LUMBAR PAIN DURING PREGNANCY: IMPACT IN DAILY LIFE ACTIVITIES

Objetivo: Analisar o impacto nas atividades de vida diária de gestantes com queixa de dor lombar, cadastradas na Estratégia de Saúde da Família. Métodos: Para a coleta dos dados foi utilizado um questionário epidemiológico, adaptado do Quebec Back Pain Disability Scale (QBPDS), dando-se ênfase às perguntas sobre dor lombar e Atividades de Vida Diária (AVDs). À análise dos dados aplicou-se o SPSS 16.0, para a estatística descritiva de percentual relativo e cross tabs. Calculou-se a razão de Prevalência (RP) e o teste de  Kruskal-Wallis,

LUMBAR PAIN DURING PREGNANCY: IMPACT IN DAILY LIFE ACTIVITIES

Objetivo: Analisar o impacto nas atividades de vida diária de gestantes com queixa de dor lombar, cadastradas na Estratégia de Saúde da Família. Métodos: Para a coleta dos dados foi utilizado um questionário epidemiológico, adaptado do Quebec Back Pain Disability Scale (QBPDS), dando-se ênfase às perguntas sobre dor lombar e Atividades de Vida Diária (AVDs). À análise dos dados aplicou-se o SPSS 16.0, para a estatística descritiva de percentual relativo e cross tabs. Calculou-se a razão de Prevalência (RP) e o teste de  Kruskal-Wallis,

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Lombalgia na gravidez: impacto nas atividades de vida diárias

Objective: The aim of this study is to analyze the impact on daily life activities (DLAs) of pregnant women with lumbar pain complaints, enrolled in the Family Health Strategy. Methods: To collect the data it was used an epidemiological questionnaire, adapted from the Quebec Back Pain Disability Scale (QBPDS), giving emphasis to questions about lumbar pain and Daily Life Activities (AVDs). To the data analysis it was applied the SPSS 16.0, for descriptive statistics of percentage and cross tabs. It was calculated the Prevalence ratio (RP) and the Kruskal-Wallis test, p<0.05 in order to verify the differences between the lumbar pain variable and gestational age. Results: 69.4% of the pregnant women had some activities harmed, especially those who reported feeling lumbar pain daily. All needed assistance to perform the tasks at home. Conclusion: The prevalence of lumbar pain during pregnancy interferes significantly in some daily life activities.Objetivo: Analizar el impacto sobre las actividades de la vida cotidiana de las mujeres embarazadas que padecen de dolores lumbares, inscritas en la Estrategia de Salud de la Familia. Métodos: Para recoger los datos se utilizó un cuestionario epidemiológico, adaptado del Quebec Back Pain Disability Scale (QBPDS), dando énfasis a las preguntas sobre el dolor lumbar y Actividades de la Vida Diaria (AVDs). Para el análisis de los datos se aplicó el programa SPSS 16.0, para las estadísticas descriptivas sobre el porcentaje y cross tabs. Se calculó la razón de Prevalencia (RP) y la prueba de Kruskal-Wallis, p<0,05 con el fin de 5 las diferencias entre la variable dolor lumbar y la edad gestacional. Resultados: De las mujeres embarazadas, 69,4% tuvieron algunas de las actividades afectadas, especialmente aquellas que dijeron sentir dolor lumbar diariamente. Todas necesitaron ayuda para realizar las tareas en casa. Conclusión: La prevalencia del dolor lumbar durante el embarazo interfiere significativamente en algunas actividades de la vida diária.Objetivo: Analisar o impacto nas atividades de vida diária de gestantes com queixa de dor lombar, cadastradas na Estratégia de Saúde da Família. Métodos: Para a coleta dos dados foi utilizado um questionário epidemiológico, adaptado do Quebec Back Pain Disability Scale (QBPDS), dando-se ênfase às perguntas sobre dor lombar e Atividades de Vida Diária (AVDs). À análise dos dados aplicou-se o SPSS 16.0, para a estatística descritiva de percentual relativo e cross tabs. Calculou-se a razão de Prevalência (RP) e o teste de Kruskal-Wallis, p<0,05 com o objetivo de verificar as diferenças entre a variável dor lombar e idade gestacional. Resultados: Das gestantes pesquisadas, 69,4% tiveram algumas atividades prejudicadas, principalmente as que referiram sentir dor lombar, diariamente. Todas necessitaram de ajuda para cumprir as tarefas de casa. Conclusão: A prevalência da dor lombar durante a gravidez interfere, de forma significativa, em algumas atividades de vida diária

Effects of distinct physical activity and meditation programs on quality of life and depression levels in active elderly women

Sedentary aging can evolve to depression which interferes both qualitatively and quantitatively on elderly.s quality of life. The present study compared quality of life and depression levels between sedentary and active elderly women. For this, a correlational ex post facto study was employed, the sample was divided in four groups: dance group (DG, n=23; age=70.79±6.36 years-old); weight training group; meditation group and control group. The protocols used in evaluations were World Health Organization Quality of Life Group-old questionnaire (quality of life) and Beck Depression Inventory (depression). In multiple comparisons the results found were satisfying (p<0.05) in dom2, dom3, QVG, dom1 and dom4 variables. Depression also revealed satisfying results: DGxCG (IC=-48.00,-8.86), WGxCG (IC=-53.55,-7.95) and MGxCG (IC=-61.71,-16.11). These results indicate that exercise programs have provoked satisfying results, contributing to better quality of life and depression levels when compared to those presented by the sedentary elderly women.Envejecer de manera sedentaria puede evolucionar hacia una depresión afectándose la calidad de vida de las personas mayores. El presente estudio comparó la calidad de vida y los niveles de depresión entre ancianas sedentarias y activas. Para esto, un estudio ex post facto fue aplicado, la muestra fue dividida en cuatro grupos: grupo de danza o aerobic; grupo de entrenamiento de musculación o con resistencias; grupo de meditación y grupo control. Los protocolos empleados en las evaluaciones fueron el cuestionario de calidad de vida .World Health Organization Quality of Life Group-old. y el de determinación de depresi ón denominado .Beck Depression Inventory.. En comparaciones múltiples los resultados fueron satisfactorios (p<0.05) en las variables dom2, dom3, QVG, dom1 y dom4. Al respecto de la depresión también se obtuvieron resultados satisfactorios: DGxCG (IC=-48.00,-8.86), RGxCG (IC=-53.55,-7.95) and MGxCG (IC=-61.71,-16.11). Estos resultados indican que los programas de ejercicio físico provocaron resultados satisfactorios que contribuían a una mejor calidad de vida y niveles de depresión en comparaci ón con ancianas sedentarias

Correlation between static balance and functional autonomy in elderly women

The purpose of the present study was to verify the correlation between static balance and functional autonomy in elderly women. The sample was a random selection of 32 sedentary elderly women (mean age = 67.47 ± 7.37 years, body mass index = BMI = 27.30 ± 5.07 kg/m 2), who live in the city of Teresina in the state of Piauí, Brazil. Static balance was analyzed by stabilometric assessment using an electronic baropodometer which measured the average of the amplitude of postural oscillations in the right (RLD) and left (LLD) lateral displacements, anterior (AD) and posterior (PD) displacements, and in the elliptical area (EA) formed by the body's center of gravity. Functional autonomy was evaluated by a battery of tests from the LADEG protocol which is composed of: a 10 m walk (10 mW), getting up from a seated position (GSP), getting up from the prone position (GPP), getting up from a chair and movement around the house (GCMH), and putting on and taking off a shirt (PTS). The Spearman's correlation coefficient ( r) indicated a positive and significant correlation between GPP and LLD ( r = 0.382; p = 0.031), GPP and PD ( r = 0.398; p = 0.024) and GPP and EA ( r = 0.368; p = 0.038). These results show that sedentary elderly women who spent the greatest amount of time performing the GPP test achieved the largest mean amplitude of displacement leading to greater levels of instability

Prevalence of lower back pain and physical inactivity: the impact of psychosocial factors in pregnant women served by the Family Health Strategy

Objective: This study analyzed the impact of psychosocial factors on pregnant women with lower back pain and an associated lack of physical activity prior to pregnancy. Methods: The sample included 66 pregnant women who were randomly selected from a total of 84 patients in the waiting rooms of the Family Health Units in Cuitegí, Paraíba, from September to November 2009. An epidemiological questionnaire adapted from the Quebec Back Pain Disability Scale was used for data collection. The questions about back pain, physical activity, and psychosocial factors were emphasized. SPSS 16.0 was used for the data analysis. The prevalence of lower back pain and its relationship to gestational age, habitual physical activity, and psychosocial factors were studied using the descriptive statistics and relative percentages in the SPSS Crosstabs procedure. The odds ratio and 95% confidence interval for lower back pain were calculated. Results: The prevalence of lower back pain was 75%, which suggests that psychosocial factors were related to the presence of pain. Anxiety was reported in 42.8% of the women with lower back pain, and 38.7% of the women with lower back pain experienced physical fatigue at the end of the day. A higher percentage of pain (53%) was noted in the women who did not exercise prior to pregnancy. Conclusion: Lower back pain prior to pregnancy is associated with lack of physical activity and with psychosocial factors in the Family Health Strategy patients of Cuitegí county