ABSTRACT
BACKGROUND: Frailty is a biological syndrome that causes adverse events in the health of older adults. However, the Clinical Frailty Scale has not yet been culturally adapted and validated into Brazilian Portuguese language. OBJECTIVES: Our aim was to translate, reproduce and validate the Clinical Frailty Scale (CFS) for the Brazilian Portuguese language. DESIGN: An observational cross-sectional study with senior patients was conducted between Jan 2018 and Nov 2018. SETTING AND PARTICIPANTS: Volunteers aged >60 and living in Brazil. The translation and cultural adaptation of the CFS into the Portuguese language, the principles and good practices were followed. MEASUREMENTS: To conduct the validation and determine the reproducibility of an inter-observer evaluation, the patients answered the scale questions in Portuguese on two occasions, delivered by two separate examiners and separated by a 10-minute interval, on their first visit; the 36-item Short Form Survey quality-of-life questionnaire (SF-36) was also applied. Seven days later, a second visit was undertaken to perform an intra-observer reproducibility assessment. RESULTS: A total of 66 older individuals were enrolled (72 ± 8 years), the majority of which did not present frailty (63.6%) and reported a low physical limitation level in the SF-36. The CFS showed a significant correlation with the SF-36 quality-of-life questionnaire (r= -0.663; p<0.0001) and no statistical difference was observed between intra-rater (p=0.641) and inter-rater (p=0.350) applications, demonstrating the reproducibility and applicability of the instrument. The standard error estimate (SEE) was evaluated and there were no differences between the CFS and the SF-36 (SEE= 1.13 points). CONCLUSION: The Brazilian Portuguese language version of the CFS is a valid, reproducible and reliable instrument for evaluating the impact of frailty on the lives of senior patients.
Subject(s)
Frailty , Language , Surveys and Questionnaires/standards , Aged , Brazil , Cross-Sectional Studies , Frailty/diagnosis , Humans , Reproducibility of Results , TranslationsABSTRACT
A community of small mammals was studied in seasonal semideciduous submontane forest in the state of Mato Grosso, Brazil. This study evaluated the use of edge and matrix pasture, by different small mammal species. Overall, 31 areas were studied, with a total sampling effort of 33,800 trap x nights. Only seven of the 25 species captured in the study sites were able to use the pasture matrix; we classified these species as generalists. Fourteen species were found to be intermediate in habits, being able to use forest edges. We found only four species habitat specialists, occurring only on transect lines in the interior of the fragment, at least 150 m from the edge. Transects located in the pasture matrix and 50 m from the edge had significantly lower species richness and abundance than transects located in the fragment edge or in the interior of the fragment. All transects located within the fragment had similar species richness and abundance, but transects located 50 m from the edge had slightly lower, but non-significant, species richness than transects located 100 m apart from edges. Rarefaction curves demonstrated that only medium-sized fragments (100 300 ha) reached an asymptote of species accumulation. The other areas require further sampling, or more sampling transect, before species accumulation curves stabilize, due to a continued increase in species number.
Uma comunidade de pequenos mamíferos foi estudada em fragmentos de floresta estacional semidecidual submontana no Estado de Mato Grosso, Brasil. Nesse estudo, buscou-se avaliar o uso da borda e da matriz de pastagem pelas diferentes espécies. No total, 31 áreas foram estudadas, com um esforço total de 33.800 armadilhas x noite. Apenas sete das 25 espécies capturadas foram capazes de utilizar a matriz de pastagem, sendo estas consideradas generalistas. Quatorze foram consideradas intermediárias no uso do habitat, sendo capazes de utilizar habitats de borda. Encontramos apenas quatro especialistas, ocorrendo somente nas transecções do interior do fragmento, a aproximadamente 150 m da borda. Dentre todas as transecções utilizadas para amostragem, a disposta na matriz de pastagem, a 50 m da borda, demonstrou ser significativamente menos rica e abundante que as dispostas na borda e no interior dos fragmentos. Todas as transecções localizadas dentro do fragmento tiveram riqueza e abundância de espécies similares, porém a transecção localizada a 50 m da borda teve uma tendência a ser menos rica que a transecção a 100 m. Através de ajustes das curvas de rarefação, somente uma das áreas considerada de médio porte, entre 100 a 300 ha., atingiu uma assíntota. As outras áreas necessitam de um maior número de transecções, a fim de se obter uma estabilização das curvas, pois continuaram a acrescentar espécies.
