13 resultados para Psychiatric Urgency
em Universidade do Minho
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Relatório de estágio de mestrado em Ensino de Português no 3.º ciclo do Ensino Básico Secundário e do Ensino do Espanhol no Ensino Básico e Secundário
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Dissertação de mestrado em Educação Especial (área de especialização Intervenção Precoce)
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Tese de Doutoramento em Estudos da Criança (área de especialização em Educação Musical)
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Bajo los auspicios reformadores del Marqués de Pombal, los nuevos estatutos de la Universidad de Coimbra, ratificados por el rey José I en junio de 1772, representaron una importante revisión de los principales estudios en Portugal. Hacia un largo tiempo que los Estatutos de la Universidad de Coimbra no fueron revisados, y la revisión de los Estatutos de 1559 (rey Sebastián), 1591 (el rey Felipe I de Portugal, II de Castilla) y 1653 (rey João IV), se observa que, en comparación con más de dos siglos de vigencia del mismo modelo con modificaciones más o menos limitados, los Estatutos de 1772 traen un nuevo pensamiento y un nuevo impulso mediante la promoción, en particular, de la educación y el desarrollo de las Ciencias exactas y naturales y la valoración del método experimental. Al mismo tiempo, en España, el rey Carlos III, renuncia a imponer un único modelo de estudios de todas las universidades. En ambos casos, el portugués y el español, la urgencia de las reformas es mas aguda pues que los jesuitas fueron expulsados de los territorios en 1759 y 1767, respectivamente; y tanto precursores como mentores quieren estas reformas para abrir las universidades a la ciencia moderna y el humanismo de la Ilustración. La renovación de los contenidos y métodos de enseñanza en Coimbra fue notoria, con la preocupación notable con la investigación, lo que no era muy común en la época. Había también una preocupación con las necesidades de la sociedad en una forma muy práctica (habiendo sido en la época construido el Observatorio Astronómico, el Laboratorio de Física, etc.). Al mismo tempo, la universidad de Coimbra tuvo como profesores dos matemáticos notables, José Anastácio da Cunha y José Monteiro da Rocha. En España también fueron importantes los ensayos de renovación de los métodos, de apertura a la ciencia de la época, de conexión con las realidades de la sociedad española, de coordinación de esfuerzos para conformar una «comunidad universitaria española». En esta comunicación se hace una discusión de comparación entre las dos reformas ibéricas.
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Tese de Doutoramento em Ciências da Educação (área de especialização em Desenvolvimento Curricular).
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A significant number of psychotherapy clients remain untreated, and dropping out is one of the main reasons. Still, the literature around this subject is incoherent. The present study explores potential pre-treatment predictors of dropout in a sample of clients who took part in a clinical trial designed to test the efficacy of narrative therapy for major depressive disorder compared to cognitive-behavioral therapy. Logistic regression analysis showed that: (1) treatment assignment did not predict dropout, (2) clients taking psychiatric medication at intake were 80% less likely to drop out from therapy, compared to clients who were not taking medication, and (3) clients presenting anxious comorbidity at intake were 82% less likely to dropout compared to those clients not presenting anxious comorbidity. Results suggest that clinicians should pay attention to depressed clients who are not taking psychiatric medication or have no comorbid anxiety. More research is needed in order to understand this relationship.
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Tese de Doutoramento em Ciências da Educação
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Cotard Syndrome without Depressive Symptoms in a Schizophrenic Patient
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Tese de Doutoramento em Ciências da Saúde
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Aims: Depression is the most common psychiatric disorder among people infected with HIV. This study aims to characterize the Hospital of Joaquim Urbano population of HIV-infected patients’ profile regarding depressive symptoms and whether they correlate with the analytical parameters most frequently evaluated in the context of infection by this virus – HIV viral load, CD4+ count and CD4+ percentage. Methods: We conducted an observational descriptive and analytical study. The participants’ level of depressive symptoms was assessed with the Beck Depression Inventory. The medical and psychiatric history and the analytical values of viral load, CD4+ count and CD4+ percentage were obtained by consulting the participants’ clinical processes. Results: A prevalence of 65.5% in HIV-infected patients’ depressive symptoms was found, with a considerable high percentage of subjects presenting with severe symptoms (32.7%). No associations between the depressive symptoms’ levels and CD4+ count, CD4+ percentage or viral load were found. However, depressive symptoms were associated with substance abuse and education level. Conclusions: The high prevalence of depressive symptoms found in this study reinforces the importance of monitoring this type of symptoms in HIV-infected subjects. The fact that there have been no associations between depressive symptoms and the analytical parameters evaluated is in line with previous studies.
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Dissertação de mestrado em Direito e Informática
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Dissertação de mestrado em Técnicas de Caracterização e Análise Química
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Nowadays in healthcare, the Clinical Decision Support Systems are used in order to help health professionals to take an evidence-based decision. An example is the Clinical Recommendation Systems. In this sense, it was developed and implemented in Centro Hospitalar do Porto a pre-triage system in order to group the patients on two levels (urgent or outpatient). However, although this system is calibrated and specific to the urgency of obstetrics and gynaecology, it does not meet all clinical requirements by the general department of the Portuguese HealthCare (Direção Geral de Saúde). The main requirement is the need of having priority triage system characterized by five levels. Thus some studies have been conducted with the aim of presenting a methodology able to evolve the pre-triage system on a Clinical Recommendation System with five levels. After some tests (using data mining and simulation techniques), it has been validated the possibility of transformation the pre-triage system in a Clinical Recommendation System in the obstetric context. This paper presents an overview of the Clinical Recommendation System for obstetric triage, the model developed and the main results achieved.