Comparación entre la gravedad del paciente y la carga de trabajo de la enfermería antes y después de la ocurrencia de eventos adversos en ancianos con cuidados críticos

Indexación: Scopus.Objective: to compare the patient severity and the nursing workload before and after the occurrence of moderate and severe adverse events in elderly hospitalized at intensive care units. Method: comparative study developed at nine intensive therapy units of a University Hospital in São Paulo. The events were collected from the patient histories and classified as moderate and severe according to the World Health Organization. For the severity analysis, the Simplified Acute Physiologic Score II was used and, for the workload analysis, the Nursing Activities Score was applied 24 hours before and after the moderate and severe event. The t-test with 5% significance was used to compare the mean clinical severity and workload scores before and after the event. Results: the sample consisted of 315 elderly, 94 (29.8%) of whom were victims of moderate and severe events at the units. Among the 94 events, the clinical process and procedure type was predominant (40.0%). The installation and maintenance of therapeutic artifacts and catheters were the prevalent interventions that resulted in moderate (76.5%) physiopathological damage (66.0%). The mean workload score (75.19%) dropped 24 hours after the occurrence of the event (71.97%, p=0.008), and the severity, represented by the probability of death, increased from 22.0% to 29.0% after the event (p=0.045). Conclusion: in the patient safety context, the identification of the changes in clinical conditions and the nursing workload in elderly victims of events supports the prevention of these occurrences. © 2018, Universidade Federal de Santa Catarina. All rights reserved.Objetivo: comparar a gravidade do paciente e a carga de trabalho de enfermagem antes e após a ocorrência de evento adverso moderado e grave em idosos internados em unidades de terapia intensiva. Método: estudo comparativo, realizado em nove unidades de terapia intensiva de um Hospital Universitário de São Paulo. Os eventos foram coletados dos prontuários dos pacientes e classificados em moderados e graves segundo a Organização Mundial de Saúde. A análise da gravidade foi realizada segundo o Symplified Acute Phsiologic Score II e a carga de trabalho segundo o Nursing Activities Score, 24 horas antes e depois do evento moderado e grave. O teste t, com significância de 5%, foi utilizado para a comparação das médias da gravidade clínica e da carga de trabalho, antes e após o evento. Resultados: a amostra foi composta por 315 idosos, sendo que 94 (29,8%) sofreram eventos moderados e graves nas unidades. Dos 94 eventos, predominou o tipo processo clínico e procedimento (40,0%). A instalação e manutenção de artefatos terapêuticos e cateteres foram as intervenções prevalentes que resultaram em danos fisiopatológicos (66,0%), de grau moderado (76,5%). A média de pontuação da carga de trabalho (75,19%) diminuiu 24 horas após a ocorrência do evento (71,97%, p=0,008) e, a gravidade, representada pela probabilidade de morte, aumentou de 22,0% para 29,0% depois do evento (p=0,045). Conclusão: no contexto da segurança do paciente, a identificação das alterações nas condições clínicas e na carga de trabalho de enfermagem em idosos que sofrem eventos subsidiam a prevenção dessas ocorrências.Objetivo: comparar la gravedad del paciente y la carga de trabajo en enfermería antes y después de ocurrir un evento adverso moderado y grave en ancianos internados en unidades de terapia intensiva. Método: estudio comparativo realizado en nueve unidades de terapia intensiva de un Hospital Universitario de São Paulo. Los eventos fueron obtenidos a través de los prontuarios de los pacientes y clasificados en moderados y graves según la Organización Mundial de la Salud. El análisis sobre la gravedad fue realizado de acuerdo al Symplified Acute Physiologic Score II y la carga de trabajo se hizo conforme al Nursing Activities Score, 24 horas antes y después del evento moderado y grave. El test t, con una significancia del 5%, fue utilizado para la comparación de los promedios de la gravedad clínica y de la carga de trabajo antes y después del evento. Resultados: la muestra incluyó 315 ancianos, siendo que 94 (29,8%) sufrieron eventos moderados y graves en las unidades. De los 94 eventos, predominó el tipo de proceso clínico y el procedimiento (40,0%). La instalación y mantenimiento de artefactos terapéuticos y catéteres fueron las intervenciones prevalentes que resultaron en daños fisiopatológicos (66,0%) y de grado moderado (76,5%). El promedio de puntuación de la carga de trabajo (75,19%) disminuyó 24 horas después de ocurrido el evento (71,97%, p=0,008) y la gravedad, representada por la probabilidad de muerte, aumentó de 22,0% para 29,0% después del evento (p=0,045). Conclusion: en el contexto de seguridad del paciente, la identificación de las alteraciones en las condiciones clínicas y en la carga de trabajo de enfermería en los ancianos que sufren eventos subsidia la prevención de tales ocurrencias.http://ref.scielo.org/wcg6x

New polyurethanes from oxypropylated olive stone

The purpose of this work is to explore the possibility of chemically modifying the generated polyols (oxypropylated olive stone) through reactions with isocyanates to produce polyurethanes, other than rigid polyurethane foams. This could be achieved by the chemical modification of the oxypropylation products (condensation with isocyanates) by using mono and difunctional reagents to modulate properties and/or produce useful polymer networks.FCT (project PTDC/CTM/71491/2006_FCOM- 01-0124-FEDER-007156

Search for novel biobased materials within the OLIVPOL project

Within the context of the project OLIVPOL, olive stone (OS) residue was successfully converted into viscous polyols, as such, or containing reinforcing stone cores, by total or partial oxypropylation, respectively. Moreover, the synthesis of new macromolecular materials using the oxypropylated products, such as polyesters and polyurethanes, demonstrated a promising approach to the production of original value-added products based on renewable resources.FCT (Project PTDC/CTM/71491/2006_FCOM-01-0124-FEDER-007156

Somatotype is more interactive with strength than fat mass and physical activity in peripubertal children

The purpose of this study was to analyse the interaction between somatotype, body fat and physical activity in prepubescent children. This was a cross!sectional study design involving 312 children (160 girls, 152 boys) aged between 10 and 11.5 years old (10.8 ± 0.4 years old). Evaluation of body composition was done determining body mass index and body fat by means of skin!fold measurements, using the method described by Slaughter. Somatotype was computed according to the Carter’s method. Physical activity was assessed with the Baecke questionnaire. The physical activity assessment employed sets of curl!ups, push!ups, standing broad jump, medicine ball throw, handgrip strength and Margaria!Kalamen power stair. There were negative associations for body fat, endomorphy and mesomorphy with curl!ups, push!ups and broad jump tests and positive associations with ball throw, handgrip strength and Margaria! Kalamen power tests. The associations for ectomorphy were the inverse of those for endomorphy and mesomorphy. Non obese children presented higher values for curl!ups, push!ups and standing broad jump. In medicine ball throw, handgrip strength and Margaria!Kalamen power test obese children presented higher scores, followed by children who were overweight. The mesoectomorphic boys and ectomesomorphic girls performed higher in all tests. The morphological typology presented more interactions with strength than % of body fat and physical activity. These data seem to suggest that the presence/absence of certain physical characteristics is crucial in the levels of motor provision in prepubescent children

Effect of a specific concurrent water and dry-land training over a season in young swimmers’ performance

The aims of this study were to assess over a full season: (i) the effect of a combined dry-land strength and conditioning and in-water program on the swimming performance of young swimmers; (ii) the effect of such program on the performance determinants; (iii) the effect of the training periodization designed. A longitudinal research design assessing an age-group of young swimmers over a season was carried out. Methods: Twenty-seven young swimmers (12 boys: 13.55±0.72-y; 15 girls: 13.16±0.93-y; both sexes in Tanner stages 2-3) were evaluated in three moments over 40 weeks. The 100-m freestyle performance, body mass, height, arm span (anthropometrics), stroke frequency, stroke length, swimming velocity, intracyclic swimming velocity (kinematics), stroke index, propelling efficiency (efficiency), squat jump, countermovement jump, and throw velocity (strength and conditioning) were assessed. A cluster analysis was computed to classify the swimmers. For the “talented” swimmers, the performance and all determinants, but the squat and countermovement jumps improved between the first and last evaluation moments. Both in-water and dry-land strength and conditioning features were responsible for the cluster discrimination in each one of the evaluation moments. All three clusters were also characterized by a mix of technical and strength & conditioning features. This highlights swimming performance as a holistic phenomenon (i.e. multiple determinants) where shifting occur in the interplay among the performance determinant according to the training periodization.info:eu-repo/semantics/publishedVersio

Longitudinal modeling in sports: young swimmers' performance and biomechanics profile

The aims was to model a latent growth curve of young swimmers' performance over a season and its relationship with biomechanics, quantify the direct effect of the exogenous variables selected on performance across a season and analyze the sex effect on the performance growth. Fourteen boys (12.33±0.65 years) and 16 girls (11.15±0.55 years) were evaluated. Performance, stroke frequency, speed fluctuation, arm's propelling efficiency, active drag, active drag coefficient and power to overcome drag were collected in four different moments of the season. Latent growth curve modeling was computed to understand the longitudinal variation of performance (endogenous variables) over the season according to the biomechanics (exogenous variables). Latent growth curve modeling showed a high inter- and intra-subject variability in the performance growth. Sex had a significant effect at the baseline and during the performance growth. In each evaluation moment, different variables had a meaningful effect on performance (M1: Da, β=-0.62; M2: Da, β=-0.53; M3: ηp, β=0.59; M4: SF, β=-0.57; all P<0.001). The models' good-of-fit was 1.40≤x2/df≤3.74 (good-reasonable). Latent modeling is a comprehensive way to gather insight about young swimmers' performance over time. Different variables were the main responsible for the performance improvement. A gender gap, intra- and inter-subject variability was verified

The influence of anthropometric, kinematic and energetic variables and gender on swimming performance in youth athletes

The aim of this study was to assess the: (i) gender; (ii) performance and; (iii) gender versus performance interactions in young swimmers’ anthropometric, kinematic and energetic variables. One hundred and thirty six young swimmers (62 boys: 12.76 ± 0.72 years old at Tanner stages 1-2 by self-evaluation; and 64 girls: 11.89 ± 0.93 years old at Tanner stages 1-2 by self-evaluation) were evaluated. Performance, anthropometrics, kinematics and energetic variables were selected. There was a non-significant gender effect on performance, body mass, height, arm span, trunk transverse surface area, stroke length, speed fluctuation, swimming velocity, propulsive efficiency, stroke index and critical velocity. A significant gender effect was found for foot surface area, hand surface area and stroke frequency. A significant sports level effect was verified for all variables, except for stroke frequency, speed fluctuation and propulsive efficiency. Overall, swimmers in quartile 1 (the ones with highest sports level) had higher anthropometric dimensions, better stroke mechanics and energetics. These traits decrease consistently throughout following quartiles up to the fourth one (i.e. swimmers with the lowest sports level). There was a non-significant interaction between gender and sports level for all variables. Our main conclusions were as follows: (i) there are non-significant differences in performance, anthropometrics, kinematics and energetics between boys and girls; (ii) swimmers with best performance are taller, have higher surface areas and better stroke mechanics; (iii) there are non-significant interactions between sports level and gender for anthropometrics, kinematics and energetics

Hydrodynamic profile of young swimmers: changes over a competitive season

The aim of this study was to analyze the changes in the hydrodynamic profile of young swimmers over a competitive season and to compare the variations according to a well-designed training periodization. Twenty-five swimmers (13 boys and 12 girls) were evaluated in (a) October (M1); (b) March (M2); and (c) June (M3). Inertial and anthropometrical measures included body mass, swimmer’s added water mass, height, and trunk transverse surface area. Swimming efficiency was estimated by the speed fluctuation, stroke index, and approximate entropy. Active drag was estimated with the velocity perturbation method and the passive drag with the gliding decay method. Hydrodynamic dimen- sionless numbers (Froude and Reynolds numbers) and hull velocity (i.e., speed at Froude number = 0.42) were also calculated. No variable presented a significant gender effect. Anthropometrics and inertial parameters plus dimensionless numbers increased over time. Swimming efficiency improved between M1 and M3. There was a trend for both passive and active drag increase from M1 to M2, but being lower at M3 than at M1. Intra-individual changes between evaluation moments suggest high between- and within-subject variations. Therefore, hydrodynamic changes over a season occur in a non-linear fashion way, where the interplay between growth and training periodization explain the unique path flow selected by each young swimmer

Relationship between thrust, anthropometrics, and dry-land strength in a national junior swimming team

Objectives: This study aimed to (i) assess an anthropometric and thrust inter-limb asymmetry, and; (ii) determine the contribution of anthropometrics, and dry-land upper-body strength and power to the thrust of talented adolescent swimmers. Methods: Eighteen talented adolescent swimmers (12 boys and 6 girls: 15.81 ± 1.62 years old) were evaluated. A set of anthropometric, dry-land upper-body strength and power, and in-water thrust were assessed. Results: Despite the fact that the dominant side presented higher values in anthropometrics (except for the hand surface area) and thrust, non-significant inter-limb differences were found. The symmetry index indicated a symmetry between upper-limbs. Hierarchical linear modeling retained as main predictors of each upper-limb thrust the respective hand surface area (dominant upper limb: estimate = 0.293, 95CI: 0.117; 0.469, p = 0.005; non-dominant upper limb: estimate = 0.295, 95CI: 0.063; 0.526, p = 0.025). The full stroke cycle retained the upper-body dry-land strength as main predictor (estimate = 0.397, 95CI: 0.189; 0.605, p = 0.002). Conclusion: The hand surface area and upper-body strength were the main predictors of each upper-limb and full stroke cycle thrust, respectively. Hence, coaches and practitioners should aim to carefully maximize the hand surface area (by finger spreading) while performing the stroke, as well as dry-land upper-body strength in order to enhance the performanceThis project was supported by the National Funds through FCT-Portuguese Foundation for Science and Technology (UID/DTP/04045/2019), and the European Fund for regional development (FEDER) allocated by the European Union through the COMPETE 2020 Programme (POCI-01-0145-FEDER-006969). We would like also to thank the support of the University of Beira Interior and Santander Universities (Bolsa BIPD/ICIFCSH-Santander Universidades-UBI/2017).info:eu-repo/semantics/publishedVersio

Training evaluation in male age-group swimmers

Monitoring the training process represents an important task during sports preparation. However, not always the applied protocols help to address the coaches’ concerns, namely regarding its complexity and difficulty to be used in large samples. Therefore, the aim of this study was to apply a simple protocol to control the training process in a group of male age-group swimmer