O objetivo do estudo foi identificar a sobrecarga imposta ao cuidador informal através da escala de Burden Interview, de pacientes atendidos durante o estágio de fisioterapia em saúde coletiva. Foram selecionados 15 cuidadores de pacientes com dependência total ou dependência modificada, de acordo com a escala de MIF, os quais responderam ao questionário Burden Interview. Analisando os resultados, observa-se uma sobrecarga imposta a esses cuidadores em todos os domínios da escala (tensão geral, isolamento, decepção, envolvimento emocional e ambiente), bem como no score total 47,27 (±14,94). Desta forma, concluímos que o cuidador sofre uma sobrecarga física e emocional, apontando que apesar de contribuirmos para uma melhor qualidade de vida do internado, pode-se criar uma situação desfavorável ao cuidador. Por esse motivo, acreditamos que nosso estudo pode ser uma ferramenta válida para corroborar com a importância do atendimento multidisciplinar e programas de saúde específicos ao cuidador informal e não apenas ao ser cuidado.
Fatal injuries in children caused by motor vehicle accidents represent a common situation in many countries worldwide. The present study addresses the mortality rate in children as vehicle passengers in Brazil, from 1997 to 2005. To evaluate mortality rates, the number of deaths was collected from the National Mortality Information System (SIM) and the population size was obtained using the Brazilian Bureau Census (IBGE) data available at DATASUS. Mortality rates were estimated in three-year periods and analyzed according to age groups (younger than 1 year old, 1-4 years old, 5-9 years old) and geographical regions using a 95% confidence interval. Overall results showed mortality rates of 5.68, 7.32 and 6.78 (per 1,000,000) for the 1997-1999, 2000-2002 and 2003-2005 periods, respectively for the whole country. Children younger than 1 year old had a mortality rate of 10.18 (per 1,000,000), which was higher than for the other age groups. For the period analyzed, the highest rates were observed for the Mid-West and South regions of Brazil, with rates of 13.88 and 11.47 (per 1,000,000), respectively. These results show the risk of fatal injury in children caused by motor vehicle accidents and may contribute to the establishment of educational campaigns aiming injury prevention in children as vehicle passengers.
The present study examines several important contributors to appropriate child restraint systems (CRS), including harness routing (chest and lap straps) and the location of important protective components. Three forward-facing CRS equipped with five-point harnesses were evaluated in a laboratory vehicle mockup using the Hybrid-III three-year-old crash dummy. CRS elements and landmarks on the dummy were recorded using a three-dimensional coordinate digitizer (FaroArm). It was analyzed some important CRS components to the security of children in an impact. Results showed that harness routes and the lateral head frame varied widely among the CRS. Variation in harness slot position produced differences in fit at the shoulders and chest. Lap straps on one CRS routed the straps onto the dummy's abdomen rather than the preferred pelvis position. The CRS lateral supports for head also varied relative to the dummy head center of gravity indicating that, in some cases, the head may not be laterally protected and move through a wide range in a car lateral impact which might cause injury. The results of this study suggest that the design of CRS still fail to fit all anatomical differences in the age range it is designed for. Static analysis of harness fit in forward-facing child restraints Loffredo, M. C. M.; Arruda, C.; Ebert, S.; Reed, M. P.
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