Diss. (sammanfattning) Stockholm : Karol. inst., 2005. / Härtill 4 uppsatser.

Thesis (M.S.)--Miami University, Dept. of Family Studies and Social Work, 2005. / Title from first page of PDF document. Document formatted into pages; contains [1], viii, 88 p. Includes bibliographical references (p. 83-88).

Diss. (sammanfattning) Stockholm : Karol. inst., 2005. / Härtill 4 uppsatser.

Made available in DSpace on 2015-07-22T20:49:29Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-08-25 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Fundo de Auxílio aos Docentes e Alunos (FADA) / Objetivo: Avaliar a fadiga circadiana na Sequela de Poliomielite (SP) e na Síndrome Pós-Poliomielite (SPP) e compará-los aos parâmetros actigráficos e polissonográficos bem como, à fraqueza muscular. Método: trinta e nove (39) pacientes realizaram avaliação do questionário do pré-sono e polissonografia, trinta e três (33) realizaram actigrafia e os dados destes exames foram correlacionados com as escalas de fadiga de Chalder, respondida por trinta e oito (38) pacientes e Piper, respondida por trinta (30) pacientes, nos 3 períodos do dia (enviadas via correios). Resultados: o presente estudo, permitiu-nos identificar que a qualidade do sono está comprometida nas duas populações, tanto SP quanto SPP, sendo de maior gravidade a situação enfrentada pelo grupo SPP. A fadiga de fato tem relação com a hora do dia, apresentando-se circadianamente na população de SPP. Conclusão: a fadiga assume caráter circadiano bem definido na população de SPP, de acordo com a avaliação da escala de Piper. A fadiga apresenta relação com parâmetros do sono, especialmente quanto às variáveis índice de apneia e hipopneia, movimento de pernas e arquitetura do sono. A intensidade da fadiga é maior nos pacientes com SPP. A escala de fadiga de Piper mostrou-se bastante sensível e capaz de mensurar a fadiga circadiana na SPP. A intensidade da fadiga está fortemente relacionada ao grau de fraqueza muscular. / Objective: To evaluate the circadian fatigue in sequelae of poliomyelitis (PS) and Post-Polio Syndrome (PPS) and compare them with actigraphy and polysomnography parameters as well as muscular weakness. Method: Thirty-nine (39) underwent evaluation of the pre-sleep questionnaire and polysomnography, thirty-three (33) underwent actigraphy and data from these examinations were correlated with the scales of the Chalder fatigue, answered by thirty-eight (38) patients and Piper, answered by thirty (30) patients in three periods of the day (sent by mail). Results: This study allowed us to identify the quality of sleep is affected in two populations, both PS and PPS, with increased severity of the situation faced by the PPS group. Fatigue in fact is related to the time of the day, appearing in the population of circadian PPS. Conclusion: The circadian fatigue character takes on well-defined population of PPS, according to the assessment of the scale of Piper. The fatigue is correlated with sleep parameters, especially considering the variables of apnea and hypopnea index, movement of legs and sleep architecture. The intensity of fatigue is greater in patients with PPS. The Piper fatigue scale proved to be very sensitive and can measure the circadian fatigue in PPS. The intensity of fatigue is strongly correlated with the degree of muscular weakness. / TEDE / BV UNIFESP: Teses e dissertações

How it is a consequence of that title, this extended essay deals with problems of people suffering from poliomyelitis (infantile paralysis). Thanks to the systematic vaccination, this disease has not been found in the Czech Republik since the 1960s. The people who had got over paralysis after acute poliomyelitis in a successful way were feeling sureness for years. The return of the illness, respectively its late consequences after a few decades of a normal life means a change-over from the state of full or - as the case may be {--} only mildly reduced abilities to the state of lifelong invalidity for them. Handicapped people have to get over great numbers of obstructions and limits which arise partly from the existence of hte certain handicap and which are given by the handicaps {--} limits the organization of the society put in their way in the course of ist development in parts. Over recent years, the Czech Rebublik has ranged with the countries which realize a greater responsibility for the elimination of barriers keeping the handicapped citizens away from a full - value participation in the life of the society. The aim of the essay was to obtain a comprehensive view of possibilities of keeping social needs of people suffering from poliomyelitis {--} infantile paralysis and to evaluate the barriers which have to be got over by that group. It was also a very important thing to find the quality of life and satisfaction with a realization of aims of life as far as people suffering from poliomyelitis and to compare it with the quality of life as regards the current population. Three following hypotheses were set in line with this aim. Hypothesis No 1: In spite of the current legislation concerning the elimination of architectonic barriers, the handicapped people are limited in the participation in the public life. Hypothesis No 2: Considering the dependence on the other person´ s aid, the people suffering from postpoliomyelitis syndrome appreciate financial guarantees ensuing from the social service law in a high degree. Hypothesis No 3: The quality of life of people suffering from poliomyelitis is reduced, in comparison with the quality of life as far as healthy people. Hypothese 1 and 2 were confirmed by my research, hypothesis No 3 was not verified. The detailed analysis of the given hypotheses is included in the part of discussion in the extended essay. With respect to the relevance of the mentioned topic I suppose that the obtained results could be a contribution to the organizacions dealing with questions if the handicapped people . The essay can be presented at a public meeting of Assotiatin Polio various specialists and the lay public take part in.