Paulo César de Almeida

Universidade Estadual do Ceará, Ceará, Ceará, Brazil

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Publications (99)27.06 Total impact

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    ABSTRACT: Abstract Objective: Asthma is a chronic inflammatory airway disease. In Brazil, little is known about factors associated with this disease. This study aimed to identify factors associated with asthma in 13-14-year old adolescents in Fortaleza, Ceará, Brazil. Methods: It is a cross-sectional population-based study, with a probability sample of 3,015 students in 2006-2007. We used the questionnaires about asthma, rhinitis and socio-demographic/environmental factors from the International Study for Asthma and Allergies in Childhood (ISAAC) protocol. Current asthma was defined as physician-diagnosed asthma and wheezing in the previous 12 months. Bivariate analysis was performed between asthma and factors included in the study, using prevalence ratio and Chi-square test. Confidence intervals (95%) and odds ratio (OR) were also calculated. Factors associated with asthma in bivariate analysis were then assessed using logistic regression. Results: Final sample was composed by 694 adolescents, 179 with asthma. Rhinoconjunctivitis and consumption of stuffed biscuits and fried snacks three or more times per week were independently and positively associated with asthma; consumption of fruits three or more times per week was negatively associated with asthma. Conclusions: Dietary factors were the most associated with asthma in this study. Besides rhinoconjunctivitis, consumption of stuffed biscuits and fried snacks (foods with high content of saturated fat) three or more times per week were independently associated with asthma as aggravating factors, while the consumptions of fruits three or more times per week was associated with asthma as protective factor. Interventions acting on these factors may decrease the occurrence of asthma in this population.
    The Journal of asthma : official journal of the Association for the Care of Asthma. 11/2014;
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    ABSTRACT: This quantitative study, conducted between 2008 April and 2009 March in Fortaleza-CE, Brazil, aimed to validate the general guidelines of the communication of the nurse with the blind. Thirty nurses and 30 blinds, divided into control and experimental groups, participated in the study. Thirty nursing consultations were videotaped and analyzed by experts. In contrast to the control group, the experimental group showed good and excellent performance in all guidelines for verbal and non-verbal communication with the blinds. The study results point to the urgency of adopting the teaching of these general guidelines for communicating with the blind in nursing courses, in addition to training nurses in caring for the blind people.
    Revista brasileira de enfermagem 10/2014; 67(5):715-21. · 0.25 Impact Factor
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    ABSTRACT: The purpose of this study was to identify the knowledge, attitudes and practices for the prevention of diabetic foot in patients with diabetes mellitus type 2. This study was based on a cross-sectional survey conducted in two Family Health Units, in the city of Picos--PI, Brazil, with 85 diabetics of both sexes, by means of a semi-structured Knowledge, Attitude and Practice questionnaire. There was a predominance of females in the study (62.4%). On the topic of foot care, 49.4% had no knowledge on hygiene or what to observe in their feet. In relation to nail care, 56.5% were unaware of the correct way to cut nails. Regarding attitudes, 80% were willing to engage in self-care. In terms of practice, results showed that activities such as washing, drying, moisturizing and massaging were not executed together. It is therefore necessary to develop educational strategies to create awareness, both for diabetics and health professionals, on the effective prevention of diabetic foot.
    Revista gaúcha de enfermagem / EENFUFRGS 09/2014; 35(3):36-42.
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    ABSTRACT: Objective: to evaluate the prevalence of rhinitis symptoms among 6 and 7-year old schoolchildren in Fortaleza, Brazil. Methods: a cross-sectional study using the rhinitis module of the ISAAC (International Study of Asthma and Allergies in Childhood) questionnaire. The sample included 2,020 students from public and private schools, in 2010. Results: the prevalence of cumulative rhinitis, active rhinitis, allergic rhinoconjunctivitis and physician-diagnosed rhinitis was 49.9%, 42%, 15.4% and 28.1%, respectively, being significantly more prevalent among private school students (OR = 0.55, 95CI: 0.46 - 0.66, p < 0.001; OR = 0.50, 95CI: 0.41 - 0.60, p < 0.001; OR = 0.67, 95CI: 0.52 - 0.85, p < 0.001; OR = 0.15, 95CI: 0.12 - 0.19, p < 0.001, respectively), without differences between genders. Interference with daily activities was reported by 25.3%, while 5.7% reported to be moderately or severely affected, without a difference between genders. Conclusion: the prevalence of rhinitis symptoms and associated morbidity among 6-7-year old schoolchildren in Fortaleza was above the Brazilian average, with predominance among private school students, without difference between genders. It was observed that rhinitis was underdiagnosed in this population.
    Revista da Associação Médica Brasileira 07/2014; 60(4):357-364. · 0.77 Impact Factor
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    ABSTRACT: Objective: To determine whether serum selenium levels are associated with the conversion of bacteriological tests in patients diagnosed with active pulmonary tuberculosis after eight weeks of standard treatment. Methods: We evaluated 35 healthy male controls and 35 male patients with pulmonary tuberculosis, the latter being evaluated at baseline, as well as at 30 and 60 days of antituberculosis treatment. For all participants, we measured anthropometric indices, as well as determining serum levels of albumin, C-reactive protein (CRP) and selenium. Because there are no reference values for the Brazilian population, we used the median of the serum selenium level of the controls as the cut-off point. At 30 and 60 days of antituberculosis treatment, we repeated the biochemical tests, as well as collecting sputum for smear microscopy and culture from the patients. Results: The mean age of the patients was 38.4 ± 11.4 years. Of the 35 patients, 25 (71%) described themselves as alcoholic; 20 (57.0%) were smokers; and 21 (60.0%) and 32 (91.4%) presented with muscle mass depletion as determined by measuring the triceps skinfold thickness and arm muscle area, respectively. Of 24 patients, 12 (39.2%) were classified as moderately or severely emaciated, and 15 (62.5%) had lost > 10% of their body weight by six months before diagnosis. At baseline, the tuberculosis group had lower serum selenium levels than did the control group. The conversion of bacteriological tests was associated with the CRP/albumin ratio and serum selenium levels 60 days after treatment initiation. Conclusions: Higher serum selenium levels after 60 days of treatment were associated with the conversion of bacteriological tests in pulmonary tuberculosis patients.
    Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia 06/2014; 40(3):269-278.
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    ABSTRACT: identify the modifiable risk factors for type 2 diabetes mellitus in college students and associate these factors with their sociodemographic variables.
    Revista Latino-Americana de Enfermagem 06/2014; 22(3):484-490. · 0.54 Impact Factor
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    ABSTRACT: To identify risk factors for weight retention in women after childbirth.
    05/2014; 36(5):222-227.
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    ABSTRACT: OBJETIVO: Investigar a presença de alterações auditivas, representadas por diminuição do limiar audiométrico e/ou ausência de emissões otoacústicas, associadas às características gerais, complicações crônicas e comorbidades em pacientes com diabetes tipo 2. MÉTODOS: Estudo realizado em unidade de atenção secundária, em Fortaleza, de abril a julho de 2010. Amostra de 152 pacientes de 36 a 60 anos de idade, portadores de diabetes tipo 2. Analisou-se dados clínicos relacionados ao diabetes e à avaliação audiológica, composta por audiometria tonal liminar, emissões otoacústicas evocadas por estímulo transiente e emissões otoacústicas evocadas produto de distorção. RESULTADOS: O gênero feminino predominou, com 95 (62,5%) pacientes. A média de idade foi 53,4 anos. Verificou-se perda auditiva sensorioneural em 96 (63,2%) pacientes, sendo a maioria perda coclear (83,3%). Cento e catorze pacientes (75%) apresentaram ausência de emissões transientes e 120 (78,9%), ausência de emissões produto de distorção. Os homens diabéticos demonstraram 4,4 vezes mais chance de perda auditiva que as mulheres. Quanto maior o tempo da doença, maior a probabilidade de perda auditiva. Os pacientes diabéticos acima de 50 anos também apresentaram maior chance para perda auditiva. CONCLUSÃO: Das comorbidades e complicações associadas ao diabetes, o sobrepeso/obesidade constitui fator de risco para alteração auditiva, estando associado à perda auditiva e ausência de emissões transientes. Os pacientes diabéticos com sobrepeso/obesidade apresentaram três vezes mais chances de alterações na audiometria e emissões otoacústicas.
    Audiology - Communication Research. 12/2013; 18(4):250-259.
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    ABSTRACT: accomplishment of the transcultural adaptation of the Parent-adolescent Communication Scale, which evaluates the frequency of communication between parents and children concerning the subjects related to sex, condom, DST, HIV and pregnancy. Methodological research of quantitative approach, accomplished with 313 adolescent pupils of the feminine sex in the 14 to 18 year age group in Fortaleza-CE. The content validity was carried through by means of the initial translation, back translation, pre-final version and final version, being analyzed by a committee of specialists; the reliability was verified by the Cronbach's Alpha and ascertained by testing the hypotheses and test-retest within five weeks. The scale was applied via computer in the online modality in the period November/2010 to January/2011. The version of the instrument in Portuguese presented an Alpha of 0.86 regarding the validity of the structure, was partially verified since the testing of the hypotheses of the contracted group was not confirmed. The version of the instrument adapted for Portuguese is considered valid and reliable in the study sample.
    Revista Latino-Americana de Enfermagem 08/2013; 21(4):851-9. · 0.54 Impact Factor
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    ABSTRACT: Objective Investigating the correlation between socio-demographic conditions, health and maternal self-efficacy to prevent childhood diarrhoea. Methods This was a quantitative cross-sectional study which was conducted in Fortaleza, in north-eastern Brazil; it involved 448 mothers of children aged less than 5 years-old. Data was collected through interviews held in the family healthcare centres using an in-house maternal self-efficacy for childhood diarrhoea prevention scale and a form for collecting information about the mothers' socio-demographic profile. Results The self-sufficiency/effectiveness in preventing diarrhoea during childhood interview data revealed a statistically significant association with maternal age (p=0.018), per capita income (p=0.023), type of housing (p=0.032), garbage disposal from the dwelling (p=0.000), origin of the water drunk by the children (p=0.002), type of sanitary installation (p=0.001) and its location (p=0.023), type of drainage (p=0.046) and the resources used by the mothers regarding their personal hygiene (p=0.002). Conclusions Healthcare staff should advance strategies for improving self-sufficiency/effectiveness regarding maternal care for children, especially regarding preventative measures concerning diarrhoea during childhood.
    Revista de salud publica (Bogota, Colombia) 08/2013; 15(4):592-604.
  • Revista de Salud Pública. 08/2013; 15(4):592-604.
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    ABSTRACT: OBJECTIVE: To describe the prevalences of asthma and rhinitis in adolescents (13-14 years of age) in the city of Fortaleza, Brazil, in 2010, comparing the results with those obtained in a prevalence survey conducted in 2006-2007. METHODS: This was a cross-sectional study involving probabilistic samples of 3,015 and 3,020 adolescents in surveys conducted in 2006-2007 and 2010, respectively. The International Study of Asthma and Allergies in Childhood protocol was used on both occasions. RESULTS: Comparing the two periods, there were no significant differences regarding cumulative wheezing, active asthma, four or more wheezing attacks within the last year, sleep disturbed by wheezing more than one night per week, and speech-limiting wheezing. The prevalences of exercise-induced wheezing, dry cough at night, and physician-diagnosed asthma were significantly higher in 2010 than in the 20062007 period (p < 0.01 for all). The prevalence of physician-diagnosed rhinitis was significantly lower in 2010 (p = 0.01), whereas there were no significant differences between the two periods regarding cumulative rhinitis, current rhinitis, and rhinoconjunctivitis. In both periods, dry cough at night, current rhinitis, and rhinoconjunctivitis were significantly more prevalent in females than in males (p < 0.01 for all). Also in both periods, active asthma, current rhinitis, and rhinoconjunctivitis were more prevalent in private school students than in public school students (p < 0.01 for all). CONCLUSIONS: Our data show that the prevalences of asthma and rhinitis symptoms remain high among females and private school students.
    Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia 04/2013; 39(2):128-137.
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    ABSTRACT: JUSTIFICATIVA E OBJETIVOS: Dores musculoesqueléticas acometem 3% a 5% da população mundial, reduzindo a capacidade funcional dos seus portadores. O objetivo deste estudo foi comparar a capacidade funcional entre mulheres com fibromialgia e lombalgia. MÉTODO: Estudo comparativo, com amostra de conveniência formada por 69 mulheres diagnosticadas com lombalgia (35) e fibromialgia (34) cadastradas em Ambulatório de Ortopedia de Hospital Público de Ensino em Fortaleza/CE. Utilizou-se o Questionário de Avaliação da Dor Musculoesquelética e analisou-se a associação entre tipo de dor, características sociodemográficas e atividades praticadas pelas pacientes com os testes de Qui-quadrado (χ2) e Fisher-Freeman-Halton. RESULTADOS: Do universo de 69 participantes, a média de idade foi de 45 ±10,8 anos, a maioria era casada (63,8%), a maior parte (42,0%) tinha baixo nível de escolaridade e era trabalhadora do lar (37,7%). O tipo de dor não mostrou associação estatisticamente significativa com estado civil (p = 0,289), ocupação (p = 0,349) e escolaridade (p = 0,907). A dor principal, em ambos os grupos, localizava-se na coluna lombar (56%) e tinha caráter insidioso (69%) e contínuo (54,5%). A maioria não praticava exercícios físicos (p < 0,001), queixando-se de falta de energia, predominante na fibromialgia (82,4%) (p = 0,019). Das atividades físicas citadas, sobressaiu a caminhada (52,6%) nos dois grupos, seguida de alongamento, ginástica e hidroginástica (47,4%) (p = 1,000). Também houve prejuízos nas atividades ocupacionais (21,7%), domésticas (21,7%) e de lazer (13,0%). CONCLUSÃO: Mulheres com fibromialgia apresentaram pior capacidade funcional que mulheres com lombalgia, merecendo atenção dos profissionais de saúde para avaliação completa da dor e das modificações funcionais destas pacientes.
    Revista Dor. 03/2013; 14(1):39-43.
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    ABSTRACT: This study aimed to develop and validate a psychometric scale for preventing early childhood diarrhea in endemic areas. Before applying to the field, the scale was subjected to content validity by a panel of experts and piloting. The final version was applied to 448 mothers of children 0- to 5-year-olds, living in Fortaleza, northeast Brazil. Structured interviews were conducted to identify diarrheal episodes in the study children. Significant negative correlations were found between higher maternal self-efficacy scores and previous childhood diarrhea (p = .001). In addition, positive correlations were found with maternal age (p = .018). The frequency of children (6-36 months old) with diarrhea was significantly lower when scale scores were higher (p = .015). The predictive validity revealed that high levels of maternal self-efficacy were a protective factor against childhood diarrhea. Cronbachs alpha was .84. The scale was found reliable. Cultural adjustments may be needed to extrapolate the scale to other endemic areas worldwide.
    Public Health Nursing 03/2013; 30(2):150-8. · 0.78 Impact Factor
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    ABSTRACT: It was aimed to measure the quality of life of adults with spinal cord injury and identify domains that affect the quality of life of these individuals. Epidemiological study, conducted in 2007-2008 in Health Basic Units of Campina Grande/PB. There were 47 participants. It was used a questionnaire composed by: sociodemographic variables, etiology of injury; validated instrument to measure quality of life containing four domains: Physical Health, Environmental, Social Relationships and Psychological with their respective facets. The data collected were processed using descriptive and statistical analysis. The domains with lowest scores were: Environmental (55.20 points), Physical health (58.59 points). The facets that compromise the domains: mobility (55.3%), work capacity (55.3%), Financial resources (80.9%), Opportunities for acquiring new information and skills (51%), Participation in and opportunities for recreation/leisure activities (68.1%) and Sexual activity (34%). Results express the dissatisfaction of participants with quality of life. Nurses should contribute to rehabilitation and social reinsertion of those people, respecting their limitations, emphasizing the remaining potential and capacity for self-care.
    Revista gaúcha de enfermagem / EENFUFRGS 03/2013; 34(1):155-63.
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    ABSTRACT: Aim: To check the association between the levels of maternal self-effectiveness to prevent child diarrhea and the conditions of health and healthcare provided to the children. Method: This is a transversal study performed in the municipality of Fortaleza, Brazil, with 448 mothers of children under five years old. The interviews were taken using the Scale of Maternal Self-Effectiveness to Prevent Child Diarrhea. During the analysis, chi-square tests and Likelihood Ratio were used. Results: A significant association was found between levels of self-effectiveness and the variables: care provided to the child out of the home (p=0.03), only breastfeeding until six months old (p=0.001), previous diarrheic episode (p=0.001), the fact that the child has any pathology (p=0.020), hospitalization of the child during the first month of life (p=0.038) and vaccination against rotavirus (p=0.003). Conclusion: Self-effectiveness must be taken seriously during the development and implementation of interventions, with regards to improve maternal care provided to children.(AU)
    Online Brazilian Journal of Nursing 01/2013; 12:295-306.
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    ABSTRACT: This study sought to verify the correlation between leprosy types and the adverse effects of treatment drugs. This quantitative, prospective, nested study was developed at the Dona Libânia Dermatology Centre in Fortaleza, Brazil. Data were collected from November 2007-November 2008. During this period, 818 leprosy patients were diagnosed and began treatment. Forty patients with tuberculoid leprosy (TT) were selected. Twenty patients followed a standard therapy of dapsone and rifampicin and 20 were administered dapsone, rifampicin and clofazimine (U-MDT). Twenty patients with borderline lepromatous (BL) and lepromatous leprosy (LL) were also selected and treated with U-MDT. All of the subjects received six doses. With the exception of haemolytic anaemia, there was a low incidence of adverse effects in all the groups. We did not observe any differences in the incidence of haemolytic anaemia or other side effects across groups of patients with TT, BL or LL treated with U-MDT.
    Memórias do Instituto Oswaldo Cruz 12/2012; 107:74-78. · 1.36 Impact Factor
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    ABSTRACT: The objective was mainly to evaluate the Physical Activity Level in medical students. A cross-sectional, descriptive and analytical questionnaire was held in public and private medical schools and teaching hospitals of Fortaleza. A sample of 840 students, 409 males and 431 females, aged 17-33 years, was selected randomly. We used the International Physical Activity Questionnaire in short version. Most students (72.6%) were classified as sedentary or insufficiently active. Lack of time and body aesthetic, respectively, are the main demotivation and motivation for physical activity. It is suggested additional studies addressed to this population, to establish a more accurate delineation of the factors that lead to physical inactivity.
    Revista Brasileira de Ciências do Esporte. 12/2012; 34(4):955-967.
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    ABSTRACT: JUSTIFICATIVA E OBJETIVOS: Em pacientes com síndrome da imunodeficiência adquirida (SIDA), o subdiagnóstico e o subtratamento da dor são alarmantes e poucos estudos analisam esse tema, bem como os registros de sua ocorrência. O objetivo deste estudo foi analisar registros sobre dor e analgesia em prontuários de pacientes com SIDA internados. MÉTODO: Pesquisa documental, com análise de 63 prontuários, realizado em hospital de referência no tratamento da SIDA no Ceará, em 2010. Utilizou-se check-list para obtenção de dados e os resultados foram apresentados em tabelas com frequências relativo/absoluta.RESULTADOS: Encontrou-se registro de dor na maioria dos prontuários (90,5%), especificando localização (90,5%), fatores de melhora/piora (55,6%), intensidade (39,7%), frequência (25,4%), entre outros aspectos. Foram responsáveis pelos registros médicos (94,7%), enfermeiros (87,8%) e fisioterapeutas (12,2%). Quanto à localização, prevaleceu cefaleia (50,9%), dor abdominal (52,6%), torácica (33,3%), membros inferiores (24,6%) e lombalgia (29,8%). Quanto à intensidade, dor forte (56%), leve (28%) e moderada (16%). Quanto à duração, dor contínua (62,5%) e intermitente (37,5%). Nas prescrições farmacológicas, predominou anti-inflamatório não esteroide (66,7%), seguido de analgésicos simples (44,4%) e adjuvantes (41,3%). Medidas não farmacológicas foram prescritas em apenas 11% dos prontuários. CONCLUSÃO: É necessária a atenção dos profissionais para o registro de informações detalhadas das queixas álgicas dos pacientes com SIDA, com a adoção de instrumentos adequados para a avaliação e registro dos dados avaliados, para melhorar a assistência e o controle da dor que incide na maioria desses pacientes.
    Revista Dor. 12/2012; 13(4):332-337.
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    ABSTRACT: This descriptive, cross-sectional and quantitative study presents an analysis of knowledge acquired by mastectomized women concerning breast cancer after reading an educational handbook. The sample was composed of 125 women. Data were collected in a specialized cancer facility in three phases: preparatory, operational I and operational II. As to the knowledge acquired, the posttest showed an 11% increase in the number of correct answers compared to the pretest. The most frequent correct answer regarded a question asking the name of the surgery (97.60%) while the question concerning breast reconstruction obtained the lowest number of correct answers (58.40%). Answers to all the questions significantly improved in the posttest, with the exception of a question addressing breast reconstruction (p=0.754). The assessment of knowledge showed positive results after reading, suggesting that cognition is essential to understanding and adhering to guidance, thus the handbook is a favorable resource to be used in the rehabilitation of mastectomized women.
    Revista Latino-Americana de Enfermagem 08/2012; 20(4):668-76. · 0.54 Impact Factor

Publication Stats

63 Citations
27.06 Total Impact Points

Institutions

  • 2005–2014
    • Universidade Estadual do Ceará
      Ceará, Ceará, Brazil
  • 2013
    • Universidade Federal do Rio Grande do Norte
      Natal, Rio Grande do Norte, Brazil
  • 2012
    • Universidade Federal do Piauí
      Poti, Piauí, Brazil
  • 2010
    • Universidade Federal do Maranhão
      Maranhão, Maranhão, Brazil
  • 2009
    • Universidade de Fortaleza
      • Department of Nursing
      Ceará, Ceará, Brazil
  • 2008–2009
    • Universidade Federal do Acre
      Santa Maria da Bôca do Acre, Amazonas, Brazil
  • 2006–2009
    • Universidade Federal do Ceará
      • Departamento de Enfermagem
      Fortaleza, Estado do Ceara, Brazil