Quality of life of patients with chronic renal insufficiency submitted to hemodialysis in Cacoal-RO

End stage kidney failure is a major public health problem, with high morbidity and mortality rates and a negative impact on quality of life. Health-related quality of life (HRQoL) is defined as the person's perception of their health by subjective assessment of symptoms, satisfaction, and adherence to treatment. End stage kidney failure heavily reduces physical and occupational functioning and perception of one's health and has a negative impact on energy and vitality levels, which can reduce or limit social interactions and cause problems related to the individual's mental health. A descriptive and cross-sectional study aimed at evaluating the quality of life of patients with chronic renal failure (CKD) submitted to hemodialysis in Cacoal-RO, using SF-36, an instrument that evaluates social and demographic characteristics of patients and quality of life. Covering the following domains - social aspects, functional capacity, emotional aspects, pain, general health, limitation by physical aspects, mental health and vitality. Fifty - one patients with a diagnosis of chronic renal insufficiency attended at the Cacoal - RO Dialysis Center were enrolled from January 14, 2016 to July 19, 2016. The quality of life observed in such dimensions was similar in medical literature. .The group of patients who reported evangelical religion had better scores on the social aspects variables , Functional capacity, emotional aspects, pain, general state of health, limitation by physical aspects, mental health, vitality when compared with those of related Catholic religion. Patients residing in Cacoal had better scores in the general health and social aspects domains, with no differences in the other domains. Patients with hemodialysis time of less than 36 months had better scores in the Vitality domain. There was no difference in genotype domains. Religion plays an expressive role in the social life of the individual, affecting the scores in the domains studied in this research. Additionally, the time of hemodialysis and the performance of the procedure in the same municipality of residence were factors related to better performance in some domains. The religiosity, accomplishment of hemodialysis in the municipality of housing and time of hemodialysis had an influence on the quality of life in the sample studied

Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil

Background Atrial fibrillation (AF) is an important cause of cardioembolic stroke, and population aging has increased its prevalence. Objective To evaluate the incidence of cardioembolic stroke caused by AF in the city of Joinville, Brazil, as well as previous diagnoses and use of medication. Methods Between 2017 and 2020 we extracted data from the population-based Joinville Stroke Registry. Demographic characteristics, diagnosis of AF, and patterns of medication use were collected, and the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) system was used to classify the etiology. Results There were 3,303 cases of ischemic stroke, 593 of which were cardioembolic, and 360 had AF. Of the patients with AF, 258 (71.6%) had a previous diagnosis of the disease, and 102 (28.3%) were newly diagnosed after the stroke. Among patients with a previously-diagnosed AF, 170 (47.2%) were using anticoagulants, and 88 (24.4%) were using other medications. Conclusion During the analyzed period, ischemic stroke caused by AF was a significant burden on the population of Joinville, and a considerable number of patients had undiagnosed or untreated AF