Magnetic resonance imaging for diagnosing the pre-slip stage of the contralateral proximal femoral epiphysis in patients with unilateral epiphysiolysis

OBJETIVO: Avaliar a importância da ressonância magnética convencional e com mapa T2 na determinação do pré-escorregamento da epífise contralateral em pacientes com diagnóstico clínico e radiográfico de epifisiólise femoral proximal unilateral, tratadas inicialmente com fixação in situ. MÉTODOS: Estudo clínico prospectivo de 11 pacientes com epifisiólise unilateral entre fevereiro de 2009 e agosto de 2010, com ressonância magnética do quadril contralateral. RESULTADOS: Verificamos alterações na região fisária capital femoral proximal no lado contralateral à doença, com edema sob a placa de crescimento em 27% dos pacientes analisados. CONCLUSÃO: A ressonância magnética é um método sensível e precoce para detecção do pré-escorregamento epifisário femoral proximal.OBJECTIVE: To assess the importance of using conventional magnetic resonance imaging and T2 mapping to determine the pre-slip stage of the contralateral epiphysis in patients with a clinical and radiographic diagnosis of unilateral proximal femoral epiphysiolysis who were initially treated with in-situ fixation. METHODS: This prospective clinical study on 11 patients with unilateral epiphysiolysis was conducted between February 2009 and August 2010, using magnetic resonance imaging on the contralateral hip. RESULTS: We observed abnormalities in the proximal femoral capital physis of the contralateral unaffected hip, with edema under the growth plate in 27% of the patients assessed. CONCLUSION: Magnetic resonance imaging is an early and sensitive method for detecting the pre-slip stage of the proximal femoral epiphysis

Accidents involving motorcyclists and cyclists in the municipality of São Paulo: characterization and trends,

Objective:To describe the characteristics of motorcycle and bicycle accident victims, according to notifications of suspected and confirmed accidents that have occurred in the municipality of São Paulo.Method:This was a descriptive epidemiological study. It covered all accidents (12,924) that occurred involving motorcycles (11,366) and bicycles (1558) between January 2011 and October 2013. Data in the Health Department's information system for surveillance of violence and accidents (SIVVA) was surveyed.Results:Motorcycle accidents accounted for 52.1% of the cases notified and bicycles, 7.1%. Males predominated in both types of accidents: 81.6% and 80.6%, respectively. In the motorcycle accidents, the predominant age group among the victims was from 20 to 24 years. Both types of accidents occurred during the daytime (7:00-18:00 h): 37.4% and 27.0% respectively. Among the motorcycle accidents, the driver had been using alcohol in 3% and it was not possible to identify whether this had occurred in 67%.Conclusions:Public policies prioritizing financial and human resources applied toward reducing these types of accidents need to be brought in

Transport accidents among children and adolescents at the emergency service of a teaching hospital in the southern zone of the city of São Paulo

ObjectiveTo describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo.MethodsThis was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state of São Paulo, Brazil, due to traffic accidents. The files notifying suspected or confirmed cases of violence and accidents (SIVVA files) covering January to December 2012 were analyzed.ResultsAmong the 149 cases notified, 64.4% related to males and 35.6% to females. The transport accidents were predominantly among males, irrespective of age. The main injury diagnoses were superficial head trauma (24.8%) followed by multiple non-specified trauma (36.4%), in both sexes.ConclusionTransport accidents among children and adolescents occurred more often among males. The main transport accidents among the children and adolescents attended as emergency cases were caused by motor vehicles and motorcycles. Among the accident victims, the largest proportion was attended because of being run over

Epidemiological profile of elderly included in the elderly people accompanying program (programa acompanhante de idosos - pai)

OBJECTIVE: The following study aimed to characterize the epidemiological profile of elderly people included in the Elderly People Accompanying Program (Programa Acompanhante de Idosos - PAI) of the Health Department of the city of Sao Paulo. METHOD: We conducted a cross-sectional survey. The sample consisted of 100 elderly people of both sexes, aged 60 years or older, living in S&atilde;o Paulo, assisted by the PAI Program at a Basic Health Unit in S&atilde;o Paulo city. A formulary was filled with socio-demographic, health and leisure data in order to delineate the epidemiological profile of the population studied. This paper was submitted to the Research Ethics Committee of the Department of Health of the city of Sao Paulo, obtaining its assent. RESULTS: Regarding socio-demographic data, we found a prevalence of elderly octogenarians (52%), women (74%), widows (47%), Catholic (81%), elementary level of education (37%), with no caregivers (78%) and who did not live alone (76%). Leisure activities were carried out by 86% of the population. Regarding health data, 72% were not hospitalized during the previous year, and the prevalence of chronic degenerative diseases was of 100%. Mild functional dependency was present in 42%; those with total autonomy were 56%, and 95% had a simple care plan. CONCLUSIONS: We concluded that the elderly studied were octogenarians, mostly female, with low level of education, with total autonomy, although 42% had mild functional dependence characterizing a profile of active aging.</p

Characterization of elderly patients hospitalized for an accidental fall in São Paulo city, 2013

OBJECTIVE: Description of the characteristics of hospitalizations due to falls in elderly people in S&atilde;o Paulo city. METHODS: This was a cross-sectional, retrospective study. Secondary data from the National Health System (SUS) of seniors aged 60 or older who were hospitalized for an accidental fall during the year 2013 in the city of S&atilde;o Paulo were studied. RESULTS: 8,234 admissions were recorded by an accidental fall, elderly, in 2013. Femoral fracture (32.9%); intracranial injury (15.8%). CONCLUSION: In the present study, a higher frequency of hospitalizations for accidental fall in females and hospitalizations for accidental fall was greater was found in the group of those aged 80 years and over. The primary diagnosis for hospitalization was fractures of the femur as a result of surgical treatment femur fracture and arthroplasty.</p