Relatório de Estágio Pedagógico

O objetivo principal deste Relatório de Estágio é a exposição de todo um processo de Estágio Pedagógico que se desenvolveu no Agrupamento de Escolas do Fundão no ano letivo 2018/2019. O documento relata e descreve a análise e reflexão da planificação, a lecionação, estratégias de intervenção no ensino-aprendizagem dos alunos de uma turma de 10ª ano, bem como numa de 5º ano e numa de 6º ano. Numa segunda parte deste Relatório é apresentado um trabalho de iniciação à investigação com o objetivo de verificar os efeitos do projeto curricular no processo ensino-aprendizagem em Educação Física no Agrupamento de Escolas do Fundão. No trabalho foram questionados professores do Agrupamento de Escolas onde foi realizado o Estágio, tendo os resultados sido analisados de forma qualitativa, explorando essencialmente a experiência dos professores face ao atual projeto curricular e observando a sua opinião acerca do mesmo em função das necessidades dos alunos e das aulas de Educação Física.The main objetive of this document is to expose the pedagogic internship that has been developed in Fundão’s school group in 2018/2019. The document presents the analisis and reflection of the planification, teaching and intervention strategies in the teaching of studentsof the 10th grade, 5th grade and 6th grade. In the second part of this document we expose a investigation report which objective is to study the effects of the curricular project in the process of teaching physical education students of the Fundão’s school group. In this study, we asked physical education teachers and qualitatively analised the results, exploring their experiences with the current curricular project and observing their opinions about how this affects student’s needs

A closer look at aortic seat belt injuries: review of 52 cases published in the last 60 years

INTRODUCTION: Seat belt aorta is a rare but often severe complication arising from blunt trauma with compression of the abdominal aorta against vertebrae. Seat belt sign is often present as an ecchymosis across the abdomen. The association with abdominal wall disruption and hollow viscus injury has been named seat belt triad; the presence of Chance fracture is sometimes considered a fourth component. METHODS: Using Pubmed and Embase databases we reviewed all articles regarding abdominal seat belt aortic injuries and analysed presentation at admission, concomitant lesions, including presence of seat belt triad, treatment and outcomes. RESULTS: Fifty-two cases were reported, from 1968 to 2019. Twenty-nine males (56%), mean age 43 ± 19 years. Most patients were stable at admission, with 29 (55.8%) presenting acute abdomen, 26 (50%) limb ischemia, 9 (17.3%) hypovolemic shock and 2 (3.8%) late-onset claudication. Seat belt sign was identified in 40 patients (76.9%), seat belt triad in 38 (73.1%) and 22 (42.3%) had Chance fractures, of which only 2 were not associated with seat belt triad. Most patients presented with aortic dissection (90.4%), complicated with pseudoaneurysm (11.5%), contained rupture (7.7%) or uncontained rupture (3.8%); 2 patients presented isolated iliac thrombosis and 3 limb ischemia. All patients required immediate surgical intervention, of which 40 (76.9%) required urgent vascular surgery. Forty-eight patients (92.3%) underwent vascular surgery: 39 open revascularizations and 9 endovascular procedures; three were managed conservatively. Ten patients (19.2%) passed away or died, of which 7 had seat belt triad. No patients needed reinterventions for vascular lesions except one, yet 3 required limb amputation. Most patients with seat belt triad required further visceral and abdominal wall repair. CONCLUSIONS: Seat belt aorta and especially seat belt triad are severe complications associated with high morbimortality often requiring surgery and multiple interventions. As patients are usually conscious and stable upon admission, this condition should not be disregarded