Promover na prática profissional estratégias de valorização da literacia da informação

Relatório de Estágio apresentado para a obtenção do Grau de Mestre em Ensino do 1.º e do 2.º Ciclo do Ensino BásicoO presente relatório de estágio foi elaborado no âmbito do Mestrado em Ensino do 1.º e do 2.º Ciclo do Ensino Básico, desenvolvido na Escola Superior de Educação de Santarém. Este trabalho exprime o meu percurso em contextos de estágios de intervenção em 1.º e em 2.º ciclo do ensino básico e enquanto investigadora na e sobre a prática profissional. Em cada um dos contextos fiz investigação, sendo que a questão problema emergiu da prática em sala de aula. O relatório encontra-se dividido em duas partes, sendo que a parte I refere-se às intervenções realizadas nas Práticas de Ensino Supervisionadas e a parte II diz respeito ao estudo da promoção de estratégias de valorização da literacia da informação. Os resultados mostram que o trabalho de pesquisa permite desenvolver a literacia da informação, sendo que esta é uma questão de desenvolvimento que será utilizada pelos alunos ao longo da vida.The present internship report was elaborated under the scope of Master’s Degree in Teaching of 1st and 2nd cycles of basic education, which was developed at Higher School of Education of Santarém. This work represents my path regarding interventional internships on 1st and 2nd cycles of basic education and as a researcher in and about the professional practice. In each of those contexts i did some research, however the main issue emerged from practice in the classroom. The report is divided into two parts, the first part refers to interventions performed in the Supervised Teaching Practices and the second one regards the study of the “Promotion of Appreciation Strategies of the Information Literacy”. The results show that the research work, using Information and Communication Technologies, allows the development of information literacy, which is a matter that will be useful to students throughout their life.info:eu-repo/semantics/publishedVersio

Multicultural picturebooks no desenvolvimento da relação com o outro em aula de inglês do 1º CEB

Mestrado em Ensino do Inglês no 1º Ciclo do Ensino BásicoO presente estudo encontra-se relacionado com a temática da educação intercultural, e teve como principal objetivo compreender de que forma a leitura de multicultural picturebooks desenvolve capacidades de interpretação e relacionamento com o Outro. De modo a dar resposta ao objetivo definido para o nosso estudo, concebemos e desenvolvemos um projeto de intervenção didática numa turma do 3.º ano do 1.º CEB, no contexto da área disciplinar de Inglês. Ao longo das sessões, desenvolvemos um trabalho com os/as alunos/as baseado em conhecimentos sobre línguas, culturas e o mundo; bem como na leitura de multicultural picturebooks, nomeadamente no que diz respeito a capacidades de compreensão inferencial e de relacionamento com Outro. Adotando a metodologia de investigação-ação, recolhemos os dados a partir de instrumentos, como a observação de tipo participante, os registos de videogravação e fotográficos, as fichas de trabalho e de autoavaliação. Através da análise e interpretação dos dados, concluímos que a leitura de multicultural picturebooks permitiu desenvolver um conhecimento mais profundo da diversidade linguística e cultural, bem como capacidades de compreensão inferencial, a partir do texto verbal e icónico, sendo que os/as alunos/as conseguiram colocar-se no lugar das personagens, depreendendo aspetos da sua vida, hábitos e costumes, crenças, modos de expressão e sentimentos, e comparando com os próprios. Os participantes foram também capazes de identificar palavras em outras línguas e de estabelecer um diálogo sobre os assuntos tratados, mobilizando conhecimentos de língua inglesa. Através do trabalho realizado a partir dos textos, verificámos que os/as alunos/os criaram empatia com as personagens, adotando uma perspetiva de alteridade, que permitiu desenvolver atitudes de abertura, respeito e curiosidade em relação ao OutroThe present study is related to the theme of intercultural education and had as main purpose to understand how the reading of multicultural picturebooks can develop skills of interpretation and of relationship with the Other. In order to meet the set purpose of our study, we designed and developed a didactical intervention project on a group of children in 3rd grade of primary education, in the context of the English class. Throughout the sessions, we have developed with the students a work based on knowledge about languages, cultures and the world; and on the reading of multicultural picturebooks, particularly in what regards the skills of inferential comprehension and relationship with the Other. Following an action-research methodology, we have collected data through several instruments: participant observation, audiovisual and photographic records, worksheets and self-evaluation. The data analysis and interpretation allowed us to conclude that the reading of multicultural picturebooks developed knowledge about language and cultural diversity. The students also developed skills of inferential comprehension, regarding the verbal and iconic texts, which led them to put themselves in the place of the characters, deducing aspects of their habits, traditions, beliefs, forms of expression and feelings, which they were able to compare with their own. The participants were also able to identify words in other languages and to establish a dialogue about the approached subjects, using knowledge of the English language. The work based on the reading-comprehension of the picturebooks led the students to create empathy with the characters, which made them adopt the perspective of the Other and consequently develop attitudes of openness, respect and curiosity towards the Other

Conceções dos alunos do 1º ciclo do ensino básico sobre o lobo ibérico

O lobo ibérico (Canis lupus signatus) é um predador de topo, cuja função ecológica é muitas vezes incompreendida. Historicamente suscitou muitos ódios e, mais recentemente, preocupações com a sua viabilidade enquanto espécie. Esta investigação diagnosticou as conceções dos alunos dos 1.º e 2.º anos do 1.º Ciclo do Ensino Básico sobre o lobo. Para tal, foram analisados 164 desenhos sobre essa espécie, os quais foram posteriormente classificados em 10 categorias de codificação. De forma geral, os resultados mostraram que os alunos possuem uma visão favorável sobre o lobo e alguns conhecimentos sobre as suas características e habitat. Concluiu-se que representaram frequentemente o lobo no seu contexto ecológico, a uivar e/ou ao luar e personificações dessa espécie e do seu contexto. Por outro lado, também se apurou que algumas crianças manifestaram conceções deturpadas e estereotipadas sobre a espécie lupina porque representaram-na como feroz, agressiva e que deve ser caçada ou presa em cativeiro. Estas conceções erradas podem servir de base para os docentes despertarem nos alunos a consciência da importância do verdadeiro papel do lobo no equilíbrio dos ecossistemas da Península Ibérica. (Abstract: The Iberian wolf (Canis lupus signatus) is a top predator whose ecological function is often misunderstood. Historically it raised many hates and, more recently, concerns with its feasibility as a species. This research determines the conceptions about the Iberian wolf of 1st and 2nd grade students of public elementary schools. For that matter, 164 drawings about that species were analyzed and posteriorly classified in 10 categories. Generally, the results show that the students have a positive vision of the wolf and some knowledge about its features and habitat. It was concluded that they often represented the wolf in its ecological context, howling and/or by moonlight, and also personifications of that species and its context. On the other hand, it was also found that a few students have manifested distorted and stereotyped conceptions regarding the wolf, as they represented it as a fierce and aggressive species that should be hunted or locked up in captivity. These misconceptions can serve as a base for the teachers to aware the students of the importance of the wolf’s real role on the balance of the Iberian Peninsula’s ecosystems.

Inflammatory Bowel Disease patients’ perspectives during COVID-19 pandemic: results from a Portuguese survey

© 2021 Sociedade Portuguesa de Gastrenterologia. Published by S. Karger AG, BaselThis is an Open Access article licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense), applicable to the online version of the article only. Usage and distribution for com- mercial purposes requires written permissionIntroduction: Patients with inflammatory bowel disease (IBD) do not seem to be at increased risk of infection by SARS-CoV-2, but there is a concern whether immunosuppressive therapy may be associated with more severe disease. Several clinical practice recommendations have been published to help guide IBD care during the COVID-19 pandemic. Nonetheless, few studies have addressed patients' perspectives and fears. We aimed to evaluate Portuguese IBD patients' perspectives on the clinical management of their disease during the SARS-CoV-2 pandemic as well as the impact on their professional life. Methods: An anonymous electronic survey was created using REDCap and was distributed by the Portuguese Association of Inflammatory Bowel Disease (APDI) between May and August 2020. Patients' perspectives on immunosuppressive therapy, disease management, interaction with gastroenterology departments, and the impact of the pandemic in their professional life were assessed. Patients' proposals to improve medical care were also evaluated. Descriptive analysis and logistic regression were performed. Results: A total of 137 participants answered the survey (79.6% females, mean age 41.7 ± 12.1 years). Although having IBD and receiving treatment with immunosuppressors (thiopurines, steroids, or biologics) were considered promotors of anxiety, most patients (85.4%) agreed that disease remission was a priority and only a minority of patients interrupted their treatment during the pandemic. In multivariate analysis, active disease, biologic treatment, and use of corticosteroids in the last 3 months were perceived by the patients as high-risk features for increased risk of SARS-Cov-2 infection and more severe disease. Fifty-nine patients (44%) believed that their follow-up was influenced by the pandemic and only 58.8% felt that they had the opportunity to discuss their therapeutic options with their doctor. Sixty-three patients (46.0%) were working from home during the pandemic, although this decision was related to IBD and immunosuppressive therapy in only 36.5 and 39.7% of the cases, respectively. Areas where care could have been improved during the pandemic were identified by patients, namely enhancement of the communication with IBD professionals, conciliation of telemedicine with face-to-face appointments, and facilitation of the interaction between patients and employers. Conclusion: Most patients agreed that maintaining IBD remission is crucial, and only a minority of the patients stopped their treatment as per their own initiative. IBD status only had a small influence on patients' professional activity during the COVID-19 outbreak, with most changes being related to the pandemic itself.info:eu-repo/semantics/publishedVersio

Trend of referral in the general practice setting in the centre of Portugal: the experience of a health centre

Abstract: Introduction Referral is one of the core competencies of general practitioners (GP). In 1992, the European study of referrals from Primary to Secondary care indicated a referral rate (RR) of 5,56% to Portugal. In 2003, the RR related to a health centre in the north of Portugal was 10,11 % and the higher percentage of referrals was to Otolaryngology, Gynecology and Surgery. Objectives To study the trend of referral to Secondary care, in a Centre of Portugal Health Care Unit, with standardized population indicators, between 2007 and 2010. Material and Methods Observational, retrospective, descriptive study using a statistical program to study the informatics generated data of referral in a health centre with 11 doctors and 5 trainees. Calculation of the RR, (n referral/n total consultations) * 100, and the number of referral by day adjusted to population at the middle of each year (CRA), (n referral*1000/ population at the middle of the year*365). We characterized the six specialties with more referrals, for each year. Results In 2007, 2067 referrals were registered (14,7% of patients with consultation (PC)); in 2008, 2639 (17% of PC); in 2009, 3125 (18,6% of PC); in 2010, 3100 (18% of PC). The RR and the CRA were 3,93% and 0,34‰ in 2007; 4,77% and 0,42‰ in 2008; 5,51% and 0,48‰ in 2009; 5,64% and 0,46‰ in 2010. In decrescent order of volume, the specialties with most referrals were Orthopedics, Dermatology, Stomatology, Gynecology, Otolaryngology, Surgery and in 2009 Ophthalmology, in detriment to Gynecology. Discussion During the time considered there is growth of RR, to values similar to those of 1992, and of CRA, an indicator of comparability with other contexts. The three specialties with the higher percentage of referrals suggest the need for technical response (orthopedics and stomatology) and clarification / clinical orientation (dermatology). The reduction in referral to Gynecology and the increase to Ophthalmology might reflect technical and scientific options in General Practice performing skills. The volume of referrals and its characterization may improve our knowledge in these areas and about the need for continuing professional development

Accreditation under the International Standard ISO 15189: Experience of a Genetics Laboratory in DNA Sequencing

Introduction: Health care is to some extent influenced by the results of laboratory tests. In order to provide the best care for the patient, laboratories must seek to achieve high levels of quality and competence. International Standard ISO 15189 specifies these requirements and may be used by laboratories to perform accredited genetic tests of materials derived from the human body. Here we describe the procedures to establish Accreditation of DNA sequencing in our laboratory and the first Accreditation of its kind in Portugal. Methods: Our laboratory started to prepare to comply with ISO 15189 Accreditation requirements for DNA sequencing in 2010. Documents describing administrative and technical procedures of the sequencing workflow including sample registries, laboratory protocols, operation and maintenance of equipments, as well as preparation and use of reagents were produced. Regular examination of laboratory equipments by an external entity was implemented to confirm compliance with working requirements. Requisites for personnel training and demonstration of competence were also implemented. The laboratory participated regularly in the DNA sequencing scheme organized by the European Molecular Genetics Quality Network (EMQN). Results: The laboratory obtained formal recognition by Instituto Português de Acreditação (IPAC) in May 2014. A maximum genotyping score for DNA sequencing has been obtained in the external quality assessment scheme since 2010. Sequencing quality measured in terms of the quality read overlap metrics is currently of approximately 96% according to the EMQN scheme. The laboratory processes and analyzes an average of 28.750 samples per year. Discussion: Accreditation of a genetic test under ISO 15189 is a highly demanding and laborious task for a genetic laboratory. However, it is an important step in order to guarantee the highest quality and reproducibility of genetic test results

Evolução da referenciação em Medicina Geral e Familiar num Centro de Saúde no centro de Portugal

Introdução e Objectivo: A referenciação é uma das competências nucleares do Especialista em Medicina Geral e Familiar (eMGF). O Estudo Europeu sobre Referenciação revelou uma Taxa de Referenciação (TR) de 5,56%, em Portugal em 1992 e em 2003 num Centro de Saúde no Norte de Portugal a TR foi de 10,11%, sendo a Otorrinolaringologia, a Ginecologia e a Cirurgia as especialidades com maior volume de referenciação. A evolução temporal da referenciação, mostrando a sua tendência, deve ser estudada pelo que se procurou caracterizar num Centro de Saúde predominantemente urbano, entre 2007 e 2011, a quantidade de referenciação aos cuidados de saúde secundários com indicadores populacionais padronizados, e as especialidades de referenciação. Metodologia: Estudo observacional, retrospectivo dos dados de referenciação de todos os médicos do CSE (11 eMGF e 5 Internos), em volume e em especialidade, por ano, pelo programa SAM-ESTAT, entre Janeiro de 2007 e Outubro de 2011, sendo calculadas a TR, (n referenciações ano/n total consultas)*100, e o número de referenciações por dia ajustado à população no meio de cada período de estudo (CRA) – (n referenciações*1000/população no meio do período*365), 304 dias para o ano 2011. Foram caracterizadas as 6 especialidades de maior referenciação em cada ano. Resultados: Em 2007, registaram-se 2067 referenciações (14,7% dos utentes com consulta (UC)); em 2008, 2639 (17% dos UC); em 2009, 3125 (18,6% dos UC); em 2010, 3100 (18% dos UC); e em 2011, 2673 (15,9% dos UC). A TR e o CRA foram de 3,93% e 0,34‰ em 2007; 4,77% e 0,42‰ em 2008; 5,51% e 0,48‰ em 2009; 5,64% e 0,46‰ em 2010; 5,69 % e 0,47‰ em 2011. Por ordem de volume, as especialidades mais referenciadas foram Ortopedia, Dermatologia, Estomatologia, Ginecologia, Otorrinolaringologia, Cirurgia e Oftalmologia em 2009, em detrimento de Ginecologia. Discussão: No período estudado verifica-se crescimento da TR, para valores semelhantes aos de 1992, e do CRA, indicador de comparabilidade com outros contextos. As três especialidades mais referenciadas sugerem a necessidade de resposta técnica (ortopedia e medicina dentária) e esclarecimento/orientação clínica (dermatologia). A redução da referenciação para Ginecologia e o aumento para Oftalmologia reflectem opções técnico-científicas da prática da MGF. O volume de referenciação e o tipo de especialidade permitem conhecer a aquisição de competências e verificar as áreas de necessidade de desenvolvimento profissional contínuo

Effects of Triiodothyronine Treatment in an Animal Model of Heart Failure with Preserved Ejection Fraction

© Mary Ann Liebert, Inc.,[Background]: Low levels of triiodothyronine (T3) are common in patients with heart failure (HF). Our aim was to evaluate the effects of supplementation with low and replacement doses of T3 in an animal model of HF with preserved ejection fraction (HFpEF).[Methods]: We evaluated four groups: ZSF1 Lean (n = 8, Lean-Ctrl), ZSF1 Obese (rat model of metabolic-induced HFpEF, n = 13, HFpEF), ZSF1 Obese treated with a replacement dose of T3 (n = 8, HFpEF-T3high), and ZSF1 Obese treated with a low-dose of T3 (n = 8, HFpEF-T3low). T3 was administered in drinking water from weeks 13 to 24. The animals underwent anthropometric and metabolic assessments, echocardiography, and peak effort testing with maximum O2 consumption (VO2max) determination at 22 weeks, and a terminal hemodynamic evaluation at 24 weeks. Afterwhile myocardial samples were collected for single cardiomyocyte evaluation and molecular studies.[Results]: HFpEF animals showed lower serum and myocardial thyroid hormone levels than Lean-Ctrl. Treatment with T3 did not normalize serum T3 levels, but increased myocardial T3 levels to normal levels in the HFpEF-T3high group. Body weight was significantly decreased in both the T3-treated groups, comparing with HFpEF. An improvement in glucose metabolism was observed only in HFpEF-T3high. Both the treated groups had improved diastolic and systolic function in vivo, as well as improved Ca2+ transients and sarcomere shortening and relaxation in vitro. Comparing with HFpEF animals, HFpEF-T3high had increased heart rate and a higher rate of premature ventricular contractions. Animals treated with T3 had higher myocardial expression of calcium transporter ryanodine receptor 2 (RYR2) and α-myosin heavy chain (MHC), with a lower expression of β-MHC. VO2max was not influenced by treatment with T3. Myocardial fibrosis was reduced in both the treated groups. Three animals died in the HFpEF-T3high group.[Conclusions]: Treatment with T3 was shown to improve metabolic profile, myocardial calcium handling, and cardiac function. While the low dose was well-tolerated and safe, the replacement dose was associated with increased heart rate, and increased risk of arrhythmias and sudden death. Modulation of thyroid hormones may be a potential therapeutic target in HFpEF; however, it is important to take into account the narrow therapeutic window of T3 in this condition.This study was supported by grants from the European Union (FP7-HEALTH-2010-MEDIA), and national funds through FCT—Portuguese Foundation for Science and Technology (UIDB/00051/2020, UIDP/00051/2020, 2021. 06947.BD., PTDC/DTP-PIC/4104/2014, NORTE-01-0145-FEDER-000003-DocNET, SAICT-PAC/0047/2015, and 01/ 12/2016-NETDIAMOND) and the Spanish Ministry of Science and Innovation (MCIN)/AEI/10.13039/501100011033 (Grant No. SAF2017-86342-R).Peer reviewe

o caso paradigmático da Quinta Grande

UID/PAM/00417/201presente Working Paper insere-se no campo de interesse científico das autoras. Foi ainda desenvolvido parcialmente, no âmbito do projecto de I&D em curso, “O Lugar do Discurso” [PTDC/CPC-HAT/4894/2012] financiado pela FCT, nomeadamente explorando os conteúdos publicados nas revistas de arquitectura como fontes documentais.Ao longo do artigo são expostas as características histórico-artísticas mais relevantes no conjunto, contudo debatem-se de forma mais estruturada as opções de intervenção e as políticas administrativas adoptadas na manutenção do mesmo, particularmente do imóvel — presentemente em estado de pré-ruína.Assim sendo, abre-se uma janela de leitura sobre a Quinta Grande ou Casa dos Condes de Lousã que permite uma análise interdisciplinar.publishersversionpublishe