OS LIMITES DA COMPETÊNCIA NORMATIVA DO CONSELHO NACIONAL DE JUSTIÇA (CNJ) FACE AOS SERVIÇOS NOTARIAIS E DE REGISTRO

O Conselho Nacional de Justiça, órgão de controle do Judiciário, foi criado com objetivo fiscalizador, sob a perspectiva da legalidade e eficiência. A Constituição de 1988 determinou que cabe ao Judiciário a competência para fiscalizar os serviços notariais e de registro quando prestados por delegatários. Este trabalho analisou os limites legais da competência normativa do órgão, que tem reiteradamente expedido normas reguladoras de serviço aos notários e registradores, nelas incluindo normas para o concurso visando a seleção do particular que irá prestar os serviços por delegação do Estado. O trabalho foi realizado sob a perspectiva metodológica dogmático jurídica e hermenêutica

Cross sectorial collaboration to prevent foodborne outbreaks

Introduction: Foodborne outbreaks (FBO) caused by consumption of contaminated foods represent an important cause of morbidity and mortality worldwide. FBO are associated with the degree of development of national regulations on food safety, food hygiene, food handlers health, health literacy and food handling practices across all of the society. Information from epidemiological surveillance, integrating human, veterinary and environmental areas are essential to identify risk factors to support risk management and burden minimization activities directed at these preventable diseases. Prevention of FBO can be optimized by teaching good food safety practices to different target populations, including consumers, food handlers and health educators

Assessment of oral health care among the institutionalized elderly caregivers

Introduction: The importance of oral hygiene among the elderly cannot be overlooked, providing physical and psychological well-being, increasing self-esteem and maintaining general health, based on the relationship between oral health and general health. Objectives: The aim of this study consisted of the assessment of the oral health care developed by the caregivers towards their institutionalized elderly in order to understand the necessities of the elderly people and their caregivers. Design and Methods: A cross-sectional study was developed based on a convenience sample that included a final sample of 17 caregivers of institutionalized individuals with 65 years of age or over. It was collected information based on oral hygiene habits, oral health problems, and the role of caregivers in this population and general assessment of oral health status. A questionnaire was developed and applied in the form of an interview directly to the caregivers of the nursing homes Viscondessa São Caetano and Mariana Seixas Foundation in Viseu, Portugal. Results: When asked, caregivers reported that it is rare that the elderly complain of pain or discomfort caused by oral/dental problems. This can also be explained due to the difficulty of communication and the level of dementia that the elderly may present. Regarding dental prostheses, the caregivers considered that the elderly only sometimes or rarely it is that they sanitize them well, which demonstrates the clear need to define better primary prevention strategies for this specific population, passing mainly by oral health education and promotion among the caregivers. They also mentioned that they almost always remove the prosthesis to sleep, which a satisfactory point is considering that the nocturnal rest of the prosthesis consists of a way to avoid the appearance of pathologies such as prosthetic stomatitis. Conclusions: Oral health training is necessary in the elderly and their caregivers, and greater support is also needed when they perform oral hygiene in order to improve their general condition oral health. It is important to highlight the positive fact that the elderly, increasingly, do the nocturnal rest of the dental prosthesis.info:eu-repo/semantics/publishedVersio

Study of the Potential of Water Treatment Sludges in the Removal of Emerging Pollutants

This research was funded by CENSE through the Portuguese Foundation for Science and Technology (FCT; UIDB/04085/2020) and through a PhD grant for Rita Dias (SFRH/BD/148793/2019). The authors are also indebted to EPAL AdVT for their financial support to this project. This work was also supported by the Associate Laboratory for Green Chemistry-LAQV, which is financed by national funds from FCT/MCTES (UIDB/50006/2020). Maria Bernardo acknowledges Norma Transitoria DL57/2016 Contract (FCT/MCTES).Presently, water quantity and quality problems persist both in developed and developing countries, and concerns have been raised about the presence of emerging pollutants (EPs) in water. The circular economy provides ways of achieving sustainable resource management that can be implemented in the water sector, such as the reuse of drinking water treatment sludges (WTSs). This study evaluated the potential of WTS containing a high concentration of activated carbon for the removal of two EPs: the steroid hormones 17β-estradiol (E2) and 17α-ethinylestradiol (EE2). To this end, WTSs from two Portuguese water treatment plants (WTPs) were characterised and tested for their hormone adsorbance potential. Both WTSs showed a promising adsorption potential for the two hormones studied due to their textural and chemical properties. For WTS1, the final concentration for both hormones was lower than the limit of quantification (LOQ). As for WTS2, the results for E2 removal were similar to WTS1, although for EE2, the removal efficiency was lower (around 50%). The overall results indicate that this method may lead to new ways of using this erstwhile residue as a possible adsorbent material for the removal of several EPs present in wastewaters or other matrixes, and as such contributing to the achievement of Sustainable Development Goals (SDG) targets.publishersversionpublishe

AVALIAÇÃO DIETÉTICA E QUALIDADE DE VIDA EM PACIENTES ONCOLÓGICOS AMBULATORIAIS EM QUIMIOTERAPIA / DIETARY EVALUATION AND QUALITY OF LIFE IN AMBULATORY ONCOLOGICAL PATIENTS IN CHEMOTHERAPY

Introdução: O câncer ocasiona diversas mudanças psíquicas e sociais, que de maneira rápida induzem a alterações metabólicas,gerando grande impacto na qualidade de vida dos indivíduos portadores dessa enfermidade. Objetivo: Relacionar a avaliaçãodietética e qualidade de vida em pacientes oncológicos ambulatoriais em tratamento quimioterápico. Métodos: Estudotransversal e analítico, realizado em um Centro de Referência de Tratamento e Diagnóstico de Câncer. A amostra foi de 75 pacientesoncológicos (ambos os sexos), em tratamento quimioterápico. Foram aplicados três questionários distintos: sociodemográfico;questionário de frequência de consumo alimentar Quantitativo e o questionário European for Research and Tratament® of Cancer Quality of life - EORTC QLQ C30 (versão 3.0). Para a análise de dados utilizou-se o programa estatístico Stata (versão12) e adotou-se o nível de significância alfa < 0,05. Resultados: A maioria era casado (52%) e do sexo feminino (66,7%), commédia de idade de 42 anos e renda de 1 a 2 salários mínimos (69,3%). Em relação ao etilismo, 98,7% negaram tal prática. Nãohouveram correlações estatisticamente significativas entre o consumo alimentar e qualidade de vida, contudo a ingestão decarboidratos associou-se positivamente a Escala de Saúde Global (p=0,011), Escala de Sintomas (p=0,025) e Escala Funcional(p=0,016). Já a Escala Funcional apresentou associação estatisticamente significante com o consumo de vitamina C (p=0,016).Conclusão: O consumo de carboidratos, gorduras e vitamina C apresentou relação positiva com indicadores da escala de qualidadede vida em pacientes oncológicos e reforça a importância da adequada e completa assistência nutricional para pacientesoncológicos submetidos ao tratamento quimioterápico.Palavras-chave: Qualidade de Vida. Dieta. Oncologia.AbstractIntroduction: Cancer causes several psychic and social changes, which quickly induce metabolic changes, generating a greatimpact on the quality of life of patients with this disease. Objective: of this study was to relate dietary assessment and quality of lifein outpatient cancer patients in chemotherapy treatment. Methods: Cross-sectional and analytical study, from March to April2014, at the Cancer Treatment and Diagnosis Reference Center. The sample consisted of 75 cancer patients, both sexes, undergoingchemotherapy treatment, regardless of tumor location, cycle and type of drugs used or stage of the disease, associated ornot with chronic pathologies. Three distinct questionnaires were applied: sociodemographic; Quantitative food consumptionfrequency questionnaire and the European Quality of Life Research and Treatment for Cancer questionnaire - EORTC QLQ C30(version 3.0). For data analysis, the statistical program Stata® (version 12) was used and the significance level alpha <0.05 wasadopted. Results: The participants were mostly married (52%) and female (66.7%), with a mean age of 42 years and income of 1to 2 minimum wages (69.3%). Regarding alcoholism, 98.7%, denied such practice. Carbohydrate intake was related to theGlobal Health Scale (p = 0.011), Symptom Scale (p = 0.025) and Functional Scale (p = 0.016). The Functional Scale showed astatistically significant relationship with vitamin C intake (p = 0.016). Conclusion: The consumption of carbohydrates, fats andvitamin C showed a positive relationship with indicators of the quality of life scale in cancer patients and reinforces the importanceof adequate and complete nutritional assistance for cancer patients undergoing chemotherapy.Keywords: Quality of Life. Diet. Oncology

Relatório cibersegurança em Portugal: etica & direito

O objetivo deste Relatório é analisar os principais problemas éticos e jurídicos associados à (in)segurança no ciberespaço e as soluções que têm vindo a ser adotadas a nível internacional e nacional para resolver ou minorar estes problemas. A análise é dividida em três capítulos, incidindo sucessivamente sobre os desafios ético-morais, a genealogia legal e a aplicação prática do quadro normativo. O primeiro capítulo faz o mapeamento das questões éticas suscitadas pela cibersegurança, a partir da observação da omnipresença da tecnologia na vida social e dos riscos daí decorrentes para os direitos fundamentais, a democracia e o Estado de Direito. É dedicada especial atenção ao papel eticamente ambíguo desempenhado pelos hackers e aos especiais deveres éticos que impendem sobre os profissionais de cibersegurança, ainda que não se descure que também os Estados, as empresas, as organizações e os cidadãos comuns têm o dever de atuar de forma responsável no ciberespaço. O segundo capítulo – Genealogia Legal – analisa a evolução do Direito internacional, europeu e nacional da cibersegurança, começando por apresentar um panorama geral dos desenvolvimentos normativos ocorridos a partir da década de 1990, no plano interno e ao nível da União Europeia e demais organizações internacionais que Portugal integra. Segue-se a identificação das agências e organismos responsáveis por matérias de cibersegurança, na União Europeia e em Portugal, e um conjunto de análises setoriais sobre áreas relevantes para a discussão do Direito da cibersegurança – infraestruturas críticas e serviços essenciais, cibercrime e prova digital, proteção de dados pessoais, comunicações eletrónicas, comércio eletrónico, pagamentos eletrónicos e identificação eletrónica, propriedade intelectual e transição digital da Administração Pública. O terceiro capítulo – Aplicação do Quadro Normativo – incide sobre o modo como os instrumentos legislativos de Direito da União Europeia e de Direito português têm vindo a ser aplicados pelos tribunais e pelas autoridades administrativas com poderes de fiscalização e sanção, centrando-se nas questões da cibercriminalidade, da prova digital e da proteção de dados. Analisa a jurisprudência relevante do Tribunal de Justiça da União Europeia e algumas pronúncias recentes de tribunais portugueses a respeito da conformidade da lei portuguesa com o Direito da União Europeia e da articulação da Lei do Cibercrime com o Código de Processo Penal. Analisa também as deliberações tomadas pela Comissão Nacional de Proteção de Dados desde 2018. Tendo como referência o ano de 2019, ainda que com pontuais comparações com anos anteriores, faz-se a apresentação de dados relativos ao número e tipo de cibercrimes registados pelas autoridades, ao número e tipo de incidentes de segurança registados pela Equipa de Resposta a Incidentes de Segurança Informática Nacional e pela Autoridade Nacional de Comunicações, e ao número de operadores de serviços essenciais identificados pelo Centro Nacional de Cibersegurança.Centro Nacional de Ciberseguranç

LOCUS (LOng Covid-Understanding Symptoms, events and use of services in Portugal): A three-component study protocol

Study ProtocolApproximately 10% of patients experience symptoms of Post COVID-19 Condition (PCC) after a SARS-CoV-2 infection. Akin acute COVID-19, PCC may impact a multitude of organs and systems, such as the cardiovascular, respiratory, musculoskeletal, and neurological systems. The frequency and associated risk factors of PCC are still unclear among both community and hospital settings in individuals with a history of COVID-19. The LOCUS study was designed to clarify the PCC’s burden and associated risk factors. LOCUS is a multi-component study that encompasses three complementary building blocks. The “Cardiovascular and respiratory events following COVID-19” component is set to estimate the incidence of cardiovascular and respiratory events after COVID-19 in eight Portuguese hospitals via electronic health records consultation. The “Physical and mental symptoms following COVID-19” component aims to address the community prevalence of self-reported PCC symptoms through a questionnaire-based approach. Finally, the "Treating and living with Post COVID-19 Condition" component will employ semi-structured interviews and focus groups to characterise reported experiences of using or working in healthcare and community services for the treatment of PCC symptoms. This multi-component study represents an innovative approach to exploring the health consequences of PCC. Its results are expected to provide a key contribution to the optimisation of healthcare services design.This study is sponsored by Pfizer (grant code #68639655).info:eu-repo/semantics/publishedVersio

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

Influenza virus type/subtype and different infection profiles by age group during 2017/2018 season

DDI-INSA em colaboração com a Rede Portuguesa de Laboratórios para o Diagnóstico da GripeBackground: Influenza has a major impact in hospitalization during each influenza season. We analysed the influenza type/subtype distribution by age group and medical care wards (ambulatory, hospital, intensive care unit). Material and Methods: During 2017/2018 season, 14 hospitals from Portugal mainland and Atlantic Island (Azores and Madeira) reported to the National Influenza Centre 13747 cases of respiratory infection, all tested for influenza type and/or subtype. Epidemiological data: age, sample collection, hospital dwelling service and patient outcome were reported. Results: From the 13747 reported cases, 3717(27%) were influenza positive of which 2033 (55%) were influenza B, 722 (19%) A unsubtyped, 505 (14%) AH3, 442 (12%) AH1pdm09 and 15(0,1%) mixed infections. Influenza A was detected in 71% (204/208) of toddlers(<5 years) although in the remaining age groups influenza B was detected in more than 50% of the confirmed flu cases. Influenza B was the predominant virus in hospitalized and ICU influenza cases between 5-14 years (69% and 75%, respectively) and played a major role in elderly (65+ years) hospitalized and ICU cases(57% and 67%, respectively). AH1pdm09 virus was detected in 30% of the influenza confirmed ICU patients, 2.1 times more than in hospitalized cases in other wards and 3.3 times more than influenza AH1pdm09 cases in ambulatory care. Influenza mixed infection were detected sporadically,mainly in hospitalized and ICU patients. From 2080 known outcomes, 40(1.9%) patients deceased, influenza was confirmed in 11(28%) of these cases. Conclusions: Cocirculation of different influenza virus type/subtype may indicate different infection profiles by age groups and should guide influenza preventive/treatment measures.N/