O R I G I N A L P A P E R .r . Cultural Adaptation and Psychometric Properties of the Portuguese Version of the Therapeutic Self-Care Scale

Abstract Background: Self-care is a nursing sensitive outcome. In Portugal there is a lack of validated scales to assess self-care. Scales have their own validation methods to be used in cultural contexts which are different from their original contexts. Aim: To translate, adapt, validate, and assess the psychometric properties of the Therapeutic Self-Care Scale (Doran & Sidani, 2005) for the Portuguese population. Methodology: A cross-sectional study was carried out on a sample of 990 inpatients in surgical and medical wards in 4 hospitals of the central region of Portugal. The Therapeutic Self-Care Scale was administered by nurses in interview format between March and July 2012. This scale measures the patient's ability to perform 4 different categories of self-care activities. Results: n=990; mean age=63.57 years, and SD=17.14. Keiser-Meyer-Olkin (KMO) =0.948, Bartlett's Test of Sphericity: p <0.001. The principal component analysis concluded on a one-dimensional structure, in which a single factor explained 81.318 of the total variance. Internal validity: Cronbach' α=0.979. Conclusions: The Therapeutic Self-care Scale showed valid psychometric properties making it suitable for the Portuguese population

Reflexiones de la insencia de trabajo inss

Objetiva-se com o presente artigo a análise dos reflexos provocados pela sentença trabalhista perante o órgão responsável pela previdência social, denominado de INSS. Isto porque, a eficácia de tal sentença tem gerado polêmicas na jurisprudência trabalhista brasileira, pois há uma resistência por parte dos órgãos administrativos previdenciários, no sentido de não reconhecer a sentença e o acordo judicial trabalhista como prova única do tempo de serviço para fins de concessão de benefí­cios. Todavia, após a EC nº 20 de 1998, houve uma ampliação da competência da Justiça do Trabalho para executar as contribuições previdenciárias decorrentes de suas decisões, tornando a partir daí­ um grande avanço de inegável valia e qualificação desta Justiça Especializada, pois além de resguardar os direitos dos trabalhadores, também serviu de meio fiscalizatório, e tão importante quanto, foram os montantes que se passou a arrecadar para os cofres da Autarquia Previdenciária vertidos da execução perante a Justiça do Trabalho, o que sem dúvidas auxilia sobremaneira o sustento da Seguridade Social. Posteriormente, o entendimento jurisprudencial foi se consolidando nesse sentido, sobretudo com o advento dos enunciados das súmulas nº 31 e 34 da TNU (Turma Nacional de Uniformização de jurisprudência), as quais consideram a anotação na CTPS decorrente de sentença trabalhista homologatória prova constitutiva para fins previdenciários", cujo iní­cio deve ser contemporâneo í  época dos fatos a provar".The objective of this article is to analyze the reflexes provoked by the labor sentence before the social security body, called INSS. This is because, the effectiveness of such a sentence has generated controversy in the Brazilian labor jurisprudence, because there is a resistance on the part of the social security administrative bodies, in the sense of not recognizing the sentence and the labor judicial agreement as a single proof of the time of service for concession purposes. of benefits. However, after EC No. 20 of 1998, there was an extension of the jurisdiction of the Labor Court to execute the social security contributions resulting from its decisions, making from then on a great advance of undeniable value and qualification of this Specialized Justice, because besides safeguarding the workers' rights, also served as a means of enforcement, and just as important, were the amounts that began to be collected for the coffers of the Social Security Authority poured from execution before the Labor Court, which undoubtedly helps the support of Social Security. Subsequently, the jurisprudential understanding was consolidated in this sense, especially with the advent of the statements of the summaries 31 and 34 of the TNU (National Classification of Uniformization of jurisprudence), which consider the annotation in CTPS resulting from homologation labor judgment constitutive proof for purposes social security ", whose beginning must be contemporary to the time of the facts to prove".El objetivo de este artí­culo es analizar los reflejos provocados por la sentencia laboral ante el organismo de seguridad social, llamado INSS. Esto se debe a que la efectividad de dicha sentencia ha generado controversia en la jurisprudencia laboral brasileña, porque existe una resistencia por parte de los órganos administrativos de la seguridad social, en el sentido de no reconocer la sentencia y el acuerdo judicial laboral como una prueba única de la duración del servicio para fines de concesión. de beneficios. Sin embargo, después de la CE No. 20 de 1998, hubo una extensión de la jurisdicción de la Corte Laboral para ejecutar las contribuciones a la seguridad social derivadas de sus decisiones, haciendo desde entonces un gran avance de valor innegable y calificación de esta Justicia Especializada, porque además de salvaguardar el Los derechos de los trabajadores, también sirvieron como un medio para hacer cumplir, e igual de importante, fueron los montos que comenzaron a recaudarse para las arcas de la Autoridad de Seguridad Social vertidas de la ejecución ante el Tribunal Laboral, lo que sin duda ayuda al apoyo de la Seguridad Social. Posteriormente, la comprensión jurisprudencial se consolidó en este sentido, especialmente con el advenimiento de las declaraciones de los resúmenes 31 y 34 de la TNU (Clasificación Nacional de Uniformización de Jurisprudencia), que consideran la anotación en CTPS como resultado de la homologación de la prueba de juicio laboral para propósitos seguridad social ", cuyo comienzo debe ser contemporáneo a la época de los hechos a probar"

He-Ne Laser Effects on Blood Microcirculation During Wound Healing: A Method of In Vivo Study Through Laser Doppler Flowmetry

Background and Objectives: Low-intensity laser therapy (LILT) is widely used for wound healing promotion and its mechanism of action may be due to an enhancement of blood supply. The aim of this study was to evaluate blood flow alterations in a wound healing model, using laser Doppler flowmetry (LDF) associated with a normalized perfusion parameter. Study Design/Materials and Methods: An injury was provoked in 15 rats and blood flow was measured periodically over a period of 21 days. Control groups were established to evaluate LDF and He-Ne laser effects on microcirculation. A 1 J/cm 2 dose was utilized, with 6 mW/ cm 2 irradiance. Results: The results demonstrated flow alterations provoked by lesion, and inflammatory response (P < 0.05). There were no statistical differences between groups. Conclusions: The results did not show a significant sustained effect on microcirculation with this He-Ne dose

Programa Cerne: Design, Arquitetura, Artesanato e Arte

O Programa Cerne: Design, Arquitetura, Artesanato e Arte é umconjunto articulado de Projetos Cerne Design e Sistemas; CerneEducação para a Sustentabilidade; Cerne Produtos e Serviços,orientado para o conceito de sustentabilidade e pautado por açõesde inclusão socioambiental

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700