Burnout e engagement nos médicos dos Hospitais do grande Porto

Dissertação apresentada ao Instituto Politécnico do Porto para obtenção do Grau de Mestre em Gestão das Organizações, Ramo de Gestão de Empresas Orientada por: Prof. Doutor Eduardo Manuel Lopes de Sá e Silva Coorientada por: Mestre Adalmiro Álvaro Malheiro de Castro Andrade Pereira Esta dissertação inclui as críticas e sugestões feitas pelo júri.

Análise do mercado de serviços de regulação de frequência secundária e terciária no sistema eléctrico português

Dissertação para obtenção do grau de Mestre em Engenharia Electrotécnica Ramo Energia

The Neogene of the Lower Tagus Basin (Portugal)

Revista Española de Paleontologia 19 (2), 229-242

Satisfação profissional dos técnicos de radiologia no setor privado e no setor público

A satisfação profissional é um tema atual, sendo alvo de diversas investigações, devido a este ter sido reconhecido como parte integrante nos cuidados de saúde como indicador de qualidade. De acordo com Spector (1997), a satisfação profissional pode ser explicada como medida no qual o trabalhador gosta do seu trabalho (satisfação profissional) ou não gosta do ser trabalho (insatisfação profissional). No entanto devido a conjuntura socioeconómica em que o país se encontra, e as constantes alterações vigentes no setor da saúde, parece fundamental avaliar as consequências destas alterações na satisfação profissional dos profissionais da saúde. Delineou-se este estudo, não experimental, descritivo e transversal com o objetivo principal de comparar e avaliar os níveis de satisfação profissional dos Técnicos de Radiologia a exercer funções no setor privado e público. Analisou-se também a relação da satisfação profissional com algumas variáveis sociodemográficas, nomeadamente a idade, género, remuneração e a experiência profissional. Para a recolha dos dados utilizou-se o questionário Minnesota Satisfaction Questionnaire-short version (Martins, 2012), sendo divulgado através de um inquérito on-line. No estudo participaram 110 técnicos de radiologia a nível nacional (40 a exercer funções no setor privado e 42 a exercer funções no setor público). Os resultados do presente estudo evidenciaram uma ligeira satisfação profissional (na autonomia, realização profissional, ambiente e chefia) nos técnicos de radiologia. Os técnicos de radiologia a exercer funções no setor público apresentam uma maior satisfação com a sua autonomia, que os técnicos de radiologia a exercer funções no setor privado. Foram evidenciadas correlações entre a satisfação profissional com a remuneração, a experiência profissional, a idade e o género. A escassez de estudos sobre a satisfação profissional dos técnicos de radiologia no setor privado e público é uma lacuna, fazendo deste estudo um estudo importante e revolucionário para direcionar novos estudos.

18F-FDG measurement in primary lung cancer: SUV normalization to different distribution volumes

Introduction: Standard Uptake Value (SUV) is a measurement of the uptake in a tumour normalized on the basis of a distribution volume and is used to quantify 18F-Fluorodeoxiglucose (FDG) uptake in tumors, such as primary lung tumor. Several sources of error can affect its accuracy. Normalization can be based on body weight, body surface area (BSA) and lean body mass (LBM). The aim of this study is to compare the influence of 3 normalization volumes in the calculation of SUV: body weight (SUVW), BSA (SUVBSA) and LBM (SUVLBM), with and without glucose correction, in patients with known primary lung tumor. The correlation between SUV and weight, height, blood glucose level, injected activity and time between injection and image acquisition is evaluated. Methods: Sample included 30 subjects (8 female and 22 male) with primary lung tumor, with clinical indication for 18F-FDG Positron Emission Tomography (PET). Images were acquired on a Siemens Biography according to the department’s protocol. Maximum pixel SUVW was obtained for abnormal uptake focus through semiautomatic VOI with Quantification 3D isocontour (threshold 2.5). The concentration of radioactivity (kBq/ml) was obtained from SUVW, SUVBSA, SUVLBM and the glucose corrected SUV were mathematically obtained. Results: Statistically significant differences between SUVW, SUVBSA and SUVLBM and between SUVWgluc, SUVBSAgluc and SUVLBMgluc were observed (p=0.000<0.05). The blood glucose level showed significant positive correlations with SUVW (r=0.371; p=0.043) and SUVLBM (r=0.389; p=0.034). SUVBSA showed independence of variations with the blood glucose level. Conclusion: The measurement of a radiopharmaceutical tumor uptake normalized on the basis of different distribution volumes is still variable. Further investigation on this subject is recommended.

Experimental assessment of pressure drop in air stripping columns

One important step in the design of air stripping operations for the removal of VOC is the choice of operating conditions, which are based in the phase ratio. This parameter sets on directly the stripping factor and the efficiency of the operation. Its value has an upper limit determined by the flooding regime, which is previewed using empirical correlations, namely the one developed by Eckert. This type of approach is not suitable for the development of algorithms. Using a pilot scale column and a convenient solution, the pressure drop was determined in different operating conditions and the experimental values were compared with the estimations. This particular research will be incorporated in a global model for simulating the dynamics of air stripping using a multi variable distributed parameter system.

Estudo comparativo de linguagem e dos comportamentos interativos pais- filhos aos 15 meses de vida

Dissertação apresentada à Escola Superior de Educação de Lisboa para a obtenção do grau de Mestre em Intervenção Precoce

A New Approach in the Design of Air Stripping Columns for the Treatment of Groundwater Contaminated With Volatile Organic Compounds

Volatile organic compounds are a common source of groundwater contamination that can be easily removed by air stripping in columns with random packing and using a counter-current flow between the phases. This work proposes a new methodology for column design for any type of packing and contaminant which avoids the necessity of an arbitrary chosen diameter. It also avoids the employment of the usual graphical Eckert correlations for pressure drop. The hydraulic features are previously chosen as a project criterion. The design procedure was translated into a convenient algorithm in C++ language. A column was built in order to test the design, the theoretical steady-state and dynamic behaviour. The experiments were conducted using a solution of chloroform in distilled water. The results allowed for a correction in the theoretical global mass transfer coefficient previously estimated by the Onda correlations, which depend on several parameters that are not easy to control in experiments. For best describe the column behaviour in stationary and dynamic conditions, an original mathematical model was developed. It consists in a system of two partial non linear differential equations (distributed parameters). Nevertheless, when flows are steady, the system became linear, although there is not an evident solution in analytical terms. In steady state the resulting ODE can be solved by analytical methods, and in dynamic state the discretization of the PDE by finite differences allows for the overcoming of this difficulty. To estimate the contaminant concentrations in both phases in the column, a numerical algorithm was used. The high number of resulting algebraic equations and the impossibility of generating a recursive procedure did not allow the construction of a generalized programme. But an iterative procedure developed in an electronic worksheet allowed for the simulation. The solution is stable only for similar discretizations values. If different values for time/space discretization parameters are used, the solution easily becomes unstable. The system dynamic behaviour was simulated for the common liquid phase perturbations: step, impulse, rectangular pulse and sinusoidal. The final results do not configure strange or non-predictable behaviours.

Bio and magnetostratigraphy of two Lower Miocene sections, Tagus basin (Portugal)

The magnetostratigraphy of two sections in early Miocene marine deposits of the Tagus Basin is studied. Thermal demagnetization was used to isolate the primary component of magnetization for 45 samples from the Foz da Fonte section, and for 74 others from Trafaria section. The succession of the polarity zones found in these sections is tentatively correlated with the geomagnetic polarity time scale (GPTS) on the basis of the biostratigraphic data yielded by planktic Foraminifera. The planktic zones and magnetic polarities recognized in these sections can be adequately correlated with the part of the GPTS [table calibrated by BERGGRENET al. (1985)] corresponding to the Anomalies 6 and 5E (Foz da Fonte) and 5D (Trafaria). This correlations suggests ages between 19,35 and 18,14 Ma for Foz da Fonte section, and 17,90 to 16,98 Ma for Trafaria.

The Neogene of Portugal

After a brief historical introduction, this paper deals with the main concerned geotectonic units: the Lower Tagus and Alvalade basins, the Western and Southern borders, and their infillings. Most of the Neogene events and record concern areas South of the Iberian Central Chain, a nearly inverse situation as that of Paleogene times. In the most important of these units, the Lower Tagus basin, there are quite thick detrital series, mostly marine in its distal part near Lisboa (albeit with several continental intercalations), and mainly continental in its inner part. Sedimentological record is almost complete since Lowermost to Upper Miocene. The richness ofdata (paleontology, isotope chronology, paleoclimate, etc.) it gives and the possibility of direct marine-continental correlations render this basin one of the more interesting ones in Western Europe. Alvalade basin is separated from the previous one by a barrier of Paleozoic rocks. Two transgressions events (Upper Tortonian and Messinian in age) are recorded. Active sedimentation may be correlated to Late Miocene tectonics events. In Algarve, chiefly marine units from Lower to Upper Miocene are well developped. The Lower unit (Lagos-Portimão Formation) is best exposed in Western Algarve, but desappears eastwards. Middle Miocene is not as well known, whereas Upper Miocene main outcrops are in Eastern Algarve. Cacela Formation is remarquable for its beautiful fossils. Sedimentation as a whole refletcts the tectonic activity and in special the evolution of the Algarve flexures. There is scant evidence of post-Lower Miocene volcanism, the latest known in Portugal. Pliocene has not been recognized there beyond doubt. Miocene sediments are much less important to the North of the Central Iberian Chain. Continental beds near Leiria that yielded the well-known "Hisp anotherium fauna" are lower Middle Miocene. Pliocene corresponds to dramatic changes in paleogeography. At Setiibal Peninsula there is some evidence of a minor Lower Pliocene transgression. Continental detrital sediments, often coarse, occupy rather large areas. In Western Portugal between the Setúbal Peninsula and Pombal there is good evidence of a marine Upper Pliocene transgression, followed up by dune sands overlain by marsh clays, diatomites, lignites and boghead levels that can be partly Pleistocene in age.

Estudo da deformação miocárdica para detecção precoce de disfunção ventricular esquerda em doentes submetidos a quimioterapia com antraciclinas

Mestrado em Tecnologia de Diagnóstico e Intervenção Cardiovascular - Área de especialização: Ultrassonografia cardiovascular

Areias de Vale de Santarém. Estratigrafia e Palinologia

The palynologic study of several boreholes for lignite prospection at the "Vale de Santarém sands" is presented. Height spores and 18 pollen forms have been identified. The quantitative and qualitative results are shown in table 2. Four palynologic associations (A - D) corresponding to climatic changes have been characterized. Correlations are established with the plant associations of Rio Maior Basin. Correlation between the boreholes allow a better understanding of the small, Vale de Santarém basin infilling.

Invertebrados y micropaleontología en la evolución de la Cuenca del Guadalquivir (España) y la Plataforma del Algarve (Portugal)

Based upon the depositional sequences in the Guadalquivir basin and the bio-events defined (foraminifera and nanoplancton) we present the synthesis of the paleontological results in correlation with the Neogene of Algarve (Portugal). We present the most representative outcrops for micropaleonlologic results, as well as paleoenvironmental correlations between Algarve and the Guadalquivir basin.

Litostratigrafia do Terciario da região Miranda do Corvo-Viseu (Bacia do Mondego, Portugal)

The lithostratigraphic units (2 groups, 5 formations and 4 members) of the Tertiary of the Miranda do Corvo-Viseu region (Central Portugal) are here described. For each unit the characterization and description (boundaries, diagnostic properties and atributes) were included. The stratigraphic, lithological, sequential and tectonic data allow correlations with other units of the same Tertiary basin located more to west and support the chronostratigraphic attribution. Sedimentologic characteristics of the deposits lead to the interpretation of the influence of tectonism, climate and eustasy during the sedimentary evolution of this Basin.

La biochronologie des Mammifères néogènes d'Europe. L'échelle MN, son application à la succession des faunes du Portugal

Similarly to other organisms, Vertebrates changed during the Cenozoic Era. Mammals are the only ones to change quickly; their well mineralised bones and teeth are often fossilised. They are highly diverse and even isolated teeth can be identified. They are thus a good tool for establishing a biochronological framewoork. Among Mammals, Rodents with a short lifetime evolve more quickly than the large Mammals. In Europe, the first elaborated zonation was investigated by the Regional Committee on Neogene Stratigraphy and issued as the MN Zonation (Mammals Neogene) by Mein, 1976. During the following years, progress in knowledge lead to new charts. The latest one resulted from collective work (de Bruijn et al., 1992). Bîochronology gives relative data; if we desire to have numerical age estimates, we must correlate these results with radiometrie data, marine biostratigraphîcal units or the Geomagnetic Polarity Time Scale. For Europe, these results are summarised by Steininger et al. (1989-1996) and Steininger (1999). After some recents developments on MN Zonation, here is discussed the succession of Neogene small mammals Portuguese localities. Fortunately these localities are in majority inbedded in marine context. Their assigment to MN Zones is proposed and correlations with the spanish Aragonian Scale (Daams el al., 1999) are also suggested. In fact, some differences appear between Portugal and Aragonian assemblages, probably for ecological reasons. Therefore, the MN zonation is always useful for short and long distance biochronological correlations.