We believe that the treatment of patients with OA should consider the combination of pharmacotherapy, psychotherapy, counseling and family support, in order to achieve a better quality of life.

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Stress index (96%), trait anxiety (over 50) and clinically relevant depression (greater than 20) in FM were relevant. The understanding of the emotional variables involved in fibromyalgia is important to define the therapeutic strategy.

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aim of this study was to evaluate the efficacy of periodontal scaling and oral hygiene instruction for patients with mild chronic periodontitis and rheumatoid arthritis through clinical periodontal parameters and laboratory tests for CRP (C- reactive protein) and ESR (erythrocyte sedimentation rate). Twelve individuals with rheumatoid arthritis and 12 healthy individuals were evaluated, with a mean age of 45.38 and 46.75 respectively, all female and with mild, chronic periodontitis. The participants were evaluated clinically and periapical radiographs were taken (T1), after which periodontal treatment was instituted. After ninety days (T2), new clinical and laboratory data were obtained. Probing depth, bleeding index, and plaque indexes were observed in both groups, and the results demonstrated reductions but no statistical differences. Laboratory tests for CRP and ESR produced higher values for the rheumatoid arthritis group with T1- T2 reductions on the average, but the values were still higher than in the health group. We conclude that periodontal therapy in patients with rheumatoid arthritis and mild chronic periodontitis showed a improvement in the periodontal clinical parameters and laboratory tests that were evaluated.

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RESUMO -O objetivo deste estudo foi observar a capacidade de crianças de 7 a 11 anos de idade em descrever sua cefaléia na anamnese. Para tanto, foram feitas duas avaliações de 94 crianças em entrevistas individuais pela mesma pediatra, com intervalo de seis a oito semanas, sem a presença de adultos. As características da dor de cabeça destas crianças puderam ser avaliadas nestas entrevistas, não havendo dados significativamente conflitantes entre as duas sessões. Embora habitualmente descrita e valorizada pelo adulto que acompanha a consulta, a cefaléia da infância deveria ser informada pelo próprio paciente. Neste grupo de crianças de 7 a 11 anos as informações foram obtidas sem dificuldade quando se permitiu à criança que usasse suas próprias palavras, no tempo que fosse necessário. PALAVRAS-CHAVE: cefaléia, enxaqueca, infância. How children aged 7 to 11 explain their headacheABSTRACT -The aim of the present study was to observe the ability of children aged 7 to 11 in describing their headache during anamnesis. For this purpose, two evaluations of 94 children were performed in individual assessments, done by the same Pediatrician, within a six to eight week interval, without the presence of adults. The characteristics of headache in these children could be properly evaluated during the interviews. There were no remarkable conflicting information between the two interviews. Although the headache of the child is usually described by the accompanying adult during the consultation, childhood headache should really be informed by the patient. In this group of young children (7 to 11 years old), information could be obtained without difficulty since we allowed the child enough time and the use of his (her) own words.KEY WORDS: headache, migraine, childhood.Estima-se que até 40% das crianças brasileiras sofram de cefaléia 1 . Os estudos de cefaléia na infância são raros 2 , muitos deles com falhas metodoló-gicas, tendendo a supervalorizar a informação do adulto acompanhante em detrimento da informação da criança 3 . Os autores acreditam que as crianças são capazes de explicar os detalhes de suas crises de dor e que os achados de tais avaliações são confiáveis.Crianças com cefaléia costumam ser consultadas pelo pediatra e não pelo neurologista 3 . Os autores consideram que os pediatras devem conhecer bem as nuances do diagnóstico das cefaléias, uma vez que farão o atendimento primário destes pacientes.O presente estudo foi proposto com a finalidade de determinar como crianças de 7 a 11 anos podem descrever características da própria cefaléia durante a anamnese. MÉTODOO protocolo deste estudo foi avaliado e aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Medicina da UNIMES. Todas as crianças participantes deste estudo tiveram autorização escrita dos pais ou responsável, estando estes cientes do caráter investigativo deste projeto. Não foram realizados exames médicos ou laboratoriais. As crianças foram encorajadas a conversar com pais ou responsável sobre as entrevistas e sobre os resultados das avaliações.Du...

<sec><title>OBJECTIVE:</title><p> To analyze and evaluate an interdisciplinary educational treatment - Spine School.</p></sec><sec><title>METHODS:</title><p> This study is a non-controlled clinical trial. Twenty one individuals (19 women) aged 27-74 years diagnosed with chronic low back pain were enrolled and followed-up by a rheumatologist and an orthopedist. The evaluations used were SF36, Roland Morris, canadian occupational performance measure (COPM) and visual analogue scale (VAS) of pain that were performed before and after seven weeks of treatment.</p></sec><sec><title>RESULTS:</title><p> We found statistically significant improvements in vitality (mean 48.10 vs. 81.25) p=0.009 and limitations caused by physical aspects (mean 48.81 vs. 81.25) p=0.038 and perception of pain (mean 6.88 vs. 5.38) p=0.005. Although the results were suggestive of improvement, there were no statistical significant differences in the domains social aspects (average 70.82 vs. 92.86) p=0.078, emotional aspects (average 52.38 vs. 88.95) p=0.078, and the performance satisfaction (mean 4.94 vs. 8.24) p=0.074.</p></sec><sec><title>CONCLUSION:</title><p> The Interdisciplinary Spine School was useful for improvement in some domains of quality of life of people with low back pain.</p></sec>