scholarly journals Transdisciplinarity in Evaluating the Health Conditions of Institutionalized Elderly Persons in Bauru, São Paulo, Brazil

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
José Roberto de Magalhães Bastos
Keyword(s):  
Elderly Population ◽  
Speech Therapy ◽  
Field Research ◽  
Sao Paulo ◽  
Health Conditions ◽  
Elderly Persons ◽  
São Paulo ◽  
Institutionalized Elderly ◽  
The Government

The main aim of the research developed and described here was to record and evaluate-in the light of the concept of transdisciplinarity-the conditions of health and functional capacity of institutionalized elderly persons in Bauru, a city with 400,000 inhabitants, situated close to the centre of the state of São Paulo, Brazil. A descriptive and exploratory field research was conducted with diverse objects of research and methodologies, considering the fields of Dentistry, Nursing, Physical Therapy, Biomedicine and Speech Therapy. The Government effort in Brazil must be placed on record to make it possible to understand therapid growth of its elderly population, its consequences and needs, with the aim of greatly enhancing attention to their quality of life, compatible with the expectations of the population and authorities in all fields of Brazilian health care.

scholarly journals Clinical pharmacology profile of care in Hepatology clinic

2017 ◽  
Vol 63 (5) ◽  
pp. 401-406
Author(s):  
Talita Rocha Passos ◽  
Fabiana Silva Santos ◽  
Maria Cleusa Martins ◽  
Vanusa Barbosa Pinto ◽  
Flair José Carrilho ◽  
...  
Keyword(s):  
Elderly Population ◽  
Health Spending ◽  
Secondary Level ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Medical Specialties ◽  
The University ◽  
Basic Health Units

Summary Since 2010, the Clinical Gastroenterology and Hepatology Division of the Central Institute of Hospital das Clínicas of the University of São Paulo Medical School (HC-FMUSP, in the Portuguese acronym) has been developing specialized electives assistance activities in the Outpatient Specialty Clinic, Secondary Level, in São Paulo NGA-63 Várzea do Carmo. The objective of this study was to analyze the pharmacotherapeutic profile of patients. This is a cross-sectional and retrospective study in which patients were seen at the Hepatology sector and the results were submitted to descriptive statistics. During the study period, 492 patients were treated at the clinic, with a mean age of 58.9 years and frequency of 61.2% female and 74.8% living in São Paulo. This population was served by various other medical specialties (cardiology and endocrine among others) and the major liver diagnoses were: chronic hepatitis B and C and fatty liver. Comorbidities were also identified, such as diabetes, hypertension and dyslipidemia. Most patients took their medication in the Basic Health Units. We found that 30% of patients use of more than five medications and the most prescribed were omeprazole 208 (42.3%), metformin 132 (26.8%) and losartan 80 (16.3%). Because it is an adult/elderly population, with several comorbidities and polymedication, it is important to be aware of the rational use of medication. The multidisciplinary team is important in applying correct conducts for the safe use of medicines, to reduce the burden on health spending and improving the quality of life of patients.

scholarly journals Exploratory analysis of requests for authorization to dispense high-cost medication to COPD patients: the São Paulo “protocol”

2019 ◽  
Vol 45 (6) ◽  
Author(s):  
Regina Maria Carvalho-Pinto ◽  
Ingredy Tavares da Silva ◽  
Lucas Yoshio Kido Navacchia ◽  
Flavia Munhos Granja ◽  
Gustavo Garcia Marques ◽  
...  
Keyword(s):  
Sao Paulo ◽  
Public Health Care ◽  
São Paulo ◽  
Local Public Health ◽  
Copd Patients ◽  
Male Patients ◽  
The Mean ◽  
The Government ◽  
Long Acting

ABSTRACT Objective: A resolution passed by the government of the Brazilian state of São Paulo established a protocol for requesting free COPD medications, including tiotropium bromide, creating regional authorization centers to evaluate and approve such requests, given the high cost of those medications. Our objective was to analyze the requests received by an authorization center that serves cities in the greater metropolitan area of (the city of) São Paulo between 2011 and 2016. Methods: Data regarding the authorization, return, or rejection of the requests were compiled and analyzed in order to explain those outcomes. Subsequently, the clinical and functional data related to the patients were evaluated. Results: A total of 7,762 requests for dispensing COPD medication were analyzed. Requests related to male patients predominated. Among the corresponding patients, the mean age was 66 years, 12% were smokers, 88% had frequent exacerbations, and 84% had severe/very severe dyspnea. The mean FEV1 was 37.2% of the predicted value. The total number of requests decreased by 24.5% from 2012 to 2013 and was lowest in 2015. Most (65%) of the requests were accepted. The main reasons for the rejection/return of a request were a post-bronchodilator FEV1/FVC ratio > 0.7, a post-bronchodilator FEV1 > 50% of the predicted value, and failure to provide information regarding previous use of a long-acting β2 agonist. During the study period, the total number of requests returned/rejected decreased slightly, and there was improvement in the quality of the data included on the forms. Conclusions: Here, we have identified the characteristics of the requests for COPD medications and of the corresponding patients per region served by the authorization center analyzed, thus contributing to the improvement of local public health care measures.

Health Conditions, Medication and Hospitalisation Preferences of Elderly in Kerala

2019 ◽  
Vol 13 (3) ◽  
pp. 308-324
Author(s):  
V. P. Sanitha ◽  
J. K. Parida ◽  
I. C. Awasthi
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Healthcare Services ◽  
Health Care Facilities ◽  
Health Conditions ◽  
Primary Data ◽  
Public Provision ◽  
Marginalised Groups ◽  
The Government

This article intends to study the health conditions, medication and hospitalisation preferences, and the determinants of medication preferences of the elderly population in Kerala. It is based on the primary data collected from a sample of 801 households and three old-age homes (OAHs) in three districts of the state, namely Kozhikode, Ernakulum and Trivandrum. The evidence suggests that the elderly population are vulnerable to various chronic diseases and they tend to spend more on healthcare. In the absence of public provision of effective healthcare services in Kerala, the elderly spend out-of-pocket on health expenses and choose private hospitals for effective and better treatment. However, those who prefer government hospitals mostly belong to poor and marginalised groups, including the inmates of OAHs. With regard to the type of medicines, the elderly often prefer Ayurveda and Homeopathy to Allopathy medicines. Based on these findings, we suggest that the government intervention in terms of more health care facilities and health insurance schemes for the elderly is necessary to improve their quality of life.

scholarly journals Analysis of quality of life and associated factors in a group of elderly persons with supplemental health plans in the city of São Paulo, Brazil

2019 ◽  
Vol 22 (4) ◽  
Author(s):  
Maria Elisa Gonzalez Manso ◽  
Leandro Tadeu Prazeres Maresti ◽  
Henrique Souza Barros de Oliveira
Keyword(s):  
Quality Of Life ◽  
Health Plan ◽  
Associated Factors ◽  
The Elderly ◽  
Sao Paulo ◽  
World Health ◽  
Elderly Persons ◽  
São Paulo ◽  
The City

Abstract Objective: To measure the Quality of Life (QoL) and associated factors in a group of elderly persons receiving care through a health plan operator in the city of São Paulo, Brazil. Method: A cross-sectional study was carried out with 169 elderly persons enrolled in a health plan and who were participants in a program to promote health and prevent risks and diseases. The Bref and Old versions of the World Health Organization Quality of Life (WHOQOL) instruments were adopted for the evaluation of the QoL of the elderly. After descriptive analysis, a comparative analysis was performed through the Student’s t-tests and ANOVA. The Brown-Forsythe test was applied for situations in which no homogeneity was found and the Tukey test for multiple comparisons was applied. Results: The highest mean QoL values were found in the Psychological [72.1 (±14.3)] and Environment [68 (±15.4)] and Intimacy [72.5 (±20.8)] domains, while the worst results were found in the Physical [64.3 (±18)] domain and in the Death and Dying facet [61.2 (±23.2)]. In this group, factors such as obesity, neoplasia and previous hospitalizations were negatively associated with QoL, whereas young elderly, female, widows, carriers of chronic non-communicable diseases and those limited to two morbidities, who practiced physical activity and had clinical care provided by a reference physician had a positive influence. Conclusion: The findings of this research showed high levels of satisfaction with health and QoL, in addition to raising relevant discussions about predictors that influence the QoL of the elderly receiving care from the supplementary sector. It also emphasizes the need for new strategies of action to ensure improvements in the health care of the elderly.

scholarly journals Changes in quality of life: the experience of elderly persons at a university of the third age

2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Rita de Cassia Cabral de Campos Martins ◽  
Sidnei José Casetto ◽  
Ricardo Luís Fernandes Guerra
Keyword(s):  
Quality Of Life ◽  
Social Interaction ◽  
Sao Paulo ◽  
Elderly Persons ◽  
São Paulo ◽  
Structured Interviews ◽  
Third Age ◽  
The Third ◽  
The University

Abstract Objectives: The aim of the present qualitative and quantitative study was to investigate whether the participation of elderly persons in the University of the Third Age (U3A) of the Federal University of São Paulo, Baixada Santista (Unifesp/BS) led to a perceived improvement in quality of life; the meaning of the term quality of life for the participants; and whether education and social interaction are considered relevant in any such perceived improvement. Method: Data were collected through the SF-36 questionnaire and semi-structured interviews at the beginning and end of the academic year. Results: The quantitative data did not differ significantly between the beginning and end of the research period, except for the variable Vitality (V). The qualitative results, however, signaled a perception of change in terms of education, social interaction and quality of life. Conclusion: The data indicated that participation in the University of the Third Age at the Federal University of São Paulo, Baixada Santista (Unifesp/BS) was associated with a perception of positive changes in the quality of life of the elderly persons, who considered social interaction and education to be an important part of these improvements.

QUALIDADE DE VIDA DE MULHERES E AS CARACTERÍSTICAS SOCIODEMOGRÁFICAS ASSOCIADAS

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Larissa Giovanna Cazella ◽  
Letícia Yamawaka De Almeida ◽  
Jaqueline Lemos De Oliveira ◽  
Ana Carolina Guidorizzi Zanetti ◽  
Jacqueline De Souza
Keyword(s):  
Quality Of Life ◽  
Social Vulnerability ◽  
Sao Paulo ◽  
Life Assessment ◽  
Sociodemographic Characteristics ◽  
São Paulo ◽  
Calidad De Vida ◽  
Primary Health ◽  
Las Mujeres

Objetivo: analisar as características sociodemográficas associadas à percepção da qualidade de vida de mulheres atendidas na atenção primária. Metodologia: estudo transversal, quantitativo, desenvolvido com 113 mulheres em uma unidade de saúde do interior de São Paulo. Utilizou-se um questionário sociodemográfico e a versão abreviada do instrumento de avaliação de qualidade de vida. Para análise dos dados, foram empreendidos testes de associação. Resultados: a maioria das participantes era de classes sociais menos favorecidas e apresentava boa percepção de qualidade de vida e saúde. Os fatores renda, escolaridade e idade foram os mais relevantes na associação com a qualidade de vida. Conclusão: Apesar de mencionarem boa qualidade de vida e saúde, foram identificados piores resultados nos domínios físicos, psicológicos e meio ambiente.  Os achados reforçam a necessidade de que as ações de saúde estejam contextualizadas aos aspectos sociais/territoriais e vinculadas a políticas mais amplas de redução da vulnerabilidade social. WOMEN'S QUALITY OF LIFE AND ASSOCIATED SOCIO DEMOGRAPHIC CHARACTERISTICSObjective: to analyze the sociodemographic characteristics associated to the perception of the quality of life of the women attended in the Primary Health Care. Methodology: this cross-sectional quantitative study was carried out with 113 women aged 20 to 65 years in a health unit in the interior of São Paulo. A sociodemographic questionnaire and the abbreviated version of the WHOQOL-bref quality of life assessment instrument were used. For data analysis, association tests were undertaken. Results: the majority of participants were from less favored social classes and had a good perception of quality of life and health. The factors income, schooling and age were the most relevant in the association with quality of life. Conclusion: in view of the sociodemographic characteristics associated with quality of life in the present study, it is emphasized that health actions should be linked to broader policies to reduce social vulnerability, enabling empowerment strategies and, above all, increasing women's access to education and income.Descriptors: Quality of Life; Health Centers; Social Vulnerability; Women; Primary Health Care.CALIDAD DE VIDA DE LAS MUJERES Y LAS CARACTERÍSTICAS SOCIODEMOGRÁFICAS ASSOCIADASObjetivo: analizar las características sociodemográficas asociadas a la percepción de la calidad de vida de mujeres que acuden a atención primaria. Métodos: este estudio cuantitativo transversal se realizó con 113 mujeres de 20 a 65 años en una unidad de salud en el interior de São Paulo. Se utilizó un cuestionario sociodemográfico y la versión abreviada del instrumento de evaluación de calidad de vida WHOQOL-bref. Para el análisis de los datos, se realizaron pruebas de asociación. Resultados: la mayoría de los participantes provenían de clases sociales más bajas y tenían una buena percepción de la calidad de vida y la salud. Los factores ingresos, educación y edad fueron los más relevantes en asociación con la calidad de vida. Conclusión: en vista de las características sociodemográficas asociadas con la calidad de vida en el presente estudio, se enfatiza que las acciones de salud están vinculadas a políticas más amplias para reducir la vulnerabilidad social, permitiendo estrategias de empoderamiento y, sobre todo, aumentando el acceso de las mujeres a educación e ingresos.Descriptores: Calidad de Vida; Centros de Salud; Vulnerabilidad Social; Mujeres; Atención Primaria de Salud.

Bone mineral density and osteoporosis among a predominantly Caucasian elderly population in the city of São Paulo, Brazil

2005 ◽  
Vol 16 (11) ◽  
pp. 1451-1460 ◽  
Author(s):  
Marilia Brasilio Rodrigues Camargo ◽  
Maysa Seabra Cendoroglo ◽  
Luiz Roberto Ramos ◽  
Maria do Rosario Dias de Oliveira Latorre ◽  
Gabriela Luporini Saraiva ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Elderly Population ◽  
Sao Paulo ◽  
São Paulo ◽  
Mineral Density ◽  
The City

scholarly journals Microbiological counting in lamb carcasses from an abattoir in São Paulo, Brazil

2009 ◽  
Vol 39 (6) ◽  
pp. 1836-1841 ◽  
Author(s):  
Thaís Mioto Martineli ◽  
Oswaldo Durival Rossi Junior ◽  
Natacha Deboni Cereser ◽  
Marita Vedovelli Cardozo ◽  
Cristianne Lino Fontoura ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Microbiological Quality ◽  
Sao Paulo ◽  
Most Probable Number ◽  
São Paulo ◽  
Probable Number ◽  
Lamb Meat ◽  
Thermotolerant Coliforms ◽  
Sanitary Conditions

The consumption of lamb meat in Brazil has increased in the last years but little information about the microbiological quality of this product is available. To evaluate the hygienic-sanitary conditions of lamb carcasses, the quantification of microorganism populations indicators (mesophiles and psychrotrophs; total and thermotolerant coliforms; Escherichia coli; moulds and yeasts) and the pathogenic microorganisms indentification (Salmonella sp. and Listeria spp.) were performed. A total of 60 lamb carcasses were sampled from one abattoir in São Paulo. Swab samples were collected from three points (forequarter, back and hindquarter) on the muscle surface after carcasses final washing. Statistical analysis consisted of descriptive evaluation of the results whose counts were grouped by intervals of microorganism populations. Counts ranged from 1.0 x 10¹ to 8.0 x 10(4) colony-forming unit cm-2 (CFU cm-2) for mesophiles; 1.0 x 10(0) to 4.4 x 10(4)CFU cm-2 for psychrotrophs; < 1.0 x 10(0) to 4.4 x 10(4)CFU cm-2 for moulds and yeasts; < 0.3 to > 32.0 most probable number/cm² (MPN cm-2) for total and thermotolerant coliforms and Escherichia coli. Salmonella sp. and Listeria spp. were not found in any of the carcasses. Most carcasses presented low counts for all microorganisms. Overall results may be explained by the small size of the industry where the study was taken. Results suggest that good microbiological quality lamb meat is possible to be obtained, but improvement in hygienic-sanitary conditions is still required.

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