Desafios na referenciação para intervenção psicológica em doentes em cuidados paliativos na perspetiva dos médicos

Objetivo: O presente estudo teve como objetivo conhecer quais os principais desafios no cuidado aos doentes com doença avançada progressiva e seus familiares, valorizados pelos médicos da equipa de Cuidados Paliativos e que aspetos estão a privilegiar quando tomam a decisão de fazer o encaminhamento para intervenção psicológica. Método: Foram realizadas entrevistas semiestruturadas a cinco médicos que constituem uma equipa de cuidados paliativos. A análise de conteúdo foi orientada pelos princípios da Grounded Theory e recorreu ao Software Nvivo11. Resultados: Os participantes identificaram a dependência e a perda do sentido da vida como os principais desafios no cuidado ao doente. Relativamente, aos desafios da família, foi reconhecida a conspiração do silêncio. O tempo disponível para acompanhar o doente e a dificuldade em colaborar com outros profissionais de saúde de outras especialidades foram privilegiados como os principais desafios dos médicos. Quanto aos recursos específicos da equipa para dar resposta a estes desafios, os médicos valorizaram o trabalho em equipa, a comunicação e o facto de a equipa ser interdisciplinar.Objective: This study was aimed to know which were the main challenges in the care of patients with advanced progressive disease and their relatives, valued by doctors of the palliative care team and which aspects they are taking more into consideration when the decision to refer the patient to psychological intervention is made. Method: Various semi-structured interviews were made to five doctors from a palliative care team. The content analysis was guided by the principles of Grounded Theory and the Nvivo11 was the software chosen. Results: The participants, named the dependency and the loss of the meaning of life as the main challenges to the patient. Familywise, it was acknowledged the conspiracy of silence. The short amount of time to accompany the patient and the difficulty to collaborate with other health professionals from different specialities, were the focus of challenge for the doctors. As for the specific resources available for the team to answer those problems, the doctors valued teamwork, communication and the fact that they are an interdisciplinary team. All the participants had difficulties in pointing out specific roles for the individuals within the team

Neurophysiological evaluation of undergraduate portuguese young adults with regarding difficulties

Reading is a complex cognitive process that requires a simultaneous activation of different brain systems. Power EEG has been used to study activation patterns in dyslexic subjects, but so far, studies lack result’s coherence, including in adult dyslexic population. The Reading Age Test (TIL) is a screening assessment for dyslexia. TIL evaluates the processes of decoding and understanding. This test is adapted and validated to Portuguese language. Objective: To analyze neurophysiological differences in undergraduate adults with and without reading difficulties using power EEG, and compare the results with the ones found at younger ages. Methods: 209 college students were administered the TIL. EEG was collected with 26 students (21 within normal reading level; 5 with severe reading difficulties signalized with TIL). During the EEG, the participant was asked to follow a sequence of tasks, during a total of 15 minutes (Basal resting state, TIL, Pos-TIL resting state, Non-reading Task; final resting state). Subsequently, the Fourier Transform (FFT) algorithm was applied to the EEG signal from the Basal resting state and the two given tasks. Power spectra mean values of delta, theta and beta activity band, from electrodes F7, F8, T3, T4, T5 and T6 were analyzed performing Shapiro-Wilk tests. Results: No significant differences in mean variations (sig >0.05) were observed between groups during the analyzed periods, regarding electrode and brain activity band frequency. Conclusion: This study provided inconclusive results concerning power EEG different findings at the lower frontal gyrus region and temporal region, between subject with and without reading difficulties.info:eu-repo/semantics/publishedVersio

Enhancing student well-being: the Impact of a mindfulness-based program (Mind7+) on stress, anxiety, sleep quality, and social Interactions in a sample of portuguese university students

There is an urgent need to promote mental health strategies in university students, and mindfulness-based interventions provide alternative and complementary approaches. The present study aimed to investigate the impact of a mind-fulness-based program (Mind7+) on Portuguese students from the Polytechnic University of Santarem, focusing on stress levels, depression, anxiety, and sleep quality. The intervention consisted of a 8 week mindfulness-based program, with six presential sessions and two online sessions. The participants completed self-filled validated questionnaires before and after intervention. The study revealed that Mind7+ program not only positively influenced stress levels, anxiety, and sleep quality among university students but also had a positive impact on their social interactions. A correlation between sleep quality and frequency of individual practices was observed. The observed medium effect size under-scores the practical relevance of Mind7+ program and the potential of mindfulness-based interventions in higher education to enhance both individual well-being and social connections.N/

Ground-borne vibrations due to railway traffic in urbanized areas: A numerical study about traffic in trench cross-sections

Modern cities require efficient mass transportation systems like subway and railway networks. Due to the lack of available space and also due to environmental concerns, it is usually preferable to use the underground space to construct such kind of infrastructures. In this context, several railway lines run in trench cross-sections in urbanized regions. This option permits to save space, allowing reducing the distance between railway lines and existing buildings. Due to that reduced distance, nearby buildings are exposed to relevant levels of vibrations that can annoys their inhabitants. In the present paper a numerical investigation about the dynamic aspects related with wave propagation due to railway traffic in trench cross-sections is presented. For that purpose, a 2.5D FEM-PML formulation is adopted for the simulation of the main system (track-retaining structure-ground), while the rolling stock is simulated by a multi-body approach. A reference scenario is previously presented, being followed by a parametric study where the influence of the geotechnical properties of the ground was analyzed.This work was financially supported by: Project POCI-01-0145-FEDER-007457 - CONSTRUCT - Institute of R&D in Structures and Construction funded by FEDER funds through COMPETE2020 - Programa Operacional Competitividade e Internacionaliza??o (POCI) - and by national funds through FCT - Fundacao para a Ciencia e a Tecnologia: Project PTDC/ECM-COM/1364/2014 and Individual Grant SFRH/BD/101044/2014.Scopu

Paragenetic positioning of PGE in mafic and ultramafic rocks of Cabeço de Vide – Alter do Chão Igneous Complex

A expressão mineralógica de platinóides nas rochas máficas e ultramáficas de Cabeço de Vide (Complexo Ígneo de Alter do Chão), ocorre em dois episódios de deposição primária que se relacionam com os estádios de fraccionação dunítico a pós-dunítico (estibiopaladinite e froodite) e lherzolítico, equivalente ao início da fraccionação de sulfuretos (auricuprite e ouro). Os minerais tipomórficos subsequentes (sperrylite e arsenopaladinite) representam o reposicionamento epigenético associado à serpentinização.PGE mineralisation in mafic and ultramafic rocks of Cabeço de Vide (Alter do Chão Igneous Complex) results from two primary deposition events related to progressive fraccionation at dunitic to post-dunitic stage, represented by stibiopaladinite and froodite, and at lherzolitic stage, coupled by sulphide segregation, causing auricuprite and gold crystallization. Subsequent PGM (sperrylite and arsenopaladinite) must result from serpentinization repositioning

Intervenções e práticas multiprofi ssionais na atenção à saúde de adolescentes: uma revisão integrativa

The various transformations in the contexts social, political and cultural issues affecting the epidemiological profi leof the population has increased and generated changes in health models, which requires professionals involved in the process of making health, a change in clinical practice. Mainly on aspects that concern the attention to adolescents, to make it possible lead them into adulthood with integrity, as subject transforming your reality. The objective in this study, was to analyze multidisciplinary experience in the integral attention to adolescent health, as well as providing some thoughts to proposition other studies. For this purpose, we used the methodological contributions of the integrative review, seeking to answer the following research question: What intervention strategies have been used by multidisciplinary teams in health care for adolescents? We analyzed two articles that met the criteria established by the study. We identifi ed a scarcity of publications, inferring that this theme is emerging recently in relation to multidisciplinary practices, while they are grounded in the perspectives of health education. It is understood that discussions and presentations on these actions are relevant when considering the novelty of thesubject adolescent today, and the publication of these experiences of healthcare practice.As diversas transformações nos contextos sociais, políticos e culturais que impactam no perfi l epidemiológico da população têm aumentado e produzido mudanças nos modelos de saúde, exigindo dos profi ssionais envolvidos no processo do fazer saúde modifi cações na prática assistencial. Principalmente nos aspectos que tangem a atenção ao adolescente, para que seja possível conduzi-los para fase adulta com integridade, enquanto sujeito transformador de sua realidade. Neste estudo objetivou-se, analisar experiências multiprofi ssionais na atenção integral à saúde do adolescente, bem como oferecer refl exões para proposição de outros estudos. Para tanto, utilizou-se os aportes metodológicos da revisão integrativa, buscando responder a seguinte questão de investigação: Quais estratégias de intervenção têm sido utilizadas por equipes multiprofi ssionais na atenção à saúde de adolescentes? Foram analisados dois artigos que atenderam aos critérios estabelecidos pelo estudo. Identifi cou-se uma escassez de publicações, inferindo que essa temática é emergente e recente no que se refere às práticas multiprofi ssionais, ao mesmo tempo em que estão alicerçadas nas perspectivas da educação em saúde. Entende-se que debates e exposições sobre essas ações são relevantes ao se considerar a novidade do assunto adolescência na atualidade, assim como a publicação de experiências desse tipo de prática em saúde

Violence in the work: the possible relationships between assaults and PTSD in drivers and conductors from a public transport company

O objetivo principal do estudo foi investigar o possível nexo causal existente entre violência urbana (especificamente os assaltos) presente no contexto de trabalho dos rodoviários (motoristas e cobradores) de uma empresa de transporte coletivo da região metropolitana de Belo Horizonte (RMBH) e o adoecimento psíquico dos trabalhadores. A pesquisa de campo baseou-se no método qualitativo, ao realizarmos entrevistas semi-estruturadas com 16 rodoviários vítimas de assalto no contexto de trabalho e observação participante junto a linhas de ônibus consideradas mais vulneráveis a assaltos em uma cidade da RMBH. Os resultados da nossa pesquisa evidenciam que os rodoviários participantes do estudo apresentam sintomas isolados de transtorno de estresse pós-traumático (TEPT), sendo que alguns podemse tornarvulneráveis ao desenvolvimento do quadro desse transtorno se continuaremexpostos a assaltos, principalmente em situação de reincidência. Em todos os participantes identificamos falas ilustrativas de pelo menos um dos sintomas de cada critério diagnóstico. Os sintomas relatados foram: revivência do assalto em pensamentos, imagens e sonhos; sofrimento psicológico decorrente do contato com indícios externos que simbolizam ou trazem a recordação de algum aspecto do trauma; evitação de pessoas que lembram o trauma; insônia e irritabilidade. Os resultados indicam possível nexo causal entre a situação de assalto sofrida durante a jornada de trabalho e o desenvolvimento de TEPT no rodoviário.The study's main objective was to investigate the possible existing causal connection among urban violence (specifically the assaults) present on the context of work of drivers and conductors from a public transport company of the metropolitan area of Belo Horizonte City (RMBH) and the psychological sickness of the workers. The field research based on the qualitative method, when we carried out semi-structured interviews with 16 workers, victims of assaults on the work context, and with participant observation next to bus lines considered more vulnerable to assaults in a city of the RMBH. The results show up that the drivers, participant of the study, present isolated symptoms of post-traumatic stress disorder (PTSD), it being that some can become vulnerable to the developing of diagnosis of this disorder, it if they continue exposed to assaults, principally in situation of re-incidence. In all of the participants, we identified illustrative speeches in at least one of the symptoms of each criterion diagnosis. The identified symptoms were: re-experience of the assault in thoughts, images and dreams; psychological suffering resulting from the contact with external signs, which symbolize or bring the recollection of some aspect of the trauma; avoidance of people who remember the trauma; insomnia and irritability. Results indicate a possible causal connection among the situation of the assault suffered during the working day and the developing of PTSD in the driver and conductor

Geological mapping of the Cabeço de Vide basic-ultrabasic complex: essay on geometry and metalogenesis potential

A área detém as características mínimas necessárias ao desenvolvimento da prospecção de sulfuretos magmáticos primários e mineralizações de platinóides: litologias básicas e ultrabásicas e teores de Ni, Cu, Pt e Pd, anómalos. Na cartografia à escala 1:10 000 individualizam-se quatro domínios geológicos: litologias ultrabásicas, gabróicas, o domínio metassomático, e calcários do Câmbrico. O complexo básico e ultrabásico terá resultado de dois episódios de instalação ígnea, sendo o impulso ultrabásico anterior ao que originou os gabros.The area holds minimal characteristics that are needed to develop Magmatic sulphide deposits and PGE mineralization: basic and ultrabasic lithologies and anomalous Ni, Cu, Pt, Pd grades. It is possible to discriminate four geological domains based on 1: 10 000 mapping of the area: ultrabasic lithologies, gabbroic lithologies, metasomatic rocks and Cambrian limestones. The basic-ultrabasic complex might have resulted from two different magmatic pulses (the ultrabasic event preceding the gabroic pulse)