Marquiony Marques dos Santos

Prevalence of urinary incontinence and associated factors in nursing home residents

To determine the prevalence of urinary incontinence (UI) and associated factors in the institutionalized elderly.

Frequência fundamental, tempo máximo de fonação e queixas vocais em mulheres com obesidade mórbida

Background Obese people have abnormal deposition of fat in the vocal tract that can interfere with the acoustic voice. Aim To relate the fundamental frequency, the maximum phonation time and voice complaints from a group of morbidly obese women. Methods Observational, cross-sectional and descriptive study that included 44 morbidly obese women, mean age of 42.45 (±10.31) years old, observational group and 30 women without obesity, control group, with 33.79 (±4.51)years old. The voice recording was done in a quiet environment, on a laptop using the program ANAGRAF acoustic analysis of speech sounds. To extract the values of fundamental frequency the subjects were asked to produce vowel [a] at usual intensity for a period in average of three seconds. After the voice recording, participants were prompted to produce sustained vowel [ a] , [ i] and [ u] at usual intensity and height, using a stopwatch to measure the time that each participant could hold each vowel. Results The majority, 31(70.5%), had vocal complaints, with a higher percentage for complaints of vocal fatigue 20(64.51%) and voice failures 19(61.29%) followed by dryness of the throat in 15 (48.38%) and effort to speak 13(41.93%). There was no statistically significant difference regarding the mean fundamental frequency of the voice in both groups, but there was significance between the two groups regarding maximum phonation. Conclusion Increased adipose tissue in the vocal tract interfered in the vocal parameters.

The dimensioning of the nursing staff in an intensive care unit

Objective: to discuss the nursing staffs project in the context of the Intensive Care Unit (ICU) of Hospital Regional do Seridó, Caicó-RN. Method: qualitative descriptive-exploratory research. 19 semi-structured interviews were performed with professional nursing staff working in the ICU. The data were analyzed according to thematic content analysis, which consists of: pre-analysis, material exploration and processing of results. The study was approved by the Ethics Committee in Research of Universidade do Estado do Rio Grande do Norte as Protocol 027/10 and CAAE 0026.0.428.000-10, according to Resolution 196/96. Results: it was showed that the quantity of graduated professionals in nursing staff is unsatisfactory for the development of the necessary assistance to the ICU. Conclusion: this study reflects that the dimensioning of the nursing staff should involve the participation of hospital managers for researching and raising the critical points of functioning of the service, through promoting teamwork. Descriptors: personnel downsizing; intensive care unit; nursing team.

VOCAL COMPLAINT, AUDITORY-PERCEPTUAL ASSESSMENT OF VOICE AND VOCAL SELF-ASSESSMENT IN WOMEN WITH MORBID OBESITY

Background : Obese people often have altered breathing patterns and therefore may experience difficulties in voice production. Aim : To verify the presence of vocal complaints and the correlation between the auditory-perceptual analysis of voice and vocal self-assessment of a group of women with morbid obesity before and after bariatric surgery. Methods : A longitudinal, exploratory, descriptive study of 21 morbidly obese women aged between 28 and 68 years, assessed before and after bariatric surgery, was performed. The women filled out a form containing identification data and type of vocal complaint. Perceptual evaluation of voice and vocal self-assessment were performed using a visual analog scale. For perceptual assessment of voice the women were asked to say three sentences from the Consensus Auditory-Perceptual Evaluation of Voice. Results : Of the 21 patients, 14 (66.6%) reported vocal complaints, of which 10 (71%) vocal fatigue, eight (57.14%) voice failures and seven (50%) vocal effort. All participants reported improvements in the voice after surgery, irrespective of having reported vocal complaints before surgery. There was no correlation between vocal self-assessment and auditory-perceptual assessment of the voice before or after the procedure. There was no correlation between vocal self-assessment and perceptual evaluation of the voice before surgery. Conclusion : Obesity interfered with voice production and influenced negative perception and therefore vocal complaints. Complaints about vocal production cannot be perceived by a speech therapist with the same impact as by patients, as both employ different criteria for vocal evaluation. Vocal self-assessment is an important tool in voice evaluation.

Socioeconomic, regional and demographic factors related to population ageing

Objective: the present study aims to investigate the association between population ageing in municipal regions in the state of Rio Grande do Norte, and socioeconomic, demographic and regional factors. Method: an ecological study that used municipal regions of the state of Rio Grande do Norte as a unit of analysis was carried out. Data collection was conducted through databases from the Brazilian Institute of Geography and Statistics, the Institute of Applied Economic Research and the Atlas of Human Development. The factor of Increased Age was created based on factor analysis, which was related to socioeconomic, demographic and regional variables. The chi-squared test with a significance level of 5% was used in addition to the Hosmer and Lemeshow technique for logistic regression. Result: it was found that municipal regions in the Central mesoregion have an older/ Palavras-chaves: Envelhecimento. Fatores socioeconômicos. Demografia. http://dx.doi.org/10.1590/1981-22562017020.170004

Survival analysis of elderly patients in Intensive Care Units

1 Universidade do Estado de Rio Grande do Norte (UERN), Faculdade de enfermagem, Departamento de Enfermagem. Caicó, RN, Brasil. 2 Universidade Federal do Rio Grande do Norte (UFRN), Programa de Pós-graduação em Saúde Coletiva, Departamento de odontologia. Natal, RN, Brasil 3 Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Generalitat de Catalunya, Departament de Salut. Barcelona, Espanha.

Body mass index and acoustic voice parameters: is there a relationship?

INTRODUCTION Specific elements such as weight and body volume can interfere in voice production and consequently in its acoustic parameters, which is why it is important for the clinician to be aware of these relationships. OBJECTIVE To investigate the relationship between body mass index and the average acoustic voice parameters. METHODS Observational, cross-sectional descriptive study. The sample consisted of 84 women, aged between 18 and 40years, an average of 26.83 (±6.88). The subjects were grouped according to body mass index: 19 underweight; 23 normal ranges, 20 overweight and 22 obese and evaluated the fundamental frequency of the sustained vowel [a] and the maximum phonation time of the vowels [a], [i], [u], using PRAAT software. The data were submitted to the Kruskal-Wallis test to verify if there were differences between the groups regarding the study variables. All variables showed statistically significant results and were subjected to non-parametric test Mann-Whitney. RESULTS Regarding to the average of the fundamental frequency, there was statistically significant difference between groups with underweight and overweight and obese; normal range and overweight and obese. The average maximum phonation time revealed statistically significant difference between underweight and obese individuals; normal range and obese; overweight and obese. CONCLUSION Body mass index influenced the average fundamental frequency of overweight and obese individuals evaluated in this study. Obesity influenced in reducing maximum phonation time average.

Preference and factors associated with the type of delivery among new mothers in a public maternity hospital

OBJECTIVE To identify reproductive and socioeconomic factors that influence the preference for a method of childbirth. METHOD Data were collected using semi-structured interviews with 233 women in postpartum care. Data were analyzed using association tests, namely the Chi-square test and multiple logistic regression. RESULTS The preference for vaginal childbirth was cited by 58% of women. The main reasons for this preference were quick postpartum recovery, a negative experience in Caesarean childbirth and fulfilment through motherhood. Analysis of the logistic models of preference for vaginal delivery according to the independent variables revealed a greater occurrence in women who had previous experience of this type of delivery (PR: 1.91; CI: 1.15-3.17) and had received prior guidance (PR: 1.76; CI: 1.06-2.90). CONCLUSION Findings highlight the need to transform the model of care provided during pregnancy and childbirth.

Preferência e fatores associados ao tipo de parto entre puérperas de uma maternidade pública

OBJECTIVE To identify reproductive and socioeconomic factors that influence the preference for a method of childbirth. METHOD Data were collected using semi-structured interviews with 233 women in postpartum care. Data were analyzed using association tests, namely the Chi-square test and multiple logistic regression. RESULTS The preference for vaginal childbirth was cited by 58% of women. The main reasons for this preference were quick postpartum recovery, a negative experience in Caesarean childbirth and fulfilment through motherhood. Analysis of the logistic models of preference for vaginal delivery according to the independent variables revealed a greater occurrence in women who had previous experience of this type of delivery (PR: 1.91; CI: 1.15-3.17) and had received prior guidance (PR: 1.76; CI: 1.06-2.90). CONCLUSION Findings highlight the need to transform the model of care provided during pregnancy and childbirth.

Preferencia y factores associados al tipo de parto entre parturientas de una maternidade

OBJECTIVE To identify reproductive and socioeconomic factors that influence the preference for a method of childbirth. METHOD Data were collected using semi-structured interviews with 233 women in postpartum care. Data were analyzed using association tests, namely the Chi-square test and multiple logistic regression. RESULTS The preference for vaginal childbirth was cited by 58% of women. The main reasons for this preference were quick postpartum recovery, a negative experience in Caesarean childbirth and fulfilment through motherhood. Analysis of the logistic models of preference for vaginal delivery according to the independent variables revealed a greater occurrence in women who had previous experience of this type of delivery (PR: 1.91; CI: 1.15-3.17) and had received prior guidance (PR: 1.76; CI: 1.06-2.90). CONCLUSION Findings highlight the need to transform the model of care provided during pregnancy and childbirth.