Efeitos de um programa de atividade física sobre o nível de autonomia de idosos participantes do programa de saúde da família

RESUMO -O objetivo do presente estudo foi analisar o perfil da autonomia funcional e da qualidade de vida de idosos asilados em uma instituição filantrópica no município do Rio de Janeiro. A amostra foi constituída de 8 mulheres e 7 homens (n= 15, idade= 76,29±10,59, IMC= 24,58±5,55). A qualidade de vida foi avaliada por meio do questionário do World Health Organization Quality of Life Group (WHOQOL-100) e a autonomia funcional foi avaliada pela bateria de testes do Grupo de Desenvolvimento Latino-Americano para a Maturidade (GDLAM), composta de: caminhar 10m (C10m), levantar-se da posição sentada (LPS), levantar-se da posição decúbito ventral (LPDV), levantar-se da cadeira e locomover-se pela casa (LCLC) e o teste de vestir e tirar uma camiseta (VTC). Além da estatística descritiva, foi utilizado o teste de Shapiro Wilk, através do qual foi observada a normalidade da amostra, com exceção das variáveis do domínio 6 (DOM6), VTC e LPDV. Pela análise dos resultados pôde-se observar: valor insatisfatório da qualidade de vida nos domínios 1, 2, 3, 4, 5 e na qualidade de vida geral (QVG) e satisfatório no DOM 6; valor fraco da autonomia funcional em todos os testes e no índice de GDLAM (IG). Como conseqüência, além das alterações funcionais decorrentes da senescência, que tornam os idosos mais dependentes, uma vez asilados em instituições filantrópicas, observa-se uma deteriorização da autonomia funcional, o que repercute em piora da qualidade de vida.

The venous ulcer represents approximately 70% to 90% of inferior member ulcers, and the most common etiological factor is venous insufficiency, triggered by venous hypertension. Currently in Brazil there are several types of lasers used in physiotherapy, which benefit biological potential, emitting low power radiation, with anti-inflammatory, analgesic, healing and circulatory effects. This study aimed at the analysis of low level laser therapy effects (LLLT) on the process of tissue repair in chronic venous ulcers. We conducted a case study of a patient with a venous ulcer in the lateral region of the right inferior member. The patient underwent LLLT, which used a GaAlInP diode laser, with a wavelength of 660 nm and energy density of 4 J cm −2 applied punctually at the edges of the wound, with an average distance of 1 cm between the points with a pen-laser perpendicular wrapped in paper and a plastic wrap, keeping contact with the tissue. After four months of therapy and a total of 21 sessions, an improvement was noticeable in the gross appearance of the wound, but after a month and a half without therapy, the dimensions of the wound increased in length and width. Analyzing the results of this case study allows us to conclude that the LLLT GaAlInP (660 nm) with an energy density of 4 J cm −2 , was not successful in the healing of venous ulcers.

Priapism, a persistent long-lasting involuntary erection of the penis, is uncommon in dogs. In this report, the case of a 13-year-old male Pointer, referred to our services due to persistent exposition of the penis, is described. This condition was consecutive to an intermittent priapism situation lasting for several days, which has been initially attributed to the inflammation and haematoma associated with a perianal bite. The owners became unable to retract the penis into the prepuce. At presentation, the dog was anorectic for 48 h, intolerant to manipulation, and showed poor body condition and unsteady locomotion. During physical evaluation, a marked engorgement of the local vessels in the prepuce and penis was found. An abdominal X-ray was asked under the suspicion of a neurogenic origin for the clinical situation, which showed evidences of spondylosis. After discussion of the clinical condition, the owners asked for euthanasia. The necropsy confirmed the engorgement of the regional vessels deriving from the pudendal arteries and blood accumulation within all the cavernous spaces, accompanied by congestion and thrombosis within the erectile structures of the penis. No significant changes were observed in the pelvic organs that could be at the origin of priapism. The lumbar-sacral spinal regions were carefully inspected and evidenced signs of L7-S1 stenosis due to spondylosis. The case presented herein is a rare situation of priapism of neurogenic origin in a dog. Necropsy findings suggest that it was consecutive to cauda equina compression due to lumbar spinal stenosis.