Introduction Parkinson's disease (PD) is a neurodegenerative disorder, which triggers limitations and disability in people. Therefore, rehabilitation therapy is widely recommended in patients with PD, especially those who do not respond to pharmacological treatment.Objective Evaluate the effect of a protocol of Whole-body Vibration (WBV) in balance, gait and Quality of Life (QOL) of patients with PD, who do not respond to pharmacological treatment.Methods It was performed 12 sessions of a protocol WBV (squat, plantar flexion, isometric contraction of members and single-leg balance), with three sets each, at a vibrating platform (2mm and 35Hz) in 10 PD patients. By the first 3 sessions, patients underwent 20 seconds of exercise and 20 seconds of rest. After the third session, the treatment was 40 seconds of exercise and 20 seconds of rest. The Tinetti Test was applied before and after treatment to assess balance and gait, and the Parkinson's Disease Quality of Life-questionnaire (PDQL-BR), to evaluate the PDQL-BR and its subcategories: Parkinson, Systemic, Social and Emotional.Results Treatment did not significantly change the balance (p = 0.438), QOL issue in Emotional (p = 0.450) and Social (p = 0.171), but improved gait (p = 0.003), the Tinetti (p ≤ 0.001), the quality of life in items Parkinson (p ≤ 0.001), Systemic (p ≤ 0.001) and PDQL-BR (p ≤ 0.001).Conclusions WBV exercises on the vibrating platform, according to the parameters used, showed promising results that encourage its use to improve the clinical conditions related to disorders of gait, balance and QOL in patients with PD.
Background: Vascular traumas are associated with high morbidity rates. Objective: To report the characteristics of vascular traumas in the Brazilian state of Pará, in trauma victims treated at the Hospital Metropolitano de Urgência e Emergência (HMUE), from 2011 to 2013. Method: This was a descriptive, cross-sectional, retrospective and quantitative study that analyzed data on sex, age group, geographical origin, time waiting for care, mechanism of trauma, clinical status, anatomic site of injury, prevalence of associated fractures, vascular structures injured, types of vascular injury, principal types of surgery, early postoperative outcomes, level of amputation, number of deaths, length of hospital stay and multidisciplinary care for 264 medical records. Results: The majority of victims were male and the most common age group was from 16 to 30 years. The majority of cases were from towns other than the state capital, accounting for 169 cases (64.02%). The principal mechanism of injury was firearm wounding -110 (41.67%) followed by cold weapon wounds -65 (24.62%) and traffic accidents -42 (15.91%). The segments of the body and the vascular structures most often injured were lower limbs -120 (45.45%) and injuries to the popliteal and femoral arteries and veins. The most common clinical presentation at admission was hemorrhage -154 (58.33%). The most common surgeries were ligatures of veins and arteries. There were 163 (61.74%) hospital discharges and 33 (12.5%) deaths. Conclusions: The greatest prevalence observed was related to traumas caused by urban violence. Victims were most frequently male, of working age and from towns other than the capital of the state of Pará.
Objetivo: Analisar o perfil clínico-epidemiológico da mortalidade por neoplasia de pele e tecidos moles no Brasil, entre 1999 e 2019. Métodos: Estudo observacional da mortalidade por neoplasia maligna da pele, tecido mesotelial e tecidos moles (100.000) e as características socioeconômicas e assistencial no Brasil. Resultados: Houve aumento na mortalidade no período, para neoplasia da pele: Sul (1,6–3,8), Sudeste (1,1–2,3), Centro-Oeste (0,8–2), Nordeste (0,5– 2,1) e Norte (0,3–1,3), sobretudo, no Rio Grande do Sul (64,7/100mil); mesotelioma e tecidos moles: SU (0,8–1,8), S (0,9–1,7), CO (0,5–1,6), NO (0,5–1,4) e N (0,3–1), sendo Rio Grande do Norte (35,1/100mil). Às características socioeconômica, melhores indicadores para S, SU e CO; na assistência às três neoplasias, mortalidade maior em homens (36,2/100mil, 1,1/100mil e 23,5/100), maior 60 anos (205,1/100mil, 5,3/100mil e 105,6/100mil), raça branca (79,1%, 74,8% e 62,5%); ao câncer de pele e tecidos moles, sem histórico familiar (58,9% e 56,3%), grau I (76,9%-pele) e IV (36,9%-moles) e protocolo de tratamento cirúrgico (80% e 24,9%). Conclusão: Houve aumento da mortalidade, logo, corroboram-se a relevância de questões assistenciais de prevenção, diagnóstico e tratamento oportuno.
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