Um Projeto Musical Performativo como Mensageiro da Ação Climática

Este trabalho decorre da Unidade Curricular de Prática de Ensino Supervisionada, do curso de Mestrado em Ensino de Educação Musical no Ensino Básico, ministrado pela Escola Superior de Educação do Instituto Politécnico de Bragança. Consiste no relato de experiências de ensino-aprendizagem desenvolvidas em contexto de estágio profissional na disciplina de Educação Musical, no 6.º ano de escolaridade, do 2.º Ciclo do Ensino Básico. A par das experiências pedagógicas realizadas, foi implementado um projeto de investigação-ação que teve como objetivo potenciar a consciencialização dos discentes para a ação climática, através do desenvolvimento de um Projeto Musical Performativo (PMP), baseado na abordagem A2018. A temática escolhida foi a preservação dos oceanos e consistiu na criação/performance da letra de uma canção, cujo desenvolvimento pôde articular vários princípios didáticos das pedagogias musicais ativas em Educação Musical. Como instrumento de avaliação foi aplicado um questionário e os resultados sugerem que: 1) a inclusão dos interesses musicais dos discentes na escolha do objeto de estudo foi determinante para o envolvimento destes na atividade de PMP; 2) a cocriação da letra da canção fomentou a aquisição de competências musicais e a consciencialização para a ação climática; 3) ao desejarem a continuidade das práticas do PMP, a maioria dos discentes inquiridos poderá estar a corroborar a utilidade pedagógica da realização do PMP, baseado nas premissas da abordagem A 2018. Conclui-se que, face aos resultados obtidos, foi possível adquirir e desenvolver competências profissionais fundamentais para o exercício do ensino da Educação Musical no Ensino Básico, nomeadamente através da triangulação dos três elementos constituintes do perfil docente, conforme me propus seguir enquanto orientação profissional nesta área: o elemento da competência pedagógica; o elemento da competência artística; o elemento da competência científica.This work arises from the Curricular Unit of Supervised Teaching Practice, of the Master's course in Teaching Music Education in Basic Education, taught by the School of Education of the Polytechnic Institute of Bragança. It consists of reporting teachinglearning experiences developed in the context of a professional internship in the subject of Music Education, in the 2nd Cycle of Basic Education. Alongside the pedagogical experiences carried out, an action research project was implemented which aimed to increase students' awareness of climate action, through the development of a Performative Musical Project (PMP), based on the A2018 approach. The chosen theme was the preservation of the oceans and consisted of the creation/performance of the lyrics of a song, the development of which could articulate several didactic principles of musical pedagogies active in Music Education. A questionnaire was applied as an evaluation instrument and the results suggest that: 1) the inclusion of students' musical interests in choosing the object of study was decisive for their involvement in the PMP activity; 2) the co-creation of the song's lyrics fostered the acquisition of musical skills and awareness of climate action; 3) by wishing to continue PMP practices, the majority of students surveyed may be corroborating the pedagogical usefulness of carrying out the PMP, based on the premises of the A-2018 approach. It is concluded that, given the results obtained, it was possible to acquire and develop fundamental professional skills for teaching Musical Education in Basic Education, namely through the triangulation of the three constituent elements of the teaching profile, as I proposed to follow as professional guidance in this area: the element of pedagogical competence; the element of artistic competence; the element of scientific competence

Tourists' satisfaction and loyalty in the hotel business: an application to the island of São Miguel, Azores

Given the recent competition in the hotel business and the constant search for satisfaction and loyalty of the guests, the objective of this study is to understand tourists’ perceptions of service quality offered at the hotels in São Miguel, and the factors contributing to their satisfaction and loyalty. Based on a reference model taken from literature on satisfaction and loyalty, na exploratory research of national and international tourists who stayed at the hotels of São Miguel was made. The data was used to simulate a model of structural equations to test the hypotheses of investigation. The results showed that the main influential variables of satisfaction were the quality of service offered and management of complaints. The factors that contributed most to the loyalty of the guests were the affective commitments, satisfaction, price, customer services and finally the image of the hotel itself. The information management became a fundamental factor in the satisfaction and loyalty of tourists

Satisfação e fidelização dos turistas na hotelaria: aplicação ao caso de São Miguel, Açores

Este artigo analisa a influência da qualidade do serviço na satisfação e fidelização dos clientes. Foi realizado um inquérito por questionário aos turistas e, com base nos dados recolhidos, procedeu-se à construção de um modelo de equações estruturais para testar a perceção de qualidade, satisfação e lealdade posterior de turistas. Os resultados sugerem que as principais variáveis que influenciam a satisfação são a qualidade do serviço oferecido e o modo como a gestão do hotel com as reclamações. Os fatores que mais contribuíram para a fidelização do turista foram o comprometimento afetivo, satisfação, preço, gestão de reclamações e a imagem do próprio hotel. Estes resultados apontam para fatores que podem ser usados, pelos gestores, como indicadores de como poderão gerar valor acrescentado para os seus clientes.ABSTRACT: This paper analyses the influence of service quality on customer satisfaction and loyalty. Questionnaires were used to retrieve data were used to construct a model of structural equations to test the perception of quality, satisfaction and subsequent loyalty of tourists. The results suggest that the main influential variables of satisfaction were the quality of service offered and how management dealt with complaints. The factors that contributed most to tourist loyalty were affective commitment, satisfaction, price, complaint management and the image of the hotel itself. The findings highlight factors that can be used as indicators of how managers can generate added value for their customers

The Roles of ROS in Cancer Heterogeneity and Therapy

Cancer comprises a group of heterogeneous diseases encompassing high rates of morbidity and mortality. Heterogeneity, which is a hallmark of cancer, is one of the main factors related to resistance to chemotherapeutic agents leading to poor prognosis. Heterogeneity is profoundly affected by increasing levels of ROS. Under low concentrations, ROS may function as signaling molecules favoring tumorigenesis and heterogeneity, while under high ROS concentrations, these species may work as cancer modulators due to their deleterious, genotoxic or even proapoptotic effect on cancer cells. This double-edged sword effect represented by ROS relies on their ability to cause genetic and epigenetic modifications in DNA structure. Antitumor therapeutic approaches may use molecules that prevent the ROS formation precluding carcinogenesis or use chemical agents that promote a sudden increase of ROS causing considerable oxidative stress inside tumor mass. Therefore, herein, we review what ROS are and how they are produced in normal and in cancer cells while providing an argumentative discussion about their role in cancer pathophysiology. We also describe the various sources of ROS in cancer and their role in tumor heterogeneity. Further, we also discuss some therapeutic strategies from the current landscape of cancer heterogeneity, ROS modulation, or ROS production

Patient-physician discordance in assessment of adherence to inhaled controller medication: a cross-sectional analysis of two cohorts

We aimed to compare patient's and physician's ratings of inhaled medication adherence and to identify predictors of patient-physician discordance.(SFRH/BPD/115169/2016) funded by Fundação para a Ciência e Tecnologia (FCT); ERDF (European Regional Development Fund) through the operations: POCI-01-0145-FEDER-029130 ('mINSPIRERS—mHealth to measure and improve adherence to medication in chronic obstructive respiratory diseases—generalisation and evaluation of gamification, peer support and advanced image processing technologies') cofunded by the COMPETE2020 (Programa Operacional Competitividade e Internacionalização), Portugal 2020 and by Portuguese Funds through FCT (Fundação para a Ciência e a Tecnologia).info:eu-repo/semantics/publishedVersio

ALFARO-LEFREVE, Rosalinda. E-Study Guide for: Applying Nursing Process: A Tool for Critical Thinking. Cram101 Textbook Reviews, 2014. 66p.

This production has no abstract.Esta producción no tiene resumen.Lançado em 2014 pela editora Cram101 Textbook Reviews, o E-Study Guide for: Applying Nursing Process: A tool for Critical Thinking é um guia de estudo eletrônico, disponível apenas no idioma inglês no formato e-book, que descreve termos conhecidos pelos profissionais da área de enfermagem de uma forma didática, além de oferecer testes práticos ao final de cada capítulo. A obra em questão obteve destaque por facilitar o entendimento de conteúdos difíceis e no auxilio a estudantes, enfermeiros, professores e gestores no desenvolvimento do pensamento crítico, crescimento profissional e processo de enfermagem

Phenotypic Expression of ADAMTS13 in Glomerular Endothelial Cells

Background: ADAMTS13 is the physiological von Willebrand factor (VWF)-cleaving protease. The aim of this study was to examine ADAMTS13 expression in kidneys from ADAMTS13 wild-type (Adamts13+/+) and deficient (Adamts13-/-) mice and to investigate the expression pattern and bioactivity in human glomerular endothelial cells. Methodology/Principal Findings: Immunohistochemistry was performed on kidney sections from ADAMTS13 wild-type and ADAMTS13-deficient mice. Phenotypic differences were examined by ultramorphology. ADAMTS13 expression in human glomerular endothelial cells and dermal microvascular endothelial cells was investigated by real-time PCR, flow cytometry, immunofluorescence and immunoblotting. VWF cleavage was demonstrated by multimer structure analysis and immunoblotting. ADAMTS13 was demonstrated in glomerular endothelial cells in Adamts13+/+ mice but no staining was visible in tissue from Adamts13-/- mice. Thickening of glomerular capillaries with platelet deposition on the vessel wall was detected in Adamts13-/- mice. ADAMTS13 mRNA and protein were detected in both human endothelial cells and the protease was secreted. ADAMTS13 activity was demonstrated in glomerular endothelial cells as cleavage of VWF. Conclusions/Significance: Glomerular endothelial cells express and secrete ADAMTS13. The proteolytic activity could have a protective effect preventing deposition of platelets along capillary lumina under the conditions of high shear stress present in glomerular capillaries. © 2011 Tati et al.published_or_final_versio

Identification of clusters of asthma control: A preliminary analysis of the inspirers studies

This work was funded by ERDF (European Regional Development Fund) through the operations: POCI- -01-0145-FEDER-029130 (“mINSPIRERS—mHealth to measure and improve adherence to medication in chronic obstructive respiratory diseases - generalisation and evaluation of gamification, peer support and advanced image processing technologies”) co-funded by the COMPETE2020 (Programa Operacional Competitividade e Internacionalização), Portugal 2020 and by Portuguese Funds through FCT (Fundação para a Ciência e a Tecnologia).© 2020, Sociedade Portuguesa de Alergologia e Imunologia Clinica. All rights reserved. Aims: To identify distinct asthma control clusters based on Control of Allergic Rhinitis and Asthma Test (CARAT) and to compare patients’ characteristics among these clusters. Methods: Adults and adolescents (≥13 years) with persistent asthma were recruited at 29 Portuguese hospital outpatient clinics, in the context of two observational studies of the INSPIRERS project. Demographic and clinical characteristics, adherence to inhaled medication, beliefs about inhaled medication, anxiety and depression, quality of life, and asthma control (CARAT, >24 good control) were collected. Hierarchical cluster analysis was performed using CARAT total score (CARAT-T). Results: 410 patients (68% adults), with a median (percentile 25–percentile 75) age of 28 (16-46) years, were analysed. Three clusters were identified [mean CARAT-T (min-max)]: cluster 1 [27(24-30)], cluster 2 [19(14-23)] and cluster 3 [10(2-13)]. Patients in cluster 1 (34%) were characterised by better asthma control, better quality of life, higher inhaler adherence and use of a single inhaler. Patients in clusters 2 (50%) and 3 (16%) had uncontrolled asthma, lower inhaler adherence, more symptoms of anxiety and depression and more than half had at least one exacerbation in the previous year. Further-more, patients in cluster 3 were predominantly female, had more unscheduled medical visits and more anxiety symp-toms, perceived a higher necessity of their prescribed inhalers but also higher levels of concern about taking these inhalers. There were no differences in age, body mass index, lung function, smoking status, hospital admissions or specialist physician follow-up time among the three clusters. Conclusion: An unsupervised method based on CARAT--T, identified 3 clusters of patients with distinct, clinically meaningful characteristics. The cluster with better asthma control had a cut-off similar to the established in the validation study of CARAT and an additional cut-off seems to distinguish more severe disease. Further research is necessary to validate the asthma control clusters identified.publishersversionpublishe

Morphological and Postural changes in the foot during pregnancy and puerperium : a longitudinal study

The aim of this study is to observe the morphological and postural changes to the foot that take place during pregnancy and the puerperium. Method: In this descriptive, observational, longitudinal study, we analysed 23 pregnant women, with particular attention to morphological and postural aspects of the foot, at three time points during and after pregnancy: in weeks 9-13 of gestation, weeks 32-35 of gestation and weeks 4-6 after delivery. The parameters considered were changes in foot length, the Foot Posture Index (FPI) and the Hernández Corvo Index, which were analysed using a pedigraph and taking into account the Body Mass Index (BMI). The same procedure was conducted in each review. Results: The statistical analyses obtained for each foot did not differ significantly between the three measurement times. A pronator-type footprint was most frequently observed during the third trimester of pregnancy; it was predominantly neutral during the postpartum period. Statistically significant differences between the measurement times were obtained in the right foot for cavus vs. neutral foot type (between the first and third trimesters and also between the first trimester and the puerperium) (in both cases, p < 0.0001). Conclusions: Foot length increases in the third trimester and returns to normal in the puerperium. According to FPI findings, the third trimester of pregnancy is characterised by pronation, while the posture returns to neutrality during the postpartum period. During pregnancy, the plantar arch flattens, and this persists during the puerperium. The incidence of cavus foot increases significantly in the third trimester and in the puerperium