COMPLICAÇÕES DA COVID-19 EM GESTANTES

Introduction: In 2019, an infectious disease known as COVID-19 emerged, which causes respiratory failure and pneumonia in affected individuals, with a high mortality rate. The profile of more severely compromised individuals has changed over time and pregnant women are now included in this scenario because they are more susceptible to respiratory microorganisms. Objective: Check the main complications that COVID-19 can cause in pregnant. Materials and methods: Integrative review in the VHL (Virtual Health Library) and Pubmed (United States National Library of Medicine) databases, from 2019 to 2021, using the PICO strategy to elaborate the guiding question of the research. Results: 1,161 articles were found, which after applying the inclusion and exclusion criteria, 9 are selected for the analysis of their respective aspects: title, objective, methods and/or instruments used and the results of each article. Conclusion: Covid-19 triggered various repercussions/complications in the maternal and/or fetal organism, such as: preeclampsia, premature birth, premature rupture of membranes, thrombotic events and emergency cesarean, thus causing deleterious effects compromising health and generating negative impacts.   Keywords: Risk pregnant women, Pregnancy Complications, Covid-19.Introdução: Em 2019 surgiu uma doença infecciosa conhecida como COVID-19, que provoca insuficiência respiratória e pneumonia nos indivíduos acometidos, com alto índice de mortalidade. O perfil de indivíduos comprometidos com maior gravidade sofreu modificações com o tempo e as gestantes passaram a se incluir nesse cenário por serem mais susceptíveis aos microrganismos respiratórios.  Objetivo: Verificar as principais complicações que a COVID-19 pode causar nas gestantes. Materiais e métodos: Revisão integrativa nas bases de dados BVS (Biblioteca Virtual em Saúde) e Pubmed (United States National Library of Medicine), no período de 2019 a 2021 utilizando a estratégia PICO para a elaboração da questão norteadora da pesquisa.  Resultados: Foram encontrados 1.161 artigos, que após a aplicação dos critérios de inclusão e exclusão, 9 são selecionados para a análise dos seus respectivos aspectos: título, objetivo, métodos e/ou instrumentos utilizados e os resultados de cada artigo. Conclusão: A Covid-19 desencadeou repercussões/complicações diversas, no organismo materno e/ou fetal como: pré-eclâmpsia, parto prematuro, ruptura prematura de membranas, eventos trombóticos e cesárea de emergência, assim causando efeitos deletérios comprometendo a saúde e gerando impactos negativos.   Palavras-chave: Gestantes de risco, Complicações na gravidez, Covid-19

Principais modalidades fisioterapêuticas em idosos com pneumonia em um hospital privado de Goiânia

Objective: Analyze the physical therapy modalities used in elderly patients hospitalized with pneumonia and their clinical outcomes. Methods: Retrospective cohort study, carried out in a Hospital in Goiânia, Goiás. The study sample was carried out through the analysis of medical records for the year 2019, and according to the inclusion and exclusion criteria, resulting in 62 medical records. Results: The average age of hospitalized patients was 80.60 years (± 10.02) and the average number of days hospitalized was 16.56. Six categories of physical therapy interventions were found, namely Respiratory Physiotherapy, passive Kinesiotherapy, active kinesiotherapy, functional positioning on the bed and general guidelines for the patient and family. 82.3% of the patients were discharged and 16.1% died. The statistically significant correlation presented was between death and functional positioning in bed (p≤0.05). Conclusion: The main interventions or techniques used in elderly patients with pneumonia used were respiratory physiotherapy, kinesiotherapy, functional positioning in bed and general guidelines for patients and family members. Among these, functional positioning had the best significance in relation to the clinical outcome, indicating that this intervention is related to a positive outcome.Objetivo: Descrever e analisar as modalidades fisioterapêuticas descritas para idosos internados com pneumonia em um hospital privado. Métodos: Estudo de coorte retrospectivo e analítico, realizado com 164 pacientes diagnósticados com PMN no período de 1 ano, em um hospital privado de Goiânia, Goiás, Brasil. Os dados foram coletados através de análise de prontuários disponibilizados pelo hospital, e transcritos para uma planilha de excel. Para análise utilizou-se o teste de Kolmogorov-Smirnov para distribuição da amostra, e para correlação o teste de Sperman. Resultados: Foram encontradas 21 modalidades de fisioterapia realizadas em pacientes idosos com pneumonia, sendo as mais frequentes a terapia de expansão pulmonar (95,1%), terapia de higiene brônquica (50%) e posicionamento funcional no leito (74,2%). Sobre os desfechos clínicos, 82,3% dos pacientes receberam alta e 16,1% evoluíram para o óbito. Houve correlação significativa entre o óbito e o posicionamento funcional no leito, terapia de higiene brônquica e aspiração de TOT e VAS (p≤0,05).  Conclusão: As modalidades terapia de expansão pulmonar, posicionamento funcional, terapia de higiene brônquica, bombeamento de extremidade, alongamentos, sedestação beira leito e orientações ao paciente e familiares são as mais realizadas em pacientes idosos com pneumonia

Os diferentes tipos de avaliação física no basquetebol em cadeira de rodas e suas implicações para o crescimento deste esporte

O Basquetebol em Cadeira de Rodas tem crescido bastante nas últimas décadas, prova disto são as inúmeras pesquisas científicas que têm surgido nesta área. Como forma de estímulo e divulgação foi realizada uma análise das principais pesquisas que foram desenvolvidas desde 1990 até 2003 no âmbito de avaliações físicas. A finalidade do estudo foi promover uma revisão bibliográfica que desperte o interesse de outros pesquisadores para a área do desporto adaptado, além de orientar classificadores funcionais, técnicos e treinadores quanto ao melhor trabalho a ser desempenhado pelos atletas. Com este intuito, foram analisados 25 artigos das principais bibliotecas nacionais e internacionais e selecionados os melhores trabalhos já realizados que versem sobre o tema Basquetebol em Cadeira de Rodas. Conclui-se que muitas pesquisas ainda podem ser realizadas e que os resultados das já divulgadas estão sendo colocados em prática por treinadores, técnicos e classificadores funcionais. Com isto, pode-se dizer que o esforço de muitos começa a ser verdadeiramente reconhecido

Baropodometric technology used to analyze types of weight-bearing during hemiparetic upright position

INTRODUCTION: Although baropodometric analysis has been published since the 1990s, only now it is found a considerable number of studies showing different uses in the rehabilitation. OBJECTIVE: To amplify the use of this technology, this research aimed to analyze baropodometric records during upright position of subjects with hemiparesis, describing a way to define weight-bearing profiles in this population. METHOD: 20 healthy subjects were matched by gender and age with 12 subjects with chronic spastic hemiparesis. This control group was formed to establish the limits of symmetry during weight-bearing distribution in the hemiparesis group. Next, hemiparesis group was submitted to procedures to measure baropodometric records used to provide variables related to the weight-bearing distribution, the arch index and the displacements in the center of pressure (CoP). Data were used to compare differences among kinds of weight-bearing distribution (symmetric, asymmetric toward non-paretic or paretic foot) and coordination system for CoP displacements. RESULTS: Hemiparesis group was compounded by eight symmetrics, eight asymmetrics toward non-paretic foot and four asymmetric toward paretic foot. Significant differences in the weight-bearing distributions between non-predominantly and predominantly used foot did not promote differences in the other baropodometric records (peak and mean of pressure, and support area). Mainly in the asymmetry toward non-paretic foot it was observed significant modifications of the baropodometric records. CONCLUSION: Baropodometric technology can be used to analyze weight-bearing distribution during upright position of subjects with hemiparesis, detecting different kinds of weight-bearing profiles useful to therapeutic programs and researches involving subjects with this disability

Baropodometric technology used to analyze types ofweight-bearing during hemiparetic upright position

Introduction: Although baropodometric analysis has been published since the 1990s, only now it is founda considerable number of studies showing different uses in the rehabilitation. Objective: To amplify theuse of this technology, this research aimed to analyze baropodometric records during upright position ofsubjects with hemiparesis, describing a way to define weight-bearing profiles in this population. Method:20 healthy subjects were matched by gender and age with 12 subjects with chronic spastic hemiparesis.This control group was formed to establish the limits of symmetry during weight-bearing distribution inthe hemiparesis group. Next, hemiparesis group was submitted to procedures to measure baropodometricrecords used to provide variables related to the weight-bearing distribution, the arch index and thedisplacements in the center of pressure (CoP). Data were used to compare differences among kinds ofweight-bearing distribution (symmetric, asymmetric toward non-paretic or paretic foot) and coordinationsystem for CoP displacements. Results: Hemiparesis group was compounded by eight symmetrics, eightasymmetrics toward non-paretic foot and four asymmetric toward paretic foot. Significant differences in theweight-bearing distributions between non-predominantly and predominantly used foot did not promotedifferences in the other baropodometric records (peak and mean of pressure, and support area). Mainly inthe asymmetry toward non-paretic foot it was observed signie#1049552;icant modifications of the baropodometric records.Conclusion: Baropodometric technology can be used to analyze weight-bearing distribution duringupright position of subjects with hemiparesis, detecting different kinds of weight-bearing proe#1049552;iles useful totherapeutic programs and researches involving subjects with this disability