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Laparoscopic renal surgery in infants and children: is it a feasible and safe procedure for all pediatric age groups?

DENES, Francisco T.; TAVARES, Alessandro; MONTEIRO, Edison D. S.; BESSA JR., Jose de; GIRON, Amilcar M.; QUEIROZ FILHO, Frederico A.; Srougi, Miguel
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
45.95%
PURPOSE: Although laparoscopy is considered the mainstay for most renal procedures in adults, its role in the pediatric population is still controversial, especially for smaller children. We reviewed our experience in pediatric renal laparoscopic surgery in three pediatric age groups in an attempt to identify if age has an impact on feasibility and surgical outcomes. MATERIALS AND METHODS: From November 1995 to May 2006, 144 pediatric laparoscopic renal procedures were performed at our institution. The charts of these patients were reviewed for demographic data, urologic pathology and surgical procedure, as well as perioperative complications and post-operative outcomes. The findings were stratified into 3 groups, according to patient age (A: < 1 year, B: 1 to 5 years and C: 6-18 years). RESULTS: Median age of the patients was 4.2 years (42 days - 18 years). We performed 54 nephrectomies, 33 nephroureterectomies, 19 upper pole nephrectomies, 11 radical nephrectomies, 22 pyeloplasties and 4 miscellaneous procedures. The 3 age groups were comparable in terms of the procedures performed. Conversion rates were 0%, 1.4% and 1.9% for groups A, B and C, respectively (p = 0.72). Incidence of perioperative complications was 5%, 8.2% and 7.8% for age groups A to C...

Comparação das estratégias musculares entre dois grupos etários diferentes no movimento de passar de sentado para em pé; Comparison of muscles strategies between ntwo different age groups in the sit-to-stand movement

Terena, Stella Maris Lins
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 09/09/2008 PT
Relevância na Pesquisa
55.88%
O movimento de passar de sentado para em pé é uma habilidade que confere independência a todos os indivíduos e seus déficits podem causar dependência funcional. Conhecer melhor este movimento complexo permite aos profissionais da reabilitação reformular suas terapias e refletir sobre novas possibilidades de intervenção. O objetivo deste trabalho foi estudar a ordem de ativação dos músculos tibial anterior (TA), gastrocnêmio medial (GM), reto femoral (RF), bíceps femoral (BF) e paravertebral lombar (PL) durante o movimento de passar de sentado para em pé em dois grupos de voluntários e comparar as estratégias musculares utilizadas por eles. Os sujeitos foram divididos em Grupo A: composto de vinte sujeitos com idade entre 20 a 35 anos, saudáveis, sem patologias associadas, sem uso de medicação e que obtiveram mais de 50 pontos no Teste de Berg; e Grupo B: composto de vinte sujeitos com idade entre 60 a 65 anos, sem doenças neurológicas associadas e que obtiveram mais de 50 pontos no Teste de Berg. Os dois grupos foram estudados sob duas condições: com os olhos abertos e com os olhos fechados. O sinal elétrico dos músculos foi mensurado através da eletromiografia de superfície e para indicar o momento do início do movimento um eletrogoniômetro flexível bidimensional foi utilizado nas articulações do quadril e joelho unilateralmente. Os resultados mostraram que o grupo A realizou o movimento num tempo menor que o grupo B...

Grupo etário e periodicidade recomendados para a mamografia de rastreio : uma revisão sistemática; Recommended age groups and frequency of mammography screening : a systematic review

Pereira, Miguel Basto; Oliveira, Joana; Ribeiro, Daniela; Castro, Bárbara; Yaphe, John; Sousa, Jaime Correia de
Fonte: Universidade do Minho Publicador: Universidade do Minho
Tipo: Artigo de Revista Científica
Publicado em //2014 POR
Relevância na Pesquisa
55.78%
Esta revisão teve por objetivo avaliar a força de evidência do atual indicador de desempenho português relativo ao rastreio do Câncer da Mama através da mamografia, de modo a determinar o grupo etário e a periodicidade recomendadas. Foram pesquisados artigos nas principais bases de dados internacionais de literatura médica. Incluímos artigos publicados entre Janeiro de 2006 e Janeiro de 2012 que correspondiam aos objetivos da revisão. Foi utilizada a taxonomia SORT para a classificação dos resultados. Dos 253 artigos encontrados foram selecionados cinco que cumpriam os critérios de inclusão. Estes incluem três revisões sistemáticas (RS), uma meta-análise (MA) e uma norma de orientação clínica (NOC) baseada numa RS. Os artigos selecionados avaliaram a redução da mortalidade por câncer da mama através do rastreio com mamografia. A realização do rastreio mamográfico entre os 50 e os 69 anos é recomendado em todos os artigos que avaliam esta faixa etária. A NOC recomenda o rastreio bienal. Em suma, a mamografia deverá ser realizada entre os 50 e os 69 anos com uma periodicidade bienal. Estes resultados vão ao encontro do atual indicador de desempenho do rastreio do câncer da mama em Portugal.; The scope of this review was to assess the strength of evidence for the current Portuguese performance indicator on breast cancer screening with mammography in order to determine the recommended age group and periodicity for screening. A search for articles was conducted in the main international databases of medical literature. Articles published between January 2006 and January 2012 addressing the objectives of this review were included. The SORT taxonomy was used to classify the results. Of the 253 articles...

Visual field (Octopus 1-2-3) in normal subjects divided into homogeneous age-groups

Calixto,Nassim; Santos,Roberto Márcio de Oliveira; Cronemberger,Sebastião
Fonte: Conselho Brasileiro de Oftalmologia Publicador: Conselho Brasileiro de Oftalmologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2006 EN
Relevância na Pesquisa
65.96%
PURPOSE: To determine the values in decibels of retinal sensitivity within the central 26 degrees of the visual field of normal subjects divided into homogenous age groups using the Octopus 1-2-3; to compare the values of retinal sensitivity we have found with those considered normal in the statistical package obtained by a multicenter study performed in 1994 with Octopus 201. METHODS: 181 subjects divided into 6 homogeneous age groups (10 to 19 yr; 20 to 29 yr; 30 to 39 yr; 40 to 49 yr; 50 to 59 yr and 60 year-old or older) were evaluated. Data on visual sensitivity and age, average sensitivity of central and paracentral regions and eccentricity were calculated. RESULTS: The average visual sensitivity of all groups was 26.77 ± 1.74 dB. Correlation between visual sensitivity and age evaluated by linear regression was 28.4 - 0.040 x (age) for the whole sample and 28.7 - 0.050 x (age) for subjects aged 20 or more. Sensitivity reduction by eccentricity was -0.30 dB/degree for the whole sample and for subjects aged 20 or more. CONCLUSIONS: Correlation between retinal sensitivity values and age based on the autoperimeter Octopus 201 (average sensitivity of 31.2 - 0.064 x age) is different from that found in this study: average sensitivity of 28.4 - 0.040 x (age) for the whole sample; 28.7 - 0.050 x (age) for subjects aged 20 or more. Values obtained with the Octopus 1-2-3 autoperimeter cannot be compared with those by other Octopus models (101...

Memory Monitoring and Control in Young and Intermediate-Age Adults

Zortea,Maxciel; Jou,Graciela Inchausti de; Salles,Jerusa Fumagalli de
Fonte: Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto Publicador: Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
Relevância na Pesquisa
55.83%
The way adults perceive and regulate learning (metamemory) is an important indicator of how they perform on memory tasks. This study assessed memory monitoring, control and performance in young and intermediate-age adults according to item type (with or without semantic relation), type of judgment of learning (JOL - immediate or delayed), and age. Twenty-six young adults (M = 22 years old) and 18 intermediate-age adults (M = 47 years old) participated, who responded to an experimental paradigm to evaluate metamemory. Results showed that related word-pairs received higher magnitude for the JOLs and better cued-recall scores. JOLs’ accuracy was similar between the age groups, delayed JOLs being more accurate only for young adults. Intermediate-age adults apparently based their allocation of study time less on JOLs or cued-recall than young adults.

Laparoscopic renal surgery in infants and children: is it a feasible and safe procedure for all pediatric age groups?

Denes,Francisco T.; Tavares,Alessandro; Monteiro,Edison D. S.; Bessa Jr.,Jose de; Giron,Amilcar M.; Queiroz Filho,Frederico A.; Srougi,Miguel
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2008 EN
Relevância na Pesquisa
45.95%
PURPOSE: Although laparoscopy is considered the mainstay for most renal procedures in adults, its role in the pediatric population is still controversial, especially for smaller children. We reviewed our experience in pediatric renal laparoscopic surgery in three pediatric age groups in an attempt to identify if age has an impact on feasibility and surgical outcomes. MATERIALS AND METHODS: From November 1995 to May 2006, 144 pediatric laparoscopic renal procedures were performed at our institution. The charts of these patients were reviewed for demographic data, urologic pathology and surgical procedure, as well as perioperative complications and post-operative outcomes. The findings were stratified into 3 groups, according to patient age (A: < 1 year, B: 1 to 5 years and C: 6-18 years). RESULTS: Median age of the patients was 4.2 years (42 days - 18 years). We performed 54 nephrectomies, 33 nephroureterectomies, 19 upper pole nephrectomies, 11 radical nephrectomies, 22 pyeloplasties and 4 miscellaneous procedures. The 3 age groups were comparable in terms of the procedures performed. Conversion rates were 0%, 1.4% and 1.9% for groups A, B and C, respectively (p = 0.72). Incidence of perioperative complications was 5%, 8.2% and 7.8% for age groups A to C...

Negative impact of asthma on patients in different age groups

Alith,Marcela Batan; Gazzotti,Mariana Rodrigues; Montealegre,Federico; Fish,James; Nascimento,Oliver Augusto; Jardim,José Roberto
Fonte: Sociedade Brasileira de Pneumologia e Tisiologia Publicador: Sociedade Brasileira de Pneumologia e Tisiologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2015 EN
Relevância na Pesquisa
65.95%
Objective: To evaluate the impact of asthma on patients in Brazil, by age group (12-17 years, 18-40 years, and ≥ 41 years). Methods: From a survey conducted in Latin America in 2011, we obtained data on 400 patients diagnosed with asthma and residing in one of four Brazilian state capitals (São Paulo, Rio de Janeiro, Curitiba, and Salvador). The data had been collected using a standardized questionnaire in face-to-face interviews. For the patients who were minors, the parents/guardians had completed the questionnaire. The questions addressed asthma control, number of hospitalizations, number of emergency room visits, and school/work absenteeism, as well as the impact of asthma on the quality of life, sleep, and leisure. We stratified the data by the selected age groups. Results: The proportions of patients who responded in the affirmative to the following questions were significantly higher in the 12- to 17-year age group than in the other two groups: "Have you had at least one episode of severe asthma that prevented you from playing/exercising in the last 12 months?" (p = 0.012); "Have you been absent from school/work in the last 12 months?" (p < 0.001); "Have you discontinued your asthma relief or control medication in the last 12 months?" (p = 0.008). In addition...

Maximum Bite Force Analysis in Different Age Groups

Takaki,Patricia; Vieira,Marilena; Bommarito,Silvana
Fonte: Fundação Otorrinolaringologia Publicador: Fundação Otorrinolaringologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
65.91%
Introduction Maximum bite force (MBF) is the maximum force performed by the subject on the fragmentation of food, directly related with the mastication and determined by many factors. Objective Analyze the MBF of subjects according to age groups. Methods One hundred individuals from the city of São Paulo were equally divided according to age groups and gender. Each individual submitted to a myotherapy evaluation composed of anthropometric measurements of height and weight to obtain body mass index (BMI), using a tape and a digital scale (Magna, G-life, São Paulo), and a dental condition and maximum bite force evaluation, using a digital dynamometer model DDK/M (Kratos, São Paulo, Brazil), on Newton scale. The dental and bite force evaluations were monitored by a professional from the area. Analysis of variance was used with MBF as a dependent variable, age group and gender as random factors, and BMI as a control variable. Results Till the end of adolescence, it was possible to observe a decrease in MBF in both sexes, with the male force greater than the female force. In young adults, the female force became greater the males, then decreased in adulthood. There was no correlation between MBF and BMI. Conclusion There are MBF variations that characterizes the human development stages...

Static postural balance in healthy individuals: Comparisons between three age groups

Pereira,Yanne Salviano; Medeiros,Jéssica Mascena de; Barela,José Ângelo; Barela,Ana Maria Forti; Amorim,César Ferreira; Sousa,Catarina de Oliveira; Andrade,Palloma Rodrigues de; Ferreira,José Jamacy de Almeida; Santos,Heleodório Honorato dos
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2014 EN
Relevância na Pesquisa
65.88%
The aim of the study was to compare static postural balance of healthy individuals of three age groups in different conditions of support and vision. Seventy one individuals, divided into 3 groups, were analyzed: young group (YG: 22.2 ± 2.1 years), middle aged group (MAG: 50.7 ± 5.7 years) and older individuals group (EG: 66.8 ± 5.4 years). Their balance was tested on a force platform, under 3 support and 3 visual conditions. Measures included: total (TD), anterior-posterior (APD) and mediolateral displacement (MLD) of the center of pressure (CoP). ANOVA revealed significant differences for interactions between group X support conditions and group X visual conditions for the 3 variables (p<0.01), with greater displacements for the MAG and EG groups during single-leg stance with partial and occluded vision (p<0.05). Static postural balance decreased over time in healthy individuals, and conditions of support and visual negatively affected balance with the increment of age.

Maintenance of Serum Immunoglobulin G Antibodies to Epstein-Barr Virus (EBV) Nuclear Antigen 2 in Healthy Individuals from Different Age Groups in a Japanese Population with a High Childhood Incidence of Asymptomatic Primary EBV Infection

Harada, Shizuko; Kamata, Yoshio; Ishii, Yasuyuki; Eda, Hiroyuki; Kitamura, Ryo; Obayashi, Maya; Ito, Sayuri; Ban, Fumihiko; Kuranari, Jun; Nakajima, Haruhiko; Kuze, Tomoko; Hayashi, Masao; Okabe, Nobuhiko; Senpuku, Hidenobu; Miyasaka, Nobuyuki; Nakamura,
Fonte: American Society for Microbiology Publicador: American Society for Microbiology
Tipo: Artigo de Revista Científica
Publicado em /01/2004 EN
Relevância na Pesquisa
45.97%
Immunoglobulin G (IgG) antibodies to Epstein-Barr virus (EBV) nuclear antigens 2 and 1 (EBNA-2 and EBNA-1, respectively) were studied using sera from healthy individuals of a population with a high incidence of asymptomatic primary EBV infections during infancy or childhood in Japan. Two CHO-K1 cell lines expressing EBNA-2 and EBNA-1 were used for anticomplement and indirect immunofluorescence assays. The positivity rate for EBNA-2 IgG rose in the 1- to 2-year age group, increased and remained at a plateau (∼45%) between 3 and 29 years of age (3- to 4-, 5- to 9-, 10- to 14-, and 15- to 29-year age groups), and then reached 98% by age 40 (≥40-year age group). Both seropositivity for EBNA-1 and seropositivity for EBNAs in Raji cells (EBNA/Raji) were detected in the 1- to 2-year age group, remained high, and finally reached 100% by age 40. The geometric mean titer (GMT) of EBNA-2 IgG reached a plateau in the 5- to 9- and 10- to 14-year-old groups and remained elevated in the older age groups (15 to 29 and ≥40 years). The GMT of EBNA-1 IgGs increased to a plateau in the 1- to 2-year-old group and remained unchanged in the older age groups. The GMT of EBNA/Raji IgGs also reached a plateau in the 1- to 2-year-old group, remained level throughout the 3- to 14-year age groups...

Has regional variation in mortality rates declined since 1931, and in all age groups, in Britain? A re-analysis using formal statistical modelling.

Ecob, R; Robertson, C; Watt, G
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /10/1997 EN
Relevância na Pesquisa
45.95%
STUDY OBJECTIVE: To examine changes in regional variance in all cause mortality rates in Great Britain from 1931-91 using formal statistical modelling procedures, and to follow up the suggestion by Illsley and Le Grand that there has been a reduction over time in the regional variance in younger but not older age groups. DESIGN, SETTING, AND PARTICIPANTS: Data were the age and sex specific death rates around each census from 1931-91 for the British regions, reconstructed to make them comparable with the 1981 regional definitions. Regional variance was modelled using bootstrap simulation tests and by age-period and age-cohort models. MEASUREMENTS AND MAIN RESULTS: While there was some evidence of a decline and levelling off of the regional variance over time in older age groups (over 35), the decline in younger age groups was more marked. This broadly confirms previous findings. Parametrising the period effect into linear and quadratic components, with allowance for an increase in regional variance in the war years, gave broadly comparable fit to the data as a model with period as a factor. Models for the changes in regional variance which were based on period effects seemed to provide a better description of the observed variances than those based on birth cohort effects. In the younger (but not older) groups there was evidence of a rise in the regional variance between 1981 and 1991. CONCLUSIONS: The decline in regional variance is larger in younger than in older age groups when allowance is made for the increase in regional variance over the war years. Statistical modelling can provide insights into the data which are not always detected by descriptive analyses. Moreover...

USA swimming age classification: are current competitive age-groups appropriate?

Kojima, Kosuke
Fonte: Universidade de Indiana Publicador: Universidade de Indiana
Tipo: Tese de Doutorado
EN_US
Relevância na Pesquisa
45.99%
Matching youth sports participants in order to make competition fair and safe is an important goal of sports federations. USA Swimming has established 4 unisex age-groups based on chronological age (CA): 10 years & under, 11-12 years, 13-14 years, and 15 years & over. Due to considerable differences in growth and maturational status among adolescents within any given CA (Baxter-Jones, 1995; Malina & Beunen, 1996), combining swimmers of different ages into groups may not ensure fair competition. Because younger aged or late-maturing swimmers within an age-group are physically behind their same age-group older or precocious peers, the current age-grouping system may discourage them to continue competitive swimming. In addition, there is no historical rationale for the current USA Swimming age classification. The purposes of the study were to evaluate the current age classification enforced by USA Swimming and to provide an analytical rationale in support of the current or alternative age-groupings. Swim times of the top 100 U.S. women and men swimmers for each age (5 to 20 years) and a group of 21 years and over (a total of 17 separate age-groups for each sex) were acquired through the website of USA Swimming for 2005, 2006, and 2007. Data for each age were pooled over the past three years (2005-2007) and averaged for seven swim events (50-...

Un estudio comparado de la dispersión migratoria en España a nivel regional, provincial, por tipos de municipios y grupos de edad (1986-2003); A comparative analysis of migratory dispersion in Spain by regions, provinces, types of municipalities and age groups (1986-2003)

Hierro Franco, María
Fonte: Centro de Estudios sobre Despoblación y Desarrollo de Áreas Rurales (CEDDAR) Publicador: Centro de Estudios sobre Despoblación y Desarrollo de Áreas Rurales (CEDDAR)
Tipo: info:eu-repo/semantics/article; publishedVersion
SPA
Relevância na Pesquisa
65.82%
RESUMEN. El artículo analiza de manera comparada el grado de dispersión migratoria durante 1986-2003 a nivel regional, provincial y por tipos de municipios, a partir de un índice de dispersión migratoria basado en índices de Shryock, de cuya aplicación se desprende la presencia de una elevada dispersión a todos los niveles anteriores y, por tanto, un esquema de reparto de los flujos migratorios interiores que no ha originado para el conjunto de estas unidades territoriales ganancias o pérdidas importantes de efectivos. Este trabajo se completa con la propuesta de un índice que permite determinar la influencia de la edad en la dispersión migratoria, el IDAE, cuya aplicación a flujos migratorios provinciales indica que no existen, en este periodo, diferencias significativas en la dispersión migratoria por grupos de edad.; ABSTRACT. The paper offers a comparative analysis of the degree of migratory dispersion during 1986-2003 by regions, provinces and by types of municipalities, from a migratory flows which has not produced important gains or losses of population to the whole of territorial units. this work finishes with the proposal of an index which allows us to determine the influence of age in the migratory dispersion...

Analysis of handgrip strength from elderly women: a comparative study among age groups.; Análise da força de preensão de mulheres idosas: estudo comparativo entre faixas etárias.

Pereira, Rafael; Laboratório de Fisiologia e Biocinética, Universidade de Iguaçu, Itaperuna, RJ, Brasil.; Cardoso, Brunna S; Itaborahy, Alex S; Machado, Marco
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 12/12/2011 POR
Relevância na Pesquisa
46.01%
The senior population has increasing recently and demanding greater attention due to of falling related to the reduction of muscle strength. The early falling risk identification has been prized by many countries and allows the implementation of preventive actions, such as the participation of physical activities, which have been considered a promising way to prevent the loss of muscle mass and strength. By this way, the present application intended to identify the handgrip profile, known as an important predictor of physical function, of Brazilian women of different ages. Eight-four women were divided into four age groups (20-27, 50-64, 65-74, and 75-86 years old) being made the comparison among the peak of handgrip strength. It was observed smaller values of handgrip strength (p >0.05) for age groups 50-64,65-74 and 75-86 years old when compared to age group 20-27 years old. It has been identified a negative correlation among age and the peak of handgrip strength (Spearman's Rho = -0,78, p > 0.05) which was associated to much smaller values of peak of handgrip strength between age group 75-86 years old compared to age groups 50-64, and 65-74 years old (p > 0.05). The results demonstrate a functional decline beginning at the fifth decade...

Unconstrained, phonemic and semantic verbal fluency: age and education effects, norms and discrepancies

Zimmermann,Nicolle; Parente,Maria Alice de Mattos Pimenta; Joanette,Yves; Fonseca,Rochele Paz
Fonte: Curso de Pós-Graduação em Psicologia da Universidade Federal do Rio Grande do Sul Publicador: Curso de Pós-Graduação em Psicologia da Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2014 EN
Relevância na Pesquisa
55.9%
OBJECTIVE: To present performance norms and discrepancy score of three one-minute verbal fluency tasks (VFTs); to investigate age and education effects; to analyze the differences between time intervals; and to investigate whether these differences varied according to age and education. METHOD: Three hundred adults divided into three age groups (19-39; 40-59; 60-75) and two groups of educational level (2 to 7 years; 8 years or more) performed unconstrained, semantic, and phonemic VFTs. We compared the performance of the groups using two-way ANOVA with post-hoc Bonferroni test. The depression scale score was covariate. The time interval of verbal fluency was the variable used for subjects' comparison (repeated measures ANOVA). RESULTS AND CONCLUSIONS: Our results suggest that there are age and education effects on phonemic and unconstrained VFTs. We also found an interaction between those variables in the semantic VFT (time intervals and total time) and in the differences between semantic and phonemic tasks. The repeated measures analysis revealed age effects on semantic VFTs and education effects on the phonemic and semantic VFTs. Such findings are relevant for clinical neuropsychology, contributing to avoid false-positive or false-negative interpretation.

Lipid and lipoprotein responses of dyslipidemic patients to exclusive nutritional counseling by gender and age

Kinchoku,Harumi; Castanho,Vera Sylvia; Danelon,Mirian Regina Gardin; Faria,Eliana Cotta de
Fonte: Pontifícia Universidade Católica de Campinas Publicador: Pontifícia Universidade Católica de Campinas
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2013 EN
Relevância na Pesquisa
55.86%
OBJECTIVE: The aim of the present study was to evaluate the plasma lipid responses of dyslipidemic patients to nutritional counseling according to gender and age. METHODS: One-hundred and twenty nine dyslipidemic subjects comprised the study, 56 men and 73 women, aged 20 to 73 years, treated at the Dyslipidemia Outpatient Clinic of the Universidade Estadual de Campinas Clinic Hospital. The inclusion criteria established that no lipid-lowering medication had been used in the 30 days prior to and during the nutritional counseling. Blood samples were collected in the morning after a 12 hour fast. The participants were divided into groups according to gender and age (age <60 and > 60 years). The hypercholesterolemic patients were instructed to restrict saturated fats (<7%) and cholesterol (<200mg/day). Those presenting with high triglyceride levels (>300mg/dL) were asked to consume a low fat diet. Those with mixed hyperlipidemia were instructed to do both. Statistical analyses included the Wilcoxon, Mann-Whitney, Chi-square and Fisher's exact tests and Analysis of Covariance. RESULTS: After nutritional counseling, total cholesterol and triglycerides decreased by 16% and 36% in males, and by 12% and 26% in females, respectively, and Low Density Lipoprotein-cholesterol decreased by 12% in females. Only triglycerides decrease significantly. In the mixed hyperlipidemia group...

Age impact in clinicopathologic presentation and the clinical evolution of prostate cancer in patients submitted to radical prostatectomy

Antunes,Alberto A.; Crippa,Alexandre; Dall'Oglio,Marcos F.; Nesrallah,Luciano J.; Leite,Katia R.; Srougi,Miguel
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2006 EN
Relevância na Pesquisa
55.91%
OBJECTIVE: To assess the influence of age in pathological findings and clinical evolution of prostate cancer in patients treated with radical prostatectomy. MATERIALS AND METHODS: Five hundred and fifty-six patients operated on between 1991 and 2000 were selected. Patients were divided into age groups of between 10 and 49 years, 50 to 59 years, 60 to 69 years and 70 to 83 years. RESULTS: Patients having less than 60 years of age presented clinical stage (p = 0.001), PSA (p = 0.013) and biopsy Gleason score (p = 0.013) more favorable than older patients. Age groups did not show any relationship between either postoperative Gleason score or pathological stage or risk of non-confined organ disease and involvement of seminal vesicles. After a mean follow-up of 58.3 months, 149 (27%) patients presented recurrence. Patients aged between 40 and 59 years presented a disease-free survival rate significantly higher when compared to patients aged between 60 and 83 years (p = 0.022). However, when controlled with clinical stage, PSA, Gleason score and percentage of positive fragments, there was no relationship between age and biochemical recurrence risk (p = 0.426). CONCLUSIONS: Even though younger patients presented more favorable preoperative characteristics...

Prostate biopsy: is age important for determining the pathological features in prostate cancer?

Antunes,Alberto A.; Leite,Katia R.; Dall'oglio,Marcos F.; Crippa,Alexandre; Nesrallah,Luciano J.; Srougi,Miguel
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2005 EN
Relevância na Pesquisa
55.93%
INTRODUCTION: The influence of age on the aggressiveness of prostate cancer (PCa) is controversial. This study aims to assess the influence of age in determining the pathological features of biopsies from patients diagnosed with PCa. PATIENTS AND METHODS: We selected 1422 patients with clinical suspicion of PCa; among them, 547 (38.5%) had received a diagnosis of adenocarcinoma. Patients were categorized into the following age groups: up to 50 years old, 51 to 60 years, 61 to 70 years, 71 to 80 years, and over 80 years. The evaluated variables were histological grade, presence of perineural invasion and estimate of tumor volume through measurement of the maximum percentage of tissue with cancer in one fragment and total percentage of tissue with cancer in the sample. RESULTS: The mean age of patients was 66.4 years, with age range from 32 to 94 years. The estimate of tumor volume by maximum percentage of tissue with cancer in one fragment (p = 0.064), total percentage of tissue with cancer in the sample (p = 0.443), and Gleason score (p = 0.485) were not statistically different in relation to the age groups under study. The presence of perineural invasion occurred more frequently among the 50 years and 81 years age groups when compared with patients aged from 51 to 60 and from 61 to 80 years (p = 0.005). CONCLUSIONS: Age did not represent a determining factor for pathological findings concerning Gleason score and estimate of tumor volume by the variables in use.

Age group differences in psychological distress: the role of psychosocial risk factors that vary with age.

Jorm, Anthony F; Windsor, Timothy; Dear, Keith; Anstey, Kaarin; Christensen, Helen; Rodgers, Bryan
Fonte: Cambridge University Press Publicador: Cambridge University Press
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
45.96%
Background. There is continuing controversy about how age affects depression and anxiety, with a lack of consistent results across studies. Two reasons for this inconsistency are age bias in measures and different patterns of exposure to risk factors across age groups in various studies. Method. Data on anxiety and depression symptoms were collected in a community survey of 7485 persons aged 20-24, 40-44 or 60-64 years. These measures were investigated for factorial invariance across age groups. Data were also collected on a wide range of potential risk factors, including social, physical health and personal factors, with the aim of determining whether these factors might partly or wholly account for age group differences. Results. The invariance of correlated latent factors representing anxiety and depression was examined across age groups, and a generalized measure of psychological distress was computed. Depression, anxiety and psychological distress showed a decline across age groups for females and a decline from 40-44 to 60-64 years for males. Some of these age differences were accounted for by other risk factors, with the most important being recent crises at work and negative social relationships with family and friends. Conclusion. Psychological distress generally declined across the age range 20-64 years and this was not attributable to measurement bias. Differential exposure to risk factors explained some...

Associations of gender and age groups on the knowledge and use of drug information resources by American pharmacists

Carvajal,Manuel J.; Clauson,Kevin A.; Gershman,Jennifer; Polen,Hyla H.
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2013 ENG
Relevância na Pesquisa
55.83%
Objectives: To explore knowledge and use of drug information resources by pharmacists and identify patterns influenced by gender and age-group classification. Methods: A survey questionnaire was mailed nationwide to 1,000 practitioners working in community (n = 500) and hospital (n = 500) settings who answer drug information questions as part of their expected job responsibilities. Responses pertaining to drug information resource use and knowledge of different types of drug-related queries, resource media preferences, and perceived adequacy of resources maintained in the pharmacy were analyzed by gender and age group. The t statistic was used to test for significant differences of means and percentages between genders and between age groups. Descriptive statistics were used to characterize other findings. Results: Gender and age group classification influenced patterns of knowledge and use of drug information resources by pharmacists. They also affected pharmacists´ perceptions of the most common types of questions prompting them to consult a drug information reference, as well as the resources consulted. Micromedex, exclusively available in electronic format, was the most commonly consulted resource overall by pharmacists. Lexi-Comp Online was the leading choice by women...