Efeitos do treinamento com pesos nas atividades de vida diária básicas e instrumentais de pacientes com doença de Alzheimer

The Alzheimer's disease (AD) is a neurodegenerative and progressive disease, mostly seen in elderly people, characterized by memory loss. This commitment leads causes deficits in functional capacity, compromising the individual in execution of activities of daily living, like dressing and bathing. This study, with a longitudinal character, aimed analyze the effects of a protocol of weights training (WT) in global cognitive status and realization of activities of daily living (ADL´s) basic and instrumental in AD patients, comparing the effects of four months of WT in the performance of ADL´s in global cognitive status. And also aimed to verify the possible relations between ADL's and global cognitive status of patients before and after the experimental period. The study included 24 patients with clinical diagnosis of AD, divided into two groups: a) training group (TG) consisted of 13 patients who underwent a protocol of WT b) Social Gathering Group (SCG) consists of 11 patients participating in a protocol of social gathering not systematized with activities of reading, writing and walking. Both protocols lasted four months, being developed in three non-consecutive weekly sessions, lasting 60 minutes each. To quantify global cognitive status and the basic and instrumental ADLs were used, respectively, the Mini-Mental State Examination and the Self Perception of Performance in Activities of Daily Living, along with the battery of tests of Activities of Daily Life of Andreotti and Okuma (1999). To analyze the results where complied the nature of the data, using analysis of variance for repeated measures ANOVA two-way and Pearson correlation for continuous data and tests of U Mann Whitney, Wilcoxon and Spearman correlation for non-continuous data, assuming level significance of 5% for all analysis. After analysis it´s possible... (Complete abstract click electronic access below)

Cuida e ser cuidado: compreendendo as significações desse processo para famíliares cuidadores e idosos dependentes usuários de um Centro Dia

Pós-graduação em Saúde Coletiva - FMB

Construção e vivência de valores: aprendendo a ser e a conviver

This study was developed from a extension project between the years of 2006 -2009 in a Middle School in the city of Bauru with the goals to support the construction of citizenship in teenagers and to strengthen their self esteem, their self knowledge and the achievement of their rights and duties in order to ease their insertion into the collective, as they realize themselves as social transformation agents. It is an adaptation of a project developed by the ODEBRECHT foundation in Bahia focusing on the transverse themes: Ethics, Sexual Education, Cultural Plurality, Work and Consumption, and Health and Environment. These themes, in addition to others that each school needs to prioritize due to the vicissitudes that experiences, must permeate across the curriculum to create, transform and favor their development by means of the daily living. The survey methodology was based in the research-action. We considered the activities developed in groups and the result of Defining Issues Test (DIT-1) applied before and after Project for data collection. The result indicates change in the moral development of the teenagers and new perceptions about the problems that are presented in the reality, providing the construction of values present in the transverse themes proposal. Greater participation of students in the school activities, like student guild and fanfare, was also observed.

Controle motor em pacientes com doença de Parkinson: terapia do espelho, foco de atenção e tarefa dupla

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Concepções de alunos do ensino médio sobre o tema água: subsídios para o planejamento de atividades investigativas interdisciplinares

Meaningful learning occurs when new knowledge to be aggregated are grounded in other students already possess. In preparing didactic sequences for teaching concepts, one should take into account these concepts and knowledge to produce more effective and lasting learning, and build new concepts that will become subsumes for subsequent learning. This research was developed in a subproject linked to institutional Scholarship Program Initiation to Teaching (PIBID) of a Universidade Estadual Paulista. The proposal is based on the articulation of the Public School and the University, strengthening the initial training of undergraduates, and continued teacher network, improving the quality of education. The proposed work is based on interdisciplinary research and teaching by investigation. Undergraduates in Biology, Physics, Mathematics and Chemistry jointly propose interdisciplinary teaching activities and investigative applied to high school students of Public School partner. To survey the views of these students on the theme Water, they were asked to draw up an essay entitled "The importance of water", with the aim of organizing information for planning a teaching strategy that articulates the disciplines of training of undergraduates. In this paper we present a qualitative analysis of these essays, performed based on content analysis. The analysis allowed to identify existing concepts in students' cognitive structure and classify them into adequate and inadequate compared to scientifically accepted concepts. Several misconceptions were raised indicating the need to produce didactic sequences that in addition to working the concepts presented in the curriculum of disciplines take into consideration the possibility of more meaningful learning. This research produced the elucidation of existing concepts, indicating where deficiencies were larger. One major contribution was the realization that concepts that may be considered by teachers as simple and already acquired by the students often come so misguided in their explanations. From the results obtained, integrated activities have been planned and implemented, and more relevant to the needs of students aiming to recover and enrich the knowledge they possessed, encouraging the use of scientific concepts and their application to daily living situations.

Avaliação nutricional e capacidade funcional de idosos institucionalizados em Botucatu/SP

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

Diagnósticos de enfermagem prevalentes em geriatria segundo o grau de dependência

This is a quantitative study conducted at the Outpatient Clinic of the Geriatrics and Gerontology Academic League of Botucatu School of Medicine. It aimed at learning about the profile of elderly patients and their level of disability in relation to basic activities of daily living. Based on this information, nursing diagnoses for the population under study were made, and the most frequent diagnosed were selected with the purpose of composing a stage of the instrument for nursing consultation in geriatric. It was found that the disabled elderly patients were predominantly females and widowed. They had a mean age of 81 years and had completed the first 4 grades of elementary school. Chronic pain related to physical disability and impaired ambulation related to the presence of osteoarticular diseases are examples of the most common diagnoses in the studied population. It is important that geriatric nurses implement Nursing Care Systematization based on the knowledge of the population to which they attend by considering the level of disability of elderly patients with respect to basic activities of daily living, so that full and individualized care can be provided and the patients’ remaining autonomy can be preserved.

Prevalence of inadequacy intake for older people: the use o National Cancer Institute (NCI) method

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

Avaliação da qualidade de vida dos pacientes submetidos a artroplastia total primária do quadril antes e após a cirurgia

Pós-graduação em Saúde Coletiva - FMB

Estimativa da radiação solar global diária em função do potencial de energia solar na superfície do solo

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Atividade física para prevenção e tratamento das doenças crônicas não transmissíveis e da incapacidade funcional

A atividade física pode ser efetivar tanto na atenção primária quanto secundária e terciária da saúde. Os objetivos do artigo são analisar a associação entre atividade física e prevenção ou tratamento das doenças crônicas não-transmissíveis e incapacidade funcional e rever os principais mecanismos biológicos responsáveis por essa associação e as recomendações atuais para a prática de exercícios nessas situações. Diversos estudos epidemiológicos mostram associação entre aumento dos níveis de atividade física e redução da mortalidade geral e por doenças cardiovasculares em indivíduos adultos e idosos. Embora ainda não estejam totalmente compreendidos, os mecanismos que ligam a atividade física à prevenção e ao tratamento de doenças e incapacidade funcional envolvem principalmente a redução da adiposidade corporal, a queda da pressão arterial, a melhora do perfil lipídico e da sensibilidade à insulina, o aumento do gasto energético, da massa e força muscular, da capacidade cardiorrespiratória, da flexibilidade e do equilíbrio. No entanto, a quantidade e qualidade dos exercícios necessários para a prevenção de agravos à saúde podem ser diferentes daquelas para melhorar o condicionamento físico. de forma geral, os consensos para a prática de exercícios preventivos ou terapêuticos contemplam atividades aeróbias e resistidas, preferencialmente somadas às atividades físicas do cotidiano. Particularmente para os idosos ou adultos, com co-morbidades ou limitações que afetem a capacidade de realizar atividades físicas, os consensos preconizam, além dessas atividades, a inclusão de exercícios para o desenvolvimento da flexibilidade e do equilíbrio.

Diet of buffy tufted-eared marmosets (Callithrix aurita) in a forest fragment in southeastern Brazil

The feeding ecology of the Atlantic forest marmosets (Callithrix spp.) in southeastern Brazil is poorly known, and few studies have focused on buffy tufted-eared marmosets, Callithrix aurita. We determined the food items and investigated the seasonal variation in the diet of a group of four Callithrix aurita in a 17-ha semideciduous forest fragment in southern Minas Gerais State, Brazil. We recorded daily feeding activities between October 1994 and September 1995 using scan sampling at 5-min intervals. The marmosets devoted feeding rime to gums (50.5%), fruits (11%), and animal prey (38.5%) in a fetal of 499 records. Plant resources comprised 27 species from 16 families. They used Acacia paniculata (Mimosoideae, Leguminosae), the main gum source (82%), year-round Maclura tinctoria (Moraceae) was the fruit species that they consumed most (22%). The marmosets preyed on caterpillars (33%), katydids (5%), and homopterans (4%). Feeding on fruits varied seasonally and was inversely related to gum feeding. Consumption of animal prey remained constant over the year. The wide and year-round dependence on gum suggests that Acacia may play a critical role in marmoset persistence in forest fragments.

Atividade física e sua associação com qualidade de vida em pacientes com osteoartrite

OBJETIVO: Avaliar a qualidade de vida e sua associação com a atividade física nos diferentes contextos da vida diária de pacientes com osteoartrite (OA) encaminhados pelas unidades básicas de saúde para um serviço universitário. MÉTODOS: Estudo transversal, série de casos, em que a atividade física foi avaliada pelo International Physical Activity Questionnaire (IPAQ) e a qualidade de vida foi avaliada pelos questionários Medical Outcomes Study 36 Short-Form Health Survey (SF-36), Western Ontario and McMaster Universities Index (WOMAC) e Australian/Canadian Osteoarthritis Hand Index (AUSCAN). Para verificação da intensidade da dor, utilizou-se também a Escala Visual Analógica (EVA). RESULTADOS: Foram incluídos 100 pacientes (92 mulheres e oito homens), com média de idade de 59,9 ± 9,4 anos. As articulações mais comprometidas foram joelhos e mãos. Dez pacientes tinham comprometimento de uma única articulação, 69 de duas, oito de três e 13 de quatro. O IPAQ demonstrou que 70 pacientes eram ativos ou muito ativos e 30 eram insuficientemente ativos ou sedentários. A atividade física associou-se positivamente aos domínios do SF-36, que avaliam a saúde física (capacidade funcional, aspectos físicos, dor, estado geral da saúde). Houve associação entre atividade física e qualidade de vida quando avaliada pelo WOMAC, e quanto mais intensa a dor, pior a qualidade de vida. CONCLUSÃO: Nessa população, a maioria dos pacientes apresenta piora dos aspectos físicos da qualidade de vida, mas mantém as atividades físicas cotidianas.

Nutritional status and functional capacity of hospitalized elderly

Background: The nutritional status of the aging individual results from a complex interaction between personal and environmental factors. A disease influences and is influenced by the nutritional status and the functional capacity of the individual. We asses the relationship between nutritional status and indicators of functional capacity among recently hospitalized elderly in a general hospital.Methods: A cross-sectional study was done with 240 elderly (women, n = 127 and men, n = 113) hospitalized in a hospital that provides care for the public and private healthcare systems. The nutritional status was classified by the MNA (Mini Nutritional Assessment) into: malnourished, risk of malnutrition and without malnutrition (adequate). The functional autonomy indicators were obtained by the self-reported Instrumental Activity of Daily Living (IADL) and Activity of Daily Living (ADL) questionnaire. The chi-square test was used to compare the proportions and the level of significance was 5%.Results: Among the assessed elderly, 33.8% were classified as adequate regarding nutritional status; 37.1% were classified as being at risk of malnutrition and 29.1% were classified as malnourished. All the IADL and ADL variables assessed were significantly more deteriorated among the malnourished individuals. Among the ADL variables, eating partial (42.9%) or complete (12.9%) dependence was found in more than half of the malnourished elderly, in 13.4% of those at risk of malnutrition and in 2.5% of those without malnutrition.Conclusion: There is an interrelationship between the nutritional status of the elderly and reduced functional capacity.

Modelo da velocidade crítica em testes de caminhada: validade, reprodutibilidade e aplicabilidade em pacientes de Unidades de Saúde

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)