Navegando por Autor "CARNEIRO, Saul Rassy"

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Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital
(Universidade Federal do Pará, 2016-02) FREITAS, Crislainy Vieira; SARGES, Edilene do Socorro Nascimento Falcão; MOREIRA, Karlo Edson Carneiro Santana; CARNEIRO, Saul Rassy
Objective: To investigate the occurrence of frailty and analyze the functional capacity and quality of life in the elderly in a department of geriatrics and gerontology in Belém-PA. Method: Cross-sectional, descriptive and analytical study.103 elderly people were assessed as the socio-demographic and clinical aspects, frailty, according to the phenotype of Fried, history of falls, self-perceived health, functional capacity (FC) and quality of life (QOL). The elderly were classified as frail (FR), pre-frail (PF) and non-frail (NF). The groups were compared using the binomial test, Kruskal-Wallis test and ANOVA test, and the relationship between FC and QOL through Pearson correlation. Results: The mean age was 73.39(±6.42) years; 23.0% of the elderly were FR, 57.0%were PF and 20.0% were NF. The highest criteria of phenotype were muscle weakness and physical inactivity. Was no difference in FC between FR and PF ( p<0.01) and FR and NF ( p<0.01). The FR elderly had lower QOL and the highest scores were intimacy (15.33±2.26) and death and dying (14.88±3.26). There were correlation between FC and QOL in groups PF ( p=0.0273) and NF ( p=0.0017). 62.1% of seniors pointed to health as regular and 34.0% had a history of falling. Conclusion: Muscle weakness and physical inactivity were most striking in the development of frailty, which was associated with worse QOL and FC, despite most seniors be independent. These data are important for early detection of determinants of frailty, since the criteria discussed here are reversible.
Acesso aberto (Open Access)
Evidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazon
(Public Library of Science, 2021-04) CARNEIRO, Vânia Cristina Campelo Barroso; OLIVEIRA, Paulo de Tarso Ribeiro de; CARNEIRO, Saul Rassy; MACIEL, Marinalva Cardoso; PEDROSO, Janari da Silva
Background The Family Health Strategy (FHS) became consolidated as a primary care model and gate keeper for the Unified Health System (Sistema U´ nico de Sau´de, SUS) in the Brazil and it is considered one of the largest primary health care programmes in the world. Its rapid expan sion allowed the SUS to meet the changing health care needs of the population remote localities of Brazilian municipalities. Methods In the present study, exploratory data analysis was performed using modelling to provide a general overview of the study and to delineate possible structural characteristics of the cross-sectional time-series data. Panel regression methods were used to assess the associ ation between FHS coverage and ambulatory care-sensitive hospitalizations (ACSH rates) in the municipalities of Para´, in the Brazilian Amazon, from 2008 to 2017. Results The results showed strong evidence for the association between FHS coverage and ACSH rates, including reductions of 22% in preventable hospitalizations and 15% in hospital expenses that were directly linked to the 40% increase in FHS population coverage during the evaluated period. This expansion of primary care has mainly benefitted areas that are difficult to access and populations that were previously deprived of health care in the vast Amazon territory. Conclusions The findings of this study show that the increase of the expansion of primary care reduces the preventable hospitalization and the hospital expenses. This reinforces the need for public protection of the health of populations at risk and the positive impacts of primary care in the Brazilian Amazon.
Acesso aberto (Open Access)
Factors associated with smoking cessation
(Universidade Federal do Pará, 2015-02) FRANÇA, Samires Avelino de Souza; NEVES, Ana Ligian Feitosa das; SOUZA, Tatiane Andressa Santos de; MARTINS, Nandara Celana Negreiros; CARNEIRO, Saul Rassy; SARGES, Edilene do Socorro Nascimento Falcão; SOUZA, Maria de Fátima Amine Houat de
OBJECTIVE: To analyze the prevalence and factors associated with smoking abstinence among patients who were treated in a reference unit for smoking cessation. METHODS: This cross-sectional study examined the medical records of 532 patients treated in a reference unit for smoking cessation in Belém, PA, Northern Brazil, between January 2010 and June 2012. Sociodemographic variables and those related to smoking history and treatment were analyzed. Statistical significance was set at p < 0.05. RESULTS: The mean age of the participants was 50 years; 57.0% of the patients were women. The mean tobacco load was 30 packs/year, and the mean smoking duration was approximately 32 years. Most patients remained in treatment for four months. The rate of smoking abstinence was 75.0%. Regression analysis indicated that maintenance therapy, absence of relapse triggers, and lower chemical dependence were significantly associated with smoking cessation. CONCLUSIONS: The smoking abstinence rate observed was 75.0%. The cessation process was associated with several aspects, including the degree of chemical dependence, symptoms of withdrawal, and period of patient follow-up in a multidisciplinary treatment program. Studies of this nature contribute to the collection of consistent epidemiological data and are essential for the implementation of effective smoking prevention and cessation strategies.
Acesso aberto (Open Access)
Funcionalidade global de idosos hospitalizados
(Universidade Federal do Pará, 2014-03) PEREIRA, Esdras Edgar Batista; SOUZA, Anelza Biene Farias de; CARNEIRO, Saul Rassy; SARGES, Edilene do Socorro Nascimento Falcão
Objective: Identify the global functionality of hospitalized elderly, correlating the performance to basic (BADL) and instrumental (IADL) activities of daily life, with the main functional systems (cognition, mood, mobility and communication). Methods: Analytical, observational, cross-sectional study, with the participation of 94 elderly patients admitted to a medical clinic. The tools used in the assessments were: the Katz Scale, Lawton and Brody Scale, Mini-Mental State Examination (MMSE), Geriatric Depression Scale 15 (GDS-15), Timed Up and Go Test (TUG) and the Functional Assessment of Communication Skills from the American Speech-Language-Hearing Association (ASHA FACS). Results: 94 elderly people were evaluated, where most had some degree of dependence for BADL (61.71%) and IADL (52.13%). In functional systems, autonomy proved to be preserved with an average performance of 18.14 points on the MMSE, and 4.43 points in the GDS-15; independence was altered, for average performance of 21.82 seconds on the TUG, classifying them with regular mobility, and 5.27 points in ASHA FACS, considering them as in need of moderate assistance in this task. It was evidenced moderate and significant association between performance for IADL and BADL in nearly all functional systems. Conclusion: The study population presented changed overall functionality, due to some degree of dependence in BADL and IADL, with preserved autonomy and impaired independence. The correlations showed that with the decline of the major functional systems occurred decline in overall functionality.
Acesso aberto (Open Access)
Tabagismo: prevalência e fatores associados na população adulta de Belém, Pará, 2007
(Universidade Federal do Pará, 2009-09-25) CARNEIRO, Saul Rassy; MOURA, Erly Catarina de; http://lattes.cnpq.br/5136057288998726
The aim of the study is to analyse the prevalence of smoking in the city of Belém-PA along with their associated factors. Secondary data were used from Belem-PA collected in 2007 by the national system of surveillance and risk factors for chronic diseases protection by phone survey (VIGITEL), which monitors the risk factors for chronic diseases protection in 26 Brazilian States capital and in the Federal District. The sample were 2014 individuals with 18 or more years old, which replied to the questions concerning socioeconomic factors, behavioural and state of health and related diseases. The results show that the prevalence of smokers was 14,3% (11,7- 16,9) where 21,1% (16.5-25,6) were men and 8,5% (5,9-11,1) were women. The men presented among their associated factors a ratio of prevalence of 0,58 (0,4- 0,83) for those who have more than 8 years of study and 1,9 (1,26-2,88) for those who consume alcoholic beverage. The women presented as associated factor the abuse of alcohol with a ratio of prevalence of 2,23 (1,15-4,32). We concluded that the prevalence is higher in men than in women and the factors associated would be low school level and the abuse of alcohol for men while that for women it would be only the abuse of alcohol.