Análisis de los programas de salud y bienestar y su relación con las lesiones en jugadores de fútbol y futsal: una revisión sistemática

Introduction: Football and futsal are associated with a high risk of injuries and consequently, the development of mental health problems. Health and wellness programs aimed at reducing the incidence of injuries, but these areas remain insufficiently explored in the literature, there fore, their effectiveness is still uncertain. Objective: This study aimed to present a systematic review that analyzes the effects of health and well-being programs on the incidence of injuries in football and futsal athletes. Methodology: A search was conducted in PubMed, EBSCO, and Web of Science databases to se lect relevant literature on the topic. The selected literature was based on health and wellness programs applied to football players, and after implementation, the difference in the incidence of injuries examined. Studies that used experimental study design to compare athletes before and after the intervention were selected. Results: Based on the physiotherapy evidence database scale, criteria were applied to assess the interventions’ evidence. Seven studies were classified as having good methodological qual ity, while four were classified as moderate and one as poor. From a total of 329, 12 studies were selected based on the eligibility criteria. Conclusions: The different studies selected addressed various types of programs (e.g., Mindful ness, Stress Inoculation Therapy and Biofeedback, Psychological and physiotherapy, Yoga). The programs reduced the incidence of sports injuries in football athletes and improved individual and team performance and reduced muscle tension. However, research is scarce, while studies are needed.El fútbol y el futsal están asociados con un alto riesgo de lesiones luego, con el desarrollo de problemas de salud mental. Aunque existen programas de salud y bienestar para reducir lesiones, la literatura aún los explora poco, por lo que su efectividad sigue siendo in cierta. Objetivo: Este estudio tuvo como objetivo presentar una revisión sistemática sobre los efectos de los programas de salud y bienestar sobre la incidencia de lesiones en atletas de fútbol y futsal. Metodología: Se buscaron estudios en PubMed, EBSCO y Web of Science. La literatura seleccio nada se basó en programas de salud y bienestar aplicados a jugadores de fútbol y, después de su implementación, se examinó la diferencia en la incidencia de lesiones. Se seleccionaron es tudios que utilizaron un diseño experimental para comparar a los atletas antes y después de la intervención. Resultados: Siete estudios se clasificaron como de buena calidad metodológica, mientras que cuatro se clasificaron como de calidad moderada y uno como de calidad pobre. De un total de 329, 12 estudios fueron seleccionados según los criterios de elegibilidad. Conclusiones: Los diferentes estudios abordaron varios tipos de programas (e.g., Mindfulness, Terapia de inoculación del estrés y biorretroalimentación, Psicología y fisioterapia, Yoga). Los programas redujeron la incidencia de lesiones deportivas en fútbol, mejoraron el rendimiento individual y de equipo y redujeron la tensión muscular. Sin embargo, la investigación es escasa y se necesitan más estudios

Gestão e avaliação de custos das intervenções assistidas por cães:um estudo esploratório com crianças com necessidades educativas especiais

Dissertação, Mestrado, Gestão de Unidades de Saúde, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, 2025Objetivo: O presente trabalho tem como objetivo realizar um estudo, acerca do impacto das intervenções assistidas com cães (TAC), em crianças com necessidades educativas especiais e verificar que medida a realização de Intervenções assistidas com cães (TAC) em crianças com necessidades educativas especiais tem impacto na redução significativa dos sintomas associados às patologias diagnosticadas nas mesmas, bem como nos custos anuais existentes com o conjunto de terapias realizados no mesmo grupo, após a realização das referida terapias. Métodos: Foi realizado um estudo, tendo por base aa análise dos dados recolhidos dos relatórios efetuados por terapeutas e professores após a realização das Intervenções Assistidas com Cães. Resultados: A evidência dos dados aponta para uma redução significativa dos sintomas associados às patologias diagnosticadas nas mesmas, bem como nos custos anuais existentes com o conjunto de terapias realizados no mesmo grupo, após a realização das referidas terapias. Conclusões: Estes resultados sublinham a importância de continuar a integrar e a avaliar intervenções assistidas com animais em contextos terapêuticos e educacionais. Palavras-chave: Necessidades educativas especiais (NEE), Intervenções Assistidas com Cães (TAC), patologias, custos.Objective: The present study aims to investigate the impact of canine-assisted interventions (CAI) on children and adolescents with special educational needs and to determine to what extent the implementation of CAI in children and adolescents with special educational needs significantly reduces the symptoms associated with their diagnosed conditions, as well as the annual costs associated with the range of therapies provided to the same group after the completion of the said therapies. Methods: A study was conducted based on the analysis of data collected from reports made by therapists and teachers after the implementation of Dog-Assisted Interventions. Results: The evidence from the data points to a significant reduction in symptoms associated with diagnosed pathologies, as well as in the annual costs of the set of therapies conducted within the same group after the said therapies. Conclusions: These results underline the importance of continuing to integrate and evaluate animal-assisted interventions in therapeutic and educational contexts

Reproductive traits of the European catfish, Silurus glanis, during the early stages of invasion

In recent decades, the European catfish Silurus glanis has spread across Europe and elsewhere, significantly impacting the native fauna of the recipient ecosystems. Studies on its reproductive traits from its non-native range are limited, although this is a critical step in developing effective management plans. Here, we explore the reproductive characteristics of invasive European catfish populations in the Lower River Tagus in Portugal, focusing on its sex ratio, size at maturity, spawning period, fecundity and oocyte diameter. European catfish were collected monthly by electrofishing, gill nets, baited hooks, and professional fishermen from January 2022 to November 2023. A total of 217 females, 156 males and 301 immature fish were analysed. The female-to-male sex ratio was 1.4 : 1, with females and males reaching size at first maturity (TL50) at 72.9 and 68.8 cm total length, respectively. The spawning season was protracted, from February to June, showing asynchronous oocyte development patterns. The absolute fecundity was positively correlated with total length and total weight and ranged from 8,364 to 319,000 oocytes. Relative fecundity varied from 4.39 to 23.53 oocytes, with the mean diameter of the matured oocytes ranging from 1.50 to 3.21 mm. The results obtained in this study enhance our understanding of the reproductive biology of invasive species and can contribute to the development of effective management strategies, such as population control and density- dependent fecundity strategies

A perceção dos colaboradores de uma organização de economia social sobre a certificação do sistema de gestão da qualidade – o caso da Fundação AFID Diferença

Dissertação, Mestrado, Gestão de Organizações de Economia Social, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, 2025A qualidade tem se tornado um fator estratégico essencial em um ambiente competitivo, com as certificações do Sistema de Gestão da Qualidade (SGQ) funcionando como uma validação dessa qualidade e reconhecimento pela sociedade. Para a implementação bem-sucedida, é fundamental que as organizações considerem seus colaboradores, que são ativos valiosos para o sucesso. Esta dissertação, através de um estudo de caso na Fundação AFID Diferença que é uma Organização de Economia Social com três certificações de qualidade: ISO 9001, EQUASS e MAQRS, investiga as perceções dos colaboradores sobre o SGQ, seus benefícios, dificuldades e impacto na satisfação profissional. A pesquisa, realizada com um questionário, confirma que a certificação do SGQ é uma aliada significativa, promovendo benefícios diversos e aumentando a satisfação dos colaboradores, sublinhando a importância da melhoria contínua neste processo.Quality has become an essential strategic factor in a competitive environment, with Quality Management System (QMS) certifications functioning as a validation of this quality and as recognition by society. For successful implementation, it is essential that organizations consider their employees, who are valuable assets for success. This dissertation, through a case study at the AFID Diferença Foundation, a Social Economy Organization with three quality certifications: ISO 9001, EQUASS and MARQS, investigates employees' perceptions about the QMS, its benefits, difficulties and impact on job satisfaction. The research, conducted with a questionnaire, confirms that QMS certification is a significant ally, promoting several benefits and increasing employee satisfaction, highlighting the importance of continuous improvement in this process

Move4Future: aplicación y efectos de un programa piloto de ejercicio físico para niños y jóvenes en situación de riesgo procedentes de familias multiproblemáticas

Introduction and Objective: Multi-problem families include several risk factors (e.g., mental health and weight issues). Physical exercise could be a strategy to prevent, treat and overcome numerous disorders. Thus, this study aimed to analyze the effects of implementing the Move4Future pilot program, in children and adolescents, on the following variables: i) anxiety levels, ii) body composition, iii) physical fitness, and iv) physical activity levels. Methodology: Ten participants (10.61±2.40 years) completed a 12-week physical exercise program with a weekly frequency of one session and were assessed at baseline and post-intervention. The Re vised Manifest Anxiety Scale for Children, body mass, height, triceps skinfold, calf skinfold, re laxed arm circumference, waist circumference, calf circumference, and the FITescola® battery tests (push-ups, horizontal jump, agility, shoulder flexibility and lower limb flexibility) were applied. Results and Conclusions: The main results showed a lower anxiety trait, although this change was not statistically significant (z=-1.832, p=0.067), a significant increase in stature (z=-2.197, p=0.028), a significant decrease in body mass index (z=-2.366, p=0.018), and in waist circum ference (z=-2.201, p=0.028). The Move4Future pilot program shows improvement in average values of anxiety levels, body composition and upper strength in physical fitness. However, a multi-component intervention, including families and more sessions per week, may be im portant for better results.Introducción y Objetivo: Las familias multiproblemáticas incluyen varios factores de riesgo (por ejemplo, problemas de salud mental y de peso). El ejercicio físico podría ser una estrategia para prevenir, tratar y superar innumerables trastornos. Así, este estudio tuvo como objetivo analizar los efectos de la implementación del programa piloto Move4Future, en niños y adoles centes, sobre las siguientes variables: i) niveles de ansiedad, ii) composición corporal, iii) apti tud física, y iv) niveles de actividad física. Metodología: Diez participantes (10,61±2,40 años) completaron un programa de ejercicio físico de 12 semanas con una frecuencia semanal de una sesión y fueron evaluados al inicio y después de la intervención. Se aplicaron la Escala de Ansiedad Manifiesta Revisada para Niños, la masa corporal, la altura, el pliegue cutáneo del tríceps, el pliegue cutáneo de la pantorrilla, el períme tro relajado del brazo, el perímetro de la cintura, el perímetro de la pantorrilla y las pruebas de la batería FITescola® (flexiones de brazos, salto horizontal, agilidad, flexibilidad de hombros y flexibilidad de miembros inferiores). Resultados y Conclusiones: Los principales resultados mostraron un menor rasgo de ansiedad, aunque este cambio no fue estadísticamente significativo (z=-1,832, p=0,067), un aumento sig nificativo de la estatura (z=-2,197, p=0,028), una disminución significativa del índice de masa corporal (z=-2,366, p=0,018) y del perímetro de la cintura (z=-2,201, p=0,028). El programa piloto Move4Future muestra una mejora en los valores medios de los niveles de ansiedad, la composición corporal y la fuerza superior en la condición física. Sin embargo, una intervención multicomponente, que incluya a las familias y más sesiones por semana, puede ser importante para obtener mejores resultados

O Sistema de Gestão da Qualidade no Centro Social de Casal dos Bernardos

Relatório de Estágio, Mestrado, Gestão de Organizações de Economia Social, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, 2025O Sistema de Gestão da Qualidade no Centro Social de Casal dos Bernardos – Proposta de Implementação A gestão da qualidade é reconhecida como elemento crucial para o sucesso organizacional, designadamente no setor social. Este estudo centra-se na implementação do Sistema de Gestão da Qualidade (SGQ) no Centro Social de Casal dos Bernardos, com particular ênfase no Serviço de Apoio Domiciliário. Os objetivos incluem a análise da dinâmica institucional e da documentação existente, levando à elaboração de processos e documentação essencial para a implementação do SGQ e a sua certificação subsequente. A investigação incorpora uma revisão de literatura que fundamenta teoricamente o tema, bem como um inquérito por questionário como instrumento de recolha de dados. Os resultados revelam que o SGQ não só simplifica e padroniza processos, como também potencia a satisfação dos utentes, promovendo a imagem institucional e gerando vantagens competitivas. Adicionalmente, o SGQ melhora a comunicação interna, a satisfação dos colaboradores e a qualidade das ações formativas, impactando positivamente no planeamento e no desempenho organizacional.The Quality Management System at the Casal dos Bernardos Social Centre - Proposal for Implementation Quality management is recognized as a key element in the success of an organization, particularly in the social sector. This study focuses on the implementation of the Quality Management System (QMS) at the Centro Social de Casal dos Bernardos, specifically in the context of home care service. The objectives include the analysis of the institutional dynamics and the existing documentation, leading to the development of processes and critical documentation for the implementation of the QMS and its subsequent certification. The research incorporates a literature review that theoretically supports the topic, as well as a questionnaire survey as a data collection strategy. The results show that the QMS not only simplifies and standardizes processes, but also increases user satisfaction, promoting the institutional image and creating competitive advantages. Furthermore, the QMS improves internal communication, employee satisfaction, and the quality of training activities, contributing to a positive impact on planning and organizational performance

As tecnologias ehealth em cirurgia bariátrica e o seu impacto no processo de gestão do tratamento cirúrgico da obesidade, durante a Pandemia COVID-19

Dissertação, Mestrado, Gestão de Unidades de Saúde, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, 2025Nos últimos anos, a saúde digital, ou e-health, tem desempenhado um papel cada vez mais importante na prestação de cuidados de saúde, especialmente durante a pandemia de COVID-19. Para utentes submetidos a cirurgia bariátrica, cujo acompanhamento póscirúrgico é crucial para o sucesso do procedimento, a utilização de tecnologias de ehealth tornou-se uma ferramenta indispensável. Neste contexto, o acompanhamento por e-health oferece uma solução inovadora e segura para garantir que estes utentes recebam o suporte e os cuidados necessários, mesmo diante das restrições de distanciamento social e das dificuldades de acesso aos serviços de saúde presenciais. A ehealth pode proporcionar uma série de benefícios, incluindo um maior envolvimento dos utentes, um melhor acesso aos cuidados e uma melhor comunicação entre os utentes e os prestadores de cuidados de saúde. Esta dissertação tem como objetivo avaliar de que forma a telemedicina é utilizada em todo o processo de cirurgia bariátrica e de que forma pode influenciar os resultados deste tratamento cirúrgico da obesidade. Esta dissertação destacará a importância das tecnologias e-health na gestão do tratamento cirurgico da obesidade, bem como os seus beneficios no companhamento durante o período da Pandemia COVID-19, explorando as vantagens desta abordagem e os desafios que precisam ser superados para garantir o seu sucesso. Está organizada em dois estudos, sendo um primeiro estudo uma revisão da literatura e o segundo, um estudo observacional de caracter transversal, os quais nos permitiram compreender de que forma a telemedicina poderá ajudar no tratamento destes doentes.In recent years, digital health, or e-health, has played an increasingly important role in healthcare provision, especially during the COVID-19 pandemic. For patients undergoing bariatric surgery, whose post-surgical follow-up is crucial to the success of the procedure, the use of e-health technologies has become an indispensable tool. In this context, e-health monitoring offers an innovative and safe solution to ensure that these users receive the necessary support and care, even in the face of social distancing restrictions and difficulties in accessing face-to-face health services. ehealth can provide a number of benefits, including greater user involvement, better access to care and improved communication between users and healthcare providers. This dissertation aims to assess how telemedicine is used throughout the bariatric surgery process and how it can influence the results of this surgical treatment for obesity. This dissertation will highlight the importance of e-health technologies in the management of surgical treatment for obesity, as well as their benefits in monitoring during the COVID-19 pandemic, exploring the advantages of this approach and the challenges that need to be overcome to ensure its success. It is organized in two studies, the first being a literature review and the second a crosssectional observational study, which allowed us to understand how telemedicine can help in the treatment of these patients

Diagnosis of Stable Coronary Disease by Computed Tomography Angiography as a first-line test:Cost Analysis in an Integrated Responsibility Center

Trabalho de Projeto Aplicado, Mestrado, Gestão de Unidades de Saúde, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, 2025A melhoria da eficiência no setor da saúde é essencial para reduzir falhas nos serviços e assegurar cuidados de qualidade aos utentes do Serviço Nacional de Saúde (SNS), otimizando os recursos limitados. Em Portugal, a incidência de enfarte agudo do miocárdio (EAM) tem aumentado devido à prevalência de fatores de risco cardiovascular, muitos dos quais poderiam ser prevenidos com uma gestão adequada, adoção de hábitos saudáveis e um diagnóstico precoce por imagem. A angiografia por tomografia computorizada cardíaca (Angio TC) tem-se revelado uma ferramenta eficaz no diagnóstico da doença coronária (DC), permitindo calcular o score de cálcio das artérias coronárias e identificar outras patologias importantes. Este exame não invasivo pode substituir métodos convencionais, avaliando o fluxo arterial em tempo real. Este projeto avalia a viabilidade económica de implementar a Angio TC como exame de primeira linha para diagnóstico de DC estável na Unidade Local de Saúde do Alentejo Central (ULSAC), com uma poupança anual estimada de 344 991,16 €/ano.Improving efficiency in the health sector is essential to reduce service failures and ensure quality care for users of the National Health Service (SNS), optimizing limited resources. In Portugal, the incidence of acute myocardial infarction (AMI) has increased due to the prevalence of cardiovascular risk factors, many of which could be prevented through proper management, adoption of healthy habits and early diagnosis by imaging. Cardiac computed tomography angiography (CT angiography) has proven to be an effective tool in the diagnosis of coronary heart disease (CHD), allowing the calculation of the calcium score of the coronary arteries and the identification of other important pathologies. This non-invasive exam can replace conventional methods by assessing arterial flow in real time. The project evaluates the economic viability of implementing CT Angiography as a first-line exam for diagnosing stable CAD in the Alentejo Central Local Health Unit (ULSAC), with an estimated annual saving of 344 991,16€/year

Long-term effects on rate of torque development and fear of falling following high-speed resistance training in older adults

This study examined the influence of physical activity (PA) on the retention of rate of torque development (RTD) effects achieved following a 16-week high-speed resistance training (HSRT) over a 12-month follow-up period. Secondly, the fear of falling was also assessed. After the follow-up, 36 participants were categorized into two groups according to the PA: light activity group (LAG, N = 20, age 70.00 ± 3.66 years) and moderate-to-vigorous activity group (MVAG, N = 16, age 68.50 ± 2.09 years). At the four time points, RTDPEAK and its time intervals for knee extension and flexion were measured using an isokinetic dynamometer at 60º/s, and the fear of falling was assessed using the Falls Efficacy Scale–International questionnaire. Both groups showed significant RTDPEAK improvements from pre intervention to the 12-month follow-up (moderate-to-large effect sizes). However, PA levels suggested to influence the retention effects: LAG showed declines in dominant RTDPEAK (2% in extension and flexion) and in non-dominant side (6% extension and 5% flexion). In contrast, the MVAG maintained or slightly improved RTDPEAK performance in dominant (1% extension and 2% flexion) and in non dominant side (3% extension and 1% flexion). Fear of falling scores remained significantly reduced in both groups compared to pre-intervention, regardless of PA level. In summary, maintaining moderate to-vigorous PA during follow-up appears to enhance the long-term retention of HSRT-induced neuromuscular adaptations, whereas HSRT effects on fear of falling were sustained regardless of PA level, highlighting its clinical potential for fall prevention

Molecular and hydraulic responses of grapevine to water status and phenology under long-term differential irrigation treatments

Understanding seasonal interactions among hydraulic, chemical and molecular signalling under water deficit is crucial for improving vineyard irrigation strategies under climate change and increasing water scarcity. We aimed to test how irrigation strategies and phenology affect the hydraulic adjustment mechanisms of eight fieldgrown grapevine varieties under different long-term irrigation regimes: Full-irrigated (100 % ETc), deficitirrigation (50 % Full-irrigated), and non-irrigated. Leaf pre-dawn water potential, leaf hydraulic conductivity (Kleaf), stomatal conductance, aquaporin gene expression and hormone content, were assessed at four key phenological stages, from pea-size to post-harvest. Stomatal closure was the earliest water-stress response across genotypes, while hormonal balance differentiated responsive from non-responsive genotypes regarding chemical signalling. Kleaf was primarily driven by phenology, peaking at early stages and declining thereafter. Aquaporin gene expression was both genotype- and phenology-dependent, with high activity during early stages followed by progressive down-regulation, aligned with changes in stomatal conductance and Kleaf and reflecting each variety iso-/anisohydric behaviour. This pattern confirms the role of aquaporins in grapevine hydraulic adjustments and stomatal regulation under decreasing water potentials. Aquaporins and Kleaf showed positive responses to water availability at post-harvest, indicating differential watering benefits among genotypes. Our results emphasize the need for field-phenotyping studies to fine-tune water management strategies in viticulture.FCT, FEADE