Through the Looking-Glass: An Exploration of Students' Discourse Within the Managerialised University

The primary purpose of this study was to develop an in-depth insight into the effects of neoliberalism and managerialism in students’ approach to higher education, namely in their relationships with academics and other students, in their identities, and the way students enact particular practices within contemporary higher education. As a researcher, I adopted the perspective of social constructionism, and so the study took a qualitative interpretivist approach. The main data collection technique consisted of qualitative one-on-one semi-structured interviews using mainly open-ended questions. Seven participants were interviewed, and the interviews were analysed using Potter and Wetherell’s (1987) approach to discourse analysis, and Erving Goffman’s (1990 [1959]) metaphor of everyday life interactions as dramaturgical performances was used as a theoretical framework for presenting the findings. The participants’ accounts confirmed that, to an extent, students adopted an instrumental view of higher education as well as neo-liberal discourses to describe their expectations. Although much of the literature on students in the managerialised university has constructed (and reduced) them to ‘consumers’, the findings also revealed how going to university was reported to be more than a standard transaction of consuming. University is seen as a period of transition in their lives when they can be ‘free’ and independent from the parental gaze and one of their top priorities includes socialising and making friends. However, this ‘life experience’ is not free of the paradoxes and ambiguities of modern life

O papel das redes sociais na orientação clínica em estudantes de licenciatura

O ensino clínico e os papéis dos diversos intervenientes constituem um elemento primordial na formação dos alunos, promovendo a sua aprendizagem e consequentemente o seu futuro como profissionais. Este trabalho, visa à identificação e compreensão de determinadas competências e momentos que são valorizados para o sucesso do aluno estagiário de um curso superior, que emergem de conhecimento obtido a partir de redes sociais informais, bem como o nível das expetativas que os atores sociais apresentam em relação à capacidade e desenvolvimento dos mesmos no futuro

Patient safety culture: radiographers’ perception

Research to evaluate radiographers’ perceptions about patient safety culture in Portuguese public and private imaging facilities found that overall perception is positive but the safety culture dimensions rating should guide culture development of safety culture improvement action plans.info:eu-repo/semantics/publishedVersio

Identificação de áreas com menor sensibilidade ambiental e patrimonial para localização de unidades de produção de eletricidade renovável

RESUMO: Este documento descreve o trabalho desenvolvido pelo LNEG com vista à futura identificação de “Go-To Areas” para a localização de unidades de produção de energia de fonte renovável em Portugal Continental. O trabalho decorreu no âmbito de um Grupo de Trabalho informal, coordenado pelo LNEG e envolvendo as seguintes entidades: a Agência Portuguesa do Ambiente (APA), a Direção Geral de Energia e Geologia (DGEG), a Direção Geral do Território (DGT), o Instituto da Conservação da Natureza e das Florestas (ICNF) e a Direção-Geral do Património Cultural (DGPC). Neste âmbito, pretendeu-se identificar no país as áreas com menor sensibilidade (ambiental e patrimonial) que possam vir a ser elegíveis para um processo de licenciamento mais simplificado para unidades de produção de energia de fonte renovável solar e eólica, permitindo deste modo acelerar a implementação sem comprometer outros valores ambientais e territoriais. As áreas resultantes serão áreas preferenciais do ponto de vista de simplificação do processo de licenciamento, mas não são exclusivas. Ou seja, as áreas aqui identificadas e as futuras “Go-To Areas” que possam vir a surgir não representam os únicos locais do país onde é possível implementar unidades renováveis. No resto do território a implementação é possível, de acordo com o normal processo de licenciamento. Este trabalho não delimita “Go-To Areas” renovável. Trata-se de um documento técnico que apresenta áreas sem condicionantes de exclusão que podem vir a ser consideradas para a definição formal de “Go-To Areas”. Deve notar-se que os resultados apresentados traduzem a situação à data de novembro / dezembro 2022, sendo que muita da informação utilizada tem um caráter dinâmico pelo que este trabalho deverá ser atualizado periodicamente.Este documento é complementado com vários ficheiros eletrónicos do Sistema de Informação Geográfica (SIG) contendo os dados de suporte produzidos/compilados. Por fim e não menos importante, este primeiro trabalho foca exclusivamente as áreas não artificializadas. Embora seja fundamental para o país a implementação de renováveis de forma distribuída em ambiente construído/artificializado, a análise desse universo necessita de mais tempo e recursos do que os disponíveis neste âmbito.SUMMARY: This document describes the work carried out by LNEG with a view to the future identification of “Go-To Areas” for the deployment of renewable energy power plants in mainland Portugal. The work took place within the scope of an informal Working Group, coordinated by LNEG and involving the following entities: the Portuguese Environment Agency (APA), the General Directorate of Energy and Geology (DGEG), the General Directorate of the Territory (DGT), the Institute for Nature Conservation and Forests (ICNF) and the Directorate-General for Cultural Heritage (DGPC). The aim was to identify the areas in the country with less sensitivity (regarding environment and heritage aspects) that could be eligible for a more simplified permitting process for solar and wind power plants, thus allowing to accelerate their implementation without compromising other environmental and territorial values. The resulting areas will potentially be candidates for power plants simplified permitting processes, although they are not exclusive. That is, the areas identified here and the future “Go-To Areas” that may arise are not the only places in the country where it is possible to implement renewable power plants. In the rest of the territory deployment is possible, following the normal permitting process. This work does not delimit renewable “Go-To Areas”. This is a technical document that presents areas without exclusion conditions that may be considered for the formal definition of future “Go-To Areas”. It should be noted that the results here presented reflect the situation as of November / December 2022. Since much of the information used is dynamic in nature this work should be periodically updated. This document is complemented with several electronic files from a Geographical Information System (GIS) containing the supporting data produced/compiled. Finally, this first work focuses exclusively on non-artificialized areas. Although it is essential for the country to implement distributed renewable power plants in the built/artificial environment, analyzing this universe requires more time and resources than are available in this stage.N/

Patient-physician discordance in assessment of adherence to inhaled controller medication: a cross-sectional analysis of two cohorts

We aimed to compare patient's and physician's ratings of inhaled medication adherence and to identify predictors of patient-physician discordance.(SFRH/BPD/115169/2016) funded by Fundação para a Ciência e Tecnologia (FCT); ERDF (European Regional Development Fund) through the operations: POCI-01-0145-FEDER-029130 ('mINSPIRERS—mHealth to measure and improve adherence to medication in chronic obstructive respiratory diseases—generalisation and evaluation of gamification, peer support and advanced image processing technologies') cofunded by the COMPETE2020 (Programa Operacional Competitividade e Internacionalização), Portugal 2020 and by Portuguese Funds through FCT (Fundação para a Ciência e a Tecnologia).info:eu-repo/semantics/publishedVersio

Estimativa de potenciais técnicos de energia renovável em Portugal: eólico, solar fotovoltaico, solar concentrado, biomassa e oceanos

Executive Summary: There is a clear need to accelerate the energy transition, including the implementation of renewable electricity production plants, as well as the increase in consumption of other renewable energy carriers in buildings, industry, transport and other sectors. This work provides key information to make this transition possible, that is, the technical renewable energy potentials for Portugal. The aim is thus to contribute to policy support, as well as to decision-making by various Portuguese stakeholders (public and private) in the domains of energy, energy transition and greenhouse gases emissions mitigation. The work presents the technical renewable energy potentials for Portugal to: (i) decentralized solar photovoltaic (PV) plants in artificialized (or built-up) areas; (ii) centralized solar PV plants in non-artificialized (or natural) areas; (iii) concentrated solar power; (iv) onshore wind; (v) offshore wind (floating and fixed); (vi) bioenergy, and (vii) solar thermal. The wave energy primary energy resource potential is also presented (not the technical potential). The technical potential values of renewable energy sources (RES) presented are dynamic values, given the substantial uncertainty associated with their estimation. The study identifies technical RES potentials i.e., the technically viable energy generation achievable from a specific technology, considering the primary energy resource available and the geographic, environmental and land use limitations. RES economic potentials represent the fraction of RES technical potential that is economically viable, but they are not presented in this work. Likewise, this report does not address market potential, that translate the capacity and energy generation that the market effectively manages to implement. The presented RES technical potentials include the total capacity currently installed in the country. The technical potentials are estimated mostly for mainland Portugal, in most cases with a spatial disaggregation of at least NUT2 and sometimes for NUT5 and/or type of building. Despite adopting an approach based on a territorial analysis in which some areas of the country are excluded, this potential does not correspond to the work done in mapping less-sensitive areas towards future definition of RES “Go-To Areas”. The decentralized solar PV potential in artificialized areas is divided into 6 area types: industrial areas; commercial buildings; residential and mixed-use buildings; villas; health, education, cultural, tourist and military buildings, and other land uses (including parking lots and patios, ports, waste and wastewater treatment infrastructure, sports facilities, among others). It is estimated a technical potential of 23.33 GW that could generate up to 36.84 TWh/year. This potential is distributed throughout the entire territory of mainland Portugal but is higher in the North and Center regions. The RES technical potential for centralized solar PV was estimated as a range of values that translate the uncertainty associated with using different levels of concern in excluding certain areas in which solar PV can be deployed (for example to safeguard ecosystems, water resources, agriculture or archaeological heritage). The centralized solar PV potential varies between 168.82 GW and 45.63 GW. The maximum threshold of installed capacity could generate 278.11 TWh/year of electricity. The value is high and reflects on the one hand, the excellence of the solar resource throughout the country, and on the other, the large size of the considered areas. The CSP potential is 62.6 GW with a corresponding electrical production potential of 183.61 TWh/year. It is mainly located in the Alentejo region, although other areas have also been identified in other regions of the country. The wind onshore technical potential is 15.7 GW, that could generate 37.13 TWh/year, taking into account the safeguarding of various areas for the protection of ecosystems and also social acceptability issues. In the case of offshore wind and considering a capacity density of 4 MW/km2 for floating offshore and 5.5 MW/km2 for fixed offshore, a total of 36 GW and 2 GW are obtained, respectively. This capacity could generate up to 126.14 TWh/year (floating offshore) or 6.31 TWh/year (fixed offshore). The solar thermal energy potential focused residential and service buildings (such as nursing homes, barracks, etc., tourism, hospitals, indoor swimming pools and other sports facilities). The potential is of 0.95 GWt and 0.95 TWh/year for service buildings, 7.26 GWt and 5.84 TWh/year for residential buildings. For industry there is a potential of 1.06 GWt, which could generate up to 1.15 TWh/year for applications up to 160 ºC. The total technical potential of solar thermal is 9.25 GWt and 7.93 TWh/year of thermal energy generated, with a substantial weight of residential buildings in the total value. Potential values are disaggregated by NUTS III and type of building. In terms of biomass and bioenergy potential, annual values of forest biomass, agricultural biomass, agro-industrial waste, urban waste and wastewater treatment are estimated, totaling around 58 TWh/year. Regarding the production of biofuels (HVO and FAME) it is estimated that the annual production of domestic used oils and other similar residues is 1.4 TWh/year. The use of oils from food crops such as soybean, sunflower and rapeseed is limited by European (and national) policy guidelines and is 2.1 TWh/year. Regarding wave energy, the resource potential is estimated between 1.4 GW for 80 m bathymetry and 4.8 for 20 m bathymetry. There are substantial uncertainties associated with the presented values, inherent to the methodological approach considered. Nevertheless, these estimates are a valuable starting point to be refined and improved in subsequent updates.N/

Erica: Prevalences Of Hypertension And Obesity In Brazilian Adolescents

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)To estimate the prevalence of arterial hypertension and obesity and the population attributable fraction of hypertension that is due to obesity in Brazilian adolescents. METHODS: Data from participants in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), which was the first national school-based, cross-section study performed in Brazil were evaluated. The sample was divided into 32 geographical strata and clusters from 32 schools and classes, with regional and national representation. Obesity was classified using the body mass index according to age and sex. Arterial hypertension was defined when the average systolic or diastolic blood pressure was greater than or equal to the 95th percentile of the reference curve. Prevalences and 95% confidence intervals (95% CI) of arterial hypertension and obesity, both on a national basis and in the macro-regions of Brazil, were estimated by sex and age group, as were the fractions of hypertension attributable to obesity in the population. RESULTS: We evaluated 73,399 students, 55.4% female, with an average age of 14.7 years (SD = 1.6). The prevalence of hypertension was 9.6% (95% CI 9.0-10.3); with the lowest being in the North, 8.4% (95% CI 7.7-9.2) and Northeast regions, 8.4% (95% CI 7.6-9.2), and the highest being in the South, 12.5% (95% CI 11.0-14.2). The prevalence of obesity was 8.4% (95% CI 7.9-8.9), which was lower in the North region and higher in the South region. The prevalences of arterial hypertension and obesity were higher in males. Obese adolescents presented a higher prevalence of hypertension, 28.4% (95% CI 25.5-31.2), than overweight adolescents, 15.4% (95% CI 17.0-13.8), or eutrophic adolescents, 6.3% (95% CI 5.6-7.0). The fraction of hypertension attributable to obesity was 17.8%. CONCLUSIONS: ERICA was the first nationally representative Brazilian study providing prevalence estimates of hypertension in adolescents. Regional and sex differences were observed. The study indicates that the control of obesity would lower the prevalence of hypertension among Brazilian adolescents by 1/5.501Brazilian Department of Science and Technology at the Secretariat of Science and TechnologyStrategic Inputs of the Ministry of Health (Departamento de Ciencia e Tecnologia da Secretaria de Ciencia e Tecnologia e Insumos Estrategicos do Ministerio da Saude - Decit/SCTIE/MS)Health Fund Sector (Fundo Setorial de Saude - CT-health) at the Ministry of science, Technology and Innovation (Ministerio da Ciencia, Tecnologia e Inovacao - MCTI)FINEP [01090421]CNPq [2010/565037-2]hospital research incentive fund for Clinics in Porto Alegre (fundo de incentivo a Pesquisa do Hospital de Clinicas de Porto Alegre - HCPA) [405,009/FIPE-2012-7]Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Identification of clusters of asthma control: A preliminary analysis of the inspirers studies

This work was funded by ERDF (European Regional Development Fund) through the operations: POCI- -01-0145-FEDER-029130 (“mINSPIRERS—mHealth to measure and improve adherence to medication in chronic obstructive respiratory diseases - generalisation and evaluation of gamification, peer support and advanced image processing technologies”) co-funded by the COMPETE2020 (Programa Operacional Competitividade e Internacionalização), Portugal 2020 and by Portuguese Funds through FCT (Fundação para a Ciência e a Tecnologia).© 2020, Sociedade Portuguesa de Alergologia e Imunologia Clinica. All rights reserved. Aims: To identify distinct asthma control clusters based on Control of Allergic Rhinitis and Asthma Test (CARAT) and to compare patients’ characteristics among these clusters. Methods: Adults and adolescents (≥13 years) with persistent asthma were recruited at 29 Portuguese hospital outpatient clinics, in the context of two observational studies of the INSPIRERS project. Demographic and clinical characteristics, adherence to inhaled medication, beliefs about inhaled medication, anxiety and depression, quality of life, and asthma control (CARAT, >24 good control) were collected. Hierarchical cluster analysis was performed using CARAT total score (CARAT-T). Results: 410 patients (68% adults), with a median (percentile 25–percentile 75) age of 28 (16-46) years, were analysed. Three clusters were identified [mean CARAT-T (min-max)]: cluster 1 [27(24-30)], cluster 2 [19(14-23)] and cluster 3 [10(2-13)]. Patients in cluster 1 (34%) were characterised by better asthma control, better quality of life, higher inhaler adherence and use of a single inhaler. Patients in clusters 2 (50%) and 3 (16%) had uncontrolled asthma, lower inhaler adherence, more symptoms of anxiety and depression and more than half had at least one exacerbation in the previous year. Further-more, patients in cluster 3 were predominantly female, had more unscheduled medical visits and more anxiety symp-toms, perceived a higher necessity of their prescribed inhalers but also higher levels of concern about taking these inhalers. There were no differences in age, body mass index, lung function, smoking status, hospital admissions or specialist physician follow-up time among the three clusters. Conclusion: An unsupervised method based on CARAT--T, identified 3 clusters of patients with distinct, clinically meaningful characteristics. The cluster with better asthma control had a cut-off similar to the established in the validation study of CARAT and an additional cut-off seems to distinguish more severe disease. Further research is necessary to validate the asthma control clusters identified.publishersversionpublishe

Erica: Prevalence Of Metabolic Syndrome In Brazilian Adolescents

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)To determine the prevalence of metabolic syndrome and its components in Brazilian adolescents. METHODS: We evaluated 37,504 adolescents who were participants in the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, school-based, national study. The adolescents, aged from 12 to 17 years, lived in cities with populations greater than 100,000 inhabitants. The sample was stratified and clustered into schools and classes. The criteria set out by the International Diabetes Federation were used to define metabolic syndrome. Prevalences of metabolic syndrome were estimated according to sex, age group, school type and nutritional status. RESULTS: Of the 37,504 adolescents who were evaluated: 50.2% were female; 54.3% were aged from 15 to 17 years, and 73.3% were from public schools. The prevalence of metabolic syndrome was 2.6% (95% CI 2.3-2.9), slightly higher in males and in those aged from 15 to 17 years in most macro-regions. The prevalence was the highest in residents from the South macro-region, in the younger female adolescents and in the older male adolescents. The prevalence was higher in public schools (2.8% [95% CI 2.4-3.2]), when compared with private schools (1.9% [95% CI 1.4-2.4]) and higher in obese adolescents when compared with nonobese ones. The most common combinations of components, referring to 3/4 of combinations, were: enlarged waist circumference (WC), low HDL-cholesterol (HDL-c) and high blood pressure; followed by enlarged WC, low HDL-c and high triglycerides; and enlarged WC, low HDL-c, high triglycerides and blood pressure. Low HDL was the second most frequent component, but the highest prevalence of metabolic syndrome (26.8%) was observed in the presence of high triglycerides. CONCLUSIONS: ERICA is the first Brazilian nation-wide study to present the prevalence of metabolic syndrome and describe the role of its components. Despite the prevalence of Metabolic Syndrome being low, the high prevalences of some components and participation of others in the syndrome composition shows the importance of early diagnosis of this changes, even if not grouped within the metabolic syndrome.501Department of Science and Technology of the Secretariat of Science, Technology and Strategic Inputs of the Ministry of Health (Decit/SCTIE/MS)Health Sectorial Fund (Fundo Setorial de Saude - CT-Saude) of the Ministry of Science, Technology and Innovation (MCTI)FINEP [01090421]CNPq [2010/565037-2]Research Incentive Fund of the Hospital de Clinicas de Porto Alegre - (Fundo de Incentivo a Pesquisa do Hospital de Clinicas de Porto Alegre - FIPE-HCPA) [405.009/2012-7]Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Global Island Monitoring Scheme (GIMS) : a proposal for the long-term coordinated survey and monitoring of native island forest biota

Islands harbour evolutionary and ecologically unique biota, which are currently disproportionately threatened by a multitude of anthropogenic factors, including habitat loss, invasive species and climate change. Native forests on oceanic islands are important refugia for endemic species, many of which are rare and highly threatened. Long-term monitoring schemes for those biota and ecosystems are urgently needed: (i) to provide quantitative baselines for detecting changes within island ecosystems, (ii) to evaluate the effectiveness of conservation and management actions, and (iii) to identify general ecological patterns and processes using multiple island systems as repeated 'natural experiments'. In this contribution, we call for a Global Island Monitoring Scheme (GIMS) for monitoring the remaining native island forests, using bryophytes, vascular plants, selected groups of arthropods and vertebrates as model taxa. As a basis for the GIMS, we also present new, optimized monitoring protocols for bryophytes and arthropods that were developed based on former standardized inventory protocols. Effective inventorying and monitoring of native island forests will require: (i) permanent plots covering diverse ecological gradients (e.g. elevation, age of terrain, anthropogenic disturbance); (ii) a multiple-taxa approach that is based on standardized and replicable protocols; (iii) a common set of indicator taxa and community properties that are indicative of native island forests' welfare, building on, and harmonized with existing sampling and monitoring efforts; (iv) capacity building and training of local researchers, collaboration and continuous dialogue with local stakeholders; and (v) long-term commitment by funding agencies to maintain a global network of native island forest monitoring plots.Peer reviewe