Chronic wounds consultation by telemedicine between a rehabilitation healthcare center and nursing home or home

Saint-Hélier Rehabilitation Center (pôle MPR Saint-Hélier), located in Rennes, has been selected for a regional telemedicine project in 2014 about chronic wounds.AimTo make care access easier for heavy disabilities patients in nursing homes or at home with chronic wounds.MethodThe members of TLM Pl@ies chronic team are specialist doctors and nurses for wounds. On request, the occupational therapist or dietician involve in the consultation (multidisciplinary approach). A secure videoconference (web) is used.ResultsSince July 2014, over 100 teleconsultations have been done. Targeted population is constituted by patients:– whose access to care is decreased due to moving difficulties;– of which the health care team is crossing difficulties in the care process (wound care but also disability, nutrition..).Seventy percent of requests come from the nursing home, 30% from homes (pressure ulcers stages 3 and 4, arterial ulcers, venous or mixed). Middle age: 78 years (20–101 years). Only 3 patients refused. Time to organize the teleconsultation is on average 13 days. Consultations last on average 25 minutes. In 30% of cases the teleconsultation is extended by a real live training time for the nurse at home guided by the TLM Pl@ies chroniques team. We evaluate professional satisfaction and technical satisfaction. Without teleconsultation, in 77% of cases transportation request for consultation would be made, in 5% hospitalization. In 18% no request would be done.Discussion/conclusionThese first results, encouraging, confirms the interest of specialized consultations in medico-social settings, and telemedicine can be an effective solution

Cognitive Theory of Mind Influences Destination Memory: Evidence from Normal Aging and Alzheimer's Disease

Objective: Theory of mind and destination memory are social abilities that require processing the attributes of interlocutors. Empirical research has demonstrated a relationship between performance on both abilities in normal aging and Alzheimer's disease (AD). We therefore investigated whether processing attributes of interlocutors would result in better destination memory in AD. Methods: Twenty-six mild AD participants and 28 controls were tested on two occasions. On the first one, participants had to tell proverbs to celebrities' faces. Following that, they decided whether they previously told that proverb to that celebrity or not. The same procedures were repeated on the second occasion; however, after telling the proverbs, participants had to introspect about what the celebrities might think about the proverbs (e.g., "what do you think that the celebrities would think about the proverbs?"). Results: Group comparisons showed a beneficial effect of introspection on destination memory in controls (Z =-2.57, p <. 05) but not in AD participants (Z =-1.05, p =. 29). However, analyzes of individual profiles demonstrated that 15 AD participants demonstrated better destination memory after introspection. Conclusions: Our findings show a beneficial effect of introspection on destination memory in normal aging, and at least in some mild AD cases. Future research should investigate the influence of social cognition on memory in AD and how introspection may provide a potential treatment for AD.The work was supported by the EU Interreg two Seas Programme 2014-2020 (co-funded by the European Regional Development Fund). Professor El Haj was also supported by the LABEX (excellence laboratory, program investment for the future) DISTALZ (Development of Innovative Strategies for a Transdisciplinary Approach to Alzheimer Disease).Scopu

Técnicas de análise multivariada na avaliação de injúrias pelo frio em mangas cv. Tommy Atkins

Este trabalho objetivou identificar as variáveis que se associam às injúrias pelo frio e determinar as diferenças nos parâmetros de qualidade que melhor caracterizam mangas 'Tommy Atkins' submetidas à condição de injúria pelo frio, utilizando-se da análise de fatores em componentes principais e a análise de agrupamentos. Frutos colhidos no estádio "de vez" foram cuidadosamente transportados, selecionados, padronizados quanto a coloração, tamanho e ausência de injúrias, e tratados com fungicida antes de serem armazenados a 2 ºC (74,8% UR), 5 °C (75,4% UR) e 12 °C (76,4% UR), por até 28 dias. Os frutos foram avaliados semanalmente quanto à ocorrência de danos pelo frio, coloração da casca e da polpa, firmeza da polpa, teores de sólidos solúveis, acidez titulável, açúcares solúveis e redutores, ácido ascórbico e atividade das enzimas peroxidase, polifenoloxidase e fenilalanina amônia-liase. A análise estatística multivariada dos fatores em componentes principais e agrupamentos permitiram melhor compreensão do efeito do armazenamento, sob condição de chilling, no metabolismo de mangas 'Tommy Atkins' e indicaram que o dano está intimamente relacionado com a casca e que a resposta da polpa ao estresse ocorre de forma tardia

Uso de embalagens plásticas e cobertura de quitosana na conservação pós-colheita de lichias

Objetivou-se avaliar a efetividade da atmosfera modificada, através de embalagens plásticas e coberturas de quitosana, na conservação pós-colheita de lichias. O delineamento estatístico foi o inteiramente casualizado, disposto em esquema fatorial 5 x 7, com 3 repetições, onde o primeiro fator corresponde aos tratamentos: Testemunha; Bandejas rígidas de poliestireno revestidas com filme poliolefínico de 0,015mm (PD955); Bandejas rígidas de polietileno tereftalato (PET); Bandejas de poliestireno recobertas com filme de cloreto de polivinila (PVC) de 0,014mm; e Imersão em quitosana a 0,5%. O segundo fator foi o tempo de armazenamento, 0 (inicial); 4; 8; 12; 16; 20 e 24 dias, a 5 ºC (94 %UR). Cada parcela foi composta por 8 frutos, sendo que os tratados com quitosana foram contidos em bandejas rígidas de poliestireno, sem filme. Os resultados obtidos permitiram concluir que a proteção com filmes plásticos reduziu significativamente a perda de massa por lichias mantidas sob refrigeração, com redução na intensidade do escurecimento dos frutos. O tratamento com quitosana a 0,5%, em ácido tartárico a 10%, pH 0,8, mostrou-se efetivo na manutenção da coloração vermelha e na prevenção ao escurecimento, conservando a aparência dos frutos