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Acesso aberto (Open Access)
Envelhecimento e doenças neurodegenerativas crônicas na Amazônia brasileira: implantação de novas metodologias de avaliação em pacientes com declínio cognitivo leve e doença de Alzheimer
(Universidade Federal do Pará, 2011-09-27) SOUZA, Aline Cristine Passos de; DINIZ, Cristovam Wanderley Picanço; http://lattes.cnpq.br/2014918752636286; SÓSTHENES, Márcia Consentino Kronka; http://lattes.cnpq.br/7881527576747420
By 2025, the number of elderly people in the world will double and by 2050 will reach around two billion individuals, with the majority of them in developing countries. Alzheimer's disease (AD) is the fourth disease that most compromises the quality of life in elderly. This work aims to suggest new methodologies for evaluating elderly people with mild cognitive impairment and Alzheimer‟s disease, introducing a Brazilian version of the TSM-"Test Your Memory" and showing the performance fo this people in tests from CANTAB. It is an analytical, retrospective, longitudinal case-control study, performed at the Laboratory of Neurodegeneration and Infection, University Hospital João de Barros Barreto, from January 2009 to January 2011. Ninety five individuals 65 years old or older were divided in three groups: Alzheimer's disease (AD, n = 21), mild cognitive impairment (DCL, n = 31) and control (n = 43). Patients with previous stroke, primary depression, head injury, other dementias and other neuropsychiatric disorders, and serious visuo-auditory deficits were excluded. The participants were submitted to an initial assessment, screening with GDS-5 and DSM-IV, the International Physical Activity Questionnaire (IPAQ), CERAD neuropsychological test battery and the TSM - Test Your Memory (Brazilian version).Statistical analysis was performed using one-way ANOVA, defining the p-value<0.05 to detect significant differences. Female individuals of mixed ethnicity, aged 70 to 79 years predominated in all groups. The average MMSE score between the three groups was significantly different (control: 26.6± 2.2; DCL: 25.1 ± 2.6, DA: 17.3 ± 4.9, p <0.05), however, the TSM proved to be a more sensitive test to distinguish DCL patients from AD (control: 42.4± 5; DCL: 35.5 ± 7.7, DA: 25.7 ± 8, p <0.01 ). The three groups had different mean scores. In the CERAD word list, clock test, TNBr and phonological verbal fluency. The performance in TSM was significantly lower in DCL and AD groups than in the control group. And DA group was worse in this test than the DCL group too. The tests and measurements of CANTAB that best separate the three groups from the performance obtained were RVP A‟, PAL-trials to success and PAL-total errors in 6 patterns phase. Good correlations were found between the TSM and other tests, especially with the MMSE (Pearson‟s coefficient r = 0.79, p <0.0001) and clock test (r = 0.76, p <0.0001), as well as good correlations between the measures of PAL and TSM and MMSE. Physical activity level, in the control group was higher than in all other groups. When the level of physical activity and performance on cognitive tests were correlated, there were no significant differences in the different groups, except by a better performance in word recall test from CERAD, and word list in DCL group (DCL "active":4.7 ± 1.8; DCL"not active": 3 ± 1.5,p <0.01). Taken as a Whole, these results suggest that the application of automated automated neuropsychological tests associated with routine clinical tests and TYM, improve the clinical assessment´s sensitivity and reliability, especially in the early stages of dementia where the precoceous and accurate diagnosis are essential to guide therapeutic actions, drugs or behavioral modifications.
Acesso aberto (Open Access)
Treinamento: anatomia actancial - um estudo sistematizado da cinesiologia, da biomecânica e das ferramentas didáticas das artes cênicas para o trabalho do atuante.
(Universidade Federal do Pará, 2016-06-28) RUBIANO ARROYO, Laura Janeth; ALENCAR, Cesário Augusto Pimentel de; http://lattes.cnpq.br/0024366223698692
This artistic and scientific research creates a corporal expression, based on the systematic study of the anatomy and kinesiology of some theorists of the twentieth century, they are: Vsevolod Meyerhold, Etienne Decroux, Tatsumi Hijikata, Kazuo Onho, Eugenio Barba and Pina Bausch, implemented by the researcher, highlighting in the process of analysis the didactics tools focused on scenic performance of the actant, allowing to perfect the physical abilities, understood as: strength - resistance, flexibility and elasticity; aiming to reduce the injuries presented in the musculoskeletal system back. The text contains comparative studies of anatomy, made by researcher, they are linked to the concepts of actantial anatomy and pathological social adaptation. So the issues found and created during the research aim to the factor that the didactic tools of the performing arts, when included or related to anatomical peculiarities, they concern to the psychophysical and energy systems, they are caused, covered and nourished by the body in training. From these systems of training, appeared evident linked to the anatomy of movement, the injuries of the spine, the pedagogy and the didactics of the Actantial formation; in a context that integrates the psychophysical and organic qualities of Actantial training. Finally, here, it insists through the scenic language and pedagogy of Actantial training, cope with treatable the skeletal muscle back injuries, as well as prevent them in the performance, exploration, laboratory and stage work of actant.