Outcome Measures in Polymyalgia Rheumatica. A Systematic Review

OBJECTIVE: To identify the instruments used to assess polymyalgia rheumatica (PMR) in published studies. METHODS: A systematic literature review of clinical trials and longitudinal observational studies related to PMR, published from 1970 to 2014, was carried out. All outcome and assessment instruments were extracted and categorized according to core areas and domains, as defined by the OMERACT (Outcome Measures in Rheumatology) Filter 2.0. RESULTS: Thirty-five articles (3221 patients) were included: 12 randomized controlled trials (RCT); 3 nonrandomized trials; and 20 observational studies. More than 20 domains were identified, measured by 29 different instruments. The most frequently used measures were pain, morning stiffness, patient global assessment and physician global assessment, erythrocyte sedimentation rate, and C-reactive protein. The definition of outcomes varied considerably between studies. CONCLUSION: The outcome measures and instruments used in PMR are numerous and diversely defined. The establishment of a core set of validated and standardized outcome measurements is needed.

Outcome Measures in Polymyalgia Rheumatica. A Systematic Review

OBJECTIVE: To identify the instruments used to assess polymyalgia rheumatica (PMR) in published studies. METHODS: A systematic literature review of clinical trials and longitudinal observational studies related to PMR, published from 1970 to 2014, was carried out. All outcome and assessment instruments were extracted and categorized according to core areas and domains, as defined by the OMERACT (Outcome Measures in Rheumatology) Filter 2.0. RESULTS: Thirty-five articles (3221 patients) were included: 12 randomized controlled trials (RCT); 3 nonrandomized trials; and 20 observational studies. More than 20 domains were identified, measured by 29 different instruments. The most frequently used measures were pain, morning stiffness, patient global assessment and physician global assessment, erythrocyte sedimentation rate, and C-reactive protein. The definition of outcomes varied considerably between studies. CONCLUSION: The outcome measures and instruments used in PMR are numerous and diversely defined. The establishment of a core set of validated and standardized outcome measurements is needed.

Concepções dos alunos sobre a avaliação das aprendizagens na disciplina de matemática em anos terminais dos 1º e 2º ciclos do ensino básico

A presente investigação tem como objectivo o estudo das concepções dos alunos sobre a avaliação das aprendizagens na disciplina de Matemática em anos terminais dos 1º e 2° ciclos do Ensino Básico. Em particular, procurou-se estudar e comparar as concepções que alunos desses anos tinham sobre a avaliação e as práticas avaliativas dos seus professores, e compreender se existiam algumas relações de dependência entre essas concepções e a perspectiva face à Matemática e o desempenho escolar desses alunos. O enquadramento teórico está organizado em dois capítulos. O primeiro relacionado com a avaliação e o segundo referente às concepções. Este estudo segue uma metodologia de natureza interpretativa. A recolha de dados foi feita através da aplicação de um questionário a quatro turmas, uma do 4o e outra do 6° ano de escolaridade de dois agrupamentos distintos, um de Elvas e outro de Portalegre, e de entrevista semi-estruturada a dois alunos por turma. A análise de dados foi organizada em tomo de duas categorias: (i) perspectivas face à Matemática e (ii) perspectiva face à avaliação das aprendizagens. Os resultados do estudo indicam que as concepções sobre a avaliação das aprendizagens em Matemática dos alunos participantes incidem, preferencialmente, sobre sentimentos, consequências, funções e instrumentos de avaliação. Verifica-se uma tendência para a existência de relações de dependência entre a imagem negativa da Matemática escolar e a concepção de avaliação associada aos sentimentos. Alunos com classificações negativas a Matemática associa, igualmente, a avaliação a sentimentos. Já os alunos que têm uma imagem positiva da Matemática, assim com os que têm classificações mais elevadas, tendem a associar a avaliação às suas consequências. No que diz respeito às práticas avaliativas que lhes têm sido proporcionadas, os alunos do 1º e do 2°ciclos apresentam concepções quase semelhantes, reconhecendo as fichas de avaliação como os instrumentos com mais peso para o professor na atribuição de notas no final do período. Os alunos do 1º ciclo são os que mais revelam concordar que o professor está atento às suas dificuldades. Porém, quer os alunos do 1 o e do 2°ciclos não reconhecem poder combinar com o professor a forma como são avaliados. ABSTRACT; The main purpose of the present work is to study the students' beliefs on assessment learning related to the Mathematics subject in ending years of 1st and 2nd key stage of elementary school. ln particular, the research was aimed to study and compare the students’ beliefs that pupils of those particular years had on assessment and the assessment practices of their teachers and also if there were any kind of dependence relationships between those beliefs and the perspective towards Mathematics and those students' school performance. The theoretical framework is organized in two chapters. The first related with the assessment and the second regarding the beliefs. This study follows a methodology of interpretative nature. The data gathering was done through the application of a questionnaire to four classes, one of the 4th and another of the 6th year of two different school groups, one belonging to Elva’s and another one to Portalegre and also through a semi-structured interview done to two students per group. The data analysis was organized around two categories: (i) perspectives towards Mathematics and (ii) perspective towards assessment learning. The results of the study show that the beliefs of those students on assessment learning on Mathematics are preferably based on feelings, consequences, functions and assessment instruments. ln general terms, there seems to be dependence relationships between the Mathematics negative image and the assessment conception associated to feelings. Students with negative marks at Mathematics also associate assessment to feelings. Those who have a positive Mathematics image, as well as those with higher marks at the subject, seem to associate assessment to its consequences. Concerning the assessment practices that have been provided to students from 1 51 and 2nd key stage of elementary school, these same pupils show very similar beliefs, pointing the summative tests as having higher importance when the assessment term comes. The students of the 1st key stage of elementary school are those who most agree that the teacher is attentive to their difficulties. Even so, both groups of students say that they cannot negotiate with their teacher the way they are supposed to be assessed.

Reabilitação psicomotora em contexto da saúde mental de adultos no centro de atividades ocupacionais, Casa do Sol do Centro de Apoio Social do Pisão, Santa Casa da Misericórdia de Cascais

O presente relatório refere-se às atividades, do estágio inserido no Ramo de Aprofundamento de Competências Profissionais do Segundo Ciclo, desenvolvidas no âmbito da Reabilitação Psicomotora em Saúde Mental. Estas práticas de estágio foram realizadas no Centro de Atividades Ocupacionais (CAO) – Casa Do Sol e no Centro de Apoio Social do Pisão (CASP). A Intervenção no CAO e no CASP foi dirigida a indivíduos adultos com perturbação psiquiátrica, de ambos os sexos, residentes e/ou utentes destes centros. Esta intervenção foi constituída pelas seguintes quatro etapas: 1ª Observação informal das aulas de expressão corporal, dos momentos de refeições, dos ateliês de carpintaria, jardinagem, artes plásticas e culinária; 2ª Reabilitação / Intervenção psicomotora (duração aproximada de 6 meses); 3ª Avaliação formal de alguns casos utilizando instrumentos de avaliação nomeadamente a Bateria Psicomotora de Vítor da Fonseca (BPM) e a Escala do Comportamento Adaptativo Verão Portuguesa de Sofia Santos e Pedro Morato (ECAP). 4ª Elaboração e Ajustamento do Plano Terapêutico.

Exploration of a reflective practice rubric

Work integrated learning (WIL) educators using reflective practice to facilitate student learning require a set ofstandards that works within the traditional assessment frame of Higher Education, to ascertain the level at which reflective practice has been demonstrated. However, there is a paucity of tested assessment instruments that provide guidance for measuring student demonstrations of reflective learning in WIL. This paper provides a preliminary exploration (pilot) of the reliability and validity of a WIL placement rubric for grading reflective practice across an alternate WIL placement-like context, for the purpose of testing the potential transferability of the rubric. The study supports earlier research that suggests that inter-assessor shared understanding of standards are crucial for achieving reliable and valid results. The rubric’s value is in providing a foundation set of standards that can support WIL educators to expedite discussions for developing and using assessment tools grounded in reflective practice theory for grading student achievement across a range of WIL placement-like learning contexts.

Student’s Perceptions of the Community Impact of Social Education Degree Internship

Evaluating the impact of an intervention is a very important stage in social educators’ practice, since it allows them to improve the quality of socio-educational projects. The aim of this study is to rethink the internship of the social education degree through students’ perceptions about the impact of their projects in the community. This is a qualitative and exploratory study using documental analysis of 50 internship final reports of a social education degree from a Portuguese polytechnic higher education institution and whose emerging categorical content analysis was performed with NVivo software. The analysis revealed four distinct indicators linked to the project (accomplished objectives, evaluation of activities, sustainability and innovation), the target group (participation, motivation and benefits), the institution (satisfaction of collaborators, improved dynamic, routines and space enhancements), and the students (relational, reflexive and planning skills; satisfaction). It also revealed instruments, feedback, observation, document analysis and case reports as means of verification. The use of indicators related to the project’s objectives, the changes perceived from the benefits in the target-group and in the institution, and the interveners’ level of satisfaction should be noted as positive. Given the inconsistency in the use of formal assessment instruments, the results show the need to strengthen students’ mobilisation of project assessment skills in order to improve the quality of undergraduate education.

O efeito da hidroterapia na dor, qualidade de vida e funcionalidade em pacientes com fibromialgia

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia

Qualidade de vida e aptidão física funcional dos idosos do concelho de Évora

Já na antiguidade o Homem se debruçava sobre a temática do envelhecimento, todavia os anos passaram e este fenómeno constitui-se como um dos assuntos da ordem do dia que nos abrange a todos, porque todos queremos vivenciar o prazer de envelhecer, à semelhança dos nossos antepassados. Porém estes procuravam o elixir de uma vida eterna e nós ambicionamos o elixir de uma longa vida com qualidade. Objectivo: Avaliar a qualidade de vida e aptidão física funcional dos idosos residentes do Concelho de Évora em instituições da rede solidária e nos seus domicílios com idade igual ou superior a 75 anos. Métodos: Após a selecção aleatória e tendo por base os critérios de exclusão (sem défice cognitivo avaliado pelo MMS e sem problemas físicos que impedissem de realizar os testes funcionais) aceitaram participar no estudo 396 idosos do Concelho de Évora dos quais 196 se encontram institucionalizados nos lares da rede solidária e 200 residem nos seus domicílios. Os instrumentos de avaliação utilizados foram o EASYcare e a bateria de testes Rikly Jones- Senior Fitness Test. Conclusões: Os idosos não institucionalizados apresentam melhor qualidade de vida e aptidão física funcional face aos idosos institucionalizados. Os níveis de incapacidade do grupo de idosos são baixos, o que revela que estamos perante um grupo maioritariamente independente. Por sua vez os homens apresentam melhor auto­ percepção da sua qualidade de vida e melhor desempenho nos testes físicos realizados. Com o processo de envelhecimento é notório uma avaliação inferior nas diferentes áreas da qualidade de vida por parte dos idosos assim como um pior desempenho nos testes físicos. Verificou-se também que existem correlações significativas entre as áreas da qualidade de vida avaliadas e os parâmetros de aptidão física funcional considerados, estando estes interrelacionados. ABSTRACT: Introduction: Already in the antiquity Man was dealing with the aging topic, however the years passed and this issue is as one of the topics on the agenda that covers everyone, because we all want to experience the pleasure of growing old, like of our ancestors. Although they sought the elixir of eternal life and we are aiming the elixir of long life with quality. Aim: To evaluate the quality of life and functional fitness of elderly aged over 75 years, residents of the Municipality of Évora in the network institutions in their households. Methods: After random selection and based on the exclusion criteria (no cognitive impairment assessed by MMS and no conditions that hamper them from performing functional tests) agreed to participate in the study 396 elderly from Évora's Municipality of which 196 are institutionalized in nursing homes network of solidarity and 200 reside in their homes. The assessment instruments used were the EASYcare and battery of tests Rikly Jones- Senior Fitness Test. Conclusions: The non-institutionalized elderly have a better quality of life and functional fitness in relation to the institutionalized elderly. The levels of disability in the elderly group are low, indicating that this is a group mostly independent. ln tum the men have better self-perception of their quality of life and better performance in physical tests performed. With the aging process is an assessment of less known in different areas of life quality for elderly people as well as a poorer performance in physical tests. There was also that there are significant correlations between the areas of quality of life and evaluated the parameters of functional fitness considered and these interrelated.

A systematic review of instruments for assessment of capacity in activities of daily living in children with developmental co-ordination disorder

Children with developmental co-ordination disorder (DCD) face evident motor difficulties in activities of daily living (ADL). Assessment of their capacity in ADL is essential for diagnosis and intervention, in order to limit the daily consequences of the disorder. The aim of this study is to systematically review potential instruments for standardized and objective assessment of children's capacity in ADL, suited for children with DCD. As a first step, databases of MEDLINE, EMBASE, CINAHL and PsycINFO were searched to identify studies that described instruments with potential for assessment of capacity in ADL. Second, instruments were included for review when two independent reviewers agreed that the instruments: (1) are standardized and objective; (2) assess at activity level and comprise items that reflect ADL, and; (3) are applicable to school-aged children that can move independently. Out of 1507 publications, 66 publications were selected, describing 39 instruments. Seven of these instruments were found to fulfil the criteria and were included for review: the Bruininks-Oseretsky Test of Motor Performance-2 (BOT2); the Do-Eat (Do-Eat); the Movement Assessment Battery for Children-2 (MABC2); the school-Assessment of Motor and Process Skills (schoolAMPS); the Tuffts Assessment of Motor Performance (TAMP); the Test of Gross Motor Development (TGMD); and the Functional Independence Measure for Children (WeeFIM). As a third step, for the included instruments, suitability for children with DCD was discussed based on the ADL comprised, ecological validity and other psychometric properties. We concluded that current instruments do not provide comprehensive and ecologically valid assessment of capacity in ADL as required for children with DCD.

Fatigue life assessment of endodontic instruments subjected to multi planar curvature

This present study aimed to investigate the fatigue life of unused (new) endodontic instruments made of NiTi with control memory by Coltene™ and subjected to the multi curvature of a mandibular first molar root canal. Additionally, the instrument‟s structural behaviour was analysed through non-linear finite element analysis (FEA). The fatigue life of twelve Hyflex™ CM files was assessed while were forced to adopt a stance with multiple radius of curvature, similar to the ones usually found in a mandibular first molar root canal; nine of them were subjected to Pecking motion, a relative movement of axial type. To achieve this, it was designed an experimental setup with the aim of timing the instruments until fracture while worked inside a stainless steel mandibular first molar model with relative axial motion to simulate the pecking motion. Additionally, the model‟s root canal multi-curvature was confirmed by radiography. The non-linear finite element analysis was conducted using the computer aided design software package SolidWorks™ Simulation, in order to define the imposed displacement required by the FEA, it was necessary to model an endodontic instrument with simplified geometry using SolidWorks™ and subsequently analyse the geometry of the root canal CAD model. The experimental results shown that the instruments subjected to pecking motion displayed higher fatigue life values and higher lengths of fractured tips than those with only rotational relative movement. The finite element non-linear analyses shown, for identical conditions, maximum values for the first principal stress lower than the yield strength of the material and those were located in similar positions to the instrument‟s fracture location determined by the experimental testing results.

Adecuación curricular del diagnóstico y la evaluación en matemáticas = Curricular validity of assessment and evaluation instruments in mathematics.

Resumen basado en el del autor

Homogeneity assessment of a station climate series (1933-2005) in the Metropolitan Area of São Paulo: instruments change and urbanization effects

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)