Metodologia para a implementação de um sistema de apoio à decisão no sistema nacional de saúde baseado nos indicadores para a saúde

Actualmente, o SIS depara-se com problemas relativos à normalização e qualidade de dados, interoperabilidade entre instituições e inexistência de sistemas que suportem e agilizem o processo da decisão estratégica no sector. Numa primeira fase, este trabalho caracteriza e clarifica o papel das diversas instituições que colaboram com o MS, a forma como é gerida a informação e o conhecimento e os pressupostos do PNS enquanto documento agregador de indicadores que permitem avaliar o estado da saúde em Portugal. Com base na caracterização do sector e na importância orientadora do PNS, apresenta-se uma metodologia que organiza e desenvolve um modelo de metadados, baseados nos indicadores para a saúde, presentes no PNS. A sua importância para o sector é evidente uma vez que permite servir de suporte ao futuro desenvolvimento de aplicações estratégicas de apoio à decisão, salvaguardando a implementação e a divulgação do PNS e dos seus indicadores. ABSTRACT; Currently, the SIS comes across with problems related with normalization and quality of data, cooperation between institutions and the inexistence of systems that support and speed the process of strategical decisions in the sector. ln a first phase, this work characterizes and simplifies the role of each institution that collaborates with MS, the form as it is managed the information and the knowledge and the fundamentals of PNS, as a document witch aggregates pointers that allow the evaluation of the state of health in Portugal. On the basis of this characterization and the orienting importance of PNS, this work demonstrates a metadata methodology that organizes and develops a model, based on health pointers, indicated in PNS. Its importance for the sector is evident because it can support future developments of strategical applications, safeguarding the implementation and the analysis of PNS and its pointers.

Modulation of gregarious settlement of the stalked barnacle, Pollicipes pollicipes: a laboratory study

Although recruitment patterns of Pollicipes pollicipes (Crustacea: Scalpelliformes) in the wild have been inves- tigated, no studies have yet focused on the factors that affect settlement. In the present paper, settlement of P. pollicipes on conspecifics (gregarious settlement) was investigated in the laboratory as a function of environmental conditions (hydrody- namics, temperature, light and salinity), larval age and batch. This study aimed to understand how these factors modulate set- tlement in the laboratory and elucidate how they might impact recruitment patterns in nature. Maximum attachment on adults was 30-35%, with a one-week metamorphosis rate of 70-80%. Batch differences affected both attachment and metamorpho- sis. Attachment rate was higher at natural salinity (30-40 psu), with lower salinity (20 psu) decreasing metamorphosis rate. Cyprid attachment was stimulated by light conditions and circulating water. This might relate to a preference for positioning high in the water column in nature, but also to increased cyprid-surface contact in conditions of circulating water. Older cyprids (3 or 6 days) showed higher attachment than un-aged larvae, though fewer 6-day-old larvae metamorphosed. Tem- perature did not affect attachment rate, but the metamorphosis rate decreased at 14°C (compared with 17 or 20°C), implying that differences in temperature during the breeding season can affect how quickly cyprids metamorphose to the juvenile. Cyprids survived for prolonged periods ( 20 days; 40% survival), likely due to efficient energy saving by intercalating long periods of inactivity with fast bursts of activity upon stimulation.