Brain microbleeds are associated with vascular burden and AD diagnosis in old patients with neurodegenerative dementia. More research is warranted regarding the mechanisms and potential clinical implications of these results.

With the worldwide trend towards aging and increasing numbers of chronic diseases, the promotion of self-care as a central issue in public health is a necessity. Recently, several international entities recommend that the nursing profession rethink its focus of intervention and maximize the relevance attributed to fundamental and long-term care. The implementation of fundamental care has been associated with improved of health service security, reduced mortality rate, and hospital readmission. At the same time, for an appropriate response of the health system, it is crucial to know the care needs of people aged 65 and over, which can be met by the analysis of electronic health records.

Aim: To evaluate the evolution of the functional profile of older adults admitted to a health unit in Portugal; to relate the functional profile of these individuals with age, sex, education level and emotional state; and to evaluate the probability of the degree of dependence as a function of age and sex. Methods: longitudinal, retrospective study with a sample of 59,013 older adults admitted to convalescence units of the National Network of Integrated Continuous Care of Portugal. Results: In the first 75 days of hospitalization, activities of daily living, mobility and cognitive state improved, but there was a decline after 75 days of hospitalization. The ability to perform instrumental activities of daily living improved in the first 15 days of hospitalization, stabilized until 45 days and then began to worsen. Women had a higher probability of having a severe/complete dependence three years earlier than men (88 years to 91 years). A higher education level and stable emotional state were protective factors against functional decline. Conclusions: The functional profile of older adults improved during the length of stay recommended for hospitalization in convalescence units (30 days). It is critical for health systems to adopt strategies to prevent declines in the emotional state of frail individuals.

A Indústria do Vestuário assume uma elevada importância em Portugal, pois representa cerca de um quarto da produção da indústria transformadora portuguesa e assume uma posição de destaque nas exportações nacionais. O presente trabalho analisa o movimento de internacionalização de empresas da indústria portuguesa do vestuário, no período de 1985 a 2000, no contexto do processo de internacionalização do sector a nível mundial.Mostra-se que as modificações verificadas na indústria do vestuário a nível mundial, obrigaram as empresas de vestuário nacionais a encetar processos de transformação profundos assentes em novas orientações estratégicas. Identificam-se as dificuldades e os limites desta transformação e apontam-se soluções que parecem impor-se Palavras-chave: internacionalização, estratégia, empresa, vestuário, indústria.Clothing Industry plays an important role in Portugal, thus it represents a quarter of the production of the Portuguese transforming industry. It also has an outstanding position as regards national exports.The present paper analyses entrepreneurial internationalization movement of the Portuguese clothing industry from 1985 to 2000, within the context of the internationalization process of this sector at a worldwide level.It is shown that changes in clothing industry at a worldwide level made national clothing companies to carry out deep changing processes based on new strategic orientations. Difficulties and limitations of these changing processes are identified as well as solutions to counteract them.

Cerebral microbleeds were linked to cerebrovascular disease and predicted motor deterioration in institutionalized people with advanced dementia.

Background: The success of healthy aging depends on the ability of countries to study and act on frailty in the elderly, control chronic diseases, improve functional capacity and prevent cognitive decline and social interaction. Aim: (1) to evaluate the functional profile of older adults hospitalized in a Unit of the National Network of Integrated Continuous Care of Portugal; and (2) to assess the relationship between functional profile and age, gender, level of education and emotional state. Methods: Longitudinal study with a population of 59,013 older adults (65 years or older) hospitalized in Medium-Term Care and Rehabilitation Units in Portugal. Results: Older age (≥85 years), no school attendance, low body mass index and presence of sad or depressed mood were predictive factors for a deficit in functional capacity. We identified significant improvements in rehabilitation, but after 210 days of hospitalization, older people incurred a loss of functionality. Total compensation needs were typified by severe deficits in self-care and functional capacity: 47.1%. A moderate deficit was present in 43.1%, and a slight self-care and functional deficit occurred in 9.8% of the individuals. Conclusions: Knowing the determinants of functional capacity and self-care needs will make it possible to define priority intervention groups and implement quality and financing models based on gains in functionality.

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