Abortamento pode estar associado a diversos fatores. Este estudo objetivou identificar presenca de sintomas de depressao em mulheres com abortamento associando-os com indicadores clinicos, sociodemograficos e protetores. Mulheres... more
Abortamento pode estar associado a diversos fatores. Este estudo objetivou identificar presenca de sintomas de depressao em mulheres com abortamento associando-os com indicadores clinicos, sociodemograficos e protetores. Mulheres internadas em hospital publico. Utilizou-se Questionario geral, Inventario de Depressao e Escala de Autoestima. Estatistica descritiva procurando associacao entre as variaveis. Fizeram parte da pesquisa 120 mulheres, maioria branca (71%), 63% solteiras, 87% tem religiao, 67% ensino medio e 51% sem fonte de renda. Clinicamente, 49% em primeira gestacao, 33% tiveram abortos anteriores e 57% apresentavam sinais indicativos de depressao. Encontrou-se associacao entre aborto provocado, uso de alcool e drogas na familia e violencia familiar. Metade da amostra pontuou algum nivel de depressao e baixa ou media estima pessoal. Fatores de protecao para depressao foram: ter parceiro, trabalho, religiao e situacao financeira. Concluiu se que abortamento tem associacao ...
Research Interests: Psychology and Medicine
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Diante do amplo debate acerca da inclusão do educando com necessidades especiais em escola regular, esta pesquisa teve como objetivo descrever a participação da criança com paralisia cerebral nas atividades funcionais nos diferentes... more
Diante do amplo debate acerca da inclusão do educando com necessidades especiais em escola regular, esta pesquisa teve como objetivo descrever a participação da criança com paralisia cerebral nas atividades funcionais nos diferentes ambientes da escola, a partir da percepção de seus professores. Participaram deste estudo 10 professores e seus respectivos alunos com paralisia cerebral do município de São Paulo. Foi realizada a aplicação da parte I da School Function Assessment junto aos professores, a fim de examinar o nível de participação do aluno em seis ambientes da escola: sala de aula, pátio/recreio, transporte para e da escola, banheiro, transições para/da sala de aula e hora da refeição/ lanche. O Teste de Friedman e o Teste de Wilcoxon para duas populações correlatas foram utilizados para identificar diferenças significativas entre os escores obtidos na participação nos ambientes. Os resultados apontaram diferenças significativas nos escores da participação nos ambientes Tra...
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There is little epidemiological evidence demonstrating that dynapenic abdominal obese individuals have worse trajectories of disability than those with dynapenia and abdominal obesity alone. Our aim was to investigate whether dynapenic... more
There is little epidemiological evidence demonstrating that dynapenic abdominal obese individuals have worse trajectories of disability than those with dynapenia and abdominal obesity alone. Our aim was to investigate whether dynapenic abdominal obesity can result in worse trajectories of activities of daily living (ADL) over eight years of follow-up. We used longitudinal data from 3,723 participants from the English Longitudinal Study of Ageing (ELSA) free from ADL disability at baseline. Using measures of handgrip strength (<26kg for men; <16kg for women) and waist circumference (>102cm for men; >88cm for women), participants were classified into four groups: non-dynapenic/non-abdominal obese (reference group), abdominal obese only, dynapenic only, and dynapenic abdominal obese. We used generalised linear mixed models with ADL as the outcome and the four groups according to dynapenia and abdominal obesity status as the main exposure controlled by sociodemographic, beha...
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To determine the demographic and health factors related to the frailty syndrome in older adults. This is a longitudinal quantitative study carried out with 262 older adults aged 65 years and older, of both sexes, living at home. Data... more
To determine the demographic and health factors related to the frailty syndrome in older adults. This is a longitudinal quantitative study carried out with 262 older adults aged 65 years and older, of both sexes, living at home. Data collection was carried out in Period 1 between October 2007 and February 2008, and in Period 2 between July and December 2013. For data collection, we used the sociodemographic profile instrument, the Edmonton Frail Scale, the Mini-Mental State Examination, the number of falls in the last 12 months, the number of self-reported diseases and used drugs, the Functional Independence Measure, and the Lawton and Brody Scale. We used descriptive statistics for data analysis, in the comparison of the means between periods, the nonparametric Wilcoxon test, and the method of Generalized Estimating Equations, which is considered an extension of the Generalized Linear Models with p ≤ 0.05. Of the 515 participants, 262 completed the follow-up, with a predominance of...
Research Interests: Frailty, Aging, Brazil, Medicine, Linear models, and 15 moreHumans, Female, Male, Risk factors, Aged, Longitudinal Studies, Public health systems and services research, Sex Factors, Age Factors, Geriatric Assessment, Risk Factors, Self report, Socioeconomic Factors, Frail elderly, and Neuropsychological Tests
Cross-sectional evidence has shown an association between abdominal obesity and lower muscle strength in older adults. However, no longitudinal findings have confirmed this association. In addition, the impact of abdominal fat on the... more
Cross-sectional evidence has shown an association between abdominal obesity and lower muscle strength in older adults. However, no longitudinal findings have confirmed this association. In addition, the impact of abdominal fat on the reduction in muscle strength is not yet fully understood. We investigated the longitudinal associations between abdominal obesity and handgrip strength in 5,181 older adults from the English Longitudinal Study of Ageing (ELSA) over eight years of follow-up. Muscular strength was measured using a manual dynamometer. Abdominal obesity was defined as a waist circumference >102cm for men and >88cm for women. Generalized linear mixed models were adjusted by measures of socioeconomic status, health conditions, lifestyle, cognition, depressive symptoms, biomarkers and disability. At baseline, the mean age of participants was 65.8 years and their mean waist circumference and BMI were 95 cm and 27.7 kg/m², respectively. Fully adjusted models showed that ab...
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To estimate the degree of tobacco addiction and identify independently associated factors by comparing the psychiatric population of secondary and tertiary care with the general population of the primary healthcare network. This is a... more
To estimate the degree of tobacco addiction and identify independently associated factors by comparing the psychiatric population of secondary and tertiary care with the general population of the primary healthcare network. This is a cross-sectional epidemiological study, conducted in a municipality of São Paulo, with 134 smokers of a Mental Health Outpatient Unit (MHOU), a Psychiatric Hospital (PH), and a Primary Healthcare Unit (PHU). Data were collected by means of individual interviews, recorded on a mobile device. Data were statistically processed using Stata/12. Of the 134 participants, 54.5% were women. While 49.1% of the psychiatric population (MHOU/PH) had medium/high nicotine addiction, 58.3% of smokers of the general population had very low/low dependency. The Poisson regression model indicated a higher prevalence of smokers with high dependence among men (PR = 1.41), people aged 49 years or less (15 - 29 years, PR = 4.06, 30 - 39 PR = 2.96 years, 40 - 49 years PR = 1.84)...
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Supervisão e promoção do desenvolvimento infantil são ações de saúde importantes que devem ser realizadas em creches e pré-escolas. Estas ações podem propiciar o desenvolvimento da criança, especialmente em áreas em que é mais dependente... more
Supervisão e promoção do desenvolvimento infantil são ações de saúde importantes que devem ser realizadas em creches e pré-escolas. Estas ações podem propiciar o desenvolvimento da criança, especialmente em áreas em que é mais dependente do adulto, tais como as de linguagem e pessoal-social. Nosso objetivo no presente estudo foi avaliar habilidades de linguageme pessoal-social de crianças que freqüentavam 3 creches da cidade de São Paulo. Trinta e três crianças, de 0 a 36 meses, 18 meninos e 15 meninas, foram avaliadas pelo Teste de Triagem de Desenvolvimento de Denver II em 2 momentos, separados entre si por 5 meses. As crianças eram de nível sócio-econômico homogêneo. Os fatores estruturais (proporção adulto/criança, grupos pequenos de crianças) das 3 creches eram adequados. O peso de nascimento variou de 1970 a 4280 g. As classificações obtidas foram unificadas após análise não significante (teste de Fischer). Na segunda avaliação, as habilidades das crianças melhoraram nas duas ...
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There is little evidence showing that dynapenic obesity is associated with lipid and glucose metabolism disorders, high blood pressure, chronic disease and metabolic syndrome. Our aim was to analyze whether dynapenic abdominal obesity can... more
There is little evidence showing that dynapenic obesity is associated with lipid and glucose metabolism disorders, high blood pressure, chronic disease and metabolic syndrome. Our aim was to analyze whether dynapenic abdominal obesity can be associated with lipid and glucose metabolism disorders, high blood pressure, metabolic syndrome and cardiovascular diseases in older adults living in São Paulo. This cross-sectional study included 833 older adults who took part of the third wave of the Health, Well-being and Aging Study in 2010. Based on waist circumference (>88 cm women and >102 cm men) and handgrip strength (<16 kg women and <26 kg men), four groups were identified: non-dynapenic/non-abdominal obese (ND/NAO), abdominal obese alone (AOA), dynapenic alone (DA) and dynapenic/abdominal obese (D/AO). Dependent variables were blood pressure, lipid profile, fasting glucose and glycated-haemoglobin, metabolic syndrome and cardiovascular diseases. Logistic regression was us...
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Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women... more
Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women in São Paulo, Brazil. This was a prospective study in women aged 65 years or older evaluated in 2006 and re-evaluated in 2010. The sample was selected by two-phase stratified sampling with replacement and probability proportional to size. The likelihood ratio test was performed and Cox regression curves were generated to evaluate the equality of survival. Poisson's regression was used to evaluate risk factors. This is the first study on the incidence of DI in elderly women. A total of 864 elderly women were interviewed in 2006. The prevalence rate of DI was 4.9%. The incidence rate of DI in the period between 2006 and 2010 was 13.8/1,000 person-years. Associated factors were the presence of chronic obstructive pulmonary disease, hypertension, di...
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A observação de mulheres nos serviços de saúde mental motivou o interesse em pesquisar como tais mães cuidam de seus filhos e como esses percebem os cuidados. Este estudo objetivou identificar associações entre práticas parentais de mães... more
A observação de mulheres nos serviços de saúde mental motivou o interesse em pesquisar como tais mães cuidam de seus filhos e como esses percebem os cuidados. Este estudo objetivou identificar associações entre práticas parentais de mães doentes mentais, suporte social e condições socioeconômicas; e verificar possíveis diferenças entre práticas parentais de mães doentes e mães saudáveis. Estudo de casos e controles, quantitativo. Participaram 41 mulheres doentes mentais e seus filhos adolescentes e 41 díades mãe-filho saudáveis. Observou-se maior insatisfação com o suporte social recebido pelas mães doentes, que nessas famílias os pais são menos responsivos do que os pais do grupo comparado; mães do grupo de comparação são mais exigentes e responsivas do que as do grupo de estudo; a situação econômica familiar também influencia no cuidado materno. Conclui-se que os transtornos de humor, em especial os transtornos depressivos e ansiosos, o suporte social recebido e condições financei...
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INTRODUCAO: Estima-se que a adesao ao tratamento nao farmacologico para a Hipertensao Arterial (HA), caracterizado pelo ministerio da saude (MS) como: controle do peso, adocao de habitos alimentares saudaveis, reducao do consumo alcool,... more
INTRODUCAO: Estima-se que a adesao ao tratamento nao farmacologico para a Hipertensao Arterial (HA), caracterizado pelo ministerio da saude (MS) como: controle do peso, adocao de habitos alimentares saudaveis, reducao do consumo alcool, abandono do tabagismo, e pratica regular de atividade fisica, esteja acima de 50%. A baixa adesao ou nao adesao ao tratamento nao farmacologico anti-hipertensivo constituem problemas de saude publica e devem ser entendidos como uma das maiores barreiras para o sucesso do tratamento da hipertensao arterial. A elevada prevalencia desta condicao clinica e sequelas devastadoras no controle inadequado da pressao arterial tem sido frequentemente relacionadas a mortes precoces. OBJETIVOS: Este estudo tem o objetivo de estudar a adesao ao tratamento nao farmacologico em pacientes hipertensos cadastrados na Unidade Saude da Familia Santa Augusta do municipio de Marilia - SP. Assim sendo, visa: Caracterizar a populacao hipertensa; Identificar fatores associados a hipertensao: cronicidade, as sintomatologias e uso do medicamento; Caracterizar habitos culturais e de vida e identificar a adesao ao tratamento nao farmacologico proposto para a HAS. METODOLOGIA: Foram entrevistados 245 pacientes, utilizando-se um questionario elaborado para identificar as caracteristicas gerais dos pacientes e identificar a adesao ao tratamento nao farmacologico para a HA. A analise foi realizada utilizando-se o programa Stata. RESULTADOS: Observou-se predominio do sexo feminino em 60,4%, 32% com idades de 60 a 69 anos, 55% de cor branca, 66,5% apresentavam baixa escolaridade, 47,8% aposentados, 47,3% possuiam renda de ate 1 salario minimo, 40% possuiam de 5 a 10 anos com diagnostico de HA, e 95% utilizavam medicamento para o tratamento da hipertensao arterial. A adesao foi verificada utilizando-se os criterios estabelecidos pelo MS, encontrou-se que 70% nunca participaram de palestras informativas sobre a HA, 65% nao praticavam atividade fisica, 27% nao faziam nenhum tipo de dieta para o controle da HA, 7% eram fumantes e 22% ja fumaram em algum momento de suas vidas, 29,4% faziam uso de algum tipo de bebida alcoolica, e destes 22% faziam uso de bebidas alcoolicas diariamente, 33% faziam uso frequente de temperos industrializados, 93% faziam uso da USF, 45% relataram nao ter recebido visitas da equipe da USF e49,6% possuiam algum tipo de doenca relacionada com a HA, como o diabetes, colesterol alto, derrame e infarto. CONCLUSAO: Notou-se que o criterio de menor adesao para o tratamento nao farmacologico para a hipertensao arterial foi a atividade fisica, situacao considerada um grande problema contemporâneo que necessita de atencao, pois interfere consideravelmente na qualidade de vida do portador de HA. Outro fator que merece atencao e que 27% dos hipertensos nao faziam nenhuma modificacao em seus habitos alimentares, demonstrando o problema atual da populacao em geral nesse aspecto, sabe-se que a alimentacao e fator de risco para muitos problemas de saude. Desta forma faz-se necessario o empenho de todos os profissionais de saude a fim de compreender as condicoes da baixa adesao ao tratamento nao farmacologico para a HA e o desenvolvimento de acoes atraves da educacao em saude a fim de possibilitar uma maior adesao ao tratamento proposto para a HA.
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PREVALENCE, gEOgRAPHICAL DISTRIBUTION AND SOCIO-AMBIENT ASPECTS OF THE DENTAL CARIES IN Sao paUlo StatE in 1998 the result of this study showed a strong relationship between dental caries and socioeconomic and environmental background. to... more
PREVALENCE, gEOgRAPHICAL DISTRIBUTION AND SOCIO-AMBIENT ASPECTS OF THE DENTAL CARIES IN Sao paUlo StatE in 1998 the result of this study showed a strong relationship between dental caries and socioeconomic and environmental background. to reach the results, sixteen variables were used and correlated to an indicator, which consists in the dental caries existence or not in students between 5 and 12 years old. the study was limited in the cities that participated in the Epidemiological Survey of oral health in São paulo State in 1998. the regression multifactor model showed direct correlation of 63% with three main factors: the presence of fluoride in the public water, population size of each city and municipal human development indices in education. this final model can explain 38% of the variation of the presence of dental decay in the State of São paulo in 1998. the research evidenced that the socioeconomic and environmental conditions satisfactory possess a great contribution for the dental health. In addition, UFES Rev. Odontol., Vitória, v.9, n.3, p.37-42, set./dez. 2007 41 the use of spatial epidemiology can contribute to identify the areas in need of oral health promotion and dental care.
This study aims to verify the impact that the length of stay has on the rates of readmission for patients who were first admitted to various inpatient psychiatric units in a large catchment area in a middle-income country. The study... more
This study aims to verify the impact that the length of stay has on the rates of readmission for patients who were first admitted to various inpatient psychiatric units in a large catchment area in a middle-income country. The study included all patients who were first admitted to the 108 acute psychiatric beds available in the catchment area of Ribeirão Preto, Brazil, for a period of 8 years. Demographic features, inpatient unit of discharge, diagnosis and length of stay were assessed by bivariate analysis. An analysis of the time span between first admission and readmission was also conducted using survival curves estimated by the Kaplan-Meier formula. For the analyses of the risk of readmissions, a logistic regression analysis was conducted. From a total of 6261 patients admitted in the period of the survey, approximately one-third (2006) had at least one other readmission during the follow-up period. The rates per year of early readmission (within 90 days after discharge) varied from 16.1 to 20.9 %. The risk of readmission was higher immediately after discharge. The survival analysis showed that ultrashort length of stay (1-2 days) was associated with reduced odds of readmission, but multivariate logistic analysis showed no association between length of stay and the odds of readmissions. The predictors of early readmission included the diagnosis of depressive, bipolar, psychotic, and non-alcohol-related disorders, younger ages and unemployment. Duration of the first psychiatric admission was not associated with a higher risk of readmissions. Predictors for early readmissions of first-time-admitted psychiatric patients seem to be more related to the severity of the psychiatric diagnosis and demographic characteristics.
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Purpose : The objective of the study was to compare the length of hospital stay of smokers, former smokers, and nonsmokers admitted to the psychiatric unit before and after an increase in the severity of smoking restriction. Design and... more
Purpose : The objective of the study was to compare the length of hospital stay of smokers, former smokers, and nonsmokers admitted to the psychiatric unit before and after an increase in the severity of smoking restriction. Design and Methods : A cross-sectional study was conducted with 270 patients (smokers, former smokers, and nonsmokers) hospitalized in a psychiatric ward of a general hospital. They were divided into two groups: (1) 101 patients allowed one cigarette per hour (from 8:00 a.m. to 10:00 p.m.) and (2) 169 patients whose restriction was changed to eight cigarettes/day. Findings : The smokers hospitalized after the change in the patients’ access to cigarettes presented shorter length of hospitalization (13.8 days) than with smokers hospitalized and allowed one cigarette per hour (17.1 days). Regardless of the restriction in place, the smokers’ average length of hospital stay (14.9 days) is shorter than the average for former smokers (17.7 days) and for nonsmokers (17.6 days). Practice Implications : The restriction on smoking may be an important tool of care in psychiatric services; however, the way it is implanted, the support resources available, and the training of nurses to enable them to deal with patients during the course of implementation must be revised.
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The objective of this study was to evaluate the association between advanced activities of daily living (AADL) and incidence of cognitive decline. The sample consisted of non-institutionalized older adults who participated in the second... more
The objective of this study was to evaluate the association between advanced activities of daily living (AADL) and incidence of cognitive decline. The sample consisted of non-institutionalized older adults who participated in the second (2006) and third (2010) waves of the Health, Wellbeing, and Aging (SABE) cohort study in São Paulo, Brazil. Cognitive decline was measured using a modified Mini-Mental State Examination. Advanced activities of daily living covered 12 social, productive, physical, and leisure-time activities that involve higher cognitive functions. Other covariates included socio-demographic conditions, overall health, lifestyle, and functional disability. The association between the independent variables and incidence of cognitive decline was assessed by multiple Poisson regression. Incidence of cognitive decline was 7.9%. Mean number of AADL in 2006 was significantly higher among elders who had not developed cognitive decline. Multivariate analysis showed that the n...
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Cystic fibrosis is one of the most common autosomal recessive hereditary diseases in the Caucasian population, with an incidence of 1:2000 to 1:3500 liveborns. More than 1000 mutations have been described with the most common being... more
Cystic fibrosis is one of the most common autosomal recessive hereditary diseases in the Caucasian population, with an incidence of 1:2000 to 1:3500 liveborns. More than 1000 mutations have been described with the most common being F508del. It has a prevalence of 23-55% within the Brazilian population. The lack of population-based studies evaluating the incidence of cystic fibrosis in São Paulo State, Brazil, and an analysis concerning the costs of implantation of a screening program motivated the present study. A total of 60,000 dried blood samples from Guthrie cards obtained from April 2005 to January 2006 for neonatal screening at 4 reference centers in São Paulo State were analyzed. The immunoreactive trypsinogen (IRT)/IRT protocol was used with the cut-off value being 70 ng/mL. A total of 532 children (0.9%) showed IRT >70 ng/mL and a 2nd sample was collected from 418 (80.3%) of these patients. Four affected children were detected at two centers, corresponding to an incidenc...
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OBJECTIVE To validate a screening instrument using self-reported assessment of frailty syndrome in older adults.METHODS This cross-sectional study used data from the Saúde, Bem-estar e Envelhecimento study conducted in Sao Paulo, SP,... more
OBJECTIVE To validate a screening instrument using self-reported assessment of frailty syndrome in older adults.METHODS This cross-sectional study used data from the Saúde, Bem-estar e Envelhecimento study conducted in Sao Paulo, SP, Southeastern Brazil. The sample consisted of 433 older adult individuals (≥ 75 years) assessed in 2009. The self-reported instrument can be applied to older adults or their proxy respondents and consists of dichotomous questions directly related to each component of the frailty phenotype, which is considered the gold standard model: unintentional weight loss, fatigue, low physical activity, decreased physical strength, and decreased walking speed. The same classification proposed in the phenotype was utilized: not frail (no component identified); pre-frail (presence of one or two components), and frail (presence of three or more components). Because this is a screening instrument, “process of frailty” was included as a category (pre-frail and frail). Cr...
Research Interests: Psychology, Brazil, Medicine, Activities of Daily Living, Humans, and 14 moreWalking, Female, Male, Aged, Questionnaires, Public health systems and services research, Geriatric Assessment, Self report, Cross Sectional Studies, Predictive value of tests, Motor activity, Socioeconomic Factors, Severity of Illness Index, and Frail elderly
AS PRÁTICAS sanitárias têm se pautado sempre pelos paradigmas orientadores das ciências da saúde, que por sua vez se referenciam em parte ao contexto sócio-econômico tecnológico global e do país. O objetivo dos autores deste texto é... more
AS PRÁTICAS sanitárias têm se pautado sempre pelos paradigmas orientadores das ciências da saúde, que por sua vez se referenciam em parte ao contexto sócio-econômico tecnológico global e do país. O objetivo dos autores deste texto é confrontar os diferentes paradigmas que vêm orientando as práticas de saúde pública nos últimos dois séculos e definir com mais detalhes a concepção, baseada em evidências, de que saúde se produz socialmente, contrapondo-se ao paradigma flexeneriano, curativista. Pretende-se ainda apresentar novas práticas decorrentes da nova concepção que tem como eixo central a vigilância à saúde. Novos tipos de ação, como a promoção da saúde, são descritos e analisados, bem como a necessidade de integrar a nova visão às antigas práticas de prevenção e cura. Projetos estruturantes do novo paradigma são apresentados em linhas gerais na descrição de Cidades/municípios saudáveis e do Programa de saúde da família. Finalizando, é analisado o papel que a Universidade e princ...
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Objective: to analyze the changes in life expectancy (LE) and disability-free life expectancy (DFLE) in São Paulo's elderly population to assess the occurrence of compression or expansion of morbidity, between 2000 and 2010. Methods:... more
Objective: to analyze the changes in life expectancy (LE) and disability-free life expectancy (DFLE) in São Paulo's elderly population to assess the occurrence of compression or expansion of morbidity, between 2000 and 2010. Methods: cross-sectional and population survey, based on official data for the city of São Paulo, Brazil, and data obtained from the Health, Well-Being and Aging Survey (SABE). Functional disability was defined as difficulty in performing at least one basic activity of daily living. The Sullivan method was used to calculate LE and DFLE for the years 2000 to 2010. Results: from 2000 to 2010, there was an increase in disabled life expectancy (DLE) in all age groups and both sexes. The proportion of years of life free of disability, at 60 years of age, decreased from 57.94% to 46.23% in women, and from 75.34% to 63.65% in men. At 75 years of age, this ratio decreased from 47.55% to 34.54% in women, and from 61.31% to 56.01% in men. Conclusion: the expansion of ...
To avoid inaccurate blood pressure (BP) readings, the American Heart Association (AHA) recommends cuff width (CW) encircling 40% of the arm circumference (AC) and cuff length at least 80-100%. This study aimed to identify inpatients´ AC,... more
To avoid inaccurate blood pressure (BP) readings, the American Heart Association (AHA) recommends cuff width (CW) encircling 40% of the arm circumference (AC) and cuff length at least 80-100%. This study aimed to identify inpatients´ AC, the corresponding cuff size and the cuff size availability. In total, 81 AC were measured in the right arm. The cuff sizes to fit them were calculated according to AHA AC/CW width 0.40 ratio. The AC varied from 17.5 to 40.5 cm and the corresponding cuff width from 6 to 16cm. The standard cuff 12 by 23 cm, the only size available in the clinics, was appropriate for only 17.3% of the subjects, whose AC varied between 32.5 and 34.3 cm. The lack of availability of different cuff sizes continues being a challenging problem to be faced. The standard cuff available, 12cm large, did not fit 82.7% of the identified AC, resulting in over or underestimated BP registers.
Research Interests: Nursing, Adolescent, Medicine, Humans, Female, and 8 moreMale, Arm, Young Adult, Aged, Middle Aged, Adult, Cross Sectional Studies, and Equipment Design
This article pays homage to Sergei Nicolai Korotkoff, for the centenary of the auscultatory method discovery. It refers to his discover of blood pressure auscultatory method in Russia, in 1905; presents the evidence that resulted in the... more
This article pays homage to Sergei Nicolai Korotkoff, for the centenary of the auscultatory method discovery. It refers to his discover of blood pressure auscultatory method in Russia, in 1905; presents the evidence that resulted in the development of sphygmomanometry studies in Brasil; describes the important contribution of the Nursing School of the University of São Paulo to the development of blood pressure measurement research; and analyses the results of the research field of "Cuff width influence in blood pressure measurement", created at the Nursing School of The University of São Paulo, in 1974. The scientific results of doctoral studies are presented, identifying the research groups that are contributing to defying knowledge in this area. The article demonstrates the consolidation of the results related to the initial doctoral program studies developed in the area. Confirmation of hypothesis in longitudinal studies is emphasized.
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The aim was to describe the results of a developmental screening test in a cohort of 30 children attending 3 day-care centers in the city of São Paulo and develop hypotheses about these results. Thirty children were evaluated three times,... more
The aim was to describe the results of a developmental screening test in a cohort of 30 children attending 3 day-care centers in the city of São Paulo and develop hypotheses about these results. Thirty children were evaluated three times, during two years, by using the DDST. In the gross motor area the results improved (Tests of the Signs, 1st to the 3rd evaluation, p= 0.038*). There was a relationship between the age of the child (2 to 3 years) and worst results (Fisher's Exact test, p= 0.013*). In the fine motor area the results improved (Tests of the Signs, 1st to the 2nd evaluation, p= 0.031*). So, the development of motor abilities improved after the children started attending the day-care centers. We must undertake more researches in order to attribute the specific influences of each area: day-care center and/or family.
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Objective: To compare the quality of life (QoL) of individuals with stroke and their caregivers. Methods: This is an observational cross-sectional survey, involving 83 individuals who suffered a stroke. The participants were divided into... more
Objective: To compare the quality of life (QoL) of individuals with stroke and their caregivers. Methods: This is an observational cross-sectional survey, involving 83 individuals who suffered a stroke. The participants were divided into four groups: group of individuals with stroke who have caregivers (44), group of individuals with stroke without caregivers (39), group of caregivers (44) and a reference group (83) in the period of March to May 2010. To assess QoL, the instrument used was the WHOQOL-bref. Results: The highest scores for the four fields were observed increasingly for the group of individuals with stroke with caregivers, the stroke group without caregivers followed by the group of caregivers and the reference group. The comparison of scores between groups showed that the presence of stroke and the fact of being caregiver affect QoL in all domains of WHOQOL-bref. Conclusion: It was possible to understand the negative impact that stroke causes in the lives of the affec...
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Research Interests: Aging, Brazil, Medicine, Disability, Activities of Daily Living, and 15 moreHumans, Healthy Aging, Female, Male, Gender Difference, Life Expectancy, Health Status, Aged, Middle Aged, Longitudinal Studies, Older Adult, Logistic Models, Disabled Persons, Paediatrics and reproductive medicine, and Population surveillance
OBJETIVO: Analisar os fatores relacionados à determinação e às desigualdades no acesso e uso dos serviços de saúde por idosos. MÉTODOS: Estudo integrante do Projeto Saúde, Bem-estar e Envelhecimento (SABE), no qual foram entrevistados... more
OBJETIVO: Analisar os fatores relacionados à determinação e às desigualdades no acesso e uso dos serviços de saúde por idosos. MÉTODOS: Estudo integrante do Projeto Saúde, Bem-estar e Envelhecimento (SABE), no qual foram entrevistados 2.143 indivíduos com 60 anos ou mais no município de São Paulo, SP, em 2000. A amostra foi obtida em dois estágios, utilizando-se setores censitários com reposição, probabilidade proporcional à população e complementação da amostra de pessoas de 75 anos. Foi mensurado o uso de serviços hospitalares e ambulatoriais nos quatro meses anteriores à entrevista, relacionando-os com fatores de capacidade, necessidade e predisposição (renda total, escolaridade, seguro saúde, morbidade referida, auto-percepção, sexo e idade). O método estatístico utilizado foi regressão logística multivariada. RESULTADOS: Dos entrevistados, 4,7% referiram ter utilizado a internação hospitalar e 64,4% o atendimento ambulatorial. Dos atendimentos ambulatoriais em serviço público, ...
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To investigate the prevalence of urinary incontinence among elderly people living in São Paulo, Brazil and their associated risk factors. The Pan-American Health Organization and World Health Organization coordinated a multicenter study... more
To investigate the prevalence of urinary incontinence among elderly people living in São Paulo, Brazil and their associated risk factors. The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health, Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean. In Brazil, the study was carried out in São Paulo in the year 2000. The total Brazilian sample included 2,143 people. The prevalence of self reported urinary incontinence was 11.8% among men and 26.2% for women. It was verified that among those reporting urinary incontinence, 37% also reported stroke and 34% depression. It was found that the greater the dependence that the elderly people presented, the greater the prevalence of urinary incontinence. The associated factors found were depression (odds ratio = 2.49), female (2.42), advanced age (2.35), important functional limitation (2.01). Urinary incontine...
Research Interests: Depression, Brazil, Population Dynamics, Urinary incontinence, Humans, and 15 moreElderly People, Female, Male, Confidence intervals, Risk factors, Aged, Prevalence, Middle Aged, World Health Organization, Geriatric Assessment, Risk Factors, Pan American Health Organization, Preventive measures, Socioeconomic Factors, and Cadernos de Saude Publica
Estudo transversal que caracterizou a prevalência da hipertensão arterial referida e identificou os fatores associados. A amostra constou de 1.265 mulheres idosas, residentes no município de São Paulo, que participaram do Projeto Saúde,... more
Estudo transversal que caracterizou a prevalência da hipertensão arterial referida e identificou os fatores associados. A amostra constou de 1.265 mulheres idosas, residentes no município de São Paulo, que participaram do Projeto Saúde, Bem-estar e Envelhecimento realizado de 2000 a 2001. A hipertensão arterial foi considerada como variável dependente para fins de análise e das possíveis associações. A prevalência da hipertensão arterial foi 55,3% em mulheres com 60 a 74 anos e 60,7% naquelas com 75 anos e mais. No modelo final de regressão múltipla as variáveis que permaneceram como fatores associados à hipertensão arterial referida foram: diabetes (odds ratio=3,43), doença cardíaca (odds ratio=3,32), idade (odds ratio=1,57), número de filhos (odds ratio=1,51), índice de massa corporal (odds ratio=1,04), e estado de saúde (odds ratio=2,00). Conclui-se que a prevalência da hipertensão referida é similar aos dados de outros estudos.
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Para a utilização do VES-13 instrumento que identifica idosos vulneráveis foi realizada sua adaptação transcultural, processo que visa à equivalência entre o instrumento original e sua versão em outra cultura. A avaliação da equivalência... more
Para a utilização do VES-13 instrumento que identifica idosos vulneráveis foi realizada sua adaptação transcultural, processo que visa à equivalência entre o instrumento original e sua versão em outra cultura. A avaliação da equivalência semântica, idiomática cultural e conceitual obteve uma média geral de concordância de 78%, 78%, 97% e 94%, respectivamente. Para verificar a concordância no teste-reteste, utilizou-se o coeficiente Kappa de Cohen, onde a maioria das variáveis foram significantes. A análise de sua consistência interna foi verificada pelo uso do coeficiente alpha de Cronbach, onde 70% do fenômeno em estudo estão representados no instrumento. O VES-13, traduzido e adaptado, mostrou-se um instrumento confiável no que diz respeito à estabilidade e consistência interna de suas medidas. Sua estrutura simples e de fácil aplicabilidade pode, portanto, favorecer a identificação das pessoas idosas vulneráveis, contribuindo, assim, para a priorização do acompanhamento pelos ser...