No abstract

Introduction: An important consequence of the aging of people with DM2 is physical disability, particularly the loss of mobility. Objective: To determine sociodemographic, clinical-functional, and psycho-cognitive factors related to the reduction in hand grip strength (HGS) in elderly patients with type 2 diabetes mellitus (DM2) and to verify the relationship between HGS and fragility. Method: This is an observational cross-sectional study with 156 elderly individuals aged 60 years and over, both male and female, diagnosed with DM2. The participants were assessed according to sociodemographic, clinical-functional, psycho-cognitive, and functional mobility data. HGS was evaluated using a manual dynamometer. The tests performed were: Mann-Whitney or Kruskal-Wallis, and Chi-square. The level of significance was set at 5% (p < 0.05). Results: A significant relationship was observed between HGS and each of the following: sex (p < 0.001), age range (p = 0.04), marital status (p = 0.004), physical activity (p = 0.06), number of conditions diagnosed (p = 0.002), use of insulin therapy (p = 0.03), complaint of pain in lower limb power (p < 0.001), falls in the last year (p = 0.004), fear of falling (p = 0.003), Mini-Mental State Examination (p = 0.01), Geriatric Depression Scale (p = 0.008), fragility phenotype (p < 0.001). Conclusion: HGS was reduced in elderly women with DM2, those who did not have a marital life had five or more diseases diagnosed with insulin therapy, did not engage in regular physical activity, complained of lower limb pain, had a history of two or more falls in the last year, had a fear of falling, had a cognitive deficit, had depressive symptoms, and were fragile.

Resumo Introdução: Estima-se que a população idosa está associada a distúrbios do equilíbrio, limitação nas atividades e isolamento social. Objetivo: Avaliar o equilíbrio corporal de idosos longevos. Método: Estudo transversal, analítico, em idosos com idade igual ou superior a 80 anos, dos sexos masculino e feminino, avaliados clinicamente e através dos testes: Escala de Equilíbrio de Berg (EEB), Dynamic Gait Index (DGI), teste Timed Up and Go (TUG) e Teste de Sentar-Levantar. Análises descritivas simples e os testes de Mann-Whitney and Kruskal-Wallis, pós teste de Dunn e coeficiente de alpha de Spearman < 0,05. Resultados: Houve associação significante entre BBS e as variáveis: medo de cair (p = 0,029), uso de dispositivo de auxílio à marcha (p = 0,001), atividade física (p < 0,001), episódio de AVC (p = 0,007), doenças musculoesqueléticas (p = 0,027) e dor (p = 0,045). Houve correlação significativa entre EEB e as variáveis, como idade (ρ = - 0,316, p < 0,001), número de doenças (ρ = -0,26663, p = 0,0062), número de quedas (ρ = -0,214, p = 0,0279), DGI (ρ = 0,713, p < 0,0001), Teste de Sentar-Levantar (ρ = -0,418, p < 0,001) e TUG (ρ = -0,658, p < 0,001). Conclusão: O equilíbrio corporal em idosos fica mais comprometido com a idade, maior número de doenças, mais quedas, pior desempenho da marcha, diminuição na força de membros inferiores e mobilidade, presença de AVC e as doenças do sistema musculoesquelético, queixa de dor, uso de dispositivo de auxílio à marcha, medo de cair e não realização de atividade física.

Investigou-se a associação entre equilíbrio postural (EP) e as variáveis sociodemográficas e clínico-funcionais de idosos internados na enfermaria de uma Clínica Médica. Os idosos com faixa etária mais elevada, declínio da função cognitiva, pior estado nutricional, pior força de preensão palmar, maior número de hipóteses diagnósticas, presença de doenças de olhos e anexos, déficit auditivo e/ou visual, quedas no último ano, maior tempo de início de tontura do tipo rotatória, e provenientes do pronto-socorro, apresentaram pior EP.

Objective: To analyze the biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus. Methods: A cross-sectional, descriptive study with a sample selected for convenience was performed in a university hospital. The participants were individuals aged 60 years or older diagnosed with type 2 Diabetes Mellitus. Patients were assessed using a multidimensional survey, containing sociodemographic, clinical-functional, psycho-psychological and cognitive data. The Mini-Mental State Exam and the Short Geriatric Depression Scale (GDS-15) were used to screen for cognitive deficits and depressive symptoms, respectively, and the Timed Up and Go Test was used to assess mobility. Data analysis was performed using the Chi-square and Mann-Whitney tests. Results: The sample consisted of 157 older adults of whom 45.22% complained of dizziness. There was a statistically significant association between dizziness and the variables: female sex, being unmarried, a low level of education, a negative self-perception of general health and vision, complaints of pain in the lower limbs, a fear of falling, a tendency to fall, cognitive impairment and psychological symptoms. Conclusion: Knowledge of the factors associated with the complaint of dizziness in older adults with DM2 allows improved targeting of prevention, assessment and intervention actions, in order to minimize the occurrence of falls, maintain or optimize functional capacity and cognitive skills, and thus improve quality of life.

Abstract Objective: To compare clinical-functional factors among groups in relation to the frailty syndrome (pre-frail and frail) phenotype profile in older adults with type 2 diabetes mellitus (DM 2). Methods: A descriptive, analytical, cross-sectional study with a quantitative approach was performed. A total of 113 diabetic older adults of both sexes were evaluated in terms of their personal, socio-demographic, clinical-functional, mental, cognitive and fragility phenotype data. The Chi-square test and a logistic regression model were used. Results: The mean age was 68.66±6.62 years, and the sample was mostly female (61.9%), illiterate or with an incomplete primary education (60.2%), pre-frail (52.2%), sedentary (79.6%), and had been diagnosed with DM2 for more than 5 years (58.3%). There was a significant association between “pre-frail and frail” individuals and schooling (p=0.004), social participation (p=0.004), a subjective perception of vision (p=0.004), glycated hemoglobin (p=0.036), limb pain (p=0.012), depressive symptoms (p=0.002) and mobility (p=0.004). The logistic regression model showed an accuracy of 93.6% and the significant variables were education (p=0.039), pain in the lower limbs (p=0.025) and risk of falls (p=0.033). Conclusion: among all the factors related to the “pre-frail” and “frail” phenotype, schooling, pain in the lower limbs and mobility were most related to the worsening of the syndrome and its progress.

Os autores declaram que não há conflito de interesse. ResumoObjetivo: realizar uma análise comparativa entre três técnicas radiográficas intrabucais: bissetriz, paralelismo e interproximal, para a determinação da quantidade de dentina remanescente no assoalho das cavidades Classe I de dentes posteriores, para que possamos identificar a que melhor representa a realidade da situação analisada. Material e Métodos: foram analisados 50 dentes, pré-molares e molares, de pacientes entre 20 e 40 anos, acometidos por cárie primária através da realização de três radiografias antes e três após o preparo cavitário Classe I, utilizando as três técnicas radiográficas diferentes. Os dados foram analisados estatisticamente com os testes Mann-Whitney e Wilcoxon, através do software SPSS 20.0. Resultados: as médias dos remanescentes nas três técnicas radiográficas mostraram que houve diferenças significativas (p = 0,00) nos momentos analisados, onde no pré-preparo cavitário a técnica da bissetriz apresentou maior variação em relação ao paralelismo e interproximal, já no momento pós-preparo cavitário a média da interproximal apresentou maior variação. Conclusão: a técnica do paralelismo apresentou uma maior padronização na medida do remanescente dentinário, observada nos dois momentos das tomadas, ou seja, antes e após os preparos cavitários. AbstRActObjective: to conduct a comparative analysis of three intraoral radiographic techniques; bisect, parallelism, and bitewing, to determine the amount of dentin remaining on the floor of the cavity in Class I posterior teeth, so that we can identify the technique that best represents the reality of the situation analyzed. Materials and Methods: we analyzed 50 teeth; premolars and molars of patients between 20 and 40 years affected by primary cavities, by performing three radiographs before and three radiographs after the cavity preparation Class I, Data were analyzed statistically using the Mann-Whitney and Wilcoxon tests using the SPSS 20.0 software. Results: the average of the remaining three radiographic techniques showed that there were significant differences (p = 0.00) in the moments analyzed, where the pre preparation cavity the bisecting technique showed greater variation in relation to parallelism and bitewing since the post preparation time cavity average of bitewing showed greater variation. Conclusion: the paralleling technique presented greater standardization as the remaining dentin was observed in two moments of the sockets, before and after the cavity preparation.

RESUMO O debate sobre essas novas abordagens disciplinares, que caracterizam algumas ciências, dentre estas a Saúde Coletiva, implica em introduzir o conceito de transdisciplinaridade no complexo conceitual, este surge da disciplinaridade e sofre sucessivas alterações, estabelecendo cada vez mais conexões estreitas entre os saberes. A disciplinaridade, a pluridisciplinaridade, a interdisciplinaridade e a transdisciplinaridade são as bases que norteiam a busca pelo conhecimento. No campo da Saúde Coletiva, vários autores têm defendido a necessidade de novos paradigmas para abordar diferentes questões de pesquisa nos campos científicos da saúde. Este artigo busca estabelecer as diferenças entre os conceitos disciplinares, abordando a aplicabilidade da transdisciplinaridade nas práticas em saúde, com ênfase no trabalho em equipe através de uma pesquisa bibliográfica realizada na base de dados da Biblioteca Virtual em Saúde e Scielo-ScientificElectronic Library Online. A própria publicação referente ao assunto demonstra a aplicação da transdisciplinaridade, onde pode-se observar a abordagem feita por diferentes profissionais das mais diversas áreas do conhecimento reafirmando a necessidade de aplicação da ligação entre disciplinas distintas. Palavras-chave:Ciência. Saúde.Disciplinaridade.Conhecimento.Universidade.