Planeamento de manutenção de aviões: transporte aéreo comercial: aeronaves de grande porte

A realização desta dissertação de mestrado no âmbito do estágio profissional realizado na TAP Manutenção & Engenharia tem como principal objectivo apresentar todos os estudos e análises efectuadas ao longo da observação das metodologias e ferramentas necessárias para a concepção e melhoria contínua do planeamento das inspecções das aeronaves, nomeadamente, o Mapa de Milestones e o Report de Previsão de Necessidades de Mão-de-Obra que serão adequadamente apresentados. A redacção deste documento é composta por duas componentes, tendo a primeira a função de contextualizar a temática relacionada com o planeamento, uniformizar a terminologia existente no âmbito da manutenção e a apresentação da resenha histórica da criação e desenvolvimento dos programas de manutenção. Por outro lado, a segunda componente contém todos os procedimentos envolvidos para a melhoria das ferramentas utilizadas no sector do Planeamento, melhorias essas que se fizeram sentir principalmente no Report de Previsão Necessidades de Mão-de-Obra e que promoveram uma maior eficiência do planeamento das diversas aeronaves

Navigating the tensions of integrating lived experience in participatory healthcare design

Despite growing interest in participatory approaches to healthcare design, the integration of people's lived experience-direct, first-hand understanding of a certain condition, situation, or identity-remains a key challenge to meaningful participation. Through an interview study with 23 patients, designers, family caregivers, and healthcare professionals involved in participatory healthcare design initiatives, the authors identify underlying tensions associated with leveraging lived experiences in healthcare design and investigate how existing strategies for integrating lived experience relate to these tensions. In doing so, this research offers insights for practitioners regarding ways of strategically navigating tensions when integrating people's lived experience through design in complex healthcare contexts.info:eu-repo/semantics/acceptedVersio

Caseous calcification of the mitral annulus: A multi-modality imaging perspective.

Mitral annulus calcification is a common echocardiographic finding, particularly in the elderly and in end-stage renal disease patients under chronic dialysis. Caseous calcification or liquefaction necrosis of mitral annulus calcification is a rare evolution of mitral annular calcification. Early recognition of this entity avoids an invasive diagnostic approach, since it is benign and, unlike intracardiac tumors and abscesses, has a favorable prognosis. The authors present the case of an 84-year-old woman with a suspicious large, echodense mass at the level of the posterior mitral leaflet with associated severe mitral regurgitation. Cardiac magnetic resonance imaging demonstrated a hypoperfused mass with strong peripheral enhancement 10 minutes after gadolinium administration. Multislice computed tomography showed the calcified nature of the mass. A multi-modality imaging approach confirmed the diagnosis of caseous calcification of the posterior mitral annulus. The patient refused surgical treatment

Impacto de um programa de reabilitação na gestão urinária do doente acometido por acidente vascular cerebral

Objective: to assess the effect of a Nursing Rehabilitation program on the urinary incontinence management of women after a CVA. Method: quantitative, quasi-experimental, and longitudinal study conducted in a convalescence unit in the Viana do Castelo district, Portugal, between September 2018 and March 2019. The sample included women (n=30) aged between 45 and 90, experiencing urinary incontinence after a CVA, assigned to two groups: experimental group (n=15) and control group (n=15). The functional rehabilitation program was applied to the experimental group for 4 weeks. The program comprises behavioral changes and an exercise plan to strengthen pelvic floor muscles, and the impact of urinary incontinence was assessed before and after the intervention. Results: a statistically significant correlation was found between the level of functional disability and the impact of urinary incontinence (r=-0.499; p=0.005). Hence, the level of functional disability influences the impact of urinary incontinence on quality of life. The functional rehabilitation program implemented in the experimental group obtained positive results and decreased the frequency (t=6.985, p=0.000) and amount (Z=-2.762, p=0.006) of urine loss. Conclusion: the functional rehabilitation program positively impacted and decreased the frequency and amount of urine loss.info:eu-repo/semantics/publishedVersio

O consumo e a partilha de conteúdos na Internet pelos estudantes do ensino superior – contextos e práticas

Este artigo apresenta uma revisão de literatura acerca do consumo e partilha de conteúdos na Internet e surge no âmbito de um projeto de investigação que procura compreender as práticas de utilização de conteúdos entre os estudantes de uma instituição de ensino superior. Grande parte dos estudos encontrados permite concluir que a geração que frequenta atualmente o ensino superior é multitarefa e disponível para a utilização ativa de dispositivos, plataformas e serviços online quer no domínio pessoal, quer no de aprendizagem. Emerge como tendência desta pesquisa a forte presença da tecnologia e dos media sociais no dia-a-dia dos jovens, o que lhes confere uma dinâmica comunicacional intensiva e participativa.info:eu-repo/semantics/publishedVersio

Trends in online consumption and sharing of content by higher education students

This article presents a literature review about media consumption and content sharing on the Internet and is part of a research project that aims to outline and understand practices shared among students of a specific Portuguese higher education institution. Much of the studies found allow us to conclude that students that currently attend higher education are used to multitasking and are active users of online devices, platforms and services in both personal and learning contexts. Research shows that the presence of technology and social media in the daily life of young people is no longer just a growing trend but rather a current fact, which produces intensive and participatory communication dynamics.info:eu-repo/semantics/acceptedVersio

Biventricular Takotsubo vs Myocarditis – a diagnostic challenge

Background: Takotsubo cardiomyopathy (TCM) is an important differential diagnosis of acute coronary syndrome and myocarditis. It is characterized by normal or near-normal coronary arteries and regional wall motion abnormalities that extend beyond a single coronary vascular bed. Variants of the classical left ventricular (LV) apical ballooning are increasing in recognition as cardiac magnetic resonance (CMR) is more extensively used. Case report: We present a case of 69-year-old woman with a previous history of hypertension, diabetes and dyslipidaemia, transferred to our emergency department due to suspected acute coronary syndrome. She had a history of two episodes of an oppressive chest pain longer than 1 hour, orthopnoea and paroxysmal nocturnal dyspnoea 36 hours before. Two weeks before she had had a lower tract respiratory infection, that was not totally resolved. On admission, she only had dyspnoea. On examination, she had wheezing, arrhythmic pulse and hypertension. Breath sounds were absent in lower chest and rales were also noted. Electrocardiogram showed rapid atrial fibrillation, poor R wave progression in anteroseptal leads and inverted T waves in I, aVL and V2-V6 leads. Modest elevation in cardiac troponin (4.55 ng/mL) was observed. Chest x-ray showed bilateral pleural effusion. A transthoracic echocardiography (TTE) was immediately performed and revealed akinesis/dyskinesis of mid to apical segments (apical ballooning) of both ventricles, extended beyond a single epicardial coronary distribution, compatible with biventricular TCM. Cardiac catheterization showed absence of obstructive coronary disease. A CMR, performed two days later, showed moderate biventricular systolic dysfunction, hypokinesis in mid to apical segments of LV and hypokinesis in apical right ventricle. It also showed non-ischemic late gadolinium enhancement in antero-apical and lateral apical segments. After several days of medical management, the patient was discharged from the hospital in stable condition. TTE performed 6-month after evidenced complete biventricular function recovery and no segmental contractility changes. CMR supported the functional recovery and the resolution of contractility abnormalities, but noticed the intramyocardial late gadolinium enhancement in the segments previously reported. Conclusion: There are fewer reports of this unusual presentation of TCM, described by ETT. This case represents a good example of the diagnostic challenge between myocarditis and takotsubo cardiomyopathy. Taking in account the exuberance of the case, the mild elevation of troponin, the full recovery of biventricular function and resolution of contractility abnormalities, it seems more probably to be a TCM, in a patient who, probably had a previous scar of myocarditis. Although, the hypothesis of acute myocarditis as the primary diagnosis cannot be excluded

O consumo e a partilha de conteúdos na Internet pelos estudantes do ensino superior - o caso do Instituto Politécnico de Viseu

info:eu-repo/semantics/publishedVersio

The consumption and sharing of media and content on the Internet by higher education students - contexts and practices

Este artigo apresenta uma revisão de literatura acerca do consumo e partilha de conteúdos na Internet e surge no âmbito de um projeto de investigação que procura compreender as práticas de utilização de conteúdos entre os estudantes de uma instituição de ensino superior. Grande parte dos estudos encontrados permite concluir que a geração que frequenta atualmente o ensino superior é multitarefa e disponível para a utilização ativa de dispositivos, plataformas e serviços online quer no domínio pessoal, quer no de aprendizagem. Emerge como tendência desta pesquisa a forte presença da tecnologia e dos media sociais no dia-a-dia dos jovens, o que lhes confere uma dinâmica comunicacional intensiva e participativa.This article presents a literature review about media consumption and content sharing on the Internet and is part of a research project that aims to outline and understand practices shared among students of a specific Portuguese higher education institution. Much of the studies found allow us to conclude that students that currently attend higher education are used to multitasking and are active users of online devices, platforms and services in both personal and learning contexts. Research shows that the presence of technology and social media in the daily life of young people is no longer just a growing trend but rather a current fact, which produces intensiveinfo:eu-repo/semantics/publishedVersio