Comparação dos domínios da qualidade de vida de clientes com úlcera venosa

Estudo com o objetivo de comparar os domínios da qualidade de vida relacionados à saúde (QVRS) de pessoas com úlcera venosa (UV) atendidas no Hospital Universitário Onofre Lopes (HUOL), em Natal/RN, Brasil, e em quatro unidades de cuidados de saúde primários em Évora, Portugal. Estudo quantitativo, analítico, comparativo, com delineamento transversal. Amostra de 130 pessoas. Dados coletados através do instrumento Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) de setembro de 2010 a fevereiro de 2011. A avaliação dos pesquisados variou de 5 a 95 pontos, com média de 48,9 pontos; comparando os domínios da QVRS medida pelo SF-36 nos dois países, verificam-se diferenças significativas em praticamente todos os domínios, exceto dor, o que evidencia a melhor QVRS das pessoas com UV atendidas nos serviços de Évora em relação aos atendidos em Natal. Para melhorar a QVRS das pessoas com UV, é necessária uma assistência integral, com planejamento assistencial e multiprofissional

Analysis of thermal comfort in nursing homes in the Atlantic climate

A esperança média de vida da população mundial tem vindo a aumentar, incrementando a faixa etária acima dos 65 anos. Nesse sentido, determinados ser viços experimentam maior demanda em resposta às necessidades crescentes desta população, como é o caso dos ser viços de cuidados a longo prazo, nomeadamente, centros de dia (CD) e estruturas residenciais para idosos (ERPI). Neste âmbito de ser viços para a comunidade idosa, os parâmetros de qualidade e confor to são apresentados como fatores cruciais para o bem-estar dos utentes/residentes, sendo que o confor to térmico (CT) é um fator determinante na monitorização do bem-estar desta população. Para que os valores ótimos de CT sejam alcançados e mantidos nos edificados com esta tipologia de ser viços, elevados gastos energéticos são despendidos para retificar as condições estruturais dos edifícios. A fim de estruturar um modelo matemático viável que permita definir as características estruturais otimizadas na fase de construção e reabilitação dos edifícios para CD ou ERPI, torna-se necessário analisar o CT dos utentes e prever quais as condições térmicas aceitáveis ou preferenciais para esta população. Este estudo, ainda em curso e integrante do programa ConTerMa, analisa as variáveis de CT na zona climática continental atlântica, monitorizando 8 ERPI e CD situados em 5 concelhos da área metropolitana do Por to, e 5 ERPI e CD na área metropolitana de Barcelona, representativas do clima mediterrânico.In recent years, the average life expectancy of the world's population has been rising, resulting in a steady increase in the elderly population. With the older age group increasing, certain ser vices are in greater demand in response to the growing needs of this population, such as the case of long-term care ser vices, i.e. Day Centres (DC) and Nursing Homes (NH). In this ser vice area, quality and comfort parameters are presented as crucial factors for the well-being of the users, with thermal comfort being one of the most important quality parameters of well-being of this population. It takes high energy costs in order for optimum values of thermal comfort (TC) to be achieved and maintained in buildings built for this type of ser vice, since structural conditions of buildings are often degraded. In order to structure a viable mathematical model that allows to define the optimized structural characteristics in the construction phase of the buildings for permanent or temporary geriatric residences, it is necessary to analyse, in an initial phase, the TC of the users of this type of ser vice and to predict which are the acceptable or preferred thermal conditions for this population. The TC analyses, in this study, will focus on an area of continental Mediterranean climate, addressing 8 NH and DC in the metropolitan area of Porto, representative of the Atlantic climate zone in Portugal, and 5 NH and DC in the metropolitan area of Barcelona, exemplifying of the Mediterranean climate.Projeto financiado ao abrigo do Anúncio de Seleção de Trabalhos de Investigação Multidisciplinar sobre o Envelhecimento ‘Fondo Europeo de Desarrollo Regional en el marco del Programa de Cooperación Interreg V-A España – Portugal, (POCTEP) 2014-2020, Expediente: 6/2018_CIE_6’, no âmbito do Programa Coordenado ‘ConTerMa- Análisis del confort térmico en residencias de ancianos en el espacio de cooperación transfronterizo de España-Portugal’.info:eu-repo/semantics/publishedVersio

Acidente vascular cerebral associado ao risco temporal: abordagem clínica e manejo terapêutico / Cerebral vascular accident associated with temporal risk: clinical approach and therapeutic management

O Acidente Vascular Cerebral (AVC) é um distúrbio neurológico focal agudo atribuído a lesão vascular do sistema nervoso central, possuindo uma origem tanto isquêmica, quanto hemorrágica. Essa patologia consiste na segunda principal causa de morte e incapacidade em todo o mundo. A etiologia do AVC vincula-se de modo variável a diversas doenças e seus mecanismos, permeando inúmeros fatores de risco, modificáveis e não modificáveis, que influenciam em seu diagnóstico e prognóstico. Dentre os fatores de risco relacionados a essa patologia, o fator tempo se destaca como um preditor de maiores sequelas, dito isso, torna-se importante correlacionar o exato momento do evento vascular cerebral e o tempo de seu diagnóstico e tratamento. No que tange aos mecanismos que envolvem esse distúrbio neurológico, apesar de serem múltiplos, os achados fisiopatológicos mais frequentes estão vinculados a deficiência súbita no fornecimento de oxigênio e de nutrientes ao cérebro, e ao sangramento ou ruptura de vasos sanguíneos. Quanto às manifestações clínicas, estas são variadas e se caracterizam principalmente por fraqueza, paralisia em face e alterações na marcha. A abordagem diagnóstica do AVC envolve, assim como em outras neuropatologias, a coleta de uma história clínica completa, sendo que nos quadros agudos se faz imprescindível a coleta concomitante da história também por parte dos familiares e testemunhas do evento. Por fim, no que concerne ao manejo terapêutico, este é realizado levando-se em consideração quatro pilares fundamentais, que variam a curto e longo prazo, sendo eles: a prevenção dos fatores de risco, a abordagem inicial do evento agudo, a reperfusão tecidual e a reabilitação de possíveis déficits cognitivos e funcionais. Diante dessas observações, nota-se que o AVC é um evento vascular complexo, que urge uma abordagem clínica imediata, ressaltando assim, a importância de um manejo preciso e adequado desses pacientes a fim de reduzir o risco temporal associado, aumentando as chances de uma reabilitação completa

Comparison of different flexibility training methods and specific warm-up on repetition maximum volume in lower limb exercises with female jazz dancers

Introduction: Some evidences show that stretching exercises prior to a strength training session can result in decrease of performance. Therefore, the aim of this study was to compare the acute effect of different stretching protocols in the lower limbs using the sum of repetition maximum (RM) performed before a strength training session. Material and methods: The sample consisted of ten female jazz dancers (age: 24.7 ± 7.84 years), with no experience in strength training. Six visits were conducted in which participants were subjected to 10-RM test, 10-RM retest and four different warm-up protocols: specific warm-up, static stretching, proprioceptive neuromuscular facilitation and ballistic stretching. Results: The results obtained in this study showed that in the squat exercise in the Smith machine, the ballistic stretching protocol had a significantly higher volume compared to all other protocols, while the PNF had a significantly higher volume in comparison with the specific warm-up protocol and static stretching protocol (p < 0.05). However, in the leg extension, there were no significant differences in the total volume of maximum repetitions between protocols. Conclusion: Ballistic stretching was the most effective protocol to increase the levels of muscle strength in female jazz dancers

Determinants of socioeconomic factors for quality of life and depressive symptoms in community-dwelling older people: A cross-sectional study in Brazil and Portugal.

Our aim was to analyze the association between socioeconomic status and quality of life (QoL) among older people with depressive symptoms treated through the Primary Health Care (PHC) system in Brazil and Portugal. This was a comparative cross-sectional study with a nonprobability sample of older people in the PHC in Brazil and Portugal conducted between 2017 and 2018. To evaluate the variables of interest, the socioeconomic data questionnaire, the Geriatric Depression Scale and the Medical Outcomes Short-Form Health Survey were used. Descriptive and multivariate analyses were performed to test the study hypothesis. The sample consisted of n = 150 participants (Brazil n = 100 and Portugal n = 50). There was a predominance of woman (76.0%, p = 0.224) and individuals between 65 and 80 years (88.0%, p = 0.594). The multivariate association analysis showed that in the presence of depressive symptoms, the QoL mental health domain was most associated with the socioeconomic variables. Among the prominent variables, woman group (p = 0.027), age group 65-80 years (p = 0.042), marital status "without a partner" (p = 0.029), education up to 5 years (p = 0.011) and earning up to 1 minimum wage (p = 0.037) exhibited higher scores among brazilian participants. The portuguese participants showed an association between the general health status domain and woman group (p = 0.042) and education up to 5 years (p = 0.045). The physical functioning domain was associated with income of up to 1 minimum wage (p = 0.037). In these domains, the portuguese participants exhibited higher scores than the brazilian participants. We verified the association between socioeconomic profile and QoL in the presence of depressive symptoms, which occurred mainly among woman, participants with low levels of education and low income, with QoL aspects related to mental, physical and social health and self-perceived health. The group from Brazil had higher QoL scores than the group from Portugal

Dornase alfa improves the health-related quality of life among Brazilian patients with cystic fibrosis - A one-year prospective study

Background: Health-related quality of life (HRQOL) measurements provide valuable information about the psychological and social impact of treatment on patients with cystic fibrosis (CF). This study evaluated the HRQOL of Brazilian patients with CF and assessed the changes in HRQOL domains over 1 year after dornase alfa (Pulmozyme) introduction. Patients and Methods: One hundred fifty-six stable patients with CF and 89 caregivers answered the Portuguese-validated version of the Cystic Fibrosis Questionnaire-Revised (CFQ-R) at baseline (T 0), and at 3 (T 1), 6 (T 2), 9 (T 3), and 12 (T 4) months of follow-up. Eighteen patientswere excluded because they did not fulfill the inclusion criteria. The patients were analyzed in two groups: those aged 6-11 years and those aged 14 years and older. ANOVA for observed repeated results and the last observation carried forward (LOCF) method for missing data were used for the statistical analysis. Results: After 1 year of follow-up, there was significant improvement in respiratory symptoms (T 4-T 0=8.1; 95% confidence interval (95% CI)=[2.1;14.0]; effect size (ES)=0.35; P<0.001), Emotional Functioning (T 4-T 0=5.6; 95% CI=[1.1;10.1]; ES=0.31; P<0.05), Social Functioning (T 4-T 0=6.0; 95% CI=[1.3;11.7]; ES=0.31; P<0.05), Body Image (T 4-T 0=11.9; 95% CI=[4.1;19.7]; ES=0.42; P<0.05), and Treatment Burden (T 4-T 0=5.3; 95% CI=[0.3;10.3]; ES=0.24; P<0.05) domains in the younger group. A significant improvement in Role Functioning (T 4-T 0=6.1; 95% CI=[1.1;11.1]; ES=0.40; P<0.05), Body Image (T 4-T 0=12.6; 95% CI=[3.5;21.7]; ES=0.46; P<0.05), and Weight (T 4-T 0=11.7; 95% CI=[1.8;21.6]; ES=0.40; P<0.05) was obtained in the older group. The caregivers' CFQ-R showed improvements in the Digestive Symptoms (T 4-T 0=5.5; 95% CI=[1.5;9.4]; ES=0.30; P<0.05), Respiratory Symptoms (T 4-T 0=7.6; 95% CI=[3.9;11.4]; ES=0.48; P<0.05), and Weight (T 4-T 0=10.1; 95% CI=[1.6;18.6]; ES=0.26; P<0.05) domains. Conclusion: The introduction of dornase alfa improved the HRQL of the patients with CF during the first year of treatment. © 2010 Wiley-Liss, Inc

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data