Relatório de estágio de intervenção comunitária

O presente relatório reporta-se ao estágio de intervenção comunitária, decorrido entre 16/9/2013 e 31/01/2014, na população idosa da Freguesia de Tramaga, Concelho de Ponte de Sor, Distrito de Portalegre, parte integrante de uma das regiões mais envelhecidas do país: Alto Alentejo. Constitui-se como instrumento para avaliação da manifesta Unidade Curricular, título de Mestre em Enfermagem e validar competências para atribuição do título de Enfermeiro Especialista em Enfermagem Comunitária e Saúde Pública pela Ordem dos Enfermeiros. A Intervenção Comunitária sustentou-se com base na metodologia do planeamento em saúde, metodologia de referência no âmbito da aquisição de competências da especialidade em Enfermagem Comunitária e Saúde Pública (Regulamento n.º 128/2011), das quais se distinguem capacidades para trabalhar em parceria com as comunidades, reconhecer as suas necessidades, planear cuidados adequados aos seus problemas mais prementes, enfatizar práticas conducentes a comportamentos e estilos de vida saudáveis, adotando a promoção da saúde e o empowerment como pedra basilar de intervenção. As intervenções dirigiram-se para os problemas priorizados, designadamente: quedas, comorbilidades, depressão, obesidade, polifarmácia e vulnerabilidades como: Viver só, isolamento, iliteracia e condição de habitação. Os objetivos gerais subjacentes tinham como desígnio sensibilizar população idosa e entidades políticas/locais/concelhias, sobre os problemas de saúde que influenciam negativamente a qualidade de vida destes idosos; contribuir para a sua minimização e melhoria da qualidade de vida, através de abordagens educativas, no âmbito de comportamentos e estilos de vida saudáveis, perspetivando o seu empowerment. Na sinergia entre Mestrandas, comunidade e organizações políticas/locais/concelhias houve possibilidade de discutir e analisar soluções para alguns problemas identificados. Foram desenvolvidas atividades de educação em saúde: ‘atelier da saúde’; Fórum comunitário; Sessão ‘Segurança do idoso’ (em parceria estratégica de ampliação de eficácia com GNR e Teleassistência); todas tiveram o cunho interativo da comunidade. Foram aditadas estratégias de transmissão e disponibilização de informação no domínio de comportamentos e adoção de estilos de vida saudáveis, difundida por panfletos e meios de comunicação social local, configurando complementaridade com ações educativas.Supõe-se que as ações desenvolvidas alteraram comportamentos e contribuíram para a melhoria da qualidade de vida dos idosos, uma vez que estimulam a participação, interação, integração e perspetivam o empowerment

A Formação dos Oficiais de Artilharia nos países OTAN : Os casos português e norte-americano

O presente Trabalho de Investigação Aplicada no âmbito do ciclo de estudos do Mestrado Integrado em Ciências Militares na especialidade de Artilharia, subordinado ao tema: A Formação dos Oficiais de Artilharia nos países OTAN: os casos português e norte-americano, estuda o modelo de formação específica de Artilharia no Exército Português e num dos exércitos cuja Artilharia tem marcado presença nos Teatros de Operações contemporâneos, o dos Estados Unidos da América. Tendo por objetivo retirar ilações que concorram para identificar e mitigar eventuais lacunas na formação técnica e tática em Artilharia de Campanha dos futuros oficiais de Artilharia do Exército Português, a investigação realizada analisou os detalhes de formação inicial dos futuros oficiais de Artilharia dos dois Exércitos por forma a compará-los e a obter contributos do Exército Norte-americano que possam vir a ser aplicados ao caso nacional. Assim sendo chegou-se à conclusão que o contributo do modelo de formação dos futuros oficiais de Artilharia de Campanha do Exército dos Estados Unidos da América para a formação dos futuros oficiais de Artilharia do Exército Português, no que diz respeito à componente técnica e tática em Artilharia de Campanha, traduz-se na necessidade de aprofundar nas áreas dos Sistemas Automáticos, Observação Avançada e Apoio de Fogos.

Employability study of the graduates at the English Language and Literature School

El propósito de este Proyecto fue evaluar los principales factores que influyen en la empleabilidad de los graduados de la escuela de lengua y literatura inglesa de la universidad de cuenca. La población de este estudio fue constituida por titulados que trabajaban en el área educativa y pocos graduados desempleados. El trabajo de campo fue llevado a cabo por medio de una encuesta, la cual fue aplicada a 161 graduados de la carrera de los años 2000 a 2013. La encuesta recogió información personal de los profesionales así como también datos relacionados al conocimiento adquirido en la carrera, situación laboral entre otros. Las técnicas para el análisis de datos fueron: análisis cuantitativo y cualitativo. El estudio también examina los métodos usados por los graduados para obtener un trabajo, los requerimientos de las instituciones educativas y causas para el desempleo de los graduados así aspectos del currículo de inglés para mejorar. Algunosde los descubrimientos más importantes en este estudio fueron que más de la mitad de graduados tienen un alto grado de satisfacción con su empleo. También fue descubierto que 96.3% de los graduados están trabajando en el área de su especialidad consecuentemente un gran porcentaje de licenciados de inglés usan el conocimiento adquirido en la universidad en sus empleos.Se espera, por lo tanto, que la información publicada en esta investigación sea un importante recurso para estudios futuros.

A psicologia e o psicólogo do esporte : uma formação necessária

Dissertação (mestrado)—Universidade de Brasília, Instituto de Psicologia, Programa de Pós-graduação em Processos de Desenvolvimento Humano e Saúde, 2016.

Microstructured polymer optical fibre sensors for opto-acoustic endoscopy

Opto-acoustic imaging is a growing field of research in recent years, providing functional imaging of physiological biomarkers, such as the oxygenation of haemoglobin. Piezo electric transducers are the industry standard detector for ultrasonics, but their limited bandwidth, susceptibility to electromagnetic interference and their inversely proportional sensitivity to size all affect the detector performance. Sensors based on polymer optical fibres (POF) are immune to electromagnetic interference, have lower acoustic impedance and a reduced Young's Modulus compared to silica fibres. Furthermore, POF enables the possibility of a wideband sensor and a size appropriate to endoscopy. Micro-structured POF (mPOF) used in an interferometric detector has been shown to be an order of magnitude more sensitive than silica fibre at 1 MHz and 3 times more sensitive at 10 MHz. We present the first opto-acoustic measurements obtained using a 4.7mm PMMA mPOF Bragg grating with a fibre diameter of 130 μm and present the lateral directivity pattern of a PMMA mPOF FBG ultrasound sensor over a frequency range of 1-50 MHz. We discuss the impact of the pattern with respect to the targeted application and draw conclusions on how to mitigate the problems encountered.

Fibre Bragg gratings fabrication in four core fibres

Due to the limitation of the lens effect of the optical fibre and the inhomogeneity of the laser fluence on different cores, it is still challenging to controllably inscribe different fibre Bragg gratings (FBGs) in multicore fibres. In this article, we reported the FBG inscription in four core fibres (FCFs), whose cores are arranged in the corners of a square lattice. By investigating the influence of different inscription conditions during inscription, different results, such as simultaneous inscription of all cores, selectively inscription of individual or two cores, and even double scanning in perpendicular core couples by diagonal, are achieved. The phase mask scanning method, consisting of a 244nm Argon-ion frequencydoubled laser, air-bearing linear transfer stage and cylindrical lens and mirror setup, is used to precisely control the grating inscription in FCFs. The influence of three factors is systematically investigated to overcome the limitations, and they are the defocusing length between the cylindrical lens and the bare fibre, the rotation geometry of the fibre to the irritation beam, and the relative position of the fibre in the vertical direction of the laser beam.

Fuel level sensor based on polymer optical fiber Bragg gratings for aircraft applications

Safety in civil aviation is increasingly important due to the increase in flight routes and their more challenging nature. Like other important systems in aircraft, fuel level monitoring is always a technical challenge. The most frequently used level sensors in aircraft fuel systems are based on capacitive, ultrasonic and electric techniques, however they suffer from intrinsic safety concerns in explosive environments combined with issues relating to reliability and maintainability. In the last few years, optical fiber liquid level sensors (OFLLSs) have been reported to be safe and reliable and present many advantages for aircraft fuel measurement. Different OFLLSs have been developed, such as the pressure type, float type, optical radar type, TIR type and side-leaking type. Amongst these, many types of OFLLSs based on fiber gratings have been demonstrated. However, these sensors have not been commercialized because they exhibit some drawbacks: low sensitivity, limited range, long-term instability, or limited resolution. In addition, any sensors that involve direct interaction of the optical field with the fuel (either by launching light into the fuel tank or via the evanescent field of a fiber-guided mode) must be able to cope with the potential build up of contamination-often bacterial-on the optical surface. In this paper, a fuel level sensor based on microstructured polymer optical fiber Bragg gratings (mPOFBGs), including poly (methyl methacrylate) (PMMA) and TOPAS fibers, embedded in diaphragms is investigated in detail. The mPOFBGs are embedded in two different types of diaphragms and their performance is investigated with aviation fuel for the first time, in contrast to our previous works, where water was used. Our new system exhibits a high performance when compared with other previously published in the literature, making it a potentially useful tool for aircraft fuel monitoring.

Embedding silica and polymer fibre Bragg gratings (FBG) in plastic 3D-printed sensing patches

This paper reports the first demonstration of a silica fibre Bragg grating (SOFBG) embedded in an FDM 3-D printed housing to yield a dual grating temperature-compensated strain sensor. We also report the first ever integration of polymer fibre Bragg grating (POFBG) within a 3-D printed sensing patch for strain or temperature sensing. The cyclic strain performance and temperature characteristics of both devices are examined and discussed. The strain sensitivities of the sensing patches were 0.40 and 0.95 pm/μϵ for SOFBG embedded in ABS, 0.38 pm/μμ for POFBG in PLA, and 0.15 pm/μμ for POFBG in ABS. The strain response was linear above a threshold and repeatable. The temperature sensitivity of the SOFBG sensing patch was found to be up to 169 pm/°C, which was up to 17 times higher than for an unembedded silica grating. Unstable temperature response POFBG embedded in PLA was reported, with temperature sensitivity values varying between 30 and 40 pm/°C.

Effects in ultrafast laser micromachining PMMA-based optical fibre grating

Ultrafast laser owns extreme small beam size and high pulse intensity which enable spatial localised modification either on the surface or in the bulk of materials. Therefore, ultrafast laser has been widely used to micromachine optical fibres to alter optical structures. In order to do the precise control of the micromachining process to achieve the desired structure and modification, investigations on laser parameters control should be carried out to make better understanding of the effects in the laser micromachining process. These responses are important to laser machining, most of which are usually unknown during the process. In this work, we report the real time monitored results of the reflection of PMMA based optical fibre Bragg gratings (POFBGs) during excimer ultraviolet laser micromachining process. Photochemical and thermal effects have been observed during the process. The UV radiation was absorbed by the PMMA material, which consequently induced the modifications in both spatial structure and material properties of the POFBG. The POFBG showed a significant wavelength blue shift during laser micromachining. Part of it attributed to UV absorption converted thermal energy whilst the other did not disappear after POFBG cooling off, which attributed to UV induced photodegradation in POF.

Validação de uma bateria de provas de selecção de candidatos à classe de praças da força aérea

Dissertação de Mestrado apresentada ao Instituto Superior de Psicologia Aplicada para obtenção de grau de Mestre na especialidade de Psicologia Social e das Organizações.

Ensino do jogo do futebol : revisão e proposta metodológica

Provas públicas apresentadas à Escola Superior de Educação do Instituto Politécnico de Castelo Branco para o cumprimento dos requisitos necessários à obtenção do título de Professor Especialista, na área do Futebol.

Adaptation of the ABCDE model from human medicine to communicate bad news to the owner of the oncologic patient in veterinary medicine

Similar to what occurs in Human Medicine, also in Veterinary Medicine, the prevalence of oncological diseases has significantly increased. The evolution of Veterinary Medicine, in last decades has brought changes in clinical paradigms, particularly concerning the relationship with the animal and also with the owner. More than any other specialty, members of the Veterinary Medical Team that work in the oncology field, are unavoidably forced to break bad news. This paper proposes the adaptation of the ABCDE model from Human Medicine to Veterinary Medicine. The adaptation of the ABCDE model for Veterinary Medicine improves communication with the owner and offers all the members of the Veterinary Medical Team better communication skills.

Proposal to minimize the difficulty of recording abortion data in sheep

Background: The most frequent viral diseases which can cause abortion in sheep are Blue tongue, Border disease virus, Cache Valley fever and Schmallenberg virus. The diagnosis of abortion, namely virus-induced represents a challenge to field clinicians, since clinical signs presented by the dam are discrete, non-specific and variable (Agerhom et al., 2015). On the other hand, while some foetuses reveal characteristic and visible malformations, others do not reveal any lesions. In face of it, definitive diagnosis requires an appropriate history collection, as well as sending fresh samples, namely abortion material, foetus, placenta and umbilical cord, to a specialty laboratory, to obtain a precise diagnosis. Objectives: The authors suggest a registration method of all mandatory data, in order to further assist the diagnosis of viral diseases at the laboratories, including the most frequent congenital malformations reported in sheep abortions. Methods: Abortion samples of suspected viral origin were collected and all data were registered, in worktables optimized for this purpose. Results: The authors document, using macroscopic figures lesions of malformations in abortions, emphasizing the frequency and the importance of documenting each case, proposing practical and effective worktables to assist the fieldwork. Conclusions: Field clinician’s awareness of the importance of early detection of viral diseases causing abortion outbreaks stimulates a proper data collection for each case of abortion, in order to contribute to a precise diagnosis and posterior consistent epidemiological studies, which may allow diminishing of economic losses.

Adaptação do modelo ABCDE para comunicar a má notícia ao proprietário do paciente oncológico em medicina veterinária

Introdução: À semelhança do que ocorre na Medicina Humana, também em Medicina Veterinária, a prevalência da doença oncológica em animais de companhia tem vindo a aumentar significativamente. Desenvolvimento: A evolução da Medicina Veterinária, nas últimas décadas, veio trazer mudança nos paradigmas clínicos, nomeadamente no respeitante à relação com o animal mas também com o proprietário. Sendo a oncologia a especialidade em que há maior probabilidade de ter que comunicar uma má notícia, neste trabalho propõe-se a adaptação do modelo ABCDE da Medicina Humana para a Medicina Veterinária. Conclusões: A adaptação do modelo ABCDE para a Medicina Veterinária permite melhorar a comunicação com o proprietário cuidador e dotar os profissionais da equipe Médica Veterinária de melhores competências.

Do health care providers use online patient ratings to improve the quality of care?

Background: Physician-rating websites have become a popular tool to create more transparency about the quality of health care providers. So far, it remains unknown whether online-based rating websites have the potential to contribute to a better standard of care. Objective: Our goal was to examine which health care providers use online rating websites and for what purposes, and whether health care providers use online patient ratings to improve patient care. Methods: We conducted an online-based cross-sectional study by surveying 2360 physicians and other health care providers (September 2015). In addition to descriptive statistics, we performed multilevel logistic regression models to ascertain the effects of providers' demographics as well as report card-related variables on the likelihood that providers implement measures to improve patient care. Results: Overall, more than half of the responding providers surveyed (54.66%, 1290/2360) used online ratings to derive measures to improve patient care (implemented measures: mean 3.06, SD 2.29). Ophthalmologists (68%, 40/59) and gynecologists (65.4%, 123/188) were most likely to implement any measures. The most widely implemented quality measures were related to communication with patients (28.77%, 679/2360), the appointment scheduling process (23.60%, 557/2360), and office workflow (21.23%, 501/2360). Scaled-survey results had a greater impact on deriving measures than narrative comments. Multilevel logistic regression models revealed medical specialty, the frequency of report card use, and the appraisal of the trustworthiness of scaled-survey ratings to be significantly associated predictors for implementing measures to improve patient care because of online ratings. Conclusions: Our results suggest that online ratings displayed on physician-rating websites have an impact on patient care. Despite the limitations of our study and unintended consequences of physician-rating websites, they still may have the potential to improve patient care.