Aplicação da técnica Análise do Valor (AV) a um determinado porduto/serviço

Mestrado em Engenharia Mecânica - Gestão de Processos e Operações

Planos de mobilidade no contexto da melhoria da qualidade do ar em Lisboa

Dissertação apresentada na Faculdade de Ciências e Tecnologia da Universidade Nova de Lisboa para obtenção do grau de Mestre em Engenharia do Ambiente,perfil Gestão e Sistemas Ambientais

O casaco dourado de Jean Paul Gaultier (n.1952-): conservação de alta costura (MUDE - Colecção Francisco Capelo)

Dissertação apresentada na Faculdade de Ciências e Tecnologia da Universidade Nova de Lisboa para obtenção do grau de Mestre em Conservação e Restauro

Do Agrarismo ao Liberalismo. Francisco Soares Franco. Um pensamento crítico.

Cultura Moderna e Contemporânea, n.4

Education for health: alcohol and young aged school teenagers

Introduction: Alcohol consumption starts at an early age in Portuguese people. Health problems and risk behavior associated with excessive consumption can be prevented or highly reduced through effective school programs. Health professionals, such as biomedical scientists, (BSc), are important in promoting healthy lifestyles through the transmission of knowledge. Objective: Explore the role of the BSc in promoting health via intervention and clarification actions, (ICA), with 9th grade students from Agrupamento de Escolas da Portela e Moscavide (AEPM) and Visconde Juromenha (AEVJ); Verify the relationship between participating in the ICA and the level of knowledge acquired from it. Methods: Behaviors and beliefs concerning alcohol consumption and knowledge about the repercussions of it in the human body, mainly regarding the liver, were assessed by questionnaire. The questionnaire was completed before and after the ICA, by the control group (CG) and the study group (SG), respectively. The answers concerning knowledge were given points, later converted to a score from 0 to 100%. Data was analyzed applying descriptive statistics and the t-student test using SPSS 20.0. Results: After statistical analysis, it was found an average score of 48.8% for SG and 46.2% for CG. The difference between groups was statistically significant only in AEPM where ICA included a practical methodology (microscopic and macroscopic observation of pork livers), contrary to AEVJ. Conclusions: BSc intervention through ICA’s improves teenagers’ knowledge. Theoretical knowledge associated with practical approaches improves the retention of information and the development of a conscious behavior about the consumption of alcohol.

Angiostrongylus costaricensis: first record of its occurrence in the State of Espirito Santo, Brazil, and a review of its geographic distribution

Abdominal angiostrongyliasis is a parasitic disease caused by Angiostrongylus costaricensis, a metastrongylid nematode with wide geographic distribution, occurring from the United States to Argentina. In Brazil, the disease has been reported from the States of Rio Grande do Sul, Santa Catarina, Paraná, São Paulo, Federal District of Brasilia and Minas Gerais. We report here a case of abdominal angiostrongyliasis in a 9-year-old girl, from Itatiba, State of Espirito Santo, Brazil, submitted to exploratory laparotomy for acute abdomen. Extensive inflammatory lesions of terminal ileum and cecum, with perforations of the first, were present, and ileocecal resection was performed. The pathological picture was characterized by transmural inflammatory granulomatous reaction, extensive eosinophilic infiltration, eosinophilic vasculitis and the presence of worms within a mesenteric artery branch, with histological features of metastrongylid nematodes. This case report contributes to a better knowledge of the geographic distribution of this parasite in Brazil, suggesting that abdominal angiostrongyliasis may represent a disease of medical importance, more than a rarity of academic interest.

A conservação material e documental da obra “Instalação191093,parte1” de Francisco Rocha

Dissertação apresentada na Faculdade de Ciências e Tecnologia para obtenção do grau de Mestre em Conservação e Restauro

PREVALENCE OF ANTI- Toxocara ANTIBODIES IN A RANDOM SAMPLE OF INPATIENTS AT A CHILDREN'S HOSPITAL IN VITÓRIA, ESPÍRITO SANTO, BRAZIL

In the streets of Vitória, in the State of Espírito Santo, Brazil, are large number of stray dogs, many of which are infected with Toxocara canis, suggesting a high risk for human infection. In order to investigate the prevalence of Toxocara infection in children in Espírito Santo we studied the prevalence of anti-Toxocara antibodies in 100 random inpatients over one year of age, at the Children's Hospital N.S. da Glória, the reference children's hospital for the State.All the sera were collected during the period between October 1996 and January 1997. The mean age was 6.6±4.1 yrs. (1 to 14 yrs., median 6yrs.) and there were patients from all of the different wards of the hospital. Sixty-eigth patients came from the metropolitan area of Vitória and the other 32 from 17 other municipalities. The anti-Toxocara antibodies were investigated by ELISA-IgG using a secretory-excretory antigen obtained from second stage larvae. All sera were adsorbed with Ascaris suum antigen before the test. Thirty-nine sera (39%) were positive, predominantly from boys, but the gender difference was not statistically significant (boys:25/56 or 44.6%; girls:14/44 or 31.8%; p=0.311). The prevalence of positive sera was higher, but not statistically significant, in children from the urban periphery of metropolitan Vitória (formed by the cities of Vitória, Cariacica, Vila Velha, Serra and Viana) than in children from 17 other municipalities (44.1% and 28.1% respectively, p=0.190). Although the samples studied do not represent all children living in the State of Espírito Santo, since the Children's Hospital N.S. da Glória admits only patients from the state health system, it is probable that these results indicate a high frequency of Toxocara infection in children living in Espírito Santo. Further studies of population samples are necessary to ascertain the prevalence of Toxocara infection in our country.

Osteoporotic hip fractures: Bisphosphonates sales and observed turning point in trend. A population-based retrospective study

The aim is to examine the temporal trends of hip fracture incidence in Portugal by sex and age groups, and explore the relation with anti-osteoporotic medication. From the National Hospital Discharge Database, we selected from 1st January 2000 to 31st December 2008, 77,083 hospital admissions (77.4% women) caused by osteoporotic hip fractures (low energy, patients over 49 years-age), with diagnosis codes 820.x of ICD 9-CM. The 2001 Portuguese population was used as standard to calculate direct age-standardized incidence rates (ASIR) (100,000 inhabitants). Generalized additive and linear models were used to evaluate and quantify temporal trends of age specific rates (AR), by sex. We identified 2003 as a turning point in the trend of ASIR of hip fractures in women. After 2003, the ASIR in women decreased on average by 10.3 cases/100,000 inhabitants, 95% CI (− 15.7 to − 4.8), per 100,000 anti-osteoporotic medication packages sold. For women aged 65–69 and 75–79 we identified the same turning point. However, for women aged over 80, the year 2004 marked a change in the trend, from an increase to a decrease. Among the population aged 70–74 a linear decrease of incidence rate (95% CI) was observed in both sexes, higher for women: − 28.0% (− 36.2 to − 19.5) change vs − 18.8%, (− 32.6 to − 2.3). The abrupt turning point in the trend of ASIR of hip fractures in women is compatible with an intervention, such as a medication. The trends were different according to gender and age group, but compatible with the pattern of bisphosphonates sales.

Controlo de vibrações na ponte pedonal sobre o rio ave em Santo Tirso

A nova ponte pedonal sobre o Rio Ave foi recentemente construída em Santo Tirso, no âmbito do projecto de requalificação da frente de rio da autarquia. Trata-se de uma estrutura em arco metálico, muito abatido, com 60m de corda central e 6m de flecha, e com extensão total de 84m. Tendo esta obra sido projectada pelo autor, o presente trabalho tem como objectivo descrever as sucessivas fases do estudo do seu comportamento dinâmico, com especial atenção às vibrações induzidas pela passagem de peões em corrida e ao desenvolvimento de um sistema de controlo de vibrações, composto por amortecedores de massas sintonizadas (TMD’s), que foi instalado na estrutura. Neste contexto, numa fase inicial são discutidos diversos aspectos sobre o comportamento dinâmico de pontes sob a acção pedonal, nomeadamente a caracterização experimental da referida acção, modelos de carga a aplicar em projecto e limites de conforto a respeitar no âmbito das recomendações internacionais actualmente existentes. São também apresentados sucintamente os sistemas de controlo de vibrações mais comuns em pontes pedonais, detalhando-se o funcionamento e princípios de dimensionamento dos TMD’s. Em seguida é apresentado o projecto da nova ponte pedonal sobre o Rio Ave, descrevendo-se a solução estrutural e os estudos dinâmicos levados a cabo em fase de projecto. São posteriormente apresentados e discutidos os resultados das campanhas de ensaios dinâmicos, realizados após o final da construção, que permitiram confirmar as conclusões obtidas em fase de projecto, assim como verificar a eficiência do sistema de controlo de vibrações dimensionado. O trabalho termina com a apresentação das principais conclusões e também com um conjunto de ideias que permitem perspectivar novos tópicos de interesse em termos de investigação na continuidade do trabalho realizado.

Vibrações induzidas pelas actividades humanas em ginásios e salões de dança

Dissertação para obtenção do grau de Mestre em Engenharia Civil

Aplicação de um sistema de teledermatologia no Hospital do Divino Espírito Santo nos Açores : análise custo-efectividade

RESUMO - Nos Açores, a telemedicina representa uma mais-valia para os seus habitantes devido à sua dispersão geográfica e aos elevados custos que as instituições de saúde incorrem na deslocação dos utentes e profissionais de saúde. A teledermatologia tem sido referenciada como uma das sub-especialidades da telemedicina, apresentando resultados semelhantes aos da consulta convencional em termos de fiabilidade e precisão no diagnóstico. No contexto açoriano, a teledermatologia pode ajudar a colmatar a falta de resposta por parte das instituições de saúde nesta especialidade, assim como poupar recursos às mesmas. OBJECTIVOS: Pretende-se realizar uma análise de custo-efectividade da teleconsulta em dermatologia no Hospital do Divino Espírito Santo em Ponta Delgada, na perspectiva do hospital, tendo como comparador a consulta convencional. METODOLOGIA: Realizou-se uma revisão da literatura de estudos de custo-efectividade para averiguar os recursos que deveriam ser considerados. Os recursos identificados seriam posteriormente valorizados de acordo com os custos verificados no hospital. RESULTADOS: O custo com o transporte dos doentes representa um peso bastante elevado para o Hospital, assim como a comparticipação de despesas de alojamento e alimentação dos doentes. Dado a constante deslocação de doentes entre as ilhas dos Açores e o Continente, a teledermatologia apresenta-se como uma solução viável em termos de custos e diagnóstico, comparando com a prática convencional. CONCLUSÕES: Na perspectiva do Hospital, a teledermatologia permite reduzir os custos relacionados com o transporte dos doentes entre as ilhas dos Açores e Continente, assim como despesas com alojamento e alimentação, considerados evitáveis. ------- ABSTRACT - In Azores, telemedicine represents an added-value for its population due to its geographic dispersion and to the high costs that health institutions incur to transport patients and health providers. Teledermatology has been highlighted as a telemedicine sub-specialty, presenting similar results comparing to the traditional consult, in terms of precision and reliability. In the Azorean context, teledermatology could help to diminish the lack of response of the health institutions on this specialty, as well as spare its resources. OBJECTIVES: In this project, is intended to carry out a cost-effectiveness analysis of the dermatology teleconsult in the Hospital do Divino Espírito Santo, in Ponta Delgada, on the Hospital perspective, comparing to the conventional consult. METHODOLOGY: A literature revision of cost-effectiveness studies was accomplished in order to find out what resources should be considered. The identified resources would be afterward valued according to the costs verified in the Hospital. RESULTS: The cost associated to the patient transport represents an overweight for the hospital, as well as the expenses reimbursement relating to lodging and others that patients have to incur. Due to the constant transport of patients between the Azores islands and the mainland, teledermatology constitutes a viable solution in terms of cost and diagnosis, comparing to conventional practice. CONCLUSIONS: On the Hospital perspective, teledermatology allows to reduce the costs relating to patients transport between the Azores islands and the mainland, as well as expenses with lodging and others, considered avoidable.

A reflexão estética em Francisco de Holanda: esboço de uma metafísica da ideia

Tese apresentada para cumprimento dos requisitos necessários à obtenção do grau de Doutor em Filosofia.

A go-to-market strategy for vertebral metrics

Dissertação para obtenção do Grau de Mestre em Engenharia Biomédica

Um problema de focalização narrativa ou como o mesmo santo pode ser diferente

pp. 145-166