Multivariate analysis applied to clinical analysis data

Dissertação para obtenção do Grau de Mestre em Engenharia e Gestão Industrial

Comportamentos de saúde e doença numa comunidade Cabo-Verdiana em Lisboa

O objetivo foi compreender como os indivíduos se comportam em termos de saúde e o que fazem em caso de doença. Análise comparativa realçou semelhanças e divergências de práticas de saúde ou em caso de doença. O estudo foi efetuado numa amostra de 40 cabo-verdianos da primeira geração residentes na região de Lisboa, dividida em subgrupos: grupo social, geração e genero. Baseou-se em metodologia qualitativa com entrevistas semi-estruturadas. As práticas analisadas foram agrupadas em preventivas e de saúde, práticas utilizadas em episódios de doença, recursos para prevenção e tratamento, utilização de remédios caseiros e outros recursos ou terapeutas. Indivíduos experimentaram, ao nível das práticas, três sistemas de saúde que coexistiam em Cabo Verde, oficial, popular e tradicional e o recurso à religião. O discurso acerca das práticas de saúde e de doença demonstrou existirem diferenças, em alguns aspectos, entre grupos sociais e entre generos e gerações. Práticas de saúde destes imigrantes são idênticas às dos portugueses em contextos socioeconomicos semelhantes. Resultados sugerem existência de diferenças entre grupos sociais relativamente às práticas, na esfera da saúde e da doença. Mais que cultura e etnicidade, que se moldam às condições materiais de existência, neste estudo, o nível socioeconomico determinou as maiores diferenças a interferir nas práticas de saúde e doença, de grupo com cultura de base comum. Em geral, os indivíduos sobrevalorizaram sua identidade étnica e cultura de origem. Pertencimento a grupos sociais diferentes dá origem a partilha do sentimento de pertença cultural, mas não a comportamentos e práticas idênticos.

Comportamentos de saúde e doença numa comunidade Cabo-Verdiana em Lisboa

This study aims at analysing, through personal reports, the way individuals behave in terms of health and illness. A comparative analysis of the collected data was performed, with the purpose of highlighting divergences in the health and illness practices. The study was undertaken with a sample of 40 «first generation» Cape Verdeans living in the Metropolitan area of Lisbon, divided into distinct groups: social (popular and elite), generation (younger and older) and gender (men and women). A qualitative methodology was employed, by conducting semi-structured interviews for the collection of information. The health and illness practices were grouped into preventive and health care practices, practices used in episodes of illness, resources used for prevention and treatment, use of home remedies, and other alternative resources. Individuals who are part of our study experimented, at the level of practices, with the three health systems that existed in Cape Verde, namely, the official, popular and traditional, and recourse to religion. The discourse analysis concerning health and disease practices showed there are differences, in some respects, between social groups. There were also slight differences between genders and generations. These immigrants’ health practices are identical to those of the Portuguese who are in similar socioeconomic contexts, with no significant effects of immigration itself on these practices. The analysis of the results confirms the existence of differences between social groups concerning the health and illness practices. They were more determined by the socioeconomic factors than by the cultural and ethnic aspects. Those differences also highlighted the existence of a unifying aspect, resulting from their cultural heritage. Although belonging to different social groups, the existence of a common culture and ethnic identity originates a shared feeling of cultural belonging, but not identical behaviours and practices.

Comportamentos de saúde e doença numa comunidade Cabo-Verdiana em Lisboa

O objetivo foi compreender como os indivíduos se comportam em termos de saúde e o que fazem em caso de doença. Análise comparativa realçou semelhanças e divergências de práticas de saúde ou em caso de doença. O estudo foi efetuado numa amostra de 40 cabo-verdianos da primeira geração residentes na região de Lisboa, dividida em subgrupos: grupo social, geração e genero. Baseou-se em metodologia qualitativa com entrevistas semi-estruturadas. As práticas analisadas foram agrupadas em preventivas e de saúde, práticas utilizadas em episódios de doença, recursos para prevenção e tratamento, utilização de remédios caseiros e outros recursos ou terapeutas. Indivíduos experimentaram, ao nível das práticas, três sistemas de saúde que coexistiam em Cabo Verde, oficial, popular e tradicional e o recurso à religião. O discurso acerca das práticas de saúde e de doença demonstrou existirem diferenças, em alguns aspectos, entre grupos sociais e entre generos e gerações. Práticas de saúde destes imigrantes são idênticas às dos portugueses em contextos socioeconomicos semelhantes. Resultados sugerem existência de diferenças entre grupos sociais relativamente às práticas, na esfera da saúde e da doença. Mais que cultura e etnicidade, que se moldam às condições materiais de existência, neste estudo, o nível socioeconomico determinou as maiores diferenças a interferir nas práticas de saúde e doença, de grupo com cultura de base comum. Em geral, os indivíduos sobrevalorizaram sua identidade étnica e cultura de origem. Pertencimento a grupos sociais diferentes dá origem a partilha do sentimento de pertença cultural, mas não a comportamentos e práticas idênticos.

Análise de estratégias de compreensão leitora no 4.º ano do ensino básico

Dissertação apresentada à Escola Superior de Educação de Lisboa para obtenção de grau de mestre em Ensino do 1.º e 2.º Ciclos do Ensino Básico

Palacete dos Condes de Sampayo - proposta de refuncionalização no contexto de valorização da Zona Ribeirinha do Município da Moita

A percepção e intervenção no espaço histórico, enquanto arquétipo cultural, constituíram o mote enquadrador do presente trabalho, merecendo amplo tratamento no primeiro capítulo. O segundo capítulo é dedicado ao estudo do palacete dos condes de Sampayo, elemento patrimonial de elevado valor significativo e que aqui se apresenta como objecto de tratamento central. O espólio consultado relativo ao arquivo da casa de Sampayo, permitiu-nos claramente fazer recuar no tempo a construção original do palacete, num percurso temporal análogo ao contíguo moinho de maré, ambos implementados no núcleo histórico de Alhos Vedros. Igualmente clarificou como, quando e de que forma a casa da Cova, dos Mendonça Furtado, convergirá com a casa dos Sampayo, num contexto socioeconómico específico em que a estruturação interna da nobreza se escorava nos sistemas de parentesco para consolidação do seu poder e para o fortalecimento e manutenção das casas titulares. Os modelos comparativos são tratados no capítulo três e surgem na figura das pousadas, valorizadoras dos edifícios com valor histórico e indutoras de sinergias locais. Por último, o capítulo quatro é totalmente dedicado à conceptualização de um projecto para a funcionalização do palacete como pousada. A perspectiva da sustentabilidade na fundamentação patrimonial do projeto, inscreve-se no programa de requalificação da frente ribeirinha do concelho da Moita e ancora numa perspetiva de âmbito mais alargado, inerente às políticas da administração do território e turismo da Grande Área Metropolitana de Lisboa. ABSTRACT; The perception and action in space history, as cultural archetype, constituted the framed motto of this work deserves wider treatment in the first chapter. The second chapter is devoted to the study of the palace of the Counts of Sampayo, of its assets in high-value significant and presented here is treated as central. The stock found on the file's house Sampayo, allowed us to clearly back in time the original construction of the palace, a temporal course similar to the adjacent tidal mill, both implemented in the historical center of Plantsville. He also clarified how, when and how the pit house, the Mendonca Furtado, converge with the house of Sampayo, specific socio-economic context in which the internal structure of the nobility was underpinned in kinship systems to consolidate its power and the strengthening and maintaining the homes owners. Comparative models are treated in chapter three, appearing in the picture of the holiday, not value of buildings of historic and inducing local synergies. Finally, chapter four is devoted entirely to the conceptualization of a project to re-functionalization of the mansion and guesthouse. The perspective of sustainability in the grounds of equity of the project is part of the program of the riverfront redevelopment of Moita and grounded on a broader scope, inherent in the policies of the planning and tourism Greater Metropolitan Area of Lisbon.

Redesenhar e Requalificar o Lugar Informal – O Bairro na Cidade

Dissertação Mestrado para obtenção do grau de Mestre em Arquitectura, apresentada na Universidade de Lisboa - Faculdade de Arquitectura.

Redesenhar e requalificar o lugar informal

Dissertação para obtenção do grau de Mestre em Arquitectura, apresentada na Universidade de Lisboa - Faculdade de Arquitectura.

Environmental quality of life index incorporationg MCA & GIS : case study Lisbon Metropolitan Area, Portugal

The study of Quality of Life (Qol) has been conducted on various scales throughout the years with focus on assessing overall quality of living amongst citizens. The main focus in these studies have been on economic factors, with the purpose of creating a Quality of Life Index (QLI).When it comes down to narrowing the focus to the environment and factors like Urban Green Spaces (UGS) and air quality the topic gets more focused on pointing out how each alternative meets this certain criteria. With the benefits of UGS and a healthy environment in focus a new Environmental Quality of Life Index (EQLI) will be proposed by incorporating Multi Criteria Analysis (MCA) and Geographical Information Systems (GIS). Working with MCA on complex environmental problems and incorporating it with GIS is a challenging but rewarding task, and has proven to be an efficient approach among environmental scientists. Background information on three MCA methods will be shown: Analytical Hierarchy Process (AHP), Regime Analysis and PROMETHEE. A survey based on a previous study conducted on the status of UGS within European cities was sent to 18 municipalities in the study area. The survey consists of evaluating the current status of UGS as well as planning and management of UGS with in municipalities for the purpose of getting criteria material for the selected MCA method. The current situation of UGS is assessed with use of GIS software and change detection is done on a 10 year period using NDVI index for comparison purposes to one of the criteria in the MCA. To add to the criteria, interpolation of nitrogen dioxide levels was performed with ordinary kriging and the results transformed into indicator values. The final outcome is an EQLI map with indicators of environmentally attractive municipalities with ranking based on predefinedMCA criteria using PROMETHEE I pairwise comparison and PROMETHEE II complete ranking of alternatives. The proposed methodology is applied to Lisbon’s Metropolitan Area, Portugal.

Summer ozone cycles in the Lisbon metropolitan area and its relation to some meteorological variables

The aim of this work is to study the tropospheric ozone concentrations and daily peak cycles in the Lisbon MetropolitanArea (LMA) during the summer season (June, July and August, JJA) covering the 4-yr study period 2002-2005. Theresults show that all the stations have the same pattern: a minimum in the early morning followed by an increase at 1000UTC reaching to a peak at 1300-1400 UTC, dropped again to minimum values 1800 UTC but with different concentrationsdue to regional and local wind circulations and complex dynamic interactions. We identified in Lisbon city the ozone “weekendeffect”. Finally, we studied an episode of very high levels of tropospheric ozone and related daily ozone concentrationswith some meteorological variables.

Small scale energy production in Helsinki Metropolitan area in emission trading point of view

Emission trading with greenhouse gases and green certificates are part if the climate policy the main target of which is reduce greenhouse gas emissions. The carbon dioxide and fine particle emissions of energy production in Helsinki Metropolitan area are calculated in this study. The analysis is made mainly by district heating point of view and the changes of the district heating network are assessed. Carbon dioxide emissions would be a bit higher, if the district heating network is expanded, but then the fine particle emissions would be much lower. Carbon dioxide emissions are roughly 10 % higher, if the district heating network is expanded at same rate as it has in past five years in the year 2030. The expansion of district heating network would decrease the fine particle emissions about 40 %. The cost of the expansion is allocated to be reduction cost of the fine particle emissions, which is considerably higher than the traditional reduction methods costs. The possible new nuclear plant would reduce the emissions considerably and the costs of the nuclear plant would be relatively low comparing the other energy production methods.

Metropolitan and regional health planning: dilemmas of the Pact for Health in the Baixada Santista Metropolitan Area, Sao Paulo State, Brazil

This paper focuses on the relationship between metropolitan and regional health planning based on the processes of regionalization and the Pact for Health in the Baixada Santista Metropolitan Area, Sao Paulo State, Brazil. The method used was a case study in two stages, namely during initial implementation of the Pact for Health (2007) and the Regional Administration Committees (CGR) and in 2010. Municipal and regional health systems managers and the director of the Metropolitan Agency were interviewed, and records were analyzed from ten years of meetings of the Regional Inter-Administration Committee and the Regional Development Council. Four issues emerged: financing and infrastructure; health services utilization; inefficiency of the Regional Health Administration's instruments and decision-making levels; and the relationship between different levels in the Administration. Metropolitan health management remained as an underlying issue, appearing only incidentally or tangentially to regional management. Despite some limitations, the CGR has been legitimized as a space for regional health management.

Evaluating the equity effects of road-pricing in the European urban context - The Madrid Metropolitan Area

The paper identifies the potential spatial and social impacts of a proposed road-pricing scheme for different social groups in the Madrid Metropolitan Area (MMA). We appraise the accessibility of different districts within the MMA in terms of the actual and perceived cost of using the road infrastructure ‘before’ and ‘after’ implementation of the scheme. The appraisal framework was developed using quantitative survey data and qualitative focus group discussions with residents. We then simulated user behaviours (mode and route choice) based on the empirical evidence from a travel demand model for the MMA. The results from our simulation model demonstrated that implementation of the toll on the orbital metropolitan motorways (M40, M30, for example) decreases accessibility mostly in the districts where there are no viable public transport alternatives. Our specific study finding is that the economic burden of the road-pricing scheme particularly affects unskilled and lower income individuals living in the south of the MMA. The focus groups confirmed that low income drivers in the south part of the MMA would reduce their use of tolled roads and have to find new arrangements for these trips: i.e. switch to public transport, spend double the time travelling or stay at home. More generally, our research finds that European transport planners are still a long way from recognising the social equity implications of their policy decisions and that more thorough social appraisals are needed to avoid the social exclusion of low income populations when road tolling is proposed.

An investigation into support for restrictions on HIV carriers in the Chicago metropolitan area

An investigation into support for restrictions on people testing seropositive for HIV is reported on. Data were collected during telephone interviews with two-hundred adults aged eighteen to sixty-five in the Chicago metropolitan area. Using the analytic technique of LISREL, six models which attempt to explain support for restrictions were tested. It was found that the model best supported by the data indicates that two groups contribute to support for restrictions on HIV carriers - one due to intolerance of homosexuality and one to mistrust of public health officials regarding their control and management of the AIDS epidemic. The relevance of these findings for public health policy makers is discussed.