Made available in DSpace on 2014-12-17T14:14:00Z (GMT). No. of bitstreams: 1 LucianaEFS_DISSERT.pdf: 1863441 bytes, checksum: 9301fb46fc041374f931e1dfe2a00312 (MD5) Previous issue date: 2011-09-30 / The study aimed to analyze the influence of chronic health conditions (CHC) on quality of life (QOL) of UFRN servers assaulted by CHC. It is a descriptive and cross-sectional study with prospective data and quantitative approach, accomplished in the ambulatory clinic of the Department of Server Assistance (DSA) of the Pro-Rectory of Human Resources, during three months. The sample was composed by accessibility, totaling 215 people, being 153 active and 62 inactive servers, in chronic health condition. The data were collected through the application of the sociodemographic characterization, health, environmental and laboral form, the Medical Outcome Study 36-Item Short Form (SF-36). The study was evaluated by the HUOL Ethics Committee (CAAE no. 0046.0.294.000.10), obtaining assent. The results were analyzed in the SPSS 15.0 program through the descriptive and inferential statistics. It was identified servants predominantly male (59,1%), under 60 years old, married or in stable union, Catholics, brown color, living in the capital and residents in own home. Regarding labor issues, there was a predominance of active servers technical-administrative with intermediate and medium level positions and small proportion of docents. Among the CHC, the non-communicable diseases - NCDs (95.8%) had a higher frequency, followed by persistent mental disorders - PMDs (18.6%) and, finally, the continuous and structural physical deficiency - CSPD (16.9 %). The QOL of servers was considered good, with a mean score of 72.5 points in the total score, with the most affected domains: physical (59.1), general health (66.2), bodily pain (66.3) and functional aspects (72.0). The mental health dimension (76.5) had a better average than the physical dimension (68.0 points). It was found that the decrease in QOL scores is significant statistically related to higher number of CHC (&#961; <0.001), with no statistical significance regarding the functional situation (p = 0.259). The administrative technicians of elementary, primary, secondary levels and docents had the worst QOL scores. After the correlation analysis of CHC with the domains and dimensions of the SF-36, there was statistically significant, negative and weak correlation of the domains: functional aspect (&#961; = 0.002, r = -0.207), physical aspects (&#961; = 0.007; r = -0.183), vitality (&#961; = 0.002, r = -0.213), social function (&#961; = 0.000, r = -0.313), emotional aspects (&#961; = 0.000, r = -0.293), mental health (&#961; = 0.000 , r = -0.238), physical health dimension (&#961; = 0.002, r = -0.210) and mental health dimension (&#961; = 0.000, r = -0.298). The presence of PMD isolated or together, contributed to a lower SF-36 scores, being the domains variation of mean significant, except for bodily pain, general health and physical aspects. By correlating the categories of CHC and QOL, there was a weak correlation (r &#8804; -0.376) and significant (&#961; &#8804; 0.011), mainly related to the NCD, PMDs and NCD + PMD, affecting the mental health, social function, emotional aspects, vitality and functional aspect domains. Front of the results, it was concludes that the servers quality of life is influenced by the CHC. Thus, it was inferred that the presence of CHC causes a negative effect on quality of life, leading the active and inactive servers to exposure their overall life activities and work over the years, due to the morbidity affected, mainly related to NCDs and PMDs. Descriptors: Quality of life. Chronic disease. Occupational Health. Nursing / O estudo teve como objetivo analisar a influ?ncia das condi??es cr?nicas de sa?de (CCS) na qualidade de vida (QV) dos servidores da UFRN acometidos por CCS. Trata-se de um estudo descritivo, transversal, com dados prospectivos e abordagem quantitativa, realizado no ambulat?rio do Departamento de Assist?ncia ao Servidor (DAS) da Pr?-Reitoria de Recursos Humanos, no per?odo de tr?s meses. A amostra foi composta por acessibilidade, totalizando 215 pessoas, sendo 153 servidores ativos e 62 inativos, em condi??o cr?nica de sa?de. Os dados foram coletados atrav?s da aplica??o do formul?rio de caracteriza??o sociodemogr?fica, de sa?de, ambiental e laboral, question?rio Medical Outcome Study 36-Item Short Form (SF-36). O projeto foi avaliado pelo Comit? de ?tica do HUOL (CAAE n? 0046.0.294.000.10), obtendo parecer favor?vel. Os resultados foram analisados no programa SPSS 15.0 atrav?s da estat?stica descritiva e inferencial. Identificaram-se servidores predominantemente do sexo masculino (59,1%), menores de 60 anos, casados ou em uni?o est?vel, cat?licos, de cor parda, domiciliados na capital e residentes em moradia pr?pria. Quanto aos aspectos laborais, evidenciou-se o predom?nio de servidores ativos t?cnico-administrativos com cargos de n?vel intermedi?rio e m?dio, e pequena propor??o de docentes. Dentre as CCS, as doen?as n?o transmiss?veis DCNTs (95,8%) apresentaram maior frequ?ncia, seguidas dos transtornos mentais persistentes TMPs (18,6%) e, por ?ltimo, da defici?ncia f?sica cont?nua e estrutural DFCE (16,9%). A QV dos servidores foi considerada como boa, com pontua??o m?dia de 72,5 pontos no escore total, sendo os dom?nios mais afetados: aspectos f?sicos (59,1); estado geral de sa?de (66,2); dor no corpo (66,3); e aspecto funcional (72,0). A dimens?o sa?de mental (76,5) apresentou melhor m?dia do que a dimens?o sa?de f?sica (68,0 pontos). Verificamos que a diminui??o dos escores de QV est? estatisticamente significante relacionada ao maior n?mero de CCS (&#961;<0,001), n?o havendo signific?ncia estat?stica com rela??o ? situa??o funcional (p=0,259). Os t?cnicos administrativos de n?vel elementar, b?sico, m?dio e docentes apresentaram os piores escores de QV. Ao fazer a an?lise da correla??o das CCS com os dom?nios e dimens?es do SF-36, verificou-se signific?ncia estat?stica, correla??o fraca e negativa nos dom?nios aspecto funcional (&#961;=0,002; r=-0,207), aspectos f?sicos (&#961;=0,007; r=-0,183), vitalidade (&#961;=0,002; r=-0,213), fun??o social (&#961;=0,000; r=-0,313), aspectos emocionais (&#961;=0,000; r=-0,293), sa?de mental (&#961;=0,000; r=-0,238), dimens?o sa?de f?sica (&#961;=0,002; r=-0,210) e dimens?o sa?de mental (&#961;=0,000; r=-0,298). A presen?a do TMP, isolado ou em conjunto, contribuiu para os menores escores SF-36, sendo a varia??o das m?dias dos dom?nios significante, exceto para dor no corpo, aspecto geral de sa?de e aspectos f?sicos. Ao correlacionarem-se as categorias de CCS e QV, verificou-se correla??o fraca (r&#8804;-0,376), e significante (&#961;&#8804;0,011), relacionada principalmente ?s DCNTs, TMPs e DCNT+TMP, afetando os dom?nios sa?de mental, fun??o social, aspectos emocionais, vitalidade e aspecto funcional. Diante dos resultados, conclu?mos que a qualidade de vida dos servidores ? influenciada pela CCS. Destarte, inferiu-se que a presen?a da CCS repercute negativamente na qualidade de vida, conduzindo os servidores ativos e inativos ao comprometimento geral de suas atividades de vida e trabalho ao longo dos anos, em decorr?ncia da morbidade acometida, principalmente relacionada com DCNT e TMP. Descritores: Qualidade de Vida. Doen?a Cr?nica. Sa?de do trabalhador. Enfermagem

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2018-01-25T21:40:52Z No. of bitstreams: 1 Disserta??o RODOLFO MACEDO CRUZ PIMENTA 2016.pdf: 1776621 bytes, checksum: 84d75a47f94adf77467c9412416adcf6 (MD5) / Made available in DSpace on 2018-01-25T21:40:52Z (GMT). No. of bitstreams: 1 Disserta??o RODOLFO MACEDO CRUZ PIMENTA 2016.pdf: 1776621 bytes, checksum: 84d75a47f94adf77467c9412416adcf6 (MD5) Previous issue date: 2016-03-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Periodontitis is the second most frequent oral disease in the world and it is defined as an infection of periodontal supporting tissues associated with bacterial biofilm accumulation on the tooth surface. The hypothesis that periodontitis is associated with systemic repercussions has drawn the attention of the scientific community, including its contribution to the development of anemia, which in pregnancy may be related to undesirable outcomes. Most cases of anemia during pregnancy can not be originally iron deficiency, but due to chronic inflammation that characterizes anemia of chronic disease (ACD). Nonetheless, the possible association between the two diseases is related to iron metabolism. This study investigated the influence of different levels of periodontitis severity in anemia of chronic disease in pregnant women. Methods: Cross-sectional study was conducted in Santo Antonio de Jesus, Bahia, Brazil, from February 2014 to January 2016. The data collection was the application of a questionnaire to obtain socioeconomic-demographic, lifestyle, health condition and related to pregnancy information, blood collection and oral assessment, with full mouth examination which included the following parameters: probing depth, clinical attachment level and bleeding on probing. Participants were classified according to the level of periodontitis severity, mild, moderate and severe, using two defining criteria. They were also classified according to the presence or absence of ACD. Association measurements between exposure and outcome were estimated using Poisson regression analysis, obtaining the prevalence ratio (PR) and confidence intervals at 95% (95% CI). Results: the final sample included 616 pregnant women, of which 16.56% (102) were diagnosed with ACD. The presence of periodontitis ranged from 16.72% to 67.53%, according to the definition criterion. There was no association between levels of periodontitis severity and ACD nor between periodontitis and ACD for both studied criteria: PRcrude = 0.60, 95% CI: [0.33 to 1.08] and PRcrude = 0.89, 95% CI: [0.76 to 1.05], even after adjustment for the following confounders: schooling level, smoking habit, age, number of prenatal consultations, parity and toothache in the last six months, PRadjusted = 0.61, 95% CI: [0.34 to 1.09] and PRadjusted = 0.90 , 95% CI: [0.76 to 1.05]. Conclusions: the findings of this research indicated that the presence of periodontitis, regardless of the severity level is not associated with the ACD, although there is a high frequency of these diseases in the studied group. Additional studies are needed to confirm these results, considering the importance of the two diseases as public health problems, as well as the relevance of the pregnancy. / A periodontite ? a segunda doen?a bucal mais frequente no mundo e ? definida como uma infec??o dos tecidos periodontais de suporte associada ao ac?mulo de biofilme bacteriano na superf?cie dent?ria. A hip?tese de que a periodontite se associa a repercuss?es sist?micas tem chamado a aten??o da comunidade cient?fica, incluindo a sua contribui??o para o desenvolvimento de anemia, que na gravidez pode estar relacionada a desfechos indesej?veis. A maioria dos casos de anemia na gesta??o pode n?o ser originalmente ferropriva, por?m decorrente de inflama??es cr?nicas, caracterizando a anemia de doen?a cr?nica (ADC), mas a possibilidade de associa??o entre as duas doen?as est? relacionada ao metabolismo do ferro. Este estudo investigou a influ?ncia dos diferentes n?veis de gravidade da periodontite na anemia de doen?a cr?nica em gestantes. M?todos: estudo transversal foi realizado em Santo Antonio de Jesus, Bahia, Brasil, entre Fevereiro de 2014 e Janeiro de 2016. A caracteriza??o da amostra foi feita a partir da aplica??o de um question?rio para obten??o de informa??es socioecon?mico-demogr?ficas, de estilo de vida e condi??es de sa?de e relacionadas ? gesta??o, coleta sangu?nea e avalia??o bucal, com o exame periodontal completo que incluiu os seguintes descritores: profundidade de sondagem, n?vel de inser??o e sangramento ? sondagem. As participantes foram classificadas segundo o n?vel de gravidade de periodontite, em leve, moderada ou grave, a partir de dois crit?rios de defini??o. Foram classificadas tamb?m quanto ? presen?a ou aus?ncia de ADC. Procedeu-se an?lise de regress?o de Poisson, obteve-se Raz?o de Preval?ncia (RP) e seus intervalos de confian?a a 95% (IC95%). Resultados: a amostra final incluiu 616 gestantes, das quais 16,56% (102) apresentaram diagn?stico de ADC. A ocorr?ncia de periodontite variou de 16,72% a 67,53%, de acordo com o crit?rio de defini??o. N?o foi encontrada associa??o entre os n?veis de gravidade de periodontite e ADC e tampouco entre periodontite e ADC, para ambos os crit?rios estudados: RPbruta = 0,60, IC95%: [0,33 ? 1,08] e RPbruta = 0,89, IC95%: [0,76 - 1,05], mesmo ap?s ajuste para os seguintes confundidores: n?vel de escolaridade, h?bito de fumar, idade, n?mero de consultas de pr?-natal, paridade e dor de dente nos ?ltimos seis meses, RPajustada = 0,61, IC95%: [0,34 ? 1,09] e RPajustada= 0,90, IC95%: [0,76 - 1,05]. Conclus?es: os achados da presente investiga??o sinalizaram que a presen?a de peridontite, independentemente do n?vel de gravidade, n?o tem associa??o com a ADC, muito embora haja altas frequ?ncias das doen?as no grupo estudado. Estudos adicionais s?o necess?rios para confirmar esses resultados, diante da import?ncia das duas enfermidades como problemas de sa?de p?blica, bem como da relev?ncia do per?odo gestacional.

Made available in DSpace on 2014-12-17T14:46:54Z (GMT). No. of bitstreams: 1 SilvanaHNM_DISSERT.pdf: 798862 bytes, checksum: 714b2d8c0e6e3e7bcaa68e2efa23df0f (MD5) Previous issue date: 2011-12-15 / The demographic and epidemiological transition process caused by a declining in birth rates and in mortality, also changes occurred in morbidity and mortality is represented by the increasing of the aging population and the raising of chronic diseases. These diseases are characterized by multiple etiologies, risk factors, long latency period, a prolonged evolution, non-infectious origin and it has association with functional impairment and disability. Thus, elderly with chronic non-communicable disease has priority because they belong to a vulnerable group to get affection of comorbidities in aging, with increased demand and spending on health services. This study is aimed to analyse the understanding of elderly people with chronic non comunicable disease in the medium complexity service as a contribution to the improvement of health care in the city of Natal / RN. This is a descriptive and exploratory study with a quantitative approach, carried out at the Specialized Center for Elderly Health Care and at the Pescadores Hospital. The population was composed of 4,180 persons with a sample of 124 elderly aged above 60 years, attended in these medium complexity services. The instrument, a structured form, adapted from a questionnaire for monitoring risk and protective factors for chronic disease of the Ministry of Health. To collect data was was used the interview form containing demographic data, habits, health status and health care services. The results were processed using the Statistical Package for Social Science, version 18.0, analyzed by simple statistics. It was found that most seniors were female, predominantly between 70 and 74 years old, married, with a brown skin tone and Catholic religion, more than half had incomplete basic education, family income between one to two minimum wages and living with their families. Regarding the interviewers lifestyle, 94.4%, of them ate chicken and 97.6%, fruits, it was observed a reduction in smoking, alcoholism habits and physical activity according to the increasing age, 58.1 and 18.5% had insomnia18,5 % used sleeping pills. The elderly (51.6%) reported using services in times of sickness, seeking primary care at first (30.6%), 52% did not receive referral and was looking for free demand (38.7%). The most reported morbidity was hypertension, followed by musculoskeletal disorders. Regarding the difficulties in seeking health services, the delay in treatment and the waiting line were the most cited by the elderly. Almost all of them reported no activities to promote health in these services and those who received individual counseling on chronic diseases. Almost always, the health professionals who care of them, were mostly doctors followed by nurses. Based on the results presented, it is considered that the health services of medium complexity must undergone a more continuous dialogue with other attention level and focus on actions of health promotion and prevention. It is also recommended the necessity for qualified professionals to delivery health care to elderly and the implementation of protocols by a multidisciplinary health team, intending to provide better and continous care for the elderly with chronic diseases. The healthcare professionals who served them, were mostly physicians, followed by nurses. Through the results presented, it is considered that the medium complexity healthcare services need to perform a more continuous dialogue with the other levels of attention focusing attention to the health promotion and prevention actions. It is also recommended the necessity for qualified professionals to delivery healthcare for the elderly, in addition, a protocol implementation for the multidisciplinary health care team, to provide better care, and also the care continuity to elderly with chronic diseases / O processo de transi??o demogr?fica e epidemiol?gica causado pela diminui??o dos ?ndices de natalidade e mortalidade e modifica??o do perfil de morbimortalidade ? representado pelo aumento da popula??o idosa e das doen?as cr?nicas n?o transmiss?veis. Estas doen?as caracterizam-se por etiologia m?ltipla, fatores de risco, per?odo longo de lat?ncia, curso prolongado, origem n?o infecciosa e associa??o com defici?ncias e incapacidades funcionais. Desse modo, a pessoa idosa com doen?a cr?nica n?o transmiss?vel encontra-se em prioridade por tratar-se de um grupo vulner?vel para essas comorbidades no envelhecimento, com aumento da procura e gastos nos servi?os de sa?de. O objetivo deste estudo ? analisar o perfil da pessoa idosa com Doen?a Cr?nica N?o Transmiss?vel atendida em servi?os de m?dia complexidade. Trata-se de um estudo descritivo e explorat?rio, com abordagem quantitativa, realizado no Centro Especializado de Aten??o ? Sa?de do Idoso e no Hospital dos Pescadores. A popula??o foi de 4180 pessoas e com uma amostra aleat?ria simples de 124 idosos com idade igual ou acima de 60 anos, atendidos nesses servi?os de m?dia complexidade. O instrumento, um formul?rio estruturado, adaptado do question?rio de monitoramento para fatores de risco e prote??o para doen?a cr?nica do Minist?rio da Sa?de. Na coleta de dados usou-se a entrevista acompanhada de formul?rio contendo dados sociodemogr?ficos, h?bitos e condi??o de sa?de e o atendimento nos servi?os de sa?de. Os resultados foram processados no programa Statistical Package for the Social Science, vers?o 18.0, analisados atrav?s da estat?stica simples. Identificou-se que a maioria dos idosos era do sexo feminino, com predom?nio entre 70 e 74 anos, casados, de cor parda e cat?licos; mais da metade tinha ensino fundamental incompleto; renda familiar entre 1 a 2 sal?rio m?nimo e residia com a fam?lia. Quanto aos h?bitos de vida, 94,4% consumiam frango e, 97,6% frutas; observou-se haver redu??o do tabagismo, do alcoolismo e da atividade f?sica; 58,1% possu?am ins?nia e 18,5% utilizavam rem?dios para dormir. A procura pelo servi?o de sa?de deu-se devido adoecimento (51,6%), buscando a aten??o prim?ria no primeiro momento (30,6%); 52% n?o receberam encaminhamento e a procura era por livre demanda (38.7%). A morbidade mais referida foi a hipertens?o, seguida das doen?as musculoesquel?ticas. Sobre as dificuldades na procura pelos servi?os de sa?de, a demora no atendimento e as filas foram citadas pelos idosos. Quase todos relataram n?o haver atividades de promo??o ? sa?de nesses servi?os e que recebiam orienta??o individual sobre as doen?as cr?nicas. Os profissionais de sa?de que os atendiam, em sua maioria eram m?dicos, seguidos dos enfermeiros. Mediante os resultados apresentados, considera-se que os servi?os de sa?de de m?dia complexidade precisam exercer de forma mais cont?nua a interlocu??o com os demais n?veis de aten??o e enfocar no atendimento as a??es de promo??o e preven??o ? sa?de. Recomenda-se tamb?m a necessidade de qualifica??o dos profissionais para o atendimento ? pessoa idosa e a implanta??o de protocolos pela equipe multiprofissional de sa?de, de modo a proporcionar melhor atendimento e continuidade do tratamento ? pessoa idosa com doen?as cr?nicas n?o transmiss?veis

Made available in DSpace on 2014-12-17T15:16:11Z (GMT). No. of bitstreams: 1 karlaVRS_DISSERT.pdf: 884201 bytes, checksum: 2c1885530446114d5cb653706bf9e01c (MD5) Previous issue date: 2010-11-04 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Taking care for an impaired elderly is a hard and costly task that could affect directly the caregiver health. The purpose of this study was to evaluate the physical and mental health of elderly caregivers from the city of Santa Cruz-RN and analyze the potential correlated factors through an observational analytic design of a crosssectional. A multidimensional questionnaire was used to evaluation of the social demographics characteristics and those related to the care activity, as well as the caregivers? physical and mental health. It was realized a descriptive analyze using frequency distribution and measures of the central tendency and dispersion to description of the caregivers. To verify the magnitude of the association between the variables was used the bivariate analysis through the Pearson and Spearman correlations and qui-square test. To evaluation of the association of the correlated factors to the adverse outcome with the caregivers? physical and mental health was made a multivariate analysis by logistic binary regression and multiple linear regression models. The final sample was constituted by 304 persons, mostly women with a mean age of 50.3 ?16.8 years. The principal factors related to the physical health were age, stress and life satisfaction. Be a male caregiver, caring for a little while the elderly with cognitive deficit and not been spouse were related to worse mental health. Have worse physical health, high stress, depressive symptomatology, burden and low levels of satisfaction were also related to the mental health. After adjust through multiple linear regression was observed R2 values of R2=0,21 for Stress, R2 =0,17 for Depressive Symptomatology, R2 =0,21 for Burden and R2 =0,16 for Satisfaction. The attainment of the factors associated with caregiver?s health can help in the elaboration of specifics politics witch the goal is the integral attention to the elderly and his caregiver. The inability of continuous taking care could result in adverse outcomes such as institutionalization, impairment and death / A tarefa de cuidar de um idoso incapacitante ? uma atividade dif?cil e dispendiosa que pode afetar diretamente a sa?de do cuidador. Este estudo teve como objetivo avaliar a sa?de f?sica e emocional de cuidadores de idosos da cidade de Santa Cruz-RN, e analisar seus potenciais fatores associados atrav?s de um estudo observacional anal?tico do tipo transversal. Foi utilizado um question?rio multidimensional para avalia??o das caracter?sticas sociodemogr?ficas; das atividades relacionadas com o cuidar, assim como, das vari?veis ligadas ? sa?de f?sica e emocional dos cuidadores. Para descri??o dos cuidadores foi realizada uma an?lise descritiva utilizando a distribui??o de freq??ncias absolutas e relativas, e medidas de tend?ncia central e dispers?o. Para verifica??o da magnitude de associa??o entre vari?veis, utilizou-se an?lise bivariada atrav?s dos testes de correla??o de Pearson e Spearman, e teste de qui-quadrado. Para avalia??o da associa??o de fatores associados aos desfechos adversos ? sa?de f?sica e mental dos cuidadores, foi realizada an?lise multivariada mediante modelos de regress?o log?stica bin?ria e regress?o linear m?ltipla. A amostra foi constitu?da por 304 indiv?duos, em sua maioria por mulheres e a m?dia de idade foi de 50,3 ?16,8. Os principais fatores associados ? sa?de f?sica foram idade, n?veis de estresse e satisfa??o com a vida. Ser um cuidador homem, cuidando a pouco tempo do idoso com d?ficit cognitivo e n?o ser c?njuge desse idoso foram relacionados ? sa?de emocional ruim. Ter uma sa?de f?sica ruim, n?veis elevados de estresse, presen?a de sintomatologia depressiva, sobrecarga e n?veis baixos de satisfa??o tamb?m foram correlacionados ? sa?de emocional. Ap?s ajuste feito atrav?s da an?lise de regress?o linear observou-se valores de R2 =0,21 para estresse, R2 =0,17 para sintomatologia depressiva, R2 =0,21 para sobrecarga e R2 =0,16 para satisfa??o. O conhecimento dos fatores associados ? sa?de do cuidador pode auxiliar na elabora??o de pol?ticas espec?ficas cujo objetivo seja a aten??o integral ? sa?de do idoso e dos seus cuidadores. A impossibilidade de continuar a prover cuidados ao idoso pode resultar em desfechos adversos como institucionaliza??o, incapacidade e morte

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-07-11T20:23:52Z No. of bitstreams: 1 DIS_JULIANA_DE_OLIVEIRA_TRINDADE_COMPLETO.pdf: 526064 bytes, checksum: 86b806b930c552b222f628a72f903242 (MD5) / Made available in DSpace on 2016-07-11T20:23:52Z (GMT). No. of bitstreams: 1 DIS_JULIANA_DE_OLIVEIRA_TRINDADE_COMPLETO.pdf: 526064 bytes, checksum: 86b806b930c552b222f628a72f903242 (MD5) Previous issue date: 2016-03-28 / This study aims to reflect on the health-disease phenomenon in the experience of patients with chronic rheumatic diseases, therefore two ethnographic qualitative researches were performed. The first one was in Outpatients Rheumatology of two teaching hospitals with the SUS service of Porto Alegre/ RS, the Pontif?cia Universidade Cat?lica do Rio Grande do Sul (PUCRS) and the Hospital Santa Clara from the Complexo Hospitalar Santa Casa, linked to the Universidade Federal de Ci?ncias da Sa?de de Porto Alegre (UFCSPA), the second one was in Grupo de Pacientes Artr?ticos de Porto Alegre (GRUPAL), a non-governmental organization focused on patients with rheumatic diseases. I seek to understand the experience of chronic disease from some fundamental changes in people's lives after the advent of the disease and how the experience of illness is related to the social position of the individuals, in their circle of interpersonal relationships and, more broadly, social structures, highlighting the categories of gender and class. Moreover, I highlight some assimilation processes and coping with the disease in the daily life of people in the condition of chronic disease, as well as some reconfigurations and rearrangements of the identity of the sick person from the appropriation of this new condition. / O presente trabalho busca refletir sobre o fen?meno sa?de-doen?a na experi?ncia de portadores de doen?as reum?ticas cr?nicas, para tanto duas pesquisas de car?ter qualitativo etnogr?fico foram realizadas. A primeira em Ambulat?rios de Reumatologia de dois hospitais-escola com atendimento SUS de Porto Alegre/RS, o Hospital S?o Lucas da Pontif?cia Universidade Cat?lica do Rio Grande do Sul (PUCRS) e o Hospital Santa Clara do Complexo Hospitalar Santa Casa, vinculado ? Universidade Federal de Ci?ncias da Sa?de de Porto Alegre (UFCSPA), a segunda no Grupo de Pacientes Artr?ticos de Porto Alegre (GRUPAL), uma organiza??o n?o governamental voltada para portadores de doen?as reum?ticas. Busco compreender a experi?ncia da doen?a cr?nica a partir de algumas mudan?as fundamentais na vida das pessoas ap?s seu advento e de que forma sua viv?ncia est? relacionada com a posi??o social dos indiv?duos no seu c?rculo de rela??es interpessoal e, de forma mais ampla, nas estruturas sociais, destacando as categorias de g?nero e classe. Al?m disso, destaco alguns processos de assimila??o e enfrentamento da doen?a no cotidiano das pessoas em condi??o de doen?a cr?nica, bem como algumas reconfigura??es e rearranjos da identidade do sujeito doente a partir da apropria??o dessa nova condi??o.

Made available in DSpace on 2014-12-17T15:38:42Z (GMT). No. of bitstreams: 1 AdrianaDA.pdf: 830797 bytes, checksum: e4e3ffec1d282c562c0d8311c0e7dfd6 (MD5) Previous issue date: 2004-02-16 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Systemic lupus erythematous (SLE) is a chronic and auto-immune disease that can affect several systems of one?s body, including the nervous system, causing several clinical evidences, which can put in risk the person?s life. Although the illness could manifest itself at any age or sex, studies indicate higher incidence among women. Its etiology points to the combination of genetic, hormonal and environmental factors. Due to the disease?s complexity, it is evident that it affects all the person?s life as a whole and not only its organic dimension. It is believed that the signification attributed to all the process of sickening influences its treatment, as well as the person?s capacity to cope with the difficulties and implicit profits involved in the process.In this study, eight women who were affected by SLE were interviewed, with the aim of examining carefully the processes of signification as well as the generation of meanings which permeate these women?s sickening processes. The analysis of their speeches evidences distinct forms of giving meaning to the process, regardless of the time of the diagnosis. The fact that the disease is incurable was shocking to all the participants, and it demanded changes in their lives, in order to detain a relative control of their condition. The majority of the participants were able to deal with these modifications, since strategies have been created to face the difficulties and thus to preserve their social life, without damaging their health. However, some of the participants did not obtain strenght to cope with the disease, eventually developing a depressive state. It is observed that not only SLE has innumerable ways of manifestation, but the experience of the illness is very subjective and dynamic. There are also several ways of expressing this experience, according to the implications in the social, cultural and economic context where the participants are inserted. This ratifies the necessity of a interdisciplinary approach to embrace SLE complexity. (310 words, 1.610 characters) / O l?pus eritematoso sist?mico (LES) ? uma doen?a cr?nica e auto-imune, que pode atingir v?rios ?rg?os e sistemas do corpo, incluindo o sistema nervoso, gerando diversos quadros cl?nicos que se tornam uma amea?a ? vida da pessoa. Embora a doen?a se manifeste em qualquer idade e sexo, estudos indicam maior incid?ncia entre as mulheres. Sua etiologia aponta para a combina??o de fatores gen?ticos, hormonais e ambientais. Devido ? sua complexidade, fica expl?cito que afeta toda a vida da pessoa e n?o apenas a dimens?o org?nica. Acredita-se que os sentidos atribu?dos a todo o processo de adoecer, influenciam no tratamento do LES e na forma da lidar com as dificuldades e percal?os impl?citos nesse processo. Foram assim realizadas entrevistas em profundidade com oito mulheres portadoras de LES objetivando aprofundar nos processos de significa??o e gera??o de sentidos permeando o processo de adoecer dessas participantes. A an?lise dos discursos evidencia distintas formas de dar sentido ao adoecer, n?o sendo significativo o tempo de diagn?stico nesse processo. O fato da doen?a n?o ter cura foi um choque para todas as participantes, exigindo mudan?as em suas vidas, a fim de manter um relativo controle da mesma. A maioria conseguiu lidar com essas modifica??es, criando estrat?gias para enfrentar as dificuldades e assim preservar sua vida social, sem trazer preju?zo a sua sa?de. Entretanto, outras, n?o conseguem potencializar for?as para conviver com a doen?a manifestando um constante estado depressivo. Observa-se assim que n?o ? s? o LES que tem in?meras maneiras de se apresentar, mas a experi?ncia da doen?a ? algo muito subjetivo e din?mico, tendo tamb?m diversas formas de express?o conforme as conseq??ncias advindas desse processo e suas implica??es a partir do contexto social, cultural e econ?mico em que as participantes est?o inseridas, ratificando assim, a necessidade de uma abordagem interdisciplinar que abarque essa complexidade

Made available in DSpace on 2016-04-28T20:18:36Z (GMT). No. of bitstreams: 1 Marcelo Soares Antunes.pdf: 2612502 bytes, checksum: 9c4bb850a1a22ef8aaeabded22655ba0 (MD5) Previous issue date: 2010-01-26 / Instituto de Veterin?ria, Universidade Federal Rural do Rio de Janeiro, Serop?dica, RJ, 2009. Several diseases in dogs causing anemia, with the example of ehrlichiosis are thoroughly investigated. But in Brazil there are no studies to estimate the incidence of anemia in different species and so little, studies that assess the extent and causes related to the problem. Thus, it was developed this study to diagnose and assess the rates of anemia in male and female dogs of different breeds, ages and various conditions of health and nutritional management, but no clinical signs of anemia, and to evaluate the metabolic profile of these animals. We evaluated 148 dogs with anemia that was identified in 40% of the animals, most of then was normochromic normocitic (NNA) in type. It was concluded from the analyzed data that anemia is a significant occurrence, even in asymptomatic dogs. The nutritional deficiency especially of copper and iron, parasites and liver failure were not related to the occurrence of anemia among the animals studied. In this study we highlight the chronic infection with Ehrlichia canis and Anaplasma platys, and periodontal disease (PD) as chronic infectious/inflammatory diseases as likely causes of the NNA between the animals studied. The treatment of PD and evaluation of inflammatory markers would be useful for elucidation of the causes of anemia in the herd studied. / Instituto de Veterin?ria, Universidade Federal Rural do Rio de Janeiro, Serop?dica, RJ, 2009. Em c?es diversas enfermidades que cursam com anemia a exemplo da erliquiose s?o exaustivamente estudadas. Contudo, n?o existem no Brasil estudos para estimar a incid?ncia de anemia em diferentes esp?cies e, t?o pouco, estudos que avaliem a dimens?o e as causas relacionadas ao problema. Assim, desenvolveu-se o presente estudo visando diagnosticar e avaliar os ?ndices de anemia em c?es machos e f?meas, de diferentes ra?as, idades e condi??es diversas de manejo nutricional e sanit?rio, mas sem sinais cl?nicos de anemia, bem como avaliar o perfil metab?lico desses animais. Foram avaliados 148 c?es, sendo que anemia foi identificada em 40% dos animais, a maioria do tipo normoc?tica normocr?mica (ANN). Conclui-se pelos dados analisados que anemia tem ocorr?ncia significativa, mesmo em c?es assintom?ticos. A defici?ncia nutricional, especialmente de cobre e ferro, as parasitoses e insufici?ncia hep?tica n?o estiveram relacionadas ? ocorr?ncia de anemia entre os animais estudados. Neste estudo destacam-se as infec??es cr?nicas por Ehrlichia canis e/ou Anaplasma platys e a doen?a periodontal (DP), como enfermidades infecciosas /inflamat?rias cr?nicas causadoras prov?veis da ANN entre os animais estudados. O tratamento da DP e a avalia??o de indicadores inflamat?rios seriam ?teis para elucida??o das causas da anemia no rebanho estudado.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-08-10T11:59:48Z No. of bitstreams: 1 LeonidasDeOliveiraNeto_TESE.pdf: 1668906 bytes, checksum: 3fa7c80c1f7980340ddded1cd5fc5726 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-08-11T15:48:54Z (GMT) No. of bitstreams: 1 LeonidasDeOliveiraNeto_TESE.pdf: 1668906 bytes, checksum: 3fa7c80c1f7980340ddded1cd5fc5726 (MD5) / Made available in DSpace on 2017-08-11T15:48:54Z (GMT). No. of bitstreams: 1 LeonidasDeOliveiraNeto_TESE.pdf: 1668906 bytes, checksum: 3fa7c80c1f7980340ddded1cd5fc5726 (MD5) Previous issue date: 2017-06-05 / Introdu??o: O diagn?stico da sarcopenia ? restrito aqueles com boa capacidade f?sica e cognitiva, n?o sendo adaptado ?s condi??es dos idosos institucionalizados. Al?m disso, apesar da perda de massa muscular ser determinante para seu diagn?stico, redu??o associada de massa gorda tem sido observada na sarcopenia. Ademais, embora o estado inflamat?rio seja considerado um gatilho da perda de massa muscular, a redu??o no tecido adiposo tem sido associado ? redu??o do estado inflamat?rio, concorrendo no constructo te?rico da associa??o entre inflamm-aging e sarcopenia. Objetivo: Discutir o diagn?stico para sarcopenia em idosos institucionalizados e verificar a associa??o entre inflamm-aging e sarcopenia, assim como analisar seus fatores associados. Metodologia: Tr?s estudos foram conduzidos em idosos de ambos os sexos, residentes em institui??es de longa perman?ncia na cidade do Natal/RN. No estudo 1 (n=219) foi realizado uma adapta??o do Consenso Europeu para Diagn?stico da Sarcopenia (2010) agregando idosos com baixa capacidade f?sica e cognitiva. No estudo 2 (n=219) foi verificado quais os fatores est?o associados ? sarcopenia. No estudo 3 (n=187) foi realizado an?lise de conglomerados de idosos segundo seu estado inflamat?rio e verificado os fatores associados ? esta condi??o. Resultados: Inclus?o de idosos com baixa condi??o f?sica e cognitiva (estudo 1) acresceu em 32,2% a preval?ncia de sarcopenia. No estudo 2, os fatores associados ? sarcopenia foram altura do joelho, eutrofia e excesso de peso (segundo IMC) e capacidade de deambular. No estudo 3 foi poss?vel verificar que aumento de 1 unidade ?g/dL no LDL, HDL e triglicer?deos apresentaram aumento de 1,5%, 4,1% e 0,9% a chance de inflamm-aging e idosos longevos (?80 anos) possu?ram 84,9% mais de chance de inflamm-aging. Conclus?o: Inclus?o de idosos com baixa capacidade f?sica e cognitiva para c?lculo de sarcopenia ? valida e representa de modo mais adequado os idosos institucionalizados, apresentando o aspectos antropom?tricos e f?sicos como seus principais fatores associados. Ademais, os indicadores bioqu?micos e antropom?tricos demonstraram rela??o da sarcopenia com desnutri??o. Al?m disso, n?o foi observado associa??o do inflamm-aging com sarcopenia, corroborando o constructo de que na sarcopenia n?o ocorre perda seletiva da massa muscular. / Introduction: The diagnosis of sarcopenia is restricted to those with good physical and cognitive capacity, not being adapted to the conditions of the institutionalized elderly. In addition, dispite the loss of muscle mass is determinant for its diagnosis, associated reduction of fat mass has been observed in sarcopenia. Although the inflammatory state is considered a trigger to loss of muscle mass, reduction in adipose tissue has been associated with the reduction of the inflammatory state, competing in the theoretical construct of the association between inflammation and sarcopenia. Objective: To discuss the diagnosis of sarcopenia in institutionalized elderly patients and to verify the association between inflammation and sarcopenia, as well as to analyze their associated factors. Methodology: Three studies were conducted in elderly people of both sexes, living in nursing homes in the city of Natal / RN. In study 1 (n = 219) an adaptation of the European Consensus for Diagnosis of Sarcopenia (2010) was carried out, adding elderly people with low physical and cognitive capacity. In study 2 (n = 219) it was verified which factors are associated with sarcopenia. In study 3 (n = 187), the analysis of elderly conglomerates according to their inflammatory state was performed and the factors associated with this condition were verified. Results: Inclusion of elderly people with low physical and cognitive status (study 1) increased the prevalence of sarcopenia by 32.2%. In study 2, the factors associated with sarcopenia were knee height, eutrophy and excess weight (according to BMI) and the ability to ambulate. In study 3 it was possible to verify that increase of 1 unit ?g / dL in LDL, HDL and triglycerides presented a 1.5%, 4.1% and 0.9% increase in the chance of inflamm-aging and elderly individuals (?80 years ) had an 84.9% greater chance of inflammation. Conclusion: Inclusion of elderly with low physical and cognitive capacity to calculate sarcopenia is valid and represents more appropriately the institutionalized elderly, presenting the anthropometric and physical aspects as their main associated factors. In addition, the biochemical and anthropometric indicators demonstrated a relationship of sarcopenia with malnutrition. In addition, no association of inflammation with sarcopenia was observed, corroborating the construct that in sarcopenia there is no selective muscle mass loss.