Desmistificar para emancipar: exercício de imaginação para uma escola ideal

O presente relatório apresenta-se como uma reflexão sobre o trabalho desenvolvido no estágio realizado na Escola Artística e Profissional Árvore, no ano letivo de 2020/2021. No contexto da disciplina de Desenho Técnico e Análise Gráfica tornou-se possível experimentar metodologias de trabalho que pensamos serem potenciadoras de emancipação. Adotando-se o lugar do Mestre Ignorante perante um grupo de jovens do primeiro ano do curso de Desenho Digital, foi proposto o exercício de realização colaborativa de uma maquete da Cidade Ideal, sua discussão, conceção, realização, apresentação e debate público. Através de uma prática aproximada à produção artística, os participantes começaram e terminaram um projeto, realizaram um todo, convocando teoria, praxis e poesis. Face a uma análise da Escola enquanto lugar onde se aprendem, apreendem e difundem mitos, pensamos que o envolvimento dos estudantes na conceção do mundo surge como hipótese de rumo em direção à Escola Ideal, ou seja, a escola por nós idealizada enquanto exercício de imaginação utópica que nos empurra rumo à ousadia da transformação.This report presents itself as a reflection upon the work developed during the internship carried in the Artistic and Professional School Árvore, in the academic year of 2020 / 2021. In the context of the Technic Design and Graphic Analysis discipline, it became possible to experience new work methodologies that we thought would empower emancipation. Furthermore, by embracing the place of the Ignorant Master before a group of youngsters from the first year of the Digital Drawing course, it was proposed to them the exercise of a collaborative model of the Ideal City, its discussion, conception, execution, presentation, and public debate. Through a practice close to artistic production, the participants began and finished a project, carrying out a whole, therefore summoning theory, praxis and poesis. Thus, analyzing School as a place where learning, seizure and the dissemination of myths happen, we believe that the students' engagement in the conception of the world arrives as a possible way towards the Ideal School. The School we idealize as an utopic imagination exercise that pushes us forward to the daring transformation

OpenEHR Based Systems and the General Data Protection Regulation (GDPR)

The concerns about privacy and personal data protection resulted in reforms of the existing legislation in European Union (EU). The General Data Protection Regulation (GDPR) aims to reform the existing measures on the topic of personal data protection of the European Union citizens, with a strong input on the rights and freedoms of people and in the establishment of rules for the processing of personal data. OpenEHR is a standard that embodies many principles of interoperable and secure software for electronic health records. This work aims to understand to what extent the openEHR standard can be considered a solution for the requirements needed by GDPR. A list of requirements for a Hospital Information Systems (HIS) compliant with GDPR and an identification of openEHR specifications was made. The requirements were categorized and compared with the specifications. The requirements identified for the systems were matched with the openEHR specifications, which result in 16 requirements matched with openEHR. All the specifications identified matched at least one requirement. OpenEHR is a solution for the development of HIS that reinforce privacy and personal data protection, ensuring that they are contemplated in the system development. The institutions can secure that their Eletronic Health Record are compliant with GDPR while safeguarding the medical data quality and, as a result, the healthcare delivery

O Impacto do desequilíbrio da microbiota intestinal no desenvolvimento da obesidade

OBJECTIVES: to review current database to identify the impacts of intestinal dysbiosis in obesity, besides being a role model to preventive measures, diagnosis and treatment. METHODOLOGY: this is an integrative review carried out from the collection of data obtained from the SciELO, PubMed, BVS and LILACS platforms using the descriptors “dysbiosis”, “obesity” and “gastrointestinal microbiome. Inclusion criteria were: articles published in the last 5 years (from 2017 to 2022), original articles, meta-analyses and observational studies (clinical trials and cohort study) and written in Portuguese, English or Spanish. RESULTS: occidental diet and the use of sweetener provoke alterations in anthropometric measures, blood pressure, glucose intolerance, and others, beyond increase of deleterious bacteria, causing obesity and diabetes; on the contrary, diets rich in fibers and probiotics lead to benefit changes in the diversity of intestinal microbiota, in addition to decrease inflammatory state caused by obesity.OBJETIVO: revisar as bases de dados atuais para identificar os impactos da disbiose intestinal na obesidade, bem como servir de pilar para realização de medidas preventivas, diagnósticas e terapêuticas. METODOLOGIA: trata-se de revisão integrativa realizada a partir de coleta de dados obtidos nas plataformas SciELO, PubMed, BVS e LILACS usando os descritores “dysbiosis”, “obesity” and “gastrointestinal microbiome”; os critérios de inclusão foram: artigos publicados nos últimos 5 anos (de 2017 a 2022), artigos originais, metanálises e estudos observacionais (ensaios clínicos e estudo de coorte) e escritos em português, inglês ou espanhol. RESULTADOS: dieta ocidental e uso de adoçante provocam alterações antropométricas, de pressão arterial, intolerância à glicose, entre outras, além de levar à prevalência de bactérias deletérias ao organismo, culminando em obesidade e diabetes mellitus; em contrapartida, dieta rica em fibras e administração de probióticos podem gerar mudanças benéficas na diversidade da flora intestinal, ademais combatem o estado inflamatório gerado pela obesidade.&nbsp

The use of fibrin sealant during non-emergency surgery : a systematic review of the evidence of benefits and harms

Background Fibrin sealants are used in different types of surgery to prevent the accumulation of post-operative fluid (seroma) or blood (haematoma) or to arrest haemorrhage (bleeding). However, there is uncertainty around the benefits and harms of fibrin sealant use. Objectives To systematically review the evidence on the benefits and harms of fibrin sealants in non-emergency surgery in adults. Data sources Electronic databases [MEDLINE, EMBASE and The Cochrane Library (including the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, the Health Technology Assessment database and the Cochrane Central Register of Controlled Trials)] were searched from inception to May 2015. The websites of regulatory bodies (the Medicines and Healthcare products Regulatory Agency, the European Medicines Agency and the Food and Drug Administration) were also searched to identify evidence of harms. Review methods This review included randomised controlled trials (RCTs) and observational studies using any type of fibrin sealant compared with standard care in non-emergency surgery in adults. The primary outcome was risk of developing seroma and haematoma. Only RCTs were used to inform clinical effectiveness and both RCTs and observational studies were used for the assessment of harms related to the use of fibrin sealant. Two reviewers independently screened all titles and abstracts to identify potentially relevant studies. Data extraction was undertaken by one reviewer and validated by a second. The quality of included studies was assessed independently by two reviewers using the Cochrane Collaboration risk-of-bias tool for RCTs and the Centre for Reviews and Dissemination guidance for adverse events for observational studies. A fixed-effects model was used for meta-analysis. Results We included 186 RCTs and eight observational studies across 14 surgical specialties and five reports from the regulatory bodies. Most RCTs were judged to be at an unclear risk of bias. Adverse events were inappropriately reported in observational studies. Meta-analysis across non-emergency surgical specialties did not show a statistically significant difference in the risk of seroma for fibrin sealants versus standard care in 32 RCTs analysed [n = 3472, odds ratio (OR) 0.84, 95% confidence interval (CI) 0.68 to 1.04; p = 0.13; I2 = 12.7%], but a statistically significant benefit was found on haematoma development in 24 RCTs (n = 2403, OR 0.62, 95% CI 0.44 to 0.86; p = 0.01; I2 = 0%). Adverse events related to fibrin sealant use were reported in 10 RCTs and eight observational studies across surgical specialties, and 22 RCTs explicitly stated that there were no adverse events. One RCT reported a single death but no other study reported mortality or any serious adverse events. Five regulatory body reports noted death from air emboli associated with fibrin sprays. Limitations It was not possible to provide a detailed evaluation of individual RCTs in their specific contexts because of the limited resources that were available for this research. In addition, the number of RCTs that were identified made it impractical to conduct independent data extraction by two reviewers in the time available. Conclusions The effectiveness of fibrin sealants does not appear to vary according to surgical procedures with regard to reducing the risk of seroma or haematoma. Surgeons should note the potential risk of gas embolism if spray application of fibrin sealants is used and not to exceed the recommended pressure and spraying distance. Future research should be carried out in surgery specialties for which only limited data were found, including neurological, gynaecological, oral and maxillofacial, urology, colorectal and orthopaedics surgery (for any outcome); breast surgery and upper gastrointestinal (development of haematoma); and cardiothoracic heart or lung surgery (reoperation rates). In addition, studies need to use adequate sample sizes, to blind participants and outcome assessors, and to follow reporting guidelines.Publisher PDFPeer reviewe

Empowering non-academic staff for the implementation of sustainability in higher education institutions

Sustainability within higher education institutions (HEIs) is a well-established topic in the literature. Many fields of education for sustainable development have been explored, mainly focused on HEI students, as well as on academic staff. The technical, administrative, and management staff, referred to as non-academic staff has not received as much attention as the remaining HEI community, which leaves a gap in the successful implementation of sustainability practices and policies, as they play a vital and central role in the HEIs’ everyday functioning. Hence, the EUSTEPs project launched two sustainability training courses dedicated exclusively to this segment of the university community, aiming to increase their knowledge on facts and tools for the best sustainability transition. The first short-term online training, organized by the University of Aveiro and Universidade Aberta, Portugal, was run in May 2021. The training targeted 27 non-academic staff from different sectors. The second online training course was implemented one year later and involved 17 elements from the previous training. The results showed very high levels of overall satisfaction and full achievement of the participants’ expectations in sustainability issues. The non-academic staff learned and discussed the human–environment relationship, tracked and discussed their personal ecological footprint in the workspace, actively participated on how to run the university ecological footprint calculator, developed within the EUSTEPs project, and felt mobilized to implement actions to reduce their university’s environmental impacts (as well as in their general daily activities). Similar training programs can be used to impower non-academic staff for the implementation of sustainability in other higher education institutions, hence contributing to a successful integrated sustainability approach for the whole school.info:eu-repo/semantics/publishedVersio

Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal

© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis GroupHealth impact assessment (HIA) focuses on minimizing inequities when studying the effects of a policy on the population’s health. Nevertheless, it is seldom simultaneously quantified, multivariate, and visually graphically comprehensible for non-statisticians. This paper aims to address that gap, assessing a policy promoting the quality of Electronic Health Records, linking hospital and primary health care data (Blood Pressure, Cholesterol, Triglycerides, Waist Circumference, Body Mass Index) to mortality outcomes and regional inequities. Acute Myocardial Infarction patients admitted in the hospital are then followed regularly in Portuguese NHS Primary Care. Regional disparities regarding recorded information are observed and different association patterns with mortality identified, ranked, and visualized through adjusted ORs for sex, age, and indicators of severity of hospital admission, complemented with multivariate correspondence analysis. A pathway to handling equity within quantitative HIA shows that complexity in data and methods may generate simplicity and clarity through visual graphical aids. Tackling Big Data with Data Science in HIA may even be at the center of future health reforms, assessing impacts of health promotion and chronic disease policies.This work was partially supported by the CUTEHeart Project – Comparative Use of Technologies for Coronary Heart Disease, funded by FCT, QREN, COMPETE [grant number HMSP-ICT/0013/2011] (http://cuteheart.med.up.pt).info:eu-repo/semantics/publishedVersio

Teaching sustainability within the context of everyday life: steps toward achieving the sustainable development goals through the EUSTEPs module

In a world characterized by Ecological Overshoot, education can nurture sustainability-minded citizens and future leaders to help accelerate the transition towards a one-planet compatible society. Despite the essential role of Higher Education Institutions (HEIs) in contributing to a sustainable society, a holistic understanding of how to incorporate sustainability initiatives into HEIs is still lacking. Given the importance of HEIs in societies and considering the number of students, educators, and staff they host every day, ensuring that sustainability is both taught and practiced within campuses becomes fundamental. To this end, a strategic partnership was created in 2019 to set up the ERASMUS+ project EUSTEPs - Enhancing Universities’ Sustainability Teaching and Practices through Ecological Footprint. Among the main outputs of the project is a teaching module for introducing the sustainability concept to students. This module takes a 360-degree approach to teach sustainability, allowing students to endogenously realize the full complexity of sustainability, in an engaging and captivating manner. This paper thus aims to: 1) present the EUSTEPs Module, its pedagogical approach and structure, and the learning outcomes and competencies students are expected to gain; 2) review the outcomes of its first pilot teaching in four European HEIs, and 3) shed light on how this Module contributes to the development of competences and pedagogical approaches for achieving the Sustainable Development Goals (SDGs). Our findings show that 90% of the students were ‘satisfied’ or ‘very satisfied’ with the Module, rating the Ecological Footprint as the most useful teaching tool among those included in the Module, and appreciated the interactive nature of the proposed teaching. Feedback obtained from students during the pilot teaching contributed to shaping the Module’s final structure and content. The Module – an important interactive sustainability pedagogical tool – is now ready for use with students from different disciplines, thus contributing to progress towards the UN 2030 Agenda, particularly SDG 4, SDG 11, SDG 12, and SDG 13.Project “EUSTEPs: Enhancing Universities’ Sustainability Teaching and Practices through Ecological Footprint,” KA 203, Strategic Partnership in Higher Education 2019–2022, Agreement No. 2019-1-EL01-KA203-062941.info:eu-repo/semantics/publishedVersio