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Impairments and related social inequalities among adults: a population-based study in São Paulo city, Brazil
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Castro, Shamyr Sulyvan

; Bassichetto, Katia Cristina

; Lima, Margareth Guimarães

; Cesar, Chester Luiz Galvão

; Goldbaum, Moisés

; Barros, Marilisa Berti de Azevedo

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 29 N. 4 elocation e16962022

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract The study of the association of social variables with the prevalence of impairments can provide subsidies for more adequate care and health policies for the most needy people by incorporating social aspects. This article aims to estimate the prevalence of diverse types of impairments, the degree of difficulty, limitations, and the need for help they cause and attest whether this prevalence differ by educational attainment in individuals aged 20 years or older. This is a populational cross-sectional study (2015 Health Survey of São Paulo-ISA Capital). Data from 3184 individuals were analyzed via educational attainment as exposure variable and outcome variables related to visual, hearing, intellectual, and mobility impairments. 19.9% of participants had visual, 7.8%, hearing, 2.7%, intellectual, and 7.4%, mobility impairments. Mobility and intellectual impairments limited participants’ daily activities the most, 70.3% and 63.3%, respectively; who, thus, needed the most help: 48.9% and 48.5%, respectively. Lower schooling was associated with a higher prevalence of impairments, greater need for help due to visual and intellectual impairments, and greater limitations due to hearing and visual impairments.

Resumo O estudo da associação de variáveis sociais com a prevalência de deficiências pode fornecer subsídios para uma atenção e políticas de saúde mais adequadas às pessoas mais carentes ao incorporar aspectos sociais. O objetivo deste artigo é estimar a prevalência de diversos tipos de deficiências, o grau de dificuldade, as limitações e a necessidade de ajuda e verificar se essa prevalência difere por escolaridade em indivíduos com 20 anos ou mais. Trata-se de um estudo transversal populacional (Inquérito de Saúde de São Paulo 2015 - ISA-Capital). Os dados de 3.184 indivíduos foram analisados com a escolaridade como variável de exposição relacionada às deficiências visuais, auditivas, intelectuais e de mobilidade. Dezenove vírgula nove por cento dos participantes apresentavam deficiência visual, 7,8% auditiva, 2,7% intelectual e 7,4% de mobilidade. Mobilidade e deficiência intelectual foram as que mais limitaram as atividades diárias, 70,3% e 63,3%, respectivamente, sendo, portanto, as que mais necessitaram de ajuda: 48,9% e 48,5%, respectivamente. Menor nível de escolaridade mostrou associação com maior prevalência de deficiências, maior necessidade de ajuda por deficiência visual e intelectual e maiores limitações por deficiência auditiva e visual.

https://doi.org/10.1590/1413-81232024294.16962022

Multimorbidity patterns and associated factors in a megacity: a cross-sectional study
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Aguiar, Ricardo Goes de

; Simões, Daniela

; Castro, Shamyr Sulyvan

; Goldbaum, Moises

; Cesar, Chester Luiz Galvão

; Lucas, Raquel

Revista de Saúde Pública

Journal Metrics
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2024, Volume 58 elocation 26

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE To identify empirical patterns of multimorbidity and quantify their associations with socioeconomic, behavioral characteristics, and health outcomes in the megacity of São Paulo. METHODS This was a cross-sectional study conducted through household interviews with residents aged 20 years or older in urban areas (n = 3,184). Latent class analysis was used to identify patterns among the co-existence of 22 health conditions. Age-adjusted prevalence ratios were estimated using Poisson regression. RESULTS The analysis of latent classes showed 4 patterns of multimorbidity, whereas 58.6% of individuals were classified in the low disease probability group, followed by participants presenting cardiovascular conditions (15.9%), respiratory conditions (12.8%), and rheumatic, musculoskeletal, and emotional conditions (12.8%). Older individuals, with lower schooling and lower household income, presented higher multimorbidity prevalence in cardiovascular, respiratory, rheumatic, musculoskeletal, and emotional conditions patterns compared with the low disease probability pattern. CONCLUSION The results showed four distinct patterns of multimorbidity in the megacity population, and these patterns are clinically recognizable and theoretically plausible. The identification of trends between patterns would make it feasible to estimate the magnitude of the challenge for the organization of health care policies.

https://doi.org/10.11606/s1518-8787.2024058006058

Multimorbidade e utilização de serviços de saúde no município de São Paulo, Brasil: prevalência e fatores associados
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Aguiar, Ricardo Goes de

; Monteiro, Camila Nascimento

; Castro, Shamyr Sulyvan de

; Figueiredo, Tatiane Kosimenko Ferrari

; Goldbaum, Moisés

; Cesar, Chester Luiz Galvão

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 29 N. 9 elocation e15002022

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract The scope of this paper was to estimate the prevalence of multimorbidity in the city of São Paulo and to verify the factors associated with the utilization of the health services. It involved a population based cross-sectional study based on data from the Health Survey in the city of São Paulo, in which descriptive analysis was conducted, and logistic regression models were developed using multimorbidity and sociodemographic independent variables, living conditions and use of health services as the outcome. A total of 3,184 individuals aged 20 years or older participated, with a mean age of 43.8 years. The prevalence of multimorbidity was 50.7% among women, 62.5% among those who reported some health problem and 55.1% among those who had recourse to health services in the last 2 weeks. A higher prevalence was identified among those who used the health service due to a mental health problem (66.1%), and in those who reported higher health expenditures in the preceding month (55.4%). Multimorbidity was more frequently associated with aging, in the population with a higher economic status, with worse self-rated health, who frequented health services for 6 months or less, who reported a health problem, or who had a health plan and opted for polypharmacy.

Resumo O objetivo foi estimar a prevalência de multimorbidade no município de São Paulo e verificar os fatores associados à utilização de serviços de saúde. Estudo transversal de base populacional a partir do Inquérito de Saúde do Município de São Paulo (ISA-Capital 2015), em que foi realizada análise descritiva e foram elaborados modelos de regressão logística utilizando como desfecho a multimorbidade e variáveis independentes sociodemográficas, de condições de vida e utilização de serviços de saúde. Participaram 3.184 indivíduos com 20 anos ou mais, idade média de 43,8 anos. A prevalência de multimorbidade foi de 50,7% entre as mulheres, 62,5% entre os que relataram algum problema de saúde e 55,1% entre os que utilizaram serviços de saúde nas duas últimas semanas. Foi identificada maior prevalência nos indivíduos que usaram serviço de saúde por problema de saúde mental (66,1%) e que informaram maiores despesas com saúde no último mês (55,4%). A multimorbidade foi mais frequente com o envelhecimento, na população com nível econômico mais elevado, com pior autoavaliação de saúde, que utilizou serviços de saúde há seis meses ou menos, que relatou problema de saúde, que tinha plano de saúde e fazia uso da polifarmácia.

https://doi.org/10.1590/1413-81232024299.15002022

Impairments and related social inequalities among adults: a population-based study in São Paulo city, Brazil adults populationbased population based city
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Castro, Shamyr Sulyvan

; Bassichetto, Katia Cristina

; Lima, Margareth Guimarães

; Cesar, Chester Luiz Galvão

; Goldbaum, Moisés

; Barros, Marilisa Berti de Azevedo

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 29 N. 4 elocation e16962022

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232024294.16962022

Multimorbidity patterns and associated factors in a megacity: a cross-sectional study megacity crosssectional cross sectional
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Aguiar, Ricardo Goes de

; Simões, Daniela

; Castro, Shamyr Sulyvan

; Goldbaum, Moises

; Cesar, Chester Luiz Galvão

; Lucas, Raquel

Revista de Saúde Pública

Journal Metrics
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- SciELO Analytics

2024, Volume 58 elocation 26

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2024058006058

Multimorbidade e utilização de serviços de saúde no município de São Paulo, Brasil: prevalência e fatores associados Paulo Brasil
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Aguiar, Ricardo Goes de

; Monteiro, Camila Nascimento

; Castro, Shamyr Sulyvan de

; Figueiredo, Tatiane Kosimenko Ferrari

; Goldbaum, Moisés

; Cesar, Chester Luiz Galvão

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 29 N. 9 elocation e15002022

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232024299.15002022

The disability profile in primary care may depend on the type of care and pain aspects
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Ferreira, Fernanda de Assis da Costa

; Góes, Angela Baroni de

; Casarotto, Raquel Aparecida

; Fernandes, Tiótrefis Gomes

; Castro, Shamyr Sulyvan de

; Schmitt, Ana Carolina Basso

Revista de Saúde Pública

Journal Metrics
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- SciELO Analytics

2024, Volume 58 elocation 52

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE: To investigate the relationship between sociodemographic factors, musculoskeletal pain and its characteristics, and the type of primary health care received with self-reported disability. METHODS: This is a cross-sectional study, interviewing individuals selected from spontaneous demand for health care in two types of care: health center and family health unit. Disability was investigated using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0 and characteristics of intensity, frequency, duration, number of pain sites, and regions. Measures of association between predictors and disability were performed with non-parametric statistical tests, whereas non-parametric regression models were presented for pain characteristics and for the general population. RESULTS: In total, 2.3% of family health users and 7.2% of health center users had severe levels of disability. Health center users had more self-reported disability than family health users (p < 0.001). Fewer years of life (p = 0.034) and lower per capita income quintile (p = 0.014) were associated with greater disability. The most intense pain and pain in the greatest number of sites increased the disability score by 1.8 (95%CI = 1.0–2.6) and 6.3 (95%CI = 0.1–12.2) points, respectively. CONCLUSION: Users who had more disabilities sought care at walk-in health centers, had lower per capita income, presented musculoskeletal pain of worse intensity, and pain in a greater number of sites. OBJECTIVE factors selfreported self reported METHODS crosssectional cross sectional study unit WHODAS (WHODAS 20 2 0 2. intensity frequency duration regions nonparametric non parametric tests population RESULTS total 23 3 2.3 72 7 7.2 p 0.001. 0001 0.001 . 001 0.001) 0.034 0034 034 0.014 0014 014 18 1 8 1. 95%CI 95CI CI 95 1.0–2.6 1026 6 63 6. 0.1–12.2 01122 12 points respectively CONCLUSION walkin walk centers 7. 000 0.00 00 0.03 003 03 0.01 01 9 1.0–2. 102 0.1–12. 0112 0.0 1.0–2 10 0.1–12 011 0. 1.0– 0.1–1 1.0 0.1– 0.1

https://doi.org/10.11606/s1518-8787.2024058005400

The disability profile in primary care may depend on the type of care and pain aspects
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Ferreira, Fernanda de Assis da Costa

; Góes, Angela Baroni de

; Casarotto, Raquel Aparecida

; Fernandes, Tiótrefis Gomes

; Castro, Shamyr Sulyvan de

; Schmitt, Ana Carolina Basso

Revista de Saúde Pública

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 58 elocation 52

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2024058005400

Translation and cross-cultural adaptation of the Model Disability Survey (MDS) for Brazil crosscultural cross cultural MDS (MDS
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Silva, Érika Giovana Carvalho da

; Castro, Shamyr Sulyvan

; Sabariego, Carla

; Monteiro, Karolinne Souza

; Lima, Núbia Maria Freire Vieira

Revista de Saúde Pública

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2023, Volume 57 elocation 33

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO OBJETIVO Traduzir e adaptar transculturalmente o Model Disability Survey (MDS), instrumento da Organização Mundial da Saúde que fornece informações abrangentes a respeito de deficiência/funcionalidade, para o Brasil. MÉTODOS Trata-se de um estudo metodológico de corte transversal, realizado por meio de cinco etapas – tradução inicial, síntese das traduções, retrotradução, revisão por comitê de especialistas e pré-teste –, considerando propriedades como equivalência semântica, idiomática, experimental e conceitual. Para realização das etapas foram necessários tradutores, pesquisadores, equipe mediadora, profissionais da saúde, metodologista e especialista em idiomas. A análise estatística foi produzida a partir de frequências absolutas e relativas, medidas de tendência central e dispersão, testes de normalidade e índice de validade de conteúdo (IVC) > 0,80. RESULTADOS O instrumento MDS apresenta 474 itens, o que gerou 1.896 análises de equivalências. Destes, 160 itens apresentaram IVC < 0,80 em pelo menos uma das quatro equivalências e necessitaram de ajustes. Após adequações e aprovação dos juízes, a versão pré-final seguiu para o pré-teste com 30 participantes, de quatro regiões do Nordeste brasileiro. Desta amostra, 83,3% são mulheres, solteiras, com idade média de 33,7 (DP 18,8) anos, autodeclaradas pretas ou pardas, trabalhadoras ativas, com escolaridade a partir do ensino técnico e que residiam com três moradores. O tempo médio das entrevistas foi de 123 minutos de duração. Foram mencionadas 127 condições de saúde, sendo as mais frequentes ansiedade e dores nas costas. As respostas foram analisadas e 63 itens foram citados como necessitando de algum ajuste, sendo dois destes encaminhados para análise pelo comitê por possuírem IVC < 0,80. O instrumento, manual e cartões de apresentação foram ajustados após um novo pré-teste. CONCLUSÕES O MDS foi traduzido e adaptado transculturalmente para o português brasileiro e apresentou adequada validade de conteúdo. MDS, , (MDS) deficiênciafuncionalidade deficiência funcionalidade deficiência/funcionalidade Brasil Tratase Trata se transversal inicial traduções retrotradução préteste pré teste semântica idiomática conceitual tradutores pesquisadores mediadora saúde idiomas relativas dispersão (IVC 080 0 80 47 1896 1 896 1.89 Destes 16 0,8 ajustes juízes préfinal final 3 participantes amostra 833 83 83,3 mulheres solteiras 337 33 7 33, DP 18,8 188 18 8 anos pardas ativas moradores 12 duração costas 6 ajuste préteste. teste. (MDS 08 4 189 89 1.8 0, 83, 18, 1.

ABSTRACT OBJECTIVE This study has as objective the translation and cross-cultural adaptation of the Model Disability Survey (MDS), a World Health Organization instrument that provides comprehensive information on disability/functioning, for Brazil. METHODS This is a cross-sectional methodological study, carried out through five stages – initial translation, synthesis of translations, reverse translation, review by a specialist committee, and pre-test –, considering properties such as semantic, idiomatic, experimental, and conceptual equivalence. Translators, researchers, a mediating team, health professionals, a methodologist and a language specialist were needed to pass through the stages. Statistical analysis was produced from absolute and relative frequencies, measures of central tendency and dispersion, normality tests and content validity index (CVI) > 0.80. RESULTS The MDS has 474 items, which generated 1,896 analyzes of equivalence. Of these, 160 items had a CVI < 0.80 in at least one of the four types of equivalence and required adjustments. After adaptations and approval by the judges, the pre-final version went on to the pre-test with 30 participants from four regions of the Brazilian Northeast. Regarding this sample, 83.3% are women, single, with an average age of 33.7 years (SD 18.8), self-declared as black or brown, active workers, with technical education and living with three residents. Interviews lasted 123 minutes on average, where 127 health conditions were mentioned, and the most frequent cited were anxiety and back pain. Answers were analyzed and 63 items were cited as needing some adjustment, two of which were submitted for analysis by the committee because they presented a CVI < 0.80. The instrument, guide and presentation cards were adjusted after a new pre-test. CONCLUSIONS The MDS was translated and cross-culturally adapted to Brazilian Portuguese and showed adequate content validity. crosscultural cross cultural MDS, , (MDS) disabilityfunctioning disability functioning disability/functioning Brazil crosssectional sectional translations pretest pre test semantic idiomatic experimental Translators researchers team professionals frequencies dispersion (CVI 080 0 80 47 1896 1 896 1,89 these 16 0.8 adjustments judges prefinal final 3 Northeast sample 833 83 83.3 women single 337 33 7 33. SD 18.8, 188 18.8 18 8 18.8) selfdeclared self declared brown workers residents 12 mentioned pain 6 adjustment pretest. test. crossculturally culturally (MDS 08 4 189 89 1,8 0. 83. 18. 1,

https://doi.org/10.11606/s1518-8787.2023057004759

10.

Translation and cross-cultural adaptation of the Model Disability Survey (MDS) for Brazil
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Silva, Érika Giovana Carvalho da

; Castro, Shamyr Sulyvan

; Sabariego, Carla

; Monteiro, Karolinne Souza

; Lima, Núbia Maria Freire Vieira

Revista de Saúde Pública

Journal Metrics
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2023, Volume 57 elocation 33

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.11606/s1518-8787.2023057004759

11.

Impairments, health conditions and health risk behaviors: occurrence and associations, in the National Health Survey, Brazil, 2019
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Barreto, Marina Carvalho Arruda

; Oliveira, Bárbara Bruna Rodrigues de

; Gomes, Ileana Pitombeira

; Vasconcelos, Mayra Solange Lopes de

; Tavares, Nayranne Hivina Carvalho

; Castro, Shamyr Sulyvan de

; Araújo, Larissa Fortunato

Epidemiologia e Serviços de Saúde

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2023, Volume 32 N. 4 elocation e2023114

Abstract: Es Pt En | Text: Es Pt En | PDF: Es | PDF: Pt | PDF: En

RESUMEN Objetivo Analizar la asociación entre discapacidad visual, auditiva, mental/intelectual, física y discapacidad múltiple con condiciones y conductas de riesgo para la salud en Brasil. Métodos Estudio transversal utilizando datos de la Encuesta Nacional de Salud de 2019; se estimaron, mediante regresión logística, las asociaciones entre discapacidad con la presencia de enfermedades cardiovasculares (ECV), hipertensión, diabetes, colesterol alto, consumo de alcohol y tabaquismo, obtención del odds ratio (OR). Resultados De los 90.846 participantes, el 7,6% refirió discapacidad. Tener una discapacidad se asoció con una mayor probabilidad de reportar enfermedades crónicas, especialmente ECV (OR = 2,11; IC95% 1,76;2,54) y diabetes (OR = 1,78; IC95% 1,56;2,02); la discapacidad visual se asoció con una mayor probabilidad de fumar (OR = 1,52; IC95% 1,28;1,81); la discapacidad mental/intelectual mostró una relación inversa con el tabaquismo (OR = 0,45; IC95% 0,30;0,67) y el consumo de alcohol (OR = 0,13; IC95% 0,06;0,26). Conclusión Se observó que tener alguna de las discapacidades estudiadas puede estar asociado con mayores posibilidades de tener condiciones crónicas de salud.

RESUMO Objetivo Analisar a associação de deficiências visual, auditiva, mental/intelectual, física e deficiência múltipla com as condições e comportamentos de risco à saúde no Brasil. Métodos Estudo transversal, utilizando-se dados da Pesquisa Nacional de Saúde de 2019; associações entre deficiências e presença de doença cardiovascular (DCV), hipertensão arterial, diabetes mellitus (DM), colesterol alto, consumo abusivo de álcool e tabagismo foram estimados por regressão logística, obtendo-se a razão de chances (RC). Resultados Dos 90.846 participantes, 7,6% reportaram deficiência. Ter deficiência associou-se a maiores chances de relatar condições crônicas, especialmente DCV (RC = 2,11; IC95% 1,76;2,54) e DM (RC = 1,78; IC95% 1,56;2,02); deficiência visual associou-se a maior chance de tabagismo (RC = 1,52; IC95% 1,28;1,81); deficiência mental/intelectual apresentou relação inversa com tabagismo (RC = 0,45; IC95% 0,30;0,67) e consumo abusivo de álcool (RC = 0,13; IC95% 0,06;0,26). Conclusão Apresentar alguma das deficiências estudadas pode-se associar a maiores chances de ter condições crônicas de saúde.

ABSTRACT Objective To analyze association of visual, hearing, mental/intellectual, physical and multiple impairments with health conditions and health risk behaviors in Brazil. Methods This was a cross-sectional study, using data from the 2019 National Health Survey; associations between impairments and presence of cardiovascular disease (CVD), hypertension, diabetes mellitus (DM), high cholesterol, alcohol abuse and smoking were estimated using logistic regression, thus obtaining the odds ratios (OR). Results Impairment was reported by 7.6% of the 90,846 participants. Having a impairment was associated with greater odds of reporting chronic conditions, especially CVD (OR = 2.11; 95%CI 1.76;2.54) and DM (OR = 1.78; 95%CI 1.56;2.02 ); visual impairment was associated with greater odds of smoking (OR = 1.52; 95%CI 1.28;1.81); mental/intellectual impairment was inversely related to smoking (OR = 0.45; 95%CI 0.30;0.67) and alcohol abuse (OR = 0.13; 95%CI 0.06;0.26). Conclusion Having any of the impairments studied may be associated with greater odds of having chronic health conditions.

https://doi.org/10.1590/s2237-96222023000400002.en

12.

Brazilian practice guidelines for stroke rehabilitation: part II rehabilitation
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Minelli, Cesar

; Luvizutto, Gustavo José

; Cacho, Roberta de Oliveira

; Neves, Luciana de Oliveira

; Magalhães, Sheila Cristina Sayuri Abe

; Pedatella, Marco Túlio Araújo

; Mendonça, Lucia Iracema Zanotto de

; Ortiz, Karin Zazo

; Lange, Marcos Christiano

; Ribeiro, Priscila Watson

; Souza, Luciane Aparecida Pascucci Sande de

; Milani, Cristiano

; Cruz, Daniel Marinho Cezar da

; Costa, Rafael Dalle Molle da

; Conforto, Adriana Bastos

; Carvalho, Fernanda Martins Maia

; Ciarlini, Bruna Silva

; Frota, Norberto Anizio Ferreira

; Almeida, Kelson James

; Schochat, Eliane

; Oliveira, Tatiana de Paula

; Miranda, Camila

; Piemonte, Maria Elisa Pimentel

; Lopes, Laura Cardia Gomes

; Lopes, Camila Galvão

; Tosin, Michelle Hyczy de Siqueira

; Oliveira, Bianca Campos

; Oliveira, Beatriz Guitton Renaud Baptista de

; Castro, Shamyr Sulyvan de

; Andrade, João Brainier Clares de

; Silva, Gisele Sampaio

; Pontes-Neto, Octávio Marques

; Carvalho, João José Freitas de

; Martins, Sheila C. Ouriques

; Bazan, Rodrigo

Arquivos de Neuro-Psiquiatria

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jul 2022, Volume 80 N. 7 Pages 741 - 758

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo As Diretrizes Brasileiras de Reabilitação do Acidente Vascular Cerebral (AVC) - Parte II, desenvolvida pelo Departamento Científico de Reabilitação Neurológica da Academia Brasileira de Neurologia é voltada para intervenções específicas de técnicas de reabilitação de déficits neurológicos e incapacidades. Seguindo o mesmo modelo da Parte I, a Parte II também se baseia em estudos randomizados, revisões sistemáticas, metanálises e outras diretrizes sobre o mesmo tema. A segunda parte aborda os distúrbios da comunicação, disfagia, controle postural e equilíbrio, ataxias, espasticidade, reabilitação do membro superior, marcha, cognição, negligência espacial unilateral, déficits sensoriais, reabilitação domiciliar, aderênciaao usode medicamentos, cuidados paliativos,ofuturodareabilitação no AVC, e websites de orientação sobre AVC para pacientes e cuidadores. Nosso objetivo é fornecer aos profissionais envolvidos na reabilitação conhecimento atualizado e recomendações para um melhor cuidado no pós-AVC. (AVC incapacidades I randomizados sistemáticas tema comunicação disfagia equilíbrio ataxias espasticidade superior marcha cognição unilateral sensoriais domiciliar medicamentos paliativosofuturodareabilitação paliativos ofuturodareabilitação cuidadores pósAVC. pósAVC pós AVC. pós-AVC

Abstract The Brazilian Practice Guidelines for Stroke Rehabilitation – Part II, developed by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As in Part I, Part II is also based on recently available evidence from randomized controlled trials, systematic reviews, meta-analyses, and other guidelines. Part II covers disorders of communication, dysphagia, postural control and balance, ataxias, spasticity, upper limb rehabilitation, gait, cognition, unilateral spatial neglect, sensory impairments, home rehabilitation, medication adherence, palliative care, cerebrovascular events related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the future of stroke rehabilitation, and stroke websites to support patients and caregivers. Our goal is to provide health professionals with more recent knowledge and recommendations for better rehabilitation care after stroke. Academia Neurologia Portuguese, Portuguese , Portuguese) I trials reviews metaanalyses, metaanalyses meta analyses, analyses meta-analyses guidelines communication dysphagia balance ataxias spasticity gait cognition neglect impairments adherence SARSCoV2 SARSCoV SARS CoV (SARS-CoV-2 infection caregivers (SARS-CoV- (SARS-CoV

https://doi.org/10.1055/s-0042-1757692

13.

Relação de fatores pessoais e ambientais com a prevalência de deficiências físicas adquiridas no Brasil - estudo de base populacional
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Barreto, Marina Carvalho Arruda

; Araújo, Larissa Fortunato

; Castro, Shamyr Sulyvan de

Ciência & Saúde Coletiva

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apr 2022, Volume 27 N. 4 Pages 1435 - 1442

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivou estimar a relação de fatores pessoais e ambientais com a prevalência de deficiência física adquirida em adultos e idosos brasileiros. Realizado um estudo transversal com dados da Pesquisa Nacional de Saúde (PNS) 2013. A variável resposta foi: autorrelato deficiência física adquirida. As variáveis explicativas de interesse foram: sexo, raça/cor, escolaridade, classe social, trabalho remunerado, plano de saúde, água canalizada e rede de esgoto. As magnitudes das associações e seus respectivos intervalos de confiança (95%) foram estimadas utilizando a Regressão de Poisson. O autorrelato de deficiência física foi encontrado em 1,25% dos 55.369 participantes. Após completo ajustamento, o sexo masculino, raça/cor não branca, menores níveis de escolaridade, viver sozinho, não ter trabalho remunerado, plano de saúde, água canalizada e rede de esgoto foram associados a maiores prevalências de deficiência física adquirida. Esses achados evidenciam que a população mais vulnerável apresenta maior prevalência de deficiência física e os fatores pessoais e ambientais são importantes de serem avaliados em nível populacional.

Abstract The aim of this study was to estimate the relationship between personal and environmental factors and the prevalence of acquired physical impairment in adults and older persons in Brazil. We conducted a cross-sectional study using data from the 2013 National Health Survey. The response variable was self-reported acquired physical impairment. The explanatory variables were sex, race/skin color, education level, social class, paid employment, private health insurance, running water, and connection to a sewer network. The strength of association between the explanatory variables and response variable and respective 95% confidence intervals were estimated using Poisson Regression. Physical impairment was reported by 1.25% of the study population (n=55,369). After complete adjustment, being male and non-white, having a lower level of education, living alone, not being in paid employment, not having private health insurance, not having running water, and not living in a house connected to a sewer network were associated with higher prevalence of acquired physical impairment. The findings show that prevalence of physical impairment was higher among vulnerable groups and that personal and environmental factors are important elements that need to be assessed at the population level.

https://doi.org/10.1590/1413-81232022274.06472021

14.

Relação de fatores pessoais e ambientais com a prevalência de deficiências físicas adquiridas no Brasil - estudo de base populacional
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Barreto, Marina Carvalho Arruda

; Araújo, Larissa Fortunato

; Castro, Shamyr Sulyvan de

Ciência & Saúde Coletiva

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apr 2022, Volume 27 N. 4 Pages 1435 - 1442

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232022274.06472021

15.

Association of social factors and health conditions with capacity and performance
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Barreto, Marina Carvalho Arruda

; Cartes-Velásquez, Ricardo

; Campos, Valeria

; Araújo, Larissa Fortunato

; Castro, Shamyr Sulyvan de

Revista de Saúde Pública

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2022, Volume 56 elocation 62

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE Determine and measure the association of social factors and health conditions with worse capacity and performance levels. METHODS Dependent variables consisted of performance and capacity; independent variables comprised age, gender, level of education, personal income, and health conditions. Means (95%CI) of performance and capacity were presented according to the independent variables. Generalized linear models, using a mutual adjustment for all variables considered statistically significant (p < 0.05), measured the associations between each exposure and outcomes. Study population included 12,265 individuals. RESULTS Older women with lower education and income levels and with some health condition showed the worst performance and capacity. CONCLUSION Results showed that the capacity and performance levels of the Chilean population changed according to social demographic characteristics and health conditions.

https://doi.org/10.11606/s1518-8787.2022056004152

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