Rackynelly Alves Sarmento Soares

CARACTERIZAÇÃO DAS VÍTIMAS DE ACIDENTE DE TRÂNSITO QUE APRESENTARAM TRAUMATISMO RAQUIMEDULAR

Objective: To outline the epidemiological profile of victims of traffic accidents who had spinal cord injury (SCI) as regards socio-economic and physical-motor variables, verifying the relationship between complications of trauma and compromised quality of life of these victims due to ulcers pressure, urinary incontinence, autonomic dysreflexia, spasticity and pain syndromes. Materials and Methods: This was an observational and retrospective study whose sample consisted of 32 individuals who answered a semi-structured and standardized questionnaire. Inclusion criteria were adopted: presenting SCI caused by traffic accident, being an adult and living in Joao Pessoa. Results: The sample consisted of 32 adults; 20 of these (65.2%) were males and 23 (72%) had more than four years of schooling. In addition, they all had complications after trauma with compromised quality of life. Conclusion: It is expected to open a humanized look into the population studied here, guide health professionals to new researches due to the lack of significant epidemiological studies, as well as to support public polices focused on prevention of SCI. DESCRIPTORS: Nursing. External causes. Epidemiology. Accidents, Traffic. Spinal Injuries.

MODELO DE DECISÃO SOBRE OS FATORES DE RISCO PARA O BAIXO PESO AO NASCER EM JOÃO PESSOA-PB

Introduction: The prevalence of low birth weight in Brazil has been increasing each decade. Nowadays, 11% of children present low weight. As the newborn weight decreases the mortality rates increase, and this increase is much clearer when gestational age is lower. Objective: This study aimed to identify risk factors associated with the low birth weight of children of Joao Pessoa, PB. Methodology: It was conducted an observational and sectional study, in which we used data from 56,904 live birth certificates from 2005 to 2009. The dependent variable was birth weight, and the independent variables were related to the gestational and maternal characteristics concerning birth and the newborn. Results: Logistic regression was used to investigate the association between the variables. Birth weight average was 3.216g, ranging from 500g to 6.015g. The determinants for the underweight in children were multiple births, gender, ethnicity, appearing as a protection factor the prenatal care, the Apgar score at the fifth minute and the time of pregnancy. Conclusion: From this study it was possible to recognize the importance of prenatal and postnatal factors, showing the need for preventive care in order to reduce risk factors and to reinforce conditions that work as protective factors. DESCRIPTORS: Birth Weight. Risk Factors. Infant, Low Birth Weight.

PROBLEMA DE PELE EM PACIENTE ESTOMIZADA: RELATO DE CASO

Introduction: This is a case report developed in a surgical clinic of a public hospital in the city of Joao Pessoa. Objective: To report a case experienced in nursing practice regarding the management of peristomal skin complications, as well as to evaluate the clinical changes obtained after the use of skin protectors. Case report: this study was developed in a patient with stoma 57, whose skin had extensive peristomal dermatitis, glossy, highly exudative, irritating and painful, who had a device installed for ostomy adapted for less than 24 hours. Conclusion: After the management of skin protectors, there was satisfactory progress in relation to peristomal and emotional injury, which resulted in the closure of the ileostomy. DESCRIPTORS Stomas. Nursing. Wounds and Injuries.