cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.11804538.v1
title: The need for palliative care among patients with chronic diseases: a situational diagnosis in a university hospital

description: Abstract Objective: To perform a situational diagnosis of a population hospitalized with chronic non-communicable diseases (NCD) who are potentially entitled to palliative care in a university hospital. Method: A quantitative study with document analysis was carried out. The analyzes were categorized by the following variables: baseline diagnosis, age, sex, readmission and PPS (Palliative Performance Scale) score. Results: Over two months of research among 631 hospitalized patients, 198 patients who were potentially entitled to palliative care were identified; 113 (57.1%) of whom were older adults. Cancer was the disease with the highest incidence among the surveyed, with 95 cases, and was more recurrent in the older patient group, with 52 cases (62.1%). Similarly, multiple hospitalizations were more prevalent in the older population, and patients diagnosed with strokes had the longest hospitalizations. Conclusion: The situational diagnosis carried out was relevant as it identified a group of patients, the majority of whom were older, who may be neglected in terms of their right to palliative care and an improved quality of death.
DOI: 10.6084/m9.figshare.11266607
title: A systematic review of economic evaluations of the use of memantine alone or combined with donepezil for moderate to severe Alzheimer’s disease

description: Abstract Objective: To synthesize the available evidence and state of the art of economic evaluations which evaluate the use of memantine, whether alone or combined with donepezil, for moderate to severe Alzheimer’s disease (AD), focusing on the analytical decision models built. Method: The electronic databases MEDLINE, EMBASE, NHS EED, CEA Registry and LILACS were searched for references. After duplicates were removed, two independent reviewers evaluated the titles and abstracts and subsequently the full texts. The Drummond M. tool was used to evaluate the quality of the studies. Results: After the application of the eligibility criteria, twelve complete economic evaluations were included. One evaluation was a clinical trial, two involved simulations and nine used Markov models. The main outcome measure adopted was dominated by cost per quality adjusted life year (QALY). The use of memantine was considered cost-effective and dominant in eight studies; while in a single study, its use was dominated when compared to donepezil for moderate AD. Sensitivity analyzes were systematically performed, with robust results. The quality assessment indicated that the methodological quality of the studies was good. Conclusion: Although there is some controversy regarding the benefits derived from the use of memantine, whether combined or not with donepezil, the evidence collected suggests that it is cost-effective in the countries where the studies were performed. However, local economic studies need to be performed, given the significant variability derived from the different parameters adopted in the evaluations.
DOI: 10.6084/m9.figshare.11266607.v1
title: A systematic review of economic evaluations of the use of memantine alone or combined with donepezil for moderate to severe Alzheimer’s disease

description: Abstract Objective: To synthesize the available evidence and state of the art of economic evaluations which evaluate the use of memantine, whether alone or combined with donepezil, for moderate to severe Alzheimer’s disease (AD), focusing on the analytical decision models built. Method: The electronic databases MEDLINE, EMBASE, NHS EED, CEA Registry and LILACS were searched for references. After duplicates were removed, two independent reviewers evaluated the titles and abstracts and subsequently the full texts. The Drummond M. tool was used to evaluate the quality of the studies. Results: After the application of the eligibility criteria, twelve complete economic evaluations were included. One evaluation was a clinical trial, two involved simulations and nine used Markov models. The main outcome measure adopted was dominated by cost per quality adjusted life year (QALY). The use of memantine was considered cost-effective and dominant in eight studies; while in a single study, its use was dominated when compared to donepezil for moderate AD. Sensitivity analyzes were systematically performed, with robust results. The quality assessment indicated that the methodological quality of the studies was good. Conclusion: Although there is some controversy regarding the benefits derived from the use of memantine, whether combined or not with donepezil, the evidence collected suggests that it is cost-effective in the countries where the studies were performed. However, local economic studies need to be performed, given the significant variability derived from the different parameters adopted in the evaluations.
DOI: 10.6084/m9.figshare.11804532
title: The Palliative Care Screening Tool as an instrument for recommending palliative care for older adults

description: Abstract The objective of the present study was to evaluate the use of the Palliative Care Screening Tool (PCST) for the recommendation of palliative care among older patients admitted to an Intensive Care Unit, as well as to evaluate the prevalence of basic diseases, religion and agreement between the results of the PCST and the Palliative Performance Scale (PPS). A cross-sectional, descriptive, analytical, retrospective, documental study with a quantitative approach was performed. Analysis of 594 medical records revealed that cardiovascular diseases accounted for 26.8% of hospitalizations among older adults, followed by neoplasia 20.2% and renal failure 16.8%, and that aspects related to the religiosity and spirituality of the older adults were not considered. There was agreement of 1.0 between the PCST and PPS scales, as measured by the Kappa test, a score considered to be perfect. The PCST can therefore be considered an excellent tool for the evaluation of palliative care among older adults. It can be concluded that, in view of the significant level of agreement between the scales, new studies using the PCST with larger samples should be performed, with the aim of extending the use of the tool, and to assess if there is a need for adjustments aimed at adapting it more closely to the Brazilian population.
DOI: 10.6084/m9.figshare.11804532.v1
title: The Palliative Care Screening Tool as an instrument for recommending palliative care for older adults

description: Abstract The objective of the present study was to evaluate the use of the Palliative Care Screening Tool (PCST) for the recommendation of palliative care among older patients admitted to an Intensive Care Unit, as well as to evaluate the prevalence of basic diseases, religion and agreement between the results of the PCST and the Palliative Performance Scale (PPS). A cross-sectional, descriptive, analytical, retrospective, documental study with a quantitative approach was performed. Analysis of 594 medical records revealed that cardiovascular diseases accounted for 26.8% of hospitalizations among older adults, followed by neoplasia 20.2% and renal failure 16.8%, and that aspects related to the religiosity and spirituality of the older adults were not considered. There was agreement of 1.0 between the PCST and PPS scales, as measured by the Kappa test, a score considered to be perfect. The PCST can therefore be considered an excellent tool for the evaluation of palliative care among older adults. It can be concluded that, in view of the significant level of agreement between the scales, new studies using the PCST with larger samples should be performed, with the aim of extending the use of the tool, and to assess if there is a need for adjustments aimed at adapting it more closely to the Brazilian population.
DOI: 10.6084/m9.figshare.11804535
title: Profile of aggressors of older adults receiving care at a geriatrics and gerontology reference center in the Distrito Federal (Federal District), Brazil

description: Abstract Objective: To profile aggressors of older adults who receive care at a reference center in geriatrics and gerontology in the Distrito Federal (Federal District), Brazil, from 2008 to 2018. Method: A retrospective, documentary, descriptive study with a quantitative approach was performed, based on information obtained from the minutes book of the unit, which contained a record of mediation meetings of cases of conflict and violence against older adults, carried out by social workers, nurses and other members of the multidisciplinary team. The data collection instrument covered the sociodemographic characteristics of the aggressor, the sociodemographic and health profile of the older adults and the type of violence suffered. Result: 111 cases were analyzed. The children of the older adults were the main aggressors (72%), with a prevalence of men (62%) and the from 51 to 60 year age group (37%). The older adults who suffered violence were predominantly women (72%), almost half of whom were aged 81 to 90 years, followed by those aged 71 to 80 years (39%). A total of 16% of the older adults lived with their children or close family members. The main types of violence evidenced were negligence (56%) and psychological violence (29%), with physical violence representing 8% of cases. Conclusion: The study of the profile of the aggressor and the older adult who suffered violence reinforced the need to focus actions within family arrangements. Investigations that address those who practice violence can contribute to the promotion of public health policies and contribute to geriatric and gerontological clinical practices that combat violence against older adults.
DOI: 10.6084/m9.figshare.11804535.v1
title: Profile of aggressors of older adults receiving care at a geriatrics and gerontology reference center in the Distrito Federal (Federal District), Brazil

description: Abstract Objective: To profile aggressors of older adults who receive care at a reference center in geriatrics and gerontology in the Distrito Federal (Federal District), Brazil, from 2008 to 2018. Method: A retrospective, documentary, descriptive study with a quantitative approach was performed, based on information obtained from the minutes book of the unit, which contained a record of mediation meetings of cases of conflict and violence against older adults, carried out by social workers, nurses and other members of the multidisciplinary team. The data collection instrument covered the sociodemographic characteristics of the aggressor, the sociodemographic and health profile of the older adults and the type of violence suffered. Result: 111 cases were analyzed. The children of the older adults were the main aggressors (72%), with a prevalence of men (62%) and the from 51 to 60 year age group (37%). The older adults who suffered violence were predominantly women (72%), almost half of whom were aged 81 to 90 years, followed by those aged 71 to 80 years (39%). A total of 16% of the older adults lived with their children or close family members. The main types of violence evidenced were negligence (56%) and psychological violence (29%), with physical violence representing 8% of cases. Conclusion: The study of the profile of the aggressor and the older adult who suffered violence reinforced the need to focus actions within family arrangements. Investigations that address those who practice violence can contribute to the promotion of public health policies and contribute to geriatric and gerontological clinical practices that combat violence against older adults.
DOI: 10.6084/m9.figshare.14289857
title: The application of transpersonal and spiritual care for older adults receiving palliative care

description: Abstract Objective : To identify the perception of nurses regarding spiritual care for older patients undergoing palliative care. Methods : A descriptive study with a qualitative approach was carried out with 27 care nurses at the Hospital Universitário de Brasília, Brazil, in 2018. The interviews were conducted through a semi-structured script and submitted to content analysis. The discourse structuring for the collective subject technique was applied. Results : Five discourses of the collective subject were constructed and grouped into two categories entitled Spiritual Care Provided By Nurses, and Favorable and Unfavorable Factors For the Provision of Spiritual Care For Older Patients. From the central nuclei contained in the reports, the respondents considered spiritual care and family participation in palliative care important. However, they mainly attributed the role of intervening in spirituality to religious volunteers and the family. Conclusion : The study shows that despite the difficulties in providing spiritual care, family support, moments of listening and the carrying out of activities that motivate inner peace are significant for an improved response to the spirituality of older patients.
DOI: 10.6084/m9.figshare.12027588
title: Postural responses of galvanic vestibular stimulation: comparison between groups of older adults and young people

description: Abstract Objective: To evaluate the effect of vestibular manipulation on the postural sway and muscle activation of younger and older adults. Methods: The study analyzed the effects of three intensity levels of galvanic vestibular stimulation (GVS) (0.3; 0.6 and 1m) on the pattern of muscle activity and center of pressure (CP) displacements of 12 older adults (EG) and 12 young adults (CG) while maintaining their balance on a stable surface, with no vision. Results: The EG showed a positive correlation between CP displacement and muscle activity and GVS intensity. On the other hand, the magnitude of postural response in the EG was not modulated in accordance with GVS intensities. Additionally, during the highest GVS intensity level (1 mA) greater muscle activity was used to increase stiffness, decrease the amplitude of oscillation and ensure stability. This unusual response characterizes a pattern of co-activation and is perhaps a safety mechanism to ensure stability. Conclusion: The EG individuals were not able to select the appropriate motor strategy to efficiently compensate the effects of GVS. This unusual strategy reflects deficits in the vestibular system of older adults, a fact which negatively interferes with their ability to reevaluate sensory information.
DOI: 10.6084/m9.figshare.14289857.v1
title: The application of transpersonal and spiritual care for older adults receiving palliative care

description: Abstract Objective : To identify the perception of nurses regarding spiritual care for older patients undergoing palliative care. Methods : A descriptive study with a qualitative approach was carried out with 27 care nurses at the Hospital Universitário de Brasília, Brazil, in 2018. The interviews were conducted through a semi-structured script and submitted to content analysis. The discourse structuring for the collective subject technique was applied. Results : Five discourses of the collective subject were constructed and grouped into two categories entitled Spiritual Care Provided By Nurses, and Favorable and Unfavorable Factors For the Provision of Spiritual Care For Older Patients. From the central nuclei contained in the reports, the respondents considered spiritual care and family participation in palliative care important. However, they mainly attributed the role of intervening in spirituality to religious volunteers and the family. Conclusion : The study shows that despite the difficulties in providing spiritual care, family support, moments of listening and the carrying out of activities that motivate inner peace are significant for an improved response to the spirituality of older patients.
DOI: 10.6084/m9.figshare.12027588.v1
title: Postural responses of galvanic vestibular stimulation: comparison between groups of older adults and young people

description: Abstract Objective: To evaluate the effect of vestibular manipulation on the postural sway and muscle activation of younger and older adults. Methods: The study analyzed the effects of three intensity levels of galvanic vestibular stimulation (GVS) (0.3; 0.6 and 1m) on the pattern of muscle activity and center of pressure (CP) displacements of 12 older adults (EG) and 12 young adults (CG) while maintaining their balance on a stable surface, with no vision. Results: The EG showed a positive correlation between CP displacement and muscle activity and GVS intensity. On the other hand, the magnitude of postural response in the EG was not modulated in accordance with GVS intensities. Additionally, during the highest GVS intensity level (1 mA) greater muscle activity was used to increase stiffness, decrease the amplitude of oscillation and ensure stability. This unusual response characterizes a pattern of co-activation and is perhaps a safety mechanism to ensure stability. Conclusion: The EG individuals were not able to select the appropriate motor strategy to efficiently compensate the effects of GVS. This unusual strategy reflects deficits in the vestibular system of older adults, a fact which negatively interferes with their ability to reevaluate sensory information.
DOI: 10.6084/m9.figshare.14289856
title: Multimorbidity due to chronic noncommunicable diseases in older adults: a population-based study

description: Abstract Objective: To estimate the prevalence of multimorbidity arising from chronic noncommunicable diseases among older residents of the northeast of Brazil and to analyze its association with sociodemographic, behavioral and anthropometric factors. Method: A cross-sectional study was carried out with 3,141 older participants of the National Health Survey (2013). The dependent variable was multimorbidity, and the independent variables were sociodemographic, behavioral and anthropometric indicators. Descriptive, bivariate analyzes and logistic regression models were applied. Results: The prevalence of multimorbidity was 23.7%, with the state of Alagoas having the highest prevalence (27.2%). The occurrence of multimorbidity was associated with the female sex (OR=1.33; p=0.002), age over 80 years (OR=1.35; p=0.019) and being overweight (OR =1.37 p= 0.001). The protective factors were brown skin color (OR=0.79; p=0.013) and low weight (OR =0.71; p=0.017). Conclusion: The prevalence of multimorbidity in community-dwelling older adults in the northeast of Brazil was almost one quarter of the study population, with the state of Alagoas having the highest prevalence. Sex, age, skin color and being overweight were associated with the outcome. Knowledge of these factors can guide health care in the prevention, control and reduction of complications of these diseases, and support the strengthening of health education strategies and policies.
DOI: 10.6084/m9.figshare.14289856.v1
title: Multimorbidity due to chronic noncommunicable diseases in older adults: a population-based study

description: Abstract Objective: To estimate the prevalence of multimorbidity arising from chronic noncommunicable diseases among older residents of the northeast of Brazil and to analyze its association with sociodemographic, behavioral and anthropometric factors. Method: A cross-sectional study was carried out with 3,141 older participants of the National Health Survey (2013). The dependent variable was multimorbidity, and the independent variables were sociodemographic, behavioral and anthropometric indicators. Descriptive, bivariate analyzes and logistic regression models were applied. Results: The prevalence of multimorbidity was 23.7%, with the state of Alagoas having the highest prevalence (27.2%). The occurrence of multimorbidity was associated with the female sex (OR=1.33; p=0.002), age over 80 years (OR=1.35; p=0.019) and being overweight (OR =1.37 p= 0.001). The protective factors were brown skin color (OR=0.79; p=0.013) and low weight (OR =0.71; p=0.017). Conclusion: The prevalence of multimorbidity in community-dwelling older adults in the northeast of Brazil was almost one quarter of the study population, with the state of Alagoas having the highest prevalence. Sex, age, skin color and being overweight were associated with the outcome. Knowledge of these factors can guide health care in the prevention, control and reduction of complications of these diseases, and support the strengthening of health education strategies and policies.
DOI: 10.6084/m9.figshare.14289860
title: The effect of inspiratory muscle training on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults: a randomized controlled trial

description: Abstract Objective: To evaluate the impact of inspiratory muscle training (IMT) on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults. Method: A randomized clinical trial was conducted with 30 institutionalized older adults. They were allocated into two groups: the IMT group (n=15), which underwent IMT with PowerBreathe Classic, using a load of 60% of maximal inspiratory pressure (MIP). This was performed using a 30 repetition protocol, three times a week, for six weeks. The second group was the control group (n=15) which did not perform any type of therapeutic intervention. In both groups, MIP, lower limb strength by sit-up test, quality of life by the SF-36 questionnaire and C-reactive protein (CRP) were evaluated. Results: The results demonstrated the homogeneity between the groups regarding the demographic and clinical variables. The IMT group showed an increase in the variation of MIP (9.20±7.36 cmH2O) compared to the control (0.93±8.79 cmH2O). Improvement was also observed in the sitting and standing test (p&lt;0.05) (Tukey Test) in the difference between the values before and after the IMT. In terms of quality of life, two of the eight SF-36 domains were influenced by the IMT, namely: functional capacity and limitations due to physical factors. There were no changes in CRP in either group. Conclusion: IMT improved the inspiratory muscle strength, lower limb strength and quality of life of institutionalized older adults. These findings reinforce the contribution of this therapy to reducing the deleterious effects of aging.