intervenções de enfermagem

O número cirurgias a pessoas idosas é crescente e esta população é mais vulnerável ao risco de eventos adversos. O baixo nível de literacia em saúde pode comprometer a sua segurança. Melhorar a segurança e qualidade dos cuidados com a participação ativa da Pessoa, implica melhorar a literacia em saúde. Garantir a segurança no cuidado à pessoa idosa e família em situação perioperatória, é competência do enfermeiro especialista, devendo mitigar os riscos, desenvolvendo estratégias centradas no seu potencial, necessidades e expectativas. Identificada a ausência de participação da pessoa idosa na segurança cirúrgica no contexto profissional, desenvolveu-se um projeto baseado na metodologia de projeto, objetivando: desenvolver competências de mestre e enfermeiro especialista na prestação de cuidados de enfermagem à pessoa idosa/família no período pré operatório, com a implementação do projeto de literacia em saúde para a sua participação na segurança cirúrgica, na consulta de enfermagem pré-operatória e, contribuir para o desenvolvimento de competências dos enfermeiros perioperatórios. As intervenções estruturadas culminaram na elaboração de recursos educativos digitais e, da “Lista de verificação da minha cirurgia”. Para a capacitação dos pares, elaboraram-se pósteres e guias orientadores de boas práticas, além de formação “in loco”, na consulta. Foi determinante envolver a pessoa idosa e família em todo o processo para a eficácia da comunicação, numa sinergia entre literacia em saúde e o modelo do cuidado centrado na pessoa (McCormarck & McCance, 2010). Superados os desafios impostos pela pandemia, ficou a lacuna de personalizar a checklist com cada pessoa idosa/família. Para melhorar, importa ampliar os recursos educativos e o acesso, criando parcerias, avaliar a satisfação da pessoa idosa/família e, fortalecer a articulação interdisciplinar, a realizar na continuidade do projeto. Este trajeto formativo desafiante, veiculou o desenvolvimento de competências de mestre e enfermeiro especialista em enfermagem médico-cirúrgica, na área de intervenção à pessoa Idosa e família

Effects of the ketogenic diet in the treatment of gliomas: a systematic review

FCT_UIDB/05608/2020. FCT_UIDP/05608/2020.The ketogenic diet (KD) is a restrictive therapeutic diet, distinguished by being hyperlipidic, normoproteic, and hypoglucidic. This diet stimulates biochemical changes related to fasting periods to achieve systemic ketosis. The metabolic particularities of glioma tumors motivated the rise in investigations and nutritional strategies, such as KD, to modulate the glycemic response as a treatment. This systematic review followed the PRISMA recommendations and was published in PROSPERO, with the identification CRD42021264173. The databases used were EMBASE, PubMed/Medline, Scopus, and Web of Science, and the studies were analyzed using the web-based application Rayyan. To analyze the risk of bias, Cochrane RevMan 5 software was used. For the analysis and treatment of statistical data, Microsoft® Excel® was used. A total of nine original articles were included. Data on survival, symptomology, and quality of life were collected. Mean overall survival was 15.9 months. Constipation and fatigue were the most reported symptoms. In 44.4% of the studies, an improvement in the quality of life was found. The KD is supported by most published studies as an effective therapy in the treatment of malignant gliomas due to its positive effects on patient survival. It was not possible to conclude the effectiveness of KD on quality of life.info:eu-repo/semantics/publishedVersio

“Serum ferritin – a nutritional marker for Anorexia Nervosa?”

Introduction: A new marker that correlates with nutritional recovery in Anorexia Nervosa would be of great value. Our study aimed to analyse the influence of Body Mass Index variations on serum ferritin levels in adolescents with Anorexia Nervosa followed up in a specialised consultation. Methods: We conducted a retrospective, observational, single-centre study in adolescents with Anorexia Nervosa evaluated between 2011 and 2019. Serum ferritin values ​​at baseline and during follow-up were analysed, together with the corresponding Body Mass Index (BMI) and Z-Score values. Further analytical data such as hematological and inflammatory markers were recorded. Results: The study included 53 adolescents with Anorexia Nervosa. Patients were found to have higher initial serum ferritin levels compared to the last, under treatment, assessed values (p<0.001). There was a significant increase in BMI and BMI Z-Score during follow-up (p<0.001), reflecting nutritional recovery. Analysing the variation of these values, we found a negative linear association between the variation of serum ferritin and the variation of BMI Z-Score (ß -0.1; R2 0,39; p<0,001). In analysing the change of BMI Z-Score and serum ferritin as a function of time, a linear regression model was used (ß -0,39; R2 0,12; p <0,001), showing that the quicker the recovery of BMI Z-Score, the faster the decrease in ferritin value. None of the patients presented anaemia, and in most cases, the other inflammatory markers remained normal. Conclusion: Serum ferritin could be of value in the evaluation of patients with Anorexia Nervosa in the absence of other diseases, in particular when other markers of malnutrition are normal

Voluntariado online : construção, partilha e descoberta

Relatório de estágio apresentado para obtenção do grau de mestre em Educação e Comunicação Multimédia.O presente relatório teve como principal objetivo dar resposta à análise das funções introduzidas na plataforma e-raizes.redes, e tentar relacionar a interação dos vários eee’s (e-plataforma; e-comunicação; e-tutor e e-professor e outras valências) com os convidados e-especialista e e-professor voluntário. Nesta medida, assumiu como objeto de estudo a questão principal que lhe está inerente: “Será que se pode constituir um banco de e-especialistas e eprofessores voluntários, na plataforma e-raizes.redes, no âmbito do voluntariado científico online ao nível da educação?”. Nesta ordem de ideias, abordar o Voluntariado Online, numa perspetiva educacional, significa neste projeto direcioná-lo para a recolha de dados relevantes de modo a enriquecer a aprendizagem em formato e-learning. Todo o estudo, através de uma metodologia de estudo de caso, que decorreu durante o segundo ano do Mestrado em Educação e Comunicação Multimédia, teve como eixo orientador a seleção de contributos de excelência no meio nacional e internacional. Importa salientar que visámos o Ano Europeu do Voluntariado 2011. Este projeto culmina com a descoberta da riqueza de se ser voluntário na plataforma e-raizes.redes, segundo o modelo de ensino e aprendizagem em e- Learning.This report aimed to address the analysis of the functions introduced in the platform e-raizes.redes, and try to relate the interaction of many eee's (eplatform, e-communication, e-tutor and e-teacher and other facilities) with the guests expert-and-teacher volunteer. Assumed as an object of study the main issue that is inherent: "Could be create a stock of volunteers specialists and teachers, at the platform e-raizes.redes under the voluntary online scientific level of education? ". In this vein, addressing the Online Volunteering, an educational perspetive, this project means to direct you to collect relevant data in order to enrich the learning in e-learning format. All the study through a case study methodology that took place during the 2nd year of Master in Multimedia Education and Communication, was guiding the selection of axis contributions of excellence in the national and international levels. It should be noted that we target the European Year of Voluntary 2011. This project culminates with the discovery of the richness of being a volunteer in the e-raizes.redes platform, following the model of teaching and learning in e- Learning

Dietary acid load and relationship with albuminuria and glomerular filtration rate in individuals with chronic kidney disease at predialysis state

The Western diet, characterized by excessive consumption of animal protein and reduced intake of vegetables and fruits, is also rich in sulfur, chlorine, and organic acids, which are the main sources of dietary acid load. A relationship between dietary acid load, renal function, and progression of chronic kidney disease has been demonstrated. Dietary modifications seem to contribute to a reduction in dietary acid load and are associated with improved outcomes in individuals with chronic kidney disease (CKD). The aim of this paper was to review the existing evidence concerning the association between dietary acid load and renal function in non-dialyzed individuals with CKD. A systematic review was conducted by gathering articles in electronic databases (MEDLINE/PubMed, Scopus, and Web of Science) from January 2018 to May 2021. Dietary acid load and GFR and/or albuminuria were analyzed. A total of 1078 articles were extracted, of which 5 met the inclusion criteria. Only one study found no statistically significant associations between the study variables. The remaining showed a negative association between dietary acid load and renal function. This systematic review confirmed the existence of an association between dietary acid load and renal function, with a high dietary acid load contributing to a decreased renal function.info:eu-repo/semantics/publishedVersio

Granular sludge technology for valorization of water use: from high to low strength effluents in aquaculture

info:eu-repo/semantics/publishedVersio

Development and Optimization of a Topical Formulation with Castanea sativa Shells Extract Based on the Concept “Quality by Design”

The proposed study aims to develop and optimize a topical formulation with Castanea sativa shells extract considering the concept of Quality by Design, focusing on a planned development that consider the vulnerabilities of the entire process through risk analysis tools and design of experiments (DoE). A Box–Behnken design with three factors and three levels was used as a statistical tool for the execution of the DoE and the analysis of the response surface methodology responses. The independent variables studied were the quantity of sodium lauryl sulfate (%) (X1), beeswax (%) (X2) and macadamia oil (%) (X3); the dependent variables were pH (Y1), viscosity (Y2) and adhesiveness (Y3). According to the mathematical model, the optimal formulation contains 0.93% of sodium lauryl sulfate, 5.00% of beeswax and 10.00% of macadamia oil. The optimal formulation with the extract was prepared and characterized over the time, regarding organoleptic and technological characteristics, allowing conclusions to be reached regarding its stability. The formulation presented a pleasant odor and was light brown in color, it also demonstrated pseudoplastic-thixotropic behavior and a small reduction in the formulation consistency after 30 days of storage. This study demonstrated the efficiency of the Quality by Design methodology to understand the product variability, supporting that this approach favors a better understanding of the whole process and enables to design a robust development stage, reducing costs and generating high-quality productsThis research was supported by project PTDC/ASP-AGR/29277/2017—Castanea sativa shells as a new source of active ingredients for functional food and cosmetic applications: a sustainable approach, financially supported by national funds by FCT/MCTES and co-supported by Fundo Europeu de Desenvolvimento Regional (FEDER) throughout COMPETE 2020—Programa Operacional Competitividade e Internacionalização (POCI-01-0145-FEDER-029277). The authors are thankful to Sortegel for the samples. Ana Margarida Silva is thankful for her Ph.D. grant (SFRH/BD/144994/2019) financed by POPH-QREN and subsidized by the European Science Foundation and Ministério da Ciência, Tecnologia e Ensino Superior. Francisca Rodrigues (CEECIND/01886/2020) is thankful for her contract financed by FCT/MCTES—CEEC Individual Program Contract. This work was also financed by national funds from FCT - Fundação para a Ciência e a Tecnologia, I.P., in the scope of the project UIDB/50006/2020. This work was also supported by national funds from FCT - Fundação para a Ciência e a Tecnologia, I.P., in the scope of the projects UIDP/04378/2020 and UIDB/04378/2020 of the Research Unit on Applied Molecular Biosciences – UCIBIO and project LA/P/0140/2020 of the Associate Laboratory Institute for Health and Bioeconomy - i4HBinfo:eu-repo/semantics/publishedVersio

Microalgae-bacterial biomass outperforms PN-anammox biomass for oxygen saving in continuous-flow granular reactors facing extremely low-strength freshwater aquaculture streams

The dissolved oxygen (DO) concentration in water streams is one of the most important and critical quality parameters in aquaculture farms. The main objective of this study was to evaluate the potential of two Continuous Flow Granular Reactors, one based on Partial Nitrification-Anammox biomass (Aquammox CFGR) and the other on Microalgae-Bacteria biomass (AquaMab CFGR), for improving dissolved oxygen availability in the recirculation aquaculture systems (RAS). Both reactors treated the extremely low-strength effluents from a freshwater trout farm (1.39 mg NH4 +-N/L and 7.7 mg TOC/L). The Aquammox CFGR, removed up to 68% and 100% of ammonium and nitrite, respectively, but the DO concentration in the effluent was below 1 mg O2/L while the anammox activity was not maintained. In the AquaMab CFGR, bioaugmentation of aerobic granules with microalgae was attained, producing an effluent with DO concentrations up to 9 mg O2/L and removed up to 77% and 80% of ammonium and nitrite, respectively, which is expected to reduce the aeration costs in fish farms.info:eu-repo/semantics/publishedVersio

Are biocrusts and xerophytic vegetation a viable green roof typology in a Mediterranean climate? A comparison between differently vegetated green roofs in water runoff and water quality

Green roofs can be an innovative and effective way of mitigating the environmental impact of urbanization by providing several important ecosystem services. However, it is known that the performance of green roofs varies depending on the type of vegetation and, in drier climates, without resorting to irrigation, these are limited to xerophytic plant species and biocrusts. The aim of this research was therefore to compare differently vegetated green roofs planted with this type of vegetation. A particular focus was their ability to hold water during intense stormwater events and also the quality of the harvested rainwater. Six test beds with different vegetation compositions were used on the roof of a building in Lisbon. Regarding stormwater retention, the results varied depending on the composition of the vegetation and the season. As for water quality, almost all the parameters tested were higher than the Drinking Water Directive from the European Union (EU) andWord Health Organization (WHO) guidelines for drinking-water quality standards for potable water. Based on our results, biocrusts and xerophytic vegetation are a viable green roof typology for slowing runoff during stormwater eventsinfo:eu-repo/semantics/publishedVersio