Implementação de sistema de gestão documental como veículo simplificador de processos e promotor da qualidade na formação de profissionais de saúde

Vários autores têm-se debruçado sobre o conceito de qualidade nos serviços, como um instrumento que visa promulgar a eficácia e eficiência desses mesmos serviços. A aplicação de instrumentos de gestão privada no seio da Administração Pública preconiza a introdução de uma nova gestão pública, atenta à qualidade, à simplificação de processos e por conseguinte à promoção da mudança nos serviços. Neste âmbito, a implementação de projectos que visem a simplificação de processos, constitui uma estratégia de que as organizações se podem recorrer para promoverem a melhoria contínua. Com base no enquadramento teórico elaborado na revisão de literatura, o objectivo deste estudo passa pela definição e análise de um sistema de gestão documental. Após a sua validação, este sistema poderá por um lado, constituir um mecanismo simplificador de processos, e por outro, ser um instrumento que irá fortalecer e contribuir para a qualidade dos profissionais de saúde que a instituição forma. E isto é extremamente importante uma vez que a educação tem um papel preponderante na transformação da sociedade (Morrow e Torres, 1997; Tedesco, 1999; Teodoro, 1994)

Understanding students’ academic achievement in public High School : evidence for Portugal

Dissertation presented as the partial requirement for obtaining a Master's degree in Information Management, specialization in Knowledge Management and Business IntelligenceSeveral papers and studies have been conducted to better understand what are the main factors that influence students’ academic achievement and what measures should be taken to improve it. Therefore, based on 383.560 students’ observations, evaluated on secondary Portuguese public schools in 2014/2015 academic year, the purpose of this study is to provide a new approach to the collected data by using Data Mining predictive models. The results show differences on the academic achievement among females and male students, where females got better academic results. Access to computer and Internet found to be powerful tools in education that students can explore to their benefit and show to have a positive influence on academic results. Students benefiting from financial social support prove to have a lower performance in academic achievement. Results also point to the fact that the number of reproves still has a great negative impact on students’ academic achievement. This is one of the first studies to the best of the authors knowledge to employ analytic techniques on such a large dataset on the context of academic achievement

Balanced scorecard, modelo de excelência EFQM e common assessment framework, como instrumentos integrados de gestão de qualidade nos serviços públicos

Vários autores têm-se debruçado sobre o conceito de qualidade nos serviços, como um instrumento que visa promulgar a eficácia e eficiência desses mesmos serviços. A aplicação de instrumentos de gestão privada no seio da Administração Pública preconiza a introdução de uma nova gestão pública, atenta à qualidade, à auto-avaliação e por conseguinte à promoção da mudança nos serviços. Neste âmbito, a aplicação coordenada do Balanced Scorecard (BSC), do modelo de Excelência da European Foundation for Quality Managemen (EFQM) e da Common Assessement Framework (CAF),que poderá ser uma estratégia a que os organismos públicos podem recorrer para promoverem a melhoria contínua. Com base no enquadramento teórico elaborado na revisão de literatura, o objectivo deste estudo pressupõe a definição e análise de uma estrutura integrada, BSC-CAF, que permite efectuar uma aplicação conjunta destas ferramentas. Constatou-se que o emprego em simultâneo das ferramentas enunciadas, permite fomentar a criatividade e a gestão dos recursos de que as organizações dispõem, de modo a melhorar o seu desempenho organizacional

A common assessment framework como instrumento de inovação nos serviços públicos

disponível apenas o resumoSeveral authors have been working on the concept of innovation in services as a tool that aims to bring the efficiency and effectiveness of those services. The application of management tools within the private government advocates the introduction of a new public management, given the quality, the self-assessment and therefore the promotion of innovation in services. In this context, the Common Assessment Framework (CAF) emmerges as a tool for self-assessment, based on the model of excellence of the European Foundation for Quality Management (EFQM), which the public sector can use to promote continuous improvement and therefore innovation in their services. Based on the theoretical framework developed in the literature review, this study assumes an analysis of surrounding the CAF, and if that in itself will have an influence to advocate for innovation in services, thus assuming a tool for scholars and public institutions to help themselves to improve their knowledge and organizational performance

Evaluation of public policies in Portuguese regional development context – a preliminary methodological approach supported in north region

The evaluation of territorial programs and plans has been gaining importance, both in political-institutional speeches and practices and in academic reflections. In Portugal, the structure of planning, operacionalized on a vast number of quite recent instruments, requires an effort of articulation in the guidelines to various scales (from European until the municipal) and of the various fields (some sectoral, others, of more transversal nature). The development of monitoring systems, as well as the generalisation of the evaluation procedures, answer to the need of articulation between policies and support the strategic nature that is planning today. As a part of the Research Project SPOTIA - Sustainable Spatial Policy Orientations and Territorial Impact Assessment - Contribution to Portuguese context' (Centre of Geographical Studies – University of Lisbon to the Ministry of Science and Technologies), this paper aims to present an example of the first outputs of this research on the analysis of coherence between three different instruments planning, such as the National Policy Planning (PNPOT), a guiding document of national level, the Regional Spatial Plan to Northern Territory (PROT-Norte), the regional guidance document, and the Regional Operational Programme (PO-Norte), the regional program associated to a financing plan and program implementation. The analysis of coherence between these documents is not only between their general, strategic and specific objectives, but also by the indicator system assessment of each document. With this analysis we can reach the domains that are constantly, or not, present in these documents. In this context, a first essay of a methodological approach on evaluation of public policies in Portuguese context will be presented.

Consequences of varying dietary starch content on metabolic status and production level in dairy cows

Dissertação de Mestrado em Engenharia Zootécnica/Produção AnimalSubacute ruminal acidosis (SARA) is one of the most common metabolic diseases in dairy cows. The main cause for SARA is an excessive feeding of fermentable carbohydrates, mainly starch. To test the effect of varying starch levels in the diets on metabolic status and productive performance, six lactating Danish Holstein cows with ruminal cannulas and permanent intercostal artery catheters were used in a replicated 3 x 3 Latin square design. Animals were fed ad libitum with a control diet containing 20% starch (DM basis) during the adaptation period (6 days). At day 7 (D1), 9, 11 and 13 (D4) cows received one of the experimental diets containing either 28, 35, 42% starch (DM basis) corresponding to low, medium and high treatments. At day 8, 10, 12 and 14 cows were fed with the control diet. Rumen fluid (ventral and medial), blood, urine and milk samples were collected at day 6, 7 and 13, at -0.5, 1, 2.5, 4, 5.5 and 7 h relative to feeding. Additionally, milk yield, water intake and dry matter intake were recorded. In all samples, pH was measured. In blood samples, partial pressure of O2 and CO2 were measured. In milk samples, glucose, glucose-6-phosphate, β-hydroxybutyrate, lactate dehydrogenase, creatinine, malate, isocitrate and urate concentrations were measured using an enzymatic-fluorometric method. Daily milk samples were also measured for fat, protein, somatic cell count (SCC) and lactose using infrared spectrometry. The MIXED procedure of SAS was used with a model including starch level, sampling time and interaction between both as independent variables, and cow as a repeated effect. Production performance parameters (milk yield, fat, protein, SCC and lactose) were not affected by treatment nor were dry matter and water intake (P>0.05). Parameters affected by time were due to normal metabolic alterations during rumination. Ventral fluid pH was affected by treatment on D1, increasing from the medium treatment to the high treatment (6.19 ± 0.08 and 6.45 ± 0.08, respectively; P=0.01). Blood pH decreased in the medium and high treatments compared to the low treatment (7.50 ± 0.01 and 7.52 ± 0.01, respectively; P=0.02) on D4. Milk urate concentration increased in the medium treatment compared to the low treatment on D1 (129.6 ± 3.79 and 155.5 ± 8.48, respectively; P=0.01) and D4 (110.9 ± 3.79 and 105.7 ± 8.48, respectively; P=0.04). Milk pH decreased in the high treatment compared to the low treatment (6.75 ± 0.01 and 6.80 ± 0.01, respectively; P=0.02) on D1. Milk malate and creatinine were affected by the interaction on D4 (P0.05). Os parâmetros afetados pelo tempo são resultado das alterações metabólicas durante a ruminação. O tratamento afetou o pH do fluído ventral em D1, aumentando do tratamento médio para o alto (6.19 ± 0.08 e 6.45 ± 0.08, resp.; P=0.01). O pH do sangue diminuiu nos tratamentos médio e alto em comparação com o baixo (7.50 ± 0.01 e 7.52 ± 0.01, resp.; P=0.02) em D4. A concentração de urato aumentou no tratamento médio em comparação com o baixo em D1 (129.6 ± 3.79 e 155.5 ± 8.48, resp.; P=0.01) e D4 (110.9 ± 3.79 e 105.7 ± 8.48, resp.; P=0.04). O pH do leite diminuiu no tratamento alto em comparação com o baixo (6.75 ± 0.01 e 6.80 ± 0.01, resp.; P=0.02) em D1. A concentração de malato e creatinina no leite foram afetados pela interação em D4 (P<0.05) e o isocitrato em D1 (P=0.03). Todos os grupos sofreram ARS. Em geral, as vacas demonstraram mais desequilíbrios metabólicos em D1 do que em D4, concluindo que o microbioma ruminal adapta-se ao tratamento e que os animais ajustam as vias metabólicas de excreção do ácido, desvalorizando o elevado conteúdo de amido na dieta.N/

Relatório de estágio

O presente relatório documenta as atividades desenvolvidas no âmbito do estágio curricular referente ao segundo ano do Mestrado em Psicologia Clínica e da Saúde, da Universidade Católica Portuguesa – Faculdade de Filosofia de Braga. O estágio decorreu no Centro de Solidariedade Social de Braga, Projeto Homem, na valência da Comunidade Terapêutica. O estágio é um processo de aprendizagem indispensável para os profissionais estarem aptos a enfrentar os desafios da profissão. Assim, o estágio curricular teve como objetivo aplicar os conhecimentos teóricos adquiridos ao longo do curso, contribuir para a aquisição de experiência e competências profissionais, refletir sobre as práticas e as aprendizagens no contato com a realidade e promover a formação ética alicerçada com a componente teórica. O relatório está organizado em três partes: caraterização do contexto institucional; atividades de estágio; reflexão final sobre as competências e conhecimentos adquiridos.This report documents the activities undertaken under the internship for the second year of the Master Degree in Clinical and Health Psychology in Universidade Católica Portuguesa – Faculdade de Filosofia de Braga. The internship was held in Centro de Solidariedade Social de Braga, Projeto Homem, at valence of Comunidade Terapêutica. The internship is a learning process necessary for professionals to be prepared to face the challenges of the profession. Thus, the curricular aim was to apply the theoretical knowledge acquired during the course, contribute to the acquisition of experience and skills, reflect on practices and learning in contact with reality and promote the ethical education grounded in the theoretical component. The report is organized into three parts: characterization of the institutional context, internship activities, final reflection on the skills and knowledge acquired

An integrative assessment to determine the genotoxic hazard of estuarine sediments: combining cell and whole-organism responses

The application of the Comet assay in environmental monitoring remains challenging in face of the complexity of environmental stressors, e.g., when dealing with estuarine sediments, that hampers the drawing of cause-effect relationships. Although the in vitro Comet assay may circumvent confounding factors, its application in environmental risk assessment (ERA) still needs validation. As such, the present work aims at integrating genotoxicity and oxidative DNA damage induced by sediment-bound toxicants in HepG2 cells with oxidative stress-related effects observed in three species collected from an impacted estuary. Distinct patterns were observed in cells exposed to crude mixtures of sediment contaminants from the urban/industrial area comparatively to the ones from the rural/riverine area of the estuary, with respect to oxidative DNA damage and oxidative DNA damage. The extracts obtained with the most polar solvent and the crude extracts caused the most significant oxidative DNA damage in HepG2 cells, as measured by the formamidopyrimidine-DNA glycosylase (FPG)-modified Comet assay. This observation suggests that metals and unknown toxicants more hydrophilic than polycyclic aromatic hydrocarbons may be important causative agents, especially in samples from the rural part of the estuary, where oxidative DNA damage was the most significant. Clams, sole, and cuttlefish responded differentially to environmental agents triggering oxidative stress, albeit yielding results accordant with the oxidative DNA damage observed in HepG2 cells. Overall, the integration of in vivo biomarker responses and Comet assay data in HepG2 cells yielded a comparable pattern, indicating that the in vitro FPG-modified Comet assay may be an effective and complementary line-of-evidence in ERA even in particularly challenging, natural, scenarios such as estuarine environments

Determinants of physical activity practices in metropolitan context: the case of Lisbon Metropolitan Area, Portugal

Physical activity is an important health determinant for people’s quality of life and wellbeing. This study intends to (1) identify how the practice of physical activity fits into families’ daily lives; and (2) verify to what extent the practice of physical activity is influenced by the urban model, family composition, and family perceptions. A survey was applied to 410 families (corresponding to 1006 individuals) in Lisbon Metropolitan Area (LMA), Portugal, focusing on different physical activities—gym, swimming, walking/trekking/hiking, and cycling. Results are based on descriptive and bivariate data analysis and show the existence of asymmetries in the practice of physical activity in LMA. The urban context impacts the choice and frequency of physical activity practices. The typology of family and age proved to be more differentiating factors than income, being reinforced by daily lives (e.g., daily movements, transport modes, etc.). Positive self-perceptions of quality of life and health levels are also conducive to more active practices, contrary to negative perceptions of the neighborhood that are related to practices in peripheral destinations. Conclusions highlight the need for differentiated measures of physical activity promotion according to the territories and communities’ characteristics in a multilevel approach.info:eu-repo/semantics/publishedVersio