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O presente artigo é resultado do projeto de extensão CINEPOP: Cinema como experiência de lazer popular e inclusão social, apresentado à UNESPAR, campus de Apucarana, cujo objetivo era a democratização do lazer levando o cinema às pessoas idosas de comunidades assistidas. Essas pessoas têm dificuldade de acesso às atividades citadas em função de características de consumo impostas pela indústria cultural. Atividades lúdicas, assim como o cinema possibilitam estímulos aos sentidos, exercitam o simbólico e exaltam emoções, estimulando as pessoas a pensar sobre a sociedade e refletir mais sobre questões de suas próprias vidas. A metodologia utilizada foi pesquisa qualitativa e bibliográfica. Utilizou-se de entrevista semiestruturada facilitando o diálogo para coleta de dados através da fala dos participantes. Foram realizados 4 encontros semanais com apresentação de filmes de época para os idosos de comunidades assistidas de Apucarana. Conclui-se que este tipo de atividade trouxe bons resultados e alcançou seu objetivo no tocante à satisfação dos idosos e também para a equipe, que pode sentir na prática a importância do lazer. Ressalta-se ainda que projetos como este deveriam ser permanentes, pois isto permitirá que os idosos tenham experiências divertidas, levando os a interagir com outras pessoas, tornando-os ativos na sociedade, estimulando a troca de experiências e bem estar.

The presente article results from the extension project "CINEPOP: Cinema as leisure and social inclusion enperience", presented to UNESPAR ­ Apucarana campus, which goal is leisure democratization by taking cinema to elderly included in assisted communities. Those people face several difficulties accessing cultural activities due to expenditure issues imposed by cultural industry. Ludic activities, as well as cinema, promote stimulus to senses, symbolism and emotion, leading people to wonder about society and consider countless topics concerning their own lifes. The mothodology applied was qualitative and bibliographic research. It has been also employed semi-structured interviews in order to facilitate the data gathering through participants´ speech. Four weekly exhibitions was arranged, with exhibition of peroid movies for the elderly from assisted communities on Apucarana. It may be deduced that this specifically kind of activity has brought fine results and has reached its goals when it comes to the satisfaction for both the elderly and the staff of the project, who could experience in practice the real importance of leisure. It may also be highlighted that projects like this one should be permanente, so it would allow the elderly to enjoy fun activities, leading them to interact with other people and making them more socially active, stimulating the exchange of life experiences and welfare.

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OBJECTIVE: The goal of this cross-sectional study was to evaluate the relationships between alexithymia and suicide ideation in 80 adult outpatients with a DSM-IV diagnosis of binge eating disorder (BED). METHODS: Alexithymia was measured with the 20-item Toronto Alexithymia Scale (TAS-20); suicide ideation was assessed with the Scale of Suicide Ideation (SSI); severity of BED was assessed with the Binge Eating Scale (BES); and depressive and anxiety symptoms were evaluated, respectively, with the Montgomery-Åsberg Depression Rating Scale (MADRS) and the Hamilton Anxiety Rating Scale (Ham-A). RESULTS: Prevalence of current suicide ideation was 27.5% (n = 22) in this sample and 10 subjects (12.5%) had attempted suicide at some time in their lives. Subjects with alexithymia had more significant suicide ideation, a higher prevalence of current suicide ideation, and more previous suicide attempts than those without alexithymia. In a linear regression model, higher MADRS scores and higher scores on the Difficulty in Identifying Feelings/Difficulty in Describing Feelings dimensions of the TAS-20 were associated with increased suicide ideation. DISCUSSION: Suicidal behavior is no less common in BED than in other eating disorders. Individuals with BED may show increased suicide ideation, especially in the presence of alexithymia and depressive symptoms, even if these symptoms are subclinical. The authors also discuss limitations of this study and future research needs.

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This study evaluated the efficacy and tolerability of an autologous tissue-engineered graft--a 2-step HYAFF autograft--in the treatment of diabetic foot ulcers compared with standard care. In all, 180 patients with dorsal or plantar diabetic foot ulcers (unhealed for ≥1 month) were randomized to receive Hyalograft-3D autograft first and then Laserskin autograft after 2 weeks (n = 90; treatment group) or nonadherent paraffin gauze (n = 90; control group). Efficacy and adverse events were assessed weekly for 12 weeks, at 20 weeks, and at 18 months. The primary efficacy outcome was complete ulcer healing at 12 weeks. Wound debridement, adequate pressure relief, and infection control were provided to both groups. At 12 weeks, complete ulcer healing was similar in both groups (24% of treated vs 21% controls). A 50% reduction in ulcer area was achieved significantly faster in the treatment group (mean 40 vs 50 days; P = .018). Weekly percentage ulcer reduction was consistently higher in the treatment group. At 20 weeks, ulcer healing was achieved in 50% of the treated group as compared with 43% of controls. Dorsal ulcers had a 2.17-fold better chance of wound healing per unit time following autograft treatment (P = .047). In a subgroup with hard-to-heal ulcers, there was a 3.65-fold better chance of wound healing following autograft treatment of dorsal ulcers (P = .035). Adverse events were similar in both groups. The study results demonstrated the potential of this bioengineered substitutes to manage hard-to-heal dorsal foot ulcers.

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OBJECTIVE: Charcot neuroarthropathy is a disabling complication of diabetes. Although its pathogenesis remains unknown, we suppose that genetics may play a relevant role. RESEARCH DESIGN AND METHODS: We performed a case-control study with 59 subjects with diabetic Charcot neuroarthropathy (Ch group), 41 with diabetic neuropathy without Charcot neuroarthropathy (ND group), and 103 healthy control subjects (H group) to evaluate the impact of two single nucleotide polymorphisms (SNPs) of the osteoprotegerin gene (G1181C and T245G) on the risk of Charcot neuroarthropathy. RESULTS: Regarding the SNPs of G1181C, we found a significant linkage between the G allele and Charcot neuroarthropathy (Ch vs. ND, odds ratio [OR] 2.32 [95% CI 1.3-4.1], P = 0.006; Ch vs. H, 2.10 [1.3-3.3], P = 0.002; and ND vs. H, 0.90 [0.7-1.9], P = 0.452); similarly, we found a linkage with the G allele of T245G (Ch vs. ND, 6.25 [2.2-19.7], P < 0.001; Ch vs. H, 3.56 [1.9-6.7], P = 0.001; and ND vs. H, 0.54 [0.6-5.7], P = 0.304), supporting a protective role for the allele C and T, respectively. For this reason we investigated the frequency of the protective double homozygosis CC + TT (7% in Ch) that was significantly lower in Ch compared with H (0.18 [0.06-0.5], P = 0.002) and with ND (0.17 [0.05-0.58], P = 0.006), whereas there was no difference between H and ND (1.05 [0.43-2.0], P = 0.468). In a multivariate logistic backward regression model, only weight and the lack of CC and TT genotypes were independently associated with the presence of Charcot neuroarthropathy. CONCLUSIONS: This is the first study that shows an association between genetic regulation of bone remodeling and Charcot neuroarthropathy.

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Diabetes mellitus is rapidly increasing, diabetic patients are likely to undergo surgical procedures more than non-diabetic patients, the hospital stay of diabetic patients is longer, and diabetic patients have increased mortality and morbidity. The correct treatment of diabetic patients in the perioperative period is crucial to improve clinical outcomes. Diabetic patients must be carefully evaluated for cardiovascular risk, keeping in mind micro- and macroangiopathic diabetic complications. Metabolic control deserves great attention because hyperglycemia is related to increased complications and worse outcomes. Insulin infusion regimens to achieve near normoglycemia must be implemented in surgical and critically ill patients.

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