Classification approach for diagnosis of arteriosclerosis using B-mode ultrasound carotid images

Tese de mestrado. Engenharia Biomédica. Faculdade de Engenharia. Universidade do Porto. 201

RELAÇÕES DE PODER SEGUNDO BOURDIEU E FOUCAULT: UMA PROPOSTA DE ARTICULAÇÃO TEÓRICA PARA A ANÃLISE DAS ORGANIZAÇÕES

The elaboration of the present paper consists of the building of a theoretical proposal for the power relationships analysis in organizations, in an attempt of establishing a bridge between Pierre Bourdieu’s and Michel Foucault’s works. These two authors were chosen for their having elaborated wide discussions concerning power, which may complete each other. The present proposal brings answers to Morin & Le Moigne (2000) and Santos’ (1996) expectations concerning the search for new and wider models and explanations for social world and to the combat against the hyper-specialization of sciences. It also assists Hardy & Clegg’s (2001) clamors for the transformation of the organizational studies in a group of more related and connected conversations, mainly as far as studies about power are concerned.power relationships, organizational theory, Pierre Bourdieu, Michel Foucault., Institutional and Behavioral Economics,

a brief note on oceanic history, science and literacy

UID/HIS/04666/2013The UNESCO Chair “Ocean’s Cultural Heritage” held by NOVA University (Lisbon, Portugal) since 2016 is unique worldwide and brings to the spotlight the importance of obtaining knowledge on and of the management of tangible and intangible cultural and natural heritage of the open oceans, underwater realm and coastlines. Supported on a transatlantic network of researchers and their respective scientific and educational activities, topics under the umbrella of the early modern history of oceans such as underwater archaeology, maritime cultural landscapes, marine environmental history, cultures and societies, environments and resources management, are to be addressed and developed. These themes are part of the current international agendas for science, development and cooperation, and the UNESCO Chairs programme offers the adequate framework for the establishment of networking, for new common and integrated projects. This Chair also enhances the UNESCO principles of knowledge sharing, social solidarity, and establishing the basis for the development of good practices. As such, social sciences and humanities can contribute to inform on multiple societal challenges such as the changing conditions of marine ecosystems, climate change, heritage preservation and, also, ocean literacy. Here we are presenting the insights and motivations to develop such a UNESCO Chair and a related networking European project, both including components of research, education and outreach. Not aiming at presenting research or a global review, we intend to present main goals of the UNESCO Chair “Ocean’s Cultural Heritage” and to highlight how different disciplines can contribute to the construction of knowledge and preservation of memory about the Atlantic since early modern times.publishersversionpublishe

Continuous Ultrasound Speckle Tracking with Gaussian Mixtures

Speckle tracking echocardiography (STE) is now widely used for measuring strain, deformations, and motion in cardiology. STE involves three successive steps: acquisition of individual frames, speckle detection, and image registration using speckles as landmarks. This work proposes to avoid explicit detection and registration by representing dynamic ultrasound images as sparse collections of moving Gaussian elements in the continuous joint space-time space. Individual speckles or local clusters of speckles are approximated by a single multivariate Gaussian kernel with associated linear trajectory over a short time span. A hierarchical tree-structured model is fitted to sampled input data such that predicted image estimates can be retrieved by regression after reconstruction, allowing a (bias-variance) trade-off between model complexity and image resolution. The inverse image reconstruction problem is solved with an online Bayesian statistical estimation algorithm. Experiments on clinical data could estimate subtle sub-pixel accurate motion that is difficult to capture with frame-to-frame elastic image registration techniques

Representações Femininas na Mídia de Negócios Brasileira

Esta pesquisa consiste em uma análise das representações femininas em duas revistas populares de grande circulação no mundo dos negócios. Foram utilizadas técnicas de análise do discurso e de crítica fotográfica mediante as quais se procurou observar as diferentes apresentações das imagens femininas nas revistas selecionadas, indo além da superficialidade da leitura casual e, com o olhar atento aos detalhes, investigando as formas mais veladas de discriminação e preconceito no mercado de trabalho. Para tanto, analisou-se a história do trabalho da mulher ao longo dos anos, as mudanças ocorridas nos papéis sociais dos gêneros e a importância da mídia na construção, desconstrução e difusão de valores sociais. Os resultados obtidos permitiram a construção de uma classificação das principais representações sociais da mulher nas revistas pesquisadas

Saúde Ambiental e Atenção Primária à Saúde nos microterritórios: a taxa de mortalidade infantil para subsidiar a atuação da equipe de saúde

In the past 20 years, the Brazilian Unified Health System has improved primary health care and the implementation of environmental health surveillance. In Brazil, basic sanitation coverage has also improved. Macro-regional inequalities are known to exist, but there is little information about the micro-territories where primary care actions are being carried out. This study attempts to describe the influence of drinking water coverage (DWC), sanitation (SC) and solid waste management services (SWMS) on the infant mortality rate (IMR) in areas covered by primary care facilities (PCF), within the Northwest Health District of Campinas/SP. An ecological study was conducted using secondary data for the year 2000. In the eight PCF, DWC varied between 96.3 % and 99.9 %, SC between 67 % and 99.8 %, and SWMS between 95.8 % and 99.9 %. The IMR varied between 5.5 ‰ and 22.9 ‰. An inverse relationship was found, in which the larger the DWC (R2= 0.73), SC (R2= 0.78) and SWMS (R2= 0.95) the lower was the IMR. In addition to other factors, basic sanitation affects the health of the population and, according to the results presented here, there are inequalities in the areas covered by the PCF. Therefore, managers and health professionals, especially those in primary care, should take these factors into consideration to set priorities, actions and targets for integral care, intersectoral collaboration and health surveillance.En los últimos 20 años, el Sistema Único de Salud en el Brasil ha mejorado la atención primaria de salud y la vigilancia de la salud ambiental. En Brasil, mejoró también la cobertura de saneamiento básico. Existen desigualdades macrorregionales y poca información sobre los microterritorios donde se llevan a cabo las acciones de la atención primaria. Se pretende describir la influencia de la cobertura de agua potable (CAP), servicios de saneamiento (SS) y servicios de gestión de los residuos sólidos municipales (RSM) en la tasa mortalidad infantil (TMI) de las zonas cubiertas por las unidades básicas de salud (UBS) del Distrito de Salud Noroeste de Campinas-SP. Se trata de un estudio ecológico realizado con datos secundarios para el año 2000. En las ocho UBS la CAP osciló entre 96,3 % y 99,9 %; los SS entre 67 % y 99,8 %; los servicios de gestión de RSM entre 95,8 % y 99,9 %. La TMI osciló en las diferentes UBS entre 5,5 ‰ y 22,9 ‰. Se observó que existe una relación inversa, cuanto mayor es la CAP (R2= 0,73), los SS (R2= 0,78) y los servicios de gestión de RSM (R2= 0,95) menor es la TMI. Además de otros factores, el saneamiento básico interfiere en la salud de la población y de acuerdo con los resultados presentados, también existen desigualdades en las áreas cubiertas por las UBS. Estas deben ser consideradas por los directivos y profesionales de la salud, especialmente de la atención primaria, para establecer las prioridades, acciones y metas para la atención integral y vigilancia de la salud y el trabajo intersectorial.Nos últimos 20 anos, o Sistema Único de Saúde no Brasil vem avançando no aprimoramento da atenção primaria e da vigilância em saúde ambiental. No País, também, melhorou a cobertura do saneamento básico. Mas existem iniquidades macrorregionais e são escassas as informações sobre os microterritórios, onde as ações básicas de saúde se concretizam. Descrever a influência das coberturas do sistema de abastecimento de água (SAA), esgotamento sanitário (ES) e coleta de resíduos sólidos domiciliares (CRSD) na taxa mortalidade infantil (TMI) nas áreas de abrangência das unidades básicas de saúde (UBS) do Distrito de Saúde Noroeste de Campinas-SP. Foi conduzido estudo ecológico com dados secundários referentes a 2000. As coberturas nas oito UBS: do SAA variou entre 96,3 %, de Valença, e 99,9 % de Integração; de ES entre 67 %, de Ipaussurama e 99,8 % de Integração; da CRSD entre 95,8 % de Florence e 99,9 % de Perseu e Integração. A TMI variou entre 5,5 ‰, na UBS Perseu e 22,9 ‰ Floresta. Observou-se que existe relação inversa, quanto maior a cobertura do SAA (R2=0,73), de ES (R2=0,78) e da CRSD (R2= 0,95) menor a TMI nas UBS. Além de outros fatores, o saneamento básico determina o processo saúde doença da população e conforme os achados, existem iniquidades também nos microterritórios de abrangência das UBS que devem ser consideradas pelos gestores e profissionais de saúde, principalmente, da atenção primária na pactuação das prioridades, ações e metas para atenção integral e vigilância em saúde e atuação intersetorial

Representação social da terapia da fala nos profissionais e não profissionais de saúde portugueses

Title in English: Social Representation of Speech Therapy in Portuguese Health Professionals and Non-Health Professionals.This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits distribution, and reproduction in any medium and adaptation — remix, transform, and build upon the material, provided the original author and source are credited and indicated if changes were made. Users must also make clear the license terms under which the work was published. CC BY-NC Licence: http://creativecommons.org/licenses/by-nc/4.0/deed.e

A insustentável leveza do toque: aprendizagens em hanseníase / The lightness of the unsustainable touch: learning in leprosy

A hanseni?ase é uma das doenças mais antigas da história da humanidade. Considerada uma doença do homem pobre, pode levar a complicações neurológicas graves e deficiências físicas. É caracterizada como infectocontagiosa e é causada pela Mycobacterium leprae. Para realizar tal diagnóstico na Atenção Primária à Saúde (APS), é feito o exame dermatoneurológico. Existe, porém, um fosso assistencial que nos impede de chegar mais facilmente a essas pessoas. Nesse contexto os Agentes Comunitários de Saúde (ACS) – pontes entre o serviço e a própria comunidade por serem parte integrante do território – podem ser elos importantes no rompimento dos atrasos diagnósticos. Na Unidade de Saúde da Família (USF) Viver Bem, foi feito o diagnóstico de hanseníase em um paciente adscrito ao território e, visto que seu diagnóstico tardio pode acarretar complicações irreversíveis, é de suma importância que haja um olhar diferenciado aos alterações de pele, para que sejam triados na população que mora nesta região, evitando assim que hajam subdiagnósticos. O presente projeto visa capacitar os Agentes Comunitários de Saúde (ACS) a suspeitarem precocemente dos casos de hanseníase. Para atingir esse objetivo, serão realizados exposições dialogadas e rodas de conversa acerca do tema com a equipe de saúde, abordando os possíveis diagnósticos diferenciais (como a ptiríase) e ratificando a importância do olhar para o paciente além de uma doença, entendendo assim a pessoa como um todo. Além disso, para fortalecer o aprendizado sobre a hanseníase, serão entregues folders com informações relevantes como etiologia, transmissão, sinais/sintomas, complicações e tratamento

Livro de atas do IV encontro de reflexão e partilha pedagógica

info:eu-repo/semantics/publishedVersio

Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities