Objective: To describe the general characteristics of nursing professionals and assess the influence of overcommitment on perceived climacteric symptoms and on the quality of life of nursing professionals. Method: A cross-sectional, analytical study of 152 nursing auxiliaries and assistants aged 40 years or older was conducted at 3 hospitals in the interior of São Paulo state. Sociodemographic data were collected and the Blatt-Kupperman Menopausal Index, Women´s Health Questionnaire, Medical Outcome Study 36-item Short Form Health Survey and Effort-Reward Imbalance were applied in 2017. A descriptive analysis was performed and network analysis was carried out. Results: Participants had a mean age of 50.23 years (SD ±7.1). Group 1 comprising 61 (40.1%) women with overcommitment had poorer quality of life as well as more severe climacteric symptoms. Conclusions: Presence of overcommitment seems to influence the negative perception of climacteric symptomatology and quality of life.
SUMMARY OBJECTIVE To review systematically the influence of admission criteria on the mortality of elderly patients under intensive therapy. METHODS We performed a search on the PUBMED and BIREME databases by using the MeSH and DeCS terms “intensive care units”, “patient admission”, and “aged” in Portuguese, English, and Spanish. Only prospective and retrospective cohort studies were included. We analyzed the severity score, type of hospital admission, quality of life, co-morbidities, functionality, and elderly institutionalization. RESULTS Of the 1,276 articles found, thirteen were selected after evaluation of the inclusion and exclusion criteria. It was observed that the severity score, functionality, and co-morbidities had an impact on mortality. It was not possible to determine which severity score was more suitable. CONCLUSION We suggest that analysis of functionality, co-morbidities, and severity scores should be conducted to estimate the elderly mortality in relation to the admission to intensive care units.
Background Patients with Alzheimer's disease (AD) have a high prevalence of vitamin D deficiency, which is also associated with impaired cognitive performance in older adults. According to the systematic review and meta‐analysis conducted by Anweiler et al. (2013), AD cases had lower serum vitamin D concentrations than matched controls. The quality assessment of systematic reviews of vitamin D, cognition and dementia conducted by Aghajafari et al. (2018) also corroborated the potential link between low serum vitamin D concentrations and dementia. Method 40 outpatients with the diagnostic of AD according to criteria proposed by NINCDS‐ADRDA (2011), followed – up at a public university hospital, had their vitamin D levels assessed and MMSE scores evaluated. Results 9 patients (22,5%) presented vitamin D normal range (vitamin D level ≥ 30 ng/mL) and 31 patients (77,5%) presented vitamin D deficiency (vitamin D level < 30 ng/mL). From the vitamin D normal range group 5 patients (55,56%) presented moderate cognitive impairment (MMSE = 10 – 20) and 4 (44,44%) patients presented mild cognitive impairment (MMSE > 20). From the vitamin D deficiency group 4 patients (12,90%) presented severe cognitive impairment (MMSE < 10), 10 patients (32,27%) presented moderate cognitive impairment and 17 patients (54,83%) presented mild cognitive impairment. Both groups, vitamin D normal range and vitamin D deficiency, had on average the same educational level: 2,89 and 3,19 years respectively. Conclusion In this sample of patients with AD, vitamin D deficiency is associated with lower MMSE scores when compared to vitamin D normal range.
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