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    Acesso aberto (Open Access)
    Burn Specific Health Scale-Brief: tradução para a língua portuguesa, adaptação cultural e validação
    (Universidade Federal de São Paulo (UNIFESP), 2015) Piccolo, Monica Sarto [UNIFESP]; Gragnani Filho, Alfredo [UNIFESP]; Rocha, Maria José Azevedo de Brito [UNIFESP]; Scanavino, Marco de Tubino; http://lattes.cnpq.br/3846281522105441; http://lattes.cnpq.br/0164156685942238; http://lattes.cnpq.br/5980775290384100; http://lattes.cnpq.br/8539891736652952; Universidade Federal de São Paulo (UNIFESP)
    INTRODUÇÃO: O aumento da taxa de sobrevida dos pacientes com queimaduras, nas últimas décadas, promoveu o aumento da atenção em sua fase de reabilitação e na avaliação da qualidade de vida. Verificou-se que o Burn Specific Health Scale-Brief (BSHS-B) é o instrumento específico mais utilizado mundialmente para esse fim. OBJETIVOS: Traduzir o BSHSB para a língua portuguesa adaptá-lo culturalmente no Brasil e testar suas propriedades psicométricas. . MÉTODOS: O questionário foi traduzido para a língua portuguesa do Brasil, adaptado culturalmente pela metodologia de GUILLEMIN, BOMBARDIER, BEATON (1993) e testado em relação à reprodutibilidade, validade de face, de conteúdo e de construto. A versão traduzida foi aplicada em 92 pacientes com sequela de queimaduras. A consistência interna foi testada pelo alfa de Cronbach. A validação de construto foi realizada correlacionando o instrumento traduzido com os questionários BSHS-R, BurnSexQ-EPM/UNIFESP, Escala de Autoestima de Rosenberg (EAR) e Inventário de Depressão de Beck (IDB), todos já traduzidos para a língua portuguesa do Brasil. RESULTADOS: Na fase de reprodutibilidade o valor geral do alfa de Cronbach foi de 0,85. A correlação linear de Person foi significativa nos três momentos das entrevistas. Na validação de construto observou-se correlação significativa entre os domínios do BSHS-B com os domínios do BSHS-R, com a EAR e com o IDB. Em relação ao BurnSexQ-EPM/UNIFESP a correlação foi significativa entre o domínio conforto social e imagem corporal do BSHSB. CONCLUSÃO: O Burn Specific Health Scale-Brief (BSHS-B) foi traduzido para a língua portuguesa, do Brasil, foi adaptado culturalmente e validado. E passou a ser chamado BSHS-B-Br.
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    Efetividade da órtese noturna no tratamento da dor em mulheres com osteoartrite sintomática nas articulações interfalângicas : estudo controlado e randomizado
    (Universidade Federal de São Paulo (UNIFESP), 2017-09-28) Silva, Paula Gabriel [UNIFESP]; Natour, Jamil [UNIFESP]; http://lattes.cnpq.br/4969546467649519; http://lattes.cnpq.br/9109042107374274; Universidade Federal de São Paulo (UNIFESP)
    Objective: Evaluate the effectiveness of night orthoses for II and III or fingers of the dominant hand in women diagnosed with symptomatic interphalangeal osteoarthritis. Methods: This is a randomized, controlled, independent value, intention to treat and follow-up of six months. Fifty-two women were randomized into two groups, one group used the night orthoses custom of thermoplastics for the II and III or fingers, the control group did not use the orthoses during the study; both received educational session on hand OA. The evaluations were performed at four times: T0, T45, T90 and T180 days after enrollment. Variables studied: pain at rest and activity in fingers, handgrip and pinch strength, function by Cochin and AUSCAN questionnaires and manual performance by test pick-up. Results: The groups showed a different behavior over time with reduced values for pain at rest, pain on activity and total values of AUSCAN and Cochin questionnaires, statistically significant in favor of the orthoses group. The orthoses group decreased pain at rest in 2.1 cm (p = 0.002) and pain in activity at 4.3 cm (p <0.001). Improving pain showed a moderate correlation with the Cochin questionnaire and Bouchard’s nodes presence in III finger presented as a factor of worse prognosis predictor for pain reduction in the treatment of orthoses. Conclusion: The night orthoses demonstrated effectiveness in the treatment for reducing pain in II and III fingers and improved function in women with symptomatic osteoarthritis of the dominant hand.
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    Novo sistema de escore ultrassonográfico (US10) musculoesquelético das articulações das mãos e punho para avaliação de pacientes com artrite reumatoide em fase inicial
    (Elsevier Science Inc, 2016) Luz, Karine R. [UNIFESP]; Pinheiro, Marcelo M. [UNIFESP]; Petterle, Giovanna S. [UNIFESP]; dos Santos, Marla F. [UNIFESP]; Fernandes, Artur R. C. [UNIFESP]; Natour, Jamil [UNIFESP]; Furtado, Rita N. V. [UNIFESP]
    Objective: To propose a novel ultrasound scoring system for hand and wrist joints (US10) for evaluation of patients with early rheumatoid arthritis (RA) and to correlate the US10 with clinical, laboratory and functional variables. Methods: Forty-eight early RA patients underwent clinical and laboratory evaluations as well as blinded ultrasound (US) examinations at baseline, three, six and 12 months. The proposed US10 system involved the assessment of the wrist, second and third metacarpophalangeal and proximal interphalangeal joints. The score consisted of inflammation parameters (synovial proliferation [SP], power Doppler [PD] and tenosynovitis [TN]) and joint damage parameters (bone erosion [BE] and cartilage damage [CD]). SP, PD, BE and CD were scored qualitatively (0-1) and semi-quantitatively (grades 0-3). Tenosynovitis was scored as presence/absence. The evaluation also involved the 28-Joint Disease Activity Score (DAS28), Health Assessment Questionnaire (HAQ) and C-reactive protein level (CRP). Results: Mean duration of symptoms was 7.58 +/- 3.59 months. Significant correlations (p < 0.05) were found between inflammation parameters and CRP at baseline and between the changes in these variables throughout the study. Significant correlations (p < 0.05) were found between DAS28 score and both PD and TN at baseline and between the changes in DAS28 score and both SP and TN throughout the follow up. Moreover, significant correlations were found between the changes in inflammation parameter scores and HAQ score throughout the follow up. Conclusion: The proposed US10 scoring system proved to be a useful tool for monitoring inflammation and joint damage in early RA patients, demonstrating significant correlations with longitudinal changes in disease activity and functional status. (C) 2016 Published by Elsevier Editora Ltda.
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    Valor da oximetria de pulso na avaliação da perfusão da mão para retirada da artéria radial: O teste de Allen é satisfatório?
    (Sociedade Brasileira de Cirurgia Cardiovascular, 1998-07-01) Dauar, Renato Bauab; Barros Junior, Newton de [UNIFESP]; Lima, Paulo Ruiz Lucio de; Kyiose, Alberto Takeshi; Leao, Luiz Eduardo Villaca [UNIFESP]; Succi, José Ernesto [UNIFESP]; Hospital Bandeirantes; Universidade Federal de São Paulo (UNIFESP)
    With the increasing utilization of the radial artery as a graft in CABG a reliable evaluation of the integrity of the palmar arch in each patient, is important in order to prevent classically vascular complications of the hand, one uses the Allen test, which is based on a subjective evaluation of the colour change of the hand, when the radial and ulnar pulse are pressed and, therefore, more prone to misinterpretations. For an objective evaluation, we propose this test, analyzing perfusion through pulse oxymetry, a simple method easily available in the operating room.Purpose: The authors present a new proposal to evaluate perfusion and integrity of the palmar arch by pulse oxymetry, comparing information obtained through method with the one obtained through the Allen test.Method: Fifty radial and 50 ulnar arteries from 25 patients in prone position were studied. Patients were 45 years or over, 19 males and 6 females, in stable cardiorespiratory conditions, and free of known peripheral vascular disease in the upper limbs. The oxymeter used was from Ohmeda, and the portable Doppler, with continuous flow from Medical Electronics. At first, the probe was put over the index finger of each hand sequentially observing the saturation level which we called initial. The Doppler was used for the radial and ulnar pulses. The Allen test was performed in each hand, digitally compressing both arteries, with the oxymeter in the second finger, observing the disappearance of the pulse wave. The ulnar artery was then released, causing the return of the pulse wave and obtaining the final saturation. In 96% of cases, there was a drop in saturation ranging from 0 to 2 points. The Doppler probe was located distally to the compression of the radial artery, showing no flow in it.Results: The Allen test proved to be satisfactory (return of colour to the hand in 5 seconds or less) in 35 procedures (70%), and unsatisfactory in 15 of them (30%). The oxymetry was normal in 49 procedures (98%), with an important saturation drop in just one case (2%), in which the Allen test was unsatisfactory.Conclusions: We observed a rather meaningful difference between the results from the Allen test and those from oxymetry, leading one to question the validity of the Allen test regarding its efficacy, since it is a subjective method compared to an objective one (oxymetry). Therefore, we could not be using the radial artery as a graft in 26% of the cases evaluated through the Allen test.