cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.20016765.v1
title: Changes in quality of life: the experience of elderly persons at a university of the third age

description: Abstract Objectives: The aim of the present qualitative and quantitative study was to investigate whether the participation of elderly persons in the University of the Third Age (U3A) of the Federal University of São Paulo, Baixada Santista (Unifesp/BS) led to a perceived improvement in quality of life; the meaning of the term quality of life for the participants; and whether education and social interaction are considered relevant in any such perceived improvement. Method: Data were collected through the SF-36 questionnaire and semi-structured interviews at the beginning and end of the academic year. Results: The quantitative data did not differ significantly between the beginning and end of the research period, except for the variable Vitality (V). The qualitative results, however, signaled a perception of change in terms of education, social interaction and quality of life. Conclusion: The data indicated that participation in the University of the Third Age at the Federal University of São Paulo, Baixada Santista (Unifesp/BS) was associated with a perception of positive changes in the quality of life of the elderly persons, who considered social interaction and education to be an important part of these improvements.
DOI: 10.6084/m9.figshare.20016765
title: Changes in quality of life: the experience of elderly persons at a university of the third age

description: Abstract Objectives: The aim of the present qualitative and quantitative study was to investigate whether the participation of elderly persons in the University of the Third Age (U3A) of the Federal University of São Paulo, Baixada Santista (Unifesp/BS) led to a perceived improvement in quality of life; the meaning of the term quality of life for the participants; and whether education and social interaction are considered relevant in any such perceived improvement. Method: Data were collected through the SF-36 questionnaire and semi-structured interviews at the beginning and end of the academic year. Results: The quantitative data did not differ significantly between the beginning and end of the research period, except for the variable Vitality (V). The qualitative results, however, signaled a perception of change in terms of education, social interaction and quality of life. Conclusion: The data indicated that participation in the University of the Third Age at the Federal University of São Paulo, Baixada Santista (Unifesp/BS) was associated with a perception of positive changes in the quality of life of the elderly persons, who considered social interaction and education to be an important part of these improvements.
DOI: 10.6084/m9.figshare.8259527
title: The iatrogenic triad in a group of elderly women contracted to a health plan

description: Abstract Objective: to study the main elements of the iatrogenic triad in a group of elderly women with a Chronic Non-Communicable Disease (CNCD) contracted to a health plan. Method: A cross-sectional and descriptive epidemiological study was carried out by analyzing 3,501 medical prescriptions of 725 elderly women aged ≥65 years. The medications were determined to be Potentially Inappropriate Medications (PIM) based on four instruments (AGS Beers 2015, PRISCUS List, EU(7)-PIM, Brazilian Consensus of PIM - CBPIM). In addition, the most prescribed drugs were assessed for possible Drug Interactions (DI) and classified according to degree of severity. Results: the present study revealed that 89.3% of the studied group used at least one element of the iatrogenic triad, and 44.9% of the sample were associated with the use of polypharmacy and PIM. A total of 48.0% were taking at least five continuous use medications. The main DI were omeprazole, simvastatin and levothyroxine, all of which are of significant severity and have potential drug-food interactions. A total of 35.1% of PIM were identified through the four criteria used, 26.6% were identified by the CBPIM, 25.8% by the EU(7)-PIM, and 24.6% and 6.6% by AGS Beers and PRISCUS, respectively. Conclusion: a high index of continuous use medications, PIM and potential DI were identified, mainly enzymatic inhibitors in a group of elderly women at risk due to their clinical characteristics. Old age was associated with the presence of all the elements of the iatrogenic triad. It was also noted that there were no significant differences between the criteria applied, except for the PRISCUS list.
DOI: 10.6084/m9.figshare.8259527.v1
title: The iatrogenic triad in a group of elderly women contracted to a health plan

description: Abstract Objective: to study the main elements of the iatrogenic triad in a group of elderly women with a Chronic Non-Communicable Disease (CNCD) contracted to a health plan. Method: A cross-sectional and descriptive epidemiological study was carried out by analyzing 3,501 medical prescriptions of 725 elderly women aged ≥65 years. The medications were determined to be Potentially Inappropriate Medications (PIM) based on four instruments (AGS Beers 2015, PRISCUS List, EU(7)-PIM, Brazilian Consensus of PIM - CBPIM). In addition, the most prescribed drugs were assessed for possible Drug Interactions (DI) and classified according to degree of severity. Results: the present study revealed that 89.3% of the studied group used at least one element of the iatrogenic triad, and 44.9% of the sample were associated with the use of polypharmacy and PIM. A total of 48.0% were taking at least five continuous use medications. The main DI were omeprazole, simvastatin and levothyroxine, all of which are of significant severity and have potential drug-food interactions. A total of 35.1% of PIM were identified through the four criteria used, 26.6% were identified by the CBPIM, 25.8% by the EU(7)-PIM, and 24.6% and 6.6% by AGS Beers and PRISCUS, respectively. Conclusion: a high index of continuous use medications, PIM and potential DI were identified, mainly enzymatic inhibitors in a group of elderly women at risk due to their clinical characteristics. Old age was associated with the presence of all the elements of the iatrogenic triad. It was also noted that there were no significant differences between the criteria applied, except for the PRISCUS list.
DOI: 10.6084/m9.figshare.20016768
title: Factors associated with temporomandibular dysfunction in the elderly: an integrative literature review

description: Abstract Objective: To identify the factors associated with temporomandibular dysfunction among elderly persons. Method: An integrative literature review was carried out, evaluated by scientific publications indexed in five databases: MEDLINE/PubMed, SCOPUS, WEB OF SCIENCE, CINAHL and LILACS, without date or language restrictions. The adapted Newcastle-Ottawa Scale was used to evaluate the articles. Results: Of the 888 articles from the databases, four were considered eligible for this review. Risk of bias analysis classified one article as low risk and the other as intermediate risk. Conclusion: The factors associated with temporomandibular dysfunction in the elderly indicated by the studies were: female gender, age between 60-70 years, a low income, suffering from tinnitus, dizziness, depression, headache or bruxism; experience temporomandibular joint palpation, masticatory and cervical muscle pain, a low number of teeth and the use of complete dentures.
DOI: 10.6084/m9.figshare.20016768.v1
title: Factors associated with temporomandibular dysfunction in the elderly: an integrative literature review

description: Abstract Objective: To identify the factors associated with temporomandibular dysfunction among elderly persons. Method: An integrative literature review was carried out, evaluated by scientific publications indexed in five databases: MEDLINE/PubMed, SCOPUS, WEB OF SCIENCE, CINAHL and LILACS, without date or language restrictions. The adapted Newcastle-Ottawa Scale was used to evaluate the articles. Results: Of the 888 articles from the databases, four were considered eligible for this review. Risk of bias analysis classified one article as low risk and the other as intermediate risk. Conclusion: The factors associated with temporomandibular dysfunction in the elderly indicated by the studies were: female gender, age between 60-70 years, a low income, suffering from tinnitus, dizziness, depression, headache or bruxism; experience temporomandibular joint palpation, masticatory and cervical muscle pain, a low number of teeth and the use of complete dentures.
DOI: 10.6084/m9.figshare.8260076
title: Factors associated with multimorbidity in the elderly: an integrative literature review

description: Abstract Objective: The objective of the present study was to identify factors associated with multimorbidity in the elderly through an integrative literature review. Method: The “Cochrane Library”, “MEDLINE”, “Web of Science”, “Scopus” and “LILACS” databases were used, as well as the “SciELO” virtual library and the electronic search engine “Google Academic”. The following search terms were applied: “multimorbidity”; “multi-morbidity”; “comorbidity; “multiple diseases”; “elderly”; “major adults”, “older people”, “older persons”, “aged”, “associated factors”, “correlated factors”, “socioeconomic factors” and “demographic factors.” The inclusion criterion was that the object of the study was the elderly population with multimorbidity. Studies in which multimorbidity was not the dependent variable were excluded. Results: a total of seven articles were included in this review. A prevalence of multimorbidity in the elderly ranging from 30.7% to 57% was found. The associated factors were smoking, alcohol consumption, lived in rural areas, low levels of schooling, the female gender, older elderly persons and not living with children. In the majority of articles a low level of family income was also associated with multimorbidity. Conclusion: The results suggest that multimorbidity in the elderly is a common condition and that it is influenced by socioeconomic and demographic factors, lifestyle and family structure.
DOI: 10.6084/m9.figshare.8260076.v1
title: Factors associated with multimorbidity in the elderly: an integrative literature review

description: Abstract Objective: The objective of the present study was to identify factors associated with multimorbidity in the elderly through an integrative literature review. Method: The “Cochrane Library”, “MEDLINE”, “Web of Science”, “Scopus” and “LILACS” databases were used, as well as the “SciELO” virtual library and the electronic search engine “Google Academic”. The following search terms were applied: “multimorbidity”; “multi-morbidity”; “comorbidity; “multiple diseases”; “elderly”; “major adults”, “older people”, “older persons”, “aged”, “associated factors”, “correlated factors”, “socioeconomic factors” and “demographic factors.” The inclusion criterion was that the object of the study was the elderly population with multimorbidity. Studies in which multimorbidity was not the dependent variable were excluded. Results: a total of seven articles were included in this review. A prevalence of multimorbidity in the elderly ranging from 30.7% to 57% was found. The associated factors were smoking, alcohol consumption, lived in rural areas, low levels of schooling, the female gender, older elderly persons and not living with children. In the majority of articles a low level of family income was also associated with multimorbidity. Conclusion: The results suggest that multimorbidity in the elderly is a common condition and that it is influenced by socioeconomic and demographic factors, lifestyle and family structure.
DOI: 10.6084/m9.figshare.9276338
title: Prescription of potentially inappropriate medication for the elderly: comparing health service providers

description: Abstract Objective: to compare the prescription of medications to elderly users of the SUS with users of a Supplementary Health Plan in the context of the Beers criteria. Method: a quantitative documental analysis using two databases, obtained from surveys conducted in the same municipal region, was performed. In the first database, the sample included 532 people aged 60 years or older, of both genders, who were users of the SUS. In the second, the sample was 239 people aged 60 years or older, irrespective of gender, who were users of the principal supplementary health plan. Statistical analyses to compare the data of the two databases were performed using Pearson’s Chi-squared Test and the extension of Fisher’s Exact test, with a significance level α equal to 5%. Results: The results showed significant differences in the use of medications and polypharmacy among the users of the two service providers. Moreover, there were statistically significant differences between the service providers, with SUS users using more non-steroidal anti-inflammatory drugs (p=0.01), long-lasting sulfonylureas (p=0.02) and Nifedipine (p=0.01), and the users of the Supplementary Health Care plan using more musculoskeletal relaxants (p=0.01), estrogen (p=0.01), amiodarone (p=0.01) and Doxazosin (p=0.01), which are potentially inappropriate for the elderly. Conclusion: there are differences between having health insurance or not in terms of the profile of drug use, including in medications which are potentially inappropriate for use among the elderly. The use of information technology that centralizes the data of the elderly, both in the SUS and in Supplementary Health, could reduce inappropriate or unnecessary prescriptions.
DOI: 10.6084/m9.figshare.9276338.v1
title: Prescription of potentially inappropriate medication for the elderly: comparing health service providers

description: Abstract Objective: to compare the prescription of medications to elderly users of the SUS with users of a Supplementary Health Plan in the context of the Beers criteria. Method: a quantitative documental analysis using two databases, obtained from surveys conducted in the same municipal region, was performed. In the first database, the sample included 532 people aged 60 years or older, of both genders, who were users of the SUS. In the second, the sample was 239 people aged 60 years or older, irrespective of gender, who were users of the principal supplementary health plan. Statistical analyses to compare the data of the two databases were performed using Pearson’s Chi-squared Test and the extension of Fisher’s Exact test, with a significance level α equal to 5%. Results: The results showed significant differences in the use of medications and polypharmacy among the users of the two service providers. Moreover, there were statistically significant differences between the service providers, with SUS users using more non-steroidal anti-inflammatory drugs (p=0.01), long-lasting sulfonylureas (p=0.02) and Nifedipine (p=0.01), and the users of the Supplementary Health Care plan using more musculoskeletal relaxants (p=0.01), estrogen (p=0.01), amiodarone (p=0.01) and Doxazosin (p=0.01), which are potentially inappropriate for the elderly. Conclusion: there are differences between having health insurance or not in terms of the profile of drug use, including in medications which are potentially inappropriate for use among the elderly. The use of information technology that centralizes the data of the elderly, both in the SUS and in Supplementary Health, could reduce inappropriate or unnecessary prescriptions.
DOI: 10.6084/m9.figshare.9276335
title: Validation of a questionnaire for the evaluation of informal social support for the elderly: section 2.

description: Abstract Objective: The objective of the study was to carry out the factorial validation of the questionnaire for the evaluation of informal social support (ASI) for the elderly. Method: It is a descriptive, observational, quantitative type research. It was executed between August and December of 2016 in the municipality of Natal, Rio Grande do Norte and other locations in Brazil. In Inclusion criteria, were have age 60 or older and cognitive ability preserved. We performed Exploratory Factor Analysis (AFE). As criterion of exclusion of the items was adopted a reference value greater than or equal to 0.35 of factorial load and greater or equal to 0.5 of commonality per item. To determine the amount of retained factors, the criteria of own values&gt;1, minimum cumulative explained variance of 60% and parallel Horn analysis were observed. Results: A sample of 259 elderly people from the five regions of Brazil was obtained. After AFE, 4 items were excluded due to the poverty of their factorial loads, remaining 20 items in 4 retained factors. Conclusion: The instrument has good psychometric properties, such as acceptable factor loads and excellent commonalities.
DOI: 10.6084/m9.figshare.9276335.v1
title: Validation of a questionnaire for the evaluation of informal social support for the elderly: section 2.

description: Abstract Objective: The objective of the study was to carry out the factorial validation of the questionnaire for the evaluation of informal social support (ASI) for the elderly. Method: It is a descriptive, observational, quantitative type research. It was executed between August and December of 2016 in the municipality of Natal, Rio Grande do Norte and other locations in Brazil. In Inclusion criteria, were have age 60 or older and cognitive ability preserved. We performed Exploratory Factor Analysis (AFE). As criterion of exclusion of the items was adopted a reference value greater than or equal to 0.35 of factorial load and greater or equal to 0.5 of commonality per item. To determine the amount of retained factors, the criteria of own values&gt;1, minimum cumulative explained variance of 60% and parallel Horn analysis were observed. Results: A sample of 259 elderly people from the five regions of Brazil was obtained. After AFE, 4 items were excluded due to the poverty of their factorial loads, remaining 20 items in 4 retained factors. Conclusion: The instrument has good psychometric properties, such as acceptable factor loads and excellent commonalities.
DOI: 10.6084/m9.figshare.9697190
title: Prevalence of dementia among widowed and non-widowed patients and associated clinical and sociodemographic characteristics

description: Abstract Objective: to verify if the prevalence of dementia differs between widowed and non-widowed elderly persons and between genders, and to analyse if there is an association with sociodemographic and clinical characteristics. Method: a retrospective cross-sectional observational study of patients treated at a Behavioral Neurology outpatient clinic from 1999 to 2009 was carried out, employing anamnesis, physical and neurological examination, the Clinical Dementia Rating Scale (CDR) and the Mini Mental State Examination (MMSE). Sociodemographic (schooling and age) and clinical (age of onset of symptoms and time since onset of symptoms, MMSE and CDR) variables were analyzed. The differences were evaluated by the Mann Whitney test, using a significance value of p&lt;0.05. Results: of 208 patients diagnosed with dementia, 73 (35.1%) were widowed and 135 (64.9%) were non-widowed. Those who were widowed were older than those who were non-widowed (p&lt;0.001) when diagnosed with dementia. This difference in age remained when gender (p&lt;0.001), widowed and widowed women (p&lt;0.001) and widowed and non-widowed men (p&lt;0.001) were compared. The time from onset of symptoms to diagnosis was greater in widowed than in non-widowed men [55.6 (± 86.3) vs. 43.4 (± 44.8) months], although the difference was not statistically significant. Widowed patients with dementia had lower schooling, regardless of gender (p&lt;0.05). Conclusion: the prevalence of dementia differed between widowed and non-widowed individuals, being higher among non-widows. There was an association between widowhood and the clinical and sociodemographic characteristics, with differences between the genders. The loss of a spouse can generate different outcomes among men and women, necessitating measures with a specific focus on prevention and strategies of care in dementia.
DOI: 10.6084/m9.figshare.9697190.v1
title: Prevalence of dementia among widowed and non-widowed patients and associated clinical and sociodemographic characteristics

description: Abstract Objective: to verify if the prevalence of dementia differs between widowed and non-widowed elderly persons and between genders, and to analyse if there is an association with sociodemographic and clinical characteristics. Method: a retrospective cross-sectional observational study of patients treated at a Behavioral Neurology outpatient clinic from 1999 to 2009 was carried out, employing anamnesis, physical and neurological examination, the Clinical Dementia Rating Scale (CDR) and the Mini Mental State Examination (MMSE). Sociodemographic (schooling and age) and clinical (age of onset of symptoms and time since onset of symptoms, MMSE and CDR) variables were analyzed. The differences were evaluated by the Mann Whitney test, using a significance value of p&lt;0.05. Results: of 208 patients diagnosed with dementia, 73 (35.1%) were widowed and 135 (64.9%) were non-widowed. Those who were widowed were older than those who were non-widowed (p&lt;0.001) when diagnosed with dementia. This difference in age remained when gender (p&lt;0.001), widowed and widowed women (p&lt;0.001) and widowed and non-widowed men (p&lt;0.001) were compared. The time from onset of symptoms to diagnosis was greater in widowed than in non-widowed men [55.6 (± 86.3) vs. 43.4 (± 44.8) months], although the difference was not statistically significant. Widowed patients with dementia had lower schooling, regardless of gender (p&lt;0.05). Conclusion: the prevalence of dementia differed between widowed and non-widowed individuals, being higher among non-widows. There was an association between widowhood and the clinical and sociodemographic characteristics, with differences between the genders. The loss of a spouse can generate different outcomes among men and women, necessitating measures with a specific focus on prevention and strategies of care in dementia.
DOI: 10.6084/m9.figshare.9696662
title: Social support for the elderly with HIV/Aids: an integrative review

description: Abstract Objective: The present integrative literature review aimed to verify the scientific knowledge produced about social support for elderly persons with HIV/Aids. Method: A search was carried out in the Lilacs, Medline, Scopus and Web of Science databases for studies published in the last ten years. The final analysis consisted of seven articles. Results: It was found that social support is extremely important in the life of the elderly with HIV/Aids, and a real need for this support was identified. Such support can both contribute to quality of life in many ways, as well as impair the care of those who live with the disease, as the diagnosis, treatment and the entire stigma surrounding this chronic condition directly influence the type and quality of support provided. Conclusion: It is hoped that the results of this review will contribute to are flection on health practices for the elderly with HIV/Aids.
DOI: 10.6084/m9.figshare.9696662.v1
title: Social support for the elderly with HIV/Aids: an integrative review

description: Abstract Objective: The present integrative literature review aimed to verify the scientific knowledge produced about social support for elderly persons with HIV/Aids. Method: A search was carried out in the Lilacs, Medline, Scopus and Web of Science databases for studies published in the last ten years. The final analysis consisted of seven articles. Results: It was found that social support is extremely important in the life of the elderly with HIV/Aids, and a real need for this support was identified. Such support can both contribute to quality of life in many ways, as well as impair the care of those who live with the disease, as the diagnosis, treatment and the entire stigma surrounding this chronic condition directly influence the type and quality of support provided. Conclusion: It is hoped that the results of this review will contribute to are flection on health practices for the elderly with HIV/Aids.