Polytechnic Institute of Castelo Branco
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Motivos que levam o doente em fim de vida a recorrer ao Serviço de Urgência
No full textO presente relatório de prática clínica, surge no âmbito do 10º Mestrado em
Cuidados Paliativos da Escola Superior de Saúde Dr. Lopes Dias (ESALD) do Instituto
Politécnico de Castelo Branco (IPCB) e tem como propósito dar cumprimento aos
requisitados fundamentais à obtenção do grau de Mestre em Cuidados Paliativos (CP).
O relatório é construído com o intuito de redigir e descrever de forma reflexiva e
crítica apoiado na evidência científica, da prática clínica, estruturada nos pilares dos
CP (Comunicação, Controlo de Sintomas, Apoio à Família, Trabalho em Equipa) e na
apresentação de um projeto de intervenção, que passa pela realização de ações de
formação com o tema: “Prestação de cuidados ao doente em fim de vida” dirigida à
equipa de CP da Unidade Local de Saúde (ULS) e a diferentes cuidadores formais na
área de abrangência da ULS: Rede Nacional de Cuidados Continuados Integrados
(RNCCI), Estrutura Residencial para Idosos (ERPI) e Grupos de voluntariado e ainda
pela realização de um Estudo quantitativo, descritivo-correlacional e retrospetivo com
o tema: “Motivos que levam o doente em fim de vida a recorrer ao SU”. O projeto de
intervenção surge com o propósito de contribuir para evitar a recorrência do doente
em fim de vida ao Serviço de Urgência (SU).
Uma resposta na ajuda personalizada e dignificada no fim de vida deve assentar
numa abordagem paliativista/humanista do cuidar, no respeito pela sua dignidade
humana. Destarte, o projeto de intervenção é estruturado numa proposta de melhoria
baseada no indicador de Resultado: Idas ao SU (mais que um) nos últimos trinta dias
de vida, com um valor standard de 30%, com desenvolvimento da metodologia
Strengths, Weaknesses, Threats, Opportunities (SWOT) para autoavaliação do serviço.
Em forma de conclusão, este relatório, pela reflexão/informação/discussão
implícita, no qual são apresentados dados relacionados com os motivos da recorrência
do doente em fim de vida ao SU, através do Estudo quantitativo, descritivocorrelacional
e retrospetivo com o tema: “Motivos que levam o doente em fim de vida
a recorrer ao SU”, reforça a necessidade da restruturação das organizações de saúde,
com novos modelos de cuidados e recursos para dar resposta efetivas, com mais
qualidade aos doentes em fim de vida, para que estes possam vivenciar os últimos
momentos da sua vida sem recorrer ao SU.Abstract: This clinical practice report is part of the 10th Master's Degree in Palliative Care at
Escola Superior de Saúde Dr. Lopes Dias (ESALD) of the Polytechnic Institute of Castelo
Branco (IPCB) and aims to comply with the fundamental requirements for obtaining
the Master's degree in Palliative Care (PC).
The report is designed to reflectively and critically write and describe based on
scientific evidence, clinical practice, structured on the pillars of the PC
(Communication, Symptom Control, Family Support, Teamwork) and the presentation
of a project of intervention, which involves carrying out training actions with the
theme: “Providing care for the patient at the end of life” aimed at the PC team of the
Local Health Unit (ULS) and different formal caregivers in the area covered by Guarda
: National Network of Integrated Continuing Care (RNCCI), Residential Structure for
the Elderly (ERPI) and Volunteer Groups and also for carrying out a quantitative,
descriptive-correlational and retrospective study with the theme: “Reasons that lead
the patient to the end of life to resort to the SU”. The intervention project arises with
the purpose of contributing to prevent the recurrence of the patient at the end of life to
the Emergency Service (SU).
A response in personalized and dignified help at the end of life must be based on a
palliative/humanist approach to care, with respect for human dignity. Thus, the
intervention project is structured on an improvement proposal based on the Result
indicator: Visits to the ED (more than one) in the last thirty days of life, with a standard
value of 30%, with the development of the Strengths, Weaknesses, Threats
methodology, Opportunities (SWOT) for service self-assessment.
In conclusion, this report, through reflection/information/implicit discussion, in
which data related to the reasons for the patient's recurrence at the end of life to the
SU are presented, through a quantitative, descriptive-correlational and retrospective
study with the theme: “Reasons that lead the end-of-life patient to resort to the SU”,
reinforces the need to restructure health organizations, with new models of care and
resources to provide effective responses, with more quality to end-of-life patients, so
that they can experience the last moments of their lives without resorting to the SU
Multicomponent exercise training does not alter depressive symptoms in older people: a systematic review with meta-analysis of current evidence
No full textBackground:
Depression is a prevalent mental health condition among older adults, negatively impacting their quality of life and overall well-being. Physical exercise has been identifed as a potential intervention for improving mental health in this population. Multicomponent training (MCT), which combines exercises targeting multiple physical capacities, is widely prescribed to older adults; however, its efcacy in reducing depressive symptoms (DS) remains unclear.
Objectives:
This systematic review and meta-analysis aimed to evaluate the efects of MCT on DS in older adults, assess the overall efectiveness of such interventions, and identify methodological and contextual factors that might infuence outcomes.
Methods:
We conducted a systematic search across six databases—PubMed, LILACS, SciELO, Embase, Scopus, and Web of Science—for clinical trials evaluating MCT interventions in older adults with DS. Included studies used the Geriatric Depression Scale (GDS) to assess outcomes. MCT was defined as a training program incorporating at least three distinct physical capacities (e.g., strength, endurance, balance, fexibility). Meta-analyses were performed using a random-efects model (Hedges’ g), and study quality was assessed using the TESTEX scale.
Results:
Ten studies (n=781) were included in the systematic review, with fve studies (n=305) included in the meta-analysis. The pooled analysis revealed no signifcant overall efect of MCT on DS (g=−0.090; 95% CI=−0.448 to 0.269, p=0.624). Methodological inconsistencies, lack of load control, and high variability in MCT composition across studies were noted.
The median methodological quality was moderate (median TESTEX score=7, IQR 7–8). Recent literature has emphasized the importance of protocol specifcity and suggested that current MCT designs may not efectively address mental health
outcomes.
Conclusion:
MCT interventions did not show a signifcant efect on reducing DS in older adults. Given its frequent prescription in geriatric care, these fndings challenge current assumptions about MCT’s mental health benefts. This message is crucial for clinicians and researchers, as small variations in protocol design may hinder consistency in outcomes. Further high-quality trials are needed to clarify MCT's potential role in mental health management among older adults.N/
Análise comparativa da motricidade global e fina em crianças entre os 24 e os 48 meses.
No full textEste estudo teve como objetivo comparar o desenvolvimento da motricidade global e fina em crianças entre os 24 e os 48 meses de idade, utilizando a bateria PDMS-2 como instrumento de avaliação. A amostra é composta por 193 crianças distribuídas em três grupos etários: 24 meses (N=22, 27.09±0.7 meses), 36 meses (N=78, 38.12±0.9 meses) e 48 meses (N=93, 49.45±1.1 meses). Foram analisadas as habilidades de Controle Postural, Locomoção, Manipulação de Objetos, Preensão Fina e Integração Visuomotora, agrupadas em dois domínios principais, a motricidade global e a motricidade fina. A análise estatística foi realizada através do teste de Kruskal-Wallis e do teste de Wilcoxon para amostras relacionadas, complementados pela medida de efeito épsilon quadrado (ε²). Os resultados revelaram diferenças estatisticamente significativas entre os quocientes motores globais (QMG) e finos (QMF) em todas as faixas etárias (p<0.001), indicando que o desenvolvimento motor fino é superior ao global. Observou-se uma tendência decrescente nos valores do QMG com o aumento da idade (ε² = 0.15), enquanto o QMF se manteve dentro da média normativa (ε² = 0.03), com menor dispersão e maior estabilidade. O Quociente Motor Total (QMT) apresentou uma evolução não linear, reforçando a ideia de que o desenvolvimento motor não ocorre de forma contínua. Estes resultados apontam para um desenvolvimento motor assimétrico entre os domínios global e fino, destacando a motricidade global como mais sensível à idade e ao contexto, e sugerindo a necessidade de estratégias de intervenção específicas para estimular essas competências em idades críticas.This study aimed to compare the development of gross and fine motor skills in children aged between 24 and 48 months, using the Peabody Developmental Motor Scales – Second Edition (PDMS-2) as the assessment tool. The sample consisted of 193 children, divided into three age groups: 24 months (N=22, 27.09±0.7 months), 36 months (N=78, 38.12±0.9 months), and 48 months (N=93, 49.45±1.1 months). The assessed skills included Postural Control, Locomotion, Object Manipulation, Fine Grasp, and Visual-Motor Integration, grouped into two main domains: gross motor and fine motor development. Statistical analysis was conducted using the Kruskal-Wallis test and the Wilcoxon test for related samples, complemented by the epsilon squared (ε²) effect size measure. The results revealed statistically significant differences between gross motor quotients (GMQ) and fine motor quotients (FMQ) across all age groups (p < 0.001), indicating that fine motor development is superior to gross motor development. A downward trend was observed in GMQ values with increasing age (ε² = 0.15), whereas FMQ remained within normative averages (ε² = 0.03), showing less dispersion and greater stability. The Total Motor Quotient (TMQ) exhibited a non-linear progression, reinforcing the notion that motor development does not occur in a continuous manner. These findings suggest an asymmetrical motor development between the gross and fine domains, highlighting gross motor skills as more sensitive to age and contextual factors, and pointing to the need for targeted intervention strategies to stimulate these competencies during critical developmental periods
Beyond financial metrics: A systematic and bibliometric review of hotel business performance
No full textHotel business performance has been traditionally measured through financial metrics. Nevertheless, recent research emphasizes the increasing relevance of non-financial metrics such as sustainability, stakeholder perceptions, and strategic management practices. This study assesses the evolution of the measurement of hotel business performance within the scientific literature to identify trends and theoretical frameworks that shape performance measurement. The methodological approach employs qualitative and quantitative analysis, through a bibliometric analysis, to track the development of performance metrics in the field. The findings suggest that the assessment of hotels’ business performance shifted from the use of pure financial metrics to a more integrated perspective, including factors such as social responsibility, customer satisfaction, and sustainability. Furthermore, external factors such as economic crises could also significantly influence hotel performance. Future research should further explore the role of technology and regional variations in shaping hotel business success.NECE and this work are supported by FCT (Fundação para a Ciência e Tecnologia), I.P., project reference UIDB/04630/2020 and DOI identifier 10.54499/UIDP/04630/2020. This work was
funded by National Funds through the Foundation for Science and Technology (FCT), I.P., within the scope of the project UIDB/05583/2020, DOI identifier https://doi.org/10.54499/UIDB/05583/2020.
Furthermore, we would like to thank the Research Centre in Digital Services (CISeD) and the Instituto Politécnico de Viseu for their support
Potential of different eighteen grapevine genotypes to produce wines in a hot region: First insights into volatile and sensory profiles
No full textThe authors would like to express their gratitude to the staff at ‘Herdade do Esporão’ for their invaluable assistance with the vineyard and grape harveing. Special thanks are also extended to the Polo de Inovação de Dois Portos-INIAV team, particularly Amélia Soares, João Amaral, Jorge Cunha and the wine tasting group, for their technical support with various analyses, vinification process, expertise in ampelography and persistence and dedication during the tasting sessions.A major challenge for the viticulture and oenology sector is to understand the impact of climate change on grapevine agronomic performance and wine quality. Genetic variability offers a key tool for adaptation, as some grape varieties may better withstand changing conditions while maintaining wine quality. As part of the WineClimAdapt research project (PDR2020-101-031010), a study was conducted on the adaptability of 18 white grape varieties to hot and dry conditions in Portugal. These grape varieties from Herdade do Esporão (Alentejo, Portugal) were vinified in duplicate at the INIAV winery, the result being 36 wines. The wines underwent physicochemical and sensory analyses, including gas chromatography–mass spectrometry (GC-MS) and gas chromatography–flame ionization detection (GC-FID), to assess their composition and sensory profiles.
Tasters evaluated the wines using a structured scale (0–10) and rated their overall quality (0–20). Results from analysis of variance (ANOVA) revealed significant differences in the physicochemical composition and sensory profiles of the wines. Notably, some White wines displayed high acidity, which is advantageous for hot regions. The study also highlighted clear varietal differentiation across physicochemical, volatile and sensory analyses. Among the tested varieties, “Cayetana Blanca” and “Fernão Pires” achieved the highest average quality ratings, indicating promising potential for future studies and adaptation to climate change.This research was funded by the WineClimAdapt project (project code PDR2020-101-031010), under the PDR 2020—Rural Development Program 2014–2020. Additionally, this workwas funded by National Funds through FCT—Foundation for Science and Technology throughthe Projects UIDB/05183 [MED&CHANGE]; UIDB/00681 [CERNAS-IPCB]; UIDB/00239 [CEF]; UIDB/04551; and LA/P/0087 [GREEN-IT and LS4FUTURE Associated Laboratory]
Hábil-Mente: Avaliação das potencialidades da aplicação digital Hábil como recurso didático
No full textO desenvolvimento de competências matemáticas e linguísticas na educação pré-escolar é crucial para o sucesso académico e particularmente desafiante para crianças com Perturbação do Espectro do Autismo (PEA). Este estudo investiga o impacto da aplicação digital Hábil uma ferramenta educativa no nível de envolvimento de uma criança com PEA em atividades educativas. Através de um estudo de caso e da aplicação da Escala de Envolvimento de Laevers, foram analisados quatro momentos distintos de utilização da aplicação para avaliar a participação ativa da criança. Os resultados indicam que o uso de tecnologia adaptada às necessidades específicas da criança aumenta significativamente o envolvimento e a aprendizagem significativa, reforçando a importância de práticas pedagógicas inclusivas mediadas por recursos digitais. Este estudo destaca o potencial da aplicação Hábil como uma ferramenta eficaz no apoio à educação inclusiva na Educação Pré-Escolar
Adherence to the Mediterranean diet and carotid intima-media thickness in university students: A cross-sectional study
No full textIntroduction:
Subclinical atherosclerosis is increasingly recognized in younger populations, often progressing silently until the onset of overt cardiovascular events. Carotid intima-media thickness (CIMT) is a validated, non-invasive biomarker of early vascular alterations. Although the Mediterranean diet (MD) is well established as cardioprotective, its relationship with CIMT in young adults remains insufficiently studied.
Objective:
To assess sex-specific adherence to the Mediterranean diet and its association with carotid intima-media thickness in a cohort of university students. Methods: A cross-sectional study was performed involving 60 university students (50% male, aged 17–25 years), selected through stratified probabilistic sampling. Data were collected on sociodemographic characteristics, vascular risk factors, MD adherence via the PREDIMED questionnaire, and CIMT measured using a high-resolution carotid Doppler ultrasound. Statistical analyses included chi-square tests and descriptive statistics, with significance set at ρ ≤ 0.05.
Results:
A notable 95% of participants showed low adherence to the Mediterranean diet. Significant sex differences in dietary patterns were identified: males consumed more red meat (ρ = 0.023), while females reported higher fish intake (ρ = 0.037). Despite behavioral risk factors, all CIMT values remained within normal ranges (≤0.9 mm). No significant association was found between MD adherence and CIMT (ρ = 0.554).
Conclusion:
This exploratory study reveals a high prevalence of modifiable cardiovascular risk factors, including poor dietary adherence, among young adults, despite the absence of detectable vascular structural changes. Although no significant association was found, the findings reflect the dietary and behavioral profiles of a young, low-risk population.N/
Cultural heritage on gastronomic usages of honey: Recipe analysis and cluster segmentation
No full textHoney has been a food product used by humans since immemorial times, both for nutritional and medicinal reasons. Gastronomic recipes contain a great deal of knowledge and cultural heritage, both in the form of traditional ancient recipes as well as innovative and modern recipes. This study intends to investigate the use of honey in gastronomy with the purpose of increasing knowledge regarding the culinary usages of honey, much valued by traditional culture as well as modern practices. An analysis was conducted based on 150 recipes that include honey as an ingredient. A classification of the recipes according to several types of recipes and cooking variables was made, and ingredients were categorised according to the defined classes. Results show that honey is added to recipes essentially as a secondary ingredient in most dishes, while for desserts, it has a more prominent role. Factor analysis revealed two factors: one linked with cooking variables and the other associated with ingredients. Cluster analysis showed five clusters, distinguished according to dish type and ingredient groups, among other distinctive variables. In conclusion, this work showed that honey is a very versatile ingredient with broad applicability in gastronomic preparations.This work was supported by the FCT—Foundation for Science and Technology, I.P and by project PAGE - Paisagens Agrícolas e Alimentares com gerações de mulheres inovadoras (Ref. PRR-C05-i03-I-000217-LA7.6). Furthermore, we would like to thank the CERNAS Research Centre (Ref. UIDB/00681/2020) and the Polytechnic University of Viseu for their support. This research was developed in the ambit of project "RNAES—Rede Nacional para a Alimentação Equilibrada e Sustentável", Ref. PRR-C05-i03-I-000162
Flexible takt times through overlapping zones: an assessment by simulation
No full textFlexible takt times through overlapping zones: an assessment by simulation
The complete set of CLIL lesson plans used in the doctoral study: Full pedagogical intervention materials - Textile & Fashion Design
No full textSupporting the Thesis:
Thesis Title: Collaborative teaching in higher education:
A case study examining the decision-making process of English for specific purposes and content teachers involved in collaborative teaching
Author: Isabele Maria Nunes Lavado
Handle: http://hdl.handle.net/10400.11/10373Foreword and Research Context
Origin and Purpose
Thesis Details and Access
Structure and Design: A CLIL Approach
Language Focus Terminology (Table 1)
Note on Predictive Language (Language through Learning)
Utility for Educators and Researchers
Textile and Fashion Design (TFD) Lesson Plans
TFD Lesson 1: Castelo Branco Embroidery and symbolism
TFD Lesson 2: Sustainability in textile and fashion design
TFD Lesson 3: Urbanisation
TFD Lesson 4: Mood and Tone
TFD Lesson 5: Tecidotec