The influence of the internet on choices about older adults' health and well-being.

OBJECTIVES: to describe the profile of older adults who access the internet to search for health information and identify the factors that can influence older adults' decisions about their health based on information collected online. METHODS: 391 older adults answered an online questionnaire regarding habits and satisfaction with information about health collected on the internet. Data processing involved Logistic Regression. RESULTS: higher education reduces by 44% the likelihood of an older adult following the health recommendations on internet sites. However, social activities and self-perceived health increase the possibility of following the recommendations by 83% and 71%, respectively. The belief that the internet promotes healthy habits increases by 29.2 times the probability of an older adult following the advice. FINAL CONSIDERATIONS: knowing the profile of older adults who use the Internet can help professionals formulate public policies and build good information platforms on health and well-being.

Archaeological and Chemical Investigation on Mortars and Bricks from a Necropolis in Braga, Northwest of Portugal.

This investigation intends to study and characterize the mortars and bricks from walls and floors used in the funerary nucleus of the archaeological site of Dr. Gonçalo Sampaio Street (Braga, Portugal), associated with the Via XVII necropolis of the Bracara Augusta Roman city. The diversity of the funeral structures and their exceptional state of conservation make this sector of the necropolis an unprecedented case and a reference site in the archaeology of Braga, a determinant for its conservation and musealization. Nineteen mortars samples were analysed by X-ray Fluorescence. The results showed clear chemical composition differences among coating and floor mortars (CFM), masonry mortars (MM) and bricks (B) groups of samples. The chemical affinity between CFM from the V to IV centuries, CFM from the IV to V centuries, MM from brick walls (IV-V centuries), MM from stone walls (V-VII centuries) and B from the IV to V centuries samples were confirmed by statistical analyses. Their composition was distinctly related to the use of different raw materials, according to their chronological context; in mortars, according to their function in the structures; and in some samples, from contamination.

Construção e validação do sistema informatizado de notificação voluntária de incidentes (SINVI): uma tecnologia para vigilância de incidentes relacionados à prestação do cuidado / Construction and validation of the computerized system of voluntary notification of incidents (SINVI): a technology for surveillance of incidents related to provision of care

Introdução: a gestão de risco nos serviços de saúde tem o papel de aplicar, de forma sistemática e contínua, as políticas, os procedimentos, as condutas e os recursos na identificação, análise, avaliação, comunicação e controle de riscos e eventos adversos que afetam a segurança, a saúde humana, a integridade profissional, o meio ambiente e a imagem institucional. A identificação dos eventos adversos que acontecem nos serviços de saúde é de extrema importância para o planejamento de ações de mitigação das falhas durante a assistência à saúde. Os sistemas de notificações voluntárias são o alicerce para um programa de segurança do paciente, ajudando a identificar melhorias no desenvolvimento de uma cultura de segurança, e funcionam como uma estratégia para garantir a qualidade. Objetivos: construir um protótipo de Sistema Informatizado de Notificação Voluntária de Incidentes Informatizado (SINVI); identificar os principais incidentes relacionados à prestação dos cuidados em banco de dados e discuti-los frente à literatura; validar um protótipo de um sistema informatizado de notificação voluntária de incidentes. Método: estudo metodológico desenvolvido em três etapas: identificação dos principais incidentes relacionados à prestação de cuidados; construção do protótipo de um Sistema Informatizado de Notificação Voluntária de Incidentes (SINVI); validação de conteúdo e usabilidade do protótipo do Sistema Informatizado de Notificação Voluntária de Incidentes (SINVI). Para a validação de conteúdo, foram utilizados o Coeficiente de Validação de Conteúdo (CVC), a Taxa de Concordância (TC) e o coeficiente de Kappa. Para a validação de usabilidade, foi utilizado o escore de System Usability Scale (SUS). Este estudo foi aprovado pelo Comitê de Ética em Pesquisa (CEP) com o número do Parecer: 3.674.180. Resultados: foram produzidos três produtos: dois estruturados em forma de artigo e o terceiro, em produto acadêmico. O primeiro identificou os principais eventos adversos notificados no país no período de 2014 a 2018; o segundo produto consiste na construção e validação do protótipo do SINVI e o terceiro é a apresentação do produto acadêmico, a produção técnica do protótipo do software do SINVI, localizado no estrado T1 na categorização da CAPES. Conclusão: os três produtos deste relatório de dissertação contribuem para a segurança do paciente nos serviços de saúde na medida em que fornecem subsídios para a gestão de risco e o núcleo de segurança do paciente na captação de dados agregados das notificações a partir do uso de um Sistema Informatizado de Notificação Voluntária de Incidentes (SINVI)

Introduction: risk management in health services has the role of applying, in a systematic and continuous manner, the policies, procedures, conducts and resources in the identification, analysis, evaluation, communication and control of risks and adverse events that affect safety, human health, professional integrity, the environment and the institutional image. The identification of adverse events that occur in health services is extremely important for the planning of actions to mitigate failures during health care. Voluntary reporting systems are the foundation of a patient safety program, helping to identify improvements in the development of a safety culture, and serve as a strategy to ensure quality. Objectives: build a prototype of a Computerized Voluntary Incident Notification System (SINVI); identify the main care-related incidents in a database and discuss them against the literature; validate a prototype of a computerized voluntary incident reporting system. Method: methodological study developed in three stages: identification of the main care-related incidents; construction of the prototype of a Computerized Voluntary Incident Notification System (SINVI); content and usability validation of the prototype of the Computerized Voluntary Incident Notification System (SINVI). For content validation, the Content Validation Coefficient (CVC), the Concordance Rate (CR), and the Kappa coefficient were used. For usability validation, the System Usability Scale (UHS) score was used. This study was approved by the Research Ethics Committee (REC) with Opinion number: 3.674.180. Results: Three products were produced: two structured as articles and the third as an academic product. The first identified the main adverse events reported in the country from 2014 to 2018; the second product consists of the construction and validation of the SINVI prototype and the third is the presentation of the academic product, the technical production of the SINVI software prototype, located on the T1 platform in the CAPES categorization. Conclusion: the three products of this dissertation report contribute to patient safety in health services in that they provide subsidies for risk management and the patient safety nucleus in capturing aggregate data from the notifications using a Computerized Voluntary Incident Notification System (SINVI)

Use of an anecdotal client feedback note in family therapy.

To attain information about divergent agendas in family therapy, as well as incorporate client feedback, we present the Client Feedback Note (CFN). The CFN elicits information about each family member's feelings, learning, dislikes, and wishes for each session. Anecdotal feedback after each session may help the therapist have better insight into the clients' perceptions and experience of the therapy and the therapist. Sensitivity to information generated by the CFN can help both therapist and client work to coconstruct a therapeutic process that is relevant to the diverse needs of the client system. This manuscript will (a) discuss literature supporting the use of client feedback in therapy; (b) present the CFN and rationale for its development; (c) discuss our experiences utilizing the CFN along with case examples that illustrate its use; and (d) identify practical applications, limitations, and potential research with using the CFN in systemic therapy.

Caracterização sociodemográfica dos idosos de uma comunidade de Porto Alegre, Brasil / Characterization of elders residents in one community in Porto Alegre, Brazil

Esta pesquisa objetivou conhecer as condições de vida e o perfil sócio demográfico de 220 idosos residentes na área adstrita de uma Unidade Básica de Saúde de Porto Alegre. A coleta dos dados foi realizada por meio de visitas domiciliares. A idade média dos entrevistados é 70,4 anos; 62,73 por cento é do sexo feminino. As condições de moradia e de companhia demonstraram que 86,36 por cento mora em casa própria com, em média, três moradores. Quanto a sua saúde, 60 por cento referiu que a considera muito boa e boa, 23,73 por cento relatou desconhecer doenças. Entre os que referiram algum problema de saúde, destacam-se os distúrbios cardiocirculatórios (48,18 por cento) e os osteomusculares (22,73 por cento)

[Characterization of elders residents in one community in Porto Alegre, Brazil]. / Caracterização sociodemográfica dos idosos de uma comunidade de Porto Alegre, Brasil.

This is a descriptive research that aimed to know living habits of 220 elders which reside in the area of the Community Health was of 70.4 years, and they were mostly woman (62.73%). The housing and company conditions showed that 86.36% of the elderly live in their own houses, with tree residents. In what concerns their health, 60% said that consider it very good and good; 23.73% informed not knowing any sickening condition; of those who referred as having any disease, stand out the cardiovascular (48.18%) and osseomuscular disturbs (22.73%).