Riders in the storm: the professions and healthcare governance

The public sector is facing turbulent times and this also challenges the health professions who are expected to serve both the interests of the citizens and the cost-containment and austerity policies of governments. This article seeks to explore the changing role of the health professions. I introduce an approach on ‘citizen professionals’ as active players in the policy process and mediators between the state/policymakers and the citizens/patients. The aim is to highlight a transformative potential of professionalism and the connectedness with other sets of governance, like management. Empirical material from a German case study and a comparative European study serve to illustrate the arguments, drawing on policy analysis and secondary sources. The results bring the complexity of transformations and new emergent forms of professionalism into view that cannot be understood in traditional categories of conflict, exclusion and jurisdiction. Exploring the potential of the health professions to creatively respond to new challenges may reveal new opportunities for innovating healthcare policy beyond market and management.

Contributo da radioterapia na melhoria dos cuidados de saúde no Centro Nacional de Oncologia - Luanda

Mestrado em Radiações Aplicadas às Tecnologias da Saúde - Área de especialização: Terapia com Radiações

Prática baseada na evidência em terapia da fala

Mestrado em Gestão e Avaliação em Tecnologias da Saúde

Herb-drug interactions among commonly used psychoactive substances by healthcare students

The concurrent use of herbs and/or nutritional supplements with psychoactive effect and prescription medications is common among college students. College students are a particularly vulnerable population, for they are under less social/familiar surveillance and seek greater independence, as well as under greater intellectual effort, stress, anxiety and depression, which predispose them to a higher consumption of psychoactive substances. Herbs, vitamins, and other dietary supplements may influence the effects of prescription and nonprescription drugs leading to adverse consequences, by increasing the potential for interactions. However, documented interactions between herbal medicinal products and prescribed drugs are rare. Objective: determine the prevalence of concomitant use of psychoactive substances among healthcare students in the Lisbon School of Health Technology, Portugal, in order to assess the risk of potential herb-drug interactions.

PBL in healthcare sciences: a case study on curriculum innovation

Students of a Cardiopulmonary Sciences curriculum in a Portuguese higher education institution have shown poor learning outcomes and low satisfaction on a course about lung function tests. A transmissive pedagogical approach, mainly based on lectures, was the common teaching practice. Aiming for a change, PBL was considered as a powerful alternative and also as a contribution for progressively innovating the curriculum. Purpose: to create PBL activities in a lung function tests course. to describe their implementation, to analyse the effects of PBL integration in students’ performance and attitudes, to characterize the generated learning environment.

The insular shelves of the Faial-Pico Ridge (Azores archipelago): a morphological record of its evolution

Shelves surrounding reefless volcanic ocean islands are formed by surf erosion of their slopes during changing sea levels. Posterosional lava flows, if abundant, can cross the coastal cliffs and fill partially or completely the accommodation space left by erosion. In this study, multibeam bathymetry, high-resolution seismic reflection profiles, and sediment samples are used to characterize the morphology of the insular shelves adjacent to Pico Island. The data show offshore fresh lava flow morphologies, as well as an irregular basement beneath shelf sedimentary bodies and reduced shelf width adjacent to older volcanic edifices in Pico. These observations suggest that these shelves have been significantly filled by volcanic progradation and can thus be classified as rejuvenated. Despite the general volcanic infilling of the shelves around Pico, most of their edges are below the depth of the Last Glacial Maximum, revealing that at least parts of the island have subsided after the shelves formed by surf erosion. Prograding lava deltas reached the shelf edge in some areas triggering small slope failures, locally decreasing the shelf width and depth of their edges. These areas can represent a significant risk for the local population; hence, their identification can be useful for hazard assessment and contribute to wiser land use planning. Shelf and subaerial geomorphology, magnetic anomalies and crustal structure data of the two islands were also interpreted to reconstruct the long-term combined onshore and offshore evolution of the Faial-Pico ridge. The subaerial emergence of this ridge is apparently older than previously thought, i.e., before approximate to 850 ka.