TEDE Coleção:

EFEITOS DE 12 SEMANAS DO TREINAMENTO FÍSICO COMBINADO E ASSOCIAÇÃO DA SUPLEMENTAÇÃO DE CREATINA NA ANTROPOMETRIA, APTIDÃO FÍSICA E COGNIÇÃO EM IDOSOS ATIVOS

Fri, 26 Jul 2024 00:00:00 GMT

Título: EFEITOS DE 12 SEMANAS DO TREINAMENTO FÍSICO COMBINADO E ASSOCIAÇÃO DA SUPLEMENTAÇÃO DE CREATINA NA ANTROPOMETRIA, APTIDÃO FÍSICA E COGNIÇÃO EM IDOSOS ATIVOS Autor: Kaminski, Karla Daniele Varela Primeiro orientador: Mascarenhas, Luis Paulo Gomes Abstract: The elderly population has been increasing progressively throughout the world due to several factors such as the reduction in the mortality rate and the considerable increase in life expectancy. The association of physical exercise and creatine supplementation, according to the literature, provides conditions for increasing muscle mass and muscle strength during aging, helping to maintain bone mineral mass and the risk of falls. The objective of this research was to evaluate the effects of 12 (twelve) weeks of combined physical training, as well as the association of creatine supplementation on anthropometry, physical fitness and cognition in active elderly people. Methods: The sample consisted of men and women aged 60 years or over, 34 of whom were elderly (n=34). All were divided and randomized single-blind into 2 groups: Group TC+ Cr (combined training + creatine) and Group TC+ P (combined training + placebo). Result: The TC+Cr group demonstrated improvements in relation to physical tests for: Dynamic balance (p<0.001*), PMD (p<0.01*), Elbow flexion (p<0.004*), Sitting and standing (p <0.001*) and Stationary gait (p<0.0001*), the results found demonstrated that creatine supplementation and combined training were more effective for the elderly in physical tests such as balance, hand grip (right and left side) , upper limb strength, lower limb strength and stationary gait. It was concluded that it was possible to verify positive results for the TC+Cr Group through combined physical training and the association of creatine in some physical tests applied, improving cardiorespiratory condition, balance, hand grip strength and upper and lower limb strength and to In the TC+P Group, it was observed that there was considerable improvement in anthropometry, however no difference was found in cognitive function in the two groups, it is important to highlight that the elderly participants were active and physical exercise was fundamental for the results in the two groups studied Instituição: Universidade Estadual do Centro-Oeste Tipo do documento: Dissertação

Perfil Vocal de Pessoas Recuperadas da COVID-19

Wed, 25 Sep 2024 00:00:00 GMT

Título: Perfil Vocal de Pessoas Recuperadas da COVID-19 Autor: Gueths, Tatiane Prestes Primeiro orientador: Dassie-Leite, Ana Paula Abstract: Introduction: Vocal problems related to COVID-19 may be caused by respiratory changes and upper airway symptoms related to the disease. Objective: To investigate the vocal profile of people recovered from COVID-19, performing auditory-perceptual, aerodynamic, acoustic and vocal self-assessment analyses. In addition, it seeks to relate these data to information on hospitalization, oxygen therapy, time since diagnosis and vocal symptoms, as well as associate them with the participants' sociodemographic and lifestyle data. Methodology: Observational, analytical and cross-sectional study, involving 69 individuals (both sexes and age 18 years or older) diagnosed with COVID-19 by PCR. All participants answered a questionnaire to collect identification data, habits/lifestyle and the course of the disease. They also answered the Vocal Signs and Symptoms Questionnaire (QSSV) and the Vocal Symptoms Scale (ESV). Regarding these instruments, participants answered considering the day of collection (post-COVID) and were also asked to recall the acute phase of the disease (during COVID). They also underwent vocal evaluation (perceptual-auditory, aerodynamic and acoustic). The medical records of patients in the physiotherapy service were analyzed to collect respiratory data, related to spirometry and manovacuometry. Descriptive and inferential statistical analysis was performed. Results: The results showed that the median values of QSSV were 7.00, considering the period during COVID-19, and 3.00, considering the period after the disease, while ESV, cut-off value of 16, the total was 14.00 during the disease and 11.00 in the post-COVID period. Men presented medians of 12.75 s, 0.48 and 3.36 for Maximum Phonatory Time, jitter and shimmer, respectively. Women presented medians of 10.76 s, 0.43 and 3.68 for the same indicators. The median value for G vowel and G numbers resulted in 2, moderate vocal deviation. The AVQI had a median value of 1.93. The most frequent symptoms, during the acute phase of the disease, were “tired voice” (78.26%), “dry throat” (73.91%) and “throat clearing” (65.22%). Post-infection, the most common symptoms were “throat clearing” (53.62%), “dry throat” (49.28%) and “tired voice” (47.83%). In the auditory-perceptual judgment, there was a greater occurrence of moderate disorders when the vowel and number samples were analyzed together. Most participants had normal spirometry and inspiratory force greater than expiratory force. Physical fatigue was significantly associated with the complaint of tired voice. Statistical analyses indicated that variables such as gender, hospitalization, and use of oxygen therapy were related to vocal outcomes. Participants without hospitalization had higher Maximum Phonatory Time, while those who used oxygen therapy had worse results in QSSV and ESV. Conclusion: People recovered from COVID-19 reported vocal symptoms, mainly related to throat clearing, dry throat, and tired voice. Most had moderate vocal disorders, the Maximum Phonatory Time data presented were below normal parameters, both for men and women. Although spirometry and manovacuometry did not show significant changes, vocal fatigue was significantly related to general fatigue. Oxygen therapy and hospitalization may negatively contribute to the vocal profile of participants. Instituição: Universidade Estadual do Centro-Oeste Tipo do documento: Dissertação

MORTE NEONATAL: CONSTRUÇÃO DE UM MATERIAL DIDÁTICO INSTRUCIONAL

Tue, 30 Jul 2024 00:00:00 GMT

Título: MORTE NEONATAL: CONSTRUÇÃO DE UM MATERIAL DIDÁTICO INSTRUCIONAL Autor: Schavarem, Luana do Nascimento Primeiro orientador: Fujinaga, Cristina Ide Abstract: Death is often experienced in the hospital environment, making it important to professionally assist families going through loss. Therefore, the general objective of this study was to develop instructional didactic material on neonatal death aimed at healthcare students, with specific objectives: describe healthcare students' knowledge about neonatal death; validate the content and appearance of the instructional didactic material on neonatal death. The methodological approach used for this study was participatory research. The Scandinavian model was chosen for presentation, with the preparation of two articles addressing the objectives proposed in this research. Article 1 described students' knowledge about neonatal death, characterized by a qualitative design using semi-structured interviews for data collection and thematic content analysis technique for data analysis. The interviews revealed three main themes: "The Neonatal Intensive Care Unit: scenarios and experiences with neonatal death"; "The reception and empathy in experiences of neonatal death"; "The importance of education for professional performance in the face of neonatal death." The study found that slightly more than half of the participants had not encountered the topic during their undergraduate studies. Article 2 consisted the constuction and validation of instructional didactic material on neonatal death through methodological research, comprising two stages. The first stage involved constructing the material using the briefing methodology. The previous research served as the foundation for developing the material's content, as students highlighted the need for reception and empathy during neonatal death, gaps were noted in the training regarding knowledge about the subject matter. Therefore, the material encompassed content related to the neonatal period; reasons for admission to the Neonatal Intensive Care Unit; the impact of neonatal death on family life; particularities of neonatal grief; reflection on what not to say; communication, care, and actions to be taken. Still based on briefing methodology, the chosen colors were light shades of blue and pink; rounded font; realistic drawings and actual images of babies and family members; simple language; dynamic content organization; diverse textures for the background; QR codes were used for additional information; square format in an Instagram layout. The second stage was characterized by validating the material in terms of its appearance and content, using focus groups and a questionnaire. At this stage, the participants had already graduated. The focus group was conducted online with 3 professionals, and the questionnaire involved 7 professionals. The results indicated that the instructional educational material was validated with high agreement, achieving the proposed objectives. The present study highlighted the importance of the insertion of the theme during formation, as well as the importance of utilizing other knowledge areas for constuction of materials in the healthcare field. Instituição: Universidade Estadual do Centro-Oeste Tipo do documento: Dissertação

A PLANIFICAÇÃO NA ATENÇÃO À SAÚDE DA PESSOA IDOSA: IMPLANTAÇÃO DA ETAPA SEGURANÇA DO PACIENTE NA ATENÇÃO PRIMÁRIA

Tue, 30 Jul 2024 00:00:00 GMT

Título: A PLANIFICAÇÃO NA ATENÇÃO À SAÚDE DA PESSOA IDOSA: IMPLANTAÇÃO DA ETAPA SEGURANÇA DO PACIENTE NA ATENÇÃO PRIMÁRIA Autor: Neuls, Emanueli Mazur Ianoski Primeiro orientador: Binotto, Maria Angélica Abstract: In Brazil, the aging of the population impacts and causes changes in the demographic and epidemiological profile, producing demands that require responses from social and health policies involving the State and society, implying new forms of care. In this context, in order to organize the Health Care Network for elderly people in Paraná, in July 2019, the State Department of Health (SESA-PR) joined the project called “PlanificaSUS”. The region chosen as a pilot for implementation was the 4th health region of Irati, with the health of the elderly as a priority line of care. It is noteworthy that one of the stages of PlanificaSUS includes patient safety, the focus of this research. This study aims to analyze the implementation of the stage related to patient safety in Health Care Planning for elderly people in the 4th health region of Paraná. This is a research with a quantitative approach, with a cross-sectional and descriptive- explanatory design. The data were collected during the PlanificaSUS stage “The Transversality of Patient Safety in Health Care Planning” and had the participation of a team of professionals working in the showcase unit of a municipality in the 4th health region of Paraná. Data collection occurred through stage records on the e-planifica platform and the application of two questionnaires, one to assess the perception of health professionals regarding the implementation of the PlanificaSUS stage and the other to assess the safety culture. of the patient in Primary Care. This research was assessed and approved by the UNICENTRO Research Ethics Committee, under opinion number 5,831,336. For analysis and processing of questionnaire data to assess patient safety culture, the recommendations of the Agency for Healthcare Research and Quality (AHRQ) were followed. The results showed that the processes outlined by the stage are in the implementation phase and have not yet reached their full expansion, but it is already possible to observe positive results such as improvements in the organization of work processes based on risk analysis, using a standardized tool; comprehensive care for the elderly population using multidimensional assessment as a risk stratification tool; and the implementation of protocols. 11 professionals from different backgrounds and professional roles in the team participated in the study and reported a satisfied (63.6%; n=7) and very satisfied (36.4%; n=4) perception regarding the structuring of the stage; and overall positive assessment (60.87%) of the patient safety culture by the team of professionals who are part of PlanificaSUS. The dimensions with a strong positive patient safety culture were “open communication” (75%), “care monitoring” (81.8%) and “teamwork” (84.1%); and the dimensions identified as negative were: “exchange of information with other institutions” (43.2%), “organizational learning” (48.5%) and “leadership support” (36.4%). Therefore, it is concluded that patient safety is a pillar of the quality of Primary Health Care for elderly people, who face complex challenges, typical of the characteristics of this population, such as polypharmacy, frailty and comorbidities. The study highlights contributions to improving the quality of care, as professionals recognize weaknesses in communication, failures in work processes due to poor organization and low leadership support for patient safety. Effective education, strengthening and communication strategies in Primary Health Care, discussed and worked on in PlanificaSUS, appear to be a possible path in organizing the Health Care Network for elderly people in the Unified Health System. Instituição: Universidade Estadual do Centro-Oeste Tipo do documento: Dissertação