Navegando por Assunto "Idosos"

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Ambiente de moradia e controle primário em idosos
(2008) KHOURY, Hilma Tereza Tôrres; GÜNTHER, Isolda de Araújo
The relation between home environment and two modalities of perceived control: primary control (PC) and secondary control (SC), was investigated. PC and SC refer to efforts exerted to: a) adapt the environment to the residents' needs and attainment of goals; b) adapt to the environment. The non-probabilistic quota sample was composed of 315 residents in Brasília-DF, Brazil, (105 male; 210 female), between 60 and 92 years old. Data were collected through interviews at the respondents' households. Results indicated: 1) Inverse correlation between PC and social density of the home environment - DESAM (r = -0.119; p ≤ 0.05); 2) Perceived control was significantly higher among elderly who had their own bedroom (t = 2.21; df = 313; p ≤ 0.05) compared to those who did not have an exclusive bedroom. The results suggest that low DESAM favors PC in this stage of life, when many activities are performed at home, and freedom of action and privacy are very important needs.
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Associação de polimorfismos de biomarcadores do envelhecimento (TP53, MDM2, UCP2, HLA-G, IL-1a, IL-4 e NFkB1) com a capacidade funcional de idosos
(Universidade Federal do Pará, 2016-05-30) PEREIRA, Esdras Edgar Batista; SANTOS, Sidney Emanuel Batista dos; http://lattes.cnpq.br/9809924843125163; SANTOS, Ney Pereira Carneiro dos; http://lattes.cnpq.br/1290427033107137
INTRODUCTION: The functional capacity and overall functionality of the elderly is defined as the capacity to manage their lives or take care of yourself, which is influenced by the degree of autonomy and independence of the individual. In search of understanding of the mechanisms involved in healthy aging and maintenance of functional independence, several studies try to identify candidate genes that may establish the association of genotype with phenotype studied physical fitness and the decline and loss of independence in adulthood. OBJECTIVE: The objective of this study was to investigate the possible association between the variability of polymorphisms on biomarkers of aging (TP53, MDM2, UCP2, HLA-G, IL-1a, IL-4 and NFkB1) with the functional capacity of the elderly. MATERIAL AND METHODS: This is a comparative analytical cross-sectional study, developed from the clinical and functional evaluation and analysis of polymorphisms on biomarkers of aging. The clinical and functional analysis included an assessment of functional capabilities: basic activity of daily living (ABVD), instrumental activities of daily living (AIVD), advanced activities of daily living (AAVD) and functional status (PS-ECOG) functional systems: cognition (MEEM), humor (GDS-15), mobility (TUG) and risk of falls (TT), Nutritional Status (MAN) and Sarcopenia risk (PP). Eight polymorphisms were included (two TP53, MDM2, UCP2, HLA-G, IL-1a, IL-4 and NFkB1) were genotyped by a multiplex PCR reaction followed by capillary electrophoresis. Analysis of PCR amplicons was performed by electrophoresis using the ABI Prism sequencer 3130 and GeneMapper ID v.3.2 software. RESULTS: A total of 228 elderly, mostly women (62%), with about 70 years old on average, with an average comorbidity index of 4.48 (± 2.44) points, sedentary (53%), with a history smoking (58%) and possessing a predominantly European ancestry. It was found that polymorphisms of the TP53 gene, UCP2, HLA-G, IL-1a, IL-4 and NFkB1 significant differences in functional variables between genotypes. The variables that most differed between genotypes were functional status (PS-ECOG), mobility (TUG), risk of falls (TT) and the risk of sarcopenia (PP). This suggested a possible association of these polymorphisms with risk factors or protection, which in most cases were not significant. The NFkB1 gene polymorphism (rs28362491) was the only biomarkers that demonstrated significant association results. The II genotype of this polymorphism was associated with risk of sarcopenia (PP). The elderly who had this genotype showed a three-fold greater susceptibility to muscle loss related to aging, when compared to other genotypes of the same gene. CONCLUSION: Therefore, considering the results of this study, it is believed that the use of biomarkers of aging, as a population screening test may favor the identification of elderly patients with increased susceptibility to the development of organic modifications and functional disabilities. The identification of this risk allows the targeting of strategies for prevention, control and treatment of disabilities linked to physiological or pathological aging.
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Associação entre sintomas de desconforto psicológico em idosos brasileiros e fatores sócio demográficos durante a pandemia da COVID-19
(Universidade Federal do Pará, 2021-08-04) GRANHEN, Yana Wanzeller; PEDROSO, Janari da Silva; http://lattes.cnpq.br/4096274367867186; http://orcid.org/0000-0001-7602-834X; MAGALHÃES, Celina Maria Colino; http://lattes.cnpq.br/1695449937472051
The context of the global pandemic of COVID-19 emerged the vulnerability of the elderly public from the psychological consequences under the analysis of the Life Span perspective, which understands the developmental trajectory in a continuous, contextual, multidimensional, and multidirectional way concerning genetic-biological and sociocultural influences. The study aimed to investigate the association between socio-demographic factors and symptoms of psychological distress in the elderly during the pandemic context of COVID-19. The research has an exploratory nature and was carried out with a sample of 289 elderly Brazilians, aged over 60 years, recruited through the snowball technique, by virtual means (social networks and e-mail). The results obtained indicated a sample mostly female, with schooling ranging from 13 to 18 years old, Christian-Catholic religion, cohabiting with adult members, family income higher than 1,200 reais and occupation of the retirement type. The most frequent symptoms of psychological discomfort were restlessness, insomnia, muscle tension, and the urge to cry in males, family income between 900 and 1.200 reais, and house size smaller than 50 m²; on the other hand, there was no significant relation between religion, family structure, and the number of persons per family. We conclude that there was a significant association between socio-demographic and psychological factors, which indicates that the elderly focus on emotional type coping strategies, being anxiety symptoms the most prominent which suggests a perception about the loss of control about the future and physical vulnerability facing a stressful context.
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Autonomia funcional de idosas praticantes de Pilates
(2010-12) RODRIGUES, Brena Guedes de Siqueira; CADER, Samaria Ali; TORRES, Natáli Valim Oliver Bento; OLIVEIRA, Ediléa Monteiro de; DANTAS, Estélio Henrique Martin
The purpose of the study was to assess the effect of the Pilates method on elderly women's functional autonomy. Fifty-two volunteers were submitted to the evaluation protocol of the Latin-American Group for Maturity Development (GDLAM), which consists of five tests: a 10-meter walk, get up from the sitting and lying down positions, get up and walk around at home, and to put on and take off a t-shirt. They were then divided into Pilates group (PG, n=27, mean age 66.9±5.3 years) and control group (CG, n=25, mean age 65.2±3.9 years old). PG underwent a series of 10 Pilates exercises twice-weekly for eight weeks, both groups being reassessed thereafter. The level of significance was set at p?0.05. Results showed PG's better scores in all tests and at the GDLAM index (p=0.035) after the intervention; control group showed a better score ((p=0.042) only at the 10-meter walk test, thus keeping the same initial classification of "regular" functionality.. Comparison between the groups after the intervention showed significant advantages for PG, including at the GDLAM index (p<0.05), whose classification rose from "regular" to "good". It may thus be said that practice of the Pilates method significantly enhanced functional performance of the elderly women studied.
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Avaliação clínica e epidemiológica do papilomavírus humano em mulheres idosas em unidades de saúde em Belém –Pará -Brasil
(Universidade Federal do Pará, 2014-08-27) FREITAS, Wiviane Maria Torres de Matos; FUZII, Hellen Thais; http://lattes.cnpq.br/0026958665547973
Aging is a real phenomenon that brings individual and social changes. Among these current modifications is the permanence of the elderly population in the field of sexual activity. Once this event was particularly the young, the elderly today and are sexually active still increasingly exposed to sexually transmitted diseases (STDs), including infection with the human papillomavirus -HPV, not to adopt safe habits such as condom use. The STD rates in the elderly are of concern when associated with increasing number of cervical cancer in this population. The study aimed to evaluate clinically and epidemiologically HPV in older women to health facilities in Belém / PA. It is a cross-sectional, analytical and quantitative study. Information was collected through clinical and epidemiological questionnaire containing variables on first sexual intercourse, sexual partners, alcohol consumption and smoking habits, etc. Cells of the uterine cervix for performing Pap smear, DNA extraction and detection of HPV DNA were collected. The HPV detection was performed by PCR and subtyping of the real-time PCR. The collections are given after approval of the Center for Tropical Medicine / UFPA Research Ethics Committee under the number 401.991 and analyzed by means of the construction of the database and the Chi-square and Fisher exact tests applied level of significance accepted of α ≤ 0.05. For data analysis, counted with 159 samples of older, averaged 67.98 years of age, widows and with incomplete primary education most. Registered a 6.28% prevalence of HPV infection in these elderly surveyed, there was a significant relationship between infection with multiple partners (p≤0,006) and the habit of smoking in the life (p≤0,03) . Another important fact is older in sexual activity as a higher prevalence of HPV (14.28%) than those without activity (2.72%). Added the event of an elderly infected with viruses having a subtype of high oncogenic risk (HPV16), in addition to all older received cytology within the normal range. It is concluded that despite the prevalence is decreasing in this present age, the elderly are exposed to risk factors that may contribute to increased rates of cervical cancer, highlighting the importance of this research and the constant screening in these women.
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Avaliação da utilização e segurança de medicamentos em pacientes idosos internados em um hospital universitário
(Universidade Federal do Pará, 2013-12-23) CUENTRO, Vanessa da Silva; SILVA, Marcos Valério Santos da; http://lattes.cnpq.br/0379783635000306; ANDRADE, Marcieni Ataíde de; http://lattes.cnpq.br/8514584872100128
The increase in the elderly population contributes to the higher prevalence of numerous and varied pathologies, whose pharmacological treatments generally include features that lead to the practice of polypharmacy, a factor that has a major impact on the safety of elderly patients, given that polypharmacy is largely responsible for the adverse drug reactions and drug interactions. The objective was to evaluate the safety and use of prescription medications in elderly patients aged 60 years and admitted to the University Hospital João de Barros Barreto, Universidade Federal do Pará. This is a cross-sectional, observational study of descriptive character and exploratory data collection to analysis of medical records was performed, the data were processed using the SPSS 20.0 statistical program. The results showed that the mean age was 71.9 years, 52.7 % women, elderly women showed older than male patients. The hospitalization obtained an average of 21.7 days, average of diagnoses per patient was 2.6. The principal diagnosis of hospitalization was cardiovascular diseases (20.3%). The average number of drugs prescribed per admission was 6.8. The most commonly used drugs were part of the digestive and metabolic system (32.4%), the prevalence of potentially inappropriate prescribing of medications evaluated during hospitalization was 11.2 %, higher among women (58.8%), the potentially inappropriate medication prescriptions was more often in Butylscopolamine (25.2%). In regard to potential drug interactions, were identified in 65.5% of prescriptions, with an average of 8.6 per patient, medication interactions are involved in most of the cardiovascular system (38.6%), most of the interactions potential drug had moderate severity (75.3 %), potential pharmacokinetic interactions of action accounted for 65.4% of prescriptions and hypotension and hyperkalemia together accounted for 30.7% of the RAM , the management strategy was the most frequent monitoring signs and symptoms (65.7%) and with respect to monitoring the blood pressure amounted to 21.8%. In this study, the factors related to polypharmacy were length of hospital stay, number of diagnoses, drug interaction and the amount of inappropriate medications and were seen as a determinant in the occurrence of polypharmacy clinical variables: "number of diagnoses "and" length of stay ". Given these results, there is a need to adopt strategies for the optimization of pharmacotherapy provided to the elderly patient.
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Cartilha educativa para pessoas idosas que vivem com Diabetes Mellitus Tipo 2
(Universidade Federal do Pará, 2024-02-26) LOBATO, Alyne Maciel; SOUZA, Ana Carolina Contente Braga de; http://lattes.cnpq.br/0609863332556837
Diabetes Mellitus is a complex chronic condition characterized by hyperglycemia and metabolic dysregulations. Type 2 Diabetes Mellitus (DM2), the most common type of diabetes, is marked by the progressive and irreversible loss of insulin secretion by pancreatic β cells, associated with resistance to insulin action in peripheral tissues, resulting in a higher incidence and late diagnosis. Treatment requires a multifaceted approach, especially in older people, who face additional challenges due to aging. This includes lifestyle changes such as diet, exercise and medication administration, as well as the need for health education to promote treatment adherence and self-care. The DM2 approach demands a holistic view of the patient, considering the particularities of aging. Given the above, the study aims to develop an educational booklet for elderly people living with DM2, aiming to provide easyto-understand information, self-care guidelines and information records. The study is characterized as qualitative and descriptive, divided into two stages: the review of publications from the last five years (2018-2023) on the subject in the VHL, Scielo, Periódicos Capes and Pubmed databases and the development of an assistive technology in the format of primer. 725 results related to the theme proposed during the search were identified. Of these, 111 studies were selected to support the study in question. Among these, 17 studies were highlighted as main results and guided the discussion of the topics. Subsequently, the booklet was created, covering everything from the presentation of what type 2 diabetes is, to the self-care process and recommendations for elderly people. It is concluded, based on the conduct of this study, that the process of health education for the elderly population is essential. Consequently, it aims to strengthen self-care practices, increase adherence to medication therapy, promote lifestyle changes and raise awareness about the importance of preventing complications in elderly people living with DM2. Such measures aim to improve the overall quality of life of these individuals.
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Changes in muscle strength in elderly women after proprioceptive neuromuscular facilitation based training
(Universidade Federal do Pará, 2015-06) SILVA, Edivã Bernardo da; PIN, Alessandro dos Santos; SILVA FILHO, Manoel da
Introduction: Proprioceptive neuromuscular facilitation (PNF) can be used to improve the quality of life of both healthy and diseased subjects, including the elderly, who suffer muscular weakness due to aging, leading to an impairment in functional capacity. Objective: Verify the effectiveness of PNF as a tool for functional conditioning. Materials and methods: We evaluated a total of ten elderly women aged 60–70 years, clinically healthy and physically active. They had the force of motion of hip flexion with knee extension analyzed by an analog dynamometer. They were then randomly and equally divided into experimental (EG) and control group (CG). The GC was instructed to continue with their normal activities while the GE held 15 training sessions in the lower limb (LL) based on the diagonal D1 and D2. Finally, a new collection wrench the two groups was performed and the data compared. Results: There was a significant increase in the average strength of GE, on the order of 31% (p < 0.01). The GC also had increased strength, but not significant (p > 0.05). Discussion: The results confirm that the FNP through initial work of readjustment and proprioceptive neuromuscular activation, and after that, conditioning of the muscle fibers (mainly resistive) is capable of amplifying the force developed by the muscle. Conclusion: The PNF was effective as training to gain muscle strength, should be better analyzed as a tool fitness, not to cause health risks, have low cost and easy application.
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Comportamento da velocidade da fase excêntrica sobre o desempenho da ação concêntrica subsequente em mulheres jovens e idosas
(Universidade Federal do Pará, 2023-04-28) AZEVEDO, Antenor Barbosa Calandrini de; PENNA, Eduardo Macedo; http://lattes.cnpq.br/3746450308327976; https://orcid.org/0000-0003-0058-7967; COSWIG, Victor Silveira; http://lattes.cnpq.br/0097939661129545; https://orcid.org/0000-0001-5461-7119
The purpose of this master's dissertation was to investigate the influence of eccentric action velocity on subsequent concentric phase performance in trained elderly and young adult mass= 64.1 ± 6.9 kg) and 16 young adult women (age= 23.1 ± 2.1 years; height= 1.7 ± 0.3 meters; body mass= 61.2 ± 10.2 kg) were randomized using software (randomizer.org.br) to perform two conditions and intensities: (1) high velocity (HV) and (2) moderate velocity (MV) executed on the Smith machine bench press using 30% and 60% of 1RM to evaluate mean propulsive velocity (MPV), peak velocity (PV), and mean power (MP) performance. For all analyses, twoway repeated measures ANOVA was used. Results showed that performance for 0.30; p< 0.0001). In addition, PV (F= 18.77; ω²= 0.24; p< 0.001) and MP (F= 9.57; ω²= 0.13; to be more effective in increasing MPV (p< 0.001; d= 0.57) and MP (p< 0.001; d= 0.17) for MV. The main findings suggest that control of the eccentric phase appears to influence ABSTRACT women. To this end, 12 elderly women (age= 65.2 ± 4.2 years; height= 1.6 ± 0.4 meters; body MPV was superior for young adults compared to elderly only at 30% of 1RM (F= 24.2; ω²= p= 0.005) were superior for young adults compared to elderly at 60% of 1RM. HV was shown both young and elderly women (p< 0.001; d= 0.58), considering 30% of 1RM compared to subsequent concentric phase performance when light loads are applied (30% of 1RM), regardless of age group.
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A compreensão dos socorristas acerca do atendimento pré-hospitalar para idosos à luz da política HumanizaSUS
(Universidade Federal do Pará, 2021-12-20) RODRIGUES, Thamyris Abreu Marinho; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
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O Conselho Municipal do Idoso de Belém e a participação: reflexões críticas
(Universidade Federal do Pará, 2011-08-31) MUNÕZ AGUIRRE, Rocio Tamara; MACIEL, Carlos Alberto Batista; http://lattes.cnpq.br/1050426471077266
This work starts from the realization that aging must be recognized as a social process of continuous transformation of human being and one social construction, which depends on social structure, cultural and economic structure of each people, considering the reality of the National Policy for the Elderly and the Statute Aging in Brazil, and the principle of participation into social policies. As participation if to develop in the public space of council of the elderly, the locus of the research was the Cit y Council of the Aged, Belem. To see how members of council participate of exercising social control, we performed a desk review of Council the period 2006 to 2010. It might be found a fragility in the documents of the Council, particularly in record of the minutes that inform about the deliberations and about the absence of records about actions as the visits to the organizations and the organization of the Conference Hall. The document analysis reveals that the actions developed by the Municipality Council of the Elderly is diferent that provided in public policy how much the role of Council. Logo the actions can not be considered as exerting social control, since the participation of Board members are restricted, and does not influence in municipal politics aimed at the elderly.
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Construindo o fazer gerontológico pelas enfermeiras das Unidades de Estratégia Saúde da Família
(Universidade Federal do Pará, 2013-02) POLARO, Sandra Helena Isse; GONÇALVES, Lucia Hisako Takase; ALVAREZ, Angela Maria
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Convívio e cuidado familiar na quarta idade: qualidade de vida de idosos e seus cuidadores
(Universidade Federal do Pará, 2013-01) GONÇALVES, Lucia Hisako Takase; LEITE, Marinês Tambara; HILDEBRANDT, Leila Mariza; BISOGNO, Silvana Cogo; BIASUZ, Sandra; FALCADE, Bruna Liége
It is important to get the quality of life or well being to the elderly who reached the fourth age - 80 years or more - with autonomy and independence. However, as people grow old, reliance on family care for the elderly becomes more frequent. Objective: This study aimed to assess family dynamics, quality of life and lifestyle of elderly at the fourth age and of their family caregivers. Method: Descriptive study involving 100 elderly and their caregivers. Data were collected by applying the Family Caregiver Profile Questionnaire, Family APGAR, Whoqol-Old, Whoqol-Bref and Nahas Lifestyle. Results: The elderly sample comprised mostly women, with mean age of 84 years, mostly of all with hypertension and heart diseases. Caregivers (67%) lived in the elderly’s household, were mostly women, daughters and granddaughters; 20% were elderly caregivers partners from both sexes. Although caregivers have reported good health and quality of life at a good level, their lifestyle was regular. According to the elderly, families have high dysfunctionality, although they had better levels of quality life in some areas and facets. Conclusion: Based on the research it was possible to identify the needs of redirecting to the public and social policies, in favor of a supporting network to the aged population and their family.
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O corpo velho no retumbão da marujada: des/com/passos antrópicos bragantinos
(Universidade Federal do Pará, 2021-12-20) SOUZA, Hildeana Nogueira Dias; ANJOS, Francisco Valdinei dos Santos; http://lattes.cnpq.br/5035093639365870; RAMOS, João Batista Santiago; http://lattes.cnpq.br/8078757512392983
The present work is the result of a research on the Marujada de Bragança. It is a cultural and religious manifestation, an important part of the Festa de São Benedito. This manifestation awakened in me the desire to research and explore the question of the old body in the dance of the Retumbão da Marujada in Bragança/PA. The study was carried out in the municipality of Bragança, northeast of Pará, with elderly people from the Brotherhood of São Benedito. Data were collected in the midst of the pandemic caused by COVID-19. In December 2020, the first interviews were carried out, the others were carried out during the months of January to June 2021, totaling 12 interviewed subjects, men and women, aged between 60 and 84 years. The research had as a general objective, to investigate the memories that build/support the identities of old people, in the sense of rescuing the memories of their trajectories in Marujada. To achieve this objective, a study with a qualitative approach was carried out. The techniques used were bibliographic survey, direct observation and interviews based on oral history as a data production technique. The relevance of this work is evidenced by the possibility of discussing the aspects of the old body and contributing to the reflection on the importance of memory, as a way of listening to the elderly and, consequently, theoretically contributing to the experience of a better quality of life in old age.
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Desenvolvimento de uma medida de controle primário e secundário para idosos
(2013-09) KHOURY, Hilma Tereza Tôrres; GÜNTHER, Isolda de Araújo
This article presents a measure developed to evaluate the adaptive processes of primary and secondary controls in elderly persons. Primary control is defined as a strategy to modify the environment to attend to personal demands. Secondary control refers to efforts to fit in the environment. The participants were 315 elderly, between 60 and 92 years old, 33.3% males and 66.7% females. They were interviewed in their own homes. Using factor analysis, three independent factors were identified: Strive for Achievement with Own Resources (Primary Control), Adaptation Effort (Secondary Control) and Strive for Achievement with Help (Primary Control). Considering the paucity of instruments to evaluate these constructs, the measure should contribute to the advance of research as well as to services for elderly people.
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Dinâmica da família no contexto dos cuidados a adultos na quarta idade
(2013-04) POLARO, Sandra Helena Isse; GONÇALVES, Lúcia Hisako Takase; NASSAR, Silvia Modesto; LOPES, Márcia Maria Bragança; FERREIRA, Viviane Ferraz; MONTEIRO, Hellen Karinna
This study aimed to determine the pattern of family functioning on everyday care relationships of adults in the fourth age. This is a study of diagnostic-evaluative nature of adults with 80 or more years old who depend on care, and of their relatives as caregivers. The participants were selected among the registered patients of a Family Health Unit in a district in the suburbs of Belém-PA, Brazil. They were evaluated according to the dynamics of their family, and quality of life related health lifestyle. Most of the elderly rated their families with good functionality. However, data on the elderly and caregivers' quality of life and caregivers' life style only reached the median level, showing some difficulty in the family functioning system. It was concluded that the multiple results obtained through the assessments indicate some practical implications of care to the family unity and confirm the need for multidimensional assessment about the family intervention.
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Efeitos da estimulação multissensorial e cognitiva sobre o declínio cognitivo senil agravado pelo ambiente empobrecido das instituições de longa permanência
(Universidade Federal do Pará, 2012-08-27) OLIVEIRA, Thaís Cristina Galdino de; DINIZ, Cristovam Wanderley Picanço; http://lattes.cnpq.br/2014918752636286; DINIZ, Domingos Luiz Wanderley Picanço; http://lattes.cnpq.br/9601463988942971
The aim of the present report is to investigate possible impacts of cognitive and multisensory stimulation on the performances of institutionalized and community people in the mini-mental state examination (MMSE) and in language tests. Subjects were divided in two groups paired by years of school and age: 1) institutionalized (n = 25, 76.0 ± 6.9 years old) which inhabit in long-stay institutions and 2) non-institutionalized (n = 17, 74.2 ± 4.0 years old) which inhabit in the community with their families. MMSE was applied to select cognitively healthy volunteers which were subsequently submitted to the stimulation and neuropsychological and language assessments. MMSE and specific language tests, including Boston naming, semantic (VSF) and phonological (PSF) verbal fluencies, Montreal Communication Evaluation Battery (MAC) and the Boston cookie theft picture description task were done. The multisensory and cognitive intervention was applied in groups of 10 volunteers submitted to a series of stimulation sessions twice a week, over six months in a total of 48 sessions. Sessions were based on language and memory exercises, visual, olfactory and auditory stimulus, as well as ludic activities including music, sing and dance. Both groups were assessed at the beginning (before interventions), in the middle (after 24 sessions) and at the end (after 48 sessions) of intervention. As compared to the non-institutionalized (community) group, the institutionalized one showed lower performances in all tasks in all time windows. Each patient was compared with himself using a contrast index (C) that was designed to be able to express performances of all tests in a single (0 -1) scale of cognitive performances. The contrast index was estimated as follow: (C = (D – A) / (D + A), where D corresponds to the scores before stimulation and A after stimulation). All patients improve their performances after intervention and the impact was significantly higher in the institutionalized group. We suggest that the impoverished environment where institutionalized people live is contributing to the lower cognitive scores observed at the first assessment and by the higher impact of the stimulation program in this group. As compared to the classic MMSE neuropsychological test, language tests seem to be much significantly more sensitive to detect early changes in the cognitive status. Taken together the results may have implications for public health policies dedicated to the aged population.
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Envelhecimento populacional e previdência social: a questão social da longevidade e o financiamento dos sistemas previdenciários, sob a ótica do princípio da solidariedade social
(Universidade Federal do Pará, 2011) NASSAR, Elody Boulhosa; BRITO FILHO, José Cláudio Monteiro de; http://lattes.cnpq.br/7823839335142794
The central theme of this work is population aging and its pivotal correlation to longevity and social security funding. The longevity that is so intensely pursued is a factor of concern in contemporary society vis-à-vis related social questions of oldness and social protection in the area of the social security. This work is divided in six chapters. The first chapter ponders on the correlation between the progression of time and its consequences on the decline of human beings, as a basic notion for the understanding of the oldness. The second chapter examines the meaning of the concepts related to aging as well as of the newly emerging expressions on the diversity of oldness by underscoring the use of chronological criterion as the parameter for the legal definition of the concept of the old. In the third chapter, the definition of the social issue of the aging is studied. This definition is examined through a statistical analysis related to the new and growing social group that requires adaptations of the civil society, the family and government. In this context, the condition of women is also treated by pointing out differences in the oldness between the genders. In the fourth chapter, the emphasis is on the social achievements related to aging in light of the legitimation and justification of social rights of Social Security as an effective means of social inclusion and achieving dignity at old age. In the fifth chapter, it is demonstrated that new social questions emerge from the aging of the world population. Consequently, new social, political and economic questions demand novel policies by the government in order to guarantee the quality of life of the aging as a fundamental human right. In the sixth chapter, solidarity is suggested as the fundamental postulate upon which the principles of social security are based. Moreover, solidarity is argued to be the central logic of any pension plan and that it conflicts with the logic of the market or science. This work utilizes extensive, interdisciplinary, national bibliography on the various issues contained in the chapters of the thesis, as well as foreign doctrine, with emphasis on the legal literature, as the base of support of the arguments above-mentioned. It is concluded that social security reforms and the neoliberal preaching defense of capitalization do not take into account the issue of equity in formulating policies for Social Security and that the State should be the main responsible for guaranteeing fundamental social rights. This thesis advocates that, in the case of the elderly, solidarity is an ethical requirement, and above all, an ethic of urgency.
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Estudo antropométrico do idoso da amazônia para fins projetuais
(Universidade Federal do Pará, 2012-09-19) PEDROSO, Ana Cristina Pacha de Carvalho; PERDIGÃO, Ana Klaudia de Almeida Viana; http://lattes.cnpq.br/9009878908080486
There are investigated measures of upper limb reach from elderly Amazon for aims of conception of the architectural design that contribute to the knowledge of man’s specific anthropometric Amazon. The research develops in three stages considering anthropometry static, dynamic anthropometry and evaluation of normative NBR 9050 with seniors 60 years or older. The anthropometric measurements of static nature were taken by direct method with objective measures while the dynamic nature, were taken by indirect method with objective measures and filming of reaching movements. The obtained data were compared with those from other regions of Brazil. Finally, evaluate measures of Amazon regarding the technical parameters of the upper limbs reach that can subsidize the architectural design to contribute to discussion of the legislation in force. Brazil experience a major demographic shift related to the aging of its population age structure, with significant presence of persons aged 60 or more, for whom scientific knowledge needs new answers. The hypothesis that the measures for manuals reach predicted in the NBR 9050 are not suitable for the elderly Amazon is confirmed to reach on foot and not confirmed to reach sitting.
Acesso aberto (Open Access)
Estudo exploratório comparativo do declínio cognitivo senil após estimulação multissensorial e cognitiva em idosos institucionalizados e não institucionalizados
(Universidade Federal do Pará, 2014-01-21) MACEDO, Liliane Dias e Dias de; DINIZ, Cristovam Wanderley Picanço; http://lattes.cnpq.br/2014918752636286
The objective of this study was to investigate, using selected neuropsychological tests, the duration of the beneficial effects of multisensory and cognitive stimulation program in two groups of elderly living in community or in long term care institutions. The participants were institutionalized (n = 20, 75.1 ± 6.8 years old) and non-institutionalized (n =15, 74.1 ± 3.9 years old; mean ± standard deviation), with 65 years or more with no history of traumatic brain injury, cerebrovascular accident or major depression, minimal visual acuity 20/30 as measured by the Snellen test and regular participation in the program of somato-motor and cognitive stimulation. Revaluations were conducted after completion of multisensory and cognitive intervention, in five consecutive time windows (2, 4, 6, 8 and 12 months). Both elderly groups were submitted to the following tests: Boston naming; semantic and phonological verbal fluencies, Mini Mental State Examination, Narrative Tests based on the picture “The Theft of Biscuits” and selected tests of the Montreal Battery of Evaluation of Communication, and of the Cambridge Neuropsychological Test Battery (CANTAB). CANTAB tests included Motor Screening Test; Rapid Visual Information Processing; Reaction Time; Paired Associated Learning - PAL; Spatial Working Memory - SWM, and delayed matching to sample. As compared with non-institutionalized a higher rate of cognitive decline was observed in the institutionalized elderly. These results are in line with previous report that associated the poor environmental stimuli of long-term care institutions with faster aging cognitive decline. Furthermore, the ROC analysis indicated a higher specificity, selectivity and efficiency for PAL and SWM tests of the CANTAB battery. as well as memory space for work efficiency allowing the distinction between I and NI groups at all-time windows. The results demonstrated gradual cognitive decline after ended the stimulation program in both groups, with earlier and more severe losses in institutionalized elderly than in those living in the community with their families. The duration of the beneficial effects were closely related to the nature of the workshops and therefore the scores of language tests declined more slowly. The results are of interest to the planner of public policies to recommend regular programs of somato-motor and cognitive stimulation for elderly to reduce the progression of aging cognitive decline.