Conhecimento dos estudantes do curso de licenciatura em Enfermagem sobre défice cognitivo ligeiro

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de licenciada em EnfermagemO Défice Cognitivo Ligeiro é um défice atual que afeta em média 5 a 10% dos indivíduos com mais de 65 anos de idade. Dado isto, é necessário que a própria pessoa, familiares e amigos mais próximos estejam atentos a sinais e sintomas da doença para identificar precocemente a situação. Face a esta situação surgiu um interesse por parte do autor em saber qual “ O conhecimento dos estudantes do Curso de Licenciatura em Enfermagem sobre o Défice Cognitivo Ligeiro”. Posto isto, foi realizado um questionário distribuído por 30 estudantes do Curso de Licenciatura em Enfermagem, de modo a identificar o conhecimento que estes têm acerca da temática. De forma a dar resposta a estas questões, foi realizado um estudo quantitativo, descritivo-exploratório e transversal. A colheita de dados foi realizada entre o dia 14 de Maio de 2016 a 14 de Junho de 2016. Desta forma através da análise aos questionários conclui-se que a maioria da amostra não apresenta dúvidas a nível do conhecimento sobre o Défice Cognitivo Ligeiro. Os inquiridos consideram que o DCL pode corresponder a um quadro de envelhecimento normal e que interfere nas atividades de vida diária. A maioria dos inquiridos possuí conhecimentos sobre o DCL, considera que o DCL tem interferência nas AVD’S, assume para que este seja diagnosticado as AVD´S intactas não são critério, mas também a função cognitiva geral tem de estar alterada. A maioria dos inquiridos considera que a hipóxia, a insuficiência hepática e renal não são causa para DCL. Penso que ficaram claros, que a maioria dos inquiridos apresenta conhecimento sobre os outros sinais e sintomas de DCL. Também a maioria dos inquiridos considera que os doentes com DCL não desenvolvem demência num período de um ano.Mild Cognitive Impairmentis is a current disease that affects an average of 5 to 10% of people over 65 years of age. Given this, it is necessary that the person, family and close friends are aware of the signs and symptoms of the disease to identify early the situation. Given this situation arose an interest on the part of the author to know that "The information of students of Bachelor of Nursing on Mild Cognitive Impairmentis ". That said, we conducted a questionnaire distributed to 30 students of the Nursing Degree Course in order to identify the knowledge they have about the subject. In order to answer these questions, we conducted a quantitative, descriptive, and exploratory and cross. The data collection was carried out between days 14 May 2016 to 14 June 2016. Thus by analyzing the questionnaire it is concluded that most of the sample has no doubts about the level of knowledge Mild Cognitive Impairmentis. Respondents consider that the DCL may correspond to a normal aging frame and interfering with activities of daily living. Most respondents possess knowledge of DCL, believes that DCL has interference in AVDs, it takes for this to be diagnosed intact AVDs are not criteria, but also the general cognitive function must be changed. Most respondents believe that hypoxia, liver failure and kidney are not cause for DCL. I think it became clear that the majority of respondents have knowledge of the other signs and symptoms of DCL. Also most of the respondents believe that patients with DLB do not develop dementia over a period of one year

Pelvic Inflammatory disease: what the radiologist needs to know?

O diagnóstico da doença inflamatória pélvica é clínico, baseando-se numa combinação de sintomas e sinais, que incluem dor pélvica e febre. A referenciação ao médico radiologista ocorre na fase aguda da doença, quando é necessário excluir diagnósticos diferenciais (ginecológicos, gastrointestinais ou urinários) ou em doentes que tiveram um episódio agudo prévio, por vezes assintomático, que recorrem ao médico assistente por complicações, como dor pélvica crónica, gravidez ectópica e infertilidade. Neste contexto, é fundamental que o médico radiologista reconheça as manifestações radiológicas dos diferentes estádios da doença inflamatória pélvica, com especial ênfase para o abcesso tuboovárico, cujas características radiológicas colocam diagnóstico diferencial com carcinoma do ovário.The diagnosis of pelvic inflammatory disease is clinical, based on a combination of signs and symptoms, which include pelvic pain and fever. The patient is referred to the radiologist either in the acute phase, when it is important to exclude other differential diagnosis (gynaecological, gastrointestinal or urinary) or after the infectious episode, that can be asymptomatic, if the patient presents with complications, such as pelvic pain, ectopic pregnancy and infertility. Therefore, it is fundamental for the radiologist to recognise the radiologic manifestations of the different stages of pelvic inflammatory disease, particularly the tubo-ovarian abscess, which characteristics make differential diagnosis with carcinoma of the ovary

Not by bread alone

No abstract available

The factory whistle

No abstract available

Validation and reliability analysis of the Portuguese language version of Needs of Parents Questionnaire

OBJETIVO: Descrever os procedimentos para a validação e análise de precisão da versão em português do Needs of Parents Questionnaire em contexto de hospitalização pediátrica em Portugal. MÉTODOS: Estudo descritivo com base em procedimentos para adaptação cultural e linguística de instrumentos de medição em saúde. A validação foi efetuada em uma amostra de 870 acompanhantes de crianças hospitalizadas em serviços de pediatria de quatro hospitais de Portugal, com idades compreendidas entre 2 dias de vida e 18 anos. A validade de conteúdo foi garantida por dois testes de compreensão realizados separadamente com pais de crianças hospitalizadas e com profissionais de saúde. A confiabilidade da versão em português foi avaliada através do teste de reprodutibilidade e determinação da coerência interna. RESULTADOS: Os resultados dos testes de compreensão e de coerência interna, obtidos pelo coeficiente alfa de Cronbach, são idênticos aos do autor original e satisfatórios para três subescalas, o que nos permite afirmar que o questionário tem propriedades psicométricas adequadas para a medição das necessidades dos pais. O questionário foi bem recebido pelos pais das crianças, que valorizam todas as necessidades, destacando a necessidade de confiar nos cuidados de saúde que são prestados à criança quando não estão presentes, a necessidade de ser confiável e as necessidades de informação. CONCLUSÕES: O questionário mostrou ser um instrumento de medição válido e preciso na avaliação das necessidades dos pais durante a hospitalização das crianças. A versão em português do Needs of Parents Questionnaire se encontra validada.OBJECTIVE: To describe the procedures followed for the validation and reliability analysis of the Portuguese version of the Needs of Parents Questionnaire in the context of pediatric hospitalization in Portugal. METHODS: This is a descriptive study based on procedures for the cultural and linguistic adaptation of health measurement tools. The validation was performed on a sample of 870 parents of hospitalized children in pediatrics departments from four hospitals in Portugal, with ages ranging from 2 days to 18 years. Content validity was assured by two cognitive debriefing meetings, separately organized with parents and staff. The reliability of the Portuguese version was assessed through reproducibility tests and internal consistency computation. RESULTS: Using Cronbach's alpha, results from the cognitive debriefing and internal consistency scores were similar to those obtained by the authors of the original version and good for the three subscales, allowing us to state that the questionnaire has the adequate psychometric properties to measure parents' needs. It was well accepted by parents, who valued all needs, especially the need to trust the care provided to their child when they are not present, as well as the need to be trusted and the need for information. CONCLUSIONS: The questionnaire proved to be a valid and reliable measurement instrument to assess the needs of parents during their pediatric hospitalizations. The Portuguese version of the Needs of Parents Questionnaire has been validated

Long-term maintenance strategies after pulmonary rehabilitation: perspectives of people with chronic respiratory diseases, informal carers, and healthcare professionals

Pulmonary rehabilitation (PR) is an effective intervention for people with chronic respiratory diseases (CRD); however, its effects fade after 6–12 months. Community-based strategies might be valuable to sustain PR benefits, but this has been little explored. People with CRD, informal carers, and healthcare professionals (HCPs) were recruited from pulmonology appointments of two local hospitals, two primary care centres, and one community institutional practice and through snowballing technique. Focus groups were conducted using a semi-structured guide. Data were thematically analysed. Twenty-nine people with CRD (24% female, median 69 years), 5 informal carers (100% female, median 69 years), and 16 HCPs (75% female, median 36 years) were included. Three themes were identified: “Maintaining an independent and active lifestyle” which revealed common strategies adopted by people with “intrinsic motivation and professional and peer support” as key elements to maintain benefits, and that “access to information and partnerships with city councils’ physical activities” were necessary future steps to sustain active lifestyles. This study suggests that motivation, and professional and peer support are key elements to maintaining the benefits of PR in people with CRD, and that different physical activity options (independent or group activities) considering peoples’ preferences, should be available through partnerships with the community, namely city councils.publishe

Sudden and Transient Block of Left Brain Hemisphere Activity in Catatonic Patients Undergoing Electroconvulsive Therapy (ECT)

Introduction: In the last 21 years, there has been an increase in studies on visual and quantitative EEG (qEEG). Although new findings have been reported, such as the extreme delta brush waves in anti-NMDA receptors encephalitis, there are still undocumented visual EEG alterations. In Psychiatry, these new findings are harder to detect because most patients do not undergo routine EEG. In this work, we report for the first time an EEG finding of a sudden and transient block of left brain hemisphere activity in two patients who underwent treatment with ECT. Methods: The EEG activity of the two patients undergoing ECT treatment was recorded using a Thymatron System IV device. Patient number 1: 23 year-old man with severe major depressive disorder with psychotic features and catatonia. Patient number 2: 48 year-old woman with bipolar disorder with mixed features and catatonia. Results and Discussion: The EEG recording of these two patients during their ECTs sessions showed a sudden and transient block (or arrest) of the left brain hemisphere activity. These findings are not attributed to background noise, electrode disconnection or device malfunction. Also, they were detected in two different patients. In patient 2 in two distinct admissions, two hospitals, utilizing two devices and by two different observers. After clinical improvement, these EEG alterations were not detected. Conclusion: To our knowledge, this is the first report of a sudden and transient block of the left brain hemisphere activity in psychiatric patients. Although the exact meaning of this finding remains unknown, a comparison can be made between this transient bradypsychia/block (arrest) of brain activity and bradycardia events in cardiology. We acknowledge the need for further studies to better understand these findings, particularly studies addressing different EEG abnormalities and the clinical traits they are associated with.info:eu-repo/semantics/publishedVersio