400 resultados para Quedas (Acidentes)


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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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During the aging process, increase the postural asymmetries that can affect the control mechanism of balance leading to falls. To evaluate the static posture of elderly; measure the balance and correlate the results of the posture with balance. The study involved 28 elderly patients, 13 males and 15 females (71.8 ± 5.7 years). The volunteers were photographed, the images transferred to a computer for evaluation of static posture and calculating the projection of the center of gravity in the frontal and sagittal planes using the Postural Assessment Software. The balance was assessed by the Berg Balance Scale (BBS). Correlations were performed by Spearman test (p ≤ 0.05). Data were presented as mean ± standart deviation (SD). BBS scores = 50.5 ± 3.3; the sagittal plane (anterior asymmetry) = 45.5 ± 11.1%; frontal plane (right or left asymmetry) = 9.8 ± 7.9. We found a correlation between BBS and asymmetry of the sagittal plane (r = -0.46, p = 0.01) and between BBS and asymmetry of the frontal plane (r = -0.41, p = 0.03). The data suggest that the higher the previous projection (asymmetry of the sagittal plane) and lateral projection (asymmetry of the frontal plane), scores of the BBs will be lower, indicating an increase of unbalance in elderly.

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Introduction: Parkinson’s Disease (PD) is characterized by a set of four motor symptoms: tremor, rigidity, bradykinesia and postural instability. These defi cits may predispose individuals to limitations resulting from falls and their secondary consequences. Objective: To evaluate the functional balance and quality of life (QoL) in individuals with PD and determine whether there is correlation between performance on tests of balance with the QoL. Method: The project was referred to the Ethics Committee in Research of Universidade Estadual Paulista “Julio de Mesquita Filho” Campus de Marília and was approved under protocol number 1806/09. Participated in this study with individuals diagnosed with PD between levels one and four in the Hoen and Yahr scale. The subjects were evaluated according to functional balance and QoL, respectively by the instruments: Functional Balance Scale Berg (EEFB), Time Up and Go test (TUG), and Parkinson’s Disease Questionnaire-39 (PDQ-39). To perform the statistical analysis used the GraphPad Prism 5. To perform the correlation analysis for the variables passed normality by the Shapiro-Wilk. Since the variables were non-parametric test was used Spearman. During the analysis the statistical signifi cance level was considered p ≤ 0, 05. Results: We studied 25 individuals aged between 54 and 85 years (71.20 ± 8.50), time of diagnosis between one and 39 years (6.54 ± 7.71) disease. Moderate correlation was found between the EEFB with QoL (r =- 0.6), and TUG with QoL (r = 0.6836). Among the aspects of QoL balance showed a higher correlation with the domains “mobility” (TUG r = 0, 6768; EEFB r = -0.6155) and “Activities of daily living” (TUG r = 0, 7357, and EEFB r = -0.6521). Conclusion: Patients with Parkinson’s disease show defi cits in balance and QoL. The balance disorders have a high correlation among themselves and show how aspects of QoL.

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Introduction: the improvements on the health area increased the brazilians life expectative. Because of it, more people becomes elder, passing through various common processes of aging, as the balance decrease. Resulting form this the risk of fall increase, and this has a negative impact on the quality of life. As more people become elder the institutionalization tax increase. Objectives: compare the balance and quality of life between institutionalized and non-institutionalized elders; correlate the Berg Balance Scale (BBS) with the Timed Up and Go test (TUG) and with the questionnaire “The Medical Outcome Study 36 – Item Short-Form Health Survey” (SF-36). Methods: were evaluated 20 elders, ten institutionalized (GI) and ten non-institutionalized (GNI). To the balance assessment were used the BBS and the TUG, the quality of life was evaluated using the SF-36. The signifi cance level was set to 5% (p<0,05). The GraphPad Prism 5# was used to analyze the data. To identify the distribution of the data was applied the Shapiro-Wilk test. In the comparison between groups, the normal distributed data were analyzed with the Unpaired Student t test. The non-normal distributed data were analyzed with the Mann-Whitney non-parametric test. The correlations were analyzed with the Pearson (normal data) and Spearman’s (non-normal data) tests. Results: the age average for each group was 72,8±8,36 years (GI) e 67,4±3,53 years (GNI). The GNI had a better performance than the GI in the BBS (*p=0,0017) as in the TUG (*p<0,0002). There wasn’t difference between the quality of life. There was correlation between EEB and TUG (-0,8907 for the GI and -0,7180 for the GNI) and between EEB and the functional capacity domain from the SF-36 (0,7657). Conclusion: the non-institutionalized elders presented best balance. It was found good correlation between TUG and BBS. In the studied sample, to be institutionalized didn’t infl uenced the quality of life.

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With the growing aging population will be an increase of chronic degenerative diseases such as dementia. Among the various forms of dementia Alzheimer’s disease (AD) is the most prevalent. In individuals with AD, there is a loss in the processing of sensory information, which may aggravate the imbalance and falls. As the disease progresses, the individual lose the ability to function independently, becoming dependent on a caregiver. This study aimed to analyze the balance of the mental state and quality of life of individuals with AD, to determine whether a correlation exists between these variables and analyze the influence on quality of life of caregivers. This study was conducted with thirty individuals (82.86 ± 9.07 years) with AD, both sexes, and their caregivers. The evaluation of the balance was accomplished by the Scale of Functional Balance of Berg (EEFB), the cognitive function for the Mini-exam of the Mental State (MEEM), and the quality of life (QV) for the scale “life Quality - Disease of Alzheimer “ (QdV - DA) that is composed for three versions: patient, caregiver and family The data were analyzed by coefficient of correlation of Spearman. The balance analyses (EEFB=32,17 ± 13,26 points) shows increased in the risk of falls in the elderly and negative correlation (R = - 0,55, p <0,01) with age and good correlation with MEEM (R=0,63 p <0,01). Already in relation of the MEEM and QV, can observed correlation between the familiar version and the MEEM ((R=0,40 p=0,02). In Relation the versions of the QV questionnaire, found significant correlation among: QdV-DA patient X caregiver (R=0,41 p=0,02), QdV-DA patient X family (R=0,40 p=0,03). In this way we can conclude that the individuals with DA, appraised in this study, present a deficit in the balance, so much related with the age as with to the cognitive decline, and the greater the cognitive decline worse the impression of caring about the QOL of their family, and still, that the worsening in the quality of the patient’s life contemplates in a worsening in the quality of your caregiver’s life.

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A disfonia espasmódica é um distúrbio vocal grave, caracterizada por espasmos musculares laríngeos durante a fonação, produzindo voz tensa e estrangulada. Atualmente, acredita-se que tenha origem neurológica, mas há evidências que associam suas causas com alterações psicogênicas. O presente estudo visa descrever dois casos diagnosticados como disfonia espasmódica, com manifestações fonoaudiológicas e psicológicas distintas. O estudo descritivo foi realizado por meio de análise dos prontuários, incluindo avaliação otorrinolaringológica, neurológica, avaliação vocal perceptivo-auditiva, análise acústica e Protocolo de Qualidade de Vida e Voz (QVV). Caso 1: sexo feminino, 65 anos, discreta coaptação de bandas ventriculares, fenda fusiforme e intenso tremor laríngeo. Apresentou quadro de alucinação, diagnosticada, posteriormente, como Esquizofrenia. Faz uso de Risperidona e Pondera. Apresentou loudness rebaixado, pitch agravado, rouquidão, hipernasalidade leve, tempo máximo de fonação reduzido, incoordenação pneumofonoarticulátoria e G², R², Bº, Aº, S³. Caso 2: sexo feminino, 68 anos, alteração das pregas vocais e intenso estrangulamento de bandas ventriculares. Sofreu três acidentes vasculares encefálicos (AVE) e, após o primeiro, iniciou-se a rouquidão. Realiza atendimento psicológico, ainda sem diagnóstico fechado. Apresentou loudness rebaixado, pitch agudizado, diplofonia durante a conversação, tempo máximo de fonação reduzido, incoordenação pneumofonoarticulatória e G³, R², Bº, Aº, S³. Os dados demonstraram distintos graus de severidades nas manifestações otorrinolaringológicas e fonoaudiológicas, além de diferentes envolvimentos psicogênicos. O grau de severidade ficou implícito no impacto da voz na qualidade de vida das pacientes estudadas.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The pipelines are characterized by the great length and linearity, these enterprises are usually associated with the horizon of soil and decomposed rock and accidents in this system usually have high complexity. So this work proposes a study of geological and geotechnical characterization of approximately 40 km ² and a study of risk analysis along 18.3 km of gas pipeline GASBOL, in the municipalities of Ipeúna-SP and Itirapina-SP, in scale 1:25.000, besides correlation between studies. The method for geological and geotechnical characterization is based on physiographic integrated analysis technique, which is supported by literature research, observation and interpretation of satellite imagery (photointerpretation), correlation of products numerical model of ground, fieldwork. The method adopted for risk classification is based on preliminary analysis of hazards (APP) technique, which is identified the geological process, this feature is classified as the susceptibility of occurrence, and then classified as the possible consequence of the process, if this evolves. As a product of the research, we designed a map in 1:25,000 scale, containing a table of geological and geotechnical characteristics of the mapped drives, as well as sectorization risk in each section of the pipeline. Were mapped geological and geotechnical seven units in the study area, delimited in excerpts of which five are classified as high risk, totaling 1.1 km in length of 18.3 km total

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Oil is a hydrocarbon mixture of various sizes, including saturated and aromatic compounds. Natural gas is a mixture of gaseous hydrocarbons and its main component is methane. In our society, the great demand for these fuels requires fast extraction, transportation and refining, increasing the number of accidents that compromise the environment. Oil is a finite resource and it is necessary to reduce the problems related to the question concerning environmental pollution which has encouraged the search for alternative fuel sources in our country. So today we have two major biofuels: ethanol and biodiesel. Concurrently, many studies have been done directed toward the isolation of microorganisms capable of degrading petrochemical industrial wastes, most of them using as a source of isolation soil and water collected in a contaminated environment. Isolation from alternative substrates has emerged as a new strategy that has provided satisfactory results. In this work, we present the leaf-cutter ants of the Attini tribe as a source for the isolation of micro-fungi with the potential for hydrocarbon degradation. These insects have a social way of life and a highly specialized system of intra and interspecific communication, which is based on the recognition of individuals through volatile chemical compounds, the majority hydrocarbons, stored in their exoskeleton. The micro-environment exoskeleton of Attini ants (genus Atta) used in this work proved to be a rich source of microbial biodiversity, as other studies have found. The flotation isolation technique applied here allowed the achievement of 214 micro-fungi, 118 representatives of the dematiaceous fungi group and 96 hyaline filamentous fungi. They were submitted to toluene degradation tests and at least one strain of each genus presented good results, namely Teratosphaeria, Exophiala, Cladosporium, Penicillium, Aspergillus... (Complete abstract click electronic access below)

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In the last few decades, Brazil has experienced an accelerated urbanization process in which many cities have grown in a disorderly way occupying environmentally fragile areas unsuitable for habitation. Anthropogenic actions such as high levels of impermeable soil, structural changes in watercourses, lack of riparian vegetation, illegal presence of trash and rubbish along the river banks added to irregular settlements in floodplains result in the rise of high risk areas. When accompanied by intense and prolonged rainfall phenomena, those areas have been the scenery of serious accidents such as floods. This study aims to classify the level of the risk of floods in the neighborhood of Jardim Inocoop, in the town of Rio Claro, São Paulo countryside, Brazil. One of the main technical support to tackle this issue is the identification and classification of the risks. In order to classify the risk level of flood in this case study, the methodology adopted was developed by the Ministry of Cities and Technology Research Institute, and take into account the arrangement of the hydrological scenario, vulnerability of households and dangerous process according to the distance of the houses from the axis of drainage. Therefore, the risk levels adopted to classify are listed below: very high (MA), high risk (A), moderate (M) and low risk (B). In conclusion, it is imperative to develop prevention plans in order to avoid or to minimize the damages caused by natural disasters. Therefore, the zoning of the risk sceneries remains as an important issue once it helps to identify the areas with high level risk of flood. Consequently, the occupation must be regulated where there is low or absent risk and it must be often forbidden where the high risk of flood is detected. Thus, the present study remains as an attempt to notify the risk of floods through its spatialization on a map, remainig...(Complete abstract click electronic access below)

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O medo é uma emoção natural do ser humano, podendo representar um diferencial importante em relação à performance motora, especialmente quando se focaliza o ambiente das atividades físicas no Circo, mais particularmente do Cirque Du Soleil, por ser este bastante rico em desafios corporais. O Cirque Du Soleil é um império de entretenimento que tem sede nas cidades de Montréal e Quebec no Canadá e a transgressão do natural e a realização do impossível por meio do corpo humano representam as características básicas e marcantes desse espetáculo circense, carregado de emoções. Sendo assim, o objetivo do estudo centra-se em investigar a presença ou ausência do medo nas performances de um artista do Cirque Du Soleil, identificando seu significado e as maneiras com que este lida com esta emoção, antes e após o espetáculo e durante os treinos e ensaios. O estudo, de natureza qualitativa, foi desenvolvido em duas etapas, sendo a primeira referente a uma revisão de literatura acerca das temáticas propostas e a segunda relativa a uma pesquisa exploratória, utilizando-se como instrumento para coleta de dados um questionário contendo perguntas abertas, aplicado a uma amostra intencional composta por 1 integrante do Cirque Du Soleil, com o domínio do idioma português. Os dados foram analisados descritivamente, por meio da Técnica de Análise de Conteúdo Temático e indicam que artistas circenses sentem medo, ansiedade e nervosismo, além de alterações corporais, como aceleração do batimento cardíaco, antes de apresentações e diante do aprendizado de novos movimentos, que podem causar acidentes, tendo em vista que interferem na performance. O sujeito tenta controlar essas reações com pensamentos positivos, uma vez que entende que o medo é fruto de algo fictício proveniente da sua mente e utiliza a respiração para se acalmar. Esses resultados ...(Resumo completo, clicar acesso eletrônico abaixo)

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Durante a revolução industrial, o trabalho manual tornou-se mecanizado, repetitivo e automatizado, e com o aumento da competitividade do trabalho e a busca desenfreada pela produtividade, os trabalhadores eram submetidos à estresse, depressão, acidentes e lesões no local de atuação (DE ALMEIDA et al., 2009). A fim de reduzir esses malefícios causados pelo trabalho surge na Polônia, em 1925, a ginástica laboral. Vários estudos apresentam os benefícios da ginástica laboral, tais como melhora da flexibilidade, estados de ânimo, e etc. Mas a queixa por dores e afastamentos causados por LER/DORT tem nos chamado atenção; por isso esse estudo tem como principal objetivo verificar alterações na incidência e intensidade de dores em participantes do projeto de extensão de Ginástica Laboral da UNESP campus de Rio Claro. Foram ministradas duas aulas de ginástica laboral preparatória por semana, com duração de 15min. Cada, e por um período de quatro meses. Os participantes responderam três instrumentos:, Nórdico para Dor adaptado, Questionário Internacional de Atividade Física e Questionário auto-elaborado para o estudo com perguntas referentes a intensidade do trabalho e tipo de ocupação, em dois momentos distintos: o primeiro antes da intervenção e o segundo após a intervenção. Após analisarmos os dados, constatamos que a ginástica laboral contribui de forma positiva para a diminuição da incidência e intensidade da dor em trabalhadores. O estudo mostrou que duas sessões semanais, com duração de quinze minutos cada sessão, de ginástica laboral preparatória são suficientes para a diminuição da incidência e intensidade de dores osteomusculares