Relatório do estágio curricular realizado no Departamento de Futebol Sénior do Atlético Clube de Portugal

O Atlético Clube de Portugal é um clube histórico da cidade de Lisboa. Depois de ter sofrido, num passado recente, com decisões de gestão deficitárias, podemos afirmar que se encontra numa fase de evolução muito positiva, com objetivos bem definidos: no futebol sénior masculino, o objetivo principal é chegar ao campeonato nacional e aí permanecer; na formação futebolística o objetivo é construir uma base sólida que permita ao plantel principal ser abastecido com talentos produzidos internamente e, assim, aumentar o prestígio do clube como entidade formadora. Para o efeito, o clube candidatou-se à Federação Portuguesa de Futebol (FPF) para certificação como Entidade Formadora, o que permite que as instalações e recursos humanos e técnicos sejam reconhecidos pela mais alta gestão do futebol em Portugal. O meu envolvimento neste processo, bem como na organização dos recursos humanos a nível operacional, marcou o início do meu estágio no clube. Posteriormente, assumi a responsabilidade de traçar uma estratégia com vista a elevar o interesse dos adeptos na ação diária do clube, com especial enfoque para o aumento do número de espectadores nos jogos. Desta forma, o Estádio da Tapadinha voltará a ter um grande número de espectadores, os níveis de motivação vão subir e as receitas de bilhetes e merchandising crescerão, para além de aumentar o poder de negociação do clube com potenciais patrocinadores. O presente relatório começa por apresentar o enquadramento teórico que suporta a implementação de iniciativas eficazes de captação de adeptos, seguindo-se a descrição do enquadramento da prática profissional, no qual são explicitadas as condições da entidade onde decorreu o estágio. O corpo do relatório centra-se nas tarefas que desempenhei durante o estágio e nas diferentes situações em que me encontrei, contendo ainda a descrição das iniciativas a serem implementadas pelo clube, as tarefas envolvidas no seu desenvolvimento e os problemas e obstáculos que encontrei. Por fim, são apresentadas minhas conclusões e propostas para futuras ações do clubeAtlético Clube de Portugal is a historic club in the city of Lisbon. After having recently suffered from deficient management decisions, it is now recovering with a number of important objectives having been defined. For senior male football, the main objective is to reach the national championship and remain there. For football training the objective is to build a strong base that will allow the main squad to be supplied with talent produced internally and thus increase the prestige of the club as a training entity. To accomplish this, the club applied to the FPF (Portuguese Football Federation, for certification as a Training Entity. This certification permits facilities and human and technical resources to be recognized by the highest football management body in Portugal. My involvement in this process, as well as in the organization of human resources at the operational level, marked the beginning of my internship at the club. Subsequently, I took it upon myself to outline a strategy to increase the interest of the supporters in the daily life of the club, with special focus on increasing the number of spectators at the club's matches. In this way, Estádio da Tapadinha will again have large numbers of spectators, motivational levels will rise and revenues from tickets and merchandising will grow, in addition to increasing the club's bargaining power with potential sponsors. This report begins by presenting the theoretical framework supporting the implementation of effective initiatives aimed at attracting supporters, followed by a description of the framework of professional practice, in which the conditions of the entity where the internship took place are explained. The body of the report focuses on the tasks I carried out during the internship and the different situations in which I found myself. It ends with a description of the initiatives to be implemented by the club, the tasks involved in their development and the problems and obstacles I encountered. Lastly, my conclusions and proposals for future club action are presente

Formal nursing terminology systems: a means to an end

In response to the need to support diverse and complex information requirements, nursing has developed a number of different terminology systems. The two main kinds of systems that have emerged are enumerative systems and combinatorial systems, although some systems have characteristics of both approaches. Differences in the structure and content of terminology systems, while useful at a local level, prevent effective wider communication, information sharing, integration of record systems, and comparison of nursing elements of healthcare information at a more global level. Formal nursing terminology systems present an alternative approach. This paper describes a number of recent initiatives and explains how these emerging approaches may help to augment existing nursing terminology systems and overcome their limitations through mediation. The development of formal nursing terminology systems is not an end in itself and there remains a great deal of work to be done before success can be claimed. This paper presents an overview of the key issues outstanding and provides recommendations for a way forward

Diagnostic Workup for Patients with Solid Renal Masses: A Cost-Effectiveness Analysis

Simple Summary There are several benign and malignant types of solid renal masses. For diagnostic and characterization of these masses, a few imaging methods such as magnetic resonance imaging (MRI), computed tomography (CT) or (contrast-enhanced) ultrasound (CEUS) are established in the clinical routine. The aim of our study was to assess the most economical approach for detecting and characterizing these masses. As a result, contrast-enhanced ultrasound turned out to be a cost-effective diagnostic method. Therefore, if available, this method should be considered in the routine. Alternatively, MRI also offers excellent diagnostic accuracy, but it is associated with higher costs. This result may lead to a change in the diagnostic workup of solid renal masses in clinical routine, as contrast-enhanced ultrasound should be considered as an appropriate method for the first analysis compared to CT and MRI. Background: For patients with solid renal masses, a precise differentiation between malignant and benign tumors is crucial for forward treatment management. Even though MRI and CT are often deemed as the gold standard in the diagnosis of solid renal masses, CEUS may also offer very high sensitivity in detection. The aim of this study therefore was to evaluate the effectiveness of CEUS from an economical point of view. Methods: A decision-making model based on a Markov model assessed expenses and utilities (in QALYs) associated with CEUS, MRI and CT. The utilized parameters were acquired from published research. Further, a Monte Carlo simulation-based deterministic sensitivity analysis of utilized variables with 30,000 repetitions was executed. The willingness-to-pay (WTP) is at USD 100,000/QALY. Results: In the baseline, CT caused overall expenses of USD 10,285.58 and an efficacy of 11.95 QALYs, whereas MRI caused overall expenses of USD 7407.70 and an efficacy of 12.25. Further, CEUS caused overall expenses of USD 5539.78, with an efficacy of 12.44. Consequently, CT and MRI were dominated by CEUS, and CEUS remained cost-effective in the sensitivity analyses. Conclusions: CEUS should be considered as a cost-effective imaging strategy for the initial diagnostic workup and assessment of solid renal masses compared to CT and MRI

An open source infrastructure for managing knowledge and finding potential collaborators in a domain-specific subset of PubMed, with an example from human genome epidemiology

<p>Abstract</p> <p>Background</p> <p>Identifying relevant research in an ever-growing body of published literature is becoming increasingly difficult. Establishing domain-specific knowledge bases may be a more effective and efficient way to manage and query information within specific biomedical fields. Adopting controlled vocabulary is a critical step toward data integration and interoperability in any information system. We present an open source infrastructure that provides a powerful capacity for managing and mining data within a domain-specific knowledge base. As a practical application of our infrastructure, we presented two applications – Literature Finder and Investigator Browser – as well as a tool set for automating the data curating process for the human genome published literature database. The design of this infrastructure makes the system potentially extensible to other data sources.</p> <p>Results</p> <p>Information retrieval and usability tests demonstrated that the system had high rates of recall and precision, 90% and 93% respectively. The system was easy to learn, easy to use, reasonably speedy and effective.</p> <p>Conclusion</p> <p>The open source system infrastructure presented in this paper provides a novel approach to managing and querying information and knowledge from domain-specific PubMed data. Using the controlled vocabulary UMLS enhanced data integration and interoperability and the extensibility of the system. In addition, by using MVC-based design and Java as a platform-independent programming language, this system provides a potential infrastructure for any domain-specific knowledge base in the biomedical field.</p

Evaluation of MRI in the diagnostic accuracy of extrahepatic metastases in neuroendocrine tumors in comparison with the reference standard somatostatin-receptor–PET/CT

PurposeThe aim of this study was to compare the diagnostic performance of different sets of MR sequences in detecting extrahepatic disease of NETs on routine liver magnetic resonance imaging (MRI).MethodOne hundred twenty-seven patients with NETs with and without hepatic and extrahepatic metastases who underwent liver MRI and SSTR-PET/CT were retrospectively analyzed. Two radiologists evaluated in consensus in four sessions: (1) non-contrast T1w+T2w (NC), (2) NC+DWI, (3) NC+ contrast-enhanced T1w (CE), and (4) NC+DWI+CE the presence and number of metastases (lymph nodes, bone, peritoneal surface, lung base, and abdominal organ). Sensitivity, specificity, positive, and negative predictive value for detection of metastases were calculated for each session in a patient-based manner; detection and error rates were calculated for lesion-based analysis. Comparison between the MR-sessions and positron emission tomography–computed tomography (PET/CT) was performed with the McNemar test.ResultsRegarding all 1,094 lesions detected in PET/CT, NC+DWI, and NC, CE+DWI identified most true-positive lesions 779 (71%) and 775 (71%), respectively. Patient-based analysis revealed significantly higher sensitivity by NC+DWI (85%) than NC and NC+CE (p = 0.011 and 0.004, respectively); the highest specificity was reached by NC+CE+DWI (100%). Site-based analysis revealed highest detection rates for lymph node metastases for NC+DWI and NC, CE+DWI (73 and 76%, respectively); error rates were lower for NC, CE+DWI with 5% compared with 17% (NC+DWI). Detection rates for bone metastases were similarly high in NC+DWI and NC, CE+DWI (75 and 74%, respectively), while CE showed no benefit. For peritoneal metastases highest sensitivity was reached by NC+DWI (67%).ConclusionThe combination of NC+DWI showed better sensitivities than the combination of NC+CE. NC+DWI showed similar, sometimes even better sensitivities than NC+CE+DWI, but with lower specificities

The RICORDO approach to semantic interoperability for biomedical data and models: strategy, standards and solutions.

BACKGROUND: The practice and research of medicine generates considerable quantities of data and model resources (DMRs). Although in principle biomedical resources are re-usable, in practice few can currently be shared. In particular, the clinical communities in physiology and pharmacology research, as well as medical education, (i.e. PPME communities) are facing considerable operational and technical obstacles in sharing data and models. FINDINGS: We outline the efforts of the PPME communities to achieve automated semantic interoperability for clinical resource documentation in collaboration with the RICORDO project. Current community practices in resource documentation and knowledge management are overviewed. Furthermore, requirements and improvements sought by the PPME communities to current documentation practices are discussed. The RICORDO plan and effort in creating a representational framework and associated open software toolkit for the automated management of PPME metadata resources is also described. CONCLUSIONS: RICORDO is providing the PPME community with tools to effect, share and reason over clinical resource annotations. This work is contributing to the semantic interoperability of DMRs through ontology-based annotation by (i) supporting more effective navigation and re-use of clinical DMRs, as well as (ii) sustaining interoperability operations based on the criterion of biological similarity. Operations facilitated by RICORDO will range from automated dataset matching to model merging and managing complex simulation workflows. In effect, RICORDO is contributing to community standards for resource sharing and interoperability.RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are