Gastronomia Algarvia/Dieta Mediterrânica?

The Mediterranean Diet concept was formulated during the sixties, in association with the food consumption pattern of Mediterranean areas that produced olive oil and shared common health styles. These areas, besides their own cultural and religious differences, share common food habits, such as: - The use of olive oil (supplier of monounsaturated fatty acids and antioxidants); - The abundant use of cereals, mainly under the form of excellent quality bread, flour and pasta (providing fibre and energy); - Large and variegate consumption of fruit (fresh and dried), nuts and vegetables (colourful, rich in fibre, antioxidants and other protective materials); - Abundant use of herbs and spices (rich in antioxidants and other protective materials); - Simple culinary methods, using short cooking times and low temperatures (which enhance the preservation of food nutritional and sensorial characteristics). The Mediterranean Diet reflects a set of characteristics that make it internationally recognized as a health promoter eating pattern, where the relation between monounsaturated and saturated fatty acids is highly advantageous for the former, fibre, vitamins and natural antioxidants intake is high, together with a low consumption of animal protein and salt. The obtained results show contents in protein, lipid and carbohydrates very adequate to the “DRI”; The relation between mono and saturated fatty acids (40:9) should be emphasised, together with the high fibre content. Protective nutrients show remarkable results, with a wide variety of vitamins and minerals, in particular Vitamin A, complex B vitamins, biotin, vit. E, folic acid, iron, manganese and selenium, that are widely recognised as important antioxidants and responsible for the good function of the immune system. In conclusion, tomato soup, consumed traditionally as a poor meal, shows to be a health promoter nutritionally complete recipe

Lifelong learning on healthy cooking

In order to promote health and prevent frailty in ageing through the adoption of healthy lifestyles, the Department of Dietetics and NutriFon is engaged in different actions improve eating habits

New Perspectives on the Use of Sub-Optimal Donor Livers

Liver transplantation is the therapy of choice for patients with end-stage liver disease. However, a shortage of donor organs remains a major obstacle to the widespread application of liver transplantation. To overcome this problem, transplant centers have developed strategies to expand the organ donor pool, including the routine use of sub-optimal donor livers. However, these have an increased risk of initial poor function or primary non-function that may cause greater risk of morbidity in the recipient. This chapter aims to describe the pathophysiological changes that may occur in sub-optimal donor livers, focusing on viral infections, since, after transplantation, infection of the graft is almost universal and can lead to chronic hepatitis, cirrhosis, and graft failure. The different experimental models as well as the clinical outcomes of the transplantation of sub-optimal donor livers with viral infections will be discussed. Such information may be useful to guide the design of better experimental models than those described to date as well as the effective use of sub-optimal livers with successful clinical application

Doença de Arranhadura do Gato em Adolescente

A doença da arranhadura do gato manifesta-se, na maioria dos casos, por linfadenopatia regional e autolimitada, com resolução gradual sem antibioterapia. Apresentamos o caso de uma adolescente com tumefação da região ântero-medial do cotovelo direito com sinais inflamatórios com 4 semanas de evolução, associada a febre e cansaço. Medicada inicialmente em ambulatório com amoxicilina/ácido clavulânico, azitromicina e clindamicina sem melhoria, pelo que ficou internada sob ceftriaxone e clindamicina. A ecografia revelou coleções abcedadas que foram puncionadas, com saída de conteúdo purulento. Serologias compatíveis com infeção recente a Bartonella henselae. Teve alta clinicamente melhorada sob ciprofloxacina oral. Relatamos uma apresentação persistente da infeção a Bartonella henselae com lesões abcedadas, com necessidade de internamento para antibioterapia endovenosa e punção da lesão

Lower prevalence of congenital cytomegalovirus infection in Portugal: possible impact of COVID-19 lockdown?

info:eu-repo/semantics/publishedVersio

possible impact of COVID-19 lockdown?

59301]. Publisher Copyright: © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.Cytomegalovirus (CMV) is the most frequent cause of congenital infection all over the world. Its prevalence ranges from 0.2 to 2.2%. Transmission from children to their pregnant mothers is a well-known risk factor, particularly if they attend a childcare centre. This study aims to compare the prevalence of CMV congenital infection (CMV_CI) in Portugal (Lisbon) between two studies, performed respectively in 2019 and 2020. In the 2019 study, performed in two hospitals, we found a 0.67% CMV_CI prevalence, using a pool strategy previously tested with saliva samples. In the 2020 study, using the same pool approach in four hospitals (the previous and two additional), and based on 1277 samples, the prevalence was 0.078%. Conclusion: The close temporal coincidence with COVID-19 lockdown suggests that these measures may have had a significant impact on this reduction, although other explanations cannot be ruled-out.What is Known:• Cytomegalovirus is the leading cause of congenital infection.• Behavioural measures decrease cytomegalovirus seroconversion in pregnant women.What is New:• From 2019 to 2020 there was a significant reduction in the prevalence of congenital CMV infection.publishersversionpublishe

A Measure of Perceived Performance to Assess Resource Allocation

The final publication is available at Springer via http://dx.doi.org/10.1007/s00500-015-1696-3Performance measurement is a key issue when a company is designing new strategies to improve resource allocation. This paper offers a new methodology inspired by classic importance-performance analysis (IPA) that provides a global index of importance versus performance for firms. This index compares two rankings of the same set of features regarding importance and performance, taking into account underperforming features. The marginal contribution of each feature to the proposed global index defines a set of iso-curves that represents an improvement in the IPA diagram. The defined index, together with the new version of the diagram, will enable the assessment of a firm's overall performance and, therefore, enhance decision making in the allocation of resources. The proposed methodology has been applied to a Taiwanese multi-format retailer and managerial perceptions of performance and importance are compared to assess the firm's overall performance.Peer ReviewedPostprint (author's final draft

O domínio da oralidade em Português Língua Materna

O presente relatório, inserido no quadro da Prática de Ensino Supervisionada (PES), realizada na Escola Secundária de Camilo Castelo Branco, no ano letivo de 2017/18, desenvolve uma contextualização e reflexão crítica sobre as práticas de ensino supervisionadas, bem como um estudo de investigação-ação, sob o tema genérico – O Domínio da Oralidade em Português Língua Materna. Nos Programas e Metas Curriculares de Português dos Ensinos Básico e Secundário, o domínio da oralidade compreende as modalidades de compreensão, interação e produção orais. Considerando que estas modalidades se relacionam entre si, este estudo centra-se, particularmente, nas capacidades de expressão oral dos alunos, observando os principais momentos de avaliação, concretizados no género de texto oral desenvolvido em contexto letivo – a “apresentação oral escolar”. Para dar conta das diversas dimensões da PES, este relatório organiza-se em três grandes partes, a saber: (i) a apresentação do tema; (ii) a prática de ensino supervisionada e (iii) o estudo de investigação-ação. A primeira parte apresenta os pressupostos teóricos que permitem fundamentar o estudo sobre o tema e enquadra o estudo nos documentos programáticos em vigor. Na segunda parte, procede-se à contextualização da PES e à reflexão crítica sobre as práticas de ensino observadas e supervisionadas. A terceira parte, dedicada ao projeto de investigação-ação, apresenta os objetivos e os aspetos metodológicos que sustentam o estudo, levado a cabo nas duas turmas, de 7º e de 11º anos, acompanhadas ao longo do ano letivo. Após discutir os resultados da fase de diagnóstico, delimitam-se os principais aspetos da expressão oral a desenvolver na fase de intervenção. Na turma de 7º ano, destaca-se o tratamento didático e pedagógico de aspetos de natureza paraverbal (entoação, pausas e ritmo discursivo). Na turma de 11º ano, a intervenção centra-se em aspetos verbais relativos à coerência e coesão discursivas, assim como em dois aspetos não verbais – o olhar e a postura. Em ambas as turmas, a intervenção pedagógica procura desenvolver a consciência dos alunos quanto à relevância da adequação dos recursos verbais, paraverbais e não verbais na construção de um texto oral. No término da terceira parte, discutem-se os resultados aferidos na fase final do estudo e levantam-se hipóteses relativas ao impacto da intervenção. Os resultados do estudo em apreço parecem corroborar o impacto positivo da intervenção, revelando que o trabalho didático de explicitação de aspetos linguísticos e não linguísticos da oralidade, com base em textos orais modelo, contribui para uma melhoria do desempenho dos alunos, nos momentos de produção oral planeada. Conclui-se sintetizando os principais resultados do estudo e apresentando um balanço da forma como a PES evoluiu do ponto de vista científico e pedagógico.This report, within the framework of the Supervised Teacher Training, held at the Camilo Castelo Branco High School, in the 2017/18 academic year, develops a contextualization and critical reflection on supervised teaching practices, as well as an action research study, under the generic theme - The Domain of Speaking in Portuguese as a Mother Tongue. In the Curricular documents of the Portuguese discipline, Basic and Secondary Education, the oral competence domain comprises both productive and receptive modalities (comprehension, interaction and production). Considering that these modalities are related to each other, this study focuses, in particular, on the oral communicative competence of the students, observing the main moments of assessment, expressed in the oral genre developed in an educational context - the "school oral presentation". In order to take account of the different Supervised Teacher Training dimensions, this report is organized into three main parts: (i) the presentation of the theme; (ii) the supervised teaching practices and (iii) the action research study. The first part presents the theoretical assumptions and the legal documents that provide the basis for the study. In the second part, the context in which the supervised teaching practice took place is described and a critical reflection on observed and supervised teaching practices is carried out. The third part, dedicated to the action research project, presents the objectives and the methodological aspects that support the study conducted in the two classes, 7th and 11th grades, followed throughout the school year. After discussing the results of the diagnostic phase, the main aspects of the oral communicative competence to be developed in the intervention phase are delimited. In the 7th grade class, the study highlights the didactic and pedagogical treatment of paraverbal features (intonation, pauses and discursive rhythm). In the 11th grade class, the intervention focuses on verbal aspects related to discursive coherence and cohesion, as well as on two non-verbal aspects – eye contact and body posture. In both classes, the pedagogical intervention seeks to develop students' awareness of the relevance of verbal, paraverbal and nonverbal resources in the construction of an oral text. At the end of the third part, the results of the final phase of the study are discussed and hypotheses regarding the impact of the intervention are raised. The results of the present study seem to indicate a positive impact of the intervention, revealing that awareness regarding linguistic and non-linguistic aspects of speaking, based on models of oral texts, contributes to an improvement in students' performance in oral presentations. This work ends with a summary of the main results of the study and an assessment of the way in which the Supervised Teacher Training evolved from a scientific and pedagogical point of view

Pooling Saliva Sample as an Effective Strategy for the Systematic CMV Screening of Newborns-A Multicentric Prospective Study

BACKGROUND: Cytomegalovirus is the most common cause of congenital infections worldwide. Screening all newborns in the first 2 weeks of life is the only way to detect all cases of congenital infection, allowing the monitoring of children with asymptomatic infection at birth and early intervention. AIM: In this multicenter study, we aimed to evaluate the feasibility of using a saliva pool strategy for mass screening in 7 Portuguese hospitals, and to estimate the current prevalence of this congenital infection in these hospitals. METHODS: A total of 7033 newborns were screened between June 2020 and June 2022, and 704 pools of 10 saliva samples were analyzed by polymerase chain reaction (PCR). RESULTS: Of the 704 pools analyzed, 685 were negative and 19 had positive PCR results for cytomegalovirus. After individual PCR testing, 26 newborns had positive saliva results, of which 15 were confirmed by urine testing. Thus, this study's prevalence of congenital infection was 0.21% (95% confidence interval: 0.12%-0.35%). CONCLUSIONS: In this study, the pooling strategy proved to be effective for the systematic screening of newborns, although this low prevalence raises questions regarding the cost-effectiveness of implementing universal screening. However, this prevalence is probably the result of the control measures taken during the pandemic; therefore, the rates are expected to return to prepandemic values, but only a new study after the pandemic will be able to confirm this.publishersversionepub_ahead_of_prin

Educação não-formal sobre reprodução assistida: divulgação científica na Folha de S.Paulo Non-formal education on assisted reproduction: scientific divulging in the Folha de S. Paulo newspaper

Neste artigo, analisamos as matérias publicadas pelo jornal Folha de S.Paulo, no ano de 2005, sobre reprodução assistida (fertilização in vitro e outras técnicas). A análise é feita sob dois ângulos. Primeiramente, examinamos que informação é divulgada ao público sobre reprodução assistida, tendo como foco os direitos reprodutivos, o acesso público e privado às tecnologias de reprodução assistida, os interesses envolvidos e os riscos dessas tecnologias. Constatamos que não houve divulgação das leis que garantem acesso gratuito à reprodução assistida no Brasil, apesar da aprovação, naquele ano, da Política Nacional de Direitos Sexuais e Reprodutivos. As reportagens enfatizam o caráter privado do acesso às tecnologias reprodutivas e confrontam interesses comerciais envolvidos. Destacam os avanços tecnológicos como benefícios universais, sem discutir como as desigualdades sociais afetam o acesso a essas tecnologias e tratamentos. Na escassa referência aos riscos relacionados com os procedimentos, destacam a gravidez múltipla, que afeta, paradoxalmente, os casais mais pobres. Em segundo lugar, indagamos que tipo de educação não-formal é desenvolvido através dos artigos do jornal sobre reprodução assistida. Os artigos examinados mostram, ao mesmo tempo, características de divulgação científica e do mais tradicional papel desenvolvido pela mídia como formadora de opinião.<br>In this article, we analyze pieces published by the Folha de S.Paulo newspaper, in 2005, about assisted reproduction (in vitro fertilization and other techniques). The analysis is done from two angles. First, we examine what information is disclosed to the public about assisted reproduction, focusing on reproductive rights, on public and private access to assisted reproduction technologies, the interests involved, and the risks of these technologies. We found that there was no discussion regarding the laws that guarantee free access to assisted reproduction in Brazil, despite the approval, that year, of the National Policy on Sexual and Reproductive Rights. The reports emphasize the private nature of access to reproductive technologies and confront the commercial interests involved. They highlight the technological progress that has been made, such as universal benefits, but do not discuss how social inequalities affect access to these technologies and treatments. In the sparse reference to the risks associated with the procedures, they highlight multiple pregnancies which, paradoxically, affect poorer couples. Secondly, we questioned what kind of non-formal education is provided through the newspaper articles on assisted reproduction. The articles that were reviewed play both the role of disseminating the issue scientifically and the more traditional role the media play as opinion makers