Relatório de prática de ensino supervisionada realizada na Escola de Música do Conservatório Nacional: o ensino de bateria nos cursos de iniciação: programa curricular, competências e objetivos

Resumo I (Prática Pedagógica) Este Relatório de Estágio é composto por duas secções. Na primeira descreve-se o estágio realizado, na Classe de Percussão do Professor Carlos Voss (CV), na Escola de Mú-sica do Conservatório Nacional (EMCN), ao longo do ano letivo de 2015/2016, com a su-pervisão do Professor Doutor Eduardo José Tavares Lopes. Após uma contextualização da EMCN e dos alunos acompanhados no estágio, descreve-se o desempenho de cada um deles, ao longo do ano letivo, bem como as práticas educativas desenvolvidas pelo Professor Coo-perante, nas aulas assistidas e pelo estagiário. Resumo II (Investigação) Na segunda parte, descreve-se o projeto de investigação, que consiste na elaboração de um Programa Curricular de Iniciação de Bateria pretendendo organizar e estruturar a in-formação necessária na área do ensino de Bateria para os quatro anos da Iniciação Musical. A escolha de um modelo programático assente em objetivos comportamentais, dos quais a motricidade global, motricidade fina, consciência corporal, autonomia e principalmente a linguagem da Bateria, tendo em consideração as competências envolvidas na aprendizagem musical, bem como, os processos envolvidos na aquisição dessas mesmas competências; Abstract: Supervised teaching Practice report held at the National Conservatory music school: teaching Drums in initiation courses: Curriculum, skills and goals. Abstract I (Teaching) This Training Report consists of two sections. The first describes the stage conducted by master's degree in Teacher Battery Class Carlos Voss (CV), the School of the National Conservatory Music (EMCN) throughout the academic year of 2015/2016, under the super-vision of Professor Eduardo José Tavares Lopes. After a contextualization of EMCN and students accompanied on stage, we describe the performance of each of them, throughout the school year as well as the educational practices developed by Professor Cooperative, in assisted classes, and by the trainee. Abstract II (Research) Title - “The Battery Teaching in Initiation courses: Program Curriculum, competencies and objectives” In the second part, the research project is described, which consists of the elaboration of a Curricular Initiation Program for Drums intended to organize and structure the necessary training in the area of teaching the Drum for the four years of Music Initiation. The choice of a programmatic model based on behavioral objectives, of which the global motricity, fine motor, body awareness, autonomy and mainly the language of the Drum, taking into account the competences involved in musical learning, as well as the processes involved in acquiring these same skills

Evolução histórica do ensino da bateria em Portugal

O presente trabalho consiste num estudo sobre a evolução do ensino da Bateria em Portugal e toda a sua envolvência ─ músicos e principais instituições com tradição e responsabilidade no ensino e divulgação musical; Abstract: This dissertation proposes a study on the evolution of the teaching of the Drum Set in Portugal and all its surroundings ─ musicians and leading institutions with tradition and responsibility in teaching and musical dissemination

Central autonomic nervous system response to autonomic challenges is altered in patients with a previous episode of Takotsubo Cardiomyopathy

Aims: Takotsubo cardiomyopathy is an intriguing disease characterized by acute transient left ventricular dysfunction usually triggered by an episode of severe stress. The excessive levels of catecholamines and the overactivation of the sympathetic system are believed to be the main pathophysiologic mechanisms of Takotsubo cardiomyopathy, but it is unclear whether there is a structural or functional signature of the disease. In this sense, our aim was to characterize the central autonomic system response to autonomic challenges in patients with a previous episode of Takotsubo cardiomyopathy when compared with a control group of healthy volunteers. Methods and results: Functional magnetic resonance imaging (fMRI) was performed in four patients with a previous episode of Takotsubo cardiomyopathy (average age of 6712 years) and in eight healthy volunteers (average age of 66 +/- 5 years) while being submitted to different autonomic challenges (cold exposure and Valsalva manoeuvre). The fMRI analysis revealed a significant variation of the blood oxygen level dependent signal triggered by the Valsalva manoeuvre in specific areas of the brain involved in the cortical control of the autonomic system and significant differences in the pattern of activation of the insular cortex, amygdala and the right hippocampus between patients with Takotsubo cardiomyopathy and controls, even though these regions did not present significant volumetric changes. Conclusion: The central autonomic response to autonomic challenges is altered in patients with Takotsubo cardiomyopathy, thus suggesting a dysregulation of the central autonomic nervous system network. Subsequent studies are needed to unveil whether these alterations are causal or predisposing factors to Takotsubo cardiomyopathy.The work was supported by the European Commission (FP7): ‘SwitchBox’ (Contract HEALTH-F2-2010-259772) and ‘MyHealth’ project (Contract DoIT-13853), and by Fundação para a Ciência e Tecnologia (project FCT-ANR/NEU-OSD/0258/2012 Portuguese North Regional Operational Program (ON.2 – O Novo Norte)) under the National Strategic Reference Framework (QREN), through the European Regional Development Fund (FEDER). PM is supported by a ‘SwitchBox’ fellowship and RM by a FCT-ANR/NEU-OSD/0258/2012 fellowship

Caregivers of elderly people: Burden and Quality of Life

Objetivo: Identificar os fatores que se relacionam à sobrecarga produzida sobre cuidador no cuidado de idosos dependentes e sua correlação com a qualidade de vida. Métodos: Estudo transversal, que avaliou variáveis sócio-demográficas (sexo, faixa etária, escolaridade, grau de parentesco com o idoso e remuneração da atividade cuidador), a sobrecarga (Zarit Burden Interview) e a qualidade de vida (WHOQOL- Abbreviated) dos cuidadores de pacientes idosos do Hospital Dia do Idoso de Anápolis. Foram obtidas informações sobre o perfil do idoso dependente: o nível de dependência (índice de Katz) e variáveis demográficas (sexo e faixa etária). As médias das variáveis categóricas foram analisadas estatisticamente pelo teste T-Student e ANOVA e entre as variáveis quantitativas foi calculada correlação Pearson. Resultados: De 35 cuidadores incluídos, 83% apresentaram grau de sobrecarga no mínimo moderada. Cuidadores do sexo feminino, alfabetizadas, sem grau de parentesco com idoso obtiveram maiores médias de sobrecarga. Idosos muito dependentes estiveram relacionados também a maiores índices de sobrecarga. Evidenciou-se associação entre altos níveis de sobrecarga e baixos escores na percepção da qualidade de vida. Conclusões: Conclui-se que sobrecarga vivenciada pelos cuidadores de idosos com maior dependência influencia na pior percepção de qualidade de vida e que há um perfil de cuidadores mais suscetível à sobrecarga, contribuindo para conscientização da equipe de saúde sobre a importância de formular medidas de apoio ao cuidador e até de tratamento para que o cuidado seja exercido de forma eficiente no Hospital Dia do Idoso de Anápolis

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Estenose Aórtica em Idosos com e sem Doença Coronária - Análise dos Factores de Risco em Doentes Submetidos

Mestrado Integrado em MedicinaMaster Degree in Medicin

Aortic root to left atrium fistula: a rare complication of infective endocarditis in a native aortic valve

The image shows a pseudoaneurysm of the mitral-aortic intervalvular fibrosa and a fistula between the non-coronary sinus and the left atrium

Pulmonary Embolism and Intracardiac Type A Thrombus with an Unexpected Outcome

Detection of right heart thrombi (RHT) in the context of pulmonary thromboembolism (PE) is uncommon (4–18%) and increases the risk of mortality beyond the presence of PE alone. Type A thrombi are serpiginous and highly mobile and are thought to be originated from large veins and captured in-transit within the right heart. Optimal management of RHT is still uncertain. A 79-year-old woman, with a history of recent total hysterectomy with adnexectomy and a Wells procedure, presented to the emergency department following an episode of syncope. Computed tomography revealed bilateral PE and the presence of a right atrial thrombus. Transthoracic echocardiography demonstrated a free-floating type A thrombus in the right atrium, protruding into the right ventricle, and signs of pulmonary hypertension and right ventricle dysfunction. Considering the recent surgery and clinical stability, treatment with heparin alone was decided. Subsequent clinical improvement was observed and echocardiographic follow-up revealed complete thrombus dissolution and complete recovery of right ventricle function. Most authors recommend treatment of PE with RHT with thrombolysis or embolectomy followed by anticoagulation, although evidence is scarce. Individual risk of hemorrhage and operatory-related mortality should be taken into account when defining the treatment strategy especially when benefit is not firmly established

Cancer mortality trends in Brazilian adults aged 80 and over from 2000 to 2017

INTRODUCTION: Adults aged 80 and over represent the fastest growing segment of the population in emerging countries. Studies of cancer mortality trends in the oldest old population are scarce in Brazil. OBJECTIVE: To describe trends in cancer mortality in the Brazilian oldest old, by gender and cancer type, from 2000 to 2017. METHODS: This was a descriptive study with a time trend design, based on data from the Mortality Information System (of the Informatics Department of the Unified Health System). The variables analyzed were year of death, sex and cancer site. The five most common types of cancer were identified, and mortality rates and trends were calculated for each one. Trends were determined using joinpoint regression. In all cases where one or more joinpoints were statistically significant the average annual percent change (AAPC) was calculated based on the arithmetic mean of the annual percent change (APC), weighted by the length of each segment. The statistical significance of the APC and AAPC was estimated by calculating 95% confidence intervals (CI) with an alpha level of 0.05. RESULTS: Mortality rates increased over time (AAPC = 1.50; 95%CI, 1.20 - 1.70) in both males (AAPC = 1.90; 95%CI, 1.70 - 2.10) and females (AAPC = 1.30; 95%CI, 1.00 - 1.50). Men had higher mortality rates than women. The most common causes of cancer-related death were prostate cancer (AAPC = 1.70; 95%CI, 1.10 - 2.30) in men, and breast cancer (AAPC = 1.90; 95%CI, 1.50 - 2.20) in women, followed by cancers of the lung and bronchus, stomach and colon. All rates increased over time, except in the case of stomach cancer. CONCLUSION: The study revealed increasing mortality rates for screenable and/or preventable cancers, alerting to the need for preventive measures.</p