Perceção do risco de patologias infeciosas pelos bombeiros que realizam emergências pré-hospitalares

Mestrado em Tecnologias Clínico-LaboratoriaisAs emergências pré-hospitalares compreendem toda a atividade de urgência e emergência, sendo que estas correspondem à maioria do serviço operacional dos bombeiros, pelo que estes ficam expostos a um grande número de doenças infeciosas na sua prática diária do trabalho. Este estudo tem como objetivo geral analisar o conhecimento e a perceção do risco biológico de transmissão de doenças infeciosas dos bombeiros que realizam emergências pré-hospitalares e como objetivos específicos analisar o nível de conhecimento quanto à etiologia das doenças infeciosas e analisar a perceção relativa ao modo de transmissão das doenças infeciosas. Este é um estudo descritivo simples realizado através de inquérito a 391 participantes que aceitaram participar no estudo no qual foram incluídos 99 bombeiros, correspondendo a uma taxa de resposta a um questionário de 25,3%. Verificou-se que a resposta correta acerca da etiologia das doenças infeciosas para 33 doenças e do seu modo de transmissão para 30 doenças foi inferior a 50% dos participantes. Relativamente às 13 doenças que possuem mais do que uma resposta correta quanto ao modo de transmissão, em todas as doenças pelo menos uma das respostas foi considerada insuficiente. Verificou-se ainda que 46,5% dos participantes considerou o grau de conhecimento que considera ter acerca dos perigos biológicos inerentes à atividade como bombeiro como médio e 49,5% dos participantes indicou o nível de risco que considera que a atividade como bombeiro comporta como elevado. Este estudo sugere um conhecimento geral insuficiente da etiologia e do modo de transmissão das doenças infeciosas ainda que a perceção do risco tenha sido considerada como elevada ou muito elevada.ABSTRACT - Pre-hospital emergencies comprise all urgency and emergency activities, which correspond to the majority of the operational service of firefighters, so they are exposed to a large number of infectious diseases in their daily work practice. This study has a general objective to analyze the knowledge and perception of the biological risk of transmission of infectious diseases of firefighters who perform pre-hospital emergencies and as specific objectives to analyze the level of knowledge about the etiology of infectious diseases and to analyze the perception regarding the mode transmission of infectious diseases. This is a simple descriptive study carried out through a survey of 391 participants who agreed to participate in the study in which 99 firefighters were included, corresponding to a response rate to a questionnaire of 25.3%. It was found that the correct answer about the etiology of infectious diseases for 33 diseases and its mode of transmission for 30 diseases was less than 50% of the participants. Regarding the 13 diseases that have more than one correct answer regarding the mode of transmission, in all diseases, at least one of the answers was considered insufficient. It was also found that 46.5% of the participants considered the degree of knowledge they consider to have about the biological hazards inherent to the activity as a firefighter as medium and 49.5% of the participants indicated the level of risk they consider that the activity as a firefighter involves how high. This study suggests an insufficient general knowledge of the etiology and mode of transmission of infectious diseases, even though the perception of risk was considered to be high or very high.N/

Consulting project : recommendations for the services marketing plan do Ginásio Clube Português

The increasing awareness of health problems that are a consequence of obesity and a sedentary lifestyle as well as the snowballing popularity of the concern with aesthetics have been contributing to the growth and development of the Health and Fitness Industry worldwide. Portugal is no exception and, especially due to the contracting economy, new opportunities are emerging for this market. Moreover, in the past few years, motivations towards physical activity have shifted and the fitness centers have to adapt to this change in the customers’ preferences and attitudes. Ginásio Clube Português (GCP) requested a consulting project that involved the development of recommendations for the Services Marketing Plan for the upcoming year that counteracts the challenges stated above. The renowned Gaps Model of Service Quality, developed by Parasuraman et al. (1985), was used as a starting point for this analysis to support future recommendations, by assessing the gap between members’ expectations and perceptions of the service quality of GCP. The research questions that emerged to respond to the problem in hand are: (1) how do GCP members perceive the quality of this health club and what do they expect of such an institution, (2) what is the general opinion on the practice of physical activity, especially in the context of gyms and health clubs, and (3) how can GCP attract new members while retaining the existing ones. The methodology adopted to answer these questions involved the combination of three different research techniques: in-­‐depth interviews, mystery shopping and questionnaires

Estratégia de sustentabilidade para a aplicação da análise do ciclo de vida à gestão de resíduos de construção e demolição em serviços municipais

O sector da construção civil constitui uma actividade muito antiga que consome muitos recursos naturais e cuja gestão dos seus resíduos, Resíduos de Construção e Demolição (RCD), só recentemente começou a suscitar algumas preocupações. A significativa quantidade de RCD gerada pelo sector da construção civil é hoje um grande problema a ser enfrentado pelas empresas construtoras e pelos serviços municipais. A forma descontrolada como os RCD têm sido produzidos e geridos em Portugal, tem introduzido dificuldades acrescidas na obtenção de soluções conducentes à valorização/eliminação dos RCD como um todo. Urge reduzir e reciclar os RCD, adoptando uma atitude de uma forma preventiva, criar condições para uma intervenção mais criteriosa e sustentável. O presente trabalho visa discutir os aspectos relacionados com o diagnóstico da gestão de RCD através da Análise SWOT, para posterior aplicação da Avaliação do Ciclo de Vida (ACV), apontando possíveis usos desta ferramenta na dinâmica urbana, providenciando informação necessária para aferir do estado da gestão dos RCD em serviços municipais, bem como ajudar na monitorização do progresso, através de uma gestão sustentável, como é o caso da Divisão de Higiene Urbana e Resíduos Sólidos (DHURS) da Câmara Municipal de Loulé (CML). Como resultado deste estudo, apresentam-se as linhas gerais prioritárias de actuação para o desenvolvimento da ACV

Programa de reeducação funcional respiratória para a pessoa com insuficiência respiratória e necessidade de oxigenoterapia

A enfermagem de reabilitação permite a obtenção de ganhos em saúde, com vista à maximização das capacidades da pessoa com importantes contributos na melhoria da funcionalidade em pessoas com patologia respiratória, nomeadamente insuficiência respiratória. Objetiva-se a aquisição e desenvolvimento das competências comuns do enfermeiro especialista, específicas do Enfermeiro Especialista em Enfermagem de Reabilitação (EEER) e de mestre. Este relatório contempla a implementação de um Projeto de Intervenção Profissional que integra um Programa de Reeducação Funcional Respiratória (RFR) à pessoa com insuficiência respiratória sob suporte respiratório de oxigenoterapia. Expõe a apreciação do contexto, fundamentação teórica assente em evidência científica e uma reflexão crítica que contempla as estratégias e atividades desenvolvidas que contribuíram para a aquisição das competências comuns do enfermeiro especialista, específicas de enfermagem de reabilitação e de mestre. Consideram-se globalmente atingidas as competências anteriormente descritas. Relativamente aos resultados obtidos com o Programa de RFR, verificou-se a melhoria da sintomatologia e funcionalidade respiratória, bem como o desmame seguro de oxigenoterapia. Estes resultados corroboram a efetividade e a segurança das intervenções de enfermagem de reabilitação, assim como a valorização do papel do EEER, na pessoa com alterações da funcionalidade respiratória

A importância da paisagem cultural para a competitividade dos destinos

Doutoramento em TurismoA problemática debatida no nosso trabalho de investigação resultou da constatação que em virtude das profundas alterações ocorridas ao nível da procura e da oferta turística a nível mundial, um conjunto de destinos turísticos muito bem-sucedidos no passado começou a experienciar dificuldades em competir com novos concorrentes mais adequados às exigências da atual procura turística. Entre os fatores específicos suscetíveis de influenciar a competitividade dos destinos turísticos em fase de maturidade encontram-se os impactos provocados pelo desenvolvimento do turismo sobre o território. Neste sentido, a presente tese visa compreender a importância de efetuar uma gestão e manutenção adequadas da paisagem cultural como forma de garantir a competitividade do destino. Paralelamente, é apresentado um modelo que visa assistir os destinos no desenvolvimento de fatores diferenciadores face à concorrência, mediante a criação de produtos turísticos inovadores ou reformulando os processos em que os atuais produtos turísticos são elaborados, para que estes satisfaçam as expectativas e necessidades dos consumidores atuais, criando experiências turísticas únicas e memoráveis. O recurso a uma metodologia que conjugou métodos quantitativos e qualitativos complementados com meios visuais, permitiu-nos concluir que entre os fatores que maior influência exercem sobre a capacidade competitiva dos destinos turísticos em fase de maturidade encontram-se as alterações ocorridas na qualidade estética da paisagem cultural do destino. Os dados obtidos permitem concluir que basear os produtos turísticos inovadores na paisagem cultural do destino, tornaria esses produtos mais difíceis de imitar por parte dos principais concorrentes e facultaria ajudar a manter a paisagem cultural do destino.The issue under discussion in our research project stemmed from the realisation that, owing to the major changes taking place in tourism demand and supply worldwide, a number of tourist destinations which had been very successful in the past had begun to have difficulty in competing with new competitors better equipped to meet the requirements of modern-day tourism demand. Among the specific factors capable of influencing the competiveness of tourist destinations which have reached the stage of maturity are the impacts caused by the development of tourism in the area. Consequently, this research project is aimed at comprehending the importance of appropriate management and maintenance of the cultural landscape as a means of guaranteeing the competitiveness of the destination. At the same time, it presents a model which seeks to help these destinations to develop factors which will differentiate them from the competition, by creating innovative tourism products or reformulating the processes by which the current tourism products are designed, in order for these to meet the expectations and needs of modern-day consumers, creating unique and memorable tourism experiences. The use of a methodology which combined quantitative and qualitative methods complemented by visual means enabled us to conclude that among the factors which exert the greatest influence over the competitive ability of tourism destinations at their mature stage are the changes which have taken place in the aesthetic quality of the cultural backdrop of any given destination. The data obtained allows us to conclude that basing innovative tourism products on the cultural landscape of the destination in question would make these products more difficult for its main competitors to imitate and make it easier to help maintain the cultural landscape of the destination

Report on Open Educational Resources (OERs) and Massive Open Online Courses (MOOCs)

This report is developed under the project MOOC-Maker. This is a project funded by the European Commission Erasmus+ which has as main purpose to develop capabilities for the Construction of Management Capacities of MOOCs (Massive Open Online Courses) in Higher Education and conduct research about the initiatives developed. This report is the result of the research activity developed in the work package WPD1.12 of the project. The present report presents an exploration regarding the open educational resources and its relation with the MOOCs, including aspects related to its re-use and recognition of authorship. This information will allow us to present a current panorama as the basis of the actions to be taken in the project. With the development of this panorama the following report aims at contributing to the main objective of the project that is to “improve the quality and access to teaching-learning programs through the implementation of high quality MOOCs that address the development of competencies and knowledge that are required in today’s learners”.Co-funded ERASMUS + PROGRAME Refª. 561533-EPP-1-2015-1-ES-EPPKA2-CBHE-JPinfo:eu-repo/semantics/publishedVersio

Early detection of grapevine graft incompatibility: insights into translocated and virus-induced incompatibility

In vineyards to control phylloxera (Daktulosphaira vitifolia Ficth) attacks in Vitis vinifera L., heterografted vines are planted using American vines hybrids as rootstocks. However, graft incompatibilities can affect grape yield and plant longevity. Thus, to identify early graft incompatibility factors, we established in vitro micrografting protocols coupled with histology and histochemistry analysis in grapevine graft combinations of known compatibility behavior. The histochemical characterization of the graft union revealed irregular cell arrangement, slower vascular differentiation, persistence of the necrotic layer, accumulation of starch, and lower differentiation of phloem cells in hetero- compared to homografts, indicating the presence of translocated incompatibility symptoms. We highlight the utility of evaluating the graft interface cellular arrangement and starch content via calcofluor and I2KI staining, respectively, as allowed to identify the graft combinations with lower graft success. Wounded and grafted Syrah plantlets pointed out an impaired sucrose distribution in these plants and levels of Grapevine Rupestris Stem Pitting associated Virus (GRSPaV) infections correlated with graft (un)-success in two Syrah clones micrografted onto 110-Ritcher rootstock. Furthermore, silencing GRSPaV before grafting increased graft success rates. We propose that grapevine graft incompatibility is mainly a virus-induced phenomenon that can arise even in certified plants

Genetic variants of Grapevine leafroll-associated virus 2 infecting Portuguese grapevine cultivars

Genetic variability of 19 isolates of Grapevine leafroll-associated virus 2 (GLRaV-2) from Portuguese grapevine cultivars was characterized by sequencing the entire capsid protein (CP) gene of the virus. Global phylogenetic analysis of the CP gene, which included nucleotide sequences obtained in this study and complete homologous sequences from GenBank, showed segregation of GLRaV-2 variants from Portuguese isolates into three major phylogroups (PN, 93/955 and H4). The novelty of these phylogenetic results is the evidence of well-supported subdivision within H4 as well as within PN, with subgroup PN3 composed exclusively of variants from a Portuguese isolate. These findings and the genetic analysis of global phylogroups indicate demographic expansion, mainly within PN and 93/955. Because the existence of a mixture of variants from different phylogroups was detected in some of the isolates, a typification assay based on reverse transcription reaction followed by polymerase chain reaction and restriction fragment length polymorphism analysis, was developed to complement molecular detection assay of the virus. This protocol discriminates variants from the phylogroups identified in this study, and is appropriate for routine testing for GLRaV-2

Balanced Scorecard as a management model in the waste sector

All Organizations recognize that internal methodologies and frameworks are very important to have a thorough knowledge of their potential, simultaneous increase competitiveness and, correspondingly, enhance and optimize the performance of their service. Waste management is a challenge of modern society, and there is awareness that responsibility of waste management should be shared by all community, to cooperate and ensure a sustainable development with the best principles and best management practices. It is a citizenship issue, where citizens contribute adopting preventative behaviours in the production of waste, as well as practices that facilitate waste recycling, reuse and recovery, which contribute to reduce the waste life cycle. This concern and the service improvement involve the minimization of the environmental impacts, the conservation of the natural resources, the reduction of pollutant emissions, as well as the design of the solutions for the collection, transfer and transport, treatment and waste final deposition, and the allocation of human and financial resources. The need for a sustainable management of resources has led to the design and development of management models in waste systems to assess in what extent the various tasks or activities are (or are not) carried out in accordance with the objectives established in advance and the efforts, decisions and operational actions developed by organisations to improve the quality of its work. Thus, given the problems and requirements of the waste sector, it is necessary to outline and plan sustainable strategies for the management system. Therefore, the objective of the present work is the application and study of key concepts related to design and implementation of a management model, the Balanced Scorecard (BSC). This is a management method based on critical success factors, which propose is to translate through a systemic approach, the mission and strategy of Organizations (private or public / nonprofit) in operational objectives, arranged into perspectives interconnected in a cause-effect relation. It connects the strategic objectives to measurable measures (performance indicators) that indicate the success or failure of the adopted strategy, contributing to a review. The BSC is a very useful and simple management tool, which perfectly suits the needs of the waste sector. It works as a measurement and management system, and a basis for the strategy communication to all elements of the system, and through a joint analysis, demonstrates of the importance of all stakeholders to the overall management, encouraging their involvement and motivation