CHRISTINA MAY MORAN DE BRITO
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
3 resultados
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- Identification of relevant categories for inpatient physical therapy care using the International Classification of Functioning, Disability and Health: a Brazilian survey(2019) PASCHOAL, Luciana Narciso; SOUZA, Patricia Nery De; BUCHALLA, Cassia Maria; BRITO, Christina May Moran De; BATTISTELLA, Linamara RizzoBackground: Hospitalized patients are at risk for the loss of function and impairment. Physical therapists aim to improve functionality and prevent disabilities. The International Classification of Functioning, Disability and Health (ICF) propose a universal language to classify the functionality of patients across different health care settings and over diverse health conditions. Objectives: To identify the International Classification of Functioning, Disability and Health categories that describe most common and relevant patient problems managed by physical therapists in Brazilian hospitals in the acute and post-acute care settings. Subjects: The participants were physical therapists who worked in hospitals with a minimum work experience of two years. Methods: A consensus-building, two-round, emailed survey was conducted using the Delphi technique. Results: For the development of an ICF short list, 47 physical therapists from the acute care setting and 30 physical therapists from the post -acute care setting responded to the Delphi exercise. Most of the professionals were from the cardiorespiratory physical therapy area. A 80% level of consensus or higher was established for the selection of the categories of the ICF components (Body Functions, Body Structures, Activities and Participation, and Environmental Factors). We obtained two short lists to be used in clinical practice comprising 39 ICF categories for acute care settings and 53 for post-acute care settings. Conclusion: This study is the first to identify the most relevant aspects for physical therapy in Brazilian hospitals using the ICF framework. Our results can help to promote the adoption of the ICF in physical therapy clinical practice in the hospital setting.
- Quanto tempo de oclusão é necessário para avaliar a pressão inspiratória máxima pelo método da válvula expiratória unidirecional em sujeitos sem via aérea artificial?(2019) GRAMS, Samantha Torres; KIMOTO, Karen Yumi Mota; AZEVEDO, Elen Moda de Oliveira; ALBUQUERQUE, André Luis Pereira de; BRITO, Christina May Moran; YAMAGUTI, Wellington PereiraABSTRACT The aim of this study was to determine how much occlusion time is necessary to obtain maximal inspiratory pressure (MIP) by the unidirectional expiratory valve method in subjects without artificial airway. Thirty-one subjects aged 18-60 years were evaluated. MIP was evaluated by the standard method (MIPstan) and by the unidirectional expiratory valve method MIPuni, with the order of evaluation determined randomly by lot. For MIPuni measurement, a digital vacuum manometer was attached to a unidirectional expiratory valve and an orofacial mask for 20 seconds of occlusion. During this period, all subjects were encouraged to make maximal respiratory efforts. To define the optimum duration of the maneuver, the 20 seconds of effort were partitioned at every five-second interval (0-5s, 0-10s, 0-15s, 0-20s). The time intervals for obtaining MIPuni were compared with the one-way ANOVA test. The mean values of the standard method and the unidirectional expiratory valve method were compared using the paired Student’s t-test. The significance level was established at 5%. The mean values for the MIPstan (-102.5±23.9 cmH2O) presented a statistically significant difference as compared to the mean values for MIPuni (-117.3±24.8 cmH2O; p<0.001). Maximal peak values for MIPuni were achieved within the 20-second time window, which differed significantly from the peak values obtained during the first five seconds (p=0.036). The occlusion time necessary to record MIP by the unidirectional expiratory valve method in collaborative subjects without artificial airway should be of at least 20 seconds.
bookPart Prescrição de exercício físico na reabilitação cárdio-oncológica(2019) RODRIGUES, Amanda Gonzales; BRITO, Christina May Moran de; REIS, Fabiana; REHDER, Marília Harumi Higuchi dos Santos