Humoral and cellular immune response in mice induced by the classical swine fever virus E2 protein fused to the porcine CD154 antigen.

The development of subunit vaccines against classical swine fever is a desirable goal, because it allows discrimination between vaccinated and infected animals. In this study, humoral and cellular immune response elicited in inbred BALB/c mice by immunization with a recombinant classical swine fever virus (CSFV) E2 protein fused to porcine CD154 antigen (E2CD154) was assessed. This model was used as a predictor of immune response in swine. Mice were immunized with E2CD154 emulsified in Montanide ISA50V2 or dissolved in saline on days 1 and 21. Another group received E2His antigen, without CD154, in the same adjuvant. Montanide ISA50V2 or saline served as negative controls for each experimental group. Animals immunized with 12.5 and 2.5 µg/dose of E2CD154 developed the highest titers (>1:2000) of CSFV neutralizing antibodies. Moreover, CSFV specific splenocyte gamma-interferon production, measured after seven and twenty-eight days of immunization, was significantly higher in mice immunized with 12.5 µg of E2CD154. As a conclusion, E2CD154 emulsified in Montanide ISA50 V2 was able to induce a potent humoral and an early cellular immune response in inbred BALB/c mice. Therefore, this immunogen might be an appropriate candidate to elicit immune response in swine, control CSF disease and to eliminate CSFV in swine.

Difficulties in Caring for the Older Adults: Perspective of Brazilian and Portuguese Caregivers.

This study aims to understand the difficulties in caring for the older adults with functional dependence from the perspective of Brazilian and Portuguese caregivers. This is a study based on the Theory of Social Representations, based on the Thematic Content Analysis proposed by Bardin, carried out with 21 informal caregivers of older adults in Brazil and 11 informal caregivers of older adults in Portugal. The instrument consisted of a questionnaire with sociodemographic data and data on health conditions along with an open interview with guiding questions on the theme of care. Data were analyzed using the Content Analysis technique proposed by Bardin, with the help of the QRS NVivo® Version 11 software (QSR International, Burlington, MA, USA). Three categories emerged from the speeches: "Caregiver burden", "Caregiver support network" and "Older adults resistance". The main difficulties mentioned by caregivers were associated with family articulation in meeting the needs of their older adults, whether due to the excessive demand of tasks, which results in overloading the caregiver, or the behaviors of the older adults themselves, or even the availability of a truly supportive and effective network.

Nursing Professional Self-Concept: A Scoping Review Protocol.

Nurses are considered one of the largest professional groups in healthcare, generating positive health outcomes for people at various stages of life. A significant impact on the construction of the professional self-or professional self-concept-is considered to exist through the educational process, influenced by factors such as the family and societal expectations often presented by teachers, tutors, and peers. Improving professional self-concept in nursing can offer specific gains in personal, relational, social, and interpersonal communication skills, favoring evolution in the academic and clinical path. This scoping review aims to map the literature related to the state of knowledge regarding professional self-concept in nursing. This scoping review will follow JBI recommendations with the PCC mnemonic and report its findings through PRISMA-ScR using a specific instrument made by the researchers. Providing healthcare complying with high scientific standards requires the professional to have enough self-confidence in his work and skills. The explicit acknowledgement of professional self-concept is essential for any educational tutor or experienced mentor to promote mental health and academic and professional performance.

Effectiveness of Caregiver-Provided Individual Cognitive Interventions in Older Adults with Dementia.

Background: In a society increasingly committed to promoting an active life in the community, new resources are needed to respond to the needs of citizens with Alzheimer's disease and other forms of dementia. The potential of several individual cognitive interventions to be provided by caregivers has been explored in the literature. Objective: To synthesize the best available evidence on the effectiveness of caregiver-provided individual cognitive interventions in older adults with dementia. Methods: Systematic review of experimental studies on individual cognitive interventions for older adults with dementia. An initial search of MEDLINE and CINAHL was undertaken. Another search for published and unpublished studies was performed on major healthcare-related online databases in March 2018 and updated in August 2022. This review considered studies that included older adults with dementia, aged 60 years and over. All studies that met the inclusion criteria were assessed for methodological quality using a JBI standardized critical appraisal checklist. Data were extracted using a JBI data extraction form for experimental studies. Results: Eleven studies were included: eight randomized controlled trials and three quasi-experimental studies. Caregiver-provided individual cognitive interventions had several beneficial effects in cognitive domains, including memory, verbal fluency, attention, problem-solving, and autonomy in activities of daily living. Conclusion: These interventions were associated with moderate improvements in cognitive performance and benefits in activities of daily living. The findings highlight the potential of caregiver-provided individual cognitive interventions for older adults with dementia.

Experiences with remote communication in adult intensive care units during the COVID-19 pandemic: a systematic review protocol.

OBJECTIVE: The objective of this review is to explore the lived experiences of critically ill adults, their families, or health care professionals with remote communication in intensive care units (ICUs) during the COVID-19 pandemic. INTRODUCTION: Family visiting restrictions in ICUs during the COVID-19 pandemic imposed significant challenges to communication between critically ill adults, their families, and the health care team. Evidence shows that several communication strategies were developed and implemented in ICUs during the COVID-19 pandemic to promote family engagement; however, the experiences of critically ill adults, their families, and health care professionals with these strategies are scattered across primary qualitative studies. INCLUSION CRITERIA: This review will consider qualitative studies that include critically ill adults, their families, or health care professionals, focusing on their experiences with remote communication strategies in ICUs during the COVID-19 pandemic. METHODS: This review will be conducted in accordance with JBI methodology. The search strategy will aim to locate both published and unpublished qualitative studies in English, Spanish, and Portuguese. Studies published after January 2020 will be included. Study selection, critical appraisal, and data extraction will be performed independently by 2 reviewers. Data will be presented in narrative format and synthesized using the JBI meta-aggregation process. A ConQual Summary of Findings will be presented. REVIEW REGISTRATION: PROSPERO CRD42022383603.

Elderly People's Memories about the Itinerary of the HIV/AIDS Diagnosis.

This study aimed to analyze the remembrances of elderly people about their illness and the path taken in health services until diagnosis of HIV/AIDS. This is a cross-sectional and descriptive analytical study, with a qualitative approach and theoretical and methodological support from the social representations theory and conducted with 38 elderly people. A questionnaire with sociodemographic data, health conditions, and a script for semi-structured interviews was used. Data analysis was performed with the support of the QRS NVivo® software and in light of Bardin's content analysis. In relation to the itinerary to the diagnosis of HIV/AIDS, the memories are from manifestations of opportunistic diseases and of a long trajectory with health problems and hospitalizations in search of a late diagnosis. The representation of death associated with the diagnosis of HIV/AIDS materializes for some with the loss of the partner in this process of searching for the diagnosis.

Intergenerationality Programs-Between Children and Older Adults-For Portuguese Population: A Scoping Review.

The aging process is characterized by diverse and complex changes in the individual's various dimensions, requiring continuous adaptation. In this sense, this transition can be faced from an active aging standpoint through strategies such as intergenerationality programs/projects, resulting in an active social participation and valorization that is so important to life in society. This review aimed to map existing programs/projects to promote interaction between children and older adults in Portugal to understand the extent and type of evidence available. A scoping review was developed guided by the JBI methodology and using PRISMA-ScR. The studies included six programs/projects promoting intergenerationality identified in Portugal, focusing their actions on promoting active aging and preventing problems associated with aging. The evaluated dimensions along the implementation of these programs were in the cognitive, motor, emotional and communicational domains, including parameters such as self-esteem, self-confidence, self-worth, well-being, loneliness and depression. These programs/projects present themselves as potential senior mental health promoters. However, other dimensions have been evaluated during these programs'/projects' applications.

eHealth Platforms to Promote Autonomous Life and Active Aging: A Scoping Review.

New technologies, namely eHealth platforms, are being used more than ever before. These platforms enable older people to have a more independent lifestyle, enhance their participation, and improve their well-being. Information and communication technologies are expected to be linked to the triad of aging, social inclusion, and active participation, which is in line with the implementation of Smart Healthy and Age-Friendly Environments. This scoping review aimed to map eHealth platforms designed to promote autonomous life and active aging. The Joanna Briggs Institute methodology and the PRISMA-ScR checklist were used. A search was conducted on MEDLINE (via PubMed), CINAHL Complete (via EBSCOhost), Scopus, Cochrane Database of Systematic Reviews (via EBSCOhost), SciELO, DART-Europe, CAPES, and MedNar databases. Fourteen studies were included. This scoping review synthesized information on eHealth platforms designed to promote active living, their domains of intervention, and the outcomes assessed in those studies that have implemented and evaluated these eHealth platforms.

E2-CD154 vaccine candidate is safe and immunogenic in pregnant sows, and the maternal derived neutralizing antibodies protect piglets from classical swine fever virus challenge.

E2-CD154 subunit vaccine candidate is safe and protects swine from Classical Swine Fever (CSF). However, its safety and immunogenicity in pregnant sows, and the capacity of maternal derived neutralizing antibodies (MDNA) to protect the offspring is yet to be demonstrated. The aim of this study was to evaluate the safety and immunogenicity of E2-CD154 in pregnant sows, and the capacity of MDNA to protect the offspring. Seventeen pregnant sows were vaccinated twice with E2-CD154 in either the first or the second third of pregnancy. Pregnancy and litter parameters were compared with a control group of non-vaccinated sows. Neutralizing antibodies (NAb) were monitored. The time course of MDNA was assessed in a group of six piglets born to an E2-CD154 immunized sow, and the animals were challenged with CSFV at day 63 after birth. No local or systemic adverse effects were found. Neither abortions, nor congenital malformations, nor stillbirths were observed. All sows develop high NAb titers after the first immunization. Piglets born to an E2-CD154 vaccinated sow still showed MDNA titers of 1:100 at day 63 after birth. Five animals were negative for virus isolation after challenge, and showed neither signs of CSF, nor macroscopic lesions in the organs. The other piglet was positive for CSFV isolation, and macroscopic lesions were observed in the spleen, although no clinical signs of CSF other than fever were detected. E2-CD154 vaccine candidate was safe and immunogenic in pregnant sows, and the passive immunity transmitted to the offspring was still protective by day 63 after birth.

Risk factors for infection and colonization with community-associated methicillin-resistant Staphylococcus aureus in the Los Angeles County jail: a case-control study.

BACKGROUND: Community-associated methicillin-resistant Staphylococcus aureus (MRSA) infections and outbreaks occur in correctional facilities, such as jails and prisons. Spread of these infections can be extremely difficult to control. Development of effective prevention protocols requires an understanding of MRSA risk factors in incarcerated persons. METHODS: We performed a case-control study investigating behavioral risk factors associated with MRSA infection and colonization. Case patients were male inmates with confirmed MRSA infection. Control subjects were male inmates without skin infection. Case patients and control subjects completed questionnaires and underwent collection of nasal swab samples for culture for MRSA. Microbiologic analysis was performed to characterize recovered MRSA isolates. RESULTS: We enrolled 60 case patients and 102 control subjects. Of the case patients, 21 (35%) had MRSA nasal colonization, compared with 11 control subjects (11%) (P .001). Among MRSA isolates tested, 100% were the USA300 strain type. Factors associated with MRSA skin infection included MRSA nares colonization, lower educational level, lack of knowledge about "Staph" infections, lower rate of showering in jail, recent skin infection, sharing soap with other inmates, and less preincarceration contact with the health care system. Risk factors associated with MRSA colonization included antibiotic use in the previous year and lower rate of showering. CONCLUSIONS: We identified several risks for MRSA infection in male inmates, many of which reflected preincarceration factors, such as previous skin infection and lower educational level. Some mutable factors, such as showering frequency, knowledge about Staph, and soap sharing, may be targets for intervention to prevent infection in this vulnerable population.

Highly protective E2-CSFV vaccine candidate produced in the mammary gland of adenoviral transduced goats.

Classical swine fever virus is the etiological agent of the most economically important highly contagious disease of swine worldwide. E2 is the major envelope glycoprotein present as a homodimer on the outer surface of the virus and represents an important target for the induction of neutralizing immune response against the viral infection. The E2 extracellular domain was expressed in the milk of adenoviral transduced goats at the highest level about 1.2g/L. The recombinant glycoprotein was purified from clarified serum milk by a single metal chelate affinity chromatography step, as a homodimer of approximately 100kDa and purity over 98%. Glycosylation analysis showed the presence of oligomannoside, hybrid and complex type N-glycans, attached to the recombinant E2. The capacity of goat milk-derived E2 antigen to protect pigs from both classical swine fever clinical signs and viral infection was assessed in a vaccination and challenge trial. The immunized pigs became protected after challenge with 10(5) LD(50) of a highly pathogenic CSFV strain. In the context of veterinary vaccines, this expression system has the advantages that the recombinant antigen could be harvested in about 48h after adenoviral transduction with expression levels in the range of g/L. This approach may turn into a scalable expression system for the assessment and production of veterinary vaccines.

Do indesejável ao (in)evitável: velhice estigmatizada na pandemia da Covid-19 / From the undesirable to the (in) preventable: old age stigmatized in the Covid-19 pandemic / De lo indeseable a lo (in) evitable: vejez estigmatizada enla pandemia de Covid-19

O artigo tem por objetivo analisar as representações sociais sobre a imagem da pessoa idosa associadas a pandemia de COVID-19 nas publicações do Instagram. Caracteriza-se como um estudo exploratório, descritivo, de abordagem qualitativa, com estratégia de investigação pautada no estudo de caso. Os dados consistiram em 19 memes publicados na internet na rede social Instagram por meio da busca aleatória do maior número possível de memes, a partir do buscador "idoso" e "quarentena". A partir da Técnica de Análise de Conteúdo proposta por Bardin emergiram duas categorias analíticas: Categoria 1. Recolhimento/enclausuramento da pessoa idosa (52,63%) e Categoria 2. Impedimento/limitação da mobilidade das pessoas idosas fora de casa (47,37%). As representações sociais acerca da pessoa idosa publicadas nas redes sociais relacionadas ao caso da COVID-19 desvelaram um sentido negativo atribuído ao envelhecer e demonstram como há um processo de naturalização da estigmatização e invisibilidade da violência contra pessoas idosas. (AU)

The article aims to analyze the social representations of the image of the elderly associated with the COVID-19 pandemic in Instagram publications. It is characterized as an exploratory, descriptive study with a qualitative approach, with an investigation strategy based on the case study.The data consisted of 19 memes published on the internet on the social network Instagramthrough the random search of the largest possible number of memes, using the search engine "elderly" and "quarantine". From the Content Analysis Technique proposed by Bardin, two analytical categories emerged: Category 1. Withdrawal/enclosure of the elderly person (52.63%) and Category 2. Impediment/limitation of mobility of elderly people outside the home (47.37 %). The social representations about the elderly person published on social networks related to the case of COVID-19 revealed a negative meaning attributed to aging and demonstrate how there is a process of naturalization of stigmatization and invisibility of violence against the elderly. (AU)

El artículo tiene como objetivo analizar las representaciones sociales de la imagen del anciano asociado a la pandemia COVID-19 en publicaciones de Instagram. Se caracteriza por ser un estudio exploratorio, descriptivo con enfoque cualitativo, con una estrategia de investigación basada en el estudio de caso. Los datos consistieron en 19 memes publicados en Internet en la red social Instagram através de la búsqueda aleatoria del mayor número posiblede memes, utilizando el motor de búsqueda "ancianos" y "cuarentena". De la Técnica de Análisis de Contenidos propuesta por Bardin surgieron dos categorías analíticas: Categoría 1. Retiro/encerramiento del anciano (52,63%) y Categoría 2. Impedimento/limitación de la movilidad de los ancianos fuera del hogar (47,37%). Las representaciones sociales sobre las personas mayores publicadas en las redes sociales relacionadas con el caso de COVID-19 revelaron un significado negativo atribuido al envejecimiento y demuestran cómo hay un proceso de naturalización de la estigmatización e invisibilidad de la violencia contra las personas mayores. (AU)

A single dose of the novel chimeric subunit vaccine E2-CD154 confers early full protection against classical swine fever virus.

Classical swine fever is an economically important, highly contagious disease of swine worldwide. Subunit vaccines are a suitable alternative for the control of classical swine fever. However, such vaccines have as the main drawback the relatively long period of time required to induce a protective response, which hampers their use under outbreak conditions. In this work, a lentivirus-based gene delivery system is used to obtain a stable recombinant HEK 293 cell line for the expression of E2-CSFV antigen fused to porcine CD154 as immunostimulant molecule. The E2-CD154 chimeric protein was secreted into the medium by HEK293 cells in a concentration around 50mg/L in suspension culture conditions using spinner bottles. The E2-CD154 immunized animals were able to overcome the challenge with a high virulent CSF virus strain performed 7days after a unique dose of the vaccine without clinical manifestations of the disease. Specific anti-CSFV neutralizing antibodies and IFN-γ were induced 8days after challenge equivalent to 14days post-vaccination. The present work constitutes the first report of a subunit vaccine able to confer complete protection by the end of the first week after a single vaccination. These results suggest that the E2-CD154 antigen could be potentially used under outbreak conditions to stop CSFV spread and for eradication programs in CSF enzootic areas.

Representações sociais de cuidadores de idosos brasileiros e portugueses sobre o cuidar / Social representations of brazilian and portuguese elderly caregivers about caring

A demanda pelos cuidados se estabelece e, com isso, a instituição familiar é requisitada a prestar assistência ao seu familiar. O objetivo foi analisar as Representações Sociais de cuidadores de idosos com dependência funcional do Brasil e de Portugal sobre o ato de cuidar. Trata-se de um estudo exploratório-descritivo com abordagem qualitativa fundamentada na Teoria das Representações Sociais. Os participantes foram 21 cuidadores familiares brasileiros e 11 cuidadores informais portugueses de idosos dependentes. A coleta foi realizada por meio da entrevista e utilizou-se a Análise de Conteúdo proposta por Bardin (2011), com auxílio do software QSR NVivo® versão 11 A partir da análise, emergiram duas categorias: "Suprir necessidade e ser vigilante" e "Dedicação e amor". Percebeu-se como a influência histórico-cultural e até mesmo moral-religiosa das construções sociais incidem sobre a família e os seus posicionamentos.(AU)

The demand for care is established and, as a result, the family institution is required to provide assistance to its family member. The objective was to analyze the Social Representations of caregivers of elderly people with functional dependence in Brazil and Portugal on the act of caring. This is an exploratory-descriptive study with a qualitative approach based on the Theory of Social Representations. Participants were 21 Brazilian family caregivers and 11 informal Portuguese caregivers of dependent elderly people. The collection was carried out through the interview and the Content Analysis proposed by Bardin was used with the aid of the QSR NVivo® software version 11. From the analysis, two categories emerged: "Supply needs and vigilancy" and "Dedication and love". It was perceived how the influence of historical-cultural and even moral-religious in the social constructions affects the family and its positions.(AU)

Care to the dependent older person: motivations of caregivers in Brazil and Portugal / O cuidado ao idoso dependente: motivações de cuidadores do Brasil e Portugal / Cuidando a los dependientes mayores: motivaciones de cuidadores en Brasil y Portugal

In an attempt to fulfill care needs to the elderly, the family usually assumes this function. In order to understand the social representations of informal caregivers of Brazilian and Portuguese elderly people about the motivations for care, a qualitative, exploratory-descriptive research was carried out, based on the Social Representations Theory, in which 21 informal Brazilian caregivers and 11 informal Portuguese caregivers of elderly dependents were interviewed. Thematic Content Analysis and QSR NVivo® software were used in the treatment of the data, and the results showed care as the main motivation: family relationships, in which marriage, parenting, and the affections resulting from these relationships led to the function; the negative representation of Portuguese caregivers on the home, as a place of abandonment and action contrary to the cultural norm; and the representation of the elderly as frail and dependent, who, like children, constantly need care and attention.

Na tentativa de suprir as necessidades de cuidado destinado ao idoso, a família comumente é a instituição que assume tal função. Com o objetivo de compreender as representações sociais dos cuidadores informais de idosos brasileiros e portugueses acerca das motivações para o cuidado, realizou-se uma pesquisa qualitativa, exploratória e descritiva, fundamentada na Teoria das Representações Sociais, em que foram entrevistados 21 cuidadores informais brasileiros e 11 cuidadores informais portugueses de idosos dependentes. Utilizaram-se a análise de conteúdo temática e o software QSR NVivo® no tratamento dos dados, e os resultados evidenciaram como principais motivações o cuidado: as relações familiares, em que o matrimônio, a parentalidade e os afetos decorrentes dessas relações conduziram a função; a representação negativa dos cuidadores portugueses sobre o lar como local de abandono e ação contrária à norma cultural; e a representação da pessoa idosa como frágil e dependente, que, assim como as crianças, precisa constantemente de cuidados e atenção.

En un intento por atender las necesidades de cuidado de las personas mayores, la familia suele ser la institución que asume esta función. Para comprender las representaciones sociales de los cuidadores informales de ancianos brasileños y portugueses sobre las motivaciones del cuidado, se realizó una investigación cualitativa, exploratoria-descriptiva, basada en la Teoría de las Representaciones Sociales, en la que 21 cuidadores informales brasileños y 11 informales portugueses Se entrevistó a los cuidadores de ancianos dependientes. En el tratamiento de los datos se utilizó el software de Análisis de Contenido Temático y QSR NVivo® y los resultados se mostraron como las principales motivaciones: las relaciones familiares, en las que el matrimonio, la paternidad y los afectos resultantes de estas relaciones condujeron a la función; la representación negativa de los cuidadores portugueses en el hogar, como lugar de abandono y acción contraria a la norma cultural; y la representación de los ancianos como frágiles y dependientes, quienes, como los niños, necesitan cuidados y atenciones constantes.

Sexualidade e envelhecimento: a percepção de idosos participantes de grupo de convivência / Sexuality and aging: the perception of elderly participants of a coexistence group

Trata-se de uma pesquisa descritiva com abordagem qualitativa, desenvolvida com 12 idosos participantes de um grupo de convivência com idade mí­nima de 60 anos e máxima de 85 anos tendo por objetivo geral analisar as concepções de sexualidade entre idosos participantes de grupo de convivência. Os dados foram coletados através de um questionário sociodemográfico e entrevista aberta. Os resultados foram analisados com base na Técnica de Análise de Conteúdo Temática, permitindo inferir que apesar das mudanças fisiológicas que ocorrem no corpo e na rotina com o processo de envelhecimento, os idosos estão em processo de adaptação nas vivências da sexualidade, ainda que não seja apenas pelo ato sexual. Os idosos reconhecem a importância da sexualidade e da busca pela satisfação pessoal e do bem-estar. (AU)

This is a descriptive research with a qualitative approach, developed with 12 elderly participants of a coexistence group with minimum age of 60 years and maximum of 85 years, with general objective to analyze the conceptions of sexuality among elderly people in a cohabitation group. Data were collected through a sociodemographic questionnaire and an open interview. The results were analyzed based on the Thematic Content Analysis Technique, allowing to infer that despite the physiological changes that occur in the body and the routine with the aging process, the elderly are in the process of adaptation in the experiences of sexuality, even if it is not just for the sexual act. The elderly recognize the importance of sexuality and the search for personal satisfaction and well-being. (AU)

Associação entre os aspectos sociodemográficos, condições de saúde e qualidade de vida dos cuidadores de idosos dependentes / Association between the sociodemographic aspects, health conditions and quality of life of dependent elderly caregivers

O objetivo deste estudo foi analisar a associação entre os aspectos sociodemográficos, condições de saúde e qualidade de vida dos cuidadores de idosos dependentes. Trata-se de um estudo do tipo analítico transversal com abordagem quantitativa, realizado com 42 cuidadores informais de idosos dependentes funcionais cadastrados em Unidades de Saúde da Família de três bairros do município de Vitória da Conquista/BA. O instrumento de coleta de dados foi composto por um questionário de dados sociodemográficos e pelo WHOQOL BREF. Os dados coletados foram analisados no programa Statistical Package for the Social Science SPSS® versão 21.0, sendo então realizada análise estatística descritiva e aplicação do Teste do quiquadrado. Em relação às condições sociodemográficos dos cuidadores, observou-se uma frequência de cuidadores do sexo feminino, casadas e com escolaridade inferior a ensino fundamental completo. Na avaliação das condições de saúde, verificou-se que a maioria dos cuidadores de idosos dependentes apresenta problemas de saúde, sendo mais frequente a Hipertensão Arterial Sistêmica e as doenças osteomusculares. Na avaliação da qualidade de vida foi constatado que os domínios de menores médias foram os domínios físicos e psicológicos. Foi possível concluir que as mulheres são as principais cuidadoras de idosos dependentes, e que sua qualidade de vida vem sendo afetada pelo exercício da função. (AU)

The objective of this study was to analyze the association between sociodemographic aspects, health conditions and quality of life of caregivers of dependent elderly people. This is a crosssectional analytical study with a quantitative approach, carried out with 42 informal caregivers of functional dependent elderly enrolled in Family Health Units of three neighborhoods in the city of Vitória da Conquista/BA. The data collection instrument was composed of a sociodemographic data questionnaire and the WHOQOL BREF. The data collected were analyzed in the Statistical Package for the Social Science SPSS® version 21.0, and descriptive statistical analysis and chisquare test were performed. Regarding the sociodemographic conditions, the caregivers are mostly female, married and with education level less than elementary education. In the evaluation of the health conditions, we verified that the majority of the caregivers present health problems, being more frequent the Systemic Blood Hypertension) and musculoskeletal diseases. In the evaluation of the quality of life we considered that the domains of lower averages were the physical and psychological domains. We concluded that women are the main caregivers of dependent elderly, and that their quality of life is affected by the exercise of the function. (AU)

Avaliação da qualidade de vida de idosos dependentes no municí­pio de Vitória da Conquista/BA / Evaluation of quality of life of dependent elderly at Vitória da Conquista/BA

Objetivo: Avaliar a qualidade de vida de idosos dependentes do municí­pio de Vitória da Conquista/BA. Métodos: Trata-se de um estudo do tipo analí­tico transversal com abordagem quantitativa de tratamento e análise. O estudo foi realizado nos domicí­lios dos (as) idosos (as) assistidos pelo Programa de Atendimento Municipal Domiciliar ao Idoso com Limitação (PAMDIL), desenvolvido pela Prefeitura Municipal de Vitória da Conquista/BA, sendo a amostra representada por 25 idosos. O instrumento de coleta foi constituí­do de dados sociodemográficos, condições de saúde e Whoqol-bref. Os dados foram analisados por meio da estatí­stica descritiva. Resultados: Constatou-se uma maior frequência do sexo feminino 76,0%, acima de 80 anos (56,0%), sem companheiro (a) (72,0%), alfabetizado (a) (76,0%), do lar (28,0%), aposentado (a) (24,0%), renda de até dois salários mí­nimos (100,0) e aposentados (80,0%). A maioria (92,0%) apresentou algum tipo de problema de saúde. Na avaliação da qualidade de vida constatou-se que os domí­nios de menores médias foram os domí­nios fí­sico (62,07 ± 14,74 pontos) e psicológico (63,08 ± 16,70 pontos). Conclusão: Constatou-se na avaliação da qualidade de vida que os idosos obtiveram menores médias nos domí­nios fí­sico e psicológico. (AU)

Objective: To evaluate the quality of life of dependent elderly at Vitória da Conquista/BA. Methods: This was a cross-sectional analytical study with a quantitative approach for treatment and analysis. The study was carried out in the homes of the elderly assisted by the Municipal Home Care Program for the Elderly with Limitation (PAMDIL), developed by the city of Vitória da Conquista/BA, the sample being represented by 25 elderly people. The collection instrument consisted of socio-demographic data, health conditions and Whoqol-bref. Data were analyzed using descriptive statistics. Results: There was a higher frequency of female, 76.0%, older than 80 years old (56.0%), without a partner (72.0%), a literate (76.0%), of the household (28.0%), retired (24.0%), income of up to two minimum wages (100%) and retirees (80.0%). The majority (92.0%) presented some type of health problem. In the evaluation of quality of life we found that the domains of lower averages were the physical (62.07 ± 14.74 points) and psychological domains (63.08 ± 16.70 points). Conclusion: In the evaluation of the quality of life the elderly obtained smaller averages in the physical and psychological domains. (AU)

Perda cognitiva e dependência funcional em idosos longevos residentes em instituições de longa permanência* / Cognitive loss and functional dependence in long-lived elderly in homes for the aged / Pérdida cognitiva y dependencia funcional en ancianos longevos residentes en hogares para ancianos

O objetivo foi avaliar o grau de dependência funcional quanto às Atividades Básicas da Vida Diária e a perda cognitiva de idosos longevos residentes em duas instituições de longa permanência para idosos do interior do Estado da Bahia. Pesquisa do tipo quantitativa, transversal, realizada no ano de 2016, com 20 idosos longevos. Avaliada a cognição do entrevistado, por meio do Mini Exame do Estado Mental, a dependência funcional quanto às Atividades Básicas da Vida Diária por meio do Índice de Barthel e da Escala de Katz, e o perfil sociodemográfico. Os resultados apontaram a prevalência da faixa etária entre 80 a 85 anos (90,0%). O sexo feminino apresentou maior porcentagem de perda cognitiva (28,5%) seguido dos não alfabetizados, homens e mulheres, (37,3%). O estudo subsidia a discussão a partir do impacto que a perda cognitiva e a dependência funcional trazem para a saúde do idoso longevo (AU).

The objective was to assess the degree of functional dependence for the Basic Activities of Daily Living and the cognitive loss of long-lived elderly at two long-term care institutions for the elderly in the State of Bahia. Quantitative, cross-sectional research developed in 2016, involving 20 long-lived elderly. The interviewee's cognition was assessed by means of the Mini-Mental State Examination, the functional dependence for the Basic Activities of Daily Living by means of the Barthel Index and the Katz Scale, and the sociodemographic profile. The results appointed the prevalence of the age range between80 and 85 years (90.0%). The female sex presented a higher percentage of cognitive loss (28.5%), followed by illiterate men and women, (37.3%). The study supports the discussion based on the impact of the cognitive loss and the functional dependence for the health of the long-lived elderly (AU).

La finalidad fue evaluar el grado de dependencia funcional para las Actividades Básicas de la Vida Diaria y la pérdida cognitiva de ancianos longevos residentes en dos hogares para ancianos del interior del Estado de Bahia. Investigación cuantitativa, trasversal, desarrollada en 2016 con 20 ancianos longevos. Fue evaluada la cognición del entrevistado mediante el Mini Examen del Estado Mental, la dependencia funcional para las Actividades Básicas de la Vida Diaria mediante el Índice de Barthel y la Escala de Katz, y el perfil sociodemográfico. Los resultados apuntaron la prevalencia del rango de edad entre 80 a 85 años (90,0%). El sexo femenino presentó mayor porcentaje de pérdida cognitiva (28,5%), seguido de los no alfabetizados, hombres y mujeres, (37,3%). El estudio subsidia la discusión a partir del impacto de la pérdida cognitiva y la dependencia funcional para la salud del anciano longevo (AU).