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El papel de las enfermeras matronas en la reanudación de las relaciones sexuales tras el parto
Get PDFIntroducción. El Máster en Enfermería Materna y Obstétrica cursado en la Universidad de Évora incluye unas prácticas profesionales centradas en el desarrollo de las competencias teórico-prácticas específicas por parte del estudiante acompañado de un informe final.
Objetivo. Analizar reflexivamente el desarrollo de las competencias comunes y específicas de las enfermeras matronas en la práctica clínica, con especial atención a su intervención en la reanudación de las relaciones sexuales después del parto.
Metodología. Prácticas realizadas bajo supervisión clínica y orientación pedagógica, y revisión narrativa de la bibliografía sobre el tema elegido.
Resultados. Fueron adquiridas las competencias comunes y específicas de las enfermeras matronas. La profundización en el tema contribuyó a adquirir y consolidar conocimientos relativos a la retoma de las relaciones sexuales después del parto.
Conclusiones. Se adquirieron las competencias necesarias para el ejercicio profesional de la enfermera matrona y, en relación al tema elegido, los resultados concluyeron que el papel de esta profesional es relevante en la reanudación de las relaciones sexuales después del parto; - TÍTULO: O Papel dos Enfermeiros Obstétricos no Restablecimento das Relações Sexuais Após o Parto.
RESUMO:
Introdução. O Mestrado em Enfermagem de Saúde Materna e Obstétrica da Universidade de Évora inclui um Estágio de Natureza Profissional centrado no desenvolvimento de competências teórico-práticas específicas por parte da estudante, acompanhados de um relatório final.
Objetivo. Analisar reflexivamente o desenvolvimento das competências comuns e específicas das enfermeiras parteiras na prática clínica, com especial atenção à sua intervenção na retomada das relações sexuais após o parto.
Método. Estágio realizado sob supervisão clínica e orientação pedagógica e revisão narrativa da literatura sobre o tema escolhido.
Resultados. Foram adquiridas as competências comuns e específicas das enfermeiras parteiras. O aprofundamento do tema contribuiu para adquirir e consolidar conhecimentos relativos ao reinício das relações sexuais após o parto.
Conclusões. Foram adquiridas as competências necessárias para o exercício profissional da enfermeira parteira e, em relação ao tema escolhido, os resultados concluíram que o papel dessa profissional é relevante na retomada das relações sexuais após o parto; - ABSTRACT:
Introduction. The Master's Degree in Maternal and Obstetric Health Nursing at the University of Évora includes a Professional Internship focused on the development of specific theoretical and practical skills by the student, accompanied by a final report.
Objective. Reflectively analyse the development of common and specific competencies of midwives in clinical practice, with special attention to their intervention in the resumption of sexual relations after childbirth.
Method. Internship carried out under clinical supervision and pedagogical guidance, and narrative review of the literature on the chosen topic.
Results. The common and specific skills of midwives were acquired. Further study of the subject contributed to acquiring and consolidating knowledge related to resuming sexual relations after childbirth.
Conclusions. The necessary skills for the professional practice of midwifery were acquired and, in relation to the chosen topic, the results concluded that the role of this professional is relevant in the resumption of sexual relations after childbirt
Practical Work in Natural Sciences Education: Development and Validation of a Qualitative Data Collection Instrument
Get PDFThis article presents the development and validation process of a qualitative data collection
instrument aimed at analysing natural sciences teachers’ perceptions of practical work
in lower secondary education (third cycle) in Portugal. The methodological approach
combined a systematic literature review following PRISMA guidelines with an analysis
of relevant curricular frameworks and legal documents. Based on the triangulation of
these sources, a semi-structured interview guide was constructed, validated by a panel of
five experts from four Portuguese public universities, and tested through a pilot interview.
The final instrument comprised seven dimensions and fourteen subdimensions, totalling
44 items. It demonstrated methodological rigour and practical applicability for qualitative
data collection and analysis. Findings indicate that the instrument enables a comprehensive
exploration of teachers’ practices and perceptions regarding practical work, offering a valuable
contribution to the research on didactics of science and to the professional development
of teachers. Also, the application of this instrument will enable teachers and researchers
to characterise the dynamics of practical work carried out with young students in natural
sciences education across seven structuring dimensions: (1) Conceptual; (2) Limitations;
(3) Advantages; (4) Evaluative; (5) Operationalisation; (6) Textbook; and (7) Curricular
A Cultural History of Poverty in the Age of the Emerging Atlantic World, vol. 4
No full text(...) The topics above have attracted abundant studies addressing a wide range
of questions and considerations, almost always reflecting the time when they
were written. Using different thematic approaches, the chapters that follow
aim to contribute to this literature with either more theoretical analyses or a
greater focus on case studies. They cover a vast geographical range seen from a
predominantly European viewpoint since the period in question (1650–1800)
is associated with European expansion around both sides of the Atlantic Ocean,
in the Americas and in West Africa. During this Age of the Emerging Atlantic
World, the colonies played an active role in European social policies—and not
only because they supplied the imperial powers with resources, as this volume
also shows. (...)
Taken together, these contributions reveal the long-lasting nature of
behaviors and procedures and frequently demonstrate people’s resilience when faced with attempts at categorization, criminalization, homogenization,
and certain economistic policies that issued from the centers of power. They
also show how people reacted to a crisis, whether it affected an individual or
the community, a space of dynamic, multidimensional relations in which the
distributors of relief and its recipients interacted, the former often seeking to
uphold the existing social order, the latter merely trying to survive. Whatever
the form of poor relief and however the poor may have reacted to the policies
aimed at them, it is safe to say that institutional relief was confined to a very
small number of individuals in the early modern period. And, as these chapters
also show, poverty as a historical phenomenon—and, hence, a contingent and
variable one—does not allow itself to be pinned down within uniform, rigid
categories and interpretations
Investigar no campo das Tecnologias em Educação: Uma análise de casos ilustrativos de estratégias metodológicas recorrentes em teses de doutoramento desenvolvidas em Portugal
No full textCom base na análise de teses de doutoramento desenvolvidas em universidades portuguesas entre 1997 e 2022, foram identificadas estratégias metodológicas recorrentes no campo das Tecnologias em Educação. Para cada uma dessas estratégias - estudo de caso, investigação-ação, investigação baseada em design (IBD) e inquérito por questionário (survey research) - foram selecionados casos que ilustram diferentes formas de operacionalização metodológica, nos seus contextos concretos. A apresentação e discussão destes casos permite evidenciar decisões, fundamentos e procedimentos de recolha e análise de dados, oferecendo um contributo teórico para aprofundar o conhecimento prático e reflexivo sobre metodologias de investigação. Esta sistematização visa, assim, apoiar investigadores em formação no processo de construção metodológica dos seus estudos, promovendo uma compreensão mais crítica, fundamentada e situada das opções metodológicas no domínio das Tecnologias em Educação
Archaeometric study of ceramics from the site of Tell el-Farah North
No full textAbstract:
An integrated multi-analytical approach has been performed to ceramic fragments from the
archaeological site of Tell el-Far‘ah North, West Bank, dated back to the Early Bronze Age IB
(3300-3100/ 3000 BC). The main objective of this thesis is to make a comparison between Um
Hammad ware and common wares through the investigation of mineralogical and chemical
composition, technological aspects and the provenance of raw materials. Mineralogical,
petrographic and chemical analyses are applied by means of Optical Microscopy (OM), X-Ray
Powder Diffraction (XRPD) and Scanning Electron Microscopy Coupled with Energy
Dispersive Spectroscopy (SEM-EDS), Fourier Transform Infrared Spectroscopy (FTIR-ATR)
and Inductively Coupled Plasma Mass Spectrometry (ICP-MS). The application of mineralogical
and chemical analyses indicate that the ceramics were produced using calcareous clays with
inclusions of sedimentary calcareous rock fragments, calcite, iron oxides and quartz. Two basic
fabrics, A-calcite and B-calcareous, have been identified according to the presence or absence of
coarse and angular calcite crystals. Moreover, two different clays, clay α and clay β, have been
identified based on the presence or absence of microfossils. The optical activity of the matrix
and the presence of calcareous inclusions indicate a maximum firing temperature lower than 850
°C and in the range 700–850 °C for those ceramics showing an initial decarbonation process of
calcareous inclusions.
The pictographic results suggested that the nature of the inclusions supports a local supply of
raw materials. In line with this, the ICP-MS analysis highlights that the same concentrations of
the trace elements Zn, Cu, Ni, Co, and Ba from the samples are related to same sources of
calcareous clay raw materials utilized. Moreover, the comparison between the Um Hammad and
common wares type of ceramic materials shows that there is a distinctive mineralogical
composition difference between the two types in addition to the morphological and
ornamentation difference
Covid-19: Signs and symptoms related to the feeding behavior
No full textCOVID-19 reached pandemic level in March 2020 and the number of confirmed cases continued to increase worldwide. The clinical course of the disease has not yet been fully characterized, and some specific symptoms related to smell, taste, and feeding behavior require further examination. The present study aimed to assess the presence of symptoms related to the feeding behavior occurred during and/or after COVID-19 in adults residing in Portugal and to link them to disease severity using a multivariate approach. Data were collected from May to September 2020, through a questionnaire answered online containing questions about general and specific symptoms before, during and after COVID-19. 362 participants were included: 201 were symptomatic, being 15 hospitalized and 186 non-hospitalized. Cluster analysis grouped the symptomatic non-hospitalized participants as mild and severe cases. For these patients, the most frequent symptoms related to the feeding process were smell disorders in 40% and 62%, taste disorders in 37% and 60%, and dry mouth, in 23% and 48% of the mild and severe cases, respectively. Dry mouth was significantly associated with difficulty to swallow, pain during swallow, choking when eating or drinking, and preference for mushy/pasty foods (p < 0.01; Chi-squared test). Among the severe cases, the incidence of coughing during the meal (31%), difficulty (19%) and pain during swallow (17%), preference for mushy/pasty foods (10%) and choking when eating or drinking (6%) were clinically relevant and may indicate the presence of swallowing disorders. This group also showed a higher frequency of general symptoms, such as fever, headache, abdominal pain, tiredness, diarrhea, nausea, and shortness of breath (p < 0.05; Chi-squared test). Smell disorders, taste disorders and dry mouth were the most frequent symptoms related to the feeding behavior for both mild and severe cases. Dry mouth was significantly associated with swallowing difficulties and future research should investigate it as a frequent symptom and as a predictive of the presence of eating and swallowing disorders in COVID-19 cases
Clustered patterns of household water consumption in Portuguese municipalities: Do regional location and population trajectory matter?
No full textPortugal faces water scarcity challenges, yet studies on per-household water consumption are limited. This study aims to address this gap by employing cluster analyses to assess how population trajectories, a previously overlooked aspect, and the regional location influence per-household monthly water consumption across 122 municipalities. Findings highlight higher consumption in the South despite lower prices. Municipalities experiencing population growth and those with long-term population declines show higher per-household water consumption but lower prices. Interestingly, while higher prices correlate with lower consumption, southern municipalities show increased prices without reduced consumption. Clustering reveals slight changes in consumption patterns from 2011 to 2020
Membrane-bound progesterone receptors in the canine uterus and placenta; possible targets in the maintenance of pregnancy
Get PDFTo date, the biological functions of P4 within the canine placenta have been attributed to maternal stroma-derived decidual cells as the only placental cells expressing the nuclear P4 receptor (PGR). However, P4 can also exert its effects via membrane-bound receptors. To test the hypothesis that membrane-bound P4 receptors are involved in regulating placental function in the dog, the expression of mPRα, -β, -γ, PGRMC1 and -2 was investigated in the uterine and placental compartments derived from different stages of pregnancy and from prepartum luteolysis. Further, to assess the PGR signaling-mediated effects upon membrane P4 receptors in canine decidual cells, in vitro decidualized dog uterine stromal (DUS) cells were treated with type II antigestagens (aglepristone or mifepristone). The expression of all membrane P4 receptors was detectable in reproductive tissues and in DUS cells. The main findings indicate their distinguishable placental spatio-temporal distribution; PGRMC2 was predominantly found in decidual cells, PGRMC1 was strong in maternal endothelial compartments, and syncytiotrophoblast showed abundant levels of mPRα and mPRβ. In vitro decidualization was associated with increased expression of PGRMC1 and -2, while their protein levels were diminished by antigestagen treatment. The involvement of membrane-bound P4 signaling in the regulation of canine placental function is implied, with P4 effects being directly exerted through maternal and fetal cellular compartments. The indirect effects of PGR might involve the modulation of membrane-bound receptors availability in decidual cells, implying a self-regulatory loop of P4 in regulating the availability of its own receptors in the canine placenta
Shunts Portossistémicos em animais de companhia
No full textOs shunts portossistémicos são anomalias vasculares que permitem o desvio do
sangue portal para a circulação sistémica, comprometendo a função hepática e outros
sistemas orgânicos, sendo a encefalopatia hepática uma das manifestações clínicas mais
relevantes. O diagnóstico desta afeção envolve uma abordagem multimodal, incluindo
exames laboratoriais e imagiológicos. O tratamento médico visa o controlo dos sinais
clínicos, mas a cirurgia constitui a terapêutica de eleição nos casos congénitos,
destacando-se atualmente as técnicas de mínima invasão, que reduzem a morbilidade e
melhoram o prognóstico.
O presente relatório descreve a casuística acompanhada no decorrer do estágio
curricular, integra uma revisão bibliográfica sobre shunts portossistémicos em animais
de companhia e descreve um caso clínico de resolução cirúrgica de um shunt
portossistémico intra-hepático, evidenciando a importância do diagnóstico precoce e
abordagem terapêutica adequada; - Portosystemic Shunts in small animals
Abstract:
Portosystemic shunts are vascular anomalies that allow portal blood to bypass
the liver and enter the systemic circulation, thereby compromising hepatic function and
other organ systems, with encephalopathy being one of the most relevant clinical
manifestations. The diagnosis of this condition requires a multimodal approach,
including laboratory and imaging exams. Medical management aims to control the
clinical signs, but surgery remains the gold standard treatment in congenital cases, with
minimal invasive techniques currently standing out for their ability to reduce morbidity
and improve prognosis.
This report describes the caseload observed during the curricular internship,
integrates a literature review on portosystemic shunts in small animals and presents a
clinical case of surgical resolution of an intrahepatic portosystemic shunt, highlighting
the importance of early diagnosis and an appropriate therapeutic approach
One health, one training: the importance of the one health approach in veterinary training
No full textThe One Health approach is gaining increasing relevance in global health promotion, underscoring the importance of its early integration into health professionals’ education.
This dissertation examines the value of early One Health training through a veterinary medicine curricular traineeship conducted at a leading human medicine hospital and a One Health Research Institute.
A qualitative, observational, and descriptive methodology was adopted, based on direct participation, systematic observation, and the development of One Health–focused educational and data collection tools.
The traineeship enabled exposure to human clinical medicine, human and veterinary epidemiology, and antimicrobial stewardship across sectors. The findings suggest that transdisciplinary experiential learning enhances understanding and practical application of One Health principles, while fostering cross-sectoral collaboration skills.
This study concludes that integrating structured One Health traineeships into veterinary curricula strengthens multidisciplinary competencies and represents a reproducible educational model for other health-related training programmes; - Uma Saúde, Uma Formação: A Importância da Abordagem Uma Saúde na Formação em Medicina Veterinária
Resumo:
A abordagem One Health está a ganhar cada vez mais relevância na promoção da saúde global, enaltecendo a importância da sua integração precoce na formação dos profissionais de saúde.
Esta dissertação analisa o valor da formação precoce em One Health por meio de um estágio curricular de medicina veterinária realizado num hospital de medicina humana e num Instituto de Investigação One Health.
Foi adotada uma metodologia qualitativa, observacional e descritiva, baseada na participação direta, observação sistemática e desenvolvimento de ferramentas pedagógicas e de recolha de dados com foco na abordagem One Health. O estágio permitiu a exposição à medicina clínica humana, epidemiologia humana e veterinária e gestão do uso de antimicrobianos em vários setores.
Os resultados sugerem que a aprendizagem transdisciplinar melhora a compreensão e a aplicação prática dos princípios One Health, enquanto promove competências de colaboração intersectorial.
Este estudo conclui que a integração de estágios estruturados One Health no curricula de estudos de medicina veterinária reforça as competências multidisciplinares e representa um modelo educativo reprodutível para outros programas de formação na área da saúde