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Id: biblio-1136454
Autor: Santos, Emanuelle Mandú Meira dos; Constantino, Bruna; Rocha, Marina Monzani da; Mastroeni, Marco Fabio.
Título: Predictors of low perceptual-motor skills in children at 4-5 years of age / Preditores da baixa habilidade percepto-motora em crianças de 4-5 anos de idade
Fonte: Rev. Bras. Saúde Mater. Infant. (Online);20(3):759-767, July-Sept. 2020. tab, graf.
Idioma: en.
Resumo: Abstract Objectives: the purpose of this study was to evaluate the predictors of low perceptual-motor skills in children at preschool age. Methods: this is a cross-sectional study nested in a birth cohort involving mother-child pairs. The children's perceptual-motor skills were assessed individually in their homes when they were 4-5 years old using the Pre-Literacy Skills and Knowledge Test (THCP®), a vali-dated Brazilian instrument. Logistic regression analysis was used to estimate the association between cognitive perceptual-motor skills and potential maternal and child risk factors. Results: of the 199 children included in the study, 53.8% were boys, 90.8% attended school, and 91.1% were enrolled in a public school. Among the children, 114 (57.3%), 41 (20.6%) and 44 (22.1%) had low, moderate and high perceptual-motor skills, respectively. Multivariate logistic regression analysis revealed greater odds of children at preschool age having low perceptual motor skills for boys (OR=2.10; CI95%= 1.14-3.88), children who did not attend school (OR=4.61; CI95%= 1.21-17.49), and those with a household income <5 minimum wages (MW) (OR=4.28; CI95%= 1.49-12.26). Conclusions: our study showed that male gender, not attending school and a monthly household income <5 MW were predictors of low perceptual-motor skills in children at 4-5 years of age.

Resumo Objetivos: avaliar os preditores da baixa habilidade percepto-motora em crianças em idade pré-escolar. Métodos: trata-se de um estudo transversal aninhado a uma coorte de nascimentos envol-vendo pares de mães-crianças. A habilidade percepto-motora das crianças foi avaliada indi-vidualmente em suas residências quando completaram 4-5 anos de idade, utilizando-se o Teste de Habilidades e Conhecimento Pré-Alfabetização (THCP®), um instrumento brasileiro validado. Análise de regressão logística foi utilizada para estimar a associação entre a baixa habilidade percepto-motora das crianças e potenciais fatores de risco materno-infantil. Resultados: das 199 crianças incluídas no estudo, 53,8% eram meninos, 90,8% frequen-tavam a escola, e 91,1% estudavam em escola pública. Entre as crianças, 114 (57,3%), 41 (20,6%) e 44 (22,1%) revelaram baixa, moderada e elevada habilidade percepto-motora, respectivamente. A análise de regressão logística ajustada revelou maior chance de crianças em idade pré-escolar apresentar baixa habilidade percepto-motora quando em meninos (OR=2,10; IC95%=1,14-3,88), crianças que não frequentavam a escola (OR=4,61; IC95%=1,21-17,49), e possuíam renda familiar <5 salários mínimos (SM) (OR=4,28; IC95%=1,49-12,26). Conclusões: nosso estudo revelou que sexo masculino, renda familiar <5 SM, e não frequentar a escola foram preditores significativos da baixa habilidade percepto-motora em crianças de 4-5 anos de idade.
Descritores: Percepção
Fatores de Risco
Transtornos Cognitivos
Desempenho Acadêmico
Destreza Motora
-Estudos Transversais
Relações Mãe-Filho
Limites: Humanos
Pré-Escolar
Responsável: BR663.1 - Biblioteca da Saúde da Mulher e da Criança


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Id: biblio-960156
Autor: Muñoz Zúñiqa, Jose Fernando.
Título: Los múltiples rostros del síndrome orbitofrontal / The Many Faces of Orbitofrontal Syndrome
Fonte: Rev. colomb. psiquiatr;46(supl.1):43-50, oct.-dic. 2017. graf.
Idioma: es.
Resumo: Resumen El síndrome orbitofrontal es un síndrome neuropsiquiátrico con síntomas que afectan a los dominios cognitivo, afectivo y conductual alterando algunos de los rasgos que nos definen como especie, como la flexibilidad cognitiva y la regulación afectiva. Para realizar una buena práctica, el clínico debe estar familiarizado con la neuroanatomía funcional y la semiología neuropsiquiátrica del síndrome. Se realiza una revisión de la literatura, haciendo énfasis en el amplio espectro de manifestaciones clínicas del síndrome; se presentan 3 viñetas clínicas que muestran los diferentes rostros que puede asumir el síndrome. Se discuten posibles factores que influyen en la heterogeneidad de la presentación clínica. Tomando un modelo de jerarquías neurales, se proponen dos ejes a partir de los cuales se puede buscar las invariantes del síndrome orbitofrontal, la pérdida de la integración de información interoceptiva y exteroceptiva y la pérdida de regulación afectiva.

Abstract Orbitofrontal syndrome is a neuropsychiatric syndrome composed of cognitive, affective and behavioural symptoms, disrupting some of the traits that define us as a species, like cognitive flexibility and affective regulation. In order to effectively treat the condition, the clinician needs to be familiar with both the functional neuroanatomy and the neuropsychiatric semiology of the syndrome. A review of the literature is presented, emphasising the broad spectrum of clinical manifestations of the syndrome, together with three clinical vignettes showing the many faces of the syndrome. Several factors influencing the heterogeneity of clinical presentation are discussed. Taking a hierarchical model of neural networks, two core concepts, loss of interoceptive/exteroceptive integration and loss of affective regulation, are proposed in looking for invariants in orbitofrontal syndrome.
Descritores: Neuropsiquiatria
-Psicopatologia
Síndrome
Transtornos Cognitivos
Cérebro/anatomia & histologia
Neuroanatomia
Limites: Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Revisão
Responsável: CO78 - Asociación Colombiana de Psiquiatría


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Id: lil-473895
Autor: Costa, Ana Cássia Reis da; Rodrigues, Márcia Cristina dos Santos Guerra; Lima, Rafael Rodrigues.
Título: Deficiência da capacidade mastigatória e sua influência sobre memória e aprendizagem - revisão de literatura / Deficits of the masticatory capacity and the influence on the memory and the learning's review literature
Fonte: Rev. para. med = Rev. Para. Med. (Impr.);20(3):51-54, jul.-set. 2006.
Idioma: pt.
Resumo: Objetivo: correlacionar a influência da diminuição da capacidade mastigatória sobre a memória e a aprendizagem. Método: revisão bibliográfica das publicações mais relevantes sobre o assunto nas bases de dados internacionais Medline, LILACS e na base de dados nacional BBO, investigando as informações descritas na literatura sobre epidemiologia da saúde oral do idoso, alterações na cavidade oral e a influência da mastigação sobre o sistema nervoso central em condições normais e deficitárias. Considerações Finais: há relação entre deficiências mastigatória e cognitiva senis em roedores, levantando a questão da importância deste tema ser estudado de forma multidisciplinar dentro das ciências biomédicas, servindo como hipótese para futuras pesquisas em seres humanos portadores de deficiência mastigatória.

Objective: to correlate to the influence of the reduction of the masticatory capacity on the memory and the learning. Method: bibliographical review of publications most excellent on the subject in the international LILACS and databases Medline and in the database national BBO was carried through, investigating the described information in literature on epidemiology of the oral health of the aged one, alterations in the oral cavity and the influence of the chew on the central nervous system in normal and deficit conditions Final considerations: it has relation between masticatory deficit and senile cognitive deficit in rodents, lifting the subject the importance of this theme to be treated in a multidisciplinary form inside of biomedical sciences, serving as hypothesis for future research in carrying human beings of masticatory deficiency.
Descritores: Aprendizagem
Mastigação
Saúde Bucal
Transtornos Cognitivos
Limites: Humanos
Masculino
Feminino
Idoso
Tipo de Publ: Revisão
Responsável: BR3.1 - Biblioteca Central


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Texto completo SciELO Saúde Pública
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Id: biblio-979021
Autor: Yokomizo, Juliana Emy; Seeher, Katrin; Oliveira, Glaucia Martins de; Silva, Laís dos Santos Vinholi e; Saran, Laura; Brodaty, Henry; Aprahamian, Ivan; Yassuda, Monica Sanches; Bottino, Cássio Machado de Campos.
Título: Cognitive screening test in primary care: cut points for low education
Fonte: Rev. saúde pública (Online);52:88, 2018. tab, graf.
Idioma: en.
Projeto: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
Resumo: ABSTRACT OBJECTIVE To establish the diagnostic accuracy of the Brazilian version of the General Practitioner Assessment of Cognition (GPCOG-Br) compared to the Mini-Mental State Examination (MMSE) in individuals with low educational level. METHODS Ninety-three patients (≥ 60 years old) from Brazilian primary care units provided sociodemographic, cognitive, and functional data. Receiver operating characteristics, areas under the curve (AUC) and logistic regressions were conducted. RESULTS Sixty-eight patients with 0-4 years of education. Cases (n = 44) were older (p = 0.006) and performed worse than controls (n = 49) on all cognitive or functional measures (p < 0.001). The GPCOG-Br demonstrated similar diagnostic accuracy to the MMSE (AUC = 0.90 and 0.91, respectively) and similar positive and negative predictive values (PPV/NPV, respectively: 0.79/0.86 for GPCOG-Br and 0.79/0.81 for MMSE). Adjusted cut-points displayed high sensitivity (all 86%) and satisfactory specificity (65%-80%). Lower educational level predicted lower cognitive performance. CONCLUSIONS The GPCOG-Br is clinically well-suited for use in primary care.
Descritores: Atenção Primária à Saúde
Transtornos Cognitivos/diagnóstico
Escolaridade
Testes de Estado Mental e Demência
-Brasil
Estudos de Casos e Controles
Programas de Rastreamento
Estudos Prospectivos
Curva ROC
Sensibilidade e Especificidade
Limites: Humanos
Masculino
Feminino
Idoso
Tipo de Publ: Estudo Comparativo
Estudo de Validação
Responsável: BR1.1 - BIREME


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Id: biblio-1253883
Autor: Muñoz Díaz, Breydis; Navas Blanco, Trina María.
Título: Hipotiroidismo congénito no tratado en mujer de 48 años / Untreated congenital hypothyroidism in a 48-year-old woman
Fonte: Med. interna (Caracas);37(1):21-21, 2021. ilus.
Idioma: es.
Descritores: Diagnóstico Clínico
Transtornos Cognitivos
Hipotireoidismo Congênito
-Tiroxina/uso terapêutico
Prednisona/uso terapêutico
Limites: Humanos
Feminino
Pessoa de Meia-Idade
Tipo de Publ: Relatos de Casos
Responsável: VE1.1 - Biblioteca Humberto Garcia Arocha


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Texto completo SciELO Brasil
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Id: biblio-1089609
Autor: Cecato, Juliana Francisca; Balduino, Everton; Fuentes, Débora; Martinelli, José Eduardo.
Título: Psychometric properties of Cognitive Instruments in Vascular Dementia and Alzheimer's disease: a neuropsychological study
Fonte: Clinics;75:e1435, 2020. tab, graf.
Idioma: en.
Resumo: OBJECTIVES: To describe elderly performance in the Bender Gestalt Test (BGT) and to discriminate its score by using types of errors as comparison among healthy controls, Alzheimer's disease (AD) patients, and vascular dementia (VD) patients. METHODS: We performed a cross-sectional analysis of 285 elderly individuals of both sexes, all over 60 years old and with more than 1 year of schooling. All participants were assessed through a detailed clinical history, laboratorial tests, neuroimaging, and neuropsychological tests including the BGT, the Cambridge Cognitive Examination (CAMCOG), the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale (GDS), and the Pfeffer Functional Activities Questionnaire (PFAQ). The BGT scores were not used to establish diagnosis. RESULTS: Mean BGT scores were 3.2 for healthy controls, 7.21 for AD, and 8.04 for VD with statistically significant differences observed between groups (p<0.0001). Logistic regression analysis was used to identify the main risk factors for the diagnostic groups. BGT's scores significantly differentiated the healthy elderly from those with AD (p<0.0001) and VD (p<0.0001), with a higher area under the curve, respectively 0.958 and 0.982. BGT's scores also showed that the AD group presented 12 types of errors. Types of errors evidenced in the execution of this test may be fundamental in clinical practice because it can offer differential diagnoses between senescence and senility. CONCLUSION: A cut-off point of 4 in the BGT indicated cognitive impairment. BGT thus provides satisfactory and useful psychometric data to investigate elderly individuals.
Descritores: Psicometria/estatística & dados numéricos
Demência Vascular/diagnóstico
Inquéritos e Questionários
Transtornos Cognitivos/diagnóstico
Doença de Alzheimer/diagnóstico
-Estudos de Casos e Controles
Estudos Transversais
Cognição/fisiologia
Manual Diagnóstico e Estatístico de Transtornos Mentais
Testes Neuropsicológicos
Limites: Humanos
Masculino
Feminino
Lactente
Idoso
Responsável: BR1.1 - BIREME


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Id: biblio-1151924
Autor: Matus R, Paulina; Tapia S, Sara.
Título: Trastornos de la comunicación en personas con esclerosis múltiple e instrumentos de evaluación / Communication disorders in people with multiple sclerosis and evaluations instruments
Fonte: Rev. Hosp. Clin. Univ. Chile;32(1):52-59, 2021.
Idioma: es.
Resumo: Communication is an essential part of our social participation and the need to know how to evaluate and deal with its alterations is essential when working with people with neurological pathologies such as Multiple Sclerosis (MS). Purpose: to carry out a bibliographic review and group information related to communication problems, describing useful instruments for timely evaluation in the different areas involved. Material and method: bibliographic review related to the subject. Results: People with MS can face differents communication problems (aphasia, dysarthria or cognitive communicative disorder), it is important to have the characterization of these disorders and with tools that specifically carry out a pertinent evaluation with common language among experts. Conclusions: considering the importance of communication, its disorders as a consequence of MS and the forms of evaluation are a priority when intervening with this population. (AU)
Descritores: Transtornos da Comunicação
Esclerose Múltipla/complicações
-Afasia
Transtornos Cognitivos
Disartria
Esclerose Múltipla/fisiopatologia
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Tipo de Publ: Revisão
Responsável: CL36.1 - Biblioteca Hospital Clínico


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Id: biblio-1128303
Autor: Guajardo, María Elena.
Título: Empleo de benzodiacepinas y riesgo de demencia o deterioro cognitivo / Benzodiazepine use and risk of incident dementia or cognitive decline
Fonte: Evid. actual. práct. ambul;20(2):55-55, 2017. tab.
Idioma: es.
Descritores: Ansiolíticos/efeitos adversos
Benzodiazepinas/efeitos adversos
Transtornos Cognitivos/induzido quimicamente
Demência/induzido quimicamente
Antidepressivos/efeitos adversos
-Ansiolíticos/uso terapêutico
Benzodiazepinas/uso terapêutico
Washington
Vigilância da População
Fatores de Risco
Doença de Alzheimer/induzido quimicamente
Antidepressivos/uso terapêutico
Limites: Humanos
Masculino
Feminino
Idoso
Tipo de Publ: Comentário
Responsável: AR2.1 - Biblioteca Central


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Texto completo SciELO Brasil
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Id: biblio-1057500
Autor: Kiabi, Farshad Hasanzadeh; Soleimani, Aria; Habibi, Mohammad Reza.
Título: Neuroprotective effect of low mean arterial pressure on postoperative cognitive deficit attenuated by prolonged coronary artery bypass time: a meta-analysis
Fonte: Rev. bras. cir. cardiovasc = Braz. j. cardiovasc. surg. (impr.);34(6):739-748, Nov.-Dec. 2019. tab, graf.
Idioma: en.
Resumo: Abstract Introduction: The true influence of the low mean arterial pressure (low MAP) during coronary artery bypass grafting (CABG) on the development of postoperative cognitive deficit (POCD) remains controversial. We aimed to perform a meta-analysis and meta-regression to determine the effect of low MAP on POCD, as well as moderator variables between low MAP and POCD. Methods: The Web of Science, PubMed database, Scopus and the Cochrane Library database (up to June 2018) were searched and retrieved articles systematically reviewed. Only randomized controlled trials (RCTs) comparing maintenance of low MAP (<80 mmHg) and high MAP (>80 mmHg) during cardiopulmonary bypass (CPB) were included in our final review. Statistical analysis of the risk ratio (RR) and corresponding 95% confidence interval (CI) was used to report the overall effect. The overall effect and meta-regression analysis were done using Mantel-Haenszel risk ratio (MHRR) and the corresponding 95% confidence interval (CI). Results: A total of 731 patients in three RCTs were included in this study. POCD occurred in 6.4% of all cases. Maintenance of low MAP did not reduce the occurrence of POCD (MHRR 1.012 [95% CI 0.277-3.688]; Z=0.018; P=0.986; I2=66%). Shorter CPB time reduced the occurrence of POCD regardless of group assignment (MH log risk ratio -0.519 [95% CI -0.949 - -0.089]; Z= -2.367; P=0.017). Conclusion: POCD is a common event among CABG patients. The neuroprotective effect of low MAP on POCD was attenuated by the prolonged CPB time.
Descritores: Complicações Pós-Operatórias/prevenção & controle
Ponte de Artéria Coronária/reabilitação
Transtornos Cognitivos/prevenção & controle
Hipotensão
-Complicações Pós-Operatórias/etiologia
Período Pós-Operatório
Ponte de Artéria Coronária/efeitos adversos
Fatores de Risco
Transtornos Cognitivos/etiologia
Circulação Extracorpórea
Pressão Arterial
Testes Neuropsicológicos
Limites: Humanos
Masculino
Feminino
Tipo de Publ: Revisão
Metanálise
Responsável: BR1.1 - BIREME


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Id: biblio-1092465
Autor: Sacli, Hakan; Kara, Ibrahim.
Título: Are standard follow-up parameters sufficient to protect neurocognitive functions in patients with diabetes mellitus who underwent coronary artery bypass grafting?
Fonte: Rev. bras. cir. cardiovasc = Braz. j. cardiovasc. surg. (impr.);35(1):75-81, Jan.-Feb. 2020. tab, graf.
Idioma: en.
Resumo: Abstract Objective: We aimed to compare the effectiveness of cognitive function protection between the standard follow-up parameters and advanced neuromonitoring methods in diabetic patients who underwent coronary artery bypass grafting during cardiopulmonary bypass. Methods: Study design was prospective and observational. Patients were separated into two groups, treated only with standard follow-up parameters (Group 1) and followed up with the change of regional cerebral tissue oxygenation (rSO2) by near-infrared spectroscopy (Group 2). Neurocognitive functions were evaluated preoperatively and postoperatively before discharge in all patients using the Montreal Cognitive Assessment (MoCA) test. Results: Cognitive functions of Group 2 patients in the postoperative period were significantly higher than Group 1 patients (P=0.001). The mean postoperative MoCA score of patients was significantly lower than the mean preoperative MoCA score in Group 1 (24.8±2.2 vs. 23.6±2.6, P=0.02). However, mild cognitive dysfunction was significantly lower in Group 2, compared to Group 1 (P=0.02). Conclusion: In patients followed up with standard parameters, a significant decrease in cognitive function was observed in the early period. However, the use of advanced neuromonitoring methods can significantly prevent this decrease in cognitive functions.
Descritores: Diabetes Mellitus
-Ponte Cardiopulmonar
Ponte de Artéria Coronária
Estudos Prospectivos
Seguimentos
Transtornos Cognitivos
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Idoso
Tipo de Publ: Estudo Observacional
Responsável: BR1.1 - BIREME



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