Práticas/estratégias educativas na perturbação de hiperactividade e défice de atenção

Orientador : Maria Cristina Gonçalves

Mais saber, melhor enfermagem : a repercussão da formação na qualidade de cuidados

Esta tese de doutoramento procurou desenhar um quadro conceptual para implementar um novo modelo formativo, que permita melhorar a qualidade dos cuidados de enfermagem. Partindo da pergunta “qual o contributo da formação inicial para a qualidade percebida pelos utentes?”, procuramos perceber a relação entre a formação escolar, a emergência de competências profissionais, em sede de exercício, e a qualidade percebida pelos utentes. Este estudo é estruturado em dois momentos: o estudo nuclear assente numa metodologia qualitativa, com aproximação à Grounded Theory que permitiu perceber a importância da formação para a qualidade dos cuidados e a formulação do modelo inicial de investigação; e um estudo complementar de carácter descritivo-transversal, enquadrado numa metodologia quantitativa e em análise documental que nos permitiu avaliar a satisfação dos clientes sobre a qualidade dos cuidados e a construção de um novo modelo sobre os factores mais relevantes para a satisfação do cliente. Os resultados obtidos possibilitam a identificação de um conjunto de variáveis que influenciam, directa e indirectamente, a qualidade dos cuidados e a satisfação dos clientes e permitem a elaboração do modelo final de análise do problema formulado, realçando sobretudo o estatuto da emergência das competências como variável mediadora.

Patient satisfaction in the Central Institute for the Deaf Clinic

This paper discusses a patient satisfaction survey developed for the Central Institute for the Deaf Clinic. The goal of the survey project was to establish a patient satisfaction for services baseline and to examine factors affecting patient satisfaction, such as degree of hearing loss, gender, age, and experience of the audiologist.

A set of lectures concerning an educational approach towards the young hearing impaired child

This paper is a review of educational approaches for young hearing impaired children in South Africa.

The effects of scene heterogeneity on soil moisture retrieval from passive microwave data

The s–x model of microwave emission from soil and vegetation layers is widely used to estimate soil moisture content from passive microwave observations. Its application to prospective satellite-based observations aggregating several thousand square kilometres requires understanding of the effects of scene heterogeneity. The effects of heterogeneity in soil surface roughness, soil moisture, water area and vegetation density on the retrieval of soil moisture from simulated single- and multi-angle observing systems were tested. Uncertainty in water area proved the most serious problem for both systems, causing errors of a few percent in soil moisture retrieval. Single-angle retrieval was largely unaffected by the other factors studied here. Multiple-angle retrievals errors around one percent arose from heterogeneity in either soil roughness or soil moisture. Errors of a few percent were caused by vegetation heterogeneity. A simple extension of the model vegetation representation was shown to reduce this error substantially for scenes containing a range of vegetation types.

Uncertainties in future projections of extreme precipitation in the Indian monsoon region

Uncertainties in changes to the spatial distribution and magnitude of the heaviest extremes of daily monsoon rainfall over India are assessed in the doubled CO2 climate change scenarios in the IPCC Fourth Assessment Report. Results show diverse changes to the spatial pattern of the 95th and 99th subseasonal percentiles, which are strongly tied to the mean precipitation change during boreal summer. In some models, the projected increase in heaviest rainfall over India at CO2 doubling is entirely predictable based upon the surface warming and the Clausius–Clapeyron relation, a result which may depend upon the choice of convection scheme. Copyright © 2009 Royal Meteorological Society and Crown Copyright

Verification of cloud-fraction forecasts

Cloud radar and lidar can be used to evaluate the skill of numerical weather prediction models in forecasting the timing and placement of clouds, but care must be taken in choosing the appropriate metric of skill to use due to the non- Gaussian nature of cloud-fraction distributions. We compare the properties of a number of different verification measures and conclude that of existing measures the Log of Odds Ratio is the most suitable for cloud fraction. We also propose a new measure, the Symmetric Extreme Dependency Score, which has very attractive properties, being equitable (for large samples), difficult to hedge and independent of the frequency of occurrence of the quantity being verified. We then use data from five European ground-based sites and seven forecast models, processed using the ‘Cloudnet’ analysis system, to investigate the dependence of forecast skill on cloud fraction threshold (for binary skill scores), height, horizontal scale and (for the Met Office and German Weather Service models) forecast lead time. The models are found to be least skillful at predicting the timing and placement of boundary-layer clouds and most skilful at predicting mid-level clouds, although in the latter case they tend to underestimate mean cloud fraction when cloud is present. It is found that skill decreases approximately inverse-exponentially with forecast lead time, enabling a forecast ‘half-life’ to be estimated. When considering the skill of instantaneous model snapshots, we find typical values ranging between 2.5 and 4.5 days. Copyright c 2009 Royal Meteorological Society

Contingencies of contingent employment: psychological contract, job insecurity and employability of contracted workers

Drawing on psychological contract literature, the present study examines the emerging contingent employment relationships, which involve the contracted workers, the employment agency and the client organization on whose premises these employees work. This sample includes eighty-eight white-collar employees working for four Portuguese agencies. The results suggest that the perceived fulfilment of client?s obligations relates positively to the perceived fulfilment of agency?s obligations and that these constructs are independent of one another. Furthermore, as expected, we have found that the perception of job insecurity relates negatively to the fulfilment of agency?s obligations. No relationship was found between employability and the perceived fulfilment of client?s obligations. The results have implications for practitioners and future research.

Including an ocean carbon cycle model into iLOVECLIM (v1.0)

The atmospheric carbon dioxide concentration plays a crucial role in the radiative balance and as such has a strong influence on the evolution of climate. Because of the numerous interactions between climate and the carbon cycle, it is necessary to include a model of the carbon cycle within a climate model to understand and simulate past and future changes of the carbon cycle. In particular, natural variations of atmospheric CO2 have happened in the past, while anthropogenic carbon emissions are likely to continue in the future. To study changes of the carbon cycle and climate on timescales of a few hundred to a few thousand years, we have included a simple carbon cycle model into the iLOVECLIM Earth System Model. In this study, we describe the ocean and terrestrial biosphere carbon cycle models and their performance relative to observational data. We focus on the main carbon cycle variables including the carbon isotope ratios δ13C and the Δ14C. We show that the model results are in good agreement with modern observations both at the surface and in the deep ocean for the main variables, in particular phosphates, dissolved inorganic carbon and the carbon isotopes.

How will the stratosphere affect climate change?

Changes in stratospheric chemistry and circulation associated with ozone recovery may affect the patterns of future climate change.

Intercomparison of methods of coupling between convection and large-scale circulation: 1. Comparison over uniform surface conditions

As part of an international intercomparison project, a set of single column models (SCMs) and cloud-resolving models (CRMs) are run under the weak temperature gradient (WTG) method and the damped gravity wave (DGW) method. For each model, the implementation of the WTG or DGW method involves a simulated column which is coupled to a reference state defined with profiles obtained from the same model in radiative-convective equilibrium. The simulated column has the same surface conditions as the reference state and is initialized with profiles from the reference state. We performed systematic comparison of the behavior of different models under a consistent implementation of the WTG method and the DGW method and systematic comparison of the WTG and DGW methods in models with different physics and numerics. CRMs and SCMs produce a variety of behaviors under both WTG and DGW methods. Some of the models reproduce the reference state while others sustain a large-scale circulation which results in either substantially lower or higher precipitation compared to the value of the reference state. CRMs show a fairly linear relationship between precipitation and circulation strength. SCMs display a wider range of behaviors than CRMs. Some SCMs under the WTG method produce zero precipitation. Within an individual SCM, a DGW simulation and a corresponding WTG simulation can produce different signed circulation. When initialized with a dry troposphere, DGW simulations always result in a precipitating equilibrium state. The greatest sensitivities to the initial moisture conditions occur for multiple stable equilibria in some WTG simulations, corresponding to either a dry equilibrium state when initialized as dry or a precipitating equilibrium state when initialized as moist. Multiple equilibria are seen in more WTG simulations for higher SST. In some models, the existence of multiple equilibria is sensitive to some parameters in the WTG calculations.