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ABSTRACT Objective: To evaluate the functional mobility of patients with stroke over 12 sessions of hydrotherapy. Methods: Ten stroke patients aged between 5 and 85 years were evaluated by means of the Timed Up and Go test, which contains some items, such as balance, walking speed, changing directions, and standing up from a seated position. The study patients performed the test before and after each hydrotherapy session (total of 12 sessions). Each individual was compared to him/ herself both short-term (pre- and post-therapy) and long-term (after 12 therapy sessions). Result: Comparing baseline and after 12 sessions, it was noted that the 10 patients improved their performance, with a decrease in time to execute the Timed Up and Go test. Conclusion: An exercise program in a hydrotherapy pool was beneficial for functional mobility performance improvement in stroke patients.

Objective: To evaluate the functional mobility of patients with strokeover 12 sessions of hydrotherapy. Methods: Ten stroke patients agedbetween 5 and 85 years were evaluated by means of the Timed Up andGo test, which contains some items, such as balance, walking speed,changing directions, and standing up from a seated position. Thestudy patients performed the test before and after each hydrotherapysession (total of 12 sessions). Each individual was compared to him/herself both short-term (pre- and post-therapy) and long-term (after 12 therapy sessions). Result: Comparing baseline and after 12 sessions, it was noted that the 10 patients improved their performance, with a decrease in time to execute the Timed Up and Go test. Conclusion: An exercise program in a hydrotherapy pool was beneficial for functional mobility performance improvement in stroke patients.

OBJETIVO: Analisar a Avaliação Nutricional Subjetiva Global (ANSG) para o diagnóstico de desnutrição em pacientes cardiopatas. MÉTODOS: Em 106 pacientes hospitalizados (53 com insuficiência cardíaca), aplicou-se o questionário de ANSG com histórico nutricional (peso, dieta, sintomas gastrointestinais, capacidade funcional física e diagnóstico) e exame físico. Depois aferiram-se medidas antropométricas (peso, circunferência do braço, prega cutânea triciptal e circunferência muscular do braço). Para a avaliação objetiva dos pacientes com insuficiência cardíaca consideraram-se albumina sérica, contagem de linfócitos e antropometria. A curva ROC analisou sensibilidade, especificidade e acurácia da ANSG em relação à avaliação objetiva. RESULTADOS: A idade dos pacientes era de 57,7 ± 15,7 anos, e a maioria era de homens (67,9%). A curva ROC indicou o escore 16 como ponto de corte da ANSG com maior sensibilidade (62,2%) e especificidade (55,7%). A área sob a curva foi de 0,601 (IC 95%: 0,487 - 0,715). A prevalência de desnutrição foi de 51,9% pela ANSG e 42,5% pela avaliação antropométrica, com acurácia de 65,3% nos homens e 44,1% nas mulheres. Nos pacientes com insuficiência cardíaca, a prevalência de desnutrição foi de 60,4% pela ANSG e 32,1% pela avaliação objetiva, com acurácia de 67,6% nos homens e 31,3% nas mulheres. CONCLUSÃO: A ANSG identificou maior número de desnutridos do que a avaliação objetiva. O desempenho da ANSG na identificação de desnutrição foi maior nos homens. A ANSG detectou pacientes cardiopatas com risco nutricional.OBJECTIVE: To analyze the performance of Subjective Global Assessment of Nutritional Status (SGA) in diagnosing malnutrition in patients with heart disease. METHODS: One hundred and six hospitalized patients (53 with heart failure) completed an SGA questionnaire on their nutritional history (changes in body weight, dietary intake, gastrointestinal symptoms, functional capacity, and diagnosis) and underwent physical examination. Then, anthropometric measurements were obtained (body weight, mid-arm circumference, triceps skinfold thickness, and arm muscle circumference). Serum albumin, total lymphocyte count and anthropometric measurements were determined for the objective assessment of patients with congestive heart failure. An ROC curve was used to analyze sensitivity, specificity and accuracy of SGA compared to the objective assessment. RESULTS: Patients' age was 57.7 ± 15.7, and the majority was male (67.9%). The ROC curve showed score 16 as SGA cut-off point with the highest sensitivity (62.2%) and specificity (55.7%). The area under the curve was 0.601 (95% CI: 0.487 - 0.715). Anthropometric assessment showed malnutrition prevalence at 51.9% by SGA and 42.5% by, with accuracy of 65.3% in men and 44.1% in women. In patients with congestive heart failure, SGA assessed malnutrition prevalence was 60.4%, while objective assessment was 32.1% with accuracy of 67.6% in men and 31.3% in women. CONCLUSION: SGA detected a greater number of malnourished patients than the objective evaluation. Its performance in identifying malnutrition was better in men. It also detected cardiac patients at nutritional risk.

The frequency and quality of intergroup contact within racially and ethnically diverse schools has potentially important implications for the achievement of desegregation goals. The analyses presented here use survey data to assess intergroup contact within a sample of ten interdistrict magnet schools in Connecticut. Findings indicate frequent intergroup interactions within interdistrict magnet schools, but also that the perceived quality of intergroup relations differs across racial groups and both the frequency and quality of intergroup contact varies considerably across schools. Students who report higher quality intergroup relations in their school also tend to report more positive academic environments and more positive attitudes towards other groups. Together these findings indicate that attention must be paid to intergroup relations within diverse schools if the goals of integrated schooling are to be realized.

Este estudo trata de algumas questões fundamentais relacionadas com a filosofia dos Cuidados Paliativos (CP) e propõe uma educação dos alunos de graduação por meio de cursos de CP com o objetivo de criar uma atitude humanitária nos futuros profissionais em relação àquele que está morrendo. A esperança está na intervenção sobre a formação dos profissionais da saúde, na reformulação curricular que contemple esta visão antropológica, para além da formação tecnocientífica necessária, e na implementação da filosofia de CP. Buscaram-se na literatura discussões sobre a formação destes profissionais e o cuidado do paciente fora de recursos de cura, porém não fora de recursos sintomáticos. A metodologia adotada combina revisão da literatura nacional e internacional com pesquisa empírica, por meio da aplicação de questionário a uma equipe multiprofissional, atuante em CP numa instituição de ensino. O estudo foi desenvolvido com abordagem qualitativa. Desvelou-se na área da saúde a necessidade de capacitar os profissionais de saúde a enfrentarem o cuidado destes pacientes por meio de uma educação continuada, fundamentada no conhecimento do processo de morte e morrer.