The supervision relationship in psychotherapists

A supervisão tem vindo a ser estudada com acrescida intensidade ao longo dos últimos vinte anos, no entanto, a relação de supervisão nomeadamente as suas dimensões têm sido pouco estudadas em psicoterapeutas. Pretende-se estudar as dimensões relacionais Abertura, Desafio, Estrutura, Base Segura, Educação Reflexiva e Suporte da relação. Utilizou-se um questionário em internet ao qual responderam 229 sujeitos portugueses e brasileiros com formação em psicoterapia. Foi efectuada a análise descritiva de alguns dos dados obtidos, análise da validade interna confirmatória e validade convergente referente às dimensões das escalas. Após a aplicação da validade interna confirmatória obtém-se que, de um modo geral, existe concordância entre o modelo obtido e o modelo original, contudo com a exclusão do item 4 da escala S-SRQ. Ambas as escalas demonstraram avaliar aspectos diferentes sobre a relação, contudo, suficientemente capazes de se relacionarem entre si.ABSTRACT: The supervision has come to be studied with increased intensity throughout the last twenty years, however, the relation in supervision between supervisor and supervisee, namely its dimensions, have been little studied in psychotherapists. It is intended to study the relational dimensions Opening, Challenge, Structure, Safe Base, Reflexive Education and Support of the relation. An online questionnaire was answered by 229 Portuguese and Brazilian citizens with formation in psychotherapy. The descriptive analysis of some of the data (regarding the relational dimensions) has been done, confirmatory internal validity, with referring convergent validity to the dimensions of the scales. With the confirmatory internal validity it has been discover that there is no big differences between the original model and the present model, with the exception of the exclusion of the item 4 from S-SRQ scale. In other side, it has been found that the two scales converge by the application of them in the context of different aspects of the relation of the supervisor and the supervisee.info:eu-repo/semantics/publishedVersio

Star-Shaped Gold Nanoparticles as Friendly Interfaces for Protein Electrochemistry: the Case Study of Cytochrome c

UID/QUI/50006/2019 POCI‐01‐0145‐FEDER‐007265 UID/Multi/04378/2019 POCI‐01‐0145‐FEDER‐007728 PTDC/NAN‐MAT/30589/2017 grant NORTE‐01‐0145‐FEDER‐000011 SFRH/BD/132057/2017Gold nanostars with an average tip-to-tip length of 52±6 nm were functionalized with different capping agents and used as electrode modification materials for protein electrochemistry. Direct electron transfer between cytochrome c and nanostar-coated pyrolytic graphite electrodes was observed with the protein in solution. The electrochemical response was improved at nanostars functionalized with a 1 : 1 mixture of 11-mercaptoundecanoic acid and 4-mercaptobenzoic acid in comparison with gold nanospheres coated with a similar functionalization. Further immobilization of cytochrome c on pyrolytic graphite while conjugated with the same nanostars guaranteed the maintenance of the protein's native properties, whereas direct adsorption on the bare or nanostar-modified electrodes resulted in an altered conformational state. The pseudo-peroxidase activity of the altered cytochrome c was enhanced in the presence of the nanostars.publishe

Office paper decorated with silver nanostars-an alternative cost effective platform for trace analyte detection by SERS

FCT (Portuguese Foundation for Science and Technology) under the project DISERTOX number PTDC/CTM-NAN/2912/2014 and CENIMAT/i3N by FEDER funds through the COMPETE 2020 Programme and National Funds through FCT under the project number POCI-01-0145-FEDER- 007688, Reference UID/CTM/50025/2013. Unidade de Ciencias Biomoleculares Aplicadas-UCIBIO was financed by Portuguese national funds from FCT/MEC (UID/Multi/04378/2013) and co-financed by the ERDF under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007728). LAQV-Laboratorio associado para a Quimica Verde was partly financed by the European Union (FEDER funds through COMPETE) and National Funds (FCT, Fundacao para a Ciencia e Tecnologia), under the Partnership Agreement PT2020 through project UID/QUI/50006/2013-POCI/01/0145/FEDER/007265 (LAQV/REQUIMTE) and Programa Operacional Regional do Norte (ON. 2), under the Quadro de Referencia Estrategico Nacional (QREN) and funded by Fundo Europeu de Desenvolvimento Regional (Feder) NORTE-01-0145-FEDER-000011. A Araujo was funded by the Portuguese Science Foundation (FCT-MCTES) through grant SFRH/BD/85587/2012. M Almeida was funded by the Portuguese Science Foundation (FCT-MCTES) through grant SFRH/BD/95983/2013 in program POCH. The authors thank the Conservation and Restoration Department, FCT/UNL and LAQV, REQUIMTE for the use of the Raman spectrometer.For analytical applications in portable sensors to be used in the point-of-need, low-cost SERS substrates using paper as a base, are an alternative. In this work, SERS substrates were produced on two different types of paper: A high porosity paper (Whatman no. 1); and a low porosity paper (commercially available office paper, Portucel Soporcel). Solutions containing spherical silver nanoparticles (AgNPs) and silver nanostars (AgNSs) were separately drop-casted on hydrophilic wells patterned on the papers. The porosity of the paper was found to play a determinant role on the AgNP and AgNS distribution along the paper fibres, with most of the nanoparticles being retained at the illuminated surface of the office paper substrate. The highest SERS enhancements were obtained for the office paper substrate, with deposited AgNSs. A limit of detection for rhodamine-6G as low as 11.4 ± 0.2 pg could be achieved, with an analytical enhancement factor of â ‰107 for this specific analyte. The well patterning technique allowed good signal uniformity (RSD of 1.7%). Besides, these SERS substrates remained stable after 5 weeks of storage (RSD of 7.3%). Paper-induced aggregation of AgNPs was found to be a viable alternative to the classical salt-induced aggregation, to obtain a highly sensitive SERS substrates.publishersversionpublishe

MeT: workload aware elasticity for NoSQL

NoSQL databases manage the bulk of data produced by modern Web applications such as social networks. This stems from their ability to partition and spread data to all available nodes, allowing NoSQL systems to scale. Unfortunately, current solutions' scale out is oblivious to the underlying data access patterns, resulting in both highly skewed load across nodes and suboptimal node configurations. In this paper, we first show that judicious placement of HBase partitions taking into account data access patterns can improve overall throughput by 35%. Next, we go beyond current state of the art elastic systems limited to uninformed replica addition and removal by: i) reconfiguring existing replicas according to access patterns and ii) adding replicas specifically configured to the expected access pattern. MeT is a prototype for a Cloud-enabled framework that can be used alone or in conjunction with OpenStack for the automatic and heterogeneous reconfiguration of a HBase deployment. Our evaluation, conducted using the YCSB workload generator and a TPC-C workload, shows that MeT is able to i) autonomously achieve the performance of a manual configured cluster and ii) quickly reconfigure the cluster according to unpredicted workload changes.(undefined

Reusable and highly sensitive SERS immunoassay utilizing gold nanostars and a cellulose hydrogel-based platform

This work was funded by FEDER funds through the COMPETE 2020 Programme and National Funds through the FCT---Fun-dação para a Ciência e a Tecnologia, I. P., under the scope of the project. This work also received funding from the European Community’s H2020 program under grant agreement No. 716510 (ERC-2016-STG TREND), 640598 (ERC-StG-2014, NEWFUN), and 685758 (1D-Neon). This work was supported by the Applied Molecular Biosciences Unit – UCIBIO and Associate Laboratory for Green Chemistry – LAQV which are financed by Portugal national funds from /2016 and SFRH/BD/132057/2017 from the FCT/MCTES and MIT Portugal PhD Program (to I. C. and M. J. O., respectively). Professor César Laia (LAQV-REQUIMTE, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Portugal) is acknowledged for permitting the use of DLS equipment. Professor Ludwig Krippahl (NOVA LINCS, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Portugal) is acknowledged for developing the gel analysis application eReuss. M. J. O. acknowledges Rocío Palomares Jurado PhD for visualisation/data presentation support and continued interest in the project. M. J. O. acknowledges David Peitinho MSc for help and advice in Python script. Diego Wiechers de Carvalho BSc is acknowledged for purifying the recombinant Plasmodium falciparum histidine-rich protein 2 sample and Daniela Gomes PhD for providing SEM images. Publisher Copyright: © The Royal Society of Chemistry 2021.The development of robust and sensitive point-of-care testing platforms is necessary to improve patient care and outcomes. Surface-enhanced Raman scattering (SERS)-based immunosensors are especially suited for this purpose. Here, we present a highly sensitive and selective SERS immunoassay, demonstrating for example the detection of horseradish peroxidase (HRP), in a sandwich format. The strength of our biosensor lies in merging: (i) SERS-immunotags based on gold nanostars, allowing exceptional intense SERS from attached Raman probes, covalent attachment of anti-HRP antibodies by a simple chemical method providing exceptional antigen binding activity; (ii) the ease of preparation of the capture platform from a regenerated cellulose-based hydrogel, a transparent material, ideal for microfluidics applications, with low background fluorescence and Raman signal, particularly suited for preserving high activity of the covalently bound anti-HRP antibodies. The sandwich complexes formed were characterised by atomic force microscopy, and by scanning electron microscopy coupled with electron diffraction spectroscopy; and (iii) the robustness of the simple Classical Least Squares method for SERS data analysis, resulting in superior discrimination of SERS signals from the background and much better data fitting, compared to the commonly used peak integral method. Our SERS immunoassay greatly improves the detection limits of traditional enzyme-linked immunosorbent assay approaches, and its performance is better or comparable to those of existing SERS-based immunosensors. Our approach successfully overcomes the main challenges of application at point-of-care, including increasing reproducibility, sensitivity, and specificity, associated with an environmentally friendly and robust design. Also, the proposed design withstands several cycles of regeneration, a feature absent in paper-SERS immunoassays and this opens the way for sensitive multiplexing applications on a microfluidic platform.preprintpublishe

Citizen science and expert judgement: A cost-efficient combination to monitor and assess the invasiveness of non-indigenous fish escapees

Mapping the distribution and evaluating the impacts of marine non-indigenous species (NIS) are two fundamental tasks for management purposes, yet they are often time consuming and expensive. This case study focuses on the NIS gilthead seabream Sparus aurata escaped from offshore farms in Madeira Island in order to test an innovative, cost-efficient combined approach to risk assessment and georeferenced dispersal data collection. Species invasiveness was screened using the Aquatic Species Invasiveness Screening Kit (AS-ISK), and revealed a high invasion risk. Occurrences of S. aurata were assessed involving citizens in GIS participatory mapping and data from recreational fishing contests. A probability map showed that S. aurata is well dispersed around Madeira Island. This assessment proved to be a cost-efficient early warning method for detecting NIS dispersal, highlighting the urgent need for additional surveys that should search for sexually mature individuals and assess the direct and indirect impacts in the native ecosystemFundação para a Ciência e Tecnologia - FCTinfo:eu-repo/semantics/publishedVersio

A practical clinical score

Copyright © 2022 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.INTRODUCTION AND OBJECTIVES: Obstructive coronary artery disease (CAD) remains the most common etiology of heart failure with reduced ejection fraction (HFrEF). However, there is controversy whether invasive coronary angiography (ICA) should be used initially to exclude CAD in patients presenting with new-onset HFrEF of unknown etiology. Our study aimed to develop a clinical score to quantify the risk of obstructive CAD in these patients. METHODS: We performed a cross-sectional observational study of 452 consecutive patients presenting with new-onset HFrEF of unknown etiology undergoing elective ICA in one academic center, between January 2005 and December 2019. Independent predictors for obstructive CAD were identified. A risk score was developed using multivariate logistic regression of designated variables. The accuracy and discriminative power of the predictive model were assessed. RESULTS: A total of 109 patients (24.1%) presented obstructive CAD. Six independent predictors were identified and included in the score: male gender (2 points), diabetes (1 point), dyslipidemia (1 point), smoking (1 point), peripheral arterial disease (1 point), and regional wall motion abnormalities (3 points). Patients with a score ≤3 had less than 15% predicted probability of obstructive CAD. Our score showed good discriminative power (C-statistic 0.872; 95% CI 0.834-0.909: p<0.001) and calibration (p=0.333 from the goodness-of-fit test). CONCLUSIONS: A simple clinical score showed the ability to predict the risk of obstructive CAD in patients presenting with new-onset HFrEF of unknown etiology and may guide the clinician in selecting the most appropriate diagnostic modality for the assessment of obstructive CAD.proofepub_ahead_of_prin

Data from Portuguese centers

© 2022 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U.INTRODUCTION: During the Covid-19 pandemic there has been a general belief that hospital admissions for non-infectious causes, especially cardiovascular disease, have fallen. OBJECTIVES: To assess the impact of the pandemic on admissions for ST-elevation myocardial infarction (STEMI) during the first pandemic wave. METHODS: We performed a multicenter retrospective analysis of consecutive patients presenting with STEMI in two Portuguese hospital centers in two sequential periods - P1 (March 1 to April 30) and P2 (May 1 to June 30). Patients' clinical data and hospital outcomes were compared between the two periods for the years 2017 to 2019 and for 2020. RESULTS: During P1 in 2020, a reduction in the number of STEMI patients was observed in comparison with previous years (26.0±4.2 vs. 16.5±4.9 cases per month; p=0.033), as well as an increase in the number of mechanical complications (0.0% vs. 3.0%; p=0.029). Percutaneous coronary interventions in the setting of failed thrombolysis were more frequent (1.9% vs. 9.1%; p=0.033). An overall trend for longer delays in key timings of STEMI care bundles was noted. Mortality was higher during P1 compared to previous years (1.9% vs. 12.1%; p=0.005). CONCLUSIONS: During the first Covid-19 wave fewer patients presented with STEMI at the catheterization laboratory for percutaneous coronary intervention. These patients presented more mechanical complications and higher mortality.proofepub_ahead_of_prin