Double coverage and demand for health care: Evidence from quantile regression

An individual experiences double coverage when he bene ts from more than one health insurance plan at the same time. This paper examines the impact of such supplementary insurance on the demand for health care services. Its novelty is that within the context of count data modelling and without imposing restrictive parametric assumptions, the analysis is carried out for di¤erent points of the conditional distribution, not only for its mean location. Results indicate that moral hazard is present across the whole outcome distribution for both public and private second layers of health insurance coverage but with greater magnitude in the latter group. By looking at di¤erent points we unveil that stronger double coverage e¤ects are smaller for high levels of usage. We use data for Portugal, taking advantage of particular features of the public and private protection schemes on top of the statutory National Health Service. By exploring the last Portuguese Health Survey, we were able to evaluate their impacts on the consumption of doctor visi

ACTO - LUZ. (PROJECTO DE INSTALAÇÃO DE ARTE DIGITAL)

Trabalho de Projecto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Ciências da Comunicação

In vitro evaluation of erythromycin in chloroquine resistant brazilian P. falciparum freshly isolates: modulating effect and antimalarial activity evidence

Erythromycin, a reversal agent in multidrug-resistant cancer, was assayed in chloroquine resistance modulation. The in vitro microtechnique for drug susceptibility was employed using two freshly isolates of Plasmodium falciparum from North of Brazil. The antimalarial effect of the drug was confirmed, with an IC50 estimates near the usual antimicrobial therapy concentration, and a significant statistical modulating action was observed for one isolate.

Digital storytelling: student ID in higher education

Identity achievement is related to personality, as well as cognitive and interpersonal development. In tandem with the deep structural changes that have taken place in society, education must also shift towards a teaching approach focused on learning and the overall development of the student. The integration of technology may be the drive to foster the needed changes. We draw on the literature of multiple subject areas as basis for our work, namely: identity construction and self-representation, within a psychological and social standpoint; Higher Education (HE) in Portugal after Bologna, college student development and other intrinsic relationships, namely the role of emotions and interpersonal relationships in the learning process; the technological evolution of storytelling towards Digital Storytelling (DS) – the Californian model – and its connections to identity and education. Ultimately we propose DS as the aggregator capable of humanizing HE while developing essential skills and competences. Grounded on an interpretative/constructivist paradigm, we implemented a qualitative case study to explore DS in HE. In three attempts to collect student data, we gathered detailed observation notes from two Story Circles; twelve student written reflections; fourteen Digital Stories and detailed observation notes from one Story Show. We carried out three focus groups with teachers where we discussed their perceptions of each student prior to and after watching the Digital Stories, in addition to their opinion on DS in HE as a teaching and learning method and its influence on interpersonal relationships. We sought understandings of the integration of DS to analyze student selfperception and self-representation in HE contexts and intersected our findings with teachers’ perceptions of their students. We compared teachers’ and students’ perspectives, through the analysis of data collected throughout the DS process – Story Circle, Story Creation and Story Show – and triangulated that information with the students’ personal reflections and teacher perceptions. Finally we questioned if and how DS may influence teachers’ perceptions of students. We found participants to be the ultimate gatekeepers in our study. Very few students and teachers voluntarily came forth to take part in the study, confirming the challenge remains in getting participants to see the value and understand the academic rigor of DS. Despite this reluctance, DS proved to be an asset for teachers and students directly and indirectly involved in the study. DS challenges HE contexts, namely teacher established perception of students; student’s own expectations regarding learning in HE; the emotional realm, the private vs. public dichotomy and the shift in educational roles.

The Digital Textbook: Methodological and Didactic Challenges for Primary School

The potentialities of ICT in education bring about changes in the teaching and learning methodologies, in the places where you learn and in the way you learn. This demands a reflection not only on the ways of learning, but also on the support resources, so that learning can take place and, of course, it is indispensable to understand the teachers’ answer to the digital challenges. Thus, the purpose of this analysis is to reflect about technological trends in an educational context and their underlying models by analyzing the role played by digital textbooks in Portugal in an innovating context. This way, we intend to contribute to an educational policy as we plan to relate the teachers’ training to the increasing development of the digital textbooks and we also intend to contribute to the understanding of a didactic resource which is closely related to the learning processes which resort to advanced technology.

Modelos de avaliação da qualidade do atendimento na prestação de serviços públicos: aplicação da metodologia de scoping review à tomada de decisão com base na evidência (evidence-based management), na Administração Pública.

Dissertação apresentada como requisito parcial para obtenção do grau de Mestre em Estatística e Gestão de Informação

Competências e saberes na nova era digital: Exemplificação no 1º ciclo do ensino básico

O carácter dinâmico das Tecnologias da Informação e da Comunicação determina mudanças fugazes nas identidades profissionais dos docentes, desafiando novas competências e novos sentidos na aprendizagem que enriquecem e transformam o currículo. Configura, ainda, momentos de inquietação que reformam velhos hábitos e dão alento a uma escola renovada capaz de responder às exigências desta nova geração de jovens multimédia. Reconhecendo a importância das competências e dos saberes dos professores para ultrapassarem os desafios da era digital e adaptarem-se a novos contextos metodológicos, pedagógicos, estratégicos e tecnológicos, é importante desenvolver estudos que incluam não só a análise dos conhecimentos dos professores em TIC, mas também o tipo de práticas pedagógicas que realizam com os alunos e como as avaliam, para se compreenderem efectivamente as mudanças que ocorrem com o uso das TIC e o seu significado no currículo ou nas tradições dos docentes. O estudo que apresentamos envolveu cerca de 1300 professores do 1º Ciclo do Ensino Básico de seis concelhos da região do grande Porto, tendo como base a análise de dois inquéritos. Um dos inquéritos pretendia analisar a experiência com TIC dos professores, o outro solicitava a apresentação de boas práticas realizadas com recurso às novas tecnologias. Verificou-se existir um grupo de ferramentas TIC que os professores revelaram não ter conhecimentos suficientes para as integrarem nas usas práticas e outro grupo, de dimensão mais reduzido, que envolve ferramentas dominadas satisfatoriamente pelos professores. Os conhecimentos e a frequência de utilização de ferramentas tecnológicas têm uma associação estatisticamente significativa com os obstáculos à integração das TIC. Constatou-se, ainda, que para uns, a integração de novas tecnologias poderá ter representado o passo para um novo perfil de professor e de aluno, uma escola sem fronteiras, aberta e transparente, pelas diferentes metodologias de trabalho, pelos novos ambientes de aprendizagem, pelas novas competências exigidas aos alunos, professores e pais. Enquanto, para outros não passou de mais uma ferramenta de trabalho pelo que a tecnologia se converteu num instrumento de exposição e de consolidação. As boas práticas exigem políticas educativas eficientes e boas lideranças de escolas, uma adequação do currículo aos tempos actuais para que se assegurem as condições necessárias à implementação de uma nova era na educação – a educação digital…

No evidence of vertical transmission of HTLV-I in bottle-fed children

The most frequent pathway of vertical transmission of HTLV-I is breast-feeding, however bottle fed children may also become infected in a frequency varying from 4 to 14%. In these children the most probable routes of infection are transplacental or contamination in the birth canal. Forty-one bottle-fed children of HTLV-I seropositive mothers in ages varying from three to 39 months (average age of 11 months) were submitted to nested polymerase chain reaction analysis (pol and tax genes). 81.5% of the children were born by an elective cesarean section. No case of infection was detected. The absence of HTLV-I infection in these cases indicates that transmission by transplacental route may be very infrequent.

Evidence of spotted fever group rickettsiae in state of Rio de Janeiro, Brazil

Ticks were obtained from dogs from February to September of 1999 at weekly intervals, in the County of Piraí, State of Rio de Janeiro. Four hundred seventy four ixodids were taxonomically identified, 103 Amblyomma cajennense, seven Amblyomma ovale, 209 Rhipicephalus sanguineus, and 155 Amblyomma sp. An hemolymph test associated with Giemsa's stain revealed two specimens in 163 ticks tested (R. sanguineus and Amblyomma sp), containing rickettsia-like organisms. Direct immunofluorescence verified the presence of spotted fever group rickettsia in one specimen of R. sanguineus. Considering the limited information on rickettsiosis in Brazil, principally in relation to the vectors involved in perpetuating it in foci, these preliminary results give us an idea on the importance of infection in ticks, allowing to expand our knowledge on this zoonosis.

Prometeu: Desenho e desenvolvimento da plataforma digital. Concepção e produção dos conteúdos digitais.

Prometeu, é uma peça de teatro multimédia inspirada no teatro de sombras indonésio, Wayang Kulit.O projecto Prometeu apresenta uma abordagem inovadora misturando a linguagem do teatro de sombras com a linguagem cinematográfica tendo a multimédia como elemento agregador. Um espectáculo de silhuetas/marionetas que promove o cruzamento entre o tradicional e a modernidade, o analógico e o digital, o performativo e o autómato, ou procedural. Uma visão ampla da tecnologia ao serviço da dramaturgia explorando a harmonia entre diferentes meios. Este projecto tem vindo a ser apresentado ao público, desde 2009, em locais e eventos distintos. Festivais de música, festivais de cinema, e festivais de teatro em Portugal e Espanha, são exemplos da abrangência deste espectáculo tendo sido já reconhecido com um prémio. Com o presente trabalho pretende-­‐se demonstrar as competências profissionais a que Luís Leite se apresenta como candidato a especialista. Competências na área das artes da imagem, particularmente na área da multimédia. Luís Leite foi convidado pelo Teatro de Formas Animadas e pela Casa da Música para desenhar e desenvolver uma solução multimédia que respondesse aos complexos requisitos do projecto, bem como para a concepção e produção de conteúdos de animação e pós-produção digital. Competências importantes para as unidades curriculares de animação e multimédia que lecciona.

Preservação digital nas médias e grandes empresas portuguesas: estudo de caso e recomendação de boas práticas

Este estudo tem como objetivo analisar o estado atual da preservação digital no tecido empresarial português, particularmente nas empresas de média e grande dimensão. Para tal, expôs-se o referencial teórico da preservação digital, necessário para uma melhor compreensão desta temática, nomeadamente através da apresentação de definições de diversos autores, de estratégias e boas práticas, e de algumas das iniciativas internacionais mais relevantes. De seguida apresentou-se a importância que a informação tem para uma organização, sobretudo aquela informação criada no âmbito laboral. Realizou-se, também, uma caracterização dos vários tipos de empresas, de acordo com diretivas europeias, e efetuou-se uma breve análise das empresas portuguesas. Para atingir esse objetivo elaborou-se um inquérito, por questionário, fazendo- se uso de uma plataforma de questionários online. Este foi remetido a 1.358 médias e grandes empresas que atuam em Portugal, com o objetivo de compreender – entre outros – a importância dada, pelas empresas, ao material existente em formato digital, quais as tecnologias responsáveis pelo seu armazenamento e quais os cuidados realizados para assegurar o seu acesso por longos períodos de tempo. Ao analisar os resultados, e pese embora a baixa taxa de resposta ao questionário, foi possível concluir que quase todas as empresas participantes já procuram substituir os documentos em papel por documentos em formato digital e que se preocupam em manter o acesso prolongado à informação. Não obstante, dois terços dos participantes conhecem o conceito de preservação digital e apenas 44% afirmam aplicar estratégias desse tipo na sua empresa. Apesar de cerca de 70% dos participantes reconhecerem a importância do uso de formatos abertos para a preservação digital, na realidade ainda se verifica uma utilização massiva de formatos proprietários ao nível dos documentos de texto e das folhas de cálculo. Para além deste contributo analítico sobre o estado da preservação digital no tecido empresarial português, prepararam-se alguns documentos que visam auxiliar a elaboração de um plano de preservação digital e, consequentemente, permitir a sustentabilidade a longo prazo da informação digital.

Seroprevalence of hepatitis B virus infection in individuals with clinical evidence of hepatitis in Goiânia, Goiás: detection of viral DNA and determination of subtypes

The presence of serological markers for hepatitis B virus (HBsAg, anti-HBc IgM and Anti-HBc total) was investigated in the serum of 1,396 individuals who had clinical suspect of hepatitis. It was observed that 50.7% of the individuals were positive and, from the total of the studied individuals, 14.5% were positive for HBsAg. From these, 8.5% were also positive for anti-HBc IgM. The analysis in relation to gender showed a higher seroprevalence index among male individuals (p < 0.0001). It was observed the occurrence of subtypes adw2 (62.7%), ayw3 (23.5%), ayw2 (9.8%) and adw4 (3.9%). The viral DNA was detected in 61 (33.9%) HBsAg positive samples and in one sample positive only for anti-HBc total. These results indicate an important incidence of the HBV infection in this population, and reinforce previous studies regarding this virus in the central west region of Brazil.

Evidence of active herpesvirus 6 (variant-A) infection in patients with lymphadenopathy in Belém, Pará, Brazil

A total of 323 patients with lymphadenopathy were selected in Belém, Brazil, between January 1996 and December 2001, and screened for the presence of human herpesvirus-6 (HHV-6) IgM- and- IgG antibodies by enzyme-linked immunosorbent assay (ELISA). When seroprevalence is analyzed by gender, similar rates are found for female (60.6%) and male (55.7%) individuals. Seventy-seven (23.8%) patients were HHV-6-IgM-and- IgG-positive (IgM+ subgroup), with positivity rates of 29.7% and 17.7% (p = 0.0007) for female- and male individuals, respectively. Sera from a subgroup (n = 120) of these subjects, with high HHV-6 antibody levels (either IgM+ or IgG+ reactivities), were subsequently processed for the presence of HHV-6 DNA by polymerase chain reaction (PCR)/nested PCR. Active infections (IgM+ and/or IgG+ high levels specific antibodies plus detection of viral DNA) were diagnosed in 20/77 (20.0%) and 8/43 (18.6%); subgroup of the 120 individuals suspected of having HHV-6 suggestive recent infection. All (n = 28) cases of active infection were found to be associated with HHV-6 variant-A (HHV-6A), as detectable by PCR/nested PCR, using variant-specific primer that amplify regions of 195 base pairs (bp) (HHV-6A) and 423 bp (HHV-6B). Rates of HHV-6 DNA detection between female and male patients were similar (p > 0.05) in the IgM+ and IgG+ groups: 20.4% versus 35.7% and 25.0% versus 13.0%, respectively. HHV-6 DNA was detected across < 5 through 41-50-year age-groups for patients whose serum samples were IgM+, with rates ranging from 7.7% (female subjects aged < 5 years) to 80.0% (male, 11-20 years). Among patients whose serological status was IgG+, HHV-6 DNA was detected in < 5, 6-10, 21-30 and > 50 age-groups at rates that ranged from 15.4% (male, < 5 years of age) to 100.0% (female aged 11-20 years). Swelling cervical lymph nodes were the most common sign, accounting for 9 (32.0%) cases in each gender group. Among patients (n = 28) with active infection by HHV-6A variant, duration of symptoms lasted 1-5 days in 35.7% of subjects, whereas in 64.3% of them the disease lasted 6-20 days. Our data suggest that it is worth seeking for HHV-6 infection whenever a patient (infant or adult) presents with lymphadenopathy as a prominent symptom in the course of an acute febrile illness.

Students’ reading behavior: digital vs. print preferences in portuguese context

The aim of this paper is to present the main Portuguese results from a multi-national study on reading format preferences and behaviors from undergraduate students from Polytechnic Institute of Porto (Portugal). For this purpose we apply an adaptation of the Academic Reading Questionnaire previously created by Mizrachi (2014). This survey instrument has 14 Likert-style statements regarding the format influence in the students reading behavior, including aspects such as ability to remember, feelings about access convenience, active engagement with the text by highlighting and annotating, and ability to review and concentrate on the text. The importance of the language and dimension of the text to determine the preference format is also inquired. Students are also asked about the electronic device they use to read digital documents. Finally, some demographic and academic data were gathered. The analysis of the results will be contextualized on a review of the literature concerning youngsters reading format preferences. The format (digital or print) in which a text is displayed and read can impact comprehension, which is an important information literacy skill. This is a quite relevant issue for class readings in academic context because it impacts learning. On the other hand, students preferences on reading formats will influence the use of library services. However, literature is not unanimous on this subject. Woody, Daniel and Baker (2010) concluded that the experience of reading is not the same in electronic or print context and that students prefer print books than e-books. This thesis is reinforced by Ji, Michaels and Waterman (2014) which report that among 101 undergraduates the large majority self-reported to read and learn more when they use printed format despite the fact that they prefer electronically supplied readings instead of those supplied in printed form. On the other side, Rockinson-Szapkiw, et al (2013) conducted a study were they demonstrate that e-textbook is as effective for learning as the traditional textbook and that students who choose e-textbook had significantly higher perceived learning than students who chose to use print textbooks.

Design of Digital Fractional-Order Integrators and Differentiators by Least Squares

First IFAC Workshop on Fractional Differentiation and Its Application - 19-21 July 2004, Enseirb, Bordeaux, France - FDA'04