Avaliação do nível de conhecimento geral e grau de alerta sobre cancro oral numa população do nordeste transmontano

O cancro é um dos principais causadores de milhões de mortes em todo o mundo e sendo o cancro oral, especificamente, a sexta neoplasia mais frequente a nível mundial. Todos os anos são diagnosticados mais de 500 mil novos casos, sendo que as altas taxas de mortalidade e mortalidade não se têm alterado ao longo dos anos. A maior incidência de cancro oral encontra-se na Ásia e na Europa do Sul. Em Portugal, mais precisamente em 2012, foram diagnosticados cerca de 1924 novos casos de cancro oral, dos quais 967 ocorreram em homens. O carcinoma espinocelular é o tipo histológico mais comum, sendo que 90% dos casos de cancro oral são deste tipo. Sabe-se também que esta variante é mais frequente no sexo masculino entre a 5ª e 6 ª década de vida apesar de, a incidência no sexo feminino, ter vindo a aumentar, devido à contínua exposição ao tabaco, álcool e a outros factores de risco. Como foi dito anteriormente, o cancro oral tem uma alta taxa de mortalidade e de morbilidade e, apesar dos avanços no diagnóstico, no tratamento e no conhecimento de quais os factores de risco desta patologia, a taxa de sobrevivência ainda é inferior a 50% o que revela que, o grande problema, passa pelo diagnóstico do cancro em estádios avançados. Assume-se então que, grande parte dos casos de cancro oral, poderiam ter sido evitados se houvesse maior conhecimento e grau de alerta sobre a doença o que tendencialmente, levaria a diagnósticos mais precoces. Neste sentido, este estudo tem como propósito a avaliação do nível de conhecimento geral e do grau de alerta de uma população do interior do país, mais precisamente do Nordeste Transmontano, bem como, efectuar o registo da percepção dos inquiridos relativamente a esta patologia, passando pelo reconhecimento da doença, pelo conhecimento epidemiológico e etiológico, e pela melhor percepção a nível de sinais e sintomas clínicos próprios desta patologia.

La posición socio económica en el campo de la actividad física y su relación con la imagen corporal: Aproximación desde el enfoque determinantes/ determinación social de la salud

El presente trabajo analiza la definición de la categoría posición socioeconómica (PSE) y las variables con las cuales se representa en los productos académicos del campo de la actividad física, además de su relación con la categoría de imagen corporal. Para lograr el objetivo, se rastrean elementos que permiten dar cuenta si los documentos de investigación se abordan desde alguno de los dos contextos: determinantes (DDSS) o determinación social de la salud (DSS). Se inicia con un rastreo global por medio de los motores de búsqueda, las bases de datos y los repositorios institucionales. Posteriormente se parametriza la ruta, desde las categorías imagen corporal (IC) y PSE. Las investigaciones pretenden dar cuenta de la evaluación a 15 años del programa "Salud para Todos" de la ONU de 2001, en el marco de los Objetivos Del Milenio. Se revisaron resúmenes de los productos, descartando aquellos donde la categoría PSE o sus descriptores asociados tuvieran un papel secundario. Se limitó a Latinoamérica y España por su tradición histórica colonizadora; con el ánimo de conocer la postura de esta comunidad frente al proceso globalizado de la salud en el mundo. Al grupo final se le aplican criterios parametrizados a partir de la revisión teórica, para responder los interrogantes basados en las implicaciones que tiene la PSE en el pensamiento actual de la producción científica en el campo de la actividad física; y cómo las otras categorías de análisis se ven o no manifiestas. El índice de calidad científica CASPe, determina la pertinencia de los textos. En el aspecto teórico, se encuentra que la categoría PSE, a pesar de ser muy utilizada, tiene una conceptualización difusa. Por tal motivo, se propone una definición de PSE sustentada en el pensamiento sociológico. En el aspecto empírico, al rastrear las variables con que se reemplaza la PSE en las investigaciones, se encuentran grandes diferencias y el uso de múltiples y disímiles subcategorías.

Parent sensitive support by paediatric nurses

Introduction The hospitalization of a child causes big changes in child and his family life. Parents often suffer from stress and anxiety. This can affect their relationship with the child. Because of the closeness to the parents, nurses have an important role in giving parents support so they can have more energy to support and take care of their children and in the inclusion of the family in the process of care Objectives: To define what family-centered care is, the needs of hospitalized children's parents and to identify the strategies and methods that the nurses use to give parental support adapted to the parent's needs and to identify the differences between parental support given by nurses in Belgium and Portugal. Methods and procedures The study exists out of two parts. First is an integrative review of literature. The search was performed using the databases MEDLINE, CINAHL , PubMed and Science Direct. 18 Articles were selected based on inclusion criteria. Second part is a focus group. The participants were pediatric nurses from Portugal and Belgium. Results family-centered care can be considered as a partnership between family and nurses. It has some general principles: information sharing, respect differences, negotiation and care in the context of the family. Parents have different needs: knowledge and communication, support, comfort, proximity and assurance. Parents cope with stress in different ways and nurses can support them while they are in the hospital. It is a nurse task to identify the stressors and know methods of emotional support, so she can protect the family structure. Nurses should always see the family as a path to the child, with whom the nurses should worry about taking care and meeting their needs. Conclusion Nurses should collect information which includes family relationships, cultural and religious habits and familiar dynamic. Parents need interpersonal emotional support. It is important for parents to be close to their children and take care of themselves. Nurses must create an environment where parents feel safe and have privacy. To create a therapeutic and professional relationship efficient communication is needed. Parents will experience less stress and anxiety.

Parent sensitive support by paediatric nurses

Introduction The hospitalization of a child causes big changes in child and his family life. Parents often suffer from stress and anxiety. This can affect their relationship with the child. Because of the closeness to the parents, nurses have an important role in giving parents support so they can have more energy to support and take care of their children and in the inclusion of the family in the process of care Objectives: To define what family-centered care is, the needs of hospitalized children's parents and to identify the strategies and methods that the nurses use to give parental support adapted to the parent's needs and to identify the differences between parental support given by nurses in Belgium and Portugal. Methods and procedures The study exists out of two parts. First is an integrative review of literature. The search was performed using the databases MEDLINE, CINAHL , PubMed and Science Direct. 18 Articles were selected based on inclusion criteria. Second part is a focus group. The participants were pediatric nurses from Portugal and Belgium. Results family-centered care can be considered as a partnership between family and nurses. It has some general principles: information sharing, respect differences, negotiation and care in the context of the family. Parents have different needs: knowledge and communication, support, comfort, proximity and assurance. Parents cope with stress in different ways and nurses can support them while they are in the hospital. It is a nurse task to identify the stressors and know methods of emotional support, so she can protect the family structure. Nurses should always see the family as a path to the child, with whom the nurses should worry about taking care and meeting their needs. Conclusion Nurses should collect information which includes family relationships, cultural and religious habits and familiar dynamic. Parents need interpersonal emotional support. It is important for parents to be close to their children and take care of themselves. Nurses must create an environment where parents feel safe and have privacy. To create a therapeutic and professional relationship efficient communication is needed. Parents will experience less stress and anxiety.

Population’s knowledge about cerebrovascular accident (stroke) - passers of the square giraldo in Evora

Stroke is the leading cause of death in Portugal and the Alentejo region. Objective: Describe the population's knowledge about risk factors, signs and symptoms of stroke. Methodology: Quantitative and cross-sectional study. Convenience sample of 207 pedestrians with ages between 16 and 86 years old (M=38,85; SD = 18.93). Results: The pathology is known, the most frequently mentioned sources of information are television and friends. Hypercholesterolemia, heart disease and smoking are the risk factors more set out. The most well known signs are numbness and weakness in the hemisphere and dysarthria. Conclusion: It is necessary to strengthen the role of health services in education about stroke. Knowledge displays weaknesses in appreciation of advanced age and diabetes. Noteworthy is the recognition of the risk associated with tobacco consumption and persistence on it.

Otter (Lutra lutra) distribution modeling at two resolution scales suited to conservation planning in the Iberian Peninsula

We used the results of the Spanish Otter Survey of 1994–1996, a Geographic Information System and stepwise multiple logistic regression to model otter presence/absence data in the continental Spanish UTM 10 10-km squares. Geographic situation, indicators of human activity such as highways and major urban centers, and environmental variables related with productivity, water availability, altitude, and environmental energy were included in a logistic model that correctly classified about 73% of otter presences and absences. We extrapolated the model to the adjacent territory of Portugal, and increased the model’s spatial resolution by extrapolating it to 1 1-km squares in the whole Iberian Peninsula. The model turned out to be rather flexible, predicting, for instance, the species to be very restricted to the courses of rivers in some areas, and more widespread in others. This allowed us to determine areas where otter populations may be more vulnerable to habitat changes or harmful human interventions. # 2003 Elsevier Ltd. All rights reserved.

O impacto da formação para o desenvolvimento pessoal e organizacional na CGD, S.A.

De modo a terminar o mestrado em Gestão, especialização em Recursos Humanos, considerou-se pertinente a realização de um estágio em contexto laboral, como forma a melhorar as competências técnicas e comportamentais. O estágio teve dois objectivos: aplicação dos conhecimentos adquiridos na primeira fase do mestrado e pesquisa de uma oportunidade de inserção no mercado de trabalho. O mesmo foi realizado na Caixa Geral Depósitos (CGD), empresa escolhida devido à posição de destaque que assume em Portugal e por se considerar que é uma organização líder e forte em muitos aspectos, nomeadamente em áreas da gestão de recursos humanos. Apesar das múltiplas abordagens que a gestão de recursos humanos tem e devido à especialização existente na CGD nesta área, o estágio foi essencialmente centrado no âmbito da formação. Considera-se que trabalhar nessa área trará bastantes beneficias pessoais uma vez que me dotará de competências fundamentais para enfrentar a realidade empresarial actual, que é fortemente acentuada na gestão do conhecimento. ABSTRACT: ln order to finish the master degree in Management, specializing in Human Resources, a pertinent stage-based learning was considered as a way to improve technical and behavioral skills. This stage had two targets: application of the obtained knowledge during the first stage of the master degree, and search for an opportunity of entering the labor market. This same stage was done at Caixa Geral Depósitos (CGD), a company that was chosen because of its prominent position assumed in Portugal, and is also considered a leading and strong organization in many areas, particularly human resource management. Despite the multiple approaches that human resources management has, and due to the know-how of CGD in this area, the stage was mainly focused in the training. It is considered that work in this area will bring many personal benefits as it will give me fundamental skills to deal with the actual business reality, which is strongly marked in knowledge management.

Social Representations of Violence against the Elderly

The repercussions of violence on the mental, social, and physical well-being of the elderly are some of the most challenging problems in public health today. Using a qualitative design, we conducted a study in Portugal and the United States that applied both descriptive and comparative methods in order to understand the social representations of violence against the elderly. Utilizing the Theory of Social Representations, we explored the perspectives of the elderly, their families, and healthcare professionals on the subject of violence against the elderly. The data on which the findings were based were obtained in two very different cultural contexts, yet the representations of violence against the elderly revealed no significant cross-cultural differences. However, conceptualizations regarding expectations of care and protection for the elderly proved to be distinct. We discussed concerns about the general attitudes of tolerance toward violence, including those of the elderly who self-identified as eventual victims. Violence against the elderly was portrayed as a part of old age and also somehow was justified by it. The results also indicated the need to better prepare healthcare professionals and society in general to deal with the consequences of the problem and not, as we would like to report, to prevent it from happening.

Movements of Diplodus sargus (Sparidae) within a Portuguese coastal Marine Protected Area: Are they really protected?

Mark-recapture tagging and acoustic telemetry were used to study the movements of Diplodus sargus within the Pessegueiro Island no-take Marine Protected Area (MPA), (Portugal) and assess its size adequacy for this species' protection against fishing activities. Therefore, 894 Diplodus sargus were captured and marked with conventional plastic t-bar tags. At the same time, 19 D. sargus were tagged with acoustic transmitters and monitored by 20 automatic acoustic receivers inside the no-take MPA for 60 days. Recapture rate of conventionally tagged specimens was 3.47%, most occurring during subsequent marking campaigns. One individual however was recaptured by recreational fishermen near Faro (ca. 250 km from the tagging location) 6 months after release. Furthermore, three specimens were recaptured in October 2013 near releasing site, one year after being tagged. Regarding acoustic telemetry, 18 specimens were detected by the receivers during most of the study period. To analyse no-take MPA use, the study site was divided into five areas reflecting habitat characteristics, three of which were frequently used by the tagged fish: Exterior, Interior Protected and Interior Exposed areas. Information on no-take protected area use was also analysed according to diel and tidal patterns. Preferred passageways and permanence areas were identified and high site fidelity was confirmed. The interaction between tide and time of day influenced space use patterns, with higher and more variable movements during daytime and neap tides. This no-take MPA proved to be an important refuge and feeding area for this species, encompassing most of the home ranges of tagged specimens. Therefore, it is likely that this no-take MPA is of adequate size to protect D. sargus against fishing activities, thus contributing to its sustainable management in the region.

Effects of clouds on the surface shortwave radiation at a rural inland mid-latitude site

Seven years (2003–2010) of measured shortwave (SW) irradiances were used to obtain estimates of the 10 min averaged effective cloud optical thickness (ECOT) and of the shortwave cloud radiative effect (CRESW) at the surface in a mid-latitude site (Évora — south of Portugal), and its seasonal variability is presented. The ECOT, obtained using transmittance measurements at 415 nm, was compared with the correspondent MODIS cloud optical thickness (MODIS COT) for non-precipitating water clouds and cloud fractions higher than 0.25. This comparison showed that the ECOT represents well the cloud optical thickness over the study area. The CRESW, determined for two SW broadband ranges (300–1100 nm; 285–2800 nm), was normalized (NCRESW) and related with the obtained ECOT. A logarithmic relation between NCRESW and ECOT was found for both SW ranges, presenting lower dispersion for overcast-sky situations than for partially cloudy-sky situations. The NCRESW efficiency (NCRESW per unit of ECOT) was also related with the ECOT for overcast-sky conditions. The relation found is parameterized by a power law function showing that NCRESW efficiency decreases as the ECOT increases, approaching one for ECOT values higher than about 50.

Quality improvement of traditional dry fermented sausages based on innovative technological strategies

Dry fermented sausages are highly appreciated food specialties, mainly in Portugal and other southern European countries. Therefore, all research efforts aiming at improving the food quality and safety of traditional dry sausages are of interest, since they are likely to result in products with higher added value and quality standards most suited to the requirements and concerns of the modern consumers. Among those efforts, it may be highlighted the studies involving innovative processing parameters and technologies to overcome practical problems gathered in the meat industry, which are mostly associated with food quality and safety. Additionally, characterization of traditional dry sausages and rationalization of their processing are essential for further achievement of any official certification. Thus, this article attempts to point out some research lines of highest interest in meat science (and particularly to the broad variety of regional dry fermented sausages), towards to the valorisation of technological, nutritional and commercial features. In addition, it is here emphasized the importance for the continuous improvement of the quality and safety of meat products as a way to respond to the current concerns regarding its consumption and the general advices in reducing its daily intake.

Can birds play a role as High Nature Value indicators of montado system?

Montados form a heterogeneous landscape of wooded matrix dominated by cork and/or holm oak with open areas characterized by fuzzy boundaries. Montado supports a high biological diversity associated to low intensity management and a landscape diversity provided by a continuous gradient of land cover. Among other features this permits the classification of montados as a High Nature Value (HNV) system. We assessed the role of birds as HNV indicators for montado, and tested several bird groups—farmland, edge, forest generalists and forest specialists species; and some universal indicators such as species conservation status, Shannon’s diversity index and species richness. Our study areas covered the North–South distribution of cork oak in Portugal, and we surveyed the breeding bird communities across 117 sampling sites. In addition to variables related to management and sanitary status, we considered variables that characterize the landscape heterogeneity inside the montado—trees and shrub density and richness of woody vegetation. Our results suggest that specific bird guilds can be used as HNV indicators of particular typologies of montado, and highlight the need to develop an indicator that could be transversally applied to all types of montado.

Modelação do cancro da mama na região do Alentejo

Estudos epidemiológicos são estudos estatísticos onde se procura relacionar ocorrências de eventos de saúde com uma ou várias causas específicas. A importância que os modelos epidemiológicos assumem hoje no estudo de doenças de foro oncológico, em particular no estabelecimento das suas etiologias, é incontornável. Segundo Ogden, J. (1999) o cancro é "um crescimento incontrolável de células anormais que produzem tumores chamados neoplasias". Estes tumores podem ter origem benigna (não se espalham pelo corpo) ou maligna (apresentam metastização de outros órgãos). Sendo uma doença actual, com uma elevada taxa de incidência em Portugal quando comparada com outras doenças (Instituto Nacional de Estatística- INE, 2009), aumentando esta taxa com a idade tal como refere Marques, L. (2003), podendo ocorrer o diagnóstico desta doença em qualquer idade. De acordo com INE (2000) pode dizer-se que o cancro está entre as três principais causas de morte em Portugal, registando-se um aumento progressivo do seu peso proporcional, sendo o cancro da mama o tipo de cancro mais comum entre as mulheres e uma das doenças com maior impacto na nossa sociedade. O objectivo principal deste trabalho é a estimação e modelação do risco de contrair uma doença de natureza não contagiosa e rara (neste caso, cancro da mama), usando dados da região do Alentejo. Pretende-se fazer um apanhado das metodologias mais empregues nesta área e aplicá-las na prática, com ênfase nos estudos caso-controlo e nos modelos lineares generalizados (GLM) - mais concretamente regressão logística. Os estudos caso-controlo são usados para identificar os factores que podem contribuir para uma condição médica, comparando indivíduos que têm essa condição (casos) com pacientes que não têm a condição, mas que de resto são semelhantes (controlos). Neste trabalho utilizou-se essa metodologia para estudar a associação entre o viver em ambiente rural/urbano e o cancro da mama. Tendo em conta que o objectivo principal deste estudo se prende com o estudo da relação entre variáveis, mais propriamente, análise de influência que uma ou mais variáveis (explicativas) têm sobre uma variável de interesse (resposta), para esse efeito são estudados os modelos lineares generalizados - GLM - unificados na mesma moldura teórica pela primeira vez por Nelder & Wedderburn (1972) - e, posteriormente aplicados ao conjunto de dados sobre cancro da mama na Região do Alentejo. O presente trabalho pretende assim, ser um contributo na identificação de factores de risco do cancro da mama na região do Alentejo. ABSTRACT: Epidemiological studies are statistical studies where attempts to relate occurrences of health events with one or more specific causes. The importance of epidemiological models that are far in the study of diseases of cancer forum, particularly in establishing their etiology, is inescapable. According to Ogden, J. (1999) cancer is "an incontrollable growth of abnormal cells that produce tumors called cancer". These tumors may be benign (not spread throughout the body) or malignant (show metastasis to other organs). Being a current illness with a high incidence rate in Portugal compared with the same respect to other diseases (National Statistics 1nstitute -1NE, 2009) having an increasing rate with age as mentioned Marques, L. (2003), and can possibly be diagnosed at any age. According to 1NE (2000) the cancer is among the top three causes of death in Portugal and there is a progressive increase of its proportional weight. Breast cancer is the most common form of cancer among women and the diseases with major impact in our society. The main objective of this work is to model and estimate the risk of contracting a non-contagious and rare disease (in this case, breast cancer), using data from the Alentejo region. It is intended to summarize some of the methodologies employed in this area and apply them in practice, with emphasis on case-control studies and generalized linear models (GLM) - more specifically the logistic regression. The case-control studies are used to identify factors that may contribute to a medical condition, comparing individuals who have this condition (cases) with patients who have not the condition but that are otherwise similar (controls). ln this work we used this methodology to study the association between living in a rural/urban and breast cancer. Given that the main objective of this study rather relates to the study of the relationship between variables to analyze the influence that one or more variables (explanatory) have on a variable (response), for this purpose we study the generalized linear models - GLM - first unified in the same theoretical framework by Nelder and Wedderburn (1972) and subsequently applied to the data set on breast cancer in the Alentejo region. This work intends to be a contribution in identifying risk factors for breast cancer in the Alentejo region.