Top PDF Abstract This study analyzed the association be-

Abstract This study analyzed the association be-

Abstract This study analyzed the association be-

Abstract This study analyzed the association be- tween multimorbidity, depression and quality of life among the elderly in the Family Health Stra- tegy (FHS). A cross-sectional study was conducted among the elderly in the FHS in Senador Guio- mard (State of Acre). The study employed the Ge- riatric Depression Scale (GDS-15) and the Qua- lity of Life Questionnaire (WHOQOL-BREF). Differences in descriptive variables in elderly people with and without multimorbidity were estimated using Pearson’s chi-squared test, while the associations between multimorbidity and de- pression and quality of life were estimated using the logistic regression technique. It was seen that elderly people with depression represented 27% of the sample, this being more prevalent among elderly people with multimorbidity than those wi- thout, the former being twice as likely to be subject to depression. Likewise, individuals with multi- morbidity had a greater chance of worse quality of life in the physical, social and total quality of life domains (all with p ≤ 0.010), though not in the environmental domain (p = 0.493). Thus, multi- morbidity in the elderly is associated with the pre- sence of depression and poor quality of life, which imposes the challenge on the FHS of guaranteeing the elderly living out their senescence without suf- fering and diminished quality of life.
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Abstract This study aimed to evaluate the prev-

Abstract This study aimed to evaluate the prev-

Initially, the variables were described through their frequency distributions. Concerning the variables underlying the Foster and Hamilton Index, as well as for the outcome (malocclusion), 95% confidence interval was estimated for their respective prevalence. In the bivariate analysis, the Chi-square test was used to evaluate the ex- istence of an association between the outcome and the independent variables. Variables with a detailed level (p-value) less than or equal to 0.20 were selected for the multiple model. The Poisson regression model, with robust variance, using the prevalence ratio (PR) as a measure of association was adopted in the multiple analysis. Statistical analyses were performed in the SPSS program 18.0.
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Abstract This study aimed to investigate the

Abstract This study aimed to investigate the

Abstract This study aimed to investigate the association between regular use of dental ser- vices and tooth loss by elderly linked to eleven Family Health Facilities in southern Brazil. This cross-sectional study evaluated 438 elderly. A standard questionnaire was used and oral health clinical variables were obtained by a trained den- tist. The main study outcome, namely, the regu- lar use of dental services, was obtained through a single question. Descriptive analyses and Poisson regression using Stata 12.0 were performed. The analysis of the exposure variables and the outco- me in the unadjusted regression analysis revealed a positive association between regular use of oral health services for the elderly with 9-11 years of schooling (PR = 3.89; 95%CI 1.77-8.58) com- pared to individuals with 4 years of schooling, up to 9 teeth (PR = 2.50; 95%CI 19.0-5.72) and 10 or more teeth (PR = 3.89; 95%CI 1.58-9.57) com- pared to individuals who do not have teeth. When considering the primary exposure, tooth loss, through adjusted analysis, individuals with 10 or more teeth (PR = 3.51; 95%CI 1.37-8.99) have a higher prevalence of regular use of oral health services compared to individuals without teeth. The study identified that having teeth is positively associated with regular use of oral health services among the elderly.
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Rev. Bras. Ginecol. Obstet.  vol.39 número5

Rev. Bras. Ginecol. Obstet. vol.39 número5

Polycystic ovary syndrome is increasingly viewed as a metabolic disease, with important alterations in insulin levels, generating clinical consequences and high morbidity through- out life. Hypothyroidism has been shown to cause many metabolic derangements. In particular, it has been extensively demonstrated that thyroid hormones have insulin antagonis- tic effects at the liver level that lead to an increased glucose hepatic output, via an enhanced rate of gluconeogenesis and glycogenolysis. 13 For this reason, all the existing criteria used for the diagnosis of PCOS necessitate exclusion of hypothy- roidism at first. 14 Studied previously performed by us and other authors showed that the prevalence of subclinical hy- pothyroidism (SCH) is increased in women with PCOS, and SCH is associated with metabolic imbalances. 15,16 Regarding the literature, even in the absence of symptoms, replacement therapy with L-thyroxine is recommended for younger pa- tients with serum TSH > 10 mIU/L. 17 However, the association between glucose metabolism, insulin and thyroid function in women with PCOS and without overt hypothyroidism remains to be fully clarified. To assess this association, young women with PCOS and TSH levels of up to 10 mIU/L, and normal free T4 levels were evaluated in this study.
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Abstract: This study aims to trace the historical

Abstract: This study aims to trace the historical

O ano de 1876 foi de grande importância para a Biblioteconomia e para a catalogação cooperativa, ano em que foi criada nos Estados Unidos a ALA (AMERICAN LIBRARY ASSOCIATION), o lançamento da CDD (Classificação Decimal de Dewey, a publicação do código de Cutter e vários trabalhos em favor de trabalhos cooperativos. Considerado por Barbosa como a figura mais brilhante do séc. XIX, Charles Ami Cutter se destacaria não somente pela elaboração da tabela para nomes feita em colaboração com Sanborn, utilizada até os dias atuais, mas Cutter consagrou a existência da escola americana de catalogação, ao publicar Rules for a dictionary catalog, um código que continha 369 regras que incluem normas não só para entradas por autor e por título, mas também para a parte descritiva, cabeçalhos de assunto, e ainda alfabetação de arquivamento de fichas (BARBOSA, 1978).
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Abstract The objective of this study was to de-

Abstract The objective of this study was to de-

Drawing on the calculation of the raw OR (Table 1) and the multivariate analysis with ad- justed OR for all the variables in the model (Ta- ble 2), we verified that the chance of suffering sexual violence was greatest among female stu- dents with < 13 years of age. Other risk factors for sexual violence were also identified, such as having black skin, being a child of a mother with- out education, working, and being assaulted by family members. In the mental health context, the chance to suffer sexual violence was greater for students that reported insomnia, and among those that related feeling alone or not having friends. Regular consumption of tobacco and al- cohol, experimentation with drugs, and the be- ginning of sexual activity were confirmed as risk factors for sexual violence. The chances of suf- fering sexual violence were greater for students that felt unsafe on the route between home and school and in the school itself, as well as those that reported having suffered bullying (Table 2).
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Abstract This study aims to analyze the impact

Abstract This study aims to analyze the impact

Abstract This study aims to analyze the impact of frailty, multimorbidity and disability on the survival of elderly people attended in a geriatric outpatient facility, and identify the clinical risk factors associated with death. It is a longitudinal study, with 133 elderly people initially evaluated in relation to frailty, multimorbidity (simulta- neous presence of three or more chronic diseases) and disability in Daily Life Activities. The Kaplan Meier method was used to analyze survival time, and the Cox regression was used for association of the clinical factors with death. In follow-up over six years, 21.2% of the participants died, survival being lowest among those who were fragile (p < 0.05). The variables frailty (HR = 2.26; CI95%: 1.03–4.93) and Chronic Renal Insufficiency (HR = 3.00; CI95%: 1.20–7.47) were the factors of highest risk for death in the multivariate analy- sis. Frailty had a negative effect on the survival of these patients, but no statistically significant association was found in relation to multimor- bidity or disability. Tracking of vulnerabilities in the outpatient geriatric service is important, due to the significant number of elderly people with geriatric syndromes that use this type of service, and the taking of decisions on directions for care of these individuals.
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Abstract This study aims to analyze the impact

Abstract This study aims to analyze the impact

Abstract This study aims to analyze the impact of frailty, multimorbidity and disability on the survival of elderly people attended in a geriatric outpatient facility, and identify the clinical risk factors associated with death. It is a longitudinal study, with 133 elderly people initially evaluated in relation to frailty, multimorbidity (simulta- neous presence of three or more chronic diseases) and disability in Daily Life Activities. The Kaplan Meier method was used to analyze survival time, and the Cox regression was used for association of the clinical factors with death. In follow-up over six years, 21.2% of the participants died, survival being lowest among those who were fragile (p < 0.05). The variables frailty (HR = 2.26; CI95%: 1.03–4.93) and Chronic Renal Insufficiency (HR = 3.00; CI95%: 1.20–7.47) were the factors of highest risk for death in the multivariate analy- sis. Frailty had a negative effect on the survival of these patients, but no statistically significant association was found in relation to multimor- bidity or disability. Tracking of vulnerabilities in the outpatient geriatric service is important, due to the significant number of elderly people with geriatric syndromes that use this type of service, and the taking of decisions on directions for care of these individuals.
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Abstract This study was aimed to compare the

Abstract This study was aimed to compare the

Table 1 shows the profile of the 50 interviewed caregivers, 15 formal caregivers evaluated in ILPI and 35 informal caregivers of the University Hos- pital (UH) and the School Health Unit (USE). The sample had a prevalence of females regard- ing both the formal and informal caregivers. Having a partner and using religion as a support, were more frequently reported by both the for- mal and informal caregivers. It should be noted that the level of education of the formal caregiv- ers was higher compared to the informal caregiv- ers, with these represented by people with more than 9 years of education. Regarding the burden it was noted that the majority of both felt a little overloaded, however, the informal caregivers also reported ‘a lot’ (25.7%) and ‘extreme’ (14.3%) overload, emotional distress was more reported by the informal caregivers (45.7%) compared to the formal caregivers (26.7%). Finally, regarding the self-reported diseases, back problems were highlighted by the formal caregivers (38.5%) and Systemic Arterial Hypertension (45.7%) by the informal caregivers.
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Abstract This study aims to describe the prev-

Abstract This study aims to describe the prev-

The data analysis calculated the prevalence and analyzed the association among independent variables for high-risk consumption of alcohol for men and women and heavy drinking only for men given the small sample of females. The crude and adjusted analyses were performed us- ing Poisson regression, which assessed the statis- tical significance of the associations using Wald test of heterogeneity and linear trend test. The adjusted analysis followed a hierarchical model with backward selection that included demo- graphic and economical variables in the first lev- el, behavioral and occupational variables in the second level, and comorbidities in the third level. The variables with p-value ≤ 0.2 were maintained in the model and those with p < 0.05 were con- sidered associated. The variable schooling was removed from the multivariate model because it was correlated with the variable age. The analysis was performed in the software Stata ® 13.0.
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Abstract This study aimed to evaluate the socio-

Abstract This study aimed to evaluate the socio-

Abstract This study aimed to evaluate the socio- economic and demographic factors, behaviors and morbidities related to common mental disorders in adult women. This was a cross-sectional pop- ulation-based study with cluster sample. We an- alyzed 848 women from a household survey held in Campinas, in 2008/2009. We used the Self-Re- porting Questionnaire (SRQ-20) to evaluate com- mon mental disorders. We estimated prevalence ratios by Poisson regression in hierarchical model of three steps, considering the weights relating to the sampling design. The prevalence of common mental disorders was 18.7%. The hierarchical model showed that older women, with low educa- tion level, housewives, separated or widowed, who did not consume fruit/vegetables daily, who slept six or fewer hours per night, who presented sever- al chronic diseases and health problems, and with report of some type of violence were more vulner- able to common mental disorders and, therefore, should be treated with priority by health services. Early diagnosing women with common mental disorders, as well as accompanying and treating them, contribute for reducing the impacts on fe- male quality of life.
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Abstract This study aimed to evaluate the Qual-

Abstract This study aimed to evaluate the Qual-

The ability to work and the physical and mental outlook can also be hampered by the shortage of rest hours. While a workload that is incapable of causing physical and mental health problems to professionals is not set, it is funda- mental to comply with current legislation, since Table 2. Estimated multiple linear regression model parameters and their respective standard deviations, t-test and the corresponding p-value for the dependent variable QWL of health professionals and independent variables (age and length of service), Paraíba, Brazil, 2015.
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Abstract This study aimed to evaluate the socio-

Abstract This study aimed to evaluate the socio-

The associations between variables were measured by the Chi-square test with 5% signif- icance. Multiple Poisson regression models with robust variance were used to estimate the adjust- ed prevalence ratios and their 95% confidence intervals (95%CI). We conducted a hierarchical model of Poisson regression in three steps. In the first step of the model, we introduced the socio- economic and demographic variables with p < 0.20 in the bivariate analysis; those that presented p < 0.05 in the association with CMD remained in the model. In the second step, in addition to the variables that remained in the previous step, we added health-related behaviors with p < 0.20 and kept those with p < 0.05. In the third step, we included the number of chronic diseases, the number of health problems, BMI, and accidents and violence suffered in the past year, keeping in the model variables that presented a significance level lower than 5% (p < 0.05). The statistical analyses performed with the program Stata ver- sion 11.0, module svy (Stata Corp., College Sta- tion, USA), and considered the sample weights and the design effect. This research project was approved by the institutional Review Board of the School of Medicine at University of Campi- nas (UNICAMP). All survey participants signed the informed consent form.
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Abstract This study aimed to verify the associ-

Abstract This study aimed to verify the associ-

may be happening with the elderly investigat- ed. During data collection, it was observed that, while they often cultivated gardens and orchards, they were not habitually consuming them, and eventually, such items were planted for sale. A study carried out with the same population of this research found that the elderly living in the rural area did not adequately follow several of the ten steps for healthy eating proposed by the Min- istry of Health for elderly people, such as con- sumption of vegetables, fruits, greens, milk and lean meats 14 . Therefore, adequate nutrition must
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Abstract This study aimed to analyze the sci-

Abstract This study aimed to analyze the sci-

Abstract This study aimed to analyze the sci- entific literature on health-related quality of life (HRQOL) of adolescents with type 1 diabetes mellitus. This is an integrative review whose in- clusion criteria were full-text papers available online in Portuguese, English and Spanish; pub- lished and indexed in databases Lilacs, Medline, Adolec, BDENF, in the period 2003-2013 that re- flected the theme HRQOL, Type 1 diabetes and adolescents. Twenty-two papers were analyzed, from which the following themes were retrieved: development and validation of tools to measure the HRQOL of diabetic adolescents; HRQOL of adolescents with diabetes; factors affecting the quality of life of adolescents with diabetes and resources used to assist adolescents in diabetes management. The HRQOL of adolescents with diabetes has been a widely studied and dissem- inated topic in international literature, but has poorly echoed in Brazil. Studies published in in- ternational journals in English predominated. Thus, we emphasize the importance of conducting research of this nature in Brazil, since the mea- surement of HRQOL of diabetic adolescents may help the multidisciplinary team in care planning. Key words Quality of Life, Type 1 diabetes mel- litus, Adolescent
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Abstract This study aimed to analyze the sci-

Abstract This study aimed to analyze the sci-

Abstract This study aimed to analyze the sci- entific literature on health-related quality of life (HRQOL) of adolescents with type 1 diabetes mellitus. This is an integrative review whose in- clusion criteria were full-text papers available online in Portuguese, English and Spanish; pub- lished and indexed in databases Lilacs, Medline, Adolec, BDENF, in the period 2003-2013 that re- flected the theme HRQOL, Type 1 diabetes and adolescents. Twenty-two papers were analyzed, from which the following themes were retrieved: development and validation of tools to measure the HRQOL of diabetic adolescents; HRQOL of adolescents with diabetes; factors affecting the quality of life of adolescents with diabetes and resources used to assist adolescents in diabetes management. The HRQOL of adolescents with diabetes has been a widely studied and dissem- inated topic in international literature, but has poorly echoed in Brazil. Studies published in in- ternational journals in English predominated. Thus, we emphasize the importance of conducting research of this nature in Brazil, since the mea- surement of HRQOL of diabetic adolescents may help the multidisciplinary team in care planning. Key words Quality of Life, Type 1 diabetes mel- litus, Adolescent
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Abstract This study aims to analyse the eating

Abstract This study aims to analyse the eating

17. Pala V, Sieri S, Masala G, Pali D, Panico S, Vneis P, Sac- erdote C, Mattiello A, Galasso R, Salvini S, Ceroti M, Berrino F, Fuscon E, Tumino R, Frasca G, Riboli E, Trichopoulou A, Baibas N, Krogh V. Associations be- tween dietary pattern and lifestyle, anthropometry and other health indicators in the elderly participants of the EPIC-Italy cohort. Nutr Metab Cardiovasc Dis 2006; 16(3):186-201.

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Abstract This study aims to analyse the eating

Abstract This study aims to analyse the eating

though the identification of these global patterns translates, in practical terms, the main foods that characterize the diet of these groups, it is not an evaluation method that can be used to describe the composition of nutrients in each eating pat- tern. For a complete evaluation of dietary intake, the present study proposes to quantitatively ana- lyse the nutrients consumed by individuals with high adherence to each of the identified patterns, thereby expanding the understanding of the pos- sible nutritional advantages or risks for the el- derly when adhering to each of these patterns, as shown in Tables 1 and 2.
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Abstract The scope of this study is to analyze the

Abstract The scope of this study is to analyze the

Abstract The scope of this study is to analyze the implications of peer violence in the school context, the school environment and the perceived devel- opmental contexts on the subjective well-being of children and adolescents. The sample is com- prised of 910 students in Years 6 and 7 of primary school in 27 urban and rural public and private schools in Ceará. It is a quantitative cross-section- al study and the following tools were used: scales measuring victimization and aggression among peers and the school environment; three indices on perceptions of developmental contexts (home, school, neighborhood); and three well-being scales (Students’ Life Satisfaction Scale, Personal Well-being Index and Single item on Overall Life Satisfaction). Data were analyzed using multi- variate variance analysis, with a significance level below 0, 01. Results indicate that bullying, alone or in interaction with the variables analyzed, is the variable that has the greatest impact on the well-being of the population studied, whereby those involved in bullying have the lowest well-be- ing averages. Low levels of perception regarding the contexts of home, school and neighborhood and the school environment, as well as attending a public school and/or living in rural areas, are all also associated with low subjective well-being. Key words Violence, Bullying, Quality of life, Child, Adolescent
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Abstract The scope of this study was to verify the

Abstract The scope of this study was to verify the

Abstract The scope of this study was to verify the validity and concordance of self-reported diabetes (DM) by the elderly in Campina Grande, State of Paraíba. It involved a cross-sectional home-based study, conducted with 362 elderly people aged 60 years of age and above registered in the Fami- ly Health Strategy (FHS) Program in Campina Grande, State of Paraíba. A sensitivity calculation, specificity and positive predictive value (PPV) and negative predictive value (NPV) in relation to demographic and socioeconomic variables was carried out to verify the validity and reliability of self-reported DM. The Kappa test was used to verify the concordance between the diagnosis and the reporting of the disease. Among the study participants, 67.4% were women. The prevalence of diagnosed DM of 14.1% and self-reported DM of 18.1% was observed Moderate sensitivity (58.8%), excellent specificity (87.8%), moder- ate PPV (44.8%) and excellent NPV (92.7%), and moderate concordance of self-reported DM (Kappa = 0.413 p < 0.001) was observed. In this study, due to moderate validity and concordance of self-reported DM among the elderly, it is con- sidered not to be advisable that self-reported DM should be used as a disease prevalence indicator in the population studied.
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