Volume 48 Special Number May Abstracts.

Transcription

1 Volum 48 Spil Numr My 2014 Astrts

2 Honorry Eitor Oswlo Pulo Forttini n mmorim Eitoril or Assoit Eitors Eitor of Commnts Crlos Augusto Montiro (Prsint) Univrsi São Pulo Brsil Rit Cássi Brrs Brt Snt Cs São Pulo Brsil Aluísio Jrim Dornlls Brros Univrsi Frl Plots Brsil An Brnr Lurmir Univrsi Frl Prnmuo Brsil Chstr Luiz Glvão Csr Univrsi São Pulo Brsil Dnil Riv Knuth Univrsi Frl o Rio Grn o Sul Brsil Eulis Ayrs Cstilho Univrsi São Pulo Brsil Evrro Durt Nuns Univrsi Estul Cmpins Brsil Fri Mrin Fishr Univrsi São Pulo Brsil vn Frnç Júnior Univrsi São Pulo Brsil João Luiz Bstos Univrsi Frl Snt Ctrin Brsil José Mri Pho Souz Univrsi São Pulo Brsil Mrly Augusto Croso Univrsi São Pulo Brsil Rosly Sihiri Univrsi o Esto o Rio Jniro Brsil Oswlo Yoshimi Tnk Univrsi São Pulo Brsil Vilm Sous Sntn Univrsi Frl Bhi Brsil Volny Mglhãs Câmr Univrsi Frl o Rio Jniro Brsil Elisu Alvs Wlmn Univrsi São Pulo Brsil Eitor of Rviws José Lopolo Frrir Antuns Univrsi São Pulo Brsil Exutiv Eitor Mri Trsinh Dis Anr Univrsi São Pulo Brsil Eitoril Avisory Bor A. Diz-Roux Univrsity of Mihign USA C. Borrll Agèni Slut Púli Espnh L. Rorigus Lonon Shool of Hygin n Tropil Miin UK M. P. Curo ntrntionl Agny for Rsrh on Cnr Frn A. Ringol Univrsity of Cliforni t Brkly USA C. Vitor Univrsi Frl Plots Brsil N. Almi Filho Univrsi Frl Bhi Brsil M. F. Lim Cost Função Oswlo Cruz Brsil M.. Shmit Univrsi Frl o Rio Grn o Sul Brsil

3 Crt in 1967, Rvist Sú Púli (Journl of Puli Hlth) is pulition of th Ful Sú Púli of Univrsi São Pulo. An intr- n multiisiplinry journl opn to pr-rviw rsrh ontriutions from oth ntionl n intrntionl sintifi ommunitis. ts mission is to pulish n ivulg sintifi proution on sujts of rlvn to Puli Hlth. Pulish imonthly, in Frury, April, Jun, August, Otor n Dmr. NDEXES All rtils r lso pulish in English lngug. Th on-lin strting n inxing srvis tht ovr th Journl r: Thomson Sintifi (S): W of Sin, Currnt Contnts/Soil Bhviorl Sin, Soil Sin Cittion nx; MEDLNE; Biosis; Glol Hlth; EMBASE; HEALSAFE; Hlth Str; PuM; POPLNE; Willif Worlwi (NSC); Sopus; SiELO; LLACS; PERODCA. FULL TEXTS Full txts of th omplt olltion of th rtils, from volum 1, numr 1 (1967), r vill for fr in PDF formt through th Journl s w sit: Contt Rvist Sú Púli Ful Sú Púli Univrsi São Pulo Av. Doutor Arnlo, São Pulo, SP - Brsil Fx/Phon: (55 11) / E-mil: [email protected] W sit Aministrtiv support Rviwr Srtry Biliot/CR: Cntro nformção Rfrêni m Sú Púli FSP/USP Oinéi C. Grgio Mri o Crmo Silv Olivir Eitoril n DTP Copyright Ful Sú Púli Univrsi São Pulo. All rights rsrv. 2

4 Volum 48 Spil numr My 2014 Astrts Congrss Orgniztion: Finnil Support:

5 Rv Sú Púli 2014;48(n.sp) 2 n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Wlom lttr Dr prtiipnt, Th Hlth Rsrh Unit (US) of th Shool of Hlth Sins of th Polythni nstitut of Liri (ESSLi-PL) is xtrmly pls to wlom you to th 2 n PLiri ntrntionl Hlth Congrss, whih is on gin hl t th Polythni nstitut of Liri Shool Cmpus. Convnintly lot t th hrt of Portugl, Liri hols th outstning mgi of n historil ity, whih lso prsnts grious n soil mornity tht n sily stt y th frinlinss of th popl, th tsty gstronomy n th joyous nvironmnt. Th 2 n PLiri ntrntionl Hlth Congrss, hl unr th thm of Chllngs & nnovtion in Hlth offrs th lgts n prtiipnts progrm of xlln tht ompriss plnry sssions, spiliz short-ommunitions n postr sssions, long with workshops on hot n urrnt issus on hlth. This yr s progrm fturs mor thn 600 ommunitions, ivi in svrl symposi unr th sujts of: RD&T in Hlth; Hlth Litry; -Hlth n -Thrpy; Qulity of Lif n Wll-Bing; Hlth ntrvntions in th Community; Msurmnt n Dision Mking; Ethniity n Hlth; Thnologil Pltforms for Communition n Simult Prti for Clinil Eution. Hlth is ptility, n sin is prmnntly hllng to ffiintly promot lif, y mns of rsrh n innovtion. Thrfor, unr th thm of Living with hroni iss w intn to provi rflxion on th prtis of hlth r givn to th ptint with hroni iss. Also, nw prsptivs n pprohs will t in orr to promot mor tiv n sustinl ging, tht rings tul gins in hlth n wlks hn-in-hn with n improv living. Rgring -Hlth, w will gt to know n isuss som of th nw mthoologis tht hv n put forwr to mor qutly rspon to th vrious n spifi ns of th iniviuls, gurntying mor qulity of lif mong th popultions. Hn, uring two ys in My, month lso known y th Portugus s th month of Mry, hosn y th pilgrims to nnully visit th Sntury of Ftim/Liri, th rgion is honor to simultnously riv in th ity of Liri, hlth profssionls n rsrhrs from ll ontinnts to prtiipt in this thrilling Sintifi Mting. Prtiipnts n lso njoy rlxing momnt of gthring n fruitful isussions uring innr t th mivl stl of Liri ( Romnsqu-Gothi stl uilt uring th first ynsty of Portugus kings). Furthrmor, w strongly rommn you to sty until th n, in orr to nfit from ll th tivitis nlos in th ongrss progrm, n to tk prt in th wrs rmony! Th Hlth Rsrh Unit is ply thnk to th Prsint of th Polythni nstitut of Liri n to ll th oprtiv units tht hv tivly ollort n work towrs th orgniztion of th mting. Likwis, US is grtful to th Myor n or of th ity ounil of Liri, s wll s, to th tourism rgion of Liri-Fátim, n to ll th institutions n ompnis tht hv sponsor n support th vnt. W lso wnt to show our pprition to th or of irtors n itors of Rvist Sú Púli n to th untiring n ommitt mmrs of oth th Sintifi n of th Orgnizing Committ. Griously w intn to riv you in th ity of Liri, in wht promiss to fntsti sintifi mting surroun y th uniqu uty n history of th ostlin n rgion of Liri, Portugl. Mri os Anjos Colho Rorigus Dix Congrss Prsint n H Coorintor of th Hlth Rsrh Unit of ESSLi-PL 4

6 Rv Sú Púli 2014;48(n.sp) 2 n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Progrm My 09, 2014 (Friy) Morning 9h00 Opning sssion Nuno Mngs, Prsint of th Polythni nstitut of Liri (PL) José Crlos Goms, Dirtor of th Suprior Shool of Hlth of Liri (ESSLi) Mri os Anjos Dix, H Coorintor of US/ESSLi-PL 09h30 Sssion 1 -Thm: Chroni isss Living with hroni iss Antonio Torrs Olivir, Agni Cli Snitri Anluí António Buglho Almi, F. Miin, Univ. Liso Estr Gm, Pitri Srvi, CHLP US/ESSLi-PL Chirwomn: Mri Pro Sun Gurino 11h00 Coff rk 11h30 Postr (Sssion -1, J-1, L-1) 11h30 Fr ommunitions (Sssion: A-1, B-1, C-1, D-1, E-1, F-1, G-1, H-1) Synhronous sssions unr th following thms: RD&T Rsrh, Dvlopmnt & Thnology in Hlth Hlth litry -Hlth n -Thrpy Qulity of lif n wll-ing Hlth ntrvntions in th ommunity Aftrnoon 14h00 Sssion 2 Thm: Dmogrphi hngs in th popultion/aging Aging t hom Frnno Alonso Lópz, Univrsi Autónom Brlon Câni Sors Sous Filho, Ctholi Univrsity of Portugl (CUP) Bltzr Riro Montiro,US/ESSLi-PL Chimn: José Alvs Gurriro 15h30 Coff rk 16h00 Postr (Sssion -2, J-2, L-2) 16h00 Fr ommunitions (Sssion: A-2, B-2, C-2, D-2, E-2, F-2, G-2, H-2) 17h30 Coff rk 18h00 Postr (Sssion -3, J-3, L-3) 18h00 Fr ommunitions (Sssion: A-3, B-3, C-3, D-3, E-3, F-3, G-3, H-3) Synhronous sssions unr th following thms: RD&T Rsrh, Dvlopmnt & Thnology in Hlth Hlth litry -Hlth n -Thrpy Qulity of lif n wll-ing Hlth ntrvntions in th ommunity 20h30 Congrss Dinnr Msurmnt n ision mking Ethniity n Hlth Thnologil pltforms for ommunition uiling n shring Simult prti for linil ution Msurmnt n ision mking Ethniity n Hlth Thnologil pltforms for ommunition uiling n shring Simult prti for linil ution 5

7 Rv Sú Púli 2014;48(n.sp) 2 n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth My 10, 2014 (Stury) Morning 09h00 Sssion 3 - thm: -hlth E-hlth in rspons to th hlth hllngs Gisl Rosms-Krrmns, Unit for Hlth n Wll-ing, EC Josp Mri Mongut, Univrsitt Politèni Ctluny (UPC) Pro Migul Sous,US/ESSLi-PL Chirmn: Pro Sors Gspr 11h00 Coff rk 11h00 - Postr (Sssion -4, J-4, L-4, M-4) 11h00 Fr ommunitions (Sssion: A-4, B-4, C-4, D-4, E-4, F-4, G-4, H-4) Synhronous sssions unr th following thms: RD&T Rsrh, Dvlopmnt & Thnology in Hlth Hlth litry -Hlth n -Thrpy Qulity of lif n wll-ing Hlth ntrvntions in th ommunity Aftrnoon 14h00 - Postr (Sssion -5, J-5, L-5) 14h00 Fr ommunitions (Sssion: A-5, B-5, C-5, D-5, E-5, F-5, G-5, H-5) Synhronous sssions unr th following thms: RD&T Rsrh, Dvlopmnt & Thnology in Hlth Hlth litry -Hlth n -Thrpy Qulity of lif n wll-ing Hlth ntrvntions in th ommunity 15h30 Coff rk 16h00 - Postr (Sssion -6, J-6, L-6) 16h00 Fr ommunitions (Sssion: A-6, B-6, C-6, D-6, E-6, F-6, G-6) Synhronous sssions unr th following thms: RD&T Rsrh, Dvlopmnt & Thnology in Hlth Hlth litry -Hlth n -Thrpy Qulity of lif n wll-ing Hlth ntrvntions in th ommunity Stllit ourss: 14h 18h (limit vnis) Cntrl uitory prossing Nuromusulr Bns Snsory ntgrtion 19h00 Closing sssion n wrs rmony Msurmnt n ision mking Ethniity n Hlth Thnologil pltforms for ommunition uiling n shring Simult prti for linil ution Msurmnt n ision mking Ethniity n Hlth Thnologil pltforms for ommunition uiling n shring Simult prti for linil ution Msurmnt n ision mking Ethniity n Hlth Thnologil pltforms for ommunition uiling n shring Simult prti for linil ution Communiting Sin Looking for your innr Clown (Sssion A 14h-16h/ Sssion B 16h 18h) 6

8 Rv Sú Púli 2014;48(n.sp) 2 n PLiri ntrnionl Hlth Congrss CHALLENGES & NNOVATON N HEALTH Sintifi Committ Prsint: Mri os Anjos Dix (Esol Suprior Sú- nstituto Politénio Liri) Alfro Bruto Cost (Comissão Nionl Justiç Pz) Angl Ky (Univrsi Wst Sotln, Rino Unio) António Buglho Almi (Srviço Pnumologi Ful Miin Univrsi Liso) Antonio Torrs Olivr (Agni Quli Snitári Anluzi, Espnh) Bltzr Riro Montiro (Esol Suprior Sú- nstituto Politénio Liri) Elísio Pinto (Esol Suprior Sú- nstituto Politénio Liri) Etlvin Lim (Esol Suprior Sú- nstituto Politénio Liri) Hln Ctrino (Esol Suprior Sú- nstituto Politénio Liri) José Alvs Gurriro (Esol Suprior Sú- nstituto Politénio Liri) José Crlos Goms (Esol Suprior Sú- nstituto Politénio Liri) Josp Mongut (Univrsi Politéni Ctlunh, Espnh) Kristin Sornsn (Univrsi Mstriht, Holn) Mri Amáli Botlho (Dprtmnto Miin Ful Ciênis Méis - NOVA) Mri Dul Goms (Esol Suprior Sú- nstituto Politénio Liri) Mri Pro Gurino (Esol Suprior Sú- nstituto Politénio Liri) Mri Su Lops (Esol Suprior Sú- nstituto Politénio Liri) Ptrii Roso Pinto (Dprtmnto Eução Méi Ful Ciênis Méis - NOVA) Pulo Morir (Esol Nionl Sú Púli) Pro João Sors Gspr (Esol Suprior Sú- nstituto Politénio Liri) Smnth Shnn (Worl Frtion of Ouptionl Thrpists) Sr Simõs Dis (Esol Suprior Sú- nstituto Politénio Liri) Orgnizing Commit (Esol Suprior Sú nstituto Politénio Liri) Prsint: Jim Morir Riiro Vi-Prsint: Ctrin Tomás An Qurio Crl João Crolin Hnriqus Ctrin Loão Cláui Vl Dnil Vz Déor Frno Ev Guilhrm Filip Sors João Fr José Colho Luis Crrão Pro Sous Snr Amo Sílvi Gonzg Sóni Pós Min Sóni Rmlho Susn Custóio 7

9 Rv Sú Púli 2014;48(n.sp) 2 n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Eitors Eitor-in-hif: Jim Morir Riiro Dnil Vz Mri os Anjos Dix Mri Pro Gurino Pro Sous Rviwrs An sl Frnns Qurio (Esol Suprior Sú- nstituto Politénio Liri) Angl Ky (Univrsi Wst Sotln, Rino Unio) António Buglho Almi (Srviço Pnumologi Ful Miin Univrsi Liso) Antonio Torrs Olivr (Agni Quli Snitári Anluzi, Espnh) Bltzr Riro Montiro (Esol Suprior Sú- nstituto Politénio Liri) Crolin Migul Grç Hnriqus (Esol Suprior Sú- nstituto Politénio Liri) Ctrin Loão (Esol Suprior Sú nstituto Politénio Liri) Dnil Vz (Esol Suprior Sú- nstituto Politénio Liri) Etlvin Lim (Esol Suprior Sú- nstituto Politénio Liri) Hln Ctrino (Esol Suprior Sú- nstituto Politénio Liri) Jim Morir Riiro (Esol Suprior Sú- nstituto Politénio Liri) José Alvs Gurriro (Esol Suprior Sú- nstituto Politénio Liri) José Crlos Qursm Colho (Esol Suprior Sú- nstituto Politénio Liri) Josp Mongut (Univrsi Politéni Ctlunh, Espnh) Kristin Sornsn (Univrsi Mstriht, Holn) Mri os Anjos Colho Dix (Esol Suprior Sú- nstituto Politénio Liri) Mri Dul Goms (Esol Suprior Sú- nstituto Politénio Liri) Mri Pro Gurino (Esol Suprior Sú- nstituto Politénio Liri) Mri Su Lops (Esol Suprior Sú- nstituto Politénio Liri) Ptrii Roso Pinto (Dprtmnto Eução Méi Ful Ciênis Méis - NOVA) Pulo Morir (Esol Nionl Sú Púli) Pro João Sors Gspr (Esol Suprior Sú- nstituto Politénio Liri) Snr Amo (Esol Suprior Sú- nstituto Politénio Liri) Sílvi Gonzg (Esol Suprior Sú- nstituto Politénio Liri) Sóni Pós Min (Esol Suprior Sú- nstituto Politénio Liri) Sóni Rmlho (Esol Suprior Sú- nstituto Politénio Liri) Susn Custóio (Esol Suprior Sú- nstituto Politénio Liri) 8

10 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth CONTENTS -hlth n -thrpy 001 Trust n Criility in -Hlth ntrf HAPPY: Cnr Prvntion Moil App support y Qulittiv Stuy How to rss th prsripton n sltion of AAL systms & srvis for n usrs E-hlth W s thnologis ptint option VAST Autismo innovtion n thnology in Sph n Lngug Thrpy from Thnology to Hlth: risk-nfit nlysis of th Moil Hlthr Applitions Projt Goo itizn with ingnuity n ution - prvntion n intrvntion in rspons to ullying t shool Stuy of th rltionship twn slp qulity n ullying hviors in shool g hilrn Efftivnss of -hlth intrvntion progrms in ovrwight olsnts: systmti rviw Who nfits from n -thrputi wight mngmnt progrm? Vlition of Dision Support Systm in Britri Surgry CrForM: n pplition for ios vis for hlping in prvnting prssur ulrs Nw Thrputil Systms for Multipl Slrosis: Ptint Prption n Chlngs...29 Ethniity n Hlth 014 Epimiologil spts of turulosis in Brzilin northstrn mmigrnts r: from thnontrism to thnorrltivism in nurss Ouptionl thrpy from n intrulturl prsptiv: hllng n n opportunity Psyhosoil Corrlts of Physil Ativity mong hilrn n olsns with spin ifi...32 Hlth ntrvntions in th ommunity 018 Trining n Eution in hlth: Brzilin intr-institutionl rsrh for th SUS Th Usr of Psyhotiv Sustn to th mrgny srvi: systmti rviw Wight sttus n jump profiiny: iffrns twn hlthy wight n os hilrn Dos wight sttus influn th ll throwing skill in hilrn? Efft of ut ffin ministrtion on gluos homostsis n loo prssur Th prti of this: rport of th xprin of stunts in th profssionl mstr s progrm Disposl of unus or unwnt phrmutils s sour of nvironmntl pollution Evlution of phrmutil xprin in ispnsing of ophthlmi prouts in Portugl n vin-s systmti rviw out th ul-tsk intrvntion in rsing flls on th lrly n vin-s systmti rviw on th fftivnss of ln trining in rsing th numr of flls in hlthy lrly Th importn of th physiothrpy on th trtmnt of suromil impingmnt synrom: n vin s systmti rviw Asthnopi symptoms n inoulr vision of profssionl usrs of optil mirosop Anlysis of Binoulr Vision on Hospitl Aministrtiv Employs omputr usrs Nursing intrvntion progrm for fmily rgivrs Hth ution groups: th n for hng

11 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 033 Hlth n Physil Ativity in Community-Dwlling Olr Aults Aging, Physil Ativity n Slf Prption of Physil Disomfort Mnifsttions Th importn of nutritionl ounsling in rnl ptints Hlth Promotion (HP) ESSS/UMS ommunity intrvntion Dits Typ 2 n risk of fll: funtionlity ssssmnt n risk group in iti foot Risk n vulnrility mrkrs of rst nr in womn with HV/ADS nflun of slf-ffiy in n utionl n xris progrm for hroni low k pin Effts of xris trining on fll prvntion in lrly. A rnomiz ontroll tril somtri nurn of th spin xtnsor musls ftr pplying Glol Posturl Rution Critil prio in prshool hilrn for th vlopmnt of ovrwight Eution of nursing stunts in work with vulnrl groups: Fml Prisonr Boy prtis n th Amplifi Clini: lrning out hlth ution in th Brzilin Hlth Systm (SUS) mpt of fmily-s pulmonry rhilittion progrm: n xplortory stuy Effts of rspirtory physiothrpy sssion in ptints with Lowr Rspirtory Trt nftions Auiologi hngs in Pilots Avitors A linil ution projt for popl with hroni ostrutiv pulmonry iss Th Priv Hlth of Crrl Plsy Popl Who Ar Aging Dos 6-minuts wlk tst prit funtionl pity in lrly popl? A pilot-stuy Th progrm Mor Dotors : th impt on hlth ss in Rio Grn o Sul nlysis Pllitiv r t hom: right for ll, n intgrtiv rviw ntrvntion in ults on mntl hlth r ntr A linil ution projt Com(vivr) Mis Projt for Community intrvntion in th lrly popultion in Azors Th influn of th ingstion of lohol on slp qulity Ar skin lsions orrtly lssifi? Nursing hom visit impt in purprium: systmti rviw Qulittiv ssssmnt of riovsulr risk in ommunity phrmy in th Algrv Rhilittion n Sujtivity: Crtogrphy of mutilt oy y Lprosy Bhviours n sxul ttitus in highr ution stunts Physil hlth n tivitis of ily living in olst ol ommunity-wlling ssssmnt Sls to ssss mition hrn in popl with hroni iss: systmti rviw Sx ution in shools: n intrvntionl projt Assoition twn grip strngth, nthropomtri t n funtionl pity A ommunity-s xris progrm to ontrol riovsulr risk in typ 2 itis Host fmilis trgt for nursing intrvntion Evlution of protool xriss for musiins with musuloskltl prolms nflun of Strthing Progrm in Ftory Workrs, Prvln of Musuloskltl Symptoms Prvln n trminnts of gingivl rssions in Portugus ults ntrvntion projt into Ami Community: rlity Orl hlth n th us of ntl prosthsis mong th institutionliz lrly Th Chllngs of Fing Voluntry ounslling n tsting for HV: n intrvntion t th Univrsity Cmpus of Évor Assssmnt of mition hrn n rgimn omplxity in hyprtnsiv ptints Effts of th ssoition of ognitiv stimultion with motor trining in ognitiv impirmnt lrly Prfil soiomográfio, hmtológio ioquímio um populção loóli Alryngl Vois unr mgnifying glss of th ommunity Mntl Hlth ntrvntion in Shool Efft of th rgomtr yling on th rhilittion of th lrly with hip rthroplsty Dnvr-: Portugus Normtiv Profil Anlysis of Norml n Pthologil Vois for Womn ysphoni Eting hits of hilrn in shool g

12 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 083 ntrvntion Progrm in hilrn n olsnts to promot Physil Fitnss, Physil Ativity n Nutritionl Knowlg Community-wlling Elrly: infftiv mngmnt of rug rgimn n risk of fll Ojt nming: is it mttr of g? Aolsnt Sxulity: Prsptiv of Thrs Mition hrn in lrly popl: litrtur rviw Dtrminnts of slf-mition in lrly popl: systmti rviw (R)Think Hlthr to Elrly from thir Prptions Pritors of postoprtiv outoms ftr surgry for lung nr Slf-r hrn in typ 2 its Supporting olr popl s nforml CAREgivrs t hom through ncare Progrmm: th stuy protool Mition Ahrn n Criomtoli Control in Typ 2 Dits Evlution of Trihlomthns n Aluminum in Drinking Wtr in th Northwst of Portugl Nursing intrvntions to prvnt flls in olr popl: systmti rviw Gui to prvnting flls for olr popl living in th ommunity Contmintion lvls tht ompromis th hygini onition in th hnling of foo Rsiul nuromusulr lok in ptints unrgoing surgry. Altrtions of musl strngth n postoprtiv rspirtory moriity ECPCD-AVC: n nstrumnt for msuring slf-r in olr popl ftr strok Biliogrphi stuy groups n workshops on mntl hlth prxis of psyhology Lifstyl of Prnts With Chilrn in Shool Ag Proviing hom ounsling for olr ults: nfits n hllngs Lifstyls of th Shool Ag Chil Mn ss to primry hlth r: isussing iffiultis n rsistn f y thm Soioonomi influn on intstinl noprsiti isss in prgnnt womn in Dimntin, Brzil mplmnttion of Singl Hlth Systm (SUS): nlysis of sintifi proution in Brzil Chrtristis of Vulvovginitis in Prgnnt Womn in Usf (Hlth Unit) in th Muniiplity of th ntrior of Bhi Applition STOPP ritri n rs ritri in th vlution of th rug phrmothrpy us in lrly: omprtiv stuy in th Lonrin ity, Brzil Knowlg n Prti Aout th Contrptiv Mthos Among Nursing Stunts of Collg of Bhi, Brzil Hlth promoting shool. Hlthy lifstyls: Mntl hlth promotion Th ntisoil phnomnon mong Portugus stunts: Towrs hlthir soil hviours Th inin of flls in institutionliz lrly Assistn for Violn Vitims in Sttionry Pr-Hospitl Units Exlusiv Brstfing: Prvln n ntifition of Prolms until Four Months MDWFERY EMPOWERMENT: th prption of th nurss miwivs in Portugl Gnrl n Mntl Hlth of Poor n Multiprolmti Fmilis Musi ProiED: Applitions in Communitry Hlth Eution Cpsium nnuum L. with iffrnt olors provi iovill phytohmils with hlth nfits Humniztion of hlth ution, prti rfltion n ommunity mpowrmnt Chrtriztion of usrs of Snt Mri Mior Continuous Cr Unit (CCU) n Soil Rspons ftr ishrg of usrs with rrovsulr int (CVA) Sxul ution n popl with intlltul isilitis in rsintil r: n xprin Ftors Assoit With Ass To th Fmily Hlth Strtgy Srvis Lonlinss n prssion in th institutionliz lrly Efftivnss of utionl toy in hn hygin in hilrn of puli shool Hlth, Sph-Lngug Thrpy n Hlth Eution: (R)viw inirt intrvntion Effts of physil tivity progrm in th workpl: Snittion Compny s stuy

13 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 127 Projts of Hlth Eution in shool: from vlution to prti Most signifint soiliztion gnts in olsnt sxulity Symptoms n Dignosis of Rspirtory Diss in Elrly Popl - Gri Stuy Mrkrs of vulnrility for Bulimi n Anorxi: prptions of hlth profssionl Prvntion of pthologil onlin gmling in olsnts Rspirtory Symptoms in Elrly With Dprssion An/or Dmnti - Gri Stuy th nflun of Osttri Ftors in th Prvln of Brstfing: Wning Rsons r yl stunts knowlg on ting violn: fftivnss of n ution sssion Foo intk of prgnnt olsnts ttn t hospitl-shool in Colomo, PR, Brzil Mothrs prption with rgr to r in th introution of supplmntry foo Prntl Hlth Eution: th Nursing Ation in Brzilin Community Lov & Violn on ting: prsptiv of th Aolsnts Knowlg To ntrvntion in Lifstyls on Hotl Workrs Dignosis of Lifstyls of Aolsnts in Mil Shool Risk ssssmnt to Hyprtnsion in working popultion in th ity of São Pulo Risk ssssmnt for ouptionl isss oring to th ntrntionl Clssifition of Funtioning, Disility n Hlth Long-trm fftivnss of hlth ution progrm in surity gurs: 12-months follow-up stuy Soiomogrphi hrtriztion of iti ptints ssist in primry r Hlth profil of itis ssist in primry r Prour of Nursing n Dntistry in th infnt r: litrtur rviw Boy omposition ssssmnt in Liri s 7TH grrs 5 yr omprison ( ) Prnting in th first yrs of hil s lif: rs of nursing intrvntion Non-stroil nti-inflmmtory rugs (NSADs) pttrn us in ntrl rgion of Portugl Attitus towrs onsumption, ryling n potntil of rutiliztion of miins mpt of wlking progrm on typ 2 Diti sujts Th Rlity of Crk in Northstrn Brzilin City: th Usr Look Physil n sport tivitis in shool n ommunity ontxt: wht impt on hlth initors? Prvln n risk ftors for ovrwight/osity in Liri s 7 th grrs ( ) Foo Supplmnts Lls n hlth lims: implmnttion of Europn Union Rgultion from mnings of spiritulity to th hllngs of nurss in fmily intrvntion Bhviors of outoor workrs onrning sun xposur Hlth litry 158 Strssful situtions: ignosing to ut in Sph Thrpy Strngthn th Mtrnl n Chil Hlth omptny mong nurss y ln ontinuing ution progrm Th nurss xprin on nursing stunts n thir linil lrning pross in hospitl A fll prvntion mnul for olr ults oring to hlth litry mns Prvln of urinry inontinn uring prgnny n postprtum in Brzilin womn Risk ftors for urinry inontinn in prgnny n postprtum Mi pprohing hviors in nursing: sriptiv stuy Opioi Sustitution Progrms in Portugl: Unrstning th ision mking pross Hlth litry ssssmnt t th primry hlth r: strtgy for flls prvntion Hring Hlth Promotion in Chilrn Fiv Yrs Ol: N to Unrtk! Hlth litry - pthwy to ptints trmintion Group hronils on CoP: tool for ollortiv nlysis n improving rflxion OT Community of Prti s ontinuing ution: mntl hlth ssistn on primry r Ptint r in rin th: wknsss of nursing stff Hlth illitry in stunts of polythni institut nflun of th onomi snrio in th prolifrtion of Phrmutil Countrfiting

14 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 174 Th mportn of th Eltroriogrm in th Sports Mil Evlution mpt of psyho ution on nxity n prsptivs f to th mong hlth profssionls of Unit of Primry Hlth Cr Vunrl popultion to low hlth litry: systmti rviw Hlth Litry n its msurmnt tools: systmti rviw Hlth Promotion & Emotionl Eution: vlopmnt of wsit Typs of nformtion n Communition Thnologis usful to promot hlth litry in ptints with COPD Mouth slf-xmintion rts r highr mong usrs of SUS: vlution s on mol of hlth litry Cross-nftion Risk in Clinil Dntistry Prform y Stunts ntrnt ition rlt-symptoms in smpl of young-ults Young s mntl hlth litry: systmti rviw Hlth Eution - Anlysis of Curriulum Mtrix of th Cours of Nursing Wtr intk s promotr of hlth hviour with hilrn Communitiv styls of prson with phsi ftr rin injury Shm n Soil Anxity in Aolsn: th Exprin of Shm Sl for Aolsnts Vstiulr Effts of Cohlr mplnttion Th Hlth Litry n Empowrmnt of Citizns: ntgrtiv Rviw Bhviour F To Pkging Wst n Drugs Out of Us Knowlgs of Brzilin Amis of Nursing on Burns Fish Consumption in Collg Stunts Boy img n oy omposition in stunts from two sonry ution shools of Brgnz ity, Portugl Msurmnt n ision mking 194 Th msurmnt of Aptiv Bhviour in Portugl Chrtriztion of ints rlting xposur to iologil mtril involving th stff of univrsity hospitl Th us of imgs in Sph n Lngug Thrpy in Portugl Th w on th ision-mking pross of prgnnt/postprtum womn: Portugus survy Ptints prfrns n ns: ntrlity of nursing r Dvlopmnt of Gritri Funtionlity Sl to srn for funtionl ility Musl o-ontrtion ssssmnt uring wlking in linil prti- prliminry ury n rprouiility stuy Comprtiv nlysis of th mngmnt of its mllitus in UCSP n USF in th Alto Minho rgion Culturl pttion n vlition of th Portugus vrsion of th Assssmnt of Chroni llnss Cr (ACC) vrsion Knowlg mngmnt in puli hlth institutions with iffrnt mngmnt mols Chil vlopmnt srning systm in Portugl - Wht opportunitis? Eliminting msls in Portugl: th ontriution of nurss Comprtiv stuy of Birth n Mtrnity nitors Msuring ptint stisftion with ntl r in Univrsity ntl lini kgroun Dvlopmnt of n instrumnt for msuring ptint stisftion with ntl r Root ris: prolm in institutionliz lrly ntrrtr rliility n grmnt of hst wll moility in ptints with COPD Th us of trmrks in th Brzilin mrkt y phrmutil ompnis Confirmtory Ftor Anlysis of th Portugus Vrsion of th Pritrumti Dissoitiv Exprins Qustionnir Aury of nurss in risk lssifition of n ult mrgny in south of Brzil Nurss n ssssmnt riovsulr risk in popl hospitliz y non-ri uss

15 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 215 Physil tivity prits slf-rport isility n prformn in ults g Disility n hlthr onsumption mong olr ults Rsults from 9-month physil tivity intrvntion in physil fitnss of olr womn Msurs to ssss th suitility of quntittiv ompoun tsts with th ilution fft Tngrs n rugs: susiy for ision mking in utionl intrvntion in hlth Cryothrpy impirs proprioption funtion? Musulr strngth n nurn: ffts of i pplition Ntionl Hlth Srvi: Qulittiv n finnil ssssmnt of of o-pymnts Hlth profssionls' ommitmnt: mngmnt tool Formultion of nurs's linil jugmnt out th potntil of utonomy ronstrution Physil tivity stimts in COPD rhilittion: slf-rport vs. ojtiv msurs Compoun linil trils: omprtiv simultion stuy of its ury n ost Dision mking in intnsiv r t th n of lif Rsistn tril profil in positiv urin ulturs: Nosoomil nftion vs Community quir nftion Flls in lrly ommunity rsints. n unrignos prolm Evlution of th us of unl of prvntion of vntiltor-ssoit pnumoni Bunl of inftion primry prvntion of loostrm s mngmnt tool in Brzilin hospitl Thniqus for ounting tri in pool smpl Short form 6D: n msur hlth in ptints with systmi lupus rythmtosus? Ntionl humniztion poliy: onptions of hlth profssionls Fining n instrumnt to ssss fll risk in ut ptints in hospitl stting ntgrting Evin-Bs Prti in th Trining Progrmm Bhlor s Dgr in Nursing. Univrsity Jum Assssmnt of prntl unr th prsptiv of mngmnt n fmily hlth tms Anlysis of th working pross of nurss n otors in th prvntion of risk ftors of gsttionl hyprtnsion s nfnt mortlity n vin of onomi vlopmnt? Pr fk: onlin mol for vloping mtognitiv skills in stunts Constrution n Vlition of Rfrn Mtrix for Lrg Sl Cognitiv Assssmnt of th Biologil-Funtionl Dimnsion in Shool Physil Eution Th Attntion to Elrly Hlth: initors of prformn vlution n ision mking in lol mngmnt Assoition of Osttri Vrils with Rout of Chilirth Th Anxity Disorrs ntrviw Shul for DSM-V:Chil Vrsion(ADS-C) in Aolsnts Compring th psyhomtri proprtis of th instrumnts us in th onomi vlution of Prkinson's iss Assssing iling ffts in th EQ-5D n th SF-6D instrumnts in ptints with Prkinson s iss Orgniztionl Strss: Dvlopmnt of multiimnsionl msur Priv hlth sttus in popl ovr 65 yrs Mil ution simult prti 249 Mntors implition in linil lrning n ssssmnt of nursing stunts Prvntion of rug us: prtis vlop y ounslors n ommunity lrs in Brzil Attntion givn to usrs of sustns psyhotiv in units of srvi ry for nurss n otors Wht os th oy hv to o with it? Motion xtrpoltion in iniviuls with rrl plsy Simult lortory prti: impt on th stunt in prprtion for th rl ontxt of linil prti Th us of linil simultion with tors: n tion rsrh in nursing Hlth Promotion: Conpts n Ations of Nurss Thrs Clinil trining in surgry: vloping nursing stunts skills Cr for th prson in ritil onition in th ontxt of simult prti

16 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 258 Ami opinion out th out th Ntionl Curriulum Guilins in hlth Augmnt rlity for improving linil ision skills Drifing in th simultion ontxts Othr rlt to th thmti tls n Congrss 261 mplmnttion of Brzilin Ntionl Poliy on Orl Hlth in Rgionl Hlth Dprtmnt Psyhologil Consulttion-Lision: Mthoologil n Thnil Aspts Communition in Hlth Th finitu n ging: prptions of th rgivrs of institutionliz g Populr ution, n intrisiplinry prti in th formtion of hlth profssionls Humn rsours trining for hlth thing: hrtristis n prsptivs Nursing mngmnt: tivitis prform for qulity r Avn nursing ution n profssionl vlopmnt: mstr`s ours stunts prptions Consonnt prption n ovrll uitory prformn in Cohlr mplnt usrs Evlution of ln n posturl ontrol in sniors with thori hiprkyphosis Lvoop ontroll rls from lgint mmrns s issoition in psyhitri n non-psyhitri Portugus smpls xplin y intnsity of psyhopthology? Evlution of funtionl prformn of ptints with ptllofmorl pin Dits, thrputi hrn n prssion Lif xptny of morn tims: puli poliis of morn hlth? Smnti prossing in sujts with n without uitory prossing isorrs: s stuy Hmoynmi hngs in vuum notrhl in th lrly hyprsrtion with mnti Ovrlo on prption of informl rgivrs of pnnt lrly with mnti Polyphrmy in th lrly with mnti nursing hom rsints Cring slf-r pnnts in hom nvironmnt Funtionl n ognitiv lin in hospitliz lrly Usr stisftion with Primry Hlth Cr: n nlysis of th Emrgny Cr ttnns Dmnti r: fous on irt r workrs ttitus, urnout n jo stisftion Atthmnt lvls to th mothr, th fthr n th prs, in institutionliz youngstrs Prption of Thrt, Strss, n Anxity in Athlts of Portugus Footll Chmpionships Prsription of ntiiotis y ntists: pilot stuy Roniling Oprtionl n Orgnistionl Logis in Hospitl Chng Mngmnt Wight loss my lrt through hrononutrition-s protin it Assoition twn priv omptn, utonomy n physil tivity Constrint-inu phsi thrpy: fftivnss of progrm in hroni phsi ptints Lrning mtings in th formtion through work th onstrution of Hlth Rsinis Nursing intrvntions to prvnt prssur ulrs in intnsiv r units: systmti rviw Hlth ution n sxulity uring prgnny Aging n soil informtis: s stuy Blifs n strotyps in humn ging Auitory ltrophysiologil vlution in iniviuls with typ 2 Dits Mllitus ntnsiv Cr Nursing: Portugus Sintifi Proution: Biliomtri stuy Sports injuris hrtriztion ourring in mountin sports Criovsulr risk ftors foun in strok ptints Biltrl ohlr implnttion in ptint with iltrl tmporl on frtur Auitory long ltny potntils for n ftr ohlr implnttion MDAF: Trining Trnsfr to th profssionl prformn of fmily nurss Squntil livr trnsplnttion - thil issus Humniztion of Nursing Cr in Surgil Cntr: n Evryy Srh

17 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 305 Slf-ritiism, oy stm n ting isorrs symptoms in smpl of fml olsnts, prtitionrs of llt n hnll Prvnting prssur ulrs: th knowlg of th nursing stunts from th Azors n Cnry slns Puli hlth poliis in Brzil unr th spt of this n mngmnt Pgogil trining thr s: hllng in nursing ution Ml: nstrumnt Rting Prti Uppr Mmr Dntl n Prioontl Complitions Arising from th Us of Orl Pirings Css Rports Too Us Among Stunts in th Mrjó Arhiplgo, Northrn Brzil Thr is mor thn unrwight in pitri Crohn s iss Bing Drinking Among Stunts in th Mrjó Arhiplgo, Northrn Brzil Th lrning pross of th stunt r: strting of ritil rfltions Soiomogrphi n gynologil osttri hrtristis of tlin Nursing mis Sxul profil of nursing stunts out your sxul hviors Ptints unrgoing hmothrpy: fft of high-lori supplmnt on nutritionl sttus Anlysis of Mtrnl Slf-Effiy in th Pross of Tng Mothrs Brstfing Anlysis of th Dvlopmnt of Chilrn in th Northstrn Rgion of Brzil nftions, Rsistn n ntiioti thrpy in n ntrnl Miin Srvi Prntl Strss in Prnts of Chilrn with Dvlopmntl Disorrs Mrijun Us Among Stunts in th Mrjó Arhiplgo, Northrn Brzil Prptions of Air Nurss Aout th Assistn To Womn Vitims of Violn in Brzil Nursing Cr Systmtiztion in Psyhitri Hospitl in th Brzilin Northst Lunh ting hits in Portugus ollg stunts onsiring th lotion of ml Eting ttitus n risk of ting isorrs in olsnts: rol of th thinnss strotyp Thing n lrning in fmily nursing: from thortil frmwork to xprintil rfltion Profil of th womn who rpt n inu ortion Qulity of lif n wll-ing 329 An n Puli Hlth Efft of mssg thrpy in nr ptints in pllitiv sitution Bnfits of Physil Ativity in Cholstrol n Triglyris in th lrly Comprison of funtionl fitnss twn sntry n tiv lrly with AAHPERD tsts Psyhomtri Proprtis of Portugus vrsion of Prsonl Outoms Sl: EPR Assssing Qulity of Lif on Aults with ntlltul Disility: Esl Pssol Rsultos vrsus WHOQOL-Brf Hr-rug intrtions mong ommonly us psyhotiv sustns y hlthr stunts Communition with lrly ptints wknss or n opportunity to young nurss? Th hil with HV/ADS: Truth Dislosur nfrtility in mls Emotionl hngs in postprtum womn Effts of two xris trining progrms n trining in olr womn Mothr-nfnt rltionship with mothrs suffring from nxity n moo mnmnt nflun of hlth initors in prvln of HTA n osity in highr ution Coin, Crk n Multipl Drugs Consumption: ntrf with Usrs Qulity of Lif Th influn of wight sttus on physil fitnss of primry shool hilrn Eution for hlth: Alohol n young g shool tngrs Rliility of omprhnsiv fitnss tst ttry in prsons with firomylgi Trnsltion n Spnish ulturl pttion of th firomylgi knowlg qustionnir (FKQ) Eight wks of vigorous xris r nough for signifint rution in loo prssur Mngmnt of Fmily Crgivrs Emotions: hllng in pitri intnsiv r nursing Assssmnt of nutritionl sttus of lrly ptints with hip frtur

18 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 351 Hlth Promotion in Highr Eution: Rsilin n Qulity of Lif Wll-ing n mi suss in lmntry shool Hlth-rlt qulity of lif in lrly in primry r Efft of Listrin mouthrins ginst orl miroorgnisms How iffrnt is this oy in my lss? Asking prs of hilrn with rrl plsy Stuy of rug ition n prgnny nworn th Soil support of mn living with humn immunofiiny virus/ads Prsn of prnts in nontl units: First stg of th Kngroo mtho Th rltion twn funtionl prformn n stisftion with lif in lrly Communition of nws to th lrly ptint/his fmily, in ritil sitution Exploring th hlthr ns of ptints with mil hroni ostrutiv pulmonry iss Stunt Support Srvi: promoting wll-ing of stunts of Polythni nstitut of Liri Chrtriztion of th sun-prottion prtis in highr ution stunts Us of mrgny ontrption in highr ution stunts Anlysis of Posturl hits in primry shool hilrn in privt n puli institution Chrtriztion of th funtionl pity of th lrly: ffts of g n hlth sttus Hppinss n sujtiv hlth sttus mong olr ults in Southrn Europ n Sninvi Physil tivity n slp slin rsults from n intrvntion stuy Physil tivity in hlthy hilrn n hilrn with Aut Rspirtory nftions Fmily r t rly COPD: s thr ny risk for rgivrs mntl wll-ing? Virtul ommunition n rltionship twn nurs n lrly prson A systmti rviw of nursing intrvntions on pttion in womn with rst nr Slf-prption of sirl hviors for hlthy ging in ults with rrl plsy Exploring lif stisftion n prssiv symptoms in olr popl riving fmily r Crrs Burnout n Vlus: it s rltion with th wlling of popl with mnti Rltionship twn ln n fr of flling in lrly popl Mntl hlth, strngths n soil support of singl mothrs Th Stt of Hlth of Thrs Expos to Nois in th Shool Contxt Shool, Fmily Support, llnss Rprsnttions n Qulity of Lif in Typ 1 Dits Profssionl ntity n th Psyho-Soil Contrt: th iologil link to ommitmnt in Hlth Workrs Builing nstrumnt to ssss usr stisftion in ommuniting with hlth profssionls s on th onsnsus of th Dlphi mtho Glol gritri vlution of th Algrv popultion Nois in n intnsiv r unit s ftor of isomfort: sriptiv xplortory stuy Slp n qulity of lif in ollg stunts: omprison twn sxs Rltionship Btwn Motor Coorintion n Physil Fitnss of Prpurtl Chilrn Psyhomtri Stuy of th Aolsnt Soil Comprison Sl-Rvis Moing/psyhologil ggrssion in nursing profssion Qulity of lif in olr popl n Hospitliztion Effts of n xris progrm on physil fitnss in ptints with typ 2 its Spifi shooling r for hilrn with isilitis from nursing prsptiv Qulity of lif, onrns n thrputi ns in prnts of hilrn with spil ns Burnout Among Nurss nvntory of ullying in nursing stunts: finl rsults Qulity of lif in th lrly: omprtiv stuy twn two iffrnt r giving srvis Qulity of lif in pitri nr: llnss prptions of hilrn n prnts Aging n mil hring loss Qulity of lif ftr livr trnsplnt in fmilil myloioti polynuropthy ptints Erly xprins with rgivrs, shool ullying n ngtiv fft in Aolsn

19 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 399 Rltionship twn lisur tivitis n ognitiv prformn in olr ults Struturl pproh to th qulity of lif of tngrs Unonvntionl thrputi molitis in nursing prti Knowlg of HV mongst rsints of th Univrsity of Évor Cmpus (n)pnn from gnr prsptiv: stuy of lrly popl with soil r srvis Assoition twn psyhosoil spts of work n qulity of lif of motoryl txi rivrs Prsonl soil ntworks of lrly n mntl hlth: prliminry rsults Nomintion n ntifition of th Six Bsi Emotions y Elrly popl A gnri n moulr pproh to hilrn s qulity of lif slf-ssssmnt Qulity of lif of th lrly with hip rthroplsty: omprison twn two instrumnts Th voi s symoli tivity in th lrly Qulity of lif: prsptiv of portugus sniors Exprining nxity: linil initors in nursing ignosis Cring ptints with impir vrl ommunition: nursing ignosis Thrs prptions out hlth promotion in pr-shool: Explortory stuy Criogni shok linil initors in nursing ignosis Th impt of infrtility on oupls yi justmnt n intimy Rligiosity n spiritulity in olr prsons: hllng for nursing prti Qulity of Lif in Pr-Lingul Df Chilrn Lif qulity of iniviuls in riothrpi trtmnt log t hostl Physil xris progrmm for institutionliz lrly: improving qulity of lif Prptions of sons out los rltionships, lif stisftion n prnt`s mritl stisftion Nursing r for ptints with stom: qusi-xprimntl stuy Rsilin in olsnts n thir prption of th prnting styls Bttr qulity of lif trminnts. orrltionl stuy in rug its ommunity Fmily qulity of lif in fmilis of popl with intlltul isilitis: nw onpt Wll-ing in vry ol g: Vlution of lif n hlth t on ntury of lif Mtrnl postprtum qulity of lif qustionnir - MAPP-QOL: vlition of th Portugus vrsion in first-tim mothrs First-tim prnts: qulity of lif n justmnt to th prntl rol in postprtum prio Psyhomtri stuis of th Othr s Shmr Sl for Aolsnts - rif vrsion (OASB-A) Anlysis mong lrly institutionliz n non-institutionliz in ity of Brzil Th fmily of hospitliz ult in CU: Trnsitions in qulity of lif n wll-ing Systmtiztion of th Cr Systm Nursing for Typ Dits Mllitus: Stuy of Cs Chng in funtionl sttus n oy omposition in institutionliz lrly Blow gun trining nhns th vntiltory pity in ptints with Down synrom: pilot stuy ntrgnrtionl rltions grnprnts n grnhilrn s: wll-ing ftor? Polyphrmy in th lrly: thrpy hrn Optimism, rsilin n fmily impt in prnts of isl hil Miins out of us n wst of miins in northrn ity of Portugl Pssion n stisftion with lif in isl thlts Qulity of Lif of Womn With Urinry nontinn, Using iq-sf Priv Soil Support in Ault Cli Prsons Nursing linil suprvision: support strtgis Pin n Qulity of Lif in Ptints with Diti Foot Ulr: Prliminry Rsults Effts of Physil Ativity on Mntl Hlth in Ptints with Dprssion Aging of popl with isility: ntifition of risk ftors rlt to flls Th griving pross: young ults strtgis ftr th loss of prnt Pssion, Motivtion n Sujtiv Wll-Bing in Lisur Surf Bk pin hrtristis of univrsity stunts

20 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 448 Conption of Prsons With 65 Yrs of Ag or Olr To B Ol or Aging Psyhologil Wlling, Stisftion With Lif n Optimism in Sports Mngrs (Ex)Usrs of njtl Drugs Sropositivs for HV n Qulity of Lif Prtiiption of th Fmily Crgivr in Ahsion of Hyprtnsiv Prson To Trtmnt - Anlysis of th mpt of Hlth Promotion Host: Orl Hlth Cr in Puli Hospitl n Th Fmily Crgivr s Knowlg Aout th Trtmnt of Hyprtnsiv Prsonl: nlysis fousing on hlth ution from th Dsir of Hving Chil to th Dsir Chil: th Drm Com Tru for th Coupl nforml rgivrs of Portugus ntnrin : first gln from th Oporto Cntnrin Stuy Profil of th rvil spin of mi profssors Th uffring fft of wrmth n sfnss mmoris n flings ginst shm on prssion Slf-Cr Profil in Hmoilis Clints mpt of lifstyl, qulity of lif n trtmnt hrn mong ovrwight olsnts Hlth-promoting lifstyl profil in Portugus mi ommunity Do thought supprssion tnnis strngthn th link twn soil rnk n prssiv symptoms? Prson pnnt on invsiv vntiltion t hom: ring in prtnrship with fmily How oy img inflxiility impts on isorr ting ttitus n hviours Stnrs of slp qulity in hospitliz ptints on mil surgry ontxt Strss in ontxt Prioprtiv Wht prtis n hviour ftr th fll of th lrly, in rsintil struturs for sniors? Anthropomtri msurs, ting hits n prformn of Portugus sor plyrs Hrmful Effts of th Us of Psyhotiv Sustns in Prption of Usrs My oy, my shm : Dos oy img shm plys spifi rol in ing ting? Th psyhomtri proprtis of th Boy mg Shm Sl for olsnts (BSS-A) Amyotrophi Ltrl Slrosis: Knowlg of th Qulity of Lif of Popl Afft Chilrn With Nurologil Diss: Mishl s Thory n Mtrnl Bhvior Bing fus with oy img: th impt on on s qulity of lif Exprintil voin mplifis th impt of oy img-rlt xprins on qulity of lif nsomni: Prvln n ssoit ftors Aints t work y xssiv fforts/inpproprit movmnts in nurss Th implitions of Emotionl ntllign in Slf-stm Comfort in prmnnt r unit/mrgny srvi: Ptints prption Physil pnn lrly informl rgivr s mntl hlth, living in Coruh County Exprins of Ptints Unrgoing Rnl Dilysis: ntgrtiv Litrtur Rviw mpropr us n us of vol ors mong thrs: ntrvntion of th sph n lngug thrpist Eutionl Strtgis for th Prvntion of Amputtion in Popl With Dits Diti Hlth Profil Trnsltion, Apttion n Culturl Vlition of th Workstyl Short Form for Portugus Popultion Wht ws th us of skin rshs on Crvlos n Cost Cpri hs lst summr? Th lif-worl of g in homs: thnogrphi prsptiv Qulity of lif, nutritionl sttus n iniviul prptions of working onitions of mploys working in foo ompny ntk Dit n Qulity of Lif in Diti Ptints Amitt in Univrsity Hospitl in Southrn Brzil Somtotyp n Boy Mss Composition in Europn Portugus Ault Spkrs Foo ntk Qulity in th Proprtiv n Postoprtiv of Britri Surgry Pritors of Postprtum Qulity of Lif in Brzilin Mothrs

21 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 492 Avrg of Soium ntk of Mls Suppli To Workrs Strtgis us y rgivrs in ommunition with prson with phsi Boy Prti s Effts of Lin Gong in Hlth Promotion: Litrtur Rviw Th motivtionl ftors of ollg stunts to ngg in physil tivity progrm Corrltion twn fin n gross motor oorintion in hilrn Strss in Univrsity stunts n riovsulr rspons to mi strssors Qulity of Lif of Pllitiv Ptints Diffrns Btwn Mn n Womn Cring for somon with vn iss t hom: th rgivr s prptions Cring for popl with mnti in th ommunity: Crgivr s urn n qulity of hlth ANXETY DSORDERS: stuy with Ptints in Brzilin Psyhitri Hospitl Rltionship Btwn Mntl llnss n Work: Stuy in Brzilin Psyhitri Hospitl Vginl Prturition, Sxulity n Episiotomy: n ntgrtiv Rviw Thory of Divrsity n Univrslity in Culturl Cr: in Fous th Fminin Sxulity Th Trminl llnss within th Fmily Systm: Critil Rviw of Litrtur Prption of th prson with Aphsi n its rgivr out th iffiultis n onvrstionl hngs in th ommunition pttrns in th post-mori prio Prformn Sttus of Pllitiv Ptints Gnri rugs n rn nm prouts: n pproh out xipints Diffiultis, Conrns n Ns in Pitri Onology: Th Rlity of Pitri Ptints n Thir Fmilis Unr th Viw of Hospitl Clowns Th impt of lifstyl on hlth n funtionl inpnn in th lrly Prvln n Dtrminnts of Brstfing in Portugl Photopolymrizl hyrogls ontining rug-lo prtils for iomil pplitions RD&T Rsrh, Dvlopmnt & Thnology in Hlth 513 Anlysis of th ltrtions inu y working mmory tsks in th ltronphlogrm Using vio gms to omt hilhoo osity: n intgrtiv litrtur rviw Photoynmi thrpy in rtinolstom: Cll prolifrtion n oxitiv strss ffts Photoynmi thrpy in rtinolstom: Effts in ll viility, ll yl n P Comprison Stuy of Prours for Aspirtion of Biopsy Smpls Th ontriution of Clllok Histogl in ronhil wshing smpls Vrtrl Mtris: non-invsiv instrumnt tht vluts th spin Hlth Promotion (HP) in nursing urriulum n lrning ontxts 1st n 2n yls Nursing i provi for fmilis of hilrn with lukmi S/N Rtio on Prption of th Wor in Europn Portugus in Norml-Listnr CogniPlus softwr s Ouptionl Thrpy juvnt in th trining of working mmory: n xprimntl singl sujt sign Growth mol in mlnoyti skin lsions: gomtri look to skin pigmnt lsions Ptint Sfty in Pr-mputtion Communition nstrumnt for Msuring Ptint Sfty Cultur in Nursing Autonomi nrvous systm ln: Clssi nlysis vrsus tim-frquny nlyzs Chrtriztion n vlution of skin lsions using symoli ynmis Continuous Autonomi Nrvous Systm Evlution n nrtil Anlysis Univrsity of Aviro s Avn Voi Funtion Assssmnt Dtss (AVFAD) Aphsi Assssmnt y th Portugus Sph n Lngug Thrpists Chilrn s Auitory Prossing Prformn Sl: prnts vrsus thrs A novl mtho for skin lsion sgmnttion using multi-sl Lol Normliztion Lngug vlopmnt in hilrn with ohlr implnt Profil of Nursing rsrh in ntnsiv Thrpy on Brzilin Post-grution Cntrl Auitory prossing vlution normtiv t for portugus pitri popultion Sop formultion with off grouns. A nw onpt of foo y-prouts 20

22 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth vloriztion n hlth promotion Hir xtrtiv n miroil ontmintion in th surgil prprtion of niml skin Hll Efft s ltrntiv systm for uppr prosthtis ontrol- prliminry tst Effts of inhl lvnr oil (Lvnul ngustifoli) in rspons to gittion in popl with mnti: intrvntion stuy Nursing Cr in Control of nftion in Nworn ntnsiv Cr Unit: Systmti Rviw Univrsity of Aviro s Stnris Voi Cs History Form mpt of onizing Rition on Lymphom Cll Lin -Cll Dth, BAX/BCL-2, P53 Exprssion onizing rition inu DNA mg n ll yl rrst in lung nr ll lin Riothrpy in Lymphom n Lung Cnr ptints - TNF-Alph lvls n T Cll susts Constrution n vlition of instrumnts for systmtiztion of nursing r in prson uring hmoilysis Molling Softwr for Qulittiv n Quntittiv Anlysis of Orophryngl Swllowing y Viofluorosopy Disrimintion in profssionl musiins n non musiins Hzr Anlysis n Critil Control Points (HACCP): still puli hlth fftiv tool? Clinil trils of loo-orn n vtor-orn isss: n Europn ross-nlysis Extrusion Prosss to Frit Biogrl 3D Sffols for Tissu Enginring Biomhnil Anlysis of th Crtilg Dvlopmnt of omputtionl tool for hrtriztion of thrml imgs in mil pplitions mplmnttion projt of inftion prvntion unl rlt to ntrl vnous thtr Evolution of pnn in slf-r, in smpl of ustomrs, thr months ftr ishrg ntgrtiv rhilittion vi xosklton Stuy th hling fft of rms ng sunu in skin lsions Effts of Vrnoni Polynthus ry xtrt ointmnt on woun hling in rts Apttion n vlition of Mini-Mntl Stt Exmintion for iniviuls with phsi Potntil of th pltforms for ssssmnt/monitoring th hlth of th lrly t istn Th nurs s xprin out olsnt s with CF r qulittiv pproh nformtion n ommunition thnology in highr ution in nursing: for n innovtiv prxis Nursing: rsons for hoi ntgrtion in fmily mrgny srvi: intgrtiv rviw Chrtriztion womn who h srn onut in stt of Northst Brzil Growth n vlopmnt of Brzilin hilrn n institutionliz ssumpti llnss risk in nursing work in moil mrgny srvi Trum n Lif Evnts: Contriution to risk mol of prssiv symptoms in olsnts Prototyp of littr: thnologis in hlth in trnsporttion of prsons Rooti surgry: nw horizons in gynologil surgry Prvln of low k pin in hilrn n olsnts from th Algrv rgion Exprins of plsur n suffring in Brzilin mntl hlth r srvis Psyhologil mpt of ignosti xms Th ffts of smoking in th uitory systm Vlition of Sls of Chroni Woun Hling for Portugl n Spin: Projt of Shr Mthoology MODULAR iomil signl rgistrtion systm Evluting phospht onntrtion throughout th proution of ri n slt o Rltionship twn rtiultory isorrs n orofil nomlis in Elmntry Shool Rltionship twn rtiultory isorrs n fmily history in Elmntry Shool Mn Lngth Uttrn in hilrn (3:6 to 4 yrs): ontriution to normtiv t in Portugus lngug Th onomi-inustril hlth r omplx in Brzil: hllngs of ontmporry hlth r n ntionl vlopmnt

23 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 582 Chrtriztion of hilrn s vol profil ging twn 0 to 9 yrs n intifition of thir norml pttrns Expttion of Womn y Conuting Hystrtomy s 18F-Fg Uptk Afft y nution With Soium Butyrt in Colon Cnr Cll Lins? Butyrt n rinotn: Nw Approh for Colon Cnr Cn Photoynmi Thrpy Mk Difrn in Rtinolstom? n Orthotopi Animl Mol of Rtinolstom Mngmnt Comptns in Nursing Thrml profil of th kn n pin lotion in young popl with n without kn pin Msstr s ltromyogrphi ssssmnt in iffrnt onsistnis foo swllowing Aousti n Tmporl Anlysis of swllowing souns: us of ltroni stthosop on rvil usulttion Thnologil pltforms n shring onstrution of ommunition 592 Aut onfusion in Portugus Hospitl Th informtion systms intgrtion for ttr ring n hroni ptints mpowrmnt nformtion n Communition Thnologis in Crrl Plsy: Wht is its rlvn for th vlopmnt of ommunition n lrning? HlthCr nformtion Systm to ll Hlth profssionls - Portugus insight Virtul Lrning Environmnt: vlopmnt of mol n sript for smi in prson n istn lrning ssus n spifitions on prsription systm for ontrolling ptint tks n rugs usg Comforting Gritri Cr: Wys of ing/ting of r rol plyrs Communition Dsign tool for hlth litry promotion: signing informtion hlth to mpowr ptint with Chroni Pin Th writing of th strts is rsponsiility of th uthors lon. 22

24 Sujt Astrts

25 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth -hlth n -thrpy 001 Trust n Criility in -Hlth ntrf Anri Sous,, An Almi, Univrsi Aviro. Univrsi o Porto. Porto, Portugl Dprtmnto Comunição Art. Univrsi Aviro. Aviro, Portugl ntroution: ntrnt m on of th most importnt sours to srh for hlth informtion. n this snrio it s funmntl to invstigt th prosss us y -hlth usrs to slt informtion n mk isions. Thr r multipl imnsions involv in ths prosss n, onrning -hlth, th trustworthinss of informtion is on of th most importnt. Ojtiv: This stuy ims to ontriut to pn knowlg on riility n trust prption n to invstigt sign prinipls for trust in -hlth in orr to propos st of guiing prinipls of intrf sign for trust in -hlth tht n ontriut to riility n trust prption. Mthos: Our mthoologil pproh is orint y Usr Cntr Dsign (UCD) mthoology. As shown in othr stuis, w liv tht this is th mor pproprit to us in th ontxt of vloping trustworthy systms from usrs prsptiv. W r lry working in th first stp of this stuy tht omins n onlin qustionnir with fous group trgting usrs riility n trust prptions in hlth informtion wsits. Bs on th nlysis of th ollt t w will strt th intrf rsign n vlut thm with sm instrumnts us for. W liv tht, t this point, w will l to prsnt first vrsion of th sign prinipls for riility n trust to isuss with fous group ompos y usr intrf xprts n usrs. Rsults: As n outom of this isussion w fors to omplish our min ojtiv tht is th proposl of st of Dsign Prinipls for Criility n Trust. Dsriptors: Usr ntrf. Criility. Trust. -Hlth. Dsign Prinipls. 002 HAPPY: Cnr Prvntion Moil App support y Qulittiv Stuy Nuno Riiro,,, An Brros,,, An M. Almi,V,, Filip Sntos-Silv,V, nstituto Ptologi munologi Molulr. Univrsi o Porto. Porto, Portugl Dprtmnto omunição rt. Univrsi Aviro. Aviro, Portugl Ful Ciênis. Univrsi o Porto. Porto, Portugl V Cntro Estuos s Tnologis Ciênis Comunição. Univrsi o Porto. Porto, Portugl V Ful Miin. Univrsi o Porto. Porto, Portugl ntroution: Mor thn hlf of nr ss r u to hviourl options. f vryon opt hlthir lifstyl, nr inin woul fll rmtilly. Moil vis, u to its portility n uilt-in snsors, n hlpful is in this hviourl hng. A wll oniv moil pp oul hlp prvnt nr through hviour hng. Ojtiv: Th urrnt stuy sought to xplor young ults viws n xprins of hlth-rlt pps to intify fturs tht might rlvnt in nr prvntion pp im t hviour hng. Mthos: Thr fous groups wr onut with 16 pr- n post-grut stunts from Aviro n Porto Univrsitis. Prtiipnts inlu 10 fmls n 6 mls (mn g: SD 2.87). Th fous group isussions wr ntr on prtiipnts viws n xprins using hlth pps. Th fous groups wr ror, trnsri n nlys using inutiv thmti nlysis. Rsults: Stuy finings suggst tht young ults r intrst in hlth-rlt pps. Bhviour trking, gol finition n ustomiz informtion quisition wr vlu. Esinss of us, usr-frinly intrf n th influn of prs mrg s importnt ftors for long-trm pp usg. Privy onrns lso mrg s vry importnt issus. Soil mi fturs wr viw s potntil nfits ut shoul optionl u to th snsiility of hlth t. Conlusions: This stuy provi n insight out th fturs tht shoul inlu in nr prvntion pp. Bs on ths finings n support y Fogg s Bhviour Mol, nr prvntion pp nm HAPPY (Hlth Awrnss n Prvntion Prsonliz for You) is ing vlop. Dsriptors: Moil vis. Smrtphons. Cnr. Cnr Prvntion. Bhviour hng. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 24

26 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth How to rss th prsripton n sltion of AAL systms & srvis for n usrs Joquim Alvrlhão,, Alxnr Quirós,, Nlson Roh, Esol Suprior Sú. Univrsi Aviro. Univrsi Aviro. Aviro, Portugl Sção Autónom Ciênis Sú. Univrsi Aviro. Aviro, Portugl ntroution: Th omplxity inhrnt to Amint Assist Living riss som of issus not yt quit solv within similr fils lik Assistiv Thnology, nmly thos rlt with prsription n sltion. Ojtiv: This ppr ims to intify mols of frmworks for th prsription of AT tht my srv s fountion to vlop omprhnsiv mols for th sltion, prsription n ounslling pross of ALL solutions. Mthos: A systmti litrtur srh ws onut in PuM, Eri n CitSrX tss using prfin strtgy. Th rlvnt litrtur xtrt ws srn n list of mols n frmworks ws lort. Rsults: Svn mols or frmworks wr inlu for nlyss. t ws possil to fin CF omponnts in ll of th mols or frmworks. Th rsults show shift twn th mols from th n of lst ntury, s in n instrumntl sription of omponnts involv to pritiv n usrs hviour onrn. Conlusion: Futur work shoul pn th onptul issus out th sltion, prsription n ounslling pross of AAL systms n srvis. Dsriptors: Amint Assist Living; Assistiv Thnology; Thnology Sltion n Prsription Mols. E-hlth W s thnologis ptint option Jorg Tvrs, Tigo Olivir nstituto Suprior Esttísti Gstão nformção. Univrsi Nov Liso. Liso, Portugl ntroution: Unrstning th ptn n us of -hlth thnology y hlth r onsumrs is vry rlvnt topi with lr nfits for th soity n futur sustinility of th Hth Cr Systm. Th wrning signs r tht th numr of ptints with hroni isss is projt to grow y 45% twn 2007 n 2025 n th workfor will 10% smllr thn in Comining ths two trns, thr will lss hlth profssionls vill in th futur to support ptints. E-hlth W s thnologis my hlp ptints rry out slf-mngmnt tivitis mking th us of th hlthr systm mor fftiv. Ojtiv: Th im of this stuy is to intify st of trminnts of option of -hlth w s thnologis y ptints. Mthos: W m n xtnsiv rviw of th xisting litrtur onrning oth informtion thnology option mols n onsumr hlthr option mols. Rsults: W intifi spifi thoris in th fil of onsumr T option tht togthr with spifi thoris in hlthr rlt with ptint mpowrmnt, onfintility, hlth onition ptint slf-prption, l us to propos nw frmwork tht n xplin th usg n option of -hlth w s thnologis. Conlusions: Our gol is to tst th nw frmwork tht shoul hlp us intify th ritil ftors for option of -hlth w s thnologis. Dsriptors: W-Thnologis; E-hlth; Hlthr; Aoption Mols; Ptint Empowrmnt. [email protected] [email protected] [email protected] [email protected] [email protected] 25

27 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 005 VAST Autismo innovtion n thnology in Sph n Lngug Thrpy 006 From Thnology to Hlth: risknfit nlysis of th Moil Hlthr Applitions João Cnoss Dis,, Julin Sá Rio, Assoição pr Ruprção Ciãos nptos Lousã. Lousã, Portugl Agrupmnto Esols Guilhrm Corri Crvlho. Si, Portugl ntroution: VAST Autismo Bs provis unprnt support for Portugus spokn lngug quisition, omining som of th vin-s st prtis n thnology to livr rmrkl rsults. Ojtiv: Provi stt-of-th-rt thrpy tool to usrs with utism sptrum isorrs n motor sph progrmming isorrs, suh s prxi/ysprxi. Mthos: Comining th highly fftiv onpt of vio moling long with writtn wors n uitory us, this ios pplition ims to hlp iniviuls quir rlvnt syllls, wors, ily xprssions n sntns so tht thy n spk n vot for thmslvs. Eh vio is intntionlly short to kp th usr s ttntion n fous only on th ontnt of h on of th lvls. All th syllls, iphthongs, onomtopois, wors, polysylli wors, xprssions of ily lif n usul phrss wr slt oring to vlopmntl n funtionl ritri n inorport mnings tht n gnrliz n prti in ontxts yon thrpy. Rsults: Ongoing rsrh inits tht usrs r highly intrst in th VAST vios, n will lmost immitly ttmpt orl movmnts or touh thir f n mouth in rspons to th mols. Aftr som tim using th VAST thnology, omin with qut thrpy, mny usrs who wr ssntilly non-orl ommunitors gn wor pproximtions n wor ttmpts mor rily. Conlusions: Th vios squn s wll s th ontnt of this pplition whr fin oring to litrtur rviw on hil vlopmnt. Funtionlity ws lso ritrion in th hoi of voulry potntilly usful in vri ily lif situtions. Mor stuis r nssry to support th ffiy of this thnology. Dsriptors: Sph trining, Vio Assist Thrpy, Autism Sptrum Disorrs, Dysprxi. Frniso Clir, Rit Luís, Bruno Mns, Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl Grupo Gstão Quli Estrtégi m Sú. Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl ntroution: Th xpnsion of moil thnologis n thir intrtiv tools (Moil Hlthr Applitions, MHA) hv rmrkl ontriution for th growing of hlth litry, ptint mpowrmnt n llow grul support to th hlthr profssionls tivity. Th glol inustry lnsp rflts this hrn, tht rprsnts 500 million usrs in 2015 n, xpt 1,700 million for Ojtiv: Lik othr hlth thnologis, th MHA n n ssssmnt of thir qulity n risk-nfit profil, n n to fin rsponsiilitis in th rgultory fil, whih r th projt ojtivs. Mthos: Th nlysis inlu n univrs of 75 MHA intgrt in tgoris: Mil (57%), Phrmy (18%), Nutrition (12%), Nursing (6%), othr isiplinry rs (5%). Th group prform mtrix of rtrosptiv nlysis s on qulity ttriuts (ssiility, quy, ontinuity, ptint involvmnt n fftivnss), hrtriz y st of initors n ritri. Following strutur: ttriut> initor> ritri, ny MHA omplying with 60% of th initors (mjority msur), fulfill th ttriut or ttriuts. Rsults: Rgring th MHA vlut, w osrv th following ttriuts vrsus numr of pplitions rltion: ssiility (30), quy (35), ontinuity (20), involvmnt (30) n fftivnss (61). Only on MHA umultivly fulfill ll th ttriuts. W lso rgistr th xistn of rgultory projts out MHA, ut lk of rgultion in pl in Europ. Conlusions: Th rgultory ois o not follow th MHA thnologil vlopmnts n mrkt. Only 1.3% MHA provis qulity ssurn n, for tht rson th MHA vilility n n opportunity for th instlltion of puli hlth risks. Dsriptors: Hlth; Thnologis; Applitions; Rgultion; Risks. joã[email protected] [email protected] [email protected] 26

28 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Projt Goo itizn with ingnuity n ution - prvntion n intrvntion in rspons to ullying t shool An Mri Goms,, An Cláui Filip, Suprior nstitut for th Hlth Sins n ntrisiplinry Rsrh Cntr in Hlth. Portugus Ctholi Univrsity of Lison. Liso, Portugl Prnts Assoition. Bsi Shool of Engnho. Mrinh Grn, Portugl ntroution: Crting onitions for hilrn to om tors n uthors in th onstrution of thir own hlth n wllnss shool is ruil. Ojtiv: To promot hlth ution n itiznship t shool y stimulting prvntion of ggrssion mong hilrn ttning th 1st yl of si ution. To ru risk hviors; nourg hilrn, prnts, thrs to tk n tiv rol in improving th hlth n wll-ing t shool; promot th mpowrmnt rgring th promotion of thir hlth, ss to informtion, inlusion n prtiiption s itizns. Mthos: mplmnttion t th ginning n n of projt of qustionnir on ullying; trining of thrs, ution ssistnts, prnts n stunts on th topi; Enourg shool momnts of rltionship, shring, ooprtion, tivitis insi n outsi th lssroom to ut for mpthy, hng skin with ollgu; Working vlus of rspt with prnts prtiiption uring lunh tim. Working th onpt Do not o to othrs wht you o not wnt or o not lik othrs to o to you n, inorport ths ynmis in th isiplin of Environmntl Stuis; Constrution of th Tr of Flings n n nti-ullying rig. Rsults: Th hilrn shr th flings n motions of ollgus, suh ing xprss in lss ggrssiv hviors. Conlusions: Thr ws mpowrmnt through shr motions n flings of longing. This hs l to grtr rspt for ollgus n th flings n motions of othrs. Dsriptors: Bullying. Shool. Empowrmnt. Stuy of th rltionship twn slp qulity n ullying hviors in shool g hilrn An Mri Goms Suprior nstitut for th Hlth Sins n ntrisiplinry Rsrh Cntr in Hlth. Portugus Ctholi Univrsity of Lison. Liso, Portugl ntroution: Bullying tks on ntrl thm in our soity nowys, it must xprss in hviors inrsingly visil mong hilrn n youth. W sk to ontriut to th unrstning not only of this phnomnon, ut of th rltionship twn ullying n slp hrtristis n qulity. Ojtiv: Th gnrl ojtiv is thr is rltionship twn fturs n qulity of slp n th xistn of ullying hviors? An to wht xtnt os slp qulity influn shool prformn n hvior in th lssroom. Th spifi ojtivs r to onfirm, ) whthr thr is rltionship twn th hrtristis n qulity of slp n th xistn of ullying hviors in hilrn; ) whthr thr is rltionship twn slp qulity n mi prformn of hilrn; ) whthr thr is rltionship twn slp qulity n hvior of th hilrn in th lssroom; ) whthr thr is rltionship twn slp qulity n th hil s soio-ulturl nvironmnt. Mthos: Th prtiipnts r group of hilrn from 6 to10/11yrs of g. Dt ws ollt on th 1st yl shools, otining 400 prtiipnts for th prliminry rsults. Rsults: Th prliminry rsults rvl tht thr r in ft ullying hviors in shool-g hilrn n in oth sxs. Rvling irt link twn poor slp qulity n ggrssiv hviors, suh s poor shool prformn n rstlssnss in th lssroom. Conlusions: Th qulity of slp uring hilhoo influns th livs of ggrssiv hvior mong prs, shool prformn n qulity of hvior in th lssroom. Dsriptors: Bullying. Slp qulity. Bhviors. Shoolg hilrn. Ami prformn. [email protected] [email protected] [email protected] 27

29 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 009 Efftivnss of -hlth intrvntion progrms in ovrwight olsnts: systmti rviw Pro Sous Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: Th high prvln of osity in olsnts is srious puli hlth prolm. Th implmnttion of -hlth strtgis on th wight ontrol trtmnt hv potntil nfits tht n to nlyz. Ojtiv: This stuy ims to systmtiz th stt of knowlg out th fftivnss of -hlth intrvntion progrms in wight rution in ovrwight olsnts. Mthos: W onut systmti rviw on ltroni tss (Ami Srh Complt, CNAHL Plus, Cohrn Dts of Systmti Rviws, S W of Sin, Mlin, Psyhology n Bhviorl Sins Colltion, SPORTDisus) using vrious omintions of rlvnt srh trms oring to th PCOD mtho. Th rors wr srn n ssss for inlusion in th rviw s on pr-stlish ritri. Rsults: From th 86 rfrns initilly intifi, four rnomiz linil trils from USA wr slt. Altogthr 299 ovrwight olsnts wr stui, g twn 11 n 18 yrs. ntrvntion progrms rng twn 16 wks n 2 yrs, inluing svrl hviorl, motivtionl n ognitiv strtgis. On stuy rss not only th iniviul ut lso his fmily. All stuis prsnt signifint rsults in post-intrvntion on wight rution ut thy fil to shown signifint long-trm ffts. Conlusions: Thr r still fw stuis on th fft of -hlth thrputi intrvntions in th trtmnt of ovrwight olsnts. Furthr rsrh is nssry to trmin th potntil of -hlth intrvntions s vil omponnt of wight mngmnt progrms. Dsriptors: osity; olsnt; fftivnss; -hlth; intrnt. 010 Who nfits from n -thrputi wight mngmnt progrm? Pro Sous,, Hln Fons,,, Pro Gspr,, Filomn Gspr V, Uni invstigção m Sú; Esol Suprior Sú Liri, nstituto Politénio liri. Liri. Portugl Ful Miin Univrsi Liso. Liso. Portugl Clini Osi piátri, prtmnto pitri, Hospitl Snt Mri. Liso. Portugl V Esol Suprior nfrmgm Liso. Liso. Portugl ntroution: Aolsnt osity is mjor hlth prolm, ing urgnt to fin fftiv intrvntions tht inu hviorl hng. Ojtiv: This stuy ims to vlut th pritors of fftivnss of n -thrputi pltform (Nxt.Stp), iming to promot wight mngmnt skills n th option of hlth-promoting lifstyls through inrs n intrtiv ontt twn th olsnt n th linil stff. Mthos: This stuy is prt of lrgr linil tril, with smpl of olsnts (12-18 yrs) who ttn Pitri Osity Clini uring Prtiipnts (N=48) wr invit to ss, uring 24 wks, th -thrputi s mngmnt multiisiplinry pltform (Nxt.Stp) in ition to th stnr trtmnt progrm. Progrm fftivnss ws vlut t intrmit (12 wks) n post intrvntion vlution (24 wks). Sttistil nlysis ws prform using nonprmtri tsts (Sprmn orrltion, Mnn-Whitny U tst n Kruskl-Wllis tst). Rsults: Th -thrputi progrm ws shown to hv signifint impt in promoting hlthy lifstyl, ttr qulity of lif n lowr BM z-sor. Svrl pritors of th Nxt.Stp fftivnss wr foun mong th mogrphis, nthropomtri, hviorl n linil vrils. Conlusions: Mor intrtiv n ynmi intrvntions in olsnt osity r n. Finings suggst tht olsnts my nfit from n -thrputi wight mngmnt progrm. Svrl pritors of th Nxt.Stp fftivnss wr foun. Ths rsults shoul promot rfltion on nw pprohs irt to th osity trtmnt n promotion of slutogni skills. Dsriptors: Ovrwight; Aolsnts; ntrnt-s; Wight mngmnt; Pritors. [email protected] [email protected] [email protected] [email protected]; [email protected] 28

30 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Vlition of Dision Support Systm in Britri Surgry Mg Ros Rmos Cruz,, João Silv Dis,, Cristin Mrtins,, José Simão Pul Pinto, Pontifíi Univrsi Ctóli o Prná. Prná, Brzil Univrsi Frl o Prná. Prná, Brzil nstitut n Pro Rnl Fountion. Brzil ntroution: Britri surgry is n importnt mtho for trtmnt of mori osity. t is known tht signifint nutritionl fiinis might our ftr th surgry. Among thm r th lori-protin mlnutrition, iron-fiint nmi n lk of vitmin B12, thimin n foli i. Ojtiv: to vlit Computriz ntllignt Dision Support Systm whih suggsts nutritionl ignosis of ptints sumitt to ritri surgry. Mthos: t ws vlop 15 linil ss, n snt to thr ititins in orr to vlut n fin nutritionl ignosis. Aftr this phs, th ss wr snt to four ritri surgry spilist ititins, with th ojtiv to lort gol-stnr. Nutritionl ignosis wr sk to fin iniviully, n th prolms wr solv through onsnsus. Th finl rsult ws us s gol-stnr. Bysin Ntworks wr us to implmnt th systm. Dts trining ws m t shll Nti. For th systm vlition, similr nswr rt ws lult, s wll th spifiity n snsiility. ROC urvs wr projt to h nutritionl ignosis. Rsults: Among th four spilists, th rt of similr nswrs foun ws 80% to 93.33%, oring to th nutritionl ignosis. Th rt of similr nswrs of th systm, ompr to th gol-stnr, ws 100%. Th systm snsitivity n spifiity wr 95%. Th ROC urvs projtion monstrt tht th systm ws l to rprsnt th spilist knowlg (gol-stnr) n to hlp thm in thir ily tsks. Conlusions: th systm vlop ws vlit to us in th ision-mking support for nutrition ignosis of ptints sumitt to ritri surgry. Dsriptors: Osity; Britri surgry; Nutrition ignosis; Artifiil intllign; Dision support systm. CrForM: An pplition for ios vis for hlping in prvnting prssur ulrs Frniso Sntn Pérz, Rorigo Chón Frrr, M. Pino Quintn Montso, Binvni Roríguz Pérz, Jun F. Jiménz Díz Dprtmnt of Computr Sins. Univrsi Ls Plms Grn Cnri. Ls Plms Grn Cnri, Spin Dprtmnt of Nursry. Univrsi Ls Plms Grn Cnri. Ls Plms Grn Cnri, Spin Dprtmnt of Mths. Univrsi Ls Plms Grn Cnri. Ls Plms Grn Cnri, Spin ntroution: As shown in prvious rsrh on popultion of 1186 popl, tht rprsnt th thr rgions Mir, Azors n Cnry-slns within th CE Projt ( Enfrmrí Ulrs por prsión: l rflxión sor l isiplin ls vinis n los uios CE Projt 2011), th prvln of hving prssur ulrs is 14,8%, mjority on popl m t hom. Thr r no spiliz pps tht hlp rrs prvnt from ptint prssur ulrs. Ojtiv n Mthos: W hv vlop n ios App (CrForM) tht ontrols th stting of lrms tht go off on n tivity oms to n n. Consiring olltions of tivitis s wht w ll routins, hnging of posturs for m popl n progrmm s routins in orr to prmit nursrs wr of whn postur must hng. CrForM lso inlus mnging ptint rors in orr to ontrol iffrnt spts of thir illnss s wll s ontrol posturs to ppli. CrForM lso n mssur prssur ulrs y using th Brn Sl. Routins n us s rminrs for sik popl s itis, or s ontrol in it. Rsults: W hv tst our App on svrl popl in homs with grt rsults tht oul inrs y tsting in homs n hospitls. Conlusions: Prvnting prssur ulrs shoul lnt ginst utomti tools tht ontrol hnging of posturs for m popl, vn t hom, n pps r grt for tht. Our pp n improv y inluing nw fturs for utomtil msuring of ulrs rs y tking piturs. Dsriptors: prssur sors, prssur ulrs, pps, ios. [email protected] [email protected] [email protected] [email protected] 29

31 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 013 NEW THERAPEUTCAL SYSTEMS FOR MULTPLE SCLEROSS: PATENT PERCEPTON AND CHALENGES Mximino Riiro,,, Sílvi Fris,, An Torrs,, Crolin Sous,, Sofi Brros,, Fátim Roqu,,f, Pul Coutinho,,g Esol Suprior Sú. nstituto Politénio Gur. Portugl Uni nvstigção pr o Dsnvolvimnto o ntrior. nstituto Politénio Gur. Portugl ntroution: Multipl Slrosis is hroni, progrssiv, utoimmun iss hrtriz for mg of mylin n xons. This isorr hs onsirl soil n onomi impt. Th prvln of Multipl Slrosis in Portugl is stimt to pproximtly 50/100,000 inhitnts, oring to th Portugus Multipl Slrosis Soity. n orr to minimiz th prolms rt y this iss som trtmnts r ing us, lthough th il trtmnt hs not n yt vlop. Ojtiv: Th ims of this stuy wr to srtin th most wily us trtmnt for th iffrnt typs of Multipl Slrosis n to intify th most rlvnt prmtrs tht my influn trtmnt hrn. Mthos: From Sptmr to Dmr 2013, t of 60 ptints from Portugus Multipl Slrosis Soity wr ollt y n onlin qustionnir. Dmogrphi, iss n thrpy rlt t wr ollt n sttistilly nlyz. Rsults: Aout 55% of rsponnts h Rlpsing-Rmitting Multipl Slrosis. ntrfron β ws th rug most us in th trtmnt of ll typs of multipl slrosis in monothrpy (56,7%) or in omintion with othr rugs (5%). 58,3% of ptints mntion ppl to nonphrmologil thrpis suh s pt foo n nutrition n physiothrpy. Diffiultis rlt to intrvnous rug ministrtion ws th most rlvnt ftor intifi y ptints (50%). Conlusions: Th onvnin of rug ministrtion is ftor to tk in ount for th vloping of nw thrputi systms u to its rol in trtmnt hrn. Biothnology n its tools shoul hv n importnt rol in th improvmnt/rfinmnt of thrpy in th nr futur. Dsriptors: Multipl Slrosis; Survy; Trtmnt; Ahrn; Chllngs. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 30

32 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Ethniity n Hlth 014 Epimiologil spts of turulosis in Brzilin northstrn Frniso Rorigus,, Móni Frrir,, Nthli Riiro,, Prisil Souz,, Sulo Olivir, nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl Univrsi Estul o Crá. Fortlz, Brsil ntroution: Th northst of Brzil is th son rgion with highst numr of ss for turulosis in th ountry. Ojtiv: To intify th pimiologil hrtristis of turulosis in th northstrn rgion of Brzil. Mthos: Th stuy is sriptiv. Th t wr otin from th Brzilin Systm of Diss Survilln. Th smpl onsist of 122,008 ss of turulosis in th northstrn rgion of Brzil, from 2008 until Th rsults r prsnt using sriptiv sttistis. Rsults: 65.2% wr mls. 43% with g twn 20 n 39 yrs ol. 56.2% h four to svn yrs of shooling. 10.2% wr institutionliz, th mjority (51.1%) in prisons. 86.5% h pulmonry turulosis. 77.1% of th ss i sputum smrs. 9% wr HV inft. 64.7% wr ur, 4.1% i, 10.4% non trtmnt, 3.7% wr ths from othr uss n 0.4% h multirug rsistn. Conlusions: Th iss n hinr th vlopmnt this rgion. Th institutionliztion n low ution r importnt risk ftors, thy r ontriuting to non-hrn to trtmnt n to th inrs th ropout rt. Pulmonry illnss rmins th most frqunt. HV inftion prvln is high, whih rss th hns of ur n inrs th mortlity. Th ur rmins low th lvl rommn y WHO. Ths r som mrkrs of vulnrility for this popultion, ssoit with rly ignosis, hlping to ru: th risk of xposur n trnsmission risk, multirug rsistn n mortlity pr turulosis. Dsriptors: Epimiology. Turulosis. Puli hlth. Communil iss prvntion. Community miin. 015 mmigrnts r: from thnontrism to thnorrltivism in nurss Alin Ris,,, Mri Cost, nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl Esol Suprior Sú Stúl. nstituto Politénio Stúl. Stúl, Portugl ntroution: Th pross of ring immigrnts promots nurss profssionl vlopmnt. Alongsi th monitoring of hlth-illnss trnsitions in immigrnts, ulturl skills r uilt into th profssionls. With th nurss wrnss pross of thir own thnontrism in multiulturl ontxts of r, thy ovrtk onstrution stgs of thos skills. Ojtiv: Chrtriz nurss thni wrnss pross whil simultnously uiling of ulturl skills. Mthos: Qulittiv, thnogrphi stuy, in fmily hlth units n immigrnts houshols. Stuy sujts: nurss n immigrnts in totl of 52. W vlop prtiipnt osrvtion, thno-iogrphil intrviws n nrrtivs n fous group. Rsults: Aftr t n thniqus tringultion, ulturl omins mrg from nurss onut of nountrs, involvmnt in tion n moiliztion of knowlg n lifs. Whil intifying tgoris of similrity n ontrst within th ulturl sn intrtion n r with immigrnts w hrtriz th nurss thni wrnss pross. Conlusions: Thr r two istint phss in this wrnss pross n in uiling ulturl skills into th profssionls. Aoring to Bnntt s mol (2004), w hrtriz oth stgs: th minimiztion of ulturl iffrns (lst phs of thnontrism) n its ptn (first phs of th thnorrltivism). W vlit th intrprttiv nlysis in two fous groups (with immigrnts n with nurss). W intifi iltil rltionship twn th nurss thnil wrnss n th hiv ulturl ohrn in immigrnts r. Dsriptors: Ethnontrism. Ethnorrltivism. Nurss. mmigrnts. Culturl skills. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 31

33 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 016 Ouptionl thrpy from n intrulturl prsptiv: hllng n n opportunity nmul Zngo Mrtín,, Jun Antonio Flors Mrtos,, Pro Moruno Millrs, Dprtmnto Trpi Oupionl. Univrsi Ctóli Sn Antonio Muri. Muri, Spin Dprtmnto Filosofí. Univrsi Cstill-L Mnh. Tlvr l Rin, Spin; Dprtmnto Trpi Oupionl. Univrsi Cstill-L Mnh. Tlvr l Rin, Spin ntroution: Th prosss of gloliztion hv lr impt in ouptionl thrpy. For tht, thr is growing intrst in spts rlt to ultur n its rltionship to hlth n wll-ing. As othr hlthr profssions, ouptionl thrpy is lso ultur n it is influn y soil, politil, onomi n lgl nvironmnt; tht mns iffrnt mos of thinking n oing. Ojtiv n Mthos: Th im of this rsrh ws to propos n ouptionl thrpy pproh from n intrulturl prsptiv, tking into ount th thnogrphy vlop in Honurs, Moroo, Burkin Fso, Tnzni n Euor. Rsults: Th rsults show tht th univrslity of ouptionl thrpy ns to qustion. Morovr, to nlyz ply th knowlg onstrution n how is trnsmitt is n. For tht, w propos ritil thinking twn ouptionl thrpist n popl from ivrs ulturl ontxt n for this w fous in thory, prti n institutionl omin. Conlusions: To vlop n ouptionl thrpy ultur mor flxil with th iffrnt ouptionl situtions roun th worl is th min hllng toy. At th sm tim, ouptionl thrpy from n intrulturl prsptiv is n opportunity to fous th intrvntion in thrputi fftivnss n in ultur sf r, promoting ommunity hlth through ouption. A vision of th ouption on onomi, soil n politil spts whih ims t soil trnsformtion is propos. Dsriptors: ultur; ritil thinking; thnogrphy; intrulturlity, ouption. [email protected] [email protected] [email protected] 32

34 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth ntrvntions in th ommunity 017 Psyhosoil Corrlts of Physil Ativity mong hilrn n olsns with spin ifi Sofi Sntos,, nês Mlono,, A. Mrqus, Cntro Estuos Eução Espil. Ful Motrii Humn. Univrsi Liso. Liso, Portugl Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: Physil intivity n osity r puli hlth prolm. Thir inrs mphsizs th n to rt onitions to promot, opt n mintin hviors promoting hlth. Chilrn n olsnts with physil isilitis (PD) prti lss physil tivity (PA) thn non-isl prs. Howvr, th mjority of stuis is s on ult popultions n is not spifi to PD. Ojtiv: Th gol is to unrstn ftors rlt with PA prti y hilrn n olsnts with spin ifi, in orr to vlop intrvntion progrms. Mthos: A qustionnir of lifstyls to stunts ws lort n vlit prviously n ppli to smpl of 25 hilrn, twn 10 n 17-yrs, in rgulr shools, with spin ifi. Th 29-qustion qustionnir ws nswr iniviully (slf-ministr). Rsults: Rsults point out th lk of PA y prtiipnts: not only PA is not mphsiz, s lso hilrn with spin ifi r not, gnrlly, inlu in lsss with thir prs; only roun 40% prtiipt in PA. Thr wr no orrltions twn PA n psyhosoil orrlts (unjust n just inry logisti rgrssions), xpt prption of omptn. Conlusions: Although sintifi vin s for PA prti in popl without ignosis, thr is lk of rsrh in th spil popultion fil. Shool offr is oftn limit u to th iffiulty of hilrn with motor isility kping up with othr hilrn. Othrs rrirs wr intifi on th stuy. Th promotion of hlthy n tiv lifstyls in spil popultions, outlining th st n mor pproprit intrvntion strtgis for this popultion, is on of th futur gols in this fil. Dsriptors: Lifstyls. Spin ifi. Psyhosoil orrlts. Physil isility. Physil tivity. 018 Trining n Eution in hlth: Brzilin intr-institutionl rsrh for th SUS Yr Crvlho,, Alx Frg,, vn Goms, Univrsi São Pulo. São Pulo, Brsil Univrsi Frl o Rio Grn o Sul. Porto Algr, Brsil Univrsi Frl o Espírito Snto. Goiirs, Vitóri, Brsil ntroution: Th intr-institutionl rsrh Poliis of trining in physil ution n puli hlth ims to prolmtiz th trining in hlth, to ll th ttntion spilly of physil ution stunts for th importn of th work with puli hlth, n lso to nlyz th pross of implmnting govrnmnt puli poliis gr to physil tivity/oily prtis in Brzilin Unifi Hlth Systm (SUS). Ojtiv: to vlut th Eution Progrm for Hlth Work whih is puli poliy to pproximt unrgrut stunts, lturrs, profssionls from ll fils of hlth n usrs with th purpos of hlth r ution n trining in hlth. Mthos: Th thortil-onptul n mthoologil frmwork is situt within th sop of puli hlth n humn n soil sins. Th stuis ntil th fous on omplx thms, roun omptns n skills n on iffrnt thortil prsptivs unrlying th thinking n ting in hlth, spilly th Amplifi Clini. Rsults: Th rsults onfirm gp twn th unrgrut ution in hlth n th prinipls of SUS, n th lk of rsponss to th hlth ns of usrs of SUS. Conlusions: Th inititivs with oily prtis s hlth prtis/r prtis n potnt strtgis in hlth with prtiiptiv n morti fous n in th proution of hlth with n mphsis on r n uiling ons. Dsriptors: Eution in hlth. Poliis of trining. ntrvntion in hlth. Hlth poliis. SUS. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 33

35 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th Usr of Psyhotiv Sustn to th mrgny srvi: systmti rviw Ftim Bühl, Mrlo Sturt Brrto Univrsi Frl Snt Ctrin. Florinópolis, Brsil ntroution: Th psyhotiv sustns r puli hlth prolm. n Brzil, 6% of th popultion (11 million popl) hv sustn us isorrs. At th mrgny srvis, lohol is ssoit with 70% of homiis, 40% of suiis, 50% of utomoil ints, 60% of ftl urns, 60% of rownings n 40% of ftl flls. Ojtiv: To prform systmti rviw twn 2002 n 2012, linking th onsumption of psyhotiv sustns n th mrgny srvis in ity of southrn Brzil. Mthos: A systmti litrtur rviw ws prform in th prio twn 2002 to Th srhs in pulitions wr prform t th tss: LLACS, BDENF, SiELO n MLin. Th sltion of th rtils ws prform y ring th titl, strt n ontnt of slt rtils. Rsults: 417 rtils wr foun in th tss list, 375 wr xlu for upliity or for ing out of th inlusion ritri tht wr, journls rssing th thm psyhotiv sustn, urgny n mrgny. Th nlysis ws prform from 42 rtils. Th rsults point th rltionship twn psyhotiv sustns, ints n violn, th trtmnt n pproh of th usr of psyhotiv sustns. Conlusions: Th omplishmnt of this stuy simultnously gthr t out rugs n th mrgny srvis. Th rlvn of this stuy srvs s thortil support n rfltion out th xisting prolms rlt to rugs t th mrgny units. W mphsiz th smll mount of pulitions involving psyhotiv sustns n mrgny srvis n this imposs th omplishmnt of nw stuis of this siz n othrs rlt. Dsriptors: Drugs. Aloholism. Urgny. Emrgny. Wight sttus n jump profiiny: iffrns twn hlthy wight n os hilrn Gril Almi,, Crlos Luz,, Rui Mrtins,, Rit Corovil, Univrsi Frnno Psso. Porto, Portugl Esol Suprior Eução. nstituto Politénio Liso. Liso, Portugl Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: Funmntl movmnt skills (FMS) profiiny is positivly ssoit with physil tivity, fitnss lvls, n invrsly ssoit with wight sttus. f hil nnot run or jump profiintly, it will hv limit skills to ngg in physil tivitis. Ojtiv: Th im of this stuy ws to ompr th lvls of profiiny in two FMS (stning long jump n on-lg ostl jump) of ovrwight/os n of norml wight hilrn from Lison, Portugl. Mthos: Th smpl onsist of 271 typilly vloping hilrn (141 ml, 130 fml) with mn g of 8.55±1.16 n mn oy mss inx (BM = wight/ hight2) of 17.87±2.58 kg/m2. To trmin motor skill profiiny in th stning long jump, hilrn wr rqust to jump s fr s possil with thir ft togthr from sttionry position. For th on-lg ostl jumping, hilrn wr sk to hop on on lg ovr pil of pillows tht inrs in hight with onsutiv stps of 5 m pr pillow. Rsults: Bs on intrntionl BM ut-offs vlus, 26.9% of th hilrn wr onsir ovrwight/os n 73.1% norml wight. Th group of ovrwight/os hilrn show lowr sors in oth motor skill omptns (p<0.001). Conlusions: Th vlopmnt of motor skill omptns is ky mhnism to promot n tiv lifstyl. Motor skill vlopmnt n improvmnt shoul primry gol uring hilhoo n olsn in orr to mitigt th hlth risks of intivity n osity n to promot short n long trm hlth nfits. Dsriptors: Chil osity. Motor skills. Jump profiiny. [email protected] [email protected] [email protected] [email protected] [email protected] 34

36 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Dos wight sttus influn th ll throwing skill in hilrn? Gril Almi,, Crlos Luz,, Rui Mrtins,, Rit Corovil, Univrsi Frnno Psso. Porto, Portugl Esol Suprior Eução. nstituto Politénio Liso. Liso, Portugl Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: Th mjority of stuis on movmnt skills omptn in ovrwight/os hilrn fous xlusivly on loomotor skills (.g., running, jumping), ut informtion onrning ojt-ontrol skills (.g., throwing, thing, kiking) is lking. Ojtiv: n this stuy w msur n ompr th ll vloity in on ojt-ontrol skill (throwing), n th hn strngth for th ominnt hn, in ovrwight/ os n norml wight hilrn. Mthos: Portugus hilrn (N=271, yrsol) wr ssss for oy mss inx (BM), hngrip strngth, n llisti skills of throwing. Aoring to th ntrntionl BM ut-offs 198 hilrn wr tgoriz s norml wight n 73 s ovrwight/os. Th stti strngth of th ominnt hn ws msur using hn ynmomtr. Bll vloity ws vlut using sp rr whil th hilrn thrw ll t wll s fst s possil with thir prfrr hn. Rsults: Hn strngth s sors (p<0.001) wr signifintly ttr in ovrwight/os hilrn s ompr to thir ountrprts, howvr no iffrn ws foun for th on-hn throwing tsk (p=0.929). Conlusions: Chilrn s motor profiiny is ssoit with physil tivity. Hlping hilrn om mor tiv provis puli hlth nfits. Although ovrwight/os hilrn wr strongr in this stuy thy i not prform ttr in funtionl tsk tht rquirs strngth. Profiint throw rflts not just strngth ut lso othr ftors tht n influn y oy siz n proportions, suh s movmnt oorintion. Physil tivity intrvntions trgt to ovrwight/os hilrn shoul fous not only in improving thir physil fitnss ut lso thir motor skills. Dsriptors: Chilrn. Osity. Ojt ontrol skills. Throwing. Hn strngth. Efft of ut ffin ministrtion on gluos homostsis n loo prssur Jon Srmnto,, Mri João Riiro,, Sílvi V. Con,, Mri Gurino,, Ful Ciênis Méis. Univrsi Nov Liso. Liso, Portugl Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: Cffin is th hviorlly tiv sustn most wily onsum in th worl. Whn onsum rgulrly, it hs minor ngtiv onsquns on humn hlth n vn prottiv ffts, s shown y svrl pimiologil stuis whr hroni ffin intk rs th risk of typ 2 its. This fft ontrsts with th tion of ut ffin ministrtion tht hs n ssoit with ltrious hngs in gluos homostsis. Ojtiv: Th im of this work ws to tst th fft of ut ministrtion of inrsing ffin oss on insulin snsitivity, fsting gluos n insulin n loo prssur. Mthos: n vivo xprimnts wr prform in fst Wistr rts, g 3 months ( g), nsthtiz with pntoritl (65 mg/kg). Th nimls wr sumitt to intrvnous ministrtion of ffin (Dos: µM), 15 minuts prior to insulin snsitivity vlution. A loo smpl ws ollt to vlut fsting gluos n insulin n, ftrwrs, insulin snsitivity ws trmin y mns of n insulin tolrn tst. Bloo prssur ws ontinuously msur. Dt wr nlyz using Two- Wy ANOVA with multiomprison post-tsts. Rsults: Aut ministrtion of ffin i not moify ithr fsting gluos or fsting insulin ut it rs insulin snsitivity in os pnnt mnnr with mximl fft of 61.95% (p<0.001) n n C50 of 6.98 nm. Bloo prssur ws not fft y ffin. Conlusions: Our rsults suggst tht ut ffin ministrtion signifintly rss insulin snsitivity without using signifint hngs in plsm gluos. Dsriptors: Cffin. nsulin snsitivity. Bloo prssur. Fsting gluos. Fsting insulin. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 35

37 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th prti of this: rport of th xprin of stunts in th profssionl mstr s progrm Ltíi Dutr, Mrt Dis, Krl Dmno, Hlin Ornls, Éri Furforo, Frnn Mrqus, Thmr Alvs f Univrsi Frl Vls Jquitinhonh Muuri. Mins Gris, Brsil ntroution: Ethil onut in profssionl prti is on of th hllngs in puli srvis, spilly in hlth. This oftn hppns us th shools o not onsir this s n ssntil prti within ourss. Ethil spts n to trt s n intgrl prt of th thnil isiplins. This is ritil for strngthning th prinipls of th Unifi Hlth Systm (SUS) of quity, intgrlity n univrslity. Ojtiv: Our stuy ims to isuss topis, prolms n onpts rlt to this in th ily prti of hlth profssionls, n thir impt in th formultion of puli hlth poliis. Mthos: W lort rport s on t ollt uring th intrisiplinry lss on Ethil ssus in Eution, Hlth n Puli Poliy t th Profssionl Mstrs in Eution, Frl Univrsity of Vl Jquitinhonh n Muuri. Rsults: Topis suh s ution, this, morl, soil prtiiption, n puli hlth wr stui n nlyz. Th lss ws ompos of ouptionl thrpists (17%), pgogu (17%), nurss (33%) n physil ution (33%) profssionls. t ws onsnsus tht thil prtis shoul intgrt in ll thnil isiplins n tht th trining profssionls n to xpos to highly thil utors to lrn th us of thil prtis. Conlusions: Topis suh s this must not onsir sprtly, sin thy r funmntl in ll prtis in hlth-rlt tivitis. This is ritil for th mortil pross n itiznship, n for otining SUS of xllnt qulity. Thus, this shoul trnsisiplinry pross, s it is ssntil to th formtion of hlth profssionls ommitt to th SUS. Dsriptors: Hlth. Ethil. Eution. ntrvntions. Community. Disposl of unus or unwnt phrmutils s sour of nvironmntl pollution Ros Prir,, Mrgri Goms, Lilin Brros, An Gonçlvs, Rnt Frnns, Orl Min,, Frnno Azvo, Cntro ntrisiplinr Ciênis Sú. Póvo Lnhoso, Portugl nstituto Suprior Sú o Alto Av. Póvo Lnhoso, Portugl ntroution: Phrmutil rsius r of high onomi n soil importn sin thy n us ngtiv ffts on th nvironmnt n in humn hlth whn improprly ispos. Ojtiv: This stuy ims to intify th motivtions tht l th popultion of Póvo Lnhoso, lot in Northrn Portugl to gnrt ths wsts, s wll s hk thir ttitus, hviors n knowlg towrs this mttr. Mthos: Th ojtivs wr hiv through th implmnttion of qustionnir sign for slf-ompltion, in orr to invstigt smpl of 145 usrs longing to th popultion of Póvo Lnhoso. All rsponnts purhs rugs for th pst 12 months. Rsults n Conlusions: Th rsults show tht th gnrtion of rug wsts rsult from xss of rugs xisting in th mitions pkgs. Th prfrntil position is omplish through th livry of wst miins in th phrmy, ftr thir xpirtion t or y irt position in th trsh. Th nvironmntl ftor is th min rson for th livry of rugs in th phrmy, ut thr is misunrstning y most of th rsponnts out th ft of rug rsius ftr livry t th phrmy. Thr is n for inrs nvironmntl wrnss mong th popultion stui. Dsriptors: Phrmutils Disposl. Environmnt. Knowlg. Mition xss. Community Phrmis. [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] f [email protected] [email protected] 36

38 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Evlution of phrmutil xprin in ispnsing of ophthlmi prouts in Portugl Orl Min,,, Ros Prir,, Nth Morno, Dnil Borgs, Lilin Mtos, José Mliro, José Rgung, Frnno Azvo, Cntro ntrisiplinr Ciênis Sú. Póvo Lnhoso, Portugl nstituto Suprior Sú o Alto Av. Póvo Lnhoso, Portugl Clíni Visão Morno. Brg, Portugl ntroution: Th Community phrmy is ptints first hoi whn it oms to proviing vi rgring ophthlmi prouts; this is u to trust, proximity n vilility for ounsling y ths profssionls on this r. Th rol of phrmutil profssionls is toy n unqustionl rlity rogniz y ll hlth profssionls, s wll s, oviously, y th ptints thmslvs. Ojtiv: To nlyz if th gr of trining in ophthlmi prouts hl y profssionl phrmists/thniins influns th ounsling ility towrs th us of ths prouts y ptints. Mthos: Thr wr onut thr qustionnirs, on of whih ws irt to th ptints, nothr on irt t profssionl phrmists, n lst on irt t th ophthlmology spilist. Dt otin ws sttistilly trt using th SPSS 20. Rsults: Finings show tht 40.4% of ptints rsort to ommunity phrmy s first hoi for ophthlmi prout vi. Th mjority flt stisfi with th vi provi, s on th ispprn of th signs, symptoms or th iss itslf. 50.8% of th profssionls si thy h trining on this fil, howvr, 90.3% rogniz th n of mor spifi trining in this r of stuy. Th involvmnt of ophthlmology spilist ws funmntl to tt som rrors in th phrmologil ounsling y prt of phrmutil profssionl in som y isss ignos orrtly ftr visit to th spilist. Conlusions: t ws foun tht ounsling onut y phrmy profssionls ws gnrlly orrt; howvr it highlights th n for spifi trining of ths profssionls in this r of stuy. Dsriptors: Phrmutil xprin. Ophthlmi prouts. Counslling. Spifi trining. Ey iss. An vin-s systmti rviw out th ul-tsk intrvntion in rsing flls on th lrly Rnto Anr,, Julin Pis, Sr Vin,,, Rui Vin,, Ful Ciênis Sú. Univrsi Frnno Psso. Porto, Portugl Hospitl São João. Porto, Portugl ntroution: Th loss of ln n th rurrnt flls hs n importnt impt mong th lrly, ffting thir surity n qulity of lif. Th ul-tsk is th xution of motor tsk simultnously with ognitiv tsk. Th prti of this ul-tsk inrss th risk of fll, thus n us s intrvntion to prvnt th flls n to inrs th ln in th lrly. Ojtiv: Explor how n intrvntion s on ultsk xriss n ontriut to rs th numr of flls in th lrly. Mthos: Rsrh on omputriz tss PuM/ Mlin n B-On to intify stuis tht ssss ultsk intrvntions in th lrly, pulish twn 2000 n Th mthoologil qulity ws ssss y Physiothrpy Evin Dts (PEDro) n vin lvl through Oxfor Cntr for Evin-Bs Miin (CEBM). Rsults: This rviw inlu 14 stuis vluting th fft of ul-tsk intrvntion, involving 446 iniviuls with mn mthoologil lssifition 5.6±1.6 oring to PEDro sl n most of thm h 1 or 2 lvl of vin y CEBM. Conlusions: From th vin foun in this systmti rviw n onlu tht intrvntion s on ultsks is signifintly fftiv in ruing th numr of flls, inrs ln n, thrfor, improv th surity of th lrly. Howvr, it still xists low numr of rnomiz ontroll trils (RCT) tht sssss th ffts of ul-tsk intrvntion in lrly without nurologil iss. Thus, w suggst mor invstigtion in this mttr with wll-sign RCT n longr follow-up. Dsriptors: Dul tsk. Elrly. Qulity of lif. Fr of fll. [email protected] [email protected] [email protected] [email protected] 37

39 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth An vin-s systmti rviw on th fftivnss of ln trining in rsing th numr of flls in hlthy lrly An Silv,, Rnto Anr,, Rui Vin,, Ful Ciênis Sú. Univrsi Frnno Psso. Porto, Portugl Hospitl São João. Porto, Portugl ntroution: Flls us y rs oy ln r srious issus in th lrly, ffting 1:2 iniviuls worlwi. Physiothrpy plys n importnt rol in ruing this issu pplying thniqus tht im th prvntion of ths flls n intrvntion in th injuris thy us, sin th finl gol is to llow thm to rstor ln n rturn to thir ily lif. Ojtiv: Assss th fft of ln trining in rsing th numr of flls in hlthy lrly. Mthos: Rsrh on omputriz ts B-On with th kywors: Bln Trining, Elrly, Funtionl Prformn, Hlthy, Non-institutionliz n logi oprtors (AND/OR) to intify rnomiz ontroll trils pulish twn 2003 n Th inlusion ritri wr: lrly popultion who hv fr of fll or xprin fll in th lst yr n th xlusion ritri on th othr hn wr stuis whr lk of ln ws ssoit to ny kin of pthology pl of intrfring with funtionl ln. Aftr sltion, stuis wr nlyz s on intrvntion mthos, rsults n mthoologil qulity through PEDro sl. Rsults: This rviw inlu 6 stuis ngging totl of 700 lrly popl with mthoologil lssifition rnging twn 5 n 8 oring to PEDro sl. From ths stuis 3 vlut risk of fll, 1 tk into ount stility, 1 vlut strngth n rtion tim n ll rfrr ln ssssmnt. Conlusions: Aoring to th sintifi-vin foun in this systmti rviw ln trining plys funmntl rol in ruing th numr of flls n fll risk; rsing swy n inrsing git ontrol. Dsriptors: Bln. Elrly. Numr of flls. Qulity of lif. Th importn of th physiothrpy on th trtmnt of suromil impingmnt synrom: n vin s systmti rviw Rnto Anr,, Mário Cruz,, An Mriz,, Rui Vin,,, Anr Riiro, Frnno Psso Univrsity. Frnno Psso, Portugl Hospitl São João. Lol, pís ntroution: Th suromil impingmnt synrom (SS) is on of th most ommon uss of pthology on th shoulr. Th SS is onpt us to sri vrity of onitions tht n t, inpnntly or in omintion, n mnifst s pin in th uppr shoulr portion of th ntrior n ntroltrl prts. This pin is ssoit with th loss of funtion on th shoulr, spilly uring ovrh tivitis. Ojtiv: Assss th ffiy of physiothrpy intrvntion in its iffrnt molitis on th suromil impingmnt synrom. Mthos: Systmti rviw in th tss PuM/ Mlin n B-On to intify rnomiz ontroll stuis (RCT) tht ssss th ffiy of physiothrpy n its iffrnt thniqus s for th trtmnt of SS, pulish twn 2003 n Th mthoologil qulity ws ssss y Physiothrpy Evin Dts (PEDro) n vin lvl through Oxfor Cntr for Evin- Bs Miin (CEBM). Rsults: Tn RCTs wr inlu, involving 1,210 ptints (50.9 yrs), with mn PEDro sor of 6.7 n lvl of vin 1 oring th Oxfor Cntr for Evin- Bs Miin. Conlusions: Th vin foun in this rviw suggsts tht physiothrpy n its thniqus r ffiint in th trtmnt of SS, with qul ffiy s suromil rthrosopi omprssion n suromil ortiostrois injtions. t is nourg to furthr invstigtion, with high lvl of vin stuis n with goo mthoologil qulity (RCTs) tht ssss whih r th most ffiint physiothrpy intrvntions to th SS. Dsriptors: Suromil impingmnt synrom. Physiothrpy. Rnomiz ontroll trils. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 38

40 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Asthnopi symptoms n inoulr vision of profssionl usrs of optil mirosop l Poçs, Nhi Simõs, Vâni Corri, Filip Nuns, Pul Mnonç Esol Suprior Tnologi Sú. nstituto Politénio Liso. Liso, Portugl ntroution: Th us of th optil mirosop is n importnt omponnt of Pthologil Antomy profssionl s work, n it is ssoit with th prsn of visul symptoms, tht n rlt to thir inoulr vision s onition. Ojtiv: Evlut ths profssionl s inoulr vision onition, rlt it to th most frqunt symptoms, osrv th influn of th work with th mirosop on inoulr vision ftr wk of xris. Mthos: Quntittiv, sriptiv n orrltionl stuy, with 45 prtiipnts, whr it ws ppli survy to intify th most frqunt symptoms. t ws lso prform n orthopti vlution t th ginning n y th n of working wk. Rsults: Mn sujts g ws 37,73±10,68 yrs, whih r tiv for n vrg of 11,8±9,00 yrs n spnt n vrg of 19,96±9,68 hours pr wk unr th mirosop. Of ths, only 13,3% h norml inoulr vision. Th most ommon symptoms wr iffiulty on sing lrly (95,6%), tir n hvy ys (91,1%). Th ithing (51,1%) ws th most rport ry y symptom. Th rsults suggst n inrs of sthnopi omplints with th ginning of th us of th optil mirosop. Howvr, no signifint hngs wr foun, on inoulr vision s vlution, twn th ginning n th n of th wk. Conlusions: Th work with th optil mirosop is rlt to th inrs of th frquny of sthnopi symptoms, whih n ru with right optil orrtion, longr rks twn mirosop work, n with th us of lriml juvnt. Dsriptors: Binoulr vision. Asthnopi symptoms. Optil mirosop. Pthologil ntomy. Visul omplints. Anlysis of Binoulr Vision on Hospitl Aministrtiv Employs omputr usrs l Mri Poçs,, An Rit Mrtins,, Mg Gus,, Lr Sntos, Esol Suprior Tnologi Sú. nstituto Politénio Liso. Liso, Portugl Hospitl Sntigo. Espirito Snto Sú, Stúl, Portugl ntroution: Prforming nr tivitis for prolong prios of tim on omputrs n l to trnsint hngs in rfrtiv rror, th ommotion n vrgn systm my ru, possily ompromising th ury in th prforming tsk. Ojtiv: Chrtriz th inoulr vision of th ministrtiv thniins (AT) involvs th us of omputrs ftr y of nr work in hospitl. Mthos: Stuy sriptiv, orrltionl n ross-stionl typology. Th smpl ws non-proilisti of th onvnin typ, form y ll Hospitl s AT (n=137). Only 28 AT rspt th inlusion n xlusion ritri fin. Dt wr ollt t th Dprtmnt of Ophthlmology, onut through qustionnir, n through vlution of inoulr vision in th ginning n th n of work y. Rsults: nvolv 28 AT, 25 (89,28%) fml n thr (10,71%) ml, with mn g of 33,32±4,91 yrs. n th n of th work tivity th sphril omponnt of rfrtiv rror ws hng in 78,57% ys. n myopi ys ws rgistr mn ltrtion of 0,68D. Fr n nr Visul Auity wr hng in 16,7% n 7,14%, rsptivly. n NPC n NPA ws osrv hng in 21,43% n 46,43% of th smpl, rsptivly. Nr onvrgn ws ru in 53,57%. Conlusions: Thr is influn of tivitis losly with xtn omputr us, uring y s work, in inoulr vision of th TA from th Hospitl unr stuy. Th prolong tivity to los with omputr usg ovr th ours of work y hng ftors n mhnisms inhrnt in inoulr vision, with inhrnt symptoms Dsriptors: Binoulr vision. Aommotion. Convrgn. Nr work tivitis. Computrs. [email protected] [email protected], [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 39

41 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 031 Nursing intrvntion progrm for fmily rgivrs 032 Hth ution groups: th n for hng Riro Mlo,, Mríli Ru,, Céli Sntos, nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Popultion ging ls to n inrs of pnn, not only u to th loss of utonomy, ut lso ssoit with th inrs of isss. n this sns, fmily rgivrs ply ruil rol in th r of thir lov ons, to nsur th stisftion of thir si ns n mintin ssntil qulity of lif. Ojtiv: Th im of this stuy is to ompil st of nursing intrvntions in strutur progrm, proviing motionl n instrumntl support nssry to filitt th trnsition to th rol of fmily rgivrs. Mthos: Aftr th nlysis of th sintifi litrtur in th fil of nursing intrvntions for rgivrs in trnsition n thir ns, w slt th most vin ons, whih w sumit to srutiny of n xprt group with lvn lmnts through Dlphi thniqu, prform in 5 rouns, until otin onsnsus roun n intrvntion progrm. Rsults: This work ulmint in 93 nursing intrvntions progrm in th fil of motionl support (Promoting th Rol of Crgivr, Promoting Soil Support, Strss Prvntion) n instrumntl ns (ll Slf-Cr), whr ll ths intrvntions inlu in this strutur intrvntion progrm hiv high rliility vlus (grtr thn 4.5). Conlusions: This work prsnts onsnsul n strutur nursing intrvntion progrm, in th motionl n instrumntl rs, whih ims to filitting ftor in th trnsition to th rol of fmily rgivrs, in orr to mt thir min ns n orrspon to ttr r to thir pnnts. ts pplition to iffrnt nvironmnts n ontxts n l to optiml rsults throughout th trnsition pross. Dsriptors: Nursing ntrvntion; Emotionl Support; nstrumntl Support; Dlphi Thniqu. Prisil Roh, Dnis Fririh Univrsi Frl Juiz For. Juiz For, Brsil ntroution: Th groups of hlth ution ply ky rol in ringing to popultion informtion rlting to th hlth- iss pross, xprss ynmilly lrning tht rflt th trgt uin of your tions. Thrfor, so importnt for iniviul n olltiv mpowrmnt. Howvr, this rquirs for th nurs who is profssionl l to prform this prtil work, th us of mthoologis tht promot this pross. Ojtiv: nvstigt th mthoologis of onuting hlth ution group y nurss of th Primry Hlth Cr. Mthos: t is rsrh with qulittiv pproh whos sujts wr with 15 nurss working in th Primry Hlth Cr of th muniiplity of Mins Gris, Brzil, uring th months of Mrh n April Dt nlysis ws orint y th ilti hrmnuti. Rsults: This work prsnt prt of th prliminry rsults of mstr s issrttion. Nurss rport pltion of prtis ling groups of th tritionl mol of ution to trnsmit knowlg out th pthology n hngs in hits. Chngs our with th us of thniqus n strtgis tht nhn usr prtiiption suh s th prolmtizing. Thrfor, mor ilogil mthoology whih xhng twn nurs n ptints usr utonomy n rsponsiility of th iniviul out thir hlth ours. Conlusions: t is onlu tht spit ths hngs in mthoology of group tivitis tht r still inipint n nhn n strngthn hlth promotion. This rsrh oms importnt in tht it ls to rfltion to improv this prti. Dsriptors: Hlth Eution. Nursing. Group Strutur. Primry Hlth Cr. Mthos. [email protected] [email protected] [email protected] [email protected] [email protected] 40

42 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth n Physil Ativity in Community-Dwlling Olr Aults Emíli Mrtins, Frniso Mns, Rosin Frnns, Mri João Amnt, Susn Fons, Cáti Mglhãs f, Li Arújo g Esol Suprior Eução. nstituto Politénio Visu. Visu, Portugl ntroution: Chngs rsulting from th ging pross hv n impt on funtionl pity, whih tns to lin with vning g, ling to pnny n hlth prolms (Pulo, 2010). t is known tht n tiv lif styl ontriuts to hlthy ging. n this sns, physil tivity plys n importnt rol. Ojtiv: This stuy xplors hlth sttus (ojtiv n sujtiv) n vrition of physil tivity imnsions (houshol, sports n lisur tim tivitis) in ommunity-wlling olr ults smpl. Mthos: Prtiipt in this stuy 73 ommunity-wlling olr ults (71.2% womn; 28.8% mn) g 73.8±6.6. For t olltion w us soiomogrphi qustionnir with hlth sttus qustions n th Moifi Bk Qustionnir whih vluts thr physil tivity omins (houshol, sports n lisur tim tivitis). Dsriptiv n infrntil nlyss wr onut, with p vlu.05 onsir s sttistilly signifint. Rsults: Prtiipnts who rport illnss rvl highr rsults (.22±.89) thn othrs who on t rport illnss (.15±2.96) on sports imnsion of physil tivity. Sujtiv hlth sttus ws orrlt positivly with physil tivity imnsion of sports (r=.29; p=.04). This prption of hlth ws lso orrlt positivly with houshol tivitis (r=.34; p=.003). Conlusions: Th implmnttion of strtgis to promot physil tivity spilly in olr ults sms vry importnt oring to ths rsults. n gnrl, it s lr tht th promotion of physil tivity, ithr through ily houshol tivitis or through sports inititivs, hs signifint nfits in ojtiv n sujtiv hlth, prtiulrly in th pross of ging. Dsriptors: Hlth. Physil tivity. Olr ults. Houshol tivitis. Sports. Aging, Physil Ativity n Slf Prption of Physil Disomfort Mnifsttions Frniso Mns, Emíli Mrtins, Mri João Amnt, Rosin Frnns, Susn Fons, Pul Xvir f, Li Arújo g Esol Suprior Eução. nstituto Politénio Visu. Visu, Portugl ntroution: Aoring to WHO (2004), physil intivity is on of th min risk ftors to th mrgn of non-ommunil isss. Glol Rommntions on Physil Ativity for Hlth wr vlop unr this ssumption. Othr stuis (Evns & Slp, 2012) highlight th nfits of wtr tivitis to th lrly. Ojtiv: ntify n quntify th Physil Disomfort Mnifsttions mong mil-g n olr ults prtitionrs n non-prtitionrs of hyro gymnstis. Mthos: A smpl of Portugus (N=77) prtitionrs (N=42) n non-prtitionrs ws vlut with th Physil Disomfort Mnifsttions Qustionnir (Qustionário Mnifstçõs Físis Ml-Estr; Riiro, 2003) omprhns totl sor (ST) n 4 su sls: Nrvous Systm (NS), Rspirtory (RS), Musulr (MS) n Digstiv (DS). Rsults: Th mnifsttions of MS r th highst (4,33±3,88), follow y NS (2,68±3,22), SD (1,82±2,56) n RS (1,40±1,89). n vry nlysis thr is signifint iffrn (Mnn-Whitny p<.05) twn prtitionrs n non-prtitionrs, fvourl to th first ons, spit th highst g vrg of th prtitionrs (61,7±8,16 vs 56,23±5,34). Morovr, th ST is not signifint whn groups of g r ompr. Th orrltions (Prson) twn g n Physil Disomfort Mnifsttions r ngtiv (p<.05) xpt in DS. Th prti/non-prti of hyro gymnstis orrlts (Sprmn) positivly (p<05) with mnifsttions of physil isomfort, with lowr sors on th prtitionrs. Conlusions: Th prti of hyro gymnstis, rgrlss of g, sms to ru th prption of physil isomfort mnifsttions, n u th rltion twn tht prption n ojtiv hlth, this prti my hlp to prvnt th vlopmnt of nw n svr isomfort (Riiro, 2003). Dsriptors: Elr. Physil tivity. Hlth. Wtr rois. Physil isomfort. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 41

43 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th importn of nutritionl ounsling in rnl ptints Flvi Aulr, Mª sl Goms, Klly Sors, Alik Nkshim Pontifíi Univrsi Ctóli o Prná. Curiti, Brsil ntroution: Aqut nutritionl ounsling for rnl ptints n prvnt long trm omplitions (glymi, lipi n loo prssur ltrtions). But in mny spiliz hlth srvis in Brzil thr is not th prsn of nutritionist, whih oul ontriut to ttr prognosis. Ojtiv: Dvlop progrm of nutritionl ounsling s on rnl ptints profil t puli multory. Mthos: Cross-stionl sriptiv stuy in puli multory tht srvs out 30 ptints pr month. Dt olltion ourr in Mrh n April 2013 n ws us to sri soioonomi, linil n nthropomtri profil n srv s tool for nutritionl ounsling. Rsults: Th smpl (n=46) h 65.2% womn, 71.7% illitrt, 58.7% mil n lowr lsss, 41.3% lrly. Ovrwight ws prsnt in 65.2%, 67.3% hyprtnsiv n 26.1% itis. From ths rsults, th ision to mk progrm of nutritionl ounsling s on ruing high in soium, sugr n ft foos ws tkn. n ition to iniviul ounsling, utionl mtrils wr m (with olorful rwings, lrg lttrs n populr foos) to mt th hrtristis of th smpl. Most ptints (68%) h nvr riv nutritionl ounsling n mong thos who h riv, th mtril h n onsir omplit (68%). Th tul livr mtril n shp iniviuliz ounsling wr vlut s stisftory y 95% of th smpl. Conlusions: W onlu tht th progrm of nutritionl ounsling ws onsir pproprit y ptints n th inlusion of nutritionist in multory oul improv trtmnt hrn prvnting th ggrvtion of omplitions of isss. Dsriptors: Rnl ptint. Hyprtnsion. Nutritionl ounsling. Trtmnt. Hlth Promotion (HP) ESSS/UMS ommunity intrvntion Mri Crmo Figuiro,, Clst Goinho,, Anl Cânio,, José Amnoir,, Esol Suprior Sú Uni nvstigção. nstituto Politénio Sntrém. Sntrém, Portugl Cntro nvstigção ntrisiplinr m Sú. Univrsi Ctóli Portugus. Portugl ntroution: This ppr is prt of th ESSS projt Promoting Hlthy Lifstyls hlthy ting. Th Highr Eution nstitutions involv with projts of HP vlu thir img in th politil n soil ommunity. Chilhoo osity is puli hlth prolm in th Europn sp, n Worl stlishing itslf s th pimi of th XX ntury. On of th trmining ftors of this pimiologil n nutritionl sitution is th hng in th itry pttrns of th popultion. Ojtiv: To isuss th t of th intrvntion with stunts of th 2 n n 3 r yls of th muniiplity of Sntrém, Mthos: Dignosis of th sitution t shool, on th itry hits of young popl, through qustionnir, ky informnt intrviws, osrvtion of fing prtis in shools; osrvtion sps (ining rooms n rs). 22 sssions of hlth ution wr onut. Rsults: 852 stunts n 40 prnts prtiipt. Th topis ovr wr: hlthy ting hits, hlthy n unhlthy ting hviors; mportn of hlthy ting for physil n intlltul vlopmnt of young hilrn. Strtgis n rss ivrs topis wr us. Conlusions: W pprit th prtiiption of prnts to t s promotrs of hlthy hois n nling nvironmnts of th sm. W intn to ontinu to invst in strtgis tht promot stunt prtiiption in mningful lrning for mking inform isions. mproving vlution fous on th skills n ilitis of th stunts is gol to hiv. Dsriptors: Hlth Promotion. Highr Eution nstitutions. Hlthy Eting. Nursing. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] lst.goinho@ ssu.ipsntrm.pt [email protected] 42

44 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Dits Typ 2 n risk of fll: funtionlity ssssmnt n risk group in iti foot Mrin Mrçl,, Nái Augusto,, Sr Jnl,, Emnul Vitl,,, Pul Prrir,, Rui Fons-Pinto,f Esol Suprior Sú. nstituto Politénio Liri. Portugl Agrupmntos Cntros Sú Pinhl Litorl. Portugl nstituto Tlomuniçõs. Liri, Portugl ntroution: Dits Mllitus inlus group of mtoli isorrs rlt to th mtolism of insulin. Assoit to this onition, ltrtions in strutur n funtion of th foot our, whih onsquntly fft th funtionlity of th iniviul. Ojtiv: Th min ojtiv of this work is to vlut th risk of fll twn two groups of iti popl smpl, on with mium risk, n th othr with high risk of iti foot sor. Morovr w intnt intify quntittiv mrkrs in orr to improv th lssifition of risk. Mthos: This is quntittiv, trnsvrsl n orrltionl sriptiv stuy tht vluts 22 sujts, 9 with mium risk (40.9%) n 13 with high risk (59.1%) rgistr in Hlth Cntr in th ntrl rgion of Portugl. Physiologil, funtionl n mogrphi prmtrs wr otin y strutur intrviw, linil vlution n y th pplition of th Tintti Sl (Prformn Orint Moility Assssmnt - POMA). Rsults n Conlusions: Glol nlysis llows us to onlu tht this is n os popultion in whih 59.1% wr lssifi s hving mium n high risk of fll. Th iggst iffrn in POMA s sor ws foun t th ln omponnt, th group of high risk of iti foot soring wors. This trn is snt in th wlking omponnt of th sl. Mor stuis r n to onfirm ths finings, ut th t vill suggsts tht popl who hs high risk of iti foot shoul riv qut hlth r to prvnt funtionl lin. Dsriptors: Dits Mllitus. Git. Diti Foot. Risk of fll. Tintti tst. Risk n vulnrility mrkrs of rst nr in womn with HV/ADS Crl Vin,, Mª Lúi Prir,, Crl Rgo,, Ysly Pmplon,, Ntáli Vso,, Krl Cruz,f, Brun Lit,g Ful nsino ultur o Crá. Fortlz, Brsil Univrsi Estul o Crá. Fortlz, Brsil Univrsi Ctóli Sntos. Sntos, Brsil ntroution: A womn with HV/ADS is xpos to svrl ftors tht inrs th risk for quiring hroni gnrtiv isss. Among ths isss, stns out rst nr, u to its vrious risk ftors. Ojtiv: This rsrh im to nlyz th mrkrs of vulnrility of womn with HV/ADS tht ontriut to th vlopmnt of rst nr. Mthos: Th smpl onsist of 150 womn with HV/ ADS n th this ommitt pprov rsrh protool. Th rsrh ws onut in Fortlz, in th spiliz wr of th St. Josph Hospitl, whih is rfrn to ignosis, trtmnt, ution n rsrh on inftious isss in th Stt of Crá. Rsults: niviul, soil n progrmmti mrkrs of vulnrility rlt to th thr imnsions wr intifi. Suh mrkrs hv highlight minly th low utionl lvl of womn, th lk of orrt informtion out rst nr, lk of monitoring n lk of profssionl, iologil n ulturl orinttion of th iss. Conlusions: t is onlu tht it is nssry to nourg rly ttion of rst nr for th promotion of hlth n th n for trining of hlth profssionls who provi r to th r fml popultion of HV/ADS ptints. For th prvntion of rst nr to implmnt, it is suggst th implmnttion of guilins n monitoring in th nursing onsulttion, n itionl stuis to ttr unrstn th rltionship twn HV/ ADS n rst nr. Dsriptors: Brst Cnr. HV. Womn. Risk Ftor. Vulnrility. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 43

45 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth nflun of slf-ffiy in n utionl n xris progrm for hroni low k pin Cláui Mrqus,, Anl Mrtins, Cntro Hospitlr Tonl-Visu. Portugl Esol Suprior Tnologi Sú Coimr. Coimr, Portugl ntroution: Chroni low k pin is hlth prolm with high prvln in ontmporry ountris n hs strong rltionship with psyhosoil vrils, funtionl isility, n slf-ffiy. Th intrvntion shoul omplmnt ution n xris n promot hom hrn. Ahrn is influn y slf-ffiy n hlth litry. Ojtiv: Stuy th ffts of n utionl n xris progrm on funtionl isility, pin intnsity, fr-voin lifs n slf-ffiy physil tivity n th rltionship twn slf-ffiy n hlth litry with funtionl isility, th glol prption of hng n frquny hrn to th hom progrm. Mthos: 16 iniviuls omplt n utionl n xris progrm t Visu s hospitl with urtion of 6 wks, 12 sssions, 90 min/sssion. Prtiipnts wr vlut t thr iffrnt tims. Th outoms stui wr funtionl isility, pin intnsity, slf-ffiy for xris, fr-voin lifs, hlth litry, glol prption of hng n hom xris hrn n frquny. Wr prpr uio, igitl n ppr support for prtiipnts prptut th hom xris prti. Rsults: Signifint iffrns wr foun ftr this progrm, rution in funtionl isility (46.13±17.20 to 36.81±18.35) (p=0.001), pin intnsity (6, 56±1.67 to 4.88±2.19) (p=0.006) n fr-voin lifs (22.69±10.69 to 16.19±10.19) (p=0.001) n improvmnts in slf-ffiy for xris (12.13±3.40 to 13.81±3.64) (p=0.041) n signifint ssoition twn slf-ffiy n glol prption of hng. Conlusions: An utionl n xris progrm show improvmnts in ptints with hroni non-spifi low k pin. Dsriptors: Low Bk Pin. ntrvntion. Eution. Exris. Ahrn. Effts of xris trining on fll prvntion in lrly. A rnomiz ontroll tril Nlson Sous,, Romu Mns, Ctrin Arnts, José Olivir Cntro nvstigção Dsporto, Sú Dsnvolvimnto Humno. Univrsi Trásos-Monts Alto Douro. Vil Rl, Portugl Cntro nvstigção m Ativi Físi, Sú Lzr. Univrsi o Porto. Porto, Portugl ntroution: Th risk of flling n sustining n injury s th rsult of fll inrss with g. Flls r ssoit with moriity n mortlity in th olr popultion, n lso link to poorr ovrll funtioning n rly mission to long-trm r filitis. Thrfor, ruing fll risk in olr ults is n importnt puli hlth issu. Ojtiv: Th purpos of this stuy ws to ompr th ffts of two long-trm xris-trining progrms on th risk of flls mong olr mn. Mthos: Forty-ight hlthy olr mn gs yrs wr rnomly ssign to n roi trining group (n=15), omin (roi n rsistn) trining group (n=16), or ontrol group (n=17). Both progrms wr mort-to-vigorous intnsity, thr ys/wk for 32-wks. Primry outoms wr msur y th Tim Up & Go Tst (TUG) n th Funtionl Rh Tst (FRT), on fiv iffrnt osions. Th t wr nlyz using mix-mol ANOVA. Rsults: ANOVA init signifint min fft of group (p=0.001) for th TUG, with signifint iffrns twn th omin trining group n th roi trining group n lso twn th ontrol. ANOVA lso intifi signifint min fft of tim for th TUG (p<0.001) in th omin trining group. No signifint iffrns wr foun in th prformn of th FRT. Conlusions: Only th omin xris trining progrm ws fftiv in prvnting flls mong hlthy olr mn. Tril Rgistrtion: liniltrils.gov ntifir: NCT Dsriptors: Comin Trining, Prolong Exris, flls prvntion; Tim Up & Go Tst; Rnomiz Controll Tril. [email protected] [email protected] [email protected] 44

46 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth somtri nurn of th spin xtnsor musls ftr pplying Glol Posturl Rution Cinti Frits,,, Júli Grv, Univrsi São Pulo. São Pulo, Brsil Univrsi Pulist. São Pulo, Brsil ntroution: Glol Posturl Rution mtho (GPR) hs n shown n fftiv trtmnt for musuloskltl isss, in prtiulr for low k pin, howvr thr rn t stuis out th ffts of GPR on nurn or strngth of th spin xtnsor musls. Th GPR xriss tivt th spin xtnsor musls to gnrt goo posturl lignmnt. Ojtiv: Evlut th ffts of this mtho on nurn of th spin xtnsor musls. Mthos: 50 voluntrs, without spin pin, who i not ply sports, ivi into two groups: Control n GPR, oth wr vlut y Biring Sornson Tst. Control Group i not riv ny intrvntion. GPR prform four postur xriss, on wk, uring thr months. This stuy ws onut t Univrsi Pulist n Univrsi São Pulo. Dt wr vlut y ANOVA n T Stunt tsts. Signifin ws st up t p 0,05 n ll nlyss wr prform using SPSS vrsion V17. Rsults: Control Group: 21 iniviuls (19 womn, 2 mn, 23±6,12 yrs ol) n GPR: 23 iniviuls (16 womn, 7 mn, 24,13±5,65 yrs ol). Th GPR inrs th mintnn tim in Biring Sornson Tst (p<0,001, initil mn: 77,39±31,56 sons n finl mn: 119,49±45,31 sons).th Control Group show no signifint vrition (p=0,949, initil mn 69,43 ±24,37 sons n finl mn 69,67±24,40 sons). Comprison groups h signifint iffrn in th finl vlution n rgring th tim inrs mintnn (p<0,001). Conlusions: GPR mtho hs n inrs th isomtri musulr nurn of th spin xtnsor musls. Dsriptors: Postur. somtri ontrtion. Spin. Trunk strngth. Enurn. Critil prio in prshool hilrn for th vlopmnt of ovrwight Cáti Brg-Ponts,, Mri P. Gurino,, Sr Simõs-Dis,, Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Ful Ciênis Méis. Univrsi Nov Liso. Liso, Portugl ntroution: Osity in hilrn n us prmtur n long-trm hroni hlth prolms. Critil prios in hilhoo r lry wll fin, nmly th prshool g, ing of grt importn to t prvntivly uring this prio. Howvr, th ritil prio my vry mong iffrnt popultions, pning on gogrphil lotion n lso on soioonomil ftors. Ojtiv: To trmin th ritil prio for th onst of xss wight mong hilrn g 2 to 10 yrs of privt utionl institution in th rgion of Liri. Mthos: This stuy ws prform in smpl of 294 hilrn ttning privt utionl institution in Liri, twn 2009 n 2013 s on nthropomtri msurmnts routinly prform in th institution. Msurmnt of wight n hight ws prform t two iffrnt tims in h shool yr to ll hilrn g twn 2 n 10 yrs ol. Rsults: This stuy monstrt tht from 2 to 10 yrs th prvln of ovrwight vris twn 3.6% n 25.4% in mls n 4.2% to 43.3% in fmls. n prshool hilrn prvln of ovrwight of 9.3% ws intifi. Th g of fiv yrs ws trmin s th most ritil prio for th vlopmnt of ovrwight. t ws lso osrv tht thr is highr prvln of ovrwight in fmls thn in mls, xpt t 5 n 6 yrs ol. Conlusions: Chilrn g 5 yrs shoul trgt for prvntiv msurs ginst ovrwight. n our stuy, th prvln of ovrwight mong prshool hilrn is lowr thn th vlus otin in similr Portugus stuis. Dsriptors: Chil. Prshool. Ovrwight. Prvln. Prvntion. [email protected] [email protected] [email protected] [email protected] [email protected] 45

47 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Eution of nursing stunts in work with vulnrl groups: Fml Prisonr Mrln Tixir,, João Silv,,, Mª Cristin Borgs,, Elizngl Bnto,, Mª Ros Shtingr,, An Mª Borgs,f Univrsi Frl o Rio Grn o Sul. Porto Algr, Brsil Univrsi Rom L Spinz. Rom, táli Ful Lão Smpio. Juziro, Crá, Brsil ntroution: Fml Prisonr: A proposl for intrvntion n hlth fins projt tht im ttn hlth ution for fml prisonr, with prison visit in orr to furthring th hrn to prvntion n hlth promotion s mn of vloping qulity of lif. Ojtiv: Th im of this stuy ws to vlop ssssmnt strtgis, intifition n intrvntion in hlth ution for nursing stunts y using fml prisonr. Mthos: t is qulittiv sriptiv stuy tht us smi-strutur intrviws in fml prison in Criri, stt of Crá in Brzil uring th yr of Dt wr nlyz using thmti tgoriztion n isuss y ontnt nlysis. Th slt sphs wr oring to th tgoriz thms so tht t hppn. Th lt thms wr th knowlg of th fmls inmts out rvil n rst nr, th prvntiv xms frquny n lrning for sx lif. Rsults: Th fml prisonrs hs shown vulnrility to sxully trnsmitt inftions onsiring tht thy xhiit risk hvior. Th stuy osrv tht thr is n inffiiny n/or lk of ths srvis in th rgionl pnitntiry systm n th womn o not prtiipt in th proution of r of thmslvs. Conlusions: Th onlusion is tht it is xtrmly importnt tht thr is srning for rvil n rst nr omin with hlth ution s wll s th ommitmnt of th profssionls with th r tivitis. Dsriptors: Fml prisonr. Hlth intrvntion. Hlth ution. Vulnrl groups. Qulity of lif. Boy prtis n th Amplifi Clini: lrning out hlth ution in th Brzilin Hlth Systm (SUS) Vléri Montiro Mns, Yr Mri Crvlho Univrsi São Pulo. São Pulo, Brsil ntroution: Ltly th Brzilin Ministris of Hlth n Eution implmnt poliis im t qulifying stunts n profssionls to work in th SUS. Howvr, th gp twn trining n intrvntion in th su-rs of hlth prsists. Th urgny to improv profssionl ution, sking to trnsform hlth r, mns th inorportion of rfrns suh s th Amplifi Clini, thnology of hlth r fous on prouing mthoologil rrngmnts im t mting th nssitis of hlth r, rognizing th singulritis of iniviuls n institutions. Ojtiv: To prolmtiz th frgmnt n isiplinry s logi of th su-rs of hlth, gui y th Amplifi Clini n th Mtho of th Whls, thoris out th romposition of work in hlth. Mthos: Qulittiv stuy, rsrh-intrvntion typ, vlop from xprin with oy prtis in CSE/So Pulo/Brzil. 51 sujts took prt in th stuy. Osrvtion, nrrtivs, ivrs oy prtis n onvrstion irls wr th r thniqus us. Rsults: Th pross omposition twn th notions of intrprofssionlity, oning, utonomy, shr mngmnt n oy prtis, th knowlg of workrs n usrs l to iffrntit trining pross, onsiring th rsistns, limittions n isputs in th work pross, th onstrution of ntworks for ilogu n r in th CSE. Conlusions: Th thory qulifi th oy prtis in primry hlth r, thry mking vint th ntrl rol of onptul n mthoologil rorinttion of profssionl ution in th onstitution of innovtiv n ilogil hlth r mols, privilging th rol of workrs n usrs, iming t n fftivly univrsl n humniz SUS. Dsriptors: hlth ution; oy prtis; Amplifi Clini; SUS; hlth intrvntion. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] 46

48 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth mpt of fmily-s pulmonry rhilittion progrm: n xplortory stuy Al Mrqus,,, Cristin Jáom,, Jon Cruz,,, Rqul Gril,,, Dnil Figuiro,, Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl Uni nvstigção Formção sor Aultos osos. Porto, Portugl Sção Autónom Ciênis Sú. Univrsi Aviro. Aviro, Portugl ntroution: Th Worl Hlth Orgniztion hs rommn fmily intgrtion in rhilittion intrvntions. Nvrthlss, Pulmonry Rhilittion (PR) progrms for hroni ostrutiv pulmonry iss (COPD) rmin fous on ptints ns, nglting th rol of th fmily. Ojtiv: This xplortory stuy ssss th impt of fmily-s PR progrm in ptints with COPD n rsptiv fmily mmrs. Mthos: Nin ys of ptints with COPD (70±8yrs; for xpirtory volum in on son 69±25% prit) n fmily mmrs (64±11yrs) nroll in 12-wk fmily-s PR progrm with xris trining for ptints n psyhoution for ptints n fmily mmrs. Ptints qurips musl strngth ws msur with th 10 rptition mximum n xris tolrn with th 6-minut wlking tst. Ptints n fmily mmrs h thir fmily oping ssss with th Fmily Crisis Orint Prsonl Sls (highr sors init mor positiv oping) n justmnt to illnss with th Psyhosoil Ajustmnt to llnss Sl (highr sors init poorr justmnt). Rsults: Signifint improvmnts wr osrv in ptints qurips musl strngth (3.4±1.9 vs. 6.5±2.4Kg, p=0.002) n 6-minut wlking istn (393.7±46.3 vs ±42.9m, p=0.023). Both ptints n fmily mmrs us mor positiv oping hviors ftr th intrvntion (ptints 91.3±15.1 vs ±14.2, p=0.026; fmily mmrs 96.4±15.1 vs ±12.1, p=0.011). Howvr, psyhosoil justmnt i not hng signifintly (ptints 31.9±19.5 vs. 27±12.4, p=0.178; fmily mmrs 29.9±13.9 vs. 25.8±12.1, p=0.242). Conlusions: PR progrms inlusiv of fmily mmrs nhn th skills of th whol fmily to mng COPD, without intrfring with th wily rogniz ptints nfits in onvntionl progrms. Furthr rsrh with mor roust signs is n. Dsriptors: Chroni Ostrutiv Pulmonry Diss; fmily; pulmonry rhilittion; ommunity intrvntions; fmily oping. Effts of rspirtory physiothrpy sssion in ptints with Lowr Rspirtory Trt nftions Al Mrqus,,, An Olivir,, Cáti Pinho, Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl Uni nvstigção Formção sor Aultos osos. Porto, Portugl ntroution: Ptints with lowr rspirtory trt inftions (LRT ut xrtions of ostrutiv/rstritiv isss) xprin svr yspn n inrs sputum proution (Wooh, 2011). Rspirtory physiothrpy (RP) hs shown to improv ths symptoms in hroni rspirtory onitions (Grro, 2007). Howvr, stuis xploring its fftivnss in ptints with LRT r lking. Ojtiv: This stuy ssss th fftivnss of on sssion of RP in ut ostrutiv (AO) n ut rstritiv (AR) rspirtory ptints. Mthos: RP inlu rthing rtrining n irwy lrn thniqus. Dt wr ollt pr/post sssion n inlu: priphrl oxygn sturtion (SpO2), ptints priv yspn (moifi Borg sl MBS) n sputum (Brthlssnss, Cough, n Sputum Sl- BCSS). Pir smpl t-tsts/wiloxon sign-rnk tsts wr us to ompr pr/post t. Rsults r prsnt s: mn±sd or min(intrqurtil-rng). Rsults: Thirty outptints (14 ml, 55.2±17.8yrs) ignos with AO (xrtion of COPD, ut ronhitis n sthm; n=18) n AR (pnumoni; n=12) isss wr rruit. Aftr th RP sssion, ptints with AO isss rport signifintly mor yspn (pr 0(2) vs. post 1.5(2.3); p=0.046) n lss sputum (pr 3(1) vs. post 2(2); p=0.019). Ths prmtrs i not vri in AR (MBS: pr 1(2) vs. 1(2); p=0.684; BCSS: pr 2.5(1) vs. 2(1); p=0.317) ptints. No signifint hngs wr foun for SpO2 in oth groups (AO: pr 96.1±2.1 vs. post 96.4±1.9; p=0.318; AR: pr 96.67±2.3 vs. post 96±3.8; p=0.382). Conlusions: Ptints with AO n AR isss rspon iffrntly to RP. This my suggst th n to vlop spifi RP intrvntions for h group. Furthr rsrh involving lrgr smpls n roust msurs r n to onfirm ths finings. Dsriptors: rspirtory physiothrpy; lowr rspirtory trt inftions; monitoring; irwy mngmnt. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 47

49 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Auiologi hngs in Pilots Avitors Filip Góis, Crl Mtos Silv Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Coimr, Portugl ntroution: Th offirs of th prmnnt stff of Pilot Avitors shoul prform tivitis rlt to th oprtion of irrft in militry missions, oprting s pilot, instrutor pilot n flight ommnr pilot. This stuy ims to snsitiz rivrs to th risks thy f in trms of uiologil rsult of this tivity n thus to minimiz n prvnt ints of this ntur, so s not to fft hring. Ojtiv: Th im of this stuy ws to invstigt whthr thr r ny hngs in uiologil Pilots Avitors, tking into ount thir g n flight hours prform pr wk. To this n, w stui smpl of 16 pilots from Air Bs No. 5, lot in Mont Rl, ll ml, g twn 20 n 40. Mthos: All t ollt wr thn sujt to sttistil trtmnts, ing ssur thir full onfintility. For th olltion of informtion ws givn to h pilot qustionnir n onut xms suh s otosopy, tympnogrm, tonl simpl uiogrm n prntg rkown of 40B in h r. Rsults: Th pilots i not hv sttistilly signifint hngs in thir uitory thrshols ompr to thir g n pilot yrs, s wll s th rltionship twn th mximum pk omplin n Pilot Tim. Conlusions: W onlu tht s muh in th right r n lft r th Pilots with mor Pilot yrs h th lowst prntgs of isrimintion t 40B. Dsriptos: Pilot vitors; Hring; Nois; Brotrum; Prssur Diffrns. A linil ution projt for popl with hroni ostrutiv pulmonry iss Crolin Clir,, Jon Lournço,, Vítor Pinhir,,, Al Rorigus,, Gonçlo Slvo, Esol Suprior Sú Dr. Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl Uni Lol Sú Cstlo Brno. Hospitl Amto Lusitno ntroution: Th WHO stimts tht COPD rhs 210 million popl worlwi. Ptints with COPD must hv ss to qut informtion out thir hlth onition, mking th tiv prtiiption in th mngmnt n trtmnt of thir illnss s possil. On projt ws vlop in linil ution of th physiothrpy unrgrut ours, to ssss th impt of hom progrm. Ojtiv: To vlut th rsults of th intrvntion t hom (utionl pproh). To nl th ptint to l with his hlth onition n mk it utonomous in th ontrol of COPD. Mthos: A hom progrm with 10 COPD ptints ws prform. Th progrm ws ivi into 8 sprt wkly sssions. Th vlution ourr for - n ftr th intrvntion (T0-T1). A form ws ppli to ollt mogrphi n linil t, th Moifi British Mil Rsrh Counil Qustionnir, COPD Assssmnt Tst n th Lonon Chst ADL s. Gs nlyss wr lso rri out. Th sttistil nlysis ws prform using SPSS, using th omprison of mns n th non-prmtri Wiloxon tst. Rsults: Th mn sors of th MMRC, CAT n LCADL rs from. Howvr, only signifint iffrns in rltion to MMRC (p=0.021) n LCADL (p=0.014). Rgring th t otin y gs nlysis th vrg SO2, po2 n FO2H inrs from T0 to T1, ut non ws signifint. Conlusions: Aftr omiiliry intrvntion ptints with COPD flt spilly improvmnts in funtionl trms n symptomtology. Th rsults from loo gs nlysis, r not suffiint to onlu tht th intrvntion hv mtoli lvl rsults. Dsriptors: Chroni Ostrutiv Pulmonry Diss; Eutionl pproh; Hom progrm; Clinil ution; Physiothrpy. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 48

50 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth THE PERCEVED HEALTH OF CEREBRAL PALSY PEOPLE WHO ARE AGENG Mrí Yoln Gonzálz-Alonso,, Mrí sl Grí Alonso,, Antonio Lón Aguo-Diz, Univrsi Burgos. Burgos, Spin Univrsi Ovio. Ovio, Spin ntroution: Lif xptny hs inrs for th gnrl popultion s wll s for thos with rrl plsy (CP), thnks to soil, thnologil n mil progrss. Th pross of tiv ging is optiml for opportunitis within hlth, soil prtiiption n surity in orr to improv th qulity of lif of ging popl. Hlth s funmntl humn right is th sis for vloping tiv ging. Ojtiv: To nlyz th priv prsonl hlth ns n solutions tht popl with rrl plsy hv, to prvnt ging n r for thir wlling. Mthos: W onut sriptiv stuy ollting n intrprting hlth ns n th solutions propos. 260 prtiipnts with CP, g twn 45 to 72 (107 fml n 153 mls) hv omplt smi-strutur intrviw. f th prtiipnts monstrt svr funtionl limittions, fmilis or profssionls who knw thm wll nswr in thir pl. Rsults: Th min ns, shr y most olr CP is on physil hlth. Cr of thir hlth (21.5%), prsonl funtionl limittions (19.7%), pnn (17.7%), ily prsonl r (15.2%). Solutions: i for ily prsonl r (43.7%), support for non-profssionl rrs (19.7%). Conlusions: W know wht thir priv ns n solutions. Hlth is th min priority in th sign of progrms n srvis. Th goo hlth of ths popl rts grtr opportunitis, lowrs osts for thm, for thir fmilis n th soity. Dsriptors: Prsonl hlth, npnn, qulity of lif, ily prsonl r, support rrs. Dos 6-minuts wlk tst prit funtionl pity in lrly popl? A pilot-stuy Anri Gri, An Mrt Sntos, Mri Trs Tomás Esol Suprior Tnologis Sú Liso. Liso, Portugl ntroution: Funtionl ility onsists in n iniviul s pity to onut ily tivitis in n inpnnt wy. t n stimt with th 6-minuts wlk tst (6MWT) n othr vlit tst. Ojtiv: Vrify ssoitions twn funtionl pity msur with two iffrnt instrumnts (6MWT n Composit Physil Funtion (CPF) sl) n twn thos rsults n hrtriztion vrils. Mthos: Th smpl onsist of 30 pprntly hlthy lrly womn from Lours rgion. Essntilly thy must inpnnt n ommunity-wlling. Chrtriztion t wr ollt, ontining physil tivity hrtriztion n nthropomtri t. Funtionl pity ws ssss with CPF sl n istn wlk y th 6MWT. Rsults wr nlyz using SPSS v21.0 through orrltion tsts. Rsults: Th wlk istn in 6MWT ws positivly ssoit with hight (r=0.406;p=0.026), physil tivity lvl (r=0.594;p=0.001) n funtionl pity (r=0,682;p=0,000). Th wlk istn vrition is xplin in 64.3% y funtionl pity, hight n physil tivity lvl. Th BM, wight, g n wist primtr in t show sttistilly signifint orrltion with wlk istn, in this smpl. Conlusions: n this smpl, funtionl pity influns mor th wlk istn, thn hight or physil tivity lvl. Th wlk istn in 6MWT hs high orrltion with rsults in CPF sl, so this tst n us to prit funtionl pity. Mor ttntion shoul tkn to promot wlking n funtionl pity in olr ults. Dsriptors: 6-minuts wlk tst; Composit Physil Funtion sl; lrly popl; funtionl pity; wlk istn. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 49

51 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th progrm Mor Dotors : th impt on hlth ss in Rio Grn o Sul nlysis Frnil Moltt Almi, Luin Brllos Tixir, Alino Antônio Frl Univrsi Frl o Rio Grn o Sul. Rio Grn o Sul, Brsil ntroution: Th Mor Dotors is Brzilin puli poliy to improv hlth ss to th puli hlth systm (SUS). t is suppos to ring hlth r to vulnrl ommunitis, inluing nignous Snitry Distrits. Ojtiv: ntify th muniiplitis tht riv th Mor Dotors progrm s profssionls, sri th popultion n th numr of xisting hlth tms for th rtion of n inx. Mthos: Dsriptiv quntittiv stuy monstrting th impt of th progrm on SUS ss in th muniiplitis of RS. Popultion t n numr of profssionls will vlut. Aoring to th Dprtmnt of Primry Hlth Cr, muniiplitis must hv t lst 1 Fmily Hlth Tm (FHT) for vry hitnts. Th t on th numr of tms n numr of in hitnts wr xtrt from DATASUS n BGE. Susquntly, th rt of FHT for h hitnts ws lult. Rsults: Thirty muniiplitis wr inlu. Among thm, fourtn i not hv FHT until th rrivl of th otor. Thr ws vrition twn rsints up to mor thn 1 million on th popultion. Th inx lult for muniiplitis rng from 0.1 to 0.3. Th numr of hlth tms ws inqut in ll muniiplitis. Osrving lmost hlf of th muniiplitis, thy hv n xtrm unssist popultion. Morovr, th inx ws low in 100% muniiplitis. Conlusion: Th t show situtions of sn or shortg in primry r of hlth r in ths thirty ountis, whih rinfors th progrm s rlvn to ss to hlth r in th muniiplitis. Dsriptors: nlysis on hlth ss; soil vulnrility; fmily hlth tm. Pllitiv r t hom: right for ll, n intgrtiv rviw Ptríi Colho,, Snr Alvs,, Mnul Luís Cpls,, Tni Cost,, Luis Sá, nstituto Ciênis Sú. Univrsi Ctóli Portugus. Porto, Portugl Mi Essx Hospitl Srvis NHS Trust. Essx, Unit Kingom nstituto Ciênis Sú. Univrsi Ctóli Portugus. Liso, Portugl ntroution: To pproh th holisti ns, inluing th ulturl issus, of th ptints n thir fmilis, Hom Pllitiv Cr r ssntil in Ntionl Pllitiv Cr Progrm. Only, trough this wy th r provi n promot th wll-ing n qulity of lif of trminl ill n his fmily y prvntion n rlif of suffring. t my provi in iffrnt sttings, inluing t hom. Ojtiv: monstrt th rlvn of hom pllitiv r. Mthos: litrtur rviw on CNHAL, MLin, S ts. Kywors hom r, pllitiv r i t hom n ptints ns. Wr fin s inlusion ritri: English-lngug rtils, pulish ftr 2003, in full txt, vill n nlyz y xprts. Rsults: from totl of 32 pprs, w foun tht 51% of ptints prfr to i t hom ut somtims this is impossil us ftors suh s unontroll symptoms, urgnt situtions, xhustion, flings of hlplssnss n inility of rgivrs. Howvr, th possiility of omprhnsiv r llows ptints to i in thir homs, with thir fmilis n thir symptoms unr ontrol. Conlusions: with th inrsing numr of trminl ill ptints ssoit with th nssity of quity, firnss n ssiility to hlth r in trminl phs of th illnss, n lso to rspt th minimum rquirmnts issu y th EAPC (1 tm/100,000 inhitnts), it is imprtiv to nsur pllitiv r t hom y mpowring tms to livr qulity r tht provi ignity th oring to th hois of ptints Dsriptors: hom r; pllitiv r; i t hom; ptints; ns. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 50

52 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ntrvntion in ults on mntl hlth r ntr A linil ution projt Tâni Brtolomu,, Jon Frniso,, Vítor Pinhir, Esol Suprior Sú Dr. Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl Assoição Pis Amigos o Cião Dfiint Mntl - Cstlo Brno. Cstlo Brno, Portugl ntroution: Th puliritis of h iniviul with mntl isorrs onrns hllng to thir intrvntion in group, howvr this might th nswr to vlopmnt of ptiv n soil hvior. Ojtiv: Assss ognitiv vlopmnt, improvmnt of physil prformn n group intrtion, n progrss of hviorl vlopmnt n ommunition, in iniviuls with mntl isorrs who unrwnt th group intrvntion. Mthos: Prior to th ginning of th sssions thr ws n initil vlution of 6 institutionliz ults with ntlltul Disilitis, using thr ssssmnt instrumnts, inluing th Mini Mntl Stt (MMS), Moifi Physil Prformn Tst (MPPT) n Bhviorl Osrvtion Protool (BOP). This t, llow n wrnss of th ky ns to mt in th 20 intrvntion sssions prform. Susquntly, thr ws similr finl vlution. Rsults: Th rsults show furthr progrss in th hviorl fil, with n vrg upgring of th sor in BOP of 26.33, follow y n vrg sor inrs 3.83 in MPPT n 2.83 in MMS. Conlusions: Th ognitiv lvl vlopmnts ntr on orinttion, mmory, n nming. Th t givn y MPPT rlt to n inrs of th sp th tsks r rri, n not th rh of nw physil ilitis. Howvr, th most signifint improvmnts wr rprsnt minly in th ility of ommunition n unrstning, whih r rflt in th intrtion of iniviuls in iffrnt situtions, with iffrnt ojts n popl. Dsriptors: Mntl isorrs; Cognitiv vlopmnt; Physil prformn; Bhviorl fil; Clinil ution. Com(vivr) Mis Projt for Community intrvntion in th lrly popultion in Azors Mnul Dis,, Riro Dis,, Hln Olivir,, Crl Silv, Cntro Sú Angr o Hroísmo. Uni Sú lh Trir. Angr o Hroísmo, Portugl Hospitl Snto Espírito lh Trir. Angr o Hroísmo, Portugl Esol Suprior Enfrmgm Pont Dlg. Univrsi os Açors. Pont Dlg, Portugl ntroution: Th nw hllngs tht th phnomnon of mogrphi ging imposs on soity in gnrl, n hlth srvis in prtiulr, tht n impt tiv n hlthy ging. Th projt Com(vivr) Mis ws implmnt for two yrs (2012/2013) n im to omt lonlinss in th lrly, whih onstituts n ostl to hlthy n tiv ging. Ojtiv: Drs th sns of lonlinss of iniviuls from 65 to 84 yrs of g. Mthos: Th projt ws m using th hlth plnning mthoology, strting with sriptiv stuy (hlth ignosis of th inpnnt lrly popultion) follow y th vlopmnt, implmnttion n vlution of ommunity intrvntion projt, whih inlu hous lls to th lrly, ssssmnt of th lvl of lonlinss in 3 iffrnt tims (UCLA sl) n vrious intrgnrtionl tivitis of soil lif (ning, wlking, onuting ourss in omputrs, gms...) using ross-stion of prtnrships n ommunity involvmnt. Rsults: Thr ws rs from 62.8% to 43.0% in th fling of lonlinss of inpnnt iniviuls twn th gs of 65 n 84 yrs of g. Thr ws n inrs from 50.0% to 61.6% of sniors who now hv rms/ lif projts. Th rsults of 2013 r still ing nlyz. Conlusions: Th rution of soil n motionl isoltion tht rsult in th promotion of soil ntworks, whih nourg soil intrtion ut lso onsiring th lrly who liv lon. Th hlth gins rising from it r vin in ontriuting mor protivly n th improvmnt of th qulity of lif in th lrly ommunity. Dsriptors: Elrly, ommunity, lonlinss, tiv ging. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 51

53 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th influn of th ingstion of lohol on slp qulity An Rit Quintino Mtos Pirs Esol Suprior Sú Dr. Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl ntroution: Th onsumption of lohol gins rlir n rlir in lrgr quntitis, mking rlvnt to pproh th influn it hs on slp qulity, ssntil to humn lif. Ojtiv: To hrtriz th hits of lohol onsumption in th Polythni nstitut of Cstlo Brno popultion, n to orrlt thm with th qulity of slp. Mthos: Th smpl ws ollt twn Otor 2012 n Mrh 2013, using soiomogrphi qustionnirs, hits of lohol onsumption n Qulity nx Pittsurgh Slp. Stisfying th ritri for inlusion n xlusion, m prt of th 452 iniviuls of oth gnr, rnomly slt, g twn 18 n 30 yrs, who onsum lohol n who stui t th Polythni nstitut of Cstlo Brno. For sttistil nlysis wr us Kolmogorov-Smirnov try-out, Mnn Whitny, Knll Tu- n Chi-squr tst of inpnn. Rsults: t ws foun tht of th 452 iniviuls inlu in th smpl only 83 h no lohol hits. Rlting lohol onsumption t to th ssssmnt of slp qulity, % iniviuls lim not to hv rstful slp. t ws lso osrv tht who lims tht his shool prformn is not fft y lohol, onsums smllr mount pr wk ( vs ). Finlly, ompring th mount of lohol onsum y gnr, it ws foun tht mls onsums mor thn fmls. Conlusions: Ws onlu tht xist high prntg of lohol onsumption mong stunts in highr ution n this onsumption ls to hng in slp qulity. Dsriptors: Qulity of Slp; Consumption Alohol; Stunts. Ar skin lsions orrtly lssifi? Frniso-José Hrnánz-Mrtínz,, Binvni Roríguz-D-Vr,, Alxnr Rorigus,, Jun- Frnno Jiménz-Díz,, Trs Espirito Snto,, Rorigo Chón-Frrr,f, Mª Dl Pino Quintn-Montso,g Univrsi Ls Plms Grn Cnri. Ls Plms Grn Cnri, Spin Esol Enfrmgm Cruz Vrmlh. Olivir Azméis, Portugl Hospitl Gnrl Funhl. Funhl, Portugl ntroution: t is importnt to istinguish twn prssur ulrs n humiity ulrs, us thir prvntion n hling will iffrnt. Ojtiv: To ssss whthr skin lsions, loliz in th srum n/or uttoks in ptints of primry hlthr ntr, r proprly lssifi s prssur ulrs n/or humiity ulrs y nursing profssionls. Mthos: Quntittiv stuy, orrltionl-sriptiv n trnsvrsl stuy twn 18 nurss from primry hlthr ntr. Th nurss provi homr to 22 usrs with skin lsions. To nlys th t thy us th following sttistis progrm SPSS Aoring to Spnish lgisltion, th funmntl rights of ptints r prsrv. Rsults: By sx, 67.5% r womn; th lrgst group is twn 45 n 55 yrs ol. Aoring to th lssifition of th Europn Rsrh Ulr Avisory Pnl (EPUAP- PUCLAS 2), 87% of profssionls o not lssify ulr humiity n prssur ulr proprly. 80% of profssionls (14 nurss) lssifi th injury s prssur ulr tgory whn it orrspon with ulr humiity, n no nurs foun ny injury s omin, whn 13.63% (3 ptints) of th stuy prsnt this typ of injury. Th msurs tht wr us to prvnt ulr humiity o not orrspon to thos rommn y xprt pnls. Conlusions: Most profssionls o not know th lssifition systm PUCLAS 2, so thy will rquir spifi trining in this typ of injury. Th istintion twn th two typs of injury is ssntil in orr to stlish propr ost-fftiv prvntion. Dsriptors: Skin; lsions; lssifition; prssur ulrs. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 52

54 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 057 Nursing hom visit impt in purprium: systmti rviw An Cstro, Tin Riiro, Tomé Roh, Tâni Alvs, Simão Vilç Univrsi o Minho. Brg, Portugl ntroution: Hom visit n n intrvntion tool in fmily s hlth n in th ontinuity of postprtum rs. Ojtiv: Exmin th impt of nursing hom visit in purprium n in nonts of ointl ountris. Mthos: Th lngug us ws English n th pulition prio rfrs to th lst 10 yrs. Exprssion us in W of Knowlg S ts: ((postprtum prioorpurpr*)and((hom visit*). Rsults: From 137 rtils, 6 rtils wr ligil, ftr th implmnttion of th protool of systmti rviws of litrtur. Thr imnsions rlt to hom visit wr intifi: prsonl ontt; rltion ost-nfit/ffiy; importn of hom visit to th mothrs. Aoring to Slonn t l (2011), onlin rsours with informtion out purprium is not fftiv. Pul t l (2004), Ko t l (2008) n Ammrmn t l (2013) monstrt tht hom visit rus prntl strss n nonts trum, rsing rts of hospitl rmission. Rorigus t l (2006) n Aksu t l (2011) show th lowr ost of hom visit ompr to th ost of nonts rmission. Mothrs who riv hom visit hoos xlusiv rstfing, for longr prio, rognizing th importn of hom visit. Conlusions: Hom visit rus prntl strss, ontriuts to knowlg quisition, n rus nonts rmission n moriity. Th intrprsonl rltionship shows mor fftivnss in prvntion of postprtum prolms unlik onlin informtion. Furthrmor, rltion ost-nfit is positiv, us hom visit osts r lowr thn osts of nonts rmission. Howvr, furthr rsrh is n to unrstn th importn of hom visit in purprium. Dsriptors: Nursing; Systmti Rviw; Hom visit; Nont; Purprium. 058 Qulittiv ssssmnt of riovsulr risk in ommunity phrmy in th Algrv Jon Ris,, Mrgri Snto,, Tâni Nsimnto, Esol Suprior Sú. Univrsi o Algrv. Fro, Portugl Cntro Estuos Dsnvolvimnto m Sú. Esol Suprior Sú. Univrsi o Algrv. Fro, Portugl ntroution: Criovsulr isss r th ling us of th worlwi n svrl risk ftors n intifi in th tiology. Ojtiv: Th ojtiv of this stuy ws to vlut th riovsulr risk (CVR) of ptints in ommunity phrmy. Mthos: A sriptiv ross-stionl stuy (34 ptints) ws onut through qustionnir. Rsults: Th ptints smpl h mn g of 50.7±17.9 yrs, out 68% wr fml, mrri (58.8%), with high or univrsity ution (47%). Th mn wight n hight wr rsptivly 74.3±14.9 kg n 163±13 m, n 61.8% of th ptints wr ovrwight. Aout 35% i physil xris t lst 30 minuts n out 27% wr smokrs. Most ptints (71%) rport hving fmily history of riovsulr vnt (CVE), howvr only on rport hv lry CVE. Aout 41% of ptints h ignosis of hyprtnsion, 47% ignosis of hyprholstrolmi n 17.6% its mllitus. Systoli loo prssur (BP) mn ws 132.5±12.9 mm/hg n istoli BP mn 78.5±8.1 mm/hg. Only 35.7% of ptints mit with ntihyprtnsiv rugs h ontroll BP vlus. All ptints h t lst 1 CVR ftor, n 29.4% h 3 CVR ftors. Aout 32% of ptints h mortly inrs CVR n 47.1% h high inrs CVR, with mn hving highr risk thn womn (p<0,05). Conlusions: W onlu tht ptints h rltivly high riovsulr risk, mostly with 3 or mor CVR ftors, whih my intify group of ptints who rquir mor rstrit monitoring in ommunity phrmy. Dsriptors: Community Phrmy; Hyprtnsion; Criovsulr risk @lunos.uminho.pt [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 53

55 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Rhilittion n Sujtivity: Crtogrphy of mutilt oy y Lprosy An Mri Douro Lvinsky Fonts, Silvn Mrtins Mishim Univrsi Estul Snt Cruz. Bhi, Brzil Univrsi São Pulo. São Pulo, Brzil ntroution: Th pth of lprosy ptints with physil formitis shows tht ths ptints r vitims of rully nglt r. n this invstigtion s of lprosy rrir tht volv with irrvrsil funtionl onition of th limps ws stui. W tri to unrstn th potntility of this rrir living in soil vrsity with his physil limittions. Th pproh gos fr yon physil rhilittion s on Gills Dluz s philosophy. Ojtiv: Mpping th miropolitis of n mlmti lprosy mutilt oy yon hlth r n to nlyz th movmnts of this oy in othr snrios not on thnil knowlg fil whih th rltion prosss r vulnrl to th thnil powr. Mthos: This stuy ws onut in lhéus, Bhi, Brzil. Th Crtogrphi Mtho ws us. Bsis irt osrvtion, smi-strutur intrviws wr onut with th sujt, intntionlly slt. Th t ws gthr using th nlysis of ontnt s on th nulus of sns of th intrviws. Rsults: This rsrh fous on xistntil trritoris, s on Rolnik s prsptiv (2006). F.D (61), vlop srious stt of rtionl lprosy volving to physil formitis. Th mtings with F.D, show thr is non-visil oy, pl to prou sujtivity to hlp him to ovrom vrsitis. Conlusions: n onlusion, th sujtiv fil, in this s, mks n importnt lmnt to prioritiz n xplor in th rhilittion n utonomy pross with prson with irrvrsil physil onition. t is rlvnt tht th rhilittion prti is not ntr only in rovry of physil mg. Dsriptors: Lprosy, Crtogrphy, Sujtivity. Bhviours n sxul ttitus in highr ution stunts An Mri Bptist Olivir Dis Mlv Vz, Mri Trs Clvário Antuns,, Wilson Jorg Corri Pinto Aru, Esol Suprior Sú Dr. Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Th issu of sxul ttitus n hviours is of prtiulr importn in young popl ntring highr ution, who initit nw xprins, nmly in th r of sxulity. Ojtiv: Anlys th influn of gnr, g, hving oyfrin, hving sxul rltions, in th hviour n ttitus of young popl. Mthos: W m stuy with smpl of 639 young popl who ntr th Polythni nstitut of Cstlo Brno. Th smpl onsist of 57.6% fml stunts n 42.4% ml, with n vrg g of 19.9 yrs n stnr vition of This is ross-stionl, sriptiv n nlytil stuy. t ws ppli Qustionnir of Bhviours n Attitus towrs Sxulity, with four imnsions: Bhviourl intntion, Attitus, Sujtiv stnr; Priv ontrol. Rsults: Th rsults show tht 74.8% of th stunts lry h sx, 52.9% h oyfrin/girlfrin, 96.4% us ontrptiv mtho, ing onoms th most us mtho 32.6%. Th informtion on sxulity is goo in 56.9% of th stunts. Signifint Sttistil iffrns wr foun in ll imnsions, oring to gnr n g (p<0.05), n for th vrils of hving oyfrin/girlfrin n lry h sx, in th imnsions Bhviourl intntion n Attitus (p<0.001). Conlusions: sxul hviours n ttitus r trmin y gnr n y g. n orr to promot hlthy sxul ttitus n hviours, it is ssntil to implmnt sxul ution tht ims to vlop ttitus n skills in young popl, llowing thm to fl inform n sur in thir hois, n to prti sf sx. Dsriptors: Sxulity; ontrption; sxul hviours; sxul ttitus. [email protected] [email protected] [email protected] 54

56 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Physil hlth n tivitis of ily living in olst ol ommunitywlling ssssmnt Rogério Mnul Clmnt Rorigus,, Luis Mnul Jsus Louriro,, Zi Aguir Sá Azro,, Sílvi Mnul Dis Tvrs Silv,, Cristin Filip Riiro Silv,, Snrin Sofi Silv Crspo,f Esol Suprior Enfrmgm Coimr. Coimr, Portugl nstituto Ciênis Bioméis Al Slzr. Porto, Portugl ntroution: Th progrssiv ging of th popultion in ontmporry soitis ls to th nssry justmnt to th hlth r srvis rsponss. Th Olst Ol: Coimr ging stuy (PTDC/CS-SOC/114895/2009) sssss th us n n of hlth srvis n soil support y lrly popl oring to thir funtionl sttus in fiv rs: soil rsours, onomi rsours, mntl hlth, physil hlth n tivitis of ily living (ADL). Ojtiv: Assssmnt of th funtionl sttus in two rs: physil hlth n ADL. Mthos: Th rnomly n strtifi (g n gnr) smpl onsist of 1153 iniviuls (422 mn; 731 womn) rprsnttiv of Coimr s lr rsints, ivi into two g groups: group of yrs (814 iniviuls) n th son group g 85 (339 iniviuls). Th qustionnir OARS/QAFM inlu four imnsions of physil hlth (mition us, illnss/hroni, funtionl limittion n slf-vlution of hlth) n th ADL sl, inlu svn physil ADL n svn instrumntl ADL itms. Rsults: Aoring to th OARS/QAFM soring mol for th physil hlth thr r signifint iffrns twn gnr (p=0,001), with mn prsnting ttr sors thn womn. t lso rvl signifint iffrns twn g groups (p<0,001), with th g group of 85 prsnting th worst rsults. n th ADL r thr wr lso osrv signifint iffrns twn g groups (p<0,001), with th lr iniviuls prsnting th worst rsults. Conlusions: Th OARS/QAFM is onsir vry usful to fin funtionl sttus in olst ol ommunity-wlling, in spifi rs of vlution lik physil hlth n ADL. Grtr ttntion shoul givn to th olst ( 85 yrs) n to womn. Dsriptors: Elrly; Funtionl sttus; Physil hlth; Ativitis of ily living; OARS/QAFM. Sls to ssss mition hrn in popl with hroni iss: systmti rviw Cláui Olivir, Hln José nstituto Ciênis Sú. Univrsi Ctóli Portugus. Portugl ntroution: Mition hrn is fin y th ptint s onformn with th provir s rommntion with rspt to timing, osg n frquny of mition-tking uring th prsri lngth of tim (WHO, 2003). Ho t l (2009) si tht mition prsriptions nvr fill 20% to 30% n th rts of mition hrn rop ftr first six months. So it s importnt to know whih sl to us to ssss th hrn n thn implmnt progrm to improv th mition hrn n solv this puli hlth prolm. Ojtiv: Frming th urrnt stt of knowlg, rgring mition hrn sls s on isss. Mthos: Systmti rviw. Eltroni rsrh in sintifi tss. Dsriptors: mition hrn AND hroni iss AND sl. nlusion ritri: on of th sriptors in th titl; rtils rlvnt to th sujt unr stuy; originl stuis; without tim limit. Exlusion ritri: mi rfrns rising from first yl stuis. Rsults: n th rfrns onsult, w foun iffrnt sls to ssss th mition hrn oring to th iss. t ws possil to group th sls into two thrputi r: mtoli isorrs n mntl hlth. For th first r w n us: Mition Ahrn Qustionnir, lso know s th Morisky-4; Slf-Effiy for Approprit Mition Us Sl; Brif Mition Qustionnir n Hill-Bon Complin Sl. n th mntl hlth r it s lso possil to pply th Mition Ahrn Rting Sl n th Brif Mition Qustionnir. Conlusions: Aoring to th rsults, it s importnt to hv gnrl gui for hoosing mition hrn sls s on iss of intrst. Dsriptors: Mition Ahrn; Sls; Chroni Diss. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] 55

57 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Sx ution in shools: An intrvntionl projt Héli Dis,, Olímpi Cruz,, Mri Conição Sntigo,, Trs Crrir,,,, José Amnoir Esol Suprior Sú. nstituto Politénio Sntrém. Sntrém, Portugl Cntro nvstigção ntrisiplinr m Sú. Univrsi Ctóli Portugus. Porto, Portugl ntroution: Th shool fins itslf s privilg sp for sxulity pproh. Prt of th projt Shool Hlth Promotion - Promoting Hlthy Lifstyls from nitors Monitoring Unit t th Shool of Hlth of Sntrém, th intrvntion t sxulity lvl hs involv stunts from primry to sonry shool, prnts n thrs, within logi of omplmntrity of trining for iffrnt trgt groups. Ojtiv: To prsnt th tivitis vlop in shools twn in th ontxt of sxulity. Mthos: Th oprtionliztion of th projt hs ourr mostly in lss, using n intrtiv mtho, films n isussion sps. Thortil sssions n monitoriztion of th prtil omponnt hs n vlop with thrs n to prform in shool ontxt. Rsults: From th 2,463 prtiipnts tht wr involv, 1,944 wr stunts, 170 prnts n 299 thrs n thr ws mix group of 50 prnts n stunts, ll istriut for 85 sssions. n th stunts group th iffrnt topis ovr logi of omplmntrity twn th growth n vlopmnt of hilrn n young popl n wht r thir ns for intrvntion t th lvl of sxul ution. Among prnts th prnt-hil ommunition out sxulity hs n rurrnt. With thrs th intrvntion hs fous on th t of sxul ution in shools. Conlusions: Th projt hs prov to highly positiv. Th involvmnt of stunts, prnts n thrs onfirms fftivly tht th shool hs privilg rol in th vlopmnt of ritil rfltion rgring sxulity. Dsriptors: sx ution; shool; hlth promotion; olsn. Assoition twn grip strngth, nthropomtri t n funtionl pity Angéli Sors o Nsimnto, nês Rosno Pinto, Móni Mrtinho Aru, Sofi Prir Almi, Mri Btriz Frnns, Mri Trs Tomás f Esol Suprior Tnologi Sú Liso. nstituto Politénio Liso. Liso, Portugl ntroution: Grip strngth hs n sri s n importnt pritor of funtionl pity, howvr, thr r svrl ftors tht my influn it, suh s gnr, g, nthropomtri hrtristis, mong othrs. Ojtiv: To invstigt th ssoitions twn grip strngth, funtionl pity n Boy Mss nx (BM) in iniviuls g 65 yrs or ovr. Mthos: Dsriptiv-orrltionl stuy with smpl of 30 lrly n inpnnt voluntrs (15M; 15F; 73.2±8.2 yrs). Hight ws msur with stiomtr (SECA, Hmurg, Grmny), n oy wight ws msur using stnr sl (SECA). Boy mss inx (BM) (kg/ m2) ws lult for hight n wight. Grip strngth ws ssss with JAMAR hyruli nlogil ynmomtr, n funtionl pity through th Composit Physil Funtion (CPF) sl. Prson orrltion tsts wr us to trmin th ssoitions twn vrils. Rsults: Thr wr mort ssoitions twn grip strngth n wight (right hngrip: r=0.493; p=0.006; lft hngrip: r=0.515; p=0.004), high ssoition twn hight n grip strngth (right: r=0.758; p=0.000; lft: r=0.8; p=0.000). No orrltion ws foun twn grip strngth n BM (right: =-0.050; p=0.793; lft: r=-0.055; p=0.771). Mort orrltion ws foun twn grip strngth n CPF sor (right: r=0.674; p=0.000; lft: r=0.642; p=0.000). Conlusions: Thr r signifint ssoitions twn grip strngth n nthropomtri hrtristis. Also, thr is signifint ssoition twn grip strngth n funtionl pity, highlighting tht grip strngth n pritor of n lrly prson s funtionl pity, llowing for th implmnttion of strtgis to prvnt furthr isilitis through simpl n inxpnsiv ssssmnt suh s hngrip strngth. Dsriptors: grip strngth, lrly, funtionl pity, CPF sl (Composit Physil Funtion). [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 56

58 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth A ommunity-s xris progrm to ontrol riovsulr risk in typ 2 itis Romu Mns,, Nlson Sous, Vitor Mho Ris, José Luís Thmuo-Brt, Rsrh Cntr in Sport Sins. Hlth Sins n Humn Dvlopmnt. Univrsi Trás-os- Monts Alto Douro. Vil Rl, Portugl Univrsi Bir ntrior. Covilhã, Portugl Cntro Hospitlr Cov Bir. Covilhã, Portugl ntroution: Hrt iss is th ling us of th mong ptints with typ 2 its. Ojtiv: To nlyz th ffts of Dits m Movimnto ommunity-s suprvis xris progrm on riovsulr risk in ptints with typ 2 its. Mthos: Thirty-nin iniviuls with typ 2 its (19 mn n 20 womn; g ± 6.14 yrs ol) unrwnt 9-month ommunity-s xris progrm, omining roi, rsistn, gility n flxiility xris. Group xris sssions wr hl thr tims pr wk on non-onsutiv ys, lsting 70 minuts n wr suprvis y xris profssionls. Criovsulr risk (10-yr risk stimt of non-ftl n ftl oronry hrt iss) ws ssss for n ftr th xris progrm pplition through UKPDS Risk Engin v2.0, typ 2 its spifi risk lultor. This risk is s on urtion of typ 2 its, urrnt g, sx, thniity, smoking sttus, prsn or sn of tril firilltion n lvls of HA1, systoli loo prssur, totl holstrol n HDL holstrol. Dt wr ompr with ontrol group (N=85) of ptints with typ 2 its. Rsults: Split-plot ANOVA for rpt msurs intifi signifint fft of group*tim intrtion on riovsulr risk (p<0.001). Conlusions: Community-s physil tivity intrvntions lik Dits m Movimnto r fftiv strtgis to ontrol riovsulr risk in ptints with typ 2 its. Dsriptors: Community-Bs ntrvntion; Physil Ativity; Exris; Criovsulr Risk; Typ 2 Dits. Host fmilis trgt for nursing intrvntion Jon Filip Olivir Cost,, Mri Conição Alvs Rinho Sors Prir, Mri João Filomn Sntos Pinto Montiro,, sl Mri Antuns Rorigus Cost Brroso, Cntro Hospitlr Trás-os-Monts Alto Douro. Vil Rl, Portugl Esol Suprior Enfrmgm Vil Rl. Univrsi Trás-os-Monts Alto Douro. Vil Rl, Portugl ntroution: promoting qulity of lif is ssntil in nursing r. n this sns, fostring riss from th sn or inquy of th fmily stting s th most prsonliz solution. Ojtiv: Chrtriz th iniviuls rsponsil for fostr fmilis n popl riv in ounty of northrn Portugl. Mthos: A ross-stionl sriptiv stuy, whos trgt popultion ws ompos of six iniviuls rsponsil for host fmilis in th ounty, ws vlop n qustionnir ws sign to hrtriz ths fmilis n thos mitt. Rsults: ll iniviuls rsponsil for host fmilis wr fml n h n vrg g of 52. Of th six fmilis prtiipting in th stuy, thr wlom thr popl n th othrs wlom rsptivly on, two n four popl, totling 16 prsons pt. Of ths, 8 (50%) wr ml n 8 (50%) fml, most of thm singl 9 (56.3%), 5 wr ivor or sprt (31.2%) n 2 (12.5%) wr wiow. Th gs rng from 40 to 87 yrs, with n vrg of 62. Th rsons for ning fostring wr lk of rgivr, psyhitri isorrs n physil pnn rlt to strok. t ws foun tht 6 (37.5%) rmin in HF twn on n thr yrs. Conlusions: Th hrtriztion rri out llow for th knowlg of oth th HF n th popl riv; it provi nurss with informtion for plnning trining intrvntions, thry hlping to ovrom iffiultis tht ris in this ontxt. Dsriptors: Host fmilis, Nursing intrvntion, Qulity Lif. [email protected] [email protected] [email protected] [email protected] 57

59 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 067 Evlution of protool xriss for musiins with musuloskltl prolms 068 nflun of Strthing Progrm in Ftory Workrs, Prvln of Musuloskltl Symptoms Mln Sntn, Al Rorigus, Vitor Pinhir Esol Suprior Sú Dr.º Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl ntroution: Work-Rlt Musuloskltl Disorrs (MSDs), ssoit with xution of musil prformn, r usully rfrr to th uppr lim, nk n lumr spin. Ojtiv: Th gnrl ojtiv of this stuy is to vlut th fftivnss of n xriss protool of musl rlxtion in th rs of pin, isomfort n tivity lvls of th nk n shoulr musls in iffrnt typs of musiins with musuloskltl isorrs. Mthos: Th smpl ws ompos y 12 stunts of th musi ours of Esol Suprior Arts Aplis Cstlo Brno, who wr ivi in two groups: strings (7 prtiipnts) n win (5 prtiipnts). Th smpl ws ompos y 7 ml n 5 fml musiins with n vrg g of 20,75 yrs. Dt olltion ws prform in two stgs: T0 for th rliztion of protool n T1 ftr th pplition of th intrvntion. n th two momnts, th instrumnts n sls us wr th Surf Eltromyogrphy (semg), Visul Anlogu Sl (VAS) of pin n isomfort in th nk-shoulr n Nk n Uppr Lim nx (NUL-20). Aout EMG, th t olltion ws rliz whil prtiipnts prform 15 minuts rprtoir whrin th musls vlut wr th trpzius (uppr, mil n lowr) n th ltois (ntrior, mil n postrior). ntrvntion protool onsist in rlxtion n strthing xriss of th musls in stuy rliz in lss n utonomous xution in th ginning, rk n finl of th instrumntl ily prti of h on of th prtiipnts with urtion of 4 wks. Rsults: Thr is signifitiv rs in th VAS of pin (p=0,008) n isomfort (p=0,012) ut not signifitiv in th vlus of NUL-20 n RMS (p>0,05). Conlusions: ntrvntion protool ppli in this stuy ws fftiv in th rs intnsity of pin n isomfort n ontriut to th rs of th vlus of NUL-20 n myoltri tivity lvls of trpzius n ltois, lthough without signifin. Ths rsults onfirm th i tht prvntion progrms shoul rly implmnt in musi shools in orr to voi th pprn of PRMD in this popultion. Dsriptors: Work-Rlt Musuloskltl Disorrs (MSDs); Musiins; Rlxtion/strthing; Nk; Shoulr. An Mns,, Al Rorigus,, Rui Gonçlvs, Esol Suprior Sú Dr. Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Coimr, Portugl ntroution: Musuloskltl injuris hv om mjor hlth prolm in th inustriliz worl. Ojtiv: Evlut th prvln of musuloskltl symptoms in ftory workrs n ompr th ility to work omprtivly to sujts with n without symptoms prvln. Evlut th influn of slf-stti strths progrm in th prvln of symptoms in th lst 7 ys, pin intnsity n ility to work. Mthos: Th smpl onsist of ftory workrs t two ftoris in th Cstlo Brno istrit. At T0 th Nori Musuloskltl Qustionnir (NMQ) for th survy of musuloskltl symptoms ws ppli, n to ssss th ility to work n physil tivity lvl wr ppli th Work Aility nx (WA) n th ntrntionl Physil Ativity Qustionnir (PAQ), rsptivly. Susquntly, th workrs of ftory A wr ivi into ontrol group (CG) n xprimntl group (EG), th lttr ing sujt to progrm of slf-stti strths. At T1 wr gin ppli th NMQ n WA, in oth groups. Rsults: n ftory A (n=131) thr ws high prvln of symptoms t th uppr lims, n in B (n=50) t th lvl of th lowr lims n lowr k. niviuls with ourrn of symptoms prsnt grtr hour lo, srvi tim n Boy Mss nx (BM), n mor/lss tim sitting. Workrs with prvln of symptoms hv lowr WA, n thr ws ngtiv ssoition twn pin intnsity n WA. n EG thr ws foun, twn T0 n T1, signifint rs in th intnsity of lowr k pin (p=0.011). Conlusions: Th rsults show th n for urgnt intrvntion in inustry, minly irt to th most prviling oy rgions. Som mntion ftors shoul ru, ut th rsults o not init uslity. Th rsults of th progrm of slf-stti strths wr not in fvor of th hypothss, thrfor mor rsrh is n to onfirm ths rsults. Dsriptors: Musuloskltl symptoms. Work ility. Strthing progrm. Ftory workrs. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 58

60 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Prvln n trminnts of gingivl rssions in Portugus ults João Lp,, Cláui Riiro,,, Nélio Vig, Univrsi Ctóli Portugus. Porto, Portugl Uni munologi. Hospitl Grl Snto António. Cntro Hospitlr o Porto. Porto, Portugl ntroution: Apil migrtion of th fr gingivl mrgin n rsult of gingivl rssion, fin s n unwnt linil onition of tthmnt loss. Th importn tht shoul givn to rssion vris y its tiology, istriution in th orl vity n omplitions tht my ris. Ojtiv: Assss th prvln of gingivl rssions n its trminnts in smpl of ults t th Dntl Clini of th Portugus Ctholi Univrsity in Visu, Portugl. Mthos: W onut ross-stionl stuy in whih w ssss smpl of 101 ptints with mn g of 23.1±2.2 yrs (53.5% fml). A slf-ministr qustionnir ws ppli rgring issus rlt to tiologil ftors ssoit with rssions n intr-orl linil xmintion. Prvlns wr xprss in proportions n ompr y th Chi-squr tst. Rsults: Th prvln of gingivl rssion ws 85.1%. n this stuy, w foun ssoition twn th vlopmnt of rssions n th us of spifi tooth rushing thniqu mostly s on horizontl movmnts n rushs with hrr ristls (p<0.05). Of th ptints who h orthoonti trtmnt, 83.8% h rssions. t hs n foun tht th highr prsn of ntl plqu is ssoit with highr risk of gingivl rssions n its svrity (<50% ntl plqu=6.21 vs 50% ntl plqu=14.0%, p=0.04). Conlusions: Gingivl rssions hv multiftoril tiology. Although furthr stuis n grtr smpl is n, w onlu tht th mjority of th nlyz smpl hs lry suitl orl hlth hviours, howvr, som n to moifi to prvnt th vlopmnt of rssions. Dsriptors: Gingivl rssion. Prvln, orl hlth. ntrvntion projt into Ami Community: rlity An Fris,, Mrgri Sim-Sim,, Antóni Chor,, Egr Plminhs,, Vitóri Css-Novs,, Ermlin Clir,f Univrsi Évor. Évor, Portugl Aministrção Rgionl Sú o Alntjo. Évor, Portugl ntroution: Portugl, in th ontxt of Wstrn Europ, is th 3r ountry with th highst inin rt for HV/ADS inftion [i.., 13.5/100,000 inh.] (ECDC, 2012). Positiv ffts r hiv through young-ults prtnrships, giving voi to th youngst, mpowring thm on prvntion (UNFPA, 2014). n vloping ountris ths progrms im t youth r strtgi for th hlth of soity in th short trm (Dik, Frguson, & Ross, 2006). Som univrsitis ro tk th prvntion of HV/ADS s n institutionl poliy orgnizing progrms n projts (Hon, Ottnrittr, Gsoign, & Krr, 2003), ut in Portugl is sr. Ojtiv: To prsnt th projt know n prvnt HV- Ais n intrvntions rri out in th yr 2013 into Ami Community of Évor. Mthos: Prs utors trining (voluntrs); intrvntions t th Univrsity of Évor pols; pplition of th thing n non-thing stff Qustionnir; ts n gms; istriution of onoms n isussion of th orrt us of it; rpi HV tst, fr of hrg n onfintil. Rsults: 22 utors prs wr trin. Of th intrvntions rri out rsult 6 ts, istriution of 5,321 ml onoms n 500 fml onoms, 117 iniviul ounsling tivitis n rrying out of 117 HV rpi tsts. Conlusions: Within th frmwork of th poliis of th Ministry of Hlth n th Ntionl Hlth Pln, th prvntion of th HV-ADS is onsir priority. W intn to ontinu this pilot projt ing lry shul nw intrvntions, in mi, for th Yr Dsriptors: HV-ADS. Ami ommunity. ntrvntion projt. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 59

61 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Orl hlth n th us of ntl prosthsis mong th institutionliz lrly Jon Cunh,, Nélio Vig,, Cláui Riiro,, Univrsi Ctóli Portugus. Porto, Portugl Uni munologi. Hospitl Grl Snto António. Cntro Hospitlr o Porto. Porto, Portugl ntroution: Th tooth mortlity n its onsquns rmin rlity mong th gritri popultion. Gritri popultion hrtristis oftn limit th trtmnt options for orl rhilittion with rmovl nturs. Ojtiv: Assss th prosthti rhilittion n th vrg sor of y, missing n fill tth (DMFT inx) mong smpl of institutionliz lrly iniviuls. Mthos: An pimiologil osrvtionl ross-stionl stuy ws sign in whih smpl of 445 lrly iniviuls ws ssss. Dt olltion ws omplish through intr-orl linil osrvtion n th pplition of qustionnir. Prvlns wr xprss in proportions n ompr y th Chi-squr tst. Rsults: Th DMFT inx of th smpl ws 26.31±3.79, with prominn on th numr of missing tth (21.70±7.87). Thr wr sttistil signifint iffrns twn th numr of missing tth n th fml gnr (p=0.002), twn frquny of prosthsis lning n th prsn of ntl plqu (p=0.022) n twn noturnl rmovl of th prosthsis n th prsn of lsions in th soft tissu (p<0.01). Th most frqunt injury ws ntur stomtitis (80%). A highr prvln of prtil ntulous ptints without nturs ws osrv, oth in th mxill (38.7%) n th mnil (42.0%). Conlusions: A high prvln of tooth loss ws foun in th smpl stui. A lk of informtion on orl hlth r n prosthsis hygin ws foun mong th institutionliz lrly. Dsriptors: Gritri. Orl Hlth. Orl rhilittion. Th Chllngs of Fing João Cnoss Dis,, Tâni Fons,, sl Montiro, Assoição pr Ruprção Ciãos nptos Lousã. Lousã, Portugl Univrsi Aviro. Aviro, Portugl ntroution: Fing iffiultis r frquntly prsnt in iniviuls with nurologil n vlopmntl isorrs. Du to spifi iologil onitions, ths iniviuls r gnrlly pnnt on othrs in th fing pross. Oftn, rgivrs o not ss spiliz trining in this omin n my not us th st thniqus to t whn foo rjtion or hoking risk r prsnt, whih my us isomfort n nxity. Thus, it ws onsir of mjor importn to trin rgivrs, whthr forml or informl, to nl thm to rspon sfly n ppropritly to th ns of lints n/or fmily mmrs. Ojtiv: With this rsrh it is im to xplin n implmnt th vrious stgs of hlth ution projt, trgt to rgivrs of iniviuls with fing n ting isorrs, s wll s to vlut th impt in th mntion smpl. Mthos: Thr mjor instrumnts wr us to pln n monitor tions, in prtiulr: Th Fiv-Stp Approh to Monitoring n Evlution, from Chritis Evlution Srvis; Cffrll s ntrtiv Mol for Progrm Plnning; n th Kirkptrik s Multilvl Evlution Mol. Rsults n Conlusions: Outoms show tht 90% of rsponnts h no ss, to t of th qustionnir, to trining opportunitis rlt to fing n ting prolms. t ws lso osrv tht th grtst iffiultis xprin y rgivrs wr rlt to inorrt positioning of th rgivr n th prson r for. Rsponnts lso rport iffiultis whn hoking, ntrior sp n inqut osg of foo ourr uring fing. Still to vlut ws th impt or SRO, in th long trm, of suh inititivs. Dsriptors: Fing isorrs. Hlth ution projt. spiliz trining. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 60

62 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Voluntry ounslling n tsting for HV: n intrvntion t th Univrsity Cmpus of Évor An Fris,, Mri Chor,, Mrgri Sim-Sim,, Egr Plminhs,, Vitóri Css-Novs,, Ermlin Clir,f Univrsi Évor. Évor, Portugl Aministrção Rgionl Sú o Alntjo. Évor, Portugl ntroution: Portugl ontinus to prsnt rts of nw ignoss of HV inftion ov th Europn vrg (UNADS, 2012) with umultiv totl of 42,580 ss t Dmr 31, of whih 29.3% ignos t gs twn (NSA, 2012). Voluntry Counslling n Tsting (VCT) is priority strtgy in th iffrnt lvls of prvntion (Fonnr, Dnison, Knny, O Rilly, & Swt, 2012) n is ommon in forign univrsitis (Hon, Ottnrittr, Gsoign, & Krr, 2003; Mtll, Mokono, & Tsottsi, 2013; Pltzr, Nzwi, & Mohn, 2004). Ojtiv: To sri th rsults of ATV for HV tivitis t th Univrsity of Évor in th ontxt of spifi projt. Mthos: Cross-stionl, quntittiv n sriptiv stuy. Convnin smpl of 114 iniviuls g twn (M=28.29; SD=12:39) wr sk out onom us with iffrnt prtnrs n in iffrnt typs of sxul prtis. n su-smpl of 74 (60%) iniviuls ws srh ttitus towrs HV tsting in 8 imnsions. Rsults: n group of iniviuls who rport sxul prtis with rgulr prtnr th onom is lwys us y 43.2% in vginl sx, y 17.6% in nl sx n y 7.7% in orl sx. n group of iniviuls who rport sxul prtis with osionl prtnrs, th onom is lwys us y 70% in vginl sx, y 90% in nl sx n y 47.1% in orl sx. All ss wr srongtiv. n th su-smpl srhing ttitus towrs HV tsting r vlu. Conlusions: Although not intifi HV positiv ss, th iniviuls hv risk prtis. t is usful to vlop ATV tivitis on univrsitis. Dsriptors: Voluntry ounslling n tsting. VH. Youth. Conom. Attitu. Assssmnt of mition hrn n rgimn omplxity in hyprtnsiv ptints Mrgri Snto,, Tlm Dis,, Tâni Nsimnto, Cntro Estuos Dsnvolvimnto m Sú. Esol Suprior Sú. Univrsi o Algrv. Fro, Portugl Esol Suprior Sú. Univrsi o Algrv. Fro, Portugl ntroution: Th high prvln of hyprtnsion (HT) in Portugl shows trgt for ruing moriity n mortlity from riovsulr isss. Non-hrn to mition is proly n importnt us of trtmnt filur. Ojtiv: This stuy im to vlut hrn to ntihyprtnsiv mition (HT) in smpl of hyprtnsiv ptints in phrmy in th Algrv ountrysi, mit for t lst 6 months. Mthos: A sriptiv ross-stionl stuy, with pplition of stnriz qustionnir (mition hrn - Dlgo & Lim, 2001; phrmothrputi omplxity inx Mlhiors, 2008) ws onut to ssss hrn n rgimn omplxity mition. Rsults: Th smpl (n=58) h mn g 70.17±11.42 yrs, of whom 56.9% wr womn. Th mjority h low ution (63.8%), wr rtir (77.6%), using on vrg 2.93±1.59 mitions, n most (81%) using on HT rug. Most ptints (65.5%) h ontroll loo prssur n high lvls of hrn (41.4% goo hrn, 51.7% ompltly hrn ). Ftors shown to influn hrn to mition wr g, profssionl sttus n monthly inom (p<0,05). Th rgimn omplxity mition show no influn on hrn rts or ontrol of HT. Conlusions: n this stuy ptints h high hrn to mition, whih my ssoit with g, profssionl sttus n monthly inom, n tht n ontriution to th ontrol of HT, ut ws not possil to onlu tht hrn to mitions fft th ontrol of HT. t is ssntil to improv ths ptints ution rgring non phrmologil pprohs tht ontriut to th ontrol of HT. Dsriptors: Hyprtnsion ontrol. Mition hrn. Rgimn omplxity. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] 61

63 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Effts of th ssoition of ognitiv stimultion with motor trining in ognitiv impirmnt lrly nês Gurr, Crl Rorigus, Crolin Silv, Filip Jsus, nês Mrqus, Luís Pro f Esol Suprior Tnologi Sú Liso. Liso, Portugl ntroution: Cognitiv lin stms from norml physiologil ging or stg of trnsition to mnti. Dmnti is rlt to rin strutur nurl mgs, whih rsults in ognitiv n funtionl hngs in th lrly. Ojtiv: To vlut th fft of ognitiv n motor stimultion trining in lrly ptints with ognitiv fiits. Mthos: Th smpl ws slt from Pr s Psyhogritri Cntr. Fiv fml sujts with mntl illnss n ognitiv fiit, with sors twn in Mini Mntl Stt Evlution Sl (MMS), with mn g of 85.6 n prsrv pity for inpnnt multion n unrstning of th propos xriss wr stui. MMS n Osrvção Psiomotor m osos (O.P..) wr ppli for n ftr th intrvntion. O.P.. is n instrumnt rt y Mro Frrir (2011) from Ful Motrii Humn, pt from Vitor Fons s Psyhomotor Bttry (1975). t llows to ssign qulittiv/sriptiv n quntittiv lssifition of vrious prmtrs of osrvtion, suh s ln, oy onpt, sptil n tmporl orgniztion, prxis n motor mmory. Th stuy ws onut for 5 wks, 40 minuts on wk n onsist in ln, wlking, sptil sns, oy onpt n motion squn xriss. Rsults: Thr ws mintnn or improvmnt in 5 out of 9 prmtrs vlut in OP - oy onpt, rhythmi n sptil struturing, oorintion n motor mmory. Th MMS s sors suffr smll inrs, sin th gp hng from to Conlusions: Dt suggsts positiv influn of motor trining omin with ognitiv stimultion in lrly ptints with mntl illnss. Dsriptors: Elrly. Cognitiv impirmnt. Cognitiv trining. Motor trining. Physil thrpy. Prfil soiomográfio, hmtológio ioquímio um populção loóli Céu Litão, An Almi, Frnno Bllém, Héli Frrir, João Mfr, Rnto Aru f Esol Suprior Tnologi Sú Liso. Liso, Portugl ntroution: With 140 million loholis throughout th worl, lohol pnn is worlwi puli hlth issu. Ojtiv: Our originl im ws to stlish mogrphi, hmtologil n iohmil profil to this popultion stlish th ourrn of signifint ssoitions n ompr it to th vill t. Mthos: W ollt n nlyz t from th mil rors of 52 ignos inptints tht wr ing trt for loholism t Lison s Aloholism Trtmnt Unit. 69,2% of th sujts wr ml with mn lohol onsumption of 276,97 g/y. Most of th sujts rport us of illgl rugs n too. Rsults n Conlusions: Mn ll volum, mn ll hmogloin, mn ll hmogloin onntrtion, gmm-glutmyl trnspptis, sprtt minotrnsfrs, lnin minotrnsfrs n totl holstrol wr lvt. Thr wr no signifint ssoitions twn th mn lohol onsumption n hmogloin, mn ll volum, pltlts, mn pltlt volum, gmm-glutmyl trnspptis, sprtt minotrnsfrs n lnin minotrnsfrs (p>0,05). Most of th tst vlus wr omprl with vill t, xpt for hmogloin, r ll istriution with, rythroyt, lukoyt n pltlt ount, gluos, triglyris n totl iliruin. Dsriptors: Alohol. Aloholism. Soiomogrphi profil. Hmtologil finings. Biohmil finings. [email protected] [email protected] [email protected] [email protected] [email protected] f luí[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 62

64 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Alryngl Vois unr mgnifying glss of th ommunity Pul Corri, An Rit Sntos, Alor Quintl Esol Suprior Sú Egs Moniz. Alm, Portugl ntroution: Th prson with totl lryngtomy still rmins in XX ntury, vitim of sutl lyr of xlusion n soil isoltion. Communition iffiultis n physil hngs ftr totl lryngtomy trnspos th prson to rul n hrmti rlity, opposit iffrnt oy n soun ommunition. Ojtiv: ntify th lvl of plsntnss, in iffrnt ommunition ltrntivs in prsons with totl lryngtomy, in rurl n urn rs. Mthos: A strtifi smpl of 282 hlthy iniviuls (228 from urn rs n 54 in rurl rs), g [35-65] yrs, wr sk to hr four sph smpls: murmur sph, ltroni lrynx, sophgl sph, n trhosophgl voi, n lssify in linr sl from zro to tn, th lvl of plsntnss of th uitory stimulus. Rsults: Th rsults rflt low plsntnss for ll vois, with trhosophgl voi in oth rs with highr lvl of ptn (6.1 n 6.2 for rurl n urn rsptivly, with no sttistilly signifint iffrns). This low plsntnss is xplin with sttistil signifin (p 0.05) for th urn popultion y th vrils g n ution, whr olr n low ution signifintly rvl lowr plsntnss. Conlusions: W onlu tht thr r urgnt ns for tion n strtgis for hlth ution in rltion to ltrntiv ommunition of lryngl voi. Dsriptors: Totl lryngtomy. Plsntnss. Rurl n urn rs. Mntl Hlth ntrvntion in Shool António Nis,,, Mri Lurs Simão,, Dnil Virll,, Mrt Alvs,, Luíli Nuns,, An Nuns Almi V,f Cntro Hospitlr Liso Cntrl. Hospitl D. Estfâni. Liso, Portugl Esol Suprior Enfrmgm Liso. Liso, Portugl Dprtmnto Enfrmgm. Esol Suprior Sú. nstituto Politénio Stúl. Stúl, Portugl V nstituto Ciênis Soiis. Univrsi Liso. Liso, Portugl ntroution: Th intrvntion of Community Mntl Hlth gn ftr torno (lvl 3 on th Fujit Sl improv) who stroy n Pr-primry n primry shool on th insi wr 136 hilrn. Six months ftr th hilrn hv m sris of hviours, signs n symptoms tht prnts n thrs ssoit with th trumti vnt, onsiring it risk ftor for hilrn to vlop mntl isorrs. n th ontxt of sltiv prvntion th Worl Hlth Orgniztion rommns hlth intrvntions in ommunity ontxt. (WHO, 2004: 17) Ojtiv: Evlut th mntl hlth sttus of hilrn in Pr-primry n primry shool fft y th torno. Mthos: Trnsvrsl stuy with nst s ontrol stuy. Th nstrumnts ploy with prnts n thrs wr groups - fol n SDQ rif hviourl srning qustionnir tht sks out hilrn s n tngrs symptoms n ttriut positiv (Goomn, 1999, p 791.). With kis wr moiliz rwings. Rsults: Aout 103 hilrn in th smpl of 136 who liv through th torno, 43 hilrn (41.7%) prsnt possil hngs in mntl hlth sttus (in totl of hilrn t risk). Conlusions: Th t rvls tht no hil h psyhitri illnss ignos or wr monitor in mntl hlth onsulttion t th tim of th torno, ut w noti tht ftr n vlution using th SDQ h intifi 43 hilrn (41.7%) who prsnt possil mntl isorr, most of thm prvious to torno, spilly th hviourl isorrs. This intifition hs llow in th shool implmnt thrputi strtgis s soon s possil. Dsriptors: Chilrn. Shool. SDQ (Strngths n Diffiultis Qustionnir). Mntl Hlth. Torno. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 63

65 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Efft of th rgomtr yling on th rhilittion of th lrly with hip rthroplsty Mrin Káti Rmpzo Ltiv, Mri José D Eloux Fulty of Nursing. Stt Univrsity of Cmpins. Cmpins, SP, Brsil ntroution: Th totl hip rthroplsty (THA) is n inrsingly ommon trtmnt for lrly ptints with hip ostorthritis. n postoprtiv of THA th ffts of vrious rhilittion strtgis must ttr unrstoo whn us in th lrly. Ojtiv: To vlut th fft of th rgomtr yling ssoit onvntionl xriss on th funtionl rsults n hlth-rlt qulity of lif of th lrly with THA. Mthos: A pilot rnomiz ontroll tril. Ptints (n=15) with 60 yrs n olr unrgoing primry THA for hip ostorthritis wr rnomiz in two groups. Th Group 1 (n=8) riv of rgomtr yling ssoit onvntionl xriss n th Group 2 (n=7) riv th onvntionl xriss only. Th sssions wr prform twi wk for ight wks. Primry outoms (for n ftr intrvntion) wr: hip funtion vlut y Hrris Hip Sor (HHS); ln, git sp n strngth lowr lims y th instrumnt Short Physil Prformn Bttry (SPPB). Sonry outoms inlu: Th Mil Outoms Stuy 36-tm Short-Form Hlth Survy (SF-36) n Wstrn Ontrio n MMstr Univrsitis Ostorthritis nx (WOMAC). Rsults: Both groups improv ftr th intrvntions. Howvr, Group 1 h signifintly ttr sors thn Group 2 for HHS: funtion itm; SPPB: ln n git sp; n WOMAC: physil tivity (P<0.05). Thr wr no signifint iffrns twn th groups for pin, strngth lowr lims n stiffnss n in th SF-36. Conlusions: This pilot stuy show tht th rgomtr yling ssoit onvntionl xriss progrm my fftiv in rovry of th funtion, ln n git sp of th lrly ftr THA (Tril Rgistrtion: NCT ). Dsriptors: Hip rplmnt. Arthroplsty. Ag. Exris thrpy. Rhilittion. Dnvr-: Portugus Normtiv Profil An Pul Mrtins, Olin Rolão, Pul Corri Esol Suprior Sú Egs Moniz. Alm, Portugl ntroution: Th lk of stnriz tsts n vlit tools hmprs qulifi hlth profssionls to prform rly ignosis n monitoring of hil vlopmnt. On of th olst n st known vlopmntl srning tsts ws rntly rstnriz n rvis s th Dnvr- howvr it hsn t n vlit for th Portugus hil. Ojtiv: Trnslt n ulturlly pt to Portugus Europn th originl vrsion of th qustionnir srning of hil vlopmnt prsrning Dnvr- n intify th profil of hil vlopmnt (lngug, prsonl-soil, fin n gross motor skills) in orr to vlit th normtiv vlus in th qustionnir for th Portugus popultion. ntn to lso hk if thr r signifint iffrns twn gnrs in h r. Mthos: Th stuy us smpl of 867 Portugus hilrn, without ny typ of pthology ignos, g 2 wks to 6 yrs. Logisti rgrssion nlysis stlish th 25th, 50th, 75th, n 90th prntil pssing g for hiving th tst tsks. Th stuy protool ws s on Dnvr (ltst vrsion). Moifitions wr introu to improv on th snsitivity of th tst n to mk th tst mor suit to Portugus ultur. Rsults: Aoring to th rsults otin, w sri th vlopmnt profil n g in months n not tht thr wr rltivly smllr iffrns mong th sugroups stui (ml n fmls). Conlusions: Th rsults from th Dnvr qustionnir pt for th Portugus popultion wr sustntilly iffrnt thn thos of th originl qustionnir in th U.S. popultion, so its pttion n vlition is justifi, n nssry. Dsriptors: Dnvr-. Culturlly pt. Vlition. Portugus hilrn. [email protected] [email protected] [email protected] [email protected] [email protected] 64

66 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Anlysis of Norml n Pthologil Vois for Womn ysphoni Alor Quintl,,, Pul Corri,,,, Ctrin Figuiro,, An Pul Mrtins,V, Esol Suprior Sú Egs Moniz. Alm, Portugl Srviço Otorrinolringologi. Hospitl Gri Ort. Alm, Portugl Grupo nvstigção m Voz. nstituto Suprior Ciênis Sú. Univrsi Ctóli Portugus. Liso, Portugl V Srviço Miin Físi Rilitção. Hospitl Gri Ort, Alm, Portugl ntroution: Th prption of voi riss from ognitiv ility to rt n rprsnt imgs from wht w hr, n units of mning onfrr. A vition of voi qulity in this r is of prtiulr importn in th ommunitiv skills with ompromiss th qulity of lif. W onsir th Ojtiv: to ompr th gr of plsntnss of womn with n without ysphoni for th iffrnt typs of norml n pthologil vois n grs of svrity. Mthos: Comprtiv stuy of rossovr sign, with 162 womn with n without ysphoni, ovr th g of 18 yrs without nurologil, hring n visul isturns svr. Us soiomogrphi qustionnir n visul nlogu sl (VAS) to msur th prption of plsntnss of voi qulity, th iffrnt voi typs n grs of svrity from orpus nlysis of twnty smpls of fml n ml vois, two norml n ightn pthologil vlit in fous groups. W us sriptiv n infrntil sttistil nlysis (SPSS. 19) with signifin lvl of Rsults: th fml n ml vois rough spirt wr onsir th nist n fml n ml vois suk lown lss plsnt n th grtr th gr of svrity, th lowr th gr of plsntnss. Th prption of th plsntnss in womn with n without ysphoni shows lk of sttistil signifin. Conlusions: Th lss voi plsnt is, grtr soil impt hs, n this is rlvnt to our linil prti. Dsriptors: Voi. Plsntnss. Womn with. Without ysphoni. Eting hits of hilrn in shool g Sofi Cirs,, Cláui Lus,, Ptríi Quintl,, Fnn Rorigus,, Jon Viir,, Ev Sous,,f, Rit Aru-Figuiro,,g Esol Suprior Enfrmgm S. José Cluny. Funhl, Portugl nstituto Ciênis Bioméis Al Slzr. Porto, Portugl nstituto Ciênis Sú. Univrsi Ctóli Portugus. Liso, Portugl ntroution: Eting hits r quir in th first yrs of lif, n th fmily ssums primoril rol in it. Th hilrn s wrnss out hlthy ting hits is importnt for hlthy vlopmnt. Ojtiv: To unrstn th ting hits of group of hilrn in shool g. Mthos: This is trnsvrsl, quntittiv, xplortory n sriptiv stuy. A non-proilisti n intl smpl ws us, form y 45 hilrn in shool g. Th t gthring ws on in Dmr 2013, using qustionnir uilt y th rsrhrs, whih inlu hrtriztion qustions n 10 qustions rlt with ting hits. To h qustion, th xpt minimum sor vri twn 0 (worst ting hit) n 2 st ting hit). Rsults: All th hilrn r ml, with gs rnging twn 4 n 12 yrs ol, n with n vrg g of 8 yrs ol. Th most sor itm ws th onsumption of iry prouts (min of 2), n th lst sor itms wr th onsumption of grns, fruit n vgtls, ll with min of 1. W osrv tht 51,1% of th hilrn o, usully, fiv ily mls n 22,2% o six ily mls. Conlusions: This group of hilrn ns to inrs th onsumption of grns, vgtls n fruit, n ns hlth promotion progrmm in this r. Dsriptors: Chilrn; Shool g; Eting Hits. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 65

67 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ntrvntion Progrm in hilrn n olsnts to promot Physil Fitnss, Physil Ativity n Nutritionl Knowlg José Riiro,, Vr Frro-Lrs,,, Luís Airs,,, Pro Morir,V,, Nuno Guimrãs,, Rqul Estvs,V,f, Gustvo Silv,g Cntro nvstigção m Ativi Físi, Sú Lzr. Ful Dsporto. Univrsi o Porto. Porto, Portugl Dprtmnto Tnologis Dignóstio Trpêuti. Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl nstituto Univrsitário Mi. Mi, Portugl V Ful Ciênis Nutrição Alimntção. Univrsi o Porto. Porto, Portugl ntroution: n young popl, ru vlus of rio-rspirtory fitnss (CRF) lign thmslvs with th lustring of riovsulr risk ftors (CVRF). Th rltionships twn volums, physil tivity (PA) intnsitis n CRF lvls on th prvln n lustring of CVRF hv not yt n ompltly lrifi. Assuming tht inqut lvls of PA n suitl its woul influn th CRF, th oy ft n, thrfor, th mtoli profil, it sms prunt to intrvn on sntry hviors n unhlthy hits to improv riovsulr hlth from n rly g. Stuis involving togthr th two mjor trminnts of hlth in ths gs: foo n xris r funmntl to th stlishmnt of fftiv n rson hlth poliis. Ojtiv: To ssss nutritionl knowlg n itry hits, n PA in ohort of olsnts for n ftr n intrvntion progrm (P) of nutritionl foo ution n PA. Mthos: PA will msur y lromtrs n foo knowlg through qustionnir (Nutritionl Knowlg Qustionnir - NKQ). Th P will n xprimntl stuy s t shool n on th intrnt for promoting hlthy hviors rlt to PA n hlthy nutritionl hois, support y thoris of hviorl hng. Durtion - 9 months involving shool n prnts ommunity in urriulr n xtrurriulr tivitis. Rsults: (1) vlition of NKQ (2) xplor th ssoitions twn CRF, PA n foo knowlg; n (3) vluting th ffts of n P s t shool n on th ntrnt (wsit), involving th promotion of PA n hlthy nutrition hviors. Dsriptors: physil tivity; nutrition knowlg; intrvntion progrm; hilrn; hlth promotion [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] Community-wlling Elrly: infftiv mngmnt of rug rgimn n risk of fll Tâni Cost, Ctrin Pinto, Diogo Afonso, Armno Almi, Ros Silv, Ptríi Colho f, Pulo Alvs g nstitut of Hlth Sins Ctholi Univrsity of Portugl. Porto, Portugl ntroution: Drugs intk is ommon in th lrly, ut phrmoynmis/phrmokinti hngs ssoit with multipl pthology mplifys th rug intrtions n vrt ffts. Ojtiv: Evlut th mngmnt of rug rgimn for th lrly rsiing t hom (N=37), rlting it to flls. Mthos: Dt olltion ws rri out y smi-strutur intrviw (using instrumnts vlit for th Portugus rlity) follow y sriptiv/infrntil nlysis. nsur inform onsnt. Rsults: Avrg of rug ingstion ws 6 rugs/y(min:2 /mx:6) n 7 pills/y (min:2/mx:15),. A totl of 9 prsrirs wr sri: fmily physiin (N=32), th hospitl physiin (N=26), th phrmist (N = 6) n th lrly (N=6). Th rsons why w foun tht 25 lrly o not mt trtmnt s prsri, ws u to forgtfulnss (68%) n swithing mitions (23%). Th mngmnt of mition rgimn prsnts sttistilly signifint iffrns ompr to mort/high risk of flling (þ=0.030), pnn in tivitis of ily living (þ=0.008), gritri prssion (þ=0.022), numr of pills/ y (þ=0.006) n numr of iffrnt rugs (þ=0.009). Th risk of flling, in othr wy, is rlt to ognitiv impirmnt (þ=0.032), pnn in instrumntl tivitis of ily living (þ=0.005) n numr of pills/y (þ=0.043). Conlusions: Dt sm init tht thr is proportionl rltionship twn fll risk n infftiv mngmnt of mition rgimn. Consiring th prvln of flls in th lrly n it s rprussions, highlights th n to implmnt nursing r of proximity/prtnrship, ut lso, intgrls n intgrt in oth ignoss, spilly in th ontxt of primry hlth r. Dsriptors: Community-wlling Elrly ; Mngmnt of Drug Rgimn ; Aintl Flls. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 66

68 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Ojt nming: is it mttr of g? Olin Rolão, Móni Crrilho, Filip Gonçlvs, Ctrin Frrir Esol Suprior Sú Egs Moniz. Alm, Portugl ntroution: Th ility to ssign nm to n img is pross tht involvs omplx ognitiv ilitis. This ility is on of th rlist hivmnts in lngug vlopmnt in hilrn n thir loss is oftn ssoit with norml ging. Ojtiv: Th purpos of this stuy is to sri th pity of nming ojts in hlthy lrly ults. Vrify tht this signifintly pns on th vrils g group, utionl lvl n sx. Mthos: A ross-stionl stuy of omprtiv mthoology s sriptiv whos smpl onsist of 141 hlthy iniviuls g ovr 70 yrs ivi into two g groups ([70-79 yrs] n [80-89 yrs]). Th instrumnt us ws th Boston nming tst. For th t trtmnt w us sriptiv sttistis of ntrl tnny n th t-stunt tst for omprison of inpnnt smpls Rsults: Th totl mount of orrt nswrs in th Boston tst ws on vrg 35.27±9.535, howvr this pility ws highr in mor youngr iniviuls (rsptivly, 37.95±9.285 n 32.09±8.960), though without signifint vin. Th omprtiv rsults hv signifint iffrns to th vril shooling (C95% for th litrt n th illitrt to ). Conlusions: With this stuy w onlu tht th ility of nming ojts rss with g n inrss with lvl of shooling ution. Th vril sx shows no sttistilly signifint vin. Dsriptors: nming ojts; lrly; Boston tst; ution lvl. Aolsnt Sxulity: Prsptiv of Thrs Anré Rmos, Dvi Riiro, Diogo Cost Alxnr, Susn Frniso Esol Suprior Sú Liri. nstituto Politénio Liri. Liri, Portugl ntroution: Th qustions rlt to th sxulity ution in olsn r soil onrns whr th thrs ssum n importnt rol rgring th fftivnss of tions in this r. Mthos: Th prsnt sriptiv orrltionl stuy h, s min ojtivs know th typ of trining, strtgis opt in sxulity ution n trining ns tht thrs hv in ES; ssss th gr of knowlg, slf-ffiy, importn n omfort in ES in shools; trmin th rltionship twn knowlg, slf-ffiy n omfort n th importn pning on thrs who i not ttn trining or ES. This monogrph nompss th Sonry Eution of Group of Shools of Porto Mós thrs, of whom 35 prtiipt, n fill out qustionnir onsisting of soio-mogrphi t, opinion rgring th issus surrouning sxul ution in shools, sl of knowlg rlting to lgisltion n ministril guilins of ES, omfort sl on issus of sxulity, importn sl n slf-ffiy sl. Rsults: n our stuy, from 35 rsponnt thrs, 16 lry h ttn trining in ES. This vril prov to quit signifint whn ompr with untrin thrs sin thr trining prov to rlt with mor omfort, slf-ffiy n importn ssign to ES. W foun tht th vrg knowlg of th ES thrs ws for totl of 15 qustions. Conlusions: Thrs rfr rltivly littl omfort to rss th Anl Sx. Finlly, 81.8% of thrs survy onsir fftiv tions of ES in shools, ut only 11 of th 35 thrs promot strtgis tht promot ES shool lvl fousing on xpository mthos. Dsriptors: Aolsn; Eution; Prsptivs; Sxulity; Thrs. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 67

69 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Mition hrn in lrly popl: litrtur rviw An Rqul Loão,,, Nth Dinis,,, Ctrin Loão,, Riro Bltzr, Esol Suprior Sú Liri. nstituto Politénio Liri. Liri, Portugl Bluphrm. Coimr, Portugl Frmái Dul Cçor. Liri, Portugl ntroution: Elrly ptints r n importnt group of onsumption ptints n, for this rson, mition nonhrn is rlvnt prolm mong thm. Ojtiv: Th purpos of this ppr ws to nswr th qustion Wht influns mition hrn in lrly popl? Mthos: This litrtur rviw ws prform oring to th mthoology propos y th Cohrn Cntr. Th PuM ts ws srh for rtils pulish in th lst fiv yrs, with ky-wors hrn, mition n lrly. Formt PCOD ws us to stlish th inlusion n xlusion ritri. Rsults: Fiv rsrh rtils ompos th orpus of this rviw. Th rltionship twn ptints n hlth profssionls is ssntil to hlp th ptint unrstn th issus rlt with mition n trtmnt to lrify ny outs. Th vrils most ssoit with mition hrn wr slf-ffiy, hlth litry, numr of mition typs n hroni isss. Cost-rlt mition nonhrn mrgs s n importnt prolm, n, is ssoit, mong othr ftors, with prptions of soil pitl. Conlusions: Th intrvntions of hlth profssionls, with mor ilog with lrly ptint out thir hlth n rsptiv trtmnt, is vry importnt to improv th slf-ffiy n mition hrn. Dsriptors: hrn, mition, lrly, hlth profssionl. Dtrminnts of slf-mition in lrly popl: systmti rviw Nth Dinis,,, An Rqul Loão,,, Ctrin Loão,, Riro Bltzr, Esol Suprior Sú Liri, nstituto Politénio Liri. Liri, Portugl Bluphrm. Coimr, Portugl Frmái Dul Cçor. Liri, Portugl ntroution: Slf-mition hs grown xponntilly in rnt yrs n spit hving vntgs for th mjority of th popultion, it my om prolmti in th lrly. Ojtiv: Th purpos of this ppr ws to nswr th qustion Wht r th trminnts of slf-mition in th lrly? Mthos: This stuy ws prform oring to th mthoology propos y th Cohrn Cntr n inlu pr-fin inlusion n xlusion ritri stlish y PCODformt. Th PuM ts n srh ngin Googl Sholr wr srh for rtils pulish in lst fiv yrs, with ky-wors slf-mition, n lrly. Rsults: Four intrntionl rsrh rtils ompos th orpus of this rviw. nrsing g n th prsn of hroni isss sms to invrsly proportionl to slf-mition, with highr inin in fml iniviuls. Olr popl who liv in ommunitis whr hlth profssionls hv n tiv prsn hv lowr slf-mition inx. Th fmily ugt n influn slf-mition oth positivly n ngtivly, s th hlth srvi tht is vill to th lrly is th min influn. Th min rsons givn y th lrly to rsort to slf-mition: th iffiulty in hving mil onsulttion; th ft tht thos spifi rugs r sily ssil; prvious positiv xprins with th sm miin or, finlly, us thy minimiz th prolm. Th most ommonly us rugs r nlgsis n ntipyrtis. Conlusions: W onlu tht n intrvntion losr to th lrly y qulifi hlth profssionls is mjor trminnt to rs th risk of xssiv slf-mition. Dsriptors: Slf-mition, lrly, hlth profssionls [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 68

70 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth (R)Think Hlthr to Elrly from thir Prptions Crmin Moris, Els Lirs, Déor Olivir, Rqul Frrir, Filip Cost, Riro Goms f Esol Suprior Sú o nstituto Politénio Vin o Cstlo. Vin o Cstlo, Portugl ntroution: Toy s soity is f th n for nw pproh to humn ging, in whih th fous hng from th ftlity of th pross to nw prsptiv of gins in yrs of hlthy lif, with inpnn, funtionlity, utonomy n tiv prtiiption in iffrnt rs of puli n privt lif. Morovr, this pross is mrk y ojtiv hngs in hlth sttus, ut lso y strong sujtivitis tht urg to know in orr to mximiz hlth intrvntion from th prsptiv of th ntrlity of th itizn n of th promotion of th trminnts of tiv ging. Ojtiv: This stuy ims to hrtriz th hlth profil of th lrly n ssss th urn of th rgivr, in rurl ommunity of northrn Portugl. Mthos: This ws ross-stionl, sriptiv-orrltionl typ with th pplition of Esy-Cr Portugl 2010 n Zrit Burn ntrviw Sl to 243 sniors. Rsults: t ws foun tht 25.4% of sujts h ognitiv impirmnt n 92.3% of informl rgivrs h mort to svr urn. Rgring th lrly, thr is still no sttistilly signifint rltionship twn th risk of prssion, hlth prption n sx, s wll s twn polyphrmy n th risk of filur of r. Th sm stuy lso show tht in ition to th risk of flls ing rlt to th pnn, it is grtr in womn. Conlusions: Th knowlg prou is funmntl to (r)onsir intrvntion projts irt to trritoril spifiitis, s wll s for th promotion of th trminnts of tiv ging n support to informl rgivrs. Dsriptors: ging; informl rgivrs; trminnts of tiv ging. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] Pritors of postoprtiv outoms ftr surgry for lung nr José Mrí Tn,, sl Aljnr Brr,, Ptrii Roriguz,, Mrí Elizth Agulo,, An Btriz Roriguz,, Frniso Luis Prz,f, Rorto Bjo,g Dprtmnt of Anstsiology. Univrsity Hospitl Complx of Bjoz. Bjoz, Espn Fulty of Sin. Univrsity of Extrmur. Bjoz, Espn Univrsity Hospitl Complx of Bjoz. Bjoz, Espn ntroution: Complitions in hospitliz ptints uss grtr n for hlth r rsours tht rsult in inrs hth r ost. Ojtiv: To intify thos hrtristis rlt with th vlopmnt of rspirtory omplitions in ptints unrgoing ltiv surgry. Mthos: An nlytil, osrvtionl, rtrosptiv, ohort stuy ws rri out in ptints unrgoing lung rstion surgry. 50 prtiipnts wr inlu in our ssy. Ptints wr sujt to th surgil prour ing prform los monitoring of rspirtory omplitions from surgry until hospitl ishrg. Th following vrils wr onsir: g, gnr, rtin, its, yslipimi, hyprtnsion, COPD, smoking, ASA Physil Sttus Clssifition, lsion sit, kin of rstion, nsthsi typ, rystlloi n olloi volums, on-lung vntiltion tolrn, hospitliztion tim, rmission in ntnsiv Cr Unit (CU), lung omplitions, hospitl rmission n mortlity. With rspt to sttistis, linl rgrssion/sprmn-ρ Tst wr prform for quntittiv vrils; Stunt-T Tst/Mnn-Whitny U Tst wr us for tgoril vrils. Rsults: Lung omplitions wr foun in 28% ptints. Th min omplitions wr rspirtory filur (12%), tltsis on hst X ry (10%), 2% of thm rquir ronhosopy; plurl ffusion (6%); pnumoni (4%) n ut rspirtory istrss synrom (2%). Ag (p<0.05), hospitliztion tim (p<0.001), its (p<0.05) n CU rmission (p<0.001) wr rlt to lung omplitions. 22% of ths ptints n hospitl rmission n 2% i. Conlusions: An qut proprtiv vlution hs n ssntil rol to intify thos ptints who r l to hv postoprtiv inrs risk. Proprtiv tions n ru hospitliztion tim my rs postoprtiv omplitions n rlt osts for hlthy srvis. Dsriptors: Lung Cnr; Pritors; Complitions. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 69

71 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Slf-r hrn in typ 2 its Tâni Nsimnto,, Eurio Goms,, Mrí-Ángls Arh,, Roío L Purt Vázquz, Cntro Estuos Dsnvolvimnto m Sú. Esol Suprior Sú. Univrsi o Algrv. Fro, Portugl Assoição pr o Estuo Dits Mllitus Apoio o Diétio o Algrv. Fro, Portugl Dprtmnto Frmologí. Fult Frmi. Univrsi Svill. Svill, Espñ ntroution: Dits mllitus typ 2 is iss tht ffts lrg numr of popl in Portugl (12.9%). Th trtmnt rquirs svrl ily tivitis prform y ptints (slf-r). Ojtiv: This stuy im to prform th ssssmnt of hrn to slf-r in typ 2 its ptints. Mthos: A sriptiv ross-stionl stuy (43 ptints) ws prform through th pplition of vlit qustionnir to ssss slf-r hrn in its. Th rsults wr xprss in ys pr wk tht ptints prform slf-r tivitis. Rsults: Th mn g of ptints ws 62.02±12.0 yrs. Aout 58.1% of ptints in t smok, 25.6% rport hving smok n only 16.3% wr smokrs, n of ths th mjority (71.4%) onsum twn 0-10 igrtts/ y. Th vrg lvl of it hrn ws 4.49±2.00 ys/wk for gnrl it n 2.60±0.73 ys/wk for spifi it, tht rprsnts low hrn lvl, on tht this ssssmnt is rlt to th onsumption (or not) of foos rih in rohyrts n/or sugr, suh s r or ri, onsumption of r mt or lohol. Th physil xris hrn ssssmnt show n vrg lvl of 2.42±2.28 ys/wk. Rgring th slf-monitoring loo gluos (SMBG) hrn th vrg lvl ws high (6.44±1.14 ys/wk), s wll s th lvl of ft r hrn (6.02±1.67 ys/wk). Conlusions: W onlu tht slf-r hrn in its typ 2 is highr for SMBG n ft r, n lowr for it n xris, possily us ths tivitis/ ttitus rquir furthr fforts in hnging hviors of iti ptints. Dsriptors: hrn; slf-r; typ 2 its. Supporting olr popl s nforml CAREgivrs t hom through ncare Progrmm: th stuy protool Ot Arújo,, José Crit,, sl Lg, Shool of Nursing. Univrsity of Minho. Brg, Portugl Fulty of Phrmy. Univrsity of Lison. Liso, Portugl ntroution: Mor thn 42% of olr popl (+65) hv strok n lmost ll of thm rquir hlp to slf-r t hom. nforml rgivrs hv rport svrl ns n isstisftion with thnil n motionl support livr y ommunity hlth tm. Furthrmor, mpowring informl rgivrs who tk r of olr strok survivors is n importnt hllng, prvnting ngtiv outoms in thmslvs, suh s urn or nxity, s wll s prssion, loss of physil funtion or hospitliztion in olr popl. Evin hs lso shown tht tlhlth intrvntions rtiult with hom visits my n fftiv wy to hiv hlth gins. Ojtiv: This pilot stuy ims t sriing protool of n intrvntion s on trining n tlphon support livr to informl rgivrs who tk r of olr popl ftr strok t hom. Mthos: A singl lin rnomiz tril will inlu 156 ligil informl rgivrs. Th intrvntion will livr y ommunity nursing tm on wk, on n thr months ftr hospitl ishrg. n ition, tlphon support, ounsling rgivrs on th 3r, 6th, 8th n 10th wk post ishrg will provi. Rsults/Conlusions: Dt olltion strt in Frury n will onlu in Otor ncare will th first pilot stuy vr unrtkn in Portugl. t will highlight nw wys to support rgivrs who tk r of olr popl post-strok. f sussful, this stuy will trnsltionl n it will lso llow issmint rsults ll ovr th ountry n implmnt s st prti. Dsriptors: strok survivors; lrly; informl rgivrs; mpowrmnt; pilot stuy. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 70

72 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth MEDCATON ADHERENCE AND CARDOMETABOLC CONTROL N TYPE 2 DABETES Tâni Nsimnto,, Mrgri Snto,, Eurio Goms,, Mrí-Ángls Arh,, Roío L Purt Vázquz, Cntro Estuos Dsnvolvimnto m Sú. Esol Suprior Sú. Univrsi o Algrv. Fro, Portugl Assoição pr o Estuo Dits Mllitus Apoio o Diétio o Algrv. Fro, Portugl Dprtmnto Frmologí. Fult Frmi. Univrsi Svill, Svill, Espñ ntroution: Dits mllitus typ 2 is iss tht ffts 12.9% of iniviuls in Portugl n whos ontrol is iffiult to hiv. Non-hrn to its trtmnt is proly on of th uss of unontroll its. Ojtiv: Th im ws to ssss mition hrn in typ 2 iti ptints n its rltion to th riomtoli ontrol. Mthos: A sriptiv ross-stionl stuy with 43 ptints ws prform through th pplition of vlit qustionnir n olltion of riomtoli n nthropomtri prmtrs. Rsults: Th mn g of ptints ws 62.02±12.0 yrs, with 60.5% ml. Th mn BM ws 28.40±4.07 kg/m2 (pr-os), n th mn wist irumfrn for mn ws ±12.21 m n 92.35±17.13 m for womn. Th vlus of systoli loo prssur in most ptints (90.7%) wr unontroll, ut 63% h vlus of istoli loo prssur ontroll. Th mn vlu of totl holstrol ws ±41.15 mg/l, out 72.1% h not LDL holstrol lvl ontroll, ut 60.5% h HDL holstrol lvl ontroll. Th mtoli synrom ws prsnt in 67% of ths ptints. Th mn of prprnil loo gluos ws ± mg/l, with HA1 mn vlu of 7.995±1.65%. Aout 74.4% of th ptints h unontroll HA1. Ths ptints wr tking n vrg of 4.19±2.26 rugs, n th mn of mition hrn ws 5.63±0.58 ( goo hrn ) with 67.4% of ptints with ompltly hrn. Mition hrn ws not ssoit with riomtoli ontrol (p>0.1). Conlusions: t ws possil to onlu tht spit som riomtoli prmtrs r unontroll thr my othr ftors thn mition hrn involv on th glymi ontrol of iti ptints. Dsriptors: riomtoli ontrol; mition hrn; typ 2 its. Evlution of Trihlomthns n Aluminum in Drinking Wtr in th Northwst of Portugl Fátim Morir,, Anri Rorigus,, Fin Silv,, Bruno Pirs,, Anr Afonso,,, António Noguir,,f Dprtmnt of Thrputi n Dignosti Thnologis. Polythni nstitut of Brgnç. Brgnç, Portugl Puli Hlth Lortory of Brgnç. Brgnç, Portugl Dprtmnt of Vtrinry Sins. Univrsity of Trásos-Monts n Alto Douro. Vil Rl, Portugl ntroution: Sf wtr for humn onsumption is fin y th Worl Hlth Orgniztion (WHO) s wtr tht os not us signifint hzr to humn hlth uring its onsumption. Ojtiv: Th im of this stuy ws to vlut th lvls of trihlomthns (THM) n luminum in th rinking wtr of th Distrit of Brgnç, in orr to unrstn th importn of prioiity ths nlyzs n th risks to th hlth of th popultions tht hv n suppli y this wtr. Mthos: Th THM n luminum in rinking wtrs, 233 n 230 smpls rsptivly, wr nlyz in Puli Hlth Lortory of Brgnç, in northst of Portugl twn Jnury 1996 n April 2005, oring to th guilins of Europn Dirtivs of 1980 n Th THM onntrtion ws trmin y gs-liqui hromtogrphy n luminum onntrtion ws trmin y tomi sorption sptrosopy. Rsults: Th THM wr trmin in 233 smpls, of whih only two show onntrtion grtr thn th Mximum Aptl Vlu (MAV=150 µg/l), from rsrvoirs of th rgion of Monorvo. This vlu rprsnts minority (0,9%), ompr to th totl numr of nlyz smpls. Th trmintion of luminum ws prform in 230 smpls, of whih 11.3% x th MAV=200 µg/l. Th rgion of Mogouro xhiit th mjor numr of smpls (n=10) with onntrtions ov th MAV. Conlusions: niviuls tht onsum this wtr with high lvls of THM n luminum in prtiulr th iniviuls of th rgions of Monorvo n Mogouro, my ssoit with svrl potntil hlth risks. Dsriptors: trihlomthns; luminum; rinking-wtr; hmil ontminnts; Distrit of Brgnç. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 71

73 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Nursing intrvntions to prvnt flls in olr popl: systmti rviw sl Lg, Ot Arújo, Simão Vilç Shool of Nursing. Univrsity of Minho. Brg, Portugl ntroution: Flls r ommon n om srious prolm mong olr popl who hv th highst risk of flling, with 30% of popl olr thn 65 n 50% of popl olr thn 80 flling t lst on yr. Svrl onsquns n rsult s frturs, loss of inpnn n hstn th. Ojtiv: To synthsiz th fftivnss of nursing intrvntions to prvnt flls in olr popl ( 75). Mthos: Systmti rviw of RCT s. W srh th SCOPUS ts without t rstrition. nlusion n xlusion ritri wr fin, th srh xprssion us ws: olr popl AND flls prvntion AND nurs* AND rnomiz ontroll trils. Full mnusripts wr otin n srn inpnntly y two rviwrs using srning form with lrly fin ritri. Rsults: From twlv stuis mt th inlusion ritri. Four wr rlt with xris progrms; four involv vis to prvnt flls (hip prottors); two inlu hlth promotionl sssions (multiisiplinry tm); n two stuis involv softwr to vlut th risk of flling. Conlusions: Twlv intrvntions foun in this stuy, nin h positiv fft on prvnting flls. Stuis show tht physil xris promots strngth, ln n n ru th risk of flling n inrs qulity of lif in olr popl. Dvis sign to prvnt flls oul ru th potntil risk of flling. Also, n iniviuliz intrvntion, mpowring olr popl t hom oul ru/prvnt flls. Ths finings n us y hlth profssionls to ply n importnt rol in rsing olr ults fr of flling n promot thir moility n qulity of lif. Dsriptors: Nursing intrvntions; flls; prvntion; olr popl; systmti rviw. Gui to prvnting flls for olr popl living in th ommunity sl Lg, Simão Vilç, Ot Arújo Shool of Nursing. Univrsity of Minho. Brg, Portugl ntroution: Worlwi high osts r spnt with nw ss of hospitliztion n institutionliztion us y frturs in olr popl. Although thr r svrl progrms to prvnt flls, lr guilins r missing to intify th fftivnss of nursing intrvntions. Yt, mor rsrh is n to synthtiz knowlg, to vlop, implmnt n vlut intrvntions to prvnt flls n othr ngtiv onsquns. Ojtiv: Th min gol of this rsrh is to vlop gui of goo prti for prvnting flls in olr popl t hom. Mthos: Aftr systmti rviw, th PPFlls tm will vlop fous group who will work with xprts in this fil, suh s nurss n othr hlth profssionls from ommunity units n mi xprts whos gol is gui of goo prti rtion on flls prvntion throughout This gui is lso intn to: (1) fin th ky lmnts whih mk fll prvntion progrms fftiv; (2) lrt olr popl, informl rgivrs out th mjor intrinsi n xtrinsi ftors on risk of flling. This gui will om tool to us y ision mkrs n livr in ommunity-wlling, spilly in th rgion of Cávo, in Northrn Portugl. Rsults n Conlusions: t is xpt tht this gui my support olr popl n informl rgivrs to improv flls prvntion y mphsizing th iniviul potntil of h olr prson. Hlth profssionls, in gnrl, n nurss, in prtiulr, hv n importnt rol onrning flls prvntion, spilly thos who work in th ommunity, ounsling n srning olr popl who hv th highst risk of flling. Dsriptors: flls prvntion; olr popl; gui; ommunity-wlling. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 72

74 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Contmintion lvls tht ompromis th hygini onition in th hnling of foo sl Sous,, Mríli Gonçlvs,V,, Rit Portlinh,, Tâni Frrir,V,, Anr Afonso,,, António Noguir,,f, Bruno Pirs,g Dprtmnt of Thrputi n Dignosti Thnologis. Polythni nstitut of Brgnç. Brgnç, Portugl Puli Hlth Lortory of Brgnç. Brgnç, Portugl Dprtmnt of Vtrinry Sins. Univrsity of Trásos-Monts n Alto Douro. Vil Rl, Portugl V Dprtmnt of Physis. Shool of Sins. Univrsity of Minho. Brg, Portugl V Dprtmnt of Biology. Shool of Sins. Univrsity of Minho. Brg, Portugl ntroution: Miroiologil ontmintion of foo is mjor puli hlth prolm, ffting millions of popl worlwi. Most of th ontmintion is ssoit with prtis in th hnling n prossing of foo, u to poor hygin of foo workr s hns or utnsils n surfs us in this mnipultion. Ojtiv: Th im of this stuy ws vlut th hygini onition of foo hnling in th istrit of Brgnç, trmining miroil ontmintion of utnsils n workr s hns. Mthos: This stuy vluts th hygini onition in 421 smpls of utnsils n 421 smpls of workr s hns, uring th prio Rsults: With rspt to th workr s hns, 39% of ss show ontmintion. n 57% of ths smpls totl oliforms wr intifi, in 26% of thm fl oliforms, Stphyloous urus in 10% n finlly 7% with Eshrihi oli. Th utnsils ontmintion ws onfirm in 30% of smpls with rsults not stisftory n 4% h rsults. Ths ontmintions stn out 60% of th smpls with th prsn of totl grms, 28% with totl oliforms, fl oliforms with 9% n vn 3% with Eshrihi oli. t ws lso foun tht only 37% of th smpls vlop positivly. Conlusions: t ws onlu tht thr is ttr lning of utnsils mnipultion thn th workr s hns, howvr th trn to improv th hygini onition is most pronoun in th hns of ths workrs. Th implmnttion of progrm of ruls for goo hygin prtis will ru ths ontminnts to lowr lvls. Dsriptors: foo hnling; foo ontmintion; ontrol; prvntion miroiologil. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] Rsiul nuromusulr lok in ptints unrgoing surgry. Altrtions of musl strngth n postoprtiv rspirtory moriity Tn JM,, Brvo R,, Toro F,, Roríguz P,, Pérz FL,, Brr A,f, Bjo R,g Dprtmnt of Anstsiology. Univrsity Hospitl Complx of Bjoz. Bjoz, Espn Fulty of Sin. Univrsity of Extrmur. Bjoz, Espn Univrsity Hospitl Complx of Bjoz. Bjoz, Espn ntroution: Musl rlxnts hv svrl ims in Ansthsi lik mking intution sir or pting ptints to mhnil vntiltion. Non-omplt rovris of nuromusulr funtions r ssoit to postoprtiv moriitis. Ojtivs: To intify th inin of rsiul nuromusulr lok (rnmb) n postoprtiv ltrtions. Mthos: A prosptiv stuy ws rri out, in whih h ptint ws its own ontrol. 47 ptints unrgoing surgry in Amultory Mjor Surgry Ar t our hospitl wr inlu. Th primry npoint ws th prsn of rnmb ftr ptint xtution, fin s trin-of-fourrtio<0,9 using lromyogrphy. Musl strngth ws msur with Collin ynmomtr. Following vrils wr onsir: oy wight, surgry, rlxnt oss, O2 sturtion for/ftr surgry, prvious strngth, lok rvrsion, strngth t Post Ansthti Cr Unit (PACU) rriving, O2 sturtion 30 minuts ftr PACU rriving, n high-flow oxygn thrpy n. Fishr Tst ws prform for tgoril vrils n Stunt-t Tst/ Mnn-Whitny U Tst wr us for ontinuous vrils. Rsults: Th inin of rnmb in our smpl ws 51.1%. Ptints with rnmb ftr xtution show n strngth rs whn thy rriv to PACU(4,54N vs. 20,38N; p<0.001). Ths ptints n mor high flow thrpy to hv n pproprit O2 sturtion (30,23% vs %, p>0.05). Morovr, iffrns nithr in musulr strngth or O2 sturtion 30 minuts ftr PACU rriving wr rport (p>0.05). Conlusions: rnmb is ommon t our hospitl. Ptints with rnmb h low musulr strngth; thy n n O2 supplmnt to hv n qut O2 sturtion. Nuromusulr funtion monitoring is ssntil to intify ths ss n to hv n pproprit us of nuromusulr lokrs. Dsriptors: Nuromusulr lok; TOF rtio; Alromyogrphy; Surgry. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 73

75 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ECPCD-AVC: n nstrumnt for msuring slf-r in olr popl ftr strok Ot Arújo,, José Crit,, sl Lg, Shool of Nursing. Univrsity of Minho. Brg, Portugl Fulty of Phrmy. Univrsity of Lison. Liso, Portugl ntroution: Evin hs shown tht informl rgivrs omplin out thir lk of knowlg out uss n ffts of strok togthr with lk of prtil skills. Crgivrs oftn sk for mor informtion n thniqus to improv thir skills to tk r of olr popl who suffr strok. Ojtiv: To vlop n vlit n instrumnt tht msurs th pity of informl rgivrs to promot slf-r in olr popl who h strok (ECPCD-AVC). Mthos: Th vlopmnt of ECPCD-AVC ws rri out s on Nursing ntrvntion Clssifition (NC) txonomy. A fous group of lvn xprts, ompos of fiv rhilittion nurss, four gnrl nurss on sttistiin n n mi xprt in grontologil nursing ws rt. Firstly, th fous group isuss n onfirm th strutur ECPCD-AVC. Aftr xprts ision th instrumnt h 35 itms with six iffrnt omins, suh s ting/rinking, thing, orl hygin, trnsfrring, positioning, (un)rssing, whih wr tst n rtst in 186 informl rgivrs who r for olr pnnt popl ftr strok, living in ommunity of Northrn Portugl. Rsults: Ftor nlysis trmin th vliity of th instrumnt; th rliility ws ssss using msurs of intrnl onsistny n tmporl stility (tst-rtst). t ws onsir tht th ECPCD h initil ontnt vliity n high intrnl onsistny rliility (Cronh s α= ). Conlusions: This is th first instrumnt xisting in Portugl to ssss th pity of informl rgivrs to slf-r. Th psyhomtri proprtis provi gurnts for its implmnttion/vlution of strutur nursing progrms im t trining rgivrs n otining gins in hlth. Dsriptors: instrumnt; informl rgivr; mpowrmnt; slf-r; olr popl. Biliogrphi stuy groups n workshops on mntl hlth prxis of psyhology Mri Suly Alvs Cost, Mri Emnoll Frir Psso Univrsi Frl o Crá. Fortlz, CE, Brsil ntroution: Th intrst in th topi working group is s on th intrtion with th mol of work s profssionl in th mntl hlth fil. Th stuy ims to instigt psyhologists to isuss, rflt n ( r) think out thir group prtis in mntl hlth in orr to mk progrss in th tsk of trnsforming soil rlity. Ojtiv: Conut litrtur stuy on th pulitions prou in th fil of psyhology in th ontxt of mntl hlth involving thir prtil xprin with th group pprohs (group n workshop ),th Brzilin rlity. Mthos: Anlysis of th ontnt of th txts ws prform from th following tgoris of nlysis provnins uthors rfrn in stuy groups: group onptions of th rol of oorintor n wknsss in rrying out suh prtis priv from wht is rport n isours in pulitions. Eightn pulitions wr nlyz in this stuy, onsisting of rtils n issrttions prou twn th yrs 2001 to 2011, inx in ltroni tss LLACS, SiELO n Thss Dts of Cps. Rsults: Rvl th inquy of pprs on th topi, th lk of fmilirity n intifition with th group of psyhologists vis n th rol of oorintor n som wknsss in th wy suh prtis hv n vlop in vryy mntl hlth srvis. Conlusions: ntifying th n for rfltion on this prti y profssionls/psyhologists n th n to rthink out thir mi n soil ommitmnt of psyhology. Dsriptors: Mntl Hlth; Workshop; Group; Psyhology. [email protected] [email protected] [email protected] [email protected] [email protected] 74

76 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth LFESTYLE OF PARENTS WTH CHLDREN N SCHOOL AGE Ev Sous, Rit Aru-Figuiro, Clr Mrtins, Estr Rmos, Tâni Lournço, Luís Gonçlvs f Esol Suprior Enfrmgm S. José Cluny, Funhl. Mir, Portugl ntroution: Aopting hlthir lifstyls is ssntil to improv th qulity of lif n longvity of humn ings. Thrfor, this is on of th min onrns of hlthr profssionls, spilly in ountris with longr lif spm. Nowys, th hlthir lifstyl of iniviuls is on of th min onrns of hlthr profssionls. Knowing tht hilrn in shool g tn to mimi thir prnts hviour, w tri to sri th lifstyl of this ult group in this stuy. Ojtiv: W intn to intify th most fft lifstyl s omins, in orr to sign n implmnt projt to promot th prnts hlth. Mthos: Cross-stionl, sriptiv n orrltionl stuy whr non-proilisti smpl ws us, omprising 45 prnts of hilrn ttning footll shool. n th t smpling, th FANTÁSTCO lifstyl qustionnir ws us. Rsults: Th mjority of prnts who nswr th qustionnir wr mothrs, with gs unr 40 yrs ol, n tht viw thir fmily inoms s nough. 55,6% of th mothrs n 64,7% of th fthrs h xss wight or wr os. Most of th prnts h vry goo (n=26) or grt lifstyl (n=12). Th most fft omins in thir lifstyls wr physil tivity n nutrition, n th sujts opt hlthir hviour in thir rltion with fmily, frins n in sfty hviours. No sttistil rlvnt rltions wr foun twn lifstyls n th qustion prnts hrtristis. Conlusions: Th FANTASTC is suitl t olltion instrumnt for ssssing prnts lifstyls. Dspit th intrst of ths hilrn in physil tivitis tht intrst is not rvl in th prnts. Dsriptors: Lifstyl; FANTÁSTCO qustionnir. Proviing hom ounsling for olr ults: nfits n hllngs Mrgri Proso Lim, Cáti Silv, Mrin Mi Crvlho, Din Frnns Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl ntroution: Th ging of th popultion hs rt numrous hllngs for morn soity. Th inrs of motor iffiultis n utonomy rlt prolms r, mong with othr spts of th ging of th tul oort of sniors, ruil to rss in th nhnmnt of th qulity of lif of ths iniviuls. Thrfor, tking in onsirtion thir hlth n soil ns, profssionls of iffrnt rs hv n invsting in hom r srvis. Nvrthlss, fw stuis rport psyhologil support livr t th lrs hom. Ojtiv: Th prsnt stuy ims to hrtriz: ) Hom Counsling Pro-VoluntriU Srvi (Lim t l, 2013), tht is omponnt of th Alt Coimr Projt from ATLAS ONGD; ) th popultion of usrs who nfit from psyhologil hlp uring th prio twn Mthos: An xplortory stuy with smpl of 8 olr ults ws nhn. A smi-strutur intrviw (soiomogrphi hrtristis, intrsts, sujtiv hlth n stisftion with hom ounsling); Mini Mntl Sl (Folstin & Folstin, 1975); Gritri Dprssion Sl n Gritri Anxity nvntory (Ysvg t l, 1983; Phn t l, 2007) n Fs Sl Wong-Bkr (Wong t l, 2001) pt for wll-ing wr ministr to th sujts. Rsults: Most of th prtiipnts rfrr isoltion, hlth rlt prolms n prssion/nxity rlt symptoms so s mort wll-ing. Th rsults suggst th n for this typ of srvi to promot hlth n wllnss s wll s to prvnt pthology rlt to isoltion. Conlusions: Conrning ll pttions nssry to th in-hom stting, th isussion rsss th mjor hllngs n opportunitis of ths filitis for profssionls n usrs. Dsriptors: hom; ging; psyhothrpy; ounsling; srvis. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] 75

77 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth LFESTYLES OF THE SCHOOL AGE CHLD Ev Sous,, Rit Aru-Figuiro,, Clr Mrtins,, Estr Rmos,, Jon Viir,, Tâni Lournço,f, Luís Gonçlvs,g Esol Suprior Enfrmgm S. José Cluny, Funhl. Mir, Portugl nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl nstituto Ciênis Su. Univrsi Ctóli Liso. Liso, Portugl ntroution: Hlthy lifstyls intns for n tiv rol of th popultion in promoting hlth n prvnting isss, n lso th vlopmnt of iniviul omptns in hlth-rlt isions. Ojtiv: W intn to intify th most fft lifstyl s omins, in orr to sign n implmnt projt to promot hilrn s hlth. Mthos: Th non-intl rnom smpl is ompos y 45 hilrn. Th t olltion took pl uring Dmr 2013 using qustionnir Shool hilrn s hits of lif with 10 omins.wor 2013 n Sttisti X wr us in th t prossing n nlysis. All th hilrn r ml, with n vrgg of 7-8 yrs, in univrs tht rngs twn 4 n 12 yrs ol. Rsults: Th omins with highst sors in th Chilrn lifstyls sl wr Fmily n frins, n Sfty, with 2,0 min n 1,7 vrg. On th othr hn, lif hits tht shoul improv r th ons rlt with Lisur tim n Foo, with vrgs of 1,5 n 1,6 rsptivly. Stuy tim ws nothr of th low sor omins (with 1,7 vrg n min), lthough it is still rltivly los to th xpt mximum sor of 2,0. n th hilrn lifstyls 5 tgoris wr onsir, oring to th Lifstyls vlution sl: Exllnt, Vry Goo, Aqut, mproving n Dngrous. Th rsults show tht 66,7% of th hilrn hv n Exllnt lifstyl n 33,3 hv Vry goo lifstyl. Conlusions: Th lifstyl of humn ing in influn y th hits quir sin th first yrs of lif, s on th fmily mol. Dsriptors: Chilrn; Shool g, lifstyl. Mn ss to primry hlth r: isussing iffiultis n rsistn f y thm Anrson Ris Sous,, An Mrgrt Coriro Silv Mi,, Mihll Tixir Olivir,, Juls Rmon Brito Tixir,, Rmon Missis Morir,, Jilo Goms Rorigus,f, Rit Juilm Almi Crniro,g Ful Nor. Fir Sntn, BA Brsil Univrsi Estul o Suost Bhi. Jquié, BA, Brsil ntroution: Th intrst of th mn y th hlth r is iffrnt from th soiliztion tht thy long, sking srvi whn th iss is lry instll. Ojtiv: To isuss th iffiultis n rsistn f y mn in ss to primry hlth r. Mthos: This ws stuy of xplortory, sriptiv with qulittiv pproh, rri out in Bsi Hlth Unit in th City of Fir Sntn, Bhi, using isours nlysis n strutur intrviws s t olltion instrumnt. Rsults: Th stuy highlights th lk of mn for th srvis of th mn, whr th most frquntly rport iffiultis r lk of tim n th issus involving thir jo. Th t ollt origint th thmti tgory out mn: th srh for th hlth unit n insrtion iffiultis, t n noti tht intrviw sujts unrstn th importn of th Fmily Hlth Strtgy, howvr thy ttn othr forms of ssistn, suh s phrmis, prform slf-mition, omplin of progrm strutur, th lk of tim to prform th r, s wll s th working hours of th units; Thy sy r s ing prominntly fml n o not know or prtiipt in tions mng y fmily plnning n of ntgrl Attntion to Mn s Hlth Poliy. Conlusion: Givn th ov it mks you rliz th n to rry out th poliis, rting innovtiv strtgis to nourg mn to ss srvis n onuting profssionl trining from gnr prsptiv. Dsriptors: Nursing, Gynologil Disss; prgnnt womn. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 76

78 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Soioonomi influn on intstinl noprsiti isss in prgnnt womn in Dimntin, Brzil Jurz Hnriqu Tixir Gonçlvs,, Dl Fons,, Rin Sors Sous Silv,, João Hnriqu Arújo Anr, Univrsi Frl os Vls o Jquitinhonh Muuri. Tófilo Otoni, MG, Brsil Univrsi Frl o Piuí. Trsin, P, Brsil Univrsi o Esto Bhi. Slvor. BA, Brsil ntroution: Th intstinl prsits, lthough high prvln r foun most oftn in vloping ountris, littl is known out th ours of intstinl prsitologil inftion in prgnnt womn, or out th possil impt of ths inftions on ftl vlopmnt. Th highst frquny of intstinl prsits wr osrv in popultions of priphrl rgions of th ity n ovring popultions of lowr soioonomi sttus. Aoring to th BGE (2010), Dimntin, hs 52.2% of womn g up to 39 yrs, 15% of womn g from 10 to 39 yrs ol illitrt, 49% of womn hv hilrn, 72.6% of houshols with inqut snittion n pr pit inom of hlf th minimum wg, 11.3% with no potl wtr supply, 2.8% without swg systm n 26.6% of houshols with mor thn 5 rsints. Thr is prvln of noprsitos in prgnnt womn, givn tht th soioonomi profil of prgnnt womn r similr, 37.6% n 45.1%, rsptivly. Ojtiv: Anlysis of us of nthlminti y prgnnt womn in Dimntin. Mthos: For th rsrh, wr ppli qustionnirs to 108 ptints nroll in Bsi Hlth Units, using smpls y xtrt. Rsult: 2.7% of prgnnt womn us nthlmintis uring prgnny. Disussion: Th low rt of us of nthlmintis suggsts th n for oprologil tsts uring prntl r, sin most of th womn n symptomti n nturl rsrvoir. Conlusions: Th t init th n to ignos, inform n fftivly trt prgnnt womn; th hlth ution to mothrs to prvnt rinftion n stuy thir rugs n th most suitl rgimns of trtmnt for this group fft y intstinl prsits. Dsriptors: Enoprsi; SUS; Prgnnt; Anthlminti; Puli hlth. mplmnttion of Singl Hlth Systm (SUS): nlysis of sintifi proution in Brzil Rin Sors Sous Silv,, An Cristin Sors Silv,, An Hortêni Cvlnt Croso Prir,, Dor Sous Prir,, João Hnriqu Arújo Anr,, Jurz Hnriqu Tixir Gonçlvs V,f, Riss Sors Sous Silv V,g Univrsi Frl o Piuí. Trsin, Piuí, Brsil Ful Snto Agostinho. Monts Clros, Brsil Univrsi o Esto Bhi. Slvor, BA, Brsil V Univrsi Frl os Vls o Jquitinhonh Muuri. Tófilo Otoni, MG, Brsil V Ful Tnologi Trsin. Trsin, P, Brsil ntroution: Until th rly twntith ntury, inqulitis in ss to hlth srvis in Brzil wr lrming, it ws nssry to riliz th hlth systm, s th ountry ws growing soilly n onomilly n th systm oul not f with ision, in ition of th xssiv ntrliztion n lk of finition of th powrs of th orgns n politil-ministrtiv ois. Th movmnt of Hlth Rform in th lt 70 mrg to rss ths issus, proposing tht hlth is right of th itizn, uty of th Stt n tht th ss to goos n srvis tht promot n rovr it is univrsl. Th pssg of th 1988 Frl Constitution institutionliz th SUS gui y th prinipls of univrslity, quity, omprhnsivnss, s wll s ntrliztion, rgionliztion, hirrhy n soil prtiiption. Ojtiv: To nlyz th sintifi proution in Brzil rgring th implmnttion of th SUS. Mthos: A rviw of ntionl litrtur hrtriz y intifition n nlysis of rtils foun on th Virtul Hlth Lirry, slt oring to th thm. Of th 20 rtils foun, 06 wr vlut in full, t from 1995 to Rsults: n ition to orgnizing th politil-ministrtiv systm mngmnt, SUS rought ror onption of hlth, n strt to onsir ftors tht wr ssoit whn thinking out hlth n qulity of lif s iologil, soioonomi n ulturl spts. Conlusions: Th ntionl sintifi litrtur on this sujt is smll, ut of grt vlu to th knowlg out th implmnttion of SUS whih unoutly m to improv th qulity of hlth r in Brzil. Dsriptors: Puli Hlth; SUS; Citiznship; Equity; Univrslity. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 77

79 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth CHARACTERSTCS OF VULVOVAGNTS N PREGNANT WOMEN N A USF (HEALTH UNT) N THE MUNCPALTY OF THE NTEROR OF BAHA Anrson Ris Sous,, s Suzrt Goms Filho,, An Mrgrt Coriro Silv Mi,, Lyin Fris Arújo,, Mnull Arújo Frits,, Mihll Tixir Olivir,f Ful Nor. Fir Sntn, Bhi, Brsil Univrsi Estul Fir Sntn. Fir Sntn, Bhi, Brsil ntroution: Vulvovginitis, on of th most ommon gynologil prolms is rsponsil for ffting th hlth of womn rprsnting mny omplints in gynologil ppointmnts, fturing frqunt rson for rrying th ytologil xmintion, spilly uring prgnny. Ojtiv: To sri th profil of vulvovginitis in prgnnt womn in Fmily Hlth Unit in th ity in th intrior of Bhi. Mthos: This is fil stuy, sriptiv n oumntry, with quntittiv pproh, onut with prgnnt womn who sought mil trtmnt twn Jnury n Otor of Dt ws ollt from mil rors, th prntl ooklt n th Book of Gynologil isorrs, givn th thil prinipls of th rsrh. Rsults: Th rsults hv provi to sri th soiomogrphi hrtristis, prgnny history, spts of prntl, th rliztion of th ytopthologi xmintion, s wll s th intifition of vulvovginitis. t ws foun tht mong 27 prgnnt womn stui, 55.6% h pp smr xmintion, n of ths, 26.7% h stisftory rsults n othrs h ltr vginl ishrg, rprsnting 73.3%. Among th ltr vginl flor, 36.4% h Grnrll vginlis, Cni lins 36.4%, 18.1% othr typs of inflmmtory prosss n 9.1% i not rport th rsult. Th t rinfor th importn of prntl r in womn through ytopthologil xms so tht th inftions n tt n trt voiing hrm to th mothr n th ftus or nont. Conlusions: Thrfor this stuy is rlvnt for pointing out th n to rt nw strtgis tht motivt th fml popultion prform prvntion, in n ttmpt to limint ths isss. Dsriptors: Nursing, Gynologil Disss; prgnnt womn. Applition STOPP ritri n rs ritri in th vlution of th rug phrmothrpy us in lrly: omprtiv stuy in th Lonrin ity, Brzil Pro Domingus Croso,, Tâni Nsimnto,, Emnull Almi-Sntos,, Glgys Mrqus-Sntn, Univrsi Nort o Prná. Lonrin, Brsil Cntro Estuos Dsnvolvimnto m Sú. Esol Suprior Sú. Univrsi o Algrv. Fro, Portugl ntroution: Elrly suffr from multipl o-moriitis n mks this ptint group prtiulrly vulnrl to potntilly inpproprit miins (PM). PM hs n rport to sustntil us of moriity n mortlity n hs n intifi s ftor rlt vrs rug vnts. Two systms-fin miin rviw tool hv gin intrntionl rognition, Brs ritri n Srning Tool of Olr Popls Prsriptions (STOPP). Ojtiv: Th im ws to trmin th prntg of PM in th rug phrmothrpy, th prvln of PM/ lrly, n ompr th prformn of STOPP n Brs ritri in tting potntilly inpproprit miins. Mthos: A totl of 161 olr ptints wr rnomly slt from ELLO projt (n=519). W inlu ptints with 60 yrs n tking 3 mition. Both ritri wr ppli to th 161 ptints. Rsults: Of th olr ptints rviw, 116 (72%) wr fml n th min g ws 72,6±7,0 yrs ol. Th totl numr of miins prsri ws 748 miins, with 4,65±1,6 for ptints. Brs ritri intifi, in 460 miins, 139 PMs, with 94 ptints (58,4%) h t lst on PM intifi. STOPP ritri intifi, in 374 miins, 105 PMs, ffting 76 ptints (35%) with t lst 1 PM. Mor thn hlf of lrly ptint for oth th ritri us 5 mitions (BEERS 54%; STOPP 55,2%) with n mn of PM intifi of th 1,5 n 1,4 PM/ptint. Conlusions: This stuy monstrt tht thr r high prntg of PM prsri in th phrmothrpy of lrly. n this stuy BEERs ritri monstrt suprior pility ovr th STOPP ritri in th intifition of instns of PM. Dsriptors: BEERS; Elrly; Potntilly inpproprit miins; STOPP. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] 78

80 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth KNOWLEDGE AND PRACTCE ABOUT THE CONTRACEPTVE Mthos AMONG NURSNG STUDENTS OF A COLLEGE OF BAHA, BRAZL An Mrgrt Coriro Silv Mi,, Anrson Ris Sous,, Grvnilson Olivir,, Luin Lops Rios,, Mihll Tixir Olivir,, Tmirs Limir Mglhãs Olivir,f Ful Nor. Fir Sntn. Bhi, Brsil Univrsi Frl Bhi. Slvor, Bhi, Brsil ntroution: Sxulity is funmntl omponnt of humn lif. t is stimt tht shooling hs iffrntil impt on numrous spts of th hlth n illnss of iniviuls n soil groups. Ojtiv: To ssss th knowlg n prti of nursing stunts out th us of ontrptiv mthos. Mthos: This ws sriptiv stuy with quntittiv pproh. Th smpl onsist of 66 stunts of Nursing Collg of Bhi, nroll mong th first n fifth smstr. Dt olltion ourr uring Otor- Novmr 2013, from qustionnir. Rsults: t ws osrv tht th mjority of rsponnts, 55.1% onsir thmslvs to hv goo knowlg out ontrption, 55.8% rport hving us onom t first sxul intrours. Whil for th mjority of rsponnts, 77.3% rport tht th Collg i not influn th hoi of mtho, sin th ginning of sxul tivity, for most strt for ntry. Th stuy show tht stunts in th hlth fil, spilly nursing stunts, ntring ollg with prior knowlg out ontrptiv mthos, spilly rgring th most us s onoms n orl ontrptivs. Conlusions: Thus, this stuy hs hlp unrstn th prtil us of ontrptiv mthos, in orr to intify gps, sking to gnrt innovtiv proposls for intrvntion n ptn to this puli. Dsriptors: Nursing, Sxulity n ontrptiv mthos. Hlth promoting shool. Hlthy lifstyls: Mntl hlth promotion Mri Clr Anré,, Anl Eslo Cânio,, Conição Sntigo,, Olimpi Cruz,, Trs Mrgri Crrir,, José Amnoir,f Esol Suprior Sú o nstituto Politénio Sntrém., Mmros Uni nvstigção o nstituto Politénio Sntrém Esol Suprior Sú o nstituto Politénio Sntrém. Uni nvstigção o nstituto Politénio Sntrém. nvstigor intgro no CS/UCP ntroution: Promoting mntl hlth in shools is hllng n n imprtiv for us s hlth promoting shool. Bing shool privilg nvironmnt for th vlopmnt of hlthy lifstyls, it prsnts itslf s singulr ontxt for th pprn of risk hvior. This intrvntion is prt of th Hlth Promotion Projt - Promoting Hlthy Lifstyls from Monitoring Unit of nitors on Hlth in Sntrm Hlth Shool n hs s primry ojtiv to mpowr stunts/shool ommunity to opt hlthy lifstyls promoting mntl hlth. n this ontxt w nlyz th intrvntions rri out twn Ojtiv: Prsnt th intrvntion vlop in th r of mntl hlth promotion in shools. Mthos: Th fous is th intrtiv mtho/tiv mthos with us of orl xposur n t in th lss ontxt. Wr, s wll, vlop onfrns with opportunitis for isussion n shring whnvr limittions of tim xist. Rsults: Th intrvntion involv 1878 prtiipnts in 36 sssions. Th thmti vlop h fous on spts of th urrnt hlth of hilrn n olsnts, ut lso thir futur hlth. Th thmtis wr: Eting isorrs, ntrprsonl rltionship, Hrmful onsumption, Disrimintion vs. Non-Disrimintion in HV/ADS. Conlusions: Th tivitis rlt to th mntl hlth promotion progrm mt th ns intifi y th prtnr orgniztions. Th fk riv from th utionl ommunity throughout th pross ws vry positiv, mrging nw proposls, llowing to rh lrgr numr of prtiipnts n thmtis. Dsriptors: Mntl hlth promotion; Hlthy lifstyls; Nursing. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] lr.nr@ ssu.ipsntrm.pt [email protected] [email protected] olimpi-fons@ ssu.ipsntrm.pt trs.rrir@ ssu.ipsntrm.pt f [email protected] 79

81 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th ntisoil phnomnon mong Portugus stunts: Towrs hlthir soil hviours Ali Murtir Morgo, Mri Luz Vl Dis Ful Psiologi iênis ução. Univrsi Coimr. Coimr, Portugl ntroution: Th omplxity of ntisoil hviour in olsn is wily knowlg y vlopmntl psyhology. Antisoil hviours r prtiulrly prvlnt uring this stg, mking it ruil to intify vrils tht potntilly influn viny in this spifi vlopmntl momnt. Ojtiv: Th im of our rsrh ws to stuy n unrstn wht typs of hviours r isply y olsnts n thir rltion with svrl imnsions of prsonlity, soil skills, slf-onpt, fmily nvironmnt, soioonomi sttus, g n gnr. Mthos: A smpl of 490 Portugus stunts from th Coimr rgion (Portugl) twn th 5th n 12th grs fill, in lssroom, soiomogrphi qustionnir n th Portugus vrsions of Youth Slf-Rport; Soil Skills Qustionnir Stunt Form; Fmily Environmnt Sl; Pirs-Hrris Chilrn s Slf-Conpt Sl-2; n Eysnk Prsonlity Qustionnir-J. Prnts wr sk to fill th Chil Bhviour Chklist n soio-mogrphi qustionnir. Rsults: Our rsults show signifint iffrns twn iniviuls who rport n i not rport ntisoil onuts in svrl imnsions of prsonlity, slf-onpt, soil skills, n fmily nvironmnt. Furthrmor, som of thos imnsions wr foun to prit th sors otin in YSR s n CBCL s ftors rlt to ntisoil hviour. Conlusions: Our rsrh prsnts grt vlu for unrstning this hllnging phnomnon, proviing signifint rsults n xplining importnt mounts of vrin whil rssing multipl sts of vrils. Thrfor, u to its ro sop n pproh this stuy provis n importnt ontriut for signing n implmnting intrvntion progrms tht n promot hlthir soil hviours in olsn. Dsriptors: vlopmnt, olsn, ntisoil, hviour. Th inin of flls in institutionliz lrly Bruno Frrir,, Ros Silv,, Tâni Cost,, Ptríi Colho,, Armno Almi, Agrupmnto ntros sú Povo Vrzim/ Vil o Con. Portugl nstituto s Ciênis Sú. Univrsi Ctóli Portugus. Porto, Portugl ntroution: Th hrtristis of th institutionliz lrly, s g n physil isility, inrs signifintly th proility of flling, s wll s thir svrity whn thy our. For this rson, it is ruil to unrstn n stuy th ourrn of this phnomnon in lrly. Ojtiv: To trmin th inin of th phnomnon flls in institutionliz lrly n th prvln of th risk of flling, y pplying n ssssmnt instrumnt. This stuy ws vlop in two nursing homs in Oporto, ing orgniz in two stgs: first, w intifi th inin of th phnomnon of flls, y rtrosptiv nlysis to institutionl rors for th prio of on yr, in on of thos nursing homs. Son, w ppli th instrumnt of risk ssssmnt of flls - Hnrih Fll Risk Mol (HFRM). Rsults: it ws rport tht 46% of th lrly hv flln in th lst yr (from Sptmr 2011 to 2012); n vrg thr ws mor thn two flls in th lrly (X=2.2; ±1.8), n th fll ws t lst on n mximum of 9. By pplying th HFRM to 111 lrly, 47% r t high risk of flling. W nlyz th most signifint risk ftor is th ministrtion of nzoizpins, tht is prsnt in 41%. Conlusions: Aoring to this, it pprs tht th inin of this phnomnon, in th smpl, is ompting with intrntionl t. Howvr, ths figurs r nonthlss worrisom, givn th impt tht flls rprsnt th qulity of lif of lrly. Dsriptors: Flls; Elrly; Nursing Homs; Qulity of Lif; Risk Ftor. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 80

82 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ASSSTANCE FOR VOLENCE VCTMS N STATONARY PRE-HOSPTAL UNTS Anrson Ris Sous, An Mrgrt Coriro Silv Mi, s Suzrt Goms Filho,, Krl Luil Cintr, Plo Crniro Olivir Cost, Míz Snr Riiro Mo Silv f, Mihll Tixir Olivir g Ful Nor. Fir Sntn, Bhi, Brsil ntroution: Violn n onsir n importnt puli hlth prolm, it is onstituty n nint phnomn tht gos through tmporlity, it is prsnt in th livs of humns, ffting ll gnrs n soil lsss.so wlom iniviuls vitims of violn is prt of hlth rights.so wlom iniviuls vitims of violn is prt of hlth rights. Ojtiv: Chrtriz th ttnns for violn in Prhospitl Srvi Units fix in muniiplity of th intrior of Bhi. Mthos: A quntittiv stuy vluting t from six Pr-Hospitl units lot in th ity of Fir Sntn, Bhi, n th Poli Sttion of Spiliz in ssistn to womn, in 2012, using th vrils: totl numr of ttnns; visits u to violn, sx, g, zon of th ity. Rsults: Among th finings, stoo out th violn y firing firrm, ggrssion y mns of impt of motor vhil, physil ssult, rsulting from omsti n mritl violn, for ing prolm iffiult to tt, in most ss it rmins hin n unr-rport, pointing th womn s trgts of suh violn, n th pprn of slf-hrming.t ws lso osrv th iffiulty of tms to intify, mt n rport ss u to lk of trining, n wknsss in th trining pross tht hs not lt with this issu fftivly. Conlusions: Thus, this stuy hs rought grt rfltions to th ommunity, mngrs n hlth profssionls tht th issu ns to work n tht this is nssry to intify hin n vulnrl mn in orr to ru rts n forms of violn tht xist in th lous nlyz. Dsriptors: Nursing; Violn; Urgnt Cr. Exlusiv Brstfing: Prvln n ntifition of Prolms until Four Months Dolors Sro,, Armin Pinhiro, Esol Suprior Enfrmgm o Porto. Porto, Portugl Esol Suprior Enfrmgm Univrsi o Minho. Brg, Portugl ntroution: WHO/UNCEF promot, prott n support th prti of xlusiv rstfing (EBF) up to 6 months n supplmnt up to 2 yrs g, with th im to ru mlnutrition, infnt mortlity n hroni isss. Svrl stuis init tht prvious xprin of rstfing (BF) influns th rstf hvior; w know tht lk of knowlg n mtrnl support, lifs suh s wk milk, shllow nippls, hil not inrs wight r init y womn s iffiultis to promot BF. Ojtiv: To vrify th prvln n nlyz th EBF prolms until th g of four months. Mthos: Dsriptiv n orrltionl stuy. Smpl ws intntionl, no proilisti with 286 mothrs ollt y slf-rport qustionnir, four months ftr th hil s irth. Rsults: Th prvln EBF t 4 months is 51%. 22.1% of hilrn o BF; 26.9% of hilrn mk formul n othr foo. 20.3% of mothrs hv prvious BF s xprin n 94.6% rlt positiv n grtifying xprin. 57.8% of womn intify iffrnt prolms uring BF xprin. From ths 51.5% intifi prolms with rst (invrt nippls, ngorgmnt), 6.7% with proution n qulity of milk (wk milk), 27.9% with hilrn (not inrs wight n iffiulty in hnl), n 13.9% with mothr s onitions (ftigu, work, lk of support). Conlusions: Aoring WHO EBF, until fourth month ws littl prti mong th intrviw mothrs. Hlth profssionls, inluing miwivs, shoul xplin th iffiultis of womn rstfing, in orr to support thm to ontinu to rstf hilrn yon 4 months, to promot thir hlth, lowr osts n nfit to th soity. Dsriptors: Exlusiv Brstfing; Prvln; Diffiultis. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] 81

83 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth MDWFERY EMPOWERMENT: Th prption of th nurss miwivs in Portugl Rosáli Mrqus,, Dolors Sro,, Armin Pinhiro,, Mnul Frrir, Hospitl Gri Ort. Liso, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl Esol Suprior Enfrmgm Univrsi o Minho. Brg, Portugl V Esol Suprior Sú. nstituto Politénio Visu. Visu, Portugl ntroution: n Portugl, th prti of nurs s miwivs is rgult jo, with propr rng of skills n knowlg. Howvr, not lwys thir powr n utonomy r rogniz y othr profssionls n itizns. Ojtiv: Anlyz rltionships twn soiomogrphi vrils n th mpowrmnt of nurs s miwivs in th following imnsions: Efftiv Mngmnt n ntrisiplinry Cooprtion, Sustin n Autonomous Prti, Communition n Profssionl Consnt, Rognition of Hlth Tm, Trining n Eution n Jo Stisftion. Mthos: This is quntittiv, sriptiv n xplntory ross-orrlt stuy with non-proilisti onvnint smpl of 149 nurs s miwivs tht voluntrily gr to fill in th qustionnir onlin. Th vlution protool inlus Soiomogrphi Qustionnir n Prptions of Empowrmnt in Miwifry Sl (PEMS), vlit for th Portugus popultion y Hnriqus t l (2012). t onsists of fiv imnsions: Efftiv Mngmnt n ntrisiplinry Cooprtion, Sustin n Autonomous Prti, Communition n Profssionl Consnt, Rognition of Hlth Tm, Trining n Eution. Rsults: This is group of nurs miwivs, mostly fmls (91.27%), mrri (69.12) n post-grut (65.1%). 85.9% works in puli institutions n 57.5% in hospitls. W foun tht Portugus nurss miwivs mpowrmnt is low, minly on two itms: Sustin n Autonomous Prti n on Communition n Profssionl Consnt. Trining n Eution hs th st mpowrmnt rsults. Empowrmnt is influn y Jo Stisftion. Conlusions: Th mpowrmnt is positivly link to th vlopmnt of profssionl utonomy rsulting in grtr olltiv onsiousnss of th nurs miwivs omptn profil. Ths rsults llow to thinking out prti, trining mols in miwifry n jo stisftion. Dsriptors: Nurss miwivs; Empowrmnt; Prption; Autonomy. Gnrl n Mntl Hlth of Poor n Multiprolmti Fmilis Pul Cristin Mrtins,, An Cristin Viir,, Eur Clro, Cláui Cunh, Esol Psiologi. Univrsi o Minho. Brg, Portugl Sgurnç Soil. Brg, Portugl Dirção Rgionl Eução o Nort. Brg, Portugl ntroution: Th min ftur of th so ll multiprolmti fmilis is th prsistn long tim of st of prolms in vrious rs of th iniviul s funtioning in svrl fmily mmrs (Alrão, 2000; Sous, 2005). On of ths prolmti rs or risk omins (Pkmn, 2007) is physil n mntl hlth. Th oxistn n prsistn of mny hlth prolms in iffrnt iniviuls of th sm fmilis is quit frqunt in multiprolmti fmilis, ompromising thir funtioning. Similrly, th rltion twn povrty n poor hlth is wll stlish (Brgr, 2010). Prtiulrly, prsistnt povrty is ssoit with hlth prolms, hinring popl s ility to op with vryy lif. Ojtiv: This rsrh stuy ims: () To intify n hrtris th mjor hlth prolms f y th mmrs of ths fmilis; () To xplor th priv rlvn of ths prolms; () To xplor th priv fftivnss of hlth r intrvntions riv y rsponnts; () To xplor th lvl of ontrol priv ovr ths prolms. Mthos: 20 fmilis, ripints of finnil i from th Portugus Stt, living in Oporto, wr intrviw oring to th protool propos y Pkmn (2005). Rsults n Disussion: Rsults will prsnt n thir implitions for th unrstning of ths fmily ynmis n for intrvntion with ths fmilis. Dsriptors: Multiprolmti fmilis; high risk fmilis; poor fmilis; gnrl hlth; mntl hlth. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 82

84 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Musi ProiED: ApPliTONS N COMMUNTARY HEALTH EDUCATON Ângl Mri Uhô Rorigus,, Mréli Brto Cost,, Fátim Lun Pinhiro Lmim,, Mirn Aluqurqu Frot,, Brun Crolin Rorigus Tmoril,, Thlit Sors Rims,f, Pâml Cmplo Piv,g Univrsi Fortlz. Fortlz, Brsil Univrsi Estul o Crá. Fortlz, Brsil ntroution: Th rlvn of this stuy is to onsir proi musi s n ojt of rsrh in ommunition. Ojtiv: To vlut th lrning pross promot y songs, proying issus of Hlth Eution in th ontxt of ommunity. Mthos: An xplortory - sriptiv stuy of qulittiv hrtr, rri out uring th yr of 2008 in th ity of Fortlz, Crá, Brzil. Th t olltion us th thniqu of th smi-strutur intrviws ppli to 11 ky-informnts. Th t prossing rri th thniqu of th Colltiv Sujt s Sph. This rsrh is thilly n lglly gur y Opinion. Rsults: t ws prov tht th proi musi is possil intrvntion strtgy for Hlth Eution, for its potntil to om fftiv y using fw rsours n lvrging rsours/humn potntils of th sm ommunity. Th ngtiv points intifi y th prtiipnts wr tht proi musi shoul not ppli in n isolt form or s n ltrntiv to othr ution strtgis. On th ontrry, thr ws prov n to ssoit it with othr mthoologis in orr to hiv th finl gol. Conlusions: Th strtgis lls popl s ttntion n r mor ttrtiv thn th xpository xplntions normlly ppli. Consiring th potntil issmintors of informtion in th ommunity, it is liv tht th possiility of ths popl to rprou th ptur ontnt with th rsour of th CD, t lst, in th fmily ontxt, mong frins n nighors, whih lry prints to this rsour signifint importn. Dsriptors: Hlth Eution; Hlth Promotion; Musi Thrpy, Puli Hlth, Community Hlth Nursing. Cpsium nnuum L. with iffrnt olors provi iovill phytohmils with hlth nfits An Mir, Crl S. Silv, Sérgio V.P. Brrir, An F. Vinh Ful Ciênis Eução. Univrsi Frnno Psso. Porto, Portugl ntroution: Swt ppprs (Cpsium nnuum L.) r mor thn vrstil grn or r vgtl. Ths vgtl is on of th olst n most importnt rotnoi foo olornts, n it is wily us in foo inustry n in phrmutil formultions. Crotnois r som of th most vitl olor phytohmils, n ounting for th rillint olors of vrity of vgtls, n onntrtion pns on thir growth mturity, vrity, onntrtion of rotnoi isomrs, n foo prossing mthos. Ojtiv: Th min ojtiv of this work ws to xmin possil hngs in rotnois ontnts u to prossing, frsh, frozn, n ook swt pppr vritis (grn, r, yllow, n orng). Mthos: Brifly, 1 g swt pppr smpls wr xtrt with 20 ml of ton/hxn (2:3, v/v), thn th sorn of th suprntnts t 453, 505, 645, n 663 nm wr msur y sptrophotomtri ssy. Th ontnts of hlorophyll, hlorophyll, -rotn n lyopn wr lult oring to th following qutions: hlorophyll (mg/100 ml)=0.999a a645; hlorophyll (mg/100 ml)=-0.328a a645; -rotn (mg/100 ml)=0.216a a a a453; lyopn (mg/100 ml)= A A A A453. Rsults: n omprison with th wtr-solul vitmins, th provitmin A rotnois n lyopn ppr to rltivly stl to prossing, n ooking. Signifint iffrns in rotnois wr osrv (p<0.05) n orrltions with h swt pppr vrity. Conlusions: Mjor puli hlth nfits oul hiv y inrsing onsumption of rotnoi-rih vgtls still pprs to stn, inpnntly of th typ of prossing. Dsriptors: Cpsium nnuum L.; Crotnois; Antioxint tivity; Hlth nfits. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 83

85 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Humniztion of hlth ution, prti rfltion n ommunity mpowrmnt Yoln A. Pltot, ryn G. Aguir, Julyn F. Coêlho, Hlr S. Sntos, Séfor L. E. Anr, Simon S. Dmsno f, Lriss N. Azvo g, Rgin L. G. P. Fris h, Frnn B. Aguir i, Cristin H. Montiro j Univrsi Frl Prí. Prí, Brsil ntroution: Th Univrsity Extnsion Projt Humniz Trining for th Hlthr Profssionl hs n proviing, sin 2007, n vnu for unrgruts to xprin th rlity of th hlth-iss pross in th ontxt of primry hlth r whil fousing on th implmnttion of lightwight thnologis. Ojtiv: This stuy ims to sri th positiv impts xprin y th futur hlth r profssionls, th xprin ons lry in srvi, n th ommunity ssist y th projt. Mthos: To vlut this projt, svrl rports sriing th 7 yrs of fil xprin y th Fmily Hlth Unity Timo, in João Psso, PB, Brzil wr onsolit n nlyz. Rsults: A soilly rlvnt trining n intgrtion into primry hlth r, gtwy to th Unifi Hlth Srvi (Brzilin puli hlth systm), is shown to strtgy tht n hlp hiv th humniztion of th futur hlth profssionl s formtion. At th sm tim, profssionls who r lry working in th Fmily Hlth Tm riv uniqu opportunity to rflt on thir prti in srvi, n fin nw strtgis. Th ommunity ssist y th Tm lso nfits from th srvi improvmnts n xprin xhngs provi y isussion mtings with prtiipting unrgrut stunts, whih hs provi th ommunity mpowrmnt of thir rsponsiility in th hlth-iss pross. Conlusions: W liv tht th prsnt rsults init th orrtion n pttion of th propos strtgis in th pursuit of th humniztion of hlthr profssionls. Dsritors: Community-nstitutionl Rltions; hlth prsonnl; soft thnologis; ommunity; primry hlth r. Chrtriztion of usrs of Snt Mri Mior Continuous Cr Unit (CCU) n Soil Rspons ftr ishrg of usrs with rrovsulr int (CVA) Mri Riiro,, An Cruz, An Gonçlvs, Sóni Brnro, Lops Cntro Estuos Trnsisiplinrs pr o Dsnvolvimnto. Univrsi Trás-os-Monts Alto Douro. Vil Rl. Portugl. Uni invstigção pr o snvolvimnto o intrior. Gur. Portugl; nstituto Politénio Brgnç. Brgnç, Portugl Esol Suprior Sú o nstituto Politénio Brgnç. Brgnç, Portugl ntroution: Th strok is nurologil iss us y th sun rs in loo supply to prtiulr rin rgion. t is stt of mil mrgny n, in Portugl, is th ling us of th. Ojtiv: To intify th soil rsponss ftr ishrg of strok ptints. Mthos: A ross-stionl, quntittiv, osrvtionl n sriptiv stuy ws vlop. This stuy ws onut t Continuous Cr n Long Trm Mintnn Unit. A smpl of 222 ptints mitt ovr th prio Dmr 2008 to Novmr 2013 ws slt. Dt olltion ws m, using Gstr ntgrt Continuous Cr, in th lst qurtr of 2013, ftr uthoriztion grnt y th rsponsil Unit. Rsults: Of th 222 ptints, 79 wr mitt to th CCU with th ignosis of strok, noting this pthology prvln of 35.6% uring th nlysis prio. From th totl CVA ptints, th mjority wr ml (53.2%), liv in rurl rs (61.3%) n h fmily support (78.5%). Thir gs rng from 48 yrs to 95 yrs ol. Ptints ftr ishrg, h th following stintions: 25.3% wr trnsfrr to othr units to riv mor spiliz r; 24.1% ptints nroll in nursing hom; 13.9% rturn to th hom with fmily support; 8.9% ptints rturn to thir hom with support of hom r; 3.8% ptints wnt to fostr fmily n, th rmining (24,1%), i. Conlusions: Th fmily plys ky rol in supporting th ptint. Howvr, thr is lso th n for institutions n soil support srvis tht mt n omplmnt th ns of th ptint n fmily. Dsriptors: Strok, Crrovsulr int, Continuous r; Northst; Portugl. [email protected], [email protected], [email protected], [email protected], [email protected], f [email protected], g [email protected], h [email protected], i [email protected], j [email protected]. [email protected] 84

86 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Sxul ution n popl with intlltul isilitis in rsintil r: n xprin Rqul Corri, Mri Conição Olivir Assoição Portugus Pis Amigos o Cião Dfiint Mntl Cstlo Brno. Cstlo Brno, Portugl ntroution: Chilrn, young popl n ults with intlltul isilitis hv th right to riv informtion n support out sxulity, rltionships n rproutiv hlth. Ojtiv: This work sris sxul ution progrm vlop with popl with intlltul isilitis who liv in rsintil r. Mthos: Th progrm ws ompos y 10 wkly sssions n th thms wr fin ftr n iniviul intrviw on with ll th prtiipnts. Th mthoology us ws s on group ynmis, group isussions, rol-plys, quizzs n xplortion of mtrils. Th thms involv iologil spts lik th oy, moifition long th lifyl n rproutiv hlth, n rltionl spts lik flings, iffrnt kin of rltionships n iffrnt kin of wys to show fftion. Th prtiipnts wr 14 prsons with intlltul isilitis, ivi in two groups n with gs twn 17 n 41, 9 womn n 5 mn. Rsults: By th nlysis of th sssion s rports, it s possil to osrv tht th prtiipnts wr vry motivt n prtiiptiv, spilly in th sssions out th rltionl thms. Prtiipnts xprss intrst in ontinuing th progrm us thy oul lrify thir outs n mystify som wrong is. Conlusions: Popl with intlltul isilitis shoul hv th opportunity to nfit from sxul ution progrms, us thy r sxuliz iniviuls too. t s importnt to pply iffrnt n tiv mthos n us ssil lngug. As this popultion my prsnt grtr iffiultis in soil skills, it is ssntil to work furthr th rltionl spts. Dsriptors: hlth promotion; sxul ution; intlltul isilitis; ults; rsintil r. FACTORS ASSOCATED WTH ACCESS TO THE FAMLY HEALTH STRATEGY SERVCES Lilin Consolção Cmpos Riiro,, Rgin Lunri Roh,, Mri Ltíi Rmos Jorg,, Thmr Souz Cmpos,, Vlri Cristin Ll Btist, Univrsi Frl os Vls o Jquitinhonh Muuri. Tófilo Otoni, MG, Brsil Univrsi Frl Mins Gris. Blo Horizont, Brsil ntroution: Th im of th prsnt stuy ws to vlut ftors rlt to hlth srvis n fmilis ssoit with th rption/ss of hilrn g from zro to six yrs, in rltion to typ of hlth srvi of hoi. Mthos: A ross-stionl stuy ws prform of rnom strtifi smpl of 384 prnts n/or gurins of hilrn rgistr with fmily hlth tms, using th Primry Cr Assssmnt Tool (PCATool). Dsriptiv n univrit nlysis n multipl logisti rgrssion wr prform. Rsults: n trms of rption/ss it ws foun tht th mjority of iniviuls intrviw intifi fmily hlth tms s rgulr sour of hlth r for hilrn (77.6%). Thos tht rport gr of ffilition of 1 n 2 h n 89% lowr hn of sking fmily hlth r thn thos who rport gr of ffilition of 4 (p=0.000). Thos tht wr signt to riv fmily hlth r h n tims grtr hn of ssing suh hlth r thn thos who hos thir hlth srvi. Sik hilrn wr 64% lss likly to sk trtmnt from th Fmily Hlth Cr Strtgy in rltion to hlthy hilrn. Soil Clsss D/E h tims highr hn of using Fmily Hlth Cr, follow y Clss C, whih h 6.11 tims highr hn thn Clss A. Conlusions: Thr ws no signifint iffrn twn rption/ss to fmily hlth r in trms of th typ of orgniztion of th srvi. n onlusion, th prsnt stuy foun tht th soil onitions of fmilis most fft rption/ss to fmily hlth r. Dsriptors: rption, ss to hlth srvis; vlution of hlth srvis; fmily hlth; hilrn. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 85

87 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Lonlinss n prssion in th institutionliz lrly Mri Riiro,, Cristin Rorigus, Cláui Gonçlvs, Vnss Sous Cntro Estuos Trnsisiplinrs pr o Dsnvolvimnto. Univrsi Trás-os-Monts Alto Douro. Uni snvolvimnto o intrior. nstituto Politénio Gur. nstituto Politénio Brgnç. Portugl Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl ntroution: nstitutionliz lrly popl oftn xprin flings of prssion n lonlinss. Howvr, thr r strtgis to omt ths prolms llowing ttr qulity of lif. Ojtiv: To know th flings of th lrly in rltion to thir lif; To trmin th gr of prssion; To vrify if lonlinss is ssoit with prssion. Mthos: A ross-stionl, quntittiv, osrvtionl n nlytil stuy ws vlop. A qustionnir ws vlop ontining soio mogrphi qustions, th Gritri Dprssion Sl n th UCLA Lonlinss Sl. A smpl of 62 lrs (40 womn 22 mng twn 40 n 99 yrs) tht wr institutionliz t th Snt Cs Misrióri Vinhis ws ollt. SPSS 21.0 ws us to omput sriptiv sttistis n Sprmn orrltion tst. Rsults: t ws foun tht 46.8% of rsponnts h mort prssion n 45.2% h svr prssion. Thr ws no vin of minor prssion mong lrs. Th Sprmn orrltion tst show tht thr is signifint orrltion twn th Dprssion n Lonlinss (rho=0,472), this mns tht th orrltion is positiv n mort. Conlusions: nstitutionliz lrly prsnt mort n svr prssionlvls. Dprssion is, signifintly, ssoit with lonlinss.th rsults highlight th n to opt nw strtgis for hlthy ging, spifilly, strtgis to rs th lonlinss of th lrly. Dsriptors: Lonlinss; Dprssion; nstitutionliz lrly; Northst; Portugl. Efftivnss of utionl toy in hn hygin in hilrn of puli shool Almir A. Sntos,, Elin M.C. Wrrn,, An M. A. Bomfim, Pulo G. A. Clo, Grlo M. Tixir Univrsi Estul Ciênis Sú Algos. Algos, Brsil Hlth ution, Gms & Books. Brsil ntroution: Prsiti isss r rlvnt us thy prou orgni fiit in hilrn, sis ffting thir norml vlopmnt. Simpl msurs suh s wshing hns n rw foos, hv n fftiv in fighting inftions. Ojtiv: Th rsrh ims to ssss th fftivnss of n utionl toy s thing-lrning strtgy in hilrn 06 to 12 yrs of g, giving mphsis to hngs in hits in shoolhilrn. Mthos: Explntory rsrh, rlying on th skills ssssmnt, using th mol OSCE (Ojtiv Strutur Clinil Exmintion) whih hs s its si prinipls th osrvtion of stunt prformn on spifi tsks. Th OSCE ws strutur with two snrios, rproution of throom n of kithn. 91 stunts prtiipt in th first phs of this invstigtion, 62 of whih rpt th son phs. Th utionl rsour us in th survy onsist of oll wring kpk with ooklt ontining informtion on how n whn to wsh thir hns. Rsults: With rgrs to hnwshing t mltims, of th 62 sujts ssss 12.90% wsh thir hns prior to pplition of th utionl tool n 93.55% ftr pplition of th utionl tool, 9.68% wsh thir hns ftr using th throom, prior to th pplition of th tool n 85.48% ftr its pplition. Conlusions: t is onlu thrfor, tht th us of th utionl oll ws fftiv for quiring nw hvior onrning hn hygin for mls n ftr using th throom, promoting hviorl hngs intrfring irtly in th qulity of lif n promoting hlth, prvnting th ntroprsitoss infsttions. Driptors: Hlth ution; Eutionl tool; Thinglrning; Hlth promotion; Entroprsitosis. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 86

88 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth, Sph-Lngug Thrpy n Hlth Eution: (R)viw inirt intrvntion Ctrin Domingus,, sl Amrl, nstituto Sú Púli Univrsi o Porto. Porto, Portugl Esol Suprior Sú o nstituto Politénio Stúl. Stul, Portugl ntroution: Hlth, s omplt stt of mntl, soil n physil wll ing, n not just th sn of siss (WHO, 1946), rquirs multi ifrnit tion from th soity, so tht, in n inform, onsint n sustinl wy, throught tim, it will quir n/or kp qulity of lif. As n inirt intrvntion, Hlth Eution, s tool to vlop skills to hlthy hois, omplmnts th rsults of th irt ntrvntion, involving th svrl prtnrs in th thrputi suss. Ojtiv: Anlyz th work of Hlth Eution vlop in Portugl y Sph n Lngug Thrpists. Mthos: W intrviw 24 Sph Lngug Thrpists. ntrviws wr ontnt nlys n rsults n group in four thms: i) Trining; ii) Profssionl xprin; iii) Hlth; iv) nirt intrvntion n Hlth Eution. Rsults: Prtiipnts vlop tions tht fit in Hlth Eution, suh s: shring vrl n writtn orinttions, working with tm n oing tivitis to snsiiliz n inform th ommunity. Ths tions r filitt minly y th right skills n knowlg of th profssionls, whil th lk of humn n mtril rsours r onsir th mjor rrirs. Most prtiipnts ssum his/hr ontriut to Puli Hlth, rlting nirt ntrvntion to Hlth Eution. Conlusions: This stuy monstrts tht Hlth Eution is prt of th work of Sph n Lngug Thrpists, whos rogniz thir rol s utors for hlth. Dsriptors: Hlth, Sph n Lngug Thrpist, Hlth Eution, nirt intrvntion. Effts of physil tivity progrm in th workpl: Snittion Compny s stuy Pro G. Morouço,,, Dorvlin R. Silv, Fáio S. Dllot, & Vr Frrinho Cntro pr o Dsnvolvimnto Rápio Sustnto o Prouto. nstituto Politénio Liri. Liri, Portugl Esol suprior ução iênis soiis. nstituto Politénio Liri. Liri, Portugl Snmnto ntgro os Muniípios o Lis S. Liri, Portugl ntroution: Stuis ovr workpl physil tivity (WPA) progrms suggst numr of importnt vntgs for sponsoring orportions. WPA onsists in physil xriss rri out in th workpl, iming to nhn orrt postur n to ru th strin of rptitiv movmnts. Plus, it lso inus psyhologil strss rution n improvs th workrs qulity of lif. Ojtiv: Th im of th prsnt stuy ws to nlyz possil nfits inu y WPA intrvntion in snittion ompny mploys. Mthos: Twnty-svn mls with tiv working (.g., mintnn n oprtion) wr tst for n ftr 4 wks of 30 min ily sssion (t th ginning of th y with musultur wrm-up n prprtion for th working tivitis). Rsults: No iffrns wr osrv in oy mss, ut wr noti in improvmnt of shoulr rng of motion (Δ=+2.18±0.15m, p=0.004), flxiility of th hmstrings musls n lowr k (Δ=+3.18±0.76m, p=0.004), n hn grip strngth (Δ=+2.71±0.86, p=0.015). Conlusions: Rsults onfirm tht thr ws n inrs in funtionl ilitis of th mployrs. A workpl physil tivity 30 min sssion, on ily sis, my ru th risk of injury, prtiulrly whn its fous is to prpr for th workr tivitis. Compnis shoul inlu workpl physil tivity progrms iming to improv funtionlity of thir workrs. Dsriptors: xris; rng of motion; flxiility; strngth. [email protected] [email protected] [email protected] 87

89 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Projts of Hlth Eution in shool: From vlution to prti Mri Lonor Cost Dis Diáti Formção. Rmo Avlição. Agrupmnto Esols Visu Nort. Visu, Portugl ntroution: Th nlysis of th implmnttion pross of Hlth Eution in th Portugus shool rlity shoul involv ssssmnt prours tht ontriut to th optimiztion of qulittiv intrvntions. Ojtiv: n th light of this ssumption, with this ommunition w hv th mjor gol of issminting th min rsults n onlusions of th qulittiv rsrh ntitl Shool, Hlth n Soity: Evlution Stuis of Hlth Eution Projts, tht w hv rri out. Mthos: Th stuy fous on fiv Hlth Eution Projts (HEP) in progrss uring th mi yr 2009/2010. Th vlution hs n foun in émrh référntilistion, following Figri (1996). Thrfor, n Evlution Frmwork hs n lort with th purpos of hrtrizing rfrn prtis in wht onrns th pross of onstruting HEP, onsiring th prinipls of th Hlth Promoting Shools (UHPE, 2009; Nvrro, 1999). Rsults: Th fiv HEP show rfrn prtis in its ynmis. Howvr, only on projt rgistr th qulity ritri fin for goo projt. Bs on th litrtur n th t ollt w prpr th oumnt Rfrn prtis in HEP- Gui th implmnttion in shools onstituting n vlu in th implmnttion of HEP. Conlusions: Th stuy monstrts qulity of HEP, whih wr implmnt. Thus, inpnntly of th politil n onomi isions tht th Ministry of Eution might tk, it is lr thinking tht th HEP must sty strtgilly pl in shools, hlping to mng th unrtinty ftors of turulnt ontxt of ontmporry soity, n to fin solutions to th intgrl formtion of our tngrs. Dsriptors: Hlth Eution Projts; Evlution; Rfrn prtis. Most signifint soiliztion gnts in olsnt sxulity An Crto,, Mnul Alrto Moris Brás,, An Glvão, nstituto Politénio Brgnç. Brgnç, Portugl Dprtmnto s Ciênis Enfrmgm. nstituto Politénio Brgnç. Brgnç, Portugl; Núlo nvstigção ntrvnção no oso. Porto, Portugl Dprtmnto s Ciênis Soiis Grontologi. nstituto Politénio Brgnç. Brgnç, Portugl; Núlo nvstigção ntrvnção no oso. Porto, Portugl ntroution: Th tng yrs r stg of humn progrss whih is th trnsition from hilhoo to ulthoo. This uss in th young st of turulns, sri s momnt of grif us y th ispprn of hilhoo n th ritul of ntry into ulthoo. t mns prio of isovris of thir own limits n qustioning of vlus. So, it s tim of lrning n rupturs, stg hrtriz y th n for soil intgrtion, th srh for slf-ffirmtion n iniviul inpnn n sxul finition (Silv & Mttos, 2004). Th tngr, in th pross of volution, fs whirl of flings in n intns n vry inongrunt mnnr (Nsio, 2011). Sx ution is pross tht trmins th strutur n mturtion of th prsonlity of th iniviul, whih pns on th ultur in whih it is insrt. Ojtiv: ntify nurss opinion in th ontxt of primry hlth r on th most signifint gnt of soiliztion in olsnt sxulity. Mthos: sriptiv, trnsvrs n quntittiv stuy. A qustionnir ws ministr to smpl of 1735 nurss from vrious Portugus Hlth Cntrs. Rsults n Conlusions: Nurss rport tht th most importnt gnt of soiliztion in olsnt sx rols is th fmily (37,4%), follow y th pr group (34.2%). Chi-squr (P<0.01), w onlu tht th most importnt gnt of soiliztion in olsnt sxul rols is not signifintly inpnnt of g, mritl sttus, pl of rsin, qulifitions, spifi trining to l with olsnts out sxulity n y nurss. Dsriptors: Aolsnt; Sxulity; Sxul Eution; Soiliztion Agnt; Primry Hlth Cr. [email protected] [email protected] [email protected] [email protected] 88

90 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth SYMPTOMS AND DAGNOSS OF RESPRATORY DSEASE N ELDERLY PEOPLE - GERA STUDY Trs Plmiro,, oln Cirs,, Pro Mrtins,,, An Mns,, Amáli Botlho,, Nuno Nuprth,,f Cntro stuos s onçs ronis. Dprtmnto Fisioptologi. Ful Ciênis Méis. Univrsi Nov Liso. Liso, Portugl Srviço munolrgologi. Hospitl Don Estfâni. Cntro Hospitlr Liso Cntrl. Liso, Portugl nstituto Nionl Sú Dr. Riro Jorg. Porto, Portugl ntroution: Chroni rspirtory isss (CRD) r prvlnt worlwi, vn though CRD r not proprly stui on th lrly. Morovr ging is onsir risk ftor for poor prption of symptoms. Ojtiv: To ssss prvln of rspirtory symptoms n known ignosis of rspirtory iss in lrly popl living in nursing homs in Lison n Oporto. Mthos: Within th Phs of th GERA stuy 53 lrly r ntrs (ECC) 33 from Lison n 20 from Oporto wr slt through proportionl strtifi rnom smpling. From Sptmr 2012 to April 2013 ll th lrly from th slt ECC wr invit to prtiipt in th stuy. Aftr inform onsnt, Portugus vrsion of th BOLD qustionnir ws ministr y n intrviwr. Clinil fils from th prtiipnts wr rviw in orr to ollt informtion out CRD. A sriptiv nlysis of th t ws prform. Rsults: 931 out of 2,110 lrly prtiipt in th stuy (79% wr fml n th mn g ws 84.1±7.2 yrs). Rspirtory symptoms wr rfrr y 21% of rsponnts, of whih 55% h no ignosis of rspirtory iss. Aoring to th linil fils, 20% of th lrly h rgistrtion rspirtory iss. Ths lrly rport oughing, sputum n whzing in th lst 12 months only in 33%, 30% n 22% rsptivly. Conlusions: Ths rsults show possil unrignosis of rspirtory isss in lrly popl tht mphsiz th importn of ignosis n follow-up of rspirtory iss in lrly popl, prtiulrly rsints in ECC. Us of pulmonry funtion tsts oul fulfill this gp. Dsriptors: Elrly; rspirtory symptoms; rspirtory isss. Mrkrs of vulnrility for Bulimi n Anorxi: prptions of hlth profssionl Nthli Riiro Pinho Sous,, Frniso Rfl Arújo Rorigus,, Môni Tynr Muniz Frrir,, Ltíi Rii Mns,, Sylvi Christin Pinto Mrtins, Univrsi Frl o Crá. Fortlz, Brsil nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl ntroution: Th norxi n ulimi r ting isorrs roun fiv tim mor ommon in young ults. t is nssry n pproh ongrunt with mns (iologil, ulturl, soil n psyhologil) of popl living with ting isorrs. Ojtiv: ntify th mrkrs of vulnrility for Bulimi n Anorxi, from th prption of hlth profssionls. Mthos: Th stuy is sriptiv n xplortory. t ws onut in Cntr to Eting Disorrs in Fortlz, Crá, Brzil. W i no-strutur intrviws, with 12 hlth profssionls (ititins n psyhologists), in orn with th ritrion of thortil smpling. Th thil prinipls wr rspt. Th sphs wr sumitt to ontnt nlysis. Rsults: Th fmily onflits n sxul onflits, th low slf-stm n th strss in jo wr intifi s ntnts to illnss. Th strotyp n th uty onpt, fvor th rjtion of slf-img n non-ptn th ting isorr symptoms. Ths r most frqunt ostls to improving th hlth onition of ths popl. Th iffiultis in stlishing mpthy n trust with th hlth tm, tns to inrs th risk of non-omplin to trtmnt. Conlusions: Th soil influns r promotrs ngtiv hviors to ths isss. Th instrumntl support of th multiisiplinry tm is ssntil for soil ohsion in th r pross n ttr hrn to thrputi rgimn. Dsriptors: Bulimi; Anorxi; Fing hvior. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 89

91 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Prvntion of pthologil onlin gmling in olsnts Mri José Co Torij, Mri José Cstro Alij, José Miri Jiménz Pérz Fult Enfrmrí Vlloli. Vlloli, Spin ntroution: Gmling n onlin gmling hv risn shrply in rnt yrs n mor so in th olsnt popultion. n 2012 ovr 1 million onlin plyrs in Spin, with n nnul ost twn 500 n 600 uros wr ror. n Spin thr r 44 ompnis onlin tht offr iffrnt typs of gms, rprsnting 83% of th totl. Th impt of gmling ition mnifsts with srious soil n hlth prolms. Ojtiv: Dsign progrm of hlth ution in orr to prvnt onlin gming ition mong olsnts, n for thm to intify risky hviors. Mthos: Plnning progrm of hlth ution utionl strutur in 4 sssions of 50 minuts to 20 olsnts g in istrit of Vlloli uppr-mil lss who wr to onut n initil ssssmnt in whih intify olsnts t risk for pthologil gmlr, n finl vlution will tst th fft of th progrm. Rsults: Plnning ution progrm strutur in 4 sssions, h in whih th thniqu is sri: Brinstorming. Currnt sttus of onlin gmling; Tlk hlthy hits ; Rol plying; Tlk hlthy hits. Conlusions: Th pplition of hlth progrm in olsnts n voi in th futur pthologil gmling n ssoit prolms. With th initil n finl progrm vlution popl t risk n th fftivnss of th progrm will intifi. Dsriptors: Progrm; hlth ution; gmling; olsnt; onlin gm. RESPRATORY SYMPTOMS N ELDERLY WTH DEPRESSON AND/OR DEMENTA - GERA STUDY oln Cirs,, Trs Plmiro,, Pro Mrtins,,, An Mns,, Amáli Botlho,, Nuno Nuprth,,f Dprtmnto Fisioptologi. Ful Ciênis Méis. Univrsi Nov Liso. Liso, Portugl Srviço munolrgologi. Hospitl Don Estfâni. Cntro Hospitlr Liso Cntrl. Liso, Portugl nstituto Nionl Sú Dr. Riro Jorg. Porto, Portugl ntroution: Stuis sri hngs of motionl stt in ptints with hroni isss. t is known tht prssion tns to inrs with g n is risk ftor for mnti. This ssoition mks th lrly with rspirtory iss mor vulnrl. Ojtiv: To hrtriz rspirtory symptoms in lrly with prssion n/or mnti living in lrly r ntrs (ECC) in Lison n Oporto. Mthos: Within th Phs of th GERA stuy 53 ECC wr rnomly slt. From Sptmr 2012 to April 2013, w ppli Portugus vrsion of rspirtory BOLD qustionnir, MMS to ssss mnti n GDS-15 to ssss prssiv stt. A sriptiv nlysis of th t ws prform. Rsults: 931 out of 2110 lrly prtiipt in th stuy (79% wr fml n th mn g ws 84.1±7.2 yrs). Dprssiv stts wr foun in 59% of th lrly, mnti stt in 61% n oth in 39%. Only 18% show no hng in ths stts. Cough ws th most ommon rspirtory symptom, rport in 69% of rsints with prssion, in 67% with mnti, in 48% who h prssion plus mnti n in 11% without ny mntl hngs. Elrly with hngs in oth mntl stts rport oughing, sputum n whzing in th lst 12 months in 25%, 17% n 16% rsptivly. Conlusions: n gnrl, rsints of ECC with prssiv n mnti hngs h onsirl prvln of rspirtory symptoms. Cough ws th most ommon rspirtory symptom. Ths rsults show th importn of rspirtory symptoms for th ignosis n monitoring of lrly popl with omoriitis. Dsriptors: Elrly; rspirtory symptoms; mnti; prssion; omorility. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 90

92 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th nflun of Osttri Ftors in th Prvln of Brstfing: Wning Rsons Dolors Sro Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: WHO rommns xlusiv rstfing (EBF) for th first six months of lif to optimiz th hlth n th infnts vlopmnt. Portugl, Brstfing Rport 2012 inits: 65.2% o EBF to th ishrg n 26% o uring th first 4 months. To unrstn why mothrs stop rstfing w vlop this stuy in North of Portugl. Ojtiv: To intify th osttri ftors ssoit with wning n to rlt thm with th rsons for not rstfing ftr 4 months. Mthos: Quntittiv, ross-orrlt stuy. Nonproility, onvnin smpl (n=286). Dt olltion using strutur intrviw slf-rport t 4 months in postprtum. Rsults: W hv otin: 79.7% primiprous, 45.5% h norml livry n 20.3% h prvious rstfing xprin. All infnts wr rstf in mtrnity. Th wning rt ws 14% n 32.2% rsptivly in 1st wk n 4th month of hil lif. 74.8% rport to hv support uring this xprin. 57.3% h rstfing iffiultis rport to mothrs (ftigu, shllow nippls), hil (not wnt to rstf) n milk proution. Th rsons for wning wr rlt with: proution n qulity of milk (48.9%), iffiultis in hnl n suking y (23.9%), prolms with rst n nippl (17.3%) n with mothr onitions (9.7%). Anlyzing th osttri vrils (mothr prolms, numr of hilrn, wks gsttion, typ irth, sx n wight of nworn) only signifint ssoition ws foun twn wks gsttion n wning t four months (X2=13.971;p=0.003). Conlusions: Rsults nhn mor intrvntion of hlth profssionls to support rstfing. W n mor progrms to mystify th womn s lifs n mor prtiiption of fmily/ommunity. Dsriptors: Brstfing; Wning; Ftors. 3r yl stunts knowlg on ting violn: fftivnss of n ution sssion An Sors,, Céli Frrir,, Srin Couto,, Tâni Cssino,, Lili Sthi,f, Clmntin Goro,g, Hln Ctrino,,h Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Uni nvstigção m Sú. Liri, Portugl ntroution: Mny tngrs gin thir loving rltionships with xpttions of lov, frinship, sx n hppinss, howvr for som, my mt with violn or ggrssion (Olivir, 2004). Ojtiv: This rsrh ims to ssss stunts knowlg on ting violn; to vlut th stunts prtis n hviours in ting; to intify th stunts lifs n myths out lov; to vlut th fftivnss of hlth ution sssion onrning violn on ting. Mthos: This is quntittiv, qusi-xprimntl, prtst post-tst stuy, without ontrol group, ppli on onvnin smpl of 74 stunts. Two qustionnirs ompos y th Sl of th Myths on Lov (Pérz t l, 2007) vlit for th Portugus popultion y Ctrino t l (2010) n th Sls of Prtis n Bhviours on Violn n Knowlg out Dting Violn (Dix t l, 2010) wr ppli (for n ftr th ution sssion). Rsults: Most stunts o not prsnt prtis n hviours of violn on ting (68%). Aftr th sssion, on vrg, th stunts rfrr st prtis n hviours out violn in th ting. Also, thy prsnt protiv ttitu towrs violn on ting. Th stunts knowlg inrs (M1=35.5±6.5; M2=40.4±5.5), n thr wr sttistilly signifint iffrns twn th lvl of knowlg for n ftr th sssion (Z=-6.969; p 0.05). Conlusions: Hlth ution is n importnt tool for prvntion n hlth promotion, whih shoul ris in popl s ttitu to think n rthink thir hits n lifstyl n l thm to moify thir nvironmnts to ru thir vulnrility n improv thir qulity of lif. Dsriptors: Aolsnt; knowlg; violn; fftivnss; ution. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 91

93 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Foo intk of prgnnt olsnts ttn t hospitl-shool in Colomo, PR, Brzil Gisl P. Rymuno, Julin Cputo Pontifíi Univrsi Ctoli o Prná. Brzil ntroution: Aolsnt prgnny is onsir risk onition for svrl rsons. Th young womn shoul hv n qut it for hr own vlopmnt n for th hlthy growth of hr offspring. Ojtiv: Sin foo intk uring olsn n uring prgnny is highly rlvnt, urrnt rsrh lints th soil n onomil sitution, shooling, foo intk n it qulity of olsnt prgnnt womn ttn t hospitl-shool in Colomo, PR, Brzil. Mthos: Th mil rors of 39 ptints who prtiipt in th Hlth Promotion for Prgnnt Aolsnts projt of th Hlth Allin wr vlut. Th projt involv th Phrmy, Psyhology, Nursing, Soil Srvi, Miin n Nutrition Courss. Rsults: Rsults show tht 46% of prgnnt olsnts wr twn yrs ol n 54% wr twn 16 n 19.9 yrs ol. Most long to soil lss C n 23% n 77% h high n junior shool rtifit, rsptivly. Dit prov to nutritionlly imln sin soil n onomil onitions impir ss to informtion. All prgnnt olsnts wr shool y riving informtion irtions, utionl lflts n linil orinttions y profssionls from th ourss ov. Conlusions: Du to onstnt lk of propr it, nutritionl follow-up of th olsnts is rquir, spilly uring th pr-ntl prio so tht stisftory rsults my otin without impiring th tngrs physil vlopmnt. Dsriptors: Tn prgnny; Nutritionl profil uring prgnny; Foo intk y prgnnt young womn. Mothrs prption with rgr to r in th introution of supplmntry foo Gisl P. Rymuno, Anrss Nrlli, Amn K. Mllo, Jnin T. Crvlho Pontifíi Univrsi Ctoli o Prná. Brzil ntroution: Th Worl Hlth Orgniztion rommns xlusiv rst-fing in th first six month of hilrn s lif. At this point, most rst-f hilrn rh gnrl n nurologil vlopmnt whih mk thm pl of intking iffrnt sort of foo n thus omplmntry foo shoul suppli progrssivly. Ojtiv: Currnt rsrh nlyzs knowlg of purprs on th introution of supplmntry foo to rstf hilrn. Mthos: Currnt xplortory n sriptiv stuy fturs smpl of 51 purprs hospitliz in mtrnity hospitl in Colomo, PR, Brzil. nlusion ritri ompris womn ovr 18 yrs ol, without ny osttri omplitions, n with liv-orn offspring. Knowlg ws vlut y qustionnir n t wr sumitt to sttistil nlysis. Rsrh ws pprov y th Committ for Ethis of th PUC-PR, Brzil. Rsults: 95.7% stt tht nwly-orn hilrn shoul not quit rst-fing ftr supplmntry fing. Most mothrs woul giv sort of msh ml to thir sixmonth-ol hilrn; ftr 12 months, thy woul strt giving soli foo n inustriliz fings. Furthr, 78.43% of th mothrs h only n vrg i on supplmntry fing. Aftr th intrviw, th mothrs wr inform on th strt of supplmntry foo n utionl lflts, prpr y th uthors, wr hn out. Conlusions: Mothrs hv mny outs on supplmntry fing n hlth profssionls shoul vlop utionl prtis to inform thm of th importn of hlthy fing. Dsriptors: Supplmntry foo; Foo introution to rst-f hilrn; Nutrition to rst-f hilrn; Foo for rst-f hilrn. [email protected] [email protected] [email protected] 92

94 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth PRENATAL HEALTH EDUCATON: THE NURSNG ACTON N BRAZLAN COMMUNTY Tigo Sous Brros,, Sofi Mors Arnlo,, Soni Smr Fons Moris,, Elizin Brg Rorigus Brnro V,, Krin Cstro Bzrr V,, Jmilly Fitos Torrs,f, João Pulo Xvir Silv,g Univrsi Frl Prnmuo. Brzil Univrsit Spinz i Rom, tly Univrsi Estul o Crá. Brzil V Univrsi Frl o Crá. Brzil ntroution: Consiring th importn of prntl r for mtrnl n ftl hlth n s on oth: rlity of Womn n Fmily Hlth Strtgy (FHS) w noti th n of to rry out projt tht woul llow intrvntions n utionl tivitis fous on womn, origint from ttion of th min iffiultis nountr in hlth ution. Ojtiv: This stuy im to ontriut in uil lrning pross to prgnnt womn insi Brzilin ommunity. t works y rmoving out outs n uriositis uring prgnny, hilirth n postprtum through utionl nursing intrvntions. Mthos: This is sriptiv stuy with qulittiv pproh, whr wr prform filworks. Th stuy ws onut in th City of Juziro o Nort, CE, Brzil, from Sptmr 2013 to Dmr 2013 with th prtiiption of 12 prgnnt womn. Rsults: Th prtiipnts wr intrviw out th iffiultis n ilmms for prtiipt in hlth utionl progrms in hlth. Thn, isuss th importn of prntl onsulttions n prtiiption in hlth ution tivitis, whih h lr outs n uriositis out ll hngs uring th prgnny, thus rmoving frs n tnsions. Conlusions: Wr onlu tht whn th intrvntion in hlth ution is vlop in ynmi n prtiiptory mnnr whih whr th informtion xhngs ours to irt to tht spifi uin, it filitts th prtiipnts lrning pross of prtiipnts n ontriuts to improvs th grtr ommunity hrn to th futur utionl prtis tht my futur prform. Dsriptors: Nursing, Womn s Hlth; Prntl r; Hlth ution; Fmily Hlth. Lov & Violn on ting: prsptiv of th Aolsnts Hln Ctrino, Mri os Anjos Dix Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Portugl ntroution: Th violn in romnti rltionships is not rstrit to th rltionship twn ult n mrrig, inrsingly frqunt ts of violn in olsn n rly romnti rltionships mong olsnts (Almi, 2008). Ojtiv: This rsrh ims to intify th olsnts myths ssoit to romnti lov n hrtriz thir hviours towrs violn in ting. Mthos: This sriptiv stuy ws vlop in non-proilisti onvnin smpl of 289 olsnts (52.2% of oys n 47.8% of girls) with n vrg 14.5 (±.7) yrs. A qustionnir ompris y soio-mogrphi n ting qustions n th Sls of Bhviours in sitution of Violn (Dix t l, 2010) n Myths Rlt to Lov (Ctrino t l, 2011) ws ppli. Rsults: Among th tngrs, 17% of thm wr ting (M=4.7; ±7 months) 2.8% rport hving n vitim of violn in ting n 20.1% of thm rport knowing frin who hs xprin ting violn situtions. Th t rvl tht 26.6% of tns on t know how n who to sk for hlp, whih is lowr rtio ompring th vlu (38%) point y th Ntworks Knowlg (2011). Mostly young popl rvl protiv hviours on situtions of ting violn, us 75.8% liv, 90.7% vis n 88.9% hlp. Morovr, minority ritiiz (10%) n i nothing (4.2%). Rgring th myths out lov, on vrg, th highst lvls of grmnt r ssoit with romnti lov n th lowr r ssoit with violnt hviours. Conlusions: Ths finings prov tht th implmnttion of pr ution progrm n tool to rss ting violn. Dsriptors: Aolsnts; ting; violn; myths; hviours. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] 93

95 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth KNOWLEDGE TO NTERVENTON N LFESTYLES ON HOTEL WORKERS sl Silv, Clmntin Morn, Otíli Frits, Grgório Frits Univrsi Mir. Funhl, Portugl ntroution: Th lifstyls fft th hlth of iniviuls n onstitut thmslvs s nits for ontrol n moifition. Know thm susiizs nursing intrvntions promoting hlth, spilly in th work nvironmnt. Ojtiv: Dsri th lifstyls of hotl workrs; Dignos n prioritiz ns, pln-nursing intrvntions promoting hlthy lifstyls. Mthos: W us th mthoology of plnning in hlth. For hlth ignosis, w pro to sriptiv stuy on workrs (194) of hotl group in Mir sln, Portugl. Th t ollt inlu soiomogrphi qustions n th pplition of th moifi sl Lifstyl FANTASTC (α=0.69 in vlit for th Portugus popultion y Anz, Kings n Ptroski, 2008 rls). Th prioritiztion ws vlop tking into ount th rommntions vot y hlth n plnn intrvntions wr rss to prioritiz ns. Rsults: Th prtiipnts, mostly fml gnr (59%), with min g of 42 show th finl sor tht points to hlth hviours of vry goo (50.5%) n goo (37.4%) lvl. Howvr thr ws n to pln intrvntions in priority rs suh s xris, nutrition n rgonomis sin 46.9% of th popultion rvls low lvls of physil tivity, 64.1% rport tht it mks ln it rgulrly n 55, 1% rfrs to th positions not usully pply th pproprit oy to th tsks thy prform. Conlusions: Although th glol sor of lifstyls vining propr influn or mny hlth nfits, th rsults lso monstrt th n to intrvn in promoting physil tivity, nutrition n rgonomis. Ar ongoing intrvntions to mt th prioritiz ns. Dsriptors: Hotl workrs; Lifstyls; ntrvntions. DAGNOSS OF LFESTYLES OF ADOLESCENTS N MDDLE SCHOOL sl Silv, Clmntin Morn, Otíli Frits, Grgório Frits Univrsi Mir. Funhl, Portugl ntroution: Hlth hviors r th rsult of iniviul hois, influn y soil groups. During olsn, stp of quiring vlus, is stlish opportunitis for moling hviors. Th hlth ution nls popl to ttr mng n ontrol thir wllnss. Ojtiv: to ignos th lifstyls n implmnt intrvntions promoting hlthy hviors in olsnts. Mthos: A prsptiv of tion rsrh vlop sriptiv stuy in shool in Mir (Portugl) to ttn th 5th n 6th yr, y qustionnir pt from th Hlth hvior in shool-g hilrn (WHO) ftr prtst. Th popultion ws 270 stunts. Rsults: 31.4% is lowr thn th rushing hits rommn;71.8% hngs th rush tth uppr 3 months; 82% o not us or us ntl floss somtims; ily intk: 32.3% o 3 mls; 35.3% onsum rfrigrnts on or mor tims; 51.3% i not onsum rw vgtls; 60. 9% i not onsum ook vgtls; 28.1% o not t fruit; 42% o not t mt, fish or ggs; 58.5% i not onsum lgums; 31.4% n 25.6% onsum swts pstry on or mor tims; 25.2% onsum fri slt or on or mor tims; 23.6% rink off on or mor tims; 11% x ovr 5 hours of ily tlvision n 20% oupis 2-3 hours with ltroni gms; Consumption of psyhotiv sustns: 3% too; 6% lohol;1% loom or nnis n 7% ws init to rug. Conlusions: th rsults xprss th prioritis for tion in this ontxt. n prtnrship, spifi ojtivs wr outlin n sign intrvntions to implmnt in th nxt shool yr. Dsriptors: Hlth hviors; Aolsnts; Hlth promotion. 94

96 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Risk ssssmnt to Hyprtnsion in working popultion in th ity of São Pulo Susi Mry Souz Frnns, Eli Simioni Aru, Er Pininto, Erio Cprutto, Fino Fons, Mg Mht Phliy f, Soni Cvlnti Corrê g Cntro Ciênis Biológis Sú. Univrsi Prsitrin Mknzi. São Pulo, Brzil ntroution: Hyprtnsion is multiftoril linil onition onsir risk ftor for omplitions in ult hlth. n most ss it is symptomti n ignosis is nglt. Ations im t th rly intifition of hyprtnsion n hrn to trtmnt r importnt for th prvntion of hroni isss. Ojtiv: Risks ssssmnt to hyprtnsion in mploys of n utionl institution in th ity of So Pulo. Mthos: Cross-stionl stuy whih proposs multiisiplinry ssssmnt of 10 physil pritors of hyprtnsion. Dt ollt inlu: g, fmily history of isss, igrtt smoking, lohol onsumption, oy mss inx, wist irumfrn, loo prssur, it, 6-minut wlk tst; ntrntionl Physil Ativity Qustionnir (PAQ). Th prsn from of th vlut itms wr hrtriz s high risk, mium risk, 0-01 low risk. Th prtiipnts wr orint n inform out th risk ftors foun. Rsults: 124 prtiipnts wr vlut. Only 41 (33%) omplt ll stgs, 60.98% fml n 39.02% ml, mn g (±8). 12.2% (n=5) wr tgoriz s high risk, 85.4% (n=35), mium risk n 2.4 % (n=1) low risk. Non of th stui prtiipnts rport hyprtnsion mil ignosis. Th most importnt ftors influning th risk wr rlt to lifstyl. Conlusions: Th ssssmnt ws fftiv in th rly intifition of risk ftors fvoring th trgting of prvntion hyprtnsion. Th ontinuity of th projt shoul inrs mploy prtiiption n ontrol of ths risk ftors. Dsriptors: Hlth Eution; Hyprtnsion; Hlth Bhvior; Workrs. Risk ssssmnt for ouptionl isss oring to th ntrntionl Clssifition of Funtioning, Disility n Hlth Susi Mry Souz Frnns, Dnis Louriro Vinn, Jnin Mnziri Pro, Gisl Ros Frno Slrno, Étri Rorigus, Mrlo Frnns f, Zoj Grini g Cntro Ciênis Biológis Sú. Univrsi Prsitrin Mknzi. São Pulo, Brzil ntroution: Ouptionl Disss r prvlnt o moriitis in th working popultion. Multiftoril in origin rviw tht mts th iopsyhosoil mol propos y WHO my st hlth strtgis t iffrnt lvls of r. Ojtiv: Dvlop mol of mplifi ssssmnt tht orrspons to th omins propos y CF. Mthos: 33 mploys from th ministrtiv prtmnt of privt univrsity in th ity of São Pulo wr vlut in thr stgs for susqunt lssifition. To rspon to th omin strutur n funtion of th oy of qustionnir on soiomogrphi n hlth onitions n th prsn of pin n isomfort skltl musl ws us. For th omin of tivity n prtiiption us th WHODAS 2.0. An to rspon to th nvironmnt omin ws rt th jo through th Moifi Chklist Couto. Rsults: 33 sujts wr vlut (70% womn n 30% mn with mn g of 38 yrs) 50% of th sujt rport mil isomfort in olumn (s760.1), 23% in uppr lims (s760.1) n 27% h no omplints. Most prt of th prtiipnts wr physil tiv n h no omplints in itms rlt to oy funtions, ily lif n prti tivitis. Th worksttions wr onsiring rrirs to th optiml work prformn. Conlusions: Th mplifi ssssmnt llow rlil invstigtion of isilitis n isvntgs. Clinil finings hv no impt in funtions n prtiiption, whih justifis prvntiv strtgis in th worksttion. Dsriptors: Hlth Evlution; ntrntionl Clssifition of Funtioning, Disility n Hlth; Ouptionl Disss; Progrm of Risk Prvntion on Working Environmnt. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 95

97 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Long-trm fftivnss of hlth ution progrm in surity gurs: 12-months follow-up stuy Susi Mry Souz Frnns, Dnis Louriro Vinn, Jnin Mnziri Pro, Gisl Ros Frno Slrno, Étri Rorigus, Mrlo Frnns f, Zoj Grini g Cntro Ciênis Biológis Sú. Univrsi Prsitrin Mknzi. São Pulo, Brzil ntroution: svrl hlthy progrms r props to improv workrs hlth; howvr, thy o not motivt thm to opt lifstyl tht nourgs wllnss, n sns of prsonl rsponsiility for hlth. Ojtiv: To promot sns of prsonl rsponsiility for hlth n nourg th option of hlthy lifstyl in surity gurs of n utionl institution in So Pulo ity. Mthos: follow- up stuy of 12 months, us mogrphi qustionnir, gnrl hlth n oy postur opt y REBA mtho Assmnt Worksht. ntrvntion onsist of 2-wk shool-s posturl ution progrm (th sujts wr orint n nourging to opt posturl hngs uring work tivitis n rgulr physil tivity in th workpl) implmnt y physil thrpist. At th n of th stuy, th prtiipnts wr rssss n trining frquny ws invstigt y ontrolling th nrollmnt n ttnn. Rsults: 55 prtiipnts ml, (36 mn g, oy wight 70.5 kg, hight 1.72 m, n 6 yrs n 2 months in workr) opt upright stning postur for 6 hours n 30 minuts pr y. Th REBA sor hng from 81.9% to 90.2% (p=0.04) for low risk lssifi s ngligil 1.8% to 9.8% (p<0.01) ftr th intrvntion. Physil tivity inrs from 40% to 63.6% t th n (p<0.01) of th progrm. Conlusions: Th progrm ws fftiv to vlop sns of prsonl rsponsiility for hlth n motivt hlthy lifstyl in surity gurs of n utionl institution in th ity of So Pulo. Dsriptors: Hlth Eution; Hlth Bhvior; Workrs. Soiomogrphi hrtriztion of iti ptints ssist in primry r Ev Mnino, Mri os Anjos Dix, Mri Clriss Louro Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: t is ssntil to unrstn th soiomogrphi hrtristis n history of th onst of its in iti ptints, oth for intrvntion or rsrh purposs. Ojtiv: To hrtriz th mogrphi t n its history of th iti monitor in primry hlth r uring 2013, in 9 hlth units from group of hlth ntrs (ACES) in Portugl. Mthos: Dsriptiv stuy with 129 usrs with its intrviw uring th routin its ppointmnts. Rsults: Th smpl unrstuy is ompos y 49.6% mls n 50.4% fmls, with n vrg g of 67.6 (SD=8.8). Most ptints r mrri (79.5%) n hv 4 yrs of ution (primry shool) or lss (85.9%), mong whih 7.0% r illitrt or unl to r or writ. Rgring th finnil sitution, most (58.3%) rport hving nough for thir ns. On vrg, mn hv prsnt its for 9.9 yrs (SD=8.4) n womn for 8.0 yrs (SD=6.4). Th g of th ptints whn typ 2 its ws ignos ws on vrg 58.0 yrs ol (SD=10.3) for mn n 59.1 (SD=12) for womn. Th ptints hv n mit with orl ntiiti thrpis, on vrg, for 8.5 yrs (SD=7.1). Conlusions: Ptints with typ 2 its trt t th ACES ntrs h mn g of 67.6; wr mostly fml n h 4 yrs of shooling or lss. Both gnrs h its for ovr thn 8 yrs, on vrg. With th prsnt t, intrvntion projts n rwn, prtiulrly for spifi groups. Dsriptors: puli hlth; hlth ution; its mllitus; hroni iss; ignosis. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] 96

98 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth profil of itis ssist in primry r Ev Mnino, Mri os Anjos Dix, Mri Clriss Louro Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: Ptints with Dits mllitus typ 2 gnrlly vlop rlvnt ut n hroni omplitions, oth from iniviul n soil point of viws. Thrfor, th mtoli ontrol n mngmnt of ths isss r ruil for prvnting furthr omplitions. Ojtiv: To hrtriz th hlth profil of typ 2 iti ptints ssist in primry r filitis, uring Mthos: Simpl sriptiv stuy rri out with 97 iti of oth gnrs, with mn g of 67.6 (SD=8.9). Rsults: A prntg of 54.7% ptints rport no hlth prolms othr thn its. Convrsly, ostortiulr n riovsulr prolms wr th most rport y th rsponnts, who suffr from hlth prolms, othr thn its. Aitionlly, whrs 92.7% of th itis us orl ntiiti thrpy n only 7.3% us n ssoition twn insulin n orl ntiiti thrpy. Rgring th mn vlus n stnr vition (SD) of th nthropomtri n nlytil prmtrs th following rsults wr otin: systoli loo prssur -144 mmhg (SD=18.5), istoli loo prssur -81 mmhg (SD=10.8); wist irumfrn -103 m (SD=10.3); glyt hmogloin -6.8 (SD=1.2), oy mss ínx (BM) -9.6 (SD=3.8). Conlusions: Th stuy rvls n unstisftory ontrol of loo prssur, BM n wist irumfrn, lthough glyt hmogloin is, on vrg, within rommn limits. Hn, qut strtgis for mtoli ontrol n slf-mngmnt of th iss shoul vlop. Dsriptors: puli hlth; ults; its mllitus; iss mngmnt; hlth promotion. Prour of Nursing n Dntistry in th infnt r: A litrtur rviw Cristin Mlo Silv Sntos,, Mri Lúi o Crmo Cruz Rozzi,, Lnir Mri Wnrly os Sntos,, Mári Tls Olivir Gouvi V,, Eliny Prisill Bzrr Fiélis,, Mríli Alonso Piv Silv,f Univrsità gli Stui i Rom Tor Vrgt. Rom, tly Univrsi São Pulo. Brzil Esol Enfrmgm Frmái. Univrsi Frl Algos. Brzil V Univrsi Frl Prnmuo. Brzil ntroution: Th prti n urtion of xlusiv rstfing up to six months of lif th infnt is xris of los rltionship twn rstfing n th nutritionl, immunologil n th stomtognthi systm of hil vlopmnt. Furthr, stimults physil n psyhologil intrtion twn mothr n hil. Th rst milk ontins immunologil sustns tht prott infnts ginst tril inftions of th gstrointstinl systm, polio, llrgis, osity n rtin mtoli isss. Th prsn of rstfing inrss th hn of th hil proprly vlop thir orl skills, whrs with ottl fing, rss th numr of suks hving not only rution of motor stimultion, s wll s grtr liklihoo of vloping orl isss suh s rly hilhoo ris. Ojtiv: Anlyz th xisting sintifi litrtur on th importn n intrvntion of nursing n ntistry in rstfing in puli hlth. Mthos: Litrtur rviw on th tss of Lils, SiELO n PuM, twn , from th following sriptors: rstfing, infnt, puli hlth n stomtognthi systm. Rsults: Wr foun 46 rtils, ut 17 ompos th smpl. Th slt rtils show tht rstfing is ftor of grt importn in th stomtognthi n nutritionl mturity of th hil. Conlusions: Hving th sn of rstfing, th hns of hving physiologil hngs in norml motor vlopmnt of infnts r inrs signifintly. Dsriptors: Brstfing, nfnt; Puli Hlth; stomtognthi systm. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 97

99 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Boy omposition ssssmnt in Liri s 7TH grrs 5 yr omprison ( ) Luís Colho,,, Nuno Amro,, Rui Mtos,,, Nuno Sntos,, Ctrin Litão,, Pro Morouço,,f, João Cruz,g Rsrh Cntr for Humn Movmnt Sins. nstituto Politénio Liri. Portugl nvstigtion Cntr in Lif Qulity. nstituto Politénio Liri. Portugl Cntr for Rpi n Sustinl Prout Dvlopmnt. nstituto Politénio Liri. Portugl ntroution: Th ssssmnt of oy omposition in hilrn hs tkn on grtr signifin us of th n to stuy th prvln of osity in hilrn n youth n hngs ovr tim in givn popultion. Ojtiv: Th im of this stuy ws to vlut th vrition ovr tim of oy omposition in young olsnts, n ompr rsults twn sxs. Mthos: A totl of 654 7th grrs wr monitor ovr 5 yr prio in Liri. Hight (H), wight (W), ft mss % (FM) n wist irumfrn (WC) wr ss. Rsults: Ovrll, no sttistilly signifint iffrns wr foun for H, FM n WC vrgs pr yr. Sttistilly signifint iffrns wr foun for W, twn th yrs 2010 n 2013 (p=0.006) (2009=50.5kg±12.7; 2010=53.0kg±11.8; 2011=51.6kg±10.7; 2012=49.5kg±10.3; 2013=48.1kg±8.4). Filtr y sx, sttistilly signifint iffrns wr foun for W (2009=50.0kg±14.5; 2010=53.7kg±13.1; 2011=53.4kg±10.7; 2012=50.8kg±12.4; 2013=48.8kg±8.5; p=0.032) n FM (2009=14.1%±8.0; 2010=16.9%±7.8; 2011=15.7%±7.6; 2012=15.4%±7.9; 2013=23.5%±6.6; p=0.000) for oys. Girls W (2009=51.0kg±10.2; 2010=52.0kg±9.9; 2011=49.4kg±10.3; 2012=47.9kg±7.0; 2013=47.0kg±8.2; p=0.031) n FM (2009=23.9%±6.9; 2010=25.1%±6.7; 2011=22.6%±8.7; 2012=22.5%±6.3; 2013=14.2%±6.2; p=0.000) wr signifintly iffrnt. Conlusions: Boy omposition in ths spifi popultion hs mintin rthr stl, with vry similr rsults for th lst 5 yr prio, xpt for Howvr, if t is omput without sx iffrntition, wrong intrprttions r m. W in t fin signifintly iffrns for FM whn ll t wr put togthr, ut whn sx is tkn into ount, for 2013, w oul s oys ing fttr n th opposit for girls, with sttistilly signifint iffrns. Dsriptors: Boy omposition; Ft mss; Wight; Wist irumfrn; Chilrn s hlth. Prnting in th first yrs of hil s lif: rs of nursing intrvntion Mri Su Olivir Custóio Lops,, Filip Dnil Olivir Custóio, Figuiro Lops, Esol Suprior Sú. nstituto Politénio Liri. Portugl Cntro Hospitlr o Ost. Portugl ntroution: Prnting involvs omplx st of rsponsiilitis tht must unrstoo y prnts n support y profssionls. Thy fit into fiv funtionl imnsions. A stuy, whih h nonproility smpl of 1,011 prnts of hilrn unr g thr yrs, show th n to support prnts in ll itms of prnting s imnsions. So, it woul nssry to know if ths itms wr onsir rs of nursing intrvntion. Ojtiv: This stuy im to trmin rs of nursing intrvntion in prnts support. Mthos: Th 25 itms, istriut ovr 5 imnsions, whih msur th prnts n of support, wr onsir group of qustionnir with two groups of qustions. Th son group ws us to hrtriz th 43 xprt nurss rprsnting ll hlth rgions of Portugl who form th nonproility smpl this sriptiv stuy. Rsults: All itms of th fiv imnsions wr onsir rs of nursing intrvntion. Th gr of prtiipnts grmnt rng from 93% n 100% in th itms of thr imnsions (Th hil s physil ns; th hil s sfty; n positiv ommunition with th hil), from 95% n 97% in th itms of th imnsion vlopmnt n stimultion of th hil n from 88% n 95% in th imnsion positiv isiplin. Conlusions: Th rsults show rs of nursing intrvntion s on th prnts ns. Th knowlg of ths rs will ontriut to gui th nursing support n for trining mor irt to th ns of th popultion n mor proutiv rsrh. Dsriptors: Chil; hil rring; prnts; prnting; nursing. [email protected] [email protected] [email protected] [email protected] trin.litã[email protected] f [email protected] g [email protected] [email protected] [email protected] 98

100 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Non-stroil nti-inflmmtory rugs (NSADs) pttrn us in ntrl rgion of Portugl Crin Montiro,, CláuiMirn,, Filip Brito,, Anré R.T.S. Arujo,, Esol Suprior Sú. nstituto Politénio Gur. Portugl Uni nvstigção pr o Dsnvolvimnto o ntrior. nstituto Politénio Gur. Portugl ntroution: Non-stroil nti-inflmmtory rugs (NSADs) r mong th most wily us of ll thrputi gnts. n spit of thir thrputi ffiy, onrn ovr th wispr us of NSADs is lrgly rlt to thir si-ffts in iffrnt orgni systms. Ojtiv: Th prsnt work intns to hrtriz th pttrn of onsumption of NSADs y th ult rsints in th istrits of Aviro, Visu, Gur n Cstlo-Brno, s wll s to ssss th promotion of th rtionl us of ths rugs y hlth profssionls. Mthos: Th stuy is sriptiv, trnsvrsl n quntittiv, in whih it wr onut 450 survys y qustionnir twn Otor n Novmr of Rsults: Th mjority of rsponnts r fml (63%), g twn 18 n 29 yrs (39%), living in urn rs (66%) n with th sonry ution (33%). Th prvln of NSADs us in th lst 6 months ws 58%, whih 42% rport to us iuprofn. Th slf-mition ws 58%. Most of NSADs usrs onsir thm fftiv n prsnting rmrkl sfty profil n rfrr s min inition th hhs. Of th rsponnts who r tking othr miins t th sm tim (n=100), 42 show rug intrtions. t ws lso foun tht 29% of rsponnts nvr or rrly riv ounsl from profssionls. Conlusions: Tking in onsirtion th high onsumption, th sy-ss n th wrning finings, it is worth to vlop strtgis to minimiz th ssoit risk with th us of NSADs, fous on r-ution of th popultion, s wll s strssing th importn of th onsulttiv rol of th hlth profssionls. Dsriptors: Nonstroil nti-inflmmtory rugs (NSADs); Phrmopimiology; Rtionl us of rugs; Slf-mition; Hlth profssionls. Attitus towrs onsumption, ryling n potntil of rutiliztion of miins Cristin Lournço,, Mur Tvrs,, Ptríi Frrir,, João Litão,,, Pul Coutinho,,, Anré R.T.S. Arujo,,f Esol Suprior Sú. nstituto Politénio Gur. Portugl Uni nvstigção pr o Dsnvolvimnto o ntrior. nstituto Politénio Gur. Portugl ntroution: Th rmrkl inrs onsumption of miins ovr th yrs l to n inrs of th wst ssoit to miins out of us n thir pkging. Ojtiv: This work of invstigtion hs n on in Bir ntrior, in th istrits of Cstlo Brno, Gur n Visu, n it ws im to vlut th onsumption n ryling ttitus rlt to miins. Mthos: 360 survys wr onut y qustionnir, using th mtho of onvnin smpling twn Otor 2012 n Jun Rsults: Th grt mjority of th smpl r fml (68.9%), 78% is twn th 18 n 50 yrs ol group n 69.9% of thm hv mi qulifitions up to Sonry Eution. t ws foun tht th mjority quir nlgsi n nti-inflmmtory rugs (62.8%), n 76.1% quir th ll miins prsri y th physiin. This group of rsponnts still ffirms to quir most miins in orr to hv thm t hom orrsponing to 12.2% of th popultion, whih in turn gnrts highly signifint volum of miins with pss xpirtion ts, rprsnting 66.1% of th popultion. Conlusions: W onlu tht th xistn of unus miins within th xpirtion t potntits rus progrms of miins. On th othr hn, th xistn of grt numr of miins out of us lrly point out th nssity of ryling this vst volum of mition n thrfor rinfors th priority of pting th olltion, th trig n th ryling systm to th ttitus of th popultion. Ths rsults justify ll th prsnt stuy n th furthr vlopmnt in progrss. Dsriptors: Miins; Ryling; Rus; Consumption; Attitus. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 99

101 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth mpt of wlking progrm on typ 2 Diti sujts João R. Cruz,, Ctrin Litão, Luís Colho,, António Esprnç, Pro Morouço,, Rui Mtos, Rsrh Cntr for Humn Movmnt Sins. nstituto Politénio Liri. Portugl nvstigtion Cntr in Lif Qulity. nstituto Politénio Liri. nstituto Politénio Sntrém. Portugl Cntr for Rpi n Sustinl Prout Dvlopmnt. nstituto Politénio Liri. Portugl ntroution: Dits Mllitus is vry importnt risk ftor for riovsulr iss n hs n rsponsil for ovr 4 million ths roun th worl in Th prvln of iti Portugus popultion rnging yrs-ol ws 12.4% in Physil tivity is ssoit with nfits n improvmnts on oy omposition, fitnss, HA1 n loo prssur. Ojtiv: Th purpos of th prsnt stuy ws to nlyz th impt of wlking progrm in iti lrly popl, on HA1 n othr riovsulr risk ftors. Mthos: 10 iti sujts (H1A 6.5%) g yrs-ol voluntr for 10 wk wlking progrm t VO2R60%. HA1, loo prssur, wist irumfrn, ft mss n riorspirtory fitnss wr monitor. Rsults: HA1 (6.9%±0.95 vs. 6.2%±0.51; p=0.001), Systoli Bloo Prssur (134.6mmHg±7.92 vs mmHg±5.41; p=0.014), oy ft (35.9%±8.75 vs. 32.5%±8.21; p=0.005), Wist Cirumfrn (102m±10.82 vs. 99m±10.24; p=0.002), n VO2Mx (18.2ml. kg.min±7.45 vs. 23.1ml.kg.min±6.62; p=0.000) improv signifintly ovr th 10 wk progrm. Thr ws signifint improvmnt on womn s HA1 (7.1%±1.24 vs. 6.3%±0.66; p=0.012), oy ft (39.9%±7.92 vs. 36.4%±7.45; p=0.041), wist irumfrn (101.3m±13.88 vs. 99.2m±13.36m; p=0.032) n VO2Mx (14.5ml. kg.min±6.53 vs. 19.7ml.kg.min±5.92; p=0.005) n mn s HA1 (6.7%±0.10 vs. 6.2%±0.21; p=0.006), oy ft (30.1%±6.94 vs. 26.6%±5.00; p=0.049), visrl iposity (15.8±2.22 vs. 14.0±2.45; p=0.018), wist irumfrn (103.0m±5.29 vs. 98.8m±4.11; p=0.013), systoli loo prssur (134.0mmHg±4.55 vs ±4.35mmHg; p=0.013) n (23.8ml.kg.min±5.07 vs. 28.2ml.kg.min±3.4; p=0.014). Conlusion: 10wk wlking progrm t VO2R60% hs positiv impt on iti ontrol n ssoit risk ftors. Dsriptors: its; risk ftors; riorspirtory fitnss; wist irumfrn; ft mss. [email protected] THE REALTY OF CRACK N A NORTHEASTERN BRAZLAN CTY: THE USER LOOK Antonio Frniso Luz Nto, Anrson Mirn Azvo, Mri Astrs Frnns, Nyll Elis Sntos Alnr, Ann Krolinn Olivir Silv, Rnt Dis Silv Sntos f, Frnis Fin Frnns Lim g Univrsi Frl o Piuí. Brzil ntroution: Th us of rk hs grown in rnt yrs minly u to th low ost n th profoun ffts of this rug. Th rk is puli hlth prolm in th ountry n hs hllng profssionls in th prvntion n mngmnt of th prolm. Ojtiv: To sri th usr vision in rltion to rug us n to rol of th stt. Mthos: This ws sriptiv qulittiv stuy, onut in 2012, through intrviws with usrs of rk in rfrn hospitl in th r of ptints who us lohol n rugs in Northstrn of Brzil. Th stuy ws pprov y th Rsrh Ethis Committ, CAAE protool n oy th Ntionl Hlth Counil 466/2012. Rsults: Dt wr nlyz n ivi into four tgoris: th usr look on th rug; rsons tht l to th onsumption; impts of rug us; th stt s rol in omting rk us y usr look. As rsult, th rk ws unnimously link to ngtiv onsquns n flings. Th ginning of us ourr y uriosity or frins influn. Wr it s lif impts, nonmnt of mploymnt, loss of fmily tis n frinship, s wll s hngs in hvior. For usrs, th stt hs n fil to omt th us of rk, n th rhilittion strtgis is fiint. Conlusions: Th stuy provis rlvnt informtion so tht w n rflt on th urrnt poliy of ruing th us of rk. n ition, wrn tht th pross of rhilittion shoul ssoit with soil support, iming rintgrtion. Dsriptors: Crk Coin; Drug Usrs; Puli Poliis; Brzil. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 100

102 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Physil n sport tivitis in shool n ommunity ontxt: wht impt on hlth initors? Jorg Mnul Riiro,, Luís Pulo Rorigus,, Luís Sntos,, Grç S. Crvlho, Cntro nvstigção m Estuos Crinç. nstituto Eução. Univrsi o Minho. Brg, Portugl Esol Suprior Sú. nstituto Politénio Vin o Cstlo. Vin o Cstlo, Portugl ntroution: Hlth promotion intrvntions usully our t shool, whr young popl sty longr. Howvr, physil/sport tivity n orgniz lso out of shool, in th ommunity. Thus, it is importnt to look up to th impt of physil tivitis/sports t shool or in th ommunity, using iffrnt hlth initors. Ojtiv: To ssss th rltionship twn physil/ sport tivity (in n out of shool), oy omposition n physil fitnss in olsnts. Mthos: A smpl of 98 olsnts (mn 14.5 yrs) from sonry shool ws nlyz. Physil tivity ws ssss using pomtrs for n ll wk, n sport tivity through qustionnir. Tngrs wr tst in th Fitnssgrm ttry to ssss hlthy fitnss zon (HFZ) in oy omposition n physil fitnss. Rsults: Aolsnts within th prntg of ft mss HFZ wr signifintly mor tiv uring shool hours. Morovr, in most physil fitnss tsts, olsnts lssifi within th HFZ r in vrg mor tiv in n out of shool hours. A signifint rltionship twn involvmnt in sports tivity in th ommunity n th HFZ lssifition in roi fitnss ws lso foun. Conlusions: Physil n sport tivitis vlop t shool n in th ommunity sm to hv signifint impt on oy omposition n physil fitnss of olsnts. Dsriptors: pomtrs; roi fitnss; oy omposition. Prvln n risk ftors for ovrwight/osity in Liri s 7 th grrs ( ) João R. Cruz,, Nuno Amro, Rui Mtos,, Nuno Sntos, Luís Colho, Rsrh Cntr for Humn Movmnt Sins. nstituto Politénio Liri. Portugl nvstigtion Cntr in Lif Qulity. nstituto Politénio Liri. nstituto Politénio Sntrém. Portugl ntroution: Ovrwight/osity (Ow/O) r wll oumnt risk ftors for riovsulr iss (CVDRF), n its prvln hs n inrsing vn in hilrn n olsnts, ovr th pst s. Ojtiv: This stuy monitors th hng ovr 5 yr spn ( ) in Ow/O n CVDRF in Liri s mil shool. Mthos: This ws ross-stionl ssssmnt tht ompris 654 7th gr stunts. Boy Mss nx (BM), ft mss (FM) n wist irumfrn (WC) wr monitor. Rsults: Throughout th 5 yrs, 25.7% of iniviuls wr Ow/O (BM). Aoring to FM, thr wr 26.5% of Ow/ O sujts, with sttistil iffrn mong th 5 yrs (p=0.000) 42.9%, 22.2%, 19.8%, 13.9% n, 30.3% in 2009/10/11/12/13, rsptivly. Surprisingly, thr wr 32.5% of Unrft iniviuls (47.9% in 2009). BM mislssifi mor thn 50% of BM s Norml Wight iniviuls (40.0% wr Unrft n 17.1% wr Ow/ O); 46.2% of BM Ow/O iniviuls wr lssifi s Hlthy (35.4%) n Unrft (10.8%) whn ftnss ws ssss vi ioimpn, whrs only 53.8% kpt BM s Ow/O lssifition. 18.4% of th iniviuls r t risk/high risk for vloping CVD oring to WHO s lssifition for WC. Howvr, using th rfrn t for Portugus young popultion, 27.5% of iniviuls wr low th 25th prntil, 37.2% t th 50th-75th prntil n 35.5% ovr th 85th. Conlusions: No hngs hv n rport in th prvln of Ow/O, FM n WC in th pst 5 yrs in this shool. BM fils to monitor ft mss. Mor thn on thir of th iniviuls r t risk/high risk of vloping CVD. Dsriptors: youth; osity; wist irumfrn; wist irumfrn; riovsulr iss. [email protected] [email protected] [email protected] [email protected] [email protected] 101

103 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth FOOD SUPPLEMENTS LABELS n hlth lims: implmnttion of Europn Union Rgultion P. Coutinho,,, A. Vsonlos,, F. Almi,, M.J. Mnino,, T. Brt,, M.F. Roqu f, M.P. Riiro,,g Uni nvstigção pr o Dsnvolvimnto o ntrior. nstituto Politénio Gur. Portugl Esol Suprior Sú. nstituto Politénio Gur. Portugl ntroution: Th onsumption of foo supplmnts hv inrs xponntilly in lst yrs, minly s ttrtiv juvnts in th prvntion/trtmnt of isss. Commission Rgultion (EU) 432/2012 of 16 My 2012 stlish list of prmitt hlth lims m on foos, n onsquntly ll foo supplmnts with lls not onform must outflow until Jun 14 of Ojtiv: Th prsnt stuy im to vrify th lgl omplin of th foo supplmnts lls in iffrnt pls of sl in th prio following th stlish limit t in th EU rgultion. Mthos: For iffrnt tgoris wr nlyz totl of 187 prouts mrkt in hrlists, Ovr Th Countr Stors, phrmis, suprmrkts n intrnt, n rgistr th lgl omplin of its lls through th rgistrtion of th omplin of lgl mntory ritri n susqunt quntittiv nlysis, uring th prio of Spt to Dmr Rsults: Th rsults otin show th xistn of som foo supplmnts vill to onsumrs whos llling r still in uniform oring to th nw UE Rgultion. n Suprmrkts hv not n ror ny non-onformity on lls nlyz. ntrnt n hrlists wr th mrkt pls with highr numr of nononformitis, n in phrmis n rugstors wr rgistr lowr numr of nononformitis. Conlusions: n orn with th Rgultion ll foo supplmnts not onform must outflow until Jun 14 of 2013, wht is not onfirm in our stuy. With this stuy w onfirm th n to pursu th vrifition n improvmnt of fftiv pplition, ompni y hlth profssionls ounsling. Dsriptors: Lling; Foo Supplmnts; Commission Rgultion (EU) 432/2012 of 16 My 2012; Hlth lims; Nononformitis. From mnings of spiritulity to th hllngs of nurss in fmily intrvntion Mri Hnriqut Figuiro,, Zi Chrp,, Mnul Brás,, Plmir Olivir,, Pro Mlo, Esol Suprior Enfrmgm o Porto. Portugl Univrsi Ctóli Portugus. Portugl nstituto Politénio Brgnç. Portugl ntroution: Spiritulity inorports ky prinipls of fmily rituls tht trmin to in fmily n ing with othrs, involving th srh for sns of fmily ontinuity. As fil of fmily ssssmnt n intrvntion rquirs nurss to promot thir own spiritul hlth n knowlg thir spiritul ns. Ojtiv: unrstn th mnings of spiritulity for nurss, sri thir xprins of spiritul r with fmilis, rognizing th vlu ssign to th spiritul imnsion in ssssmnt n fmily intrvntion n intify th xpttions of nurss in th optimiztion of spiritulity s rsour for r. Mthos: Th stuy is qulittiv, sustin on systmi thinking. Th mthoologil pproh ws th Appritiv nquiry. Prtiipnts wr twnty nurss working in Primry Hlth Cr. Appritiv ntrviw ws us n t nlysis ws support y ontnt nlysis. Rsults: Th following tgoris of nlysis mrg: Mnings of spiritulity, Spiritul r xprins with thir fmilis; Vlu ssign to th spiritul imnsion in ssssmnt n fmily intrvntion. Spiritulity stns out s multiimnsionl lif onpt (oily, motionl n rltionl), liv with fmilis mostly in ontxts of suffring n n of lif. Nurss vlu this imnsion y ssoiting it with rspt, uthntiity n holism. Conlusions: Th n for improv spiritulity ution n shring xprins vin s ky rsours in th optimiztion of r fous on th fmily systm. Dsriptors: Fmily Nursing Spiritulity, Appritiv nquiry. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 102

104 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 157 Bhviors of outoor workrs onrning sun xposur Luís Fons,, An Lim,, Cáti Lops,, Cristin Gonçlvs,, Mximino Prt Riiro,,, Pul Coutinho,,f, Fátim Roqu,,g Esol Suprior Sú. nstituto Politénio Gur. Portugl Uni nvstigção pr o Dsnvolvimnto o ntrior. nstituto Politénio Gur. Portugl ntroution: Exposur to solr ultrviolt ritions is wll known s n importnt ftor on skin nr vlopmnt. n Portugl, outoor workrs r too long xpos to th sun, n onsquntly to th ultrviolt rition ffts. Sun prottion hviors r importnt to th prvntion of skin nr. Ojtiv: intify th hviors of outoor workrs, onrning sun xposur. Mthos: A ross-stionl stuy ws prform. A qustionnir ws ppli y n intrviw to 80 sujts with outoor tivitis (frmrs, onstrution workrs, lifgurs n fishrmn). Rsults: Most of th workrs (76,3%) hv rport thir onrn out sun xposur, n 61 of th 80 sujts survy,hv lry suffr sunurn, ut just 43,8% us sunsrn prottion. Ht n loths r th prottion mor mntion y th workrs. From th sujts tht rfrr to us sunsrn prottion, just 6% us it ovr ll th yr. Th pri of sunsrns ws th min ftor mntion for not using thm, follow y th isomfort of thir us uring tivitis. Conlusions: Although mny gnrl mpigns out th sun ultrviolt ritions xposition on th skin hv n m, it is nssry n intrvntion irt to outoor workrs to improv thir hviors rlt to sunsrn prottion. Rimursmnt of osts with sunsrn prottion, to ths workrs, must lso isuss y uthoritis, s n importnt puli hlth msur. Dsriptors: Sun xposur; sun prottion; hviors; outoor workrs. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 103

105 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth litry 158 Strssful situtions: ignosing to ut in Sph Thrpy Ptríi Noguir,, Zi Azro,, Mnul Olivir, Esol Suprior Sú, Univrsi o Algrv. Fro, Portugl Uni nvstigção Formção sor Aultos osos. nstituto Ciênis Bioméis Al Slzr. Porto, Portugl Univrsi Portulns nfnt D. Hnriqu. Porto, Portugl ntroution: Work prsnts n imprtiv for vry humn ing. t nls us to hiv prsonl n profssionl gols, otin soil support, rognition, giv mning to our ys n wks, or vn to our livs. Howvr, rpi gloliztion n thnologil progrss l to signifint hngs in th working nvironmnt, whih us th inrs of rtin ouptionl hzrs n vn th mrgn of nw risks. Hlth profssionls, within whih fll th Sph-Lngug Pthology profssionls, r on of th profssionl lsss t high risk for vloping ouptionl strss n urnout u to th hrtristis involving thir work tivity. Ojtiv: Dignosing lvls n mjor sours of strss mong Portugus Sph-Lngug Pthologists; ntify th trining ns in th r of psyhosoil risks; Propos utionl msurs to promot hlth n wll -ing of this profssionl lss. Mthos: W ppli th Strss in Hlth Profssionls Qustionnir (QSPS) to 375 Sph Thrpists, y mil, n prform th sttistil nlysis using th SPSS20 progrm. Rsults: Th rsults show tht 89.3% of profssionls hv signifint xprin of strss ssoit in prtiulr with ftors rlting to th imnsions of Crr n rmunrtion, Ovrwork n Dling with lints. Most profssionls (76.5%) prov to n trining in ouptionl strss mngmnt. Conlusions: Dvlopmnt n implmnttion of progrms tht promot ouptionl hlth in ths profssionls prov to ssntil n urgnt. Thus, it hs n point out som msurs/tions to unrtkn with Sph Thrpists, spilly in rs tht hv n intifi s mjor strssors. Dsriptors: Sph-Lngug Pthology. Ouptionl Strss. Eution/Trining. Hlth. 159 Strngthn th Mtrnl n Chil Hlth omptny mong nurss y ln ontinuing ution progrm Y Yoshino, Altngn Surnkholoo, Yuk Yshi Kitsto Univrsity Shool of Nursing. Sgmihr, Jpn ntroution: n Mongoli, nurss must rnw linss with 30 Continuing Eution (CE) rits. Nurss h n f with iffiultis to mintin linss n omptnis. Svr finnil n tim onstrins, gogrphil n infrstruturl rrirs provi nurss vry littl CE opportunitis ovr th lst s, spilly in rmot r. Dvloping inxpnsiv n sustinl CE systm ws ruil. W hv n ngg th mtrnl n hil hlth (MCH) nurss to lunh th ln progrm, y Vio Confrn (VC) n f to f (FF) sminrs. Ojtiv: To stlish low ost CE systm for th sustinl vlopmnt. Mthos: Progrms sign in ollortion with Mongolin profssionl ois n 4 Mongolin ntionl univrsitis, n Jpns Univrsity. ntrtiv VC sminrs twn Jpn n 6 sits inluing 4 rmot rs ross Mongoli vi Worl Bnk stllit systm, n FF sminrs. Mool nl ll prtiipnts to ss to ours mtrils, inluing txt oumnts, ltur vios, n rfrns for fr of hrg whnvr thy n. Rsults: Ovr 6,000 prtiipnts nroll VC sminrs in , whih is quivlnt to 60% of ll nurss in Mongoli. VC ru trvling ost of Jpns lturrs n Mongolin prtiipnts, n lso inrs th onnting sits whih rsult in nlrging numr of prtiipnts. All VC sminr mtrils wr it y lol lrs, n thn th first MCH nursing txtook wr pulish n istriut ross th ountry. Conlusions: VC sminrs provi pltforms not only for ollortion n ommunition twn Jpns n Mongoli, n within th ountry. W now sk furthr how to promot hns-on thing. Dsriptors: Continuing Eution. Mtrnl n Chil Hlth. Nurs Comptny. Vio Confrn. [email protected] [email protected] [email protected] 104

106 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th nurss xprin on nursing stunts n thir linil lrning pross in hospitl Yoln Moñux,, Luis Cinl-Jun,, Mª Lorto Solr,, Mª sl Cortés,, Arin Mrtínz-Mrtínz,, Domingo Cñ, Univrsity Jum of Cstllón l Pln. Cstllón, Espñ Univrsity of Alint. Alint, Espñ Univrsi Ry Jun Crlos. Mri, Espñ ntroution: Nursing stuis progrm, n rltionships twn Univrsity mi progrm n Hospitls, ll influn sis nurss xprin on nursing linil lrning pross. Ojtiv: Dsri th sis nurss xprin of Spnish nursing stunts n thir linil lrning pross. Mthos: A qulittiv phnomnologil pproh ws follow. An initil purposful smpling of Spnish sis nurss in Snt Brr Hospitl in th Wstrn r of Sori ws onut. A thortil smpling ws lso implmnt in orr to gin mor in-pth unrstning of nursing stunts n thir lrning pross. Dt wr ollt using unstrutur n smi-strutur intrviws. Dt wr nlys using th Giorgi proposl. Rsults: Twnty-on sis nurss with mn g of 46 wr inlu. Thr min thms tht sri th xprin of sis nurss mrg from th t: ) Mking th first ontt. Th first ontt is th ky to futur nurs-stunt rltionship n is onition y svrl ftors, ) fining th rol of th stunt in prti. Nurss shoul prioritiz ky lrning points s th fil of nursing, nurss must unify thir tions to th stunt, n th us of thnology vrsus si r, n ) uiling rigs twn linil sttings n univrsity. Th rltionship twn linil sttings (hospitl) n univrsity influns th implmnttion of th utionl progrm of th univrsity n stunt trking linil prtis. Conlusions: Unrstning th mning of nursing stunts n thir linil lrning pross with sis nurss might gin pr insight into thir xpttions. t is rqust to involv linil sttings in th utionl nursing progrm. Dsriptors: Nursing. Nursing stunts. Nursing ution. Hospitls. Qulittiv Rsrh. A fll prvntion mnul for olr ults oring to hlth litry mns Anl Corri Mrtins,, sl Mri Anr, Ctrin A. Goms Silv Dprtmnto Fisiotrpi. Esol Suprior Tnologi Sú Coimr. Coimr, Portugl Dprtmnto Ciênis Complmntrs. Esol Suprior Tnologi Sú Coimr. Coimr, Portugl ntroution: Th prvntion of flls n hiv through multipl ftoril intrvntions, inluing th utionl pproh. n orr to nhn th omplin to strtgis for th prvntion of flls, it is importnt to fous on th vlopmnt of hlth informtion mtrils, whih shoul tk into onsirtion th hlth litry lvl of th trgt popultion, usr-frinly n inlu fitt informtion. Ojtiv: Rviw hlth litry mns of fll prvntion mnuls it to th lrly, using th Hlth Litry NDEX tool n vlop mnul pt to Portugus popultion. Mthos: Srh for fll prvntion mnuls it to th lrly in srh ngins n in govrnmnt w portls (DGS, CDC EUNESE), using s kywors fll prvntion ooklt, fll prvntion mnul, olr popl, sniors, fll prvntion mtrils, utionl mtrils, mnul prvnção qus, iosos. Sltion of smpl of 11 mnuls for vlution pulish ftr Rsults: Ovrll sors gnrt y NDEX in 10 out of th 11 mnuls wr highr thn 50% n ov 75% for 4 of thm. Physil tivity, strtgis in s of flls, hom moifitions n vision wr th min initors vlop in th mnuls. Ths finings llow us to vlop mnul pt to th Portugus sniors. Conlusions: Hlth Litry NDEX is omprhnsiv tool with vin for rliility n vliity tht ws hlpful to vlut th hlth litry mns of fll prvntion mtrils. Aitionl rsrh is wrrnt to xmin th ssoition twn ontnts n lyout of th Portugus mnul n iniviul unrstning, hviors, n improv hlth. Dsriptors: Hlth litry. Fll prvntion. Eutionl mnul. Elrly. Flls. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 105

107 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Prvln of urinry inontinn uring prgnny n postprtum in Brzilin womn Júni Lim,, Mri Hln Lops Ful Dinâmi Vl o Pirng. Pont Nov, Brsil Ful Ciênis Méis. Univrsi Estul Cmpins. Cmpins, Brsil ntroution: Th urinry inontinn (U) is symptom tht ours frquntly in prgnny n my trnsint onition or sty ftr irth for months or vn yrs. Ojtiv: to vlut th U in th prgnny-purprium yl n to vrify in whih phs of th yl initits th U, th urinry loss hrtristis, th typs of U. Mthos: this ws trnsvrsl n orrltionl typ stuy, onut from August 2008 to Mrh Thy wr intrviw 220 purprl womn, in th prio twn 30 to 180 ys of postprtum, ttn si hlth unit of th ity of tpri Srr, mtropolitn rgion of So Pulo, Brzil, using form uilt n vlit for this stuy. Th stuy ws pprov y th Ethis Committ of th Mil Fulty, UNCAMP (Protool 110/2008). Rsults: th U n our sin th ginning of th prgnny, ing mor frqunt in th lst trimstr. t is mor frqunt in th prgnny (43.6%) thn in th purprium (10%). Th mjority prsnt smll loss in th prgnny s th purprium, ut roun 13% rfrr to los lrg volum. Th mix U ws th most frqunt typ in th prgnny (20%) n th strss U in th purprium (4.5%). Conlusions: th U gnrlly initit in th n of th gsttion n its frquny rs in th purprium, th typs of U hng oring to th phs of th prgnny-purprium yl n th urinry loss gnrlly is smll. Dsriptors: Prvln. Urinry nontinn. Prgnny. Postprtum prio. Nursing. Risk ftors for urinry inontinn in prgnny n postprtum Júni Lim,, Mri Hln Lops Ful Dinâmi Vl o Pirng. Pont Nov, Brsil Ful Ciênis Méis. Univrsi Estul Cmpins. Cmpins, Brsil ntroution: Urinry inontinn (U) is ommon symptom uring prgnny n purprium tht intrfr ngtivly in th qulity of lif of womn. Ojtiv: to vrify th typs of U uring th prgnny n purprium n th ssoition with ftors onsir of risk. Mthos: This ws trnsvrsl n orrltionl typ stuy, onut from August 2008 to Mrh Thy wr intrviw 220 purprl womn, in th prio twn 30 to 180 ys of postprtum, ttn si hlth unit of th ity of tpri Srr, mtropolitn rgion of So Pulo, Brzil, using form uilt n vlit for this stuy. For sttistil nlysis wr us th MNmr tst n Chi-squr tst or Fishr Ext tst. Th stuy ws pprov y th Ethis Committ of th Mil Fulty, UNCAMP (Protool 110/2008). Rsults: Th mix U ws th most frqunt typ in th prgnny (20%) n th strss U in th purprium (4.5%). Th frquny of U in th prgnny ws ssoit with th inrs of mtrnl g (p=0,0004), multiprity (p=0,0035), vginl livry in prvious prgnny (p=0,0075) n urin loss ourrn in th prvious prgnny (p=0,0002). n th purprium, th ourrn of U ws ssoit with th multiprity (p<0,0001), tul oy mss inx (BM) (p=0,0233) n U in th prsnt prgnny (p=0,0008). Conlusions: Th typs of U rng oring to th prgnny-purprium yl phs n urin loss is usully smll. Expt for multiprity, th risk ftors ssoit with U uring prgnny wr not ssoit with U uring th purprium. Dsriptors: Risk ftors. Urinry inontinn. Prgnny. Postprtum prio. Nursing [email protected] [email protected] 106

108 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Mi pprohing hviors in nursing: sriptiv stuy Rorigo Croso, João Grvto, Frnno Zmith nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto; Esol Suprior Enfrmgm o Porto. Porto, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl Ful Ltrs. Univrsi o Porto. Porto, Portugl ntroution: Nurss r mong th most importnt hlthr provirs, s thy r rsponsil for ring for sik n vulnrl popl, n promoting th inpnn of ptints. Ths profssionls hv iffiultis in tlking to journlists n to quot s sours in hlth-rlt nws. f nurss mintin low visiility in th nws mi, tht will influn rsour llotion, puli trust n th stff rruitmnt. Knowlg on mi pprohing hviors (MAB s) y nurss is xpt to ontriut to th rtion of utionl progrms tht im th mi litry. Ojtiv: To sri MAB frqunis in Portugus nurss. Mthos: Btwn Otor n Novmr of 2013, 529 nurss hv omplt n onlin qustionnir ompos y two stions: 13 soio-mogrphil qustions n MAB s survy. Th ltst is n instrumnt ompos y 27 typ-likrt itms, rnging from nvr to lwys (0-4). Eh itm vluts th frquny of prtiulr MAB. Rsults: Th mjority of th rsponnts r fml (79%), hv lins gr (76%) n r si nurss (69%). Th nswrs nvr n rrly got omin sors tht rng from 69% to 99%. Th most frqunt MAB ws shring nursing vnts informtion with ommunition profssionls n th lss frqunt ws vloping ontnt to n prtiipting in rio shows. Conlusions: Portugus nurss rvl vry low MAB s frqunis. n ition, thy o not intrt with th mi vry oftn, whih is suggst to fft nursing visiility. Furthr rsrh on MAB s n th vlopmnt of utionl progrms on mi litry oul hlp ring nursing to th puli. Dsriptors: Nursing. Mss Mi. Mi Litry. Mi Visiility. Communition Skills. Opioi Sustitution Progrms in Portugl: Unrstning th ision mking pross Sori Tls, Hln Mour, Pro Mho, Jon Vilrs, Cristin Pirs, Mrt Pinto f Agêni Pigt pr o Dsnvolvimnto. nstituto Pigt. Portugl ntroution: Similrly to othr Europn ountris, Portugl offrs htrognity of thrputi molitis irt t popl who us rugs, ing th most urrntly us th progrms with opioi gonists. This ivrsity provis th opportunity for profssionls n ptints nlys n slt togthr th most vil trtmnt. Ojtiv: This rsrh proposl stms from th sir to unrstn th ision mking prosss onrning th intgrtion of rug usrs in Opioi Sustitution Progrms (OSP). t ims to omprhn th rltiv wight of h intrvnr within it n, prtiulrly, ptint s involvmnt in th ision n th invstmnt m in prviously uiling his/hr pity to i. Th ptint s knowlg out th vill trtmnt options (using iffrnt sustitution sustns), s wll th ss to th most suitl on, will lso ojt of nlysis. Mthos: n orr to ssss th prsptivs of th profssionl n th ptint on ths topis, th stuy rtiults qulittiv n quntittiv mthoologis using qustionnirs (N=200 profssionls; 200 ptints), fol points (N=5 from h group) n intrviws (N=15 from h group). Thos ligil to prtiipt r ptints intgrt in OSPs in Stt shms for rug ition, n profssionls rsponsil for th prsription. Rsults n Conlusions: Dt r now ing ollt n th min sour, for now, is th univrs of popl who us rugs. By th tim of th onfrn it will possil to prsnt th ptint`s viws on ss to trtmnt n his/hr prtiiption in th ision mking pross. t will lso possil to provi informtion on hlth litry lvls foun. Dsriptors: Hlth litry. Opioi Sustitution Progrms (OSP). Dision mking pross. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 107

109 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth litry ssssmnt t th primry hlth r: strtgy for flls prvntion sl Anr, Anl Mrtins,, Lúi Mrqus, An Silv, Câni Rmos, Céli Moris, Tâni Silv Esol Suprior Tnologi Sú. nstituto Politénio Coimr. Coimr, Portugl Dprtmnto Sú Puli. Aministrção Rgionl Sú o Cntro. P, Portugl ntroution: Th urrnt prigm of hlth prits full intgrtion of hlth promotion in th xris of itiznship, implying tht h iniviul is l to us hlth r, trnsmit urt informtion to th hlth profssionl n lso, ily mng its hlth/iss. Svrl stuis show tht to nhn positiv outoms in hlth, hlth litry (HL) shoul inrmnt, s wll s th trining of skills in th fil of -hlth litry (-HL). t is thrfor importnt to hrtriz th iffrnt iniviul profils of HL n of -HL to ru th symmtry of knowlg, whih onstituts rrir to th prtnrship mong ptints, hlth profssionls n informl rgivrs. Ojtiv: To ssss th lvl of HL n -HL t th primry hlth r in th Cntr rgion of Portugl, llowing th vlopmnt of mpowrmnt strtgis rssing th iffrnt profils, unr th frmwork of th govrnmntl progrm Progrm Nionl Prvnção Qus. Mthos: Applition of th Portugus vrsion of th qustionnirs Nwst Vitl Sign, -HEALS n Hlth mprovmnt Cr, omplmnt y mogrphi hrtriztion. Rsults: Aftr pr-tst in 66 iniviuls (33% mls; 67 yrs ol in vrg), frquntrs of 2 snior univrsitis (istrit of Coimr), th finings suggst th n to mximiz strtgis to promot HL/-HL n prvnt th risk of flls, llowing th itizns to mk hlthy hois n fully profit from thir hlth n wll-ing potntil. Conlusions: Hlthy poliis must promot strtgis in ommunition n mrkting tht nhn litry in gnrl n HL/-HL in prtiulr, n thus, th itizns mpowrmnt. Dsriptors: Hlth Litry. E-Hlth Litry. Primry Hlth Cr. Fll prvntion. Hring Hlth Promotion in Chilrn Fiv Yrs Ol: N to Unrtk! Mrgri Srrno Esol Suprior Tnologi Sú, nstituto Politénio Coimr. Coimr, Portugl ntroution: Among fiv yr ol hilrn, w foun pk of mil r pthology tht oftn gos unnoti y prnts n utors u to osilltion n uni-ltrlity. Howvr, ths hngs my hv n impt on prsnt n futur lif of th hil, in prtiulr in ring n writing lrning. Ojtiv: To ssss th hring of fiv yr ol hilrn t thr momnts through th shool yr. Mthos: Otosopy, tympnogrm n th listn/on t listn mtho to 15 B t frqunis twn 500 n 6000 Hz wr us. Rsults: Th uiologil vlution of 106 hilrn show: 9 (8.49%) hilrn with iltrl typ B or C2 tympnogrm n 8 (7.55%) hilrn with uitory fiit, t th thr momnts. Morovr, qustionnir nswr y prnts rvl tht: only 76.6% of hilrn hl th nworn srning; 30% of hilrn h n otitis history; in th prvious yr, n r inftion h n ignos to 22 hilrn n 3 hilrn h n oprt; only 11% of prnts thought his son ouln t hr wll. Conlusions: Ths t rvl n for uiologil fil intrvntion for ntry to si ution in orr to tt rly hngs in qulity/quntity of hring, s wll s ontinuous work of rising wrnss mong prnts n th soity for th importn of hilrn s hring. Dsriptors: Hring Hlth; Fiv Yrs Ol; Chilrn; Tympnogrm; Hring Tst. [email protected] [email protected] 108

110 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth litry - pthwy to ptints trmintion Trs Dnis Esol Suprior Tnologi Sú Liso. Liso, Portugl ntroution: This ppr fouss on th isussion of hlth s soil n humn right, in th sns tht is not nough to provi th srvi lon, ut lso hrmoniz hlth r srvis with informtion n ommunition orint to ptints trmintion. Ojtiv: Th ojtivs intnt n nlyti n ritil rfltion out ptints sitution insi hlth institutions n out th rltionship twn profssionls n ptints, in th sns of unrstning if thr is ptrnlisti rltion, whr profssionls s thir ptints lik ojts, or inst rting rltionship with thm. n this s onrn fous on iss n popl, with intrst out thir sttus n lif xprins, sking n nourging thm to unrstn wht is going on n wht n on y thm n hlth profssionls to hlp within rltionship of tiv prtnrship fostring thir trmintion. Mthos: Th mthoology fouss on s stuy mtrix, stning in th prtiulr ontxt of th nstituto Oftlmologi Dr. Gm Pinto Su-Vision Dprtmnt, whr uring mor thn ight months w i irt osrvtion fous in rltionships, ommunition n intrtion twn hlth profssionls n ptints. Rsults n Conlusion: Th rsults of th mpiril work monstrt tht this prtmnt prsnts humn hlth prsptiv looking for onrt rspons, through iffrnt vlns, to ptints ns y promoting physil, psyhi n soil hlth, with prtiulr fous on litry, trmintion n pitting ptints who lwys hv th finl ision out th trtmnt or thrpy to follow. Dsriptors: Ptint; Prtnrship; Empowrmnt; Litry; Slf-trmintion. Group hronils on CoP: tool for ollortiv nlysis n improving rflxion Tís Quvo Mrolino,, Alin Mri Miros Rli, Dprtmnto Trpi Oupionl. Univrsi Frl São Crlos. São Pulo, Brsil Dprtmnto Toris Prátis Pgógis. Univrsi Frl São Crlos. São Pulo, Brsil ntroution: Hlth r poliis in Brzil r inrsingly inorporting humnizing n ntworking r. Thos hngs mn ontinuing ution of th profssionls. Viwing profssionl prti on its omplx n tit spts, hngs in prti mn tht profssionls om wr of othrwis sutl/hin spts of his/hr work n gt ngg on th projt. Ojtiv: This stuy ws s on n tion rsrh with 18 f mtings of ommunity of prti (CoP) of ginnrs ouptionl thrpists. W wr intrst oth in unrstning spts of profssionl vlopmnt n improving linil rsoning. This ppr isusss th group hronils th story of vnts from th prvious mting ontining th intrprttion of wht ws spokn n som xrpts s xmpls s formtiv-invstigtiv tool l to oth filitt rfltion on prti n srv s primry ollortiv nlysis (rsrhr/ prtiipnts). Mthos: Thmti nlysis of 31 xrpts from th trnsripts of prsonl mtings tht ontin th wor hronil. Rsults: Th t nlysis rvl fiv funtions of this tool: filitting ommunition (strting isussion, guiing onvrstion, rsing nxity); nourging nggmnt n onstrution of group intity (promoting intifition with wht ws isuss, on fins onslf in sph); nsuring th mmory of th group n ontinuity of lrning (rifition of group proution, ss to informtion for thos who miss, rsu of topis lry isuss); nling wrnss of impliit spts; nling ollortiv nlysis y pprisl of intrprttion. Conlusions: This tool sms to mt utionl projts to improv hlth r prtis y pning rflxion of prtitionrs. Dsriptors: Eution, Continuing; Qulittiv Rsrh; Hlth Knowlg, Attitus, Prti; Hlth Mnpowr; Nrrtiv. [email protected] [email protected] [email protected] 109

111 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth OT Community of Prti s ontinuing ution: mntl hlth ssistn on primry r Tís Quvo Mrolino,, Elin Nsimnto Fntintti,, Gril Mitiê Tkym,, Aln Piv Fornrtto-Gozzi,, Silini Mrtinlli,, Gisl Giovntti,f, Jnín Junquir,g Dprtmnto Trpi Oupionl. Univrsi Frl São Crlos. São Pulo, Brzil Univrsi Frl São Crlos. São Pulo, Brzil Prfitur Muniipl São Crlos. São Pulo, Brzil ntroution: Brzilin Mntl Hlth Poliy r inrsingly inorporting mntl hlth ssistn in primry r (PC). Ouptionl thrpists hv n inlu on work tms, for r n tm support. Thos hngs mn ontinuing ution, in orr to rt n systmtizt ttr forms of prti. Ojtiv: This stuy prsnts prliminry finings of n ongoing tion rsrh with monthly f mtings of ommunity of prti (CoP) of ouptionl thrpists working on PC of ity in th mil of So Pulo stt, Brzil. W wr intrst oth in unrstning gnrl n prtiulr spts of profssionl tivitis, prtiulrly in mntl hlth r, n improving rfltion of prti. Mthos: Thmti nlysis of th trnsripts of th first ight mtings. Rsults: Th nlysis rvl tht th group proution wol twn prourl spts of ouptionl thrpy n mntl hlth r in PC. n th son pol, profssionls hv n vloriz th proximity of vryy lif of sujts; ttr opportunitis for s mngmnt; tnsion with th iomil mol, vluing th prti on hlth fmily workpls; thil issus in informtion ror rlting to mntl hlth; th frgility of psyhosoil ntwork; th rrirs on onstrution of o-ownrship of PC tms out usrs rrs of psyhologil istrss, n th trp of th xlusiv r rsponsiility for mntl hlth profssionl. Conlusions: Ths prliminry rsults show strngths n wknsss in working with mntl hlth on PC. Tking th potntility of CoP, s formtiv-invstigtiv strtgy, ths rsults must triggr rflxtion n tions tht onsir th omplxity of r on son fs of th tion rsrh. Dsriptors: Eution, Continuing; Hlth Knowlg, Attitus, Prti; Ouptionl Thrpy; Mntl Hlth; Primry Cr. Ptint r in rin th: wknsss of nursing stff Cmil Sntos Pirs Lim,, An Cláui Olivir Btist,, Syonr Fátim Fri Bros,,, Srin Gutrrs Silv, Grupo Psquis m Tnologis, nformçõs nformáti m Sú Enfrmgm. Univrsi Frl Snt Ctrin. Florinópolis, Brsil Dprtmnto Enfrmgm. Univrsi Frl Snt Ctrin. Florinópolis, Brsil Grupo Estuos no Cuio Pssos ns Situçõs Agus Sú. Univrsi Frl Snt Ctrin. Florinópolis, Brsil ntroution: Ptint r in rin th rquirs prprtion n qulifitions of nursing stff tht gos yon th sintifi xprtis in th mintnn of th potntil onor. t is ssntil to know th wknsss prmting this pross in orr to mng strtgis promoting xlln of r. Ojtiv: To intify th wknsss of nursing stff in th potntil orgn onor s r. Mthos: Dsriptiv rsrh, xplortory, qulittiv, vlop in th ntnsiv Cr Unit of Brzilin puli hospitl. Th sujts wr 8 nurss n 18 nursing thniins. Dt olltion ourr in Otor n Novmr 2010 y smi-strutur qustionnir. For trtmnt of th t th thmti nlysis of Brin ws us. Rsults: Th wknsss intifi wr group into thr tgoris: 1) Fmily Rltionship of th potntil onor: profssionls ris th iffiulty in ting ginst th suffring of fmily mmrs onsiring th stp mor omplx of th orgn ontion pross. 2) Lk of knowlg in th r of th ptint in rin th: minly it th ptints lk of vil mintnn prmtrs. 3) nstitution Logisti n Aministrtiv Strutur in th pross of orgn ontion, highlight th ly in onfirmtion of rin th tsts, lk of humn n mtril rsours. Conlusions: Th stuy ws to unrstn th min iffiultis of nursing profssionls in ring for th rin th s ptint. t ws importnt ontinuing ution for qulifition of ths profssionls n improving ssistn to th potntil orgn onor. Dsriptors: rin th; intnsiv r unit; nursing stff; orgn ontion; orgn trnsplnt. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] 110

112 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth illitry in stunts of polythni institut Pro Jorg Mtos Gonçlvs,, Orlino Gouvi Prir, Stunts of th 4 th yr - Dittis 2013/2014 Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Univrsi Nov Liso. Liso, Portugl ntroution: Th stuy of hlth illitry in fshion, ut mor importnt thn th ignorn of prours tht prvnt th hviorl isss r unhlthy hits n lif styls. Ojtiv: Comprison of lvls of illitry, hitul strss n hlth hits twn th stunts of th Highr Shool of Hlth with thos of th othr four shools of PL. Mtho: nquiry y qustionnir. Sujts: ESSli (164), ESAD (93), ESECS (149), ESTG (98) n ESTM (114). Totl: 618. Rsults: As xpt from th thortil nlysis of th prolm w foun no signifint iffrns mong th shools, xpt in th grtr us of rugs n too t th Highr Shool of Art n Dsign, nrs us of lohol n th ition of slt to mls in uppr Shool of Tourism n Mritim Thnologis, n lso ition of sugr t th Highr Shool of Eution n Soil Sins. Th lvl of urrnt strss in th Shool of Hlth stunts is highr thn in th othr Shools. Thr r no iffrns of litry mong ll th stunts. Conlusion: Th ov ttsts tht th knowlg onvy is not suffiint to orrt hits n lif styls. Any progrm to ovrom illitry in hlth shouln t fous on hlth ution, trnsmittr of mr knowlg, ut hs to intrvn in hviorl n xprssiv hits n shoul tk into ount th sitution of th prsons to whom it is rss. Dsriptors: Hlth illitry, hlthy hits, lif styl, psyhosoil intrvntions. nflun of th onomi snrio in th prolifrtion of Phrmutil Countrfiting Mrin Bly, Anré Mir, Diogo Rps, Bruno Mns, Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl Grupo Gstão Quli Estrtégi m Sú. Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl ntroution: Th filur in th glol finnil mngmnt h n importnt impt in th mro, mso n miroonomi snrios, ling to vrs vnts. Th phrmutil ountrfiting pprs s puli hlth vulnrility, quiring 1% of th phrmutil mrkt in th vlop ountris n 10%-30% in th Afrin, Asin n Ltin Amrin ountris. This wknss in th miins qulity n ptint sfty hs n promot y lgl impunity n lso support y th high profit unr th ru invstmnt rquir. Ojtiv: Th vlution of Portugus stuis, guilins n stkholr prsptiv in this mttr, mrgs s priority n s our gol. Mthos: Th group ppli los-n qustion inquiris on rnom smpl of 175 usrs s wll s rtrosptiv n prosptiv intrviws to stkholrs rprsnting th phrmutil hin (ANF - APFARMA - GROQUFAR - NFARMED). Th rsults wr xprss through two-imnsionl mtris, follow y rossstuy with stnrs. Rsults: Rgring th stkholrs, w osrv orrtion rng twn 37,5% n 85,7%, with irrgulritis orrlt with th implmnt msurs, influn of th onomi stor n onrning with th puli wrning systms. Rgring th usrs, th orrtion rng ws 50%, in prominntly fml popultion, g rng of yrs n with sonry ution lvl. Conlusions: n onlusion, th mjority of th stkholrs on t stlish th ountry onomi sitution s th usl gnt of th ountrfiting prolifrtion, ontrry to intrntionl stuis. Th projt rgistr lso th nssity of rinformnt of risk mngmnt msurs n hlthr litry of usrs. Dsriptors: Hlth; Rgultion; Eonomy; Phrmutils; Countrfiting. [email protected] [email protected] 111

113 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th mportn of th Eltroriogrm in th Sports Mil Evlution José Tixir Esol Suprior Sú Dr.Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl ntroution: Sun Dth in omptitiv thlts hs vlop n intns t out in ttion strtgis riovsulr isss. Th ntr of th t is th ost-fftiv of th ition of th 12-l ltroriogrm to th prsonl history n physil xmintion. Ojtiv: To fin th ltrogrphi spifi ltrtions in thlts ompring to sujt nonthlts. Dfin th Athlt s Hrt. Mthos: Th stuy inlus 140 mls sujts, 70 r omptitiv thlts n 70 r non-thlts, with n vrg of 23.11±4.39 yrs ol (twn yrs ol). Th smpl olltion ws s on inqust of quik rspons n in th mking of 12-l ltroriogrm. Rsults: Th vrg hrt rt, th mium Sokolow-Lyon inx n mium Cornll inx show sttistilly signifint iffrns twn groups (p<0.01). Athlts h n vrg hrt rt lowst n highr mplitus of th QRS omplx. Thr wr lso sttistilly signifint t th hrt rt mil in th group of thlts in rltion to th urn of strss (p<0.01), omptition tim (p=0.04) n numr of trining pr wk (p<0.01). Thr wr lso sttistilly signifint iffrns on th hrt rt vrg in th group of thlts in rltion to th ffort mount (p<0.01), omptition tim (p=0.04) n numr of wkly trining (p<0.01). Conlusions: Th lk of spifi ritri tht to fin Athlt s Hrt m it impossil to rh th min ojtiv of th stuy. Thr wr iffrns twn th two groups, riv from riovsulr rmolling ssoit to th physil ffort. Dsriptors: Sun Dth; Athlt; Eltroriogrm; Hrt Rt. mpt of psyho ution on nxity n prsptivs f to th mong hlth profssionls of Unit of Primry Hlth Cr Cláui Mourão Agrupmnto Cntros Sú o Méio Tjo, Uni Cuios n Comuni o Almourol. Vil Nov Brquinh, Portugl ntroution: Dth hs lwys n urrnt thm us it s prt of lif. t is somthing nturl n shoul s itslf s suh. A rfltion on lif n th onstituts n fftiv slf - r from fr n nxity, n it is importnt to th trining of hlth profssionls on th prosss of mourning. Ojtiv: To vlut th impt of psyho ution on nxity n prsptivs of th mong hlth profssionls of Unit of Primry Hlth Cr of ntrl Portugl. Mthos: This is quntittiv, qusi-xprimntl stuy of typ prtst n posttst, with group of svn iniviuls slt y non-proility smpling. Th Spifi Psyhoutionl ntrvntion Progrm with six sssions of two hours pr wk, hl from April to July W ppli th Dth Anxity Qustionnir n Brif Sls out Vrious Prsptivs of Dth for n ftr th sssions n qulittiv vlution Evlution of hivmnts ws tkn ftr th Progrm. Th vrg sors otin for n ftr th intrvntion wr trmin n ompr with th Wiloxon tst (p 0.05), using th SPSS 14.0 progrm. Rsults: Th mn nxity rs (M=35.42, M=29.28), with sttistilly signifint iffrns (Z=-2.043, p=0.041). Prsptivs of th show no sttistilly signifint iffrns (p>0.05). Th ontnt nlysis prform srv to support som finings n init positiv hivmnts. Conlusions: Th strtgy of psyho ution points to positiv impt, n n rplit to iffrnt profssionls. Dsriptors: th nxity; psyho ution; hlth profssionls. [email protected] [email protected] 112

114 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 176 Vunrl popultion to low hlth litry: systmti rviw Cluin Donto Bumn,, Ezquil Novis Nto,, João Gril Silv Souz,, Aéli Dyn Guimrãs Fons,, Lilin Lr Silv,, Anré Mri Elutério Brros Lim Mrtins,f Univrsi Estul Monts Clros. Monts Clros, MG, Brsil Univrsi Cmpins. Cmpins, SP, Brsil ntroution: Hlth litry sks to unrstn th ility of iniviuls to ss, unrstn, vlut n pply informtion rlt to hlth. A low hlth litry my isqulify iniviuls to mng thir own hlth, ruing hrn to msurs of hlth promotion n iss prvntion. Vulnrl popultions to low hlth litry r in ontxt of frgility, isfvor n vn hlplssnss or nonmnt. Ojtiv: To intify groups n/or popultions vulnrl to low hlth litry. Mthos: This is systmti rviw of th litrtur onut from Lils, SiELO n MEDLNE (PuM) ts using th following sriptors: Hlth Litry, Vulnrl Popultion, Hlth Vulnrility, us in isoltion n omin. Th rtils wr initilly slt y titl n thn y ring summris to i whih ons woul hv th full txt r. Sintifi rtils from yr 2004 to 2014 wr inlu. W xlu itorils, rviws, onfrn proings n rtils of spifi pthologis. Th sintifi pprs wr r in full y two vlutors n in isornt ss thir rviwr i on th inlusion of th work. Rsults: Th litrtur srh yil rsults, with 62 r in full. Of ths, 16 mt th inlusion ritri. T min groups onsir vulnrl to low hlth litry wr olr popl with low inom n illitrt, immigrnts, iniviuls with fw soioonomi rsours, psyhitri ptints n institutionliz lrly. Conlusions: nrsing g, s wll s hlth prolms or soioonomi my ssoit with low hlth litry. Dsriptors: Hlth Litry; Vulnrl Popultion; Hlth Vulnrility. 177 Hlth Litry n its msurmnt tools: systmti rviw Ezquil Novis Nto,, Cluin Donto Bumn,, João Gril Silv Souz,, Aéli Dyn Guimrãs Fons,, Lilin Lr Silv,, Anré Mri Elutério Brros Lim Mrtins,f Univrsi Estul Monts Clros. Unimonts. Monts Clros, MG, Brsil Univrsi Cmpins. Cmpins, SP, Brsil ntroution: hlth litry is rltivly nw onpt in hlth sins. t is rlt to th ptint s skill to ss, nlyz n mk isions out informtion rlt to his/hr hlth. A poor hlth litry is rlt to poorr linil outoms n highr osts to hlth srvis. Ojtiv: To ssss th vins onrning hlth litry n its msurmnt tools. Mthos: t s systmti rviw of th litrtur onut from Lils, MEDLNE (PuM) n SiELO ts using th sriptors Hlth Litry, tools, instrumnts, n qustionnirs us in isoltion n omin. Th rtils wr initilly slt y titl n thn y ring summris to i whih ons woul hv th full txt r. Sintifi rtils until Jnury 2014 wr inlu. W xlu rviws, onfrn proings n itorils. Th sintifi pprs wr r in full y two vlutors n in isornt ss thir rviwr i on th inlusion of th work. Rsults: Th litrtur srh yil 5199 rsults, with 56 r in full. Of ths, 41 mt th inlusion ritri. W foun ivrs instrumnts tht n urtly msur hlth litry, spilly REALM, TOHFLA n SAHLSA, whih wr us in mor rtils. At lst on instrumnt (STOFHLA) n us y ppr n ltroni ministrtion. Conlusions: Hlth litry n ffiintly ssss n its tools n sussfully pt to ivrs linguisti, popultion, linil n ulturl sttings. Dsriptors: hlth litry; msurmnt; instrumnts; tools. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected]; f [email protected] 113

115 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth Promotion & Emotionl Eution: vlopmnt of wsit Nuno Frnns, Hugo Mrtins, Jon Rorigus, Mri João Ciro, Ptríi Bltr, Pul Diogo f Uni nvstigção & Dsnvolvimnto m Enfrmgm. Esol Suprior Enfrmgm Liso. Liso, Portugl ntroution: Emotions r powrful motivtors of humn hvior n trmin soil rltionships. Thus, th onpt of motionl ution mrgs s th vlopmnt of fiv si motionl skills tht llow th prson to l with motionlly intns situtions, llowing for qulity of lif through hlthy soil intrtions. nformtion thnology hs lluring trnsformtionl pilitis in hlth-rlt mttrs; s so, it my us s n importnt tool in motionl ution. Ojtiv: This projt ims t stuying motionl ution s mns for hlth promotion n y vloping strtgis tht ris wrnss on this sujt n promot motionl litry mong hlth profssionls n gnrl puli. Mthos: Conuting systmti litrtur rviw n rting wsit tht will llow for sintifi pulition n isussion rgring motionl ution s wll s th vlopmnt of n -lrning pltform, onut y nurss n rsrhrs, s on vin-s pproh. Rsults: Contriuting for motionl ution of hlth profssionls n gnrl puli, ling to thir motionl litry, through -hlth n -lrning. Conlusions: Emotionl litry is ssntil for th vlopmnt of humn potntil, ing hiv through motionl ution. n hlth promotion, lrning nw onpts n hviorl pttrns is insuffiint, s it rquirs tions irt t th ns n motions tht mit hvior n knowlg, s motions r rsponsil for th wy w priv th worl. Thus, xprining positiv motions is ssntil for minimizing suffring, rovring from illnss n for slf-tuliztion oth profssionlly n prsonlly. nformtion thnologis r n importnt n ost-fftiv tool of hlth ution tht is still unrus. Dsriptors: nursing; -hlth; motionl ution; motionl litry; hlth promotion. Typs of nformtion n Communition Thnologis usful to promot hlth litry in ptints with COPD José Migul Pilh, Pulino Sous, Filip Sors Prir Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Chroni pulmonry ostrutiv iss (COPD) is on of th grtr us of mortlity n moriity in th worl, hrtriz s hroni n progrssiv iss tht hllngs ptints ility to: skillfully mng th lvl of powr vill to th hivmnt of slf-r, n to ontrol th iss progrssion iming to mintin th ptints qulity of lif. Ojtiv: To intify typs of thnologil support n informtion ontnt us to promot hlth litry n slf-r mngmnt in ptints with COPD. Mthos: Quntittiv, xplortory, sriptiv, n trnsvrsl pproh. Th uthors us qustionnir s on litrtur rviw n on two mols: mol of thnology ptn n on mol of th trminnts for ptints priv s of us. Rsults: Ptints who h highr litry n highr thnologil litry rport tht w-s thnologis wr th most usful. Thos who h lowr litry n lowr thnologil litry rport highr usfulnss, sinss n intntion to us moil phon, ooks, n vios in th ss to informtion. Conlusions: nformtion n Communition Thnologis (CT) n rsour for hlth profssionls optimizs th slf-r mngmnt of hroni ptints. Th vlopmnt n vilility of ths rsours must mit y th thnologil litry, priv usfulnss n intntion to us thnologis y th ptint. Dsriptors: Pulmonry iss, Chroni Ostrutiv; Eution nursing; Computr litry; Hlth litry; Slf-r mngmnt. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] 114

116 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Mouth slf-xmintion rts r highr mong usrs of SUS: vlution s on mol of hlth litry Anré Mri Elutério Brros Lim Mrtins,, Rqul Conição Frrir,, João Gril Silv Souz,, Dsiré Snt An Hikl,, Efigêni Frrir Frrir,, sl Almi Porus,f Univrsi Estul Monts Clros. Mins Gris, Brsil Univrsi Frl Mins Gris. Mins Gris, Brsil Univrsi Cmpins. São Pulo, Brsil ntroution: in th ontxt of hlth promotion, utionl tivitis r priority in th primry hlth r (PHC) provi y Brzil s puli hlth r systm (SUS). Th fftivnss of ths tions is monstrt y th hrn to mouth slf-xmintion n rution in moriity n mortlity rts of orl nr. Ojtiv: to intify th prvln of mouth slf-xmintions mong lrs n vrify if th prvln ws highr mong SUS usrs s on mol of hlth litry. Mthos: ross-stionl stuy twn omplx smpls, proilisti y onglomrtion of lrly (65-74 yrs). SPSS ws us for stimtion, with orrtions to sign ffts of th mgnitus (OR/C95%) of ssoitions of mouth slf-xmintion with iniviul trminnts, srvis us, hlth osts, hlth rlt hviors n hlth outoms. Rsults: mong th 740 stuy sujts, 492 lrly mt th inlusion ritri (rspons rt 92%). Of ths, 101 (22.4%) rport tht thy prti slf-xmintions of th mouth. This hvior ws mor frqunt mong lrly who us puli ntl srvis provi y SUS, thos who h highr pr pit inom, thos who h mor shooling, thos who us rmovl ntl prosthsis n thos without mouth isorrs; it ws lss frqunt mong thos who us ntl srvis s routin n mong thos who in t rink lohol. Conlusions: th prvln of mouth slf-xmintion mong th lrly ws low, ut highr mong puli hlthr usrs. Thing routins of slf-xmintion shoul inlu in ll stnrs of trtmnt, inluing mong thos who us privt, omplmntry n philnthropi srvis. Dsriptors: Mouth Noplsms. Ag. Hlth litry. SUS. Slf-xmintion. Orl hlth. CROSS-NFECTON RSK N CLNCAL DENTSTRY PERFORMED BY STUDENTS Anré Arrius Nélio Vig,, Cláui Riiro,,, Mri Goinho,, Rut Rio,, Univrsi Ctóli Portugus. Porto, Portugl Cntro Hospitlr o Porto. Hospitl Snto António. Porto, Portugl Ful Miin Dntári o Porto. Porto, Portugl ntroution: Cross-inftion is prolm in ll ntl offis. n orr to prvnt this prolm, thr r vrious ontrol msurs. This ours through th trnsmission of pthogni miro-orgnisms from on ptint to nothr, th ptint to th Dntist. Ojtiv: Chking th knowlg y ntistry stunts out ross inftion, though qustionnir tht im to osrv th mthos of spsis in ntistry linil prti. Mthos: Th qustionnir ontin qustions out th prours for ontmintion of surfs, rotry instrumnts n linil pplins. Th survy ws omplt y 138 stunts of Ctholi Univrsity. Rsults: t ws foun tht spti hin is not lwys rspt, oftn through ignorn or unonsious ts. Howvr, stunts hv monstrt knowlg of th ross-inftion risk, sin 96.4% isinfts th ox ftr h ppointmnt n 89.1% us stril mtril uring th pointmnt. W vrifi tht on of th potntil sours of ross-inftion twn ptints is to us th sm pking mtril, inluing th hsiv n omposit. n turn, th lk of mns of prottion, suh s goggls, f shil n ps y th mjority of stunts, my llow inftions twn ptint n stunt of Dntl Miin. Conlusions: Cross-inftion is prsnt in y-to-y stunt of Dntistry. Ths my our twn ptints n/or twn ptint n stunt. Th spti protools shoul rviw n stunts, for thir own sfty n s futur hlth profssionls, shoul vis to opt onsrvtiv msurs n ru or vn limint ross-inftion. Dsriptors: Msurs; Cross-inftion; Disinftion Striliztion; Dntistry; Dntl Offi. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 115

117 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ntrnt ition rlt-symptoms in smpl of young-ults Mri João Mrtins,, Mrin Mi Crvlho,, Snr Viir,, Mri Luz Vl-Dis,,Vr Rposo, Ful Psiologi Ciênis Eução Univrsi Coimr; Coimr. Portugl. Cntro Hospitlr Univrsi Coimr. Coimr. Portugl ntroution: ntrnt ition or xssiv omputr us r onpts riv from th virtul-thnologil ontmporry soity. As rnt linil onition propos y mil profssionls n rogniz y DSM-V, ntrnt Aition Disorr (AD) rfrs to moo lns, xssiv or poorly ontroll prouptions, urgs or hviours rgring omputr us or intrnt nvigtion ling to fmily onflits, iminish soil lif, vrs work or mi prolms (Csh, R, Stl & Winklr, 2012; Winstin & Ljoyux, 2010). Although it n svrlly fft sujts from iffrnt lif-spn stgs, olsnts n young-ults sm to t highr risk for AD in trms of its nuroiologil mhnisms n psyhosoil vulnrility. Ojtiv: This stuy im to: ) vlut th prsn of AD rlt-symptoms in smpl of young-ults; ) lrify th AD ritri, its uss n onsquns ) ontriut to th vlution of th Portugus vrsion of th ntrnt Aition Tst (Young, 1988) proprtis. Mthos: Using xplortory quntittiv sign, smpl of 455 young-ults fill th ntrnt Aition Tst (Young, 1988) n soiomogrphi qustionnir. Rsults: Th rsults foun suggst tht onsirl mount of our smpl uss intrnt xssivly. Prliminry nlyss show tht th AD tst hs pproprit psyhomtri proprtis. Conlusions: Th rsults highlight th urgny for prvntion progrms in th ollg ommunity so tht prvntion strtgis sri y othr uthors n thrputi intrvntions ing tst r suintly rommn. Rgring th intrst of intrnt ition for Dvlopmntl Psyhology n Clinil Prti w rlt our rsults to th mjor hllngs hlthy vlopmnt. Dsriptors: intrnt; ition; young-ults; risk. Young s mntl hlth litry: systmti rviw Tâni Morgo,, Glóri Toltti,, Luís Louriro,, Mri Antóni Botlho,, Mnul Gonçlvs-Prir V, Cntro Hospitlr. Univrsi Coimr. Coimr, Portugl Esol Suprior Enfrmgm Liso. Liso, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl V Univrsi Nov Liso. Liso, Portugl ntroution: Worlwi, pproximtly 20% of hilrn n olsnts suffr from mntl isorr (WHO, 2003) n out 8% of tngrs hv nxity isorrs (NMH, 2011). Stuis mphsiz th importn of promoting young s mntl hlth litry. Ojtiv: ntify th lvls of young s mntl hlth litry out nxity. Mthos: A systmti litrtur rviw ws onut on EBSCOhost: CNAHL n MEDLNE uring Dmr n Jnury 2014 for rsults from 2008 to Artils wr nlyz oring to sltion ritri n ssss for qulity y two rviwrs. Rsults: Wr inlu 5 rtils. 1) n smpl of young g 16-24, mor thn on in four xprin mntl isorrs, inlu nxity, in th proing 12 months, ut lss thn 1/4 ss hlth srvis (Rvly, Cvtkovski, Jorm, Lumn, 2010). 2) Aout 33% young yrs of rprsnttiv smpl intifi th post-trumti strss n only 3% soil phoi (Rvly, Jorm, 2011). 3) n rprsnttiv smpl of unrgrut stunts, 80% knowlg soil phoi n osssiv-ompulsiv isorr in vigntts, howvr lss thn hlf ll th pni isorr or nxity gnrliz orrtly (Cols, Colmn, 2011). 4). Byonlu wrnss ws ssoit with mor urt rognition of th isorr portry in ll vigntts, xpt soil phoi y young yrs (Yp, Rvly, Jorm, 2012). 5) n onvnin smpl of mil n high shool, stunts lvls of rognition of mntl isorrs wr low, 27.5% intifi nxity (Olsson, Knny, 2010). Conlusions: Stuis show ru lvls of young s mntl hlth litry out nxity n it s nssry to vlop intrvntions to promot it. Dsriptors: mntl hlth litry; nxity; young; olsnts. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 116

118 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth HEALTH EDUCATON - ANALYSS OF CURRCULUM MATRX OF THE COURSE OF NURSNG Rqul Brrtto,, Lurini Cvlnt,, Fátim Lnim,, Li Jo,, Mri Trz Borgs,, Sr Krg, Rithinn Crniro Ful o Norst. Fortlz, CE, Brsil Univrsi Fortlz. Fortlz, CE, Brsil ntroution: Th nursing ours urrntly hs th gol of trining profssionls in th prottion, promotion n rstortion of hlth n prvntion of isss. Hlth ution rquirs knowlg of oth th pymnt of hlth n ution s wll s psyhology, soiology, philosophy n nthropology, nmly, hlth ution is multift fil. Th prolm of this invstigtion ws: how is th supply of th isiplin of hlth ution in ours nursing of Fortlz-Crá-Brzil. Ojtiv: To nlyz th supply of th isiplin of hlth ution in th urriulum mtris of nursing ourss offr y ES in Fortlz-Crá-Brzil. Mthos: This ws in 2013 xplortory-sriptiv oumntry stuy. Th srh for th orpus took pl in th ltroni ES of Fortlz-Crá-Brzil offr tht th nursing ours sits. Rsults: Aoring to th -MEC (Brzil, 2013) h 14 nursing ourss, two of ths in th istn (UNDERP n UNESA). Rgring th vilility of th urriulum t th sit of ES: in two ES, th mtrix ws not vill onlin (FATEC n FMN). Rgring supply of th isiplin of hlth ution: only 04 ES, th offr (UNCHRSTUS, FC ESTACO, UECE n FANOR). Conlusion: Hlth ution is th or of nursing ution thrfor shoul inlu in th urriulum of th ours. Dsriptors: Hlth ution; Nursing; Curriulum Mtrix; Highr. Wtr intk s promotr of hlth hviour with hilrn Dolors Estrl Alvirinho, Hln Mrgri Tomás, Mrgri Afonso, Pul Estvs nstituto Politénio Cstlo Brno. Esol Suprior Eução. Cstlo Brno, Portugl ntroution: Promoting hlth litry is importnt in th ution of futur rly hilhoo utors. t is ritil tht uring initil thr trining, futur utors hv th opportunity to vlop n implmnt utionl prtis with young hilrn tht promot hlthy hviours n tht thy ritilly rflt on thos prtis. Ojtiv: To nlys th impt of prti vlop y futur rly hilhoo utors roun th thm of wtr intk, s mns to promot hlthy lifstyl. Mthos: Qulittiv xplortory s stuy involving 5 futur rly hilhoo utors n 24 young hilrn. A ontnt nlysis of th ontinuous rfltions of futur utors n of th rwings m y th hilrn for n ftr th intrvntion ws onut. Rsults: Futur rly hilhoo utors wr unnimous in rognizing th importn of xprintil utionl prtis in promoting thir mpowrmnt in th fil of hlth litry. Thy rport th vntgs of projt work s on prolm solving, of thing rsour proution, of plnning n rrying out tivitis with young hilrn n of mintining ontinuous rflxiv ttitu, ll of whih ontriut to promot thir ility to think ritilly n strtgilly th importn of th hlth litry. Chilrn unrstoo th importn of rinking n ting foos rih in wtr n intrnliz this hviour s promotr of hlthy lifstyl wht is initiv of th fftivnss of th prti onut y th futur utors. Conlusions: Prtis of th typ prform n hlp improv fftivly n sustinly th hlth litry for inrs ontrol ovr hlth of th stunts n th hilrn. Dsriptors: Hlth litry; rly hilhoo ution; initil thr trining; wtr intk; hilrn.. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 117

119 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Communitiv styls of prson with phsi ftr rin injury Gril Tixir, An Rit Ris, Brr Sntigo, Mári Mrqus, Sóni Pós Min, Mri os Anjos Dix Esol Suprior Sú, nstituto Politénio Liri, Portugl ntroution: A rin injury tht ffts th rs of lngug, will hv svrl iopsyossoil rprussions in th ptint. Knowing th impt tht ommunition fiits, sonry to rin injury, hv on th ptint n thir intrprsonl rltionships, th sph thrpist n stlish mor rlisti thrputi gols, inrsing th suss of th intrvntion. Ojtiv: To intify ommunitiv hngs of th prson with phsi ftr rin injury. Mthos: Simpl sriptiv stuy involving 7 iniviuls ignos with phsi, to whom ws ppli th CAPPA - P [Convrstion Anlysis Profil for Popl with Aphsi (Whitworth, Prkins & Lssr, 1997)], spifilly th sl tht sssss hngs twn prmori (for injury) n postmori (ftr injury) onvrstions. n t olltion, onut through intrviws, wr mt ll th prinipls of th Dlrtion of Hlsinki. Rsults: Th ptints wr sk out: slf ommunition fturs, ommunitiv prtnrs, situtions n onvrstionl thms n non-vrl ommunition. Thr ws rgrssion in prformn ftr th rin injury, in thms rltiv to ommunitiv styl [in fturs lik tlktiv (57.1%) n spk lrly (42.9%)], n to th topis of onvrstion [th most signifint wr futur plns n fmily ]. Thr ws n improvmnt in non-vrl ommunition, with th inrsing us of gsturs (57.1%). Som topis rmin unhng ftr th rin injury, u to th most vril intrnl n xtrnl ftors. Conlusions: Dspit th smll numr of prtiipnts, it ws vint tht ptints show signifitiv hngs in thir ommunitiv styls n woul nfit from Sph n Lngug Thrpy. Dsriptors: phsi; ommunition; onvrstion; rgivrs; sph thrpy. Shm n Soil Anxity in Aolsn: Th Exprin of Shm Sl for Aolsnts Mri o Céu Slvor, Ev Rorigus Ful Psiologi Ciênis Eução. Univrsi Coimr. Portugl ntroution: Symptoms ssoit with soil nxity isorr (SAD) n shm ris minly uring rly olsn, uring whih prio ll hngs ll ttntion to th slf n its xposur, nxity n shm ing typilly ssoit with th prption of ing srutiniz y othrs. Ojtiv: W first im to xplor th psyhomtri proprtis of th Exprin of Shm Sl (ESS; Anrws, Qin & Vlntin, 2002) in Portugus olsnt smpl (Stuy 1). This slf-rport msur sssss hrtrologil, hviorl n oily shm, n ws us in Stuy 2 to xplor th rltionship twn soil nxity n shm mong iffrnt groups. Mthos: 326 olsnts (mn g=15.30), prtiipt in th stuy of th qustionnir (Stuy 1) n 102 olsnts ( mn g=15.6), prtiipt in Stuy 2, whih ompris olsnts with SAD (N=45), olsnts with othr nxity isorrs (N=24) n olsnts without ny psyhopthology (N=33). Both smpls wr ollt from shools. All th prtiipnts nswr svrl slf-rport qustionnirs n ll th prtiipnts of Stuy 2 wr ssss using ADS-C. Rsults: Th ESS rvl goo psyhomtris proprtis, onfirming 3 ftor strutur n monstrting xllnt rliility n goo onvrgnt n isriminnt vliity. n Stuy 2, shm ws positiv n signifintly orrlt with soil nxity mong olsnts with SAD. Th ESS s totl sor n th hrtrologil n hviorl shm ftors wr signifint pritors of soil nxity. Also, th ESS signifintly isrimint twn olsnts with SAD from olsnts with othr nxity isorrs or with no psyhopthology. Conlusions: Ths rsults suggst tht th ESS is vli instrumnt for linil ssssmnt n rsrh on olsnt soil nxity isorr. Dsriptors: Shm; Aolsn; Exprin of Shm Sl (ESS); Rliility; Soil Anxity Disorr (SAD). [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 118

120 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 188 VESTBULAR EFFECTS OF COCHLEAR MPLANTATON 189 THE HEALTH LTERACY AND EMPOWERMENT OF CTZENS: NTEGRATVE REVEW nês Arújo Esol Suprior Tnologi Sú.nstituto Politénio Coimr. Portugl ntroution: Th Cohlr mplnt (C) is thrputi option for ptints with svr snsorinurl hring loss. Th C is prosthsis whih min purpos is to sustitut Cortí orgn whn ompromis. Th C llows th hring snstion n th rognition of souns n sph. Th C prformn hs n invstigt y mny rsrhrs, ut only fw stuis nlys it impt in oy ln. Ojtiv: To vrify th ffts of C surgry on vstiulr systm, using systmti rviw. Mthos: Th litrtur rviw ws m twn th 6 th n 8 th of My Th pprs wr srh on th following tss: PuM; Elsvir-Sin Dirt; Springr Link; Tylor & Frnis; W of Knowlg, W o Sin; Wily; n B-On. n this rviw wr inlu originl pprs in English n Portugus lngug, from 2003 to Kywors us wr: posturl ln, ohlr implnts, vstiulr isorrs, n vstiulr ltrtions. Rsults: A totl of 21 pulitions wr foun, n ftr ring th strt only 14 orrspon to th inlusion ritri. Conlusions: Th svrl uthors prsnt iffrnt onlusions: som rgu tht C surgry intrfrs with vstiulr funtion n so ffts oy ln; ut othrs sy tht thr is ny intrfrn n tht n vn improv oy ln. Although this rsults, thr r som gry rs tht n rsrh to lrify this thm: th ffts of iltrl C n its ffts on ily liv ln. Dsriptors: posturl ln; ohlr implnts; vstiulr isorrs; vstiulr ltrtions. Mri José Roso Mrtins Uni Cuios Sú Prsonlizos Loulé. Loulé, Portugl ntroution: Th hlth litry is st of iniviul n soil skills, whih givs th ility to ss, unrstn n us hlth informtion n onsqunt mpowrmnt of itizns in promoting hlth n its rltionship to ily lif. Ojtiv: Anlyz sintifi litrtur on th hlth litry, thir rltionship with thir hlth. Mthos: ntgrtiv rviw. Eltroni rsrh tss in th B-ON, LLACS, SiELO, RCAAP n rpositoris of Portugl Univrsitis. Kywors: hlth litry; litry; mpowrmnt; itizns; promotion of hlth. Th survy ws onut from Jnury to Frury 14, Rsults: Thr is irt rltionship twn hlth litry n hlth sttus. Low hlth litry is ssoit with lss knowlg out th prvntion n mngmnt of hlth prolms n infftiv hviors, inpproprit us of rugs, xssiv us of hlth srvis or inffiy in ling with mrgny situtions. High litry is rlt to ttr hlth outoms, inrs longvity, hlthy lifstyl hits n lifstyls. Conlusions: Hlth profssionls shoul st up projts t rgionl lvl to intify usrs with low hlth litry, in orr to promot n qut lvl of hlth litry, whih in turn inrss th pity of hlth of h itizn, proviing skills for wr tiv in ling with th hlth systm n th mngmnt of thir hlth n iss. Th hlth systm ntr on th usr rquirs n tiv rol of th itizn, oming n intgrl prt of ision mking in hlth r, in orr to hng thir lifstyls to nsur hlthir lif, n lowr osts to th stt n otin hlth gins. Dsriptors: hlth litry; litry; mpowrmnt; itizns; promotion of hlth. [email protected] [email protected] 119

121 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth BEHAVOUR FACE TO PACKAGNG WASTE AND DRUGS OUT OF USE Luís M. Nsimnto, Xvir To, Mris Croso, Lur Figuiro, vo Lops, Rui Torrs Dprtmnto Tnologis Dignóstio Trpêuti. Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç Portugl ntroution: Aoring to Dirtiv No. 2004/12/EC of 11 Frury, up to th prsnt lnr yr (2011), Portugl shoul mt stlish with rspt to th ryling of pkging wst n isr rug trgts. For this, it is ssntil tht th popultion hs quir ovr th pst fw yrs, th nssry informtion. So, for tht it is importnt th tiv prtiiption of vryon in this livry, in pls u to th fft. Ojtiv: Th ojtivs of this rsrh onsist in knowing wht thy know n o stunts of Hlth Shool of Sins, in Polythni nstitut of Brgnç. Th miins n no longr us n its pkging, thus vluting th livry hvior of this typ of wst in phrmis. Mthos: To hiv ths gol, w slt th shool rfrr to rlir s s of stuy, using s n nlytil tool, qustionnir to ppli mnully. Th qustionnir ws ministr to smpl of 356 stunts from th Hlth Shool of Brgnç. Rsults: Th rsults show tht most rsponnts only isposs rugs lft ovr whn finish thir xpirtion t, n rhiv thm first t hom n thn giving thm s stintion in th first pl, th ust n thn th phrmy. t is minly womn who gos to th phrmy livry miins out of us, hving s min rsons th inomil nvironmnt/hlth. t ws lso notil tht popl who o not livr th miins in phrmis still ovrlp thos tht livr thm in phrmis. Conlusions: Ths rsults, whih llow ttr unrstning of th hvior of th stunts of th Hlth Shool of Brgnç f to miins, provi n importnt ommunition strtgis n tions to improv th rts of rovry n ryling wst ontriution. Dsriptors: Bhvior; miins out of us; wst; phrmy. KNOWLEDGES OF BRAZLAN ACADEMCS OF NURSNG ON BURNS Flvi Dyn Riiro Silvir,, Govn Glls Frrir Silv,, Mri Jsus Lops Mousinho Niv,, Grzill Rort Frits Silv,, Nyll Elis Sntos Alnr,, Ann Krolinn Olivir Silv,f, Prisil o Vl Mho,g Univrsi Frl o Piuí. Brzil Ful Sú, Cinis Humns Tnológis Do Piuí. Brzil Univrsi Estul o Mrnhão. Brzil ntroution: Th nnul inin of urns hs n high in Brzil. This kin of ourrn, vry frquntly, is totlly prvntl. Hlth profssionls s wll s hlth stunts r vry importnt to hng this rlity. s nssry to fous in ution strtgis to hlp to ru ths voil ourrns. Ojtiv: To ssss th knowlg of nursing stunts out urns n prvntiv msurs. Mthos: This is qulittiv rsrh whih ws rliz with 15 stunts in th 3 th yr of Nursing grution t privt univrsity in pitl of Northst of Brsil. For th t olltion, intrviws wr onut s on smi-strutur sript. Th stunts knowlg on urns, prvntion n trtmnt wr nlys n group in thr tgoris: Conpt n lssifition of urn; urns: prvnting n woun r n; popultion mor likly to suffr urn. Rsults n Conlusions: t ws osrv tht is not iffiult for stunts onptuliz urns. Howvr, just fw thm sri orrtly th lssifition of urns. Aout prvntion of urns, lmost ll stunts intrviw si orrtly wht to o to prvnt this kin of int. n othr hn, th trtmnt of ths lsions ws not wll xplin y stunts. n ition, lmost ll stunts wr right to sy tht hilrn n lrly r th most vulnrl popl to suffr urns. t is hop tht this stuy n to nourg th implmnttion of nw knowlgs n hilitis in th Nursing grut urriulum, s on th min wknsss of stunts. Dsriptors: Wouns n njuris; Thrputis; Eution Nursing; Evlution; Brzil. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 120

122 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Fish Consumption in Collg Stunts Arin Silv,, Anri Rorigus,, Dnil Mrtins,, António Frnns,,, Vr Frro-Lrs, Esol Suprior Sú. nstituto Politénio Brgnç. Portugl Esol Suprior Agrári. nstituto Politénio Brgnç. Portugl Cntr of Trnsisiplinry Dvlopmnt Stuis. Univrsi Trás-os-Monts Alto Douro. Portugl ntroution: Fish is n importnt prt of hlthy it, th possiility of sustituting mls with highr ontnt of sturt ft rising riovsulr isss risk, y mls with fish hs innumrous hlth nfits. Ojtiv: This stuy im to stuy th onsumption of fish in highr ution stunts, n its soio mogrphi oftors. Mthos: A smpl of 238 Portugus highr ution stunts ws us in ross stionl stuy. A qustionnir rgring soio mogrphi n fish onsumption hits ws us. Sttistil t nlysis ws prform suing Sttistil Pkg for Soil Sins, vrsion Kolmogorov-Smirnov with Lillifors orrtion, Lvn, Wiloxon n Kruskl-Wllis, wr th tsts us. Rsults: Rsults rvl tht fmls n stunts from up-ountry hv signifintly highr onsumption of fish. t ws lso vint tht stunts onsum signifintly mor fish whn ting out. Conlusions: Ths t wr onsistnt with prvious rsrhs tht onlu tht womn onsum signifintly mor fish n othr hlthy foo itms, lik fruits n vgtls. Ths rsults suggst tht th ontxts of fishy it in highr ution stunts r not th sm s for ults. Furthr stuis rgring th trminnts of hlthy it s whol r n. Dsriptors: Fish Consumption; Dit; Stunts; Hlth; Portugl. Boy img n oy omposition in stunts from two sonry ution shools of Brgnz ity, Portugl Filip Rlo,, Mris Sntos,, Vr Frro-Lrs,, António Frnns,, Esol Suprior Sú. nstituto Politénio Brgnç. Portugl Esol Suprior Agrári. nstituto Politénio Brgnç. Portugl Cntr of Trnsisiplinry Dvlopmnt Stuis. Univrsi Trás-os-Monts Alto Douro. Portugl ntroution: Aolsn is prio of lif hrtriz y physil, motionl n soil hngs. Th hngs osrv in th look n oy omposition l to rstruturing of oy img. Ojtiv: To stuy th orrltion twn oy img n oy omposition (% of ft mss) in olsnts from two high shools lot in Brgnz ity, Portugl. Mthos: A ross-stionl, quntittiv, osrvtionl n nlytil stuy ws vlop. To rry out this stuy, smpl of 282 olsnts ws ollt. Ths olsnts wr g twn 15 n 19 yrs, n wr nroll in th mi yr (2012/2013). Th olsnts wr ssss for oy img through th Boy mg Qustionnir; n, th istriution of ft mss ws msur using SECA ioltril impn ln. To o th t trtmnt, SPSS 21.0 sttistil progrm ws us s wll s th Sprmn tst. Rsults: Th vrg oy ft prntg ws highr in fmls (27.7%) ompr to mls (19.2%). Fmls show highr prvln in ll tgoris of oy img istortion. An mong th fml stunts, 14.5% h minor istortion, 9.9% h mort istortion n 6.9% h svr istortion. Among th ml stunts, 3.3% h minor istortion, 4.6% h mort istortion n 2.0% h svr istortion. A mort orrltion twn oy img n oy ft prnt ws osrv (Sprmn orrltion offiint =0.535). Conlusions: Fml olsnts h mn of oy ft prntg ov th ml gnr. Thr ws foun mort orrltion twn oy img n oy ft prntg. Dsriptors: Aolsnts; Boy img; Boy omposition; Sonry ution; Brgnz ity, Portugl @lunos.ip.pt [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 121

123 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Msurmnt n ision mking 194 Th msurmnt of Aptiv Bhviour in Portugl Sofi Sntos, Pro Morto Cntro Estuos Eução Espil. Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: n Portugl, is possil to osrv th still xploittion of north-amrin normliz instrumnts. Only sin th 2000s hs Portugl inlu funtionl vlution of Aptiv Bhviour (AB) to sri popl s omptns in ommunity sttings. t hs gin prominnt ttntion in humn srvis ovr th lst yrs in Portugl, n its msurmnt hs om n intgrl prt of th ntlltul Disility (D) ignosis, whih rmins xlusivly s on Q msurs. Ojtiv: This sitution suggsts th onstrution of originlly Portugus msurs. Our gol is to prsnt th pttion n vlition pross of th Portugus vrsion of th Aptiv Bhviour Sl (PABS), u to th n of propr n ohrnt vis to vlut Portugus popultion with D. Mthos: PABS ws ppli to 1800 prsons with D (6-60 yrs), living in institutionl sttings to ssss thir AB lvl. Simultnously, it ws lso ppli to 75 so-ll norml prtiipnts, in th sm rng of gs, for omprison. Th Portugus vrsion of Aptiv Bhviour Sl ws us. Rsults: Rsults of th stuy r isuss in trms of th rliility n vliity of sl. Normtiv inxs n sl Portugus vrsion h om logil stps. ts importn in urriul is lso isuss. Conlusions: Th PABS pprs to vli n rlil ssssmnt of AB in Portugus iniviuls with D. Portugus poliy towrs isility ns mor fous on AB rthr thn ing xlusivly s in mi-sholr ontnt: importn of th qulity of intrtions twn iniviul n vryy nvironmntl mns vs. iniviul fiits. Dsriptors: Aptiv hviour. Evlution. ntlltul isility. Portugus Aptiv Bhvior Sl. 195 Chrtriztion of ints rlting xposur to iologil mtril involving th stff of univrsity hospitl ngri Amorim,,, Erio Amorim,, Rfl Moris,, Mili Bispo,,, An Mnonç,, Luin Riiro,,f Hospitl Univrsitário Onofr Lops Univrsi Frl o Rio Grn o Nort. Ció, Brsil Univrsi Potigur. Ntl, Brsil ntroution: Hlth institutions r rogniz y n offr omplx srvis tht hv vrious risks for workrs hlth. Th hnling of shrps ontining orgni mtrils my us th mploy to n int. Ojtiv: Th ojtiv of this rsrh ws to hrtriz ints rlting xposur to iologil mtril involving th nursing stff of univrsity hospitl in Ntl/RN. Mthos: Th popultion onsist of 62 nursing n thniins who h ints with iologil mtril in th prio from 2008 to 2012 n wr ror in rporting forms of work int invstigtion involving xposur to iologil mtril. Dt olltion ws prform using th TWin progrm, in Sistm nformção Agrvos Notifiávis (SNAN-NET). Rsults: Among th ints rport th nursing stff ws th most rugg (76.54%), with th highst inin for nursing thniins (74.07%), fml (95%), usully on son (48.39%) n thir s of lif (32.26%). Th loo ws th orgni mttr prsnt in most ints (83.87%), whos irumstns involv th ministrtion of mition suutnously (26.92%), rpping th nl (25%) n impropr isposl floor (15, 38%). Profssionls who hv h xposur to iologil mtrils, 71.15% us glovs n 90.32% hv n vint ginst hptitis B. Conlusions: Th intifition of ints involving xposur to iologil mtril llows th plnning n implmnttion of pproprit msurs y hlthr profssionls, mployrs n ministrtors. Dsriptors: Hlth r. Ouptionl ints. Exposur to iologi gnts. Aint prvntion. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]@uol.om.r f [email protected] 122

124 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th us of imgs in Sph n Lngug Thrpy in Portugl An Pul Montiro Cntro Linguísti. Univrsi Liso. Liso, Portugl ntroution: n linil ontxt of Sph n Lngug Thrpy, imgs r us s n ssssmnt tool n s strtgy to nhn th vlopmnt of prptul n ognitiv ilitis tht r unvlop or istur in sujts without shooling n/or with ommunition n lngug isorrs. Ojtiv: To otin ojtiv informtion out th us of imgs in th linil ontxt of Sph n Lngug Thrpy in Portugl, nmly to know th opinion of th Portugus Sph-Lngug Pthologists (SLP) out th importn n us of imgs in thir ily linil prti. Mthos: t ws us on-lin qustionnir tht ws nswr y 54% of th Portugus SLP. Rsults: All SLP uss imgs in thir linil prti. Th most us imgs r rwings n photogrphs in orr to stimult ommunition n lngug proution (voulry, uttrns n isours). Fing n img, th linguisti instrutions formult y SLP show fous in rtin spts, ling to th liittion of mor numrtiv or omplx linguisti hviours. Th first qustion m y SLP fous prsnt vnts n th glol sn triggring strtgis of litrl omprhnsion n inuing th proution of simpl n numrtiv uttrns. Th susqunt qustions fous othr spts triggring mor strtgis of omprhnsion n inuing th proution of omplx uttrns. Conlusions: Th rsults show tht imgs r vry importnt tool in linil prti of SLP n lso show th importn of stlish n instrumnt whih llows profssionls to follow st of prmtrs n lirtly hoos th proprtis of th imgs us in th liittion of rtin linguisti hviours. Dsriptors: Lngug proution. mgs. Sph n Lngug Thrpy. Th w on th ision-mking pross of prgnnt/postprtum womn: Portugus survy Mrt Frrz,, An Mrgri Almi,, Alxnr Mtis, Univrsi Aviro. Univrsi o Porto. Portugl Dprtmnto omunição rt. Univrsi Aviro. Aviro, Portugl Ful Miin. Univrsi o Porto. Porto, Portugl ntroution: This ppr xplors th influn tht th w my hv on th ision-mking prosss of womn uring th prgnny-purprl yl, iming to unrstn how srh prtis, pr influn n opinion shring r rri out on th w. Ojtiv: Th min ojtiv is to sri whthr th ision-mking pross of prgnnt n postprtum is influn y th srh for informtion provi y institutionl n/or ommril wsits, n if th ntur, quntity n qulity of informtion r tkn into ount whn hoosing sour of informtion. W lso wnt to unrstn whthr thir prtiiption in soil ntworks improvs thir ision-mking ility n if th viws n storis shr y othr prgnnt womn n influn isions. Finlly, w r trying to unrstn whthr th ision-mking pross of ths womn is support y th opinion xprss y hlth profssionls or y utonomous w srhs. Mthos: Th rsults prsnt in this ppr r s on t ollt through n xplortory survy onut with qustionnir ppli to Portugus prgnnt n postprtum womn. Rsults n Conlusions: Th rviw of rnt litrtur n rsrh on prgnnt womn s us of th intrnt points to th iggst influn of th otor s opinion ovr th intrnt s fr s th ision mking pross is onrn. n tht ontxt, thr is th n to furthr xplor th influn tht th w my hv on th ision-mking prosss of womn uring th prgnny-purprl yl. Th rsults of our survy shoul usful for prssuring poliy mkrs to fin promptr n ttr qulity nswrs. Dsriptors: Dision-mking pross. W. Prgnnt. Autonomy. Mition. [email protected] [email protected] [email protected] [email protected] 123

125 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Ptints prfrns n ns: ntrlity of nursing r Mri Frrir,,, José Amnoir,, Esol Suprior Sú. nstituto politénio Sntrém. Sntrém, Portugl Cntro nvstigção ntrisiplinr m Sú. Univrsi Ctóli Portugus. Portugl ntroution: Th r is th sis of th hlth systm. Currntly it is rommn tht th prigm of proviing ptint-ntr r, is onsir rul of th qulity r. Ojtiv: Th purposs of this stuy wr to trmin th xtnt to whih ut r nurs provi ptint-ntr r. Mthos: A sriptiv orrltionl sign ws us. W opt th Ptint-Cntr Cr qustionnir. Dt wr ollt from 288 ptints from ut r srvis in two hospitls: ntrl, urn, n nothr inoors in mor rurl stting. Rsults: Through prinipl omponnts ftor nlysis w intifi 5 imnsions onsistnt (α.60 to.84): ttnn to ptints ns, rsolution of ptints hlth prolms, provision of r oring to ptints prfrns, hlth ution n informtion out hlth onition n trtmnt. On vrg, ptints xprssion vry fvorl rspons in ttnn to thir ns (m=4.3, s=.76), n lss fvorl rspons for th imnsion hlth ution (m=3.2, s=1.74). Conlusions: Ovrll, ptints givn positiv ssssmnt to th ntrlity of r (m=3.6, s=1.2), howvr, w onsir importnt to ontinu to invst in this holisti prigm tht is th ntrlity of r, for xlln of r. Dsriptors: Ptint-ntr r. Nursing r. Qulity of r. niviuliz r. Dvlopmnt of Gritri Funtionlity Sl to srn for funtionl ility Hln Espírito-Snto,,, Lur Lmos,,, nês Torrs- Pn,, Sóni Gulup,,, Sr Goro,, Frnn Dnil,V,f, Hnriqu Tst-Vint,,g Cntro Estuos Populção, Eonomi Soi. Porto, Portugl nstituto Suprior Migul Torg. Coimr, Portugl nstituto Suprior Língus Aministrção Liri. Liri, Portugl V Cntro Estuos nvstigção m Sú. Univrsi Coimr. Coimr, Portugl ntroution: funtionlity is ignosti ritrion for mnti, mil ognitiv impirmnt, n rgivr urn. Brvity, n sinss r rquir for lrs ssssmnt. Ojtiv: Dvlop n vlit nw 20-itm-7-minut Gritri Funtionlity Sl/GFS for lrly. Mthos: W lssifi 383 lrs (gnrl ommunity n institutionliz) s norml, milly, mortly, or svrly funtionlly impir s on funtionl symptoms rlt with th numr of mil symptoms, n ognitiv lvl. Rsults: GFS ws intrnlly onsistnt (α=0.91) n ll of th orrt itm-totl orrltions wr ov 0.3. Th PCA, Mont Crlo nlysis, n sr plot rvl mningful on-ftor solution, xplining 57.1% of th totl vrin (Brtltt s p<0.001; KMO=0.94). tms lo quit strongly (>0.46), with th xption of two itms (>0.33). GFS orrlt with th numr of mil symptoms (r=-0.39; p<0.001), n th ognitiv lvl (r=0.52 to 0.57). GFS signifintly (p<0.001) istinguish twn ommunity (M±SD = 19.50±2.26) n institutionliz lrs (M±SD = 12.12±5.83). Using utoff sor of 13, th GFS h snsitivity of 80% n spifiity of 40.2% to tt milly impirmnt (AUC=0.61). n th mortly group, snsitivity ws 74.4% n spifiity 58.1% with utoff of 15 (AUC=0.68). n th svrly funtionlly impir group, th snsitivity ws 80.0% n spifiity 87.8% with utoff of 12 (AUC=0.87). Conlusions: Th GFS rprsnts rlil n vli funtionl ility srning sl for lrly popultions. Dsriptors: Aging. Funtionlity. Psyhomtri proprtis. Vlition.. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 124

126 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Musl o-ontrtion ssssmnt uring wlking in linil prti- prliminry ury n rprouiility stuy Mrln Ros,, Al Mrqus,, Sr Dmin,, João Rorigus, Dprtmnto Ciênis Sú. Univrsi Aviro. Aviro, Portugl Fulty of Hlth Sins. Univrsity of Southmpton. Southmpton, UK Dprtmnto Eltróni, Tlomuniçõs nformáti. Univrsi Aviro. Aviro, Portugl ntroution: Musl o-ontrtion (Co) hs n shown to importnt for motor ontrol. ts ssssmnt uring wlking hs gnrlly n prform unr lortory onitions, using high-th quipmnt (H-Th), whih limits its ppliility in linil prti. Ojtiv: To tst th rror in th ssssmnt of Co using low-th multory systm (L-Th). Mthos: Thirty-fiv git yls wr ror whilst hlthy prtiipnts wlk long 5 mtr orrior t thir omfortl sp. Eltromyogrphi musl tivity of rtus fmoris (RF) n ips fmoris (BF) of on rnomly ssign lowr lim ws ror (Proomp nfiniti Enor, 2000 fps.). Complt git yls (first oul support-ds1; singl stn-ss; son oul support-ds2; swing phs-sw) wr intifi using L-Th (USB-wm; 15fps, t sgitl pln) n H-Th (12-mrs,Vion systm; 200fps.), oth synhroniz with ltromyogrphy. Co ws quntifi for h wlking phs, using th formul: ommon r of th linr nvlops of ntgonist musls/th vrg of th rs of thos musls. Th prntg (%) of rror (Co iffrns twn systms/l-th*100) ws lult. Onwy ANOVA ws prform for vrin nlysis of Co twn git phss within h systm n offiints of vrition (C.V.) wr prsnt. Rsults: Th mn % of rror ws of 7.5%. Non-signifint Co iffrns wr tt twn git phss (C.V % vrsus %) in oth L-Th n H-Th systms (p>0.05). Conlusions: Co tt y L-Th, inxpnsiv n multory systm show ptl rprouiility n ury gnrting th potntil for ost-fftiv t olltion in linil sttings. Dsriptors: Musl o-ontrtion. Wlking. Rprouiility. Aury. Comprtiv nlysis of th mngmnt of its mllitus in UCSP n USF in th Alto Minho rgion Filip Ll,, Crmin Moris,, Rui Pimnt, Uni Sú Fmilir. Trr Nórg, Alto Minho, Portugl Cntro Estuos nvstigção m Sú. Univrsi Coimr; Esol Suprior Sú. Vin o Cstlo, Portugl Cntro Estuos nvstigção m Sú. Univrsi Coimr; Esol Suprior Tnologi Sú. Porto, Portugl ntroution: Th rform of primry hlth r in Portugl l to th oxistn, mong othrs, of th fmily hlth units (USF) n units of prsonliz hlthr (UCSP). Th mtrix of r tht is inhrnt in h of th units influns th mngmnt of hroni isss suh s its mllitus. Ojtiv: This stuy ims to ompr th osts of trtmnt in multory, hlth gins inhrnt vlus of glyosylt hmogloin (HA1), s wll s th lvl of ssistn to th hronilly ill in th units unr stuy (UCSP n USF). Mthos: Th stuy us th qustionnir Assssmnt of Chroni lnss Cr (ACC). Through this, thy sttl, mong othrs, ovrll sors for h typ of unit, whih rflt th lvl of intgrt r for iti ptints. Th informtion on vrg osts n prntgs of HA1 wr rmov from th nformtion Systm of th ARS. t ws onsir signifin lvl of 5%. Rsults: Thr wr no signifint iffrns twn th mn sors of th ACC, m n USF n th UCSP. On th othr hn, th irt osts of trtmnt s n outptint, th UCSP show highr vrg ost to USF (p<0.05). Also th rsults of HA1 8% thr wr signifint iffrns (p<0.05) twn th two typs of units, with USF proving mor fftiv. Conlusions: Th rsults show tht oth typs of units only nsur si support to iti ptints, n th USF hv lowr vlu with proility of iti omplitions n ru th ost in thir trtmnt. Dsriptors: Primry hlth r. USF. UCSP. ACC. Dits mllitus.. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 125

127 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Culturl pttion n vlition of th Portugus vrsion of th Assssmnt of Chroni llnss Cr (ACC) vrsion 3.5 Filip Ll,, Crmin Moris,, Rui Pimnt, Uni Sú Fmilir. Trr Nórg, Alto Minho, Portugl Cntro Estuos nvstigção m Sú. Univrsi Coimr; Esol Suprior Sú. Vin o Cstlo, Portugl Cntro Estuos nvstigção m Sú. Univrsi Coimr; Esol Suprior Tnologi Sú. Porto, Portugl ntroution: Th ACC Vrsion 3.5 ws vlop y Th MColl Cntr for Hlth Cr nnovtion, rsulting from th hroni r mol (CCM). This mol hs influn mny intrntionl hlth systms lvrging improvmnts in th pross of hroni iss mngmnt. Th ACC provis sors, whih rflt th lvl of support provi y th orgniztions of th hronilly ill. Ojtiv: This ppr ims t trnsltion n vlition of th Portugus vrsion ACC (Assssmnt of Chroni llnss Cr) vrsion 3.5. Mthos: Th prour us for th trnsltion n ulturl pttion inlu six phss: trnsltion, synthsis of trnsltion, k trnsltion, rviw y n xprt pnl, pr-tst n sumission for onsirtion. Wr ollt 175 vli qustionnirs, fill y hlth r profssionls, in group of hlth ntrs (ACES). Th rliility ws ssss y nlysis of intrnl onsistny (Cronh s α). Construt vliity ws tst y ftor nlysis of prinipl omponnts. Rsults: Th Cronh s α vlu mount to 0.958, initing high rliility. Th offiint of Kisr-Myr- Olkin mount to 0.918, monstrting xllnt suitility of th t for ftor nlysis. Aftr vrimx rottion of th ftors, it ws foun tht thy r group in slightly iffrnt form th originl onstrut, ut not ompromising th originl thortil mol. Conlusions: Th Portugus vrsion of th ACC n thus onsir vli n hs high rliility. W hv n instrumnt in th Portugus lngug tht llows us to vlut r to hroni iss, oring to th hroni r mol. Dsriptors: ACC. Vlition. Chroni iss. Chroni r mol. Dits mllitus. Knowlg mngmnt in puli hlth institutions with iffrnt mngmnt mols Sofi Cruz,, Mri Mnul Frrir, Cntro Hospitlr Univrsitário Coimr. Coimr, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: Th knowlg mngmnt hs n rising n inrs intrst within usinss worl, us knowlg is rogniz s th most importnt rsour to orgniztionl prformn. t is liv tht is only u to it tht orgniztions n innovt n rmin tiv in highly omptitiv mrkt (Brito, 2003; Croso, 2003). Ojtiv: Evlut th ourrn of knowlg mngmnt in puli hlth institutions, n nlyz if thr r iffrns in th prption of knowlg mngmnt ourrn u to institution mngmnt mol. Mthos: This is quntittiv stuy, whih us survy s n instrumnt of t olltion. This survy ws uilt n vlit y us (α=.962). This stuy ws on in smpl of 671 mploys of tn hlth puli institutions, with iffrnt mngmnt mols: Puli Aministrtiv Stor Mol, Puli Corport Entity Mol n Fmily Hlth Unit Mol. Rsults: n hlth institutions knowlg mngmnt hs vrg vlu of 3,37±0.62 (sl rng from 1 to 5). As for th vrg vlu of knowlg mngmnt it is 4,28±0,36 in th fmily hlth units, 3,42±0,53 in th puli orport ntity institutions n 3,25±0,63 in th puli ministrtiv stor institutions. Ths iffrns r sttistilly signifint. Conlusions: Knowlg mngmnt ours in th Portugus hlth institutions n th institution s mngmnt mol shows to ruil to this ourrn. Dsriptors: Knowlg. Employs. Knowlg mngmnt. Hlth institutions. Hlth mngmnt [email protected] [email protected] [email protected] [email protected] [email protected] 126

128 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Chil vlopmnt srning systm in Portugl - Wht opportunitis? Ptríi Grç,,, Slt Tixir,, Sóni Lops,V,, An Mª Srrno, nstituto Suprior Sú o Alto Av. Póvo Lnhoso, Portugl Univrsi o Minho. Brg, Portugl Cntro ntgro Sú, Dsnvolvimnto, Eução Cultur. Univrsi o Minho. Brg, Portugl V nstituto Pigt. Portugl ntroution: Th rly hilhoo is prtiulr rsponsiv prio to th nvironmntl xprins. Th srning prours y using stnriz tools mximiz th intifition of hilrn who my n rly intrvntion srvis. Th Amrin Pitris Assoition rommns tht vlopmntl srning shoul prform t 9, 18 n 24 months. n 2009, ws pprov in Portugl th Puli-Lw 281, whih rt th Ntionl Systm of Erly Chilhoo ntrvntion ing on of its ojtivs th rly ttion n rfrrl of hilrn with vlopmntl prolms. Ojtiv: Th purpos of this stuy ws proviing to th Portugus popultion of stnriz tool of vlopmntl srning. Svrl sttistil stuis wr rri out in orr to stuy th vliity n rliility of th Portugus vrsion of th Ags & Stgs Qustionnirs (ASQ-PT). Mthos: This instrumnt is ompos y 21 qustionnirs from 2 to 60 months of g ompos y 30 qustions ivi y fiv vlopmnt imnsions: ommunition, gross motor, fin motor, prolm solving n prsonl-soil. Th qustions wr sign to nswr y prnts or rgivrs. Rsults: With th Portugus normtiv utoff points wr intifi 10,1% hilrn in on imnsion n 4,7% in two or mor vlopmnt imnsions. Th rfrn of WHO is 11,2% hilrn with vlopmnt isilitis. Conlusions: This l us to th onlusion tht th Portugus vrsion of th ASQ is pl to us s stnriz tool so tht th srning is prform in vry hil. Dsriptors: Erly Chilhoo ntrvntion. Srning. ASQ-PT. Eliminting msls in Portugl: Th ontriution of nurss João Fr,, Crl Nuns,, Guilhrm Gonçlvs, Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Esol Nionl Sú Púli. Univrsi Nov Liso. Liso, Portugl nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl ntroution: Vintion ovrg rts grtr thn 95% r gurnt of ontrol of th isss inlu in th Ntionl Vintion Pln (PNV). Ojtiv: Th prsnt stuy ims to ssss th volution of th msls vintion strtgy towrs liminting msls in Portugl, s impos y th DGS n th WHO. Mthos: Cohort stuy prform through th insption of iniviul vintion-rors (FV) n hlth-ulltins (BS) of 206 iniviuls, orn twn 1970 n 1995, rsint t th ACES Pinhl Litorl. Rsults: Aoring to th rors of th 206 iniviuls, 54 fil to tk ny os of th nti-msls vin (VAS), of whih 66.7% wr orn for Aitionlly, singl os of VAS ws ministrt to 62 sujts, mong whih prntg of 75.0% ws orn twn 1977 n Th rmining 90 iniviuls took two oss of VAS, ing 50.0% orn ftr Thrfor, th vintion sttus n shul follow is strongly orrlt with th irth ohort to whih th iniviuls long (p=0.038; r=0.684). Th vintion ovrg rt inrs from 38.9% in th first ohort, to 76.0% in th son, n to mor thn 90.0% in th thir (p=0.001). Consquntly, th rommn gs for ministrtion of th VAS oss hv lso inrs ovr tim (p=0.001, r=0.239). Conlusions: n two s, th VAS vintion ovrg rt inrs from 30.0% to 95%. Th numr of oss inrs, long with th omplin of th inoultions t th rommn gs, working s gurnt of iss limintion, in whih nurss ply ky rol. Dsriptors: Eliminting msls. Vintion ovrg. Nurss. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 127

129 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Comprtiv stuy of Birth n Mtrnity nitors João Fr,, Crl Nuns,, Guilhrm Gonçlvs, Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Esol Nionl Sú Púli. Univrsi Nov Liso. Liso, Portugl nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl ntroution: n Portugl, irth n mtrnity initors vry sustntilly from rgion to rgion, with littorl rs lwys prsnting highr numrs. Ojtiv: This stuy ims to ompr th irth n mtrnity initors mong iniviuls in smpl from ACES Pinhl Litorl, with thos from th rgion itslf n from ontinntl Portugl. Mthoos: Birth n mtrnity initors wr stui on smpl of 218 womn, whih uring 2012 wnt to th hospitl ntr of Liri-Poml (CHLP), to hv thir hilrn. Rsults: Th gross irth rt pr thousn of inhitnts ws of 8.1%, 7.5% in th rgion n 8.5% in th ontinntl Portugl. Th g of th mothr t irth of th first son ws 28.9 yrs, whih is low th vrg of th rgion (29.8) n of th ntionl vrg (31.0). Th prntg of first hilrn ws 54.4%, son 34.0% n ovr thr sons of 11.6%, whrs in th ountry ws of 56.0% (1 st ), 33.0% (2 n ) n 11.0% (>3). Among th Pinhl Litorl smpl, 50.0% of th is wr mls, (with 51.4% in th ountry). Th prntg of infnts with low irth wight ws lowr (4.9%) to tht rgistr t ntionl lvl (8.50%), s wll s, th twin prgnny prntgs tht wr 0.45% n 3.10%, rsptivly. Nvrthlss, th prmturity ws highr (16.95%) thn for th rst of ountry (7.80%). Conlusions: Th initors of th smpl stui r vry similr to thos ourring in th rgion n in th rst of ontinntl Portugl. Dsriptors: Birth. Mtrnity. nitors. Msuring ptint stisftion with ntl r in Univrsity ntl lini kgroun Ptríi Mnrt-Montiro,, Ntáli Fr,, Snr Gvinh,, Mri Conição Mnso,, Dprtmnto Ciênis Méi s. Ful Ciênis Sú. Univrsi Frnno Psso. Porto, Portugl R Quími Tnologi. Univrsi o Porto. Porto, Portugl ntroution: Ptint stisftion is multiimnsionl onpt n is oming n inrsingly importnt qulity of ntl r initor. Efftiv mngmnt of ptint prptions n ssist oth iniviuls n institutions towrs proviing th highst qulity of r hivl in th mning ntl ution nvironmnt. Ojtiv: To ssss ntl outptints stisftion with orl hlth r livry in n Univrsity ntl shool lini. Mthos: Cross-stionl survy onut twn April n July 2012 mong ult ptints ttning n Univrsity ntl lini t Oporto, Portugl. Th stisftion survy ontin 26 qustions on fiv-point Likrtpttrn sl. Th smpl ws ompos of 268 outptints, 53.7% fml gnr, ll ults, mn g 46.1 (±16.3) yrs. Dsriptiv/infrntil nlysis ws prform with SPSS vs21 (α=0.05). Rsults: Th sors otin for ovrll stisftion with ntl srvis rng from 84 to 130 with mn of 109.5±8.2 point. Th ovrll stisftion i not iffr signifintly with gnr (Mnn-Whitny tst, p=0.469), g (rs=0.090; p=0.140), ppointmnt rgulrity ttnn (ANOVA, p=0.147) or motiv (ANOVA, p=0.120). Th sm trn ws otin for h of th 5 omponnts of th stisftion sl, lthough signifint n positiv ssoition ws otin in th omponnt ptint ssistn ssss n rptionist hlp for fml outptints n thir g (rs=0.306, p<0.001). Th omponnts gnrting th highst mn stisftion sor wr th prption of solv (ntl) prolm, follow y profssionls qulity n ntl trtmnt n ptint ssistn ssss n rptionist hlp. Conlusions: Ovrll high lvl of ptint stisftion rflt th ntl tm s pproh of rsponsiility n ountility towrs th trgt popultion. Dsriptors: Ptint Stisftion. Dntl Cr. Dntl Shool Clini. Survy. Cross-stionl Stuy. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 128

130 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Dvlopmnt of n instrumnt for msuring ptint stisftion with ntl r Mri Conição Mnso,,, Ntáli Fr,, Snr Gvinh,, Ptríi Mnrt-Montiro, Ful Ciênis Sú. Univrsi Frnno Psso. Portugl R Quími Tnologi. Univrsi o Porto. Portugl Dprtmnto Ciênis Méis. Ful Ciênis Sú. Univrsi Frnno Psso. Porto, Portugl ntroution: Dntl hlth r stisftion is n intgrl omponnt of th ntl hlthr profssionl s oligtion to soity. Ojtiv: To vlop n instrumnt for msuring ptint stisftion with ntl r t n Univrsity ntl shool lini. Mthos: Th smpl ws ompos of 268 outptints of oth sxs with mn g of 46.1 (±16.3) yrs who wr ttning n Univrsity ntl shool lini t Oporto, Portugl who nswr qustionnir with 31 qustions, msuring ptint stisftion lvl ovr fiv-point Likrt sl. This stuy ovr th pross of vloping th instrumnt. Psyhomtri nlysis (vlution of th tst tht ws vlop) ws prform y mns of stuying th rliility n vliity of th msurs otin with th instrumnt. Rsults: Th rsults hiv in rltion to rliility, y mns of Cronh s lph offiint (α=0.616), n ontnt, n onstrut vliitis show intrmit intrnl onsistny n stisftory vliity oring to psyhomtri stnrs for ptint stisftion with ntl thrpy. Ftoril nlysis show th prtinn of this mol (KMO=0.655; Brtltt sphriity tst, p<0.001), y mns of prinipl omponnt nlysis, init th xistn of fiv omponnts: ptint ssistn ssss n rptionist hlp, qulity of th Dntist n ntl trtmnt, Clinil physil onitions, trtmnt sfty n prour trnsprny, Ptint-Dntist intrtion intrprsonl spts n prption of solv (ntl) prolm. Th prsnt sl of stisftion my furthr improv. Conlusions: This stuy mks vill tool tht still my improv, to ontriut to mngmnt n to th plnning pross nssry for improving th qulity of ntl r srvis. Dsriptors: Sl vlopmnt. Ptint stisftion. Rliility. Vliity. Dntl r.. Root ris: prolm in institutionliz lrly Snr Gvinh,, Ptríi Mnrt-Montiro,, Mri Conição Mnso,, Dprtmnto Ciênis Méis. Ful Ciênis Sú. Univrsi Frnno Psso. Porto, Portugl Ful Ciênis Sú. Univrsi Frnno Psso. Portugl R Quími Tnologi. Univrsi o Porto. Portugl ntroution: High prvln of root ris (RC) in lrly popultions hs strong impt on thir gnrl hlth, ing risk ftor for qulity of lif triortion. Ojtiv: Th im of this stuy ws to vlut th prvln/prsn of root ris in n lrly popultion n ftors trmining orl hlth sttus rlt with RC. Mthos: An osrvtionl n ross-stionl stuy pprov y th Ethil Commission of th Univrsity Frnno Psso vlut 372 prsons g 60+ wr xmin. Th root ris inx (RC) ws us to ssss ris. Svrl soio-hviorl ftors tht my influn RC wr osrv. Dsriptiv/infrntil nlysis (α=0.05) n multivril logisti rgrssion (kwr stpwis mtho, p=0.05/0.10 for ftors inlusion/xlusion) ws rri out using SPSS vs Rsults: Th mn g ws 78.8 (±9.1) yrs (rng yrs). A RC of 43.8% [95%C:37.5%-50.0%] ws otin, n 77.0% [95%C:71.9%-82.2%] xprin untrt RC. Th RC ws signifintly ssoit with gnr n g. Th lst visit to th ntist ws inpnnt from RC. Th RC prvln ws 78.6% [95%C:74.4%-82.8%] n th mn RC ws 3.4(±3.6)/ lrly. Ag group, gnr, us of rmovl prosthss n rushing hits wr inlu in multivrit logisti mol, whr rushing 1/y [p=0.002;or(95 %C)=2.8( )] n us of rmovl mtl prosthss [p=0.030;or(95%c)=5.3( )] rmin inpnntly ssoit with RC 20%. Conlusions: As popultions g n rtins mor nturl tth thr is grtr liklihoo of ourrn of root ris. As osrv in this popultion, RC is prolm tht ffts thir qulity of lif, ut it n ontroll with suitl prvntion strtgis n group mngmnt. Dsriptors: Root ris. Root ris inx. Prvln. Elrly. nstitutionliz. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 129

131 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ntrrtr rliility n grmnt of hst wll moility in ptints with COPD Nuno Moris,, Jon Cruz,, Al Mrqus, Dprtmnto Ciênis Tnologis Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Sção Autónom Ciênis Sú Univrsi Aviro. Aviro, Portugl Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl. Uni nvstigção Formção sor Aultos osos. Porto, Portugl ntroution: On simpl mtho to ssss hst wll moility onsists of msuring thori xursion t mximl inspirtion n xpirtion with msuring tp. Although this mtho hs n us s n outom msur in hroni ostrutiv pulmonry iss (COPD) intrvntions, its rliility hs n poorly stui, limiting its linil us. Ojtiv: To ssss th intrrtr rliility of thori xursion in ptints with COPD. Mthos: Fiftn ptints (GOLD gr: 1 n=2, 2 n=11, 3 n=1, 4 n=1; 13 mls; mn g (±SD)=67.9±9.7 yrs; BM=28.0±5.9 Kg/m 2 ) wr rruit. Th thori xursion ws msur y th thori irumfrn t uppr (UTE; 3 r introstl sp t th milviulr lin n 5 th thori spinous pross) n lowr (LTE; t th xiphoi pross n 10 th thori spinous pross) lvls with msuring tp. Eh msurmnt ws prform twi in rnom orr t mximl inspirtion (M) n xpirtion (ME). ntrlss orrltion offiint (CC 1,1 ) n Bln-Altmn [95% limits of grmnt (LA), stnr rror of th msurmnt (SEM) n rptility offiint (RC)] wr us to lult intrrtr rliility. Rsults: UTE: CC (95%C)=.631 ( ); 95%LA= m; SEM=0.89m; RC=2.47m. LTE: CC (95%C)=.753 ( ); 95%LA= m; SEM=0.68m; RC=1.88m. Consiring M n ME sprtly, CCs wr similr (.968<CC 95%C<.999). Uppr thorx grmnt prmtrs wr: t M 95%LA= m, SEM=1.11m, RC=3.06m; t ME 95%LA= m; SEM=1.23m; RC=3.40m. Lowr thorx prmtrs wr: t M 95%LA= m, SEM=0.71m, RC=1.96m; t ME 95%LA= m; SEM=0.79m; RC=2.20m. Conlusions: High vriility in rpt msurs prform y th sm rtr riss qustions out th linil usfulnss of this mtho for ssssing hst wll moility. Dsriptors: grmnt; hroni ostrutiv pulmonry iss; msurmnt; rliility; thori xursion.o. Th us of trmrks in th Brzilin mrkt y phrmutil ompnis oln M. Firro, Elizth F. Silv, Diru Y. Truy, Ptríi P. Prlt nstituto Nionl Propri. Rio Jniro, Brsil ntroution: Th trmrk is on of th most vlul ssts for th ompnis, ing prott y inustril proprty rights. n th phrmutil stor, th litrtur points to th rlvn of th trmrk us in th strtgis for ustomr loylty in f of th introution of nw rugs in th mrkt n th xpirtion of ptnt prottion. Th tss of ptnt oumnts r wily us s tool to gnrt sintifi n thnologil initors. Howvr, thr r still fw stuis on th prformn of trmrks, in th phrmutil or othr stors, prtiulrly s gnrtors of lgl n soioonomi informtion. Ojtiv: This work ims to unrstn th liklihoo of using th Brzilin Ntionl nstitut of nustril Proprty s (NP) trmrk ts to mp th trmrk us in th Brzilin mrkt y phrmutil ompnis. Mthos: Th mthoology mploy ws multi-s stuy using th trmrk portfolio of svrl ompnis otin from th Brzilin Ntionl nstitut of nustril Proprty s trmrk ts. Th smpl ws s on th sls volum of phrmutil ompnis in th intrntionl mrkt. Rsults n Conlusion: Th rns portfolio of nin slt ompnis ws ris n nlyz using ritri rlt to ntionl n intrntionl rnkings of prouts or srvis, suh s thir siz in h sgmnt, th stors of tivity of h trmrk holr, th rquir typs of rns, mong othrs. Th rsults show littl us of th t st rltiv to trmrk posit n mphsiz th importn of this ts to gnrt informtion, tool tht n us y th ompnis to inrs thir omptitivnss. Dsriptors: Phrmutil nustry; nustril Proprty; Trmrks. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 130

132 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Confirmtory Ftor Anlysis of th Portugus Vrsion of th Pritrumti Dissoitiv Exprins Qustionnir Trs Crvlho,,, Mrin Cunh,,, José Pinto-Gouvi, Cntro nvstigção o Núlo Estuos ntrvnção Cognitivo Comportmntl. Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl nstituto Suprior Migul Torg. Coimr, Portugl ntroution: Th issoitiv sutyp of PTSD ws to DSM-V. Th Pritrumti Dissoitiv Exprins Qustionnir (PDEQ) is slf rport instrumnt wily us to ssss pritrumti issoition. Ojtiv: This stuy im to tst th two-ftoril ltnt strutur (Lk of Awrnss n Dprsonliztion/ Drliztion) of th Portugus vrsion of th PDEQ, prviously foun in th originl vrsion. Th intrnl onsistny, tst-rtst rliility, onvrgnt-ivrgnt n isriminnt vliity of this sl wr lso nlys. Mthos: n this stuy, 300 mls from th gnrl popultion of Colonil Portugus Wr vtrns (snowll smpling) omplt th PDEQ, th PTSD Chklist- Militry Vrsion, th Bk Dprssion nvntory n th Anxity n Strss Sls of th DASS-21. Tst-rtst rliility ws ssss in sust of 110 prtiipnts. Two inpnnt onvnin smpls with n without PTSD ignosis (N=40 n N=44, rsptivly) wr us to xplor th isriminnt ility, oth ompos y Portugus Colonil Wr Vtrns. Rsults: Confirmtory Ftor Anlysis show tht th first orr, two-ftor mol h goo fit to th t n ftoril vliity. Aqut vlus wr otin for intrnl onsistny (Lk of Awrnss n Dprsonliztion/ Drliztion), tst-rtst rliility, n isriminnt ility. Dprsonliztion/rliztion show mort orrltions with PTSD symptoms n low orrltions with prssion, nxity n strss symptoms whil Lk of Awrnss h mort orrltions with ll typs of symptoms vlut. Conlusions: Th rsults orroort th strutur of th PDEQ foun in th originl vrsion. Th sl is intrnlly onsistnt n hs goo tmporl stility n isriminnt pity. Convrgnt vliity with PTSD symptoms ws mor visil for Dprsonliztion/rliztion onstrut. Dsriptors: Assssmnt; pritrumti issoition; PDEQ; Confirmtory ftor Anlysis; Portugus Colonil Wr Vtrns. Aury of nurss in risk lssifition of n ult mrgny in south of Brzil Srin Gutrrs Silv, Luin Bihin Hgmnn, Káti Ciln Goinho Brtonllo, Elin Rgin Prir o Nsimnto Grupo Estuo no Cuio Pssos ns Situçõs Agus Sú. Univrsi Frl Snt Ctrin. Florinópolis, Brzil ntroution: t is known th rlvn of stuis tht intify th ury of th profssionls involv in th r n lssifition of risk, ths stuis r us to init th qulity of quntity osrv. Ojtiv: To vrify th grmnt gr of th risk lssifition onut y nurss in n mrgny prtmnt in south of Brzil. Mthos: Quntittiv stuy, in whih 380 mil rors wr vlut n rlssifi. Kpp inis wr lult to trmin th grmnt gr twn th first risk lssifition n th rvlution. Rsults: Th rsults h shown tht, whn vluting th ury of th lssifition n postrior rlssifition, it ws foun vlu of Cohn s Kpp of 0.786, with rlil intrvl of 95% twn n Th vlu of th hypothsis tst ws sttistilly signifint [Z=9.19, p<0.01] n with stnr rror ssoit with th null hypothsis of n ths onitions, it is pt th null hypothsis (i.., vlutions r qul), s wll s th vlu of Cohn s Kpp suggsts xllnt grmnt twn vlution n th rvlution, thrfor not iffring. Conlusion: t n onlu tht th grmnt twn risk lssifition prform y nurss using th protool is xllnt whn is onsirs th rrors of lssifition ourr. n gnrl, th protool us y mrgny prtmnt tks r of th ptint s priority lvl, whn rlssifi, proving to n inlusiv protool. Dsriptors: Nursing; Emrgny Mil Srvis; Trig; Dimnsionl Msurmnt Aury. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 131

133 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Nurss n ssssmnt riovsulr risk in popl hospitliz y nonri uss Lun Lops Nvs Estvs,, Cristin Arrguy-Sn,, Luin Muniz Brg,, Pro Migul Sntos Diniz Prrir, Ful Enfrmgm. Univrsi Frl Juiz For. Juiz For, Brsil Univrsi Frl Viços. Viços, Brsil Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: Criovsulr isss r th ling us of moriity n mortlity in vlop n vloping ountris tht n to monitor. Ojtiv: W nlyz th prsn of riovsulr vulnrility ftors in popl mitt for nonri uss. Mthos: Survy. Prtiipt ptints hospitliz for rsons of nonri llot to th fml/ml of th linil/surgil Brzilin hospitl (Dmr/2012). Anthropomtri msurmnts wr tkn n us (intr) ntionl sls for mpping th omoriitis n riovsulr risk ftors. Attn thil rquirmnts. Rsults: Prtiipnts 53 popl: 67,9% mn; 49±14.6 yrs (21-76 yrs), mitt for surgil uss (62,2%) or lini (37,8%) n rport ny omoriity (54,7%) (hyprtnsion 22,6%, AVE 3,8%, vrios vins 13,2% n DM 11,3%) trt 41,5%. Dtt: 1) hormonl hngs in mnopus (18,9%) n norin thrpy (1,9%); 2) irrgulr ting hits (18,9%) with ily onsumption of fri foos (83%), oftn ing slt ftr prprtion (43,4%); oftn sugr (56,5%); 3) non-hrn to rgulr physil prtis (67,9%); 4) too us (18,9%) with high to vry high pnn (18,9% Fsgström), typ th physil, hviorl, n hvior ssoit with smoking (Lrnjirs), rnk stg: ontmpltion n pr-ontmpltion (17% DiClmnt/Prohk); 5) strss using mort risk (17%) n light (83%) for illnss; 6) rgulr onsumption of loholi vrgs (32,1%); 7) xssiv slpinss (Epworth 43,4%) (58,5% Qutlt); 9) Frminghm risk sor lult (3,77%) n known s mium to high (54,7%); 10) inrs Mn rtril prssur (MAP) (20,4%) n rs (2,3%) n 11) high wist irumfrn in mn (13,9%) n womn (70,6%). Conlusions: Thr is vin pl of xploiting th nurss in plnning utionl r. Dsriptors: Vulnrility; Risk Ftors; Criovsulr Disss; Nursing. Physil tivity prits slf-rport isility n prformn in ults g 60 Bruno Portl,, Tigo Vlnt,, Anl G. Silv,, Alxnr Quirós, Sção Autónom Ciênis Sú. Univrsi Aviro. Aviro, Portugl Esol Suprior Sú. Univrsi Aviro. Univrsi Aviro. Aviro, Portugl ntroution: ntivity is ommon prolm in toy s soity whih tns to ggrvt with g. Ojtiv: Th ojtiv of this stuy is to invstigt th rltionship twn physil tivity, slf-rport isility n prformn in ults g 60 who us primry hlth r srvis. Mthos: Th following initors wr ssss: slf-rport funtion, using Worl Hlth Orgniztion Disility Assssmnt Shul 2.0 (WHODAS 2.0), prformn, using Short Physil Prformn Bttry (SPPB), prssion using th Gritri Dprssion Sl (GDS), pin intnsity using 10 m Vrtil Numri Sl (VNS) n th lvl of physil tivity, using Rpi Assssmnt of Physil Ativity (RAPA). A rgrssion nlysis ws prform with isility n prformn s th pnnt vrils. Rsults: A totl of 147 prtiipnts wr ssss. Th totl mn sor of WHODAS ws 19.16±7.15, whih inits low lvl of isility. Th totl mn sor of SPPB ws 8.15±2.48, whih inits goo prformn. Only 10.2% (n=15) of th smpl h lvl of physil tivity tht oul onsir tiv; 62.6% (n=92) h physil tivity lvl tht vri twn sntry to rgulr light tivitis. Th rgrssion nlysis show tht RAPA, GDS n VNS sors xplin 48% of th vrin of slf-rport isility. RAPA sors wr th min pritor for prformn, xplining 29% of th SPPB vrin. Conlusions: Physil tivity sms to n importnt pritor for oth slf-rport isility n prformn in ults g 60, suggsting th n to nourg th prti of physil tivity s mns of ruing or lying isility. Dsriptors: Funtionlity, Olr ults, Physil tivity. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 132

134 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Disility n hlthr onsumption mong olr ults Tigo Vlnt,, Bruno Portl,, Anl G. Silv,, Alxnr Quirós, Sção Autónom Ciênis Sú. Univrsi Aviro. Aviro, Portugl Esol Suprior Sú. Univrsi Aviro. Univrsi Aviro. Aviro, Portugl ntroution: Th ontinuous xpnsion of th lrly popultion n th high prvln of hroni isss n isility in this g group r ssoit with grtr hlthr onsumption. Signling groups t risk of grtr isility might strtgy to promot th fftivnss of prvntiv intrvntions n rs hlthr onsumption. Ojtiv: Th im of this stuy is to xplor th ssoition twn isility n hlthr onsumption. Mthos: Slf-rport hlthr onsumption ws hrtriz for th prio of on yr ftr th ssssmnt of prtiipnts isility profil (slf-rport isility, prformn, physil tivity, pin n hroni onitions). Hlthr onsumption ws ssss using tlphon ministr qustionnir. A inry logisti rgrssion nlysis ws prform with hlthr onsumption s th pnnt vril n slf-rport isility, prformn, physil tivity, pin n hroni onitions s inpnnt vrils. Rsults: A totl of 65 prtiipnts wr inlu. Thr ws signifint ssoition twn hlthr onsumption n pin frquny, physil tivity n hroni isss, onsistnt with highr hlthr onsumption for thos prtiipnts tht rport pin mor oftn, mor hroni isss n lowr lvl of physil tivity. Conlusions: Aspts of th isility profil ppr to ssoit with hlthr onsumption, suggsting tht iniviuls isility profil might us to intify groups t risk. Howvr furthr rsrh is n to lrify th rltionship twn ths pritors n hlthr onsumption. Dsriptors: Funtionlity, hlthr us, olr popl. Rsults from 9-month physil tivity intrvntion in physil fitnss of olr womn Trs Bnto,,, Jon Azul, Rit Sntos-Roh,, Esol Suprior Dsporto Rio Mior. nstituto politénio Sntrém. Rio Mior, Portugl Rsrh Cntr in Sports Sins. Hlth n Humn Dvlopmnt. Univrsi Trás-os-Monts Alto Douro. Vil Rl, Portugl Nuromhnis of Humn Movmnt group. ntrisiplinry Cntr for th Stuy of Humn Prformn. Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: Bnfits from prtiiption in rgulr physil tivity in hlth r wll stlish, spilly in th olr g. Howvr, mor t from long-trm ommunity-s intrvntions r n sin slowing th physil lin is on gol in this popultion. Ojtiv: Th min purpos of our stuy ws to nlyz th ffts of 9-month, physil tivity intrvntion progrm in physil fitnss in olr womn. Mthos: Olr womn wr rruit n rnomly ssign to suprvis physil tivity group or to ontrol group. Comin xris sssions wr prform thr tims wk, for 45 minuts n ontroll for intnsity. Soiomogrphi t, hlth n ily hits, n physil funtion ws ssss t slin n ftr nin months. Rsults: Howvr th intrvntion group show ttr rsults t th n of th progrm, omprison twn groups rvl no sttistilly mning iffrns, for ll stui vrils. Bslin rsults from oth groups rvl to highr thn th rfrn stnrs for thir g n gnr, mning tht prtiipnts wr lry vry tiv t th ginning of th intrvntion. Not ontrolling for physil tivity in th ontrol group my hv limit th nlysis. Conlusions: Although not sttistilly signifint, our rsults init tht prtiipnts of th intrvntion group hiv ttr rsults, mning tht this suprvis, ommunity s physil tivity intrvntion progrm ws nfiil. t shoul lso knowlg tht prtiipnts, t lst, mintin thir initil high lvl, mning tht thr ws no lin in thir physil funtion. Dsriptors: lrly; womn; physil tivity; intrvntion. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 133

135 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Msurs to ssss th suitility of quntittiv ompoun tsts with th ilution fft Rui Sntos,,, Migul Flguirs,,, João Pulo Mrtins,, Esol Suprior Tnologi Gstão. nstituto Politénio Liri. Liri, Portugl Cntro Esttísti Apliçõs. Univrsi Liso. Liso, Portugl ntroution: Quntittiv ompoun tsts us th group mn to i if th group mximum is grtr thn prfix thrshol whih istinguishs on hlthy iniviul from n inft on. Th min rwk is its highr proility of mislssifition, minly u to th ilution fft. Nvrthlss, unr rtin onitions, it n ppli to sv rsours mintining high-qulity ury. Ojtiv: Th min gol of this invstigtion is to xmin msurs tht llow ssssing th ppropritnss of th us of quntittiv ompoun nlysis without worsning th prolm of mislssifition. Mthos: Lt th mount of th sustn whih llows th intifition of som iss hrtriz y som known ontinuous istriution. Morovr, loo smpls from n iniviuls r pool in orr to prform th ompoun nlysis. Thus, if w onsir prft mix prour, th smpl mn of th group is osrv. Th prform simultions pply two iffrnt mthoologis (on to nsur high snsitivity for pimi snrios n othr to gurnt high spifiity in srning ss). Th gol is to fin th utoff points of th omin linil trils, vlut svrl ontinuous istriutions, group sizs, n prvln rts of th iss. Rsults n Conlusions: t is shown tht (unr rtin onitions) th mn is qut to lssify h group s inft (t lst on inft iniviul within th group) or hlthy (no inft iniviuls) with low proility of mislssifition. Hn, quntittiv ompoun linil nlysis n ppli with quit high ury for low prvln rts n uniltrl hvy-til ontinuous istriutions. Dsriptors: Quntittiv ompoun tsts, mislssifition, rrftion, ontinuous istriutions, simultion. [email protected] [email protected] [email protected] Tngrs n rugs: susiy for ision mking in utionl intrvntion in hlth Tlyt Crmo Vill,, Cristin Arrguy-Sn,, Luin Muniz Brg,, Pro Migul Sntos Diniz Prrir,, Pul Krmpsr, Ful Enfrmgm. Univrsi Frl Juiz For. Juiz For, Brzil Univrsi Frl Viços. Viços, Brzil Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: Th tng protgonist of th slf/intity n soil rtiultion nourging hngs of hvior tht stimult xprimnttion of rugs. Ojtivs: W nlyz th proximity olsnt rug us from th soil rprsnttion n soioulturl/mogrphi profil. Mthos: Rsrh outlin in th Struturl Thory of Soil Rprsnttion. Prtiipt lmntry stunts: yrs in ity whos vrg is olsnts (17,3%) highr thn th Brzilin. Dt ollt: soiomogrphi, soil-fmily, positioning on rugs, ll-up (fr/ hirrhil). nuing xprssion: rug us in olsn. Anlysis using Evo progrm n thnil ox four houss. Attn thil rquirmnts. Rsults: Smpl with 24.5% of olsnts of th ity, 50,9% ml, 45,6% multto n mn g of 13.7 yrs (11-17). Profil of oxistn: shr housing with prnts (62%) or on (25.7%); prnts r iols (37%); onsum lohol (50.3%), smoking (29.2%), t lst on fmily uss lohol (91.8%), smoking (77.8%) or uss illgl rugs (17%). Cptur vlutiv, ognitiv, hviorl imnsions in soil rprsnttions (lxil: th, hit, ullshit n mrijun) llot in th or. Th or of th rprsnttions ws mintin whn us th thniqus of hirrhil n fr ll-up, monstrting onsistny of rprsnttions. Allotion of rk (2n priphry) portry thir prsn in vryy lif of th prtiipnts. Conlusions: W onlu tht soil rprsnttions h ngtiv hrtr. Mrijun ws ntrlly llot, orroort y th numr of ollgus who us it. Th rk ws llot in th priphry of th rprsnttions, showing proximity n vulnrility. Confront with vin of soioulturl/houshol vulnrility is rommn prvntiv hlth intrvntion to ru mg to usrs, thir fmilis n prtiipnts. Dsriptors: Nursing; Tngrs; Vulnrility; Drugs; Puli Hlth. [email protected] [email protected] [email protected] [email protected] [email protected] 134

136 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 220 Cryothrpy impirs proprioption funtion? 221 Musulr strngth n nurn: ffts of i pplition Sr Hnriqus, Nuno Coriro Esol Suprior Sú Dr. Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl ntroution: Cryothrpy pplition ovr joint uss nrv onution vloity rs n proprioptiv hngs. Ojtiv: This stuy ims to trmin if ryothrpy impirs proprioption uity. Mthos: Proprioption ws ssss y joint position sns (JPS), msur with n isokinti ynmomtr Biox Systm 3, in twnty on fmls on xprimntl group, for 15 minuts ryothrpy (T0) n immitly ftr (T1). A ontrol group (n=20) prform lso th JPS, ut without ryothrpy influn. n oth tst instn, two ngulr positions wr vlut (15º n 45º of kn flxion). Rsults: Th rror vrg ws lwys grtr in th xprimntl group t oth ngulr positions, xption T0 t 15º. Btwn T0 n T1 n for oth ngulr kn positions th rror mn iminish for oth groups, howvr th rror rution only ws sttistilly signifint (p=0.00) in th ontrol group t 15º. Conlusions: No rution of proprioption ws foun ftr 15 min. i pplition. Dsriptors: Joint Position Sns; Proprioption; Cryothrpy. Anri Gmiro, Nuno Coriro Esol Suprior Sú Dr. Lops Dis. nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl ntroution: Cryothrpy hs th ojtiv of lowring th tmprtur of th tissus. On of its mthoologis is th i pplition ovr th surf. This pplition will fft th physiology of humn skltl musl us th rs of tmprtur ontriuts to th musl to kp longr tin-miosin ontion n ovr grt rng of ontrtion. Ojtiv: Th ojtiv of th stuy is to vlut if pk torqu n nurn of th qurips fmoris r fft y th pplition of i uring ntri movmnt. Mthos: A smpl of 20 stunts ws slt for onvnin, forming two groups. On group m protool of i in th first pl n ftr on wk th sm protool prform whil rpling th i y rst. Th othr group strt with th protool of rst n th nxt wk m th protool of i. Wr msur th rsults of ntri pk torqu n ftigu of th right qurips musl with th sokinti Dynmomtr Biox Systm 3. Th vlus of th skin tmprtur n th room wr msur with n infrr thrmomtr lisur 3M thrmomtr. Rsults: Compring th torqu pk ftr pplition of i n ftr rst, thr ws inrs of N/m. For th nurn, th lrtion of th movmnt inrs m/s n lrtion ws lowr ftr pplition of i m/s with pplition of i. Conlusions: t ws onlu tht th pplition of i uss rs in th pk torqu proution n lso slowing of movmnt uring instlltion of ftigu. Ths rsults wr not sttistilly signifint. Dsriptors: ; Cryothrpy; Musulr Strnght; Ftigu. [email protected] [email protected] [email protected] [email protected] 135

137 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Ntionl Hlth Srvi: Qulittiv n finnil ssssmnt of of opymnts Rqul Mns, Bruno Mns, Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl Grupo Gstão Quli Estrtégi m Sú. Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl ntroution: Th Ntionl Hlth Srvi (NHS) puli xpnitur grw t n vrg nnul rt of 6% twn Th NHS funing oms from th Stt ugt, ut hlthr units n susri othr inoms, suh s o-pymnts (CP), whih r in pl to mort, rtionliz n rgult th hlthr ss, n rinfor th soil justi prinipl of th NHS. Ojtiv: n tim of rsing th Stt imnsion n inrsing th itizn imnsion, n, ftr of CP, our ojtiv is to vlut its ost-rturn (finn) n ost-ssiility (qulity). Mthos: Comprtiv nlysis twn of th implmnt CP vrsus th rfrn CP lult y th rgultory mtho stlish y lw. Evlution of th finnil rturn to th Stt y typ of srvi, xprssing th rsults s high/low vlution. Europn mpping for th intifition of th prsn/sn of CP or of othr pymnts with or without ssoit CP. Rsults: Th group isovr irrgulritis in 67.8% of th CP nnul rvisions, in 40% th Stt h losss n in 27.8% hrg ov th rfrn. Th isrpnis in numr r highr in th mrgny- ssoit ss, ut th ispritis in vlu r highr in mil ppointmnts. Th tnny for irrgulr rvisions (79.6%, ) follows now th normliztion, spit th inuris still osrv (50%, ). Th vrg inrs is (mrgny) n 3.16 (ppointmnts). Conlusions: Th CP r urrntly tiv in 12 Europn ountris, ing n importnt ontriution for hlthr qulity ssurn n ln of hlth onomy. Dsriptors: Hlth; Rgultion; Qulity; Finn; Co-Pymnts. Hlth profssionls' ommitmnt: mngmnt tool Elm Prir Mour,, Mri Conição Alvs Rinho Sors Prir,, Mri João Filomn Sntos Pinto Montiro, Univrsi Estul o Suost Bhi. Jquié, Brsil Esol Suprior Enfrmgm Vil Rl. Univrsi Trás-os-Monts Alto Douro. Vil Rl, Portugl ntroution: Th orgniztionl ontxt nssrily rings us to rfltions on phnomn from iffrnt prsptivs of fil ministrtion n mngmnt intrf in hlthr r. Ojtiv: Dsri imnsions of ommitmnt of hlth profssionls, working in units of Unifi Hlth Systm (SUS). Mthos: t is sriptiv ross-stionl stuy, whos olltion took pl twn Dmr 2012 n Jnury 2013 in Fmily Hlth Units (USF), insrt in th Unifi Hlth Systm (SUS) Vitóri Conquist, Bhi, Brzil. Th instrumnt inlu th Orgniztionl Commitmnt Sl Bsis (EBACO), inlus 7 ss with 4 itms h ssss y Likrt sl with six points. Afftiv n oligtion to rmin r two of th ss vlut y th sl. Th finition Afftiv - lif n intifition with th philosophy, vlus n orgniztionl gols; Oligtion to rmin, lif in th ompny, or vn morl oligtion to th popl of th orgniztion. Rsults: Smpl onsists of 160, mostly womn 78.5% (125) with high shool 60.0% (96), profssion of prtiipnts hs following istriution: 48.1% ommunity hlth workrs (77), nursing thniins 20.6% (33) n nurss 12.5% (20), mjority 75.6% (121) hv up to 9 yrs of work. Th nlysis show tht profssionls h high ommitmnt in oligtion ss to rmin 98.8% (158); onrning fftiv ss, 55.6% (89) of profssionls h high ommitmnt. Conlusions: This stuy ontriuts to nw stuis of hlth profssionls ommitmnt, in sns to unrstn th rltions twn profssionls in orgniztions, my ontriut to humniz mngmnt, rsulting in ttr qulity in hlthr. Dsriptors: Orgniztionl ommitmnt. Profssionls. Hlthr. [email protected] [email protected] [email protected] 136

138 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Formultion of nurs's linil jugmnt out th potntil of utonomy ronstrution Eloís Mil,,, Filip Prir,,, nês Cruz,, Porto Nursing Shool. Porto, Portugl Póvo o Vrzim. Vil o Con Hospitl. Vil o Con, Portugl nstitut of Biomil Sins Al Slzr. Porto, Portugl ntroution: Th slf-r pnny trnslts into hng tht ls popl to initit trnsition prosss iming th utonomy ronstrution. This hng n influn y sris of ftors fin y Mlis t l (2000) s trnsition onitions. Ojtiv: Evluting th slf-r pnny volution thr months ftr ishrg; ompring th pnny volution with th nurs s linil jugmnt (formult t ishrg) out th potntil of utonomy ronstrution; n xploring th ky ftors involv in th formultion of this jugmnt. Mthos: Explortory, sriptiv, quntittiv n longituinl stuy, vlop t Miin srvi, with onvnin smpl omprising 60 popl with slf-r pnny n thir rsptiv rgivrs. n orr to vlut pnny, w us th Slf-r Dpnny Evlution nstrumnt (Duqu, 2009). Bs on th thory of trnsitions of Mlis, w uilt sls to vlut th iffrnt trnsition onitions. Rsults: Thr months ftr ishrg, popl improv thir slf-r (in)pnn. Aoring to th nurs s linil jugmnt, 58,3% of th ptints h low n 36,7% h mort potntil of utonomy ronstrution. W foun sttistilly signifint iffrns twn groups onrning support n utonomous ision-mking, ssiility to srvis, positiv ttitu towrs th thrputi pln, onfin out th futur, proviing profil promotr of utonomy, wrnss of th rgivr, n ution of th rgivr. Conlusions: Aftr thr months, most of th ss improv thir pnny lvl, xing th nurs s linil jugmnt out thir potntil of utonomy ronstrution. Dsriptors: Slf-r. Nurs s linil jugmnt. Trnsition. Autonomy ronstrution. [email protected] [email protected] [email protected] Physil tivity stimts in COPD rhilittion: slf-rport vs. ojtiv msurs Jon Cruz,,, Din Brooks,, Al Mrqus,V, Dprtmnt of Hlth Sins. Univrsity of Aviro. Aviro, Portugl Shool of Hlth Sins. Univrsity of Aviro. Aviro, Portugl Grut Dprtmnt of Rhilittion Sin. Dprtmnt of Physil Thrpy. Univrsity of Toronto. Toronto, Cn V Uni nvstigção Formção sor Aultos osos. Porto, Portugl ntroution: Slf-rport physil tivity (PA) msurs r oftn us to ssss hngs for/ftr hroni ostrutiv pulmonry iss (COPD) rhilittion, s thy r sy to mploy n mor fsil thn ojtiv msurs. Howvr, th ility of slf-rport msurs to tt intrvntion-rlt hngs in PA shoul trmin. Ojtiv: To xmin th snsitivity of th ntrntionl Physil Ativity Qustionnir short-form (PAQ-sf) to tt intrvntion-rlt hngs in PA ompr to lromtry in ptints with COPD. Mthos: Elvn ptints with COPD (67.5±9.2yrs) prtiipt in 12-wk pulmonry rhilittion progrm. Prtiipnts wor n lromtr (Atigrph GT3X+) for 7 onsutiv ys on th 1 st n 12 th wks of th progrm n omplt th PAQ-sf. Sprmn s orrltion offiints (ρ) wr us to ssss rltionships twn th rsults of th PAQ-sf n th lromtr. Rsults: Both th PAQ-sf n th lromtr show non-signifint iffrns in tim spnt in sntry tivitis [min(qr): PAQ=60.0(240.0) min/y; lromtr=1.1(128.0) min/y), mort-to-vigorous physil tivitis (MVPA: PAQ=-150.0(1080.0) min/wk; lromtr=12.0(60.0)min/wk) n totl PA (PAQ= (1060.0) min/wk; lromtr=-9.0(559.0) min/ wk) s rsult of th intrvntion (p>0.05). Chngs in sntry tivitis otin y slf-rport wr signifintly orrlt to thos otin y lromtry (ρ=0.714, p=0.014). Chngs in slf-rport n lromtr-s MVPA wr mortly yt non-signifintly orrlt (ρ=0.588, p=0.057). No signifint orrltions wr foun for totl PA msur y slf-rport n lromtry. Conlusions: Th PAQ-sf show limit orrltions with lromtr-s PA. Ptints with COPD tn to unr-rport thir PA lvls. Thus, ojtiv msurs shoul prfrr whn ssssing th impt of rhilittion intrvntions in ptints with COPD, s ths hv grtr potntil to tt PA hngs. Dsriptors: lromtr. COPD. Physil tivity. Pulmonry rhilittion. Slf-rport msurs. [email protected] Din.Brooks@utoronto. [email protected] 137

139 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Compoun linil trils: omprtiv simultion stuy of its ury n ost An Cristin Grno,, Rui Sntos,, Shool of Thnology n Mngmnt. Polythni nstitut of Liri. Liri, Portugl Cntr of Sttistis n Applitions. Univrsity of Lison. Liso, Portugl ntroution: Compoun linil trils n ppli in orr to sv rsours for lssifition purposs (intifition of ll inft iniviuls in popultion) whnvr low prvln rts xist, lthough it rss ury. Ojtiv: Our gol is to ompr th prformn of svrl lssifition mthoologis (iniviul trils, hirrhil lgorithms, n rry-s group tsting), minly thir rltiv ost (xpt numr of tsts for th lssifition of h iniviul) n thir proility of mislssifition (msur y th spifiity n snsitivity of h mthoology). Mthos: Simultion thniqus (prform using Sttistil Softwr) wr mploy unr iffrnt potntil popultion snrios, using multipl prvln rts, svrl group imnsions, ivrs signifin lvls, snsitivitis n spifiitis. Through this frmwork it ws ssum tht pooling os not fft mislssifition proility (sn of th ilution fft), s it is orroort y mny qulittiv nlyss (prsn or sn of th inftion). Rsults n Conlusions: Th prform simultions show tht ompoun tsts n only vis in ss with low prvln rts n low proilitis of mislssifition. Furthrmor, it is impossil to sily intify th most suitl mthoology to h s, u its pnn on th prvln rt, on th snsitivity, n on th spifiity. Nvrthlss, ompoun tsts llow sving rsours (y ruing th numr of rquir tsts) n inrs th proility of mislssifition (minly rsing th snsitivity). Morovr, whnvr th prvln rt, th snsitivity, n th spifiity r known (or t lst rsonl stimts r vill), simultions n prform in orr to intify th most pproprit mthoology, n thry to ln th ost with th ury. Dsriptors: Qulittiv ompoun tsts. Prvln rt. Mislssifition. Rltiv ost. Simultion. Dision mking in intnsiv r t th n of lif Tmr Rqul Vlso Snz,, Esprnz Ryón Vlpust, Complutns Univrsity of Mri. Mri, Spin Clínio Sn Crlos Hospitl. Mri, Spin ntroution: n intnsiv r units, it is ssntil to nlyz how ision mking tks pl t th n of lif, us th risk of violting th ptint s wishs is highr, sin most of thm ntrnt inpitt. Ojtiv: ntify th knowlg, skills n ttitus of intnsiv r hlth profssionls on ision mking in th n of lif. Mthos: Osrvtionl, sriptiv Stuy to 649 intnsiv r profssionls (physiins n nurss) in nin hospitls in Mri (Spin), using multipl hoi qustionnir from Otor 2010 to Dmr Dsriptiv sttistis with prntgs n Chi-squr tst, tking p<0.05 s signifint vlus. Rsults: 331 survys wr ollt. n ition to soiomogrphi rsults, ws otin: only 29% of rsponnts know th ritri for mking th o-not rsusitt orrs if inomptnt ptint. Th 71.5% of rsponnts si tht th ision of th lgl rprsnttiv is not rspt. Th 57.7% of profssionls si tht vn irtivs oumnts is th most fftiv wy to xprss wills. Th 50% of nurss onsir tht Autonomy shoul th first prinipl to ssss, ompr to 46% of physiins who onsir th Chrity p<0,001. Conlusions: Hlth profssionls onsir vry usful th vn irtivs for tking isions in th n of lif. Howvr, th figur of th lgl rprsnttiv is not rspt. Thr is grt ignorn out o-not rsusitt orrs, spifi trining ning shoul onsir. Th first prinipl to ssss on ision mking is iffrnt twn nurss (Autonomy) n physiins (Chrity). Dsriptors: En of lif r. Avn irtivs. ntnsiv r. Do-not rsusitt orrs. [email protected] [email protected] [email protected] [email protected] 138

140 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Rsistn tril profil in positiv urin ulturs: Nosoomil nftion vs Community quir nftion Rnto Aru, An Almi Céu Litão, Frnno Bllém, An Brnão, Ângl Lops ; Nin Rorigus f Esol Suprior Tnologi Sú Liso. Liso, Portugl ntroution: Urinry trt inftions r srious puli hlth prolm, ing onsir s th son most ommon tril inftion in humns, whr most thrpis r implmnt mpirilly. This llows th vlopmnt of tril rsistn, in hospitl or in th ommunity. Ojtiv: W ompr th profil of tril rsistn twn th two mi stui, ontriuting to th hoi of th st mpiril trtmnt. Mthos: Dt olltion, hrtriz s sriptiv osrvtionl, ws m through th ts of Hospitl Unit of th Cntrl Lison Rgion. Btwn Frury 2012 n Jnury 2013 wr ollt 3,837 t for urin ulturs mong whih only 819 show positivity. Ths t wr sttistilly nlyz y SPSS vrsion 13.0 for Winows with signifin lvl of 5%. Rsults: urinry inftions fft minly fmls n Eshrihi oli, mong ll isolts, ws th ling us, rgrlss of th sour of inftion. t ws foun tht thr r signifint iffrns in th rsistn pttrns ompr to som ntiiotis for E. oli n K. pnumoni. Conlusions: Th signifint iffrns foun suggst highr rsistn in isolts from inptints whih n mn impropr us n ovrus of ntiiotis in hospitls. t ws foun through th snsitivitis otin, th mipnm s th st mpiril trtmnt in oth lol quisition of inftion, n Gntmiin for ommunity quir urinry trt inftions. Dsriptors: Urinry trt inftions; Nosoomil inftion; Community-quir inftion; tril rsistn; Empiril trtmnt. Flls in lrly ommunity rsints. An unrignos prolm Bruno Frrir,, Armno Almi,, Tâni Cost,, Ros Silv,, Ptrii Colho,, Pulo Alvs,f, Ctrin Pinto,g Agrupmnto Cntros Sú. Póvo o Vrzim/ Vil o Con, Portugl nstitut of Hlth Sins. Ctholi Univrsity of Portugl. Porto, Portugl ntroution: Th min us of injury in th lrly, in Portugl, is th ourrn of flls. Nvrthlss, th phnomnon rmins unrignos n unrpprit y hlth profssionls working in ommunity ontxt. Ojtiv: Prforming n urt ignosis out th fll risk, in vry lrly ommunity lints of fmily hlth unit to improv ision mking. Mthos: Cross-stionl stuy. Rsults: Of th 45 iniviuls who gr to prtiipt in th stuy, 36 hv flln ovr th lst yr, totling 82 flls, 8,3% with mor thn 4 flls n 42,8% twn 2 n 4, ourr prominntly t hom (71%). Th Tintti tst rvl tht 19.4%, 44.4% n 36.1% of th lrly h rsptivly, low, mort n high risk of flling, ontrsting with th fr of flling tht took low xprssivity. nfrntil nlysis rvl th xistn of ngtiv orrltions mong ln, numr of flls t hom n numr of flls whn prforming vitl tivitis. n 64.3% of flls ws nssry hlp th lrly ris, rsulting in 4 situtions of on frtur, on of whih l to sitution of totl pnn. Of th 27 nvironmntl risk ftors trk in th hous, wr prsnt on vrg 14. Thr is positiv orrltion (Sprmn Rho: 0.308, p = 0.039) twn numr of flls ourr in rrying out houshol tivitis n th numr of nvironmntl ftors for fll risk t hom. Conlusions: Th phnomnon is rl prolm unrignos, with srious rprussions, n is ruil improv its ignosis to prsri fftiv thrpis. Dsriptors: Flls; Ag, 80 n ovr; Community. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g @lunos.stsl.ipl.pt [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 139

141 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Evlution of th us of unl of prvntion of vntiltor-ssoit pnumoni Luin Lit Pinli Simõs,,, This Yoshi,,, Milton Junio Cânio Brnrs,,, Cássi Silv Mirn Gooy,,An Elis Bur Cmrgo Silv, Srvi nftion Control. Hospitl for Tropil Disss Dr. Anwr Au. Stt Hlth Dprtmnt of Goiás. Goiás, Brsil Frl Univrsity of Goiás. Goiás, Brsil Dprtmnt of Miin. Pontifíi Univrsi Ctóli GoiásGoiás, Brsil ntroution: Th high mortlity of Vntiltor-Assoit Pnumoni (VAP) is onrn mong hlth gnis n intrntionlly rogniz ntrs s Cntrs for Diss Control n Prvntion, whih promots th rls of unls for prvntion. Ojtiv: To vlut th hsion n impt of unls in hospitl of nftious Disss. Mthos: Epimiologil nlytil stuy onut in unit of intnsiv trtmnt to ults from Brzilin Hospitl. Wr vlut xisting t in vlution ror fulfill y nurss, uring th months of My n Sptmr, 2013, out: (1) high hor - 30 to 45, (2) stion protool, (3) prophylxs gstri muos injury, (4) thromosis prophylxs, (5) orl hygin with quous hlorhxiin (0.2%), (6) r with vntiltion iruits, (7) ily physiothrpy r. Wr lso ompr nsitis inins of VAP in 2012 n Th stuy ws pprov y th Rsrh Ethis Committ n th t sttistilly nlyz. Rsults: Of th 108 vlut rors, 20 show ll itms oringly (18.5%). tm 3 ws th on with th highst hsion (84.2%), follow y 1 (83.3%). Th VAP rt rs from 25.9 in 2012 to 10.3 pr 1,000 fns/y in 2013, sttistil signifint rs in th nlysis of th onfin intrvl of 95%. Conlusions: Dspit th low hsion to th unl (18.5%) th nsity of VAP ws ru with its pplition. Th unl of prvntion n promot sfty n ru th inin of VAP. Dsriptors: unls; prvntion; pnumoni; surity; ptint. Bunl of inftion primry prvntion of loostrm s mngmnt tool in Brzilin hospitl Luin Lit Pinli Simõs,,, This Yoshi,,, Milton Junio Cânio Brnrs,,, Cássi Silv Mirn Gooy,, An Elis Bur Cmrgo Silv, Srvi nftion Control. Hospitl for Tropil Disss Dr. Anwr Au. Stt Hlth Dprtmnt of Goiás. Goiás, Brsil Frl Univrsity of Goiás. Goiás, Brsil Dprtmnt of Miin. Pontifíi Univrsi Ctóli Goiás. Goiás, Brsil ntroution: Th rol of ntrl thtr in primry loostrm inftions (PB) hs n provn. To prvnt PB intrntionl gnis suggst th us of unls s tools for th mngmnt of r prosss. Ojtiv: To vlut th hsion of unl prvntion of lortory PB rlt to ntrl vnous thtr (PB/C). Mthos: Epimiologil stuy onut in n nftious Contgious Disss Hospitl in Brzil. Dt wr ollt y mns of n instrumnt ppli to ll ptints with Cntrl Vnous Cthtr in th prio of My to Otor 2013, omprising th following stps: (1) thtr insrtion, (2) mition ministrtion, (3) mintnn n (4) rmovl of th thtr. For nlysis wr ompr th inin nsitis of PB/C of 2012 n 2013 n vlut th proportion of hsion to th unl. Th stuy ws pprov y th Rsrh Ethis Committ n th t wr sttistilly nlyz. Rsults: 62 vlutions wr prform. Stp 2 show highr hsion (93.5%), follow y 3 (37.0%). Rgring th inin nsity of PB/C thr ws n rs from 4.7 in 2012 to 3.2 PB/C pr 1,000 thtr-ys in 2013, pprnt ownwr trn, lthough not sttistilly signifint (p>0.5). Conlusions: Thr is trn of rsing PB/C. nvsting in prvntion unl my nl rution PB/C, minimizing risk to th ptint n n importnt tool for mnging th prosss involv in insrtion, mintnn n rmovl of th thtr s it irts to prvntiv n orrtiv tions tht l to surity th ptint. Dsriptors: surity; ptint; unl; ntrl thtr; inftions. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 140

142 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Thniqus for ounting tri in pool smpl Migul Flguirs,,, Rui Sntos,,, João Pulo Mrtins,, Shool of Thnology n Mngmnt, Polythni nstitut of Liri. Liri, Portugl Cntr of Sttistis n Applitions. Univrsity of Lison. Liso, Portugl ntroution: Th numr of tri in millilitr of loo is hrtriz y iffrnt sttistil istriutions oring to th ptint s sttus (inft or not inft). For instn, Duhnn Musulr Dystrophy n tt y msuring th tivity of svrl srum nzyms, whih iffrs twn fft n unfft hilrn. Sin in svrl situtions iniviul tsts r xpnsiv or not visl for onfintility rsons, ompoun tsts r onsistnt ltrntiv. n this typ of tsts som flui (.g. loo or urin) from svrl iniviuls is mix (pool smpl) n nlyz, spring grt numr of tsts ( ngtiv rsult implis tht no on is inft). Ojtiv: n this work w propos nw sttistil mtho to istinguish inft groups from non-inft groups, using th numr of tri in th omposit smpl. Mthos: Simultions wr prform in orr to vlut th prformn of th propos mtho whnvr th tri ounting istriution longs to th wll-known Pnjr s sttistil fmily of istriutions (whih inlus th most frquntly ppli ounting istriutions, suh s th Poisson, th inomil, n th ngtiv inomil). Rsults n Conlusions: Th otin rsults suggst tht th propos mthoology n ommot th ilution prolm (whnvr loo from inft n non-inft iniviuls r mix, lrg numr of tri from n iniviul might lok y smll numr of tri from othr iniviuls), n thrfor n us s rlil ltrntiv to iniviul tsts, llowing to sv tim n mony. Dsriptors: Count istriutions, mislssifition, Pnjr s fmily of istriutions, quntittiv ompoun tsts. Short form 6D: n msur hlth in ptints with systmi lupus rythmtosus? Cláui Riiro,,, sl Sntos,V,, Nélio Vig,, August Mrqus V,,Crlos Vsonlos,V, Univrsi Ctóli Portugus. Porto, Portugl Uni munologi. Hospitl Grl Snto António. Cntro Hospitlr o Porto. Porto, Portugl Univrsi Frnno Psso. Porto, Portugl V nstituto Ciênis Bioméis Al Slzr. Porto, Portugl V Univrsi Sntigo Compostl. Sntigo Compostl, Spin ntroution: Systmi lupus rythmtosus (SLE) is prvsiv iss with wi-rnging ffts on physil, psyhologil n soil wll-ing. Hlth onomis rsrhrs r onrn with th msurmnt of th hlth rlt qulity of lif (HRQL), spilly liiting iniviuls prfrns rgring spifi hlth outoms. This typ of msurmnt n intgrt in linil ision in ptints with SLE. Ojtiv: Assss hlth utilitis for ptints with SLE. Mthos: 71 ptints with SLE, from Uni munologi Clini (Hospitl Snto António Porto) who rspon to th Short Form-36 vrsion 2 (SF-36v2) wr ssign to n SF-6D sor, provi th 11 itms us in th SF-36, to otin th slf-ssssmnt of thir hlth sttus n qulity of lif. W us th Portugus vrsion of th msurmnt instrumnt SF-6D n th onomtri lgorithm rt y Brzir to gnrt utility vlus for iffrnt hlth stt. Rsults: Th SF-6D n prfrns riv from th SF-36v2 show signifint orrltions with h othr, with Prson offiints vrying from.70 to.85 (p<.01). Th mn utility vlu otin y th SF-6D to th whol ptints with SLE ws.76, rnging from.47 to 1.00 n ssoit to stnr vition of.079. Lrgr fiit lvls wr foun in rol, pin, mntl hlth n vitlity imnsions. Lowr utility vlus wr ssign y womn n lrly. Lss ut iniviuls, living in rurl rs, ivor n sprt lso show, in gnrl, lowr utility vlus. Conlusions: Th msurmnt instrumnt SF-6D is usful n fftiv in msuring th HRQL in ptints with SLE. Dsriptors: Short Form 6D; Short Form-36 vrsion 2; Hlth Rlt Qulity of Lif; hlth utilitis; Systmi lupus rythmtosus. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 141

143 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Ntionl humniztion poliy: onptions of hlth profssionls Mrionsu Purru, Cínti Frits Csimiro, Mirn Aluqurqu Frot ; Cmil Sntos o Couto, Fátim Lun Pinhiro Lnim, Kmil Frrir Lim f, Mri Gortti Alvs Olivir Silvir g Univrsi Fortlz. Fortlz, CE, Brsil ntroution: n th ontxt of hlth srvis, this thm hs n mphsiz nough in hlth r, ut littl hs n sn in prti, sin th t of humnizing onfus with ommon sns onptions. Ojtiv: ntify th knowlg of hlth profssionls out th Ntionl Humniztion Poliy (NHP); priv tions unrtkn y hlth profssionls in th Nontl ntnsiv Cr Unit (NCU) PNH proposls. Mthos: Qulittiv stuy, whos stting ws th nontl unit of puli hospitl in th stt ntwork, spilizing in hil hlth r, lot in Fortlz, CE, Brzil. Th prtiipnts wr 20 hlth profssionls. Dt olltion ws onut from April to July 2012, y pplition of smi-strutur intrviw. For t nlysis, w us th mtho of intrprttion of mnings. Rsults: Knowlg of th PNH is onptuliz with iffiulty n unrtinty. As profssionl prti, not tht th PNH is prsnt uring th tions vlop in th ts. Rlvnt poliy issus wr not it s rovry workr n trnsisiplinry ntworking with multiisiplinry tms. Sintifi knowlg n rsponsiility wr intifi s si tools for profssionls in th prti of humniztion. Thr r situtions tht hinr th insrtion of humniztion in th unit, suh s prolms rlt to workpl n to workr. Rgring th suggst strtgis, minority livs tht th prtis vlop r nough, whil othrs puntut th n for ontinuing ution. Conlusions: Thus, rgulr mtings r rquir twn profssionls working in th unit for th mngr intify wknsss n sk hnging ttitus. Dsriptors: Hlth Poliy; Humniztion of Assistn; ntnsiv Cr Units Nontl. Fining n instrumnt to ssss fll risk in ut ptints in hospitl stting An Srin Sous,, nstituto Ciênis Sú Univrsi Ctóli Portugus. Porto, Portugl Hospitl S. João. Porto, Portugl ntroution: With th growing us of thnologil pltforms, it s impril to rthink its ontnt ftr isussing t trtmnt. Flls r nowys ommon prolm in vry hospitl. Consir th most signifitiv us of inints n vrs vnts in hospitls, thy hv high osts in moriity, mortlity n onomy. Most uthors fin ruil to intify thos t risk of flling, so qut msurs n implmnt. Mny risk tools r propos y invstigtors, ut thir rsults r not onsistnt. Ojtiv: Th im of our rsrh is to intify fll risk tools n suggst n implmnttion in thnologil pltform. Mthos: ntgrtiv rviw. Rsrh ws m using B-on, PuM, n RCAAP twn Novmr 2013 n Jnury 2014 inluing originl rtils only from th lst tn yrs. W foun 365 rtils, n ftr nlyzing thir strt, mthoologil qulity ws ss. Dt wr ompil n nlyz using SPSS progrm. Rsults: Eightn stuis wr slt. W foun Mors, STRATFY n Hnrih Fll Risk Mol th sls with ttr fftivnss, spit th inonsistn of th rsults. Grtr ignosti vliity ws vrifi in STRATFY sl. Conlusions: W onsir STRATFY th st sl to ssss fll risk in ut ptints in hospitl sttings. Bus th hvior of th rsults vris pning on th popultion, w rommn tsting th sl in stting prior its implmnttion. nvstigtors lso rommn tht qut fll prvntiv msurs shoul ssur to gurnt th suss of th fll risk tool. Dsriptors: Flls; prvntion; risk; ssssmnt; hospitl. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] 142

144 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ntgrting Evin-Bs Prti in th Trining Progrmm Bhlor s Dgr in Nursing. Univrsity Jum Sls-Min P, Mn-Tul D, Crvr-Gsh A, Gonzálz-Chorá VM, Folh-Ayor A, Lpñ Moñux, Y, Orts-Cortés M, Miá-Solr ML Dprtmnto Enfrmrí.Univrsitt Jum D Cstllón. Espñ ntroution: Th Evin-Bs Prti (EBP) ims to omin form mthoologil pross of profssionl xprin in hlth with th most urrnt informtion on th linil sitution. Th profssionl novi n mk ttr isions spit lking suffiint yrs in linil prti. W thn trin th stunt in orrt hits within th mthoologil pross y whih you n strngthn oth thir knowlg n thir ttitu n ility, llowing sur ustoms, whr ll of your work is s on PBE. Ojtiv: Th min ojtiv of th stuy is to stlish ross n grul lrning mtho tht llows th quisition skills rlt to EBP in unrgrut nursing stunts. norport nursing intrvntions on sintifi vin from th lrning n trining of stunts. Mthos: To hiv th ojtivs of this stuy n intgrtiv rviw of th litrtur is prform. Th rtils wr slt from Mlin/PuM, Cohrn n EEP Dts. Th tim limit ws 10 yrs. Th lngugs us, English n Spnish; Srh sriptors mploys immunity: Nursing, vin-s prti, vin-s nursing, Rsrh omptnis n ution. Rsults n Conlusions: Th nursing prtmnt rts th progrm ntgrtion of EBP in Formtiv Dgr Progrm in Nursing t th Univrsity Jum, whih works trnsvrsly uring th four mi yrs, llowing to quir gnrlist nurs trining, knowlg, skills n ttitus tht will llow through th mi yr, stunts of nursing r omptnt. t shoul not tht th stunt rhs th rquir nursing linil xprtis with whih to hiv ision-mking oring to th PBE, through th figur of th thing ssistnts. Dsriptors: Nursing; vin-s prti; vin-s nursing; Rsrh omptnis: ution. Assssmnt of prntl unr th prsptiv of mngmnt n fmily hlth tms Zéli Mri Sous Arújo Sntos,, Rort Grngiro Olivir,, Mri Trz Sá Litão Rmos Borgs,, Lurini Fátim Diniz Cvlnt,, Rithinn Frot Crniro,, Sr Arnjo Lino Krg,f, Alin Bros Tixir Mrtins,g Univrsi Fortlz. Fortlz, CE, Brsil Fuls o Norst. Fortlz, CE, Brsil ntroution: Th qulity n mngmnt prtis of Fmily Hlth Tms (FHT) hs ssum grtr rlvn to mngrs of th Unifi Hlth Systm (UHS). n this ontxt, th Prntl mrgs s n instrumnt tht ims to xtn ssistn yon qustion of hling, mpowring prgnnt womn for slf-r. Ojtiv: To vlut th prntl th prsptiv of FHT n Coorintors of Units Primry Hlth Cr (UAPS). Mthos: Rsrh vlutiv kin, hl from Mrh to Otor Strutur, pross n outom: Donin s mol s on systms thory ws us. Th survy ws onut in 20 UAPS, th Rgionl Exutiv Srtry V (SER - V), in Fortlz-Crá-Brsil. Th BE - V hs UAPS 20 n 59 EqSF. Thus, th trgt popultion onsist of 20 oorintors UAPS, 59 otors n 59 nurss. Howvr, th smpl ws 14 nginrs, 36 nurss n 35 physiins who nswr th qustionnirs n llow th osrvtion of prntl onsulttion. Rsults: UAPS prsnt with n unstisftory frmwork for prntl qulity. Physil systmti pln of r, mtril rsours, n th lins xprss th n for mor rful look y th unit mngmnt. As for th pross, it ws osrv tht nurss n physiins h similr ttitus on th pproh n th inhrnt physil xmintion uts. Conlusions: t ws foun tht th physil strutur UAPS h unstisftory for prntl r qulity. Dsriptors: ssssmnt, prntl, fmily hlth. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 143

145 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Anlysis of th working pross of nurss n otors in th prvntion of risk ftors of gsttionl hyprtnsion Zéli Mri Sous Arújo Sntos,, Rort Grngiro Olivir,, Mri Trz Sá Litão Rmos Borgs,, Lurini Fátim Diniz Cvlnt,, Rithinn Frot Crniro,, Sr Arnjo Lino Krg,f, Alin Bros Tixir Mrtins,g Univrsi Fortlz. Fortlz, CE, Brsil Fuls o Norst. Fortlz. CE, Brsil ntroution: On qulifi prntl r is y inorporting wrm uts n without unnssry intrvntions; sy ss to qulity hlth srvis, whih intgrts ll lvls of r: promotion, prvntion n hlth r of prgnnt womn. Ojtiv: To sri th work of nurss n physiins in prntl r, n prvntion of risk ftors of hyprtnsion in prgnny. Mthos: A sriptiv stuy with quntittiv pproh, prform in twnty units of Primry Hlth Cr (UAPS) of th Rgionl Exutiv Srtry V (RES V), in Fortlz- Crá-BR. Th RES V hs 59 EqSF. Thus, th popultion ws 59 otors n nurss 59. Howvr, th smpl ws 36 nurss n 35 otors who llow th osrvtion of prntl onsulttion. Orgniz th t in Sttisti Progrm Pkg for Soil Sins (vrsion 19.0). Rsults: Nurss stoo out in th guilins on rstfing (52.8%) n purprl r (38.9%). nhrnt in th physil xmintion of th prgnnt womn onuts no iffrn twn nurss n physiins. Th mor trgt th onut EqSF ws wight ontrol. Howvr, nurss hv xll in utionl guin on prvntiv msurs of hyprtnsion in prgnny, suh s: qut intk of slt (44.4%), slp n qut rst (47.2%), qut flui intk (38.9%) n systmti ttnn onsulttions (36.1%). Conlusions: Th nurss n otors h similr ttitus whn w pproh n onut inhrnt in ttnn. Howvr, th nurss stoo out s hlth utors. Dsriptors: Working pross, hlth tms, gsttionl hyprtnsion. s nfnt mortlity n vin of onomi vlopmnt? Sóni Mri Anito Morgo Cntro nvstigção o nstituto Suprior Ciênis Poliiis Sgurnç ntrn. Liso, Portugl ntroution: Th ppr ims to fin th intrtion twn to hlth vlopmnt, msur y infnt mortlity rt, n onomi vlopmnt, fousing on Portugl ountry, msur y Gross Domsti Prout (GDP). Ojtiv: Th im of this ppr is to tst if uslity twn growth n hlth msur y infnt mortlity, is possil, ttsting th quy of hlth poliis, onrning th rution of infnt mortlity rts. Mthos: To prform th tst is us Vtor Autorgrssiv Mol Anlysis VAR mol, n Grnjr (1988) uslity tst, ppli to Portugl tim-sris t, for 5 s. Along with it univrit n ivrit nlysis is ppli. Rsults: Th positiv volution of GDP, long th yrs till 2005, for th ginning of onomi risis, t positiv rt of 14%, s n follow y positiv volution of infnt mortlity rt rsing y 8%. Evn though th linr rgrssion vins signifint invrs rltion twn vrils (p-vlu=0,000), th uslity is not sustin. Conlusions: Th rsults sm to show no intrpnn of th formntion vrils, mning tht thr s is no support tht infnt mortlity is n vin of onomi vlopmnt. Howvr, growth is th or of sustinl hlth onitions (Eggr, 2009), s hlth positivly ontriuts to vlop onomi onitions (Ashrf, Lstr, & Wil, 2012; Bloom, Cnning, & Svill, 2004; Dton & Pxson, 2005 & Morgo, 2013), so shoul onsir in hlth poliis. Dsriptors: infnt mortlity; onomi growth; VAR mol; Gross Domsti Prout; Portugl. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] 144

146 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Pr fk: onlin mol for vloping mtognitiv skills in stunts António Frrir,, Btriz Arújo,, José Alvs,, Diogo Prir, Frnn Prínip Esol Suprior Enfrmgm Cruz Vrmlh Portugus Olivir Azméis. Olivir Azmis, Portugl Univrsi Ctóli Portugus. Porto, Portugl ntroution: Th Highr Eution nstitutions f sustntil hng in ontxt in rpi n onstnt volution. Th hllngs to nswr to th nw xpttions in highr ution ris for n invstigtion into th influn of th omplx ontxts in mi prtis, n th ssssmnt of stunts. Ars tht will hv to rthought n rnw (Bou D t l, 2010). Th involvmnt of stunts in ssssmnt prosss mns tht thy o not intify vlution only s mtho of msuring lrning, ut lso to provi lrning (Crtny, 2010). Ojtiv: Bs on nw prigm of thing, stunt-ntr lrning n ssssmnt, our ojtiv is to vlop mtognitiv omptnis in highr ution stunts y using pr fk s ollortiv lrning n ssssmnt strtgy. Mthos: Th mthoology us is s in th prtiiptory tion rsrh, omining qulittiv n quntittiv pproh. Through th us of n onlin pltform (AC3Enf), using th pr fk strtgy, w vlop highr ution stunts, mtognitiv omptnis, suh s: slf-irt lrning, ritil n rfltiv spirit, ility to nlyz situtions n solv prolms, ommunition skills, lrship, innovtion, intgrtion/intrtion in tm, pt to hng n ision mking. Rsults: Th rsults of using pr fk in onlin pltform, show us, tht stunts r mor ritil n rfltiv thinkrs, slf wrnss, with ollortiv hvior, ision mking n slf-vlopmnt with innovtion n rtivity. Dsriptors: Pr fk; highr ution; mtognitiv omptnis; ision mking. [email protected] [email protected] [email protected] [email protected] [email protected] CONSTRUCTON AND VALDATON OF A REFERENCE MATRX FOR LARGE SCALE COGNTVE ASSESSMENT OF THE BOLOGCAL-FUNCTONAL DMENSON N SCHOOL PHYSCAL EDUCATON José Airton Frits Ponts Junior,, Lnro Silv Almi,, Eson Silv Sors,, Mri Suly Alvs Cost V,, Niolino Trompiri Filho V, Univrsi Frl o Crá. Crá, Brsil nstituto Eução. Univrsi o Minho. Brg, Portugl nstituto Eução Físi Esport. Univrsi Frl o Crá. Fortlz, Brsil V Dprtmnto Psiologi. Univrsi Frl o Crá. Fortlz, Brsil V Ful Eução. Univrsi Frl o Crá. Fortlz, Brsil ntroution: Th shool s hlth proponnt nountrs through Physil Eution possiility of intgrtion of knowlg rlt to physil tivity n hlth in th ution fil. Thr r lrning ojtivs in th ontnt stion of Knowlg out th Boy; howvr, no rfrn mtrix xists to ognitivly vlut thm on lrg sl t th n of lmntry shool. Ojtiv: Th stuy fouss on th vlopmnt n vlition of rfrn mtrix for lrg sl ognitiv ssssmnt of th iologil-funtionl imnsion in Physil Eution. Mthos: Th mtrix ws rt s on ognitiv lrning ojtivs of th Ntionl Curriulum Prmtrs for Physil Eution in Elmntry Eution. Through qustionnir with los qustions n 12 itms on sl, 210 thrs n rsrhrs in Physil Eution in Primry Shool (6 th to 9 th gr) from 5 rgions of Brzil prtiipt in th stuy, with 58.4% of thm hving mstrs n otorts n 41.5% ing gruts n spilists. W onut xplortory ftor nlysis using SPSS v Rsults: Th rsults init th following: 1) th smpl ws qut to th stuy (KMO=0.932; BST 0.01, χ²= , f=66), 2) th itms hv stisftory xplntion (ommonlitis 0.5), 3) stisftory totl vrin xplin (57.35% for ignvlu =6.882), 4) on-imnsionl (ftor loings from.662 to.850), 5) high intrnl onsistny (α=0.932; Hotlling Tst p to , RTC.603 to.802). Conlusions: W onsir th rfrn mtrix suitl for us y thrs n rsrhrs to hlp thm vlop ognitiv ssssmnt tools for lrg sl vlution in rltion to th ontnts of th iologil-funtionl imnsion of Physil Eution in Elmntry Eution. Dsriptors: Lrg sl ognitiv ssssmnt; Biologilfuntionl imnsion; Shool physil ution. josirton.junior@ yhoo.om.r [email protected] [email protected] [email protected] [email protected] 145

147 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th Attntion to Elrly Hlth: initors of prformn vlution n ision mking in lol mngmnt Kil Cristin Rush Prir, Josimri Tlino Lr, Mri Cristin Clvo Univrsi Frl Snt Ctrin. Snt Ctrin, Brsil ntroution: Th lrly popultion inrs prsnts to govrnmnt n soity th hllng to hllng to f ging-spifi n to nsur srvis tht nompss th omplx pross of ging. Thus, mngmnt rquiss proprit initors for ision mking in this r. Ojtiv: To vlop n tst monitoring n vlution for lol mngmnt in lrly hlth r. Mthos: An vlutiv stuy in two phss: th intifition of thortil-logil mol n th finition of n initors st. Th thortil-logil mol prsnts th tions tht th lol mngr in lrly r is rsponsil for in th ontxt of th Brsilin systm n th rltionship twn thory n prti. Th xplortory rsrh of sintifi n lgl litrtur hs s th hoi of initors whih wr group in two imnsions n igth su-imnsions. This st of initors ws vli y r xprts in workshops of onsnsus through th tritionl omity thniqu n tst in lol r in th southm rgion of Brzil. Rsult: nitors of sy pplition, rproution n unrstning, llow th lssifition of lol mngmnt n gui ision mking in th srh for qulity r in lrly hlth. Conlusions: Th initors r importnt instrumnts for lol mngmnt. Thir prioi us for monitoring n vluting tions gui plnning, filitt grmnts n llow soil tors to rogniz thm sily. Dsriptors: Evlution. Prformn Evlution of srvis. nitors of qulity of r. Cr to th lrly. Assoition of Osttri Vrils with Rout of Chilirth Elizin Brg Rorigus Brnro,, Hlln Lívi Olivir Ctun,, Lr Lit Olivir,,, Tigo Sous Brros,, Mirn Fontnl Olivir,, An Krin Bzrr Pinhiro,f, Prisil Souz Aquino,g Univrsi Frl o Crá. Brzil Univrsi o Porto. Portugl Univrsi Frl Prnmuo. Brzil ntroution: Th rsponsil trminnts for th typ of livry r not wll unrstoo ut r likly to multipl. Th hoi shoul rivn y th womn through onsious ision. Ojtiv: Th ojtiv of this ppr is ssoit th mount numr of prgnnis n irths of womn with who h prform nturl hilirth. Mthos: This is orrltionl stuy with quntittiv pprohs onut on 210 postprtum womn tkn in th prio from Jnury to July 2012 t puli shool mtrnity rfrn. Ethil issus spts wr osrv. Rsults: Th ssoition of th numr of prgnnis n irths with th mo of hilirth vrils show no sttistil orrltion oring to th hi-squr tst. Th numr of nturl hilirth in primiprous wr highr, lthough in with sutl prntgs. Th primiprity onstituts in risk ftor for srn stion unr th ssumption y th hypothsis tht ths womn r lss l to op hn with th iffiultis of lor. n th s of multiprous, th prvln ws srn stion, whih n link to th sir to prform tul ligtion n prvious rproutiv xprins. n primigrvi, th numr of nturl hilirth ws slightly highr. Alry, on th othr hn in multigsts th srn stion prvil. Conlusions: Th fr of pin of on nturl hilirth, spilly in primigrvi, n influn th ision of srn stions. t is importnt tht hlth profssionls sk to mpowr womn to hoos th st wy of prturition through xhng of qut knowlg out th pproprit options. Dsriptors: Nursing; Womn s Hlth; Osttril Nursing; Nturl Chilirth; Csrn Stion. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 146

148 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th Anxity Disorrs ntrviw Shul for DSM-V:Chil Vrsion(ADS-C) in Aolsnts Mri o Céu Slvor, Cáti Mrtins Ful Psiologi Ciênis Eução. Univrsi Coimr. Portugl ntroution: An xtnsiv vlution of psyhopthology is ritil in th psyhothrputi n rsrh prosss. Usully, rsrhrs n liniins r pnnt on th ury of tools us to trmin ignosis, n this pross n fft oth ssssmnt rliility n trtmnt ffiy. As suh, it is ssntil to us vlit tools onrning rliility, snsitivity n spifiity. Ojtiv: Th Anxity Disorrs ntrviw Shul for Chilrn (ADS-C; Silvrmn & Alno, 1996) hs shown its ffiy n rliility in svrl intrntionl invstigtions. n Portugl its psyhomtri proprtis hv not yt n stui, thus ing th im of our stuy. Mthos: Th finl smpl onsist of 240 olsnts (172 in th linil group n 68 in th non-linil group, ll ssss y th ADS-C), g twn 14 n 18 yrs ol. ADS-C n svrl Slf Rport (MASC, SAS-A, RT, YSR, CD; ptility of th ADS-C), Prnt (CBCL) n Thrs (TRF) Rport Qustionnirs wr us. Prson orrltions, Stunt s t-tst, Mnn-Whiny U, n Cohn s Kpp wr us to xplor vliity, isriminnt ility n intr-rtr rliility. Rsults: Conurrnt vliity, isriminnt ility to istinguish twn linil n nonlinil groups, intr-rtr grmnt n ptility of th intrviw otin goo rsults. Conlusions: ADS-C show goo ility to gnrt vli n rlil ignoss. Th us of this instrumnt my onfr vntgs to th linil prti n rsrh, prtiulrly in th rution of vriility in th ssssmnt pross, proviing ury in th ignosis of omoriitis (Ullo t l, 2006) n limitting symptoms n linil popultions through lr n ojtiv vlution. Dsriptors: Anxity ssssmnt; olsnts; ignosis; ADS-C; psyhomtri proprtis. Compring th psyhomtri proprtis of th instrumnts us in th onomi vlution of Prkinson's iss Migul Ángl Grí-Gorillo, José Mrí Allán- Prpiñán, Borj l Pozo-Cruz, José Crmlo Asur V, José Alrto Prrç V Fult Cinis Eonómis y Emprsrils. Univrsi Extrmur. Bjoz, Spin Fult Eonomí y Emprs. Univrsi Muri. Muri, Spin Univrsity of Aukln. Aukln, Nw Zln V Fult Cinis l Dport. Cárs, Spin V Univrsi Évor. Évor, Portugl ntroution: Qulity-just lif yrs (QALYs) r ruil input in ost-utility nlysis, th prfrr mtho for th onomi vlution of hlthr intrvntions. Prfrn-s msurs of hlth-rlt qulity of lif (HRQoL), lik th SF-6D n th EQ-5D r ltrntiv wys of gnrting utility sors for thir us in QALY stimtions. Ths instrumnts hv n prviously us for ssssing HRQoL in ptints with iffrnt isss suh s Prkinson iss (PD). Howvr, to our knowlg, thr r no prvious stuis out th us of th SF-6D n th EQ-5D for th gnrtion of QALYs in PD ptints within th Spnish ontxt. Ojtiv: To ssss th psyhomtri proprtis of th SF-6D n EQ-5D qustionnirs n to ompr suh msurs in this popultion smpl. Mthos: 133 prtiipnts, (±9.74) yrs ol on vrg, wr inlu in th stuy. Th rltiv ffiiny sttisti ws us to tst th ility of th EQ-5D n SF-6D instrumnts to tt oth linil hngs in HRQoL n linil hngs in PD svrity (s ssss y th Hohn & Yhr sl). Rsults: Th SF-6D pprs to hv ttr ffiiny n grtr snsitivity to tt linil hngs in PD svrity of th symptoms. On th othr hn, th EQ-5D prforms ttr in tting linil HRQoL hngs. Conlusions: Th psyhomtri proprtis of th SF-6D n EQ-5D qustionnirs mk thm pproprit for thir us in this popultion smpl. Ths rsults suggst tht oth SF-6D n EQ-5D qustionnirs n us for QALY stimtions in ptints with PD in th Spnish ontxt. Dsriptors: Psyhomtri proprtis; QALYs; SF-6D; EQ-5D; Prkinson`s iss. [email protected] [email protected] [email protected] [email protected]@ukln..nz [email protected] [email protected] 147

149 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Assssing iling ffts in th EQ-5D n th SF-6D instrumnts in ptints with Prkinson s iss Migul Ángl Grí-Gorillo,, Frnno gnio Sánhz-Mrtínz,, José Mrí Allán-Prpiñán,, José Crmlo Asur,, Borj l Pozo-Cruz V,, José Alrto Prrç V,f Fult Cinis Eonómis y Emprsrils. Univrsi Extrmur. Bjoz, Spin Fult Eonomí y Emprs. Univrsi Muri. Muri, Spin Fult Cinis l Dport. Cárs, Spin V Univrsity of Aukln. Aukln, Nw Zln V Univrsi Évor. Évor, Portugl ntroution: Th Prkinson s iss (PD) is gnrtiv isorr of th nrvous systm tht my sriously fft ptints hlth rlt qulity of lif (HRQoL). n this rgr, it is importnt to hv vli n rlil HRQoL msurs for thir us in ths ptints. Th EQ-5D n th SF-6D r two of th most wily us prfrn-s HRQoL instrumnts. Nvrthlss, prolm tht my our is tht th instrumnt nnot isrimint whn ptints HRQoL is nr full hlth ( iling fft ) or, ltrntivly, whn th instrumnt is not pl of sri th worst hlth onitions ( floor fft ). Ojtiv: To ssss th xistn n sop of iling n floor ffts in th EQ-5D n SF-6D instrumnts in ptints with PD. Mtho: 133 prtiipnts wr inlu in th stuy. Th istriution of EQ-5D n SF-6D lvls within h omin, in prntgs, s wll s th utilitis riv from thir rsptiv lgorithms, wr us to ssss th floor/iling ffts in oth instrumnts. Rsults: Th imnsions of EQ-5D showing highst iling ffts r slf-r (SC) n usul tivitis (UA). Convrsly, no floor fft mrgs in ny of th fiv imnsions. Rgring utility vlus, only 1 ptint h 0 (th worst sor), whrs 18 ptints h 1 (th st sor) in th EQ-5D-3L. With rspt to th SF-6D, nor iling nithr floor ffts hv n osrv. Conlusions: EQ-5D n SF-6D r oth pproprit instrumnts for HRQoL ssssmnt in ptints with PD. Notwithstning, whil iling ffts r osrv whn EQ-5D is us, thos ffts o not ppr within th SF-6D. Dsriptors: Prkinson s iss; ost-utility; EQ-5D; SF-6D; HRQoL. Orgniztionl Strss: Dvlopmnt of multiimnsionl msur List os Sntos Mns Mónio,, Hugo Mnul Olivir Lus,, Luiz Nor Lim,, Mri Susn Noguir Frnns, Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl Dprtmnt of Psyhology n Anthropology. Univrsi Extrmur. Spin Agrupmnto Esols Portl Mosvi. Portugl ntroution: Nowys popl spn grt prt of thir livs t work, ing work somtims rsponsil for signifint frtion of ily strss. Ojtiv: This ppr sris th vlopmnt of th Orgniztionl Strss Qustionnir (OSQ). Th OSQ is m of st of itms from msurs propos y Spn n Roins (1992), n Rgo t l (2007, 2007), pt to th Portugus work ontxt. Mthos: Th smpl is ompos y 132 mn n 169 womn, with n vrg g of yrs ol (DP=10.78), hving iffrnt profssionl ouptions, litrry qulifitions, n rn slris. Th stuy of th imnsionlity ws on through Prinipl Componnts Anlysis (with VARMAX rottion), tht llow us to nlyz th vliity of th onstitunt vrils of h ftor of th OSQ. Rsults: Aopting th ritri of th ignvlu grtr thn on, n in onformity with th rsults of th Sr plot, four imnsion solution ris, ount for 62.37% of totl vriility: F1 Work s sour of strss n isplsur (22.2%); F2 Work s sour of motionl istrss (16.05%); F3 Work s sour of ompulsion (13.58%); n F4 Work s sour of ysfuntionl ommitmnt (11.23%). All th itms prsnt high ftoril loings in its ftor, ing th lowst of.742 n th highst of.819. Th nlysis of ntrnl Consistny, vlut y Cronh s lph, show goo rliility inxs. Conlusions: Consiring th Prinipl Componnts n th ntrnl Consistny nlysis, w onlu tht th psyhomtri proprtis of OSQ r stisftory. Dsriptors: Orgniztionl strss; Orgniztionl strss msurmnt; Ftoril nlysis; Qustionnir; Msurmnt instrumnt. [email protected] [email protected] [email protected] [email protected]@ukln..nz f [email protected] [email protected] [email protected] [email protected] [email protected]. 148

150 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 248 Priv hlth sttus in popl ovr 65 yrs Eugéni Mri Gri Jorg Ans, Aíli Mri Pirs Silv Frnns, Crlos Pirs Mglhãs, Mri Hln Pimntl, Mri August Prir Mt, Mri Filomn Grlo Sous f, Mnul Alrto Moris Brás g Núlo nvstigção ntrvnção o oso. Esol Suprior Sú. nstituto Politénio Brgnç. Portugl ntroution: Th ssssmnt of th hlth sttus prption is inrsingly us in monitoring th hlth of popultions. This ssssmnt is usful to th plnning of omprhnsiv, multiimnsionl n ynmi intrvntion in th lrly, nvisging sussful ging.th r of rsin is on of th trmining ftors to th prption of hlth sttus n my lso onition its rltionship with othr ftors whih fft hlth (Arujo & Rmos Lops, 2011). Ojtiv: Th im of this stuy ws to trmin th rltionship twn th hlth sttus prption n soiomogrphi n linil vrils in lrly living in rurl rs. Mthos: A quntittiv, non-xprimntl, sriptiv n ross-stionl stuy ws sign pplying qustionnir onsisting of gnri hlth instrumnt SF - 36v2 n soiomogrphi n linil qustions to smpl of 27ol popl (82% of rurl ommunity in th north of Portugl). Dt wr ollt in Rsults n Conlusions: Rsults r lowr thn th vrg vlus of rfrn to th Portugus popultion (Frrir & Sntn, 2003). Signifint iffrns wr foun in rltion to soiomogrphi n linil vrils. W lso onlu tht th youngst, mn, mrri ons, thos who liv in thir houshols, th ons who hv th hlp of th fmily n frins whn thy n n thos who in t rport ny iss hv ttr prption of thir hlth sttus. Among thos who rport suffring from riovsulr n ostortiulr isss, th first ons show ttr prption of thir hlth sttus. Dsriptors: Hlth sttus prption, Elrly, Rurl living, Hlth trminnts, SF-36v2, Qulity of lif. [email protected]) [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 149

151 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Mil ution simult prti 249 Mntors implition in linil lrning n ssssmnt of nursing stunts Vítor Chorá, Dsiré Tul, Agu Gsh, Plo Min, An Ayor, Mrí sl Cortés f, Mrí Lorto Solr g Jum of Cstllón l Pln. Cstllón, Espñ ntroution: Nursing Eution in Europ is rgult y lw from Clinil lrning ompriss t lst 50% of th totl gr progrm in nursing. t is nssry rly on profssionls nurss involv in th lrning pross n skills vlopmnt ssssmnt. Th lvl of implition in lrning prosss of ths profssionl nurss is vry importnt to nsur goo rsults. Ojtiv: Th min ojtiv of this work is to know th implition lvl of profssionl nurss rit s mntors tht thy ssss skills vlopmnt in son-yr nursing stunts using Gui of Clinil Lrning Assssmnt t Jum Univrsity. Mthos: An nlytil, osrvtionl, prosptiv, with infrntil omponnt, stuy tks in 5 hospitls, 16 linil units n 200 mntors. Mntors implition lvl is stui with qulity ritri ror of Gui of Clinil lrning Assssmnt (Ror rt> 80%, mntor s signtur n finl gr in th right pl). A sriptiv n infrntil nlysis is rri out on th lrning tivitis ror. Rsults: Th qulity stnrs st for th whol smpl is not rh (80%). Lk of mntor s signtur is th min us of inorrt ror (21.4%). Nin lrning tivitis r sttistilly signifint (p<0.05). Thr r signifint iffrns y linil units (p<0.05). Conlusions: Mntors implition lvl n onsir qut, lthough strtgis s on ollortion n trining shoul vlop to nourg thir involvmnt n improv th lrning pross in th linil stting. Dsriptors: Nursing ution. Mntor. Mntorship. mplition. Clinil lrning. 250 Prvntion of rug us: prtis vlop y ounslors n ommunity lrs in Brzil Ftim Buhl,, Frnn Rorigus,, Univrsi Frl Snt Ctrin. Florinópolis, Brsil Progrm Fmíli Prfitur Muniipl Plhoç. Plhoç, Brsil ntroution: Th phnomnon of rug us is sujt of onstnt isussion, it y th impt on th livs of iniviuls s lso y th tions rlt to trffi n violn. Prvntiv tions rh ninrsing visiility. Th philosophy of shr rsponsiility sks for th fftiv prvntion through thonstrution of soil ntworks tht im forthimprovmnt of living onitions n gnrl hlth promotion. Ojtiv: To o n onlin nlysis of th prvntiv tions of th Bnk of Prtil Exprins (BPE) of th 4th ition of th Cours Prvntion of rug us Trining for Counilors n Community Lrs. Mthos: Th rsrh is sriptiv xplortory in ntur, with qulittiv pproh n ws ivi into two stgs: orgniztion n lssifition of th t into tls ontining gnrl informtion of th Bnk of Prtil Exprins follow y th tgoriztion of prvntiv prtis sri in BPE. Rsults: Th informtion ontin in th Bnk of Prtil Exprins of th trining ours for ounilors n ommunity lrs llow n nlysis of th xprins rlt to rugs us tht r ing vlop in Brzil. t is osrv tht most of th pulish prtisl with prvntiv tions in progrss, follow y th thrputi tivitis n projts not yt vlop Conlusions: Th molity of istn lrning of this ours ws ssil for stunts from vrious rgions of Brzil. Th BPE nourg stunts to shr thir tions, ppli in th most ivrswys, with grt ivrsity of puli n lol. This llow to visuliz ntionwi th prvntiv prtis tht hv n hl in iffrnt soil ontxts. Dsriptors: Prvntion. Drug us. Community lrships. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] 150

152 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Attntion givn to usrs of sustns psyhotiv in units of srvi ry for nurss n otors Ftim Buhl,, Mrlo Brrto,, Univrsi Frl Snt Ctrin. Florinópolis, Brsil Progrm Emrgênis Prfitur Muniipl Florinópolis. Florinópolis, Brsil ntroution: Th pproh mrgny in mntl hlth hs grt importn n is pl of trmining th ptn n hsion of popl to th trtmnt. Th tions of r must rtiult with xisting srvis in th systm, llowing rfrrl to othr srvis ollorting on th stlishmnt of rltionship of trust with th srvi n with th stff. Ojtiv: To nlyz th ttntion givn to usrs of psyhotiv sustns y physiins n nurss of th Emrgny Cr Units of ity of southrn Brzil. Mthos: Dsriptiv stuy with qulittiv pproh. Th prtiipnts wr: ight otors n ight nurss of Emrgny Cr Units. Th t nlysis ws prform from th intrviw s trnsription with th ssistn of th softwr RAMUTEC ntrf R pourls Anlyss of Multiimnsionnlls Txtst of Qustionnirs. Rsults: Th lxil nlysis of th 16 intrviws ws ivi in two orpus: th r n rfrrl to rug usrs on th PSUs n th flings n prjuis of th nurss n physiins of PSUs. Th tm tht provis r sms not to prpr to ttn this mn, in ition to th rfrn srvis not ing totlly rtiult mong h othr. Conlusions: Th profssionls tht provi r to th lohol usrs n othr sustns shoul prt of st of tions of th intgrt hlth srvis, iming highr qulity on th r to iniviuls who mk us us of ths sustns. Th omprhnsion of ition from profssionls n ring hngs in usr s r in Emrgny Cr Units. Dsriptors: lliit Drugs. Sustn Rlt Disorrs. Emrgny Mil. Wht os th oy hv to o with it? Motion xtrpoltion in iniviuls with rrl plsy sl Ctrin Mrtins,,, Armno Móni Olivir, nstituto Psiologi Cognitiv. Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl Assoição Portugus Prlisi Crrl Visu. Visu, Portugl ntroution: Prvious stuis show tht popl with rrl plsy (CP) r impir in motor plnning ilitis s wll s in motor imgry th innr rproution of tion whil motor output is inhiit. Prformn on tsks involving ynmi mntl rprsnttions, suh s Motion Extrpoltion (th stimt tim t whih moving trgt will rh point) hs, on th othr hn, n suggst to rly on motor imgry. Ojtiv: W ompr CP n ontrol prtiipnts using Tim-To-Contt (TTC) prigm whih rquirs stimting th momnt t whih moving trgt mks ontt with n ostl. Mthos: Prtiipnts wr 48 iniviuls with CP (7 56 yrs) n 48 g-mth ontrols. Stimuli wr vios of lu squr moving horizontlly t onstnt sp towrs sttionry ostl, n isppring t givn point. Two kins of ostls wr us, lok-wis: humn silhoutt; vrtil rtngl. Dirtion, sp n vnishing trgt point vri, long with th ostl position. Rsults: Antiiption (TTC unrstimtion) ws lrgr in silhoutt thn in rtngl onition. CP Prtiipnts ntiipt mor thn ontrols ut mor so in th silhoutt onition. Antiiption inrs with th gr of funtionl impirmnt, from txi, to iplgi, to quriplgi prtiipnts. Antiiption mgnitu orrlt signifintly with gross motor funtion impirmnt sl (GMFCS). No rltion ws foun twn gr of ntiiption n qustionnir msurs of visul n motor imgry. Conlusions: Our rsults ppr onsistnt with th us y prtiipnts of n moi thrshol of ntiiption, mor strongly tivt in silhoutt onition n, in CP group, lwfully pnnt on ovrll motor onstrints. Dsriptors: rrl plsy, motion xtrpoltion, tim to ontt, motor imgry. [email protected] [email protected] [email protected] [email protected] 151

153 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Simult lortory prti: impt on th stunt in prprtion for th rl ontxt of linil prti Lil Sls, An Sofi Jsus, Cláui Morgo, sl Lus, Trs Silvir Esol Suprior Sú Cruz Vrmlh Portugus. Liso, Portugl ntroution: Prolm Bs Lrning (PBL) is n tiv pgogil mthoology tht llows vlopmnt of utonomous lrning using ritil nlysis of prolm situtions. t nhns ritil thinking, ision mking, rsponsiility n utonomy in th vlopmnt of instrumntl, intrprsonl n systmi omptns. Ojtiv: Anlyz th ontriution of PBL mthoology in simult prti, to vlop skills of stunts in linil prti on th Bhlor s gr in nursing (BDN). Know th opinion out th ontriutions of th PBL mthoology. Mthos: An xplortory, rtrosptiv, qulittiv stuy using SWOT nlysis ppli to lsss of 3r n 4th yr of BDN. Rsults: Of th smpl of 98 stunts wr otin 42 rsponss (3r yr stunts). Stunts who hv h ontt with th linil prti (13) point out strngths s prtiing nursing prours n ontt with vrious mtrils; s wknsss prssur n knowlg on phrmology; s opportunitis th xploittion of rl ss n stimultion of linil jugmnt. Thos who h no ontt with th hospitl nvironmnt (29) rport tht th PBL/simult prti nhns th holisti viw of th prson, filitts lrning n prprs for th rl ontxt. Th opportunitis intifi rfr to th prprtion to l with iffrnt situtions n rsilin. Prssur is trm intifi s wknss, opportunity n thrt. Conlusions: Th opinion of th stunts shows th rognition of this pgogil strtgy s oostr of th vlopmnt of th vrious skills on th trnsposition into linil ontxt. Dsriptors: Prolm Bs Lrning (PBL), Simult lortory prti, Clinil prti, Nursing stunts. Th us of linil simultion with tors: n tion rsrh in nursing Sionr Nuns Olivir, Mrt Lnis o Pro, Silvn Silvir Kmpfr Univrsi Frl Snt Ctrin. Brzil ntroution: Th thing tivity is stimult y rfltions n hllngs. Th pgogil tivity mong nurss rquirs soil ommitmnt to th popultion tht will r y th futur nurss. Th urrnt rsrh for mor ffiint n fftiv mthos of instrution nhor in nw thnologis, rflts th ommitmnt of th nursing fultis n this ontriuts to th vlopmnt of mor ritil n rfltiv pgogy. Ojtiv: To propos n to implmnt n xprintil lrning through linil simultion with th prtiiption of tors in nursing onsulttion. Mthos: w follow th 4 stps of Ation Rsrh: plnning, tion, osrvtion n rfltion. W h th ollortion of stunts of rmti rts n 3 nursing stunts. Dt olltion ourr in My n July 2013, through prtiipnt intrviws n ws nlyz oring to th propos oprtiv to nlyz qulittiv t osrvtion. Rsults: th plnning stg inlu: th onstrution n vlition of linil guis, th sltion n trining of tors, th orgniztion n prprtion of th snrio n th invittion of th prtiipnts. Th tion ws oprtionliz oring to th 4 stgs of th lrning yl of Kol (1984). Conlusions: Th linil simultion involvs th prtiiption of iffrnt sujts t ll stgs n Ation Rsrh is mtho tht llows its implmnttion. This pross must gui y spifi lrning ojtivs n ritil pgogy tht nourgs ritil thinking in stunts. Using tors n rl snrio llow th fility. Th psyhologil rifing is th ky momnt of th rfltiv pross tht filitts th intgrl formtion of th stunt. Dsriptors: Simultion; Ptint Simultion; Eutionl Rsrh in Nursing; Nursing; Eution. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 152

154 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth HEALTH PROMOTON: CONCEPTS AND ACTONS OF NURSES TEACHERS Jisin Silv Olivir,, Cristin Arrguy-Sn,, Ntháli Alvrng-Mrtins,, Mriléi Lon,, Pul Krmpsr, Progrm pós-grução m nfrmgm. Esol Enfrmgm. Univrsi Frl Juiz For. Juiz For, MG, Brsil Esol Enfrmgm. Univrsi Frl Juiz For. Juiz For, MG, Brsil ntroution: Ations of hlth promotion r l to nsur th vlopmnt of humn potntil n rsours/ infrstrutur with viw to th formtion of hits, ustoms, hviors n ttitus of hlthy olltiv impt. Ojtiv: This stuy im to nlyz th thrs onptions of nursing ution t puli institution of hlth promotion. Mthos: Strutur rsrh on Soil Rprsnttions oring to th olltiv sujt isours. Hl in Brzilin highr ution institution with profssors who work in prtil, thortil n/or intrnship from iniviuls, fmilis or ommunitis srv in hlth institutions, t hom or in th ommunity t vrious lvls of ution ssistn. Dt olltion onut y intrviw with ursiv rgistry intrviw on hrtriztion n onptions out hlth promotion itslf. Pross t in NVivo with tgoris using th similrity of xprssions n onsolit y th thniqu of olltiv sujt isours. Rsults: 29 thrs in th rs of hil hlth, olsnt, ult n lrly ptints t vrious lvls of hlth r with titrtion of mstr n otor with 2-30 yrs of profssionl prti in ution prtiipt. Th lmnts of th soil rprsnttion of hlth promotion inlu: tions, fous, gols n sujts involv. Conlusions: Th rprsnttion m orroort th ft tht hlth promotion prossing th trminnts of lif n l to us in thing unrgrut nursing (ution, hlthr n rsrh imnsions) tool, lthough its fftivnss hs not n invstigt. t is suggst tht th sm qustion is m to stunts to fin out if ths onpts wr ssimilt uring th pross of thing lrning. Dsriptors: Nursing; Hlth Promotion; Hlth; Eution, Nursing. Clinil trining in surgry: vloping nursing stunts skills Plmir C. M. Olivir,,, Rgin M. F. Pirs,, Esol Suprior Enfrmgm o Porto. Porto, Portugl nstituto Ciênis Bioméis Al Slzr. Porto, Portugl nstituto Ciênis Sú. Univrsi Ctólis. Porto, Portugl ntroution: Clinil trining in surgry provis th intgrtion of knowlg n vlopmnt of skills for proviing r to surgil lint. n this ontxt it is ruil unrstn th ftors involv in vloping of ths skills. Ojtiv: To nlyz th prptions of nursing stunts out ftors filitting n inhiiting th vlopmnt of skills in linil trining of surgry. Mthos: Cs stuy of qulittiv ntur, xplortory n sriptiv. Dt wr ollt through qustionnir with opn qustions to smpl of 11 stunts of 3r yr of nursing gr from Portugus nursing shool, ftr onsnt. Dt wr nlyz using th thniqu of ontnt nlysis oring to Brin. Rsults: Prtiipnts r mostly womn. Emrg xtrinsi n intrinsi ftors tht r priv y stunts s filittors n/or inhiitors of th vlopmnt of thir skills. Thy intify s filitting ftors: th suprvision provi y thrs n tutors, th ivrsity of linil xprins, positiv ustomrs fk, intrinsi motivtion, mhnisms of slf-rgultion of lrning n th ility to mng strss. Thy onsir s inhiiting ftors: low slf-onfin, iffiulty oping with strss, iffiulty roniling linil lrning with xtrurriulr tivitis n short tim of linil thing. Conlusions: Th intifition of ftors filittors n/ or inhiitors of skills vlopmnt of stunts uring linil lrning is n importnt spt for rsrh, thing n nursing prti, llowing plnning linil thing n suprvision in orr to optimiz filittor s ftors n minimiz th inhiitors, intrinsi or xtrinsi. n this sns this stuy ontriuts to th promotion of lrning n know-how to t in th ontxt of surgry. Dsriptors: Clinil Prti, Nursing, Skills, Surgry. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 153

155 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Cr for th prson in ritil onition in th ontxt of simult prti Noéli Cristin Rorigus Pimnt Goms, Mri Luz Frnns Figuir Chvs Tixir Esol Suprior Enfrmgm São José Cluny. Funhl, Portugl ntroution: Th prti of nursing in th l with simultion hv n us y th Shool of Nursing S. Jos of Cluny from th ginning of its tivity in orr to prpr th stunt for linil thing, rising thir knowlg, stisftion, sfty, psyhomotor, intrprsonl n ritil. Th Simult Prti - Cr th ptint in th Emrgny Dprtmnt in orr to vlop th stunt`s skills, sintifi n thnil omptnis, in th nursing intrvntions rlt to ult n lrly in ritil onition. Ojtiv: To nlyz n rflt on th rsults of th ssssmnt of stunts rgring th tivitis in svrl simultion snrios in th r of mrgny/urgny within th mi yrs 2011/2012 n 2012/2013. Qustion: Wht is th opinion of stunts on th prti of mrgny/urgny l? Mthos: Rtrosptiv stuy with sttistil nlysis of th ssssmnt m y stunts out th prtis in mrgny/urgnt lortory. Rsults: Th glol vrg of th ssssmnt of stunts rgring th tivitis unrtkn in 2011/2012 ws 1.9 (rng 0-3) n in th yr 2012/2013 ws 2.6. Conlusions: Th opinion of th stunts improv signifintly in th yr 2012/2013, rsult of hngs m s on th rsults otin in 2011/2012. Stunts r of th opinion tht th simult prtis inrs skills in th vrious spts of ring for th ptint in mrgnt/ urgnt sitution, ing n importnt utionl strtgy for its inrsing sfty trining n skills vlopmnt. Dsriptors: Simult Prti; Emrgny; Critil llnss, stunts skills. Ami opinion out th out th Ntionl Curriulum Guilins in hlth Lilin Consolção Cmpos Riiro, Mirts Riiro, Vivin Antuns Rorigus Sors Univrsi Frl os Vls o Jquitinhonh Muuri. Tófilo Otoni, MG, Brsil ntroution: Givn th signifint hngs in th ntionl hivmnt for th Uniqu Hlth Systm, th Ntionl Curriulum Guilins in hlth r oniv s strtgy for th utionl institutions susiiz votionl trining onsistnt with rlity n th hlth ns of th popultion. Ojtiv: This stuy im to intify mi opinion out th gnrl skills n omptnis fin y Guilins of unrgrut ourss in th hlth r r on Univrsi Frl os Vls o Jquitinhonh Muuri. Mthos: Th sign hosn ws trnsvrsl, with popultion of 135 stunts from th lst prio of unrgrut ourss in th hlth r of Univrsity (Nursing, Phrmy, Physil Thrpy, Nutrition n Oontology) uring th son hlf of Rsults: 62 rsponss wr riv, rsulting in rturn rt of th qustionnirs of 45.92%. Empthy ws th vril tht prsnt, unnimously, onsirl gr of importn in th lrning pross. Ws intifi signifint sttistil iffrns twn th ourss only on vrils Lrship in multiisiplinry tmwork n Lrship, s p<0.004 n p<0.034, rsptivly. n ll ourss, Hlth Cr n Dision Mking h highr rts oth for wht ws xpt to tught s wht ws tught. Conlusions: t is highlight tht th gnrl skills n ilitis Aministrtion n Mngmnt n Communition show th worst rts in th prsptiv of th thing in unrgrut ourss in hlth r of Univrsity, rtifying th n of rfltion on th profil of th trining of hlth profssionls, in viw of th tul mns n hlth ns of th popultion. Dsriptors: Curriulum Guilins; Curriulum; Hlth Eution. [email protected] [email protected] [email protected] [email protected] [email protected] 154

156 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Augmnt rlity for improving linil ision skills Nlson Jorg,, Pro Gspr,, Lin Morgo, Uni Ensino à Distâni. nstituto Politénio Liri. Liri, Portugl Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Univrsi Art. Portugl ntroution: Augmnt rlity (AR) is thnology tht llows omputriz virtul ojt to ovrli irtly or inirtly in rl nvironmnt n in rltim (Azum, 1997; Zhou, Duh, & Billinghurst, 2008) n iffrs from virtul rlity (VR) sin it omins th rl worl with virtul ojts, supplmnting th rlity inst of sustituting it, mking th rig twn rl n virtul worls in prft wy (Chng, Morrl, & Mihrl, 2010). AR llows th rtion of nvironmnts n virtul ptints to simult prtis tht n hlp hlth stunts vlop skills n knowlg (Hogn t l, 2007; Lwis t l, 2005). Ojtiv: To stuy th ffts of AR on ision-mking skills, onrning to linil ignosis n trtmnt of hroni wouns. Mthos: Qusi-xprimntl stuy (nonquivlnt ontrol group sign) with smpl of 54 nursing stunts. Comprtiv nlysis of th prformn of th xprimntl group (whih first us th tritionl virtul lrning nvironmnt -fr, n ltr with AR) n ontrol group (whih us only th tritionl -fr), s on th xtrt t from th -fr virtul simultor (Gspr, 2010). Rsults n Conlusions: Th rsults init tht th virtul lrning nvironmnt with AR inrss ision-mking skills in th linil ignosis n trtmnt of hroni wouns, whn ompr with th virtul lrning nvironmnt without AR, prtiulrly on itms rlt to woun hrtriztion, with sttistilly signifint iffrns (p<0,001) in Mnn-Whitny U n Wiloxon tsts. Dsriptors: vlution; omptnis; virtul simultor; ugmnt rlity; linil ision. Drifing in th simultion ontxts Ctrin Loão,, Vróni Coutinho,, José Crlos Mrtins,, Rui Gonçlvs Esol Suprior Sú. nstituto Politénio Liri. Portugl Esol Suprior Enfrmgm Coimr. Portugl ntroution: Th rifing hs ompni th vlopmnt of th simult trining ontxts of hlth n hs n intifi s n importnt lrifition n onsolition stp of lrning xprins. Th rifing is intifi s strtgy tht llows th rviwing of simult xprimnt in whih prtiipnts xplor, nlyz n synthsiz thir tion, thought n othr informtion tht n nhn thir prformn in rl ontxts. Ojtiv n Mthos: W im to prsnt th rsults of litrtur rviw s in th Cohrn Cntr guilins rlizing th n for furthr stuy on th vlopmnt of rifing s thing, lrning n ssssmnt strtgy in th simultion ontxt. Rsults: Th orpus of this rviw is onsistnt n inits tht ll simult xprins shoul inlu rifing sssion plnn n trgt to promot rfltiv thinking to: improv lrning, slf-onfin, unrstning, promots knowlg trnsfr, intifis st prtis n promots sfty n r for th sik prson n lso promoting th liflong lrning. Howvr, to hiv th sir rsults, th pross of lrifition shoul follow th rommn rifing guilins. Conlusions: n th n, this litrtur rviw shows th lk of vin out th us of rifing in th ntionl ontxt n thr is n urgnt n to rry out rsrh stuis tht llows uiling lirvoynt img of implmnttion of rifing in th simult trining ontxts of nursing in Portugl. Dsriptors: Drifing, Simultion, Nursing. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 155

157 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Othr rlt to th thmti tls n Congrss 261 mplmnttion of Brzilin Ntionl Poliy on Orl Hlth in Rgionl Hlth Dprtmnt Alin Gurr Aquilnt, Govni Silv Univrsi Frl São Pulo. São Pulo, Brsil ntroution: n 2004, th Brzilin Ntionl Orl Hlth Poliy (PNSB) ws lunh, with th following prmiss: qulify th Primry Hlth Cr, nsur th omprhnsiv hlth r, t on th sis of hlth survilln, pln tions oring to th pimiology n informtion vill on th trritory, finn n st th rsrh gn so tht th work n prform s on sintifi vin. Ojtiv: nvstigt th PNSB implmnttion pross in th itis of th Rgionl Hlth Dprtmnt of Arrqur (DRS ), Brzil. Mthos: A strutur qustionnir ws givn to th orl hlth muniipl oorintors, n orl intrviw ws onut with hlth r profssionls n mngrs, n th offiil sttistis provi y th Ministry of Hlth wr oifi in wy to vlut th sop of th PNSB: ) Expnsion n qulifition of tions; ) Work onitions; ) Cr; V) Ass; V) Plnning n Mngmnt. Th rtiultion of quntittiv n qulittiv nlysis ws onut s upon tringultion mthos. Rsults: Most (52.6%) of th itis ws lssifi s goo n 42.1% lssifi th PNSB implmnttion s. Evn though th ss, th r, n th orl hlth tions hv n mplifi n qulifi, th rmunrtion of th orl hlth profssionls is low, thr is no rr or wgs pln, n th mngmnt n plnning tivitis r still vry ururti n with low numr of prtiipnts. Conlusions: Almost tn yrs ftr lunhing th PNSB, vn though vnmnts hv n osrv, th itis still fin it iffiult to implmnt thir prmiss. Dsriptors: Orl Hlth. Hlth Poliy. Hlth Srvis Rsrh. Progrm Evlution. 262 Psyhologil Consulttion-Lision: Mthoologil n Thnil Aspts Hln Prinhi, Thís Cstro Gzotti Pontifíi Univrsi Ctóli Cmpins. Cmpins, Brsil ntroution: Th psyhologil onsulttion-liison is on of th most frqunt tivitis s hospitl psyhologist. ts importn in supporting th hospitliztion of th ptint, th rltion twn th hlthr tm n th ptint n thir fmily n mong th profssionls of th hlth tm, hs n rogniz in svrl stuis. Ojtiv: Th im of this stuy ws to intify mthoologil n thnil spts of th psyhologil onsulttion-liison srvi of Univrsity Hospitl, from th xprin of profssionl psyhologists tht fulfill it. Mtho: ntrviws wr onut with four psyhologists who prform th onsulttion-liison srvi, whih wr uio-ror n, ftr trnsri, wr nlyz oring to th mtho of ontnt nlysis of Brin. Rsults: Th rsults init th importn of psyhologil onsulttion-liison s intrisiplinry tivity n lso tht, t th Hospitl in qustion, th sm ours without ny systmtiztion, ompliting th vlution of th ffts n thir rplition. Conlusions: t onlu th n for stnriz prours, ttntion to protools of intrvntion n nw stuis on th sujt. Dsriptors: Consulttion-liison. Hospitl. Psyhology. ntrisiplinry tivity. ntrvntion. [email protected] giovnni [email protected] [email protected] [email protected] 156

158 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Communition in Hlth Hln Prinhi, José Cmrgo Pontifíi Univrsi Ctóli Cmpins. Cmpins, Brsil ntroution: For ll ptints tht srh for hlth trtmnt, th rltion stlish with th profssionl is ruil to rliv th psyhologil suffring us y th prolm tht. Th ptint prsnts n to pt th trtmnt n/or t in n fftiv wy in th vrs sitution stlish in thir liv. Thus, th pity of th hlth r stunt, for snsitiv n ffiint ommunition, in th r rltion, is onsonnt with th ims of grution tht osn t onivs th profssionliztion without its humnitrin spt. Ojtiv: This stuy im to nl stunts to intify th si lmnts of th ommunition prsnt in th r rltion n thir influn in th pross n to l in n fftiv wy with spifi spts prsnt in th ommunition of som prognostis, ignostis or vrs situtions rising thr from. Mthos: short tim stuis s xtrurriulr tivitis for stunts from th fifth smstr forth, of th ourss: Miin, Psyhology, Nursing, Dntistry, Physiothrpy, Ouptionl thrpy, Sph thrpy, Nutrition n Phrmy, with 17 hours urtion, inluing lturs, rmtiztion rlting to th thms n group ynmi. Rsults: Th rsults init tht th stunts vlop th pity to stlish rltions twn th prption, th ommunition n th onut, from th ptint n th hlth profssionl. Conlusions: t ws onlu tht th omprhnsion of th hlth ommunition, suh s tool to stlish r rltion, n vlop, in hlth r stunts, through th stuy strtgis, s, primrily, in rmtiztion. Dsriptors: Communition in hlth. Cr rltion. Hlth r profssionl. Ptint. Drmtiztion. Th finitu n ging: prptions of th rgivrs of institutionliz g Frniso Rorigus,, Liin Montiro,, An Chvs,, Mri Frits, nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl Univrsi Estul o Crá. Fortlz, Brsil ntroution: Th iologil lin, hng in fmily omposition n th rtirmnt s tim r som of th soil rsponss, givn th onitions of humn lif n th onpt of th lrly in toy s soity. Ojtiv: To unrstn th rltionship twn ging n finitu, from th prption of rgivrs of institutionliz g. Mthos: Th stuy ws xplortory. t ws hl in n instituition of long sty in Fortlz, Brzil. A fous group ws onut with th rgivrs. Th thil prinipls wr rspt. Th sphs wr sujt to ontnt s nlysis of Brin. Rsults: Th prtiipnts wr twnty rgivrs. Th group ws multiisiplinry, thy work roun for four yrs go in this ontxt, th mn g ws 35 yrs ol n th mjority (85%) ws fml. Two imnsions mrg: physil-orgni trnsition n soio-ulturl trnsition. Th rprsnttions wr nhor out lif s yls: nturl n soil. Th ging pross h spiritul nhnmnt. Thr s som strotyping us y th physil hngs n y th rliztion of soil tivitis throughout lif. Conlusions: Th soil rprsnttions wr xistntilist n thy trnslt onpt of ging s prio mrk y hlplssnss n worthlssnss. This thought, limits th vlopmnt of tiv ging n th proution of r s on th utonomy of ging popl. Dsriptors: Ag; Finitu. Soil ntifition. Crgivrs. Hlth of th lry. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 157

159 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Populr ution, n intrisiplinry prti in th formtion of hlth profssionls Mrt Luiz Dis, Wllington Olivir Univrsi Frl os Vls o Jquitinhonh Muuri. Mins Gris, Brsil. ntroution: Populr Eution (PE) hs onstitut strtgi onstrution of soil prtiiption in th implmnttion of puli politis, spilly hlth. Aoring to th Ministry of Hlth (MS), PE is ssntil to prtiiptory mngmnt in Brzilin Hlth Systm (SUS). Conpts suh s, vloping utonomy, intrtion, shr rsponsiility r sis for th onsolition of strtgis n ffirmtion of hlth puli politis. Ojtiv: Disuss th importn of th institutionliztion of PE in hlth ourss t th Frl Univrsity of th Vllys of Jquitinhonh n Muuri (UFVJM), Brzil. Anlyz Ntionl Curriul Guilins for hlth ourss, SUS guilins, Pgogil Politil Projts of hlth ourss t th UFVJM. Mthos: Th strtgy of institutionliztion of PE in hlth is th implmnttion of n intrisiplinry Univrsity Extnsion Projt t th UFVJM. Litrtur rsrh n Orl History with oorintors, thrs, stunts n gruts in hlth, mngrs n usrs of SUS to intify thir prti, lrning n xpttions from thir xprins. Rsults: A stuy group hs n form to rflt out th nssitis of vloping mthoologis n thing lrning prtis onsir strtgi to formtion of hlth profssionls. Univrsity Extnsion Projt hs n vlop with prtiiption of stunts, thrs n hlth profssionls. Conlusions: Univrsity xtnsion is privilg sp to mrg n mtriliz of intrisiplinry proposls. Th inlusion of PE ourss on hlth is rlvnt us of its thil imnsion; for ing rogniz y MS s politil strtgy n mthoology tht filitts intgrtion of knowlg n prti; strngthning of SUS s wll s intrtion twn profssionls, mngrs n popultion. Dsriptors: Populr Eution. Hlth. Prtiiption. Mngmnt. SUS. Humn rsours trining for hlth thing: hrtristis n prsptivs Rosn Vill,, Aniz Riiro,, Mri Olivir,, Nilo Btist, Univrsi Frl Algos. Algos, Brsil Univrsi Frl São Pulo. São Pulo, Brsil ntroution: Th profssionl mstr s progrm in th r of hlth thing (MPES) ws orn out of n inititiv from th FAMED (UFAL) to promot th institutionl vlopmnt y improving its stunts thing pilitis. This inititiv onstituts on of th primry gols of this univrsity, fousing to strngthn th rltionship twn srvi n thing, n th formtion s in th nssitis of th Sistm Unio Su (SUS). Ojtiv: Th ojtiv of this stuy ws to gthr hrtristi informtion of th stunts ttning th progrm uring its 3 yrs of xistn (n=60). Mthos: Th t ws ollt through strutur qustionnir, n th rsults wr nlyz s on th frquny nswrs wr givn, thus sing th stuy in quntittiv ntur. Th stuy nlyz th stunts hrtristis, intifi vin of possil moifitions m y th stunts t thir work nvironmnts, n stlish th rltionship twn th progrm ojtivs n th stunts hrtristis. Rsults: Aoring to th stuy finings, th MPES is urrntly mting its propos ojtivs n prsnts grt potntil to prt from urrnt mols to onstrut nw mol of thing n rsrhing, through th forml trining of profssionl fous in th strngthning of th SUS systm. Conlusions: Th grtst hllng to unrtkn hs its s in th proution of sintifi n thnology mthos of proution, n thir impt to strngthn th progrm y proviing ttr plmnt of profssionls n ssisting thm to utiliz thir quir-knowlg in th ontxt of th SUS systm. Dsriptors: Grut progrm. Profssionl Mstr s. Thing. Hlth. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 158

160 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Nursing mngmnt: tivitis prform for qulity r João Silv,,, An Rikll Arújo,, An Borgs,, Anré Fitos,, Sofi Arnlo,,, Mrln Tixir,f Ful Ciênis Aplis Dr. Lão Smpio. Lgo S, Crá, Brsil Univrsità Spinz i Rom. Rom, táli Univrsi Frl o Rio Grn o Sul. Rio Grn o Sul, Brsil ntroution: Nowys in Brzil thr is n inrsing portion of nursing workrs tking not only th rsponsiility of ring ut lso th mngmnt funtion. This ft mns vloping rsponsiilitis to nsur hlthir working nvironmnt. Ojtiv: Th im of this stuy ws to unrstn th prption of nursing workrs rgring th mngmnt in th primry r n th spifi ojtivs wr to know th tivitis prform insi th mngmnt ontxt n intify iffiultis, filitis n ssntil ftors for th vlopmnt of mngmnt tivitis. Mthos: t is qulittiv sriptiv stuy tht us smi-strutur intrviws with smpl onsist for 10 nurss who xris ring n or mngmnt tivitis in th ity of Brjo Snto, Crá, Brzil. Dt olltion ourr twn Mrh n April W us th sriptions givn y th sujts n w ompr thm to th foun ons in th litrtur. Dt nlysis ws ivi in th following thms: Th hllng of ontinuing ution in nursing ministrtion, mngmnt n nursing: prptions n tivitis, mngmnt n nursing r: iffiultis n filitis. Rsults: Th prtiipnts hv monstrt knowlg out nursing mngmnt s wll s thy init th iffiultis n filitis of tking this rsponsiility n th importn of nurs mngr t th Bsi Hlth Unit. Conlusions: W onlu tht th profssionl nursing is ssntil in th mngmnt of hlth units n hs th pity to t potntilly in this work. Givn this fining, w n unrstn th importn of fftiv mngmnt in Bsi Hlth Units, prform y trin profssionl, th nurs mngr. Dsriptors: Primry hlth r. Hlth srvis mngmnt. Hlth ssistn. Nursing ministrtion. Nursing mngmnt. Avn nursing ution n profssionl vlopmnt: mstr`s ours stunts prptions Crl Nsimnto, Sóni Frrão Esol Suprior Enfrmgm Liso. Liso, Portugl ntroution: Th hngs in nursing ution in th Europn Union in rnt yrs rsulting from Bologn pross, n th rognition of th rquirmnt for ontinuing profssionl vlopmnt y nurss in orr to rspon to omplx prolms in hlthr in gnrl, n in nursing r t prtiulr, ontriut to prolifrtion of mstr ourss offr n mn. t is xpt tht nurs mstr grut om l to prform vn n spiliz nursing omptnis, knowing how to pply sintifi thory n mthos in th ily prti. Dspit th growing numrs of Portugus nurss tht omplt mstr lvl ution in th lst yrs, thr is still littl rsrh n vin out thir prsptiv of th ution xprin n its impt on profssionl vlopmnt. Ojtiv: Th im of th stuy ws to xplor nurs s prptions out th ttnn in th mstr ours n its rltionship with thir profssionl vlopmnt. Mthos: ntrprttiv qulittiv stuy xploring th prptions of 12 nurss unrtking mstr`s-lvl ours in nursing t on Portugus nursing shool. Dt from smi-strutur uio-tp intrviws wr nlyz using ontnt nlysis. Rsults: Mstr`s lvl ution inrs nurs s knowlg n ility to inorport it in linil prti, improv linil ssssmnt skills, inrs utonomy, vlopmnt of n unrstning on how to mng omplx issus systmtilly, ritil thinking n ision mking n nhn ntworking. Conlusions: ntifi gins rlt to profssionl n prsonl omptnis vlop through mstr ours ttnn whih my provi irt nfit to ptints r, improving ptint outoms, ut lso onstitut ontriution to prsonl n profssionl fulfillmnt. Dsriptors: Nursing ution. Mstr s gr. Profssionl vlopmnt. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] 159

161 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Consonnt prption n ovrll uitory prformn in Cohlr mplnt usrs Mris Alvs, Dnil Rmos, Hln Alvs, Grç Olivir, Jorg H. Mrtins, Crlos Riiro, António Piv Cntro Hospitlr Univrsitário Coimr. Coimr, Portugl ntroution: Cohlr implnttion llows iniviuls with svr to profoun snsorinurl hring loss to onsirly improv sph prption, n outoms hv improv with vns in thnology. Nvrthlss, thr is grt vriility of rsults twn iniviuls. Ojtiv: To hrtriz th ovrll uitory prformn n th prption of onsonntl phonms in ohlr implnt (C) ult usrs, n to invstigt if thr is rltion twn oth. To invstigt if tim of uitory privtion, tim of C us n implnt r influn prformn. Mthos: 200 ult C usrs prtiipt in this stuy. Th ssssmnt tools us wr: Ctgoris of Auitory Prformn (CAP) n onsonntl phonms prption tst. Rsults: n CAP, most prtiipnts wr in tgory 7. n th onsonntl phonms prption tst, th phonm with th highst prntg of orrt nswrs ws th unvoi pr-pltl fritiv. Th vrg sors in th onsonntl phonms prption tst wr highr s th CAP tgory ws lso highr. Sttistilly signifint iffrns in prformn wr foun rgring tim of uitory privtion. No sttistilly signifint iffrns wr foun rgring tim of C us n th implnt r. Conlusions: Th mjority of prtiipnts us th tlphon. Th onsonntl phonms prption tst is hllnging tsk for C ult usrs. t is importnt to minimiz tim of uitory privtion for ohlr implnttion. Givn tht th vrg sor on th onsonntl phonms prption tst ws highr th highr th CAP tgory, it is onsir tht prption of onsonntl phonms trining is of utmost rlvn in uitory rhilittion ftr ohlr implnttion. Dsriptors: Cohlr mplnt. Hring mpirmnt. Consonntl Phonms Prption. Auitory Prformn. Evlution of ln n posturl ontrol in sniors with thori hiprkyphosis Cinti Frits,,, gor Msson,, Vnss Prir,, Myr Silv,, Muriio Vntur, Univrsi São Pulo. São Pulo, Brsil Univrsi Pulist. São Pulo, Brsil nstituto Assistêni Méi o Srvior Púlio Estul. São Pulo, Brsil ntroution: Thr is rltionship twn inrs thori kyphosis n ging. t is onsir norml ngls up to 56 for sniors. Th inrs of thori kyphosis movs th ntr of grvity forwr, whih inrss th posturl instility n th risk of flls. Ojtiv: Evlut th orrltion twn th ln n posturl ontrol in sniors with thori hyprkyphosis. Mthos: Voluntrs of gritri lini t Hospitl o Srvior Púlio Estul São Pulo, not physilly tiv n without fiit of ln. Thy wr vlut through th Brg Sl, Funtionl Sop Tst n Romrg Tst. To tt th thori hyprkyphosis ws us th flxiurv rulr on th k. For sttistil nlysis ws us th ANOVA, Equlity tst of two proportions, Prson orrltion n Kolmogorov-Smirnov tst. Th signifin lvl ws 5% (p 0,05). Rsults: 51 voluntrs (11 mn n 40 womn, 75,92±8,08 yrs ol; kyphosis mn 64,83±11,23 grs). EBB prsnt mn 45,63±6,93 points, TAF mn 17,41±6,02 m; Romrg ws 92% positiv n 7,8% ngtiv (p<0,001). Thr ws orrltion of -52,3% (p<0,001) thori hyprkyphosis with Brg Sl. Corrltion ws lso foun twn hyprkyphosis n historil flls. For thos who nswr ys to history of flls th vrg kyphosis ws 68,12±11,02 n 61,13±0,47 ngtiv rsponss (p=0,025). Conlusions: Th thori hyprkyphosis hs ngtiv influn on posturl ontrol, so tht th iggst gr of kyphosis th lss th rsult of Brg Sl n th iggst numr of flls in th smpl vlut. Dsriptors: Posturl ln. Sniors. Kyphosis. Postur. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 160

162 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Lvoop ontroll rls from lgint mmrns Mrgri Frno, Tâni Vin, Sr Bisi, Pulo Bártolo, Polythni nstitut of Liri(nom m português). Liri, Portugl Univrsity of Mnhstr. Mnhstr, UK ntroution: Prkinson s iss is th son most ommon nurognrtiv isorr. Symptoms r rlt with loss of opmin u to opminrgi nurons gnrtion. Thy inlu trmor, rigiity, rykinsi n othr nonmotor symptoms. Phrmologil trtmnt ppls to opmin rplmnt with lvoop, opmin s prursor, whih plys ntrl rol, vi roxyltion into opmin, us it rosss rin loo rrir whil opmin osn t. Ojtiv: n this stuy, w tri mol in whih lvoop is ntrpp insi n lgint mmrn for skin ministrtion with ontroll mhnism of livry. t ws xpt tht trnsrml rout woul provi supply of lvoop to th loo strm without flututions on thrputi lvls. Th rson for hoosing Soium lgint s support mtril rlis on its s of gltion with C2+. Form gls r nnoporous, ling to promot th iffusion of smll moluls. Mthos: A solvnt sting mthoology ws mploy to prou th mmrns, using soium lgint 3% (w/v), lvoop 0,17% (w/v) n CCl2 20% to inu rosslinking. Th mmrns wr immrs in 250 ml of tt uffr, ph 4,5. Tmprtur ws kpt t 32 ± 0,5 ºC, stirring sp ws hl t 100 rpm n, t prtrmin tim points, 3 ml liquot ws withrwn n th sm mount of frsh solvnt ws rpl. Smpls wr os t 280 nm. Conntrtions wr stimt using lirtion urv. Rsults: A umultiv rls prntg of 47,78 % ws msur in 8 hours tim. Conlusions: W onlu tht th prorug unrgo ontroll rug rls, with potntil rol on its iovilility. Dsriptors: Prkinson iss. Lvoop. Soium lgint. Controll rug livry. Trnsrml livry. s issoition in psyhitri n nonpsyhitri Portugus smpls xplin y intnsity of psyhopthology? Hln Espirito Snto,, José Luís Pio-Aru,, Sóni Simõs,, Lr Mrtins,, Pul Roh Mqus,, Lilin Gonçlvs,f, Sori Cssimo,g nstituto Suprior Migul Torg. Coimr, Portugl Cntro Hospitlr Univrsitário Coimr. Coimr, Portugl ntroution: Prvious rsrh hs shown tht issoition is mor ssoit with issoitiv, onvrsiv, n post-strss isorrs thn with othr psyhitri isorrs. Howvr, intnsity of psyhopthology vris ross ignoss, n th gr of issoition it is not known how it vris oringly to th gr of psyhopthology. Ojtiv: W wnt to nlyz if issoition svrity is ssoit with intnsity of psyhopthology in ohort of th Portugus psyhitri n non-psyhitri popultion. Mthos: 476 prtiipnts, inluing ptints with onvrsiv (n=14), issoitiv (n=12), prssiv (n=31), osssiv-ompulsiv (n=34), pni (n=16), post-trumti strss (n=42), soil phoi (n=59), somtiztion (n=43), simpl phoi (n=24) isorrs, n non-linil sujts (n=201) wr ssss with th Dissoitiv Exprins Sl/DES, th Brif Symptom nvntory/bs, n th M..N. Plus/Mini ntrntionl Nuropsyhitri ntrviw for ignoss onfirmtion. Rsults: issoition vri ross ignosis (F=50.09, p<0.001), with sors orr y onvrsiv, issoitiv, post-trumti strss, osssiv-ompulsiv, pni, somtiztion, soil phoi, prssion, n non-linil prtiipnts. Gnrl Svrity nx/gs of BS lso iffr ross ignosis (F=98.00, p<0.001), y orr: post-trumti strss, pni, somtiztion, onvrsiv, issoitiv, prssiv, osssiv-ompulsiv, soil phoi, gnrliz nxity, n non-linil prtiipnts. DES n GS signifintly n strongly orrlt (r=0.63). Conlusions: t is worth invstigting th gr of issoition in psyhitri ptints us issoitiv isturn my ontriut to lvl of psyhopthology. Dsriptors: Psyhopthology. Dissoition. Psyhitri ptints. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 161

163 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Evlution of funtionl prformn of ptints with ptllofmorl pin Gritt Pssrlli,, Cínti Frits,,, Rnt Firpo, Univrsi Pulist. São Pulo, Brsil Univrsi São Pulo. São Pulo, Brsil Univrsi irpur. São Pulo, Brsil ntroution: Th ptllofmorl joint pin is on of th most frqunt omplints mong young ult womn n it us funtionl limittions. niviuls with ptllofmorl pin prsnt musls hip wknss n instility in th lowr lims. Ojtiv: Evlut th funtionl prformn of ptints with ptllofmorl pin. Mthos: 60 prtiipnts twn 18 n 50 yrs ol, oth sxs, ivi into two groups: G1: iniviuls with ptllofmorl pin n G2: Control Group ompos y iniviuls without pin. This stuy ws prform t Univrsi Pulist. Th vlution ws on y two qustionnirs tht hk kn pin n th funtion of lowr lims (Antrior Kn Pin Sl n Lowr Extrmity Funtionl Sl), funtionl tsts (Lowr Si n Up n Down Stirs tsts), Clrk, Trnlmurg n Romrg tsts. Rsults: Thr wr 30 iniviuls in G1 (24 womn n 6 mn, 25±6,6 yrs ol) n 30 iniviuls in G2 (13 womn n 17 mn, 27,7±8,3 yrs ol). Thr ws signifint iffrn (p<0,05) twn groups vlut in th qustionnirs for pin n funtionl vlution n th othr prform tsts (Clrk, Trnlmurg, Lowr Si n Up n Down Stirs). Conlusions: Sujts with ptllofmorl pin h lowr funtionl prformn ompr to th ontrol group. Dsriptors: Chonromli ptllr. Kn. Ptllofmorl pin. Dits, thrputi hrn n prssion l Croso,,, Frnn Dnil,,, Mnul Crvlhiro,, Vítor Rorigus, Ful Miin. Univrsi Coimr. Coimr, Portugl nstituto Suprior Migul Torg. Coimr, Portugl; Cntro Estuos nvstigção m Sú. Univrsi Coimr. Coimr, Portugl ntroution: Dits mllitus (DM) prvln is out 12.7% in th Portugus popultion (20-79 yrs). Th prvln of prssion is stimt to highr in th DM popultion whn ompr to hlthy popultions. Comoriity twn DM n prssion is intifi s risk ftor u to its ngtiv impt on mtoli ontrol n trtmnt hrn. Ojtiv: To vlut th impt of prssion on thrputi hrn. Mthos: Prtiipnts wr 347 ults with DM ignosis for ovr yr. Prtiipnts omplt th Bk Dprssion nvntory (BD) n HA1 trmintion ws us s th thrputi hrn ritrion (6.5%). Rsults: BD mn sors wr twi s high in T1DM group (M=7,74; SD=±7,62) n thr tims highr in th T2DM (Dits typ 2) group (M=9,38; SD=±8,62). T1DM ptints without prssiv symptoms prsnt highr thrputi hrn whn ompr to ptints showing prssiv symptoms (OR=5,395; C95%=1,202-24,210) whil T2DM ptints with prssiv symptoms prsnt highr thrputi hrn thn T2DM group without symptoms (OR=2,514; C95%=1,251-5,053). Conlusions: Rsults show tht linil ntitis of DM r invrsly rlt to thrputi hrn whn th profil is prssion. n T1DM prssion sn n onsir hlth prottiv ftor. Furthrmor prssiv symptoms in T2MD my prsnt physil hlth prottor rol. Dsriptors: Dits mllitus. Thrputi. Ahrn. Dprssion. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 162

164 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Lif xptny of morn tims: puli poliis of morn hlth? Sofi Arnlo,,, Eig Sntos,,, João Silv,,, Gril Silv,, Pâml Arnlo, Univrsi Rom L Spinz. Rom, táli Ful Lão Smpio. Juziro, Crá, Brsil Ful Miin o ABC. Snto Anré, Brsil ntroution: Th mogrphi stuy unfols th issu of hlthy puli poliis in whtvr ojtivs, stors n lvls, looking wrnss out onsquns of isions for thos who pt th rsponsiilitis towrs thm. Constnt nlysis of this propos trgt shoul prform in orr to srtin whthr th institutionl strtgis r tully involving th most vulnrl struturs of soity. Ojtiv: ntify th puli poliy tions of urrnt hlth n ny routs to follow in this ontxt of mogrphi hng. Mthos: This is non-systmti rviw whr t from inx mnusripts wr otin in th following tss: LLACS, SiELO, PuM n VHL, pulish twn ( ) in th following lngugs: (x, y, z). Th informtion ws xtrt from full ring of ontmporry oumnts. Rsults: Th osrvtion of th popultion ynmis of ntion influns th proution of hlth r poliis n rlying on mn g mngrs will l to intrprt wht r th priority ns to ring hlth pln tht mts ruil rson, formulting nw plns ttnn to nt furthr vnmnt. Conlusions: Thrfor, th onitions suggst in th mogrphi ynmis shoul onsir for th finition of puli hlth poliis prpring rfining hlth prioritis tht mt th g hngs sking ll for qulity n without istintion to ll lyrs of soity. Dsriptors: Dmogrphy. Popultion ynmis. Dmogrphi vlopmnts. Puli Poliy. Ag trnsition. Smnti prossing in sujts with n without uitory prossing isorrs: s stuy Crl Mtos Silv,V,, Mri Armn Cost,V,, sl Brhon Fons,V, Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Portugl Ful Ltrs. Univrsi Liso. Liso, Portugl Ful Psiologi. Univrsi Liso. Liso, Portugl V Cntro Linguísti. Univrsi Liso. Liso, Portugl ntroution: t is ssum tht lngug omprhnsion inlus th intgrtion of iffrnt typs of informtion linguisti: from phonologi, syntti n smnti. Th uitory prossing isorrs (APD) oil own to funtionl hring loss tht is hrtriz y th inility to prform on or mor of th uitory prossing skills. Ojtiv: Th purpos of this stuy is to invstigt th ffts of th intrtion twn smnti n syntti prosss in lngug uitory omprhnsion in prtiipnts with uitory prossing without uitory prossing isorrs. Mthos: This stuy ssss 37 sujts g twn 18 n 27 yrs whos ntiv lngug is Portugus. Of ths, 34 i not hv APD n 3 hv onfirm ignosis of APD. All sujts h to lssify itms of sris of four wors in whih thr long to th sm smnti fil n th fourth wor, long to nothr smnti fil (vint wor). Th stimuli wr prsnt y uitory pthwy in totl of 236 wors. Sujts wr instrut to prss th grn utton of th rspons ox, whnvr th hr stimulus ws rlt or prss th r utton whn th stimulus ws unrlt. Rsults: n sujts with APD, th glol rtion tims r inrs ompr with sujts without APD: 658ms n 587ms. Th rspons profil of sujts with APD hs n rvrs ompr to sujts without APD, rvling highr rtion tims for rlt wors - 671ms vrsus unrlt 617ms. Conlusions: Although ths rsults r not to gnrliz, w liv tht sujts with APD pross smnti informtion iffrntly from norml sujts. Dsriptors: Smnti Prossing; Auitory Prossing Disorrs; Rtion Tims. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 163

165 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hmoynmi hngs in vuum notrhl in th lrly hyprsrtion with mnti Rnt Firpo R. Miros,,, réli Munhoz Morir,, Gritt F. R. Pssrlli,,, Cinti Domingus Frits,, Aury Anr Brtolini,, Gisl Mono Dis,f, An Lúi Alvs,g Univrsi irpur, Ful Aministrção Ciênis Contáis São Roqu. Uninov. São Roqu, Brsil Lig Soliári. Rnto Mont Algr. São Pulo, Brsil Univrsi Pulist. São Pulo, Brsil ntroution: Th trhl spirtion is n invsiv tion sking rmovl of trhoronhil srtions. Ojtiv: To vlut hngs in loo prssur, hrt rt n oxygn sturtion for n ftr trhl spirtion. Mthos: Position supin hyprxtnsion of th rvil n ltrl inlintion of th h. Bloo prssur, hrt rt n oxygn sturtion ws msur. All msurmnts wr prform for, immitly n fiv minuts ftr th ompltion of trhl spirtion. Th stunts t tst with p<0.05 ws us s sttistil tools. Rsults: Svn ptints, mn g 87.71±6.77 yrs. Dt show rop in systoli loo prssur, n immitly ftr (129.7±14.63 mmhg) n fiv minuts ftr spirtion (110.4±16.39 mmhg) p<0.05. nrs in istoli loo prssur for (69±8.71 mmhg) n immitly ftr (80.29±13.42 mmhg) p<0.05, pr n hrt rt (73±16 pm) n immitly ftr (91±20 pm) p<0.05 n rs in hrt rt twn th phss immitly ftr (91±20 pm) n fiv minuts ftr (74±9.7 pm) p<0.05, oxygn sturtion ws signifint in ll stgs. Conlusions: Th stuy show tht ptints unrgoing trhl spirtion show hmoynmi hngs rmin within physiologil limits givn prmtrs rturning to slin ftr fiv minuts of th prour, in rltion to oxygn sturtion inrs signifintly showing th improvmnt of pulmonry vntiltion. Dsriptors: spirtion, mnti, hmoynmi. Ovrlo on prption of informl rgivrs of pnnt lrly with mnti Rnt Firpo R. Miros,,, réli Munhoz Morir,, Gritt F. R. Pssrlli,,, Cinti Domingus Frits,, Aury Anr Brtolini,, Gisl Mono Dis,f, An Lúi Alvs,g Univrsi irpur, Ful Aministrção Ciênis Contáis São Roqu. Uninov. São Roqu, Brsil Lig Soliári. Rnto Mont Algr. São Pulo, Brsil Univrsi Pulist. São Pulo, Brsil ntroution: Th rgivr urn is fin s th st of physil, psyhologil, motionl, soil n finnil prolms xprin y thos who r for ptints with som typ of ommitmnt. Ojtiv: To nlyz th prption of urn in rrs of pnnt lrly with mnti. Mthos: Cross-stionl stuy ministr qustionnir ontining qustions rlt to how th rgivr fls in rltion to lrly r. Rsults: Smpl with 33 rgivrs, fml. Rsponnts fl tht th lr sks for mor hlp thn you n, 39.39% rspon somtims, 21.90% lwys, if you o not hv nough tim for yourslf slom 30.30%, 24.24% somtims; fl strss 15.15% 18.18% rrly n somtims if fls mrrss y th hvior of th lrly, 15.15% rrly; fl irritt with th lrly 93.3% rport vr unl to r for th lrly for muh longr 87.77% nvr rspon if somon ls woul tk r of th lrly 36.36% somtims, fls out s ring for th lrly 39.39% somtims; fl you oul o mor 24.24% somtims n 18,18% lwys, oul tk ttr r of th lrly lwys 24.24%; fls urn 39.39% oftn n lwys; fri of growing ol n rly 45.45% n 18.18% somtims forvr. Conlusions: Ths rsults monstrt th n for rgivrs lso mintin, s thy r ky omponnt in hlth r to pnnt lrly. Without ttntion n support nssry n pproprit, th risk h rgivrs lso om ptints. Dsriptors: Crgivrs, Dmnti, Elrly. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 164

166 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Polyphrmy in th lrly with mnti nursing hom rsints Rnt Firpo R. Miros,,, réli Munhoz Morir,, Gritt F. R. Pssrlli,,, Vni F. Sá Myorl V,, Aury Anr Brtolini,, Gisl Mono Dis,f, An Lúi Alvs,g Univrsi irpur. Ful Aministrção Ciênis Contáis São Roqu. Uninov. São Roqu, Brsil Lig Soliári. Rnto Mont Algr. São Pulo, Brsil Univrsi Pulist. São Pulo, Brsil V Ful Miin Botutu. Univrsi Estul Pulist Júlio Msquit Filho. São Pulo, Brsil ntroution: Th prvln of hroni isss hs ontriut to th inrs us of rugs y th lrly. Ojtiv: To intify th numr of rugs us in lrly nursing hom rsints with mnti. Mthos: Cross-stionl stuy. Chrt rviw pimiologil t gthring, ignosis n numr of prsription rugs ontinuously in th lst 3 months ws prform. Appli: Clinil Dmnti Rting Sl (CDR), Funtionl Assssmnt Stging (FAST), Chrlson omoriity inx (CC) n Mini Mntl Stt Exmintion (MMSE). Rsults: 42 sujts with mn g of 86.31±8.30 yrs n 92.68% fmls wr vlut. CDR 61.90% ws hrtriz with svr mnti n 14.28% with mort mnti, CDR vrg of 2.02±1.09. n funtionl stging (FAST), 66.66% of iniviuls with svr mnti n 28.57% s mort-svr mnti. Th vrg CC ws 1.5±0.9. Th smpl otin MMSE of 8.14±9.83. Th vrg numr of mitions ministr ily ws 8.19±2.91 ys/lrly. Sujts who us 5 or mor mitions pr y wr 87.81%. Antihyprtnsivs, ntipsyhotis, gstri prottors, prokinti gnts n ronhoiltors, wr th most prsri mitions. Conlusion: Th prsription rug is omplx phnomnon n on shoul prioritiz fforts to improv th qulity of phrmologil r for ptints vulnrl to vrs vnts. Qustioning th nfit of mition r ommon in vn mnti spilly whn th pprohs. Th us of rugs in vn mnti shoul tilor to th gols of r. Dsriptors: Dmnti, Elrly, Polyphrmy. Cring slf-r pnnts in hom nvironmnt Ptríi Antuns,, Pulo Mrqus, Srviço Urgêni. Cntro Hospitlr o Porto. Portugl Esol Suprior Enfrmgm o Porto. Portugl ntroution: This invstigtion nlyss th trnsition to th fmily rgivr (FC) rol, whih is n r of grt intrst to nursing sin. Ojtiv: Th ojtivs of this stuy wr to unrstn onstrints ssoit to th FC rol; to intify iffiultis tht FC f; to intify th ftors tht motivt FC to us th hospitl urgnt/mrgnt r srvi with thir rltiv. Mthos: This ws n xplortory, ross-stionl sriptiv stuy onut in two phss, with onvnin smpls. Th first phs (quntittiv) involv 43 pnnts n rsptiv FC. Th t ws pross using prours of sriptiv n infrntil sttistis, with SPSS21, onsiring sttisti signifin of <0,05. Th son phs (qulittiv) h smpl of 6 FC. Thr wr us two forms n on smi-strutur intrviw for t olltion tht ws sumitt to ontnt nlysis. Rsults: Th rsults foun onstrints ssoit to th FC rol, suh s: g n tim of pnn, rgring th pnnt; n knowlg, motivtion, prption of support, prption of slf-ffiy, mning to r, ility n montry iffiultis (rlt to th FC). Th iffiultis rogniz wr knowlg, prption of support, motivtion, prption of physil hlth, prption of slf-ffiy, oping with th mil ignosis/iss, suffring n fr. Ftors tht motivt th us of th Urgnt Cr Srvis wrn t intifi. Conlusions: Promoting positiv ssumption of th FC rol shoul on of th min fouss of Nurss. This rsrh llow to xplor th phnomnon of ring gnrting rlvnt knowlg to linil nursing prti. Dsriptors: nursing, fmily rgivr, trnsition, slfr pnnt. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] 165

167 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Funtionl n ognitiv lin in hospitliz lrly Eugéni Mns,, José Pro Rorigus,, Lonl Prto,, Anré Novo, Esol Suprior Sú Brgnç. nstituto Politénio Brgnç. Brgnç, Portugl Cntro Hospitlr Trás-os-Monts Alto Douro. Vil Rl, Portugl ntroution: Hospitls n strng nvironmnt n somtims hostil to lrly ptints n tht will ru in th sm prson th ffts of norml ging n th ffts of rst n hospitliztion. Although nssry, hospitliztion n l to omplitions not rlt to th initil hlth prolm, inrsing lngth of sty, hngs in qulity of lif n inrs moriity n mortlity. Ojtiv: Assss th impt of hospitliztion on funtionl n ognitiv lin in lrly ptints. Mthos: A sriptiv n orrltionl stuy ws onut. Funtionl n ognitiv sttus ws msur t mission n ishrg, using th Funtionl npnn Msur (FM) n th Mini-Mntl Stt Exmintion (MMSE), in lrly ptints with gstrontrologil n rspirtory isorrs mitt in n intrnl miin unit. Rsults: Wr inlu 51 lrly (75.53±7.16 yrs), 53% womn, with lngth of sty of 14.27±6.45 ys. Rsults show signifint rs of sors from mission to ishrg in FM (t=3.78; p=0.00), FM ognitiv (t=4.14; p=0.00), FM motor (t=3.24; p=0.041) n in MMSE (t=5.47; p=0.00). Ngtiv orrltions twn g n lngth of sty n th sors of ll msurs wr foun. Bttr sors, with signifint iffrns twn mns, wr otin y th prtiipnts living t hom whn ompr with institutionliz ons (FM t=2.30; p=0.039 vs t=2.45; p= 0.03; MMSE t=3.26; p=0.002 vs t=3.42; p=0.001). Conlusions: Hospitliztion ontriuts to grtr wknss/frilty of th lrly n is onsir high risk for lin in physil fitnss n ognitiv funtion. This stuy highlights th importn of ssssmnt of funtionl pitis in lrly ptints. Dsriptors: Cognitiv lin, Funtionl lin, Elrly, Hospitliztion, nstitutionliztion. Usr stisftion with Primry Hlth Cr: n nlysis of th Emrgny Cr ttnns Mrin Gomi, on Pinto, sl Vz, Bris Figuir, Dnis Frro, Pilr Srrno f Esol Enfrmgm. Univrsi São Pulo. São Pulo, Brzil ntroution: n Brzil, ptints sk urgnt or mrgny units without th n of urgnt or mrgny ssistn. Ojtiv: W im to nlyz usr s stisftion of Primry Hlth Cr (PHC) in Riiro Prto, SP, Brzil, y nlyzing th mil rors in Emrgny Cr Units (ER). Mthos: Qulittiv stuy. Th snrio of invstigtion wr th fiv ER, on for h th fiv Hlth Distrits in th ity. W slt 20 usrs (4 for h ER) tht wr not in mrgny situtions to intrviw. W us smi strutur intrviw to rsrh spts rlt to ss to hlth srvis t PHC, th usr s stisftion to th hlth ssistn, th rsolution of th prsnting hlth prolm, rson for sking th ER n omprhnsivnss of hlth r systm. Th intrviws wr ror, trnsri, intrprt n nlyz y th rsrhr. Rsults n Conlusions: Rsults show tht usrs rport riving propr r n ttntion whn sking th PHC ut th ly in ppointmnt shuling n rfrrls to mil spiltis, tht n lst mny months, wr frquntly rport omplints, ling to th inrs of th numr of ppointmnts t th ER s it hs 24 hours ssistn n mor thnology. Furthrmor, thy rport tht in ER ppointmnts th ttnns r quikr n thy r only trt for th tul hlth omplint ut thr is no omplt rsolution of thir hlth prolm. W hv osrv ths sm omplints in th 5 ER in th ity. W onlu tht th usrs unrstn th importn of primry r for follow-up hlth ut hv grt iffiultis in gtting propr ssistn. Dsriptors: Puli hlth; primry hlth r; usr stisftion; hlth srvis ssiility; mrgny mil srvis. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 166

168 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Dmnti r: fous on irt r workrs ttitus, urnout n jo stisftion An Bros,, Lilin Sous,,, Mik Noln,, Al Mrqus,V,, Dnil Figuiro,V, Dprtmnt of Hlth Sins. Univrsity of Aviro. Aviro, Portugl Uni nvstigção Formção sor Aultos osos. Cntro nvstigção m Tnologis Sistms nformção m Sú. Univrsity of Aviro. Aviro, Portugl Dprtmnt of Community, Aging, Rhilittion, Eution n Rsrh. Shool of Nursing n Miwifry. Univrsity of Shffil. Shffil, Unit Kingom V Shool of Hlth Sins. Univrsity of Aviro. Aviro, Portugl ntroution: An inrsing numr of popl with mnti r ing r in rsintil g r filitis. Dirt r workrs (DCWs), who provi th ulk of r in ths filitis, r most likly to influn th qulity of r n th rsints wlling. Thus, unrstning DCWs ttitus towrs mnti n how ths rlt to urnout n jo stisftion is n. Ojtiv: This stuy im to ssss th mnti-rlt ttitus, urnout n jo stisftion of DCWs ring for rsints with mnti n to xplor th ssoitions twn ths vrils. Mthos: A ross-stionl stuy with 60 DCWs (fml, 44.97±8.97 yrs ol) of 4 rsintil g r filitis ws onut. Th Dmnti Attitus Sl (DAS) ws us to ssss ttitus towrs mnti. Burnout ws ssss with th Mslh Burnout nvntory (MB). Jo stisftion ws msur with th Minnsot Stisftion Qustionnir (MSQ) short-form. Dsriptiv sttistis n Prson orrltions (r) wr prform using SPSS v19.0. Rsults: DCWs tn to show positiv ttitus towrs mnti (95.2±10.7). Rgring urnout, low motionl xhustion (EE) (15.8±11.7) n mort lvls of prsonliztion (DP) (6.4±5.9) n prsonl omplishmnt (PA) (39.0±7.3) wr foun. Th MSQ suggst mort lvls of jo stisftion (69.8±12.5). Signifint mort orrltions wr foun twn DAS glol-sor n PA (r=0.44; p<0.01). Jo stisftion orrlt signifintly with PA (r=0.3; p<005) n EE (r=-0.39; p<0.01). Conlusions: Finings suggst tht DCWs jo stisftion n mnti-rlt ttitus r ssoit with urnout, prtiulrly to flings of omplishmnt t work. Ths rsults hv importnt implitions for th sign n livry of intrvntions to support DCWs. Dsriptors: ttitus. Burnout. Dmnti. Dirt r workrs. Jo stisftion. [email protected] [email protected] [email protected] [email protected] [email protected] Atthmnt lvls to th mothr, th fthr n th prs, in institutionliz youngstrs Cáti Alvs,, Sofi Arrig,, Mrin Mrqus,,V,V,, Sóni Simõs,, Mrin Lus, nstituto Suprior Migul Torg. Porto, Portugl Dprtmnto nvstigção & Dsnvolvimnto. nstituto Suprior Migul Torg. Cntro Estuos Populção, Eonomi Soi. Porto, Portugl Dprtmnto Psiologi Méi. Ful Miin. Univrsi Coimr. Coimr, Portugl V Esol Suprior Dsporto Rio Mior. Rio Mior, Portugl V Polythni nstitut of Liri. Liri, Portugl ntroution: Thr r fw stuis ompring th tthmnt qulity to prnts n prs in institutionliz youngstrs. Ojtiv: W intn to nlyz th tthmnt lvls to mothr n fthr sprtly n to prs in institutionliz youngstrs n xplor if thr r gnr iffrns rgring th tthmnt imnsions. Mthos: Eighty institutionliz youngstrs (mn g=15,1; SD=2,02; oys n=45; 56,3%) nswr som soiomogrphi qustions n fill in th nvntory of Prnt n Pr Atthmnt, whih sssss thr tthmnt imnsions: Trust, Communition n Alintion. Rsults: Most institutionliz youngstrs (mn tim of institutionliztion = thr yrs) ontinu to hv ontt with thir fmily (n=72; 90%), whih ours in most of th ss, vry oftn or oftn (n=44; 55,1%). Thr ws sttistilly signifint iffrn twn oys n girls onrning Alintion lvls, with oys prsnting highr lvls of Alintion to th prs. Morovr, ompring Trust, Communition n Alintion lvls twn mothr, fthr n prs thr ws lso sttistilly signifint iffrn in th Alintion imnsion, whih show to highr rgring prs. Conlusions: n this smpl of institutionliz youngstrs thr only sms to xist iffrnt tthmnt lvls to th mothr, fthr n prs rgring Alintion, whih is highr onrning th prs. t might possil tht ths youngstrs, who still hv frqunt ontt with thir fmily (n in vrg, with short tim of institutionliztion), might priv thmslvs s ing lint/ not tth y to th pirs or might fl insur in thir rltion with thm. Dsriptors: Atthmnt. nstitutionliz youngstrs. [email protected] [email protected] [email protected] [email protected] [email protected] 167

169 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Prption of Thrt, Strss, n Anxity in Athlts of Portugus Footll Chmpionships Luís Rmos,, Sóni Simõs,, Hln Espírito-Snto,, Mrin Mrqus,,V,V,, Lur Lmos,, Sofi Arrig,f, Cáti Alvs,g nstituto Suprior Migul Torg. Porto, Portugl Dprtmnto nvstigção & Dsnvolvimnto. nstituto Suprior Migul Torg. Cntro Estuos Populção, Eonomi Soi. Porto, Portugl Dprtmnto Psiologi Méi. Ful Miin. Univrsi Coimr. Coimr, Portugl V Esol Suprior Dsporto Rio Mior. Rio Mior, Portugl V Polythni nstitut of Liri. Liri, Portugl ntroution: n th fil of sport tivitis th high frquny of nxity is onrn for th prtiipnts. Crtin potntilly thrtning situtions tht ontriut to strss n nxity mk thlts prou nxious rsponss, whih fft thir prformn n ln. Ojtiv: W wnt to xplor th impt of th prption of thrt, strss n omptitiv nxity in footll plyrs. W lso wnt to vrify if thr r iffrns mong ths footll plyrs rgring g, forml ution n profssionl sttus. Mthos: 192 footll plyrs, g rnging 13 to 39 yrs (M±SD=23.30±6.07), prtiipting in th Portugus junior n snior hmpionships wr ssss with th Sport Anxity Sl/SAS-2 (Cruz & Goms, 2007), n th Cognitiv Apprisl Sl in Sport Comptition Thrt Prption/CASSC-TP (Cruz, 1996). Rsults: Plyrs rvl tht th mor thrtning situtions wr not rhing n importnt gol in thir rr, filing or mking mistks in ruil momnts, not mting th xpttions of othrs, n not prforming s sir. Th youngst plyrs signifintly prsnt highr lvls of omptitiv nxity, somti nxity, prouption n prolmti onntrtion. Plyrs with lowr forml ution signifintly rvl highr lvls of omptitiv nxity, n of somti nxity. Th non-profssionl plyrs signifintly show highr lvls of somti nxity, n ognitiv nxity with prolmti onntrtion. Finlly, prption of thrt n omptitiv nxity wr signifintly n mortly orrlt. Conlusions: Psyhothrputi intrvntions shoul trgt youngr, lowr ut, n non-profssionl footll plyrs. Dsriptors: Strss. Anxity. Thrt prption. Footll plyrs. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] Prsription of ntiiotis y ntists: pilot stuy An Sofi Olivir,, Mr Prir Gurriro, Ful Frmái Univrsi Liso. Liso, Portugl nstituto Suprior Ciênis Sú Egs Moniz & Esol Suprior Enfrmgm Liso. Liso, Portugl ntroution: Antiioti rsistn, primrily rlt to th inpproprit us of ntiiotis, jopriss th ility to fftivly trt inftious isss. Antiiotis r mong th most frqunt rugs prsri y ntists. Ojtiv: To xplor issus rlt to ntiioti prsriing y ntists. This ppr fouss on issus rlt to informtion ns in linil prti n ontinuing ution. Mthos: Smi-strutur qulittiv intrviws with 14 purposivly slt ntists. ntrviws wr uiotp, sujt to writtn onsnt, n trnsri vrtim. Dt wr nlys using th fiv-stg Frmwork Approh 1 with th i of th softwr WQDA. Ethil pprovl ws otin. Rsults: Thr wr vritions in th xtnt to whih intrviws rport ptint-spifi qustions onrning ntiioti prsriing, rnging from rrly to somtims. A fw ntists knowlg unrtinty on whthr ntiiotis wr n; whn in out thr ws vin of fnsiv prsriing. Anlysis suggsts tht intrviws mng thir linil qustions using four strtgis: onsulting iliogrphi sours, following rommntions of ollgus from othr mil spiltis, rlying on othr ntists or mking us of thir own xprin. Consulting iliogrphi sours mrg s th most ommon strtgy to rspon to ptint-spifi qustions, oth on ppr n on-lin formt. Two ivrgnt viws wr offr prtining ontinuing ution on ntiioti prsriing. Som intrviws show wrnss of its importn whil othrs onsir it unnssry. Conlusions: Lk of wrnss on th juiious us of ntiiotis my influn ntists prptions of ptintr informtion n ution ns. A lrgr stuy is wrrnt on this topi, to inform th sign of multimol intrvntion to inrs ppropritnss of ntiioti prsriing y ntists. Dsriptors: Antiioti prsription; Dntist; nformtion; Formtion. [email protected] [email protected] 168

170 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Roniling Oprtionl n Orgnistionl Logis in Hospitl Chng Mngmnt Trs Crl Trigo Olivir, ; Néli Cristin Lops Filip,, Fulty of Eonomis. Univrsity of Coimr. Coimr, Portugl Polythni nstitut of Liri. Liri, Portugl Fulty of Eonomis. Univrsity of Coimr. Coimr, Portugl ntroution: Anlysis of hnging prtis in omplx orgnistions, suh s thing hospitls, n nhn y istinguishing institutionl, orgniztionl n oprtionl logis. Morovr, fftiv hng mngmnt ns to rognis ivrsity t oprtionl lvls to hiv synrgi ounry spnning twn iffrnt units, srvis n prtis (linil, sintifi, thnologil n politil), in mnnr tht n ssur onomi ffiiny, in trms of prformn, n soil ffiiny, in trms of purposful mploy nggmnt n psyhologil wlling for ptints. Ojtiv: n th ontxt of Nw Puli (Srvi) Mngmnt (NPM) this ppr sks to intify how iffrnt prptions of hng for top, mil n lowr lvl mngrs my ithr filitt or frustrt hng itslf. Mthos: Within soio-ognitiv prsptiv n groun thory pproh it rports in pth nlysis (with nwly vlop oing systm) of fifty fiv (n=55) uio-tp, fully trnsri smi-strutur intrviws with otors s mngrs in mjor Europn thing hospitl unrgoing mrgr within n NPM prsptiv. Rsults: Th finings show tht otors s mngrs t oprtionl unit n srvi lvls r mor onrn thn highr mngrs, vn whn if th lttr r otors, with soil ffiiny to nhn linil r. Thy lso r onrn with onomi ffiiny ut not t th ost of mploys n ptints wll-ing. Conlusions: Orgnistionl hng ns to ronil iffrnt oprtionl logis n omins of prtis. Purposful nggmnt n support for hng mngmnt rquirs oth rltiv utonomy for n ounry spnning twn units n srvis. Dsriptors: Chng mngmnt; institutionl logi; orgniztionl n oprtionl logis; ounry spnning; soil ffiiny. Wight loss my lrt through hrononutrition-s protin it M.Ms,, R. Brvo,, J.Curo,, C. Glán,, P. Roríguz,, A.B. Roríguz,f, C. Brrig,g Chrononutrition Lortory. Dprtmnt of Physiology. Fulty of Sin. Univrsity of Extrmur. Bjoz, Spin Hlth Eution Lortory. Sin Eution Ar. Univrsity of Extrmur. Bjoz, Spin Prptuo Soorro Univrsity Hospitl. Dprtmnt of Gynology. Bjoz, Spin ntroution: Chrononutrition is th fil of Chronoiology tht stlishs th prinipl of onsuming foostuffs t tims of th y whn thy r mor usful for hlth, improving, thrfor, iorhythms n physil prformn. Both tryptophn n tyrosin mino is hv n postult s hrononutrition tools us of thir mtolits funtions in th oy. Ojtiv: To nlyz if Chrononutrition-s it sign to improv iologil rhythms in os rts n improv wight loss with rspt to Chrononutrition non-s it. Mtho: Twnty-four rts prtiipt in this ssy for six wks. Eightn os rts wr sprt in thr groups: first group (it A) ws f with ontrol it for rts (N1=6); son group (it B) ws f with humn protin it pt for rts (N2=6); thir group (it C) ws f with humn protin it pt for rts n supplmnt with 125 mg tryptophn n 375 mg tyrosin on lights turn off (N3=6). A fourth non-os ontrol group (N4=6) ws stlish in this ssy. Rsults: At th n of th sixth wk th it C ws th only group who show signifint orrltion in wight loss. Dit B show rs in oy wight lthough it C wights wr mor similr with rspt to th nonos ontrol group. Conlusions: Chrononutrition prinipls my us to improv wight loss in rts; thrfor, w propos its us for os humns. Dsriptors: Chrononutrition; Osity; Tryptophn; Protin its. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected];[email protected] 169

171 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Assoition twn priv omptn, utonomy n physil tivity Mri Clst Bstos-Almi,, José Luís Pis-Riiro, Esol Suprior Enfrmgm o Porto. Porto, Portugl Ful Psiologi. Univrsi o Porto. Porto, Portugl ntroution: Th rsrh inits physil tivity s on of th ky ftors in hlth prottion. Aoring to Slf-Dtrmintion Thory th vlopmnt of sns of omptn n utonomy is importnt to hiv grtr slf-rgultion n mintin hlthy hvior. Ojtiv: Th im of this stuy ws to ontriut to th unrstning of th motivtionl pross of hrn n mintnn of physil tivity. Mthos: This is n xplortory n trnsvrsl stuy, with sriptiv n orrlting sign, onptully s on Slf-Dtrmintion Thory. Th onvnin smpl inlus 523 iniviuls, ll ults from ommunity of oth gnrs, with n vrg of 37 yrs (twn 19 n 64). Four instrumnts wr us: th Soiomogrphi Qustionnir, th Trtmnt Slf-Rgultion Qustionnir (xris), th Priv Comptn Sl (xrising rgulrly) n th Hitul Physil Ativity Qustionnir (moifi vrsion). Rsults: Th rsults init tht prtiipnts in th stuy show mortly physil tivity hits n tht thy fl utonomous n omptnt to opt this hlthy hvior. Th rsults support th ssoition twn utonomy n omptn, s wll s, th ssoition of ths two vrils with highr lvl of physil tivity. Th rsults lso show tht utonomy n omptn r signifint pritors of physil tivity. Conlusions: This stuy ontriut to ttr unrstning of th motivtionl pross ssoit to th hng in physil tivity. Bs on th rsults n intrvntion progrm ws intifi. Dsriptors: priv omptn; utonomy; slf-rgultion; physil tivity; hlth hvior. Constrint-inu phsi thrpy: fftivnss of progrm in hroni phsi ptints Olin Rolão,, Filip Pstn,, Mrgri Tvrs,, nês Goms, Hospitl Gri Ort. Alm, Portugl Esol Suprior Sú o Aloitão. Aloitão, Portugl ntroution: Th fftivnss of lngug rhilittion in hroni phsi ptints hs n mttr of t. Rnt stuis monstrt tht lngug funtion n improv in hroni phsi ptints. Constrint-inu phsi thrpy (CAT) is short-trm progrm s on th prinipls of prvntion or rstrition of ompnstory strtgis of ommunition, moling n mssiv prti n hs monstrt its fftivnss in th rhilittion of popl with hroni phsi. Ojtiv: Th purpos of this stuy ws to vrify th fftivnss of CAT prinipls in smpl of six ptints with post-strok hroni phsi. Mthos: Th trtmnt took pl in group ovr thr hours pr y, fiv ys wk for two onsutiv wks using imgs of ojts n tions orrsponing to wors of high frquny of Europn Portugus n rlvn to th prtiipnts. Outom msurs inlu stnriz lngug tst n rtings of funtionl ommunition. Rsults: Using t-stunt for pir smpls w vrify signifint improvmnts in nming (pud=0,016) n spontnous sph (pud=0,016) from ginning to n of trtmnt, n rmin stl ovr 12 month follow-up prio. Using th nonprmtri Wiloxon tst for th rsults of funtionl ommunition w onlu thr wr only mrginl iffrns (pue=0,063) from ginning to n of trtmnt. Conlusions: th rsults monstrt tht CAT my usful tool in lngug rstortion ftr strok. Howvr rquirs to onfirm in lrgr rnomiz stuis. Dsriptors: phsi thrpy; rhilittion: onstrint inu; intnsity. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 170

172 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 291 Lrning mtings in th formtion through work th onstrution of Hlth Rsinis Dnil Dllgrv, ; Riro Burg Cim, Grupo Hospitlr Conição. Porto Algr, RS, Brsil Univrsi Frl o Rio Grn o Sul. Porto Algr, RS, Brsil ntroution: Th Hlth Rsinis r profssionl ution progrms tht our insi th hlth srvis. n Brzil, thr is no urriulum for this typ of trining. n prti, it is osrv tht signs of th work prou th lrning n onform thnil n thil profils. Ojtiv: Evlut th n of urriulum for th thing in srvi n th possiility of n vlution systm of lrning tht oul stnriz. Mthos: Systmtilly nlysis of th urrnt rgultions in th utionl systm n prvious stuis; onvrstionl irl n fr tstimonils out th lrning xprins n th rgultion of trining. Rsults: Hving uilt th onpt of lrning mtings : th possiility of rvishing th lry stlish n prouing nw mnings to th r n ur. Suh mtings r ompos of n this of monitoring, whih is prsnt in th rltionship twn thr (tutor) n stunt (rsint), n of linkg of potnis n pturs, somtims th ution, somtims th work. Conlusions: Th this of monitoring trnsform th omings of work into lrning. n th linkg of ution-work on s potnis propos to th othr thinking prosss n on s pturs puts protools to th xris of th othr. n th n it is unrstoo th possiility of prouing singulr pgogil projts inst of urriulum progrms. Dsriptors: Hlth Rsiny Progrms; lrning mtings; ution in hlth; Brzilin Hlth Systm.Nursing intrvntions to prvnt prssur ulrs in intnsiv r units: systmti rviw. 292 Nursing intrvntions to prvnt prssur ulrs in intnsiv r units: systmti rviw sl Lg, Rui Novis, Mnul Almnr, Simão Vilç, Ot Arújo Shool of Nursing. Univrsity of Minho. Brg, Portugl ntroution: t is stimt tht Prssur Ulr (PU) rngs from 0.4% to 38% in ut r worlwi, using high osts in trtmnts, lying funtionl rovry n frring ishrg hospitl. Ojtiv: To intify n synthsiz primry stuis whih omprhn intrvntions fous on prvntion of PU in ritil r units. Mthos: A systmti rviw follow PCOS mtho in PUBMED ts n in gry litrtur. 922 rtils wr intifi, 26 rtriv, 5 of whih wr inlu s on th inlusion ritri stlish y th uthors, i.., ults (+18) in ritil r units, high risk of vlopmnt of PU n linil trils signs. Stuis wr ssss for risk of is in svn omins. Rsults: Fiv pprs mt th inlusion ritri. Th intrvntions us wr htrognous n multi-ft. Most livr solly y nurss n wr s on th us of vis (mttrss) or on th impt of nutritionl formul nrih with svrl omponnts. Th numr of irrvrsil hl prssur ulrs ws lowr with vis. A it nrih with som omponnts ws lso ssoit with signifintly lowr ourrn of nw prssur ulr in ritilly ill ptints. Conlusions: Th non-phrmologil intrvntions t ritil r units r ky r onsiring its potntil in PU prvntion. Furthr rsrh shoul vlop in this fil to kp gol stnrs of qulity in ritil r units. Dsriptors: intnsiv r units; prvntiv msur; prssur ulrs; nursing intrvntions; systmti rviw. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 171

173 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth ution n sxulity uring prgnny Dor Crtiro,,, Sílvi Brngur,, Mri Hln Prso,, Mário Croso, Agrupmnto Cntros Sú. Liso Nort Uni Cuios Sú Primários Chrn. Liso, Portugl nstituto Ciênis Sú. Univrsi Ctóli Portugus. Liso, Portugl Esol Suprior Enfrmgm Liso. Liso, Portugl ntroution: Th sxulity is prt of n iniviul s lif n hlth, howvr its pproh y hlth profssionls is still sujt of onstrints n ontrovrsis, prtiulrly uring prgnny. Ojtiv: Explor th importn tht nurss ttriut to hlth ution in th xprin of sxulity throughout prgnny n thir ns uring this intrvntion. Mthos: W onut pilot stuy with 5 intrviws to nurss who rry out nursing ppointmnts uring prgnny in primry hlth r ontxt. W lso onut n intgrtiv litrtur rviw in Portugus journls n RCAAP in orr to support th rsults of th pilot stuy. W us th sriptors grvi* n sx* with ss to full txt n no tim rstrition. Rsults: Th intrviws h n vrg of 20 minuts h n rvl iffiultis in sxulity pproh in trms of inititiv n vlopmnt of thm uring nursing ppointmnt, nvrthlss thy onsir ution importnt for hlth. W mphsiz th n for trining in th r of sxulity, s strtgy to minimiz ths iffiultis n w hv intifi som shm n onstrint of usrs whn thy h to tlk out thir sxul intimy. Th rsults otin in litrtur rviw orroort th intrviws rsults. Conlusions: Rgring sxulity uring prgnny, th hlth ution sms to rquir iggr invstmnt in nurss trining throughout lif s filittor strtgy in this pproh n in improving th r n. Dsriptors: Eution; hlth; sxulity; prgnny; nursing. Aging n soil informtis: s stuy Armin Gurr Lops nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl ntroution: Portugus Popultion is oming olr. Twnty yrs go, prson ws onsir ol t 65 yrs ol. Nowys, th sitution hng. Thnology hs n importnt rol to improv popl s qulity of lif. Howvr, thnology is still iffiult to us sin ths popl, in gnrl, o not hv th knowlg to us it, onvrsly, intrfs r not rt for ll. Ojtiv: Th gol of this stuy ws to unrstn th rol tht informtis hs in th lrly prson lif. Th rsrh qustions wr: Hs nformtis n importnt rol in thir qulity of lif? Do popl with mor thn 60 yrs ol us omputrs? Ar systms pt for ths popl us? Wht wr th positiv n ngtiv spts with th us of informtis y lrly? Mthos: Quntittiv n qulittiv mthos wr us to gthr n nlyz t. A qustionnir ws sign n fill y smpl of Portugus popultion with mor thn 60 yrs ol. Aroun 600 qustionnirs wr nswr. Twlv prsons who hv nvr us omputr wr slt for trining: osrvtions wr m n nlyz. Rsults: Th t nlysis ontriut to nswr th propos rsrh qustions. Th rsponss prov tht thr is long wy to go for th mjority of lrly popl r onfortl with omputrs us. Conlusions: This ppr isusss th rsults of stuy out lrly popl using thnology. W foun tht thy f iffiultis using ithr th softwr or th hrwr, howvr; thy hv high lvl of motivtion to us omputr. Dsriptors: lrly popl; omputrs; ommunition. [email protected] [email protected] [email protected] [email protected] [email protected] 172

174 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Blifs n strotyps in humn ging Mri Lurs Almi Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: Aoring to th phnomnologil thoris, h prson hs hr own prptions of rlity n uils hr own rlity. Thr r mny iffrnt rlitis, s muh s iniviuls thmslvs. Ojtiv: This stuy looks for n intrprttiv viw, th most onivl s possil, of lifs n strotyps of ging, s on th plurlity of opinions, xprss y nurss s wll s on thir r prtis. Mthos: Thrfor, n xplortory rsrh ws m, using intrviws n prtiipnt s osrvtion. Th stuy s popultion, wr provi y nurss of Miin n Nurology intrnmnt units of Cntrl Hospitl. Rsults: During th intrviws, th nurss onrn to hlp ol popl ws xtrmly vivi; on on hn, living with th physil limittions inhrnt to th ging n on th othr hn, vloping strtgis to f lonlinss n isoltion vry frqunt t this stg of vlopmnt. By nlysing th nots tkn from osrvtion, w must point out th ffort put on th lif mintnn of r, mor onnt with physil r. Conlusions: Nurss kp strotyps onrning ol popl, ut wht m up spilly from th nlysis of th ollt informtion r th lifs: Bing ol is ing pnnt; ging implis lk of pitis; th mjority of ol popl suffr from lonlinss; sik ol popl r rjt y th fmily. Dsriptors: lifs; strotyps; ging; olr popl; nursing. Auitory ltrophysiologil vlution in iniviuls with typ 2 Dits Mllitus Lilin Alvs, Cristin Nzré nstituto Politénio Coimr. Coimr Hlth Shool. Coimr, Portugl ntroution: Th inin of Typ 2 Dits Mllitus (DM) is inrsing, oming srious puli hlth prolm. This typ is th most ommon, n is nssry mr fftiv n non-invsiv msurs for your vlution. Th hngs in th uitory systm us y DM hv n isuss y svrl uthors, who rfr th importn of th Auitory Evok Potntils (AEPs) in supporting th rly ignosis of nurologil isorrs in this mtoli isorr, s wll s in linil monitoring n prognosis. Ojtiv: To vrify through rviw of th litrtur, if th stuis suggst th xistn of ltrophysiologil hngs in uitory vok potntils in iniviuls with typ 2 DM, n if ys, to vrify wht th hngs r n wht thy init. Mthos: Ws onut litrtur rviw rlt to th vlution of ults with Typ 2 DM y Auitory Brinstm Rspons, Auitory Mil n Long Ltny Rspons, P300 n MMN. Rsults: Dspit som ontrovrsy, th stuis rvl hngs in th uitory systm n/or ntrl nrvous systm in iniviuls with DM, spilly through th inrs ltnis in som omponnts of th AEPs, initiv of nurologil, ognitiv n uitory prossing isorrs. t sms thr is n ssoition twn ognitiv isorrs with priphrl nuropthy n with urtion of DM. Conlusions: AEPs r importnt in vlution th intgrity of th uitory systm n thy n usful in rly ttion n monitoring of nurologil/uitory isorrs rsulting from DM. With mor stuis, thy n rtinly usful tool for th hoi of trtmnt to follow. Dsriptors: Typ 2 Dits Mllitus; Auitory Evok Potntils; Auitory Brinstm Rspons; Auitory Mil Ltny Rspons; Auitory Lt Ltny Rspons. [email protected]. [email protected] [email protected] 173

175 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ntnsiv Cr Nursing: Portugus Sintifi Proution: A Biliomtri stuy Cssil Srroir, Anl Cânio, Mri o Rosário Pinto, Fátim Cunh Esol Suprior Sú Sntrém. Sntrém, Portugl ntroution: Chngs in hlth r our in suh promptnss tht prmnnt upt is ssntil, spilly in intnsiv r r (Urn, Sty & Lough, 2008). Th ssoition twn this ft n rflxiv ily prti l to th qustion tht unlsh this stuy: wht sintifi proution hs n m in Portugl on Nursing ntnsiv Cr, inuing n xplortory, sriptiv stuy, through iliomtri strtgy n strts thmti nlysis. Ojtiv: Th min gol ws to intify th sintifi litrtur on ntnsiv Cr Nursing prsnt for Mstr n PhD grs in Portugl, inhriting to sri th typ of stuy, mthoology, prtiipnts n ontxts. Mthos: Rsrh ws rri out in Jnury 2014, on th Sintifi Opn Ass Rpository of Portugl, within th timlin , with strt n full txt vill. Rsults: This strtgy prou 345 rsults, of whih 100 stuis wr slt, oring to inlusion ritri: Rports, prsnt to otin Mstrs Dgr (69), Mstr Dissrttions (26) n PhD Thsis (5), mostly prou ftr 2011 (78), with high rprsnttivnss for Mstr Dgr s Rports (70). Dvlop minly in CU units, through qulittiv n quntittiv mthoologis, th min thms intifi wr rlt to skills vlopmnt, qulity of r, ptint sfty, ision mking n thil prinipls. Conlusions: Byon th intifition of Portugus sintifi proution in ntnsiv Cr Nursing, th most notworthy onlusion of this stuy is th notorious nurss intrst in invstigting this r. Th signifint inrs, n th wi rng of spifi thms, n l to nw pprohs n islos tnny to mintin futur rsrh out this phnomnon. Dsriptors: ntnsiv Cr; Nursing; Rsrh. Sports injuris hrtriztion ourring in mountin sports Hnriqu Frzão, Luis Crvlhinho Esol Suprior Dsporto Rio Mior. nstituto Politénio Sntrém. Rio Mior, Portugl ntroution: Th inrsing populrity of ntur sports, prtiulrly in mountinous nvironmnt, nturlly trnslts into growth in th numr of prtitionrs n onsquntly, highr liklihoo of sports injuris. Ojtiv: This stuy sought to intify th quntity n typology of injuris tht ourr uring th prti of mountin sports, suffr y prtitionrs n thniins of mountin sports. Mthos: Th smpl onsist of 269 iniviuls, 68% mls n 32% fmls, g twn 17 n 61 yrs. t us qustionnir (Crvlhinho, Frzão & Moutão, 2013) to ollt th t, n th sriptiv nlysis of th stui vrils. Rsults: Th rsults otin show tht, 46% of th prtiipnts h n injury rsulting from th prti of thir sport n 54% nvr h ny injury. Th prt of th oy tht suffr mor injuris ws th kn, with 11%, follow y th shoulr, with 9.3%. Rgring th typ of injury sustin, lrtions (21%) n sprins (19%), wr th most vrifi typs of injury. Howvr, thr sms to som iffrns twn th mor xprin n lss xprin prtitionrs, s for th lotion of ourr injuris. Gnrlly spking, th typology of th injuris prsnts los vlus. Conlusions: Th min joints of th uppr n lowr lims wr th most fft rs y sports injuris, unlik pls whr th oy lo is lss. On th othr hn, th lvl of xprin of th tors sms to ssoit with som iffrntition in th loliztion of th injuris. Dsriptors: njuris; Mountin Sports; Ntur-s Sports; Risk. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 174

176 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 299 Criovsulr risk ftors foun in strok ptints Anré Novo, Lonl Prto, Eugéni Mns, Hln Pimntl Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl ntroution: Strok is th son worlwi most ommon us of th n mjor us of isility. Ovr th lst s moifil n non-moifil risk ftors hv n intifi with mor ury. Erly intifition n trtmnt of moifil risk ftors n ru th risk of strok. n strok ptints, th intifition of ths vrils is lso importnt to prvnting nothr strok. Ojtiv: To ssss th prvln of riovsulr risk ftors in strok ptints. Mthos: Th t wr ollt through ltroni hlth rors of ll ptints with strok mitt to n mrgny prtmnt uring thr yrs (2010, 2011 n 2012). Rsrh protool hs n pprov y n this ommitt. Rsults: Wr nlyz th ltroni hlth rors of 346 ptints with ishmi strok (78.6±9.9 yrs) n 96 with intrrrl hmorrhg (76.5±11.9 yrs). n ishmi strok th most ommon risk ftors wr hyprtnsion (68.2%), its mllitus (27.5%), hyprholstrolmi (25.0%), tril firilltion (24.3%) n smoking (5.5%). W lso foun tht 12.7% of th ptints wr os. n hmorrhgi strok th most prvlnt risk ftors wr hyprtnsion (53.1%), yslipimi (25.7%), tril firilltion (24.3%), osity (18%) n smoking (7.3%). Conlusions: Hyprtnsion ws mor prvlnt in ishmi strok n is ssoit with typ of strok (x2=7.508, f=1, p=0.005). Atril firilltion lso prvil in thromomoli vnts with sttistil signifin (p=0.043). Only 16% of ptints with ishmi strok i not hv ny riovsulr risk ftor. Dsriptors: Prvln; risk ftors; ishmi strok; hmorrhgi strok. 300 Biltrl ohlr implnttion in ptint with iltrl tmporl on frtur Dnil Rmos, Crlos Riiro, Xvir Jorg Cntro Cirúrgio Coimr. Coimr, Portugl Ful Miin Coimr. Coimr, Portugl ntroution: Biltrl svr to profoun snsorinurl hring loss rsulting from trumti rin injury n trt fftivly y pling ohlr implnt iltrl (JH Chung t l, 2011; Vrmir K t l, 2012; Giz MS t l 2010). n suh irumstns, thr r nfits of iltrl ohlr implnttion ompr to uniltrl ohlr implnttion, s oumnt in th litrtur (Nopp P t l, 2004; Litovsky R t l, 2006). Mthos: Cs rport of fml ptint, 32 yrs ol, vitim of trmpling in puli wy y high vloity motoriz vhil, suffr trumti rin injury, iltrl trnsvrs tmporl on frtur n onsqunt profoun iltrl snsorinurl fnss. Unrwnt simultnous iltrl ohlr implnttion, in 6 months thrftr. Strt hring rhilittion progrm in sph thrpy on wk, month ftr th tivtion of th sph prossor. n uiologil n sph thrpy vlution, t 4 wks of hring rhilittion, th ptint show n uiomtri n sph prption/isrimintion prformn in tsks spkrphon n th phon, vry fvorl. Conlusions: t ws linil s of iltrl fnss, post trumti rin injury sussfully trt using iltrl ohlr implnttion. Dsriptors: Trumti rin injury; iltrl ohlr implnt; hring rhilittion. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 175

177 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Auitory long ltny potntils for n ftr ohlr implnttion Mrin Frnns, Cristin Nzré Esol sú Coimr. nstituto Politénio Coimr. Coimr. Portugl ntroution: n th sn of uitory stimultion, s in th s of iltrl profoun snsorinurl hring loss in pr or pri-linguisti stg, th mturtion of th ntrl nrvous systm (SNC) oul ompromis, moifying th wy tht th uitory pthwy prosss informtion. Th ohlr implnttion (C) is n importnt vnmnt tht llows uitory stimultion. Howvr, it shoul s rly s possil n nough to promot nuroplstiity s wll s ortil rorgniztion. Th ffts of uitory privtion n stimultion hv n stui y uitory long ltny potntils (ALLP) through th ltny of th P1 wv. Ojtiv: To stuy through litrtur rviw, th hngs in P1 wv of ALLP in hilrn for n ftr pttion with th ohlr implnt n thus monstrt th importn of uitory stimultion in nuroplstiity n in uitory prossing. Mthos: Ws m litrtur rviw out th ltrophysiologil rsponss of ALLP in hilrn for n ftr C. Rsults: Stuis rvl tht th ltny of wv P1 vris with hronologil g, ing n initor of mturtion n plstiity of th SNC in rspons to soun. Stuis in hilrn with ongnitl fnss show tht thy show rpi rs in th ltny of th P1 wv ftr C. Howvr, th ility of th CNS to rorgniz ftr stimultion pns on svrl vrils. Conlusions: Th ltrophysiologil vins from ths stuis init th importn of C t n rly g, in orr to prsrv th uitory pthwys n to llow th orrt lngug quisition n ognitiv vlopmnt. Dsriptors: uitory privtion; uitory nuroplstiity; uitory prossing; ohlr implnttion; uitory lt ltny potntils - P1. MDAF: Trining Trnsfr to th profssionl prformn of fmily nurss Plmir Olivir,, Mri Hnriqut Figuiro, Ciênis Enfrmgm. nstituto Ciênis Bioméis Al Slzr. Esol Suprior Enfrmgm o Porto. Porto, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Unr th Dynmi Mol of Fmily Assssmnt n ntrvntion (MDAF) projt, of th unit rsrh of th Nursing Collg of Porto, trining is ing vlop in profssionl ontxt to th fmily nurss of th Primry Hlth Cr, in ntionl lvl. Lrning tks utility vlu with th trnsfr of knowlg to t. Ojtiv: To vlut th fmily nurss prption onrning th trnsfr of trining, six months ftr its ompltion. Mthos: Quntittiv, xplortory-sriptiv stuy. A qustionnir of Likrt-typ qustions with 5 options ws ppli (1-strongly isgr, 5-strongly gr), n th smpl onsist of 62 nurss, ftr 6 months of th MDAF trining progrmm ws omplt. n th trnsfr vlution w us th initors of Tsluk t l (1995). Dsriptiv nlysis ws m, using BM-SPSS vrsion Rsults: Mostly nurss r fml (85%), linss. On vrg, hv 40 yrs, 14 yrs in th profssion n 12 yrs in PHC. Mjority (57%) gr tht hv ppli wht thy lrn in trining to improv prformn n tht wht thy hv lrn in trining hs hlp lot to improv it (59%); 36% gr tht thy ppli in th ily work mostly of wht thy lrn in trining. Conlusions: Th trnsfr from wht is lrn only fftiv whn hv pplition in tion n in hviorl hng tht nurs in tim, n spit th nurss hv ppli wht thy hv lrn, this pplition is not lwys ontinuous, n thrfor, furthr stuy is suggst out th ftors influning th trining trnsfr. Dsriptors: Dynmi Mol of Fmily Assssmnt n ntrvntion, Trining Trnsfr, Fmily Nurs, Primry Hlth Cr. [email protected] [email protected] [email protected] [email protected] 176

178 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Squntil livr trnsplnttion - thil issus Lilin Mot,, Sóni Novis, nstituto Ciênis Bioméis Al Slzr, Univrsi o Porto. Porto. Portugl nstituto Ciênis Sú. Univrsi Ctóli Portugus. Porto, Portugl ntroution: Squntil livr trnsplnttion us on xplnt livr of ptint with Fmilil Amyloi Polynuropthy (FAP) to trnsplnt ptint with svr livr iss. Th squntil livr trnsplnttion hs lit thil ontours. Th prprtion of lists rnking, quity of ss to orgns, inform onsnt, th prinipls tht gui ision mking in trnsplnttion trnslts issus tht st out on th intgrity of piplins n prours involv in livr trnsplnttion. Ojtiv: This work w intn to mk ritil nlysis of linil prti in rltion to funmntl thil prinipls. Mthos: Th mthoology tht gui this work support in th rviw of litrtur on th sujt, rsrh in tss suh s B-on n thir rsours. Rsults: Dspit th t on this sujt is so lit n iffiult, put oftn th ivi sintifi ommunity, w foun tht svrl thil issus mrg: wht xtnt th us of livr tht woul othrwis onsir surgil wst, is it fir to onfront somon with this ision t th tim it is propos to trnsplnt? Ar w not, in ny wy, to unrmin this prson ginst nothr iss whih prsnts FAP? n th morl lif, somtims mor importnt thn following th prinipls, is to hv on hrtr morlity n motionl snsitivitis, sin th not wiv pplition of th prinipls of isrnmnt, rsponsiility, jugmnt n virtuous t. Conlusions: Hlth profssionls hv uty to sfgur th ignity of th prson in th iss, hv grtr pity to t upon th ptint, whn it provs mor vulnrl n pnnt. Dsriptors: Livr trnsplnttion; thil prinipls; Fmilil Amyloi Polynuropthy. HUMANZATON OF NURSNG CARE N SURGCAL CENTER: AN EVERYDAY SEARCH Amn Ríss Dnts Crvlho, Anrson Ris Sous, Gilmr Souz Smpio Almi, Jilo Goms Rorigus, Nj Btriz Sriv Miros,Rit Juilm Almi Crniro f Ful Nor. Fir Sntn, Bhi, Brsil ntroution: Th Ntionl Progrm for Humniztion of Hospitl Assistn offrs omprhnsiv guilin tht inlus projts of humnizing ntur to implmnt in th vrious srvi rs. Ojtiv: To rviw th sintifi litrtur on th humniztion of nursing r to th ptint t th surgil ntr. Mthos: This is n intgrtiv rviw hl on ss of ntionl n intrntionl t, s ritri wr us rtils pulish in th lst tn yrs, through th sriptors: humniztion n surgil ntr. 13 rtils wr foun n sujt to sltiv ring, whr only 4 rtils hv n suit to th ojtiv propos y th stuy. Rsults: Th nlysis llow th mrgn of thr tgoris on th thm: Systmtiztion of nursing r; Humniztion of nursing ssistn; Humniztion of ptint ssistn in surgil ntr n intrprsonl rltionships. Aoring to th rvision of litrtur onsult it ws prs fiiny in th forms of humniztion to proprtiv ustomrs n th ommunition twn nurs-lint, thry trgting th importn of ommunition in ssisting lints mitt in th proprtiv prio iming to minimiz th gr of misinformtion to lints ntring into th hospitl stting thus ing l to minimiz rurring ggrvtions. t ws rliz through this proution tht th thmti ns to work out twn th hlth tms, using innovtion strtgis, upt n rmption of th si prmis tht is ommitmnt in r proution. Conlusion: This stuy sought to portry out th issus involving th lk of humniztion in th surgil ntr s wy to snsitiz th popl involv in this pross. Dsriptors: Nursing, Surgil Cntr; Humniztion. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 177

179 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Slf-ritiism, oy stm n ting isorrs symptoms in smpl of fml olsnts, prtitionrs of llt n hnll Piló, D.,, Cstilho, P.,, Simõs, S.,, Espírito-Snto, H., Lmos, L. Gulup, S., V, V, Mrqus, M. nstituto Suprior Migul Torg. Coimr, Portugl Ful Psiologi Ciênis Eução Univrsi Coimr. Coimr, Portugl nstituto Politénio Liri. Liri, Portugl V Esol Suprior Dsporto Rio Mior. Rio Mior, Portugl V Srviço Psiologi Méi. Ful Miin. Univrsi Coimr. Coimr, Portugl Ojtiv: Fw stuis in Portugl xplor slf-ritiism, oy stm n ting hvior symptoms ssoitions. W wnt to xplor, in smpl of girls, llt n hnll prtitionrs, iffrns in ting isorrs symptoms, oy mss inx (BM), pprn n slf-ritiism; xplor if slf-ritiism n mor rogtory pprn prption r ssoit (n prit) ting isorr symptoms (in oth sports). Mthos: 105 girls (n=52; 49,5% llt; n=53; 50,5% hnll; mn g=14,5; DP=1,80; rng=12-18) fill in soiomogrphi n hlth qustionnir, Forms of Slf-Critiizing n Rssuring Sl, Eting Attitus Tst- 25 (EAT-25), Boy Estm Sl (BES) n Dprssion, Anxity n Strss Sl. Rsults: Thr wr worrying prntgs of vntul ting isorr (utoff of 19/EAT-25) in llt n hnll (7.7%; 9,4%). A signifint prntg of llt prtitionrs h low BM (34.6%). Hnll prtitionrs hv highr BM n inqut slf-ritiism. n llt prtitionrs thr wr positiv ssoitions twn Motivtion for thinnss (MT), inqut, ht n totl slf-ritiism, n ngtiv ssoition with rssuring slf-ritiism; twn Bulimi hviors (BB), inqut n totl slf-ritiism. n hnll, thr wr ssoitions twn MT, inqut n totl slf-ritiism. Ht slf-ritiism prit, in llt prtitionrs, MT n BB. n hnll prtitionrs BES_Wight prit MT. Conlusions: Th prntg of vntul ting isorr (oth susmpls) n of llt prtitionrs with thinnss is worrying. n oth sports slf-ritiism is ssoit with MT n BB. Awrnss most ris rly mong thrs/ohs/prnts out th nrs/thlts ritil oy viw, prtiulrly in llt, whr img/wight is rinfor. Dsriptors: ting isorrs symptoms; slf-ritiism; oy stm; olsnts; llt; hnll. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] Prvnting prssur ulrs: th knowlg of th nursing stunts from th Azors n Cnry slns Alxnr Rorigus,, Frniso Hrnánz- Mrtínz,,Mri l Pino Quintn-Montso,, Norrto Mssis,, An Júli Silv,, Jun Frnno Jiménz-Díz,f, Binvni Roríguz--Vr,g Esol Suprior Enfrmgm Cruz Vrmlh Portugus Olivir Azméis. Olivir Azmis, Portugl Dprtmnto Enfrmrí Univrsi Ls Plms Grn Cnári. Espñ Esol Suprior Enfrmgm Angr o Hroísmo. Univrsi os Açors. Portugl ntroution: Currnt sintifi knowlg mks it possil for th mjority of prssur ulrs (PU) to prvntl with optiml nursing r. To omplish tht it is nssry to riv spifi trining from univrsity stuis gr. Ojtiv: Evlut knowlg of PU prvntion in nursing stunts of puli univrsitis in Ls Plms Grn Cnri (ULPGC) n Azors (UAC). Mthos: Dsriptiv n omprtiv stuy of rnom smpl mong nursing stunts ULPGC (n=78) n AUC (n=43) through qustionnir sign ho. Sttistil nlysis with SPSS Rsults: Azors stunts hv ttr knowlg onrning th tiology of th PU. Conrning ssntil intrvntions to prvnt prssur ulrs oth groups hv high lvls of knowlg. n ssssing th risk to vlop PU, Cnry stunts hv highr prntg of orrt nswrs. Rgring th rognition of mtril vis us for prvntion s wll s th mns of posturl hngs Azors stunts, r thos tht prsnt grtr knowlg. Conrning th vlution of skin n nutritionl sttus, th group of th Azors. hv tnntilly monstrt ttr knowlg in this r. Conlusions: Azors stunts hv ttr knowlg in lmost of th rquirmnts of prvntion, xluing risk ssssmnt. Th prntg of stunts with fully orrt nswrs in oth groups of stunts is low, so n spifi trining rinformnt is nssry. Dsriptors: prssur ulrs: th knowlg; nursing stunts; Prvntion. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 178

180 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Puli hlth poliis in Brzil unr th spt of this n mngmnt Cláuio Euro Rorigus, ; Gorgi Brros Frnns, ; Kti Rorigus o Nsimnto, Univrsi Frl os Vls o Jquitinhonh Muuri. Tófilo Otoni, MG, Brsil ntroution: To fulfill th lgl oligtion n inrs nfits n soil prottion in hlth in Brzil, SUS Sistm Únio Sú (Unifi Hlth Systm) ws rt stting guilins for promotion n orgniztion of th hlth srvis. t lso init wys for mngmnt, finning n ugt for puli hlth. W sk: hs SUS n ffiint n fftiv for Brzilin puli hlth? Hv th rsours n thir mngmnt ttn th hlth mns? s thr n thil pplition of th SUS ugt? Ojtiv: W im to nlyz th impt on th implmnttion of puli hlth poliis in Brzil in th prio , hking thir ollortion to improv th puli hlth n invstigting th thil spts of thir mngmnt. Mthos: W onut litrtur srh on th Brzilin puli hlth spning, rwing upon th FRJAM nx of Muniipl Dvlopmnt. Th t ws sujt to n onomtri nlysis, from linr pnl t nlysis, hking th vrition in hlth spning. Rsults n Conlusions: t pprs tht th vrition in hlth spning in Brzil is positivly orrlt to th vlopmnt of Stts; moifitions r rquir in th mngmnt of xpniturs, opting n thil onut in th llotion of rsours with th lowst possil ost. Howvr, this os not ru th importn of SUS to onstitut goo puli hlth poliy n promot th rution of hil mortlity n iss ontrol through immuniztions. Dsriptors: puli poliy; hlth; puli spning; mngmnt; this. Pgogil trining thr s: hllng in nursing ution Crl Nsimnto Esol Suprior Enfrmgm Liso. Liso, Portugl ntroution: n highr ution, thing fs nw trritorilitis, nw hllngs n rlitis rquiring for nw rols n rsponsiilitis of thrs, rivrs of othr wys of thinking n prtiing thing; thing is unr th gis of to mk lrn (Rolão, 2007), looking h to th thr s filittor n mngr of lrning. Ths rquirmnts towrs nw pgogil ultur rinfor th n for pgogil trining of hlth thrs, in prtiulry, in nursing thrs. Ojtiv: Th im of th stuy ws to intify th pl of pgogil trining in nursing thr s ution. Mthos: Th stuy is prt of th intrprttiv prigm of utionl rsrh using th qustionnir. Th onstrution of th qustionnir im to rry out smi-strutur intrviws to ight thrs. Aftr vlition of th pr-tst in four Nursing Shools, th qustionnir ws ppli in tn puli Nursing Shools, otin 227 vli rsponss. Rsults: Pgogil trining, prtiulrly t th lvl of postgrut stuis, sms to n r for onstrution of thing profssionl knowlg, nling th thr nw unrstning (Shulmn, 2004) of thing n pgogil tion. Conlusions: Nursing thrs highlight th n for grtr utionl invstmnt. A pgogil trining fous on thing prti, on ooprtiv work n on utionl innovtion projts. Nursing thr profssionl vlopmnt must prti-orint in orr to fftiv n hv impt on Nursing thr s profssionl prti. Thr s ution is rtinly on of th mor ruil hllngs fing ution rform. Dsriptors: Hlth Eution, Pgogil Trining, Nursing Thr. [email protected] [email protected] [email protected] [email protected] 179

181 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth MAL: NSTRUMENT RATNG PARETC UPPER MEMBER Elist Fátim Dinis Diz,, Mri José Goms,, An Mri Glvão, Cntro Hospitlr Liso Cntrl. Hospitl os Cpuhos. Liso, Portugl Dprtmnto Ciênis Enfrmgm. Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl; Núlo nvstigção ntrvnção no oso. Porto, Portugl Dprtmnto Ciênis Soiis o Comportmnto. Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç. Portugl; Núlo nvstigção ntrvnção no oso. Porto, Portugl ntroution: Strok is on of th min uss of mortlity n moriity worlwi. n th spifi s of Portugl, strok is still th ling us of th, ing rsponsil for th high rt of isility n funtionl pnn of th ult popultion. Ojtiv: Anlyz th rltionship twn th si of th rin, th urtion of th strok n th hn-gripping strngth with th mount n qulity of us of th prti uppr lim. Mthos: W vlop sriptiv stuy with quntittiv pproh ginst non-proilisti smpl. Th instrumnts for ollting t wr soio-mogrphi survy, th Moifi Ashworth Sl, hngrip ynmomtr (yntst) n MAL-30 Sl. Rsults: From our 84 ptints smpl 66.7% wr ml, th vrg g ws yrs (SD=11.18). Strok ourr on vrg months go (=28.96) n 42.9% hv h his ominnt hn fft. Thr ws orrltion twn th susls n hngrip strngth on th fft si (CCS=0.523, p=0.000 for th QL n CCS=0528, p=0.000 for QT). By using th T-Tst w onlu tht th vrg vlu on oth sls ws iffrnt oring to whthr or not th fft hn is th ominnt on. Conlusions: Bs on ths rsults, w liv th MAL-30 is vli n usful tool for ssssing th motor prformn of th prti uppr lim of strok vitims. Dsriptors: prti uppr mmr; Motor tivity Log; Rhilittion. DENTAL AND PERODONTAL COMPLCATONS ARSNG FROM THE USE OF ORAL PERCNGS CASES REPORTS Rorigus B,, Morir M,, Riiro C,,, Mrqus T,, Univrsi Ctóli Portugus. Porto, Portugl Uni munologi. Hospitl Grl Snto António. Cntro Hospitlr o Porto. Porto, Portugl Univrsi Aviro. Aviro, Portugl ntroution: Th fr of tooth loss is ommon twn ptints, spilly whn thy rliz tht th loss of th prioontl struturs is losly link to iniviul sthti. Bsis th onrn for pprn is signifint tht th missing prioontl strutur inrss moility, n tooth hyprsnsitivity xposur whih shoul nourg ptints to sk pproprit trtmnt. This prti of oy rt hs inrs ovr th yrs n hs n irtly rlt to ntl n prioontl injuris. Ojtiv: Ths rports sri tr ss in whih gingivl rssion, n ntl injuris wr us y orl n pri - orl pirings. Mthos: Tr ptints whr vlut. Th linil vlution of ptint orl hlth rors inlu prioontl prmtrs n th prsn of tooth injuris. Rsults: Clinilly whr osrv in th rporting of ths ss n ssoition twn th us of orl pirings n ntl n gingivl trum. Th prsn of gingivl rssion in th ntrior lingul mniulr rgion ws ssoit with th us of pirings, g, ml gnr n ling on proing. Conlusions: Ths hngs rquir from th Dntist til linil vlution ling to n rlir ignosis of pritl prolms. Howvr, Dntists must prpr to rss thir ptints iniviul ns with th im of voiing or intrpting th ours of potntil omplitions n rmoving th ustiv gnt whn rquir. Dspit th prognosis ook thr r svrl rs of ntistry tht llow funtionl rstortion n prtilly or totlly sthti. Dsriptors: Orl piring; pri-orl piring; ffts; s rport; [email protected]; [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 180

182 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 311 TOBACCO USE AMONG STUDENTS N THE MARAJÓ ARCHPELAGO, NORTHERN BRAZL Josimr M. Almir,, Suln C.T. Cost,, Alin L. Olivir,, Livin L. Noguir,, Arin M. Olivir- Mirn,, Gláui C. Silv-Olivir,f, Almir B. Olivir-Filho,g Ful Ciênis Nturis. Cmpus o Mrjó. Univrsi Frl o Prá. Brvs, PA, Brzil Ful Ciênis Nturis, nstituto Estuos Costiros, Univrsi Frl o Prá. Brgnç PA, Brzil ntroution: Th us of too is mjor us of prvntl iss n isling. n Brzil, lohol n too r th rugs most wily spr mongst stunts. n northrn Brzil, pimiologil stuis on too us mong olsnts n young ult r sr. Ojtiv: This stuy trmin th prvln n ssoit ftors onrning th frqunt us of too mong stunts from puli high shools in th Mrjó Arhiplgo. Mthos: A ross-stionl stuy ws onut in puli high shools of th muniiplitis tht ompos th Mrjó Arhiplgo. During th lss prio (Mrh to Dmr 2012) slf-ministr qustionnir ws us to ollt t for sription n nlysis of soio-mogrphi, onomi n fmily onitions rlt to smoking. Th sttistil nlysis ws prform y simpl n multipl logisti rgrssion follow y th Hosmr-Lmshow tst. Rsults: Of 40,680 stunts nroll in shools, 37,817 (93.0%) prtiipt in this stuy. Th mn g ws 18.5 yrs (13-50 yrs), mostly fml (55.4%). Th prvln of frqunt us of too ws 5.2%. Th g group of too usrs ws yrs. Sin th first us of too ourr twn 7-15 yrs. Th mjority of too usrs smok igrtts/y. Aftr sttistil nlysis, pimiologil ftors ssoit with too us wr intifi: ml, shool rptition, work sporilly, not involving prnts in shool lif; smoking prnts, frins n most smokrs smoking frins. Conlusions: Th prvln of frqunt us of too mong stunts in th Mrjó Arhiplgo is high, n th onsumption initits rly in hilrn xpos to prnts n frins who smok. Dsriptors: Epimiology; Too; Stunts; Mrjó Arhiplgo, Northrn Brzil. 312 Thr is mor thn unrwight in pitri Crohn s iss Tâni Furto,, An Ctrin Morir,, nês Assiir,, Ptríi Almi Nuns,, Sr Azvo,, An sl Lops,f, Lino Mns,g Esol Suprior Tnologi Sú Liso. Portugl Hospitl Snt Mri. Liso, Portugl Dprtmnto Pitri. Cntro Aémio Miin Liso. Portugl ntroution: Nutritionl prolms r ommon in Crohn s_diss (CD), with inqut itry intk n n inrs of rsting_nrgy_xpnitur (REE). Ojtiv: Assss th REE, totl nrgy xpnitur (TEE) n nutritionl sttus of 25 hilrn n olsnts with CD. Mthos: REE ws msur using inirt lorimtry, nutritionl sttus ws ssss y ioimpn n nthropomtri msurmnts n itry intk y 3-y it iry. Rsults: Mn g 14.3±3.1 yrs. Th vrg z-sor for wight, hight n BM ws lowr thn th rfrn vlus. Both Unrwight n ovrwight fft 20% of smpl. Bioimpn nlysis rvl xss ft mss in 33% of sujts n nthropomtri nlysis rvl tht 52% of smpl h fiit of musl mss. No iffrn ws foun in REE or oy omposition of tiv iss s sujts (n=10) vs rmission iss s (n=15). Sugr n sturt ftty i intk wr highr thn rommntions. Unsturt ftty i n fir ns wr not hiv n w foun tnny for highr onsumption of n-6 to n-3 ftty is rtio. Thr low mironutrint intk, lium (92%), folt (96%), iron (56%) phosphorus (44%), vitmins A (76%), C (64%) n E (84%). Conlusions: W foun tht mlnutrition ffts ths ptints y unrwight ut lso y ovrwight, with hngs in th oy omposition (xss ft mss n musl mss fiit) n poor itry intk, minly mironutrints. Diss tivity not fft REE n nutritionl sttus. Our rsults shown support th importn of n ongoing nutritionl monitoring n intrvntion, vn in norml wight hilrn n rgrlss th stg of th iss. Dsriptors: Crohn s iss; rsting nrgy xpnitur; nutritionl sttus; foo intk; nutritionl fiinis. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 181

183 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth BNGE DRNKNG AMONG STUDENTS N THE MARAJÓ ARCHPELAGO, NORTHERN BRAZL Lilin G. Arújo, Frniso P. Cstro-Junior, Gláui Glúio, Sr O. S. Crmo, Arin M. Olivir- Mirn, Gláui C. Silv-Olivir ; Almir B. Olivir-Filho Ful Ciênis Biológis, Cmpus o Mrjó, Univrsi Frl o Prá, Brvs PA, Brzil nstituto Estuos Costiros, Univrsi Frl o Prá, Brgnç PA, Brzil ntroution: Th prti of ing rinking (BD) y olsnts is risk hvior. n northrn Brzil, pimiologil stuis on BD mong stunts r unknown. Ojtiv: This stuy trmin th prvln n ftors ssoit with BD mong stunts who ttn puli high shools in th Mrjó Arhiplgo, northrn Brzil. Mthos: A ross-stionl stuy ws onut in puli high shools of th muniiplitis tht ompos th Mrjó Arhiplgo. During th lss prio (Mrh to Dmr 2012) slf-ministr qustionnir ws us to ollt t for sription n nlysis of soiomogrphi, onomi n fmily onitions rlt to lohol us. Th sttistil nlysis ws prform y simpl n multipl logisti rgrssion follow y th Hosmr-Lmshow tst. Rsults: From 40,680 stunts nroll in shools, 37,817 prtiipt in this stuy. Th mn g ws 18.5 yrs (13-50 yrs), mostly fml (55.4%). Th prvln of BD ws 9.5% in th lst month. Th first BG ourr twn yrs. Among th loholi vrgs ws tt prominntly in r onsumption (75.2%). Aftr sttistil nlysis, th ftors ssoit with BD wr: stuying on th night shift, shool rptition, no involvmnt of prnts in shool lif, prnts o not tlk out lohol onsumption; prnts onsum lohol; frins onsum lohol; most frins rink lohol. Conlusions: Th prvln of BD mong stunts in th Mrjó Arhiplgo is high, n th rly onsumption gins minly from th influn of prnts n frins, n it ffts prformn in shool tivitis. Dsriptors: Epimiology, Alohol, Bing Drinking, Stunts, Mrjó Arhiplgo. Th lrning pross of th stunt r: strting of ritil rfltions An Cristin Spínol,, José Amnoir,, Esol Suprior Sú. nstituto Politénio Sntrém. Sntrém, Portugl Uni nvstigção. nstituto Politénio Sntrém. Sntrém Portugl ntroution: Clinil ution is privilg ontxt in th trining of nursing stunts, us of th spifiity of th lrning pross of r. Th us of pgogil strtgis suh s ritil thinking, promots th vlopmnt of ritil thought us for th st linil jugmnt of ths tors. Ojtiv: Chrtriz th imnsions of th onpt of r vlu y th stunt uring th linil thing pross. Mthos: Th rsrh mtho utiliz is s stuy; s sour of t w us th ritil thinking nrrtion pisos, vlop in th ontxt of linil ution with stunts in th 4th yr of th 1st Cyl of th nursing progrm t hlth shool. At this stg of rsrh, w moiliz th mtril prou y th stunts in iffrnt linil ontxts of ution, giving thm th ts sttus for th invstigtion vlop. W rsort to ontnt nlysis n CmpsTools softwr for intifition of th r pross mtril imnsions. Rsults: This stuy highlights thr imnsions into r onpt: sign, nursing intrvntion, n th lrning pross of nursing r. Conlusions: Stunts mphsiz plnning n nursing r imnsions n its orgniztion into pross r. Thy sk th pproprit intrvntion for h prson s th ntr point of r. Thy vlu lrning pross of r, rflting on th prti of it. W onsir ths spts s intgrtors in th thortil thing n s importnt spts for stunts in th knowlg pproprition of linil ution. Th intgrtion n implmnttion of this knowlg, y th stunts, oms visil in thir linil prti. Dsriptors: nursing stunts, r pross, linil thing, ritil thinking, lrning strtgis. [email protected] [email protected] 182

184 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Soiomogrphi n gynologil osttri hrtristis of tlin Nursing mis Krin Bzrr,, Cmil Morir,, gor Mns,, Jmilly Torrs,, An Klv Dmsno,, An Fátim Frnns,f, Môni Oriá,g Univrsi Frl o Crá. Brzil Univrsità gli Stui i Rom L Spinz. Rom, tly ntroution: To know n omprhn ulturl, soil osttris hrtristis m n importnt sujt on onsolition of hlth puli politis. Ojtiv: This stuy im to lint th soiomogrphi n gynologil osttri profil ofnursing stunts. Mthos: Quntittiv n ross-stionl stuy vlop in Rom, tly, involving 135 nursing stunts. Dt olltion ws prform using n onlin form n rssing th soiomogrphi n gynologil osttri profil of prtiipnts. Rsults: Aout th prtiipnts g, w intifi tht popultion in lt olsn n rly youth. Th vrg g ws 21.7 yrs (SD±11.4). With rgr to soio-mogrphi hrtristis, most prtiipnts wr Cusin (n=98, 72.6%), singl 118 (87.4%), Ctholi (n= 84, 62.2%), pr pit inom of up to 3,000 uros (n=89,65.9%) n liv with th fmily 88 (65.2%). t ws noti tht lmost th ntir smpl (N=133, 98.5%) who prform th pptst, gynologil xmintion for prvntion of rvil nr, 122 (88.9%) rport prforming th xm nnully. Rgring th us of ontrptiv mthos 101 (74.8%) stt mi us orl ontrptivs, 56 (41.5%) us ml onoms n 7 (5.2%) i not us ny mtho. Entir smpl show no prvious prgnny n only 1 prtiipnt (0.7%) h prsnt misrrig. Conlusions: Dsriing th soio-mogrphi n osttri gynologil profil of nursing stunts is nssry in orr to hlps to trgt intrvntions, sking to unrstn th risk ftors for whih th ustomr is prispos n thus strngthn utionl strtgis for fftiv hlth promotion. Dsriptors: Hlth Profil; Stunts; Young Ault; Nursing; Hlth Promotion. Sxul profil of nursing stunts out your sxul hviors Krin Bzrr,, Cmil Morir,, gor Mns,, Mri Jussr Mlo,, Tigo Brros,, An Fátim Frnns,f ; Môni Oriá, Univrsi Frl o Crá. Brzil Univrsità gli Stui i Rom L Spinz. Rom, tly Univrsi Frl Prnmuo. Brzil ntroution: Th knowlg out th sxul rlity of mi is rlvnt to support n irt prvntiv, utionl, vlutiv n plnning tion s r. Ojtiv: This stuy im to sri th sxul profil of tlin mi nursing. Mthos: This is quntittiv n ross-stionl stuy vlop in Rom, tly, involving 135 nursing stunts. Dt olltion ws prform using n onlin form rssing sxul hrtristis of prtiipnts. Rsults: t ws osrv tht 105 (77.8%) of prtiipnts hv stl prtnr, with muh of th tim rltionship twn 1 n 2 yrs (n=53, 50.5%). Th vrg g of first intrours ws 16 yrs ( SD 1.9 ), with n g rng of 17 to 18 yrs th most prvlnt (n=87, 67.9%). Dspit th onst of sxul tivity mong womn hving sx with flings n pssion, in this stuy vrious mi it first sxul s uriosity 44 (34.3 %) n sir 43 (33.6%). Dt on g t mnrh show grtr frquny rng yrs of g (n=88, 65.2%), follow y th g group yrs (n=45, 29%). Howvr, signifint proportion h rly onst of mnstrul yls, so tht 34 (25.2%) prtiipnts h mnrh for g 11. Th mn g t mnrh ws 11.5 yrs. Sxul orinttion ws prominntly htrosxul (n=126, 93.4%) n only 9 (6.7%) rport hving h sxul xprin with th sm sx. Conlusions: Dsriing th sxul hrtristis of nursing stunts is nssry to support n irt intrvntions n thus strngthns utionl strtgis for fftiv hlth promotion. Dsriptors: Hlth Profil; Sxul Bhvior; Stunts; Nursing; Hlth Promotion. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 183

185 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Ptints unrgoing hmothrpy: fft of high-lori supplmnt on nutritionl sttus Mrin M. Boz,, Flávi Dzori,, Cmil L. R. Cihwski,, gor Proso,, Joslyn C. os Sntos,, Mikol Kurhshi,f, von M.. Morimoto,g Pontifíi Univrsi Ctóli o Prná. Brzil Hospitl Snt Cs Misrióri Curiti. Brzil ntroution: Unstisftory foo intk, mtoli hngs in th oy n high lori mn u to th tumor r si ffts of trtmnt molitis suh s hmothrpy, rition n surgryrth min uss of mlnutrition in nr ptints. Ojtiv: To vlut th fft lori nsinustriliz supplmnt hs on th oy mss inx of nr ptints riving hmothrpy. Mthos: A rtrosptiv, quntittiv stuy. Mil rors of 58 ptints unrgoing hmothrpy in th Onology s Clini in gnrl hospitl in Curiti-Brzil, from 12/2010 to 10/2012, who rnk 400ml/pr y of high-lori inustriliz supplmnt,uring 90 ys, wr ollt. P vlus <0.05 wr onsir sttistilly signifint. Rsults: Th sm numrs of ptints y gnr with mn g 60±11.7 yrs wr vlut. Thr ws prominn of gstri nr lotion (15.5%) follow y olon (12.1%) n rst (10.3%). During th nutritionl onsulttions rs th frquny of lk pptit (44.8% to 27.6%), nus (41.4% to 22.4%), hrturn (19% to 5.2%), onstiption (13.8% to 10.3%), irrh (12.1% to 10.4%) n sthni (8.6% to 3.4%) rports. Th initil BM rsult in 21.12±3.41 kg/m² n th finl in 24.55±3.67 kg/m² without sttistil signifin. Thr ws rution in th frquny of unrwight (44.8 % to 39.7 %) n inrs norml wight (44.8% to 48.3%). t is not tht 72.4 % inrs BM n 10.4 % mintin BM lssifition. Conlusions: Th ptints inrs BM n rs frquny of omplitions, monstrting ffiy of prform nutritionl intrvntion. Dsriptors: Nutritionl intrvntion; nutritionl supplmnts; mlnutrition; hmothrpy; nutrition n nr. ANALYSS OF MATERNAL SELF-EFFCACY N THE PROCESS OF TEENAGE MOTHERS BREASTFEEDNG Rnt Lim Bizrr,, Ann Fym Lops Chvs,, Krin Cstro Bzrr,, Livi Mri Dmsno os Sntos,, Mri Jussr Mlo,, Tigo Sous Brros V,f, Môni Olivir Btist Oriá,g Ful Ctóli Rinh o Srtão. Quixá, Brzil Univrsi Frl o Crá. Brzil Univrsità gli Stui i Rom L Spinz. Rom, tly V Univrsi Frl o Prnmuo. Brzil ntroution: Th vlution of mtrnl slf-ffiy in th t of rstfing llows us to osrv whih rs mothrs hv grtr iffiulty, n it is possil to vis strtgis to improv this rlity. Ojtiv: Assss slf-ffiy in olsnt mothrs to rstf in th Northstrn rgion of Brzil. Mthos: This is quntittiv stuy onut in 14 Bsi Hlth Units in th muniiplitis of Quixá, Momç n Tuliro o Nort uring th months of Sptmr n Otor of Th olltion ourr through form ontining soioonomi n osttri spts, sis th pplition of Brstfing Slf-Effiy Sl- SF. Th t wr nlyz using Epi nfo progrm. Th stuy ws pprov y th Committ of Ethis n Rsrh of th Ctholi Fulty Rinh o Srtão. Rsults: Th smpl onsist of 172 mothrs of hilrn unr six months of g, with mn g of 16 yrs ol, mrri, with omplt high shool ution, tht work t hom n h inom from on to thr minimum wgs. Ths womn h highr slf-ffiy in rstfing, hving grtr hsion to th itms rlt to rstfing thniqu n lss hsion to itms rlt to fing th y without using powr milk. Conlusions: t is onlu tht th nurs who ssists th womn uring th prgnny-purprl yl shoul vlop hlth ution strtgis in orr to mpowr ths mothrs on spts still with gps, s wll s sking to mintin onfin of ths womn to rstf. Dsriptors: Brst Fing; Slf Effiy; Aolsnt; Nursing; Hlth Promotion. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 184

186 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ANALYSS OF THE DEVELOPMENT OF CHLDREN N THE NORTHEASTERN REGON OF BRAZL Amn Noguir,, Ann Fym Lops Chvs,, R Roh,, Krin Cstro Bzrr,, Jmilly Torrs,, Elizin Brg Rorigus Brnro,f, Môni Olivir Btist Oriá,g Ful Ctóli Rinh o Srtão. Brzil Univrsi Frl o Crá. Brzil Univrsità gli Stui i Rom L Spinz. Rom, tly ntroution: Th profil of infnt mortlity hs rs u to spts of ssssmnt of growth n vlopmnt, whih is prform y th nurs uring hilr. Ojtiv: Evlut th vlopmnt in hilrn up to fiv yrs in th Hlth Cntrs of Srtão Cntrl, in Crá, Brzil. Mthos: This is quntittiv stuy. Th smpl onsist of 100 hilrn from zro to fiv yrs. Th t wr ollt y n instrumnt ontining soioonomi informtion, issus rlt to hil vlopmnt n th milstons of vlopmnt. Th stuy ws pprov y th Committ of Ethis n Rsrh of th Ctholi Fulty Rinh o Srtão. Rsults: Th mjority of th mothrs h not omplt lmntry shool, work t hom, h inom lss thn minimum wg n hl prntl r. Rgring th hilrn, 84% h norml wight t irth n 70% h th pproprit phli primtr for thir g. t ws not tht 46% of hilrn h no risk ftor n 54% h on or mor risk ftors. Th mjority of hilrn h th lnmrks for thir g group. As fr s th lssifition of th vlopmnt, it ws foun tht 46% h norml vlopmnt, 43% h norml vlopmnt with risk ftors, 1% with lrt for th vlopmnt n 10% h prol vlopmntl ly. Conlusions: W rliz th importn of th nurs is on th lrt rgring th prsn of risk ftors, sking r fous on th prvntion of omplitions to promot th hlth of hilrn. Dsriptors: Erly hilhoo r; Chil Cr; Chil Dvlopmnt; Nursing; Hlth Promotion. nftions, Rsistn n ntiioti thrpy in n ntrnl Miin Srvi sl C. Pinto, L.M. Nsimnto,. Cunh, P. Lrnjir, C. Moris, L. Vniro f Esol Suprior Sú. nstituto Politénio Brgnç. Portugl ntroution: Currntly, tril rsistn to ntiiotis is on of th grtst hlth hllngs, prtiulrly in Miin Srvis. n this srvi you will fin th lrgst numr of ptints with inftious iss, whih is mjor us of hospitliztion. Ojtiv: t is intn to trmin th rts of inftivity, th tiology of inftions n pttrns of ntimiroil susptiility in th srvi of Miin from Cntro Hospitlr o Norst (CHNE) - Uni Hospitlr Brgnç. Mthos: During th prio twn Jnury 1 n Dmr 31 of yr 2008 wr riv t th hospitl lortory 3,547 triologil xmintion, of whih 363 with positiv rsults. Rsults: n urin ulturs intifi n inftivity rt of 9.04%, noting tht ths 64.15% r u to E. Coli. As for th ulturs of sputum, thr ws n inftivity rt of 19.68%, ing tht, of ths 23.23% wr Stphyloous urus. Bloo ulturs intifi n inftivity rt of 5.66%, this shoul minly to th prsn of Stphyloous urus (25.00%). Conlusions: Grm-ngtiv (P.ruginos, E.oli Klsill pnumoni) show th mjority of rsistn to Pniilins n Cflosporins, long to th group of -ltm ntiiotis. Stphyloous urus wr rsistnt to Mthiilin, on MRSA strin. Dsriptors: Antiioti thrpy, Antimiroil susptiility, nftions, Rts of inftivity, Rsistn. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 185

187 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Prntl Strss in Prnts of Chilrn with Dvlopmntl Disorrs Luiz Nor-Lim,, List Mns Mónio,, Rit Silv,, Hugo Mnul Olivir Lus, Ful Psiologi Ciênis Eução. Univrsi Coimr. Portugl Hospitl Piátrio. Cntro Hospitlr Univrsitário Coimr. Portugl Dprtmnt of Psyhology n Anthropology. Univrsi Extrmur. Spin ntroution: Dvlopmntl isorrs r ivrs group of svr hroni isss with grt impt on th fmily. Sin th pttion to prnthoo is trnsitionl pross with som strss involv, it is importnt to know how this strss is xprin y prnts of this kin of hilrn. Ojtiv: Th gols of this stuy wr: 1) to nlyz th lvls of strss xprin y prnts of hilrn with vlopmntl isorrs (Autism n Down synrom) ompr to prnts of hilrn with no suh ignosis; 2) to ompr th lvls of strss twn prnts of utisti hilrn n prnts of Down synrom hilrn. Mthos: Th smpl ws ompos of two groups: Group 1 39 prnts of hilrn without vlopmntl isorrs (mn g of (DP=4.87); 51% womn; thir hilrn s mn g ws 6,86 (DP=0.48)); Group 2 36 prnts whos hilrn hv vlopmntl isorrs (mn g of 38,23 (DP=6.84); 61% womn; thir hilrn s mn g ws 7,00 (DP=1,73)), of whih 16 r prnts of hilrn with Autism n 20 r prnts of hilrn with Down synrom. Th instrumnt us ws th Prnting Strss nx. Rsults: Prnts of hilrn with vlopmntl isorrs xprin grtr lvls of strss thn prnts of hilrn with no suh ignosis. Among thos, prnts of Autisti hilrn xprin grtr lvls of strss u to th prption of som hrtristis of th hil. Conlusions: Rsults r isuss onsiring th fmilis skills n rsours to hlp minimiz th strss inhrnt in tking r of hil with vlopmntl isorr. Dsriptors: Prntl strss; Dvlopmntl isorrs; Autism; Down synrom. MARJUANA USE AMONG STUDENTS N THE MARAJÓ ARCHPELAGO, NORTHERN BRAZL Furto M, JRV Lislu, Sous MS, Olivir-Mirn AM, Silv-Olivir GC, Olivir-Filho AB Ful Biologi. Cmpus o Mrjó. Univrsi Frl o Prá. Brvs, PA, Brzil Ful Ciênis Biológis. nstituto Estuos Costiros. Univrsi Frl o Prá. Brgnç, PA, Brzil ntroution: n gnrl, th first ontt with illiit rugs ours uring olsn. n Brzil, mrijun is th most us illiit rug mong tngrs. Ojtiv: This stuy trmin th prvln n ssoit ftors out th us of mrijun mong stunts from puli high shools in th Mrjó Arhiplgo. Mthos: A ross-stionl stuy ws onut in puli high shools from th muniiplitis tht ompos th Mrjó Arhiplgo. During th lss prio (Mrh to Dmr 2012) slf-ministr qustionnir ws us to ollt t for sription n nlysis of soio-mogrphi, onomi n fmily onitions rlt to th us of mrijun n othr rugs. Th sttistil nlysis ws prform y simpl n multipl logisti rgrssion follow y th Hosmr-Lmshow tst. Rsults: Of 40,680 stunts nroll in shools, 37,817 (93.0%) prtiipt in this stuy. Th mn g ws 18.5 yrs (13-50 yrs), mostly fml (55.4%). Th prvln of frqunt us of mrijun ws 3.6%. Th g group of mrijun usrs ws yrs. Th first us of mrijun ourr twn 7-19 yrs. Among mrijun usrs, out 576 hv xprin oin y on in liftim. Aftr sttistil nlysis, pimiologil ftors ssoit with mrijun us wr intifi: shool rptition, fmily onflit, frqunt us of liit rugs, prnts who us rugs, frins who us rugs. Conlusions: Th prvln of mrijun us mong stunts in th Mrjó Arhiplgo is high. Th initil onsumption ours uring hilhoo or olsn, in suitl living nvironmnt for th us of rugs tht ompromiss th shool lif tivitis. Dsriptors: Epimiology; Mrijun; Stunts; Mrjó Arhiplgo, Northrn Brzil. [email protected] [email protected] [email protected] [email protected] 186

188 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth PERCEPTONS OF ADER NURSES ABOUT THE ASSSTENCE TO WOMEN VCTMS OF VOLENCE N BRAZL Flávi Dyn Riiro Silvir,, Srh Crolinn Mzz Olivir,, Grzill Rort Frits Silv,, Prisil o Vl Mho,, Nyll Elis Sntos Alnr, ; Rnt Dis Silv Sntos,f ; Frnis Fin Frnns Lim,g Univrsi Frl o Piuí. Brzil Ful ntgrl Difrnil. Trsin, Brzil ntroution: n Brzil, violn hs n on of th most ommon hlth injuris. Du to th inrs to srh for hlth srvis us y th most svrl kins of violn, it ws implmnt in th ountry rfrn srvi whih provis th first is to vitims of violn. Violn ginst womn, spilly, riss onrns to puli n hlth uthoritis. t n infrr, s wll, tht suffring us to injur womn lso gnrts onflits to profssionls who ttn thm. Ojtiv: Dsri prptions n xprins of ir nurss out th ssistn to womn vitims of violn; omprhn th ssistn xprins to injur womn; vlut th ourrn of influn in thir work n intrprsonl rltions. Mthos: This qulittiv rsrh ws rliz with 13 i nurss who hv work in n urgnt r srvi in ity from th Brzilin Northst. Th nswrs wr ror, nlyz n group oring to th similrity of rsponss in thr tgoris: prptions n limittions out th violn ginst womn, th fling of ir nurss n th fns mhnisms in n ttmpt to ttr qulity of lif ths nurss. Rsults n Conlusions: From th ivision into tgoris, oring to th intrviwrs` nswrs, it ws priv th nurss limittion in th ssistn to injur womn n lso th frgility of ths profssionls, who fl powrlss n snsitiz uring th ssistn to womn vitims of mistrtmnt. t ws lso foun tht nurss irs, thy try to fin thir physil n psyhologil slf-prottion through oping thniqus. Dsriptors: violn ginst womn; nursing; urgny r srvi; Brzil. NURSNG CARE SYSTEMATZATON N A PSYCHATRC HOSPTAL N THE BRAZLAN NORTHEAST Dnil Bros Cost Olivir,, rni Silv Cstillo,, Rnt Lops Anr Silv Lr,, Mri Astrs Frnns,, Ann Krolinn Olivir Silv,, Nyll Elis Sntos Alnr,f, Frnis Fin Frnns Lim,g Ful Sú. Ciênis Humns Tnológis Do Piuí. Brzil Univrsi Frl o Piuí. Brzil ntroution: Nursing Cr Systmtiztion (NCS) is systmti n ynmi wy to provi th nursing rs, ling thm to th lints hlth prolms intifition, lso, intrvning n vluting thir humn nswrs to prsript rs. Th mntl hlth nurs fouss his ttntion on holisti r, it nsurs intrvntions n lort to th iniviul n not to th iss. Ojtiv: To vlut NCS in mntl hlth in puli psyhitri hospitl in th Brzilin northst. Mthos: Rtrosptiv sritiv quntittiv stuy prform through oumntl nlysis or srhing on th ptint rors uring th prio from Jnury until Jun This srh ws pprov y Th Rsrh Ethis Committ of Th Univrsitry Cntr UNNOVAFAP, CAAE Protool n it oy to th Brzilin Hlth Counil rsolution 466\ Rsults n Conlusions: t m vint tht from th thr orrsponing rors for Nursing Prolms, Nursing Dignosis n Nursing Prsriptions only 24,3% of th rors h ll of thm; n rltion to th nursing prolms, th most prvlnt of thm wr: Chng in slp pttrn (insomni) n psiomotriity hng (grssivnss), ror 114 n 60 tims, rsptivly. n rltion to Nursing Prsription: Suprvising slp n rpos ws th most prvlnt with 186 rors; n rltion to Nursing Dignosis,it ws priv n vint gp, in wy tht prsription of th r pln ws gnrlist. Filurs wr intifi uring th xution of som nursing pross stps, whih provis susis for minimizing this prolm n improving th NCS pliility in th institution. Dsriptors: mntl hlth; nursing ignosis; nursing r; Brzil. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 187

189 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Lunh ting hits in Portugus ollg stunts onsiring th lotion of ml Anri Azvo,, Filip Frnns,, Lr Frnns,, Ptríi Frnns, ; António Frnns,, Vr Frro-Lrs,f Esol Suprior Sú. nstituto Politénio Brgnç. Portugl Esol Suprior Agrári. nstituto Politénio Brgnç. Portugl ntroution: A hlthy it is ssoit with initors of proximity to fmily, ollgus n shool, n prption of prsonl n soil wll-ing. Ojtiv: To unrstn th ting hits of unrgrut highr ution stunts, onsiring th lotion of ml. Mthos: A ross-stionl, quntittiv stuy ws vlop using proilisti smpl of 405 stunts from Portugus puli highr ution institution. Dt olltion involv th us of qustionnir tht inlu qustions out th ml lotion, th typ of ml, foo/ ingrints n thir portion sizs. To vrify if th onsumption of iffrnt foo groups, t lunh vris givn th lotion whr th ml ws onsum, it ws us th Kruskl-Wllis tst. Rsults: At lunh, signifint iffrns wr foun in wht onrns th onsumption, ing highr in rls, rl prouts n turs, t hom, shool ntn n rsturnt ; milk n rivtivs in othr pls ; oils n fts in th rsturnt ; ny in rsturnt ; fts in th shool ntn, rsturnt n othr pls ; n, juis in othr pls. Conlusions: Ths rsults suggst tht highr ution stunts ting hits vry oring to th lotion of ml, only in som foo groups. Rgring th onsumption of fruits, vgtls, mt, fish n ggs, lgums, lohol n slty thr wr no sttistilly signifint iffrns, whih suggsts tht th onsumption of ths foos is inpnnt from th ml lotion. Dsriptors: Eting hits; Highr ution; Stunts; Lunh; Lotion of Ml. Eting ttitus n risk of ting isorrs in olsnts: rol of th thinnss strotyp Susn Croso,, Osvlo Sntos,, Crl Nuns,, sl Louriro, Esol Nionl Sú Puli. Univrsi Nov Liso. Portugl nstituto Miin Prvntiv. Ful Miin Liso. Portugl Esol Nionl Sú Puli. Univrsi Nov Liso. Portugl ntroution: n soitis whr thinnss is sn s sign of il uty, thr is signifint soil prssur for tngrs to follow this mol. Suh ulturl strotyps n rt risky situtions in wht ting hviors r onrn. Thos risky situtions r ssoit with ttitus onnt with fr of gining wight n with low slf-stm. Ojtiv: To intify risky ting ttitus in olsnts n to hrtriz ssoitions twn ting ttitus (promoting risk of vloping n ting isorr), sx n g. Mthos: 358 olsnts (onvnin smpl) of two sonry shools (g yrs) wr sk to omplt th EAT-25 (ting ttitus tst) (rng from 0 to 75; utoff=19). Rsults: W foun 4, 5% of inrs-risk ss (oys: sors twn 20 n 25; girls: sors twn 19 n 35). No sttistilly signifint iffrns wr foun twn ovrll sor of EAT-25 n g. Girls hv highr (p<.001) sors (mn=7.04; SD=4.48) thn oys (mn=4.78; SD=7.15), n highr prvln of inrs-risk ss. This iffrn twn sxs rsults minly from ftor Driv for thinnss (p<.001). Conlusions: A rlvnt prntg of olsnts rvl ttitus tht put thm in sptrum of inrs risk for ting isorrs (mor prvlnt in girls). Dsir to thin is th most rlvnt ttituinl imnsion. Hlth ution intrvntions orint to st ojtiv n hlthy stnrs of oy img n to promot ovrll slf-stm uiling mong olsnts r strtgi to voi th vntul vlopmnt of ting isorrs. Dsriptors: Eting ttitus; Eting isorrs; Aolsnts. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] 188

190 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Thing n lrning in fmily nursing: from thortil frmwork to xprintil rfltion Mri Hnriqut Figuiro,, Zi Chrp,, Mnul Brás,, Plmir Olivir, Esol Suprior Enfrmgm o Porto. Portugl Univrsi Ctóli Portugus. Portugl nstituto Politénio Brgnç. Portugl ntroution: Th omplxity of th fmily systm, s th trgt of nursing r, rquirs spifi skills to t in sitution. Th Dynmi Mol of Fmily Assssmnt n ntrvntion - MDAF (Figuiro, 2009), s in th systmi prigm n ontriut to th xprintil rfltion on nursing r with fmilis in nursing ution. Ojtiv: to intify th quisition of skills to ssss n intrvn in fmilis n to intify th pgogil strtgis to nhn fmily nursing prti. Mthos: This is qulittiv stuy of sriptiv ntur. Prtiipnts r 25 stunts Mstr s Dgr in Nursing from Portugus Univrsity. Dt wr ollt through qustionnir with opn qustions n nlyz using ontnt nlysis. Rsults: Th us of MDAF ws priv s hng influn in th quisition of skills in fmily ssssmnt n intrvntion, in linil prti. Rl-lif situtions, simultions, n strtions of rlity, wr mphsis s th thing-lrning strtgis. Conlusions: Th us of MDAF, s thortil frmwork, ontriut to th quisition of skills, nhor on prsonl mningful xprins of prtis with fmilis. Th stuy onfirm th importn givn to th stunts rfltiv n utonomous prtiiption in thir lrning, to quir n vlop skills in fmily nursing. Dsriptors: Fmily Nursing, Fmily Nursing Eution, Dynmi Mol of Fmily Assssmnt n ntrvntion. Profil of th womn who rpt n inu ortion Mrin Sofi Silv Coriro Esol Suprior Sú. nstituto Politénio Liri. Portugl ntroution: An inrs of rpt inu ortions hs n osrv sin its riminliztion ws introu in Portugl. Consiring th hlth risks of this phnomnon, its thil qustions, onomi osts n vn th impt in hlth profssionls, systmti rviw n provi rlvnt knowlg out womn who rpt inu ortion. Ojtiv: To profil womn who rqust inu ortion rptly. Mthos: This systmti rviw ws prform oring to th Jonn Briggs nstitut orinttions using MEDLNE, CNAHL n Cohrn tss, with min sriptors s: womn ; ortion, inu ; ortion, lgl ; ortion skrs, rpt. Only pulitions twn Jnury of 1998 n My of 2013 wr onsir. Aftr mting inlusion n xlusion ritri, lvn rtils wr slt n nrrtiv synthsis of th t ws m. Rsults: Womn who rpt inu ortion r proly olr, non-cusin, unmploy, forign, multiprous, hv lss shool ution n liv in urn rs. Thy show goo knowlg of ontrption mthos, ut frquntly us th lss fftiv ons n ssum risk hviors whn onsiously hoos not to us thm. Thy hv highr proility of physil n sxul us history, hilhoo vrs lif vnts, low motionl support n us of lohol, rugs n too. Conlusions: Evin shows tht womn with rpt inu ortion hv highr proility of hving spifi hrtristis tht llow trmining prtiulr profil. Ths rsults n ssist hlth profssionls vloping iniviuliz n prsonliz intrvntions to ths womn, iming to ru this phnomnon. Dsriptors: rpt inu ortion; lgl ortion; womn. [email protected] [email protected] [email protected] [email protected] [email protected] 189

191 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Qulity of lif n wll-ing 329 An n Puli Hlth Ctrin Rlo-Nvs,, Sr S. Dis,,, Crlos Amrl Dis,, Jorg Torg l, Ful Ciênis Méis. Univrsi Nov Liso. Liso, Portugl Uni nvstigção m Sú. Esol Suprior Sú Liri. Liri, Portugl nstituto Suprior Migul Torg. Coimr, Portugl ntroution: n psyhothrputi lini, ptints without n mrks rport this xprin with grt motionl hrg. n ths iniviuls, it is xpt to fin: rs in qulity of rmtologil lif; inrsing prssion lvls, nxity n/or strss; strtgis of oping pt to th prolm sitution; istur pity for symolizing n moulting fftiv xprins (lxithymi). Ojtiv: Th prsnt work ims to intify wht mks n xprin to liv s trum. Mthos: Prliminry work inlu 45 smi-strutur intrviws to ptints with or who h n n 30 hlthr profssionls. Quntittiv mthoology inluing prliminry vrsion of th nvntory of lifs n hviors out An n its trtmnt (CA), Amrin Drmtology Amy An Sl, Qulity of Drmtologi Lif nx, Brif Cop, Dprssion, Anxity n Strss Sl n Toronto Alxithimi Sl, ws ppli to pilot smpl (N=367) n, ftr rformultion, to th of univrsity stunts (N=1,666). Aftr this, 95 rmtologists nswr qustions out CA. Comprtiv nlysis of rsults is in progrss. Rsults: Stuis n show tht n n th wy it is priv rlts with th lvl of qulity of rmtologil lif; prssion, nxity n strss; strtgis of oping n pity for symolizing. Th onstrut CA points out tht lthough most sujts srh for mil hlp, thos with mort to svr n wit longr, ut o it mor oftn. Conlusions: Dt points to th xistn of rltionship twn hving n, psyhologil onition n hviors. Th prsnt work rvls n ssoition twn mort n/or svr n n lxithymi, whih without ing surprising, is poorly rport. Dsriptors: An. Puli Hlth. Qulity of Lif.Young Aults. Hlth Promotion. 330 Efft of mssg thrpy in nr ptints in pllitiv sitution Mári Alvs,, Mri Hln Jrim,, Bárr Goms,, Otíli Frits, Hospitl Dr. Nélio Mnonç. nstituto Ciênis Bioméis Al Slzr. Porto, Portugl Univrsi Mir. Funhl, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Th nurs must intrt with popl in situtions of hlth or iss, improving thir soio-ulturl ontxt n its trnsition pross, using tions suh s thrputi mssg whih onsists of prssing n ruing th oy or prts throf. Ojtiv: Evluting th fft of mssg thrpy in nr ptints in pllitiv sitution. Mthos: W onut systmti litrtur rviw. Ws hl in tss onlin. nlusion ritri wr: rtils twn 2006 n 2012, full-txt; ult ptints. W slt 21 stuis. Rsults: Th mssg thrpy rus: totl pin n pin lvls in th immit n short-trm. Show rs in th us th SOS, howvr thr is stuy oppos to this rsult. Also ontriuting to rs lvls of nus in th short trm s wll s in rlxtion, prss moo, musl ftigu, strss, physil n motionl isomfort n improvs th lvl of motionl wll-ing n slp. n th long trm thr ws no sttistilly signifint iffrn in th improvmnt of qulity of lif, strss n suffring. Conlusions: Th mssg thrpy hs nfiil ffts in th short trm n th lvl of qulity of lif n suffring r so ontritory rfrring to futur invstigtions. W suggst th pursuit of mpiril stuis for grtr onsistny on th ffts of mssg thrputi intrvntion in nr ptints in pllitiv sitution n thus ontriut to th prti of nursing xlln s on vin. Dsriptors: Pllitiv r. Onology. Cnr. Mssg thrpy. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 190

192 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Bnfits of Physil Ativity in Cholstrol n Triglyris in th lrly Mro Btist,, Smul Honório,, Júlio Mrtins,, João Brito, Esol Suprior Eução Torrs Novs. Torrs Novs, Portugl Univrsi Bir ntrior. Covilhã, Portugl Cntro nvstigção m Ativi Físi, Sú Lzr. Univrsi o Porto. Porto, Portugl Esol Suprior Dsporto Rio Mior. nstituto Politénio Sntrém. Rio Mior, Portugl ntroution: Aoring to Crvlho (1996), physil tivity is now sn s ruil mn of prvnting som phnomnon ssoit with ging. This shoul not unrstoo only s n xris in no form (roi xris, musl, t.), ut ov ll s spontnous. A systmti inrs in PA my prov to n fftiv prvntiv strtgy, for th iniviul n wy to improv puli hlth. Ojtiv: Ahiv th importn of physil tivity progrms for th lrly n thir influn on BM, triglyris n holstrol. Mthos: Th smpl onsist of 91 lrly iniviuls, 63 fmls n 28 mls g twn 65 n 78 yrs of g. All sniors prti wtr tivitis, inluing swimming n gymnstis. t ws nlyz th following spts: BM, Cholstrol, Triglyris n prti tim, sniors who wr physilly tiv t lst 3 months, n sniors who mintin hits of physil tivity for mor thn 3 months n still umult 30 or mor minuts of othr tivitis. W hv ppli ross-tls in orr to onfront th nlyz vrils. Rsults: t ws foun tht sniors who mintin physil tivity progrms wr ror outnumr thos who wr ovrwight n osity rts in Tl of BM, n holstrol n lowr triglyris. Conlusions: W onlu thrfor tht physil tivity progrms tht ontmplt 2 or mor hours pr wk, uly orgniz n systmtiz onstitut positiv ftor in omting intivity n turn into mor tiv n hrful lrly, n lso n sussful n xtrmly fftiv ftor in th mintnn n rgultion of triglyris n holstrol lvls onsir norml. Dsriptors: Physil Ativity.Ativ Aging. BM. Cholstrol. Triglyris. Comprison of funtionl fitnss twn sntry n tiv lrly with AAHPERD tsts Smul Honório,, Mro Btist,, Júlio Mrtins,, João Brito, Esol Suprior Eução Torrs Novs. Torrs Novs, Portugl Univrsi Bir ntrior. Covilhã, Portugl Cntro nvstigção m Ativi Físi, Sú Lzr. Univrsi o Porto. Porto, Portugl Esol Suprior Dsporto Rio Mior. nstituto Politénio Sntrém. Rio Mior, Portugl ntroution: Croso (2002) rvls tht physil tivity in rltion to oy omposition is n importnt ftor in wight ontrol, s it inrss lori xpnitur n hlps to mintin or inrs ln oy mss, rss ft mss, n inrss musl mss, y rgulr physil tivity in lrly popl. Ojtiv: To nlyz n ompr th lvl of funtionl fitnss in sntry n physilly tiv lrly. Mthos: Th smpl onsists of 62 sniors, 42 fml n 20 ml gnr. Dt olltion ws onut through qustionnir with totl of 5 qustions, n ws ppli Bttry Tst AAHPERD. Rsults: n tsts of Coorintion, sntry n physilly tiv lrly h n M=85 with stnr vition of 27 in th Tst For uppr lim, n M=24 with stnr vition of 24, th Agility n ln tst, n M=89 with stnr vition of 23 in tst Flxiility, n M=89 with stnr vition of 10, n finlly th Gnrl Aroi Enurn tst otin n M=23 with stnr vition of 23. This mns tht st rsults wr otin whr th Tst Coorintion, Agility n Bln n Flxiility. Conlusions: W onlu tht physilly tiv lrly show mor fvorl in tsting ngins n sntry. n most tsts thr wr highr vlus in tsts Coorintion n Agility/Bln, n lowr vlus in mor physilly mning tsts, inluing th tst of uppr lim strngth n roi nurn ovrll. Dsriptors: Ativ Aging. Funtionl Fitnss. Exris. Bttry Tsts. Aroi Enurn. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 191

193 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Psyhomtri Proprtis of Portugus vrsion of Prsonl Outoms Sl: EPR Cristin Simõs,, Sofi Sntos, Ful Motrii Humn. Univrsi Liso. Liso, Portugl Cntro Estuos Eução Espil. Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: Assssing Qulity of lif (QOL) for popl with ntlltul Disility (D) hv rntly m mjor mphsis in rsrh us this onpt is ssntil for intrvntion with this popultion. n Portugus srvis, it is ruil vlop, implmnt n us systmti pproh to th ssssmnt of or QOL omins. t is nssry to vlop sl tht llows slf-rport msurs to gthr informtion out sujtiv prsptivs n gols. Ojtiv: This stuy ims to nlys th rliility n vliity of Esl Pssol Rsultos (EPR), th Portugus vrsion of Prsonl Outoms Sl (POS). Mthos: Aftr th ross-ulturl pttion, EPR ws r-ministr to sm prson (with D) n proxy t 2-3 wks following its first pplition. Th EPR rliility ws nlyz y Cronh s lph, split-hlf, tst-rtst n intr-rtr offiints. Wr lso prform ontnt vliity, onstrut n onurrnt vliity. Smpl inlu 447 ults with D (intrmittnt n limit support ns) n rsptiv proxis. Rsults: Stuy rsults r isuss in trms of rliility n vliity: EPR show goo prformn onrning intrnl onsistny (α>.90), tst-rtst rliility (>.89), intrrtr rliility, ontnt, onstrut n onurrnt vliity. Conlusions: EPR sl show qut sors onrning to vliity inxs n it sms to usful msur of prsonl outoms for Portugus ults with D. EPR n us to improv progrm srvis n support plnning, s on rtings. Also givs to Portugus rhilittion srvis QOL initors tht shoul inlu in intrvntions. Dsriptors: Qulity of lif. ntlltul isility. Crossulturl pttion. Rliility. Vliity. Assssing Qulity of Lif on Aults with ntlltul Disility: Esl Pssol Rsultos vrsus WHOQOL-Brf Cristin Simõs,, Sofi Sntos, Ful Motrii Humn. Univrsi Liso. Liso, Portugl Cntro Estuos Eução Espil. Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: Qulity of lif (QOL) hs n inrsingly us s ky outom to trmin th glol impt of intrvntions for prsons with intlltul isility (D). t is lso vrifil th srity of just ultur Portugus tools, s wll lin onfin in linil (vs. inlusiv) pproh n ovrvlution of proxis rthr thn lint s with D. Ojtiv: Two of QOL sls r Prsonl Outoms Sl, whih ws trnslt to Portugus (EPR) n WHOQOL-Brf. Both vrsions wr ompr n orrlt to nlys its fsiility n usfulnss in spil ution n rhilittion fil, in th ssssmnt of Portugus ults with D. Mthos: EPR ws ppli to 219 institutionliz ults with D from 18 to 64-yrs, who omplt oth qustionnirs in slf-ministr wy (rsponnts with suffiint ring ility) or unr th wy of intrviwr ministr form (most ss). Rsults: Rsults r fous on rliility n vliity of oth instrumnts s wll on thir orrltion. Th totl sors of oth msurs wr highr for ll prtiipnts. Th intrnl onsistny msur y Cronh s lph ws.88 for EPR n.87 for WHOQOL-BREF. Expt ssoitions (wk to mort) wr foun twn oth sls (.25> r <.52; p<.01). Domins sors iffrntit twn prtiipnts with iffrnt lvls of support ns. Conurrnt vliity n onvrgnt vliity wr stui. Conlusions: Both sls monstrt goo psyhomtri prformn n sm vlul to us with popultions with D. Howvr, mort D hs highr sors in WHOQOL-BREF thn EPR. Conurrnt vliity show wk to mort orrltions twn rlt msurs of QOL onstrut. Dsriptors: Prsonl outoms. Qulity of lif. Evlution. ntlltul isility. EPR. WHOQOL-Brf. [email protected] [email protected] [email protected] [email protected] 192

194 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hr-rug intrtions mong ommonly us psyhotiv sustns y hlthr stunts Anré Colho, Lilin Arnh Ctno Esol Suprior Tnologi Sú. nstituto Politénio Liso. Liso, Portugl ntroution: Dspit th wispr us of psyhotiv sustns mong stunt popultions, oumnt intrtions twn hrl miinl prouts n prsri rugs r rr. Ojtiv: Th im of this stuy ws to trmin th prvln of onomitnt us of psyhotiv sustns mong hlthr stunts in th Lison Shool of Hlth Thnology, Portugl, in orr to ssss th risk of potntil hr-rug intrtions. Mthos: During April 2011, ll onsnting hlthr stunts wr rqust to fill moifi pilot-tst smi-strutur slf-rport qustionnir s on prvious ntionl survys. Th qustionnir onsists of 66 itms ovring mogrphi hrtristis, hlth n wll-ing, prvln n frquny of us of svrl typs of sustns, inluing lohol n too, prsri rugs n OTCs. Possil intrtions wr trmin from litrtur rviw of oumnt intrtions. Chisqur tst n Sprmn orrltion offiint wr us to vlut th ssoition twn vrils. Rsults n Conlusions: Th rsults init tht th most urrntly us sustns wr xnthins (97%), lohol (97%), n hrl miinl prouts with psyho stimulnt fft (61%). Expt for xnthins, th us of ths sustns sm to only puntul. Us of prsri stivs or mil nxiolyti hrl miins t lst on in th yr (56%) ws rltivly high whn ompr with prvious stuis mong stunts popultions. Conomitnt us of stivs n mil stimulnts (P=0.502) init potntil risk for ntgonism. Th high rts of rug us mong survy hlthr stunts, n th inrsing populrity of hrl miins, mk it importnt to ssss potntil hr-rug intrtions in ror stunt popultions. Dsriptors: Psyhotiv sustn us. Hlthr stunts. Hr-rug intrtions. Communition with lrly ptints wknss or n opportunity to young nurss? Cáti Prir, Trs Mtos Cntro Hospitlr Brriro-Montijo. Brriro, Portugl ntroution: n vryy profssionl thr is gnrtionl gp twn nurss n ptints, implying iffrnt vlus, lifs, xpttions, lngug, mong othrs, ffting th qulity of r provi. Dvlop ommunition skills is ssntil to trnsform potntil iffiultis into opportunitis n profssionl nrihmnt. Ojtiv: To nswr th rsrh qustion: whih ftors influn ommunition with lrly ptints n whih implitions for nursing prti? W prtn to ontriut to vlopmnt of vin-s prti n th highst qulity of nursing r. Mthos: Rsrh in EBSCO tss (MEDLNE n CNHAL) n SiELO, Otor 2013, using th kywors: ommunition AND lrly AND nurs*. Anlyz strts n inlu rtils in Full Txt whih pproh ommunition twn nurss n lrly ptints in nursing homs or hospitls. Anlyz 11 rtils. Rsults: Ftors rlt to: Nurss tiv listning, positiv ttitu, thniqu lngug, ttntion to th ognitiv ilitis, snsiility to th prolms n hngs rlt to inptint, tim to ommunit, prption of th rol of th lrly n ging, pprition of touh. Ptints prsonl n trritoril invsion, lk of privy, fling of lonlinss, ognitiv hngs, iss, lvl of ution, iffrns in lngug, forgtfulnss. Environmnt noiss, nurs s worklo, prsn/sn of fmily, luminosity, olor of wlls, tmprtur n oors, hng of room without onsnt, no us of urtins/foling srns. Conlusions: Nurss hv rsponsiility for optimizing ommunition. Thy shoul unrtk trining to vlop ommunition skills hlping th lrly s trnsition hlth/ iss or pttion to nw onitions rlt with ging, improving thir qulity of lif. Dsriptors: Elr. Nurs. Communition. Aging. Hospitliztion. [email protected] [email protected] [email protected] [email protected] 193

195 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th hil with HV/ADS: Truth Dislosur Dul Glvão, Cristin Rlo, Dnil Almi, Mfl Vl Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: HV/ADS ignosis islosur to hilrn rings hlth nfits n lss psyhologil mg; howvr, prnts voi it us of HV-rlt stigm (WHO, 2011). Ojtiv: To intify ky spts, strtgis n onsquns of prnts islosur to th hil with HV/ADS. Mthos: Systmti rviw of stuis pulish twn Jnury/2002 n July/2013 whih, rgrlss of thir rsrh mthoology, inlu prnts islosur to th hil with HV/ADS, oring to th WHO finition, n full-txt pprs foun in EBSCO n in CNAHL, MEDLNE, MiLtin, Ami Srh Complt n Psyhology n Bhviorl Sins Colltion tss. Srh kywors wr: hil, fmily, prnts, mothr, fthr, HV/ADS, ignosis islosur n its orrsponing trms in Portugus n Spnish. Stuis on islosur to hilrn with ignosis othr thn HV/ ADS wr xlu. A totl of 1791 pprs wr foun: 20 wr slt n 9 wr us. Rsults: Dislosur shoul prviously prpr. t is rsponsiility of th prnts/rgivrs. Prnts fr tht thir hil will rt to stigmtiztion n isrimintion. Ftors suh s th hil s g, th prnts lvl of ution, th ountry s vlopmnt, rlutn to tk mition, n th us of ntirtrovirl shms wr onsir. Dignosis is prtilly islos or islos in singl momnt, using simpl xplntions. t nls highr hrn to thrputis n rsponsiility. Stigmtiztion, soil isoltion n isrimintion r ngtiv onsquns. Conlusions: Nurss shoul hlp prnts/rgivrs ling with this pross. Thr shoul rltionship of trust n prprtion s to how n whn ignosis shoul islos. Dsriptors: Chil. Fmily. Prnts. HV/ADS. Dignosis islosur. nfrtility in mls Crolin Hnriqus,, Pul Amo,, João Frno, Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Mtrni Dr. Dnil Mtos. Cntro Hospitlr Univrsitário Coimr. Coimr, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: nfrtility is still too sujt in mny soio - ulturl ontxts, whil rmining n mrging phnomnon in orn with urrnt sttistil t. Ojtiv: To unrstn th xprins of th infrtil mn who wnts to hv hilrn. Mthos: A stuy of phnomnologil ntur ws vlop. Dt wr ollt mong tn mn to whom infrtility h n ignos. Rsults: With rgr to th xprins of th infrtil mn who wnts to hv hilrn, w foun th following tgoris: th signifin of hving hil, mning n flings for ignosis n u to th ignosis of infrtility, infrtility implitions, mning of ing infrtil, strtgis for oping with infrtility, hngs xprin, onrns n iffiultis xprin throughout th pross. Conlusions: W liv tht our stuy my ontriut to ttr unrstning of mn s xprins of this humn xprin, rprsnting n vlu for hlth profssionls n humn ring in nursing. Dsriptors: nfrtility. Mn. Phnomnology. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 194

196 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Emotionl hngs in postprtum womn Crolin Hnriqus,, Elis Ciro,, Mri Sntos,, Sóni Rmlho, Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: Trnsition to prnthoo is omplx phnomnon tht involvs iffrnt stgs of physil n psyhologil vlopmnt. Ojtiv: To sri th soiomogrphi n osttri hrtristis of group of postprtum womn, n to intify th lvl of uto-prption of psyho-motionl hngs. Mthos: Cross-stionl sriptiv stuy. Applition of soiomogrphi n osttri qustionnir, long with sl to rt th psyho-motionl hngs flt y th purprl, to smpl of 110 postprtum womn, mitt to osttri srvis. Rsults n Conlusions: Th purprl h on vrg 29.1 yrs ol, 78.0% wr mrri, 33.0 % h sonry ution, whrs 80% plnn n 95.0% wish thir prgnny. Th mjority (95.4%) h suprvis prgnny n 55.0% ttn to hilirth prprtory ourss. Whil 54.0 % h norml livry, 31.0% wr sumitt to srn, n in 72.7 % of th ss, th irth ws ssist y th fthr of th nworn. n wht onrns nursing r, 53.7% of th womn onsir th r provi uring lor s vry suffiint, rporting s signifint th sympthy, fftion n rinss to t. During hospitliztion, 58.2 % of th womn rport tht th provision of nursing r ws vry suffiint, hving highlight s importnt spts th sympthy n fftion shown (24.5 %), n tht nurss shoul giv mor importn to unrstning n supporting th ption to nw rlity/lif sitution (19.1%). n trms of psyho-motionl hngs, n vrg of 37.4 (σ=9.4) ws otin, initing low lvls of psyho-motionl hngs (Xm=56). Dsriptors: Prnting. Purprium. Emotions. Nursing. Effts of two xris trining progrms n trining in olr womn Rfl Olivir,,, Lilin Rmos,,, Rfl Souz,, Crlos Sntmrinh,, João Brito,,V, Esol Suprior Dsporto Rio Mior. Rio Mior, Portugl Uni nvstigção. nstituto Politénio Sntrém. Sntrém, Portugl Câmr Muniipl Esposn. Esposn, Portugl V Cntro nvstigção Quli Vi. Sntrém, Portugl ntroution: Physil xris outoms in moriity prvntion n qulity of lif improvmnt show nfits for th ging pross ly. Ojtiv: Evlut th impt of trining in lrly womn ovr nin months unr two xris progrms n thr months of trining. Mthos: 51 Womn (g 68,22±9,12 yrs) prtiipt in suprvis xris progrm ivi in two groups: ln-xris group (GA) n group of ln-xris plus quti-xris (GB). Thy wr vlut t th ginning, t th n of th xris trining progrm n ftr trining prio. Rsults: Aftr th trining prio GA shows rs in systoli (SBP) n istoli (DBP) loo prssur, rsptivly p=0,001 n p=0,001 whil rsistn of lowr lims (p=0,013) improv. Group B shows rs in SBP (p=0,035) n DBP (p=0,001) whil gility (p=0,045) n rsistn uppr lims (p=0,014) improv. Aftr trining prio, GA inrss SBP (p=0,009) n DBP (p=0,005). Rsistn of lowr n uppr lims (rsptivly p=0,000 n p=0,000), gility (p=0,002), ln (p=0,029) n roi pity (p=0,002) rs. Group B signifintly inrss in SBP (p=0,021). Rsistn of lowr n uppr lims (rsptivly p=0,000 n p=0,000), gility (p=0,000) n roi pity (p=0,003) rs. Conlusions: Ths finings suggst th prti of rgulr suprvis xris progrm ovr 9 months n improv strngth n gility in lrly womn. n ition, inrs physil tivity ws ssoit with ttr improvmnts. Howvr 3 months of trining rsults in loss of pitis. Dsriptors: Olr womn. Exris. Trining. Dtrining. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 195

197 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Mothr-nfnt rltionship with mothrs suffring from nxity n moo mnmnt Sóni Rmlho,, Dul Glvão, Uni nvstigção m Sú. Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: Sfty, prottion n motionl rgultion r ky spts for onstruting mothr-hil rltionships. Thrfor, th postprtum prio is ritil to rly promot this rltionship. Ojtiv: To sri th flings n xprins of mothrs prsnting nxity n moo ltrtions n thir rltionships with th nworn. Mthos: Cross-stionl sriptiv stuy. Applition of th Osrvtion Mothr-By gri to 44 postprtum womn intrn in miwifry srvi. Rsults: Th purprl group h mn g of 31.7 yrs; 79.5% wr mrri n 45.5% rurl rsints. Th prntg of womn without osttri history ws of 59.1% n 52.3 % h norml livris. Th proportion of primiprous womn ws of 47.7%, n in 88.6% of th ss, mothrs wr ompni y th husn or th y s fthr. Somti omplints wr rport in 93.1% of th ss, long with nxity (54.5%), trfulnss (40.9%), lk of fftion (34%), n 54.5% of th womn rport fr of ing unl to provi y r. Poor ommunition ws prsnt y 59.0% of th mothrs, whrs only 56.8% woul rry th y, n 47.7% show h n fil movmnts. Among th group, 52.2% prsnt tns fil xprssion n 36.3% sorrow. Rgring th onrn with th y, 65% rspon to th rqusts, 25% xggrt n 13% ignor th rqusts of th y. Conlusions: Womn with moo swings n nxity srv priority intrvntion for motionl n psyhologil support. During th trnsition to prnthoo, nurss n promot n ovrs th mothr-infnt rltionship n th mothrs to r for thir is. Dsriptors: Mothr. Postprtum. Flings. Nursing. nflun of hlth initors in prvln of HTA n osity in highr ution Ros Prir,,, Cti Montiro, Rui Sors, Snr Riiro, Vr Piv, Orl Min,, Frnno Azvo, Cntro ntrisiplinr Ciênis Sú. Póvo Lnhoso, Portugl nstituto Suprior Sú o Alto Av. Póvo Lnhoso, Portugl ntroution: Svrl stuis show th prvln of risk ftors in youngr popultions n ssoitions twn thir vrils n inrs risk of riovsulr isss (CD); to our knowlg thr r no stuis to xmin ths ftors in young ults longing to th rgion of Alto Av. Thy will n importnt prt of th working popultion n, s suh, th onst of CD in ths iniviuls oul l to ngtiv onsquns. Ojtiv: To nlyz th prvln of hyprtnsion n osity s risk ftors for riovsulr iss, in rprsnttiv smpl of th stunt popultion t highr ution institution, SAVE. Mthos: t ws rri n xplortory, sriptiv, orrltionl n ross-stionl stuy in smpl from totl popultion of 825 stunts. Thr wr slt moifil n non-moifil risk ftors ssoit with CV. Both qustionnir n physil msurmnts wr prform upon sign onsnt. Rsults: Thr ws no signifint iffrn in prvln of hyprtnsion mong th ml n fml stunts. Th prvln of osity ws signifintly highr in th ml thn in th fml popultion. Aominl osity ws mor frquntly nountr in th ml. Alohol onsumption n smoking igrtts wr signifintly highr prolm in th ml popultion thn in th fml on. Physil intivity ws mor oftn foun in th fml stunts. Conlusions: Criovsulr risk ftors r prsnt in th stunts. Consiring th high lvls of moriity n mortlity of CD, s wll s th high osts ssoit with trtmnt, thr shoul high intrst in prvntion progrms im t stunts in high lrning institutions. Dsriptors: Risk ftors. Highr Eution. Criovsulr Disss. Hyprtnsion. Osity. [email protected] [email protected] [email protected] 196

198 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Coin, Crk n Multipl Drugs Consumption: ntrf with Usrs Qulity of Lif Snr Pillon,, Ntáli Jor,,, Joséli Roi,, Mri Rimuno,, Pulo Frrir, Univrsi São Pulo. São Pulo, Brsil Psyhosoil Rhilittion Cntr. Riirão Prto, SP, Brsil Psyhosoil Rhilittion Cntr. Jotil, SP, Brsil ntroution: Th pnn on lohol n too hs n strongly ssoit ngtivly with th gnrl stt of hlth. n rltion to lohol misusrs, thr is vin to suggst tht lohol misusrs prsnt with mor impir physil, soil n mntl hlth r of th qulity of lif, whn ompr to thos who r stinnt. Ojtiv: This stuy xmin th rltionship of th us of oin, rk n multipl rugs n thir intrf with qulity of lif of usrs. Mthos: A ross-stionl stuy ws unrtkn t n ition ntr in Southrn Brzil. Dt wr ollt from smpl of 140 sustn misusrs who omplt Soio-mogrphi informtion, Svrity Alohol Dpnn Dt (SADD), Svrity of Dpnn Sl (SDS), Worl Hlth Orgniztion Qulity of Lif short vrsion (WHOQOL-rf), n th Aition Svrity nx (AS-6). For t nlysis, Fishr s Ext Tst, Prson n Sprmn s orrltion offiints wr us; in th omprison, Anlysis of Vrin (ANOVA), th multipl linr rgrssion nlysis mol ws us. Rsults: Svr lvls of th lohol n rug pnn synroms wr vint. No signifint iffrns wr foun twn th oin n rk groups, ut ths iffr from th multipl rug usrs group showing highr sors on th sls (SADD, SDS n AS6). Th finings lso init tht th svrity of th rug us prolms intrfrs with priv qulity of lif. Conlusions: Th stuy show tht tht th onsumption of ths sustns hv signifint, influns on th iologil, psyhologil, n soil spts of th qulity of lif of sustn misusrs. Dsriptors: Coin. Crk Coin. Qulity of lif; Sustn Misus. Alohol. Th influn of wight sttus on physil fitnss of primry shool hilrn Crlos Luz,, Gril Almi,, Luís Rorigus,, Rit Corovil V, Esol Suprior Eução Liso. nstituto Politénio Liso. Liso, Portugl Ful Ciênis Sú. Univrsi Frnno Psso. Porto, Portugl Esol Suprior Dsporto Lzr Mlgço. nstituto Politénio Vin o Cstlo. Vin o Cstlo, Portugl V Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: Low lvls of physil fitnss mong hilrn rsult in n inrs inin of osity n othr isss tht r typilly ssoit with olr popl, thrfor physil fitnss plys n importnt rol in mintining hlthy lifstyl. Ojtiv: Th im of this stuy ws to nlys th iffrns in riovsulr fitnss n sp/gility tsts twn norml n ovrwight/os hilrn. Mthos: A smpl of 338 prtiipnts (6 to 11 yrols) ws ivi in 2 groups (243 with norml BM n 95 with ovrwight/os prolms), using th intrntionl ut-off points for Boy Mss nx (BM) (Col & Lostin, 2012). Th PACER tst ws us to msur riovsulr fitnss n th shuttl run tst ws us to msur sp/gility. Rsults: W foun signifint iffrns twn th 2 groups in th PACER n shuttl run tsts, initing lowr fitnss sors in ovrwight/os hilrn. This trn pprs for oth gnrs in th PACER tst n only for oys in th shuttl run tst. t is importnt to noti tht ths signifint iffrns only ppr from th g of 8 in oth tsts. Conlusions: t sms tht ing ovrwight n os oul om srious prolm with ging, with grtr mphsis on riovsulr fitnss. t is imprtiv to gin hlth promotion poliis n physil tivity progrms to improv not only rio-rspirtory fitnss, ut lso othr physil fitnss omponnts suh s sp/gility. Shools my ply n importnt rol in intifying hilrn with low physil fitnss n ovrwight/os prolms in orr to fin strtgis to promot hlthy lifstyls. Dsriptors: Chilrn osity. Criovsulr fitnss. Sp. Agility. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 197

199 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Eution for hlth: Alohol n young g shool tngrs Pul Mnonç,, An Roh,, An Sous,, Flávi Snto,, Frniso Cost,, Ptríi Dôro,f Esol Suprior Tnologi Sú. nstituto Politénio Liso. Liso, Portugl Cntro Estuos Soiologi. Univrsi Nov Liso. Liso, Portugl ntroution: Alohol onsumption strts t n rly g in Portugus popl. Hlth prolms n risk hvior ssoit with xssiv onsumption n prvnt or highly ru through fftiv shool progrms. Hlth profssionls, suh s iomil sintists, (BS), r importnt in promoting hlthy lifstyls through th trnsmission of knowlg. Ojtiv: Explor th rol of th BS in promoting hlth vi intrvntion n lrifition tions, (CA), with 9 th gr stunts from Agrupmnto Esols Portl Mosvi (AEPM) n Vison Juromnh (AEVJ); Vrify th rltionship twn prtiipting in th CA n th lvl of knowlg quir from it. Mthos: Bhviors n lifs onrning lohol onsumption n knowlg out th rprussions of it in th humn oy, minly rgring th livr, wr ssss y qustionnir. Th qustionnir ws omplt for n ftr th CA, y th ontrol group (CG) n th stuy group (SG), rsptivly. Th nswrs onrning knowlg wr givn points, ltr onvrt to sor from 0 to 100%. Dt ws nlyz pplying sriptiv sttistis n th t-stunt tst using SPSS Rsults: Aftr sttistil nlysis, it ws foun n vrg sor of 48.8% for SG n 46.2% for CG. Th iffrn twn groups ws sttistilly signifint only in AEPM whr CA inlu prtil mthoology (mirosopi n mrosopi osrvtion of pork livrs), ontrry to AEVJ. Conlusions: BS intrvntion through CA s improvs tngrs knowlg. Thortil knowlg ssoit with prtil pprohs improvs th rtntion of informtion n th vlopmnt of onsious hvior out th onsumption of lohol. Dsriptors: Hlth Promotion. Tngrs. Alohol. Livr isss. Bhviors. Rliility of omprhnsiv fitnss tst ttry in prsons with firomylgi Frniso Dominguz-Muñoz,, Dnil Trvisu, Pro Olivrs, Hétor Corzo, Migul Hrnnz-Moholí n Nris Gusi Univrsi Extrmur. Cárs, Espnã Univrsi Autónom Chil. Aruní, Chil ntroution: Prson with FM ns omprhnsiv fitnss tst ttry to sss monitor th volving funtionl pity. Th qut ssssmnt rquir th qut rliility inx of this tst. Ojtiv: Th ojtiv of this stuy is to vlut th rliility of Ely s rvis fitnss tst ttry in prsons with firomylgi (FM). Mthos: On singl invstigtor msur 31 womn ignos with FM. Prtiipnts prform twi th Ely s ttry (hn-grip, tim up n go, 6 minuts wlking tst, st n rh for snior n impir prsons) intrsti y on-wk tst-rtst mtho. Rsults: Evry singl tst ws highly rlil (CC>.90; SEM rng from 0.8% to 7.2%; SRD rng from 2.2% to 19.9%) in prson with FM. Conlusions: W onlu tht th Ely s rvis fitnss tst ttry is fsil, sf n rlil in FM ptints. Th rliility inxs llow to linilly ssss th funtionl hngs in this popultion. Dsriptors: Firomylgi. Tst. Rtst. Rliility. Fitnss. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] 198

200 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Trnsltion n Spnish ulturl pttion of th firomylgi knowlg qustionnir (FKQ) Frniso Dominguz-Muñoz,, Juit Gri-Mtor, Pro Olivrs, Hétor Corzo, Plom Rohlfs- Domínguz, Nris Gusi Univrsi Extrmur. Cárs, Espnã Univrsi Autónom Chil. Aruní, Chil ntroution: Firomylgi (FM) show omplx synrom snrio tht impt on th hlth rlt qulity of lif of ptints. Th lvl of knowlg is ruil to ssss th slf-mngmnt of ptints ut thr is lk of instrumnts. FM is tool tht vluts knowlg out FM. Ojtiv: W im to trnslt n ulturlly pt th Firomylgi Knowlg Qustionnir (FKQ) from th originl Brzilin-Portugus Vrsion to Spnish. Mthos: W prform n vlut th forwr-k trnsltion mtho n ulturl pttion to nsur th right omprhnsion y ognitiv n rphrsing mtho. W lso quntittivly ssss th lvl of unrstnility y itm. Rsults: Th Spnish vrsion of th FKQ ws otin. Th intrviw prtiipnts init tht th qustionnir ws highly lr n unrstnl. Som pttions wr m for onptul rsons. Conlusions: W prsnt th Spnish vrsion of th FKQ, n its s to us. Dsriptors: Chroni illnss. Diss-spifi knowlg. Chroni symptom. Qulity of lif. Eight wks of vigorous xris r nough for signifint rution in loo prssur Pro G. Morouço,,, João Gurr, Nuno Ânglo, Rogério Slvor Cntro pr o Dsnvolvimnto Rápio Sustnto Prouto. Mrinh Grn, Portugl Esol Suprior Eução Ciênis Soiis. nstituto Politénio Liri. Liri, Portugl ntroution: Mil soitis rommn inrs physil tivity to prt of ntihyprtnsiv thrpis. Howvr, th intnsity n urtion of th sssions tht n inu signifint rution on loo prssur (BP) r to trmin. Ojtiv: Th im of th prsnt stuy ws to vrify if 8 wks of vigorous physil tivity r nough to prou signifint rution in BP of hyprtnsiv mn (i.., BP 140/90 mmhg). Mthos: Fourtn mn (41.8±17.2 yrs of g; with ovrwight 27.9±5.5 kg.m -2 ) prtiipt in 3 high intnsity trining sssions pr wk, uring 8 wks. Trining inlu 40 min of vigorous physil tivity (20 min of strngth trining n 20 min of roi xriss) ftr 10 min wrm-up n follow y 10 min of rovry. BP ws ssss (vrg of 3 msurmnts) for th trining prio, in th 4 th wk n in th 8 th wk, oring to stlish rommntions. Rsults: Bslin vlus of systoli (SBP) n istoli (DBP) loo prssur wr 145.5±8.8 n 88.0±2.4 mmhg, rsptivly. Four wks wr not nough to prou signifint rution of SBP n DBP (-3.57±1.58 n -3.10±1.10 mmhg, rsptivly) ut 8 wks wr (SBP: -8.38±1.74 mmhg; p=0.001; η 2 =0.718; ρ=0.994; n DBP: -4.64±1.48 mmhg; p=0.034; η 2 =0.430; ρ=0.656). Conlusions: Ths rsults suggst tht 8 wks of vigorous physil tivity r nough to ru oth systoli n istoli loo prssur in hyprtnsiv mn. Consiring tht low physil tivity is mjor risk ftor for riovsulr iss n inrs mortlity, hlth rlt profssionls shoul motivt hyprtnsiv mn to ngg in vigorous physil tivity progrms. Dsriptors: Exris. Strngth. Aroi. Systoli loo prssur. Distoli loo prssur. [email protected] [email protected] 199

201 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Mngmnt of Fmily Crgivrs Emotions: hllng in pitri intnsiv r nursing Hugo Mrtins, Nuno Frnns Uni nvstigção & Dsnvolvimnto m Enfrmgm. Esol Suprior Enfrmgm Liso. Liso, Portugl ntroution: Th motionl imnsion of th prson n its importn in hlthr is prtiulrly rlvnt to nursing, sin th nursing pross is rltionl, stp with motions tht mrg from humn xprins. Howvr, this motionl imnsion is somtims unrvlu in prti us of its omplxity. Th intgrtion of th motionl imnsion of hilrn s n thir rgivrs xprins, knowlging tht ritil iss hs n intns impt on thm, is of xtrm importn; s so, fmily rgivrs shoul onsir s nursing lints thmslvs n not just prtnrs in r of thir hilrn. Ojtiv: This work ims t nlyzing th motionl impt of th hospitliztion of ritilly ill hil on fmily rgivrs, s wll s thir ns n th nursing intrvntions tht my moiliz to minimiz tht impt. Mthos: A litrtur rviw (EBSCOhost ntgrt Srh n print pulitions) of rtils from 1988 to 2012 ws prform, rsulting in 32 rtils in Portugus, English n Spnish. Rsults: Fmily rgivrs xprin th hospitliztion of thir hil s ngtiv n motionlly intns, ssoit with iffrnt ns n motions through th svrl phss of hospitliztion. Emotionl mngmnt n hlp minimiz thir suffring n trnslts into tions/ intrtions in ntiiptory n rtiv momnts, on four mjor rs: proviing informtion, promoting prnting rol, vloping trust n proviing support. Conlusions: Th hospitl mission of ritil ill hil ffts fmily rgivrs ngtivly. Nurss must ssss thir motions n ns n vlop thrputi intrvntions to minimiz th ngtiv impt of thir xprin. Diffrnt momnts of hospitl sty r ssoit with iffrnt motions, ns n intrvntions. Dsriptors: Fmily rgivr. Critilly ill hil. Emotion mngmnt. Nursing. Thrputi intrvntions. Assssmnt of nutritionl sttus of lrly ptints with hip frtur Cáti Gonçlvs,, Ctrin Gurriro, Elizth Silv Esol Suprior Tnologi Sú Liso. Liso, Portugl Hospitl Noss Snhor o Rosário. Cntro Hospitlr Brriro Montijo. Brriro, Portugl ntroution: Mlnutrition is ommon mong lrly ptints with hip frtur n is irtly rlt to inrs omplitions (moriity, mortlity). t hs n monstrt tht nutritionl sttus is pritor of postoprtiv omplitions tking isiv rol in th linil volution of ths ptints. Ojtiv: Th im of this stuy is to ssss th postoprtiv nutritionl sttus n itry intk of lrly ptints with hip frtur. Mthos: Osrvtionl n sriptiv stuy of th pimiology of 45 ptints with hip frtur. Th nutritionl sttus ws ssss y th using th MNA n nthropomtri prmtrs oth prform uring th first 48 hours following th surgry. Ditry intk ws lult for h ptint on th thir y ftr surgry n th y pring th ishrg through th foo 24h rll. Ditry intk ws ompr with nutritionl rquirmnts. Rsults: Thirty-six womn n nin mn wr inlu with mn g of 81 yrs. Aoring to th MNA sor, 31% of ptints wr mlnourish, 49% wr t risk of mlnutrition n 20% h goo nutritionl sttus. Assssmnt of th itry intk uring th thir y post-surgry rvl tht only 6.8% of th ptints hiv lori rquirmnts n 22.7% hiv protin rquirmnts. At th tim of ishrg this prntg inrs to 19.5% n 24.4% rsptivly. A ngtiv rltionship ws foun twn protin intk n lngth of sty (r=-0463 p=0.002). Conlusions: A high prntg of lrly ptints with hip frtur r mlnourish or t risk of mlnutrition uring hospitliztion. Postoprtiv itry intk is insuffiint ompr to th nrgy rquirmnts. Dsriptors: Mlnutrition. Nutritionl sttus. Hip frtur. Ditry intk. Lngth of sty. [email protected] [email protected] [email protected] 200

202 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth Promotion in Highr Eution: Rsilin n Qulity of Lif Mri João Amnt, Emíli Mrtins, Frniso Mns, Susn Fons, Rosin Frnns, Pul Xvir f, Cáti Mglhãs g Esol Suprior Eução. nstituto Politénio Visu. Visu, Portugl ntroution: Th ss to highr ution oul fining momnt in th rsolution of importnt vlopmntl tsks (Frrir & Frrir, 2005). But t th sm tim, it my ssoit with multipl strssors suh s onstnt prssur to sussful, onflits with prs n worris out th futur (Dis, 2006). Ths strssors my lso hv onsquns in hlth n qulity of lif. n this sns, rsilin sms ruil to f this trnsition n vn to prvnt hlth prolms in stunts. Ojtiv: This stuy im to hrtriz th rsilin n qulity of lif in smpl of univrsity popultion in rltion with soio-mogrphi vrils n nlyz how ths vrils rlt to h othr. Mthos: Th smpl inlu 176 ollg prtiipnts of oth sxs (21% mn; 79% womn), g twn 17 n 52 yrs (22.3±6.5). Prtiipnts nswr th Rsilin Sl (Olivir & Mho, 2011), th WHOQOL-Brif ssssing qulity of lif (Cnvrro t l, 2006), n soiomogrphi qustionnir. Rsults: Dsriptiv n infrntil nlysis (Sprmn, p.05) show tht only 15 % h ru rsilin. Rsilin rvl positiv orrltion with qulity of lif (p.01), prtiulrly in th imnsions of prsonl omptn (rho=.586), slf-isiplin (rho=.438), utonomy (rho=.153), prolm solving (rho=.264) n optimism (rho=.175). Conlusions: A grtr knowlg of prsonl rsours, suh s rsilin, n its ssoition with th qulity of lif uring mi xprin is ssntil for th vlopmnt of intrvntion progrms tht promot prsonl n soil vlopmnt of stunts in highr ution with rprussions on thir hlth. Dsriptors: Hlth promotion. Rsilin. Qulity of lif. Highr ution. Stunts. Wll-ing n mi suss in lmntry shool Susn Fons, Mri João Amnt, Mrgri Sntos, Li Arújo, Pul Xvir, Cáti Mglhãs f Esol Suprior Eução. nstituto Politénio Visu. Visu, Portugl ntroution: Th importn of wll-ing in hilrn pttion to th shool nvironmnt h n point out in th lst yrs. Aoring to Lmos & Colho (2010), wll-ing hs n rogniz in shool ontxts, ithr s n initor of ovrll shool pttion of stunts, ithr s rlvnt utionl purpos in itslf. Th mi imnsions, s wll s st of hviors, thoughts n motions, with n mphsis in wll-ing, h n highlight hs ftors tht ontriut to th (in)pttion n shool (in)suss. Ojtiv: Th stuy im to nlyz th rltionship twn wll-ing n mi suss in lmntry shool hilrn. Mthos: Th smpl inlu 98 lmntry shool hilrn of oth sxs, g twn 9 n 10 yrs ol. For t olltion w us thr qustionnirs: soiomogrphi qustions; th Ki-KNDL 8-12 yrs n nothr on for prnt prptions of mi suss of thir hilrn. Dsriptiv n infrntil nlyss wr onut, with p vlu.05. Rsults: A positiv glol wll-ing ws foun in 97% of th smpl, with highr sor in motionl wll-ing (92.7%) n lowr in slf-stm (70.7%). Th rsults show tht thr ws signifint rltionship twn wll-ing n mi suss (rho=.345, p.05). Conlusions: W onlu tht hilrn with gnrl wll-ing, onfint of thir ilitis n support on thir tsks, r mor opn to lrn n hv ttr rsults t shool. Dsriptors: Ami Suss. Elmntry shool. Wll-ing. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 201

203 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth-rlt qulity of lif in lrly in primry r Clúi Vin,, Conição Rinho,, sl Brroso,, Mri João Montiro, Agrupmnto Cntros Sú Tâmg. Bixo Tâmg, Amrnt, Portugl Esol Suprior Enfrmgm Vil Rl. Univrsi Trás-os-Monts Alto Douro. Vil Rl, Portugl ntroution: Th ging pross is multiftoril, nturl, ynmi, progrssiv, univrsl n soio-mogrphi n hlth vrils n fft th qulity of lif of lrly popl. Ojtiv: To hrtriz th soiomogrphi n hlth profil of th lrly popl; ssss prptions out Hlth Rlt Qulity of Lif (HRQoL); nlyz th rltionship twn th prption of HRQoL n soio-mogrphi n hlth vrils. Mthos: Prform sriptiv orrltionl stuy in whih prtiipt sniors nroll in UCSP, hlth ntr in Northrn Portugl. W us qustionnir tht ws prt of th COOP/WONCA sl, whih vluts HRQoL in fiv imnsions n whos totl vlu my vry twn 7 n 35; highr vlus init lowr priv qulity of lif. Th U Mnn-Whitny tst n Sprmn orrltion wr us, with sttistil signifint lvl of α=0.05. Rsults: n th stuy prtiipt 213 sniors of whih 124 (58.2%) r fmls. Th mn g of th smpl is yrs. Th vrg COOP/WONCA sl ws 24,13. Th nlysis of th rltionship twn prption of qulity lif n soio-mogrphi n hlth vrils show tht th prption of HRQOL ws signifintly highr in lrly popl with youngr g, ml gnr, mor ution, spous, no informl rgivr n no hospitliztions in lst yr. Conlusions: n this smpl th priv qulity of lif ws lowr. Th stuy intifi soio-mogrphi n hlth vrils rlt to priv qulity of lif, whih will i in th fftiv hlth r of th stui iniviuls, thry hlping to mintin n improv thir qulity of lif. Dsriptors: Qulity of lif. Elrly. COOP/WONCA sl. Efft of Listrin mouthrins ginst orl miroorgnisms Rit Blhio, Rit Noguir, Ltíi Bstos, An Almi, Bl Frrir, Céu Litão f, Frnno Bllém g, Rnto Aru h Esol Suprior Tnologi Sú. nstituto Politénio Liso. Liso, Portugl ntroution: Th orl tril plqu is th min us for vloping ntl isss suh s ntl ris n prioontitis. Brushing tth n floss ily rs th orl plqu ut stuis show tht whn mouthrins is us long with this hygin, thr is high ffiiny on th rution of th tril plqu. Th fft of rinsing with Listrin mouthrins ws vlut in th tril ount of th suprgingivl plqu. Ojtiv: Vrify th fft of rinsing twi y for ight ys with Listrin on th rution of th tril ount of th suprgingivl plqu. Mthos: This ws prosptiv stuy in singl group with nintn voluntrs. Sujts wr givn toothpst n ntl floss to us for ight ys. Aftr this prio, tril plqu smpling ws onut n smpls pl in Columi gr with 5% shp loo t 37ºC in roi tmosphr. Colony Forming Units pr millilitr wr ount. Sujts thn to thir orl hygin th mouthrins Listrin, twi y for ight ys. Following nothr smpling n ultur, Colony Forming Units pr millilitr wr ount. Th vlus from oth ounts wr vlut with sriptiv n infrn sttisti tsts. Rsults: A sttistilly signifint iffrn (p 0,05) ws osrv twn mns of Colony Forming Units for n ftr rinsing with Listrin. Mn prnt rution ftr Listrin ws 88,83% with rutions rng from 27,17% to 98,73%. Conlusions: Rinsing with Listrin n signifintly ru th numr of tri in th suprgingivl plqu. Dsriptors: Suprgingivl Plqu. Listrin. Colony Forming Units pr millilitr. Orl Hygin. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] h [email protected] 202

204 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth How iffrnt is this oy in my lss? Asking prs of hilrn with rrl plsy sl Ctrin Mrtins Assoição Portugus Prlisi Crrl. Portugl ntroution: Rprsnttions of thrs n prnts rgring stunts with Spil Eutionl Ns (SEN), in prtiulr, rrl plsy (CP), hv n stui (sin ffts of thir onition on slf-stm to implitions on shool rsults). As nlusiv Shool provis vnu whr ll hilrn prtiipt, rsponsiility for Eution my not just ttriut to thrs n prnts. Th whol shool shoul o-rsponsil for it, inluing prs. Ojtiv: Our im ws to xplor hilrn n olsnts prsptivs onrning tivity n prtiiption of thir prs with SEN, in orr to ontriut to th isussion out inlusion of hilrn with CP. Mthos: W us sriptiv, qulittiv mthoology rurring to smi strutur intrviws for ollting t. Thirty hilrn (4-14 yrs) wr intrviw onrning onpts on ivrsity, prtiiption n inlusion. Dt wr nlys using qulittiv ontnt nlysis. Rsults: Among othr finings, w onlu tht youngr hilrn rgr iffrn s somthing nturl n unqustionl ( w r ll iffrnt ut th twins, o you think w wr ll qul t shool? ) ssuming ivrsity s n inhrnt hrtristi, n isility s ny othr ftur lik hving lk ys or urly hir. Olr hilrn prsnt ihotomous viw, istinguishing twn norml stunts n othrs with isilitis n lys n rvl islif in suss ilitis n hivmnt of thir prs with CP. Conlusions: t s importnt to isuss th rsults in th ontxt of inlusiv ution n qulity of lif of iniviuls with CP tht my gin with inlusiv ution, n Eution for All n Evry Chil, in whih ontxt pr support sprs to n importnt rsour. Dsriptors: Crrl plsy. Pr support. Qulity of lif. Chilrn s rprsnttions of isility. Stuy of rug ition n prgnny nworn th Krl Cruz,, Julin Borgs,, Slm Nuns,, Gzil Sous,, Frniso Pinto,, Rqul Mns,f, An Crvlho,g Ful Ensino Cultur o Crá. Fortlz, Brsil Univrsi Estul o Crá. Fortlz, Brsil Univrsi Frl o Crá. Fortlz, Brsil ntroution: Epimiologil stuis hv shown tht infnt mortlity ours in grtr numr in th nontl omponnt. Th stuy of th ftors involv with ths ths intifis th profil n th iffrnt vrils rlt to th outom. Ojtiv: Th ojtiv of this rsrh ws to nlyz th nontl mortlity with th us of rugs uring prgnny, in Fortlz, Crá, Brzil, in th yrs 2009 n Mthos: Th survy ws onut from th Hlth nformtion Systms, SNASC n SM, n hospitl rors, follow th thil provisions of Rsolution 196/96 of th Ntionl Hlth Bor on rsrh involving humns, n using th thniqu of linkg for onfirmtion of th informtion. Th stuy ws s-ontrol. Rsults: Th smpl onsist of 153 ss (nontl ths) n 464 ontrols (liv irths surviving th nontl prio). Th vrils wr nlyz in hirrhil loks, from th istl to proximl lvl. Dt wr nlyz using, STATA vrsion 10. Primrily sriptiv nlysis ws prform, in squn, th logistis for th prprtion of th finl mol of risk ftors for nontl mortlity rgrssion ws prform. Th vrils tht rmin signifint for th outom wr: gsttionl g lss thn 37 wks, Apgr sor t 1. n 5. with lss thn svn minuts n ongnitl mlformtion rts. Conlusions: Th rsults init tht prntl r n voi th risks prsnt. W suggst ttr qulity in th ssistn n grtr pprition of th vril us of rugs uring prgnny, sin this is ftor tht shoul invstigt furthr in th srh for mor spifi informtion. Dsriptors: Nontl mortlity. Risk ftors. Drug ition. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 203

205 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Soil support of mn living with humn immunofiiny virus/ads An Crvlho,, Smyl Pros,, Gilmr Cunh,, Eluir Gir,, Mri L. Fiuz,, Rnt Ris,f, Mrli Glvão,g Univrsi Frl o Crá. Fortlz, Brsil Univrsi São Pulo. Riirão Prto, SP, Brsil ntroution: Soil support is n importnt onition for hlth promotion, trtmnt hrn, prvntion n rovry from illnss. Ojtiv: To ssss soil support mong mn living with humn immunofiiny virus (HV)/ADS. Mthos: Cross-stionl n quntittiv stuy, vlop twn th Jnury to Jun 2012 in th outptint inftious iss of th Univrsity Hospitl t Fortlz, Crá, Brzil. Th smpl ws 146 mn riving ntirtrovirl thrpy. Ws ppli to Sl Soil Support for Popl Living with HV/ADS, whih hs 22 itms, ivi into two ftors: motionl n instrumntl. This projt ws pprov y Ethis Committ of th Univrsity Hospitl Wltr Cntiio unr Protool Rsults: Th mn g of ptints ws yrs. Of th totl, 92 wr singl (63.02%) n 87 h fmily inom twn zro to thr minimum wgs (59.59%). Mn sors of motionl n instrumntl soil support wr, rsptivly, 3.72 (Cromh s lph: 0.86) n 3.68 (Cromh s lph: 0.83), initing stisftory support primrily from frins, fmily mmrs living in th sm houshol or not, n prtnr. Thr ws low frquny of support riv from nighors, o-workrs n hlth profssionls. Conlusions: For th instrumntl n motionl support, th trust n on stlish with th prson living with HV n intrfr in th vilility n stisftion of th support riv. Nighors, o-workrs n hlth profssionls wr th lst likly to provi soil support. Thus, thr is n to implmnt tions in spiliz srvi to provi pproprit support to ptints, us soil support filitts oping with th iss. Dsriptors: Soil Support. Aquir mmunofiiny Synrom. HV. Mn. Hlth Promotion. Prsn of prnts in nontl units: First stg of th Kngroo mtho Krl Cruz,, Alin Cvlnt,, Rosini Arujo,, Ysly Pmplon,, Crl Vin,, Rqul Mns V,f, An Crvlho V,g Ful Ensino Cultur o Crá. Fortlz, Brsil Univrsi Fortlz. Fortlz, Brsil Univrsi Ctóli Sntos. Sntos, Brsil V Univrsi Estul o Crá. Fortlz, Brsil V Univrsi Frl o Crá. Fortlz, Brsil ntroution: Birth is uniqu momnt whn rms, xpttions n lif gols of oupl r vliting, n thy r struturing thir own fmily. Thus, th y gins to xist for thir prnts long for its onption, thrfor, is prsnt in th fntsis n iliztions of h of thm, from his hilhoo, from on-y form fmily. Ojtiv: This stuy im to know th prption of prnts out th importn of thir prsn in th rovry pross of prmtur is. Mthos: A sriptiv stuy with qulittiv pproh, prform in th Nontl ntnsiv Cr Unit(NCU) of Assis Chturin Mtrnity Shool, in th ity of Fortlz, in th prio from July to Otor 2007 n ing sumitt to th this ommitt. Rsults: Th nlysis of th sphs wr xtrt tgoris: prption of prnts out th importn of thir prsn in th NCU, prntl knowlg out Kngroo Mothr Cr mtho; iffiultis of prnts in fftiv oning, prption of prnts rgring th ntwork soil support n prntl stisftion with th srvi. W onut utionl workshops for prntl guin on th outs n iffiultis. Conlusions: W onlu tht sprtion uss mg to th y n his prnts, sin th tthmnt rltionship is shkn n without xtrnl intrvntions im t llviting thm. Dsriptors: Nworn. Profssionl-ptint rltionship. Nursing r. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 204

206 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th rltion twn funtionl prformn n stisftion with lif in lrly Nlson Sous,, Romu Mns, Vitor Montiro, Jorg Frnns Cntro nvstigção Dsporto, Sú Dsnvolvimnto Humno. Univrsi Trásos-Monts Alto Douro. Vil Rl, Portugl Univrsi Évor. Évor, Portugl ntroution: t is inrsingly ommon in lrly r institutions th vlopmnt of rrtionl n soil tivitis, with th intuit to promot hlth n wll-ing. Howvr, most of th institutionliz lrly spnt thir tim oing littl or nothing, rstriting thir ily lif tivitis. Ojtiv: Th purpos of th prsnt stuy ws to trmin th rltionship twn funtionl prformn n slf-priv lif stisftion in lrly; n to unrstn th iffrns twn institutionliz n non-institutionliz lrly from th northst of Portugl. Mthos: A totl of 183 lrly (105 womn n 78 mn) prtiipt in this ross-stionl stuy. Th smpl ws ivi in institutionliz (n=85, 74.5±5.9 yrs, BM=27.22±3.2 kg/m²) n non-institutionliz lrly (n=98, 73.6±5.5, BM=28.9±3.3 kg/m²). Funtionl prformn ws ssss y th Tim Up & Go tst (TUG) tht is lso rommn tool for srning flls risk, n slf-priv lif stisftion y Stisftion With Lif Sl qustionnir (SWLS). Comprison of mns n ssoition twn vrils wr prform y non-prmtri tsts. Rsults: No signifint ssoitions wr intifi twn TUG n SWLS. Howvr, th non-institutionliz lrly show signifintly suprior prformn on th TUG ompr with th institutionliz lrly (8.0±1.6 vs. 11.0±2.4 sons rsptivly, p<0.001). Th non-institutionliz lrly lso xprss signifintly highr vlus in SWLS (p<0.001). Conlusions: Non-institutionliz lrly r mor fit, hv lowr tnnis to fll, n hv grtr lif stisftion ompr to th institutionliz lrly. Ths rsults suggst tht ll intrvntions im to promot wll-ing of institutionliz lrly shoul onsir inrsing physil fitnss. Dsriptors: Aging. BM. Fitnss. Lif stisftion. nstitutions. Communition of nws to th lrly ptint/his fmily, in ritil sitution Cáti Silv,, Ptríi Sous, nstituto Ciênis Sú. Univrsi Ctóli Portugus. Portugl ntroution: Th g popl om susptil to isss, spilly hroni isss tht my worsn. n this stting, th ommunition of nws is on of th most iffiult n omplx rs for nurss. Ojtiv: Rflt out th importn of th nurs rol in th ommunition of nws to th lrly ptint/ his fmily in ritil sitution. Mthos: This work hs n on s on rflxiv mthoology n iliogrphi rsrh with th fowling ky wors: ommunition; nws; lrly ptint/fmily; ritil sitution. Rsults: Aoring to Prir (2004), nws must givn in grul wy n it shoul pt pt t will, prsonlity, unrstning n n to know, mnifst y th lrly ptint/his fmily n thir pilitis to prtiipt tivly in isions. n 1994, Bukmn hs rt n tion protool for rking nws. This protool sris importnt onsirtions to hlp rliv th istrss flt, not only, y th ptints/his fmily who riv th nws, ut lso, y th hlth r profssionls who shr it. Conlusions: Nurss rogniz tht ommuniting nws is on of th most iffiult spts of thir prformn, ut thy nnot voi, so rking nws is sn s inhrnt to th thnil profssion tht rquirs onsirl skill n prun. Dsriptors: Communition. B nws. Elrly ptint/ fmily. Critil sitution. [email protected] [email protected] [email protected] 205

207 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Exploring th hlthr ns of ptints with mil hroni ostrutiv pulmonry iss Cristin Jáom,,, Al Mrqus,, Cntro nvstigção m Ativi Físi, Sú Lzr. Ful Dsporto. Univrsi o Porto. Portugl Esol Ciênis Sú. Univrsi Aviro. Aviro, Portugl Uni nvstigção Formção sor Aultos osos. Univrsi o Porto. Porto, Portugl ntroution: Pulmonry rhilittion is or omponnt of th mngmnt of ptints with hroni ostrutiv pulmonry iss (COPD), howvr, ptints r not rfrr until thy hv vn COPD. Nvrthlss, it is unknown if ptints with mil COPD r lso symptomti n xprin rstritions in thir ily lif. Ojtiv: This stuy ssss symptoms, xris tolrn n hlth-rlt qulity of lif (HRQL) in ptints with mil COPD. Mthos: Outptints ignos with mil COPD oring to th Glol inititiv for hroni Ostrutiv Lung Diss wr rruit from two primry r ntrs. Ativitis limittion rsulting from yspn ws ssss with th Moifi British Mil Rsrh Counil qustionnir (sor 0-4) n xris tolrn with th 6-minut wlking tst. HRQL ws msur with th St. Gorg s Rspirtory Qustionnir (SGRQ). Th SGRQ sssss thr omins: symptoms, tivitis n impt. For h omin/totl qustionnir, sor rngs from 0 (no impirmnt) to 100 (mximum impirmnt). Rsults: Twnty-six ptints (67.8 ± 10.3yrs; for xpirtory volum in 1 son 86.2±7.9% prit) prtiipt. Prtiipnts xprin limittions in thir ily lif tivitis u to yspn (min 1, intrqurtil rng 1-2). Th mn 6-minut wlking istn ws 432±75.9 mtrs, rprsnting 72.5±9.7% of th prit vlu for olr ults (Troostrs, Gosslink & Drmr, 1999). Rgring HRQL, prtiipnts h mn of 46.3±20.2 in SGRQ symptoms sor, 44±25.2 in tivitis sor, 19.4±18 in impt sor n 31.3±18.5 in totl sor. Conlusions: Ptints with mil COPD r lry xprining yspn uring ily lif tivitis, xris intolrn n impir HRQL. Futur stuis shoul xplor th potntil of pulmonry rhilittion in this group of ptints. Dsriptors: Chroni ostrutiv pulmonry iss. Mil iss. Hlthr ns. Hlth-rlt qulity of lif. Pulmonry rhilittion. Stunt Support Srvi: promoting wll-ing of stunts of Polythni nstitut of Liri Grç Mri So, Luís Filip, Ptríi Prir, Snr Alvs Srviço Apoio o Estunt. nstituto Politénio Liri. Liri, Portugl ntroution: Th promotion of hlth, wll-ing n mi suss of th Polythni nstitut of Liri s (PL s) stunts s wll s th vlopmnt of omptns tht hlp thm to l with th hllngs ssoit with th trnsition n pttion to highr ution n intgrtion in working lif r th min ojtivs of th Stunt Support Srvi (SSS). Ojtiv: Sin 2007/2008, th SSS hs n oprting in th 5 Shools of PL, in thr prinipl xs: prsonl orinttion, psyhopgogil, psyhologil n votionl support. Mthos: Aprt from th inititivs im t stunts, trining for thr n othr shool stff hs n tking pl, in prsptiv of promotion of wll-ing mong th iffrnt popl tht ompos th PL ommunity, hving rsults in ttr orgniztionl limt. Bsis th invstigtion vlop, th Stunt Support Srvi hs n orgnizing mtrils n support guis not only for stunts, ut lso for thrs. Rsults: With this proposl of ommunition, w im to summriz th min rsults omplish in th ontxt of th tivitis tht hv n ing vlop, not only whn it oms to progrms of omptns vlopmnt (tht ount with th involvmnt of 1,000 stunts in th mi yr of 12/13) n psyhologil support (with roun 1800 ppointmnts in 12/13), ut lso in th fil of thrs trining (roun 90 in 12/13). Conlusions: Ovrll, our intntion is to systmtiz SSS s most rlvnt rsults in its min intrvntion lins, hving s gol positiv n sussful pttion of PL s stunts n thir wll-ing in gnrl. Dsriptors: Highr Eution; Trnsition; Wll-ing promotion; Ami Suss; Prsonl Dvlopmnt. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 206

208 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Chrtriztion of th sun-prottion prtis in highr ution stunts Sophi Vils-Bos, Sílvi Brno, Xvir Cost, Olívi R. Prir Dprtmnto Tnologis Dignóstio Trpêuti. Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl ntroution: Th skin is ynmi rrir with importnt orgni funtions. On th othr hn, th xssiv xposur to ultrviolt (UV) rition without th us of qut photo-prottion is ssoit to hlth risks. Ojtiv: Th min ojtiv of this stuy ws to nlyz th hits of sun xposur n th sun-prottiv prtis in stunts of th Polythni nstitut of Brgnç. Mthos: A ross-stionl stuy ws prform through n pplition of qustionnir to 163 stunts, of oth gnr, g twn 18 n 29 yrs. Rsults: Th rsults show tht, uring th wk, 48.5% of th stunts wr xpos to solr rition for 1 to 2 hours ily n 38.7% for 3 to 6 hours. During th wkn, 25.8% of th stunts wr xpos to solr rition for 1 to 2 hours whil 27.0% wr xpos 3 to 6 hours. Conrning th tim of th y of th sun xposur, it ws onlu tht in summr lrg prntg of stunts (57.7%) wr xpos twn 12 p.m. n 16 p.m. Th mjority of stunts (82.8%) us sunsrn, whil long th yr only 34.8% us sunsrn. From ll stunts, pproximtly hlf us photo-prottion ftor twn Aitionlly, 71.8% of thm suffr sunurns, from whih pproximtly hlf h mor thn fiv inins. Conlusions: Glolly, this stuy show tht th stunts r xssivly xpos to th sun, prtiulrly in tims ssoit to high UV rition. Most of thm us sunsrn, lthough just fw opt for thos tht offr vry high prottion. Dsriptors: highr ution stunts; sun-prottion prtis; sunsrn; sunurns. Us of mrgny ontrption in highr ution stunts Jon Lim,,, Sr Roh,, Ttin Cron,, Tâni Pirs,, Olívi R. Prir Dprtmnto Tnologis Dignóstio Trpêuti. Esol Suprior Sú. nstituto Politénio Brgnç Srviços Frmêutios o Cntro Hospitlr Tâmg Sous. Brgnç, Portugl ntroution: Th us of mrgny ontrption, us y womn ftr sxul intrours to voi th unintn prgnny, hs n inrsing in lst s. Ojtiv: Th prsnt stuy im to hrtriz th ontrptivs hviors, with mphsis to mrgny ontrption, in highr ution fml stunts. Mthos: Using ross-stionl stuy, qustionnir-s stuy ws trgt to 130 stunts of th Polythni nstitut of Brgnç, with gs twn 18 n 36 ol. Rsults: From ths stunts, 75% wr sxully tiv, with th mjority of thm using ontrptiv mthos uring intrours. Usully, ontrptiv mthos ompris msulin onom (35.4%), orl hormonl ontrption (14.6%) or oth mthos (18.5%). Morovr, th us of mrgny ontrption ws ssum y 23% of ths stunts, with on fifth of thm using this mtho for mor thn on. Thought th nlysis of vrils, it ws foun tht thr is rltionship twn g n th strt of sxul tivity, th us of ontrptiv mthos uring intrours, n lso in twn g of th 1st intrours n th usg of mrgny ontrptiv mthos. Conlusions: Th high prvln of mrgny ontrption us in ths stunts init th triviliztion of this typ of orl ontrption. Thm, it is ruil to furthr islosur n provision th prvntiv ontrptiv mthos on young popultion is not still wr of thir nfits n xssivly rsort from mrgn ontrptiv mthos. Dsriptors: Msulin onom; hormonl ontrption; mrgny ontrption; highr ution stunts. [email protected]@hotmil.om [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 207

209 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Anlysis of Posturl hits in primry shool hilrn in privt n puli institution Anr Riiro,,, An Rit Pimnt,, An Rit Snt An,, Mrt Gutrrs,, Rfl Lgo,, Rit Mrqus,f, Euro Duqu,g nstituto Suprior Sú o Alto Av. Póvo Lnhoso, Portugl Ful Ciênis Sú. Univrsi Frnno Psso. Porto, Portugl ntroution: Posturl hngs r oftn foun in hilrn t shool g. During this prio, th postur unrgos sris of misfits n pttions to hngs in th oy itslf. Ojtiv: To intify, quntittivly, whih posturl hits r mor ommon in hilrn twn six n tn yrs, hrtrizing th popultion in puli n privt ution. Mthos: Applition of qustionnir ssssing posturl hits in 131 primry shool stunts, with th prtiiption of privt ution institution, lot in Brg n othr Puli Eution in Guimrãs, oth from Brg istrit. Rsults: Thr is highr prvln of k pin t som point, in ml n rltion foun with inrsing g of th hilrn. Th trnsport of th shool kpk show up s th tivity with th highst prvln of k pin spit ing proprly rri out. Stunts of th 3r yr ttning th puli shool hv lowr inin of k pin, ompr to stunts in th 3 r yr of th privt shool. Conlusions: Thr r posturl hits quir in shools tht my rlt to hngs in hilrn posturl vlopmnt, influning thir posturl pttrn uring growth, so it is funmntl to implmnt prvntiv-utionl progrms. Dsriptors: Posturl Hits; Physiothrpy; Boy; Shool; Hlth. Chrtriztion of th funtionl pity of th lrly: ffts of g n hlth sttus António Clh Núlo Estuos pr ntrvnção Soil, Eução Sú. C3, nstituto Politénio Portlgr. Portlgr, Portugl ntroution: Limittions in prforming tivitis of ily living is on of th min onstrints tht hinr th fftivnss of poliis to promot tiv ging. Svrl rsrhs hv rvl th xistn of rltionship twn ging with physil hngs n loss of funtionl pity. Ojtiv: n this ommunition w sk to hrtriz th funtionl pity of th Portugus lrly using two inxs. On on hn, DLA, inx of ily living tivitis, (rnging from 0, minimum lvl of funtionl isility, to 5, mximum lvl) on th prformn of fiv tsks: rssing, thing, ting; wlking ross room, gtting out of. On th othr hn, DLA (inx of ily living instrumntl tivitis) omprising fiv tsks: mking tlphon lls, tking mitions, mnging mony, shopping n prpring mls. Mthos: Th mthoology onsists of th nlysis of th rsults otin through th Survy of Hlth, Aging n Rtirmnt in Europ (Wv 4) rlting to iniviuls ovr 64 yrs of th Portugus smpl. Rsults: Th rsults otin in DLA (n=932, M=0.56) n DLA (n=932, M=0.42) show low lvl of iffiulty of th lrly in prforming tsks. Sttistilly signifint iffrns rgring gnr wr intifi y DLA (t (930)=-5.135, p=0.000), whr womn prsnt (n=511, M=0.74) grtr limittions thn mn (n=421, M=0.34). Thr rsults otin y DLA r similr (t (930)= , p=0.000) (womn: M=0.58; mn: M=0.22). Conlusions: This nlysis hlp to furthr intify th offiint of orrltion twn g n funtionl pity, whih is highr in DLA (r=0.362) thn in DLA (r=0.277). Th hlth sttus hs signifint orrltions with DLA (r=0.253) n DLA (r=0.186). Dsriptors: ging; funtionl pity; sujtiv hlth sttus; tiv ging; qulity of lif. [email protected] [email protected] rit [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] 208

210 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 367 Hppinss n sujtiv hlth sttus mong olr ults in Southrn Europ n Sninvi António Clh Núlo Estuos pr ntrvnção Soil, Eução Sú. C3, nstituto Politénio Portlgr. Portlgr, Portugl ntroution: Europn soitis r fing soil hllngs rising from rpi mogrphi ging pross. Th mrgn of grying soity hs sprk th t roun th promotion of th living onitions of th lrly. Ojtiv: n this ppr w nlyz th lvl of hppinss of th lrly s n importnt imnsion of qulity of lif, orrlting with th sujtiv ssssmnt of hlth sttus. W tk s rfrn th spifiity of snior sttus in southrn Europ (Portugl, Spin n Gr) n in Sninvi (Dnmrk, Finln, Norwy, Swn). W sk to unrstn if thr r iffrnt wys of xprining ol g in ths soitis, with stting of istint mols of soil prottion. Mthos: Th tool of inquiry (Europn Soil Survy, roun 5: 2010) onsist of qustionnir ministr to rprsnttiv smpls. Rsults: Th rsults show tht th lvl of hppinss (msur on sl of 11 vlus, whr 0 orrspons to th lowst lvl of hppinss n 10 to th highst) is highr mong th lrly in Sninvi (n=475, M=8.06) whn ompr with th lrly in Southrn Europ (n=1169, M=6.74), with sttistilly signifint iffrn (t (856) =- 12.9, p<0.000). Th nlysis rvls orrltions twn th lvl of hppinss n th lvl of wll-ing, ing strongr in Southrn Europ (r=0.496) thn in Sninvi (r=0.438). Tsting th rltionship twn hppinss n hlth sttus rvls th xistn of orrltion twn th vrils, highr in Sninvi (r=3.07) thn in Southrn Europ (r=0.254). Conlusions: Th gnrl onlusion of th rsrh points out to th xistn of spifi snior sttus in th nlyz ountris. Dsriptors: ging; sujtiv hlth sttus; hppinss; qulity of lif. 368 Physil tivity n slp slin rsults from n intrvntion stuy Trs Bnto,,, Pro Gonçlvs, Esol Suprior Dsporto Rio Mior. nstituto Politénio Sntrém. Sntrém, Portugl Sports Sins, Hlth n Humn Dvlopmnt Cntr. Univrsi of Trás-os-Monts Alto Douro. Vil Rl, Portugl ntroution: Symptoms of istur slp ppr to rlt to ging n gnr n influns ngtivly on hlth. Rgulr physil tivity hs n init s nfiil to th qulity of slp, n n ltrntiv to phrmologil trtmnt of slping isorrs. Ojtiv: Th im of th prsnt ppr ws to sri slin t from th prtiipnts of th first wv of rruitmnt of n intrvntion stuy im t nlyzing th ffts of iffrnt typs of xris in ults with slping isorrs. Mthos: A totl of 112 iniviuls (mn g yrs ±12.74), omplt th Pittsurgh Slp Qulity nx Qustionnir (PSQ), th Brlim Qustionnir, th Epworth Slpinss Sl (ESS) n th ntrntionl Physil Ativity Qustionnir (PAQ), for strting th intrvntion. Rsults: Our rsults show tht only 11% of prtiipnts rport xssiv ytim slpinss (ESS>10), roun 15% rvl symptoms for slp pn n 22.5% wr intifi s hving istur slp (PSQ>5). Finlly, mor thn hlf of th iniviuls rport ing tiv n monstrt slightly ttr (ut not sttilly signifint) rsults in ll tsts sors. Conlusions: Our prliminry rsults init tht mor tiv iniviuls rport lss poor slp qulity, fwr symptoms for slp pn n lss istur slp s oumnt in th litrtur. Howvr, nlrging th smpl n implmnting th progrm will provi mor informtion rgring g n gnr iffrns n th most fftiv typ of xris, funmntl to uil th knowlg on th sujt. Dsriptors: physil tivity; xris; slp; intrvntion. [email protected] [email protected] [email protected] 209

211 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Physil tivity in hlthy hilrn n hilrn with Aut Rspirtory nftions An Olivir,, Cáti Pinho,, Al Mrqus,, Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl Uni nvstigção Formção sor Aultos osos. Portugl ntroution: Aut rspirtory inftions (AR) r th most ommon us of illnss worlwi n ount for ovr 1/3 of pitri onsulttions in hilrn unr th g of fiv (Thompson t l, 2013). t is known tht xris hs nti-inflmmtory ffts, n ults who xris rgulrly xprin pproximtly 21%-41% lss risk of vloping AR thn sntry prs (Nimn t l, 2011). Howvr, it is unknown if this ssoition is lso osrv in hilrn. Ojtiv: This stuy im to ompr physil tivity lvls of hlthy hilrn n hilrn with AR, unr th g of fiv. Mthos: Chilrn wr rruit from th pitri prtmnt of on ntrl hospitl. Physil tivity ws ssss with 5-qustion physil tivity qustionnir (Tlm t l, 1997). This instrumnt sssss physil tivity within norml wk (not onsiring prios of iss) with sor-rng of Chilrn s physil tivity ws lssifi into 4 tgoris: th sntry (5); low tivity (6 10); mort tivity (11 15) n vigorous tivity (16 20). Th qustionnir ws fill y hilrn s lgl rprsnttiv ftr writtn onsnt ws otin. Rsults: Twnty-four hilrn with AR (3±0.6 yrs; 14 ml) n svntn hlthy hilrn (3.3±0.2 yrs; 11 ml) prtiipt. Chilrn with AR wr signifintly lss tiv (min=7.5; ntrqurtil-rng: 6; low tivity) thn thir hlthy prs (min=12; ntrqurtil-rng: 4.5; mort tivity). Conlusions: Similr to ults, hilrn with highr lvls of physil tivity my t lowr risk of vloping n AR. Furthr stuis r n to stlish th most pproprit typs n lvls of physil tivity for hilrn unr th g of fiv. Dsriptors: Aut Rspirtory nftions; Chilrn; Physil Ativity. Fmily r t rly COPD: s thr ny risk for rgivrs mntl wll-ing? Dnil Figuiro,,, Rqul Gril,,, Cristin Jáom,, Al Mrqus,, Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl Uni nvstigção Formção sor Aultos osos. Portugl ntroution: Evin shows tht ring for fmily mmr with vn hroni ostrutiv pulmonry iss (COPD) is strssful xprin, oftn ssoit with rgivrs poor mntl hlth. Muh lss is known out th psyhologil wll-ing of fmily rgivrs of ptints with rly COPD. Ojtiv: This stuy im to nlyz lif stisftion, nxity n prssion symptoms mong fmily rgivrs of ptints with rly COPD. Mthos: A ross-stionl stuy ws onut with rgivrs of ptints with rly COPD (gr 1 n 2 oring to th Glol nititiv for Chroni Ostrutiv Lung Diss). A qustionnir ws us to ollt soio-mogrphi t. Th Hospitl Anxity n Dprssion Sl ws us to ssss nxity n prssion symptoms, sors 8 wr onsir linilly signifint. Lif stisftion ws msur with th Stisftion With Lif Sl (SWLS). Dsriptiv sttistis n Sprmn orrltions wr ppli. Rsults: A totl of 142 rgivrs hv prtiipt (58.9±12.9 yrs ol; 70.4% fml). Most wr spouss (62.7%), ring for 4 yrs (54.2%). Clinilly signifint nxity symptoms wr prsnt in 62% of fmily rgivrs, prssion symptoms in 28.9% n oth in 24.6%. Th mn SWLS glol sor ws 16.1±5. Signifint mort orrltions wr foun twn SWLS glol sor n nxity (r s =-0.454; p=0.001) n prssion (r s =-0.420; p=0.001) symptoms. Conlusions: Finings suggst tht, vn t rly COPD, th rgiving xprin might thrt fmily rgivrs psyhologil wll-ing. ntrvntions trgt to support rgivrs rlir in th COPD ours r rommn to prvnt mntl hlth lin. Dsriptors: fmily rgivrs; rly COPD; nxity; prssion; lif stisftion. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 210

212 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Virtul ommunition n rltionship twn nurs n lrly prson Nf Mohm-Lhi,, Frniso-José Hrnánz- Mrtínz,, Binvni Roríguz-D-Vr,, Jun- Frnno Jiménz-Díz,, Alxnr Rorigus,, Frniso-José Sntn-Pérz,f, Mª Dl Pino Quintn-Montso,g Univrsi Ls Plms Grn Cnri. Ls Plms Grn Cnri, Spin Esol Enfrmgm Cruz Vrmlh. Olivir Azméis, Portugl ntroution: Alrt ging of th Europn popultion n inrsing lvls of pnn involv sustntil osts fing n onomilly unrtin futur. Soity is ging t n inxorl rt n rsours for omprhnsiv r rss onsirly, rlgting psyhosoil spts n soil inlusion of olr popl in th kgroun. n this rgr, oth th institutions n th profssionls rsponsil for th r of lrly popl shoul look for solutions to prolms h. Thnologis of informtion n ommunition offr nlss possiilitis to mt th ns n intrsts of soity n its possiilitis in th hlthr stor r nlss. Ojtiv: Collt fk from group of popl ovr 65 who r stuying Priti t Dotrin in Spnish univrsity, out th possiility of virtul rltionship twn nurs n lrly ptint, im to filitt n nrih thir rltionship. Mthos: Dsriptiv qulittiv stuy support y smi-strutur intrviw. Rsults: Th stuy rvls grt intrst from olr popl to lrn out CT n high prisposition towr virtul ontt with nurs, howvr thy prfr irt ontt. Most of thm know th grt possiilitis offr y CT n liv tht thy n filitt th ily tivitis. Thy rlt thir xprins with CT n rogniz filitis thy hv h to ontt with fmily n losr to thm, thnks to nw thnologis. Conlusions: Ths stunts hv xllnt vision of CT ut rgrt not hv us thm for. Thy liv in virtul ontt with th nurs ithr to onsult or inform thir hlth, without mov, whih is oftn iffiult. Dsriptors: Olr popl; hlth; nurs; CT; soil inlusion. A systmti rviw of nursing intrvntions on pttion in womn with rst nr Luis Migul Frrir,, nês Cruz,, Céli Sntos,, Filip Prir,, Bruno Mglhãs, Esol Suprior Enfrmgm o Porto. Porto, Portugl Esol Suprior Enfrmgm Snt Mri. Porto, Portugl ntroution: Th ignosis of rst nr n susqunt trtmnts impos rquirmnts in th ptiv pross, gnrlly with ngtiv impt on th livs of ths popl. Th vlopmnt of pproprit nursing intrvntions n filitt th pross of physil n psyhologil pttion. Ojtiv: ntify stuis sign n vlop y nurss on nursing intrvntions tht influn th pttion in womn with rst nr. Mthos: Aftr formult th initil qustion, systmti rviw ws prform in July 2012, ovring Sopus, W of Sin n CNAHL tss. Th inlusion ritri wr: rtils pulish twn 2002 n 2012, RCTs, primry stuis, n stuis with intrvntions sign n vlop y nurss. A totl of 419 rtils wr intifi. Th sltion of rtils ws prform inpnntly y thr of th uthors. n onlusion, 5 rtils wr inlu in th rviw. Rsults: Th intrvntions r ivrsifi ut th omin of ution n support is prominnt; iniviul intrvntions prvils in trimnt of groups; tim ivrsifi, rnging from singl prio to 13 months; th implmnttions vris from pplition uring hmothrpy trtmnt, ftr surgry, th follow-up phs, n long prio of tim (13 months); tlphon is prominnt rsour in th implmnttion of progrms. Conlusions: W onlu tht this stuis o not provi vin out th xistn of uniform nursing intrvntion mols for womn with rst nr. Thr r still fw stuis tht oth wr sign n vlop y nurss, mphsizing th n for grtr invstmnt in this profssionl group to intify n vlop nursing intrvntions promoting th pttion of womn with rst nr. Dsriptors: rst nr; pttion; nursing intrvntion; systmti rviw. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected]@m.ulpg.s [email protected] [email protected] [email protected] [email protected] [email protected] 211

213 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Slf-prption of sirl hviors for hlthy ging in ults with rrl plsy Clr Croso, Joquim Alvrlhão, Mrgri Crquir Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl ntroution: Th inrs of lif xptny in th popultion with Crrl Plsy (CP) involvs th n to pn th knowlg of th ging pross in this popultion. Ojtiv: Stuy th slf-prption of sirl hviors for hlthy ging in ults with CP n rlt it to funtionl lvls n stisftion with lif. Mthos: n smpl of 42 popl ttning th srvis of Crrl Plsy Assoition of Porto, g twn 19 n 57 yrs, without svr ognitiv prolms, th slf-prption of sirl hviors ws msur y th mprv Sl n lif stisftion y th Lif Stisftion Sl (LS-A). Clinil informtion (CP typ, Gross Motor Funtion, Bimnul Fin Motor Funtion, Communition Funtion) n mogrphi informtion ws ollt from th lint fil. Rsults: Bhviors rlt to th imnsions of physil n mntl hlth, nutrition, n soil lif wr intifi s th most importnt for hlthy ging pross. Sttistilly iffrns wr foun twn th lvl of gross motor funtion n intifition of sirl hviors in imnsions rlt to rrtion n soil rols (mrrig n hil). Lif stisftion is ssoit with th importn ttriut to hviors rlt with hlthy ging. Conlusions: Aults with CP xprss positiv vlus out sirl hviors for hlthy ging pross. Conrn shoul rss for thos with limittions in gross motor funtion. Lif stisftion oul us s pritor of th importn ttriut to sirl hviors for hlthy ging. Dsriptors: Crrl Plsy, Hlthy ging, Slf-prption. Exploring lif stisftion n prssiv symptoms in olr popl riving fmily r Rqul Gril, Lilin Sous, Dnil Figuiro Sção Autónom Ciênis Sú. Univrsi Aviro. Aviro, Portugl Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl ntroution: Evin shows tht ring for n olr pnnt rltiv impt ngtivly on fmily rgivr s mntl hlth. Howvr, fmily r intrinsilly involvs two iniviuls in los rltionship, th rgivr n th r rivr, ut littl is known out th psyhologil wll-ing of th r-for prson. Ojtiv: This stuy im to xplor th lif stisftion n prssiv symptoms of olr popl riving fmily r. Mthos: An xplortory stuy, with ross-stionl sign, ws onut with olr popl riving fmily r. A qustionnir ws us to ollt soiomogrphi t. Lif stisftion ws msur with th Stisftion With Lif Sl (SWLS). Th Gritri Dprssion Sl ws us to ssss prssiv symptoms. Dsriptiv n infrntil nlyss wr prform. Rsults: A totl of 30 r-for prsons hv prtiipt, with mn g of 80.5±6.6 yrs ol, minly fml (70%; n=21) n wiows (73.3%; n=22). Most prtiipnts wr r y ult hilrn (83.3%; n=25), who ssist thm with t lst two tivitis of ily living for 5 yrs (53.4%; n=16). Th mn SWLS glol sor ws 24.3±4.8. Dprssiv symptoms wr prsnt in 46.7% (n=14) of th prtiipnts. Lif stisftion ws signifintly lowst in prtiipnts r y hilrn thn thos r y spouss (23.4±4.7 vs. 28.2±2.5; p=0.04). Dprssiv symptoms wr signifintly orrlt with low lif stisftion (r s =-0.590; p=0.001). Conlusions: Finings suggst tht th psyhologil wll-ing of th r-for prsons might influn y th fmilil rltionship, unrsoring th n to vlop supportiv fmily-s intrvntions. This stuy ontriuts to nw prsptiv on fmily rgiving, howvr, mor vin is n. Dsriptors: rgiving; r riving, olr popl; lif stisftion; prssiv symptoms. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 212

214 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 375 Crrs Burnout n Vlus: it s rltion with th wlling of popl with mnti Ptríi Pqut,, Mri Amáli Botlho,, An Alxnr Frnns, Cntro Estuos Soiologi. Univrsi Nov Liso. Liso, Portugl Ful Ciênis Méis Liso. Univrsi Nov Liso. Liso, Portugl nstituto Suprior Ciênis Soiis Polítis. Univrsi Téni Liso. Liso, Portugl ntroution: Th vrg lif xptny is inrsing n mnti is mor prvlnt in th lrly popultion, prtiulrly thos who r living in nursing homs. Thr is onsnsus tht mnti r shouln t tsk-orint ut rltion-ntr. This fous implis grtr prsonl ffort from th rr n promots wlling of th prson with mnti. n this wy rr s prsonl fturs, lik motivtionl vlus n urnout lvls, r prtiulrly rlvnt n its influn in th wlling of th prson with mnti shoul stui. Ojtiv: Chrtriztion of th rgivr s urnout lvls n prominnt motivtionl vlus, n wlling lvl of rsints with mnti. Th rltion twn ths vrils ws vlut. Mthos: This horizontl stuy ws onut in Portugus nursing homs with onvnin smpl of 130 profssionls n 50 rsints with mnti tht h low sors in ognition, slf-r n hvior. An xplortory stuy of rr s urnout n motivtionl vlus using Mslh Burnout nvntory n Shwrtz vlus survy n soio mogrphi hrtriztion form ws prform. Ths t wr orrlt with th rsint s wlling sor rwn from n osrvtionl tool Dmnti Cr Mpping (DCM). Rsults: 26% of th rrs h urnout risk. W foun ngtiv orrltion twn motivtionl vlu trition n motionl xhustion of th rrs (p=,220) n lso ngtiv orrltion twn motionl xhustion n popl with mnti wlling (p=-,306). Conlusions: W foun vin of som influn of th typ of prominnt motivtionl vlus n lvls of urnout of th rgivrs in th wlling of popl with mnti. Dsriptors: urnout; vlus; wlling; mnti; nursing homs. 376 Rltionship twn ln n fr of flling in lrly popl Lilin Chinho, Jon Coriro, Mri Conição Bros, Trs Sntos, Btriz Frnns Esol Suprior Tnologi Sú Liso. Liso, Portugl ntroution: Bln is ritil for funtionl inpnn. Aging pross is ssoit to hngs tht intrfr with ln n inrs th risk of flling. Byon this risk it is importnt tht lrly popl r wr of it rgring ily tivitis. Ojtiv: To trmin if thr is n ssoition twn lvls of ln n th fr of flling in lrly popultion of th muniiplity of Lours. Mthos: Cross-stionl nlytil stuy. 32 voluntrs prtiipt in th stuy, 19 (59.4%) fmls n 13 (40.6%) mls, g 74.5±7.7 yrs (min=65, mx=97). Flls Effiy Sl (FES) ws us to msur th gr of onfin in th prformn of ily lif tivitis n Brg Bln Sl (BBS) ws us to ssss ln. Rsults: Th rsults of our stuy show tht 21,9% of th prtiipnts h sor lss thn 46 in BBS, 34,4% twn 46 n 53, n 43,8% twn 54 n 56. n FES th sors rng from 31 to 100, mn sor 87,84± For BBS n FES Prson orrltion is 0,657 with p vlu=0.00. Conlusions: Risk of flling is prsnt mong th prtiipnts in our stuy. Thr is lso positiv rltionship twn ln n onfin, initing tht s ln inrss onfin in prforming ily lif tivitis lso inrss, suggsting tht physiothrpy fous on ln trining n ontriut to nhn inpnn. Dsriptors: physil tivity, ging, ln, fr of flling. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] trs [email protected] [email protected] 213

215 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Mntl hlth, strngths n soil support of singl mothrs Mrin Lus,, Sóni Gulup,, Sóni Simõs,, Hln Espírito-Snto,, Mrin Mrqus,V,V, nstituto Suprior Migul Torg. Coimr, Portugl Dprtmnto nvstigção & Dsnvolvimnto. nstituto Suprior Migul Torg. Cntro Estuos Populção, Eonomi Soi. Coimr, Portugl Dprtmnto nvstigção & Dsnvolvimnto. nstituto Suprior Migul Torg. Coimr, Portugl V Dprtmnto Psiologi Méi. Ful Miin. Univrsi Coimr. Coimr, Portugl V Esol Suprior Dsporto Rio Mior. nstituto Politénio Sntrém. Rio Mior, Portugl ntroution: Rsrh shows tht mothrhoo n fmily funtioning of singl mothr fmilis pns on fmilil, soil, n motionl spts. Ojtiv: W intn to nlyz th prption tht fml singl prnts, with sholr hilrn, tht nfit from fmily soil srvis, hv out thir mntl hlth n to xmin its ssoition with thir prption of soil support n fmily strngths. Mthos: Our smpl is onstitut y 43 singl mothrs, with n vrg g of 38 yrs ol (SD=5.6), mostly with on hil (63%), singl or ivor (49% rsptivly), with mium or high ution (42% n 47%, rsptivly) n living only with thir hil(rn) (72%). Thy omplt th Mntl Hlth nvntory (MH-5) th Soil Support Sl (EAS) n th Fmily Fors Qustionnir (QFF). Rsults: Forty-two prnt of womn h prption of istrss ut th mjority (n=25; 58%) point psyhologil wll-ing (MH-5 utoff sor of 52). MH-5 orrlt positivly, signifintly (p<0.01) n strongly with EAS (r=0.74), n mortly with QFF (r=0.40). Conlusions: Although w osrv high n lrming prntg of istrss prption, th mjority of mothrs rvl psyhologil wll-ing, whih my init tht th onition of singl prnthoo nnot point s ftor ssoit with highr vulnrility to psyhologil istrss for most womn. W lso foun tht prption of ttr mntl hlth is ssoit with ttr prption of soil support n fmily strngths. Dsriptors: mntl hlth; singl mothrs; fmily; strngths; soil support. Th Stt of Hlth of Thrs Expos to Nois in th Shool Contxt Dor Simõs, Crl Mtos Silv, Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Coimr, Portugl ntroution: Qulity of lif of workrs t thir workpl is ssntil for goo proutivity, thry it is ruil th ssssmnt of working onitions. Ojtiv: This stuy ims to know th gnrl stt of hlth of thrs xpos to nois in th shool ontxt inluing thir hring n nois nnoyn. Mthos: This stuy ssss fifth n sixth gr thrs (Group 1) n svnth to ninth gr thrs (Group 2). An nmnsis n qustionnir out th most nnoying nois in th shool ontxt wr istriut. A Pur Ton Auiogrm n Tympnogrm wr xut. Th MOS SF-36 sl n short qustionnir out th onsquns of nois wr givn. Th nois in th shool nvironmntl ws lso msur using soun lvl mtr n osimtr. Rsults: Th hring thrshols wr within th norml rng. Th hlth of th Group 1 ws wors thn th Group 2 (n vrg twn 64,38 n 89,81 in Group 1 n 62,22 n 87 in Group 2) lik th nois nnoyn th vrgs of group 1 wr lwys highr thn th ons in Group 2. Th most ovious onsqun of th nois for 80% of th Group 1 ws ftigu whil for 77.8% of th Group 2 ws irrittion. n this stuy th nois msurmnts otin for LAt r twn 81.6B n 90.4B of intnsity. Conlusions: t ws vint tht xist ngtiv onsquns of nois in thrs lthough thr wr no sttistilly signifint rsults. Dsriptors: Gnrl Stt of Hlth; Annoyn; Nois; Hring; Thrs. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 214

216 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Shool, Fmily Support, llnss Rprsnttions n Qulity of Lif n Typ 1 Dits An Cristin Almi,, M. Grç Prir,, Engrái Lnro, nstituto Ciênis Soiis. Univrsi o Minho. Brg, Portugl Esol Psiologi. Univrsi o Minho. Brg, Portugl Univrsi Ctóli Portugus. Brg, Portugl ntroution: Aolsnts outoms on typ 1 its, suh s qulity of lif, r influn y th qulity of soil support provi y fmily mmrs n prs. Ojtiv: This stuy nlyss th influn of shool support, fmily support, n olsnt s illnss rprsnttions on qulity of lif in olsnts with typ 1 its. Mthos: Th smpl inlu 100 olsnts with typ 1 its. Aolsnts nswr th instrumnts: Shool Support (SS) (Prir & Almi, 2009), Dits Fmily Bhvior Support (DFBS), Brif llnss Prption Qustionnir (PQ-Brif) n Dits Qulity of Lif (DQoL). Rsults: Shool support n illnss rprsnttions (onsquns n motionl rspons) prit olsnts qulity of lif, xplining 47,6% of th rsults n shool support mit th rltionship twn fmily support (wrmth-ring) n qulity of lif s wll s twn olsnts illnss prsonl ontrol n qulity of lif. Fmily support (wrmth-ring) mit th rltionship twn olsnts illnss prsonl ontrol n qulity of lif s wll s twn olsnts illnss ohrn n qulity of lif. Conlusions: Fmily, prs n shool stff n to inlu in intrvntion progrms, so tht soil support from ths iffrnt ontxts my positivly impt olsnts qulity of lif. Dsriptors: Qulity of lif; Shool; Fmily; llnss Rprsnttions; Typ 1 Dits. Profssionl ntity n th Psyho- Soil Contrt: Th iologil link to ommitmnt in Hlth Workrs João Fonts Cost,, Trs Crl Olivir, Esol Suprior Tnologi Gstão Olivir o Hospitl. nstituto Politénio Coimr. Olivir o Hospitl, Portugl Ful Eonomi. Univrsi Coimr. Coimr, Portugl ntroution: n rssing issus of rr vlopmnt this ppr xplors th rlvn of profssionl intifis in unrstning soil n psyhologil ontrts. nstitutionl norms n prtis r not oprtionlly mningful until th iniviul privs thm s importnt to hr or his wll-ing. Profssionl intity hs n importnt rol on priving th livry of th psyhologil ontrt, mit y soil ontrtuliztion imnsion with rgultiv/normtiv hrtr. Ojtiv: To nhn th intrrltion of intitis n rrs y xploring th gr to whih thr my mth or mismth twn profssionl intitis n vlus n orgnistionl vlus, n thus twn jo-fit n spir rr-fit with implitions for fulfilmnt or rh of psyhologil n soil ontrts. Mthos: Th s stuy ompriss 50 in-pth intrviws nlyz using th groun thory prinipls in soio-ognitiv prsptiv. Rsults: Rthr thn onrn to hiv ounrylss rrs twn orgnistions, thr r profssionl intity ounris tht phrmists o not wnt to ross in rr movs. A fit twn th orgniztion s n th mploy s viws on profssionl intity n rols fvours pr intifition with th orgniztion. Conlusions: Th finings hv implitions in mro poliy mking n govrnn in hlth r institutions in th sns tht, if thy wish to hiv ronilition twn th n for onomi n soil ffiiny, thy shoul r out th vlus of profssionls rthr thn only on mrkt vlu ritri. This synthsis of th onpt of psyhologil ontrt with wir intrfing of soil ontrt thory proly is ovru n my mrit vlution in othr profssionl ontxts. Dsriptors: Profssionl ntity, Psyhologil Contrt, Soil Contrt. [email protected] [email protected] [email protected] [email protected] [email protected] 215

217 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Builing nstrumnt to ssss usr stisftion in ommuniting with hlth profssionls s on th onsnsus of th Dlphi mtho A.H. Sntos,, R. Pimnt,,, P. C. Sntos,V,, P. Morir V, Cntro Hospitlr o Porto. Hospitl Snto António. Porto, Portugl Esol Suprior Tnologi Sú o Porto. nstituto Politénio o Porto. Porto, Portugl Cntro Estuos nvstigção m Sú. Univrsi Coimr. Coimr, Portugl V Cntro nvstigção m Ativi Físi, Sú Lzr. Ful sporto. Univrsi o Porto. Porto, Portugl V Esol Nionl Sú Púli. Univrsi Nov Liso. Liso, Portugl ntroution: Rnt rsrh in usr-hlth profssionls ommunition hv mphsiz th n to vlop nw instrumnts to vlut usr stisftion in ommuniting with hlth profssionls. Ojtiv: To uil tool to ssss usr stisftion in ommuniting with hlthr profssionls givn y onsnsus of pnl of xprts in th fil of hlth ommunition. Mthos: W vlop strutur qustionnir onlin, rsulting from th litrtur rviw, with imnsions of ommunition n itms for h imnsion, th omputr pltform of qustionnirs - Survy Monky. W us th moifi Dlphi mtho in 3 rouns, with pnl of 25 ntionl xprts. Ths wr invit to moify n imnsions of ommunition to th qustionnir n to vlut th importn of h itm using sl of vlution. W stlish s th minimum rtntion ritri for th nxt roun 70% onsnsus y th pnl. W us Survy Monky softwr pltform for t olltion n t nlysis rsults. Rsults: Aftr thr rouns, w got n instrumnt with six ommunitiv imnsions (vrl ommunition, nonvrl ommunition, mpthy, rspt, prolm solving n supporting mtril), n twnty-fiv spifi itms. Conlusions: t is vill nw tool to ssist in th mngmnt n plnning pross nssry for improving th qulity of srvis n hlth institutions. Dsriptors: Nw nstrumnt, usr stisftion, ommunition, hlthr profssionls. Glol gritri vlution of th Algrv popultion Níi Brz,, Snr Pis,, Clr Coriro,,, Giovnn Olivir,V,, Monsrrt Con, Esol Suprior Sú Cntro Estuos Dsnvolvimnto m Sú. Univrsi o Algrv. Fro, Portugl Cntro Esttísti Apliçõs. Univrsi Liso. Liso, Portugl Ful Nutrição. Univrsi Frl Goiás. Goiás, Brzil V Esol Suprior Sú. Univrsi o Algrv. Fro, Portugl ntroution: Th ging of popultion hllngs ommunitis to pt n volv to ommot th ns of popl tht liv longr (mostly out of work, ithr hlthy, frgil or with hroni iss). Popultion ging in th Algrv is highr thn in ovrll Portugl. Stuis on hlth onitions, frilty risk ftors n lrly spifi ns r unvlop in Portugl n unknown in th Algrv. Ojtiv: To prpr tool for Glol Gritri Evlution, to us in th Survy of Hlth n Aging in th Rgion of Algrv SHARA, ommitmnt to Europn nnovtion Prtnrship on Ativ n Hlthy Aging. Mthos: A prliminry vrsion of th srning tool, whih inlus wll-known instrumnts to msur hlth onition (EASY-r), risk of fll (Tintty), physil tivity (Bk s moifi qustionnir), nutritionl onition (MNA), ognitiv n prssiv sttus (MMSE, Ysvg gritri prssion sl), togthr with soio-mogrphi hrtristis, ws ppli to n inpnnt smpl of sujts from ommunity ntr ARP ( Assoição Rformos, Pnsionists osos o Conlho Fro ), with gs twn 55 n 89. Rsults: ARP is mostly frqunt y womn, who hv ithr risk of mlnutrition or mlnutrition inin, rlvnt risk of fll or r physilly tiv. Thos who liv lon, show highr risk of fll. Conlusions: ARP mmrs r tiv, ut with risk of mlnutrition n fll, suggsting th rlvn n importn of futur intrvntions in ths rs. Th propos srning tool show to qut for SHARA stuy, suitl to provi wir informtion on frilty n othr hlth onitions. Dsriptors: ging; frilty; gritri vlution; srning tools. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 216

218 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Nois in n intnsiv r unit s ftor of isomfort: sriptiv xplortory stuy Cláui Olivir, Filip Vluo nstituto Ciênis Sú, Univrsi Ctóli Portugus. Portugl ntroution: Th trm of omfort for hlth r is th immit stt of ing strngthn in th four ontxts of holisti humn xprin (Kol, 2003). Th nois is rogniz s on of th most isturing ftors of th xprin of omfort, with vrs ffts on th hlth of ptints. Ojtiv: Msuring th lvls of nois tht ustomrs r sujt to in n intnsiv r unit; sriing th nois lvls uring th morning, ftrnoon n night shifts; intifying sours of nois rlt to high lvls of B(A). Mthos: A sriptiv xplortory stuy in intnsiv r unit. W vlut nois lvls on thr onsutiv ys for 15 minuts in h lol, in totl of nin shifts. As instrumnt for t olltion soun lvl mtr mol 2240 ws us. Rsults: Nois lvls vlut rng twn 49.1 B(A) on th night, n 72.3 B(A) in th ftrnoon. n th morning, th mximum n minimum ws 71.7 B(A) n 59.2 B(A); in th ftrnoon 72.3 B(A) n 59.8 B(A); on th night 62.9 B(A) n 49.1 B(A). Th nois sours orrsponing to highr lvls wr profssionls onvrstion [63.8 to 79.8 B(A)]; pumps infusion lrms [80.2 to 82.4 B(A)]; PRSMA n ECMO lrms [73.8 to 86.3 B(A)]; moil phons rings [66.8 to 76.1 B(A)]; vntiltor lrms [74.2 B(A)] Conlusions: Aoring to th WHO (2002) th hospitl lvl of nois shoul twn 40 B(A) (ytim) n 30 B(A) (night). n this stuy ptints r sujt to high lvls of nois. Dsriptors: Comfort; ntnsiv Cr Unit; Nois. Slp n qulity of lif in ollg stunts: omprison twn sxs Anïs Ris,, Lonor Mirn,,, líio Prir,, José Olivir, Trpi oupionl. Esol Suprior Tnologi Sú o Porto. Porto Portugl Cntro nvstigção m Ativi Físi, Sú Lzr. Ful Dsporto. Univrsi o Porto. Porto, Portugl Biomtmáti, Biosttísti Bioinformáti. Esol Suprior Tnologi Sú o Porto. Porto, Portugl ntroution: Collg stunts r unrgoing mjor mi n psyhosoil prssurs n show prfrn for vning tivitis. Du to th inrsing nrollmnt in highr ution n th propnsity for slp prolms oul jopriz th hlth, mi prformn n qulity of lif, th gol ws to nlyz th rltionship twn prptions of qulity of slp (QS) n th prption of qulity of lif (QoL) mong ollg stunts, ompring sxs. Mthos: This smpl (n=119), ompos of mostly ml ollg stunts (59.7%) with mn g of 20 (±2.2) yrs. Wr ppli: th inx of th Pittsurgh Slp Qulity n Worl Hlth Orgniztion Qulity of Lif. A sriptiv n infrntil sttistis (α=0.05) nlysis ws prform in PASW Sttistis18. Rsults: Th sor of QS is slightly lowr in fmls (4.3±2.2) ompr to mls (4.2±2.4; p>0.05). Th sor of mls in QoL omins of psyhologil hlth (71.7±13.2; p=0.708) n nvironmnt (76.0±14.0; p=0.276) hs slightly highr vrg vlus ompr to fmls (71.2±9.1; p=0.708 n 73.4±10.6; p=0.276) rsptivly. Thr ws n ssoition twn th QS n th omins of QoL in mls for physil hlth (r=-0.34, p=0.004), psyhologil (r=-0.34, p=0.003) n soil rltions (r=- 0.32, p=0.007), n fml for physil hlth omins (r=- 0.34, p=0.020) n soil rltionships (r=-0.31; p=0.033). Conlusions: Ths rsults suggst tht ttr prption of QS is rlt to ttr prption of QoL, with som gnr iffrns, sming to mphsiz th n n importn of primry prvntion to thry improving mi prformn n QoL. Dsriptors: slp; ollg stunts; qulity of lif; qulity of slp; gnr iffrns. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 217

219 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth RELATONSHP BETWEEN MOTOR COORDNATON AND PHYSCAL FTNESS OF PREPUBERTAL CHLDREN Lonro G. O. Luz,,, Bruno Cliton Mo o Crmo, Mnul J. Colho--Silv Univrsi Frl Algos. Algos, Brzil Ful Ciênis o Dsporto Eução Físi. Univrsi Coimr. Coimr, Portugl ntroution: Hlth nfits of physil tivity (PA) n physil fitnss (PF) r rsonly wll stlish, trking stuis of PA n PF in hilhoo hv not orinrily onsir th rol of motor oorintion (MC). Morovr, thr r fw stuis out th rltionship tht MC prsnts with PA n PF. Ojtiv: Th stuy ws im to invstigt th rltionship twn MC n PF of prpurtl girls. Mthos: Th ross-stionl smpl inlu 41 fmls g 8 yrs ol (8,5±0,3 yrs) from shools of Arpir, Algos, Brzil. Th sujts omplt th morphologil msurmnts, th Körprkoorintionstst für Kinr (KTK) n iffrnt fitnss tsts. Prntg of prit ult hight (PPAH) ws us to ssss th mturity sttus. Sujts wr lssifi s on tim whn th prntgs of prit mtur hight wr xprss on z-sors for girls in th Univrsity of Cliforni t Brkly Guin Stuy. Sprmn orrltion wr lult to vlut th orrltion twn fitnss tsts n motor oorintion prformn (p<0,05). Rsults: Th MC i not show up strongly orrlt with ny PF tsts. Th mor orrlt with MC fitnss tsts wr horizontl jump (rs=0.497) n roi prformn (rs=0.441). Proof of gility ttry of fitnss tsts prov to invrsly orrlt with th MC (rs=-0.493). Conlusions: Th rsults not tht thr is no strong orrltion twn PF n MC of prpurtl girls. Suh finings rinfor th i tht th vlopmnt of MC rquirs spifi tivitis n not simply ngging in physil tivitis. Dsriptors: hilrn, motor oorintion, hlth. Psyhomtri Stuy of th Aolsnt Soil Comprison Sl-Rvis An Xvir,, Mrin Cunh,,, José Pinto-Gouvi,, Filip Miros, Cntro nvstigção o Núlo nvstigção ntrvnção Cognitivo-Comportmntl. Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl nstituto Suprior Migul Torg. Coimr, Portugl ntroution: Soil rltionships r of ruil importn for our wll-ing. Howvr, soil rltionships n omptitiv for soil pl. This my sour of strss, prtiulrly in olsnts us thy sk to vlop pr rltionships, fit in n ttrtiv to othrs. Consquntly, thy gin to ompr thmslvs to othrs in vrity of omins n with sns of vulnrility to rjtion if tht omprison is unfvourl. n turn, this my l to th vlopmnt of psyhopthology n hlth prolms. Th Aolsnt Soil Comprison Sl-Rvis (rons & Gilrt, 2005) sssss glol omprisons tht iniviuls mk out thmslvs in rltion to thir frins. Ojtiv: This stuy ims to pt th Aolsnt Soil Comprison Sl-Rvis (ASCS-R) n xplor its psyhomtri proprtis for Portugus olsnts. Mthos: Prtiipnts wr 450 olsnts (220 oys n 230 girls) g twn 12 n 18 yrs ol (M=14.38, SD=1.75), in 7 th to 12 th grs from shools in Coimr, Portugl. Rsults: Th Portugus vrsion of th ASCS-R show singl strutur ompos y 8 itms. High sors init mor positiv soil omprison. This 8-itms sl monstrts n qut itm rliility n goo intrnl onsistny (α=.81). n this smpl, thr r signifint gnr iffrns, with oys rporting mor positiv soil omprison in rltion to group prs thn girls. Conlusions: Our finings ontriut to th ssssmnt n rsrh on soil rnk, suggsting tht th ASCS-R is n onomi, vli n rlil msur to ssss soil omprison in olsnts. Dsriptors: Soil Comprison; Portugus vrsion; Assssmnt; Aolsn. [email protected] [email protected] [email protected] [email protected] [email protected] 218

220 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 387 Moing/psyhologil ggrssion in nursing profssion 388 Qulity of lif in olr popl n Hospitliztion An Lúi Silv João Hospitl Distritl Sntrém. Sntrém, Portugl ntroution: Moing is hrtriz y rptitiv hostil hviour n unthil onut on hlf of mngr or work ollgu towrs othr o-workrs for long prio of tim. Ojtiv: This rsrh projt ims to ssss th xistn, frquny n intnsity of moing in th popultion of Portugus Nurss, s wll s its impt on th motionl wll-ing, intrprsonl rltionships n jo stisftion. Mthos: Th stuy rri out ws quntittiv, orrltionl n trnsvrsl. A qustionnir ws us s th form to ollt t. Th sm qustionnir ws livr in 11 institutions in Portugl, whih wr hosn rnomly n thn pl on wsit. Th totl smpl is ompos of 3227 nurss from vrious hlth institutions in Portugl. SPSS 17 ws us for th sttistil t trtmnt. Rsults n Conlusions: From th rsults otin, it ws osrv tht on vrg h nurs suffrs 11 ggrssiv hviour onuts in th work pl. Th typs of ggrssion suffr with grtr intnsity y th vitims r ommunition lokg (0,95) n ing isrit t work (0,48). Th frquny of th ggrssiv hviour is minly svrl tims month n svrl tims wk. Whn onfront out th motiv of hving suffr psyhologil hrm, th vitims mntion th following s th min uss: nvy or jlousy, not yiling or ing influn y lkmiling or susrvin n ing innovtiv or ntrprnuril in th nw work mthos or prsptivs. Almost hlf of th vitims of moing (48,14%) stt tht thy h hlth prolms s rsult of th psyhologil ggrssion suffr in th work pl. Dsriptors: Moing; Psyhologil Aggrssion; ntrprsonl Rltionships; Nursing Hlth; Lour Wlfr. Gort Sntos, Lilin Sous Cntro Hospitlr Bixo Voug. Aviro, Portugl Univrsi Aviro. Aviro, Portugl ntroution: n n ging soity, som topis r oming mor rlvnt suh s Qulity of Lif (QOL) n hlth of olr popl. Th QOL onsists of svrl imnsions, n hlth is omin with lot of influn on QOL. Hospitliztion is n vnt of high nxity minly for olr prsons, u to its ssoition with hlth sttus triortion n rs of th QOL. Ojtiv: this stuy xmins olr prsons QOL t th hospitliztion mission, onsiring th influn of soio-mogrphi, pthology n hospitliztion urtion vrils. Mthos: th smpl ompriss 250 prtiipnts ( 65 yrs ol), 50.4% fmls, with mn g of 79.2 yrs (SD=7.6). Th Elrly Assssmnt Systm (EASYr) ws ministr. Rsults: min rsults show tht: th prolmti rs r mntl hlth/wllnss, ommotion/finn n moility, 27.6% of th prtiipnts r pnnt in ADL n DLA; 38.5 r pnnt in ADL n inpnnt in ADL; 39.6% r inpnnt. Th pnnt tn to wiowrs, not prtiing physil tivity, prsnting ring limittions, fling lonly n prss; th inpnnt tn to mor stisfi with thir housing onitions, mnging utonomously thir finns, with high shool lvls n youngr. Conlusions: rsults rinfor th i tht th opt lifstyls, soio-mogrphi onitions n iniviul hrtristis r importnt ftors in th prption of QOL, s wll s th xprin of hospitliztion. Dsriptors: Aging; Qulity of Lif; Hospitliztion. [email protected] 219

221 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Effts of n xris progrm on physil fitnss in ptints with typ 2 its Romu Mns,, Nlson Sous, José Luís Thmuo- Brt,, Vitor Mho Ris Rsrh Cntr in Sport Sins. Hlth Sins n Humn Dvlopmnt. Univrsi Trás-os- Monts Alto Douro. Vil Rl, Portugl Univrsi Bir ntrior. Covilhã, Portugl Cntro Hospitlr Cov Bir. Covilhã, Portugl ntroution: Ptints with typ 2 its hv grtr lin in physil fitnss with mjor influn on thir moility n qulity of lif. Ojtiv: To nlyz th ffts of Dits m Movimnto ommunity-s suprvis xris progrm on physil fitnss in ptints with typ 2 its. Mthos: Forty-thr iniviuls with typ 2 its (21 mn n 22 womn; g 62.51±5.92 yrs ol) unrwnt ommunity-s xris progrm, with nin months urtion, omining roi, rsistn, gility n flxiility xris. Group xris sssions wr hl thr tims pr wk on non-onsutiv ys, lsting 70 minuts n wr suprvis y xris profssionls. Physil fitnss ws ssss for n ftr th xris progrm pplition through 6-minut wlk tst (roi fitnss), 30-son hir stn tst (lowr lim strngth), tim up-n-go tst (gility) n hir sit-n-rh tst (lumr n lowr lim flxiility). Rsults: Signifint improvmnts wr osrv (p<0.001) in th prformn of ll physil fitnss tsts us: 6-minut wlk tst, ±74.86 vs ±93.48 m; 30-son hir stn tst, 16.68±3.21 vs ±3.54 rps; tim up-n-go tst, 6.15±0.98 vs. 5.27±0.76 s; n hir sitn-rh tst, -6.89±11.83 vs. 0.20±11.55 m. Conlusions: Community-s xris progrms lik Dits m Movimnto r fftiv intrvntions to improv physil fitnss in ptints with typ 2 its. Dsriptors: Physil Ativity; Exris; Physil Fitnss; Qulity of Lif; Typ 2 Dits. Spifi shooling r for hilrn with isilitis from nursing prsptiv Mliss J. A. Flizro,, Luiz Frnno Mtos Xvir,,, Ln E. S. Sntos,, Dnis S. Morir,, Clui Goms, Esol Enfrmgm. Univrsi Frl Alfns. Mins Gris, Brzil CAPES Sin without Borrs progrm in nstitut of Thnology Trl. Trl, rln ntroution: nlusiv ution or th inlusion of hilrn with isilitis in rgulr lsss hs prov to hllnging for shool ommunitis. Rsrh from rly hilhoo utors suggsts th ution pross rquirs mor ohsiv vlopmnt n implmnttion of st prti poliy in orr to optimiz th growth n vlopmnt of th infnt. Susquntly, this rsrh ls with isility hilr in hil ution institutions. Ojtiv: To ritiqu hilhoo ution, spifilly xmining th r of hilrn with isilitis. Mthos: This is n xplortory stuy with qulittiv, sriptiv pproh. This ws onut using smi-strutur iniviul intrviws with 14 puli srvi infnt utors from Alfns, MG, Brzil. For t nlysis, w us Contnt Anlysis, Thmti Anlysis mtho propos y Brin. This work ws pprov y th Rsrh Ethis Committ of Frl Univrsity of Alfns, with th rport numr Rsults n Conlusions: Profssionl n prntl ollortion within n outsi shools ws osrv to vitl. Rsults show fmily prtiiption nls n nhns hilhoo utors ojtivs through intrtiv fk, signifintly nfiting hilrn with isilitis vlopmnt. n som shools strtgi, onsintious qulifi r to stunts ws not. Howvr, in othr utionl institutions profssionl trining n pttion ws istintly lking. This riss onrns rgring th monitoring of hilrn with isilitis. This spiliz r pprs similr to tht provi to hilrn without spil ns. Consquntly this stuy nlyss rfltiv prti y puli srvi, rly hilhoo utors in Brzil. Dsriptors: Nursing, Cr, Erly Chilhoo Eution, Chilrn with Disilitis. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 220

222 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Qulity of lif, onrns n thrputi ns in prnts of hilrn with spil ns An Brnro,, Mrgri Sntos,, Esol Suprior Tnologi Sú Liso. Liso, Portugl Ful Psiologi Liso. Liso, Portugl ntroution: Prnts of hilrn with (SN) shr with othr prnts th hllngs n worris of prnting ut thy f n xtr urn tht stms from th hil s mil onition. Aitionlly ths prnts must l with thir own flings of nguish n loss. Fmily ntr r highlights th importn for profssionls to unrstn prntl ns n worris. Ojtiv: To xplor n to rlt prntl qulity of lif; imnsions of prntl strss; onrns n thrputi ns, in prnts of hilrn with SN. Thirty prnts (80% mothrs) of hilrn with ivrs vlopmntl isorrs prtiipt. Mthos: W us WHOQOL-rf; Prnt s Evlution of Dvlopmntl Sttus (PEDS); llnss xprin qustionnir (EQ). Sttistil Pkg for Soil Sins 21 ws us for sttistil sriptiv n orrltionl nlyss Rsults: Prnts show mium/low lvls of qulity of lif. Th lowst sors wr otin in th nvironmntl omin. Prntl strss ws ssoit with prntl vlution of thir hil s lvl of ysfuntionlity n with prnts prption of th hil s onition impt on th fmily. Prnts rvl worris rlt to th hil s hvior, utonomy, lngug vlopmnt, fmily isoltion n lk of soil support. Corrltions wr foun twn qulity of lif with hil s hrtristis n lso with prnt s hrtristis. Conlusions: Th rsults l to th intifition of trminnts of prntl qulity of lif n to unrstn rltions twn ths trminnts. Prntl prptions n hil hrtristis mrg s ky ftors to inlu in hlth profssionl s fforts to promot prnt s involvmnt. Dsriptors: Qulity of lif, Prnting, Chroni illnss, Prntl onrns. Burnout Among Nurss Mri Conição Alvs Rinho Sors Prir,, Grç Mri Frrir Pimnt,, sl Mri Antuns Rorigus Cost Brroso,, Mri João Filomn Sntos Pinto Montiro, Esol Suprior Enfrmgm Vil Rl. Univrsi Trás-os-Monts Alto Douro. Vil Rl, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Nursing is onsir risk profssion with high lvls of urnout, whih is th pross of rspons to hroni ouptionl strss. t prsnts ngtiv onsquns in iniviul, profssionl, fmilir n soil rs. Ojtiv: Dsri th lvl of Portugus nurss urnout. Mthos: W vlop ross-stionl stuy; th im of stuy ws to nlyz th lvl of urnout, n its imnsions, in nurss. For th informtion s ollt, w us slf-ppli strutur survy tht inlu th Nursing Burnout Qustionnir (NBQ), whos sl vris from 1 to 4 points. Rsults: Th smpl of 316 nurss, g twn 23 n 59 yrs, with n vrg g of 38.4 yrs, work t hospitl in North of Portugl. Profssionl xprin rng from 0 to 37 yrs, with n vrg of 14.9 n (SD=8.5). Th nurss h mn sor of urnout 2.3 (SD=0.4). Th mn sor of th thr imnsions of urnout: motionl xhustion ws 2.4 (SD=0.6), prsonliztion vrg ws 1.9 (SD=0.5) n th vrg of lk of prsonl omplishmnt ws 1.8 (SD=0.5). Conlusions: n this smpl, wight vrgs of th vlus of th synrom of urnout n motionl xhustion wr ov th mipoint, whos vlu is (2) in th msurmnt sl. Th rsults show mort vrg vlus, ut nurss must wr of th mn of thir profssion. Tking into ount th rsults of th stuy, proposl ws vlop, ontining rommntions of hlth promotion for nurss n prvntion of psyhosoil risks t work. Dsriptors: Burnout, Nurss, Hlth Promotion. [email protected] [email protected] [email protected] [email protected] [email protected] 221

223 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth nvntory of ullying in nursing stunts: finl rsults Céli Litão,, Luis Sá, Hospitl CUF nfnt Snto. Liso, Portugl Ctholi Univrsity of Portugl. nstitut of Hlth Sins. Cntr for ntrisiplinry Rsrh in Hlth. Liso, Portugl ntroution: n th linil stting, nursing stunts r xpos to similr working onitions n strssors s thir suprvisors. Ths strss onitions n l to ullying phnomn. Ojtiv: W tst th vliity of n instrumnt sign to vlut ullying in nursing stunts, s on quntittiv ross-stionl stuy. Mthos: Smpl onsist of 87 nursing stunts in th lst yr of grution, with mn g 23,08±2,03 (87,4% fml). Dt ws ollt y slf-ompltion qustionnir onsisting of four prts: (1) soiomogrphi hrtriztion, (2) vrsion of th nvntory of Bullying in Nursing Stunts (BEE-91 itms), (3) ssssmnt of ttitus towrs ullying n (4) Gnrl Hlth Qustionnir (GHQ-28 itms). Th BEE itms wr thn ru to shortr vrsion of 28 qustions y ftor nlysis, whih wr tst (intrnl onsistny) n rh Cronh s lph (α) of 0,942, similr to th sor 0,943 α otin y GHQ-28. Susquntly t from oth th BEE n GHQ wr orrlt (Prson s; r=0,47; p<0,001). Rsults: Aoring to th ritri of ullying y Mikklsn & Einrsn (2001), w hv foun 44,8% of ullying prvln using th first ritrion (lss stringnt), 21.2% using th son ritrion n 16,3% oring to th thir ritrion (th most mning). Conlusions: Th short vrsion of th BEE is usful tool to monitor ullying in nursing stunts. Th rsults show us tht nursing stunts in linil thing ontxt r xpos to th sm strssors profssionls. Dsriptors: Bullying. nvntory of ullying. Nursing stunts. Qulity of lif in th lrly: omprtiv stuy twn two iffrnt r giving srvis Czrin Sntinho Muríio, Mri Oíli Aru, Luís Pimntl, Grç So Esol Suprior Eução Ciênis Soiis. Polythni nstitut of Liri. Liri, Portugl ntroution: Rnt t rvls th Portugus popultion s th 7 th most lrly glolly. With inrsing vrg lif xptny ky hllng fing ountris with ging popultions will to prsrv or nsur th Qulity of Lif (QoL) ovr th itionl liftim th popultion r inrsingly living. This rsrh hs opt QoL s fin y WHO. Ojtiv: Th min purpos of this stuy is to ssss th QoL of th lrly who ttn r giving srvis y ompring th vrious omins of QoL in two groups. Mthos: This is n xplortory omprtiv stuy using th WHOQOL-Brf vlit instrumnt to ssss QoL (Cnvrro, Vz Srr, Simõs, Prir, Gmiro, Qurtilho, Rijo, Cron & Prs, 2006). WHOQOL-Brf hs 26 itms (four omins: physil, psyhologil, soil n nvironmntl), with 5 Likrt sl rspons. Th smpl (n=30) hs 53,3% womn n 46,7% mn, n vrg g of 80 yrs (st vition 7,47), 50% ttning hom hlp srvis n 50% ttning y r ntrs. Rsults n onlusions: Th rsults show tht 46,7% nswr with goo to QoL itm n 43,3% sy thy r stisfi with thir hlth. n this smpl thr r no ssoitions twn most soiomogrphi vrils n WHQOQOL-Brf omins. Thr is slight iffrn twn th two groups ttning iffrnt srvis onrning ll WHOQOL-Brf omins showing tht th lrly ttning hom hlp rvl highr QoL prption. Although th smll smpl invlits gnrliztions, it n si tht th lrly rvl stisftory QoL prption. For furthr onlusions rpli stuy with iggr smpl is nssry. Dsriptors: Qulity of lif. Elrly. Crgiving srvis. WHOQOL-BREF. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 222

224 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Qulity of lif in pitri nr: llnss prptions of hilrn n prnts Mrt Fons,, Elisth Spitz, Esol Suprior Eução Ciênis Soiis o nstituto Politénio Liri. Liri, Portugl Univrsité Lorrin. Nny, Frn ntroution: Rsrh strsss th n to intify ftors tht impt justmnt of pitri nr ptints. Rntly, rsrh hs fouss on th impt of illnss prptions on Qulity of Lif (QoL). Ojtiv: Th prsnt ommunition ims to nlys th impt of hilrn s with nr illnss prptions, s wll s thos of thir prnts, on hilrn s QoL. Mthos: Th Brif llnss Prption Qustionnir (Bront t l, 2006) ws ministr to 39 hilrn with nr, g from 8 to 12 yrs ol, n to thir prnts (n=39). Chilrn lso omplt th Chil Qulity of Lif Systmi nvntory (Missottn t l, 2008). Rsults: Rsults highlight tht th prption imnsion of illnss impt, whih ompriss four initil imnsions of th Brif - PQ (onsquns, intity, onrn n motionl rprsnttion), is signifint QoL pritor. QoL wr prit y hilrn s (β=.64; p<.05) n prnts (β=.30; p<.05) illnss impt prptions. Chilrn n prnts rporting lss thrtning viw out th onsquns of nr in thir livs rvl ttr QoL. Conlusions: Through th nlysis of th influn of hilrn s n prnts illnss prptions on QoL, finings provi informtion to sign intrvntions to promot QoL mong pitri nr ptints. Dsriptors: Onology. Pitri nr. Qulity of lif. Prnts. llnss prptions. Aging n mil hring loss An Rios, Din Sntos, nês Muro, Mfl Fro, Mrin Arújo, Sofi Bor f, Mrgri Srrno g Coimr Hlth Shool (ESTS) Polythni nstitut of Coimr. Coimr, Portugl ntroution: Prsyusis rsults in rs ility to hr high-pith souns s th iniviul gs. This ft is ggrvt in th prsn of nois. Th iffiulty hring in nois is oftn not mttr of soun, ut of prption/intlligiility. Th SPN tst (Sph Prption in Nois) is tst tht vluts th sph prption/ intlligiility in nois, through th prsnttion of svrl phrss in th prsn of ompting mssg simultnously, llows vluting th isrimintion of sph rognition in unfvorl nvironmnts. Ojtiv: To vlut th iffrns in intlligiility mong lrly in noisy n quit nvironmnts. Mthos: Th SPN tst ws onut to iniviuls ovr 65 yrs n who h mil hring loss. Th phrss wr prsnt in rnom orr, two in quit n two in nois. Rsults: Thr wr no sttistilly signifint iffrns twn th intlligiility in nois n siln, on oth th intlligiility ws low 90%. This grs with th opinion of th lrly us only 22% rport iffiultis to unrstn in nois. Emphsiz tht 66.7% of th lrly hv prmnnt tinnitus. Conlusions: t is onlu tht mor stuis r n in whih olr popl prsnt othr grs of hring loss n whr signl to nois rtio is mor unfvorl so it n simult nvironmnts of mny y-to-y lif of th lrly. Howvr, n rly uiologil intrvntion is funmntl to th qulity of lif, in whih ommunition strtgis r tught to th lrly, vn in mil hring loss, so it os not gr n n vn improv. Dsriptors: SPN tst. ntlligiility. Elrly. Prsyusis. Qulity of lif. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 223

225 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Qulity of lif ftr livr trnsplnt in fmilil myloioti polynuropthy ptints Sóni Novis,, Lilin Mot, nstituto Ciênis Sú. Univrsi Ctóli Portugus. Portugl nstituto Ciênis Bioméis Al Slzr, Univrsi o Porto. Porto, Portugl ntroution: Fmilil myloioti polynuropthy (FAP) is Portugus nmi nurognrtiv iss tht spr worlwi. Th onst of symptoms strts in th son of lif n rris high gr of isility. t is hroni iss, with on trtmnt vill, th livr trnsplnttion. Ojtiv: Th ojtiv of this stuy is to onut n intgrtiv rviw to xplor th urrnt knowlg out th priv qulity of lif ftr livr trnsplnttion in FAP ptints. Mthos: W onut litrtur rviw. A litrtur srh ws prform in onlin sintifi tss, using th trms: Amyloi Nuropthis, Fmilil/ignosis OR Amyloi Nuropthis, Fmilil/thrpy. W fin s inlusion ritri stuis on popultions tht inlu ptints with FAP ftr livr trnsplnttion. Th rtils foun wr rviw inpnntly y th two uthors of this stuy. Rsults: Th vlution of qulity of lif in ptints with PAF ftr livr trnsplnttion ws th topi isuss in fiv rtils. Th stuis foun try to ompr th ssssmnt of qulity of lif mong ptints with FAP n othr ptints ftr livr trnsplnttion. Th stuis wr mostly rri out in Portugl n us quntittiv mthoology. Conlusions: Th min rsult of th stuis shows lowr prption of improv qulity of lif, in FAP ptints s ompr with othr trnsplnt. This rsult is ttriut to two hypothss. On rlts to th timing of livr trnsplnttion us of FAP ptints r trnsplnt rly or with symptoms tht r stiliz, hving no improvmnt in thir linil onition. Anothr hypothsis rlts to th n to mng omplx thrputi rgimn ftr livr trnsplnttion. Dsriptors: Fmilil myloi polynuropthy. Livr trnsplnttion. Qulity of lif. Erly xprins with rgivrs, shool ullying n ngtiv fft in Aolsn An Xvir,, Mrin Cunh,,, José Pinto-Gouvi,, Cognitiv n Bhviourl Cntr for Rsrh n ntrvntion. Fulty of Psyhology n Eution Sins. Univrsity of Coimr. Coimr, Portugl nstituto Suprior Migul Torg. Coimr, Portugl Fulty of Psyhology n Eution Sins. Univrsity of Coimr. Coimr, Portugl ntroution: Shool ullying is worl-wi hviourl prolm tht ffts olsnts physil n mntl hlth. Erly xprins of wrmth n sfnss n, in ontrst, of thrt n sumissivnss my hv istintiv impt on psyhopthology. Ojtiv: This stuy ims to xmin th ntur of shool ullying xprins, in trms of its prvln n ourrn. Aitionlly, groups of ullying vitimiztion, prptrtion n prptrting vitims wr ompr in rltion to rly xprins with rgivrs (wrmth n sfnss vrsus thrt n sumissivnss), positiv n ngtiv fft. Mthos: Th smpl onsists of 867 olsnts, 381 of whih r oys (43.9%) n 486 r girls (56%), g twn 12 n 19 yrs ol (M=15.32, SD=1.66), in 7 th to 12 th grs from shools in Coimr, Portugl. Prtiipnts omplt slf-rport qustionnirs tht inlu rly mmoris of wrmth n sfnss (EMWSS-A), rly xprins of priv thrt n suorintion (ELES-A) n positiv n ngtiv fft (PANAS). Rsults: Rsults show tht 16.8% of olsnts rport hving n vitim of shool ullying, 2.7% stt hving ulli othrs n 4.3% lssifi thmslvs s oth ullis n vitims. Thr r signifint gnr iffrns in th thr groups involv in shool ullying, spilly for th vitims group with rtio of 1 oy for 2 girls. Rsults from MANOVA nlyss rvl tht prptrting vitims rport highr lvls of priv thrt n suorintion with thir prnts n ngtiv fft whn ompr to th ully group. Conlusions: This stuy s to th rsrh on shool ullying n vulnrilitis to motionl prolms. Dsriptors: Erly xprins. Shool Bullying. Ngtiv fft. Aolsn. [email protected] [email protected] [email protected] [email protected] [email protected] 224

226 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Rltionship twn lisur tivitis n ognitiv prformn in olr ults Giovn Sposito,, Môni Snhs Yssu,, Anit Lirlsso Nri, Ful Ciênis Méis. Univrsi Estul Cmpins. Cmpins-São Pulo, Brsil Esol Arts, Ciênis Humnis. Univrsi São Pulo. São Pulo, Brsil ntroution: Ativ ging hs n ssoit with sussful ging, suggsting tht nggmnt in lisur tivitis (LA) my rlt to th prsrvtion of ognitiv funtion. Ojtiv: This stuy im to invstigt th rltionship twn th nggmnt in LA n ognitiv prformn in lrly ommunity rsints. Mthos: 2,549 lrly popl without ognitiv impirmnt suggstiv of mnti prtiipt in th stuy. Th t prsnt long to th popultion-s stuy of Frgility Profil in Elrly Brzilins (FBRA-Unimp). Cognitiv prformn ws ssss using th Mini Mntl Stt Exmintion (MMSE). Dt on soiomogrphi hrtristis n hlth sttus wr ollt n slf-rport soil, physil n mntl LA wr vlut using th Minnsot Lisur Tim Ativity Qustionnir (MLTAQ). Corrltions n Stpwis univrit linr rgrssion nlysis wr onut to invstigt th influn of ths vrils on ognitiv prformn. Rsults: All orrltions wr signifint (p<0.005). Howvr, thy wr grtr twn th MMSE n th vrils: yrs of ution, houshol inoms n nggmnt in intlltul LA. Ths vrils wr lso signifint pritors of th MMSE sor: yrs of ution (β=0.66, p=<0.001, R 2 =0.4277), houshol inom (β=0.45, p=<0.001, R 2 =0.1478) n nggmnt in intlltul LA (β=760.96, p=<0.001, R 2 =0.1472). Conlusions: Finings suggst tht olr ults with highr ution, highr soioonomi sttus n thos with grtr nggmnt in intlltul tivitis prsnt ttr rsults on th MMSE. Prhps, ths ftors my lso xrt prottiv rol in ognitiv funtion uring ging. Dsriptors: Sussful ging. Ativ ging. Lisur tivity. Cognitiv funtion. Elrly. Struturl pproh to th qulity of lif of tngrs Rmon Missis Morir,, Juls Rmon Brito Tixir,, Euro Ngi Bory,, Znil Noguir Sls,, Rit Nrrimn Silv Olivir Bory,, Anrson Ris Sous,f Univrsi Estul o Suost Bhi. Jquié, Bhi, Brsil Ful Nor. Fir Sntn, Bhi, Brsil ntroution: Th stg of olsn is hrtriz y svrl hngs in th oy, th wy of ing, thinking n ting tngr. Bing mrk y iologil, soil n hviorl hngs, whih signifintly fft ting hits, soil rltions, fmily, ulturl n spiritul, n, in wy, of unplsntnss with his own slf. Ojtiv: This stuy im to sri th ontnts n omprtivly nlyz th strutur of soil rprsnttions of tngrs out qulity of lif. Mthos: This is sriptiv, quntittiv, with th nhmrk struturl pproh to soil rprsnttions. nformnts wr 316 olsnts from thr puli shools in Jquié, Bhi, Brzil. Ws us for t olltion Summoning Thniqu Fr Wor through inuing trm Qulity of Lif, whos votions wr pross y Evo 2003, gnrting th Tl of Four Houss. Rsults: Th rsults rvl th or trms hlthy ting, physil tivity, mony n sx in th 1st priphry wors sn of iss, onoms, lirty, mrijun, housing, work n liv wll, th 2n priphry votions iffiulty, fmily, p n powr, n th ontrsting lmnts wr wll-ing n sor. Conlusions: t ws unrstoo tht olsnts ssoit qulity of lif to sports n othr hlthy hviors, ing influn y th sirs n uriositis of olsn. Dsriptors: Soil Prption. Qulity of lif. Tngr. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 225

227 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Unonvntionl thrputi molitis in nursing prti Mri Sntos Esol Suprior Sú Sntrém. Sntrém, Portugl ntroution: Th prti of unonvntionl thrputi molitis y nurss ws rought to us n qustion y stunts, following linil lrning. Th nswr, lgitimtly xpt, l us to th sintifi stuy of this rlity. Ojtiv: to unrstn th intgrtion pross of ths thrputi molitis in nursing prti - outlining th following imnsions: th intifition of thrputi molitis tht nurss us in thir prti; th mnings thy ttriut to it; th strtgis thy vlop in thir us; th ssssmnt on y nurss n ptints rgring its fftivnss. Mtho: Us ws Groun Thory, s viw y Kthy Chrmz. Th thniqus of t olltion wr intnsiv intrviws n prtiipnt osrvtion. Th invstigtion ws prform in hospitl ontxt, n it involv 25 nurss tht work in 9 puli hospitls n 17 ptints of n onologi unity pin. Rsults: Nurss us nvironmntl, mnipultiv, mntl-ognitiv, nrgti n rltionship-rlt molitis. Th physil, soil n lgl/normtiv nvironmnts onition th prti of ths molitis. Of th mos of tion, w highlight: th importn thy tth to th thil spts; th hiing of ths prtis from th othr hlth tm mmrs; th isssmling n romintion of vrious thniqus us. Conlusions: Th nurss intify high onptul ohrn of unonvntionl thrputi molitis with nursing. Thy omplin thing ths thrputi molitis s n intgrl prt of nurs trining. Thy ssss its rsults s hving high thrputi intrst, whih is wily support y usrs, through physiologil, hviorl n wll-ing initors of rsults. Dsriptors: Unonvntionl thrputi molitis. Nursing prti. Knowlg of HV mongst rsints of th Univrsity of Évor Cmpus Mri Chor,, An Fris,, Mrgri Sim-Sim,, Egr Plminhs,, Vitóri Css-Novs,, Ermlin Clir,f Univrsi Évor. Évor, Portugl Aministrção Rgionl Sú o Alntjo. Évor, Portugl ntroution: n Portugl th wir suistry of HV inftion in th yr of 2012 lis on th symptomti rrirs n on th vrg g of 41 (DGS, 2013). f, somtims, mnifsttions tk long tim until th linil ignosis hppns (Boyr & Kgls, 1991), th ontmintion n lot in th youth yrs. To implmnt prvntion mpigns it is nssry to know th ripints. Univrsity stunts knowlg of HV is stisftory (Jhnfr, Ly, & Rmstpl, 2009; Sutton t l, 2011) ut suh sujt ws not yt stui in th rsints of th Univrsity of Évor Cmpus. Ojtiv: Dsri th knowlg of HV inftion mongst stunts tht liv in univrsity rsins. Mthos: This is sriptiv, quntittiv n ross-stionl stuy. Convnint smpl of 200 sujts, with mn g of yrs ol (DP=2.24), ing 66.5% of thm girls. Th ppli qustionnir inquir out soiomogrphi spts, gr n knowlg of HV through sl (Zimt, 1998). Rsults: Th lvl of knowlg is high (M=18.17; DP=2.26). Bhlor gr stunts hv wir knowlg thn mstr/phd stunts n othr grs (hving signifint ontrsts spilly with ths othr grs). Sujts who hv onstnt prtnr n who simultnously hv intrours with othrs r th ons tht possss wkr knowlg of HV. Conlusions: Sxul ution tught uring ompulsory ution, mss mi mpigns n hlth promotion mpigns n hlp justify th sor otin from th smpl. Howvr, it will nssry to fin strtgis tht ti knowlg to sf hviors. Dsriptors: HV. Univrsity stunts. Sxul hvior. HV knowlg. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 226

228 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth (n)pnn from gnr prsptiv: A stuy of lrly popl with soil r srvis Lr Crolino,, Frnn Dnil,,, Sóni Gulup,, Lur Lmos,, Hnriqu Tst-Vint,, Hln Espírito-Snto,f, Alxnr Silv,g nstituto Suprior Migul Torg. Porto, Portugl Dprtmnto nvstigção & Dsnvolvimnto. nstituto Suprior Migul Torg. Porto, Portugl Cntro Estuos nvstigção m Sú. Univrsi Coimr. Coimr, Portugl ntroution: Litrtur rviws rport n ssoition twn th inrs of lrly popultion n th n for hlth r. Simultnously it is rogniz tht thr r iffrns in th wy mn n womn xprin th pross of ging (Blts, 1997; WHO, 2002). Ojtiv: To ssss (in)pnn of lrly popl with soil r srvis from gnr prsptiv. Mthos: Th urrnt stuy hs ross-stionl sign. Prtiipnts wr mn n womn (N=106) n inlusion ritri wr g qul or highr thn 65 yrs ol (M=82.47; SD=±8.95) n th sn of ognitiv impirmnt. Th Portugus vrsion of th EsyCr Stnrt 2010 ws us for t olltion. Prliminry hks wr onut to nsur tht thr ws no violtion of ANCOVA ssumptions. Rsults: npnn iffrns for gnr wr nlyz ontrolling for g with on-wy nlysis of ovrin. t ws onlu tht thr r signifint iffrns on th lvl of inpnn twn gnrs (F ANCOVA = (1,44) ; 6,732; p=0,013). Conlusions: Although womn liv longr thy prsnt highr sors of pnn lvl ling to n of highr r n support. Sin qulity of lif pns on th rols tht w ply throughout th ours of our lif, w suggst soil n hlth strtgis tht nsur th mpowrmnt of itizns in orr for thm to nfit from ttr qulity of lif rgrlss of gnr. Dsriptors: Qulity of lif. Gnr. Aging. Soil Cr Srvis. Assoition twn psyhosoil spts of work n qulity of lif of motoryl txi rivrs Juls Rmon Brito Tixir,, Rmon Missis Morir,, Euro Ngi Bory,, Frnn Crniro Mussi,, Rit Nrrimn Silv Olivir Bory,, Znil Noguir Sls,f, Anrson Ris Sous,g Univrsi Estul o Suost Bhi. Jquié, Bhi, Brsil Univrsi Frl Bhi. Slvor, Bhi, Brsil Ful Nor. Fir Sntn, Bhi, Brsil ntroution: Th motoryl txi rivrs r workrs onstntly sumitt to svrl onitions of lif n work tht n ngtivly fft thir qulity of lif n ility to work. Ojtiv: Thus, this stuy im to vlut th qulity of lif of motoryl txi rivrs n thir rltionship to th psyhosoil spts of th work. Mthos: This is n pimiologil, ross-stionl, sriptiv n xplortory stuy, rliz with 400 motoryl txi rivrs of th ity of Jquié, Bhi, Brzil. Ws us form ontining soio-mogrphi t, th WHOQOL-BREF n th Jo Contnt Qustionnir. Th t otin from th intrviws wr tst for normlity of istriution using th Kolmogorov-Smirnov tst. To ompr th rsults twn groups wr us Mnn- Whitny/Wiloxon (two groups) n Kruskl-Wllis (mor thn two groups) tsts, with signifin lvl of 5%. Rsults: Th rsults vin tht motoryl txi rivrs with high ision ltitu h ttr prption of qulity of lif in th psyhologil omin; thos with high psyhologil mns prsnt ttr prption of qulity of lif in th soil rltionships n nvironmnt omins; thos with high strin n tiv jo show ttr prption of qulity of lif in th soil rltionships n nvironmnt omins. Conlusions: Thus, th psyhosoil work nvironmnt n spilly th ision ltitu r importnt trminnts of th prption of qulity of lif of motoryl txi rivrs. Dsriptors: Qulity of Lif. Workrs. Ouptionl hlth. Ouptionl isss. Working onitions. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 227

229 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 405 Prsonl soil ntworks of lrly n mntl hlth: prliminry rsults Sóni Gulup,, Hnriqu Tst Vint,, Frnn Dnil l,,, Ctrin Sntos, Dprtmnto nvstigção & Dsnvolvimnto. nstituto Suprior Migul Torg. Cntro Estuos Populção, Eonomi Soi. Porto, Portugl Cntro Estuos nvstigção m Sú. Univrsi Coimr. Coimr, Portugl nstituto Suprior Migul Torg. Porto, Portugl ntroution: Litrtur shows tht soil ntworks n soil support r trminnt to mintin n improv mntl hlth. n th lst stgs of th lif yl w vrify svrl rstritions on soil ntworks ynmis, hving impt on th qulity of lif n mntl hlth of lrly popl. Ojtiv: This stuy ims to nlyz th ssoition twn struturl n funtionl hrtristis of prsonl soil ntworks n mntl hlth prption. Mthos: A smpl of 317 lr (64% womn; with n vrg of 77 yrs ol [SD±7.57]; 67% living in thir ommunity) omplt th Mntl Hlth nvntory (MH-5; Riiro, 2001) n th Prsonl Soil Ntwork Anlysis Tool (Gulup, 2009). Rsults: Th struturl hrtristis (siz, omposition n nsity) r vry similr twn thos who priv istrss (n=124; 39%) n thos who priv psyhologil wll-ing (n=193; 61%). But w rgistr signifint iffrns twn ths groups in most funtionl hrtristis, with sujts who priv ttr mntl hlth hving prption of ttr instrumntl n informtionl support (U=9781.0; p=0.006; U=9060.0; p<0.001), ttr ompnionship support (U=9230.5; p<0.001), ttr ss to nw soil tis (U=8859.5; p<0.001), mor stisftion with th soil ntwork (U=9023.0; p<0.001), n mor riprol rltions (U=8931.5; p<0.001). Conlusions: Our rsrh shows tht mntl hlth is ssoit with th funtionl imnsion of prsonl soil ntworks of th lrly, n it is not rlt with its struturl imnsion. Dsriptors: Prsonl soil ntworks. Mntl hlth. Elrly. Soil support. 406 Nomintion n ntifition of th Six Bsi Emotions y Elrly popl Pul Corri, Filip Hnriqus, Alor Quintl, Olin Rolão Esol Suprior Sú Egs Moniz. Alm, Portugl ntroution: Emotions ply ruil rol in iopsyhosoil tri. Th ility to rogniz motions llows us to l with situtions in mor fftiv n ptiv mnnr, nling th iniviul s pttion to thir surrounings, filitting n trmining th qulity of intrprsonl rltionships. Aging n inhrnt grtr isoltion turn this motionl pity in ntrl prson s lif spt. Ojtiv: Th prsnt stuy ims to trmin th ility of nming n intifition th six si motions y lrly popl. Mthos: A smpl of 120 ptints, 51 mls n 69 fmls, wr vlut y Bsi Fil Exprssions ttry (BEF - B). Rsults: Th rsults monstrt tht hppy is th motion ttr n mor quikly intifi n nm in opposition to th ngr tht h th worst prformn. Thr ws lso positiv rltionship twn g n rspons ltny with sttistil signifin s wll s signifint iffrns in th pity of nming n intifition s in ltny in rltion to gnr, with th fml to prou signifintly highr prformn. Conlusions: W onlu tht fmls r signifintly mor fftiv in motionl rognition n tht g is signifint vril in trmining prformn of motionl rognition in th lrly tht rquirs pttion of th intrloutors. Dsriptors: Bsi Emotions. Elrly. Gnr n Ag. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 228

230 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth A gnri n moulr pproh to hilrn s qulity of lif slf-ssssmnt Mrt Fons,, Elisth Spitz, Esol Suprior Eução Ciênis Soiis. nstituto Politénio Liri. Liri, Portugl Univrsité Lorrin. Nny, Frn ntroution: Qulity of lif (QoL) in hilrn with hroni illnss oms n importnt vlution ritrion. Chilrn s QoL vlution hs spifi mthoologil spts. Ojtiv: Th ojtivs of th prsnt ommunition r to prsnt: th gnri n th nr moul of th Portugus vrsion of th Chil Qulity of Lif Systmi nvntory (CQLS); th first psyhomtri proprtis of th CQLS gnri Portugus vrsion. Mthos: Th gnri vrsion of th CQLS ws ministr to 120 Portugus hilrn, g from 8 to 12 yrs ol. This tool is s on n innovtiv onptul n mthoologil pproh to QoL slf-ssssmnt, nmly y ing intrtiv n plyful, hving psyhomtry whih oprts svrl sors, y llowing n nlysis of h omin of lif n y hving th possiility of oming moulr. Rsults: ntrnl onsistny of th four sors of th CQLS (Stt, Gol, Rnk n Gp) is stisftory; ll sors hv thir own spifiity. Conlusions: Rsults monstrt th intrst n ppliility of th Portugus vrsion of th gnri CQLS. Th intgrtion of tools suh s CQLS in linil trils to otin from th hil jugmnts on iffrnt omins of lif my om possiility to llow mking proposls for intrvntions to promot hilrn s QoL. Dsriptors: Qulity of lif. Slf-ssssmnt. Chilrn. Chroni illnss. Cnr. Qulity of lif of th lrly with hip rthroplsty: omprison twn two instrumnts Mrin Káti Rmpzo Ltiv, Mri José D Eloux Fulty of Nursing. Stt Univrsity of Cmpins. Cmpins, SP, Brsil ntroution: n ssssing th hlth-rlt qulity of lif (HRQOL) in ptints with totl hip rthroplsty (THA), svrl instrumnts hv n us, lthough fw rn t spifi to th lrly popultion. Ojtiv: Th ojtiv of this stuy ws to ompr two ssssmnt instrumnts of hlth-rlt qulity of lif (HRQOL), n gnri n othr spifi, in lrly ptints unrgoing th totl hip rthroplsty (THA) surgry. Mthos: Cross-stionl stuy with 88 lrly ptints, g 60 yrs or ovr, in outptint, unrgoing primry THA. Th Cronh s lph, iling n floor ffts of th gnri instrumnt Th Mil Stuy 36-itm Short- Form Hlth Survy (SF-36) n th spifi Wstrn Ontrio n MMstr Univrsitis Ostorthritis nx (WOMAC) wr vlut. Rsults: Sors on oth ssssmnt instrumnts of HRQOL show tht th issus of physil ntur fft th qulity of lif of ths sniors mor. Th WOMAC show iling fft in th pin n stiffnss imnsions n only th funtionl pity n pin imnsions of th SF-36 not shown th iling fft.th SF-36 prsnt lso floor fft in th imnsions: physil spts n motionl spts. Th rsults rvl tht thos tools hv som limittions in this lrly group with THA. Th rliility of th tools ws onsir stisftory in th two instrumnts of HRQOL vlution. Conlusions: Th WOMAC n SF-36 instrumnts r qut to vlut th HRQOL of this popultion, ut som rgrs must onsir whn us in lrly ptints with THA. Dsriptors: Hip rplmnt. Arthroplsty. Hip joint. Ag. Qulity of lif. [email protected] [email protected] [email protected] [email protected] 229

231 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th voi s symoli tivity in th lrly Alor Quintl,,, Pul Corri,,,, Jon Cost,, An Pul Mrtins,V, Esol Suprior Sú Egs Moniz. Alm, Portugl Srviço Otorrinolringologi. Hospitl Gri Ort. Alm, Portugl Grupo nvstigção m Voz. nstituto Suprior Ciênis Sú. Univrsi Ctóli Portugus, Liso, Portugl V Srviço Miin Físi Rilitção. Hospitl Gri Ort. Alm, Portugl ntroution: Voi is n intrinsi n nturl imnsion rsour tht plys rol in prson s lif n follows th nturl pross of ging. mpt is vril n n initor of hlth n wll-ing. Bing wr of th importn of th voi in th io-psyho-soil rltionship of th lrly h s Ojtiv: to know th smnti imnsions tht orgniz is, motions n imgs in rltion to th importn of th voi n th flings gnrt from its possil loss in th lrly. Mthos: A qulittiv n quntittiv stuy of rossovr sign, onsisting of 60 ptints of oth sxs, ovr th g of 65 yrs. W us soio mogrphi qustionnir n strutur intrviw sript, s on th thniqu of fr rll, orr n votion xiom of importn. Appl to th Thory of Soil Rprsnttions, togthr with th Cntrl Nulus Thory n (SPSS.19) for t nlysis. Rsults: Th inurs trms importn of Voi n fling of possil loss of voi got 187 votions h, whih llow us rprsnttionl systm with svrl tgoris. Th or of th rprsnttion is ntr on th importn of ommunition n th us of voi ns to xprss snss n mlis flings tht st monstrt your loss. Conlusions: Elrly ssums th voi s n ssntil lmnt tht givs fftiv ommunition. This vin points to th n for intrvntion progrms in mor holisti prsyphoni. Dsriptors: Soil rprsnttions. Voi. Flings. Elrly. Qulity of lif: prsptiv of portugus sniors An Pul Mrtins Esol Suprior Sú Bj. Bj, Portugl ntroution: At prsnt, most of th qulity of lif (QoL) of snior rsrhrs shrs th viw tht onsists of oth ojtivly msurl onitions n sujtiv spts of goo lif. WHO fin it s n iniviul s unrstning of his/hr lif sitution with rspt to his/hr vlus n ulturl ontxt, s wll s in rltion to his/hr gols, xpttions n onrns. Ojtiv: Th im of this stuy is to nlyz th influn of th g, mningful tivitis, housing ontxt (mong othrs) in th qulity of th living stnrs of th lrly. Mthos: A smpl of 463 olr ults, from svrl Portugus rgions, rspon to qustionnir of QoL. Th Portugus vrsion of th WHOQOL-BREF (vlop y th WHO) ws th vlution tool for th qulity of lif stnrs s wll s soio-mogrphi n linil hrtriztion form. Rsults: Th rsults show tht QoL not pn y gnr. Th g, soil ntwork, prtiipt in lisur tivitis (mningful tivitis) n highr lvl of shooling hs strong impt on highr prption of QoL Thr r no signifint iffrns with rgr to th QoL mong th lrly who ttn Ault Dy Cntr n thos who o not ttn ut th lrly rsiing in fmilir surrounings n ttning th Aults Dy Cntr hv ttr qulity of lif thn thos who o not ttn. Conlusions: Th rsults illustrt th omplxity of fts influning QoL n llow th n for wrnss out this thm in orr to pln pproprit intrvntion. Dsriptors: Qulity of lif. Elrly. Soil ntwork. Mningful tivitis. [email protected] [email protected] [email protected] [email protected] [email protected] 230

232 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Exprining nxity: linil initors in nursing ignosis Sr Olivir, Crolin Pont, Filip Vluo nstitut of Hlth Sins. Ctholi Univrsity of Portugl. Liso, Portugl ntroution: Anxity is n motion with no known us (CN, 1999). Hlf th suffring ssoit with hlth-illnss situtions is primrily u to nxity (WHO, 2000). n Portugl, its prvln hs inrs (NE, 2006). Timly ignosis, th rognition of linil initors, is imprtiv in Nursing r (NANDA-, 2012). Ojtiv: ntifying linil initors for nxity, vill in th Litrtur. Mthos: Litrtur Rviw ( ) in CNAHL Plus with Full Txt, MEDLNE with Full Txt, MiLtin, PsyARTCLES, Psyhology n Bhviorl Sins Colltion, SPORTDisus with Full Txt, Ami Srh Complt, PsyBOOKS, with th hlth sriptors: Anxity (T Titl) AND Nurs* (AB Astrt) AND Ptint* (AB Astrt), mking up to 154 rtils. nlusion ritri: full txt; in English/Spnish/Portugus; pulish twn Exlusion ritri: rtils rlt to nursing stunts; w xlu 101 rtils ftr ring th titls, 26 ftr ring th strts, 7 ftr ring th full txts, whih lft smpl of 20 stuis for nlysis. Rsults: Th USA is th ountry with highr pulishing output (35%). Th yr with highr pulishing volum ws 2005 (20%). W hv intifi 57 linil initors,.g., Worry/Prouption (8%), Fr/Sns of r (6%), Swting/Chills or hot flushs/fling swty/ nrs prspirtion (5%), Chst pin/pin/nk n k pin/hhs/minor hs (5%), inrs hrt rt/thyri/elvt hrt rt (5%), Slp isturns/nsomni or hyprsomni/slplssnss/diffiulty stying slp (4%). Conlusions: Th ssssmnt of linil initors of nxity is importnt for th nurs s linil jugmnt t th tim of ignosis. Th sujtivity n ivrsity unrlying ths linil initors to th n for thorough rsrh on this sujt. Dsriptors: Anxity. Clinil initors. Nursing ignosis. Cring ptints with impir vrl ommunition: nursing ignosis José Frnns, Sr Próspro, Filip Vluo, Lilin Brguz nstitut of Hlth Sins. Th Ctholi Univrsity of Portugl. Liso, Portugl ntroution: mpir vrl ommunition is xprss y iffiulty or inility in orl xprssion, inility to xprss ns vrlly (Sriv, 2010). Dignos ury implis th rognition n omin of th linil initors tht inuing nurss in ignosis irt to th rl ns of th ptints (NANDA-, 2012). Ojtiv: ntify th linil initors, vill in th litrtur, whih nurss n rogniz in ptints with th nursing ignosis of impir vrl ommunition. Mthos: Litrtur Rviw (05/10/2013): EBSCO n Univrsity Lirry João Pulo (CUP-HS). nlusion ritri: full txt vill; tmporl friz ; rtils with signs n symptoms of impir vrl ommunition; Exlusion ritri: rtils tht isussing ommunition in pitri sttings or miin in gnrl. W intifi 266 rtils, 134 xlu ftr ring th titl; 99 ftr th strt n 16 ftr th full txt. 17 rtils wr inlu in th stuy. Rsults: Countris with th highst pulitions: Unit Stts (41%), Portugl (29%). Yr lrgst pulition: 2011 (29%). W intifi 22 linil initors: nxity (12.5); fr, unl to spk n unl to xprss thmslvs (9.6%), iffiulty in xprssing thmslvs (7.69%), pin (6.73%), prssion n influn of physil sp (4.80%); flings suh s frustrtion (8.65%), nxity (1,92%) n spir (0.96%); onfusion, snss, insurity n nguish (1.92%); prsn of vntiltory prosthsis (6.73%); iffiulty spking (2,88%) n rg (2,88%); isoltion, rstlssnss, siknss, omfort n yspn (0,96%). Conlusion: Th rsrh on th rognition of linil initors tht nurss us in th ignosis of impir vrl ommunition is still iminish, vining th n to inrs ths stuis. Dsriptors: Communition; Nursing Dignosis; Clinil nitors. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 231

233 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Thrs prptions out hlth promotion in pr-shool: Explortory stuy Prnt, C.,, Ariir, J.,, Sntos, L., Gint Atnimnto à Fmíli. Vin o Cstlo, Portugl Agrupmnto Esols Monsrrt. Monsrrt, Portugl Esol Suprior Sú. nstituto Politénio Vin o Cstlo. Vin o Cstlo, Portugl ntroution: Rsrhrs n hlth profssionls know th rlvn of th rol of fmilis n ution institutions sin rly hilhoo on th prvntion for HV inftions n othr STD s. As primry soilising gnts thy promot itiznship ution n ontriut to th wll ing n hilrn s qulity of lif. Thrfor, w r urrntly vloping th Cotton Cny Projt, n hlth promotion projt in pr-shool with spil fous in sxul ution. Ojtiv: To nlyz pr-shool thr s prptions on th onpts of sxulity, hlth promoting hits n gnr qulity, promoting slf rflxion n group t. Mthos: Eight pr-shool thrs prtiipt in th stuy. A fous group qulittiv mthoology ws us. Dt ws ollt using ontnt nlysis mtho of th pr-shool thr s sphs long svn t sssions. Rsults: Th nlys sphs show gnrl tgoris: Hlth n r of th oy; Fmily/Citiznship; th xplortion of th oy s plsur sour; Hlth/isss; oning n prottion ftors; n vlus, rights n rsponsiilitis. Conlusions: Th rsults show tht th soil n utionl sphs rflt systm of tritionl ulturl vlus onnt with sxulity on rly hilhoo tht justify mor pssiv ttitu from th thrs. Aftr th fous group intrvntion, prtiipnts knowlg thir mpowr rol in prvntion, ontriuting to losr fmily-shool rltionship n hilrn s positiv vlopmnt. Dsriptors: hlth promotion; thrs prptions; pr-shool. Criogni shok linil initors in nursing ignosis Filip Cost, Lino Mm, Filip Vluo nstitut of Hlth Sins. Ctholi Univrsity of Portugl. Liso, Portugl ntroution: Th riogni shok kps on rgistring high lvls of mortlity, 30% to 90%, (Elis, 1999). Thrfor proious ignosis is ssntil to strt th trtmnt n ru th omplitions. Ojtiv: Th im is to intify th linil initors tht my ssist nursing ignosis of riogni shok. Mthos: Litrtur rviw (16 th Dmr 2013): EBSCO (CNAHL; MEDLNE; NHS, Eonomi Evlution Dts; Cohrn Cntrl Rgistr of Controll Trils; Cohrn Dts of Systmti Rviws; Cohrn Mthoology Rgistr; MiLtin). Dsriptors: T Shok AND T Criogni AND AB (ignos* OR nurs*), otin 197 rtils. nlusion ritri: full txt issu from 2000 up to 2013, vill in ny lngug on fr sis; rtils listing th signs n symptoms of riogni shok without ny g rstrition. As xlusion ritri: rtils ovring thrputi intrvntions, mition, jnt pthologis n trtmnts m. 146 rtils wr xlu ftr ring titls; 31 ftr strts n 1 ftr fulltxt.19 rtils ws inlu in stuy. Rsults: Th yr 2011 stns out with 26% of pulitions, th Unit Kingom rhing 32% of issus. 23 linil initors of riogni shok wr intifi: hypotnsion (89%); hypoprfusion (53%); thyri (47%); oliguri n ol xtrmitis (42% h); hypoxi (26%); mtoli iosis, hypovolmi, ynosis, pl, lmmy n prssion nurologi sttus (21% h); yspno (16%); ryri, m (11%). Th rmining initors rvl prntg unr 10%. Conlusions: Th issmintion of vin tht promots th nursing linil jugmnt is ritil in hlping th rl ns of ptints. Th ury of ignosis ffts intrvntions n snsitiv outoms to th prti of nursing (NANDA-, 2012). Dsriptors: Criogni Shok; Nursing Dignosis; Clinil nitors. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 232

234 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 415 Th impt of infrtility on oupls yi justmnt n intimy 416 Rligiosity n spiritulity in olr prsons: hllng for nursing prti An Glhro,,, José Pinto-Gouvi, nstituto Suprior Migul Torg. Coimr, Portugl Fulty of Psyhology n Eutionl Sins. Univrsity of Coimr. Coimr, Portugl ntroution: nfrtility hs n sri s strssful onition with oupls stting tht it orrspons to vry mning lif risis. Ojtiv: Th urrnt stuy sought out to ontriut to ttr unrstning of th impt of infrtility on intimy n yi justmnt, ompring thr groups of oupls. Mthos: Prtiipnts wr 147 infrtil oupls pursuing infrtility trtmnt (G) in puli n privt infrtility ntrs; 120 frtil oupls (FG) ollt s snow-ll smpl; 59 infrtil oupls pplying for option (AG) in soil srvis. Stnriz msurs of intimy n yi justmnt wr omplt. Th oupl ws us s unit of nlysis. Rsults: A irt group fft ourr on intimy (intrpnn) with th AG prsnting highr sors, follow y th G n y th FG. Conrning yi justmnt signifint irt group fft ws foun. AG oupls show th highst sors n th G n th FG i not iffr. No gnr or group X gnr ffts wr foun rgring ny of th stui vrils. Conlusions: AG n G prsnt highr lvls of intimy whn ompr with FG whih my suggst tht infrtility n l to grtr ohsion within th oupl. Thrfor oupls tn to viw infrtility s somthing tht rought thm togthr n/or hv strngthn thir rltionship. t is worth of not tht th AG show signifint highr yi justmnt whn ompr with th othr two groups. Ths oupls my lry hv lt with svrl iffiultis throughout thir mrrigs, lt with th grif of iologil hil, n my hv vlop strongr mritl rltionship. Dsriptors: ntimy; Dyi justmnt; nfrtility; Frtility; Aoption. Mri Lurs Almi Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: Nurss f omplx situtions in th provision of r to ptints, rquiring thm to pply oy of knowlg to rspon in most rtiv n pproprit wy to th iffrnt n spifi prolms whn ring for olr popl. Ojtiv: Thus, n hving in min tht spiritulity is n ssntil humn n, w liv tht it is nssry to unrstn th mning of spiritulity for ptints, s wll s sri th importn ssign to rligiosity/ spiritulity y olr popl. Mtho: A s stuy ws onut, using qulittiv phnomnogrphi pproh. Th t olltion mthos us wr smi-strutur intrviws n fous groups. Th inlusion ritri wr: g ovr 75 yrs, no ognitiv impirmnt n pting to prtiipt in th stuy. Rsults: Th mning of rligiosity n spiritulity, intifi y olr popl s synonyms, r spifi form of rligious phnomn. Bs on t nlysis, it n onlu tht: rligiosity givs strngth n omfort to olr popl, n hlps thm to op with lonlinss. Rligiosity/spiritulity r filitting ftors of pting to losss, hngs n trnsformtions. Thy n prottiv n mpowr th prson to op with n ovrom losss, s wll s rson to ontinu to liv. Conlusions: Unrstning how olr popl xprin rligiosity / spiritulity nls nurss to rflt on th impt of inluing this typ of topi in nursing r for th promotion of wll-ing n pttion to ging. Dsriptors: Rligiosity; spiritulity; olr popl. [email protected] [email protected] [email protected] 233

235 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth QUALTY OF LFE N PRE-LNGUAL DEAF CHLDREN Mrionsu Purru, Prisill Myr Estrl Bros, Mirn Aluqurqu Frot, Cmil Sntos o Couto, Kmil Frrir Lim, João Hnriqu Frits Colrs f, Rosno Frits Amorim g Univrsi Fortlz. Fortlz, CE, Brsil ntroution: Dfnss is on of th most prvlnt n ommon isility in hilhoo. Msuring th Qulity of Lif (QOL) in popl with isilitis hv n wll pt in th Hlth r. Ojtiv: Anlyz th QOL in slf-priv pr-lingul f hilrn; ntify most fft QOL omins in pr-lingul f hilrn; Dsri th prption tht hring prnts hv rgring out QOL of thir f hilrn. Mthos: Dsriptiv stuy, with multimthoologil pproh. Conut in two institutions of rfrn in spil ution for th f in Brzil. Th instrumnts of t olltion wr: (i) Soiomogrphi Form, (ii) AUQE - Assssmnt Qustionnir Qulity of Lif in Chilrn n Aolsnts n (iii) smi-strutur intrviw. Prtiipt in th survy 52 pr lingul f hilrn. Th otin t wr nlyz using th sttistil progrm SPSS (Sttistil Pkg for th Soil Sins) vrsion Rsults: t ws rvl tht 67.7% of hilrn h impir QOL inis, with th sum of sors low 48, whih is th utoff point. Th omin AUQE, with highr sum of sors, ws rlt to th lisur n omin onsir ws th most mg of utonomy. Th two tgoris riving from AUQE Qulittiv hilrn s rsponss wr: Soiliztion, Ply & Gifts. Th intrviw with hring prnts prou tgoris: Strtgis onuting th onqust of QOL, Stigm n Prjui. Conlusions: Chilrn priv rrirs in hiving thir full wlfr. Th viw tht prnts hv for thir hilrn ws los to wht th hilrn rport. Dsriptors: Dfnss, Qulity of Lif, Chil Hlth, Disl Popl. Lif qulity of iniviuls in riothrpi trtmnt log t hostl Mrili Cristin Riiro,, Olvni Mrtins Silv,,, vt Mroso Kruzr,,, Rosn Amor Asri,,, Cmil Trvisn Slnh, Cntro Eução Suprior o Ost. Univrsi o Esto Snt Ctrin. Florinópolis, SC, Brsil Univrsi Frl o Rio Grn o Sul. Porto Algr, RS, Brsil ntroution: Riothrpy is ffiint whn trting nr, howvr its ffts r vrious n mningful ons. Ojtiv: to vlut th lif qulity of iniviuls in riothrpi trtmnt log in hostl in th wst rgion of Snt Ctrin. Mthoology: ross-stionl stuy, with 20 ptints from August to Otor 2013, using th Mil Outoms Stuy 36 - tm Short-Form Hlth Survy, Brzilin vrsion, whih prsnt grt rliility through Cronh s lph. Ptints hving nr of ny kin, ovr 18 yrs ol, of oth gnrs n prsnting listning n vrliztion ilitis wr inlu. Ptints unr xlusiv hmothrpy trtmnt n impir ons wr xlu. Dt ws nlyz y sriptiv nlyti sttistis, lulting th sors otin in h phs of th sls, ponring th t, going on to lultion of Rw Sl, n ftr lulting th omins. Th rsrh ws in orn to Rsolution 466/2012 of th Hlth Ntionl Counil, ing pprov unr th ssnt no. 346,246 from August 1, Rsults: th omins with mor impirmnt wr Limittions in Physil Aspts (PAL) n Limittions in Emotionl Aspts (EAL). Th othrs otin goo sor of lif qulity; it ws lso osrv tht ptints who unrgo only riothrpy prsnt mor impirmnt in motionl spt rlt to th ons who hv riothrpy ojutnt to hmothrpy. Conlusions: th lif qulity of ptints log in hostl prsnts impirmnt in physil n motionl spts. Dsriptors: Noplsi; Riothrpy, Lif qulity; Chroni llnss; Shltr. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 234

236 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Physil xris progrmm for institutionliz lrly: improving qulity of lif Eugéni Mns, Anré Novo, Lonl Prto, Cláui Alvs Shool of Hlth. Polythni nstitut of Brgnç. Brgnç, Portugl ntroution: Physil tivity is importnt for hlthy ging n my hlp mintin goo funtion in olr g. nstitutionliztion is oftn u to funtionl lin n institutions frquntly o not provi tivitis to mintin or rgin funtionlity. Exris thrpy is n importnt omponnt of rhilittion progrmms for lrly n hlps to ru pin, improv joint stility, funtionl ility, musl strngth n nurn, n roi pity; prvnting on loss n frturs, n improving or mintining qulity of lif. Ojtiv: To invstigt if physil xris progrmm improvs qulity of lif in group of institutionliz lrly. Mthos: A qusi-xprimntl stuy ws onut using th Portugus vrsion of th Short Form-36 hlth survy (SF-36v2) to ssss qulity of lif for n ftr 2 months physil xris progrmm. Rsults: A totl of 20 lrly (50% womn) g 76,1±8,7 yrs n 18,3±13,3 months of institutionliztion, prtiipt in 2 months of physil xris progrmm. Rsults show tht sors of SF-36v2 ftr th progrmm h signifintly inrs in physil (35,4±6,4 vs 37,6±5,7; z=-3,397; p=0,001) n mntl (47,7±5,1 vs 51,4±3,9; z=-3,506; p=0,00) omponnts. Thy lso inrs signifintly in th SF-36v2 susls physil funtioning (p=0,000), oily pin (p=0,002), vitlity (p=0,000), soil funtioning (p=0,003), gnrl hlth (p=0,048) n mntl hlth (p=0,001). Conlusions: Physil xris progrmms n ontriut to slf-prption of wlling ling to utonomy n onfin in prforming ily living tivitis. nrs qulity of lif in lrly institutionliz popultion is vry importnt stp towrs inpnnt lif. Dsriptors: Elrly; nstitutionliztion; Physil xris; Qulity of lif. Prptions of sons out los rltionships, lif stisftion n prnt`s mritl stisftion Sori Brito, Jon Squir nstituto Suprior Migul Torg. Coimr, Portugl ntroution: Th fmily hs strong influn in th intrtions tht thy hv with th othrs us th intrntionl fmily stnrs tn to rpt thmslvs ovr gnrtions. Romnti rltionships hv n stui from th prsptiv of linking rltionships n ining pttrns of rptition tn to rpt from gnrtion to gnrtion. On th othr hn, hs foun n ssoition twn sur tthmnt to th loving oupl n highr lvls of rltionl stisftion n onsquntly grtr prption of lif stisftion. Ojtiv: This stuy xmins th gnrl prptions of univrsity stunts out thir prnt s mritl rltionship, thir romnti rltionships n lif stisftion. Mthos: Th rsrh protool for this stuy ompris Th Qustionnir out Prnt s Mritl Rltionship, th Lif Stisftion sl, th Qustionnir on Exprins in Clos Rltionships n soiomogrphi qustionnir. Rsults: Mn n prtiipnts from intt fmilis rport ttr prption of prnt s mritl rltionship; prtiipnts in romnti rltionship n from intt fmilis h grtr lif stisftion n prtiipnts twn 25 n 58 yrs ol priv mor voin in thir rltionships. Conlusions: Prtiipnts hv positiv prptions of prnt s mritl rltionship r stisfi with lif, howvr thy priv nxity n voin in thir romnti rltionships. W lso onlu tht thr is no orrltion twn th prption of prnt s mritl rltionship n thir xprins in los rltionships n prption of lif stisftion. Dsriptors: Prnt s mritl rltionship; lif stisftion; voin; nxity; los rltionships. [email protected] [email protected] [email protected] [email protected] [email protected] 235

237 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 421 Nursing r for ptints with stom: qusi-xprimntl stuy Clmntin Sous,,, Cli Sntos,, Armin Mil Viir, nstituto Politénio Vin o Cstlo. Esol Suprior Sú. Vin o Cstlo, Portugl nstituto Ciênis Sú. Univrsi Ctóli Portugus. Porto, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: An ostomy rprsnts potntil thrt to ll spts of iniviul lif. So, th ptints n to inorport n mng ths hngs in thir ily lif. Sintifi litrtur shows tht spifi nursing intrvntions influn positivly th qulity of lif (QoL) of thos living with stom. Ojtiv: To vlut th fft of nursing intrvntion progrm (NP) in ptint s QoL with limintion ostomy. Mthos: Using qusi-xprimntl sign, ptints wr nroll into two groups. A smpl of 93 prtiipnts: 62 riving th NP (intrvntion group=g); 31 riving stnr nursing r (ontrol group=cg). Dt ws gthr from oth groups t th 1 st (T1) n 6 th (T2) postsurgil months, using th Stom Qulity of Lif nx (SQL). Rsults: n T1, oth groups wr similr on ll SQL omins, xpt in th susls hlp n vi (t=2,08; p=0,04) with highr vrg in th intrvntion group (G=83,08/CG=74,0) n positiv pttion (t=1,76; p=0,05) with highr vrg in th ontrol group (G=34,3/ CG=42,7). At T2, sttistilly signifint hngs wr osrv twn th ovrll SQL of oth groups (p<0,000) with highr vrg in G (G=107,5/CG=86,1) xpt th omins: pin, foo n hlp. Anlyzing th intr-group rsults, twn T1 n T2, vry signifint sttistilly iffrns wr shown in th G (p<0,000) in ll fils, xpting sxul tivity. n th CG, only in psyhologil wll-ing, physil wll-ing n sxul tivity, signifint iffrns wr osrv (p<0,05). Conlusions: Although ths rsults my prliminry, ths finings suggst tht spifi nursing intrvntions ply n importnt rol in nhning QoL of ptints with stom. Dsriptors: nursing intrvntions; progrm; ptints; stom; qulity of lif. 422 Rsilin in olsnts n thir prption of th prnting styls Móni Silv, Jon Squir nstituto Suprior Migul Torg. Porto, Portugl ntroution: During olsn mny hngs our in prnt-hil rltionships. Ojtiv: Th im of this rsrh is to xplor th rltions twn th prption of rsilin in olsnts, prnt-hil ommunition n prnting styls. Mthos: An soiomogrphi qustionnir, th Prntl Rring Styl Qustionnir for Aolsnts (EMBU-A), Prption Sl of Prnting Communition (COMPA hilrn vrsion 10-16) n th Rsilin Sl from Wgnil n Young, rzilin pttion. nstrumnts wr ppli to 135 olsnts within yrs ol wr ppli to th prtiipnts. Rsults: Rsults of prnting prtis show no signifint iffrns twn gnr. Though, youngr olsnts n thos who hv nvr lost sholr yr hv ttr prption of prntl support. Olr olsnts priv mor rjtion s wll s thos who hv lost sholr yr. Morovr, this kin of olsnts hv mor ngtiv prptions out pttrns of ommunition with thir prnts. On th othr hn, th youngr sons n thos who hv nvr lost sholr yr, hv positiv prption of th ommunition. Dspit ing sttistilly insignifint, girls hv highr lvls of rsilin. Th youngr olsnts n thos who hv nvr lost sholr yr, hv high sors in th rsilin sl, ompring to olr ons n thos who hv lost sholr yr. Conlusions: t n onlu tht fmilis whr hilrn priv mor motionl support, ommunition fftiv xprssions, mt ommunition n vilility for ommunition twn prnt-hil r fmilis whr olsnt privs himslf s rsilint. Dsriptors: prnting styls; ommunition; rsilin; olsn. [email protected] [email protected] [email protected] [email protected] [email protected] 236

238 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Bttr qulity of lif trminnts. A orrltionl stuy in rug its ommunity Pulo Sr,,, José Amnoir,,, Luís Sá,, Hlth Sins nstitut. Portugus Ctholi Univrsity. Liso, Portugl Hlth Shool of Polythni nstitut of Sntrm. Sntrém, Portugl Cntr for ntrisiplinry Rsrh in Hlth. Portugus Ctholi Univrsity. Liso, Portugl ntroution: n th rug its ommunity, w n osrv soil n fmily lif iffiultis, motionl istrss n othr initors tht n rlt to lowr lif qulity (QoL) msur y Drug its in mthon progrm qulity of lif sl (Pho t l., 2005). Th physil n psyhologil omoriitis r rsponsil for inrsing th rug using onsquns. Ojtiv: ntify th ftors tht ontriut to ttr QoL. Mthos: Dsriptiv, ross-stionl n orrltionl stuy ws onut twn Frury n Dmr Soil, mogrphi n linil t ws osrv n orrlt with thir QoL. A systmti rnom smpl of 180 opit its, intgrt in thr mthon mintnn progrms from Lison istrit, pt to nswr ftr inform onsnt. Rsults: A signifint positiv QoL ws foun ( x =78.7%). Th vrils tht signifintly ontriut to ttr QoL: fwr rntris (r=-,159; p=,033) ; ttr mntl hlth (r=,382; p<,001); onjugl rltionship (t=-2.187; p=,030), ing mploy (F=6.038; p=,001), living y slry (F=11.835;p<,001), no omoriitis (t=-2.452; p=,018). Vrils tht ontriut to signifintly lowr QoL: Bnzoizpin onsumption (t=2.388; p=,018 ) n still us V onsumption (t=-2.373; p=,019). Conlusions: Th stility otin whn intgrt in mthon mintnn progrm, provis ttr QoL. Bing mploy, living with slry n mintining onjugl rltionship, r th most vint soil stility ftors. Th sn of physil or mntl omoriitis, lk of nzoizpins onsumption n no V onsumption, r th omplmntry ftors to goo QoL. Th sustn pnn onsquns fft signifintly QoL. Dsriptors: Qulity of Lif; Mntl hlth; Dtrminnts; rug ition; sustn rlt isorrs. Fmily qulity of lif in fmilis of popl with intlltul isilitis: nw onpt Rqul Corri,,, Mri João Sr Sntos, Assoição Portugus Pis Amigos o Cião Dfiint Mntl. Cstlo Brno, Portugl Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl ntroution: Qulity of lif (QoL) is worlwi onpt tht hs n stui in mny rs, inluing in hlth. Givn th importn tht hs n or to fmilis, rsrhrs gin to nlyz QoL in fmily lvl, prtiulrly in fmilis with mmrs who hv intlltul isilitis (D). Fmily qulity of lif (FQoL) hs monstrt muh potntil in trms of vlution n intrvntion with ths fmilis. Ojtiv: Th prsnt work intns to monstrt th importn of knowing n unrstning th qulity of lif in fmily unit lvl in th D. Mthos: Th mpiril stuis whih nlyz FQoL in fmilis with mmrs who hv n D wr rviw, s strting point for futur stuis. Rsults: From totl of 32 stuis, 15 ssntilly us th Fmily Qulity of Lif Sl-2006 (FQOLS-2006), 11 us th Bh Cntr FQOL Survy n 6 us othr mthos to vlut FQoL. Ths stuis mphsiz th multi-imnsionl ntur of FQoL vlut through its omins, s wll s som iniviul n fmily vrils tht ppr to hv som influn on FQoL. Conlusions: FQoL hs th potntil to gthr rsrh, poliy n prti n offr positiv n omprhnsiv frmwork for ssssing fmilis of prsons with D. Futur stuis shoul support y mor roust thortil s n mor ivrs mthoologis, n shoul im to srh for FQoL spifiitis for th vrious lmnts tht mk up th fmily, n throughout th fmily s lif yl. Dsriptors: qulity of lif; fmily qulity of lif; intlltul isilitis; fmilis; mpiril stuis. [email protected] [email protected] [email protected] [email protected] [email protected] 237

239 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Wll-ing in vry ol g: Vlution of lif n hlth t on ntury of lif Li Arújo,, Osr Riiro,,, Dnil Brnão,, Ntáli Durt,, Sr Alvs,, Ltiti Tixir,f, Mri Constnç Pul,g, Mri João Azvo,h Uni nvstigção Formção sor Aultos osos. nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl nstituto Suprior Srviço Soil o Porto. Porto, Portugl ntroution: Cntnrins u to thir vry vn g hv to f with mning umultiv onitions, whih my onstitut srious hllng to thir wll-ing n vlution of lif (VOL), whih inlus jugmnts with rgr to on s sir lngth of lif (Lwton t l, 1999). Ojtiv: To ssss lvls of VOL in ntnrins n to intify VOL s ssoition with ojtiv n sujtiv hlth msurs. Mthos: 35 iniviuls with 100 n mor yrs ol from th Oporto Cntnrin Stuy (PT100) who wr l to rspon to omplt ssssmnt protool wr onsir for this nlysis. Th mn g of th smpl ws (SD 1.57); 80% womn, 77% wiow n 71% living in th ommunity. Th Positiv Vlution of Lif Sl (Lwton t l, 2001; Arújo t l, sumitt), th OARS (Fillnum & Smyr, 1981; Rorigus, 2007) n soiomogrphi qustionnir wr us for t olltion. Dsriptiv n infrntil nlyss wr onut. Rsults: Mn VOL sor ws (SD=6.45) with highr sors in itms rlt with hop n purpos. Thr wr sttistilly signifint iffrns only for sujtiv hlth: ntnrins with positiv slf-prption of hlth h highr vlution of lif (28.3±5.8) thn thos with ngtiv (19.7±6.6). Conlusions: Sin VOL xlu physil hlth ontnt, it ws xpt to xhiit no orrltion, onfirming th pity of ntnrins to minimiz lif irumstns on thir sujtiv stts (Rott t l, 2006). Furthr invstigtion shoul look for ftors tht my trmin whthr ntnrins s lif s ing worthwhil or not. Dsriptors: Cntnrins; Vlution of Lif; Hlth. Mtrnl postprtum qulity of lif qustionnir - MAPP-QOL: vlition of th Portugus vrsion in first-tim mothrs slmns,, Zi Azro,, Rogério Rorigus, nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto. Portugl Esol Suprior Enfrmgm Coimr, Coimr, Portugl ntroution: Th postprtum prio is tim of trmnous physil, motionl, n soil hngs, whih impt qulity of lif (QOL). Hill t l (2006) vlop nw instrumnt (MAPP-QOL) to msur mtrnl qulity of lif uring th rly postprtum prio. Ojtiv: to vlit th Portugus vrsion of mtrnl postprtum qulity of lif Qustionnir in first-tim mothrs (Hill t l, 2006).This instrumnt is onsir on of th most qut tools for th multiimnsionl ssssmnt of th qulity of lif of postprtum womn. Mthos: Th mthoology for th vlition of MAPP- QOL ws vlop in four stps: trnsltion, k trnsltion, ompring th two vrsions n vin of th vliity of th nw vrsion. Th MAPP-QOL is slf-ministr, ppr-n-pnil tool tht msur mothrs prptions of QOL uring th rly postprtum prio Likrt typ sl onsisting of 41 itms with fiv imnsions: psyhologil/y; soioonomi; rltionl/ spous-prtnr; rltionl/fmily-frins; n hlth & funtioning. Th smpl is onstitut y 278 first-tim mothrs (non-proilisti smpl, with th following inlusion ritri: vginl livry, uniqu nw-orn trm, without pthologis ssoit to prgnny, low risk prgnny, prtnr o-hittion), llowing with this smpl th glol psyhomtri stuy of th instrumnt. Rsults n Conlusion: W point out rsults tht show vliity n rliility of th Portugus vrsion of th MAPP-QOL s vry suitl tool for ssssing th qulity of lif of postprtum womn. Prtinnt rsults mrg from th vlition stuy tht intify rl ns n llotion of srvis to this rproutiv hlth r spifi group with implitions in thir qulity of lif. Dsriptors: Qulity of lif; postprtum; first-tim mothrs. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] h [email protected] [email protected] [email protected] [email protected] 238

240 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth First-tim prnts: qulity of lif n justmnt to th prntl rol in postprtum prio slmns,, Zi Azro,, RogérioRorigus, nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto. Portug Esol Suprior Enfrmgm Coimr, Coimr, Portugl ntroution: Postprtum prio is tim of trnsition, of justmnts to th prntl rol. This trnsition lls for hngs in rol rltionships, spilly in th firsttim prnts. Ojtiv: ntify ns of th first tim prnts rlt to th justmnt to th prntl rol in thir qulity of lif. Mthos: Dsriptiv phnomnologil qulittiv stuy. nform onsnt ws otin uring th hospitliztion ftr hilirth. Sturtion of t ws otin with group of 25 first-tim fthrs, using unstrutur intrviws in th prnt s hom pl. Rsults: Two ssntils struturs mrg from th mning units of th xprins of th first-tim prnts justmnt to th postprtum, th first sri positiv xprin n th son on ngtiv xprin. From th positiv ky onstitunts w highlight: gtting to know th y; th sns of rsponsiility to th prntl rol; th sns of fmily; th grtr ooprtion n union of th oupl. As ngtiv ky onstitunts: insurity in y r; xprining prnthoo with motionl vulnrility tht is lll s prio of lk of tim to tk r of onslf; lss tim for th oupl n lss soil tivity. Conlusions: This phnomnologil stuy provis p unrstning of th ns of first-tim prnts with th ssntils struturs of th pross of ptrnl justmnt n thir qulity of lif in th prio of th post-prtum, n gnrts implitions to improv it, spilly th postprtum hom visit, support groups in th Hlth Cntrs, n mtrnity postprtum phon lin s suggst y th prtiipnts. Dsriptors: Qulity of lif; Prntl Rol; First-tim prnts Psyhomtri stuis of th Othr s Shmr Sl for Aolsnts - rif vrsion (OASB-A) Mrin Cunh,,, An Xvir,, Sóni Chrp,, José Pinto-Gouvi, Cntro nvstigção o Núlo Estuos ntrvnção Cognitivo-Comportmntl Ful Psiologi Ciênis Eução Univrsi Coimr. Coimr. Portugl nstituto Suprior Migul Torg. Coimr. Portugll ntroution: Svrl stuis hv shown tht motion of shm plys ky rol in unrstning humn funtioning, prtiulrly in mntl hlth. n olsn, it my spilly importnt to ssss shming xprins us shm oms intns in this g group, rsing into mil ulthoo, n is ngtivly rlt to psyhologil wll-ing throughout lif. Shming xprins hv n foun to ply ruil rol in olsnts hlth n wll-ing. Th Othrs As Shmr (OAS) is n 18-itm sl tht msurs xtrnl shm (i.., glol jugmnts of how popl think othrs viw thm). Ojtiv: This stuy ims to xplor th psyhomtri proprtis n ftor strutur of th rif vrsion of th Othr As Shmr for Aolsnts (OASB-A). Mthos: Th smpl onsist of 834 olsnts, with gs rnging from 12 to 18 yrs ol (M=15.42, SD=1.77), in th 7 th -12 th grs (M=9.54, SD=1.63) from shools of Coimr, Portugl. A st of slf-rport instrumnts, inluing th OASB-A n msurs of trumti shm mmoris (ES-R), nxity n prssion (DASS-21), ws ministr. Rsults: Similr to th ult vrsion, th OASB-A, ompos y 8 itms, show singl omponnt strutur (xplining 67% of totl vrin), n xllnt intrnl onsistny (α=.92), n qut tmporl stility (r=.73), n orrltions with othr stuy vrils in th xpt irtion. Conlusions: Ovrll, ths finings suggst tht th OASB-A is rlil n vli msur for th ssssmnt of xtrnl shm flings in olsnts. Dsriptors: Extrnl shm; OAS rif vrsion; Aolsn; Psyhomtri nlysis. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 239

241 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 429 Anlysis mong lrly institutionliz n noninstitutionliz in ity of Brzil Rin Sors Sous Silv,, Julin Evristo Sous,, João Hnriqu Arújo Anr,, Mihll Vint Torrs,, Rginlo Sntos Silv Júnior,, Solng Sntos Pz,f, Jnín Mri Miros Mêo Mênzs,g Univrsi Frl o Piuí. Trsin, P, Brsil Univrsi o Esto Bhi. Bhi, Brsil Ful Snto Agostinho. Monts Clros, MG, Brsil ntroution: During ging, vrious isss my fft th lrly, in orr to intrfr with thir hlth funtionl pity. Suh isss rquir multiisiplinry tion togthr, iming to ttn th ns of h lrly, in orr to provi th mintnn n improvmnt of thir funtionl pity. Funtionl isility in th lrly my intrfr with thir inpnn s muh s in prforming Ativitis of Dily Living n my fft thir qulity of lif. Ojtiv: To ompr th lvl of qulity of lif mong lrly institutionliz n non-institutionliz in Trsin, Piuí, Brzil. Mthos: W onut ross stionl nlytil n sriptiv stuy with quntittiv pproh, in whih th t wr otin through th pplition of qustionnir, n informtion wr ompr mong group of lrly institutionliz n non-institutionliz group. Th stuy ws onut in two long-trm institutions of Trsin n houshols in th South Zon of Trsin, with survy prtiipnts hrtriz oring to soiomogrphi ftors. Rsults: A signifint iffrn twn th group of lrly institutionliz n non-institutionliz in omins: physil, psyhologil, soil n nvironmntl rltionships, rsulting in n ovrll sor of WHOQOL-BREF, rsptivly, % n % with highly signifint iffrn twn th groups. This t is lssifi s lrming givn th ft tht th physil intgrity of th lrly is on of th ftors tht grtly ontriuts to thir utonomy n thry mintining thir lvls of qulity of lif. Conlusions: W onlu tht institutionliz lrly h lowr qulity of lif ompr to non institutionliz iniviuls. Dsriptors: hlth of th lrly; qulity of lif; ily tivitis; soil onitions n hlth; institutionliz n non-institutionliz lrly. 430 Th fmily of hospitliz ult in CU: Trnsitions in qulity of lif n wlling Anl Mns,, Mrgri Viir, Esol Suprior Enfrmgm Liso. Liso, Portugl Univrsi Ctóli Portugus. Liso, Portugl ntroution: Th sitution of hospitliztion of n ult mmr in CU hs signifint onsquns in fmily s vryy lif. t is isiv in thir qulity-of-lif n wll-ing y th hngs ssoit with th trnsition pross hlth-iss with rprussions on strutur, vlopmnt n funtion imnsions. Ojtiv: To nlyz how th xprin of CU hospitliztion isrupts fmily lint oring Mlis trnsitions thory n Clgry Mol of fmily ssssmnt. Mthos: Qulittiv stuy. Dt olltion through opn intrviw to fmily mmrs of ult prson who ws hospitliz in CU. Th ontnt nlysis of th intrviws nl th sir ssssmnt. Th Softwr us to qulittiv t nlysis ws Nvivo8. Rsults: Th xprin of CU hospitliztion ompl fmily to rstrutur its orgniztion with th ssumption of nw rols tht grully nsur its funtion n th strutur of nw susystms n rk othr xisting. Th vlop on n ommunition llow xprssivnss. Th intrtion with nurss lt thm to intify ns n limittions in ognitiv, hviorl n motionl omins n, in prtnrship, struturing intrvntions. Th rltionship with nurss supports fmily in instrumntl funtion n xprssiv funtion. Th msurmnt of initors of pross n outoms in hlth-iss trnsition is ssntil n isiv. Conlusions: Th ontxt rqust to fmily pility of rspons tht hv signifintly impt on thir qulity-of-lif. Th strtgis vlop, support on prsonl skills of h mmr n hlth systm, s nurss, wr ssum s filittors n promotrs of wllnss in ily lif. Th msurmnt of pity, rsours n fmily s strtgis y nurss ws ruil. Dsriptors: Fmily; Trnsition; ntnsiv r; Nursing r. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] 240

242 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Systmtiztion of th Cr Systm Nursing for Typ Dits Mllitus: Stuy of Cs João Hnriqu Arújo Anr,, Jurz Hnriqu Tixir Gonçlvs,, Jnin Miros Mêo Mnêzs,, Cssi Rgin Sntn Souz,, Rin Sors Sous Silv, Univrsi o Esto Bhi. Slvor, Brsil Univrsi Frl os Vls o Jquitinhonh Muuri. Mins Gris, Brsil Univrsi Frl o Piuí. Trsin, P, Brsil ntroution: Typ Dits Mllitus (noninsulin-pnnt) is mnly u to insulin rsistn ssoit with lowr hormon srtion. n Brzil, th Puli Hlth Systm hs n spiliz stor to tk r of ths ptints, whr svrl nurs r n implnt, inluing ignosis n intrvntions tht r nssry so ths ptints n hv ttr lif qulity. Ojtiv: nrs th knowlg out this pthology n pply th nurs ssistn systmtiztion, priorzing th holisti mil r to ptints with iti foot. Mthos: A qulittiv, sriptiv stuy ws rliz s s stuy, rliz in 2012 uring th intrnship of th olltiv hlth isiplin of th Bhlor in Nursing ours from th Stt Univrsity of Bhi. Th t olltion ws m through intrviws n physi xm, tht support th onstrution of th nursing ignosis n intrvntions. Rsults: Nursing ts monitoring loo gluos lvls, hyprglymi, m, signs of inftion, promoting n qut it n slf-r, hlping th stroll multion, mong othrs. Conlusions: From th nssity of s stuis riss th sir to unrstn omplxs soil phnomn. With th stuy it ws l to unrstn th pthologi spts of th mntion iss, ttn systmti ssistn, prsrving th holisti hrtristis n offring ttr lif qulity to th iti ptint. Dsriptors: Dits Mllitus; SAE; Cr; Nursing; Puli Hlth. Chng in funtionl sttus n oy omposition in institutionliz lrly Anré Novo, Lonl Prto, An Sntos, Eugéni Mns Esol Suprior Sú. nstituto Politnio Brgnç. Brgnç. Portugl ntroution: Th rs on musulr strngth, flxiility n ln r wily rogniz s th min uss of isility in olr popl. A ttr knowlg of ths vrils n hlp to pln progrms for tiv ging. Ojtiv: To ssss physil funtioning, oy omposition n fr of flling n nlyz ths imnsions on th ging pross. Mthos: This is longituinl sriptiv-orrltionl stuy. Th smpl ompris 51 institutionliz lrly follow for two yrs. Th t olltion took pl twn 2011 My n Jun (first vlution) n 2013 April n My (2n) using soiomogrphi n linil qustionnir, th Flls Effiy Sl (FES), th Rikli & Jons protool, hn ynmomtry n ioltril impn for oy omposition. Rsults: Rsults show signifint iffrns in fr of flling n in ll omponnts of physil fitnss (gility, flxiility, musulr strngth n ln) twn th two momnts of vlution. n physil funtioning, w highlight th mort ngtiv orrltion twn lowr xtrmitis musl strngth n th rsults of th Up n Go tst. Ws osrv signifint lin in funtionl pity of th lrly ovr th two yrs in nlysis. Conlusions: Th rsults suggst signifint hngs in two yrs, spilly in th vrils rlt to musulr funtion n flxiility. Th rsults o not rflt signifint hngs in oy omposition twn ssssmnts, howvr, point to rution in on mss n totl musl mss. Dsriptors: Aging; funtionlity; fr of flling; oy omposition. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 241

243 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 433 Blow gun trining nhns th vntiltory pity in ptints with Down synrom: pilot stuy Mris Brroso,,, Rogério Slvor,, An Brros, Rqul Soiro, An Mrlino,, Dnil Noguir,, Pro G. Morouço,, Cntro nvstigção m Motrii Humn Esol Suprior Ciênis Soiis Eução. nstituto Politénio Liri. Liri. Portugl Cntro pr o snvolvimnto Rápio Sustnto Prouto. nstituto Politénio. Liri, Portugl ntroution: Thr r ovr fiftn thousn popl with Down synrom in Portugl. Th worst prformn of thir rspirtory musls ggrvts th xpirtory ffort, ling to iminish ril flow. Ojtiv: To vrify if th low gun trining inus highr xpirtory intnsity, in ptints with Down synrom. Mthos: Four prtiipnts (17 to 56 yrs of g) ngg in 5 wks prio of trining, with 2 sssions pr wk. n h sssion, ftr stnr wrm-up, h prtiipnt prform 4 sris of 10 shots 3 m from th trgt. For xpirtory intnsity ws ror vi portl spiromtr (Dtospir Pk-10, Silm) t th ginning n t th n of h sssion. Prior to nlysis, th rsults of th first n th fifth wk wr vrg. Shpiro-Wilk n Lvn tsts wr onut for infrntil prours. Rsults: Th intnsity of th ir flow in th fifth wk (215.9±81.3 l/min) ws signifintly highr thn in th first wk (177.7±79.1 l/min; t=5.188; p=0.014). Plus, vry strong orrltion twn msurmnts ws osrv (r=0.983; p=0.017). Conlusions: This pilot stuy show tht 5 wks of suh ptivting tivity, nhn th vntiltory pity of Down synrom ptints. Tking into onsirtion tht th lsti roil of th lung n th rsistn of th intr-thori irwys r of grt importn for th prvntion of rio-rspirtory inftions, th propos trining n mthoology to inrs th qulity of lif n wll-ing of this popultion. Dsriptors: trisomy 21; xpirtory intnsity; qulity of lif; wll-ing. 434 ntrgnrtionl rltions grnprnts n grnhilrn s: A wll-ing ftor? Sóni Mri Anito Morgo,,,, Anl Vitorino,, Esol Suprior Dsporto Rio Mior. nstituto Politénio Sntrém. Sntrém, Portugl Uni nvstigção o nstituto Politénio Sntrém. nstituto Politénio Sntrém. Sntrém, Portugl Cntro nvstigção m Quli Vi. nstituto Politénio Sntrém. Sntrém, Portugl ntroution: Th purpos of th prsnt stuy ws to uil upon th onpt of wll-ing n nlyzs of th intrtion twn grnprnts n grnhilrn, n thr ontriution in lif y hving plsnt lif honi wll-ing, mningful lif uimoni wll-ing, n soil lif soil wll-ing. Ojtiv: Msuring th intrgnrtionl rltions y ssssing th intrtion twn grnprnts n grnhilrn s is on wy to monstrt th n for fftions in orr to omplish wll-ing n improv hlth. Mthos: n this xplortory stuy th pproh us, to xmin th rltion mntion ov, ws qustionnir survy, ompos y two si qustions, with 15 iffrnt hrtristis. Rsults: n 218 rsponnts (58,7% fmls, 41,3% mls), plsnt, mningful n soil lif, is rflx of mor intgrt ontxt of usfulnss, s thr is n tiv prtiiption on fmily in spts suh s shring prtil knowlg of lif, ily lif qustions, improving writing, ring n fling usful n vlu. Ths qustions prvil ov othrs n prsnt iffrns in f of hlth onition (p-vlu=0,000), ut non in gnr (p-vlu=0,061). Conlusions: Although grt l of rsrh in th wll-ing fil is on, xists lk of vin of th importn of th intrgnrtionl rltions. Th nlysis points out tht importn, n it shoul n rgumnt to improv th onitions for wll-ing, longsi with onomi n soil ftors. Dsriptors: intrgnrtionl rltions; stisftion; positiv fftions; wll-ing; intgrtion. [email protected] [email protected] [email protected] 242

244 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Polyphrmy in th lrly: thrpy hrn sl C Pinto,, Mri Riiro,,. Grlo,, S. Novo,, M. Ris,, D. Roh,f Dprtmnto Tnologis Dignóstio Trpêuti. Cntro nvstigção ntrvnção no oso. Esol Suprior Sú o nstituto Politénio Brgnç. Brgnç, Portugl Cntro Estuos Trnsisiplinrs pr o Dsnvolvimnto. Univrsi Trás-os-Monts Alto Douro. Uni nvstigção pr o Dsnvolvimnto o ntrior. nstituto Politénio Gur. nstituto Politénio Brgnç. Brgnç, Portugl Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl ntroution: Th lrly popultion hs n growing signifintly, ling to n inrs prvln of hroni isss n onsqunt tking mition. Polyphrmy is th hroni n simultnous us of iffrnt rugs y th sm iniviul, n th lrly r th mor susptil. Th omplx thrpis of lrly n l to thrpy non-hrn, inrsing svrl hlth risks. Ojtiv: This stuy im to stimt th prvln of polymit lrly, vlut thrpy hrn n ssoit ftors, n hk th iffrns mong non-institutionliz lrly n usrs of y ntrs. Mthos: This ross-stionl stuy ws s on qustionnir, vlit for th Portugus popultion s on th Morisky sl, ppli to 200 non-institutionliz lrly n 68 unr y ntrs, of intrior n ostl ountis of northrn Portugl. t ws onsir s polymit sniors tking 4 rugs. To ssss thrpy hrn, thos whos vrg hrn lvls wr 3.5, wr ll hrnt. Rsults: Th smpl ws prominntly polymit (59%) n shows high thrpy hrn (95%), th vrg numr of iffrnt rugs ily ingst ws out svn. Elrly of ostl, show supriors lvls of thrpy hrn thn thos of intrior ounty (p=0.007). Only th onomi iffiultis r rlt to non-hrn (p=0.022). No sttistilly signifint iffrns wr foun twn non-institutionliz lrly n usrs of y ntrs. Conlusions: This stuy shows tht lrg proportion of lrly wr polymit, mnging n vrg of lmost 7 rugs ily. Th mjority hr to th thrpy prsri, n only th r of rsin n onomi iffiultis wr rlt to lvls of thrpy hrn. Dsriptors: Polyphrmy; Thrpy hrn; Polymit lrly; Non-institutionliz lrly; Usrs of y ntrs. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] Optimism, rsilin n fmily impt in prnts of isl hil J. Mtus,, S. Simõs,, H. Espírito-Snto,, L. Lmos,, S. Gulup,, D. Gurriro,f, M. Mrqus,,V,V,g nstituto Suprior Migul Torg. Coimr, Portugl Cntro Aolhimnto João Pulo. Coimr, Portugl nstituto Politénio Liri. Liri, Portugl V Esol Suprior Dsporto Rio Mior. Rio Mior, Portugl V Srviço Psiologi Méi. Ful Miin. Univrsi Coimr. Coimr, Portugl Ojtiv: Fmilis with isl hil f hllngs rquiring rorgniztion/s. Howvr, som fmilis positivly pt to th onition. Our ims wr to vrify prnt s rsilin n optimism impt in ojtiv/sujtiv ovrurn ssoit with th ft of hving isl hil; xplor ssoitions twn soiomogrphi vrils n oth ovrurns; xplor ovrurn pritors. Mthos: 80 prnts of hilrn (1 month-6 yrs ol) follow y th Lol Erly ntrvntion Tm for Chilrn of Liri Distrit (mn g=36,0; SD=5,87) fill in soiomogrphi qustionnir, Lif Orinttion Tst, Glol Assssmnt Sl of Rsilin, Fmily mpt Sl (ssssing ojtiv ovrurn) n Dprssion, Anxity n Strss Sl (ssssing sujtiv ovrurn). Rsults: Mothrs show lowr rsilin n optimism lvls n highr sujtiv ovrurn (prssion, nxity n strss) lvls vrsus fthrs. Sin thr wr no iffrns in ojtiv ovrurn y gnr, w xplor this ovrurn (fmily impt) ssoition with rsilin n optimism in th totl smpl (mothrs n fthrs). W foun no ssoitions. Rgring mothrs, highr rsilin n optimism lvls wr ssoit with prssion, nxity n strss lowr lvls. n mn, th numr of hilrn prits prssion n fthr s g prit nxity. n womn, hlp to tk r of th hil n optimism prit strss. Conlusions: Mothrs xprin mor psyhopthology n lowr lvls in th positiv onstruts, vrsus fthr, following th litrtur. Prnt s rsilin n optimism os not influn ojtiv ovrurn, ontrry to th xpt. Mothr s optimism sms to prott ginst strss. Erly intrvntions must prioritiz fmily s ns/ onrns n rinfor prottiv spts (rsilin/optimism) promoting wll-ing. Dsriptors: isility, fmily ovrurn, optimism n rsilin. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 243

245 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Miins out of us n wst of miins in northrn ity of Portugl sl C.Pinto,, L.M. Nsimnto,, M. Guilhrm,, A. Mglhãs,, E. Sntos,, R. Vsqus,f Dprtmnto Tnologis Dignóstio Trpêuti. Esol Suprior Sú. nstituto Politénio Brgnç. Portugl Estunts solr Suprior Sú. nstituto Politénio Brgnç. Portugl ntroution: Nowys, it s importnt to unrstn wst of miins, stintion of miins out of us n knowlg tht popl hv out it, sin th lk of informtion n l to srious onsquns for puli hlth n nvironmnt. Ojtiv: This stuy ims to trmin th proportion of wst of miins in popultion of northrn ity of Portugl n rlt ftors n vrify th knowlg n hvior out th stintion of miins out of us, lik th Vlorm. Mthos: This ross-stionl n stuy us qustionnir ppli to 148 usrs of Hlth Cntr of Brgnç. Most wr fml (67.6%), g ovr 45 (60.1%), with rsin in rurl nvironmnt (78.4%). Rsults: Th proportion of wst miins ws rltivly low, 60.8% llg lwys finish th mition pkging. Thr is thus proportion wst of 39.2%. Th rson for not finishing th mition pkging ws us thy fl ttr (53.4%) or inqut siz of pkgs (16.2%). Howvr, 75.0% si lwys hk th xpirtion t. 31.1% of iniviuls ly miins out of us to trsh, 29.1% livr in phrmis n 27.7% kp t hom. Th mjority (72.3%) i not know th xistn of Vlorm in phrmis, s orrt stintion for miins out of us. Conlusions: Th proportion of wst of miins ws out 39%, proly u to fling ttr, not hking xpirtion t n inqut siz of pkgs. Mor thn hlf of sujts ly miins out of us into trsh or tk thm to phrmy, lthough th mjority i not know Vlorm. Dsriptors: Brgnç; Miins out of us; Usrs of Hlth Cntr; Vlorm; Wst of miins. Pssion n stisftion with lif in isl thlts Anl Vitorino,,, Diogo Montiro,, João Moutão,,,, Rfl Pinto,, Sóni Morgo,,V,, Trs Bnto,,,f, Luís Ci,,,g Esol Suprior Dsporto Rio Mior. nstituto Politénio Sntrm Uni nvstigção o nstituto Politénio Sntrém. Sntrém, Portugl Cntro nvstigção m Dsporto, Sú Dsnvolvimnto Humno, Rio Mior. nstituto Politénio Sntrm. Portugl V Cntro nvstigção m Quli Vi. Portugl ntroution: Pssion is psyhologil onstrut tht n onptuliz s strong will towrs n tivity tht iniviuls r rlt to n tht thy fin importnt. Bs on th nw ulisti pproh on pssion for sports, thr r two typs of pssion: hrmonious pssion positivly ssoit with gnrl positiv ffts; n osssiv pssion, rlt to gnrl ngtiv ffts. Ojtiv: Th im of this stuy ws to nlyz th rltionship twn th pssion tht lit thlts fl for thir sportiv molity n stisftion with lif on th ontxt of pt sport. Mthos: Th instrumnts us wr th Pssion Sl n Stisftion with Lif Sl (portugus vrsions), ppli on 21 Prlympi thlts (2 mls; 19 fmls), of th molitis of swimming (n=4), thltis (n=10) n oi (n=7), with omptitiv xprin twn 4 n 29 yrs (15.81 ± 6.70 yrs), n gs rng from 20 to 59 yrs (36.95 ± 8.70). Disilitis inlu: physil (n=4), visul (n=10), rrl plsy (n=5) n ls utrs (n=2). Rsults: Th kin of pssion tht thlts fl for th molity is prtiulrly hrmonious, rlting this positivly n signifintly with stisftion with lif (rho=.542, p<.05). Osssiv pssion ws lso positivly orrlt with stisftion with lif, ut not signifintly, whih n xplin y th strong orrltion twn th two typs of pssion (rho=.674, p<.01). Conlusions: Our rsults sm to show tht whn thlts vlop n hrmonious pssion for th molity thy prti, tht ls to positiv ffts ovr thir wll-ing, prtiulrly to grtr lif with stisftion. Dsriptors: Pssion, wll-ing, stisftion with lif, isl thlts. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 244

246 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth QUALTY OF LFE OF WOMEN WTH URNARY NCONTNENCE, USNG CQ-SF Sr Krg,, Zéli Sntos,, Rimun Silv,, Rithinn Frot,, Lonro Bzrr,, Li Mristl Jo,f, Cio Borgs,g Univrsi Fortlz. Fortlz, CE, Brsil Hospitl Grl Césr Cls. Fortlz, CE, Brsil Univrsi Frl o Crá. Fortlz, CE, Brsil ntroution: Urinry inontinn (U) is mor ommon in womn n ffts ngtivly thir qulity of lif (QoL). Stuis tt iffrns in QoL oring to th typ of U, initing tht womn with mix urinry inontinn (MU) hv poorr QoL thn thos with strss urinry inontinn (SU). Spifi QoL qustionnirs n us to ssss th min iffrns twn groups. Ojtiv: To ssss QoL of Brzilin womn with U, oring to its typ. Mthos: Trnsvrsl stuy twn July 2011 to Jun All womn unrwnt gynologil xmintion n sign n inform onsnt form. ntrntionl Consulttion on nontinn Qustionnir - Short Form (CQ-SF) ws ppli. Qustionnir nswrs wr ompr oring to th typ of U. Kruskl-Wllis n Mnn-Whitny wr us for sttistil tsts, n th lvl of signifin ws st t <0.05. Th Sttistil Pkg Soil Sin (SPSS) ws us for ll lultions. Rsults: A totl of 240 womn wr vlut in this prio, n 217 (90%) h omplints of U. Aoring to thir symptoms, thy wr lssifi s SU (34%), MU (60%) or urg-inontinn (6%). Groups wr similr oring to g, prity n wigh of nworn. Thr of th four qustions wr sttilly iffrnt twn groups: frquny of urin loss (p=0.001), QoL impt (p=0.001) n th totl sor (p=0.002). Only th mount of urin loss ws similr (p=0.324). Conlusions: Aoring to CQ-SF, womn with MU hv poorr QoL ompr with thos with SU or urg-inontinn isolt. t s vlul n sy instrumnt to prform in womn from our rgion. Dsriptors: qulity of lif, urinry inontinn, womn. Priv Soil Support in Ault Cli Prsons Ctrin Loão,, Rui Gonçlvs,, Riro Bltzr,, An Rqul Loão,, Esol Suprior Sú Liri. Liri, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl Bluphrm. Coimr, Portugl ntroution: Th soil support is on of th funtions of th group of popl with whom th iniviul mintins ontt (soil ntwork) n tht my offr hlp. This support n offr through i) informl ntworks (fmily, frins n nighors) n ii) forml ntworks (groups/ soil orgniztions). Cli iss is fin s n utoimmun n hroni iss, whih fors sujts to vlop ptiv msurs in orr to liv in hlthy wy. Ojtiv: W intn to hrtriz th priv soil support n its influn on th wll-ing of ult li prson. Mthos: W us th Portugus vrsion of th Mil Outoms Stuy Soil Support Survy tht vluts th struturl soil support (soil ntwork) n funtionl soil support (in four iffrnt imnsions) priv y th sujt. Rsults: This ntionl stuy with 231 ult li prsons shows tht thy h goo soil support prption whih trnslts into ttr hrn to thrpy, improving thir hlth onition. Conlusions: Th rsults llow us to onlu tht soil support plys n importnt rol in pttion to hroni illnss, to prvnt vrs psyhologil ffts on hviorl rsponss ssoit with poorr hrn to trtmnt, rs soil isoltion, n rs moriity. Dsriptors: Soil support, Cli iss, Wll-ing [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] 245

247 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 441 Nursing linil suprvision: support strtgis 442 Pin n Qulity of Lif in Ptints with Diti Foot Ulr: Prliminry Rsults Rgin M. F Pirs,, Filip M. S Prir, Univrsi Ctoli Portugus. Porto, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Clinil suprvision (CS) is forml pross of profssionl support n filittor of th skills vlopmnt, with ffts on th qulity of hlth r, sing on thr funmntl funtions: formtiv, normtiv n support. Th support or rstortiv funtion to support suprvis in orr to ru strss n mintin pproprit motions, proviing support to ovrom signifint situtions. Ojtiv: Th stuy ims to ontriut to th sign of progrm of SC in th ontxt of primry hlth r y intifying st of support strtgis tht intgrt it. Mthos: A qulittiv, xplortory stuy. Dt wr ollt through smi-strutur intrviws, ttn ight nurss from primry hlth r twn My n Jun Dt nlysis ws s on th groun thory mtho, using th Nvivo7 progrm. Rsults: Th prtiipnts flt tht th progrm shoul inlu strtgis of CS rr guin in omplx linil situtions; iniviul suprvision sssions for isussion of snsitiv topis with suprvisor voiing xposur in th group; group sssions to shr opinions, flings n motions; th working group s support lmnt; positiv fk n motionl support from th suprvisor; lrning out oping strtgis; monitoring strtgis t istn. Conlusions: Th stuy is ontriution to th sign of progrm of CS in th ontxt of primry hlth r y intifying st of strtgis for promoting support. W onsir tht strtgis of support r vry importnt in CS, thy ontriut to th promotion of nurs s qulity of lif. Dsriptors: Clinil Suprvision; Nursing; Qulity of Lif. Susn Prs,, M. Grç Prir,, Rui Crvlho, Esol Psiologi. Univrsi o Minho. Brg, Portugl Cntro Hospitlr o Porto. Srviço Enorinologi. Consult Multiisiplinr o Pé Diétio. Porto, Portugl ntroution: On of th most srious omplitions of its is Diti Foot Ulr (DFU) tht ffts out 15% of ptints with its throughout lif n is mjor us of non trumti lowr lim mputtion. Ojtiv: Anlys th soiomogrphi n linil hrtristis (profil) of smpl of typ 2 its ptints with DFU inluing th rltionship twn pin, pnn n qulity of lif. Mthos: Fifty ptints with DFU prtiipt in th stuy. Th stuy ws onut in fiv ntrl hospitls, in th North of Portugl. Th instrumnts us wr: SF36 (Short Form Hlth Survy; Frrir, 2000) tht ssss qulity of lif; B (Brthl nx; Squir, 2007) tht ssss funtionl pnn in ily living tivitis; n th BP (Brif Pin nvntory; Azvo t l, 2007) tht vluts th intnsity n intrfrn of pin. Rsults: Olr ptints show mor pnn, mor impir qulity of lif prtiulrly in th physil funtion n prformn imnsions s wll s grtr intrfrn of pin in thir ily tivitis. ntnsity of pin ws ngtivly ssoit with gnrl hlth, mntl hlth, n vitlity, ll imnsions of qulity of lif. ntrfrn of pin, in ily tivitis, ws positivly ssoit with funtionl pnn n ngtivly ssoit with physil funtion, physil prformn, gnrl hlth, n vitlity. Finlly, longr urtion of foot ulrs wr ssoit with lss vitlity. Conlusions: ntrvntions to promot qulity of lif in DFU ptints n to fous on pin n funtionl pnn, prtiulrly in olr ptints. Dsriptors: Typ 2 Dits, Diti Foot Ulr, Pin, Dpnn, Qulity of Lif. [email protected] [email protected] [email protected] [email protected] [email protected] 246

248 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Effts of Physil Ativity on Mntl Hlth in Ptints with Dprssion João Moutão,, Din Coriro,, Nuno Bor D Águ,, Diogo Montiro,, Anl Vitorino,, Susn Alvs V,f, Luís Ci,g Esol iênis o Dsporto Rio Mior. nstituto Politénio Sntrém. Cntro nvstigção m Dsporto, Sú Dsnvolvimnto Humno. Sntrm, Portugl Esol iênis o Dsporto Rio Mior. nstituto Politénio Sntrém. Rio Mior, Portugl Cntro Hospitlr o Ost. Srviço psiquitri sú Mntl. Cls Rinh, Portugl V Esol iênis o Dsporto Rio Mior. nstituto Politénio Sntrém. Cntro invstigção m quli vi ntroution: Physil tivity hs n shown to positivly ssoit with mntl hlth n wll-ing. Ojtiv: Th prsnt stuy simultnously xmin two hypothss using struturl qution molling (SEM): 1) th prti of physil tivity llvits ysphori moo ruing ovrll symptoms of prssion; 2) rution of prssion stt rts positiv n irt fft on mntl hlth y improving stisftion with lif n slf-stm. Mthos: Fifty fml ptints ignos with prssion, ll womn, with n vrg g of 50 yr ol (SD =11) omplt four msurs: ntrntionl Physil Ativity Qustionnir, Bk Dprssion nvntory, Stisftion with Lif Sl n th Rosnrg s Slf-stm Sl. A struturl qution molling prour ws us to xmin th mol of st fit for physil tivity, prssion, slf-stm n lif stisftion vrils. Rsults: Rsults show tht prssion mit th rltionship twn physil tivity n gnrl mntl hlth (slf-stm n lif stisftion). Conlusions: This stuy monstrt th mhnism through whih physil tivity influns fml ptint s mntl hlth. mplitions for improving mntl hlth in ptints ignos with prssion r isuss. Dsriptors: struturl qution molling; prssion; physil tivity; slf-stm; n lif stisftion. Aging of popl with isility: ntifition of risk ftors rlt to flls Jonito Niquini Ros Júnior,, Ltíi Roh Dutr,, Mrin Xvir Sous,, zl Roh Dutr Silv,, Mrin Simõs,, Antônio Moir Jsus Lim,f Univrsi Frl os Vls o Jquitinhonh Muuri. Tófilo Otoni, MG, Brsil Progrm pós-grução m nfrmgm. Univrsi Frl os Vls o Jquitinhonh Muuri. Tófilo Otoni, MG, Brsil Univrsi Frl os Vls o Jquitinhonh Muuri. Tófilo Otoni, MG, Brsil ntroution: Th ging of th worl popultion n th ftors rlt to othr popl pnny rfr to hllngs in th ontxt of puli hlth, mning grtr onomi n soil rquirmnts. n this snrio, th flls r mjor usl ftor for th pnn of th lrly, sin thy us high rt of isility n mortlity. Prlll to this thought, unrstning th ging pross in iniviuls with isilitis highlights issus tht go yon th timlin n ns spil ttntion. Ojtiv: Th stuy ims to vlut th risk ftors for flls in popl with intlltul isility in th ging pross. Mthos: t is sriptiv stuy onut with ll stunts of th Assoition of Prnts n Frins of Exptionl Chilrn, APAE, in muniiplity in Jquitinhonh Vlly, MG, g ovr 50, not in whlhir, with intlltul isilitis, whih wr sumitt to Sl Brg, n ssssmnt s on quntittiv sription of th ility of funtionl ln. Rsults: Through th stuy it n sn tht ll stunts hv som imln in th ynmi wight shift whil stning without support, ut non h totl sor of Brg initiv thrshol for risk of flls. Conlusions: Aging s ynmi n progrssiv pross n l to loss of th iniviul s ility to pt to th nvironmnt n onsquntly intrfr with thir soil prtiiption. Thus, prviously intifi risk ftors n to propos inititivs for hlth promotion n prvntion r wys of hiving hlthy ging n inpnn. Dsriptors: ging; qulity of lif; isl popl; prvntion; risk of flls. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 247

249 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th griving pross: young ults strtgis ftr th loss of prnt An Ctrin Lit,, Dys Nri Souz,, José Euro Rlo, Univrsi Ctóli Portugus. Porto, Portugl Univrsi Aviro. Aviro, Portugl ntroution: Losing somon you lov ntils suffring, griv n is n pttion pross, irrsptiv of th g group on is in. To f th th of on of th prnts uring olsn is rtinly ggrvting, us th tn will xprin flings of loss, frustrtion n hlplssnss. On wy to intgrt th loss into our livs is kping mmoris of pst momnts with tht prson. Thy hlp rvisit tim n sp. Th photogrphs, ojts n spil pls, r onsir wy of mintining th ontinuity of th rltionship with th s. Lrning how to rt nw rltionship with th prson who physilly lft of our livs, it s turning thir prsn in swt mmoris tht n omfort. Ojtiv: This ppr is within th sop of th Dissrttion rri on for th Mstr in Pllitiv Cr. ts gol is to rvl th strtgis of th griving pross in young ult womn, whih hv lost prnt y iss likly to nfit from pllitiv r. Mthos: Thr wr onut smi-strutur intrviws to 5 young ult womn, 30 minuts h, n th ontnt nlysis ws on with wqda 0.9. softwr. Rsults: Th rsults show tht ojts n mmoris wr th min mns us y young popl to rfrm th loss. Conlusions: Th ojts n mmoris r still prt of th ily lif of th young womn intrviw n hlp thm l with th suffring of th loss n to l to hv iffrnt postur fing it. Dsriptors: young ults; prnt loss; olsn; griv; strtgis. Pssion, Motivtion n Sujtiv Wll- Bing in Lisur Surf Luís Ci,,, Crlos Sous,, Jon Frrir,, Anl Vitorino,, Diogo Montiro,, João Moutão,,f Esol iênis o sporto Rio Mior. Rio Mior, Portugl Cntro invstigção m sporto, sú snvolvimnto humno. Univrsi Bir ntrior. Covilhã. Portugl ntroution: Aoring to Dulisti Mol of Pssion (DMP), pssion n onptuliz y strong inlintion towr n tivity tht iniviuls lik (or lov), in whih thy invst tim n nrgy. Anothr importnt hrtristi of pssion is th intrnliztion of tivity into on s intity (slf), ing this pross is lso ntrl ftur of Slf-Dtrmintion Thory (SDT), in th iffrntition twn th two typs of hvior rgultion: ontroll or utonomous motivtion. Ojtiv: Anlyz th rltionship twn pssion, hviour rgultion, n sujtiv wll-ing in lisur surfrs. Mthos: Prtiipt in this stuy 183 lisur surfrs, of oth gnrs (33 fml, 150 ml), g twn 18 n 47 yrs ol (M=28.3, SD=7.8), n surfing xprin rng twn 1 n 30 yrs (M=7.61, SD=6.69), tht omplt th Portugus vrsions of Pssion Sl (PS), Bhviorl Rgultion in Sport Qustionnir (BRSQ), Stisftion with Lif Sl (SWLS), n Sujtiv Hppinss Sl (SHS). All t ws ollt y rsrhrs in Pnih n Bll h. Rsults: Th min rsults show signifint positiv orrltion twn hrmonious pssion n utonomous motivtion (r=.607, p=.000) n with sujtiv wll-ing (r=.261, p=.000 n r=.218, p=.003, for stisftion with lif n sujtiv hppinss, rsptivly). Th rsults lso show signifint positiv orrltion twn utonomous motivtion n stisftion with lif (r=.246, p=.001) n sujtiv hppinss (r=.147, p=.043). Conlusions: Ths rsults show us tht lisur surfrs n xpt hiv high lvls of sujtiv wll-ing if thy vlop n hrmonious pssion for th tivity n rgult thr s motivtion for utonomous forms (.g., for fun). Dsriptors: pssion; motivtion; wll-ing; sport; surf. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 248

250 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Bk pin hrtristis of univrsity stunts Gustvo Dsouzrt,,V, Rui Mtos,,, Ernsto Filguirs V, Filip Mlo V Cntro nvstigção m Motrii Humn. nstituto Politnio Liri. Liri, Portugl Cntro nvstigção m quli vi. nstituto Politénio Liri. nstituto Politénio Sntrém. Portugl Esol suprior ução iênis soiis. nstituto Politnio Liri. Liri, Portugl V LCom. Univrsi Bir ntrior. Covilh, Portugl V Lortorio o omportmnto Humno. Ful Motii Humn. Univrsi Liso. Liso, Portugl ntroution: Th low lvl of rgulr physil tivity in young popl, minly univrsity stunts, m prolm of puli hlth (Mtsuo t l, 2002; Ruiz t l, 2005). Th vlopmnt of iss n ru qulity of lif r ssoit with highr osts for puli hlth in gnrl (Prini t l, 2001). Ojtiv: This ppr prsnts th stuy of th rltionship twn k pin lvl (oring to Visul Anlogu Sl [VAS]) n th prti of rgulr physil tivity. Mthos: Blong in this stuy 720 univrsity stunts rlt with hlthr omin (physiothrpy, ouptionl thrpy, sph thrpy, nursing, itry thrpy n, sport n wllnss), g twn 17 n 30 yrs (mn 20,27+2,314). Rsults: Bk pin omplints ws prsnt for 76.9% of th inquir stunts (N=554), VAS mn vlus of mximum pin wr , th highst vrg ws in th lumr rgion with ; prtiipnts who h th highst vrg pin ( ) long to sph thrpy ours, follow y ours of physiothrpy with , ouptionl thrpy with , itry thrpy with n nursing with Convrsly, th lowst vrg pin ws prsnt in th ours of sports n wllnss, 2: n rltion to vrg wkly physil prti, th ours sports n wllnss h mor thn oul ( ) th vrg of th rmining ourss ( ). Conlusions: Ths rsults show signifint ngtiv orrltion oring to Sprmn s tst (p=.000) twn physil tivity n k pin, whih n goo initor towrs qulity of lif. Dsriptors: k pin; physil tivity; univrsity stunts; Visul Anlogu Sl (VAS). [email protected] [email protected] [email protected] CONCEPTON OF PERSONS WTH 65 YEARS OF AGE OR OLDER TO BE OLD OR AGNG Lério Dlon Mlo,, Cristin Arrguy-Sn,, Pulo Frrir Pinto,, Luin Crnvl Souz,, Luin Muniz Brg V, RN n Stuying Mstrs in Mstr s Progrm in Nursing FACENF-UFJF, Juiz For, MG, Brsil RN, PhD n Assoit Profssor of Nursing Shool of th Frl Univrsity of Juiz For (FACENF-UFJF), Juiz For, MG, Brsil Physil Eutor, PhD n Profssor of Collg of Physil Eution Univrsity of Juiz For (FACENF- UFJF), Juiz For, MG, Brsil V RN, MS n Pursuing Ph.D. in th Pursuing Ph.D. t th Univrsity of Lison, Portugl n Profssor of th Frl Univrsity of Viços, Viços, MG, Brsil ntroution: n th prio from 1950 to 2025 stimts init inrs y fiftn tims th numr of lrly Brzilins, whih quts to 20 million, popl g 60 yrs. Th irrvrsiility of n ging popultion n th improvmnt of living onitions r l to moify th onption sign to g or lrly mong prsons g 65 yrs. Ojtiv: This stuy im to unrstn th onpt vlop y popl who hv g 65 yrs for moifis th trms ing ol or ing g. Mthos: Cs stuy onut with popl living in n rgion ovr y primry r srvis hlth of th Brzilin. Dt ollt t hom y ror intrviws (vrg urtion 30 minuts) hl in Otor to Dmr/2013 rssing th hrtriztion of prtiipnts n guiing qustions on th sujt. Ethil n lgl rquirmnts hv n mt rsrh with humn sujts. Rsults: Tm popl prtiipt in th rsrh with yrs. Th onpt of ing ol os not mth stlish y Brzilin lgisltion, ing th prson g 60 onsir young. Th xplntions us to g wr s thoris of ging n soil rsons (isnggmnt, tivity n soio- motionl sltivity). Conlusions: Th rsults show tht whil hving utonomy n soil prtiiption, rsponnts with lowr inom oniv s th mrgn of limittion impos y th nvironmnt. This rsrh srv s pilot stuy for mstr s projt, guiing rjustmnt of print n pproh to ptur th intrvning vrils on th pross of ging. Dsriptors: Aging; Ag; Hlth of th Elrly; Puli Hlth; Lif Styl. [email protected] [email protected] [email protected] [email protected] [email protected] 249

251 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth PSYCHOLOGCAL WELLBENG, SATSFACTON WTH LFE AND OPTMSM N SPORTS MANAGERS Luís Gonzg, Sóni Morgo, Jon Mtis Esol Suprior Dsporto Rio Mior. nstituto Politénio Sntrém. Portugl ntroution: n th isours of its mngrs, th omptitivnss of ntionl sport is inrsingly rltiv, or ptiv, to th onstrints of omptitivnss of th rsptiv ntionl onomy with n ovious impt on proutivity of sports ssoitions n lus, rflting mrkt of vry unqul omptition. Now, if in th morn onption of hppinss, th mtril spt plys mjor hrtr, th positiv sujtiv xprin, usully link to prformn n sports proutivity, shoul rsult thrfor from immtril n intngil pitl onsisting in humn potntil n virtus tht intrsts to stuy. Ojtiv: Th purpos of th prsnt stuy is to msur sports mngrs psyhologil wll-ing n thir stisftion with lif n xplor th rltionship of ths imnsions with thir urrnt optimism. Mthos: Dt wr ollt from smpl of 62 mngrs of vrious sports g twn 18 n 50 yrs (M=24,77; SD=6,53). A 18-itm vrsion of Ryff s (1989) PWB sls ssss six imnsions: utonomy; nvironmntl mstry, prsonl growth, positiv rltions, purpos in lif, n slf-ptn. W lso us th SWLS - Stisftion with Lif Sl (Dinr, Emmons, Lrsn, & Griffin, 1985) n th Sl for Optimism (Brros, 1998). Rsults: init mort orrltions twn th lvl of stisftion with lif n ll imnsions of PWB ut utonomy n nvironmntl mstry. Th sm rltions wr foun twn ths psyhologil two mjor vrils n sports mngrs optimism. Conlusions: Our stuy s omprhnsiv vin tht priv unpritl nvironmnts n th fling of loss of utonomy unsttl lif stisftion n optimism in sports mngmnt. Dsriptors: Psyhologil Wlling, Stisftion with Lif, Optimism, Sports Mngrs. [email protected] [email protected] [email protected] (EX)USERS OF NJECTABLE DRUGS SEROPOSTVES FOR HV AND QUALTY OF LFE Cinthi Min Quiroz,, Cristin Arrguy-Sn,, Pul Krmpsr,, Luin Muniz Brg V,, Mriléi Lon ll,, Luin Crnvl Souz,f Esol Enfrmgm. Univrsi Frl Juiz For. Juiz For, MG, Brsil Esol Enfrmgm. Univrsi Frl Juiz For. Juiz For, MG, Brsil Progrm pós-grução. Univrsi Frl Juiz For. MG, Brsil V Progrm pós-grução. Univrsi Liso. Liso, Portugl ntroution: ADS is prolm of worlwi rprussions impts on mttrs of hlth n qulity of lif, n its prvln mong Brzilin popl who us injtl rugs is roun 5.9%. Ojtiv: This stuy im to nlyz th soil rprsnttions tht popl with HV/ADS n (formr) injtl rug usrs on slf-puntion vssl initilly prform in tngr/ult. Mthos: Rsrh outlin in th Thory of prourl Soil Rprsnttions. Prform in spiliz srvi ntr for popl with ADS in Brzil. Rsults: Prtiipt (x) usrs of injtl rug with ignosis for ADS. Us thr thniqus: fr ll-up (EVOC progrm); thniqu of utting n psting of omi mgzin with th roring of sph (Nvivo progrm tgory y similrity) n qustionnir with los qustions. Thortil sturtion ws us s ritrion for smpl finition. Attn thil rquirmnts. Twnty prtiipnts. Th piturs trnslt rih ommunition symols tht xprss th insrtion of nl, th plsur rising from th rugs n impotn towrs pnn. Cptur vlortiv imnsions (rgrt, prssion, fr n snss), th irrvrsiility of sropositivity (iniffrn) n th ffts of th rug (joy n iss), fts orroort with vok wors. Th prioritiztion of plsur, th n of nw vin puntur gnrt th ovrlook with uto sfty. Conlusions: t ws onlu tht th rfltions of th prtiipnts monstrt limittion in lifstyl, th impt of th lw of us/fft rprsnt y th rug/ sro-onvrsion for HV n pupriztion of intrprsonl rltionships s rsult of th trtmnt tht limit th qulity of lif. Dsriptors: Nursing; HV nftions; lliit Drugs; ntrvnous infusions; Slf-mition. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 250

252 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth PARTCPATON OF THE FAMLY CAREGVER N ADHESON OF HYPERTENSVE PERSON TO TREATMENT - nlysis of th impt of hlth promotion Lurini F. Cvlnt,, Mri Trz Borgs,, Zéli Mri Sntos,, Rhl Borgs,, Cio Borgs,, Antoni Liiny Sors,f, Wnsk Ntáli Aguir,g Univrsi Fortlz. Fortlz, Crá, Brsil Univrsi Frl o Crá. Fortlz, Crá, Brsil ntroution: Th systmi rtril hyprtnsion (SAH) is iss of inrsing prvln in th worl n mjor risk ftor in th vlopmnt of riovsulr isss. t s thrfor mjor puli hlth prolm worlwi. Ojtiv: Anlyz th impt of prtiiption in th trtmnt of hyprtnsiv ptints in hlth promotion for fmily rgivrs. Mthos: Dsriptiv stuy with quntittiv pproh, prform on Primry Hlth Cr Unit, lot in Fortlz, Crá, Brzil. Th smpl onsist of 354 fmily rgivrs. Dt wr ollt in four months y strutur intrviw. Rsults: Most fmily rgivrs wr g twn 50 n 69 yrs (55.9%), fml (72.6%), rown (52.5%), prti Ctholiism (81.6%), wr rtir (55.6%), m from Fortlz, CE (63.2%), wr mrri (59.3%), h its own proprty (87.0%), n inform monthly inom 1-2 urrnt minimum wgs. Th ustiv ftors impt on hlth promotion it y fmily rgivrs, stoo out: wrnss of th risk of hyprtnsion (33.0%), prvntion of risk ftors (32.2%), promot hlthy ting in th fmily (27.9%), prioi msurmnt of loo prssur (24.5%), rgulr physil xris (22.0%), stining from smoking n loholism (20.6%). Conlusions: Prtiiption of fmily rgivrs fostrs hlth promotion throf, s th fmily rgivr monitoring hyprtnsiv ptints to trtmnt, h tim h lrns mor out th hviors of ontrol of hyprtnsion, whih r mostly prvntiv risk ftors for hyprtnsion in fmily rgivr. Dsriptors: Fmily rgivrs. Artril hyprtnsion. Ahsion to trtmnt. HOST: ORAL HEALTH CARE N A PUBLC HOSPTAL N Dylis Fifth Prir, Din Cross Dys, Elln Hil Souz Alântr Olivir, Evilin Fitos Sours, Josn Goms Silv, Ntháli Sntn f, Sntn Cost, Tlin Kings Jsus g Univrsi Estul Fir Sntn. Fir Sntn, BA, Brsil ntroution: This xprin rport ls with th tion of Prmnnt Eution in Orl Hlth, hl t th Gnrl Hospitl Emrgny Clériston Anr in Fir Sntn, Bhi, Brzil (HGCA), th Eution Progrm stff for Work n Hlth (PET) Emrgny Dprtmnt/UEFS hl in Dmr Ojtiv: Eut th HGCA mrgny ptints on th prti of propr orl hygin, linking th thortil to th prtil knowlg. Mthos: This xplortory stuy intrvntionist. Us s instrumnt for t olltion visits in lous n ptint s mil history. Th nroll popultion wr 42 ml ptints mitt to th Emrgny Room Ml (PAM), g twn Th smpl ompris group tht m us of prosthsis n/or nturl ntition. Rsults: Hospitl ntl r ims of orl normlitis tht rquir prours for low, mium or high omplxity, iming to improv th hlth n qulity of lif of hospitliz. n th lwsuit it ws foun tht thr ws poor orl hygin of ptints, whih my vrsly orroort your pritions. W visit s vlop th following tions: th rushing thniqu, inition n flossing n fluori wir thing, s wll s point out th importn of hygin in iss prvntion. Conlusions: Guilins for th rption wr irt to th motor n rlt to th unrstning of ptints n fmily pity, out th utionl tivity. This stg of th projt will rsult in th rstruturing of th Orl Hygin Protool, ulminting in th instlltion of n outptint ntl lini. Dsriptors: Hom. Orl hlth. Continuing Eution. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 251

253 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth THE FAMLY CAREGVER S KNOWLEDGE ABOUT THE TREATMENT OF HYPERTENSVE PERSONAL: nlysis fousing on hlth ution Pul Dynn Sous Sntos, Lurini Fátim Diniz Cvlnt, Fátim Lun Pinhiro Lnim, Rithinn Frot Crniro, Mri Trz Sá Litão Rmos Borgs, Zéli Mri Sous Arújo Sntos f, Thin Viir Pont g Univrsi Fortlz. Fortlz, CE, Brsil ntroution: Hyprtnsion is iss of inrsing prvln in th worl, mjor risk ftor for riovsulr iss. Th fmily hs signifint rlvn in prtiiption in th trtmnt of hyprtnsiv prson. Ojtiv: Anlyz th knowlg of fmily rgivrs out th trtmnt of hyprtnsiv prson with fous on hlth ution. Mthos: Dsriptiv stuy in Unit Primry Hlth Cr in th Rgionl Exutiv Srtry V, in Fortlz-Crp- Brzil, with 354 fmily rgivrs of hyprtnsiv prson nroll in HPERDA n init y ths usrs. Dt wr ollt from Jun to Sptmr 2013 y intrviw. Orgniz th t in Sttisti Pkg for Soil Sins (SPSS) progrm, n th nlysis ws s on hlth ution. Th rsons omplmnt th quntittiv t nlysis. Rsults. Th highlights fmily rgivrs g twn 50 n 69 yrs (55.9%), fml (80.2%), rown (52.5%), Ctholis (81.6%), rtir (55.6%). Most fmily rgivrs knw th onut of trtmnt: rgulr us of mition (90.9%), qut intk of slt (90.1%) n vgtl ft (61.8%). Aout 234 (66.1%) rsponnts knw th typ of ntihyprtnsiv rug, howvr only 80 (22.5%) fmily mmrs knw th ily mount of rug ingst. Conlusions: Th rsults of th stuy show tht fmily rgivrs h limit knowlg out th trtmnt of hyprtnsion. Th lk of informtion of ths fmilis is iffiulty to ollort in th trtmnt of hyprtnsiv prson or ny othr hlth prolm, whih implis th isontinution of trtmnt. Dsriptors: fmily rgivrs, hyprtnsion, hlth ution. From Th Dsir of Hving Chil to Th Dsir Chil: Th Drm Com Tru for th Coupl Bruno Migul Vlério, Jon Rit Prnt Brno, Mris Sofi Silv Nuns, Solng Domingus Rorigus, Tigo Mnul Jorão Silv, Crolin Migul Grç Hnriqus f nstituto Politénio Liri. Esol Suprior Sú. Portugl ntroution: Th sir of hving hil is on of th humn ing s si ns. Although th onption of hil is, pprntly, nturl n spontnous t, tht is not th rlity for som oupls who struggl with infrtility. From th infrtility pross to th fulfilmnt of th rm of ing prnts, oupls xprin iffrnt flings n motions. Ojtiv: To know th oupls xprin with hilrn unr on yr ol, in rsult of frtility trtmnts, from th infrtility ignosis prio to th postprtum prio. Mthos: This is qulittiv rsrh of phnomnology pproh. Rgring th t olltion, this is trnsvrsl n rtrosptiv stuy, whih us smi-strutur intrviw s t olltion instrumnt, intrprt through th mol propos y Colizzi (1978). Rsults: Th rsults show tht u to th infrtility ignosis onfirmtion n through th infrtility trtmnts, oupls xprss flings with ngtiv onnottion in ontrst to positiv flings, hving onjugl, fmilir, soil n profssionl implitions. During th gsttionl prio, svrl xprins ris on oupls, suh s prouption, fr n nxity, ut lso hppinss n prsonl/onjugl fulfilmnt. During postprtum, th xprin flings go from nxity n fr to hppinss y finlly ing l to s th sir hil. Rgring th xprin s prnts, oupls rvl tht hving hilrn hs lwys n prt of lif projt, rporting rsponsiility ut tht ftigu riss s iffiulty, ing support ntworks ssntil. Conlusions: This stuy my ontriut to ttr unrstning of oupls xprins from th infrtility ignosis prio to th postprtum prio, rprsnting nfit for hlth profssionls n humn ring in nursing. Dsriptors: nfrtility; Prnthoo; Trnsition; Coupl; Ajustmnt. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 252

254 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 455 nforml rgivrs of Portugus ntnrin : first gln from th Oporto Cntnrin Stuy Sr Alvs,, Osr Riiro,, Dnil Brnão,, Ntáli Durt,, Li Arújo,, Ltiti Tixir,f, Mri João Azvo,g, Constnç Pul V,h Uni nvstigção Formção sor Aultos osos. Porto, Portugl Uni nvstigção Formção sor Aultos osos. nstituto Srviço Soil o Porto. Esol Suprior Sú Univrsi Aviro. Portugl Esol Suprior Eução Visu. Uni nvstigção Formção sor Aultos osos. Portugl V nstituto Ciênis Bioméis Al Slzr. Uni nvstigção Formção sor Aultos osos. Portugl ntroution: Th inrsing numr of ntnrins hs nhn th ttntion to this g group n to thir spifi r ns. nforml r rprsnts n importnt support for ntnrins ut th vill knowlg on this topi in quit sr in th ntionl ontxt. Ojtiv: To provi first ovrviw of rgiving spts (urn n positiv spts) in smpl of informl rgivrs of ntnrins. Mthos: A smpl of46 informl rgivrs of ntnrins from th Oporto Cntnrin Stuy ws onsir. nformtion on soiomogrphi spts n on th rgiving xprin (.g. lngth of r, rltionship with ntnrin), prsn of positiv spts of rgiving (from th Positiv Aspts of Cring sl) n rgivr strin (from th Crgivr Strin nx-moifi) wr otin. Rsults: nforml rgivrs hv mn g of 63.9 yrs, r mostly womn (87%), mrri (63%) n hilrn of th ntnrin(63%).tim spnt on rgiving tsks is on vrg 19.6 hrs/y (SD=8.22) n th lngth of r is roun 11 yrs (SD=10.80). Crgiving rvl to n xprin tht provi mning to most rgivrs lif ut with svrl strins ssoit, nmly physil strin n slp isturn. Conlusions: This is first n prliminry pproh to informl rgivrs of ntnrins n furthr informtion on thir spifiitis will otin n m vill in th nr futur from th ongoing projt Cntnrins offspring: intrgnrtionl mivln n mns of r. Dsriptors: nforml rgivrs, ntnrins; Strin; Gins. 456 Profil of th rvil spin of mi profssors Fliino, C.,, Vríssimo, C.,, Sntos M.,, Vz, D.C.,,, Crrão, L.,, Uni nvstigção m Sú. Esol Suprior Sú Liri. nstituto Politénio Sú. Liri, Portugl Cntro quími Cntro Nuroiênis Biologi Clulr. Univrsi Coimr. Coimr, Portugl Dprtmnto sporto & Sú. Ful Motrii Humn. Univrsi Liso. Liso, Portugl ntroution: Complints rising from rvil normlitis n nk pin r rurrnt prolm mong profssors. Th work styl (sk n omputr work) opt y this group of profssionls highly prisposs this popultion to vlop nk prolms. Ojtiv: This stuy ims to hrtriz th profil of th rvil rgion of th PL profssors. Mthos: Dsriptiv-orrltionl stuy ppli to smpl profssors, tht rspon (n=91) th NUL-20 qustionnir; mong whih su-group of 26 unrwnt physil vlution (postur, flximtry n goniomtry) n rspon th ND-qustionnir n to th Visul Anlog Sl (VAS). Rsults: Th g of th prtiipnts ws on vrg 39.7±8.1 yrs ol. Th prvln of nk pin ws foun to 71.4% (n=91) mong th whol smpl, whrs fmls show nk pin prvln (66.2%, p<0.05). Computr (61.5%) n sk (20.9%) work wr intifi s th most pin-inuing tivitis, prsnting on vrg VAS of 20.0±17.4. Aoring to th ND, funtionl isility inx of 5.2±3.6 ws otin, whrs, oring to th NUL-20 vlu of 1.2±0.7 ws rport, ing ths rsults strongly orrlt (r Sprmn=0.69) to slight lvl of isility. Conlusions: Th popultion unrstuy is sumitt to onsirl work risks, with fmls xhiiting mjor omplins. Th group hs shown rtin tnny for h ntrioriztion n low intnsity pin. Ovrll, th prvln of nk pin n omplins is within prviously rport stuis, onut ovr similr popultions, whih mks this profssionl group, spil group for prophylti intrvntions. Dsriptors: Nk; pin; profssors; work styl, postur. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] h [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]. 253

255 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th uffring fft of wrmth n sfnss mmoris n flings ginst shm on prssion Mrl Mtos, José Pinto-Gouvi, Cristin Durt Cntro nvstigção o Núlo Estuos ntrvnção Cognitivo-Comportmntl. Univrsi Coimr. Coimr, Portugl ntroution: Positiv n ngtiv ffilitiv xprins in rly lif hv mjor impt on fft rgultion n vulnrility to psyhopthology. Howvr, whil shm mmoris hv n link to psyhopthology, th prottiv ffts of ffilitiv xprins on this rltionship wr nvr xplor. Ojtiv: This ppr xmins two mortor mols of rly mmoris of wrmth n sfnss on th ssoition twn shm mmoris n prssiv symptoms. A mitor mol of urrnts flings of soil sfnss on ths linkgs is furthr tst. Mthos: Prtiipnts sri n rly shm xprin n omplt st of slf-rport msurs ssssing th ntrlity n trumti hrtristis of th shm mmory, rly mmoris of wrmth n sfnss, urrnt soil sfnss n onntnss n prssiv symptoms. Rsults: Pth nlyss rsults show tht rly mmoris of wrmth n sfnss mort th rltionship twn ntrlity of shm mmory n prssion, y ttnuting its impt. No mortor fft ws foun for th rltion twn shm trumti mmory n prssion. Furthrmor, flings of soil sfnss totlly mit th fft of rly ffilitiv mmoris on prssion, n prtilly mit th fft of ntrlity of shm mmoris on prssion. Conlusions: Affilitiv rltionships my ngnr th sour of sfnss n wrmth tht uffrs th ffts of rly shm xprins on ngtiv fft. Th qulity of rly xprins my ithr ful or mg on s ility to gnrt wrmth n fl sf with othrs, using thm to sooth on s istrss whih, in turn, trmins th vulnrility to prssiv symptoms. Dsriptors: Shm mmory; Positiv ffilitiv mmoris; Soil sfnss; Dprssion; Pth nlysis; Mortor fft; Mitor fft. Slf-Cr Profil in Hmoilis Clints Pulo Mrqus (PhD), An Evristo (MS, RN) Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Hmoilysis is thrputi mtho of rnl funtion sustitution, nssry for th mintnn of lif in popl in stg fiv hroni rnl filur. This trtmnt is sussful in prolonging survivl in popl with kiny iss. Th mjor hllng in th r of slf-r of lints who unrgo hmoilysis is ntr on th mngmnt of th thrputi rgimn. Ojtiv: Th im of this stuy is to sri th slf-r profil of trminl hroni rnl filur ptints nroll in rgulr progrm of hmoilysis n xplors th ntur of this profil s influn on th sussful mngmnt of th thrputi rgimn. Mthos: This rsrh took pl in Portugl, using quntittiv pproh through th us of n instrumnt whih inlu th Slf-Cr of Hom Dwlling Elrly n n ssssmnt of thrputi rgimn mngmnt skills; it m us of non-proilisti smpl prtiipnts. Rsults: Th slf-r profil of th lints who unrwnt hmoilysis is prominntly of th infinit typ. Howvr thr wr 45 prtiipnts whos slf-r orrspon to th hrn to th rsponsil profil. Conlusions: Th lints whos ttitus n hviours wr onsistnt with th non slf-r profil monstrt fwr omptnis in th r of mngmnt n knowlg of hmoilysis, n lss unrstning rltiv to th mition, it n flui rstrition rgimns. Th prtiipnts with highr sors in th rsponsil slfr profil possss mor knowlg, took ttr r of thir vsulr ss n wr mor fftiv in th mngmnt of thir itry rgimn. Dsriptors: Nursing; Slf-r; slf-r profil, hmoilysis, Thrputi rgimn mngmnt. [email protected] (n phon ) [email protected] [email protected] [email protected] [email protected] 254

256 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth mpt of lifstyl, qulity of lif n trtmnt hrn mong ovrwight olsnts P Gspr,, P Sous,, H Fons,,, F Gspr V, Uni invstigção m Sú. Esol Suprior Sú Liri. nstituto Politénio Liri. Liri, Portugl Ful Miin. Univrsi Liso. Liso, Portugl Clini Osi piátri. Dprtmnto pitri. Hospitl Snt Mri. Liso, Portugl V Esol Suprior nfrmgm Liso. Liso, Portugl ntroution: Ovrwight is n xtr urn for th olsnt vlopmnt n triggrs svr physil n psyhosoil prolms. Ahrn to hvior hng n to hlthir lifstyl is ruil for fftiv wight ontrol mngmnt. Ojtiv: This stuy ims to nlyz th riprol influn of BM z-sor, lifstyl, trtmnt hrn, n osity-rlt qulity of lif, n to intify thir min pritors mong ovrwight olsnts. Mthos: Th smpl onsists of 94 olsnts who r urrntly ttning Pitri Osity Clini, g yrs, vrg g yrs (SD=1.51). Osity-rlt qulity of lif ws ssss with th mpt of Wight on Qulity of Lif, trtmnt hrn with th Ahrn to Wight Control Qustionnir n hlth-promoting lifstyl with th Aolsnt Lifstyl Profil. Sttistil nlysis ws prform using nonprmtri tsts. Rsults: Thr ws no signifint rltionship ithr twn BM z-sor n lifstyl or BM z-sor n trtmnt hrn. BM z-sor ws ngtivly ssoit with th osity-rlt qulity of lif. Osity-rlt qulity of lif ws furthr orrlt to som imnsions of hlth-promoting lifstyl n hrn to wight ontrol. Ahrn to wight ontrol ws positivly influn y vrious lifstyl omins. A ro rry of mortors ws intifi for h of ths onstruts. Conlusions: Finings suggst th riprol influn twn lifstyl, hrn to wight ontrol n qulity of lif mong ovrwight olsnts. ntrvntion progrms shoul sign not only tiloring th iniviul olsnt hlth ns ut lso tking into ount th mortors tht hv n intifi. Dsriptors: Ovrwight; Qulity of lif; Aolsnts; Trtmnt hrn; Lifstyl. Hlth-promoting lifstyl profil in Portugus mi ommunity Pro Sous, Pro Gspr, Mri Dos Anjos Dix, Sr S. Dis Uni invstigção m Sú. Esol Suprior Sú Liri. nstituto Politénio Liri. Liri, Portugl ntroution: Thr r mny ftors tht influn hlth, n thr is no out tht som hv to o with prsonl hviours n lifstyl. Nowys it is importnt to unrstn th min trminnts of lifstyls n th wy thy vry mong iniviuls, to mk pproprit us of thir rsours n promot hlthy lifstyl. Mthos: n this ross-stionl stuy it ws us th Portugus vrsion of th Hlth Promoting Lifstyl Profil qustionnir to invstigt mi ommunity s lifstyls in smpl of 889 iniviuls. T-tst n On-wy ANOVA (with post ho tsts) wr us to ompr th HPLP- sors oring gnr, inoms, mi ommunity sttus, living with fmily n hlth survilln. Multipl rgrssion nlysis ws us to xplin th ffts of th iffrnt ovrits on th pnnt vrils. Rsults: Th smpl h n ovrll HPLP- mn sor of 2.62 (SD=0.39), with th highst mn sor ing for nutrition (3.02±0.49) n th lowst for hlth rsponsiility (2.04±0.64). Th rsults show tht: fml rport ttr ovrll lifstyl, hlth rsponsiility, intrprsonl rltions, n nutrition; mls rport ttr physil tivity. Prtiipnts with low inoms rport wors physil tivity n intrprsonl rltions. Stunts rport ttr strss mngmnt. Th rgrssion nlysis shows tht iffrnt ovrits xplin th pnnt vrils. Conlusions: Ths finings mphsiz th multiftoril hrtr of lifstyls n will nl hlthr provirs n hlth promotrs to vlop fftiv intrvntions to ssist in improving hlth lifstyls in th mi ommunity n will hlp in vising suitl intrvntion progrms. Dsriptors: Hlth Promoting; Lifstyl; mi ommunity; Dtrminnts; hlth hviors. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 255

257 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Do thought supprssion tnnis strngthn th link twn soil rnk n prssiv symptoms? Cláui Frrir, nês A. Trin, Lr Plmir Cntro nvstigção o Núlo Estuos ntrvnção Cognitivo Comportmntl. Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl ntroution: Thought supprssion is n xprintil voin pross fin s th ffort to ontrol unwnt innr xprins (i.., to limint or ru thir intnsity n frquny). Howvr, it ls to proxil onsquns, inrsing th rt n strngth of th unwnt thoughts. Evn though thought supprssion hs n link to th tiology n mintnn of istint psyhopthology onitions (.g., prssion, osssiv-ompulsiv isorr), its rol in th rltionship twn unplsnt soil rnk omprisons n prssiv symptomtology is yt to lrly unrstoo. Ojtiv: Th prsnt rsrh ims to xplor th mortion fft of thought supprssion on th rltionship twn prptions of soil rnk n th xprin of prssiv symptoms. Mthos: Th stuy s smpl ws ompos y 450 stunts, from oth gnrs, with mn g of yrs-ol. Rsults: Corrltionl sttistis rvl tht thought supprssion (WBS) is link to psyhologil inflxiility (AAQ-), unfvourl soil omprisons (SCRS) n psyhopthologil symptoms (DASS-21). A pth nlysis show tht thought supprssion signifintly morts th impt of SCRS on th svrity of prssiv symptoms n xplins 26.4% of th vrin of this symptomtology. Th grphi rprsnttion of th mol rvls tht for th sm lvl of unfvourl soil omprisons, thos prtiipnts who show highr tnnis to ontrol unplsnt thoughts tn to prsnt mor svr prssiv symptomtology, whn ompr to thos with lowr lvls of thought supprssion. Conlusions: Our t support th prvsiv fft of this strtgy (tht ims t ontrolling unplsnt innr xprins) n highlight its proxil fft on prssiv symptoms, whih unrlis th vlopmnt n mintnn of psyhopthologil symptomtology. Dsriptors: Dprssiv Symptomtology; Thought Supprssion; Unfvourl Soil Comprisons; Clinil Psyhology. Prson pnnt on invsiv vntiltion t hom: ring in prtnrship with fmily An Pinto,, Crl Nsimnto, Cntro Hospitlr Liso Nort. Liso, Portugl Esol Suprior Enfrmgm Liso. Liso, Portugl ntroution: Th us of mhnil vntiltion t hom is now growing rlity n hllng for hlth profssionls n soity in gnrl. Th trnsition of th prson pnnt on invsiv vntiltion to hom ovrs svrl struturl xs, suh s th involvmnt n prtiiption of th fmily. Cring in prtnrship with fmily rquirs spifi skills of r. Th rtion of nursing tools l to th vlopmnt of ths skills n is vitl for th pnnt prson n fmily whn rturning hom. Ojtiv: Dislos nursing instrumnt fous on trnsition to hom of th prson pnnt on invsiv vntiltion, whih hs n us on th ontinuing r unit of ntrl hospitl in th r of Lison. Mthos: Th onstrution of this instrumnt mrg from th ns priv y nursing tm n hs n sustin on sintifi vin n mpiril xprin of thmslvs. Rsults: Th nursing instrumnt ws givn s mtrix for ision mking on th ishrging pln of th pnnt prson on invsiv vntiltion n s gui of fmily skills trining to rturn hom. Conlusions: ntifi instrumnts tht promot th prprtion of th homoming of th prson pnnt on mhnil vntiltion s priority for hlth tms with spil impt on th qulity of lif for prson n fmily hlth. Dsriptors: hom rturning, ishrg plnning, prtnrship ring, fmily. [email protected] [email protected] [email protected] [email protected] [email protected] 256

258 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth How oy img inflxiility impts on isorr ting ttitus n hviours nês A. Trin, Cláui Frrir Cntro nvstigção o nulo stuos ntrvnção Cognitivo-Comportmntl. Ful Psiologi. Univrsi Coimr. Univrsi Coimr. Coimr, Portugl ntroution: Litrtur hs highlight th impt of psyhologil inflxiility in mntl hlth. Tht is, th inpity of opting non-juging, fus n pting ttitu towrs on s thoughts n flings hs n point s ntrl risk ftor to vrious forms of psyhopthology. Spifilly, psyhologil inflxiility rlt to oy img ompriss rigi ognitiv (i.., ontrol) n hviourl (i.., voin) pttrns in rltion to on s oy, whih gnrt grtr psyhologil istrss n suffring. Th xisting t wrrnt itionl rsrh in orr to nhn th knowlg out th impt of this pross on isorr ting ttitus n hviours. Ojtiv: Th prsnt stuy im t xploring th impt of oy img inflxiility on th rltionship twn ting psyhopthology n its ntrl risk ftors, BM n oy isstisftion. Mthos: n this stuy prtiipt 286 fml stunts, g twn 15 n 23 yrs-ol (M=18.43; SD=1.90). Rsults: BM, oy isstisftion (BD) n oy img inflxiility (B-AAQ) wr positiv n signifintly orrlt with EDE-Q. B-AAQ ws tst s mitor on th ssoition of BM (Mol 1) n BD (Mol 2) towrs ting psyhopthology. Ths mols xplin 62 n 65% of EDE-Q, rsptivly, n rvl tht th impt of BM n BD on ting psyhopthology ws prtilly mit y B-AAQ. Conlusions: This stuy lrifis th mitionl rol of oy img inflxiility to xplin th nggmnt in isorr ting hviours. Also, it unrlis th importn of vloping ptiv strtgis to l with unwnt oy-rlt intrnl xprins, in oth linil sttings n ommunity progrms whih trgt oy img iffiultis. Dsriptors: BM; Boy Disstisftion; Boy mg nflxiility; Eting Psyhopthology; Aptn n Commitmnt Thrpy; Clinil Psyhology. Stnrs of slp qulity in hospitliz ptints on mil surgry ontxt An Crto,, An Glvão (Ph.D),, Mri José Goms (Ph.D), nstituto Politénio Brgnç. Brgnç, Portugl, Dprtmnto s Ciênis Soiis Grontologi. Núlo nvstigção ntrvnção no oso. Porto, Portugl, nstituto Politénio Brgnç. Brgnç, Portugl Dprtmnto s Ciênis Enfrmgm. Núlo nvstigção ntrvnção no oso. Porto, Portugl, nstituto Politénio Brgnç. Brgnç, Portugl ntroution: Slp is ruil for th wlling n ln of prson. Slp isorrs hv prtiulr rlvn in hospitliz ptints, ffting thir qulity of lif n rovry. Chngs in pttrns of slp r th min ftors tht fft its qulity, in 15 to 35% of th ss. Ojtiv: intify through systmti rviw of th litrtur, th ftors tht r rsponsil for isorrs of slp pttrns in hospitliz ptints. Mthos: Th PCO sl, whih ronym is, Ptint, intrvntion, omprison n Outoms, ims to nswr th qustion: wht ftors intrfr with slp pttrns of hospitliz ptints? whih rquirs rsrh vin. Dtss B-on, Silo n LLACS wr quri for pprs s rlt with qulittiv n quntittiv stuis inluing th following kywors: slp isorrs, qulity of slp, ftors tht intrfr with slp pttrns, qulity of lif n ptints hospitliz. Rsults n Conlusions: W foun vin tht suh slp isorrs in hospitliz ptints r us y motionl ftors: Worry out ing in th hospitl, shring room, hom, son, isility, ssistn of th hlth tm. Environmntl ftors: mttrss, light,, tmprtur, motion, nois, rs, Pthologil ftors: ough, nus, pin, mlis, wknss n thtrism. Ths ftors r it in multipl rlvnt stuis, in whih pin is spilly fous, us, sin it is th fifth vitl sign, it hs prtiulr impt on th slp qulity of hospitliz ptints. Dsriptors: slp isorrs, qulity of slp, ftors tht intrfr with slp pttrns, qulity of lif n hospitliz ptints. [email protected] [email protected] [email protected] [email protected] [email protected] 257

259 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Strss in ontxt Prioprtiv N Rit Gonçlvs,, An Glvão (Ph.D),, An Crto, nstituto Politénio Brgnç. Brgnç, Portugl Dprtmnto s Ciênis Soiis Grontologi. Núlo nvstigção ntrvnção no oso. Porto, Portugl, nstituto Politénio Brgnç. Brgnç, Portugl ntroution: This stuy pprohs th issu of strss in prioprtiv nurss. Ojtiv: fin out wht strss lvl, th urnout lvl xprin n th oping strtgis tht thy us. Mthos: This is non xprimntl stuy, quntittiv, sriptiv n orrltionl, in n trnsvrsl pln. Th smpl onsist with 81 prtiipnts, 27 prioprtiv nurss of th Northst Lol Hlth Unit (ULSNE) n 54 of th Trás-os-Monts n Alto Douro Cntrl Hospitl. W ppli thr ssssmnt tools: Mslh Burnout nvntory (MB) of Mslh n Jkson (1986), Nurs Strss nx (NS) of Hrris (1989) n Prolm Solving nvntory (RP) of Vz Srr (1987). Rsults n onlusions: Th min rsults wr, oring to th NS, th smpl show onsirl gr of strss, prsnting vlus quivlnt to strssful in th susls worklo 1 (Quntittiv), Orgniztionl Climt n Dling with ptints n fmily. At th lvl of urnout, w foun tht th smpl hs low lvl of urnout n through RP w onlu tht th smpl s whol, hs rsonl oping mhnisms, showing fftiv strtgis in trms of intrnl/xtrnl ontrol prolms n ontrol th ggrssivnss intrnliz/xtrnliz. Dsriptors: Oprting room, Strss, Burnout, Coping. Wht prtis n hviour ftr th fll of th lrly, in rsintil struturs for sniors? Cristin Bixinho,, Mª Anjos Dix, Esol Suprior Enfrmgm Liso. Liso, Portugl Uni nvstigção m sú. Esol suprior sú Liri. Liri, Portugl ntroution: n rsintil struturs for th lrly flls r onrn for thir high inin n prvln. Prvntion through invstmnt in work tms tht intgrt, in thir ily prti, strtgis for risk ssssmnt n prvntiv msurs. Ojtiv: This stuy h s ojtivs: to intify th tm s prtis n hviors for th prvntion of flls n to rlt th tm s prtis n hviors with th prtis n hviors of intrvntion for prvntion of flls in institutionliz lrly. Mthos: Dsriptiv orrltionl n ross-stuy. Th smpls wr 152 hlprs of irt tion of six rsintil struturs for th lrly, whih uthoriz th rliztion of th stuy. Th sls wr onstrut n vlit (Bixinho & Dix, 2013), showing goo psyhomtri hrtristis. Rsults: Aftr th nlysis of th prntg of h of th initors of th sl, w n s tht th risk ftors of flling r lwys isuss in 38.8% of tm situtions, prvntiv msurs in 31.6% n th ision of prvntiv msurs to ppli r lwys i in tm in 33.6% of ss. Th profssionls onsir ommunition ssntil to prvnt flls, rognizing tht through ommunition thy know, vlut, intrprt n trnsmit rlvnt lmnts for th prvntion of flls. Thr is sttistilly signifint iffrn twn th rng of prtis n tm hviors with hviors n prtis of intrvntion for prvntion of flls of thn institutionliz lrly. Conlusions: Th tm rs to intify risk ftors n to implmnt prvntiv msurs. Bst tm prtis rsults in ttr prtis n hviors in th prvntion of flls. Dsriptors: Fll; Prtis; Bhviour; Elr; rsintil Struturs for sniors. [email protected] [email protected] [email protected] [email protected] [email protected] 258

260 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 467 Anthropomtri msurs, ting hits n prformn of Portugus sor plyrs Arin Mot, Snrin Mns, António Frnns, Julin Almi-D-Souz, nstituto Politénio Brgnç. Esol Sú. Brgnç, Portugl nstituto Politénio Brgnç. Esol griultur Univrsi Trás os Monts Alto Douro. Cntro Estuos Trnsisiplinrs pr o Dsnvolvimnto. Portugl ntroution: Aoring to th litrtur, nthropomtri n physiologil vrils my trminnt suss ftor for th plyrs prformn. Ojtiv: Vrify th influn of nthropomtri msurs on plyr s prformn. Vrify th influn of ting hits on plyr s prformn. Mthos: A ross-stionl, quntittiv, osrvtionl n nlytil stuy ws vlop. A smpl of 87 Sor Plyrs from Suprlig (Portugus Footll Lgu) ws ollt. Anthropomtri msurs wr vlut using Tnit oy omposition nlyzr TBF-300, ompss Csorf n tp msur. Eting hits wr ssss using foo iris. Th Coopr tst ws us to vlut th plyr s prformn. SPSS 21.0 ws us to omput sriptiv sttistis n Kruskl-Wllis n Mnn- Whitny tsts. Rsults: Th prformn vlution show tht plyrs ovr, in vrg, 2,706.3 (SD=220) mtrs, nling to rliz tht 12.6% h mium prformn, 16.1% hv goo prformn n th two highst rtings, Exllnt n Suprior, oth rprsnt 35.6%. Diffrns, sttistilly, signifint wr foun in som nthropomtri msurs, nmly, wist irumfrn (p=0.045), th suprili skinfol (p=0.000) n ips skinfol (p=0.001), whn prformn ws onsir. Rltivly to ting hits, sttistilly, signifint iffrns wr not foun in ll prmtrs: protin, ft, rohyrt, wtr, itry fir, vitmin D n mgnsium (p>0,05). Conlusions: Plyrs with grtr wist irumfrn hv lowr prformn n plyrs with iggr ips suprili skinfol hv lowr prformn. Ths iffrns my u to th fft of oy ft. Howvr, furthr stuis r n to onfirm this hypothsis. Dsriptors: Anthropomtri msurs, Eting hits, Prformn, Coopr tst, Sor Plyrs, Portugl. 468 HARMFUL EFFECTS OF THE USE OF PSYCHOACTVE SUBSTANCES N PERCEPTON OF USERS Ângl Mri Uhô Rorigus,, Rit Num Dnts Cvlnt D Aru,, Frnis Lilin Prir D Cost,, Gilson Holn Almi,, Myr Lívi Mglhãs D Moris,, Mr Joy D Quiroz,f, Thrz Mri Mglhãs Morir V,g, Mri Ali D Roh Olivir,h, ngry Nsimnto Silv Frnklim Msquit,i Univrsi Fortlz. nstituto Dr. José Frot. Fortlz, CE, Brsil Univrsi Fortlz. Fortlz, CE, Brsil Cntro Univrsitário Crhistus. Cntro Univrsitário Crhistus V Univrsi Estul o Crá. Univrsi Estul o Crá. Crá, Brsil ntroution: Th wi n illgl us of psyhotiv sustns hs n ssum frightning n vstting proportions in ontmporry Wstrn soity. Th hrmful ffts oftn ppr only ftr s of using. Th prvln of sustn us n sustns pnn is inrsing t th gs rlir n rlir. n Brzil, t lst 10% of th totl popultion us or us lohol. Ojtiv: This stuy im to invstigt th prption of rug onsumption oring th point of viw of usrs. Mthos: This is sriptiv n qulittiv stuy omprising onvnin smpl ompos y 10 ml ptints ttn in puli y-hospitl for trtmnt of itiv isorrs in Fortlz, Crá, Brzil. Dt olltion ourr from Dmr/2013 to Jnury/2014 y n instrumnt in orr to intify soio-mogrphis vrils n inquir th sujts prptions. Th prour ws xmin n pprov y th Univrsity of Fortlz Rsrh Ethis Committ. Rsults: g yrs, mn 35 yrs ol, th mjority oming from Fortlz City, thr prior psyhitri hospitliztions n vrg. All sujts wr using som psyhotiv sustn: lohol in th totlity of th smpl, most ssoit with too or multipl rugs inluing mrijun, rk n oin. n gnrlly, sujts link sustn us with physil illnsss (hrt, livr, nr), mntl illnss (psyhosis), or soil-fmilil mg. Conlusions: Proxilly, 1/3 of thos survy si o nothing to prvnt ths vils n 2/3 utiliz infftiv mhnisms oring thmslvs. Dsriptors: Psyhotiv sustns; sustn us, mg. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] h [email protected] i [email protected] 259

261 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth My oy, my shm : Dos oy img shm plys spifi rol in ing ting? Cristin Durt, José Pinto-Gouvi Cntro nvstigção o Núlo Estuos ntrvnção Cognitivo Comportmntl. Ful psiologi iêni s ução. Univrsi Coimr. Portugl ntroution: Shm unfols from our volution-shp motivs to sn s n ttrtiv soil gnt n to voi ritiism or rjtion from th soil group. Shm hs n rgr s ky in svrl psyhopthologil onitions, nmly ting psyhopthology. Howvr, th spifi rol tht shm rgring on s physil pprn plys in ing ting, prtiulrly ginst othr rlvnt vrils, rmins to invstigt. Ojtiv: This stuy xplors th rltionships twn ing ting, BM, oy img shm, prssiv symptoms n priv/il oy img isrpny. Furthrmor, th pritiv fft of oy img shm on ing ting; n th mitor fft of oy img shm on th ssoition twn priv/il oy img isrpny n prssion on ing ting is xmin. Mthos: 329 fml ollg stunts n from th gnrl popultion, nswr st of slf-rport qustionnirs. Dsriptiv, orrltionl n mitionl nlyss wr onut. Rsults: Bing ting is signifintly n positivly orrlt with BM, oy img shm, prssiv symptomtology n priv/il oy img isrpny. Furthrmor, oy img shm is th st signifint pritor of ing ting. Mitor nlyss init tht oy img shm signifintly mits th ssoition twn priv/il oy img isrpny n ing ting, n th rltionship twn prssion n ing ting. Conlusions: Finings highlight tht th fft of oy img shm on ing ting gos yon th ovrll impt of ngtiv oy img prptions n prssiv symptomtology. This stuy sms thrfor to ontriut for th unrstning of th prosss unrlying ing ting n hs potntil rsrh n linil implitions for this puli hlth prolm. Dsriptors: Bing ting; Boy img shm; Dprssion; Boy img isrpny; Mition nlysis. Th psyhomtri proprtis of th Boy mg Shm Sl for olsnts (BSS-A) Cristin Durt, José Pinto-Gouvi Cntro nvstigção o Núlo Estuos ntrvnção Cognitivo Comportmntl. Ful psiologi iêni s ução. Univrsi Coimr. Portugl ntroution: Rsrh hs shown tht shm, n prtiulrly oy img-fous shm, ply ky rol on vlopmnt n mintnn of oy img iffiultis n isorr ting hviours. Th ssssmnt of oy img shm in olsn, ritil tim frm for th onst of ting psyhopthology, my prtiulrly rlvnt. Ojtiv: Th urrnt stuy im t tsting th psyhomtri proprtis of th Aolsnt Vrsion of th Boy mg Shm Sl (BSS-A), rntly vlop msur ssssing th phnomnology n imnsions of oy img shm. Mthos: Th BSS-A ftoril strutur n psyhomtri proprtis wr xmin in smpl of olsnt girls ttning mil shools (N = 614), who nswr st of slf-rport msurs. Rsults: A Confirmtory Ftor Anlysis orroort th quy of th two-ftor strutur of th BSS-A, ssssing n xtrnliz n n intrnliz imnsion of oy img shm. This strutur rvl goo to vry goo glol n lol mol fit inis. Finings lso init tht th BSS-A hs vry goo intrnl onsistny, onstrut n isriminnt vliitis, n tst-rtst rliility. Th sl is lso positivly ssoit with msurs of oy isstisftion, ting psyhopthology, slf-ritiism n ovrll psyhopthologil symptoms. Morovr, th BSS-A isrimints twn ss of prtiipnts with ting psyhopthology from non-ss. Conlusions: Th BSS-A sms to psyhomtrilly soun msur to ssss oy img shm in olsn. Ths finings suggst tht th us of this spifi, short n rlil msur in this vlopmntl stg my hv rlvnt implitions for th unrstning, intrvntion n prvntion of ting isorrs mong olsnts. Dsriptors: Boy img shm; olsn; ting psyhopthology; Confirmtory Ftor Anlysis; Psyhomtri proprtis. [email protected] [email protected] [email protected] [email protected] 260

262 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth AMYOTROPHC LATERAL SCLEROSS: KNOWLEDGE OF THE QUALTY OF LFE OF PEOPLE AFFECTED Amn Holn Svro, Zuil Mri Figuiro Crvlho, Disy Mri Silv, Rlly Rmos Cmpos, Smir Roh Mglhãs, Winnr Goms Mho f Univrsi Frl o Crá. Fortlz, CE, Brsil ntroution: Th Amyotrophi Ltrl Slrosis (ALS) is nuromusulr, gnrtiv, progrssiv, isling n ftl iss, trmins totl pnn of th iniviul. Ojtiv: Evlut th qulity of lif of ptints with ALS s Amyotrophi Ltrl Slrosis Assssmnt Qustionnir (ALSAQ-40). Mthos: Qulittiv stuy with nin ptints ttning th outptint lini t th Univrsity Hospitl of Fortlz- Crá-Brzil. Th numr of prtiipnts ws limit y sturtion of th finings, Polit (2011). W us smi-strutur intrviw gui s on th itms ALSAQ-40, rlting to si humn ns, vlit in 1999 in English n in 2010 in Portugus, with th inlusion ritri: ignosis of ALS; ognitivly prsrv. Exlusion ritri n isontinuity: sistn rsrh n th in th ours of olltion. n ptints with iffiultis in sph n writing us th omputr. Dt wr orgniz y ontnt nlysis. Th thil spts wr rspt protool of th Ethis Committ, n Rsults: Th finings wr ivi into fiv tgoris: Diffiultis in th vlopmnt of tivitis of ily living; Communition iffiultis; Hops for th futur; Exprin onrns n Sntimnts ptints. Mny rport flls u to iffiultis in wlking; fing ws impir u to frqunt hoking n loss of musl strngth, prvnting foo prprtion; ommunition iffiultis wr prsnt, in writing or in sph, ut lso simultnously, prvnting soil intrtion; iss progrssion ws rport onrn, ompni y symptoms of prssion, nxity n worthlssnss. Conlusions: t is nssry tht nurss trnsform thir r prtis for improving th qulity of lif of ths ptints, shring iffiultis n guiing hlthy strtgis to hlp ovrom th xprin stps. Dsriptors: Amyotrophi Ltrl Slrosis, Qulity of Lif, Nursing, Nursing Rsrh, Knowlg. CHLDREN WTH NEUROLOGCAL DSEASE: MSHEL S THEORY AND MATERNAL BEHAVOR Rnt Sá Brsiliro, Zuil Mri Figuiro Crvlho, Disy Mri Silv, Smi Jrll Cost Frits Mniv, Joy Miná Aluqurqu Colho, Rort Arújo Silv f Univrsi Frl o Crá. Fortlz, CE, Brsil ntroution: Th hr motionl prprtion to r of hil with nurologil isorrs, spilly s th unrtinty in thir hilrn s illnss, m us motivt to know th mothr s knowlg s on th ssumptions of Thory Mishl, us this thory ls with th unrtintis, nxitis n outs not knowing wht might hppn to thm in th futur. Ojtiv: Anlyz th prptions of mothrs, s th unrtinty of ignosis in thir hil s illnss s on th ssumptions of Mishl s thory. Mthos: This is qulittiv stuy onut in rfrrl pitri hospitl in th ity of Fortlz, Brzil, July Th rsrh sujts wr 12 mothrs of hilrn with nurologil isorrs uring follow-up in hospitl. Th instrumnt for t olltion ws smi - strutur sript of intrviw rlt to Mishl Thory, vlit in 1990 in nglish, still in vlition pross in portugus. Dt wr nlyz y nlysis of ontnt. Finings in 4 thms: Knowlg of nurologil iss; Tim of ignosis; Exprin flings n onrns; Hops n xpttions out th futur. Ethil spts wr rspt, th projt rvi th numr of th Ethis Committ. Rsults n Conlusions: Priv mny flings of unrtinty n nil t th tim of ignosis, rsulting from isruption of th xpt n th lk of lr informtion out th hil s futur. This stuy hops to ollort for unrstning on th mg n intrfrn tht th lk of informtion ls to th mothr of hilrn with nurologil isorrs. Dsriptors: Chil, Mtrnl Bhvior, Nurology Disss, Nursing Thory, Nursing. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected], [email protected], [email protected] f [email protected] 261

263 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Bing fus with oy img: Th impt on on s qulity of lif Cláui Frrir, nês A. Trin, Mrin Brnão, An Mrtinho, Ptríi Fortunto Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl ntroution: Cognitiv fusion is n motionl rgultion pross tht involvs th ntnglmnt with on s thoughts, rgring thm s fts rthr thn intrprttions of rlity. t ls thrfor to mlptiv pttrns of psyhologil funtioning n is link to psyhopthology. Boy img-rlt ognitiv fusion (i.., th ntnglmnt with thoughts rgring oy img) hs n th fous of rnt stuis whih monstrt its prvsiv rol on psyhopthology. Nvrthlss, oy img-rlt ognitiv fusion s impt on psyhologil qulity of lif (QoL) hs nvr n xmin. Ojtiv: This stuy xplors oy img-rlt ognitiv fusion s impt on th rltionship twn BM n psyhologil QoL, n twn oy isstisftion (BD) n psyhologil QoL. Mthos: This stuy ompriss 296 fml ollg stunts g twn 18 n 27 yrs ol (M=20.38; SD=1.90). Thir BM s mn ws (SD=2.80). Rsults: All th omins of QoL wr ngtivly orrlt with oy img-rlt ognitiv fusion (CFQ-B). t shoul not tht psyhologil QoL s orrltion with CFQ-B show lrg mgnitu. BM n BD hl ngtiv ssoitions with psyhologil n soil QoL. A mition nlysis rvl tht CFQ-B totlly mits th rltionships twn BM n psyhologil QoL (R 2 =.28), n BD n psyhologil QoL (R 2 =.29). Conlusions: Ths rsults strss th ssntil rol of oy img-rlt ognitiv fusion on th iniviuls own viws of thir psyhologil wll-ing (QoL). n, it ws rvl tht th impt of BM n BD on womn s QoL totlly pns upon th lvl to whih on is fus with oy img-rlt thoughts. Dsriptors: Qulity of Lif; Boy mg-rlt Cognitiv Fusion; BM; Aptn n Commitmnt Thrpy; Clinil Psyhology. Exprintil voin mplifis th impt of oy img-rlt xprins on qulity of lif Cláui Frrir, nês A. Trin, Lr Plmir, An Mrt Dnil, Vnss Corri Ful Psiologi Ciênis Eução. Univrsi Coimr Coimr, Portugl ntroution: Physil pprn hs n point s ntrl ftor on womn s slf-vlution n qulity of lif (QoL). Aoring to Aptn n Commitmnt Thrpy, humn suffring is not trmin y on s xprins ut rthr how on rlts to thm. n ft, xprintil voin (i.., th unvilility to ontt with intrnl xprins without trying to ontrol/voi thm) hs n intrinsilly rlt to poorr wll-ing. Ojtiv: This stuy invstigts whthr BM, oy isstisftion (BD) n soil omprisons s on physil pprn (SCPAS) prit QoL n whthr xprintil voin (AAQ) morts th impt of physil pprn on QoL. Mthos: Prtiipnts wr 301 fml ollg stunts (g 20.42±1.96 yrs ol on vrg; BM 21.43±2.80 on vrg) who omplt slf-rport msurs. Rsults: All of th oy-rlt msurs (BM, BD n SCPAS) prsnt ngtiv orrltions with gnrl, psyhologil n soil QoL. A rgrssion nlysis rvl tht BM, BD n SCPAS xplin totl of 18% of psyhologil QoL s vrin, with SCPAS mrging s th strongst pritor. Also, rsults show th mortor fft of AAQ on th rltionship twn soil omprisons s on physil pprn n psyhologil QoL. Th mortion vril xplin 38.8% of psyhologil QoL s vrin. Conlusions: This stuy rvls tht xprintil voin morts, s it mplifis, th prvsiv fft of soil omprisons s on physil pprn on QoL. n, for th sm lvl of soil omprisons s on physil pprn, thos womn who prsnt highr lvls of psyhologil inflxiility rport rs qulity of lif. Dsriptors: Qulity of lif; soil omprisons s on physil pprn; xprintil voin; Aptn n Commitmnt Thrpy; Clinil Psyhology. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 262

264 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth nsomni: Prvln n ssoit ftors Cáti Lops, Dnil Lops, Sofi Frrir, Trs. G. Corri, sl C. Pinto Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl ntroution: Nowys slp isorrs r vry ommon n fft most of th popultion, th most ommon my insomni. nsomni is fin s th iffiulty of inititing or mintining slp it, my lso rflt in n rly wk up n y th prsn of non-rstful slp n it is ssoit with impirmnt in soil n ouptionl funtioning of th iniviul. Ojtiv: Knowing th prvln n th ssoit ftors of insomni. Mthos: This is ross-stionl pimiologil stuy. Th popultion is onstitut y 205 iniviuls of oth sxs, g ovr 18, who wr in puli pls of ity in th north of th ountry. W ppli qustionnir to ll th popl who wnt through ths pls twn 9 m to 7 pm. nsomni ws vlut using th DSM-V (Dignosis n Sttistil Mnul of Mntl Disorrs). W us th Chi-squr to stuy th rltion twn th inpnnt vrils with vril insomni, opting onfin intrvl of 95%. Rsults: Th prvln of insomni ws 46.8%. Who suffrs mor from insomni r: womn in mnopus (64.1%), lr popl (66.7%) n thos with four or fwr yrs of ution (73.9%). Thr ws no signifint sttistil rltionship twn th prvln of insomni n sx or rsin. Th uss of insomni r: onrn (48.6%), nois (31.8%) n iss (8.4%). Th rugs most onsum y insomnis r nzoizpins (79.2%). Conlusions: n this stuy insomni ffts out hlf of prtiipnts. Th prsn of insomni sms to rlt with th g inrsing, low ution n mnopusl sttus in fml. Dsriptors: nsomni; Prvln; Qulity of lif; Risk Ftors; Slp isorrs; Slp initition n mintnn isorrs. Aints t work y xssiv fforts/ inpproprit movmnts in nurss Mtil D.S. Mrtins,, Trs.G. Corri,, Mri C. B. Figuiro, Esol Suprior Sú. nstituto Politénio Brgnç. Brgnç, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Nurss ontinuously vlop vrious tivitis tht xpos thm to xssiv for n inpproprit movmnts. Ojtiv: Chrtriz th ints rport y ovrxrtion n inpproprit movmnts in Portugus nurss uring 2009 n Mthos: Rtrosptiv ross-stionl stuy, ovring th prio from Jnury 1, 2009 to Dmr 31, Wr fin s inlusion ritri, nurs n hving notifi y xssiv strining n impropr motion int. Th informtion ws otin y rfrn to th omputr ror of ints t work Gnrl Aministrtion of Hlth Srvis, rlting to 672 nurss. Rsults: Thr wr 672 notifitions of ints y ovrxrtion/ inpproprit movs in Portugus nurss. Th highr prvln of ths ints ws in nurss with ovr 10 yrs of srvi 277 (41.2%), 565 wr fml (42.6%) in th g group (29.9%) n prti tim for 555 shifts (82.6%). At mission thr wr 387 (57.3%) within 3 hours of work 330 (49.1%) n th thir y ftr wkly rst 216 (32.1%). Th Moiliztion of ptints ws th most frqunt us of this int 430 (64.0%). Th min ffts wr th sprins n strins 321 (47.8%), minly th trunk rh 367 (54.7%) n sntism us 373 (55.5%). On vrg 17.7 ys miss totl of ys. Conlusions: Thr ws high prvln of ints uring th moiliztion of pryr on ptints so importnt to invst in th implmnttion of mhnil quipmnt for th moiliztion n trnsport of ptints. Dsriptors: Aints; Ouptionl Hlth Nursing; Ouptionl Risk; npproprit movmnts @lunos.ip.pt [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 263

265 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th implitions of Emotionl ntllign in Slf-stm List os Sntos Mns Mónio, Ptríi sl Vlnt os Sntos, Luiz Nor Lim Ful Psiologi Ciênis Eução. Univrsi Coimr. Coimr, Portugl ntroution: Th onstrut of Emotionl ntllign hs us growing intrst in th omin of psyhology. t ompriss th iniviuls ility to rsort to sophistit informtion prossing systms out thir n othrs motions, s wll s th ility to us this informtion to gui thinking n hvior. This ility hs ptiv funtions tht nfit thmslvs n othrs. Ojtiv: Th ntrl prolm of our work fouss on th implitions of Emotionl ntllign in Slfstm. W propos two rsrh hypothss: Emotionl ntllign n Slf-stm r positivly orrlt (H1), n it is possil to prit Slf-stm through Emotionl ntllign (H2). Mthos: W onut quntittiv survy with non-rnom smpl of 200 Portugus itizns, 55 mls n 145 fmls, g twn 18 n 60 yrs-ol (M=25.26; SD=8.53). W vlit th Sl of Emotionl ntllign (Rgo t l, 2007), tht ompriss 17 itms group into six ftors: Unrstning of own motions (M=5.00), Slfontrol ginst ritiism (M=4.71), Slf-nourgmnt (M=5.14), Emotionl slf-ontrol (M=4.36), Empthy n motionl ontgion (M=5.78), n Unrstning th motions of othrs (M=4.99). Using fiv-point Likrt sl, w vlop uniftoril msur of Slf-stm (M=3.79), whih show goo psyhomtri proprtis. Rsults: Th rsults support our two hypothss: W foun signifint orrltion twn motionl intllign n Slf-stm (H1), n th multipl rgrssion nlysis show tht w n prit Slf-stm through Emotionl ntllign (H2). Conlusions: W onlu tht is importnt to xmin Emotionl ntllign s psyhologil rprtoir of quir skills, n xplor thir ontriutions rgring th hllngs in th fil of Slf-stm. Dsriptors: Emotionl ntllign; Slf-stm; Sl of Emotionl ntllign; Msur of Slf-stm. Comfort in prmnnt r unit/ mrgny srvi: Ptints prption Rqul Ros,,, Ptríi Riiro, Cntro Hospitlr Brriro. Montijo, Portugl Univrsi Ctóli Portugus. Liso, Portugl ntroution: n ily nursing prti n spilly in th mrgny prtmnt, th onpt of omfort ns up lost in th mil of othr onpts tht mrg s prioritis. Consiring this, it oms importnt to vlop stuis rfrring to th phnomnon of omfort s n iniviul n prtiulr xprin, rgring spifi ontxt (Kol, 2003; Riiro, 2013). Ojtiv: This stuy ims to unrstn th prption of ptints rgring omforting xprin in prmnnt r unit of privt Hospitl in Lison. Mthos: This is sriptiv xplortory stuy tht uss qulittiv mthoology. Rsponss wr ollt through osrvtion n informl onvrstions with 23 ptints hospitliz in th osrvtion room, ml n fml, g twn 16 n 91 yrs ol. Only ptints tht spnt 4 hours or mor in th osrvtion room wr inlu in this stuy. Rsults: Th rsults show tht most of th ptints vlu th phnomnon of omfort rgring th four ontxts fin y Kol in hr thory. Th stuy lso rvl tht issus rlt to soio ulturl n psyo-spiritul ontxt mrg s th most signifint. On th othr hn, th min ftors of isomfort r rlt ssntilly to issus involving th nvironmntl ontxt. Conlusions: Bsis ing si n, omfort is lso rvl s struturl pillr r of th prson tht rquirs multipl invstigtions in th most vri rs (Kol, 2003; Olivir, 2011; Riiro, 2013). Dsriptors: Comfort; Nursing; Emrgny srvi. [email protected] [email protected] [email protected] [email protected] [email protected] 264

266 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 479 Physil pnn lrly informl rgivr s mntl hlth, living in Coruh County Riro Nuno Silv Roh,, Mri Anjos Dix, Uni Sú Fmilir Vl o Sorri. Coruh, Portugl Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: Cring for n lrly with physil pnn is for informl rgivr iffiult n xhusting pross in physil, motionl n soil lvl. Ojtiv: Know n rlt th lvls of mntl hlth, priv iffiultis n oping strtgis us y informl rgivrs with physil pnn Mthos: Dsriptiv orrltionl stuy prform in non-proilisti y onvnin smpl of 26 physil pnn lrly informl rgivrs, for t lst 6 months, who rspon to qustionnir onsisting of soiomogrphi qustions, th Mntl Hlth nvntory (MH), th Crrs Assssmnt of Diffiultis nx (CAD) n Crrs Assssmnt of Mnging nx (CAM). All Hlsinki Dlrtion prinipls wr ttn in t ollting. Rsults: Avrg rgivrs g ws 59.8 yrs (SD=9.3); minly omsti (34.6% or rtir (23.1%), 4th gr (57.7%), mostly tking r on of th prnts (57.7%). Th min rson whih l thm to ssum th rol of rgivr ws fmily oligtion (31.8%) n not ffor to put th lrly in n institution (31.8%). Mostly hv mntl hlth low lvl n svr symptoms of mntl illnss (56%). Mntl hlth lowr lvls r rlt to highr prptions of th iffiultis in th rgiving mns r, with rtions to th rgivr rol n with th lrly prvious rltionship (p<0.01). Goo lvls of mntl hlth r rlt to th us of tk som fr tim to myslf oping strtgy (p<0.01). Conlusions: Th rsults point to th n to vlop lrly pnnt rgivrs mntl hlth intrvntion n promotion progrms. Dsriptors: Mntl Hlth; Crgivrs; Fril Elrly. 480 EXPERENCES OF PATENTS UNDERGONG RENAL DALYSS: NTEGRATVE LTERATURE REVEW An Mril Souz, Cill Brlos Filipini, Sr Rorigus Roso, Eliz Mri Rzn Dázio, Silvn Mri Colho Lit Fv, Éri Myumi Guskum f Esol Enfrmgm Univrsi Frl Alfns. Alfns, MG, Brzil ntroution: Chroni rnl filur (CRF) onstituts srious puli hlth prolm u to th high morimortlity rts. t ompromiss th physil n psyhologil imnsions with prsonl, fmily n soil rprussions, irtly intrfring in th ptint s lif qulity. Ojtiv: To intify sintifi vins rlt to th xprins of ptints with CRF unrgoing rnl ilysis. Mthos: ntgrtiv litrtur rviw, onut in Jnury 2014, on th tss LLACS n MEDLNE with th sriptors: Kiny trnsplnt, Rnl ilysis, Nursing. Th following inlusion ritri wr us: rtils in English, Spnish n Portugus, vill in full, pulish twn 2009 n 2013, n s xlusion ritri: thss, issrttions, ooks, rports, strts n rtils tht i not nswr th min qustion: Wht r th xprins of ptints with CRF unrgoing rnl ilysis? A vlit instrumnt ws ppli n pt y th rsrhrs. Rsults: n th first srh 188 rtils wr intifi n, ftr th inlusion n xlusion ritri wr ppli, four rtils wr slt for th smpl. From th rtils nlysis mrg th following tgoris: Th impt of CRF n its trtmnt n Coping mhnisms. Th isovry of CRF ignosis uss miguous flings of rvolt n ptn in sujts who rquir this trtmnt to liv. Among th us oping mhnisms r: rpttion of ily lif, rligion lif n hop for trnsplnt. Conlusions: Nurss shoul know th xprins of ptints with CRF in orr to inlu intrvntions in r plnning tht promot th strngthning of mhnisms for oping with th iss. Dsriptors: Kiny trnsplnt; Rnl Dilysis; Nursing. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 265

267 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth mpropr us n us of vol ors mong thrs: ntrvntion of th sph n lngug thrpist Sr Rqul Grnjiro Srr, Jon Pros Sntos, Mihll Cost Gonzlz, Sóni Cristin Sous Pós Min Esol Suprior Sú. nstituto Politénio Liri. Portugl ntroution: Th vol qulity is th uil soun rsulting from th omintion of svrl ftors, whih on moifi, n l to implitions for th vol qulity. Thrs, s vol profssionls, r th lss who show highr supriority in vol moifitions. Ojtiv: To vrify how ffiint th sph n lngug thrpist intrvntion is, in improving thr s vol qulity, following th Vol Hygin Progrm n thniqus of vol trtmnt. Mthos: Prtly xprimntl s stuy of pr-tst/posttst, without ontrol group. Using omin smpl of svn thrs from highr ution; six fml n on ml, with n vrg g of 41 yrs ol. Th instrumnts us wr gui of soil mogrphi hrtristion, n n ousti vlution n prption of voi. Th intrvntion ws on wkly sis for prio of tn wks. t is onsir tht ll forml prours n thil onsirtions wr mt n tht fr inform onsnt ws otin. Rsults: n th ousti vol qulity, thr r sttistilly signifint iffrns (p 0,05), vrifition of rution in th prmtrs of lounss (Z=-2,366; p=0,018). W vrifi mium inrs in th Mximum Tim of Phontion, lthough no sttistilly signifint iffrns xist. Thr wr no intifi ltrtions in th priv vol qulity. Conlusions: Th improvmnt in pnumophonortiultory oorintion, whih is link to th progrmm of vol hygin, ls to mor ffiint lounss usg, llowing ttr rthing ontrol/support. Th onstitution of rprsnttiv smpl popultion n th rtion of ontrol group r onitions for futur stuis. Dsriptors: Sph Thrpy; Voi Disorrs; Fulty; Ouptionl Hlth; Voi Trining. EDUCATONAL STRATEGES FOR THE PREVENTON OF AMPUTATON N PEOPLE WTH DABETES Cill Brlos Filipini,, Sr Rorigus Roso,, Liin Apri Montiro,, An Mril Souz,, Éri Myumi Guskum,, Eliz Mri Rzn Dázio,f, Solng Crvinho Bilho Gooy,g Univrsi Frl Alfns. Alfns, MG, Brzil Univrsi Frl Mins Gris. Blo Horizont, MG, Brzil ntroution: Dits Mllitus (DM) onstituts srious puli hlth prolm, vin y th rising morimortlity rts n y th vlopmnt of hroni omplitions, mong whih stn out th ns mputtions. Thrfor, th n of invstmnts in hlth ution progrms for th prvntion n ontrol of th iss is vin. Ojtiv: To intify sintifi vins rlt to th option of utionl prtis im t th prvntion of mputtions in popl with DM. Mthos: ntgrtiv litrtur rviw rri out with th sriptors Eution, Hlth, Amputtion n Dits Mllitus in th Virtul Hlth Lirry. W us s inlusion ritri: rtils in English, Spnish n Portugus, vill in full, pulish twn 2003 n 2013 n, s xlusion ritri: thss, issrttions, ooks, strts n rtils tht i not nswr th min qustion: Wht utionl strtgis hv n vlop for th prvntion of mputtion in popl with DM? Rsults: n th first srh, 37 rtils wr intifi n, ftr th inlusion n xlusion ritri wr ppli, six rtils wr slt to provi smpl. From th rtils nlysis, th following tgoris mrg: Eutionl Strtgis im t th prvntion of mputtions on popl with DM n Th importn of Hlth Eution for th prvntion of omplitions. Hlth ution posssss th purpos of snsitizing n motivting nssry hngs on th ttitus of prson with DM. Conlusions: Hlth profssionls must ry to onut hlth ution, sking to strngthn prvntiv tions n to nourg popls utonomy on th prsptiv tht thy my hv hlthir lif. Dsriptors: Eution; Hlth; Amputtion; Dits Mllitus. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 266

268 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Diti Hlth Profil Rui Cruz,, Ctrin Litão,, Pro Frrir,, Luiz Sntigo,, Crlos Fonts Riiro V, Esol Suprior Tnologi Sú. nstituto Politénio Coimr. Coimr, Portugl Cntro Estuos nvstigção m Sú. Univrsi Coimr. Coimr, Portugl Univrsi Bir ntrior. Covilhã, Portugl V Ful Miin. Univrsi Coimr. Coimr, Portugl ntroution: Worlwi Dits Mllitus (DM) ffts pproximtly 382 million popl. n Portugl, th prvln of ptint with its is pproximtly 1 million. Th onomi n humn osts of this iss r high n it is ssntil to gt to know th iti hlth profil of ptints in orr to optimiz its mngmnt. Ojtiv: To hrtriz iti popultion, oring to soil-mogrphi, linil n spifi hlth profil. Mthos: An osrvtionl, sriptiv n trnsvrsl stuy ws onut on 153 itis. Th protool for t olltion inlu spifi msur of th iti hlth profil n gnri msur of hlth sttus, linil n soilmogrphi informtion. Rsults: Of th 153 sujts, 54.2% wr fml n 45.8% ml, g twn 17 n 86 yrs, whih th mn g is yrs (SD±14.16). 72.6% r low th ompulsory ution, 58.8% r rtir. 85% of iniviuls hv DM2 n 11.8% DM1. Avrg tim of ignosis is yrs (SD±11.52) iss, with mn of 6.8 HA1 (SD±0.99). Th spifi msur of th iti hlth profil, prsnt in th Disinhiit ting (SD±21.84), th Brrirs to tivity (SD±18.85) n Psyhologil istrss (SD±20.14). Conlusions: Our smpl shows linil pitur low rfrn vlus. n iffrnt rs of th hlth profil, th vrg vlus r quit low, most notily on th lvl of psyhologil tnsion. Dsriptors: Dits Mllitus; Hlth-rlt Qulity of Lif; Chroni illnss; Hlth outoms; Amultory r. TRANSLATON, ADAPTATON AND CULTURAL VALDATON OF THE WORKSTYLE SHORT FORM FOR PORTUGUESE POPULATON Jon Evnglist, An Crvlho, Tigo Flório ntroution: Th work rlt musuloskltl isorrs r n inrsing onrn, oming nssry to pt n vlit instrumnts to ssss th prption of hlth in work. Ojtiv: Cross-ulturl pttion of th Workstyl Short Form (WSF) to Portugus (Europn); intify th soiomogrphis, profssionls n hlth hrtristis of th smpl; n trmin th lvl of prption of hlth t work n th rltionship twn Workstyl Short Form - Portugus vrsion (WSF-PT) n g, pin intnsity n gnr of th smpl. Mthos: This stuy of mthoologil invstigtion fous on 165 workrs with n vrg g of 43.1±9.3 yrs, 72.7% fml who spn, on vrg, 6.7±1.2 hours pr y on th omputr. Vlition follow th sm mthoology of th uthors of th originl sl (Furstin & Nihols, 2005) to whom th uthoriztion ws rqust, s wll s th hs of irtions of th institutions whr th t wr ollt. Rsults: Aftr nlyzing th fility n vliity of th itms, th WSF-PT ws ompos of 22 itms, tht llow th hivmnt of n ovrll sor (highr sors, wors prption of hlth t work) orgniz in 5 imnsions tht xplin 63.4% of totl vrin. t hs smntil quivlnt n goo fility lvls (Cronh s lph =0.89 n ntrlss Corrltion =0.89) s wll s onstrut n ritrion vliity. Conlusions: This stuy hs goo psyhomtri proprtis tht justify th us of WSF-PT in th ouptionl hlth r. Howvr, futur stuis r suggst to improv th rliility n vliity of this instrumnt. Dsriptors: Computrs; Psyhomtris; Work; Ouptionl hlth. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 267

269 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Wht ws th us of skin rshs on Crvlos n Cost Cpri hs lst summr? Zil Moris, Tigo Prrho Cntro nvstigção ntrisiplinr Egs Moniz. Cpri, Portugl ntroution: Th skin rshs pisos ourr in th summr 2013 in Crvlos n Cost Cpri hs r not yt lrifi, ing th mirolg hypothsis isr y th Portugus Environmnt Agny. n rnt yrs, jllyfish looms in th Spnish Mitrrnn hs l to similr ffts in swimmrs. Th jllyfish Ctostylus tgi (Hkl, 1869) ours nnully in th stury of th Tgus n So rivrs ut its vrg unn is unknown. Ojtiv: To invstigt if C. tgi oul rsponsil for th skin rshs pisos. Mthos: Smpls of C. tgi, long with th wtr of th Tgus, wr ollt in Trfri r. Th rsulting roth of toxins rls into wtr ws ppli to limit n fin rs of th lg, rm n hns of ight voluntrs. Th in vivo fft of th toxin ws rgistr y snsory sription n photogrphs of th voluntrs. Rsults: Th strngth of th fft ws rlt to th numr of jllyfish y wtr volum. Th xtrt of jllyfish in 100 L of wtr show wk n rnom fft whil th xtrt of jllyfish in 5 L of wtr fft ll voluntrs. n th lttr s, r spots of svrl intnsitis mrg togthr with urning snstion. Ems wr out 0.5 m in imtr n lst out 40 minuts, with mximum t 20 minuts. Conlusions: Consiring th similrity twn th symptoms rport y swimmrs n C. tgi ffts shown in voluntrs, it sms tht th ourrn of loom of this jllyfish in 2013 shoul not xlu. Dsriptors: puli hlth; skin rshs; swtr sfty; s th; jllyfish loom. Th lif-worl of g in homs: thnogrphi prsptiv Luiz Frnno M. Xvir,, Krolin V. D. L. Fguns,, Mihlly E. Riiro,, Pulo Hnriqu Mi,, João Hnriqu M. Riiro,, Mri Angéli Mns,f, José V. Silv,g Esol Enfrmgm. Univrsi Frl Alfns. Alfns, Brzil Esol Enfrmgm Wnslus Brz. tjuá, Mins Gris, Brzil ntroution: This stuy xplors th xprin of olr popl living in Long-sty nstitution, sin it hs om n importnt ltrntiv for th r of olr popl, minly in vloping ountris. Ojtiv: To unrstn th mning of th xprin of th lrly in Long-sty nstitution. Mthos: t ws us th Ethnogrphi Mthoology n th ntrprttiv of Cultur Thory ntr on th onpt of smioti ultur, ing th Prtiipnt Osrvtion onut in Long-Sty nstitution in th South of Mins Gris, Brzil. Rsults n Conlusions: Th xprin of th institutionliz lrly is xprss in thr imnsions: Trnsition to th ivil sttus for institutionliz, th pross of prsonliztion; Th lortion of ttis for pttion: nor pt vrything n voi rl ginst vrything n Th lif trmin in spifi worl: ynmis of th institution. Th first imnsion highlights th pross of singulriztion of th institutionliz lrly prson follow y vlopmnt of ttis for pttion, whih onstitut th son imnsion. Lstly, th thir imnsion mphsizs th ynmis of th nstitution, rognizing its strutur n profssionl prformn s ftors rlt to olr popl rsponss out th institutionliztion pross. This miro thnogrphi sription intns to rgistr n provi n intrprttiv knowlg, vn though smll, of th lrly, tht might promot omprhnsion of this institutionliz humn, who is writing th pilogu to his lif story. Dsriptors: Lif worl, Ag, Holms for th Ag. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 268

270 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Qulity of lif, nutritionl sttus n iniviul prptions of working onitions of mploys working in foo ompny Crl Corri Prini, Fin Cássi Svi Tomsik, Frnn Lsk, Ysmim Anrson Amorim, Ciln Silv Goms Riiro Esol Sú Bioiênis. Pontifíi Univrsi Ctóli o Prná. Curiti, Brzil ntroution: Qulity of lif is rlt to ftors suh s hlth, sfty n onvivil rltionships, n hs n isuss ovr th yrs, involving th Stt, workrs n ompnis. Thus, it s liv tht, u to th soil prolms n th hnging worl of work, th orport soil rsponsiility hs om nlrg or hllng us th gurnt of qulity of lif of mploys n rt ttr work onitions n proutivity. Ojtiv: To nlyz nutritionl initors n iniviul prptions of working onitions of mploys working in foo ompny, ssssing ftors tht fft th qulity of lif of thm. Mthos: Anthropomtri msurmnts (wight, hight, oy mss inx n wist irumfrn) n itry ssssmnt (ting hits n frquny) wr prform. Th t of workrs prptions of working onitions wr otin through smi-strutur intrviws. Th mtho for nlysis ws th ontnt nlysis propos y Brin. Rsults: Wr stui 42 sujts, ing 28.56% of thm ovrwight or os, n ll of thm hv inrs wist irumfrn n inqut itry profil. n rltion to working onitions, th workr s prption is tht thy prform th work with plsur n thy work in th r of foo for quit som tim. n ition, th ompny provis th quipmnt for prvntion tht r rlt to hlth n wllnss, whih irtly fft thir work tivitis. Conlusions: Although ompnis promot sf nvironmnt to work, thr is still th n to implmnt hlth promotion progrms tht will srv to inform, suggst hviorl strtgis, rt opportunitis n ru intrprsonl rrirs, proviing mor tiv n hlthy lif styls. Dsriptors: Working onitions. Nutritionl sttus. Hlth. Qulity of lif. NTAKE DET AND QUALTY OF LFE N DABETC PATENTS ADMTTED N A UNVERSTY HOSPTAL N SOUTHERN BRAZL Ciln Silv Goms Riiro, Amn Krugr, Nthli Sfro, Crl Corri Prini, Fin Svi Tomsik Pontifíi Univrsi Ctóli o Prná, Curiti, Brzil ntroution: A ln it is importnt for itis us th nutritionl rquirmnts shoul hiv to prvnt ut n hroni omplitions. Ojtiv: To vlut th itry intk of iti ptints n to vlut th ptility of th it t univrsity hospitl. Mthos: Cross-stionl, xplortory n sriptiv stuy with 23 iti ptints, twn My n Jun Ptints who riv it for its or low soium it for its orlly xlusivly of norml onsistny wr inlu. This stuy ws onut in four stps, th first stp ourr quntifition of foo offr t mls (rkfst, lunh, snk n innr) through igitl sl n msuring up for liquis, onsir it offring. Th son stp wr msur of foo isr, onsiring it intk. Th thir stp th ptility of mls ws ssss y Honi Sl with 9 points n informtion out th rsons for rjtion. n th lst stp wr lult th nutritionl rquirmnts n onsumption of foo, using guilins stlish y Brzilin Dits Soity (SBD 2009) for mronutrints n fir, n Rommn Ditry Allowns (RDA, 1989) for nrgy y Ditpro 5.5i softwr. Rsults: Th offr n intk of nrgy, mronutrints n fir r insuffiint for oth gnrs n guilins (SBD n RDA). Th nlysis of ptility show tht th low ptn ours u to lk of pptit n inpproprit to itry hits. Conlusions: Th rsults suggst th n to qut th hospitl it for iti ptints in orr to voi th risk of omplitions, to ru th prio of intrvntion n to improv qulity of lif of ptints. Dsriptors: Diti, Hospitl it, Qulity of lif, Complitions, Eting hits. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 269

271 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Somtotyp n Boy Mss Composition in Europn Portugus Ault Spkrs Déor Frno,,, Frnno Mrtins,, Mário Anr, sl Frgoso V,V, Júli Tls V,V Esol Suprior Sú. nstituto Politénio Liri. Portugl Cntro Linguísti. Univrsi Liso. Portugl Ful Ltrs. Univrsi Liso. Portugl Ful Miin. Univrsi Liso. Portugl V Ful Motrii Humn. Univrsi Liso. Portugl V Cntro ntrisiplinr pr Estuo Prformn Humn. Liso, Portugl ntroution: Th finition of normtiv t for sph proution involvs knowlg of iologil iffrns rflt in th proution of linguisti sttings. Th humn oy hs spifi oy omposition, whih iffrs from iniviul to iniviul, n spifi morphologil typ. Ojtiv: Th im of our stuy ws to vrify if rltionships xist twn somtotyp, oy mss omposition n ousti prmtrs of voi qulity in Europn Portugus ult spkrs. Mthos: Svnty four ults, 35 ml n 39 fml, wr ssss to otin nthropomtri n ousti msurs. Sujts wr lso lssifi s norml n ysphoni spkrs. Morphologil hrtriztion ws on onsiring thir nomorphism, msomorphism, tomorphism, oy nsity, oy mss inx, ft mss, ft prntg (Ft%), n ft fr mss. Voi qulity nlysis of vowls [], [i] n [u] ws s on funmntl frquny (f0), f0 rng, first, son, thir n fourth formnts, intnsity, jittr, shimmr, n Hrmoni-to-Nois Rtio (HNR). Rsults: Multivrit rgrssion nlyss wr us to intify th morphologil vrils tht signifintly prit ousti prmtrs. Hight n th tomorph omponnt hv signifint fft on f0 rng, whrs Somtotyp Attituinl Distn n Ft% hv signifint fft on shimmr n wight, n th msomorph omponnt on HNR. Aitionlly, sx n g hv signifint fft on frquny prmtrs, n ysphoni on prioi nois vrils. Conlusions: Th finings suggst tht oy omposition n somtotyp hv rltionship with ousti prmtrs. Morphologil msurs n usful informtion to voi ssssmnt protools n shoul tkn into ount whn onsiring prtiulr trtmnt strtgis. Dsriptors: Voi qulity; Dysphoni; Aousti prmtrs; Somtotyp; Boy mss omposition. [email protected] Foo ntk Qulity in th Proprtiv n Postoprtiv of Britri Surgry Mg Ros Rmos Cruz,,,, José Simão Pul Pinto,, Antônio Crlos Ligoki Cmpos,, Alis José Brno Filho,, An Luíz Svris Mngotto,, Egon Wilur,f Pontifíi Univrsi Ctóli o Prná. Prná, Brzil Univrsi Frl o Prná. Prná, Brsil Avn Lprosopy Cntr of Prn. Prná, Brzil ntroution: Britri surgry is fftiv trtmnt for wight loss n mtoli ontrol in morily os ptints. t is known tht surgry rus foo intk n nutrint sorption filitting wight loss, lthough th wight loss in most oprtions will pn irtly on th totl nrgy intk. Ojtiv: Th im in this ppr is to vlut th foo intk qulity in th proprtiv n postoprtiv n vrify th wight loss in ptints who unrwnt ritri surgry. Mthos: t ws nlyz rgistrtion forms of 100 ptints from th Nutrition Srvi of CEVP with 3 months, 6 months, n 1 yr of surgry. Rsults: mprovmnt ws osrv in th qulity of th foo intk n inrs in physil tivity. Th flui intk in ths ptints is ru. Th protin intk ws qut ftr on yr of surgry. n this stuy ws osrv tht th ritri surgry ws fftiv rgring th wight loss n improvmnt in th foo intk. Conlusions: Spil ttntion shoul givn in th first yr of surgry, in th us of vitmin, minrl, n protin supplmnts. Th nutritionist hs n ssntil rol in th postoprtiv of ritri surgry, guiing th foo intk, nourging hngs in hvior, s wll s to prsri nutritionl supplmnts whnvr is nssry. Dsriptors: ritri surgry; wight loss; foo intk. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 270

272 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 491 Pritors of Postprtum Qulity of Lif in Brzilin Mothrs Elizin Brg Rorigus Brnro,, Lr Lit Olivir,,, Hlln Lívi Olivir Ctun,, Luin Mri Olivir Nsimnto,, Mirn Fontnl Olivir,, Prisil Souz Aquino,f, An Krin Bzrr Pinhiro,g Univrsi Frl o Crá. Brzil Univrsi o Porto. Portugl Mtrni Esol Assis Chturin. Fortlz, Brzil ntroution: Th postprtum prio n hv signifint physil, motionl, n soil impt on th qulity of womn s lif. Most postprtum rsrh hs fous on physil omplitions n only fw stuis hv spifilly invstigt qulity of lif. Ojtiv: Th purpos of this stuy ws to xplor pritors ffting th qulity of lif of postprtum Brzilin mothrs. Mthos: A ross-stionl Qulity of Lif survy ws prform in 210 Brzilin mothrs uring th rly postprtum prio. Dt ws ollt using n intrviw thniqu n two instrumnts: 1) mtrnl qustionnir n th 2) Mtrnl Postprtum Qulity of Lif tool/ Brzilin vrsion. Th ssoition twn mtrnl hrtristis n qulity of lif in th postprtum prio ws invstigt with ivrit n multivril nlyss. Rsults: Mothrs who h th st Qulity of Lif wr whit, rgistr stunts, yrs of g, who wr mrri or living with prtnr, n without physil omplints; in ition, thy h t lst n 8th gr ution, mor thn 4 hilrn, n h ttn mor thn 8 prntl visits with nurs. Th stpwis mol init tht whit r (p<.05) n mrri or living with prtnr (p<.05) wr th st pritors of Qulity of Lif in postprtum womn. Conlusions: Mritl sttus n r onitions my prit qulity of lif in postprtum Brzilin mothrs. n ition, improv knowlg onrning th postprtum, mtrnl xprin my hlp vlop hlth intrvntions to nhn th qulity of lif of this popultion. Dsriptors: Nursing; Mothrs; Postprtum; Qulity of lif; Pritors. 492 AVERAGE OF SODUM NTAKE OF MEALS SUPPLED TO WORKERS Ciln Silv Goms Riiro, Amn Almi Cruz, Fio Tixir Fris, Flvi Aulr Pontifii Univrsi Ctoli o Prn. Brzil ntroution: Th prvln of hyprtnsion is inrs n xssiv soium intk is on of th most vint tiologis of this iss. Currntly, th ting out is routin of mny iniviuls, spilly in lrg itis. Th rsturnts hv om n importnt pl of olltivs fing, n th offr of lrg numr of prprtions n utonomy of hoi to onsumrs, hs gnrt qustions out th hois oftn rronous. Ojtiv: To vlut th mount of intrinsi n xtrinsi soium offr n onsum y stor of workrs in rsturnt. Mthos: W us prmtr vlus s soium stlish y Foo Progrm Workr (Progrm Alimntção o Trlhor) n WHO (2007). Th mounts of soium intrinsi (inhrnt in h foo) n xtrinsi ( for ssoning) of foo srv n onsum y th workrs wr quntifi y wighing n ftshts. Rsults: Aoring to th nlysis of hmil omposition prform ws osrv tht th mounts of intrinsi soium in foos us to prpr th prprtions wr on vrg in 1,002 mg pr srving of foo srv. Th vrg pr pit supply of th intrinsi n xtrinsi soium in th mls ws 3, mg, orrsponing to 8.10 g of slt in h of th mls onsum y workrs. Conlusions: Th workrs who onsum mls t th rsturnt in qustion onsum highr mounts of soium, whih n l to prolms in th qulity of lif of this popultion. Dsriptors: soium intk, olltiv fing, workrs, ting out, hmil omposition. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] 271

273 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Strtgis us y rgivrs in ommunition with prson with phsi Brr Sntigo, Gril Tixir, An Rit Ris, Mári Mrqus, Sóni Pós Min, Mri os Anjos Dix Esol Suprior Sú. nstituto Politénio Liri. Portugl ntroution: Communit with prson with phsi is not lwys sy, onsquntly rgivrs n to us st of strtgis for hiving ommunit fftivly. Ojtiv: Dsri th strtgis us y rgivrs in ommunition with th prson with phsi. Mthos: Dsriptiv stuy prform on smpl of svn rgivrs of popl with phsi who nswr to strutur intrviw onsisting of th imnsion onvrstionl skills with CAPPA-P [Convrstion Anlysis Profil for Popl with Aphsi, (Whitworth, Prkins & Lssr, 1997)]. Th stuy ws onut in orn with th prinipls of th Dlrtion of Hlsinki. Rsults: Th svn rgivrs mntion thirtn iffrnt strtgis. Th strtgy with th highst frquny of us (23,64%) ws lt th ptint think n tlk, ing ppli in most situtions. Th son most us (18,18%) ws try to guss. Thn ws us orrt th ptint (16,63%), omplt wors (9,09%), lt th ptint stop n rphrs (7,27%), try to tlk, (5,45%), giv lus (5,45%), sk to rpt (3,64%) n forgts (3,64%). Ar lso us four othr strtgis, on h (1,82%): prforms gsturs, sk th ojts of th rspons trgts, stops n lt th ptint think, spk n rphrs. Conlusions: Th rgivrs us th strtgis in n instintiv wy n, in gnrl, us th sm rgrlss of th spifi iffiultis xprin. Thrfor, th strtgis us r not lwys orrt nor th st hlp to th prtnr, so it s nssry tht th sph thrpist ompnying th prson with phsi provis pproprit strtgis to rgivrs. Dsriptors: strtgis; phsi; rgivrs; ommunition; sph thrpy. BODY PRACTCE S EFFECTS OF LAN GONG N HEALTH PROMOTON: A LTERATURE REVEW Rin Sors Sous Silv,, Julin Evristo Sous,, Rnt Mirn Arújo Lt Lops,, Nyl R Vnção Mour,, An Crolin Frrr Loo,, Euro Arújo Silv,f, Jnín Mri Miros Mêo Mênzs,g Univrsi Frl o Piuí. Trsin, Brzil Univrsi Estul o Piuí. Trsin, Brzil ntroution: With rspt to hlth promotion, vry importnt sujts r isuss, suh s prvntion n ontrol of isss, ouptionl isss n hroni non-ommunil isss suh s hyprtnsion, osity n its. Du to th high risk tht ths isss ring to th qulity of lif n puli hlth in gnrl it is nssry to us nw mthos tht, omin with onvntionl trtmnt, ru th impt n inin of ths isss. As n xmpl thr is th Lin Gong, n ltrntiv prti of Chins Orintl miin whih inorports 18 simpl movmnts ivi into stps, strthing, slow rthing n nvironmnt with musi, working th oy n min rltionship. Ojtiv: To rviw th litrtur on th ffts of oy Lin Gong prti in hlth promotion. Mthos: This stuy ws on through litrtur srh of ooks, journls n rtils prsnt in th tss: SiELO n LLACS, using th following kywors: ling gong, oy prti, Chins miin. Th rtils nlyz r t from th prio twn 2004 n Rsults: Th litrtur rviw show, oring to th uthor, tht Lin Gong provis irt nfits to hlth prtitionrs, oth in physil hlth, proviing rution of pin, strthing n strngthning, s mntl hlth, ruing strss lvls, improving moo n soil intrtion. Morovr, it ws noti rs in mition us y prtitionrs. Conlusions: Lin Gong is n fftiv prti in th rstortion n mintnn of hlth, promoting wll-ing, whthr iniviully or olltivly, n my us prvntivly or s juvnt thrpy in ontrolling isss lry instll. Dsriptors: oy prti; hlth promotion; prvntiv hlth; puli hlth; qulity of lif. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 272

274 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th motivtionl ftors of ollg stunts to ngg in physil tivity progrm Nuno Amro,, Luís Colho,,, João Cruz,, Rui Mtos,,, Pro Morouço, Rsrh Cntr for Humn Movmnt Sins. nstituto Politénio Liri. Liri, Portugl nvstigtion Cntr in Lif Qulity. nstituto Politénio Liri. Liri, Portugl Cntr for Rpi n Sustinl Prout Dvlopmnt. nstituto Politénio Liri. Liri, Portugl ntroution: Physil tivity is onsir n xllnt option to hiv n optimum hlth onition. Howvr, ollg stunts r usully link to sntry lif styl, ompromising hlth n lif qulity. Prvious stuis stt tht mn r usully link to xris u to hllng n fitnss, whil womn look for pprn n strss mngmnt. Ojtiv: Th im of this stuy ws to nlys whih r th motivtionl ftors tht my l ollg stunts to ngg in physil tivity progrm. n ition, it ws intn to vrify possil iffrns twn gnrs. Mthos: An onlin qustionnir ws nswr y 606 (395 n 211 ) ollg stunts. Rsults: Ovrll, stunts point s mjor ftors to ngg in rgulr physil tivity progrm hlth improvmnt (84.2%), oy img improvmnt (65.0%), lisur tim ouption (36.1%), n mt othr popl (26.6%). Rsults wr similr twn ml n fml stunts, xpt for th highr importn givn y th lttr in mt othr popl (21.3 vs. 36.5%, p<0.001). Conlusions: Whn ollg stunts wr sk whih motivtionl ftors woul mk thm ngg in rgulr physil tivity progrm, hlth improvmnt prsnt th highr onnottion. This rsult suggsts tht stunts r wr of th nfits of physil tivity. Apprn took son pl, inuing tht th sthti ftor lso hs grt rlvn for this popultion. Th only iffrns twn gnrs wr in th ftor mting othr popl, suggsting tht fml stunts giv mor mning to th soiologil fturs. Ths rsults provi th nssry t to rt n fftiv rgulr physil tivity progrm. Dsriptors: hlth, xris; qulity of lif. Corrltion twn fin n gross motor oorintion in hilrn Luís Colho,,, Nuno Amro,, João Cruz,, Ctrin Litão,, Migul Brnrs,, Pro Morouço,,f, Rui Mtos,,g Rsrh Cntr for Humn Movmnt Sins. nstituto Politénio Liri. Portugl nvstigtion Cntr in Lif Qulity. nstituto Politénio Liri. Portugl Cntr for Rpi n Sustinl Prout Dvlopmnt. nstituto Politénio Liri. Portugl ntroution: t is wll oumnt tht sntry lif styls ompromis pproprit lvls of hlth n lif qulity. Furthrmor, low lvls of rgulr physil tivity ls to wkr lvls of motor oorintion. Within hilrn s motor oorintion litrtur, fous is mostly put on fin n gross oorintion sprtly. Th link twn ths two oul goo initor for how ln motor oorintion is vloping in hil, givn spifi g. Ojtiv: Th prsnt stuy fous on nlysing possil orrltions twn fin n gross motor oorintion. Mthos: From PL Sports Amy, in Liri, sixtn hilrn (7 n 8, g 5-10 yrs) wr rruit. Gross n fin motor oorintion wr ssss using th tst ttry Körprkoorintiontst für kinr (KTK) n Minnsot mnul xtrity tst (MMD) rsptivly. t ws lso us hngrip ynmomtr to ssss hngrip strngth (HS). Rsults: Strong n positiv sttistilly signifint orrltions wr foun twn g n HS (r=0,82, p=0,000) rnging from 5,7kg to 20,1 kg. Mort n ngtiv sttistilly signifint orrltions wr osrv twn hilrn s g n MMD tst (r=-0,71, p=0,005). No sttistilly signifint orrltions wr foun twn rsults from KTK n MMD tsts (p>0,05). Ngtiv n mort sttistilly signifint orrltions wr foun twn MMD tsts n HS tsts (r=-0,51, p 0,05). Conlusions: Ovrll gross motor oorintion prformn nnot us to trmin hns fin motor oorintion prformn. Nvrthlss, hilrn with ttr rsults on HS wr fstr mnipulting ojts with thir hns, whih monstrts n xisting n signifint link twn ths two typs of oorintion for th sm lim. Dsriptors: Motor oorintion; Fin motor oorintion; Gross motor oorintion; Motor oorintion ssssmnt; Ktk. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] trin.litã[email protected] [email protected] f [email protected] g [email protected] 273

275 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Strss in Univrsity stunts n riovsulr rspons to mi strssors Trs Guimrãs, An Ptríi Silv, oln Montiro, Rui Goms Esol Suprior Tnologi Sú. nstituto Politénio Liso. Portugl ntroution: Univrsity stunts r frquntly xpos to vnts tht n us strss n nxity, prouing lvt riovsulr rsponss. Rpt xposur to mi strss hs implitions to stunts suss n wll-ing n my ontriut to th vlopmnt of longtrm hlth prolms. Ojtiv: To intify strss lvls n oping strtgis in univrsity stunts n ssss th impt of strss xprin in hrt rt vriility (HRV). Mthos: 17 univrsity stunts, yrs, omplt th Univrsity Stunts Strss nvntory, th Dprssion Anxity Strss Sls n th Wys of Coping Qustionnir. Two 24h-Holtr rorings wr prform, on mi tivity ys, inluing on of thm n xm sitution. Rsults: Stunts tn to prsnt mort strss lvls, n prfr prolm-fous oping strtgis in orr to mng strss. Exm situtions r priv s signifint strssors. Although w foun no signifint iffrns in HRV (SDNN), twn ys with n without n xm, w rgistr lowr SDNN sor n vrition in hrt rt (HR) rlt to xm sitution (mximum HR pk t 10 minuts for th xm, n totl HR rovry 20 minuts ftr th xm), rflting sympthti tivtion u to strss. Conlusions: Ths rsults suggst tht mi vnts, spilly thos rlt to xm situtions, r th us of strss in univrsity stunts, with implitions t riovsulr lvl, unrlying th importn of intrvntions tht hlp ths stunts improv thir oping skills n optimiz strss mngmnt, in orr to improv mi hivmnt n promot wll ing n qulity of lif. Dsriptors: Ami strss; univrsity stunts; hrt rt; hrt rt vriility; oping strtgis. QUALTY OF LFE OF PALLATVE PATENTS DFFERENCES BETWEEN MEN AND WOMEN An Qurio, Mri os Anjos Dix Esol Suprior Sú. nstituto Politénio Liri. Portugl ntroution: Qulity of lif (QOL) is n importnt issu for pllitiv ptints n rlvnt initor of hlth r tms prformn. Although mn n womn hv iffrnt rols in morn soitis, thr is onsnsus on qul rights onrning hlth n illnss. Hlth profssionls im ttr QOL to ll ptints, no mttr sx iffrns. Pllitiv ptints r frquntly fft y symptoms intrfring with ily living tivitis, ompromising thir QOL. Nvrthlss mn n womn hv th sm rights, thr might iffrnt impt of symptoms on QOL, whih is unknown. Ojtiv: To intify th mjor symptoms ffting QOL n thir prvln y sx; To nlyz iffrns in QOL twn mn n womn. Mthos: This orrltionl stuy us soio mogrphi/ linil qustionnir n MGill QOL-PT Qustionnir (sling 0-10, lowr sors init wors QOL). 205 pllitiv ptints wr rruit from Portugus pllitiv r sttings inptint, y units n hom r. Ethil ommitts pprov th rsrh n inform onsnt ws otin. Rsults: Ptints mn g=64,51(+/-12,3), 55,1% mn, 85,40% ignos with nr, 73,17% mrri, living with fmily (84,39%). Ftigu, pin n insomni wr th most prvlnt symptoms in pllitiv ptints, somtims oxisting. Womn xprin mor intns ftigu, pin n prssion thn mn. Expt for support (p>0,05), mn xprin ttr glol QOL thn womn (p<0,001), physil, psyhologil n xistntil (p<0,05). Conlusions: QOL is signifintly lowr in womn t th n of lif. Pllitiv r tms n to ss pin, ftigu n prssion in pllitiv ptints n spilly r shoul rss to womn in suh onition. Dsriptors: Qulity-of-lif; Pllitiv Ptints; Pllitiv Cr; Gnr iffrns; En-of-lif. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 274

276 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Cring for somon with vn iss t hom: th rgivr s prptions Améli Frrir,,, José Mrtins,, Uni Cuios n Comuni Lous. Lous, Portugl Ful Miin. Univrsi o Porto. Porto, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: n th pst s, th improvmnt of th soil n hlth onitions n th sintifi vns l to progrssiv mogrphi ging n nw hlth nssitis. Consquntly, th prvln of hroni, progrssiv n inpitting isss ros, rsulting into rltivly long prios of pnny. Ojtiv: To sri n nlyz th prptions n xprins of th rgivrs of popl with vn iss in th ommunity. Mthos: Explortory-sriptiv stuy, using qulittiv mthoology, with phnomnologil pproh. A smi-strutur intrviw ws us. Eight rgivrs of popl with vn iss living in ommunity of th intrior north rgion of Portugl wr intrviw, t thir homs, from Jnury to My All intrviws wr uio ror n onsquntly trnsript n nlyz using th Giorgi mtho. Rsults: All rgivrs r fml n tholi. Th vrg g is 57,3 yrs. Th mjority is ughtr (50,0%), mrri (87,5%), sty t hom womn (75,0%), with low shool lvl (75% hv 4 yrs or lss of shool). Th vrg tim s rgivr is 7,7 yrs. Through th ring n nlyzs of th intrviws, ight ntrl thms mrg: ing rgivr of prson with vn iss in th ommunity, ommunition, humn ignity rspt, iffiult n filitt ftors, oping mhnisms, positiv n ngtiv flings. Th first thm is ntrl n influn y th othr svn thms. Conlusions: Th rgivrs of popl with vn iss in th ommunity ontxt liv nrihing xprins with positiv n ngtiv rprussions tht ho through thir lif n hlth. Dsriptors: Community; Avn Diss; Crgivr. Cring for popl with mnti in th ommunity: Crgivr s urn n qulity of hlth Alxnr Prir,,,, José Mrtins Uni Cuios n Comuni Lous. Lous, Portugl Ful Miin. Univrsi o Porto. Porto, Portugl Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: Dmnti is n quir onition. Th mjor known risk ftor is g. n n ging soity, mnti mrgs s rlvnt topi u to its long volution ours tht n hv vstting hlth n soil rprussions for th rgivr in th ommunity ontxt. Ojtiv: To nlyz th urn n qulity of hlth of th rgivr of th prson with mnti in th ommunity ontxt. Mthos: Quntittiv xplortory n sriptiv-orrltionl stuy. Th instrumnts us wr th Zrit Burn ntrviw n th EQ-5D Sl. Th smpl is intntionl non-proilisti (n=153). Rsults wr nlyz using SPSS 19.0 n Prson orrltion offiint (p 0,05). Rsults: Th mjority of th rgivrs r fmls (83,66%), mrri (79,74%), with 4 yrs or lss of shool (47,06%), rtir (32,68%). Th vrg g is 56,71 yrs. n vrg, thy r rgivrs for 5,67 yrs n spnt 13,55 hours/y proviing r. Th min rson for oming rgivr is fmily/motionl tis. Avrg Zrit Burn ntrviw sor ws 60,01 points. Avrg EQ-5D sor otin ws 0,61 points. Avrg EQ-VAS sor otin ws 62,96 points. Mort lvls of pin (61,44%), nxity n prssion (56,21%) wr foun. Sttistilly signifint invrs orrltion ws foun twn urn n qulity of hlth. Conlusions: Cring for somon with mnti in th ommunity n quit hllnging. Low lvls of qulity of hlth n high lvls of urn wr foun n n invrs orrltion twn thm ws vrifi, whih onfirms tht ring for somon with mnti n l to ngtiv physil n mntl hlth rprussions. Dsriptos: Qulity of hlth; Crgivr; Dmnti; Community. [email protected] [email protected] [email protected] [email protected] 275

277 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ANXETY DSORDERS: A stuy with Ptints in Brzilin Psyhitri Hospitl Ríl Tôrrs Mnss,, Smnth Luzi Guimrãs Frno,, Mári Astrês Frnns,, Rnt Dis Silv Sntos,, Ann Krolinn Olivir Silv,, Prisil o Vl Mho,f, Frnsis Fin Frnns Lim,g Ful Sú. Cinis Humns Tnológis Do Piuí. Brzil Univrsi Frl o Piuí. Brzil ntroution: Anxity is fling hrtriz y fr n pprhnsion riv from somthing unknown. Evn though it hs physiologil hrtr, nxity is rogniz s pthologil whn it is xggrt, isproportiont to th stimulus. Anxity isorrs r th most prvlnt group mong th psyhitri isorrs, n it ffts ll soil lsss worlwi. Ojtiv: Anlyz how iniviuls liv with nxity isorrs in thir ily livs; isuss th implitions of nxity isorrs in soil, fmily, motionl n ouptionl livs n nlyz th gr of psyhi istrss of th iniviul. Mthos: This is n xplortory n sriptiv survy with qulittiv pproh.th rsrh ws pprov y th Ethis Committ in Rsrh, CAAE protool n is y th Ntionl Counil of Hlth 466\2012. Smistrutur intrviws wr on with 20 sujts, in Psyhitri Hospitl of rfrn in th Northst of Brzil, uring th months of Mrh n April Aftr olltion, th t wr ivi in tgoris. Rsults: Th nlysis rvl tht nxity isorrs r oftn ssoit with othr psyhi moriitis. ntrviws rport iffiultis in fftiv-rltionl, proutiv n soio-ulturl spts, n for th most of thm th ignosis wr onnt with ngtiv flings n strss. Conlusions: Anxity isorrs wkn popl n thir soil rltionships. t must mphsiz tht th iniviulitis of h lint, rquir spifi n fftiv r pln l to mt his ns. Morvr, suh stuis my ontriut to th rfltion of nursing prti in orr to improv th r provi to iniviuls with tht ignosis. Dsriptors: Disorr; Anxity; Strss; Psyhi. RELATONSHP BETWEEN MENTAL LLNESS AND WORK: STUDY N A BRAZLAN PSYCHATRC HOSPTAL Frnis Fin Frnns Lim,, Nyll Elis Sntos Alnr,, Mri Astrs Frnns,, Géssi Spinol Cstlo Brno,, Arin Silvir Cost, Univrsi Frl o Piuí. Brzil Ful Sú, Ciênis Humns Tnológis Do Piuí. Brzil ntroution: Work ssums vitl importn to th survivl of humns, ing mn for hiving intrprsonl n mtril hivmnts, howvr, it hs om wy of isstisftion, ttrition n mntl suffring, ing rsponsil for th vlopmnt of vrious psyhitri isss. Ojtiv: To nlyz th influns, of work, in th ris, trtmnt n rovry from mntl isorrs. Mthos: Qulittiv n xplortory Fil Rsrh, onut twn Mrh n April 2013 in Psyhitri Hospitl in Northst of Brzil with 20 sujts g twn 21 n 78 yrs. Th stuy ws pprov y th Ethis Committ in Rsrh of th Univrsity Cntr, UNNOVAFAP, CAAE protool n oy th Ntionl Counil of Hlth 466/2012. Rsults n Conlusions: Mntl isorrs rlt to work rport highr inin mong mls, n on profssions, th most frqunt wr poli offirs n onstrution workrs, follow y trrs, n rivrs. Th most frqunt ignos pthologis inlu: shizophrni (40%), Anxity Disorrs (25%) n Dprssiv Disorrs (20%). Vrious situtions t work ontriut to th mntl illnss, suh s unsnitry onitions n mntlly strssful situtions. Howvr, vn though th work hs n th us of physil n mntl illnss, for som, th lor is thrputi wy to gurnt hlthy lif. Thus, furthr stuis r n to stlish hlthy limits in th work routin, prvnting th ills ssoit with it. Dsriptors: Mntl Hlth; Mntl Disorrs; Work; Ouptionl Hlth; Brzil. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 276

278 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 503 VAGNAL PARTURTON, SEXUALTY AND EPSOTOMY: AN NTEGRATVE REVEW Flávi Dyn Riiro Silvir, Grzill Rort Frits Silv, Nyll Elis Sntos Alnr, Frnis Fin Frnns Lim, Rnt Dis Silv Sntos, Prisil o Vl Mho f, Ann Krolinn Olivir Silv g Univrsi Frl o Piuí. Brzil ntroution: Th wy to ring th worl nw lif hs suffr grul n progrssiv moifitions ovr th nturis, in orr to provi nfits for prturition to th inomil mothr-hil. Bs on this, th spirtion for nswrs insi th hlth r oms onstnt n vn wht formrly ws jug s nfiil into prturition ssistn, to known, pisiotomy, inision wily us for prturints in Brzil, n qustionl, in viw of th physil n psyhi onsquns. Ojtiv: To rflt out th ssistn to vginl irth, with mphsis in th nssitis n onsquns of Episiotomy. Mthos: t is n intgrtiv rvision of litrtur, prform twn April n My of 2013, in th tss Silo n Lils. Utilizing th ky wors: norml prturition, pisiotomy sxulity, this srh rsult in 145 rtils, ing 12 slt. Wr prpr 2 nlysis tgoris: Episiotomy of routin in ssistn to norml prturition n Episiotomy n sxulity: physil n psyhil trum. Rsults n Conlusions: Grully, stuis out pisiotomy s ispnsl prour r risn, whos unrsonl us ntils physil hrm, suh s loo loss, sutur ns n prinl pin, with th possiility to hppn intstinl, urinry n sxul isfuntions, in ition to psyhil hrm to th womn uring th prturition prour, purprium n mritl/sxul lif. t is Affirm, thn, th nssity to rviw th prturints prtis of ssistn, onsiring th intifil vinis n iniviuliz rs. n this sns, thr is nssity to stimult humniz mols of srvis, rspting th singulrity of h prturint. Dsriptors: Nturl Chilirth; Sxulity; Episiotomy; Assistn; Brzil. 504 THEORY OF DVERSTY AND UNVERSALTY N CULTURAL CARE: N FOCUS THE FEMNNE SEXUALTY Flávi Dyn Riiro Silvir, Mri Hln Brros Arújo Luz, Grzill Rort Frits Silv, Nyll Elis Sntos Alnr, Frnis Fin Frnns Lim, Rnt Dis Silv Sntos f, Prisil o Vl Mho g Univrsi Frl o Piuí. Brzil ntroution: Cring out th humn ing gos yon th prvntion onpts, ignosis, trtmnt n rhilittion. Exrting r with stisftory fft nompsss knowlg n notions out th r ing, rgring th vlus, lifs n th ulturl ontxt in whih it is insrt. Liningr s Thory of Divrsity n Univrslity in Culturl Cr rfrs to st of onpts n hypothsis of nursing intronnt n rson in th ulturl ns of iniviuls n groups, with fous on prforming r in th holisti wy. Th prsn of sxulity, insi th fminin univrs, plys rol with strong ulturl influn. Not fr, nursing rs, n in th si or hospitl ttntion, thy must prform in n ttntiv wy, rspting th iniviulity n th rprsnttivnss this thm xrts in womn. Ojtiv: Stning out th importn to know th ulturl mning in whih th r ing is insrt, sking irt ttntion in holisti wy. Mthos: t is litrtur rviw prform y inirt, sriptiv n xplortory rsrh with kywors in ooks n spiliz prioils out funmnts of th Thory of Divrsity n Univrslity in Culturl Cring. Rsults n Conlusions: Fminin sxulity ultur is rsult from historil onstrution of sxist prinipls in whih th womn sumits to th most ntri tions sking to hiv plsing sxully hr prtnr. t pns on nurss to opt mor flxil profssionl postur to th ulturl rlity of ths womn, s on th Thory of Divrsity n Univrslity in Culturl Cr, in orr to osrv worl viw. Dsriptors: Sxulity, Episiotomy; Cultur; Nursing Cr; Brzil. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 277

279 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th Trminl llnss within th Fmily Systm: A Critil Rviw of Litrtur Ni Portl Ari, Sofi Mjor, An Pul Rlvs Ful Psiologi Ciênis Eução. Univrsi Coimr. Portugl ntroution: Th trminl phs of n illnss is ritil prio for th ptint n his fmily. Th trminl ptint prsnts highly omplx symptomtology u to th triortion of his funtionl sttus. Thrfor, ttning th ying ptint n highly trumti xprin for fmilis. Ojtiv: This stuy ims to lrify th impt tht trminl illnss (T) hs in th fmily funtioning imnsions n wht ns r xprin y fmilis n, trmin whih vlit psyhothrputi pprohs rspon fftivly to th iffiultis xprin y fmilis. Mthos: For tht purpos, it ws onut ritil rviw of litrtur in whih wr inlu sintifi pprs pulish in th lst n hnooks out n-oflif r. Th rsrh ws on through onlin tss (.g., B-On, ProQust) using th following kywors trminl illnss, n-of-lif r n pllitiv r, omin with trms lik fmily, fmily funtioning n rgivrs. Rsults: Th possiility of th ptint s th omints th whol fmily, foring it to liv pross of ntiipt loss n intns grif, with intrit implitions on its ynmis of orgniztion, strutur n funtioning. n, th lk of profssionl pproh to fmily ns n hv ngtiv impt on th fmily systm, ompromising its ptiv xprin of ntiiptory n post-mortm grif. Conlusions: Th stuy of fmily xprin in th ontxt of T is vry inipint, whih impirs th vlopmnt of fftiv psyhothrputi intrvntions in rsponing to fmily ns. Thrfor it is ritil to onut mor stuis to trmin th influn of T on fmilis n thir support ns. Dsriptors: Trminll illnss; Fmily; Grif; ntrvntion. Prption of th prson with Aphsi n its rgivr out th iffiultis n onvrstionl hngs in th ommunition pttrns in th postmori prio Mári Mrqus, An Rit Ris, Brr Sntigo, Gril Tixir, Sóni Pós Min, Mri os Anjos Dix f Esol Suprior Sú. nstituto Politénio Liri. Portugl ntroution: t is ssntil to unrstn th iffiultis of Aphsi tht fft th ommunitiv ys s wll s in th onvrstionl hngs, for fftiv thrpy intrvntion. Ojtiv: Dtrmin th prption of th y iffiultis n onvrstionl hngs, in th ommunition pttrns in th post-mori prio. Mthos: Dsriptiv stuy involving svn ys trough strutur intrviw, mphsizing th iffiultis n th ommunitiv hngs in post-mori prio. Th stuy ws onut oring th prinipls of th Dlrtion of Hlsinki. Rsults: Th iggst iffiulty of th y, with 100% of slf wrnss, ws fin th wor follow y lttr n wor hng with 71% to 100%. On th othr hn, th lowst (twn 0% n 6%) iffiulty ws foun th xhng of ys for not, th unintlligil sntns, not unrstning of th vrl mtril, th iffiult to sy wht not rliz, intrrupting th onvrstion, n th rpt onvrstions. Th iggst hng on th ommunitionl pttrns ourr in th us of ommunitionl gsturs (64%) n in th hng of th onvrstion styls (57%), in th hrtristis inhrnt to th onvrstion (50%), in th onvrstion topi hngs (29%); with 21% slf wrnss w foun ommunitionl prtnrs, th situtions of onvrstion n th uitiv prolms; finlly, th us of fil xprssions (14%). Conlusions: Th intrvntion in Sph Lngug Thrpy just for h y is importnt, n hs positiv rsults whn thr is onsiousnss of th iffiultis in Aphsi. Dsriptors: Aphsi; Slf Prption; Dys; Diffiultis; Communition. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 278

280 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 507 Prformn Sttus of Pllitiv Ptints An Qurio, Mri os Anjos Dix Esol Suprior Sú. nstituto Politénio Liri. Portugl ntroution: Symptoms fft ily living tivitis, ompromising ptint prformn. t is ommon ssum tht pllitiv ptints r slf-r pnnt n ognitiv impir. Nvrthlss, som ptints kp on thir living tivitis in spit th pllitiv sitution, ling with svrl symptoms. Evin rgring funtionl prformn n prsn of symptoms in pllitiv ptints r for in iffrnt ontxts/pls is n. Ojtiv: To hrtriz th prformn sttus of pllitiv ptints. To intify th symptoms intrfring with prformn sttus. To orrlt prformn sttus, g n th ontxt/pl of r. Mthos: This orrltionl stuy us soio mogrphi/ linil qustionnir, Mini Mntl Stt Exmintion (MMSE) n Krnofsky Prformn Sttus (KPS). 205 pllitiv ptints wr rruit from Portugus pllitiv r sttings inptint, y units n hom r. Ethil issus wr ttin. Rsults: Ptints g twn yrs, living with illnss for mn tim of 3 yrs n 9 months, mostly with nr (85,40%), ll soring MMSE>25, initing ognitiv wll funtion. Ptints vri KPS from 30 (svr isl n hospitliztion rquir) to 100 (norml). Min=70 (rs for slf, unl to work); mo= 80 (norml tivity with ffort, iss symptoms). Ptints living hom h ttr prformn ut th prvln of pin ws highr. Thr r signifint iffrns in prformn oring to g n tim of illnss. Lowr prformn is orrlt with g n ontxt of r. Conlusions: Although vin of iss progrssion, ptints ontinu thir ily lif funtioning with goo prformn. Pin ws trminnt. Hlth profssionls shoul onsir symptom ontrol to improv ptint prformn. Dsriptors: Pllitiv Ptints; Prformn Sttus; KPS; Symptom ontrol. 508 Gnri rugs n rn nm prouts: n pproh out xipints Anri Noguir,, Ltii Crvlho,, Rqul Tvrs,, Mximino Prt Riiro,,, Pul Coutinho,,, Fátim Roqu,,f Esol Suprior Sú. nstituto Politénio Gur. Portugl Uni nvstigção pr o Dsnvolvimnto o ntrior. nstituto Politénio Gur. Portugl ntroution: n gnrl xipints r onsir to inrt, howvr in rtin ptints unr rtin irumstns som of thm hv monstrt som tivity, with inrsing rports of vrs rtions. Gnri rugs r rquir to hv th sm tiv sustns, strngth, osg form n rout of ministrtion s th rn nm prout, ut xipints oul iffrnt. Th xipints tht hv rogniz tion or ffts shoul lr on th llling of miins, n r list in th Guilin Exipints in th ll n pkg lflt of miinl prouts for humn us. Ojtiv: To ompr gnri rugs with rn nm rugs in trms of xipints omposition, n to vlut th prsn of xipints list in th guilin. Mthos: Srh of th Summry of Prout Chrtristis, in th Portugus Ntionl Authority of Miins n in th Europn Agny of Miins wsits for th 10 st-slling rugs in th Portugus gnri mrkt. For th sm tiv sustn, it ws ompr th list of xipints to ll miins in th mrkt. Rsults: List of xipints ws nlyz for totl of 790 miins, n ll of thm ontin on or mor xipints list on th guilin. Thr r grt iffrns in th xipint omposition twn miins, n pning on th rug, this xipints wr prsnt on gnri rug or in rn nm rug. Conlusions: Ptints oul xpos to signifint mount of xipints tht oul hv potntil toxiity to som of thm. So th option twn gnri or rn nm prouts must hv this in onsirtion. Dsriptors: Gnri rugs; rn nm rugs; xipints; vrs rtions; guilins. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 279

281 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth DFFCULTES, CONCERNS AND NEEDS N PEDATRC ONCOLOGY: THE REALTY OF PEDATRC PATENTS AND THER FAMLES UNDER THE VEW OF HOSPTAL CLOWNS An Sofi Mlo, Susn Cirs, Susn Corri nstituto Eução. Univrsi o Minho. Brg, Portugl ntroution: Th rmrkl progrss in th trtmnt of pitri nr is oftn mntion s on of th mjor hivmnts of morn miin. Nvrthlss, pitri nr is still isturing long-trm xprin tht ffts th hil/olsnt n his fmily. n this ruous snrio, th Hospitl Clowns prsn mrgs s on of th pitri intrvntions tht hlp hilrn n thir fmilis to op with th nr iss pross. Ojtiv: To vlut th ffts of nr iss in hilrn/olsnts n thir prnts, oring to th viw of hospitl profssionl lowns, from th Portugus ssoition - Oprção Nriz Vrmlho, who visit th pitri onology srvis in Portugl. Mthos: 3 fous groups wr onut with 8 hospitl lowns. Th instrumnt us ws smi-strutur intrviw fous on th xplortion of th prptions of ths profssionls rgring th iffiultis, onrns n ns of pitri ptints n thir prnts in th ours of th nr iss. Rsults: Dt of this stuy wr onut through pross of qulittiv nlysis. Prliminry rsults show lrg n wi numr of iffiultis, onrns n ns tht fft th wll-ing n qulity of lif of pitri ptints n thir fmilis. Aoring to th Hospitl Clowns viws, suh ffts our on th physil n psyhosoil omins. Conlusions: Th rsults of ths prliminry stuy ontriut to lrr unrstning of th xprins in pitri onology. Th trtmnt pross shoul fous not only on thir physil ns, ut lso in thir psyhologil n soil ns, in orr to promot th hil s (n fmiliy s) wll-ing n mor humniz hospitl tmosphr. Dsriptors: Pitri onology; llnss xprins; Hospitl Clowns. Th impt of lifstyl on hlth n funtionl inpnn in th lrly Vlrin Guijo Blno,, Mri o Rosário Jsus Mrtins, Univrsi Burgos. Spin nstituto Pigt. Portugl ntroution: Popultion ging is glol phnomnon whih will hng soity in mny spts n rt oth hllngs n opportunitis. Thrfor, in th two-yr prio of , th WHO (Worl Hlth Orgnistion) will put rnw mphsis on lrly popl s hlth with spil ttntion to mintining thir inpnn whilst tking into ount tht th prption of thir qulity of lif rss notily whn thy r unl to mintin inpnn in thir tivitis of ily living. Promotion of hlthy ging mns stuy of th ftors whih n influn, oth positivly n ngtivly, th hlth of spifi groups; this spt ing of utmost importn in soio-utionl/snitry pproh. Ojtiv: n this stuy,th stting-up of th rltionship twn th living hits of group of lrly popl n th stt of thir hlth n thir pity to inpnnt or not in thir tivitis of ily living (si n funmntl) hs n ttmpt. Mthos: Th hosn mthoology hs n osrvtionl n is s on th slf-ssssmnt of group of non-institutionlis popl twn th gs of 65 n 85. Rsults: t ws isovr tht thr is mningful orrltion twn hlthy living hits (p=0.05) n inpnn in tivitis of ily living n gnrl hlth. Conlusions: Th rsults point out tht, lthough only 3.9% of th lrly prsons i not suffr from ny illnss, thir lvl of utonomy ws vry high. Thrfor, mintining hlthy living hits is goo pritiv ftor. Dsriptors: Elrly; hlth; funionl inpnn; lifstyl. [email protected] [email protected] [email protected] [email protected] [email protected] 280

282 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 511 Prvln n Dtrminnts of Brstfing in Portugl nês Frrir, Violt Alrão, Rui Simõs, Miln Frnns, Pulo Niol nstituto Miin Prvntiv. Ful Miin Univrsi Liso. Portugl ntroution: Th trminnts ssoit with rstfing (BF) initition n urtion iffr mong popultions n thir unrstning is ruil for th sign of fftiv intrvntions. Ojtiv: To ssss BF initition n prvln, xlusiv or not, from irth to 3 n 6 months (M) n to trmin th ssoit ftors. Mthos: A ohort stuy ollt t using tlphon intrviws t 3 n 6M postprtum from smpl of mothrs rnomly slt from th rgistry of th Ntionl Nontl Srning Progrm. To intify th ftors ssoit with BF, ivrit n multipl logisti rgrssions wr prform. Rsults: Ninty six pr nt of th mothrs initit rstfing (n=494); 56.7% rstf t 3M (33.2% xlusivly) n 42.1% t 6M (0.9% xlusivly). Prottors of xlusiv BF t 3M wr: highr mtrnl g [OR=1.02]; highr mtrnl utionl lvl [OR=1.19]; utiliztion of BF supportiv sps t th hlth ntrs [OR=1.73]; highr BF slf-ffiy sor [OR=1.14]; wrnss of highr numr of BF vntgs for th mothrs [OR=1.86]. Prottors of ny BF t 6M inlu olr mothrs [OR=1.07]; livr t puli hospitls [OR=6.07]; us BF supportiv sps t th hlth ntrs [OR=6.01] n h highr BF slf-ffiy [OR=1.19]. Conlusions: Dspit high rt of initition of rstfing, only 33.2% of th mothrs rstf xlusivly t 3M, prntg low th 50% trgt st y th Ntionl Hlth Pln. Compring our t with th Ntionl Hlth ntrviw Survy 1995/1996 w osrv tht BF initition rt hs inrs from 81.4% to 95.8% n, t 6M, from 34.1% to 42.1%. Hlth r srvis n ruilly impt BF suss. Dsriptors: Brstfing; Prvln; Dtrminnts, Durtion rts. [email protected] 281

283 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth RD&T Rsrh, Dvlopmnt & Thnology in Hlth 512 Photopolymrizl hyrogls ontining rug-lo prtils for iomil pplitions Tigo Morgo, Run Prir,, Dnil Vz V, Ausn Mns, Pulo J. Bártolo,V Esol Suprior Tnologi Gstão. nstituto Politénio Liri. Liri, Portugl Cntro snvolvimnto Rápio Sustnto Prouto. nstituto Politénio Liri. Mrinh Grn, Portugl nstituto Engnhri Bioméi. nstituto Ciênis Bioméis Al Slzr. Univrsi o Porto. Porto, Portugl; Uni nvstigção m Sú. Esol Suprior Sú Liri; Cntro Quími Cntro Nuroiênis Biologi Clulr Coimr. Univrsi Coimr., Portugl V Shool of Mhnil, Arosp n Civil Enginring. Mnhstr nstitut of Biothnology. Univrsity of Mnhstr. UK ntroution: Photopolymrizl hyrogls hv n xtnsivly invstigt for svrl iomil pplitions u to thir ility to prpr in situ in short prio of tim, n to provi grt ontrol ovr th sptil n tmporl formtion of th hyrogl. Ojtiv: To synthsiz n hrtriz novl photopolymrizl hyrogl systm ontining sptilly orgniz rug-lo prtils for pplitions s rug livry rrirs. Mthos: Hyrogls wr prpr through th lyr-ylyr ultrviolt (UV) irrition of polythyln glyol photosnsitiv solution ontining lgint prtils lo with mol rug (nitrofurzon). Th rug-lo prtils wr inorport into th mil lyr of hyrogls n thir lotion ss y miro-omput tomogrphy. Th ffts of th numr of lgint prtils in th hyrogl proprtis wr invstigt y mhnil, wtr sorption n in vitro grtion tsts. Th rls profils of rug-lo prtils, ithr lon or inorport within th hyrogls, wr trmin in phospht uffr solution for omprison. Rsults: Dt show tht th numr of lgint prtils strongly trmins th mhnil n in vitro grtion proprtis of hyrogls. Th inorportion of high numrs of prtils within th hyrogl limits th hsion twn jnt lyrs uring th polymriztion, ling to mor frgil strutur with lowr mhnil proprtis n highr wight loss. Th inorportion of rug-lo prtils within th hyrogls provis ttr ontrol ovr th rug rls, liminting th urst rls fft. Conlusions: Th vlop photopolymrizl hyrogls provi n fftiv systm to tilor n xtn th rls of rugs, xhiiting promising proprtis for rug livry pplitions. Dsriptors: Photopolymrizl hyrogls. Polythyln glyol. Algint prtils. Nitrofurzon. Drug livry. 513 Anlysis of th ltrtions inu y working mmory tsks in th ltronphlogrm Jon Frno,, Din Tvrs,, An Sun, Krolinsk Univrsittssjukhust. Stokholm, Swn Esol Sú. nstituto Politénio o Porto. Porto, Portugl ntroution: Th working mmory (WM) is n ssntil ognitiv funtion with limit pility tht llows th tmporry storg n mnipultion of informtion us in omplx ognitiv tsks. Th Flui ntllign (F) is th ility to ngg n rspon to nw situtions, rgrlss of prvious knowlg. Ojtiv: Assss th rin rs tivt uring th xution of WM n F tsks, trmining th vritions in quntittiv ltronphlogrm (qeeg). Mthos: Eh prtiipnt ws sumitt to n EEG. During th EEG two tsts wr ministr: working mmory (WSC Digit Spn Sutst - Dirt n Rvrs Orr n F tsk (Rvn Mtris). Th EEG s tivity ws nlyz in iffrnt tims of h tsk. Rsults: Thr wr sttistilly signifint iffrns in th omprison twn th ginning n th n of oth WM s tsks, s wll s in th F, n in th rltionship of ths tsts to th slin ror. n mor spifi nlysis, w foun frontl n pritl rs to tivt uring th WM tsks n fronto-pritl ntwork in F tsts, s wll s rs in EEG powr in th right pritl lph. Conlusions: During WM tsks prfrontl n pritl rgions r xrt, whil th F tst uss th tivtion of fronto-pritl ntwork. Th qeeg ws usful in th vlution of ltronphlogrphi hngs in ognitiv tsts for this smpl. Howvr, th possil ssoition with othr typs of tsts my supplmnt t in trms of th rsults ury n rprouiility of tsks. Dsriptors: Working Mmory. Flui ntllign. Digit Spn. RAVEN Mtris. qeeg. [email protected] [email protected] [email protected] 282

284 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Using vio gms to omt hilhoo osity: n intgrtiv litrtur rviw Jéssi Dis, Chris Tis, Silvi Zm-Msrnhs Univrsi Frl São Crlos. São Crlos, Brsil ntroution: Chilhoo osity is on of th most srious puli hlth hllngs. Aoring to th Worl Hlth Orgniztion (WHO), on in thr hilrn g 5 to 9 yrs r ovrwight. Givn th inrs us of thnology y hilrn toy, it is liv tht th us of vio gms in progrm to omt hilhoo osity is powrful strtgy for hviorl hng, onsiring tht plying is prt of th routin of hilrn. Ojtiv: To intify sintifi stuis tht us vio gms to support th trtmnt n prvntion of hilhoo osity. Mthos: This is n ntgrtiv Litrtur Rviw. This mtho nls rsrhrs to summriz th pulish rsrh out th sujt of intrst. As ritri of inlusion it ws fin: rsrhs writtn in English or Portugus n of th lst 5 yrs ( ). Rsults: Th srh in th tss rsult in 281 stuis. All titls n strts wr r n 18 rsrhs wr lt for furthr nlysis. Th slt pprs wr lssifi into 2 tgoris oring to th stuy s fous: Srious gms or Exrgms. Conlusions: Aoring to th litrtur, th gms most frquntly us on strtgis to omt hilhoo osity wr srious gms n xrgms. Ths rsults monstrt tht th us of vio gms sms to rflt positivly on hilrn s hlth n to promot hviorl hng. t rinfors th n for grtr invstmnt in rsrh in this r. Dsriptors: Chil; Chil Nutrition. Nutrition Disorrs. Osity. Vio Gms. [email protected] [email protected] [email protected] Photoynmi thrpy in rtinolstom: Cll prolifrtion n oxitiv strss ffts R Tixo,, M Lrnjo,,, A Srr,, M Piñiro V,, M Arnts,,, C Gonçlvs V,f, J Cslt-Lops,g, A Srmnto-Riiro V,h, A Roh-Gonçlvs V,i, M Filomn Botlho,,j Uni Biofísi. Ful Miin. Univrsi Coimr. Coimr, Portugl Cntro nvstigção m Mio-Amint, Gnéti Onoiologi. Ful Miin. Univrsi Coimr. Coimr, Portugl Dprtmnto Engnhri Quími. Ful Ciênis Tnologi. Univrsi Coimr. Coimr, Portugl V Dprtmnto Quími. Ful Ciênis Tnologi. Univrsi Coimr. Coimr, Portugl V Biologi Molulr Apli Clíni Univrsitári Hmtologi. Ful Miin. Univrsi Coimr. Coimr, Portugl ntroution: Rtinolstom (RB) is th most ommon introulr iss in hilrn. Photoynmi thrpy (PDT) is non-mutgni trtmnt us in mulr gnrtion n might promising pproh to RB. Ojtiv: Evlut in vitro PDT nti-prolifrtiv ffts n protin ontnt ltrtions in th humn rtinolstom ll lin Y79 n vlut oxitiv strss ltrtions inu y PDT s on PS prviously vlop y us: romt hyroxyphnyl porphyrin, BBr2HPP, romt hyroxyphnyl hlorin, BBr2HPC, gluos tylt ompoun, BBr2H-PPGlu-OAC, n romt hyroxythyloxy porphyrin, BBr2HPP-O(CH2)2OH. Mthos: Y79 ll lin ws ultur in RPM mium with 15% FBS. Clls wr inut with svrl onntrtions of PS n irrit 24 hours ltr with totl nrgy of 10J. Hlf mximl inhiitory onntrtion (C50) ws lult 24 n 48 hours ftr irrition y MTT ssy. Protin ontnt ws vlut 24h ftr PDT with lls prviously inut with 25nM n 50nM for h PS. Flow ytomtry vlut rtiv oxygn spis n ru glutthion lvls (GSH). SOD tivity ws vlut using spifi kit. Rsults n Conlusions: MTT ssy shown PS ytotoxiity t low onntrtions n stimt C50 wr out 29nM for BBr2HPP, 20nM for BBr2HPC, 17nM for BBr2H-PPGlu-OAC n 9nM for BBr2HPP-O(CH2)2OH. PDT trtmnt inu n imln of proxis n suproxi nion, ssoit with rs xprssion of GSH. PDT trtmnt inu inrs SOD tivity 24h ftr PDT. PS show goo photoynmi proprtis. PDT trtmnt rs ll prolifrtion n protin ontnt in nnomolr rng trough ROS pnnt pthwy. PS hv shown grt potntil in vitro. n vivo n prlinil stuis will vlop. Dsriptors: Photoynmi Thrpy. Rtinolstom. Photosnsitizrs. Cytotoxiity. Rtiv Oxygn Spis. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] g [email protected] h [email protected] i [email protected] j [email protected] 283

285 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Photoynmi thrpy in rtinolstom: Effts in ll viility, ll yl n P53 R Tixo,, M Lrnjo,,, A Srr,, M Piñiro V,, M Arnts,,, C Gonçlvs V,f, J Cslt-Lops,g, A Srmnto-Riiro V,h, A Roh-Gonçlvs V,i, M Filomn Botlho,,j Uni Biofísi. Ful Miin. Univrsi Coimr. Coimr, Portugl Cntro nvstigção m Mio-Amint, Gnéti Onoiologi. Ful Miin. Univrsi Coimr. Coimr, Portugl Dprtmnto Engnhri Quími. Ful Ciênis Tnologi. Univrsi Coimr. Coimr, Portugl V Dprtmnto Quími. Ful Ciênis Tnologi. Univrsi Coimr. Coimr, Portugl V Biologi Molulr Apli Clíni. Univrsitári Hmtologi. Ful Miin. Univrsi Coimr. Coimr, Portugl ntroution: Rtinolstom (RB) is ommon tumor in hilrn. Ky trtmnts for RB r rio n hmothrpy ut ths trtmnts oul l to sonry noplsis. Photoynmi thrpy (PDT) riss s n pproh to RB sin it is us in mulr gnrtion n som nr. W vlop svrl photosnsitizrs (PS) with promising ytotoxi ffts. Ojtiv: To vlut typ of ll th, ll yl n p53 lvls ltrtions in vitro t rtinolstom ll lin Y79, ftr PDT s on group of PS vlop y us: romt hyroxyphnyl porphyrin, BBr2HPP, romt hyroxyphnyl hlorin, BBr2HPC n gluos tylt ompoun, BBr2HPPGlu-OAC n romt hyroxythyloxy porphyrin, BBr2HPP-O(CH2)2OH. Mthos: Y79 lls wr ultur in RPM mium with 15% FBS. Clls wr inut with onntrtions of 25, 50 n 100nM of PS n irrit 24 hours ltr with totl nrgy of 10J. Flow ytomtry ws prform to vlut ll viility n ltrtions in ll yl. p53 xprssion ws trmin y wstrn lot. Rsults: Flow ytomtry show tht PDT rs ll viility with inrs of initil poptosis, lt poptosis/ nrosis n nrosis. PDT inu rrst in S n G2/M phss pnnt of PDT trtmnt. Prliminry rsults of wstrn lot nlysis show inrs lvls of p53 in onntrtion-pnnt mnnr. Conlusions: PS show goo photoynmi proprtis. PS inu ll th in th rtinolstom lls minly y initil poptosis n lt poptosis/nrosis, orroort y inrs lvls of p53. PDT inu ll yl rrst in S n G2/M phss. Photosnsitizrs show grt potntil in vitro n in vivo n prlinil stuis will vlop. Dsriptors: Photoynmi Thrpy. Rtinolstom. Photosnsitizrs. Cytotoxiity. Rtiv Oxygn Spis. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] g [email protected] h [email protected] i [email protected] j [email protected] COMPARSON STUDY OF PROCEDURES FOR ASPRATON OF BOPSY SAMPLES Pul Mnonç,, Ctrin Miúo,, Din Litão, Esol Suprior Tnologi Sú Liso. Liso, Portugl nstituto Ptologi munologi Molulr. Univrsi o Porto. Porto, Portugl Ful Miin. Univrsi o Porto. Porto, Portugl ntroution: Th smpls otin from fin nl spirtion in liqui s ytology (FNAC) r oftn limit y sr llulrity ompr to th mount of olloi n prsn of loo. Aoringly, it ws importnt to tst ltrntiv thnil prours so s to mximiz th llulrity of h smpl. Ojtiv: To ompr th morphologil fturs n llulrity of th thr prours in th FNAC ytoignosis of th thyroi. Mthos: A totl of 31 ss wr h sujt to ll lok n ThinPrp prprtion s wll s routin smr. Th osrvtion n nlysis ws prform using n optil mirosop. Cytologil ignosis of h ll lok s ws ojtivly nlys for llulrity, prsn of kgroun n llulr prsrvtion. Eh smr n ThinPrp s ws nlys for th prsn or sn of lls. Th t ws nlys with Mirosoft Exl (Offi 2010) n SPSS (Sttistil Pkg of Soil Sin) vrsion 15.0 for Winows. Rsults: Of 31 ss, only 20 h thyroi lls in th ll lok n ThinPrp prprtions, howvr, ll smr ss ontin thyroi lls. Som kgroun ws foun in 30 Cll lok ss with only 5 of ths ontining wll prsrv lls for ytoignosis. Conlusions: As init y th rsults, smr is th most pproprit prour for FNAC of th thyroi. Dsriptors: Fin-nl spirtion. Thyroi. Cll lok. Smr. ThinPrp. [email protected] [email protected] [email protected] 284

286 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th ontriution of Clllok Histogl in ronhil wshing smpls Ctrin Ptrquim,, oln Mrtins,, Riro Mrqus,, Pul Mnonç,, Din Litão, Esol Suprior Tnologi Sú. nstituto Politénio Liso. Liso, Portugl nstituto Ptologi munologi Molulr. Univrsi o Porto. Porto, Portugl ntroution: Th lllok is thniqu tht nls th pthologist to stuy th morphologil til of rsiul smpls n n us whn it is nssry to prform itionl ignosti thniqus. Ojtiv: Dmonstrt th prossing of ronhil wshings in liqui s ytology to lllok using HistoGl in rsiul smpls, vluting th morphology n prsrvtion of ytologil mtril. Mthos: Thr wr us 40 rsiul smpls from ronhil wshings in liqui s ytology, ftr trmintion of th linil ignosis, ing m susquntly 40 llloks using HistoGl. For h lllok thr ws m on histologil stion for nlysis of ll morphology, whih ws susquntly stin with th routin histologil stining. Aftr mirosop osrvtion, th morphology ws vlut y 3 xprts in th fil of pthology, s on th prmtrs: Cllulrity, Prsrvtion n Bkgroun. Rsults: Th vrg finl sor of 3 vlutors, on sl of 0 to 100, in ssssing th morphology of th 40 smpls ws From th 40 histologil stions, 5 of thm wr onsir not vil for vlution. Conlusions: Th rsults otin init min qulity mintnn of morphology. Howvr, it is not tht in only 5 ss it ws not possil to trmin n vlution, knowing from th outst tht ths r rsiul smpls with vry snt llulrity. Thus, it is possil to sy tht th prossing of ronhil wshings to lllok using HistoGl ontriuts to onntrtion of th ytologil mtril, llowing its vlution n susqunt ignosis. Aitionl ignosti thniqus r shown qully vil in ths llloks. Dsriptors: Bronhil wshings. Clllok. Cll Morphology; Cytology. HistoGl. [email protected] [email protected] [email protected] [email protected] [email protected] Vrtrl Mtris: non-invsiv instrumnt tht vluts th spin An Trs Gri l,,, Gonçlo Mtus, Cláui Qursm,V, Pro Viir, Dprtmnto Físi. Ful Ciênis Tnologis. Univrsi Nov Liso. Cpri, Portugl Cntro Físi Atómi. Dprtmnto Físi. Ful Ciênis Tnologi. Univrsi Nov Liso. Cpri, Portugl Dprtmnto Sú. nstituto Politénio Bj. Bj, Portugl V Cntro Físi nvstigção Tnológi. Ful Ciênis Tnologi. Univrsi Nov Liso. Cpri, Portugl ntroution: Th stuy of th iomhnil hngs in th spinl olumn is prtiulrly importnt in morn soity, us thy r onsir th min rsponsil for rhilgi tiology. Currntly, riologi thniqus r th most ppli to prform this typ of stuy. Howvr thy hv mny limittions u to thir invsiv ntur. To f this prolm, non-invsiv thniqus must vlop. Ojtiv: Our min gol is to prsnt ompltly innovtiv vi - Vrtrl Mtris. Vrtrl Mtris is n instrumnt tht ims th glol vlution of th spinl olumn. Noninvsivly n smi-utomtilly, this img prossing s systm llows th msurmnt of th x, y n z positions of h spinous pross on stning position. Furthrmor, it ws improv in orr to provi th msurmnt of th thr-imnsionl position of th spul. Mthos: Using mr n lsr, th rognition is hiv with softwr pl of istinguishing prominnt mrks in th skin. Th msurmnt of th sptil position of h mrk is, thus, otin through prvious intifition with n qut lu mrkr. Rsults: Th rsults show tht th Vrtrl Mtris hs suffiint ury for th glol n simultnous nlysis of th spinl olumn n th shoulr girl, sin it ws l to quir th x, y n z oorints of h spinous pross n of spulr rfrns lot on h spul. This vi movs t n upwr vloity of 4.62 mm/s so tht h t quisition tks out two minuts. Conlusions: Vrtrl Mtris n ppli in iffrnt rs suh s orthopis, nurosurgry, pitris n rhilittion. Dsriptors: Spin. Spul. Mil Dvi. Noninvsiv. mg [email protected] 285

287 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hlth Promotion (HP) in nursing urriulum n lrning ontxts 1st n 2n yls Mª Crmo Figuiro,, José Amnoir, Esol Suprior Sú Uni nvstigção. nstituto Politénio Sntrém. Sntrém, Portugl Cntro nvstigção ntrisiplinr m Sú. Univrsi Ctóli Portugus. Portugl ntroution: Th HP is vlop in iffrnt ontxts. Hlth is xprin n onstrut y popl in h nvironmnt. Nursing urriulum (1st n 2n yl) shoul inorport th promotion of humn vlopmnt improving lif qulity of ll popl in th ommunity, using ynmi twn shool n nvironmnt. n this rsrh, nursing urriulum ontriuts to HP knowlg onstrution, prpring stunts s itizns in thir orgniztions n ommunitis (Th Emonton Chrtr, 2005). Ojtiv: To isuss th HP in nursing urriul. Th purpos is to uil thory out HP in nursing ution, with th nxt qustions: How is th moiliztion of knowlg y thrs on th HP in th sign, vlopmnt n urriulum vlution? Wht r th mnings ttriut to th lrning HP pross? Mthos: Cs stuy is mpiril in ntur, with intrst in th nlysis of urriulum vlopmnt projts, (Pont, 2006). W us multipl s stuy tht hlps to rinfor th finings of it (Yin, 2003). Th thniqus of t olltion wr: oumnt nlysis, prtiipnt osrvtion n thnogrphi intrviws (Sprly, 1980) to prou informtion with ivrsity n mk omprisons twn t, using th tringultion (Yin, 2003). Rsults: Th onpt of HP is not unrstoo s pross of mpowrmnt. Th nursing stunts r xprts on hviour hng n thy misintrprt HP spifi ontnt with ontnt from othr isiplins, g: r for th rsts, rstfing. Conlusions: w foun thrs knowlg ontriutions out HP to th urriulum onstrution n th mnings of stunts ithr s itizns or s nurss, uring its vlopmnt. Dsriptors: Hlth Promotion. Nursing ution. Curriulum. Cs stuy. Nursing i provi for fmilis of hilrn with lukmi Rorto Firpo, Lriss Crvlho, Kil Prir Univrsi Estul Ciênis Sú Algos. Algos, Brsil ntroution: For th proution of r to our, th us of th ivrs knowlg tht th hlth profssionl hs is nssry, rtiulting thir spifi omptn ors, with thir own rgivr imnsion. Thn, th pross of th nursing tm s work in ring for th hilrn with lukmi n th importn of r for th fmily tht xprins th ignosti n trtmnt of thir hil r onsir. Ojtiv: To nlyz th nursing i s hlth tions tht is provi to fmilis of hilrn with lukmi in Privt nstitution of Mió, in th prio of from Jnury to Otor Mthos: Dsriptiv, osrvtionl, xplortory stuy, with qulittiv pproh n us of n intrviw gui ppli to fmilis of hospitliz hilrn with lukmi. Th nlyz tgoris wr: oning, mpowrmnt n hosting. Rsults: On hlf of mpowrmnt, it ws not tht th nursing tm hs trs of pprohing th hilrn with littl ttntion to prpring fmilis for utonomy in ptint r. On hlf of hosting, it ws osrv tht th nurs h omplimnts on ling with ptints n fmilis n on th solving of prolms, howvr rgring th nursing tm this tivity ws lss vint. Th link twn th two prts ws hmpr y onstnt stff hngs in th iffrnt shifts. Conlusions: trs of ring mol wr noti y prt of th nursing stff, ut with ngtiv spts, hrming progrss in th t of ring for fmilis of hilrn with lukmi. Dsriptors: Lukmi. Fmily rltions. Nursing rgivrs; Chil. Empowrmnt. [email protected] [email protected] [email protected] [email protected] [email protected] 286

288 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth S/N Rtio on Prption of th Wor in Europn Portugus in Norml-Listnr Mri Luz Goinho,, Mrgri Srrno, Cntro Hospitlr Liri-Poml. Portugl Esol Suprior Tnologi Sú. nstituto Politénio Coimr. Coimr, Portugl ntroution: Th omplints of iffiulty in unrstning sph in iniviuls without hring loss r frqunt, so, th ssssmnt of ntrl uitory systm imposs itslf n is progrss in uiology linil. Ojtiv: Th im of this stuy ws to trmin th vlu of th signl-to-nois rtio tht nls th intlligiility of 70% in norml-hrrs with isylli lists for th Europn Portugus. Mthos: Wr vlut 40 iniviuls of Portugus ntionlity g twn 18 n 30 yrs. Th survy ws onut th sph tst in nois with whit nois in omptition, prsnt ipsiltrlly to rltion of min mssg (isylli)/omptitiv mssg in th following rltions: siln, +10 B, +15 B n +20 B from th fftivnss of nois so s to trmin th 70% sph intlligiility. Rsults: t ws foun tht to hiv 70% intlligiility signl-to-nois rtio of +20 B is rquir, n thr wr no sttistilly signifint iffrns twn rs (right/lft). Conlusions: W onlu tht for th smpl stui th signl-to-nois rtio for issylli in Europn Portugus is +20 B. Dsriptors: Cntrl uitory prossing. Auiology. Signl/nois rtio. Monurl low runny sph tsts. CogniPlus softwr s Ouptionl Thrpy juvnt in th trining of working mmory: n xprimntl singl sujt sign Jon Virgílio,, Sr Mrqus,, Sr Silv,, Jim Riiro,,,, Tigo Lino, Esol Suprior Sú Liri. nstituto Politénio Liri. Liri, Portugl Uni nvstigção m Sú. Cntro nvstigção nlusão Assiili m Ação. nstituto Politénio Lir. Liri, Portugl Diáti Tnologi n Formção Formors. Univrsi Aviro. Aviro, Portugl ntroution: Cognitiv rhilittion thnologis onstitut potntil rhilittion pproh in svrl spifi rs of ognition, in whih mmory is inlu. Ojtiv: Th im of th stuy is to trmin th usl rltionships of ognitiv rhilittion softwr CogniPlus on th trining of working mmory in singl s stuy. Mthos: Singl sujt stuy, xprimntl, rri out through 10 sssion trining protool with 4 working mmory omputriz trining progrms. Whn monitoring th progrm, th sujt ws vlut y th Whslr Mmory Sl (WMS) s pr n post tst. Rsults n Conlusions: Although it is not possil to gnrliz th rsults, msurl t trmin hngs in th mmory quotint (MQ) twn th ssssmnts (from 74 to 85 points). A thir vlution suggsts th n for ontinuing th intrvntion progrm for longr prio of tim. t is nssry prforming furthr stuis to ssss th fftivnss of this trining progrm in ouptionl prformn of iniviuls with mmory prolms of vrious tiologis. Dsriptors: Working Mmory. Mntl Prosss. Softwr. Computr-Assist Thrpy. Ouptionl Thrpy. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 287

289 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 524 Growth mol in mlnoyti skin lsions: gomtri look to skin pigmnt lsions An Mns,, Conição Noguir,,, Diogo Bptist,,, Jorg Prir V,, Rui Fons-Pinto,V, Esol Suprior Tnologi Gstão. nstituto Politénio Liri. Liri, Portugl Cntro Mtmáti. Univrsi o Minho. Brg, Portugl Cntro nvstigção m Mtmáti Apliçõs. Univrsi Évor. Évor, Portugl V nstituto Tlomuniçõs. Portugl ntroution: Mlnom is th skin nr most ngrous in humns. Erly ttion of suspiious skin lsions is ritil to prvnt this kin of illnss. mg prossing thniqus r n importnt tool in hlping this tsk in whih mthmtil mols n ply n importnt rol in mpping th progrssion of lsions. Ojtiv: n this work w prsnt n lgorithm to sri th volution of th orr of th skin lsion s on two min msurl mrkrs: th symmtry n th gomtri growth pth of th lsion. Mthos: Aftr pross of sgmnttion n img trtmnt in two rmtosopi imgs of th sm mlnoyti lsion otin t iffrnt momnts in tim w pply gomtri mtho tht involvs rottion of th lsion roun fix xis, to tt th st symmtry of h img, y molling n quntifying th hngs in lsions growth. Th finl rsult is s on plnr linr trnsformtions tht llows to intify irrgulr growth pttrns. Rsults n Conlusions: Th propos mthoology ws ppli in mlnoyti lsions showing iffrnt pttrns whn us in mlnoms n non-mlnoms. n th s of mlnom imgs th prmtrs of th mthmtil mol rvl n unvn growth y qurnt. Ths rsults prsnt goo prformn on tting n irrgulr growth Dsriptors: Digitl img skin prossing; Mlnom; Sgmnttion; Drmosopy; Linr trnsformtions. 525 Ptint Sfty in Pr-mputtion Communition Cinti Silv Fssrll,, Anrss Alin Brnro Buno,, Stphni Fonts Olivir,, Arin Frrir Silv, Univrsi o Grn Rio Profssor José Souz Hry. Rio Jniro, Brsil Hospitl Univrsitário Pro Ernsto. Univrsi o Esto o Rio Jniro. Rio Jniro, Brsil ntroution: Qulity of lor r hs om worlwi onrn us of th mgs rising from hlth r mngmnt ffting th ptint, fmily n hlth profssionls. n 2005, th Joint Commission ntrntionl fin six gols for ptint sfty, on is to improv th fftivnss of ommunition mong r profssionls. Ojtiv: ntify ommunition in th pr-mputtion phs from th prsptiv of ptint sfty. Mthos: Dsriptiv stuy with qulittiv pproh. Thirty ptints in spiliz hospitl in Rio Jniro, Brzil, nswr smi-strutur qustionnir. This stuy ws pprov y th Ethis Committ of th institution. Rsults: Two tgoris hv mrg s follows: Flings xprin in pr-mputtion prio : Th mjority of ptints rport riving proprtiv visit y th otor n nurs. Th flings xprin r ivrs, th most mntion wr fr of pin n nxity; Qulity of guin provi y th tm, oring to th ptint s vision : Th pis of informtion provi wr stisftory. Thy Rport th from to nswr qustions with nursing n sfty out to th prour, only on omplin out lk of ommunition. Conlusions: Although ptints onsir th lvl of informtion riv stisftory flings suh s fr n nxity oftn ppr suggsting th n for vlution, n implmnttion of msurs tht n stimult n improv ommunition n tmwork in orr to provi hlth r with fous on ptint sfty. Dsriptors: Amputtion; Ptint Sfty; Communition; Hlth Communition; Nursing. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 288

290 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 526 nstrumnt for Msuring Ptint Sfty Cultur in Nursing Cinti Silv Fssrll,, Mri o Céu Briri Figuiro,,Lolit Dopio Silv, Univrsi o Grn Rio Profssor José Souz Hry. Rio Jniro, Brsil Esol Suprior Enfrmgm o Porto. Porto, Portugl; Univrsi o Esto o Rio Jniro. Rio Jniro, Brsil ntroution: Survys on ptint sfty ultur (PSC) r still rrly implmnt in hospitls. Thy onsist of olltion of vlus, ttitus n hviors tht hrtriz n iniviul institution. This invlul instrumnt ims t ssssing spts of PSC in hospitls of oth ountris. Ojtiv: To ssss th Hospitl Survy on Ptint Sfty Cultur (HSOPSC) instrumnt of th Agny for Hlthr Rsrh n Qulity (AHRQ) in its Portugus n Brzilin Portugus vrsions, ftr rsptiv trnsltion, trns-ulturl pttion, n vlition y Eirs (2008) n Ris (2013). Mthos: Dsriptiv survy with qulittiv pproh. Ass to instrumnts ws givn with uthors u uthoriztion. Rsults: Both instrumnts vlut SC of h unit; hospitl; rsult vrils; mlprti; vnt notifition. Th oumnts onsist of 8 (Portugus) n 9 (Brzilin Portugus) stions, 42 itms n 12 tgoris. Both vrsions r prtilly th sm, with on iffrn osrv in stion H n th inlusion of stion in th Brzilin Portugus vrsion, rgring rsponnt intifition. Th instrumnt is wll known for rvling opportunitis to improv hlthr in hospitls. Conlusions: Thr r mny rsons to opt rlil n glolly implmnt instrumnt, n SC is on of th initors tht i mngrs to intify rs rquiring invstmnts. Th importn of ssssing PSC in Nursing is tht ths profssionls n hlp to intify prolm rs tht r ritil to riv improvmnts in ptint sfty initors. Dsriptors: Ptint Sfty Cultur; Ptint Sfty; Nursing; Hospitl; Qustionnir. 527 Autonomi nrvous systm ln: Clssi nlysis vrsus tim-frquny nlyzs Luís Bnto,, Rui Fons-Pinto,, Cntro Hospitlr Liso Cntrl. Liso, Portugl nstituto Tlomuniçõs. Liri, Portugl nstituto Politénio Liri. Liri, Portugl ntroution: Th utonomi nrvous systm ln is lssilly nlyz with th Fourir Trnsform, whih mns fiv minut prio of stl iologil signl. Th short vritions in iologil signl r impossil to nlyz with this mthoology lik thos who hppn in intnsiv r ptints. Ojtiv: This work ims to nlyz th iologil signl from intnsiv r ptints, in fiv minuts prios using lssi nlysis n with tim-frquny mthoology y Hilrt-Hung Trnsform (HHT). W lso intnt to us tim-frquny mthoology to tt utonomi rspons rlt to short tim vnts. Mthos: Th signl ws quir with Dtplor Softwr in n ntnsiv Cr Unit with 500 Hz rt. Th Fourir Trnsform ws nlyz with Kuios HRV Softwr n th Hilrt-Hung trnsform with prsonl pplition vlop in Mtl Softwr. Th rsults r xprss in Low Frquny/High Frquny rtio. Rsults: Glolly oth mthos h similr rsults in th multipls fiv minuts prios nlyz. Th Hilrt-Hung Trnsform hs th vntg of tting short vritions in iologil signl in intnsiv r ptints. Conlusions: Compring with lssi mthos, tim-frquny nlysis hs similr pity to tt th utonomi nrvous systm ln in long tim prio n hs th vntg of using instntnous frquny to vlut short tim vnts Dsriptors: Autonomi Nrvous Systm ln; Fourir Trnsform; Hilrt-Hung Trnsform. [email protected] [email protected] [email protected] [email protected] [email protected] 289

291 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 528 Chrtriztion n vlution of skin lsions using symoli ynmis Diogo Bptist,,, An Mns,, Conição Noguir,,, Jorg Prir V,, Rui Fons-Pinto,V, Esol Suprior Tnologi Gstão. nstituto Politénio Liri. Liri, Portugl Cntro nvstigção m Mtmáti Apliçõs. Univrsi Évor. Évor, Portugl Cntro Mtmáti. Univrsi o Minho. Brg, Portugl V nstituto Tlomuniçõs. Liri, Portugl ntroution: Erly lssifition of skin lsions in rmosopy is mjor hllng in whih th us of thnology omin with mthmtil thory is powrful. n prvious work w vlop n lgorithm to rmov rtifts suh s ir uls n hirs in rmosopi imgs, llowing for utomti n urt orr ttion in mlnoyti skin lsions. n this work, ftr xtrting n innr tim sris from th lsion orr, w us symoli ynmis to lssify orr growth. Ojtiv: Th min ojtiv of this work is to quntify orr lsion growth pth n volution shp, llowing y this wy th ftur growth xtrtion within iffrnt typs of rmosopi imgs. Mthos: Th mthoology uss th informtion otin from th orr, s tmporl sris, llowing th us of symoli ynmis to ompr n lssify iffrnt typ of mlnoyti lsions. Rsults n Conlusions: Th propos mthoology ws ppli in mlnoyti lsions showing iffrnt pttrn whn us in mlnoms n non-mlnoms. Th us of symoli squns to stuy this typ of lsions onstituts mjor inom, s y this wy is possil to xtrt msurl fturs n follow its hvior, voiing ommon prolms ssoit to numril rrors. Dsriptors: Drmosopy; Mlnom; Zro-mnnormliztion; Symoli squns; Rt Entropy. 529 Continuous Autonomi Nrvous Systm Evlution n nrtil Anlysis Dnil Jrn,, João Gil,, Frnno Mrtins,, Lino Frrir,,, Rui Fons-Pinto,, Esol Supirior Tnologi Gstão. nstituto Politénio Liri. Liri, Portugl nstituto Tlomuniçõs. Liri, Portugl ntroution: Autonomi Nrvous Systm (ANS) is ompos y two rnhs (Sympthti n Prsympthti Systms) working togthr to mintin innr homostsis in th oy. Th vlution of ANS is minly on within hospitl nvironmnt n limit to short prio of tim. To improv ignos of utonomi ysfuntions, th vlution out of linil ontxt in th y-lif ontxt is ruil tsk. Ojtiv: n this work w us lssil sptrl pproh to tt hngs in th Sympthovgl Bln (SVB) whos t wr otin uring long prios of th ylif tivity. Mthos: Clssil frquny nlysis using Fst Fourir Trnsform (FFT) ppli to Hrt Rt Vriility (HRV) is us to omput th low frquny ontnt (LF)/ high frquny ontnt (HF) inx, ssigning HF to th prsympthti systm n LF to Sympthti Systm. nrtil prmtrs using th lromtr s output wr lso xtrt to intify oy positions uring th tim prio unr nlysis. Rsults n Conlusions: SVB wr otin in iffrnt prios of th y n lso uring th slp, rvling onsistnt rsults with typil nswrs ssoit to utonomi mnuvrs/onitions (i.., post prnil prio, stning, isomtri ontrtion, Vlslv Mnuvr, t.). Th us of portl vi llows to otin long rors of linil rlvn, s this nls to stuy th Vry-Low Frquny n (VLF) in th sptrum. Dsriptors: Autonomi Nrvous Systm Evlution; Sympthovgl Bln; Sptrl Anlysis; nrtil Anlysis; Autonomi Signl Prossing. [email protected] [email protected] [email protected] [email protected] [email protected] @my.ipliri.pt @my.ipliri.pt [email protected] [email protected] [email protected] 290

292 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Univrsity of Aviro s Avn Voi Funtion Assssmnt Dtss (AVFAD) Luis M. T. Jsus nstitut of Eltronis n nformtis Enginring of Aviro. Esol Suprior Sú Univrsi Aviro. Univrsi Aviro. Aviro, Portugl ntroution: Th numr of ptints with voi isorrs hs n inrsing rmtilly ovr th lst. Aousti voi nlysis is n fftiv n non-invsiv tool tht n us to onfirm n initil ignosis n provi n ojtiv trmintion of th impirmnt. Ojtiv: With n inrsing onrn to improv th ssssmnt of voi for s mny Europn lngugs s possil, th first omplt n rprsnttiv Portugus pthologil voi ts is urrntly ing ollt. This ts will of hug signifin for voi liniins ssssmnt n for tsting n vloping innovtiv, utomt mthos n vis for voi nlysis. Mthos: nform onsnt from ll prtiipnts tht llows th us of this t in furthr stuis n y othrs rsrh groups in th fil of voi ssssmnt is nsur, llowing futur ooprtiv work. Th ts is istriut through th Avn Communition n Swllowing Assssmnt (ACSA) s.w.u.pt pltform. Rsults: This Portugus pthologil voi ts will provi ousti t from group of 500 pthologil n 500 ontrols voi sujts, ll mth iniviully for gnr n hronologil g. Hlthy ontrols r rruit from th Univrsity of Aviro stff n stunts, n vrious institutions tht prtiipt in th projt. Ptints r urrntly ing rruit t thr hospitls in Porto n Mtosinhos, n thir mil ignosis, soio-mogrphi n nthropomtri informtion rgistr. Conlusions: Dtss ollt y liniins will nl th intrprttion of utomtilly xtrt sriptors of th sph signl n l to th vlopmnt of mols for thir intrtion. Dsriptors: Voi Disorrs; Dtss; Aoustis; Assssmnt; Sph n Lngug Thrpy. [email protected] Aphsi Assssmnt y th Portugus Sph n Lngug Thrpists An Pris Ll,, Luis M. T. Jsus,,, An Alln Goms V,, Pro Sá-Couto V,, Mri Assunção Mtos,V, PN-Progrsso nfntil. Crvlos, Portugl; SPC, Liso, Portugl; Hospitis Privos Portugl Bovist. Porto, Portugl nstitut of Eltronis n nformtis Enginring of Aviro. Aviro, Portugl Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl V Dprtmnto Eução. Univrsi Aviro. Aviro, Portugl; VCntr for Rsrh n Dvlopmnt in Mthmtis n Applitions. Dprtmnto Mtmáti. Univrsi Aviro. Aviro, Portugl V Cntro Hospitlr Univrsitário Coimr. Coimr, Portugl ntroution: Rntly, thr hv n onsirl worlwi hngs in th wy sph n lngug thrpists (SLT) work with popl with phsi (PWA), n thrfor th wy its onsquns r ssss. Ojtiv: Th min gol of this stuy ws to sri how Portugus SLT urrntly ss n hrtris PWA. Mthos: A qustionnir ws onstrut to survy SLT opinions (N=59) out phsi, its onsquns, thir tul profssionl prti, ns, wishs n lvls of stisftion rlt to iffrnt xisting intrvntion pprohs n ssssmnt instrumnts. Rsults: Rsults show isstisftion towrs th vill phsi ssssmnt instrumnts for th Portugus popultion: 54/59 mntion tht ths wr not suffiint whil 58/59 mntion th n for nw ons. Th mjority of SLT hrtris phsi fousing on linguisti spts (83%), rognising, nvrthlss, its impt on ommunitionl lvls (26%). Thir linil prti ws mostly hrtris y th rhilittion mol n y fousing on th tivity lvl. Rgring thir ns in profssionl prti, SLT sm to vlu th soil mol s th most rlvnt, n thy onsir tht th PWA tiv prtiiption shoul th fous of intrvntion. Signifint iffrns twn thir urrnt prti vrsus thir ns in linil stting ros only for th soil mol (p<0.001). Conlusions: This isrpny suggsts tht th linil prti n th mngmnt of hlth srvis shoul inlu mor prinipls from th soil mol n th ntrntionl Clssifition of Funtioning, Disility n Hlth (CF),.g., tiv prtiiption n filittors. Thr is n urgnt n to vlop or to pt nw instrumnts to th Portugus ultur n rlity in phsi. Dsriptors: Aphsi; ssssmnt; CF; Sph n Lngug Thrpy; mols of hlth r srvis. [email protected] [email protected], [email protected] [email protected] [email protected] 291

293 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Chilrn s Auitory Prossing Prformn Sl: prnts vrsus thrs Grç Olivir,, An Pul Amrl., Mrgri Srrno, Cntro Hospitlr Univrsitário Coimr Auiologi. Coimr, Portugl Ciênis Complmntrs. Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Coimr, Portugl Auiologi, Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Coimr, Portugl ntroution: Chilrn s Auitory Prossing Prformn Sl (CHAPPS) n us to hlp intify hilrn who hv iffiulty hring u to hring loss or to intify hilrn who r t risk of hving isorrs of uitory prossing. Using this sl ims to ssss th prption of prnts/gurins n/or thrs rgring hring hil hviors in six listning onitions: nois, siln, il, multipl stimuli, uitory/squning mmory n uitory ttntion. Ojtiv: To invstigt th orrltion in th prformn ssssmnt of uitory hvior of hilrn twn prnts n thrs through th P-CHAPPS. Mthos: Th smpl onsist of 28 hilrn tht oth prnts n thrs mt sprtly, th P-CHAPPS. Rsults: A sttistilly signifint orrltion twn th rsponss of prnts n thrs in CHAPPS (0.606) n th su-sls whn listning in nois (0.473), il listning sitution (0.416), whn listning to multipl stimuli ws otin (0.422) n uitory mmory (0,673). Conlusions: W onlu tht th Portugus vrsion of CHAPPS hs mort orrltion in rsponss twn prnts n thrs, n ppli inisrimintly to prnts or thrs of hil, howvr, s rgrs th susls of th listning sitution in siln n uitory ttntion, th onlusions to rwn shoul wr tht th sl ws omplt y prnts or thrs, sin th orrltion otin ws vry low n not sttistilly signifint. Dsriptors: P-CHAPPS; Auitory Prossing; Hring Bhviors; Prnts; Thrs. A novl mtho for skin lsion sgmnttion using multi-sl Lol Normliztion Jorg Prir,, An Mns,, Conição Noguir,,, Diogo Bptist,V,, Rui Fons-Pinto,, nstituto Tlomuniçõs. Liri, Portugl Esol Suprior Tnologi Gstão. nstituto Politénio Liri. Liri, Portugl Cntro Mtmáti. Univrsi o Minho. Brg, Portugl V Cntro nvstigção m Mtmáti Apliçõs. Univrsi Évor. Évor, Portugl ntroution: Borrs sgmnttion is proly th most importnt pross for morphologil nlyzs of th skin lsions fturs. t provis th mjority of th rquir informtion n lso limints unsirl t, lik rtifts. A misl sgmnttion ompromiss ll th pross of ignosis, nhning thir importn. Ojtiv: Th min gol is to tt n sgmnt skin lsion orrs with novl mtho, for furthr nlyzs n linil prognosis. Mthos: Th whol mtho is s on th pplition of th Lol Normliztion, whih is silly n oprtion tht nhns lol ontrst twn lol pixls. Bing highly pnnt on th gussin krnl, this oprtion n us for iffrnt ojt sls n gols, simply y proportionlly moifying th Gussin sigm. Thrfor low sigms r ppli to tt n rmov smllr ojts lik rtifts n highr sigms to tt th skin lsion shp. Th finl rsult is provi y morphologil trtmnt to prou mor urt rsult n rmov finl rtifts lik rossing hirs. Rsults n Conlusions: This mtho prsnt vry promising rsults mthing rl orrs xpttions. t lso show grt roustnss ginst ommon rtifts lik ir uls n humn hirs, rmoving n ignoring thm. Th Lol normliztion prov to vry univrsl n suitl mtho for rmosopy img prossing. Dsriptors: Skin nr, orrs sgmnttion, rmosopy. [email protected] [email protected] [email protected] [email protected] [email protected] C [email protected] [email protected] [email protected] 292

294 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Lngug vlopmnt in hilrn with ohlr implnt Hln Alvs, Grç Olivir, Mris Alvs, Jorg Mrtins, Crlos Riiro, António Piv f Srviço Otorrinolringologi. Cntro Hospitlr Univrsitário Coimr. Coimr, Portugl ntroution: Whn prolms tht limit th hil s ommunition ility ris, th intrtion twn th hil n thos roun hr oms infftiv. Bus f or hr of hring hilrn r of priv of uitory input, thir ommunition ilitis n soil intrtion r iminish. This limittion my fft norml lngug vlopmnt. t s in ths ss tht ohlr implnts stn out its importn, nling ttr n mor pris souns prption, n promoting th linguisti n uitory ilitis vlopmnt for ths hilrn, spilly whn ohlr implnttion h ourr rly. Ojtiv: Chk th voulry quisition in hilrn with ohlr implnts, pning on thir hring g. Mthos: This stuy nlyz 100 nvntoris (nvntory on th Dvlopmnt of Communition - MCD - WS) omplt y prnts of hilrn implnt t th Dprtmnt of Otorhinolryngology, CHUC, EPE - CHC. Th MCD - WS is n invntory tht sks to hk lngug quisition twn 16 n 30 months of g. Th nlyz invntoris wr ivi into 4 groups oring to th hring g of th hil. Th group t wr nlyz n ompr. Rsults: Th hilrn who prou mor wors wr th ons who h us th implnt for longr prio of tim. Thr ws n inrsing voulry proportionl to th uitory g. Conlusions: Th rsults show tht thr is n inrs in voulry with inrsing th listning xprin of th hil n onsqunt xposur to orl vrl lngug. Dsriptors: Cohlr mplnt; Chilrn; Lngug; Hring Loss; Auitory Ailitis. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] Profil of Nursing rsrh in ntnsiv Thrpy on Brzilin Post-grution Cmil Sntos Pirs Lim,, An Cláui Olivir Btist,, Syonr Fátim Fri Bros,,, Gr Trsinh Mron Dl Ssso,,, Srin Gutrrs Silv,, Ciln Frnns Sors V,f, Griz Cristin Rios,g, Rnt Silv,h Grupo Psquis m Tnologis, nformçõs nformáti m Sú Enfrmgm. Univrsi Frl Snt Ctrin. Florinópolis, Brzil Dprtmnto Enfrmgm. Univrsi Frl Snt Ctrin. Florinópolis, Brzil Grupo Estuos no Cuio Pssos ns Situçõs Agus Sú. Univrsi Frl Snt Ctrin. Florinópolis, Brzil V Núlo Extnsão Psquis m Eução Populr Sú. Univrsi Frl Snt Ctrin. Florinópolis, Brzil ntroution: nrsingly oms to rguing out th qulity of hlth srvis n th implmnttion of vin-s st prtis. Thus, omining th prtil n sintifi knowlg it is ssntil to know tht nurss r rsrhing n th qulity of ths rsrhs. Ojtiv: To nlyz th rsrh in th r of intnsiv thrpy vlop in Post-grution progrms in Brzilin Nursing. Mthos: Doumntry stuy sriptiv n quntittiv. Th issrttions n thss vill hv n ss in th ts of th Coorintion of Prsonnl mprovmnt of highr lvl, vlop twn 2008 to nvstigt typ of rsrh, mthoology n fil rsrh, piting th profil of nursing rsrh in th fil of intnsiv r. Rsults: 144 stuis wr intifi, of ths 20 (14%) thss, 109 (76%) Ami issrttions of mi mstr n 15 (10%) profssionl issrttion mstr. As to th ntur of th rsrh, quntittiv stuis promint of sriptiv-xplortory typ. Th sujt srh mor inint ws th nurs. Th Southst rgion stoo out s th proution of stuis. Th sujts with th highst prvln wr: Worklo of nursing, Nursing r, nftion ontrol, Ptint sfty n Nursing ignosis. Conlusions: Th rsrh in th r of nursing in intnsiv r wr quntittiv, rri out mostly in th form of mi issrttions. W mphsiz th importn of rsrh using omintion of mthos. Th thms highlights th onrn of nurss with th spts rlt to th r n orgniztion of th r pross. W intifi point gps for th vlopmnt of nw rsrh th r of nursing in intnsiv r. Dsriptors: nursing; intnsiv r; nursing rsrh. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] h [email protected] 293

295 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Cntrl Auitory prossing vlution normtiv t for portugus pitri popultion Jorg Humrto Mrtins,, Mris Alvs, Susn Anr, Crlos Prir, António Tixir,, sl Flé,V,f Clini Otorrino & Auiologi. Liri, Portugl Dprtmnto Eltróni Tlomuniçõs. Univrsi Aviro. Univrsi Aviro. Aviro, Portugl Cntro Linguísti. Univrsi Liso. Liso, Portugl V Univrsi Art. Liso, Portugl ntroution: Th n for ntrl uitory prossing ssssmnt tools motivt th uthors to vlop ttry of tsts for this purpos. This ttry hs 6 tsts: SSW, Filtr Sph, Sph in Nois, Gp in Nois, Durtion Pttrn n Frquny Pttrn. To l to us th ttry for th ignosis of ntrl uitory prossing isorrs in th pitri popultion, it is importnt to vlut hilrn with norml vlopmnt. Ojtiv: To vlut hilrn with norml vlopmnt with th ntrl uitory prossing tst ttry. Mthos: An uiomtr n omputr with softwr spilly vlop for th tsting ws us in ths vlutions, tht wr onut in sounproof ooth. 216 hilrn twn 5 n 11 yrs wr vlut in 13 iffrnt lotions in Portugl. Th prtiipnts wr prviously vlut with tonl n sph uiomtry, impn n otoousti missions. Th tsts wr prsnt t 50 B SL; hlf of th prtiipnts strt th vlution with th right r n th othr hlf with th lft r, in orr to limint th lrning fft tht oul fft th rsults. Sttistil nlysis ws onut using SPSS 17. Rsults: Th rsults otin in th vlutions of hilrn with norml vlopmnt llow th finition of th xpt prformn for h g. Conlusions: Th tsts r qut for pitri vlution. Th rsults of th hilrn with norml vlopmnt r n importnt ontriution for th vlution of ntrl uitory prossing isorrs in Portugl. Dsriptors: ntrl uitory prossing; ssssmnt; uiology. Sop formultion with off grouns. A nw onpt of foo y-prouts vloriztion n hlth promotion Crl S. Silv, Bárr T. Cstro, Sérgio V.P. Brrir, An F. Vinh Ful Ciênis Sú. Univrsi Frnno Psso. Porto, Portugl ntroution: Coff is on of th most onsum rinks in th worl, n for this rson, tons of off grouns r gnrt vry y. Coff posssss svrl moluls with phrmologil tion; howvr th most importnt of ll is, inisputly, ffin xntin lkloi. Bsis ing molul with rogniz CNS stimulnt ffts, ffin is lso us in rmtologil formultions for osmti purpos s n tiv ompoun in nti-llulit prouts us it, supposly, prvnts th xssiv umultion of fts in lls. Th ontnt of ffin vris wily pning on th vritis of off n. During th prprtion of th off rink, not ll th ffin is xtrt from th grin so tht grouns still ontin signifint mounts of th ompoun. This mks th off grouns y-prout n intrsting sour of ffin for vrious pplitions. Ojtiv: Th min ojtiv of this work ws to quntify ffin ontnts in iffrnt off grouns vritis, in orr to vlop sop formultion with intnt to prvnt or ru th vlopmnt of llulit. Mthos: Hot quous xtrts wr prpr with frsh off grouns. Cffin ws quntifi y HPLC using nzoi i s intrnl stnr. Rsults: Diffrnt ffin ontnts wr intgrt in sop formultions onsiring off grouns vritis (C. ri; C. roust). Furthrmor, wr inorport soli off grouns to vlop nturl xfolints with positiv nfits to skin. Conlusions: t ws possil to prou sop from off grouns. Th sops xhiit lvls of ffin suffiint to hv nti-llulit tivity. Dsriptors: Coff grouns; Cffin; By-prouts vloriztion; HPLC; Sop formultion. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] 294

296 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Hir xtrtiv n miroil ontmintion in th surgil prprtion of niml skin Jun-Frnno Jiménz-Díz,, Crmlo Monzón- Morno,, Rorigo Chón-Frrr,, Binvni Roríguz-D-Vr,, Crl Jiménz-Roríguz,, Frniso-José Hrnánz-Mrtínz,f, Alxnr Rorigus,g Univrsi Ls Plms Grn Cnri. Ls Plms Grn Cnri, Spin Univrsi CEU Sn Plo. Mri, Spin Esol Enfrmgm Cruz Vrmlh. Olivir Azméis, Portugl ntroution: Th purpos of proprtiv skin prprtion is to rs miroil ontmintion. Tritionlly it hs n onsir tht mhnil xtrtion mthos wr mor ggrssiv for skin thn th hmil xtrtion. Ojtiv: Dtrmintion hir xtrtiv typology n miroil ontmintion in th surgil prprtion of skin in xprimntl niml. Mthos: Thy onut n xprimntl stuy of th impt of th xtrtion mthoology of hir t orsl lvl in whit rts, Sprgu Dwly strin, in orr to trmin miroil ontmintion n th miroil typ tht vlops in th skin. Animls wr ivi into four groups. Diffrnt hir rmovl thniqus wr ppli to h group: sissors, mnul shving, ltri shving n wxing rmtologist tst (Duo Prft, Vt). Smpls of skin using hysopo of h group of nimls wr tkn, thn s n sujt to triologil ultur in orr to trmin th numr n typ of olonis tht vlop, following th xtrtiv hir mthoology us. Rsults: Th us of n ltri shvr ws th lss ontminnt xtrtiv hir mtho with n vrg of 4,000 fu, follow y th us of mnul rzor with n vrg of hlf of 8,000 fu. Th us of sissors shows highr figurs (vrg of 22,000 fu) s wll s th piltory mtho (vrg of 53,000 fu). Th four hir xtrtion mthos us in our xprimnt wr minly ontmint y strins of oguls-ngtiv stphylooi. Conlusions: Hir xtrtiv mthoology os not hng th typ of miroil oloniztion of th skin ut its quntifition. As rsult, hmil mthos r mor ontminnt thn mhnil ons. Dsriptors: Hir; ontmintion; miro; surgry; skin. Hll Efft s ltrntiv systm for uppr prosthtis ontrol- prliminry tst Luís Rorigus, Arin Cvo Univrsi o Algrv. Portugl ntroution: Currntly uppr xtrmity prosthtis hv s ontrol systm myoltri n non myoltri ontrol. Non myoltri systms tn to lss xpnsiv ut osmtilly unppling n hv lss fftiv prformn. Ojtiv: Dvlop non xpnsiv ontrol systm s on Hll Efft n volum vrition of th rsiul musl for n fftiv ontrol systm. Mthos: n orr to rsrh n vlop nw ltrntiv for prosthti ontrol two snsors wr rt, whih nlyz th musl volum vrition in rlx/ontrt tion n wr tst on hlthy sujt, simulting th us of n uppr xtrmity prosthti -low low mputtion. A non mgnti mtril ws us so tht Hll Efft wsn t fft. Th ontt with th skin n m of ioomptil mtrils. Rsults: As prliminry tst, th rsults of th snsors ring on slt gonist n ntgonist musl rm show rptility n stility in 6 yls for h tion: ontrtion of gonist, ntgonist n rlx position. Conlusions: As onlusion this tst n only show th potntility of this typ of snsor, ing impossil to stt ny fftiv rsult. t ns justmnts in sltion of musl positioning n ns to tst on sttistilly rlvnt popultion to ssur n fftiv prformn. As futur prospts, th pplition of this systm in th popultion with mputtion, will llow tst n nsur th viility of th ontrol systm so tht th qulity of lif n wll-ing n gurnt n improv. Dsriptors: Prosthti Control systm; uppr xtrmity prosthtis; Hll Efft; Musl volum vrition. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] 295

297 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 540 Effts of inhl lvnr oil (Lvnul ngustifoli) in rspons to gittion in popl with mnti: intrvntion stuy Snr Alvs,, Luís Sá,, Ptríi Colho,, João Amo,, Mi Essx Hospitl. Chlmsfor, Unit Kingom nstituto Ciênis Sú. Univrsi Ctóli Portugus. Porto, Portugl Cntro nvstigção ntrisiplinr m Sú. nstituto Ciênis Sú. Univrsi Ctóli Portugus. Porto, Portugl ntroution: lvnr ssntil oil shows vin of stiv proprtis in nurophysiologil n niml stuis ut linil trils of its fftivnss s trtmnt of gittion in popl with mnti hv shown mix rsults. Ojtiv: w hypothsiz tht th romthrpy with inhl lvnr oil rus gitt hviour in ptint with mnti. Mthos: w livr lvnr oil (Lvnul ngustifoli) though n ltri iffusor in spifi rgimn (os- 5 to 10 rops; xposur tim -90 min n 180 min) to tn nursing hom rsints with mnti who h mnifst gitt hviour. Prtiipnts wr llot to 1 of 3 groups who ntr into qusi-xprimntl sign with nonquivlnt ontrol group. During six wks, th intrvntion ws monitor y th nursing stffs n th prsn or sn of trgt hviours wr ror n rt wkly using two sls: PAS (Pittsurgh Agittion Sl) n CMA (Cohn Mnsfil Agittion nvntory nvntory Cohn Mnsfil Agittion). Rsults: inhl lvnr oil ru th frquny of gitt hviours in ths prtiipnts in ll th rgimns xplor. Both sls h ruing in thirs sors; spilly CMA ws rs twn 9% n 29% n PAS twn 9% n 30% ftr th intrvntion. Conlusions: stuis of ssntil oils r onstrin y thir vril formultions n unrtin phrmokintis n so optiml osing n livry rgimns rmin spultiv. This stuy w livr inhl pur lvnr oil n th rsults show most ffiy in th trtmnt of gitt hviour in ptints with svr mnti. Dsriptors: mnti, romthrpy, lvnr oil, gittion. 541 NURSNG CARE N CONTROL OF NFECTON N NEWBORN NTENSVE CARE UNT: SYSTEMATC REVEW Tâni Alvs, An Cstro, Tin Riiro, Tomé Roh, Simão Vilç Univrsity of Minho. Minho, Portugl ntroution: Aoring to Worl Hlth Orgniztion, on in four hilrn in Nworn ntnsiv Cr Units hv n inrs risk of quiring inftions ssoit to hlth r, so it is priority for nurss to omt hilrn s morimortlity. Ojtiv: Gthr vill sintifi vin rgring nursing r in ontrol of inftion in Nworn ntnsiv Cr Units n intify pproprit prtis. Mthos: Thr ws no rstrition on th lngug n th pulition prio rfrs to th lst 10 yrs. Exprssion us in W of Knowlg S ts: ((ontrol AND inftion) AND ((Nont OR Nworn OR Prmtur* OR Nontl OR Prtrm) AND (Nontology OR Nontl ntnsiv Cr OR Nworn ntnsiv Cr Units OR NCU)) AND (NURS*). Rsults: From 214 rtils, 7 rtils wr ligil, ftr th implmnttion of th protool of systmti rviws of litrtur. Th inftion s ontrol in nworns pns on humn rsours, whih highlights vin from stuis rlt to th pproprit numr of nurss pr hil n spiliz tms in thtriztion (Shlonk t l, 2006; Rogowski t l, 2013). Hn hygin, propr n systmti monitoring n vlution of prours ssoit to thtriztion n th mngmnt of th nvironmnt in inutors liminting th prsn of potntilly pthogni ojts, oring to Song t l (2013), Grhm t l (2006), Chnonnt t l (2013) n Rginl t l (2009), rus nontl inftion. Conlusions: Profssionls hv rsponsiility to prvnt nonts inftion thrfor nursing intrvntions must gurnt th qulity n promotion of sf r. Dsriptors: Systmti Rviw; nftion ontrol; Nworn; Prmtur; Nontology. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 296

298 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 542 Univrsity of Aviro s Stnris Voi Cs History Form Mri João A. P. Frrir,, Luis M. T. Jsus,,, Pro Sá-Couto V,V,, Hln Vilrinho,V, Cntro Hospitlr o Méio Av. Vil Nov Fmlião, Portugl nstitut of Eltronis n nformtis Enginring of Aviro. Univrsi Aviro. Aviro, Portugl Esol Suprior Sú. Univrsi Aviro. Aviro, Portugl V Cntr for Rsrh n Dvlopmnt in Mthmtis n Applitions. Univrsi Aviro. Aviro, Portugl V Dprtmnto Mtmáti. Univrsi Aviro. Aviro, Portugl V Hospitl S. João. Porto, Portugl ntroution: Sph n Lngug Thrpists (SLTs) us iniviul n ivrs forms to rgistr th linil history of vol pthologis, whih hinrs ross-omprisons of ptints t. Ojtiv: Thus, this stuy sris th vlopmnt n vlition of voi s history form for th Portugus popultion. Mthos: Th instrumnt vlopmnt ws inform y n xtnsiv litrtur rviw of protools us y SLTs, n from rsults of n xprt pnl n pilot stuy. A smpl of 52 outptints from th Otolryngology Srvi of S. João Hospitl, Porto, Portugl, ws rruit. Thir s history t ws ollt using th protool. Rsults: A ftoril nlysis ws onut to xplor th numr of imnsions unrlying th 18 itms of th instrumnt. Thn intrnl onsistny ws msur using Cronh s lph. Finlly th impt of soio-mogrphi, ouptionl n ignosis (smpl hrtristis) on th rsulting ftors ws xplor using nlysis of vrin. Rsults rvl two ftors tht ount for 41% of th vrin: Ftor Svrity of th voi isorr (5 itms); Ftor ouptionl voi mns (3 itms). Cronh s lphs for ths two ftors wr n 0.650, rsptivly, whih init goo to high intrnl onsistny vlus. Anlysis of vrin rsults show, for Ftor no signifint iffrns, n for Ftor signifint iffrns for ouption (p=0.013) n ution lvl (p<0.001). Conlusions: Th nlysis of th two ftors ontriuts for n ojtiv n stnris voi s history, whih filitts omprisons ross ptints n linil sttings. Ths will hlp stlishing prioritis for intrvntions n nhn vin s prti in sph n lngug thrpy. Dsriptors: Voi Disorrs; Cs History Form; Sph n Lngug Thrpy; Ftoril Anlysis; ntrnl Consistny. [email protected] [email protected] [email protected] [email protected] 543 impact OF ionizing rition ON lymphoma CELL LNE -Cll Dth, x/l-2, P53 EXPRESSON Frnno Mns,,,, Tigo Sls,V,, Susnn Shugk,,V,, An Cristin Gonçlvs,V,, An Bl Srmnto,V,, Mri Filomn Botlho,,f, Mnul Sntos Ros V,g Uni Biofísi. Ful Miin. nstituto mgm Bioméi Ciênis Vi. Ful Miin. Univrsi Coimr. Coimr, Portugl Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Coimr, Portugl Cntro nvstigção m Mio Amint, Gnéti Onoiologi. Ful Miin. Univrsi Coimr. Coimr, Portugl V Ful Ciênis Tnologi. Univrsi Coimr. Coimr, Portugl V Shlgrnsk Amy. Univrsity of Gothnurg. Gothnurg, Swn V Biologi Molulr Apli Clíni Univrsitári Hmtologi. Ful Miin. Univrsi Coimr. Coimr, Portugl V nstituto munologi. Ful Miin. Univrsi Coimr. Coimr, Portugl ntroution: Diffus Lrg B-ll Lymphom (DLBCL) is iffus prolifrtion of lrg noplsti B lymphoi lls with nulr siz qul to or xing th norml mrophg nuli, rprsnting mor or lss 25% to 30% of th ss. Riothrpy (RT) lon or, mor frquntly, givn in ssoition with surgry n mil trtmnts is on option for DLBCL trtmnt. Ojtiv: Our im ws to vlut th rspons of DLBCL ftr X rition (RX) xposur Mthos: Th ssys wr prform on FARAGE lls xpos to RX. Cll survivl ws stui y lonogni ssy. BAX/BCL-2 n ll th wr vlut y flow ytomtry, P53 xprssion y Wstrn-Blot, ftr n inution prio of 48 hours. Rsults: Our rsults suggst tht RX inus viility n prolifrtion rsing in os n tim pnnt mnnr. Th LD50 lult for this ll lin ws 2.2Gy. Th mjority of lls unrgo poptosis lthough n inrs of nrosis ws osrv t 60 Gy. W osrv n rrstmnt of ll yl t G2/M phs. Furthr, w foun grtr BAX/BCL-2 rtio in lls sumitt to RX. P53 xprssion inrss with rition oss. Conlusions: Aoring to our rsults, RX inus ll th minly y poptosis, highr oss s 60Gy prsnt lso signifint nrosis, rrsting ll yl in G2/M phs mostly. Th inrs of BAX/BCL2 rtio my init tivtion of intrinsi poptosis pthwy vi mitohonri. Dsriptors: Diffus lrg B-ll lymphom; onizing rition, ll th, P53, BAX/BCL-2. [email protected] [email protected] [email protected]@gmil.om [email protected] f [email protected] g [email protected] 297

299 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth onizing rition inu DNA mg n ll yl rrst in lung nr ll lin Frnno Mns,,,, Tigo Sls,V,, Susnn Shugk,,V,, An Cristin Gonçlvs,V,, An Bl Srmnto,V,,Mri Filomn Botlho,,f, Mnul Sntos Ros V,g Uni Biofísi. Ful Miin. nstituto mgm Bioméi Ciênis Vi. Ful Miin. Univrsi Coimr. Coimr, Portugl Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Coimr, Portugl Cntro nvstigção m Mio Amint, Gnéti Onoiologi. Ful Miin. Univrsi Coimr. Coimr, Portugl V Ful Ciênis Tnologi. Univrsi Coimr. Coimr, Portugl V Shlgrnsk Amy. Univrsity of Gothnurg. Gothnurg, Swn V Biologi Molulr Apli Clíni Univrsitári Hmtologi. Ful Miin. Univrsi Coimr. Coimr, Portugl V nstituto munologi. Ful Miin. Univrsi Coimr. Coimr, Portugl ntroution: Riothrpy is on of th most ommon trtmnts to ly tumor progrss. onizing Rition (R) my inu DNA mg n ll yl rrstmnt. Aftr th tivtion of ll yl hkpoints th progrssion of lls to th nxt phs n lok or slow. Ojtiv: Our im ws to vlut th rspons of Smll Cll Lung Cnr ll lin (H69) ftr X rition (RX) xposur. Mthos: Th ssys wr prform on H69 lls xpos to RX oss from 0.5 to 60Gy. Cll survivl ws stui y lonogni ssy, plt immitly ftr rition n inut for 7 ys. Th fft of RX ws stui ftr 48 hours inution prio using for ll yl nlysis flow ytomtry n for DNA mg th omt ssy. Rsults: Our lonogni rsults suggst tht th survivl ftor of lls rss with th inrs of R os, hving this ll lin LD50 of 5,2 Gy. W osrv n rrstmnt of ll yl in G2/M phs with signifin in os pnnt mnnr. Comt ssy onfirm th prvious rsults with n inrs of DNA mg t highr oss. Conlusions: High oss R rss th survivl lls with LD50 of 5.2 Gy, with ll yl rrstmnt in G2/M phs, showing n DNA mg inrs with os. Dsriptors: Riothrpy; Smll Cll Lung Cnr; Cll yl, DNA mg. [email protected] [email protected]@gmil.om [email protected] [email protected] f [email protected] g [email protected] Riothrpy in Lymphom n Lung Cnr ptints - TNF-Alph lvls n T Cll susts Frnno Mns,,,, nês Nor Gois V,, Cáti Domingus V,, Vr Alvs V,, An Bl Srmnto,V,, Mri Filomn Botlho,V,f, Mnul Sntos Ros V,g nstituto mgm Bioméi Ciênis Vi. Ful Miin. Univrsi Coimr. Coimr, Portugl Esol Suprior Tnologi Sú Coimr. nstituto Politénio Coimr. Coimr, Portugl Cntro nvstigção m Mio Amint, Gnéti Onoiologi. Ful Miin. Univrsi Coimr. Coimr, Portugl V Dprtmnto Rição Onolológi. Cntro Hospitlr Univrsitário Coimr. Coimr, Portugl V Biologi Molulr Apli Clíni Univrsitári Hmtologi. Ful Miin. Univrsi Coimr. Coimr, Portugl V nstituto munologi. Ful Miin. Univrsi Coimr. Coimr, Portugl ntroution: Riothrpy (RT) inus inflmmtion, whih rsults in ytokin onntrtion vrition, ling to iffrnt outoms in trtmnt. T lymphoyts r importnt ytokin prours. Ojtiv: Th im of this stuy ws to vlut TNF-α lvl, Trgs n othr T ll susts, in Diffus Lrg B Cll Lymphom (DLBCL) n Non-Smll Cll Lung Cnr (NSCLC) ptints uring RT. Mthos: Ptints (11 DLBCL n 13 NSCLC) wr stui immitly for RT (T0), hlf-trtmnt (T1) n 30 ys ftr th n of trtmnt (T2), loo smpls wr nlyz y flow ytomtry for CD3, CD4, CD8, CD19, CD56, CD25, CD127, FoxP3, CD31 n CD45RA xprssion n to vlut TNF-α lvls n immunossy (ELSA) ws prform. Th stuy ws pprov y th Ethil Committ. Rsults: Both groups stui show rs in CD4+ T lls, with signifin in NSCLC ptints. B lls rs uring trtmnt, from T0 to T1 in oth groups, ut rovr signifintly only in NSCLC t T2. CD4+CD25rightCD127imFoxP3+lls wr inrs in oth groups, lthough only signifintly in NSCLC. At T2, CD45RA+CD31-Trgs prsnt istint hvior in oth groups inrsing in DLBCL n rsing in NSCLC, lthough not sttistilly signifint. Thr ws n inrs in TNF-αlvl in NSCLC ptints from T0 to T1 rsing t T2, whil in DLBCL w osrv ontinuous inrs in TNF-α lvl from T0 to T2. Conlusions: n NSCLC ptints w osrv signifint hngs in Trgs, going togthr with non-signifint ltrtions of NK n DN T lls s wll s in TNF-α lvl ftr RT. Dsriptors: Riothrpy, Diffus Lrg B Cll Lymphom, Non-Smll Cll Lung Cnr, TNF-Alf, T lls. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 298

300 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 546 Constrution n vlition of instrumnts for systmtiztion of nursing r in prson uring hmoilysis Tis D Olivir Mrqus,, Cristin Arrguy-Sn,, Luin Crnvl Souz,, Luin Muniz Brg,, Pro Migul Sntos Diniz Prrir, Ful Enfrmgm. Univrsi Frl Juiz For. Juiz For, Brzil Univrsi Frl Viços. Viços, Brzil Esol Suprior Enfrmgm Coimr. Coimr, Portugl ntroution: Popl on hmoilysis xprin strssors from th iss, trtmnt, intrprsonl intrtion n hmoilysis nvironmnt. Gps on mols of nursing r for popl on hmoilysis justifi this rsrh. Ojtiv: Crting n instrumnt for historil nursing using Numn s thory, justing th instrumnt to rors of ignosti, intrvntions n outoms nursing n vlit th ontnts (informtion n linil rsoning). Mthos: Stuy s in rnl rplmnt thrpy unit of Brzilin hospitl. Bnhmrks wr opt: Counil Rsolutions Nursing n txonomis ignosis (NANDA ), intrvntions (NC), n nursing outoms (NOC). Rsults: Stps: prprtion of onstruts n print oumnts for linil prti of nurss; vlition of ontnt, lyout n onsistny of print for th profil of th lintl; pplying print in thr istint profils of popl in trtmnt n linil vlition with xprtis using th fous group thniqu. Thr ws onsnsus mong th informtion riv from th pplition of print n th opinion of xprts rgring th ontnts otin. Th finl vrsion of th rports llow to onfirm 14 ignoss, 15 intrvntions n 13 nursing outoms prsnt in rly print portry from th sitution of th thr ss invstigt. Sp n ontnt wr ronil in two shts (t olltion n on list of ignoss n intrvntions/outoms lswhr). Conlusions: This rsrh provi n opportunity to vlop skills n hits of min ontin in th profil whn nurss pply linil rsoning. F with th impossiility of rjting th originl ignoss it is suggst to inrs th numr of prtiipnts in linil rsrh n onfirmtion with xprts in th fil. Dsriptors: Nursing; Nursing Cr; Chroni Rnl Filur; Nursing pross. 547 Molling Softwr for Qulittiv n Quntittiv Anlysis of Orophryngl Swllowing y Viofluorosopy Ai Eur Silv,, Riro Jorg Sntos,, Migul Tvrs Coimr,, Rort Gonçlvs Silv V, Ful Miin. Univrsi o Porto. Porto, Portugl Hospitl Privo Trof. Trof, Portugl Dprtmnto Ciênis Computção. Ful Ciênis. Univrsi o Porto. Porto, Portugl V Dprtmnto Fonouiologi. Univrsi Estul Pulist Júlio Msquit Filho. Mríli, Brzil ntroution: Swllowing it s ynmi, omplx n synrgisti pross, ompos of thr phss with rfin nuromotor ontrol. A mlfuntion of this pross, nomint ysphsi, n our in ny g lik rsult of ongnitl, struturl, funtionl n/or mil prolms. Th quntittiv nlysis of this pross is ruil to unrstn th tmporl rltions twn th mhnisms of th orophryngl glutition. Ojtiv: Dsign softwr to support th qulittiv n quntittiv nlysis of swllowing through ynmi imgs otin y viofluorosopy. Mthos: Th mthoology us ws ivi in two phss. Th first phs ws survy of rquirmnts onsisting in rsrh protool for ssssing ysphgi y viofluorosopy. n son phs wr us st prtis in humn-omputr intrtion to sign onptul mol for th propos softwr. Rsults: Two protools for th ssssmnt of ysphgi y viofluorosopy wr slt, th Protool of Boston n th protool us in th Hospitl Privo Trof. Ths protools llow th intifition of svrl vnts tht r vlut in th swllowing pross n tht n ror, msur n quntifi uring ingstion of th olus. Th son phs rsult in onptul mol for n intrtiv systm moying th vlution protool slt n ontmplts th intgrtion of utomti lgorithms for qulittiv n quntittiv vlution of th prmtrs of swllowing. Conlusions: Th propos softwr mol hs high potntil to usful tool for ssssing prmtrs of swllowing. Dsriptors: Swllowing; Viofluorosopy Evlution; Softwr; Quntittiv Anlysis. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 299

301 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Disrimintion in profssionl musiins n non musiins Cáti Antuns, Cláui Ris Esol Suprior Tnologi Sú Coimr. Coimr, Portugl ntroution: Th hring is omplx snsory funtion n involvs pross tht ours throughout th uitory systm. Ojtiv: This projt ims to stuy th ognitiv vlopmnt of musiins (lrintists n onutors), through th prosss involv th ttion of iffrnt stimuli tht prsnt prigm ntr on iffrns in urtion, frquny n intnsity, nlyzing th ltny n mplitu of th wvs of Mismth Ngtivity (MMN), ptur, n lso unrstn if th wv rsults is qul for th iffrnt stimuli prsnt. Mthos: Aftr th prtiipnts wr inform out th stuy ojtiv n th fulfillmnt of inlusion ftors, n Otosopy, Timpnomtry, srh irwy with limit mtho on frqunis 125, 250, 500, 1000, 2000, 4000 n 8000Hz. BERA ws tst t 90B SPL n th long ltny potntil MMN ws prform on vry ptint. To hiv th MMN, two stimuli wr rquir, whr on ws stnr n th othr ws vint. W hoos two frqunis of 440 n 540 Hz, urtions of 300 n 250 ms n intnsitis of 70 n 50 B, mking pirs. Rsults: Th rsults init ttr isrimintion in musiins ompr with non-musiins, howvr, th rsults wr not sttistilly signifint. Conlusions: Th stuy of this potnil im to ontriut to th inrs xisting knowlg out ongnitiv vlopmnt of musiins (lrintists n onutors) n non musiins. Howvr, som ontrovrsy still xist twn uthors tht n lrifi with furthr rsrh in this r. Dsriptors: Disrimintion, Musiins, Auitory Brinstm Rspons (ABR), Mismth Ngtivity (MMN), Evnt Rlt Potntils. Hzr Anlysis n Critil Control Points (HACCP): still puli hlth fftiv tool? Rit Crvião, Mrgri Luz, Bruno Mns, Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl Grupo Gstão Quli Estrtégi m Sú. Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl ntroution: Th EU gri-foo stor is urrntly 750 illion/yr inustry, with th foo surity s Puli Hlth ky issu u to th irt impt tht it gnrts on th onsumr until th inirt ffts on th onomy n omptitivnss of ompnis. Thr r prmptiv tools for stlishing qulity ontrol n qulity ssurn, suh s HACCP, whih hs sussful kgroun in its implmnttion n prformn. As w know, volution is lso orrlt with th optimiztion n rplition of susss. Ojtiv: n this sns, our prioritis n gols r th ssssmnt of th iffrntil vlu of HACCP, th omprison with othr tools n possil pplition of its prinipls to othr hlth inustris. Mthos: Th nlysis onsists in rtrosptiv rossstuy s on sintifi, finnil, sttistil n rgultory t. Ths wr pross y strtgi n logistil instrumnt, th SWOT (Strngths, Wknsss, Opportunitis, Thrts), sustin in intrinsi n xtrinsi ftors, n rvling wht n mk-or-rk this hin. Rsults: Th SWOT nlysis trmin tht puli hlth ftors only ount for 53,3% of HACCP strngths n for 20% of opportunitis. Th rmin vlu s wll s 100% of th wknsss n 66,7% of thrts r orrlt with mngmnt, onomi n mrkt-rlt ftors. Conlusions: Dspit its strutur hlth-orint, th nlysis monstrt tht urrntly th HACCP sustins its opportunitis n hllngs in th mrkt ontxt. ts pplition to othr inustris still hv rsiul xprssion, ut its projtion into th futur will pn of vrstility. Dsriptors: nustry; Thnology; HACCP; Hlth; Mrkt. [email protected] [email protected] [email protected] 300

302 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 550 Clinil trils of loo-orn n vtor-orn isss: An Europn ross-nlysis Rqul Mns, Bruno Mns, Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl Grupo Gstão Quli Estrtégi m Sú. Esol Ciênis Tnologis Sú. Univrsi Lusófon Humnis Tnologis. Liso, Portugl ntroution: A gnrl prinipl of miins vlopmnt n prsnt in th ntrntionl Confrn on Hrmonistion of thnil rquirmnts for rgistrtion of phrmutils is tht Ptints ntring linil trils shoul rsonly rprsnttiv of th popultion tht will ltr trt y th rug sin ths popultions my rspon iffrntly to givn trtmnt, prtiulrly u to g n phrmokinti-rlt ftors. Ojtiv: Rgring its insuffiint stuy, our gol is to vlut th rltionship twn pthologil inin, mogrphis n trils. Mthos: Evlution of 1486 singl n multintr trils onut in Europ twn , rlt to looorn (BB) or vtor-orn inftions (VB). Exmintion of th rport ss of ths pthologis, onsiring th thr g groups with th highst inin. Rsults strutur: inin vrsus pthology; pthologil inin vrsus trils; trils vrsus mogrphis. Rsults: Rgring th pthologis, 6 of th 9 BB n VB prsnt 1 of th 3 g groups with highst inin unrrprsnt in trils. Similrly, 1 of th 9 inftions shows n unrrprsnttion of mn, not rflting th sm for womn. Th group furthr not th lk of proportionlity twn pthologil inin n th numr of trils omplish n in omplishmnt. For BB, 83.8% of rport ss orrspon to 1% of th trils n th rmining 16.2% of ss to 99% of trils. Th sm wsn t ppoint for VB, in whih 80.6% n 19.4% of ss orrspon rsptivly to 81.3% n 18.7% of th trils. Conlusions: Th non-orinttion y quity prinipls l to low qulity of linil rsrh n phrmutils. Dsriptors: Europ; Phrmutils; Trils; Qulity; Equity. 551 Extrusion Prosss to Frit Biogrl 3D Sffols for Tissu Enginring Tâni Vin,, Sr Bisi,, Hnriqu Almi,, Pulo Bártolo,,, Cntr for Rpi n Sustinl Prout Dvlopmnt. nstituto Politénio Liri. Liri, Portugl Shool of Mhnil, Civil n Arosp Enginring. Univrsity of Mnhstr. Mnhstr, Unit Kingom Mnhstr nstitut of Biothnology. Univrsity of Mnhstr. Mnhstr, Unit Kingom ntroution: Tissu Enginring (TE) is n mrging intrisiplinry fil tht pplis iologil n nginring prinipls to vlop iologil sustituts tht rstor, mintin or improv tissu funtion. Th iggst hllng in TE lis in th sign n frition of iogrl 3D sffols with proprtis tht promot ll hsion n prolifrtion. Aitiv mnufturing prosss hv n invstigt for th vlopmnt of sffols. Among thm, th xtrusion pross hs ttrt signifint ttntion u to th possiility of friting 3D sffols lyry-lyr with high ontrol of pross prmtrs. Ojtiv: n th prsnt work ws us nw xtrusion systms vlop on Cntr for Rpi n Sustin Prout Dvlopmnt, whih frit 3D sffols for TE pplitions. Mthos: Ths systms r s on th xtrusion of thin filmnts from moltn mtrils tht psss through nozzl gui y rooti vi ontroll y omputr, n posit in pltform forming lyrs of strns to otin th 3D ojt. Ths xtrusion s systms hv n us to prou sffols with iffrnt porositis n gomtris n svrl mtrils, suh s PCL, PCL/ HA, PCL/TCP, PCL/Grphn n PCL/PLA. Rsults n Conlusions: Morphologil, hmil n iologil nlyss prform on th sffols rvl tht xtrusion systms hv potntil to prou rgulr struturs with high lvl of ontrol ovr th rhittur, without gnrting signifint hmil n ioomptiility hngs of th mtril. Th xtrusion thniqu hs high potntil to prou sffols with struturl n hmil us whih nls ll tivity n tissu growth. Dsriptors: Biofrition; Biomtrils; Extrusion; Sffols; Tissu Enginring. [email protected] [email protected] [email protected] [email protected] [email protected] 301

303 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Biomhnil Anlysis of th Crtilg Dino Frits,, Hnriqu Almi,, Pulo Bártolo,,, Cntr for Rpi n Sustinl Prout Dvlopmnt. nstituto Politénio Liri. Liri, Portugl Shool of Mhnil, Civil n Arosp Enginring. Univrsity of Mnhstr. Mnhstr, Unit Kingom Mnhstr nstitut of Biothnology. Univrsity of Mnhstr. Mnhstr, Unit Kingom ntroution: Th inrsing numr of injuris n isss ffting rtilg hs somhow ontriut to th growth of rnt stuis. For ths rsons, th stuy of rtilg hs n ssum s n mrging fil of tissu nginring us of th onstnt srh for solutions to rpir n rgnrt rtilg, whih mks it highly importnt to hrtriz n stuy th hviour of rtilg. Ojtiv: To rogniz th inhrnt hrtristis of rtiulr rtilg, omprison tsting ws prform twn th hrtriztions rri out in swin rtilg, n th xisting finit lmnt mols of hyprlstiity, using 3D mol of rtilg. Mthos: Tn smpls of rtilg from th tulr vity of th hip joint from 5 iffrnt pigs out th sm g wr hrtriz. Th wtr ontnt hrtriztion of th rtilg ws trmin on th sis of wight loss. Th rtilg ws th from th suhonrl on for this nlysis n smpls of 15x15xt (mm) wr m, ing t th thiknss tht vris through th pth twn th thr lyrs tht hrtriz th rtilg. Th nlysis took 9h t tmprtur of 37ºC n msur vry 30 min. Th rtilg smpls lost out 77% of thir wight in wtr n w otin rltion twn tim n th wtr loss ontnt. Rsults n Conlusions: With this rltion, th porosity of th rtilg long with th lstiity moulus ws lult n thn omputtionl simultions with 5 iffrnt hyprlsti mols wr prform, ing th Arru-Boy th most urt, otining iomhnil hviour vry similr to rl rtilg. Dsriptors: Crtilg Tissu; Biomhnil Bhviour; Artiulr Crtilg; Hyprlsti; Tissu Enginring. [email protected] [email protected] [email protected] Dvlopmnt of omputtionl tool for hrtriztion of thrml imgs in mil pplitions An Durt,, Luís Crrão,,, Mrgri Espnh,, Tâni Vin V,, Dino Frits V,, Pulo Bártolo V,V,V,f, Hnriqu Almi,V,g, Pul Fri,V,h Esol Suprior Tnologi Gstão. nstituto Politénio Liri. Liri, Portugl Dsporto Sú. Ful Motrii Humn. Univrsi Liso. Liso, Portugl Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl V Cntr for Rpi n Sustinl Prout Dvlopmnt. nstituto Politénio Liri. Liri, Portugl V Shool of Mhnil, Civil n Arosp Enginring. Univrsity of Mnhstr. Mnhstr, Unit Kingom V Mnhstr nstitut of Biothnology. Univrsity of Mnhstr. Mnhstr, Unit Kingom ntroution: Miin is onstntly volving n looking for non-invsiv, sfr ignostis n thrputi thniqus. Mil thrmogrphy is ing us mor oftn, minly, in th ttion of rtin isss in rst srning, lso in llrgology n pin. Commril thrmogrphy softwr hs som limittions us it is vlop for gnrl pplitions. n this work w vlop n pplition tht mks th nlysis of thrml imgs mor ssil to th mil ommunity. Ojtiv: Th min gol of this rsrh is to vlop usr frinly omputtionl pplition tht filitts th intrprttion of thrml imgs. Strting y isolting Rgions of ntrst (ROs), importnt t n otin. Tmprtur n intrprt n rlt to possil normlitis, suh s lsions or pin istriution. Tritionl thrml prossing softwr llows th intifition of ROs shps with rtngulr or llipsoil forms. As iologil ROs on t hv rgulr shps, softwr pl of prossing ny kin of RO shp will improv ignosti n thrputi thniqus. Mthos: Th thrml imgs pplition ws rt using Mtl n llows th usr to slt ny RO, inpnntly of its gomtri shp. A funtionlity tht optimizs th hosn rgion, rmoving rs tht on t hv ny rlvnt sttisti t ws lso. Rsults n Conlusions: Aftr RO s intifition, som sttistil msurs (suh s mximum, minimum, vrg tmprtur vlus) n omprisons of iffrnt rgions with th i of histogrms or tls my prsnt. Dsriptors: Thrmogrphy; Boy ht; Thrml mgs; Dignosis; Thrputi Thniqus @my.ipliri.pt [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] h [email protected] 302

304 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth mplmnttion projt of inftion prvntion unl rlt to ntrl vnous thtr An Filip Silv Lit, Tlm Mrgri Colho Lops, An Trs N. Silv Prir, João Pro Goms Pros, Vn Cristin Lops Frrir, Mrt Slomé F. Lournço f Hospitl Snt Mri. Liso, Portugl ntroution: 80% of trmi n fungmi our in th hospitl stting, whr th prsn of ntrl vnous thtr (CVC) is th most ommon sour. Th Hmtology/ Onology srvis n ntnsiv Cr Units r thos with highr frquny of nosoomil loostrm inftions (nbs) inrsing th tim n osts of intrnmnt. Th pimiologil survilln rport of th unit whr w provi r inits tht in 2011 thr wr 41 pisos of nbs, 87.8% of unknown origin n 4.9% originting from th CVC. n 90.2% of nbs ss, th CVC ws n xtrnl risk ftor. n orr to prvnt inftions ssoit with CVC, litrtur rommns th option of unls y th srvis. Thus, th uthors hv onsir urgnt to implmnt unl. Ojtiv: To ru th numr of inftions ssoit with CVC. Mthos: rviw of th litrtur; rsrh for protools in th institution; mting with ommitt ontrol of hospitl inftion; vlopmnt of tion protools; sltion of goo prti to inlu in th unl; onuting trining tivitis; osrvtion of knowlg trnsfrn to prti n nlysis of nbs numrs uring th 6 months ftr th unl implmnttion. Rsults: Aftr implmnttion of th unl thr wr 16 pisos of nbs, lss 10 thn th prvious yr, orrsponing to hng of -38% of pisos ourr. Conlusions: Dspit th omplxity of th implmnttion of th unl, th ommitmnt of ll profssionls ws ruil to th suss of th projt, rsulting in signifint rution in th numr of nbs. Dsriptors: nosoomil loostrm inftion, unl, ntrl vnous thtr. Evolution of pnn in slf-r, in smpl of ustomrs, thr months ftr ishrg Elois Alxnr Riiro Mil,, Filip Migul Sors Prir,, nês Mri Cruz Sous, Cntro Hospitlr Póvo Vrzim. Vil o Con, Portugl Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Slf-r is rlvnt r for nursing. An vnt gnrting pnn in slf-r limits th prson s ility to mintin his slf-r n thrfor his wllnss. Ojtiv: Chrtrizing th typ n lvl of pnn in slf-r n th ompromis in oy prosss t ishrg; vluting th volution of ths vrils thr months ftr ishrg; n invstigting ssoitions twn linil n soio-mogrphi vrils, n th pnn volution in smpl of slf-r pnnts. Mthos: Longituinl, sriptiv n quntittiv stuy, with onvnin smpl omprising 60 popl with pnn in slf-r. Mostly womn, mrri, rtir n with n vrg of 72 yrs-ol. Th pnn in slf-r ws vlut using th Slf-r Dpnn Evlution nstrumnt (Duqu, 2009). Rsults: At ishrg, th smpl prsnt high pnn lvls in ll omins of slf-r n signifint ompromiss of oy prosss. Thr months ltr, ptints improv thir pnn lvl (M=1,06; SD=0,83) (in 1 to 4 sl). Th omins with highr volution wr: rssing/unrssing, slf-lvting, using th toilt, thing, n tking r of prsonl hygin. Thy lso improv in th ompromis of oy prosss, suh s oy ln, musl strngth, n hyrtion. W foun sttistilly signifint rltionships twn oy ln t ishrg n th us of pnny (ut iss) with th slf-r volution. Conlusions: Thr months ftr ishrg, most of th prtiipnts (78,6%) improv th lvl of inpnny in slf-r n in th ompromis of oy prosss. t is urgnt tht nurss invstigt th ftors influning th slf-r volution, so tht thy n n i in th utonomy ronstrution pross. Dsriptors: pnny; slf-r; oy prosss. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] 303

305 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 556 ntgrtiv rhilittion vi xosklton Dino Frits,, Hnriqu Almi,, Pulo Bártolo,,, Cntr for Rpi n Sustinl Prout Dvlopmnt. Polythni nstitut of Liri. Liri, Portugl Shool of Mhnil, Civil n Arosp Enginring. Univrsity of Mnhstr. Mnhstr, UK Mnhstr nstitut of Biothnology. Univrsity of Mnhstr. Mnhstr, UK ntroution: Nuromotor isilitis r rsponsil for th lk of movmnt, i.., th ru sp n nurn, s wll s ru wlking stps, n to lrn. Th lif xptny of ptint tht suffrs from this onition tns to rs, u to th iminishing of thir inpnn. Ojtiv: Thr r svrl quipmnt s lik whlhirs to fulfill th ns of th ily movmnts of ths ptints, ut thy hv prtil limittions. n orr to improv thir lif qulity, nw quipmnt is propos tking into ount som rnt vns in rootis. Th novl xosklton ims to n ltrntiv to th xistnt quipmnt s tht will llow th ptints th ility to mov roun mor frly. Mthos: With 5 Dgrs of From (DOF), mor 2 thn th onvntionl ons, it llows th movmnt of hip ution/ution n vrsion/invrsion of th foot sis th norml movmnts t th hip, kn n foot tht l th git movmnt. At th foot thr is spring mhnism tht rtins th nrgy of on stp of th git rlsing tht nrgy to nhn th nxt stp. Rsults n Conlusions: Th min funtion of th Exosklton is to support th ptint in orr to hlp to him wlk. Sin ths kin of ptints hv prtil or omplt lk of musl tnsion to prform th ontrtion/rtrtion of it, rsulting in musulr trophy, th movmnts r m y ltril musl stimultion (EMS) ontroll y th ptint nling him to wlk on his own p. Dsriptors: Exosklton. Musl Stimulus. Nuromotor Disilitis. Git Rhilittion. Lowr Lims. 557 Stuy th hling fft of rms ng sunu in skin lsions Gisl Tls Viir,, Fáio Tixir Brg,,, Tni Tolo Olivir,,,, Cinti Mri Chgs Crvlho,, Vr Mri Ptrs,, Júni Lonn Douro Almi Lim,V,f Dprtmnto Bioquími Biologi Molulr. Univrsi Frl Viços. Viços, Brsil nstituto Univrsitário tlino Rosrio. Rosrio, Argntin Ful Dinâmi o Vl o Pirng. Pont Nov, MG, Brsil V Dprtmnto Miin Enfrmgm. Univrsi Frl Viços. Viços, Brsil ntroution: ng sunu is lguminous known for ng n ng - vin. Tritionlly, th tintur of its rk is us in folk miin for th hling of opn wouns. Ojtiv: Evlut th hling tion of rms prpr from ru xtrt of th pl of ing in skin lsions in rits. Mthos: 250g of groun rk wr insrt into 1:1 wtr/ thnol n llow to stn for 72h, follow y filtrtion, vportion n frz rying. With th ru xtrt topil rms wr prpr t onntrtions of 1% n 5%. W us ml ult rits r Alino Nw Zln. n h niml, two wouns wr m on th k: on with ol slpl n ltroutry with nothr. Thn w wr ivi into groups of 6 nimls h: G1 trt with slin 0.9%, G2: trt with rm 1%, G3: trt with 5% rm; G4: trt with ointmnt Fitosr. Th xprimntl prio ws 14 ys. Th rs of th lsions wr nlyz y mrosopi n sr rtrtion ily. Rsults: Th G2 group h th highst rt of ontrtion to th woun with ol slpl. No group totl pithliliztion t th n of 14 ys thr. Th woun with ltroutry show inx lowr thn th woun with ol slpl ontrtion in ll groups. Conlusions: Th rms ingá show hling tion on th tst mol, pointing to potntil hrl thrpy in utnous lsions, rquiring, howvr, itionl stuis. Dsriptors: ng sunu. Skin lsion. Rits. [email protected] [email protected] [email protected] [email protected] [email protected] 304

306 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Effts of Vrnoni Polynthus ry xtrt ointmnt on woun hling in rts Fáio Tixir Brg,,, Gisl Tls Viir,, Tni Tolo Olivir, Cinti Mri Chgs Crvlho, Júni Lonn Douro Almi Lim,V nstituto Univrsitário tlino Rosrio. Rosrio, Argntin Ful Dinâmi o Vl o Pirng. Pont Nov, MG, Brsil Dprtmnto Bioquími Biologi Molulr. Univrsi Frl Viços. Viços, Brsil V Dprtmnto Miin Enfrmgm. Univrsi Frl Viços. Viços, Brsil ntroution: n Brzil s innr towns, th jui from Vrnoni polynthus (VP) lvs hs n us y lol popultion s woun hling, though it s nfits hsn t n sintifilly provn. Ojtiv: To intify th ffts of th VP ry xtrt ointmnt on wouns. Mthos: Th rsrh is ontroll xprimnt, onut in 48 fml Wistr rts, whih wr ivi into 2 groups of 24 rts. Rsrhrs vlop si ointmnt whih ontin 3% of VP ry xtrt (PBVP3%) for th xprimntl group, n nothr si ointmnt, without th VP ry xtrt, for th ontroll group. Th woun ws surgilly m on th nimls orsi ftr thy wr nsthtiz, whih onsist in rmoving 1 m in imtr of th skin, thry stlishing son-intntion woun hling pross. Th wouns wr unr osrvtion ftr 3, 7, 14 n 21 ys of post-surgry, whr rsrhrs tri to nlyz th mrosopi pprn n sr tissu rtntion thru igitl plnimtry. Th Frl Univrsity of Viços-Mins Gris Stt uthoriz th rsrh (CEUA-UFV, nº10/2013). Rsults: From th 9th y on, th surgilly m woun on th xprimntl group show sr rtrtion with 80% signifin sttistilly (p=0,0001), ing pithliliz ompltly on th 14th y. Th ontroll group show ompltly pithliliz woun only on th 18th y (p=0,012). Conlusions: W n onfirm tht th PBVP3% h mor thrputi ffts on woun hling on th tst spimn. Thrfor, w fin ssntil to hol nw trils. Sponsorship: TOXFAR-FAPEMG. Dsriptors: Vrnoni polynthus. Woun hling. Rts. Apttion n vlition of Mini-Mntl Stt Exmintion for iniviuls with phsi An Almi,, An Frnns,, An Grç,, Jon Crvlho,, Pro Sá-Couto,, Mri Mtos,,f Shool of Hlth Sins. Univrsity of Aviro. Aviro, Portugl Cntr for Rsrh n Dvlopmnt in Mthmtis n Applitions. Dprtmnt of Mthmtis. Univrsity of Aviro. Aviro, Portugl Cntro Hospitlr Univrsitário Coimr. Coimr, Portugl ntroution: Th Mini-Mntl Stt Exmintion (MMSE) is ognitiv srning instrumnt, wily us in linil prti in Portugl. Nvrthlss, this instrumnt pns on lngug pitis, whih n hmpr th prformn in iniviuls with phsi. Ojtiv: Th im of this stuy is to vlit nw instrumnt, th MMSE pt for iniviuls with phsi (MMSE_A). Mthos: This pross involv svrl stgs: rqust for uthoriztion, trnsltion, pttion n vlition of th instrumnt. A omprison with th originl MMSE instrumnt using two linil groups (group 1: 27 ptints with phsi, PWA; group 2: 10 ptints with glol ognitiv impirmnt, PCG), n rliility nlysis stuy ws onut. Contnt vliity ws stlish y using n inpnnt xprt pnl n totl grmnt twn ll th xprts ws hiv. Conurrnt vliity ws stlish y orrlting th sors twn MMSE n MMSE_A. Rsults: For th PWA group, th orrltion rsult ws 0.76 (p<0.001) n for th PCG ws 0.93 (p<0.001), prsnting n xllnt orrltion twn th two sls. Th MMSE_A intr (4 rtrs)/ intr (tst n rtst sitution) rtr rliility ws only lult for th PWA group n prsnt xllnt rliility rsults, with intrlss orrltion vlus highr thn 0.9 (p<0.001). Conlusions: Prliminry rsults rvl tht th MMSE_A hs goo psyhomtri proprtis, n init th prtinn of th instrumnt for iffrntil ignosis twn oth groups. Th smll smpl us implis furthr stuis in orr to hiv mor omplt vlition of th MMSE_A, llowing rsults xtrpoltion for th Portugus popultion with phsi. Dsriptors: MMSE. Aphsi. Vlition. Assssmnt. nstrumnt. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 305

307 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Potntil of th pltforms for ssssmnt/monitoring th hlth of th lrly t istn Tâni Cost, Ctrin Pinto, Diogo Afonso, Sr Lrnjir, Cláui Frrir, João Cost Amo f, João Quiróz Mlo g nstitut of Hlth Sins. Ctholi Univrsity of Portugl. Porto, Portugl ntroution: Aging ssoit with soio-onomi n fmily hngs ontriuts to th mrgn of hllngs for lrly/informl rrs. Thus, intifying th ns of th lrly n intrvn in tim r th most rlvnt vntgs of this thnology. Ojtiv: Chrtriz th potntil of Tru - Kr srvi, whil vlution/ monitoring pltform th hlth of th lrly t istn. Mthos: Cross intrvntionl pilot stuy, ltrnting ss n ontrols prviously n intntionlly slt thos who mt th inlusion ritri. Dt olltion ws rri out y smi-strutur intrviw follow y sriptiv/infrntil nlysis. Th this ommitt vlut n pprov th stuy. Rsults: From th 50 lrly stui, 28 (56%) h 80 or mor yrs ol. All suffr, t lst, on hroni iss n rgistr n vrg of 4.9 isss pr iniviul; 46 ingst rugs, 4 iffrnt rugs/y (minimum of 1 n mximum of 9 rugs) on vrg. Howvr, lst yr, thy on vrg to 4 onsulttions (mil/fmily nurs) in th ontxt of hlth progrms; 30 sniors rport tht suh onsulttions r not suffiint to limint th iffiultis ssoit with th mngmnt of thrputi rgimn, highlighting th potntil tht th Tru-Kr n tk on this r. Conlusions: Th lrly om mor pnnt on hlth r, tht is worrying in th urrnt ontxt. n this sns, nsur th implmnttion of ignosti tivity n plnning intrvntions grul/ustom mo (rlt to th vlution of rsults ), th Tru-Kr n ssum s tool in mnging intgrt ss in th informl/profssionl r, ontriuting to on fvorl ost-nfit rtio. Dsriptors: Elrly. Moil. Tlmiin. Hlth. Th nurs s xprin out olsnt s with CF r qulittiv pproh Conição Risinho, Bárr Goms Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Th skills of nurs r wll fin y th Nurss Orr, with spil onrn for th rgultion of th ilitis of pitri spilist, sin it is th most pulir r. Th nurs is prt of multi-isiplinry tm, thrfor it is rquir to hv th knowlg to support goo prti n so fit th intrvntions to th ns of th popultion: olsnts with Cysti Firosis (CF) n thir fmily in this s. Ojtiv: Th prption of th mgnitu of this prolm l us to vlop th prsnt invstigtion, iming to unrstn th nurss xprin in proviing r to olsnts with CF. Ths r th prliminry rsults. Mthos: This rsrh is irt to sriptiv, trnsvrsl n qulittiv typ of stuy. A onvnin smpl ws slt ompos y nurss tht l with olsnts with CF. Th informtion ws ollt through smi-strutur intrviw, hoosing th mthoology whih st suit th rsrh ojtivs. Rsults: From th t nlysis n intrprttion th following nlysis units mrg: onomi sttus; lk of informtion t shools; ysfuntionl fmilis; r giving gui. Conlusions: Hlth profssionls in gnrl n nurss in prtiulr shoul l to unrstn n hlp ths tngrs n thir fmilis mnging th impt of ysti firosis in thir livs. Nurss shoul lso provi holisti r in orr to rspon to ll ns n lif trnsitions whih rsult from th onfronttion with this prolm. Dsriptors: Aolsnts. Cysti firosis. Nursing. Qulittiv pproh. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] 306

308 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth nformtion n ommunition thnology in highr ution in nursing: for n innovtiv prxis Anrson Ris Sous,, An Mrgrt Coriro Silv Mi,, Mihll Tixir Olivir,, Juls Rmon Brito Tixir,, Rmon Missis Morir,, Jilo Goms Rorigus,f, Rit Juilm Almi Crniro,g Ful Nor. Fir Sntn. Bhi, Brsil Univrsi Estul o Suost Bhi. Jquié, Bhi, Brsil ntroution: Th thnologil innovtion whn us in fvor of hlth, ontriuts signifintly to th sfty of r provi to th iniviul n to liv hlthy in th soity. Ojtiv: To intify in th litrturth potntilof informtion n ommunition thnologis for th formtion in nursing s innovtiv prxis. Mthos: t is out litrtur rviw using tss SiELO, MLin, LLACS BECS, ing slt Upt ntionl rtilspulish in th lst 10 yrs, ing xlu nnls of vnts, lttrs to rrs n itorils. Dt ws ollt in th prio of 20 ys using th following kywors: nursing, ution n thnology, rsulting in smpl of 55 proutions, nlyz n rstrit to 20 tht mt th gol. Rsults: Th stuis mphsiz tht nurss shoul in onstnt thory n prtitrining, ing los to th ptints n thnologil rsours, howvr, it n sn tht trining of this prson hs not ontmplt this proposl. Th onut of thing hs n mostly rul in tritionlism without inorportion of nw knowlg n innovtiv prtis n thnology in rltion to hvy thnologis lik th ontt with ltroni mil rors, quipmnt tsts, tss n informtion systms, howvr, thr is progrss in th implmnttion of soft thnologis, Notoriously foun in primry hlth r. Conlusions: This stuy rws ttntion to th n to xpn th nursing tions im t hlth ution, n th insrtion of nw thnologis s potntit of prxis of hlth innovtion. Dsriptors: Nursing. Hlth Eution. Thnology. Nursing: rsons for hoi Cssil Srroir, Clr Anré, Clst Goinho, Héli Dis, Mário Silv nstituto Politénio Sntrém; Esol Suprior Sú Sntrém; Uni nvstigção o PS (UPS). Sntrém, Portugl ntroution: Th ision of lif projt intgrts st of imnsions n prsonl, soil, ulturl, onomi n spiritul vlus tht mttr, it s vry importnt to rflt in th intifition of th rsons n motivtions hin it. Young popl n to uil n intity, with full intgrtion of thir vlus n projts, in prsptiv of futur. As thrs, sin th ginning of th ours, w follow th stunt throughout his journy, ontriuting to thir vlopmnt. Awr of th ntrlity of th stunt throughout th ution pross, it s vry importnt to know him (thm), in orr to mt thir xpttions. Ojtiv: Anlyz th rsons why stunts hoos th Nursing Cours. Mthos: Qulittiv n xplortory stuy, using onvnin smpl of 170 first yr nursing stunts (1st Cyl) from th yrs 2011/2012 n 2012/2013; t ollt y qustionnir with opn qustions; nlyz using thmti ontnt nlysis. Rsults: Dt nlysis mrg ssntilly th following imnsions: r of knowlg (hlth); soil rprsnttion of th profssion; ss onitions; motivtions / votion; fmily influn; prsonl/fmily xprins; ltruism s vlu n slf-rliztion. Conlusions: n tim of som unrtinty s th on w liv toy, ision-mking fing rr hoi hs prtiulr rlvn. This stuy ls us to isussion roun th prsonl vlopmnt of stunts, proplling us into th sign of nw invstigtiv prosss, highlighting th rltionship of ths rsults with th uiling prosss of n intity for nursing throughout th ours. Dsriptors: Nursing; Stunts; Choi; Rsons; Nursing ours. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 307

309 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 564 ntgrtion in fmily mrgny srvi: intgrtiv rviw Frnn Mglhãs,, Mri Mnul Mrtins,, Frnis Lim,, Hnriqut Frnns,, Mri o Céu Figuiro,, Lr Olivir,f, An Klv Dmsno,g Univrsi Frl o Crá. Crá, Brsil Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Th us of thnology in hlth s tools of ssssmnt, srh of informtion for fmily intgrtion, my th filitting onitions for linil jugmnt n ision mking y hlth profssionls in mrgny situtions. Ojtiv: To intify th sintifi knowlg out th intrvntions us for th intgrtion of th fmily in th mrgny prtmnt. Mthos: ntgrtiv rviw with guiing qustion: wht r th intrvntions us for th intgrtion of th iniviul fmily in mrgny r? Colltion orgniz in Dmr/2013 in tss: CNAHL, SCOPUS, PuM, Silo, Lils n Cohrn with sriptors Emrgny Mil Srvis Nursing AND Fmily. t inlu rtils in Portugus, English or Spnish. Books, protools n itorils wr xlu. Of th 33 rtils foun, six wr nlyz for thir rlvn from n pt form(1) n orgniz in tls. Rsults: Most stuis (5) wr of Ltin Amri with vin lvl V(2). With rspt to th intgrtion of fmily intrvntions wr foun thr tgoris: Plyful, Protools n Group Ativitis. Conlusions: t ws onlu tht it ws possil to intify rng of intrvntions for fmily intgrtion, for xmpl, thrputi ply, r n notifition of hil/ olsnt vitims of omsti violn, n tm trining for gui fmily stiliz th iniviul until th rrivl of th Moil Srvi. t is liv tht ths rsults my support th prti of nursing with th lortion, implmnttion n/or vlution of th intgrtion of fmily n tm wrnss. On osrv limittion ws th srity of stuis on this thm. Dsriptors: Nursing; Emrgny Srvis n Emrgny; Fmily; Risk of Clssifition. 565 Chrtriztion womn who h srn onut in stt of Northst Brzil Lr Olivir,, gor Mns,, Cmil Cost,, Elizin Brnro,, An Klv Dmsno,, Frnn Mglhãs,f, Alxnrin Croso,g Univrsi Frl o Crá. Crá, Brsil Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Prturition hs omplx initors for msuring qulity of r. For this, th Worl Hlth Orgniztion (WHO) stlish th pproprit mximum rt of 15% for yrs srns. Howvr, pimiologil t init tht th mjority of Brzilin stts hv highr rts. Ojtiv: To hrtriz th mothrs who unrwnt srn prour in th Stt of Crá. Mthos: A sriptiv stuy, oumnt, pimiologil hl t Dprtmnt of Hlth of Crá April-My Th informtion oming th Sttmnt of Liv Birth nformtion Systm on Liv Births. Th smpl onsist of oumnts of womn who unrwnt srn stion on th prio Dt wr sttistilly nlyz n prsnt in tls. Rsults: Thr ws, of ll irths in th stt of Crá, 39% wr srn stions. With th highst prvln in th pitl ompr to th intrior. Most womn wr singl (49%) with g rng twn yrs (71%) n 8-11 yrs (40%) of stuy onuting with 7 or mor prntl onsulttions (52%). Conlusions: W onlu tht th Stt of Crá possss highr thn rommn with young, singl n goo stunt lvl womn srn rt. Suh t n ontriut to ritil rfltion on th prti of hlth ution n fmily plnning. Among th limittions n not th lk of monitoring spifi us for srn stion, s wll s th trmintion of th mrits of th prturint s to pitl or intrior. Dsriptors: Csrn stion, Osttris, Womn s Hlth. [email protected] [email protected] [email protected] é[email protected] [email protected] f [email protected] g [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 308

310 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Growth n vlopmnt of Brzilin hilrn n institutionliz ssumpti Frnn Mglhãs,, Crolin Chvs, Frnis Lim,, Éri Mtis,, Hnriqut Frnns, Univrsi Frl o Crá. Crá, Brsil Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Monitoring of hil growth n vlopmnt (GD) is onsir th primry initor of hil s hlth. Howvr, th nvironmnt n intrfr, so th stuy is rlvnt n vint u to th high numr of non n institutionliz hilrn in Brzil, s wll s th n for thortil n prtil rsons of hlth profssionls on th vlution of hil GD. Ojtiv: To intify th hrtristis of GD institutionliz hilrn 0-6 yrs n ompr thm with th ssumptions of Brzilin Ministry of Hlth. Mthos: Dsriptiv n quntittiv stuy ws pprov y th Rsrh Ethis Committ opinion with No 283/10, hl in shltr in th stt of Crá, Brzil. Smpl of 44 hilrn g 0 to 6 yrs not rrir of physil or mntl hngs. Th olltion ws orgniz in Mrh 2011, with physil n mntl, intifition of soiomogrphi, nthropomtri n vlopmntl hrtristis of hil ssssmnt. Th t sriptivly nlyz n prsnt in tls. Rsults: Prvil ml infnts (59,1%) of 24 to 72 months (56,8%) n mor thn lissful yr (72,7%). All h growth within norml prmtrs, ut 65,9% i not hiv t lst on of th milstons of vlopmnt. Conlusions: W onlu tht institutionliz hilrn h stisftory growth, ut signifint lys in soil n psyhologil ftors of hil vlopmnt. t is liv tht ths rsults my support pimiologil t n nursing prti to snsitiz hlth profssionls to mk us of ssssmnt strtgis n ontinuous hlth ution in orr to promot hlth, ru n prvnt omplitions rsulting from inqut hil GD. Dsriptors: Growth n Dvlopmnt, nstitutionliztion, Chil Hlth. llnss risk in nursing work in moil mrgny srvi Olvni Mrtins Silv, Fin Aolf Worm, Mári Apri Olivir Pinto, Mrili Cristin Riiro, Rosn Amor Asri, Ltíi Lim Trin f, Digo Shivinto g Cntro Eução Suprior o Ost. Univrsi o Esto Snt Ctrin. Chpó, SC, Brsil ntroution: Th lor nvironmnt intrfrs in th lif of workrs, t tims, hving rprussion on th hlth of ths iniviuls. Ojtiv: to intify th risk ftors to illnss onrning th nursing work in Moil Emrgny Cr Srvi (SAMU). Mthos: Cross-stionl stuy vlop from Mrh 2012 to Jun 2013, inluing 18 profssionl nursing thniins n nurss irtly rlt to SAMU min offi from Extrm Wst Rgion of Snt Ctrin. Th nvntory of Work n llnss Risks (WR) ws us to ollt th t, whih otin th rliility offiint of 0.8 y th Cronh s Alph. Th t ws nlyz through sriptiv sttistis. Th rsrh otin pprovl from th Rsrh Ethis Committ unr no. 181,079/2012. Rsults: Fml gnr ws prominnt (77.78%) n g group twn 25 to 31 yrs ol. 50% wr mrri, 38.89% without hilrn, 77.78% r nursing thniins, 38.89% work in th tivity for 04 yrs, 61.11% work in thr shifts. Whn vluting th work ontxt, th work orgniztion otin mn of 2.66 with stnr vition of +0.03, onsir ritil-mort vlution. Whn rfrring to th inxs of plsur n suffring t work, th ompromis itm ws lk of rognition with mn of 2.12 n stnr vition of +0.16, ritil-mort vlution. Aout work rkown, th mn ws of 1.66 n th stnr vition ws of , lssifi s rrly-srious. n th sl of mgs rlt to work, th physil mgs otin mn of 1.95 n stnr vition of +0.54, ritil-mort vlution. Conlusions: th nursing work tm from SAMU prsnts risks of illnss rlt to th physil n psyhologil ftor. Dsriptors: Nursing in Emrgny; Nursing; Ouptionl Risks; First Airs. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 309

311 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Trum n Lif Evnts: Contriution to risk mol of prssiv symptoms in olsnts Sóni Chrp,, Mrin Cunh,,, Mnul Alvrz,, José Pinto Gouvi, Cognitiv n Bhviourl Cntr for Rsrh n ntrvntion. Fulty of Psyhology n Eution Sins. Coimr Univrsity. Coimr, Portugl nstituto Suprior Migul Torg. Coimr, Portugl Rsrh Cntr for Anthropology n Hlth. Fulty of Sins n Thnology. Coimr Univrsity. Coimr, Portugl ntroution: Dprssion is mjor onrn of puli hlth. t s xpt tht y 2030 it ll th first us of mortlity n moriity worlwi. Trum xprins n lif vnts r wll known risk ftors ssoit with prssion. Th ourrn rts of th first prssiv piso inrs t 15 yrs ol. Dprssiv symptoms in olsn, vn mil symptoms, my hv n impt upon ontogni vlopmnt. Thrfor, it is importnt to inrs th knowlg of risk ftors umultiv fft ssoit with prssiv symptoms in olsn. Ojtiv: This stuy im to xplor th rltionship twn trum n lif vnts with prssiv symptomtology n to tst whih omins of trum n of lif vnts mrg from th nlysis. Mthos: A multipl linr rgrssion ws onut (using SPSS, vrsion 20) in smpl of 373 Portugus olsnts (56% girls: mn g 13.72). Slf-rport strutur qustionnirs wr us to ssss trum (CTQ; Brnstin & Fink, 2004), lif vnts (DHMS; Simn t l, 1995) n prssiv symptoms (CD; Kovs, 1992). Rsults: Trum n lif vnts, tkn togthr, ount for 48% of th prssiv symptoms vrin. Afftiv Aus (β=.34, p=.00), Emotionl Nglt (β=.16, p=.00) (trum xprins), Prolms t Shool (β=.30, p=.00), with Prs (β=.11, p=.04) n with Rsours (β=.12, p=.02) mrg s signifint pritors. Conlusions: Th rsults suggst tht som omins of trum n of lif vnts my hv n umultiv pritiv fft on prssiv symptoms uring olsn n thus n importnt vrils to inlu in prvntiv hlthr thnologis. This stuy ns to rplit longituinlly n with othr pritors (.g., iologi). Dsriptors: Aolsn, Dprssiv symptoms, Risk, Trum, Lif vnts. Prototyp of littr: thnologis in hlth in trnsporttion of prsons Dnis Cristin Alvs Mour,, Ntháli Alvrng- Mrtins,, Thís Mnonç Rsn., Cristin Arrguy- Sn,, Pro Migul Dinis Sntos Prrir,, Rosângl Gro,f, Btâni Mri Frnns,g Ful Enfrmgm. Univrsi Frl Juiz For. Mins Gris, Brsil Esol Suprior Enfrmgm. D Coimr. Coimr, Portugl ntroution: Existing strthrs on th mrkt ftur rgonomi hzrs for profssionls tht hnl n vulnrility for usrs trnsport y thm. Ojtiv: Aim to rt n ntrprnuril propos prototyp of littr-r s on riving mthoologil fountions of nursing r. Mthos: Rport of xprin in proposl rtion of littr oniv in th isiplin of Mstr in Nursing in 2013 in Brzilin puli univrsity. Prout sriptions, n potntil trgt popultion prsnt y th thniqu of usinss pln. Rsults: Th proposl littr-r fturs suh s innovtiv omponnts: mtrils, siz (0,74803X0,27559X0,31496in), quit motor tionl uphill; mnul rking systm for slop (lik th iyl), uffr systm, si sfty rs, st lts, whls with mtril rsistnt to impts n tion hmils; rmovl rkt for hyrtion; rlining hor n mttrss n lvting ft in two options (1- wrpp y Diprs np or urvim wtrproof n rsistnt to hmils with nsitis of 28 n 33 n 2- oupl with infltl pillow (istriuts prssur for 5 minuts of infltion n fltion yl, ing wtrproof/ flxil). Th prout hs som vntgs for th lk of similr prouts on th mrkt, its potntil to ru rgonomi hzrs for profssionls, ility to provi grtr sfty, omfort, n stility rquirmnts tht mt vrious rquirmnts for trnsporting popl sfly n/or stt of hmoynmi instility. Conlusions: Th prototyp is vlop prout with ntrprnuril pilitis l to ontriut to th qulity of th trnsport of littr in-r or on strthr within hlthr institutions. Dsriptors: Nursing; Ouptionl Hlth Nursing; Nursing r; Hlth Sins, Thnology n nnovtion Mngmnt; Thnology. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 310

312 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Rooti surgry: nw horizons in gynologil surgry Ptrii Roriguz,, Jos Mri Tn,, Mirim Vqurizo,, Rfl Brvo,, Frniso Luis Prz,, Emili Exojo,f Hospitl Univrsitrio nustr Sñor Dl Prptuo Soorro. Alt, Espñ Compljo Hospitlrio Univrsitrio Bjoz. Bjoz, Espñ Fult Cinis. Univrsi Extrmur. Bjoz, Espñ ntroution: Lprosopi surgry hs rvolutioniz th onpt of minimlly invsiv surgry for th lst 3 s. Rooti-ssist surgry is nw thnology tht hols signifint promis in th fil of minimlly invsiv surgry. Ojtiv: To rviw th history, vlopmnt, n urrnt pplitions of rootis in gynologil surgry. Mthos: A rviw of th litrtur ws unrtkn using Mlin. Artils sriing th history n vlopmnt of surgil roots in gynologil surgry wr intifi s wr rtils rporting t on pplitions. Rsults: Svrl ntrs r urrntly using surgil roots n pulishing t. Most of ths rly stuis rport tht rooti surgry is fsil. Thr is puity of t rgring osts n nfits of rootis vrsus onvntionl thniqus. Conlusion: Rooti lprosopy in gynology, whih strt in 2005 whn th D Vini Surgil Systm ws pprov for us in gynologi prours, rprsnts toy morn, sf, n pris pproh to pthology in this fil. Thr is lmost no gynologil surgry tht nnot pproh with this thnology, nmly hystrtomy, myomtomy, sroolpopxi, onology n surgry for th trtmnt of nomtriosis. Root-ssist gynologi surgry is oftn ssoit with longr oprting room tim ut gnrlly similr linil outoms, rs loo loss, n shortr hospitl sty. s n ltrntiv thniqu to tritionl lprosopy n rquirs th vlopmnt of nw surgil skills for oth th xprin surgon n trin. Wll-sign, prosptiv stuis with wll-fin linil, long-trm outoms, inluing omplitions, ost, pin, rturn to norml tivity, n qulity of lif, r n to fully ssss th vlu of this thnology. Dsriptors: Rooti lprosopy; Surgry, Ginologí. Prvln of low k pin in hilrn n olsnts from th Algrv rgion Btriz Minghlli,, Euro Cr, João Rimuno, Sérgio Plm, Tomás Tixir Esol Suprior sú Jn Pigt/Algrv. Silvs, Portugl Estunts fisiotrpi Esol Suprior sú Jn Pigt/Algrv. Silvs, Portugl ntroution: Svrl ftors suh s th physiologil, nthropomtri, psyhosoil, gnti n nvironmntl hv n ssoit with Low Bk Pin (LBP) in hilrn n olsnts howvr th rol of ths ftors is still ontrovrsil mong stuis. Th influn of svrl lifstyl ftors in th vlopmnt of LBP, suh s hours wthing tlvision or plying gms oms vry importnt from puli hlth, sin ths ftors my sujt to hng. Ojtiv: This stuy trmin th prvln of LBP in Portugus hilrn n olsnts n xmin thir ssoition with tim spnt on sntry tivitis. Mthos: Th smpl inlu 188 hilrn n olsnt of sor tm of Algrv rgion, g twn 6-16 yrs (16.7±1.98 yrs), ing only 1 girl. Th ssssmnts inlu Qustionnir, vlop n vlit y Olivir t l., to hrtriz th LBP prsn. Rsults: Only 8 (6.8%) stunts rvl LPB t th momnt, 25 (21.2%) stunts in th lst yr, n 14 (11.9%) h liftim prvln of LBP. 11 (9.3%) stunts look for hlth profssionl us of LBP n 15 (12.7%) unrwnt trtmnt. Of stunts with LBP, 18 (72%) wth tlvision up to 10 hours pr wk n 7 (22.6%) qul or up to 11 hours pr wk (p=0.539), 23 (92%) ply vio gms up to 10 hours pr wk n 2 (10%) in ov prio to 11 hours (p=0.138). Conlusions: This stuy foun high prvln nnul of LBP in hilrn n olsnts prtiing sor n foun no ssoition with tim spnt on sntry tivitis. Dsriptors: low k pin, olsnt, prvln, risk ftors [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] 311

313 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Exprins of plsur n suffring in Brzilin mntl hlth r srvis João Dus Goms Silv,, Slmn Lnmn,, Giovnni Gurgl Aiol, Univrsi Frl São Pulo. São Pulo, Brsil Univrsi São Pulo. São Pulo, Brsil Univrsi Frl São Pulo. São Pulo, Brsil ntroution: W shll rss svrl qustions onrning th mntl hlth of profssionls within th ontxt of th ongoing psyhitri rform in Brzil. This rform hs s its primry gol to rpl hospitl-ntr systm, sylum-mniomil with ntrliz systm of ommunity hlth srvis. Ojtiv: Th ontriution ims t nlyzing th intrf twn isours, xprtis n prtis, whih unrli th mntl hlth politis in Brzil, s wll s th ynmis of plsur n suffring of working in mntl hlth r srvis. Mthos: Th rsrh is situt within th thortil frmwork of th psyhoynmis of work (Djours, 2000 t sq.) omin with spil nlytil thniqus for fol groups s wll s iniviul intrviws with th profssionls of th mntl hlth srvi Dr. Cnio Frrir in Cmpins, So Pulo Stt. Th rsrh ws rri out uring August Sptmr Rsults: Our rsrh shows tht thr is, on th on hn, n innovtiv n rtiv potntil in th ivrsity of mngmnt systms, whih my simultnously ru th gp twn rl n prsri work. On th hn, thr is no onsnsus viw on th onptuliztion of th linil n mntl isorrs, mking it iffiult to stlish ruls for olltiv work. Morovr, th ontnt of th work itslf is not prolmtiz uring th wkly mtings of th tm. Conlusions: Th mor visil th rl work oms, th mor pl th profssionls r to position thmslvs in th ttl ginst th still prviling tritionl mthos of ministrtion in puli hlth r n to thry fn thmslvs ginst xprins of suffring. Dsriptors: Suffring; mntl hlth; puli hlth r. Psyhologil mpt of ignosti xms An Grilo,, Filip lun,, Crl Aru,, Pulo Mrqus,, Luis Lnç, Dprtmnto s Ciênis Soiis Humns. Esol Suprior Tnologi Sú. nstituto Politénio Liso. Liso, Portugl Dprtmnto Ciênis Tnologis s riçõs Biossinis Sú. Esol Suprior Tnologi Sú. nstituto Politénio Liso. Liso, Portugl PET mging Cntr t St Thoms Hospitl. Division of mging Sins. King s Collg Lonon. Lonon, Engln ntroution: Anxity is ommon prolm in primry r n spilty mil sttings. Trting n nxious ptint tks mor tim n s strss to stff. Unrogniz nxity my l to xm rptition, n impn of xm prformn. Ojtiv: Th im of th stuy ws to xmin th nxity lvls of ptints who r to unrgo ignosti xms rlt to nr ignosti: PET/CT n mmmogrphy. Mthos: Two hunr n thirty two ptints who unrgo PET/CT n on hunr thirtn womn who unrgo mmmogrphy fill out on qustionnir ftr th prour to trmin thir onrns, xpttions n prptions of nxity. Rsults: Our rsults show tht th min uss of nxity in ptints who r hving PET/CT is th fr of th prour itslf n fr of th rsults. Ptints who suffr from grtr nxity wr thos who wr snn uring th initil stg of n onologil iss. On th othr hn, th ignosti is th min us of nxity in womn who r rquiring mmmogrphy. 28% of th womn rport hving xprin pin or intns pin. Conlusions: Th prformn of ignosti xms rlt to nr ignosti lik PET/CT n mmmogrphy r importnt n sttistilly gnrtors of nxity. Ptints r oftn poorly inform n prsnt with rng of nxitis tht my ultimtly fft xmintion qulity. Ths rsults provi xprtis tht n us in th vlopmnt of futur trining progrms to intgrt post-grut ourss of hlth profssionls. Dsriptors: nxity; positron mission tomogrphy; mmmogrphy; ignosti; hlth r profssionl-ptint ommunition. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 312

314 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Th ffts of smoking in th uitory systm Cláui Ris,, Sr Luís,, Alxnr Rmos, Julin Rorigus, Riro Grgório, Tigo Custoio, Riro Croso nstituto Politénio Coimr. Esol sú, Auiologi Portugl. Coimr, Portugl Curso Auiologi. nstituto Politénio Coimr. Esol Sú. Coimr, Portugl ntroution: Too us is srious puli hlth prolm n svrl stuis hv shown its hrmful ffts, n its toxiity is irtly proportionl to th numr of igrtts smok. Th igrtt n its onstitunts r lso onsir risk ftors for th vlopmnt of hring loss. Thr is rs in hring snsitivity u to ototoxi hir ll funtion ffts, prouing hngs in nurotrnsmission of th uitory stimulus, s wll s th rution of ohlr loo supply, whih ls to rution of vill oxygn in th lls. Although most stuis only look to stuy th ffts on th priphrl uitory systm, rnt stuis hv shown tht onsumption of niotin pprs to hv n inhiitory fft on th outr hir lls, ffting th ffrnt uitory pthwys, rsing th ility of uitory isrimintion n prouing hngs in th ntrl uitory systm. Ojtiv: To stuy th ffts of too on th priphrl n ntrl uitory systm in smokrs twn 18 n 25 yrs of g. Mthos: 16 sujts smokrs n 8 non-smokrs wr stui through th OAE Distortion Prout, tonl uiomtry, ihoti igit tst n high frquny uiomtry. Rsults: Sttistilly signifint iffrns wr foun in th rsults of simpl tonl uiogrm of th right r twn groups, n non-smokrs h highr vlus in th ihoti igits tst. Conlusions: Smokrs prform wors in th vlution of priphrl n ntrl tsting systm, showing th fft of too in ths two systms. Dsriptors: uitory systm; smoking; ioti igit tst; ototoxi ffts. [email protected] [email protected] VALDATON OF SCALES OF CHRONC WOUND HEALNG FOR PORTUGAL AND SPAN: PROJECT OF A SHARED METHODOLOGY Alxnr Rorigus,, Pro L. Frrir,, Mri l Pino Quintn-Montso,, Frniso Hrnánz- Mrtínz V,, Jun Frnno Jiménz-Díz V,, Binvni Roríguz--Vr V,f Cntro Estuos nvstigção m Sú Univrsi Coimr, Univrsi Coimr. Coimr. Portugl; Esol Suprior Enfrmgm Cruz Vrmlh Portugus Olivir Azmis. Olivir Azmis, Portugl; Cntro Estuos nvstigção m Sú Univrsi Coimr, Univrsi Coimr. Coimr, Portugl; Dprtmnto Mtmátis. Univrsi Ls Plms Grn Cnári; Espñ; V Dprtmnto Enfrmrí. Univrsi Ls Plms Grn Cnári, Espñ ntroution: Th hroni wouns hling pross oms s rsult of numr of ftors tht mk thir vlution iffiult prour to omplish. As rsult of this ovious omplxity, it is nssry to fin msurmnt instrumnts to nl th los monitoring this pross. Ojtiv: To us ommon mthoology in Portugl n Spin for th vlition sls for th ssssmnt of hroni wouns hling pross. To vlit to Portugl RESVECH (Rstrppo n Vrú, 2012) n DESGN (Sn t l, 2004) sls. To vlit to Spin th DESGN n BWAT (Jnsn, 2001) sls. Mthos: For th rtion n vlition of th Portugus n Spnish vrsions, w us th mthoologil pross Aquro t l (2004) whih inlus th following stps: 1) linguisti n smnti quivln, 2) vlition stuy, 3) Rliility, 4) Construt vliity 5) Critri vliity. To rinfor this vlition pross w us ommon rfrn sls to oth ountris on rqust uthoriztion to uthors of th mntion sls. Rsults: Although knowing tht until th finliztion of this work w will hv no onrt rsults, n w liv, s rsult, th onstrution of joint projt vlition of sls woun hling for two iffrnt ountris. Conlusions: Both vlit sls, r th most rnt in th r n s rsult of vin-s onstrution, w im to ontriut positivly to th work of hlth profssionls who r it to th vlution of injuris n lso to us in th improvmnt ision mking of thrputi options. Dsriptors: Wouns Hling; Sl vlition, hroni woun. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 313

315 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 576 MODULAR iomil signl rgistrtion SYSTEM Dnil Jrn,, João Gi l, Frnno Mrtins,, Lino Frrir, nstituto Politénio Liri. Liri, Portugl nstituto Tlomuniçõs. Liri, Portugl ntroution: Rgistrtion of iomil signls is oftn vitl in ignosis n linil monitoring of ptints. This prour is minly on in hospitl nvironmnt, following spifi protool n limit to short prio of tim. Thus, it is ruil vlop moulr systm tht n us out of linil nvironmnt in th y-lif ontxt to ror iomil signls. Ojtiv: n this ommunition w propos moulr, portl n low ost systm to urtly msur n ror multipl iomil signls. Mthos: Th prototyp is s on gnrl-purpos miroontrollr ssoit with n lromtr, whih prmits to tt n ror ptint tivity n position. Th systm lso hs n intrf to ror vnts. All this informtion is stor in stnr mmory r, in formt tht llows susqunt ring n nlysis y svrl softwr pplitions, suh s Exl, Ass n Mtl. Th hlthr profssionl n st th signls to quir, th tim intrvl uring whih thy intn to rry out th rsptiv rgistrtion n th smpling rt. Rsults: Th prototyp ws tst uring 24 hours. n this prio, th hrt rt, oy tmprtur, s wll s, th ptint tivity n position wr ror, with on minut intrvl twn smpls. Th stor informtion llow susquntly n ppropritly nlysis of th tmporl volution of th ror signls. Conlusions: Th ility of our portl prototyp to ror ontinuously vrious iomil signls n th informtion of ptint s tivity n position mks it n importnt tool in th ignosis of iffrnt pthologis. Dsriptors: Biomil Signls Colltion; Dt Anlysis; Portl Mil Dvi; Low Cost Dvi; Biomil Thnology. 577 Evluting phospht onntrtion throughout th proution of ri n slt o Tigo Simõs, An Augusto, Crl Tlão,, Pulo Mrqus Nuns, Mri Jorg Cmpos, Grupo invstigção m rursos mrinhos. Esol Suprior Tnologi o Mr. nstituto Politénio liri. Pnih, Portugl Cntro Biossistms. nstituto Suprior Agronomi. Univrsi Liso. Liso, Portugl ntroution: Th proution of ri n slt o (Gus morhu) is rri out unr stringnt rgultions. Th prmission for phosphts ition to this prout (Commission Rgultion (EU) No 1068/2013) hs n sujt of ontrovrsy twn govrnmnts, rtil ompnis n prours. Rntly, Nori ountris strt to ths ompouns to frsh o for xporttion, n Portugl llow th ition of phosphts in import o from ths ountris. Howvr, high onntrtions of phosphts prov to orrlt with highr mortlity in popl with hroni rnl filur, n with riovsulr iss in hlthy popl. Nvrthlss, thr is lk of lgisltion onrning this issu. Ojtiv: Th prsnt work im to vlut th ontnt of phosphts in o uring its proution pross (from frsh to ri n slt) up to finl onsumption. Mthos: Phosphorous trmintion ws rri out oring to th Portugus Stnr NP 4495:2010 n to AOAC stnr mthos in two o ths. Th mximum mount of polyphosphts (E452), impos y th Rgultion (EC) No 1333/2008, is 5g/kg of fish (quivlnt to pproximtly 3.4 g P2O5/kg). Phospht vlus usully foun in frsh o r pproximtly 4.4 g P2O5/kg. Rsults n Conlusions: n this work, phospht vlus, osillt twn 4.1 g P2O5/kg in frsh unslt o, 6.7 g/kg in ri slt o, 2.3 g/kg in sok o n 1.8 g/kg in ook o. Our t suggsts tht phosphts vlus in o, uring its proution n onsumption, r lowr thn th mximum llow vlu of phosphts plus th nturl ontnt in o. Dsriptors: Co; Slt o, Dri o; Phosphts; Puli Hlth, polyphosphts @my.ipliri.pt @my.ipliri.pt frnno.mrtins}@ipliri.pt [email protected] [email protected] 314

316 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Rltionship twn rtiultory isorrs n orofil nomlis in Elmntry Shool An Nvs, Dnil Blo, Dnil Viir, Sóni Pós Min, Mri os Anjos Dix Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: Shool-g hilrn my still unl to rtiult rtin wors, u to orofil funtionl/struturl nomlis or nurophysiologil immturity. A prolong us of pifir/ottl my hv n implition in orl vrl proutions of hil whn it s us yon 3 yrs, hving n impt on th vlopmnt of rtiultion isorrs (AD). Ojtiv: Rlt th prvln of AD in hilrn of th lmntry shool tht mintin prolong us of pifir n/or ottl. Mthos: Ws vlop quntittiv mthoology stuy of orrltionl non-xprimntl typ. Wr vlut 307 hilrn from 6 to 10 yrs, from six Portugus shools, twn Frury n My of 2013, with TFF- ALPE n PAOF. Ws otin uthoriztion from th NCDP, GD-CD, Ministry of Eution n rrs. Th t wr sttistilly nlyz using th SPSS. Rsults: Of th hilrn stui, 256 h us pifir, of whih 58 (12,4%) us it yon 3 yrs n 65 (13,9%) us th ottl ftr 3 yrs, minly to 5 yrs. Thr s highr prvln of orofil isorrs in prolong us of pifirs n ottl, in th prsn of AD, with 33,3% (n=7) n 18,2% (n=4). Th rsults r not sttistilly signifint (p<0,05). Conlusions: Thr s onsonn with th litrtur rsrh rgring th rltionship twn AD n xpt orofil motriity s hngs, notly u to prolong us of pifir/ottl. Howvr, this stuy in t monstrt sttistilly this, u to smll smpl tht mks xtn usg. Woul nfiil pth stuy with rprsnttivnss of this popultion. Dsriptors: Pifirs vrs ffts; Chil; Sph; Prvln; Artiultory Disorr. Rltionship twn rtiultory isorrs n fmily history in Elmntry Shool Dnil Blo, An Nvs, Dnil Viir, Sóni Pós Min, Mri os Anjos Dix Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: n rtiultion isorr (AD) ours n inorrt us of on or mor souns of th ntiv lngug n thr is vition from th pt stnr rtiultion y ult linguisti ommunity. Th us my th xistn of fmily mmr with typil rtiultory proutions. Contt with linguisti mols of prnts with lowr ution lvl my pripitting ftor for th onst of AD. Ojtiv: Rlt th prvln of AD in lmntry shool hilrn s with th xistn of sph prolms in th fmily n prnts ution. Mthos: Ws vlop quntittiv mthoology stuy of orrltionl non-xprimntl typ. Wr vlut 307 hilrn from 6 to 10 yrs, twn Frury n My of 2013, with TFF-ALPE n PAOF. Ws otin uthoriztion from th NCDP, GD-CD, Ministry of Eution n rgivrs. Th t wr sttistilly nlyz using th SPSS. Rsults: Th gr of onsnguinity with mor frquny of sph prolms (72%) orrspons to th rothrs (3,1%) follow y ousins n prnts (2,4% n 1,7%). Thr s highr prvln of mothrs with qulifitions t highr ution lvl (36%) n prnts lvl of sonry ution (28,4%). Thr is no sintifi vin linking th lvl of ution with th xistn of DA. Th rsults r not sttistil signifin (p<0,05). Conlusions: n orn to th litrtur, th highst prvln of AD ours on rothrs, whih is onsistnt with rsults otin in th prsnt stuy. Howvr, it hsn t n possil to vrify th xistn of rltionship twn AD n prntl ution, us n<5. Dsriptors: Chil; Sph; Prvln; Artiultory Disorr; Fmily Hlth. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 315

317 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Mn Lngth Uttrn in hilrn (3:6 to 4 yrs): ontriution to normtiv t in Portugus lngug Mári Mrtins, An Mrt Sriv Prir, Mfl Mrtins Croso, Sóni Pós Min Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl ntroution: Th Mn Lngth Uttrn (MLU) provis informtion out lngug vlopmnt, ing otin y morphologil nlysis of spontnous sph. Normtiv t otin from th MLU r nhmrk, in ssssmnt n to stlish th ignosis n intrvntion. Lngug vlopmnt in hilrn os not tk pl y itslf. t s n quir systm spontnous n nturlly, tht intifis th hil with lngug ommunity, ut tht is influn y riprol stlish rltionships. Ojtiv: Th fin gols r to trmin th normtiv vlus of th MLU in Portugus monolingul hilrn, with typil lngug vlopmnt n fin th rltionship twn sx n ouption of thir fr tim, with th vlu of MLU. Mthos: This stuy ws s on quntittiv sriptiv rsrh n not xprimntl. Th smpl wr 51 Portugus hilrn with th gs twn 3:6 n 4 yrs ol, monolingul. For this stuy thr wr us soiomogrphi qustionnir, th TALC, th linguisti orpus n morphologil nlysis. All forml n thil prours wr follow. Rsults: Th mn g of th hilrn osrv is 45 months (SD=2,023), 22 wr fml n 29 wr ml. Thr wr llow to prtiipt in th stuy 49 hilrn, ing nlys 23 linguisti orpus nlysis. Conlusions: Th stlishmnt of normtiv t will n importnt rfrn in th vlution of th lngug of hilrn, y th sph thrpists. Th finition of normtiv t will improv th rliility of th us of th MLU in th vlution of lngug spkrs of Europn Portugus. Dsriptors: Mn lngth of uttrn; Lngug in hilrn; Morphms; Evlution of lngug; Lngug smpls. Th onomi-inustril hlth r omplx in Brzil: hllngs of ontmporry hlth r n ntionl vlopmnt Crlos Glh,, Lís Silvir Cost,, José Mlono, Srtri Ciêni, Tnologi nsumos Estrtégios. Ministério Sú. Rio Jniro, Brzil Função Oswlo Cruz. Rio Jniro, Brzil Esol Nionl Sú Púli Sérgio Arou. Rio Jniro, Brzil ntroution: Bsis its rogniz rol s struturing lmnt of th Wlfr Stt, hlth r lso involvs proutiv systm, known s th Hlth Cr Eonomi- nustril Complx (HEC), tht is form y inustril susystms (hmil, iothnologil, mhnil, ltronis n mtrils) n th srvis susystm. Togthr, ths tivitis onstitut on of th rs of grtst onomi ynmism within th onomy, ounting, in 2009, for 9% of Brzilin GDP, 10% of th qulifi workfor n mor thn 25% of th invstmnt in R&D. Th rlvn of stuying Brzilin HEC lis in thrognition tht, spit its strtgi hrtristis, th proutiv n thnologil s of hlth r is still rltivly frgil, s xprss y th inrsing fiit in th HEC s tr ln, whih inrs from US$ 3 illion in 2003 to US$ 12 illion in 2013, joprizing oth th univrsl provision of hlth r srvis n th ountry s omptitiv insrtion in gloliz onomi nvironmnt. Ojtiv: From this prsptiv, this rtil ims to ontxtuliz th HEC n th thr susystms of whih it is ompris n prsnt prsptivs, poliis n proposls ovr th mium n long trms for h on of thm. Mthos: To hiv this, th ppr omins th thortil frmwork of th politil onomy of hlth r n n institutionl viw of innovtion rought out through th onpt of Ntionl novtion Systms. Rsults n Conlusions: Finlly, it summrizs som politil-institutionl hrtristis of th Proutiv Complx in orr to gui th formultion of puli poliis fous on strngthning th HEC in th mium to long runs. Dsriptors: Hlth Cr Eonomi-nustril Complx, Ntionl Dvlopmnt, Sin nthnology, Hlth Cr Poliy, Lrning Eonomy. [email protected] [email protected] [email protected] [email protected] 316

318 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 582 Chrtriztion of hilrn s vol profil ging twn 0 to 9 yrs n intifition of thir norml pttrns. An Crolin Brno,, Mri Grç Crvlho,, Cristin Nuns, Esol Suprior Sú. nstituto Politénio Liri. Liri, Portugl nstituto Eução. Univrsi o Minho. Brg, Portugl Cntro Ensino Profissionl Avnço Pós- Gruo. Liso, Portugl ntroution: Th vlopmnt of voi ompnis n iniviul in iffrnt lvls - physilly, psyhologilly n soilly. n hilrn, vol vlopmnt is prtiulrly intns us voi rflts ll th vriility of isovrl xprssions hilrn hiv uring thir vlopmnt. Thr r som vol intrntionl stuis rport, ut in Portugl, suh stuis r sprs spilly whn rlt to hilrn. Ojtiv: Th prsnt projt riss from th ninss of fining normtiv t for hil s voi in th portugus popultion, in orr to uil voi profil xpt for h g n thus ssist sph lngug thrpists intifying vol vitions. Mthos: n orr to hrtriz hil s vols, th Prt softwr will us to ror n prform ousti nlysis of voi prmtrs; this will llow xtrtion of funmntl msurmnt of frqunis, jittr n shimmr n mximum voliztion tim. Simultnously smi-strutur intrviws of prnts, thrs n hilrn thmslvs will lso onut. Th projt s smpl onsists of twnty-two iffrnt groups rrng y g, with qul numrs of ml n fml. Eh group will hv t lst thirty hilrn n th smpl s lowst limit is thr hunr n thirty hilrn. Rsults: Aprt from otining normtiv t, it is xpt tht, ftr nlyzing t otin from intrviws n its rlt rfrn rts, will possil to vlop strutur ssssmnt of hilrn with ysphoni for h g group. Conlusions: n this ontxt, it oms ssntil to lrt hilrn, fmily n utionl profssionls whih kin of r is n. Dsriptors: vol hlth; hil voi; hil ysphoni. 583 EXPECTATON OF WOMEN BY CONDUCTNG HYSTERECTOMY Tigo Sous Brros,, Soni Smr Fons Moris,, Jmilly Fitos Torrs,, Mri Jussr Rorigus Mlo,, Elizin Brg Rorigus Brnro V,, Sofi Mors Arnlo,f, João Pulo Xvir Silv,g Univrsi Frl Prnmuo. Brzil Univrsi Estul o Crá. Brzil Univrsit Spinz i Rom. tly ntroution: Hystrtomy is on of most ommon surgris prform y womn of rproutiv g. t involvs not only th onrn of womn with surgry, ut th postoprtiv n ulturl xprins. Ojtiv: Th ojtiv ws to unrstn th xprin of womn of rproutiv g upon th ttinmnt of Hystrtomy on mothrhoo rfrn stt of Crá. Mthos: This is sriptiv stuy with qulittiv pproh, whr thy prform filwork. Dt wr ollt through smi-strutur intrviws in mtrnity rfrn th stt of Crá, Brzil, with th prtiiption of nin womn who unrwnt ltiv hystrtomy. Rsults: Through t nlysis, th following tgoris mrg: Th prption of th utrus n rproutiv orgn n th rtion of womn in th withrwl of th sm, Th onition of infrtility: how womn rt on this nw sitution, n Th rltionship x utrus sxulity. Womn rt worri out th surgry, nxious n fri of ying, ut thy h positiv viw out th prour, s rport improving hlth y gtting ri of th norml symptomti. Conlusions: Th rfltions of hystrtomy wr foun in plying th lifs n prtis of sxul intrours, whr th stuy hlp to highlight th n for multiisiplinry hlth r tm, inluing utionl prtis of this ntur in th monitoring of womn who will xprin this surgil prour. Dsriptors: Nursing, Sxul n Rproutiv Hlth, Hystrtomy, Frtility, Sxulity. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 317

319 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth S 18F-FDG UPTAKE AFFECTED BY NCUBATON WTH SODUM BUTYRATE N COLON CANCER CELL LNES? Tlmo Gonçlvs,,, An Slomé Pirs,,, João Enrnção,,, Riro Tixo,, An Brito,, Mrgri Arnts,f, Mri Filomn Botlho,g Ful Miin. Univrsi Coimr. Coimr, Portugl Ful Frmái. Univrsi Coimr. Coimr, Portugl Ful Ciênis Tnologi. Univrsi Coimr. Coimr, Portugl ntroution: Butyrt is prou y omposition of itry fir y intstin s tri, ing th min nrgy sour of olonoyts. t is rlt with olon nr mostly us of its pity to inu poptosis n iffrntition in ontrst to norml lls. Som stuis suggst tht th Wrurg fft my xplin tht iffrn. Ojtiv: This stuy is to vlut if utyrt intrfrs with uptk of th rioll gluos nlogu (18F- FDG) n th inrs glyolysis in olortl nr lls. Mthos: Cll lins wr ultur in DMEM with low gluos ontnt. To prform th uptk stuis, lls wr inut with or without utyrt uring 1 n 4 hours, for th inution with 18F-FDG. At iffrnt tims, uplit smpls of 200μl of ll suspnsion wr ollt, ntrifug, sprting th pllt from th suprntnt n orr to lult th 18F-FDG uptk prntg. Rsults: 18F-FDG uptk is grtr in WiDr lls thn in C2BB1 lls. n oth ll lins, w osrv tht inution with utyrt rss th 18F-FDG uptk. This iffrn ws mor pronoun in WiDr ll lin howvr, in C2BB1 lls thr sms to trn for rs in trr uptk with inrsing xposur tim to utyrt. Conlusions: Our stuy suggsts tht utyrt n ru th 18F-FDG uptk n my intrfr with th Wrurg fft whih influns th grssivnss of th tumor. This lso suggsts tht utyrt n t in nr lls in n vn phs of vlopmnt, n oul ontriut to th unrstning of th importn of our it in vn tumor stgs. Dsriptors: Butyrt, Colon Cnr, Wrurg Efft, 18F-FDG. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] BUTYRATE AND RNOTECAN: A NEW APPROACH FOR COLON CANCER João Enrnção,,, An Slomé Pirs,,V,V,, Tlmo Gonçlvs,,, Mrgri Arnts,,V,, João Cslt,, Anl Srmnto V, V,f, Mri Filomn Botlho,,V,g Uni Biofísi. Ful Miin. Univrsi Coimr. Coimr, Portugl Ful Frmái. Univrsi Coimr. Coimr, Portugl nstituto mgm Bioméi Ciênis Vi. Ful Miin. Univrsi Coimr. Coimr, Portugl V Cntro nvstigção m Mio Amint, Gnéti Onoiologi. Ful Miin. Univrsi Coimr. Coimr, Portugl V Ful Ciênis Tnologi. Univrsi Coimr. Coimr, Portugl V Biologi Molulr Apli Clíni Univrsitári Hmtologi. Ful Miin. Univrsi Coimr. Coimr, Portugl ntroution: High lvls of itry fir r rlt with lowr risk for vloping olon nr (CC). Gut miroil frmnttion of itry fir prou utyrt. Butyrt hs n rport s hmoprvntiv gnt. rinotn is us s son-lin trtmnt. Th us of nturl ompouns to snsitiz th rsistnt lls to th hmothrpy sms to proly solution. Ojtiv: Th im of this stuy is to vlut th fft of th omintion of utyrt n irinotn on thr olon nr ll lins (LS1034, WiDr n C2BB1). Mthos: Clls wr inut with iffrnt soium utyrt (1-50 mm) n irinotn (0,1-100 µm) onntrtions. n orr to trmin th C50 (hlf mximl inhiitory onntrtion) ftr 48, 72 n 96 hours, ll prolifrtion ws vlut through MTT ssy. Flow ytomtry ws lso prform to stuy th utyrt fft on ll viility n typs of th, poptosis (vluting th BAX/BCL-2 rtio) n xprssion of ru glutthion (GSH). Rsults: t ws osrv tht whn lls r inut for longr tim with irinotn omin with utyrt, ll prolifrtion rss signifintly, omprtivly to monothrpy. Rgring ll viility, prliminry rsults show tht s th utyrt onntrtion inrss, ll viility rss in ll ll lins. Whn lls r inut with highr utyrt onntrtions, thr is n inrs in BAX/BCL2 rtio n slight inrs in GSH xprssion, ompring to ontrol. Conlusions: Th us of nturl ompouns s utyrt in omintion with hmothrputi gnts n nw solution for CC trtmnt. Dsriptors: Colon Cnr; Butyrt; rinotn. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] 318

320 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth CAN PHOTODYNAMC THERAPY MAKE A DFERENCE N RETNOBLASTOMA? Gonçlo Brits,, Mfl Lrnjo,, Riro Tixo,, Arménio Srr,, Mrt Piñiro,, An Mrgri Arnts,f, João Cslt-Lops,g, António Roh- Gonçlvs,h, Mri Filomn Botlho,i Ful Miin. Univrsi Coimr. Portugl Ful Ciênis Tnologi. Univrsi Coimr. Portugl ntroution: Photoynmi thrpy (PDT) is non-mutgni thrputi molity in trting nr. Rtinolstom (RB) is n ggrssiv tumor of rtin tht fft hilrn. Dspit xisting trtmnts, sonry noplsis oul ris. Animl mols r goo tools tht llow unrstning tumor iology n vluting nw thrputi pprohs lik PDT. Ojtiv: Dvlopmnt of htrotopi mol of RB n PDT trtmnt in niml mol. Mthos: Y79 ll lin ws propgt oring to stnr prours. 14 Bl/ nu/nu nu fml mi wr injt suutnously with suspnsion of lls. Animls wr ivi into ontrol group with 7 nimls not sumitt to PDT n othr group with 7 nimls trt with romt hyroxyphnyl porphyrin, ing injt intrpritonlly (2 mg/kg) whn tumor rh 200 mm3 of volum. Aftr 48 hours nimls wr irrit with lsr systm. Animls wr monitor ily n rgistr ny signs of iss, uring 12 ys. Aftr tht prio nimls wr kill. Rsults: Htrotopi niml mol of RB hs prov to rprouil n of simpl otinmnt n monitoring. PDT trtmnt ls to rs in tumor volum with signifint iffrns twn ontrol n trt groups. Osrving th tissu fft for n ftr th irrition it shows nrosis n iffrns in th shp of tumors. Conlusions: This mol llow to onlu tht photosnsitizr us hs signifint fft ovr th growth of rtinolstom xnogrfts. Ths promising rsults n l to th tsting of nw photosnsitizrs, ontriut for th ptn of PDT in trtmnt of rtinolstom, giving nw option for mnging rtinolstom. Dsriptors: Htrotopi; Xnotrnsplnt; Mol; Rtinolstom; Photoynmi Thrpy. AN ORTHOTOPC ANMAL MODEL OF RETNOBLASTOMA Gonçlo Brits,, Mfl Lrnjo,, Riro Tixo,, An Mrgri Arnts,, Rui Dnil Pronç,, Mri Filomn Botlho,f Ful Miin. Univrsi Coimr. Portugl Cntr for ntgrt Rsponsiility in Ophthlmology. Cntro Hospitlr Univrsitário Coimr. Portugl ntroution: Rtinolstom (RB) is vry ggrssiv tumor tht n fft hilrn minly t th g of 5 yrs. Animl mols r goo tools tht n llow unrstning tumor iology n vluting nw thrputi pprohs. Ojtiv: Dvlopmnt of n orthotopi mol of Rtinolstom tht mimtiz tumor nvironmnt n growth. Mthos: Y79 humn RB ll lin ws propgt oring to stnr prours. Six Rowtt Nu Rt (RNU) fml rts wr us to vlop n orthotopi niml mol of RB. Animls wr nsthtiz with solution 3:1 of ktmin n hlorpromzin. Hlf million lls wr injt in th vitrl vity of th lft y. Right y ws us s th ontrol in ll stuis. Aftr injtion, OCT ws prform. Th nimls wr monitor ily. Six ys ftr injtion X-ry ws prform. Aftr six months of follow-up th nimls wr kill n ys n rin wr ollt n prsrv for histologil nlysis. Rsults: OCT i not monstrt ltrtions in injt ys immitly ftr injtion n nithr X-ry 4 wks ftr injtion. Mrosopi follow up llow osrving ltrtions in th ys ompring to ontrol, fw ys ftr injtion. Histologil nlysis prov xistn of tumor in injt ys n show its ggrssivnss, invsivnss n pnn of its vsulriztion. t ws lso osrv hrtristis of n invsiv rtinolstom lik nroti rs n rrngmnt of lls in lin n rostts. Conlusions: This mol n llow us to stuy in vivo th hrtriztion of rtinolstom n to stuy nw thrputi pprohs lik photoynmi thrpy. Dsriptors: Orthotopi; Animl; Mol; Tumor; Rtinolstom. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] g [email protected] h [email protected] i [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 319

321 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth 588 Mngmnt Comptns in Nursing Mr Roh,, Pulino Sous,,, Mnul Mrtins,, Esol Suprior Sú. nstituto Politénio Vin o Cstlo. Portugl Esol Suprior Enfrmgm o Porto. Portugl Cntr for Rsrh in Thnology n nformtion Systm. Univrsi o Porto. Portugl ntroution: Hlth institutions r sujt inrsingly to onomi/politil n soil prssur to inrs th qulity/quntity of srvis n to ru osts. Th fftiv mngmnt inrsingly rquirs omintion of knowlg, skills, ttitus n hviors suh s lrship, prformn mngmnt, strtgi thinking n plnning, ngotition, ommunition, humn rsour mngmnt n qulity improvmnt. Th h nurs is ommonly rgr s ntrl to th vlopmnt of mtril/finnil n humn rsours n to th qulity of r. Ojtiv: To ontriut to th unrstning of th nssry omptns for th xris of th h nurs`s funtions n formult st of rommntions for trining n omptns vlopmnt in th ution institutions/work ontxts. At this stg, w prsnt th first prt of th rsrh w r vloping within th PhD in Nursing (Ctholi Univrsity-Porto). Mthos: This xplortory stuy ws s on two t olltion tools: litrtur rviw n smi-strutur intrviws im t th irtors of nursing. Th rsults of th intrviws llow rviw of th funtions/omptns of th h-nurs n to strutur th qustionnir im t nurss (2n stg/dsriptiv Stuy) Rsults: Th orgniztionl hngs r rflt in th (r)onstrution of th rol/omptns of th h nurs; Th rfrntil utis/rol is uilt roun rs of mngmnt suh s humn rsours; mtril rsours; nursing r; orgniztionl mngmnt; projt mngmnt, trining of nurss, rsrh n issmintion; Th mrging omptns r rlt ssntilly to lrship/tlnts mngmnt; ssrtivnss/onflit mngmnt; ision-mking. Conlusions: Emrgs th n to rthink th thing/trining in mngmnt; th hospitl is onsir s promotr of th omptns vlopmnt of thir profssionls. Dsriptors: Comptns; Mngmnt in Nursing; Lrship, Trining. 589 Thrml profil of th kn n pin lotion in young popl with n without kn pin Luis Crrão,,, M. Espnh,, Tni Vin,, Dino Frits,, Hnriqu Almi, Dprtmnt of Sport n Hlth. Ful Motrii Humn. Univrsi Liso. Portugl Esol Suprior Sú. nstituto Politénio Liri. Portugl Cntr for Rpi n Sustinl Prout Dvlopmnt. nstituto Politénio Liri. Portugl ntroution: Th prsn of iss n lolly fft th ht ln rsulting in n inrs or rs of th skin tmprtur (Ts), whih is gnrlly ssoit with hngs in loo flow. Morovr Ts n rflt th xistn of inflmmtion in th unrlying tissu whr loo flow is ugmnt or iminish. Ojtiv: Th purpos of this pilot stuy ws to invstigt th symmtry of kn Ts twn sujts with n without kn pin using thrmogrphy, n to trmin th lotion of ntrior kn pin. Mthos: Thirty ight young ults (21±2 yrs), 27 without n 11 with uniltrl kn pin prtiipt in this stuy. Kn mpping ws on with Photogrphi Kn Pin Mp (PKPM), n kn Ts msurmnts whr on with n infrr mr Flir T335. Biltrl thrmogrms wr nlyz y Flir Tools softwr, in two Rgions of ntrst (mil n ltrl). Rsults: Tmprtur symmtry iffrns (right n lft kns) twn sujts with (0.12ºC±0.20ºC) n without kn pin (0.02ºC±0.23ºC) wr not signifint (p=0.098). Th most ommon rport pin lotions wr th mil (11) n ltrl (7) joint lin, whil th qurips tnon ws nvr rport. Th lft kn ws th most oftn rport with pin (64%) n 55% iniviuls only h pin in on lotion, 27% in two, n 18% in thr. Conlusions: W foun thrml symmtry not signifint of mor thn 0.10ºC whn ompring sujts with n without kn pin. Th kn mp suggsts tht th joint lin, spilly th mil on, is th prinipl kn pin lotion. Dsriptors: Thrmogrphy; Thrml symmtry; Kn pin; Pin mpping; Skin tmprtur. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 320

322 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Msstr s ltromyogrphi ssssmnt in iffrnt onsistnis foo swllowing Jon Esprnç, Anré Arújo, Riro Sntos, Pul Fri, Anri Sous, Nlson Prir f Esol Suprior Tnologis Sú. nstituto Politénio o Porto. Portugl ntroution: Orofil Miology is linil n rsrh fil of intrst for Sph n Lngug Pthology. Surf Eltromyogrphy (SEMG) hs n us s omplmntry ignosti mtho to vlop normtiv t n hrtriztion of iffrnt orl motor ysfuntions, inluing swllowing isorrs. On pplition of this mtho ours in monitoring th ltril tivity of th musls involv in swllowing Howvr, thr is n to stnriz th prours for ollting n nlyzing ltromyogrphi stuy of swllowing. Ojtiv: To vlop n tst prourl protool for S-EMG t olltion n nlysis, ppli to swllowing ssssmnts in rsrh n linil sttings. Mthos: Th protool ws vlop following intrntionl stnrs for swllowing ssssmnt n SEMG signl quisition, n rviw y n xprt or. Th msstr musl ws hosn to tst th protool in n 8 young ults smpl. Th protool inlu ssssing rst, mximum isomtri ontrtion, n swllowing funtion in liqui, soli n psty onsistnis. Rsults: Msstr s musl tivity ws highr in soli onsistny, s xpt. Howvr, highr prntg of musl ontrtion ws osrv in liqui onsistny swllowing thn in psty onsistny. Conlusions: Th protool ws shown to funtionl n wll-pt to ollt SEMG t uring swllowing of liqui, psty n soli foo. Futur rsrh is n to tst th protool in iffrnt musls n stomtognthi funtions. Dsriptors: surf ltromyogrphy; swllowing; msstr; stomtognthi funtions. Aousti n Tmporl Anlysis of swllowing souns: us of ltroni stthosop on rvil usulttion Nlson Prir,, Pul Cristin Fri,, Riro Sntos,,, Anré Arújo,, Jon Esprnç,, Anri Sous Esol Suprior Tnologi Sú. nstituto Politénio o Porto. Portugl Hospitl Privo Trof. Portugl Cntros Estuo Movimnto Ativi Humn. Esol Suprior Tnologi Sú. nstituto Politénio o Porto. Portugl ntroution: Swllowing is physiologi funtion onsisting in th propulsion of th olus into th stomh, with fftiv rspirtory prottion. Clinil intrvntion of Sph n Lngug Thrpists rquirs improv n rlil mthos of swllowing vlution. Crvil Ausulttion (CA) is spilly pprit s noninvsiv mtho. Howvr, onvntionl stthosops o not provi quntittiv msurs to omplmnt th prptiv uitory nlysis of th swllowing souns. Ojtiv: To vrify th ppliility of th Eltroni Stthosop (ES) in th ollting of swllowing souns using CA, y mns of stuying th intr n intr-iniviul vritions in ousti soun tmporl pttrns. Mthos: A trnsvrsl osrvtionl sriptiv stuy ws onut to tst protool, sign y n xprts pnl, to ollt n nlys swllowing souns using CA with ES. Assssmnts inlu swllowing nlysis of iffrnt quntity n onsistnis of foo in smpl of 8 young ults with norml swllowing pttrns. Rsults: No sttistil iffrns wr foun for th intr n intr-sujt vritions nithr for th foo quntitis n onsistnis on th slt ousti tmporl prmtrs (numr of ursts, pn urtion, tim of ursts n thir rsptiv intrvls n intnsity pk). Thr ursts wr foun to typilly sri norml swllowing pttrns. A tmporl pttrn ws lso foun for th first urst urtion n for th first intr-ursts intrvl, shortr thn th son intrvl. Conlusions: Th ES llow th ollting n ousti nlysis of swllowing souns, proving to vil n pl tool to ppli in CA, with potntil pplitions in rsrh n linil sttings. Dsriptors: Crvil Ausulttion; Eltroni Stthosop; Swllowing; Aousti Anlysis swllowing souns; Sph Thrpy. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] 321

323 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Thnologil pltforms n shring onstrution of ommunition 592 Aut onfusion in Portugus Hospitl Pulo Mrqus, Pulino Sous, Al Silv Esol Suprior Enfrmgm o Porto. Porto, Portugl ntroution: Aut onfusion hs rltions with g n wors outoms. ts hrtristis iffiults ignosis, ontriuting to onomi n soil isruption. Th mngmnt of th prolm ontinus to uilt on th xprin n knowlg of h profssionl. Ojtiv: For thr yrs, w onut n tion rsrh in unit of mil r for ut ptints to xmin th ptint with onfusion n nursing tion. Our purpos ws to intify mol tht supports th onption of nursing r. Mthos: W prform trining, nurss intrviws n fil nots, us th Struss & Corin mtho to gnrt Groun Thory, ppling to N Vivo 7 pplition for orgnizing th ontnt nlysis n SPSS vrsion 18.0 for sttistil nlysis of glol t. Nhm onfusion sl ws ppli t th ptints mission. Rsults: An lgorithm of r for ptints with onfusion mrg from th t otin. t is ompos y onitions tht inlu nursing ignosis ssoit with onfusion, gittion n fll. Ths finings l to th introution of Dision Support Systm for nurss t th SAPE pplition. This oumnttion systm ssoits ignosti tivitis, ignosis n nursing intrvntions. Conlusions: Aftr six months of implmnting w otin ths rsults: ) Rution of unrignosis of ut onfusion; ) Ru inin of ut onfusion - 4.3%; ) Th nurss fous intrvntions in ptints with mil onfusion; ) Confus ptints r hospitliz on vrg fiv ys mor thn non-onfus; n ) Th ignos ffiy of th risk of flls inrs from 0% to 50%. Dsriptors: Confusion. Nursing Cr. Clinil Dision. Support Systms. 593 Th informtion systms intgrtion for ttr ring n hroni ptints mpowrmnt. Yoln Moñux,, Mª Lorto Solr,, Mª sl Cortés,, Azun Mros, Univrsity Jum of Cstllón l Pln. Cstllón, Espñ Univrsity of Alint. Alint, Espñ Univrsi Autonom Mri. Mri, Espnã ntroution: Th thnology innovtion (T) in th hlth systm hs n onfirm s th st formt to shr informtion n to filitt th ommunition twn ll th tors involv in th hroni ptints r. Ojtiv: To xplor primry hlth r profssionls xprin on informtion n ommunitions thnology (CT) us in th hroni ptints holisti r, out how th CT filitts th informtion xhng n how it hlps in th ptints mpowrmnt n trining pross. Mthos: A qulittiv stuy ws prform in th primry hlth stting, in Spnish rgionl hlth srvi in Dt wr ollt through prtiipnt osrvtion, in-pth intrviws n isussion group with hlth profssionls slt y intntionl smpling. Th t wr nlys following Tylor n Bogn thortil frm. Rsults: Although min thms mrg in th nlysis, w osrv tht CT rsours r ol-fshion n inomptil twn thm. This mks iffiult th rfrrl of ptints n th intrprofssionl ommunition. Th prtiipnts positivly vlu th fforts m to improv th ommunition twn hlth r lvls to improv hlth r oorintion n ptint slf-r. Conlusions: Hlth ministrtors shoul py ttntion to CT upting to mt th ns of usrs n profssionls. Comptil thnology woul hlp to gt mor ffiint hlth systm, to voi inquitis in th ss to hlth srvis n informtion, n to filitt th fk in th ommunition in th hlth r ontinuum. Dsriptors: Mil informtis. Continuity of r. Primry hlth r. Nurss. Qulittiv rsrh. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 322

324 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth nformtion n Communition Thnologis in Crrl Plsy: Wht is its rlvn for th vlopmnt of ommunition n lrning? Sílvi Olivir,, Ctrin Mrtins,,, Céli Riiro, Univrsi Ctóli Portugus. Portugl Assoição Portugus Prlisi rrl. Portugl ntroution: nformtion n Communition Thnologis (CT) hv n us in th lrning pross of hilrn with spil utionl ns, inluing rrl plsy (CP), in orr to vlop ommunition n lrning. Ojtiv: W wnt to ssss how CT n ontriution to th vlopmnt of ommunition n lrning in stunts with CP, s wll s in thir qulity of lif. Mthos: Dt olltion onsist of qustionnir to forty-six minstrm thrs who hv CP kis in thir lsss, n systmti osrvtion with strutur grills, of two stunts with CP, in intrvntions using TC tht w ompr with th prvious prio whn it ws not us. Thus, w ppli quntittiv n qulittiv mthoology in sriptiv n omprhnsiv pproh. Rsults: Th mjority of rsponnt thrs rfrr tht thy rur to TC oftn in thir utionl prtis, lthough signifint prt, still o not implmnt th strtgy. Thy lso gr tht TCs ontriut to th quisition of nw lrnings, promot th vlopmnt of ommunition n filitt th pross of inlusion of hilrn with CP s wll s thir qulity of lif. Both stunts xprss grtr motivtion, whn th tivitis wr prform on th omputr, monstrting grtr utonomy in th tsks n n immit n slf-orrting fk. Conlusions: CT ssum to hv n importnt rol in th vlopmnt of psyhomotor, ommunition n soil skills. Howvr, w liv tht th us of CT in ution, fmily n soil ontxts still rmins ngligil n shoul furthr xplor n vlop involving th prtiiption of th whol ommunity. Dsriptors: Crrl Plsy. nformtion & Communition Thnologis. Communition. HlthCr nformtion Systm to ll Hlth profssionls - Portugus insight Tâni Snto, Mrin Olivl, Cáti Mtus Agrupmntos Cntros Sú Méio Tjo. Sntrém, Portugl ntroution: Sin 1999 thr hv n isussions on using Hlthr nformtion Systms, s softwr solution, to nl mor ffiint ommunition of ptint t twn iffrnt hlthr profssionls, inluing th ons in primry r. Toy, only hnful of ountris hv implmnt suh n informtion systm. Ojtiv: This ssignmnt intns to show th rlity of hlth rors in Portugl, th ffort m to volv, th rrirs n th rsults until now, sin thr is not ffiint softwr rivn multi-profssionl hlthr informtion systm in primry r. Mthos: Thnil t n isussion twn hlthr profssionls hlp to unrstn th prsnt stt of t ollting n shring n to st th guilins to futur informtion systm. Th prsnt ssignmnt lso inlus rif prviw of pilot multi-profssionl hlthr informtion systm in primry r vlop y smll group of hlth profssionls from hlth ntrs of th istrit of Sntrém. Conlusions: Th ovrll ontriut of multi-profssionl hlthr informtion systm in primry r points to n improv hlthr rspons n fostrs mor inform ision mking pross y th irting oy of th hlthr systm. Dsriptors: Rors. Hlthr. E-hlth. nformtion. Communition. [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] 323

325 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Virtul Lrning Environmnt: vlopmnt of mol n sript for smi in prson n istn lrning Crlos Alrto Sixs,,, sl Améli Cost Mns,,, Simon Gooy,,, Alssnr Mzzo,,, Mri Auxilior Trvizn,,, José Crlos Amo Mrtins,f Brzil Univrsity of So Pulo t Riirão Prto. Collg of Nursing. Riirão Prto, SP, Brzil WHO Collorting Cntr for th Dvlopmnt of Nursing Rsrh. Riirão Prto, SP, Brzil Portugl Nursing Shool of Coimr. Coimr, Portugl ntroution: Th growing mn for xprtis in th pplition of thnologil tools is on of th lrst finings otin through rsrh onut for mor thn two s y our rsrh group in th r of ommunition n humniztion in hlth r. From ths finings th group vlop proposl on th us of virtul lrning nvironmnts. Ojtiv: To propos sript n mol for vlopmnt of onlin ourss tht r offr in smi in prson formt or ntirly onlin. Mthos: For th vlopmnt of th rsrh, sriptiv n quntittiv ross-stionl mthos wr us. Th vlopmnt ws ivi into th following stgs: plnning, onstrution n onvrsion of ontnts, vlopmnt of th ynmis of th ours, usility vlution using qustionnir, nlysis of ss logs n stunts opinion, formultion of th sript with thnil guilins n vlopmnt of onlin ours mol. Rsults: Two prouts rsult from th pross: th using sript with th min stgs of vlopmnt for n utionl tion trgting th us of igitl thnologis n n onlin ours mol. Conlusions: Th hrtristis of th onlin ours mol prou r lrity in ontnt offring, informtion ojtivity, ttr usility rport y stunts n profssors, fk of ssssmnt tools n sinss of us of th ommunition hnnl mong prtiipnts. Dsriptors: Distn Eution, Virtul Lrning Environmnt, Onlin Cours, Nursing, Thing. [email protected] [email protected] [email protected] [email protected] [email protected] f [email protected] ssus n spifitions on prsription systm for ontrolling ptint tks n rugs usg Smul Mrtins,, Luis Borgs Gouvi,, Armin Gurr Lops, nstituto Politénio Cstlo Brno. Cstlo Brno, Portugl Univrsi Frnno Psso. Porto, Portugl ntroution: W liv in n g of inrsing igitliztion in whih ompnis trmin th ost/nfits n how to improv its ility to rspon, through th us of omputrs n ntworks. Th ompnis, u to growing igitl is, r otining thrshol of mtriliztion, whih in th ontxt of thir oumnts is for xmpl ppr-fr working ontxt. On th hlth omin, lthough thr r spifi pplitions for usrs n mition prsription mngmnt, lmost th linil ptint rors r m into ppr. Ojtiv: Our gol is to propos pltform to support prsription mngmnt to us in iffrnt sps. Th pltform will llows th imput of th ptint ssntil informtion in th systm, to ltr ss through tlt or smrtphon, ithr in hlth linis, nursing homs or PSS nvironmnts. A fmily mmr will wr of th mil onition, th mition n its osg of thir rltivs in orr to ontrol rug usg n th wht n whn informtion ssoit with h ptint prsription history. Mthos: Quntittiv n qulittiv mthos will us to gthr n nlyz t onsiring usr ntr sign pltform. Th pproh will provi th rquirmnts n th insight to spify suh pltform n whih issus r involv in ling with tht informtion sts. Rsults: Th innovtion of this pltform rsis on th informtion nlrg ss n moility, n th sir mngmnt of oprtionl rsours n mtrils s wll with th ring issus of th ptint n its privt informtion on rug usg n prsription instrutions. Conlusions: Th ppr isusss som of th funtionl spts tht w n to rss for vil solution. Suh solution ns to tk into ount tht hlth informtion is snsitiv (rstrit ss) n ritil (sujt to vrifition mhnisms to voi rrors, ithr in intrprttion or in rror limits). A usr orint pproh is rquir tht hs oth in onsirtion th ritil issus of informtion s privy ut llows to thos who n to ontrol usr rugs. Dsriptors: mngmnt tks; rugs; usrs; moility, ommunition. [email protected] [email protected] [email protected] 324

326 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth Comforting Gritri Cr: Wys of ing/ting of r rol plyrs Ptríi Riiro, Mri Armin Cost Univrsi Ctóli Portugus. Liso, Portugl ntroution: Promoting omfort to hospitliz lrly is n intgrl prt of hlth r s wll s th min intntion of th nurs intrvntion, onstituting hllng ontxtuliz in th uniqunss of h prson n rlt to th pttrns of think, fl n t (Riiro, 2013). Ojtiv: This stuy fous on knowing th prption of lrly hospitliz ptints on how r rol plyrs r/t to provi omfort or non-omfort. Mthos: Th prsnt sriptiv stuy with qulittiv pproh ws gui y th thnogrphi mtho. Wr rri out smi-strutur, uio-ror n sumitt to ontnt nlysis intrviws (Mils & Hurmn, 1991), ppli to 20 lrly ptints, intntionlly hosn, mitt to mil srvi from Cntrl Lison Hospitl. Thr ws prtiipnt osrvtion in orr to unrstn th situtionl xprins, s on prviously strutur srnplys (Sprly, 1980). Rsults: n th nountr twn th lrly n nurss, grvitts iffrnt humn qulitis: wrmth, kinnss, lov, to onsirt n ommunitiv. Howvr, this nountr lso rings out profssionl qulitis suh s vilility, rspt, onrn, ility to intrt n intify omfort initors. Ths qulitis r th s for omforting intrtion. n th opposit si ppr unomfortl lmnts. Th omforting gritri r is omplx pross tht omins st of gsturs, hviors n wors tht moiliz ognitiv, fftiv n psyhomotor rsours (Riiro, 2013). Conlusions: Bing in th sitution is solutly ruil to vlop intrprsonl skills tht n hlp th lrly to ovrom th sitution in positiv wy, n, thrfor, rogniz omforting fft. Dsriptors: Comforting r; lrly ptint; hospitliztion; Wys of ing/ting of r rol plyrs. Communition Dsign tool for hlth litry promotion: signing informtion hlth to mpowr ptint with Chroni Pin Lilin Dlfin Olivir Frnns,, Jon Mri Frrir Pho Quntl,, Sofi Mrqus, Univrsi Aviro. Portugl nstituto Politénio Coimr. Portugl ntroution: Th ility to ommunit informtion is th strt to th sussful hlth. Mor thn 61% of ults hv iffiulty unrstning n using hlth informtion. Th WHO ffirms tht hlth litry is ky trminnt for slf-mngmnt our hlth. Chroni Pin is th mjor hlthr prolm in Europ. t ffts 30% of popultion. Th litrtur hs shown strong rltionship twn hlth litry with th hrn of th trtmnts. Ojtiv: This stuy ims to vlop mthoology n supports to mpowr iniviuls with hroni pin to ontrol th iss. Mthos: This projt will inorport in to rhilittion progrm on Visu Hospitl. t ws nlyz th ommunition us in hlth n your futur in orr to vlopr wy to nl fftiv ommunition twn iniviuls with iffrnt kgrouns in hlth. Rsults: Thr r two istint pulis. Popl with low litry n popl with quik ss th informtion thy liv in worl gui y thnology thy suffr mor this iss. Th nw informtion thnologis r tool for trnsforming omplx informtion - th futur y hlth. Conlusions: Efftiv ommunition is rquir not only twn ptints n thir provirs ut ll tht ommunit hlth informtion visul ommunition. t s importnt vlopr informtion mor ssil to iniviuls unrstn thus slf-mking isions for thir wlfr. So, this nw pproh to ommuniting hlth informtion tht lls hlth ommunition thnology n pps tht ontriuts to mor fftiv slf-mngmnt of hlth r y ruing osts. This hlps not only th ptint ut too th otors. Dsriptors: Hlth ommunition Thnology; Promotion hlth litry; Slf-mngmnt; Slf mking isions; Empowr ptints; Hlth risk ommunition; Thnology; Chroni Pin. [email protected] [email protected] [email protected] [email protected] 325

327 Authors nx

328 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth A ABELLÁN-PERPÑÁN, José Mrí , 246 ABRANTES, An Mrgri , 587 ABRANTES, Ctrin ABRANTES, Mrgri , 516, 584, 585 ABREU, Crl ABREU, Eli Simioni ABREU, Mri Oíli ABREU, Móni Mrtinho ABREU, Rnto... 76, 228, 354 ABREU, Rit Num Dnts Cvlnt ABREU, Wilson Jorg Corri Pinto ABREU-FGUEREDO, Rit... 82, 101, 103 ACOLE, Giovnni Gurgl ADSUAR, José Crmlo , 246 AFONSO, Anr... 94, 97 AFONSO, Diogo... 84, 560 AFONSO, Mrgri AGUADO-DEZ, Antonio Lón AGUDELO, Mrí Elizth AGUAR, Frnn Burl AGUAR, ryn Goms AGUAR, Wnsk Ntáli ARES, Luís ALARCÃO, Violt ALENCAR, Nyll Elis Sntos , 191, 323, 324, 502, 503, 504 ALEXANDRE, Diogo Cost ALJA, Mri José Cstro ALMEDA, An... 1, 76, 354, 559 ALMEDA, An Cristin ALMEDA, An Mrgri... 2, 197 ALMEDA, An Nuns ALMEDA, Armno... 84, 112, 229 ALMEDA, Dnil ALMEDA, Frnn ALMEDA, Frnil Moltt ALMEDA, Gril... 20, 21, 344 ALMEDA, Gilmr Souz Smpio ALMEDA, Gilson Holn ALMEDA, Hnriqu , 552, 553, 556, 589 ALMEDA, Lnro Silv ALMEDA, Mri Lurs , 416 ALMEDA, Sofi Prir ALMEDA-DE-SOUZA, Julin ALMEDA-SANTOS, Emnull ALMERA, Josimr M ALMENDRA, Mnul ALONSO, Mrí sl Grí ALVARELHÃO, Joquim... 3, 373 ALVARENGA-MARTNS, Ntháli , 569 ALVAREZ, Mnul ALVERNHO, Dolors Estrl ALVES, An Lúi , 278, 279 ALVES, Cáti , 285 ALVES, Cláui ALVES, Hln , 534 ALVES, José ALVES, Lilin ALVES, Mári ALVES, Mris , 534, 536 ALVES, Mrt ALVES, Pulo... 84, 229 ALVES, Snr... 52, 362, 540 ALVES, Sr , 455 ALVES, Susn ALVES, Tâni... 57, 541 ALVES, Thmr ALVES, Vr AMADO, João AMADO, João Cost AMADO, Pul AMANTE, Mri João... 33, 34, 351, 352 AMARAL, An Pul AMARAL, sl AMARO, Nuno , 154, 495, 496 AMENDOERA, José... 36, 63, 110, 198, 314, 423, 520 AMORM, Erio AMORM, ngri AMORM, Rosno Frits AMORM, Ysmim Anrson ANDRADE, sl ANDRADE, sl Mri ANDRADE, João Hnriqu Arújo , 106, 429, 431 ANDRADE, Rnto... 26, 27, 28 ANDRADE, Séfor L. E ANDRADE, Susn ANDRÉ, Clr ANDRÉ, Mri Clr ANDREA, Mário ANES, Eugéni Mri Gri Jorg ÂNGELO, Nuno ANTUNES, Cáti ANTUNES, Mri Trs Clvário ANTUNES, Ptríi AQULANTE, Alin Gurr AQUNO, Prisil Souz , 491 ARAÚJO, An Rikll ARAÚJO, Anré , 591 ARAUJO, Anré R. T. S , 150 ARAÚJO, Btriz ARAÚJO, nês ARAÚJO, Lyin Fris ARAÚJO, Li... 33, 34, 352, 425, 455 ARAÚJO, Lilin G ARAÚJO, Mrin ARAÚJO, Ot... 92, 95, 96, 99, 292 ARAUJO, Rosini ARCHE, Mrí-Ángls... 91, 93 ARDERUS, Anré AREA, Ni Portl ARERA, Jon ARNALDO, Pâml ARNALDO, Sofi Mors , 267, 275, 583 ARREGUY-SENA, Cristin , 219, 255, 448, 450, 546, 569 ARRAGA, Sofi , 285 ASCAR, Rosn Amor , 567 ASSECERA, nês AUGUSTO, An AUGUSTO, Nái

329 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth AULER, Flvi... 35, 492 AYORA, An AZEREDO, Zi Aguir Sá... 61, 158, 426, 427 AZEVEDO, Anrson Mirn AZEVEDO, Anri AZEVEDO, Frnno... 24, 25, 342 AZEVEDO, Lriss Ngromont AZEVEDO, Mri João , 455 AZEVEDO, Sr AZUL, Jon BAXNHO, Cristin BAJO, Rorto... 90, 98 BALBY, Mrin BALHCO, Rit BALTARE, Ptríi BALTAZAR, Riro... 87, 88, 440 BAPTSTA, Diogo , 528, 533 BARATA, Tigo BARBOSA, An BARBOSA, Mri Conição BARBOSA, Prisill Myr Estrl BARBOSA, Syonr Fátim Fri , 535 BARRERA, Sérgio V. P , 537 BARRETO, Mrlo BARRETO, Mrlo Sturt BARRETTO, Rqul BARRGA, Crmn BARROS, An... 2, 433 BARROS, Lilin BARROS, Sofi BARROS, Tigo Sous , 243, 316, 583 BARROS, Tigo Sous BARROSO, sl BARROSO, sl Mri A. Rorigus Cost... 66, 392 BARROSO, Mris BÁRTOLO, Pulo J , 512, 551, 552, 553, 556 BARTOLOMEU, Tâni BASTOS, Ltíi BASTOS-ALMEDA, Mri Clst BATSTA, An Cláui Olivir , 535 BATSTA, Mro , 332 BATSTA, Nilo BATSTA, Vlri Cristin Ll BAUMAN, Cluin Donto , 177 BECERRA, sl Aljnr... 90, 98 BELLÉM, Frnno... 76, 228, 354 BELO, Dnil , 579 BENTO, Elizngl BENTO, Luís BENTO, Trs , 368, 438 BERENGUER, Sílvi BERNARDES, Migul BERNARDES, Milton Junio Cânio , 231 BERNARDO, An BERNARDO, Elizin Brg Rorigus , 243, 319, 491, 565, 583 BERNARDO, Sóni BERTOLN, Aury Anr , 278, 279 BERTONCELLO, Káti Ciln Goinho BEZERRA, Krin... BEZERRA, Krin Cstro , 315, 316, 318, 319 BEZERRA, Lonro BSCAA, Sr , 551 BSPO, Mili BZERRA, Rnt Lim BLANCO, Vlrin Guijo BOERY, Euro Ngi , 404 BOERY, Rit Nrrimn Silv Olivir , 404 BOMFM, An Mrlusi Alvs BORBA, Sofi BORGES, An BORGES, An Mri BORGES, Cio , 451 BORGES, Dnil BORGES, Julin BORGES, Mri Cristin BORGES, Mri Trz , 451 BORGES, Mri Trz Sá Litão Rmos , 238, 453 BORGES, Rhl BOTELHO, Mri Amáli , 132, 375 BOTELHO, Mri Antóni BOTELHO, Mri Filomn , 516, 543, 544, 545, 584, 585, 586, 587 BOZ, Mrin Mo BRAGA, Fáio Tixir , 558 BRAGA, Luin Muniz , 219, 448, 450, 546 BRAGA-PONTES, Cáti BRAGUEZ, Lilin BRANCO, An Crolin BRANCO, Géssi Spinol Cstlo BRANCO, Jon Rit Prnt BRANCO, Sílvi BRANDÃO, An BRANDÃO, Dnil , 455 BRANDÃO, Mrin BRÁS, Mnul , 327 BRÁS, Mnul Alrto Moris , 248 BRASLERO, Rnt Sá BRAVO, Rfl... 98, 288, 570 BRAZ, Níi BRTES, Gonçlo , 587 BRTO, An BRTO, Filip BRTO, João , 332, 340 BRTO, Sori BROOKS, Din BÜCHELE, Ftim... 19, 250, 251 BUENO, Anrss Alin Brnro CABRTA, José... 92, 99 CACERO, Elis CAERO, Mri João CAETANO, Lilin Arnh CARES, oln , 132 CARES, Sofi CARES, Susn CALADO, Pulo G. A CALDERA, Crolin CALDERA, Ermlin... 70, 73, 402 CALDERA, Frniso

330 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth CALHA, António , 367 CALVO, Mri Cristin CAMARGO, José CAMPOS, Antônio Crlos Ligoki CAMPOS, Mri Jorg CAMPOS, Rlly Rmos CAMPOS, Thmr Souz CÂNDDO, Anl Eslo... 36, 110, 297 CAPELAS, Mnul Luís CAPERUTTO, Erio CAPUTO, Julin CARDOSO, Alxnrin CARDOSO, Clr CARDOSO, l CARDOSO, Mfl Mrtins CARDOSO, Mário CARDOSO, Mris CARDOSO, Pro Domingus CARDOSO, Riro CARDOSO, Rorigo CARDOSO, Susn CARMO, Sr O. S CARMO, Bruno Cliton Mo o CARNERO, Rit Juilm Almi , 304, 562 CARNERO, Rithinn Frot , 237, 238, 453 CAROLNO, Lr CARONA, Ttin CARRÃO, Luís , 553, 589 CARRERA, Trs Mrgri... 63, 110 CARRLHO, Móni CARTERO, Dor CARVALHERO, Mnul CARVALHNHO, Luis CARVALHO, Amn Ríss Dnts CARVALHO, An , 357, 358, 484 CARVALHO, Cinti Mri Chgs , 558 CARVALHO, Grç S CARVALHO, Jnin T CARVALHO, Jon CARVALHO, Lriss CARVALHO, Ltii CARVALHO, Mri Grç CARVALHO, Mrin Mi , 182 CARVALHO, Rui CARVALHO, Trs CARVALHO, Yr CARVALHO, Yr Mri CARVALHO, Zuil Mri Figuiro , 472 CASALTA, João CASALTA-LOPES, João , 516, 586 CASAS-NOVAS, Vitóri... 70, 73, 402 CASMRO, Cínti Frits CASSANO, Tâni CASSMO, Sori CASTLHO, Pul CASTLLO, rni Silv CASTRO, An... 57, 541 CASTRO, Bárr T CASTRO-JUNOR, Frniso P CATARNO, Hln , 138 CATUNDA, Hlln Lívi Olivir , 491 CAVACO, Arin CAVALCANTE, Alin CAVALCANTE, Lurini Fátim Diniz , 237, 238, 451, 453 CECCM, Riro Burg CEÑA, Domingo CERCA, Euro CERQUERA, Mrgri CERTO, An , 464, 465 CERVERA-GASCH, Agu CHACÓN-FERRERA, Rorigo... 56, 538 CHANHO, Lilin CHAREPE, Zi , 327 CHAVES, An CHAVES, Ann Fym Lops , 319 CHAVES, Crolin CHERPE, Sóni , 568 CHORA, Antóni CHORA, Mri... 73, 402 CHORDÁ, Vítor CBANAL-JUAN, Luis CCHACEWSK, Cmil Ro CD, Luís , 443, 446 CNTRA, Krl Luil CLARO, Eur COELHO, Anré COELHO, Joy Miná Aluqurqu COÊLHO, Julyn F COELHO, Luís , 151, 154, 495, 496 COELHO, Ptríi... 52, 84, 112, 229, 540 COMBRA, Migul Tvrs COLARES, João Hnriqu Frits CONDE, Monsrrt CONDE, Sílvi V CORDERO, Clr CORDERO, Din CORDERO, Jon CORDERO, Mrin Sofi Silv CORDERO, Nuno , 221 CORDOVL, Rit... 20, 21, 344 CORRÊA, Soni Cvlnti CORREA, Lops CORREA, Pul... 77, 80, 81, 406, 409 CORREA, Rqul , 424 CORREA, Susn CORREA, Trs. G , 476 CORREA, Vnss CORREA, Vâni CORTÉS, Mri sl , 249, 593 CORZO, Hétor , 347 COSTA, Arin Silvir COSTA, Cmil COSTA, Filip... 89, 414 COSTA, Frnis Lilin Prir COSTA, Frniso COSTA, Jon COSTA, Jon Filip Olivir COSTA, João Fonts COSTA, Lís Silvir COSTA, Mréli Brto COSTA, Mri

331 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth COSTA, Mri Armn COSTA, Mri Armin COSTA, Mri Suly Alvs , 241 COSTA, Plo Crniro Olivir COSTA, Sntn COSTA, Suln C. T COSTA, Tâni... 52, 84, 112, 229, 560 COSTA, Xvir COUTNHO, Pul... 13, 150, 155, 157, 508 COUTNHO, Vróni COUTO, Cmil Sntos o , 417 COUTO, Srin CRAVDÃO, Rit CRESPO, Snrin Sofi Silv CRUZ, Amn Almi CRUZ, An CRUZ, nês , 372 CRUZ, Jon... 45, 210, 225 CRUZ, João R , 151, 154, 495, 496 CRUZ, Krl... 38, 356, 358 CRUZ, Mg Ros Rmos... 11, 490 CRUZ, Mário CRUZ, Olímpi... 63, 110 CRUZ, Rui CRUZ, Sofi CUBERO, Jvir CUNHA, Cláui CUNHA, Fátim CUNHA, Gilmr CUNHA, CUNHA, Jon CUNHA, Mrin , 386, 398, 428, 568 CUSTÓDO, Filip Dnil Olivir CUSTODO, Tigo D D ÁGUA, Nuno Bor DALLEGRAVE, Dnil DALLOT, Fáio S DAMACENO, Krl DAMASCENO, An Klv 315, 564, 565 DAMASCENO, Simon S DANEL, An Mrt DANEL, Frnn , 274, 403, 405 DAYS, Din Cross DÁZO, Eliz Mri Rzn , 482 D ELBOUX, Mri José... 79, 408 DEMAN, Sr DENS, Trs DESOUZART, Gustvo DEZORD, Flávi DAS, Crlos Amrl DAS, Gisl Mono , 278, 279 DAS, Héli... 63, 563 DAS, Jéssi DAS, João Cnoss... 5, 72 DAS, João Silv DAS, Mnul DAS, Mri Luz Vl DAS, Mri Lonor Cost DAS, Mrt DAS, Mrt Luiz DAS, Riro DAS, Sr S , 460 DAS, Tlm DÍAZ, Jun Frnno Jiménz DNS, Nth... 87, 88 DOGO, Pul DXE, Mri os Anjos , 186, 144, 145, 460, 466, 479, 493, 498, 506, 507, 578, 579 DZ, Elist Fátim Dinis DOMNGUES, Ctrin DOMNGUES, Cáti DOMNGUEZ-MUÑOZ, Frniso , 347 DÔRO, Ptríi DUARTE, An DUARTE, Cristin , 469, 470 DUARTE, Ntáli , 455 DUQUE, Euro DUTRA, Ltíi DUTRA, Ltíi Roh ENCARNAÇÃO, João , 585 ESPANHA, Mrgri , 589 ESPERANÇA, António ESPERANÇA, Jon , 591 ESPÍRTO-SANTO, Hln , 285, 305, 377, 403, 436 ESTEVES, Lun Lops Nvs ESTEVES, Pul ESTEVES, Rqul EVANGELSTA, Jon EVARSTO, An EXOJO, Emili f FAGUNDES, Krolin Vitorlli FALÉ, sl FANTNATT, Elin Nsimnto FARA, Pul FARA, Pul Cristin , 591 FARAS, Fio Tixir FARAS, Rgin Lui G. P FARAS, Sílvi FARO, Mfl FASSARELLA, Cinti Silv , 526 FAVA, Silvn Mri Colho Lit FETOSA, Anré FELGUERAS, Migul FELCANO, Cáti FELZARDO, Mliss Joi FERLA, Alino Antônio FERNANDES, Aíli Mri Pirs Silv FERNANDES, An FERNANDES, An Alxnr FERNANDES, An Fátim , 316 FERNANDES, António , 193, 325, 467 FERNANDES, Btriz FERNANDES, Btâni Mri FERNANDES, Din FERNANDES, Filip FERNANDES, Gorgi Brros FERNANDES, Hnriqut ,

332 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth FERNANDES, Jorg FERNANDES, José FERNANDES, Lr FERNANDES, Lilin Dlfin Olivir FERNANDES, Mrlo , 143 FERNANDES, Mári Astrês , 324, 501, 502 FERNANDES, Mri Btriz FERNANDES, Mri Susn Noguir FERNANDES, Mrin FERNANDES, Miln FERNANDES, Nuno , 349 FERNANDES, Ptríi FERNANDES, Rnt FERNANDES, Rosin... 33, 34, 351 FERNANDES, Susi Mry Souz , 142, 143 FERRÃO, Sóni FERRAZ, Mrt FERRERA, Améli FERRERA, António FERRERA, Bl FERRERA, Bruno , 229 FERRERA, Ctrin FERRERA, Céli FERRERA, Cláui , 463, 473, 474, 560 FERRERA, Efigêni Frrir FERRERA, Héli FERRERA, nês FERRERA, Jon FERRERA, Lino , 576 FERRERA, Luis Migul FERRERA, Mnul FERRERA, Mri FERRERA, Mri João A. P FERRERA, Mri Mnul FERRERA, Môni Tynr Muniz... 14, 130 FERRERA, Ptríi FERRERA, Pulo FERRERA, Pro L , 575 FERRERA, Rqul FERRERA, Rqul Conição FERRERA, Sofi FERRERA, Tâni FERRERA, Vn Cristin Lops FERRERA, Rorigo Chón FERRNHO, Vr FERRO, Dnis FERRO-LEBRES, Vr... 83, 192, 193, 325 FDÉLS, Eliny Prisill Bzrr FERRO, oln M FGUERA, Bris FGUEREDO, Ctrin FGUEREDO, Dnil... 45, 283, 370, 374 FGUEREDO, Lur FGUEREDO, Mri Crmo... 36, 520 FGUEREDO, Mri o Céu Briri , 526, 564 FGUEREDO, Mri Hnriqut , 302, 327 FLGUERAS, Ernsto FLHO, Alis José Brno FLHO, s Suzrt Goms , 113 FLHO, Niolino Trompiri FLPE, An Cláui... 7 FLPE, Luís FLPE, Néli Cristin Lops FLPN, Cill Brlos , 482 FRPO, Rnt FRPO, Rorto FUZA, Mri L. Tls FLÓRO, Tigo FOLCH-AYORA, An FONSECA, Aéli Dyn Guimrãs , 177 FONSECA, Dl FONSECA, Fino FONSECA, Hln... 10, 459 FONSECA, sl Brhon FONSECA, Luís FONSECA, Mrt , 407 FONSECA, Susn... 33, 34, 351, 352 FONSECA, Tâni FONSECA-PNTO, Rui... 37, 524, 527, 528, 529, 533 FONTES, An Mri Douro Lvinsky FORNERETTO-GOZZ, Aln Piv FORTUNATO, Ptríi FRADE, João , 206 FRADE, Ntáli , 208 FRAGA, Alx FRAGOSO, sl FRANCSCO, Jon FRANCSCO, Susn FRANCO, Déor FRANCO, Jon FRANCO, João FRANCO, Mrgri FRANCO, Smnth Luzi Guimrãs FRAZÃO, Hnriqu FRETAS, Cinti... 41, 270, 273 FRETAS, Cinti Domingus , 278 FRETAS, Dino , 553, 556, 589 FRETAS, Grgório , 140 FRETAS, Mnull Arújo FRETAS, Mri FRETAS, Otíli , 140, 330 FRAS, An... 70, 73, 402 FREDRCH, Dnis FROTA, Mirn Aluqurqu , 234, 417 FROTA, Rithinn FURFORO, Éri FURTADO, rqulm M FURTADO, Tâni g GABREL, An Trs GABREL, Rqul... 45, 370, 374 GADELHA, Crlos GALÁN, Crmn GALHARDO, An GALÚCO, Gláui GALVÃO, An Mri , 309, 464, 465 GALVÃO, Dul , 341 GALVÃO, Mrli GAMERO, Anri GARCA, Anri GARCÍA-GORDLLO, Migul Ángl , 246 GARCA-MATADOR, Juit

333 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth GASCH, Agu GASPAR, Filomn... 10, 459 GASPAR, Pro... 10, 259, 459, 460 GAVNHA, Snr , 208, 209 GAZOTT, Thís Cstro GERALDO, nês G, João GL, João GOVANETT, Gisl GR, Eluir GODNHO, Clst... 36, 563 GODNHO, Mri GODNHO, Mri Luz GODOY, Cássi Silv Mirn , 231 GODOY, Simon GODOY, Solng Crvinho Bilho GÓS, Filip GOS, nês Nor GOMES, An Alln GOMES, An Mri... 7, 8 GOMES, Bárr , 561 GOMES, Clui GOMES, Eurio... 91, 93 GOMES, nês GOMES, vn GOMES, Mri sl GOMES, Mrgri GOMES, Mri José GOMES, Noéli Cristin Rorigus Pimnt GOMES, Riro GOMES, Rui GOMDE, Mrin GONÇALVES, An... 24, 120 GONÇALVES, An Cristin , 544 GONÇALVES, An Rit GONÇALVES, Cáti GONÇALVES, Cláui GONÇALVES, Cristin , 515, 516 GONÇALVES, Filip GONÇALVES, Guilhrm , 206 GONÇALVES, Jurz Hnriqu Tixir 105, 106, 431 GONÇALVES, Lilin GONÇALVES, Luís , 103 GONÇALVES, Mríli GONÇALVES, Pro GONÇALVES, Pro Jorg Mtos GONÇALVES, Rui... 68, 260, 440 GONÇALVES, Tlmo , 585 GONÇALVES-PERERA, Mnul GONZAGA, Luís GONZALEZ, Mihll Cost GONZÁLEZ-ALONSO, Mrí Yoln GONZÁLEZ-CHORDÁ, Vítor Mnul GORDO, Clmntin GORDO, Sr GOUVEA, José Pinto GOUVEA, Luis Borgs GOUVEA, Mári Tls Olivir GRAÇA, An GRAÇA, Ptríi GRACAN, Zoj , 143 GRANADO, An Cristin GRAVETO, João GRECO, Rosângl GREGÓRO, Riro GREVE, Júli GRLO, An GUADALUPE, Sóni , 305, 377, 403, 405, 436 GUARNO, Mri Pro... 22, 42 GUEDES, Mg GUERRA, nês GUERRA, João GUERRERO, Ctrin GUERRERO, Dnil GUERRERO, Mr Prir GULHERME, Mr GUMARÃES, Nuno GUMARÃES, Trs GUS, Nris , 347 GUSKUMA, Éri Myumi , 482 GUTERRES, Mrt H HAGEMANN, Luin Bihin HAKAL, Dsiré Snt An HENRQUES, Crolin Migul Grç , 339, 454 HENRQUES, Filip HENRQUES, Sr HERNÁNDEZ-MARTÍNEZ, Frniso-José... 56, 306, 371, 538, 575 HERNANDEZ-MOCHOLÍ, Migul HONÓRO, Smul , 332 J JACOB, Li Mristl , 439 JÁCOME, Cristin... 45, 361, 370 JANELA, Sr JARDAN, Dnil , 576 JARDM, Mri Hln JESUS, An Sofi JESUS, Filip JESUS, Luis M. T , 531, 542 JESUS, Tlin Kings JMÉNEZ-DÍAZ, Jun Frnno , 575 JMÉNEZ-DÍAZ, Jun-Frnno... 56, 371, 538 JMÉNEZ-RODRÍGUEZ, Crl JOÃO, An Lúi Silv JORA, Ntáli JORGE, Mri Ltíi Rmos JORGE, Nlson JORGE, Xvir JOSÉ, Hln JÚNOR, Jonito Niquini Ros JUNOR, José Airton Frits Ponts JÚNOR, Rginlo Sntos Silv JUNQUERA, Jnín k KARBAGE, Sr Arnjo Lino , 237, 238, 439 KEMPFER, Silvn Silvir KRAUZER, vt Mroso KREMPSER, Pul 219, 255, 450 KRUGER, Amn KURAHASH, Mikol

334 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth l LACATVA, Mrin Káti Rmpzo... 79, 408 LACERDA, Josimri Tlino LADSLAU, José R. V LAGE, sl... 92, 95, 96, 99, 292 LAGO, Rfl LAMDM, Fátim Lun Pinhiro LANÇA, Luis LANCMAN, Slmn LANDM, Fátim Lun Pinhiro , 234, 453 LAPA, João LARANJERA, P LARANJERA, Sr LARANJO, Mfl , 516, 586, 587 LASKA, Frnn LEAL, An Pris LEAL, Filip , 202 LEANDRO, Engrái LEBRE, Rnt Lops Anr Silv LERAS, Els LETÃO, An Almi Céu LETÃO, Ctrin , 151, 483, 496 LETÃO, Céli LETÃO, Céu... 76, 354 LETÃO, Din , 518 LETÃO, João LETE, An Ctrin LETE, An Filip Silv LETE, Brun LEMOS, Lur , 285, 403, 436 LEONE, Mriléi , 450 LMA, An LMA, Antônio Moir Jsus LMA, Cmil Sntos Pirs , 535 LMA, Frnis , 566 LMA, Frnis Fin Frnns , 323, 324, 501, 502, 503, 504 LMA, Jon LMA, Júni Lonn Douro Almi , 163, 557, 558 LMA, Kmil Frrir , 417 LMA, Luiz Nor , 477 LMA, Mrgri Proso LNO, Tigo LOBÃO, An Rqul... 87, 88, 440 LOBÃO, Ctrin... 87, 88, 260, 440 LOBO, An Crolin Frrr LOPES, An sl LOPES, Ângl LOPES, Armin Gurr , 597 LOPES, Cáti , 475 LOPES, Dnil LOPES, Figuiro LOPES, vo LOPES, Mri Su Olivir Custóio 148 LOPES, Mri Hln , 163 LOPES, Rnt Mirn Arújo Lt LOPES, Sóni LOPES, Tlm Mrgri Colho LOURERO, sl LOURERO, Luis Mnul Jsus... 61, 183 LOURENÇO, Cristin LOURENÇO, Jon LOURENÇO, Mrt Slomé F LOURENÇO, Tâni , 103 LOURO, Mri Clriss , 145 LUCAS, Cláui LUCAS, Hugo Mnul Olivir , 321 LUCAS, sl LUCAS, Mrin , 377 LUCENA, Filip LUÍS, Rit... 6 LUÍS, Sr LUZ, Crlos... 20, 21, 344 LUZ, Lonro G. O LUZ, Mrgri LUZ, Mri Hln Brros Arújo m MACHADO, Pro MACHADO, Prisil o Vl , 323, 501, 503, 504 MACHADO, Winnr Goms MACÁ-SOLER, Mri Lorto MACEL, Elois Alxnr Riiro , 555 MADERA, An MADERA, Anré MADURO, nês MAFRA, João MAGALHÃES, An MAGALHÃES, Bruno MAGALHÃES, Crlos Pirs MAGALHÃES, Cáti... 33, 351, 352 MAGALHÃES, Frnn , 565, 566 MAGALHÃES, Smir Roh MAA, An Mrgrt Coriro Silv , 107, 109, 113, 562 MAA, Pulo Hnriqu MAJOR, Sofi MALDONADO, nês MALDONADO, José MAMEDE, Lino MANARTE-MONTERO, Ptríi , 208, 209 MANVA, Smi Jrll Cost Frits MANSO, Mri Conição , 208, 209 MAQUES, Pul Roh MARÇAL, Mrin MARCELNO, An MARCOLNO, Tís Quvo , 170 MARCOS, Azun MARZ, An MARQUES, Ailson MARQUES, Al... 45, 46, 200, 210, 225, 283, 361, 369, 370 MARQUES, August MARQUES, Cláui MARQUES, Frnn MARQUES, nês MARQUES, Lúi MARQUES, Mári , 493, 506 MARQUES, Mrin , 285, 305, 377, 436 MARQUES, Pulo , 573, 592 MARQUES, Riro MARQUES, Rit

335 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth MARQUES, Rosáli MARQUES, Sr MARQUES, Sofi MARQUES, Tis Olivir MARQUES, Tigo MARQUES-SANTANA, Glgys MARTÍN, nmul Zngo MARTNELL, Silini MARTÍNEZ-MARTÍNEZ, Arin MARTNHO, An MARTNS, Alin Bros Tixir , 238 MARTNS, An Pul... 80, 81, 409, 410 MARTNS, An Rit MARTNS, Anl... 39, 166 MARTNS, Anl Corri MARTNS, Anré Mri E. B. Lim , 177, 180 MARTNS, Ctrin MARTNS, Cáti MARTNS, Clr , 103 MARTNS, Cristin MARTNS, Dnil MARTNS, Emíli... 33, 34, 351 MARTNS, Frnno , 529, 576 MARTNS, Hugo , 349 MARTNS, oln MARTNS, sl Ctrin , 355 MARTNS, João Pulo , 232 MARTNS, Jorg H MARTNS, Jorg Humrto , 536 MARTNS, José Crlos Amo , 499, 500, 596 MARTNS, Júlio , 332 MARTNS, Lr MARTNS, Mnul MARTNS, Mári MARTNS, Mri o Rosário Jsus MARTNS, Mri João MARTNS, Mri José Roso MARTNS, Mri Mnul MARTNS, Mtil D. S MARTNS, Pul Cristin MARTNS, Pro , 132 MARTNS, Rui... 20, 21 MARTNS, Smul MARTNS, Sylvi Christin Pinto MARTOS, Jun Antonio Flors MASSON, gor MATA, Mri August Prir MATEUS, Cáti MATEUS, Gonçlo MATEUS, Jon MATAS, Alxnr MATAS, Éri MATAS, Jon MATOS, Lilin MATOS, Mrl MATOS, Mri Assunção , 559 MATOS, Rui , 151, 154, 447, 495, 496 MATOS, Trs MAURÍCO, Czrin Sntinho MAYORAL, Vni F. Sá MAZZO, Alssnr MEDEROS, Filip MEDEROS, Nj Btriz Sriv MEDEROS, Rnt Firpo R , 278, 279 MEDNA, Orl... 24, 25, 342 MEDNA, Plo MELERO, José MELLO, Amn K MELO, An Sofi MELO, Filip MELO, João Quiróz MELO, Lério Dlon MELO, Mri Jussr Rorigus , 318, 583 MELO, Pro MELO, Riro MENA-TUDELA, Dsiré MENDES, An... 68, 129, 132, 524, 528, 533 MENDES, Anl MENDES, Ausn MENDES, Bruno... 6, 173, 222, 549, 550 MENDES, Eugéni , 299, 419, 432 MENDES, Frnno , 544, 545 MENDES, Frniso... 33, 34, 351 MENDES, gor , 316, 565 MENDES, sl , 427 MENDES, sl Améli Cost MENDES, Ltíi Rii MENDES, Lino MENDES, Mri Angéli MENDES, Rqul , 356, 358, 550 MENDES, Romu... 40, 65, 359, 389 MENDES, Snrin MENDES, Vléri Montiro MENDONÇA, An MENDONÇA, Pul... 29, 345, 517, 518 MENEGOTTO, An Luíz Svris MENESES, Ríl Tôrrs MENÊZES, Jnin Miros Mêo , 431, 494 MENNO, Ev , 145 MENNO, Mri João MESA, Móni MESQUTA, ngry Nsimnto Silv F MESSAS, Norrto MLLARES, Pro Moruno MNA, Sóni Cristin Sous Pós , 481, 493, 506, 578, 579, 580 MNGHELL, Btriz MRANDA, Cláui MRANDA, Lonor MSHMA, Silvn Mrtins MÚDO, Ctrin MOHAMED-LEHBB, Nf MÓNCO, List os Sntos Mns , 477 MÓNCO, List Mns MONTERO, An Pul MONTERO, Crin MONTERO, Cti MONTERO, Cristin Hirst MONTERO, Diogo , 443, 446 MONTERO, oln MONTERO, sl MONTERO, Liin Apri ,

336 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth MONTERO, Mri João F. Sntos Pinto... 66, 223, 353, 392 MONTERO, Vitor MOÑUX, Yoln , 593 MONZÓN-MORENO, Crmlo MORAS, Crmin... 89, 201, 202 MORAS, Céli MORAS, Myr Lívi Mglhãs MORAS, Nuno MORAS, Rfl MORAS, Soni Smr Fons , 583 MORAS, Zil MORAS, C MORATO, Pro MORERA, An Ctrin MORERA, Cmil , 316 MORERA, Dnis S MORERA, Fátim MORERA, réli Munhoz , 278, 279 MORERA, Mário MORERA, P MORERA, Pro MORERA, Rmon Missis , 400, 404, 562 MORERA, Thrz Mri Mglhãs MORENO, Nth MORGADO, Ali Murtir MORGADO, Cláui MORGADO, Lin MORGADO, Sóni Mri Anito , 434, 438, 449 MORGADO, Tâni MORGADO, Tigo MORMOTO, von k MORNA, Clmntin , 140 MOROUÇO, Pro G , 147, 151, 348, 433, 495, 496 MOTA, Arin MOTA, Lilin , 397 MOURA, Dnis Cristin Alvs MOURA, Elm Prir MOURA, Hln MOURA, Nyl R Vnção MOURÃO, Cláui MOUTÃO, João , 443, 446 MUÑUX, Yoln Rqul Lpñ MUSS, Frnn Crniro n NABAS, António NAKASHMA, Alik NARDELL, Anrss NASCMENTO, Angéli Sors o NASCMENTO, Crl , 308, 462 NASCMENTO, Elin Rgin Prir o NASCMENTO, Kti Rorigus o NASCMENTO, Luin Mri Olivir NASCMENTO, Luís Migul , 320, 437 NASCMENTO, Tâni... 58, 74, 91, 93, 108 NAZARÉ, Cristin , 301 NEVA, Mri Jsus Lops Mousinho NER, Anit Lirlsso NETO, Antonio Frniso Luz NETO, Ezquil Novis , 177 NEUPARTH, Nuno , 132 NEVES, An , 579 NCOLA, Pulo NOBRE-LMA, Luiz NOGUERA, Amn NOGUERA, Anri NOGUERA, António... 94, 97 NOGUERA, Conição , 528, 533 NOGUERA, Dnil NOGUERA, Livin L NOGUERA, Ptríi NOGUERA, Rit NOLAN, Mik NOVAS, Rui NOVAS, Sóni , 397 NOVO, Anré , 299, 419, 432 NOVO, Sr NUNES, Crl , 206, 326 NUNES, Cristin NUNES, Filip NUNES, Luíli NUNES, Mris Sofi Silv NUNES, Ptríi Almi NUNES, Pulo Mrqus NUNES, Slm o OLVAL, Mrin OLVARES, Pro , 347 OLVERA, Alin L OLVERA, An... 46, 369 OLVERA, An Sofi OLVERA, Armno Móni OLVERA, Cláui... 62, 383 OLVERA, Dnil Bros Cost OLVERA, Déor OLVERA, Elln Hil Souz Alântr OLVERA, Grvnilson OLVERA, Giovnn OLVERA, Grç , 532, 534 OLVERA, Hln OLVERA, Jisin Silv OLVERA, José... 40, 384 OLVERA, Lr , 565 OLVERA, Lr Lit , 491 OLVERA, Mnul OLVERA, Mri OLVERA, Mri Ali Roh OLVERA, Mri Conição OLVERA, Mihll Tixir , 107, 109, 113, 562 OLVERA, Mirn Fontnl , 491 OLVERA, Plmir , 302, 327 OLVERA, Plmir C. M OLVERA, Rfl OLVERA, Rort Grngiro , 238 OLVERA, Sionr Nuns OLVERA, Sr OLVERA, Srh Crolinn Mzz OLVERA, Sulo OLVERA, Sílvi OLVERA, Stphni Fonts OLVERA, Tmirs Limir Mglhãs

337 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth OLVERA, Tni Tolo , 558 OLVERA, Trs Crl Trigo , 380 OLVERA, Tigo... 4 OLVERA, Wllington OLVERA-FLHO, Almir B , 313, 322 OLVERA-MRANDA, Arin M , 313, 322 ORÁ, Môni Olivir Btist , 316, 318, 319 ORNELAS, Hlin ORTS-CORTÉS, Mrí sl p PADLHA, José Migul PAS, Julin PAS, Snr PAS-RBERO, José Luís PAVA, António , 534 PAVA, Pâml Cmplo PAVA, Vr PALETOT, Yoln Arnts PALMA, Sérgio PALMERA, Lr , 474 PALMERO, Trs , 132 PALMNHAS, Egr... 70, 73, 402 PAMPLONA, Ysly... 38, 358 PAQUETE, Ptríi PARENTE, Crin PARRAÇA, José Alrto , 246 PARRACHO, Tigo PARRERA, Pul PARRERA, Pro Migul Sntos Diniz , 219, 546, 569 PASSARELL, Gritt F. R , 277, 278, 279 PATRAQUM, Ctrin PAUL, Constnç PAUL, Mri Constnç PAZ, Solng Sntos PECHLYE, Mg Mht PEDRAS, Susn PEDRO, Luís PEDROSA, João Pro Goms PEDROSA, Smyl PEDROSO, gor PERALTA, Ptríi Prir PERERA, Alxnr PERERA, An Hortêni Cvlnt Croso PERERA, An Mrt Sriv PERERA, An Trs N. Silv PERERA, Crlos PERERA, Cáti PERERA, Dylis Fifth PERERA, Dor Sous PERERA, Diogo PERERA, Filip Migul Sors , 224, 372, 441, 555 PERERA, líio PERERA, Jorg , 528, 533 PERERA, Kil PERERA, Kil Cristin Rush PERERA, Mri Conição A. R. Sors... 66, 223, 392 PERERA, Mri Grç , 442 PERERA, Mri Lúi PERERA, Nlson , 591 PERERA, Olívi R , 364 PERERA, Orlino Gouvi PERERA, Ptríi PERERA, Ros... 24, 25, 342 PERERA, Run PERERA, Vnss PÉREZ, Binvni Roríguz PEREZ, Frniso Luis... 90, 98, 570 PÉREZ, Frniso Sntn PÉREZ, José Miri Jiménz PERN, Crl Corri , 488 PESSOA, Mri Emnoll Frir PESTANA, Filip PETERS, Vr Mri PLLON, Snr PLÓ, Dnis PMENTA, An Rit PMENTA, Grç Mri Frrir PMENTA, Rui , 202, 381 PMENTEL, Hln PMENTEL, Luís PMENTEL, Mri Hln PNCNATO, Er PÑERO, Mrt , 516, 586 PNHERA, Vítor... 48, 53, 67 PNHERO, An Krin Bzrr , 491 PNHERO, Armin , 115 PNHO, Cáti... 46, 369 PNTO, An PNTO, Ctrin... 84, 229, 560 PNTO, Frniso PNTO, nês Rosno PNTO, on PNTO, sl C , 435, 437 PNTO, José Simão Pul... 11, 490 PNTO, Mári Apri Olivir PNTO, Mri o Rosário PNTO, Mrt PNTO, Pulo Frrir PNTO, Rfl PNTO-GOUVEA, José , 386, 398, 415, 428, 457, 469, 470 PO-ABREU, José Luís PRES, An Rit Quintino Mtos PRES, An Slomé , 585 PRES, Bruno... 94, 97 PRES, Cristin PRES, Rgin M. F , 441 PRES, Tâni POÇAS, l Mri... 29, 30 PONTE, Crolin PONTE, Thin Viir PORDEUS, sl Almi PORTELADA, Bruno , 216 PORTELNHA, Rit POZO-CRUZ, Borj l , 246 PRADO, Jnin Mnziri , 143 PRADO, Mrt Lnis o PREBANCH, Hln , 263 PRESADO, Mri Hln PRETO, Lonl , 299, 419, 432 PRÍNCPE, Frnn PROENÇA, Rui Dnil

338 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth PRÓSPERO, Sr PURCARU, Mrionsu , 417 q QUARESMA, Cláui QUERÓS, Alxnr... 3, 215, 216 QUEROZ, Cinthi Min QUEROZ, Mr Joy QUENTAL, Jon Mri Frrir Pho QUERDO, An , 507 QUNTAL, Alor... 77, 81, 406, 409 QUNTAL, Ptríi QUNTANA-MONTESDEOCA, Mri l Pino... 12, 56, 306, 371, 575 r RAMUNDO, João RAMUNDO, Mri RANHO, Conição RAMALHO, Sóni , 341 RAMOS, Alxnr RAMOS, Anré RAMOS, Câni RAMOS, Dnil , 300 RAMOS, Estr , 103 RAMOS, Lilin RAMOS, Luís RAPOSO, Vr RAYMUNDO, Gisl Pontroli , 136 REAL, Alin Mri Miros REBELO, Cristin REBELO, Filip REBELO, José Euro REBELO-NEVES, Ctrin REGO, Crl REGUENGA, José RES, Alin RES, An Rit , 493, 506 RES, Anïs RES, Cláui , 574 RES, Jon RES, Mliss RES, Rnt RES, Vitor Mho... 65, 389 RESNHO, Conição RELVAS, An Pul REPAS, Diogo RESENDE, Thís Mnonç RBERO, Aniz RBERO, Anr... 28, 365 RBERO, Crlos Fonts , 300, 483, 534 RBERO, Céli RBERO, Ciln Silv Goms , 488, 492 RBERO, Cláui... 69, 71, 181, 233, 310 RBERO, Dvi RBERO, Jim RBERO, João Hnriqu M RBERO, Jorg Mnul RBERO, José RBERO, Lilin Consolção Cmpos , 258 RBERO, Luin RBERO, Mri , 123, 435 RBERO, Mri João RBERO, Mrili Cristin , 567 RBERO, Mximino P... 13, 155 RBERO, Mximino Prt , 508 RBERO, Mihlly E RBERO, Mirts RBERO, Nthli RBERO, Nuno... 2 RBERO, Osr , 455 RBERO, Ptríi , 598 RBERO, Snr RBERO, Tin... 57, 541 RCO, Julin Sá... 5 RMES, Thlit Sors RO, Rut ROS, An ROS, Griz Cristin ROS, Luin Lops ROBAZZ, Mri Lúi o Crmo Cruz ROCC, Joséli ROCHA, An ROCHA, Dnil ROCHA, Mr ROCHA, Nlson... 3 ROCHA, Prisil ROCHA, R ROCHA, Rgin Lunri ROCHA, Riro Nuno Silv ROCHA, Sr ROCHA, Tomé... 57, 541 ROCHA-GONÇALVES, António , 516, 586 RODRGUES, Al... 48, 67, 68 RODRGUES, Alxnr... 56, 306, 371, 538, 575 RODRGUES, Anri RODRGUES, Ângl Mri Uhô , 468 RODRGUES, Bárr RODRGUES, Crl RODRGUES, Cláuio Euro RODRGUES, Cristin RODRGUES, Étri , 143 RODRGUES, Ev RODRGUES, Fnn RODRGUES, Frnn RODRGUES, Frniso Rfl Arújo... 14, 130, 264 RODRGUES, Jilo Goms , 304, 562 RODRGUES, Jon RODRGUES, João RODRGUES, José Pro RODRGUES, Julin RODRGUES, Luís , 539 RODRGUES, Luís Pulo RODRGUES, Nin RODRGUES, Rogério Mnul Clmnt... 61, 426, 427 RODRGUES, Solng Domingus RODRGUES, Vítor RODRÍGUEZ, An Btriz... 90, 288 RODRÍGUEZ, Ptrii... 90, 98, 288, 570 RODRÍGUEZ-DE-VERA, Binvni... 56, 306, 371, 538, 575 ROHLFS-DOMÍNGUEZ, Plom ROLDÃO, Olin... 80, 85, 290, 406 ROQUE, Fátim... 13, 157,

339 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth ROQUE, Mri Fátim ROSA, Mnul Sntos , 544, 545 ROSA, Mrln ROSA, Rqul ROSADO, Sr Rorigus , 482 RUA, Mríli s SÁ, Luís... 52, 393, 423, 540 SÁ-COUTO, Pro , 542, 559 SACRAMENTO, Jon SALAS-MEDNA, Plo SALDANHA, Cmil Trvisn SALERNO, Gisl Ros Frno , 143 SALES, Lil SALES, Tigo , 544 SALES, Znil Noguir , 404 SALVADO, Gonçlo SALVADOR, Mri o Céu , 244 SALVADOR, Rogério , 433 SÁNCHEZ-MARTÍNEZ, Frnno gnio SANTAMARNHA, Crlos SANT ANA, An Rit SANTANA, Mln SANTANA, Ntháli SANTANA-PÉREZ, Frniso-José SANTAGO, Brr , 493, 506 SANTAGO, Conição SANTAGO, Luiz SANTAGO, Mri Conição SANTO, Flávi SANTO, Hln Espirito SANTO, Mrgri... 58, 74, 93 SANTO, Tâni SANTO, Trs Espirito SANTOS, Almir Alvs SANTOS, An H , 432 SANTOS, An Mrt SANTOS, An Rit SANTOS, Ctrin SANTOS, Céli... 31, 372, 421 SANTOS, Cristin Mlo Silv SANTOS, Din SANTOS, Eig SANTOS, Éli SANTOS, Gort SANTOS, Hlr S SANTOS, sl SANTOS, Jon Pros SANTOS, Joslyn Corrê os SANTOS, Ln E. S SANTOS, Lr SANTOS, Lnir Mri Wnrly os SANTOS, Livi Mri Dmsno os SANTOS, Luís , 413 SANTOS, Mrgri , 391 SANTOS, Mri , 401 SANTOS, Mri João Sr SANTOS, Mrin SANTOS, Mris SANTOS, Nuno , 154 SANTOS, Osvlo SANTOS, Ptríi sl Vlnt os SANTOS, Pul Clr SANTOS, Pul Dynn Sous SANTOS, Rnt Dis Silv , 323, 501, 503, 504 SANTOS, Riro , 591 SANTOS, Riro Jorg SANTOS, Rui , 226, 232 SANTOS, Sofi 17, 194, 333, 334 SANTOS, Trs SANTOS, Zéli Mri Sous Arújo , 238, 439, 451, 453 SANTOS-ROCHA, Rit SANTOS-SLVA, Filip... 2 SANZ, Tmr Rqul Vlso SARDO, Dolors , 115, 133 SARMENTO, An Bl , 544, 545 SARMENTO-RBERO, Anl , 516, 585 SARROERA, Cssil , 563 SASSO, Gr Trsinh Mron Dl SCHETNGER, Mri Ros SCHAVNATO, Digo SCHUGK, Susnn , 544 SEABRA, Pulo SECO, Grç Mri , 394 SEXAS, Crlos Alrto SEQUERA, Jon , 422 SERRA, Arménio , 516, 586 SERRA, Sr Rqul Grnjiro SERRANO, An Mri SERRANO, Mrgri , 396, 522, 532 SERRANO, Pilr SEVERO, Amn Holn SFREDO, Nthli SLVA, Al SLVA, Arin SLVA, Arin Frrir SLVA, Ai Eur SLVA, Alxnr SLVA, An... 27, 166 SLVA, An Cristin Sors SLVA, An Elis Bur Cmrgo , 231 SLVA, An Júli SLVA, An Ptríi SLVA, Anl G , 216 SLVA, Ann Krolinn O , 191, 324, 501, 503 SLVA, Crl SLVA, Crl Mtos... 47, 276, 378 SLVA, Crl Sous , 537 SLVA, Crolin SLVA, Ctrin A. Goms SLVA, Cáti , 360 SLVA, Cristin Filip Riiro SLVA, Disy Mri , 472 SLVA, Dorvlin R SLVA, Euro Arújo SLVA, Elizth SLVA, Elizth F SLVA, Fin SLVA, Gril SLVA, Govn Glls Frrir SLVA, Govni

340 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth SLVA, Grzill Rort Frits , 323, 503, 504 SLVA, Gustvo SLVA, sl , 140 SLVA, zl Roh Dutr SLVA, João... 43, 267, 275 SLVA, João Dus Goms SLVA, João Pulo Xvir , 583 SLVA, José Vitor SLVA, Josn Goms SLVA, Lilin Lr , 177 SLVA, Lolit Dopio SLVA, Míz Snr Riiro Mo SLVA, Mnul João Colho SLVA, Mríli Alonso Piv SLVA, Mário SLVA, Myr SLVA, Móni SLVA, Olvni Mrtins , 567 SLVA, Rin Sors Sous , 106, 429, 431, 494 SLVA, Rimun SLVA, Riss Sors Sous SLVA, Rnt SLVA, Rit SLVA, Rort Arújo SLVA, Rort Gonçlvs SLVA, Ros... 84, 112, 229 SLVA, Srin Gutrrs , 213, 535 SLVA, Sr SLVA, Sílvi Mnul Dis Tvrs SLVA, Tâni SLVA, Tigo Mnul Jorão SLVA-OLVERA, Gláui C , 313, 322 SLVERA, Flávi Dyn Riiro , 323, 503, 504 SLVERA, Mri Gortti Alvs Olivir SLVERA, Trs SMEÃO, Mri Lurs SMÕES, Cristin , 334 SMÕES, Dor SMÕES, Luin Lit Pinli , 231 SMÕES, Mrin SMÕES, Nhi SMÕES, Rui SMÕES, Sóni , 284, 285, 305, 377, 436 SMÕES, Tigo SMÕES-DAS, Sr SM-SM, Mrgri... 70, 73, 402 SOARES, An SOARES, Antoni Liiny SOARES, Ciln Frnns SOARES, Eson Silv SOARES, Klly SOARES, Rui SOARES, Vivin Antuns Rorigus SOERO, Rqul SOLER, Mri Lorto , 249, 593 SOURCES, Evilin Fitos SOUSA, An SOUSA, An Srin SOUSA, Anrson Ris , 107, 109, 113, 304, 400, 404, 562 SOUSA, Anri , 591 SOUSA, Anri... 1 SOUSA, Crlos SOUSA, Crolin SOUSA, Clmntin SOUSA, Ev... 82, 101, 103 SOUSA, Gzil SOUSA, nês Mri Cruz SOUSA, sl SOUSA, Julin Evristo , 494 SOUSA, Lilin , 374, 388 SOUSA, Mri Filomn Grlo SOUSA, Mrin Xvir SOUSA, Mrin S SOUSA, Nthli Riiro Pinho SOUSA, Nlson... 40, 65, 359, 389 SOUSA, Ptríi SOUSA, Pulino , 588, 592 SOUSA, Pro... 9 SOUSA, Vnss SOUZA, An Mril , 482 SOUZA, Cssi Rgin Sntn SOUZA, Dys Nri SOUZA, João Gril Silv , 177, 180 SOUZA, Luin Crnvl , 450, 546 SOUZA, Prisil SOUZA, Rfl SPÍNOLA, An Cristin SPTZ, Elisth , 407 SPOSTO, Giovn STAH, Lili SUCENA, An SURENKHOLOO, Altngn t TABOADA, Xvir TAKAYAMA, Gril Mitiê TAMBORL, Brun Crolin Rorigus TAVARES, Din TAVARES, Jorg... 4 TAVARES, Mrgri TAVARES, Mur TAVARES, Rqul TECELÃO, Crl TEXERA, António TEXERA, Gril , 493, 506 TEXERA, Grlo M TEXERA, José TEXERA, Juls Rmon Brito , 400, 404, 562 TEXERA, Ltiti , 455 TEXERA, Luin Brllos TEXERA, Mri Luz F. Figuir Chvs TEXERA, Mrln... 43, 267 TEXERA, Slt TEXERA, Tomás TEXO, Riro , 516, 584, 586, 587 TELES, Júli TELES, Sori TENA, José Mrí... 90, 98, 570 TERUYA, Diru Y TESTA-VCENTE, Hnriqu , 403 THEMUDO-BARATA, José Luís... 65, 389 TBES, Chris

341 Rv Sú Púli 2014;48(n.sp): n PLiri ntrnionl Hlth Congrss Chllngs & nnovtion in Hlth TOLETT, Glóri TOMÁS, Hln Mrgri TOMÁS, Mri Trs... 50, 64 TOMASAK, Fin Cássi Svi , 488 TORGA, Jorg TORJA, Mri José Co TORO, Frniso TORRES, An TORRES, Jmilly Fitos , 315, 319, 583 TORRES, Mihll Vint TORRES, Rui TORRES-PENA, nês TRAVESU, Dnil TREVZAN, Mri Auxilior TRNDADE, nês Almi , 463, 473, 474 TRNDADE, Ltíi Lim TUDELA, Dsiré v VALE, Mfl VALE-DAS, Mri Luz VALENTE, Tigo , 216 VALÉRO, Bruno Migul VALPUESTA, Esprnz Ryón VAQUERZO, Mirim VASCONCELOS, An VASCONCELOS, Crlos VASQUES, Riro VAZ, An Mri Bptist Olivir Dis Mlv VAZ, Dnil C , 456 VAZ, sl VÁZQUEZ, Roío L Purt... 91, 93 VEGA, Nélio... 69, 71, 181, 233 VELUDO, Filip , 411, 412, 414 VENDERO, L VENTURA, Muriio VERSSÍMO, Clúi VESCO, Ntáli VANA, Crl... 38, 358 VANA, Clúi VANA, Rui... 26, 27, 28 VANA, Sr VANA, Tâni , 551, 553, 589 VANNA, Dnis Louriro , 143 VCENTE, Hnriqu Tst VERA, An Cristin VERA, Armin Mil VERA, Dnil , 579 VERA, Gisl Tls , 558 VERA, Jon... 82, 103 VERA, Mrgri VERA, Pro VERA, Snr VLAÇA, Simão... 57, 95, 96, 292, 541 VLARES, Jon VLARNHO, Hln VLAS-BOAS, Sophi VLELA, Rosn VLELA, Tlyt Crmo VNHA, An F , 537 VRELLA, Dnil VRGÍLO, Jon VTAL, Emnul VTORNO, Anl , 438, 443, 446 w WARREN, Elin M. C WLDAUER, Egon WORM, Fin Aolf x XAVER, An , 398, 428 XAVER, Luiz Frnno Mtos , 486 XAVER, Pul... 34, 351, 352 y YABASH, Yuk YASSUDA, Môni Snhs YOSHDA, This YOSHNO, Y z ZAMTH, Frnno ZEM-MASCARENHAS, Silvi

342 Volum 48 Spil Numr My 2014