The aging population is increasing worldwide, but the abuse and mistreatment in the elderly (often silenced forms) has also been increasing, with strong implications for their quality of life. To identify forms of abuse and ill-treatment in the elderly, as well as the determinants of these abuses. This is a quantitative study, of the non-experimental, descriptive, cross-sectional type attended by 135 Portuguese elderly. It uses the Family APGAR Scale and the Question to Elicit Elder Abuse (QEEA), which was applied between January and June 2013, in the elderly residing in the central of Portugal. The data shows that 23.5% of the elderly have suffered some kind of abuse, these being especially of the emotional kind and neglect. We also found that the most abused elders were unmarried and widows, those who had lower academic qualifications, those who reported feeling lonely and less healthy and even those who perceive to integrate families with some degree of dysfunction. We found that the abuse and mistreatment are present in the everyday life of many seniors and are a difficult subject to approach. The evidence, invite us to reflect on the development of intervention strategies, particularly at the levels of emotional abuse, neglect, promotion of health and family functioning in order to contribute to the reduction or extinction of abuse and ill-treatment in the elderly.

The impact of the diagnosis in parents causes the cycle of family life will change profoundly, with serious disturbances in the reorganization and adjustments to this new reality. The objectives of the study aim to evaluate the quality of life of children / adolescent siblings of people with autism; to know the perception / opinion of the brothers on the impact that autism has had on family and check what kind of association between sociodemographic variables and of opinion on the impact of autism on the family and the QOL of participants. This is a study of the quantitative, non-experimental, descriptive correlational where 96 parents with autistic children participated kind. Data were collected through a questionnaire and a scale to assess the impact of the diagnosis of autism. The data show that on average the impact of the diagnosis of autism in parents showed moderate. Parents, mostly not yet managed to overcome the initial shock and show a great concern for the future of their children. The adjustments and changes made to the social level are dimensions where parents have lower difficulties. The data show that the impact of the diagnosis of autism in parents participating in the study was quite variable, depending on different variables, reinforcing the importance of continuity of studies on this topic in order to mitigate this impact

Background: oropharyngeal dysphagia is the result of a series of neuromuscular disorders that can impair swallowing. These alterations compromise adequate nutritional support and often endanger the safety of the person with dysphagia. The prevalence of dysphagia is known to increase with age, but it is still an underdiagnosed problem, which should be a concern for nurses. Objective: To identify nurses' knowledge of patients' swallowing ability in a Portuguese hospital. Methodology: Quantitative, descriptive-correlational, cross-sectional study using a non-probabilistic convenience sample of 62 nurses. The online survey includes sociodemographic/ professional indicators, an assessment of nurses' knowledge of swallowing ability, relevant data for dysphagia diagnosis and compensatory swallowing strategies. Results: 62 nurses were included, mostly female (80.6%), with an average age of 38.50 years, with a prevalence of those under 39 (53.2%), with a degree (71.0%) and who had been working in the profession for 14 years or less (54.8%), there was a higher percentage of men who had not had any training in dysphagia compared to women (66.7% vs. 52. 0%). The multiple linear regression showed as predictors of knowledge of swallowing ability: knowledge of relevant data to diagnose dysphagia, knowledge of compensatory strategies and inversely professional exercise (p<0.000). Conclusions: The higher the knowledge about compensatory swallowing strategies and the knowledge about the relevant data for diagnosing dysphagia, and the shorter the time spent in professional practice, the greater the nurses' knowledge about dysphagia. These results suggest the need of continuous education about dysphagia for more experienced professionals. What is the main contribution to evidence-based practice from this research? The article contributes to promote a a better Identification of nurses' knowledge about the signs of dysphagia and compensatory swallowing strategies in case of dysphagia.

Introdução: As lesões músculo-esqueléticas são frequentes e exercem forte impacto na saúde dos jovens desportistas. Objetivo: Identificar a prevalência e fatores associados a lesões músculo-esqueléticas em jovens desportistas. Materiais e Métodos: Estudo quantitativo, transversal, com uma componente analítica, que utilizou uma amostra do tipo não probabilístico por conveniência, constituída por 108 jovens desportistas de dois clubes desportivos das zonas Centro e Norte de Portugal. O instrumento de recolha de dados integrava variáveis de caracterização: sociodemográfica, antropométrica e contextual à prática desportiva. Integrava ainda o Questionário Nórdico Músculo-Esquelético para avaliar as lesões. Resultados: Verificou-se uma prevalência de 43,5% de lesões músculo-esqueléticas, localizando-se estas nos ombros (34,3%), pernas/joelhos (34,3%), coluna lombar (23,1%), coluna cervical (15,7%), tornozelos/pés (12,0%) e cotovelos (11,1%). Os fatores associados com significância estatística (p<0.005) foram: o habitar em meio rural, possuir índices de massa corporal mais elevados, usar a mochila apenas num ombro, pertencer ao grupo de juvenis, ter histórico de lesões anteriores, e existência de paragens no percurso do desportivo. Discussão: os valores de prevalência de lesões são superiores aos de outros estudos, tendo variáveis multifatoriais como fatores associados que necessitam de um maior enfoque no cuidar especializado da enfermagem. Conclusões: A prevalência das LME nos jovens desportistas é de facto elevada e está associada a alguns fatores sociodemográficos, antropométricos e contextuais à prática desportiva, o que justifica a implementação de programas de prevenção das lesões e promoção da qualidade de vida dos jovens desportistas por parte dos profissionais de saúde.

Versão 24.0) e efetuada análise descritiva e analítica, considerando-se para análise dos testes o