Performance of the visual analogue scale of happiness and of the Cornell scale for depression in dementia in the tremembé epidemiological study, Brazil [Desempenho Na Escala Analógica Visual De Felicidade E Na Escala Cornell De Depressão Em Demência No Estudo Epidemiológico De Tremembé, Brasil]

Made available in DSpace on 2019-09-12T16:26:03Z (GMT). No. of bitstreams: 0 Previous issue date: 2014Depression is a major growing public health problem. Many population studies have found a significant relationship between depression and the presence of cognitive disorders. Objective: To establish the correlation between the Visual Analogue Scale of Happiness and the Cornell Scale for Depression in Dementia in the population aged 60 years or over in the city of Tremembé, state of São Paulo, Brazil. Methods: An epidemiological survey involving home visits was carried out in the city of Tremembé. The sample was randomly selected by drawing 20% of the population aged 60 years or older from each of the city’s census sectors. In this single-phase study, the assessment included clinical history, physical and neurological examination, cognitive evaluation, and application of both the Cornell Scale and the Analogue Scale of Happiness for psychiatric symptoms. The presence of depressive symptoms was defined as scores greater than or equal to 8 points on the Cornell Scale. Results: A total of 623 subjects were evaluated and of these 251 (40.3%) had clinically significant depressive symptoms on the Cornell Scale, with a significant association with female gender (p<0.001) and with lower education (p=0.012). One hundred and thirty-six participants (21.8%) chose the unhappiness faces, with a significant association with age (p<0.001), female gender (p=0.020) and low socioeconomic status (p=0.012). Although there was a statistically significant association on the correlation test, the correlation was not high (rho=0.47).  Conclusion: The prevalence of depressive symptoms was high in this sample and the Visual Analogue Scale of Happiness and Cornell Scale for Depression in Dementia should not be used as similar alternatives for evaluating the presence of depressive symptoms, at least in populations with low educational level. © 2014, Academia Brasileira de Neurologia. All rights reserved.César, K.G., Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, Brazil, University of Taubaté, BrazilBrucki, S.M., Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilTakada, L.T., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilNascimento, L.F.C., University of Taubaté, BrazilGomes, C.M., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilAlmeida, M.C., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilOliveira, M.O., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilPorto, F.H., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilSenaha, M.L., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilBahia, V.S., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilSilva, T.B.L., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilIanof, J.N., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilSpíndola, L., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilSchmidt, M.T., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilJorge, M.S., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilVale, P.H., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilCecchini, M.A., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilCassimiro, L., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilSoares, R.T., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilGonçalves, M.R., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilSmid, J., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilPorto, C.S., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilCarthery-Goulart, M.T., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilYassuda, M.S., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilMansur, L.L., Epidemiologic Study (TES) Group, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, BrazilNitrini, R., University of São Paulo Medical School, Cognitive and Behavioral Neurology Unit, Department of Neurology, University of São Paulo, Brazi

Integração de critérios técnicos, ambientais e sociais em estudos de alternativas locacionais para implantação de aterro sanitário Integrating technical, environmental and social criteria in landfill sitting studies

A Política Nacional do Meio Ambiente tem como objetivo a conciliação do desenvolvimento econômico e social com a qualidade ambiental, e dispõe de vários instrumentos que procuram contemplara capacidade de suporte do meio. Assim, a discussão sobre a localização das atividades é uma etapa importante para a avaliação da viabilidade ambiental de um determinado empreendimento, notadamente em processos de licenciamento ambiental. O trabalho apresenta uma abordagem metodológica para integração de critérios técnicos, ambientais e sociais em estudos de alternativas de localização de aterros sanitários, com especial atenção à interação entre os aspectos ambientais e os elementos fundamentais de um projeto (a saber, requisitos locacionais e concepção tecnológica), aplicado em um estudo de caso em São Carlos (SP). Como resultados principais, destacam-se o maior foco nos impactos significativos e a possibilidade de envolvimento de segmentos importantes da sociedade previamente à elaboração dos estudos ambientais.<br>The National Environment Policy aims to reconcile economic and social development with environmental quality and has several instruments to address environmental issues within the decision making processes. Thus, the discussion about the location of activities is an important step in the evaluation of the environmental acceptability of aparticular activity, even though the systematic procedures do not require neither to the entrepreneur or to the government studies of sitting alternatives. This paper presents the integration of technical, environmental and social criteria in a landfill sitting study, in order to present a systematic integration of environmental factors and applies in a case study in São Carlos, Brazil. The results allowed the development of an environmental impact statement more focused on significant impacts and the participation of segments of society at early stages of project's development