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1.
Cogn Emot ; : 1-10, 2024 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-38635401

RESUMO

The aim of our experiment was to analyse the effect of the emotional valence (positive, negative, or neutral) on true and false recognition, matching the arousal, frequency, concreteness, and associative strength of the study and recognition words. Fifty younger adults and 46 healthy older adults performed three study tasks (with words of different valence: positive, negative, neutral) and their corresponding recognition tests. Two weeks later, they performed the three recognition tests again. The results show that words with a negative valence produced less true recognition and less false recognition than words with a positive or neutral valence, in both younger and older adults, on the immediate recognition test. This pattern of results was also found in the younger adults on the delayed recognition test, whereas in the older participants, these differences disappeared. Thus, when arousal is controlled, both younger and older adults tend to recognise negative information worse than positive or neutral information, but they also commit fewer errors. Results would suggest that the greater arousal commonly associated with negative stimuli, rather than their own valence, could explain some of the contradictory results found in the literature.

2.
J Adv Nurs ; 80(2): 733-744, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37675948

RESUMO

AIMS: Finding out whether there are differences in the levels of stress and burnout between workers providing care to dependent adults and those caring for independent older adults would provide comparative information about two different models of care. During the COVID-19 pandemic, workers caring for older adults were subjected to maladaptive situations that produced stress and burnout. DESIGN: A cross-sectional survey design using the STROBE checklist. METHODS: A total of 900 nursing home and égidas workers were assessed for stress and burnout. Data were collected online from October 2020 to February 2021, when Puerto Rico was experiencing the peak of the third wave of COVID-19. MANOVAs were performed to study the interactions between the workplace and having had COVID, the workplace and the size of institution and the workplace and position held. DATA SOURCES: October 2020 to February 2021. RESULTS: All interactions were significant. Nursing homes showed higher levels of stress and burnout when workers had undergone COVID, when the size of the institution was larger and for technical staff other services; in égidas, having undergone COVID did not influence stress or burnout, which increased when the institution was smaller and for executive staff. CONCLUSIONS: This study showed that the effects of the COVID-19 pandemic affected nursing home workers more significantly than those working in other types of residential models with independent older adults. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Applying preventive interventions aimed at reducing stress and burnout would facilitate the adaptation of workers caring for older adults and help to improve the quality of care. IMPACT: This study analysed the impact of COVID-19 on the stress and burnout of workers providing services to older adults. Nursing home workers who have had COVID-19 have higher stress and burnout. The size of the institution has a different effect depending on whether older adults are dependent or independent. Workers in institutions dedicated to the care of the older adults. REPORTING METHOD: This study has adhered to the relevant EQUATOR guidelines: STROBE. PATIENT OR PUBLIC CONTRIBUTION: During the different waves of the COVID-19 pandemic, it was difficult to establish direct contact with workers providing care to older adults; this reason made it necessary to apply online systems to obtain information. The workers appreciated the fact that the implications for stress and burnout of the situation experienced during this difficult process were investigated.


Assuntos
Esgotamento Profissional , COVID-19 , Humanos , Idoso , COVID-19/epidemiologia , Pandemias , Estudos Transversais , Esgotamento Profissional/epidemiologia , Casas de Saúde , Esgotamento Psicológico
3.
Clin Gerontol ; 47(2): 307-315, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37330915

RESUMO

OBJECTIVES: The aim of this research was to confirm whether internal coping strengths, depressive symptomatology and gratitude disposition are significant predictors of integrity in older adults. METHODS: Participated 394 Ecuadorian older adults with ages between 60 and 91 years old. Self-report were applied to assess the different variables under study. Specifically, integrity, coping, resilience, self-efficacy, mood and gratitude were assessed. RESULTS: A confirmatory model was estimated to predict ego-integrity. A personal adjustment factor composed of problem-focused coping strategies, resilience and self-efficacy, and gratitude showed positive and significant relationships with ego-integrity, whereas negative mood negatively predicted integrity. CONCLUSIONS: Integrity is a key variable to strengthen a coherent view of one's life history and highly relevant during ageing. Having personal strengths and dispositions that facilitate adaptation to ageing and maintaining a positive mood predicts the attainment of integrity. CLINICAL IMPLICATIONS: Integrity is an adjustment factor that facilitates adaptation to the stressors of ageing and to major life changes and loss of control indifferent areas of life.


Assuntos
Resiliência Psicológica , Humanos , Idoso , Idoso de 80 Anos ou mais , Afeto , Envelhecimento , Autoeficácia , Modelos Estruturais
4.
Phys Chem Chem Phys ; 25(3): 2468-2476, 2023 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-36601902

RESUMO

We theoretically investigate lead iodide perovskites of general formula APbI3 for a series of metallic cations (namely Cs+, Rb+, K+, Na+ and Li+) by means of density functional theory, the GW method and the Bethe-Salpeter equation including spin-orbit coupling. We demonstrate that the low-energy edges (up to 1.3 eV) of the absorption spectra are dominated by weakly bound excitons, with binding energies Eb of ∼ 30-80 meV, and the corresponding intensities increase as metallic cations become lighter. The middle parts of the spectra (1.8-2.4 eV), on the other hand, contain optical dipole transitions comprising more confined excitons (Eb ∼ 150-200 meV) located at PbI3. These parts of the spectra correspond to the optical-gain wavelengths which are experimentally achieved in optically pumped perovskite lasers. Finally, the higher energy parts, from about 2.8 eV (LiPbI3) to 4.3 eV (CsPbI3), contain optical transitions with very confined excitons (Eb ∼ 220-290 meV) located at halide atoms and the empty states of the metallic cations.

5.
Aging Ment Health ; 27(4): 838-843, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-35466842

RESUMO

OBJECTIVES: A characteristic task in aging is the process of reevaluating and reflecting on one's life in order to give it meaning. The successful resolution of this task is defined as ego-integrity, and it is related to various psychological phenomena that foster the person's adaptation to change. The objective was to adapt an ego-integrity scale in a sample of older adults and study the relationships between emotional intelligence, coping strategies, and mood to find out whether they are predictors of ego-integrity. METHODS: The sample included 401 healthy older adults (241 women; ages 65-95, M = 73.69, SD = 6.83). Statistical analyses included structural equation models. Northwestern Ego-integrity Scale 9-item was tested showing that a structure with two unrelated factors fitted the data well. The internal consistency was satisfactory (.82 integrity and .72 despair). RESULTS: Emotional intelligence positively predicted problem-focused adaptive coping strategies (problem solving and positive reassessment) and negatively predicted state of mind (depression and hopelessness), whereas adaptive coping positively predicted integrity, and mood predicted it negatively. CONCLUSION: Emotional intelligence skills, adaptive coping strategies, and mood largely determine the successful resolution of the ego integrity conflict and are relevant resources in successful aging.


Assuntos
Adaptação Psicológica , Autoimagem , Humanos , Feminino , Idoso , Idoso de 80 Anos ou mais , Inteligência Emocional , Envelhecimento/psicologia , Ego
6.
Sensors (Basel) ; 23(11)2023 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-37299764

RESUMO

The characterization of suspended dust near the Martian surface is extremely relevant to understand the climate of Mars. In this frame, a Dust Sensor instrument, an infrared device designed to obtain the effective parameters of Martian dust using the scattering properties of the dust particles, was developed. The purpose of this article is to present a novel methodology to calculate, from experimental data, an instrumental function of the Dust Sensor that allows solving the direct problem and providing the signal that this instrument would provide given a distribution of particles. The experimental method is based on recording the signal measured when a Lambertian reflector is gradually introduced into the interaction volume at different distances from the detector and source and applying tomography techniques (inverse Radon transform) to obtain the image of a section of the interaction volume. This method provides a complete mapping of the interaction volume experimentally, which determines the Wf function. The method was applied to solve a specific case study. Among the advantages of this method, it should be noted that it avoids assumptions and idealizations of the dimensions of the volume of interaction and reduces the time required to carry out simulations.


Assuntos
Poeira , Marte , Poeira/análise , Meio Ambiente Extraterreno , Calibragem
7.
Psychol Health Med ; 28(4): 819-830, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-35057683

RESUMO

Caregivers experience great stress, and coping can be one of the factors, which determine the extent of stress. The aim of the present paper is to analyze the effects of coping strategies on distress of the older adult's caregiver, including guilt as a mediating factor in those maladaptive strategies. The sample consisted of 201 informal caregivers of institutionalized older adults. The three constructs measured were: stress, guilt, and coping strategies. Results showed that strategies that have a better ability to reduce stress are active, positive reframing and acceptance; on the contrary, behavioral disengagement, self-distraction, self-blame and venting positively predicted the feeling of guilt that facilitated the perception of stress. Given the important association obtained between the experience of guilt and psychological distress in caregivers, it could be relevant to develop psychoeducational interventions with caregivers including techniques to reduce this feeling of guilt and develop cognitive behavioral strategies that facilitate adaptation.


Assuntos
Cuidadores , Estresse Psicológico , Humanos , Idoso , Cuidadores/psicologia , Estresse Psicológico/psicologia , Adaptação Psicológica , Culpa , Emoções
8.
Phys Chem Chem Phys ; 24(3): 1860-1868, 2022 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-34989375

RESUMO

The optical properties of the bulk ZrSiS nodal-line semimetal are theoretically studied within a many-body formalism. The G0W0 bands are similar to those calculated within the density functional theory, except near the Γ-point; in particular, no significant differences are found around the Fermi energy. On the other hand, the solution of the Bethe-Salpeter equation reveals significant excitonic activity, mostly as dark excitons which appear in a wide energy range. Bright excitons, in contrast, are less numerous, but their location and intensity depend greatly on the polarization of the incident electric field, as the absorption coefficient itself does. The binding energy of these excitons correlates well with their spatial distribution functions. In any case, good agreement with the available experimental data for absorption/reflection is achieved. Finally, the possible activation of plasma oscillations is investigated. Plasmons may be formed at low energies, but they are damped and decayed producing electron-hole pairs, more importantly for q along the Γ-M path.

9.
Int Psychogeriatr ; 34(1): 79-89, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33153515

RESUMO

OBJECTIVES: Emotional intelligence (EI) is a strong predictor of negative mood. Applying emotional skills correctly can help to increase positive emotional states and reduce negative ones. This study aims to implement EI intervention designed to improve clarity, repair EI dimensions and coping strategies, and reduce negative mood in older adults. DESIGN: Participants were randomly assigned to the treatment or control group. SETTING: Participants were evaluated individually before and after the intervention. PARTICIPANTS: Participants included 111 healthy older adults; 51 in the treatment group and 60 in the control group. INTERVENTION: An EI program was implemented. The program was administered over 10 sessions lasting 90 min each. MEASUREMENTS: EI dimension (attention, clarity, and repair), coping strategies, hopelessness, and mood were assessed. RESULTS: Analysis of variance for repeated measures was applied. In the treatment group, scores on clarity and emotional repair increased and attention to emotions decreased; problem-focused coping (problem-solving, positive reappraisal, and seeking social support) showed significant increases, whereas emotion-focused coping (negative self-focused and overt emotional expression) obtained significant decreases; scores on negative mood measures declined significantly. CONCLUSIONS: An intervention based on EI is effective in older adults. After the EI intervention, the participants showed significant increases in their levels of clarity and emotional repair and intermediate levels of attention. In addition, the intervention was found to influence adaptation results, increasing the use of adaptive coping strategies and decreasing the use of maladaptive strategies, as well as reducing hopelessness and depressive symptoms.


Assuntos
Afeto , Inteligência Emocional , Adaptação Psicológica , Idoso , Emoções , Humanos , Autoimagem
10.
Sensors (Basel) ; 22(14)2022 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-35891137

RESUMO

The need for affordable low-power devices has led MEMS-based thermal emitters to become an interesting option for optical gas sensors. Since these emitters have a low thermal mass, they can be easily modulated and combined with a lock-in amplifier for detection. In this paper, we show that the signal measured by a lock-in amplifier from a thermal emitter that varies its temperature periodically can have different spectral profiles, depending on the reference signal used. These virtual emitters appear because the Fourier series expansion of the emitted radiance, as a function of time, has different coefficients for each wavelength, and this spectral signature, which is different for each harmonic, can be retrieved using a reference signal that corresponds to its frequency. In this study, the effect is first proved theoretically and then is measured experimentally. For this purpose, we performed measurements with an IR camera provided with six different spectral filters of a modulated emitter, in combination with lock-in amplification via software. Finally, we show a potential application of this effect using multiple virtual emitters to gain spectral selectivity and distinguish between two gases, CO2 and CH4.

11.
J Clin Nurs ; 2022 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-35733322

RESUMO

AIMS AND OBJECTIVES: This paper aims to examine the satisfaction and depressed mood experienced by nursing home workers during the COVID-19 pandemic and associated variables. Specifically, to analyse the factors that may contribute to nursing home workers developing adaptive behaviours that promote satisfaction or, on the contrary, show characteristics associated with a negative mood. BACKGROUND: Nursing homes have faced unprecedented pressures to provide appropriately skills to meet the demands of the coronavirus outbreak. DESIGN: A cross-sectional survey design using the STROBE checklist. METHODS: Professionals working in nursing homes (n = 165) completed an online survey measuring sociodemographic and professional characteristics, burnout, resilience, experiential avoidance, satisfaction with life and depression. Data were collected online from April to July 2021, the time in which Spain was experiencing its fifth wave of COVID-19. Two multiple linear regression models were performed to identify salient variables associated with depressive mood and satisfaction. RESULTS: Resilience, personal accomplishment and satisfaction had a significant and negative relationship with depression and emotional exhaustion, depersonalisation and experiential avoidance had a positive relationship with depression. However, emotional exhaustion, depersonalisation and experiential avoidance had a negative and significant relationship with satisfaction and personal accomplishment, and resilience had a positive and significant relationship with satisfaction. In addition, it was found that accepting thoughts and emotions when they occur is beneficial for developing positive outcomes such as satisfaction. CONCLUSIONS: Experiential avoidance was an important predictor of the effects that the COVID-19 pandemic can have on nursing home workers. RELEVANCE TO CLINICAL PRACTICE: Interventions focusing on resources that represent personal strengths, such as acceptance, resilience and personal accomplishment, should be developed. NO PATIENT OR PUBLIC CONTRIBUTION: The complex and unpredictable circumstances of COVID's strict confinement in the nursing home prohibited access to the centres for external personnel and family members. Contact with the professionals involved could not be made in person but exclusively through online systems. However, professionals related to the work environment have subsequently valued this research positively as it analyses 'How they felt during this complicated process'.

12.
Phys Chem Chem Phys ; 23(2): 900-913, 2021 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-33346770

RESUMO

Efficient ab initio computational methods for the calculation of the thermoelectric transport properties of materials are of great interest for energy harvesting technologies. The constant relaxation time approximation (CRTA) has been largely used to efficiently calculate thermoelectric coefficients. However, CRTA usually does not hold for real materials. Here we go beyond the CRTA by incorporating realistic k-dependent relaxation time models of the temperature dependence of the main scattering processes, namely, screened polar and nonpolar scattering by optical phonons, scattering by acoustic phonons, and scattering by ionized impurities with screening. Our relaxation time models are based on a smooth Fourier interpolation of Kohn-Sham eigenvalues and its derivatives, taking into account non-parabolicity (beyond the parabolic or Kane models), degeneracy and multiplicity of the energy bands on the same footing, within very low computational cost. In order to test our methodology, we calculated the anisotropic thermoelectric transport properties of the low temperature phase (Pnma) of intrinsic p-type and hole-doped tin selenide (SnSe). Our results are in quantitative agreement with experimental data, regarding the evolution of the anisotropic thermoelectric coefficients with both temperature and chemical potential. Hence, from this picture, we also obtained the evolution and understanding of the main scattering processes of the overall thermoelectric transport in p-type SnSe.

13.
Int Psychogeriatr ; 33(6): 557-566, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-32063238

RESUMO

OBJECTIVES: Reminiscence promotes the acceptance of oneself and others, a sense of meaning, and the integration of the present and the past. The currently accepted classification contains eight reminiscence functions grouped in three broader functions: self-positive functions (identity, problem-solving, and death preparation); self-negative functions (bitterness revival, boredom reduction, and intimacy maintenance); and prosocial functions (conversation and teach-inform). The main objective of this study was to investigate how the eight dimensions change over time in a sample of healthy older adults after an intervention based on simple reminiscence and subsequent follow-up. DESIGN: Participants were randomly assigned to the treatment or control group. SETTING: Participants were evaluated individually before, immediately after, and 3 months after the intervention. PARTICIPANTS: Participants included 139 healthy older adults (71 intervention group and 68 control group). INTERVENTION: Ten weekly sessions lasting 2 hours each were administered, based on a simple reminiscence program. MEASUREMENTS: Participants were assessed with the Reminiscence Functions Scale. RESULTS: After the intervention, in the treatment group, there was a significant increase in the self-positive functions of problem-solving and death preparation, and these effects were maintained even at the follow-up; there was a significant reduction in the self-negative functions of bitterness revival and intimacy maintenance; and there was a significant increase in the prosocial function of conversation. CONCLUSIONS: When applying an intervention based on reminiscence, it is important to evaluate how it influences these functions because this information can help us to modify the objectives of the intervention and increase its effectiveness.


Assuntos
Envelhecimento/psicologia , Nível de Saúde , Rememoração Mental , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Memória/fisiologia , Memória Episódica , Satisfação Pessoal , Resolução de Problemas , Qualidade de Vida/psicologia , Autoimagem , Resultado do Tratamento
14.
Sensors (Basel) ; 21(6)2021 Mar 17.
Artigo em Inglês | MEDLINE | ID: mdl-33802670

RESUMO

An imaging Fourier-transform spectrometer in the mid-infrared (1850-6667 cm-1) has been used to acquire transmittance spectra at a resolution of 1 cm-1 of three atmospheric pollutants with known column densities (Q): methane (258 ppm·m), nitrous oxide (107.5 ppm·m) and propane (215 ppm·m). Values of Q and T have been retrieved by fitting them with theoretical spectra generated with parameters from the HITRAN database, based on a radiometric model that takes into account gas absorption and emission, and the instrument lineshape function. A principal component analysis (PCA) of experimental data has found that two principal components are enough to reconstruct gas spectra with high fidelity. PCA-processed spectra have better signal-to-noise ratio without loss of spatial resolution, improving the uniformity of retrieval. PCA has been used also to speed up retrieval, by pre-calculating simulated spectra for a range of expected Q and T values, applying PCA to them and then comparing the principal components of experimental spectra with those of the simulated ones to find the gas Q and T values. A reduction in calculation time by a factor larger than one thousand is achieved with improved accuracy. Retrieval can be further simplified by obtaining T and Q as quadratic functions of the two first principal components.

15.
Sensors (Basel) ; 21(24)2021 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-34960488

RESUMO

Accurate measurement of temperature in flames is a challenging problem that has been successfully addressed by hyperspectral imaging. This technique is able to provide maps of not only temperature T (K) but also of column density Q (ppm·m) of the main chemical species. Industrial applications, however, require cheaper instrumentation and faster and simpler data analysis. In this work, the feasibility and performance of multispectral imaging for the retrieval of T and QCO2 in flames are studied. Both the hyperspectral and multispectral measurement methods are described and applied to a standard flame, with known T and QCO2, and to an ordinary Bunsen flame. Hyperspectral results, based on emission spectra with 0.5 cm-1 resolution, were found in previous works to be highly accurate, and are thus considered as the ground truth to compare with multispectral measurements of a mid-IR camera (3 to 5 µm) with a six interference filter wheel. Maps of T and Q obtained by both methods show that, for regions with T ≳1300 K, the average of relative errors in multispectral measurements is ∼5% for T (and can be reduced to ∼2.5% with a correction based on a linear regression) and ∼20% for Q. Results obtained with four filters are very similar; results with two filters are also similar for T but worse for Q.

16.
J Surg Res ; 246: 591-598, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31648813

RESUMO

BACKGROUND: Currently, several initiatives have emerged to empower the public to act as immediate responders in front of hemorrhaging victims. We aimed to evaluate the effectiveness of implementing the Stop the Bleed campaign and the association between the instructors' background and the theoretical and practical competences achieved by the participants in Latin America. METHODS: Medical students and general surgeons taught both allied health students and nonallied health students at a local university; the training had a master class followed by a practical component and a written test, as well as tourniquet placement was tested. RESULTS: 265 individuals received the training, and data were available for 243. Of these, 126 (52.07%) were women and the median age was 21 (IQR: 20-22) years. 121 (49.79%) were trained by general surgeons (group A) and 122 (50.21%) by medical students (group B). After the training, more than 98% of all participants perceived that they would most likely be capable of aiding correctly a bleeding victim by applying direct pressure and more than 90% of them felt confident in being able to apply a tourniquet. There were no statistically significant differences among both groups when comparing their post-training competence evaluations [Theoretical test score: group A = 5 (IQR: 4-5); group B = 5 (IQR: 4-5); P = 0.41] and [Practical competency of tourniquet deployment: group A = 119 (66.39%) versus group B = 120 (65.83%); P = 0.93]. CONCLUSIONS: The Stop the Bleed campaign can be effectively implemented in Latin America, and it can be taught by prequalified medical students without altering the learning objectives of the course.


Assuntos
Educação não Profissionalizante/organização & administração , Primeiros Socorros/métodos , Conhecimentos, Atitudes e Prática em Saúde , Hemorragia/terapia , Técnicas Hemostáticas/instrumentação , Participação da Comunidade , Feminino , Primeiros Socorros/instrumentação , Implementação de Plano de Saúde , Humanos , América Latina , Masculino , Fatores de Tempo , Torniquetes , Adulto Jovem
17.
World J Surg ; 44(6): 1824-1834, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31993723

RESUMO

BACKGROUND: The goal of our study was to evaluate the differences in care and clinical outcomes of patients with chest trauma between two hospitals, including one public trauma center (Pu-TC) and one private trauma center (Pri-TC). METHODS: Patients with thoracic trauma admitted from January 2012 to December 2018 at two level I trauma centers (Pu-TC: Hospital Universitario del Valle, Pri-TC: Fundación Valle del Lili) in Cali, Colombia, were included. Multivariable logistic regression was used to assess for differences in in-hospital mortality, adjusting for relevant demographic and clinical characteristics. RESULTS: A total of 482 patients were identified; 300 (62.2%) at the Pri-TC and 182 (37.8%) at the Pu-TC. Median age was 27 years (IQR 21-36) and median Injury Severity Score was 25 (IQR 16-26). 456 patients (94.6%) were male, and the majority had penetrating trauma [total 465 (96.5%); Pri-TC 287 (95.7%), Pu-TC 179 (98.4%), p 0.08]. All patients arrived at the emergency room with unstable hemodynamics. There were no statistically significant differences in post-operative complications, including retained hemothorax [Pri-TC 19 vs. Pu-TC 18], pneumonia [Pri-TC 14 vs. Pu-TC 14], empyema [Pri-TC 13 vs. Pu-TC 13] and mediastinitis [Pri-TC 6 vs. Pu-TC 2]. Logistic regression did, however, show a higher odds of mortality when patients were treated at the Pu-TC [OR 2.27 (95% CI 1.34-3.87, p < 0.001]. CONCLUSIONS: Our study found significant statistical differences in clinical outcomes between patients treated at a Pu-TC and Pri-TC. The results are intended to stimulate discussions to better understand reasons for outcome variability and ways to reduce it.


Assuntos
Traumatismos Torácicos/cirurgia , Centros de Traumatologia , Adulto , Feminino , Mortalidade Hospitalar , Humanos , Escala de Gravidade do Ferimento , Modelos Logísticos , Masculino , Traumatismos Torácicos/mortalidade , Ferimentos Penetrantes/cirurgia , Adulto Jovem
18.
J Geriatr Psychiatry Neurol ; 32(2): 81-89, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30665320

RESUMO

The executive functions play an important role in storing and recovering autobiographical memories, especially episodic memories. These types of memories provide information about solutions and experiences from the past that can be utilized as examples in the present when seeking solutions to any problem. In addition, a close relationship between depression and the executive functions has been widely recognized. This study aims to elaborate a structural equations model that empirically supports the relationships among the executive functions, episodic autobiographical memory, and the adaptive capacity to solve problems, taking into account the depressed mood state. In all, 32 healthy elderly people, 32 patients with Parkinson disease, 32 with amnestic mild cognitive impairment, and 32 with Alzheimer disease were evaluated. Structural equation models were estimated to test the effects among the constructs. The final model shows adequate fit indexes, thus revealing that an individual's problem-solving capacity will depend on the capacity to access the episodic autobiographical memory, which in turn will depend on the maintenance of executive functioning. In a parallel way, the mood state, and specifically depression, will play a modulator role because when there is depressive symptomatology, some capacities that depend on executive control can be diminished.


Assuntos
Depressão/psicologia , Função Executiva/fisiologia , Memória Episódica , Idoso , Feminino , Humanos , Masculino , Modelos Teóricos , Resolução de Problemas
19.
Memory ; 27(4): 528-535, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30306818

RESUMO

Two experiments explored a new procedure to implicitly induce phonological false memories in young and older people. On the study tasks, half of the words were formed from half of the letters in the alphabet, whereas the remaining words were formed from all the letters in the alphabet. On the recognition tests, there were three types of non-studied new words: critical lures formed from the same half of the letters as the studied words; distractors formed from the other half of the letters not used, and distractors formed from all the letters in the alphabet. In both experiments, the results showed that, in both young and older people, critical lures produced more false recognitions than distractors composed of all the letters in the alphabet, which, in turn, produced more false alarms than distractors composed of the letters not used during the study. These results support the predictions of the activation/monitoring models, which assume that false memories are partly due to activation spreading from items (semantically or phonologically) related to the critical words.


Assuntos
Linguística , Rememoração Mental/fisiologia , Fonética , Reconhecimento Psicológico/fisiologia , Adulto , Fatores Etários , Idoso , Feminino , Humanos , Masculino , Memória , Teoria Psicológica , Adulto Jovem
20.
Alzheimers Dement ; 15(12): 1588-1602, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31677936

RESUMO

INTRODUCTION: Multidomain intervention for Alzheimer's disease (AD) risk reduction is an emerging therapeutic paradigm. METHODS: Patients were prescribed individually tailored interventions (education/pharmacologic/nonpharmacologic) and rated on compliance. Normal cognition/subjective cognitive decline/preclinical AD was classified as Prevention. Mild cognitive impairment due to AD/mild-AD was classified as Early Treatment. Change from baseline to 18 months on the modified Alzheimer's Prevention Cognitive Composite (primary outcome) was compared against matched historical control cohorts. Cognitive aging composite (CogAging), AD/cardiovascular risk scales, and serum biomarkers were secondary outcomes. RESULTS: One hundred seventy-four were assigned interventions (age 25-86). Higher-compliance Prevention improved more than both historical cohorts (P = .0012, P < .0001). Lower-compliance Prevention also improved more than both historical cohorts (P = .0088, P < .0055). Higher-compliance Early Treatment improved more than lower compliance (P = .0007). Higher-compliance Early Treatment improved more than historical cohorts (P < .0001, P = .0428). Lower-compliance Early Treatment did not differ (P = .9820, P = .1115). Similar effects occurred for CogAging. AD/cardiovascular risk scales and serum biomarkers improved. DISCUSSION: Individualized multidomain interventions may improve cognition and reduce AD/cardiovascular risk scores in patients at-risk for AD dementia.


Assuntos
Doença de Alzheimer/terapia , Disfunção Cognitiva/prevenção & controle , Educação em Saúde , Cooperação do Paciente , Sintomas Prodrômicos , Comportamento de Redução do Risco , Idoso , Biomarcadores/sangue , Doenças Cardiovasculares , Cognição , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos
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