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1.
J. Hum. Growth Dev. (Impr.) ; 30(2): 227-240, May-Aug. 2020. ilus, tab
Article in English | LILACS (Americas), INDEXPSI | ID: biblio-1114931

ABSTRACT

INTRODUCTION: Increase in Internet access by elderly people is a consequence of population ageing, even though a long way still lies ahead for their digital inclusionOBJECTIVE: To describe the social representations of Internet among the elderly and to compare objectification and anchoring processes of elderly people with different levels in Internet usageMETHODS: Qualitative and quantitative study, with descriptive and comparative design, involving forty participants. Data collection occurred through different tools as follows: 1) associative network, analyzed by EVOC2000 and calculation of polarity 2) semi-structured interview, analyzed by Descending Hierarchical Classification with IRaMuTeQ and content analysis by Atlas TI and 3) characterization questionnaire and evaluation scale for digital inclusion level, with descriptive statistical analysis by SPSS softwareRESULTS: Associative network analyzed 78 words and their polarity was slightly positive. Descending Hierarchical Classification analyzed 89.51% of the corpus, divided into three segments: Internet danger, difficulties in usage v. Internet options and practices; content analysis divided 505 occurrences into three categories: image, attitude and informationCONCLUSION: Representations of elderly people with the highest use of Internet were undertaken by accessing hardware, apps and sites, anchored on an idea of the Internet as a means of retrieving information, leisure and interaction. Representations of the elderly with the lowest level of experience were undertaken by computer, based on a sociological perspective and marked by unfavorable attitudes


INTRODUÇÃO: O aumento do acesso à internet por idosos acompanha o avanço do envelhecimento populacional, mas há ainda um longo caminho a percorrer para a inclusão digital desse coletivoOBJETIVO: Descrever as representações sociais da internet para idosos e comparar seus processos de objetificação e ancoragem para idosos com diferentes níveis de uso da internetMÉTODO: Trata-se de um estudo qualitativo e quantitativo, com delineamento descritivo e comparativo, composto por 40 participantes. A coleta de dados ocorreu por rede associativa, analisada pelo programa EVOC2000 e cálculo de polaridade, entrevista semiestruturada, analisada por Classificação Hierárquica Descendente com o software IRaMuTeQ e análise de conteúdo por meio do software Atlas.TI, questionário de caracterização e escala de avaliação do nível de inclusão digital, analisados através de análise estatística descritiva do Pacote Estatístico SPSSRESULTADOS: A rede associativa analisou 78 palavras e sua polaridade foi levemente positiva. A Classificação Hierárquica Descendente analisou 89,51% do corpus e o separou em 3 segmentos de texto: o perigo da internet, dificuldades de uso x escolha e práticas na internet; a análise de conteúdo dividiu 505 ocorrências em três categorias: imagem, atitude e informaçãoCONCLUSÃO: As representações dos idosos com maior nível de uso da internet foram objetificadas por meio de hardwares de acesso, aplicativos e sites, ancoradas na noção da internet como forma de obter informação, lazer e interação. Enquanto as representações dos idosos com menor nível de experiência foram objetificadas por meio do computador, ancorada em uma perspectiva sociológica, marcada por atitudes desfavoráveis


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Aging , Internet Access , Digital Inclusion , Social Integration
2.
Int. j. morphol ; 38(3): 726-730, June 2020. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1098312

ABSTRACT

Determination of age represents one of the most important aspects in forensic identification. Through aging, changes can occur in morphological structures of the heart valves. The objective is to examine the relationship between the dimensions of the rigth atrioventricular (tricuspid), pulmonary, left atrioventricular (mitral), and aortic valves and age at death. Sixty fresh human hearts were obtained from Department of Anatomy and Department of Forensic Medicine, Faculty of medicine, Chiang Mai University, Thailand. The age of individuals was between 20-90 years. We investigated the morphometric parameters of the valves were taken including: valve circumference, length, the height and area of each leaflet. All parameters were measured by using specific image analysis software. The correlation test and predictive equation were established. The positive correlation between the circumference, area of posterior leaflet, height of anterior leaflet, and area of anterior leaflet of the rigth atrioventricular valve were found. The left atrioventricular valve showed correlation with age in circumference, length and area of posterior leaflet. For the pulmonary and aortic valves, there were correlated between circumference at sinotubular junction and leaflet sizes in almost leaflets. The circumference at sinotubular junction of the pulmonary valve was highest significantly correlation with age (r=0.693). The predictive equation was age = -3.659+0.652(Circumference at sinotubular junction of the pulmonary valve) with standard error of ± 14.7 years. Additional knowledge of morphometric features in human heart valves and its relationship with age could be used as age indicator in forensic field.


La determinación de la edad representa uno de los aspectos más importantes en la identificación forense. Pueden ocurrir cambios a través del envejecimiento, en las estructuras morfológicas de las válvulas cardíacas. El objetivo de este estudio fue examinar la relación entre las dimensiones de las valvas atrioventricular derecha (tricúspide), pulmonar, atrioventricular izquierda (mitral) y aórtica, y la edad en relación a la muerte. Se obtuvieron sesenta corazones humanos frescos del Departamento de Anatomía y el Departamento de Medicina Forense de la Facultad de Medicina de la Universidad de Chiang Mai, Tailandia. La edad de las personas fluctuaba entre los 20 y 90 años. Investigamos los parámetros morfométricos de las valvas analizadas, incluyendo: circunferencia de la valva, longitud, altura y área de cada valva. Todos los parámetros se midieron utilizando un software de análisis de imagen específico. Se estableció la prueba de correlación y la ecuación predictiva. Se encontró la correlación positiva entre la circunferencia, el área de la valvula posterior, la altura de la valvula anterior y el área de la valvula anterior de la valva atrioventricular derecha. La valva atrioventricular izquierda mostró correlación con la edad en la circunferencia, longitud y área de la valvula posterior. Para las valvas pulmonar y aórtica, se correlacionó entre la circunferencia en la unión sinotubular y el tamaño de las válvulas. La circunferencia en la unión sinotubular de la valva pulmonar fue la mayor correlación significativa con la edad (r = 0,693). La ecuación predictiva fue edad = -3,659 + 0,652 (circunferencia en la unión sinotubular de la valva pulmonar) con error estándar de ± 14,7 años. El conocimiento adicional de las características morfométricas en las valvas cardíacas humanas y su relación con la edad podría usarse como indicador de edad en el campo forense.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Aging/physiology , Forensic Medicine/methods , Heart Valves/anatomy & histology , Heart Valves/diagnostic imaging , Thailand , Cadaver
4.
Enferm. foco (Brasília) ; 11(1): 57-62, jun. 2020. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1102527

ABSTRACT

Objetivo: compreender os conteúdos representacionais e suas origens a partir do esquecimento e da depressão em pessoas com idade ≥ 65 anos, identificando-se as aproximações e as diferenciações atribuídas ao declínio cognitivo. Metodologia: estudo qualitativo delineado na abordagem processual da Teoria das Representações Sociais, realizado numa Unidade de Atenção Primária à Saúde, numa cidade de Minas Gerais, Brasil. Entrevistas individuais em profundidade com gravação de áudio a partir de questões norteadoras. Conteúdos discursivos transcritos na íntegra e tratados em Programa NVivo Pro11, análise de conteúdo. Atendidos todos os aspectos ético-legais de pesquisa. Resultados: foram 49 participantes, cujos fragmentos de discurso permitiram identificar dimensões: comportamental, atitudinal, cognitivo, informativo, valorativo e objetival. A perda cognitiva foi percebida como algo peculiar ao envelhecimento e vinculada à presença da depressão. Conclusão: as representações sociais do esquecimento e depressão foram associadas ao isolamento social com origens vinculadas a problemas (pessoais, sociais ou familiares) identificadas a partir da observação do cotidiano. (AU)


Objective: to understand the representational contents and their origins from forgetfulness and depression in people aged ≥ 65 years, identifying the approaches and differentiations attributed to cognitive decline. Method: qualitative study outlined in the procedural approach of the Theory of Social Representations, conducted in a Primary Care Unit. to Health in a city of Minas Gerais, Brazil. Individual in-depth interviews with audio recording from guiding questions. Discursive content transcribed in full and treated in NVivo Pro11 Program, content analysis. Met all ethical and legal aspects of research. Results: 49 participants, whose speech fragments allowed us to identify dimensions: behavioral, attitudinal, cognitive, informative, evaluative and objective. Cognitive loss was perceived as peculiar to aging and linked to the presence of depression. Conclusion: the social representations of forgetfulness and depression were associated with social isolation with origins linked to problems (personal, social or family) identified from the observation of daily life. (AU)


Objectivo: comprender los contenidos de representación y sus orígenes del olvido y la depresión en personas de ≥ 65 años, identificando los enfoques y las diferencias atribuidas al deterioro cognitivo. Metodo: estudio cualitativo descrito en el enfoque procesal de la Teoría de las Representaciones Sociales, realizado en una Unidad de Atención Primaria. a la salud en una ciudad de Minas Gerais, Brasil. Entrevistas individuales en profundidad con grabación de audio de preguntas orientadoras. Contenido discursivo transcrito en su totalidad y tratado en el programa NVivo Pro11, análisis de contenido. Cumplió con todos los aspectos éticos y legales de la investigación. Resultados: 49 participantes, cuyos fragmentos de habla nos permitieron identificar dimensiones: conductuales, actitudinales, cognitivas, informativas, evaluativas y objetivas. La pérdida cognitiva se percibió como peculiar al envejecimiento y vinculada a la presencia de depresión. Conclusión: las representaciones sociales del olvido y la depresión se asociaron con el aislamiento social con orígenes vinculados a problemas (personales, sociales o familiares) identificados a partir de la observación de la vida cotidiana. (AU)


Subject(s)
Nursing , Aged , Aging , Depression , Memory
5.
Enferm. foco (Brasília) ; 11(1): 81-86, jun. 2020. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1102695

ABSTRACT

Objetivo: investigar as redes de suporte social da pessoa idosa com deficiência e as tecnologias inovadoras de cuidado implementadas à pessoa idosa com deficiência e de suporte ao cuidador. Método: pesquisa exploratório-descritiva de abordagem qualitativa, realizada no período de abril a outubro de 2016. Participaram 26 instituições não governamentais. Realizou-se aplicação de entrevista semiestruturada; empregada Análise Temática para tratamento dos dados. Resultados: Evidenciou-se que estratégias como grupos de convivência, grupos de apoio, arte como terapia e atividades de lazer podem ser considerados tecnologias de cuidado. Destacou-se a forma como as famílias estão sendo preparadas para cuidar do idoso com deficiência, já que uma parcela não possui cuidador ou apresenta rede de suporte familiar insuficiente. Conclusão: observou-se a necessidade reflexão quanto a expansão de serviços que visam a integração social do idoso com deficiência, sendo a criação de centros-dia para esta clientela, uma delas. (AU)


Objective: to investigate the social support networks of elderly people with disabilities and the innovative care technologies implemented for elderly people with disabilities and caregiver support. Method: exploratory-descriptive qualitative approach, carried out from April to October 2016. Twenty-six non-governmental institutions participated. A semi-structured interview was applied; Thematic Analysis for data treatment. Results: It was evidenced that strategies such as groups of coexistence, support groups, art as therapy and leisure activities can be considered care technologies. It was highlighted how families are being prepared to care for elderly people with disabilities, since a portion does not have a caregiver or presents an insufficient family support network. Conclusion: there was a need to reflect on the expansion of services aimed at the social integration of the elderly with disabilities, and the creation of day centers for this clientele, one of them. (AU)


Objectivo: investigar las redes de apoyo social de las personas mayores con discapacidades y las innovadoras tecnologías de cuidado implementadas para las personas mayores con discapacidades y el apoyo de los cuidadores. Método: enfoque cualitativo exploratorio- -descriptivo, realizado de abril a octubre de 2016. Participaron veintiséis instituciones no gubernamentales. Se aplicó una entrevista semiestructurada; Análisis temático para el tratamiento de datos. Resultados: Se evidenció que las estrategias como los grupos de convivencia, grupos de apoyo, arte como terapia y las actividades recreativas pueden considerarse tecnologías de cuidado. Se destacó cómo las familias se están preparando para atender a las personas mayores con discapacidades, ya que una parte no tiene cuidador o presenta una red de apoyo familiar insuficiente. Conclusión: hay necesidad de reflexionar sobre la expansión de los servicios dirigidos a la integración social de las personas mayores con discapacidad, siendo la creación de centros de día, uno de ellos. (AU)


Subject(s)
Nursing , Aged , Aging , Health of the Disabled , Social Networking
6.
Rev. salud pública ; 22(3): e184617, May-June 2020. tab, graf
Article in Spanish | LILACS (Americas) | ID: biblio-1115881

ABSTRACT

RESUMEN Latinoamérica, al igual que el resto del mundo, se está enfrentando actualmente a las consecuencias del envejecimiento poblacional, entre las que se incluye el aumento en la incidencia de neoplasias malignas en adultos mayores, con un subsecuente incremento en la uso de servicios de salud oncológicos. La oncología geriátrica es una disciplina de reciente creación que suma principios geriátricos a los avances oncológicos para ofrecer un tratamiento individualizado a los adultos mayores con cáncer. Este abordaje multidisciplinario actualmente es recomendado en el cuidado oncológico rutinario en adultos mayores. En Latinoamérica existen varias iniciativas asistenciales de enseñanza e investigación en oncología geriátrica; sin embargo, el número de centros especializados y la disponibilidad de personal capacitado en el área es limitada en comparación con los recursos disponibles en países de ingresos altos. En este trabajo se describen recomendaciones internacionales para la implementación de los principios de la oncología geriátrica en la práctica clínica habitual, los centros y recursos con los que se cuenta en Latinoamérica y los retos a futuro para mejorar la atención multidisciplinaria de los adultos mayores con cáncer en la región.(AU)


ABSTRACT Latin America, like the rest of the world, is currently facing the consequences of population aging. Among these consequences is a rise in incidence in malignant neoplasms among older adults, with an anticipated increase in oncologic health service requirements in this population. Geriatric oncology is a recently created discipline which integrates geriatric principles into oncology care to offer older adults with cancer individualized treatments. This multidisciplinary approach is now recommended as part of routine oncology care by international associations. Although several geriatric oncology clinical, educational and research initiatives exist in Latin America, the number and availability of specialized facilities and personnel is limited in comparison to those in high-income regions. In this manuscript, we review international recommendations for the implementation of geriatric oncology principles into routine clinical practice, describe resources available for geriatric oncology in Latin America, and provide recommendations to improve multidisciplinary care for older adults with cancer in the region.(AU)


Subject(s)
Humans , Middle Aged , Aged , Cancer Care Facilities/organization & administration , Aging , Health Services for the Aged/organization & administration , Neoplasms/epidemiology , Incidence , Latin America/epidemiology
7.
Arq. bras. psicol. (Rio J. 2003) ; 72(1): 93-104, jan.-abr. 2020. ilus, tab
Article in English | LILACS (Americas), INDEXPSI | ID: biblio-1114674

ABSTRACT

This study aimed at analyzing social representations of Brazilian gay men concerning male aging, homosexuality and homophobia. Ten gay elder men, at the average age of 65.7 years participated of it (SD = 3.86). To obtain the social representations, the free word association test was used, with the stimulus "male aging"; the responses were subjected to prototypical and similarity analysis with the software IRAMUTEQ. The social representations of male aging showed negative aspects, such as sadness and loneliness, and positive ones, such as health and life experience, as well as sexuality. It is expected that data can contribute to new investigations and reflections on the aging of homosexual people, bringing life quality to that group.


Este estudo teve como objetivo analisar e explicar as representações sociais de idosos gays sobre o envelhecimento masculino. Participaram 10 homens gays idosos, com idade média de 65,7 anos (DP = 3,86). Para obtenção das representações sociais, utilizou-se o TALP com o estímulo "envelhecimento masculino", em que as respostas foram submetidas a análise prototípica e de similitude com o programa IRAMUTEQ. As representações sociais do envelhecimento masculino situaram em aspectos negativos como tristeza e solidão, positivos como saúde e experiência de vida e sobre a sexualidade. Espera-se que os dados possibilitem novas investigações e reflexões sobre o envelhecimento de pessoas homossexuais, de modo a trazer qualidade de vida para este grupo.


Este estudio tuvo como objetivo analizar las representaciones sociales de los hombres homosexuales brasileños con respecto al envejecimiento masculino, la homosexualidad y la homofobia. Participaron diez hombres mayores homosexuales, con una edad promedio de 65.7 años (SD = 3.86). Para obtener las representaciones sociales, se utilizó la prueba de asociación de palabras libres, con el estímulo "envejecimiento masculino"; Las respuestas se sometieron a un análisis prototípico y de similitud con el software IRAMUTEQ. Las representaciones sociales del envejecimiento masculino mostraron aspectos negativos, como tristeza y soledad, y aspectos positivos, como salud y experiencia de la vida, así como la sexualidad. Se espera que los datos puedan contribuir a nuevas investigaciones y reflexiones sobre el envejecimiento de las personas homosexuales, aportando calidad de vida a este grupo.


Subject(s)
Quality of Life , Aged , Aging , Homosexuality , Homophobia , Men , Brazil
8.
Int. j. morphol ; 38(2): 374-381, abr. 2020. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1056450

ABSTRACT

The degeneration of the Lumbar Intervertebral Disc (LIVD) and the other elements of the spine are an inevitable result of aging. However, it is observed that the same degree of degenerative change does not occur in each individual. In the present study, the purpose was to compare the morphometric changes on the lumbar spine with or without intervertebral disc herniation in early period. Group 1 (the Patient Group) consisted of the patients who were diagnosed with lumbar intervertebral disc hernia and who were not operated at least one month clinical duration. Group 2 (the Control Group) consisted of individuals who were selected randomly, had only back pain, underwent magnetic resonance imaging (MRI), and were determined to have intact intervertebral disc. The sagittal and axial MRI sections of lumbar spine was used for measurements and statistical evaluation. There were no statistically significant differences between the intervertebral disc volumes, vertebral body volumes and intervertebral disc anterior and posterior heights of Group 1 and 2 (p>0.05). In terms of anterior-posterior length, the length of the L5 vertebral body was determined to be more in the Patient Group (p<0.05). A correlation was determined in terms of the increase in L2, L4 and L5 volumes with increasing age; however, there were no statistically significant correlations between age increase and a decrease in the intervertebral disc volumes. There were no correlations between the increase in age and the decrease in intervertebral disc heights (p>0.05). There were no apparent relations between the change on the lumbar vertebra corpus and intervertebral disc in early period. It was concluded that the intact intervertebral disc could protect the lower lumbar vertebra corpus from degenerative changes. Although the herniation of the intervertebral disc is newly formed, it is understood that the physiological process or morphometric changes started earlier.


La degeneración del disco intervertebral lumbar y de otros elementos de la columna vertebral son un resultado inevitable del envejecimiento. Sin embargo, no se observa el mismo grado de degeneración en cada individuo. En el presente estudio, el objetivo era comparar los cambios morfométricos en la columna lumbar con o sin hernia de disco intervertebral en el período temprano. El grupo 1 (grupo de pacientes) estaba formado por los pacientes diagnosticados con hernia de disco intervertebral lumbar y que no fueron operados durante al menos un mes. El Grupo 2 (Grupo de Control) consistió en sujetos que fueron seleccionados al azar, reportaban solamente dolor de espalda, fueron sometidos a una resonancia magnética (MRI) y se determinó un disco intervertebral intacto. Las secciones de resonancia magnética sagital y axial de la columna lumbar se utilizaron para las mediciones y la evaluación estadística. No hubo diferencias estadísticamente significativas entre los volúmenes del disco intervertebral, los volúmenes del cuerpo vertebral y las alturas anterior y posterior del disco intervertebral de los Grupos 1 y 2 (p> 0,05). En términos de longitud anterior-posterior, se determinó que la longitud del cuerpo vertebral L5 era mayor en el grupo de pacientes (p <0,05). Se determinó una correlación en términos del aumento en los volúmenes L2, L4 y L5 con el aumento de la edad; sin embargo, no hubo correlaciones estadísticamente significativas entre el aumento de la edad y una disminución en los volúmenes del disco intervertebral. No hubo correlaciones entre el aumento de la edad y la disminución de las alturas de los discos intervertebrales (p> 0,05). No hubo relaciones aparentes entre el cambio en el cuerpo de la vértebra lumbar y el disco intervertebral en el período temprano. Se concluyó que el disco intervertebral intacto podría proteger el cuerpo de la vértebra lumbar inferior de los cambios degenerativos. Aun cuando la formación de la hernia del disco fue reciente, se entiende que el proceso fisiológico o los cambios morfométricos habían comenzado antes.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aging , Back Pain/pathology , Intervertebral Disc Degeneration/pathology , Intervertebral Disc/pathology
9.
Saude e pesqui. (Impr.) ; 13(1): 7-17, jan/mar 2020. ilus
Article in Portuguese | LILACS (Americas) | ID: biblio-1052731

ABSTRACT

O aumento da expectativa de vida vem fazendo crescer, no Brasil, o número de Instituições de Longa Permanência para Idosos (ILPI), as quais devem investir na qualidade de vida de seus residentes. Nesse contexto, convém refletir sobre a importância da promoção da saúde junto a pessoas institucionalizadas, ressaltando aspectos interacionais, pois é por meio da participação social que elas podem permanecer ativas e integradas à comunidade em que vivem. Como objetivo de compreender o papel que atividades dialógicas assumem na promoção da saúde de idosos institucionalizados, o presente estudo, de caráter qualitativo, pautou-se na análise dialógica do discurso e contou com a participação de 14 residentes de duas ILPI, situadas no Sul do Brasil. Eles participaram de 16 encontros grupais, com duração de 90 minutos, que ocorreram semanalmente, em cada ILPI. Na visão dos idosos, práticas dialógicas proporcionaram-lhes bem-estar, contribuindo para que enfrentassem a rotina da instituição.


Since increase in life expectancy is a fact in Brazil, long-term institutions for the elderly have to invest in life quality of their residents. It is highly important to discuss health promotion for institutional elderly people and underscore its interactional aspects, since, through social participation, they remain active and integrated to the community in which they live. Current qualitative study is based on the dialogic analysis of discourse with the participation of 14 residents of two institutions in southern Brazil, so that the role of dialogical activities in health promotion of the elderly may be understood. The elderly people participated in 16 group meetings, with a duration of 90 min, on a weekly basis, in each institution. According to the elderly, dialogical practices provided well-being and contributed towards coping with the institutions´ routine.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Aging , Communication , Health Promotion , Homes for the Aged
10.
Saude e pesqui. (Impr.) ; 13(1): 19-30, jan/mar 2020. ilus, tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1052885

ABSTRACT

Este estudo teve como objetivo caracterizar os atropelamentos de idosos nas vias públicas de Maringá (PR), no período de 2007 a 2017. Trata-se de um estudo de abordagem quantitativa do tipo transversal descritivo. Foram pesquisados dados de natureza secundária nos Relatórios de Atendimento do Socorrista - RAS, do 5º Grupamento de Bombeiros de Maringá. Das 4213 ocorrências de atropelamentos registradas, 21,78% (918 casos) envolveram idosos. Aplicando-se o teste para comparação de proporções entre os sexos, não foram identificadas evidências amostrais suficientes de diferença significativa entre ambos (p = 0,508). Em 53,81% o veículo caracterizava-se como automóvel. Verificou-se uma grande variação do número de ocorrências anuais ao longo do período avaliado. O mês de maio teve maior ocorrência (11,33%). Identificou-se uma grande quantidade de escoriações no membro superior esquerdo (33%). Verificou-se que 22,11% dos acidentes foram no centro da cidade. Conclui-se que prevalecem como vítimas de atropelamento no município de Maringá idosos jovens, sem diferenças significativas em relação ao sexo. Apesar de preocupante, o número de ocorrências de atropelamento vem se mantendo estável nos últimos anos e os automóveis são os principais veículos envolvidos.


Current essay characterizes the overrunning of elderly people on the streets of Maringá, Brazil, between 2007 and 2017, through a quality, descriptive and transversal research. Secondary data in the Attendance Reports of First-Aid Helpers from the Fire Brigade of Maringá were researched. There were 4213 hits, with 918 (21.78%) cases involving elderly people. Tests for comparing gender ratios failed to show evidences with significant difference (p=0.508). The car comprised 53.81‰ of vehicles involved, but there was a great numerical variation of yearly occurrences throughout the period, with May as peak (11.33%). Wounds in the left upper limbs (33%) were detected, whilst 22.11% of accidents occurred downtown. Results show prevalence of young elderly hit victims in Maringá without any significant gender differences. However, number of hit occurrences maintained stable during the last years, with the main involvement of cars.


Subject(s)
Humans , Aged , Aged, 80 and over , Aging , Accidents, Traffic , Pedestrians , Health Promotion
11.
Rev. bioét. (Impr.) ; 28(1): 173-181, jan.-mar. 2020. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1092429

ABSTRACT

Resumo Este estudo estimou a prevalência autorreferida de edentulismo total em idosos de 60 anos ou mais em município de Minas Gerais cadastrados na Estratégia Saúde da Família, identificando fatores socioeconômicos associados. Os dados foram coletados no domicílio dos participantes, aplicando-se questionário que abarcava aspectos sociodemográficos, econômicos e de saúde geral e bucal. A estatística utilizou a variável dependente "edentulismo total", com nível de significância de 5%. Participaram 1.750 idosos - 63,4% mulheres, 11,5% analfabetos e 27,8% com renda familiar abaixo do salário mínimo. O edentulismo total foi de 46,4%, com maior prevalência em mulheres, entrevistados com idade ≥80 anos, solteiros/viúvos/divorciados, analfabetos e idosos que não procuraram serviço odontológico nos últimos seis meses (p<0,05). A renda familiar foi menor para os edêntulos (p=0,001), e constatou-se alta prevalência dessa condição associada a fatores socioeconômicos, demonstrando iniquidade em saúde bucal e necessidade de proteção do Estado. Aprovação CEP-Unimontes 1.628.652


Abstract This study estimated the self-reported prevalence of total edentulism in older adults aged 60 years or older in a municipality of Minas Gerais, Brazil, enrolled in the Family Health Strategy and identified associated socioeconomic factors. Data collection took place in the participants' domiciles through a questionnaire including socio-demographic, economic, and general and oral health data. The statistical analysis used "total edentulism" as the dependent variable, with significance level of 5%. A total of 1,750 older adults participated, 63.4% of whom were female, 11.5% were illiterate and 27.8% had a family income below one minimum wage. Total edentulism was 46.4%, with a higher prevalence in women, in participants who were aged ≥80 years, single/widowed/divorced, illiterate and in those who did not seek dental service in the last six months (p<0.05). Family income was lower for the edentulous older adults (p=0.001), and a high prevalence was found for edentulism associated with socioeconomic factors, showing iniquity in oral health and, therefore, the need for State protection. Approval CEP-Unimontes 1.628.652


Resumen Este estudio estimó la prevalencia autorreferida de edentulismo total en ancianos de 60 años o más, registrados en la Estrategia de Salud Familiar, en el municipio de Minas Gerais, Brasil, e identificó factores socioeconómicos asociados. Los datos se recolectaron en el domicilio de los participantes, aplicándose un cuestionario que abarcaba aspectos sociodemográficos, económicos y de salud general y bucal. La estadística utilizó la variable dependiente "edentulismo total", con un nivel de significancia del 5%. Participaron 1.750 ancianos -el 63,4% mujeres, el 11,5% analfabetos y el 27,8% tenían renta familiar por debajo del salario mínimo. El edentulismo total fue del 46,4%, con mayor prevalencia en mujeres, encuestados con edad ≥80 años, solteros/viudos/divorciados, analfabetos y ancianos que no buscaron servicio odontológico en los últimos seis meses (p<0,05). La renta familiar fue más baja para los edéntulos (p=0,001), y se comprobó una alta prevalencia de esta condición asociada a factores socioeconómicos, demostrando la inequidad en la salud bucal y la necesidad de protección del Estado. Aprobación CEP-Unimontes 1.628.652


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Primary Health Care , Aging , Oral Health , Tooth Loss , Health Status Disparities
12.
Int. arch. otorhinolaryngol. (Impr.) ; 24(1): 53-61, Jan.-Mar. 2020. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1090553

ABSTRACT

Abstract Introduction The increase in life expectancy is an incentive to the development of researches with the elderly population aiming at actions that may ensure healthy and active aging. Objective To analyze the profile of laryngeal microsurgery performed in patients > 60 years old. Methods A retrospective observational study, with a cross-sectional design. A retrospective analysis of the medical records of elderly patients submitted to laryngeal microsurgery was performed at a private hospital in Curitiba, state of Paraná, Brazil, between January 2004 and December 2016. Were included all of the patients > 60 years old that underwent laryngeal microsurgery during this period. Results During the studied period, 213 laryngeal microsurgeries were performed in 181 patients > 60 years old. There was a preponderance of male patients. The mean age was 67.6 years old. Squamous cell carcinoma (SCC) was the most prevalent disorder (26%), followed by Reinke edema (20%), papillomatosis (14%), polyps (11%), leukoplakia (8%), minor structural alterations (8%), associated lesions (9%), and others (4%). Men presented a higher probability of SCC diagnosis, regardless of the age group, while Reinke edema was more frequently observed in women. A directly proportional relation between the frequency of laryngeal cancer and age increase was also observed. No significant differences were observed in professional voice users. Conclusion Further researches are required to properly comprehend the factors associ- ated with laryngeal lesions and determine prevention and treatment approaches.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Laryngeal Diseases/surgery , Laryngeal Diseases/epidemiology , Larynx/surgery , Microsurgery , Papilloma/surgery , Occupational Risks , Aging/physiology , Carcinoma, Squamous Cell/surgery , Carcinoma, Squamous Cell/radiotherapy , Carcinoma, Squamous Cell/epidemiology , Sex Factors , Laryngeal Edema/surgery , Laryngeal Edema/epidemiology , Laryngeal Neoplasms/surgery , Laryngeal Neoplasms/epidemiology , Medical Records , Cross-Sectional Studies , Retrospective Studies , Age Factors
13.
REME rev. min. enferm ; 24: e-1285, fev.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1053228

ABSTRACT

Objetivo: analisar a satisfação com o sono na percepção da qualidade de vida de idosos. Métodos: estudo transversal descritivo com amostra por conveniência de 86 idosos inseridos em projeto socioeducativo, no Vale do Paraíba, estado de São Paulo, Brasil. A percepção da qualidade de vida foi mensurada por meio do instrumento WHOQOL-bref e a satisfação com o sono pela faceta de número 16 do mesmo instrumento. Para a caracterização do grupo utilizaramse as variáveis socioeconômicas e de saúde por meio de questionário autorrespondido. O teste de Spearman foi utilizado para analisar as correlações entre as facetas do sono e os escores dos demais domínios de qualidade de vida. Resultados: a maioria dos participantes eram mulheres (93,02%), entre 60 e 69 anos (84,89%). A percepção de qualidade de vida apresentou valores médios de escores de 68,99 para o domínio físico, 68,81 no domínio psicológico, 73,11 para o domínio de relações sociais e 66,19 para o domínio de meio ambiente. A faceta satisfação com o sono apresentou correlação com a disponibilidade de informações necessárias diariamente (rs=0,4342), oportunidades de lazer (rs=0,2966) e satisfação com o apoio dos amigos (rs=0,2669). Conclusões: o estudo concluiu que a satisfação dos idosos com o sono está associada às relações sociais, ao lazer e ao acesso às informações.(AU)


Objective: to analyze satisfaction with sleep in the perception of the quality of life of the elderly. Methods: a cross-sectional descriptive study with a convenience sample of 86 elderly people enrolled in a socio-educational project, in Vale do Paraíba, São Paulo, Brazil. The perception of quality of life was measured using the WHOQOL-bref instrument and the satisfaction with sleep by facet number 16 of the same instrument. For the characterization of the group, the socioeconomic and health variables were used by means of a self-answered questionnaire. The Spearman's test was used to analyze the correlations between the facets of sleep and the scores of the other quality of life domains. Results: the majority of the participants were women (93.02%) between 60 and 69 years old (84.89%). The perception of quality of life showed mean score values of 68.99 for the physical domain, of 68.81 for the psychological domain, of 73.11 for the social relations domain and of 66.19 for the environment domain. The facet satisfaction with sleep presented a correlation with the availability of the necessary information daily (rs=0.4342), leisure opportunities (rs=0.2966) and satisfaction with the support of friends (rs=0.2669). Conclusions: the study concluded that the elderly people's satisfaction with sleep is associated with social relationships, leisure and access to information.(AU)


Objetivo: analizar la satisfacción con el sueño desde la percepción de la calidad de vida de la tercera edad. Métodos: estudio descriptivo de corte transversal llevado a cabo en Vale do Paraíba, estado de São Paulo, Brasil, con muestra de conveniencia de 86 personas mayores incluidas en un proyecto socioeducativo. La percepción de la calidad de vida se midió utilizando el instrumento WHOQOL-bref y la satisfacción con el sueño por la faceta número 16 del mismo instrumento. Para la caracterización del grupo se utilizaron variables socioeconómicas y de salud a través de una encuesta auto - administrada. Se utilizó la prueba de Spearman para analizar las correlaciones entre las facetas del sueño y las puntuaciones de los otros dominios de calidad de vida. Resultados: la mayoría de los participantes eran mujeres (93.02%), entre 60 y 69 años (84.89%). La percepción calidad de vida mostró valores de puntaje promedio de 68.99 para el dominio físico, 68.81 para el dominio psicológico, 73.11 para el dominio relaciones sociales y 66.19 para el dominio medio ambiente. El aspecto de satisfacción con el sueño se correlacionó con la disponibilidad de información necesaria diariamente (rs = 0.4342), las oportunidades de ocio (rs = 0.2966) y la satisfacción con el apoyo de los amigos (rs = 0.2669). Conclusiones: el estudio concluyó que la satisfacción de las personas mayores con el sueño está asociada con las relaciones sociales, el ocio y el acceso a la información.(AU)


Subject(s)
Humans , Aged , Quality of Life , Sleep , Aging , Health of the Elderly , Health Promotion
14.
Fisioter. Pesqui. (Online) ; 27(1): 93-99, jan.-mar. 2020. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1090414

ABSTRACT

RESUMO O envelhecimento populacional vem ocorrendo rapidamente em todo o mundo, levando à necessidade de capacitação dos profissionais de saúde envolvidos no cuidado ao idoso, dentre eles o fisioterapeuta. O objetivo deste estudo foi descrever o perfil dos cursos de fisioterapia de instituições do ensino superior (IES) do Brasil quanto ao ensino direcionado à saúde do idoso. Trata-se de um estudo observacional e transversal. Foi realizado um levantamento de informações sobre os cursos de fisioterapia do Brasil através de análise da grade curricular, projetos pedagógicos e formulário específico. Foram analisadas 525 IES, das quais 91,3% oferecem uma disciplina que aborda a saúde do idoso, sendo 98,4% de caráter obrigatório e 91,3% do tipo teórico-prático. Nas práticas, 25,6% são em campo de estágio, sendo 81,9% realizadas com idosos voluntários e 54,9% direcionadas a todos os níveis de atenção. Ao analisar a distribuição da disciplina por região, observou-se que esta está mais presente na região Sudeste (40,2%) (p=0,03). As IES do Brasil abordam, em sua maioria, a saúde do idoso na grade curricular do curso de fisioterapia. No entanto, a distribuição dessa disciplina no país é desigual, podendo trazer divergências na conduta terapêutica e representar prejuízos na qualidade da assistência ao idoso.


RESUMEN El envejecimiento de la población ha estado ocurriendo rápidamente en el mundo, lo que resulta necesaria la capacitación de los profesionales de la salud involucrados en el cuidado del anciano, incluido el fisioterapeuta. El presente estudio tuvo el objetivo de describir el perfil de los cursos de fisioterapia en las instituciones de educación superior (IES) en Brasil con respecto a la enseñanza sobre la salud del anciano. Es un estudio observacional y transversal. Se realizó una recopilación de informaciones sobre los cursos de fisioterapia en Brasil mediante el análisis del plan de estudios, los proyectos pedagógicos y un formulario específico. Se analizaron 525 IES, de las cuales el 91,3% ofertan una materia que aborda la salud del anciano, de esta, el 98,4% son obligatorias y el 91,3% del tipo teórico-prácticas. En las del tipo prácticas, el 25,6% están en el ámbito de pasantías, siendo que el 81,9% se realizan con ancianos voluntarios y el 54,9% están dirigidas a todos los niveles de atención. En el análisis de la distribución de la materia por región, se observó una mayor presencia en la región Sudeste (40,2%) (p=0,03). La mayoría de las IES en Brasil abordan la salud de los ancianos en el plan de estudios del curso de fisioterapia. No obstante, la distribución de la materia es desigual en el país, lo que puede resultar en divergencias en la conducta terapéutica e influir negativamente en la calidad de la asistencia a los ancianos.


ABSTRACT Population aging has been occurring rapidly around the world, leading to the need for training for health professionals involved in caring for older adults, including the physical therapist. The aim of this study was to describe the profile of physical therapy courses in higher education institutions (HEIs) in Brazil regarding teaching directed to the health of older adults. This is an observational, cross-sectional study. A survey of information on physical therapy courses in Brazil was carried out through analysis of the curriculum, pedagogical projects and specific form. We analyzed 525 HEIs, of which 91.3% offer a discipline that addresses the health of older people, 98.4% of which is mandatory and 91.3% is the theoretical-practical type. In practice, 25.6% are in the internship field, with 81.9% carried out with older volunteers and 54.9% directed to all levels of care. When analyzing the distribution of the discipline by region, it was observed that it is more present in the Southeast (40.2%) (p=0.03). Most HEIs in Brazil address the health of older adults in the curriculum of the physical therapy course. However, the distribution of this discipline in the country is uneven, which can lead to divergences in therapeutic practice and represent losses in the quality of care for older people.


Subject(s)
Health of the Elderly , Physical Therapy Specialty/education , Brazil , Aging , Cross-Sectional Studies , Form , Curriculum/statistics & numerical data , Education, Higher , Physical Therapy Specialty/organization & administration , Physical Therapy Specialty/statistics & numerical data
15.
Fisioter. Pesqui. (Online) ; 27(1): 71-77, jan.-mar. 2020. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1090411

ABSTRACT

RESUMO A sarcopenia é uma síndrome caracterizada pela perda progressiva de massa muscular e está associada a desfechos adversos na saúde de idosos. A atividade física tem sido apontada como uma importante ferramenta para a prevenção da sarcopenia. Diante disso, este estudo investigou a relação da duração e frequência da prática de atividade física com os indicativos de sarcopenia de idosos. Participaram deste estudo transversal 551 idosos praticantes de atividade física nas academias da terceira idade do município de Maringá (PR). Como instrumentos foram utilizados o international physical activity questionnaire (IPAQ) e o SARC-F. A análise dos dados foi conduzida por meio dos testes de Kolmogorov-Smirnov, correlação de Spearman e a análise de equações estruturais (p<0,05). Os resultados evidenciaram que os idosos deste estudo realizam atividades físicas leves (Md=3) e moderadas (Md=2) semanalmente, mas não praticam atividades vigorosas (Md=0), e apresentam baixo indicativo de sarcopenia (Md=1). A análise de equações estruturais revelou que as variáveis de atividades leves e moderadas apresentaram associação significativa (p<0,05), e negativa com o escore de indicativo de sarcopenia, entretanto fraca (β<0,20), explicando 7% da sua variabilidade. Concluiu-se que a prática de atividades física leves e moderadas parece ser fator interveniente no indicativo de sarcopenia em idosos.


RESUMEN La sarcopenia es un síndrome caracterizada por la pérdida progresiva de masa muscular y que está asociada a resultados adversos en la salud de los ancianos. La actividad física ha sido señalada como una importante herramienta para la prevención de la sarcopenia. Por lo tanto, este estudio investigó la relación de la duración y frecuencia de la práctica de actividad física con los indicativos de sarcopenia de ancianos. En este estudio transversal participaron 551 ancianos practicantes de actividad física en las Academias de la tercera edad del municipio de Maringá (PR). Como instrumentos se utilizaron el International Physical Activity Questionnaire (IPAQ) y el SARC-F. El análisis de los datos fue conducido por medio de las pruebas de Kolmogorov-Smirnov, correlación de Spearman y el análisis de ecuaciones estructurales (p<0,05). Los resultados evidenciaron que los ancianos realizan actividades físicas leves (Md=3) y moderadas (Md=2) semanalmente, pero no actividades vigorosas (Md=0), además de bajo indicativo de sarcopenia (Md=1). El análisis de ecuaciones estructurales reveló que las variables de actividad leves y moderadas presentaron una asociación significativa (p<0,05) y negativa con la puntuación del indicativo de sarcopenia, sin embargo débil (β<0,20), explicando el 7% de su variabilidad. Se concluyó que la práctica de actividades físicas leves y moderadas parece ser un factor interviniente en el indicativo de sarcopenia en ancianos.


ABSTRACT Sarcopenia is a syndrome characterized by progressive loss of muscle mass and associated with adverse health outcomes in older adults. Physical activity has been pointed out as an important tool for its prevention. Therefore, this study investigated the relationship of sedentary lifestyle, duration and frequency of physical activity with the indicator of sarcopenia in older adults. Five hundred and fifty-one physically active older adults enrolled in senior fitness centers of Maringá (PR) participated in this cross-sectional study. The International Physical Activity Questionnaire (IPAQ) and the SARC-F were the instruments used. Data analysis was conducted using the Kolmogorov-Smirnov tests, Spearman correlation coefficient and the Structural Equation Analysis (p<0.05). Results showed that older adults participated in mild to moderate physical activities weekly, but not vigorous ones, besides exhibiting low sarcopenia indicators. Structural Equations analysis revealed that the variables of mild and moderate activity presented a significant (p<0.05) and negative correlations with the sarcopenia indicators score, however weak (β<0.20), explaining its 7% variability. It was concluded that the practice of mild and moderate physical activity affect sarcopenia indicators in older people.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Sarcopenia/physiopathology , Sarcopenia/epidemiology , Sedentary Behavior , Motor Activity/physiology , Aging/physiology , Exercise , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Data Interpretation, Statistical , Walking/physiology , Jogging , Musculoskeletal System/physiopathology
16.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811289

ABSTRACT

The prevalence of benign prostatic hyperplasia (BPH) is rising with Korea becoming an aging society. As patients age, their comorbidities and the risks associated with anesthesia increase. Recently, there has been an increasing concern regarding sexual function after surgery. As a result, interest in minimally invasive surgery for BPH that does not require anesthesia or affect sexual function has grown. This review article introduces newly developed minimally invasive surgeries for BPH divided into four categories based on the strategy—mechanical, anatomical, atrophic, and laparoscopic. Here, the mechanisms for each surgical method have been introduced. Furthermore, recent representative studies of these procedures with a focus on randomized controlled trials and meta-analyses have also been reviewed. Side effects related to sexual function have also been mentioned briefly along with the efficacy and indication for robotic BPH surgery, which has recently been attracting attention. However, these newer, minimally invasive procedures require additional comparative randomized controlled trials and long-term results to produce more robust evidence for their use.


Subject(s)
Aging , Anesthesia , Comorbidity , Humans , Korea , Lower Urinary Tract Symptoms , Methods , Minimally Invasive Surgical Procedures , Prevalence , Prostatic Hyperplasia , Sexual Dysfunction, Physiological , Transurethral Resection of Prostate
17.
Article in English | WPRIM (Western Pacific) | ID: wprim-782518

ABSTRACT

Aging triggers cellular and molecular alterations, including genomic instability and organ dysfunction, which increases the risk of disease in mammals. Recently, due to the markedly growing number of aging dogs in the world, as much as 49% in total number of pet dogs, it is necessary to improve and maintain their quality of life by understanding of the biological effects of aging. Therefore, the aim of this study was to determine specific biomarkers in aging dogs as a means of defining a set of hematological/biochemical biomarkers that influence the aging process. Blood samples were collected from younger (1–3 years) and older (7–10 years) dogs of middle/large size. The hematological/biochemistry analysis was performed to evaluate parameters significantly associated with age. Enzyme-linked immunosorbent assay was used to target growth hormone (GH)/insulin growth factor-1 (IGF-1), one of the main regulators of the aging process. Declining levels of total protein and increased levels of glucose in young dogs was observed regardless of their body size. Notably, a significantly high concentration of GH and IGF-1 in the younger dogs compared to the older dogs was found in middle/large-sized dogs. GH and IGF-1 were also found at significantly high levels in large-sized dogs compared to middle-sized dogs, suggesting a similar trend to that of elderly humans. Consequently, glucose, total protein, GH, and IGF-1 were identified as potential biomarkers for regulating the aging process in large/middle-sized dogs. These findings provide an invaluable insight into the mechanism of aging for the field of aging research.


Subject(s)
Aged , Aging , Animals , Biomarkers , Body Size , Dogs , Enzyme-Linked Immunosorbent Assay , Genomic Instability , Glucose , Growth Hormone , Hematologic Tests , Humans , Insulin-Like Growth Factor I , Mammals , Quality of Life
18.
Article in English | WPRIM (Western Pacific) | ID: wprim-782506

ABSTRACT

BACKGROUND: To evaluate the macular pigment optical density (MPOD) with age in the Korean population using the Macular Pigment Screener II (MPSII®).METHODS: One hundred and twenty-six eyes were retrospectively reviewed. MPOD was measured using MPSII®, which uses a heterochromatic flicker photometry method, and the estimated values were analyzed. Spearman's correlation test was used to evaluate correlations between MPOD and age. The association between MPOD and age was determined using a simple linear regression analysis. MPODs among the four groups were compared via the post hoc analysis with Bonferroni correction, MPODs between the age-related macular degeneration (AMD) group and aged-matched healthy subjects were compared via the Mann-Whitney U test. Other risk factors for AMD were identified via a logistic regression analysis.RESULTS: Estimated MPOD decreased significantly with increasing age in the general population. In the simple regression analysis, a statistically significant linear regression model was observed, and the estimated values of MPOD decreased by −0.005 as age increased by 1 year. Aged (> 50 years) showed lower MPOD than younger (30–49 years) subjects. But, in the healthy population, the estimated MPOD values exhibited a decreasing trend with age, but there were no significant differences according to age, after excluding patients with AMD. MPOD was significantly lower in patients with AMD than in aged healthy controls. Furthermore, hypertension, dyslipidemia, and smoking were identified as risk factors for AMD.CONCLUSION: MPOD measured with MPSII® reflects the MP density in healthy individuals and patients with dry AMD. Aging was not significantly associated with low MPOD in healthy population, but the presence of dry AMD was significantly associated with low MPOD. Then, low MPOD may be a risk factor for development of dry AMD. Furthermore, routine screening with MPS II® for ages 50 and older is thought to help detect early low MPOD and identify individuals who should take supplements.


Subject(s)
Aging , Dyslipidemias , Healthy Volunteers , Humans , Hypertension , Linear Models , Logistic Models , Macular Degeneration , Macular Pigment , Mass Screening , Methods , Photometry , Retrospective Studies , Risk Factors , Smoke , Smoking
19.
Article in English | WPRIM (Western Pacific) | ID: wprim-782160

ABSTRACT

Recent epidemiological research has indicated that men have increased health risks due to biological and social factors. Research in the area of men's health has been focused on disease events and subsequent disabilities. In future aging societies, more attention should be paid to the importance of men's health because a decreased quality of life and increased social burden are impending unless proper maneuvers are taken to slow the development and progression of morbidity through the use of preventive strategies. The adoption of a healthier lifestyle and the early identification and management of risk factors are very important and can be an initiative for prevention and for slowing the progression of morbidities with related quality of life issues. Males are rather vulnerable in terms of health, and conscious and active efforts are required to promote their health in an aging society. Here, we hope to shed light on the influence of lifestyle modifications and their clinical implications on men's health.


Subject(s)
Aging , Hope , Humans , Life Style , Male , Men's Health , Quality of Life , Risk Factors , Testosterone
20.
Article in English | WPRIM (Western Pacific) | ID: wprim-782149

ABSTRACT

We had six cases of patients who were treated with long-term testosterone replacement therapy (TRT) after high dose-rate (HDR) brachytherapy and androgen deprivation therapy for high-risk prostate cancer. All patients were given testosterone enanthate by intramuscular injection every 3 to 4 weeks. Blood biochemistry including prostate specific antigen (PSA) level was evaluated every 3 to 6 months after TRT, and radiological imaging was performed every 12 months. All patients had slight increases in PSA within the normal range and not indicative of biochemical recurrence. A sudden increase in PSA was observed in one patient, but it finally decreased. Aging male symptoms scale and various metabolic factors were improved by TRT in all of cases. Although adverse events included polycythemia in one patient, no patients experienced disease recurrence or progression during TRT. Our results suggest TRT for high risk-patients with HDR brachytherapy for prostate cancer may be beneficial and safe.


Subject(s)
Aging , Biochemistry , Brachytherapy , Humans , Hypogonadism , Injections, Intramuscular , Male , Polycythemia , Prostate , Prostate-Specific Antigen , Prostatic Neoplasms , Recurrence , Reference Values , Testosterone
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