Navegando por Palavras-chave "rheumatology"
Agora exibindo 1 - 5 de 5
Resultados por página
Opções de Ordenação
- ItemAcesso aberto (Open Access)Caracterização dos grupos de apoio e associações de pacientes portadores de doença reumatológica no Brasil(Sociedade Brasileira de Reumatologia, 2010-10-01) Moretti, Felipe Azevedo [UNIFESP]; Zucchi, Paola [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To analyze organizational characteristics of support groups that represent rheumatic patients in the Brazilian states. METHODS: Initially a mapping of the desired universe was made. Contact was attempted with all organizations and they were asked to answer a structuralized electronic questionnaire with the purpose of understanding the profile of these organizations (developed initiatives, legal aspects, difficulties, strong points, among others). RESULTS: 45 organizations were identified. They predominate in the south and southeastern regions of the country. Of the total, 30% have a website and 50% presented difficulties to establish contact with. Of the 12 organizations that answered to the questionnaire, 5 had closed, one is on a construction phase, and the remaining was not possible to establish contact with, or did not answer the research. Of the organizations that answered the questionnaire, only one declared having an OSCIP title (Civil Social Organization of Public Interest) or a Social Organization title and only one declared being registered at the National Council of Social Assistance (CNAS). Moreover, 50% did not present a public utility title, 25% were registered in a registry office and only 1/3 declared being registered in the City Council of Social Assistance (CMAS). CONCLUSIONS: The studied groups present heterogeneous characteristics. Of the organizations studied, some showed to be more solid and well-structured, but others showed important intrinsic difficulties, with an incipient profile or characteristics that demonstrate little survival expectation.
- ItemAcesso aberto (Open Access)Fatores associados à adesão ao tratamento de crianças e adolescentes com doenças reumáticas crônicas(Sociedade Brasileira de Pediatria, 2012-12-01) Bugni, Vanessa Miotto [UNIFESP]; Ozaki, Luciana da Silva [UNIFESP]; Okamoto, Karine Yoshiye Kajiyama [UNIFESP]; Barbosa, Cassia Maria Passarelli Lupoli [UNIFESP]; Hilário, Maria Odete Esteves [UNIFESP]; Len, Claudio Arnaldo [UNIFESP]; Terreri, Maria Teresa Ramos Ascensão [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: There are several factors that contribute to poor adherence to treatment in children and adolescents with chronic rheumatic diseases, worsening their quality of life and prognosis. Our aim was to assess the rates of adherence to treatment and to identify the socioeconomic and clinical factors associated. METHODS: The sample included 99 patients with juvenile idiopathic arthritis, systemic erythematosus lupus, dermatomyositis or juvenile scleroderma. All patients were followed at the outpatient pediatric rheumatology for a minimum period of 6 months. To assess adherence, a questionnaire was administered to the providers, which included three blocks: 1) demographic, clinical and laboratory data; 2) medication adherence; and 3) attending follow-up appointments, examinations and use of orthoses. A value lower than or equal to 80% of the prescribed was considered poor adherence. RESULTS: A total of 53% of patients showed good overall adherence, observed when the caregiver lived in a stable union marital status (p = 0.006); 20 patients (20.2%) presented poor medication adherence, related to the use of three or more medications daily (p = 0.047). The causes of poor adherence were forgetfulness, refusal, incorrect dose or lack of medication, personal problems, and financial difficulties. CONCLUSIONS: We observed good overall treatment adherence in patients whose providers lived in stable union and poor adherence to medication in patients who used more than three types of medication daily. There was no association between the adherence rates and sex, age, time since diagnosis and disease activity.
- ItemAcesso aberto (Open Access)Fibromyalgia: clinical and occupational aspects(Assoc Medica Brasileira, 2012-05-01) Helfenstein Junior, Milton [UNIFESP]; Goldenfum, Marco Aurelio; Siena, César Augusto Fávaro; Universidade Federal de São Paulo (UNIFESP); Univ Tecnol Nacl Buenos Aires; Escola Super Gestao & Ciencias Saude Porto AlegreFibromyalgia: clinical and occupational aspectsFibromyalgia (FM) is a clinical syndrome commonly observed in daily medical practice and its etiopathogenesis is still unclear. As it is characterized by chronic musculoskeletal pain associated with several symptoms, FM may be confused with several other rheumatic and nonrheumatic diseases when they course with pictures of diffuse pain and chronic fatigue. FM treatment should be multidisciplinary, individualized, count on active participation of the patient, and based on combined pharmacological and non-pharmacological modalities. It is found both in work and non-work settings, and there is no scientific evidence in the literature showing that FM might be caused by occupation. FM seldom leads to incapacity to work. In cases where pain or fatigue do not respond to appropriate treatment, reaching significant levels, a short period away from work can be considered. As FM is a relevant subject, this review article was based on exploratory, qualitative, and bibliographic investigation, aiming to study the main clinical and occupational aspects of FM, emphasizing the theoretical-conceptual background and the experience of specialists.
- ItemSomente MetadadadosThe Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part one: introduction, and mind-body exercise programs(Sage Publications Ltd, 2017) Brosseau, Lucie; Taki, Jade; Desjardins, Brigit; Thevenot, Odette; Fransen, Marlene; Wells, George A.; Imoto, Aline Mizusaki [UNIFESP]; Toupin-April, Karine; Westby, Marie; Alvarez Gallardo, Inmaculada C.; Gifford, Wendy; Laferriere, Lucie; Rahman, Prinon; Loew, Laurianne; De Angelis, Gino; Cavallo, Sabrina; Shallwani, Shirin Mehdi; Aburub, Ala'; Bennell, Kim L.; Van der Esch, Martin; Simic, Milena; McConnell, Sara; Harmer, Alison; Kenny, Glen P.; Paterson, Gail; Regnaux, Jean-Philippe; Lefevre-Colau, Marie-Martine; McLean, LindaObjective: To identify effective mind-body exercise programs and provide clinicians and patients with updated, high-quality recommendations concerning non-traditional land-based exercises for knee osteoarthritis. Methods: A systematic search and adapted selection criteria included comparative controlled trials with mind-body exercise programs for patients with knee osteoarthritis. A panel of experts reached consensus on the recommendations using a Delphi survey. A hierarchical alphabetical grading system (A, B, C+, C, D, D+, D-) was used, based on statistical significance (P < 0.5) and clinical importance (15% improvement). Results: The four high-quality studies identified demonstrated that various mind-body exercise programs are promising for improving the management of knee osteoarthritis. Hatha Yoga demonstrated significant improvement for pain relief (Grade B) and physical function (Grade C+). Tai Chi Qigong demonstrated significant improvement for quality of life (Grade B), pain relief (Grade C+) and physical function (Grade C+). Sun style Tai Chi gave significant improvement for pain relief (Grade B) and physical function (Grade B). Conclusion: Mind-body exercises are promising approaches to reduce pain, as well as to improve physical function and quality of life for individuals with knee osteoarthritis.
- ItemAcesso aberto (Open Access)O uso do ultra-som (US) na reumatologia(Sociedade Brasileira de Reumatologia, 2005-12-01) Azevedo, Ana Beatriz Cordeiro de [UNIFESP]; Martins, Emiliano Pontes [UNIFESP]; Holanda, Haroldo Tenório de [UNIFESP]; Mitraud, Sônia de Aguiar Vilela [UNIFESP]; Fernandes, Artur da Rocha Correa [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)In the past years, ultrasonographic studies achieved a solid position as an important method of imaging diagnosis in the evaluation of musculoskeletal diseases. Visualization of intra-articular structures and synovial vascular flow improved with the development of new ultrasound technologies, as better transducers, software and Doppler techniques. Ultrasound is being applied as an assistant diagnostic tool in the identification of soft tissue lesions and fluid collections, evaluation of articular structures compromised by rheumatic diseases and also as a guidance tool for invasive procedures in rheumatology, like joint aspiration and injection.