Alargando os espaços de aprendizagem na formação inicial de professores em regime de blended learning

This paper aims to offer and discuss a qualitative case study involving use of communication tools in a blended learning system (b-learning) for an initial context of Teacher’s Science/Technology (Sc/T). Therefore, we aim to contribute to the distance learning concept (b-learning context) through finding answers of questions asked about prospective digital technologies for starting teacher training, particularly a way to blend and overcome restrictions. We search tools available online in platform as a helper at classroom training in order to provide: i) guidelines to develop planned tasks and records available as well as literature and web-references; ii) discuss issues related to classes and/ or recommended topics; iii) share and discuss tasks given by students. This paper contextualizes analysis, but objectives and operating strategies are described in order to offer a reflection based on that experience. Results by perception and mediated by technologies, and a questionnaire to students and interviews applied to teachers give us a good acceptance of strategies designed and greater interaction levels, especially on issues related to topics covered at conferences. It can also be concluded that technologies fostered an expansion of learning scopes.Este trabajo tiene como objetivo presentar y discutir un estudio de caso de carácter cualitativo que implica la explotación de las herramientas de comunicación en el sistema de enseñanza mixta (b-learning) en el contexto de la Ciencia/Tecnología inicial del profesorado (C/T). Se pretende, por tanto, contribuir al campo de la educación a distancia (contexto b-learning), mediante la búsqueda de respuestas a las preguntas relacionadas con el potencial de las tecnologías digitales en materia de formación inicial del profesorado, en particular, cómo integrar y superar las limitaciones. Se exploraron las herramientas disponibles en la plataforma online como un complemento a la formación presencial, con el fin de proporcionar: i) directrices para el desarrollo de las tareas previstas y los registros disponibles para la lectura, así como bibliografía y Webgrafía; ii) discutir cuestiones relacionadas con las clases y/o recomendados; lecturas iii) compartir y discutir el trabajo realizado por los alumnos. En el artículo se contextualiza el estudio, se describen los objetivos y las estrategias de explotación y presenta una reflexión sobre la experiencia. Los resultados obtenidos por medio de observación mediada por las tecnologías utilizadas, la aplicación de un cuestionario a los estudiantes y profesores entrevistas, indican una buena aceptación de las estrategias diseñadas y niveles considerables de interacción, sobre todo en torno a cuestiones relacionadas con los temas tratados en las conferencias. También se puede concluir que el uso de tecnologías fomentó la expansión de los espacios de aprendizaje.O presente trabalho visa a apresentação e discussão de um estudo de caso de natureza qualitativa que envolveu a exploração de ferramentas de comunicação a distância em regime de blended learning, num contexto de formação inicial de professores de Ciências/Tecnologias (C/T). Pretende-se, desta forma, contribuir para a área da educação a distância (em regime de blended learning), através da procura de respostas para questões relacionadas com as potencialidades das tecnologias digitais ao nível da formação inicial de professores, em particular, como as integrar e os constrangimentos a ultrapassar. As ferramentas disponíveis numa plataforma online foram exploradas, enquanto complemento da formação presencial, tendo em vista fornecer: i) orientações para o desenvolvimento das tarefas previstas e disponibilizar fichas de leitura, bem como bibliografia e webgrafia; ii) discutir dúvidas relacionadas com as aulas e/ou as leituras recomendadas; iii) partilhar e discutir trabalhos desenvolvidos pelos alunos. No artigo contextualiza-se o estudo, descrevem-se os objectivos e estratégias explorados e apresenta-se uma reflexão sobre a experiência. Os resultados, recolhidos através de observação mediada pelas tecnologias utilizadas, da aplicação de um questionário aos alunos e de entrevistas a docentes, apontam para uma boa aceitação das estratégias concebidas e níveis de interação consideráveis, em particular em torno de dúvidas relacionadas com os temas abordados nas aulas teóricas. Pode ainda indicar-se que a utilização das tecnologias fomentou o alargamento dos espaços de aprendizagem

Viabilidade econômica de frangos de crescimento lento criados em diferentes sistemas de produção na região de Carajás-PA/ Economic feasibility of slow growing chickens created in different production systems in the Carajás-PA region

O objetivo do presente trabalho foi identificar a viabilidade econômica da produção de diferentes linhagens de frangos de crescimento lento, criados em diversos sistemas de produção. Foram realizados três experimentos de campo, com duração de 90 dias, envolvendo as linhagens Caipira Francês Pedrês, Caipira Francês Barré, Caipira Francês Exótico e Caipira Francês Vermelho, utilizando os sistemas de produção intensivo, semi-intensivo e o extensivo. Para determinar o melhor sistema e a linhagem mais adequada a região de Carajás, foram utilizados os indicadores de viabilidade econômica Valor Presente Líquido (VPL), índice benefício custo (IBC), Taxa Interna de Retorno (TIR),  Payback (PB) e o Ponto de Equilíbrio (PE), calculados com diferentes taxas de descontos, referentes às linhas de crédito que os produtores da região  tem acesso. Constatou-se que o sistema intensivo foi o mais viável economicamente, pois as linhagens estudadas apresentaram resultados positivos em todos os indicadores econômicos. A linhagem Caipira Francês Barré revelou melhor adaptabilidade ao sistema intensivo, a Caipira Francês Pedrês ao semi-intensivo, enquanto a Caipira Francês Vermelho no extensivo. Nas condições atuais, o sistema extensivo de produção mostra-se inviável economicamente, pois a estrutura da cadeia produtiva desfavorece a margem de comercialização do produtor

Comparação sobre a viabilidade econômica de sistemas de produção de hortaliças hidropônicas com diferentes níveis de tecnologia, nos municípios de Concórdia do Pará e Tomé-Açu-PA/ Comparison on the economic feasibility of hydroponic horizontal production systems with different technology levels in Pará and Tomé-Açu-PA municipalities

O artigo teve como objetivo comparar a influência dos diferentes níveis tecnológicos na produção de hortaliças hidropônicas encontradas nos municípios de Tomé-açu e Concórdia do Pará de maneira a destacar como essas diferenças impactam sobre a viabilidade econômica da produção. Para realizar a comparação dos resultados econômicos dos dois sistemas encontrados foram elaborados os fluxos de caixa de cada sistema da produção em cada município, sendo calculados os indicadores do VPL (Valor Pressente Líquido), IBC (Índice Benefício - Custo), TIR (Taxa Interna de Retorno), Payback e P.E (Ponto de Equilíbrio), submetidos a diferentes taxas de desconto de fontes de financiamentos existentes na região. A produção hidropônica de Concórdia do Pará apresentou um retorno de R$2,98 para cada R$ 1,00 investido, já a produção de Tomé-Açu apresentou um retorno de R$ 0,38. O retorno na produção em Concórdia do Pará, demonstrado pela TIR é de 40,51%, enquanto que na produção em Tomé-Açu esse indicador apresentou um valor negativo

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

Measuring adherence to inhaled control medication in patients with asthma: Comparison among an asthma app, patient self‐report and physician assessment

Background Previous studies have demonstrated the feasibility of using an asthma app to support medication management and adherence but failed to compare with other measures currently used in clinical practice. However, in a clinical setting, any additional adherence measurement must be evaluated in the context of both the patient and physician perspectives so that it can also help improve the process of shared decision making. Thus, we aimed to compare different measures of adherence to asthma control inhalers in clinical practice, namely through an app, patient self-report and physician assessment. Methods This study is a secondary analysis of three prospective multicentre observational studies with patients (≥13 years old) with persistent asthma recruited from 61 primary and secondary care centres in Portugal. Patients were invited to use the InspirerMundi app and register their inhaled medication. Adherence was measured by the app as the number of doses taken divided by the number of doses scheduled each day and two time points were considered for analysis: 1-week and 1-month. At baseline, patients and physicians independently assessed adherence to asthma control inhalers during the previous week using a Visual Analogue Scale (VAS 0–100). Results A total of 193 patients (72% female; median [P25–P75] age 28 [19–41] years old) were included in the analysis. Adherence measured by the app was lower (1 week: 31 [0–71]%; 1 month: 18 [0–48]%) than patient self-report (80 [60–95]) and physician assessment (82 [51–94]) (p 0.05). There was a moderate correlation between patient self-report and physician assessment (ρ = 0.596, p < 0.001). Conclusions Adherence measured by the app was lower than that reported by the patient or the physician. This was expected as objective measurements are commonly lower than subjective evaluations, which tend to overestimate adherence. Nevertheless, the low adherence measured by the app may also be influenced by the use of the app itself and this needs to be considered in future studies.info:eu-repo/semantics/publishedVersio

Programme Dementia Prevention (pdp): A Nationwide Program for Personalized Prevention in Luxembourg.

peer reviewedBACKGROUND: With continuously aging societies, an increase in the number of people with cognitive decline is to be expected. Aside from the development of causative treatments, the successful implementation of prevention strategies is of utmost importance to reduce the high societal burden caused by neurodegenerative diseases leading to dementia among which the most common cause is Alzheimer's disease. OBJECTIVE: The aim of the Luxembourgish "programme dementia prevention (pdp)" is to prevent or at least delay dementia in an at-risk population through personalized multi-domain lifestyle interventions. The current work aims to provide a detailed overview of the methodology and presents initial results regarding the cohort characteristics and the implementation process. METHODS: In the frame of the pdp, an extensive neuropsychological evaluation and risk factor assessment are conducted for each participant. Based on the results, individualized multi-domain lifestyle interventions are suggested. RESULTS: A total number of 450 participants (Mean age = 69.5 years; SD = 10.8) have been screened at different recruitment sites throughout the country, among whom 425 participants (94.4%) met the selection criteria. CONCLUSIONS: We provide evidence supporting the feasibility of implementing a nationwide dementia prevention program and achieving successful recruitment of the target population by establishing a network of different healthcare providers.3. Good health and well-bein

Patient‐centered digital biomarkers for allergic respiratory diseases and asthma: The ARIA‐EAACI approach – ARIA‐EAACI Task Force Report

Biomarkers for the diagnosis, treatment and follow-up of patients with rhinitis and/ or asthma are urgently needed. Although some biologic biomarkers exist in specialist care for asthma, they cannot be largely used in primary care. There are no validated biomarkers in rhinitis or allergen immunotherapy (AIT) that can be used in clinical practice. The digital transformation of health and health care (including mHealth) places the patient at the center of the health system and is likely to optimize the practice of allergy. Allergic Rhinitis and its Impact on Asthma (ARIA) and EAACI (European Academy of Allergy and Clinical Immunology) developed a Task Force aimed at proposing patient-reported outcome measures (PROMs) as digital biomarkers that can be easily used for different purposes in rhinitis and asthma. It first defined control digital biomarkers that should make a bridge between clinical practice, randomized controlled trials, observational real-life studies and allergen challenges. Using the MASK-air app as a model, a daily electronic combined symptom-medication score for allergic diseases (CSMS) or for asthma (e-DASTHMA), combined with a monthly control questionnaire, was embedded in a strategy similar to the diabetes approach for disease control. To mimic real-life, it secondly proposed quality-of- life digital biomarkers including daily EQ-5D visual analogue scales and the bi-weekly RhinAsthma Patient Perspective (RAAP). The potential implications for the management of allergic respiratory diseases were proposed.info:eu-repo/semantics/publishedVersio

The ARIA-MASK-air® approach

Funding Information: The authors thank Ms Véronique Pretschner for submitting the paper. MASK‐air has been supported by Charité Universitätsmedizin Berlin, EU grants (EU Structural and Development Funds Languedoc Roussillon and Region PACA; POLLAR: EIT Health; Twinning: EIP on AHA; Twinning DHE: H2020; Catalyse: Horizon Europe) and educational grants from Mylan‐Viatris, ALK, GSK, Novartis, Stallergènes‐Greer and Uriach. None for the study. ® Publisher Copyright: © 2023 The Authors. Clinical and Translational Allergy published by John Wiley & Sons Ltd on behalf of European Academy of Allergy and Clinical Immunology.MASK-air®, a validated mHealth app (Medical Device regulation Class IIa) has enabled large observational implementation studies in over 58,000 people with allergic rhinitis and/or asthma. It can help to address unmet patient needs in rhinitis and asthma care. MASK-air® is a Good Practice of DG Santé on digitally-enabled, patient-centred care. It is also a candidate Good Practice of OECD (Organisation for Economic Co-operation and Development). MASK-air® data has enabled novel phenotype discovery and characterisation, as well as novel insights into the management of allergic rhinitis. MASK-air® data show that most rhinitis patients (i) are not adherent and do not follow guidelines, (ii) use as-needed treatment, (iii) do not take medication when they are well, (iv) increase their treatment based on symptoms and (v) do not use the recommended treatment. The data also show that control (symptoms, work productivity, educational performance) is not always improved by medications. A combined symptom-medication score (ARIA-EAACI-CSMS) has been validated for clinical practice and trials. The implications of the novel MASK-air® results should lead to change management in rhinitis and asthma.publishersversionpublishe

The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990-2019 : Findings from the Global Burden of Disease Study 2019

Background Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Methods Prevalence, incidence, Years Lived with Disability (YLDs) and Years of Life Lost (YLLs) from mental disorders (MDs), substance use disorders (SUDs) and self-harm were estimated for young people aged 10-24 years in 31 European countries. Rates per 100,000 population, percentage changes in 1990-2019, 95% Uncertainty Intervals (UIs), and correlations with Sociodemographic Index (SDI), were estimated. Findings In 2019, rates per 100,000 population were 16,983 (95% UI 12,823 - 21,630) for MDs, 3,891 (3,020 4,905) for SUDs, and 89.1 (63.8 - 123.1) for self-harm. In terms of disability, anxiety contributed to 647.3 (432 -912.3) YLDs, while in terms of premature death, self-harm contributed to 319.6 (248.9-412.8) YLLs, per 100,000 population. Over the 30 years studied, YLDs increased in eating disorders (14.9%;9.4-20.1) and drug use disorders (16.9%;8.9-26.3), and decreased in idiopathic developmental intellectual disability (-29.1%;23.8-38.5). YLLs decreased in self-harm (-27.9%;38.3-18.7). Variations were found by sex, age-group and country. The burden of SUDs and self-harm was higher in countries with lower SDI, MDs were associated with SUDs. Interpretation Mental health conditions represent an important burden among young people living in Europe. National policies should strengthen mental health, with a specific focus on young people. Funding The Bill and Melinda Gates Foundation Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)Peer reviewe

ARIA digital anamorphosis : Digital transformation of health and care in airway diseases from research to practice

Digital anamorphosis is used to define a distorted image of health and care that may be viewed correctly using digital tools and strategies. MASK digital anamorphosis represents the process used by MASK to develop the digital transformation of health and care in rhinitis. It strengthens the ARIA change management strategy in the prevention and management of airway disease. The MASK strategy is based on validated digital tools. Using the MASK digital tool and the CARAT online enhanced clinical framework, solutions for practical steps of digital enhancement of care are proposed.Peer reviewe