Physical Deficiency Research Articles

Scientific production about the Systematization of Nursing Care in the Family Health Strategy

Objective: To analyze the scientific production on the Systematization of Nursing Care (SAE) in the Family Health Strategy (ESF). Method: This is an integrative literature review. The databases chosen for the selection of studies were LILACS, MEDLINE, BDENF and ColecionaSUS accessed via VHL/BIREME, and PUBMED. Scientific articles published on the topic were included, from 2016 to 2021, and made available in full. Results: The results indicate that the predominant methods of systematizing care in the ESF include nursing consultation, the use of the International Classification for Nursing Practice (ICNP) taxonomy and the application of the Nursing Process (NP). Conclusion: Specific obstacles include lack of training, high demand overloading professionals, limitations of physical structure and deficiency of materials, lack of sensitivity about the importance of SAE, lack of definition of the nurse's role in primary care and inadequate nursing staffing.

The relationship between body dissatisfaction, lifestyle, and nutritional status among university students in Southern China

BackgroundIn recent years, obesity in early adulthood has become an urgent global public health concern. Body dissatisfaction may have adverse effects on lifestyle habits, leading to obesity. However, research on nutritional status and body dissatisfaction among Chinese young adults is still insufficient. Therefore, this study aimed to analyze the relationship between body dissatisfaction, dietary habits, physical activity, and nutritional status among university students. In addition, we explored the feasibility of improving university students’ nutritional status by improving the levels of body dissatisfaction.MethodsThis study was conducted in Ganzhou City, Jiangxi Province, China, at a randomly selected university. All 1900 undergraduate students volunteered to participate and signed the consent form. Students were required to completed anthropometric measurements and three questionnaires, which included the Physical Activity Rating Scale-3 (PARS-3), Chinese version of the Dutch Dietary Behavior Questionnaire (C-DEBQ), and Body Dissatisfaction. Of these, 1714 students (age: 18–24 years; men: 933, women: 781) with complete and valid data were included.ResultsHigher obesity levels were observed in men compared to women (p<0.01). Meanwhile, body dissatisfaction was higher in women compared to men (p<0.01). Overeating and insufficient physical activity were more problematic in women compared to in men (p<0.01). Multiple regression analyses were conducted separately, with BMI and body dissatisfaction as the dependent variables. Body dissatisfaction (β=0.72, p<0.01), muscle mass (β=0.33, p<0.01), emotional eating score (β=0.05, p<0.01), sex (β=-0.05, p<0.05) and physical activity (β=-0.04, p<0.05) score were significant predictors of obesity. Furthermore, Muscle mass (β=0.61, p<0.01), sex (β=0.54, p<0.01), restrained eating score (β=0.25, p<0.01), physical activity score (β=-0.20, p<0.01) and emotional eating score (β=0.08, p<0.01) were significant predictors of body dissatisfaction.ConclusionThe data presented in this study highlight the impact of university students’ body dissatisfaction in China on physical activity deficiency and overeating, discovering that reducing body dissatisfaction has great potential for preventing obesity.

EFFECTS OF FERTILIZATION AND IRRIGATION LEVELS ON PHYTOREMEDIATIONPROPERTIES OF PERENNIAL RYEGRASS

The experiment was set up in the greenhouse of Faculty of Agriculture, University of Belgrade with the aim of investigating potential of perennial ryegrass (Loliumperennial L.) to grow on substrates of exceptionally unfavorable characteristics. Tailings, characterized by very poor physical and chemical properties and deficiency in nutrients were used as substrate. The research examined effects of three different fertilizers and two irrigation levels on plant growth and assimilation of Cu and Cd. There were statistically highly significant differences in plant height between plants treated with different fertilizers. Plants treated with organic fertilizer were tallest at 45.8 cm, while the plants treated with mineral fertilizer were shortest at 22.5 cm. Amounts of the assimilated metals varied between different type of fertilizers. The highest content of Cu, about 75 mg kg-1 was recorded in plants treated with mineral fertilizer and irrigated moderately while the lowest concentrations of about 30 mg kg-1were measured in the same plants after the first cutting. There were no differences among plants treated with organic fertilizers in Cu amounts,under two irrigation levels. The second cutting showed a small increase in the assimilated amounts of Cu. Highest Cd concentration of 2.7 mg kg-1 was recorded in the plants treated with combination of both organic and mineral fertilizers.

Relationship between body dissatisfaction, insufficient physical activity, and disordered eating behaviors among university students in southern China

BackgroundWith an increasing incidence of obesity, the relationship between obesity and body image has become a hot research topic worldwide. From high school to university, young people experience changes in their social environment. University students have a high incidence of eating disorders and insufficient physical activity. The purpose of this study was to explore the relationship between body dissatisfaction, insufficient physical activity, and disordered eating behaviors among university students in southern China.MethodsIn total, 1296 university students aged 18–23 years were recruited for this study. The participants completed anthropometric measurements, the Physical Activity Rating scale-3 (PARS-3), and the Chinese-Dutch Eating Behavior Questionnaire (C-DEBQ). The ideal weight and silhouette were reported by university students using a questionnaire.ResultsCompared with men, young women had a higher level of body dissatisfaction. For men, body mass index (BMI; β = 0.76, P < 0.01), physical activity score (β = − 0.11, P < 0.01), and restrained eating score (β = 0.10, P < 0.01) were the significant factors predictive of body dissatisfaction. For women, BMI (β = 0.57, P < 0.01), muscle mass (β = 0.12, P < 0.01), physical activity score (β = − 0.11, P < 0.01), and restrained eating score (β = 0.09, P < 0.01) were the significant factors predictive of body dissatisfaction.ConclusionsUniversity students with high body dissatisfaction had lower physical activity scores and higher restrained eating scores. The data presented here highlight the impact of university students’ body dissatisfaction on physical activity deficiency and disordered eating behaviors in China.

S1555 Perspectives, Experiences, and Concerns Among Patients With Short Bowel Syndrome (SBS) and Their Caregivers: Insights From Social Media Platforms

Introduction: SBS is a rare, chronic and severe disease resulting from physical loss and functional deficiency of portions of intestine, primarily due to surgical resection. Patients experience a collection of clinical features such as diarrhea, bloating, and weight loss, and frequently need parenteral nutrition (PN), which significantly impacts their health-related quality of life (HRQOL). In this study, we analyzed social media posts to examine the perspectives, experiences, and concerns among patients with SBS and their caregivers. Methods: We extracted 20,221 publicly available posts from SBS-specific sites and other forums (e.g. Careplace, Reddit) between 1/1/10-1/11/21. After applying SBS keyword filters (e.g. short bowel, short gut, SBS) and manual review, we identified 316 relevant posts. We used an open coding technique to qualitatively analyze the posts. Posts were read multiple times and codes were generated inductively, sorted, and grouped into themes and subthemes. Afterwards, we developed an empathy map to visualize the different themes and subthemes. Results: Overall, 70.6% and 14.9% of posts were made by caregivers and patients, respectively; the source for 14.6% of posts was unclear. See Figure for empathy map. Forums were used to seek and share information on how to manage SBS including medication and supplement use, diet, infections, rashes, and feeding tips. Challenges associated with SBS were discussed, such as financial struggles, finding daycare for kids with SBS, coordinating with healthcare providers, managing infections related to PN, gaining weight, absorbing food, and swallowing issues. The need for support was expressed, such as feeling lonely and not understood. There were reports about needing to learn about SBS treatments, how to choose among treatment options, how to handle SBS associated conditions, and how to improve their HRQOL. Common feelings expressed were fear, sadness and anger, and common hopes expressed were stopping PN, maintaining weight, and eating normally. Conclusion: Our analysis supports previous evidence on the marked burden SBS has on physical, social, and mental health for both patients and caregivers. Additionally, this analysis highlights how social media platforms can be used to derive insights on the perspectives, experiences and concerns in a rare disease such as SBS.Figure 1.: Empathy map

COPHYD (Corona Owed Physical Deficiency): The Impact of Lockdown on Cardiopulmonary Function in Paediatric Cardiology Patients.

Due to the Corona-lockdowns the closure of sports facilities and schools has led to a decline in physical activity (PA) for months. PA is essential for maintaining cardiopulmonary function assessed by peak oxygen uptake. Since peak oxygen uptake represents the best predictor for mortality and morbidity in children with congenital heart disease the impact of lockdowns on this parameter is vital. We evaluated retrospectively cardiopulmonary exercise data from our patient collective from before lockdown with twin-paired data from during lockdown. The twin-pairing was achieved by matching patients with similar heart disease, age, sex, and test method. Cardiopulmonary exercise testing was achieved on either the treadmill or the bicycle. We were able to twin-pair 90 cases (26 twins with heart disease and 19 healthy twins). There was a significant decrease of cardiopulmonary function (V̇O2peak: 35.7±9.8 vs.30.4±10.6) in the heart disease cohort along with a significant decrease in peak oxygen pulse (13.3±4.1 vs. 11.4±4.5), and peak minute ventilation (V ̇E: 83.05±29.08 vs.71,49±24.96). The healthy children improved over the timeframe, but this only reached significance for peak minute ventilation (81.72±25.79 vs.97.94±31.4). We observed a significant decline of peak oxygen uptake during lockdown in the group of congenital heart disease (CHD) patients. This involved a loss of cardiac function as well as pulmonary function. This could be explained by limited access to sports facilities and restriction of regular daily movement due to school closure and overprotection. Healthy children improved their pulmonary function. This might be an indication of an improvement of exercise during confinement.Aufgrund des Corona-Lockdowns hat die Schließung von Sportanlagen und Schulen über Monate zu einem Rückgang der körperlichen Aktivität geführt. Körperliche Aktivität ist für die Aufrechterhaltung der kardiopulmonalen Funktion, bewertet durch die maximale Sauerstoffaufnahme, unerlässlich. Da die maximale Sauerstoffaufnahme der beste Prädiktor für Mortalität und Morbidität bei Kindern mit angeborenen Herzerkrankungen ist, sind die Auswirkungen des Lockdowns auf diesen Parameter von entscheidender Bedeutung. Spiroergometriedaten unseres Patientenkollektivs aus der Zeit vor dem Lockdown wurde mit Daten von statistischen Zwillingen aus dem gleichen Kollektiv während des Lockdowns verglichen. Die Zwillingspaarung wurde erreicht, indem Patienten mit ähnlichen Herzerkrankungen, Alter, Geschlecht und Testmodalitäten verglichen wurden. Die Spiroergometrie wurde entweder auf dem Laufband oder auf dem Fahrrad durchgeführt. Insgesamt wurden 90 Datensätze verbunden (26 Zwillinge mit Herzkrankheit und 19 gesunde Zwillinge). In der Kohorte der Herzerkrankten konnte eine signifikante Verschlechterung der kardiopulmonalen Funktion (V̇O2peak: 35,7±9,8 vs. 30,4±10,6), des Spitzensauerstoffpulses (O2puls: 13,3±4,1 vs. 11,4±4,5) und der Spitzenminutenventilation (VE: 83,05 ± 29,08 vs. 71,49 ± 24,96) beobachtet werden. Die gesunden Kinder verbesserten sich im Laufe der Zeit, wobei der Anstieg nur bei der Spitzenminutenventilation (81,72±25,79 vs. 97,94 ± 31,4) signifikant war. in der Kohorte der Patienten mit angeborenen Herzerkrankungen (CHD) beobachteten wir einen deutlichen Rückgang der maximalen Sauerstoffaufnahme während des Lockdowns. Dies liegt begründet in einer Verschlechterung der Herz-, sowie der Lungenfunktion. Erklärung dafür könnte der begrenzte Zugang zu Sporteinrichtungen, sowie Einschränkungen der täglichen Bewegungsfreiheit durch Schulschließungen und Überbehütung sein. Gesunde Kinder konnten ihr Atemminutenvolumen während dem Lockdown steigern und zeigten einen Trend zu besserer Belastbarkeit. Dies könnte auf eine Zunahme der körperlichen Bewegung während des Lockdowns hindeuten.

The Effect of Counseling to Mother's Knowledge on the Nutrition of Stunting

Stunting is an issue of nutrition in which malnutrition accumulates in the long term. 7.8 million of 23 million Indonesian toddlers have stunted. Stunting causes physical and mental deficiency in children, restricts cognitive development, affects health status in teenagers and adults, and even increases the risk of death. One of the means to resolve stunting is by counseling to develop the mother's knowledge of the nutrition needed for stunting children. This research aims to know the effect of counseling on a mother's knowledge level about the nutrition needed for stunting children. This is Quasy experiment research with a pretest-post- test with a control group design. Thirty-eight mothers participated in the sample selected by purposing sampling. They were divided into two groups of 19 people in it. An experimental group and a controlled group. The mothers tested their knowledge using a questionnaire that had undergone a validity and reliability test. The result shows that there is a difference in knowledge level between the post-test of an experimental group and the controlled group with a p-value of 0.000. It can be concluded that counseling affects the mother's knowledge level on the nutrition of stunting children in the Apitaik Village, East Lombok.

Review of Electrochemical Testing to Assess Corrosion of Post-Tensioned Tendons with Segregated Grout

Post-tensioned (PT) construction incorporating bonded tendons with cementitious grouts has been used for highway bridges. The tendon duct and the encapsulating grout materials provide barrier corrosion protection for the embedded high-strength steel strand. Although generally used in good engineering practice, cases of PT tendon corrosion have been documented relating to inadequate detailing for joints and development of grout bleed water. Recently, in the past several years, unexpected severe localized strand corrosion has related to the segregation of thixotropic grouts. In the latter case, thixotropic grouts (that have been developed to mitigate grout bleeding) formed physical and chemical deficiencies that have been characterized to have high moisture content and elevated sulfate ion concentrations. The early presence of elevated sulfate ion concentrations in the deficient grout hinders stable steel passivation. The corrosion mechanism can be complicated due to the compounding effects of physical grout deficiency, moisture content, pore water pH, and the presence of sulfate ions. There remains interest to reliably assess corrosion of PT tendons with deficient grout. A review of electrochemical techniques and test methods used in earlier research by the authors to identify the role of sulfates on localized steel corrosion in alkaline solutions is presented. It was evident that different testing methods can reveal various aspects of the corrosion of strands in the deficient PT grout. The open-circuit potential and linear polarization method could differentiate corrosion activity between hardened and deficient grout environments but did not reveal the development of localized corrosion. Electrochemical impedance spectroscopy was useful to identify grout deficiencies by the differentiation of its bulk electrical properties. Potentiodynamic polarization and electrochemical noise technique were used to identify metastable and pitting in alkaline sulfate solutions representative of the deficient grout pore water.

Efficacy of computer based cognitive rehabilitation in multiple sclerosis according to frequency of training sessions

The cognitive impairments affect up to 75% from persons with multiple sclerosis (MS) and lead to significant disability in parallel with or independently of physical deficiency. Aim: to follow up the effect of computer based rehabilitation on cognition in MS patients according to the frequency of training sessions

Prevalence of burnout and coping strategies among female university students in Saudi Arabia: a comparison between health and non-health majors

Background: Burnout syndrome was first described in 1974 in two scientific articles by psychologist Herbert Freudenberger, albeit imprecisely; he identified burnout as a work-related syndrome characterized by emotional and physical exhaustion and deficiency in work performance. In this study, we investigated burnout syndrome among students at Princess Nourah University (PNU), explored the possible factors associated with burnout, and evaluated the coping strategies employed by students to overcome burnout. Methods: In this cross-sectional study, the all-female sample population was recruited from different colleges affiliated with PNU in Riyadh, Saudi Arabia from January to February 2019. The convenience sample included 250 students each from health care (HC) and non-health care (NHC) colleges. The questionnaire was based on the Maslach Burnout Inventory-Student Survey. Descriptive and analytical statistical analyses were performed to determine the results. Results: The final sample comprised 500 students. The mean age (± standard deviation) was 20.78 ± 1.72 years. Most students (458; 91%) were single and lived with their families in Riyadh (467; 93%). Only 6.2% of the students exercised regularly. The overall burnout prevalence rate was 74%. A significant relationship was found between the level of satisfaction with college major and burnout components; students satisfied with their major experienced low levels of academic burnout across three dimensions: emotional exhaustion (EE;p = 0.002), professional efficacy (PE; p = 0.000), and cynicism (CY; p = 0.000). Both HC (47.6%) and NHC (48%) college students achieved moderate academic results. Students with low coping strategies reported higher academic burnout: EE (p = 0.002), PE (p = 0.000), and CY (p = 0.000). Conclusion: We demonstrated a high level of burnout among PNU students, necessitating the need for educational institutions to develop a support system to evaluate and improve students’ psychological health by teaching them better burnout coping strategies for good academic performance.

TUTURAN MANYAMBATI DALAM BAHASA BANJAR

This study aims to present manyambati utterances in the Banjarese language. The problem is how does the form of violations of politeness utterance manyambati in Banjar language. The purpose of this study is to describe the form of violation of politeness utterance manyambati in Banjar language. It is a qualitative study using a descriptive method. This study uses three steps of work, they are providing data, analyzing data, and presenting data. The technique used in data collection is recording and documentation. The data are taken from January 2019 to March 2019. The place and source of data are taken from people who live in Banjarmasin, Banjarbaru, and Martapura. To analyze the data this study uses the speech act theory. This study uses a descriptive and interpretative technique. The result of data analysis is presented in common words. Based on the results of data analysis, it can be concluded that the form of violations of politeness utterance manyambati in Banjar language consists of mentioning someone's physical deficiency, negative work, names of parents, and dirty objects. These four manyambati utterances have already threatened someone's dignity. The speaker has already violated the principal politeness language.

Psychological Optimization for Adolescents with Physical Motor Deficiency—A Model of Intervention

This article aims to present a model of psycho-educational intervention which helps adolescents with physical, motor deficiencies (PMD)1 to integrate more effectively into the school and social group. It also analyses the results of a psychological experiment realized with adolescents with PMD, using role playing method, body techniques and cathartic methods (drawing) aiming for optimization, personal development and improvement of resilience and rehabilitation of these teens. The research approach is integrated in the general trend of positive psychology, which focuses on cultivating individual skills and inclinations. It is also proposed a new method of working with teenagers with PMD: the intervention through art in school, which has proved to be beneficial in overcoming states of stress, nervousness or frustration. The experimental analysis is connected with a comprehensive project on teenagers with PMD, conducted by the Rusu, M. in previous years2.

Housing not for all

PurposeThis study aims to explore the current situation of universal accessibility to multi-unit buildings in three European countries (Spain, Germany and Sweden), in view of the lack of effective European rules on this topic, with the aim to identify which legal frameworks and policies may be useful to favour it.Design/methodology/approachThe results presented in this work are based on empirical data gathered from three surveys conducted in three representative countries of different housing models (Spain, Germany and Sweden). These surveys addressed the grade of accessibility at each point of the route that a person with mobility difficulties, with a physical deficiency or aged +70, has to do to access to their home from a public street or road.FindingsThe current paper shows that, in the end, there is still a long way to go in terms of universal accessibility to multi-unit buildings in, at least, three European Union Member States as, according to this study’s findings, the percentage of universally accessible multi-unit buildings is limited to 0.6 per cent in Spain, 2.5 per cent in Sweden and 1.5 per cent in Germany. The study also identifies successful legal frameworks and policies among the studied countries that may be useful to achieve a true universal accessibility to flats located in multi-unit buildings.Research limitations/implicationsThe legal frameworks and policies identified in this paper in terms of promoting universal accessibility to housing located in multi-unit buildings may provide guidance to other researchers and policymakers when addressing this topic, thus helping them to reach an egalitarian and inclusive society.Originality/valueThis paper goes one step further than previous works as it is based on up to date empirical data concerning accessibility and it identifies successful legal frameworks and policies in a comparative perspective.

When the law makes doors slightly open: ethical dilemmas among abortion service providers in Addis Ababa, Ethiopia

BackgroundIn 2005, Ethiopia changed its abortion law to curb its high maternal mortality. This has led to a considerable reduction in deaths from unsafe abortions. Abortion is now legal if the woman’s pregnancy is a result of rape or incest, if her health is endangered, if the fetus has a serious deformity, if she suffers from a physical or mental deficiency, or if she is under 18 years of age. The word of the woman, if in compliance with the law, is sufficient to qualify for an abortion. In this context, where the law makes the door slightly open, health workers become important in deciding who gets access to safe services and who doesn’t, thus creating considerable ethical dilemmas.MethodsThe objective of this study was to explore abortion service providers’ personal experiences and reflections, perceptions of the abortion law, and ethical and dilemmas that arise. Data collection took place from March to May 2016 in Addis Ababa, at different health clinics providing abortion services. Thirty in-depth interviews and three focus group discussions were conducted with 41 abortion service providers at governmental and non-governmental clinics. Content analysis was drawn upon in the interpretation of the findings.ResultsWhen working in a context where the law has slightly opened the door for abortion seeking women, the health workers describe conflicting concerns, burdensome responsibilities, and ambiguity concerning how to interpret and implement the law. They describe efforts to balance their religious faith and values against their professional obligations and concern for women’s health and well-being. This negotiation is particularly evident in the care of women who fall outside the law’s indications. They usually handle ethical dilemmas and decision-making alone without guidance. Moreover, many health workers face a stigma from fellow colleagues not performing abortions and therefore keep their job a secret from family and friends.ConclusionsHealth workers in Ethiopia experience ethical dilemmas trying to maneuver between the abortion law, their personal values, and their genuine concern for the health of women. More research is needed to further explore this.

Geometrization of Newtonian Dynamics

Riemann’s principle “force equals geometry” provided the basis for Einstein’s General Relativity - the geometric theory of gravitation. In this paper, we follow this principle to derive the dynamics for any conservative force. We introduce the relativity of spacetime : an object lives in its own spacetime, whose geometry is determined by all of the forces affecting it. We also introduce the Generalized Principle of Inertia which unifies Newton’s first and second laws and states that: An inanimate object moves freely, that is, with zero acceleration, in its own spacetime. We derive the metric of an object’s spacetime in two ways. The first way uses conservation of energy to derive a Newtonian metric. We reveal a physical deficiency of this metric (responsible for the inability of Newtonian dynamics to account for relativistic behavior), and remove it. The dynamics defined by the corrected Newtonian metric leads to a new Relativistic Newtonian Dynamics (RND) for both massive objects and massless particles moving in any static, conservative force field, not necessarily gravitational. In the case of the gravitational field of a static, spherically symmetric mass distribution, this metric turns out to be the Schwarzschild metric. This dynamics reduces in the weak field, low velocity limit to classical Newtonian dynamics and also exactly reproduces the classical tests of General Relativity. In the second way, we obtain the RND metric directly, without first obtaining a Newtonian metric. Instead of conservation of energy, we use conservation of angular momentum, a carefully defined Newtonian limit and Tangherlini’s condition. The non-static case is handled by applying Lorentz covariance to the static case.

Resilience for Young People with Physical Motor Deficiency

Resilience is a complex concept that describes different ways to overcome traumatic situations, failures, or radical changes in life, understood to be an individual capacity to fight adversity. In this paper we propose two hypotheses in the case of adolescents with physical motor deficiency (PMD)1: if positive elements can be identified in adolescent behavior with PMD, considered as components of resilience and if, by the psychological intervention, there was a better resilience. Psychological tests with deep resonance within the personality were applied: WM Personality Inventory, Introversion-Extraversion-Neurosis Test, DE-AN Questionnaire. There have been also used projective methods. Following the quantitative-statistical and qualitative analysis of the results obtained in the group of teenagers with PMD, were identified a series of specific traits and also some compensatory features along with compensatory conducts as elements of resilience. Resilience is interpreted through compensation (features and conducts), through individual and social valorisation, through integrating teenagers with PMD in school and social groups. Other related concepts are discussed: compensation and expectance, idolizing normality, labelling etc.

A geometric relativistic dynamics under any conservative force

Riemann’s principle “force equals geometry” provided the basis for Einstein’s General Relativity — the geometric theory of gravitation. In this paper, we follow this principle to derive the dynamics for any static, conservative force. The geometry of spacetime of a moving object is described by a metric obtained from the potential of the force field acting on it. We introduce a generalization of Newton’s First Law — the Generalized Principle of Inertia stating that: An inanimate object moves inertially, that is, with constant velocity, in its own spacetime whose geometry is determined by the forces affecting it. Classical Newtonian dynamics is treated within this framework, using a properly defined Newtonian metric with respect to an inertial lab frame. We reveal a physical deficiency of this metric (responsible for the inability of Newtonian dynamics to account for relativistic behavior), and remove it. The dynamics defined by the corrected Newtonian metric leads to a new Relativistic Newtonian Dynamics for both massive objects and massless particles moving in any static, conservative force field, not necessarily gravitational. This dynamics reduces in the weak field, low velocity limit to classical Newtonian dynamics and also exactly reproduces the classical tests of General Relativity, as well as the post-Keplerian precession of binaries.

Da violência sexual e outras ofensas contra a mulher com deficiência

RESUMO O ensaio teve como objetivo analisar dois parâmetros que sustentam a violência no Brasil: ser mulher e com deficiência. Discute-se a forma de como a deficiência potencializa a invisibilidade social das mulheres. O referencial teórico está nos campos da violência de gênero e da deficiência, nos conceitos de feminicídio, no campo de deficiências e seus modelos e da acessibilidade atitudinal e invisibilidade. A discussão, em revisão de literatura de caráter interdisciplinar, desenvolve-se sob os conceitos de invisibilidade sociojurídica e de discriminação. Os diplomas normativos sobre o tema e sobre a realidade são analisados nas seguintes perspectivas: invisibilidade sociojurídica, intangibilidade na saúde pública, ausência e exclusão. Conclui-se que a violência contra a mulher com deficiência é mais invisibilizada no âmbito sociojurídico, considerando que tanto o gênero quanto a deficiência a potencializam e criam a necessidade de políticas públicas para debelar grave violação aos direitos humanos.

Risk factors of presenile nuclear cataract in health screening study

BackgroundTo identify risk factors for the development of presenile nuclear cataract in health screening test.MethodsThe cross sectional study included a total of 532 eyes of 266 participants aged 30 to 49 years of Samsung Medical Center from February 2013 to April 2015. Presence of nuclear cataract was defined when the log MAR visual acuity with correction was greater than or equal to 0.2 and one or more of the following were met: Pentacam Nuclear Staging (PNS) grading score ≥ 1, average value of nuclear density ≥ 15%, maximum value of nuclear density ≥ 30%. Possible risk factors were obtained from blood tests and questionnaires of a health screening test of Samsung Medical Center. Association between nuclear cataract and risk factors was investigated using univariate and multivariate logistic regression analysis by generalized estimating equation (GEE) models.ResultsFive factors were significantly associated with presenile nuclear cataract: current smoking [odds ratio (OR) = 2.80, 95% confidence interval (CI), 1.10–7.12, p = 0.0310], non-exercise and high amount of daily physical exercise (OR = 3.99, 95% CI, 1.27–12.52, p = 0.0178; OR = 2.92, 95% CI, 1.38–6.22, p = 0.0053), asthma (OR = 8.93, 95% CI, 1.12–71.15, p = 0.0386), tuberculosis (OR = 4.28, 95% CI, 1.36–13.50, p = 0.0131), and higher total iron binding capacity (OR = 1.01, 95% CI, 1.00–1.02, p = 0.0059).ConclusionsPresenile nuclear cataract is related to current smoking, non-exercise or high amount of physical exercise, asthma, tuberculosis, and iron deficiency status. The association of non-exercise group and presenile nuclear cataract seems to be related to co-morbidity. Patients with asthma, tuberculosis, or iron deficiency anemia are recommended to receive frequent ophthalmic examination to detect cataract.

Aging with physical disabilities: experience intersected by stigma, social isolation and finitude

Abstract Objective: To understand the experience from a perspective of elderly people with physical disabilities. Method: Qualitative study that interviewed 15 people from the Mato Grosso Association of Disabled Person. Testimonies were obtained from 2016 July to 2017 June in the metropolitan region of Cuiabá/Brazil. Data were organized in thematic categories and analyzed through social phenomenology of Alfred Schütz. Results: It was evidenced that the stigma intersects the experience of the physical deficiency including in the old age. The perpetuation of stigma translated into impaired identity, social isolation, lack of perspective and acceptance of finitude as inevitable, contributing to a negative experience in old age. Conclusion and implications for practice: The experience of aging with physical disability has an intrinsically multidimensional nature, confronting complex lives and social contexts hostile to the body diversity, which need to be considered in public policies, by service managers and professionals involved in the processes of care for the elderly with physical disability.