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.

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RESUMOAs infeções do trato urinário associadas à cateterização são muito frequentes no contexto comunitário e hospitalar. Existem atualmente várias recomendações para sua prevenção, contudo, quando abordado o soluto a utilizar no meato urinário previamente à algaliação continuam a persistir dúvidas. Assim, este estudo procurou determinar a eficácia da limpeza do meato urinário com água ou soro fisiológico comparativamente à sua assepsia por meio de uma revisão sistemática com metanálise. Para isso foram seguidos os princípios propostos pelo Cochrane Handbook, a análise crítica realizada por dois investigadores e a análise estatística com recurso ao programa STATA 11.1. Podemos concluir que a limpeza ou desinfeção do meato urinário previamente à cateterização vesical não é estatisticamente significativa (OR=1,07, IC 95%=0,68-1,68, p=0,779), existindo alguma evidência de que a utilização de água/soro fisiológico reduz as taxas de ITU. DESCRITORES Infecções urinárias Cateterismo uninário Desinfecção Água ABSTRACTThe urinary tract infections associated with catheterization are very common in hospital and home care contexts. Currently there are several recommendations for its prevention, however, when approaching the kind of solute used in the urinary meatus prior to catheterization doubts continue to persist. Thus this study aimed at determining the effectiveness of cleaning the urinary meatus with water or saline comparing to its sterilization through a systematic review and meta--analysis. In order to do so, the principles proposed by the Cochrane Handbook were followed, a critical analysis was conducted by two researchers and the statistical analysis was performed with the use of STATA 11.1. We concluded that the cleaning or disinfection of the urinary canal prior to bladder catheterization is not statistically significant (OR=1.07, CI 95%=0.68-1.68, p=0.779) and that there is some evidence that the use of water/saline reduces rates of UTI (urinary tract infection). DESCRIPTORS Urinary tract infections Urinary catheterization Disinfection Water RESUMENLas infecciones del tracto urinario asociadas con cateterismo son muy comunes en el contexto comunitario y hospitalario. Actualmente existen varias recomendaciones para su prevención. Sin embargo, las dudas persisten en la elección del soluto utilizado en el meato urinario antes del cateterismo. Por lo tanto, este estudio trata de determinar la eficacia de la limpieza del meato urinario con agua/solución salina comparativamente con su asepsia, mediante la realización de una revisión sistemática con meta-análisis. Para lo cual, se siguieron los principios propuestos por el Manual Cochrane, el análisis crítico realizado por dos investigadores y el análisis estadístico utilizando el programa STATA 11.1. Podemos concluir que la limpieza o desinfección del meato urinario antes del cateterismo no es estadísticamente significativo (OR=1,07, 95%CI=0,68-1,68, p=0,779) existiendo algunas evidencias de que el uso de agua/solución salina reduce las tasas de ITU. DESCRIPTORES In...

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 showa 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.

RESUMO CONTEXTO:A vulnerabilidade da pessoa humana emerge quando a doença surge como uma ameaça, provocando desmoralização, desespero e sofrimento. O binómio saúde/doença parece ser afetado de forma positiva pela esperança, ajudando a pessoa/família a lidar com as incertezas do futuro de uma forma mais e caz. OBJETIVOS: Avaliar níveis de esperança em doentes internados em Unidades de Cuidados Continuados (UCCs), e identi car determinantes sociodemográ cas, clínicas e psicossociais correlacionadas com esse constructo. METODOLOGIA: ABSTRACT "Hope in Hospitalized Patients on Continuous Care Units"BACKGROUND: e vulnerability of the human person emerges when the disease appears as a threat, causing demoralization, despair and su ering. e binomial health / disease appears to be a ected positively by hope, helping the person / family to deal with the uncertainties of the future more e ectively. AIM: To assess levels of hope in patients admitted to Continuous Care Units (CCU), and to identify sociodemographic, clinical, and psychosocial determinants correlated with this construct. METHODS: Quantitative, transversal, descriptive and correlational study. It was performed in two CCU of the central region of Portugal and the questionnaire was applied to 92 patients, with a mean age of 74.39 years.e data collection instrument integrated, sociodemographic, clinical, Hope Scale (Herth Hope Index), the Quality of Life Scale (Functinal Assessement of Cancer erapy) and Sleep Questionnaire Oviedo. RESULTS: e data show that 45.7% of the respondents present less hope, 39.1% high hope and 15.2% moderate hope. Only the Quality of Life, "functional well-being" and the "adverse phenomena" of the sleep scale correlate signi cantly (p = 0.000; p = 0.035) with the expectation explaining respectively 55.2% and 31.1% of their variance. e gender, age, marital status, professional status, schooling, monthly income, typology and number of hospitalizations showed no correlation with hope. CONCLUSIONS: Hope is a belief or virtue inherent in man, which assumes di erent levels, and accompanies the human being in the process of living and dying conditioning adjustments in times of crisis, a ecting and / or being a ected by the well-being and quality of life.