697 research outputs found
SCREENING ELDERLY PATIENTS FOR COGNITIVE FUNCTION AT A REFERENCE CENTER IN NORTHEAST BRAZIL
Introduction: Both demographic and epidemiologic transitions experienced by the country in the past decades bring a number of crucial issues for the health care system, especially in the context of severe social inequality, poverty and fragility of institutions. Objectives: To identify the cognitive profile of non-institutionalized elderly outpatients seen at a reference center in SĂŁo LuĂs, Brazil. Methods: Cross-sectional study conducted in a reference center in SĂŁo LuĂs, MA, Brazil. Final sample consisted of 102 individuals. Inclusion criteria were: age equal to or over 60 years at first consultation, and ability to understand and to answer the tests for cognitive assessment. This study utilized 3 validated tests that have been widely used in Brazil, including the Mini-Mental State Examination (MMSE), the Verbal Fluency Test (VFT) and the Clock Drawing Test (CDT). Results: A total of 102 individuals were included. The majority of patients were women (72%), aged 60-64 years (33.3%), married or living in consensual union (43.1%), and had non-white skin color (52.9%). The prevalence of cognitive impairment was 60.7% for the Minimental state examination, 23.5% for the Verbal Fluency Test and 59.8 % for the Clock Drawing Test. Regarding the presence of cognitive impairment in at least one test, a total of 83.3% was observed. There was an association between the occurrence of cognitive impairment with both marital status and self-perception of health status (p < 0.05). Conclusions: Hence, in the present study, the occurrence of cognitive impairment was considered high and might be associated with marital and health status.Keywords: Health of the Elderly. Aging. Cognition
Wobbly syndrome in an african pygmy hedgehog (Atelerix albiventris) : Neuropathological and immunohistochemical studies SĂndrome de wobbly em um ouriço pigmeu africano (Atelerix albiventris): estudo neuropatolĂłgico e imuno-histoquĂmico
Scholarships were provided by Conselho Nacional de Desenvolvimento CientĂfico e TecnolĂłgico (CNPq), Coordenação de Aperfeiçoamento de Pessoal de NĂvel Superior (CAPES) - Finance Code 001. Additional support was provided by PrĂł-Reitoria de Pesquisa da Universidade Federal de Minas Gerais (UFMG).A three-year-old female African pygmy hedgehog (Atelerix albiventris), born and domiciled in Brazil, presented apathy, prostration, and difficulty to stay standing. Its parents were siblings but did not present clinical signs related to this condition. As its clinical condition worsened, the animal was euthanized and referred for necropsy. No gross lesions were found in the central nervous system (CNS). Histologically, there was vacuolation with axonal degeneration in the white matter of the CNS and in peripheral nervous tissue. The Kluver-Barrera (KB) stain confirmed demyelination in vacuolated areas. Immunohistochemistry using several neural markers confirmed astrocytosis and microgliosis associated with vacuolated areas. In addition, there was a mild decrease in the immuno intensity of myelin proteolipid protein (PLP) in these areas. These results suggest a genetic origin of the present demyelination, which resulted in the wobbly syndrome described in this report
CUIDADOS PALIATIVOS NA ATENĂĂO PRIMĂRIA: CONHECIMENTO DOS MĂDICOS E ENFERMEIROS DA ESTRATĂGIA SAĂDE DA FAMĂLIA
Introdução: A transiçaoĚ demografĚ ica e epidemiologĚ ica aumenta a prevalĂŞncia de doenças crĂ´nico-degenerativas colocando em evidĂŞncia os cuidados no final da vida. Assim, deve-se difundir o conhecimento dos Cuidados Paliativos (CP) entre profissionais de saĂşde. Objetivo: Identificar o conhecimento e as principais fragilidades em CP dos profissionais de saudĚ e de nivĚ el superior que atuam na EstrategĚ ia SaĂşde da FamĂlia (ESF). MĂŠtodos: Estudo transversal, analĂtico, realizado na ESF de SaoĚ Jose Ěde Ribamar - MA com medĚ icos e enfermeiros, utilizou-se um questionarĚ io alemaoĚ (Bonn Palliative Care Knowledge Test), versaoĚ em portuguĂŞs, para avaliar conhecimento e perfil de autoconfiança em CP. Foram entrevistados 66 pessoas, sendo 30 (45,4%) medĚ icos e 36 (54,6%) enfermeiros. Para o calĚ culo estatisĚ tico, foi utilizado o software SPSS v. 19 (nivĚ el de significância de 0,05). Para se avaliar os questionarĚ ios de conhecimento foi empregado o teste do Qui-quadrado. Resultados: NĂŁo houve diferenças significativas na frequĂŞncia de acertos entre mĂŠdicos e enfermeiros, o maior numĚ ero de acertos foi em questoeĚ s que abordam a dimensaoĚ fisĚ ica. A aferiçaoĚ de pressaoĚ arterial e da glicemia capilar foram as pratĚ icas mais comuns na assistĂŞncia ao paciente em CP, 46 profissionais (69,7%). Os profissionais de saĂşde que tiveram melhor desempenho tinham tempo de graduação ⤠5 anos (dentre os medĚ icos) e ⼠10 anos (dentre os enfermeiros) ConclusĂŁo: As pratĚ icas assistenciais e entendimento dos profissionais para pacientes em CP saoĚ predominantemente voltadas para os aspectos fisĚ icos. Os profissionais expressam um elevado perfil de autoconfiança, porĂŠm de modo equivocado no que se refere aos CP.Palavras-chave: Cuidados paliativos. Atenção PrimĂĄria Ă SaĂşde. SaĂşde da FamĂlia
DiagnĂłsticos de enfermagem identificados em pacientes internados em Unidade de Terapia Intensiva Adulto
Portuguese Ministers, 1851-1999: Social Background and Paths to Power
DisponĂvel em:
http://193.136.113.6/Opac/Pages/Search/Results.aspx?SearchText=UID=bb8aa8d5-c6b6-466a-81bb-fe8a67693cee&DataBase=10449_UNLFCSHThis paper provides an empirical analysis of the impact of regime changes in the composition and patterns of recruitment of the Portuguese ministerial elite throughout the last 150 years. The âout-of-typeâ, violent nature of most regime transformations accounts for the purges in and the extensive replacements of the political personnel, namely of the uppermost officeholders. In the case of Cabinet members, such discontinuities did not imply, however, radical changes in their social profile. Although there were some significant variations, a series of salient characteristics have persisted over time. The typical Portuguese minister is a male in his midforties, of middle-class origin and predominantly urban-born, highly educated and with a state servant background. The two main occupational contingents have been university professors - except for the First Republic (1910-26) - and the military, the latter having only recently been eclipsed with the consolidation of contemporary democracy. As regards career pathways, the most striking feature is the secular trend for the declining role of parliamentary experience, which the democratic regime did not clearly reverse. In this period, a technocratic background rather than political experience has been indeed the privileged credential for a significant proportion of minister
Extended Haplotypes in the Growth Hormone Releasing Hormone Receptor Gene (GHRHR) Are Associated with Normal Variation in Height
Mutations in the gene for growth hormone releasing hormone receptor (GHRHR) cause isolated growth hormone deficiency (IGHD) but this gene has not been found to affect normal variation in height. We performed a whole genome linkage analysis for height in a population from northern Sweden and identified a region on chromosome 7 with a lod-score of 4.7. The GHRHR gene is located in this region and typing of tagSNPs identified a haplotype that is associated with height (pâ=â0.00077) in the original study population. Analysis of a sample from an independent population from the most northern part of Sweden also showed an association with height (pâ=â0.0039) but with another haplotype in the GHRHR gene. Both haplotypes span the 3Ⲡpart of the GHRHR gene, including the region in which most of the mutations in IGHD have been located. The effect size of these haplotypes are larger than that of any gene previously associated with height, which indicates that GHRHR might be one of the most important genes so far identified affecting normal variation in human height
On Vastness and Variability: Cultural Transmission, Historicity, and the Paleoindian Record in Eastern South America
TOLL-LIKE RECEPTORS (TLR) 2 AND 4 EXPRESSION OF KERATINOCYTES FROM PATIENTS WITH LOCALIZED AND DISSEMINATED DERMATOPHYTOSIS
Search For Heavy Pointlike Dirac Monopoles
We have searched for central production of a pair of photons with high
transverse energies in collisions at TeV using of data collected with the D\O detector at the Fermilab Tevatron in
1994--1996. If they exist, virtual heavy pointlike Dirac monopoles could
rescatter pairs of nearly real photons into this final state via a box diagram.
We observe no excess of events above background, and set lower 95% C.L. limits
of on the mass of a spin 0, 1/2, or 1 Dirac
monopole.Comment: 12 pages, 4 figure
The Dijet Mass Spectrum and a Search for Quark Compositeness in bar{p}p Collisions at sqrt{s} = 1.8 TeV
Using the DZero detector at the 1.8 TeV pbarp Fermilab Tevatron collider, we
have measured the inclusive dijet mass spectrum in the central pseudorapidity
region |eta_jet| < 1.0 for dijet masses greater than 200 Gev/c^2. We have also
measured the ratio of spectra sigma(|eta_jet| < 0.5)/sigma(0.5 < |eta_jet| <
1.0). The order alpha_s^3 QCD predictions are in good agreement with the data
and we rule out models of quark compositeness with a contact interaction scale
< 2.4 TeV at the 95% confidence level.Comment: 11 pages, 4 figures, 2 tables, submitted to Phys. Rev. Let
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