No abstract

Objective: To determine the prevalence of frailty syndrome in elderly patients with type 2 diabetes mellitus. Methods: Cross-sectional study including 30 elderly of both genders, aged 60-79 years, and diagnosed with type 2 diabetes mellitus. The research instruments were validated for Portuguese, included sociodemographic and clinical variables, and criteria for frailty syndrome. The elderly were divided into frail, pre-frail and non-frail. Data were analyzed using descriptive statistics. Results: The prevalence of frailty was 56.7%. The associated factors were the following: female gender (70.6%); widowed (69.2%); white color (58.8%); not working (69.2%); and time since diagnosis of 25-48 months (47.1%). Conclusion:The associated factors such as sociodemographic, economic and time since diagnosis did not affect the prevalence of frailty syndrome in elderly patients with type 2 diabetes mellitus. ResumoObjetivo: Conhecer a prevalência da síndrome da fragilidade e fatores associados em idosos com diabetes mellitus tipo 2. Métodos: Estudo transversal que incluiu 30 idosos, de ambos os sexos, com idades entre 60 a 79 anos e diagnóstico de diabetes mellitus tipo 2. Os instrumentos de pesquisa foram validados para língua portuguesa e incluíram variáveis sociodemográficas, clínicas e critérios para síndrome da fragilidade. Os idosos foram divididos em frágil, pré-frágil e não frágil. Os dados foram analisados por estatística descritiva. Resultados: A prevalência da fragilidade foi de 56,7%. Os fatores associados foram: sexo feminino (70,6%); viúvos (69,2%); cor branca (58,8%); não trabalhar (69,2%); e tempo de diagnóstico de 25 a 48 meses (47,1%). Conclusão: Os fatores associados, tais como, sociodemográficos, econômicos e tempo de diagnóstico não interferiram na prevalência da síndrome da fragilidade em idosos com diabetes mellitus tipo 2.

Parkinson’s disease is a neurological disorder that affects both motor and non-motor functions, including depression, anxiety, and cognitive decline. Currently, it remains a challenge to distinguish the correlation between these aspects and their impact on one another. To try to clarify these reciprocal influences, in this study we have used specific radio electric asymmetric conveyer (REAC) technology neuromodulation treatments for behavioral mood disorders and adjustment disorders. In particular, we employed the neuro-postural optimization (NPO) and neuro-psycho-physical optimization (NPPOs) treatments. The study enrolled randomly 50 subjects of both genders previously diagnosed with Parkinson’s disease for at least six months. Prior to and following REAC NPO and NPPOs treatments, we assessed the subjects using functional dysmetria (FD) evaluation, five times sit to stand test (FTSST) for postural stability, and the 12-item Short-Form Health Survey (SF-12) for quality of life (QLF) evaluation. The positive results produced by the REAC NPO and NPPOs neuromodulation treatments, specific for mood and adaptation disorders, on dysfunctional motor disorders, and quality of life confirm how the non-motor components can condition the symptomatology of Parkinsonian motor symptoms. These results also highlight the usefulness of REAC NPO and NPPOs treatments in improving the overall quality of life of these patients.

Trata-se de uma revisão integrativa que busca evidenciar estratégias de implementação da Colaboração Interprofissional (IP) em políticas e programas de incentivo à Educação Interprofissional (EIP) na saúde e identificar modos de avaliação dessa atuação interprofissional. Métodos: a pesquisa foi realizada por meio de 04 (quatro) etapas, cujo processo de seleção dos estudos envolveu: identificação, triagem, elegibilidade, inclusão. Ocorreu entre os meses de fevereiro a agosto de 2020 a partir dos descritores “interprofissional education”, “program evaluation” e “health”, com o operador booleano “AND”. Elegeu-se para análise o total de 21 estudos que respondiam aos descritores selecionados, bem como ao período definido de dez últimos anos, publicados nas bases de dados eletrônicas Cochrane, EMBASE, PubMed Central, MEDLINE/PubMed.gov e SciElo.ORG, acessadas de modo remoto via CAFe na plataforma CAPES. Resultado: verificou-se em todos os estudos incluídos que, como estratégias de implementação, antes de avaliar o desempenho profissional, executam-se intervenção de aprendizagem IP, destacando-se os modelos de intervenção mais frequentes: Programa EIP, Simulação e Treinamento de Atuação IP. O uso de questionários e as escalas foram os instrumentos de avaliação da atuação IP mais recorrentes entre os estudos analisados. Nas intervenções, além de conteúdos de aprendizagens factuais e conceituais, desenvolveram-se aprendizagens procedimentais e atitudinais. Conclusão: os estudos selecionados usaram alguma atividade prática ou de aprendizagem IP, e a maioria destes optaram por escalas e questionários para avaliação dos resultados e envolveram estudantes ou profissionais de enfermagem e medicina.

The purpose of this study was to investigate the strength and ratios of the plantar flexors and ankle dorsiflexors in recreational runners with medial tibial stress syndrome and to assess the association between muscle strength and the level of pain in this population. Methods: Two groups (control and medial tibial stress syndrome) of eighteen runners each participated in this cross-sectional study. Isokinetic dynamometry was used to evaluate muscle strength, and for the analysis, the normalized isokinetic peak torque controlled by gender was used. Results: The medial tibial stress syndrome group showed lower normalized isokinetic peak torque in the dorsiflexors in the concentric (p = 0.008) eccentric (p = 0.011) contraction, as well as a lower plantar flexor, normalized isokinetic peak torque in the concentric (p = 0.001) and eccentric (p = 0.02) when compared to the control group. However, there was no difference in the normalized isokinetic peak torque ratio representative of the stance (p = 0.62) and swing phase (p = 0.16), and the level of pain was not correlated with the strength concentric (p = 0.32) and eccentric (p = 0.621) of plantar flexors, nor to the concentric (p = 0.21) and eccentric of dorsiflexors (p = 0.54). Conclusion: Recreational runners with MTSS showed decreased muscle strength in the sagittal plane of the ankle, no correlation with the level of pain, and no changing the ratio between plantar flexors and dorsiflexors.