Adolescence is a critical period for the development of obesity. Obesity arises from a complex interaction between several factors, which are not yet fully understood. Therefore, the purpose of this review was to identify and assess the peer-reviewed scientific literature on the behavioral, contextual and biological factors associated with obesity in adolescents. PubMed and Scopus were systematically searched to identify prospective cohort studies concerning the relation between behavioral, contextual and biological factors and obesity in adolescents aged 10 to 18 years. 40 studies published between the year 2000 and 2018 were included. A positive consistent association between genetic factors and obesity during adolescence was found. Also, there is evidence to support the association between socioeconomic status and obesity. There was conflicting evidence for the contribution of dietary intake, physical activity, sedentary behavior, sleep, food store environment, school food environment. For the remaining factors no associations were found, or no conclusions could be drawn due to the limited number of studies identified. Further prospective studies that assess multiple obesity determinants simultaneously and use state-of-art measures are warranted to aid in the development of effective strategies and interventions to prevent obesity during adolescence.

For elderly people, social isolation is one significant factor in the deterioration of their life's quality. It has a profound impact on the general health and is produced by the diminution of social interactions. Nowadays, there is technology that can retrieve contextual data from the user's environment and interact with him in some simple, yet effective manners. The intelligent personal assistants can interact with the person by means of natural voice language. Previously, it was created a model for the adoption of electronic intelligent assistants by the elderly, as well a preliminary evaluation of the features of the intelligent personal assistants, currently available in the consumer market. In this article, it is evaluated the option of using the current consumer digital assistants to implement the proposed model. Several assistants were examined (Amazon, Google, Microsoft, and Apple), and their functionalities evaluated by creating four interaction scenarios and assessing the assistants' compliance with these scenarios.

This is a descriptive cross-sectional study. The sample consisted of 235 nurses from two intensive care units in Porto (Portugal). The purpose of this study was to identify stressors for nurses working in intensive care units. The data was collected using the following: i) a questionnaire (for socio-demographic variables, physical aspects of work and variables related to the work context; ii) Interpersonal Work Relations Scale; iii) Nurse Stress Index. Nurses in the early phase of their career have higher stress levels (X = 81). An inadequate physical work structure leads to higher stress levels (X = 83). The worse the interpersonal relations are, the higher stress levels nurses feel (Spearman correlation coefficient =-0.331). Nurses who have a bad relationship with their work superiors view the dimension "Support and Organizational Involvement" as a stressor (Student's t test, p<0.001).

This study aimed to summarize the evidence of the impact of school-based nutrition education programs that incorporate technology on the acquisition of nutrition-related knowledge and behavior change of adolescents. Literature searches were conducted using Cochrane Library, Pubmed, Scopus, Science Direct, and Web of Science databases. Studies published between 2000 and 2018, with adolescents aged from 12 to 18 years, fully available in English, which involved technology-based school interventions, and reported nutrition-related outcomes, were included. Thirteen studies met all the inclusion criteria. Overall, all studies presented positive effects, though these results did not persist. It is feasible to use technology-based approaches in this type of intervention programs, but it is necessary to improve the interventions so that long-lasting results are achieved.

The reduction in physical and social activity in elderly people degrades the aging process, causing or increasing suffering to the individual and to his family and friends. Most times, the individual well-being is related to the strength of the social bonds with the family and friends group, so it is important to keep this bonds in the various stages of life, especially in the later life, when the individual has health limitations and is living in a community centre. This paper proposes an exploratory approach, regarding the use of information technologies systems, as autonomous systems, to assist in supporting and encouraging elderly people to preserve and develop their social activities and the relationships with their family and friends social group. During the course of the aging process, some aging people have their social activity degraded due to health limitations and institutionalization in elderly care centers, in which they are admitted as residents. We propose the design of a software system, capable of running in autonomous devices, such as, robots and other consumer appliances, enabling them to recognize and interact with the users, according to their state of mind and the specific current moment context. The interactions should be simple and focused on keeping the users informed about the current life events of their family and friends, and create the opportunities for the users to interact with the participants of those events by creating interaction proposals. The systems would monitor the user's family and friends group, regarding their information and actions on the social media. The system's interactions with the user would be based on that knowledge and on the knowledge of the user's current context. An adaptive user interface would present and manage the user interactions, acting as a mediator between the user and his family and friends group.

Healthcare workers, namely registered nurses (RN), are frequently exposed to work-related musculoskeletal disorders (WRMSDs) risk factors. Identifying the symptoms of these disorders is one of the first epidemiological steps to managing them. This study aims to identify WRMSDs prevalence symptoms in Portuguese RN. During 8 months (2010–2011) the National Public Health School and the Portuguese Registered Nurses Board made a call to all RN to answer an online WRMSDs questionnaire. Respondents (n=2140) are mostly females (77.4%) and work mainly in hospitals (n=1396) and in primary healthcare centers (n=421). Results show high symptoms prevalence (last 12 months) in the lower back (60.6%), the upper back (44.5%), and the neck (48.6%). Nurses’ activity, especially patient hygiene in bed, is a strong contributor (p>0.05) to pain in the upper back (OR=1.39 [1.09–1.80]) and lower back (OR=1.4 [1.08–1.84]). Patient holdup without mechanical support has the highest relationship (p>0.05) between work tasks and symptoms in the last 12 months in the upper back (OR=1.50 [1.19–1.90]). Prevalence rates of WRMSDs symptoms in Portuguese nurses are no different from other studies with Swedish, Italian and Greek nurses. Maybe changes in healthcare systems didn’t change the way care is delivered and we must rethink how to prevent nurses WRMSDs.