Submitted by Kelson (kelson@ucb.br) on 2016-08-10T18:59:09Z No. of bitstreams: 1 JulioCesardasNevesDissertacao2016.pdf: 2453492 bytes, checksum: 16fbfc7bb7d59d2a8f8daeb409caec9f (MD5) / Made available in DSpace on 2016-08-10T18:59:09Z (GMT). No. of bitstreams: 1 JulioCesardasNevesDissertacao2016.pdf: 2453492 bytes, checksum: 16fbfc7bb7d59d2a8f8daeb409caec9f (MD5) Previous issue date: 2016-02-19 / The present dissertation sought to present fairly straightforward doctrinal and jurisprudential debate about the tax immunity of private pension fund, maintained by philanthropic institution of education, nonprofit ??? for their employees. Where, initially, it was social solidarity, as constitutional basis to ensure a fair and egalitarian society. Then sought to introduce demographic scenario social security raised by the Brazilian Institute of geography and statistics-IBGE. Furthermore, it was held about explanation of constitutional power to tax immunities ??? emphasizing the constitutional and legislation infra-constitutional commandment that surround and permeate the pension funds. There was talk the sponsorship of private pension plans by Entity, non-profit education in favor of their employers. Already at the end were presented needs to have a corporate and social security governance of pension plans. And, in conclusion found that observing the commandments law, pension funds are effectively supported by the standard vaccines and lend themselves to an important role with regard to the political-administrative and social balance of the country. / A presente disserta????o buscou apresentar de forma bastante objetiva discuss??o doutrin??ria e jurisprudencial acerca da imunidade tribut??ria de fundo de previd??ncia complementar, mantido por institui????o filantr??pica de educa????o, sem fins lucrativos ??? para seus empregados. Onde, inicialmente, tratou-se da solidariedade social, como fundamento constitucional para garantir uma sociedade justa e igualit??ria. Em seguida, buscou-se apresentar o cen??rio demogr??fico previdenci??rio levantado pelo Instituto Brasileiro de Geografia e Estat??stica ??? IBGE. Ademais, foi realizada explana????o acerca das imunidades constitucionais ao poder de tributar ??? enfatizando o mandamento constitucional e a legisla????o infraconstitucional que cercam e permeiam os fundos de previd??ncia complementar em estudo. Falou-se ainda, do patroc??nio dos planos de previd??ncia complementar por Entidade de Educa????o, sem fins lucrativos em favor de seus empregadores. J?? na parte final foram apresentadas necessidades de se ter uma governan??a corporativa e previdenci??ria dos planos de previd??ncia complementar. E, na conclus??o constatou que observados os mandamentos legais, os fundos de pens??o efetivamente est??o amparados pela norma imunizante e, ainda, se prestam a um papel important??ssimo no que se refere ao equil??brio social e pol??tico-administrativo do pa??s.

Made available in DSpace on 2014-12-17T13:53:27Z (GMT). No. of bitstreams: 1 MarizethAB_DISSERT.pdf: 3110508 bytes, checksum: 278d10882caed9e1fce7006c1764fa9e (MD5) Previous issue date: 2010-09-10 / Self-efficacy, the construct developed by Albert Bandura in 1977 and widely studied around the world, means the individual's belief in his own capacity to successfully perform a certain activity. This study aims to determine the degree of association between sociodemographic characteristics and professional training to the levels of Self-Efficacy at Work (SEW) of the Administrative Assistants in a federal university. This is a descriptive research submitted to and approved by the Ethics Committee of UFRN. The method of data analysis, in quantitative nature, was accomplished with the aid of the statistical programs R and Minitab. The instrument used in research was a sociodemographic data questionnaire, variables of professional training and the General Perception of Self-efficacy Scale (GPSES), applied to the sample by 289 Assistants in Administration. Statistical techniques for data analysis were descriptive statistics, cluster analysis, reliability test (Cronbach's alpha), and test of significance (Pearson). Results show a sociodemographic profile of Assistants in Administration of UFRN with well-distributed characteristics, with 48.4% men and 51.6% female; 59.9% of them were aged over 40 years, married (49.3%), color or race white (58%) and Catholics (67.8%); families are composed of up to four people (75.8%) with children (59.4%) of all age groups; the occupation of the mothers of these professionals is mostly housewives (51.6%) with high school education up to parents (72%) and mothers (75.8%). Assistants in Administration have high levels of professional training, most of them composed two groups of servers: the former, recently hired public servants (30.7%) and another with long service (59%), the majority enter young in career and it stays until retirement, 72.4% of these professionals have training above the minimum requirement for the job. The analysis of SEW levels shows medium to high levels for 72% of assistants in administration; low SEWclassified people have shown a high average of 2.7, considered close to the overall mean presented in other studies, which is 2.9. The cluster analysis has allowed us to say that the characteristics of the three groups (Low, Medium and High SEW) are similar and can be found in the three levels of SEW representatives with all the characteristics investigated. The results indicate no association between the sociodemographic variables and professional training to the levels of self-efficacy at work of Assistants in Administration of UFRN, except for the variable color or race. However, due to the small number of people who declared themselves in color or black race (4% of the sample), this result can be interpreted as mere coincidence or the black people addressed in this study have provided a sense of efficacy higher than white and brown ones. The study has corroborated other studies and highlighted the subjectivity of the self-efficacy construct. They are needed more researches, especially with public servants for the continuity and expansion of studies on the subject, making it possible to compare and confirm the results / A autoefic?cia, construto desenvolvido por Albert Bandura desde 1977 e amplamente estudado no mundo todo, significa a cren?a do indiv?duo nas pr?prias capacidades de realizar com ?xito determinada atividade. O presente estudo tem por objetivo verificar o grau de associa??o entre as caracter?sticas sociodemogr?ficas e de capacita??o profissional com os n?veis de Autoefic?cia no Trabalho (AET) dos Assistentes em Administra??o de uma universidade federal. Trata-se de uma pesquisa descritiva, submetida e aprovada pelo Comit? de ?tica em Pesquisa da UFRN. O m?todo de an?lise de dados, de natureza quantitativa, foi efetivado com o aux?lio dos programas estat?sticos R e Minitab. O instrumento utilizado na investiga??o foi o question?rio de dados sociodemogr?ficos, vari?veis de capacita??o profissional e a Escala de Autoefic?cia Geral Percebida (EAEGP) aplicado ? amostra constitu?da por 289 Assistentes em Administra??o. As t?cnicas estat?sticas para a an?lise dos dados foram estat?stica descritiva, an?lise de agrupamentos, teste de confiabilidade (Alfa de Cronbach), teste de signific?ncia (Pearson). Os resultados mostram um perfil sociodemogr?fico dos Assistentes em Administra??o da UFRN com caracter?sticas bem distribu?das, sendo 48,4% homens e 51,6% mulheres; 59,9% deles t?m idade acima de 40 anos, casados (49,3%), de cor ou ra?a branca (58%) e religi?o cat?lica (67,8%); as fam?lias s?o compostas por at? quatro pessoas (75,8%), com filhos (59,4%) de todas as faixas et?rias; a ocupa??o das m?es destes profissionais ? na maioria do lar (51,6%), com escolaridade at? ensino m?dio completo para pais (72%) e m?es (75,8%). Os Assistentes em Administra??o apresentam n?veis de capacita??o profissional elevados; a maior parte deles comp?e dois grupos de servidores: o primeiro, com servidores contratados recentemente (30,7%) e outro com longo tempo de servi?o (59%); a maioria entra jovem na carreira e nela permanece at? a aposentadoria; 72,4% destes profissionais t?m forma??o acima do requisito m?nimo para o cargo. A an?lise dos n?veis de AET mostra n?veis M?dios e Altos para 72% dos Assistentes em Administra??o; as pessoas, classificadas com Baixa AET, apresentam uma AET m?dia de 2,7, considerada pr?xima ? m?dia geral, apresentada em outros estudos, que ? de 2,9. A an?lise de agrupamentos permite dizer que as caracter?sticas dos tr?s grupos (Baixa, M?dia e Alta AET) s?o semelhantes, podendo ser encontrados nos tr?s n?veis de AET representantes com todas as caracter?sticas investigadas. Os resultados indicam que n?o h? associa??o entre as vari?veis sociodemogr?ficas e de capacita??o profissional com os n?veis de autoefic?cia no trabalho dos Assistentes em Administra??o da UFRN, exceto em rela??o ? vari?vel cor ou ra?a. Contudo, em fun??o do n?mero reduzido de pessoas que se autodeclararam de cor ou ra?a preta (4% da amostra), esse resultado pode ser interpretado como mera casualidade ou as pessoas pretas abordadas no presente estudo apresentam um senso de efic?cia mais elevado do que brancos e pardos. O estudo corrobora outros estudos e evidencia a subjetividade do construto autoefic?cia. Mais pesquisas s?o necess?rias, principalmente com servidores, para a continuidade e amplia??o dos estudos sobre o tema, o que possibilitar? comparar e confirmar os resultados

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-01T19:24:53Z No. of bitstreams: 1 WagnerIvanFonsecaDeOliveira_DISSERT.pdf: 1988371 bytes, checksum: a07fe40eb2121344eae3a44c3e03b924 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-06T23:16:55Z (GMT) No. of bitstreams: 1 WagnerIvanFonsecaDeOliveira_DISSERT.pdf: 1988371 bytes, checksum: a07fe40eb2121344eae3a44c3e03b924 (MD5) / Made available in DSpace on 2016-04-06T23:16:55Z (GMT). No. of bitstreams: 1 WagnerIvanFonsecaDeOliveira_DISSERT.pdf: 1988371 bytes, checksum: a07fe40eb2121344eae3a44c3e03b924 (MD5) Previous issue date: 2015-06-09 / As Institui??es de Longa Perman?ncia para Idosos (ILPIs) s?o uma importante alternativa de cuidado em todo mundo, por?m o Brasil ainda n?o disp?e de instrumento v?lido para monitorar a qualidade dessas institui??es. Nos Estados Unidos, utiliza-se o Observable Indicators of Nursing Home Care Quality Instrument (IOQ) o qual avalia a qualidade do cuidado nas ILPIs a partir de 30 indicadores de estrutura (2 dimens?es) e processo (5 dimens?es) relacionados ? dimens?o da qualidade aten??o centrada na pessoa. Objetivou-se neste estudo adaptar transculturalmente o IOQ para avaliar a qualidade do cuidado das ILPIs no contexto brasileiro. Realizou-se a equival?ncia conceitual e de itens para avaliar a pertin?ncia e viabilidade do IOQ ? realidade nacional atrav?s do ?ndice de Validade do Conte?do (IVC) junto a um comit? de especialistas formado por 10 participantes e diretamente envolvidos com o objeto de estudo. Em seguida, cumpriu-se a equival?ncia operacional, idiom?tica e a sem?ntica concomitantemente. Esta constituiu-se em 5 fases: (1) duas tradu??es e (2) respectivas retradu??es; (3) aprecia??o formal referente ao significado referencial e geral; (4) revis?o por um segundo comit? de especialistas; (5) aplica??o do pr?-teste em tr?s ILPIs por pares de diferentes entes sociais: profissionais de sa?de, reguladores da vigil?ncia sanit?ria e potenciais consumidores. Avaliou-se a equival?ncia de mensura??o a partir do teste de alfa de Cronbach para verificar a consist?ncia interna do instrumento. Para mensurar a concord?ncia entre os pares de avaliadores, utilizou-se o ?ndice de Concord?ncia Geral (ICG) e o coeficiente Kappa. Estimou-se o cumprimento pontual e Intervalo de Confian?a 95% dos indicadores, dimens?es e construto total. O IVC apresentou resultados elevados tanto para relev?ncia (95,3%) quanto para viabilidade (94,3%) ao contexto brasileiro. Quanto ao significado referencial, observou-se similaridade variando entre 90-100% para a primeira retradu??o e 70-100% para a segunda. Com rela??o ao significado geral, a vers?o 1 foi melhor avaliada, recebendo classifica??o ?inalterado? em 80% dos itens, enquanto a vers?o 2 apresentou apenas 47%. No pr?-teste, o IOQ mostrou-se compreens?vel e de f?cil aplica??o. Obteve-se um alfa de Cronbach elevado (0,93), ICG satisfat?rio (75%) e concord?ncia substancial atrav?s do coeficiente Kappa (0,65) entre os pares de avaliadores: profissionais de sa?de, reguladores da Subcoordenadoria da Vigil?ncia Sanit?ria (SUVISA) e potenciais consumidores. ? poss?vel assumir a equival?ncia operacional realizada uma vez que se preservou o layout do instrumento original na vers?o brasileira a partir da manuten??o das caracter?sticas no modo de aplica??o, op??es de respostas, n?mero de itens, enunciados e pontua??es. O desempenho das ILPIs obteve m?dia aproximada de 87 pontos, apresentando uma varia??o de 55 a 111, considerando uma escala de 30 a 150. Piores resultados estiveram relacionados ao processo (m?dia=2,85), enquanto a estrutura obteve uma m?dia de 3,75, considerando uma escala de 1 a 5. A menor pontua??o foi alusiva ? dimens?o referente ? presta??o de cuidados (m?dia=2). Identificou-se o IOQ como sendo v?lido e confi?vel no contexto brasileiro. Sugere-se o uso para avaliar e monitorar a qualidade do cuidado nas ILPIs por profissionais de sa?de, reguladores e potenciais consumidores e evidenciar oportunidades de melhoria. / The Nursing Homes are an important alternative care in the world, but Brazil still has no valid instrument to monitor the quality these institutions. In the United States, the Observable Indicators of Nursing Home Care Quality Instrument (OIQ) is used to assess the quality of Nursing Home care using 30 indicators of structure (2 dimensions) and process (5 dimensions) related to quality person-centered care. The present study aimed at cross-culturally adapting the OIQ in order to evaluate the quality of Nursing Home care in Brazil. Conceptual and item equivalence were determined to assess the relevance and viability of OIQ in the Brazilian context, using the Content Validity Index (CVI) and a group of specialists composed of 10 participants directly involved in the object of study. Next, operational, idiomatic and semantic equivalence were carried out concurrently. This consisted of 5 phases: (1) two translations and (2) their respective back translations; (3) formal appraisal of referential and general meaning; (4) review by a second group of specialists; (5) application of the pretest at three Nursing Homes by different social entities: health professionals, sanitary surveillance regulators and potential consumers. Measurement equivalence was evaluated by the Cronbach?s alpha test to verify the internal consistency of the instrument. To measure inter-evaluator agreement, the General Agreement Index (ICG) and Kappa coefficient were used. Timely compliance and 95% Confidence Interval of indicators, dimensions and total construct were estimated. The CVI obtained high results for both relevance (95.3%) and viability (94.3%) in the Brazilian context. With respect to referential meaning, similarity was observed, ranging between 90-100% for the first back translation and 70-100% for the second. In relation to general meaning, version 1 was better, classified as ?unchanged? in 80% of the items, whereas in version 2 it was only 47%. In the pretest, the OIQ was easy to understand and apply. The following outcomes were obtained: a high Cronbach?s alpha (0.93), satisfactory ICG (75%) and substantial agreement between the pairs of evaluators (health professionals, regulators from the Superintendency of Sanitary Surveillance ?SUVISA-, and potential consumers), according to the Kappa coefficient (0.65). It?s possible take the operational equivalence held since it preserved the original layout in the Brazilian version from the maintenance in application mode, response options, number of items, statements and scores. The performance of nursing homes obtained approximate average scores of 87, a variation 55-111 considering a range from 30 to 150 points. The worst outcomes were related to process indicators with a mean of 2.8 per item, while structure was 3.75 on a scale of 1 to 5. The lowest score was obtained for the care dimension (mean 2). The OIQ version was deemed to be a valid and reliable instrument in the Brazilian context. It is recommended that health professionals, regulators and potential consumers adopt it to access and monitor the quality of Nursing Home care and demonstrating opportunities for improvement.

Made available in DSpace on 2014-12-17T14:53:01Z (GMT). No. of bitstreams: 1 AlexandroVR_DISSERT.pdf: 1186041 bytes, checksum: 362e6709ac68ec240071d99611e3ae39 (MD5) Previous issue date: 2011-04-07 / With the increasing offer of education services in Brazil, it is necessary to evaluate the quality of service in education, especially in those institutions for vocational education which have a greater interaction with the labor market, in order to form qualified professionals and meet the growing demand that the country has today[A1] . In Brazil, the evaluation of the quality of library services has influenced the assessment of educational institutions and in this context, there needs to be a process to monitor the quality of services provided by libraries. However, the service is not done in a single moment and thus to a more detailed assessment it needs to be measured and evaluated each different time the customer uses it. Therefore, the aim of this work consists in measuring the quality in every moment of truth of a cycle of library services to assess which are the most relevant moments in the client's perspective at the library of the Federal Institute of Education, Science and Technology of Rio Grande do Norte (IFRN) Campus Jo?o C?mara in building the overall quality of service. In the literature review, internal secondary sources were used, from the database of the institution studied, and also external sources, through literature in books, articles, dissertations, theses and journals on compost quality, service quality, cycle services, measuring quality, satisfaction, teaching activities, and on library services specifically. We applied a questionnaire to students in the library based on models of quality measurement SERVPERF and SERVQUAL and its variations such as SERVQUAL pondered and SERVPERF pondered . Through analysis based on concepts of reliability and validity of measuring instruments, it was found that the SERVPERF model is the instrument that most closely matches the dimensions of quality assessed in the library with customer satisfaction measured by the questionnaire. From there, the search results as measured by statistical techniques of analysis, indicated that the initial and final moments of truth of the cycle of service quality had the greatest influence on overall customer satisfaction with the library service / Com a crescente oferta de servi?os de ensino no Brasil, torna-se necess?rio avaliar a qualidade do servi?o prestado na educa??o, especialmente ?quelas institui??es voltadas para o ensino profissionalizante, na qual h? uma maior intera??o entre estas e o mercado de trabalho, no sentido de formar profissionais qualificados e que atendam ? crescente demanda que o pa?s apresenta atualmente. No Brasil, a avalia??o da qualidade de servi?os em bibliotecas tem influenciado nas avalia??es das institui??es de educa??o e, neste contexto, necessita-se que exista um processo para monitorar a qualidade dos servi?os prestados pelas bibliotecas. Entretanto, o servi?o n?o ? realizado em um ?nico momento e, portanto, para uma avalia??o mais detalhada, precisa ser medido e avaliado em cada um dos momentos em que ? prestado para o seu cliente. Portanto, o objetivo deste trabalho consiste na medi??o da qualidade em cada momento da verdade de um ciclo de servi?os de uma biblioteca para avalia??o de quais momentos s?o mais relevantes sob a vis?o do cliente da biblioteca do Instituto Federal de Educa??o, Ci?ncia e Tecnologia do Rio Grande do Norte (IFRN) Campus de Jo?o C?mara na constru??o da qualidade total do servi?o. Na revis?o bibliogr?fica, foram utilizadas fontes secund?rias internas, provenientes da base de dados da institui??o de ensino pesquisada; e externas, por meio de pesquisa bibliogr?fica em livros, artigos, disserta??es, teses e revistas sobre o composto de qualidade, qualidade em servi?os, ciclo de servi?os, medi??o de qualidade, satisfa??o, atividade de ensino, e sobre os servi?os de biblioteca especificamente. Aplicou-se um question?rio aos alunos da biblioteca baseado nos modelos de medi??o da qualidade SERVQUAL e SERVPERF e suas varia??es como SERVQUAL ponderado e SERVPERF ponderado e, atrav?s de an?lises baseada nos conceitos de confiabilidade e validade de instrumentos de medi??o, encontrou-se que o modelo SERVPERF como o instrumento que mais se aproxima ?s dimens?es da qualidade avaliada na biblioteca com a satisfa??o avaliada pelo cliente no question?rio. A partir da?, os resultados da pesquisa, avaliado atrav?s de t?cnicas estat?sticas de an?lise, indicaram que os momentos da verdade iniciais e finais do ciclo de servi?o apresentou maior influ?ncia da qualidade sobre a satisfa??o geral do cliente com o servi?o de biblioteca

Made available in DSpace on 2014-12-17T15:16:14Z (GMT). No. of bitstreams: 1 CristinaMAH_DISSERT.pdf: 984384 bytes, checksum: dfe0fc420bd6e5c96fec7d33e3020b1d (MD5) Previous issue date: 2011-03-04 / Introduction: The Frailty Syndrome is characterized by the decrease of energy reserve and the reduced resistance to stressors. Studies indicate that the neuroendocrine markers can be related to the appearance of this syndrome. The main endocrine answer to stress is the increase of cortisol levels. Objective: To analyze the correlation between the frailty syndrome the salivary cortisol in elderly residing in nursing homes. Method: A traversal study was accomplished, in Jo?o Pessoa city, PB, with a sample composed by 69 institutionalized elderly. The collected data refer to the frailty phenotype (weight loss, exhaustion, slowness, weakness, and lower level of physical activity) and to salivary cortisol parameters (first measure - 6-7h; second measure - 11-12h; third measure - 16-17h). In the statistical analysis the Pearson s correlation test was used, Chi square Test and Anova and Simple Linear Regression analyses. Results: The sample was composed by 37.7% of men and 62.3% of women, with age average of 77.52 (?7.82). There was a percentile of 45.8% frail elderly. The frail elderly obtained higher cortisol values in the third measure (p=0.04) and the frailty load was significantly associated to the first measure (r=0.25, p=0.04). The simple linear regression analysis presented a determination rate (R2=0.05) between frailty load and first cortisol measure. Conclusion: The largest cortisol values in the morning and before sleeping among the frail elderly supply indications that can have a relationship of cortisol increase levels and the frailty presence in elderly from nursing homes. / Introdu??o: A S?ndrome da fragilidade ? caracterizada pela diminui??o da reserva de energia e pela resist?ncia reduzida aos estressores. Estudos indicam que os marcadores neuroend?crinos podem estar relacionados ao surgimento desta s?ndrome. A principal resposta end?crina ao estresse ? o aumento dos n?veis de cortisol. Objetivo: Analisar a correla??o entre a s?ndrome da fragilidade e o cortisol salivar em idosos residentes em institui??es de longa perman?ncia. M?todo: Foi realizado um estudo transversal, na cidade de Jo?o Pessoa-PB, com uma amostra composta de 69 idosos institucionalizados. Os dados coletados referem-se ao fen?tipo de fragilidade (perda de peso, fadiga, lentid?o fraqueza, e baixo n?vel de atividade f?sica) e aos par?metros do cortisol salivar (primeira medida 6-7h; segunda medida 11-12h; terceira medida- 16-17h). Na an?lise estat?stica utilizou-se o teste de correla??o de Pearson, Teste Qui quadrado e Anova. Posteriormente a an?lise de Regress?o Linear simples. Resultados: A amostra foi composta de 37,7% de homens e 62,3% de mulheres, com m?dia de idade de 77,52 (?7,82). Houve um percentual de 45,8% de idosos fr?geis. Os idosos fr?geis obtiveram maiores valores de cortisol na terceira medida (p=0,04) e a carga de fragilidade esteve associada significativamente ? primeira medida (r=0,25, p=0,04). A an?lise de regress?o linear simples apresentou uma taxa de determina??o (R2=0,05), entre carga de fragilidade e primeira medida de cortisol. Conclus?o: Os maiores valores de cortisol pela manh? e antes de dormir entre os idosos fr?geis fornecem ind?cios de que possa haver uma correla??o positiva entre os n?veis de cortisol e a fragilidade em idosos de institui??es de longa perman?ncia.

Made available in DSpace on 2014-12-17T15:25:11Z (GMT). No. of bitstreams: 1 JanioGB.pdf: 476703 bytes, checksum: bde8fd526772356f257cdebb94fc6c26 (MD5) Previous issue date: 2008-09-01 / This work is a result of an research that aims to understand in which way the work The Ancient City of the French historian Fustel de Coulanges built a moral model for the institutions and for the construction of the French territory in the century XIX understood like The Modern City . Our intention is to present a study on the way like the ancient city it was built, when nationalist of century XIX is taking into account his connections with the space reforms and the discussion in France. In this sense, we go besides the works of the historiography of the century XIX on this subject and of the articles and tests of the beginning of the century XX, when urbanity planner tied the narrative Scientifics of Fustel with the discussion in France of this period and his contribution, through this connection between history and space, with the national education of the individuals and the formation of the French identity. In this way, we understand which History, Nation and Space were the bases of sustenance of the theory of Coulanges about The Ancient City and of the formation of the French territory. Besides, the discussion historiography between Frenchmen and Germans on the origins of his respective nations influenced Coulanges the perspective of narrating a history of the Antiquity, taking into account the cultural approach of the past and the modern Institutions / Esta pesquisa busca compreender de que maneira a obra Cidade Antiga do historiador franc?s Fustel de Coulanges construiu um modelo moral para as institui??es e para a constru??o do territ?rio franc?s no s?culo XIX, entendido como A Cidade Moderna . Nosso intuito ? apresentar um estudo sobre a maneira como a cidade antiga foi constru?da, levando em considera??o suas liga??es com as reformas espaciais e o debate nacionalista do Oitocentos na Fran?a. Nesse sentido, vamos al?m das obras da historiografia do s?culo XIX sobre esse tema e dos artigos e ensaios do come?o do s?culo XX, ao ligarmos a narrativa cientificista de Fustel com o debate urbanista na Fran?a desse per?odo e sua contribui??o, atrav?s dessa liga??o entre hist?ria e espa?o, com a instru??o nacional dos indiv?duos e a forma??o da identidade francesa. Desse modo, entendemos que Hist?ria, Na??o e Espa?o foram as bases de sustenta??o da tese de Coulanges acerca da Cidade Antiga e da forma??o do territ?rio franc?s. Al?m disso, o debate historiogr?fico entre franceses e alem?es sobre as origens de suas respectivas na??es influenciaram Coulanges na perspectiva de narrar uma hist?ria da Antiguidade, levando em considera??o a abordagem cultural do passado e as Institui??es modernas

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-27T14:20:58Z No. of bitstreams: 1 FabienneLouiseJuvencioPaesDeAndrade_TESE.pdf: 1561318 bytes, checksum: 80c7dc22ce094332bc25950a71f37f1f (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-31T15:53:29Z (GMT) No. of bitstreams: 1 FabienneLouiseJuvencioPaesDeAndrade_TESE.pdf: 1561318 bytes, checksum: 80c7dc22ce094332bc25950a71f37f1f (MD5) / Made available in DSpace on 2017-01-31T15:53:29Z (GMT). No. of bitstreams: 1 FabienneLouiseJuvencioPaesDeAndrade_TESE.pdf: 1561318 bytes, checksum: 80c7dc22ce094332bc25950a71f37f1f (MD5) Previous issue date: 2016-07-01 / O acelerado processo de envelhecimento da popula??o brasileira est? associado ao incremento das doen?as cr?nicas n?o transmiss?veis, tornando cada vez maior a demanda por servi?os de sa?de. As taxas de interna??o hospitalar de idosos s?o mais elevadas do que as observadas em outros grupos et?rios, principalmente entre aqueles que residem em Institui??es de Longa Perman?ncia para Idosos (ILPI), devido ? maior vulnerabilidade e fragilidade destes. Nesse sentido, o objetivo do presente estudo foi verificar a incid?ncia e fatores de risco para hospitaliza??o em idosos institucionalizados da cidade do Natal/RN. Trata-se de estudo de coorte prospectivo, realizado entre outubro de 2013 a janeiro de 2015, com dura??o de 12 meses de acompanhamento, composto por idosos com 60 anos e que residiam nas 10 ILPI participantes do estudo. Na coleta dos dados inicial, foram obtidas informa??es sociodemogr?ficas, relacionadas ? institui??o e condi??es de sa?de. No per?odo do seguimento, foi observada a ocorr?ncia de hospitaliza??o, bem como a incid?ncia de quedas e fraturas, decl?nio da capacidade cognitiva, mobilidade, contin?ncia (urin?ria e/ou fecal) e informa??es referentes ? medica??o. Os dados foram coletados dos prontu?rios e diretamente com o idoso ou profissionais da sa?de. Foi realizada an?lise m?ltipla de regress?o log?stica, utilizando-se o m?todo Stepwise Forward, considerando o n?vel de signific?ncia de 5% e intervalo de confian?a (IC) de 95%. Dos 320 idosos participantes, houve predom?nio de idosos do sexo feminino (75,3%), com idade m?dia de 81,4 anos (DP: 9,0). Destes, 20,6% (IC 95%: 16,5-25,4) foram hospitalizados, com a perman?ncia m?dia de 16,1 dias (DP: 17,1). A principal causa da hospitaliza??o foram as doen?as pulmonares (30,3%). O modelo final mostrou que a presen?a de desnutri??o ou risco de desnutri??o (p=0,016) e fazer uso de medicamentos para o sistema cardiovascular (p=0,003) foram fatores de risco para a hospitaliza??o, ajustados pela idade, sexo e tipo de institui??o. Estes achados apontam uma alta incid?ncia de hospitaliza??o entre os idosos institucionalizados. Al?m disto, a desnutri??o ou risco de desnutri??o e o uso de medicamentos cardiovasculares foram considerados fatores de risco para a hospitaliza??o. Assim, h? a necessidade de maior aten??o na avalia??o multiprofissional, bem como nas interven??es e servi?os prestados aos idosos institucionalizados. / The accelerated aging process of the Brazilian population is associated with an increase in non-transmissible chronic diseases, which in turn increases the demands for health services. The hospitalization rates of older adults are higher than what is observed in other age groups, especially in those that reside in Long Term Institutions for the Elderly (LTIE), due to inherent vulnerability and frailty of these individuals. The objective of the work presented herein was to verify the incidence and risk factors associated with the hospitalization of institutionalized older adults in the city of Natal/RN, Brazil. A prospective cohort study, conducted from october 2013 to january 2015, was carried out throughout a monitoring period of 12 months, with older adults over the age of 60, who resided in the 10 LTIE that accepted to participate in the study. Initial data collection included sociodemographic information related to the institution and health conditions. In the period of follow-up, was observed the incidence of hospitalization, and the incidence of falls and fractures, decline in cognitive ability, mobility, continence (urinary and / or fecal) and information relating to the medication. Data were collected from medical records and directly with the elderly or health professionals. The Stepwise Forward method was utilized for Multiple Logistic Regression Analysis, with a 5% significance level and confidence interval (CI) 95%. Of the participating 320 elderly, there was a predominance of females (75.3%), average age 81.4 years (Standard Deviation, SD: 9.0). Of these, 20.6% (CI 95%: 16,5-25,4) were hospitalized, with an average permanence time of 16,1 days (SD: 17.1). The main hospitalization cause was pulmonary disease (30.3%). The final model showed that malnutrition or risk of malnutrition (p=0.016) and the use of medication for the cardiovascular system (p=0.003) were risk factors for hospitalization, adjusted by age, sex and type of institution. These findings indicate a high incidence of hospitalization in institutionalized elderly. Malnutrition or risk of malnutrition and the use of cardiovascular medication were considered to be risk factors for hospitalization. There is a clear need for increased attention in multiprofessional evaluation, as well in interventions and services rendered to institutionalized elderly.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-10T16:52:35Z No. of bitstreams: 1 JavierJerezRoig_TESE.pdf: 3511641 bytes, checksum: 4ae07f46d035d68bf8ef148cfa29afe2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-10T22:20:22Z (GMT) No. of bitstreams: 1 JavierJerezRoig_TESE.pdf: 3511641 bytes, checksum: 4ae07f46d035d68bf8ef148cfa29afe2 (MD5) / Made available in DSpace on 2017-02-10T22:20:22Z (GMT). No. of bitstreams: 1 JavierJerezRoig_TESE.pdf: 3511641 bytes, checksum: 4ae07f46d035d68bf8ef148cfa29afe2 (MD5) Previous issue date: 2016-08-23 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O presente trabalho teve como objetivos principais: verificar a preval?ncia de incapacidade funcional (IF) para as atividades b?sicas da vida di?ria (ABVD) e os fatores associados (Estudo 1), assim como verificar a incid?ncia de decl?nio funcional e os fatores progn?sticos de decl?nio funcional (Estudo 2) em idosos institucionalizados. A amostra do trabalho foi formada por indiv?duos de 60 anos ou mais pertencentes a 10 institui??es de longa perman?ncia para idosos (ILPI) da cidade do Natal/RN, sendo exclu?dos os hospitalizados ou em processo de cuidados paliativos. O Estudo 1 ? de tipo transversal (Outubro e Dezembro de 2013) e foi avaliada a IF mediante a escala de Katz e caracterizada quando houve limita??o em uma ou mais ABVD (alimenta??o, controle de esf?ncteres, transfer?ncias posturais, higiene pessoal, capacidade para se vestir e tomar banho). Como vari?veis independentes foram consideradas as sociodemogr?ficas, as relacionadas ? institui??o e ?s condi??es de sa?de. Usaram-se o teste qui-quadrado, teste de Fisher ou teste qui-quadrado de tend?ncia linear para a an?lise bivariada, assim como a regress?o log?stica para a multivariada. A amostra foi de 321 idosos e a preval?ncia de IF de 72,9% (IC 95%: 67,8-77,5%). A tarefa mais afetada foi o ?banho?, seguido por ?vestir-se? e ?ir ao banheiro?. O modelo final constatou associa??o com a institui??o de tipo privado (RP=1,33, p<0,001), idade igual ou superior a 83 anos (RP=1,26, p=0,003), ser institucionalizado por n?o ter cuidador (RP=1,17, p=0,033) e osteoporose (OR=1,23, p=0,045), ajustado por sexo. O Estudo 2 ? longitudinal de 24 meses de acompanhamento com intervalos de follow-up de 6 meses (5 ondas). Al?m dos crit?rios aplicados no Estudo 1, foram exclu?dos aqueles que apresentavam IF para todas as ABVD (banho, higiene pessoal, vestir-se, ir ao banheiro, caminhar, transfer?ncias posturais e comer) no in?cio do estudo. Foi considerada a presen?a de decl?nio funcional quando houve redu??o na pontua??o total das ABVD, as quais foram avaliadas mediante uma escala tipo Likert de 5 pontos. Foram analisadas todas as vari?veis independentes do Estudo 1, mais o estado de mobilidade, cognitivo (teste de Pfeiffer), h?bitos t?xicos e atividade f?sica, al?m de vari?veis dependentes do tempo. Para a an?lise estat?stica, foi utilizado o m?todo atuarial, o teste log-rank, a an?lise univariada de Cox e a regress?o de Cox. A coorte esteve composta por 280 idosos: 140, 50,0% (IC 95%: 44,2-55,8%), sofreram decl?nio funcional, 94, 33,6% (IC 95%: 28,3-39,3%) mantiveram a capacidade funcional, e 40, 14,3% (IC 95%: 10,7-18,9%), apresentaram melhora funcional em uma ou mais avalia??es. A probabilidade acumulada de manuten??o funcional foi de 44,0% (IC 95%: 37,7-50,2%) aos 24 meses. A capacidade de se alimentar foi a que apresentou maior decl?nio durante o per?odo (-0,54 pontos), seguido por deambula??o (-0,43), vestir-se (-0,35), transfer?ncias posturais (-0,31), banho (-0,29), higiene pessoal (-0,24) e ir ao banheiro (-0,22). O modelo multivariado mostrou que os fatores predictores de decl?nio funcional foram a incapacidade cognitiva grave (HR=1,98; p=0,003), decl?nio da contin?ncia (HR=1,70; p=0,013) e incid?ncia de hospitaliza??es (HR=1,65; p=0,023). / The main objectives of this work were: to verify the prevalence of functionaldisability (FD) inthe basic activities of daily living (BADL) and its associated factors (Study 1) and verify the incidence of functional decline and predictor factors of functional decline (Study 2) in institutionalized older people. The sample of the study was formed by individuals aged 60 years and over belonging to 10 nursing homes (NH) in Natal/RN, being excluded hospitalized or palliative care residents. The Study 1 is a cross-sectional study (October-December 2013) and FD was evaluated by Katz scale and characterized when there was limitation in one or more BADL (eating, sphincter control, transferring, personal hygiene, dressing and bathing). As independent variables sociodemographic, instituition-related health-related variables were considered. The Chi-square test, Fisher's exact test or the linear Chi-square test for the bivariate analysis and logistic regression for multivariate analysis were applied. The sample consisted of 321 individuals and the prevalence of FD was 72.9% (95% CI: 67.8-77.5%). The most affected task was 'bathing', followed by 'dressing' and 'toileting.' The final model found association with private NH (PR=1.33, p<0.001), age 83 and over (RP=1.26, p=0.003), reason for institutionalization ?lack of caregiver? (RP=1.17, p=0.033) and osteoporosis (RP=1.23, p=0.045), adjusted by sex. The Study 2 is a 24-months longitudinal study with follow-up every 6 months (5 waves). Apart from the criteria considered in the Study 1, residents with FD for all BADL (bathing, personal hygiene, dressing, toileting, walking, transferring and eating) at baseline were excluded. The presence of functional decline was defined when there was a reduction the total score of BADL, which were assessed by a 5-point Likert scale. All independent variables of the Study 1 were considered, as well asthe mobility status, cognitive status (Pfeiffer test), toxic habits, physical activity and time-dependent variables. Statistical analysis was performed using the actuarial method, log-rank test, Cox univariate analysis and Cox regression. The cohort was composed of 280 individuals: 140, 50.0% (95% CI: 44.2-55.8%) experienced functional decline; 94, 33.6% (95% CI: 28.3-39.3%), maintained their functional capacity, and; 40, 14.3% (95% CI: 10.7-18.9%), showed functional improvement at one or more waves. The cumulative probability of functional maintenance was 44.0% (95% CI: 37.7-50.2%) at 24 months. The ability to eat showed the largest decline during the period (-0.54 points), followed by walking (-0.43), dressing (-0.35), transferring (-0.31), bathing (-0.29), personal hygiene (-0.24) and toileting (-0.22). The final model showed that the predictors factors of functional decline were severe cognitive impairment (HR=1.96, p=0.001), continence decline (HR=1.85, p=0.002) and incidence of hospitalizations (HR=1.62, p=0.020).

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-06-02T22:20:33Z No. of bitstreams: 1 JosadaqueAlbuquerqueDaSilvaPires_DISSERT.pdf: 2007997 bytes, checksum: b6ce5e5b2886b57f686ce947c61aac22 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-06-08T21:05:09Z (GMT) No. of bitstreams: 1 JosadaqueAlbuquerqueDaSilvaPires_DISSERT.pdf: 2007997 bytes, checksum: b6ce5e5b2886b57f686ce947c61aac22 (MD5) / Made available in DSpace on 2017-06-08T21:05:09Z (GMT). No. of bitstreams: 1 JosadaqueAlbuquerqueDaSilvaPires_DISSERT.pdf: 2007997 bytes, checksum: b6ce5e5b2886b57f686ce947c61aac22 (MD5) Previous issue date: 2016-08-27 / Esta disserta??o enfoca uma proposta de investiga??o com metodologia de pesquisa a??o; sobre o denominado ser louco, sua corporeidade e as rela??es intersubjetivas que esses corpos travam e que se revelam na cena cotidiana de uma institui??o psiqui?trica, quando em contato direto com processos art?sticos de instaura??es de cenas; lembrando sempre que, esses corpos sob o signo da loucura lidam com o estigma.Trata-se de pesquisar o modo de ser corporalmente predominante por restri??es e desorganiza??o na rela??o que essas pessoas t?m com o outro, com o tempo e com o espa?o, para tanto observa-se o modo como esses corpos se estruturam e se movimentam nos espa?os sociais que parecem estar impregnados por uma ideologia de valores, cren?as e preconceitos adquiridos no processo hist?rico-social. O tratamento dado ao louco ? definido historicamente por uma pr?tica de exclus?o e pela diferen?a que faz do louco um ser desprovido de raz?o e consci?ncia, amoral e nocivo, e deste modo, a discrimina??o ? efetivada pelo controle atrav?s do enclausuramento e/ou da medica??o exacerbada; As marcas cru?is desta ideologia opressora que caracterizam a hist?ria da loucura, onde o louco ainda ocupa o lugar do oprimido, s?o vis?veis neste recorte pesquisado e percebidas nas gestualidades e express?es orais e corporais; A hist?ria desses corpos s?o presentificadas em dramas narrados e pela carga emocional impregnada nos gestos, na tonalidade da voz em falas, cantos e gritos que se revelam na cena cotidiana. Deste modo, este trabalho se prop?e a uma articula??o entre loucura e arte e para isto, procura-se encontrar conex?es entre conceitos e quest?es que permeiam o tema da loucura e os processos de cria??o, enfatizando a import?ncia do contato e da viv?ncia humana com a linguagem da arte atrav?s do contato dos internos no Hospital Psiqui?trico Dr. Jo?o Machado com a coliga??o Cruor Arte Contempor?nea, grupo permanente de Arte e Cultura, residente no DEART/UFRN, grupo de pr?tica c?nica do N?cleo Transdisciplinar de Pesquisa em Artes C?nicas e Espetaculares. Articular arte e loucura neste estudo est? vinculado a experi?ncia vivida na intera??o desses corpos nos encontros. Trata-se da rela??o desses corpos rotulados e institucionalizados nomeados como doentes mentais, por terem um hist?rico de enclausuramento em interna??es hospitalares, denominadas de manic?mio, que cont?m uma cultura de controle social coercitivo. Investiga-se o encontro os corpos de artistas que trazem em si a experi?ncia da arte e a partir dai se pensa na possibilidade de uma est?tica existencial das rela??es entre corpo, espa?o, tempo e movimento nas institui??es totalit?rias e em um sentido mais amplo, nas condi??es determinadas historicamente ao louco, marcadas pelo abandono e aus?ncia desse corpo, como tamb?m pela desorienta??o temporal e espacial, para tanto tenho o aporte da Psicologia Corporal em uma leitura fenomenol?gica existencial e da Psicologia Anal?tica atrav?s do estudo do significado dos s?mbolos na rela??o do ser humano consigo mesmo e com o ambiente. Essas perspectivas te?ricas apresentadas foram escolhidas por trazerem contribui??es para o estudo do ser humano em seus aspectos simb?licos, corporais e existenciais sob a ?tica da arte. Estudos estes, essenciais para a constru??o da experi?ncia fenomenol?gica do sujeito enquanto trajeto de vida, em sua rela??o consigo mesmo e com o outro atrav?s da viv?ncia da loucura com a presen?a da arte. No decorrer deste processo investigativo compreendemos que estudar as atuais cenas cotidianas protagonizadas no hospital Dr. Jo?o Machado por subjetividades diferenciadas como portadoras de transtorno mental ou pessoas em sofrimento ps?quico perpassa pelo entendimento de que na sociedade atual temos novas formas de produ??o da loucura, novos modos de ser louco, e reafirmando pois que a fabrica??o dessas emergentes formas subjetivas de ser louco ? social e hist?rica e a arte pode ser um caminho para esta compreens?o. Pois, ? poss?vel permitir a plasticidade e est?ticas para outras formas de viv?ncias, e ?ser? com abertura para ousar, criar e refletir suas quest?es, seus estranhamentos, suas posturas adotadas e lugares assumidos na coletividade. E neste sentido, pela arte, em um espa?o de sa?de e ci?ncia produzir conhecimento sobre o real e o vivido, com a linguagem art?stica das artes c?nicas, pois esta facilita ao ser humano expressar e perceber o mundo de uma forma mais intensa. Vislumbrou-se pensar pedagogias vivenciais e corporais para lidar com as cenas e os corpos que circulam e se fazem presentes naquela realidade institucionalizada, assim foi criada com alguns pacientes a instaura??o c?nica (Lou) Cure-se!!!, apresentada ao p?blico nos meses de julho e agosto de 2016, nas depend?ncias do hospital psiqui?trico Dr. Jo?o Machado. / This thesis focuses on a research proposal, with a research-action methodology, on the so-called be crazy, its corporeality and interpersonal relations established by these bodies and that are revealed in everyday scene of a psychiatric institution, when in direct contact with artistic processes of the instauration of scenes; always remembering that these bodies under the sign of madness deal with stigma. It is about finding the way of being bodily predominant by restrictions and disruption in the relationship that these people create with one another, with time and space. With that in mind, it is observed how these bodies are structured and how they move in social spaces that appear to be impregnated by an ideology of values, beliefs and prejudices acquired in the socio-historical process. The treatment of the insane is historically defined by a practice of exclusion and difference that makes the crazy a being destitute of reason and conscience, amoral and harmful, and thus discrimination is effected by control through the enclosure and/or exacerbated medication; The cruel marks of this oppressive ideology that characterizes the history of madness, where the crazy still occupies the place of the oppressed, are still visible in this research and perceived in gestures and oral and body expressions; the history of these bodies is personalized in narrated dramas and by the emotional charge impregnated in gestures, the tone of voice in speeches, songs and screams that are revealed in the everyday scene. Thus, this work proposes a link between madness and art and for this, we try to find connections between concepts and issues that permeate the theme of madness and creation processes, emphasizing the importance of the contact and of the human experience with the language of art through the contact with the residents of the Psychiatric Hospital Dr. Jo?o Machado, working together with Cruor Arte Contempor?nea, a permanent group of art and culture, from the DEART/UFRN (Art Department), a dramaturgy group from the N?cleo Transdisciplinar de Pesquisa em Artes C?nicas e Espetaculares (Interdisciplinary Center for Research on Performing and Spectacular Arts). Articulating art and madness in this study is linked to the experience obtained in the interaction of these bodies in the meetings. This is the relationship of these labeled and institutionalized bodies appointed as mentally ill, for having a record of enclosure in hospital stays, places termed madhouse, which contains a coercive social control culture. We investigate the encounter of the bodies of artists who bring in themselves the experience of art and, from there, we consider the possibility of an existential aesthetic of the relationship between body, space, time and movement in totalitarian institutions and in a wider sense, in conditions historically determined for the crazy, marked by abandonment and absence of this body, as well as the temporal and spatial disorientation. In order to study this scenario, we took advantage of the contribution of the Body Psychology added to an existential phenomenological reading and of the Analytical Psychology, by studying the meaning of the symbols in the relationship of the human with themselves and the environment. These theoretical perspectives presented were chosen for bringing contributions to the study of the human being in its symbolic, bodily and existential aspects, from the perspective of art. Such studies are essential to the construction of the phenomenological experience of the subject as a way of life in their relationship with themselves and the other through the experience of madness with the presence of art. During this investigative process, we understood that studying the current everyday scenes enthralled in the hospital Dr. Jo?o Machado by considering differentiated subjectivities as mentally disabled or people in psychological distress pervades the understanding that in today's society there are new forms of production of madness, e.g., new ways to be crazy, and therefore reaffirming that the manufacture of these emerging subjective ways of being crazy is social and historical and the art can show a way for this understanding. Then, it is possible to allow the plasticity and aesthetics to other forms of experiences, and "be" with openness to dare, create and reflect their issues, their strangeness, their adopted positions and places undertaken in the community. In this sense, by the art, in a space of health and science to produce knowledge about the real and the lived, with the artistic language of the performing arts, as this makes the human being being able to express and perceive the world in a more intense way. It was in sight to consider experiential and body pedagogies to handle the scenes and the bodies that circulate and are present in that institutionalized reality, and it was created, with some patients, the scenic instauration (Lou)Cure-se!!! [(Un)Heal Yourself!], presented to the public in July and August 2016, on the premises of the psychiatric hospital Dr. Jo?o Machado.

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.