resistant Tuberculosis (MRTB) enrolled in the State of Sao Paulo Reference Center for Tuberculosis (TB). Data was collected from notification forms and medical records of subjects registered between August 2002 and December 2009. Data collection was performed February to June 2010, using a structured instrument, and then systematized using Excel and Epi Info. It was identified 188 people, 74.2% from the municipality of Sao Paulo; 93.1% in the productive age group; 61.6% were unemployed; 64.4% men; 34.6% had 4 to 7 years of education; 98.9% with prior TB treatment; 98.4% with pulmonary MRTB; 71.4% with bilateral lesion cavity and all tested for antimicrobial sensitivity. The findings evidenced that subjects developed MRTB mainly due to living conditions and accessibility to health services. Insufficient data from notification forms and files limited an extensive approach as required by TB, a disease proven to be socially determined.The objective of this is quantitative, descriptive, retrospective and sectional study was to describe the sociodemographic and clinical-epidemiological profile of the patients with Multidrug-Resistant Tuberculosis (MRTB) enrolled in the State of São Paulo Reference Center for Tuberculosis (TB). Data was collected from notification forms and medical records of subjects registered between August 2002 and December 2009. Data collection was performed February to June 2010, using a structured instrument, and then systematized using Excel and Epi Info. It was identified 188 people, 74.2% from the municipality of São Paulo; 93.1% in the productive age group; 61.6% were unemployed; 64.4% men; 34.6% had 4 to 7 years of education; 98.9% with prior TB treatment; 98.4% with pulmonary MRTB; 71.4% with bilateral lesion cavity and all tested for antimicrobial sensitivity. The findings evidenced that subjects developed MRTB mainly due to living conditions and accessibility to health services. Insufficient data from notification forms and files limited an extensive approach as required by TB, a disease proven to be socially determined.

Portadores de tuberculose multirresistente em um centro de referência: perfil sócio-demográfico e clínico-epidemiológico

The objective of this is quantitative, descriptive, retrospective and sectional study was to describe the sociodemographic and clinical-epidemiological profile of the patients with Multidrug-Resistant Tuberculosis (MRTB) enrolled in the State of Sao Paulo Reference Center for Tuberculosis (TB). Data was collected from notification forms and medical records of subjects registered between August 2002 and December 2009. Data collection was performed February to June 2010, using a structured instrument, and then systematized using Excel and Epi Info. It was identified 188 people, 74.2% from the municipality of Sao Paulo; 93.1% in the productive age group; 61.6% were unemployed; 64.4% men; 34.6% had 4 to 7 years of education; 98.9% with prior TB treatment; 98.4% with pulmonary MRTB; 71.4% with bilateral lesion cavity and all tested for antimicrobial sensitivity. The findings evidenced that subjects developed MRTB mainly due to living conditions and accessibility to health services. Insufficient data from notification forms and files limited an extensive approach as required by TB, a disease proven to be socially determined.The objective of this is quantitative, descriptive, retrospective and sectional study was to describe the sociodemographic and clinical-epidemiological profile of the patients with Multidrug-Resistant Tuberculosis (MRTB) enrolled in the State of São Paulo Reference Center for Tuberculosis (TB). Data was collected from notification forms and medical records of subjects registered between August 2002 and December 2009. Data collection was performed February to June 2010, using a structured instrument, and then systematized using Excel and Epi Info. It was identified 188 people, 74.2% from the municipality of São Paulo; 93.1% in the productive age group; 61.6% were unemployed; 64.4% men; 34.6% had 4 to 7 years of education; 98.9% with prior TB treatment; 98.4% with pulmonary MRTB; 71.4% with bilateral lesion cavity and all tested for antimicrobial sensitivity. The findings evidenced that subjects developed MRTB mainly due to living conditions and accessibility to health services. Insufficient data from notification forms and files limited an extensive approach as required by TB, a disease proven to be socially determined.

Revisión sistemática: nociones generales

Systematic review is a useful methodology in health, as it makes it possible to identify the best evidence and sumamrize them so as to found proposals for changes in the areas of prevention, diagnosis, treatment and rehabilitation. The purpose of this article is to provide support for planning systematic reviews by answering the following questions: What is evidence-based practice? What is systematic review? Should systematic reviews be anchored on qualitative or quantitative research? What are the pertinent information sources to identify the evidence? What is evidence? What are the procedures to validate a systematic review? How can the quality of evidence be evaluated? What methodology is used to summarize the evidence? How should a systematic review be planned?A revisao sistematica e uma metodologia util em saude, dado que possibilita identificar as melhores evidencias e sintetiza-las, para fundamentar propostas de mudancas nas areas de prevencao, diagnostico, tratamento e reabilitacao. Este artigo tem como objetivo oferecer subsidios para o planejamento da revisao sistematica respondendo as seguintes perguntas: O que e Pratica Baseada em Evidencias? O que e revisao sistematica? A revisao sistematica deve estar ancorada em pesquisas qualitativas ou quantitativas? Quais sao as fontes de informacao pertinentes para identificar as evidencias? O que e evidencia? Quais os procedimentos para validar a revisao sistematica? Como avaliar a qualidade das evidencias? Qual metodologia e empregada para a sintese das evidencias? Como planejar a revisao sistematica?

Caracterización de las personas con diabetes en unidades de atención primaria y secundaria en relación a factores desencadenantes del pié diabético

OBJETIVO: estudo descritivo que caracterizou pessoas com diabetes da rede basica de saude em relacao aos fatores desencadeantes do pe diabetico, considerando variaveis socio-demograficas, historia clinica e risco para complicacoes nos pes. METODOS: obtiveram-se dados mediante entrevista e avaliacao dos pes. Na analise foi considerada avaliacao dermatologica, estrutural, circulatoria e neurologica e classificados conforme proposta de Sims e colaboradores. RESULTADOS: a idade media foi 58,5±8,5 anos; tempo da doenca 8,7±6,7 anos, com ensino fundamental incompleto. Nos antecedentes clinicos 73% referiram hipertensao arterial e 22% dislipidemia. A glicemia media foi 159±79 mg/dl e HbA1c 7,8±2%. Na avaliacao dos pes 73% apresentaram higiene/corte de unhas improprios, 63% pele ressecada/descamativa, 52% unhas alteradas, 49% calos/rachaduras e 33% pe plano. Na classificacao de risco identificou-se 7,9% com insensibilidade plantar e 6,9% com insensibilidade plantar e deformidade nos pes. CONCLUSOES: estas alteracoes poderiam ser prevenidas com intervencoes basicas e educacao para cuidados com os pes.