Study Design Clinical measurement study. Background Ankle sprain is a common condition. Therefore, translated, culturally adapted, and clinimetrically tested instruments for measuring the ankle are needed. Objectives To translate and cross-culturally adapt the Sports Athlete Foot and Ankle Score (SAFAS) and the global rating of change (GROC) into Brazilian Portuguese. This study also aimed to test the measurement properties of the SAFAS, the GROC, and the existing Brazilian-Portuguese versions of the numeric pain-rating scale (NPRS) and the ankle-hindfoot scale of the American Orthopaedic Foot and Ankle Society (AOFAS) in a group with ankle sprain. Methods The SAFAS and GROC instruments were cross-culturally adapted into Brazilian Portuguese and pretested in this population (n = 18). The measurement properties of the SAFAS, GROC, NPRS, and AOFAS (internal consistency, ceiling and floor effects, construct validity, reproducibility, and responsiveness) were tested in a test-retest design in patients with ankle sprain at baseline (n = 63) and at follow-up periods of 48 to 72 hours (n = 53) and 4 weeks (n = 43) after baseline. Results The SAFAS, GROC, NPRS, and AOFAS yielded considerable internal consistency (Cronbach alpha ranging from .76 to .97), moderate reliability (intraclass correlation coefficient model 2,1 ranging from 0.59 to 0.80), and dubious agreement (percentage of the standard error of measurement ranging from 13% to 22.43%). The highest correlations on construct validity were observed among the 4 SAFAS subscales (Pearson r = 0.75 to 0.86, P<.01), but statistically significant values appeared in the intercorrelation of instruments. There were no observed floor or ceiling effects in any of the instruments. All of their scores of change showed moderate correlation with the GROC (r = -0.48 to 0.30, P<.05) and could be classified as responsive. Conclusion The Brazilian-Portuguese versions of the SAFAS, GROC, NPRS, and AOFAS had acceptable measurement properties in high-performing athletes. J Orthop Sports Phys Ther 2016;46(12):1042-1050. Epub 8 Nov 2016. doi:10.2519/jospt.2016.6218.
Introduction:The Timed Up and Go test (TUG) is widely used and valid in chronic patients, but rarely addressed in asymptomatic individuals. Objective: To assess the reliability, the age-related changes and the correlation between TUG and the Functional Exercise Capacity (FEC) adjusted for non-institutionalized middle-aged and elderly women. Methods: Ninety-eight women (57 ± 10 years) were selected and stratified into age groups. We have performed the tests TUG, Berg Balance Scale (BBS) and evaluation of usual gait speed (UGS). Fifty-eight participants (57 ± 10 years) also performed incremental shuttle walk test (ISWT). Results: Worse performance in TUG (p < 0,05) for participants aged ≥ 70 years for age groups 40-49 and 50-59 years. The reliability of TUG was excellent between the first and second TUG (intraclass correlation coefficient, 0.933; confidence interval of 95%, from 0.901 to 0.955) and between the second and third TUG (0.958, 0.938 to 0.972). The group of 58 participants who underwent further the ISWT, TUG correlated significantly (p <0.05) with ISWT (r = -0.72), VUM (r = -0.54) and BBS (r= 0.58). A multiple linear regression analysis selected TUG (R 2 = 0.517) and VUM (R 2 = 0.083) as determinants of FEC. Conclusion: TUG adapted
RESUMO Objetivo: conhecer o perfil sociodemográfico e clínico sobre a mortalidade materna. Método: trata-se de estudo quantitativo, transversal e descritivo, sendo o universo da pesquisa composto por todos os óbitos maternos ocorridos no período de 2004 a 2015 no Estado da Bahia/Brasil. Deu-se a coleta de dados por meio de dados secundários disponíveis on-line no Sistema de Informação de Mortalidade do Ministério da Saúde. Utilizaram-se para a tabulação e a análise dos dados, o programa Microsoft Office Excel, versão 2016, apresentando-se os resultados em forma de tabelas e figuras. Resultados: constatou-se que o número de mortes maternas no período analisado correspondeu a 1.907, com maior prevalência na faixa etária entre 20 e 29 anos (39,12%), em mulheres de cor parda (59,25%), solteiras (50,87%) e a ocorrência em ambiente hospitalar (88,99%). Viu-se que as causas obstétricas diretas (61,46%) ocorreram significativamente por eclâmpsia (12,89%). Conclusão: evidenciam-se nos resultados que a mortalidade materna é um grave problema de saúde pública e que o conhecimento sobre as circunstâncias e ocorrências das mortes maternas é fundamental para o planejamento de ações e estratégias de saúde. Descritores: Mortalidade Materna; Complicações na Gravidez; Monitoramento Epidemiológico; Sistema Único de Saúde; Taxa de Gravidez; Gravidez de Alto Risco.ABSTRACTObjective: to know the sociodemographic and clinical profile of maternal mortality. Method: this is a quantitative, cross-sectional and descriptive study, the research universe being composed of all maternal deaths occurring in the period from 2004 to 2015 in the State of Bahia / Brazil. Data collection was done through secondary data available online in the Mortality Information System of the Ministry of Health. The data was tabulated and analyzed by the Microsoft Office Excel program, version 2016, the results in the form of tables and figures. Results: it was found that the number of maternal deaths in the analyzed period corresponded to 1,907, with a higher prevalence in the age group between 20 and 29 years (39.12%), in women of brown color (59.25%), single 50.87%) and the occurrence in a hospital setting (88.99%). Direct obstetric causes (61.46%) were found to have occurred significantly due to eclampsia (12.89%). Conclusion: the results show that maternal mortality is a serious public health problem and that knowledge about the circumstances and occurrences of maternal deaths is fundamental for the planning of health actions and strategies. Descriptors: Maternal Mortality; Pregnancy Complications; Epidemiological Monitoring; Unified Health System; Pregnancy Rate; Pregnancy, High-Risk.RESUMENObjetivo: conocer el perfil sociodemográfico y clínico sobre la mortalidad materna. Método: se trata de un estudio cuantitativo, transversal y descriptivo, siendo el universo de la investigación compuesto por todas las muertes maternas ocurridas en el período de 2004 a 2015 en el Estado de Bahía / Brasil. Se dio la recolección de datos a través de datos secundarios disponibles on line en el Sistema de Información de Mortalidad del Ministerio de Salud. Se utilizaron para la tabulación y el análisis de los datos, el programa Microsoft Office Excel, versión 2016, presentando los resultados en forma de tablas y figuras. Resultados: se constató que el número de muertes maternas en el período analizado correspondió a 1.907, con mayor prevalencia en el grupo de edad entre 20 y 29 años (39,12%), en mujeres de color parda (59,25%), solteras (50, 87%) y la ocurrencia en ambiente hospitalario (88,99%). Se vio que las causas obstétricas directas (61,46%) ocurrieron significativamente por eclampsia (12,89%). Conclusión: se evidencian en los resultados que la mortalidad materna es un grave problema de salud pública y que el conocimiento sobre las circunstancias y ocurrencias de las muertes maternas es fundamental para la planificación de acciones y estrategias de salud. Descriptores: Mortalidad Materna; Complicaciones del Embarazo; Monitoreo Epidemiológico; Sistema Único de Salud; Índice de Embarazo; Embarazo de Alto Riesgo.
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