Navegando por Assunto "Qualidade de vida"

Agora exibindo 1 - 20 de 44

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Adesão ao tratamento da urticária crônica
(2007-12) FERREIRA, Eleonora Arnaud Pereira; MENDONÇA, Mariana Barreira; LOBÃO, Antonio Carlos
This work presents a case study of a woman who had been addressed to the psychology service, diagnosed with chronic urticaria. This woman's main complaint was that the symptoms were still present even though she was complying the treatment. The purpose was to assist the client to promote the installation of new behaviors and to generalize appropriate behavior patterns, looking for a better urticaria control. Ten sessions were carried out in the hospital, by using the Constructional approach from Behavior Analysis, through the related episode's functional analysis. Results indicated that the triggering and maintenance of the crises had multiple reasons. The contingency-analysis training accomplished during the sessions had promoted a better control of environmental factors. The patient came to comply appropriately with medication use after establishing functional relations between symptoms and environmental stressors. There was a reduction of symptoms and improvement in controlling the disease. This conclusion suggests a better understanding about the relevance of psychotherapeutic accompaniment to the adherence of medical treatment. Patient's reported an improvement in her quality of life.
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Análise da adesão ao tratamento em mulheres com lúpus eritematoso sistêmico
(Universidade Federal do Pará, 2009-08-14) NEDER, Patrícia Regina Bastos; CARNEIRO, José Ronaldo Matos; http://lattes.cnpq.br/0859417913316803; FERREIRA, Eleonora Arnaud Pereira; http://lattes.cnpq.br/6600933695027723
Systemic lupus erythematosus (SLE) is a chronic autoimmune, multisystemic connective tissue inflammatory disease, capable of affecting several organs and systems throughout the body. It affects mostly women and presents periods of remission and exacerbation. Even though its etiology still unknown, several factors contribute to the development of the disease, among them hormonal, environmental, genetic and immunological factors. Some clinical manifestations have challenged the specialists, among them the association of SLE with depressive states. This study aimed to identify related variables with adhesion to treatment in women with SLE diagnosis. Correlations were made between socio demographic characteristics, levels of depression, quality of life, coping and adhesion behavior to treatment strategies. The following instruments were used: Itineraries of interview, The Beck Scale, International Quality of Life Assessment Project (SF-36), The Ways of Coping Scale, World Health Organization Quality of Life Assessment (WHOQOL-BREF). The participants formed a group of thirty patients attended at the rheumatology ward of a public hospital. They were distributed in two groups: Adhesion (n=17) and Non Adhesion (n=13). The adhesion group, regardless of age and time of diagnosis, presented lower levels of depression when compared with the non adhesion group. The results suggest that, on both groups, during the first five months of patients’ coexistence with SLE, the physical aspect, pain and the general state of health are found to be difficult factors to deal with. However, it is possible to assert that, in the same period, if the patient does not adhere to the medical prescriptions, the discomfort regarding the mentioned factors is intensified. The correlation between Vitality subscale and the social Aspects (measured by the SF-36) and the adhesion to treatment presented valid results, for the Adhesion group participants also reported that they felt protected as much by their social group as by the health team. The results suggest that depressive behavior can take place for the long period these patients have been living with the uncontrollability of the disease symptoms, and also for the sequelae caused by SLE, which affects them severely, implicating vital organs such as kidneys, heart, lungs, damaging their quality of life. The pros and cons, as well the limitations on the use of instruments for identification of relevant variables in the study of adhesion to the treatment in chronic diseases are also discussed. Longitudinal studies are suggested, with delineation of the subject as its own control to investigate the relation between depressive states, control of symptoms and adhesion to treatment.
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Análise da adesão medicamentosa de pacientes hansenianos em uma Unidade Básica de Saúde
(Universidade Federal do Pará, 2023-06-16) PINHEIRO, Alcivaldo Mendes; MELLO, Amanda Gabryelle Nunes Cardoso; http://lattes.cnpq.br/8951750304102610; https://orcid.org/0000-0001-7661-1615
Introduction: Leprosy is a chronic transmissible infectious disease that still persists as a public health problem in Brazil. However, through the analysis of polychemotherapy medication adherence, a better quality of life is sought for diagnosed leprosy patients, with the pharmacist playing an important role in promoting early diagnosis and rational use of medication. Objective: To analyze the therapeutic adherence of patients undergoing treatment for leprosy treated at a basic health unit in Belém. Methodology: It is a prospective observational study to characterize the sociodemographic profile of patients undergoing polychemotherapy drug treatment at the Basic Health Unit located in the Guamá neighborhood, in Belém do Pará. Results: The study had the participation of 75 patients, 60 were undergoing treatment and 15 had already been discharged, in which the latter were consulted only to assess the dermatological quality of life. For the demographic and economic survey of patients, those who did not have confirmed diagnoses or had not started treatment were excluded. Final considerations: The predominant age group was between 50 and 59 years old, approximately (11.25%), male (41.25%), self-declared black patients (18.75%), married (21, 0%), high school (15.75%) and who had a formal contract with an income of up to one minimum wage (11.25%). Most patients adhered positively to the treatment, and at the end of the research a Therapeutic Adherence Manual was prepared for the follow-up of patients with leprosy, aiming at updating pharmaceutical practices with an exclusive focus on the care of patients with leprosy.
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Análise da sarcopenia e a sua associação com indicadores clínicos, funcionais e de qualidade de vida em pessoas idosas atendidas no ambulatório do hospital Universitário João de Barros Barreto
(Universidade Federal do Pará, 2024-08-09) MORAES, Janine Brasil de Araújo; NEVES, Laura Maria Tomazi; http://lattes.cnpq.br/4235603520707156; HTTPS://ORCID.ORG/0000-0002-3115-2571; CARNEIRO, Saul Rassy Carneiro; http://lattes.cnpq.br/9162153771863939; https://orcid.org/0000-0002-6825-0239
Introduction: Introduction: Ageing can be accompanied by a progressive decline in muscle mass, strength and function. This resulting health condition is known as sarcopenia, a muscle disease that develops progressively and chronically. Age-related sarcopenia has several factors that accelerate this process and need to be identified and controlled in order to promote a good health prognosis and quality of life for the elderly population. Objective: To assess the association between sarcopenia and functional and quality of life indicators in elderly people treated at the geriatrics outpatient clinic of the João de Barros Barreto University Hospital (HUJBB). Methods: This is an observational, analytical, cross-sectional study carried out at the HUJBB geriatrics outpatient clinic. Sociodemographic and clinical assessments were carried out: sarcopenia assessment (SARC-Calf, handgrip strength assessment, Tetrapolar Electrical Bioimpedance (BIA) and Short Physical Performance Battery (SPPB)), functional indicators assessment (Barthel, quadriceps strength assessment, physical activity level assessment (IPAQ) and presence of falls in 60 days) and quality of life assessment (SF-12). The algorithm of the European Working Group on sarcopenia in the elderly (EWGSOP2) was used. Results: 129 participants were assessed (73% women, p = 0.001), with a mean age of 75.4 years and from the capital (80.6%). 57% were found to be at risk of sarcopenia, with a prevalence of sarcopenia of 27.1%. Handgrip strength (HGS) 18kg/f, skeletal muscle mass 18.3kg; SPPB 9 points; Barthel score 58.8% of independent participants; quadriceps strength 14kg/f; IPAQ 38.8% with a low level of physical activity and SF-12 37.7 points for the physical component and 48.2 points for the mental component. There was an association between appendicular skeletal muscle mass (ASMR) and calf circumference (WC), age, SARC-Calf, FPM and quality of life (physical component) for men (adjusted R2 0.42 and p<0.05), as well as sarcopenia, classified by ASMR, with BIA variables: body resistance, total body water in lean mass, lean mass and basal metabolic rate for men (adjusted R2 0.49 and p<0.05), and for women, intracellular water and total body water in body weight (adjusted R2 0.60 and p<0.05). Conclusion: This study concludes that WC, age, sarcopenia risk screening, HGS and quality of life were associated with MMEA measured by BIA. For the diagnosis of sarcopenia, there were different associations between the BIA markers when adjusted for gender.
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Análise dos índices de qualidade de vida amazônicos por meio de indicadores sociais
(Universidade Federal do Pará, 2023-12-27) FARIAS, Ana Paula Vilhena; SERUFFO, Marcos Cesar da Rocha; http://lattes.cnpq.br/3794198610723464; https://orcid.org/0000-0002-8106-0560; PIRES, Yomara Pinheiro; http://lattes.cnpq.br/5304797342599931; https://orcid.org/0000-0001-7724-6082
The Amazonian scenario is diverse, where ways of life, as well as its quality, are directly related to environmental and social interactions. From the analysis of the indicators used in the Amazon Social Progress Index and Pastoral da Criança and considering the high degree of subjectivity that comprises Quality of Life, it would be possible to develop a methodology to measure these indexes aimed at the Amazonian social sphere that address the quality of life? The objective is to understand the quality of life in Amazonian municipalities through indicators that portray developments based on social performances such as the Amazon Social Progress Index and the Pastoral da Criança. The data analysis methodology will be carried out in two ways: firstly through the Knowledge Discovery in Databases (KDD) process originating from data from Pastoral da Criança and the second will be based on the Systematic Mapping of the Social Progress Index (IPS) of the Amazon based on the PICOC methodology (P: population/patients; I: intervention; C: comparison/control; O: result; C: context). Research and databases, bibliographic review, study and selection of productions, characterization, study and monitoring in the field and comparative report between these were carried out. With regard to the results obtained, it is noted that IPS Amazônia, in its latest reports, did little to address the traditional peoples who inhabit the corresponding area, as well as the periodicity of its publications. Pastoral da Criança, on the other hand, does not operate in the environmental area and excludes other audiences from its support other than pregnant women, babies and children up to 6 years of age. It is noteworthy that both sources of research and QoL activities benefit, but do not completely meet the needs of the region, providing a basis to guide public policy planning and actions aimed at the Amazon.
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Áreas verdes urbanas: espaços essenciais à qualidade ambiental da cidade de Bragança (PA)
(Universidade Federal do Pará, 2016-08-16) RODRIGUES, Roberto Senna; BASTOS, Rodolpho Zahluth; http://lattes.cnpq.br/0697476638482653; MANESCHY, Rosana Quaresma; http://lattes.cnpq.br/5914095913079907
This research has bothered to analyze the green areas of the city of Bragança-PA in relation to environmental policies implemented by the municipal government. Therefore, it was examined, in general, the green areas were ensuring environmental quality and well-being to the urban population. Specifically, it sought to analyze the discussions on the importance of green areas in public spaces of the city from the perspective of sustainable city; Identify the actions of environmental policy in the city of Bragança aimed at urban green areas; Characterize the current condition of the main green areas of the city; Present guidelines for the planning of green areas in the city of Bragança. The research was conducted bibliographic form, document and conducting interviews with the Municipal Secretary of Environment. The results indicated that it is necessary to propose alternatives that fit the urban layout and the local ecosystem. Green areas are responsible for regulating the temperature, noise reduction, supply of groundwater, increasing biodiversity, landscape improvement and brings quality to life of citizens. In this way, the green areas play a more important role than a mere static space of old, and shall comply with important environmental services for urban sustainability. It is in this perspective that observes the need to propose a space for discussion and proposals to the city of Bragança, located in northeastern Pará, and that since its foundation suffers from the consumption of natural resources in the process of expansion, and no more concise concern the preservation, maintenance and creation of green areas.
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Atividades físicas coletivas para a terceira idade: o uso dos três momentos pedagógicos em contextos ambientais
(Universidade Federal do Pará, 2024-05-28) SILVA, José Augusto Baeta e; SILVA, Ronaldo Adriano Ribeiro da; http://lattes.cnpq.br/2020211060475648; https://orcid.org/0000-0002-4974-4620
According to data from the World Health Organization (WHO), the number of people over the age of 60 will reach 2 billion in 2050. As a preventive measure against the ills that affect elderly people, including those caused by environmental factors, find-physical activity, defined by the WHO as any bodily movement produced by skeletal muscles that requires energy expenditure. This research aimed to investigate the perceptions of elderly people about the relationships that exist in quality of life, health promotion and environmental conditions. The study was developed with 17 elderly people enrolled and participating in the Extension Program of the University of the Elderly – UNITERCI, on the Campus of the Federal University of Pará, in Belém. As a data collection instrument, a semi-structured questionnaire was used, containing approaches to health, style of life and environment. The work was developed through a Didactic Sequence, using the Three Pedagogical Moments Methodology. The study supported the development of a technical educational product, called “Pedagogical Notebook: didactic sequence of collective physical activities for seniors in environmental contexts”. The results showed that the elderly use their free time in search of activities that bring them personal satisfaction and that they are recognized as practice when seeking quality of life. Another relevant aspect was the recognition of UNITERCI as a welcoming and necessary institution for the lives of elderly people and the importance of outdoor activities as a contribution to health and the preservation of natural resources. Therefore, it is necessary to urgently carry out studies and public policies that can minimize the harmful effects of climate change that interfere with the quality of life of elderly people.
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Avaliação comportamental de crianças com Síndrome do Respirador Bucal
(Universidade Federal do Pará, 2012-05-03) CASTELO BRANCO, Marília Fontes de; FERREIRA, Eleonora Arnaud Pereira; http://lattes.cnpq.br/6600933695027723
The Mouth Breathing Syndrome (MBS) causes physical and behavioral characteristics that interfere on the child’s quality of life. The Attention Deficit Hyperactivity Disorder (ADHD) may be related to mouth breathing in the individual, as well as to the presence of Sleep Disordered Breathing (SDB). Moreover, studies indicate that adenotonsillectomy reduces the occurrence of behavior indicative of ADHD in patients with MBS, and produces significant improvement in SDB. Objectives: (a) characterize the sociodemographic condition and risk indicators of children diagnosed with MBS; (b) analyze behavioral patterns associated with ADHD and sleep habits of children diagnosed with MBS, observed before and after adenoidectomy, tonsillectomy or adenotonsillectomy. The participants were 44 children, of both genders, between two and 12 years of age, seen in the Otorhinolaryngology Department of a university hospital. The sample was also composed by these children’s caregivers and teachers. Data collection was accomplished through: (1) Application of the Child and Family Information Form and the Developmental and Medical History Form with caregivers, followed by the Child Behavior Checklist - Caregiver Version (CBCL) and the criteria for ADHD diagnosis from DSM-IV; (2) Application of the Teacher’s Report Form (TRF); (3) Application of the Sleep Habits Inventory for Preschool Children and Sleep Behavior Questionnaire, for schoolchildren; (4) Post-surgery Behavioral Evaluation, using the CBCL and the sleep inventories, two months after surgery; and (5) Follow-up interview. Mostly, the mouth breathers: a) were school children; b) were 7-9 years old; c) were female; d) their primary caregiver had completed High School; e) his/her family income was around one and two minimum wages; f) had an original family constitution; g) were at a moderate psychosocial risk. It was observed that most participants in this study went through a normal pregnancy, with no events that could cause harm, and their delivery was also performed appropriately, however, part of the mouth breathers in this sample was cyanotic during or immediately after delivery and presented respiratory problems during the first months. Regarding the baby's temper in the first year of life, most of them were hyperactive and had difficulty falling asleep and being kept busy. The majority of the mouth breathers’ developmental milestones in this study happened in a period within the typical patterns of child development. The most frequent health problems were: appetite problems; and sleep problems. A decrease in frequency of ADHD-related behaviors was observed after surgery in both preschoolers and school children, according to data from CBCL (p = 0.723). And most items in the Sleep Habits Inventory for Preschool Children had a reduction in the frequency of inappropriate habits and an increase in the frequency of appropriate behaviors. In the Sleep Behavior Questionnaire, applied to school children, it was seen that few had sleep problems in the post-surgery evaluation and most sleep problems were reduced in frequency. The greatest reductions occurred in moves a lot while sleeping and snores in his/her sleep (p = 1.000). The preventive multidisciplinary assessment of mouth breathing is suggested as well as the incorporation of a control group, composed by nasal breathers, in future studies.
Acesso aberto (Open Access)
Avaliação da qualidade de vida de pacientes com Diabetes Mellitus tipo 1: dados do primeiro estudo multicêntrico no Brasil
(Universidade Federal do Pará, 2013) SOUZA, Ana Carolina Contente Braga de; FELÍCIO, João Soares; YAMADA, Elizabeth Sumi; http://lattes.cnpq.br/8482132737976863; http://lattes.cnpq.br/7240314827308306
The type 1 diabetes mellitus type 1 (T1DM) is the most common endocrine disease of childhood and adolescence and it negatively impacts the quality of life (QOL). The EuroQol is an instrument that assess the health state. It has been used in most global multicenter studies in diabetes and it has been shown to be an extremely useful and reliable tool. The aim of this study is to evaluate the QOL of patients with T1DM in Brazil, a country of continental proportions, by analyzing the EuroQol. For this purpose, we performed a retrospective and cross-sectional study, which analyzed questionnaires from patients with T1DM, answered in the period of December 2008 to December 2010 in 28 research centers in 20 cities of the four regions (Southeast, North-Northeast, South and Midwest). We also collected data about chronic micro and macrovascular complications and lipid profile. The assessment of quality of life by EuroQol shows that the average score assigned to general health is markedly lower than those found in two other T1DM population studies conducted in Europe (EQ – VAS from Germany, Netherlands and Brazil were 82.1 ± 14, 81 ± 15 and 72 ± 22, respectively). The EuroQol shows that the North-Northeast region has the best index in the assessment of the overall health status compared to the Southeast and lower frequency of self-reported anxiety -depression, compared to other regions of the country (North-Northeast = 1.53 ± 0.6, Southeast = 1.65 ± 0.7, South = 1.72 ± 0.7 and Midwest = 1.67 ± 0.7, p <0.05). Additionally, several known variables (age, duration of diabetes, physical activity, HbA1c, fasting glucose, and presence of chronic complications correlated with QOL (r = -0.1, p <0.05, r = -0.1, p <0.05, r = -0.1, p <0.05, r = -0.2, p <0.05, r = -0.1, p <0.05 and r = -0.1, p <0.05, respectively). This is the first population study to evaluate the quality of life of patients with type 1 diabetes in the south hemisphere. Our data indicates poorer quality of life of patients with T1DM in Brazil when compared to data from European countries. Although we found an inferior diabetes duration and lower presence of microvascular complications in the North -Northeast region compared to other regions, our data suggests the existence of additional factors responsible for better QOL and lower presence of anxiety-depression found in this region. More studies are necessary to identify these possible factors.
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Avaliação de microRNAs circulantes na esquizofrenia: da desregulação epigenômica a potenciais biomarcadores
(Universidade Federal do Pará, 2021-03) RODRIGUES, André Luiz de Souza; BURBANO, Rommel Mario Rodriguéz; http://lattes.cnpq.br/4362051219348099; https://orcid.org/0000-0002-4872-234X
Introduction: Schizophrenia is a serious and complex pathology that affects about 0.5-1% of the world's population. For the clinical diagnosis of schizophrenia, there are clinical criteria to be evaluated, which include both positive and negative symptoms. In the origin of the disease, there is a close relationship between environmental stimuli, and strong evidence shows that these stimuli have the ability to act on epigenetic mechanisms, which act in the regulation of gene expression. MicroRNAs (miRNAs) are stable and potentially reliable biomarkers, and some miRNAs have been previously identified as potential biomarkers for schizophrenia in peripheral samples. Objective: To evaluate the expression profile of circulating miRNA's in patients with schizophrenia (hsa-miR-34a, miR-449a, miR-564, miR-432, miR-548d, miR-572 and miR-652) in relation to control individuals negative for the disease. Methods: Analytical, case-control, cross- sectional study using samples previously collected from patients diagnosed with Schizophrenia (N = 650) and control group (N = 924), who adequately met the inclusion criteria. The samples were analyzed after RNA extraction through its quantification and techniques for obtaining reverse transcriptase reaction and real-time quantitative polymerase chain reaction. All data were analyzed using IBM SPSS22 statistical program. Results: Using the peripheral blood collection method with the intention of finding possible biomarkers for schizophrenia, an increased expression of the miRNA’s miR-34a, miR-449a, miR-564, miR-432, miR-548d, miR-572 and miR-652 was observed in several scenarios analyzed, confronting the case and control groups, as well as variables within the case-group, demonstrating potential diagnostic value.
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Bacias hidrográficas urbanas : aspectos socioambientais da bacia do Tucunduba, Amazônia, Brasil
(Universidade Federal do Pará, 2021-09-15) FIGUEIREDO, Camila de Magalhães e Souza; SOUSA-FELIX, Rosigleyse Corrêa de; http://lattes.cnpq.br/1452935151806378; https://orcid.org/0000-0002-3769-0792
The Tucunduba Hydrographic Basin (THB) is the second largest basin in the city of Belém, in Pará. It drains four districts of Belém: Marco, Canudos, Terra Firme and Guamá. It is one of the most densely populated areas in the city, with a population of approximately 200,000 inhabitants. This work aims to analyze the socio-environmental conditions of the Tucunduba Basin, based on the macro-environmental elements needed to understand the dynamics of use throughout the basin. The methodological approaches of the research included the application of a questionnaire to the residents of the THB, a calculation based on the local Urban Quality of Life Index (UQLI), a calculation of the Simplified Environmental Impact Index, an estimate of the per capita sewage discharge of the neighborhoods belonging to the THB and an Environmental Impact Assessment of the physical, biotic and anthropic environments in the 3 sections of the macrodrainage project. Based on the results obtained, the IQVU in the Tucunduba Basin is approximately 0.6, i.e. regular. In addition, the results generated through the simplified environmental impact assessment show that the stretches analyzed have considerable environmental impacts (either high or very high). This demonstrates the precariousness of the services offered to the population and highlights the fragility of local urban management. There is therefore an urgent need for integrated management strategies, the evaluation and monitoring of space, and the provision of services that guarantee a good quality of life and the environment.
Acesso aberto (Open Access)
Burnout e clima organizacional: intervenções para redução de riscos de incidência nas IFES
(Universidade Federal do Pará, 2020-06-24) SILVA, Josemare de Nazaré Sousa da; TEIXEIRA, Eliana Maria de Souza Franco; http://lattes.cnpq.br/5865287894194983; https://orcid.org/0000-0002-7979-2404
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Cadastro Territorial Multifinalitário (CTM), planejamento e gestão urbanos na Amazônia: a multifinalidade dos modelos de CTM de Belém e do Ministério das Cidades
(Universidade Federal do Pará, 2014) ARAÚJO, Fernando Alves de; SILVA, Christian Nunes da; http://lattes.cnpq.br/4284396736118279
The context of complexity, inequality and injustice of the capitalist urban space dates back to the need for a planning and management of this space considering these variables as intrinsic to this model of society, however without accepting them or defend them, having as the ultimate goal the urban development understood as promotion of life quality, social justice and autonomy for all those who produce, reproduce and live the urban space. This planner and manager practice should be perceived as an applied social research, interdisciplinary, covering an effective pipular participation, as well as use their various instruments to assess objectives satisfactorily. Among those instruments is the Cadastro Territorial Multifinalitário (CTM) - Territorial Multipurpose Cadastre, which although not a new idea, having its genesis dated millennia ago, and the current models being very close to those produced in Europe in the nineteenth century, Brazil count only with one "legislation" specifically geared to the CTM dated from the end of the first decade of this century, under an ordinance of the Ministrerio das Cidades - Ministry of Cities, which brought general recommendations about the structure and methodology of implementation of a model of cadastre. While in the local context, in Belém, Pará State Capital City, the production of records dating from the 1970s, and as the current one produced in 2000 as the Cadastro Técnico Multifinalitário.- Tecnical Multipurpose Cadastre. Thus, the present research aims to analyze, with some comparison, the model cadastre models of the Ministry of Cities, proposed in in its decree No. 511/09 - Cadastro Territorial Multifinalitário (CTM) - and the City of Belém Prefecture - called the Cadastro Técnico Multifinalitário, focusing on the issue of the multipurpose considered from the possibility of using the CTM in all spheres of urban planning and management, especially those not directly linked to tax and fiscal spheres, since these are historically the initial concerns of the cadastral record, configuring thus its purpose priority. The work was produced through the use of bibliographic search technique over authors who mainly discuss the concepts of space, territory, urban space, spatial planning, urban planning and management, with collect and analysis of secondary data, conducted through documentary research in official texts of the Ministerio das Cidades about the CTM model for it, its ordinance 511/09 which brought the guidelines of cadastre model, as well as execution reports of the Cadastro Técnico Multifinalitário de Belém and spreadsheets with information about the cadastre, provided by the managing agency of the CTM de Betém. Culminating with semi-structured interviews technique with experts from competent organs to the production and management of the CTM de Belém, as CODEM and SEFIN.
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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.
Acesso aberto (Open Access)
Cidades inteligentes: principais rankings e propostas de melhoria para São Luís, Maranhão
(Universidade Federal do Pará, 2020-12-11) COSTA, Belisa Souza; BATISTA, Clauderino da Silva; http://lattes.cnpq.br/1345689043203622
The concept of smart city has been spread, nowadays, as an adequate place for people to live, where technological resources cooperate with each other to generate well-being, social inclusion and participation of its inhabitants, in addition to the sustainability of the environment, and where there is sustainable growth, monitoring and integration of all infrastructure components; it is up to governments to optimize resources, preventive maintenance, ensuring security, while maximizing their services to citizens. There are international indexes that measure the level of development of cities, using criteria and dimensions that are very similar, although not all indexes use the same criteria and dimensions. Objetives: the present work is configured as an analysis of the main rankings that measure the conditions of the cities and classifies them as to the position between smart cities, aiming at improvement proposals for the city of São Luís, facing the reality of these cities, seeking quality of life, sustainability and respect for the environment. Methods: It uses the city of Curitiba as a national reference, considered first in 2018, in the Connected Smart Cities Ranking, while São Luís was not among the analyzed positions. Results: An intervention plan is proposed in order to make São Luís more competitive in terms of its classification as a smart and sustainable city, in the items urban mobility, environment, health, technology and innovation, and security. These items were consolidated in three strategic lines to organize the proposed interventions: Management x of public administration; Management of basic sanitation in a broad sense; Adequacy of the use of the territory and the relationships between the natural and the built environment, as well as their interferences on mobility in the municipality; in addition to the transversal theme of energy management, as a way of encouraging the generation of jobs and income, reduction of municipal public spending (public lighting, energy spent in the areas of health and education), combined with the application of sustainable practices and environmental sanitation. Conclusion: It was concluded that it is possible to transform São Luís into a smart and sustenaible city, through the proposed intervention plan, with investments and partnerships in order to achieve these goals, improving the quality of life of its inhabitants.
Acesso aberto (Open Access)
Construção de um protocolo de exercícios físicos para o atendimento a pessoas com diabetes mellitus tipo 2: revisão rápida
(Universidade Federal do Pará, 2022-08-30) RIBEIRO, Andressa Karoline Pinto de Lima; TORRES, Natáli Valim Oliver Bento; http://lattes.cnpq.br/1927198788019996; https://orcid.org/0000-0003-0978-211X
Type 2 Diabetes Mellitus (DM2) accounts for 90-95% of all diabetes cases. This form covers individuals with relative insulin deficiency and peripheral insulin resistance. Physical exercise is an efficient therapeutic strategy for the treatment of people with DM2 as it contributes to glycemic control, as well as reducing cardiovascular risk factors, increasing physical fitness, contributing to body weight control and improving people's quality of life. Objective: Formulate a physical exercise protocol aimed at health professionals for the treatment and maintenance of glycemic control of adults with type 2 Diabetes Mellitus. Methodology: The study consists in the elaboration of the protocol from a rapid review in search of studies who investigated the effects of physical exercise on the glycemic control of adults with type 2 Diabetes Mellitus (DM2) to analyze which exercise parameters (modality, frequency, volume, intensity, interval and progression) are recommended to achieve better glycemic control in the population of interest. The PICOT strategy was adopted for the elaboration of the inclusion criteria of the studies and the PRISMA protocol for the writing of the manuscript. PubMed and LILACS databases were used. The study selection process took place through 4 steps: identification, selection by title and abstract, eligibility assessment and inclusion. Two authors independently extracted data on population, intervention and outcome from each study, and the extracted information was organized into tables. The methodological quality of each study was analyzed based on the PEDro scale (PROSPERO - CRD 42021262614). Results: From a total of 1152 articles, 17 studies met the inclusion criteria and were analyzed. A total of 1,141 (745 in exercise groups and 396 in sedentary control groups) people with T2DM were included. Regarding the type of study, 15 (88.2%) were randomized clinical trials and 2 (11.8%) were non-randomized clinical trials. The age of patients ranged from 45.6 to 61.7 years. The mean intervention time was 17 weeks, ranging from 9 to 48 weeks. Six studies 35.3% reported that no adverse events occurred during the intervention, two (11.8%) reported some event and nine (52.9%) did not present any information. The theoretical basis obtained from the rapid review and other studies supported the construction of a guidance protocol for professionals about physical exercise as a treatment for DM2 and management of glycemic control. The following elements were elaborated: frameworks of concepts, flowcharts and explanatory texts constructed with objective and easy-to-understand language as didactic tools in order to assist in the outpatient routine of professionals responsible for prescribing exercises in the management of patients treated at all levels of care of the Unified Health System (SUS). Discussion: Aerobic, resistance and combined training are associated with decreases in HbA1c, fasting glucose or postprandial glucose. however, combined training should be prioritized as they appear to have greater effects on glycemic control than either method alone. Conclusion: The protocol created from this review aims to offer professionals working at the various levels of health care in the SUS, updated, objective information, presented in a didactic way about physical exercise as a form of treatment for DM2. It is recommended that physical exercise protocols include both resistance and aerobic exercise, as their effects are greater on glycemic control than either method alone.
Acesso aberto (Open Access)
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.
Acesso aberto (Open Access)
A dança jazz como estratégia de cuidado ao adolescente com Diabetes Mellitus Tipo 1: um relato de caso
(Universidade Federal do Pará, 2024-02-26) DOURADO, Julyanna Nazareth da Silva; BENTO-TORRES, Natáli Valim Oliver; http://lattes.cnpq.br/1927198788019996; https://orcid.org/0000-0003-0978-211X
Diabetes Mellitus (DM) is a metabolic disorder associated with persistent hyperglycemia due to inadequate insulin production or reduced effectiveness of its mechanism of action. Type 1 Diabetes Mellitus (DM1), previously called “insulin-dependent diabetes” or “juvenile-onset diabetes,” accounts for 5 to 10% of DM cases. The DM1 complications can affect the living conditions of adolescents over the years and influence their quality of life. Physical exercise is a therapeutic tool for the treatment of people with DM1 and can improve insulin sensitivity and glycemic control, improving quality of life, mental health, and physical fitness. Dance is a low-explored option of physical exercise in the context of DM. In the present study, we report a single case study to investigate the potential of Jazz Dance as an intervention to achieve glycemic management, promote mental health, improve the physical fitness and quality of life of a 12-year-old female teenager with DM1, improve physical fitness and quality of life in an adolescent with DM1. The intervention program encompasses 24 Jazz classes twice a week, lasting 60 minutes, at moderate intensity (65 to 75% of maximum heart rate, Polar@). Pre- and post-intervention assessments (1 day after the choreographic presentation) include usual physical activity practice (Physical Activity Questionnaire for Adolescents PAQ-A), quality of life (Diabetes Quality of Life for Youths - DQOLY), symptoms of anxiety and depression (Depression, Anxiety and Stress Scale - Short Form - DASS-21), physical fitness (muscle strength of lower and upper limbs and indirect measure of cardiorespiratory fitness), and glycemic control (glycemia and glycated hemoglobin). Discursive textual analysis was also applied to assess the adolescent and her caregiver experiences (CAAE: 66423922.2.0000.0017/Approval number: 5.913.924). The results demonstrated a reduction in Fasting Glycemia (-16.02%), HbA1c (-4.00%), pre-test (-24.21%) and post-test (-9.56%) heart rate, depressive and anxious symptoms (-7.14%), and improved quality of life (3.61%). There was an increase in muscular strength in the upper limbs (20.00%), flight time, strength, and power in the lower limbs (0.27%; 1.62%; 1.70%, respectively). Despite limited evidence on the effect of dancing on people with DM, the data presented indicate the beneficial potential of Jazz in the care of adolescents with DM1, just as the report of the experience lived by the adolescent points to the positive impact of the intervention on her self-care routine and perceived quality of life. Despite the limitations of extrapolating our results to the teenage population with DM1, it is necessary to expand the research to include a more significant number of participants, as well as expand research on dance modalities as part of the treatment of DM1, aiming to quantify and qualify more precisely the potential adaptations and modifications provided to these people through dance.
Acesso aberto (Open Access)
Distribuição e qualidade dos serviços de abastecimento de água e esgotamento sanitário na área insular do município de Belém - PA: Ilha de Caratateua
(Universidade Federal do Pará, 2012-08-31) FERREIRA, Carlos Augusto da Cruz; BORDALO, Carlos Alexandre Leão; http://lattes.cnpq.br/1253955182585852
This paper aims to discuss and analyze the conditions of service provision of water supply and sanitation on the island of Caratateua, isolated area of the city of Belém, Pará State, Brazil. It presents as an object of study to evaluation the distribution and quality of those services on that island. The study area corresponds to two neighborhoods at Caratateua island: Brasília e São João de Outeiro. The neighborhoods are adjacent, located in the western portion of the island and are part of it urban area. It boundaries were defined by the Prefeitura Municipal de Belém. Caratateua island is one of the most important islands that make up the Distrito Administrativo de Outeiro – DAOUT and became more intensely occupied after construction of the bridge Éneas Martins Pinheiro in 1986, which facilitated access, especially of the poor in the search space, particularly for housing. The island also has an intense population dynamics on weekends and school vacation, periods when the flow of people increases considerably, especially on the beaches. The time frame of the research has the year 1986 as the starting point of reference. The dynamic organization of space in the island in general, was not accompanied by public politics consistent with the process of population growth and dynamism displayed by the same, thereafter. As a result, neighborhoods Brasília and São João de Outeiro have a deficit in terms of infrastructure and equipment for collective use urban services including water supply and adequate sanitation in homes. The research was based on literature review on the topic of water in ranges global, national and regional, as well as the trajectory of health policies in Brazil and metropolitan scale. The analyzes derived from field surveys, with data collected from questionnaires to heads of families, recorded interviews and meetings in neighborhood associations, demonstrate the dissatisfaction of residents in relation to the care of sanitation services in question, especially since they need to seek alternative ways to meet their daily needs. The pursuit of these alternatives gives rise to forms of union between the locals and have let them to clarification of their rights as citizens and the power they have to claim them before the local government.
Acesso aberto (Open Access)
Os efeitos da atividade física baseada em movimentos de dança no movimento, funções executivas, episódios depressivos e qualidade de vida de pessoas com doença de Parkinson
(Universidade Federal do Pará, 2022-06-21) DUARTE, Juliana dos Santos; KREJCOVÁ, Lane Viana; http://lattes.cnpq.br/2604693973864638; BAHIA, Carlomagno Pacheco; http://lattes.cnpq.br/0910507988777644; https://orcid.org/0000-0003-3794-4710
Parkinson's disease is considered the second most frequent neurodegenerative disease in the world and is characterized by being chronic and progressive. Motor symptoms are understood, but non-motor symptoms may be present and appear at different temporal stages of the disease. Although pharmacological treatments are important to alleviate PD symptoms, they are still limited and most often trigger side effects. Therefore, therapeutic approaches that complement the pharmacological approach are increasingly being investigated to assess their possible beneficial effects on symptomatology and disease progression. Physical activity based on dance movements is emerging as a therapeutic approach to a range of PD symptoms as it is a multidimensional activity that requires rhythmic synchronization and more neuromuscular functions. To evaluate the effects of physical activity based on dance movements on movement, executive functions, depressive episodes and quality of life in individuals diagnosed with PD. 13 individuals with PD (8♀ 5♂), aged 65.9 ± 6.5 years (mean ± SD), Hoehn & Yahr stages I to III, MDS-UPDRS 67.62 ± 20.83 (mean ± SD) performed two weekly sessions (50 min/session) of physical activity based on dance movements for six months. The assessment protocols were performed pre and post-intervention, applying the POMA test to assess movement, the FAB test to assess executive function and subdomains, the MADRS test to assess depressive episodes, the PDQ-39 questionnaire to assess the perception of quality of life and, finally, the MDS-UPDRS scale to assess the severity of PD. Student's t test was used to compare pre- and post-intervention results of physical activity based on dance movements. The significance level was 95% (p < 0.05). We observed significant improvement in balance and gait by the POMA test, t (12) = 2.283, p = 0.0207. Executive function by the FAB test, t (12) = 2.840, p = 0.0074, abstract reasoning and inhibitory control by the subdomains of the FAB Conceptualization test, t (12) = 2.941, p = 0.0062, and Inhibitory Control, t (12) = 2.920, p = 0.0064, showed significant improvements between the pre- and post-intervention periods of physical activity based on dance movements. Depressive episodes assessed by the MADRS test significantly reduced, t (12) = 2.264, p = 0.0214, and the perception of quality of life by the PDQ-39 had a significant increase after physical activity based on dance movements, t (12) = 4.239, p = 0.0006. We did not observe significant changes in PD severity. Physical activity based on dance movements has shown to have attenuating potential in movement, executive functions, depressive episodes and quality of life in PD, and may be effective in future rehabilitation. The characteristic elements of physical activity based on dance movements such as rhythmic synchronization, more cognitive-motor integration and social skills may have contributed to the results obtained in this study.