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Autore principale:	Fernanda Nascimento Costa
Natura:	Artículo científico
Lingua:	en
Pubblicazione:	Sociedade Brasileira de Geriatria e Gerontologia 2018
Soggetti:	Multidisciplinaria (Ciencias Naturales y Exactas) aged health Brazil Self concept
Accesso online:	https://www.redalyc.org/articulo.oa?id=739780705015
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USE OF MEDICATIONS IS STRONGLY ASSOCIATED WITH WORSE SELF-PERCEIVED HEALTH IN INSTITUTIONALIZED AND COMMUNITY-DWELLING ELDERLY Fernanda Nascimento Costa Liciana Vaz de Arruda Silveira Alessandro Ferrari Jacinto Multidisciplinaria (Ciencias Naturales y Exactas) aged health Brazil Self concept Objective: This study aimed to investigate self-perceived health among a sample of institutionalized and a sample of communitydwelling elderly in two cities of the São Paulo State, Brazil: Bauru and Botucatu. Methods: Ninety-five elderly individuals from ten long-term care homes from Bauru, SP and Botucatu, SP and 101 community-dwelling elderly users of three centers for the elderly in Bauru, SP were assessed. After obtaining the personal and health data, the evaluation of self-perception of health was performed by asking how the elderly person perceived his health in the most recent days; the response options were very poor, poor, fair, good or excellent. Results: There was a statistically significant difference (< 0.001) between institutionalized and community-dwelling elderly considering self-perceived health.. After adjusting the model of ordinal logistic regression, it was observed that institutionalized individuals who regularly used prescription medications had a chance 7.5 times greater than nonusers of having a worse self-perceived health [OR = 7.5; 95%CI (2.1–26.6; p = 0.002)]. In the community-dwelling group it was observed that individuals who regularly used prescription medications had a chance 4.5 times greater than nonusers of having a worse self-perceived health [OR = 4.5; 95%CI (1.5–13.7; p = 0.008)]. Conclusions: Worse self-perceived health was associated with taking prescription medications among both institutionalized and community-dwelling elderly. 2018 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739780705015 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.1 Vol.12

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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