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Abstract Background There is a remarkable variability in the frequency of HLA-B27 positivity in patients with spondyloarthritis (SpA), which may be associated with different clinical presentations worldwide. However, there is a lack of data considering ethnicity and sex on the evaluation of the main clinical and prognostic outcomes in mixed-race populations. The aim of this study was to evaluate the frequency of HLA-B27 and its correlation with disease parameters in a large population of patients from the Brazilian Registry of Spondyloarthritis (RBE). Methods The RBE is a multicenter, observational, prospective cohort that enrolled patients with SpA from 46 centers representing all five geographic regions of Brazil. The inclusion criteria were as follow: (1) diagnosis of axSpA by an expert rheumatologist; (2) age ≥18 years; (3) classification according to ASAS axial. The following data were collected via a standardized protocol: demographic data, disease parameters and treatment historical. Results A total of 1096 patients were included, with 73.4% HLA-B27 positivity and a mean age of 44.4 (±13.2) years. Positive HLA-B27 was significantly associated with male sex, earlier age at disease onset and diagnosis, uveitis, and family history of SpA. Conversely, negative HLA-B27 was associated with psoriasis, higher peripheral involvement and disease activity, worse quality of life and mobility. Conclusions Our data showed that HLA-B27 positivity was associated with a classic axSpA pattern quite similar to that of Caucasian axSpA patients around the world. Furthermore, its absence was associated with peripheral manifestations and worse outcomes, suggesting a relevant phenotypic difference in a highly miscegenated population. HLAB27 HLAB HLA B27 B HLA-B2 SpA, , (SpA) worldwide However mixedrace mixed race populations RBE. . (RBE) multicenter observational 4 Brazil follow 1 (1 rheumatologist 2 (2 18 ≥1 years 3 (3 axial protocol historical 109 included 734 73 73.4 444 44 44. ±13.2 132 13 (±13.2 uveitis Conversely psoriasis activity mobility world Furthermore HLAB2 B2 HLA-B (SpA (RBE ( ≥ 10 7 73. ±13. (±13. ±13 (±13 ±1 (±1 ± (±

https://doi.org/10.1186/s42358-024-00372-0

The decrease in the physical activity levels during the COVID-19 social distancing period
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Santana, William Ferraz de

; Tavares, Giselle Helena

; Pires, Larissa Cavalcante

; Romano, Fillipe Soares

; Oliveira, Nara Rejane Cruz de

; Lusby, Carolin

; Uvinha, Ricardo Ricci

Motriz: Revista de Educação Física

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2022, Volume 28 elocation e10220016521

Abstract: En | Text: En | PDF: En

Abstract Aim: Social distancing policies to combat the pandemic of COVID-19 directly impacted the physical activity (PA) index of the population. This study aimed to analyze the factors associated with insufficient leisure-time PA and the changing behavior of residents of the city of Sao Paulo, the epicenter of the pandemic in Brazil. Methods: The questionnaire used in this research was made available online and included questions on demographics and physical activity. A total of 1.096 adult residents of Sao Paulo completed the questionnaire between July 8th and August 8th, 2020. Results: For individuals who were already physically active before the restrictions, a total of 55.8% of the sample kept insufficiently active during the quarantine. Factors such as education, working conditions, and direct relationship with Covid-19 care were associated with decreased leisure-time PA practice, impacting 57.6% of the sample, especially females. People with less formal education, those who possibly changed their routines to working from home, and those who were directly connected to Covid cases were not able to maintain a daily PA routine. Conclusion: The data presented here warn about the impacts of the pandemic on engagement in PA, suggesting the need for incentives from intersectoral public policies on sports, leisure, and health to perform these activities.

https://doi.org/10.1590/s1980-657420220016521

Competência em Informação: mapeamento do uso de fontes de informação por discentes da área da saúde
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OLIVEIRA, Daianny Seoni de

; OLIVEIRA, Nara Rejane Cruz de

Transinformação

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2019, Volume 31 elocation e170074

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

Resumo A Competência em Informação surge da preocupação com a formação em pesquisa e uso das tecnologias por futuros profissionais. Na área da saúde, a informação científica fundamenta a tomada de decisão, pois os resultados de pesquisa potencialmente podem se transformar em ação. O objetivo desse artigo é mapear a competência em informação de graduandos da área da saúde na utilização de fontes de informação para fins de pesquisa científica, com base nos padrões de competência em informação para o ensino superior da Association of College and Research Libraries. Trata-se de estudo transversal do tipo descritivo, de abordagem quantitativa e qualitativa. Participaram 318 estudantes vinculados ao Instituto de Saúde e Sociedade de uma Universidade no Estado de São Paulo, dos cursos de graduação em Educação Física, Fisioterapia, Nutrição, Terapia Ocupacional, Psicologia e Serviço Social. Verificou-se que os graduandos possuem dificuldades em estabelecer a necessidade de informação, pouco conhecimento em relação ao acesso as bases de dados disponíveis, dificuldades em avaliar a qualidade das fontes utilizadas, necessidade de discutir o uso ético da informação e desconhecimento do conceito de competência em informação. Conclui-se que o tema precisa ser mais explorado em pesquisas e tratado em contínuo processo de formação nas universidades.

Abstract Information Literacy arises from the concern with the training in research and the use of technologies by future professionals. In the health area, the use of scientific information grounds the decision-making process, because the search results may potentially be transformed into action. The aim of this study is to map the information literacy of health graduates in the use of sources of information for scientific research purposes, based on standards of information literacy for higher education of the Association of College and Research Libraries. The research is a descriptive type cross-sectional study with a quantitative and qualitative approach. Three hundred and eighteen students enrolled in the Institute of Health and Society of a University in the State of São Paulo participated in undergraduate courses in Physical Education, Physiotherapy, Nutrition, Occupational Therapy, Psychology and Social Work. It was found that the students have difficulties in establishing the need for information, low knowledge when it comes to accessing the databases available, difficulties in assessing the quality of the sources used, need to discuss the ethical use of information and they are unaware of the concept of information literacy. In conclusion, the subject needs to be explored by researchers, as well as be addressed in the training process at universities.

https://doi.org/10.1590/2318-0889201931e170074 2588 downloads

Clown e o corpo sensível: diálogos com a Educação Física
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Silva, Leopoldo Ortega da

; Oliveira, Nara Rejane Cruz de

Pro-Posições

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2019, Volume 30 elocation e20170201

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/1980-6248-2017-0201 553 downloads

Investigação da ansiedade, depressão e qualidade de vida em pacientes portadores de osteoartrite no joelho: um estudo comparativo
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Ferreira, Alyne Hevellen

; Godoy, Priscilla Brandi Gomes

; Oliveira, Nara Rejane Cruz de

; Diniz, Roger Amorim Santos

; Diniz, Ricardo Edésio Amorim Santos

; Padovani, Ricardo da Costa

; Silva, Regina Cláudia Barbosa da

Revista Brasileira de Reumatologia

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oct 2015, Volume 55 N. 5 Pages 434 - 438

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

RESUMOIntrodução:A osteoartrite (OA), artrose ou osteoartrose acomete a cartilagem hialina e o osso subcondral e compromete a articulação como um todo. A articulação do joelho caracteriza-se como um dos principais sítios de acometimento da OA. O envelhecimento, o sobrepeso e o gênero (prevalência em mulheres) são os fatores de risco mais significativos para o desenvolvimento da doença. A OA é considerada uma das mais frequentes causas de incapacidade laborativa e pode afetar a qualidade de vida de seus portadores e favorecer a emergência de transtornos mentais.Objetivo:Avaliar se os sintomas de ansiedade e depressão são mais expressivos em mulheres com OA quando comparados com mulheres sem tal diagnóstico e o quanto essa doença reumática compromete a qualidade de vida desses pacientes.Métodos:Participaram deste estudo 75 mulheres, com média de 67 anos, 40 com diagnóstico de OA no joelho e 35 sem. Foram usados os seguintes instrumentos: Inventário de Ansiedade Traço e Estado, Inventário de Depressão de Beck e SF-36, questionário de qualidade de vida.Resultados:Mulheres portadoras de OA no joelho têm níveis maiores de depressão e ansiedade, além de apresentar qualidade de vida inferior em comparação com o grupo sem a doença.Conclusão:Acreditamos que o tratamento aos portadores de OA deveria considerar a combinação de farmacoterapia, psicoterapia, orientação e apoio por parte dos parentes e/ou pessoas próximas para que o paciente possa atingir melhor qualidade de vida

ABSTRACTIntroduction:Osteoarthritis (OA) affects the articular cartilage and subchondral bone, compromising the joint as a whole. The knee joint is characterized as one of the main sites of involvement of OA and the most significant risk factors for developing the disease are aging, overweight and female gender. OA is considered one of the most frequent causes of disability, which may affect the quality of life of the patients, favoring the onset of mental disorders.Objective:To investigate whether anxiety and depression symptoms are more significant in women with OA, when compared with women without this diagnosis, and to what extent this rheumatic disease affects the quality of life of these patients.Methods:The study included 75 women, mean age 67 years; 40 were diagnosed with knee OA and 35 without this diagnosis. The following instruments were used: State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI) and SF-36, a quality of life questionnaire.Results:Women with knee OA have higher rates of depression and anxiety when compared to controls; in addition, they have a lower quality of life.Conclusion:We believe that the treatment of patients with OA should consider the combination of pharmacotherapy, psychotherapy, counseling and family support, in order to achieve a better quality of life.

https://doi.org/10.1016/j.rbr.2015.03.001 9316 downloads

Saúde do estudante universitário: uma questão para reflexão
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Oliveira, Nara Rejane Cruz de

; Padovani, Ricardo Da Costa

Ciência & Saúde Coletiva

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mar 2014, Volume 19 N. 3 Pages 995 - 996

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/1413-81232014193.11042012 11371 downloads

Saúde do estudante universitário: uma questão para reflexão
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Oliveira, Nara Rejane Cruz de

; Padovani, Ricardo Da Costa

Ciência & Saúde Coletiva

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mar 2014, Volume 19 N. 3 Pages 995 - 996

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/1413-81232014193.11042012 1823 downloads Cited 1 time in SciELO

Investigação do estresse, ansiedade e depressão em mulheres com fibromialgia: um estudo comparativo
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Ramiro, Fernanda de Souza

; Lombardi Júnior, Império

; Silva, Regina Claudia Barbosa da

; Montesano, Fábio Tadeu

; Oliveira, Nara Rejane Cruz de

; Diniz, Ricardo Edésio Amorim Santos

; Alambert, Paulo Augusto

; Padovani, Ricardo da Costa

Revista Brasileira de Reumatologia

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feb 2014, Volume 54 N. 1 Pages 27 - 32

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

Introdução: A depressão tem se apresentado como o transtorno mental mais prevalente em pacientes com fibromialgia. O estresse, cujas fases são alarme, resistência, quase-exaustão e exaustão, constitui importante reação do organismo frente a uma situação ameaçadora. Objetivo: Investigar os índices de estresse, ansiedade e depressão em mulheres com fibromialgia, comparando-os com os de mulheres saudáveis. Pacientes e métodos: Participaram 50 mulheres, 25 com o diagnóstico de fibromialgia, segundo os critérios do American College of Rheumatology, e 25 sem o diagnóstico, pareadas por idade. Instrumentos utilizados: Inventário de Sintomas de Stress para Adultos de Lipp (ISSL), Inventário de Ansiedade Traço-Estado (IDATE) e Inventário de Depressão Beck (BDI). Resultados: Idade média de 49,36 anos para o grupo com fibromialgia (FM) e 49,20 anos para o grupo sem fibromialgia (não FM). O FM apresentou maior incidência de estresse (96%) quando comparado com o não FM (5%). A fase de resistência foi predominante nos dois grupos, FM (42%) e não FM (100%). No FM verificou-se distribuição nas quatro fases (alerta, resistência, quase-exaustão e exaustão). As diferenças entre as fases nos grupos analisados foram significativas (p<0,001). O FM apresentou predominância de sintomas psicológicos (54%), o não FM apresentou a mesma frequência de sintomas psicológico e físico/psicológico (40%). Os sintomas de ansiedade estado e traço e depressão do FM foram significativamente superiores, quando comparados com o não FM (p<0,01). Conclusão: Constatou-se índice de estresse (96%), traço de ansiedade (superior a 50) e depressão clinicamente (superior a 20) relevantes no FM. O entendimento das variáveis emocionais envolvidas na fibromialgia é importante na definição da terapêutica.

Introduction: Depression has emerged as the most prevalent mental disorder in patients with fibromyalgia. Stress, whose stages are alarm, resistance, near-exhaustion and exhaustion, constitutes a physical reaction to a threatening situation. Objective: To investigate the levels of stress, anxiety and depression in women with fibromyalgia, comparing them with those of healthy women. Patients and methods: Participants were 50 women, 25 with a diagnosis of fibromyalgia according to the criteria of the American College of Rheumatology, and 25 without this diagnosis, matched for age. Instruments used: Lipp Inventory of Stress Symptoms for Adults (LISS), State-Trait Anxiety Inventory (STAI) and Beck Depression Inventory (BDI). Results: The mean age was 49.36 years for the group with fibromyalgia (FM) and 49.20 years for the group without fibromyalgia (non-FM). FM showed a higher incidence of stress (96%) compared with non-FM (5%). The resistance phase was predominant in both groups, FM (42%) and non-FM (100%). In FM there was distribution of the four stages (alarm, resistance, near-exhaustion and exhaustion). The differences between phases in the analyzed groups were significant (p < 0.001). FM showed predominance of psychological symptoms (54%); non-FM did show the same frequency of psychological and physical/psychological (40%) symptoms. Symptoms of state and trait anxiety and of depression in FM were significantly higher, when compared with non-FM (p < 0.01). Conclusion: Stress index (96%), trait anxiety (over 50) and clinically relevant depression (greater than 20) in FM were relevant. The understanding of the emotional variables involved in fibromyalgia is important to define the therapeutic strategy.

https://doi.org/10.1016/j.rbr.2013.04.006 14675 downloads Cited 2 times in SciELO

Dependência de internet: manual e guia de avaliação e tratamento
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Oliveira, Nara Rejane Cruz de

; Melo, Caio Vinicius Infante de

; Padovani, Ricardo da Costa

Jornal Brasileiro de Psiquiatria

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dec 2013, Volume 62 N. 4 Pages 310 - 310

Abstract: Pt | Text: Pt | PDF: Pt

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