Indicadores de depressão e de declínio cognitivo em idosos institucionalizados: um estudo de caso

This case study objectified investigating the symptomatology prevalence for depression (DP) and cognitive decline (CD) on institutionalized elderly’s; verifying the existence of correlations between DP and CD with age, gender and scholarity; and analyzing the possible correlations between symptomatology for DP and CD. For the realization of this research were selected, in two Elderly’s Long-Permanence Institutions (ELPIs), 24 subjects, which were classified according to gender, scholarity and age group. To verify the occurrence of CD, the Mini Mental State Examination (MMSE) was applied and, for the incidence of DP, the Geriatric Depression Scale (GDS) was applied. The data were tabulated and descriptively analyzed. For the study of the relations between quantitative variables, the Pearson correlation test was utilized and also the Spearmann test when necessary; for the comparison between two independent groups, the Student's t-test was utilized; for the verification of the association between gender, scholarity, DP and CD indicatives, the Pearson's X2 test and, due to theoretical restriction, the Fisher's exact test were utilized. The level of 5% probability was adopted for the rejection of nullity's hypothesis on all the tests. The research demonstrated that 50% of the research' subjects presented DP indicatives and 54.2% presented CD indicatives. Associations between: gender and DP (p = 0.414), gender and CD (p = 0.219), scholarity and CD (p = 0.527) were not observed. Positive regular correlation was verified between age and DP (r = 0.557; p = 0.005) and negative regular correlation was verified between DP and CD (r = -0.406; p = 0.049). The data suggest that DP might be a reaction to CD perceived by the subject. However, the hypothesis that indicates DP as a risk factor for CD and DM cannot be overruled, which suggests the importance of monitoring and treating depressive episodes on elderly populations.

Avaliação dos efeitos dos inseticidas malation e fipronil sobre a viabilidade e regeneração de girardia tigrina (Platyhelminthe, tricladida)

In this study were carried out toxicity tests and the evaluation of sub lethal effects of the insecticides malathion and fipronil, over the test system of Girardia tigrina, using for these analyses a great variety of methods. For evaluation of the lethal concentrations of the products, adult planarians were exposed to several different concentrations. All the tests were carried out in duplicate, maintained on the shelter of the light, on a temperature 24-26ºC and they had the duration of 96h, with observations at each 24h. The results were statically valued by the tests U of Mann- Whitney, Spearman-Karber, ANOVA and Pearson correlation. The effects over the system-test, in the different tested concentrations, varied in accordance with the time of exposition. The EC50 given by the test of Spearman-Karber was of 12,5mg/L for malathion and 13,4mg/L for fipronil. The evaluation of sub lethal effects was composed by analyses of the potential of regeneration; histological, for tissue damage evaluation; d; and the “comet assay”, for DNA damage detection. The specimens split up and exposed to the insecticides demonstrated, between other effects, retardation in development of the regenerative blastema. The histological evaluation has shown that exposed planarians to lower concentrations of the insecticides cause more significant damage against the tissues and some specific cell types. Through the comet assay, significant damages were noticed in the DNA in all the treatments, when compared with the control group. Such damages may result in reproduction and immunity alterations, which reduce the competitive efficiency and, consequently, the survival chances of these organisms.

Efeitos de um programa de atividade física sobre os sintomas depressivos e a qualidade de vida de idosos com demência de Alzheimer

A demência de Alzheimer (DA) constitui o tipo mais comum de demência. Déficits de memória caracterizam a doença e causam comprometimento de sua qualidade de vida. Sintomas depressivos são comuns na DA e associam-se a um contexto de perda da qualidade de vida. Atualmente a literatura apresenta poucos estudos envolvendo a temática atividade física na DA. O presente estudo poderá orientar novas investigações acerca da DA e auxiliar profissionais da área da saúde na orientação de cuidados para o paciente que visam reduzir sintomas depressivos e aumentar a qualidade de vida de pacientes e cuidadores. O objetivo do estudo foi analisar os efeitos da atividade física sistematizada sobre os sintomas depressivos e a qualidade de vida de idosos com demência de Alzheimer e de seus cuidadores. Dezesseis sujeitos com diagnóstico de DA foram avaliados no início e após seis meses pelos testes: Mini-Exame do Estado Mental (MEEM), escala de qualidade de vida (EQV) e Escala de Depressão em Geriatria (EDG). Seis participantes foram submetidos à sessões de um programa sistematizado de atividade física a ser realizado 3 vezes por semana, com duração de 60 minutos, por um período de 6 meses. Os demais formaram o grupo controle, que não realizou a intervenção motora. A análise dos dados consistiu da estatística descritiva, verificação da distribuição dos dados por meio do teste de Shapiro Wilk. Foi utilizada a Análise de Variância para medidas repetidas (ANOVA two-way) e o teste de correlação de Pearson. Admitiu-se nível de significância de 5% (p<0,05) para todas as análises. A ANOVA mostrou uma interação significativa entre grupos e momentos. O coeficiente de correlação de Pearson apontou que há relação entre as visões de qualidade de vida, e entre as mesmas e os sintomas...(Resumo completo, clicar acesso eletrônico abaixo)

Padronização e reprodutibilidade de um teste específico de avaliação da capacidade aeróbia em jogadores de futsal

Introdução: O futsal é uma modalidade esportiva altamente dinâmica e sua prática em nível de rendimento é caracterizada por uma exigência altíssima dos sistemas anaeróbio e aeróbio, sendo o último, responsável por sustentar as altas intensidades exigidas durante a partida. Um exemplo de teste para avaliar a capacidade aeróbia é o “Circuito de Hoff”, porém específico para o futebol. Com a finalidade de elaborar um protocolo de teste específico para o futsal, este estudo procura padronizar o teste “Circuito de Hoff” como uma forma i ndireta de i nvestigar a capacidade aeróbia de atletas dessa modalidade. Objetivo: Padroni zar o “Circuito de Hoff” para avaliação da capacidade aeróbia de jogadores de futsal, determinada pelo teste de lactato mínimo. Metodologia: Participaram do estudo 8 atletas de futsal do sexo masculino (idade: 21,75±2,05 anos) pertencentes a uma equipe universitária de competição do Estado de São Paulo. Inicialmente os participantes passaram por uma avaliação antropométrica e deram início ao um período de 5 dias de familiarização ao Hofffutsal e logo após então realizaram o teste de lactato mínimo no circuito Hofffutsal. Após 7 dias, teste de lactato mínimo no circuito Hofffutsal foi reaplicado para a verificação da reprodutibilidade (intra-teste). Para análise estatística de normalidade e homogeneidade dos dados foram utilizados os testes Shapiro-Wilks e Levene respectivamente. Para comparação dos resultados foi realizado o teste t de Student pareado e a correlação de Pearson (p<0,05). Resultados: O teste t de Student não encontrou diferenças estatísticas entre os valores de Lac_mín teste x Lac_min Re-teste, e R2 Teste X R2 Re-teste. Apresentou-se valores de 7,75±0,29 mmol/l de lactato mínimo e r2 de 0,94±0,09 para teste e um valor de 7,69±0,29 mmol/l de lactato mínimo ...(Resumo completo, clicar acesso eletrônico abaixo)

Validação das unidades arbitrárias de teor de clorofilas obtido em folhas intactas de seringueira

The determination of foliar chlorophyll content is a characteristic that interests ecophysiologists and rural producers. With consideration for practical uses as well as scientific publications, our present work aims to establish equations, for rubber tree leaves, that can convert arbitrary units of expressing chlorophyll content to the international system. Chlorophyll a (Chla), chlorophyll b (Chlb), and total chlorophyll (Chltot) were obtained from intact leaves using a portable chlorophyll detecting instrument. Leaves from different positions on the plant, at various stages of maturity, and representing a large spectrum of pigment concentrations, were collected and analyzed in the field using the Clorofil OG Falkner ® instrument, through four evaluations in forty-five medium leaflets. At the laboratory, leaflets underwent a process of pigment extraction. They were incubated in a water-bath with dimethylsulfoxide (DMSO), dosed in molecular absorption spectrophotometer, and converted into pigment content per unit of fresh weight using conventional equations. The data were evaluated according to the Pearson correlation coefficient and tested with different regression models. For all variables, the linear fit is the most adequate, with correlation coefficients (r) 0.74 for Chlb and 0.88 for Chla and Chltott.

Validação das unidades arbitrárias do teor de clorofilas obtido em folhas intactas de seringueira

The determination of foliar chlorophyll content is a characteristic that interests ecophysiologists and rural producers. With consideration for practical uses as well as scientific publications, our present work aims to establish equations, for rubber tree leaves, that can convert arbitrary units of expressing chlorophyll content to the international system. Chlorophyll a (Chla), chlorophyll b (Chlb), and total chlorophyll (Chltot) were obtained from intact leaves using a portable chlorophyll detecting instrument. Leaves from different positions on the plant, at various stages of maturity, and representing a large spectrum of pigment concentrations, were collected and analyzed in the field using the Clorofil OG Falkner ® instrument, through four evaluations in forty-five medium leaflets. At the laboratory, leaflets underwent a process of pigment extraction. They were incubated in a water-bath with dimethylsulfoxide (DMSO), dosed in molecular absorption spectrophotometer, and converted into pigment content per unit of fresh weight using conventional equations. The data were evaluated according to the Pearson correlation coefficient and tested with different regression models. For all variables, the linear fit is the most adequate, with correlation coefficients (r) 0.74 for Chlb and 0.88 for Chla and Chltott .

Análise estrutural e bioquímica da hidroxiapatita submetida ao tratamento com fluoreto e polifosfatos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Qualidade de vida em portadores de paralisia cerebral: associação com nível funcional e aspectos sócio-demográficos

Pós-graduação em Saúde Coletiva - FMB

Associação entre o potencial evocado auditivo de longa latência e os índices lineares da variabilidade da frequência cardíaca em repouso

Pós-graduação em Fonoaudiologia - FFC

Acurácia das medidas de limas endodônticas em radiografias digital e convencional: estudo in vitro em dentes decíduos

The objective of this study is to evaluate the measurement accuracy of endodontic files obtained by digital and conventional radiographies in primary teeth. Kerr and Hedströen files (# 20), with the reference as the apparent length of tooth, were inserted in the root canal of 18 extracted primary teeth, which were x-rayed by digital and conventional techniques. Measurements from a reference point to the apical end were carried out by an experienced operator twice in a week. An electronic ruler was used for the digital method and a caliper was used for the conventional method. The data were subjected to Pearson correlation test and Student´s t test (p = 0.05). The correlation between the first and the second measurements was r = 0.99, regardless the type of file and method. Comparing the measurements within the methods, the agreement was r = 0.96 for Kerr and r = 0.95 for Hedströen files. The values of length files in the digital radiographies were statistically lower than that obtained in the conventional radiographies (p = 0.02). However, the values obtained by the two methods were statistically similar to real length of teeth for Kerr files (p = 0.29) and for Hedströen files (p = 0.18). The digital radiography was a more trustful method to obtain the lengths of endodontic files.

Facial type measurements influence on transverse dimensions of normal occlusion arches

Objective – To correlate facial type measurements of Caucasian individuals with transverse dimensions of normal occlusion arches. Methods – Twenty-one pairs of dental models were selected according to the following inclusion criteria: presence of all permanent teeth from 1 st molar to 1 st molar; normal occlusion; no prosthetic crowns; no previous orthodontic treatment and 2 mm or less of crow- dings or spacings. The cephalometric measurements of lateral cephalometric X-ray of the same individuals were taken and tabulat ed. To evaluate the repetition of arch measurements, paired Student’s t-test and Pearson's correlation coefficient were used. The r elationship between the measurements was analysed by using the Pearson’s correlation. Results – The repetition of the measurements showed high correlation and no systematic error. In the comparison between the measurements, a moderate negative correlation was observed b et- ween facial axis angle and the measurements Upper and Lower 6-6, whereas a positive correlation was observed between dentition height and the latter. Conclusion – It was observed a negative correlation between facial axis angle and upper and lower inter-molar distance as well as a positive correlation between dentition height and upper and lower inter-molar distance.

Métodos de estimativa de peso e altura na avaliação de desnutrição de pacientes com câncer

To calculate the estimated and actual height and weight measures in cancer patients, evaluate the correlation and concordance of these measures and to identify the malnutrition patients. 62 cancer patients, treated at the Amaral Carvalho Hospital (Jaú- SP). For classifi cation of nutritional status, the Patient-Generated Subjective Global Assessment, the Body Mass Index and the relationship with usual weight were used. For the estimated weight was used the algorithm Chumlea et al.7 and estimated height, the equation proposed by Chumlea et al.8 and Kwok & Whitelaw24. The Pearson Correlation Coeffi cient and the Intraclass Correlation Coeffi cient was calculated and simple linear regression was conducted. To compare the malnutrition detected by different methods, the Cochran’s Q test were performed. There was a strong and signifi cant correlation between the estimated and actual weight (r=0,95; CI95%=0,92-0,97; p<0,001) and excellent concordance (ρ=0,95). For height measurements, a signifi cant correlation was observed between the actual and estimated measurement the method Chumlea et al.8 (r=0,78; CI95%=0,66-0,86; p<0,001) and Kwok & Whitelaw24 (r=0,85; CI95%: 0,75-0,90; p<0,001). Concordance was “Good” (ρ=0,72) and “Moderate” (ρ=0,67) between the actual height and estimated by Chumlea et al.8 and Kwok & Whitelaw,24 respectively. There was a strong correlation between the actual and estimated weight and height measures. The reproducibility of the equation proposed by Chumlea et al.8 to calculate height was better. The nutritional status, the patients classifi ed as malnutrition was greater when using the Patient-Generated Subjective Global Assessment and the relationship with usual weight.

Evaluation of zebu nellore cattle blood samples using the Cell-Dyn 3500 hematology analyzer

The Cell-dyn 3500 is a multiparameter flow cytometer, which may analyze samples from several species performing several simultaneous analyses. It is able to perform white blood cells, red blood cells and platelet counts, besides differential leukocyte counts, packed cell volume and hemoglobin determination. Cell-Dyn 3500 performs total leukocyte count both optically and by impedance. The equipment may choose one or other method, based on the reliability of the results. Erythrocyte and platelet counts are determined by impedance. Leukocyte differentiation is based on an optical principle, using separation in multiangular polarized light. The objective of this study was to compare the results of complete blood count of Zebu Nellore heifers from Cell-dyn 3500, with those obtained from a semi-automated cell counter (Celm CC 510) and the manual technique. Blood samples were collected from the jugular vein in 5 mL EDTA vacuum tubes from 58 Nellore heifers, at 24 months of age. Samples were processed in parallel in the three different techniques. Results were analyzed using paired t test, Pearson's correlation and the Bland-Altmann method. There was a strong correlation for all parameters analyzed by Cell-Dyn 3500, manual method and semi-automated cell counter, except for basophils and monocytes counts. These results confirm that this analyzer is reliable for blood samples analysis of zebu cattle.

Evaluation of the Atibaia River water quality using Lecane bulla as a test organism

In view of the diversity of environments found in the Brazilian territory, it is understandable that the use of native species can provide more relevant information for ecotoxicological studies. The purpose of this work was to evaluate the quality of water samples from the Atibaia River in an area that is under the influence of petroleum refinery using a native test-organism and submitting the data to PCA statistical analysis. Therefore, acute toxicity assays with Lecane bulla (Rotifera) were performed in four locations of the river, as well as physical-chemical analyses. Sampling was drawn in the dry and rainy seasons. The bioassays were static and lasted 48 hours; dead organisms were quantified at the end of the tests. Toxicological differences among the samples/per location and control were compared by means of the Analysis of Variance. Physical-chemical and mortality variables were simultaneously analyzed by multivariate analysis of the principal components and the Pearson correlation coefficient. Water samples from the exit of the refinery stabilization pond (location S.1) were toxic to L. bulla in both seasons, with significant differences in relation to the control and between the seasons. The statistical treatment of data showed that mortality was strong and positively correlated with total hardness, chlorides and EC, which together with pH presented higher values in location S.1, in the dry and in the rainy seasons. Due to its sensibility to the quality of the Atibaia river water samples, the potential use of L. bulla for ecotoxicological studies as an alternative test organism could be demonstrated.

Estudo da diversidade microbiana e níveis de endotoxinas em lesões endo-periodontais

Pós-graduação em Odontologia Restauradora - ICT