Contributions to the ontology of aging, the sensitive indicators of rehabilitation nursing care, in terms of self-care, in people with respiratory disorders

With the increase in the average life expectancy, the appearance of chronic diseases and, in particular, in the respiratory forum and its disadvantages in the autonomy and self-care of patients, brought an important paradigm for health care and, in particular, rehabilitation nursing, with implications for the development of ontologies of aging. Thus, it is imperative to systematize them in scientifically measurable indicators to demonstrate the benefit that rehabilitation nursing brings to improve patients' quality of life, thus ensuring excellence. Each area of scientific health should contribute to the construction of aging ontology. Objective: to identify indicators sensitive to nursing care of rehabilitation, in terms of self-care, in relation to those with respiratory pathology, to be integrated into the ontology of aging. Methods: A systematic review of the literature was performed using the EBSCO (full-text MEDLINE, CINAHL, Full-Text Plus, British Nursing Index), using the PI [C] O method with 6 emergent articles. Results: A total of 20 indicators were identified, including: Ability to perform activities, increase physical and functional independence, symptom management, reduction of complications, increase in quality of life, which can be allocated as a proposal for classes of the aging ontology. Conclusion: Knowledge of indicators sensitive to nursing care recognition of the importance of rehabilitation nursing in increasing self-care and autonomy for people with respiratory pathology, and research in this area is fundamental for its effectiveness and efficiency, and its integration in the ontologies of aging is fundamental

A Randomized Controlled Trial of Device Guided, Slow-Paced Respiration in Women with Overactive Bladder Syndrome.

PurposeWe evaluated the effects of device guided, slow-paced respiration on urgency associated urinary symptoms, perceived stress and anxiety, and autonomic function in women with overactive bladder syndrome.Materials and methodsWe performed a randomized, parallel group trial of slow-paced respiration to improve perceived stress and autonomic dysfunction as potential contributors to overactive bladder. Ambulatory women who reported at least 3 voiding or incontinence episodes per day associated with moderate to severe urgency were randomized to use a portable biofeedback device to practice daily, slow, guided breathing exercises or a control device which appeared identical and was reprogrammed to play music without guiding breathing. During 12 weeks we evaluated changes in urinary symptoms by voiding diaries, perceived stress and anxiety by validated questionnaires, and autonomic function by heart rate variability and impedance cardiography.ResultsIn the 161 randomized participants, including 79 randomized to paced respiration and 82 randomized to the control group, the average ± SD baseline frequency of voiding or incontinence associated with moderate to severe urgency was 6.9 ± 3.4 episodes per day. Compared to controls the participants randomized to paced respiration demonstrated greater improvement in perceived stress (average Perceived Stress Scale score decrease 2.8 vs 1.1, p=0.03) but not in autonomic function markers. During 12 weeks the average frequency of voiding or incontinence associated with moderate to severe urgency, which was the study primary outcome, decreased by a mean of 0.9 ± 3.2 episodes per day but no significant between group difference was detected.ConclusionsAmong women with overactive bladder slow-paced respiration was associated with a modest improvement in perceived stress during 12 weeks. However, it was not superior to a music listening control for reducing urinary symptoms or changing autonomic function

Introduction of the special edition

The Master in environment holds annually the Environment Forum of the State of Maranhão. In 2019, the third edition of the event was held with the theme: Water Resources Management in Maranhão - Potentialities and Weaknesses for a Participatory and Decentralized Management, which presented 149 scientific papers divided into two distinct areas 82 works in the area of planning and environmental quality and 67 works in the área of health and environment. Due to the importance that the event has been showing to the State and the high scientific quality of the presented works, it was considered pertinent a wider dissemination, where all the scientific community would have access to the accomplished works, hence the idea of a Special Edition in a renowned Scientific Journal. Thus, to compose the special edition of the III Forum on the Environment, 15 articles were selected, which later underwent an “ad hoc” peer review to ensure quality. The articles have varied themes and range from environmental monitoring using georeferencing technologies, going through proposals of intervention methodology for environment recovery to articles focused on the influence of anthropic and environmental factors on human health

A proposal of sensitive indicators of the rehabilitation nursing care of people in the surgical process, to be included in the ontology of aging

Given the complex surgical scenario observed today, it is necessary to change the urgent definition of a specific ontology, especially in terms of aging. The interventions of the Specialist Nurse in Rehabilitation Nursing to the person in the surgical process are primordial for the maintenance of the functional capacities, prevention of complications and impediment of incapacities. However, it is necessary to provide individualized and fostered care in a practice of excellence, and the consequent organized reading of records of an aging ontology for decision making on rehabilitation indicators. Method: a systematic review of the literature was carried out using the EBSCO host (MEDLINE with Full Text, CINAHL Plus with Full Text and MedicLatina), using the PI [C] O method, and 11 articles were selected. Results: 41 indicators were identified to be included in the ontology classes of aging: pain control, patient and family education, support and communication, reduction of postoperative complications, gain of functionality, restoration of physical function, mobility, multidisciplinary intervention and the frequency of interventions. Conclusion: it is considered that it was imperative to identify sensitive indicators for rehabilitation nursing care, based on scientific evidence and thus provide an opportunity for nurses to reflect on their daily practices and conduct their actions towards excellence in care, to propose a set of 41 classes internationally on the ontology of aging

HbA1c shows good correlation with regular post-prandial pre-exercise blood glucose measures in active individuals with type 2 diabetes mellitus

This study aimed to verify the correlation between annual average glycated hemoglobin (HbA1c) and mean capillary blood glucose (BG) with post-prandial and post-exercise in active adults with type 2 diabetes mellitus (T2D) participants of a diabetes education program with emphasis on supervised exercise

Anonymized Distributed PHR Using Blockchain for Openness and Non-repudiation Guarantee.

We introduce our solution developed for data privacy, and specifically for cognitive security that can be enforced and guaranteed using blockchain technology in SAAL (Smart Ambient Assisted Living) environments. Using our proposal the access to a patient’s clinical process resists tampering and ransomware attacks that have recently plagued the HIS (Hospital Information Systems) in various countries. One important side effect of this data infrastructure is that it can be accessed in open form, for research purposes for instance, since no individual re-identification or group profiling is possible by any means

Contribuição ao estudo da rede urbana paranaense

Contribuição ao estudo da rede urbana paranaens

Response To Comment On "photoacoustic Determination Of Thermal Diffusivity Of Solids: Application To Cds'"

[No abstract available]47443443

Sujeito de direito e crítica à subjetividade

Orientador: Prof. Dr. José Antônio Peres GedielTese (doutorado) - Universidade Federal do Paraná, Setor de Ciências Jurídicas, Programa de Pós-Graduação em Direito. Defesa : Curitiba, 26/10/2023Inclui referênciasResumo: Esta Tese explora, criticamente, os processos de construção da subjetividade jurídica do migrante solicitante de refúgio. Recorre à pesquisa qualitativa, alicerçada em análise exploratória da literatura especializada, ao estudo de casos e a entrevistas semiestruturadas. A análise dos elementos conceituais e do funcionamento do Direito leva em consideração o arcabouço jurídico regulatório da solicitação de reconhecimento da condição de refugiado, pelo Direito brasileiro, pelo Direito estadunidense e pelo Direito Internacional dos Refugiados. Esse percurso teóricometodológico parte de hipóteses formuladas no projeto de pesquisa, que indagavam a respeito da efetividade da categoria sujeito de direito, em abstrato, para assegurar direitos subjetivos aos migrantes solicitantes de refúgio. Ao contrastar essa categoria abstrata com as situações concretas dos solicitantes, nos Estados Unidos e no Brasil, restou demonstrada a insuficiência desta e de outras qualificações jurídicas atribuídas aos migrantes, e evidenciados os distanciamentos entre as finalidades de proteção e regulação, constantes nos direitos nacionais e no Direito Internacional dos Refugiados. A soberania e a nacionalidade se apresentaram como elementos centrais para essa análise, sobretudo, como elementos perturbadores de um tratamento jurídico universal, pressuposto na formulação do sujeito de direito e na construção da proteção jurídica contemporânea aos refugiados, pelo Direito Internacional dos Refugiados. Apoiados na soberania, os agentes estatais exercitam, em um amplo espaço de discricionariedade, e realizam a interpretação e aplicação de regras jurídicas, no estabelecimento de políticas migratórias e práticas burocráticas, que dificultam ou impedem a proteção integral em favor dos migrantes e refugiados. Nesses processos de contínua afirmação e negação do binômio, nacional e não nacional, pertencente e não pertencente, autorizado e não autorizado, a subjetividade identificada pelos direitos da personalidade, na esfera interna ou moral do sujeito de direito, se altera e se reconfigura marcada pela provisoriedade, instabilidade e redução dos horizontes futuros. O migrante solicitante de refúgio se constitui, sempre, no âmbito jurídico, por um déficit de direitos, e sua condição social vem demarcada pela ausência de nacionalidade, de fato e de direito. Por fim, a crítica à subjetividade jurídica do solicitante de refúgio demonstra que a superação dos problemas enfrentados por esses sujeitos demanda transformações possíveis para além da configuração política dos Estados nacionais contemporâneosAbstract: This thesis is a critical exploration of the processes whereby the legal subjectivity of migrants seeking refuge is constructed, based on qualitative research – exploratory analysis of specialized literature –, case studies and semi-structured interviews. The analysis of the conceptual elements and the legal workings takes into account the legal framework that regulates the request for recognition of refugee status as defined by Brazilian law, US law, and International Refugee Law. This theoreticalmethodological approach stems from the hypotheses formulated in the research project, which questioned the effectiveness of the abstract category of subject of law in guaranteeing the subjective rights of migrants seeking refuge. By contrasting this abstract category with the concrete circumstances of asylum seekers in the United States and Brazil, it is clear that this and other legal qualifications attributed to migrants are insufficient, and that there is a gap between the aims of protection and regulation contained in national legislation and in International Refugee Law. Sovereignty and nationality are central to this analysis, mainly as elements that disrupt the universal legal treatment presupposed in the formulation of the subject of law and in the construction of contemporary legal protection for refugees by International Refugee Law. Leaning on sovereignty and operating in a wide sphere of discretion, state agents interpret and apply legal rules, establishing migration policies and bureaucratic practices that hinder or prevent full protection for migrants and refugees. In these processes of continuous affirmation and denial of the binary national and non-national, belonging and not belonging, authorized and not authorized, the subjectivity described by personality rights, as the internal or moral sphere of the subject of law, is altered and reconfigured, marked by provisionality, instability and a narrowing of future horizons. The migrant seeking refuge is always legally defined as lacking rights, and their social condition is characterized by the absence of nationality, de facto and de jure. Lastly, the critique of the legal subjectivity of asylum seekers shows that overcoming the problems faced by these individuals requires transformations that go beyond the political configuration of contemporary national state