Physical consequences of falls in the elderly: a literature review from 1995 to 2010

In the last decade, population ageing has been registered as a global phenomenon. A relation exists between falling and ageing, since falling frequency increases significantly with age. In fact, one in three older adult falls annually. Although ageing is generically associated with decrease and degeneration of psychological and physical functions, it is still not common for the correct identification of risk factors to lead to a clinical prognosis of the elder being in risk of falling. Therefore, the goal of this review article is to identify, categorise and analyse typical ageing and fall factors mentioned in the literature as well as to quantify the number of times they were referenced. The research considered hundreds of publications, but analysis was then restricted to the 87 most pertinent articles written in English and published in journals or scientific magazines between 1995 and 2010. We concluded that falls among older adults can be characterised by the following: anatomic characteristics and physiological consequences of ageing; the pathologies that induce falls, which can be neurological, musculoskeletal, cardiovascular and other diseases; causes and risk factors of falls that can be behavioural, biological, environmental or socio-economic; type of physical consequences of falls, including fractures, bruises, injuries or other physical consequences; and strategies to prevent, mitigate or rehabilitate, which can be of a physical, environmental or behavioural nature.

Social exclusion: practice and fear of exile (degredo) in Portuguese history

Vejo a sociedade portuguesa como sendo naturalmente inclusiva. Quero dizer que esta parece ser uma tendência mais forte do que, por exemplo, no meu país, nos Estados Unidos da América. Isto poderá explicar porque o degredo era eficaz e era muito temido. Dá para entender também os longos períodos de degredo em substituição de pena capital em Portugal. Segundo as estimativas do autor, pelo menos 50,000 portugueses foram deslocados para dentro e fora de Portugal continental entre 1550-1755. O número era muito significativo na segunda metade do século XVIII. O número dos degredados foi ainda maior no século XIX.

New source-material for the socio-economic history of the Hindus of Goa

The Mhamai brothers were the suppliers of daily commodities / stationery to the viceroys / governors of Goa. Since late 18th century their agency house worked in partnership with several other trading houses all over the west coast of India. They also served as brokers for the French East India company in Goa during the critical period of anglo-french wars. The Mhamais were also revenue farmers, particularly customs and tobacco tax farming. I had the privilege of taking their family archives to the Xavier Centre of Historical Research in 1979 and making the history of the family known worldwide.

Christianity in history: Postcolonial perspective

Historians have successfully pointed to new ways of re-writing Christianity’s history.

Goa: A history of many liberations

The Portuguese will not to be the last in the series of foreigners who sought to make Goa their home. The developments of the past fifty years need to be observed and analysed to understand the trend that will make the so-called «post-liberation» history of Goa. Goa’s history should be more dispassionately viewed as made up of many «liberations», and more may follow.

Relationship of balance to function independence in stroke survivors

Cerebral vascular disease is the primary cause of permanent disability in Portugal. Impaired stability is considered an important feature after stroke as it is related with higher risk of falls and functional dependence. Physiotherapy intervention usually starts early after stroke in order to direct motor recovery and help patients to improve their ability to perform activities of daily living (ADL). Purpose: to investigate the relationship of balance to functionality in acute stroke patients. Methods: 16 subjects (8 women and 8 men), mean age 63,62 ± 2,16y, with unilateral ischemic stroke in the middle cerebral artery territory, who were admitted to physiotherapy department of Fernando Fonseca Hospital in Portugal, within the first month after stroke were recruited to participate in this study. All subjects have no cognitive impairment according to Mini Mental State, no history of lower extremity orthopedic problems and no other disease that could interfere with treatments. All patients gave their inform consent to participate in this study. Subjects were assessed with the Modified Barthel Index (MBI) and the Berg Balance Scale (BBS).

Use of psychoactive drugs and related falls among older people living in a community in Brazil

INTRODUCTION: Population aging in Brazil has increased the prevalence of neurodegenerative diseases (Parkinson's and Alzheimer's disease) and affective disorders (anxiety, depression), all common in old age. A retrospective study was carried out with the purpose of ascertaining if there is an association between falls and psychoactive medication use among older residents of a community in Brazil. METHODS: All residents aged 65+ (n=161) of one neighborhood of Campo Belo, Brazil (population of 48,000) were evaluated regarding the use of psychoactive drugs and the occurrence of falls in the 12 months preceding the study. Vision and hearing screenings were also performed. RESULTS: From the study population, 9.3% were taking prolonged half-life benzodiazepines, 4.4% anticonvulsants (mostly barbiturates), 2.5% antidepressants (all cyclics) and 8.1% alpha-methyldopa. No subject reported use of hypnotics, neuroleptics or drugs to treat Alzheimer's or Parkinson's diseases (except biperiden). As a whole, drugs that increase the risk of falls were used by 1/5 of this population. In the 12-month period preceding the study, 27 residents (16.8%) experienced falls and, of those, 4 (14.8%) had fracture(s). There was an independent association between psychoactive drug use and falls when variables such as age, gender, vision and hearing were controlled (p=0.02). CONCLUSIONS: Although the population of this neighborhood must be considered young (only 4% are 65 years old or more), there are already problems related to the use of psychoactive drugs among people. Prescribed anxiolytics, anticonvulsants, antidepressants and antihypertensives are not appropriate for this age group and their use is associated with falls.

Show me your body and I tell you how hold you are: a non-invasive methodto define 6 life history-classes in Risso's dolphins (Grampus griseus), using an identified trial population in the Atlantic

European Cetacean Society Conference Workshop, Galway, Ireland, 25th March 2012.

Trajetórias de vida de sucesso em indivíduos com passado de vivência prolongada em contexto institucional

Dissertação de Mestrado em Psicologia da Educação, especialidade em Contextos Comunitários.

A escola portuguesa ao serviço do Estado Novo: as lições de história de Portugal do boletim do ensino primário oficial e o projeto ideológico do salazarismo

O presente ensaio considera o Boletim da Direção Geral do Ensino Primário, Escola Portuguesa, como um importante meio de comunicação da política educativa do Estado Novo junto do professorado primário, com objetivos de orientação e inculcação ideológica. Uma análise do lugar ocupado pela História de Portugal nas páginas da Escola Portuguesa é esboçada para o período compreendido entre 1934 e 1946. Os acontecimentos e as figuras da História portuguesa que são usados como elementos estruturantes do discurso políticoideológico do Salazarismo são identificados. Estas práticas discursivas têm como principais objetivos a legitimação do regime e a operacionalização do seu programa político junto dos agentes educativos, alunos e comunidade local.

Análise de tecnologias de impermeabilização e isolamento em reabilitação da envolvente de edifícios

Neste trabalho é abordado o estágio efectuado por um período de sete meses na E.A. (Engenheiros Associados) e um estudo de caso sobre as tecnologias aplicadas no isolamento térmico de paredes exteriores. Na primeira parte deste relatório é efectuada uma breve caracterização da empresa e da sua actividade no mercado. A Engenheiros e Associados tem a sua estrutura assente nos seguintes sectores: Técnico-Comercial, de Aprovisionamento e de Gestão Administrativa; da qual foi efectuada uma descrição do trabalho desenvolvido em cada um desses sectores, nomeadamente a permanência na obra e as visitas e diligências às obras. A segunda parte deste relatório, que é a parte fulcral do trabalho desenvolvido, assenta sobre o sistema de ETICS (External Thermal Insulation Composite System), ou seja, o sistema de reboco delgado armado sobre isolamento térmico. Foi utilizado o sistema Cappotto na Obra de Requalificação da Urbanização de Vila d’Este – 1ª Fase. Após uma breve apresentação e evolução da história do ETICS ao longo do tempo, é exposta a caracterização da obra onde vai ser aplicado o sistema, que recai sobre a tipologia dos edifícios. Refira-se que, neste relatório, os edifícios por serem de construção túnel se dividem em três tipos: tipo plana ou corrente, tipo ângulo e tipo topo. Na Analise de Patologias efectuada evidenciam-se as fissuras e a humidade presentes em quase toda a extensão dos referidos edifícios antes do tratamento, tornando-as assim as principais anomalias destes edifícios. Foram elemento de foco as anomalias existentes nos edifícios, como: Deterioração do fibrocimento; Insuficiência das caleiras; Deficiências das impermeabilizações; Ausência de rufos; Deficiência das ligações; Degradação do revestimento e pintura; Fissuração do reboco; Degradação dos forros exteriores; Deterioração das padieiras; Deterioração dos peitoris; Deterioração das juntas de dilatação; Infiltrações e condensações; Ruptura das canalizações; Deslocamentos; Deficiências de ventilação; Deficiências de estanqueidade; Inexistência de Sistema de combate a incêndios. Para estas patologias são apresentadas as propostas de solução de forma a eliminar as mesmas. Sendo o ETICS escolhido por ser o sistema que elimina a maior parte destas patologias, tendo em conta uma relação de qualidade/preço, é abordada de uma forma detalhada e extensiva da aplicação do sistema antes, durante e depois da obra em si. Assim como, é feita uma descrição pormenorizada do material utilizado para a implementação do sistema. A análise dos pontos críticos refere-se a zonas sensíveis onde há a necessidade de reforço do sistema com vista a eliminar o aparecimento posterior de patologias, como por exemplo as características de suporte. Após a aplicação do sistema podem aparecer algumas patologias das quais se destaca o facto dos produtos serem preparados em obra, o erro humano nas dosagens do fabricante e no acrescento de água sem necessidade e a par das condições climatéricas, são as causas mais comuns do aparecimento de anomalias no sistema de ETICS, provocando fissurações e infiltrações, que são descritas neste relatório. É também abordada a manutenção e reparação do sistema, onde a manutenção refere-se à lavagem e à remoção de microorganismos das paredes e posterior pintura. A reparação dos danos divide-se em dois tipos, áreas até 2 cm2 e áreas maiores que 2 cm2. Por fim, são apresentados alguns rendimentos, que foram possíveis obter ao longo do desenvolvimento do trabalho, dos materiais e da mão-de-obra, dando origem aos custos directos. Sendo também abordadas as vantagens e desvantagens do sistema desde o seu início até à sua conclusão.

Beyond methodological nationalism: The contribution of Robert E. Park to the history of intercultural communication

The legacy of nineteenth century social theory followed a “nationalist” model of society, assuming that analysis of social realities depends upon national boundaries, taking the nation-state as the primary unit of analysis, and developing the concept of methodological nationalism. This perspective regarded the nation-state as the natural - and even necessary - form of society in modernity. Thus, the constitution of large cities, at the end of the 19th century, through the intense flows of immigrants coming from diverse political and linguistic communities posed an enormous challenge to all social research. One of the most significant studies responding to this set of issues was The Immigrant Press and its Control, by Robert E. Park, one of the most prominent American sociologists of the first half of the 20th century. The Immigrant Press and its Control was part of a larger project entitled Americanization Studies: The Acculturation of Immigrant Group into American Society, funded by the Carnagie Corporation following World War I, taking as its goal to study the so-called “Americanization methods” during the 1920s. This paper revisits that particular work by Park to reveal how his detailed analysis of the role of the immigrant press overcame the limitations of methodological nationalism. By granting importance to language as a tool uniting each community and by showing how the strength of foreign languages expressed itself through the immigrant press, Park demonstrated that the latter produces a more ambivalent phenomenon than simply the assimilation of immigrants. On the one hand, the immigrant press served as a connecting force, driven by the desire to preserve the mother tongue and culture while at the same time awakening national sentiments that had, until then, remained diffuse. Yet, on the other hand, it facilitated the adjustment of immigrants to the American context. As a result, Park’s work contributes to our understanding of a particular liminal moment inherent within many intercultural contexts, the space between emigrant identity (emphasizing the country of origin) and immigrant identity (emphasizing the newly adopted country). His focus on the role played by media in the socialization of immigrant groups presaged later work on this subject by communication scholars. Focusing attention on Park’s research leads to other studies of the immigrant experience from the same period (e.g., Thomas & Znaniecki, The Polish Peasant in Europe and America), and also to insights on multi-presence and interculturality as significant but often overlooked phenomena in the study of immigrant socialization.

Recent history of fractional calculus

This survey intends to report some of the major documents and events in the area of fractional calculus that took place since 1974 up to the present date.