Navegando por Palavras-chave "Quality Of Life"

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    Adolescentes em conflito com a lei e adolescentes escolares: suas trajetórias, intersecções e distanciamentos
    (Universidade Federal de São Paulo (UNIFESP), 2020-12-01) Silva, Maria Angelica Alves Da [UNIFESP]; Avallone, Denise De Micheli [UNIFESP]; Universidade Federal de São Paulo
    OBJECTIVE: This study aimed to identify, analyze, and relate the profiles of adolescents in conflict with the law (ACL) and school teenagers (AE) on the indicators: school trajectory, quality of life, use of psychoactive substances, resilience, and anger. METHODS: The profiles of 474 adolescents, 203 adolescents institutionalized in Fundação CASA (ACL) and 271 adolescents from state public schools (AE), aged 12 to 21, and were analyzed. The instruments used were a Sociodemographic Questionnaire and a School Trajectory, DUSI - Drug Use Screening Inventory, STAXI - Anger Expression Inventory as a Trait and State, Resilience Scale and WHOQOL-bref. RESULTS: The groups showed differences in family configuration, highlighting the predominance of single-parent families ACL (63%) and AE (34.3%); lag and conflicting relationships were identified in the school ACL’s context, the use of psychoactive substances was also more frequent in this group; however the AE group showed a discrepancy between substance use behavior and related problems. There was a difference regarding the psychoactive substances in which they showed evidence of ACL dependence: marijuana, 73%; alcohol, 48% and tobacco, 44%; AE: alcohol, 32%; tobacco, 12% and marijuana, 10%. On the STAXI scales, ACL had higher scores for State and Trait of Anger, Anger out and in with statistically significant differences. There was no statistically significant difference between the groups regarding the measurement of Resilience. In the WHOQOL-bref AE showed greater satisfaction regarding the general quality of life, while ACL showed greater satisfaction with their health, between the domains there were differences between the groups in DOM4 - Environment (AE: 60.6 ± SD 15.2; ACL: 57.7 ± SD 15.3) and DOM2 - Psychological (AE: 63.6 ± SD19.4; ACL 69.7 ± SD 16.3). In the binary logistic regression, the results showed that the scores of the instruments WHOQOL-bref, DOM1 - Physical and DOM2 - Psychological, DUSI - Area 1 and STAXI - Anger status increase the chances of belonging to the ACL group, while the odds reasons for belonging to the AE group were associated with the highest Resilience scores, WHOQOL-bref at DOM4 - Environment and STAXI – Temperament. CONCLUSION: It is understood that family and school must be invested in public policies that help them to configure in fact the important protective factors that they represent to overcome the vulnerabilities of adolescents and the risk factors of these contexts.
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    Análise da qualidade de sono em estudantes de graduação em enfermagem: repercussões no estado nutricional e qualidade de vida
    (Universidade Federal de São Paulo (UNIFESP), 2019-01-31) Salvi, Carolina Pasquini Praxedes [UNIFESP]; Martino, Milva Maria Figueiredo De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Nursing students face throughout college life changes in routine, come across with great demand and experiences of everyday academic, and there are those who, besides studying, they work. Consequently, they may present losses in the teaching-learning process, interference in the pattern of the wake-sleep cycle, tiredness, and changes in food patterns and in quality of life. Objective: To analyze the quality of sleep, the quality of life and characterize the eating habits of nursing students. Method: Cross-sectional descriptive study with quantitative approach. The data were obtained through the instruments: socio-demographic questionnaire, questionnaire on food behavior, Pittsburgh sleep quality index and WHOQOL-BREF questionnaire, applied to a sample of 195 students of the Nursing course of a university located in the municipality of São João da Boa Vista-São Paulo. Results: Most participants resided in the city of origin of the university, were female, singles, have an average age of 24 years, did not have children and worked. More than half did not practice physical activity (63,08%), did not smoke (90,77%) and reported no disease (67,18%). Among the participants, 32,62% performed two to three meals, 45,13% consumed one portion of fruit, 40,66% of two to three servings of vegetables, daily, and 50,26% did not consume fast foods. The students reported their weight and height measurements, averaging 69,72 kg and 1,65 cm, respectively, resulting in an average body mass index of 25,61 kg/m2. They rated the general quality of life as neither poor nor good (38,34%) and as good (38,34%), and as for the perception of general health, 36,98% expressed satisfaction. It was observed that 71,05% of the participants presented poor sleep quality, with an average stay in the bed of 6,49 hours. Most students did not use medicines that induce sleep and 98,97% used electronic devices, like cell phone, tablet and notebook, before they slept. Among the study participants, there was a significant association between physical activity and insomnia and the periods studied and a significant correlation between the WHOQOL-BREF domains and the overall PSQI score. Conclusion: The study allowed drawing a profile and panorama of the life of these students, being they young people who study and work, sedentary and overweight. They have a quality of life classified as good and poor sleep quality. Knowledge of this reality may be useful to contribute to other studies and preventive strategies that may benefit the lives of nursing students.
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    Análise integrada de genes e miRNAs diferencialmente expressos em carcinomas de ovário seroso de alto grau de pacientes com distintas respostas à quimioterapia
    (Universidade Federal de São Paulo (UNIFESP), 2021) Melo, Natalia Cruz E [UNIFESP]; Rocha, Rafael Malagoli [UNIFESP]; Universidade Federal de São Paulo
    OBJECTIVE: This study intended to evaluate the action of acupuncture on myelodepression in women with breast cancer during treatment with anthracyclines and quality of life, before and after chemotherapy. METHODS: The population of this study was composed of women newly diagnosed with breast cancer at the UNIFESP Mastology outpatient clinic and with indication for chemotherapy with anthracyclines. Patients were randomized into two groups: the Acupuncture Group (GA) and the Control Group (CG). All participants, before and at the end of treatment with anthracyclines and at the end of it, answered the quality of life questionnaire (FACT-G) and were monitored for leukocyte and neutrophil levels in peripheral blood as an indicator of the level of spinal depression. The GA underwent intervention with Acupuncture for up to 10 sessions, starting before the first infusion of chemotherapy and continuing throughout the treatment. The points were used: GV14, CV6, ST36, SP6, KI3, GB39. RESULTS: A total of 26 women were randomized into 2 groups: GA (10) and CG (16). Of these, 7 (26.92%) received a dense dose indication (according to the service protocol) and, therefore, received the granulocyte stimulating factor G- CSF from the first cycle. Thus, for the analysis of the protective effect of acupuncture on the myeloprotective medulla, 2 women from GA and 5 from GC were excluded. The Quality of Life (QOL) analysis was performed for the total sample and also in the subgroups that received G-CSF. The need for secondary prophylaxis with G-CSF occurred in 72.7% (08/11) in the control group and in 12% (08/01) in the acupuncture group (p-value = 0.009). Regarding quality of life (QOL), the initial and final FACT-G showed a difference between the groups, where the mean GA at the end rose from 80.68 to 90.12 (p-value = 0.004) and in the CG mean fell from 81.95 to 70.59 (p-value = 0.003) .In the analysis of subgroups that used G-CSF, the QoL of women in GA showed better QoL (p-value = 0.036). CONCLUSION: Based on the results presented, acupuncture showed efficiency in the prophylaxis of myelosuppression induced by chemotherapy with anthracyclines and increased the quality of life of women during treatment, including those who needed G-CSF.
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    Avaliação auditiva, vestibular e de qualidade de vida em pacientes com Schwannoma vestibular submetidos a radiocirurgia estereotáxica
    (Universidade Federal de São Paulo (UNIFESP), 2021) Marra, Murilo Bufaical [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Universidade Federal de São Paulo
    Stereotaxic radiosurgery (SRS) is a safe and effective treatment for patients with vestibular schwannoma from internal acoustic meatus and the cerebropontine angle. However there are controversies about the best moment to start the treatment, related to the size of the tumor, the preview hearing level and the dose of cochlear radiation. The goals of this study are to evaluate hearing, balance, tinnitus and quality of life of patients with vestibular schwannomas submited to stereotaxic radiosurgery. Method: non randomizid clinical trial of 30 patients with vestibular schwannomas minors or equal 3,5 cm submited to stereotaxic radiosurgery in a Linear Accelerator with a medium dose of radiation of 12Gy in a single dose from january 2017 to june 2020. We analysed pure tone and vocal audiometry, imitanciometry, vectoeletronistagmography, magnetic resonance of skull and temporal bone and validated questionnaries for Portuguese (hearing, tinnitus and dizziness) handicap inventory and a quality of life questionary (whoqol-bref) pre and pos SRS. Next to these parameters were also analyzed the age, the tumor size and the cochlear radiation dose in order to correlate with hearing, tinnitus, dizziness and quality of life of these patients. The hearing loss was classified according to the American Academy of Otorhinolaryngology and Head and Neck Surgey (AAO-HNS), from 1995. Exclusion criteria: patients that had performed other types of treatment (radiotheraphy or microsurgery) pre or three years after stereotacxic radiosurgery, patients with type 2 neurofibromatosis and patients that could not perform the exams and the questionaries above. Results: There was a worse in hearing after 2 years of treatment with 80% of the patients with level A and B pré treatment and 73,34% C and D after. Patients exposed to intracochlear radiation above 5 Gy, decreased their hearing thresholds, being 66,7% A and B pre treatment and 86,7% C and D pos treatment. About DHI, there was an improvement in dizziness when evaluated before 2 years after treatment with 46,67% of the patients with light dizziness before and 73,34% after treatment. There was an improvement in tinnitus after 2 years of treatment with 20% of patients classified as zero and mild before and 80% after. In relation to Whoqol-Bref there was an improvement of 53,34% classified as A and B before to 80% after treatment.
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    Avaliação Da Capacidade Funcional, Qualidade De Vida E Nível Da Atividade Física De Pacientes Com Fibromialgia E Com Artrite Reumatoide Em Hospital Universitário De Atenção Terciária
    (Universidade Federal de São Paulo (UNIFESP), 2018-03-29) Azevedo, Carolina Bassoli De [UNIFESP]; Simoes, Martin Fabio Jennings [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Fibromyalgia (Fm) Is A Disease Characterized By Disturbances In Pain Control Mechanisms. Rheumatoid Arthritis (Ra) Presents Itself Erosive Synovitis In Small And Large Joints. Both Diseases Can Generate Functional Impairment To The Patient And Reduce Physical Fitness. Objective: The Objective Of The Study (Descriptive Transversal) Was To Evaluate The Functional Capacity, Level Of Physical Activity And Quality Of Life Of Patients With Fm And Ra And Compare To Control Individuals. Material And Methods: Three Groups Were Formed: Fm (N = 30) Ra (N = 42) And Control (N = 30) To Evaluate Clinical Characteristics And Functional Capacity By Questionnaires Haq (Health Assessment Questionnaire) And Fiq (Fibromyalgia Impact Questionnaire), Physical Activity Level By Ipaq (International Physical Activity Questionnaire) And General Quality Of Life (Sf-36 Questionnaire). Results: The Characteristics Of Gender, Age, Body Mass Index (Bmi) And Socioeconomic Between Groups Were Similar. Regarding Haq, The Ra 1.13
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    Avaliação Da Força E Fatigabilidade Muscular Periférica Por Dinamometria Isocinética Em Pacientes Com Doença Pulmonar Obstrutiva Crônica Associada À Insuficiência Cardíaca
    (Universidade Federal de São Paulo (UNIFESP), 2017-07-31) Medina, Luiz Antonio Rodrigues [UNIFESP]; Medeiros, Wladimir Musetti [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The coexistence of chronic obstructive pulmonary disease (COPD) and heart failure with ejection fraction reduced left ventricular (IC) is underdiagnosed and is associated with poor prognosis. Cardiocirculatory and pulmonary changes found in both diseases can impair the supply of oxygen (O2) to the peripheral muscles resulting in decreased muscle strength and endurance, resulting in the exercise intolerance and the decline in functional capacity. Fifty male patients, with twentyfive COPD + IC (age 67.8 ± 6.9; FEV1 62.5 ± 17.4% predicted; EF = 36.1 ± 10.7) and twenty-five COPD (age 66.1 ± 9.1; FEV1 51.3 ± 17.0% predicted; EF = 67.6 ± 4.7) underwent clinical evaluation, resting echocardiography, pulmonary function, cardiopulmonary test incremental exercise (CPET), step test 4 minutes, 6 minute walk test and peripheral muscle isokinetic evaluation. The groups did not differ in demographic and anthropometric characteristics (p> 0.05). The functional capacity measured in 6-minute walk test showed a trend of smaller distance in COPD + IC group (401.4 ± 92.7) compared to COPD (451.5 ± 99.4) maximum effort COPD + IC group had significantly lower values load achieved when compared with the COPD group (57.6 ± 24.3 vs. 73.5 ± 22.7; P <0.05). The muscle performance is compromised in both COPD and in COPD + IC group. The lower torque, power and work, it is most evident in COPD + IC group. The most significant findings were in the flexor muscles of the knee, the isokinetic evaluation at 60°/s and 300 °/s respectively. The 60 °/s work and the torque peak as a percentage of predicted in COPD + IC group was lower than the COPD group (54.7 ± 13.3 vs. 65.8 ± 13.1; P < 0.05), (87.0 ± 24.0 vs. 94.8 ± 22.8; P < 0.05). The COPD + HF group showed significantly lower values in the fatigue index in percentage corrected by muscle mass in the torque variables (1.5 ± 0.4 vs. 1.2 ± 0.3; P < 0.05), work (1.4 ± 0.4 vs. 1.1 ± 0.3; P < 0.05), and power (1.8 ± 0.4 vs. 1.4 ± 0.4; P < 0.05). The overlap of HF in patients with COPD worsens muscle dysfunction observed in patients with isolated COPD. However, this increase is not uniform over the entire lower limb muscles, specifically affecting the knee flexors.
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    Avaliação da qualidade de vida em crianças e adolescentes com espinha bífida com vesicostomia antes e após a cirurgia de ampliação vesical e fechamento da vesicostomia (QUALAS-C e QUALAS-T)
    (Universidade Federal de São Paulo (UNIFESP), 2020-08-07) Silva, Maria Isabel Silva [UNIFESP]; Macedo Junior, Antonio [UNIFESP]; Universidade Federal de São Paulo
    INTRODUCTION. In the latest years, there has been a growing worldwide interest in assessing health-related quality of Life, especially in chronic diseases of adults and children. When validating for the Portuguese the QUALAS questionnaire in our urology service, we identified in our cohort patients a very specific subgroup of the pediatric population with myelomeningocele, the patients with vesicostomy. GOALS. To evaluate the health-related quality of life of children and adolescents with spina bifida with vesicostomy who underwent bladder enlargement with or without catheterization and closure of the vesicostomy, before and after surgery. METHODOLOGY. Health-related quality of Life analysis through the QUALAS questionnaire. The same was applied by the researchers exclusively in two steps, before surgery and on the fourth week after the start of clean intermittent catheterization after surgery. RESULTS. Between January 2017 and July 2018, 10 patients underwent vesicostomy closure surgery with bladder enlargement. According to the patients age group 8 QUALAS-C questionnaires and 2 QUALAS-T questionnaires were performed. It can be observed that there was an improvement in quality of life at the time after surgery, but this did not show to be statistically significant in any of the groups. However, when analyzing the bladder and intestinal domain there was a significant increase in the mean score between the two moments, showing a statistically significant improvement in health-related quality of Life. CONCLUSIONS. After analyzing the quality of life questionnaires, their global analysis and the isolated analysis of the bladder function domain, we observed an improvement in the quality of life of children and adolescents studied after bladder enlargement surgery, which corroborates the search for urinary continence for these patients. Patients with neurogenic bladder and myelomeningocele, especially those with vesicostomy, should be offer definitive surgical treatment as soon it is feasible.
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    Avaliação da qualidade de vida em pacientes com hemocromatose após três anos de tratamento
    (Universidade Federal de São Paulo (UNIFESP), 2019-12-18) Acevedo, Luis Alfredo Utria [UNIFESP]; Santos, Paulo Caleb Junior De Lima [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Hereditary hemochromatosis (HH) is an iron overload of genetic origin caused by hepcidin deficiency. In an earlier phase of this study, quality of life (QoL) was evaluated in 79 patients with HH with the Short Form Health Survey 36 (SF-36) divided according to the genotypic group: group 1 (patients with primary iron overload and homozygous genotype for the HFE mutation p.Cys282Tyr) and group 2 (other genotypes). The QoL scores between the two groups were significantly different in four domains of the eight SF-36 domains. These were: pain, general health, vitality and social aspects. The patients were treated for three years (final phase). The objectives of this study were to compare QoL between the two groups and to evaluate the possible association of serum ferritin values with QoL. Methods: In this final phase, 65 patients were included. The evaluation groups were maintained according to the initial phase. SF-36 was applied, compound that provide evaluate physical and mental components. Results: Both groups significantly decreased serum ferritin concentrations: group 1 from 1,844±1,313 ng/mL to 281±294 ng/mL; and group 2, from 1,216±631 ng/mL to 236±174 ng/mL. Group 1 had lower mean values for six SF-36 domains (Pain; General Health; Vitality; Social Aspects; Emotional Aspects; Mental Health) compared to Group 2, indicating worse QoL. Conclusions: In this final phase, six domains were different between genotypic groups, two more than in the initial phase, reaffirming the impact of the identified genotype on the QOL of patients with HH. In addition, we found no association between ferritin decrease and SF-36 domains, even though there was a significant reduction in this biological parameter in both groups.
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    Avaliação Da Qualidade De Vida Em Pacientes Com Lúpus Eritematoso Sistêmico Do Sexo Masculino
    (Universidade Federal de São Paulo (UNIFESP), 2018-02-22) Lerner, Tatiana Goberstein [UNIFESP]; Sato, Emilia Inoue [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Systemic Lupus Erythematosus (Sle) Is A Chronic, Inflammatory And Autoimmune Disease, With Worldwide Distribution, Multifactorial Etiology And Clinical Course With Exacerbations And Remission. Despite The Predominance In Women, Studies Indicate That Men With Sle Present A More Severe Disease, With More Frequent Renal Involvement, A Greater Number Of Systemic Manifestations And A Greater Need For Immunosuppressive Drugs, In Addition To An Increased Risk Of Organ Damage. Primary Objective: To Evaluate Quality Of Life (Qol) In Men And Women With Sle; Secondary Objectives: To Compare Disease Activity, Damage, Depression, Anxiety And Fatigue Between Men And Women With Sle. Patients And Methods: Cross-Sectional Study With 37 Men And 69 Women With Sle Followed In The Autoimmune Rheumatic Diseases Outpatient Clinic From Hospital São Paulo/Unifesp. Quality Of Life Was Evaluated Through Sf-36 And Sleqol Questionnaires; Depression And Anxiety Were Assessed By Hads And Fatigue By Fss. Disease Activity Was E
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    Avaliação da satisfação e da qualidade de vida na paciente submetida ao tratamento cirúrgico de câncer de mama pelo questionário Breast-Q
    (Universidade Federal de São Paulo (UNIFESP), 2021) Okajima, Karina Helena [UNIFESP]; Nazario, Afonso Celso Pinto [UNIFESP]; Universidade Federal de São Paulo
    Introduction: The Breast-Q is an instrument for evaluating the opinion of the patient through the answers to the questionnaire of the module corresponding to the type of surgery applied for the treatment of breast cancer. Objective: To compare psychological well-being, satisfaction and sexual well-being between groups of patients who underwent mastectomy and breast-conserving surgery using the Breast-Q questionnaire. Methods: Participants in this prospective study were women (aged 18 to 81 years) diagnosed with invasive or in situ breast carcinoma. All selected patients underwent mastectomy (MT) or breast-conserving surgery (QDT) between January 2018 and January 2019 and were invited to complete the BREAST-Q questionnaire module before and up to one month after surgery. We compared the mean difference before and after surgery between the MT and QDT groups using the Wilcoxon test. Inclusion criteria were women over the age of 18 with no prior history of surgery or breast cancer. Results: Breast-Q was applied to 73 women (34 MT, 39 QDT). The mean age was 54 ± 15 years for the TM group and 60 ± 12 years for the QDT group (p=0.08). Patients undergoing QDT group reported better psychosocial well-being when compared to the MT group (8.6 ± 27 vs. – 15 ± 25, respectively, p=0.008). There was a trend towards greater satisfaction with the breasts in the QDT group when compared to the MT group (-6.7 ± 24 vs. – 25 ± 34, respectively, p=0.06). There was no difference between the groups in terms of physical well-being (p=0.6) and sexual well-being (p=0.4). Conclusion: The Breast-Q questionnaire is a valuable tool to qualify patient satisfaction in breast cancer surgery. Conservative surgery was superior to mastectomy for psychosocial well-being and with a tendency towards greater satisfaction with the breasts.
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    Avaliação Da Segurança E Eficácia "In Vitro" Da Cuscuta Racemosa Martius
    (Universidade Federal de São Paulo (UNIFESP), 2017-07-27) Sawicki, Wanda Cristina [UNIFESP]; Belasco, Angelica Goncalves Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objectives: Investigated quality of life (QOL), university alcohol consumption and the impact of Brief Intervention (IB). Methods: Prospective longitudinal study. We evaluated 281 university students, collected sociodemographic, economic information, alcoholic beverage intake and QOL. Research in 4 steps: application of questionnaires; comments on consumption pattern and lecture with information material delivery, re-evaluation and reinforcement of IB. Descriptive and analytical statistics were performed through the tests. Results: Ingested alcohol at any time 90% and 20.6% were abusive or harmful. Less than the age of the first use of alcoholic beverages, the greater the consumption of risk. After IB, there was a significant decrease in alcohol consumption. QoL compromised in the areas of vitality, general health, mental health and emotional aspects. Mental health of students who drank was significantly lower compared to those who did not drink. Conclusion: IB was effective in decreasing alcohol consumption, being important in promoting and improving health and quality of life
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    Avaliação do espaço aéreo anterior da cavidade nasal e qualidade de vida em crianças respiradores bucais submetidos à expansão rápida da maxila
    (Universidade Federal de São Paulo (UNIFESP), 2020-05-28) Nagai, Lucia Hatsue Yamamoto [UNIFESP]; Cappellette Junior, Mario [UNIFESP]; Universidade Federal de São Paulo
    Introduction: The anterior portion of the nasal cavity includes the critical region of maximal resistance to airflow that even small changes in its geometry can have a significant impact on nasal airflow. Objectives: to assess the effects of rapid maxillary expansion (RME) on the anterior skeletal and soft tissue structures of the nasal cavity in mouth-breathing children and correlated these findings with the patient’s quality of life. Methods: 35 mouth-breathing patients (mean age 10.7±2.0 years) submitted to RME were evaluated by means of computed tomography at preRME and 4-5 months thereafter. Subjective symptoms were assessed by using a validated quality of life questionnaire answered by patients and patients’ parents/legal guardians. Results: The total anterior nasal volume increased by 20.47% on average during the overall observation period. The skeletal and soft tissue volumes increased by 26.5% and 17.6% respectively, and a cross-sectional area increased by 19.96% on average. Different combinations of angles were found, however, more significant increases occurred when the angular value of one side was much smaller than opposite side. There was a statistically significant reduction in the mean scores of the quality of life scale, indicating a significant improvement in quality of life between T1 and T2. Conclusions: In the short term, RME promote a significant increase in the anterior nasal volume, with a higher proportion within the skeletal boundaries. This, associated with an increased minimum cross-sectional area, may have contributed to respiratory improvement. In addition, different combinations of nasal valve angles suggest that RME can influence the position of the septum.
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    Avaliação Dos Efeitos A Longo Prazo Da Psicoterapia Psicanalítica Breve De Grupo Na Qualidade De Vida, Depressão, Ansiedade E Estratégias De Enfrentamento Em Pacientes Com Lupus Eritematoso Sistêmico
    (Universidade Federal de São Paulo (UNIFESP), 2018-11-09) Conceicao, Ceu Tristao Martins [UNIFESP]; Sato, Emilia Inoue [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Systemic Lupus Erythematosus (Sle) Is An Autoimmune Disease That Affects Mainly Young Women And Can Compromise Several Organs And Systems. The Quality Of Life Of Sle Patients Is Affected Because, Besides The Organic Impairment, Patients Often Present Anxiety, Depression And Difficulties To Deal With The Disease. Psychotherapy Has Been Used To Complement The Clinical Management Of Patients With Various Chronic Diseases, Including Sle, But There Is No Study Evaluating The Long Term Effects Of Psychotherapy On Quality Of Life, Depression, Anxiety And Coping In Sle Patients. Objectives: Primary Objective: To Assess The Long Term Effects Of Brief Group Psychoanalytic Psychotherapy (Bgpp) On The Quality Of Life Of Sle Patients. Secondary Objectives: 1. To Assess The Long Term Effects Of Bgpp On Depression And Anxiety Levels And Coping Strategies In Sle Patients. 2. To Compare The Results Of Bgpp In The Subgroups Of Sle Patients With Mild Anxiety And Depression Symptoms. 3. To Compare The Results Of Bg
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    Avaliação E Correlação Clínica Da Força Muscular Do Quadríceps Femoral Em Pacientes Hospitalizados Com Insuficiência Cardíaca.
    (Universidade Federal de São Paulo (UNIFESP), 2018-09-14) Peres, Monique Fernanda [UNIFESP]; Guizilini, Solange [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Abstract Purpose: To Verify Whether A Maximal Voluntary Contraction Of The Quadriceps Femoralis Muscle (Qf) Can Predict Functional And Inspiratory Muscle Capacity, As Well As Determine Cutoff Values For Qf Peak Muscle Strength In Hospitalized Heart Failure (Hf) Patients. Methods: Prospective Cross-Sectional Study. A Total Of 130 Hospitalized Hf Patients, Functional Class Ii And Iii (Nyha) Were Eligible After 24 Hours Of Hospitalization And Stabilization Of The Clinical Status. Patients Were Submitted To An Evaluation Of Qf Isometric Strength (Maximum Voluntary Contraction), Performed By A Portable Dynamometer; To An Inspiratory Muscle Testing Performed By Manovacuometry (Maximal Inspiratory Pressure - Mip); Functional Capacity Using The Six-Minute Walk Test (6mwt) And To A Quality Of Life Questionnaire (Minnesota Living With Heart Failure Questionnaire). Results: Data Revealed A Modest And Positive Association Between Left Ventricular Ejection Fraction And Qf Peak Muscle Strength (R = 0.38, P = 0.0053); (R =
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    Avaliação miofuncional orofacial em idosos com Doença de Parkinson
    (Universidade Federal de São Paulo (UNIFESP), 2021) Araujo, Silvia Regina Siqueira De [UNIFESP]; Monteiro, Silvana Bommarito [UNIFESP]; Universidade Federal de São Paulo
    Objective: to evaluate orofacial myofunctional structures in elderly people with Parkinson's Disease (PD) through the protocol of the Orofacial Myofunctional Evaluation with Scores for Elders protocol (OMES-Elders) and observe the association with stages of PD, pharmacological treatment and quality of life of the patient with PD. Method: The sample consisted of a group called the Parkinson's Group (PG) composed of 45 elderly people diagnosed with PD and a Control Group (CG) with elderly people composed of 10 healthy elderly people. Personal data, information on the use and dosage of medications and information on the stage of PD were collected in an interview conducted by the Hoehn & Yahr Scale and the following reports were reported: Mini-Mental State Examination (MMSE), Parkinson's Disease Questionnaire (PDQ-39) and the Orofacial Myofunctional Evaluation with Scores for Elders protocol (OMES-Elders). Results: It was possible to observe no aspect of appearance and condition of difference between the two groups, as well as in the aspect of mobility present the difference between the CG and the PG stages 2, 3 and 4 by Hoehn & Yahr (p <0.05). On the other hand, no significant difference was found for the swallowing and chewing domain. Regarding the total chewing time and the total number of chewing cycles, a significant difference was found in the number of chewing cycles. The total score of OMES-Elders is different between the CG and stages 2, 3 and 4 of the PG (p <0.05). Regarding the PDQ-39, it was possible to observe the difference between the mobility domain and activities of daily living. A negative correlation was found between the scores of the PDQ-39 'Communication' domain and the total OMES-Elders score. No significant difference was found in the swallowing scores in relation to the medications used by the elderly. Conclusion: Elderly with PD presented worse performances in the domains of appearance and posture, mobility and in the total score of the orofacial myofunctional protocol in relation to the elderly in the healthy group; chewing time and number of chewing cycles also differed between groups. As the disease progresses, there is a likelihood of worsening quality of life mainly in the mobility and activity of daily living domains; additionally, the worse the perception of the elderly with PD on their communication will be. The use of drug that are potentially xerogenic or that change the swallowing function did not influence the scores of the swallowing domain of the Evaluation with scores for Elders protocol in patients with PD.
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    Avaliação multidimensional da qualidade de vida, autoimagem corporal e comportamentos de risco de adolescentes brasileiros
    (Universidade Federal de São Paulo (UNIFESP), 2020-06-09) Pinheiro, Bruno De Oliveira [UNIFESP]; Avallone, Denise De Micheli [UNIFESP]; Universidade Federal de São Paulo
    Based on the literature, analyzes and reflections on lifestyles and on the aspects that encourage adolescents to adopt protective or reckless behaviors are necessary so that we can broaden the understanding of the multiple factors involved in quality of life, self-image and health risk behaviors of Brazilian adolescents. The main objective of this study was to assess quality of life, body self-image and health risk behaviors among adolescents; as well as to evaluate the possible association between these factors. The analyzes were based on the responses of 1,081 Brazilian adolescents aged 12 to 19 years old who completed an online questionnaire containing the following instruments: sociodemographic questionnaire, Kidscreen, and Risky Behavior Index (RBI) and Contour Drawing Rating Scale (CDRS). The Jamovi and JASP software, with a 5% significance level, was used to perform descriptive statistical analysis, adjusted logistic regression models, analysis of variance and network analysis. The results were presented in a session containing the raw data and descriptive analyzes regarding the profile of the participating adolescents and in the form of two scientific articles. The main findings of this study presented the definition of the profile of Brazilian adolescents in relation to the quality of life indexes , body self-image and risky behaviors; the evident impact of the socio-cultural context and social experiences on life in adolescents; the bilateral action between the quality of life indexes and risk behaviors in adolescence; the influence of sociodemographic characteristics (gender, age, ethnicity and religion) on the quality of life, body satisfaction and risk behaviors in adolescence and; the impact of variables related to schooling on network analysis (flunk, type of school and level of education). Therefore, this study contributes to the understanding of the impact of multiple subjective variables related to health and present in the lives of Brazilian adolescents.
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    Avaliação multidimensional de pessoas idosas em diferentes situações de atenção familiar
    (Universidade Federal de São Paulo (UNIFESP), 2020-04-30) Perseguino, Marcelo Geovane [UNIFESP]; Horta, Ana Lucia De Moraes [UNIFESP]; Universidade Federal de São Paulo
    Introduction: The progressive population growth of the elderly leads to the nee d for physical and social adaptations in view of the increased demand for care. The family is the main provider of this assistance and, therefore, it is important to analyze its role for the health of the elderly. This study is presented in the form at of t wo articles. Article 1 Objective: it aimed to assess and correlate the vulnerability and quality of life of elderly people in the community in different situations of family c are. Method: the quantitative approach stands out, with the participatio n of 76 9 people over the age of 65 attended at an interdisciplinary university health clinic in the city of São Paulo from June 2017 to March 1, 2018, with the application of three ins truments of data collection known as VES 13, Whoqol Breef and its comple ment Wh oqol old and a socio contextual data collection instrument developed by the author with variables related to age, sex, marital status, education, profession, number of children, cohabitation , income, contact and presence of family assistance, chara cterist ics of the residence and advanced activities of daily living The statistical analyzes that involved the hypothesis test were processed using the Statiscal Package for Social Sci ences software, version 22.0. For the descriptive analysis of continuous variab les, the mean, standard deviation, median, minimum and maximum were calculated. For categorical variables, frequency and percentage were calculated. For the other analyzes, the Chi Square, Likelihood Ratio, Mann Whitney (2 categories) or Kruskal Wal lis (3 or more categories), Spearman's correlation coefficient and the General Linear Model tests were used. A significance level of 5% (p value <0.05) was used. Results: Regarding vul nerability, 427 (62.2%) did not present vulnerability. The average quali ty of l ife presented was 3.64 (0.56) in Whoqol bref and 3.65 (0.6) in Whoqol old. Non vulnerable patients have a higher Whoqol old score (3.81) and Whoqol--bref (3.78) than vulnerable pbref (3.78) than vulnerable patients (p <0.0001), with a higher score in all atients (p <0.0001), with a higher score in all domains than vulnerable domains than vulnerable patientpatients. s. Conclusion:Conclusion: The relationship between the The relationship between the vulnerability and quality of life of the elderly people evaluated shows that the most vulnerability and quality of life of the elderly people evaluated shows that the most vulnerable elderly people have lower quality ofvulnerable elderly people have lower quality of life, so the assessment of the life, so the assessment of the vulnerability of the elderly person is svulnerability of the elderly person is shown ashown as an important factor in improving the an important factor in improving the quality of life.quality of life. Article 2 icle 2 -- Objective:Objective: it aimed to assess and correlate the functional capait aimed to assess and correlate the functional capacity ancity and d family functionality of elderly people in the community in different situations of family family functionality of elderly people in the community in different situations of family care. care. Method:Method: the quantitative approach stands out, with the participation of 769 the quantitative approach stands out, with the participation of 769 peopeople over the age of 65 attended at an interdisciplinary university healtple over the age of 65 attended at an interdisciplinary university health clinih clinic in c in the city of São Paulo from June 2017 to March 1, 2018, with the application of three the city of São Paulo from June 2017 to March 1, 2018, with the application of three instruments of collection of data known as family APGAR, Katz and Lawton scales instruments of collection of data known as family APGAR, Katz and Lawton scales and a sand a socioocio--contextual data collection instrument developed by the author himsecontextual data collection instrument developed by the author himself lf withwith variables related to age, sex, marital status, education, profession, number of variables related to age, sex, marital status, education, profession, number of children, cohabitation, income, contact and presence of family assistance, children, cohabitation, income, contact and presence of family assistance, characteristics of thcharacteristics of the residence and advanced activities of daily living. The statistical e residence and advanced activities of daily living. The statistical anaanalyzes ilyzes involving hypothesis testing were processed using the Statiscal Package for nvolving hypothesis testing were processed using the Statiscal Package for Social Sciences software, version 22.0. For the descriptive analysis of continuous Social Sciences software, version 22.0. For the descriptive analysis of continuous variables, the meanvariables, the mean, standard deviation, median, minimum and maximum were , standard deviation, median, minimum and maximum were calculated. For ccalculated. For categoriategorical variables, frequency and percentage were calculated. For cal variables, frequency and percentage were calculated. For the other analyzes, the Chithe other analyzes, the Chi--Square, Likelihood Ratio, MannSquare, Likelihood Ratio, Mann--Whitney (2 categories) or Whitney (2 categories) or KruskalKruskal--Wallis (3 or more categWallis (3 or more categories), Spearman's correlation coefficient and the ories), Spearman's correlation coefficient and the Generalized Linear MoGeneralized Linear Model tesdel tests were used. A significance level of 5% (pts were used. A significance level of 5% (p--value <0.05) value <0.05) was used. was used. Results:Results: As for functional capacity 355 respondents (51.7%) do not As for functional capacity 355 respondents (51.7%) do not perform advanced daily living activities, 6perform advanced daily living activities, 633 (92.3%) are independent for basic daily 33 (92.3%) are independent for basic daily living activities. As for insliving activities. As for instrumenttrumental daily activities, 403 (58.7%) are partially al daily activities, 403 (58.7%) are partially dependent and 272 (39.7%) are independent. As for family functionality, 69 (10.1%) dependent and 272 (39.7%) are independent. As for family functionality, 69 (10.1%) had high family dysfunction and 518 (75.5%) hadhad high family dysfunction and 518 (75.5%) had good family functionality. Patients good family functionality. Patients with intermediate functionality hav with intermediate functionality have a hige a higher percentage of good family functionality her percentage of good family functionality than patients with less functional capacity. than patients with less functional capacity. Conclusion:Conclusion: Although the studied group Although the studied group has a good ability to perform basic daily activithas a good ability to perform basic daily activities of life, the difficulty in performing ies of life, the difficulty in performing instrumental activities instrumental activities and adand advanced vanced demonstrates loss of functional capacity. Family demonstrates loss of functional capacity. Family functionality proved to be a factor for maintaining functional capabilities.functionality proved to be a factor for maintaining functional capabilities.
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    Características sociodemográficas e perfis de uso de maconha entre brasileiros
    (Universidade Federal de São Paulo (UNIFESP), 2019-09-26) Morais, Paulo Rogerio [UNIFESP]; Silveira Filho, Dartiu Xavier Da [UNIFESP]; Fidalgo, Thiago Marquês; http://lattes.cnpq.br/2125056709432095; http://lattes.cnpq.br/0876669702022083; http://lattes.cnpq.br/2440046189560841; Universidade Federal de São Paulo (UNIFESP)
    To increase the knowledge concerning the sociodemographic characteristics, quality of life and mental health of people living in Brazil who use marijuana at least four timeper month.Methods: through advertisements on the Facebook virtual social network, 9499 individuals were recruited who agreed to participate in the survey and answered the questionnaires and scales arranged in online forms.After the electronic data capture and application of exclusion criteria, data adherence to normal distribution was verified with the Kolmogorov-Smirnov test.Participants were then allocated into three subgroups based on their reported frequency of cannabis use: ―nonusers‖ (never used or just tried); ―Occasional users‖ (up to four times a month), ―regular users‖ (between two and three times a week) and ―frequent users‖ (four or more times a week) and descriptive measures were calculated based on these subgroups. The Cramer‘s coefficient (V) was used to verify the association between the frequency of cannabis use with categorical variables, and the Kruskal-Wallis test was used to verify the association between the frequency of cannabis use with numerical variables.To verify the factors associated with the frequency of marijuana use and to estimate the magnitudes of these associations, logistic regression analyzes were performed.A significance level of 0.05 was adopted at all analyzes.Results: the analyzed sample consisted of 7850 adults (mean ± SD of 23.9 ± 7.4 years), with predominance of frequent marijuana users (60.2%), men (70.4%), living in the South, Southeast or Midwest regions (80.3%), without children (84.0%), with some religion (62.9%), working (52.8%) and higher education (56 , 5%).Significant differences were detected between non-users and user groups concerning to sociodemographic characteristics (more women, more religious, lower proportion of paid work and higher proportion of students among non-users), involvement with other drugs (experimentation and past month use, except for opiates), quality of life (worse quality of life for non-users, except in the environmental dimension) and presence of psychiatric symptoms (higher prevalence of possible cases of anxiety and depression among non-users).Conclusion: the present study gathered information about the sociodemographic characteristics, the cannabis and other drugs use, quality of life, and mental health in a sample of heavy cannabis users. Despite the limitations that are discussed, the results reveal that even a heavy pattern of cannabis use is not necessarily associated with lower quality xviii of life or with the presence of psychiatric symptoms when compared to nonusers. Studies with more robust designs are needed to better understand the relationship between frequent cannabis use with the quality of life and the mental health of Brazilian adults.
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    Colônias de pescadores da região costeira do estado de São Paulo e políticas de educação em saúde
    (Universidade Federal de São Paulo (UNIFESP), 2020-02-06) Santos Junior, Carlos Francisco dos [UNIFESP]; Batista, Sylvia Helena Souza da Silva [UNIFESP]; Universidade Federal de São Paulo
    The aim of this thesis was to understand the health education practices in São Paulo state coast fishery communities, from the colonies leaders, associates and families prospective. The methodology comprised a descriptive study with qualitative referencing. Fishermen, their families and the fishery colonies leaders from São Paulo state coast were the focus of this study. In total, ten fishing colonies participated on this research, comprising fishermen and families, and associates with some connection with the colonies managers. The data used comes from interviews, and consultation of official documents when made available. The data was collected from 26th November 2018 to 25th April 2019, starting in Santos and ending in Ubatuba, where a diary with all the relevant information were kept to follow the data. All the interviews were transcript in full, and a thematic analysis was made. From the interviews, several common topics were found: the colonies organisation; the empowerment of the fishermen to their rights to health and education; the use of the colonies as a space for dialogue; the role of the colonies in structuring the base for artisanal fisherman learning; health and public policies relations; health, sickness and life quality; sickness and its impact on the fishermen’s lives; the view of the colony as a space for the community visibility; the colonies and their connection to the environment; past, present and future observation; projects and dreams; and the challenges, expectations and perspectives. Concluding, this study showed the daily reality of the fishermen and families, revealing the difficulties on the group organisation to protect themselves and maintain the artisanal fishing tradition.
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    Efeito da dança no suporte social, qualidade de vida, cognição, capacidade funcional e taxa de queda de idosos: revisão sistemática e metanálise
    (Universidade Federal de São Paulo (UNIFESP), 2020-11-26) Cassimiro, Poliana Peres Almeida [UNIFESP]; Atallah, Alvaro Nagib [UNIFESP]; Universidade Federal de São Paulo
    Background: Dance emerged from the need for social interaction and non-verbal communication. Dance can be a means of providing opportunities for social interaction and improving health among the elderly. Individuals with a lack of social connections, isolated or disconnected from others have a higher risk of premature death and are 2 to 5 times more likely to die from different causes compared to people who have strong bonds of friendship, family and community. Dance can be a means of providing opportunities for social interaction and improving health among the elderly. Objective: to analyze the effect of dance on social support and quality of life in the elderly. Method: Systematic review of randomized clinical trials following the methodology of the Cochrane Collaboration, which is the synthesis of similar studies, critically evaluated and when possible gathered in a statistical analysis. Primary outcomes: social support and quality of life, and secondary outcomes: cognition, functional capacity and fall rate. Elderly population from 60 years old without condition restriction and intervention of any type of dance. We used Review Manager 5.3 to analyze the data and GRADE to assess the quality of the evidence. Results: We found 11 studies, 10 randomized clinical trials and 1 cluster. We did not find any randomized clinical trial that analyzed the effect of dance on social support in the elderly. Three studies analyzed quality of life, 2 reported improvement and another did not find any statistically significant differences. Seven studies analyzed functional capacity, four reported improvement in functional capacity after dance classes; one study found no significant differences between the control and intervention groups and one reported worsening of functional capacity. Five studies looked at cognition, but the results are controversial. Three studies analyzed the fall rate, one reported worsening, another reported improvement, but did not demonstrate how, and in another study, dancing reduced the risk of falling in the dance group by 50%. We performed a meta-analysis with three outcomes: quality of life, cognition and functional capacity. Conclusions: We cannot confirm the effect of dance on the social support of the elderly. The results for the quality of life outcomes are controversial and have very low quality of evidence, for the outcome of dancing cognition it can result in little or no difference. As for the fall rate, dancing does not reduce the number of falls. Dance can have a great effect on functional capacity, with moderate quality of evidence. To reduce some uncertainties, better and more adequate randomized clinical trials are needed.