O DESEMPENHO DA MARCHA DE HEMIPARÉTICOS CRÔNICOS E A CORRELAÇÃO COM A RECUPERAÇÃO E O NÍVEL DE COMPROMETIMENTO MOTOR FUNCIONAL

As a result of stroke, impairments such as hemiparesis, gait deficits, impaired motor function and physical deconditioning can occur. In which, gait is one of the most important functional limitations and this way the evaluation becomes important to determine the functional profile and consequently to develop an appropriate treatment. The objective of this study was to evaluate and correlate functional capacity with the level of motor and functional impairment in chronic hemiparetic. This is a cross-sectional study using the Six-Minute Walking Test (6MWT) to assess functional capacity and the Fugl Meyer Protocol (FM) to assess the level of motor and functional impairment. Twelve hemiparetic subjects were included. Statistical analysis revealed no significant correlation between the 6MWT and FM. We conclude that the present study revealed a non-correlation between functional capacity and motor impairment in chronic hemiparetic.Em decorrência ao Acidente Vascular Cerebral (AVC) podem ocorrer comprometimentos como hemiparesia, marcha deficitária, alteração na função motora e descondicionamento físico. No qual, a marcha é uma das limitações funcionais de maior destaque e desta forma a sua avaliação torna-se importante para determinar o perfil funcional e consequentemente elaborar um tratamento adequado. O objetivo deste estudo foi avaliar e correlacionar a capacidade funcional com o nível de comprometimento motor e funcional de hemiparéticos crônicos. Trata-se de um estudo transversal que utilizou o Teste de Caminhada de seis minutos (TC6) para avaliar a capacidade funcional e o Protocolo de Fugl Meyer (FM) para avaliar o nível de comprometimento motor e funcional. Participaram do estudo 12 hemiparéticos. A análise estatística não revelou correlação significante entre o TC6 e o FM. Concluímos que o presente estudo revelou a não correlação entre a capacidade funcional e o comprometimento motor de hemiparéticos crônicos

Epidemiologic situation of tuberculosis and the living conditions in the City of São Gabriel of Cachoeira-AM

Submitted by Gilvan Almeida ([email protected]) on 2016-08-11T18:03:18Z No. of bitstreams: 1 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5)Rejected by Maria Arruda ([email protected]), reason: Não existem arquivos associados a este item. on 2017-10-30T14:27:46Z (GMT)Submitted by Gilvan Almeida ([email protected]) on 2019-02-14T18:00:27Z No. of bitstreams: 1 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5)Approved for entry into archive by GLAUCE PEREIRA ([email protected]) on 2019-07-28T20:26:58Z (GMT) No. of bitstreams: 2 ve_Roselene_Martins_ENSP.pdf: 1316379 bytes, checksum: bbc19d29e8e48e8c9fbd6609dd034119 (MD5) license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5)Made available in DSpace on 2019-07-28T20:26:58Z (GMT). No. of bitstreams: 2 ve_Roselene_Martins_ENSP.pdf: 1316379 bytes, checksum: bbc19d29e8e48e8c9fbd6609dd034119 (MD5) license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) Previous issue date: 2004Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.O objetivo dessa pesquisa é analisar a relação entre o perfil epidemiológico da tuberculose e as condições de vida da população de São Gabriel da Cachoeira, relativo ao período de 1997 a 2002. Esse trabalho congrega uma abordagem antropológica das culturas locais, com um componente de análise espacial do perfil epidemiológico e avaliação de programa. Foram realizadas análises estatísticas para avaliar a tendência em relação à idade e o resultado do tratamento, buscando identificar associação ainda com o sexo e a procedência. O município de São Gabriel da Cachoeira no estado do Amazonas é uma importante noso-área de produção e reprodução da endemia tuberculosa. A magnitude do problema se expressa nos coeficientes 2,4 vezes mais elevados que a média estadual, 3,8 vezes mais que a média nacional. O comparativo dos coeficientes de incidência entre os casos de procedência urbana e rural revela assimetrias de sexo e desfecho. As taxas padronizadas mostram que a população masculina comparece com uma taxa mais elevada que a feminina nas duas áreas de residência. Com relação ao desfecho, a proporção de cura e abandono estão dentro das médias esperadas pelo PCT. No comparativo dos óbitos por sub-regiões a área urbana responde por 9,5 por cento do total; nas áreas rurais, o total não ultrapassa 5,5 por cento. O estudo revela uma situação inesperada em relação ao desfecho dos casos por zona de residência, que pode ser explicada pelas condições de acessibilidade e desigualdades relativas às condições de vida e a organização dos serviços que, contraditoriamente, parecem menos resolutivos na área urbana.As taxas de abandono encontradas contradizem o senso comum de que este é um grave problema das áreas indígenas.The objective of this study is to analyse the relationship between the epidemiological profile for tuberculosis and living conditions in the population of São Gabriel da Cachoeira, Amazonas, between 1997 and 2002. This study combines an anthropological approach to local cultures, with a component of spatial analysis regarding the epidemiological profile and evaluation of the tuberculosis programme. Statistical analysis occurred to evaluate tendencies in relation to age and treatment result, searching to identify an association with sex and geographical origin. The municipality of São Gabriel da Cachoeira in the state of Amazonas is an important place in the production and reproduction of the tuberculosis endemic. The magnitude of the problem can be expressed by the coefficient which is 2.4 times higher than the State’s mean of 3.8 than the mean incidence for the total population of Brazil. The comparison between the rural and urban incidence coefficients, reveals asymmetry of sex and treatment result. The standard rates show that the male population presents a higher level than the female population in the two residential areas. In relation to treatment result, the proportion of cure and abandon are within the mean rates expected by the PCT. The comparison of death by sub-region and urban area respond for 9.5% of the total; in the rural areas the total does not pass 5.5%. The study reveals an unexpected situation, the treatment results of the cases by residential zone, by abandonment and death, which may be explained by the conditions of access to treatment, inequality in living conditions and organisation of services, contradictory to what one would expect, appear to be less resolutive in urban areas. The levels of treatment abandon encountered contradict the common opinion, which states that this is a serious problem in indigenous areas

Tuberculosis among the Indian population in São Gabriel da Cachoeira, Amazonas State, Brazil

Submitted by Patricia Stilpen ([email protected]) on 2011-04-23T20:43:48Z No. of bitstreams: 1 Tuberculose na população indígena.pdf: 75206 bytes, checksum: cca1bed5cbbd9a889414be4cdede1e26 (MD5)Made available in DSpace on 2011-04-23T20:43:48Z (GMT). No. of bitstreams: 1 Tuberculose na população indígena.pdf: 75206 bytes, checksum: cca1bed5cbbd9a889414be4cdede1e26 (MD5) Previous issue date: 2007Fundação Oswaldo Cruz. Centro de Pesquisa Leônidas e Maria Deane. Manaus, AM, Brasil.Universidade do Estado do Amazonas, Manaus, AM, Brasil.O estudo descreve a situação da tuberculose no Município de São Gabriel da Cachoeira, Estado do Amazonas, Brasil, no período de 1997 a 2002. Este município de população predominantemente indígena constitui uma importante noso-área da Amazônia para o problema da tuberculose, cuja magnitude se expressa por intermédio do coeficiente 2,4 vezes mais elevado que a média estadual e até quatro vezes mais que a média nacional. Análises estatísticas utilizadas para avaliar a tendência em relação à associação com a idade, o sexo e a forma clínica revelaram diferenças no comportamento da endemia, quando comparados os coeficientes de incidência entre os casos de procedência urbana e rural. As taxas padronizadas mostraram a população masculina com uma incidência mais elevada que a feminina nas duas áreas de residência. A faixa etária mais atingida foi acima de 50 anos, porém a proporção de menores de 15 anos se mostrou acima dos valores esperados na população geral do país, além de apresentar diferentes níveis de gravidade nas subáreas rurais estudadas. Os achados indicam que esta situação pode ser explicada pelas desigualdades, sobretudo, relativas à acessibilidade aos serviços de saúde que, contraditoriamente, parecem menos resolutivos na área urbana.This study describes the tuberculosis situation in São Gabriel da Cachoeira, Amazonas State, Brazil, from 1997 to 2002. The county, which has a predominantly Indian population, is a relevant tuberculosis area in Amazonas, since the infection rate is 2.4 to 4 times that of the overall State and national rates. The statistical analyses used to assess its association with age, gender, and clinical form showed differences in the endemic behavior, comparing the urban and rural incidence rates. Males had higher standardized incidence rates than females in both the urban and rural areas. The most heavily affected age group was greater than 50 years, but the rate among individuals under 15 years was above the overall national rate, in addition to presenting different severity levels in the rural sub-areas that were studied. The situation can be explained mainly by inequalities in access to health services, which paradoxically appear to show lower case-resolving capacity in urban areas of the county

Diálogos possíveis sobre o processo de inclusão: promovendo espaços de fala

As reflexões aqui propostas foram construídas a partir da escuta de estudantes do Segundo Ciclo cujo foco foi ouvir, especificamente, crianças com laudos médicos e alunos cujo desempenho escolar estava aquém das expectativas da escola. Para este texto, elegemos dizeres de um estudante diagnosticado com o transtorno do espectro autista e apresentamos algumas reflexões a respeito do seu modo de interagir com o ambiente escolar. Neste trabalho, destacamos a importância de dar voz aos estudantes na tentativa de conhecer as imagens que eles têm de si e os modos como dizem da sua relação com o outro. Nesse sentido, a entrevista individual, sob a orientação do campo do saber psicanalítico, apresentou-se como instrumento metodológico estruturado a partir do princípio de associação livre. À luz de possíveis articulações entre Educação e Psicanálise, foram problematizadas questões relativas ao processo de escolarização e foi possível verificar os modos como diferentes discursos atravessam o espaço escolar e produzem efeitos nas relações interpessoais

Surtos de doenças infectocontagiosas notificados no estado de Mato Grosso do Sul de 2020 a 2022: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02152 | Publicado em: 09/10/2023

Introduction: Due to the importance of infectious diseases for global public health, the investigation of disease outbreaks that can be prevented and controlled by health services is essential. Objective: Describe outbreaks reported in the state of Mato Grosso do Sul, Brazil, in 2020 and 2022, to demonstrate the importance of surveillance in situations of disease outbreaks and/or public health problems. Method: This is a cross-sectional, descriptive, retrospective, qualitative-quantitative epidemiological study with temporal secondary data collected from the outbreak notification system developed by the team at the Strategic Health Surveillance Information Center (CIEVS/Estadual) of Mato Grosso do Sul. Results: In the period, 599 outbreaks were reported, involving 8.076 suspected and 5.191 confirmed individuals. Among the outbreaks, 569 (95%) were caused by Sars-CoV-2, at 32 municipalities, most occurring in industries and hospital. Twenty-six deaths occurred in the period, of which 15 were caused by SARS-CoV-2 outbreaks. Conclusions: The use of tools for the notification of outbreaks is effective and helps in quick decision-making when applied efficiently.Introdução: Devido à importância das doenças infectocontagiosas para a saúde pública mundial, a investigação de surtos de doença passível de prevenção e controle pelos serviços de saúde é fundamental. Objetivo: Descrever os surtos notificados no estado de Mato Grosso do Sul, nos anos de 2020 a 2022, e demonstrar a  importância da vigilância em situações de surtos de doenças e/ou agravos de saúde pública. Método: Trata-se de um estudo epidemiológico transversal, descritivo, retrospectivo, qualiquantitativo com dados secundários temporais coletados do sistema de notificação de surtos criado pela equipe do Centro de Informações Estratégicas de Vigilância em Saúde (CIEVS/Estadual) de Mato Grosso do Sul. Resultados: No período foram notificados 599 surtos, envolvendo 8.076 indivíduos suspeitos e 5.191 confirmados. Dentre os surtos, 569 (95%) foram provocados pelo SARS-CoV-2, notificados por 32 municípios, e a maioria ocorreu em indústrias e hospitais. Ocorreram 26 óbitos no período, e destes 15 foram provenientes dos surtos por SARS-CoV-2. Conclusões: As utilizações de ferramentas para notificação de surtos são efetivas e auxiliam na tomada rápida de decisão quando aplicadas de maneira eficiente

Tuberculose na população indígena de São Gabriel da Cachoeira, Amazonas, Brasil Tuberculosis among the indian population in São Gabriel da Cachoeira, Amazonas State, Brazil

O estudo descreve a situação da tuberculose no Município de São Gabriel da Cachoeira, Estado do Amazonas, Brasil, no período de 1997 a 2002. Este município de população predominantemente indígena constitui uma importante noso-área da Amazônia para o problema da tuberculose, cuja magnitude se expressa por intermédio do coeficiente 2,4 vezes mais elevado que a média estadual e até quatro vezes mais que a média nacional. Análises estatísticas utilizadas para avaliar a tendência em relação à associação com a idade, o sexo e a forma clínica revelaram diferenças no comportamento da endemia, quando comparados os coeficientes de incidência entre os casos de procedência urbana e rural. As taxas padronizadas mostraram a população masculina com uma incidência mais elevada que a feminina nas duas áreas de residência. A faixa etária mais atingida foi acima de 50 anos, porém a proporção de menores de 15 anos se mostrou acima dos valores esperados na população geral do país, além de apresentar diferentes níveis de gravidade nas subáreas rurais estudadas. Os achados indicam que esta situação pode ser explicada pelas desigualdades, sobretudo, relativas à acessibilidade aos serviços de saúde que, contraditoriamente, parecem menos resolutivos na área urbana.<br>This study describes the tuberculosis situation in São Gabriel da Cachoeira, Amazonas State, Brazil, from 1997 to 2002. The county, which has a predominantly Indian population, is a relevant tuberculosis area in Amazonas, since the infection rate is 2.4 to 4 times that of the overall State and national rates. The statistical analyses used to assess its association with age, gender, and clinical form showed differences in the endemic behavior, comparing the urban and rural incidence rates. Males had higher standardized incidence rates than females in both the urban and rural areas. The most heavily affected age group was greater than 50 years, but the rate among individuals under 15 years was above the overall national rate, in addition to presenting different severity levels in the rural sub-areas that were studied. The situation can be explained mainly by inequalities in access to health services, which paradoxically appear to show lower case-resolving capacity in urban areas of the county

Doença de Marek em galos no semiárido potiguar: relato de caso

Background: Marek’s disease (MD) is a transmissible disease in chickens caused by Gallid alphaherpesvirus 2 (GaHV-2). The infection is characterized by lymphocyte cellular infiltrates in peripheral nerves and other organs and tissues, including the skin; which can lead to dysfunction causing progressive asymmetric paresis and complete spastic paralysis of body extremities. Dermatitis and cardiac myositis caused by GaHV-2 in free-range chickens has rarely been described in Brazil. This reports the occurrence of the disease with a confirmatory molecular diagnosis in free-range poultry showing signs of dermatitis, poor performance, and cachexia and no mortality in the semi-arid Potiguar region. Cases: Twenty roosters of the Shamo lineage, among a brood of 42 birds, had a history of progressive weight loss and skin lesions. Two birds with poor body condition, erythema, and scaling of the skin in the head and cervical regions were sent for clinical care. All birds were between 12 and 18 months of age and were vaccinated against Newcastle disease and avian yaws with only a few receiving vaccines against MD and Gumboro disease. According to the owner’s report, some birds were previously kept outdoors, and when they were transferred to a small shed with little air circulation, they began to develop clinical signs after approximately 15 days. The first signs of the disease were also reported to have appeared 2.5 months before clinical care and, in the meantime, several treatments were instituted without success. Owing to the general condition of the animals and inconclusive clinical suspicion, the birds were subjected to euthanasia and necropsy. Tissue samples were collected for histopathological and polymerase chain reaction analyses to search for the GaHV-2 DNA meq gene. The main clinicopathological findings were erythema (47%, 20/42) and desquamation of skin and mild, prominent white multifocal areas in the heart. Histopathology revealed infiltration of pleomorphic lymphoblastic cells in the skin, heart, and sciatic nerve. The amplification of the L-meq and meq oncoprotein genes in these organs and in the liver, confirmed the infection by GaHV-2, consistent with that of a field strain. Discussion: MD was confirmed based on the macroscopic and histological lesions, and with the detection of GaHV-2 DNA in the affected tissues. The unusual clinical presentation represented an initial challenge for diagnosis. The clinical history was important to lead to the suspicion of MD, as roosters initiated clinical signs 15 days after they were transferred to a small shed with poor air circulation. This probably favored the high viral concentration and disease transmission among susceptible birds in the brood because the feather follicle is the primary site of viral replication for transmission; and desquamation of infected epithelial cells favor airborne horizontal transmission to susceptible chickens. The roosters had not been vaccinated against MD, which probably favored the infection, as vaccination is known to be a fundamental approach for MD control for effective growth of the poultry industry. Clinical findings and lesions, together with viral molecular detection, were fundamental for the diagnosis, a premise for the application of adequate prevention and control measures for the disease in breeding. This is the first report of MD with a confirmatory molecular diagnosis in northeastern Brazil. Keywords: Viral diseases, Gallid alphaherpesvirus 2, neoplasms, polymerase chain reaction, histopathology

Doença de Marek em galos no semiárido potiguar: relato de caso

Background: Marek’s disease (MD) is a transmissible disease in chickens caused by Gallid alphaherpesvirus 2 (GaHV-2). The infection is characterized by lymphocyte cellular infiltrates in peripheral nerves and other organs and tissues, including the skin; which can lead to dysfunction causing progressive asymmetric paresis and complete spastic paralysis of body extremities. Dermatitis and cardiac myositis caused by GaHV-2 in free-range chickens has rarely been described in Brazil. This reports the occurrence of the disease with a confirmatory molecular diagnosis in free-range poultry showing signs of dermatitis, poor performance, and cachexia and no mortality in the semi-arid Potiguar region. Cases: Twenty roosters of the Shamo lineage, among a brood of 42 birds, had a history of progressive weight loss and skin lesions. Two birds with poor body condition, erythema, and scaling of the skin in the head and cervical regions were sent for clinical care. All birds were between 12 and 18 months of age and were vaccinated against Newcastle disease and avian yaws with only a few receiving vaccines against MD and Gumboro disease. According to the owner’s report, some birds were previously kept outdoors, and when they were transferred to a small shed with little air circulation, they began to develop clinical signs after approximately 15 days. The first signs of the disease were also reported to have appeared 2.5 months before clinical care and, in the meantime, several treatments were instituted without success. Owing to the general condition of the animals and inconclusive clinical suspicion, the birds were subjected to euthanasia and necropsy. Tissue samples were collected for histopathological and polymerase chain reaction analyses to search for the GaHV-2 DNA meq gene. The main clinicopathological findings were erythema (47%, 20/42) and desquamation of skin and mild, prominent white multifocal areas in the heart. Histopathology revealed infiltration of pleomorphic lymphoblastic cells in the skin, heart, and sciatic nerve. The amplification of the L-meq and meq oncoprotein genes in these organs and in the liver, confirmed the infection by GaHV-2, consistent with that of a field strain. Discussion: MD was confirmed based on the macroscopic and histological lesions, and with the detection of GaHV-2 DNA in the affected tissues. The unusual clinical presentation represented an initial challenge for diagnosis. The clinical history was important to lead to the suspicion of MD, as roosters initiated clinical signs 15 days after they were transferred to a small shed with poor air circulation. This probably favored the high viral concentration and disease transmission among susceptible birds in the brood because the feather follicle is the primary site of viral replication for transmission; and desquamation of infected epithelial cells favor airborne horizontal transmission to susceptible chickens. The roosters had not been vaccinated against MD, which probably favored the infection, as vaccination is known to be a fundamental approach for MD control for effective growth of the poultry industry. Clinical findings and lesions, together with viral molecular detection, were fundamental for the diagnosis, a premise for the application of adequate prevention and control measures for the disease in breeding. This is the first report of MD with a confirmatory molecular diagnosis in northeastern Brazil. Keywords: Viral diseases, Gallid alphaherpesvirus 2, neoplasms, polymerase chain reaction, histopathology