ABSTRACT
INTRODUCTION: Hemodialysis patients have complications that increase fear of falling (FOF). This study evaluated the association between FOF and a retrospective history of falls in hemodialysis patients and investigated the ability of the Fall Efficacy Scale-International (FES-I) to discriminate fallers from nonfallers. METHODS: A retrospective study was conducted with 183 patients to investigate the history of falls in the last 12 months and to evaluate FOF by the FES-I. RESULTS: The univariate linear regression model showed that the FES-I score was significantly associated with a history of falls (p = 0.01). After adjustment for potential confounders, this association remained significant (R2 = 0.19, p < 0.001). The FES-I score showed an area under the curve of 0.660 with a cutoff point of 25 (sensitivity-61.8%; specificity-62.2%). CONCLUSION: FOF was associated with a history of falls in the 12-month period in hemodialysis patients, and FOF assessed by the FES-I was able to discriminate fallers from nonfallers.
Subject(s)
Fear , Kidney Failure, Chronic , Humans , Retrospective Studies , Renal DialysisABSTRACT
Resumo Objetivo: conhecer as estratégias que podem auxiliar pessoas enlutadas pela morte de familiares pela covid-19 a lidarem com a perda. Metodologia: revisão narrativa realizada na plataforma PubCovid-19 por meio dos descritores "death" "bereavement", "grief" e "mourning". Foram incluídos dez artigos. Resultados: as estratégias encontradas dizem respeito à adoção de chamadas telefônicas, à gravação de áudios, à elaboração de cartas e à seleção das fotos, as quais são classificadas como imediatas e de longo prazo, focadas no cuidado com a saúde mental, a qual pode ser afetada pela depressão e pelos distúrbios psicológicos. Conclusões: urge que sejam criados programas de aconselhamento que ofereçam, aos parentes dos falecidos pela covid-19, um atendimento holístico, humanizado, contínuo, com foco na saúde mental.
Resumen Objetivo: conocer las estrategias que pueden ayudar a las personas en duelo por la muerte de miembro de la familia por la covid-19 para afrontar la pérdida. Metodología: revisión narrativa realizada en la plataforma PubCovid-19 por medio de los descriptores "death; "mourning"; "Covid-19"; "coping strategies". Se incluyeron diez artículos. Resultados: las estrategias encontradas se relacionan con la adopción de llamadas telefónicas, grabación de audios, cartas y fotos, las que se clasifican como inmediatas y a largo plazo centradas en la atención de la salud mental, la que puede ser afectada por la depresión y los trastornos psicológicos. Conclusiones: es urgente la creación de programas de asesoramiento para los familiares de los fallecidos por la covid-19, con el fin de ofrecer una atención integral, humanizada y continua, con un enfoque en la salud mental.
Abstract Objective: To explore the strategies that can help individuals mourning a family member's death from Covid-19 to cope with the loss. Method: We carried out a narrative review on the PubCovid-19 platform using the descriptors "death," "mourning," "Covid-19," and "coping strategies." Ten articles were included. Results: The strategies found are phone calls, audio recording, letters, and photos, classified as immediate and long-term. These strategies are focused on mental health, which can be adversely affected by depression and psychological disorders. Conclusions: Creating counseling programs for the relatives of those who died from Covid-19 is urgent. They must offer comprehensive, humanized, and continuous mental health care.
Subject(s)
Bereavement , Adaptation, Psychological , Death , COVID-19ABSTRACT
Purpose: We evaluated the effects of supervised intradialytic resistance training on physical activity in daily life (PADL), muscle strength, physical capacity and quality of life (QoL) in hemodialysis patients.Methods: Twenty-four hemodialysis patients were randomly assigned to either a 12-weeks moderate-intensity resistance training or a control period. An accelerometer evaluated PADL for seven consecutive days, measuring the time spent in different activities and positions of daily routine and the number of steps taken. Muscle strength, physical capacity and QoL were evaluated.Results: After 12 weeks of training, we did not find significant difference (post-pre values) in walking time (-1.2 ± 18.3 vs. -9.2 ± 13.1 min/day); standing time (-10.2 ± 28.6 vs. 3.2 ± 20.1 min/day); sitting time (20.8 ± 58.9 vs. -30.0 ± 53.0 min/day); lying down time (-9.3 ± 57.9 vs. 34.6 ± 54.0 min/day); number of steps taken [-147 (1834) vs. -454 (2066)] and muscle strength in training and control group, respectively. There was a significant increase in the six-minute walking test distance (48.8 ± 35.9 vs. 6.9 ± 45.9 m, p < 0.05) and some domains of QoL in the training compared to the control group.Conclusions: PADL was not modified after 12 weeks of intradialytic resistance training in hemodialysis patients. However, the exercise program was able to increase the physical capacity and some domains of QoL.Implications for rehabilitationPhysical activity in daily life was not modified after 12 weeks of intradialytic resistance training in hemodialysis patients.The exercise program was able to increase the physical capacity, efficacy of dialysis and some domains of quality of life in hemodialysis patients.The protocol used in this study was safe since no complications were observed during and after resistance training.These results should be interpreted with caution because we applied a moderate resistance training in both lower limbs and in the contralateral arteriovenous fistula upper limb, using perceived exertion by Borg scale to exercise prescription. Moreover, the safety protocol evaluation was not conducted.
Subject(s)
Quality of Life , Resistance Training , Exercise , Humans , Muscle Strength , Renal DialysisABSTRACT
Bariatric surgery (BS) is an increasingly used therapeutic option for severe obesity which allows patients to achieve sustained weight loss over time and resolution or improvement in most associated pathological conditions. Major mid- and long-term complications of BS include iron deficiency and iron-deficient anemia, which may occur in up to 50% of cases and significantly impair patient quality of life. These changes may be present before surgery. The aim of this review was to prepare schemes for diagnosis and treatment of iron deficiency and iron-deficient anemia before and after bariatric surgery.
Subject(s)
Anemia/diagnosis , Anemia/therapy , Bariatric Surgery , Iron Deficiencies , Humans , Obesity, Morbid/surgery , Quality of LifeABSTRACT
The stable isotopic (delta(18)O and delta(2)H) composition of modern precipitation in the northwest of Iberia was investigated. Samples collected from October 2004 to July 2006 at 24 stations together with isotopic data from other sources (12 stations) were used to construct a map of the spatial distribution of isotopes in precipitation in the study area. A regional meteoric water line was defined and deuterium excess values were determined, proving the origin of vapour masses from the Atlantic Ocean. Environmental conditions that account for spatial isotopic variability were identified. Altitude, continental, and latitude effects can explain the eastwards depletion in heavy isotopes. The altitude leads to a depletion of 0.17 per thousand of delta(18)O per 100 m rise. The decrease in delta(18)O values, as the distance from the coast increases, defines an inland isotopic gradient of about 0.1 per thousand of delta(18)O per 10 km. Latitudinal gradient of-0.55 per thousand of delta(18)O was estimated between 41 degrees and 44 degrees latitude north. Together, the altitude and continental effects account for 78 % of the delta(18)O variability in regional precipitation.
