A Wii Bit of Fun: A Novel Platform to Deliver Effective Balance Training to Older Adults

BACKGROUND: Falls and fall-related injuries are symptomatic of an aging population. This study aimed to design, develop, and deliver a novel method of balance training, using an interactive game-based system to promote engagement, with the inclusion of older adults at both high and low risk of experiencing a fall.

STUDY DESIGN: Eighty-two older adults (65 years of age and older) were recruited from sheltered accommodation and local activity groups. Forty volunteers were randomly selected and received 5 weeks of balance game training (5 males, 35 females; mean, 77.18 ± 6.59 years), whereas the remaining control participants recorded levels of physical activity (20 males, 22 females; mean, 76.62 ± 7.28 years). The effect of balance game training was measured on levels of functional balance and balance confidence in individuals with and without quantifiable balance impairments.

RESULTS: Balance game training had a significant effect on levels of functional balance and balance confidence (P < 0.05). This was further demonstrated in participants who were deemed at high risk of falls. The overall pattern of results suggests the training program is effective and suitable for individuals at all levels of ability and may therefore play a role in reducing the risk of falls.

CONCLUSIONS: Commercial hardware can be modified to deliver engaging methods of effective balance assessment and training for the older population.

THE TEACHING ABOUT THE CARE OF THE ELDERLY IN NURSING TRAINING: THE SITUATION IN PORTUGAL

This paper aims to look at the teaching situation of the nursing undergraduate degree’s courses about eldercare in Portugal. A documentary research on the teaching programs in 39 nursing schools, 26 schools presented syllabus units related to the topic ‘eldercare’ and in eight of these schools the contents of the units were identified. Using textual analysis and from the categories we concluded that the teaching regarding eldercare for the nurse training in Portugal is focused on hospital care; it is directed to the adult/elderly/family; it explores the definitions related to the aging process; it explores community issues, legislation and research. People responsible for the design/monitoring of teaching programs should include teaching regarding eldercare in the nurse training, considering that the elder population is increasing in Portugal.

Nursing training in Brazil and in Portugal: similarities and specificities

Objective: To identify similarities/specificities in the nursing training in Brazil and in Portugal. This is a documentary research conducted in two higher education institutions, in January 2013. Method: It was focused on the National Curriculum Guidelines and on the Bologna Process. Results: Common points: objectives and profile of the newly-trained nurses grounded on competencies; teaching of education in/for health. Brazilian specificity: universal admission; three disciplines focused on research; mandatory discipline related to elderly care; two optional disciplines: Alternative therapies and Brazilian Language of Signs; insertion of complementary activities, actions in teaching/research/extension; basis of teaching: compliance with the Brazilian Unified Health System. Portuguese Specificity: admission with regionalized medical certificate; grounded on the European Credit Transfer and Accumulation System; compulsory disciplines: Clinical Reasoning in Nursing; Family Nursing; Development throughout life; Rehabilitative Nursing and Prospects of development of the Nursing; two optional disciplines: entrepreneurship and arts; basis of teaching: clinical teaching. Conclusions: There are similarities and specificities between the surveyed courses.

Nursing training in Brazil and in Portugal: similarities and specificities

Objective: To identify similarities/specificities in the nursing training in Brazil and in Portugal. This is a documentary research conducted in two higher education institutions, in January 2013. Method: It was focused on the National Curriculum Guidelines and on the Bologna Process. Results: Common points: objectives and profile of the newly-trained nurses grounded on competencies; teaching of education in/for health. Brazilian specificity: universal admission; three disciplines focused on research; mandatory discipline related to elderly care; two optional disciplines: Alternative therapies and Brazilian Language of Signs; insertion of complementary activities, actions in teaching/research/extension; basis of teaching: compliance with the Brazilian Unified Health System. Portuguese Specificity: admission with regionalized medical certificate; grounded on the European Credit Transfer and Accumulation System; compulsory disciplines: Clinical Reasoning in Nursing; Family Nursing; Development throughout life; Rehabilitative Nursing and Prospects of development of the Nursing; two optional disciplines: entrepreneurship and arts; basis of teaching: clinical teaching. Conclusions: There are similarities and specificities between the surveyed courses.

Biotecnologia: concepção e validação de trabalhos práticos

É hoje geralmente aceite que a educação em ciências, além da aprendizagem de conhecimento conceptual e procedimental, deve promover nos alunos o desenvolvimento de competências investigativas, ou seja, competências para identificar, formular e resolver problemas. Porém, o desenvolvimento de actividades práticas de natureza investigativa é difícil, pela carência, ou mesmo ausência, de vivências dos professores em investigações, sobretudo em projectos aplicáveis nas práticas lectivas. A frequente falta de formação inicial e contínua dos professores de ciências, relativamente ao desenvolvimento de competências indispensáveis à implementação desta perspectiva de trabalho prático, constitui um obstáculo à concretização de inovações educativas preconizadas para a educação em ciências, referidas em documentos aprovados e publicados pelo Ministério da Educação, em particular, orientações curriculares e programas disciplinares. A abordagem de temáticas em biotecnologia configura-se como uma necessidade das sociedades actuais, de modo que, atendendo aos avanços que se têm vindo a verificar nesta área, deverá integrar-se em educação científica formal, relacionando-a com a vida quotidiana dos cidadãos. Além de componentes científicas inovadoras, os seus desenvolvimentos têm diversas implicações, designadamente éticas, políticas, económicas e sociais. A investigação apresentada nesta dissertação insere-se neste quadro, a qual se baseou no seguinte problema: “Partindo de temáticas em biotecnologia, como estimular o desenvolvimento de trabalho prático numa perspectiva investigativa por professores de Biologia e/ou Geologia?”. Definiram-se dois objectivos gerais: 1) testar, conceber e optimizar actividades laboratoriais e experimentais em biotecnologia, transponíveis para contextos educativos dos ensinos básico e secundário, desmistificando a complexidade associada ao trabalho prático nesta área; 2) conceber, implementar e avaliar uma acção de formação para professores de Biologia e/ou Geologia, na modalidade de Oficina de Formação, visando em contextos escolares e em temáticas de biotecnologia, desenvolver percursos investigativos. A acção de formação “Desenvolvimento de actividades práticas em biotecnologia numa perspectiva investigativa: um contributo na (re)orientação de ensino e aprendizagem de ciências” estimulou os professores-formandos a participarem activamente num programa que integrava abordagens inovadoras de trabalho prático, e criou condições para, com orientação e apoio, desenvolverem percursos investigativos a partir de situações-problema em temáticas de biotecnologia. Na generalidade, as reflexões dos professores-formandos sobre os percursos investigativos planeados e implementados, e os ganhos a nível profissional e/ou pessoal, além de referências elogiosas à estrutura e sequência das actividades propostas na formação, realçaram os seguintes aspectos positivos: a) o enriquecimento de conhecimentos científico-tecnológicos em biotecnologia; b) a oportunidade de reflexão sobre as suas práticas e a necessidade de uma nova forma de olhar para o trabalho laboratorial e experimental e para o seu papel nas aulas de ciências; c) as potencialidades de trabalho prático numa perspectiva investigativa em termos de mobilização de competências de natureza conceptual e processual; d) o desenvolvimento de competências técnicas e processuais necessárias à implementação de percursos investigativos com recurso a procedimentos em biotecnologia. Do presente estudo decorrem implicações educacionais que se esperam pertinentes para a formação de professores de ciências e elaboração de recursos didácticos, designadamente manuais escolares, assim como, para a gestão dos programas disciplinares. Este estudo permitiu, ainda, apresentar propostas para futuras investigações.

Curricular training report: pharmaceutical industry & spin-off company

O presente relatório expõe as atividades desenvolvidas durante o estágio curricular, frequentado na Bluepharma - Indústria Farmacêutica S.A. e na TREAT U, Lda. uma Spin-off da Universidade de Coimbra, no âmbito do Mestrado em Biomedicina Farmacêutica da Universidade de Aveiro. Esta foi uma experiência de 6 meses que teve duas componentes, uma multidisciplinar e outra monodisciplinar, as quais me permitiram desenvolver os conhecimentos e aptidões adquiridas ao longo do curso de mestrado e de as aplicar ao mundo real. Para além do desenvolvimento de competências profissionais, esta experiência possibilitou também a aquisição e desenvolvimento de várias aptidões, quer a nível pessoal como social. Nos primeiros dois meses desta minha experiência adquiri um conhecimento essencialmente teórico em várias áreas da indústria farmacêutica (financeira, desenvolvimento de negócio, assuntos regulamentares, investigação e desenvolvimento de medicamentos, garantia da qualidade, etc.) através da minha passagem pela Bluepharma. De seguida, na minha experiência de quatro meses na TREAT U, foi-me dada a oportunidade de realizar de forma mais independente, as funções inerentes ao cargo de assistente da gerência, com especial enfoque para atividades de gestão de projeto (incluindo assuntos regulamentares), tais como, apoio na preparação do plano de desenvolvimento não clínico e na preparação do pedido de aconselhamento científico. Este relatório começa assim por descrever os objectivos do estágio e uma breve descrição das instituições que me acolheram para a sua realização. De seguida, os conhecimentos adquiridos na vertente multidisciplinar do estágio e depois as atividades desenvolvidas no âmbito monodisciplinar. Por fim, apresenta uma análise das dificuldades e desafios encontrados bem como os esforços realizados para os ultrapassar.

Impact of exercise training on cancer-induced cardiac dysfunction

Cachexia is a complex syndrome characterized by severe weight loss frequently observed in cancer patients and associated with poor prognosis. Cancer cachexia is also related to modifications in cardiac muscle structure and metabolism leading to cardiac dysfunction. In order to better understand the cardiac remodeling induced by bladder cancer and the impact of exercise training after diagnosis on its regulation, we used an animal model of bladder cancer induced by exposition to N-butyl-N-(4-hydroxybutyl)-nitrosamine (BBN) in the drinking water. Healthy animals and previously BBN exposed animals were submitted to a training program in a treadmill at a speed of 20m/min, 60 min/day, 5 days/week during 13 weeks. At the end of the protocol, animals exposed to BBN presented a significant decrease of body weight, in comparison with control groups, supporting the presence of cancer cachexia. Morphological analysis of the cardiac muscle sections revealed the presence of fibrosis and a significant decrease of cardiomyocyte’s cross-sectional area, suggesting the occurrence of cardiac dysfunction associated with bladder cancer. These modifications were accompanied by heart metabolic remodeling characterized by a decreased fatty acid oxidation given by diminished levels of ETFDH and of complex II subunit  from the respiratory chain. Exercise training promoted an increment of connexin 43, a protein involved in cardioprotection, and of c-kit, a protein present in cardiac stem cells. These results suggest an improved heart regenerative capacity induced by exercise training. In conclusion, endurance training seems an attractive non-pharmacological therapeutic option for the management of cardiac dysfunction in cancer cachexia.

A hybrid training method for B-spline neural networks

Current and past research has brought up new views related to the optimization of neural networks. For a fixed structure, second order methods are seen as the most promising. From previous works we have shown how second order methods are of easy applicability to a neural network. Namely, we have proved how the Levenberg-Marquard possesses not only better convergence but how it can assure the convergence to a local minima. However, as any gradient-based method, the results obtained depend on the startup point. In this work, a reformulated Evolutionary algorithm - the Bacterial Programming for Levenberg-Marquardt is proposed, as an heuristic which can be used to determine the most suitable starting points, therefore achieving, in most cases, the global optimum.

Análise de manuais escolares

Dissertação de Mestrado, Supervisão, Especialização em 1.º Ciclo do Ensino Básico, Faculdade de Ciências Humanas e Sociais, Universidade do Algarve, 2008

Completely supervised training algorithms for B-spline neural networks and neuro-fuzzy systems

Complete supervised training algorithms for B-spline neural networks and fuzzy rule-based systems are discussed. By interducing the relationship between B-spline neural networks and certain types of fuzzy models, training algorithms developed initially for neural networks can be adapted by fuzzy systems.

Training multilayer perceptrons - an optimization perspective

Multilayer perceptrons (MLPs) (1) are the most common artificial neural networks employed in a large field of applications. In control and signal processing applications, MLPs are mainly used as nonlinear mapping approximators. The most common training algorithm used with MLPs is the error back-propagation (BP) alg. (1).

Training multilayer perceptrons for control systems applications - a comparison of different approaches

Multilayer perceptrons (MLPs) (1) are the most common artificial neural networks employed in a large field of applications. In control and signal processing applications, MLPs are mainly used as nonlinear mapping approximators. The most common training algorithm used with MLPs is the error back-propagation (BP) alg. (1).

Supervised training approach using spiking neural networks

One of the basic aspects of some neural networks is their attempt to approximate as much as possible their biological counterparts. The goal is to achieve a simple and robust network, easy to understand and able of simulating the human brain at a computational level. Recently a third generation of neural networks (NN) [1], called Spiking Neural Networks(SNN) was appeared. This new kind of networks use the time of a electrical pulse, or spike, to encode the information. In the first and second generation of NN analog values are used in the communication between neurons.