22 research outputs found

    Reuse of industrial spaces in the South bank of river Tagus’ estuary

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    Trabalho apresentado em Conference Reusing the Industrial Past, 10-15 agosto 2015, Tampere, FinlandN/

    Tipología e implantación hotelera en el proceso de transformación del litoral portugués en los años 50 y 60 del siglo XX

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    Esta investigación – que resulta del Proyecto de Investigación Arquitectura Hotelera en Portugal, desarrollado en la Facultad de Arquitectura de la Universidad de Lisboa en 2008 – se centra en el hotel moderno del litoral de las décadas del 50 y 60 del siglo XX, entendido como fundador de un conjunto de asentamientos urbanos de la costa portuguesa y como un importante agente de la difusión del Movimiento Moderno en Portugal. En su mayoría, estos hoteles tienen una relación privilegiada con el mar y con la costa y se constituyen como iconos en el paisaje. Se posicionan junto a las playas y acantilados, disfrutando de excepcionales vistas hacia el mar y del fácil acceso a las actividades de veraneo. Responden a las particularidades de una línea de costa en bruto, y podrían ser considerados casi como un acto pre-urbano. Contribuyen, así, para la diseminación de la Arquitectura Moderna en lugares que, en aquella época, se encontraban lejos de los puntos de llegada de turistas – como Ofir, Praia da Rocha, Armação de Pêra, Sesimbra y Praia dos Três Irmãos. Este escrito rinde homenaje a estos edificios pioneros, diseminadores de una arquitectura de vanguardia en su contexto

    Seaside architectures: from fortification to hotel. Portuguese interventions during the 1950s and the 1960s

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    Intervenção apresentada no VIII Congresso dos Monumentos Militares, A Fortificação costeira: dos primórdios à modernidade. Associação dos Amigos dos Castelos, Universidade do Algarve, Far

    Tratamiento prehospitalario del dolor traumático agudo: un estudio observacional

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    Objective: To describe and analyze the effectiveness of nurses’ interventions in pain reduction among patients with traumatic injury. Methods: Prospective cohort study conducted in the Immediate Life Support Ambulances in Portugal from March 1, 2019 to April 30, 2020. We have collected data on the kind of interventions implemented and the time elapsed during rescue procedures. To investigate the course of acute trauma pain, a 11-point Numeric Rating Scale was used. Changes in the level of pain registered throughout the three assessment moments were studied using linear mixed-effects models with random intercepts to account for the repeated measurements conducted on the same patient. These changes were assessed before and after the administration of the pain relief interventions. Results: 596 patients were included in this study. Most of them were male (65.9%) and had a mean age of 53.05±19.72 years. There was a reduction in the average pain intensity of 2.44 points (p<0.005), between the beginning and end of the assessment, and a reduction of 39.62% among the patients who were experiencing a level of pain equal to or greater than 7 (46.7% vs 7.08%, p<0.05). Measures involving the use of morphine, cryotherapy and relationship-based measures have proven to be effective. Comfort measures as a whole do not seem to have a significant impact on pain relief. Conclusion: Pre-hospital pharmacological and non-pharmacological nurses’ interventions have proven to be effective in reducing pain. Comfort measures have not been proved to be effective, so their potential must be rethought and enhanced.Objetivo: Descrever e analisar a eficácia das intervenções levadas a cabo pelos enfermeiros para reduzir a dor dos doentes com lesões traumáticas. Métodos: Estudo de coorte prospetivo realizado junto das Ambulâncias de Suporte Imediato de Vida em Portugal, entre 1 de março de 2019 e 30 de abril de 2020. Foram recolhidos dados sobre o tipo de intervenções implementadas e sobre o tempo que durou a aplicação dos procedimentos de salvamento. De forma a poder estudar a evolução das dores traumáticas agudas, foi utilizada uma Escala de Classificação Numérica composta por 11 pontos. As alterações do nível de dor registadas ao longo dos três momentos de avaliação realizados foram estudadas utilizando modelos lineares mistos com interceptos aleatórios para se poder analisar as medidas repetidas aplicadas ao mesmo paciente. Estas alterações foram avaliadas antes e depois da aplicação das intervenções para alívio da dor. Resultados: 596 pacientes foram incluídos neste estudo. A maioria era do sexo masculino (65,9%) e tinha média de idade de 53,05±19,72 anos. Houve redução na intensidade média da dor na ordem dos 2,44 pontos (p<0,005) entre o início e o fim da avaliação, e redução de 39,62% entre os pacientes que apresentavam nível de dor igual ou superior a 7 (46,7% contra 7,08%, p<0,05). As medidas que envolvem o uso de morfina, crioterapia e intervenções de suporte emocional provaram ser eficazes. As medidas de conforto como um todo não parecem ser capazes de ter um impacto significativo no alívio da dor. Conclusão: As intervenções pré-hospitalares farmacológicas e não farmacológicas levadas a cabo pelos enfermeiros provaram ser eficazes na redução da dor. As medidas de conforto não provaram ser eficazes, pelo que o seu potencial deve ser repensado e reforçado.Objetivo: Describir y analizar la eficacia de las intervenciones llevadas a cabo por los enfermeros para reducir el dolor de los enfermos con lesiones traumáticas. Métodos: Estudio de corte prospectivo realizado con las Ambulancias de Soporte Inmediato de Vida en Portugal, entre el 1º de marzo de 2019 y el 30 de abril de 2020. Se recopilaron datos sobre el tipo de intervenciones implementadas y sobre el tiempo que duró la aplicación de los procedimientos de salvamento. De forma a poder estudiar la evolución de los dolores traumáticos agudos, se utilizó una Escala de Clasificación Numérica compuesta por 11 puntos. Las alteraciones en el nivel de dolor registradas a lo largo de los tres momentos de evaluación realizados fueron estudiadas utilizando modelos lineales mixtos con interceptos aleatorios para posibilitar el análisis de medidas repetidas aplicadas con el mismo paciente. Estas alteraciones fueron evaluadas antes y después de la aplicación de las intervenciones para el alivio del dolor. Resultados: 596 pacientes fueron incluidos en este estudio. La mayoría era del sexo masculino (65,9 %), con un promedio de edad entre de 53,05±19,72 años. Hubo una reducción en la intensidad promedio del dolor del orden de 2,44 puntos (p<0,005) entre el inicio y el fin de la evaluación y una reducción del 39,62 % entre los pacientes que presentaban un nivel de dolor igual o superior a 7 (46,7 % contra 7,08 %, p<0,05). Las medidas que involucran el uso de morfina, crioterapia e intervenciones de soporte emocional probaron que son eficaces. No parece que las medidas de confort, de forma general, sean capaces de tener un impacto significativo en el alivio del dolor. Conclusión: Las intervenciones prehospitalarias farmacológicas y no farmacológicas llevadas a cabo por los enfermeros comprobaron que son eficaces en la reducción del dolor. Las medidas de confort no comprobaron ser eficaces, motivo este por el que se debe volver a pensar su potencial y reforzarlo.info:eu-repo/semantics/publishedVersio

    Copacabana e o vôlei: uma história de lazer e esportes na praia | Copacabana and volleyball: a history of leisure and sports in the beach

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    Com o reconhecimento de que entre esporte e cidade há uma relação de interdependência importante, o objetivo deste artigo é analisar a expansão da cidade do Rio de Janeiro em direção à costa, na qual Copacabana aparece como um bairro de referência para usos relacionados ao lazer, sobretudo para o vôlei, desde os anos 1920 até sediar a arena olímpica em 2016. Através de pesquisa documental sobre a história do bairro, do esporte e das inúmeras transformações urbanas pelas quais o lugar passou, verifica-se que o vôlei assegura lugar importante na consolidação do espaço da orla. Conclui-se que, do esporte praticado cotidianamente aos eventos regulares de âmbito internacional, a praia de Copacabana tornou-se referência para a prática de vôlei e para o fortalecimento de sociabilidades tipicamente praianas

    Tratamento pré-hospitalar da dor traumática aguda: um estudo observacional

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    Objective: To describe and analyze the effectiveness of nurses’ interventions in pain reduction among patients with traumatic injury. Methods: Prospective cohort study conducted in the Immediate Life Support Ambulances in Portugal from March 1, 2019 to April 30, 2020. We have collected data on the kind of interventions implemented and the time elapsed during rescue procedures. To investigate the course of acute trauma pain, a 11-point Numeric Rating Scale was used. Changes in the level of pain registered throughout the three assessment moments were studied using linear mixed-effects models with random intercepts to account for the repeated measurements conducted on the same patient. These changes were assessed before and after the administration of the pain relief interventions. Results: 596 patients were included in this study. Most of them were male (65.9%) and had a mean age of 53.05±19.72 years. There was a reduction in the average pain intensity of 2.44 points (pinfo:eu-repo/semantics/publishedVersio

    Eficiência hídrica e energética em Aproveitamentos Hidroagrícolas

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    O objetivo do presente artigo é dar a conhecer à comunidade técnico-científica o projeto de investigação AGIR - Avaliação da Eficiência do Uso a Água e da Energia em Aproveitamentos Hidroagrícolas (AH), coordenado pela Federação Nacional de Regantes de Portugal (FENAREG) e financiado pelo PDR2020 na Operação 1.0.1 – Grupos Operacionais, e que tem como objetivos principais a criação de um sistema de indicadores para a avaliação da eficiência do uso da água e da eficiência energética nos AH e o desenvolvimento de um conjunto de ferramentas de fácil utilização pelas respetivas entidades gestoras, para avaliar e identificar as ineficiências dos sistemas e para apoiar a seleção de medidas de melhoria da eficiência de uso da água, da eficiência energética e da recuperação de energia

    Climate Change Mitigation and Adaptation in Public Collective Irrigated Systems

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    Irrigated agriculture is the largest consumer of water (in the country, in Europe and in the world The need to increase crop production led to the transfer of a rainfed agriculture to irrigated agriculture improving at about 10 times the productivity of cultures However, also created the trend for the election of certain specific cultures Rehabilitation of collective irrigation systems with many years of operation and modernization of the existing perimeters, predominantly in channel flow, to transport in pressure increasing energy consumption, claims to adapt to climate change of this water supply service For this reason, the Collective Irrigated Systems are great consumers of water and energy and it’s necessary to develop and implement plans for optimize water and energy management and also a climate change mitigation and adaptation plan In this work a Performance System to the Climate Change Mitigation and Adaptation Plan is presented evaluating success of mitigate and adaptation measures, the satisfaction of agricultural irrigation users and the preservation of the sustainability of the servic

    Complete blood count parameters as biomarkers of retinopathy of prematurity: a Portuguese multicenter study

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    © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.Purpose: To evaluate complete blood count (CBC) parameters in the first week of life as predictive biomarkers for the development of retinopathy of prematurity (ROP). Methods: Multicenter, prospective, observational study of a cohort of preterm infants born with gestational age (GA) < 32 weeks or birth weight < 1500 g in eight Portuguese neonatal intensive care units. All demographic, clinical, and laboratory data from the first week of life were collected. Univariate logistic regression was used to assess risk factors for ROP and then multivariate regression was performed. Results: A total of 455 infants were included in the study. The median GA was 29.6 weeks, and the median birth weight was 1295 g. One hundred and seventy-two infants (37.8%) developed ROP. Median values of erythrocytes (p < 0.001), hemoglobin (p < 0.001), hematocrit (p < 0.001), mean corpuscular hemoglobin concentration (p < 0.001), lymphocytes (p = 0.035), and platelets (p = 0.003) of the group of infants diagnosed with ROP any stage were lower than those without ROP. Mean corpuscular volume (MCV) (p = 0.044), red blood cell distribution width (RDW) (p < 0.001), erythroblasts (p < 0.001), neutrophils (p = 0.030), neutrophils-lymphocytes ratio (p = 0.028), and basophils (p = 0.003) were higher in the ROP group. Higher values of MCV, erythroblasts, and basophils remained significantly associated with ROP after multivariate regression. Conclusion: In our cohort, the increase in erythroblasts, MCV, and basophils in the first week of life was significantly and independently associated with the development of ROP. These CBC parameters may be early predictive biomarkers for ROP.Open access funding provided by FCT|FCCN (b-on). This work was supported by the Laboratório de Genética and the Instituto de Saúde Ambiental (ISAMB) of the Faculdade de Medicina of Universidade de Lisboa and the Instituto de Investigação Científica Bento da Rocha Cabral. The writing of the manuscript was also supported by funds from Fundação para a Ciência e a Tecnologia to ISAMB (ref. UIDB/04295/2020 and UIDP/04295/2020). This work was also part of a doctoral project funding by the company CUF with a PhD grant in Medicine awarded in 2021 and by the Portuguese Society of Ophthalmology with a PhD grant awarded in 2019.info:eu-repo/semantics/publishedVersio

    Influenza severe cases in hospitals, between 2014 and 2016 in Portugal

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    Rede Portuguesa de Laboratórios para o Diagnóstico da GripeBackground: Since 2009, the Portuguese Laboratory Network (PLNID) for Influenza Diagnosis has integrated 15 Laboratories in mainland and Atlantic Islands of Azores and Madeira. This PLNID added an important contribute to the National Influenza Surveillance Program regarding severe and hospitalized influenza cases. The present study aims to describe influenza viruses detected in influenza like illness (ILI) cases: outpatients (Outp), hospitalized (Hosp), and intensive care units (ICU), between 2014 and 2016. Methods: The PLNID performs influenza virus diagnosis by biomolecular methodologies. Weekly reports to the National Influenza Reference Laboratory ILI cases tested for influenza. Reports include data on detecting viruses, hospital assistance, antiviral therapeutics, and information on death outcome. Were reported during two winter seasons 8059 ILI cases,being 3560 cases in 2014/15 (1024 in Outp, 1750 Hosp, and 606 in ICU) and 4499 cases in 2015/2016 (1933 in Outp, 1826 Hosp, and 740 in ICU). Results: The higher percentage of influenza positive cases were detected in Outp in both seasons, 18% during 2014/15 and 20% in 2015/16. In 2014/15,influenza cases were more frequent in individuals older than 65 years old and these required more hospitalizations,even in ICU. In 2015/16,the influenza cases were mainly detected in individuals between 15-64 years old. A higher proportion of influenza positive cases with hospitalization in ICU were observed in adults between 45-64 years old.During the study period,the predominant circulating influenza viruses were different in the two seasons: influenza B and A(H3) co-circulated in 2014/15,and influenza A(H1)pdm09 was predominant during 2015/16. Even when influenza A is notthe dominant virus, A(H3) and A(H1)pdm09 subtypes correlate with higher detection rate in hospitalized cases (Hosp and UCI), with higher frequencies in adults older than 45. Influenza B,detected in higher proportion in outpatients, was frequently relatedwith influenza cases in younger age groups: 0-4 and 5-14 years old. Conclusions: This study highlights the correlation of theinfluenza virus type/subtype that circulates in each season with the possible need for hospitalization and intensive care in special groups of the population. Circulation of influenza A subtypes can cause more frequentdisease in individuals older than 45, with need of hospitalization including intensive care. On the other hand, influenza B is more frequently associated with less severe cases and with infection in children and younger adults. Influenza B circulation might predict lower number of hospitalizations.The identification of influenza type in circulation,byPLNID ineach season, could guide action planning measures in population health care.info:eu-repo/semantics/publishedVersio
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