Made available in DSpace on 2015-04-14T13:53:39Z (GMT). No. of bitstreams: 1 431895.pdf: 3725624 bytes, checksum: db77e67ea7501802f28eb3d17bd49909 (MD5) Previous issue date: 2011-05-30 / O envelhecimento populacional ? um fen?meno mundial que tem consequ?ncias diretas nos sistemas de sa?de p?blica. Uma das principais consequ?ncias do crescimento dessa parcela da popula??o ? o aumento da preval?ncia das dem?ncias. O objetivo desse trabalho ? determinar a preval?ncia de Decl?nio Cognitivo Leve ( DCL) em pacientes com 50 anos ou mais e sua rela??o com comorbidades. ? um estudo transversal prospectivo de pacientes atendidos em ambulat?rio prim?rio na cidade de Santana do Livramento, entre os meses de julho e dezembro de 2010. Foi administrado o Mini-Exame do Estado Mental (MEEM) com 12 pontos para os analfabetos, 17 pontos para os pacientes de 1 a 8 anos de estudo incompletos, 25 pontos para os pacientes &#8805; a 8 anos de estudo e o Teste de Rey recordat?rio (com desvio padr?o menor que -2,0 pontos) como testes de triagem principais para o diagn?stico cl?nico de DCL. A Escala de Depress?o Geri?trica de 15 pontos (GDS15), o ?ndice de Kartz, as Atividades de Vida Di?rias e o Montreal Cognitive Assessment (MoCA) foram utilizados como testes secund?rios para esse diagn?stico cl?nico, sendo esse ?ltimo como teste cognitivo experimental para a popula??o brasileira. Os resultados mostraram que a preval?ncia do diagn?stico cl?nico de DCL foi de 11,9%. A idade e a escolaridade m?dia foram de 64,8 ? 9,3 e 6,2 ? 3,6, respectivamente. Em rela??o ?s comorbidades, a polifarm?cia, o diabetes mellitus e HDL-c baixo apresentaram associa??o estatisticamente significativa com DCL (p=0.034, p=0.050, p= 0.033, respectivamente). O MEEM mostrou maior associa??o (p= <0.001) com aten??o e c?lculo, mem?ria de evoca??o e linguagem. O MoCA mostrou ser significativo para esse diagn?stico e apenas os subitens mem?ria de evoca??o e viso-espacial apresentaram dados estatisticamente significativos (p=<0,001). Conclui-se que a avalia??o do diagn?stico cl?nico de DCL abrange v?rias etapas e requer um olhar multiprofissional. A preval?ncia de DCL em pacientes ambulatoriais est? de acordo com o esperado para a faixa et?ria. Dentre as comorbidades, o diabetes mellitus, o HDL-c baixo e a polifarm?cia foram as que apresentaram associa??o significativa com DCL.

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-08-07T12:06:09Z No. of bitstreams: 1 DIS_DOUGLAS_MICHEL_RIBEIRO_PORTO_COMPLETO.pdf: 3921243 bytes, checksum: 054c43440dac53b165f298289df025e4 (MD5) / Made available in DSpace on 2017-08-07T12:06:09Z (GMT). No. of bitstreams: 1 DIS_DOUGLAS_MICHEL_RIBEIRO_PORTO_COMPLETO.pdf: 3921243 bytes, checksum: 054c43440dac53b165f298289df025e4 (MD5) Previous issue date: 2017-03-31 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPq / The purpose of this Master's thesis is to answer the following question: What is the importance of hope to mobilize and motivate individuals to manifest themselves on the streets of Porto Alegre in 2013? We seek to answer it in two ways. First, we mobilized the theoretical framework offered by Ernst Bloch establishing privileged dialogue with Axel Honneth and, from this, we produced a reflection about the importance of hope for the mobilization and motivation of the subjects involved in social movements, manifestations, collective actions, in summary, collective political actions with a view to changing the circumstances lived by the subjects, regardless of the size of the change demanded. Second, through photographic records of the multitude manifestations erupted on the streets of Porto Alegre in 2013, we sought to analyze in what ways the hope crystallized in the factual reality motivating the protesters, structuring the manifestations and generating impacts on the institutionality. To do this, we use the following Blochian concepts: expectant affections, diurnal dreams, concrete utopias, front and novum. / A presente disserta??o de mestrado tem como objetivo principal responder ? seguinte quest?o: Qual a import?ncia da esperan?a para mobilizar e motivar os indiv?duos a se manifestarem nas ruas da cidade de Porto Alegre no ano de 2013? Buscamos respond?-la de duas formas. Primeiro, mobilizamos o arcabou?o te?rico oferecido por Ernst Bloch estabelecendo interlocu??o privilegiada com Axel Honneth e, a partir disso, produzimos uma reflex?o a respeito da import?ncia da esperan?a para a mobiliza??o e motiva??o dos sujeitos participes de movimentos sociais, manifesta??es, a??es coletivas, em s?ntese, a??es pol?ticas coletivas com vistas a alterar as circunst?ncias vividas pelos sujeitos, n?o importando a dimens?o da mudan?a demandada. Segundo, atrav?s de registros fotogr?ficos das manifesta??es multitudin?rias irrompidas nas ruas de Porto Alegre no ano de 2013, buscamos analisar de quais maneiras a esperan?a cristalizou-se na realidade f?tica motivando os manifestantes, estruturando as manifesta??es e gerando impactos na institucionalidade. Para isso lan?amos m?o dos seguintes conceitos blochianos: afetos expectantes, sonhos diurnos, utopias concretas, front e novum.

Made available in DSpace on 2015-04-14T13:35:31Z (GMT). No. of bitstreams: 1 438275.pdf: 12783566 bytes, checksum: d6ff8fd347a19bd2c64de39963e3e8f0 (MD5) Previous issue date: 2012-03-27 / Background: Anticipation of epileptic seizures may allow acute interventions to reduce physical and psychosocial harm associated with unexpected attacks. Recent data suggest that electrical abnormalities evolve during many hours before a seizure and these may potentially be clinically identified as seizure prodromes. Objectives: We aimed to determine, in an objective and verifiable fashion, the types, prevalence, sensitivity, specificity and predictive value of seizure prodromes in patients with refractory partial epilepsies, as well to study the clinical and psychiatric correlates of these premonitory symptoms. Methods: We studied 55 adult patients who had at least one focal seizure recorded during of video-EEG monitoring. Patients noted any symptoms they associated with impending seizures and that information was complemented daily by entering actual seizure occurrence according to video- EEG. Detailed clinical and psychiatric data were then correlated with the occurrence of prodromes. Results: Thirty-six patients (65%) reported prodromal symptoms, a median of 12 hours before seizures. Half were related to mood changes. Female sex, higher baseline seizure frequency and a history of more severe depressive disorders independently correlated with the occurrence of prodromes. Mean specificity and PPV slightly above 80% contrasted with sensitivity and NPV slightly below 60%. Conclusion: Seizure prodromes in the context of presurgical evaluation are common in adult patients with medically refractory seizures and should be discussed with patients as a means to anticipate seizures and thus minimize harm. Development of acute interventions to prevent seizures at the time of prodromes is an attractive possibility. / Introdu??o: A antecipa??o de crises epil?ticas pode permitir interven??es agudas para reduzir danos f?sicos e psicol?gicos associados ? ocorr?ncia de crises inesperadas. Dados recentes sugerem que anormalidades el?tricas desenvolvem-se durante muitas horas antes de uma crise, podendo ser clinicamente identificadas como pr?dromos de crises epil?pticas. Objetivos: Nosso estudo se prop?s a determinar, de forma objetiva e verific?vel, os tipos, a preval?ncia, a sensibilidade, a especificidade e o valor preditivo dos pr?dromos em pacientes com epilepsia parciais refrat?rias, assim como estudar os correlatos cl?nicos e psiqui?tricos destes sintomas premonit?rios. M?todos: Foram estudados 55 pacientes adultos, com pelo menos uma crise parcial gravada por monitora??o por v?deo-EEG. Os pacientes observaram diversos sintomas que foram associados ?s crises iminentes, e estas informa??es foram registradas diariamente e complementadas pelos dados do registro da ocorr?ncia real de crise epil?ptica, de acordo com o v?deo-EEG. Dados cl?nicos e psiqui?tricos detalhados foram correlacionados com as ocorr?ncias de pr?dromos. Resultados: Trinta e seis pacientes (65%) relataram sintomas de pr?dromos, ocorrendo em uma mediana de 12 horas antes das crises epil?pticas. Metade destes sintomas foram relacionados ? altera??o de humor. Sexo feminino, frequ?ncia de crises alta e hist?ria de transtorno depressivo grave, foram correlacionados, de modo independente, com a ocorr?ncia dos pr?dromos. A especificidade m?dia e o VPP ficaram um pouco acima de 80%, contrastando com a sensibilidade, e o VPN, um pouco abaixo de 60%. Conclus?o: Pr?dromos, em um contexto de avalia??o pr?-cir?rgica, s?o comuns em pacientes com crises refrat?rias ? medica??o, devendo os mesmos ser discutidos com os pacientes, como um meio de antecipar as crises epil?pticas e, assim, minimizar os danos ocasionados por estas. O desenvolvimento de interven??es agudas, para prevenir as crises no momento em que os pr?dromos ocorrem, torna-se uma possibilidade interessante.

Made available in DSpace on 2014-12-17T14:13:40Z (GMT). No. of bitstreams: 1 LibiaAMG.pdf: 2793431 bytes, checksum: 15d705282b36a1a3bdebdd35264e791c (MD5) Previous issue date: 2009-03-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Introduction: The chronic immunosuppression promotes the development of changes in the oral cavity of the kidney transplant recipients (KTR), however with the exception of gingival overgrowth, little is known regarding the prevalence of oral lesions in this population. Objective: To evaluate the prevalence of clinical and microbiological conditions of the oral cavity of the recipients of kidney transplantation and the associated factors. Methods: This was a cross-sectional study which examined 96 clinical KTR and experimental where collected saliva stimulated them to identify Candida sp. Data collection consisted of evaluation stomatologic, socio-demographic, clinical aspects of transplantation, condition of oral hygiene and dental caries, yonder to questions about knowledge of oral alteration after transplantation. Results: Of the total, 66.7% of KTR had some type of oral manifestation. The most common was saburral tongue, followed by gingival overgrowth, with both oral manifestations related to gender and concomitant use of cyclosporine and nifedipine (p <0.05). Tacrolimus showed a protective effect for gingival overgrowth (OR = 0.13). The oral hygiene was associated with saburral tongue(p = 0.03) and severity of gingival overgrowth (p = 0.0001). Oral candidiasis was diagnosed in 17.7% of patients and Candida albicans was isolated most frequently in the saliva of RTR with a colonization of 58.3%. The average DMF-T increased with age. The method of oral hygiene was most used brush and toothpaste to 61.5%. Changes in the oral cavity was seen in 54.2% of KTR, citing as the main growth and gingival ulcers. Instructions for oral hygiene after transplantation were neglected for 61.5% of RTR. Dry mouth and halitosis were reported in 30.2% and 36.5% respectively. Conclusions: More the half of the KTR had at least one injury of the mouth, the immunosuppressive drugs and oral hygiene are associated with these alterations. Prospective cohort studies are needed to elucidate the relationship between oral manifestations and levels of drug and risk of oral manifestations occur over time. The kidney transplant recipients showed to be aware of oral alterations occurred after transplantation and uninformed about the oral hygiene instructions. With regard to hygiene, the incidence of caries was considered high, conditions of risk were identified and improvements in primary attention should be encouraged and reflected in the monitoring of renal transplant / Introdu??o: A imunossupress?o cr?nica propicia o desenvolvimento de altera??es na cavidade oral de receptores de transplante renal (RTR), no entanto com exce??o do crescimento gengival, pouco se conhece em rela??o ? preval?ncia de les?es orais nessa popula??o. Objetivo: Avaliar a preval?ncia das condi??es cl?nicas e microbiol?gicas da cavidade oral dos receptores de transplante renal e os fatores associados. M?todos: tratou-se de um estudo seccional em que se examinou clinicamente 96 RTR e experimental onde se coletou saliva estimulada dos mesmos para identifica??o de Candida sp. A coleta dos dados foi realizada atrav?s de anamese e exame cl?nico dos pacientes, constando informa??es s?cio-demogr?ficas, aspectos cl?nicos do transplante, avalia??o estomatol?gica, condi??es de higiene oral e c?rie dent?ria, al?m de perguntas acerca do conhecimento das altera??es orais ap?s o transplante. Ap?s o exame, coletou-se saliva estimulada para identifica??o de Candida sp. Resultados: Do total, 66,7% dos RTR apresentaram algum tipo de manifesta??o oral. A mais freq?ente foi l?ngua saburrosa, seguida pelo crescimento gengival, estando ambas as manifesta??es bucais relacionadas ao sexo e ao uso concomitante de ciclosporina e nifedipina (p<0,05). O tacrolimus exibiu efeito protetor para o crescimento gengival (OR=0,13). A higiene oral esteve associada ? l?ngua saburrosa (p=0,03) e ? severidade do crescimento gengival (p=0,0001). Candid?ase oral foi diagnosticada em 17,7% dos pacientes e Candida albicans foi o isolado mais freq?ente na saliva dos RTR, com uma coloniza??o de 58,3%. O CPO-D m?dio aumentou com o avan?ar da idade. O m?todo de higiene oral mais usado era escova e creme dental para 61,5%. Altera??es na cavidade oral foi percebida por 54,2% dos RTR, citando como principais o crescimento gengival e as aftas. Instru??es de higiene oral ap?s o transplante foram negligenciadas para 61,5% dos RTR. Xerostomia e halitose foram relatadas em 30,2% e 36,5%, respectivamente. Conclus?es: Mais da metade dos receptores de transplante renal apresentaram pelo menos uma les?o de boca, as drogas imunossupressoras e higiene oral est?o relacionadas com essas altera??es. Estudos de coorte prospectivo s?o necess?rios para melhor elucidar a rela??o entre as manifesta??es orais e n?veis de droga e o risco das manifesta??es orais ocorrerem no decorrer do tempo. Os receptores de transplante renal mostraram-se conscientes das altera??es orais ocorridas ap?s o transplante e desinformados quanto ?s instru??es de higiene oral. No que diz respeito higiene, o ?ndice de c?rie foi considerado alto, condi??es de risco foram detectadas e melhorias na aten??o prim?ria devem ser refletidas e estimuladas no acompanhamento dos transplantados renais.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2015-11-06T12:05:25Z No. of bitstreams: 1 ElmanoRicarteDeAzevedoSouza_DISSERT.pdf: 10938171 bytes, checksum: 8c9509ff7c4284d73cbeecd56d48513d (MD5) / Approved for entry into archive by Elisangela Moura (lilaalves@gmail.com) on 2015-11-06T12:56:14Z (GMT) No. of bitstreams: 1 ElmanoRicarteDeAzevedoSouza_DISSERT.pdf: 10938171 bytes, checksum: 8c9509ff7c4284d73cbeecd56d48513d (MD5) / Made available in DSpace on 2015-11-06T12:56:14Z (GMT). No. of bitstreams: 1 ElmanoRicarteDeAzevedoSouza_DISSERT.pdf: 10938171 bytes, checksum: 8c9509ff7c4284d73cbeecd56d48513d (MD5) Previous issue date: 2014-02-25 / Investiga-se e analisam-se as marcas culturais e a produ??o de sentido sobre a cultura popular, em homenagem aos santos cat?licos do m?s de junho: Santo Ant?nio, S?o Jo?o e S?o Pedro (celebrados, respectivamente, nos dias 13, 24 e 29) nas fotografias jornal?sticas dos peri?dicos Tribuna do Norte (Natal, Rio Grande do Norte, Brasil) e Correio da Manh? (Lisboa, Portugal), publicadas no m?s de junho de 2012, com base te?rica e metodol?gica da Folkcomunica??o e da Fotocartografia Sociocultural. A partir dessas pressup?e-se que tais imagens possuem significados representacionais das manifesta??es culturais populares das festas. A pesquisa ainda aponta que h? um olhar comum ao se retratar a cultura popular no ve?culo de comunica??o. Um olhar cujas caracter?sticas s?o de um paradigma dominante o qual exclui conhecimentos ditos ?n?o eruditos?. / This research is about the cultural marks and meanings production on the popular culture context, in honor of Catholics Saints of June: Saint Antony; Saint John and Saint Peter (with celebrations in June 13th, 24th and 30th respectively). These marks are find on the newspapers? photography of Tribuna do Norte (Natal, Rio Grande do Norte, Brazil) and Correio da Manh? (Lisbon, Portugal). All the photos were published in June 2012. The analysis has theory and methodology in Folkcommunication and in Sociocultural Photocatography. The investigation has focus in the meanings of these marks on the photojournalism about the popular parties and their practices. The study observes also a common view to report about popular culture, which has the influence of a hegemonic paradigm that considers itself the only true one.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-26T20:23:30Z No. of bitstreams: 1 JoseArtemioDaSilva_DISSERT.pdf: 1171254 bytes, checksum: b87929d809666fdfadd55845cf07d070 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-01-29T19:50:07Z (GMT) No. of bitstreams: 1 JoseArtemioDaSilva_DISSERT.pdf: 1171254 bytes, checksum: b87929d809666fdfadd55845cf07d070 (MD5) / Made available in DSpace on 2016-01-29T19:50:07Z (GMT). No. of bitstreams: 1 JoseArtemioDaSilva_DISSERT.pdf: 1171254 bytes, checksum: b87929d809666fdfadd55845cf07d070 (MD5) Previous issue date: 2014-08-29 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico - CNPq / Esta disserta??o analisa as manifesta??es mundiais e brasileiras ocorridas a partir de 2011, tendo como elemento aglutinador e organizacional, as redes sociais on-line: especificamente o Facebook. O estudo foi realizado por meio de um levantamento bibliogr?fico sobre os protestos ocorridos nas ruas e a Internet, em livros, revistas, artigos e trabalhos acad?micos, bem como em observa??es no Facebook durante o per?odo dos protestos no Brasil. / This thesis analyzes the global and Brazilian manifestations occurred since 2011, taking as a unifying and organizational element the social networks Facebook. The study was conducted through a literature survey about the protests in the streets and the Internet, in books, magazines, articles and academic papers, as well as comments on Facebook during the protests in Brazil.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-05-10T23:15:20Z No. of bitstreams: 1 AlissonGadelhaDeMedeiros_DISSERT.pdf: 4560280 bytes, checksum: 1eaedc80ead007ccca75b3000c566456 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-05-17T23:52:56Z (GMT) No. of bitstreams: 1 AlissonGadelhaDeMedeiros_DISSERT.pdf: 4560280 bytes, checksum: 1eaedc80ead007ccca75b3000c566456 (MD5) / Made available in DSpace on 2016-05-17T23:52:56Z (GMT). No. of bitstreams: 1 AlissonGadelhaDeMedeiros_DISSERT.pdf: 4560280 bytes, checksum: 1eaedc80ead007ccca75b3000c566456 (MD5) Previous issue date: 2015-08-28 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / A durabilidade das estruturas de concreto armado tem motivado muitas pesquisas, considerando os altos custos dos reparos em muitas situa??es, como ? o caso das pontes, bem como os preju?zos causados pela necessidade de interdi??o quanto aos servi?os de recupera??o. Neste sentido, este trabalho tem como objetivo avaliar as condi??es de durabilidade da Ponte do Rio do Carmo com 90,90 metros de extens?o. Esta foi constru?da em 1976 e est? localizada no Km 36 da rodovia brasileira BR-110, entre os munic?pios de Areia Branca/RN e Mossor?/RN, em regi?o de elevada agressividade ambiental. Para realiza??o deste estudo, foram identificadas as manifesta??es patol?gicas presentes, utilizando metodologias de inspe??es: Norma DNIT 010/2004 - PRO e a GDE/UnB. Com isto, a partir delas, p?de-se verificar que, as maiores incid?ncias dos danos sofridos foram na superestrutura, na mesoestrutura e em outros elementos estruturais, como as vigas de fachada. Ademais, de acordo com este levantamento, foi poss?vel quantificar a deteriora??o da estrutura; de forma que se obteve nota t?cnica igual a 3 segundo a norma DNIT, caracterizando-a como uma obra ?potencialmente problem?tica?, e grau de deteriora??o global da estrutura (Gd) igual 65,05, classificando-a em n?vel ?Alto?. Em comparativo entre ambas metodologias aplicadas, a mais conservadora foi a GDE/UnB, devido a riqueza de detalhes em sua an?lise. Quanto, a realiza??o dos ensaios n?o destrutivos, mostrou-se boa homogeneidade do concreto perante o ensaio de esclerometria. Para as medidas de ultrassom, foi identificada a qualidade do concreto como ?regular? e possibilitou a estimativa do m?dulo de elasticidade e resist?ncia em 17,60 GPa e 13,51 MPa, respectivamente. J? o ensaio de profundidade de carbonata??o, foram aferidas medidas em valores de 0,00 a 19,00 mm e, no o ensaio de presen?a de cloretos, verificaram-se maiores medidas, sendo a maior delas igual 22,80 mm. Por?m, ambas n?o atingiram a profundidade do a?o, 30 mm. No ensaio de potencial de corros?o, a maior parte da medi??o foi numa faixa de -150 a -250 mV, que indica probabilidades de 10 a 90% de corros?o. Todos esses resultados podem concluir que, a Ponte do Rio do Carmo, necessita de reparos nos elementos estudados nesta pesquisa e aliados outras inspe??es mais detalhadas, poder? se planejar a solu??o mais adequada quanto aos aspectos de seguran?a e economia. / The durability of reinforced concrete structures has motivated many researches, considering the high cost of repairs in many situations, such as bridges, as well as the damage caused by the need to ban regarding recovery services. Thus, this study aims to assess the conditions of durability of the bridge over the Carmo River with 90.90 meters long. This was built in 1976 and is located at km 36 of the BR-110 highway, between the municipalities of Areia Branca/RN and Mossor?/RN, in environmentally high aggression region. For this study, non-destructive tests were done on that proved to be good homogeneity of the concrete before the rebound hammer testing. For ultrasound measures the quality of the concrete was identified as "regular" and enabled the estimation of the dynamic modulus of elasticity and strength of 13.51 MPa and 17.60 GPa, respectively. The carbonation depth assay gave values in steps of 0.00 to 19.00 mm and the testing of the presence of chlorides, there were larger dimensions, most of them being equal to 22.80 mm. However, both did not reach the depth of the steel, 30 mm. The corrosion potential of the test, most of the measurement concentrated in a range of -150 to -250 mV which indicates probabilities of 10 to 90% corrosion. Pathological present manifestations were identified using inspection methods: a standard DNIT 010/2004 and GDE / UnB. With this, from them, it was observed that the highest incidence of injuries suffered were in the superstructure, the mesostructure and other auxiliary elements such as the facade beams. Furthermore, according to this lifting, it was possible to quantify the deterioration of the structure; so that was obtained technical score equal to 3 in accordance with standard DNIT 010/2004, characterizing it as a work "potentially problematic", and overall degree of deterioration of the structure (Gd) equal to 64.03 classifying the level "High". In comparison between both methodologies, the GDE/UnB resulted in greater accuracy, due to richness of detail in your analysis. All these results indicate that the bridge study, needs repairs in the elements studied in this research and allies for more specific inspections, will be able to plan the most appropriate solution in relation to safety aspects and economics.

Made available in DSpace on 2015-04-14T13:53:49Z (GMT). No. of bitstreams: 1 440855.pdf: 1485245 bytes, checksum: ff2f2be9961e9b5370d1793ebde1d602 (MD5) Previous issue date: 2012-07-13 / Introduction: the growth of the elderly population worldwide presents a challenge for active aging with quality of life. As a consequence of increased life expectancy, several organs of the human body age, including the skin. Therefore, the aging population is also a challenge for dermatologists, since the demographic transition also increases skin diseases and changes which need to be managed. This study is justified by the scarceness of epidemiological studies among us, regarding the prevalence of skin manifestations that affect the elderly and their importance as a foundation for the care of geriatric patients. Objectives: To study dermatological problems in elderly residents at a Long Stay Institution (LSI) and in those seen at an Outpatient Clinic and in a ward of a Geriatric Center of Reference in Porto Alegre, state of Rio Grande do Sul (RS), Brazil. Methods: cross-sectional, descriptive and analitcs study performed between August/2010 and May/2011. The people invited to participate in the study were all the elderly residents of a long-stay institution of Porto Alegre from August/2010 to October/2010, all the elderly patients of the Geriatrics Ambulatory of Hospital S?o Lucas from October 2010 to May /2011, and all the elderly hospitalized at the Geriatrics Unit Care of Hospital S?o Lucas from December/2010 to May/2011, 60 years old or over. Data on age, sex, race, schooling, associated illnesses and medications used were surveyed in the patients files. The elderly person or their representative was asked about the family history of skin diseases, and the dermatological manifestations were collected by dermatological exam (inspection and palpation), complemented by the dermatoscopic and histopathological exams when necessary. The descriptive analysis of the data was done by frequencies, means, medians and standard deviations. The Chi-square test was used to compare the frequencies of dermatological manifestations to the frequencies of demographic characteristics and to the frequencies of co-morbidities. Results: Three hundred and twelve elderly people participated in the study, 30.1% male and 69.9% female. The age varied from 60 to 103 years, the mean was 78.4 years (SD=8.9), and the median 79 years. Out of the total number, 60.9% were white, 55.0% had not completed elementary school, 94.6% had associated co-morbidities, and 94.2% used some kind of medication. One hundred and twenty-eight dermatological manifestations were observed, comprising skin, nail and hair changes. The mean number of dermatological manifestation per person was calculated as 18.5 (SD=3.7) and the margin of variation was from 7 to 28 manifestations per elderly person surveyed. Solar melanosis, guttate hypomelanosis, cherry hemangioma, longitudinal striae on the nails, wrinkles, melanocytic nevi, seborrheic keratosis, male androgenetic alopecia, cutaneous xerosis, telangiectasias, absent lunula, interdigital intertrigo of the toes, skin atrophy and poichilodermia were present in over 50% of the participants in this study. Actinic keratosis, white hair, hirsurtism, rhomboid skin, supraciliary madarosis, onycholysis, purpura, onicodystrophy, stellar scar, ochre dermatitis, acrochordon, dermatosis papulosa nigra, comedo and keratosis of the elbows and knees were present in 30 to 50% of the subjects in this study. Dilated pores, female androgenetic alopecia, hypertrichosis of the ears, seborrheic eczema, milium cysts, melasma, plantar callosities, different types of scar, plantar calluses, leukonychia, folliculitis and sebaceous hyperplasia were found in 10 to 30% of the elderly who participated in this study. Solar melanosis was the most prevalent manifestation (97.8%). Seborrheic keratosis (75.0%) was less prevalent among blacks (P=0.006) and in the elderly with DPOC (P=0.047). Cutaneous xerosis was present in 70.8% of the people researched. Guttate hypomelanosis (82?.7%), poichilodermia (50.3%), dilated pores (26.6%) and melasma (15.4%) were less prevalent in LSI (Long Stay Institutions for the Elderly) (P<0.001), and purpura (38.1%) was more frequent in hospitalization (P<0.001). Interdigital intertrigo of the toes (52.6%) occurred more frequently in males (P=0.001), in the brown and black races (P=0.001) and in those with diabetes (P=0.011). Actinic keratosis (46.5%) was more prevalent in the white race (P<0.001) and its prevalence increased with the older age groups (P<0.001). Most frequent ungueal changes were longitudinal striae (81.2%), more prevalent in the LSI (P<0.001), in males ((P=0.003), in the brown race (P=0.,032) and in the older age groups (P<0.001). Supraciliary madarosis (40.1%) was more prevalent in hospitalized patients (P=0.036), in the older age groups (P=0.001) and in those vascular encephalic accident (P=0.011) and pneumonia (P=0.002). Seborrheic eczema (22.4%) was more frequent in males (P<0.001) and in those with dementia (P=0.020). Plantar callosities (12.8%) were less prevalent in hospitalization (P=0.058) and in diabetes (P=0.022). On the other hand, plantar callosities (14.7%) were more prevalent in the Outpatient Clinic (P<0.001). Folliculitis (11.2%) was more prevalent in men (P<0.001). Sebaceous hyperplasia(10.6%) was more prevalent in elderly cancer patients (P=0.030). Conclusion: the variety of dermatological manifestations found in this study reminds one of the need to include skin care in the broad geriatric assessment and in integral care of the elderly. The presence of manifestations secondary to skin aging, infectious lesions, both pre-malignant and malignant, that can be prevented justify measures of Education for Health of the Elderly, for the caregiver, the health teams and the young age groups of the population Considering the skin manifestations observed, the high prevalence of ungueal involvement and the association between sebaceous hyperplasia and cancer in our work, it is suggested that further research be done in this field. / Introdu??o: o aumento da popula??o de idosos em todo o mundo, traz o desafio do envelhecimento ativo com qualidade de vida. Como consequ?ncia ao aumento da expectativa de vida, v?rios ?rg?os do corpo humano envelhecem, inclusive a pele. Logo, o envelhecimento populacional ? um desafio tamb?m enfrentado pelos dermatologistas, pois a transi??o demogr?fica aumenta as doen?as e altera??es cut?neas que necessitam ser manejadas. A escassez de estudos epidemiol?gicos em nosso meio sobre a preval?ncia das manifesta??es cut?neas que acometem o idoso e a import?ncia destes para embasar o atendimento ao paciente geri?trico justificaram a realiza??o desta pesquisa. Objetivos: estudar as manifesta??es dermatol?gicas em idosos residentes em uma Institui??o de Longa Perman?ncia para Idosos (ILPI) e naqueles atendidos no Ambulat?rio e na Interna??o de um Centro de Refer?ncia em Geriatria de Porto Alegre RS. M?todos: estudo transversal, descritivo e anal?tico, realizado entre agosto/2010 e maio/2011. Foram convidados todos os idosos residentes em uma ILPI de Porto Alegre no per?odo de agosto/2010 a outubro/2010, todos os idosos internados no ambulat?rio de refer?ncia em geriatria do Hospital S?o Lucas no per?odo de outubro/2010 a maio/2011 e todos os idosos atendidos na enfermaria geri?trica do Hospital S?o Lucas no per?odo de dezembro/2010 a maio/2011, com 60 anos de idade ou mais. Dados referentes ? idade, ao sexo, ? ra?a, ? escolaridade, ?s doen?as associadas e medica??es em uso foram pesquisados nos prontu?rios dos pacientes. O hist?rico familiar de doen?as de pele foi indagado ao idoso ou seu representante e as manifesta??es dermatol?gicas foram coletadas atrav?s do exame dermatol?gico (inspe??o e palpa??o) complementado pelos exames dermatosc?pico e histopatol?gico, quando necess?rio. A an?lise descritiva dos dados foi feita atrav?s de frequ?ncias, m?dias, medianas e desvios padr?es. Para compara??o das frequ?ncias das manifesta??es dermatol?gicas, com as frequ?ncias das caracter?sticas demogr?ficas e com as frequ?ncias das comorbidades foi utilizado o teste do qui quadrado. A pesquisa iniciou ap?s aprova??o pelo Comit? de ?tica e Pesquisa e os idosos ingressaram no estudo ap?s concord?ncia e assinatura do Termo de Consentimento Livre e Esclarecido. Resultados: participaram da pesquisa 312 idosos (103 da ILPI, 104 do Ambulat?rio e 105 da Interna??o), 30,1% do sexo masculino e 69,9% do feminino. A idade variou dos 60 aos 103 anos, sendo a m?dia de 78,4 anos (DP=8,9) e a mediana de 79 anos. Do total, 60,9% eram brancos, 55,0% n?o haviam completado o n?vel fundamental, 94,6% apresentavam doen?as associadas e 94,2% usavam algum tipo de rem?dio. Foram observadas 128 manifesta??es dermatol?gicas, compreendendo altera??es de pele, unhas e pelos. Calculando-se a m?dia do n?mero de manifesta??es dermatol?gicas por idoso, seu valor foi de 18,5 (DP=3,7) e a margem de varia??o de 7 a 28 manifesta??es dermatol?gicas por idoso pesquisado. Melanose solar, hipomelanose gotata, nevo rubi, estrias longitudinais das unhas, rugas, nevos melanoc?ticos, ceratose seborreica, alopecia androgen?tica masculina, xerose cut?nea, telangiectasias, aus?ncia de l?nula, intertrigo interdigital dos podod?ctilos, atrofia cut?nea e poiquilodermia estiveram presentes em mais de 50% dos participantes deste trabalho. Ceratose act?nica, can?cie, hirsutismo, pele romboidal, madarose supraciliar, onic?lise, p?rpura, onicodistrofia, cicatriz estelar, dermatite ocre, acroc?rdon, dermatose papulosa nigra, comed?o e ceratose de cotovelos e joelhos estiveram presentes entre 30 e 50 % dos sujeitos deste estudo. Poros dilatados, alopecia androgen?tica feminina, hipertricose das orelhas, eczema seborreico, cistos de millium, melasma, calosidades plantares, diferentes tipos de cicatrizes, calos plantares, leucon?quia, foliculite e hiperplasia seb?cea foram constatadas entre 10 e 30 % dos idosos que fizeram parte desta pesquisa. Melanose solar foi a manifesta??o mais prevalente (97,8%). Ceratose seborreica (75,0%) foi menos prevalente na ra?a negra (P=0,006) e nos idosos com DPOC (P=0,047). Xerose cut?nea esteve presente em 70,8% dos pesquisados. Hipomelanose gotata (82,7%), poiquilodermia (50,3%), poros dilatados (26,6%) e melasma (15,4%) foram menos prevalentes na ILPI (P<0,001) e a p?rpura (38,1%) foi mais frequente na Interna??o (P<0,001). Intertrigo dos podod?ctilos (52,6%) foi mais frequente nos homens (P=0,001), nas ra?as parda e negra (P=0,001) e naqueles com diabetes (P=0,011). Ceratose act?nica (46,5%) foi mais prevalente na ra?a branca (P<0,001) e aumentou sua preval?ncia de acordo com o aumento das faixas et?rias (P<0,001). As altera??es ungueais mais frequentes foram as estrias longitudinais (81,2%), mais prevalentes na ILPI (P<0,001), no sexo masculino ((P=0,003), na ra?a parda (P=0,032) e nas faixas et?rias mais altas (P<0,001). Madarose supraciliar (40,1%) foi mais prevalente na interna??o (P=0,036), nas faixas et?rias mais altas (P=0,001) e naqueles com AVE (P=0,011) e pneumonia (P=0,002). Eczema seborreico (22,4%) foi mais frequente no sexo masculino (P<0,001) e naqueles com dem?ncia (P=0,020). Calo plantar (12,8%) foi menos prevalente na Interna??o (P=0,058) e no diabetes (P=0,022), j? a calosidade plantar (14,7%) foi mais prevalente no Ambulat?rio (P<0,001). Foliculite (11,2%) apresentou maior preval?ncia nos homens (P<0,001). A hiperplasia seb?cea (10,6%) foi mais prevalente nos idosos com c?ncer (P=0,030). Conclus?o: a variedade de manifesta??es dermatol?gicas presentes nesta pesquisa remete ? necessidade de inserir o cuidado com a pele na avalia??o geri?trica ampla e no atendimento integral ? sa?de do idoso. A presen?a de manifesta??es secund?rias ao envelhecimento cut?neo, les?es infecciosas, pr?-malignas e malignas pass?veis de preven??o justificam medidas de Educa??o para a Sa?de ao idoso, ao cuidador, ?s equipes de sa?de e ?s faixas et?rias mais jovens da popula??o. Face ?s manifesta??es dermatol?gicas observadas, ? elevada preval?ncia de acometimento ungueal e ? associa??o entre hiperplasia seb?cea e c?ncer em nosso trabalho, sugere-se a realiza??o de futuras pesquisas nesta ?rea.

Made available in DSpace on 2014-12-17T14:48:18Z (GMT). No. of bitstreams: 1 AdlaKDS_DISSERT.pdf: 6516382 bytes, checksum: bb93b728f29a7dc065eda95971bed62b (MD5) Previous issue date: 2014-05-30 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The search for cultural heritage preservation should be a constant, in order to minimize the lost of historical and cultural identity of a country. As part of this cultural heritage, highlights the importance of historical buildings. For the principles of restoration are met its important to know the state of conservation and the existing materials. Given the above, this work aims to study the pathological manifestations of the mortar coating from the Grupo Escolar Augusto Severo. For this, was conducted historical survey of the building, on-site visits with visual observation, collecting samples of mortar coating and characterization through visual and laboratory analysis, XRF, XRD, TG/DTG, OM and SEM-EDS. From the observations, pathological manifestations were found as: cracks, detachment of the coating, dirt, use of inappropriate material basis of cement, efflorescence, mold and mildew and also incompatible material base of cement. It was found that the pathological manifestations were intensified due to lack of coverage in some spots and especially the abandonment of the building, that many years does not have restoration or any other type of preventive and corrective maintenance. The results of laboratory tests indicated that the mortars studied are based on lime, with calcitic nature, and siliceous aggregate, with the presence of clay in two samples. From the samples collected, two are composed of lime, sand and clay and two by lime and sand. In this regard, it is important to conduct periodic inspections and maintenance, as well as carrying out restoration with use of material compatible with the original / A busca pela preserva??o do patrim?nio cultural deve ser uma constante, para que n?o haja a perda da identidade hist?rica e cultural de um pa?s. Como parte deste patrim?nio cultural, destaca-se a import?ncia das edifica??es hist?ricas. Para que os princ?pios de restauro sejam atendidos ? de suma import?ncia conhecer o estado de conserva??o desses bens e os materiais existentes. Diante do exposto, este trabalho tem como objetivo estudar as manifesta??es patol?gicas presentes nos revestimentos argamassados, bem como caracterizar as argamassas, de maior valor patrimonial, do Grupo Escolar Augusto Severo. Para isso, foi realizado um levantamento hist?rico da edifica??o, visitas in loco com observa??o visual e registro fotogr?fico, coleta de amostras de argamassas de revestimento e caracteriza??o por meio de an?lise visual e laboratorial, FRX, DRX, TG/DTG e MEV-EDS. A partir das observa??es realizadas, foram identificadas manifesta??es patol?gicas como: fissuras, desprendimento do revestimento, sujidade, efloresc?ncia, mofo e bolor, al?m da utiliza??o de material inadequado ? base de cimento. Constatou-se que as manifesta??es patol?gicas foram intensificadas devido ? falta de cobertura em alguns pontos e, sobretudo pelo abandono da edifica??o, que h? muitos anos n?o passa por restaura??o ou qualquer outro tipo de manuten??o preventiva e corretiva. Os resultados das t?cnicas em laborat?rio indicaram que as argamassas estudadas s?o ? base de cal, de natureza calc?tica, e agregado silicoso, com presen?a de argila em duas amostras. Das amostras coletadas, duas s?o compostas por cal, areia e argila e duas por cal e areia. Neste sentido, ressalta-se que ? de relevante import?ncia a realiza??o de inspe??es e manuten??es peri?dicas, bem como a realiza??o de restaura??o com a utiliza??o de material compat?vel com o original

Made available in DSpace on 2014-12-17T15:32:18Z (GMT). No. of bitstreams: 1 EmelineNAL.pdf: 2548007 bytes, checksum: d30f88fa3814f13a0bc3ee25b49d05fb (MD5) Previous issue date: 2010-02-18 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Bone marrow transplantation (BMT) is currently the best therapeutic option for patients with hematologic diseases, solid tumors or autoimmune disorders. It is characterized by intravenous infusion of hematopoietic stem cells in order to restore marrow function. However, this procedure requires concomitant immunosuppression treatment, which favors the development of certain complications, often manifested in the oral cavity. This study aimed to evaluate the incidence of oral changes in patients undergoing BMT and to correlate these results with clinical aspects related to the patients and the transplants performed. This is a prevalence study, with cross-sectional design, carried out in a BMT service at the Institute of Onco-Hematology of Natal (ION) and Natal Hospital Center. Data collection was based on questionnaires, clinical examination of the oral cavity and consultation in the medical records. The sample consisted of 51 patients undergoing BMT. After the analysis, was found a general status with good health conditions and presence of oral changes in about half of patients who composed the sample. The manifestations observed were, in decreasing order of frequency: mucositis; gingival alteration and thrombocytopenic purpura; mucosal pigmentation; lichenoid reaction and candidiasis. The oral changes were observed more frequently in cases of allogeneic TMO, in different periods post-transplant, without significant differences related to the source of cells. It was found statistically significant association between the presence of graft-versus-host disease (GVHD) and oral changes (p < 0,001). Therefore, it is concluded that there is a relatively high incidence of changes in oral cavity of patients receiving bone marrow transplantation, a fact which confirms the need to consider this site for examination, diagnosis, treatment and prognosis of possible complications of BMT / O transplante de medula ?ssea (TMO) atualmente constitui a melhor op??o terap?utica para pacientes com doen?as hematol?gicas, tumores s?lidos ou desordens autoimunes. Caracteriza-se pela infus?o intravenosa de c?lulas progenitoras hematopo?ticas com o objetivo de restabelecer a fun??o medular. No entanto, esse procedimento requer tratamento concomitante de imunossupress?o, o que favorece o desenvolvimento de determinadas complica??es, as quais freq?entemente se manifestam na cavidade oral. Este estudo objetivou avaliar a incid?ncia de altera??es orais em pacientes submetidos ao TMO e correlacionar esses resultados com aspectos cl?nicos referentes aos pacientes e aos transplantes realizados. Trata-se de um estudo de preval?ncia, com desenho do tipo seccional, realizado no servi?o de TMO do Instituto de Onco-Hematologia de Natal (ION) e Natal Hospital Center. A coleta de dados baseou-se em aplica??o de question?rio, exame cl?nico da cavidade oral e consulta de informa??es nos prontu?rios m?dicos. A amostra foi constitu?da por 51 pacientes submetidos ao TMO. Ap?s a an?lise, constatou-se quadro geral com boas condi??es de sa?de e presen?a de altera??es orais em aproximadamente metade dos pacientes que compunham a amostra. As manifesta??es observadas foram, em ordem decrescente de frequ?ncia: mucosite; altera??o gengival e p?rpura trombocitop?nica; pigmenta??o da mucosa; rea??o liquen?ide e candid?ase. As altera??es orais foram mais frequentes em casos de TMO alog?nico, em diferentes per?odos p?s-transplantes, sem diferen?a significativa quanto ? origem das c?lulas. Constatou-se associa??o estatisticamente significante entre a presen?a de doen?a do enxerto contra hospedeiro (DECH) e altera??es orais (p < 0,001). Portanto, conclui-se que h? uma incid?ncia relativamente alta de altera??es na cavidade oral de pacientes transplantados de medula ?ssea, fato que confirma a necessidade de se considerar a import?ncia desse s?tio para exame, diagn?stico, tratamento e progn?stico de poss?veis complica??es do TMO