Assessment Work of Paramedics on the Front lines of Emergency Health Services

This article draws on an institutional ethnographic inquiry into the work of paramedics and the institutional setting that organizes and coordinates their work processes. Drawing on over 200 hours of observations and over 100 interviews with paramedics (average length of 18 minutes) and other emergency medical personnel, this article explores the standard and not so standard work of paramedics as they assess and care for their patients on the front lines of emergency health services. More specifically, I focus on the multiplicity of interfacing social, demographic, locational, situational, and institutional factors that shape and organize the work of paramedics. In doing so, this article provides insights into how paramedics orient to the social context in which their work occurs and contrasts this actual work with how their work is institutionally reported and made visible; what gets counted institutionally is not necessarily the same as what counts for the paramedics. This article problematizes this demarcation between what is known institutionally and “systematic practices of ‘not knowing’” (DeVault, 2008, p. 290).

Street Medicine – Assessment Work Strategies of Paramedics on the Front lines of Emergency Health Services

This article is based on an institutional ethnographic inquiry into the work of paramedics and the institutional setting that organizes and coordinates their work processes in a major City in Canada. Drawing on over 200 hours of observations and over 100 interviews with paramedics (average length of 18 minutes) and other emergency medical personnel, this article explores the standard and not so standard work of paramedics as they assess and care for their patients on the front lines of emergency health services. The multiplicity of interfacing social, demographic, locational, and situational factors that shape and organize the work of paramedics are analyzed. In doing so, this article provides insights into the complex work of an understudied yet ever-important profession in healthcare.

POINTS OF VIEW: Multi-Roling Performance in Ireland in the 1990s, Part 2 (Characterisation)

The 1990s in Ireland saw a series of highly successful theatre productions in which actors played a multiplicity of roles. This has often been attributed to the economic exigencies of the times, but it also depended on the availability of flexible actors with the physical and psychological capacity to embody a wide range of identifiable characters within the one production.

This second of two posts considers the acting techniques required for this style of performance in relation to the differentiation of one character from another. The discussion will focus primarily on my own empirical exploration of the demands multi-roling places on an actor through the direction of recent revivals of Mojo Mickybo for Belfast’s Chatterbox Theatre Company (2013) and Bedlam Productions (2015).

Conversations with the Future: Creativity, Aesthetics and Industry Application in Anthropological Practice

This article presents a series of conversations with anthropologists working in collaborative, interdisciplinary settings and projects. It examines the changing role and place of anthropology on the island of Ireland, particular for early career anthropologists. With anthropologists now working in settings as diverse as business schools, health, music, documentary making and industry (to name but a few), early career researchers are now dealing with new challenges. In this piece, we map out a number of these debates and show how a multiplicity of anthropologies and practices are emerging on the island.

Trabalho colaborativo docente na gestão do currículo do ensino básico: do discurso às práticas

A diversidade, complexidade e imprevisibilidade que caracterizam a sociedade actual exigem da Escola uma articulação eficaz entre as aprendizagens e a realidade sociocultural dos alunos, de modo a promover a formação de cidadãos instruídos, competentes, críticos e aptos para aprender a aprender ao longo da vida. Neste sentido, é crucial contextualizar e gerir o currículo, adequando-o à multiplicidade e idiossincrasias dos alunos e seus contextos, assegurando-lhes aprendizagens funcionais e de qualidade. A implementação do processo de Reorganização Curricular do Ensino Básico, consubstanciado através da promulgação do Decreto-Lei n.º 6/2001, de 18 de Janeiro, ambiciona(va) melhorar a eficácia de resposta da escola ao seu mandato social, atribuindo a esta a centralidade na reconceptualização do currículo nacional em função dos contextos com que trabalha. Para tal, a auto-implicação, a negociação e a colaboração são pressupostos indispensáveis a um processo de gestão curricular centrado na escola e operacionalizado no contexto das suas diferentes estruturas. Nesta perspectiva, estruturas de gestão curricular intermédia como o conselho de turma e o departamento curricular, assumem particular ênfase na promoção e desenvolvimento de práticas de colaboração docente fulcrais a processos de gestão curricular. Assim, analisar e aprofundar conhecimento sobre condições facilitadoras, bem como factores de dificultação, do desenvolvimento de práticas de colaboração docente no contexto das referidas estruturas, identificadas na sequência da implementação da orientação de política curricular traduzida no referido decreto-lei constituiu o principal objectivo subjacente a este estudo. Procurou-se relacionar esta análise com dimensões de cultura profissional e organizacional, que a literatura e a investigação revistas documentam como factores relevantes na transformação de práticas curriculares. O presente estudo decorreu em dois momentos: o primeiro, no ano lectivo de 2006/2007, assumiu uma natureza predominantemente quantitativa, privilegiando-se como técnica de recolha de dados o inquérito por questionário aplicado 2718 professores que se encontravam a leccionar Ciências da Natureza, Ciências Naturais ou Ciências Físico-Químicas na rede de escolas públicas com 2º e 3º Ciclos da Direcção Regional de Educação do Norte (DREN) e do Centro de Área Educativa (CAE) de Aveiro, o qual foi complementado com a realização de uma entrevista semi-estruturada a seis professores de Ciências Físicas e Naturais; o segundo momento, realizado no ano lectivo de 2007/2008, adoptou uma metodologia de investigação, essencialmente, qualitativa – estudo de caso – desenvolvido numa escola básica com 2º e 3º ciclos com doze professores pertencentes a um conselho de turma e com oito professores de Ciências Físicas e Naturais afectos ao departamento curricular de Matemática e Ciências Experimentais. Este momento caracterizou-se pela: i) realização de dois percursos formativos, um com professores do conselho de turma e outro com os professores de Ciências Físicas e Naturais; ii) observação de reuniões de trabalho em contexto das estruturas supramencionadas; iii) planificação, implementação e avaliação de uma aula em regime de co-docência, abordando uma temática na perspectiva Ciência, Tecnologia e Sociedade e iv) realização de entrevistas a todos os professores participantes, aos Presidentes do Conselho Executivo e do Conselho Pedagógico e à Coordenadora do Departamento Curricular de Matemática e Ciências Experimentais. O sistema de análise de dados utilizado visou a compreensão das dinâmicas de trabalho docente desenvolvidas no processo de gestão curricular no contexto das estruturas de gestão intermédia em análise. Neste sentido, privilegiaram-se a análise estatística e de conteúdo como técnicas de tratamento dos dados. Os resultados deste estudo apontam para a prevalência de uma cultura docente fortemente individualizada, balcanizada e burocratizada, facto que restringe o desenvolvimento de práticas de gestão curricular e de dinâmicas de trabalho docente sustentadas e adequadas ao contexto e necessidades específicas dos alunos. Sugerem, igualmente, que o desenvolvimento de práticas de colaboração docente não é consequência directa da decisão espontânea e voluntarismo dos professores ou de uma imposição externa não assumida pelos mesmos, mas sim de uma convergência de factores de responsabilização, reconhecimento da utilidade e eficácia da colaboração, e incentivo organizacional que se revelaram pouco significativos no estudo em causa. Por outro lado, indiciam que uma efectiva colaboração docente implica transformações no plano das culturas, que não decorrem dos normativos, e é potenciada por processos de negociação, onde os diferentes actores educativos partilham responsabilidades e uma autonomia cimentada numa visão colectiva e integradora do projecto educativo e curricular da escola. No sentido de contribuir para a consolidação do conhecimento no domínio em estudo, consideramos necessária a realização de outras investigações centradas no mesmo objecto de estudo, mas desenvolvidas em outros contextos escolares.

The analysis of political will and its role in leadership: a study of portuguese mayors

This thesis analyses the concept of Political Will, suggests its operationalization and establishes a typological theory that provides the necessary support for the diverse strategies of action of a leader. It claims that political leadership styles articulate a choice of action that results from the Political Will of a leader, which is determined by his intention and his discerned possibilities to act. One main research question guided our research: How does a political leader select and change his leadership style? The most illustrative literature on political leadership is reviewed and the characteristics of democratic governance are analyzed. This is followed by an overview of the most noteworthy theories on the theme and a claim for the need of concept coherence, given the multiplicity of the existent standpoints. After that, we concentrate on leadership styles, with a focus on the local governance context. Human action and intentionality are addressed with particular attention, as well as the motivational drivers for action, in order to advance a conceptualization of Political Will through two dimensions: intention and possibility. This analysis led to a number of relevant propositions: (1) Political Will ‘exists’ when the agent has the intent and the possibility to act; (2) these two dimensions ‘translate’ simultaneously what the agent believes he must do and can do; (3) Intention and possibility reflect diverse but limited worldviews; (4) political leadership styles result from the agent’s Political Will; (5) different combinations of the expected and actual worldviews result in different leadership styles; and (6) political leadership styles can change accordingly to several strategies which allow conformity or reflect reaction to worldviews. We suggested the operationalization of the two dimensions of Political Will through the analytical tool of Grid-group Theory, which provided the identification of the heuristic devices that allowed further comprehension on the subjectivity of the agent’s choice. Four standard property spaces – representing four types of leadership styles – result from a preliminary approach to this process. Afterwards, and because these dimensions operate simultaneously, we advance on the analysis and suggest some plausible heuristical conflicts to happen and describe which consequences, strategies and type migrations are conceivable. An inclusive and more complete set of resulting property spaces renders fourteen different types of leadership styles and sixty different predictable causal paths that result from the expected migration strategies. Case-studies were conducted as plausibility probes designed to provide improvements to our theoretical claims and addressed the cases we selected for research purposes: Portuguese Mayors. The findings from five case studies are discussed and the probable impact and congruence of each with the theoretical claims are assessed. The communalities of the causal mechanisms related to the function of intention and possibility as the dimensions of Political Will and their role in explaining different leadership styles are, finally, addressed. To conclude, we advance some repercussions, mainly in the public policies field of research, and suggest a number of different and necessary paths for further work.

Estudo dos processos eletroquímicos: eletrooxidação e eletrocoagulação

O tratamento físico-químico de águas residuais, de origem industrial, mais comum é o tratamento baseado na adição de coagulante e floculante a um efluente. No entanto, o tratamento eletroquímico é um tipo de tratamento que tem vindo a ser explorado e estudado com mais ênfase ao longo dos últimos anos. O tratamento eletroquímico é uma tecnologia AOP (Processos de Oxidação Avançada) e divide-se em eletrólise direta (oxidação e redução) e indireta (eletrocoagulação-flotação e eletrooxidação). A eletrocoagulação e eletrooxidação divergem apenas pelo tipo de reações que ocorrem, devido ao material que constitui os elétrodos. São processos complexos com uma multiplicidade de mecanismos que operam sinergicamente para remover poluentes da água. Tendo em conta a sua complexidade e ainda dificuldade de compreensão, existem na literatura diferentes versões acerca de quais os mecanismos chave, assim como diversas configurações geométricas de reatores e elétrodos. Atualmente, este tipo de tratamento tem vindo a evoluir, tornando-se num método economicamente viável para o tratamento de uma grande variedade de águas residuais, nomeadamente, aquelas que possuem compostos recalcitrantes na sua composição. O presente trabalho foi realizado nas instalações da VentilAQUA S.A. e, tendo em conta a sua área de especialidade, o trabalho exposto focou-se no desenvolvimento de soluções técnicas de AOP, nomeadamente na área eletroquímica (eletrocoagulação e eletrooxidação),para estudo dos parâmetros operacionais numa nova configuração geométrica para os elétrodos. Tendo por base os contributos da revisão bibliográfica, o estudo incidiu num reator tubular, com elétrodos de inox dispostos de forma concêntrica, à mesma distância entre si. Com este reator foram executados variados testes, com diferentes efluentes, que permitiram obter resultados operacionais de otimização de funcionamento, tendo em vista a remoção de poluentes. O estudo financeiro associado permitiu concluir que a eletrooxidação é significativamente mais económica que o tratamento físico-químico, nas condições operacionais e para os efluentes tratados. Relativamente ao Acompanhamento e Gestão de ETAR’s (Capítulo 4) foi possível verificar que todos os casos em estudo apresentam uma boa eficiência de remoção de matéria orgânica, permitindo a descarga do seu efluente com uma carga poluente que cumpre com os requisitos legais de descarga em meio hídrico.

Relations between (κ, τ)-regular sets and star complements

Let G be a finite graph with an eigenvalue μ of multiplicity m. A set X of m vertices in G is called a star set for μ in G if μ is not an eigenvalue of the star complement G\X which is the subgraph of G induced by vertices not in X. A vertex subset of a graph is (k ,t)-regular if it induces a k -regular subgraph and every vertex not in the subset has t neighbors in it. We investigate the graphs having a (k,t)-regular set which induces a star complement for some eigenvalue. A survey of known results is provided and new properties for these graphs are deduced. Several particular graphs where these properties stand out are presented as examples.

On the Faria's inequality for the Laplacian and signless Laplacian spectra: a unified approach

Let p(G)p(G) and q(G)q(G) be the number of pendant vertices and quasi-pendant vertices of a simple undirected graph G, respectively. Let m_L±(G)(1) be the multiplicity of 1 as eigenvalue of a matrix which can be either the Laplacian or the signless Laplacian of a graph G. A result due to I. Faria states that mL±(G)(1) is bounded below by p(G)−q(G). Let r(G) be the number of internal vertices of G. If r(G)=q(G), following a unified approach we prove that mL±(G)(1)=p(G)−q(G). If r(G)>q(G) then we determine the equality mL±(G)(1)=p(G)−q(G)+mN±(1), where mN±(1) denotes the multiplicity of 1 as eigenvalue of a matrix N±. This matrix is obtained from either the Laplacian or signless Laplacian matrix of the subgraph induced by the internal vertices which are non-quasi-pendant vertices. Furthermore, conditions for 1 to be an eigenvalue of a principal submatrix are deduced and applied to some families of graphs.

Dimensions of Mediterranean Diet: world cultural heritage

The book "Dimensions of Mediterranean diet" develops the reflection around the Mediterranean Diet concept - Intangible Cultural Heritage, which took place by initiative of the University of Algarve, during the first cycle of Seminars on Mediterranean Diet, in 2013. Starting with the multiplicity of this concept, the authors follow exploring the reality of this way of life (between the sky and the earth), which is the result of an age-old training process, integrates a habit of eating well in a healthy life practice and is a vehicle for future sustainability. The images accompanying the text portray this Mediterranean identity, straight from Algarve current realities.

Arithmetic bit recycling data compression

La compression des données est la technique informatique qui vise à réduire la taille de l’information pour minimiser l’espace de stockage nécessaire et accélérer la transmission des données dans les réseaux à bande passante limitée. Plusieurs techniques de compression telles que LZ77 et ses variantes souffrent d’un problème que nous appelons la redondance causée par la multiplicité d’encodages. La multiplicité d’encodages (ME) signifie que les données sources peuvent être encodées de différentes manières. Dans son cas le plus simple, ME se produit lorsqu’une technique de compression a la possibilité, au cours du processus d’encodage, de coder un symbole de différentes manières. La technique de compression par recyclage de bits a été introduite par D. Dubé et V. Beaudoin pour minimiser la redondance causée par ME. Des variantes de recyclage de bits ont été appliquées à LZ77 et les résultats expérimentaux obtenus conduisent à une meilleure compression (une réduction d’environ 9% de la taille des fichiers qui ont été compressés par Gzip en exploitant ME). Dubé et Beaudoin ont souligné que leur technique pourrait ne pas minimiser parfaitement la redondance causée par ME, car elle est construite sur la base du codage de Huffman qui n’a pas la capacité de traiter des mots de code (codewords) de longueurs fractionnaires, c’est-à-dire qu’elle permet de générer des mots de code de longueurs intégrales. En outre, le recyclage de bits s’appuie sur le codage de Huffman (HuBR) qui impose des contraintes supplémentaires pour éviter certaines situations qui diminuent sa performance. Contrairement aux codes de Huffman, le codage arithmétique (AC) peut manipuler des mots de code de longueurs fractionnaires. De plus, durant ces dernières décennies, les codes arithmétiques ont attiré plusieurs chercheurs vu qu’ils sont plus puissants et plus souples que les codes de Huffman. Par conséquent, ce travail vise à adapter le recyclage des bits pour les codes arithmétiques afin d’améliorer l’efficacité du codage et sa flexibilité. Nous avons abordé ce problème à travers nos quatre contributions (publiées). Ces contributions sont présentées dans cette thèse et peuvent être résumées comme suit. Premièrement, nous proposons une nouvelle technique utilisée pour adapter le recyclage de bits qui s’appuie sur les codes de Huffman (HuBR) au codage arithmétique. Cette technique est nommée recyclage de bits basé sur les codes arithmétiques (ACBR). Elle décrit le cadriciel et les principes de l’adaptation du HuBR à l’ACBR. Nous présentons aussi l’analyse théorique nécessaire pour estimer la redondance qui peut être réduite à l’aide de HuBR et ACBR pour les applications qui souffrent de ME. Cette analyse démontre que ACBR réalise un recyclage parfait dans tous les cas, tandis que HuBR ne réalise de telles performances que dans des cas très spécifiques. Deuxièmement, le problème de la technique ACBR précitée, c’est qu’elle requiert des calculs à précision arbitraire. Cela nécessite des ressources illimitées (ou infinies). Afin de bénéficier de cette dernière, nous proposons une nouvelle version à précision finie. Ladite technique devienne ainsi efficace et applicable sur les ordinateurs avec les registres classiques de taille fixe et peut être facilement interfacée avec les applications qui souffrent de ME. Troisièmement, nous proposons l’utilisation de HuBR et ACBR comme un moyen pour réduire la redondance afin d’obtenir un code binaire variable à fixe. Nous avons prouvé théoriquement et expérimentalement que les deux techniques permettent d’obtenir une amélioration significative (moins de redondance). À cet égard, ACBR surpasse HuBR et fournit une classe plus étendue des sources binaires qui pouvant bénéficier d’un dictionnaire pluriellement analysable. En outre, nous montrons qu’ACBR est plus souple que HuBR dans la pratique. Quatrièmement, nous utilisons HuBR pour réduire la redondance des codes équilibrés générés par l’algorithme de Knuth. Afin de comparer les performances de HuBR et ACBR, les résultats théoriques correspondants de HuBR et d’ACBR sont présentés. Les résultats montrent que les deux techniques réalisent presque la même réduction de redondance sur les codes équilibrés générés par l’algorithme de Knuth.

A obrigação de vigilância dos órgãos da sociedade anónima

Tese de doutoramento, Direito (Ciências Jurídico-Civis), Universidade de Lisboa, Faculdade de Direito, 2014

Topical bacteriophage therapy of the infected diabetic foot

Tese de doutoramento, Medicina (Medicina Interna), Universidade de Lisboa, Faculdade de Medicina, 2014

Explaining party cohesion and discipline in democratic legislatures: purposiveness and contexts

Legislative party discipline and cohesion are important phenomena in the study of political systems. Unless assumptions are made that parties are cohesive and act as unified collectivities with reasonably well-defined goals, it is really difficult, if not impossible, to consider their electoral and legislative roles usefully. But levels of legislative party cohesiveness are also important because they provide us with crucial information about how legislatures/ parliaments function and how they interact with executives/governments. Without cohesive (or disciplined) parties,1 government survival in parliamentary systems is threatened because executive and legislative powers are fused while in separated systems presidents' bases of legislative support become less stable. How do we explain varying levels of legislative party cohesion? The first part of this article draws on the purposive literature to explore the benefits and costs to legislators in democratic legislatures of joining and acting collectively and individualistically within political parties. This leads on to a discussion of various conceptual and empirical problems encountered in analysing intra-party cohesion and discipline in democratic legislatures on plenary votes. Finally, the article reviews the extant empirical evidence on how a multiplicity of systemic, party-levels and situational factors supposedly impact cohesion/discipline levels. The article ends with a discussion of the possibilities and limitations of building comparative models of cohesion/discipline.

Double-trouble: Negotiating Gender and Sexuality in Post-colonial Women’s Rugby in Fiji

Although women’s exclusion in sport has attracted significant attention in the western context, similar issues in relation to post-colonial societies have remained in the margins of the sociology of sport. By analysing primary, interview-based evidence, in this article we explore the challenges female rugby players face regarding gender and sexuality in Fiji; a male dominated post-colonial society. In particular, we focus on participants’ resistance to dominant cultural practices and ways in which they (re)negotiate gender norms and sexuality in a double-bind struggle against both traditional and sporting male hegemonies. We argue that the case of Fijian women rugby players illustrates an interplay between a multiplicity of power relations in sport in a post-colonial society and the resilience with which the athletes negotiate and respond to them, as well as the dynamic nature and the transformative potential of their everyday practices.