Programa educativo sobre cáncer de mama para mujeres del Consultorio Médico 028-2. Manicaragua / Educational program on breast cancer for women of the Doctor´s Office 028-2. Manicaragua, Cuba

Fundamento: el cáncer de mama representa un problema sanitario mundial por su alta incidencia; en la actualidad este es el de tipo de cáncer más frecuente en las mujeres. Objetivo: desarrollar un programa educativo sobre el cáncer de mama dirigido a las mujeres del Consultorio Médico 028-2, del Policlínico Docente "50 Aniversario", en Manicaragua. Métodos: se desarrolló un estudio prexperimental de intervención educativa evaluado por especialistas, en el Consultorio Médico 028-2, del Policlínico Docente "50 Aniversario" del municipio Manicaragua, entre enero 2021-enero 2022. Se utilizaron métodos teóricos: análisis-síntesis, inductivo-deductivo e histórico-lógico; empírico: análisis documental, encuesta y matemático-estadísticos para el análisis de los datos investigados. Resultados: predominaron las edades de 45 a 54 años, la mayoría no tenían antecedentes patológicos personales y sus conocimientos sobre cómo prevenir la enfermedad eran insuficientes, por lo que se diseñó un programa educativo, el cual fue valorado por criterios de especialistas. Conclusiones: después de ser valorado como adecuado, fue aplicado con muy buenos resultados entre las féminas; este programa se alerta sobre la necesidad de intensificar la labor educativa del médico y demás personal involucrado en la atención a las mujeres para que desarrollen conciencia sobre la importancia de la detección temprana de esta neoplasia.

Background: breast cancer represents a global health problem due to its high incidence; at present this is the most frequent type of cancer in women. Objective: to develop an educational program on breast cancer aimed at the women of the Doctor´Office 028-2, of the "50th Anniversary" Teaching Polyclinic, in Manicaragua. Methods: a pre-experimental study of educational intervention was developed, evaluated by specialists, in the Medical Office 028-2, of the "50 Aniversario" Teaching Polyclinic of the Manicaragua municipality, from January 2021 to January 2022. Theoretical methods were used: analysis-synthesis, inductive -deductive and historical-logical; Empirical ones: documentary, survey and mathematical-statistical for the analysis of the investigated data. Results: the ages of 45 to 54 years predominated, the majority had no past medical history and their knowledge on how to prevent the disease was insufficient, for which an educational program was designed, which was assessed by specialist criteria. Conclusions: after being evaluated as adequate, it was applied with very good results among the females; the need to intensify the educational work of the physician and other personnel involved in caring for women is alerted so that they develop awareness of the importance of early detection of this neoplasm.

Programa educativo para prevenir la leptospirosis en una zona rural de Jibacoa, Manicaragua, Cuba / Educational program to prevent leptospirosis in a rural area of Jibacoa, Manicaragua, Cuba

Fundamento: la leptospirosis es una zoonosis de distribución mundial que puede presentarse en zonas urbanas y rurales cuyo evidente resurgimiento se ilustra en los brotes recientes en todos los continentes. Objetivo: desarrollar un programa educativo sobre la leptospirosis en el Consultorio Médico 036-11, del poblado de Jibacoa, Manicaragua. Métodos: se desarrolló un estudio prexperimental de intervención educativa aprobado por especialistas, en el Consultorio Médico 036-11, de Jibacoa, Manicaragua entre marzo 2020-marzo 2022. Se utilizaron métodos teóricos: análisis-síntesis, inductivo-deductivo e histórico-lógico; empírico: análisis documental y cuestionario; y matemático-estadísticos para el análisis de los datos encontrados. Resultados: en el diagnóstico realizado predominaron los trabajadores del sexo masculino, la mayoría de ellos con riesgos para contraer la leptospirosis, la presencia de animales domésticos y roedores, e inadecuados conocimientos sobre la enfermedad. El análisis de situación de salud permitió caracterizar la comunidad rural con condiciones favorables para la proliferación de las leptospiras, por lo que se diseñó un programa educativo para capacitar a los habitantes del lugar sobre el tema, el cual valorado por criterios de especialistas. Conclusiones: después de valorado como adecuado se aplicó y demostró su efectividad al modificar positivamente los conocimientos de los habitantes en riesgo dentro de esa comunidad rural.

Background: leptospirosis is a zoonosis with worldwide distribution that can occur in urban and rural areas whose evident resurgence is illustrated in recent outbreaks on all continents. Objective: to develop an educational program on leptospirosis in the Doctor´s Office 036-11, in the town of Jibacoa, Manicaragua. Methods: a pre-experimental study of educational intervention approved by specialists was carried out at Doctor´s Office 036-11, in Jibacoa, Manicaragua from March 2020 to March 2022. Theoretical methods were used: analysis-synthesis, inductive-deductive and historical-logical; empirical: documentary analysis and questionnaire; and mathematical-statistical for the analysis of the data found. Results: male workers predominated in the diagnosis, most of them at risk of contracting leptospirosis, the presence of domestic animals and rodents, and inadequate knowledge about the disease. The analysis of the health situation allowed to characterize the rural community with favorable conditions for the proliferation of leptospirosis, for which an educational program was designed to train the inhabitants of the place on the subject, which was valued by specialist criteria. Conclusions: after being assessed as adequate, it was applied and demonstrated its effectiveness by positively modifying the knowledge of the inhabitants at risk within that rural community.

Audiovisual para adolescentes "Cuidar la sonrisa protege la salud bucal y general" / Audiovisual for adolescents "Taking care of the smile protects oral and general health"

Fundamento: los adolescentes son un grupo de referencia importante en quienes los medios audiovisuales sobre la salud bucal aportan valor motivacional y desarrollan un aprendizaje significativo. Objetivo: diseñar un audiovisual sobre cuidados de la salud bucal y general dirigido a los adolescentes. Métodos: se realizó un estudio de desarrollo tecnológico en el período de febrero a noviembre de 2019. Se utilizaron métodos teóricos para la fundamentación de la investigación y empíricos: análisis documental, cuestionario y entrevista. Se consultó a especialistas para la valoración del audiovisual diseñado. Resultados: predominó en el nivel de información sobre la salud bucal la categoría regular. Los temas de mayor desinformación fueron: las consecuencias de algunas enfermedades bucales en la salud general y viceversa, la placa dentobacteriana, importancia de una sonrisa sana y aspectos sobre higiene bucodental. Sustentado en estos hallazgos, se diseñó un guión previo a la confección del audiovisual. El producto final fue valorado por especialistas y usuarios, teniendo en cuenta determinados indicadores. Conclusiones: el medio diseñado aportó útiles conocimientos los que fueron aceptados por el grupo etario al que fue destinado. Fue valorado satisfactoriamente por especialistas y usuarios. Se cumplieron las expectativas de la experiencia pedagógica.

Background: adolescents are an important reference group in whom audiovisual media on oral health provide motivational value and develop meaningful learning. Objective: to design an audiovisual on oral and general health care aimed at adolescents. Methods: a study of technological development was carried out in the period from February to November 2019. Theoretical methods were used to support the research and empirical ones: documentary analysis, questionnaire and interview. Specialists were consulted for the assessment of the audiovisual designed. Results: the average category prevailed in the level of information on oral health. The topics with the greatest misinformation were: the consequences of some oral diseases on general health and vice versa, dental plaque, the importance of a healthy smile and aspects of oral hygiene. Based on these findings, a script was designed prior to the production of the audiovisual. The final product was valued by specialists and users, taking into account certain indicators. Conclusions: the designed aid provided useful knowledge that was accepted by the age group for which it was intended. It was satisfactorily valued by specialists and users. The expectations of the pedagogical experience were met.

Constipation scoring system validated for the portuguese language (índice de gravidade da constipação intestinal): is it reliable in assessing the severity of intestinal chronic constipation in our population? / O instrumento constipation scoring system validado para a língua portuguesa (índice de gravidade da constipação intestinal): é confiável na avaliação da gravidade da constipação intestinal crônica em nossa população?

ABSTRACT BACKGROUND: There is a lack of valid and specific tools to measure chronic constipation severity in Brazil. AIMS: To validate the Constipation Scoring System for Brazilian spoken Portuguese. METHODS: Translation, cultural adaptation, and validation itself (reliability and convergent and divergent validation). Translation: definitive version from the original version's translation and evaluation by specialists. Cultural adaptation: score content analysis of the definitive version, as an interview to patients. Interobserver reliability: application by two researchers on the same day. Intraobserver reliability: same researcher at different times, in a 7-day interval. Divergent validation: non-constipated volunteers. Convergent validation: two groups, good response to clinical treatment and refractory to treatment. RESULTS: Cultural adaptation: 81 patients, 89% female, with mean age of 55 and seven years of schooling, and overall content validity index was 96.5%. Inter and intraobserver reliability analysis: 60 patients, 86.7% female, mean age of 56 and six years of schooling, and the respective intraclass correlation coefficients were 0.991 and 0.987, p<0.001. Divergent validation: 40 volunteers, 25 male, mean age of 49 years, and the mean global score was 2. Convergent validation of patients with good response to clinical treatment: 47 patients, 39 female, mean age of 60 and six years of schooling, and the pre- and post-treatment scores were 19 and 8, respectively (p<0.001). Convergent validation of refractory to clinical treatment patients: 75 patients, 70 female, mean age of 53 and seven years of schooling, and the global average score was 22. CONCLUSIONS: The Constipation Scoring System (Índice de Gravidade da Constipação Intestinal) validated for the Brazilian population is a reliable instrument for measuring the severity of intestinal chronic constipation.

RESUMO RACIONAL: No Brasil há escassez de instrumentos específicos e validados para a avaliação da gravidade da constipação intestinal crônica. OBJETIVOS: Validar o instrumento Constipation Scoring System para pacientes com constipação crônica. MÉTODOS: Tradução, adaptação cultural e validação propriamente dita. Tradução: versão definitiva a partir de traduções do original avaliadas por especialistas. Adaptação cultural: avaliação do conteúdo por entrevista a pacientes. Confiabilidade interobservadores: entrevista por dois pesquisadores no mesmo dia. Confiabilidade intraobservador: duas entrevistas pelo mesmo pesquisador (intervalo de 7 dias). Validação divergente: voluntários não constipados. Validação convergente: dois grupos, boa resposta e refratários ao tratamento clínico. RESULTADOS: Adaptação cultural: 81 pacientes, sendo 89% do sexo feminino, com média de idade de 55 anos e 7 anos de escolaridade. O índice de validade de conteúdo global foi de 96,5%. Confiabilidade interobservadores e intraobservador: 60 pacientes, sendo 86,7% do sexo feminino, com média de idade de 56 anos e 6 anos de escolaridade. O coeficiente de correlação intraclasse foi de 0,991 e 0,987 (p<0,001), respectivamente. Validação divergente: 40 voluntários, sendo 62,5% do sexo masculino, com média de idade de 49 anos e pontuação média: 0. Validação convergente dos pacientes com boa resposta do tratamento clínico: 47 pacientes, sendo 83% do sexo feminino, com média de idade de 60 anos e 6 anos de escolaridade. Os índices pré e pós-tratamento foram 19 e 8 (p<0,001), respectivamente. Validação convergente dos pacientes refratários ao tratamento clínico: 75 pacientes sendo 93% do sexo feminino, com média de idade de 53 anos e 7 anos escolaridade. A pontuação média foi 22. CONCLUSÕES: O Constipation Scoring System validado para população brasileira (Índice de Gravidade da Constipação Intestinal), é instrumento confiável para a aferição da gravidade da constipação intestinal crônica.

Fatores associados à qualidade de vida de crianças com epilepsia em um hospital nacional de Honduras / Factors associated to the quality of life in children with epilepsy in a national hospital in Honduras

A epilepsia representa um problema de grande escala que afeta a esfera social dos pacientes que dela sofrem. O presente estudo tem como objetivo avaliar a qualidade de vida de pacientes pediátricos com epilepsia e identificar os fatores associados à sua menor qualidade de vida. Foi realizado um estudo transversal, descritivo e analítico em pacientes com diagnóstico clínico e eletroencefalográfico de epilepsia, atendidos no ambulatório do serviço de neuropediatria do Hospital Universitário. Foi aplicado um questionário subdividido em dados da criança, dados dos pais ou cuidador, tipo de epilepsia, tratamento e Escala de Qualidade de Vida para Crianças com Epilepsia (CAVE). As variáveis foram analisadas por meio de estatística descritiva e modelo de regressão múltipla para encontrar preditores de qualidade de vida. Dos 187 pacientes, 68 (36,4%) apresentaram boa qualidade de vida. Não foram observadas diferenças significativas por sexo em nenhum dos itens estudados, nem na pontuação geral do questionário. Ter menos necessidades básicas insatisfeitas (P=<0,0001) e não ter epilepsia refratária foram preditores de melhor qualidade de vida (P=<0,0001). A qualidade de vida relatada pelos pais foi em sua maioria boa ou razoável, ter um maior número de necessidades básicas insatisfeitas e ser classificado como tendo epilepsia de difícil manejo foram preditores de piora na qualidade de vida medida pelo questionário CAVE.

Epilepsy represents a large-scale problem that affects the social sphere of the patients who suffer from it. The following study aims to assess the quality of life of pediatric patients with epilepsy and to identify the factors associated with a lower quality of life. A cross-sectional, descriptive and analytical study was carried out in patients with clinical and electroencephalographic diagnosis of epilepsy, who attended the outpatient clinic of the neuropediatric service of the Teaching Hospital. A survey was administered, subdivided into data on the child, data on the parents or caregiver, type of epilepsy, treatment and the Quality of Life Scale for Children with Epilepsy (CAVE). The variables were analyzed using descriptive statistics and a multiple regression model to find predictors of quality of life. Of the 187 patients, 68 (36.4%) had a good quality of life. No significant gender differences were observed, nor in the overall score of the survey. Having fewer unmet basic needs (P=<0.0001) and not having refractory epilepsy were predictors of better quality of life (P=<0.0001). Parent-reported quality of life was mostly good or fair, having a higher number of unmet basic needs and being classified as having difficult-to-manage epilepsy were predictors of worsening quality of life as measured by the CAVE scale.

Professional quality of life and occupational stress in nursing workers during the COVID-19 pandemic / Calidad de vida profesional y estrés ocupacional en trabajadores de enfermería durante la pandemia del COVID-19 / Qualidade de vida profissional e estresse ocupacional em trabalhadores de enfermagem durante pandemia por COVID-19

ABSTRACT Objective: To identify the levels of professional quality of life and the occupational stress in nursing professionals. Method: Cross sectional study conducted between April and August 2020, with nursing professionals working in inpatient units for clinical and surgical patients of a large hospital. The Work Stress Scale and the Professional Quality of Life Scale were applied. Results: The sample consisted of 150 professionals, with a mean age of 43 ± 8.89 years, being 84.7% (127) female. The mean of the work stress scale was 1.9 (± 0.71), a moderate level of stress. It was found that compassion satisfaction had a median of 50.3 (9.1 - 64.6), burnout of 48.5 (32.2 - 84.8) and post-traumatic stress disorder of 47.1 (38.6 - 98.3). Conclusion: Stress at work and Compassion Fatigue were identified in the sample, especially in secondary-level professionals, demonstrating the need to implement strategies to reduce psycho-emotional harm in these professionals.

RESUMEN Objetivo: Identificar los niveles de calidad de vida profesional y estrés laboral en los profesionales de enfermería. Método: Estudio transversal realizado entre abril y agosto de 2020, con profesionales de enfermería que laboran en unidades de internación para pacientes clínicos y quirúrgicos de un gran hospital. Se aplicó la Escala de Estrés Laboral y la Escala de Calidad de Vida Profesional. Resultados: La muestra estuvo formada por 150 profesionales, con una edad media de 43 ± 8,89 años, siendo el 84,7% (127) mujeres. El promedio de la escala de estrés en el trabajo fue de 1,9 (± 0,71), un nivel de estrés moderado. Se encontró que la satisfacción a través de la compasión tuvo una mediana de 50,3 (9,1 - 64,6), el agotamiento de 48,5 (32,2 - 84,8) y el trastorno de estrés postraumático de 47,1 (38,6 - 98,3). Conclusión: En la muestra se identificaron estrés en el trabajo y fatiga por compasión, especialmente en profesionales de nivel medio, lo que demuestra la necesidad de implementar estrategias para reducir el daño psicoemocional en estos profesionales.

RESUMO Objetivo: Identificar os níveis de qualidade de vida profissional e o estresse ocupacional em profissionais da enfermagem. Método: Estudo transversal realizado entre abril e agosto de 2020, com profissionais da enfermagem atuantes em unidades de internação para pacientes clínicos e cirúrgicos de um hospital de grande porte. Os instrumentos utilizados foram a Escala de Estresse no Trabalho e Escala de Qualidade de Vida Profissional. Resultados: A amostra foi constituída por 150 profissionais, com média de idade de 43 ± 8,89 anos, sendo 84,7% (127) do sexo feminino. A média da escala de estresse no trabalho foi 1,9 (± 0,71), nível moderado de estresse. Verificou-se que satisfação por compaixão apresentou mediana de 50,3 (9,1 - 64,6), burnout de 48,5 (32,2 - 84,8) e estresse pós-traumático de 47,1 (38,6 - 98,3). Conclusão: Identificou-se estresse no trabalho e Fadiga por Compaixão na amostra, principalmente nos profissionais de nível médio, demonstrando a necessidade de implementar estratégias para a redução do dano psicoemocional nestes profissionais.

Factors associated with quality of life in retirement: a systematic review.

The purpose of this review was to determine the effects of retirement on quality of life and associated factors among older adults. This integrative review addressed the following question: what factors are associated with the health and quality of life of retired older adults? Biblioteca Virtual em Saúde and PubMed databases were searched using the following terms: retirement, quality of life, and health. Searches were conducted between June and December 2020. A total of 22 studies were included in the sample, categorized as follows: financial situation, social life, health conditions, and retirement preparation programs. The results indicate that quality of life among retirees is influenced by socioeconomic conditions, and the factors associated with this phenomenon differ according to culture, education, income, and professional category.

Conhecer os efeitos da aposentadoria na qualidade de vida de idosos aposentados e os fatores associados a esse fenômeno. Trata-se de revisão integrativa, com o seguinte questionamento: quais são os fatores associados à saúde e qualidade de vida do idoso aposentado? A busca foi realizada nas bases de dados Biblioteca Virtual em Saúde e Biblioteca Nacional de Medicina dos Estados Unidos utilizando os seguintes descritores: aposentadoria, qualidade de vida e saúde. As buscas foram realizadas no período de junho a dezembro de 2020. A amostra foi composta por 21 estudos, verificando-se quatro categorias: condições financeiras, convívio social, condições de saúde e programas de preparação para a aposentadoria. Os aposentados têm a qualidade de vida influenciada pelas condições socioeconômicas, sendo os fatores associados a esse fenômeno diferentes conforme a cultura, o ensino, a renda e as categorias profissionais.

Translation, cross-cultural adaptation and validation of the vitiligo-specific health-related quality of life instrument (VitiQoL) into Polish.

INTRODUCTION: Vitiligo is an acquired chronic depigmenting disorder of the skin, predominantly asymptomatic. Although vitiligo does not cause direct physical impairment, it is commonly believed that it can produce an important psychosocial burden. AIM: To translate, cross-culturally adapt and validate the vitiligo-specific health-related quality of life instrument (VitiQoL) into Polish. MATERIAL AND METHODS: The study was conducted online on 97 patients with vitiligo from our private outpatient departments in Gdynia and Gdansk, Poland from May 2018 to December 2019. RESULTS: There was a significant correlation between VitiQoL and DLQI (r = 0.90, p < 0.001) and also between VitiQoL-PL and subjects' assessment of the severity of their disease (r = 0.94, p < 0.001). We also found a good correlation between the total DLQI and subjects' assessment of the severity of their disease (r = 0.87, p < 0.001). CONCLUSIONS: The physicians treating this disease still do not have a specific instrument for assessing patients' QoL in Poland. They have to administer other non-vitiligo specific questionnaires to do so. A Polish version of a specific index for estimating quality of life of patients with vitiligo was validated and implemented through an online survey.

Validation of the Skindex-17 quality of life assessment instrument for a Brazilian population

Abstract Background: Health-related quality of life assesses how diseases affect the daily life of people; there are several generic instruments for this assessment in dermatology. Skindex was created in 1996; it is a multidimensional instrument, aiming to encompass some psychological and social aspects not yet addressed by other questionnaires. Among its versions (Skindex-29, 16, and 17), Skindex-17 had not been validated in Brazil. Objectives: To validate Skindex-17 for use in Brazilians with dermatological diseases. Methods: This was a methodological, cross-sectional, and prospective study of 217 patients attended at the Dermatology Service Outpatient Clinic, Faculdade de Medicina de Botucatu - Universidade Estadual Paulista (Botucatu, SP, Brazil), from December 2017 to September 2019. The following were evaluated: content validity, filling time, internal consistency, dimensional structure, concurrent validity (DLQI), temporal stability, and responsiveness. Results: The sample consisted of 71% women, mean age (SD) of 45 (16) years; phototypes II−IV accounted for 95% of the cases. Cronbach's alpha coefficients were 0.82 and 0.93 for the symptoms and psychosocial conditions, respectively. A high correlation was observed with the DLQI score: symptoms (rho = 0.69) and psychosocial conditions (rho = 0.75). The instrument's two-dimensional structure was confirmed through confirmatory factor analysis. Temporal stability (ICC > 0.9) and score responsiveness (p ≤ 0.02) were verified. The instrument was shown to be feasible in clinical practice due to the content validation performed by professionals and patients, as well as the low time spent completing it (< 5 min). Study limitations: Single-center study, with patients exclusively from the public healthcare system. Conclusions: Skindex-17 was shown to be a valid and consistent instrument for assessing quality of life among patients with dermatological diseases, in Brazil. Its two-dimensional structure was confirmed.

Quality of life related to residual snoring after adenotonsillectomy: a pilot study.

INTRODUCTION: Few studies have addressed long-term quality of life related to residual snoring after adenotonsillectomy. The aim of this study was to compare scores from the OSA-18 questionnaire between children with residual snoring and non-snoring children two or more years after adenotonsillectomy. MATERIAL AND METHODS: The sample comprised 25 children divided into two groups, a group of 14 snoring children, and a control group of 11 non-snoring children. The OSA-18 questionnaire was applied to the volunteers. In the control group, it was completed by the caregivers of the children, while in individuals with residual snoring it was completed by the caregivers of children in the presence of a doctor or dentist. A statistical comparison was made using a generalized linear model. RESULTS: The snorer group had a higher total OSA-18 score, and a higher score in all five domains compared to the control group. CONCLUSION: Children with residual snoring two or more years after adenotonsillectomy may have a worse quality of life compared to the control group.

Validation of the Skindex-17 quality of life assessment instrument for a Brazilian population.

BACKGROUND: Health-related quality of life assesses how diseases affect the daily life of people; there are several generic instruments for this assessment in dermatology. Skindex was created in 1996; it is a multidimensional instrument, aiming to encompass some psychological and social aspects not yet addressed by other questionnaires. Among its versions (Skindex-29, 16, and 17), Skindex-17 had not been validated in Brazil. OBJECTIVES: To validate Skindex-17 for use in Brazilians with dermatological diseases. METHODS: This was a methodological, cross-sectional, and prospective study of 217 patients attended at the Dermatology Service Outpatient Clinic, Faculdade de Medicina de Botucatu - Universidade Estadual Paulista (Botucatu, SP, Brazil), from December 2017 to September 2019. The following were evaluated: content validity, filling time, internal consistency, dimensional structure, concurrent validity (DLQI), temporal stability, and responsiveness. RESULTS: The sample consisted of 71% women, mean age (SD) of 45 (16) years; phototypes II-IV accounted for 95% of the cases. Cronbach's alpha coefficients were 0.82 and 0.93 for the symptoms and psychosocial conditions, respectively. A high correlation was observed with the DLQI score: symptoms (rho = 0.69) and psychosocial conditions (rho = 0.75). The instrument's two-dimensional structure was confirmed through confirmatory factor analysis. Temporal stability (ICC > 0.9) and score responsiveness (p ≤ 0.02) were verified. The instrument was shown to be feasible in clinical practice due to the content validation performed by professionals and patients, as well as the low time spent completing it (< 5 min). STUDY LIMITATIONS: Single-center study, with patients exclusively from the public healthcare system. CONCLUSIONS: Skindex-17 was shown to be a valid and consistent instrument for assessing quality of life among patients with dermatological diseases, in Brazil. Its two-dimensional structure was confirmed.

Associação entre a qualidade de vida e o estresse em estudantes de Fonoaudiologia / Association between quality of life and stress in speech, language, and hearing sciences students

RESUMO Objetivo Verificar a associação entre a qualidade de vida - a partir dos domínios "bem-estar físico e material"; "relações com outras pessoas"; "atividades sociais, comunitárias e cívicas"; "desenvolvimento pessoal e realização" e "recreação" -, com o estresse em estudantes de Fonoaudiologia. Métodos Quarenta estudantes (34 do gênero feminino), de um curso de graduação em Fonoaudiologia, com idades entre 19 e 39 anos, responderam às questões da Escala de Qualidade de Vida de Flanagan e do Inventário de Sintomas de Stress para Adultos de Lipp e os resultados foram analisados por meio de regressão logística binária. Resultados Os domínios relacionados à qualidade de vida com piores resultados foram "bem-estar físico e material" e "desenvolvimento pessoal e realização" e o domínio que apresentou melhores resultados foi "relações com outras pessoas", sendo capaz de prever 21,2% dos casos de estresse. A qualidade de vida no domínio "relações com outras pessoas" foi uma preditora significativa do estudo, sendo considerada como protetora para o estresse na amostra investigada. Conclusão Uma boa qualidade de vida no domínio "relações com outras pessoas" apresentou-se como fator protetor do estresse em estudantes do curso de Fonoaudiologia.

ABSTRACT Purpose To verify the association between quality of life - from the physical and material well-being domains; relationships with other people; social, community and civic activities; personal development; achievement and recreation -, with stress in Speech, Language, and Hearing Sciences. Methods 40 students (34 females) from an undergraduate course in Speech, Language, and Hearing Sciences, aged between 19 and 39, answered the Flanagan Quality of Life Scale and Lipp's Stress Symptoms Inventory. The results were analyzed using binary logistic regression. Results The domains related to the quality of life with the worst results were "physical and material well-being" and "personal development and achievement," and the domain that showed the best results were "relationships with other people", being able to predict 21.2% of the cases of stress. The quality of life in the "relationships with other people" domain was a significant predictor of the study, being considered as protective for stress in the investigated sample. Conclusion A good quality of life in the domain "relationships with other people" was a protective factor of stress in students of the Speech, Language, and Hearing Sciences.

Retirement planning: its application to marketing practices.

Aging is an inevitable process that brings with it new challenges and concerns. This study examines the drivers (e.g., financial knowledge, health knowledge, concerns of older adults, and quality of life of the aging person) of retirement planning. Data collected by NCOA from a nationally representative sample of 3,048 community-residing adults was utilized. Multiple regression was used for testing of hypotheses. Results indicate: Indicators of quality of life (SEI), Health knowledge (SHK), and concerns of aging (SCA) are important predictors of retirement planning, and Financial knowledge (SFK) of the aged person is a predictor of planning in the opposite direction.

Evaluación del subprograma de Atención Comunitaria al Adulto Mayor en Mantua / Evaluation of the subprograms for the Community Care of the Elderly in Mantua

RESUMEN Introducción: la evaluación de los programas en la Atención Primaria de Salud permite medir el impacto real de su aplicación, y surge como instrumento de perfección y desarrollo. Objetivo: mostrar los resultados de la evaluación del subprograma de Atención Comunitaria al Adulto Mayor, en el Policlínico Principal de Urgencias Dr. Juan Bruno Zayas, de Mantua, en el año 2017. Métodos: se realizó una Investigación en Sistemas y Servicios de Salud, de tipo observacional y analítica, el universo del estudio lo constituyeron las 4 648 personas de 60 años y más, que fueron atendidas, así como todos los médicos y enfermeras de los 27 Consultorios Médicos de la Familia; con un total de 53 prestadores. Para la selección de la muestra de los gerontes se utilizó un muestreo probabilístico aleatorio simple, a razón de ocho por consultorio hasta seleccionar 216 adultos mayores, a los cuales se les aplicó una encuesta para evaluar el nivel de satisfacción. A los prestadores se les aplicó otra encuesta diseñada con el mismo objetivo. Se utilizaron los indicadores de actividades, resultados establecidos en el subprograma y los estándares correspondientes del programa. Resultados: los tres componentes del subprograma resultaron evaluados de no satisfactorios. La mayoría de sus índices trazadores no alcanzaron los estándares deseados. Conclusiones: se evaluó el subprograma de Atención Comunitaria al Adulto Mayor, en el municipio de Mantua, lo que evidenció deficiencias en su ejecución, así como poca disponibilidad de literatura sobre el mismo.

ABSTRACT Introduction: the evaluation of programs in Primary Health Care allows measuring the true impact of their application and arises as an instrument of accuracy and development. Objective: to show the results of the evaluation of the subprogram for the Community Care of the elderly at Dr. Juan Bruno Zayas Main Emergency Polyclinic in Mantua during 2017. Methods: an observational and analytical Research on Health Systems and Services was carried out. The target group of the study was comprised of 4648 people 60 years of age and older who were attended, as well as all the doctors and nurses of the 27 Family Physician Offices, with a total of 53 providers. For the selection of the sample of geronts, a simple random probability sampling was used, at a rate of eight per clinic until 216 old people were chosen, to whom a survey was applied to evaluate the level of satisfaction. Providers were given another survey designed for the same purpose. The indicators of activities, results established in the subprogram and the corresponding program standards were applied. Results: the three components of the subprograms were evaluated as unsatisfactory. Most of its tracer indicators of hospital management did not meet the desired standards. Conclusions: the subprogram of community care to the elderly was evaluated in the municipality of Mantua, which evidenced deficiencies in its implementation, as well as limited availability of medical literature concerning this topic.

VES-13 and WHOQOL-bref cutoff points to detect quality of life in older adults in primary health care

ABSTRACT OBJECTIVE: To determine Vulnerable Elders Survey (VES-13) and WHOQOL-bref cutoff points to detect poor quality of life (QoL) in older individuals. METHODS: This is a cross-sectional study, performed in all primary health care units in Samambaia, DF, Brazil. The data were collected from August 2016 to May 2017. The sample size of 466 older individuals treated in primary health care was obtained considering a 5% margin of error, 95% confidence level, 50% prevalence, and 20% possible losses, in a population of 13,259 older individuals. The subjects answered the VES-13 and WHOQOL-bref questionnaires. They were divided into 3 subgroups: poorQoL (older individuals with self-reported very poor or poor QoL AND very dissatisfied or dissatisfied with their health), goodQoL (very good or good QoL AND very satisfied or satisfied with Health) and indeterminateQoL (NOT belonging to poorQoL or goodQoL subgroups). A receiver-operating characteristic (ROC) curve was performed with poorQoL (case) versus goodQoL (control) to determine the cutoff score in VES-13 and WHOQOL-bref. A diagnostic test using these cutoffs was carried out in all older individuals (n = 466). RESULTS: The VES-13 and WHOQOL-bref cutoff points to detect poorQoL were ≥ 2 and < 60, respectively. The area under ROC curve of VES-13 and WHOQOL-bref was 0.741 (CI95% 0.659-0.823; p < 0.001) and 0.934 (CI95% 0.881-0.987; p < 0.001), respectively. In diagnostic tests, VES-13 showed 84% sensitivity and 98.2% negative predictive value, and WHOQOL-bref, 88% sensitivity and 99% negative predictive value. CONCLUSIONS: VES-13 score ≥ 2 and WHOQOL-bref score < 60 adequately detected poorQoL in patients treated in primary health care. Our data suggest that older individuals with these scores require special treatment such as geriatrics collaborative care to improve this scenario, considering QoL impact on mortality.

Translation and validation of the Simplified Psoriasis Index (SPI) into Brazilian Portuguese

Abstract: Background: The Simplified Psoriasis Index is a tool that assesses the current severity, psychosocial impact, past history and interventions in patients with psoriasis through separate components. Two versions are available, one in which the current severity of the disease is evaluated by the patient themselves and another by the physician. Objectives: Translate the Simplified Psoriasis Index into Brazilian Portuguese and verify its validity. Methods: The study was conducted in two stages; the first stage was the translation of the instrument; the second stage was the instrument's validation. Results: We evaluated 62 patients from Complexo Hospitalar Santa Casa de Porto Alegre and Hospital Universitário de Brasília. The Simplified Psoriasis Index translated into Portuguese showed high internal consistency (Cronbach test 0.68). Study limitations: Some individuals, because of poor education, might not understand some questions of the Simplified Psoriasis Index. Conclusions: The Brazilian Portuguese version of the Simplified Psoriasis Index was validated for our population and can be recommended as a reliable instrument to assess the patients with psoriasis.

Translation into Portuguese language (Brazil), transcultural adaptation and validation of the quality of life questionnaire in female pattern hair loss (WAA-QoL-BP)

Abstract: Background: Female pattern hair loss (FPHL) is a common complaint in adult women and inflicts major impact in quality of life, however, there is no specific questionnaire available in Portuguese for such evaluation. Objectives: Translation into Brazilian Portuguese, cultural adaptation and validation of the WAA-QoL (Women's Androgenetic Alopecia Quality of Life Questionnaire). Methods: Methodological study. After authorization by the author, cultural (linguistic) translation and adaptation to Portuguese of the WAA-QoL questionnaire were carried out. The translated version (WAA-QoL-BP) and DLQI (Dermatology Life Quality index) were submitted to patients with FPHL for concurrent validation. Twenty patients were reevaluated to assess temporal stability. Results: A total of 116 patients with APF were evaluated, the mean age (SD) was 47 (14) years, and 89 (76%) patients were classified as grades II and III (Sinclair). There was high internal consistency: Cronbach´s alpha was 0.97 for the WAA-QoL-BP and 0.87 for the DLQI. The correlation between WAA-QoL and DLQI resulted in (rho) 0.81 (p <0.01). The intraclass correlation coefficient for complete agreement of WAA-QoL-BP was 0.95 (p <0.01) in the test-retest comparison. Study Limitations: Sampling of patients only from the State of São Paulo. Conclusions: A Brazilian version for WAA-QoL was translated and adapted, which proved to be valid and consistent.

Avaliação dos índices de qualidade de vida (MELASQoL e DLQI) e do MASI em pacientes com melasma tratadas com Polypodium Leucotomos / Analysis of melasma quality OF life scales (MELASQoL and DLQI) and MASI in Polypodium Leucotomos treated patients

Introdução: Melasma é distúrbio de pigmentação que acomete principalmente mulheres em idade fértil com fototipos elevados. Polypodium leucotomos tem atividade antioxidante, fotoprotetora e imunomodulatória, sendo tratamento adjuvante do melasma. Objetivo: Avaliar a eficácia, em relação à qualidade de vida e à melhora objetiva, do uso de PL no tratamento do melasma. Métodos: Estudo prospectivo e individualizado. Nove voluntárias portadoras de melasma foram submetidas ao tratamento com Polypodium leucotomos durante 45 dias. Escores MELASQoL, DLQI e MASI foram calculados no D0 e no D45. Realizou-se a análise de variância Anova com pós-teste de Tukey para comparação entre D0 e D45 (p < 0,05). Resultados: Todas as pacientes eram do sexo feminino, com média de idade de 37,18 ± 6,78 anos, história familiar de melasma em 55,6%, e fotoexposição desprotegida e uso de estrogênio em 88,9%. Após 45 dias de tratamento com Polypodium leucotomos houve redução significativa do MELASQoL e DLQI (p < 0,05) e melhora do MASI em 55,6% das pacientes. Conclusões: Houve melhora do MASI em 55,6% das pacientes após 45 dias de tratamento. A despeito da discreta melhora no MASI, houve reflexo na melhora dos escores de qualidade de vida (DLQI e MELASQoL).

Introduction: Melasma is a pigmentation disorder that mainly affects women of childbearing age with high phototypes. Polypodium leucotomos has antioxidant, photoprotective and immuno-modulatory activity, and can be considered as an adjunctive treatment for melasma. Objective: To evaluate the efficacy, in relation to quality of life and objective improvement, of the use of Polypodium leucotomos in the treatment of melasma. Methods: Prospective and individualized study. Nine volunteers with melasma were submitted to treatment with Polypodium leucotomos for 45 days. MELASQoL, DLQI and MASI scores were calculated at the beginning (D0) and 45 days after (D45). Analysis of variance ANOVA with Tukey post-test for comparison be-tween D0 and D45 (p <0.05). Results: All patients were females, mean age of 37.18 ± 6.78 years. Family history of melasma in 55.6%; 88.9% with unprotected photoexposure and use of estrogen. After 45 days of treatment with Polypodium leucotomos there was a significant reduction of ME-LASQoL and DLQI (p <0.05) and improvement of MASI in 55.6% of the patients. Conclusions: There was improvement of MASI in 55.6% of patients after 45 days of treatment. In spite of the slight improvement in MASI, there was a reflex in the improvement of quality of life scores (DLQI and MELASQoL).

Enfermedades crónicas y factores de riesgo en adultos mayores de Argentina: años 2001 - 2009 / Chronic diseases and risk factors in older adults from Argentina: years 2001 to 2009

RESUMEN El presente documento evalúa el impacto de las enfermedades crónicas prevalentes en la población mayor de 65 años en Argentina en el período 2001 - 009, a través del método de la Esperanza de Vida Ajustada por Discapacidad. Complementariamente, se describe la prevalencia de estas enfermedades en el país en el mismo período de tiempo, así como de los factores de riesgo asociadas a ellas. Se evidencia un aumento de la prevalencia de enfermedades crónicas no transmisibles, como son la hipertensión arterial y la diabetes, entre otras, pero también un progreso en la calidad de vida de las personas afectadas por estas enfermedades, que mejoraría a medida que envejece la población.

ABSTRACT This paper evaluates the impact of chronic diseases prevalent in the population over 65 years in Argentina in 2001 - 2009, through the method of Disability Adjusted Life Expectancy. In addition, the prevalence of these diseases is described in the same time period as well as the risk factors associated with them. An increased prevalence of chronic noncommunicable diseases is evident, such as hypertension and diabetes, among others, but also an improvement in the quality of life of people affected by these diseases, which improve as the population ages.

Incidence, clinical manifestations and clipping of nail psoriasis in the dermatology center of the Hospital Universitário Evangélico de Curitiba

Abstract: Background: Psoriasis is a chronic inflammatory skin disease that often progresses with nail alterations. It is suspected that there is a correlation between nail psoriasis and enthesitis of the distal interphalangeal joint, seeming to serve as a predictor. Objectives: To analyze the profile of patients with nail psoriasis and correlate the presence of nail alterations with psoriatic arthritis, quality of life, extent of psoriasis and the histopathology of the nail. Methods: An observational cross-sectional study with 40 patients with a diagnosis of psoriasis and without systemic treatment. The patient profile was researched, including quality of life and evaluated for the presence of psoriatic arthritis. The severity of the skin psoriasis and the presence of nail lesions were evaluated. Nail fragments were collected and analyzed through clipping. It obtained 100% of positivity for psoriasis in the histopathology exam of the nail plate. Results: Of the 40 patients, 65% were diagnosed with nail psoriasis. Suggestive findings of psoriatic arthritis in hands were present in 33%, being more frequent in those with nail alteration (p = 0.01). In 92.3% of patients diagnosed with psoriatic arthritis in the hands there was some nail injury. The most frequent injuries were pitting and onycholysis. Conclusions: Patients with nail psoriasis are usually men, with worse quality of life and higher chance of psoriatic arthritis. The correlation between the nail involvement of psoriasis and psoriatic arthritis in hands confirms the association between these two forms. The clinical diagnosis of nail psoriasis did not correlate with the histological diagnosis.