The Impact of the COVID-19 Pandemic on People With Lymphedema in an Endemic Area for Lymphatic Filariasis in Brazil.

Objectives: To investigate the repercussions of the COVID-19 pandemic on lymphedema patients from an endemic area of lymphatic filariasis. Methods: The study descriptive compared sociodemographic and clinical aspects, risk of falling and quality of life, prior and during the COVID-19 pandemic in 28 lymphedema patients, older than 18 years old and under investigation of filarial infection. For the evaluation of functional mobility, the Time Up and Go test and The Medical Outcome Study Short Form-36 Health for quality of life, was used. Results: An increase in interdigital and dermal lesions, a higher frequency of acute dermatolymphangioadenitis crises and risk of falling, worsening of quality of life in the domains of physical functioning, general health, vitality, and mental health during the pandemic was observed. Conclusion: Our findings of clinical worsening and quality of life of patients during the COVID-19 pandemic indicate the need to reinforce the goal of the Lymphatic Filariasis Program regarding the follow-up of these patients in the actions of the Global Program for the Elimination of Lymphatic Filariasis, due to the discontinuity in the care during the pandemic.

Predicción de caídas y caídas recurrentes en adultos mayores que viven en el domicilio / Prediction of falls and recurrent falls in older adults living at home

Objetivos: Determinar la predicción de las caídas y caídasrecurrentes asociadas a factores de riesgo en el adulto mayor quevive en el domicilio. Metodología: Estudio cuantitativo y transversalrealizado en La Libertad, Perú. La muestra fue de 1.110 adultosmayores que viven en el domicilio y se utilizó instrumentos como perfilsocial, enfermedades y medicamentos autorreferidos, caídas, estadocognitivo, síntomas depresivos, actividad básica e instrumental de lavida diaria, y equilibrio estático y dinámico. Se analizó con estadísticadescriptiva, curvas ROC y el área bajo la curva para evaluar los valorespredictivos y la regresión logística. Resultados: La mayoría era mujer,de entre 60 y 79 años, con compañero, viven acompañados y trabajan.La prevalencia de caídas fue del 30,5% y de caídas recurrentes del14%. Hubo predominio de aquellos sin déficit cognitivo, necesitabanayuda para las actividades instrumentales e independientes para lasbásicas, sin síntomas depresivos y con equilibrio estático y dinámicopreservado. En la regresión hubo relación entre caídas con ser mujer,vivir solo, número de enfermedades y medicamentos y dependenciapara las actividades básicas. Para caídas recurrentes hubo asociacióncon vivir solo, uso de medicamentos y dependencia para las actividadesinstrumentales. Conclusiones: La caída está asociada a diferentesfactores y su identificación precoz es importante para la creación deplanes de cuidados por el equipo multiprofesional evitando problemasfísicos y psicológicos en el adulto mayor. (AU)

Objectives: To determine the prediction of falls and recurrentfalls associated with risk factors in the elderly living at home.Methodology: Quantitative and cross-sectional study carried out inLa Libertad, Peru. The sample consisted of 1,110 older adults livingat home and instruments such as social profile, self-reported illnessesand medications, falls, cognitive status, depressive symptoms, basicand instrumental activity of daily life, static and dynamic balance wereused. It was analyzed with descriptive statistics, ROC curves and areaunder the curve to evaluate predictive values and logistic regression.Results: The majority were women, between 60 and 79 years old,with a partner, living with someone and working. The prevalence offalls was 30.5% and recurrent falls 14%. There was a predominanceof those without cognitive deficit, they need help for instrumentaland independent activities for the basic ones, without depressivesymptoms and with preserved static and dynamic balance. In theregression, there was a relationship between falls with being a woman,living alone, number of illnesses and medications, and dependencefor basic activities. For recurrent falls, there was an association withliving alone, use of medications, and dependence for instrumentalactivities. Conclusions: the fall is associated with different factors andits early identification is important for the creation of care plans by themultiprofessional team, avoiding physical and psychological problemsin the elderly. (AU)

Características da úlcera terminal de Kennedy em pacientes paliativos: uma revisão integrativa / Characteristics of Kennedy terminal ulcer in palliative patients: an integrative review / Características de la úlcera terminal de Kennedy en pacientes paliativos: una revisión integradora

Objetivo: Identificaras principais características da Úlcera Terminal de Kennedy (UTK)em pacientes paliativos.Método:Revisão de literatura do tipo integrativa cuja pergunta norteadora foi "Quais são as características da Úlcera Terminal de Kennedy que possibilitam a sua identificação em pacientes em Cuidados Paliativos?". As bases de dados utilizadas foram: PubMed, LILACS, BVS, Portal de Periódicos CAPES/MEC, Cochrane Library, Embase, Scopus e Google Scholar.Os critérios de inclusão adotados foram: artigos completos disponíveis; idioma português, espanhol e inglês; e aqueles que contribuírem para a temática. Os critérios de exclusão foram: editorias, carta ao editor, resenhas e revisões. Fizeram parte da amostra 10 artigos. Resultados:As principais características da UTK em pacientes paliativos são:se inicia em forma de abrasão ou flictena;apresenta bordas irregulares eposterior formato de pêra, borboleta ou ferradura; suacoloração varia desde vermelha, amarela, roxa até negra; quanto à localizaçãoécomum se desenvolver na região sacrococcígea, calcâneos e panturrilha;apresenta uma evolução rápida e muitas vezes súbita; e está associadaà terminalidade. Considerações finais: Tornou-se notável a fragilidade de conteúdos acerca da temática.Foi possível traçar as principais características da UTK, que possibilitarão aos profissionais de saúde o direcionamento de um plano de cuidados individualizado, realista e humanístico aos pacientes que a desenvolvam.

Objective: To identify the main features of Kennedy Terminal Ulcer (UTK) in palliative patients. Method:An integrative literature review whose guiding question was "What are the characteristics of Kennedy Terminal Ulcer that allow its identification in patients in Palliative Care?". The databases used were: PubMed, LILACS, VHL, Portal de Periódicos CAPES/MEC, Cochrane Library, Embase, Scopus and Google Scholar. The inclusion criteria adopted were: full articles available; Portuguese, Spanish and English; and those who contribute to the theme. The exclusion criteria were: editorials, letter to the editor, reviews and reviews. The sample consisted of 10 articles. Results:The main characteristics of UTK in palliative patients are: it starts in the form of an abrasion or blister; has irregular edges and later pear, butterfly or horseshoe shape; its color varies from red, yellow, purple to black; in terms of location, it is common to develop in the sacrococcygeal region, calcaneus and calf; presents a rapid and often sudden evolution; and is associated with terminality. Final considerations:The fragility of content on the subject has become remarkable. It was possible to trace the main characteristics of UTK, which will enable health professionals to direct an individualized, realistic and humanistic care plan to patients who develop it.

Objetivo: Identificar las principales características de la Úlcera Terminal de Kennedy (UTK) en pacientes paliativos. Método:Revisión integrativa de la literatura cuya pregunta orientadora fue "¿Cuáles son las características de la Úlcera Terminal de Kennedy que permiten su identificación en pacientes en Cuidados Paliativos?". Las bases de datos utilizadas fueron: PubMed, LILACS, BVS, Portal de Periódicos CAPES/MEC, Cochrane Library, Embase, Scopus y Google Scholar. Los criterios de inclusión adoptados fueron: artículos completos disponibles; portugués, español e inglés; y los que contribuyen al tema. Los criterios de exclusión fueron: editoriales, carta al editor, reseñas y reseñas. La muestra estuvo compuesta por 10 artículos. Resultados:Las principales características de la UTK en pacientes paliativos son: comienza en forma de abrasión o ampolla; tiene bordes irregulares y luego forma de pera, mariposa o herradura; su color varía de rojo, amarillo, morado a negro; en cuanto a la localización, es frecuente que se desarrolle en la región sacrococcígea, calcáneo y pantorrilla; presenta una evolución rápida ya menudo repentina; y se asocia con la terminalidad. Consideraciones finales:La fragilidad de los contenidos sobre el tema se ha vuelto notable. Fue posible rastrear las principales características de la UTK, que permitirá a los profesionales de la salud dirigir un plande atención individualizado, realista y humanista a los pacientes que la desarrollan.

Factors Associated With the Illness of Nursing Professionals Caused by COVID-19 in Three University Hospitals in Brazil.

Background: The coronavirus disease 2019 (COVID-19) pandemic has demonstrated the importance of implementing strategic management that prioritizes the safety of frontline nurse professionals. In this sense, this research was aimed at identifying factors associated with the illness of nursing professionals caused by COVID-19 according to socio-demographic, clinical, and labor variables. Methods: A cross-sectional study was conducted in three Brazilian university hospitals with 859 nursing professionals, which include nurses, technicians, and nursing assistants, between November 2020 and February 2021. We present data using absolute and relative frequency. We used Chi-square test for hypothesis testing and multiple logistic regression for predictive analysis and chances of occurrence. Results: The rate of nursing professionals affected by COVID-19 was 41.8%, and the factors associated with contamination were the number of people in the same household with COVID-19 and obesity. Being a nurse was a protective factor when the entire nursing team was considered. The model is significant, and its variables represent 56.61% of the occurrence of COVID-19 in nursing professionals. Conclusion: Obesity and living in the same household as other people affected by COVID-19 increases the risk of contamination by this new coronavirus.

Hemovigilância: conhecimento da equipe de enfermagem sobre reações transfusionais / Hemovigilance: knowledge of the nursing team about transfusion reactions / Hemovigilancia: conocimiento del equipo de enfermería sobre las reacciones transfusionales

Objetivo: Analisar o grau de conhecimento da equipe de enfermagem sobre hemoterapia e reação transfusional imediata. Método: Estudo transversal, analítico, quantitativo, realizado com profissionais de enfermagem da Unidade de Terapia Intensiva de um hospital de referência do Nordeste, por meio da aplicação de um instrumento semiestruturado, no período de março a abril de 2020. O escore de conhecimento foi obtido pela Análise de Correspondência Múltipla e pelo teste de comparação de medianas de Monte Carlo. Resultados: Dos 32 participantes, oito eram enfermeiros e 24 técnicos de enfermagem. A maioria não recebeu treinamento sobre hemoterapia 24 (75%) e referiu não se sentir capacitada para atuar em reação transfusional imediata 22 (68,8%). Quanto ao grau de conhecimento, verificou-se que os enfermeiros apresentaram melhores escores em relação aos técnicos (mediana 77,7 vs. 33,8; p=0,04). Identificou-se, também, que a faixa etária 18 a 40 anos apresentou melhor resultado em relação a faixa de 40 anos ou mais (mediana 62,7 vs. 25,5; p=0,01). Conclusão: Verificou-se a importância dos profissionais de enfermagem participarem de treinamento sobre administração de hemocomponentes e hemoderivados, visando melhorar a qualidade da assistência e manutenção do protocolo de segurança do paciente. (AU)

Objective: To analyze the degree of knowledge of the nursing team about hemotherapy and immediate transfusion reaction. Methods: Cross-sectional, analytical, quantitative study carried out with nursing professionals from the Intensive Care Unit of a reference hospital in the brazilian Northeast, through the application of a semi-structured instrument, from March to April 2020. The knowledge score was obtained by the Multiple Correspondence Analysis and the Monte Carlo median comparison test. Results: Of the 32 participants, eight were nurses and 24 nursing technicians. Most did not receive training on hemotherapy 24 (75%) and did not feel qualified to act in an immediate transfusion reaction 22 (68.8%). As for the degree of knowledge, we found that nurses (median 77.7) had better scores compared to technicians (median 77,7 vs. 33,8; p=0,04). It was also identified that the age group 18 to 40 years old had a better result in relation to the age group 40 or older (median 62,7 vs. 25,5; p=0,01). Conclusion: It was verified the importance of nursing professionals to participate in training on the administration of blood components and blood products, aiming to improve the quality of care and maintenance of the patient safety protocol. (AU)

Objetivo: Analizar el grado de conocimiento del equipo de enfermería sobre hemoterapia y reacción transfusional inmediata. Métodos: Estudio transversal, analítico, cuantitativo realizado con profesionales de enfermería de la Unidad de Cuidados Intensivos de un hospital de referencia del Nordeste brasileño, mediante la aplicación de un instrumento semiestructurado, de marzo a abril de 2020. El puntaje de conocimiento fue obtenido por el Análisis de Correspondencia Múltiple y la prueba de comparación de la mediana de Monte Carlo. Resultados: De los 32 participantes, ocho eran enfermeros y 24 técnicos de enfermería. La mayoría no recibió capacitación en hemoterapia 24 (75%) y no se sintió capacitada para actuar en una reacción transfusional inmediata 22 (68,8%). En cuanto al grado de conocimiento, encontramos que las enfermeras obtuvieron mejores puntajes que los técnicos (mediana 77,7 vs. 33,8; p=0,04). También se identificó que el grupo de edad de 18 a 40 años 62,7) tuvo un mejor resultado en relación al grupo de 40 años o más (mediana 62,7 vs. 25,5; p=0,01). Conclusión: Se verificó la importancia de que los profesionales de enfermería participen en capacitaciones sobre la administración de hemoderivados y hemoderivados, con el objetivo de mejorar la calidad de la atención y el mantenimiento del protocolo de seguridad del paciente. (AU)

El cuidado del adulto mayor en la atención primaria en salud en tiempos de COVID-19 / Elderly care in primary health care in times of COVID-19

Por ende, la comunidad de enfermeras que conforma la Red de Salud del Adulto Mayor (REDESAM ­ Brasil), en alianza con las 12 Redes de América Latina, propusieron la elaboración de este E-book, titulado "El Cuidado del Adulto Mayor en la Atención Primaria en Salud en Tiempos de COVID-19". Teniendo como objetivo contemplar a las enfermeras de América Latina y Portugal junto a sus propuestas de intervención en enfermería para la Atención Primaria en salud del adulto mayor durante el período pandémico y post-pandémico de COVID-19; Es evidente que el futuro de la Enfermería Gerontológica ha llegado, incluso de cara a la adversidad de la sociedad. En el actual contexto, sociodemográfico, pandémico y de evolución tecnológica, se ha destacado a un grupo de población con mayor riesgo de vulnerabilidad (física, social y emocional) en las diversas dimensiones humanas: "El Adulto Mayor". La esperanza de vida y el número de personas adulto mayor ha aumentado exponencialmente a un ritmo que exige y urge un movimiento de la sociedad en busca de estrategias que conduzcan a nuevas y mejores formas de vida. Ante esta perspectiva, la Red de Salud del Adulto Mayor (REDESAM ­ Brasil), en conjunto con algunos profesionales de esta en América Latina se han comprometido a incrementar y avanzar en el desarrollo de la investigación y la difusión de nuevas estrategias asistenciales para el control de la pandemia COVID-19. Recientemente, la pandemia de COVID-19 impuso una carga de trabajo adicional a los profesionales de la salud, especialmente a los enfermeros. Cada día, han demostrado su fuerza de trabajo en la asistencia y en el descubrimiento de nuevas formas de enseñar e investigar temas sobre el Adulto Mayor, dándole una gran visibilidad social a dicha profesión.

Construção e validação de instrumento de consulta de enfermagem para pessoas com hemofilia / Construcción y validación de un instrumento de consulta de enfermería para personas con hemofilia / Construction and validation of a nursing consultation tool for people with hemophilia

RESUMO Objetivo: construir e validar um instrumento de consulta de enfermagem para pessoas com hemofilia. Método: estudo metodológico realizado de fevereiro de 2017 a fevereiro de 2018, em um serviço referência de hematologia do Nordeste do Brasil. Utilizou-se a técnica Delphi para validação, por três grupos de enfermeiras juízas (n=29): Especialistas em hemofilia (n=nove) de nove hemocentros do país; Residência em Hematologia (n=oito); Enfermeiras do Serviço (n=12). A concordância entre as juízas foi verificada por escala Likert e teste exato de Fisher. Resultados: 89,6% não apresentaram dificuldade para compreender o instrumento. Quanto ao grau de relevância, as características 'credibilidade' e 'cientificidade' apresentaram maiores percentuais de extremamente relevante (90%). O teste exato de Fisher foi significativo no grau de satisfação de 'clareza das afirmações' (p<0,05). Conclusão: o instrumento foi considerado válido, proporcionando autonomia, apoio técnico e respaldo ético ao enfermeiro, contribuindo na melhoria da qualidade da assistência.

RESUMEN Objetivo: construir y validar un instrumento de consulta de enfermería para personas con hemofilia. Método: estudio metodológico realizado de febrero de 2017 a febrero de 2018, en un servicio de referencia de hematología del Nordeste de Brasil. Para la validación se utilizó la técnica Delphi, por parte de tres grupos de enfermeras jueces (n=29): Especialistas en hemofilia (n=nueve) de nove hemocentros del país; Residencia en Hematología (n=ocho); Enfermeras del Servicio (n=12). La concordancia entre las jueces se verificó mediante la escala Likert y la prueba exacto de Fisher. Resultados: 89,6% não apresentaram dificuldade para compreender o instrumento. Quanto ao grau de relevância, as características 'credibilidade' e 'cientificidade' apresentaram maiores percentuais de extremamente relevante (90%). O teste exato de Fisher foi significativo no grau de satisfação de 'clareza das afirmações' (p<0,05). Conclusión: o instrumento foi considerado válido, proporcionando autonomia, apoio técnico e respaldo ético ao enfermeiro, contribuindo na melhoria da qualidade da assistência.

ABSTRACT Objective: to construct and validate a nursing consultation instrument for people with hemophilia. Method: methodological study conducted from February 2017 to February 2018, in a hematology reference service in Northeast Brazil. The Delphi technique was used for validation, by three groups of nurse judges (n=29): hemophilia specialists (n=nine) from nine blood centers in the country; Hematology Residency (n=eight); Service Nurses (n=12). Inter-rater agreement was checked by Likert scale and Fisher's exact test. Results: 89.6% had no difficulty in understanding the instrument. As for the degree of relevance, the characteristics 'credibility' and 'scientificity' showed higher percentages of extremely relevant (90%). Fisher's exact test was significant in the degree of satisfaction of 'clarity of statements' (p<0.05). Conclusion: the instrument was considered valid, providing autonomy, technical support, and ethical support to the nurse, contributing to the improvement of the quality of care.

Indicadores de qualidade aplicados na assistência de enfermagem em cuidados paliativos: Revisão integrativa da literatura / Quality indicators applied in nursing care in palliative care: integrative literature review

Objetivo: Identificar na literatura indicadora de qualidade na assistência de enfermagem em cuidados paliativos. Método: Revisão integrativa da literatura em três bases de dados, com os descritores Nursing, palliative, indicator, palliative care, nurse care, quality indicator, cuidados paliativos, cuidado de enfermagem, tratamento paliativo, palliative assistence, indicadores de qualidade, hospice care, cuidados de conforto, atencíon de enfermería, health care, indicadores de calidad, com amostra final de 7 artigos. Resultados: Dentre os artigos encontrados foi evidenciado um foco no direcionamento dos indicadores para os cuidados multiprofissional, porém, a maioria dos indicadores encontrados se aplicavam aos cuidados de enfermagem e se dividiram nos aspectos físico, psicológico, social e espiritual. Conclusão: foi encontrada uma pequena quantidade de referências nas bases de dados em relação aos indicadores em cuidados paliativos necessitando de mais estudos voltados para essa área. (AU)

Objective: To identify in the literature quality indicators in nursing care in palliative care. Method: Integrative literature review in three databases with the keywords Nursing, palliative, indicator, palliative care, nurse care, quality indicator, palliative care, nursing care, palliative care, palliative assistance, quality indicators, hospice care, comfort care, nursing care, health care, quality indicators, with final sample of 7 articles. Results: Among the articles found there was a focus on the direction of indicators for multiprofessional care, however, most of the indicators found applied to nursing care and were divided into physical, psychological, social and spiritual aspects. Conclusion: A small number of references were found in the databases regarding the indicators in palliative care requiring further studies in this area. (AU)

Objetivo: identificar en la literatura indicadores de calidad en cuidados de enfermería en cuidados paliativos. Método: Revisión integral de la literatura en tres bases de datos con las palabras clave Enfermería, paliativos, indicadores, cuidados paliativos, cuidados de enfermería, indicadores de calidad, cuidados paliativos, cuidados de enfermería, cuidados paliativos, asistencia paliativa, indicadores de calidad, cuidados paliativos, atención de confort, atención de enfermería, atención de salud, indicadores de calidad, con muestra final de 7 artículos. Resultados: Entre los artículos encontrados se enfocó la dirección de los indicadores para la atención multiprofesional, sin embargo, la mayoría de los indicadores encontrados se aplicaron a la atención de enfermería y se dividieron en aspectos físicos, psicológicos, sociales y espirituales. Conclusión: se encontró un pequeño número de referencias en las bases de datos con respecto a los indicadores en cuidados paliativos que requieren más estudios en esta área. (AU)

Depression and quality of life in older adults on hemodialysis

Objective: Depression is highly prevalent in hemodialysis patients, but few studies have evaluated older hemodialysis patients. The aim of this study was to evaluate the prevalence of depression, its associated factors and its impact on quality of life in an older population on hemodialysis. Methods: This was a cross-sectional study including 173 hemodialysis patients aged 60 years or older in Recife, Brazil. Depression was evaluated using the Mini-International Neuropsychiatric Interview when depressive symptoms (according to the 5-item Geriatric Depression Scale) were present. Quality of life was assessed with the Control, Autonomy, Self-realization and Pleasure Questionnaire (CASP-16). Data were also collected on sociodemographic, laboratory (albumin, parathormone, hemoglobin, and phosphorus) and dialysis (dialysis vintage, vascular access and hemodialysis adequacy) characteristics. Results: Depression was present in 22.5% of the sample. Depressed patients presented low CASP-16 quality of life scores (31.6 vs. 24.2, p < 0.001), twice the odds of albumin levels < 3.8 g/dL (OR 2.36; 95%CI 1.10-5.07; p = 0.027) and higher parathormone levels (OR 1.06; 95%CI 1.00-1.13; p = 0.05). Conclusion: Older hemodialysis patients have a high prevalence of depression. Depressed patients presented poor quality of life, lower serum albumin and higher parathormone levels. Teams dealing with older hemodialysis patients should include depression and quality of life assessments in care protocols.

Quality of life may be a more valuable prognostic factor than depression in older hemodialysis patients.

PURPOSE: Depression and impairment of quality of life (QoL) reduce the survival of individual on hemodialysis (HD). However, few studies evaluated the impact of these conditions on the survival of older patients undergoing HD. METHODS: A retrospective cohort study was performed including patients aged ≥ 60 years on HD in Recife, Brazil, assessed in 2013 and monitored until 2017. Depression was evaluated with the Mini-International Neuropsychiatric Interview and QoL with the Control, Autonomy, Self-realization, and Pleasure Questionnaire (CASP-16). Survival differences according to the depression and QoL status were measured by Kaplan-Meier analysis and Cox regression. Death Certificates were analyzed to assess the cause of death. RESULTS: A total of 171 patients were included (mean age 68.7 ± 6.9 years). The mean follow-up time was 3 years (maximum 4.5 years) and there were 98 deaths (57.3% of the sample). In a multivariate model that included depression and QoL, only QoL impairment was associated with a higher risk of death (HR 1.62, p = 0.035). Among CASP domains, only "Control" was associated with survival (HR 0.90, p = 0.014). Depression was unrelated to the cause of death, but there was a trend for death by endocrine diseases if QoL was impaired (p = 0.057). CONCLUSION: QoL impairment is a key predictor of prognosis in older patients on HD and may be more important than depression. It is important that teams dealing with this population include in protocols an assessment of QoL, in order to offer a range of care according to the needs of these patients.

Depression and quality of life in older adults on hemodialysis.

OBJECTIVE: Depression is highly prevalent in hemodialysis patients, but few studies have evaluated older hemodialysis patients. The aim of this study was to evaluate the prevalence of depression, its associated factors and its impact on quality of life in an older population on hemodialysis. METHODS: This was a cross-sectional study including 173 hemodialysis patients aged 60 years or older in Recife, Brazil. Depression was evaluated using the Mini-International Neuropsychiatric Interview when depressive symptoms (according to the 5-item Geriatric Depression Scale) were present. Quality of life was assessed with the Control, Autonomy, Self-realization and Pleasure Questionnaire (CASP-16). Data were also collected on sociodemographic, laboratory (albumin, parathormone, hemoglobin, and phosphorus) and dialysis (dialysis vintage, vascular access and hemodialysis adequacy) characteristics. RESULTS: Depression was present in 22.5% of the sample. Depressed patients presented low CASP-16 quality of life scores (31.6 vs. 24.2, p < 0.001), twice the odds of albumin levels < 3.8 g/dL (OR 2.36; 95%CI 1.10-5.07; p = 0.027) and higher parathormone levels (OR 1.06; 95%CI 1.00-1.13; p = 0.05). CONCLUSION: Older hemodialysis patients have a high prevalence of depression. Depressed patients presented poor quality of life, lower serum albumin and higher parathormone levels. Teams dealing with older hemodialysis patients should include depression and quality of life assessments in care protocols.

Transcultural translation and validation of the FIGO Assessment Scoring System (FASS) to Portuguese language.

INTRODUCTION AND HYPOTHESIS: Our aim was to validate the Brazilian Portuguese version of the International Federation of Gynecology and Obstetrics (FIGO) Assessment Scoring System (FASS) to identify and quantify signs and symptoms related to pelvic floor dysfunction. METHODS: One hundred and seventy-nine women aged 18-82 (47.68 ± 14.42) years participated in this validation study. Collected data included a sociodemographic and clinical questionnaire, application of the FASS, and physical examination using the Pelvic Prgan Prolapse Quantification (POP-Q) system. The translation and cross-cultural adaptation were performed following the international methodology. The psychometric properties tested were criterion validity, construct validity, stability, and reliability. For this purpose, the comparison with POP-Q findings and between symptomatic and asymptomatic patients, test-retest and internal consistency (Cronbach's alpha) were used, respectively. The intraclass correlation coefficient (ICC) was calculated to assess the level of agreement between evaluations (inter- and intraobservers). P < 0.05 was considered statistically significant. RESULTS: The calculated Cronbach's alpha coefficient was 0.76, indicating strong reliability for the validation sample. Symptomatic women had different scores on all FASS items as well as total score when compared with asymptomatic women (p < 0.001). Intraobserver coefficient ranged from 0.91 (urinary symptoms) to 0.98 (FASS total score), indicating excellent concordance level in all items. Interobserver coefficient ranged from 0.47 (intestinal symptoms) to 0.90 (FASS total score), indicating moderate to excellent correlation. CONCLUSIONS: The psychometric properties tested in the FASS Portuguese version proved to be a valid and reliable for evaluating signs and symptoms related to pelvic floor function in Brazilian women.

The Efficiency of Noni (Morinda citrifolia L.) Essential Oil on the Control of Leaf Spot Caused by Exserohilum turcicum in Maize Culture.

The objective of this work was to evaluate the efficiency of noni essential oil on the control of Exserohilum turcicum, a causative agent of Exserohilum spot in maize culture. In the sanitary test 400 seeds were incubated using the blotter test method. For the transmissibility test, the fragments of damaged leaves of seedlings were removed and put into a potato, dextrose and agar (PDA) culture environment. To verify the pathogenicity, Koch´s postulates were performed. In the phytotoxicity test different concentrations of noni oil were applied in maize seedlings. E. turcicum conidia were submitted to different concentrations of noni oil. In the preventive and curative tests noni essential oils were applied before and after the conidia inoculation, respectively. The results revealed the presence of fungi of the genres Aspergillus, Penicillium, Rhizopus, Fusarium, and Exserohilum in the maize seeds. The pathogenicity of E. turcicum and also the transmission of this fungus from the seeds to the maize seedlings was confirmed. The inhibition of conidia germination was proportional to the concentration increase. The preventive application of noni essential oil was the most efficient on the control of Exserohilum spot.

Perfil sociodemográfico e de saúde de idosas que participam de grupos de terceira idade em recife, pernambuco / Perfil sociodemográfico y de salud de adultos mayores que participan en grupos de tercera edad en recife, pernambuco / Sociodemographic and health profile of elderly women participating in groups for the elderly in recife, pernambuco

INTRODUÇÃO: O envelhecimento populacional é um acontecimento que vem se manifestando no mundo todo. Desta forma, tem-se pensado maneiras de manter os idosos inseridos socialmente através de grupos de terceira idade, que representam uma rede de apoio social, propiciando interação entre os mesmos e indivíduos adultos/jovens, além de permitirem troca de experiências. MATERIAIS E MÉTODOS: Estudo descritivo, realizado em dois grupos de terceira idade entre março e maio de 2015, com amostra intencional, por conveniência, composta por 29 idosas. RESULTADOS E DISCUSSÃO: A amostra entrevistada foi composta por 100% de idosas do sexo feminino, 44,8% viúvas, 55,2% com escolaridade entre 5-8 anos de estudo, 48,3% com faixa etária entre 70-79 anos, 62,1% disseram não realizar atividade física, 79,3% afirmaram participar de outros grupos, 82,8% fazem uso de algum medicamento, 51,7% afirmaram ter caído nos últimos 12 meses, que pode estar relacionada, a ausência de atividades físicas, e outros fatores, como, fraqueza muscular consequente do próprio envelhecimento, além de 69% apresentaram alteração cognitiva, o que pode estar atrelado ao alto ponto de corte utilizado, 24,1% apresentaram sintomas depressivos, mostrando a importância desses grupos de terceira idade, promover atividades para minimizá-los, juntamente com uma equipe multidisciplinar e 79,7% conseguiram realizar a maioria das atividades instrumentais de vida diária sem ajuda. CONCLUSÕES: A realização deste estudo possibilitou conhecer o perfil de saúde dessa população idosa, importante no direcionamento de atividades e cuidados específicos para terceira idade

INTRODUCCIÓN: El envejecimiento poblacional es un evento que se está manifestando en todo el mundo. De esta forma, se ha pensado en maneras de mantener a los adultos mayores integrados socialmente a través de grupos de la tercera edad, lo que representa una red de apoyo social, proporcionando interacción entre ellos y personas adultas/jóvenes, además de permitir intercambio de experiencias. MATERIALES Y MÉTODOS: Estudio descriptivo, realizado en dos grupos de la tercera edad, entre marzo y mayo del 2015, con una muestra intencional, por conveniencia, compuesto por 29 adultos mayores. RESULTADOS Y DISCUSIÓN: La muestra de entrevistados fue compuesta 100% por adultos mayores de sexo femenino, 44.8% viudas, 55.2% con escolaridad entre 5-8 años de estudio, el 48.3% con rangos de edad entre 70-79 años, el 62.1% dijeron no realizar actividad física, el 79.3% afirmaron participar de otros grupos, el 82.8% utilizan algún medicamento, el 51.7% afirmaron haber caído en los últimos 12 meses, lo que puede estar relacionado con la ausencia de actividad física y otros factores, tales como, debilidad muscular consecuencia del propio envejecimiento, además el 69% presentaron deterioro cognitiva, lo que puede estar relacionado al alto punto de corte utilizado, 24.1% presentaron síntomas depresivos, mostrando la importancia de estos grupos de la tercera edad, la promoción de actividades para minimizarlos, junto con un equipo multidisciplinar, el 79.7% consiguieron realizar la mayoría de las actividades instrumentales de la vida diaria sin ayuda. CONCLUSIONES: La realización de este estudio permitió conocer el perfil de salud de esta población de adultos mayores, importante en la orientación de actividades y cuidados específicos para la tercera edad

INTRODUCTION: Population aging is an event being manifested throughout the world. Thus, ways have been thought of to keep the elderly inserted socially through old age groups, which represent a social support network, propitiating exchange amongst themselves and adult/young individuals, besides permitting exchange of experiences. MATERIALS AND METHODS: Descriptive study conducted with two elderly groups between March and May 2015, with an intentional sample, through convenience, composed of 29 elderly women. RESULTS AND DISCUSSION: The sample interviewed was comprised by 100% elderly women; 44.8% widows; 55.2% with schooling between 5 and 8 years of studies; 48.3% ranging in age between 70 and 79 years; 62.1% said they did not engage in physical activity; 79.3% reported participation with other groups; 82.8% take some medication; 51.7% said they had fallen down within the last 12 months, which can be related to lack of physical activity and other factors, like muscle weakness as a consequence of aging; in addition, 69% had cognitive alteration, which may be related to the high cut-off point used, 24.1% revealed depressive symptoms, evidencing the importance of these elderly groups of promoting activities to minimize them, along with a multidisciplinary team; 79.7% were able to perform most of the instrumental activities of daily living without help. CONCLUSIONS: This study permitted knowing the health profile of this elderly population, important in directing activities and specific care for the aging

Práticas científicas dos enfermeiros das clínicas de hemodiálise / Scientific practices of clinic nurses hemodialysis

Objetivo: identificar como a produção científica está inserida enquanto prática nas atividades dos enfermeiros que trabalham em clínicas de hemodiálise da cidade do Recife e Região Metropolitana. Metodologia: Estudo transversal, exploratório de abordagem quantitativa, desenvolvido em 14 clínicas de hemodiálise. A amostra foi composta por 84 enfermeiros. A análise dos dados foi feita no software Produtos e serviços soluções estatísticos versão 13. Pesquisa aprovada sob protocolo 2151-11 e Certificado de Apresentação para Apreciação Ética 0280.0.099.000-10. Resultados: Verificou-se que as atividades científicas estão sendo iniciadas, 39,3% da amostra já participaram de alguma pesquisa junto a outros profissionais e 22,6% já realizaram alguma pesquisa na clínica que trabalha. Sendo os especialistas em Nefrologia os mais dedicados à pesquisa. Contudo apenas 11,9% informaram ter publicado seus trabalhos em revista científica.Conclusão: Os resultados deste estudo evidenciaram que ainda há necessidade de avançar as práticas científicas, mas já se percebe o início de um despertar pelo conhecimento.

Objective: To identify how scientific production is inserted as a practice in the activities of nurses working in hemodialysis clinics in the city of Recife and the metropolitan area. Methodology: Cross-sectional, exploratory study with a quantitative approach, developed in 14 dialysis clinics. The sample consisted of 84nurses. Data analysis was done in software products and services statistical solutions version 13. Research approved under protocol 2151-11 and Certificate Presentation to Ethics Assessment 0280.0.099.000-10. Results: It was found that scientific activities are being initiated, 39.3% of the sample have taken part insome research with other professionals and 22.6% have already done some research on the clinical working.Being experts in nephrology the most dedicated to research. However, only 11.9% reported having their work published in a scientific journal. Conclusion: Results of this study showed that there is a need to advances cientific practices, but already see the beginning of an awakening for knowledge.

Cenário atual da enfermagem em nefrologia do Recife e região metropolitana / Escenario actual de nefrología enfermería y región metropolitana de Recife / Current scenario of nephrology nursing and Recife metropolitan region

Objective: To identify how nephrology has been developing within the nursing, and the profile of nurses working in hemodialysis clinics in Recife and the metropolitan region. Method: cross-sectional study, exploratory quantitative approach, developed in 14 hemodialysis clinics. The sample consisted of 84 nurses. The data were collected through a questionnaire was completed. Data analysis was performed with SPSS version 13. Approved research protocol number 2151-11 and CAAE No. 0280.0.099.000-10. Results: nurses have specialist title in nephrology (66.7%), and acquired on average 62.8 months after the start of the activity in the area. Achievements were reached by category, such as professional autonomy, recognition and respect for patients and society. Conclusion: non-specialized nurses are being admitted to hemodialysis services due to the lack of these professionals in the job market.

Objetivo: identificar como a nefrologia vem se desenvolvendo dentro da Enfermagem, e o perfil dos enfermeiros que trabalham em clínicas de hemodiálise da cidade do Recife e Região Metropolitana. Método: estudo transversal, exploratório de abordagem quantitativa, desenvolvido em 14 clínicas de hemodiálise. A amostra foi composta por 84 enfermeiros. A coleta de dados ocorreu mediante preenchimento de questionário. A análise dos dados foi feita no software SPSS versão 13. Pesquisa aprovada sob protocolo nº2151-11 e CAAE nº 0280.0.099.000-10. Resultados: os enfermeiros possuem título de especialização em nefrologia (66,7%), e o adquiriu em média, 62,8 meses depois de iniciada a atividade na área. Conquistas foram alcançadas pela categoria, como a autonomia profissional, o reconhecimento e respeito pelos pacientes e pela sociedade. Conclusão: enfermeiros não especializados estão sendo admitidos nos serviços de hemodiálise, devido à carência destes profissionais no mercado de trabalho.

Objetivo: Determinar la forma en nefrología se ha desarrollado dentro de la enfermería, y el perfil de las enfermeras que trabajan en las clínicas de hemodiálisis en Recife y en la Región Metropolitana. Método: Estudio transversal, exploratorio enfoque cuantitativo, desarrollado en 14 centros de hemodiálisis. La muestra estuvo conformada por 84 enfermeras. Los datos fueron recolectados a través de un cuestionario se completó. El análisis de datos se realizó con elprograma SPSS versión 13. Número de protocolo de investigación aprobado 2151-11 y CAAE No. 0280.0.099.000-10. Resultados: las enfermeras tienen título de especialista en Nefrología (66,7%), y adquirieron un promedio de 62,8 meses después del inicio de la actividad en el área. Los logros fueron alcanzados por categoría, tales como la autonomía profesional, el reconocimiento y el respeto de los pacientes y la sociedad. Conclusión: las enfermeras no especializados están siendo admitidos en los servicios de hemodiálisis, debido a la falta de estos profesionales en el mercado laboral.

Quality of life amongst older Brazilians: a cross-cultural validation of the CASP-19 into Brazilian-Portuguese.

INTRODUCTION: As population ageing becomes a global phenomenon the need to understand the quality of life of older people around the world has become increasingly salient. The CASP-19 is a well established measure of quality of later life. The scale is composed of 19 items which map onto the four domains of control (C), Autonomy (A), Self-Realisation (S) and Pleasure (P). It has already been translated to 12 languages and has been used in a number of national and international studies. However use of the scale outside of Europe has been very limited. The objective of this study was to translate and evaluate the use of the CASP-19 amongst older Brazilians. METHODS: The CASP-19 was translated from English to Portuguese, back-translated and submitted to an analysis of equivalence by a committee of judges. The scale was then administered to a sample of community dwelling older people in Recife, Brazil (n = 87), and tested for psychometric properties. The Control and Pleasure domains exhibited good internal consistency. By removing one item from each of the Autonomy and Self Realisation domains their internal consistency was improved. RESULTS: The mean age of the sample was 75.6±0.7 years, subjects were mainly female (52.9%), white (52.9%), who lived without a partner (54%), and had a monthly income varying from USD 340.00 to USD 850.00. Translation and cross-cultural adaptation permitted good understanding and applicability of final version. Psychometric analyses revealed that the removal of two items improved the internal consistency of the Autonomy and Pleasure domains. Confirmatory factor analyses suggest that a 16 item, four factor, model best fits the data. CONCLUSION: In this small exploratory study the CASP-19 Brazil demonstrated good psychometric properties. It was easy to use for both participants and researchers. Hopefully future studies in Brazil will employ the scale so that more direct cross national comparisons can be made with older people in Europe and the US.

Suicídio em idosos no Recife (PE): um estudo sobre mortalidade por causas externas / Suicide in the elderly of Recife (PE): a study about mortality from external causes

O suicídio é um problema de saúde pública. Entre os idosos, esse tema não tem sido estudado com a devida importância. A doença mais frequentemente relacionada ao suicídio entre idosos é a depressão. Este estudo descreve características das mortes por suicídios entre idosos necropsiados no IML da cidade de Recife (PE), Brasil, em 2009. Os dados foram coletados do livro de registro de mortes do necrotério, dos laudos tanatoscópicos e das declarações de óbito. Das 352 necropsias, 25 foram por suicídio, sendo 13 homens e 12 mulheres, havendo maior incidência na idade entre 60 e 69 anos de idade.

Suicide is a public health problem. In regard the elderly, hadn't been studied with the importance it has. The disease that is mostly related to suicide in the elderly is depression. This study describes the deaths characteristics by suicide among the elderly autopsied at the Forensic Institute in Recife (PE),Brazil, in 2009. Data were collected from the death record book at the morgue, the autopsy reports and death certificates. Of 352 autopsies from external causes in 2009, 25 were suicides, 13 men and 12 women, and age group with the highest incidence was that between 60 and 69 years old.