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1.
Medicina (B Aires) ; 85(1): 8-15, 2025.
Artigo em Espanhol | MEDLINE | ID: mdl-39900043

RESUMO

INTRODUCTION: Influenza represents a global public health challenge. Influenza vaccination is crucial for preventing complications. The World Health Organization recommends a coverage rate of at least 75% for the at-risk population. The aim of this study was to evaluate vaccination coverage among members of the Health Plan of the Hospital Italiano de Buenos Aires. MATERIALS AND METHODS: Cross-sectional study nested within a dynamic cohort. All members of the Health Plan during the influenza vaccination campaigns of 2022 and 2023 were included. The influenza vaccination rate was calculated and reported as a percentage with its respective 95% confidence interval (CI95%). Demographic variables and comorbidities were analyzed. RESULTS: The influenza vaccination rate was 12% in 2022 and 10% in 2023. Subjects aged between 6 and 23 months had the highest vaccination rates in both periods, at 43% (CI95% 41-46) in 2022 and 48% (CI95% 45-51) in 2023, followed by the population over 65 years old with a rate of 23% (CI95% 23-24) in 2022 and 18% (CI95% 18-19) in 2023. The most common comorbidities were hypertension and dyslipidemia. DISCUSSION: Influenza vaccination coverage in our population fell below the recommendations of the World Health Organization, highlighting the presence of barriers to influenza immunization.


Introducción: La gripe es un grave problema global de salud pública. La vacunación antigripal es crucial para prevenir complicaciones. La Organización Mundial de la Salud recomienda un porcentaje de cobertura de al menos 75% para la población en riesgo. El objetivo de este estudio fue evaluar la cobertura de vacunación en los afiliados al Plan de Salud del Hospital Italiano de Buenos Aires. Materiales y métodos: Estudio de corte transversal anidado en una cohorte dinámica. Se incluyeron todos los afiliados al Plan de Salud durante las campañas de vacunación antigripal de 2022 y 2023. Se calculóla tasa de vacunación antigripal y se reportócomo porcentaje con su respectivo intervalo de confianza del 95% (IC95%). Se analizaron las variables demográficas y comorbilidades. Resultados: La tasa de vacunación antigripal fue de 12% en 2022 y de 10% en el 2023. Los sujetos entre 6 y 23 meses tuvieron las tasas de vacunación más alta en ambos periodos, siendo de 43% (IC95% 41-46) en 2022 y de 48% (IC95% 45-51) en 2023, seguido de la población mayor de 65 años con una tasa de 23% (IC95% 23-24) en 2022 y 18% (IC95% 18-19) en 2023. Las comorbilidades más frecuentes fueron la hipertensión y la dislipidemia. Discusión: La cobertura de vacunación antigripal en nuestra población se situópor debajo de las recomendaciones de la Organización Mundial de la Salud poniendo de manifiesto la presencia de barreras en la inmunización antigripal.


Assuntos
Vacinas contra Influenza , Influenza Humana , Cobertura Vacinal , Humanos , Estudos Transversais , Cobertura Vacinal/estatística & dados numéricos , Masculino , Argentina/epidemiologia , Feminino , Vacinas contra Influenza/administração & dosagem , Idoso , Pessoa de Meia-Idade , Adulto , Lactente , Influenza Humana/prevenção & controle , Pré-Escolar , Adolescente , Adulto Jovem , Criança
2.
Medicina (B Aires) ; 85(1): 23-30, 2025.
Artigo em Espanhol | MEDLINE | ID: mdl-39900045

RESUMO

INTRODUCTION: Diastolic function has a dynamic behavior according to modifying factors. We describe the variables used in its assessment by echocardiography in different population groups of men and women to determine whether changes can be predicted according to their risk factors. MATERIALS AND METHODS: Observational and descriptive cross-sectional registry. A systematic collection of anthropometric characteristics, risk factors and specific echocardiographic variables of diastolic function was performed in an outpatient echocardiography laboratory. Quantitative variables were expressed as mean and standard deviation for Gaussian distribution variables. Discrete variables were analyzed using contingency tables, qualitative variables are expressed as percentages. Means were compared using the Student t test. RESULTS: A total of 107 patients were admitted. Those with sedentary lifestyle had a mean left atrial volume of 29 ml/m2, a deceleration time of 218 ms, a transmittal flow ratio E/A (EA) of 1.5, tissue Doppler ratio Ee´ (Ee) of 6 and e´a´ (ea) of 1.4; those who performed physical activity 3 times a week were characterized by having a left atrial volume of 35 ml/m2, a deceleration time of 210 ms, EA of 1.8, Ee of 5 and ea of 1.8. Patients with obesity had a left atrial volume of 35 ml/m2, deceleration time of 226 ms, E/A 1.1, Ee of 9 and ea of 1.2. Those with arterial hypertension had a left atrial volume of 33 ml/m2, deceleration time of 224 ms and E/A ratio of 1, Ee of 8 and ea of 1. DISCUSSION: The inclusion of certain risk factors in the history prior to echocardiographic evaluation can predict subgroups with different diastolic function.


Introducción: La función diastólica tiene un comportamiento dinámico según factores modificantes. Describimos las variables utilizadas en su valoración por ecocardiografía en diferentes grupos poblacionales de hombres y mujeres, para determinar si pueden predecirse cambios acordes a sus factores de riesgo. Materiales y métodos: Registro transversal observacional y descriptivo. En laboratorio ambulatorio de ecocardiografía se efectuóla recolección sistemática de características antropométricas, factores de riesgo y variables ecocardiográficas específicas de función diastólica. Las variables cuantitativas se expresaron como media, y las de distribución gausiana como desviación estándar. Las variables discretas se analizaron por tablas de contingencia, las cualitativas se expresan como porcentaje. Se usóT de Student para comparar las medias. Resultados: Ingresaron 107 pacientes. Aquellos con sedentarismo presentaron volumen medio-auricularizquierdo: 29 ml/m2, tiempo de desaceleración: 218 ms, relación flujo transmitral E/A (EA): 1.5, relación Doppler tisular Ee´(Ee): 6, y e´a´ (ea): 1.4; quienes realizaban actividad física 3 veces/ semana tenían un volumen-auricularizquierdo de 35 ml/m2, tiempo de desaceleración de 210 ms, EA de 1.8, Ee de 5 y ea de 1.8. Los pacientes con obesidad presentaron un volumen-auricular-izquierdo de 35 ml/m2, tiempo de desaceleración de 226 ms, E/A 1.1, Ee: 9 y ea: 1.2. Quienes presentaban hipertensión arterial tenían un volumen-auricular-izquierdo de 33 ml/m2, tiempo de desaceleración 224 ms, relación E/A 1, Ee 8 y ea 1. Discusión: La inclusión de determinados factores de riesgo en la anamnesis previa a la valoración ecocardiográfica puede predecir subgrupos con función diastólica diferente.


Assuntos
Diástole , Humanos , Feminino , Masculino , Estudos Transversais , Diástole/fisiologia , Pessoa de Meia-Idade , Fatores de Risco , Idoso , Ecocardiografia Doppler , Fatores de Risco de Doenças Cardíacas , Comportamento Sedentário , Adulto , Obesidade/fisiopatologia , Obesidade/complicações , Ecocardiografia , Hipertensão/fisiopatologia , Hipertensão/diagnóstico por imagem
3.
Medicina (B Aires) ; 85(1): 56-63, 2025.
Artigo em Espanhol | MEDLINE | ID: mdl-39900049

RESUMO

INTRODUCTION: Given the importance of reducing lowvalue care practices and acknowledging that vitamin D testing in the general population is rising despite the absence of evidence to support such conduct, we decided to investigate its overuse. MATERIALS AND METHODS: Design: cross-sectional study. DATA SOURCE: electronic medical records. POPULATION: patients aged between 18 and 64 on the Hospital Italiano de Buenos Aires Health Maintenance Organization membership list, to whom at least one test of vitamin D had been performed between July 1st and December 31st 2022. A sample of electronic medical records was manually analyzed. In the presence/suspicion of a clinical condition that counts with recommendation for Vitamin D testing, its indication was considered appropriate; however, in its absence, it was considered inappropriate. RESULTS: A total of 10 095 vitamin D tests were performed on 9623 patients (mean age 47, 78.1% female). These patients were 10% of the 97 584 HMO members aged between 18 and 64 in 2022. A hundred and sixty of the 242 patients whose electronic medical records were analyzed (66%, CI 95% 60 - 72), did not have a clinical condition that justified vitamin D testing. The most frequent clinical conditions found for testing were osteopenia in 37/242 patients (15%); osteoporosis, 13/242 (5%) and chronic kidney disease 11/242 (5%). DISCUSSION: Two-thirds of the vitamin D tests performed did not have a clinical condition that justified the practice. These findings represent an opportunity to design strategies to institutionally reduce this low-value care practice.


Introducción: Dada la importancia de reducir las prácticas de bajo valor y teniendo en cuenta que los dosajes séricos de vitamina D en la población general están aumentando, a pesar de la ausencia de evidencia que respalde dicha conducta, decidimos investigar su sobreúso. Materiales y métodos: Diseño: corte transversal. Fuente de datos: historia clínica electrónica. Población: pacientes de entre 18 y 64 años afiliados al plan de medicina prepaga del Hospital Italiano de Buenos Aires a quienes se les realizóal menos un dosaje de vitamina D en el segundo semestre de 2022. Se analizó manualmente una muestra de historias clínicas. Ante la presencia/sospecha de una condición clínica que contase con recomendación de dosaje de vitamina D, la indicación para realizarlo se consideróadecuada, mientras que ante su ausencia se consideróinapropiada. Resultados: Un total de 10 095 determinaciones de vitamina D fueron realizadas a 9623 pacientes (78% mujeres, edad media 47 años), quienes representan el 10% de la población (97 584). En 160 (66%, CI 95% 60-72) de los 242 pacientes cuyas historias clínicas fueron revisadas, no había documentada condición clínica que avalara la prueba. En 37/242 (15%) se constatóosteopenia como motivo de la determinación; en 13/242 (5%), osteoporosis y en 11/242 (5%), enfermedad renal crónica. Discusión: Dos tercios de las determinaciones de vitamina D pueden ser interpretadas como inapropiadamente indicadas. Estos datos representan una oportunidad para diseñar estrategias que reduzcan esta práctica de bajo valor a nivel institucional.


Assuntos
Registros Eletrônicos de Saúde , Vitamina D , Humanos , Estudos Transversais , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Vitamina D/sangue , Vitamina D/análise , Adolescente , Adulto Jovem , Registros Eletrônicos de Saúde/estatística & dados numéricos , Argentina , Deficiência de Vitamina D/diagnóstico , Deficiência de Vitamina D/epidemiologia
4.
Pituitary ; 28(1): 25, 2025 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-39900878

RESUMO

PURPOSE: Sarcopenic obesity (SO), a condition characterized by the coexistence of obesity and sarcopenia, has primarily been studied in elderly populations. However, it can also affect individuals with chronic diseases. This study aims to evaluate the prevalence of SO in patients with acromegaly. METHODS: Observational, cross-sectional study, involving patients with acromegaly followed at a tertiary center and controls matched for age and sex. Health assessment questionnaire, physical tests, body composition and bone mineral density assessment, were performed in all participants. SO was diagnosed using criteria from ESPEN and EASO Consensus Statements. RESULTS: 48 patients with acromegaly (acromegaly group - AG, 26 women, mean age 56.3 ± 11.6, mean BMI 31.3 ± 4.9) were compared to 48 controls (control group - CG, 26 women, mean age 56.7 ± 13.7, BMI 25.5 ± 4.7). Despite having greater total and appendicular lean mass, AG showed significant impairments in physical performance, particularly in strength, gait speed and balance (p < 0.05). The prevalence of SO in the AG was 16.7%, compared to 0% in the CG (p = 0.006), and positively correlated with increased fat mass and impaired physical performance. CONCLUSIONS: SO is present in patients with acromegaly and is associated with notable functional impairments despite increased muscle mass.


Assuntos
Acromegalia , Obesidade , Sarcopenia , Humanos , Acromegalia/complicações , Acromegalia/epidemiologia , Acromegalia/fisiopatologia , Feminino , Sarcopenia/epidemiologia , Obesidade/complicações , Obesidade/epidemiologia , Pessoa de Meia-Idade , Estudos Transversais , Masculino , Idoso , Adulto , Composição Corporal/fisiologia , Prevalência
5.
Clinics (Sao Paulo) ; 80: 100588, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39893829

RESUMO

INTRODUCTION: Inflammation is hypothesized to be a pivotal factor influencing muscle function, with C-Reactive Protein (CRP) serving as a common biomarker of inflammation. However, the literature pertaining to the relationship between CRP and muscle mass remains scant, particularly among representative adult populations in the United States. The present study aimed to delve into the association between serum CRP levels and muscle mass among American adults, leveraging data from the National Health and Nutrition Examination Survey (NHANES) conducted from 1999 to 2006. METHODS: A cohort of 13,518 participants, representative of the US adult population, underwent dual-energy X-Ray Absorptiometry (DXA) to assess Appendicular Skeletal Muscle Mass (ASM) and had their CRP levels measured. Muscle mass was defined using ASM adjusted by Body Mass Index (ASM/BMI) criteria. Employing weighted logistic regression models, restricted cubic spline analysis, and subgroup analyses, the authors examined the association between serum CRP and low muscle mass. RESULTS: After meticulously adjusting for various covariates, the present findings revealed a positive association between serum CRP levels and the risk of low muscle mass in American adults (OR = 1.07, 95 % CI 1.01‒1.14, p = 0.016). Notably, an inverse J-shaped relationship was observed, with serum CRP inflection points of 0.273 mg/dL for the overall population, 0.172 mg/dL for males, and 0.296 mg/dL for females. Subgroup analysis further demonstrated that factors such as gender, race, educational level, smoking status, congestive heart failure, stroke, renal weakness/failure, coronary heart disease, diabetes, hypertension, vigorous physical activity, moderate physical activity, and muscle strengthening activities did not significantly impact this positive correlation (all p for interaction values > 0.05). CONCLUSIONS: This nationally representative cross-sectional study provides robust evidence of an inverse J-shaped association between serum CRP levels and the risk of low muscle mass in adults in the United States, with a critical inflection point of 0.273 mg/dL. These findings may inform future research and clinical strategies aimed at mitigating the negative effects of inflammation on muscle mass and function in the adult population.


Assuntos
Absorciometria de Fóton , Biomarcadores , Proteína C-Reativa , Músculo Esquelético , Inquéritos Nutricionais , Humanos , Proteína C-Reativa/análise , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Estados Unidos , Músculo Esquelético/anatomia & histologia , Biomarcadores/sangue , Índice de Massa Corporal , Estudos Transversais , Sarcopenia/sangue , Idoso , Fatores de Risco , Adulto Jovem
6.
PLoS One ; 20(2): e0310450, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39899592

RESUMO

Resilience refers to one's ability to face life's challenges and achieve positive outcomes, and has drawn increasing interest from researchers and policymakers. The Adolescent Resilience Questionnaire (ARQ) is a measure that assesses resilience in adolescents according to a multidimensional perspective, encompassing its several different domains. This cross-sectional study aimed to translate and evaluate the measurement properties of the Brazilian version of the ARQ (B-ARQ) for use with Brazilian adolescents. Two native speakers in Brazilian Portuguese language who were also fluent in English language translated the ARQ from English into Portuguese. A committee of experts in validation studies compared the translated versions. A summarized version was produced and back-translated by a translator native of the English language and fluent in Portuguese. The B-ARQ was pre-tested in a sample of 21 adolescents. An expert committee considered the suggestions and defined the final version of the instrument, which was tested in a sample of 210 adolescent students from public and private schools in the city of Dom Pedrito, Brazil. All students filled out the 88-item instrument as well as a socio-demographic questionnaire. Statistical analysis included descriptive statistics of all variables (frequency distribution, floor, ceiling effects), internal consistency, and confirmatory factor analysis of the version with 88 items and the shortened version with 49 items. The short version with 49 items was validated in a cross-sectional study in an adolescent population of high school students using exploratory factor analysis in the Unites States. The 88-item ARQ had poor structural validity with unsatisfactory model fit indices. Therefore, the investigation focused on the short 49-item version of the ARQ (B-ARQ-SV). The final model presented satisfactory RMSEA = 0.042 (p = 0.994, 90% CI: 0.037-0.047) and SRMR of 0.076, despite the low CFI (0.878). The internal consistency was estimated with McDonald's Omega for each factor: Confidence (ω = 0.480), Negative Cognition (ω = 0.588), Empathy/tolerance (ω = 0.295), Emotional insight (ω = 0.425), Social Skill (ω = 0.235), Family Domain Connectedness (ω = 0.785), Family Domain Availability (ω = 0.847), Peers Domain Connectedness (ω = 0.719), Peers Domain Availability (ω = 0.402), School Domain Supportive environment (ω = 0.677), School Domain Connectedness (ω = 0.013), Community Domain Connectedness (ω = 0.791). One scale showed a ceiling effect (frequency higher than 15.0%), but we identified no critical floor effect. The B-ARQ-SV is a valid (in terms of content and structural validity) and reliable (in terms of internal consistency) measurement instrument to assess resilience in Brazilian adolescents.


Assuntos
Resiliência Psicológica , Humanos , Adolescente , Brasil , Feminino , Masculino , Inquéritos e Questionários , Estudos Transversais , Reprodutibilidade dos Testes , Psicometria/métodos , Traduções , Idioma
7.
Arch. argent. pediatr ; 123(1): e202410417, feb. 2025. tab
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1585287

RESUMO

Introducción. El dengue es una infección viral que puede cursar de forma asintomática o incluir manifestaciones graves. El objetivo del trabajo es describir las características de una población pediátrica durante el brote epidémico del 2023. Población y métodos. Estudio de corte transversal que incluyó pacientes con dengue probable o confirmado atendidos del 13 de marzo de 2023 al 19 de mayo de 2023 en un hospital pediátrico de la Ciudad Autónoma de Buenos Aires. Resultados. Se incluyeron 112 pacientes. La mediana de edad fue 12 años; el 58 % fueron varones. El 76 % procedía de la Ciudad Autónoma de Buenos Aires. El 25 % tenía convivientes con sintomatología compatible con caso sospechoso. Las manifestaciones clínicas más frecuentes fueron fiebre, cefalea con dolor retroocular y mioartralgias. Las alteraciones de laboratorio más frecuentes fueron la leucopenia (65 %) y la elevación de transaminasas (60 %). El 21 % (24/112) presentó signos de alarma y requirió internación. La leucopenia, la plaquetopenia y el aumento de transaminasas se asociaron con la presencia de signos de alarma. Se confirmaron 53 pacientes por PCR-RT detectable, el serotipo 2 fue el más frecuente. Se asumieron como casos probables de dengue 21 pacientes con prueba NS1 positiva, 18 pacientes con IgM positiva y 20 pacientes con clínica y nexo epidemiológico. No hubo casos de dengue grave. Conclusión. Durante la infección por dengue, la sospecha clínica precoz y el reconocimiento de los parámetros de laboratorio asociados a los signos de alarma resultan esenciales para un adecuado abordaje de la enfermedad y un tratamiento de sostén precoz.


Introduction. Dengue is a viral infection that may be asymptomatic or include severe manifestations. This study aims to describe the characteristics of a pediatric population during the epidemic outbreak in 2023. Population and methods. This cross-sectional study included patients with probable or confirmed dengue fever who were seen from March 13, 2023, to May 19, 2023, in a pediatric hospital in the Autonomous City of Buenos Aires. Results. A total of 112 patients were included. The median age was 12 years; 58% were male. Seventysix percent of them came from the City of Buenos Aires. Twenty-five percent had cohabitants with symptoms compatible with a suspected case. The most frequent clinical manifestations were fever, headache, retro-ocular pain, myalgia, and arthralgia. The most frequent laboratory alterations were leukopenia (65%) and elevated transaminases (60%). Twenty-one percent (24/112) presented alarm signs and required hospitalization. Leukopenia, plateletopenia, and elevated transaminases were associated with the presence of alarm signs. RT-PCR was detected in fifty-three patients; serotype 2 was the most frequent. Twenty-one patients had positive NS1 tests, 18 patients had positive IgM, and 20 patients with clinical and epidemiological links were assumed to be probable dengue cases. There were no cases of severe dengue. Conclusion. Early clinical suspicion and recognition of laboratory parameters associated with alarm signs are essential for an adequate approach to the disease and early supportive treatment during dengue infection.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Dengue/diagnóstico , Dengue/epidemiologia , Hospitais Pediátricos , Argentina/epidemiologia , Saúde da População Urbana , Surtos de Doenças , Estudos Transversais , Epidemias
8.
Arch. argent. pediatr ; 123(1): e202410359, feb. 2025. tab
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1585222

RESUMO

Introducción. La población trans en Argentina representa el 0,43 %. Nuestro objetivo fue describir las características de niñas, niños y adolescentes trans y no binarios. Población y métodos. Se diseñó un estudio de corte transversal. La población fueron todas las personas menores de 24 años trans o no binarias atendidas por un equipo interdisciplinario en un hospital universitario de tercer nivel desde enero de 2019 hasta mayo de 2023. La muestra se obtuvo de la base de datos de pacientes atendidos a través de la revisión de las historias clínicas electrónicas (HCE). Resultados. Se analizaron las HCE de 107 personas; el promedio de la primera consulta fue 15,3 años y la edad de autopercepción de identidad de género trans, 11,1 años. El 72 % se percibió con una identidad varón trans; en el 89,7 %, su expresión de género fue acorde a su autopercepción y el 46,3 % tuvo una orientación sexual bisexual. El 76 % reconoció tener contención familiar; el 87,3 %, contención escolar; y el 92,5 %, contención de sus pares. El 44,8 % realizó una estrategia hormonal; el 14,1 %, intervención quirúrgica; el 57,1 %, intervención con salud mental; y el 29,1 % recibió medicación psiquiátrica. Solo 3 pacientes (2,8 %) detransicionaron su identidad de género. Conclusión. La mayoría de las personas eran varones trans y percibieron una buena contención de sus entornos. Casi la mitad recibió una estrategia hormonal; menos de un cuarto, una intervención quirúrgica; más de la mitad, una intervención con salud mental. La detransición fue infrecuente.


Introduction. The trans population in Argentina represents 0.43%. Our objective was to describe the characteristics of trans and non-binary children and adolescents. Population and methods. A cross-sectional study was designed. The population was all trans or nonbinary persons under 24 years of age seen by an interdisciplinary team in a tertiary university hospital from January 2019 to May 2023. The sample was obtained from the database of patients seen by reviewing electronic medical records (EMR). Results. The EMRs of 107 individuals were analyzed; the average age at first consultation was 15.3 years, and the age of self-perceived transgender identity was 11.1 years. Seventy-two percent perceived themselves as having a trans male identity; in 89.7%, their gender expression was by their self-perception, and 46.3% had a bisexual sexual orientation. Seventy-six percent acknowledged having family support; 87.3%, school support; and 92.5%, peer support. 44.8% had a hormonal strategy, 14.1% had surgery, 57.1% had mental health intervention, and 29.1% received psychiatric medication. Only three patients (2.8%) detransitioned their gender identity. Conclusion. Most individuals were trans men and perceived good support from their environments. Almost half received a hormonal strategy; less than a quarter received a surgical intervention; more than half received a mental health intervention. The detransition was infrequent.


Assuntos
Humanos , Adolescente , Adulto Jovem , Pessoas Transgênero/psicologia , Centros de Atenção Terciária , Argentina , Estudos Transversais , Identidade de Gênero
9.
Arch. argent. pediatr ; 123(1): e202410451, feb. 2025. tab, graf
Artigo em Inglês, Espanhol | BINACIS, LILACS | ID: biblio-1585056

RESUMO

Introducción. La llegada de internet y las redes sociales ha revolucionado el acceso a la información sobre temas de salud y crianza. Las consultas virtuales se extienden en el mundo, van en aumento y representan un desafío para el ejercicio profesional. Objetivo. Caracterizar el uso, por parte de madres y padres, de internet y redes sociales como fuente de información sobre la salud y/o crianza de sus hijos. Población y métodos. Estudio descriptivo, transversal en un centro pediátrico ambulatorio de la Ciudad Autónoma de Buenos Aires para conocer hábitos de consulta en línea de cuidadores de niños sanos o con problemas de salud. Resultados. Se analizaron 201 encuestas, respondidas predominantemente por madres de niños sanos. El 70,6 % realiza búsquedas en línea sobre temas de salud y/o crianza; de ellos, el 80 % consulta más de una vez al mes. Si bien el 36 % de las familias usa la información en forma complementaria a la consulta médica, el 95 % no reemplazaría la consulta pediátrica por la búsqueda en línea. Los participantes no tienen el hábito de seguir páginas oficiales ni suelen verificar la veracidad de los contenidos. Los temas de búsqueda se relacionan con la edad del niño y la satisfacción con los resultados de la información se modifican según el niño sea sano o tenga un problema de salud. Solo el 4,7 % respondió que la búsqueda siempre responde sus dudas. Conclusiones. Los cuidadores buscan información en línea sobre crianza y salud con alta frecuencia, pero las fuentes no siempre son confiables. Aunque la consulta con pediatras no se ve desplazada, desconocemos el impacto de la información en línea en la toma de decisiones sobre la salud. Los pediatras podemos intervenir y orientar hacia fuentes seguras.


Introduction. The Internet and social media have revolutionized access to information on health and parenting issues. Virtual consultations are spreading worldwide, are increasing, and represent a challenge for professional practice. Objective. To characterize the use of the Internet and social media by mothers and fathers as a source of information on the health and parenting of their children. Population and methods. A descriptive, cross-sectional study in an outpatient pediatric center in the City of Buenos Aires to determine the online consultation habits of caregivers of healthy children or children with health problems. Results. Two hundred-one surveys were analyzed, and the answers were predominantly from mothers of healthy children; 70.6% search online for health and parenting topics; 80% consult more than once a month. Although 36% of the families use the information to complement the medical consultation, 95% would not replace the pediatric consultation with the online search. The participants are not in the habit of following official pages, nor do they tend to verify the veracity of the contents. The search topics are related to the child's age, and satisfaction with the information results are modified according to whether the child is healthy or has a health problem. Only 4.7% responded that the search always answers their questions. Conclusions. Caregivers frequently seek online parenting and health information, but the sources are not always reliable. Although consultation with pediatricians is not displaced, we need to know the impact of online information on health decision-making. Pediatricians can intervene and guide caregivers to safe sources.


Assuntos
Humanos , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Poder Familiar , Internet/estatística & dados numéricos , Mídias Sociais/estatística & dados numéricos , Pais/psicologia , Estudos Transversais , Informação de Saúde ao Consumidor , Comportamento de Busca de Informação , Fonte de Informação
10.
Braz Oral Res ; 39: e009, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907323

RESUMO

The aim of this study was to assess the oral condition of individuals diagnosed with COVID-19 and its impact on their quality of life. The cross-sectional study participants were patients with or without a diagnosis of COVID-19, on room air, and conscious, admitted to the ICUs and wards of Public Hospital Units in São Luís, Maranhão, Brazil. The data collected included: demographic information, length of stay, comorbidities, and type of diet, obtained from medical records; Oral Health-Related Quality of Life (OHRQoL) [Oral Health Impact Profile (OHIP-14)]questions patients were asked; oral health (measured by the Bedside Oral Exam Scale); oral hygiene status (assessed by the Oral Hygiene Index - Simplified and lingual: degree of lingual coating); and salivary flow. The prevalence of COVID-19 was associated with gender (p = 0.038), with a higher incidence observed in male patients (61.9%). Moreover, there was a correlation between the hospitalization sector (p = 0.037) and the frequency of ICU admissions (53.7%). The prevalence of comorbidities was comparable between the two groups. Relative to oral health, 53% of individuals with confirmed COVID-19 had moderate oral health, while 9% exhibited poor oral health. The prevalence of hyposalivation was higher in the group with a confirmed diagnosis of COVID-19. The quality of life of individuals with confirmed COVID-19 was most significantly impacted by moderate to severe oral health concerns. The most significant alteration in oral health was a reduction in salivary flow, negatively impacting the quality of life of individuals hospitalized for COVID-19 complications.


Assuntos
COVID-19 , Hospitalização , Saúde Bucal , Qualidade de Vida , Humanos , COVID-19/epidemiologia , Masculino , Feminino , Estudos Transversais , Pessoa de Meia-Idade , Brasil/epidemiologia , Saúde Bucal/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Adulto , Idoso , Fatores Sexuais , SARS-CoV-2 , Prevalência , Índice de Higiene Oral , Adulto Jovem , Higiene Bucal/estatística & dados numéricos
11.
Braz Oral Res ; 39: e010, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907324

RESUMO

An association between bruxism and musculoskeletal disorders, such as neck pain, has been established. This study investigated the association of possible sleep bruxism (PSB) activities, including grinding, bracing, and thrusting, with smartphone use, smartphone-induced neck pain, and sleep features. This cross-sectional study involved 403 Brazilian adolescents aged 11 to 19 years. A self-administered questionnaire was used to assess the severity of PSB, smartphone use, smartphone-induced neck pain, and sleep features (sleep duration and quality and history of nightmares). Sociodemographic factors, as well as snoring and drooling on the pillow, were considered potential confounders and were assessed based on reports from parents/caregivers. Participants were selected using multiple-stage sampling. Descriptive analysis and multinomial regression were performed (p ≤ 0.05). Adolescents reporting nightmares at least once a month (OR = 3.402; 95%CI: 1.315-8.802) and sometimes experiencing smartphone-induced neck pain (OR: 3.697, 95%CI: 1.103-12.388) were more likely to report moderate/severe grinding. Drooling on the pillow (OR = 3.105, 95%CI: 1.316-7.329), poor/fairly good sleep quality (OR = 2.717, 95%CI: 1.279-5.770), and smartphone-induced neck pain (OR = 3.227, 95%CI: 1.121-9.285) were associated with mild bracing. Adolescents experiencing nightmares once a week (OR = 3.209, 95% CI: 1.202- 8.565) had a higher prevalence of mild thrusting. Self-reported smartphone-induced neck pain, nightmares, poor/fairly good sleep quality, and drooling on the pillow were associated with a higher prevalence of PSB activities among Brazilian adolescents. Clinicians and researchers are encouraged to include assessments of smartphone use and sleep features in anamnesis, promoting a comprehensive approach to PSB, from diagnosis to treatment.


Assuntos
Cervicalgia , Bruxismo do Sono , Smartphone , Humanos , Adolescente , Bruxismo do Sono/epidemiologia , Feminino , Masculino , Estudos Transversais , Cervicalgia/epidemiologia , Cervicalgia/etiologia , Smartphone/estatística & dados numéricos , Criança , Brasil/epidemiologia , Adulto Jovem , Inquéritos e Questionários , Fatores Socioeconômicos , Índice de Gravidade de Doença , Sono/fisiologia , Prevalência , Fatores de Risco
12.
Rev Lat Am Enfermagem ; 33: e4452, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39907350

RESUMO

to analyze the vaccination status of individuals with type 1 and type 2 diabetes in Primary Healthcare.cross-sectional, analytical study conducted in 25 Family Health teams with 274 individuals with diabetes. Sociodemographic and clinical variables were evaluated, as well as the full vaccination schedule for each vaccine recommended by the National Immunization Program, through bivariate analysis and logistic regression.among individuals with diabetes mellitus, the following incomplete vaccination rates were found: 69.1% for hepatitis B; 64.6% for diphtheria and tetanus; 74.3% for yellow fever; 87.9% for pneumococcus; 87.9% for varicella; 24.5% for influenza; and 0.7% for COVID-19. The reported reasons for low vaccination rates included not knowing the importance of vaccination and not being informed by healthcare providers. A statistically significant association was found between sociodemographic and clinical profile regarding the full vaccination schedule between the influenza vaccine and age and income; COVID-19 and age, type of diabetes and duration of diabetes.individuals with type 1 and type 2 diabetes treated in Primary Healthcare showed low vaccination rates, which is concerning due to increased vulnerability to vaccine-preventable infections and mortality within this group. BACKGROUND: (1) Individuals with diabetes have low vaccination rates. (2) It is essential to provide vaccination opportunities in health services for individuals with diabetes. (3) Education for vaccine-prescribing professionals is necessary. (4) Young people are less likely to get vaccinated than older adults. (5) It is essential to understand the predisposing factors related to vaccination status.


Assuntos
Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 2 , Atenção Primária à Saúde , Humanos , Estudos Transversais , Masculino , Feminino , Atenção Primária à Saúde/estatística & dados numéricos , Adulto , Pessoa de Meia-Idade , Diabetes Mellitus Tipo 2/terapia , Vacinação/estatística & dados numéricos , Adulto Jovem , Adolescente , Idoso , COVID-19/prevenção & controle , COVID-19/epidemiologia
13.
Rev Lat Am Enfermagem ; 33: e4476, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39907352

RESUMO

to analyze the relationship between the exercise of authentic leadership by coordinators and job satisfaction among professors of undergraduate nursing courses at federal public universities.this is a quantitative study with an observational, analytical, and cross-sectional design. Twelve undergraduate nursing courses at public higher education institutions were chosen to participate in the study. The information collected was analyzed using descriptive statistical techniques, Spearman's correlation test, and binary logistic regression analysis, with a 5% significance level.the sample consisted of 179 professors who completed the Sociodemographic Questionnaire, the Authentic Leadership Questionnaire, and the Job Satisfaction Questionnaire. The professors rated the course coordinators as having high levels of authentic leadership practice. As for the binary logistic regression, only the Relational and Moral domain showed significance (p-value < 0.0001), indicating that when this domain is present, there is a 5.48-fold increase in the chance of professors being satisfied.the results of the study indicate that the job satisfaction of professors in undergraduate nursing courses is influenced by the practice of authentic leadership on the part of the coordinators. BACKGROUND: (1) Advances in the practice of authentic leadership in educational management. (2) The instruments used are useful for assessing leadership and satisfaction. (3) Relationships between authentic leadership and job satisfaction were identified. (4) Measuring authentic leadership and job satisfaction in the educational environment.


Assuntos
Docentes de Enfermagem , Satisfação no Emprego , Liderança , Humanos , Docentes de Enfermagem/psicologia , Estudos Transversais , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Inquéritos e Questionários
14.
Rev Lat Am Enfermagem ; 33: e4413, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39907385

RESUMO

OBJECTIVE: to verify the internal and structural consistency of the Ambivalent Sexism Inventory in young undergraduate nursing students. METHOD: this is a cross-sectional methodological study carried out with young university students enrolled in the undergraduate Nursing course at a public university. Data was obtained by means of a sociodemographic/academic questionnaire and the Ambivalent Sexism Inventory. The analysis used Pearson's correlation, Cronbach's alpha, intraclass correlation, t-test and chi-square ratio and degrees of freedom, as well as confirmatory factor analysis to test the consistency of the existence of the bifactor model. RESULTS: the sample consisted of 305 undergraduates. The oblique bifactor model showed statistical indicators that justify the consistency of the bifactor structure of sexism in the study's target population. In addition, the psychometric indicators of the inventory showed satisfactory results. The predictive regression analysis confirmed the structure, demonstrating its consistency and robustness for assessing both hostile sexism and benevolent sexism among young university nursing students. CONCLUSION: support for the theory of ambivalent sexism was identified, reflecting the consistency of the oblique bifactor model. The analysis of the psychometric properties of the inventory, including validity and reliability, reinforces its applicability and relevance in research on gender issues in the health area. BACKGROUND: (1) Phlebitis was the most prevalent complication. (2) Pressure in the bag was associated with catheter removal before indication. (3) Length of stay and use of sedation were related to the onset of phlebitis.


Assuntos
Psicometria , Sexismo , Estudantes de Enfermagem , Humanos , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Feminino , Masculino , Estudos Transversais , Adulto Jovem , Adulto , Adolescente , Reprodutibilidade dos Testes , Inquéritos e Questionários
15.
Rev Lat Am Enfermagem ; 33: e4437, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39907388

RESUMO

OBJECTIVE: to analyze the reproductive autonomy of women during the COVID-19 pandemic, considering sociodemographic, clinical, and reproductive factors. METHOD: a quantitative study with a cross-sectional design, conducted with 314 women aged 18 to 49 years old. Data were collected through an online questionnaire containing sociodemographic, clinical, and reproductive data, as well as the Reproductive Autonomy Scale. The Mann-Whitney and Student's t tests were used to compare variables. RESULTS: significant differences were found between the average scores of "decision-making" and marital status (p = <0.001); and "absence of coercion" and "communication" with age group (p = 0.03 e <0.001), residence (p = <0.001 and <0.01), schooling level (p = 0.02 e 0.02), pregnancy (p = <0.001 e 0.04) and contraception (p = 0.02 e <0.001). CONCLUSION: not having a sexual partner positively influenced autonomy in reproductive decision-making during the COVID-19 pandemic. Women of younger age, living in the capital, with higher education levels, who had never been pregnant, and who used contraceptives during the pandemic showed greater autonomy in the absence of coercion and communication. It was possible to identify the groups that require greater attention and interventions to support their sexual health and reproductive choices. BACKGROUND: (1) A high reproductive autonomy score was observed even during the pandemic. (2) Not having a stable partner positively influenced reproductive decision-making. (3) Women living in the capital, of younger age, and with lower education levels experienced less coercion. (4) Being nulligravida and using contraception were associated with less coercion and better communication. (5) The use of an online tool during the pandemic expanded the program's reach to women.


Assuntos
COVID-19 , Tomada de Decisões , Autonomia Pessoal , Humanos , COVID-19/epidemiologia , Feminino , Estudos Transversais , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Adolescente , Gravidez , Pandemias , Inquéritos e Questionários , SARS-CoV-2 , Anticoncepção/estatística & dados numéricos
16.
Rev Lat Am Enfermagem ; 33: e4425, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39907387

RESUMO

OBJECTIVE: to analyze the validity evidence of the BAT - General version in a sample of Brazilian nursing workers. METHOD: a cross-sectional study design with non-probability sampling method was used among 3594 Brazilian nursing workers. The validity evidence was assessed by means of analysis based on the internal structure, on the relations to external variables, and on response process of the items. RESULTS: the factor models of the BAT - General version showed goodness-of-fit to the data. However, the complete factor model enabled a better understanding of burnout syndrome in the sample. It was attested the BAT - General version dimensions were positively correlated with depression, anxiety and stress symptoms and negatively correlated with job satisfaction and satisfaction with life. The validity evidence analysis based on response process of the items revealed that BAT - General version works properly both in the group of nursing workers who reported having emotional or psychological health problems and in the group who denied these problems. CONCLUSION: the results provided robust validity evidence of the BAT - General version in Brazilian nursing workers. BACKGROUND: (1) BAT - General version was shown to be a robust and consistent instrument. (2) BAT - General version can become an important management tool for nursing leaders. (3) It is a tool that can be used in the individual assessment of burnout symptoms. (4) BAT - General version should not be used for clinic diagnosis of burnout.


Assuntos
Esgotamento Profissional , Psicometria , Humanos , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Estudos Transversais , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Enfermagem , Brasil , Adulto Jovem
17.
Rev Lat Am Enfermagem ; 33: e4416, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39907386

RESUMO

OBJECTIVE: to analyze the relationship between the knowledge, prevention, attitudes and opinion of nursing professionals in adult intensive care units regarding COVID-19 and their sociodemographic and work characteristics. METHOD: cross-sectional, analytical study. 124 nursing professionals who worked in adult intensive care units after the COVID-19 pandemic were included. To measure the variables, the Awareness, Attitudes, Prevention and Perceptions of COVID-19 Outbreak among Nurses questionnaire was used. To identify differences between the groups, the following tests were used: Kruskal-Wallis and Mann-Whitney U, Pearson correlation, and multiple analysis in logistic regression for each dimension. RESULTS: participants with a workplace in private institutions showed a tendency towards better scores in awareness OR=3.92 (95%CI:1.50; 10.25), in prevention OR=8.93 (95%CI:3.12; 25.565), in attitude OR=2.77 (95%CI: 1.16; 6.58) and in perception with an OR= 19.65 (95%CI: 5.85; 65.94). In attitude, male participants showed a better result with OR=3.31 (95%CI: 1.18; 9.23) and in relation to perception, those who showed the best results were those with postgraduate studies as specialists OR=7.60 (95%CI: 1.73; 33.23). CONCLUSION: working in a private institution and having a postgraduate specialization degree were related to better scores in the dimensions of the scale. BACKGROUND: (1) Years of experience presented a positive correlation with knowledge. (2) High levels of awareness, practices, prevention and opinions were obtained. (3) Professionals with specialization have higher COVID-19 KAB scores. (4) Older nursing professionals tended to have lower scores in the dimensions of the instrument (knowledge, prevention, attitude and opinion). (5) The pandemic period improves knowledge and practices in nursing.


Assuntos
Atitude do Pessoal de Saúde , COVID-19 , Conhecimentos, Atitudes e Prática em Saúde , Humanos , COVID-19/prevenção & controle , Estudos Transversais , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Inquéritos e Questionários , Unidades de Terapia Intensiva
18.
BMC Musculoskelet Disord ; 26(1): 109, 2025 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-39901175

RESUMO

BACKGROUND: People with knee osteoarthritis (OA) may have more thigh intermuscular and intramuscular adipose tissue (interMAT and intraMAT, respectively) compared to those without knee OA. Literature has not considered differences in body mass index (BMI) in the context of comparing intraMAT and interMAT between individuals with and without knee OA, matched for BMI (± 1 kg/m²). This study aims to compare interMAT and intraMAT, along with physical function (including knee extension strength), between individuals with and without knee osteoarthritis, matched by BMI. METHODS: Participants aged ≥ 40 years with symptomatic and radiological knee OA group (grade 2 and 3 on the Kellgren and Lawrence (KL) scale) were included in the affected group, while those with no knee pain and no radiological knee OA changes were included in the unaffected group. No participants were lost to assessment, ensuring complete data analysis for all participants. We used independent t-test and mean difference (95% CI) to compare thigh intraMAT and interMAT volume, self-reported measures (WOMAC questionnaire), physical function measures, and knee extension strength between groups. RESULTS: Forty-six participants were analyzed (23 in each group). The affected group had significantly higher intraMAT compared to the unaffected group (p < 0.05), but no differences were observed for interMAT. Self-reported outcomes and physical function measures were worse in the affected group, as was knee extension strength. CONCLUSION: People with knee OA present higher levels of intraMAT and poorer physical function compared to those without knee OA. These findings highlight the need for further research to explore the clinical significance of intraMAT and its potential impact on physical function in this population.


Assuntos
Tecido Adiposo , Índice de Massa Corporal , Osteoartrite do Joelho , Coxa da Perna , Humanos , Osteoartrite do Joelho/fisiopatologia , Estudos Transversais , Feminino , Masculino , Pessoa de Meia-Idade , Idoso , Tecido Adiposo/fisiopatologia , Tecido Adiposo/diagnóstico por imagem , Força Muscular/fisiologia , Articulação do Joelho/fisiopatologia , Articulação do Joelho/diagnóstico por imagem , Imageamento por Ressonância Magnética , Adulto , Músculo Esquelético/fisiopatologia
19.
Cancer Control ; 32: 10732748251318386, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39901358

RESUMO

INTRODUCTION: Human papillomavirus (HPV) infection is a common sexually transmitted infection often associated with cancer development. This study aimed to estimate the prevalence of HPV in women receiving care at the AUNA healthcare network in Peru. METHODS: We conducted an observational, descriptive, cross-sectional, retrospective study. A de-identified database of HPV-positive women who underwent the BD Onclarity™ HPV Assay between December 2018 and December 2021 at Auna clinics was analyzed. The database contained information regarding age, city, and HPV type. High-risk HPV types were analyzed individually (16, 18, 31, 45, 51, 52) and pooled [P1 (33, 58), P2 (56,59,66), and P3 (35,39,68)]. The study was approved by an independent research ethics committee in Peru. RESULTS: Of 68,714 women included in the study, the HPV prevalence was 14.21% (N = 9765, 95%CI:13.95%-14.47%). The highest prevalence was detected in Piura (16.85%, 95%CI:15.40%-18.38%), where HPV-51, HPV-52, HPV-P1, HPV-P2, and HPV-P3 were most common compared to other Peruvian cities included in the study. In Arequipa, the prevalence was the lowest (13.58%, 95%CI:12.38%-14.85%), but the percentage prevalence of HPV-16 was the highest compared to other cities. The prevalence of multiple HPV infections was 2.88% (N = 1981, 95%CI:2.76%-3.01%), with most of them co-presenting two types of HPV (N = 1522). The most frequent co-occurrences were P2 and P3, P2 and 52, and P2 and 16. Among HPV-positive women, the mean age was 41.31 years (±9.48) and 25.29% were in the 31-35 years group. HPV-P2 was the most frequent in all age groups except in the 65-72 years group, where HPV-P3 was the most common. CONCLUSION: HPV prevalence was shown to be highest in Piura, with the most prevalent types being HPV-16, HPV-52, and HPV-P2 (HPV-56, -59, -66). HPV infection was found to be more frequent among women in the 31-35 years age group.


Assuntos
Infecções por Papillomavirus , Humanos , Feminino , Estudos Transversais , Peru/epidemiologia , Infecções por Papillomavirus/epidemiologia , Infecções por Papillomavirus/virologia , Prevalência , Adulto , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem , Adolescente , Idoso , Papillomaviridae/isolamento & purificação
20.
Codas ; 37(1): e20230320, 2025.
Artigo em Português, Inglês | MEDLINE | ID: mdl-39907359

RESUMO

PURPOSE: to describe sociodemographic characteristics of individuals with multiple sclerosis and correlate and compare vocal fatigue, voice handicap, and voice-related quality of life of individuals with and without the disease. METHODS: Cross-sectional, quantitative study with 52 volunteers with multiple sclerosis and 52 control volunteers, matched by sex, age, and education level. Sociodemographic and clinical data were collected through a questionnaire and medical record analysis. Participants responded to the reduced Voice Handicap Index (VHI-10), Vocal Fatigue Index (VFI), and Voice-Related Quality of Life (V-RQOL). Correlational and comparative analyses were performed, with a 5% significance level (p < 0.05). RESULTS: There was a greater predominance of females diagnosed with multiple sclerosis, with a mean age of 40 years, who graduated from high school, and with a relapsing-remitting disease course. Voice handicap was positively correlated with vocal fatigue, and voice handicap and vocal fatigue were negatively correlated with voice-related quality of life in both groups. Participants with multiple sclerosis exceeded the VHI-10 and VFI cutoff scores and were below the V-RQOL cutoff score. CONCLUSION: There was a prevalence of the disease in young, educated females with relapsing-remitting disease. The greater the voice handicap and/or vocal fatigue, the lower the voice-related quality of life in both groups. However, people with multiple sclerosis self-reported greater voice handicap and vocal fatigue and poorer voice-related quality of life.


OBJETIVO: descrever características sociodemográficas de indivíduos com esclerose múltipla, correlacionar e comparar a fadiga, desvantagem vocal e a qualidade de vida em voz de indivíduos com e sem a doença. MÉTODO: Estudo transversal, quantitativo e com 52 voluntários com esclerose múltipla e 52 voluntários-controle, pareados por sexo, idade e escolaridade. Dados sociodemográficos e clínicos foram coletados com questionário e análise de prontuários. Os participantes responderam ao Índice de Desvantagem Vocal reduzido (IDV-10), Índice de Fadiga Vocal (IFV) e Qualidade de Vida em Voz (QVV). Análises correlacionais e comparativas foram realizadas, com um nível de significância de 5% (p<0,05). RESULTADO: Maior predomínio de participantes diagnosticados com esclerose múltipla do sexo feminino, média de 40 anos, ensino médio completo e curso da doença do tipo remitente-recorrente. Houve correlação positiva entre a desvantagem e a fadiga vocal, e correlação negativa entre a desvantagem e fadiga vocal com a qualidade de vida em voz em ambos os grupos. Além disso, os participantes com esclerose múltipla ultrapassaram as notas de corte do IDV-10 e do IFV e ficaram abaixo da nota de corte do QVV. CONCLUSÃO: Houve prevalência da doença em indivíduos jovens do sexo feminino, escolarizados e do tipo remitente-recorrente. Quanto maior a desvantagem e/ou a fadiga vocal, menor é a qualidade de vida em voz em ambos os grupos. No entanto, pessoas com esclerose múltipla autorreferem maior desvantagem e fadiga vocal, além de menor qualidade de vida relacionada à voz.


Assuntos
Esclerose Múltipla , Qualidade de Vida , Distúrbios da Voz , Qualidade da Voz , Humanos , Feminino , Estudos Transversais , Adulto , Masculino , Distúrbios da Voz/etiologia , Distúrbios da Voz/fisiopatologia , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Esclerose Múltipla/fisiopatologia , Estudos de Casos e Controles , Inquéritos e Questionários , Adulto Jovem , Fatores Socioeconômicos , Índice de Gravidade de Doença , Brasil
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