How and when immersion and distancing are useful in emotion focused therapy for depression

Objective: The potential benefit or harm of immersion (egocentric perspective) and distancing (observer perspective) on negative experiences are unclear and have not been empirically investigated in therapy. This is a first exploratory study aimed to analyze and compare the perspectives adopted on reflection (immersion and distancing) of negative experiences across therapy and the relationship between them and depressive symptoms in contrasting therapeutic outcomes of emotion-focused therapy (EFT). Method: Three good-outcomes cases and three poor-outcomes cases of EFT, diagnosed with mild to moderate depression at the beginning of therapy, were randomly selected. Immersion and distancing on negative experiences were analyzed using the measure of immersed and distanced speech. The depressive symptoms were assessed by the Beck Depression Inventory-II. Results: Significant differences across sessions were only found in the good-outcome cases which showed a significant decrease of immersion and an increase of distancing, and this evolution pattern was found related to the reduction of symptoms. Moreover, at the beginning of therapy, distancing was higher in the poor-outcome cases rather than in the good-outcome cases. Conclusion: The progressive and significant evolution from higher immersion at the initial phase to higher distancing in the final phase may be helpful in EFT for depression.info:eu-repo/semantics/publishedVersio

Aprendizagem dos números reais : um estudo com alunos do 9.º ano

Relatório da Prática de Ensino Supervisionada, Ensino de Matemática, Universidade de Lisboa, 2013Este estudo visa compreender as dificuldades que os alunos evidenciam na aprendizagem da noção de número real. O quadro teórico usado evidencia a complexidade dos conceitos de número racional e irracional e as dificuldades que os alunos têm na aprendizagem desses conceitos: representação, distinção entre número racional e irracional e utilização deste tipo de números. A intervenção letiva desenvolvida no 2.º período envolveu a lecionação de onze aulas de quarenta e cinco minutos do tema “Números e Operações”, incidindo no estudo do tópico dos números reais, com uma turma do 9.º ano de escolaridade, de uma escola secundária, localizada na Pontinha. A metodologia adotada segue uma abordagem qualitativa de natureza interpretativa. A recolha de dados inclui as produções escritas dos alunos, a gravação áudio das interações verbais em alguns grupos e dois testes. As discussões das aulas, as reflexões antes e pósaulas realizadas e a escrita de um “diário de bordo” serviram também de apoio e de complemento a esta recolha. Os resultados deste estudo mostram que os alunos recorrem muitas vezes à representação decimal finita apresentada na máquina de calcular para decidir a irracionalidade de um número. Para além disso, números representados na forma de fração com numerador e denominador inteiros são classificados, com frequência, como sendo irracionais. Foi também visível que os alunos têm dificuldade em representar na reta real números irracionais que se apresentem na forma de raiz quadrada, mesmo depois de terem trabalhado a construção desses números usando o Teorema de Pitágoras. A análise dos resultados evidencia ainda que, na representação decimal, os alunos tendem a identificar um número irracional sob a forma de raiz quadrada com um número racional, que é uma aproximação por defeito deste.This study aims to understand learning difficulties that students show concerning real number concept. The theoretical framework underlines the complexity of rational and irrational number concepts and the difficulties that students have in terms of: representation, use and distinction between this kind of numbers. My teaching intervention occurred in the 2nd term involves eleven classes of fortyfive minutes on the theme "Numbers and Operations", topic of the “Real numbers”. It took place in a high school, located in Pontinha with a 9 grade class. The adopted methodology is mainly based on a qualitative approach of interpretative nature. The data collected includes students’ written productions, audio recording of the dialogues in some groups and two evaluation tests. Furthermore, the classes’ discussion, my reflections before and after classes and the writing of a logbook complemented data collection. Findings reveal that students often decide about the irrationality of a number using a finite decimal representation presented by a calculator. Besides, often numbers represented as a fraction of two integers are classified as being irrational. It also became clear that locating irrational numbers, which are represented by a square root in the real number line is not an easy task for students, even after the work carried out by the “construction” of these numbers using the Pythagorean Theorem. The analysis of the results shows that, in decimal representation, students have difficulty in comparing an irrational number given by its square root representation with a rational number which is an approximated value by defect

Síndrome de dependência alcoólica em serviços de emergência: protocolo de avaliação para a prática profissional de enfermagem

This is a quantitative study carried out in emergency services of Ribeirao Preto, a city located in the countryside of Sao Paulo state. The aim of this study was to assess signs and symptoms of the Alcohol Withdrawal Syndrome (AWS) by the nursing team with the use of a protocol. Data collection took place over 642 on duty hours. Of the 463 participants, 297 had AUDIT ≥7, and of these, 59 (12.7%) had AUDIT ≥20, which indicates the occurrence of SAA and, due to this, were included in this investigation. Concerning the signs, of the 59 users, 8 were unable to tell the time of hospitalization, 7 could not say what year or month it was, and 13 seemed uneasy. In relation to the physical signs of the dependence, 17 had signs of tremor, 8 mentioned to have had seizures. The emergency services may be privileged places to identify symptoms of alcohol abuse and dependence and the use of the nursing assessment protocol may be a useful strategy in the monitoring and intervention.Estudio cuantitativo exploratorio realizado en los servicios de urgencias del municipio de Ribeirão Preto, interior del Estado de São Paulo, Brasil.El objetivo del estudio fue evaluar señales y síntomas del Síndrome de Abstinencia Alcohólica (SAA) por el equipo de enfermería, utilizando para esto un protocolo. La colecta de datos se realizó durante 642 horas de turnos. De los 463 participantes, 297 presentaron AUDIT (Alcohol Use Disorders Identification Test) ≥7, de estos, 59 (12,7%) presentaban AUDIT ≥20, o sea, sugerente de SAA siendo, por esto, incluídos en esta investigación. En cuanto a las señales, de los 59 usuarios, 8 no sabían decir el tiempo de hospitalización, 7 no sabían en qué año o mes estaban, y 13 presentaban inquietud. En relación a los signos físicos de la dependencia, 17 presentaron signos de temblores, 8 refirieron convulsiones. Los servicios de urgencias pueden ser lugares privilegiados para identificar síntomas de consumo abusivo y de dependencia del alcohol y la utilización del protocolo de evaluación de enfermería puede ser una estratégia útil en el seguimiento e intervención.Estudo quantitativo exploratório realizado em serviços de emergências do município de Ribeirão Preto, interior do Estado de São Paulo, Brasil.O objetivo do estudo foi avaliar sinais e sintomas da Síndrome de Abstinência Alcoólica (SAA) pela equipe de enfermagem, utilizando para isso um protocolo. A coleta de dados foi realizada durante 642 horas de plantões. Dos 463 participantes, 297 apresentaram AUDIT (Alcohol Use Disorders Identification Test) ≥7, destes, 59 (12,7%) apresentavam AUDIT ≥20, ou seja, sugestivo de SAA sendo, por isso, incluídos nesta investigação. Quanto aos sinais, dos 59 usuários, 8 não sabiam mencionar o tempo de hospitalização, 7 não souberam afirmar em que ano ou mês estavam, e 13 apresentavam inquietação. Em relação aos sinais físicos da dependência, 17 apresentaram sinais de tremores, 8 referiram convulsões. Os serviços de emergências podem ser locais privilegiados para identificar sintomas de uso abusivo e de dependência de álcool e a utilização do protocolo de avaliação de enfermagem pode ser uma estratégia útil no rastreamento e intervençã

The impact of Exergames on emotional experience: a systematic review

BackgroundGamification has proven to be a significant tool for health promotion, with a particular focus on physical activities such as Exergames, which improve not only physical, but also cognitive health. However, it is still not clear what effect the practice of Exergames has on changing the emotional experience.PurposeThe objective of this systematic review is to evaluate the impact of Exergames training on emotional experience.MethodsA systematic search was conducted in the PUBMED and SCOPUS databases. The relevant articles were screened independently by three researchers. Data concerning emotional measures and Exergame practice were extracted for analysis.ResultsThe search yielded 38 articles, of which 16 were included. Exergames were found to significantly impact happiness, anxiety, depressive symptoms, mental health-related quality of life, self-worth, self-esteem, self-efficacy, perceived behavioral control, vigor, vitality, intrinsic motivation, perceived energy, and relaxation.ConclusionOur review supports the evidence that the practice of physical activity through Exergames, on the emotional experience generally generates an increase in positive emotions. In this sense, the results found support both the use of Exergames as a leisure activity that promotes wellbeing and emotional regulation, as well as for health promotion, public health, and clinical practice purposes. Our review strongly supports the notion that engaging in physical activity through Exergames generally leads to an increase in positive emotions. As a result, these findings endorse the utilization of Exergames as a leisure activity to promote well-being and emotional regulation. Moreover, Exergames hold potential for health promotion, public health, and clinical practice purposes

Atendimento aos usuários de substâncias psicoativas em pronto atendimento: perspectiva dos profissionais de saúde

Se objetivó analizar como ocurre el servicio de usuarios de substancias psicoactivas, desde la perspectiva de los profesionales actuantes, en un servicio de presto servicio del municipio de Ribeirão Preto-SP. Para recogida de datos se utilizó entrevista semiestructurada realizada con 17 participantes y se procedió el Análisis de Contenido del tipo temática. Se constató que la mayoría de los profesionales no dispone de conocimiento para el servicio la esa demanda, se sienten inseguros y sus posturas eran guiadas por juicio moral y preconcepto. Las acciones se mostraron poco eficaces en el servicio, visto que casi siempre las mismas se concentraban en problemas clínicos. Reforzamos la necesidad de formación de los profesionales de salud para ese servicio, especialmente debido a la creciente busca de estos servicios.The objective was to analyze how is the care of drug users from the perspective of practicing professionals in an emergency care service in Ribeirão Preto-SP. For data collection, it was used a semi-structured interview conducted with 17 participants and found the Content Analysis of thematic type. It was found that most professionals do not have the knowledge to meet this demand, they feel insecure and their postures were guided by moral judgment and prejudice. Actions proved ineffective in attendance, as often the same were concentrated on clinical problems. It was reinforced the need for training of health professionals for this service, mainly due to the increasing demand for these services.Objetivou-se analisar como ocorre o atendimento de usuários de substâncias psicoativas, a partir da perspectiva dos profissionais atuantes, num serviço de pronto atendimento do município de Ribeirão Preto, SP. Para a coleta de dados, utilizou-se entrevista semiestruturada, realizada com 17 participantes e procedeu-se à Análise de Conteúdo do tipo temática. Constatou-se que a maioria dos profissionais não dispõe de conhecimento para o atendimento a essa demanda, sentiam-se inseguros e suas posturas eram guiadas por julgamento moral e preconceito. As ações mostraram-se pouco eficazes no atendimento, visto que quase sempre as mesmas se concentravam em problemas clínicos. Reforça-se a necessidade de formação dos profissionais de saúde para esse atendimento, sobretudo devido à crescente procura por esses serviços

Enhancing storage stability of smoke-flavored horse mackerel filets using natural extracts as preservatives

The Atlantic horse mackerel (Trachurus trachurus) is a globally favored fish due to its abundance, nutritional value, and affordability, but it faces quality preservation challenges. To address this, this study aimed to enhance its value by creating low-salt smoked products with natural bioactive compounds from seafood and forest sources. The fish filets were divided into four groups: one as a control, and the others were treated with various bioactive extract solutions, specifically pine bark, mussels, and microalgae. After 15 days of storage at 4°C, significant differences in properties were observed. Moisture and salt had an inverse relationship, with decreasing moisture and pH over time. Oxidation levels remained acceptable, although sensory quality was affected by storage. Microbiological analysis uncovered high contamination levels in certain samples at specific points in time, although no pathogens such as Salmonella spp. or Listeria monocytogenes were detected. While microalgae extract was the most powerful antioxidant, its performance was hampered by the poor sensory scores. On the other hand, pine bark extract was the most acceptable from a sensory point of view and revealed some antimicrobial inhibition. Using natural antioxidants provides an appealing solution for consumers seeking products with clean labels

Metabolic control of patients with phenylketonuria in a portuguese metabolic centre comparing three different recommendations

Funding Information: Conflicts of Interest: M.F.A. received grants from Glutamine, Nutricia, Merck Serono, Biomarin, Orphan and Lifediet to attend scientific meetings. A.M. has received research funding and honoraria from Nutricia, Vitaflo International and Merck Serono. She is a member of the European Nutritionist Expert Panel (Biomarin), a member of Sapropterin Advisory Board (Biomarin), a member of the advisory board entitled ELEMENT (Danone-Nutricia), and a member of an advisory board for Arla and Applied Pharma Research. A.P. received an educational grant from Cambrooke Therapeutics and grants from Vitaflo, Nutricia, Merck Serono, Biomarin, and Mevalia to attend scientific meetings. J.C.R. is a member of the European Nutritionist Expert Panel (Biomarin), the Advisory Board for Applied Pharma Research and Nutricia, and received honoraria as a speaker from APR, Merck Serono, Biomarin, Nutricia, Vitaflo, Cambrooke, PIAM and Lifediet. Funding Information: Funding: CINTESIS—UIDB/4255/2020 a program financially supported by Fundação para a Ciência e Tecnologia/Ministério da Educação e Ciência, through national funds is acknowledged. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.Blood phenylalanine (Phe) is used as the primary marker to evaluate metabolic control. Our study aimed to describe the metabolic control of patients with phenylketonuria (PKU) comparing three different treatment recommendations (European guidelines/US guidelines/Portuguese consensus). This was a retrospective, observational, single centre study in patients with PKU collecting data on blood Phe levels from 2017. Nutritional intake data and sapropterin (BH4) prescription were collected at the last appointment of 2017. The final sample studied included 87 patients (48% females) [13 hyperphenylalaninemia; 47 mild PKU; 27 classical PKU] with a median age of 18 y (range: 1–36 y). The median number of blood Phe measurements for patients was 21 (range: 6–89). In patients aged < 12 y, the median blood Phe level was 300 µmol/L (range 168–480) and 474 µmol/L (range 156–1194) for patients ≥ 12 y. Overall, a median of 83% of blood Phe levels were within the European PKU guidelines target range. In patients aged ≥ 12 years, there was a higher median % of blood Phe levels within the European PKU guidelines target range (≥12 y: 84% vs. <12 y: 56%). In children < 12 y with classical PKU (n = 2), only 34% of blood Phe levels were within target range for all 3 guidelines and 49% with mild PKU (n = 11). Girls had better control than boys (89% vs. 66% median Phe levels within European Guidelines). Although it is clear that 50% or more patients were unable to achieve acceptable metabolic control on current treatment options, a globally agreed upper Phe target associated with optimal outcomes for age groups is necessary. More studies need to examine how clinics with dissimilar resources, different therapeutic Phe targets and frequency of monitoring relate to metabolic control.publishersversionpublishe

Descriptive Analysis of Advantages and Disadvantages of Expanded Polystyrene Monolytic Panels - EPS

The light concrete of expanded Polystyrene is an innovation in the construction market, as it stands out for its execution, cost and efficiency. This new technique seeks to provide the constructions: lightness, cost reduction, reduction of time in works and good thermal and acoustic performance, producing comfort to the environment. This work aimed to study the use of light EPS concrete (Styrofoam) in internal and external walls, presenting the comparisons between this system and conventional masonry with ceramic blocks through the monitoring of a work in the city of Manaus - Amazonas

Optimization of zirconia surface textured designs using Nd:Yag laser for biomedical applications

The development of surface textured designs has influence in primary stability of surgically placed implants since a textured surface allows to firmer mechanical link to the surrounding tissue. Laser technology has been investigated to develop new surface designs on green zirconia compacts by cold pressing. Nd:Yag laser were used to produce several strategies and different laser parameters (laser power, speed and laser passages) were tested to evaluate their impact on cavities geometry and depth. The surface texture designs were analysed by Scanning Electron Microscopy (SEM) and regular geometries such as cavities or pillars were observed. The distance between lines have a strong impact on texturing quality and should be combined with optimum power and speed conditions. Regarding the optimized conditions, several surface textured patterns were created in both green and sintered zirconia compacts. This study allowed to conclude that only some texturing strategies are suitable to obtain high quality surface textured patterns. Otherwise, the remaining strategies are potential solutions for obtaining high quality machined structures (laser does not machine cavities but crosses the entire bulk). High strength zirconia scaffolds were machined by laser and CNC machining technologies and the two promising technologies were compared.This work is supported by FCT (Fundação para a Ciência e a Tecnologia) through the grant SFRH/BD/148031/2019, the project UIDB/04436/2020 and UIDP/04436/2020