This study analyzed the impact of the COVID‐19 pandemic on the detection of new cases of leprosy in the state of Bahia, Brazil. The periods January–September 2019 and January–September 2020 were compared. There was a 44.40% reduction in the diagnosis of leprosy when comparing the two periods (1,705 in 2019 and 948 in 2020). There was a reduction in the number of municipalities with reported cases: 251 municipalities in 2019 and 202 in 2020, expressing a reduction of 24.25%. Considering only the months following the arrival of the virus (April–September), the reduction was 51.10%. An inverse correlation was observed between the number of new cases of leprosy and the cumulative number of cases of COVID‐19 (Spearman's correlation coefficient = −0.840; P < 0.001) and the number of new monthly cases of COVID‐19 (Spearman's correlation coefficient = −0.817; P < 0.001). A slight increase was also observed in the proportion of multibacillary cases in the state (70.38% in 2019 and 72.69% in 2020) as well as in the proportion of individuals with the degree of physical disability not assessed at diagnosis, whose proportion rose from 16.39% in 2019 to 22.53% in 2020. The negative impact of COVID‐19 in tackling leprosy should be seen as a warning sign for health and political authorities.
Introdução: O crescimento desordenado da frota de veículossem o planejamento para adaptação do trânsito eleva o númerode acidentes, que, por conseguinte, aumenta o número deóbitos, tornando-se, portanto, um problema de saúde pública,que necessita de medidas emergenciais para seu enfrentamento.Objetivo: Descrever o perfil das vítimas e as condições dosacidentes ocorridos nas rodovias federais circunscritas aVIII Região de Saúde do estado de Pernambuco, no períodode janeiro de 2010 a junho 2015. Material e Métodos:Estudo descritivo-quantitativo a partir de dados da PolíciaRodoviária Federal. Foram analisadas variáveis relacionadasàs vítimas e às condições do acidente. As variáveis numéricasforam analisadas por meio das medidas de tendência central,dispersão e intervalo de confiança para a média. Distribuiçãode frequência foi calculada para as variáveis categóricascom intervalo de confiança de 95%, calculado assumindo adistribuição binomial. Resultados: No período de janeiro de2010 a junho de 2015 foram registradas 3.164 ocorrências.O sexo masculino foi o mais acometido por acidentes detrânsito (79,7%), a média de idade das vítimas foi de 34 anos(desvio padrão 13,4), os principais veículos envolvidos eramda categoria B e os tipos de acidentes mais frequentes foramcolisões. Em relação às características temporais o primeirosemestre do ano agregou o maior número de acidentes; desexta-feira a domingo houve maior prevalência de acidentes,bem como no entardecer, a partir das 18 horas. Conclusão: Asvitimas de acidentes de trânsito, que ocorreram nas rodoviasfederais da VIII Região de Saúde do estado de Pernambuco, noperíodo de janeiro de 2010 a junho 2015, foram principalmentehomens adultos e os veículos envolvidos eram da categoria B.
BACKGROUND AND OBJECTIVES: College professors are exposed to numerous pressure sources which affect their quali ty of life and professional activities. Notwithstanding, studies discussing musculoskeletal disorders in this population are still scarce in the literature. This study aimed at evaluating symp toms of workrelated musculoskeletal disorders among profes sors of the University of Pernambuco-Petrolina Campus. METHODS: Sample was made up of 49 professors and to ob tain musculoskeletal symptoms prevalence and typology, the Nordic Musculoskeletal Symptoms Questionnaire was used, as well as the visual analog scale to evaluate pain intensity. RESULTS: The prevalence of musculoskeletal symptoms was 85.7%, being that 64.3% have reported that symptoms are related to and worsen with teaching activities, being cases suggestive of workrelated musculoskeletal disorders. Most af fected anatomic region was lumbar spine (54.8%), followed by cervical spine (45.2%), shoulders (23.8%) and wrists/hands (23.8%). Most prevalent regions with severe pain were upper limbs (36.8%), lower limbs (32.0%) and spine (21.9%). CONCLUSION: The studied sample had a high prevalence of musculoskeletal symptoms and acknowledged that symptoms are related to and worsen with teaching activities, being sugges tive of workrelated musculoskeletal disorders.
BACKGROUND AND OBJECTIVES: The hospital environment is considered to be unhealthy, and, moreover, the work performed by nursing professionals presents several risk factors for the development of pain. In this sense, the present study aims to analyze the musculoskeletal disorders in the nursing team and to correlate with the level of physical activity, anthropometric characteristics and the professional profile at the University Hospital in Petrolina, Pernambuco. METHODS: This was a cross-sectional study with 143 nursing professionals, of which 122 were female (37±7 years) and 21 were male (33±6 years). The individuals answered the International Physical Activity Questionnaire and the Nordic Musculoskeletal Questionnaire. RESULTS: Pain was reported in 77 volunteers, which corresponds to 53.8% of the sample. In 35 (24.4%) volunteers there was the presence of musculoskeletal disorders in more than one body segment. Regarding pain distribution by body segment, the higher prevalence's were observed in the lumbar region and the knees, both with 17.4%. In addition, there were associations between being male and pain in the elbows (PR=5.
Background: Functional independence and safe mobility, especially in older people, mostly rely on the ability to perform dual tasks, particularly during activities with variable-and fixed-priority attention. The aim of this study is to compare the dual-task training with progression from variable-to fixed-priority instructions versus dual-task training with variable-priority on gait speed in community-dwelling older adults. Methods: This is an assessor-and participant-blinded, two-arm, randomized controlled trial with 60 communitydwelling male and female older adults between the ages of 60 and 80 years old. Participants will be randomly allocated into either the intervention group or the control group using a computer-generated permuted block randomization schedule. The intervention group will undertake a progressive dual-task training in which the participants will be progressively submitted to dual-task walking and postural balance exercises with variable-to fixed-priority instructions. The control group will be submitted to dual-task training with variable-priority attention exercises. Both groups will receive 48 sessions lasting for 60 min each over 24 weeks. The primary outcome will be the gait speed under single-and dual-task conditions. Secondary outcomes will include spatiotemporal gait parameters, functional balance, executive function, falls, quality of life, and depression symptoms. All the analyses will be based on the intention-to-treat principle.
A pesquisa teve o objetivo de conhecer os hábitos alimentares e o nível de atividade física de estudantes do primeiro e último ano dos cursos de saúde da Universidade de Pernambuco, Campus Petrolina. Trata - se de um estudo do tipo transversal, descritivo e observacional, realizado com estudantes dos cursos de nutrição, fisioterapia e enfermagem da Universidade de Pernambuco (UPE), campus Petrolina. Os instrumentos utilizados foram o Questionário “Como está sua alimentação?” proposto pelo Ministério da Saúde e o questionário Internacional de Atividade Física (International Physical Activity Questionnaire) adaptado. A amostra foi composta por 155 acadêmicos dos cursos de saúde da universidade, dos quais 102 (65,8%) eram ingressantes e 53 (34,2%) concluintes. Com predomínio de indivíduos do sexo feminino. A média de idade foi de 21,7 (± 3,5) anos. Os estudantes apresentaram inadequada ingestão de frutas. O consumo de verduras e legumes esteve dentro do padrão das recomendações diárias para esse grupo de alimentos. Em relação à ingestão de água entre os participantes, tem-se que 72,26% destes não bebem a quantidade recomendada, observou-se diferença significativa (p<0,05) neste quesito. A proporção de alunos classificados como sedentários foi de 7,8% para os do primeiro ano e 1,9% para o último ano. O estudo verificou inadequação de hábitos alimentares, como o reduzido consumo de frutas e a pouca ingestão de água, além do baixo nível de atividade física entre os estudantes dos cursos analisados, observando-se que, mesmo sendo acadêmicos da área da saúde, nem sempre conseguem efetivar na prática aquilo repassado na teoria.
characteristics. The Nordic Musculoskeletal Questionnaire and the visual analog scale were used. RESULTS: In the study sample, most of the individuals were male with an average of 62±8 working hours per week. Regarding the presence of musculoskeletal symptoms, the most affected anatomical region was the back, followed by the knees and then the chest. As for the pain perception of the subjects, the spine and lower limbs showed higher pain intensity when compared to other regions. Most of the sample believe that musculoskeletal symptoms are related to work. CONCLUSION: The findings in this study demonstrate the presence of musculoskeletal symptoms in the studied population. The analysis of the musculoskeletal disorders of these police officers will serve as an input for the planning of intervention actions to improve the general conditions of the service provided by the Ostensive Motorcycle Patrol Group.
We describe a rare occurrence of congenital peribronchial myofibroblastic tumor of the lung presenting in early fetal life. A female patient in the 24th week of gestation who presented with polyhydramnios was admitted for examination. Ultrasound examination revealed a mass compromising the lungs. Because the intrauterine fetal death was revealed by the ultrasound, delivery was induced. Necropsy revealed a pulmonary lesion compromising the left lower pulmonary lobe together with hepatomegaly. Microscopic analysis of the lung showed a lesion with a storiform arrangement of spindle cells with focal peribronchial distribution. Hepatic architecture was diffusely altered by fibrotic tissue. Immunohistochemical analysis on the pulmonary lesion showed high vimentin positivity in the fusocellular components, pointing to the mesenchymal nature of the lesion. Significant differentiation of smooth muscle tissue, as indicated by high HHF35 positivity, was also observed. Electron microscopy on the pulmonary lesion revealed elongated cells with some cytoplasmatic processes, a finding that is also compatible with mesenchymal differentiation.
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