EFEITOS DA COLECISTECTOMIA ABERTA NA MOBILIDADE DO DIAFRAGMA E NOS PARÂMETROS VENTILATÓRIOS - SÉRIE DE CASOS

O objetivo deste estudo foi verificar os efeitos da colecistectomia aberta na mobilidade do diafragma, nos volumes pulmonares e na capacidade vital. Participaram quatro pacientes com idade entre 25 a 55 anos, candidatos colecistectomia aberta, internados na Enfermaria de Cirurgia Torcica e Abdominal do Hospital Regional de So Jos Dr. Homero de Miranda Gomes (HRHMG). Os instrumentos utilizados para coleta de dados foram: radiografias de trax para avaliao da mobilidade diafragmtica; ventilmetro para avaliao do volume corrente, volume minuto e capacidade vital; oxmetro para medir a saturao de oxignio; e escala visual analgica da dor. Os pacientes foram avaliados no perodo pr-operatrio e no segundo dia de ps-operatrio. Todos os pacientes apresentaram no ps-operatrio aumento dos seguintes parmetros: volume minuto, frequncia respiratria e dor. Os valores referentes ao volume corrente, capacidade vital, saturao de oxignio e mobilidade do diafragma apresentaram reduo no segundo dia de ps-operatrio. A colecistectomia aberta interferiu na mecnica pulmonar dos pacientes estudados, reduzindo a ventilao pulmonar e a mobilidade do diafragma

Attitudes towards vaccines and intention to vaccinate against COVID-19: a cross-sectional analysis - implications for public health communications in Australia

Objective To examine SARS-CoV-2 vaccine confidence, attitudes and intentions in Australian adults as part of the iCARE Study. Design and setting Cross-sectional online survey conducted when free COVID-19 vaccinations first became available in Australia in February 2021. Participants Total of 1166 Australians from general population aged 18-90 years (mean 52, SD of 19). Main outcome measures Primary outcome: responses to question € If a vaccine for COVID-19 were available today, what is the likelihood that you would get vaccinated?'. Secondary outcome: analyses of putative drivers of uptake, including vaccine confidence, socioeconomic status and sources of trust, derived from multiple survey questions. Results Seventy-eight per cent reported being likely to receive a SARS-CoV-2 vaccine. Higher SARS-CoV-2 vaccine intentions were associated with: increasing age (OR: 2.01 (95% CI 1.77 to 2.77)), being male (1.37 (95% CI 1.08 to 1.72)), residing in least disadvantaged area quintile (2.27 (95% CI 1.53 to 3.37)) and a self-perceived high risk of getting COVID-19 (1.52 (95% CI 1.08 to 2.14)). However, 72% did not believe they were at a high risk of getting COVID-19. Findings regarding vaccines in general were similar except there were no sex differences. For both the SARS-CoV-2 vaccine and vaccines in general, there were no differences in intentions to vaccinate as a function of education level, perceived income level and rurality. Knowing that the vaccine is safe and effective and that getting vaccinated will protect others, trusting the company that made it and vaccination recommended by a doctor were reported to influence a large proportion of the study cohort to uptake the SARS-CoV-2 vaccine. Seventy-eight per cent reported the intent to continue engaging in virus-protecting behaviours (mask wearing, social distancing, etc) postvaccine. Conclusions Most Australians are likely to receive a SARS-CoV-2 vaccine. Key influencing factors identified (eg, knowing vaccine is safe and effective, and doctor's recommendation to get vaccinated) can inform public health messaging to enhance vaccination rates