City Of Passo Fundo Research Articles

Endovascular Neurosurgery in the Northern Macro- region of Rio Grande do Sul: Part I

Introduction The city of Passo Fundo, in the north of the Rio Grande do Sul state, has been standing out in the health care field for many years. The state has become a reference in endovascular interventional neuroradiology. We will cover 10 years of experience in this area and divide our observations in 3 parts: cerebral angiograms (part I), carotid angioplasties (part II) and intracranial aneurysms (part III). The goal of part I is to statistically assess the cerebral angiograms, their indications, risks and complications, as well as to do a technical review. Materials and Methods A retrospective study from 2005 to 2015 with a total of 5,567 interventional neuroradiology procedures performed. A total of 4,114 angiograms, 639 embolizations of intracranial aneurysms, 414 carotid angioplasties, 143 embolizations of cerebral arteriovenous malformations, 32 embolizations of dural arteriovenous fistulas, 102 cerebral vasospasm treatments, 21 treatments of epistaxis, 36 embolizations of craniocervical tumor, 25 thrombolysis of ischemic stroke, 18 vertebroplasties and 13 embolizations of arteriovenous malformations of the face. Results A total of 4,084 procedures performed, 21,811 vessels studied, average vase 7.62/2.82 vessel and patient/procedure. Of these, 2,536 were diagnostic procedures and 1,548 angiographic controls. Of the total, 1,188 patients received only an angiogram, 27.14% of which were therapeutic procedures. We obtained a total of 3.89% complications: 2.33% reflection vasovagal, 0.56% allergic skin reaction, anaphylactic shock 0.07%, 0.27% femoral hematoma, 0.26% transient neurological deficit, 0.12% permanent neurological deficit and no case of death. Conclusion Cerebral angiography in adults, children and infants is a safe procedure with low risk of permanent neurological complications.

Gênero e trabalho: Reflexão necessária na incubação em economia solidária

This article aims to present and discuss the relation of gender and work. We will approach this topic within a cultural perspective of the city of Passo Fundo. The data and literary research occurred by a group of students of Social Work, who are members of the extension project 'Productive Integration and Decent Work: Advisory on solidarity economy in Passo Fundo / RS', with the project coordinator and Sociology professor, Ivan Dourado, being all of them linked to the Community University of Passo Fundo (UPF). In this article, we intend to present the history of the project and later, we will bring an analysis that will allow us to discuss further the issue of gender and labor activities. Therefore, we pretend to show some ways of women inclusion in cooperative work and the possibilities of reproduction/overcoming on the socially recognized ‘woman work’ in the Solidarity Economy. The project, in the years 2013 and 2014, conducted a mapping of the reality of Solidarity Economy cooperatives in the city of Passo Fundo. From this, we found some data to consider the role of women in work spaces, with the cultural point of view from the ideas of Roberto Da Matta (1985). Thus, we have the intention of responding to the question: how the production and reproduction of females occurs in industrial activities within the solidarity cooperative space?

History and diagnosis of the old area of municipal solid waste disposal of in the city of Passo Fundo, Rio Grande do Sul, Brazil

A utilização de locais inapropriados, como beira de estradas, margens de rios e terrenos baldios, para depósito de resíduos sólidos urbanos é comum nas cidades brasileiras. O objetivo deste artigo é fazer levantamento e diagnóstico da situação ambiental do Aterro Invernadinha, verificando a influência, ao longo do tempo, da disposição dos resíduos, na qualidade do solo e o processo de recuperação ambiental local. O presente estudo utilizou fontes secundárias de dados, sendo que, para isso realizaram-se consultas de trabalhos já desenvolvidos na área do aterro. O Aterro Invernadinha surgiu devido a obras de construção da Rodovia BR-285, e operou nas décadas de 70 a 90, sendo formalmente fechado no ano de 1995. O local recebeu diferentes tipos de resíduos, como resíduos sólidos urbanos e resíduos provenientes de curtume. Em relação à vegetação atual do local, esta teve sua origem naturalmente, sendo que as primeiras espécies vegetais (gramíneas) apareceram por volta do ano de 1999. Quanto aos recursos hídricos próximos da área, existem duas nascentes que se deslocam para o Rio Passo Fundo. No solo existente sobre os resíduos sólidos urbanos constataram-se alterações nas concentrações dos metais Zn, Cu, Pb, Cr, Ni e Hg. Mesmo sem uma intervenção drástica de recuperação ambiental, o local vem apresentando melhorias gradativas em seu visual, não produzindo os impactos de quando a área era utilizada como depósito de resíduos. Como a principal problemática é a contaminação e poluição do solo e da água subterrânea, a área ainda sofre as alterações provenientes do descarte ambientalmente incorreto de resíduos, o qual já foi finalizado há mais de uma década. Abstract The use of inappropriate sites such as roadsides, riverbanks and vacant lots, deposit urban solid waste is common in Brazilian cities. The purpose of this article is to survey and diagnose the environmental situation of the landfill Invernadinha, examining the effects of waste disposal over time in the soil quality and to analyze the local environmental recovery process. This study used secondary data sources and also investigated works done in the landfill area. The Invernadinha landfill emerged due to construction of the BR-285, and operated in the decades 70-90, and formally closed in 1995. The site received different types of wastes such as urban solid waste and waste from tannery. The current local vegetation originated naturally, the first plant species (grasses) appeared around the year 1999. As for the water resources next to the area, there are two springs moving to Rio Passo Fundo. Regarding the solid urban waste in the existing soil it was found changes in the concentrations of Zn, Cu, Pb, Cr, Ni and Hg. Even without a drastic intervention of environmental recovery, the place is showing gradual improvements in their aspect, not producing the impacts when the area was used as a waste disposal site. As the main problem is the contamination and pollution of soil and groundwater, currently the area still suffers the changes resulting from the environmentally incorrect disposal of waste, which ended for more than a decade.

Analysis of the Women Perception Regarding Personal Finances

Analysis of the Women Perception Regarding Personal Finances Alessandra Biavati Rizzotto, Amanda Guareschi, Julcemar Bruno Zilli Abstract The article aimed to map the perception of the women who live in the city of Passo Fundo, Brazil, in relation to the personal finance issues. Therefore, 407 questionnaires were applied to residents of the city, in the period from August to November 2014. The results showed that as the age increases, the women believe that money can bring status and social recognition. The women with highest salary range are more likely to have control over the budget, and the women with lowest salary range, have a lower tendency to see money as a means of influence and power. Full Text: PDF DOI: 10.15640/rcbr.v5n1a14

Evaluation of a method based on image analysis to obtain shape parameters in crushed sand grains

ABSTRACTThe objective of this paper is to evaluate a method based on image analysis to obtain shape parameters in crushed sand grains. There is no consensus about standards and rules for testing aggregates, the lack of methodology to prepare and conduct tests may produce incorrect results, which do not satisfactorily represent the aggregate characteristics. One way to perform these analyzes is the use of images obtained with magnifying glasses or similar equipment. To contribute to this, three experiments were prepared with samples of crushed sand from the city of Passo Fundo. The fixed and evaluated parameters were: samples preparation, zoom used for image acquisition and number of grains representative of the shape parameters. The results were statistically analyzed and significant differences were obtained to the shape factor regarding the fixed parameters, except for the number of grains needed to characterize it, which differs from the currently literature used by academic studies. According to this work it is possible to realize that it is necessary to standardize the tests for shape analysis to eliminate errors generated by the interpretation of incorrect results, which may have been generated by changes in the methodology for conducting the tests.

Conhecimentos dos agentes comunitários de saúde sobre crack e outras drogas

Objetivo: identificar os conhecimentos dos agentes comunitários de saúde (ACS), do município de Passo Fundo sobre o crack e outras drogas e descrever os perfis sociodemográfico e de saúde. Métodos: estudo descritivo realizado com 78 ACS de Passo Fundo. A coleta de dados ocorreu por meio da aplicação de um questionário estruturado e autoaplicável sobre dados demográficos e de saúde dos ACS, e de um questionário de investigação dos conhecimentos sobre crack e demais drogas. Foram realizados análise descritiva, teste de Tukey e correlações lineares de Pearson e Spearman. Resultados: todos os ACS eram do sexo feminino, com idade média de 41,1±9,6 anos, sendo que 57,7% delas possuíam o ensino médio completo e 69,2% eram casadas. Além disso, 11,5% eram tabagistas, 93,6% negaram dependência ao álcool, e a maioria tinha dependentes químicos em sua área de abrangência. Metade delas apresentou problemas familiares. Em relação à saúde, 29,5% obtiveram SRQ com pontuação sugerindo possibilidade de Transtornos Mentais Comuns, e 51,3% afirmaram ser portadoras de doenças crônicas. A prova de conhecimentos obteve 34,5% de média de acertos, sendo o maior número de respostas corretas entre as ACS com maior escolaridade (p=0,006). Conclusão: o baixo número de acertos em teste de conhecimento evidencia uma necessidade urgente: a de reforçar a formação das ACS. O perfil específico dessas profissionais suscita a necessidade de maior atenção à sua saúde, bem como de novas pesquisas na área.

Impact of the severity of chronic periodontal disease on quality of life.

We examined the impact of the severity of periodontal disease on quality of life in adults with chronic periodontitis. One hundred patients (age, 30-58 years) who were assisted at the Basic Health Care Unit in the city of Passo Fundo, RS, Brazil underwent clinical examination of all standing teeth, including gingival bleeding on probing, probing depth, and clinical attachment level, and were divided into those with mild/moderate (n = 49; group G1) and severe (n = 51; group G2) chronic periodontitis. The participants were then interviewed, using a structured questionnaire. The Brazilian Oral Health Impact Profile (OHIP-14Br) questionnaire was used to assess oral health-related quality of life. Associations were investigated, and those with a P value of less than 0.2 were tested using multiple logistic regression models. Those with a P value of 0.05 or less were considered significant. There was a significant association between G2 and education level (P = 0.00051). OHIP-14Br score was higher for G2 (24.1) than for G1 (18.2) (P = 0.0455). Severe chronic periodontitis was associated with low education level (≤8 years) (odds ratio [OR], 3.0; 95% confidence interval [CI], 1.2-7.3) and pronunciation difficulties (OR, 3.1; 95% CI, 1.0-9.3). In conclusion, periodontal disease severity was inversely associated with quality of life among Brazilian adults.

AVALIAÇÃO DA EXTENSÃO DOS HORIZONTES DE INTEGRAÇÃO TEMPORAL DO WRF NOS PROGNÓSTICOS DO VENTO

The WRF mesoscale model has been configured andprocessed with a domain covering the Rio Grande do Sulstate, using the GFS/NCEP forecasting (of 00Z, 06Z, 12Zand 18Z) during the October 18th to 21st, 2013 time periodas initial and lateral boundary conditions. The 16 modelintegrations have been processed, generating hourlyforecasting up to 120 hours. The surface wind forecastinghave been evaluated throughout comparison with thedata as collected by the INMET remote station installedat Passo Fundo city – RS. The main focus has beenestablished on October 21st, due the occurrence of quiteintense winds over the whole northern sector of RioGrande do Sul state, particularly over Passo Fundo city.The gathered results reveal that, in a general sense, theWRF presented very good skill for strong wind, as wellas - even up to ninety six hours ahead.

Vivências das Famílias na Adoção Tardia

Adoption is a topic that involves many prejudices and expectations. The late adoption includes the same placement. It is known that adopting a child and/or adolescent denotes intense feelings, expectations about the future and resignation of the early years of the development of the son to the late adopters’ couples. The overall objective was to identify the feelings of the families’ adopters and explore their perceptions and experiences about the late adoption process. The specific objectives were to identify the main experiences in this process; meet the psychological and legal aspects; and observe the main feelings and expectations of families enabled the late adoption. In this sense, the survey sought to investigate how it was experienced the late adoption by five families in the city of Passo Fundo, Rio Grande do Sul. Furthermore, was developed as an exploratory qualitative oriented study. Thus, semi-structured interviews were carried out, recorded and transcribed for after exploitation by the method of Bardin’s Analysis Content. The survey results showed that the late adoption is, at the same time, a good and challenging experience, while a process that naturally involves difficulties and facilities, which are related to life experiences of each couple with the child adopted.

Avaliação do estado nutricional em pacientes renais crônicos em hemodiálise

AIMS: To assess the nutritional status and associated factors in chronic renal failure patients on hemodialysis. METHODS: A cross-sectional study conducted at a referral nephrology center at the Hospital Sao Vicente de Paulo, in the city of Passo Fundo, Rio Grande do Sul state. Anthropometric evaluation consisted of weight (before and after the period of hemodialysis), body mass index, arm muscle circumference, arm muscle area, triceps skinfold thickness and thickness of the thumb muscle (these only after the period of hemodialysis). Biochemical tests included albumin, transferrin and cholesterol. The dietary recall was applied to total calories and protein. RESULTS: Ninety patients were evaluated, of whom 70 (77.8%) men. Using body mass index, 38 patients (42.2%) were overweight, 45 (50%) were normal and 7 (7.8%) were underweight after dialysis. Overweight was estimated in 18 (20%) patients by triceps skinfold and in no patient by the other anthropometric measures used. Nutritional depletion was identified in 53 patients (58.9%) using the triceps skinfold, in 37 (41.1%) by arm muscle circumference, in 72 (80%) by arm muscle area and in 84 (95.4 %) by albumin dosage. Dietary intake of energy and protein intake were below the reference standards and were significantly lower in patients with overweight. CONCLUSIONS: There was a high prevalence of overweight assessed by body mass index, whereas most patients had nutritional depletion in other anthropometric variables, with concomitant decrease in albumin and lean body mass, after the period of hemodialysis.

Evaluation and physiotherapeutic intervention in older with deficit balance through the Scale of Berg and Wii Balance Board platform

Introduction The aging process causes structural and functional changes in the organism. Among these changes, the systems responsible for controlling the balance are also affected, especially in women. This study aims to perform an assessment and physiotherapy intervention in elderly with balance deficits through Berg scale and platform Wii Balance Board. Materials and methods The study was longitudinal quasi-experimental intervention. Held in the city of Passo Fundo, RS - Brazil. Participants were 38 elderly women who had a deficit balance. The instruments used to collect data was a questionnaire to identify, assess balance across the Berg Balance Scale and an intervention program with six games via the Wii Balance Board™ platform. To statistically analyze the effects before and after the intervention were used Wilcoxon and Pearson correlation, with a significance level of p = 0.05. Results In the present study, we observed a statistically significant improvement in the balance of elderly compared before and after intervention, moreover, the six games played also showed statistical significance when comparing the first and twentieth session, highlighting the games Tightrope Walk Table Tilt, Deep Breathing and Soccer Heading. Conclusion The evaluation and balance training with the platform Wii Balance Board were able to provide significant results for the elderly, besides, the game has the potential to treat the health, well-being and functional capacity of older people through the visual representation the game in real time.

Modelos Matemáticos para Otimização do Tráfego Urbano Semaforizado

This work presents two mathematical optimization models, developed in order to minimize the course time delay in cities of medium and large size and taking the time of green in each traffic signal as the design variables. Some computational results are also presented, based on data collected for the transit of a central region of the city of Passo Fundo, RS. The results obtained point to the application of these formulations to real situations.

Associated Injuries in Patients with Maxillofacial Trauma at the Hospital São Vicente de Paulo, Passo Fundo, Brazil

ABSTRACTObjectivesThis study aimed to identify the occurrence, type and severity of body injuries associated in patients with facial trauma, referred to the Hospital São Vicente de Paulo (HSVP) in the city of Passo Fundo - RS, Brazil.Material and MethodsThe study analyzed medical records of 1385 patients who were treated in the Department of Oral and Maxillofacial Surgery at HSVP during the period from 1991 to 2010.ResultsAccording to the results of this study we observed that 35% of cases of facial fractures were associated with a body injury. It was recorded a higher incidence of facial fractures in the male population (82.6%), aged between 20 and 39 years. The main etiologic factors for this association were car accidents, falls and assaults. Most fractures were recorded in the mandible and the main body injury found was the abrasion associated in some region of the body, however, when considering fractures of the face middle third the main body injury was more associated with cranioencephalic trauma.ConclusionsConcomitant injuries in areas other than the face should be expected first and foremost after high-speed trauma mechanisms and in association with severe facial fractures. The results underscore the importance of multiprofessional collaboration in diagnosis and sequencing of treatment who have sustained facial fractures.

Association between habitual physical activity and lower cardiovascular risk in premenopausal, perimenopausal, and postmenopausal women

Menopause is associated with an increased risk of cardiovascular disease. Habitual physical activity, defined as any form of body movement with energy expenditure above resting levels, may improve health parameters. We assessed the level of habitual physical activity and its effect on anthropometric measures and cardiovascular risk factors in a cohort of premenopausal, perimenopausal, and postmenopausal women. This cross-sectional study is nested on a longitudinal population-based study that was begun in 1995 in the city of Passo Fundo, Brazil. For the present analysis, 292 women were included. Anthropometric and metabolic profile was evaluated. Habitual physical activity was assessed by a digital pedometer for 7 days, and participants were stratified into active and inactive (≥6,000 and <6,000 steps/day, respectively). The mean (SD) age was 57.1 (5.4) years. The average number of steps per day for the total sample was 5,250.7 (3,372.9): 3,472.4 (1,570.2) in the inactive group (61.8%) and 9,055.9 (3,033.4) in the active group (31.9%). A negative and statistically significant correlation was found between physical activity and smoking (P = -0.019), body mass index (P = -0.006), waist circumference (P = -0.013), and waist-to-hip ratio of 0.85 or higher (P = -0.043). Inactive women presented a higher risk of overweight/obesity (odds ratio [OR], 2.1; 95% CI, 1.233-3.622; P = 0.006) and waist circumference larger than 88 cm (OR, 1.7; 95% CI, 1.054-2.942; P = 0.03), even after adjustment for age, menopause status, smoking, and hormone therapy. Inactive women also had a higher risk of diabetes mellitus (OR, 2.7; 95% CI, 1.233-6.295; P = 0.014) and metabolic syndrome (OR, 2.5, 95% CI, 1.443-4.294; P = 0.001). Habitual physical activity, specifically walking 6,000 or more steps daily, was associated with a decreased risk of cardiovascular disease and diabetes in middle-aged women, independently of menopause status.

Avaliação das condições de saúde de idosos portadores de osteoartrite em uma cidade do interior do Rio Grande do Sul - doi: 10.5020/18061230.2012.p311

Caracterizar a prevalência de osteoartrite em idosos no município de Passo Fundo-RS, Brasil. Métodos: Tratou-se de um trabalho epidemiológico seccional de natureza descritiva e analítica, no qual foi aplicado um questionário sociodemográfco e clínico, contendo perguntas abertas e fechadas, aos indivíduos com idade igual ou superior a sessenta anos, sendo os dados analisados por meio do pacote estatístico SPSS versão 18.0. Foram entrevistados 51 idosos portadores de osteoartrite de joelhos, no período de 05 de março a 05 de agosto de 2011. Resultados: A predominância foi do sexo feminino (n=45; 88,2%), na faixa etária dos 60-69 anos (n=22; 43,1%). Em relação à escolaridade, 13 (25,4%) idosos tinham o segundo grau completo, com renda individual mensal de um salário mínimo (n=22; 43%), não fumavam (n=49; 96%) e não eram etilistas (n=47; 92%). Além disso, 44 (86%) relataram ter alguma doença, sendo a hipertensão a mais prevalente (n=21; 41%) e 44 (78,4%) faziam uso de medicamentos. Quanto à prática de atividade física, mais da metade dos entrevistados praticava alguma atividade física (n=41; 80,4%) e frequentavam grupos de terceira idade (n=38; 74,5%); ainda, a grande maioria dos idosos não sofreu nenhuma queda nos últimos 06 meses (n=41; 80,3%) e considerava boa sua saúde (n=28; 56,6%) Conclusões: Pode-se observar que as condições socioeconômicas e de saúde desses idosos apresentaram-se favoráveis, porém, vale ressaltar a importância do planejamento de políticas públicas direcionadas às necessidades específcas da população idosa, além de outros estudos que possibilitem ampliar o conhecimento a respeito dessa população.

Avaliação das condições de saúde de idosos portadores de osteoartrite em uma cidade do interior do Rio Grande do Sul

To characterize the prevalence of osteoarthritis among the elderly in the city of Passo Fundo - RS, Brazil. Methods: This was an epidemiological cross-sectional study of descriptive and analytical nature, in which a sociodemographic and clinical questionnaire, containing open and closed questions, was applied to subjects aged sixty or over and the data was analyzed using the statistical package SPSS version 18.0. We interviewed 51 elderly patients with knee osteoarthritis, in the period from March 05 to August 05 2011. Results: Most patients were female (n=45, 88.2%), aged 60-69 years (n=22, 43.1%). Regarding education, 13 (25.4%) of the subjects had completed high school, individual monthly income of a minimum wage (n=22, 43%), were nonsmokers (n=49, 96%) and not alcoholics (n=47, 92%). Moreover, 44 (86%) of them reported having some disease, hypertension as the most prevalent (n=21, 41%) and 44 (78.4%) were taking medicine. Concerning the practice of physical activity, more than half of respondents practiced some physical activity (n=41, 80.4%) and attended and elderly group (n=38, 74.5%); also, the vast majority of elderly had taken no fall during the last 06 months (n=41, 80.3%) and considered their health as good (n=28, 56.6%). Conclusions: It may be noted that the socioeconomic and health conditions of the elderly were found to be favorable, but it is worth emphasizing the importance of planning public policies targeting specific needs of the elderly, along with other studies for increasing knowledge about this population

Shaded pavements in the urban environment – a case study

This article presents a study on the surface temperature of three types of pavements in urban environments with and without vegetation, located in the city of Passo Fundo, Rio Grande do Sul, Brazil. Some of the assessed pavements are exposed to direct sunlight, and some others are in the shade. We estimate the reduction of their surface temperature when shaded by trees. The method used was numerical modeling, including verification measurements. The pavement made from open cell concrete blocks filled with vegetation had a thermal performance similar to the grass, making it an ideal surface for use in adjacent areas to passages (street side and adjacent sidewalk). The shading influence of the dense canopy trees on the surface temperature of the floor exposed to solar radiation in summer was significant, 9°C and 10°C. Its use is recommended in urban environments.

Communication, technology and ageing: elderly, senior citizen groups and interaction process in the information age

A computational environment will only change the nature of interactionist activity if the changes that are occurring in methods of communication are looked at, as this should favor cooperative work. In order to develop tools that provide opportunity for building knowledge by means of interaction, it is necessary to be aware of biopsychosocial aspects and understand the liberating potential of the communicative processes that are established when individuals interact while mediated through technology. Beginning with a sociohistorical conception of social interaction, we seek to fill a research space in terms of communicative action and the meaning of social representations regarding communication and information technologies. We analyze the triad of communication, technology and ageing, questions are examined that involve elderly people in a biopsychosocial context. We seek to identify symbolic representations in relation to the technologies and analyze the triggered feelings and the meanings of these experiences encountered with the use of these mechanisms. The processes of appropriation are analyzed along with the meaning of technologies with a group of elderly citizens from the city of Passo Fundo - RS, enrolled in informatics workshops. The research is made up of a cross sectional study descriptive nature and population. To analyze relations among the researched variables, applied analysis of variance, chi squared test, factorial analysis and conglomerate analysis. The data was analyzed on a significance level of 5% (p ≤ 0.05). The results indicate that the elderly participate in the workshops especially with the purpose of maximizing the processes of coexistence.

Dispensação de Oseltamivir no Município de Passo Fundo - RS

Background and Objectives: The knowledge of the user profile of the antiviral oseltamivir (Tamiflu) can result in benefits to develop prevention actions and strategies and more effective treatment against influenza and its complications. In this way, the objective of this study was to evaluate the user profile of the antiviral (Oseltamivir) in the city of Passo Fundo, RS. Methods: Descriptive research of quantitative and exploratory approach based on the analysis of forms used for dispensing oseltamivir to human Influenza cases treated at the city of Passo Fundo, between the 25th and 35th Epidemiological Week in the year 2011. Results: 50% were females, and only one of them one was pregnant (25th week of gestation). The most affected age group was 20 to 29 years, with 25.5% of cases, followed by 30 to 39 ears, with 18.9%. Only 25 individuals (27.8% of cases) had been vaccinated in that year. The most common symptoms were fever, coughing, headache, myalgia, sore throat, chills and runny nose and the most recurrent comorbidity was chronic lung disease. Conclusion: Winter results in an increased occurrence of respiratory diseases, often requiring the use of oseltamivir. It is necessary to discuss issues related to National Vaccination Campaign this year, which, among the priority groups, did not include the young adult population, considering that is the most affected age range. It is also necessary to emphasize the careful filling out of the information in the dispensing form, which could improve the analysis of more consistent data. Key words: Human Influenza; Severe Acute Respiratory Syndrome; Oseltamivir.

Incidência de epilepsia e distúrbios convulsivos na infância e sua associação com determinantes sociais: um estudo de coorte de nascimento

OBJETIVO: Investigar a incidencia e prevalencia de epilepsia e disturbios convulsivos na infância e sua relacao com os determinantes sociais escolhidos. METODOS: Estudo de coorte de nascimento de base populacional, com criancas nascidas entre 1/01 e 31/12/2003 na cidade de Passo Fundo (RS). Os dados foram coletados prospectivamente em duas etapas. Na primeira, foi aplicado o Questionario de Rastreamento Neurologico para Epilepsia (QRN-E) durante uma visita a casa das criancas, juntamente com a avaliacao dos determinantes sociais da saude. Foram analisados construtos de posicao social (classe economica, escolaridade, estado civil e ocupacao da mae), fatores biologicos e comportamentais (consumo de alcool, tabaco e medicamentos na gravidez, e consultas pre-natais) e fatores psicologicos (participacao em cerimonias religiosas). Na segunda etapa, as criancas cujos QRN-E apresentaram resultado positivo foram submetidas a avaliacao neuroclinica para confirmacao do diagnostico. RESULTADOS: Foram identificados 11 casos de epilepsia, 27 de convulsoes febris, 10 de convulsoes neonatais, 8 de crise unica, alem de 26 pacientes com eventos paroxisticos nao epilepticos. A incidencia de epilepsia foi de 7/100.000 criancas, e a prevalencia de 65,2/10.000 criancas. Nove criancas apresentaram epilepsia ativa, resultando em uma prevalencia pontual de 53,3/10.000 criancas. Apos analise multivariada, nenhum determinante social esteve significativamente relacionado a epilepsia. CONCLUSOES: Neste estudo, foi relatada uma baixa incidencia de epilepsia, em contraste com a incidencia de convulsoes febris e eventos paroxisticos nao epilepticos, que foi quase duas vezes maior. Alem disso, a realizacao de um diagnostico preciso de epilepsia ainda e um desafio nos paises em desenvolvimento, a fim de se evitarem diagnosticos incorretos.