Process Improvement Balanced Scorecard : utilização da metodologia Balanced Scorecard no alinhamento estratégico das iniciativas de melhoria dos processos organizacionais

Tese de Mestrado. Engenharia de Serviços e Gestão. Faculdade de Engenharia. Universidade do Porto. 201

Diabetes Mellitus - Estudo de AEQ dos Parâmetros Glicose e HbA1c (2008-2012)

Segundo o Internacional Diabetes Federation (IDF) (2012), a Diabetes atinge 371 milhões de pessoas em todo o mundo, correspondendo a 8,3% da população mundial. Estima-se que em cerca de 50% dessas pessoas a diabetes ainda não foi diagnosticada. Em 2012 morreram devido à diabetes 4,8 milhões de pessoas, sendo que metade tinha idade inferior a 60 anos. Segundo a IDF, Portugal posiciona-se entre os países europeus com maior taxa de prevalência de diabetes. A prevalência de diabéticos em Portugal em 2011, numa população entre os 20 e 79 anos foi de 12.7%, sendo que 7,2% diziam respeito a prevalência de diabetes diagnosticada e 5,5% a diabetes não diagnosticada. Em 2009, a percentagem de diabéticos em Portugal rondava os 11,7% e em 2010 os 12,4%. Dado a incidência a nível mundial da Diabetes Mellitus, torna-se de elevada importância avaliar toda a sua envolvência e estudar bem quais os critérios a ter em consideração. Propusemo-nos estudar os parâmetros bioquímicos relacionados com esta patologia - Glicose e Hemoglobina Glicada A1c (HbA1c), recorrendo à análise dos resultados dos últimos cinco anos (2008-2012) dos ensaios interlaboratoriais e metodologias utilizadas do Programa Nacional de Avaliação Externa da Qualidade, do Instituto Nacional de Saúde Doutor Ricardo Jorge (PNAEQ-INSA), Lisboa, Portugal

Ozone and UVC radiation as disinfection strategies of textile substrates

The emergence of COVID-19 triggered changes in routines and other concerns, such as the disinfection of textile clothing, to avoid the transmission of the disease. The application of ozone and UV radiation to textiles are interesting disinfection methodologies that do not use harmful chemicals. Ozone has been used for several years as a disinfectant, and UVC radiation has been shown to destroy viruses and bacteria. These technologies can be applied in hospitals, clinics, clothing stores, hotels, among others. This study aimed to investigate the impact of ozone (at different concentrations) and UVC radiation treatments and their combination (at different treatment times) in the elimination of pathogenic microorganisms (Acinetobacter ESB260 and Escherichia coli ATCC 8739) applied to different textile substrates. These treatments were applied in a prototype of the MTEX PHYS Sterilizer. The results demonstrated that ozone is more effective than UVC radiation. The highest bacterial inactivation with UVC radiation was that lasting 60 minutes. The best results with ozone treatments were obtained at concentrations of 50 and 60 ppm for 60 minutes, and log reductions of up to 5 log cycles were obtained. Apparently, the treatment time is more relevant than the ozone concentration. The combined treatment triggered a synergy of the treatments, in which values of logarithmic reduction were identical to those of the ozone treatment, but in a shorter time. The effectiveness of the treatments depends on the type of fabric and the bacterial species/strain.info:eu-repo/semantics/publishedVersio

Spore resistance to disinfection treatments by ozone and UV radiation in textiles

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

Arbustus unedo essence: morphological and genetic characterization of the strawberry tree of Castelo de Paiva

O medronheiro é um arbusto da região mediterrânica que pode ser encontrada por todo o país. Ao contrário do que verifica na região sul do país, no concelho de Castelo de Paiva é atribuída uma reduzida importância económica a esta espécie. Com o intuito de preservar e potenciar a produção desta espécie e contribuir para a dinamização da economia do concelho, procedeu-se à caracterização morfológica e genética de uma amostra da população de medronheiros de Castelo de Paiva. A caracterização morfológica e genética foi realizada para um total de 10 genótipos. Para tal recolheram-se 70 folhas aleatoriamente em cada árvore. Em 40 folhas mediu-se o comprimento, largura, comprimento do pedúnculo, peso fresco, peso seco e determinou-se a área foliar. Dos caracteres morfológicos analisados, aqueles que se revelaram mais úteis na distinção dos vários genótipos foram: comprimento do pedúnculo, peso fresco e peso seco. As restantes 30 folhas foram utilizadas para a caracterização genética. Esta caracterização foi realizada recorrendo a um marcador de DNA, ISSR. Os 5 primeiros exemplaresutilizados na técnica de ISSR demonstraram-se polimórficos. Os resultados da caracterização genética sugerem que a variabilidade genética na população é média a alta.The strawberry tree is a shrub native in the Mediterranean region and it can be found throughout Portugal. Unlike the case in the southern region of the country, in Castelo de Paiva a minor economic importance is given to this species. In order to preserve, to enhance the production of this species and to contribute to the boosting of the economy of the region, we proceeded to the characterization of a small sample population of this fruit tree of Castelo de Paiva in what concerns to its morphology and genetics. The morphological and genetic characterization was performed for a total of 10 genotypes. For this, 70 leaves were randomly collected from each tree. For 40 leaves, it was measured the length, the width, the peduncle length, the wet weight, the dry weight and determined the leaf area. Of the morphological characteristics analyzed, the ones that proved most useful in distinguishing the various genotypes were: the length peduncle, the wet weight and the dry weight. The remaining 30 leaves were used in the genetic characterization. This characterization was performed using a DNA marker, the ISSR. The 5 primers used in the ISSR technique proved to be polymorphic. The results from the genetic characterization suggest that variability in population genetics is medium to high

Identification of clusters of asthma control: A preliminary analysis of the inspirers studies

This work was funded by 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”) co-funded by the COMPETE2020 (Programa Operacional Competitividade e Internacionalização), Portugal 2020 and by Portuguese Funds through FCT (Fundação para a Ciência e a Tecnologia).© 2020, Sociedade Portuguesa de Alergologia e Imunologia Clinica. All rights reserved. Aims: To identify distinct asthma control clusters based on Control of Allergic Rhinitis and Asthma Test (CARAT) and to compare patients’ characteristics among these clusters. Methods: Adults and adolescents (≥13 years) with persistent asthma were recruited at 29 Portuguese hospital outpatient clinics, in the context of two observational studies of the INSPIRERS project. Demographic and clinical characteristics, adherence to inhaled medication, beliefs about inhaled medication, anxiety and depression, quality of life, and asthma control (CARAT, >24 good control) were collected. Hierarchical cluster analysis was performed using CARAT total score (CARAT-T). Results: 410 patients (68% adults), with a median (percentile 25–percentile 75) age of 28 (16-46) years, were analysed. Three clusters were identified [mean CARAT-T (min-max)]: cluster 1 [27(24-30)], cluster 2 [19(14-23)] and cluster 3 [10(2-13)]. Patients in cluster 1 (34%) were characterised by better asthma control, better quality of life, higher inhaler adherence and use of a single inhaler. Patients in clusters 2 (50%) and 3 (16%) had uncontrolled asthma, lower inhaler adherence, more symptoms of anxiety and depression and more than half had at least one exacerbation in the previous year. Further-more, patients in cluster 3 were predominantly female, had more unscheduled medical visits and more anxiety symp-toms, perceived a higher necessity of their prescribed inhalers but also higher levels of concern about taking these inhalers. There were no differences in age, body mass index, lung function, smoking status, hospital admissions or specialist physician follow-up time among the three clusters. Conclusion: An unsupervised method based on CARAT--T, identified 3 clusters of patients with distinct, clinically meaningful characteristics. The cluster with better asthma control had a cut-off similar to the established in the validation study of CARAT and an additional cut-off seems to distinguish more severe disease. Further research is necessary to validate the asthma control clusters identified.publishersversionpublishe

estudos artísticos

Há cegueira nos pintores? A escuta e revisitação dos trabalhos que nos antecedem permite acrescentar riqueza ao presente e ao alargar as opções para as intervenções do futuro. Este é um desígnio que nos importa onde a educação artística se entrecruza com a história da arte, na perspetiva de um passado que aos criadores é uma parte do seu corpo. A arte significa-se e ressignifica-se a cada resgate de uma obra perdida, a cada descoberta de um autor menos conhecido. Há capítulos que se reabrem depois da publicação alargada de um corpus desconhecido – veja-se o caso de Claude Cahun (Doy, 2007), que possibilitou um novo entendimento dos temas de género e da autorrepresentação na arte contemporânea. Esta é uma opção de resgate, de reconhecimento, para procurar sentidos desconhecidos ou mais ou menos esquecidos. Também é uma opção que experimenta a reflexão mais demorada, recusando a política fast fashion de alguns sectores que tomam as artes como um dos apartados da secção de tendências. As obras pedem maturação, tempo para produzir efeito, latência para uma disseminação eficiente. É este o sentido dos 17 artigos selecionados para o número 7 da Revista Gama, estudos artísticos: dar a conhecer, pela voz dos próprios agentes criadores, obras e autores que é preciso visitar, reaprender, reconhecer. Reuniram-se aqui algumas possibilidades de reconhecimento, autores desconhecidos, obras agora reveladas, inéditos que são divulgados. Lança-se pontes para conhecer o percurso de autores como Villari Herrmann, Edgard da Rocha Miranda, Raymonde Carasco, Armínio Kaiser, António Alfredo, Roberto Rodrigues, entre outros autores e outras obras. Após o livro de Júlio Pomar (1986) Da cegueira dos pintores, encontramos uma justificação da Revista Gama: lançar o olhar de artistas, um olhar plástico, operativo, sobre as obras de outros artistas, para um retomar do seu conhecimento.info:eu-repo/semantics/publishedVersio

MAMMALS IN PORTUGAL : A data set of terrestrial, volant, and marine mammal occurrences in P ortugal

Mammals are threatened worldwide, with 26% of all species being includedin the IUCN threatened categories. This overall pattern is primarily associatedwith habitat loss or degradation, and human persecution for terrestrial mam-mals, and pollution, open net fishing, climate change, and prey depletion formarine mammals. Mammals play a key role in maintaining ecosystems func-tionality and resilience, and therefore information on their distribution is cru-cial to delineate and support conservation actions. MAMMALS INPORTUGAL is a publicly available data set compiling unpublishedgeoreferenced occurrence records of 92 terrestrial, volant, and marine mam-mals in mainland Portugal and archipelagos of the Azores and Madeira thatincludes 105,026 data entries between 1873 and 2021 (72% of the data occur-ring in 2000 and 2021). The methods used to collect the data were: live obser-vations/captures (43%), sign surveys (35%), camera trapping (16%),bioacoustics surveys (4%) and radiotracking, and inquiries that represent lessthan 1% of the records. The data set includes 13 types of records: (1) burrowsjsoil moundsjtunnel, (2) capture, (3) colony, (4) dead animaljhairjskullsjjaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8),observation in shelters, (9) photo trappingjvideo, (10) predators dietjpelletsjpine cones/nuts, (11) scatjtrackjditch, (12) telemetry and (13) vocalizationjecholocation. The spatial uncertainty of most records ranges between 0 and100 m (76%). Rodentia (n=31,573) has the highest number of records followedby Chiroptera (n=18,857), Carnivora (n=18,594), Lagomorpha (n=17,496),Cetartiodactyla (n=11,568) and Eulipotyphla (n=7008). The data setincludes records of species classified by the IUCN as threatened(e.g.,Oryctolagus cuniculus[n=12,159],Monachus monachus[n=1,512],andLynx pardinus[n=197]). We believe that this data set may stimulate thepublication of other European countries data sets that would certainly contrib-ute to ecology and conservation-related research, and therefore assisting onthe development of more accurate and tailored conservation managementstrategies for each species. There are no copyright restrictions; please cite thisdata paper when the data are used in publications.info:eu-repo/semantics/publishedVersio

2015/16 seasonal vaccine effectiveness against hospitalisation with influenza a(H1N1)pdm09 and B among elderly people in Europe: Results from the I-MOVE+ project

We conducted a multicentre test-negative caseâ\u80\u93control study in 27 hospitals of 11 European countries to measure 2015/16 influenza vaccine effectiveness (IVE) against hospitalised influenza A(H1N1)pdm09 and B among people aged â\u89¥ 65 years. Patients swabbed within 7 days after onset of symptoms compatible with severe acute respiratory infection were included. Information on demographics, vaccination and underlying conditions was collected. Using logistic regression, we measured IVE adjusted for potential confounders. We included 355 influenza A(H1N1)pdm09 cases, 110 influenza B cases, and 1,274 controls. Adjusted IVE against influenza A(H1N1)pdm09 was 42% (95% confidence interval (CI): 22 to 57). It was 59% (95% CI: 23 to 78), 48% (95% CI: 5 to 71), 43% (95% CI: 8 to 65) and 39% (95% CI: 7 to 60) in patients with diabetes mellitus, cancer, lung and heart disease, respectively. Adjusted IVE against influenza B was 52% (95% CI: 24 to 70). It was 62% (95% CI: 5 to 85), 60% (95% CI: 18 to 80) and 36% (95% CI: -23 to 67) in patients with diabetes mellitus, lung and heart disease, respectively. 2015/16 IVE estimates against hospitalised influenza in elderly people was moderate against influenza A(H1N1)pdm09 and B, including among those with diabetes mellitus, cancer, lung or heart diseases