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.
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.
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.
Aim: In this study, we analyze the relationship between the functional profile of older people admitted to long-term care units in Portugal and some demographic variables such as education level, sex, and age as well as the emotional state of mind.Methods: A sample of 59,516 older people from the National Network of Integrated Continuous Care of Portugal were analyzed in this longitudinal study. All the retrospective data of the older people were collected during the period of hospitalization at the long-term care units. The database records of these units were analyzed, and a functional profile spanning the period of hospitalization was calculated.Results: Activities of daily living and cognitive states improved, in the first 90 days of hospitalization, while mobility and instrumental activities of daily living worsened for the same period of 90 days. Generally, there was a decline in all domains after 450 days of hospitalization. The older women that did not attend school, those over 85 years old, and those who suffered from anxiety were pre-dominantly placed in the group of those with greater dependence (severe/complete dependence).Conclusion: The participants hospitalized between 90 and 360 days presented the best results in the long-term care units of the National Network of Integrated Continuous Care of Portugal. With this study, we highlight the importance of evaluating the functional status of persons in long-term hospitalizations and the influence exerted by the level of education on the recovery and rehabilitation of dependence.
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