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1.
Odontol. Sanmarquina (Impr.) ; 25(4): e22118, oct.-dic.2022.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1400430

ABSTRACT

Objetivo. El objetivo de este estudio fue caracterizar el perfil de proteínas de la saliva total en personas edéntulas parcial y total y determinar los cambios en la expresión de proteínas salivales de adultos con diversos grados de pérdida de dientes. Métodos. En este estudio observacional, se recogieron muestras de saliva no estimulada de 80 adultos (de 18 a 73 años), 20 dentados y 60 desdentados. Los pacientes edéntulos (PE) parcial y total se dividieron en tres grupos con diferente número de dientes perdidos. Se compararon la concentración y el perfil electroforético (membrana de acetato de celulosa y geles de poliacrilamida) de las proteínas salivales entre los grupos. Resultados. La concentración de proteína total y albúmina fue más alta en el grupo de pacientes dentados (PD) y significativamente diferente en los grupos de PE (p<0,0001). Se observó una diferencia significativa (p<0,011) en la fracción de gammaglobulina entre PD versus PE y en el perfil electroforético de las proteínas salivales entre los diferentes grupos. Un número elevado de bandas de 66 kDa se encontró en todos los grupos (p=0,049). Conclusiones. Se observaron diferencias en la concentración y perfil electroforético de las proteínas salivales de PD y PE


Objective. Aim of this study was to characterize the protein profile of whole saliva in partial and complete edentulous and determine the changes in salivary protein expression of adults with varying degrees of tooth loss. Methods. In this observational study, unstimulated saliva samples were collected from 80 adults (age 18-73 years), 20 dentulous and 60 edentulous. Partial and complete edentulous patients (EP) were divided into three groups with different number of teeth lost. Concentration and electrophoretic profile (cellulose acetate membrane and polyacrylamide gels) of the salivary proteins were compared between the groups. Results. Total protein and albumin concentration was highest in the group of dentulous patients (DP) and significantly different in PE groups (p<0.0001). A significant difference (p<0.011) was observed in the gamma globulin fraction between PD versus PE and in the electrophoretic profile of salivary proteins between the different groups. A high number of 66 kDa bands was founded in all groups (p=0.049). Conclusions. The concentration and electrophoretic profile of the salivary proteins of DP and EP were different.

2.
Rev. Ciênc. Plur ; 8(3): 29207, out. 2022. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1399327

ABSTRACT

Introdução: É notório que a perda dentária é um obstáculo a ser lidado na saúde bucal, sendo ainda considerada um problema de saúde pública no Brasil que gera consequências físicas e psicológicas principalmente para adultos e idosos. Objetivo: Descrever as principais consequências psicossociais ocasionadas pela perda dentária em adultos e idosos. Metodologia: Trata-se de uma revisão integrativa da literatura, em que foram realizadas buscas bibliográficas eletrônicas com intervalo de tempo de publicação de seis anos (2016 -2022) nas bases de dados Biblioteca Virtual em Saúde (BVS) e Scientific Electronic Library Online (SciELO). Foram usados os descritores Perda de Dente, Saúde Bucal, Impacto Psicossocial, Adulto e Idoso com o auxílio do operador booleano "and", sendo contemplados artigos em português e inglês no qual o título, o resumo e a leitura na íntegra se relacionassem com o tema, e excluídas publicações do tipo monografias, dissertações, teses, capítulos de livros, livros na íntegra e artigos que não abordaram o tema de estudo. Resultados: Foram utilizados 14 artigos no total para compor o referencial teórico da revisão, sendo que todas essas publicações trouxeram informações relevantes quando se associa a perda dentária com o impacto psicossocial no público alvo. Situações como a vergonha ao sorrir ou falar em público e o comprometimento da fala geram um importante impacto na qualidade de vida dessas pessoas, despertando nelas um sentimento de inferioridade. Conclusão: A perda dentária abala a qualidade de vida das pessoas. Fatores psicológicos como a timidez, a vergonha e alteração de rotinas influenciam na vida social de adultos e idosos (AU).


Introduction:It is clear that tooth loss is an obstacle to be dealt with in oral health and it is still considered a public health problem in Brazil that brings physical and psychological consequences mainly for adults and older people.Objective:To describe the main psychosocial consequences caused by tooth loss in adults and older people.Methodology:This is an integrative literature review in which an electronic bibliographic search with a publication time interval of six years (2016 -2022) was performed in the Virtual Health Library (BVS) and Scientific Electronic Library Online databases (SciELO). The descriptors Tooth Loss, Oral Health, Psychosocial Impact, Adult and Elderly were used with interposition of the Boolean operator "AND". Articles in Portuguese and Englishwhose title, abstract and full text were related to the theme were selected. Publications such as undergraduate theses, master's dissertations, doctoral theses, book chapters, books, and articles that did not address the topic were excluded. Results: A total of 14 articles were used to compose the theoretical framework of the review and all brought relevant information as to the association between tooth loss and the psychosocial impact on the target audience.Situations such as embarrassment when smiling or speaking in public and speech impairment create animportantimpact on the quality of life of these people, awakening in them a feeling of inferiority. Conclusion:Tooth loss affects people's quality of life. Psychological factors such as shyness, shame, and change in routines influence the social life of adults and older people (AU).


Introducción: Es claro que la pérdida de dientes es un obstáculo a ser abordado en la saludbucal, y aún es considerado un problema de salud pública en Brasil que genera consecuencias físicas y psíquicas principalmente para adultos y ancianos.Objetivo: Describir las principales consecuencias psicosociales provocadas por la pérdida de dientes enadultos y ancianos.Metodología: Se trata de una revisión integradora de la literatura, en la que se realizaron búsquedas bibliográficas electrónicas con un intervalo de tiempo de publicación de seis años (2016 -2022) en las bases de datos Biblioteca Virtual en Salud (BVS) y Scientific Electronic Library Online (SciELO). Se utilizaron los descriptores Pérdida de Dientes, Salud Bucal, Impacto Psicosocial, Adulto y Anciano con la ayuda del operador booleano "y", con artículos en portugués e inglés en los que el título, resumen y lectura completa se relacionaron con el tema; fueron excluidas publicaciones como monografías, disertaciones, tesis, capítulos de libros, libros completos y artículos que no abordaron el tema de estudio.Resultados: Se utilizaron un total de 14 artículos para componer el marco teórico de la revisión, y todas estas publicaciones aportaron información relevante al asociar la pérdida de dientes con el impacto psicosocial en el público objetivo.Situaciones como la vergüenza al sonreír o hablar en público y el deterioro del habla generan un impactoimportanteen la calidad de vida de estas personas, despertando en ellos un sentimiento de inferioridad.Conclusión: La pérdida de dientes afecta la calidad de vida de las personas. Factores psicológicos como la timidez, la vergüenza y el cambio de rutinas influyen en la vida social de adultos y ancianos (AU).


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Quality of Life/psychology , Aged/psychology , Oral Health , Tooth Loss , Adult , Psychosocial Impact
3.
Odontol. Sanmarquina (Impr.) ; 25(4): e23839, oct.-dic.2022.
Article in Spanish, English | LILACS-Express | LILACS | ID: biblio-1400844

ABSTRACT

El bruxismo se define como una actividad muscular repetitiva de la mandíbula, carac-terizado por apretar o rechinar los dientes debido al arrastre o empuje de la mandíbula. Puede manifestarse durante el sueño o la vigilia. La prevalencia del bruxismo del sueño en adultos es entre el 22% al 30% y un 1% al 15% para bruxismo en vigilia. Presenta una etiología asociada a dos grupos de factores: los centrales (psicológicos y fisiopatológi-cos) y los periféricos (morfológicos). Dentro de los métodos diagnósticos se encuentran como posible (enfoque no instrumental o autoinforme), probable (autoinforme y exa-men clínico) o definitivo (autoinforme, examen clínico y polisomnografía). El estándar de oro para el diagnóstico del bruxismo del sueño es la polisomnografía. En relación a sus repercusiones se puede encontrar diferentes tipos de lesiones de tejidos duros dentales, principalmente abfracciones, atrición y lesiones mixtas. A nivel músculo-esquelético la evidencia es conflictiva ya que se ha asociado a fatiga muscular, sensibilidad y tensión pero no existe una relación lineal causa ­ efecto. Existe una relación directa y estadísti-camente significativa entre bruxismo del sueño y cefaleas matutinas. El objetivo de esta revisión es desarrollar los aspectos más importantes del bruxismo en adultos, enfocándo-se en su etiología, diagnóstico y fisiopatología en adultos


Bruxism is defined as a repetitive muscular activity of the jaw, characterized by clenching, or grinding of the teeth due to dragging or thrusting of the jaw. It can manifest itself during sleep or wakefulness. The aim of this review is to establish the most important aspects of bruxism in adults, focusing on its etiology, diagnosis, and its repercussions in adults. The prevalence of sleep bruxism among adults ranges from 22% to 30% and between 1% to 15% for bruxism during wakefulness. Its etiology is associated with two groups of factors: central (psychological and pathophysiological) and peripheral (morphological). In diagnostic methods, it is found as possible (non-instrumental approach or self-report), probable (self-report and clinical examination) or definitive (self-report, clinical examination and polysomnography). The gold standard for the diagnosis of sleep bruxism is polysomnography. In terms of its repercussions, we can find different types of dental hard tissue lesions, mainly abfractions, attrition and mixed lesions. At the musculoskeletal level, the evidence is contradictory as it has been associated with muscle fatigue, sensitivity, and tension, but there is no linear cause-effect relationship. A direct and statistically significant relationship exists between sleep bruxism and morning headaches.

4.
Invest. educ. enferm ; 40(3): 29-50, 15 octubre de 2022. tab, ilus
Article in English | LILACS, BDENF, COLNAL | ID: biblio-1401314

ABSTRACT

Objective.To assess the effectiveness of a brief intervention and motivational interviewing in reducing the use of different tobacco-related products in adults Methods. Forthis systematic review, PubMed, Web of Science, and PsychINFO databases were electronically searched for randomized controlled trials on the effect of a brief intervention and / or motivational interview on tobacco reduction among healthy adults published between January 1, 2011 to January 1, 2021. Data from eligible studies were extracted and analyzed. CONSORT guidelines were used to assess the quality of the studies by two reviewers for the included studies. The titles and abstracts of the search results were screened and reviewed by two independent reviewers for eligibility criteria per the inclusion and exclusion criteria. Cochrane review criteria were used to assess the risk of bias in included studies. Results. A total of 12 studies were included in the final data extraction of 1406 studies. The brief intervention and motivational interviewing showed varied effects on tobacco use reduction among adults at different follow-ups. Seven of the 12 studies (58.3%) reported a beneficial impact on reducing tobacco use. Pieces of evidence on biochemical estimation on tobacco reduction are limited compared to self-reports, and varied results on quitting and tobacco cessation with different follow-ups. Conclusion. The current evidence supports the effectiveness of a brief intervention and motivational interviewing to quit tobacco use. Still, it suggests using more biochemical markers as outcome measures to reach an intervention-specific decision. While more initiatives to train nurses in providing non-pharmacological nursing interventions, including brief interventions, are recommended to help people quit smoking.


Objetivo. Evaluar la eficacia de una intervención breve y de la entrevista motivacional para reducir el consumo de diferentes productos relacionados con el tabaco en adultos. Métodos. Para esta revisión sistemática, se buscaron en las bases de datos PubMed, Web of Science y PsychINFO ensayos controlados aleatorizados sobre el efecto de una intervención breve y/o una entrevista motivacional en la reducción del consumo de tabaco entre adultos sanos, que hubieran sido publicados entre el 1 de enero de 2011 y el 1 de enero de 2021. Los títulos y los resúmenes de los artículos incluidos fueron evaluados por dos revisores independientes para determinar los criterios de elegibilidad, se analizó la calidad de los estudios con la guía CONSORT y se utilizaron los criterios de Cochrane para evaluar el riesgo de sesgo.Resultados.Se incluyeron un total de 12 de los 1406 estudios que arrojó la búsqueda. La intervención breve y la entrevista motivacional mostraron efectos variados en la reducción del consumo de tabaco entre los adultos en diferentes seguimientos. Siete de los 12 estudios (58.3%) informaron de un impacto beneficioso en la reducción del consumo de tabaco. La utilización de indicadores bioquímicos de la reducción del consumo de tabaco fueron limitados en comparación con los autoinformes. Los resultados sobre el abandono y la cesación del tabaco fueron variados con diferentes seguimientos. Conclusión.La evidencia apoyó la efectividad de una intervención breve y de la entrevista motivacional para la cesación del consumo de tabaco. Sin embargo, se sugiere realizar más estudios con marcadores bioquímicos como medidas de resultado para llegar a una decisión específica de la intervención. Se recomienda formar a los enfermeros en la realización de intervenciones de enfermería no farmacológicas, incluidas las intervenciones breves, para ayudar a las personas a dejar de fumar.


Objetivo. Avaliar a eficácia de uma intervenção breve e entrevista motivacional na redução do uso de diferentes produtos relacionados ao tabaco em adultos. Métodos.Para esta revisão sistemática, se buscou nas bases de PubMed, Web of Science e PsychINFO ensaios controlados aleatórios sobre o efeito de uma breve intervenção e/ou entrevista motivacional na redução do uso de tabaco entre adultos saudáveis, publicados entre 1º de janeiro de 2011 e 1º de janeiro de 2021. Os títulos e resumos dos artigos incluídos foram avaliados por dois revisores independentes para critérios de elegibilidade, a qualidade do estudo foi avaliada usando a diretriz CONSORT e os critérios Cochrane foram usados para avaliar o risco de viés. Resultados. Um total de 12 dos 1.406 estudos retornados pela busca foram incluídos. Intervenção breve e entrevista motivacional mostraram efeitos mistos na redução do uso de tabaco entre adultos em diferentes acompanhamentos. Sete dos 12 estudos (58.3%) relataram um impacto benéfico na redução do uso de tabaco. O uso de indicadores bioquímicos de redução do uso de tabaco foi limitado em relação ao autorrelato. Os resultados sobre parar de fumar e parar de fumar foram variados com diferentes seguimentos. Conclusão. As evidências apoiaram a eficácia de uma intervenção breve e entrevista motivacional para a cessação do uso do tabaco. No entanto, mais estudos com marcadores bioquímicos como medidas de resultados são sugeridos para chegar a uma decisão de intervenção específica. Recomenda-se que os enfermeiros sejam treinados na execução de intervenções de enfermagem não farmacológicas, incluindo intervenções breves, para ajudar as pessoas a parar de fumar.


Subject(s)
Adult , Tobacco Use Cessation , Motivational Interviewing , Tobacco Use
5.
Acta odontol. Colomb. (En linea) ; 12(2): 26-37, Jul-Dec. 2022. tab, ilus, graf, graf, graf
Article in English | LILACS | ID: biblio-1396372

ABSTRACT

Objective: To study the infuence of age, sex, and occupation in determining the aesthetic perception of the facial profle in the Chilean population through the analysis of silhouettes. Methods: From a profle photograph, a digital silhouette was designed, which was modifed with 2mm movements from the original position of the chin, simulating mandibular protrusion and retrusion. The use of silhouettes allows for eliminating various distractions, prejudices, and predispositions when making an aesthetic judgment. All participants accepted informed consent. Results: 112 participants with a mean age of 33.99 ± 8.28 years were surveyed. When analyzing the most aesthetic option was a straight profle, followed by a slight retrusion of -2mm and a protrusion of +2mm. The least esthetic option was a severe protrusion of +12mm. Both results were repeated in all the groups analyzed. Conclusions: The results present similarities with the literature, however, the low concordance in this study may be due to possible indirect infuences due to the contrast of the images that made up each set and the limited size of the studied sample. The present study was the frst of these characteristics in a Chilean population.


Objetivo: estudiar la infuencia de la edad, sexo y ocupación en la determinación de la percepción estética del perfl facial en la población chilena mediante el análisis de siluetas. Métodos: a partir de una fotografía de perfl se diseñó una silueta digital la cual se modifcó con movimientos de 2mm desde la posición original del mentón simulando una protrusión y retrusión mandibular. El uso de siluetas permite eliminar diversas distracciones, prejuicios y predisposiciones al momento de emitir un juicio estético. Todos los participantes aceptaron el consentimiento informado. Resultados: se encuestaron 112 participantes con una edad media de 33.99 ± 8.28 años. Al analizar la opción más estética fue un perfl recto, seguido de una leve retrusión de -2mm y una protrusión de +2mm. La opción menos estética fue una protrusión severa de +12mm. Ambos resultados se repitieron en todos los grupos analizados. Conclusiones: los resultados presentan similitudes con la literatura, sin embargo, la baja concordancia en este estudio puede deberse a posibles infuencias indirectas por contraste de las imágenes que compusieron cada set y el limitado tamaño de la muestra estudiada. El presente estudio fue el primero de estas características en la población chilena.


Subject(s)
Humans , Adult , Esthetics , Orthodontics , Photography, Dental
6.
Univ. salud ; 24(2): 144-153, mayo-ago. 2022. tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1377463

ABSTRACT

Introducción: La depresión es una problemática de salud pública responsable de alta carga de mortalidad, afecta principalmente a jóvenes universitarios. La evidencia sugiere que la participación en actividad física genera beneficios en salud mental. Resulta importante estudiar esta asociación teniendo en cuenta otra serie de factores como variables sociodemográficas y el tipo de carrera universitaria. Objetivo: Estimar la prevalencia de sintomatología depresiva y evaluar si el nivel de actividad física podría ser un factor protector en estudiantes de una universidad con enfoque deportivo. Materiales y métodos: Estudio transversal con muestra representativa de 291 estudiantes. Se aplicó cuestionario Beck II y versión larga del International Physical Activity Questionnaire (IPAQ). Se realizó análisis univariado y bivariado con razones de prevalencia para depresión, según nivel de actividad física ajustadas mediante modelos de regresión generalizados con vínculo logarítmico de distribución binomial. Resultados: Las prevalencias de síntomas de depresión e inactividad física son respectivamente 27% y 22%. La prevalencia de síntomas de depresión es 46% mayor en quienes no son suficientemente activos (RP: 1,46 IC95%:0,95-2,25). Conclusiones: La prevalencia de síntomas de depresión e inactividad física más bajas comparadas con poblaciones similares, probablemente se relacionan con el enfoque deportivo de la institución.


Introduction: Depression is a public health problem that has a burden of high mortality, mainly affecting the young university student population. The evidence suggests that participation in physical activity generates mental health benefits. It is important to study this association as well as the relationship between depression and sociodemographic variables and university program. Objective: To estimate the prevalence of depressive symptomatology and assess whether physical activity levels can be a Protective factor in university students enrolled in sports programs. Materials and methods: Cross-sectional study with a representative sample of 291 students. The Beck II questionnaire and long version of the International Physical Activity Questionnaire (IPAQ) were applied. Univariate and bivariate analyses were performed with prevalence ratios for depression, according to the level of physical activity adjusted by generalized regression models with logarithmic link of binomial distribution. Results: The prevalence rates of depression symptoms and physical inactivity were 27% and 22%, respectively. The prevalence of depression symptoms is 46% higher in those who are not sufficiently active (RP: 1.46 IC95%:0.95-2.25). Conclusions: Prevalence of depressive symptoms and physical inactivity were lower compared to similar populations and are probably related to the sport focus of the institution.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Exercise , Public Health , Health , Mental Health , Depression , Energy Metabolism , Movement
7.
Fisioter. Pesqui. (Online) ; 29(2): 203-209, maio-ago. 2022. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1394345

ABSTRACT

RESUMO A população idosa brasileira possui escolaridade relativamente baixa, quando comparada a outras populações. Na prática clínica, torna-se difícil decidir se alterações mais sutis, observadas nos testes de função executiva (FE) e coordenação motora de idosos, devem-se a um quadro neurológico inicial ou à baixa escolaridade. O objetivo do trabalho foi investigar: (1) possíveis diferenças na coordenação motora e FE de adultos e idosos com escolaridade alta e baixa; e (2) possíveis correlações entre coordenação motora e FE nessa amostra. Foram avaliados 75 indivíduos saudáveis, com idade entre 30 e 89 anos. A FE foi avaliada por meio do trail making test (TMT) e a coordenação motora foi avaliada com o teste de diadococinesia dos membros superiores, que consiste na alternância rápida entre supinação e pronação do antebraço (direito, esquerdo, de ambos os antebraços em fase, e ambos em antifase). A análise de variância investigou possíveis influências da idade e da escolaridade na FE e coordenação motora. O teste de correlação de Pearson investigou possíveis relações entre FE e diadococinesia. Idosos com escolaridade baixa foram significativamente mais lentos na parte B (cognitivo-motora) e no delta (cognitiva) do TMT. Todos os grupos foram mais lentos na condição antifase, sobretudo os idosos com escolaridade baixa. Encontramos apenas correlações fracas entre FE e coordenação motora. A idade e a escolaridade influenciaram na FE e na coordenação motora; porém, os testes de FE e coordenação motora não apresentaram correlação quando esses dois fatores foram corrigidos estatisticamente.


RESUMEN La población anciana brasileña tiene un bajo nivel educativo en comparación con otras poblaciones. En la práctica clínica es difícil decidir si las alteraciones más sutiles, observadas en pruebas de función ejecutiva (FE) y coordinación motora en ancianos, son provenientes de una condición neurológica inicial o de un bajo nivel educativo. El objetivo de este estudio fue examinar: (1) posibles diferencias en la coordinación motora y la FE de adultos y ancianos con altos y bajos niveles educativos; y (2) posibles correlaciones entre coordinación motora y FE en esta muestra. Se evaluaron a 75 individuos sanos, con edades entre 30 y 89 años. Para la FE se aplicó la Prueba de creación de senderos (TMT en inglés), y la coordinación motora se evaluó con la prueba de diadococinesia de miembros superiores, que consiste en una alternancia rápida entre supinación y pronación del antebrazo (derecho, izquierdo, ambos antebrazos en fase y ambos en antifase). El análisis de varianza analizó las posibles influencias de la edad y la educación en la FE y la coordinación motora. La prueba de correlación de Pearson evaluó las posibles relaciones entre FE y diadococinesia. Los ancianos con bajo nivel educativo fueron significativamente más lentos en la parte B (cognitivo-motora) y delta (cognitiva) de la TMT. Todos los grupos fueron más lentos en la condición antifase, especialmente los ancianos con bajo nivel educativo. Se encontró únicamente correlaciones débiles entre FE y coordinación motora. La edad y el nivel educativo influyeron en la FE y la coordinación motora; sin embargo, las pruebas de FE y de coordinación motora no mostraron correlación cuando estos dos factores fueron corregidos estadísticamente.


ABSTRACT Brazilian older adults present a relatively low schooling level when compared with other populations. In clinical practice, defining if more subtle alterations observed in executive function (EF) and motor coordination tests in older adults are due to an initial neurological condition or low schooling level is difficult. This study aimed to evaluate the possible differences in motor coordination and EF between adults and older adults with high and low schooling level as well as the possible correlations between motor coordination and EF in this sample. A total of 75 healthy individuals (aged from 30 to 89 years) were evaluated. EF was assessed by the trail making test (TMT) whereas motor coordination was assessed by the upper limb diadochokinetic test, which is the rapid alternation between supination and pronation of the forearms (right, left, both performing in-phase movements, and both performing anti-phase movements). Analysis of variance showed that age and schooling level possibly influenced EF and motor coordination. Possible relationships between EF and diadochokinesis were calculated by Pearson's correlation. Older adults with low schooling level were significantly slower on the TMT part B (cognitive and motor) and delta TMT (cognitive). All groups were slower performing the anti-phase movement, especially those with low schooling level. Results showed only weak correlations between EF and motor coordination. Age and schooling level influenced executive function and motor coordination. However, the EF and motor coordination tests presented no correlation when these two factors were statistically corrected.

8.
Rev. bras. cir. cardiovasc ; 37(4): 534-545, Jul.-Aug. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1394728

ABSTRACT

ABSTRACT Introduction: Congenitally corrected transposition of the great arteries (CCTGA) is a rare anomaly. Current data available regarding adult cases is derived from small series, information simultaneously presented in pediatric publications, and one classical multicenter study. This review, not aimed to exhaust the subject, has the purpose to examine the literature addressing presentation, diagnostic methodology, and management of afflicted adult patients. Methods: A comprehensive search was undertaken in three major databases (PubMed, Cochrane, SciELO), using the keywords "congenitally corrected transposition of the great arteries" and "adults". Relevant articles in English, Spanish, and Portuguese were extracted and critically appraised in this review. Steps for study selection were: (1) identification of titles of records through databases searching, (2) removal of duplicates, (3) screening and selection of abstracts, (4) final inclusion in the study. Results: Four hundred sixty-five publications on CCTGA in adult patients were retrieved, and 166 were excluded; 299 studies were used for this review including 76 full-text articles, 70 studies related to general aspects of the subject, and, due to the small number of publications, 153 case reports. Sixty-one articles referring to combined experiences in pediatric and adult patients and judged to be relevant, but retrieved from another sources, were also included. Conclusion: Albeit clinical presentation and diagnostic criteria have been well stablished, there seems to be room for discussion related to clinical and surgical management of CCTGA in adults. Considering the rarity of the disease, well designed multicenter studies may provide answers.

9.
Rev. bras. cir. cardiovasc ; 37(4): 511-516, Jul.-Aug. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1394735

ABSTRACT

Abstract Introduction: In developing countries like India, it is common for late presentation of Tetralogy of Fallot (TOF) patients to a hospital as compared to that of developed countries. The objective of this study is to analyze the surgical outcome of TOF patients with age > 15 years. Methods: This is a retrospective descriptive study of the surgical outcomes of 45 adult patients undergoing correction for TOF. Epidemiology, symptomology, and preoperative evaluation were performed. Results: Most of the patients were male (33 [73%]). The median age was 21 years. A total of 42 (93.33%) patients had subaortic ventricular septal defect (VSD), while three (6.6%) patients presented with doubly committed VSD. The most common type of right ventricular outflow tract (RVOT) obstruction was combined infundibular and valvular types, accounting for 34 cases (75.5%). Six patients had infundibular RVOT obstruction, while three patients (6.6%) had predominantly valvular pulmonary stenosis. We performed trans-right atrial repair in 33 patients. Right atrium-pulmonary artery approach was used in five patients (11.1%). The most common postoperative complication was right bundle branch block, seen in 14 patients, with a mortality rate of 2% in the early postoperative period. We achieved excellent early and midterm survival results and significant improvement in functions and disease-free quality of life. Conclusion: Intracardiac repair in adult TOF can be performed with low mortality, less residual RVOT obstruction, and need for revision of RVOT far less frequent by using the Jhajhria Infundibular Resection Adequacy Assessment technique (JIRAAT) to assess for adequacy of infundibular resection.

10.
Nursing (Säo Paulo) ; 25(290): 8173-8182, julho.2022.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1379911

ABSTRACT

Objetivo: descrever, com base na literatura, quais as estratégias utilizadas na transição do cuidado de usuários do hospital para a atenção primária. Método: trata-se de revisão integrativa realizada a partir de coleta de artigos publicados entre 2016 e 2020 nas bases de dados LILACS, MEDLINE, por meio da PubMed, e Sci-Verse Scopus. Foram selecionados 13 artigos que atendiam aos critérios de inclusão. Resultados: estratégias descritas na literatura, envolvem a ação multidisciplinar, com destaque para a atuação do enfermeiro. Compreendem ações de transição do cuidado, planejamento de visitas e consultas. Conclusão: são estratégias apontadas na literatura para a transição do cuidado: clínica de transição com equipe de atenção primária; cronograma estruturado para visitas domiciliares; avaliação clínica e social; clínicas de cuidado transitório; programa de coordenação do cuidado.(AU)


Objective: to describe, based on the literature, which strategies are used in the transition of care for hospital users to primary care. Method: this is an integrative review based on the compilation of articles published between 2016-and 2020 in the LILACS, MEDLINE databases, through PubMed, and Sci-Verse Scopus. Thirteen articles that met the inclusion criteria were selected. Results: strategies describer in the literature include multidisciplinary actions with emphasis on the role of nurses. They comprise care transition actions, planning of visits and consultations. Conclusion: strategies identified in the literature for the transition of care are: transition clinic with a primary care team; structured schedule for home visits; clinical and social assessment; transitional care clinics; care coordination program.(AU)


Objetivo: describir, con base en la literatura, qué estrategias se utilizan en la transición de la atención de los usuarios del hospital para la atención primaria. Método: se trata de una revisión integradora basada en la recopilación de artículos publicados entre 2016 y 2020 en las bases de datos LILACS, MEDLINE, a través de PubMed y Sci-Verse Scopus. Se seleccionaron trece artículos que cumplieron con los criterios de inclusión. Resultados: las estrategias descritas en la literatura implican una acción multidisciplinar, con énfasis en el papel de los enfermeros. Comprenden acciones de transición asistencial, planificación de visitas y consultas. Conclusión: las estrategias identificadas en la literatura para la transición de la atención son: clínica de transición con equipo de atención primaria; horario estructurado para visitas domiciliarias; evaluación clínica y social; clínicas de atención transitoria; programa de coordinación de cuidados.(AU)


Subject(s)
Primary Health Care , Continuity of Patient Care , Transition to Adult Care
11.
Bol. malariol. salud ambient ; 62(1): 24-31, jun, 2022. ilus, tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1379281

ABSTRACT

Durante la pandemia del COVID-19, los médicos se enfrentaron a una admisión masiva sin precedentes de pacientes con neumonía atípica viral. El objetivo del estudio fue comparar las características clínicas de la primera y segunda ola de la pandemia. Se realizó un estudio observacional analítico de los pacientes con neumonía COVID-19 que ingresaron al Hospital Carrión de Huancayo, Perú ubicado a más de 3000 msnm. Se determinaron 2 periodos de estudio, el grupo uno representado por la primera ola caracterizado por la restricción masiva y cuarentena estricta y la segunda ola donde las actividades productivas ya se habían normalizado en gran proporción. De un total de 252 pacientes con COVID-19, la edad promedio fue 56 años en la primera ola y 52 años en la segunda ola, el sexo masculino fue más frecuente en ambos 74% y 57%, la mortalidad fue 27% y 23%, el tiempo de enfermedad fue 8 días y 10 días, respectivamente. Por otro lado, el porcentaje del uso de antibióticos, ivermectina e hidroxicloroquina fue más elevado en la primera ola. El uso de corticoides y la estancia hospitalaria prolongada fueron más frecuente en la segunda ola. La comparación de ambas olas muestra diferencias en la edad, mortalidad y tiempo de enfermedad, que puede deberse a las nuevas variantes moleculares del SARS-COV-2(AU)


During the COVID-19 pandemic, doctors faced an unprecedented mass admission of patients with viral atypical pneumonia. The objective of the study was to compare the clinical characteristics of the first and second waves of the pandemic. An analytical observational study was carried out on patients with COVID-19 pneumonia who were admitted to Hospital Carrión de Huancayo, Peru located at more than 3000 meters above sea level. Two study periods were determined, group one represented by the first wave characterized by massive restriction and strict quarantine and the second wave where productive activities had already normalized to a great extent. Of a total of 252 patients with COVID-19, the average age was 56 years in the first wave and 52 years in the second wave, the male sex was more frequent in both 74% and 57%, mortality was 27% and 23 %, the time of illness was 8 days and 10 days, respectively. On the other hand, the percentage of use of antibiotics, ivermectin and hydroxychloroquine was higher in the first wave. The use of corticosteroids and prolonged hospital stay was more frequent in the second wave. Comparison of both waves shows differences in age, mortality and time of illness, which may be due to the new molecular variants of SARS-COV-2(AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , COVID-19/drug therapy , COVID-19/epidemiology , Peru/epidemiology , Hospitals
12.
Rev. méd. Urug ; 38(2): e38205, jun. 2022.
Article in Spanish | LILACS-Express | LILACS, BNUY, UY-BNMED | ID: biblio-1389690

ABSTRACT

Resumen: Introducción: la medición precisa de la actividad física (AF) es clave para analizar su asociación con resultados de salud. Sin embargo, en Uruguay no existen estudios que comparen diferentes métodos para determinar la AF en adultos. El objetivo de este estudio fue analizar la confiabilidad del Cuestionario Internacional de Actividad Física (IPAQ) en estudiantes universitarios uruguayos y evaluar su validez concurrente en comparación con la AF basada en dispositivos. Método: 54 estudiantes universitarios de educación física completaron el IPAQ (versión larga) en dos ocasiones con 7 días de diferencia y utilizaron acelerómetros GeneActiv durante ese período. La confiabilidad se evaluó a través del Coeficiente de Correlación Intraclase (ICC) y se utilizó el análisis de Bland-Altman para determinar la validez concurrente. Resultados: todos los dominios de AF mostraron niveles moderados de ICC. El transporte (ICC = 0,64), el tiempo libre (ICC = 0,58), y la AF total (ICC = 0,53) fueron los dominios con niveles moderados más altos. El total de minutos de AF evaluados a través del IPAQ en las dos ocasiones reportó un promedio de 773 minutos de diferencia (IC 95% 362,88-1.184,01). La diferencia de minutos de AF entre la evaluación con el IPAQ y con los acelerómetros es de 752 minutos (IC 95% 418,05-1.087.16). Conclusiones: el IPAQ sobreestima la AF respecto al acelerómetro en estudiantes universitarios uruguayos, sin embargo fue más confiable al considerar dominios de transporte y tiempo libre para los participantes que reportaron realizar un promedio menor a 400 minutos de AF semanal.


Summary: Introduction: precise measurement of physical activity (PA) is key to analyze its association with health results. However, there are no studies in Uruguay comparing the different methods to determine PA in adults. The study aims to analyze the reliability of the International Physical Activity Questionnaire (IPAQ) in Uruguayan university students and to assess its validity by comparing it to device-based monitoring PA. Method: 54 Physical Education university students completed the IPAQ (long version) on 2 occasions with a 7 day difference using GeneActive accelerometers during that period. Reliability was assessed with the Intraclass Correlation Coefficient (ICC) and the Bland-Altman analysis was used to determine concurrent validity. Results: all PA domains evidenced moderate ICC levels. Transport (ICC= 0.64), free time (ICC= 0.58) and total PA (ICC= 0.53) were the domains with the highest moderate levels. The total number of minutes of PA assessed by IPAQ reported an average of a 773 minutes difference (CI 95%: 362.88; 1184.01). Difference of PA in minutes, considering the assessment with the IPAQ and the accelerometers is 752 minutes (CI 95%: 418.05; 1087.16). Conclusions: the IPAQ overestimates the PA when compared to the accelerometer in Uruguayan university students. However, it was more reliable when considering the transport and free time domains for participants who reported an average physical activity under 400 minutes per week.


Resumo: Introdução: a mensuração precisa da atividade física (AF) é fundamental para analisar sua associação com desfechos de saúde. No entanto, no Uruguai não existem estudos que comparem diferentes métodos para determinar a AF em adultos. Objetivo: analisar a confiabilidade do Questionário Internacional de Atividade Física (IPAQ) em estudantes universitários uruguaios e avaliar sua validade concorrente em comparação com a AF baseada em dispositivos. Método: 54 estudantes universitários de Educação Física preencheram o IPAQ (versão longa) em 2 ocasiões com 7 dias de intervalo e usaram acelerômetros GeneActiv durante esse período. A confiabilidade foi avaliada por meio do Coeficiente de Correlação Intraclasse (ICC) e a análise de Bland-Altman foi utilizada para determinar a validade concorrente. Resultados: todos os domínios da AF apresentaram níveis moderados de ICC. Transporte (ICC = 0,64), tempo livre (ICC = 0,58) e AF total (ICC = 0,53) foram os domínios com os níveis moderados mais altos. O total de minutos de AF avaliados pelo IPAQ em ambas as ocasiões apresentou diferença média de 773 minutos (IC 95%: 362,88; 1184,01). A diferença em minutos de AF entre a avaliação com o IPAQ e com os acelerômetros é de 752 minutos (IC 95%: 418,05; 1087,16). Conclusões: o IPAQ superestima a AF em relação ao acelerômetro em universitários uruguaios, porém, foi mais confiável ao considerar os domínios transporte e tempo livre para participantes que relataram realizar em média menos de 400 minutos de AF por semana.


Subject(s)
Exercise , Surveys and Questionnaires/statistics & numerical data , Evaluation Study
13.
Int. arch. otorhinolaryngol. (Impr.) ; 26(2): 250-259, Apr.-June 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1385091

ABSTRACT

Abstract Introduction Distortion product otoacoustic emissions (DPOAE) and their suppression may be considered useful in monitoring cochlear function and the efferent auditory pathway inhibitory effect. Nonetheless, the establishment of reliable parameters of response variations is of great importance. Objectives To verify the replicability of test and retest in the research of the inhibitory effect of the efferent pathway using contralateral suppressing stimulus during DPOAE recording for clinical applicability. Methods Cross-sectional study with 48 volunteers, aged 18 to 30 years, with normal audiometric thresholds. The procedures included were audiometric and immittance measures to overrule any conductive or sensorineural conditions and DPOAE recordings without and with contralateral suppression with a 60 dBHL white noise. Distortion product otoacoustic emissions amplitudes were analyzed and compared in both conditions with Wilcoxon test, and the Spearman correlation test was used to assess test-retest reliability. Results The comparative analysis showed differences between amplitudes in test and retest conditions only in 1,500 Hz for DPOAE measures with all other tested frequencies showing no differences, and no difference was observed in all recorded frequencies in the test and retest comparison for DPOAE suppression. The degree of correlation between test and retest of DPOAE amplitude was good at 6,000 Hz and strong (r > 0.880) at the other frequencies. For DPOAE with suppression, all frequencies presented strong correlation between test and retest: 1,500 Hz (r = 0.880), 2,000 Hz (r = 0.882), 3,000 Hz (r = 0.940), and 6,000 Hz (r = 0.957). Conclusions The study found good replicability in contralateral suppression of DPOAE with potential clinical applicability, and we recommend conducting the test from 2000Hz to higher frequencies for more reliable results.

14.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1385905

ABSTRACT

RESUMEN: Determinar las variaciones diurnas de las concentraciones de cortisol salival (CORTs) en adultos jóvenes sanos. Estudio descriptivo de corte transversal. Un total de 50 estudiantes universitarios, sin antecedentes de trastornos físicos o psiquiátricos, recogieron muestras de saliva completa no estimulada en sus hogares, por la mañana (6:30- 7:30 AM) y la tarde (4:00-6:00 PM). El CORTs se analizó utilizando inmunoensayo por quimioluminiscencia. El análisis estadístico de los resultados se realizó mediante la prueba t de Student y coeficiente de correlación de Pearson. El valor medio de CORTs de la mañana (0,29 ± 0,11 mg/dl) es significativamente más alto (t = 15,43, p < 0,0001) en comparación con la tarde (0,06 ± 0,03 mg/dl), con un coeficiente de variabilidad muy alto. La asimetría (As) y kurtosis (K) vespertinas (As=3,10; K=8,69) fueron mayores que las matutinas (As= 0,45; K= -1,07). Resultaron significativos los coeficientes entre CORTs-AM y CORTs-PM (r = 0,36, p = 0,0106), pero no entre CORTs edad, IMC y género. La variabilidad diaria, intra e interindividual, fue alta para todos los resultados de CORTs. Estos resultados facilitarán la interpretación de la variabilidad biológica del CORTS en salud y enfermedad.


ABSTRACT: To determine the diurnal variations of salivary cortisol (sCORT) concentrations in healthy young adults. Descriptive cross-sectional research design. A total of 50 university students, with no history of physical or psychiatric disorders, collected samples of unstimulated whole saliva at home, in the morning (6:30-7:30 AM) and in the afternoon (4:00-6:00 PM). The CORTs were analyzed using chemiluminescence immunoassay. Statistical analysis was performed using Student's t test and Pearson's correlation coefficient. The mean CORTs value in the morning (0,29 ± 0,11 mg/dl) is significantly higher (t = 15,43, p <0,0001) compared to the afternoon (0,06 ± 0,03 mg/dl), with a very high coefficient of variability. The asymmetry (As) and kurtosis (K) in the evening (As = 3,10; K = 8,69) were greater than in the morning (As = 0,45; K = -1,07). The coefficients between CORTs-AM and CORTs-PM were significant (r = 0,36, p = 0,0106), but not between CORTs with age, BMI and gender. Intra- and inter-individual daily variability was high for all CORTs results. These results will facilitate the interpretation of the biological variability of CORTS in health and disease.

15.
Rev. bras. cir. cardiovasc ; 37(3): 306-314, May-June 2022. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1376553

ABSTRACT

ABSTRACT Introduction: Functional tricuspid regurgitation (TR) is known to complicate adult atrial septal defect (ASD), but its management is still under debate. We reviewed our experience in ASD surgery, focusing on associated functional TR and its treatment. Methods: This retrospective study (2005-2019) included 206 consecutive adult ASD surgical cases without associated valve pathology, except functional TR. Variables were statistically compared on TR classes and surgery-defined groups. Results: Mean age of the patients was 40.3±13 years; 19.9% had sinus venosus syndrome. TR severity was directly related to age, pulmonary systolic pressure, right ventricular and tricuspid annulus diameters, and heart failure class. TR ≥ 2 was found in 134 (65%) patients, while TR ≥ 3 in 56 (27.2%) patients. Tricuspid surgery was associated to shunt closure in 66 (32%) patients, almost all through valve repair; indication was directly related to age, right ventricular and tricuspid annulus diameters, and heart failure class ≥ 3. Tricuspid surgery was more efficient than isolated shunt closure in decreasing TR (79±23% vs. 36±26%; P=1.8 E-18). Device closure availability (last four years of the study) was associated with 1/3 reduction of surgical cases but increased the share of cases with TR>2 (> 51% vs. < 31%; P<0.05). Conclusion: In the era of device closure, surgery for adult ASD is less frequent, but the share of significant TR cases is in net increase. To avoid long-term postoperative TR, we plead for valve repair in all patients with severe TR and for considering repair in moderate TR at risk of persistence.

16.
Rev. Assoc. Med. Bras. (1992) ; 68(6): 802-807, June 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1387160

ABSTRACT

SUMMARY OBJECTIVE: A decrease in the left ventricular ejection fraction (≤40%) in the setting of ST-segment elevation myocardial infarction is a significant predictor of mortality in the young ST-segment elevation myocardial infarction population. In this study, we aimed to investigate the predictors of left ventricular ejection fraction reduction and evaluate the long-term mortality rates in young ST-segment elevation myocardial infarction patients with or without decreased left ventricular ejection fraction. METHODS: We enrolled retrospectively 411 consecutive ST-segment elevation myocardial infarction patients aged 45 years or below who underwent primary percutaneous coronary intervention. Young ST-segment elevation myocardial infarction patients were divided into two groups according to their left ventricular ejection fraction (≤40%, n=72 and >40%, n=339), which were compared with each other. RESULTS: Statin use, white blood cell count, C-reactive protein, peak creatine kinase-MB, prolonged ischemia time, left anterior descending artery-related infarction, proximally/ostial located lesion, and no-reflow were independently associated with low left ventricular ejection fraction. Additionally, long-term mortality was considerably higher in the left ventricular ejection fraction ≤40% group than those in the left ventricular ejection fraction>40% group (18.1% versus 2.4%; p<0.001). CONCLUSIONS: In young ST-segment elevation myocardial infarction patients, lesion properties (left anterior descending lesion, proximally located lesion), no-reflow, and prolonged ischemia time appeared to be important determinants for the left ventricular ejection fraction decline, rather than coronary disease severity or demographic and hematological parameters. Statin use may be preventive in the development of left ventricular ejection fraction decline in young ST-segment elevation myocardial infarction patients.

17.
Cogit. Enferm. (Online) ; 27: e78217, Curitiba: UFPR, 2022. graf
Article in Portuguese | LILACS-Express | LILACS, BDENF | ID: biblio-1384636

ABSTRACT

RESUMO Objetivo: compreender a concepção de rede de atenção integral ao idoso segundo experiências de enfermeiros gerentes de serviços de Atenção Primária à Saúde. Métodos: pesquisa qualitativa, realizada em municípios sede de cinco regiões de saúde do estado de São Paulo, Brasil, em 2019. Entrevistas audiogravadas, transcritas e analisadas conforme Teoria Fundamentada nos Dados, com saturação teórica a partir da quinta entrevista. Resultados: emergiram três subprocessos: reconhecendo potenciais para a constituição da rede de atenção integral ao idoso no contexto do sistema público de saúde; desencorajando-se por não vislumbrar a Rede de Atenção ao Idoso, perante os desafios organizacionais e culturais para fortalecimento da Atenção Primária à Saúde; desmotivando a movimentar-se para a construção da rede de atenção integral ao idoso. Considerações Finais: este estudo contribui para a equipe dos serviços de Atenção Primária à Saúde reavaliar suas práticas em saúde, buscando avançar na constituição da rede de atenção integral ao idoso.


ABSTRACT Objective: to understand the conception of the comprehensive care network for older adults according to the experiences of nurse-managers working in Primary Health Care services. Methods: a qualitative research study conducted in 2019 in a number of host municipalities from five health regions of the state of São Paulo, Brazil. The interviews were audio-recorded, transcribed and analyzed according to the Grounded Theory, with theoretical saturation from the fifth interview. Results: three sub-processes emerged, namely: recognizing potential for the constitution of a comprehensive care network for older adults in the context of the public health system; getting discouraged for not visualizing the Care Network for Older Adults, given the organizational and cultural challenges to strengthen Primary Health Care; and discouragement to mobilize towards the constitution of the comprehensive care network for older adults. Final Considerations: this study contributes for the teams working in the Primary Health Care services to reassess their health practices, seeking to advance in the constitution of the comprehensive care network for older adults.


RESUMEN Objetivo: comprender la concepción de la red de atención integral para la salud de la tercera edad de acuerdo con experiencias de enfermeros gerentes de servicios de Atención Primaria de la Salud. Métodos: investigación cualitativa realizada en el año 2019 en diversos municipios sede de cinco regiones de salud del estado de San Pablo, Brasil. Las entrevistas se grabaron en un medio de audio, transcribieron y analizaron conforme a la Teoría Fundamentada en los Datos, con saturación teórica a partir de la quinta entrevista. Resultados: surgieron tres subprocesos, a saber: reconocer potencialidades para establecer la red de atención integral para la tercera edad en el contexto del sistema público de salud; desánimo al no vislumbrar la Red de Atención para la Tercera Edad, ante los retos organizacionales y culturales para fortalecer la Atención Primaria de la Salud; y desmotivación para movilizarse en pos de establecer la red de atención integral para la tercera edad. Consideraciones Finales: este estudio sirve de apoyo para que los equipos de los servicios de Atención Primaria de la Salud reevalúen sus prácticas en materia de salud, procurando avanzar en la constitución de la red de atención integral para la tercera edad.

18.
Cogit. Enferm. (Online) ; 27: e80674, Curitiba: UFPR, 2022. tab
Article in Portuguese | LILACS-Express | LILACS, BDENF | ID: biblio-1384643

ABSTRACT

RESUMO Objetivo: analisar a relação entre as experiências na infância de ouvidores de vozes e religião quando adulto. Método: pesquisa transversal com ouvidores de vozes de um Centro de Atenção Psicossocial em município do interior do Rio Grande do Sul, Brasil. A coleta dos dados ocorreu em 2019, por meio da utilização de questionários padronizados; para a variáveis sobre religião ,utilizou-se o questionário Duke Religious Index. Para a análise dos dados, utilizou-se frequências absolutas, proporções e análise bivariada. Resultados: participaram 112 pessoas, 66 referiram ouvir vozes, 65% relataram ter religião, com maior prevalência de evangélicos (n=31; 52%). Não ter uma infância prazerosa (78%), ter vivenciado uma infância estressante (76%) e não ter se sentido seguro na rua quando criança (83%) apresentaram relação com ter religião quando adulto. Conclusão: este estudo propõe uma mudança de produção de conhecimento e cuidado em saúde mental, que considere a experiência e a religiosidade.


ABSTRACT Objective: to analyze the relationship between childhood experiences of voice hearers and religion as an adult. Method: cross-sectional research with voice hearers from a Psychosocial Care Center in a city in the interior of Rio Grande do Sul, Brazil. Data collection occurred in 2019 using standardized questionnaires; for the variables on religion, the Duke Religious Index questionnaire was used. For data analysis, absolute frequencies, proportions, and bivariate analysis were used. Results: 112 people participated, of these, 66 reported hearing voices, 65% reported having religion, with a higher prevalence of evangelicals (n=31; 52%). Not having a pleasant childhood (78%), having experienced a stressful childhood (76%) and not having felt safe on the streets as a child (83%) were related to having religion as an adult. Conclusion: this study proposes a change in knowledge production and care in mental health that considers experience and religiosity.


RESUMEN Objetivo: analizar la relación entre las experiencias infantiles de los escuchadores de voces y la religión en la edad adulta. Método: investigación transversal con escuchadores de voces de un Centro de Atención Psicosocial de un municipio del interior de Rio Grande do Sul, Brasil. La recogida de datos se realizó en 2019 mediante el uso de cuestionarios estandarizados; para las variables sobre religión se utilizó el cuestionario Duke Religious Index. Para el análisis de los datos se utilizaron las frecuencias absolutas, las proporciones y el análisis bivariante. Resultados: Participaron 112 personas, 66 de ellas declararon oír voces, el 65% declaró tener religión, con una mayor prevalencia de evangélicos (n=31; 52%). No haber tenido una infancia agradable (78%), haber vivido una infancia estresante (76%) y no haberse sentido seguro en la calle cuando era niño (83%) estaban relacionados con tener religión como adulto. Conclusión: este estudio propone un cambio de producción de conocimiento y atención en salud mental, que considera la experiencia y la religiosidad.

19.
Más Vita ; 4(2): 353-367, jun. 2022. tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1392662

ABSTRACT

La familia se ha convertido en la base importante de apoyo en la vida de los adultos mayores, convirtiéndose estos en personas dependientes de otra ya sea por distintos determinantes, un adulto mayor dependiente requiere de apoyo de un cuidador principal perteneciendo al mismo círculo familiar, específicamente de sexo femenino. Los cuidados directos a una adulta mayor recaen en una sola persona, trayendo consecuencias en la misma, como es la sobrecarga de trabajo en la cuidadora. Objetivo: indagar el Rol de la Familia en el cuidado del adulto mayor y a su vez analizar el nivel de sobrecarga del cuidador y la calidad de vida de ambas personas en estudio. Materiales y métodos: Corresponde a un estudio de caso, de tipo observacional, descriptivo y analítico, cualitativo, en base al rol de la familia en el cuidado de la adulta mayor Esperanza Mera de la ciudadela Francisco Pacheco de la ciudad de Portoviejo. Resultados: Existe poca satisfacción en la calidad de vida y el nivel de sobrecarga es intensa, al igual que manifiestan disfunción familiar leve, para lo cual se diseñó un plan el mismo que deben de llevar a cabo en el Centro de Salud al que pertenecen. Conclusión: Es fundamental que la cuidadora este completamente orientada y capacitada por profesionales de salud en el cuidado del adulto mayor dependiente y en su auto cuidado, ya que la misma es la única responsable del cuidado sin recibir apoyo del resto de la familia(AU)


The family has become the important base of support in the lives of older adults, making them dependent on another, either due to different determinants, a dependent older adult requires support from a primary caregiver belonging to the same family circle. specifically female. Direct care for an older adult falls on a single person, bringing consequences to it, such as work overload for the caregiver. Objective: to investigate the Role of the Family in the care of the elderly and, in turn, to analyze the level of burden of the caregiver and the quality of life of both people under study. Materials and methods: Corresponds to an observational, descriptive and analytical, qualitative case study, based on the role of the family in the care of the elderly Esperanza Mera from the Francisco Pacheco citadel in the city of Portoviejo. Results: There is little satisfaction in the quality of life and the level of overload is intense, as well as manifesting mild family dysfunction, for which a plan was designed that must be carried out in the Health Center to which they belong. Conclusion: It is essential that the caregiver is completely oriented and trained by health professionals in the care of the elderly dependent adult and in their self-care, since they are the only one responsible for the care without receiving support from the rest of the family(AU)


Subject(s)
Quality of Life , Aged , Family , Caregivers , Personal Satisfaction , Self Care , Health Centers , Surveys and Questionnaires
20.
Ciudad de México; s.n; 20220401. 124 p.
Thesis in Spanish | LILACS, BDENF | ID: biblio-1381064

ABSTRACT

Antecedentes: el insomnio es uno de los trastornos del sueño más prevalentes en adultos mayores, provocando un impacto físico, psicológico y social. Estudios reportan que el insomnio se asocia con somnolencia, disfuncionalidad física diurna, depresión, ansiedad, deterioro cognitivo y una mala percepción de bienestar subjetivo, representando un grave problema en el primer nivel de atención. Objetivo: determinar la relación entre el insomnio con deterioro cognitivo y bienestar subjetivo en una población de adultos mayores. Método: se llevó a cabo un estudio analítico y comparativo en una población de 107 adultos mayores de la Ciudad de México. Se aplicaron instrumentos de valoración gerontológica: la Escala Atenas de insomnio, el Índice de calidad del sueño de Pittsburgh, el Mini-examen del estado mental de Folstein, la Escala de Satisfacción con la vida de Diener y la Escala de Afecto positivo y Afecto negativo. En el análisis estadístico se calcularon frecuencias y porcentajes, χ² y t de Student, y como estimador de riesgo se empleó razón de momios con IC del 95%, así mismo, se realizaron pruebas de correlación de Pearson. Resultados: se encontró una prevalencia de insomnio del 57%, mala calidad del sueño del 76% y deterioro cognitivo del 24%. De los adultos mayores insomnes, 31% presentaron deterioro cognitivo (p=0.045) y 31% baja satisfacción con la vida (p=0.001). En relación con la dimensión afectiva del bienestar subjetivo, tuvieron puntajes menores de afecto positivo (33±9 vs 37±9, p=0.020) y puntaciones más altas de afecto negativo (21±9vs 16±6, p=0.002). De los adultos mayores con mala calidad del sueño, 30% presentaron deterioro cognitivo (p=0.017) y 27% baja satisfacción con la vida (p=0.001), y presentaron puntuaciones menores en el afecto positivo (33±9vs 39±8, p=0.005)en comparación con los adultos mayores con buena calidad del sueño. Se observó que 28% de los adultos mayores con sueño ≤6 horas presentaron baja satisfacción con la vida (p=0.042). También se encontró que el insomnio y la mala calidad del sueño fueron factores de riesgo para el deterioro cognitivo con una razón de momios de 1.52 y 4.05, respectivamente. En las pruebas de correlación se encontró que el insomnio y la mala calidad del sueño tuvieron correlaciones negativas con la funcionalidad cognitiva, la satisfacción con la vida y el afecto positivo, por otro lado, se observaron correlaciones positivas con el afecto negativo. La duración del sueño se correlacionó negativamente con la satisfacción con la vida. Conclusiones. nuestros resultados sugieren una relación entre el insomnio con deterioro cognitivo y baja satisfacción con la vida. Asimismo, los adultos mayores con insomnio tienen menor afecto positivo y mayor afecto negativo.


Background: insomnia is one of the most prevalent sleep disorders in older adults, causing physical, psychological and social impact. Studies report that insomnia is associated with sleepiness, daytime physical dysfunction, depression, anxiety, cognitive impairment and a poor perception of subjective well-being, representing a serious problem at the first level of care. Objective: to determine the relationship between insomnia with cognitive impairment and subjective well-being in a population of older adults. Methods: an analytical and comparative study was carried out in a population of 107 older adults in Mexico City. Gerontological assessment instruments were applied: the Athens Insomnia Scale, the Pittsburgh Sleep Quality Index, the Folstein's Mini-Mental State Examination, the Diener's Satisfaction with Life Scale, and the Positive Affect and Negative Affect Scale. In the statistical analysis, frequencies and percentages, χ² and Student's t test were calculated, and odds ratios with 95% CI were used as risk estimators, as well as Pearson correlation tests. Results: a prevalence of insomnia of 57%, poor sleep quality of 76% and cognitive impairment of 24% was found. Of the insomniac older adults, 31% presented cognitive impairment (p=0.045) and 31% low life satisfaction (p=0.001). In relation to the affective dimension of subjective well-being, they had lower scores of positive affect (33±9 vs 37±9, p=0.020) and higher scores of negative affect (21±9 vs 16±6, p=0.002). Of the older adults with poor sleep quality, 30% had cognitive impairment (p=0.017) and 27% low life satisfaction (p=0.001), and had lower scores on positive affect (33±9 vs 39±8, p=0.005) compared to older adults with good sleep quality. It was observed that 28% of older adults with sleep ≤6 hours presented low life satisfaction (p=0.042). Insomnia and poor sleep quality were also found to be risk factors for cognitive impairment with odds ratios of 1.52 and 4.05, respectively. Correlation tests found that insomnia and poor sleep quality had negative correlations with cognitive functioning, life satisfaction and positive affect, on the other hand, positive correlations were observed with negative affect. Sleep duration was negatively correlated with life satisfaction. Conclusions: our results suggest a relationship between insomnia with cognitive impairment and low life satisfaction. Also, older adults with insomnia have lower positive affect and higher negative affect.


Introdução: A insônia é um dos distúrbios do sono mais prevalentes em idosos, causando impactos físicos, socias e psicológicos. Estudos reportam que a insônia está relacionada à sonolência, disfuncionalidade física diurna, depressão, ansiedade, deterioro cognitivo e uma má percepção do bem-estar subjetivo, representando um grave problema no primeiro nível de atenção. Objetivo: Determinar a relação entre a insônia com o comprometimento cognitivo e o bem-estar subjetivo em uma população de idosos. Método: Foi realizado um estudo analítico e comparativo em uma população de 107 idosos da Cidade do México. Foram usados instrumentos de valoração gerontológica como a Escala de Insônia de Atenas, o Índice de Qualidade do Sono de Pittsburgh, a Mini Exame do Estado Mental de Folstein, a Escala da Satisfação com a Vida de Diener e a Escala de Afeto Positivo e Negativo. Na análise estatística foram calculadas frequências e porcentagens, χ² e t de student, e como estimador de risco, foi usada a razão de chance (OR) com IC do 95%, bem como provas de correlação de Pearson. Resultados: Foi descoberta uma prevalência de insônia de 57%, má qualidade do sono de 76% e déficit cognitivo de 24%. Dos idosos insones 31% apresentaram déficit cognitivo (p=0,045) e 31% baixa satisfação com a vida (p=0,001). Em relação à dimensão afetiva do bem-estar subjetivo, tiveram pontuações menores de afeto positivo (33±9 vs 37±9, p=0,020), e pontuações mais altas de afeto negativo (21±9 vs 16±6, p=0,002). Dos idosos com má qualidade do sono, 30% apresentaram deterioro cognitivo (p=0,017) e 27% baixa satisfação com a vida (p=0,001) apresentaram pontuações menores no afeto positivo (33±9 vs 39±8, p=0,005) em comparação com os idosos com boa qualidade do sono. Observou-se que, 28% dos idosos com sono ≤6 horas apresentaram baixa satisfação com a vida (p=0,042). Também se descobriu, que a insônia e a má qualidade do sono foram fatores de déficit cognitivo, com uma razão de chance (OR) de 1,52 e 4,05 respectivamente. Nas provas de correlação, encontrou-se que a insônia e a má qualidade do sono tiveram correlações negativas com a funcionalidade cognitiva, a satisfação com a vida e o afeto positivo, por outro lado, foram observadas correlações positivas com o efeito negativo. A duração do sono foi correlacionada negativamente com a satisfação com a vida.


Subject(s)
Humans , Aged , Sleep Initiation and Maintenance Disorders , Personal Satisfaction , Aged , Nursing , Cognitive Dysfunction , Mexico
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