Importance of program physical activity in quality of life in multiple sclerosis patients, six months after the intervention

Background: Multiple Sclerosis (MS) is a chronic disease of the central nervous system that affects more often young adults in the prime of his career and personal development, with no cure and unknown causes. The most common signs and symptoms are fatigue, muscle weakness, changes in sensation, ataxia, changes in balance, gait difficulties, memory difficulties, cognitive impairment and difficulties in problem solving MS is a relatively common neurological disorder in which various impairments and disabilities impact strongly on function and daily life activities. Purpose: The aim of this study is to examine the implications of an Intervention Program of Physical Activity (IPPA) in quality of life in MS patients, six months after the intervention

Implications of the Intervention Program for Physical Activity (IPPA) in the perception of illness and wellbeing in people with Multiple Sclerosis (MS)

The aim of this study is to examine the implications of the IPPA in the perception of illness and wellbeing in MS patients. Methods - This is a quasi experimental study non-randomized study with 24 MS patients diagnosed at least 1 year before, and with an EDSS score of under 7. We used the IPPA in 3 groups of eight people in 3 Portuguese hospitals (Lisbon, Coimbra, and Porto). The sessions were held once a week for 90 minutes, over a period of 7 weeks. The instruments used were: We asked the subjects the question “Please classify the severity of your disease?” and used the Personal Wellbeing Scale (PWS) at the beginning (time A) and end (time B) of the IPPA. We used the SPSS version 20. A non-parametric statistical hypothesis test (Wilcoxon test) was used for the variable analysis. The intervention followed the recommendations of the Helsinki Declaration. Results – The results suggest that there are differences between time A and B, the perception of illness decreased (p<0.08), while wellbeing increased (p<0.01). Conclusions: The IPPA can play an important role in modifying the perception of disease severity and personal wellbeing

Bem-estar e gravidade da doença de pacientes com esclerose múltipla seguindo um programa de atividade física

ABSTRACT - Introduction: Multiple sclerosis (MS) is a chronic disease of the central nervous system that mainly affects young adults, promoting a great impact on functionality. Fatigue is a very common symptom, associated with multiple impairments in sensitivity, muscle activity, neuromotor control, balance, cognition, and problem-solving ability. MS leads to strong functional restrictions, particularly in the context of daily living activities, as well as in patient participation. Objective: To understand the implications of a self-regulation program in the perception of well-being and mental health in MS patients. Methods: A set of exercises was implemented for use in daily activities, supported by different studies with MS patients. Patients were asked to classify the severity of their disease and to use the Mental Health Inventory (MHI-38), at the beginning (time A) and at the end (time B) of the self-regulation program. We used the Statistical Package for the Social Sciences (SPSS) version 25. A non-parametric statistical hypothesis test (Wilcoxon test) was used to analyze the variables. Results: The mean age was 44 years old, with patients between the ages of 20 and 58. 58.3% were women, 37.5% were currently married, 67% were retired and the mean level of education was 12.5 years. The correlation between the perception of disease severity and psychological well-being before the self-regulation program (r = 0.26, p < 0.05) and after the intervention (r = 0.37, p < 0.01) suggests a low to moderate correlation. Conclusion: The implementation of the self-regulatory model, through the promotion of physical activity in patients with MS, had a positive impact on clinical rehabilitation, well-being, and perception of disease severity of these people.RESUMO - Introdução: A esclerose múltipla (EM) é uma doença crônica do sistema nervoso central que afeta principalmente adultos jovens, promovendo um grande impacto na funcionalidade. A fadiga é um sintoma muito comum, associado a múltiplas deficiências na sensibilidade, atividade muscular, controle neuromotor, equilíbrio, cognição e capacidade de resolução de problemas. A EM leva a fortes restrições funcionais, principalmente no contexto das atividades de vida diária, bem como na participação do paciente. Objetivo: Compreender as implicações de um programa de autorregulação na percepção de bem-estar e saúde mental em pacientes com EM. Métodos: Um conjunto de exercícios foi implementado para uso nas atividades diárias, apoiado por diferentes estudos com pacientes com EM. Solicitou-se aos pacientes que classificassem a gravidade de sua doença e que utilizassem o Inventário de Saúde Mental (MHI-38), no início (tempo A) e no final (tempo B) do programa de autorregulação. Utilizouse o Statistical Package for the Social Sciences (SPSS) versão 25. Um teste de hipótese estatística não paramétrica (teste de Wilcoxon) foi utilizado para analisar as variáveis. Resultados: A média de idade foi de 44 anos, com pacientes entre 20 e 58 anos. 58,3% eram mulheres, 37,5% eram casados, 67% eram aposentados e a escolaridade média era de 12,5 anos. A correlação entre a percepção da gravidade da doença e o bem-estar psicológico antes do programa de autorregulação (r = 0,26, p < 0,05) e após a intervenção (r = 0,37, p < 0,01) sugere uma correlação baixa a moderada. Conclusão: A implantação do modelo autorregulatório, por meio da promoção de atividade física em pacientes com EM, teve impacto positivo na reabilitação clínica, bem-estar e percepção da gravidade da doença dessas pessoas.info:eu-repo/semantics/publishedVersio

The importance of a physical activity program for patients with multiple sclerosis on life satisfaction and psychological well-being

A Esclerose Múltipla (EM) é uma doença crónica do sistema nervoso central, que afeta com mais frequentemente mulheres jovens. A EM é uma doença progressiva e imprevisível, resultando em alguns casos de incapacidades e limitações a nível físico, psicológico e social. Este estudo tem como objetivo verificar o efeito de um programa de intervenção para a promoção da atividade física (PIPAF) em indivíduos com EM no bem-estar psicológico (BEP) e na satisfação com a vida (SV). Métodos – É um estudo quasi-experimental. Utilizamos a escala de satisfação com a vida (7 itens) e a componente BEP do inventário de saúde mental (14 itens). O estudo inclui 24 doentes EM com idade média de 44 anos, 58,3% são mulheres, 37,5% são casados, 67% estão reformados, a média de escolaridade é de 12,5 anos, sendo a EM diagnosticada há pelo menos um ano. O programa consiste numa intervenção para a promoção da atividade física em grupos de oito pessoas, semanalmente, durante 90 minutos, em sete semanas. Para analisar os resultados utilizamos o programa SPSS, versão 20. Resultados – Utilizamos o teste Wilcoxon para as variáveis BEP e a SV, obtido a partir da avaliação antes do programa de intervenção e no final do programa. Verificamos que houve alterações significativas entre os dois tempos p <0,01, em ambas as variáveis, com resultados mais elevados no final do programa de intervenção. Discussão/Conclusão – Através da leitura dos resultados podemos verificar que a implementação do PIPAF, em doentes com EM, utilizando um modelo holístico e integrado numa perspetiva biopsicossocial, melhora a SV e a BEP destes doentes.Multiple Sclerosis (MS) is a chronic disease of the central nervous system that affects more frequently young women. MS is a progressive disease and unpredictable, resulting in some cases, disability and limitations in physical, psychological and social. In this study we investigate the effect of an intervention program to promote physical activity in individuals with MS in psychological well-being (BEP) and life satisfaction (SV). Methods – This is a quasi-experimental study. We use the scale of life satisfaction (7 items) and psychological well-being component inventory mental health (14 items). The study includes 24 patients with a mean age AT 44, 58.3% are women, 37.5% are married, 67% are retired, education 12.5 years, diagnosed at least 1 year. The program consists of an intervention to promote physical activity in a group of eight people, weekly, for 90 minutes, in 7 weeks. To analyze the results we used SPSS version 20. Results – We used the Wilcoxon test for variables BEP and SV, obtained from the assessment before the intervention program and end of program. We found that listens significant changes between the two time p <0.01 in both variables, with higher results at the end of the intervention program. Discussion/ Conclusions – Through reading the results we can see that the implementation of a program to promote physical activity in patients with MS, using a model in a holistic and integrated biopsychosocial perceptive improves SV and BEP these patients

Image quality control in digital radiology

Image Quality Control is an important factor that contributes to the improvement of patient care and overall diagnostic accuracy. Our purpose was to elaborate Quality Control Charts and demonstrate the importance of image quality control in a radiology department. A total of 37 random samples, composed of 30 x-ray exams each, were selected and analyzed. Primarily, data about image non-conformities were compiled to make three distinct Quality Control Charts. Secondly, improvement and corrective actions were suggested. Our results allowed us to identify and account for different types of non-conformities found on x-ray images. This illustrates the importance and necessity for the implementation of an adequate Image Quality Control in Digital Radiology.info:eu-repo/semantics/publishedVersio

Image quality assessment of head CT: Control charts as an useful instrument

Themain objective of this research was to determine if the diagnostic image, acquired by CT scan, meets the quality criteria previously established for head CT exams. A total of 360 Head Computed Tomography exams were analyzed, using a checklist. For data collection, quality criteria were created, organized into four criteria groups, consisting of multiple items that must appear in the images studies. After data processing, a large number of non-conformexaminations were identified in than more than 50% of the sample. We concluded the main causes of these results are: the “incorrect or incomplete positioning”, the "lack of name of the radiographer and “motion artefacts”. Therefore it is essential to implement a checklist for a systematic evaluationof procedures.info:eu-repo/semantics/publishedVersio

Quality in computorized tomography: from image acquisition to dose, concepts, myths and definitions

With this review article, we intend to demonstrate the importance of Computerized Tomography (CT) in healthcare quality and safety. The concept of safety in CT is wider than for general healthcare. Safe healthcare provided using CT must include diagnostic image quality and reliability, as this is the only way to ensure diagnostic accuracy. The images must be acquired with the most adequate protocols available and with the lowest achievable radiation dose. In this article we will focus primarily on the concepts of dose, since this variable strongly affects the image quality and the consequent diagnostic accuracy. In methodological terms, 73 papers and 6 catalogues issued by the manufacturers of CT equipment, that included the keywords low dose, ultra-low dose and dose reduction were analysed. After review of these articles we found that about 82% are chest exams, namely the lungs. The remaining were subdivided mainly by studies of the sinuses, heart and bone segments. After this review we selected the only 10 articles that present the keywords and simultaneously quantify the dose reduction. Given the lack of precision associated with these terms, introduced mainly by commercial catalogues of different equipment brands, we intend to demonstrate that the concepts low dose and ultra-low dose are wrapped in unclear marketing strategies, without a strict and unambiguous definition of what is the effective dose. We propose that these concepts should be clearly defined and a precise indication of the effective dose reduction value should be compared to the default value (standard diagnostic dose) by exam region. Therefore, it is demonstrated that there is no concrete definition of what low dose or ultra-low dose are. These slogans cannot be used until they are not holistically defined, as well as the correspondent dose reduction value.info:eu-repo/semantics/publishedVersio

Competências Empreendedoras na Geração Z: Um Estudo com Alunos de Graduação em Administração: Entrepreneurial Skills in Generation Z: A Study with Undergraduate Business Administration Students

A geração Z entra agora em um mercado de trabalho muito dinâmico, em que o emprego formal como conhecemos parece fadado a desaparecer ou se restringir. Por isso, é de fundamental importância para os membros dessa geração e para as instituições de ensino identificar e analisar a percepção de espírito empreendedor e as competências empreendedoras dessa geração. A pesquisa teve como objetivo identificar a percepção dos alunos da Faculdade de Economia, Administração, Contábeis e Atuariais da Pontifícia Universidade Católica de São Paulo (FEA PUC-SP) pertencentes à geração Z do curso de Administração sobre suas competências empreendedoras e se acreditam que o curso estimula esses comportamentos empreendedores. Os resultados mostram que os alunos possuem as competências empreendedoras em nível destacado (índice de 3,95 em cinco) e acreditam que a universidade estimula seu espírito empreendedor, fornecendo conhecimento e ferramentas básicas para desenvolver o empreendedorismo (favorabilidade acima de 80%). O estudo indica algumas oportunidades de melhoria e sugere continuidade de pesquisas, visando compreender melhor a geração Z e o processo de ensino-aprendizagem de empreendedorismo

EcoGreenRoof – EGR: Eco-materials Development for Green Roofs

The project EcoGreenRoofs - EGR aims to develop ecological substrates for application in green roofs, which include in their formulation industrial waste of organic and inorganic base. The substrates are tentatively produced exclusively from industrial waste and / or materials derived from waste treated, and tested at a facility to be studied, developed and built on pilot scale. The substrates produced will be tested under real conditions for their validation and inherent production process. This project aims also to evaluate the commercialization of substrates by analyzing the technical, economic and environmental components. The project is being carried out in co-promotion by two enterprises, one with know-how in the execution of green roofs (Neoturf) and the other with knowledge to implementation of industrial solutions aiming waste management (W2V), and by two SI & I entities with the knowledge and means to develop waste recovery studies (CVR) and roof solutions (Itecons).This work has been co-financed by Compete 2020, Portugal 2020 and the European Union through the European Regional Development Fund – FEDER within the scope of the project EGR - EcoGreenRoof: Desenvolvimento de eco-materiais para coberturas verdes (POCI-01-0247-FEDER- 033728)

Residual activity in a Nuclear Medicine Department: a dosimetric study

The exposure to ionizing radiation by radiographer in Nuclear Medicine (NM) Departments is inevitable, as this area has the highest rates of residual activity. Since 1957, and later updated (2005), several guidelines have been established by the IAEA (International Atomic Energy Agency), for the management of residues from radioactive use for medical purposes, with the intention of increasing the radiological protection of the people and the environment. Optimized management is very important not only for the functioning of the NM department, but also for the...info:eu-repo/semantics/publishedVersio