ResumoObjetivos: Caracterizar as queixas osteomioarticulares e os riscos ocupacionais nos distúrbios osteomusculares relacionados ao trabalho. Métodos: estudo observacional com análise transversal, realizado com 60 participantes em um Centro de Referência em Saúde do Trabalhador com diagnóstico clínico e de imagem dos distúrbios osteomusculares relacionados ao trabalho -DORT. O instrumento utilizado continha 30 questões sobre fatores individuais, riscos ocupacionais e alterações osteomusculares. Foram realizadas análises descritivas e para avaliar as associações foi utilizado o teste Quiquadrado considerando nível de significância p < 0,05. As análises foram realizadas no programa BioEstat 5 ® . Resultados: a amostra foi majoritariamente masculina (66,7%) e do setor industrial. A queixa mais relatada foi a dor (100%) nos ombros (43,8%) e região lombar da coluna (22%), nas quais as alterações mais encontradas foram as tendinopatias e os transtornos nos discos vertebrais. Alguns fatores de risco identificados foram: jornada de trabalho de oito horas (80%); realizar gestos repetitivos (86,7%), torções (58,3%), deslocamentos (61,7%), adotar a posição bípede do corpo (66,7%) e o trabalho manual (96,7%) e o transporte de peso entre 10 e 30kg (35%). Conclusões: A maioria dos trabalhadores está exercendo suas atividades queixando-se de dores musculoesqueléticas, expostos aos riscos biomecânicos e organizacionais, por isso, os empresários devem conhecê-los e alterá-los, investirem em ações de promoção e proteção à saúde, para efetivamente reduzir a ocorrência desses distúrbios.
Background: Urinary incontinence (UI) is clinically defined by the International Continence Society as involuntary urine loss. Currently, UI isconsidered a public health issue worldwide, considering that the prevalence in women is quite high, requiring attention from healthprofessionals. Objective: To evaluate the effects of the Pilates method associated with Manual Therapy in women with UI. Methods: It wasperformed a randomized, controlled, longitudinal clinical trial with a quantitative approach of the data. 14 female participants were evaluated,aged 20 to 55 years and who had presented episodes of urinary loss in the last months. The following evaluations were carried out: anamnesis,evaluation of urogynecological history, application of the King’s Health Questionnaire and PERFECT test. After all the evaluations, half of thevolunteers received treatment for urinary incontinence through a physical therapy approach that includes the Pilates method associated withManual Therapies (GPT), and the other half received treatment using only the Pilates method (GP). Results: Both groups showed increasedPFM strength, being GPT (p = 0.04) and GP (p = 0.00); increased resistance, being GPT (p = 0.02) and GP (p = 0.01); and the contraction offibers, being GPT (p = 0.04) and GP (p = 0.02). In the GPT there was a decrease in the severity measures (p = 0.01); disappearance ofnocturia (p = 0.04); decreased symptoms of SUI (p = 0.02); and bladder pain (p = 0.04). In the GP, there was a significant improvement in theperception of health (p = 0.00); decreased UI impact on the participant's life (p = 0.02); the influence of UI on emotions (p = 0.00); symptomsof overactive bladder (p = 0.01); and the SUI (p = 0.00). Conclusion: Both treatment protocols decrease episodes of leakage of urine whenthere is an increase in intra-abdominal pressure, increase the PFM strength, endurance and number of fast contractions, and the quality oflife of women with UI. However, only the group that received only the Pilates protocol showed an increase in repetitions of slow contraction.
Dedico essa tese de doutorado em primeiro lugar a meu amor, meu companheiro e meu marido, Marco Antonio, que me apoiou durante todo o processo. Que mesmo sobre estresse ou dificuldade, teve paciência. Em cada choro, multiplicou sorrisos. Não foi fácil chegar até aqui, seu apoio e presença foram essenciais para que eu me tornasse doutora. Jamais saberei como agradecer todo meu amor. Aos meus filhos, Heitor e Matteo, meus amores, que são meus estímulos para ser cada vez melhor e conquistar o que almejo. Vocês são meu alicerce em todas as fases da minha vida. "Os grandes feitos são conseguidos não pela força, mas pela perseverança." Samuel Johnson iv AGRADECIMENTOS Desejo exprimir os meus agradecimentos a todos aqueles que, de alguma forma, permitiram que esta tese se concretizasse. A minha orientadora, Profa Dra. Patrícia Tempsky, que durante todo o processo foi muito carinhosa, atenciosa e paciente comigo, me proporcionou um aprendizado além dos conceitos do estudo, um aprendizado para meu crescimento pessoal. Agradeço a ela e ao Prof. Dr.
Background The problems for training in interprofessional education (IPE) of health professionals for this new century are systemic: limitation in competencies for teamwork, persistent stratification of gender relations in the status of health workers, a focused emphasis on technical skills, difficulty in analysis and understanding of broader problematic issues of the context, sporadic instead of continuous care, quantitative and qualitative imbalances in the professional labor market, and fragility in leadership skills to improve the performance of the health system. This study evaluated the perception of students and teachers of health area courses at a private university in São Paulo regarding interprofessional education. Methods A sociodemographic questionnaire to delineate the participants’ profile and the RIPLS questionnaire that assesses the attitudes and perceptions of students and professionals to determine their readiness for interprofessional learning were applied. RIPLS is proposed to measure the change in attitudes, the effects of different interventions, and the effectiveness of interventions in changing attitudes and perceptions. Results The main results were that training in Medicine and Nursing is easier for interprofessional education than that in Physiotherapy. By comparing the perception of the academic community regarding gender, we find that participating women are more available for teamwork and collaborative practices. Conclusion To improve the perception of students and teachers in collaborative practice, the need for a teacher training program on IPE principles and an early and more frequent insertion of IPE practices in the curricula of courses is evident.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.