Família, saúde e doença : o que diz a investigação

Neste artigo abordam-se algumas importantes linhas de pesquisa sobre família e saúde, especialmente o impacto da família no binómio saúde/doença. Vários estudos de investigação comprovam que a família exerce influência no estado de saúde dos seus membros e que os cuidados de saúde mais eficazes e eficientes serão aqueles em que existe cooperação entre o médico, o paciente e a família. Alguns autores desenvolveram um modelo que permite organizar de uma forma lógica a investigação sobre famílias e o impacto na saúde e doença no contexto da Medicina Geral e Familiar. Este modelo permite apreender a importância do papel das famílias e das interacções entre o sistema familiar e o sistema de saúde através de categorias que espelham diversas fases do contexto de saúde e doença desde a influência da família nos factores de risco e na prevenção da doença, a vulnerabilidade familiar e o aparecimento da doença tendo em conta a influência do stress familiar e as respostas familiares à fase aguda da doença. De destacar também a importância do impacto da funcionalidade familiar no decurso da doença crónica e a forma como condiciona adaptação à doença e reabilitação. O papel do profissional de saúde deverá ser o de integrar o doente no seu contexto familiar e social, estando atento à importância da dimensão familiar e à sua influência na doença, constituindo-se também como um recurso para o sistema nas alturas de maior stress individual ou familiar e intervindo de forma a permitir a resolução mais adequada dos problemas de saúde física e psicológica com que se deparam os doentes e suas famílias

The Severity of Undetected Ambiguity in Software Engineering Requirements

Users searching the Internet for news are not able to find relevant fact-based results for certain queries using the major search engines. Queries that require exact substring matching in order to obtain very relevant results are not currently possible. Furthermore, search engines do not discriminate in returning results that are opinions and not quantifiable facts. Our sentence level search engine, News Fact Finder, is designed using suffix arrays, filters out opinions, and produces very relevant results that are attractive to users. The News Fact Finder produces a 73% success rate of providing relevant fact based results. Keywords

UEFA Euro 2004 Tourism Impact Analysis

The purpose of this paper is exactly to approximate the tourism economic impact of the UEFA Euro 2004 in Portugal. The survey concentrates on the immediate, direct and short-term additional revenue brought into one region by the foreign sport event spectators. One innovating aspect of this paper is the direct data collection on the foreign visitors spending, contouring simulation and forecast problems. Results show an immediate short-term return investment costs generated an immediate and short-term revenue of less than one tenth of the investment costs and overall revenue leakage (or income export) of nearly 325% (50,142 million Euro) of the revenue within the defined regional spatial circuit.UEFA Euro 2004, tourism impact of major sport events, sport event tourism.

UEFA Euro 2004 Visitors Analysis

The purpose of this paper is to establish the profile of the foreign visitor that attended the UEFA Euro 2004 Championship in Portugal, namely in the Minho region. Data were collected through a one-to-one inquiry carried out before the matches that took place in Braga e Guimarães. The survey instrument included aspects like the visitors´past comsumption behaviour, media audience and live attendance sport habits. The results we got show that sport event tourists living in countries with higher per capita income spent more in the UEFA Euro 2004. They also stayed in country longer than other visitors. Other valuable information for both tourism operators and tournament managers we got is that most sport event tourists decided to overnight on sites with efficient and direct accesses to the matches. Otherwise, they may be characterized as usual sport consumers in terms of active and passive sport comsumption behaviour. The return of visitors to the sites where the UEFA Euro 2004 took place remains unsolved. Future studies should concentrate on community reimbursement and mid/long term benefits.UEFA Euro 2004, economic impact of major sport events, sports tourism.

A Questão da identidade profissional no serviço social

TCC (graduação) - Universidade Federal de Santa Catarina, Centro Sócio Econômico, Curso de Serviço Social

How compensation policy based on EVA performance reduces the conflict between managers and shareholders

There is a well-known conflict between managers and shareholders, superbly illustrated by the agency theory. A way for shareholders to ensure that managers will perform optimally, by taking the best actions and decisions, is to tie managers’ compensation to the performance of the firms. However, how can we fairly measure their performance? The Economic Value Added (EVA) methodology seems to be a good solution; recent events reinforced the idea that accounting indicators analysis may not be a suitable approach. The EVA is not a widespread concept in Portugal and its inception is relatively recent. To have an idea about how Portuguese managers perceive EVA and to understand which strategies (e.g. wages policy, bonuses, stocks and/or stocks options) firms utilize to make everybody happy, particularly managers, we developed a study with Portuguese public entities, using the questionnaire methodology.London Metropolitan Universit

Scientific, Technical and Economic Committee for Fisheries (STECF) - DCF – Assessment of NP Changes (STECF-13-02)

The Expert Working Group meeting of the Scientific, Technical and Economic Committee for Fisheries EWG 12-20 was held from 10th – 14th December 2012 in Brussels, Belgium to evaluate the MS proposed amendments to the 2011-2013 National Programmes (NP) for the year 2013 submitted under the Data Collection Framework. The EWG report was reviewed by written procedure by the STECF in early February 2013.JRC.G.4-Maritime affair

Prevalência de sintomas neuro-músculo-esqueléticos nos agricultores

A agricultura é considerada uma actividade fisicamente árdua, acarretando riscos para a saúde dos seus trabalhadores. Avaliar a prevalência de sintomatologia neuro-músculo-esquelética em agricultores e identificar os seus factores de risco. Os Questionários Avaliação dos Agricultores e o Nórdico Músculo-Esquelético foram aplicados a 250 agricultores da Região Agrária entre Douro e Minho. Resultados: 74,4% dos agricultores referiram sintomatologia, principalmente, na lombar, pescoço e ombros. A presença de sintomas estava significativamente associada a alguns factores de risco (p<0.05). Os agricultores constituem uma população de risco para o surgimento de sintomas neuro-músculo-esqueléticos.Agriculture is considered a physically hard work, bringing a risk to the health of their workers. To assess the prevalence of neuro-musculoskeletal symptomatology in farmers and identify their risk factors. The Farmers’ Assessment Questionnaire and the Nordic Musculoskeletal Questionnaire were applied to 250 farmers from the Agriculture Region between Douro and Minho. Results: 74.4% of farmers reported symptomatology in the lower back, neck and shoulders. There was also a significant association between the presence of symptoms and some risk factors (p <0.05). Farmers are a risk population for the occurrence of these symptoms

Burnout nos enfermeiros de cuidados paliativos

Contextualização: Entre os vários fatores que concorrem para as fortes exigências emocionais provocadas pelas situações limite dos doentes em cuidados paliativos, pode destacar-se o stresse profissional que, ao persistir ao longo do tempo, pode conduzir a descompensação física e psicológica, denominada por burnout. Métodos: Realizou-se um estudo não experimental, de natureza quantitativa, do tipo causal comparativo e explicativo, no qual participaram 55 enfermeiros a exercer em cuidados paliativos. Para a mensuração das variáveis utilizou-se um instrumento de medida, de reconhecida fiabilidade: MBI (Maslach Burnout Inventory). Traçámos assim como objetivo geral do nosso trabalho conhecer a incidência dos níveis da síndrome de Burnout nos enfermeiros de Cuidados Paliativos que trabalham nas Unidades do Hospital Nossa Senhora da Assunção – Seia e do Hospital de Tondela. Resultados: Constatou-se que as variáveis sexo, idade, estado civil, tempo de exercício profissional, situação contratual/tipo de vínculo e trabalhar por turnos não interferiram nos níveis de burnout dos participantes. Contudo, verificou-se que os enfermeiros que têm um duplo emprego possuem níveis mais elevados de burnout na subescala “Exaustão Emocional” e que os enfermeiros que não se encontram nesta situação laboral possuem níveis mais elevados de “Realização Profissional” e de “Despersonalização”. Registaram-se diferenças estatisticamente significativas entre a subescala “Despersonalização”, (t=-2,506; p=0,018) e o facto de se ter um duplo emprego, o que resultou na aceitação da hipótese para esta subescala. Conclusão: As evidências encontradas neste estudo fornecem indicadores de que os enfermeiros que trabalham em cuidados paliativos e tem duplo emprego apresentam alguma morbilidade psicossocial, devido à complexidade das situações com que se deparam diariamente, em relação aos doentes e seus familiares, resultando em burnout. Palavras-chave: Enfermeiros; Cuidados Paliativos; Burnout.ABSTRACT Background: Among the various factors that contribute to the strong emotional demands caused by the extreme situations of patients in palliative care, can stand out work-related stress that by persisting over time, can lead to physical and psychological decompensation, called a burnout. Methods: This was a non-experimental, quantitative, type causal comparative and explanatory, which was attended by 55 nurses to practice in palliative care. For the measurement of variables used a measuring instrument with recognized reliability: MBI (Maslach Burnout Inventory). We traced well as general objective of our work to know the incidence levels of burnout in nurses Palliative Care Units working in the Hospital Our Lady of the Assumption - Seia and Hospital Tondela. Results: It was found that gender, age, marital status, length of professional practice, contractual status / type of bond and shift work did not interfere with participants' levels of burnout. However, it was found that nurses who have a dual employment have higher levels of burnout in the subscale "Emotional Exhaustion" and that nurses who are not working in this situation have higher levels of "Professional Achievement" and "depersonalization" . There were statistically significant differences between the subscale "Depersonalization"”, (t=-2,506; p=0,018) and the fact of having a dual employment, which resulted in the acceptance of the hypothesis for this subscale. Conclusion: The evidence from this study provide indications that nurses working in palliative care and have two jobs, have some psychosocial morbidity due to the complexity of the situations they face daily in relation to patients and their families, resulting in burnout. Keywords: Nurses, Palliative Care, Burnout

CATALYTIC AND ADSORPTION PROPERTIES OF Al- AND Ti-MCM-41 SYNTHESIZED AT ROOM TEMPERATURE

Aluminosilicate and titanosilicate MCM-41 were synthesized using a room temperature method. A preliminary catalytic evaluation was performed in the promotion of the 1-butene double bond isomerization, which was successful in probing differences in the acidity of the samples prepared