5,026 research outputs found

    Autonomy-connectedness in collectivistic cultures: an exploratory cross-cultural study among Portuguese natives, Cape-Verdean and Chinese people residing in Portugal

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    The present investigation focuses on a recent personality trait construct, Autonomy-connectedness. This concept has been proposed as a three-dimensional variable (self-awareness, sensitivity to others, and capacity to manage new situations), which intends to reflect a more gender- and culture- sensitive notion of autonomy rather than a value based on individualism and hegemonic masculinity. Two studies were conducted. Study I (N = 185) aimed to adapt the Autonomy-Connectedness Scale (ACS-30) to Portuguese and evaluate its three dimensions among a Portuguese sample. The subscales showed satisfactory reliability and overall results converge with previous studies on Autonomy-connectedness. Study II aimed to analyze and compare three different cultural groups, namely Portuguese natives and, Chinese and Cape Verdean immigrants residing in Portugal. A total of 90 participants (30 participants per nationality/cultural group) collaborated in the study. The findings suggest cultural differences in autonomy-connectedness, as well as a possible association between acculturation processes and autonomy-connectedness. This study extends to the support of autonomy-connectedness as a conceptually meaningful construct, with contributions to both gender and cross-cultural studies.info:eu-repo/semantics/acceptedVersio

    Cultural adaptation and psychometric validation of the Portuguese breakthrough pain assessment tool with cancer patients

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    Breakthrough cancer pain (BTcP) is a transient exacerbation of pain that occurs over persistent, stable, and adequately controlled cancer background pain. It is prevalent and bears severe consequences to patients' quality-of-life. The effective management of BTcP depends on fast and reliable (re)assessment. The Breakthrough pain Assessment Tool (BAT) is one of the most concise and reliable self-report instruments adapted to clinical contexts so far, showing good psychometric qualities in the United Kingdom, the Netherlands, and South Korea. As to promote the effective management of BTcP in Portuguese-speaking communities this study, first aimed to culturally adapt and validate the Portuguese version of the BAT (BAT-Pt). Second, and most importantly, it sought to provide novel evidence on its criterion validity by investigating its association with measures of psychological distress, which has not been yet investigated. The BAT was translated into European Portuguese, using the back-translation method, and culturally adapted. Its psychometric properties (factor structure, internal consistency, construct and criterion validity) were analyzed in a cross-sectional multicenter study, with a sample of 65 cancer patients (49.2% women) recruited from eight hospitals in mainland Portugal (a priori power analysis determined a minimum sample of 50). Health professionals collected patients' clinical information, assessed their functional disability (ECOG Performance Status) and the adequacy of pain control. In addition to the Portuguese version of the BAT (BAT_Pt), patients completed the Portuguese versions of the Brief Pain Inventory, the Hospital Anxiety and Depression Scale, a Distress Thermometer and answered questions about the adequacy of pain control. The BAT-Pt was very well accepted by experts and patients. As hypothesized, a Principal Axis Factor Analysis revealed two underlying factors accounting for 55.2% of the variance: (1) Pain Severity and Impact of BTcP and (2) Duration of BTcP and Medication Inefficacy. Two items (on episode frequency and medication efficacy) were analyzed separately given their lower/cross loadings. The BAT-Pt showed good internal consistency overall (?=0.79) and for each sub-scale, namely, Pain Severity and Impact of BTcP (n=5 items; ?=0.86) and Duration of BTcP and Medication Inefficacy (n=2 items; rsb=0.62).info:eu-repo/semantics/acceptedVersio

    Obtenção de Imagens de Algas por Microscopia de Força Atômica.

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    bitstream/CNPDIA/10457/1/CT63_2004.pd

    The SIforAGE project: social innovation for active and healthy ageing

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    This article describes the SIforAGE Project – an innovative approach to an aged Europe. The SIforAGE consortium is integrated by a wide range of stakeholders working together in order to promote an active and healthy ageing. ISCTE-IUL is one of the partners involved in this project and has been developing an important role in different work packages: (i ) Technology Experience cafés aiming to involve older people in the development of technological devices addressed to them (which had a general positive impact regarding the attitudes and intentions of older participants to use technologies); (ii ) conceptualization and development of an intervention program (imAGES) to fight ageism among children (the pilot program developed in Lisbon revealed the efficacy of this program); (iii ) analysis of the anti-age discrimination laws (AADL’s) in five European countries (these laws are present in the European countries analyzed but it was identified a gap between legislation and its compliance); (iv) organization of a call for prize on social innovation research on the ageing field (which was widely disseminated across several European countries). Through these several activities, the SIforAGE project constitutes a step forward towards the development of a more inclusive society, a society for all «ages».info:eu-repo/semantics/acceptedVersio

    The informal social support for autonomy and dependence in pain inventory Spanish version

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    Social support plays a crucial role in the quality of life of people with chronic pain. The Informal Social Support for Autonomy and Dependence in Pain Inventory assesses two functions of received social support: the promotion of autonomy and the promotion of dependence. The aim of this cross-sectional study was to adapt this instrument for its use in the Spanish population. The sample comprised 256 individuals with chronic pain. Participants were recruited through two local associations of people with fibromyalgia, a physiotherapy unit and a hospital pain unit. The data were collected in Spain between October 2018 and January 2020. The structure of the questionnaire was analysed using confirmatory factor analysis, average variance extracted, composite reliability and internal consistency indexes, and inter-correlations between the scales. The criterion-related validity of the instrument was analysed by investigating its relationship with pain intensity, positive and negative affect, daily functioning, activity impairment, wellbeing and satisfaction with life. The structure with the best fit had four related factors: emotional social support for the promotion of autonomy; instrumental social support for the promotion of autonomy; emotional social support for the promotion of dependence and instrumental social support for the promotion of dependence. The scales showed adequate internal consistency. An association was found between higher levels of instrumental social support for the promotion of dependence and higher levels of pain-related disability and decreased daily functioning. An association was also found between the promotion of autonomy and increased satisfaction with life. The Spanish version of the inventory shows appropriate psychometric properties. In the setting of disability prevention, this instrument is useful in assessing the support relationships between people with chronic pain and their relatives.info:eu-repo/semantics/publishedVersio

    Structural changes in intestinal enteroendocrine cells after ileal interposition in normal rats

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    INTRODUCTION: No therapeutic approach has significantly impacted the progression of diabetes. As early improvement of glicaemic control is observed after bariatric surgeries, there is currently a search for surgical procedures that can promote euglycemia also in non-obese patients. Glicaemic control can be achieved by increasing the blood concentration of GLP-1, a hormone produced by L cells that are more densely concentrated in the terminal ileum. The interposition of ileal segment to a more anterior region (proximal jejunum) can promote a greater stimulation of the L cells by poorly digested food, increasing the production of GLP-1 and reflecting on glicaemic control.
AIMS: To investigate long-term histological modifications of intestinal mucosa of rats submitted to interposition of ileum segment to a proximal region (jejunum).
METHODS: Forty 8-week old male Wistar-EPM1 rats (Rattus norvegicus albinus) were randomly distributed into 3 groups: the Interposition Group (IG) was subjected to ileal interposition, the Sham Group (SG) was subjected to sham operations, and the Control Group (CG) was not subjected to surgery. All animals were followed until the 60th postoperative day (8 postoperative week) when they were euthanized. Segments of jejunum and ileum from all groups were collected and analyzed by optical microscopy and immunohistochemistry.
RESULTS: No structural nor histological changes in intestinal L cells in the interposed intestinal segment and other intestinal segments were noted after ileal interposition surgery. 
CONCLUSION: As L cells endocrine characteristics were likely maintained, the use of metabolic surgical techniques for the treatment of metabolic diseases, especially diabetes, seems to be justified

    Skeletopy of the intumescentia lumbalis and conus medullaris applied to epidural anaesthesia in Leopardus geoffroyi

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    Background: Leopardus geoffroyi is a Neotropical wild felid with wide distribution in the south of the South American continent. The objective was to investigate the skeletopy of the intumescentia lumbalis (IL) and conus medullaris (CM) from 11 specimens of L. geoffroyi collected dead on highways. Materials and methods: The cadavers were fixed in formaldehyde solution and dissected to allow the dorsal exposure of IL and CM. The cranial and caudal limits were marked with radiopaque pins and radiographic projections were used to determine the skeletopy. The lengths of IL and CM were measured with a pachymeter. Results: In most specimens, the IL was located at the level of L4 and L5 vertebrae, although in 4 (1 male and 3 females) individuals its cranial limit was L3 and in 3 specimens (2 male and 1 female) the caudal limit was L6. The length of IL was 35.6 ± 6.7 mm. The CM had its base predominantly at the level of the L5 vertebra, although in some specimens the base was in L4 and in others in L6. The apex of the CM can be found since the lumbosacral junction until the level of the Cd2 vertebra. The CM measured 74.4 ± 14.3 mm. Conclusions: Based on the skeletopy, it can be suggested that epidural anaesthesia procedures in L. geoffroyi are safer with the introduction of the catheter through the sacrocaudal interarcual space, as recommended by some anaesthetists for the domestic cat
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