Repositório RCAAP

The objective of this study was to describe the morbidity and costs profile of hospital admissions with elderly in the state of Pernambuco, Brazil, from 2008 to 2016. This is a descriptive study, with a cross-sectional and quantitative approach. Through this study it was possible to verify, over the years under analysis, an increasing rate of hospital expenses, highlighting as diseases that most burdened the public system diseases of circulatory, respiratory and neoplasias. These results suggest the need for greater prevention efforts for the main morbidities that affect this population.

We perform a literature review to show the importance of universal design in designing the kitchen environment and some kitchen utensils, focusing on the elderly user. As such, we argue about the importance of the built environment for the elderly and particularly of the kitchen. We also provide examples of universal design solutions for the kitchen and some of its utensils. At the end, we discuss the relevance of this study for an aging society. 

This article analyzes the concepts of "Health Economic-Industrial Complex" (Gadelha, 2006) and "Silver Economy" or “Longevity Economy” (Felix, 2007), with the intention of set up its points of intersection which regard to an industrial policy, focused on health and long-term care for the elderly people. It is argued that, faced with population aging, these sectors are strategic in global competition and in the Brazilian foreign trade insertion. From a Marxian-Schumpterian-ECLAC perspective, the proposal for the construction of an economic-industrial complex of health and care is presented. Therefore, it is necessary to investigate the macroeconomic limitations and possibilities of the two concepts to be promising in Brazil, which is done in the light of the New-Developmentalism theory (Bresser-Pereira, 2015). 

This research arises from the accompaniment of this growing number of deaf people who are now in this phase of life and are facing various difficulties regarding access to these legal institutions. The research consisted of a qualitative and descriptive study, through a semistructured interview, filmed in Libras and transcribed into Portuguese. For the content analysis, the MAXQDA software was used, based on the Bardin (2011) content analysis system. The results showed that the majority of society does not know Libras and is not prepared for this type of communication. It is hoped that the result of this research will present a singular look at the problems experienced by the elderly deaf people, and that it will serve as a support for institutions aimed at serving this portion of society. 

This article aims to do a historical rescue on Gerontology, understanding it as a specialty that deals with research on human aging in its multiple dimensions. It is a explanatory qualitative research that utilized bibliographical revision as a research source. As a result, it was possible to identify the existence of multiple aspects within Gerontology, which not only complement each other but also dispute legitimacy in the explanation of what means aging. 

This study analyzes the presence of risk factors for falls in 361 elderly people linked to a health plan in the city of São Paulo, SP, state of São Paulo, Brazil. The elderly were divided into two groups: those who never had falls and those who had already fallen at least once in the last year. When comparing these two groups, the elderly, female, widowed, with moderate to severe difficulty in the Timed Up and Go Test, with low visual acuity, who use psychoactive drugs, and with greater age, were at greater risk.

The objective of this work was to perform a review on the epidemiological, physiological and treatment aspects of the burned elderly. Predominant sites: residence (42-98%), kitchen (17-65%). Main agents: direct fire or flammable liquid (36 to 74%) and scald (17 to 66%). Inhalation Injury: 12-41% of the elderly. Mortality rate: 6 and 65%. A multidisciplinary team must attend the burned elderly patient. 

This is a quasi-experimental study that verified effects of strength training on the functional capacity of institutionalized elderly. The elderly were evaluated by capacity tests and submitted to strength training (nine exercises, 3x12 maximum repetitions, 60-90 seconds interval) for a period of 12 weeks (frequency 3x / week). It was observed that the short-term strength training program improves the performance of the daily life activities of the elderly.

This study addressed the importance of the valorization of the elderly in the labor market through the analysis of the film "An Internship" and a field research. The reflection on the film served as the basis for the formulation of a questionnaire. Thus, the development of the work showed that the presence of the elderly in the labor market is extremely important since, with the increase in the life expectancy, and consequently the population increase, there are five different generations coexisting in the labor market.Keywords: Movie; Job market; Elderly.

Due to the population ageing, the chronic- degenerative diseases have grown. The dementias have been highlighted because of the cognitive progressive loss that compromises the performance on the daily activities, reducing the autonomy and the independence matter. The responsibility for the care provided changes the caregivers’ routine, causing physical and emotional distress. Objectives: evaluate the level of burden taken by the caregivers of patients with dementia and its factors, characterize the patients and caregivers’ samples and identify the daily activities compromised by the dementia. Method: descriptive report, exploratory, approved by the Ethic Committee in Research/ FAMERP statement #358.178, held from September to December in 2013, with 31 caregivers of patients with dementia, assisted in a reference hospital ambulatory.  The caregivers signed the Open Consent and Post Clarification Form, being submitted to questionnaires appliances: Caregiver from Zarit Overburden Scale and semi-structured interviews. Results: As the framework of dementia increases, there is an elderly autonomy and independence reduction. Fisher Exact Test showed a significant statistic in the reduction of leisure activities performance, by the elderly, before and after the state of dementia (p=0,0181). Among the evaluated caregivers, the feminine genre prevailed, with an average of 53±12,4 and the reduction of leisure activities performance, by the caregivers, before and after they undertook the position of informal caregiver (p=0,0078). Conclusion: the reduction or cancellation of the leisure activity on the daily life implies in these caregivers quality of life, which can be emphasized by the presented burden. The data points to a necessity of attention from the health multidisciplinary team to these caregivers, including the occupational therapist, and enables a reflection about a relevant subject: the care for the caregiver.  

This pilot study analyzes the telephone follow-up compared to the conventional treatment in the elderly in the postoperative period of thigh and hip surgeries. He observed a clinical reduction between the first and last evaluation for "loss of appetite without nausea," "difficulty to move" and "fatigue". There was a tendency for "pain" and "postoperative infection at the incision site to drop." Intervention activities carried out through the telephone are accessible to the population, with good adherence and low cost. 

The health system should be able to identify older people with greater attention needs in order to foregone as much as possible the loss of functional capacity. This study describes the findings obtained by the application of the Comprehensive Geriatric Assessment to a group of people over 65 years old linked to a health plan, living in the city of São Paulo. The studied group had a high age average, a predominance of women and injuries that caused important impairment of their functional capacity. 

The objective of this article is to review recent national and international studies, which have investigated the advanced daily life activities (ADLA) with the elderly. It is important to highlight that these activities are influenced by several aspects that make it difficult to evaluate and standardize them. The searches had been carried through ADLA and the elderly, including leisure, social and elderly productive activities and in the following papers background: PubMed, MEDLINE, LILACS and SciELO. The reviewed studies have shown that the participation of the elderly people in the ADLA have contributed for healthy ageing of this target public either in the social or clinical dimensions. 

The article aimed to analyze the incorporation of the issue of human aging in the political agenda and the construction of the NPEP. The study was bibliographical with analysis of the current legislation, based on authors with a critical perspective. It was noticed that the NPEP is an advance for the elderly population, but that its effectiveness depends on the others policies, as well as on social struggles. 

The advent of Information and Communication Technologies (TICs) promoted improvements in the health of the elderly, which, with increasing longevity, marked their participation in the digital age. The study presents the insertion of the elderly in the technological universe and questions their digital inclusion, respecting the possible limitations to the aging process. The methodology is based on the systematic review of 17 articles and 1 dissertation, with the theme of the elderly and the technology, in the last 10 years. The results demonstrate that for better possibility and maintenance of quality of life and leisure, pedagogical programs and courses must be carried out. 

With the demystification of sex in the elderly, there is greater concern about the increase in the number of AIDS cases. Objective: To investigate the prevalence and characteristics of reported cases of AIDS in the elderly in the city of Santa Maria, RS, Brazil. Methods: Descriptive research using data from the "Tabulations of epidemiological surveillance - CEVS / SES / RS" in the item "SINAN NET e. dengue online ", the" Adult AIDS "option was identified in" confirmed cases, residing in RS, 2007 to 2017 ". In the page "Adult AIDS - cases reported in the SinanNet Notification of Injury Information System", the total number of cases, sex discrimination and the form of transmission in the elderly from 60 to 69 years, 70 to 79 years and 80 years and more in the period from 2012 to 2017 in the notification municipality of Santa Maria. As a form of transmission it was found in "vertical transmission", "sexual intercourse", "injecting drug use", "accident by biological material", "treatment for hemophilia" and "blood transfusion". Data were analyzed by descriptive statistics. Results: In this period, 37 new cases of AIDS, in the age range of 60 to 69 years (24 cases), were reported in men (23 cases) transmitted by heterosexual intercourse (35 cases). Conclusion: There was a high prevalence of AIDS notification in the elderly. It is hoped that this knowledge can subsidize data for the elaboration of public policies for this population, propitiating a lower incidence of this disease and its aggravations.

Introduction: The individuals with advanced age are the ones who consume the greatest number of medications and, as consequence, adverse reactions to these drugs often occur, including in the oral cavity. Objective: These drug-related manifestations deserve attention of health professionals so that they are properly diagnosed and actions are taken to reduce or eliminate them. Material and methods: In this article, we reviewed original articles, published from 2000 to 2018, reporting these reactions in elderly patients. Articles in English, Portuguese and Spanish were searched, using terms relevant to the topic, published online in the CAPES journals databases. The articles were selected after reading their titles and summaries and, then, the complete articles. Results: Among the 12 articles showing adverse drug reactions in the oral cavity of the elderly, we had: 6 (50%) with xerostomia and its consequences; 2 (17%) with oral ulcerations consequent to the use of nicorandil; 2 (17%) with osteonecrosis of the mandible (bisphosphonate and bevacizumab, one in each); and 1 (8.3%) with ageusia (associated with romidepsin) and 1 (8.3%) with oral candidiasis (associated with inhaled corticosteroids). Conclusion: The elderly require increased attention during medical consultations and dental procedures, due to the association of different chronic diseases and the continuous use of several medications. There is a need for a greater number of publications focusing on this theme in this age group, especially in those longevous senior individuals.  

To analyze Working Memory (WM) and Executive Function (EF) scores after and before intervention with non-immersive virtual reality in patients with Parkinson’s disease (PD). Longitudinal study, with 13 subjects, of both sexes. Fourteen sessions of interventions based on Nintendo games. Cognitive functions were assessed using the Cambridge Cognitive Examination (CAMCOG). Statistical analysis of Wilcoxon was used to compare the performance of WM and EF scores before and after intervention. Results: Improvement in EF and VF scores after intervention was observed with statistically significant differences p= 0.004 and p=0.037, respectively. There were no differences between the interventions for WM scores (p= 0.609). Conclusion: Training with virtual games is suggested as a therapeutic approach that offers cognitive stimulation that improve EF. 

Nos dias 26 e 27 de outubro de 2016, realizou-se a quinta edição da Jornada de Estudos em Gerontologia – Estratégias de Promoção do Envelhecimento Ativo, tendo como tema central “DIVERSIDADE DA VELHICE”. Este evento na área da Gerontologia teve por objetivo promover reflexões e disseminar conhecimentos sobre a temática expressa no título: Promoção do Envelhecimento Ativo e Diversidade da Velhice. Em suas quatro edições anteriores (realizadas em 2010, 2011, 2012 e 2014 ) a Jornada de Estudos reuniu centenas de participantes – estudantes, pesquisadores, profissionais e comunidade em geral, disseminando saberes interdisciplinares e inter-setoriais sobre o processo de envelhecimento ativo. Esta edição transcendeu o nível local e regional, tendo participantes e parceiros de diversas universidades públicas e particulares, e grupos de pesquisas de diversos estados brasileiros (São Paulo, Rio de Janeiro, Minas Gerais, Pará, Tocantins), além de pesquisadores internacionais. Nas evidências e projeções da transição demográfica aponta-se que o ano de 2050 seja um “divisor de águas demográfico”. Estima-se que 20% da população mundial - mais de dois bilhões de pessoas terão 60+anos - ultrapassando o número de crianças e adolescentes abaixo de 15 anos. Enunciam-se também índices de concentração desta categoria social (60+anos) em 64 países, maior ou igual a 30% tanto nos países desenvolvidos, quanto nos países em processo de desenvolvimento, dentre eles países da América Latina, Ásia e China. Faz-se necessário um forte empreendimento no presente que articule: a produção de conhecimentos científicos e tecnológicos, a construção e o monitoramento de políticas públicas, a formação de recursos humanos, a divulgação científica interdisciplinar que promova a disseminação de um saber gerontológico. É preciso a construção de condições objetivas e subjetivas – individuais e coletivas - para a produção de uma cultura que ressignifique o processo de envelhecimento e as velhices em sua diversidade, fomentando a promoção da autonomia, da independência e da dignidade. É nesta perspectiva que a V Jornada de Estudos foi proposta pelos organizadores e construída coletivamente. No processo de sua organização buscou-se atingir os seguintes objetivos: a) a realização de um evento de divulgação científica aberto à comunidade, visando à disseminação do saber gerontológico sobre a diversidade da velhice e o processo de envelhecimento ativo; b) a promoção do diálogo e a da reflexão sobre a diversidade da velhice e algumas estratégias de promoção dos processos de envelhecimento ativo, neste cenário; c) a viabilidade de espaços de reflexão e encontros sobre a Gerontologia, congregando profissionais em formação, trabalhadores de áreas intersetoriais e comunidade em geral, bem como pesquisadores engajados nesta questão. Completam, ainda, os objetivos, a parceria e a articulação de rede local. A V Jornada contemplou diversas atividades: roda de conversa, palestras, mesa- redonda, comunicações de pesquisas, apresentações artísticas e intervenções culturais, reunindo mais de uma dezena de palestrantes, 128 participantes inscritos, 25 trabalhos apresentados na modalidade de comunicação coordenada, congregando dezenas de profissionais e pesquisadores envolvidos na produção de estudos e pesquisas financiadas por órgãos públicos de fomento. Seu produto final encontra-se sintetizado no presente Anais. A organização da V Jornada contou ainda com a participação de 38 membros em todo o processo de trabalho, subdividido em comissões (comitê gestor, comissão científica, comissão de graduandos e pós-graduandos, comissão artística e cultural). Os membros destas comissões foram indicados pelas associações e órgãos parceiros: da Associação de Pesquisas e Estudos sobre Envelhecimento, ASPEN; Associação Paulista de Saúde Pública, Núcleo São Carlos; Associação Brasileira de Gerontologia, ABG; d dos Centro Acadêmico e Empresa Júnior, Envelhescência, ambos do Curso de Graduação em Gerontologia. Contou ainda com o apoio com diversas unidades administrativas da Universidade Federal de São Carlos (UFSCar), dentre elas: Departamento de Gerontologia (UFSCar) e Programa de Pós-Graduação Ciência Tecnologia e Sociedade (UFSCar), Pró-Reitoria de Extensão da UFSCar. A parceria com o SESC São Carlos e com a Gerência de Estudos e Programas da Terceira Idade do SESC/São Paulo e Unidade São Carlos foi fundamental nesta edição. Apesar de contarmos com o apoio da equipe local no planejamento, logística, divulgação e infra-estrutura (à qual registramos os agradecimentos), de maneira especial registramos a participação de Gabriela Neves e Celina Dias Azevedo (SESC São Paulo/SP) e Heber Augusto Tscherme e Camila Machado, SESC São Carlos/SP.

This journal, affiliated to the Faculty of Human Sciences and Health (FACHS / PUC-SP), in its volume 20, celebrates, two decades of uninterrupted academic placement, fidelity to a time that the name Kairós enunciates. It is from this volume 20 (1) that the happy institution of the DOI is also celebrated for the works published in its four regular volumes, with works concerned with issues such as longevity, aging, old age, and the problems of the elderly.Endeavor and resistance to countless hands, in the case of this magazine, to researchers, authors, referees, and an editorial team that has been renewed, which contributed during these 20 years so that one could publish, with rigor but not without lightness, the diversity inherent in aging, and, with great luck, receiving more and more texts in interface with other areas of knowledge. Our respectful tribute to all! We were able to move on and on: semiannually, the magazine became four-monthly and some quarterly. From a few works, a fixed number of 25 works per number was opened, being open to internationalization, in the sense of receiving works in its trilingual format (Portuguese-PB or PE, Spanish and English), bilingual or monolingual languages, also in French or Italian).And not only from the results of research in articles at the post-doc, doctoral and master's level, but also from the undergraduate level, along with the supervisors (scientific initiation, completion of specialization courses, improvement ...). Finally, a magazine that proposes to welcome especially works of young-researchers who, motivated, can continue to be guided, from so many and valuable suggestions of the referees, to improve their academic-scientific writing - and not to give up that work that does not leave to be a challenge to beginners. It is worth noting how much each issue privileges works coming from the most diverse Brazilian states, also bringing articles by foreign authors, which means that the magazine welcomes papers that meet the criteria of regionality, as well as internationality.The work of this volume ratifies some tendencies: (i) the partnership of two or more writers in the writing of an article; (ii) affiliated with different areas / Programs / Universities, attesting to the interdisciplinary dialogue between different areas and institutions around aging; (iii) the increasing participation of physiotherapists, physical educators, physicians, nutritionists, occupational therapists, gerontologists, nurses, psychologists, pedagogues and social workers; (iv) linguists, speech therapists, researchers of new technologies, also enriching this publishing space.