Navegando por Autor "NASCIMENTO, Rodolfo Gomes do"

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Fragilidade e condições de saúde de idosos ribeirinhos da Amazônia: indicadores epidemiológicos e aspectos subjetivos
(Universidade Federal do Pará, 2017-12-12) NASCIMENTO, Rodolfo Gomes do; PINTO, Denise da Silva; http://lattes.cnpq.br/9586650002626739; MAGALHÃES, Celina Maria Colino; http://lattes.cnpq.br/1695449937472051
The purpose of this thesis was to understand the interactions between indicators of biological fragility and health conditions of the elderly in the Amazonian riverside context. To this end, we carried out an explanatory-correlational study with 108 elderly people in the region of the islands of the city of Cametá, Pará. Structurally, the thesis is organized in four empirical studies. The first study allowed understanding the particularities of the routines and the way of life of these elderly people, as well as the housing conditions of the riverside context. Despite the housing and sanitation conditions, most of the homes used private power generators, mixed water supplies and were not connected to the sewage system. In addition, they had a variety of consumer goods. Regarding the degree of satisfaction with in relation to the home environment, they denoted positive perceptions for all domains investigated. Added to these data, it was noticed that most of the elderly emphatically expressed attachment to the amazonian riverside context, pointing out the desire to stay in these places. In the second study, referring to the demographic and socioeconomic characteristics, the majority of the elderly were male, aged between 60 and 69 years, with brown skin color, married, with five or more children and with predominant coexistence in their households with spouses and descendants. The majority werw of individuals literate, with incomplete elementary education, with personal income up to a minimum wage and family between one to two minimum wages, retired and without formal work, owners of their own homes and exercising leadership in the family. There was still a predominance among those who did not receive assistance from government programs and elderly people with catholic religious practice. The third study presents and discusses the multidimensional aspects of health. In general, the data pointed to the predominance of elderly people who evaluated how their own health was regulated and in the lateral social comparison the predominance of those who considered their health was better. The majority reported an excellent level of social support, did not present polypathy, polypharmacy, or recent hospitalization. The main comorbidities reported were rheumatic diseases and ophthalmological problems, and most used few drugs. Regarding access to health services, most reported that if they needed to, they would be able to access. There was a predominance of elderly individuals with a previous history of smoking, without the alcoholic habit and with a positive perception about the food practice. They were mostly eutrophic, but presented a cardiovascular risk factor, were not indicative of sarcopenia and were mostly normotensive. In addition, they did not present cognitive impairment, indicative of depressive symptoms nor a recent history of falls. Regarding functional capacity, there was a predominance of those with excellent performance for IADL and BADL. In the fourth and last study, the biological fragility, operationalized by the phenotype proposed by Fried et al. (2001) and their associations with multidimensional indicators is discussed. The results indicate a low prevalence of this syndrome (9.3%), with the majority of the sample classified as non-fragile elderly (51.9%), in contrast to other studies with urban elders. The domain of the phenotype that most contributed to the determination of fragility was "exhaustion" (30.6%) and the main associated factors were: higher age range, family management, work, cardiovascular risk, cognitive decline, depressive symptoms, multiple comorbidities. Given the novelty of this thesis, the results show that the joint action between the biological, psychological, social, historical, ecological and cultural factors interact and influence each other, conferring a development and a low biological fragility condition among the surveyed elderly people. Finally, it is hoped that this evidence will motivate further research on development/aging in these contexts.
Acesso aberto (Open Access)
Percepção de idosos ribeirinhos amazônicos sobre o processo de envelhecimento: o saber empírico que vem dos rios
(Universidade Federal do Pará, 2016-06) NASCIMENTO, Rodolfo Gomes do; CARDOSO, Ronald de Oliveira; SANTOS, Zeneide Nazaré Lima dos; PINTO, Denise da Silva; MAGALHÃES, Celina Maria Colino
Objective: To study and identify the perception of elderly riverside people of the Amazon region regarding old age. Method: An exploratory, descriptive, qualitative study was performed. Data was collected through interviews with 14 elderly riverside residents of the city of Cametá, Pará, Brazil. A script consisting of characterization data and an interview with semi-structured questions was used, guided by the following questions: "What is aging for you?" and "Is aging good or bad?". The participant observation technique was also used, through a field diary. For data analysis, we opted for thematic-categorical content analysis. Results: Generally, the elderly had a heterogeneous perception of old age. However, all saw it as a process anchored to the naturalness of life, as well as death. Some of the elderly persons associated old age with a phase of life with negative repercussions due to the appearance of functional disorders and limitations and especially the reduction of availability for work. It can be conferred that the majority, even with while displaying some limitations in this stage of life, have clear and well defined coping strategies, such as the recognition of their limitations or family and religious support. Conclusion: The study found that aging is the shared result of the experiences and knowledge of the interaction of the elderly persons with the riverside environment around them, resulting in their cultural differentiation.
Acesso aberto (Open Access)
Perfil epidemiológico dos usuários do Centro de Testagem e Aconselhamento no município de Belém, Pará com sorologia positiva para HIV
(Universidade Federal do Pará, 2011) NASCIMENTO, Rodolfo Gomes do; SOUSA, Rita Catarina Medeiros; http://lattes.cnpq.br/3560941703812539
The pandemic of HIV and aids represent a global phenomenon, dynamic and unstable. One of the main achievements in controlling the epidemic was the creation and expansion of Counseling and Testing Centers (CTC) in several regions of the country. These centres represent the input port of the individual is infected in the health system and provide specialist services in diagnosis, guidance on HIV transmission and prevention. The overall objective of the survey was to describe the epidemiological profile, as well as the risk of users behaviors that were serviced in CTA-Belém, between January 2008 and December 2010 with positive serology for HIV. For this purpose was held an active pursuit and confidentially in medical records archived respecting the anonymity of users and all ethical precepts that involve the manipulation of information. Were analyzed the data of 547 users with HIV of CTA-Belém during the study period (prevalence 6,09%). The results of the survey clarified the profile of users with AIDS, who were in the majority of the general population and were not part of any group more vulnerable to viral infection and sought service have been exposed to some risk and forwarded by other services/health professionals. Regarding the risky behavior, 98.5% reported sexual exposure and results warn not to use condoms in sex with both fixed and with possible partners, being the main reasons for this behavior trust in partnerthe non-availability of condoms during sexual intercourse and others. It is concluded that although there are similarities in relation to other studies developed in the country and with the current trend of HIV/AIDS epidemic, there are peculiarities in our region who deserve better targeting of preventive intervention on the part of public health such as providing free condoms and guidance campaigns for use in stable relationships, including in the population with higher education and professional situation stable.