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Para além da Forma: Território e Desafios Societais: Livro de Resumos: 13.ª Conferência PNUM 2025
Livro de resumos organizado pelo Departamento de Arquitetura e Multimédia Gallaecia da Universidade Portucalense (DAMG); CIAUD-UPT; Rede Lusófona de Morfologia Urbano (PNUM)
Inhaler identification: Evaluating a potential screening method for adherence in chronic respiratory disease management
Objectives: This study explores the relationship between inhaler visual identification, naming, and adherence outcomes, and evaluates the potential of combining these factors into a screening tool for identifying poor adherence. Methods: This observational, prospective study included adult patients with COPD, asthma, or asthma+COPD who had been on chronic inhalation therapy for at least the past year. Data were collected through patient interviews and medical records. Adherence was assessed using the Test of Adherence to Inhalers (TAI) questionnaire and prescription records, calculated as the Proportion of Days Covered (PDC). The patients completed a questionnaire to evaluate their ability to visually identify and name their inhalers. Results: Among the 196 participants, significant differences in adherence levels were observed across the COPD, asthma, and asthma+COPD groups, with COPD patients demonstrating higher adherence rates (p=0.001). Concordance between TAI and PDC was highest in the COPD group (75.0%), compared to the asthma (51.3%) and asthma+COPD (55.5%) groups. Correct naming of inhalers was not significantly correlated with adherence. However, correct inhaler visual identification was associated with better adherence. Incorrect visual identification showed low sensitivity (15.9%) but high specificity (92.6%) for detecting poorly adherent patients. Conclusions: The ability to visually identify inhalers was associated with better adherence, while the ability to name inhalers was not. Although incorrect visual identification has limited utility as a screening tool, it may still serve as a rapid and practical method for identifying poorly adherent patients in clinical practice
Minor neuropsychological deficits in subjective cognitive decline (SCD) [abstract]
Sem resumo disponível
Career development and turnover in the Hospitality Industry: Portraying job moves and career trajectories
Retaining valuable and qualified employees has become increasingly challenging in light of labour shortages, workforce demographic shifts and modern career concepts based on increased mobility and short-term transactional relationships between the employer and the employee. The concept of career is central in human resources management. However, it is a poorly studied phenomenon in tourism and hospitality, as there is still little information on how jobs develop into careers. This chapter provides insights into career development and turnover in the dynamic tourism and hospitality industry and explores this industry’s career trajectories and job changes. Career trajectories are analysed in the light of contemporary career perspectives, such as protean and boundaryless careers, and factors contributing to voluntary turnover are examined, highlighting the locus of initiative and motives for job and career moves. Challenges of turnover management and the need for structured career opportunities in the tourism and hospitality industry are addressed
O papel do marketing na gestão dos serviços de saúde: o caso do Grupo Clínica Santa Madalena
O marketing interno é uma estratégia de gestão que procura motivar e envolver os colaboradores de uma organização para melhorar o seu desempenho e, consequen-temente, a qualidade do serviço e, em última instância, a satisfação dos clientes. Este estudo teve como principal objetivo compreender o papel do marketing interno na gestão dos serviços de saúde no grupo CSM. Para atingir os objetivos propostos e, tendo em conta o problema de investigação e as questões de partida, recorreu-se a uma metodo-logia qualitativa assente essencialmente num estudo de caso. Em termos complemen-tares, analisou-se as respostas de 32 entrevistas semiestruturadas em 6 clínicas do grupo Santa Madalena.
Como principais resultados e relativamente ao primeiro objetivo específico, iden-tificar práticas de marketing de serviços de saúde no grupo CSM, verificou-se que: i) as campanhas de informação, a promoção de programas de saúde oral e a criação de experiências positivas na relação com os pacientes, como a empatia e a comunicação, são práticas de marketing interno adotadas pelos colaboradores. Respondendo ao se-gundo objetivo, compreender o papel do marketing interno na prestação de serviços de saúde no grupo CSM, verificou-se que: ii) as ações de formação, as práticas de comu-nicação interna e o envolvimento dos profissionais na gestão, influenciam a integração e a retenção dos colaboradores. Sobre o terceiro objetivo, identificar os fatores críticos de sucesso que poderão influenciar a qualidade de serviços prestados pelos colabora-dores do grupo CSM, verificou-se que: iii) a prestação de serviços de reconhecida qua-lidade são uma consequência da motivação e da integração de equipas de colaborado-res. Estas iniciativas permitiram atingir padrões de elevada qualidade assim como um bom desempenho ao nível da qualidade dos serviços prestados aos pacientes. Por úl-timo, e relativamente ao quarto objetivo, analisar como é que as dimensões da qualidade dos serviços influenciam a perceção da qualidade por parte dos pacientes, verificou-se que: iv) as dimensões da qualidade dos serviços de saúde, a fiabilidade, a capacidade de resposta, a confiança, a cortesia, a competência e os elementos tangíveis influenci-aram a perceção da qualidade dos serviços por parte dos pacientes.
No que concerne a recomendações, sugere-se a realização de mais investigação sobre o marketing interno no setor de saúde, recorrendo-se a abordagens complemen-tares em colaboração estreita entre a academia e as empresas.Internal marketing is a management strategy that seeks to motivate and involve an organization's employees to improve their performance and, consequently, the quality of service and, ultimately, customer satisfaction. This study's main objective was to under-stand the role of internal marketing in the management of health services in the CSM group. To achieve the proposed objectives and, considering the research problem and starting questions, a qualitative methodology based essentially on a case study was used. In complementary terms, the responses from 32 semi-structured interviews were analyzed in 6 clinics in the Santa Madalena group.
As main results and in relation to the first specific objective, identifying health ser-vices marketing practices in the CSM group, it was found that: i) information campaigns, the promotion of oral health programs, and the creation of positive experiences in the relationship with patients, such as empathy and communication, are internal marketing practices adopted by employees. Considering the second objective, understanding the role of internal marketing in the provision of health services in the CSM group, it was found that: ii) training actions, internal communication practices, and the involvement of employees in management influence integration and employee retention. Regarding the third objective, identifying the critical success factors that may influence the quality of services provided by the CSM group, it was found that: iii) the provision of services of recognized quality are a consequence of motivated collaborators and team integration. These initiatives enable high quality standards, as well as good performance in terms of the quality of the services provided to patients. Finally, and regarding the fourth objective, to analyze how the dimensions of service quality influence the perception of quality by patients, it was found that: iv) the dimensions of the quality of health services, reliability, responsiveness, trust, courtesy, competence, and other tangible elements, influence pa-tients' perception of the quality of services.
Regarding recommendations, it is suggested that more research be carried out on internal marketing in the healthcare sector, using complementary approaches in close collaboration between academia and companies
Positive emotional memories, stigma, and mental health in sexual and gender minority adults: The mediating role of self-compassion and social support
Literature reveals that memories of warmth and safeness, self-compassion, and social support are positively related to mental health. The present study aimed to analyze the impact of early memories of warmth and safeness and internalized homophobic stigma on mental health, through self-compassion and perceived social support, in sexual and gender minority adults. With a cross-sectional design, this study included a sample of 203 sexual and gender minority individuals (Meanage = 27.74; Standard Deviationage = 8.75). Data collection occurred online between March and June 2022. Self-report ques- tionnaires were administered to assess the constructs under study. Positive correlations were found between early positive memories, self-compassion, perceived social support, and mental health. On the contrary, internalized stigma showed significant and negative correlations with self-compassion, perceived social support, and mental health. In addition, results confirmed the indirect effects of memories of warmth and safeness on mental health through self-compassion and social support. Also, the impact of stigma on mental health occurred entirely through self-compassion and social support. These results suggest the importance of promoting self-compassion and social support to address internalized stigma and thus improve sexual and gender minority adult’s mental health
Green absorptive capacity and environmental management: The main challenges, gaps and research agenda
Purpose
This paper aims to comprehensively examine the concept of green absorptive capacity (GAC), emphasizing the increasing need to incorporate external environmental knowledge into green innovation (GI) and management strategies. It highlights how GAC can assist companies in remaining competitive while embracing environmental issues and fostering a green economy.
Design/methodology/approach
We conducted a systematic and comprehensive literature review, examining over 120 peer-reviewed articles from the Web of Science database and their relevance to GAC. By utilizing the bibliometric analysis software VosViewer, we identified key themes and trends in the literature.
Findings
The research findings highlight the importance of GAC as a key organizational function that mediates the link between GI and environmental pressures. Four thematic areas were identified: (1) competitive advantages associated with GAC in improving environmental and business performance; (2) determinants influencing GI, such as stakeholder and regulatory pressures; (3) new dynamics of absorptive capacity that focus on integrating stakeholder and environmental concerns and (4) the urgency of GAC adoption, which is driven by both internal and external pressures to achieve sustainability goals.
Practical implications
We propose a conceptual definition in the context of new pressures, discuss its competitive advantages and theorize about its impact on green innovation as a driving force in the new economy.
Originality/value
The findings and policy recommendations are widely applicable across various industries and areas, even though the results will be derived from a particular body of literature. Due to the concept’s adaptability and close relationship to green innovation, the study can propose solutions that can be adjusted to different regulatory and industrial situations
Cronologia da construção europeia comunitária [recurso pedagógico/manual]
Recurso pedagógico para o 1.º Ciclo de Estudos em Direito
Essays on corporate social responsibility and non-financial firms’ performance: the case of green bonds
A presente tese de doutoramento é composta por três ensaios que exploram a
emissão de obrigações verdes e o seu impacto no desempenho financeiro de
empresas não financeiras.
O primeiro ensaio, apresentado no Capítulo 2, visa aprofundar a compreensão da
relação entre o desempenho financeiro das empresas e as suas atividades de
responsabilidade social das empresas (RSE). Especificamente, investiga se a afetação
de recursos financeiros da empresa para a implementação de projetos ligados a
questões sociais, ambientais e de governação pode gerar sinergias que aumentem o
valor do negócio e melhorem o desempenho financeiro, beneficiando tanto a empresa
como as demais partes interessadas. Para tal, foi realizada uma revisão sistemática da
literatura e uma análise de conteúdo de 53 artigos que abrangem a intersecção da
RSE e do desempenho financeiro de 1984 a 2021. Os resultados obtidos sugerem que
a RSE tem um impacto direto no desempenho financeiro de uma empresa, com esse
efeito a ser mais pronunciado à medida que as pontuações ambientais, sociais e de
governo (ESG) da empresa melhoram. É de salientar que o nosso estudo é
abrangente, incluindo análises de empresas de vários índices do mercado bolsista
mundial, fundos de investimento, carteiras sustentáveis e não sustentáveis, diversas
regiões, classes de ativos para investimento ESG, mercados emergentes e países
desenvolvidos e em desenvolvimento.
O segundo ensaio, apresentado no Capítulo 3, começa por examinar o papel da
emissão de obrigações, em comparação com a dívida bancária, entre as empresas do
Índice de Ações Portuguesas (PSI) como a sua principal fonte de dívida externa. A
análise efetuada revela a existência de uma tendência em que os bancos facilitam o
acesso aos mercados de capitais em vez de fornecerem fundos diretamente.
Posteriormente, explora-se os determinantes da escolha, por parte de empresas
europeias não financeiras cotadas, entre obrigações verdes e obrigações
convencionais, entre 2013 e 2021, usando um modelo Logit. Os resultados
demonstram que várias características dos emitentes afetam significativamente esta
decisão. Em particular, a tangibilidade dos ativos, as classificações ambientais
favoráveis, os rácios de alavancagem mais baixos e o forte desempenho financeiro
são identificados como fatores-chave para os emitentes de obrigações verdes. Estas
conclusões oferecem implicações valiosas para a promoção do crescimento do
mercado de obrigações verdes e são relevantes para os decisores políticos,
investidores e empresas que procuram opções de financiamento sustentáveis.
O terceiro ensaio, que se encontra no Capítulo 4, efetua uma análise mais profunda
das obrigações verdes, enquanto classe de ativos financeiros pertencente ao grupo
dos instrumentos de financiamento sustentável, com um crescimento relativo muito
significativo. Na última década, os títulos verdes surgiram como uma ferramenta
predominante de financiamento por dívida na Europa, apoiando investimentos verdes
e promovendo o crescimento sustentável. Tendo subjacente uma amostra de
empresas europeias que emitiram obrigações verdes entre 2013 e 2021, este estudo
investiga os efeitos da emissão de obrigações verdes no desempenho económico,
sustentabilidade financeira, classificações ambientais e criação de valor global das
empresas. A análise efetuada revela uma tendência crescente de emissão de
obrigações verdes por empresas, particularmente notória em sectores onde as
preocupações ambientais têm implicações financeiras significativas. Utilizando-se um
modelo de propensity score matching-difference-in-differences, demonstra-se que a
emissão de obrigações verdes tem um impacto positivo nos indicadores económicovi
financeiras das empresas (como a rendibilidade do capital próprio e o fluxo de caixa
operacional), nas características operacionais (incluindo o total de ativos e o volume
de negócios) e nos elementos de governação empresarial (como a diversidade de
género no conselho de administração). Além disso, observa-se uma influência
favorável na classificação ambiental e na criação de valor ambiental, social e de
governação. Fundamentalmente, as conclusões obtidas sugerem que estes resultados
não se devem apenas a considerações de custo de capital, salientando benefícios
mais amplos para além do acesso a fontes de financiamento mais baratas.
Classificação Codes: G23; G32; Q56The first essay, in Chapter 2, aims to deepen our understanding of the relationship
between companies' financial performance and their Corporate Social Responsibility
(CSR) activities. Specifically, it investigates whether allocating company resources to
address social, environmental, and governance (ESG) issues can generate synergies
that enhance business value and improve financial performance, benefiting the
company and its stakeholders. To do that, we conducted a systematic review and
content analysis of 53 articles spanning the intersection of CSR and financial
performance from 1984 to 2021. Our findings suggest that CSR directly impacts a
company's financial performance, with this effect becoming more pronounced as the
company's ESG scores improve. Notably, our study is comprehensive, encompassing
analyses of companies from various world stock market indices, mutual funds,
sustainable and non-sustainable portfolios, diverse regions, asset classes for ESG
investing, emerging markets, and developed and developing countries.
The second essay, in Chapter 3, begins by examining the role of public debt compared
to bank debt among companies in the Portuguese Stock Index (PSI) as their primary
external debt source. Our analysis reveals a trend where banks facilitate access to
capital markets rather than providing funds directly. Subsequently, using a logit model,
we explore the determinants influencing the choice between green and conventional
bonds among European non-financial listed companies from 2013 to 2021. Our
findings demonstrate that various issuer characteristics significantly affect this decision.
Notably, asset tangibility, favorable environmental ratings, lower leverage ratios, and
strong financial performance are key drivers for green bond issuers. These insights
offer valuable implications for promoting the growth of the green bond market and hold
relevance for policymakers, investors, and companies seeking sustainable financing
options.
The third essay, in Chapter 4, offers a deeper understanding of the increasing
prominence of green bonds as a financial asset class within sustainable financing.
Over the past decade, green bonds have emerged as Europe's predominant debt
financing tool, supporting green investments, fostering sustainable growth, and
addressing climate change challenges. By examining data from European firms that
issued green bonds between 2013 and 2021, this study delves into the effects of green
bond issuance on firms' economic performance, financial sustainability, environmental
ratings, and overall value creation. Our analysis reveals a growing corporate green
bond issuance trend, particularly noticeable in industries where environmental
concerns carry significant financial implications. Employing a propensity score
matching–difference-in-differences model, we demonstrate that green bond issuance
positively impacts firms’ economic and financial indicators (such as return on equity
and operational cash flow), operational characteristics (including total assets and
turnover), and elements of corporate governance (such as gender diversity within the
board of directors). Moreover, we observe a favorable influence on environmental
ratings and the generation of environmental, social, and governance values. Crucially,
our findings suggest that these outcomes are not solely driven by considerations of
cost of capital, highlighting broader benefits beyond accessing cheaper funding
sources.
Classification Codes: G23; G32; Q5
Resilient object detection for autonomous vehicles: Integrating deep learning and sensor fusion in adverse conditions
Autonomous vehicles (AVs) rely on advanced object detection systems to ensure safe navigation, especially under adverse weather conditions that can impair sensor visibility and introduce detection challenges. This manuscript provides a comprehensive analysis of state-of-the-art methodologies, focusing on deep learning frameworks, multi-sensor fusion techniques, and specialized datasets designed for AV object detection across various environmental conditions. We categorize approaches based on accuracy, computational efficiency, and resilience to challenging weather scenarios, offering insights into the strengths and limitations of each technique. Additionally, widely used datasets, such as KITTI and Waymo, along with synthetic and real-time datasets, are evaluated to assess their impact on detection accuracy in complex scenarios. While deep learning models demonstrate high accuracy, the integration of sensor fusion and transfer learning techniques further enhances robustness and adaptability. Our findings emphasize the importance of developing weather-resilient AV perception systems and provide recommendations for advancing object detection frameworks in autonomous driving applications