Patient Safety in Primary Care

Artigo resultante de investigação realizada no Doutoramento em Gestão Geral, Estratégia e Desenvolvimento Empresarial.Comunicação apresentada no Annual Meeting 2020, Health 4.0: Designing Tomorrow's Healthcare, Coimbra.Patient safety and the development of quality safety processes have been gaining prominence in business management in the public and political sector, particularly in Europe, after the Quality and Safety in European Hospitals project was driven by the support of the Lisbon strategy agenda. Scientific research has also followed this trend. However, the study of patient safety management and methods is still scarce.We have delimited factors that do not ensure a reliable environment and culture, to improve with a training plan and institutional coordination that supports notification. The complexity of the context impacts on the nature and dimension of adverse events due to stress, workload and organization. A Taxonomy of Adverse Events was constructed and its path from the source to the solution was mapped. It's our intention to share this Taxonomy with the professionals, with a strong expectation that will improve Quality and Safety in Portuguese Primary Care.info:eu-repo/semantics/publishedVersio

What is communicating with Generation Z in the Occupational Therapy classroom?

24th ENOTHE Annual Meeting 2018, Escola Superior de Saúde do Alcoitão Portugal.It is important that those who teach Occupational Therapy are really prepared or at least attentive to the societal changes because they can make all the difference in teaching Gen Z, iGeneration, Plurals or Centennials, currently students of Pre Graduate Courses. I´ve been teaching since 2010. But in 2018, a student became euphoric by understanding how many digital platforms the National Health Service had available for interaction with citizens, and I understood that my teaching would never be the same! I realized that I had a digital generation ahead of me. Therefore, this poster aims to provide awareness to this topic. Next will be presented same resources used in Classes. They are useful for Health System Teaching in Occupational Therapy Classes from first to last (4th year). Three different type of resources: Health Literacy Library, Health APPS & individual health platform. The digital generation is ahead of us. There is a considerable difference in interests, in the way to be present, observing and reflecting on the subjects debated inside and outside of class. In other words, it has become crucial to integrate the digital strategy and tolls in the classroom. The most relevant ones I used, and I agree should be prioritized in investigation are: Health Literacy Libraries, Health APPS & national individual health platform. The resources I talk about are really useful in classroom, in life & Occupational Therapy practice.info:eu-repo/semantics/acceptedVersio

The Acting of Occupational Therapy in Community, Early Childhood

Poster apresentado no Annual Meeting 2020, Escola de Saúde de Coimbra.The child and the family with special needs and doubts need to be monitored, supervised, given greater attention, to develop skills and abilities, and greater autonomy. The importance of Occupational Therapy (OT) inserted in a team in the context of early intervention in childhood and school is already recognized and studied, but still few, when it is reflected on the intervention in the community. The purpose of the compilation is to reflect on the follow-up practices of OT in the Primary Health Care, in early childhood. The reading of the data reports, in the middle of the hours of an OT in the Primary Health Care, 17 hours. The results are numerical / descriptive, have a non-experimental, retrospective, longitudinal nature, between March 2005 and March 2016. The service does not have a validated information system, the data were taken from excel sheets. A total of 253 different children / young people, with at least 1 h or more of care, between 0 months and 18 years, 74.3% between 1 month and 6 years of age and 25.7% among the 7 and 12 years old included, 58.1% of the male gender and 41.9% of the female gender. Requests came from the community, with the family also signaling. The children were mostly referred at early ages, due to Communication and Relationship Disturbance, and difficulties in Social Interaction with no known etiology. It indispensable the OT follow up in the Primary Health Care. In the community, is a great necessity to families and children.info:eu-repo/semantics/acceptedVersio

Teacher´s ClassRoom Management Program, One Portuguese Experience in the Community

Annual Meeting 2020, 19-21 março, Escola de Saúde de Coimbra.The Degree of Occupational Therapy (OT) of the Higher School of Health Sciences (ESElei) of the Polytechnic Institute of Leiria (IPLeiria) in Portugal, promotes the Gulbenkian Academies of Knowledge, sponsered by Calouste Gulbenkian Foundation. We aim to improve social and emotional skills in young children from 3 to 8 years old, building resilient children in ESSLei adjacent community, in Leiria and Porto de Mós field. We will invest and qualifying the teacher´s, those that everiday stengthens is classroom. The team will be formed by up to 14 elements, ESSlei teachers, elements from Porto de Mós & Leiria Autarchy, Private Social Solidarity Institutions from coverage área. This team will disseminate for free t he methodology, one theoreticalpractical model, divided in 84 hours (42 in classrom more 42 pratical in classrooms). In total they are 7 Workshops offered for free to public institutions. We aim to share results from implementationoctober 2018-March 2020. At the same time we are pleased to share a good & resilient practice. By now we already formed 33 educatores and reach directly near 1200 childrens, devolping resilience, problem solving, criativity, better communication. By the time of the conference, we will have more results, from a pratical methodology that is working nearly with Teachers, enhancing resilicence, strategies for enhancing soft skills, community resilience. The promotion of soft skills, in theory and with our pratical experience is the future of primary care & health promotion.info:eu-repo/semantics/acceptedVersio

Patient Safety in Primary Health Care, Case Study of Cartaxo PrimaryCare Health Center

Worldwide we should achieve more efficient, clinically more effective and safer health care organizations, specially those in Primary Care (PC), where knowledge is less. For greater Patient Safety (PS) in PC Organizations, professionals are the key to ensure safety, with the involvement from Patient & Family. The goal is understand what Professionals Health Center Cartaxo Know and consequently incorporate PS in professional activity.What the PS know and consequently incorporate SD is little, it is carried out informally, not systematic, there is not enough information / training, much less routine routine of SD. Discrepancies in knowledge highlight crucial training vs information. The Cartaxo Health Center challenges are educational, structural and physical. Who integrates SD health care training (base / postgraduate, service) or Health Accreditation The knowledge about nature/impact and of adverse events is scarce (greater local reality than Primary Care) The Safety & Notification are not uniform, and used mainly in accredited units. The Safety Cultural is non-uniform in Functional Units (do not know differences). Is more difficult to notify about vacines at home. It is very important home context, family, informal caregivers.info:eu-repo/semantics/acceptedVersio

The interplay between somatic and dendritic inhibition promotes the emergence and stabilization of place fields

During the exploration of novel environments, place fields are rapidly formed in hippocampal CA1 neurons. Place cell firing rate increases in early stages of exploration of novel environments but returns to baseline levels in familiar environments. Although similar in amplitude and width, place fields in familiar environments are more stable than in novel environments. We propose a computational model of the hippocampal CA1 network, which describes the formation, dynamics and stabilization of place fields. We show that although somatic disinhibition is sufficient to form place fields, dendritic inhibition along with synaptic plasticity is necessary for place field stabilization. Our model suggests that place cell stability can be attributed to strong excitatory synaptic weights and strong dendritic inhibition. We show that the interplay between somatic and dendritic inhibition balances the increased excitatory weights, such that place cells return to their baseline firing rate after exploration. Our model suggests that different types of interneurons are essential to unravel the mechanisms underlying place field plasticity. Finally, we predict that artificially induced dendritic events can shift place fields even after place field stabilization

Metallicity dependence of HMXB populations

High-mass X-ray binaries (HMXBs) might have contributed a non-negligible fraction of the energy feedback to the interstellar and intergalactic media at high redshift, becoming important sources for the heating and ionization history of the Universe. However, the importance of this contribution depends on the hypothesized increase in the number of HMXBs formed in low-metallicity galaxies and in their luminosities. In this work we test the aforementioned hypothesis, and quantify the metallicity dependence of HMXB population properties. We compile from the literature a large set of data on the sizes and X-ray luminosities of HMXB populations in nearby galaxies with known metallicities and star formation rates. We use Bayesian inference to fit simple Monte Carlo models that describe the metallicity dependence of the size and luminosity of the HMXB populations. We find that HMXBs are typically ten times more numerous per unit star formation rate in low-metallicity galaxies (12 + log(O/H) < 8, namely < 20% solar) than in solar-metallicity galaxies. The metallicity dependence of the luminosity of HMXBs is small compared to that of the population size. Our results support the hypothesis that HMXBs are more numerous in low-metallicity galaxies, implying the need to investigate the feedback in the form of X-rays and energetic mass outflows of these high-energy sources during cosmic dawn.Comment: 9 pages, 5 figures, accepted for publication in Astronomy & Astrophysic

O uso de analogias e metáforas para o ensino de ciências: instrumentos de mediação no processo de educação afetivo sexual para adolescentes

Este artigo tem por objetivo analisar a probabilidade de estudantes, na faixa etária de 9 a 12 anos, identificarem e construírem conceitos de natureza científica. Como base teórica e metodológica optou-se pela metáfora conceptual e pela metodologia de ensino com analogias. A coleta dedados foi realizada com base em uma simulação e na aplicação de um questionário semiestruturado aos sujeitos envolvidos. Entre os resultados, foi possível verificar o potencial explicativo das analogias e das metáforas na educação afetivo sexual de adolescentes. Tais recursos podem contribuir para ampliar conceitos científicos relacionados ao tema, além de promover o desenvolvimento da consciência corporal, bem como a formação de hábitos e atitudes que promovam maior valorização, cuidado e proteção com o próprio corpo

Automatic Parallelization of Software Network Functions

Software network functions (NFs) trade-off flexibility and ease of deployment for an increased challenge of performance. The traditional way to increase NF performance is by distributing traffic to multiple CPU cores, but this poses a significant challenge: how to parallelize an NF without breaking its semantics? We propose Maestro, a tool that analyzes a sequential implementation of an NF and automatically generates an enhanced parallel version that carefully configures the NIC's Receive Side Scaling mechanism to distribute traffic across cores, while preserving semantics. When possible, Maestro orchestrates a shared-nothing architecture, with each core operating independently without shared memory coordination, maximizing performance. Otherwise, Maestro choreographs a fine-grained read-write locking mechanism that optimizes operation for typical Internet traffic. We parallelized 8 software NFs and show that they generally scale-up linearly until bottlenecked by PCIe when using small packets or by 100Gbps line-rate with typical Internet traffic. Maestro further outperforms modern hardware-based transactional memory mechanisms, even for challenging parallel-unfriendly workloads.Comment: 21 pages, 14 figures, to be published in NSDI2