scholarly journals Beers-Fick criteria and drugs available through the Farmácia Dose Certa program

2011 ◽  
Vol 129 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Giancarlo Lucchetti ◽  
Alessandra Lamas Granero Lucchetti ◽  
Sueli Luciano Pires ◽  
Milton Luiz Gorzoni
Keyword(s):  
Elderly People ◽  
Elderly Population ◽  
Drug Distribution ◽  
The Elderly ◽  
Sao Paulo ◽  
The State ◽  
Age Group ◽  
São Paulo ◽  
Drug Classes ◽  
Excessive Sedation

CONTEXT AND OBJECTIVE: Farmácia Dose Certa is a program available in the State of São Paulo that is a national reference for providing drugs free of charge to the population. Elderly people receiving care deserve special attention regarding drugs that are appropriate for their age group. The objective was to assess the drugs in the program considered to be inappropriate for the elderly. DESIGN AND SETTING: Descriptive study evaluating free drug distribution in the State of São Paulo, Brazil. METHODS: Following the criteria proposed by Beers and Fick (drugs or drug classes that should be avoided among elderly people, independent of the diagnosis or clinical condition, because of the high risk of side effects and because other, safer drugs are available), the drugs in the Farmácia Dose Certa program that might be inappropriate for elderly people and the levels of evidence for each drug included were assessed. RESULTS: Among the available drugs, 10 (25.6%) were included within the Beers-Fick criteria. The drugs selected were: amitriptyline, cimetidine, diazepam, digoxin, fluoxetine, methyldopa, nifedipine, promethazine, thioridazine and ferrous sulfate. CONCLUSION: The list of drugs available within the Farmácia Dose Certa program may be considered appropriate for the general population, but not completely for the elderly population. Adjusting this list to the pharmacological aspects of aging will reduce the risks of drug interactions, falls, mental confusion and excessive sedation that result from drugs that are considered inappropriate for consumption by elderly people

scholarly journals Dentists’ perceptions and barriers to provide oral care for dependent elderly at home, long-term care institutions or hospitals

2018 ◽  
Vol 17 ◽  
pp. e18223 ◽  
Author(s):  
Albano Porto Cunha Junior ◽  
Mateus Bertolini Fernandes dos Santos ◽  
Jarbas Francisco Fernandes Santos ◽  
Leonardo Marchini
Keyword(s):  
Online Survey ◽  
Elderly Population ◽  
Oral Care ◽  
The Elderly ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Term Care ◽  
Dependent Elderly ◽  
E Mail

Aim: The aim of this study was to assess the perceptions and barriers to providing oral health care for the dependent elderly in unconventional settings as reported by dentists in the State of São Paulo, Brazil. The Brazilian elderly population is rapidly growing, and a larger elderly population implies an increasing number of dependent elderly patients. Therefore, investigating the perceptions and barriers reported by dentists for caring for these patients becomes important. Materials and methods: An online survey was sent by e-mail to dentists of a metropolitan area in the State of São Paulo, Brazil. Results: The response rate was 3.65% (n = 125). Only 14.4% of respondents offered home care to the elderly. Lack of experience or training (60.7%) and the small number of home visits (42.9%), were the main reported barriers to providing care for the dependent elderly. Most of the respondents (82.4%) agreed that the age of the patient did not influence their decision to provide care, and 96.8% agreed that delivering care to the elderly could be a rewarding experience. Conclusion: Few respondents offered care to the elderly and some of the most relevant factors considered in the decision to offer care were, experience and training, personal satisfaction and having gerodontology as a stand-alone course during dental school.

scholarly journals Cerebrovascular diseases mortality in the elderly in the state of São Paulo

2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
Camila de Almeida Costa Alencar ◽  
Sancha Mohana Brito Goes Rios
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Sao Paulo ◽  
Primary Objective ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Lack Of Information

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.

Influence of ultraviolet radiation on the production of 25 hydroxyvitamin D in the elderly population in the city of São Paulo (23 o 34’S), Brazil

2005 ◽  
Vol 16 (12) ◽  
pp. 1649-1654 ◽  
Author(s):  
Gabriela Luporini Saraiva ◽  
Maysa Seabra Cendoroglo ◽  
Luiz Roberto Ramos ◽  
Lara Miguel Quirino Araújo ◽  
José Gilberto H. Vieira ◽  
...  
Keyword(s):  
Ultraviolet Radiation ◽  
Elderly Population ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Hydroxyvitamin D ◽  
25 Hydroxyvitamin D ◽  
The City

scholarly journals Profile of procedures for the treatment of chronic suddural hematoma in the state of São Paulo

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Bruno Carvalho Brandão ◽  
Juliana de Souza Rosa ◽  
Heloá Santos Faria da Silva ◽  
Patrick de Abreu Cunha Lopes ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mortality Rate ◽  
Private Sector ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Public Care

Background: Chronic subdural hematoma is a common type of intracranial hemorrhage with a greater predominance in the elderly. Objectives: To analyze the current panorama of surgical treatment procedures for chronic subdural hematoma performed in the State of São Paulo and to correlate the current epidemiology with the results obtained. Methods: A literature review and an observational, descriptive and transversal data collect on surgical treatment was carried out, available from January 2008 to December 2020 and articles available in Scielo, Lilacs and PubMed. Results: There were 15,148 hospitalizations for surgical procedures for the treatment of chronic subdural hematoma, representing a total expenditure of R$ 45,365,258.21, with 2018 being the year with the highest number of hospitalizations (1,418) and with the highest amount spent during the period (R$ 4,570,334.28). 678 of them were elective while 11,671 were urgent. 3,820 were carried out in public care and 4,317 in private one. All of them were considered medium complexity. Mortality rate was 9.20, corresponding to 1,393 deaths, with 2020 the year with the greatest mortality, 10.24, and 2013 with the lowest, 8.00. The mortality rate for elective procedures was 10.18 compared to 9.63 for urgent procedures, whereas in the public sector it was 8.09 compared to 9.73 for the private sector. The average total hospital stay was 8.7 days, with an average cost of R$ 2,994.80. Conclusion: There is a greater number of hospitalizations in the urgency and private sector and a higher mortality rate in elective procedures and in the private sector.

scholarly journals A METÁTESE NA VARIEDADE DO INTERIOR PAULISTA

Muitas Vozes ◽  
2021 ◽  
Vol 10 ◽  
pp. 1-23
Author(s):  
J. A. DIAS ◽  
M. C. CARMO
Keyword(s):  
Elementary Education ◽  
Linear Order ◽  
Social Stigma ◽  
Change Theory ◽  
Sao Paulo ◽  
The State ◽  
Linguistic Variation ◽  
Age Group ◽  
São Paulo ◽  
Level Of Education

This work analyzes the phonetic-phonological phenomenon named metathesis in the variety spoken in the inland of São Paulo, more precisely in the Northwest of the state. Through this phenomenon, ancient in Portuguese, there is an inversion in the linear order of sounds such as sa.tis.fa.ção ~ sas.ti.fa.ção (‘satisfaction’). Based on the assumptions of the Linguistic Variation and Change Theory (LABOV, 2008), 48 interviews from the IBORUNA database (Projeto Amostra Linguística do Interior Paulista – ALIP – [Linguistic Sample from Inland of São Paulo] GONÇALVES, 2021 [2007]), were investigated in order to verify possible linguistic and extralinguistic conditioners that motivate the phenomenon. As a result, 18 metathesis occurrences were found. Of these cases, 11 were progressive metathesis, six regressive and one reciprocal. It was also observed that most of the occurrences involve /r/ and are classified as perceptual metathesis. In respect of extralinguistic variables, the phenomenon is more frequent in the speech of masculine sex/gender (72% of the cases); in the age group older than 55 years old; and level of education of the second cycle of Elementary Education, which seems to provide evidence of social stigma.

scholarly journals Diabetes mellitus mortality in a municipality in the state of São Paulo, 2010 to 2014

2019 ◽  
Vol 53 ◽  
pp. 24 ◽  
Author(s):  
Rafael Aparecido Dias Lima ◽  
Plinio Tadeu Istilli ◽  
Carla Regina De Souza Teixeira ◽  
Maria Lúcia Zanetti ◽  
Maria Tereza Da Costa Gonçalves Torquato
Keyword(s):  
Diabetes Mellitus ◽  
Premature Mortality ◽  
Mortality Rates ◽  
Sao Paulo ◽  
The State ◽  
World Health ◽  
Years Of Life Lost ◽  
Local Health ◽  
Age Group ◽  
São Paulo

OBJECTIVE: To describe diabetes mellitus mortality according to sex and age in a municipality in the state of São Paulo, in the period ranging from 2010 to 2014. METHODS: This was a temporal series ecological study carried out in Ribeirão Preto, state of São Paulo. The data was comprised of information on 583 deaths of Ribeirão Preto residents – regardless of the place of death – from 2010 to 2014. The data source was the electronic system of the Epidemiological Surveillance of the Municipal Health Department of the evaluated municipality. Sex, age group, premature death and year of death were chosen as variables. Subsequently, age-standardized mortality rates were calculated using the World Health Organization’s standard population, in addition to total and average per death potential years of life lost. RESULTS: Mortality due to diabetes mellitus in the municipality increased during the studied period. There was a higher occurrence of female deaths, especially in the ≥ 80 years age group. The highest rates of age-standardized mortality were male. For both sexes, there was an annual mean increase of 9% in premature mortality during the studied period. Diabetes decreased life expectancy by 10 years. CONCLUSIONS: As a diagnosis of local health care, the significant increase in agestandardized mortality rates, premature mortality and potential years of life lost in the studied municipality point to the need for improvements in health promotion and disease prevention measures. It is our hope that the results presented in this study contribute to the monitoring of mortality rates in the coming years.

scholarly journals Self-injury and suicide attempt among the elderly population in the city of São Paulo

2017 ◽  
Vol 66 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Jane de Eston Armond ◽  
Rodrigo de Eston Armond ◽  
Tatiana Cristina Pereira ◽  
Cléo Chinaia ◽  
Thiago Leão Vendramini ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
Elderly Population ◽  
Attempted Suicide ◽  
Risk Groups ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Effective Prevention ◽  
Self Injury ◽  
The City

ABSTRACT Objective In this perspective, the present research aims to describe the reports of self-injury and suicide attempt among the elderly population living in the city of São Paulo. Methods This is a descriptive, quantitative approach based on Violence and Accidents Surveillance Information System (SIVVA) of the city of São Paulo. In the selection of notifications, it was included the ones related to self-injury and attempted suicide against men and women, with age group between 60 and over, from January to December 2014 in the city of São Paulo, Southeastern Region of Brazil. Results During 2014, 93 cases of self-injury and attempted suicide were reported among elderly people living in the city of São Paulo. The main instruments used by the elderly population in the analyzed period were poisoning (41.9%), other means (34.4%), cold weapon (15.1%), high precipitation places (4.3%), hanging or suffocation (3.2%), and firearm (1.1%). Conclusion From the results of this study it was possible to characterize some specific aspects related to self-injury and suicide attempt among elderly in the evaluated population. Therefore, developing a strategy to promote effective prevention actions and offer specialized services to most risk groups (brown races, people with lower levels of education, and males).

scholarly journals CARDIOVASCULAR HEALTH VULNERABILITY OF THE ELDERLY POPULATION OF SÃO PAULO, BRAZIL DUE TO AIR POLLUTION

2019 ◽  
Vol 24 ◽  
Author(s):  
Ana Carla Dos Santos Gomes ◽  
Maria Helena Constantino Spyrides ◽  
Paulo Sérgio Lucio ◽  
Idemauro Antonio Rodrigues de Lara
Keyword(s):  
Air Pollution ◽  
Elderly Population ◽  
Cardiovascular Health ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Health Vulnerability

scholarly journals Cerebrovascular diseases mortality in young adults in the state of São Paulo

2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
João Vitor Lopes Lima ◽  
Douglas Mateus Pereira Jorge ◽  
...  
Keyword(s):  
Young Adults ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Sao Paulo ◽  
Primary Objective ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Epidemiological Profile

Background: The incidence of Cerebrovascular Diseases (CVD) increases significantly with age, being more frequent in the elderly. For this reason, there are still few studies that describe the epidemiological profile of these pathologies in youn g adults. Methods and Objective: From the data collected prospectively and allocated on the TabNet platform (DataSUS, MS), an observational, descriptive and cross-sectional study was carried out. As a primary objective, we seek to describe the demographic information most associated with CVD mortality in individuals between 20 and 49 years old, in São Paulo. Results: The year 2011 emerged in relation to mortality, with 1,432 deaths; in the 2010- 2019 period, the average number of deaths (± standard deviation [SD]) was 1,318 (± 61), per year. In this period, the number of deaths was higher in the capital (4,605; 34.9% of the total in the state). The mean deaths (± SD), per year, in the capital and in the interior cities were, respectively: 442 (± 58) and 2.4 (± 6.2). People with schooling from 4 to 7 years old and from 8 to 11 years old were the most affected. The ratio of male deaths to female deaths was 1.05. Conclusion: There is relative stability in relation to mortality per year among young adults in the state of SP, the capital being the city with the highest number of deaths. Male individuals, with a medium level of education were responsible for most of the deaths.

scholarly journals Avaliação nutricional, qualidade de vida e risco de sarcopenia em idosos frequentadores de instituições day care de São Paulo e Ribeirão Preto

2020 ◽  
Vol 35 (3) ◽  
pp. 237-243
Author(s):  
Noeli Aparecida Rosa de Morais ◽  
Renata Furlan Viebig
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Day Care ◽  
Perceived Health ◽  
The Elderly ◽  
Sao Paulo ◽  
The Other ◽  
Nutritional Risk ◽  
São Paulo ◽  
Significant Difference

Objective: To investigate associations among nutritional status, self-perceived health and risk of sarcopenia in people attending Day Care institutions, comparing elderly people in the capital and in the interior of São Paulo. Methods: Cross-sectional study, carried out in two Day Care institutions, one in São Paulo and the other in Ribeirão Preto, with the convenience sample consisting of 28 elderly people. Individual interviews were conducted to obtain personal data and self-perceived health. To assess nutritional status and risk of sarcopenia, anthropometric data (weight, height, skin folds and body circumferences) were measured and the SARC-F questionnaire was applied, translated and validated into Portuguese. To assess the nutritional risk of the elderly, the Mini Nutritional Assessment (MAN) was used and the appetite of the elderly was investigated by the Simplified Nutritional Questionnaire for Appetite (QNSA). The statistical analysis was performed with the aid of the SPSS v.21 software, at a significance level of 5%. The chi-square test was used to investigate the associations among the variables obtained. Results: There was a statistically significant difference (p = 0.035) in self-perceived health among the elderly in both cities, and no elderly person in the capital considered their health “excellent”. The elderly in the interior had an average body mass index significantly lower than the value found in the capital (p = 0.013). Statistically significant differences were also observed for arm circumference (p <0.001) and skinfold triceps (p <0.001). MAN’s results demonstrated nutritional risk for the elderly in both cities. On the other hand, the average SARC-F scores in both cities did not indicate a significant risk of sarcopenia. Conclusions: Although the risk of sarcopenia was not observed in the majority of the studied population, the results suggested that elderly people in the countryside have a better perception of their health, but with anthropometric indicators indicative of nutritional deficit

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