Made available in DSpace on 2015-04-14T13:53:41Z (GMT). No. of bitstreams: 1 435411.pdf: 650672 bytes, checksum: 88328b8530b01c9e1765a3b0579187e1 (MD5) Previous issue date: 2008-12-22 / INTRODUCTION : The Joint Hipermobility (JH) is a musculoesqueletic alteration that initiates in the infancy and it can follow the individual during all his/her life. Nowadays, health professionals are concerned to the aging of the world population, mainly investigating the events that occur to the ones with 60 years old on. Among these events, there is the JH that is the subject of this research.OBJECTIVES : This study aim was to research the occurrence of JH in elderly subjects from Porto Alegre, Rio Grande do Sul. Besides, the profile of the elderly population in relation to age, gender and corporal mass index were identified. It was also analyzed the association among the JH prevalence and the physical activity index and the analysis of the association between the JH prevalence and the balance of elderly, in a sample of elderly people from Porto Alegre.METHODS : This research had a transversal study in a sample of population base. All the participants had filled a Free and Knowledge Will Form. Besides, they had had their height measured by a estadiometer, weighed in digital scale, having the corporal weight and the fat mass evaluated by the same instrument, through the method of electronic bioimpedancy. After that, a photographic record of the joint hipermobility evaluation of the elderly was realized in the elderly, according to the criteria of Beighton and Horan. The Index of Physical Activity Questionnaire (IPAQ) was applied to evaluate the physical activity index of the sample and two tests of balance, the Test Up Go (TUG) and the Test of Functional Reach.RESULTS : The results showed that the prevalence of the JH in the elderly studied was of 10.4%, being 13.4% were female and only 2.3% were male. It was observed in this study that there is a linear trend in the increasing of the JH prevalence proportional to the increase of the family income. The average in the balance tests were a little higher in the elderly with JH, but with no statistics relevance. The result pointed out that the elderly with JH present less corporal mass index. In relation to falling risks, according to TUG test, most of the eldery studied presented a low risk of falls. This results are different to the ones from the Test of Functional Reach, where most of the elderly presented high or intermediate risk.CONCLUSION : This research pointed out some new briefings in relation to the elderly health. The study aims to assist the professionals who work with the phenomenon of the human aging to understand and to question the results presented here. All studies must generate questions for new studies and thus successively the search for the knowledge on the complexity of the human body can become endless and instigating. / INTRODU??O : A Hipermobilidade Articular (HA) ? uma altera??o musculoesquel?tica que inicia na inf?ncia e pode acompanhar o indiv?duo durante toda a sua vida. O envelhecimento da popula??o mundial, gera uma grande preocupa??o por parte dos profissionais da sa?de em investigar eventos que ocorrem durante o envelhecimento humano, principalmente com as pessoas com mais de 60 anos. Entre esses eventos, est? a HA que ? o tema dessa pesquisa.OBJETIVOS : O presente estudo teve como objetivo estudar a ocorr?ncia de HA em idosos da cidade de Porto Alegre, Rio Grande do Sul. Al?m disso, identificar o perfil dos colaboradores em rela??o a idade, g?nero e ?ndice de massa corporal. Ainda prop?s-se analisar a associa??o entre a preval?ncia da HA e o ?ndice de atividade f?sica e a an?lise da associa??o entre a preval?ncia da HA e o equil?brio de idosos, em uma amostra de base populacional de idosos da cidade de Porto Alegre.M?TODOS : Essa pesquisa caracteriza-se por um estudo transversal em uma amostra de base populacional. Todos os participantes assinaram o Termo de Consentimento Livre e Esclarecido e a partir desse momento os idosos tiveram sua altura medida por um estadi?metro, pesados em balan?a digital, tendo o peso corporal e a massa de gordura avaliados pelo mesmo instrumento, atrav?s do m?todo de bioimped?ncia eletr?nica. Em seguida foi realizado registro fotogr?fico da avalia??o de hipermobilidade articular dos colaboradores, segundo os crit?rios de Beighton e Horan. Logo ap?s foi aplicado o question?rio IPAQ para avaliar o ?ndice de atividade f?sica e dois testes de equil?brio, sendo eles o TUG e o Teste de Alcance Funcional.RESULTADOS : Como resultado encontrou-se que a preval?ncia de HA entre os idosos pesquisados foi de 10,4%, sendo 13,4% dos idosos eram do sexo feminino e apenas 2,3% eram homens. Observamos neste estudo que existe uma tend?ncia linear no aumento da preval?ncia de HA proporcional ao aumento da renda familiar, Observou-se que as m?dias dos testes de equil?brio foram um pouco maiores no grupo de idosos com HA, mas sem relev?ncia estat?stica e contatou-se que os idosos com HA tem um IMC menor do que aqueles que n?o apresentam a HA. Para os riscos de queda, segundo o teste TUG, a maior parte dos idosos apresentaram um baixo risco de quedas, o que difere dos resultados de risco de quedas para o Teste de Alcance funcional, onde a maior parte dos idosos apresentou risco alto ou intermedi?rio.CONCLUS?O : Contempla-se com esta pesquisa novas elucida??es em rela??o a sa?de dos idosos, podendo auxiliar os profissionais que trabalham com o fen?meno do envelhecimento humano a compreender e questionar os resultados aqui apresentados. Toda pesquisa deve gerar questionamentos para novos estudos e assim sucessivamente, tornando a busca pelo conhecimento sobre a complexidade do corpo humano intermin?vel e instigadora.

Made available in DSpace on 2015-04-14T13:54:07Z (GMT). No. of bitstreams: 1 453185.pdf: 9880078 bytes, checksum: 76721bb081daeddb4dcd094fa41d9ca2 (MD5) Previous issue date: 2013-12-16 / Introduction: Loss of balance limits the life of the elderly as it is related to falls. The balance is maintained by the action of four Balance-Maintenance-Systems (BMS): vestibular, visual, somatosensory, and visual preference whose information is organized by the central nervous system (CNS). The CNS receives and organizes sensory information and plans the actions of effector organs responsible for maintaining body balance. The oldest-old (80 years or older) is the age group with the highest prevalence of falls and least studied. Objective: To study the involvement of mechanisms to maintain body balance, the risk of falls and fear of falling in elderly and oldest old. Methods: The participation of BMS was conducted in two groups: 32 elderly (60-69 years) and 30 oldest-old (80 years or more) performing cognitive screening (Mini Mental State Examination - MMSE), assessment of risk of falls (Timed Up and Go - TUG), fear of falling (Falls Efficacy Scale - FES) and Sensory Organization Test (SOT) by foam-laser dynamic posturography. This research project was approved by the Scientific Committee of the Institute of Geriatrics and Gerontology - PUCRS and by the Ethics Committee in Research of PUCRS. Results: The oldest-old performed worse in all SOT, significantly in those with somatosensory conflict. Significant differences were observed between elderly and oldest-old in the systems: visual (91.1?6.1 and 54.8?43.7), vestibular (76.5?9.8 and 38.3?33.3) and visual preference (78.9?17.8 and 64.2?23.3), with similar performance in somatosensory (86.8?7.9 and 83.8?17.3). TUG and FES differ significantly between the groups and associated with scores of SME. The association between TUG and the visual system was affected by the MMSE and FES. Physical activity and education were associated with scores of SME. Conclusions: We conclude that SME most affected were the vestibular and visual. Differences between elderly and oldest-old were higher than expected for the visual and vestibular systems, but smaller in the somatosensory system. Dynamic posturography may be efficient to guide rehabilitation programs encouraging the use of more appropriate strategies for each elderly or oldest-old. / Introdu??o: A perda de equil?brio limita a vida dos idosos por ser relacionado ?s quedas. O equil?brio ? mantido pela a??o de quatro Sistemas de Manuten??o do Equil?brio (SME): vestibular, visual, prefer?ncia visual e somatossensorial, cujas informa??es s?o organizadas pelo sistema nervoso central. Este recebe e organiza as informa??es sensoriais e planeja as a??es dos ?rg?os efetores respons?veis pela manuten??o do equil?brio corporal. Os longevos (80 anos ou mais de idade) s?o o grupo et?rio com maior preval?ncia de quedas e pouco estudado. Objetivo: Estudar a participa??o dos mecanismos de manuten??o do equil?brio corporal, o risco de quedas e o medo de cair em idosos e longevos. Metodologia: Foi realizada a participa??o dos SME em dois grupos: 32 idosos (60 a 69 anos) e 30 longevos (80 anos ou mais), por meio de rastreio cognitivo (Mini Exame do Estado Mental MEEM), avalia??o do risco de quedas (Timed Up and Go TUG), do medo de cair (Falls Efficacy Scale-International-Brasil FES-I-Brasil) e Teste de Organiza??o Sensorial (TOS) pela Posturografia Din?mica Foam-Laser. O projeto desta pesquisa foi aprovado pela Comiss?o Cient?fica do Instituto de Geriatria e Gerontologia da PUCRS e pelo Comit? de ?tica em Pesquisa da PUCRS. Resultados: Os longevos desempenharam pior em todas as condi??es do TOS, significativamente aquelas com conflito somatossensorial. Observaram-se diferen?as significativas entre idosos e longevos nos sistemas visual (91,1?6,1 e 54,8?43,7), vestibular (76,5?9,8 e 38,3?33,3) e prefer?ncia visual (78,9?17,8 e 64,2?23,3), tendo desempenho similar no somatossensorial (86,8?7,9 e 83,8?17,3). TUG e FES diferiram significativamente entre os grupos e foram associados com escores dos SME. A associa??o entre TUG e o sistema visual foi afetada pelo MEEM e FES. Atividade f?sica e escolaridade foram associados com escores dos SME. Conclus?es: Os SME mais afetados foram o vestibular e visual. Diferen?as entre idosos e longevos foram maiores que o esperado para os sistemas visual e vestibular, mas menores no sistema somatossensorial. A Posturografia Din?mica pode ser eficiente para orientar programas de reabilita??o estimulando a utiliza??o de estrat?gias mais apropriadas para cada idoso ou longevo.

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-08-18T13:35:42Z No. of bitstreams: 1 DIS_DANIEL_VILASBOAS_SLOMP_COMPLETO.pdf: 736191 bytes, checksum: d0d07d849cfee2553ff0702d7d9ea72a (MD5) / Made available in DSpace on 2017-08-18T13:35:42Z (GMT). No. of bitstreams: 1 DIS_DANIEL_VILASBOAS_SLOMP_COMPLETO.pdf: 736191 bytes, checksum: d0d07d849cfee2553ff0702d7d9ea72a (MD5) Previous issue date: 2016-10-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Over the last decades, it has become clear that behavioral lateralization is not restricted to humans. The most evident manifestation of laterality in humans is the prevalence of handedness, the dominant use of the right hand, which is related to the development of the left cerebral hemisphere. Nonhuman primates express varying degrees of laterality, but exhibit a population-level handedness less intense than humans. There is a strong debate about the origin and evolution of primate handedness. This debate focuses on two main hypothesis. The Postural Origins Theory (POT) states that arboreal primates exhibit a left hand preference, whereas terrestrial primates exhibit a right hand preference. The Task Complexity Theory (TCT) states that the complexity of the task modulates hand preference in primates. While low-level tasks do not require hand specialization, high-level tasks elicit hand preference. We studied the handedness of members of a wild population of northern muriquis during a simple unimanual and bimanual low-level task ? the simple reach of food items ? in their three-dimensional arboreal habitat. The aim of the study was to evaluate whether northern muriquis exhibit a left hand preference, as predicted by the POT for arboreal primates, or a lack of hand preference, as predicted by the TCT for low-level tasks. The muriquis showed a population-level left hand bias when performing the low complexity task. There were no sex differences in handedness. The muriquis exhibited stronger handedness when engaged in bimanual than in unimanual feeding activity. We suggest that the release of the hands from the postural demands when individuals are hanging from their tails and feet favors the expression of laterality in muriquis. Therefore, postural stability in the arboreal environment seems to modulate the degree of handedness in northern muriquis. We compare these results with the pattern observed in other nonhuman primates and discuss them in light of the factors associated with handedness in humans. We suggest that studies in both arboreal and terrestrial environments are necessary to assess the implications of these environmental differences for the origin of handedness in the first hominids. / Ao longo das ?ltimas d?cadas, tornou-se claro que a lateralidade comportamental n?o estava restrita aos seres humanos. Em humanos, a manifesta??o mais evidente de lateralidade ? a prefer?ncia manual desviada para a direita, a qual est? relacionada ao desenvolvimento do hemisf?rio cerebral esquerdo. Os primatas n?o-humanos expressam variados graus de lateralidade, mas apresentam uma prefer?ncia manual populacional em menor intensidade do que a humana. A discuss?o sobre a origem e a evolu??o da lateralidade em primatas ? extensa, mas convergiu em torno de duas teorias principais. A Teoria da Origem Postural (TOP) postula que os primatas arbor?colas exibem uma prefer?ncia pelo uso da m?o esquerda, enquanto que os primatas de h?bito terrestre apresentam uma prefer?ncia pela m?o direita. A Teoria da Complexidade da Tarefa (TCT) postula que os primatas n?o apresentariam prefer?ncia manual ao realizarem tarefas de baixa complexidade. Por?m, a prefer?ncia manual se manifestaria durante a execu??o de tarefas de alta complexidade. Estudamos a lateralidade dos indiv?duos de uma popula??o selvagem de muriqui-do-norte executando tarefa unimanual ou bimanual de baixa complexidade ? alcance simples do alimento - em seu habitat arb?reo tridimensional. O objetivo do estudo foi avaliar se os muriquis apresentam prefer?ncia manual desviada para a esquerda, conforme previsto pela TOP para primatas arbor?colas ou a aus?ncia de prefer?ncia manual, conforme previsto pela TCT em tarefas de baixa complexidade. Os muriquis-do-norte apresentaram uma prefer?ncia manual populacional desviada para a esquerda na atividade de alcance simples do alimento. N?o houve diferen?as sexuais na lateralidade. Os muriquis exibiram lateralidade mais forte quando engajados em atividade alimentar bimanual do que em atividade unimanual. Sugerimos que a libera??o das m?os das demandas posturais em eventos de alimenta??o nos quais o indiv?duo fica suspenso pela cauda e p?s pode favorecer a express?o da lateralidade nos muriquis. Portanto, a estabilidade postural no ambiente arb?reo parece modelar a lateralidade nos muriquis-do-norte. Estes resultados s?o discutidos em compara??o com outros primatas n?o-humanos e em rela??o aos fatores associados ? lateralidade em seres humanos. Sugerimos a necessidade de estudos adicionais nos ambientes arb?reo e terrestre para avaliar as implica??es dessas diferen?as ambientais para a origem da lateralidade nos primeiros homin?deos.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-10-02T11:32:32Z No. of bitstreams: 1 OLIVEIRA_CHARLENE_BRITO_TESE.pdf: 3750193 bytes, checksum: a5e5b863e98d3354e5af371cd1b063c2 (MD5) / Rejected by Caroline Xavier (caroline.xavier@pucrs.br), reason: Devolvido devido ? falta de capa institucional no arquivo PDF. on 2017-10-02T12:15:52Z (GMT) / Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-10-24T16:21:20Z No. of bitstreams: 1 OLIVEIRA_CHARLENE_BRITO_TESE.pdf: 5702628 bytes, checksum: 500180262884e19627b8da8d821de3da (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-10-26T16:20:49Z (GMT) No. of bitstreams: 1 OLIVEIRA_CHARLENE_BRITO_TESE.pdf: 5702628 bytes, checksum: 500180262884e19627b8da8d821de3da (MD5) / Made available in DSpace on 2017-10-26T16:26:50Z (GMT). No. of bitstreams: 1 OLIVEIRA_CHARLENE_BRITO_TESE.pdf: 5702628 bytes, checksum: 500180262884e19627b8da8d821de3da (MD5) Previous issue date: 2017-03-03 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Importance: The efficacy of combined body suspension with tilting exercises (Chordata Method) in Parkinson?s disease (PD) is unclear. Objective: Design a clinical study to assess the efficacy of body suspension with tilting exercises on functional and quality of life outcomes in PD. Design, Setting, and Participants: This is an assessor-blinded, randomized and controlled clinical trial. A total of 48 subjects with moderate PD were recruited from the Neurological Service of S?o Lucas Hospital, PUCRS, Brazil. Recruitment took place between September 2015 and May 2016. The entire protocol study lasted 16 weeks, with 8 weeks of exercise protocol and 8 weeks of follow-up. Interventions: Subjects were randomly assigned to either body suspension with tilting exercises (intervention group) or stretching exercises (control group). Main Outcomes and Measures: The primary outcome was the Timed Up and Go test at the 8th week. Secondary outcomes were Berg Balance Scale (BBS); Functional Reach Test (FRT); Unified Parkinson?s Disease Rating Scale (UPDRS) and Parkinson?s Disease Questionnaire (PDQ-39). These measures were assessed at baseline (before trial entry) and then at the 8th (end of exercise protocols) and 16th weeks (8 weeks of follow-up) after randomization. Results: Of the 48 subjects randomized in the study 20 received the intervention (71.3?6.3 years old) and 20 were controls (66.7?6.4 years old). Eight of them were lost during the trial (four per group). Analysis of co-variance, with adjustment for baseline measurement, revealed a between-group difference in the Timed Up and Go test at 8th week [CI95% difference of -4.90 (-5.80 a -4.00), p<0.0001] and in the follow-up [CI95% difference of -4.94 sec (-5.82 to -4.06), p<0.0001], which was our primary outcome. Significant between-groups differences were also found for all secondary outcomes (BBS, UPDRS-III, FRT, and PDQ-39) at 8th week and follow-up (16th week) assessments. Conclusions and relevance: We suggest the body suspension with tilting exercises protocol (the Chordata Method) improves functionality and quality of life in subjects with moderate PD. This evidence supports the Chordata method appears to be a new effective therapeutic option to treat Parkinson-related mobility and balance dysfunctions. / Import?ncia: A efic?cia da utiliza??o de exerc?cios de suspens?o e pendula??o corporal (m?todo Chordata) para o tratamento de sujeitos com a Doen?a de Parkinson ainda n?o foi testada. Objetivo: Realizar um estudo cl?nico para avaliar a efic?cia de um programa de exerc?cios de suspens?o e pendula??o corporal sobre a funcionalidade e qualidade de vida de sujeitos portadores da doen?a de Parkinson. Delineamento, M?todo e Participantes: Trata-se de um ensaio cl?nico, controlado e randomizado, com avaliador de desfecho alheio aos grupos experimentais. Um total de 48 sujeitos com diagn?stico m?dico de doen?a de Parkinson, de est?gio leve ? moderado, foram recrutados a partir do Servi?o de Neurologia do Hospital S?o Lucas da PUCRS, Brasil. O recrutamento ocorreu entre Setembro de 2015 e Maio de 2016. O protocol do estudo teve a dura??o de 16 semanas, sendo 8 semanas de pr?tica dos exerc?cios propostos, com iguais 8 semanas de seguimento (follow-up). Interven??o: Os sujeitos foram randomizados nos grupos interven??o (suspens?o e pendula??o corporal) e controle (alongamentos de grandes grupos musculares). Desfechos principais e medidas: O desfecho prim?rio do presente estudo foi o teste do Timed Up and Go ao final do protocolo de treinamento (8 semanas). Os desfechos secund?rios foram a Escala de Equil?brio de Berg (EEB); o teste do Alcance Funcional (TAF); a Escala Unificada da Doen?a de Parkinson, sess?o III (UPDRS-III) e o Question?rio de Qualidade de Vida na Doen?a de Parkinson (PDQ-39). Estes desfechos foram avalaidos nos momentos pr?-interven??o, ap?s, ao t?rmino do protocol de exerc?cios (8 semanas) e no per?odo de seguimento (16 semanas ap?s a randomiza??o). Resultados: De um total de 48 sujeitos randomizados, 20 participaram do grupo interven??o (71,3?6,3 anos de idade) e 20 do grupo controle (66,7?6,4 anos de idade). Oito sujeitos foram perdidos durante a execu??o do estudo (quarto em cada um dos grupos). A An?lise de co-vari?ncia, com ajuste para os dados basais, revelou uma diferen?a entre-grupos no teste do Timed Up and Go ao t?rmino do protocolo de exerc?cios (8 semanas) [diferen?a IC95%: -4,90 (-5,80 a -4,00), p<0,0001] e na avalia??o de seguimento [diferen?a IC95%: -4.94 sec (-5,82 to -4,06), p<0.0001], teste este estabelecido como o desfecho prim?rio. Diferen?as significativas tamb?m foram encontradas para todos os desfechos secund?rios (EEB, UPDRS-III, TAF e PDQ-39) em ambas as avalia??es p?s-interven??o (8 e 16 semanas ap?s a randimiza??o). Conclus?es e relev?ncia: Nossos resultados sugerem que os exerc?cios de suspens?o e pendula??o corporal s?o capazes de melhorar a funcionalidade e a qualidade de vida de sujeitos com a doen?a de Parkinson, em est?gio moderado. Esta evid?ncia suporta que o m?todo Chordata parece ser uma nova e efetiva interven??o terap?utica para o tratamento das desordens de mobilidade e equil?brio associadas ? doen?a de Parkinson.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-06-28T17:38:04Z No. of bitstreams: 1 Guimaraes_Gabriela_Oliveira_dis.pdf: 2183410 bytes, checksum: 818a7e1d7a3c5f7d2c1ea5a73d0e55ff (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-07-05T12:29:43Z (GMT) No. of bitstreams: 1 Guimaraes_Gabriela_Oliveira_dis.pdf: 2183410 bytes, checksum: 818a7e1d7a3c5f7d2c1ea5a73d0e55ff (MD5) / Made available in DSpace on 2018-07-05T12:57:10Z (GMT). No. of bitstreams: 1 Guimaraes_Gabriela_Oliveira_dis.pdf: 2183410 bytes, checksum: 818a7e1d7a3c5f7d2c1ea5a73d0e55ff (MD5) Previous issue date: 2018-01-24 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Performance of oldest-old fallers and do non fallers in the evaluation of Timed Up and Go (TUG) using a smartphone application The falling is a serious event in the elderly population. Oldest-old (80 years or more) are more susceptible to their occurrence. Mobile technologies are shown as a facilitative and preventive alternative in actions in the field of public health. It is a cross-sectional observational and analytical study, with the objective to observe the performance of oldest-old fallers and non-fallers during the Timed Up and Go (TUG) test using a smartphone application. Participants were oldest-old (?90 years old), from Porto Alegre (RS), accompanied by the Care for the Oldest-Old Multiprofessional Project. We included in the study oldest-old that walked independently (without caregiver, family member or health professional) and safely, with or without the aid of gait devices (walking stick, crutch and walker) were included in the study; as well as those who understood verbal commands. Oldest-old patients who reported significant lower limb or spine pain on the day of the test were excluded from the study. In the analysis we use the sociodemographic variables (sex, age, schooling and monthly income), clinical variables (Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), presence of multimorbities( ) and polypharmacy 5? medications) and variables related to falls (history of falling in the last six months and fear of falling). As well as, parameters tracked by the application, which are temporal (Total TUG Duration, Transition Length from Seating to Standing (s) and Duration of Transition from Standing to Seating) and Angular (Maximum Trunk Angle Variation (g) and Maximum angular velocity during the forward lean phase (g / s) of the application). Significance levels of less than 5% were considered to be statistically significant and those between 5 and 10% were indicative of significance. The data were analyzed in the Epi InfoTM 7.2 program. From the 98 volunteers that participated at the study, 26.5% reported fall in the last six months. Women (25.76%) reported more frequent falls than men (p=0.492). Oldest-old fallers had mean age (92?3.14 years) higher than non-fallers (p=0.636), as well as more depressive symptoms (p<0.001). In the complete TUG, 97% of the non-fallers presented a medium or high risk of falling, compared to 92% of the fallers, showing an inadequacy of this classification for oldest-old. Fallers presented worse performance in each of the phases of the TUG, demonstrating to be more able to find differences between the groups than the complete test. Cut-off points for risk of falls were >1.68 seconds, in the sitting to standing phase, <1.91 seconds, in the standing to sitting phase, >42.2 degrees in the angle variation, and >84 degrees/second at the speed angle. The UAH Mobility Suite? smartphone application was able to evaluate the performance of oldest-old fallers and do non fallers through TUG time and its parameters, although any parameters were significant when compared to groups. Depression proved to be the only statistically significant variable, indicating that oldest-old depressive symptoms are more likely to fall. This was the first report of the use of UAHMobilitySuite? in oldest-old ones. The application has proved to be useful for being used in the home environment, and can be used in future researches. / Desempenho de longevos caidores e n?o caidores na avalia??o do Timed Up and Go (TUG) utilizando um aplicativo de smartphone A queda ? um evento grave na popula??o idosa. Longevos (80 anos ou mais) est?o mais suscept?veis ? sua ocorr?ncia. Tecnologias m?veis mostram-se como uma alternativa facilitadora e preventiva em a??es no ?mbito da sa?de p?blica. Este estudo consiste em uma investiga??o transversal observacional e anal?tica, tendo por objetivo observar o desempenho de longevos caidores e n?o caidores atrav?s do teste Timed Up and Go (TUG) utilizando um aplicativo de smartphone. Participaram longevos (?90 anos), de Porto Alegre (RS), acompanhados domiciliarmente pelo projeto de Aten??o Multiprofissional ao Longevo. Foram inclu?dos no estudo longevos que deambulavam de forma independente (sem aux?lio de cuidador, familiar ou profissional da sa?de) e segura, com ou sem o aux?lio de dispositivos de marcha (bengala, muleta e andador); assim como aqueles que compreendiam comandos verbais. Utilizou-se para an?lise as vari?veis sociodemogr?ficas (sexo, idade, escolaridade e renda mensal), vari?veis cl?nicas (Mini Exame do Estado Mental (MEEM), Escala de Depress?o Geri?trica (Geriatric Depression Scale - GDS), presen?a de multimorbidades (2? doen?as) e polifarm?cia 5? medicamentos) e vari?veis relacionadas as quedas (hist?rico de queda nos ?ltimos seis meses e medo de cair). Assim como, par?metros rastreados pelo aplicativo, sendo eles temporais (Dura??o total do TUG (s); Dura??o da transi??o de sentado para em p? (s) e Dura??o da transi??o de em p? para sentado) e angulares (Varia??o m?xima do ?ngulo do tronco na fase de inclina??o para frente (g) e Velocidade angular m?xima durante a fase de inclina??o para frente (g/s) do aplicativo). Os graus de signific?ncia menores que 5% foram considerados estatisticamente significativos e os entre 5 e 10% como indicativos de signific?ncia. Os dados foram analisados no programa Epi InfoTM 7.2. Dos 98 avaliados, 26,5% referiram quedas nos ?ltimos seis meses. As mulheres (25,76%) referiam quedas mais frequentemente que os homens (p=0,492). Longevos caidores apresentaram m?dia de idade (92?3,14 anos) superior aos n?o caidores (p=0,636), assim como mais sintomas depressivos (p<0,001). No TUG completo, 97% dos longevos n?o caidores apresentaram a classifica??o de risco m?dio ou alto de queda, contra 92% dos caidores, demonstrando a inadequa??o dessa classifica??o para longevos. Caidores apresentaram pior desempenho em cada uma das fases do TUG, atrav?s do aplicativo, demonstrando ser mais capaz de observar diferen?as entre os grupos do que o teste completo. Pontos de corte para o risco de queda foram >1,68 segundos, na fase de sentado para em p?, <1,91 segundos, na fase de p? para sentado, >42,2 graus na varia??o do ?ngulo e >84 graus?segundos na velocidade do ?ngulo. O aplicativo de smartphone UAH Mobility Suite? foi capaz de avaliar o desempenho de longevos caidores e n?o caidores atrav?s do tempo do TUG e seus par?metros, embora nenhum par?metro tenha sido significativo quando comparado os grupos. A depress?o mostrou-se a ?nica vari?vel estatisticamente significativa, indicando que, longevos com sintomas depressivos apresentam mais chances de cair. Este foi o primeiro relato da utiliza??o do UAHMobilitySuite? em longevos. O aplicativo mostrou-se ?til para utiliza??o no ambiente domiciliar, podendo ser utilizado em investiga??es futuras.

Submitted by PPG Economia do desenvolvimento (economia-pg@pucrs.br) on 2018-07-20T13:24:48Z No. of bitstreams: 1 RODRIGO_DA_ROCHA_GON?ALVES.pdf: 3384493 bytes, checksum: a40f52500fe33f85388ab08802e0b5f9 (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-07-26T13:36:37Z (GMT) No. of bitstreams: 1 RODRIGO_DA_ROCHA_GON?ALVES.pdf: 3384493 bytes, checksum: a40f52500fe33f85388ab08802e0b5f9 (MD5) / Made available in DSpace on 2018-07-26T13:46:58Z (GMT). No. of bitstreams: 1 RODRIGO_DA_ROCHA_GON?ALVES.pdf: 3384493 bytes, checksum: a40f52500fe33f85388ab08802e0b5f9 (MD5) Previous issue date: 2018-04-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The state of Rio Grande do Sul has a matrix of transport highly concentrated in the modal road and lacking in infrastructure. Therefore, the aim of this thesis was to simulate improvements in the state transport matrix from the reduction in transportation costs, based on the knowledge of the infrastructure scenario of the transportation sector and its regional distribution. Two quantitative exercises were performed using general equilibrium models. In the first, an Input Output Matrix was estimated for the state and regionalized by mesoregion, seeking to verify the economic profile of each region and the use of transport modes. In the second exercise, a dynamic computable general equilibrium model for the state, called MEGARS, was used as a dynamic CGE model to evaluate fiscal and transport policies. The model was shown with great capacity in the generation of results and also in the preservation of local characteristics of the regional economy. The results of the CGE model regarding policy achievements are in line with the empirical literature on the evaluation of improvements in transportation and also demonstrated that the performance of the main macroeconomic variables of the economy of Rio Grande do Sul has improved significantly due to the net effect of the policy of improvements in transportation. transport. The reduction in transport margins has led to a rise in variables such as real GDP growth, exports, real household consumption, aggregate employment, imports, real wages and other costs of the economy in the period 2012-2025. / O estado do Rio Grande do Sul possui uma matriz de transportes altamente concentrada no modal rodovi?rio e carente de infraestrutura. Por isso, o objetivo desta tese foi simular melhorias na matriz de transporte estadual, a partir da redu??o nos custos de transportes, tendo como base o conhecimento do cen?rio da infraestrutura do setor transporte e sua distribui??o regional. Foram realizados dois exerc?cios quantitativos, utilizando modelos de equil?brio geral. No primeiro, foi estimada uma Matriz Insumo Produto para o estado e regionalizada por mesorregi?o, buscando verificar o perfil econ?mico de cada regi?o e a utiliza??o dos modais de transporte. No segundo exerc?cio, foi adaptado um modelo de equil?brio geral comput?vel din?mico para o estado, denominado MEGARS, um modelo de EGC din?mico voltado para avalia??o de pol?ticas fiscais e de transporte. O modelo mostrou-se com grande capacidade na gera??o de resultados e tamb?m na preserva??o de caracter?sticas locais da economia regional. Os resultados do modelo de EGC, no tocante a feitos da pol?tica, est?o de acordo com a literatura emp?rica de avalia??o de melhorias em transporte e demonstraram ainda que a performance das principais vari?veis macroecon?micas da economia ga?cha melhoraram significativamente em virtude do efeito l?quido da pol?tica de melhorias de transporte. A redu??o das margens de transporte proporcionou uma eleva??o de vari?veis como crescimento do PIB real, exporta??es, consumo real das fam?lias, emprego agregado, importa??es, sal?rio real e outros custos da economia no per?odo compreendido entre 2012-2025.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-01-14T16:18:00Z No. of bitstreams: 1 DIS_ST?FANI_RIBEIRO_RODRIGUES_COMPLETO.pdf: 1850672 bytes, checksum: fb7fe168f40514a0d72f0f240c308fd2 (MD5) / Made available in DSpace on 2016-01-14T16:18:00Z (GMT). No. of bitstreams: 1 DIS_ST?FANI_RIBEIRO_RODRIGUES_COMPLETO.pdf: 1850672 bytes, checksum: fb7fe168f40514a0d72f0f240c308fd2 (MD5) Previous issue date: 2015-07-24 / The body balance is the capacity of standing or generate acceleration movements and body rotations without oscillations or falls. For this to happen, it is necessary the integrity of different structures and systems, especially visual, proprioceptive and vestibular systems. The aim of this study was to evaluate the sensorial systems involved in body balance maintenance in young, adults and old people using the Foam-Laser Dynamic Posturography. We evaluated 69 subjects, in which 34% of the sample represented by women, 34% by young, 34% by adults and 32% by old people. The elderly group performed significantly better in visual system than other groups. The young group showed visual preference significantly higher than other groups. We concluded that there are differences in the performance of the sensorial systems involved in body balance maintenance among the evaluated age groups, although those differences had a straighter relation with diseases and lifestyle than with the aging process itself. / O equili?brio corporal e?a capacidade do ser humano de manter-se ereto ou executar movimentos de acelerac?a?o e rotac?a?o do corpo sem oscilac?o?es ou quedas. Para que isso ocorra, v?rias estruturas e sistemas necessitam estar ?ntegros, entre eles o sistema vestibular, o proprioceptivo e a vis?o. O objetivo dessa pesquisa que foi avaliar as diferen?as no desempenho dos sistemas sensoriais envolvidos na manuten??o do equil?brio corporal de jovens, adultos e idosos. Utilizando a Posturografia Din?mica foam-laser, 69 sujeitos foram avaliados, sendo que as mulheres representavam 66,1% da amostra, os indiv?duos jovens representavam 34%, os adultos 34% e os idosos 32% da amostra estudada. Os sujeitos idosos apresentavam desempenho significativamente melhor do sistema visual que as pessoas jovens e adultas. O grupo dos jovens apresentava prefer?ncia visual significativamente maior que os demais grupos. Concluiu-se que existem diferen?as no desempenho dos sistemas sensoriais envolvidos na manuten??o do equil?brio corporal entre as faixas et?rias avaliadas, por?m estas diferen?as apresentam-se associadas muito mais as doen?as e h?bitos de vida que ao envelhecimento.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-04-18T11:31:39Z No. of bitstreams: 1 TES_DANIELA_VIROTE_KASSICK_MULLER_COMPLETO.pdf: 2995565 bytes, checksum: 5c9ca087f0739a0b8a2c517a21a0b2ec (MD5) / Made available in DSpace on 2016-04-18T11:31:39Z (GMT). No. of bitstreams: 1 TES_DANIELA_VIROTE_KASSICK_MULLER_COMPLETO.pdf: 2995565 bytes, checksum: 5c9ca087f0739a0b8a2c517a21a0b2ec (MD5) Previous issue date: 2016-01-15 / Aging is a natural process and result of the passage of time, common to all living beings. Can be considered biologically as involution morphofunctional that affect all major physiological systems; however, in varying degrees, as it does not prevent the person ages remain active, independent and happy. Population aging is a global phenomenon and brings with it a greater concern of gerontologists for this process to occur with minimal dysfunctions and pathologies, thus preserving the old, so that it has a better chance of going through this period of life with greater functionality and autonomy as possible. Therefore, in this thesis, we present three original articles that deal with the aging process and its consequences, both functional and morphological point of view, from an evaluation of a total of 105 residents community-dwelling elderly of the west side of Rio Grande do Sul. In the first article, entitled isokinetic muscle strength of knee flexors and extensors between sarcopenic elderly and non sarcopenic, data of muscle function obtained by exclusively isokinetic dynamometer among elderly men introduced himself, classifying them according the muscular mass index (MMI) between sarcopenic and not sarcopenic. This manuscript intended to verify the actual reduction of the decrease in muscle mass associated with muscular performance and the results demonstrated decreased that older adults with decreased MMI showed reduced muscle function when compared to older people without this disorder. In the second, Comparison of muscle mass, isokinetic muscle strength test and sits and raises 30' in the elderly, the findings related to muscle function of the lower limbs in the elderly are demonstrated by comparing female and male, with and without a diagnosis of sarcopenia. This article also sought to analyze whether there was relationship between muscle function assessed by isokinetic dynamometer to test and sit up for 30 seconds between older men and women. The results made it possible to verify that, although the elderly men have a worse body mass index they have managed to preserve a better muscle function that older women compared through the isokinetic dynamometer. The third article, entitled Analysis of body balance in elderly classified into different age groups using computerized dynamic posturography (CDP), presented the data obtained from the evaluation of the body balance in the balance of cash by sensory organization test and motor control. In order to classify the elderly, this study grouped them into three age groups hoping to see if advancing age had significant association with reduced body control. Through statistical analysis it was seen that those still younger preserve a better body stability. / O envelhecimento ? um processo natural e consequ?ncia da passagem dos anos, comum a todos os seres vivos. Pode ser considerado biologicamente como a involu??o morfofuncional que afeta todos os sistemas fisiol?gicos principais; por?m, de forma vari?vel, j? que n?o impede que a pessoa que envelhece se mantenha ativa, independente e feliz. O envelhecimento populacional ? um fen?meno mundial e traz consigo uma maior preocupa??o de geront?logos para que esse processo ocorra com o m?nimo de disfun??es e patologias, preservando, assim, o idoso, a fim de que o mesmo tenha maiores chances de atravessar este per?odo da vida com a maior funcionalidade e autonomia poss?vel. Diante disso, na presente tese, s?o apresentados tr?s artigos originais que versam sobre o processo de envelhecimento e suas consequ?ncias, tanto do ponto de vista morfol?gico, quanto funcional a partir de uma avalia??o de um total de 105 idosos comunit?rios residentes da fronteira oeste do Rio Grande do Sul. No primeiro artigo, intitulado For?a muscular isocin?tica de flexores e extensores de joelho entre idosos sarcop?nicos e n?o sarcop?nicos, apresentou-se os dados da fun??o muscular obtidos atrav?s da dinamometria isocin?tica exclusivamente entre os idosos do sexo masculino, classificando-os segundo o ?ndice de massa muscular (IMM) entre sarcop?nicos e n?o sarcop?nicos. Este manuscrito pretendia verificar a real redu??o da performance muscular associada a diminui??o da massa muscular e os resultados demontraram que idosos com diminui??o do IMM apresentaram fun??o muscular reduzida quando comparados aos idosos sem esta desordem. No segundo, Compara??o da massa muscular, for?a muscular isocin?tica e teste senta e levanta 30? em idosos, s?o demonstrados os achados referentes ? fun??o muscular dos membros inferiores entre idosos, comparando sexo feminino e masculino, com e sem diagn?stico de sarcopenia. Este artigo tamb?m pretendeu analisar se haveria rela??o entre a fun??o muscular avaliada pela dinamometria isocin?tica com o teste de senta e levanta por 30 segundos entre homens e mulheres idosos. Os resultados encontrados possibilitaram verificar que, apesar de os idosos do sexo masculino apresentarem pior ?ndice de massa muscular estes conseguiram preservar uma melhor fun??o do m?sculo que as mulheres idosas quando comparados atrav?s da dinamometria isocin?tica. O terceiro artigo, com o t?tulo de An?lise do equil?brio corporal em idosos classificados em diferentes faixas et?rias atrav?s da posturografia din?mica computadorizada (PDC), apresentou os dados obtidos atrav?s da avalia??o do equil?brio corporal na caixa de equil?brio pelos testes de organiza??o sensorial e controle motor. A fim de classificar os idosos, este estudo os agrupou em tr?s faixas et?rias na expectativa de visualizar se o avan?o da idade apresentava rela??o significativa com a redu??o do controle corporal. Atrav?s da an?lise estat?stica foi visto que os idosos considerados mais jovens preservam uma melhor estabilidade corporal.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-14T14:30:28Z No. of bitstreams: 1 RobertoLuizdaSilvaJuniorDissertacao2016.pdf: 2519054 bytes, checksum: 59748bcddf538a0379a12f7b37364833 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-14T14:30:36Z (GMT) No. of bitstreams: 1 RobertoLuizdaSilvaJuniorDissertacao2016.pdf: 2519054 bytes, checksum: 59748bcddf538a0379a12f7b37364833 (MD5) / Made available in DSpace on 2017-08-14T14:30:36Z (GMT). No. of bitstreams: 1 RobertoLuizdaSilvaJuniorDissertacao2016.pdf: 2519054 bytes, checksum: 59748bcddf538a0379a12f7b37364833 (MD5) Previous issue date: 2016-11-29 / The purpose of this paper is to demonstrate the need for harmonization of environmental legislation in the MERCOSUR countries (Brazil, Argentina, Paraguay and Uruguay) regarding civil liability for damage to the environment, especially when the agent is a legal entity. In this sense, It initially approaches the integration process in blocks, with emphasis on the procedures developed in the American continent, mainly in South America. Secondly, an analysis and understanding on environmental protection in these countries will be presented, with emphasis In Brazil, where legislation related to the topic is considered to be more evolved in relation to the other participants of said economic bloc. It is followed by the attempts that have already been made in the context of MERCOSUR in order to elaborate legislation common to its members regarding environmental protection and dispute settlement mechanisms within the bloc. That the lack of harmonization of these norms impedes the effective regional integration, resulting in an economic imbalance. / O trabalho tem por finalidade demonstrar a necessidade de harmoniza????o das legisla????es ambientais nos pa??ses instituidores do MERCOSUL (Brasil, Argentina, Paraguai e Uruguai) no que tange ?? responsabiliza????o civil por danos acarretados ao meio ambiente, especialmente quando o agente se tratar de pessoa jur??dica. Nesse sentido, inicialmente faz-se uma abordagem acerca do processo de integra????o em blocos, com ??nfase nos procedimentos desenvolvidos no continente americano, principalmente na Am??rica do Sul. Num segundo momento ser?? apresentada uma an??lise e compreens??o sobre a prote????o ambiental nesses pa??ses, com ??nfase no Brasil, onde a legisla????o correlata ao tema ?? considerada mais evolu??da em rela????o aos demais participantes do referido bloco econ??mico. Em seguida, discorre-se sobre as tentativas que j?? ocorreram no ??mbito do MERCOSUL a fim de elaborar uma legisla????o comum aos seus membros no que se refere ?? prote????o ao meio ambiente e sobre os mecanismos de solu????o de controv??rsias existentes no ??mbito do bloco, evidenciando que a falta de harmoniza????o dessas normas inviabiliza a efetiva integra????o regional, resultando em um desequil??brio econ??mico.

Made available in DSpace on 2016-04-28T20:19:12Z (GMT). No. of bitstreams: 1 2006-Marcus Roberto Gomes Dias.pdf: 441049 bytes, checksum: 74f38efe8fcf817f8480dab9c509ee0a (MD5) Previous issue date: 2006-08-28 / The objective of the present work was to study the importance of the military leadership for the R/2 Officers in the management of its professional activities, having as base the experience of the Center of Preparation of Officers of the Reserve of Rio De Janeiro (CPOR/RJ). To reach the above-mentioned objective concepts on the multiplicity of intelligence had been presented, the importance of the affective area, the participativo manager, military leadership, motivation and the professional military education. The work sample that the former-pupils of the CPOR/RJ, when pupils of this educational establishment of the Brazilian Army, had developed military leadership e, currently, makes use of this tool of management of people in its professional activities. Moreover, it was evidenced, also, that the current pupils to the long one of the period of formation develop the attributes cooperation and emotional balance. How much the methodology is about a research of field with application of questionnaires, being composed for three parts, including closed and opened questions. It was since the attributes of the affective area, cooperation and emotional balance, represent the foundation of the leadership and the profile of the participativo manager. Therefore, one confirms that the military leadership, the emotional balance and the cooperation are taught and learned attributes. / O objetivo do presente trabalho foi estudar a import?ncia da lideran?a militar para os Oficiais R/2 no gerenciamento de suas atividades profissionais, tendo como base a experi?ncia do Centro de Prepara??o de Oficiais da Reserva do Rio de Janeiro (CPOR/RJ). Para atingir o objetivo supracitado foram apresentados conceitos sobre a multiplicidade da intelig?ncia, a import?ncia da ?rea afetiva, o gerente participativo, lideran?a militar, motiva??o e a educa??o militar profissional. O trabalho mostra que os ex-alunos do CPOR/RJ, quando alunos desse estabelecimento de ensino do Ex?rcito Brasileiro, desenvolveram a lideran?a militar e, atualmente, fazem uso dessa ferramenta de gest?o de pessoas em suas atividades profissionais. Al?m disso, foi constatado, tamb?m, que os alunos atuais ao longo do per?odo de forma??o desenvolvem os atributos coopera??o e equil?brio emocional. Quanto a metodologia trata-se de uma pesquisa de campo com aplica??o de question?rios, sendo composto por tr?s partes, incluindo quest?es fechadas e abertas. Foi visto que os atributos da ?rea afetiva, coopera??o e equil?brio emocional, representam o alicerce da lideran?a e o perfil do gerente participativo. Portanto, confirma-se que a lideran?a militar, o equil?brio emocional e a coopera??o s?o atributos ensinados e aprendidos.