Impactos da institucionalização na saúde mental do idoso

The present work proposes an analysis of the conditions of the elderly on a Brazilian context, focusing the institutionalized elders and the nuances of the institutionalization process on their mental health. Bibliographical analysis and participative observation were used as method. On the discussion, the present work demonstrates that the institutionalization have harmful effects to the elders, at their mental health and from this, proposes a multidisciplinary view of the process.

Análise do equilíbrio e da qualidade de vida de idosos com Alzheimer e a influência na qualidade de vida do Cuidador

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.

Estudo epidemiológico do perfil do idoso institucionalizado do interior paulista

The increase in the elderly population is a worldwide phenomenon and has different consequences not only in terms of health, but also in terms of economy. One of those consequences is the institutionalization. The understanding of this process, as well as of the reality of the institutionalized elderly is essential to develop policies of care. Goals: a) present the epidemiological profile of institutionalized elderly who live in institutions in the countryside of São PauloState and describe the development of an extension project implemented in two elderly-care institutions (IRLPI’s). Methods and procedures: data were collected in three forms, from which it was possible to verify: a) institutional data; b) social data and c) data about general and mental health. The data related to health were collected from the medication of continuous use. All data were launched into the database (Access) and subjected to the descriptive statistical analysis. Data related to mental health were confirmed from the application of clinical trials (Geriatric Depression Scale – GDS and Mini Mental State Examination: MMSE).

Aspectos do Processo de Institucionalização na Saúde Mental do Idoso

O presente trabalho propõe a análise da situação do idoso no contexto brasileiro, enfocando os idosos institucionalizados e as nuances do processo de institucionalização na saúde mental dos mesmos. Utilizou como metodologia a análise bibliográfica e observação participativa. Na discussão, o presente trabalho demonstra que a institucionalização tem efeitos danosos para o idoso em sua saúde mental, e a partir disto propõe uma perspectiva multidisciplinar do processo.

Análise comparativa da mobilidade tóraco-abdominal em relação ao índice de massa corporal em crianças

Introdução: O índice de massa corporal elevado no compartimento toraco-abdominal promove alterações no sistema respiratório interferindo nos volumes e capacidades e consequentemente na troca gasosa. Objetivo: Analisar comparativamente a mobilidade tóraco-abdominal relacionando ao índice de massa corporal em crianças. Metodologia: Trata-se de um estudo do tipo transversal com abordagem quantitativa e descritiva. A amostra constou de 70 crianças com idade entre 8 e 12 anos de ambos os sexos e com o índice de massa corporal variável. Foi realizada a verificação da altura, peso, expansibilidade destas crianças em seguida classificadas em três grupos em função dos seus índices de massa corporal: eutróficos (57,1%), com sobrepeso (15,7%) e obesos (27,1%). Resultados: Os resultados obtidos apresentaram diferenças entre o grupo dos eutróficos e dos obesos, indicando, nesta perspectiva, que a mobilidade na região axilar e xifoideana são mais elevadas no grupo dos eutróficos, quando comparado ao dos obesos. Conclusão: Portanto conclui-se que o índice de massa corporal está relacionado a alterações na expansibilidade tóraco abdominal de crianças.

Modelo dinâmico bayesiano multivariado para análise espaço-temporal de dados de área

Pós-graduação em Matematica Aplicada e Computacional - FCT

Análise de metilação da região promotora do gene RASSF1 em linhagens celulares derivadas de carcinomas mamários

O câncer de mama é o tipo de neoplasia que mostra as maiores taxas de mortalidade entre as mulheres no Brasil, provavelmente pelo fato de que, na maioria dos casos, a doença é diagnosticada em estadios avançados, dificultando o sucesso do tratamento. Dessa forma, essa doença é considerada um problema crítico de saúde pública. O câncer é uma doença que se caracteriza por sucessivas alterações genéticas e epigenéticas que causam um crescimento e multiplicação celular desordenados. A hipermetilação da região promotora de genes específicos pode levar ao silenciamento gênico, um evento importante no processo da carcinogênese. Este estudo analisou o padrão de metilação da isoforma RASSF1A do gene RASSF1 em linhagens celulares derivadas de carcinoma mamário. Esse gene está mapeado na região cromossômica 3p21.3 e, segundo dados da literatura, atua como supressor tumoral. O principal objetivo desse estudo foi investigar a presença de hipermetilação na região promotora desse gene em linhagens celulares de carcinomas mamários. Para a realização dessa análise foi empregada a metodologia de MSP (Methylation-specific Polymerase Chain Reaction) convencional e de qMSP (Methylation-Specific Polymerase Chain Reaction quantitativa em tempo real). Todas as linhagens de carcinomas mamários analisadas no estudo (MCF7, MDA-MB-231, MDA-MB-453, MDA-MB-134 e SKBR3) apresentaram um padrão hipermetilado na região promotora do gene RASSF1 corroborando com dados da literatura que relacionam a inativação desse gene à hipermetilação do promotor. Estes dados, associados aos obtidos em uma análise paralela realizada em nosso laboratório que demonstrou a re-expressão do gene RASSF1 após o tratamento com o agente desmetilante 5 aza 2’desoxicitidina, confirmam a regulação epigenética desse gene supressor tumoral

Cuidado ao paciente idoso hospitalizado: implicações para a equipe de enfermagem

The Brazilian population is ageing rapidly, and chronic diseases have increased. Due to deficient health care services, the diagnosis and treatment of such diseases occur in the tertiary level, which increases costs and reduces the possibilities of early diagnoses. In view of the elderly population‟s increase and of the great demand at hospitalization units, it is important to learn about the difficulties and facilities faced by nursing teams when giving care to hospitalized individuals. In order to reach the objectives, a cross-sectional, prospective, descriptive, analytical and qualitative study was performed with basis on Bardin‟s Content Analysis. Among the difficulties were patients‟ limitations, dependence level, behaviors and habits, interference from companions, feeling of abandonment, perception of needs, dealing with suffering and lack of time for adequate care. As to facilities, acceptance of the disease, adherence to treatment, collaboration, trust in the team, and older patients‟ politeness were reported, which shows that passiveness is an important indicator in caring for the elderly. Older individuals suffer the outcomes of certain physical, psychological and mental deficits. When facing disease conditions, they require special care, including hospitalization and greater attention. The nursing team provides daily care and follows patients‟ development; however, its members are still not knowledgeable enough about the ageing process. This contributes to increase prejudice and erroneous stereotypes about older persons. Therefore, not understanding such process compromises the full care to be provided to older patients. This leads team members to accelerate the care provision process in order to meet the daily work demand, thus compromising older patients‟ autonomy and making them more dependent on the team, whereas the process should follow the opposite path

Análise da confiabilidade de equipamentos em uma indústria química com aplicações de ferramentas da melhoria contínua

The constant search for improvements and the survival of organizations makes the strategic guidelines are deployed and executed at the operational levels. This work is the approach to critical analysis of the equipment of a chemical industry through a case study based on the classification of each equipment manufactures through qualitative and quantitative analysis on the pillars of maintenance costs, loss of production, MTBF, contribution margin, Health Safety and Environment (SHE). From this study and future data collection, along with the flow diagram show the main equipment that should be special attention. To this can be prepared an action plan with deadlines and responsible. With the results one can measure the maintenance costs, loss of production and technical availability of the plant, with future gains

Melhor idade na rede: uma visão da inclusão digital do idoso : estudo do caso da Universidade Aberta à Terceira Idade da UNESP Bauru

In the information society, the use of Technologies has been incorporated to our quotidian. The use of personal computers and internet, however, does not reach to all the individuals, creating the problem of digital exclusion. Nowadays, many inclusion politics are being developed to diminish the digital abyss in society, in a way to enable a plural access to the internet. Between these initiatives, we highlight the projects of digital inclusion among the elderly, slice of the population that grows more each day and seek quality of life, social reinclusion and health. In this context, the open universities for the elderly bring to the aged courses and workshops, in order to encourage the activity in this age group. An example of this idea is the Unati of UNESP Bauru, that develops the project “Terceira Idade Digital”. This work aims to analyze the relation between the elderly with certain technologies, apart from showing the digital inclusion scenario, with its delays and progresses

Análise de matérias primas e solução comercial empregada na perfusão e no transporte de órgãos destinados ao transplante

A solução HTK (histidina, triptofano e cetoglutarato) foi especialmente desenvolvida para preservar a heterogeneidade morfológica e bioquímica dos órgãos destinados ao transplante. Contém exclusivamente substâncias existentes no organismo tais como cloretos de sódio, potássio e magnésio, histidina, triptofano, manitol e cetoglutarato de potássio. Sua composição promove a inibição de todos os processos de ativação muscular, nervosa ou endócrina nas estruturas estimuláveis das membranas. Nos compêndios oficiais encontram-se métodos de análise qualitativa e quantitativa para matérias primas. Análises das matérias primas foram realizadas nos Laboratórios de Controle de Qualidade da faculdade de Farmácia e Laboratório de Eletroanalitica (NDcom) do Instituto de Química aplicando os métodos preconizados nos códigos oficiais. Os resultados obtidos com as matérias primas foram satisfatórios e confiáveis. Os mesmos métodos não possibilitaram a análise da Solução HTK acabada como proposto inicialmente. Esses métodos não apresentaram sensibilidade suficiente para a determinação das matérias primas empregadas no preparo desta solução, pois estas se encontram em concentrações bastante reduzidas, necessitando métodos mais sensíveis que realizem análise de traços de eletrólitos.

Análise dos fatores de desempenho do ENADE: estudo parao curso de engenharia de produção mecânica

This work has the propose to discuss the National Examination Performance of students for the course in Production Engineering , from 2005 up to 2011, subsidies are shown how this came about assessment and how the course has been evaluated in recent years . Compares higher education from public and private universities in Brazil and is also discussed how important a good performance in the exam. Qualitative and quantitative surveys were conducted at different times that the work that enables a critical analysis of the examination , the institution and also the students themselves , so the list is the main motivators for the exam and also what should be done to obtaining good results in academic performance. Motivators for the exam has highlighted its importance is paramount and the consent of all involved from the beginning of the course to ensure that the examination is compulsory for all graduates of undergraduate manufacturing engineering in Brazil

Análise da recepção de um programa de transformação de cultura organizacional em uma empresa de tecnologia

The Organizational Culture has been in the spotlight in the last 25 years, studies show the influence of the culture in the production processes and in the strategy decisions of the companies. Changes in the organizational culture is necessary in key-moments of the corporation and this transformation moment influences directly the personal life and the professional life of the employees. The objective of this monograph is to verify the application of the “Transformation Program”, which is the changing program of a technology enterprise, and to attest the acceptation degree and the knowledge of the employees about the program, as well the main difficulties found by the company while implementing the project. Using a quantitative pool, the acceptation degree, the knowledge of the employees and their engagement with the Transformation Program were analyzed by checking the favorability of the answers and comparing the percentage of the whole company and its locations, besides with the results an understanding change curve was created, it identifies the stage that he employees are during the changing process. An interview with the actual and the previous program officers and two project managers was done, in order to identify their alignment with the theory and their perception about the difficulties found while applying the program. It was noted that the employees have heard about the Transformation Program and the majority is in the exploration phase of the understanding change curve, although it is necessary an special attention with the leaders, because the researches showed that the leaders are acting like a bottleneck in the communications by keeping the information that should be shared

Qualidade de vida e vulnerabilidade social na percepção do idoso

According to data from the World Health Organization, the older population will grow sixteenfold from 1950 to 2025 in comparison to a fivefold population growth in the same period, which is referred to by UNO as the “Ageing Era”. This places Brazil in the sixth position in the contingent of older individuals worldwide, with a number that is higher than 32 million. Considering how topics such as quality of life and social vulnerability are important in face of the growing older population, these topics must be furthered studied so that they can be understood as important variables for both better clinical practice and scientific research. To describe the social vulnerability and evaluate the quality of life of older individuals in a population hospitalized in the internal medicine ward of Bauru State Hospital. This is a descriptive qualitative study that was conducted by means of interviews and using Bardin’s discourse analysis. The inclusion criteria used in this study were: individuals at 60 years of age who were mentally capable of answering the proposed questions. Two categories concerning Quality of Life and Social Vulnerability emerged from the interviews. The following emerged from the theme Quality of Life: “Life as something important” and subcategories that involved feeling useful in society, having a supportive family, independence, optimism and joy and survival. Also, the following emerged from the theme Social Vulnerability: “Negative recognition of older individuals in society” and subcategories that involved lack of respect, functional disability, family indifference, housing-related insecurity, an inefficient health care system and loneliness. Quality of Life and Social Vulnerability are largely discussed themes in the present scenario. In this study, it was possible to perceive that the older population needs social support, effective public... (Complete abstract click electronic access below)

Saúde mental do idoso: percepções relacionadas com o envelhecimento em interface com o atendimento de saúde na atenção básica

Worldwide, growth is seen in the elderly population, which has prompted the use oftechnologies of care that include all stages of life and for that use, it is necessary toprepare professionals to meet this growing demand population. This work aims to understand how old people feel by their condition and identify how old people perceive this treatment in the Family Health Unit. The research is characterized asqualitative and Minayo second analysis was used Bardin. After, thematicinterviews, it was possible to appreciate the topics: Good, dissatisfaction through the life and likes / dislikes of the service unit. This work can be seen that the elderlywho were well, allied to good living with this family, with spouses, autonomy, respect they encounter in society. And when compared with those who have a complaint, we find that lack of family and age restrictions and diseases are the main complaints