Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

Fisioter Mov. 2011 abr/jun;24(2):211-9 Ribeiro A, Wayhs JHA, Machado MM, Fleig TCM, da Silva ALG. 212 ciclo de marcha. Resultados: Os dados cinemáticos encontraram-se variados; cada indivíduo apresentou peculiaridades sobrepostas aos padrões básicos. Observou-se forte correlação negativa entre cadência e PImax (p = 0,002 e r = -0,96), entre comprimento de passo e PEmax (p = 0,007 e r = -0,93). Para a qualidade de vida (SGQR), associações diretas, qualidade de vida total (QVT) e percentual da fase de apoio (p = 0,086 e r = 0,75); qualidade de vida impacto (QVI) e percentual da fase de apoio (p = 0,09 e r = 0,74). Conclusão: Avaliar a marcha do portador de DPOC possibilitou inferir objetivamente, delineando intervenções terapêuticas. Os benefícios esperados da pesquisa, tanto para o indivíduo quanto para a sociedade, é uma nova maneira de avaliar e incrementar a marcha, elemento fundamental para manutenção da independência funcional e qualidade de vida. [#] [P] Palavras-chave: DPOC. Marcha. Autonomia. Qualidade de vida. AbstractIntroduction: Knowledge about gait functional in COPD patients and the identification of the associated variables in these characteristics can support the development of specific approaches in rehabilitation with the objective to maintain the autonomy. Objective: To evaluate the gait pattern adopted by COPD patients using a bidimensional analysis. Method: Transversal delineation, study of cases, carried through with six patients of COPD, the masculine sex, 64,00 ± 8,07 years of age, index of corporal mass (IMC) 22,28 ± 2,46 kg/m2, forced expiratory volume in the first second (VEF1) 35.17 ± 25.79% predicted, vital capacity forced (CVF) 64.83 ± 17.84% predicted. For kinematic data, we used bidimensional videography Simi Motion, connected was used the camera of digital video. The registers in 60 frames for second and time of acquisition of march cycle. Results: The kinematic data had met varied, since each individual presented overlapping peculiarities the basic standards. One strong negative correlation between cadence and PImax (p = 0,002 and r = -0,96), between length of step and PEmax was observed (p = 0,007 and r = -0,93). For the quality of life (SGQR), direct associations had been found, quality of total life (QVT) and percentage of the support phase (p = 0,086 and r = 0,75), and also quality of life impact (QVI) and percentage of the support phase (p = 0,09 and r = 0,74). Conclusion: To evaluate the standard of march the DPOC carrier, made possible in them to infer objective on this, possible to delineate therapeutically interventions. The benefits waited with such research, as much for the individual as for the society, it was in a new way to evaluate and to develop the march, basic element for maintenance of functional independence and quality of life. [#] [K]

Introduction: The symptoms of chronic obstructive pulmonary disease (COPD) impact an individual's health by associating with specific functional disabilities. To identify the disabilities and functionality of people affected by COPD, one can use the International Classification of Functioning, Disability, and Health (ICF). Objective: To understand the incapacities of individuals affected by COPD assisted in a cardiorespiratory rehabilitation program and to relate to the categories that make up the comprehensive ICF core set for COPD by validating the same. Method: A descriptive, observational cross-sectional study with COPD patients, of both sexes, submitted to the interview script with open questions about functionality and disability. The interview was transcribed and analyzed through the identification of concepts related to the ICF categories, comparing their frequency with the categories proposed in the Comprehensive ICF Core Set for COPD and the validation obtained through Kappa. Results: 24 COPD participants, 10 men, and 14 women, mean aged 65.5±9.8 years, answered the interview whose concepts were linked to the 52 ICF categories and subcategories, 05 of these not represented in the Comprehensive ICF Core Set for COPD, being " d445 use of hand and arm, "d550 eat"; "d630 prepare meals"; "e210 physical geography" and "e2100 physical geography, orography". Conclusion: The study made it possible to recognize the incapacities of individuals affected by COPD, showing valid use of the Comprehensive ICF Core Set for COPD since 90.3% of the categories found in the study were present in the Core Set.

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Introdução: A dor é tão universal que seu reconhecimento deve ser uma habilidade essencial dos profissionais da saúde. Por ser considerada subjetiva e expressa de diferentes formas, foram criadas várias escalas para mensurar a dor do indivíduo dentro do processo de avaliação. Objetivo: reconhecer a escala de dor que melhor se aplica na avaliação deste sintoma junto aos fisioterapeutas e pacientes para consequente implementação no serviço de fisioterapia hospitalar. Métodos: estudo transversal, tipo quali-quantitativo, com amostra de conveniência composta por fisioterapeutas e pacientes adultos hospitalizados no Hospital Santa Cruz, de Santa Cruz do Sul-RS. Constituído de quatro etapas: aplicação de questionário junto aos fisioterapeutas; aplicação de questionário junto aos pacientes; utilização da escala de dor pelos fisioterapeutas; nova aplicação de questionário junto aos fisioterapeutas. Resultados: No questionário aplicado junto aos fisioterapeutas (n=15), obteve-se a escala numérica como a preferida por ser de fácil entendimento (53,33%) e com melhor relação custo-benefício (53,33%). Já aplicação com os pacientes (n=23), houve predomínio da escala visual analógica (EVA) (teste = 39,13%; re-teste = 43,48%). A EVA foi implementada junto ao serviço de fisioterapia hospitalar por 08 fisioterapeutas nas suas avaliações e atendimentos. No acompanhamento da utilização desta, em registro nos prontuários, verificou-se o uso mais efetivo nas avaliações e por fisioterapeutas. Conclusão: Foi possível verificar o reconhecimento da escala de dor que melhor se aplica na avaliação deste sintoma como quinto sinal vital, bem como reconhecer junto a fisioterapeutas e pacientes a mais indicada quanto à compreensão e fácil entendimento, ou seja, a Escala EVA.

Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4.

Objetivo: Acompanhar por um ano as modificações da capacidade funcional e cognitiva de idosos institucionalizados. Métodos: A pesquisa se caracteriza em coorte prospectivo, compreendendo uma amostra de 41 idosos institucionalizados, com idade de 80,0 ±10,6 anos, sendo 32 (78,8%) do sexo feminino. As coletas de dados foram realizadas em uma Instituição de Longa Permanência para Idosos, na cidade de Cachoeira do Sul/RS. O período de coleta de dados foi entre janeiro de 2016 e fevereiro de 2017. A capacidade cognitiva foi avaliada pelo teste de cognição Mini-Exame de Estado Mental (MEEM) e a capacidade funcional pela Medida de Independência Funcional (MIF). Resultados: Durante o período de um ano, a capacidade funcional reduziu 7,6% (p = 0,003) e a capacidade cognitiva reduziu 6,7% (p = 0,001). A correlação entre as capacidades funcional e cognitiva no ano de 2016 e 2017 foram respectivamente de r = 0,478 e r = 0,505. A regressão linear demonstrou que durante o período a capacidade funcional influenciou em 25% (r² = 0,247) na capacidade cognitiva e que para cada 1 ponto da MIF, diminui 0,1 ponto do MEEM (p = 0,001). Conclusão: Durante o período de um ano, observou-se a redução das capacidades funcional e cognitiva de idosos institucionalizados.Palavras-chave: idoso, instituição de longa permanência para idosos, cognição, saúde do idoso institucionalizado.

Thymoxamine hydrochloride can be used intraocularly to reverse phenylephrine or epinephrine mydriasis during intraocular surgery (0.2-0.5 ml of 0.01% or 0.02% solutions proved to be effective). No endothelial damage was found up to a dose of 1 ml of 0.02% thymoxamine in animal experiments using a physiologically buffered solution. Since stability is low in the buffered state, the final concentration has to be prepared at the time of surgery using a 0.5% solution and a phosphate buffer. Intracameral thymoxamine is a potent miotic during operations and can be helpful in extracapsular cataract surgery, keratoplasty, and repair of perforating injuries.