Minnesota Satisfaction Questionnaire: Propriedades Psicométricas e Validação para uma População Portuguesa de Trabalhadores de Hospital

Propriedades Psicométricas e Validação para uma População Portuguesa de Trabalhadores de Hospita

The application of social media for marketing strategies in pharma healthcare

Digital is transforming the way the world does business, and healthcare is no exception. The COVID-19 outbreak has had a significant impact on internet use and accelerated the digital transition worldwide as well as in Portugal. Social media is the fastest communication network among worldwide people. During the outbreak, the usage of social media platforms increased two times more compared with normal days. With increasing health literacy and access to technology, consumers are becoming more informed and proactive towards health issues and selfmedication, 67% of them are researching health problems and symptoms tracking and 81% conduct online research before making a purchase. This change has expanded communication from offline to the internet. Electronic word-of-mouth communication (eWOM), based on social media, brought more variables to marketing communication and became an interesting field for research considering its communication potential. Indeed, several studies have shown the ability to influence interpersonal communications on products or services in the purchase intention of consumers. As so, in recent years, some authors discussed the impact of eWOM on consumer online purchasing decisions; however, the literature is still relatively nascent regarding the Pharmaceutical Industry and the self-medication segment market of Over-the-Counter medicines (OTC). Pharmaceutical companies must be aware of this paradigm change: the patient is an indispensable and active stakeholder in the present and future of healthcare, besides the physician and the payer. Pharma marketing may be moving into a more digitalized space, but there is still room for improvement, especially when it comes to social media there is an unexploited territory for pharma marketers as most pharmaceutical companies are not yet to answer these consumers habits with an effective digital presence. The current research aims to study the application of Social Media platforms for marketing or communication purposes in pharma healthcare in Portugal.digital está a transformar a forma como os negócios se fazem no mundo, e a saúde não é exceção. A pandemia de COVID-19 teve um impacto significativo na utilização da Internet e acelerou a transição digital a nível mundial, incluindo Portugal. Com o aumento da literacia em saúde e o acesso à tecnologia, os consumidores estão a tornar-se mais informados e proativos em relação aos seus cuidados com a saúde e à automedicação, 67% destes pesquisam problemas de saúde e sintomas e 81% realizam pesquisas online antes de fazer uma compra. Esta mudança de comportamento expandiu a comunicação do offline para a Internet. A comunicação electronic word-of-mouth (eWOM), baseada nos media sociais, envolve mais variáveis para a comunicação de marketing; nos últimos anos, alguns autores discutiram o impacto do eWOM nas decisões de compra do consumidor online; entretanto, a literatura ainda é relativamente incipiente no que diz respeito à Indústria Farmacêutica e ao segmento de automedicação do mercado de medicamentos de venda livre (OTC). As empresas farmacêuticas devem estar atentas a esta mudança de paradigma: o paciente é uma parte indispensável e ativa no presente e no futuro da área da saúde, além do médico e do pagador. O marketing farmacêutico está a evoluir para a digitalização, mas ainda há espaço para melhorias, especialmente no âmbito das redes sociais que ainda são um território pouco explorado pelos profissionais de marketing farmacêutico. A maioria das empresas farmacêuticas ainda não se adaptou a estes hábitos de consumo com uma presença digital eficaz. A presente investigação pretende identificar a aplicação de plataformas de redes sociais para efeitos de marketing ou comunicação na área da indústria farmacêutica em Portugal

Insights into PCDD/Fs and PAHs in biomass boilers envisaging risks of ash use as fertilizers

ABSTRACT: Since ashes are a possible source of Persistent Organic Pollutants (POPs) contamination, their application in soils must be subject to more study and control. In this scope, feed residual forest biomasses and biomass ashes, collected along one year in four biomass power stations, were characterized mainly for their polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) and Polycyclic Aromatic Hydrocarbons (PAHs) contents. The biomasses present concerning levels of Cl (0.04-0.28%) that may lead to PCDD/Fs formation. The biomasses also contain OCDD (29-260 ng/kg) and 1,2,3,4,6,7,8-HpCDD (35 ng/kg) that may contribute to increased Toxic Equivalents (TEQs) of ashes, possibly involving dechlorination and ash enrichment mechanisms. While the WHO2005-TEQs in bottom ashes (14-20 ng TEQ/kg) reaches the proposed limit (20 ng TEQ/kg) for ash use as fertilizers, in fly ashes (35-1139 ng TEQ/kg) the limit is exceeded. PAHs are below 0.02 mg/kg in bottom ashes and 1.5-2.5 mg/kg in fly ashes, complying with the proposed limit of 6 mg/kg. As bottom and fly ash streams may contain different ash flows, a clear definition of ash mixes is required. Correlations between unburned carbon (C), PAHs and PCDD/Fs were not found, which highlights the need for compulsory PCDD/Fs analysis in ashes, independently of their origin, burnout degree or levels of other contaminants. A sensitivity analysis was performed to evaluate the impact of handling non-detected values, which showed more impact for TEQs values close to the proposed regulatory limit of PCDD/Fs. These findings highlight the need to define reporting protocols of analytical results for risk assessments and conformity evaluation.info:eu-repo/semantics/publishedVersio

18世紀から21世紀までの顎顔面頭蓋骨格の形態変化に関する3DCBTによる研究

神奈川歯科大学201

Aging and functionality of the institutionalized elderly people of Alto Alentejo: Contributions to the diagnosis of the situation

The loss of functionality in aging process is a concern nowadays. We proposed to perform the diagnosis of the functionality of institutionalized elderly people in Portalegre city. We developed a quantitative, descriptive and transversal study with the application of three evaluation instruments (Elderly Nursing Core Set, Mini-Mental State Examination and Blessed Dementia Scale (BDS)). The sample consisted of 89 elderly people, with an average age of 86.6 years-old, most of them are female (71.9%), widowed (77,5%) and illiterate (51.7%). The average of years of institutionalization was 3.5. 45.3% showed cognitive deterioration, and 50% showed moderate to severe deficits on the BDS. It was also found that 7% of the older people had low weight and 79.4% were overweight. It was also found that 7% of them had low weight and 79.4% were overweight. 37% reported they have pain and more than 52% presented moderate to complete disability in daily life activities such as walking, washing, caring for body parts, excretion processes and dressing. However, less than 26% presented some deficiency in eating. Regarding environmental factors 88% of the elderly people reported having some kind of support from family and friends. We concluded that the sample presents functional deficits, including considered cognitive deficiencies, requiring intervention. Considering that the evaluation presented here was made before the pandemic period caused by Covid-19, it is important to re-evaluate this sample after the restrictions of social conviviality to assess the effect of the pandemic on functionality and rethink the model of care for the institutionalized elderly people

Comprometimento Organizacional em trabalhadores de diferentes áreas num Hospital Português: um estudo de caso

O Comprometimento Organizacional é uma área de estudo em crescimento, particularmente numa economia que cada vez mais depende de serviços e do sector terciário. Neste estudo, apresentam-se os resultados exploratórios de um estudo feito num grande hospital do Norte de Portugal, em que 938 sujeitos responderam à Escala de Compromisso Organizacional – Afetivo, Normativo e de Continuidade (ECO-ANC) - uma adaptação para a população portuguesa das Organizational Commitment Scales de Meyer e Allen (1997), bem como a um conjunto de questões sócio-demográficas e relativas a aspetos da sua situação laboral. Os resultados permitem lançar alguma luz sobre a forma como os diferentes profissionais de um mesmo hospital se sentem relativamente à sua organização, no que concerne a variáveis que influenciam o Comprometimento Organizacional, e contribuem para o estudo do construto, bem como para uma visão mais holística da Gestão de Recursos Humanos nos Hospitais, já que englobam todos os tipos de trabalhadores dessa mesma instituição, num raro esforço de consideração e todos os trabalhadores de um hospital, sejam clínicos ou não clínicos.Organizational Commitment is a growing field of study, especially in an economy that is more and more dependent upon services and the tertiary sector. In this study we present the exploratory results of a case study in a large Hospital in the North of Portugal, where 922 subjects took the Portuguese adaptation of the Affective, Normative and Continuance Scales (Meyer and Allen, 1997), as well as a small sociodemographic group of questions and some items about their working conditions. Results shed some light on the way how different professionals in a same hospital feel regarding their organization, specifically about variables that influence Organizational Commitment, and contribute to a more holistic view of Human Resources Management in Hospitals, since it encompasses all types of workers of this same institution, in a rare effort to consider all clinical and no clinical workers of hospital.info:eu-repo/semantics/publishedVersio

When the fat lady sings: Organizational Commitment in workers of a decaying Portuguese Hospital

Comunicação apresentada na 12ª Global Bussiness and Technology Association - International Conferenc

Systemic corticosteroids in dermatological practice. Part I: Main adverse effects

Systemic corticosteroids have been used in dermatological practice for approximately 60 years due to their anti-inflammatory and immunosuppressive effects. The challenge of corticosteroid therapy is to counterbalance the desirable actions and undesirable pharmacological effects. Unfortunately, advanced understanding of the mechanisms of action of corticosteroids has not resulted in the development of minimal toxicity regimens. In this article, we report the main pharmacological properties of systemic corticosteroids, their major indications in clinical practice and the adverse effects of high doses and/or prolonged administration.Há quase 60 anos os corticosteróides sistêmicos têm sido amplamente utilizados na área de dermatologia, trazendo benefícios para muitas doenças em decorrência de suas ações antiinflamatórias e imunossupressoras. O desafio de seu uso consiste em contrabalançar os efeitos benéficos e as atividades farmacológicas indesejáveis. Infelizmente, os avanços no conhecimento sobre os mecanismos de ação dos corticosteróides não resultaram no desenvolvimento de regimes com mínima toxicidade. Dessa maneira, este artigo de revisão discorre sobre os aspectos farmacológicos dos corticosteróides sistêmicos, bem como suas principais indicações de uso e efeitos colaterais da administração em altas doses e/ou por longos períodos de tempo.UNIFESPHospital Central da Santa Casa de São Paulo Departamento de Clínica Médica Serviço de DermatologiaHospital Central da Santa Casa de São Paulo Clínica de DermatologiaUNIFESPSciEL

Nota sobre a ocorrência de leishmaniose tegumentar americana na Serra da Cantareira, São Paulo, SP, Brasil

A microepidemic outbreak of american mucocutaneous leishmaniasis occurred at the beginning of 1978 in the "Serra da Cantareira", S. Paulo, Brazil. The persistence of some of the niche is commented on.Relata-se a ocorrência de um pequeno surto de leishmaniose tegumentar americana, na Serra da Cantareira, São Paulo, SP, Brasil. Foram feitas considerações sobre a persistência de nichos de leishmaniose no Estado de São Paulo