Necessidades e expetativas dos professores face à supervisão/avaliação de desempenho docente no âmbito da educação visual/artes visuais

Dissertação apresentada para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Ciências da Educação – Especialização em Supervisão Pedagógica.

Integração das metodologias DEA e BSC para a avaliação de controlo de gestão e dos negócios

Mestrado em Controlo de Gestão e dos Negócios

Avaliação do Desempenho Docente na RAM Potencialidades e Constrangimentos

Trabalho de Projecto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Ciências da Educação: área de especialização em Supervisão Pedagógica

Avaliação das concentrações hepáticas e séricas de retinol em bovinos e do consumo habitual de fígado por gestantes

The vitamin A is essential to animals because of its participation in a great number of biological functions. The investigation of this vitamin s concentrations is important to serve as reference to normality parameters. This study had as aim to analyse the serics and hepatics concentrations of vitamin A in two groups of bovines and to compare the hepatics concentrations to the present requeriments of vitamin A for pregnant women. It was also appraised the consume habit of bovine liver by pregnant women through of the alimentary frequency quest. Two groups of bovine were studied and the first was formad by Nelore bovine breed and the second by bovine without defined breed (WDB). It was analysed 120 samples: 60 of liver and 60 of serum. The method used to dose retinol was High Performance Liquid Cromatography (HPLC). The average (+ sd) of retinol concentrations in Nelore breed bovine and WDB liver were 16947,8 + 6866,9 and 5213,1 + 2517,2 µg of retinol/100g and at serum 39,6 + 17,9 e 28,6 + 9,4 µg of retinol/dL, respectively. No statistically significant correlation was found between hepatic and the serum retinol. The bovines in this study had adequate vitamin A levels. Independently of animal breed, the daily ingestion of bovine liver is not advised for pregnant women who show adequate support of vitamin A. The consume of bovine liver by pregnant women consulted on school maternity hospital Januário Cicco, UFRN, Natal RN, was considered high

Avaliação da concentração de retinol em fígados frescos e congelados de frangos das linhagens Cobb e Ross

The intake of adequate quantities of food, including those rich in vitamins, is necessary for a healthy life. The lack of vitamin A has been characterized as a public health problem in developing countries, however, a high intake of vitamin A can result in toxic and teratogenics effects. High concentrations of vitamin A have been observed in the livers of animals. The objective of this study was to assess the levels of retinol in chicken livers and verify the effect of frozen storage on these levels. 64 livers from two chicken strains, Cobb and Ross, were used, came from four different farms. We examined 32 livers from each strain, 8 samples from each farm. Liver sample were homogenized individually, then 4 aliquots were taken from each sample. One of aliquots was analyzed immediately after slaughter (T0), the others were analyzed after 30, 60 and 90 days of storage at -18oC (T30, T60 and T90, respectively). Retinol dosage in the liver was determined by High Performance Liquid Chromatography (HPLC). The levels of retinol varied significantly according to the strain. The mean retinol value in the fresh samples was 6678.0 ± 1337.7 and 8324.1 ± 1158.5 µg/100g in the Cobb and Ross strain, respectively. Values of 4258 ± 918.7 ± 1391.7 and 4650.5 ± 1391.7 μg/100g were found after 90 days of storage for Cobb and Ross strain, respectively. The liver freezing caused a significant reduction in their levels of retinol, causing a loss of up to 44% with respect to fresh livers. The reduction in retinol levels occurred from 30 days of storage. Even with the losses from the frozen, the ingestion of a typical portion of 100 g of liver, regardless the chicken strain analyzed, surpass all recommendations of consumption and the maximum tolerable intake of vitamin A (3000 μg/day) for adults

O director de turma como mediador entre o concelho de turma, os alunos, e os encarregados de educação: Contributos para a avaliação da direcção de turma

O presente estudo tem como objectivo investigar o reconhecimento e a relevância do papel do Director de Turma enquanto gestor intermédio para os alunos, os encarregados de educação e para os próprios, tendo em conta a interface inter-relacionai em que a função se desenvolve. Este trabalho teve como pressupostos de base a convicção de que a Educação é um fenómeno complexo que, para além de outras, mobiliza dimensões sociológicas, psicológicas e epistemológicas, além de necessitar, constantemente, de reflexão sobre as suas práticas. Assim, conscientes de que o papel do Director de Turma é de grande importância nas organizações escolares, foi nosso objectivo estudá-lo sob o ponto de vista teórico a partir de uma reflexão na prática e efectuar um estudo empírico do modo como a função é percepcionada como elo de ligação entre os Alunos, os Encarregados de Educação e a Escola. Aborda-se a figura do Director de Turma, enquanto gestor pedagógico intermédio da organização escolar, tendo em conta as atribuições que lhe são consagradas na lei e a forma como os demais parceiros vêm a sua função, em especial numa Escola do 2º e 3° ciclos do Ensino Básico, de acordo com as perspectivas/representações dos próprios actores educativos. O estudo visou em concreto, proporcionar uma análise sustentada do reconhecimento e valorização da figura do Director de Turma enquanto mediador entre o aluno, os encarregados de educação e a Escola. Pretendeu-se, nomeadamente, questionar teórica e empiricamente, a interacção e a articulação entre a formação pessoal, a actuação e as representações dos Directores de Turma. Assim, investigou-se de que modo o Director de Turma, considerado como um agente de mediação, é ou não reconhecido e valorizado enquanto figura responsável pela ligação do aluno e do seu encarregado de educação à Escola. Como opção metodológica optou-se por um estudo de caso, recorrendo à complementaridade entre os procedimentos quantitativos e qualitativos, de acordo com os objectivos visados. Assim, as técnicas de recolha de dados utilizados neste estudo foram o inquérito, por questionário, e a entrevista. Estes instrumentos foram sendo sucessivamente aperfeiçoados. Participaram, a nível do inquérito por questionário, duas turmas, uma do 2° ciclo e outra do 3° ciclo (num total de 45 alunos e respectivos encarregados de educação) e a nível da entrevista, os dois Directores de Turma das turmas envolvidas. Procurou-se, deste modo, contribuir para elucidar em que medida a figura do Director de Turma é reconhecida e valorizada como elo de ligação entre os Alunos, os Encarregados de Educação e a Escola enquanto gestor intermédio. Nas Conclusões após o confronto entre as questões de partida, o quadro teórico e os resultados do estudo empírico, discutem-se as dificuldades e limitações que um estudo desta natureza envolve. Avança-se, por fim, com algumas sugestões que a investigação realizada permite, no sentido de utilizar o conhecimento produzido para melhorar o relacionamento entre o Aluno, os Encarregados de Educação e a Escola e, consequentemente, o processo ensino-aprendizagem. ABSTRACT; The purpose of this study is to investigate the recognition and relevance of the role of the classroom director as an intermediate supervisor to the students, the parents and the classroom director himself, having in mind the inner- relation interface the function takes place. This work was conceived on the basic notion that Education is a complex-phenomenon, setting in motion, among other things, sociological, psychological and epistemological dimensions, as well as requiring, frequently, reflection about its practices. Therefore, conscious of the fact that the role of the class director is of enormous importance within a school environment, our aim was to study it from the theoretical point of view by a reflection in practice and performing an empirical analysis on the way it is understood as a link among the students, parents and the school. The role of classroom director is thus analysed as a pedagogical director in a school setting. Taking into consideration the rights conferred to him/her by law and the way all the other partners assign to the class director, particularly in a 2nd and 3rd cycle of the Elementary School system, in accordance with the perspectives/representations of the education actors. More specifically, this study is an in-depth analysis of the recognition and the valuation of the class director figure as a mediator among the pupils, the parents and the school. ln other words, the interaction between theory and practice in the daily performance of the classroom director were questioned and studied for further analysis. Hence, questioned the way in which the classroom director, seen as a mediation agent, could be considered as a coordinator, recognized and valorized as the responsible figure by the linking among the pupil and his/her parents to the school. The case was realized in the 2nd and 3rd cycle of an elementary school in the Alentejo. As a methodological option, quantitative and qualitative processes were both employed, thus keeping in line with the main objective of this work. Therefore, the data collected and herein utilized were the result of queries, i.e., questionnaires and personal interviews. The former were addressed at the pupils of two classes, one of the 2nd cycle and another of the 3rd cycle of the school and their parents (45 pupils and the same number of parents in total), and the two classroom directors of the classes implicated in the study. ln the Conclusion, a balance of the study is presented, comparing the initial research questions, the theoretical framework, and the results of the empirical analysis developed. A few suggestions are presented from the experience gained in this investigation, i.e., using the knowledge acquired in order to improve and enrich the relationship among the pupils, the parents, the school, and the teaching learning process.

Avaliação de um chiller de absorção numa unidade de cogeração e trigeração

Portugal é um país dependente da energia do exterior, devido à elevada percentagem de consumo de energia a partir de fontes primárias, como por exemplo o gasóleo. Para colmatar este cenário, têm vindo a criar-se incentivos para o uso de energias renováveis e para intensificação de medidas de eficiência energética, como os sistemas de cogeração, de forma a tornar os processos industriais nacionais mais autónomos e mais competitivos. O presente trabalho, centra-se na avaliação do chiller de absorção na central de trigeração da empresa Monteiro, Ribas-Indústria, SA, com a finalidade de identificar algum problema no funcionamento do chiller. Após efetuado o estudo do chiller, verificou-se que o coeficiente de performance do chiller apresenta valores que variam entre 0,75 e 0,81, que comparado com o valor especificado, não apresenta grande diferença. No que toca à potência do chiller, esta apresentou valores entre 948 e 1045 kW. Estes valores estavam bem abaixo da potência especificada pelos fornecedores. Assim, pretendeu-se propor medidas para melhor a potência obtida. Para o efeito foi sugerido o aquecimento da corrente que atua como fonte de calor para o chiller, a corrente de água quente. Embora a empresa apresente a solução para o problema, um permutador de vapor para o aquecimento da corrente de água quente, este não se encontra em funcionamento contínuo, levando a uma potência mais baixa.

Avaliação de megadoses de retinol palmitato no pós-parto imediato sobre o retinol do leite de puérperas atendidas no Hospital José Pedro Bezerra, Natal-RN

Vitamin A deficiency (VAD) is a serious public health problem in developing countries, and as a therapeutic and prophylactic measure retinil palmitate is being supplemented. Nevertheless its efficacy has been questioned. The objective of the study was to evaluate the supplementation of two retinil palmitate megadosis on the serum retinol levels of post partum healthy mothers from Dr. José Pedro Bezerra (Hospital Santa Catarina) hospital, Natal - RN. The enrolled women (n=199) were randomly distributed into three studied groups and supplemented with retinil palmitate immediately after delivery with a single 200,000 IU dose (group S1), two 200,000 IU dose (group S2) with 24h difference between the doses, or no supplementation (group C). Among women selected, 143 remained until the end of the study. The influence of vitamin A dietary intake was evaluated during pregnancy and after 30 days of delivery. The average intake of the population was reasonable, but a high prevalence of inadequate intake was found. Retinol in colostrums and mature milk was determined by high performance liquid chromatography (HPLC). The retinol average in colostrums and mature milk in the supplemented and control groups were adequate according to the reference values. In colostrums, women from groups C, S1 and S2 presented retinol averages by milk volume of 94.8 ± 40.2 µg/dL, 92.2 ± 50.0 µg/dL and 91.8 ± 53.7 µg/dL, respectively. No difference was found between these averages (p=0.965), this was also seen when the values where expressed as µg/g of fat (p=0.905). After 30 days of delivery, retinol per milk volume differed between the control group (36.6 ± 17.5 µg/dL) and groups supplemented with 200,000 IU (51.0 ± 28.8 µg/dL) or 400,000 IU (55.2 ± 31.6 µg/dL) of retinil palmitate (p<0,05). Nevertheless, when S1 and S2 groups where compared, no significant difference was found (p=0.97). Considering retinol/g of fat, the means were 12.7 ± 6.7 µg/g, 15.6 ± 8.3 µg/g and 17.2 ± 8.9 µg/g for groups C, S1 and S2, respectively, with significant difference between groups S2 and C (p=0,01). Subclinical VAD prevalence showed a serious public health problem in the study population (32% in colostrums and 31.5% in mature milk). When analyzing the groups separately, the group which received two doses (200,000 IU + 200,000 IU) presented the lowest VAD prevalence (20.7%). Retinil palmitate supplementations of 200,000 IU and 400,000 IU (divided in two doses) in the immediate post partum showed no significant difference. Nevertheless, the 400,000 IU (divided in two doses) supplementation showed a reduction in VAD

Proposta de avaliação de práticas sustentáveis nas operações de serviço em instituições de ensino superior da Rede Federal de Educação Profissional, Científica e Tecnológica

Higher Education Institutions (HEIs) have an extremely important social role, they are responsible for the place where they work and to form citizens who contribute to a fair and cooperative society. Universities can engage with sustainable development in planning, management, education, research, operations, community services, procurement of materials, transportation and infrastructure; this research seeks to analyze the sustainability practices in service operations in the Higher Education Institutions of the Federal Network of Professional, Scientific and Technological Education in Brazil through the development and application of a model called the Sustainability Assessment for Higher Technological Education (SAHTE). To achieve the proposed goal, a systematic survey of the scientific literature on sustainability assessment models in higher education institutions was conducted, making it possible to identify the characteristics and features of existing models. The model was applied through multiple case studies. The proposal compares the sustainability performance of service operations among individual institutions using a common methodology. It presents five areas to be evaluated in the HEI: Governance and Policies, People, Food, Water and Energy, and Waste and Environment, with a total of 134 questions. The need for greater support from the senior management of institutions to formulate and implement policies on sustainable development was identified when the lack of policies on sustainability in service operations was found; initiatives tend to be isolated. The participation of students and teachers in studies on the daily operations of the campus can be expanded and more widespread. The model seeks to evaluate sustainable practices in the service operations of the Brazilian Federal Network of Professional, Scientific and Technological Education; studies related to the evaluation of teaching sustainability are absent and the applicability of the model in private institutions and other countries is needed. The results obtained with the application of the SAHTE model are useful for the preparation and development of policies on sustainable development, especially in the service operations of the surveyed HEI. The results can sensitize staff and students, who can reflect on their roles in the HEI, as well as the community and suppliers.

A avaliação de desempenho docente vista por professores: realidades, expetativas, desafios e oportunidades

A avaliação de desempenho docente tem sido considerada o alfa e o ômega dos sistemas educativos, nas últimas décadas. Em Portugal, desde 2007, esta questão tornou-se mais acutilante devido às alterações introduzidas no Estatuto da Carreira Docente que originaram uma alteração profunda nas práticas de avaliação do desempenho docente. A implementação do novo modelo despoletou forte resistência por parte destes profissionais, alimentada por uma base concetual distante da realidade das escolas portuguesas e por tibiezas na execução do processo de avaliação. O principal objetivo deste estudo consistiu em apresentar os contributos de professores para um modelo de avaliação do desempenho docente, assumindo as expetativas e as perceções destes profissionais como referente imprescindível para a sustentabilidade avaliativa do modelo. Para além disso, procedeu-se a uma breve descrição e avaliação do modelo de avaliação docente, implementado entre 2007 e 2011, recuperando perceções depuradas pelo tempo. O estudo, descritivo e inferencial, conciliou abordagens de natureza quantitativa e qualitativa, tendo recorrido a um questionário, aplicado a 585 docentes em funções no Algarve, e à entrevista, realizada a quatro informadores privilegiados do processo avaliativo. Os resultados alcançados apontaram para i) de um conjunto de pareceres favoráveis face a alguns aspetos do modelo de avaliação vigente entre 2007 e 2011; ii) uma avaliação globalmente negativa do mesmo modelo, iii) a definição de componentes das diferentes dimensões de modelo avaliativo, onde se identificou a preponderância da vertente formativa; a articulação da avaliação dos docentes com a avaliação de escola e com outros documentos de gestão escolar; a coincidência dos ciclos avaliativos com a progressão na carreira; a autoavaliação como principal instrumento de recolha de dados; a observação facultativa de aulas; a existência de avaliadores com formação em supervisão ou avaliação e capacitados com um perfil adequado; e o uso dos resultados da avaliação para a melhoria das práticas letivas e para a progressão na carreira, sendo ainda de considerar a possibilidade de acionar mecanismos de recuperação, caso existissem indicadores de insucesso na prática profissional do docente. O estudo termina com o enunciado de recomendações para a reconceptualização do modelo de avaliação dos docentes, permitindo reconhecer e eliminar os fatores conflituantes, tendo em vista a concretização da avaliação docente como estratégia impulsionadora da melhoria do desempenho dos professores, da escola e do sistema educativo. Palavras-chave: avaliação educacional; avaliação de desempenho docente; modelos de avaliação de desempenho docente; desenvolvimento profissional do professor, educadores e professores dos ensinos básico e secundário; ABSTRACT:Teacher performance appraisal has been considered the alpha and omega of educational systems in recent decades. In Portugal, since 2007, this issue has become more incisive due to amendments to the Teaching Career Statute that brought deep changes in assessment practices of teacher performance. The application of the new system has triggered strong resistance by these professionals, powered by a distant conceptual basis of the reality of Portuguese schools and weaknesses in the implementation of the appraisal process. The aim of this study is to present the teachers contributions to this teacher performance appraisal model, taking the expectations and perceptions of these professionals as an essential reference for the sustainability of the appraisal process. In addition, a brief description and evaluation of the teacher performance appraisal model, implemented between 2007 and 2011, was given, recovering perceptions filtered by time. The study, descriptive and inferential, reconciled quantitative and qualitative approaches, has used a questionnaire applied to 585 teachers serving on the Algarve, and an interview to four held key informants of the teacher appraisal process. The achieved results showed i) a set of favorable opinions about some aspects of the current evaluation model between 2007 and 2011; ii) a generally negative evaluation of the same model, iii) the definition of components of different dimensions of the appraisal system, which showed preponderance of formative purposes; the joint assessment of teachers with school evaluation and other school management documents; the coincidence of the evaluation cycles with career advancement; self-evaluation as the main data collection instrument; the optional classroom observation; the existence of evaluators under supervision in training or evaluation and empowered with the right profile; and the use of evaluation results to improve teaching practices and to career advancement, still considering the possibility of using recovery mechanisms if there were failure indicators in professional teaching practice. The study ends with the statement of recommendations for the reconceptualization of teacher performance appraisal, which allowed to recognize and eliminate conflicting factors, with a view to implementing the teaching appraisal as a compelling strategy for improving teacher performance, school and educational system. Keywords: educational evaluation; teacher performance appraisal; teacher performance appraisal systems; teacher professional development; early years teachers, primary and secondary school teachers.

Avaliação da política de segurança alimentar implementada através dos restaurantes populares do Rio Grande do Norte

This survey has to general objective to evaluate the Food Safety Policy implemented by Restaurantes Populares do Rio Grande do Norte. The survey is qualitative of type exploratory and descriptive. The universe of survey is all Units of Food and Nutrition (UAN) of the Restaurantes Populares do Rio Grande do Norte. To collects of data were used two instruments: interview and form. The interviews were intended to analyze the four axes of the Food Safety: access, food quality, production and marketing of food and organizational arrangement. The form was used to check the quality of nutrition and sanitary-hygienic food served. We used two types of forms: a spreadsheet with the weekly menu and the portions served to verify that the meals serve the nutritional needs proposed by the program; and the check-list of ANVISA to verify the sanitary-hygienic conditions in each unit. Through the survey data and analyses made observe that the access category have some problems such as lack of registration, lack of advertising of Restaurants and wastage of public resources, making policy that should be of included in a policy of exclusion. In the nutritional aspect there is neglect on the daily nutritional goal, because it is not accomplished nutritional analysis of menu offered, the nutritionists do not know what should be the nutritional value of meals served; in the hygienic-health aspect trough the problems identified is concludes that there is no guarantee of food quality hygienic-sanitary, committing the program as a Food Safety Program. About the production and marketing of food is observed some problems as: the goal of sale of meals is not achieved in full, the purchase of genres does not stimulate the local economy, nor generates jobs and income, and inefficient performance of the MEIOS's supervision. In the analysis of organizational arrangement is concluded that the partnerships are beneficial, despite some negative points, therefore, are these partnerships the problems of non-compliance, as both the MEIOS and Nutriti of important criteria established in the partnership. Therefore, it is understood that the Programa Restaurantes Populares in its original formulation is proposed to be a food safety policy, but has some problems that impossible to meet its goal, making it unprofitable like Food Safety Policy

Contributos dos coordenadores de departamento curricular e dos delegados de grupo na avaliação de desempenho docente : estudo de caso numa escola básica e secundária no norte da Região Autónoma da Madeira

O presente trabalho foi desenvolvido no âmbito da dissertação de Mestrado em Supervisão Pedagógica e insere-se na linha de investigação de políticas educativas e supervisão pedagógica. Pretendeu-se encontrar, através da investigação que aqui se apresenta, os contributos dos coordenadores de departamento curricular e delegados de grupo com funções de avaliadores internos no processo de avaliação de desempenho docente. Procurou-se ainda encontrar o perfil dos avaliadores para se poder exercer o cargo, assim como apresentar o enquadramento teórico dos autores e legislação que o sustentam. Este estudo focalizou-se no Decreto Regulamentar Regional n.º 26/2012/M, de 8 de outubro que regulamenta as novas regras da avaliação de desempenho docente e a unidade de estudo deste trabalho é uma escola pública do ensino básico e secundário, no concelho de São Vicente, Norte da Madeira. Para dar cumprimento aos eixos de análise do trabalho utilizou-se a metodologia qualitativa estudo de caso e através de uma análise documental, de inquéritos por entrevista dirigidos aos 12 avaliadores internos - coordenadores de departamento e delegados de grupo - e aos 14 docentes avaliados, considerados a amostra da dimensão interna, encontrou-se um perfil de avaliador interno de desempenho docente na prática, assim como os contributos destes na avaliação de desempenho docente, de acordo com a legislação regional da Madeira. Tendo por base os resultados obtidos, concluímos que o novo modelo de avaliação de desempenho de docente é um modelo formativo, privilegia o trabalho colaborativo, promove a reflexão, a partilha e a troca de experiências, bem como a melhoria das práticas pedagógicas e o desenvolvimento profissional, apesar da conjuntura atual não promover a progressão na carreira devido ao congelamento como medida de austeridade, o que desmotiva os docentes avaliados e faz ainda com que estes profissionais encarem a avaliação interna como um trabalho menos sério, que não premeia o desempenho e o mérito.

Estudo de um método de avaliação de desempenho aplicado aos técnicos de radiologia do Hospital Curry Cabral

A avaliação do desempenho e a sua aplicação são, no actual enquadramento socioeconómico, cada vez mais necessárias, como forma de melhorar a eficácia e a eficiência entre as organizações. Para a prática profissional verifica-se que a implementação da avaliação de desempenho, apresenta lacunas que podem comprometê-la. Sabendo da importância do profissional para o sucesso da implementação da avaliação de desempenho, toma-se fundamental, analisar a sua percepção face ao modelo e sua implementação. O problema da instrução do presente estudo pretende saber quais as percepções dos técnicos de radiologia avaliados sujeitos ao modelo de avaliação de desempenho implantado no Hospital Curry Cabral. Tendo como objectivo ao nível da gestão, minimizar os obstáculos de implementação e maximizar os pontos fortes. Após pesquisa bibliográfica sobre os principais conceitos, foi definido domo objectivo da investigação empírica: - Comparar as percepções dos técnicos de radiologia submetidos ao modelo de avaliação desempenho ”Pró-Activo”. Recorrendo a uma metodologia exploratória e descritiva, estudámos o impacto dessas ferramentas utilizadas dentro da Unidade Hospitalar do estudo. A metodologia de recolha de informação aos profissionais expostos do estudo assentou em questionários de perguntas fechadas e abertas ambas com uma abordagem de carácter quantitativo. Para a análise e tratamento dos dados utilizou-se programas informáticos. As principais conclusões: verifica-se a falta de formação para todos os envolvidos, um processo desprovido de imparcialidade, neutralidade e rigor, bem como uma motivação geral dos profissionais em matéria de avaliação de desempenho. ABSTRACT - The evaluation of performance and its implementation are, in the current socioeconomic framing, each time more necessary as form to improve the effectiveness and the efficiency amidst the organizations. For the practical professional it is verified that the implementation of the performance evaluation, presents gaps that can compromise it. Knowing the importance of the individuals in the success of the implementation of the performance evaluation, it becomes basic to analyze its perceptions face to the model and its implementation. The problem of inquiry of this study pretends to know which the perceptions of the technicians of radiology evaluated and appraisers face to the models of evaluation of performance implanted in the Portuguese Hospitals (Hospital Curry Cabral). The purpose to the level of the management is to minimize the obstacles of implementation and to maximize the strong points. Bibliographical research on the main concepts was effectuated, after what we define the objectives of empirica inquiry: - To compare the perceptions of the radiology technicians subjected to models of performance evaluation “Pro-Activa”. Using an exploratory and descriptive approach, studied the impact of these tools used in the hospitals of the study. The methodology for collecting information to professionals out of the study based on questionnaires of both open and closed questions with a quantitative approach to nature. For analysis and data processing software was used. The main conclusions: there is the lack of training for all involved, a process devoid of impartiality, neutrality and accuracy, as well as a general motivation of the professionals regarding the evaluation of performance.

Avaliação do retinol em parturientes com diabetes mellitus gestacional no pós parto imediato

Micronutrient deficiencies affect individuals mainly in developing countries, where vitamin A deficiency is a public health problem worldwide more worrying, especially in groups with increased physiological needs such as children and women of reproductive age. Vitamin A is supplied to the body through diet and has an important role in the visual process, cell differentiation, maintenance of epithelial tissue, reproductive and resistance to infection. The literature has demonstrated the relationship between vitamin A and diabetes, including gestational, leading to a risk to both mother and child. Gestational diabetes is any decrease in glucose tolerance of variable magnitude diagnosed each the first time during pregnancy, and may or may not persist after delivery. Insulin resistance during pregnancy is associated with placental hormones, as well as excess fat. Studies have shown that retinol transport protein produced in adipose tissue in high concentrations, this would be associated with resistance by interfering with insulin signaling. Therefore, this study aimed to evaluate the concentration of retinol in serum and colostrum from healthy and diabetic mothers in the immediate postpartum period. One hundred and nine parturient women were recruited, representing seventy-three healthy and thirty-six diabetic. Retinol was extracted and subsequently analyzed by High Performance Liquid Chromatography. Among the results highlights the mothers with gestational diabetes were older than mothers healthy, had more children and a higher prevalence of cases of cesarean section. Fetal macrosomia was present in 1.4% of healthy parturient women and in 22.2% of diabetic mothers. The maternal serum retinol showed an average of 39.7 ± 12.5 mg/dL for healthy parturients 35.12 ± 15 mg/dL for diabetic and showed no statistical difference. It was observed that in the group of diabetic had 17% vitamin A deficiency, whereas in the healthy group, only 4% of the women were deficentes. Colostrum, the concentration of retinol in healthy was 131.3 ± 56.2 mg/dL and 125.3 ± 41.9 mg/dL in diabetic did not differ statistically. This concentration of retinol found in colostrum provides approximately 656.5 mg/day for infants born to healthy mothers and 626.5 mg/day for infants of diabetic mothers, based on a daily consumption of 500 mL of breast milk and need Vitamin A 400 mg/day, thus reaching the requirement of the infant. The diabetic mothers showed significant risk factors and complications related to gestational diabetes. Although no 11 difference was found in serum retinol concentration and colostrum among women with and without gestational diabetes, the individual analysis shows that parturients women with diabetes are 4.9 times more likely to develop vitamin A deficiency than healthy parturients. However, the supply of vitamin A to the newborn was not committed in the presence of gestational diabetes

Avaliação da suplementação com vitamina E, na forma natural ou sintética, em mulheres no pós-parto imediato e sua concentração no colostro

The Vitamin E consists of eight chemically homologous forms, designated alpha, beta, gamma and delta tocopherols and tocotrienols. Biologically, the alpha-tocopherol (α-TOH) is the most important. Commercially, are found two types of α-TOH a natural (RRR-alpha-tocopherol) and another synthetic (all-rac-alpha-tocopherol). Both forms are absorbed in the intestine, the liver is a preference in favor of forms 2R, due to transfer protein α-TOH. It has higher affinity to these stereoisomers. Newborns are considered high risk for vitamin E deficiency, mainly premature, these have breast milk as a food source for maintenance of serum α-TOH. Clinical signs such as thrombocytosis, hemolytic anemia, retrolental fibroplasia, intraventricular hemorrhage, bronchopulmonary dysplasia and spinocerebellar degeneration can be found in case of a low intake of α-TOH. Thus, maternal supplementation on postpartum with α-TOH can be an efficient way to increase levels of vitamin E in breast milk and thus the consequently increase the supply of micronutrient for the newborn. However, most studies with vitamin E supplementation have been conducted in animals and little is known about the effect of maternal supplementation in humans, as well as on its efficiency to increase levels of α-TOH in human milk, depending on the shape natural or synthetic. The study included 109 women, divided into three groups: control without supplementation (GC) (n=36), supplemented with natural capsule (GNAT) (n=40) and the synthetic capsule (GSINT) (n=33). Blood samples were collected for determination of maternal nutritional status, and colostrums at initial contact and after 24 hours post-supplementation. Analyses were performed by High Performance Liquid Chromatography. Values of α-TOH in serum below 499.6mg/dL were considered deficient. We used the Kruskal-Wallis test and Tukey test to confirm the increase of alpha-tocopherol in milk and efficiency of administered capsules. Daily consumption of α-TOH was based on daily intake of 500 mL of colostrum by the newborn and compared with the nutritional requirement for children from 0 to 6 months of age, 4 mg / day. The mothers had mean concentration of serum α-TOH in 1016 ± 52, 1236 ± 51 and 1083 ± 61 mg / dL, in CG, GNAT and GSINT respectively. There were no women with deficiiency. The GC did not change the concentrations of α-TOH in colostrum. While women supplemented with natural and synthetic forms increased concentrations of α-TOH colostrum in 57.6% and 39%, respectively. By comparing supplemented groups, it was observed a significant difference (p=0.04), the natural capsule more efficient than the synthetic, approximately 49.6%. Individually, 21.1% of the women provided below 4mg/day of α-TOH, after supplementation for this index declined4.1%. Thus, maternal supplementation postpartum raised the levels of alpha-tocopherol in colostrum, and increased efficiency was observed with the natural form