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Programa de aten??o ao idoso com fratura de quadril decorrente de queda : uma estrat?gia de redeFarias, Fatima Izabel Dornelles 29 August 2016 (has links)
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Previous issue date: 2016-08-29 / Introduction: Studies indicate that the population of elderly, of all places, the fracture occurring in the hip are the ones that have a higher impact on morbidity, higher rate of mortality, and high cost defendant for surgical treatment. The life expectancy of these patients can reduce by 15% in the first year and may reach 50% in the second year. Attention programs for the elderly with this profile of fragility can improve the clinically relevant results and reduce the high costs demanded by the treatments. Objective: Develop a program of attention to the elderly with hip fracture due to a fall, to be applied on a public network. Methods: a prospective cohort study on the implementation of the program and for the control group, retrospective of quantitative character. Results: were included in the study 182 elderly above 60 years diagnosed whit hip fracture. The sample was divided into two groups, the usual treatment (n=91) and treatment within the program (n=91). The treatment of choice is surgical. The average age was of 79,4 years, with prevalence of the female gender (74,2%). The most frequent morbidity was hypertension (72,5%). After the implementation of the program there was a reduction of the average time elapsed between the fracture and the beginning of the surgery (9 to 3 days), the average stay (from 16 to 7 days), the rate of infection of urinary tract (14,3% to 0,0%) and death rate (of 12,1% to 2,2%). There was no difference in the rate of readmissions within 30 days after discharge. Conclusion: The program of attention to the elderly with hip fracture applied in network modified the expected results, because reduced mortality, the average hospital stay, complications after surgery and the costs of the treatments during your stay. / Introdu??o: Estudos indicam que na popula??o de idosos dentre todos os s?tios de fratura, as que ocorrem no quadril s?o as que apresentam maior impacto na morbidade, maior taxa de mortalidade e alto custo demandado pelo tratamento cir?rgico. A expectativa de vida destes pacientes pode reduzir em 15% no primeiro ano, podendo chegar a 50% no segundo ano. Programas de aten??o a idosos com este perfil de fragilidade podem melhorar os resultados clinicamente relevantes e reduzir os custos altos demandados pelos tratamentos. Objetivo: Avaliar a efetividade de um programa de aten??o ao idoso com fratura de quadril decorrente de queda, para ser aplicado em uma rede p?blica de assist?ncia. M?todos: Estudo de coorte, prospectivo na aplica??o do programa e retrospectivo para o grupo controle, de car?ter quantitativo. Resultados: Foram inclu?dos no estudo 182 idosos acima de 60 anos com diagn?stico de fratura de quadril. A amostra foi dividida em dois grupos, de tratamento usual (n=91) e de tratamento dentro do programa (n=91). O tratamento de escolha foi cir?rgico. A m?dia de idade foi de 79,4 anos, com preval?ncia do g?nero feminino (74,2%). A morbidade mais frequente foi a hipertens?o (72,5%). Ap?s a implementa??o do programa houve redu??o do tempo m?dio decorrido entre a fratura e o in?cio da cirurgia (de 9 para 3 dias), da m?dia de perman?ncia (de 16 para 7 dias), da taxa de infec??o de trato urin?rio (de 14,3% para 0,0%) e da taxa de ?bito (de 12,1% para 2,2%). N?o houve diferen?a na taxa de readmiss?es em 30 dias ap?s a alta. Conclus?o: O programa de aten??o ao idoso com fratura de quadril, aplicado em rede, modificou os resultados esperados, porque reduziu a mortalidade, a m?dia de perman?ncia hospitalar, as complica??es p?s-operat?rias e os custos dos tratamentos durante a interna??o.
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Rela????o do ??ngulo de cifose dorsal com o deslocamento do centro de press??o em idosasLopes, Bruno Sousa 26 February 2016 (has links)
Submitted by Kelson Anthony de Menezes (kelson@ucb.br) on 2016-12-09T12:34:44Z
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Previous issue date: 2016-02-26 / The objective was to evaluate the influence of the angle of thoracic
kyphosis in pressure center displacement in elderly while conducting a functional
activity. The aged of Centro de Conviv??ncia do Idoso were selected for carrying out
measurement of thoracic kyphosis angle from Flexicurve method. The postures of
153 elderly women were evaluated, using at least 25 with kyphosis and 25 with
normal standard curve for the study follow-up. Following, physical therapy evaluation
was performed to identify the elderly ineligible for the study, then the balance tests
were conducted static and with functional reach test (FRT) associate with
baropodometry platform. Also, elasticity tests were performed with Well???s bank. The
Mann-Whitney test was used to establish the comparison of variables: age;
anthropometric data; FRT; Well???s bank; and data obtained by the F-Scan. Also
Pearson correlation was performed to correlate the degree of thoracic kyphosis with
the results of FRT; and to establish the correlation between the thoracic kyphosis and
the data obtained with the F-Scan. And also for correlate the result of the FRT with Fscan
data. Statistically significant differences between the variables in comparison
tests were not observed; for correlation tests, we found significant correlation only
between FRT and the pressure center shifts in the anteroposterior direction of the
dynamic tests. The study concluded that the achievement of TAF was not influenced
by increased thoracic kyphosis angle. / O objetivo do trabalho foi avaliar a influ??ncia do ??ngulo da cifose dorsal no deslocamento do centro de press??o em idosas durante a realiza????o de uma atividade funcional. Idosas do Centro de Conviv??ncia do Idoso foram selecionadas para realiza????o de aferi????o do ??ngulo de cifose tor??cica a partir do m??todo
Flexicurva. Foram avaliadas as posturas de 153 idosas, utilizando-se pelo menos 25 com hipercifose e 25 com padr??o normal de curvatura para o seguimento do estudo. Na sequencia foi realizada avalia????o fisioterap??utica para identificar as idosas ineleg??veis para o estudo, ent??o, foram realizados testes de equil??brio est??tico e teste de alcance funcional (TAF) com a plataforma de baropodometria. Tamb??m
foram realizados testes de elasticidade com o Banco de Well???s. Foi utilizado o teste de Mann-withney para estabelecer a compara????o das vari??veis: idade; dados antropom??tricos; TAF; banco de Well???s; e dados obtidos pelo F-Scan. Tamb??m foi realizada correla????o de Pearson para correlacionar os graus de cifose dorsal com os resultados do TAF; bem como para estabelecer a correla????o entre a cifose tor??cica
e os dados obtidos com o F-Scan. E tamb??m para correlacionar o resultado do TAF com dados do F-Scan. Nos testes de compara????o n??o foram observadas diferen??as estatisticamente significantes entre nenhuma das vari??veis; para os testes de correla????o, foi encontrada correla????o significante apenas entre o TAF e os
deslocamentos do centro de press??o no sentido anteroposterior dos testes din??micos. O trabalho concluiu que o desempenho do TAF n??o foi influenciada pelo aumento do ??ngulo de cifose dorsal.
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Qualidade de vida de idosos normotensos e hipertensos, cadastrados na estrat??gia de sa??de da fam??liaSilva, Paula dos Santos 09 December 2015 (has links)
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Previous issue date: 2015-12-09 / Longevity has important implications for the quality of life and may cause problems with
serious consequences in the different spheres of human life, such as physical, psychological
and social. For the elderly with hypertension, uncontrolled, more years lived, can mean more
years of suffering, since it becomes necessary to accept the disease and sudden change in
lifestyle. Therefore, the objective of this study was to compare the quality of life in
normotensive elderly and hypertensive elderly assisted in HIPERDIA Program. It is a
quantitative survey of cross-sectional design. The participants were 80 elderly residents in the
city of Barreiras-BA, aged over 60 years. Three instruments were used for data collection:
WOQOL-OLD questionnaire validated in Brazil by Fleck in 2006, the IPAQ, validated and
adapted for the elderly in Brazil Mazo; Benedetti in 2010 and CCEB proposed by the National
Association of Companies Research (ANEP) that allowed to evaluate the economic
classification of the participants. To compare the quality of life scores, as well as compare the
weekly volume of each activity among the groups we used the unpaired t test. The result was
that elderly hypertensive patients have impaired quality of life, which corroborates the
hypothesis of this study and the two groups can be considered sedentary not shown
correlation of physical exercise with the quality of life. As the economic classification, the
elderly are poor, framed, therefore, in economy class D.
Longevity has important implications for the quality of life and may cause problems with
serious consequences in the different spheres of human life, such as physical, psychological
and social. For the elderly with hypertension, uncontrolled, more years lived, can mean more
years of suffering, since it becomes necessary to accept the disease and sudden change in
lifestyle. Therefore, the objective of this study was to compare the quality of life and level of
well-being in normotensive elderly and hypertensive elderly assisted in HIPERDIA Program.
It is a quantitative survey of cross-sectional design. The participants were 80 elderly residents
in the city of Barreiras-BA, aged over 60 years. Three instruments were used for data
collection: WOQOL-OLD questionnaire validated in Brazil by Fleck in 2006, the IPAQ,
validated and adapted for the elderly in Brazil Mazo& Benedetti in 2010 and CCEB proposed
by the Associa????o Nacional de Empresas de Pesquisa (ANEP) that allowed to evaluate the
economic classification of the participants. To compare the quality of life scores, as well as
compare the weekly volume of each activity among the groups we used the unpaired t test.
The result was that elderly hypertensive patients have impaired quality of life, which
corroborates the hypothesis of this study and the two groups can be considered sedentary not
shown correlation of physical exercise with the quality of life. As the economic classification,
the elderly are poor, framed, therefore, in economy class D. / A longevidade possui implica????es importantes para a qualidade de vida, podendo acarretar
problemas com consequ??ncias s??rias nas diferentes esferas da vida humana, como f??sica,
ps??quica e social. Para o idoso com doen??a hipertensiva, n??o controlada, mais anos vividos,
podem significar mais anos de sofrimento, uma vez que se torna necess??ria a aceita????o da
doen??a e a mudan??a brusca no estilo de vida. Por tanto, o objetivo deste estudo, foi comparar
a qualidade de vida de idosos normotensos com idosos hipertensos assistidos no Programa
HIPERDIA. Trata-se de uma pesquisa de quantitativa de delineamento transversal.
Participaram da pesquisa 80 idosos residentes no munic??pio de Barreiras-BA, com idade igual
ou superior a 60 anos. Foram utilizados tr??s instrumentos para a coleta de dados: question??rio
WOQOL-OLD, validado no Brasil por Fleck em 2006, o question??rio IPAQ, validado e
adaptado para o idoso no Brasil por Mazo; Benedetti em 2010 e CCEB proposto pela
Associa????o Nacional de Empresas de Pesquisa (ANEP) que permitiu avaliar a classifica????o
econ??mica dos participantes. Para comparar os escores de qualidade de vida, bem como,
comparar o volume semanal de cada atividade entre os grupos foi utilizado o teste t n??o
pareado. O resultado foi que idosos hipertensos possuem qualidade de vida prejudicada, o que
corrobora com a hip??tese deste estudo e os dois grupos podem ser considerados sedent??rios
n??o apresentado correla????o do exerc??cio f??sico com a qualidade de vida. Quanto a
classifica????o econ??mica, os idosos possu??am baixa renda, enquadrado, por tanto, na classe
econ??mica D.
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Doa????o de sangue em idosos: preval??ncia e rea????es adversas em hemocentro do Distrito FederalCarvalho, Priscila Oliveira de 15 August 2016 (has links)
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Previous issue date: 2016-08-15 / The increase in demand for blood from issues such as violence, traffic accidents, increasing
aging population, advances in medical technology and also the existence of policies that adopt
more rigorous for clinical screening of candidates for blood donation, can impact on
maintenance blood stocks in the country. With the expansion of the candidate's age to donate
blood up to 69 years, the elderly has become a potential contributor of transfusion services. In
this research, it was made a retrospective, comparative, descriptive, quantitative, based on the
analysis of existing secondary data in the computerized system of the Blood Center of Health
System of the Federal District. From notes inserted by the health team in the electronic
records were verified in the period January to December 2014, the records of adverse
reactions submitted to blood donation of 214 elderly donors, aged 60-69 years and 357 mature
adults, aged 50-59 years. They checked the prevalence of adverse reactions to the elderly
blood donation as the intensity and compared with a group of mature donors (50-59 years).
Among the elderly, the prevalent adverse reactions (3.27%) were classified as mild: low flow
(2.33%) and venous inaccessibility (0.93%). In the group 50-59 years had clinical
manifestations beyond mild reactions: low flow (2.24%), hematoma (0.28%), venous
inaccessibility (0.84%) 3 and sweating (0.28%). It was also observed moderate type of
reaction: convulsion (0.28%). The results point to a deficit in the notes of adverse events to
the donation by the health team from the records of donors. There is need to implement
strategies in the country to reach the elderly donors, as well as a review of the safety criteria
for blood donation in this age group. / O aumento nas demandas por sangue a partir de quest??es como viol??ncia, acidentes de
tr??nsito, crescente envelhecimento populacional e ainda a exist??ncia de pol??ticas que adotam
maior rigor para triagem cl??nica dos candidatos ?? doa????o de sangue podem impactar na
manuten????o de estoques de sangue no pa??s. Com a amplia????o da faixa et??ria do candidato ??
doa????o de sangue at?? os 69 anos, o idoso tornou-se um potencial colaborador dos servi??os de
hemoterapia. Nesta pesquisa foi feito um estudo retrospectivo, comparativo e descritivo, de
ordem quantitativa, a partir da an??lise de dados secund??rios existentes no sistema
informatizado de um Hemocentro do Sistema ??nico de Sa??de do Distrito Federal. A partir de
anota????es inseridas pela equipe de sa??de nos prontu??rios eletr??nicos verificados, no per??odo
de janeiro a dezembro de 2014, os registros de rea????es adversas apresentadas ?? doa????o de
sangue de 214 doadores idosos, com idade de 60 a 69 anos e 357 adultos maduros, com idade
de 50 a 59 anos. Foram verificados ?? preval??ncia das rea????es adversas ?? doa????o de sangue de
idosos quanto ?? intensidade e comparado com um grupo de doadores maduros (50 a 59 anos).
Entre os idosos, as rea????es adversas prevalentes (3,27%) foram as classificadas como de grau
leve: baixo fluxo (2,33%) e inacessibilidade venosa (0,93%). J?? no grupo de 50 a 59 anos
apresentaram manifesta????es cl??nicas al??m das rea????es leves: baixo fluxo (2,24%), hematoma
(0,28%), inacessibilidade venosa (0,84%) e sudorese (0,28%). Tamb??m foi observada tipo
moderado de rea????o: convuls??o (0,28%). Os resultados apontam para um d??ficit nas
anota????es dos eventos adversos ?? doa????o por parte da equipe de sa??de nos prontu??rios dos
doadores. H?? necessidade de implanta????o de estrat??gias no pa??s para alcan??ar os doadores
idosos, assim como revis??o dos crit??rios de seguran??a para doa????o de sangue neste grupo
et??rio.
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Aplicativo multim??dia em plataforma m??vel ???idoso ativo???: proposta de exerc??cio funcional de membros inferiores para idososSantos, Cl??udia M??rcia Ventura Teixeira 14 March 2016 (has links)
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Previous issue date: 2016-03-14 / In an attempt to adjust the technological advances of today the real growth of the elderly
population, in order to contribute to the aspect related to good physical health in the face of
changes resulting from the aging process, this study aimed to develop a multimedia
application for mobile platform exercises functional with an emphasis on lower limbs in the
elderly population. For the realization of this study was carried out a systematic review of the
main exercises used for postural control, balance and strength, which were selected by a team
of physiotherapists and organized in a practical way, with the heating steps, strengthening,
balance and relaxation, as most commonly used for this purpose. A table exercise was related
and organized in phases, stages and sequence of exercises to be performed. An old was
selected for performing and recording video of the exercises for post application. The
application was developed to display screens for easy access, targeting the elderly to
navigation, bringing recommendations screens, material to be used and a tutorial that teaches
the elderly to use the application. Each year posted shows the embodiment, and the
description in audio and written execution. Therefore, the elderly should perform your
registration and after the completion of the exercise, mark an effort scale return as answer to
the developer. Thus, application development "Active Aging" aims to contribute to the
practice of functional exercise, such as maintenance of functional capacity by stimulating
active aging. / Na tentativa de ajustar os avan??os tecnol??gicos da atualidade ao real crescimento da
popula????o idosa, de forma a contribuir no aspecto relacionado ?? boa sa??de f??sica frente ??s
altera????es decorrentes do processo de envelhecimento, este estudo teve como objetivo
desenvolver um aplicativo multim??dia em plataforma m??vel de exerc??cios funcionais com
??nfase em membros inferiores para a popula????o idosa. Para a efetiva????o deste estudo foi
realizada uma revis??o sistem??tica dos principais exerc??cios utilizados para o controle postural,
equil??brio e for??a, que foram selecionados por equipe de fisioterapeutas e organizados de
modo pr??tico, apresentando as etapas de aquecimento, fortalecimento, equil??brio e
relaxamento, como os mais utilizados para este objetivo. Uma tabela de exerc??cios foi
relacionada e organizada por fases, etapas e sequ??ncia de exerc??cios a serem realizados. Uma
idosa foi selecionada para a realiza????o e grava????o em v??deo dos exerc??cios propostos para
postagem no aplicativo. O aplicativo foi desenvolvido para apresentar telas de f??cil acesso,
direcionando o idoso ?? navega????o, trazendo telas de recomenda????es, material a ser utilizado e
um tutorial que ensina o idoso a utilizar o aplicativo. Cada exerc??cio postado mostra a forma
de realiza????o, assim como a descri????o em ??udio e escrita da execu????o. Para tanto, o idoso
deve realizar seu cadastro e depois da realiza????o do exerc??cio, assinalar uma escala de esfor??o
que retornar?? para o desenvolvedor como devolutiva. Desta forma, o desenvolvimento do
aplicativo ???Idoso Ativo???, visa contribuir com a pr??tica de exerc??cio funcional, como
manuten????o da capacidade funcional estimulando o envelhecimento ativo.
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Avalia????o da autoestima de pacientes idosos ap??s a instala????o de pr??teses dent??rias totais sobre implantesFerreira, Andrey Carneiro 07 December 2016 (has links)
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Previous issue date: 2016-12-07 / The loss of teeth or leakage of dentures in the elderly may compromise the masticatory
function the self-esteem and the level of satisfaction with life, and with the installation of
dental implants the patient has an improvement on masticatory function and nutritional level.
Objective: to evaluate the self-esteem and satisfaction with life of seniors who did dental
implant supported prosthesis total in the last 12 months, from rating scales. Materials and
methods: transversal descriptive quantitative research with a sample of 21 elderly patients and
data analysis were used to test t and X2, average, standard deviations and frequencies. Results:
participants presented themselves with high satisfaction with life (p = 0.87) and good selfesteem
(p = 0.72), related to the use of prosthesis. Regarding the prostheses. Conclusion: The
prostheses are important to the social conviviality, raising self-esteem and well being of the
patient and your satisfaction with life, since the patient perform the clinical follow-up and
perform periodic maintenance. / A perda de dentes ou a desadapta????o das pr??teses dent??rias no idoso pode comprometer a
fun????o mastigat??ria a auto estima e o n??vel de satisfa????o com a vida, e com a instala????o de
implantes dent??rios o paciente tem uma melhora na fun????o mastigat??ria e n??vel nutricional.
Objetivo: avaliar a autoestima e satisfa????o com a vida de idosos que fizeram pr??tese
dent??rias implanto suportada total nos ??ltimos 12 meses, a partir de escalas de avalia????o.
Materiais e m??todos: pesquisa descritiva transversal quantitativa com uma amostra de 21
pacientes idosos e para an??lise dos dados foram utilizados test t e X2 (qui-quadrado), m??dia,
desvios e frequ??ncias. Resultados: Os participantes apresentaram-se com elevada satisfa????o
com a vida (p= 0,87) e boa autoestima (p= 0,72), relacionada ao uso de pr??tese satisfat??ria.
Com rela????o as pr??teses. Conclus??o: As pr??teses s??o importantes para o conv??vio social,
elevando a autoestima e o bem estar do paciente e sua satisfa????o com a vida, desde que o
paciente realize o acompanhamento cl??nico e realize as manuten????es peri??dicas.
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Sa??de bucal de idosos e sua rela????o com a autopercep????o da sa??de bucal e qualidade de vidaChevalier, Anna Loianne Nogueira 01 December 2016 (has links)
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Previous issue date: 2016-12-01 / As the Brazilian population ages, there are projections which shows that in 2025 the country will have six elderly for two children. However, the government and the service providers are still not ready to receive this population group. For such reason, this work aimed at assessing the impact of the elderly???s oral health on their self-perception of oral health and quality of life, assessing the differences of oral health on self-perception and quality of life according to the sociodemographic variables, assessing the clinical differences according to the sociodemographic data and comparing the use, or lack thereof, of dental prosthesis with self-perception of oral health and quality of life. In order to do so, two questionnaires were applied, one for self-perception of oral health (Geriatric Oral Health Assessment Index), and the other for the assessment of the impact on quality of life (Short Term Oral Health Impact Profile) in a group of 200 elderly, aside from a clinical dental exam performed in all participants. A significant difference has not been observed when the impact of oral health on self-perception was assessed according to the sociodemographic variables, contrary to quality of life, as it has been observed that the groups with the highest incomes and school levels had a better oral health, and the group with poor oral health had an impact on quality of life. It has also been verified that there is an impact on self-perception in the elderly who use dental prosthesis and in the elderly who do not. However, in regards to quality of life, a significant difference has not been found between the same groups. There could be found 161 (80.5%) elderly using prosthesis, with 115 (71.4%) elderly with only one type and 45 (28%) with two types. The most utilized prosthesis were: in those who used one type, the PT (33%) and the PPR (28.7%); in those who used two types the PPR and PT, employed in 60% of them. Among the 106 (53%) elderly who did not have good oral hygiene, dental calculus (20%) and tongue coating (73,5%) were prevalent. Regarding the presence of caries: 69 (35.5%) presented at least one caries; 194 (97%) had already lost teeth ; and 161 (80%) had had a tooth filled. A significant difference (p=0.04) has been observed when comparing the GOHAI in the group of elderly who used and in the ones who did not use prosthesis. However, differences have not arisen when the same comparison was conducted by dividing the elderly according to age bracket, gender, schooling and financial income. In the OHIP-14, comparing the elderly who used prosthesis and the ones who did not, a significant difference has not appeared. Similarly, a significant difference has
not been found by dividing the elderly by gender and age bracket, but a significant difference has arisen when divided by schooling (p=0.006) and financial income (p=0.005). / Com o envelhecimento da popula????o brasileira, h?? proje????es que em 2025 o pa??s ter?? seis idosos para duas crian??as. Contudo o governo e os prestadores de servi??os ainda n??o est??o preparados para acolher esse grupo populacional. Por isso, esse trabalho teve como objetivos avaliar o impacto da sa??de bucal de idosos em sua autopercep????o da sa??de bucal e qualidade de vida, avaliar as diferen??as da sa??de bucal na autopercep????o e na qualidade de vida segundo as vari??veis sociodemogr??ficas, avaliar as diferen??as cl??nicas de acordo com os dados sociodemogr??ficos e comparar o uso ou n??o de pr??teses dent??rias com a autopercep????o de sa??de bucal e a qualidade de vida. Para isso foram aplicados dois question??rios, um para autopercep????o de sa??de bucal (Geriatric Oral Health Assessment Index) e outro para avalia????o do impacto na qualidade de vida (Short Term Oral Health Impact Profile) num grupo de 200 idosos. Al??m disso, foi realizado um exame cl??nico odontol??gico em todos os participantes. Observou-se n??o haver diferen??a significativa ao avaliar o impacto da sa??de bucal na autopercep????o segundo as vari??veis sociodemogr??ficas; ao contr??rio da qualidade de vida, em que os grupos com maior renda e escolaridade tiveram melhor sa??de bucal, e o grupo com sa??de bucal ruim teve impacto na qualidade de vida. Verificou-se tamb??m que existe um impacto na autopercep????o tanto de idosos que usam pr??teses dent??rias quanto nos idosos que n??o usam. Por??m, ao relacionar com a qualidade de vida, n??o houve diferen??a significativa entre os mesmo grupos. Encontraram-se 161 (80,5%) idosos usando pr??tese, sendo 115 (71,4%) com somente um tipo e 45 (28%) com dois tipos. As pr??teses mais utilizadas foram: naqueles que utilizavam um tipo, a PT (33%) e a PPR (28,7%); e naqueles que utilizavam dois tipos as PPR e PT, empregadas em 60% deles. Entre os 106 (53%) idosos que n??o faziam boa higiene bucal, predominaram o c??lculo gengival 40 (20%) e a saburra lingual 78 (73,5%). Com rela????o ?? presen??a de c??ries: 69 (35,5%) apresentaram pelo menos uma c??rie; 194 (97%) j?? tinham dentes
perdidos; e 161 (80%) j?? obturaram algum dente. Foi observada diferen??a significativa (p = 0,04) ao compararmos o GOHAI no grupo de idosos que utilizavam e nos que n??o usavam pr??teses. No entanto, n??o surgiram diferen??as quando esta mesma compara????o foi realizada dividindo os idosos segundo faixas et??rias, sexo, escolaridade e rendimento financeiro. No OHIP-14, comparando-se os idosos que utilizavam pr??tese e os que n??o a empregavam, n??o surgiu diferen??a significativa. Do mesmo modo, n??o foi encontrada diferen??a significativa dividindo os idosos por sexo e faixa et??ria, por??m surgiu diferen??a significativa quando divididos por escolaridade (p=0,006) e rendimento (p=0,005).
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Capacidade funcional de idosos longevos e sua rela????o com quedas, medo de cair e desempenho f??sicoGiuliani, Fernanda Nelli Gomes 06 December 2016 (has links)
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Previous issue date: 2016-12-06 / The increase in life expectancy and low fertility in recent years favors the
exponential growth of the elderly population, mainly of elderly people. The
maintenance of functional capacity is essential for maintaining good performance in
the activities of daily living and for the quality of life of these elderly people.
Functional ability may be influenced by some factors such as falls, fear of falling and
physical conditions of the individual. For this reason, the objective of this study was
to verify the functional capacity and its relationship with falls, fear of falling and
physical performance of oldest old who were aged at an outpatient clinic attended at
a health unit in the Federal District. It is a cross-sectional, exploratory and analytical
study. For the descriptive analysis of the sample, mean, standard deviation and
frequency were performed. Non-parametric tests such as Mann-Whitney, Kruskal-
Wallis, Chi-square and Pearson's correlation were applied. For the parametric tests,
the student's t-test was used for independent samples. The sample consisted of 50
elderly with aged 80 years or older. Of the elderly evaluated, 64% had partial
dependence on the instrumental activities and 82% were independent for the basic
activities of daily living. Functional capacity was not related to the history of fall nor to
the fear of falling and the physical performance of the elderly people who were longlived.
However, it was found that walking speed is related to the instrumental
activities of daily living. 54% of the elderly had moderate physical performance.
There was a prevalence of 1 fall in the 12-month period, with the majority stumbling
as the main reason, and most of the falls occurred within the elderly's residence. / O aumento da expectativa de vida e a baixa fecundidade nos ??ltimos anos, favorece
o crescimento exponencial da popula????o idosa, principalmente de idosos longevos. A
manuten????o da capacidade funcional ?? essencial para manuten????o do bom
desempenho na execu????o das atividades de vida di??ria e para boa qualidade de
vida desses idosos. A capacidade funcional pode ser influenciada por alguns fatores
como, quedas, medo de cair e condi????es f??sicas do indiv??duo. Por essa raz??o, o
objetivo desse estudo, foi verificar a capacidade funcional e sua rela????o com
quedas, medo de cair e desempenho f??sico de idosos longevos de perfil
ambulatorial, atendidos em uma unidade de sa??de do Distrito Federal. Trata-se de
um estudo transversal, explorat??rio e anal??tico. Para an??lise descritiva da amostra foi
feita m??dia, desvio padr??o e frequ??ncia. Foram aplicados testes n??o param??tricos
como Mann-Whitney, Kruskal- Wallis, Qui-quadrado e Correla????o de Pearson. Para
os testes param??tricos foi aplicado o teste t de student para amostras
independentes. A amostra foi composta por 50 idosos com idade igual ou superior a
80 anos. Dos idosos avaliados, 64% apresentaram depend??ncia parcial para as
atividades instrumentais e 82% eram independentes para as atividades b??sicas de
vida di??ria. A capacidade funcional n??o apresentou rela????o com o hist??rico de queda
nem com o medo de cair e o desempenho f??sico dos idosos longevos. Contudo
encontrou-se que a velocidade de marcha apresenta rela????o com as atividades
instrumentais de vida di??ria. 54% idosos longevos apresentaram desempenho f??sico
moderado. Encontrou-se preval??ncia de 1 queda, no per??odo de 12 meses, tendo a
maioria trope??o como principal motivo, e a maioria das quedas ocorreu dentro da
resid??ncia do idoso.
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Desenvolvimento de um aplicativo para dispositivos m??veis de avalia????o do equil??brio e risco de quedas em idososSampaio, Luisa Ver??ssimo Pereira 05 December 2016 (has links)
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Previous issue date: 2016-12-05 / Technological development in the area of health has allowed the improvement of
practices such as electronic patient records, access to various data, monitoring of
biological signs, imaging, training and planning procedures as well as diagnostic
support tools. In this context, the use of mobile devices such as the smartphone is an
area with great potential due to ease of handling and its computational capacity. This
work deals with the development and testing of an application for mobile devices
capable of capturing the oscillations of the human body at a static position through
accelerometer embedded in a smartphone for use by health professionals as a tool
for balance and fall risk assessment of the elderly. The bibliographic review proposed
in this paper confirms the competence of these instruments in the functional postural
evaluation of the elderly, balance and gait analysis. Based on the results of the
present study, the developed application was able to perform an assessment of the
body balance and classify the results into two groups of low and high fall risk. / No campo da sa??de, o desenvolvimento tecnol??gico permitiu o aperfei??oamento de
pr??ticas como o prontu??rio eletr??nico do paciente, acesso a bando de dados,
monitora????o de sinais biol??gicos, exames de imagem, treinamento e planejamento
de procedimentos bem como ferramenta de apoio diagn??stico. Sendo assim, o uso
de dispositivos m??veis como o smartphone ?? uma ??rea com grande potencial devido
a facilidade do manejo e sua capacidade computacional. Este trabalho trata do
desenvolvimento e teste de um aplicativo para dispositivos m??veis capaz de captar
as oscila????es do corpo humano na posi????o est??tica atrav??s de um aceler??metro
embutido em um smartphone para uso de profissionais da sa??de como ferramenta
de avalia????o do equil??brio e risco de queda de idosos. A revis??o liter??ria apresentada
neste trabalho confirma a compet??ncia destes instrumentos na avalia????o funcional
postural de idosos, do equil??brio e an??lise de marcha. Com base nos resultados do
presente estudo, o aplicativo desenvolvido foi capaz de realizar o teste do equil??brio
e classificar os avaliados em dois grupos de baixo e alto risco de queda.
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O Velho no espelho : um cidadão que envelheceuSant'Anna, Mara Rubia January 1996 (has links)
Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Filosofia e Ciencias Humanas / Made available in DSpace on 2012-10-16T10:38:13Z (GMT). No. of bitstreams: 0Bitstream added on 2016-01-08T21:07:16Z : No. of bitstreams: 1
103775.pdf: 3522982 bytes, checksum: 5956d28ffd80b7f9a81b98353f4b7581 (MD5) / Estudo historiográfico sobre as representações de velhice e velho construídas no Brasil, mediante o embate entre Estado, Gerontologia e os sujeitos idosos, durante a década de 1960. Discute, em especial, a constituição de uma cidadania regulada, que permeou toda a assistência social prestada ao velho, tanto quanto a reelaboração da auto-estima e do significado social deste sujeito, como também, das representações de sua velhice. Contempla a análise do papel da Gerontologia, da Previdência Social, das Constituições Nacionais e Catarinenses e dos Planos de Governo do período em estudo, na constituição deste novo sujeito social.
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