Navegando por Palavras-chave "Ferimentos"

Agora exibindo 1 - 2 de 2
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Consumo alcoólico e trauma em mulheres de países desenvolvidos e em desenvolvimento: estudo multicêntrico em prontos-socorros
    (Universidade Federal de São Paulo (UNIFESP), 2018-03-21) Silva, Rosiane Lopes Da [UNIFESP]; Laranjeira, Ronaldo Ramos [UNIFESP]; http://lattes.cnpq.br/4152477223577402; http://lattes.cnpq.br/2061341868321834; Universidade Federal de São Paulo (UNIFESP)
    Objectives: (1) to compare alcohol consumption by women treated in emergency rooms of developed and developing countries; (2) to delineate the sociodemographic profile of women who were assisted in emergency rooms with alcohol-related injuries; (3) to describe the occurrence of violent injury in women who consumed alcohol six hours before the injury. Methods: This is a prospective, cross-sectional study that evaluated women’s alcohol consumption treated in emergency rooms with complaints of non-fatal injuries within 6 hours. A questionnaire standardized by WHO was used; the self-report of alcohol consumption in the 24 hours prior to the contact and the blood alcohol concentration. A sample comprised of data collected from hospitals in 15 countries with 3937 women as part of two multicentre studies: ERCAAP (Emergency Room Collaborative Alcohol Analysis Project) and WHO (World Health Organization Collaborative Study on Alcohol Injuries ), both with the same research methodology. Descriptive analyses were performed with a 95% confidence interval (CI). Results: The average age of the women investigated was 39.85 years (SD = 18.23) and the minimum and maximum age ranged from 18 to 98 years. Women from developed countries with higher education (43.1% with high school education and 37.2% with college education) compared to women in developing countries (44.8% with elementary school education and 36.6% with high school education). More than half of the women in developing countries (52.3%) reported they had not drunk in the prior 12 months (abstinence) and 2.0% said they had been drinking on a daily basis. Overall, women in developing countries showed a higher frequency of binge drinking (consumption of 5 to 11 doses at a time) (33%) than women in developed countries (27.5%). Violence was more prevalent in developed countries (32.1%) than in developing countries (25.5%). Violent injuries were more prevalent in developing countries (18.1%) than in developed countries (8.6%). An association between violent injuries and frequency of consumption in the last 12 months was observed, both in developing countries (p = 0.0069) and in developed countries (p = 0.0082). It was also discovered that the percentage of violent injuries in abstinent women (20.3%), who rarely consumed (14.4%), occasionally (14.2%) and frequently (27.5%) from developing countries was higher than in women from developed countries (7.1%, 6.2%, 8.7% and 12.4%, respectively). Conclusions: Although injuried women from developing countries had the highest prevalence of abstinence rates and the lowest rates of daily alcohol consumption, they drank more dangerously and had more violent injuries than those from developed countries. The data of this study indicates that the occurrence of injuries among women and the association with alcohol consumption should consider socioeconomic differences, patterns of consumption and situations of violence in order to influence the implementation of prevention, health promotion and treatment for this population.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Dispositivo de terapia por pressão negativa com sistema de irrigação para fluidos e visualização da ferida
    (Universidade Federal de São Paulo (UNIFESP), 2017-06-29) Gomes, Daniel Teixeira [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Blanes, Leila [UNIFESP]; http://lattes.cnpq.br/1898450330418640; http://lattes.cnpq.br/1619822351741819; http://lattes.cnpq.br/3765827988960543; Universidade Federal de São Paulo (UNIFESP)
    Introdução: A terapia de pressão negativa tópica, auxiliada pela instilação de fluidos no leito das feridas, é comumente utilizada para tratar feridas complexas, especialmente, aquelas que contêm exsudato espesso e colonização bacteriana importante. No mercado, existem equipamentos industriais que aplicam essa terapia, porém, de alto custo, impossibilitando o seu uso na rede pública de saúde. Desse modo, o desenvolvimento de tecnologias, que promovam essa terapia com baixo custo, torna-se necessário. Objetivo: Desenvolver um dispositivo de terapia por pressão negativa com sistema de irrigação para fluidos e visualização da ferida de baixo custo. Métodos: Revisão das patentes existentes por meio da busca de anterioridade e comparação com o dispositivo do estudo. Na confecção dos protótipos, foi empregada como metodologia o Design Thinking para Patentes, aplicada à experimentação, por meio de protótipos de baixo custo para validar os conceitos. Esses protótipos necessitaram de equipamentos e técnicas, entre eles, ferramentas de design gráfico, impressão em três dimensões e soldagem de polímeros termoplásticos para desenvolver o curativo e registro da patente. Resultados: A patente desenvolvida configura um modelo de utilidade que se refere a um curativo de terapia por pressão negativa, compreendendo duas unidades estruturais, que se unem com o auxílio de dois anéis de pressão. Possui duas tubulações, inserindo uma oposta à outra, simetricamente e detém uma placa de resina sintética para fixação adequada no leito da ferida. Conclusão: Foi desenvolvido um dispositivo de baixo custo para o tratamento de feridas que utiliza a pressão negativa e a irrigação de fluidos.