Abstract

This study was performed in six Long-Term Care Institutions for the Elderly (LTCIEs) that helped low-income senior citizens in three regions of the country. Its aim is to examine how LTCIEs' internal organizational system maintained structural coupling with surrounding systems. The data were collected through interviews and observation. The analysis was based on concepts of Luhmann's Social Systems Theory. As a result, the rules of belonging did not encourage aid proposals that stimulated independent life and the individuality of residents. The structural couplings with the external environment generated negative resonance within LTCIEs, such as the lack of links to programmatic actions of public primary health care, inability to maintain a multiprofessional staff, inability to fully adapt the infrastructure, and inability to bring reçatives closer to the institution's daily routine. As a positive aspect, the staff was empowered by the presence of students and their professors.

Introducción: El Síndrome Metabólico (SM) se considera actualmente una enfermedad multifactorial relacionada con la inflamación asintomática, insidiosa y deletérea que predispone al individuo a la vulnerabilidad al agregar marcadores de riesgo cardiovascular. Objetivo: analizar los factores asociados al síndrome metabólico y calidad de vida en adultos usuarios de una unidad de salud. Materiales y Métodos: estudio transversal realizado con 108 usuarios adultos. La recogida de datos se realizó mediante un cuestionario sociodemográfico, clínico y metabólico, estructurado y mediante el cuestionario The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Para el diagnóstico de Síndrome Metabólico se utilizaron los siguientes criterios: aumento de la circunferencia abdominal e hipertensión arterial, diabetes, hipertrigliceridemia y colesterol HDL bajo. El análisis estadístico se realizó utilizando el software Statistical Package for Social Sciences (SPSS) 21.0. Resultados: Se identificó síndrome metabólico en el 88,0% de los adultos. De este total de usuarios evaluados con el síndrome, el 87,4% de los individuos eran mujeres; 71,7% con diabetes; 87,0% tenía hipertensión arterial; Se identificó sedentarismo en 53,7%. En la valoración del IMC, predominaron el sobrepeso y la obesidad en 68,4% y 24,9%, respectivamente. Los dominios con las puntuaciones más bajas de calidad de vida fueron Salud general y Vitalidad. Conclusiones: el estudio permitió identificar el Síndrome Metabólico en la mayoría de los adultos evaluados. Hubo una baja percepción de la calidad de vida entre los adultos en todos los dominios, excepto en los aspectos físicos y vitalidad. Por tanto, es necesaria la vigilancia y educación sanitaria de la población estudiada y la mejora de su calidad de vida. Como citar este artículo: Santos, Isleide Santana Cardoso; Boery, Rita Narriman Silva de Oliveira; Fernandes, Josicélia Dumêt; Rosa, Randson Souza; Ribeiro, Ícaro José dos Santos; Souza, Andréa dos Santos.  Factors associated with metabolic syndrome and quality of life of adults in a northeast brazilian municipality.   Revista Cuidarte. 2021;12(2):e.1678 http://dx.doi.org/10.15649/cuidarte1678

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BACKGROUND AND OBJECTIVES:Low back pain is a common pathological condition in the social environment, especially in industrialized societies, and is a frequent cause of morbidity and incapacity, being overcome only by headache in the scale of painful disorders which affect people. This study aimed at establishing the socio-demographic and physical-functional profile of patients with acute, sub-acute and chronic low back pain of specific and nonspecific origin, treated in a private physiotherapy institution of the city of Manaus/AM. METHODS: This is a retrospective and descriptive study with quantitative approach, which has evaluated 151 medical charts, of which two were excluded for having less than 18 years of age, generating a database of 149 participants. Results were presented by descriptive statistics through central trend and variability measures, as well as by absolute and relative distribution. RESULTS: The prevalence of low back pain was 17.3%, primarily affecting males (55%) and industrial production workers (25.2%) with mean age of 40.7±13.2 years. There were associated diseases in 51.6% (n=33). When submitted to palpation, 77.6% (n=85) have referred pain. According to body mass index calculation, 57.1% (n=28) of patients were considered overweighed; 90.0% (n=45) had abnormal postural pattern, 82.5% (n=80) had decreased lumbar spine-related movement amplitude and 55.3% (n=26) had decreased lumbar spine-related muscle strength. CONCLUSION: Socio-demographic profile was characterized by male patients, as from the third decade of life and industrial production workers. Physical-functional profile was primarily characterized by patients with overweight and postural changes, pain at palpation and decreased lumbar region joint amplitude.