Motivação profissional no internato médico de medicina geral e familiar: um estudo nacional

PROFESSIONAL MOTIVATION AND FAMILY MEDICINE RESIDENCY A National Study Background: Family medicine has some constraints, which may be considered critical for physicians' career choice, and motivation may be one of them. Motivation should be seen as a determinant of career success, particularly in educational context. The aim of this study was to develop an understanding about the family medicine residents' professional motivation, based on psychological and cognitive factors. Objectives: The following objectives were set: (1) to characterize the residents, in terms of cognitive-motivational variables; (2) to evaluate their assertive skills during the vocational training. Method: In 2005, we designed a mail survey applied to all graduates entering Family Medicine, in Portugal (N = 228), at the start of their specialty program. As part of a larger observational study, a 57 Likert scale items questionnaire was designed to collect descriptive data. In this cross sectional study we present data from professional project, professional commitment, intrinsic motivation, self-efficacy expectancies, results control expectancies, initial motivation to the specialty and assertiveness skills (cross sectional study). Results: From the target population, 109 completed questionnaires (47.8%) were returned. Most of the participants indicated high levels of professional orientation (77.1%) for family medicine and 92.6% had been globally committed in practice. At the beginning of the residency, the participants had medium (59.6%) or high (33.9%) levels of motivation for choosing this specialty, 89% were intrinsically motivated and 60.5% proved to be quite assertive in their patient approach. Conclusions: These findings suggest that medical graduates, studied in this research, were globally motivated for practicing in a Family Medicine context, contradicting the overall perception of a physicians' declined interest for this specialty. These results may have implications in the design of real-life training programs for postgraduate education in Family Medicine, a time when physicians are forming expectations about their career performance and professional well being. Future researches should continue studying more deeply the professional motivation of that population, throughout the vocational training in Family Medicine residency.info:eu-repo/semantics/publishedVersio

The influence of planning and response inhibition on cognitive functioning of Non-Psychotic unipolar depressed suicide attempters

Depression is one of the main risk factors for suicide. However, little is known about the intricate relationships among depressive symptomatology in unipolar depression, suicide risk, and the characteristics of executive dysfunction in depressed patients. We compared 20 non-psychotic unipolar depressed suicide attempters to 20 matching depressed non-attempters and to 20 healthy controls to further investigate the possible differences in neuropsychological performance. Depressed subjects were controlled for current suicidal ideation, and their neuropsychological profile was assessed using a range of measures of executive functioning, attention, verbal memory, processing speed, and psychomotor speed. Depressed groups were outperformed by healthy controls. Depressed attempters presented more cognitive impairment than depressed non-attempters on a simple Go/No-go response inhibition task and performed better than non-attempters on the Tower of London planning task. Depressed attempters were clearly distinguished by a deficit in response inhibition (Go/No-go commission errors). The normative planning performance (Tower of London extra moves) of the suicide attempters was unexpected, and this unanticipated finding calls for further research. Normative planning may indicate an increased risk of suicidal behavior.info:eu-repo/semantics/publishedVersio

O papel do assistente operacional na construção da escola inclusiva - um contributo para o esboço do seu perfil

A valorização da diversidade, o respeito pela diferença, os combates à desigualdade e à exclusão são os pilares do paradigma educacional do século XXI, que preconiza uma “escola para todos”. Nesta perspetiva, a inclusão de crianças com Necessidades Educativas Especiais (NEE) no ensino regular assume-se como uma mudança complexa uma vez que, tendo como objetivo melhorar a vida das crianças, fez com que os estilos de vida e comportamentos dos indivíduos se alterassem. O trabalho desenvolvido procurou apresentar uma reflexão sobre as mudanças operadas na escola, incidindo na ação dos assistentes operacionais enquanto agentes educativos. Optou-se pela metodologia de Estudo de Caso para este projeto, possibilitando a recolha de informação a partir de diferentes fontes: questionários e entrevistas. Os participantes deste estudo foram as Assistentes Operacionais e o professor de Educação Especial de um agrupamento de escolas do distrito de Beja. Os dados recolhidos sugerem que nem todos os assistentes operacionais perspetivam a inclusão da mesma forma, nem todos desempenham as mesmas tarefas e que não há um conteúdo funcional suficientemente esclarecedor. Os assistentes operacionais apresentam e revelam intenção e necessidade de formação para adquirir e/ou otimizar competências nucleares às suas funções, assumindo-se como um público-alvo privilegiado para futuras oportunidades formativas. Assim, propomos um plano de ação de formação intitulado “A ação do Assistente Operacional na construção da inclusão”, que acreditamos poder assumir-se como contributo para a formação destes agentes educativos

Necessidade psicológica de auto-estima/auto-crítica : relação com bem-estar e distress psicológico

Tese de mestrado, Psicologia (Secção de Psicologia Clínica e da Saúde - Núcleo de Psicoterapia Cognitiva, Comportamental e Integrativa), Universidade de Lisboa, Faculdade de Psicologia, 2011O presente trabalho insere-se no campo dos estudos em torno da Regulação da Satisfação das Necessidades Psicológicas e das suas relações com o Bem-Estar Psicológico e Distress Psicológico. Partindo de uma tradição integrativa, o Modelo de Complementaridade Paradigmática conceptualiza sete pares de Necessidades Psicológicas dialécticas, sendo o Bem-Estar Psicológico o resultado da sua regulação através de um processo contínuo de negociação e balanceamento dos pares dialécticos. Neste estudo será dado maior enfoque ao papel das polaridades dialécticas - Auto-Estima correspondente à capacidade em sentir satisfação consigo mesmo e ao papel da Auto-Critica correspondente á capacidade dos indivíduos em identificar, tolerar e aprender em função das suas insatisfações pessoais. Pretende-se assim com este estudo desenvolver um instrumento de medida do grau de regulação da necessidade de Auto-Estima/Auto-Critica, nas duas polaridades e estudar a relação entre os resultados obtidos em medidas de Bem-Estar Psicológico e Distress Psicológico. Através de uma análise quantitativa dos resultados decorrentes da amostra (N=562), o grupo de resultados mais elevados nos dois pólos (Auto-Estima/Auto-Critica) revela resultados mais elevados de Bem-Estar Psicológico e mais baixos de Distress Psicológico. Para além disto, apresentam-se as limitações do estudo, as implicações dos resultados para a prática psicoterapêutica e em posteriores estudos na área e sugerem-se linhas de investigação futuras.The present study is included in the field of regulation of Psychological Needs Satisfaction and its relationship with Psychological Well-Being and Psychological Distress. From an integrative tradition, the Paradigmatic Complementarity Model postulates seven pairs of dialectical psychological needs, with well-being as the result of need regulation, through a continuous negotiation and balancing process of the poles of each need. The present study will emphasize the role of dialectical polarities - Self -Esteem, relative to the ability to feel Self satisfaction, and the role of Self-Criticism, corresponding to the ability to identify, tolerate and learn through personal dissatisfactions. The aim of this study is twofold, to develop an instrument to measure the degree of regulation of the Self-Esteem necessity/Self-Criticism necessity, in both polarities, and to consider the relationship between the results obtained and measures of Psychological Well-Being and Psychological Distress. Through a quantitative analysis of the results provided by the sample (N=562), the group with higher results in the two poles (Self-Esteem/Self-Criticism) reveal higher Psychological Well-Being results and lower Psychological Distress. In addition, study limitations and implications of the results for psychotherapeutic practice and future research in this field are presented, along with suggestions for future lines of inquiry

A metabolome analysis and the immunity of Phlomis purpurea against Phytophthora cinnamomi

Phlomis purpurea grows spontaneously in the southern Iberian Peninsula, namely in cork oak (Quercus suber) forests. In a previous transcriptome analysis, we reported on its immunity against Phytophthora cinnamomi. However, little is known about the involvement of secondary metabolites in the P. purpurea defense response. It is known, though, that root exudates are toxic to this pathogen. To understand the involvement of secondary metabolites in the defense of P. purpurea, a metabolome analysis was performed using the leaves and roots of plants challenged with the pathogen for over 72 h. The putatively identified compounds were constitutively produced. Alkaloids, fatty acids, flavonoids, glucosinolates, polyketides, prenol lipids, phenylpropanoids, sterols, and terpenoids were differentially produced in these leaves and roots along the experiment timescale. It must be emphasized that the constitutive production of taurine in leaves and its increase soon after challenging suggests its role in P. purpurea immunity against the stress imposed by the oomycete. The rapid increase in secondary metabolite production by this plant species accounts for a concerted action of multiple compounds and genes on the innate protection of Phlomis purpurea against Phytophthora cinnamomi. The combination of the metabolome with the transcriptome data previously disclosed confirms the mentioned innate immunity of this plant against a devastating pathogen. It suggests its potential as an antagonist in phytopathogens’ biological control. Its application in green forestry/agriculture is therefore possible.2022.07433.CEECINDinfo:eu-repo/semantics/publishedVersio

Gla-rich protein (GRP) as an early and novel marker of vascular calcification and kidney dysfunction in diabetic patients with CKD: a pilot cross-sectional study

Vascular calcification (VC) is one of the strongest predictors of cardiovascular risk in chronic kidney disease (CKD) patients. New diagnostic/prognostic tools are required for early detection of VC allowing interventional strategies. Gla-rich protein (GRP) is a cardiovascular calcification inhibitor, whose clinical utility is here highlighted. The present study explores, for the first time, correlations between levels of GRP in serum with CKD developmental stage, mineral metabolism markers, VC and pulse pressure (PP), in a cohort of 80 diabetic patients with mild to moderate CKD (stages 2-4). Spearman's correlation analysis revealed a positive association of GRP serum levels with estimated glomerular filtration rate (eGFR) and α-Klotho, while a negative correlation with phosphate (P), fibroblast growth factor 23 (FGF-23), vascular calcification score (VCS), PP, calcium (x) phosphate (CaxP) and interleukin 6 (IL-6). Serum GRP levels were found to progressively decrease from stage 2 to stage 4 CKD. Multivariate analysis identified low levels of eGFR and GRP, and high levels of FGF-23 associated with both the VCS and PP. These results indicate an association between GRP, renal dysfunction and CKD-mineral and bone disorder. The relationship between low levels of GRP and vascular calcifications suggests a future, potential utility for GRP as an early marker of vascular damage in CKD.Portuguese Society of Nephrology (SPN) ; Portuguese national funds from FCT-Foundation for Science and Technology through the transitional provision DL57/2016/CP1361/CT0006 UIDB/04326/2020info:eu-repo/semantics/publishedVersio

Development of flexible zein-wax composite and zein-fatty acid blend films for controlled release of lysozyme

The aim of this study was controlled release of lysozyme by modification of hydrophobicity and morphology of zein films using composite and blend film making methods. The incorporation of beeswax, carnauba or candelilla wax into films at 5% (w/w) of zein gave composite films containing amorphous wax particles, while incorporation of oleic acid into film at 5% of zein caused formation of blend films containing many spherical zein capsules within their matrix. The lysozyme release rates of composites reduced as the melting point of waxes increased. The composites and blends showed 2.5 to 17 fold lower lysozyme release rates than controls. The films were effectively plasticized by using catechin. The catechin also provided antioxidant activity of films (up to 69 mu mol Trolox/cm(2)) and contributed to their controlled release properties by reducing film porosity. The films showed antimicrobial activity against Listeria innocua. This work showed the possibility of obtaining advanced edible films having flexibility, antimicrobial and antioxidant activity and controlled release properties.Scientific and Technical Research Council of Turkey (108M353

Propagation of nine endemic plant species from Madeira Island (Portugal)

Efficient propagation of endangered plant species is a critical factor in successful ecological restoration and conscientious habitat management. Hence, propagation trials of nine endemic plant species of Madeira (Anthyllis lemanniana Lowe, Armeria maderensis Lowe, Cedronella canariensis (L.) Webb & Berthel., Erica maderensis (Benth.) Bornm., Genista tenera (Jacq. ex Murray) Kuntze, Helichrysum melaleucum Rchb. ex Holl, Pericallis aurita (L'Her.) B. Nord., Sideritis candicans Aiton and Teline maderensis Webb & Berthel.) were carried out. Plant propagation requirements and their sexual and vegetative propagation methods were studied. Seed germination success varied between species. Germination rate exceeded 70% in six out of nine species, being lower than 30% in Pericallis aurita, while H. melaleucum seeds did not germinate. Vegetative propagation yielded lower success rates, with three species (Erica maderensis, Genista tenera and Teline maderensis) unable to establish roots, and three species (Helichrysum melaleucum, Pericallis aurita and Sideritis candicans) exceeding 60% of the rooting success. Establishment of the propagation requirements of these species could be regarded an important tool for supporting Madeira’s flora conservation programs.A propagação eficaz de espécies de plantas ameaçadas pode ser um fator crítico numa restauração ecológica de sucesso e numa gestão consciente de habitats. Por conseguinte, foram realizadas ensaios de propagação de nove espécies de plantas endémicas da Madeira (Anthyllis lemanniana Lowe, Armeria maderensis Lowe, Cedronella canariensis (L.) Webb & Berthel., Erica maderensis (Benth.) Bornm., Genista tenera (Jacq. Ex Murray) Kuntze, Helichrysum melaleucum Rchb. Ex Holl, Pericallis aurita (L'Her.) B. Nord., Sideritis candicans Aiton e Teline maderensis Webb & Berthel.). Foram analisados os requisitos de propagação destas espécies através de métodos de propagação sexual e vegetativa. O sucesso da germinação das sementes variou entre as espécies. A taxa de germinação foi superior a 70% em seis das nove espécies, sendo inferior a 30% em Pericallis aurita, e de 0% para H. melaleucum. A propagação vegetativa apresentou taxas de sucesso inferiores, com três espécies (Erica maderensis, Genista tenera e Teline maderensis) incapazes de estabelecer raízes. Por outro lado, três espécies apresentaram taxas de enraizamento superiores a 60% (Helichrysum melaleucum, Pericallis aurita e Sideritis candicans). O estabelecimento dos requisitos de propagação dessas espécies pode ser considerado como uma ferramenta importante na conservação da flora da Madeira.nowledgments José Manuel Rodrigues and other staff from the Ecological Park of Funchal, Sónia Ferraz, Marta Moreira and Filipe Ganança from the ISOPlexis Genebank, and the staff of the Floriculture Centre. We thank Jan J. Slaski of the ISOPlexis Genebank and the Alberta Innovates Technology Futures for reviewing the manuscript.info:eu-repo/semantics/publishedVersio

Analyzing green behavior and the rational use of water in portuguese higher education campi

In the forthcoming years Portugal expects to be an increasingly hot and dry country dealing with the risk of water scarcity. According to the Portuguese Institute for Sea and Atmosphere data, annual precipitation values have decreased 20 mm/decade. On the other hand, it is also verified that the periods of rain occur in a shorter interval, although more intensively. Water scarcity is one of the major challenges reflected in the UN 6th Sustainable Development Goal. Higher Education Institutions (HEIs), as places of responsibility in preparing future leaders, must have strong sustainability policies, namely through the implementation of water efficiency measures on their campi. The main aim of this work was to evaluate water consumption and the good practices that the different HEIs have implemented on their campi to improve and promote green and sustainable behaviors, and to calculate water efficiency indicators associated with each HEI. The data were collected through a survey completed by eight HEIs distributed throughout the country. The results show that some institutions have already been implementing measures for water efficiency and have developed some activities with the academic and surrounding community. The range of values calculated for the indicators is large and there is not a strong correlation between them. Per capita consumption values vary between 1.8 and 23.5 L/(person·day), the differences being explained mostly by campus characteristics, namely: green areas; water sources for irrigation; age of buildings; and the existence of facilities on campus such as residences and sports facilities. Nevertheless, the consumption per capita values are generally lower than those found in the literature for equivalent institutions. Given the growing concern with water scarcity, sharing this kind of information among institutions may contribute to improving water efficiency7211-5AB5-5A23 | Ivo AraujoN/

Molecular genetic analysis of a cattle population to reconstitute the extinct Algarvia breed

<p>Abstract</p> <p>Background</p> <p>Decisions to initiate conservation programmes need to account for extant variability, diversity loss and cultural and economic aspects. Molecular markers were used to investigate if putative Algarvia animals could be identified for use as progenitors in a breeding programme to recover this nearly extinct breed.</p> <p>Methods</p> <p>46 individuals phenotypically representative of Algarvia cattle were genotyped for 27 microsatellite loci and compared with 11 Portuguese autochthonous and three imported breeds. Genetic distances and factorial correspondence analyses (FCA) were performed to investigate the relationship among Algarvia and related breeds. Assignment tests were done to identify representative individuals of the breed. Y chromosome and mtDNA analyses were used to further characterize Algarvia animals. Gene- and allelic-based conservation analyses were used to determine breed contributions to overall genetic diversity.</p> <p>Results</p> <p>Genetic distance and FCA results confirmed the close relationship between Algarvia and southern Portuguese breeds. Assignment tests without breed information classified 17 Algarvia animals in this cluster with a high probability (q > 0.95). With breed information, 30 cows and three bulls were identified (q > 0.95) that could be used to reconstitute the Algarvia breed. Molecular and morphological results were concordant. These animals showed intermediate levels of genetic diversity (MNA = 6.0 ± 1.6, R_t = 5.7 ± 1.4, H_o = 0.63 ± 0.19 and H_e = 0.69 ± 0.10) relative to other Portuguese breeds. Evidence of inbreeding was also detected (F_is = 0.083, <it>P</it> < 0.001). The four Algarvia bulls had Y-haplotypes H6Y2 and H11Y2, common in Portuguese cattle. The mtDNA composition showed prevalence of T3 matrilines and presence of the African-derived T1a haplogroup. This analysis confirmed the genetic proximity of Algarvia and Garvonesa breeds (F_st = 0.028, <it>P</it> > 0.05). Algarvia cattle provide an intermediate contribution (CB = 6.18, CW = -0.06 and D1 = 0.50) to the overall gene diversity of Portuguese cattle. Algarvia and seven other autochthonous breeds made no contribution to the overall allelic diversity.</p> <p>Conclusions</p> <p>Molecular analyses complemented previous morphological findings to identify 33 animals that can be considered remnants of the Algarvia breed. Results of genetic diversity and conservation analyses provide objective information to establish a management program to reconstitute the Algarvia breed.</p