Uma causa rara de perfuração intestinal: poliarterite nodosa.

Trabalho de Conclusão de Curso - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Departamento de Clínica Médica, Curso de Medicina, Florianópolis, 198

Investigating language play in interaction: a qualitative study with children as foreign language learners

Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão. Programa de Pós-graduação em Letras/Inglês e Literatura Correspondent

How can the EQA provider encourage the participation in Pre-Analytical schemes

Providing a quality sample and ensuring the best laboratory practices should be the aim of Pre-Analytical Phase. With analytical phase strictly controlled, pre-analytical phase should be the laboratories target for improvement processes. Concerning to this, it is important to have in place a proper system for error detection for this extra-analytical phase and to be able to detect errors that have a significant negative effect on sample quality and patient health. Although laboratory managers are becoming to concern about these issues, the participation rate on the national program on pre-analytical phase is still very low, which means that the EQA provider should have an intervention more active than it has with the analytical phase. In order to contradict this weak participation and to reach the laboratories needs, PNAEQ (Programa Nacional de Avaliação Externa da Qualidade) has launched two types of schemes in which laboratories participation depends mainly of the EQA provider. One is the “mystery client”, which simulates a real life scenario to verify if the information provided to the patient depends on the laboratory collaborator. The other one is a presential audit, which identify some of the real errors occurred during the blood drawing. The aim of these two types of surveys is to demonstrate that most of the pre-analytical errors are detectable and, more important than that, they can be corrected or eliminated when pre-analytical phase is controlled.N/

10 anos de Avaliação Externa da Qualidade da Fase Pré-Analítica em Portugal

A implementação de um programa específico de AEQ na fase pré-analítica permite avaliar o desempenho dos laboratórios à semelhança do que é feito na fase analítica. Nos últimos 10 anos, o Programa Nacional de Avaliação Externa da Qualidade (PNAEQ) disponibilizou diferentes ensaios que incluíram distribuição de questionários, envio de amostras e simulação de casos, e promoveu reuniões e ações de formação com os participantes.N/

The legal investigation of biological paternity in Portugal: gendered roles and representations

Comunicação inserida no projecto “Mães e pais depois da “verdade biológica”? Género, desigualdades e papéis parentais” (FCOMP-01-0124-FEDER-008483), coordenado pela Doutora Helena Machado, desenvolvido em parceria pelo Centro de Estudos Sociais da Universidade de Coimbra e pelo Centro de Investigação em Ciências Sociais.Almost all European societies support legal efforts to establish parentage when the paternity of children born out of wedlock has not been established. In this context, courts frequently ask for DNA tests as part of public policies to ensure that children are cared for not only financially, but also regarding education, upbringing and psychological development. Underlying such action, there is a biological conception of paternity that has been discussed against the emergence of new family forms dissociated from the trilogy ‘heterosexual couple-marriage-procreation’. Feminist studies have shown that state institutions, when actively engaging in civil action to identify a child’s father tend to reveal patriarchal gender relations grounded on the evaluation of the mothers’ sexual activity and fidelity and of the fathers’ income and employment status. This paper explores the ways in which the legal investigation of paternity of children born out of wedlock reveals cultural models that reinforce the naturalisation of gender differences. We contend that: by allowing for the “biological true” of paternity, biotechnology has effects on the configuration of parental roles and identities by reproducing gender inequalities, which may question both the rights of children and of biological mothers and fathers. We intend to show how women and men evaluate legal interventions in this domain; reconfigure their private rights in ways that tend to reproduce and at the same time challenge prevailing patriarchal structures.Fundação para a Ciência e a Tecnologia (F.C.T.)Comissão para a Cidadania e Igualdade de Género (C.I.G.

Integração da Avaliação da Fase Pré-Analítica na rotina laboratorial

Com a fase analítica estritamente controlada, o objetivo dos laboratórios deverá voltar-se para a qualidade das amostras analisadas e para a segurança dos procedimentos na fase pré-analítica. Para tal, o laboratório deverá integrar procedimentos de controlo de qualidade interno e de avaliação externa da qualidade na rotina laboratorial, implementando ferramentas adequadas para a deteção, monitorização e redução/eliminação de erros cujo efeito tenha um impacto negativo significativo na qualidade da amostra com repercussão nos resultados laboratoriais e na saúde do técnico e do utente. O Programa Nacional de Avaliação Externa da Qualidade (PNAEQ) disponibiliza várias ferramentas aos laboratórios inscritos no programa de Avaliação da Fase Pré-Analítica que, quando utilizados de forma contínua na rotina laboratorial, permitem ao laboratório realizar o controlo de qualidade interno da fase pré-analítica.N/

Validation of the intellectual capital scale of nursing services

Objective: Nursing services are considered strategic in the functioning of health organizations, therefore the study of intellectual capital (human capital, structural capital, relational capital of nursing services) in innovation as a contribution to decision policies, practice and research. The main focus is to promote critical thinking on the condition of nursing services in an innovative perspective. This study aims to adapt and validate the psychometric properties of the Questionnaire of Intellectual Capital and Innovative Capacity (already used in business management, automobile) and apply it to the Nursing Services (QICICNS). Methods: Across-sectionalandquantitativestudywascarriedoutonasampleof1,388PortuguesenursesenrolledintheNurses’ Order. For the analysis of the psychometric properties of the instrument we used the factorial analysis of main components with varimax rotation of the scale items and the calculation of the Cronbach Alpha coefficient. Results: The QICICNS analysis revealed good internal consistency (global scale = 0.95, constructs between 0.83 and 0.97) and good quality of the items (KMO = 0.95), with four factors being extracted: human capital, relational capital, structural capital and innovation. Conclusions: The positive indices of internal consistency and the sensitivity of this questionnaire show the validity of the reliable and robust data collection instrument in the studied context. Implications for nursing management: QICICNS, due to its multifaceted nature, can be a management tool in the decision making support by nursing managers. The characteristics of each intellectual capital construct may influence the management of services and future investigationsinfo:eu-repo/semantics/publishedVersio

Performance of PNAEQ participant’s results for HIV and HCV infection in the First EQA round 2019

The Portuguese National External Quality Assessment Program (PNAEQ) has been collaborating with Labquality since 2002. One of the first schemes distributed to PNAEQ participants was for HIV laboratory tests, followed by HCV laboratory tests scheme in 2003. A suitable scheme for Point of Care Testing (POCT) is available for HIV since 2012 and for HCV since 2018. Given the burden of HIV and HCV diseases, the Portuguese legislation allows, since 2018, that other locations than laboratories, such as pharmacies and Non-Governmental-Organizations (NGOs), perform tests for detect HIV and HCV infection. For this purpose, and in order to assure reliable results that leads to an early correct diagnostic and a timely treatment, leading to a decrease in the person-to-person transmission of HIV and HCV infection, a specific training to perform POCT for HIV and HCV is mandatory for these entities, as well as the participation in such EQA schemes, namely the PNAEQ-Labquality. The performance of PNAEQ participants for HIV and HCV tests in the First EQA round 2019 was considered in general good. For HIV POCT, the user that reported an undetermined result proceeded correctly requesting a second sample for confirmation. Regarding the two incorrect results reported by laboratories, it is necessary to review the internal validation procedure and revalidation of the laboratory test, and implement corrective and preventive actions. The training of participants that used POCT for the first time proved to be effective in acquiring skills to perform the tests properly. PNAEQ will continue to provide education and training in quality control and motivate all the participants to continuously evaluate the results from the internal quality control and the reports from the external quality assessment.N/

Urban space living in a changing city: sidewalks of Curitiba / Espaço urbano viver numa cidade em mudança: calçadas de Curitiba

This article aims to discuss the experience of the urban space, focusing on the conditions for pedestrian circulation, in the use of sidewalks, in Curitiba-PR, Brazil. In this city, as well as in the rest of the country, the use of public space is changing due to several factors, among them, the following stand out: the aging of the population and the greater participation of minority groups in decisions regarding public space, such as pedestrian groups. There was a problematic situation consisting of urban spaces designed primarily for automobiles, making it difficult for pedestrians to use such space or even preventing it in many cases. From this problem, it is questioned how the pedestrian, in three points of view, is using the sidewalks in Curitiba: a) the risks of being trampled; b) accessibility; and c) in terms of constructions and design quality. The assumption adopted is that the use of urban space by the pedestrian is a fundamental factor for sustainability by providing the practices of living and collective enjoyment of the same, by establishing relationships of sociability, physical exercises, recreation and leisure. The methodology used was based on the collection of information from municipal public agencies and bibliographical review of literature and academic research, using some categories of analysis: the public user; the building pattern; environmental conditions and municipal management practices. An analysis was made of the Strategic Plan of Sidewalks (PlanCal) of Curitiba and also the legislation regarding the construction and maintenance of public tours. The preliminary results showed that, in a city where the public transportation system was modeled on the Bus Rapid Transit (BRT) model, there is currently a high rate of individual motorization, the highest growth between 2001 and 2014 in the metropolitan Brazilian Regions areas, and an attention to the pedestrian that demands greater detailing and prioritization of work, investments and maintenance. Among the difficulties for the pedestrian are the following: the risks of being run over; low quality of accessibility; and problems in the execution and maintenance of the public tours, besides the need to expand the spaces destined to walking. This paper was originally published at Changing Cities 3rd International Conference on Changing Cities: Spatial, Design, Landscape & Socio-economic Dimensions- 2017. Here is published an update version

Quality of life one year after bariatric surgery: the moderator role of spirituality

Background: This study aimed to assess quality of life in obese patients 1 year after bariatric surgery taking into consideration the influence of socio-demographic, clinical, and psychological variables. Methods: A sample of 90 patients undergoing bariatric surgery was assessed in two moments: before surgery and 1 year after surgery. Results: Social support, problem-focused coping strategies, and quality of life increased after surgery, while eating disorder behaviour and impulsiveness decreased. The presence of eating disorder behaviour predicted worse physical and mental quality of life and higher satisfaction with social support predicted better physical and mental quality of life. In addition, higher impulsiveness predicted worse mental quality of life. Spirituality moderated the relationship between impulsiveness and mental/physical quality of life. Conclusions: Interventions should focus on promoting social support and coping strategies particularly spirituality since it played an important role in quality of life