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

Health vulnerabilities: the diagnosis of freshmen from a portuguese university

The start of university is presented as a crucial stage in the life of the student. If, on the one hand, it is a period of increased autonomy and freedom, on the other, it is a period that also increases the sense of responsibility and self discipline. In this study, based on a quantitative approach, we identified the main risk situations experienced by freshmen at the University of Evora, by applying a questionnaire developed for this purpose and the Beck inventory. Key findings are highlighted, such as the consumption of harmful substances (tobacco, alcohol and illicit drugs), whose values exceed the average population. The consumption of alcoholic beverages begins early and is continuous and excessive. Also, the presence of symptoms compatible with dysphoria and depression is noted in about 9% of students. Self-medication practices were found in 58.7% of the freshmen. Our findings reveal the need for preventive intervention by health professionals, due to these young people’s great exposure to health risks

VULNERABILIDADES EM SAÚDE: O DIAGNÓSTICO DOS CALOIROS DE UMA UNIVERSIDADE PORTUGUESA

O ingresso na universidade apresenta-se como uma fase crucial na vida do estudante, fase em que há aumento da autonomia e liberdade, do sentido de responsabilidade e a da autodisciplina, mas propicia mais acesso aos riscos à saúde. Como o objetivo de identificar as situações de risco experenciadas pelos caloiros de Universidade de Évora, desenvolveu-se um estudo quantitativo cujos dados foram coletados mediante a aplicação de um questionário e do inventário de Beck. Destaca-se o consumo de substâncias nocivas (tabaco, álcool e drogas ilícitas), cujos valores superam a média da população portuguesa e a presença de sintomatologia compatível com disforia e depressão em cerca de 9% dos estudantes. Verificou-se a prática da auto-medicação em 58,7% dos ingressantes. Os achados deste estudo revelam a necessidade de uma intervenção preventiva por parte dos profissionais de saúde devido a alta exposição aos riscos de saúde destes jovens

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

Neural networks with dynamical synapses: from mixed-mode oscillations and spindles to chaos

Understanding of short-term synaptic depression (STSD) and other forms of synaptic plasticity is a topical problem in neuroscience. Here we study the role of STSD in the formation of complex patterns of brain rhythms. We use a cortical circuit model of neural networks composed of irregular spiking excitatory and inhibitory neurons having type 1 and 2 excitability and stochastic dynamics. In the model, neurons form a sparsely connected network and their spontaneous activity is driven by random spikes representing synaptic noise. Using simulations and analytical calculations, we found that if the STSD is absent, the neural network shows either asynchronous behavior or regular network oscillations depending on the noise level. In networks with STSD, changing parameters of synaptic plasticity and the noise level, we observed transitions to complex patters of collective activity: mixed-mode and spindle oscillations, bursts of collective activity, and chaotic behaviour. Interestingly, these patterns are stable in a certain range of the parameters and separated by critical boundaries. Thus, the parameters of synaptic plasticity can play a role of control parameters or switchers between different network states. However, changes of the parameters caused by a disease may lead to dramatic impairment of ongoing neural activity. We analyze the chaotic neural activity by use of the 0-1 test for chaos (Gottwald, G. & Melbourne, I., 2004) and show that it has a collective nature.Comment: 7 pages, Proceedings of 12th Granada Seminar, September 17-21, 201

Context-aware mobile app for the multidimensional assessment of the elderly,

Rural areas in Europe are presenting a decreasing population density and an increasing age index. These elders usually present multiple diseases that require complex tools to identify the exact cares that they need. Currently, different frameworks can evaluate their functional status and identify the required cares to maintain their Quality of Life, together with the associated cost to the health system. Nevertheless, these frameworks are usually questionnaires that have to be performed by already overloaded professionals. In this paper, we make use of mobile technologies to build a system capable of monitoring the activities of the elderly and analysing these data to assess their functional status. The experiments carried out show us that it correctly evaluates these patients and reduces the effort required by health professionals