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1.
Aging Clin Exp Res ; 36(1): 61, 2024 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-38451364

RESUMEN

BACKGROUND: The aim of this study was to determine the absolute and relative reliability of the Ruler Drop Test (RDT) for assessing dual-task, choice, and discrimination reaction time. In addition, the construct validity of the RDT is examined in comparison to the Deary-Liewald reaction time (DLRT). METHODS: Tests were administered by the same evaluator, one week apart. Intraclass Correlation Coefficient (ICC3.1) was used to measure relative reliability, and the standard error of measurement (SEM) and minimal detectable change (MDC95) were used to measure absolute reliability. Spearman correlation test was used to measure construct validity. RESULTS: The results showed that the relative reliability was good for the choice ruler drop (ICC = 0.81), moderate for the dual-task ruler drop test (ICC = 0.70) and discrimination ruler drop test (ICC = 0.72), and good for simple ruler drop test. However, the simple ruler drop test had poor reliability (ICC = 0.57). The RDT shows construct validity compared to the DLRT. CONCLUSION: We conclude that the RDT is a suitable instrument for measuring dual-task, choice and discrimination reaction time. Future studies should explore the reliability of these measures in other populations.


Asunto(s)
Tiempo de Reacción , Humanos , Reproducibilidad de los Resultados
2.
Environ Microbiol ; 25(9): 1713-1727, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37121608

RESUMEN

Marine Bacteroidetes that degrade polysaccharides contribute to carbon cycling in the ocean. Organic matter, including glycans from terrestrial plants, might enter the oceans through rivers. Whether marine bacteria degrade structurally related glycans from diverse sources including terrestrial plants and marine algae was previously unknown. We show that the marine bacterium Flavimarina sp. Hel_I_48 encodes two polysaccharide utilization loci (PULs) which degrade xylans from terrestrial plants and marine algae. Biochemical experiments revealed activity and specificity of the encoded xylanases and associated enzymes of these PULs. Proteomics indicated that these genomic regions respond to glucuronoxylans and arabinoxylans. Substrate specificities of key enzymes suggest dedicated metabolic pathways for xylan utilization. Some of the xylanases were active on different xylans with the conserved ß-1,4-linked xylose main chain. Enzyme activity was consistent with growth curves showing Flavimarina sp. Hel_I_48 uses structurally different xylans. The observed abundance of related xylan-degrading enzyme repertoires in genomes of other marine Bacteroidetes indicates similar activities are common in the ocean. The here presented data show that certain marine bacteria are genetically and biochemically variable enough to access parts of structurally diverse xylans from terrestrial plants as well as from marine algal sources.


Asunto(s)
Flavobacteriaceae , Xilanos , Xilanos/metabolismo , Bacteroidetes/genética , Bacteroidetes/metabolismo , Polisacáridos/metabolismo , Flavobacteriaceae/genética , Genómica
3.
J Nurs Scholarsh ; 54(3): 332-344, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-34755457

RESUMEN

INTRODUCTION: Smokers are frequent users of healthcare services. Admissions to hospital can serve as a "teachable moment" for quitting smoking. Clinical guidelines recommend initiating smoking cessation services during hospitalization; however, in Southern European countries less than 5% of inpatients receive a brief intervention for smoking cessation. OBJECTIVES: The aims of this study were (i) to examine rates of smoking abstinence during and after hospitalization; (ii) to measure changes in smoking patterns among persons who continued smoking after discharge; and (iii) to identify predictors of abstinence during hospitalization and after discharge. METHODS: A cohort study of a representative sample of current adult smokers hospitalized in two Spanish and two Portuguese hospitals. We surveyed smokers during hospitalization and recontacted them one month after discharge. We used a 25-item ad hoc questionnaire regarding their smoking pattern, the smoking cessation intervention they have received during hospitalization, and hospital and sociodemographic characteristics. We performed a descriptive analysis using the chi-square test and a multivariate logistic regression to characterize the participant, hospital, and smoking cessation intervention (5As model) characteristics associated with smoking abstinence. RESULTS: Smoking patients from both countries presented high abstinence rates during hospitalization (Spain: 76.4%; Portugal: 70.2%); however, after discharge, their abstinence rates decreased to 55.3% and 46.8%, respectively. In Spain, smokers who tried to quit before hospital admission showed higher abstinence rates, and those who continued smoking reduced a mean of five cigarettes the number of cigarettes per day (p ≤ 0.001). In Portugal, abstinence rates were higher among women (p = 0.030), those not living with a smoker (p = 0.008), those admitted to medical-surgical wards (p = 0.035), who consumed their first cigarette within 60 min after waking (p = 0.006), and those who were trying to quit before hospitalization (p = 0.043). CONCLUSIONS: Half of the smokers admitted into the Spanish hospitals are abstinent one month after discharge or have reduced their cigarettes per day. Nevertheless, success rates could be increased by implementing evidence-based tobacco cessation programs at the organizational-level, including post-discharge active quitting smoking support. CLINICAL RELEVANCE: Three-quarters of the inpatients who smoke remain abstinent during hospitalization and over half achieve to maintain their abstinence or at least reduce their consumption one month after discharge, proving that admission to hospitals is an excellent teachable moment to quit smoking.


Asunto(s)
Pacientes Internos , Alta del Paciente , Adulto , Cuidados Posteriores , Estudios de Cohortes , Femenino , Hospitalización , Humanos , Fumar/epidemiología
4.
J Am Med Dir Assoc ; 25(6): 104954, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38428831

RESUMEN

OBJECTIVES: This study aims to investigate the effects of an exercise intervention using multimodal exercise with augmented reality and multimodal exercise-only on cognitive function in older adults living in a community dwelling. DESIGN: Quasi-experimental research study. SETTING AND PARTICIPANTS: In this control study, 78 participants were divided into 2 experimental groups (with sessions 3 times a week for 12 weeks) and a control group (CG). METHODS: EG1 participated in a multimodal exercise-only intervention program, EG2 participated in a multimodal exercise program with augmented reality exergames, and CG continued its usual activities. Participants were assessed at baseline and postintervention after 12 weeks. RESULTS: Comparison between baseline and postintervention at 12 weeks showed significant improvements in executive functions, verbal fluency, choice reaction time, and dual task in EG1, whereas there were improvements in general cognition, executive functions, verbal fluency, discrimination reaction time, and depression in EG2 (P ≤ .05). The clinical effect sizes of the interventions were large for overall cognition, executive functions, and reaction time on single- and dual-task reaction time in EG1 and for overall cognition, executive functions, and verbal fluency in EG2. CONCLUSION AND IMPLICATIONS: The intervention programs showed significant improvements in several cognitive domains. The multimodal exercise-only showed improvements in more variables than the multimodal exercise with augmented reality, but the augmented reality group showed greater changes between baseline and postintervention.


Asunto(s)
Terapia por Ejercicio , Vida Independiente , Humanos , Masculino , Anciano , Femenino , Terapia por Ejercicio/métodos , Cognición/fisiología , Realidad Aumentada , Anciano de 80 o más Años , Función Ejecutiva
5.
Enferm Clin (Engl Ed) ; 33(3): 216-222, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36400166

RESUMEN

OBJECTIVE: Intensive care unit-acquired muscle weakness (ICUAW) in critically ill patients is frequent and associated with negative outcomes. Early rehabilitation is a strategy to improve outcomes. The aim was to assess the effects of a rehabilitation nursing programme at discharge from intensive care unit. METHODS: Quasi-experimental study with the comparison between two groups: one enrolled in a systematized nursing rehabilitation program and the other with usual nursing rehabilitation care. A non-probabilistic sample, sequential, of 42 critically ill ventilated patients, 21 patients in the control group and 21 patients the intervention group (June 2017 to June 2019), in three intensive care units of one large Portuguese teaching hospital. Mann-Whitney test was performed to compare Medical Research Council Sum Score (MRC-SS) values between groups. RESULTS: Patients undergoing the rehabilitation program had a decrease in ICUAW (at ICU discharge mean MRC-SS = 38 vs. mean MRC-SS = 42.7, p = 0.043, U = 152,5). There was a decrease in severe muscle weakness (9.5% vs. 28.6%) and significant muscle weakness (42.9% vs. 52.4%) and an increase without muscle weakness (47,6% vs. 19%). CONCLUSIONS: The systematic rehabilitation nursing program can improve muscle strength and reduce functional disability at the time of discharge from intensive care.


Asunto(s)
Enfermedad Crítica , Enfermería en Rehabilitación , Humanos , Debilidad Muscular/rehabilitación , Unidades de Cuidados Intensivos , Fuerza Muscular
6.
Healthcare (Basel) ; 11(8)2023 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-37107933

RESUMEN

(1) Background: Purpose: The assessment of quality of life is essential to the human condition and can be measured through questionnaires. This study aims to translate and culturally adapt the 15D questionnaire to assess the population's quality of life, as well as explore its relative reliability and internal consistency; (2) Methods: The translation and cultural adaptation of the 15D questionnaire was carried out independently, considering two translations. The synthesis version was applied to eight subjects, distributed by gender. Cognitive interviews were conducted to observe clarity, acceptability, and familiarity with the version of the questionnaire. The final version of the questionnaire, in Portuguese, was again translated into the official language by two translators who had never had contact with the questionnaire. To assess the test-retest reliability and internal consistency of the 15D questionnaire, 43 participants were interviewed; (3) Results: Participants indicated that they had some doubts about dimensions, breathing, and discomfort and symptoms; however, as there were no suggestions for change, the questionnaire had no changes. Items were clear and understandable. Internal consistency was observed using Cronbach's alpha, with values between 0.76 and 0.98. The test-retest reliability values were between 0.77 and 0.97; and (4) Conclusions: The Portuguese version of the 15D questionnaire was proved to be equivalent to the English version and to be reliable for the Portuguese population. This instrument is easy to access and apply.

7.
Artículo en Inglés | MEDLINE | ID: mdl-36361495

RESUMEN

The aim of this study was to investigate the relationship between phase angle (PhA) and physical function in institutionalized, independent older adults. Physical function was evaluated using the Senior Fitness Test Battery. PhA was measured by electrical bioimpedance at 50 khz, and body composition parameters were also registered. Results showed that PhA significantly correlated with all physical fitness tests, except for arm curls. Regarding the results of the multivariate analysis, three models were created: Model 1, formed by a dependent variable "PhA" and two predictor variables "8 ft up-and-go" and "6 min walk"; Model 2, formed by a dependent variable "PhA" and three predictor variables "8 ft up-and-go", "6 min walk" and "30-s chair stand"; and Model 3, formed by a dependent variable "PhA" and four predictor variables "8 ft up-and-go", "6 min walk", "30-s chair stand" and "arm curl". Results showed that predictor variables had a significant influence on the PhA for all three models (Model 1: p = 0.001, 12.5%; Model 2: p = 0.002, 12.9%; and Model 3: p = 0.005, 13.1%). For women, Model 1 showed a significant influence of predictor variables on the PhA (p = 0.030, 9.3%). The results for men in Models 1, 2 and 3 showed significant influences on the PhA (p = 0.002, 31.2%; p = 0.006, 31.6%; and p = 0.016, 31.6%; respectively). This study confirmed previous studies regarding to the relationship between PhA and physical function. It also indicates that PhA could be an excellent predictor of physical function.


Asunto(s)
Composición Corporal , Fuerza Muscular , Masculino , Humanos , Femenino , Anciano , Impedancia Eléctrica , Aptitud Física , Ejercicio Físico
8.
Artículo en Inglés | MEDLINE | ID: mdl-36429385

RESUMEN

BACKGROUND: This study aims to investigate the acute effects of an augmented reality session and a cycle ergometer session compared to no exercise on the reaction times, cognitive flexibility, and verbal fluency of older adults. METHODS: Each participant did a familiarization with cognitive tests and the following three sessions: cycle ergometer, no exercise (control group), and augmented reality exergame (Portable Exergame Platform for Elderly) sessions. The participants were randomized in a within-group design into one of six possible combinations. Each moment had a 30 min duration, and after the session, the participants performed a Trail Making Test, a verbal fluency test, and a Deary-Liewald reaction time task. The data were analyzed with a one-way ANOVA with a Bonferroni adjustment. RESULTS: The analysis between the no exercise, cycle ergometer, and augmented reality sessions showed no significant differences in the cognitive measurements. CONCLUSIONS: One session of the cycle ergometer exercise or the augmented reality exergames does not acutely improve the reaction times, cognitive flexibility, or verbal fluency in the elderly.


Asunto(s)
Realidad Aumentada , Humanos , Anciano , Tiempo de Reacción , Videojuego de Ejercicio , Pruebas Neuropsicológicas , Ejercicio Físico
9.
J Geriatr Phys Ther ; 45(4): E155-E160, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34991131

RESUMEN

BACKGROUND AND PURPOSE: Physical activity can delay the progression of self-care disability in older adults residing in living care facilities. Nonetheless, older adults residing in living care facilities spend most of their time sedentary and do not meet the physical activity recommendation, which may result in increasing self-care disability in this population group. In this study, we aimed to determine whether the association between sedentary time and self-care disability was moderated by moderate-to-vigorous physical activity (MVPA) in older adults residing in living care facilities. METHODS: Sedentary time and MVPA were both measured with accelerometers. Self-care disability was assessed with the Barthel Index. A multivariate regression model was used to ascertain the effects of the interaction between sedentary time and MVPA on the self-care disability of participants. The Johnson-Neyman technique was then used to estimate the exact MVPA threshold at which the effect of sedentary time on self-care disability became nonsignificant. RESULTS: We found a significant effect of sedentary time on self-care disability (standardized ß=-1.66; 95% CI -1.77 to -1.54, P = .013). Results indicated that MVPA moderates the relationship between self-care disability status and sedentary time (standardized ß= 1.14; 95% CI 1.13 to 1.14, P = .032). The Johnson-Neyman technique determined that 51 min/day of MVPA would offset the negative effects of sedentary time on self-care disability. CONCLUSIONS: Our results suggest physical therapists should focus on reducing sedentary time alongside physical activity to prevent the progression to dependency in octogenarians residing in living care facilities.


Asunto(s)
Octogenarios , Sedestación , Anciano de 80 o más Años , Humanos , Anciano , Autocuidado , Conducta Sedentaria , Ejercicio Físico
10.
J Phys Act Health ; 19(5): 329-338, 2022 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-35349980

RESUMEN

BACKGROUND: We investigated the associations of replacing sedentary behavior (SB) with physical activity of different intensities on the physical function of octogenarians living in long-term care facilities. METHODS: This pooled study recruited 427 older adults aged 80 years and older (69.1% female; body mass index: 27.53). For 345 participants who provided valid data, we assessed device-measured time spent in SB, light-intensity physical activity (LIPA), and moderate to vigorous physical activity (MVPA). We assessed lower limb physical function, strength, mobility, and disability. We used compositional data analysis to investigate the associations of replacing SB with physical activity on the outcomes. RESULTS: Reallocation of SB to LIPA and MVPA was associated with a higher number of 30-second Chair Stand cycles (LIPA: +0.21, MVPA: +1.81; P < .001), greater peak force (LIPA: +11.96 N, MVPA: +27.68 N; P < .001), peak power (LIPA: +35.82 W, MVPA: +92.73 W; P < .001), peak velocity (LIPA: +0.03 m/s, MVPA: +0.12 m/s; P < .001), higher levels of grip strength (LIPA: +0.68 kg, MVPA: +2.49 kg; P < .001), and less time in the Time Up and Go (LIPA: -7.63 s, MVPA: -12.43 s; P < .001). CONCLUSIONS: Replacing SB with LIPA or MVPA is associated with physical function and disability of older adults living in long-term care facilities.


Asunto(s)
Ejercicio Físico , Conducta Sedentaria , Acelerometría , Anciano , Anciano de 80 o más Años , Ejercicio Físico/fisiología , Femenino , Humanos , Cuidados a Largo Plazo , Masculino , Músculos , Octogenarios
11.
Sci Rep ; 12(1): 11810, 2022 07 12.
Artículo en Inglés | MEDLINE | ID: mdl-35821501

RESUMEN

Intrauterine growth restriction (IUGR) compromises fetal development, leading to low birth weight, and predisposes to gastrointestinal disorders. Pigs that suffered IUGR present poor postnatal development, resulting in great economic losses to the industry. The small intestine may be involved with impaired development, but studies investigating this issue are still limited. Thus, the present study aimed to investigate small intestine morphofunctional alterations in IUGR pigs throughout the production phases (birth to 150 days). IUGR pigs presented lower body weight from birth to the finishing phase (P < 0.05). Although histomorphometrical parameters were not affected during the pre-weaning period, their commitment was observed specifically in the duodenum of the IUGR group at older ages (P < 0.05). The most detrimental effects on the small intestine, such as deeper duodenum crypts' depth, lower villus height:crypt depth ratio and absorptive area, increased apoptosis and lower proliferation of the duodenum epithelium were noticed at 70 days of age (P < 0.05). Additionally, IUGR pigs presented the lowest chymotrypsin and amylase activities at 70 and 150 days of age, respectively (P < 0.05). These findings may contribute to the elucidation of morphofunctional disorders of the small intestine in IUGR pigs throughout the different production phases, suggesting that poor postnatal development may be due to intestinal damage.


Asunto(s)
Retardo del Crecimiento Fetal , Intestinos , Animales , Femenino , Humanos , Mucosa Intestinal , Parto , Embarazo , Porcinos , Destete
12.
Ir J Med Sci ; 190(4): 1625-1632, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33475966

RESUMEN

OBJECTIVE: This study aimed to determine the absolute and relative test-retest reliability of the functional reach test (FRT) and the handgrip strength test (HGST) in older adults using nursing homes. METHODS: Participants (≥ 65 years old), living in nursing homes or using their day care services, were distributed into a group without cognitive impairment (GWCI, n = 43) and a group with mild cognitive impairment (GCI; n = 22). A 1-week test-retest was performed for the FRT and the HGST. Relative reliability was measured by the intraclass correlation coefficient (ICC3.1), and absolute reliability by the standard error of measurement (SEM), minimal detectable change (MDC95), and Bland-Altman plots. RESULTS: The ICC showed high reliability for the FRT (GWCI, ICC = 0.83; GCI, ICC = 0.87) and the HGST (ICC ≥ 0.95 in both hands and participant groups). The absolute reliability was good: FRT, SEM = 2.96/2.29, MDC95 = 8.20/6.35 for the GWCI and the GCI, respectively; HGST dominant hand SEM = 1.26/0.82, MDC95 = 3.50/2.29, and HGST non-dominant hand SEM = 1.05/0.80, MDC95 = 2.90/2.21, for the GWCI and the GCI, respectively. Bland-Altman showed that there was not a systematic bias for the tests in both groups. DISCUSSION: Findings show that the FRT and the HGST are reliable, have acceptable measurement error, and may be used for research and clinical purposes to assess functional balance and strength of the hands in older adults using nursing homes.


Asunto(s)
Fuerza de la Mano , Equilibrio Postural , Anciano , Humanos , Casas de Salud , Reproducibilidad de los Resultados
13.
Exp Gerontol ; 147: 111271, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33549821

RESUMEN

The aim of this study was to determine the absolute and relative reliability and validity of two reaction time (RT) tests in older adults using long-term facility: the ruler drop test (RDT, a simple RT) and the Deary-Liewald RT task (DLRT, simple and four-choice RT). Participants (≥65 years old) using long-term facilities were distributed into a group without cognitive impairment (GWCI, n = 41), and a group with mild cognitive impairment (GCI, n = 32). The tests were administered one week apart, by the same evaluator. Relative reliability was measured by the Intraclass Correlation Coefficient (ICC3.1), absolute reliability by the standard error of measurement (SEM) and minimal detectable change (MDC95) and convergent validity by the Pearson correlation. The results showed that the relative reliability was good for the RDT (GWCI, ICC = 0.84; GCI, ICC = 0.80) and moderate for the Deary Liewald RT simple (DLRT-S) (GWCI, ICC = 0.61; GCI, ICC = 0.65). The relative reliability of the Deary Liewald RT choice (DLRT-C) was good (ICC = 0.89) for the GWCI and excellent (ICC = 0.93) for the GCI. However, the DLRT-C had low feasibility in the GCI, as most participants were unable to complete the test. Measurement precision was acceptable for the RDT and DLRT-C (GWCI) and for the DLRT-C (GCI). There were no significant associations between the RDT and DLRT scores. We conclude that the RDT could be more suitable than the DLRT-S for assessing simple RT in older adults. Future studies should explore if fewer than the four stimulus-response alternatives used in the DLRT-C could be more appropriate for assessing choice RT in older adults with cognitive impairment.


Asunto(s)
Disfunción Cognitiva , Equilibrio Postural , Anciano , Disfunción Cognitiva/diagnóstico , Humanos , Psicometría , Tiempo de Reacción , Reproducibilidad de los Resultados
14.
Movimento (Porto Alegre) ; 29: e29058, 2023. tab
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1558574

RESUMEN

Resumo O objetivo deste estudo foi verificar as percepções das pessoas idosas sobre as características que contribuíram para as conexões sociais em um programa de exercícios físicos sistematizados. Para isso, utilizou-se da abordagem qualitativa e foram entrevistados 18 participantes após um programa de 16 semanas de treino. Foi realizada uma entrevista presencial, a partir de um roteiro com questões semiestruturadas. Os dados foram analisados pelo método de Análise Temática. Foram identificados quatro temas gerais: a) motivação extrínseca, b) características do grupo, c) características pessoais, e d)características profissionais. Além disso, foram identificados alguns atributos, como ter pessoas conhecidas nos programas, estar em grupo de participantes com idades próximas, estar aberto ao diálogo e ter profissionais com características socioafetivas como comunicação, empatia, entre outros, que podem influenciar na percepção de conexões sociais durante o exercício físico, potencializando seus benefícios e contribuindo para uma vida mais ativa.


Abstract The aim of this study was to verify the older people's perceptions about the characteristics that contributed to the social connections in a systematic physical exercises program. For this, a qualitative method was used, and 18 participants were interviewed after a 16-week training program. A face-to-face interview was carried out, based on a script with semi-structured questions. The data was analyzed using the Thematic Analysis method. Four general themes were identified: a) extrinsic motivation, b) group characteristics, c) personal characteristics, and d) professional characteristics. Furthermore, some attributes were identified, such as identify familiar people in the programs, belong in a group of participants with similar age, be open to dialogue and have professionals with socio-affective characteristics such as communication, empathy, among others, which can influence the perception of social connections during physical exercise, enhancing its benefits and contributing to a physically active life.


Resumen El objetivo de este estudio fue verificar las percepciones de las personas mayores sobre las características que contribuyen a las conexiones sociales en un programa sistematizado de ejercicio físico. Para eso, se utilizó un enfoque cualitativo y se entrevistó a 18 participantes después de un programa de entrenamiento físico de 16 semanas. Se realizó una entrevista cara a cara, basada en un guion con preguntas semiestructuradas. Los datos fueron analizados mediante el método de Análisis Temático. Se identificaron cuatro temas generales: a) motivación extrínseca, b) características grupales, c) características personales y d) características profesionales. Además, se identificaron algunos atributos como tener personas conocidas en los programas, estar en un grupo de participantes de edades cercanas, estar abiertos al diálogo y contar con profesionales con características socioafectivas como comunicación, empatía, entre otras, que pueden influyen en la percepción de las conexiones sociales durante el ejercicio físico, potenciando sus beneficios y contribuyendo a una vida más activa.

15.
Exp Gerontol ; 100: 63-69, 2017 12 15.
Artículo en Inglés | MEDLINE | ID: mdl-29107061

RESUMEN

Physical activity and physical fitness are important for health, functional mobility and performance of everyday activities. To date, little attention has been given to physical activity and physical fitness among nursing home residents with cognitive impairment. Therefore, the main aim of this study was to examine physical activity behavior and physical fitness of institutionalized older adults with cognitive impairment and to investigate their interrelations. Forty-eight older adults with cognitive impairment (83.9±7.7years; 72.9% women) and 22 without cognitive impairment (82.2±8.8years; 54.5% women) participated. Physical activity was objectively assessed with accelerometers and physical fitness components (muscular strength, flexibility, balance, body composition and reaction time) were evaluated with physical fitness field tests. Nursing home residents with cognitive impairment spent only ~1min per day in moderate physical activity and ~89min in light physical activity. In average they accumulated 863 (±599) steps per day and spent 87.2% of the accelerometer wear time in sedentary behavior. Participants' physical fitness components were markedly low and according to the cut-offs used for interpreting the results a great number of nursing home residents had an increased risk of associated health problems, functional impairment and of falling. The performance in some physical fitness tests was positively associated with physical activity. Participants without cognitive impairment had higher levels of physical activity and physical fitness than their counterparts with cognitive impairment. These results indicate that nursing home residents, especially those with cognitive impairment, have low levels of physical activity, spent a high proportion of daytime in sedentary behavior and have low physical fitness. Nursing homes should implement health promotion strategies targeting physical activity and physical fitness of their residents.


Asunto(s)
Disfunción Cognitiva/rehabilitación , Ejercicio Físico , Aptitud Física , Calidad de Vida , Acelerometría , Accidentes por Caídas/prevención & control , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Hogares para Ancianos , Humanos , Masculino , Fuerza Muscular/fisiología , Casas de Salud , Proyectos Piloto
16.
Arq Bras Cardiol ; 85 Suppl 5: 45-9, 2005 Oct.
Artículo en Portugués | MEDLINE | ID: mdl-16400399

RESUMEN

Hypertriglyceridemia and low HDL-c are common features in patients with chronic renal failure. Cardiovascular mortality is substantially increased in the presence of chronic renal disease (10-20 times higher). There is evidence from clinical trials with statins suggesting their protective role in the progression of renal disease. In addition, reduced rates of non-fatal myocardial infarction and cardiac mortality were seen after renal transplant in patients receiving fluvastatin. However, a recent study with atorvastatin failed to demonstrate reduction in cardiovascular morbidity and mortality among diabetic patients on hemodialysis therapy. Ongoing trials will define the precise role of statins in this subset of patients.


Asunto(s)
Inhibidores de Hidroximetilglutaril-CoA Reductasas/uso terapéutico , Fallo Renal Crónico/tratamiento farmacológico , Brasil/epidemiología , Enfermedades Cardiovasculares/etiología , Enfermedades Cardiovasculares/mortalidad , Enfermedades Cardiovasculares/prevención & control , Dislipidemias/complicaciones , Dislipidemias/tratamiento farmacológico , Humanos , Riñón/efectos de los fármacos , Fallo Renal Crónico/complicaciones , Trasplante de Hígado/efectos adversos , Diálisis Renal/efectos adversos , Factores de Riesgo
17.
Artículo en Inglés | MEDLINE | ID: mdl-26520021

RESUMEN

The developments in the use of plasmid DNA (pDNA) in gene therapy and vaccines have motivated the search and improvement of optimized purification processes. In this context, dipeptides l-tyrosine-l-tyrosine and l-tyrosine-l-arginine are synthetized to explore their application as affinity ligands for supercoiled (sc) plasmid DNA (pDNA) purification. The synthesis is based on the protection of N-Boc-l-tyrosine, followed by condensation with l-tyrosine or l-arginine methyl esters in the presence of dicyclohexylcarbodiimide (DCC), which after hydrolysis and acidification give the afforded dipeptides. The supports are then obtained by coupling l-tyrosine, l-tyrosine-l-tyrosine and l-tyrosine-l-arginine to epoxy-activated Sepharose and are characterized by high resolution magic angle spinning (HR-MAS) NMR and Fourier transform infrared spectroscopy (FTIR). Surface plasmon resonance (SPR) biosensor is used to establish the promising ligand to be used in the chromatographic experiments and ascertain experimental conditions. Sc isoform showed the highest affinity to the dipeptides, followed by linear (ln) pDNA, being the open circular (oc) the one that promoted the lowest affinity to l-tyrosine-l-arginine. Saturation transfer difference (STD)-NMR experiments show that the interaction is mainly hydrophobic with the majority of the 5'-mononucleotides, except for 5'-GMP with l-tyrosine-l-arginine Sepharose that is mainly electrostatic. The support l-tyrosine Sepharose used in chromatographic experiments promotes the separation of native pVAX1-LacZ and pcDNA3-FLAG-p53 samples (oc+sc) by decreasing the salt concentration. The results suggest that it is possible to purify different plasmids with the l-tyrosine Sepharose, with slight adjustments in the gradient conditions.


Asunto(s)
Dipéptidos/análisis , Dipéptidos/química , Plásmidos/aislamiento & purificación , Tirosina/análisis , Tirosina/química , Cromatografía Liquida , Interacciones Hidrofóbicas e Hidrofílicas , Espectroscopía de Resonancia Magnética , Resonancia por Plasmón de Superficie
18.
Transplantation ; 74(11): 1580-7, 2002 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-12490792

RESUMEN

BACKGROUND: Cardiovascular disease is the leading cause of death in renal transplant recipients. The purpose of this study was to determine the effects of a successful renal transplantation on left ventricular morphology and function and on the 24-hr blood pressure profile. METHODS: Twenty-four patients with end-stage renal disease were prospectively studied by ambulatory blood pressure monitoring and echocardiography before and at 3, 6, and 12 months after renal transplantation. Patients were also analyzed according to their renal function after transplantation. RESULTS: We observed a significant drop in the mean values of daytime and nocturnal systolic blood pressure and in the 24-hr systolic pressure load at 12 months after transplantation. The most frequent echocardiographic finding was left ventricular hypertrophy (LVH), for which the incidence decreased from 75% before transplantation to 52.1% at 12 months after transplantation (P = 0.125). There was a significant decrease in left ventricular dilatation, and systolic dysfunction normalized in all patients after 12 months. The variables that best independently predicted the decrease in LVH were serum creatinine levels and the 24-hr systolic pressure load as registered by ambulatory blood pressure monitoring at 12 months after transplantation. We observed significant decreases in left ventricular mass and left ventricular mass index in the group of patients who had adequate renal function, as compared with no changes in patients who did not. CONCLUSIONS: Correction of the uremic state by renal transplantation leads to complete resolution of systolic dysfunction, regression of LVH, and improvement of left ventricular dilatation. In fact the reduction of LVH was dependent on adequate renal function and on a decrease in the systolic pressure levels.


Asunto(s)
Monitoreo Ambulatorio de la Presión Arterial , Sistema Cardiovascular/fisiopatología , Ecocardiografía , Trasplante de Riñón , Función Ventricular Izquierda , Adulto , Humanos , Hipertensión/complicaciones , Hipertensión/fisiopatología , Hipertrofia Ventricular Izquierda/diagnóstico por imagen , Hipertrofia Ventricular Izquierda/etiología , Riñón/fisiopatología , Fallo Renal Crónico/fisiopatología , Fallo Renal Crónico/cirugía , Persona de Mediana Edad , Periodo Posoperatorio , Estudios Prospectivos , Factores de Riesgo , Factores de Tiempo
19.
Rev. bras. orientac. prof ; 20(1): 57-66, jan.-jun. 2019. tab
Artículo en Portugués | LILACS, INDEXPSI | ID: biblio-1042397

RESUMEN

No presente artigo é apresentado e descrito um projeto de intervenção no domínio da psicologia vocacional designado Keep-on-Going. A intervenção em causa visa apoiar jovens na fase final do processo formativo, na escolha estratégica do contexto de estágio curricular. Tem como base teórica o Modelo de Exploração Reconstrutiva do Investimento Vocacional, e estrutura-se em seis momentos-chave num total de 10 sessões com duas a três horas cada. Participaram na 1.ª edição cinco estudantes (do sexo feminino) do 1.º ano do Mestrado em Psicologia da Educação. Os resultados da avaliação contínua apontam para valores médios de seis numa escala de 1 a 7, em termos da qualidade geral do projeto. Na avaliação de follow-up as dimensões "Evolução na capacidade de escolher" e "Utilidade do projeto", são as mais pontuadas confirmando que a participação no projeto se revelou uma experiência de valor para as estudantes.


This article presents and describes an intervention project in the field of vocational psychology named Keep-on-Going. This intervention aims to support young people in the final stage of the training process, in the strategic choice of the context of curricular internship. Its theoretical basis is the Reconstructive Exploitation Model of Vocational Investment, and it is structured into six key moments in a total of 10 sessions with two to three hours each. Five female students participated in the first edition of the 1st year of the Master's in Educational Psychology. The results of the continuous evaluation point to average values ​​of six on a scale of 1 to 7, in terms of the overall quality of the project. In the follow-up assessment, the dimensions "Evolution in the ability to choose" and "Project usefulness" are the highest scores confirming that participation in the project has proved to be a valuable experience for the students.


En el presente artículo se presenta y describe un proyecto de intervención en el ámbito de la psicología vocacional designado Keep-on-Going. La intervención en cuestión pretende apoyar a los jóvenes en la fase final del proceso formativo para la elección estratégica del contexto de la práctica curricular. Se tiene como base teórica el Modelo de Exploración Reconstructiva de la Inversión Vocacional, y se estructura en seis momentos clave en un total de 10 sesiones de dos a tres horas cada una. Participaron en la primera edición cinco estudiantes (sexo femenino) del primer año de la Maestría en Psicología de la Educación. Los resultados de la evaluación continua apuntan valores medios de seis en una escala de 1 a 7, en términos de la calidad general del proyecto. En la evaluación de seguimiento, las dimensiones "Evolución en la capacidad de escoger" y "Utilidad del proyecto" son las más puntuadas, confirmando que la participación en el proyecto constituyó una experiencia de valor para las estudiantes.


Asunto(s)
Psicología , Orientación Vocacional , Capacitación Profesional
20.
Int. j. morphol ; 37(4): 1416-1421, Dec. 2019. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1040147

RESUMEN

The indiscriminate use of anabolic steroids in gyms has been growing in a generalized way, among which, the most common is growth hormone (GH). In the short term GH may potentiate muscle growth, especially when taken in combination with resistance training. However, the effects of this hormone are not yet fully understood in the literature, especially in relation to collagen properties. The objective of this study was to evaluate the effect of the application of growth hormone (GH) and resistance training (RT) on the collagen properties of femoral bone tissue using Raman Spectroscopy. In this study 40 male rats were randomly distributed into four groups (n=10): control (C), control and GH application (GH), resistance training (T), and resistance training and GH application (GHT). The training consisted of four series of 10 water jumps, performed three times a week, with an overload corresponding to 50 % of body weight and duration of four weeks. GH was applied at a dosage of 0.2 IU/Kg (0.067 mg/kg) to each animal, three times a week, every other day. The animals were euthanized and the right femurs were collected for analysis of bone structure. Raman spectroscopy (RS) was used to observe the following compounds from their respective bands: type I collagen (662 cm-1), amide III (1243 cm-1), proteins including type I collagen (1278 cm-1), woven collagen (1322 cm-1), association of collagen, phospholipids, nucleic acid, and phosphate (1330 cm-1), and collagen and protein deformation (1448 cm-1). The results demonstrated an increase in the collagen properties in all analyzed variables, however, the T group presented a statistically significant difference (p<0.05). It is possible to conclude that isolated physical training was shown to be more efficient than when combined with the application of GH to increase the collagen properties of the femoral bone tissue.


El uso indiscriminado de anabolizantes en los gimnasios ha aumentado de forma generalizada, entre éstos la hormona de crecimiento (HC) es una de las más utilizadas, y a corto plazo puede potencializar el crecimiento muscular, principalmente cuando es realizado en combinación con el entrenamiento de fuerza. Sin embargo, los efectos de esta hormona aún no están totalmente esclarecidos en la literatura, especialmente en relación a las propiedades colágenas. El objetivo del estudio fue evaluar el efecto de la aplicación del HC y entrenamiento de fuerza (E) en las propiedades colágenas del tejido óseo femoral a partir de la utilización de la espectroscopía Raman. Se usaron 40 ratas Wistar distribuidos en cuatro grupos (n=10): control (C), control y aplicación del HC (HCC), entrenamiento de fuerza (E) y entrenamiento de fuerza y aplicación del HC (THC). El entrenamiento fue compuesto por cuatro series de 10 saltos acuáticos, realizados tres veces por semana, con sobrecarga correspondiente a 50 % del peso corporal y duración de cuatro semanas. El HC fue aplicado en una dosificación de 0,2 UI/Kg (0,067 mg/kg) en cada animal, tres veces por semana, en días no consecutivos. Los animales fueran eutanasiados y se retiró el fémur derecho para realización del análisis de la estructura ósea. La espectroscopía Raman (ER) fue utilizada para observar los siguientes compuestos a partir de las respectivas bandas: colágeno tipo I (662 cm-1), amida III (1243 cm1), proteínas, incluido colágeno tipo I (1278 cm-1), colágeno retorcido (1322 cm-1), asociación de colágeno, fosfolípidos, ácidos nucleicos y fosfato (1330 cm-1), deformación de colágeno y proteína (1448 cm-1). Hubo aumento en las propiedades colágenas en todas las variables analizadas, sin embargo, solamente el grupo E demostró una diferencia estadísticamente significativa (p<0,05). En conclusión, para el aumento de las propiedades colágenas del tejido óseo femoral, el entrenamiento físico aislado es más eficiente que el entrenamiento combinado con el uso de HC.


Asunto(s)
Animales , Masculino , Ratas , Resistencia Física/fisiología , Hormona del Crecimiento/farmacología , Fémur/efectos de los fármacos , Fémur/fisiología , Hormona del Crecimiento/administración & dosificación , Ejercicio Físico/fisiología , Colágeno/efectos de los fármacos , Ratas Wistar , Microscopía/métodos
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