How to link organizational competences in public organizations?

Comunica����o apresentada na 17�� Confer��ncia Anual da Network of Intitutes and Schools of Public Administration (NISPA) em Birdua, Montenegro de 14 a 16 dem Maio de 2009.

Gest��o integrada da forma����o na administra����o p��blica: do levantamento de necessidades �� avalia����o dos resultados de forma����o

Apresenta����o do Curso Avan��ado em Gest��o da Forma����o, realizado no Riviera Hotel em Carcavelos, 18 de Junho de 2011

Atitudes, conhecimentos e pr��ticas dos m��dicos de fam��lia face aos rastreios de autonomia funcional multidimensional em pessoas idosas

RESUMO - O envelhecimento demogr��fico �� uma constata����o e ao mesmo tempo uma oportunidade para viver de forma mais saud��vel e aut��noma o mais tempo poss��vel. A principal raz��o para a admiss��o de pessoas idosas em institui����es e para o uso desproporcionado de servi��os de sa��de �� o decl��nio funcional que acompanha o envelhecimento. Os Cuidados de Sa��de Prim��rios apresentam���se como contexto ideal para promover cuidados antecipat��rios. A avalia����o da autonomia funcional multidimensional permite a detec����o de perturba����es incipientes. Os programas de rastreios facilitam o desencadear de recursos para a detec����o precoce e tratamento. Os m��dicos sentem diversas barreiras na aplica����o dos rastreios, como a falta de familiaridade com os testes, bem como a falta de tempo ou recursos. O estudo aqui proposto visa conhecer, a t��tulo explorat��rio, as atitudes dos m��dicos de fam��lia face aos rastreios de autonomia funcional multidimensional em pessoas idosas; avaliar o grau de conhecimento sobre esta abordagem multidimensional, no que diz respeito ��s ��reas e instrumentos a avaliar; caracterizar as pr��ticas na presta����o de cuidados preventivos ��s pessoas idosas e caracterizar as condi����es gen��ricas necess��rias para a aplica����o destes rastreios no contexto dos cuidados de sa��de prim��rios. Para tal, ir�� basear���se num question��rio auto���administrado aos m��dicos de fam��lia dos 22 Agrupamentos de Centros de Sa��de, na Regi��o de Sa��de de Lisboa e Vale do Tejo. As suas conclus��es poder��o contribuir para uma uniformiza����o do conceito de autonomia funcional multidimensional e para a realiza����o de um levantamento de necessidades de forma����o sobre a abordagem multidimensional e interdisciplinar.

Necessidades em cuidados paliativos do doente p��s-AVC

Relat��rio de Pr��tica Cl��nica apresentado �� Escola Superior de Sa��de Dr. Lopes Dias do Instituto Polit��cnico de Castelo Branco para cumprimento dos requisitos necess��rios �� obten����o do grau de Mestre em Cuidados Paliativos, realizada sob a orienta����o cient��fica do Professora Doutora Ana Paula Gon��alves Antunes Sapeta, do Instituto Polit��cnico de Castelo Branco.

Negotiation environment to support enterprise interoperability sustainability

Dissertation to obtain the Master degree in Electrical Engineering and Computer Science

Avalia����o de necessidades das pessoas idosas em Medicina Geral e Familiar: um estudo de exequibilidade

RESUMO: Os m��dicos de fam��lia devem participar na detec����o precoce dos factores de risco que favorecem o decl��nio funcional nas pessoas idosas. A avalia����o estruturada das suas necessidades poder�� contribuir para identificar os problemas de sa��de que traduzam deteriora����o funcional. O objectivo deste trabalho foi avaliar a exequibilidade da implementa����o de um processo de avalia����o de necessidades de cuidados em sa��de das pessoas idosas na consulta de MGF.Seleccionou-se uma amostra n��o aleat��ria de pacientes com 65 ou mais anos de idade, na consulta m��dica de uma Unidade de Sa��de Familiar da regi��o de Lisboa. A avalia����o de necessidades foi realizada, pelos m��dicos, com cinco itens da entrevista Camberwell Assessment of Need for the Elderly (CANE-5). Avaliou-se a percep����o dos m��dicos e dos pacientes sobre este processo de avalia����o de necessidades mediante um question��rio escrito e entrevistas individuais, respectivamente. Identificaram-se necessidades em 38 (75%) dos 51 pacientes avaliados. Do total das 83 necessidades identificadas, 17 n��o estavam cobertas. O sofrimento psicol��gico foi a necessidade n��o coberta mais frequente. A compara����o das avalia����es do m��dico com as do paciente mostrou concord��ncia razo��vel ou boa nas cinco ��reas avaliadas. Esta avalia����o foi bem aceite e considerada ��til na perspectiva dos m��dicos e dos pacientes. A principal dificuldade identificada pelos m��dicos foi o tempo despendido na avalia����o face �� dura����o da consulta. Este estudo aponta para a exequibilidade da utiliza����o da entrevista CANE-5 na pr��tica cl��nica de MGF. No entanto, ser�� importante alargar este estudo a amostras de maior dimens��o e avaliar a utilidade da entrevista em interven����es sobre a funcionalidade dos pacientes idosos.----------ABSTRACT: General practitioners (GP) should participate in the early detection of risk factors for fuctional disability in elderly people. Structured needs assessments may contribute to a better identification of health problems that are linked to functional decline. The aim of this study was to assess the feasibility of a structured assessment of needs in the elderly, in the context of opportunistic screening in primary care. A convenience sample was selected of patients aged 65 years and over with scheduled appointments in one general practice in the Lisbon region. The assessment of needs was done by their GPs, using five items of the Camberwell Assessment of Need for the Elderly (CANE-5). Perceptions of GPs and patients about this process of needs assessment were ev+aluated by means of a written questionnaire and individual interviews, respectively. Needs were identified in 38 (75%) of 51 patients. Seventeen unmet needs were identified, out of a total number of 83 needs. Psychological distress was the most frequent unmet need. GP���s and patients��� assessments showed moderate or good agreement in all five areas. This needs��� assessment process was well accepted and considered useful by both GPs and patients. The main difficulty, according to the views of GPs, was the time consumed in this process, given the length of consultation. This study suggests the feasibility of using the CANE-5 interview in clinical practice in primary care settings. However it is important to replicate this study in larger samples and to evaluate the usefulness of the interview regarding interventions related to functionality in elderly patients.

EFFECT ��� Efficient finite element code

The theme of this dissertation is the finite element method applied to mechanical structures. A new finite element program is developed that, besides executing different types of structural analysis, also allows the calculation of the derivatives of structural performances using the continuum method of design sensitivities analysis, with the purpose of allowing, in combination with the mathematical programming algorithms found in the commercial software MATLAB, to solve structural optimization problems. The program is called EFFECT ��� Efficient Finite Element Code. The object-oriented programming paradigm and specifically the C ++ programming language are used for program development. The main objective of this dissertation is to design EFFECT so that it can constitute, in this stage of development, the foundation for a program with analysis capacities similar to other open source finite element programs. In this first stage, 6 elements are implemented for linear analysis: 2-dimensional truss (Truss2D), 3-dimensional truss (Truss3D), 2-dimensional beam (Beam2D), 3-dimensional beam (Beam3D), triangular shell element (Shell3Node) and quadrilateral shell element (Shell4Node). The shell elements combine two distinct elements, one for simulating the membrane behavior and the other to simulate the plate bending behavior. The non-linear analysis capability is also developed, combining the corotational formulation with the Newton-Raphson iterative method, but at this stage is only avaiable to solve problems modeled with Beam2D elements subject to large displacements and rotations, called nonlinear geometric problems. The design sensitivity analysis capability is implemented in two elements, Truss2D and Beam2D, where are included the procedures and the analytic expressions for calculating derivatives of displacements, stress and volume performances with respect to 5 different design variables types. Finally, a set of test examples were created to validate the accuracy and consistency of the result obtained from EFFECT, by comparing them with results published in the literature or obtained with the ANSYS commercial finite element code.

Thermal characterization of polyhydroxyalkanoates and poly(lactic acid) blends obtained by injection molding

In this work we present the thermal characterization of the full scope of polyhydroxyalcanoate and poly(lactic acid) blends obtain by injection molding. Blends of polyhydroxyalcanoate and poly(lactic acid) (PHA/PLA) were prepared in different compositions ranging from 0���100% in steps of 10%. The blends were injection molded and then characterized by differential scanning calorimetry (DSC), scanning electron microscopy (SEM) and wide angle X-ray diffraction (WAXD). The increment of PHA fraction increased the degree of crystallinity of the blend and the miscibility of the base polymers as veri���ed by the Fox model. The WAXD analysis indicates that the presence of PHA hindered the PLA crystallization. The crystallization evolution trough PHA weight fraction (wf) shows a phase inversion around 50-60%. SEM analyses con���rmed that the miscibility of PHA/PLA blends increased with the incorporation of PHA and became total for values of PHA higher that 50%.

Orienta����o para o mercado e desenvolvimento de novos produtos: um estudo de caso

Disserta����o de mestrado integrado em Engenharia e Gest��o Industrial

Avalia����o do potencial econ��mico de implementa����o da constru����o em BTC

Disserta����o de mestrado integrado em Engenharia Civil

Programme cantonal Diab��te: bilan de la premi��re phase du programme (2010-2011) et construction d'une th��orie d'action.

Le Programme cantonal diab��te (PCD) du canton de Vaud a pour objectifs de r��duire durablement l'impact du diab��te sur la population vaudoise. Il a ��t�� ��labor�� �� l'initiative du Service de la sant�� publique du canton de Vaud et la strat��gie du programme a ��t�� construite sur la base des propositions de plusieurs groupes de travail. Ce programme inclut divers projets compl��mentaires qui ont ��t�� progressivement mis sur pied �� partir de 2010. 2012 marque la fin de la premi��re phase du programme et une ��valuation-bilan du programme est demand��e. Cette ��valuation-bilan fait suite �� une premi��re phase de travaux qui ont consist�� en une ��valuation de l'��valuabilit�� du programme. Les r��sultats de cette premi��re phase ont ��t�� d��livr��s en d��cembre 2011 au groupe de pilotage et consign��s dans un rapport en f��vrier 2012. L'IUMSP propose donc pour 2012 des travaux en continuit�� de ce qui a ��t�� fait en 2011 et qui vont dans le sens d'un bilan critique et de propositions pour un syst��me de monitoring �� long terme du programme, comportant des indicateurs d'activit�� (�� harmoniser lorsque c'est possible dans des projets similaires), des indicateurs de couverture et de r��sultats. [p. 7]

Psychosocial care for the caregivers of primary malignant brain tumor patients.

Despite clinical experience that suggests a high burden of care among relatives of individuals with a primary malignant brain tumor (PMBT), little is known about their actual needs. In this study, the caregivers' personal experiences, quality of life, burden of care, and psychological well-being were examined. Fifty-nine percent did not receive any financial aid for home care, 33% had increased risk for psychosomatic problems, 45% had anxiety, and 33% increased depression levels. The caregiver's quality of life was most strongly affected by the burden of care (p < .001) and the patient's mental state (p < .03). To improve the situation, empathetic professionals and an early implementation of palliative care and social work are required.

Determining An Appropriate Framework for Assessing Older Peoples Need for Free Nursing - Project Report (March 2005) (PDF 1276 KB)

Evaluation of the nursing needs assessment tool and associated systems and processes.

PhunkyFoods Programme (PFP)

The PhunkyFoods Programme (PFP) aids schools in meeting healthy lifestyles curriculum requirements by delivering key, consistent health messages in-line with current Government recommendations. The aim is to help schools deliver a whole-school approach to healthy lifestyles and to engage with all pupils, and their families, in promoting tangible health behaviour changes in a fun, lively and positive manner. The short-term objectives (6-months) of the PFP are; 1. To improve school staff competence, confidence and in delivering healthy lifestyles messaging in school. 2. To improve the health-related knowledge of pupils taking part in the PFP. The medium-term objectives (12-18 months) of the PFP are; 3. To improve the dietary behaviours of children taking part in the PFP (increase fruit and veg intake, increase breakfast consumption, decrease HFSS foods, decrease fizzy drink consumption). 4. To increase the levels of habitual phsyical activity undertaken by the children participating in the PFP. The longer-term objectives (+18=months) of the PFP are; 5. To reduce the prevalence of childhood overweight and obesity in participating children 6. To develop the schools to become the community hub for healthy eating and physical activity initiatives based on local needs assessment and partnership workin