Mirian Alves da Silva

Evaluación nutricional por el Mini Nutritional Assessment: una herramienta para las enfermeras

Objective: To characterize the nutritional status of institutionalized aged individuals according to the Mini-Nutritional Assessment (MNA®). Method: Cross-sectional, population-based study of quantitative approach, performed with 321 elderly residents in long term care facilities of Joao Pessoa/PB. This study was approved by the Committee on Ethics in Research of CCS/UFPB, CAEE: 02043712.4.0000.5188. Results: The mean age of participants was 81.09 years old and the majority of them were female (75.7%). Firstly, the elderly were evaluated by a screening, in which 86 (26.8%) had adequate nutritional status and 235 (73.2%) passed to the overall assessment; seven (3.0%) of these had adequate nutritional status. Therefore, the total amount of elderly with adequate nutritional status, according to MNA®, was 93 (29.0%); 127 (39.6%) of them were at risk of malnutrition and 101 (31.5%) were malnourished. Conclusion: It is essential to establish prevention programs in long-term institutions that subsidize the activities of the multidisciplinary health team, in order to control risk factors, including nutritional parameters.

Prevalence Of Obesity Among Elderly Participants Of A Health Education Service

BACKGROUND: the detection of obesity is shown relevant considering that with aging there is progressive loss of lean body mass and increased the proportion of body fat, and also metabolic changes and reduced physical activities that require increased energy and weight loss, contributing to obesity installation, which in turn exert implications on health and social life of the elderly. Before with these consequences of obesity and its impact on the health of the elderly, the study aimed to identify the prevalence of obesity among elderly participants of a university extension project. METHOD: Exploratory and descriptive study with a quantitative approach. The sample is constituted by 96 elderly people of both sexes registered in the project. RESULT: It appears that the 37 elderly people (38.54%) had some degree of obesity. Obesity classification prevailed 57.63% of non-obese overweight status, while among the obese, 67.57% is in obesity I. CONCLUSION: It is believed that knowing this reality helps medical and nursing actions in promotion of strategies of healthy lifestyles and encouragement, making interaction for personal responsibility in training for self-care and improved quality of life.

Rachimedural Trauma: Epidemiology and Complications

BACKGROUND: Traumatic spinal cord is a public health problem due to the high morbidity and mortality worldwide. The objective of this research was to characterize the profile demographic and clinical partner of people with TRM; analyze correlations between clinical features of traumatic injury level and its complications. METHODS: Observational study, the cut cross-sectional with a quantitative approach, performed with 80 people with TRM. Data were analyzed using descriptive and inferential techniques statistics. RESULTS: The results show correlation of spinal cord injury in lumbar level with accidents with firearms, of chest injury to car accidents and cervical injuries the diving in shallow water. Regarding complications, quadriplegia had greater influence as a risk factor for UP, spasticity, orthostatic hypotension, urinary complications, autonomic dysreflexia and intestinal disorders in relation to paraplegia, but showed a protective factor to pain syndromes. CONCLUSION: The absence of notification is a limiting factor for research and construction of new public policies aimed at preventing determinants external causes of TRM, as well as development of actions aimed at specialized care to minimize complications and improve quality of life in this population.

Epidemiological and temporal analysis of leprosy in a Brazilian endemic state

BACKGROUND: Leprosy is endemic in Brazil, while the number of diagnosed cases of the disease has made considerable decrease since the implementation of treatment with multidrug therapy. The objective of this research, analyze time trends in sociodemographic and clinical-epidemiological profile of leprosy in Paraiba, in the 2001-2011 period, and identify differences between the epidemiological trends within the period. METHODS: Epidemiological study of time, retrospective and documentary based series, produced using secondary data and Notification Diseases Information System. RESULTS: They evaluated data on 10.476 Sheets Notification single, between the years 2001-2011, based on descriptive and inferential statistics. The results showed statistically significant differences between the two areas evaluated time, starting with the suggestive reduction of 42.7% of cases in P2 (2007-2011), although this timeline, the clinical characterization refers to the most serious states or late leprosy. CONCLUSION: Leprosy remains a relevant epidemiological dilemma, especially in view of the increase in the proportion of MB cases, glimpsed for the period studied.