Alienation and health in adolescents : an original evaluation tool

Copyright © 2018 by authors and Open Access Library Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).The present work aims to construct and validate a tool enabling to evaluate alienation in Portuguese adolescents. Participants were a group of adolescents that participated in the Portuguese survey of the European study Health Behaviour in School-aged Children (HBSC). For this study, only adolescents from the 8th and 10th grades were included in the sample, comprising 3869 students. The results show a good adequacy of the confirmatory factorial analysis (CFA) model. This model revealed 3 subscales proposals—Demotivation, Isolation and Instability, and a full scale—Total Alienation. When analyzed in relation to other variables (gender, grade, wellbeing indicator and risk indicator), the alienation subscales showed an association between alienation and risk. These results are consistent with other studies about alienation which emphasizes that having good social relationships is associated with higher levels of wellbeing and quality of life and less involvement in risk behaviours by young peopleinfo:eu-repo/semantics/publishedVersio

Do clinical and psychosocial factors affect health-related quality of life in adolescents with chronic diseases?

Copyright © 2006 - 2018 The Canadian Center of Science and Education. All Rights Reserved. Copyright for this article is retained by the author(s), with first publication rights granted to the journal. This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).Living with a chronic disease in adolescence can have an impact on the perception of Health-related Quality of Life (HRQoL). Facing the increasing relevance of psychosocial dimensions and also considering the interaction with clinical variables, this study aimed to measure the impact of clinical and psychosocial factors (separated and combined) on adolescent’s reported HRQoL. A cross-sectional study was conducted in a clinical population of 135 adolescents with chronic diseases (n=70 boys), average age: 14±1.5 years old. Through a self-reported questionnaire, HRQoL (KIDSCREEN-10), socio-demographic, clinical variables (diagnostic; time of diagnosis; self-perceived pain; disease severity proxy; disease-related medication intake/use of special equipment), and psychosocial variables (psychosomatic health; resilience; self-regulation; social support) were assessed. Separately, clinical and psychosocial variables showed a significant impact in HRQoL, 27.9% and 62.4%, respectively. Once combined, the previously identified variables had a significant impact (64.2%), but a different contribution from clinical and psychosocial variables was revealed: when first entering the clinical variables (model 1) the variance only reaches 30%, and much more from psychosocial variables seems to explain the total (64.2%); inversely, when first integrating psychosocial variables (model 2), the clinical ones added a small significance to the model (0.6%). The present study underlined the association of clinical (“disease-related”) and psychosocial (“non-disease-related”) factors on HRQoL. Furthermore, it reinforced the need to focus more on psychosocial dimensions, highlighted the potential role of psychosomatic health, resilience, self-regulation and social support. It can be suggested that the identification of impaired psychosocial domains may help professionals to better plan, and achieve effective interventions of psychosocial care.Santos, T. was supported by a PhD grant from the Portuguese Foundation for Science and Technology (FCT) (Grant Number: reference SFRH/BD/82066/2011). The William James Center for Research, ISPA - Instituto Universitário is supported by a grant from the Portuguese Foundation for Science and Technology (FCT) (Grant Number: UID/PSI/04810/2013). The present study is grateful to all youngsters and parents who participated in this project, also to the health care professionals who collaborated, as well as to the Pediatrics Department of Hospital Santa Maria, CAML (Lisbon Academic Medical Center) for their assistance in this investigation. The authors are also grateful to Prof. Paula Ravasco, MD, PhD (University Hospital of Santa Maria, Portugal) for her assistance in proof-reading and revising the document.info:eu-repo/semantics/publishedVersio

Competencias laborales en enfermería: realidad y retos en el contexto de covid 19

The objective of this research was to analyze and identify the key aspects involved in nursing management, especially the elements that generate limitations in its management and challenges for optimal application in the context of the COVID - 19 pandemic. Several approaches have been considered, which allow to observe with greater precision the state in which the nursing staff performs, recognizing the agents involved and the performance obtained. The methodology applied for the elaboration of the study was the systematic review of indexed scientific literature obtained from scientific portals such as Redalyc, Scielo, Ebsco, Elsevier and Scopus. Once the articles related to the research variables were obtained, the filtering was carried out according to the exclusion and inclusion criteria, among these it was noted that the articles should be within the time interval corresponding to 2015 and 2021, also, these should be directly related to the study variables, so that 15 articles were finally considered and were analyzed and used as a basis for the development of the research, discussion and conclusions.En la elaboración de la presente investigación se tuvo como objetivo analizar e identificar los aspectos clave que intervienen en la gestión de enfermería, especialmente los elementos que generen limitaciones en su gestión y retos para la aplicación óptima en el contexto situado por la pandemia del COVID – 19. Se han considerado diversos enfoques, que permitan observar con mayor precisión el estado en el cual se desempeña el personal de enfermería, reconociendo los agentes que intervienen y el desempeño obtenido. La metodología aplicada para la elaboración del estudio fue la revisión sistemática de literatura científica indexada obtenida de portales científicos como Redalyc, Scielo, Ebsco, Elsevier y Scopus. Una vez obtenido los artículos relacionados a las variables de investigación, se procedió a realizar el filtrado de acuerdo a los criterios de exclusión e inclusión, entre estos se señaló que los artículos deben encontrarse dentro del intervalo de tiempo correspondiente al 2015 y 2021, asimismo, estos debieron estar relacionados directamente a las variables de estudio, de tal manera que se consideraron finalmente 15 artículos que fueron analizados y empleados como base para el desarrollo de la investigación, discusión y conclusiones

Inorganic waste valorization plan in a municipality of Lima-Peru

El artículo tiene como finalidad plantear una propuesta para guiar a una municipalidad de Lima Metropolitana a un mejor manejo de los desechos sólidos inorgánicos y reaprovecharlos para que se pueda generar conciencia ciudadana. Toneladas de residuos terminan diariamente en rellenos sanitarios, lo que hace que su capacidad se agote, los factores que hacen que esta problemática ambiental se torne cada día más difícil son la gestión ambiental ineficiente y la falta de conciencia ambiental de los habitantes, cuyo único interés es desaparecer los residuos sin tener en cuenta reciclarlos. Se consideran diversos enfoques de análisis de los artículos seleccionados que nos permiten reconocer elementos importantes de manejo de los desechos sólidos, el reciclaje y la administración municipal. Los artículos académicos indexados se obtuvieron mediante la revisión sistemática de los portales Scopus, Scielo y Ebsco. Los artículos elegidos de las diversas revistas han pasado por una etapa de exclusión para este análisis de investigación con un intervalo de tiempo del año 2017 al 2021, por lo tanto, como resultado final se revisaron 16 artículos en tablas de análisis en donde se extrae la información más relevante para investigar lo cual complementa el desarrollo de nuestras discusiones y conclusionesThe purpose of the article is to propose a proposal to guide a municipality of metropolitan Lima to a better management of inorganic solid waste and to reuse it so that citizen awareness can be generated. Tons of waste end up daily in sanitary landfills, which causes their capacity to run out, the factors that make this environmental problem become more difficult every day are inefficient environmental management and the lack of environmental awareness of the inhabitants, whose only interest is to disappear waste without taking into account recycling. Various analysis approaches of the selected articles are considered that allow us to recognize important elements of solid waste management, recycling and municipal management. The indexed academic articles were obtained through the systematic review of the Scopus, Scielo and Ebsco portals. The articles chosen from the various journals have gone through an exclusion stage for this research analysis with a time interval from 2017 to 2021, therefore, as a final result, 16 articles were reviewed in analysis tables where the more relevant information to investigate which complements the development of our discussions and conclusion

Sleep and sex sleep in adolescence : sex matters?

© 2019 All rights reservedObjective: Sleep is of upmost importance for everybody and especially for adolescents who face life and leisure challenges that may impair their sleep. This study aimed to verify if girls are at a higher risk to present sleep problems and if associations of a sleep perception are different between sexes even when accounting for biological maturation. Methods: Data is from the HBSC Portuguese survey 2014, all variables were self-reported. Participants were 3869 adolescents (2057 girls), mean age 14.8 years. Participants’ socio-demographic characteristics included sex, age, school grade, father and mother education; besides participants were inquired about sleep duration and characteristics of their sleep quality. Results: Sleep deprivation was reported by 13.1% of the adolescents (girls 14.3%, boys 11.7%, p<0.05). The most prevalent characteristics of poor sleep quality were waking up tired (50.8%) and difficulties falling asleep (19.5%), for both girls presented higher prevalence than boys. Overall, girls presented a poorer sleep health with low quality and quantity of sleep. Furthermore, associations of an enough and good sleep were different between boys and girls, even when controlling for the impact of delayed pubertal maturity. Discussion: Together with screen time, substance use, poorer nutrition, sedentary behaviours and abuse of screen time, sleep is an issue that must be addressed by professionals, families and public policies with impact in family life and family routines. Modelling a health education in schools should include the sleep topic. In addition, yes, sex matters and must be included on board.info:eu-repo/semantics/publishedVersio

Administrative management in the public education sector: limitations and challenges in the context of teleworking

El desarrollo de la presente investigación tiene como finalidad identificar y analizar las incidencias que se originan en la aplicación de la gestión de educación pública bajo la modalidad de teletrabajo, a fin de definir las limitaciones y retos que las organizaciones asociadas al sector educativo tienen que afrontar. Se han examinado diversas perspectivas que permiten reconocer con mayor precisión el contexto en el cual se desarrolla, las problemáticas existentes, los agentes que intervienen de manera interna y externa, y el desempeño de sus funcionarios. La metodología empleada fue la revisión sistemática de literatura científica y académica indexada recopilada a través de portales científicos como Redalyc, Ebsco, Scielo, Elsevier y Scopus. Posterior a la compilación de la información, se procedió a realizar el filtrado de información a través de los criterios de exclusión, donde se seleccionaron artículos pertenecientes al intervalo temporario correspondiente al 2015 – 2021, obteniendo como resultado 15 artículos que se analizaron individualmente, los que permitieron la elaboración de la investigación y sirvieron como antecedentes para generar la discusión y las conclusiones.The development of the research aimed to analyze and establish the elements that influence the implementation of public education management in the modality of teleworking, identifying the limitations and challenges that organizations have to face in the education sector. Several perspectives have been analyzed that have allowed to recognize with greater precision the context in which it is developed, the existing problems, the agents that intervene internally and externally, and the performance of the employees. The methodology used was the systematic review of indexed scientific and academic literature collected through scientific portals such as Redalyc, Ebsco, Scilo, Elsevier and Scopus. After the collection of information, the information was filtered through the exclusion criteria, where articles belonging to the temporary interval corresponding to 2015 - 2021 were selected, resulting in 15 articles that were analyzed individually, allowed the elaboration of the research and served as background to obtain the discussion and conclusions.&nbsp

RESCUR in action : preliminary results of the impact study of the RESCUR project in a national context

Resumo/Abstract de documento apresentado no 9.º Congresso Internacional de Psicologia da Criança e do Adolescente: Sustentabilidade e Saúde Mental© Fundação Minerva - Cultura - Ensino e Investigação Científica / Universidades LusíadaRESCUR into Action (2017‐2018) is national project that aims to implement RESCUR, European Resilience Curriculum, in schools with migrant and/or refugee students. RESCUR into Action, promoted by the Social Adventure association, with the support of the Ciência Viva Program, has promoted free and accredited training actions to 123 teachers and specialized technicians, of whom 64 are currently implementing RESCUR with 1665 children aged three to 17 years. This trial comprehends one full‐year implementation group (IG) with 675 children and a waiting group (WG) with 417 children, between 3 and 17 years old (53.2% males, 7% migrants/refugees, 5.3% with migrants/refugees parents). No statistical significant differences between the two groups were found at the baseline according to Strengths and Difficulties Questionnaire teachers’ version (SDQ, Goodman, 2001). The results of the intermediate evaluation show statistically significant differencesin all SDQ dimensions for the IG (decreases in emotional problems, conduct problems, peer problems and hyperactivity and increases in prosocial behaviour), with WG maintaining scores, except for emotional problems and peers problems, which got worse. The qualitative assessment, after nearly 12 sessions, showed a decrease in disruptive behaviour and the increase of prosocial behaviours, like giving help or protection, sharing, availability to listen to one another, and a greater autonomy and competence to solve problem.info:eu-repo/semantics/publishedVersio

Psychosocial profile in portuguese adolescents with chronic disease attending an outpatient department in a hospital setting

Living with a chronic disease (CD) in adolescence involves new multifaceted challenges. This study aims to conduct a psychosocial characterization of a group of adolescents with chronic diseases in a hospital setting and to compare such dimensions for the total group and for different diseases. A cross-sectional study included 135 adolescents with chronic diseases (51.9% boys; 48.1% girls), having an average age of 14±1.5 years (SD=1.5) and attending a paediatric outpatient department in a hospital setting. Statistically significant differences were found among the different chronic diseases for the variables self-regulation (adolescents with diabetes had significantly higher competencies) and multiple psychosomatic symptoms (adolescents with neurologic diseases reported significantly more complaints). Boys presented both better health-related quality of life and psychosomatic health when compared to girls. No statistically significant differences were observed for health-related quality of life, psychosomatic health, resilience, and social support. These findings bring important suggestions especially while planning interventions, which must take into account the promotion of a healthy psychosocial development, through an inclusive perspective (covering different chronic diseases), that take into consideration specific and gendered approaches. Such suggestions might help healthcare professionals to better plan interventions in order to increase their effectiveness.Fundação para a Ciência e a Tecnologia - FCTinfo:eu-repo/semantics/publishedVersio

Microbiologic characteristics and predictors of mortality in bloodstream infections in intensive care unit patients: A 1-year, large, prospective surveillance study in 5 Italian hospitals

Bloodstream infections (BSIs) from multidrug-resistant (MDR) bacteria cause morbidity and mortality in intensive care unit (ICU) patients worldwide. This study investigated the incidence of BSIs in 5 adult general ICUs in Rome, Italy, and evaluated the mortality rate and risk factors associated with these infections

Long-Term Persistance of the Pathophysiologic Response to Severe Burn Injury

Main contributors to adverse outcomes in severely burned pediatric patients are profound and complex metabolic changes in response to the initial injury. It is currently unknown how long these conditions persist beyond the acute phase post-injury. The aim of the present study was to examine the persistence of abnormalities of various clinical parameters commonly utilized to assess the degree hypermetabolic and inflammatory alterations in severely burned children for up to three years post-burn to identify patient specific therapeutic needs and interventions. Nine-hundred seventy-seven severely burned pediatric patients with burns over 30% of the total body surface admitted to our institution between 1998 and 2008 were enrolled in this study and compared to a cohort non-burned, non-injured children. Demographics and clinical outcomes, hypermetabolism, body composition, organ function, inflammatory and acute phase responses were determined at admission and subsequent regular intervals for up to 36 months post-burn. Statistical analysis was performed using One-way ANOVA, Student's t-test with Bonferroni correction where appropriate with significance accepted at p<0.05. Resting energy expenditure, body composition, metabolic markers, cardiac and organ function clearly demonstrated that burn caused profound alterations for up to three years post-burn demonstrating marked and prolonged hypermetabolism, p<0.05. Along with increased hypermetabolism, significant elevation of cortisol, catecholamines, cytokines, and acute phase proteins indicate that burn patients are in a hyperinflammatory state for up to three years post-burn p<0.05. Severe burn injury leads to a much more profound and prolonged hypermetabolic and hyperinflammatory response than previously shown. Given the tremendous adverse events associated with the hypermetabolic and hyperinflamamtory responses, we now identified treatment needs for severely burned patients for a much more prolonged time