Intimidade e saúde

L'intimité est précédée par des processus actifs, à travers le cycle de vie. Le lien affectif est établi principalement sur la relation entre attachement mère-enfant, et les comportements et styles de liens ont tendance à avoir un impact sur les relations entre adultes. Le but de cette recherche exploratoire vise à déterminer la transcription physique (conséquences sur la santé) des expériences insatisfaisantes de l'intimité. 60 étudiants (30 femmes, 30 hommes) âgés entre 22 et 27 ans, impliqué dans un jeu de relation amoureuse (durée minimale: 6 mois) ont été contactés pour répondre à une batterie d'instruments (variables d'intérêt: l'intimité, l'identité, concept de soi et des liens). Une bonne santé semble être associée à des valeurs élevées de l'interdépendance et de faibles niveaux de dépendance dans la relation. Dans ces jeunes l'intimité fondée sur la dépendance commis 14% de la santé mentale. L'impact d'une intimité malsaine limitées de près de 9% la santé physique des jeunes adultes en bonne santé.Intimacy is preceded by active processes across the life cycle. The emotional bond is established primarily on the attachment relationship of mother-infant, whose behavioral patterns and linking styles tend to be reflected on adult relationships. The purpose of this exploratory research aims to determine the physical transcription (health consequences) of unsatisfactory experiences of intimacy. 60 university students (30 female, 30 male) aged between 22 and 27 years, involved in a love relationship set (minimum duration: 6 months) were contacted to answer a battery of instruments (variables of interest: intimacy, identity, self-concept and linking). A good health seems to be associated with high values of interdependence and low levels of dependency in the relationship. In these young students intimacy based on dependence commits 14% of mental health. The impact of an unhealthy intimacy limits by nearly 9% physical health of young healthy adults.La intimidad es precedida por los procesos activos, a través del ciclo de vida. El vínculo afectivo se establece principalmente en la relación de apego madre-hijo, y patrones de comportamiento y estilos de los vínculos tienden a repercutir en las relaciones adultas. El propósito de esta investigación exploratoria es determinar la transcripción física (consecuencias para la salud) de la intimidad de experiencias insatisfactorias. Sesenta universitarios (30 mujeres, 30 varones) de edades comprendidas entre 22 y 27 años, que participan en una relación de amor (duración mínima: 6 meses) fueron contactados para responder a una batería de instrumentos (variables de interés: la intimidad, la identidad, el autoconcepto y la vinculación). Un buen estado de salud parece estar asociado con altos valores de interdependencia y bajos niveles de dependencia en la relación. En estos jóvenes la intimidad basada en la dependencia compromete 14% de la salud mental. El impacto de una intimidad insalubre limita casi 9% de la salud física de los adultos jóvenes sanos.A intimidade é antecedida de processos ativos, transversais ao ciclo de vida. O vínculo afetivo estabelece-se primariamente na relação de vinculação mãe-bebê, e os padrões comportamentais e estilos de vinculação tendem a repercutir-se nas relações adultas. O objetivo exploratório desta investigação pretende apurar a transcrição física (consequências na saúde) de vivências insatisfatórias de intimidade. Sessenta universitários (30 do sexo feminino; 30 do sexo masculino), com idades entre 22 e 27 anos, envolvidos numa relação amorosa fixa (duração mínima: 6 meses) foram contactados para responder a uma bateria de instrumentos (variáveis de interesse: intimidade, identidade, autoconceito e vinculação). Um bom estado de saúde parece associar-se a valores elevados de interdependência e baixos valores de dependência na relação amorosa. Nestes jovens a intimidade baseada na dependência compromete 14% da saúde mental. O impacto de uma intimidade pouco saudável limita em quase 9% a saúde física de jovens adultos saudáveis

Social vulnerability on maternal health in immigrants. A problem of interculturality

The scientific literature indicates how often migrants tend to be the most vulnerable population groups, especially women of childbearing age, that regularly show greater foetal and neonatal mortality, and more complications during pregnancy and postpartum.The study followed a qualitative methodology for collecting and analysing data and was conducted in Porto. Participants were 25 recent immigrant mothers from Eastern European countries, Brazil, Portuguese-speaking African countries and six native Portuguese recent mothers (for comparison), contacted through social associations and institutions. Data suggests that healthcare depends not only on accessibility but especially on social opportunities and intercultural integration in the host countr

Dependence in instrumental activities of daily living and its implications for older adults’ oral health

We aimed to assess the association between dependence in instrumental activities of daily living (IADL) and oral health in older adults. We conducted a cross-sectional study of 280 people aged �60 years served at public primary health care centers in Northeastern Brazil. Sociodemographic, oral discomfort and general health data were collected. The Lawton and Brody scale were used to assess IADL. This research adheres to the STROBE checklist. Most participants were married (n = 139; 49.6%), women (n = 182; 65.0%) and retired (n = 212; 75.7%). A total of 37 (13.2%) older adults had some degree of dependence in IADL. Dependence in IADL was associated with: retirement (p<0.040), poor general health (p = 0.002), speech problems (p = 0.014), use of medications (p = 0.021), difficulty chewing and swallowing food (p = 0.011), voice changes (p = 0.044), edentulism (p = 0.011), use of toothbrush (p<0.001), use of toothpaste (p<0.001), and visit to the dentist in the previous year (p = 0.020). Functional disability was associated with older age, cardiovascular diseases, speech problems, chewing and swallowing difficulties, use of medication and brushing deficiency. The functional dependence in IADL can be considered an indicator of oral health status in older adults.info:eu-repo/semantics/publishedVersio

Factors associated with self-rated health in older adults receiving oral prosthetic rehabilitation

Objectives: To assess factors associated with self-perception of health in older adults submitted to oral prosthetic rehabilitation in order to contribute to a more contextualized planning of public policies, actions and health services aimed at healthy aging. Design: Analytical cross-sectional study. Setting: Dental specialty centers. Participants: 244 people aged 60 years and older enrolled for oral prosthetic rehabilitation. Intervention: Interviews, oral examination and anthropometric measurements. Measurements: A questionnaire assessed demographic and economic data, general health and oral health and self-perception of oral health-related quality of life was measured by the Geriatric Oral Health Assessment Index (GOHAI). Performance in instrumental activities of daily living was assessed by the Lawton and Brody scale, mood was assessed by the Geriatric Depression Scale and nutritional status was assessed by the Mini Nutritional Assessment. Results: The multivariate analysis showed that factors such as hospitalization in the previous year, diabetes and risk of malnutrition determined the negative self-perception of general health and current health status compared with 12 months ago. Needing assistance to perform AIDL significantly influenced self-perception of general health while income and vision problems interfered with older adults’ perception of their current health status compared with 12 months ago. Conclusion: Older adults who needed oral prosthetic rehabilitation exhibited a predominantly negative self-perception of oral health.info:eu-repo/semantics/publishedVersio

Self-reported oral health of a quilombola population in the semi-arid region of Piauí

The needy epidemiology of oral health in quilombola populations has been demonstrated by different researches, with the intention that studies be carried in order to identify and determine situations that are liable to be resolved through the help of social and health policies. Objective. To know the perception of oral health regarding oral discomfort and to compare it with general health in a quilombola population in the semi-arid region of Piauí. Methodology. Cross-sectional, descriptive and analytical study. From the adult and elderly population, a sample was calculated considering a margin of error of 5% and 90% of reliability, obtaining a total of 120 people as a minimum sample. Results. Inhabitants of the Canabrava, Tronco and Custaneiras quilombola communities participated - whose age ranged from 21 to 81 years old, SD±16.0. There is a predominance of: married (67.5%), female (60.8%) small farmers (90%), non-retired (71.7%), income of up to 01 (one) minimum wage (58.3%), and incomplete primary school (42.5%). Oral discomfort had a higher percentage due to the variable -Feels dry mouth (30.8%). There was a significant association (p= 0.031) between the perception of general health (excellent, reasonable and poor) and having oral health problems. Conclusion. The association between the perception of general health and having oral health problems reinforces the fact that the poor condition of oral healthinfo:eu-repo/semantics/publishedVersio

Teaching fractions through the multiple intelligences

Fractions are frequently used in daily life. However, many students have difficulty learning fraction concepts. In addition, some students begin the study of fractions with negative impressions. The writer of this article uses Howard Gardner\u27s theory of multiple intelligences to address the difficulties students face in learning fraction concepts. Dr. Howard Gardner, the creator of the Theory of Multiple Intelligences (Ml Theory), believes that it is unfair to teach all students in the same way. Students need opportunities to solve relevant problems that are meaningful to their everyday lives. Rather than concentrating on singular viewpoints and exclusive answers when studying concepts, allowing for a variety of perspectives and numerous solutions tends to engage more children in active thinking and learning. It needs to be accepted that authentic education cannot be carried out in a homogeneous setting when, in fact, all people learn differently. The activities developed in the created unit incorporate Ml approaches, allowing students to make choices about the way they learn fractions and to explore and discover connections between concepts and real life applications

Prolonged mechanical ventilation patient outcome after discharge from an intensive care unit

Background: Mechanical ventilation (MV) is one of the pillars of therapy in the Intensive Care Unit (ICU) as many patients require ventilatory support. This study aimed to analyze the outcome of Prolonged Mechanical Ventilation (PMV) patients after discharge from an Intensive Care Unit (ICU). Methods: This is a retrospective cross-sectional study of 142 medical charts of patients admitted to an ICU and a Special Care Unit (SCU) in Brazil from 2012 to 2014. Results: Participants’ mean age was 66.5 and the majority were men (58.5%). Outcome in the ICU was correlated with laparotomies before (p=0.043) and after (p=0.049) admission, sepsis (p=0.013), dialysis-requiring acute kidney injury (AKI) (p<0.001), and hemodynamic instability (p=0.003). Dialysis requiring AKI (p=0.012), non-dialysis-requiring AKI (p=0.023) and atelectasis (p=0.045) during ICU stay were correlated with death in SCU patients. Only hemodynamic instability (p=0.002) and diarrhea (p=0.045) were correlated with outcome in the SCU. Additionally, 91 (64.1%) PMV patients in the ICU were discharged to the SCU, 50 (35.2%) died, and one (0.7%) was transferred to another hospital. Furthermore, 15 (16.5%) SCU patients were discharged to the Home Care Program and one (1.1%) was transferred to another hospital. Conclusions: PMV patients exhibited longer hospital stay and higher mortality. Dialysis-requiring AKI and hemodynamic instability were associated with increased risk of death. Only a few PMV patients were successfully discharged or referred to Home Care.info:eu-repo/semantics/publishedVersio

Prevalence and health promotion actions related to hyposalivation and mouth discomfort in a nursing homesfor elders

Objectiveto verify the prevalence of hyposalivation inan institutionalized elder population and its relationship with oral discomfort. A cross-sectional study was conducted with older people living in a Nursing Homein Fortaleza-Brazil. Data collection occurred through the application of sociodemographic questionnaire; sialometry examination, test for evaluating the salivary flow speed; and by a subjective quantification of dry mouth intensity (Visual Analog Scale). Results: sixty-five older people aged between 61 and 91 years (mean74.5±8.0) were evaluated, 30(46.2%) were women and 35(53.8%) men. The majority had low monthly income (55;84.6%) and low schooling (44;67.7%). The mean salivary flow was 0.4 ±0.2, withvery low flow (0.1-0.3 ml/min) being more prevalent; females presented lower salivary flow (p=0.033) than males; there was an association between salivary flow and dry mouth sensation (p<0.001) and halitosis (p<0.001). The correlation between sialometry and VAS showed that the lower the salivary flow, the greater the perception of dry mouth sensation. Health promotion actions and treatment (proper hydration; tooth brushing; saliva stimulants) can be performed in order to minimize dry mouth/ hyposalivation impact on elders’ quality of life. Conclusion: Low salivary flow was prevalent in the study subjects. It interferes in oral discomfort and causes dry mouth sensation.info:eu-repo/semantics/publishedVersio

Sobre o direito universal da assistência à saúde

Forty years ago, the 30th World Health Assembly was organized by the World Health Organization, whichled the movement “Health for everybody in 2000” resulting in the elaboration of a document entitled Declarationof Alma-Ata, reaffirming the meaning of health as a fundamental human right and one of the most importantglobal goals for social improvement