A Short Physical Performance Battery (SPPB) como preditora da fragilidade em idosos residentes na comunidade

Introduction: The SPPB provides information about physical function and is a predictor of adverse events in the elderly. Frailty is a multidimensional syndrome that increases susceptibility to diseases and disability. However it may be possible to prevent or postpone frailty if is identified early. Our objective is to analyze SPPB s ability in screening for frailty a community-dwelling young elderly from cities with distinct socioeconomic conditions. Methods: Data were originated from community dwelling adults (65-74 years old) in Canada (Saint Bruno; n = 60) and Brazil (Santa Cruz; n = 64). SPPB was used to assess physical performance. Frailty was defined as the presence of ≥ 3 of these criteria: weight loss, exhaustion, weakness, mobility limitation and low physical activity. One point was given for each criterion met, totalizing a frailty score ranged from 0 to 5. The Linear Regression and Receiver Operating Characteristics analyses were performed to evaluate the SPPB s screening ability. Results: Mean age was 69.48, 10.0% of the Saint Bruno s sample and 28.1% of Santa Cruz s were frail (p = 0.001), the SPPB score means were 9.6 and 8.5 respectively (p = 0.01). SPPB correlated with the frailty score (R2 = 0.33), with better results for Saint Bruno. A cutoff of 9 in SPPB had good sensitivity and specificity in discriminating frail from non frail in Saint Bruno (AUC = 0.81) but showed fair results in Santa Cruz (AUC = 0.61). Conclusion: The SPPB has moderate ability in predicting frailty among older adult s population, and is an useful test to identify people with good functionality and low frailty when SPPB scores are ≥9

Apoio social e síndrome da fragilidade em idosos residentes na comunidade

Introduction: The frailty in the elderly is the result of a complex interplay between many social and clinical factors involved in its genesis. Although there is an understanding of its association with increased risk of adverse clinical outcomes, still it is unclear whether this syndrome can be aggravated due to lack of social support. So, the objective of this study was to analyze the association between social support and frailty syndrome in elderly community residents. Materials and methods: Observational analytical cross-sectional study, with a sample of 300 elderly living in the city of Natal-RN. Were collected informations about socialdemographic, economics and physical health data. The Social support was assessed by the status of cohabitation; marital status; contact frequency and diversity rate; received and given attendance frequency rate; and Map Minimum Relations of the Elderly. The frailty was assessed using the following criteria: unintentional weight loss, weakness, low physical activity, exhaustion and Slowness. To observe any possible associations, we performed the Pearson chi-square test, the Student t test and multivariate analysis using binary logistic regression, adopting a significance level of 5%. Results: It was observed that there were no associations of frailty with the social support variables, except for housekeeping mode (p = 0.046) of the MMRI. For the sociodemographic, economic, physical health and social support data, only age (p <0.001), sedentary lifestyle (p = 0.002) and poor perceived health (p = 0.001) were the ones that remained in the logistic regression model, with strong association for the presence of frailty. Conclusion: Among the variables related to social support, only to help with housekeeping was significantly associated with frailty. However, more studies need to be developed to characterize the social vulnerability, as well as health services need to recognize the importance of social support as an integral part of care for the elderly

Sintomatologia depressiva e concentrações do cortisol em idosos residentes na comunidade: um estudo transversal

Introdução: Vem sendo crescente o número de pesquisas que buscam o entendimento das relações entre os desfechos adversos à saúde e as concentrações do cortisol salivar, o qual é um marcador de estresse biológico. O cortisol parece seguir dois estágios de resposta: em situações de baixo/moderado estresse ocorre ativação do eixo Hipotálamo-Pituitária-Adrenal, aumentando o nível do cortisol, entretanto, quando o estresse persiste, o eixo HPA parece tornar-se hipoativo. A sintomatologia depressiva parece ter relação com as concentrações do cortisol, no entanto, essa relação é controversa na literatura. Objetivo: Analisar a relação entre sintomatologia depressiva e concentrações do cortisol em uma amostra de idosos do Nordeste brasileiro, residentes na comunidade. Métodos: Estudo observacional analítico, de caráter transversal, em uma amostra de 256 idosos (≥ 65 anos), residentes na comunidade. A sintomatologia depressiva foi avaliada pela versão brasileira da Center for Epidemiologic Studies-Depression Scale (≥ 16) e as concentrações do cortisol através da coleta salivar (ao acordar, 30 minutos após acordar, 60 minutos após acordar, às 15 horas e antes de dormir), além de medidas compostas. Como co-variáveis foram avaliadas condições sociodemográficas e de saúde. Para análise das medidas do cortisol entre idosos com e sem presença da sintomatologia depressiva, e entre os sexos, foi realizado o teste t de Student. Para verificar as diferenças entre as medidas do cortisol em cada curva foi utilizada a Análise de Variância (ANOVA) de medidas repetidas, com teste post-hoc de Bonferroni. Resultados: Houve diferença significativa para a medida de cortisol salivar ao acordar, entre os idosos com presença e ausência da sintomatologia depressiva (p=0,04). Não houve significância em relação ao sexo. Na análise entre as medidas de cada curva, foi observado que nos idosos com sintomatologia depressiva a 1ª medida não teve diferença significativa em relação à 2ª e 3ª medidas. Além disso, não houve diferença significativa da 4ª medida em relação à 5ª, demonstrando um maior nível noturno de cortisol para os idosos com sintomatologia depressiva, sem declínio, com aspecto plano da curva. Conclusão: Parece existir relação entre sintomatologia depressiva e hipocortisolismo. Entretanto, no Brasil, as condições adversas de vida podem levar ao estresse crônico e serem fatores fortes suficientes para sobrepor maiores diferenças que pudessem existir em relação à presença da sintomatologia depressiva

Engenharia nos sertões nordestinos: o Gargalheiras, a Barragem Marechal Dutra e a comunidade de Acari, 1909-1958

In Brazil, between the late nineteenth and early decades of the twentieth, polytechnic engineers assumed an important role in discussing the establishment of a modern country. The problem of drought in northeastern Brazil gave the professionals performance, within an interventional process more mounts, the conception plans and measures for the purposeful integration of the territory afflicted. With the foundation of Inspetoria de Obras Contra as Secas (IOCS), in 1909, the actions to combat drought and would be institutionalized, them, studies performed out by technical and scientific committees would be systematically applied in the Brazilian Northeast. So, This work was central objective understand the historical process inplantation of a whole infrastructure of modern character by professional technical and their consequences within the Northeast Geographic space, in specific, in the municipality of Acari in the State of Rio Grande do Norte, in the first half of the twentieth century. The politics of the government, through technical education and scientific engineers polytechnics, would emphasize, during the twentieth century, the building of dams, and irrigation canals, wells, railways, highways, between other elements, that would soon transform the physical space-northeast, specifically, the territory acariense. These works began to contribute to the setting of man backcountry their land, promote the regular practice of agriculture even in periods of drought and, the integration, especially, economic of territory acariense the other producing regions of Rio Grande do Norte and the Northeast as well as promoting the modification of the landscape of the world backcountry. These actions functioned as elements of modernity and progress that transformed the space by favoring by favoring the formation of urban networks (urban) in this space

Seleção conjugal e as mulheres re-casadas no mercado de casamentos em uma comunidade de baixa renda no nordeste brasileiro

A presente pesquisa partiu de uma revisão teórica dos assuntos relacionados à seleção sexual proposta por Charles Darwin, passando para evolução dos sistemas e da psicologia do acasalamento humano. Os estudos práticos, divididos em dois momentos, foram coletados numa comunidade litorânea de baixa renda no nordeste brasileiro, na qual as mulheres tiveram pelo menos duas uniões estáveis até a data da coleta, no ano de 2008. Nas primeiras análises, foram contempladas as expectativas dessas mulheres em relação aos atributos dos parceiros. E posteriormente, o perfil e valor das mesmas entraram em perspectiva. De uma forma geral, foi constatado que as mulheres, no primeiro casamento, de fato realizam matrimônios com parceiros mais parecidos com o que consideram ideal do que os posteriores. Assim como as segundas e subseqüentes uniões apresentam uma ligeira queda no valor (no mercado de casamentos) desses homens quando comparados aos primeiros companheiros levando em consideração indicadores biosocioeconômicos como idade, escolaridade e renda (status socioeconômico).

Estrutura da Comunidade de Lagartos de um remanescente de mata atlântica do Estado do Rio Grande Do Norte, Brasil.

As part of a broader project, Diversity and Distribution Patterns of Floristic and Faunistic composition of remnants of Potiguar s Atlantic Forest, as subsidies to conservation , that subsidizes a group of institutional research, This study aimed to evaluate the structure of the assemblage of lizards a remnant of the of the northern Atlantic Forest, identifying ecological factor (s) that contribute to the coexistence of sympatric species. Additionally, we studied the thermal ecology and thermoregulatory behavior of umbrophily and heliophily species live the Parque Estadual Mata da Pipa (PEMP), a remnant of Atlantic forest located in the Tibau do Sul municipality of, Rio Grande do Norte State, Brazil. It is one of the largest remnants of the Atlantic Forest and has an area of approximately 290 ha. The study was performed by four excursions to the field for 20 days each, when active search and pitfalls traps were used to record and colleted specimens in different habitats of the area. We recorded the presence of 19 species of lizards, of which seven are typical of forest areas, three are endemic Atlantic Forest, these two northern and one are new record for the Rio Grande do Norte. The use of resources, the results showed that phylogenetically related species do not always use a similar way the resources available; the feeding niche was the segregated component of the species that overlapped extensively in the use of space and vice versa. To examine the thermal ecology and thermoregulatory behavior of Kentropyx calcarata and Coleodactylus natalensis, we recorded the clocal temperature (Tc), oh the substrate (Ts) and of the air (Ta) to investigate what of these are the source of heat more important to the temperature s body of these lizards. Behavioral observations were conducted to analyze strategies to optimize the acquisition of heat. The air temperature explained most strongly to variation in body temperature of K. calcarata, while the temperature of the substrate to C. natalensis. As for the behavioral observations, they confirmed that K. calcarata is an active thermoregulatory; C. natalensis is a passive thermoregulatory.

Percepção ambiental por uma comunidade rural do entorno de uma reserva particular do patrimônio natural (RPPN), semiárido brasileiro

Com o aumento dos problemas ambientais surgiram várias formas de proteção da natureza, como a criação de Unidades de Conservação (UC s) para preservar a biodiversidade que, por si, não tem obtido os resultados esperados. Para isso, a Percepção Ambiental (PA) vem sendo utilizada em estudos que tratam da relação homem-ambiente. Uma dessas UC s é a Reserva Particular do Patrimônio Natural (RPPN) Stoessel de Britto, no Estado do Rio Grande do Norte. Este trabalho teve como objetivos identificar o perfil socioeconômico e analisar a PA da comunidade do entorno dessa RPPN para conhecer os significados e atitudes que regem as relações estabelecidas pela comunidade com os elementos naturais e a UC. Foi empregado o instrumento da PA, na forma de formulários com questões abertas e fechadas aplicados a 90 entrevistados, e os dados foram analisados através do método Análise de Conteúdo. Os resultados mostram que a maioria dos moradores reconhece esta RPPN como uma área de proibições e legalizada pelo Instituto Brasileiro do Meio Ambiente e dos Recursos Naturais Renováveis-IBAMA. A falta de investimentos e de apoio é considerada grande empecilho na proteção e para o desenvolvimento local

Aprendizagem na interação ensino-serviço-comunidade: a formação na perspesctiva dialógica com a sociedade

Considerando o papel do ensino superior em saúde para a sociedade brasileira, em que os egressos dos cursos ofertados na área serão os profissionais prestadores de serviços à população, este estudo objetivou analisar o componente ensino do PET-Saúde da Família - Natal-RN na formação de estudantes dos cursos de graduação em saúde da UFRN. Foi realizada pesquisa qualitativa com análise de documentos das disciplinas SACI e POTI datados entre 2009 e 2011 (portfólios, avaliações de desempenho e oficina de avaliação), mediante o auxílio do software Alceste© e análise de conteúdo, segundo Bardin. Na análise foi encontrado como potencialidades: o alunato trabalhando em grupo tutorial multidisciplinar, cuja interação e contato com a Unidade de Saúde da Família, incluídos os profissionais, bem como a comunidade, instiga nos aprendizes o diálogo consigo mesmo e com o outro, numa construção dos ser/agir no mundo. Os textos trabalhados durante as aulas permitem refletir e teorizar a respeito da realidade observada, auxiliando-os na identificação dos problemas e no traçar estratégias de intervenção. Já a observação da realidade reveste o aluno de humanização. Este passa a captar as necessidades e dificuldades enfrentadas pela comunidade observada. Nas fragilidades ficaram evidenciados: problemas de relações interpessoais entre os estudantes da SACI; a maioria dos projetos de intervenção ocorrendo numa perspectiva paternalista, reproduzindo o modelo de prestação de serviços na saúde mais praticado nas sociedades brasileiras; dificuldades em aprofundar no aprendiz, a importância da teorização dos assuntos; problemas de financiamento de projetos de intervenção; descumprimento do plano de ensino em alguns grupos tutoriais; e, por fim, dificuldades dos alunos e monitores em acompanhar as atividade de pesquisa e extensão do PET-Saúde, pela falta de integração dos projetos pedagógicos dos cursos. Conclui-se que o componente ensino do PET-Saúde da Família adota metodologias ativas de ensino na inserção de alunos na Atenção Primária em Saúde, proporcionando uma formação dentro de princípios éticos e humanísticos a partir do trabalho em equipe e da inclusão reflexiva dos alunos na Estratégia Saúde da Família. Apesar da existência de fragilidades concernentes às relações interpessoais, descompasso entre as proposições multiprofissionais e interdisciplinares da SACI e POTI e as dificuldades de pô-las em prática em currículos fragmentados e organizados por disciplinas pouco flexíveis, potencialmente, ao fim dessas experiências conectadas a Atenção Primária, os discentes apresentam uma nova visão do cuidado com a saúde, próxima às necessidades da população, iniciando uma tomada de postura crítica e reflexiva, entendendo-se com sujeitos ativos no construir a saúde coletivamente

Adolescência e violência: um estudo da medida socioeducativa de prestação de serviço a comunidade no município do Natal

This Project was built to reflect about juvenile violence and the socio-educational´s range of community services provision. It is known that the juvenile violence is a phenomenon inserted on the capitalism system, backed on neo liberal project. Though, it is essential a historical analysis, showing the economical, political, social and cultural mechanisms which determine the juvenile violence personality. On this way, it is seek understand the elements that leads on work world changes, on the State and public politics sphere, that deepens social dissimilarities. On this propose, it is known that there is a relation among the violence, while one of many manifestations of social question on society and the macroestructuals´determinant that lead the teenager to a social rick situation. This research focused on a inquiry quail-quantitative, using the theoric-metodological procedures of observation, interview and documental quest techniques. The universe had been defined by the intentional sample of 22 interviewed on total, during August and October 2008, covering adolescents and their relatives, technical and the coordinator, which subsidized the Socio educational program of community services provision from Natal analysis of limits and their range. The results of this investigation indicate the necessity of development, with the teenagers authors of infringement acts, a care system that is grounded on a professional formation, respect on human rights and citizenship conquest, regarding that children and teenagers are designed as people on development, that have theirs rights and integral protection, being the State, society and family responsibility assure the integral development of them

O Desenvolvimento local sustentável no semi-árido nordestino: um estudo de caso na comunidade de mirandas, Caraúbas/RN

Brazil s semi-arid region is an immense territory characterized by a mosaic of natural environments and human settlements. Inside this multifaceted framework, there are problems that are specific to the region (the water resources situation, for example) while others are more universal (such as the inequality between men and women). The circumstances that give rise to these problems are complex and require a holistic view so that our understanding can go beyond the simple concept that this is a problem region . The semi-arid must be perceived as a viable area in need of a new analysis, taking into account its successes, limitations, challenges and the strategic public policy framework that guarantees its sustainable development. The dissertation analyzes, from a sustainable local development perspective, the experience of the Northeastern Brazil Groundwater Project (PROASNE), carried out from 2001 to 2003, in partnership with the Waters and Sewers Company of Rio Grande do Norte (CAERN) in the rural community of Mirandas, municipality of Caraúbas/RN, situated in the middle of the northeastern Brazil semi-arid region

Dinâmica sazional de fungos micorrízicos arbusculares (Glomeromycota) em cerradão e brejo de altitude na Chapada do Araripe, CE

Arbuscular mycorrhizal fungi (AMF) are obligatory symbiotic organisms that associate with roots of a large number of plant taxa, and are found in all terrestrial ecosystems. These fungi promote greater tolerance to environmental stresses to associated plant, favoring the establishment of plant communities, especially where soil fertility is a limiting factor, as in the Caatinga, an exclusively Brazilian domain that has been focus of research due to its great biodiversity that can help clarify the history of vegetation in South America. Because of the ecological importance of AMF, the limited number of jobs and the potential diversity of the Caatinga, this work aims to inventory the diversity and determine AMF communities in areas with different faces occurrent in FLONA Araripe, Ceará (CE). The sample collection occurred in four periods at the beginning and end of the dry season (August and December 2011, respectively) and rainy (February and June 2012, respectively) in an area of marsh and woodland altitude of the Araripe, Crato, CE. The glomerosporos were extracted by wet sieving and centrifugation in water and sucrose (50%) mounted between slide and coverslip using PVLG and PVLG + Reagent Melzer. In total, we found 46 species of AMF distributed in eight families and 16 genera: Acaulospora (6), Ambispora (1), Cetraspora (2), Dentiscutata (5), Fuscutata (2), Gigaspora (6), Glomus (13) Intraornatospora (1), Kuklospora (1), Orbispora (1), Paradentiscutata (1), Quatunica (1), Racocetra (1), Scutellospora (2), Septoglomus (2) and a new genus. analysis showed that ecological each area of study has its own seasonal dynamics, with an area of woodland with a greater diversity of species throughout the year, while the marsh elevation showed greater variation in species found among the collection periods, showing that vegetation and rainfall has strong influence on the seasonal dynamics of AMF, as well as the availability of nutrients and soil pH so

Fungos gasteroides (Basidiomycota, Agaricomycetes) de três áreas de semiárido no Estado do Ceará, Brasil

Gasteroid fungi include several distinct lineages of basidiomycetes that were grouped by presenting some striking features in common like angiocarpic development and passive release of basidiospores. For a long period these fungi were accomodate in Gasteromycetes class. However, biochemistry and molecular studies showed the polyphyly of this group and curriently this class lies devoid of taxonomic value. These organisms influence the ecology of the various biomes, however, are poorly studied and knowledge of their diversity in neotropical ecosystems remains insufficient, despite studies that have been developed in recent years. The Brazilian semiarid region has many areas with an unexplored mycobiota. Ceará State has many areas of extreme biological importance and for this study three protected areas were chosen: Área de Proteção Ambiental da Serra da Ibiapaba, Parque Nacional de Ubajara and Área de Proteção Ambiental de Baturité. Therefore, the aim of this study was to inventory gasteroid fungi ocorring in these three areas in the semiarid region of Ceará. The expeditions, herborization and analysis of specimes were based in traditional methodology used to identify gasteroid fungi. Were identified 16 species belong to 5 families: Agaricaceae, Clathraceae, Geastraceae, Nidulariceae and Phallaceae. Morganella nuda Alfredo & Baseia is recorded for the second time in the world, Blumenavia angolensis (Welw. & Curr) Dring and Mutinus elegans (Mont.) E. Fisch. corresponds to a first record in the Brazilian Northeastern. Except for Abrachium floriforme (Baseia & Calonge) Baseia & T.S. Cabral and Geastrum lloydianum Rick, all remaining species are new records for Ceará, increasing the list of gasteroid fungi in the region of 3 for 17 species. Identified species were deposited in the collection of the Herbarium of Universidade Federal do Rio Grande do Norte. Although these areas have proved conducive to the study of gasteroid fungi, more efforts are still needed to increase knowledge of these fungi in the region

Turismo religioso na cidade da santa: a percepção da comunidade sobre a construção do Complexo Turístico e Religioso Alto de Santa Rita, Santa Cruz/RN

The general objective of this study was to analyze the city of Santa Cruz cope with the impacts of the changes caused by the insertion of religious tourism with the construction of the Tourist Complex Religious Alto de Santa Rita, and specific objectives: to identify the economic activities from building the Tourist Complex Religious Alto de Santa Rita with the monument of Santa Rita; describe the research scenario to respect the traditions, rituals and spatial organization of the city and to evaluate the impacts through construction of movement by Religious Tourism Complex human capital and economic development fostered by Religious Tourism. To this end, we used the methods of application of Questionnaires and interviews, as well as the method was conducted participant observation, individual and systematic, having exploratory held through a correlational analysis regarding the impacts by inserting Tourism religious elsewhere. Was performed also discourse analysis of speeches Stakeholder city of Santa Cruz / RN for understanding the local reality. Literature search was performed readings of books, articles, theses and dissertations dealing with the issue, it was necessary to use data from websites. As for the media research field was qualitative. At the end of the study, it was concluded that the city of Santa Cruz suffered socio-economic and cultural, as a result, especially the lack of a previously developed tourism planning

Potencial de uso dos recursos vegetais em uma comunidade rural do semiárido do Rio Grande do Norte

The aim of the present study was to identify the main plant use categories of native varieties from the Caatinga biome, in the rural community of Caicó, Rio Grande do Norte state (Northeastern Brazil). Semi-structured and structured interviews were used to gather information from local specialists about the use of the plants. The uses of 69 species are described by 23 observers (woodsmen, herb doctors, healers, farmers and housewives) aged 35 years or more. These species were allocated to seven categories: medicinal, wood plants, nutritional, mystic, fuel, forage plants and domestic use. The most represented families were Fabaceae (14 spp.), Euphorbiaceae (6 spp.), Cucurbitaceae (3 spp.) and Cactaceae (3 spp.). The calculation of use- value showed that the cumaru (Amburana cearensis (Allemão) A. C. Sm) and the jurema-preta (Mimosa tenuiflora (Willd.) Poir) were the most commonly mentioned, in addition to having the largest number of uses. The data obtained confirm the potential of the plants from the Seridó region and reinforce the importance of biodiversity for rural communities, underscoring the need for local plant management

Percepção ambiental por uma comunidade rural do entorno de uma reserva particular do patrimônio natural (RPPN), semiárido brasileiro

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