Clinical Supervision: Priority Strategy to a Better Health

We carried out a study with the aim to relate the implementation of a clinical supervision (CS) model with the supervised nurses’ answers to stress and the coping resources they use. 38 paired questionnaires with the Portuguese versions of the Manchester Clinical Supervision Scale© (MCSS©) and the Brief Personal Survey© (BPS©) were obtained. SPSS© version 18.0 was used to treat data. MCSS© Cronbach's alpha value for the total score was 0,938 and BPS’© was 0,60. Several correlations were found. Our study pointed out that CS can optimize the nurses’ coping resources and help them to answer to stress.info:eu-repo/semantics/publishedVersio

Clinical Supervision in Nursing: the (un)Known Phenomenon

To implement a clinical supervision model in nursing, we carry out an exploratory, descriptive and longitudinal study. We aim to publicize the results of its first phase which was focused on the chief nurses’ opinion on the clinical supervision on nursing (CSN) phenomenon. Interviews to all chief nurses (18) were conducted. Content analysis was used to data analysis. Themes and categories were found such as perspectives, relevance, conditions to CSN, among others. Results suggested that chief nurses need to improve their knowledge on CSN. However, it was clear what CSN is not or should not be to some of them.info:eu-repo/semantics/publishedVersio

Sustainability in the airports ecosystem: a literature review

The global challenges of sustainability are transforming the economy of the 21st Century. Economic, social, and environmental sustainability impacts regulators and businesses, particularly in the aviation industry, and facilitates access to productive services and market linkages. Airport stakeholders are increasingly pressuring companies to consider their socioeconomic impacts and manage them sustainably and resiliently. Business is paramount to airport companies in this competitive and economically sensitive climate. Many studies have addressed the issue of airport sustainability from specific perspectives. These perspectives include economic sustainability, benefits related to economic and environmental sustainability, and the impact of operations on the airport environment. This report summarises the current state of airport environmental sustainability practices, including greenhouse gas emissions from airport pavements, energy management strategies for airport buildings and operations, water conservation, and waste management. We aim to provide a clear and integrative picture of these impacts on airport sustainability through a systematic literature review while advancing knowledge A systematic literature review was performed using the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology. This systematic literature review sought to consolidate knowledge on the subject. In order to illustrate the link between major categories and their corresponding trends, authors used VOSviewer scientific software. The compilation of existing knowledge on the three components of sustainability likely underscores the importance of overall airport sustainability. It is suggested that further studies be conducted.info:eu-repo/semantics/publishedVersio

Ambipolar Pentacyclic Diamides with Interesting Electrochemical and Optoelectronic Properties

Developing organic semiconductors (OSCs) for organic thin film transistors (OTFT) and optoelectronic applications is a challenge. We developed highly crystalline pentacyclic diamides (3) and (4) which showed good OTFT and OLED potential and energy gaps of 2.60 eV and 2.54 eV. They exhibited interesting photo and eletroluminescence activity. Both compounds showed good quantum yields (0.56 for (3) and 0.6 for (4))

Applying the clustering technique for characterising maintenance outsourcing

Objetivo Utilizar técnicas de clustering para caracterizar a los proveedores de servicios de mantenimiento de una institución de salud. Métodos El estudio analiza el inventario del equipamiento perteneciente a 7 áreas pilotos (264 equipos médicos). Se aplican técnicas de clustering usando 26 variables. Entre las más significativas: el tiempo de respuesta (RT), la duración de las intervenciones (DR), la disponibilidad y el tiempo de cambio de estado (TAT). Resultados La obsolescencia del equipo biomédico en promedio es de 0,78. Se identifican 4 grupos de proveedores de servicios. Grupos (1 y 3): Mejor desempeño, menores valores de TAT, RT y DR; cuyos proveedores son: O, L, C, B, I, S, H, F, G; representan el 56 % del total; con valores de TAT entre: 1,4 días <TAT < 2,56 días como promedio. Grupo (0): Desempeño medio, cuyos proveedores son: V, M, K, Z, T, Y; representan el 38 %; con valores de TAT iguales a 9,79 días como promedio. Grupo (2): con bajos desempeños, por poseer valores altos de TAT (101 días como promedio); con único proveedor: J, representa el 6 % del total de la muestra analizada. Conclusiones La metodología empleada permitió caracterizar el inventario de equipos médicos y a los proveedores de servicios de mantenimiento. La técnica de conglomerados demostró ser efectiva para identificar los proveedores más competitivos. Palabras Clave: Disponibilidad de servicios de salud, servicios contratados, análisis por conglomerados, servicio de mantenimiento e ingeniería en hospital, ingeniería biomédicaUsing clustering techniques for characterising companies providing health institutions with maintenance services.METHODS: The study analysed seven pilot areas' equipment inventory (264 medical devices). Clustering techniques were applied using 26 variables. Response time (RT), operation duration (OD), availability and turnaround time (TAT) were amongst the most significant ones.RESULTS: Average biomedical equipment obsolescence value was 0.78. Four service provider clusters were identified: clusters 1 and 3 had better performance, lower TAT, RT and DR values (56 % of the providers coded O, L, C, B, I, S, H, F and G, had 1 to 4 day TAT values: <TAT < 2.56 days on average). Cluster 0 had medium performance (38 % of providers coded V, M, K, Z, T and Y, having an average 9.79 TAT value). Cluster 2 (6 % - provider J) had low performance, having very a high TAT level (101 days on average).CONCLUSIONS: The methodology allowed medical equipment inventory and maintenance service suppliers to be characterised. The cluster technique was effective in identifying the most competitive suppliers

Dysfunctional oxidative phosphorylation shunts branched-chain amino acid catabolism onto lipogenesis in skeletal muscle

It is controversial whether mitochondrial dysfunction in skeletal muscle is the cause or consequence of metabolic disorders. Herein, we demonstrate that in vivo inhibition of mitochondrial ATP synthase in muscle alters whole-body lipid homeostasis. Mice with restrained mitochondrial ATP synthase activity presented intrafiber lipid droplets, dysregulation of acyl-glycerides, and higher visceral adipose tissue deposits, poising these animals to insulin resistance. This mitochondrial energy crisis increases lactate production, prevents fatty acid b-oxidation, and forces the catabolism of branched-chain amino acids (BCAA) to provide acetyl-CoA for de novo lipid synthesis. In turn, muscle accumulation of acetyl-CoA leads to acetylation-dependent inhibition of mitochondrial respiratory complex II enhancing oxidative phosphorylation dysfunction which results in augmented ROS production. By screening 702 FDA-approved drugs, we identified edaravone as a potent mitochondrial antioxidant and enhancer. Edaravone administration restored ROS and lipid homeostasis in skeletal muscle and reinstated insulin sensitivity. Our results suggest that muscular mitochondrial perturbations are causative of metabolic disorders and that edaravone is a potential treatment for these diseasesThis work was ts from Ministerio de Economía, Industria y Competitividad, MINECO, Spain (SAF2016-76028-R and SAF2016-75916-R) and Centro de Investigación Biomédica en Red (CIBER) de Enfermedades Raras, Spain (CB06/07/0017

Characterization of Cynara cardunculus L. flower from Alentejo as a coagulant agent for cheesemaking

This work was supported by the project ValBioTecCynara (ALT2003-0145- FEDER-000038) - Economic valorisation of Cardoon (Cynara cardunculus): study of natural variability and biotechnological applications), cofinanced by FEDER under the Alentejo 2020 Program.The cardoon (Cynara cardunculus L.) is a mandatory vegetable coagulant for certain Protected Designation of Origin Portuguese cheeses. It grows wild in Portugal and is used without any type of control regarding flower picking or extract preparation, representing some uncertainty in cheese manufacture. The variability in technological properties, in the context of traditional cheese manufacture, of cardoon flower ecotypes from the Alentejo region was evaluated, including milk clotting and proteolytic activities, coagulation properties and potential cheesemaking yield of flower extracts. Multivariate statistics highlighted the variability of flower properties for cheesemaking, but allowed the aggregation of the ecotypes into five groups under the major influence of milk clotting activity and effect on gel firmness and micellar aggregation rate, followed by proteolytic activity. These differences may have an impact on cheese properties and therefore can allow the selection of cardoon flower for the manufacture of different types of cheese.publishersversionpublishe