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Background/Aim. Colorectal cancer and its treatment can have a negative impact on the quality of life which has become an important outcome measure for cancer patients. The aim of this work was assessment of psychological and spiritual dimension of the quality of life in colostomy patients, regarding the gender and age. Methods. This is a cross-sectional study conducted at the Abdominal Surgery Polyclinic in the Clinical Canter of Vojvodina among colostomy patients operated between January 2010 and June 2011. The instrument used in this study was Quality of Life Questionnaire for a Patient with an Ostomy (QOL-O). Results. Majority of respondents were male (M:F = 50.7% : 49.3%). The age ranged between 36?86 years. Respondents did not report difficulties in adjustment to stoma, but their great difficulty was to look at it and the sense of depression and anxiety. The care of stoma was worse perceived by younger respondents (p = 0.014). Respondents were mostly satisfied with their memorizing ability and having the sense of control. The lowest score was found in sensing satisfaction or enjoyment in life. The age had a significant impact on positive aspects of psychological well-being (p < 0.05). Higher scores were found among younger age groups. The mean score of spiritual well-being (6.47 ? 3.01) was lower than the mean score of psychological well-being (7.76 ? 2.35). There were no statistically significant differences regarding gender (t = -0.738, df = 65, p = 0.463) or age (F = 1.307, p = 0.280). Conclusion. Psychological and spiritual well-being in colostomy patients appeared to be at satisfactory level, but it is necessary to provide tailor made support in order to prevent and resolve negative responses to stoma.

In der vorliegenden Studie wurde die gesundheitsbezogene Lebensqualität mit Betrachtung der Angst/Depression sowie erlebte Defizite der Aufmerksamkeit bei Patienten mit nicht rupturiertem intracerebralem Aneurysma, die sich einer mikrochirurgischen oder endovasculären Versorgung unterzogen, evaluiert. Des Weiteren wurden mögliche Einflussfaktoren auf die Lebensqualität analysiert. Es wurden 177 Patienten erfasst, die sich innerhalb eines Zeitraums von 9 Jahren in Behandlung befanden. Diese Patienten erhielten standardisierte Fragebögen (Short Form 36 Health Survey (SF36), Hospital Anxiety and Depression Scale (HADS), Fragebogen erlebter Defizite der Aufmerksamkeit (FEDA)) zur Evaluation der gesundheitsbezogenen Lebensqualität sowie einen nicht standardisierten Fragebogen mit Fragen zur Lebenssituation. 79 Patienten (29 Männer, 50 Frauen) retournierten die Fragebögen und es erfolgte zusammen mit den zuvor erfassten retrospektiven Daten eine statistische Analyse mittels Einfaktorieller ANOVA, univariaten Varianzanalysen und post-hoc Tests nach Scheffe. Betrachtet man unsere Ergebnisse, zeigt sich, dass Patienten mit therapierten Aneurysmen in allen Bereichen eine reduzierte gesundheitsbezogene Lebensqualität aufweisen. Auch in den Bereichen Ermüdbarkeit und Verlangsamung sowie Angst schneiden unsere Patienten schlechter ab. Es zeigt sich jedoch auch, dass die gesundheitsbezogene Lebensqualität durch weitere Faktoren maßgeblich beeinflusst wird. Insbesondere durch die berufliche Situation sowie das Vorliegen von weiteren chronischen Erkrankungen, die die Patienten subjektiv in ihrer Lebensqualität einschränken und dies möglicherweise zu einem höheren Maß tun, als die Aneurysmabehandlung. So beeinflusst die aktuelle berufliche Situation, sowie das Vorliegen anderer lebensqualitätreduzierende Erkrankung alle Bereiche des SF 36 signifikant. Auch die Werte des HADS werden sowohl in der Angst-/ als auch der Depressionsskala hierdurch signifikant beeinflusst. So weisen Patienten, die aus gesundheitlichen Gründen vorzeitig berentet sind im Allgemeinen schlechtere Werte auf, als Patienten, die aus Altersgründen berentet sind, vollzeit-/ teilzeitberufstätig sind, oder angaben Hausmann oder Hausfrau zu sein. Die Werte des FEDA zeigen hier jedoch nur im Bereich der Ermüdbarkeit und Verlangsamung eine signifikante Beeinflussung. Das Vorliegen belastender Ereignisse zeigt einen signifikanten Einfluss auf die Schmerzskala, die soziale Funktionsfähigkeit, das psychische Wohlbefinden sowie die psychische Summenskala des SF 36. Auch die Angst-Skala des HADS und die Ermüdbarkeit und Verlangsamung des FEDA zeigen hier eine signifikante Beeinflussung. Behandlungsassoziierte Faktoren haben hingegen in der vorliegenden Studie keinen so ausgeprägten Einfluss auf die Lebensqualität gezeigt. So hat die Art der Intervention oder die Dauer der Intervention keinen Einfluss auf die Werte des SF36, des HADS oder des FEDA gezeigt. Die Dauer des Intensivstationsaufenthaltes zeigt lediglich im Bereich der körperlichen Funktionsfähigkeit des SF 36 einen signifikanten Einfluss. Die Aneurysmaanzahl zeigt einen signifikanten Einfluss im Bereich der sozialen Funktionsfähigkeit, der Vitalität und des psychischen Wohlbefindens des SF36. In den Bereichen des FEDA zeigt sich kein signifikanter Einfluss. Im HADS zeigt sich hier ein signifikanter Einfluss auf die Angstskala. Das Vorliegen von Komplikationen wirkt sich signifikant auf die körperliche Rollenfunktion, die körperliche Funktionsfähigkeit, die emotionale Rollenfunktion sowie die körperliche Summenskala des SF 36 aus. Die Skalen des HADS werden nicht signifikant beeinflusst. Beim FEDA zeigt sich ein signifikanter Effekt im Bereich Ermüdbarkeit und Verlangsamung. Die Zeit zwischen Intervention und Befragung zeigt lediglich im Bereich der Schmerzskala des SF 36 einen signifikanten Effekt. Welchen Einfluss genau die Versorgung eines nicht rupturierten intracerebralen Aneurysmas auf die gesundheitsbezogene Lebensqualität und die Kognition hat, lässt sich mit den vorliegenden Daten nicht abschließend klären. Es bedürfte größerer prospektiver Studien, mit Erhebung der Daten vor und nach der Intervention und ein besseres Verständnis des Stellenwertes der kognitiven Selbstbeurteilung. Maßnahmen, die die Patienten unterstützen, wie z.B. psychologische Begleitung oder berufliche Rehabilitation erscheinen sinnvoll, gerade bei Patienten mit weiteren chronischen Erkrankungen oder nach stattgehabter Komplikation.

Introdução: os mini-implantes (MI) surgiram como uma importante alternativa para o tratamento ortodôntico de pacientes que necessitam de ancoragem absoluta. O êxito desta terapêutica requer, entre outros fatores, a realização de um procedimento de instalação adequado. Para tanto, as condições ideais a serem seguidas pelos profissionais durante o ato cirúrgico, devem ser conhecidas. Proposição: o objetivo do presente trabalho foi verificar, através da formulação e aplicação de um questionário a profissionais que realizam a instalação de MI, o conhecimento dos mesmos com relação aos fatores considerados importantes à sua adequada execução. Material e Métodos: foi realizada a formulação de um questionário, a partir de entrevista conduzida com três profissionais experts na área. O questionário foi aplicado à 70 profissionais especialistas em Ortodontia ou Implantodontia, com experiência na instalação de MI ortodônticos. Resultados: ao nível de significância de p

Submitted by Thamyris de Souza Carvalho null (thamyriscarvalho1@hotmail.com) on 2018-03-21T17:51:12Z No. of bitstreams: 1 Thamyris_dissertação..pdf: 1705850 bytes, checksum: e37f0f255633e73f26020578d89136ec (MD5) Approved for entry into archive by Ana Cristina Jorge null (anacris@fclar.unesp.br) on 2018-03-21T19:38:17Z (GMT) No. of bitstreams: 1 carvalho_ts_me_arafo_par.pdf: 478379 bytes, checksum: a9bed8272b9ca5fa708d9fcf2fc6312a (MD5) Made available in DSpace on 2018-03-21T19:38:17Z (GMT). No. of bitstreams: 1 carvalho_ts_me_arafo_par.pdf: 478379 bytes, checksum: a9bed8272b9ca5fa708d9fcf2fc6312a (MD5) Previous issue date: 2018-03-09 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Grande parte dos avanços científicos demoram a ser incorporados na prática odontológica diária, cujo estudo pode contribuir para melhor compreender as características relacionadas a este processo. O objetivo desta pesquisa foi investigar a prática odontológica de odontopediatras brasileiros relacionada ao manejo da cárie dentária. Um questionário on-line com perguntas sobre diagnóstico, métodos utilizados para prevenir e/ou tratar a doença cárie e avaliação de risco (questões provenientes do questionário da Dental Practice-Based Research Network, já traduzido e adaptado para o português brasileiro), bem como informações sociodemográficas, de formação e atuação profissional, foi preenchido por 209 odontopediatras brasileiros. Os dados foram coletados no período de maio a dezembro/2017 e foram analisados por estatística descritiva, pelo teste de Qui- quadrado ou Exato de Fisher, bem como por Regressão Logística Binária (RLB), adotando-se um nível de significância de 5%. Os resultados mostraram que quase a totalidade dos participantes era do sexo feminino (92,3%), a idade média foi de 36 anos. A secagem com jato de ar em cárie primária (94,9%), o uso de radiografias no diagnóstico de cárie proximal (62,3%) e de sonda exploradora em lesões de cárie secundária (56,4%) foram os métodos de diagnóstico utilizados na maioria dos pacientes. Em relação a prevenção da doença, a aplicação tópica de flúor em consultório e o uso de selantes em superfícies oclusais tem sido indicados em 69,4% e 39,5% dos pacientes, em média, respectivamente. Para elaborar o plano de tratamento, o principal fator considerado pelos participantes foi a higiene bucal atual, seguida do comprometimento do paciente (ou responsável) de retornar para acompanhamento, da presença de cárie ativa e da dieta. Em relação ao tratamento da cárie, nos cenários clínicos com restaurações de resina ou amálgama com margens defeituosas, a maioria dos participantes decidiu por procedimentos preventivos e/ou restauradores conservadores, como o polimento, ou o reparo da restauração. Para os cenários de lesões oclusais em diferentes profundidades em molares permanentes, mostradas em fotos, a maioria dos profissionais decidiu por procedimentos preventivos em lesões envolvendo somente o esmalte, independente do risco de cárie do paciente e por procedimentos restauradores para lesões em dentina, atuando de forma mais conservadora em pacientes de baixo risco. Nas lesões de cárie proximais mostradas em radiografias, 18,1% e 52,1% dos participantes indicariam uma restauração para lesão em esmalte em paciente de baixo e alto risco, respectivamente. Cerca de 37,5% dos profissionais realizam a prevenção individualizada em todos os seus pacientes e 69,4% fazem avaliação de risco a cárie (ARC). Na RLB para ARC, os especialistas em odontopediatria (p=0,027), os participantes com atuação particular (p=0,007) ou com maioria de pacientes que pagam pelo serviço (p=0,011) apresentaram maior probabilidade de realizar ARC. Conclui-se que, para os odontopediatras brasileiros, o diagnóstico de cárie primária é realizado principalmente pelo exame visual e radiográfico e a prevenção é feita pela aplicação tópica de flúor. A maioria dos participantes realiza ARC, não troca restaurações com margens defeituosas, mas repara-as, usa procedimentos preventivos para tratar de lesões em esmalte e procedimentos restauradores para tratar de lesões em dentina, em especial em pacientes com risco de cárie moderado ou alto. O perfil do profissional que realiza ARC é especialista em odontopediatria com atuação em consultório particular, prioritariamente. Scientific advances are incorporated into the daily dental practice very slowly. The study of dental practice pattern can contribute to better understand the characteristics related to this process. The objective of this research was to investigate the dental practice of Brazilian pediatric dentists related to the management of dental caries. An online questionnaire with questions about diagnosis, methods used to prevent and/or treat dental caries and risk assessment (questions from the questionnaire of the Dental Practice-Based Research Network, translated and adapted to Brazilian Portuguese), as well as sociodemographic information, practice and professional profile, was answered by 209 Brazilian pediatric dentists. Data were collected from May to December/2017 and were analyzed by descriptive statistics, Chi-square or Fisher's Exact test, as well as by Binary Logistic Regression (BLR), with a 5% significance level. The results showed that almost all participants were female (92.3%), mean age was 36 years. Air-drying for primary caries (94.9%), radiographs for proximal caries (62.3%) and dental explorer for secondary caries (56.4%) were the most used methods for caries diagnosis. Regarding caries prevention, in-office fluoride application and dental sealants on the occlusal surfaces were indicated for 69.4% and 39.5% of patients, on average, respectively. When deciding on a treatment plan, the main factor considered by the participants was the current oral hygiene, followed by the patient’s (or guardian’s) commitment to return for follow-up, the presence of active caries lesion and diet. Regarding caries treatment, for clinical scenarios with resin or amalgam restorations with defective margins, the majority of participants decided on conservative preventive and/or restorative procedures, such as polishing or repairing the restoration. For occlusal lesions at different depths of permanent molars, shown in photos, most professionals decided on preventive procedures in lesions involving only the enamel, regardless of the patient's caries risk, and restorative procedures for dentin lesions, being more conservative in low-risk patients. For proximal caries lesions shown in radiographs, 18.1% and 52.1% of the participants would indicate a restoration for enamel lesions in low and high risk patients, respectively. About 37.5% of the professionals carry out individualized prevention in all their patients and 69.4% performed caries risk assessment (CRA). In BLR for CRA, pediatric dentistry specialists (p = 0.027), participants with a particular practice (p = 0.007) or with a majority of patients who paid for the service (p = 0.011) were more likely to perform CRA. It is concluded that, for Brazilian pediatric dentists, the diagnosis of primary caries is performed mainly by visual and radiographic examination and prevention is done by the in-office fluoride application. Most participants perform CRA, do not replace restorations with defective margins, but repair them, use preventive procedures to treat enamel lesions, and restorative procedures to treat dentine lesions, especially in patients at moderate and high caries risk. The professional profile of those who performs CRA is specialist in pediatric dentistry with practice in private practice, priority.

Introducción: : La Odontología, como parte de las profesiones de salud, involucra en su desarrollo profesional como principio ético fundamental, el valor y respeto a la Vida; así, la humanización de las relaciones interpersonales en la atención odontológica representa un trascendental propósito formativo; siendo importante orientar desde la academia, los valores humanos esenciales del estudiante, formados progresivamente desde el seno familiar y el entorno cultural; hacia la conformación de un perfil ético compatible con los valores bioéticos de la práctica clínica; establecidos estos desde la ética principialista y de las virtudes, como estudiantes de la Universidad Santo Tomas. Objetivo: Determinar el perfil valórico de los estudiantes de la facultad de Odontología antes de ingresar a prácticas clínicas, en estudiantes de primero a quinto semestre y plantear su compatibilidad con los valores bioéticos de la práctica clínica; establecido de las éticas personalista y principialista. Materiales y métodos: Para esta investigación se realizó un estudio observacional descriptivo de corte transversal, en el cual, a través del cuestionario de valores adaptado para Chile del Valué Survey de Schwartz y Bilsky, realizada por Brinkmann y cols. en 1991, se encuestó un total de 110 estudiantes de primero a quinto semestre, es decir, 22 estudiantes por semestre, de la facultad de odontología. El muestreo fue probabilístico aleatorio estratificado con afijación proporcional al considerar el tamaño de la población en cada semestre. Aunque no hubo necesidad de excluir a ningún participante, se tenía como único criterio de exclusión que ningún estudiante de la muestra hubiese tenido contacto con ninguna práctica clínica. Resultados: Los resultados sociodemográficos muestran: Según género: 79% de hombres, 21% mujeres, estrato socioeconómico 3: 40,0%, 4: 35.4%, 5: 10,9%, 2: 8,1% 1 y 6: 2.7%, la región andina predominó como lugar de procedencia del 88,2% de la muestra. Los dominios que presentan los promedios más altos son: Universalismo 59,9%, Benevolencia 46,9%, Autodirección 43,3%; y los promedios más bajos: Hedonismo 10,1%, Espiritualidad 10,5% y Estimulo 15,3%. El análisis según género muestra diferencias estadísticamente significativas en los dominios de: Universalismo (P= 0,0409) y Conformidad (P= 0,0394), presentando mayor importancia en mujeres en comparación con los hombres. La comparación entre promedios de estrato socioeconómico muestra que el dominio de Autodirección (P= 0,0202) se mantienen de mayor importancia estratos 1 y 6. Conclusiones: Los valores del perfil valórico de los estudiantes de odontología antes de ingresar a la practicas clínica son compatibles con los principios bioéticos de la práctica clínica; establecidos estos, desde la ética principialista y personalista; y así mismo, concordante con el Perfil ético del profesional de la Odontología. Introduction: Dentistry, as part of the health professions, involves in its professional development as a fundamental ethical principle, the value and respect for Life; thus, the humanization of interpersonal relationships in dental care represents a transcendental formative purpose; be important to guide from the academy, the essential human values of the student, progressively formed from the familiar family and the cultural environment; towards the conformation of an ethical profile compatible with the bioethical values of clinical practice; These principles of principlist ethics and virtues, such as students of the Santo Tomás University. Objective: To determine the value profile of the students of the Faculty of Dentistry before entering the clinical clinics, in students from first to fifth semester and to consider their compatibility with the bioethical values of the clinical practice; established personalist and principialist ethics. Materials and methods: Schwartz and Bilsky study, carried out by Brinkmann et al. In 1991, a total of 110 students from the first to the fifth semester, that is, 22 students per semester, from the dental school, were surveyed. The sampling was stratified random probabilistic with proportional allocation when considering the size of the population in each semester. Although there was no need to exclude any participant, it had as its only criterion of exclusion that no person did so. Results: Sociodemographic results show: According to gender: 79% men, 21% women, socioeconomic stratum 3: 40.0%, 4: 35.4%, 5: 10.9%, 2: 8.1% 1 and 6: 2.7%, the Andean region predominated as the place of origin of 88.2% of the sample. The domains with the highest averages are: Universalism 59.9%, Benevolence 46.9%, Self-direction 43.3%; and the lowest averages: Hedonism 10.1%, Spirituality 10.5% and Stimulation 15.3%. The analysis according to gender shows the statistically significant differences in the domains of: Universalism (P = 0.0409) and Conformity (P = 0.0394), presenting greater importance in women compared to men. The comparison between averages of socioeconomic stratum shows that the domains of Universalism (P = 0.1565) and Benevolence (P = 0.1206) remain as of greater importance in all. Conclusions: Values of dentistry students' profile before entering clinical practice are compatible with the bioethical principles of clinical practice; these, from principialist and personalist ethics; and likewise, concordant with the Ethical Profile of the Dentistry Professional. Odontólogo Pregrado

Ziel der vorliegenden Arbeit war die Entwicklung und Validierung eines Fragebogens zur Compliance im Alltag und Rückfallvorsorge bei Psychose-Erkrankungen (CARPE). Die Ergebnisse sollten einen Einblick darin geben, welche Empfehlungen zur Vermeidung eines Rückfalls neben einer zuverlässigen Medikamenteneinnahme am ehesten umgesetzt wurden und ob dabei signifikante Unterschiede zwischen ambulant und stationär Befragten bestanden. Grundlage der Generierung eines Itempools für den Fragebogen waren wesentliche Empfehlungen in gängigen psychoedukativen Manualen und Trainingsprogrammen. Der Itempool wurde im Rahmen einer Querschnittstudie einer Stichprobe von 166 Patienten mit der Diagnose einer schizophrenen Erkrankung vorgelegt. Nach explorativer Faktorenanalyse und Überprüfung der Validität verteilten sich die verbliebenen Items auf vier Faktoren. Aufgrund der Korrelationen der Subskalen mit anderen Erhebungsinstrumenten lässt sich schließen, dass der CARPE-Fragebogen inhaltlich relevante Konstrukte im Zusammenhang mit einem rückfallsensitiven Lebensstil abbildet. Die Angaben der Teilnehmer lassen auf eine hohe Compliance in den meisten der untersuchten Bereiche schließen. Hinsichtlich des Annehmens sozialer oder professioneller Unterstützung und der Medikamentencompliance zeigten sich signifikante Unterschiede zwischen ambulant und stationär Befragten. Die ambulante Gruppe gab häufiger an, entsprechende Empfehlungen umgesetzt zu haben. Insgesamt steht mit dem CARPE-Kurzfragebogen trotz weiteren Forschungs- und Validierungsbedarfs ein ökonomisches Rating-Instrument mit angemessenen metrischen Eigenschaften zur Erfassung der Compliance im Sinne der Umsetzung eines Rückfall-sensitiven Lebensstils bei Patienten mit einer schizophrenen Erkrankung zur Verfügung.

Resumen Antecedentes: las enfermedades cardiovasculares (ECV) representan un importante problema de salud para las mujeres en Uruguay. De acuerdo con las últimas estadísticas publicadas, en nuestro país mueren por esta causa más mujeres (13 por día) que hombres (11 por día). Objetivo: evaluar la percepción, conocimiento y conductas de prevención de las ECV de la mujer por la mujer. Método y resultado: en 2013 se encuestaron en Montevideo, por teléfono fijo, 300 mujeres (con edades entre 20 y 70 años), seleccionadas al azar, con una distribución similar a la de la población general en cuanto a nivel socioeconómico y edad. El cuestionario evaluó la percepción de la ECV como problema de salud, causa de muerte y comportamientos de prevención. El cáncer fue percibido por el 52% como el principal problema de salud y por el 62% como primera causa de muerte. La ECV lo fue en 17% y 12%, respectivamente. La mayoría de las mujeres tienen conocimiento sobre factores de riesgo cardiovascular, síntomas de ECV y comportamientos de prevención. Sin embargo, especialmente las más jóvenes subestimaron esta enfermedad y el cáncer de mama fue percibido como el principal problema de salud y no la ECV. Las mujeres hablan poco de estos temas con sus médicos (41% sobre medidas de prevención y 32% sobre síntomas de ECV). Conclusiones: la percepción de las mujeres encuestadas es que el cáncer es el principal problema de salud y causa de muerte; solo el 12% identificó a la ECV como la primera causa de muerte. Si bien las mujeres conocen los síntomas y los factores de riesgo, no los asocian con un problema de género. Summary Background: Cardiovascular diseases (CVD) represent a major health problem for women in Uruguay. More women than men die every year in our country due to heart disease and 13 women die every day, according to the latest published vital statistics. Objective: to evaluate the perception, knowledge and preventive behaviors of CVD of women by women. Method and results: in 2013, 300 women (age 20-70 years) were selected at random and surveyed by telephone, distributed in proportion to the population in terms socioeconomic level and age. The questionnaire assessed the perception of CVD as a health problem, cause of death and prevention behaviors. Cancer was perceived by 52% as the main health problem and 62% as the leading cause of death. So was CVD in 17% and 12% respectively. The vast majority of women respondents had an adequate level of knowledge about cardiovascular risk factors, symptoms of heart disease, as well as behaviors that prevent or reduce the likelihood of becoming ill. However, most women, especially the young ones underestimated this disease and perceived breast cancer as a main health concern rather than CVD. Few women talk about this with their doctors (41% of prevention measures and 32% of CVD symptoms). Conclusion: the perception of the surveyed women was that cancer is their main health problem and cause of death. Just 12% perceived CVD as the main cause of death. Although women knew the symptoms and risk factors of this illness, they didn’t associate it with a gender problem.

Background: The inability to carry out activities of daily living (ADL) is prevalent in elderly people and it is associated with hypertension and stroke. Aim: To evaluate ADLs using the T-ADLQ in hypertensive patients with minor stroke. Subjects and Methods: T-ADLQ, Cognitive tests (Minimental and Addenbrooke), and Hamilton depression test were applied to 100 hypertensive ambulatory patients (55 without symptomatic stroke and 45 with ischemic stroke, Rankin ≤ 2). Results: In stroke patients the ability to perform ADL was significantly reduced compared with hypertensive patients without stroke. Cognitive dysfunction and depressive symptoms were associated with a lower ADL performance. Conclusions: The T-ADLQ is useful to evaluate ADL in hypertensive ambulatory patients with ischemic stroke.

Background: The inability to carry out activities of daily living (ADL) is prevalent in elderly people and it is associated with hypertension and stroke. Aim: To evaluate ADLs using the T-ADLQ in hypertensive patients with minor stroke. Subjects and Methods: T-ADLQ, Cognitive tests (Minimental and Addenbrooke), and Hamilton depression test were applied to 100 hypertensive ambulatory patients (55 without symptomatic stroke and 45 with ischemic stroke, Rankin ≤ 2). Results: In stroke patients the ability to perform ADL was significantly reduced compared with hypertensive patients without stroke. Cognitive dysfunction and depressive symptoms were associated with a lower ADL performance. Conclusions: The T-ADLQ is useful to evaluate ADL in hypertensive ambulatory patients with ischemic stroke.

Amaç: Bu tez çalışmasında Akdeniz Üniversitesi Gero-Atlas çalışması sonucunda hayata geçen Gero-Atlas 60+ Tazelenme Üniversitesi öğrencilerinde genel beslenme bilgi düzeyinin ve ilişkili faktörlerin saptanması amaçlanmıştır. Uzun erimli amacımız: Çalışmamızın sonuçları doğrultusunda Gero-Atlas 60+ Tazelenme Üniversitesi eğitim programında beslenme dersinin yapılanmasına ışık tutmaktır. Yöntem: Bu çalışma nicel verilere sahip kesitsel bir çalışmadır. Çalışmaya Akdeniz Üniversitesi Gero-Atlas 60+ Tazelenme Üniversitesi'nin eğitim verdiği Akdeniz ve Ege Üniversitesi Kampüslerinde toplam 167 öğrenci dahil edilmiştir. Çalışmada Türkçe geçerlik güvenirliği Alsaffar tarafından yapılan, Parmenter ve Wardle'ın Genel Beslenme Bilgisi Anketi kullanılmıştır. Bu ölçeğin A-B-C-D olmak üzere 4 bölümü vardır. "Diyet-hastalık ilişkisi"ni içeren D bölümü çalışmamızda kullanılmamıştır. Her bölüm ve toplam puan için, alınan ortalama puanın maksimum alınabilecek puana bölünmesiyle elde edilen ortalama puan yüzdeleri hesaplanmıştır. A bölümünde "Uzmanların Diyet Önerileri" soruları bulunmaktadır, toplam puan 11'dir. B bölümünde "Besin Bilgisi" soruları bulunmaktadır, toplam puan 63'tür. C bölümünde ise "Gündelik Besin Seçimleri" soruları bulunmaktadır, toplam puan 8'dir. Bütün ölçeğin toplam puanı 82'dir. Bulgular: Katılımcıların 66'sı kadın (%39.5), 101'i (%60.5) erkektir, yaş ortalaması 64.89±6.40 yıldır. 11'inin (%6.6) eğitim yılı 5 yıl altında, 48'inin (%28.7) eğitim yılı 5-11 yıl arasında, 108'inin (%64.7) eğitim yılı 11 yıl üzerindedir, çoğunluğunun (%61.7) fazla kilolu ya da obez sınıfında olduğu saptanmıştır. Anketin toplamından alınan puan: 49.5 %60.42 (Max:82), A, B, C bölümünde ortalama puanları sırasıyla 5 (%45), 38 (%60.75), 6 (%78.36). Katılımcıların toplam puanı yüksek olsa da alt gruplar incelendiğinde özellikle uzmanların diyet önerileri kısmında bilgi düzeyi düşük bulunmuştur. Eğitim düzeyi arttıkça genel beslenme bilgi puanı (p=0.001) ve alt grup puan analizi (B bölümü) (p=0.005) istatistiksel açıdan anlamlı derecede arttığı saptanmıştır. Genel beslenme bilgisi ile cinsiyet, yaş, beden kütle indeksi (BKİ), gelir düzeyi, medeni durum arasında anlamlı bir fark bulunmamıştır (p>0.05). Alt grup puan analizi (C bölümü) ile yaş arasında anlamlı bir fark bulunmuştur. 75 yaş ve üzeri yaş grubunun 65 yaş altı ve 65-74 yaş arası gruptan Gündelik Besin Seçimleri Bilgisi puanı anlamlı olarak düşük olduğu saptanmıştır (p=0.005). Katılımcıların %68.9'u (n=115) kronik bir hastalığının olduğunu belirtmiştir. En sık görülen kronik hastalıklar Hipertansiyon (HT) (%30.4) ve Tip 2 Diabetes Mellitüs'tür (DM) (%13.4). Tip 2 DM ve HT hastalığı olanlarda Gündelik seçim bilgisi düşük bulunmuştur (p=0.049). Katılımcıların %70.7'si günde kaç porsiyon meyve-sebze tüketilmesi gerektiğini, %81.4'ü hangi tip yağ kullanımının azaltılmasının sağlık için önemli olduğunu, çoğunluğu (%87.4) günlük tuz tüketiminin kaç gramı aşmaması gerektiğini bilmemektedir. Sonuç: Eğitim düzeyi arttıkça genel beslenme bilgi düzeyi artmaktadır. Katılımcıların toplam puanı yüksek olsa da alt gruplar incelendiğinde özellikle uzmanların diyet önerileri kısmında bilgi düzeyi düşük bulunmuştur. Gero-Atlas 60+ Tazelenme Üniversitesi beslenme derslerinde özellikle günlük beslenmemizde yer alan tuz, nişastalı besinler, sebze ve meyve miktarı, besinler şeker içeriği, Tip 2 DM ve HT hastalıklarında beslenme ve doğru tip yağ kullanımı konularına yer verilmesi bilgi düzeyini arttıracağını düşünmekteyiz., Aims: This study aims to determine the general nutrition knowledge levels of the Gero-Atlas 60+ Tazelenme University, which was put into practice as a result of the Gero-Atlas study of Akdeniz University, students and other factors related to this. Our longitudinal aim: To form the basis of the educational programmes of Gero-Atlas 60+ Tazelenme University which was established as civil initiative according to our scientific findings Method: This is a cross-sectional study with quantitative data. 167 students whom educated in Akdeniz and Ege University campuses of Tazelenme University participated in this study. To determine the general nutrition knowledge level, Parmenter and Wardle's General Nutrition Knowledge Questionnaire, translated by Alsaffar, was used. This questionnaire consists of 4 sections (A-B-C-D) but section D, covering diet-disease relationships, was not used. For each section and total score, the average percentage points obtained by dividing the average score by the maximum number of points that can be taken are calculated. Section A covers the dietary recommendations of specialists. Participants who give correct answers to all of questions in Section A get 11 points. Section B covers the nutrient knowledge and participants who give correct answers to all of questions in Section B get 63 points. Section C covers everyday food choises and participants who give correct answers to all of questions in Section C get 8 points. Participants who give correct answers to all of questions get 82 points. Findings: 39.5% of the participants (n=66) are female, and 60.5% (n=101) are male. The age average of participants is 64.89±6.40. 11 (%6.6) of the participants received education for less than 5 years, 48 (%28.7) participants received education for 5-11 years and 108 (%64.7) participants received education for more than 11 years. Most of the participants (61.7%) were found to be overweight or obese. The participants' mean scores in sections A, B, and C are 5 (%45), 38 (%60.75), 6 (%78.36); respectively and the total mean score is 49.5 (60.42%). Even though the total score of the participants are high, they are found to be lacking in their knowledge about specialists' dietary recommendations when sub-groups are examined separately. There is significant relationship between education level and general nutrition knowledge (p = 0.001) and subgroup analyzes (section B) (p = 0.005). There is no significant relation between gender, age, Body Mass Index (BMI), income level, marital status (p>0.05). The findings of this study point to a significant relation between sub group (section C) and age. The 75-year-old and over-age group's everyday food choises score was significantly lower than the group below 65 years of age and 65-74 age group (p = 0.005). 68.9% of the participants (n = 115) stated that they had chronic illness. 30.4% of individuals have hypertension and 13.4% of individuals have diabetic. Participants who had diabetes+ hypertension were found as having lower scores on sub group (section C) than those with other diseases (p = 0.049). 70.7% of the participants do not know how many portions of fruit and vegetables should be consumed per day. 81.4% of participants do not know what type of oil reduction is important for our health. The majority of participants (87.4%) do not know how many grams a day salt consumption should exceed. Results: The higher the education level is, the better the general nutrition knowledge level is. Even though the total score of the participants are high, they are found to be lacking in their knowledge about specialists' dietary recommendations when sub-groups are examined separately. In the nutrition lessons of Gero-Atlas 60+ Tazelenme University, we think that giving coverage to the amount of salt, sugar, starchy foods, vegetables and fruits, the nutrition in Type 2 Diabetes Mellitus and Hypertension disease, the correct type of oil usage, will increase the level of nutrition knowledge.