(Un)professionalisation or (Re)professionalisation of the Academic in the Brave New World?

UID/SOC/04647/2019Currently, the digital dimension permeates the daily activity of many professions, with all that this entails, in terms of advantages, disadvantages and challenges. The academic world is not immune to these new technological, political and social conditions and new instigations and situations emerge, which need to be studied. This article seeks to answer the following research question: Is the academic profession undergoing a process of increasing proletarianisation, which is influenced by the new universities‘ mission (in a broad way), in the sense of unprofessionalisation, or are there new conditions for academics‘ re-professionalisation experienced as a challenge? A meta-analysis of publications that focus directly on this topic was conducted through a conceptual analysis of the most recent literature addressing this topic. It is concluded that, in general, and notwithstanding institutional, local, regional, national and international specificities, there is some degree of academic‘s unprofessionalisation resulting from an increase in the functions ascribed to him/her by the political dimension that, in a context of increasing instability and control of his/her activity through the quantity and intensity of the functions to be conducted, may call into question academic autonomy, a basic foundation of the University. However, and concurrently, there is a new context which could, under certain conditions, foster the enormous challenge of re-professionalisation. As an implication of this work, there is a need to rethink this situation, which, if continued and deepened, will threaten the academic profession in some of its central dimensions, which may jeopardise the future sustainable development of our societies.publishersversionpublishe

Lessons from monochorionic twin delivery

The presence of acute peripartum anaemia in a monochorionic twin pregnancy represents a clinical challenge requiring prompt recognition and management. Twin-to-twin transfusion syndrome (TTTS) is a major complication of these pregnancies and a medical emergency in its acute form. Acute intrapartum fetoplacental transfusion (AIFT) has been reported infrequently. The authors present a case of a probable acute TTTS in an uneventful monochorionic monoamnionic twin pregnancy, where typical ultrasound criteria for long-standing TTTS were absent. The first twin was born pale, hypotonic and developed hypovolemic shock due to acute anaemia. Soon after birth, she presented with seizures and a cerebral ultrasound detected a large parieto-occipital infarction. The second twin, although plethoric, was clinically well. The risk of acute TTTS and AIFT, although infrequent and unpredictable, should be kept in mind when planning delivery of monochorionic twins, because the consequences for one or both twins can be disastrous

Stressors in anaesthesiology: development and validation of a new questionnaire: A cross-sectional study of Portuguese anaesthesiologists

BACKGROUND: Stress in anaesthesiologists is a common and multifactorial problem related to patients, colleagues and organisations. The consequences of stress include depression, work-home conflicts and burnout. Reduction in stress can be achieved by reducing the number and magnitude of stressors or by increasing resilience strategies. OBJECTIVES: We have created the self-reporting 'Stress Questionnaire in Anaesthesiologists' (SQA), to qualify the sources of stress in anaesthesiologists' professional lives, and measure the level of associated stress. Our study aimed to develop and validate the SQA using exploratory and confirmatory factor analyses. Construct validity was assessed through correlations between SQA and negative psychological outcomes as well as by comparing perception of stress among different known groups. DESIGN: A questionnaire-based cross-sectional, correlational, observational study. SETTINGS: The study was conducted between January 2014 and December 2014, throughout different anaesthesia departments in Portuguese hospitals. Data collection was from a representative subset at one specific time point. PARTICIPANTS: A sample of 710 anaesthesia specialists and residents from Portugal. MAIN OUTCOME MEASURES: The primary outcome measure was to identify specific stressors in anaesthesiologists. Secondary outcome was the association between stressors and burnout, depression symptoms, anxiety, stress, rumination, satisfaction with life and functional impairment. RESULTS: The exploratory analysis showed the SQA is a tri-dimensional instrument and confirmatory analysis showed the tri-dimensional structure presented good model fit. The three dimensions of SQA correlated positively with other stress measures and burnout, but negatively with satisfaction with life. CONCLUSION: SQA is a well adjusted measure for assessing stressors in anaesthesia physicians and includes clinical, organisational and team stress factors. Results showed that the SQA is a robust and reliable instrument.info:eu-repo/semantics/publishedVersio

A View from Social Sciences

UIDB/04647/2020 UIDP/04647/2020The objective of this concept paper focuses on the relevance of the analytical potential of Social Sciences for understanding the multiple implications and challenges posed by the COVID-19 contagion–pandemic dyad. This pandemic is generating a global threat with a high number of deaths and infected individuals, triggering enormous pressure on health systems. Most countries have put in place a set of procedures based on social distancing, as well as (preventive) isolation from possible infected and transmitters of the disease. This crisis has profound implications and raises issues for which the contribution of Social Sciences does not seem to be sufficiently mobilised. The contribution of Social Sciences is paramount, in terms of their knowledge and skills, to the knowledge of these problematic realities and to act in an informed way on these crises. Social Sciences are a scientific project focused on interdisciplinarity, theoretical and methodological plurality. This discussion is developed from the systems of relationships between social phenomena in the coordinates of time and place, and in the socio-historical contexts in which they are integrated. A pandemic is a complex phenomenon as it is always a point of articulation between natural and social determinations. The space of the discourse on the COVID-19 pandemic can be understood as the expression of a coalition of discourses, i.e., the interaction of various discourses, combined in re-interpretative modalities of certain realities and social phenomena. The circumstantial coalitions of interests, which shape the different discursive records and actions produced by different agents of distinct social spaces, enable the acknowledgement and legitimation of this pandemic threat and danger, and the promotion of its public managementpublishersversionpublishe

Digital Competences Post-COVID-19 for a Sustainable Society

UIDB/04647/2020 UIDP/04647/2020The digitalization of societies, accelerated by the COVID-19 pandemic, is an unstoppable process. This paper seeks to answer the question: what post-COVID-19 digital competences are needed for a sustainable society? It also aims to analyze the digitalization processes in education for shaping a sustainable digital society. A bibliographic search was performed on some of the most relevant international databases of scientific literature and the selected documents were analyzed through a content analysis. It is concluded that digital education has experienced a strong increase, reinforced by COVID-19, shaping the digital presence in all dimensions of life. However, it is not sufficient to assume that the new generations are naturally engaged in and can master digital social sustainability. The results demonstrate the importance of literacy and the unavoidable promotion of sustainability in a digital society. However, this digitalization of the educational process poses several challenges: it requires both software and hardware conditions, as well as digital literacy as a result of a complex of literacies. It also implies that teachers and students change their standpoints and practices with the attainment of new teaching and learning competences in order to fight the digital divide and to foster the widest possible social inclusion for the promotion of sustainable society—digitainability.publishersversionpublishe

What is an Internship Report? Contributions to the Construction of its Meaning

The internship report is one of the prime elements to train and assess the student, usually in the final stage of a study cycle; it consists of placing the student in a context that is similar to a professional situation. This is a work of description and theoretical reflection, methodologically oriented towards the activities developed in the context of an internship in organisations. It is necessary to distinguish the internship report from an undergraduate thesis or dissertation that focuses mainly on the formal investigation component. However, even while respecting the specific features of each training context, as well as each scientific area, there are various interpretations of what an internship report is/should be, both in terms of its form and content. The internship report may be viewed as a theoretical and methodologically oriented work of description and reflection on the activities carried out within the scope of an internship in organisations. This critical essay seeks to provide insights into the process of developing an internship report

DIVERSIFICAÇÃO DE ATIVIDADES NA PRODUÇÃO FAMILIAR NO PROJETO DE ASSENTAMENTO COLIBRI NO ACRE

O objetivo deste trabalho foi analisar a diversificação de atividades agrícolas na produção familiar do Projeto de Assentamento Colibri (P.A), no Acre. A primeira fase foi levantamento de campo, por meio da aplicação de questionário geral semi – estruturado, quando foram entrevistados aleatoriamente 44 (quarenta e quatro famílias) das 66 que residem no P.A, para a caracterização dos sistemas de produção agrícola. A segunda fase foi aplicação de questionário para avaliação da porcentagem de renda bruta anual por produto em cada propriedade. Para tanto foram selecionados, aleatoriamente, 20 estabelecimentos. Em 10 estabelecimentos foi registrada a porcentagem de renda obtida por meio do consumo familiar, além do comercializado. A partir da porcentagem de renda bruta anual fez-se a diferenciação das tipologias agrícolas e calculou-se o índice de diversificação. Dentre as 20 propriedades pesquisadas no P.A., 15 foram classificadas como não diversificadas, com destaque para a cultura da banana. As diversificadas comercializam sempre entre três e nove produtos, dentre eles a banana, mandioca e citros. A porcentagem da renda bruta anual é um critério eficiente para classificar as propriedades quanto a especialização ou diversificação da produção. E o índice de diversificação é eficiente para identificar o grau de diversidade. Por fim, a produção direcionada para o consumo familiar, além da comercialização, é um relevante componente a ser considerado no levantamento da renda bruta anual das propriedades agrícolas.--------------------------------This work has as objective to analyze the diversification of agricultural activities in the familiar production of the Project of Colibri Nesting, in the Acre, Brazil. The first phase was field survey, through the application of general questionnaire – structuralized, when we had been interviewed randomly forty and four families, of the 66 that inhabit in the P.A, for the characterization of the systems of agricultural production. The second phase was implementing a questionnaire to evaluate the percentage of annual gross income per product for each property. For that were selected at random, 20 establishments. On 10 establishments was recorded the percentage of income obtained through household consumption, in addition to the market. From the percentage of annual gross income had to differentiate types of agricultural and calculated the index of diversification. Among the 20 properties analyzed in the PA, 15 were classified as non-diversified, with emphasis on the cultivation of bananas. The diversified-farms markets always between three and nine products, among them bananas, cassava and citrus. The percentage of annual gross income is a criterion for efficient classify the properties as a specialization or diversification of production. And the index of diversification is effective to identify the degree of diversity. Finally, the production targeted for household consumption, in addition to marketing, is an important component to be considered in the lifting of the annual gross income of the farm.Diversidade, produção agrícola, tipologia, renda e agricultura familiar, Diversity, agricultural Production, Tipologia, Income and familiar Agriculture, Farm Management,

Impact of patient global assessment on achieving remission in patients with rheumatoid arthritis: A multinational study using the METEOR database

OBJECTIVE: There is an ongoing debate about excluding patient's global assessment (PtGA) from composite and Boolean-based definitions of rheumatoid arthritis (RA) remission. This study aimed at determining the influence of PtGA on RA disease states, exploring differences across countries, and understanding the association between PtGA, measures of disease impact (symptoms), and markers of disease activity (inflammation). METHODS: Cross-sectional data from the Measurement of Efficacy of Treatment in the Era of Outcome in Rheumatology international database were used. We calculated the proportion of patients failing American College of Rheumatology/European League Against Rheumatism Boolean-based remission (4-variable remission) solely due to PtGA (PtGA-near-remission) in the overall sample and in the most representative countries (i.e., those with >3,000 patients in the database). Multivariable linear regression models were used to identify the main determinants of PtGA, grouped in predominantly inflammatory impact factors (28 tender joint counts, 28 swollen joint counts, and C-reactive protein level) and disease impact factors (pain and function). RESULTS: This study included 27,768 patients. Excluding PtGA from the Boolean-based definition (3-variable remission) increased the remission rate from 5.8% to 15.8%. The rate of PtGA-near-remission varied considerably between countries, from 1.7% in India to 17.9% in Portugal. One-third of the patients in PtGA-near-remission group scored PtGA >4 of 10. Pain and function were the main correlates of PtGA, with inflammation-related variables contributing less to the model (R2 = 0.57). CONCLUSION: PtGA is moderately related to joint inflammation overall, but only weakly so in low levels of disease activity. A considerable proportion of patients otherwise in biologic remission still perceive high PtGA, putting them at risk of excessive immunosuppressive treatment

Allergens of the urushiol family promote mitochondrial dysfunction by inhibiting the electron transport at the level of cytochromes b and chemically modify cytochrome c1

BACKGROUND: Urushiols are pro-electrophilic haptens that cause severe contact dermatitis mediated by CD8+ effector T-cells and downregulated by CD4+ T-cells. However, the molecular mechanism by which urushiols stimulate innate immunity in the initial stages of this allergic reaction is poorly understood. Here we explore the sub-cellular mechanisms by which urushiols initiate the allergic response. RESULTS: Electron microscopy observations of mouse ears exposed to litreol (3-n-pentadecyl-10-enyl-catechol]) showed keratinocytes containing swollen mitochondria with round electron-dense inclusion bodies in the matrix. Biochemical analyses of sub-mitochondrial fractions revealed an inhibitory effect of urushiols on electron flow through the mitochondrial respiratory chain, which requires both the aliphatic and catecholic moieties of these allergens. Moreover, urushiols extracted from poison ivy/oak (mixtures of 3-n-pentadecyl-8,11,13 enyl/3-n-heptadecyl-8,11 enyl catechol) exerted a higher inhibitory effect on mitochondrial respiration than did pentadecyl catechol or litreol, indicating that the higher number of unsaturations in the aliphatic chain, stronger the allergenicity of urushiols. Furthermore, the analysis of radioactive proteins isolated from mitochondria incubated with 3H-litreol, indicated that this urushiol was bound to cytochrome c1. According to the proximity of cytochromes c1 and b, functional evidence indicated the site of electron flow inhibition was within complex III, in between cytochromes bL (cyt b566) and bH (cyt b562). CONCLUSION: Our data provide functional and molecular evidence indicating that the interruption of the mitochondrial electron transport chain constitutes an important mechanism by which urushiols initiates the allergic response. Thus, mitochondria may constitute a source of cellular targets for generating neoantigens involved in the T-cell mediated allergy induced by urushiols