scholarly journals A Terapêutica na Terceira Idade e o Uso Racional de Medicamentos

Author(s):  
Ariete Regina Berti ◽  
Paulo Mayorga

Resumo: O envelhecimento é um processo biológico e muitas doenças se desenvolvem nesta época da vida, devido à suscetibilidade natural do organismo. Existe uma falsa crença de que os medicamentos podem “curar” tudo, inclusive a velhice. A terapia medicamentosa, quando realmente necessária ao tratamento de algum estado patológico do paciente idoso, deve ser aplicada com restrições e de forma individualizada, pois a metabolização dos fármacos pode estar bastante diversa do esperado quando comparada à de adultos jovens. Ao contrário desta lógica, vemos um excesso de prescrições destinadas aos idosos, quando a prevenção das doenças seria mais coerente, mais saudável e menos onerosa. Além disto, outros elementos intrínsecos ao paciente idoso e ao seu comportamento são determinantes na terapêutica da terceira idade. A pesquisa sobre a utilização de fármacos (tipo, dose, indicação e uso) por parte desta população é necessária a fim de estabelecer a racionalização e otimização destes. Desta forma, o objeto central deste trabalho é fazer uma breve reflexão sobre os aspectos envolvidos na terapêutica da terceira idade, buscando com isto promover o uso racional de medicamentos por esta faixa da população. Palavras-chave: Medicamento. Terapêutica. Uso racional. Terceira idade. Abstract: The aging is a biological process and many illnesses appear in this time of life, due to the body natural susceptibility. There is a false belief that medicine can “cure” everything, including the old age. The medicinal therapy should be used with constraints and on an individualized way when it is really necessary to treat some pathologic conditions in an old patient since the drugs metabolism can be very diverse from the expected when compared to young adults. On the other hand, we see an excessive number of prescriptions to elderly, while the prevention to the diseases would be more coherent, healthier and less expensive. Besides, there are more intrinsic elements of the old patient as well as his behaviour which are crucial to the third age therapy. The research about the use of drugs (type, dosage, recommendation and usage) by this part of the population is necessary to establish their rationalization and optimization. Therefore this paper does a brief reflection about the aspects in the third age therapy trying to promote the rational use of drugs by these people. Keywords: Drugs. Therapy. Third age.

2020 ◽  
Vol 5 (1) ◽  
pp. 21-29
Author(s):  
Magdalena Pracka ◽  
Marcin Dziedziński ◽  
Przemysław Łukasz Kowalczewski

AbstractIn recent years have seen increasing percentage of the elderly in the overall population. This has driven the attention to the lifestyle factors that influence the health and quality of life of this social group, including their nutrition and physical activity. Universities of the Third Age (U3A) are a valuable platform for the dissemination and broadening of the knowledge related to these topics. The nutritional habits of 61 U3A students in Poznań were evaluated on the basis of a modified KomPAN questionnaire. Their nutritional status was determined using the body mass index (BMI) and waist to hip ratio (WHR) indices. Nearly half of the respondents were overweight and 16% had first degree obesity. The WHR index in women was on average 0.8, while in men it was 1.01. Only 13% of the students declared regular eating, with 60% consuming 4-5 meals a day. Women were found to eat snacks between meals more often than men. It was also found that the majority of the elderly do not add salt to ready meals or sweeten beverages with sugars. Taking into account the observed nutritional problems and the occurrence of improper eating habits of the elderly, it is recommended to continue the education on the prevention of common diet-related diseased.


2012 ◽  
Vol 19 (1) ◽  
pp. 149-168
Author(s):  
Baljit Singh

The subject contemporary relevance of Nehru is unfolded into five sections. First section introduces the subject by contextualising Nehru’s ideas in the contemporary scenario. Nehruvian ideological system and its utility in the age of globalisation constitute the body of this article. His nationalism, socialism and world view are located and discussed in the second, third and fourth sections, respectively. Nehru’s idea of composite culture, contested by cultural nationalism from the one end and ethno-nationalism from the other end of spectrum comprises the second section. The third section discusses the conception, consolidation, retreat and revival of Nehruvian model of economic development in the light of Washington Consensus and Post-Washington Consensus. His idea of socialism and the mixed economy are debated in liberal, neoliberal and post-neoliberal scenario. His world view faced rough weather during the second and third phase of India’s foreign policy. The former was set in motion after his death, whereas the latter started taking shape in the Post-Soviet world, which has acquired the hegemonic overtones. Contemporary significance of Nehru’s world view in the hegemonic world is probed in the fourth section. The last section sums up the discussion in the form of concluding observations.


2018 ◽  
Vol 17 (4) ◽  
pp. 41-46
Author(s):  
Joanna Girzelska ◽  
Magdalena Głowacka ◽  
Dorota Wilk-Jeziorska ◽  
Agnieszka Malikowska ◽  
Jolanta Dziewulska ◽  
...  

AbstractIntroduction. Loneliness is considered a disease of affluence. It is a mixture of lack of acceptance, rejection and unpleasant experiences. It is accompanied by disappointment, unhappiness and pessimism. The consequences of loneliness can be seen in the psyche and physical ailments.Aim. Demonstrating the impact of loneliness on the health of the elderly and possible interventions for entertainment in the prevention of loneliness of the elderly.Methodology. Literature was classified into the analysis, from which the content regarding the influence of loneliness on health of elderly and selected preventive interventions of the discussing phenomena.Conclusions. Loneliness results in the deterioration of the condition of the elderly, increases stress level in the body and the risk of depression. The ways of fighting with loneliness include education, participation in the Universities of the Third Age and activity in the senior clubs.


Vox Patrum ◽  
2018 ◽  
Vol 67 ◽  
pp. 225-240
Author(s):  
Michał Kieling

The article discusses the most important premises which deal with Christian penance from the VI to the XI century. The main sources for the above article are the Penitential Books (Libri Poenitentiales), published as part of the series of Źródła Myśli Teologicznej (ŻMT 58), collected and edited by A. Baron and H. Pietras in 2011. The article consists of three parts. The first part examines the meaning of penance in the life of Christians as a medicine for sin which is an illness of the soul and the body. The second part presents the teaching of peniten­tials on the twelve ways of absolving from sins. The third part provides practical suggestions for confessors and penitents. The Penitential Books, as a witness to the development of penitential practices, confirm the role of individual spiritual therapy in the life of the Christian. This process of regaining of one’s spiritual health takes place, on one hand, through the grace of God’s Mercy, and, on the other hand, through penitential practices whose aim was internal conversion and outward change in one’s way of life.


1920 ◽  
Vol 32 (4) ◽  
pp. 445-476 ◽  
Author(s):  
Wade H. Brown ◽  
Louise Pearce

From the study of a large series of rabbits with outspoken manifestations of generalized syphilis, lesions of the skin and appendages were found to constitute one of the largest and most varied groups of such affections. The conditions noted consisted of alopecias, onychia and paronychia, and lesions of the skin proper. It was found to be a matter of some difficulty to make a positive diagnosis of syphilitic alopecia, but there were three and possibly four conditions which appeared to be attributable to such an infection. The first of these took the form of a general or local roughening of the coat with falling of the hair which produced the typical moth-eaten appearance associated with syphilitic alopecia in the human subject. A second form of alopecia was essentially an abnormal looseness of the hair which permitted large areas of the body to be completely denuded. The third type of alopecia was associated with definite skin changes, and the hair was readily removable together with an adherent mass of epithelial scales. Paronychia was comparatively rare but was readily recognized by a characteristic infiltration and exfoliation of the skin about the base of the nails. The incidence of onychia is uncertain. Late in the course of the investigation it was found that alterations in the nails which were not entirely characteristic in themselves might occur in consequence of a syphilitic involvement of the nail beds which could not be detected by ordinary methods of examination. The cases which were recognized as syphilitic were those which showed an associated paronychia. Lesions of the skin were found to be one of the most frequent manifestations of a generalized infection in the rabbit. These lesions were divided into three classes: first, granulomatous lesions, second, infiltrations, and third, erythemata. The granulomata were lesions of a fleshy character which tended to grow to a very large size and presented all the characteristics of circumscribed primary lesions of the scrotum. The conditions described as cutaneous infiltrations included two general types of lesions, one a flattened and rather diffuse process, the other an elevated and sharply circumscribed papule. As a class, these lesions were very prone to secondary alterations and in this way gave rise to a great variety of conditions which in general resembled the diffuse primary lesions of the scrotum and the papular lesions resulting from local dissemination. A third type of lesion resembling the macular erythemata of man was observed in a small number of animals, and while no definite proof of the specific origin of these lesions was obtained, the evidence available was strongly suggestive. In addition, several other cutaneous affections were noted which have not as yet been thoroughly investigated. It is suggested, however, that these processes may bear some relation to infection with Treponema pallidum.


AAESPH Review ◽  
1979 ◽  
Vol 4 (1) ◽  
pp. 66-80 ◽  
Author(s):  
Dennis E. Mithaug

This study compared the relative effectiveness of different procedures for decreasing response durations in three severely retarded 14 to 20-year-old women who were severely disruptive and noncompliant. The conditions included two potentially positively reinforcing procedures and two potentially negatively reinforcing procedures. The two positive procedures consisted of contingent deliveries of verbal praise, back pats, and squirts of juice. One of the negative procedures consisted of tapping the subjects' hands, arms, back, and back of the neck until the correct response was evoked. The other negative procedure consisted of finger and thumb pressure to the sides of the subject's neck until a correct response was evoked. During both of these negative procedures, cessation of tapping or finger pressure was contingent upon emission of an appropriate response. For two of the subjects, the two positive procedures were compared with the negative tapping procedure and with each other; for the third subject, the positive praise plus juice procedure was compared with the two negative procedures, which were also compared with each other. The results consistently indicated that for the first two subjects, the negative tapping procedure was more effective than either praise or praise plus juice, with the latter two being equally effective. For the third subject, the negative finger pressure procedure was more effective than the negative tapping procedure, which in turn was more effective than the positive praise plus juice procedure.


2021 ◽  
Vol 11 (9) ◽  
pp. 1225
Author(s):  
Lenka Martinec Nováková ◽  
Monika Kliková ◽  
Eva Miletínová ◽  
Jitka Bušková

Mental activity in sleep often involves visual and auditory content. Chemosensory (olfactory and gustatory) experiences are less common and underexplored. The aim of the study was to identify olfaction-related factors that may affect the occurrence of chemosensory dream content. Specifically, we investigated the effects of all-night exposure to an ambient odour, participants’ appraisal of their current olfactory environment, their general propensity to notice odours and act on them (i.e., odour awareness), and their olfactory acuity. Sixty pre-screened healthy young adults underwent olfactory assessment, completed a measure of odour awareness, and spent three nights in weekly intervals in a sleep laboratory. The purpose of the first visit was to adapt to the experimental setting. On the second visit, half of them were exposed to the smell of vanillin or thioglycolic acid and the other half to an odourless control condition. On the third visit, they received control or stimulation in a balanced order. On each visit, data were collected twice: once from the first rapid eye movement (REM) stage that occurred after 3 a.m., and then shortly before getting up, usually from a non-REM stage. Participants were asked to report the presence of sensory dream content and to assess their current olfactory environment. Neither exposure, nor participants’ assessments of the ambient odour, or olfactory acuity affected reports of chemosensory dream content but they were more frequent in individuals with greater odour awareness. This finding may have implications for treatment when such experiences become unwanted or bothersome.


2008 ◽  
Vol 62 (1-2) ◽  
pp. 13-24
Author(s):  
Horea Samanc ◽  
Danijela Kirovski ◽  
Milijan Jovanovic ◽  
Ivan Vujanac ◽  
Radisa Prodanovic ◽  
...  

The objective of these investigations was to examine possibilities for preventing fatty liver in cows during the peripartal period using the preparation HEPARENOL which includes methionine, lysine and choline in its composition. Investigations were performed on cattle of the Holstein breed whose average production during their last lactation was 8120 liters. The cows included in the experiment were divided into three groups of 10 cows each. Cows of the first group were administered the preparation HEPARENOL perorally 5-7 days before partus in daily doses of 50 ml per animal, and then daily during the first seven days after parturition in daily doses of 100 ml per animal. The second group of cows were administered the preparation in the same way as the first group, but they also received vitamin C injected deep i.m. in doses of 1000 mg per animal per day. The third group of cows were not exposed to any treatment and served as the control group. The body condition of the cows was marked according to the system Elanco Animal Health Bulletin Al 8478. Blood samples were taken by puncture of the jugular vein before the beginning of treatment, and on the third and 12th days after partus. The glucose concentration was determined in the blood samples. On the 12th day after partus, liver tissue samples were taken by biopsy for pathohistological examinations. Since the cows were fed in the same way and were in the same phase of the production-reproduction cycle, the average score of the body condition before treatment was approximately the same. However, on the 3rd day after partus, cows of the second experimental group showed average values that were significantly lower in comparison with the other two groups of cows. It is very interesting that a significantly lower value of glycemia (x=1.93?0.34 mmol/l) was established in the same group of cows at this time. In cows of the first experimental and the control group, glycemia was approximately the same during the examined period. In cows of the second experimental group on the 12th day after partus the glucose concentration significantly increased (x=2.42?0.58 mmol/l) against the values obtained for the 3rd day, but it was still significantly lower in comparison with the glycemia of cows of the first experimental (x=3.34?0.61 mmol/l) and the control group (x=3.48?0.49 mmol/l). Practically, throughout the entire period glycemia was statistically significantly lower in the second experimental group in comparison with the other two groups of cows. The degree of fatty liver on the 12th day postpartally, or five days after the end of treatment, was the lowest in cows of the second experimental group. In order to stress the differences, it is pointed out that there were two cows without fatty liver in the second group, while there were no such cows in the first experimental or in the control group. This group contained the smallest number of cows with a mean degree of fatty liver (n=2), while two cows had very strong fatty liver. There were no differences between the control and the first experimental group in the number of cows with a mean degree of fatty liver, with the exception that the control group had two and the first experimental group one cow with a mild degree of fatty liver. It seems that treatment using the preparation HEPARENOL, or methionine, lysine and choline, before and after parturition did not have a significant effect on the incidence and degree of fatty liver. Only cows with additional and simultaneous treatment with vitamin C had a lower incidence and degree of morphological changes in the liver, in addition to the sigfnificant changes in body condition and the blood glucose concentration.


1897 ◽  
Vol 29 (5) ◽  
pp. 113-114 ◽  
Author(s):  
William H. Ashmead

♀.—Length, 4.5 mm. Head, thorax and abdomen above brownish-yellow; collar above, the middle mesothoracic lobe anteriorly, the lateral lobes and the metathorax, fuscous or blackish; head beneath mouth parts, pronotum, thorax at sides and beneath, tegulæ, legs and venter, white; the tarsi more or less and the femora toward apex with a decided yellowish tinge; stemmaticum dusky, the ocelli pale; occiput with two dusky spots. Antennæ 48-jointed, slender, much longer than the body, the scape and pedicel somewhat dusky, the flagellum pale brownish-yellow. Mesonotum smooth, trilobed, the metanotum shagreened. Wings hyaline; the costa, stigma, poststigmatal and basal veins pale yellowish, the other veins dusky; second abscissa of radius about three times as long as the first, the second submarginal cell, therefore, long, longer than the first and almost as long as the third Abdomen as long or possibly a little longer than the head and thorax united. Segments 1–3 coarsely longitudinally striated, the following almost smooth, but opaque; the first segment is scarcely as long as the second and third united, the third about half the length of the second, the fourth and following shorter, subequal; ovipositor distinctly exserted, scarcely as long as the basal joint of hind tarsi, the tip black. Type, No. 3648, U. S. N. M.


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