Objetivo: Determinar la Frecuencia de Depresión en el adulto mayor con síndrome de fragilidad según la Valoración Geriátrica Integral en el Hospital Nacional Almanzor Aguinaga Asenjo entre abril del año 2019 hasta marzo del 2020. Así mismo, determinar las características sociodemográficas y clínicas, y la frecuencia de los criterios de Fried en los adultos mayores frágiles con depresión según la Valoración Geriátrica Integral en el Hospital Nacional Almanzor Aguinaga Asenjo en este periodo. Diseño: Se realizo un estudio observacional, descriptivo, retrospectivo y transversal. Población: Son todos los Adultos Mayores con diagnóstico de Fragilidad según la Valoración Geriátrica Integral en el servicio de Geriatría del Hospital Nacional Almanzor Aguinaga Asenjo atendidos entre abril 2019 y marzo 2020. Desarrollo: Las personas sujeto a estudio se seleccionaron mediante muestreo censal, dando como resultado un total de 90. Resultados: La frecuencia de Depresión establecida fue de 75,6% (68 casos) frente a 24,4% (22 casos) de “No Depresión” (22/90) en el adulto mayor con síndrome de fragilidad. Las variables sociodemográficas y clínicas más frecuentes en adultos mayores con síndrome de fragilidad y depresión fueron: el rango octogenario (81 a 90 años) con un 54.4%; la población femenina con 67,6%; primaria completa con 75,0%; comorbilidad II en un 96,6%, y 51,5% tienen polifarmacia. En los criterios clínicos de fragilidad, la baja actividad física y la marcha lenta se reportaron como los más frecuentes con 100% y 98,5% respectivamente. / Today, the construction industry is focusing on the use of sustainable materials due to their environmental impact. because of their environmental impact. Concrete is widely used in construction due to its diverse properties, but one of its components, cement, composed mainly of clinker, causes significant CO2 pollution. clinker causes significant CO2 pollution. Therefore, the possibility of partially substituting this the possibility of partially substituting this material is being investigated. One example is calcined diatomaceous calcined diatoms, which are mainly composed of diatomite layers. The objective of this The objective of this study is to evaluate the properties of conventional concrete with the incorporation of calcined diatoms in proportions of 5%. calcined diatoms in proportions of 5%, 10% and 15%. For this purpose, tests were carried out in the fresh and hardened state. and hardened state. In general, the properties improve with respect to the standard mix for a 5% by weight substitution of cement with diatomaceous earth. 5% by weight replacement of cement by calcined diatomite. Calcined diatoms can be used in the production of lightweight concrete, since they reduce its density by 17 kg/m3. In terms of compressive strength, a 9% increase was observed with the addition of 5% calcined diatoms. of calcined diatomaceous earth compared to conventional concrete, thanks to its high pozzolanic activity. pozzolanic activity. In terms of durability, improvements were found when using 5% calcined diatomaceous earth as compared to conventional concrete, due to its high pozzolanic activity. calcined diatomaceous earth. The diatomite, despite increasing the production cost by 3% per cubic meter, improves the properties of the concrete. cubic meter, improves the properties of the concrete due to its low density, high pozzolanic and microscopic activity. pozzolanic activity and microscopic size.

The diploma thesis deals with problems of depression in older people. Mainly the work is focused on identifying and analyzing the role of nurses in screening for depression in older people in primary care, acute care, long-term care and home care. This thesis was focused on theoretical direction and was used the method of design and demonstration. In this thesis was set one main goals with five research questions. The main goal was to identify and analyze the role of nurses in screening for depression in the elderly. RQ 1: What is the role of the nurse in screening for depression in the elderly? RQ 2: What is the role of the nurse in the primary care in screening for depression in the elderly? RQ 3: What is the role of the nurse in screening for depression in hospitalized patients in acute care? RQ 4: What is the role of the nurse in screening for depression in seniors in long-term and home care? RQ 5: What rating scales and methods are used in screening for depression in the elderly? The thesis introduce the concept of depression. The following are specified the causes of and the important factors that affect depression in the elderly. It also deals the differences in the clinical symptomatology of depression in old age. It explains possibilities and various barriers in the diagnosis of depression. Another chapter introduces complete geriatric examination, diagnostic classification systems, possible screening methods and scales for detection of depression in the elderly population. It also deals methods of pharmacological and non-pharmacological treatment and its possible complications associated with older age. By reason of increased suicide rate caused by depressive disorder the issue of suicidal behavior in the elderly is introduced. The next chapter deals with the nursing process, which is used by nurses in practice. It consists of the evaluation of the patient's health condition, making nursing diagnosis, creating nursing plan and subsequent implementation and evaluation. The nursing process is also needy for providing quality care. The nursing process in the stage of nursing diagnosis, introduces possible nursing diagnosis for a patient suffering from depression, which are based on the latest classification. Finally is described the role of nurses in screening for depression in the elderly in different health facilities and their contribution to the timely evaluation of depression in the elderly. This chapter introduces the role of nurses, nursing screening and collaboration with a physician. The role of nurses in screening for depression in different medical facilities is based on the first phase of the nursing process of assessment. On the basis of objective and subjective information, the nurse will assess the overall health and mental condition of the patient. Primarily, it was investigated what is the role of the nurse in screening for depression. On the basis of content analysis and synthesis it was necessary to used and processed domestic and foreign literature. A number of relevant sources are the results of various studies and Meta-analyzes, mostly from abroad, but also from the Czech Republic. The thesis can serve as a basis for nurses. The result of this thesis is to create e-learning material available for students in the Faculty of Health and Social Sciences of South Bohemia in Ceske Budejovice in the tutorial called Moodle.