O vestuário profissional em âmbito hospitalar como elemento de identidade corporativa

O presente artigo expõe o trabalho de investigação em desenvolvimento e pretende demonstrar que o vestuário profissional em âmbito hospitalar pode ser promotor da identidade corporativa de uma instituição. A imagem de uma instituição nasce da perceção, por parte do público, de uma quantidade de elementos, refletindo os seus valores, a sua atividade e o seu profissionalismo. Essa identidade não aparece só nos cartazes, nos veículos, nos envelopes ou nos cartões-de-visita mas também, e cada vez mais frequente, no vestuário e acessórios que as pessoas vestem e exibem. Desta forma, o vestuário profissional (ou fardamento) representa um canal de difusão direto da imagem de uma instituição e pode desempenhar diversas funções ao serviço de uma estratégia. É importante que o vestuário profissional assuma igualmente características de conforto e estética ou ainda, qualquer outra necessidade que tenha como objetivo o vestuário comum para determinadas pessoas ou grupo de pessoas.ABSTRACT : This article exposes the work of developing research and seeks to demonstrate that the hospital-wide professional clothing can be promoter of corporate identity of an institution. The image of an institution born of the lack, for the public, a number of elements, reflecting your values, your activity and your professionalism. This identity does not appear only in the posters, in vehicles, in envelopes or business cards but also, and increasingly, in clothing and accessories that people wear and display. In this way, professional clothing (or uniforms) represents a direct broadcast channel of the image of an institution and can play several roles in the service of a strategy. It is important that the professional clothing take also features of comfort and aesthetics or any other needs that have as objective the common attire for certain persons or group of persons.info:eu-repo/semantics/publishedVersio

Low and ultra-low-cycle fatigue behavior of X52 piping steel based on theory of critical distances

The cyclic failure observed in structural components such as pipelines subjected to extreme loading conditions highlights some limitations concerning the application of existing fatigue damage models. The evaluation and prediction of this type of failure in these steel components under large-scale plastic yielding associated with high levels of stress triaxiality are not sufficiently known nor explored. This fatigue domain is conventionally called ultra-low-cycle fatigue (ULCF) and damage features are representative of both low-cycle fatigue (LCF) and monotonic ductile fracture. Thus, in order to understand the ULCF damage mechanisms both monotonic and LCF tests are required to get representative bounding damage information to model the material damage behaviour under such extreme loading conditions. This paper aims at exploring the Theory of Critical Distances (TCD) in the LCF and ULCF fatigue regimes, including the application of the point, line and area methods. The application of the TCD theories has not been explored so far in the ULCF fatigue regimes, despite its promising results in the LCF and high-cycle fatigue. An experimental program was carried out on several specimens’ geometries made of X52 piping steel. In detail, smooth plane specimens and notched plane specimens were cyclic loaded under tension/compression loading in order to obtain fatigue lives within the range of 101–104 cycles. In addition, cyclic bending tests on notched plane specimens were also incorporated in this study. Finite element simulations of all small-scale tests were conducted allowing to derive elastoplastic stress/strain fields along the potential crack paths. The numerical data were subjected to a post-processing in order to find characteristic lengths that can be treated as a fatigue property according to the TCD. A unified strain-life relation is proposed for the X52 piping steel together with a characteristic material length, consisting of a practical relation for pipeline strain-based design under extreme cyclic loading conditions

Early prediction of poor outcome in patients with acute asthma in the emergency room

Early identification of patients who need hospitalization or patients who should be discharged would be helpful for the management of acute asthma in the emergency room. The objective of the present study was to examine the clinical and pulmonary functional measures used during the first hour of assessment of acute asthma in the emergency room in order to predict the outcome. We evaluated 88 patients. The inclusion criteria were age between 12 and 55 years, forced expiratory volume in the first second below 50% of predicted value, and no history of chronic disease or pregnancy. After baseline evaluation, all patients were treated with 2.5 mg albuterol delivered by nebulization every 20 min in the first hour and 60 mg of intravenous methylprednisolone. Patients were reevaluated after 60 min of treatment. Sixty-five patients (73.9%) were successfully treated and discharged from the emergency room (good responders), and 23 (26.1%) were hospitalized or were treated and discharged with relapse within 10 days (poor responders). A predictive index was developed: peak expiratory flow rates after 1 h <=0% of predicted values and accessory muscle use after 1 h. The index ranged from 0 to 2. An index of 1 or higher presented a sensitivity of 74.0, a specificity of 69.0, a positive predictive value of 46.0, and a negative predictive value of 88.0. It was possible to predict outcome in the first hour of management of acute asthma in the emergency room when the index score was 0 or 2

Autochthonous intestine bacteria used as microbial feed additives confer some protection to Senegalese sole with the infectious agent Photobacterium damselae sp. piscicida

Trabajo presentado en el 18th International Symposium on Fish Nutrition and Feeding (ISFNF), celebrado en Las Palmas de Gran Canaria (España), del 3 al 07 de junio de 2018Peer reviewe

PICTuRE: Caminhos do tratamento do mundo real no estágio III do câncer de pulmão de células não pequenas em Portugal

Stage III NSCLC is a heterogeneous and complex setting that requires multimodal management. Recent advances in modern medicine led to the implementation of immuno-oncology (IO) into clinical practice. PICTuRE aims to assess the clinical management and the IO impact on clinical outcomes in stage III NSCLC patients (pts).AstraZeneca Portugalinfo:eu-repo/semantics/publishedVersio