Qualidade dos sistemas de informação no serviço de radiologia do Hospital de Curry Cabral

A preocupação com a qualidade dos serviços prestados pelas organizações de saúde é uma realidade. Em resultado de várias pressões e diferentes metodologias têm sido implementadas nas instituições Sistemas de Informação a fim de melhorar a qualidade e segurança dos procedimentos aí desenvolvidos. A qualidade dos Sistemas de Informação assume um destaque pela sua componente de mais-valia, neste trabalho procuramos avalia-la e verificar a sua correta implementação. A presente dissertação reporta-se ao estudo dos Sistemas de informação no Serviço de Radiologia do HCC, tendo como objetivo principal saber se os Sistemas de Informação, potenciaram a melhoria da qualidade de desempenho dos profissionais de saúde, assim como caracterizar a qualidade dos Sistemas de Informação. Como estratégia de pesquisa optamos por um estudo de natureza descritiva, utilizando um modelo de análise quantitativo. Aplicou-se um questionário elaborado pela investigadora, tendo sido aceites as respostas de 55 questionários realizados aos utilizadores dos SI. De uma forma geral os resultados demonstram que os Sistemas de Informação foram bem aceites por parte dos profissionais deste serviço, existindo porem algumas deficiências que não permite que se atinja níveis de qualidade elevados. Relativamente à formação depreendemos que existem algumas lacunas relativas ao processo de formação dos utilizadores, que podem ser colmatadas por uma intervenção adequada. ABSTRACT: The concern about the quality of the accounted services by the health organizations is a reality. Information Systems have been installed in many establishments as a result of many pressures and different methodologies in order to improve the quality and safety of the procedures developed in such places. The quality of the Information Systems gains relevance due to its “rise” character; on this essay we aimed to evaluate and verify its adequate execution. The present essay is about the study of the Information Systems on the Radiology Service of Hospital Curry Cabral (HCC) being its main objective to know if the Information Systems improved the performance of the health professionals, as well as to point out their quality. We decided to build a study of descriptive nature using a quantitative analysis method. We applied an inquiry elaborated by the researcher and accepted the answers of 55 inquiries made to the SI users. In general, the results revealed that the Information Systems were well accepted by the professionals of this service. However, some minor problems do not allow high standard of quality to be obtained. As regards training we understand that there are a few defaults concerning the process of formation of the users which can be surpassed if using an adequate intervention.

Sustentabilidade do betão: Comportamento de betões com substituição parcial de cimento portland por adições quase inertes

Os betões atuais são materiais com custos extremamente competitivos devido ao baixo custo do cimento Portland. Contudo, os elevados níveis de emissões de C02 gerados na sua produção provocam o aumento do custo final do produto, tanto económico como ambiental. Devido a esta situação algumas adições têm sido estudadas como alternativas para substituir parcialmente os conteúdos de cimento no fabrico de betão. Uma vez que existem grandes quantidades de pó de mármore inutilizadas na região de Évora decidiu-se avaliar o seu comportamento. O pó de mármore foi adicionado em certas percentagens de forma a reduzir os conteúdos de cimento, permitindo avaliar se este iria manter e/ou melhorar as características de resistência à compressão e trabalhabilidade do betão. Além de avaliado o comportamento desta adição, o mesmo foi também comparado com a adição de filer calcário nas mesmas percentagens. Os resultados obtidos demonstraram a exequibilidade da utilização de ambas as adições. ABSTRACT: Concretes currently used in construction are materials with very competitive costs due to the low cost of Portland cement. However, high levels of C02 emissions generated in its production cause an increase of the final cost of the product, both economically and environmentally. Due to this situation, some additions have been studied as alternatives to replace partially cement contents in concrete production. Since there are large quantities of marble dust in the region of Évora, it was decided to evaluate his behavior. The marble dust was added in known percentages so the cement contents could be reduced, allowing evaluating if it will maintain and/or improve the characteristics of the compressive strength and workability of the concrete. ln addition to evaluating the behavior of marble dust, this addition was also compared with the addition of limestone filler in the same percentages. The results demonstrated the feasibility of using both additions.

Geomática. Desenho Técnico Assistido por Computador. Apontamentos teóricos.

Esta publicação pretende ser um manual de apoio às aulas teóricas de Desenho Técnico Assistido por Computador, no âmbito da unidade curricular Geomática, permitindo ao aluno atingir mais facilmente os objetivos da disciplina: projeções, cotagem, perspetivas, desenho a três dimensões, cortes e secções.

Assessment of the Availability of Forest Biomass for Bioenergy Production in Southwest Portugal.

In 2014, Portugal was the seventh largest pellets producer in the World. Since the shortage of raw material is one of the major obstacles that the Portuguese sellets market faces, the need for a good assessment of biomass availability for energy purposes at both country and regional levels is reinforced. This work uses a Geographical Information System environment and remote sensing data to assess the availability and sustainability of forest biomass residues in a management unit with around 940 ha of maritime pine forest. The period considered goes from 2004 to 2015. The study area is located in Southwestern Portugal, close to a pellets factory; therefore the potential Contribution of the residual biomass generated in the management unit to the production of pellets is evaluated. An allometric function is used for the estimation of maritime pine above ground biomass. With this estimate, and considering several forest operations, the residual biomass available was assessed, according to stand composition and structure. This study shows that, when maritime pine forests are managed to produce wood, the amount of residues available for energy production is small (an average of 0.37 t ha -1  year -1 were generated in the study area between 2004 and 2015). As a contribution to the sustainability of the Portuguese pellets industries, new management models for maritime pine forests may be developed. The effect of the pinewood nematode on the availability of residual biomass can be clearly seen in this study. In the management unit considered, cuts were made to prevent dissemination of the disease. This contributes to a higher availability of forest residues in a specific period of time, but, in the medium term, they lead to a decrease in the amount of residues that can be used for energy purposes.

Umbrella pine above ground biomass estimation with very high spatial resolution satellite images

Above ground biomass is frequently estimated with forest inventory data and an extrapolation method for the per unit area evaluations. This procedure is labour demanding and costly. In this study above ground biomass functions, whose independent variable is crown horizontal projection, were developed. Multi-resolution segmentation method and object-oriented classification, based on very high spatial resolution satellite images, were used to obtain the area of tree crown horizontal projection for umbrella pine (Pinus pinea L.). A set of inventory plots were measured and with existing allometric functions for this species above ground biomass per tree and per plot were calculated. The two data sets were used to fit linear functions both for individual plot and their cumulative values. The results show a good performance of the models. Errors smaller than 10% are obtained for stand areas greater than 1.4 ha. These functions have the advantages of estimating above ground biomass for all the area under study or surveillance, not requiring forest inventory; allow monitoring in short time periods; and are easily implemented in a geographical information system environment.

Above ground biomass estimation in Mediterranean multiple use systems with high spatial resolution satellite images

Forest biomass has been having an increasing importance in the world economy and in the evaluation of the forests development and monitoring. It was identified as a global strategic reserve, due to its applications in bioenergy, bioproduct development and issues related to reducing greenhouse gas emissions. The estimation of above ground biomass is frequently done with allometric functions per species with plot inventory data. An adequate sampling design and intensity for an error threshold is required. The estimation per unit area is done using an extrapolation method. This procedure is labour demanding and costly. The mail goal of this study is the development of allometric functions for the estimation of above ground biomass with ground cover as independent variable, for forest areas of holm aok (Quercus rotundifolia), cork oak (Quercus suber) and umbrella pine (Pinus pinea) in multiple use systems. Ground cover per species was derived from crown horizontal projection obtained by processing high resolution satellite images, orthorectified, geometrically and atmospheric corrected, with multi-resolution segmentation method and object oriented classification. Forest inventory data were used to estimate plot above ground biomass with published allometric functions at tree level. The developed functions were fitted for monospecies stands and for multispecies stands of Quercus rotundifolia and Quercus suber, and Quercus suber and Pinus pinea. The stand composition was considered adding dummy variables to distinguish monospecies from multispecies stands. The models showed a good performance. Noteworthy is that the dummy variables, reflecting the differences between species, originated improvements in the models. Significant differences were found for above ground biomass estimation with the functions with and without the dummy variables. An error threshold of 10% corresponds to stand areas of about 40 ha. This method enables the overall area evaluation, not requiring extrapolation procedures, for the three species, which occur frequently in multispecies stands.

Above ground biomass functions with vegetation indices for multiple use systems of two evergreen oaks

Remote sensing is a promising approach for above ground biomass estimation, as forest parameters can be obtained indirectly. The analysis in space and time is quite straight forward due to the flexibility of the method to determine forest crown parameters with remote sensing. It can be used to evaluate and monitoring for example the development of a forest area in time and the impact of disturbances, such as silvicultural practices or deforestation. The vegetation indices, which condense data in a quantitative numeric manner, have been used to estimate several forest parameters, such as the volume, basal area and above ground biomass. The objective of this study was the development of allometric functions to estimate above ground biomass using vegetation indices as independent variables. The vegetation indices used were the Normalized Difference Vegetation Index (NDVI), Enhanced Vegetation Index (EVI), Simple Ratio (SR) and Soil-Adjusted Vegetation Index (SAVI). QuickBird satellite data, with 0.70 m of spatial resolution, was orthorectified, geometrically and atmospheric corrected, and the digital number were converted to top of atmosphere reflectance (ToA). Forest inventory data and published allometric functions at tree level were used to estimate above ground biomass per plot. Linear functions were fitted for the monospecies and multispecies stands of two evergreen oaks (Quercus suber and Quercus rotundifolia) in multiple use systems, montados. The allometric above ground biomass functions were fitted considering the mean and the median of each vegetation index per grid as independent variable. Species composition as a dummy variable was also considered as an independent variable. The linear functions with better performance are those with mean NDVI or mean SR as independent variable. Noteworthy is that the two better functions for monospecies cork oak stands have median NDVI or median SR as independent variable. When species composition dummy variables are included in the function (with stepwise regression) the best model has median NDVI as independent variable. The vegetation indices with the worse model performance were EVI and SAVI.

Geomática. Desenho Técnico Assistido por Computador. Caderno de exercícios (revisto e aumentado).

Esta publicação pretende ser um manual de apoio às aulas práticas de Desenho Técnico Assistido por Computador, no âmbito da unidade curricular Geomática, permitindo ao aluno atingir mais facilmente os objetivos da disciplina: introdução ao AutoCAD, projeções, cotagem, perspetivas, desenho a três dimensões, cortes e secções.

Clínica de animais de companhia

O presente relatório pretende descrever as atividades desenvolvidas durante o estágio curricular, realizado no Hospital Veterinário do Restelo, no período de 4 de agosto a 31 de janeiro. A hipertensão sistémica é uma doença insidiosa e progressiva, que se não controlada pode provocar lesões irreversíveis em órgãos alvo. Nos animais o seu desenvolvimento é normalmente secundário a processos de doença ou à administração exógena de alguns fármacos. Nos cães as causas mais comuns compreendem a doença renal crónica, a doença renal aguda e o hiperadrenocorticismo, enquanto nos gatos o seu desenvolvimento está, normalmente, associado à doença renal crónica, ao hipertiroidismo e ao hiperaldosteronismo primário. O diagnóstico da hipertensão e da causa primária responsável pelo seu desenvolvimento constituem um desafio clínico, criado por um conjunto diversificado de fatores associados aos animais, aos métodos de medição indiretos, processos de doença concorrentes e financeiros; Abstract: Small animal clinics The present report aims to describe the activities developed during the traineeship realized at Hospital Veterinário do Restelo, from August 4 to January 31. Systemic hypertension is an insidious and progressive disease, which uncontrolled is responsible for irreversible damage in target organs. In animals, their development is usually secondary to disease processes or exogenous administration of some drugs. In dogs, the most common causes include chronic kidney disease, acute renal disease and hyperadrenocorticism, while in cats their development is usually associated with chronic kidney disease, hyperthyroidism and primary aldosteronism. The diagnosis of hypertension and the primary cause responsible for its development are a clinical challenge created by a diverse set of factors associated with the animals, the indirect measurement methods, concurrent disease processes and financial.

Efeito de um programa de treino em seco na postura de protração dos ombros em atletas de natação sincronizada e natação pura desportiva

Objetivo: O objetivo deste estudo foi avaliar os efeitos de um programa de treino em seco na correção da postura dos ombros em protração em jovens nadadoras de natação sincronizada e natação pura. Metodologia: Este estudo segue uma metodologia quase-experimental. A amostra foi constituída com 26 nadadoras (dos 12 aos 17 anos),as quais avaliámos antes e após a realização de 8 semanas de treino de reposicionamento escapular em conjunto com um treino de fortalecimento da cintura escapular. Em cada avaliação as atletas foram avaliadas de ambos os lados, em três variáveis (distância acromial, bordo superior e bordo inferior). Resultados: Foi observada a diminuição da distância acromial no ombro dominante e não dominante, após as 8 semanas de intervenção no trabalho fora de água. Conclusão: Concluímos que o tipo de treino efetuado é uma boa opção para a correção da postura de protração dos ombros para ambas as disciplinas aquáticas; Effect of a dry training program at shoulder protraction posture in athletes Synchronized Swimming and Swimming Abstract: Objective: The objective of this study was to understand the effects of a dry training program in correcting the posture of protraction on shoulders in young swimmers of synchronized swimming and swimming. Methodology: The sample has 26 swimmers between 12 and 17 years old, who held two initial assessments to evaluate the effect of daily training and conducted a third evaluation after 8 weeks which applied a scapular repositioning training in conjunction with a training strengthening the shoulder girdle. In each evaluation, the athletes were measured on both sides, on three variables (acromial distance, upper kibler and lower kibler) through three different positions to avoid influencing the results. Results: We observed a decrease in the distance on the acromial dominant shoulder and not dominant, after 8 weeks of intervention in the work out of the water. Conclusion : We conclude that this type of workout is a good option for the correction of protraction posture of shoulders for both aquatic disciplines.

Mover para melhor nascer: liberdade de movimentos e posições verticais no primeiro estádio do trabalho de parto

A Organização Mundial de Saúde destaca a deambulação e a adoção de posições verticais pela parturiente, como práticas demonstradamente benéficas, devendo ser estimuladas pela enfermeira obstetra na condução do trabalho de parto e parto normal, em situações de baixo risco obstétrico. O projeto preconizou a promoção da deambulação e o incentivo à adoção de posições verticais na fase ativa do trabalho de parto. As intervenções de enfermagem na promoção destas práticas foram avaliadas na equipa de enfermeiros obstetras do Serviço de Urgência Obstétrica e Ginecológica do Centro Hospitalar Barreiro-Montijo, Entidade Pública Empresarial e num grupo de parturientes, através da aplicação de questionários. As necessidades dos enfermeiros obstetras e das parturientes determinaram a realização de ações formativas e educacionais e a elaboração de materiais informativos de suporte à prática assistencial. A avaliação do projeto demonstrou que ainda existem práticas a serem melhoradas, sendo a sua continuidade vantajosa para profissionais e parturientes; ABSTRACT: TITLE: Move to Better Birth - Freedom of Movement and Upright Positions in First Stage of Labor. The World Health Organization highlights ambulation and adoption of vertical position by the woman, as demonstrated beneficial practices and should be encouraged by obstetric nurses in the conduct of obstetric labor and normal delivery, in low risk situations. The project advocated for the promotion of ambulation and encouragement for the adoption of vertical positions in the active phase of labor. Nursing interventions to promote these practices were evaluated in the obstetric nurses team of Obstetric and Gynecological Emergency Department from Hospital Center Barreiro-Montijo, Business Public Entity, and in a group of women in labor, through the use of questionnaires. The needs of obstetric nurses and women in labor determined the realization of training and educacional activities and the development of information materials to support the care practice. The project evaluation demonstrates that there are still practices to be improved, and its continuity being advantageous for professionals and women in labor.

Contributo do reiki no bem-estar do recém-nascido com cólicas abdominais

As cólicas abdominais são muito frequentes nos primeiros dias após o nascimento, provocam sofrimento no Recém-Nascido e angústia e sensação de impotência nos pais. Pretendeu-se atuar neste problema através do Reiki. Definiu-se como objetivos: 1) Aplicar a Terapia de Reiki aos RN; 2) Verificar a diminuição ou cessação do sofrimento que a cólica provoca no RN, através da aplicação de Reiki; 3) Promover o bem-estar do Recém-Nascido através da aplicação de Reiki. Efetuou-se um diagnóstico da situação, baseado nas necessidades detetadas e numa investigação dirigida ao tema em estudo. Em termos metodológicos, selecionou-se a amostra, aplicou-se a terapia de Reiki, colheu-se os dados, que foram posteriormente tratados através do programa Statistical Package for the Social Sciences (SPSS), numa abordagem quantitativa. Este trabalho trouxe dados que permitem afirmar que o Reiki contribui para o bem-estar do Recém-Nascido. No final elaborou-se o presente relatório; ABSTRACT: Reiki contribution in the Newborn Welfare with cramps Abdominal Abdominal cramps are very common in the early days after birth, causing suffering in newborns and leaving the parents helpless and distressed. It was intended to act on this problem through Reiki, with the following objectives: 1) Apply Reiki therapy to the Newborn; 2) Evaluate the reduction or cessation of suffering caused by these cramps in infants, through the application of Reiki; 3) Promote the Newborn’s well-being through the application of Reiki. A diagnosis of the situation was conducted, based on the needs detected and on an investigation directed to the topic under study. In terms of methodology, the sample was selected, Reiki therapy was applied, the data was collected and was further processed by the Statistical Package for Social Sciences (SPSS), which allows a quantitative approach. This work brought data which shows that Reiki contributes to the Newborn’s well-being. At the end, the present report was elaborated.

Leaf water potential and sap flow as indicators of water stress in Crimson ‘seedless’ grapevines under different irrigation strategies

Vitis vinifera L. cv. Crimson Seedless is a late season red table grape developed in 1989, with a high market value and increasingly cultivated under protected environments to extend the availability of seedless table grapes into the late fall. The purpose of this work was to evaluate leaf water potential and sap flow as indicators of water stress in Crimson Seedless vines under standard and reduced irrigation strategy, consisting of 70 % of the standard irrigation depth. Additionally, two sub-treatments were applied, consisting of normal irrigation throughout the growing season and a short irrigation induced stress period between veraison and harvest. Leaf water potential measurements coherently signaled crop-available water variations caused by different irrigation treatments, suggesting that this plant-based method can be reliably used to identify water-stress conditions. The use of sap flow density data to establish a ratio based on a reference ‘well irrigated vine’ and less irrigated vines can potentially be used to signal differences in the transpiration rates, which may be suitable for improving irrigation management strategies while preventing undesirable levels of water stress. Although all four irrigation strategies resulted in the production of quality table grapes, significant differences (p ≤ 0.05) were found in both berry weight and sugar content between the standard irrigation and reduced irrigation treatments. Reduced irrigation increased slightly the average berry size as well as sugar content and technical maturity index. The 2-week irrigation stress period had a negative effect on these parameters.

Total Quality Management and Corporate Social Responsibility. Literature review. The case of Nabeiro Delta Cafés Group

The relationship between the themes of Total Quality Management (TQM) and Social Responsibility (CSR) through the concepts, approaches and models of excellence is a reality of sustainable and stable companies. Being organizations, people, act correctly and rightly do in society go through a quality management and social responsibility thereof. It is based on these two philosophies (Total Quality Management and Corporate Social Responsibility), which developed this literature review work, essentially based on a relational analysis in two papers, namely: "TQM and CSR Nexus" by Ghobadian et al. (2007) and "The Corporate Social Responsibility Audit Within the Quality Management Framework," de Kok et al. (2001) and applied to an organizational situation in concrete: the Nabeiro Delta Cafés Group - SGPS, SA.