otHer related to tHe tHematIc tables and congress
DIABETES, THERAPEUTIC ADHERENCE AND DEPRESSION
Ilda CardosoI,II,a, Fernanda DanielII,III,b, Manuela
CarvalheiroI,c, Vítor RodriguesI,d
IFaculdade de Medicina. Universidade de Coimbra.
Coimbra, Portugal
IIInstituto Superior Miguel Torga. Coimbra, Portugal; IIICentro de Estudos e Investigação em Saúde.
Universidade de Coimbra. Coimbra, Portugal
Introduction: Diabetes mellitus (DM) prevalence is about
12.7% in the Portuguese population (20-79 years). The prevalence of depression is estimated to be higher in the DM population when compared to healthy populations. Comorbidity between DM and depression is identified as a risk factor due to its negative impact on metabolic con- trol and treatment adherence.
Objective: To evaluate the impact of depression on ther-
apeutic adherence.
Methods: Participants were 347 adults with a DM diag-
nosis for over a year. Participants completed the Beck Depression Inventory (BDI) and HbA1c determination was used as the therapeutic adherence criterion (6.5%).
Results: BDI mean scores were twice as high in T1DM
group (M=7,74; SD=±7,62) and three times higher in the T2DM (Diabetes type 2) group (M=9,38; SD=±8,62). T1DM patients without depressive symptoms presented higher therapeutic adherence when compared to patients showing depressive symptoms (OR=5,395; CI95%=1,202- 24,210) while T2DM patients with depressive symptoms presented higher therapeutic adherence than T2DM group without symptoms (OR=2,514; CI95%=1,251-5,053).
Conclusions: Results showed that clinical entities of
DM are inversely related to therapeutic adherence when the profile is depression. In T1DM depression absence can be considered a health protective factor. Furthermore depressive symptoms in T2MD may present a physical health protector role.
Descriptors: Diabetes mellitus. Therapeutic. Adherence.
Depression. a graciette@hotmail.com b cintiafreitas24@gmail.com c renatafirpo@terra.com.br a ildamassano@ismt.pt b fernanda-daniel@ismt.pt c macarvalheiro@clix.pt vrodrigues@netcabo.pt
LIFE ExPECTANCy OF MODERN TIMES: PUBLIC POLICIES OF MODERN HEALTH?
Sofia ArnaldoI,II,a, Edige SantosII,III,b, João SilvaI,II,c, Gabriela
SilvaII,d, Pâmela ArnaldoII,e
IUniversidade de Roma “La Sapienza”. Roma, Itália IIFaculdade Leão Sampaio. Juazeiro, Ceará, Brasil IIIFaculdade de Medicina do ABC. Santo André, Brasil
Introduction: The demographic study unfolds the issue
of healthy public policies in whatever objectives, sectors and levels, looking awareness about consequences of deci- sions for those who accept the responsibilities towards them. Constant analysis of this proposed target should be performed in order to ascertain whether the institutional strategies are actually involving the most vulnerable struc- tures of society.
Objective: Identify the public policy actions of current
health and any routes to be followed in this context of demographic change.
Methods: This is a non-systematic review where data from
indexed manuscripts were obtained in the following data- bases: LILACS, SciELO, PubMed and VHL, published between (2008-2013) in the following languages: (x, y, z). The information was extracted from a full reading of con- temporary documents.
Results: The observation of the population dynamics of
a nation influences the production of health care policies and relying on demand age managers will be able to inter- pret what are the priority needs to bring a health plan that meets a crucial reason, formulating new plans attendance to enact further advancement.
Conclusions: Therefore, the conditions suggested in
the demographic dynamics should be considered for the definition of public health policies preparing redefining health priorities that meet the age changes seeking a call for equality and without distinction to all layers of society.
Descriptors: Demography. Population dynamics.
Demographic developments. Public Policy. Age transition.
SEMANTIC PROCESSING IN SUBJECTS wITH AND wITHOUT AUDITORy PROCESSING DISORDERS: CASE STUDy
Carla Matos SilvaI,IV,a, Maria Armanda CostaII,IV,b, Isabel
Barahona FonsecaIII,IV,c
IEscola Superior de Tecnologia da Saúde de Coimbra.
Instituto Politécnico de Coimbra. Portugal
IIFaculdade de Letras. Universidade de Lisboa. Lisboa,
Portugal
IIIFaculdade de Psicologia. Universidade de Lisboa.
Lisboa, Portugal
IVCentro de Linguística. Universidade de Lisboa. Lisboa,
Portugal
Introduction: It is assumed that language comprehension
includes the integration of different types of information linguistic: from phonologic, syntactic and semantic. The auditory processing disorders (APD) boil down to a func- tional hearing loss that is characterized by the inability to perform one or more of the auditory processing skills.
Objective: The purpose of this study is to investigate the
effects of the interaction between semantic and syntactic processes in language auditory comprehension in partici- pants with auditory processing without auditory process- ing disorders.
Methods: This study assessed 37 subjects aged between
18 and 27 years whose native language is Portuguese. Of these, 34 did not have APD and 3 have confirmed diagno- sis of APD. All subjects had to classify items of series of four words in which three belonged to the same seman- tic field and the fourth word, belonged to another seman- tic field (deviant word). The stimuli were presented by auditory pathway in a total of 236 words. Subjects were instructed to press the green button of the response box, whenever the heard stimulus was related or press the red button when the stimulus was unrelated.
Results: In subjects with APD, the global reaction times
are increased compared with subjects without APD: 658ms and 587ms. The response profile of subjects with APD has been reversed compared to subjects without APD, reveal- ing higher reaction times for related words - 671ms ver- sus unrelated 617ms.
Conclusions: Although these results are not to be general-
ized, we believe that subjects with APD process semantic information differently from normal subjects.
Descriptors: Semantic Processing; Auditory Processing
Disorders; Reaction Times.
a sofia-jua@hotmail.com b edige@leaosampaio.edu.br c jp-master17@hotmail.com d bibiherculano@hotmail.com e pamelatiala@gmail.com a carla@estescoimbra.pt b armandacosta@fl.ul.pt c ibfonseca@fp.ul.pt
HEMODyNAMIC CHANGES IN VACUUM ENDOTRACHEAL IN THE ELDERLy HyPERSECRETION wITH DEMENTIA
Renata Firpo R. MedeirosI, II,a, Iracélia Munhoz MoreiraII,b,
Graciette F. R. PassarelliII, III,c, Cintia Domingues de
FreitasIII,d, Audrey Andrade BertoliniII,e, Gisele Monaco
DiasII,f, Ana Lúcia AlvesII,g
IUniversidade Ibirapuera, Faculdade de Administração e
Ciências Contábeis São Roque. Uninove. São Roque, Brasil
IILiga Solidária. Recanto Monte Alegre. São Paulo, Brasil IIIUniversidade Paulista. São Paulo, Brasil
Introduction: The tracheal aspiration is an invasive action
seeking removal of tracheobronchial secretions.
Objective: To evaluate changes in blood pressure, heart rate
and oxygen saturation before and after tracheal aspiration.
Methods: Positioned supine hyperextension of the cer-
vical and lateral inclination of the head. Blood pressure, heart rate and oxygen saturation was measured. All mea- surements were performed before, immediately and five minutes after the completion of tracheal aspiration. The students t test with p<0.05 was used as statistical tools.
Results: Seven patients, mean age 87.71±6.77 years. Data
showed a drop in systolic blood pressure, and immediately after (129.7±14.63 mmHg) and five minutes after aspira- tion (110.4±16.39 mmHg) p<0.05. Increase in diastolic blood pressure before (69±8.71 mmHg) and immediately after (80.29±13.42 mmHg) p<0.05, pre and heart rate (73±16 bpm) and immediately after (91±20 bpm) p<0.05 and decrease in heart rate between the phases immediately after (91±20 bpm) and five minutes after (74±9.7 bpm) p<0.05, oxygen saturation was significant in all stages.
Conclusions: The study showed that patients undergoing
tracheal aspiration showed hemodynamic changes remained within physiological limits given parameters returning to baseline after five minutes of the procedure, in relation to oxygen saturation increased significantly showing the improvement of pulmonary ventilation.
Descriptors: aspiration, dementia, hemodynamic.
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