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Background: Shoulder subluxation is a common complication of cerebral vascular accident (stroke) and the use of Functional Electrical Stimulation (FES) within the rehabilitation process is extremely important. Objective: To analyze the therapeutic effects of FES in the treatment of chronic shoulder subluxation in post-stroke patients. Method: This is a case study of patients with radiologically subluxation confirmed, who were randomly divided into two groups: Control Group (CG) and Treatment Group (TG). Patients were assessed before and after treatment and at the 2-month follow-up. The assessment consisted of the modified Ashworth scale; passive goniometry; Fugl-Meyer scale; McGill pain questionnaire and evaluation of shoulder subluxation by radiography. The CG did not receive physiotherapeutic intervention; and TG underwent 20 sessions of motor kinesiotherapy and FES associated with functional exercises with a total duration of 1 hour, three times a week, for 7 weeks. The data were analyzed descriptively. Results: The mean age of CG participants was 82.5 ± 1.5 years and of the TG was 70.5 ± 13.5 years. All of them were retired, sedentary, non-smokers/alcoholics and had hemiparesis on the left side. There was an approximate increase of 10o for most joint movements of the shoulder, improvement in McGill scale scores and reduction of shoulder subluxation in TG patients. Conclusion: FES associated with functional movements was effective in reducing the degree of subluxation of the shoulder joint and decreased pain in subjectsin the chronic phase of the post-stroke.

PURPOSE: Diabetes Mellitus (DM) is a chronic disease which presents a big prevalence in the world and several patients with this condition fail to respond to the available treatments. There is a huge unmet clinical need for the development of new therapeutic approaches for this condition. This study aims to evaluate the effects of anodal tDCS on Quality of Life and physical fitness in patients with diabetic polyneuropathy. METHODS: A pilot, parallel, sham, randomized, double-blind trial was conducted with twenty patients. Five consecutive sessions of C3/Fp2 tDCS montage were performed. To assess the primary outcome Short Form 36 Health Survey (SF-36) was used. Physical fitness level, according to lower and upper body strength, flexibility, Time Up and Go Test (TUG) and Six-Minute Walking Test (6MWT) were measured as secondary outcomes. The measures were performed at 3 different times (baseline, 1st and 2nd weeks). RESULTS: SF-36 increased throughout the protocol, but no difference between groups were found. However, there was a significant difference between groups at 1st and 2nd weeks, which shows a permanent growth in the active-tDCS group. Physical health and functioning, functional capacity and bodily pain showed significant improvements in active-tDCS group in 1st and 2nd weeks during inter-group analysis. Emotional scores showed significant interaction group-time with interaction effects only for active-group in 1st and 2nd weeks. TUG and 6MWT showed significant improvements only in active-tDCS group. CONCLUSIONS: It is suggested that five sessions of anodal M1 tDCS improves QoL and functionality of patients with diabetic polyneuropathy.

Background: Atherosclerosis is a serious health problem, and several factors contribute to its occurrence. Longitudinal and qualified monitoring of primary health care (PHC) may contribute to the management of atherosclerosis and reduction of avoidable hospital admissions. Objectives: To estimate the trend in hospitalizations for atherosclerosis and the impact of PHC coverage on its evolution from 2008 to 2018 in Brazil. Methods: An ecological time series analytical study based on the outcomes of hospital admissions for atherosclerosis in Brazil. Time in years, PHC coverage, and Family Health Strategy (FHS) services were considered independent variables. A Prais–Winsten model was used to estimate the outcome trend, and α < 0.05 was adopted. Results: We observed a mean increase of 1.81 hospitalizations for atherosclerosis per 100 000 inhabitants annually (p = 0.002) in Brazil. This growth was evidenced in the Northeast (p < 0.001), Southeast (p = 0.003), and South (p < 0.001) regions, being stable in the North (p = 0.057) and Midwest (p = 0.62) regions. Men presented twice the growth in hospitalizations from the fifth decade of life on (p < 0.01). An inversely proportional relationship was observed for PHC coverage (B = -0.71; p < 0.001) and the proportion of FHS services (B = -0.59; p < 0.001) with the rate of admissions due to atherosclerosis in Brazil. Conclusions: Although hospitalizations for atherosclerotic complications are increasing in Brazil, they present regional and individual gender and age discrepancies, as well as a mitigating effect exerted by PHC coverage.

This study assesses the relationship between biopsychosocial factors and limitations in activities of daily living (ADL) in individuals with chronic kidney disease (CKD). Individual data from the National Health Survey were analyzed, with a sample size of 839 participants. The outcome was dichotomous, presenting limitations in ADL, and the factors considered were clinical and health characteristics, self-perceived behavior, contextual social support, and housing. Cox regression was applied to control the interaction between factors, using the prevalence ratio as a measure of effect and a significance level of 5%. A total of 839 individuals with CKD were reported, of which 373 (40.7%: 35.4 - 46.1%) reported having limitations in ADL. The presence of limitations in ADL was related to residing in a rural area, as well as to the absence of private health insurance, worse self-perceived health, presence of depressive symptoms, and disabilities, in addition to the use of medications and hemodialysis. Limitations in ADL in individuals with CKD are associated with biopsychosocial factors in the Brazilian population, requiring public policies that enable better therapeutic management and support for behavioral health and contextual needs.

Background Stroke and acute myocardial infarction (AMI) are cardiovascular diseases commonly characterized by the development of atheromatous plaques associated with major complications and high mortality rates. Objective To identify an epidemiological trend in hospitalizations due to stroke and AMI and to analyze the relationship between health programs applied in Primary Health Care, gender and the Federative Unit. Methods Ecological study with a time series design between 1998 and 2018, collecting data from all federal units in Brazil stratified by, gender and place of residence. There were analyzed Hospitalization Authorizations (AIH) for stroke and MI, consulting the Hospital Admissions System (SIH) of the Informatics Department of the National Health Service with p

Resumo Fundamento A íntima relação entre a regulação do sono e os eventos cardiovasculares é um dos principais focos de investigação na medicina contemporânea. Hábitos e características do sono interferem na ritmicidade cardíaca e também na expectativa de vida, principalmente em idosos. Objetivo Estimar o risco de óbito e de eventos cardiovasculares em idosos comunitários que apresentam queixa de insônia e sonolência excessiva diurna ao longo de oito anos de seguimento. Método Foi desenhada uma coorte prospectiva com 160 idosos, a primeira onda em 2009 e a segunda em 2017. Os grupos de seguimento foram determinados pela exposição ou não às queixas de insônia primária e a sonolência excessiva diurna, com ou sem ronco. As covariáveis sexo, estado conjugal, depressão, hipertensão e diabetes foram controladas. O desfecho primário foi o óbito e o secundário, os eventos cardiocerebrovasculares (ECV). As probabilidades dos desfechos foram estimadas pelo risco relativo (RR), através da regressão de Poisson, adotando-se α ≤ 0,05. Resultados Registraram-se 40 mortes no período (25,97%:19,04-32,89) e 48 ECVs (30,76%:23,52-38,01). Os homens apresentaram maior risco (RR = 1,88;1,01-3,50) de óbito. A depressão (RR = 2,04;1,06-3,89), a gravidade da insônia (RR = 2,39;1,52-4,56) e a latência do sono entre 16-30 minutos (RR = 3,54;1,26-9,94) e 31-60 minutos (RR = 2,23;1,12-4,47) aumentaram independentemente o risco de óbito em idosos comunitários. Os ECVs foram preditos apenas por idosos hipertensos e/ou diabéticos (RR = 8,30; 1,98-34,82). Conclusão A mortalidade em idosos é influenciada pelo estado emocional e pela dificuldade de dormir, diferentemente dos ECVs, condicionados apenas pelas condições pressóricas arteriais e metabólicas. Abstract Background The close relationship between sleep regulation and cardiovascular events is one of the main focuses of research in contemporary medicine. Sleep habits and characteristics interfere with the cardiac rhythm and also with life expectancy, especially in the elderly. Objective To estimate the risk of death and cardiovascular events in community-dwelling elderly individuals complaining of insomnia and excessive daytime sleepiness over eight years of follow-up. Method A prospective cohort was designed with 160 elderly, with the first wave occurring in 2009 and the second in 2017. Follow-up groups were determined by exposure or not to complaints of primary insomnia and excessive daytime sleepiness with or without snoring. The covariates gender, marital status, depression, hypertension and diabetes were controlled. The primary outcome was death and the secondary outcome was cardio-cerebrovascular events (CCV). Outcome risks were estimated by relative risk (RR) through Poisson regression, adopting α≤0.05. Results There were 40 (25.97%: 19.04-32.89) deaths over the period and 48 (30.76%: 23.52-38.01) CCV. Men had a higher risk (RR = 1.88; 1.01-3.50) of death. Depression (RR = 2.04; 1.06-3.89), insomnia severity (RR = 2.39; 1.52-4.56) and sleep latency between 16-30 minutes (RR = 3, 54; 1.26-9.94) and 31-60 minutes (RR = 2.23; 1.12-4.47) increased the risk of death independently in community-dwelling elderly. CCV were predicted only in the hypertensive and / or diabetic elderly (RR = 8.30; 1.98-34.82). Conclusion Mortality in the elderly is influenced by the emotional state and difficulty in falling asleep, unlike CCVs, which are conditioned only by arterial and metabolic blood pressure conditions.

Objective The aim of this trial was to investigate the effects of five consecutive sessions of anodal transcranial direct current stimulation (tDCS) over the motor cortex (M1) on pain, mood, and physical performance in patients with primary dysmenorrhea (PDM). Design This is a double-blind randomized controlled trial. Subjects Twenty-two participants with PDM according to the No. 345-PDM Consensus Guideline were included. Methods Eleven active treatment and 11 sham stimulation patients received five applications over a one-week period. The primary outcome measures were pain evaluated by numeric rating scale (NRS) and McGill Questionnaire score. Secondary outcomes measures were responses to the Positive and Negative Affect Schedule (PANAS), Hamilton Anxiety Scale (HAM-A), grip strength, and six-minute walk test (6MWT). Baseline data were performed during the first menstrual cycle, and during the second menstrual cycle, participants were conducted to tDCS treatment, and postintervention data were collected. Results The intervention provided significant improvements on NRS in active tDCS, shown as an interaction between group intervention vs pre/postintervention vs days of menstrual cycle (Wald x2 = 10.54, P = 0.005), main effect of days of menstrual cycle (Wald x2 = 25.42, P < 0.001), and pre/postintervention (Wald x2 = 6.97, P = 0.008). McGill showed an interaction effect between pre/postintervention and group of stimulation (Wald x2 = 18.45, P = 0.001), with a large reduction in active tDCS (P < 0.001, d = 0.75). Psychological and functional outcomes did not differ between groups or pre/postintervention. Conclusions tDCS could provide pain relief in subjects with PDM. These results provide some preliminary evidence for the potential role of tDCS as a contributor to the management of symptoms of PDM.

Objetivo: verificar se determinantes de saude e habitos estao relacionados a adesao terapeutica hemodialitica na regiao de Paulo Afonso-BA. Metodos: estudo observacional, transversal e analitico. Amostra de 200 pacientes adultos de ambos os sexos, de areas rurais e urbanas da regiao, portadores de DRC e que faziam hemodialise ha mais de tres meses. Resultados: foi identificada associacao entre as pessoas que consomem/consumiam alcool e a nao adesao a hemodialise. Verificou-se que o consumo de alcool e a nao adesao a hemodialise e maior em mulheres que moram na zona urbana do que as de zona rural. Discussao: os achados tem relacao com outros estudos, em relacao a predominância do sexo masculino, de moradores da zona urbana, ao consumo de alcool e a nao adesao a hemodialise maior em mulheres da zona urbana. Conclusoes: entre os pacientes que realizam hemodialise, ha mais homens que mulheres, e mais da zona urbana que rural da regiao de Paulo Afonso. O consumo de bebidas alcoolicas e a nao adesao ao tratamento e maior em mulheres que moram na zona urbana. Descritores: Insuficiencia Renal Cronica; Dialise Renal; Area Urbana; Zona Rural; Genero e Saude; Cooperacao e Adesao ao Tratamento.

Background:A study estimated the biopsychosocial factors related to active physical behavior in the Brazilian population with and without chronic non-transmissible disease (CNCD).Methodology: Cross-sectional study of the National Health Survey (NHS) in Brazil, with 60,202 individuals. The outcome was physically active behavior. The independent variables were social characteristics, lifestyle and health. Cox regression was applied to estimate the prevalence ratio (PR).Results: 29,666 (48.3%; 95% CI: 47.0–50.0) reported having CNCD. Not being a smoker or alcoholic, living in an urban area, having informal social support, you are in class A, high schooling as well as paid work are more associated with active lifestyle in both groups. However, in the group without CNCD, the female sex, having some disability and not having private health insurance were more associated with sedentary behavior, while in the group with CNCD, being elderly, white and not having restful sleep are associated with sedentary lifestyle.Conclusion: People with and without CNCD in Brazil have very close active behavior, however, some biopsychosocial factors such as: sex, age, lifestyle, socioeconomic level are unevenly associated with the active lifestyle in the groups. Thus, therapeutic or preventive proposals as well as public policies for health promotion must observe these distinctions when elaborating their actions.

Low- and moderate-impact physical activity (PA) is associated with the prevention of urinary incontinence (UI). The objective of the cross-sectional study presented herein is to analyze the factors associated with UI in physically older active women who participate in senior community groups. The variable UI was measured by the International Consultation Incontinence Questionnaire Short Form (ICIQ-SF). Socioeconomic variables were also collected, along with data on life habits and clinical history. The multivariate analysis employed Poisson’s Regression with robust variance for factors associated with UI. Of the 106 participants evaluated, 54.7% presented UI, of which stress incontinence was more frequent, with 40.6%. UI presented a statistically significant association with dizziness/loss of balance during Activities of Daily Living (ADL) (prevalence ratio-PR 1.48, 95% CI 1.06–2.07) and nocturia (PR 1.63, 95% CI 1.05–2.55). Despite PA being a protection factor, UI presented an elevated prevalence in the older population, and therefore, other biological, social, and cultural aspects could also contribute to the occurrence of UI in this age group. Moreover, physically active older women with UI presented nocturia and dizziness/loss of balance during ADL, regardless of education levels and the number of births. These findings can help improve multi-professional programs aimed at promoting, preventing, and managing UI in the public.

This cross-sectional study aimed to observe number of marriages between relatives in São Francisco Valley municipalities and correlations between degrees of kinship and susceptibility to genetic diseases. Three hundred and nine (309) consanguineous couples were interviewed in five municipalities. The data were analyzed using SPSS (version 22), Chi-square testing, and the generalized estimating equation (GEE). In Pariconha-AL for first cousins, the results revealed significantly higher numbers of disabled children than for third cousins (p

Background Brazil is witnessing a massive increase of corona virus disease (COVID-19). Its peculiar primary health care (PHC) system faces a burden due to the contagion occurring in the community environment. Then, the aim is to estimate the effect of the coverage of primary health care and social isolation on the evolution of confirmed cases and deaths by COVID-19, controlling sociodemographic, economic and health system aspects. Methods A time series design was designed with data on diagnosed cases of COVID-19 and their deaths as outcomes in the capital cities of the Northeast region of Brazil. Independent variables such as PHC coverage, hospital beds, social isolation, demographic density, Gini index and other indicators were analyzed. A Autoregressive Generalized Linear Model method was applied for model the relationship. Results We identified an exponential growth of cases (y = 0.00250.71x; p-valuep-value = 0.01) and social isolation rate (χ2 = 365.99; p-valuep-value = 0.003), but this was influenced by PHC coverage (χ2 = 30,87; p-value Conclusions PHC mitigates the occurrence of Covid-19 and its deaths in a region of social vulnerability in Brazil together with social isolation. However, it is not known until when the system will withstand the overload in view of the low adhesion to social isolation, the lack of support and appropriate direction from the government to its population.

Background Brazil, as many other countries, have been heavily affected by COVID-19. This study aimed to analyze the impact of Primary health care and the family health strategy (FHS) coverage, the scores of the National Program for Improving Primary Care Access and Quality (PMAQ), and socioeconomic and social indicators in the number of COVID-19 cases in Brazilian largest cities. Methods This is an ecological study, carried out through the analysis of secondary data on the population of all Brazilian main cities, based on the analysis of a 26-week epidemiological epidemic week series by COVID-19. Statistical analysis was performed using Generalized Linear Models with an Autoregressive work correlation matrix. Results It was shown that greater PHC coverage and greater FHS coverage together with an above average PMAQ score are associated with slower dissemination and lower burden of COVID-19. Conclusion It is evident that cities with less social inequality and restrictions of social protection combined with social development have a milder pandemic scenario. It is necessary to act quickly on these conditions for COVID-19 dissemination by timely actions with high capillarity. Expanding access to PHC and social support strategies for the vulnerable are essential.

To determine agreement between the Short Test of Functional Health Literacy in Adults (S-TOFHLA) and the Short Assessment of Health Literacy for Portuguese-speaking Adults (SAHLPA-18) measurement instruments as a strategy for estimating concurrent validity.This was a cross-sectional study conducted with users of the Brazilian National Health System. An agreement approach using a weighted Kappa test for qualitative data was applied in order to test for concurrent validity.372 individuals participated. It was found that 66% and 62% of them did not have an adequate level of literacy according to SAHLPA-18 and S-TOFHLA, respectively. There was strong correlation between the instruments (p0.001; r=0.60), although the 65.3% agreement of correct answers found was considered weak (Kappa=0.35; p0.001).The SAHLPA-18 and S-TOFHLA instruments have different constructs and poor agreement. Use of different instruments is indicated in research intended to measure level of literacy, as is the development of instruments specific to health conditions that allow results close to the real context of individuals to be obtained.Determinar a concordância entre os instrumentos de mensuração short test of functional health literacy in adults (S-TOFHLA) e short assessment of health literacy for Portuguese-speaking adults (SAHLPA-18) como estratégia para estimar a validade concorrente.Estudo transversal, com usuários do Sistema Único de Saúde. Para testar a validade concorrente, aplicou-se abordagem de concordância com teste de Kappa ponderado para dados qualitativos.Participaram 372 indivíduos, dos quais 66% e 62% não apresentaram nível de letramento adequado, segundo o SAHLPA-18 e o S-TOFHLA, respectivamente. Observou-se correlação forte entre os instrumentos (p0,001; r=0,60); e a concordância de acertos encontrada, 65,3% (Kappa=0,35; p0,001), foi considerada fraca.Os instrumentos SAHLPA-18 e S-TOFHLA apresentam constructos diferentes e fraca concordância. É indicado o uso de diferentes instrumentos em pesquisas de mensuração do nível de letramento; e desenvolvimento de instrumentos específicos às condições de saúde que permitam obter resultado próximo ao real contexto dos indivíduos.Determinar la concordancia entre instrumentos de medición psicométrica short test of functional health literacy in adults (S-TOFHLA) y short assessment of health literacy for portuguese-speaking adults (SAHLPA-18) como estrategia para estimar la validez concurrente.estudio transversal realizado con usuarios del Sistema Único de Salud. Para testear la validez concurrente se aplicó un enfoque de concordancia con una prueba ponderada de Kappa para datos cualitativos.participaron 372 individuos. Se encontró que 66% y 62% de estos no tenía un nivel adecuado de letramiento según SAHLPA-18 y S-TOFHLA, respectivamente. Hubo una fuerte correlación entre los instrumentos (p0.001; r=0.60), sin embargo 65.3% de concordancia, se consideró débil (Kappa=0.35; p0.001).Los instrumentos SAHLPA-18 y S-TOFHLA tienen diferentes construcciones y escasa concordancia. En la investigación se indica el uso de diferentes instrumentos para medir el nivel de letramiento y el desarrollo de instrumentos específicos a las condiciones de salud que permitan obtener resultados cercanos al contexto real de los individuos.

Resumo: Introdução: Este estudo teve como propósito estimar a prevalência de sintomas de estresse, depressão e ansiedade dos estudantes de Medicina da Universidade Federal do Rio Grande do Norte (UFRN), associando-os com outros fatores. Métodos: Trata-se de um estudo quantitativo epidemiológico, do tipo transversal. Participaram desta pesquisa estudantes de Medicina da UFRN, distribuídos equitativamente entre os diferentes períodos do curso. Entregaram-se 288 questionários, no entanto validaram-se 279, os demais não foram respondidos corretamente. Este estudo foi aprovado pelo Comitê de Ética em Pesquisa da UFRN (Parecer nº 2.009.026) e todos os voluntários assinaram o Termo de Consentimento Livre e Esclarecido (TCLE), após serem informados sobre os objetivos da pesquisa. Para a coleta dos dados, utilizaram-se os seguintes instrumentos: 1. ficha de Identificação para os dados sociodemográficos, 2. Inventário de Sintomas de Stress para Adultos de Lipp (ISSL), 3. Inventário de Depressão de Beck (IDB) e 4. Inventário de Ansiedade de Beck (BAI). Para análise dos resultados, realizaram-se análises descritivas a partir da média, do desvio padrão e da frequência dos dados coletados. A análise inferencial foi realizada para verificar a associação entre as variáveis de desfechos e os atributos dos estudantes. Resultados: Dos estudantes entrevistados, 66,3% tinham estresse e a maioria estava na fase de resistência (58,4%) com predominância de sintomas psicológicos (42,3%). Em relação à sintomatologia depressiva, 28% dos estudantes apresentavam sintomas: 51,3% com sinais de depressão de leve a moderada, 35,9% com sinais de depressão moderada e 12,8% com sinais de depressão severa. No que se refere à sintomatologia ansiosa, 66,3% dos estudantes apresentavam sinais de ansiedade em seu grau mínimo; e 33,7%, sinais de ansiedade leve, moderada ou severa. Desses últimos, 21,9% tinham sinais de ansiedade leve; 10,8%, sinais de ansiedade moderada; e 1%, sinais de ansiedade severa. Conclusões: Diante disso, acredita-se que as instituições de ensino superior devem se comprometer com o desenvolvimento integral dos seus estudantes apresentando estratégias institucionais para o enfrentamento dessa realidade. Abstract: Introduction: The purpose of this study was to estimate the prevalence of stress, depression and anxiety symptoms among medical students of the Federal University of Rio Grande do Norte, associating them with other factors. Methods: This is a quantitative cross-sectional epidemiological study. Medical students from the Federal University of Rio Grande do Norte participated in this study, distributed equally among the different periods of the course. 288 questionnaires were delivered; however, 279 were validated, while the others were not answered correctly. This study was approved by the Research Ethics Committee of UFRN (Opinion n. 2,009,026) and all volunteers signed the free and informed consent (FIC) form, after being informed about the research objectives. The following instruments were used to collect the data: (1) Identification card for the socio-demographic data, (2) Inventory of Stress Symptoms for Adults of Lipp (ISSL), (3) Beck Depression Inventory - BDI, (4) Beck Anxiety Inventory (BAI). For the analysis of the results, descriptive analyzes were performed based on the mean, standard deviation and frequency of the collected data. Inferential analysis was performed to verify the association between outcome variables and student attributes. Results: Of the interviewed students, it was observed that 66.3% had stress symptoms and the majority was in the resistance phase (58.4%) with a predominance of psychological symptoms (42.3%). In relation to depressive symptomatology, 28% of the students had symptoms, with 51.3% showing signs of mild to moderate depression, 35.9% signs of moderate depression and 12.8% showing signs of severe depression. Regarding the anxious symptomatology, 66.3% of the students showed minimal signs of anxiety and 33.7% showed signs of mild, moderate or severe anxiety. Of the latter, 21.9% had signs of mild anxiety, 10.8% signs of moderate anxiety and 1% signs of severe anxiety. Conclusions: In view of this, it is believed that higher education institutions should commit themselves to the integral development of their students, offering institutional strategies for students to cope with this reality.

Objetivo: estimar a tendência do peso ao nascer e a sua relação com fatores determinantes no estado de Alagoas, Brasil. Métodos: Trata-se de um estudo ecológico de série temporal cuja amostra foi composta pelos nascidos vivos no Estado de Alagoas no período de 1998 a 2018. A fonte de dados foi o Sistema de Informações sobre nascidos vivos. Os dados foram coletados do Departamento de Informática do Sistema Único de Saúde. Foram coletados dados referentes ao peso ao nascer, características sociodemográficas maternas e relacionadas à gestação. Na análise de dados utilizou-se o método de regressão polinomial linear e adotou-se um nível de significância de 5%. Resultados: Foram analisados 1.199.161 nascidos vivos, dos quais 85.375 (7,1%) estavam com baixo peso ao nascer (BPN). A taxa mais elevada de BPN ocorreu em 2013 (7,6%). Nascidos vivos de mães com idade ≥35 anos apresentaram uma tendência crescente de BPN com aumento médio anual de 13,4% dos nascimentos com BPN (p

Com o intuito de revitalizar um evento marcante naformação acadêmica de vários fisioterapeutas da Paraí­ba,hoje já graduados e atuantes, o Centro Acadêmico ElianePinto promove a V Interação Paraibana dos Acadêmicos deFisioterapia (V IPAF).O V IPAF ocorrerá nos dias 4, 5 e 6 de junho de 2010na cidade de Campina Grande-PB no auditório do CCBS- UEPB. O evento terá a participação de renomes da Fisioterapiaparaibana assim como de outros Estados.Dentro do contexto atual da necessidade cada vez maiorde divulgar as produções cientí­ficas que respaldam a atuaçãodo profi ssional da Fisioterapia e promover uma formação maiscoesa e corporativista dos componentes desta categoria, o VIPAF terá a fi nalidade de integrar os acadêmicos paraibanosperante essas perspectivas, buscando criar uma nova mentalidadee um novo perfil de fisioterapeuta.Dessa forma, tanto os acadêmico como profissionais poderãocongregar-se nesta iniciativa, obtendo valiosa formaçãocientí­fica e polí­tica, as quais refl etirão no reconhecimentosocial e representatividade como categoria profissional. Alémdisso, a população torna-se também beneficiária do evento,partindo do pressuposto de que ela é o lócus de atuação daFisioterapia e que a presença de profissionais qualifi cadostorna-se fundamental para o seu bem-estar.

Introdução: A insuficiência cardíaca (IC) é um problema de saúde pública com altos níveis de morbimortalidade apresentando como sinais clínicos característicos a fadiga e dispneia precoce que geram limitações funcionais. Objetivo: Avaliar os efeitos da ventilação não invasiva (VNI) na capacidade funcional de portadores de insuficiência cardíaca estável com fração de ejeção normal, avaliada através do teste da caminhada de seis minutos em esteira (TC6est). Métodos: Após a avaliação das provas de função pulmonar, os pacientes com IC estudados foram submetidos aos seguintes testes: 3 TC6est (uso prévio da VNI por 30 minutos, com uso da VNI durante o teste e sem uso da VNI) e a um teste de caminhada de 6 minutos em solo (TC6’). Nós comparamos a distância percorrida e variáveis cardiorrespiratórias: antes, durante e após os testes da caminhada. Resultados: Participaram do estudo 13 pacientes com IC classe funcional II e III (NYHA). Na prova de função pulmonar 3 participantes apresentaram distúrbio ventilatório restritivo e 8 pacientes apresentaram redução das pressões respiratórias máximas. Não foi observada diferença estatisticamente significativa na distância percorrida entre os quatro testes realizados (p=0,986). Na análise das variáveis cardiorrespiratórias durante os 3 TC6est pôde-se observar apenas diferença estatística significativa na frequência respiratória no sexto minuto (f6’) entre os testes de 30’ antes de VNI X VNI durante (p=0,026), sendo inferior no teste com a aplicação de VNI durante. Conclusão: Apesar do comprometimento da capacidade funcional e da função pulmonar, os portadores de insuficiência cardíaca com fração de ejeção normal estudados não tiveram aumento da distância percorrida no teste de caminhada em esteira com a utilização do suporte ventilatório não–invasivo.

[Purpose] To estimate the effect of Klapp method on idiopathic scoliosis in school students. [Subjects and Methods] A single-blind randomized clinical trial with 22 students randomly divided into intervention group (n=12) and inactive control group (n=10). Exercise protocol consisted of Klapp method, 20 sessions, three times a week for intervention group, and inactivity for control group. Dorsal muscle strength was measured by dynamometer; body asymmetries and gibbosity angles were measured by biophotogrammetry. Data were obtained by Generalized Estimated Equation, with 5% significance level. Clinical impact for dependent variables was estimated by “d” Cohen. [Results] There was no change in intragroup analysis and intergroup for all postural symmetry variables. However, it was detected intergroup difference in extensor muscle strength and intergroup difference with marginal significance of gibbosity angles. Regarding extensor muscle strength, intervention group produced average improvement of 7.0 kgf compared to control group. Gibbosity angles progressed less in intervention group, with 5.71° average delay compared to control group. [Conclusion] Klapp method was effective for gibbosity stabilization and it improves spine extensor muscle strength.

Taking care of life habits in hypertensive people becomes an imperative to improve blood pressure control and avoid damage. However, it is known that healthy behaviors can have a large influence on the social context. Based on this, we aimed to measure the effect of social constraints on the

Aim: To investigate the prevalence of intraoral characteristics and associated factors with neonatal and parent variables in a group of Brazilian newborns. Methods: This cross-sectional study with a descriptive and inferential approach, whose data was obtained through clinical examination, interview and the collection of medical record information. The sample was selected from babies up to three days old, of both sexes, and born between January and December 2013 in the Ana Bezerra University Hospital, in the city of Santa Cruz-RN, Brazil. The exposure variables included neonatal (sex, weight, gestational age, type of delivery and Apgar score) and parent (presence of systemic disease(s), drug use and consanguinity between the parents) variables. Descriptive analysis and Poisson regression were performed to estimate the ratio of gross and adjusted prevalence of intraoral findings (Epstein pearls, Bohn’s nodule, dental lamina cyst and ankyloglossia) with the neonatal and parent variables (p

Arboviral diseases have been considered a global public health problem due to their growing territorial dispersion and impact on the population around the world. Individuals affected by the chikungunya virus go through an acute febrile illness associated with severe pain and long-lasting polyarthralgia. After the initial stage, infected individuals may progress to the chronic stage, which has an epidemic character and a high rate of disability and reduced mobility, impacting negatively on their quality of life. The aim of this study was to evaluate the relationship between pain, functional capacity, and kinesiophobia in individuals in the chronic stage of chikungunya virus infection. A cross-sectional study was conducted in the city of Natal, in Rio Grande do Norte, Brazil, between July and September 2018. The participants were 59 women in the chronic stage of chikungunya virus infection. Data were collected in at physical therapy outpatient clinic of the Federal University of Rio Grande do Norte (UFRN), using a socio-demographic questionnaire, the Visual Analogue Scale (VAS), the Nordic Musculoskeletal Questionnaire (NMQ), the Brief Pain Inventory (BPI), the Health Assessment Questionnaire (HAQ), and the Tampa Scale for Kinesiophobia (TSK). Descriptive statistics and bivariate analysis of the time data were conducted by simple regression. The participants' mean age was just over 50 years and average duration of virus infection was 21.54 months. Most participants had moderate to severe pain intensity that more frequent in the ankle and wrist joints. Functional capacity was low, and there was moderate fear of performing exercises and activities of daily living. Duration of infection was associated with increased pain intensity and loss of functional capacity. We can conclude that women in the chronic stage of chikungunya infection have significant pain, reduced functional capacity, and fear of performing common movements of daily living.

Introduction: Childhood obesity, physical inactivity, and low physical fitness give rise early to consequences for cardiovascular and metabolic health. Objectives:To compare physical activity level (IPAQ short version) with cardiorespiratory fitness (shuttle run test) in overweight/obese children. Methods: We carried out a study in order to analyze the prevalence of overweight/obesity in 334 school-children, who were divided into two groups: G1, overweight / obese (n=39), and G2, normal weight (n=39). The IPAQ short version test and the shuttle run test were applied. Results: A total of261 students were classified as eutrophic, 56 in obese/overweight, and 17 with malnutrition/severe malnutrition. There was no significant difference in IPAQ short version (p< 0.840). In shuttle run test, G2 showed VO2max by stages (p

Background The present study aimed to investigate the prevalence of scoliosis and to analyze the factors associated with scoliosis in schoolchildren aged between 7 and 17 years. Methods This is a cross-sectional and quantitative study with stratified random selection of public school students in the city of Santa Cruz, Brazil. The presence of scoliosis was examined, as well as the flexibility of the posterior muscle chain, socioeconomic characteristics, anthropometry, lifestyle habits, sexual maturation, and ergonomics of school furniture. In order to identify factors associated with scoliosis, the variables were divided in biological, socioeconomic, lifestyle, and ergonomic factors, and crude and adjusted prevalence ratios (PRs) were estimated by means of Poisson regression analysis. Results Two hundred and twelve pupils participated in this study (mean age 11.61 years, 58% female). The prevalence of scoliosis was 58.1% (n = 123) and associated with female sex (PR 2.54; 95% CI, 1.33-4.86) and age between 13 and 15 years (PR 5.35; 95% CI, 2.17-13.21). Sleeping in a hammock was inversely associated with scoliosis (PR 0.44; 95% CI, 0.23-0.81). Conclusions Scoliosis seems to be positively associated with female sex and age between 13 and 15 years, whereas the habit of sleeping in a hammock is negatively associated with the onset of scoliosis.

Objetivo: este estudo teve como objetivo investigar a qualidade de vida (QV) de indivíduos com doença de Parkinson (DP) da região de Trairi Potiguar e sua relação com a fase de estadiamento da doença. Método: trata-se de um estudo transversal descritivo, que incluiu indivíduos com diagnóstico clínico de DP e residentes das 16 cidades da região de Trairi Potiguar. Inicialmente, o acompanhamento foi realizado através da Unidade Central de Agentes Terapêuticos (UNICAT), de acordo com a medicação Levodopa e nas Unidades Básicas de Saúde (UBS), através dos Agentes Comunitários de Saúde (ACS) para localizar indivíduos diagnosticados com DP. Foram utilizados o Questionário de Qualidade de Vida na Doença de Parkinson (PDQL) e para o estadiamento da doença de Parkinson (DP), foi estabelecido pela Escala de Hoehn e Yarh. Resultados: dezenove pacientes com diagnóstico clínico de Parkinson foram recrutados, a idade média de 70,68 anos, 78,9% eram residentes de áreas urbanas e 47,3% eram analfabetos. A correlação entre os domínios PDQL e a escala de Hoehn e Yahr se mostrou com alta correlação; os dados mostram moderadamente boa percepção de QV dos pacientes, média de 98,47 na percepção PDQL Considerações finais: QV dos pacientes com DP é moderadamente boa, mesmo enfrentando diversas condições adversas para o diagnóstico da doença, tratamento e seus distúrbios.

Introdução: Acidente vascular encefálico isquêmico (AVCI) é o comprometimento neurológico mais comum na população geral. Seu estudo permite conhecer sua dinâmica epidemiológica objetivando tomada de decisões em saúde pública. Objetivos: Traçar perfil temporal da ocorrência de AVCI e sua taxa de mortalidade hospitalar. Métodos: Utilizou-se um delineamento ecológico de série temporal nas Unidades Federativas do Nordeste brasileiro. Os dados foram coletados no Sistema de Informação Hospitalar sobre os episódios de AVCI, entre os anos de 1998 e 2010. Resultados: Observou-se grande redução na incidência de AVCI no período analisado, com redução de 31,33 casos/105 habitantes em média até 2002, para 11,4 casos/105, após esse período. A incidência de AVCI aumenta com a idade e não há diferença entre os sexos. A mortalidade hospitalar não mostrou alteração considerável no período. Conclusão: A incidência de AVCI no Nordeste do Brasil declinou a partir do ano de 2002, mantendo um novo paradigma.

The scope of the study was to evaluate patient safety culture and associated factors in Brazilian hospitals with different types of management, namely federal, state and private hospitals. The design was cross-sectional and observational. A survey of 1576 professionals at three hospitals of Rio Grande do Norte state was performed using the Hospital Survey on Patient Safety Culture adapted for Brazil, which measures 12 dimensions of safety culture. Perceptions are described by attributing a general result (Range 0-10) and the percentage of positive responses to estimate their strengths and weaknesses. The response rate was 13.6% (n= 215). The patient safety coefficient was between 7 and 10 for 78.1% of the respondents, whereby the highest average grade was attributed to the private hospital (8.32). It has been estimated that the type of hospital management, unit service, position and number of adverse event notifications are associated with the overall patient safety grade (p0.001). Only the private hospital had strengths in the dimensions analyzed, while the weaknesses appeared in all the hospitals.O objetivo do estudo foi avaliar a cultura de segurança do paciente e fatores associados em hospitais brasileiros com diferentes tipos de gestão: federal, estadual e privado. O desenho foi observacional transversal. Enviaram-se 1576 questionários aos profissionais de três hospitais do estado do Rio Grande do Norte, utilizando o Hospital Survey on Patient Safety Culture, adaptado para o Brasil, que mede 12 dimensões da cultura de segurança. As percepções são descritas através de uma nota geral (0 a 10) e dos percentuais de respostas positivas para estimar fortalezas e fragilidades em cada dimensão. A taxa de resposta foi de13,6% (n = 215). A segurança do paciente teve nota entre 7 e 10, para 78,1% dos respondentes, sendo a maior média das notas apresentada pelo hospital privado (8,32). O tipo de gestão hospitalar, unidade de serviço, cargo e quantidade de notificação de eventos adversos estiveram associados à nota geral da segurança do paciente (p0,001). Apenas o hospital privado apresentou fortalezas nas dimensões analisadas, enquanto que as fragilidades apareceram em todos os hospitais.

EEG is a popular, low-cost examination used in neurologic and nonneurologic evaluations. Nevertheless, the diagnostic usefulness of EEG has some limitations, and it may increase medical costs. The manifestations of syncope may lead to misdiagnoses, and frequently, it is mislabeled as epilepsy. An EEG is usually obtained, yet some studies have suggested that EEGs have little value in diagnosing this condition. We aimed to determine the diagnostic usefulness of EEG in patients with syncope. We retrospectively examined EEG recordings of 10,408 patients. EEG findings were evaluated for all patients with a diagnosis of syncope (syncope, convulsive syncope, loss of consciousness, or sudden unexplained falls), including requests from neurologists and nonneurologists. EEGs were classified into (1) normal, (2) epileptiform discharges (spike/sharp waves), and (3) slow waves. The EEGs were separated according to gender and age. From 1,003 patients with the diagnosis of syncope, 899 (89.53%) were normal, 62 (6.18%) showed bilateral slow waves, 19 (1.89%) right slow waves, 18 (1.79%) epileptiform discharges, and 6 (0.6%) left slow waves. Epileptiform discharges only occurred among females. Left focal sharp waves were disclosed in 18 (50%), generalized discharges in 8 (44.4%), and right focal discharges in 1 (5.6%). Bilateral slow waves were more prevalent among adults. We conclude that EEG is not useful for evaluating the diagnosis of syncope because of its very low diagnostic yield. Patients with syncope must have a correct history and physical examination plus cardiovascular tests.

Introduction: Child development is a complex process influenced by several factors, among others is highlighted the practice of breastfeeding. Beyond the biological effects, breastfeeding has effects on the social dimension and the psychological apparatus of the actors directly involved. Objective: To analyse the influence of exclusive breastfeeding and associated factors on the neurodevelopment (ND) of children up to 36 months old. Methods: A cross-sectional, community-based study with individuated data of 99 children up to 36 months old, evaluated socio demographic, obstetric and neonatal variables and assessed ND through the Development Monitoring Instrument. The variables were analysed using descriptive statistics and regression testing. Data were considered significant when p

The study evaluated the trend of hospitalization for ischemic stroke (HIS) and its hospital mortality in Brazil over the last 15 years as well as the impact of the Hiperdia program in this scenario.An ecological study was designed with analytical approach and data collected in the Hospital Admission System on episodes of stroke, over the years 1998 to 2012. All data were stratified by sex and age, creating an indicator for HIS and proportion of hospital mortality. To estimate the trend of the data a polynomial curve fitting was created; and the Generalized Linear Model was applied to investigate the impact of Hiperdia on the endpoint HIS and hospital mortality. We adopted a 5% significance level to minimize an error type I.We observed a reduction of HIS from 37.57/105 inhabitants in 1998 to 2001 to 10.33/105 inhabitants in 2002 to 2005, declining 73.64%. The reduction occurred in both sexes and for all age groups. The mortality rate of ischemic stroke also declined in Brazil since 2002, in both men and women, therefore in less than 3%; and only in the groups aged between 0 and 14 and above 80 years, we did not detect trend.Therefore, the decline of HIS temporally coincided with the implementation of Hiperdia in 2002 and this trend continues today.

This study aims to evaluate the impact of the conditional cash transfer program known as Bolsa Família in overcoming food insecurity. A cohort study was conducted in 2005 and 2011 in a sample of families in São José dos Ramos and Nova Floresta, Paraíba State, Brazil. In 2005, 609 households were interviewed, and in 2011 we located and re-interviewed 406 families. There had been an increase in food security and mild food insecurity and an improvement in socioeconomic indicators. A significant association was observed between higher income and improved food security. The program showed a positive impact by increasing income and providing improved levels of food security and mild food insecurity. Other socioeconomic variables may be contributing to this improvement. The fight against food insecurity and malnutrition thus requires additional policies and programs that act on other determinants.

OBJECTIVE: To observe the relationship between Excessive Daytime Sleepiness (EDS) and the presence of risk factors for cardiovascular dysfunction, depression and obesity in the elderly. METHODS: We interviewed 168 elderly from the community of Campina Grande, Paraíba. They were selected according to health districts in the period of 2010. We used the Epworth Sleepiness Scale to diagnose excessive daytime sleepiness (> 10 points); waist circumference for the risk of cardiovascular dysfunction (> 94 or > 80 cm); Geriatric Depression Scale for depression (>10 points) and body mass index for obesity (> 25 kg/m2). Association analysis was performed by the Chi-square test adjusted for sex and age group, adopting α < 0.05. RESULTS: One hundred and sixty eight elderly individuals with mean age of 72.34 ± 7.8 years old participated in this study, being 122 (72.6%) women. EDS was identified in 53 (31.5%) of them; depression, in 72 (42.9%); overweight/obesity, in 95 (64.46%); and risk of cardiovascular dysfunction, in 129 (79.6%). Depressed men (78.6%, p = 0.0005) and risk of cardiovascular dysfunction (57.1%, p = 0.02) were more prone to EDS. In women, only obesity was related to sleepiness (42.1%, p = 0.01). Only those aged between 70 - 79 years old showed association between sleepiness and obesity. CONCLUSION: It was found that obesity for women, and depression and cardiovascular dysfunction risking for men were associated with EDS in the elderly. The variable sex is a confusion condition for the association with sleepiness.

Left and right cerebral hemispheres are morphologically similar, although they are functionally different. Focal EEG abnormalities should appear with an equal frequency in both of them, but the literature has reported a left predominance. We presented the first Latin American study on lateralization of focal EEG abnormalities. METHOD: We retrospectively studied 10,408 EEGs from April 2001 to April 2010. They were separated by age and gender to estimate the frequency of left-sided versus right-sided focal abnormalities (discharges or slow waves). Associated clinical features were also accessed. RESULTS: Discharges were more prevalent in left cerebral hemisphere, in temporal lobe, and a stronger lateralization was found among adults. Right-sided discharges occurred more in frontal lobe. Slow waves were also more prevalent in the left cerebral hemisphere and among adults. Among left-sided slow waves group, women were more prevalent. Contrarily, men were more observed among right-sided slow waves EEGs. Left-sided slow waves were more prevalent in temporal and parietal lobes. Contrarily, right-sided slow waves occurred more in frontal and occipital lobes. Epilepsy was the most frequent disease among the patients with focal discharges in both cerebral hemispheres. Right-sided slow waves were more associated to epilepsy, and left-sided slow waves were more associated to headache. CONCLUSION: There were significant differences between cerebral hemispheres on focal EEG abnormalities, considering lateralization, gender, age and clinical features. These results suggest a neurofuncional asymmetry between cerebral hemispheres which may be explained by different specificities, as well as by cerebral neuroplasticity. Embora sejam morfologicamente semelhantes, os hemisférios cerebrais apresentam diferenças funcionais geneticamente determinadas. Ainda assim, anormalidades eletrencefalográficas focais deveriam ocorrer simetricamente numa população geral, embora a literatura tenha referido um predomínio à esquerda. Nosso objetivo é relatar o primeiro estudo latino-americano sobre uma grande série de EEGs, no intuito de observar se há lateralização de anormalidades focais. MÉTODO: Foram estudados retrospectivamente 10.408 EEGs, realizados de abril de 2001 a abril de 2010, os quais foram classificados de acordo com a presença de anormalidades focais específicas (descargas) e inespecíficas (ondas lentas focais). Os EEGs foram divididos de acordo com o gênero e a idade, e foram analisados achados clínicos associados. RESULTADOS: As descargas foram mais prevalentes no hemisfério cerebral esquerdo, no lobo temporal, observando-se uma lateralização mais forte entre os adultos. À direita, elas prevaleceram no lobo frontal. Ondas lentas focais prevaleceram também à esquerda e no lobo temporal, especialmente entre os adultos. Entre os que apresentaram ondas lentas à esquerda, observou-se maior prevalência entre as mulheres. Os homens prevaleceram entre os que apresentaram ondas lentas à direita. À esquerda, ondas lentas prevaleceram nos lobos temporal e parietal. À direita, nos lobos frontal e occipital. Epilepsia foi o achado clínico mais associado à presença de descargas em ambos os hemisférios cerebrais. Ondas lentas à direita foram mais associadas a epilepsia, enquanto que, à esquerda, elas foram mais associadas a cefaleia. CONCLUSÃO: Houve diferenças entre os hemisférios cerebrais quanto à lateralização das anormalidades focais, assim como entre os gêneros, faixas etárias analisadas e quadro clínico associado.

Objetivo: Comparar o antes e o depois de uma ação de educação postural sobre o conhecimento relativo ao modo de transportar o material escolar, o modo de se sentar e a posição ao dormir de escolares da rede pública e privada do município de Santa Cruz (RN), Brasil. Métodos: A amostra foi composta por 200 escolares do 1º ao 5º ano, e a ação, de três atividades: palestra sobre hábitos posturais, peça teatral e paródia educativa. Para comparação antes e após as intervenções, foi aplicado um questionário com figuras ilustrativas das diversas posições que poderiam ser adotadas pelo escolar. Na análise estatística, utilizou-se o teste de Mcnemar (α≤0,05). Resultados: Apenas os alunos da escola privada obtiveram aumento significativo no número de respostas corretas em todas as variáveis observadas: 16% em relação ao transporte do material escolar [55 (67,9%) versus 68 (83,9%)]; 27,5% no modo de sentar [48 (60%) versus 70 (87,5%); χ2=1,905; p

Introdução: Os transtornos depressivos podem ser definidos como episódios de humor deprimido ou perda de interesse e prazer por quase todas as atividades. A depressão é considerada o principal transtorno mental em idosos, podendo relacionar-se com a qualidade do sono e hábitos de vida, além de ser influenciada por questões sociodemográficas.Objetivo: Verificar a prevalência de depressão em idosos no interior do Nordeste brasileiro e qual a sua relação com o perfil sociodemográfico, qualidade do sono e hábitos de vida. Método:Delineou-se um estudo epidemiológico do tipo transversal, tendo como base a população idosa da zona urbana de Campina Grande-PB. Foi investigada a presença de depressão como variável dependente, assim como aspectos sociodemográfios, qualidade do sono e hábitos de vida como variáveis independentes. Foram obtidas estimativas de prevalência das variáveis e medidas de associação por meio de regressão de Poisson. Adotou-se um nível de significância de 5% para as estimativas.Resultados: Participaram do estudo 168 idosos com idade média de 72,3 (±7,8) anos, sendo em sua maioria mulheres, 122 (72,6%). O quadro depressivo foi identificado em 72 idosos (42,9%). As idosas estavam duas vezes mais associadas ao quadro depressivo (RP=2,26) que os homens. A qualidade subjetiva do sono muito bom (RP=0,34), o médio/alto risco de distúrbio do sono (RP=4,08), tomar medicações para dormir uma ou duas vezes na semana (RP=5,21) e três vezes ou mais (RP=8,69), disfunção diurna uma ou duas vezes por semana (RP=14,40) e três vezes ou mais (RP=27,00) e má qualidade do sono no índice de Pittsburgh apresentaram associação com a depressão na análise bivariada, mas sem relação após ajustamento multivariávelConclusion:A prevalência de depressão mostrou-se elevada na população estudada, sendo claramente mais frequente nas idosas. Por outro lado, não foi possível detectar associação da depressão com os hábitos de vida e a qualidade do sono.

Resumo O objetivo do estudo foi avaliar a cultura de segurança do paciente e fatores associados em hospitais brasileiros com diferentes tipos de gestão: federal, estadual e privado. O desenho foi observacional transversal. Enviaram-se 1576 questionários aos profissionais de três hospitais do estado do Rio Grande do Norte, utilizando o Hospital Survey on Patient Safety Culture, adaptado para o Brasil, que mede 12 dimensões da cultura de segurança. As percepções são descritas através de uma nota geral (0 a 10) e dos percentuais de respostas positivas para estimar fortalezas e fragilidades em cada dimensão. A taxa de resposta foi de13,6% (n = 215). A segurança do paciente teve nota entre 7 e 10, para 78,1% dos respondentes, sendo a maior média das notas apresentada pelo hospital privado (8,32). O tipo de gestão hospitalar, unidade de serviço, cargo e quantidade de notificação de eventos adversos estiveram associados à nota geral da segurança do paciente (p < 0,001). Apenas o hospital privado apresentou fortalezas nas dimensões analisadas, enquanto que as fragilidades apareceram em todos os hospitais. Abstract The scope of the study was to evaluate patient safety culture and associated factors in Brazilian hospitals with different types of management, namely federal, state and private hospitals. The design was cross-sectional and observational. A survey of 1576 professionals at three hospitals of Rio Grande do Norte state was performed using the Hospital Survey on Patient Safety Culture adapted for Brazil, which measures 12 dimensions of safety culture. Perceptions are described by attributing a general result (Range 0-10) and the percentage of positive responses to estimate their strengths and weaknesses. The response rate was 13.6% (n= 215). The patient safety coefficient was between 7 and 10 for 78.1% of the respondents, whereby the highest average grade was attributed to the private hospital (8.32). It has been estimated that the type of hospital management, unit service, position and number of adverse event notifications are associated with the overall patient safety grade (p