Fatores determinantes para a continuidade da participação de idosos em programas de atividade física: a experiência dos participantes do projeto "Sem Fronteiras" Adherence factors to physical activity programs for older adults: the experience of the participants of the "Without Borders" project

Este trabalho discute os resultados de uma pesquisa qualitativa, cujo objetivo foi o de investigar os fatores que determinam a participação continuada de idosos no projeto "Sem Fronteiras: Atividades Corporais para Adultos Maduros e Idosos", desenvolvido na Universidade Federal do Paraná. Participaram do estudo 10 idosos que estavam regularmente frequentando o projeto há pelo menos dois anos. Os dados foram coletados através de uma entrevista semi-estruturada. O guia de entrevista teve como linha condutora as seguintes questões: O que o (a) motivou a dar início à participação no projeto "Sem Fronteiras"? O que o (a) motiva a continuar participando do projeto? Quais as principais dificuldades que o senhor (a senhora) encontra para permanecer no mesmo? O que o (a) motiva a superar estas dificuldades? A análise das entrevistas teve como foco os principais temas que emergiram da fala dos participantes. Primeiramente foram analisados os dados de cada entrevista individualmente. A seguir, os dados foram cruzados buscando-se por temas comuns e divergentes entre as falas dos entrevistados. A principal conclusão da pesquisa foi que os idosos permanecem no programa não somente por perceberem benefícios à sua saúde física, mental e emocional, mas também pelas oportunidades que este lhe oferece em termos de desenvolvimento pessoal, socialização, e troca de informações, experiências, suporte e afeto. As barreiras mais importantes encontradas pelos mesmos para dar continuidade à sua participação no projeto relacionam-se com problemas de saúde e compromissos familiares.<br>This paper discusses the results of a qualitative research project that had as a goal to investigate adherence factors to a physical activity program for older adults in Brazil named "Sem Fronteiras: Atividades Corporais Para Adultos Maduros e Idosos", which translated into English means "Without Borders: Physical Activities for Mature and Older Adults". The participants of the study were 10 older adults who had been in the project for at least two years. Data were collected through semi-structured in-depth interviews with open-ended questions. The leading interview questions were: What led you to start the program? What motivates you to continue attending the program? What are the main difficulties you find in continuing to attend the program? What motivates you to overcome these difficulties? The coding categories emerged from the data. Initially, we analyzed the data for each of the research participants, raising and coding the main themes that emerged from their responses. Next, we did a cross-analysis of the data of all participants looking for similarities and differences between the themes. Our main finding was that the participants adhere to the project not only because of the benefits that they perceive in terms of their physical, mental and emotional health, but also because it offers them opportunities for their personal development, socialization, and exchange of experiences, information, support, and affection. The main barriers that the interviewees found to keep participating in the project were health problems and family commitments

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically