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BACKGROUND: Currently there is no consensus on which are the characteristics of rehabilitation approaches (bottom-up or top-down) most effective in the rehabilitation of ADLs in people with Neglet Syndrome (NS). AIM: To characterize the approaches (bottom-up or top-down) with more impact on ADLs in adults and elderly with NS. METHODS: This systematic review was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) recommendation. A bibliographic search was carried out in PubMed, Web of Science, PEDro and Cochrane databases. Experimental studies were considered in which at least one technique of the bottom-up and top-down approaches was used. The Joanna Briggs Institute Critical Appraisal Checklist for RCTs tool was used to assess the methodological quality of the studies. The following combination of keywords was used: Negligence Syndrome OR Unilateral Syndrome OR Negligence (...) AND Activities OF Daily OR Daily Life (...) AND Treatment OR Intervention OR Technique (...). RESULTS: 16 studies were included, which 9 include techniques from the bottom-up approach, 6 include techniques from the top-down approach and 1 article includes two techniques, each belonging to each approach. The techniques of the bottom-up approach that increased independence in the ADLs were Visuomotor Feedback Training, Smooth Pursuit Eye Movement Training and the combination of Eye Patching with Constraint-induced Therapy. In the top-down approach, the techniques with the same results were Visual Scanning, Mental Practice, Continuous Theta Burst Stimulation and Transcranial Direct Current Stimulation. CONCLUSION: Both bottom-up and top-down approaches increase independence in ADLs. Each approach contains techniques with a significant positive impact on ADLs such as Visuomotor Feedback Training and Continuous Theta Burst Stimulation. The present work also allowed a critical analysis to the classification of the approaches in bottom-up and top-down, since they are not different to the category of rehabilitation mechanisms.

A Sindrome de Diogenes (SD) e um transtorno comportamental que afeta principalmente idosos, levando a comportamentos de autonegligencia extrema, isolamento social e acumulacao4. Relatamos um caso de uma paciente com diagnostico de demencia frontotemporal e Sindrome de Diogenes secundaria. Alem de trazer riscos a saude do paciente, a SD pode prejudicar as pessoas que convivem com o portador da sindrome. Entender que ela pode ser secundaria a algum transtorno psiquiatrico pode ajudar no diagnostico precoce do paciente, reduzindo a taxa de morbimortalidade.

Objetivo: Identificar através da literatura as estratégias adotadas para reduzir o abandono ao tratamento da tuberculose. Método: Revisão integrativa da literatura realizada de abril a agosto de 2020, utilizando-se as bases de dados: LILACS e SCIELO. Os estudos foram selecionados a partir do cruzamento dos descritores: Tuberculose. Estratégia. Abandono. Tratamento. A pergunta condutora utilizada foi: Quais estratégias podem ser adotadas para reduzir o abandono dos pacientes durante o tratamento da tuberculose? Os critérios de inclusão elencados nessa revisão foram: artigos publicados em inglês e português; texto completo disponível online, acesso gratuito, que estivessem datados do período de 2016 a 2020 e permeassem a temática discutida. Resultados: Ao ser feito o cruzamento dos descritores, foi possível localizar 34 artigos nas duas bases de dados, destes 27 na Scielo e 07 na LILACS. Ao ser feita uma leitura criteriosa dos artigos, foram selecionados para compor a revisão integrativa 06 publicações de periódicos distintos, visto que, estes atenderam todos os critérios de inclusão inerentes ao presente estudo. Conclusão: O estudo conclui que as publicações elencadas apresentaram relevância ao contexto ao qual se destinaram trabalhar, visto que, apesar de serem recentes em sua maioria publicados após 2019, nota-se que muitas estratégias podem ser implementadas no tratamento da tuberculose visando à adesão maior de pacientes, permitindo que eles desenvolvam vínculo com a equipe de saúde e que tenham uma maior autonomia ao longo de todo o processo de cura da TB. Objective: To identify through the literature the strategies adopted to reduce the abandonment of tuberculosis treatment. Method: Integrative literature review conducted from April to August 2020, using the databases: LILACS and SCIELO. The studies were selected from the crossing of the descriptors: Tuberculosis. Strategy. Abandonment. Treatment. The guiding question used was: What strategies can be adopted to reduce patient abandonment during tuberculosis treatment? The inclusion criteria listed in this review were: articles published in English and Portuguese; full text available online, free access, which were dated from 2016 to 2020 and permeated the topic discussed. Results: When crossing the descriptors, it was possible to locate 34 articles in the two databases, of these 27 in Scielo and 07 in LILACS. Upon careful reading of the articles, 06 publications from different journals were selected to compose the integrative review, since they met all the inclusion criteria inherent to the present study. Conclusion: The study concludes that the publications listed were relevant to the context in which they were intended to work, since, despite being mostly recent published after 2019, it is noted that many strategies can be implemented in the treatment of tuberculosis aiming at greater adherence of patients, allowing them to develop a bond with the health team and to have greater autonomy throughout the TB cure process.

This article explains the main features of an instrument whose purpose is to allow social service professionals to identify people over 65 who are suffering domestic abuse and/or presenting self-neglect behaviours or are in risk situations. Knowledge about these characteristics and a comparison with other instrument developed with a similar purpose may facilitate professionals’ decision about the desirability of its use. En este artículo explicamos las principales características de un instrumento cuya finalidad es permitir a los profesionales de los servicios sociales poder identificar a personas mayores de 65 años que estén sufriendo malos tratos domésticos y/o presenten comportamientos autonegligentes, o que estén en una situación de riesgo. El conocimiento de dichas características y la comparación del instrumento con otros creados con una finalidad similar pueden facilitar la decisión de los profesionales sobre la conveniencia o no de su utilización.

En la actualidad, la calidad de vida de las personas mayores se presenta como la esencia de las actuaciones desde las distintas ciencias humanas y sociales dirigidas a este colectivo de la población. Colectivo cada vez más numeroso y presente en los distintos escenarios sociales. Uno de los principales problemas que están deteriorando las condiciones vitales de los mayores lo constituye el maltrato que reciben por parte de otras personas. Con este artículo pretendemos avanzar en la comprensión, la etiología, los factores de riesgo así como la detección de los malos tratos a las personas mayores.