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- Atração das marcas pelos influenciadores digitais: uma perspetiva intergeracionalPublication . Mendes, Mariana Madaleno; Leandro, Alexandra Maria Fernandes, 1975-O Marketing de Influência é uma ferramenta cada vez mais utilizada na atualidade. É graças à interação dos influenciadores digitais com os seus seguidores que muitas marcas conseguem se aproximar do seu público-alvo ou conquistá-lo. Este estudo tem como objetivo perceber quais são os pontos de atração dos influenciadores, que pertencem a diferentes gerações, para as marcas. Através da metodologia qualitativa, com recurso a entrevistas semiestruturadas, foi possível conhecer a realidade dos influenciadores e das marcas que praticam o Marketing de Influência. Depois de realizadas as entrevistas, foram divididas as respostas, consoante os temas abordados, de forma a ser possível realizar a conclusão dos resultados obtidos. O estudo para além de indicar os pontos de atração dos influenciadores, vai colmatar a falta de literatura associada às palavras-chave quando pesquisadas em conjunto. Sendo também possível constatar ao longo desta dissertação quais os pontos positivos e negativos da utilização do Marketing de Influência.
- Ptosis in human immunodeficiency virus-infected patients under long-term antiretroviral treatmentPublication . Santos Silva, C; Nunes Vicente, B; Martins, B; Fonseca, AC; Coelho, P; Roque, R; Cota de Medeiros, F; Oliveira Santos, M; de Carvalho, MObjective: To present cases of ptosis in HIV-1 patients on long-term antiretroviral therapy (ART) and review the existing literature. Methods: Five HIV-1-positive patients with slowly progressive bilateral ptosis underwent a comprehensive diagnostic evaluation, including imaging studies, neurophysiological testing, muscle biopsy, and genetic analysis. A literature review was conducted. Results: On clinical examination, all patients presented with bilateral symmetrical non-fatigable ptosis, three exhibited facial lipoatrophy and two also had mild multidirectional ophthalmoparesis and all had ocular abnormalities in Hess screen test. Additionally, one patient displayed proptosis, three had floppy lower eyelids, and four presented with exotropia. Anti-acetylcholine receptor antibodies were negative in all patients. Brain magnetic resonance imaging (MRI), motor unit potential analysis, and single-fiber electromyography were unremarkable. Orbital MRI revealed introrbital fat expansion in one patient, and limb muscle biopsies were inconclusive in two cases. Blood genetic testing for chronic progressive external ophthalmoplegia was negative in all patients. A total of 30 similar cases have been documented in the literature, with some studies reporting key findings such as muscle histology indicative of mitochondrial myopathy, MRI revealing patchy extraocular muscle hyperintensity, and muscle genetic testing identifying mitochondrial deoxyribonucleic acid (DNA) deletions. Ptosis surgical repair appears to be the most effective treatment. Conclusion: HIV patients on long-term ART may develop ocular muscle involvement due to mitochondrial dysfunction, with bilateral ptosis being the primary manifestation. Diagnosis is challenging and requires the exclusion of other conditions. Ptosis surgery can significantly improve quality of life.
- Ir para casa em segurança: car seat challenge test numa unidade de neonatologiaPublication . Prior, F; Costo, M; Félix, I; Trindade, D; Carneiro, RIntrodução: Recomenda-se o uso de um Sistema de Retenção para Crianças (SRC) adequado para o transporte do recém-nascido do hospital para casa. A permanência do recém-nascido no SRC, em especial o recém-nascido que teve necessidade de internamento em Unidade de Cuidados Intensivos Neonatais (UCIN), está associada a episódios de dessaturação, pelo que é fortemente recomentado avaliar a estabilidade hemodinâmica do recém-nascido, adequadamente sentado no SRC. O Car Seat Challenger Test (CSCT), permite rastrear situações de risco e atuar em conformidade com a situação identificada, sendo um dos métodos indicados para realizar o rastreio de apneia do recém-nascido no SRC. Objetivo: Analisar os resultados do rastreio CSCT, dos recém-nascidos com alta da Unidade de Neonatologia para casa de 1 de julho de 2021 até 31 de Julho de 2023. Métodos: Estudo descritivo, retrospetivo, observacional, não experimental. Os dados foram recolhidos do registo do procedimento e consideram as seguintes informações do recém-nascido: idade gestacional, idade corrigida, comorbilidades, ocorrência de apneia, frequência cardíaca média, saturação de oxigénio média e duração do teste. Resultados: Foram identificados 191 CSCT testes elegíveis, nos quais 189 recém-nascidos passaram na primeira avaliação, e 2 passaram à segunda avaliação. Dos 3 recém-nascidos que reprovaram o teste, 2 deles repetiram-no mais de 12 horas após o primeiro teste. Conclusão: Apesar da existência de um protocolo, verificou-se que o procedimento nem sempre é cumprido. Devido ao reduzido número de indivíduos, não é possível estabelecer uma relação entre as comorbilidades e a aprovação no CSCT.
- Acceptance of Open Preperitoneal Repair in Inguinal Hernia Surgery Delphi-Consensus After an Anonymous International Survey Among European Hernia Society MembersPublication . Lorenz, R; Akkersdijk, W; Paiva De Oliveira, G; Warren, T; Soler, MIntroduction: For years, the Lichtenstein technique was the gold standard for open repair, but several open pre-peritoneal techniques have developed since the fifties of the 20th century that offer some benefits over the Lichtenstein technique in terms of post-surgical incidence of pain. Since the 2023 update of the International HerniaSurge Guidelines, open preperitoneal mesh techniques have been an acceptable alternative, providing available expertise and competence with at least equal results as Lichtenstein repair. Aim: The aim of this project is to understand the views of surgeons regarding the approach to inguinal hernia repair and determine best practice principles for optimal surgical outcomes. Methods: Using a modified Delphi method, a panel of experts developed 43 Likert scale statements across six key domains. These statements were used to develop an online survey distributed to surgeons in Europe involved in inguinal hernia repair. The threshold for consensus was set a priori at 75%. Results: A total of 202 responses were received from surgeons involved in inguinal hernia repair over three rounds of survey. After the initial survey round, seven statements were revised and reissued for a further round. At the conclusion of the survey phase, 31 of the 38 remaining statements achieved consensus (of which 13 achieved ≥90% agreement). From these results, the panellists developed a set of 3 recommendations to help define principles for optimal approach to inguinal hernia repair. Accordingly Open preperitoneal techniques seems to be an alternative to Lichtenstein technique if expertise is available and should be included in a tailored concept. Knowledge of anatomy, Education and Training in open preperitoneal techniques is crucial for the acceptance of these techniques. Conclusion: The proposed set of recommendations provides some principles for surgeons to consider when selecting an approach to inguinal hernia repair, ensuring good patient outcomes in a practical and cost-effective manner.
- Cuidar com saber. Cuidar para fortalecer: Portfólio coletivo do MEMCpspal 2024/2025Publication . Pontes, Sónia Raquel; Tavares, Francisca Tavares; Lourenço, Fábio Alexandre Maia; Dias, Vera Lúcia Da Silva Marques; Rodrigues, Maria Olga Santos Machado; Pires, Joana Sofia Barbosa; Lopes, Beatriz Gomes; Boucinha, Beatriz Gonçalves; Gonçalves, Inês Aguiar Dos Santos; Costa, Tiffany Lopes; Pereira, Rosa Maria Gomes; Mota, Elisabeth Marcos; Mota, Ana Raquel Freire; Linhares, Joana Correia; Martins, Catarina Dos Santos; Barreto, Catarina Isabel Pereira; Silva, Rúben Miguel Pereira; Marques, PauloUm trabalho, um desafio, um momento de avaliação. Para nós, este portfólio representa mais do que uma simples coleção dos trabalhos individuais elaborados no contexto da especialização que nos juntou neste percurso académico. São sonhos e expectativas apresentados em forma de contos e histórias, ou expressos de uma forma artística. São experiências pessoais e profissionais que nos moldaram e fizeram de nós as pessoas e profissionais que somos e que almejamos ser. São reflexões críticas em forma de artigo, que evidenciam a procura de um saber que prioriza o conforto e a qualidade de vida daqueles que diariamente cuidamos. O título “Cuidar com saber. Cuidar para fortalecer.” surge como reflexo do “saber” impresso em cada frase deste portefólio e como resultado da nossa análise e troca de reflexões sobre a ilustração elaborada, propositadamente, pela filha de uma pessoa com doença terminal, em acompanhamento por uma equipa de Cuidados Paliativos.
- Approaches and Conceptions of Teaching and Learning: Towards the School of ExcellencePublication . Lourenço, Abílio Afonso; Valente, Sabina; Dominguez Lara, Sergio Alexis; Fulano, Celso
- Exergames for rehabilitation in stroke survivors: Umbrella review of meta-analysesPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Gonçalves, Filipe; Lima, Andreia; Silva, Mafalda; Moreira, Maria Teresa; Santos, Célia; Ferreira, SaloméBackground: It is essential to explore alternative methods to motivate stroke survivors throughout their lengthy rehabilitation journey. Exergames have emerged as promising tools for rehabilitating this demographic. Objective: We aimed to synthesize the combined evidence from meta-analyses that assessed the effects of exergames in the rehabilitation of stroke survivors. Methods: The umbrella review was conducted utilizing several databases, including MEDLINE® (Medical Literature Analysis and Retrieval System Online), CINAHL® (Cumulative Index to Nursing and Allied Health Literature), the Psychology and Behavioral Sciences Collection, SPORTDiscus®, and Scopus®. It included studies published until December 2023 without any restrictions based on publication date. Results: The analysis included 11 meta-analyses involving approximately 9,615 patients, reflecting a growing adoption of exergames in post-stroke rehabilitation since 2015, focusing on using Nintendo Wii. The analyzed studies varied widely in intervention duration (from 1 to 16 weeks) and were applied across different phases of post-stroke rehabilitation, from the acute to the chronic phase. Significant improvements were observed in balance and upper limb functionality, although there was notable methodological heterogeneity and variability in the results. Conclusions: This study highlights the value of exergames in the rehabilitation of stroke survivors and recommends future research that adopts rigorous methodological designs with clearly specified intervention stages. It underscores the importance of additional qualitative studies to explore the perspectives of patients and healthcare professionals regarding exergames, aiming to refine rehabilitation strategies and enhance the clinical benefits achieved.
- “Feixe de intervenções” para a prevenção da pneumonia associada à intubaçãoPublication . Carvalho Pinto, Cristina; Bastos, Celeste; Cerqueira, Carla
- Midwifery theories: A scoping reviewPublication . Paz, Sara D.C.; Soares Goncalves, Andreia; Moreira Freitas, Conceição; Sampaio, Filipa; Prata, Ana PaulaProblem: The identification of midwifery theories will contribute to the identification of a midwifery model of care for women experiencing low-risk pregnancies, and to support its implementation in Portugal. Background: Previous research has explored the concept of woman-centredness as the core principle underpinning midwifery practice, mapped existing midwifery models of care, synthesized multiple theories and the scope of midwifery to achieve conceptual integration, and identified the aspects of midwifery care that most significantly contribute to the quality of care for women and their babies. However, to the best of the authors' knowledge, no other review has mapped the theories that underpin midwifery practice. Aim: This study aims to map and summarise the theories that underpin midwifery practice. Methods: The JBI methodology for scoping reviews was used to conduct this review. Findings: A total of 16 documents were included in this review. Sixteen theories were identified and the differences between them vary in both underpinning philosophical ideas and the methodology used to develop them. Discussion: The four concepts of the nursing-midwifery metaparadigm were identified in all documents and a fifth concept, midwife's self-knowledge, should be included in the characterisation of a midwifery theory, once it has a strong presence in all four concepts, underpinning them. Conclusion: This scoping review identified the theories underpinning midwifery practice. The compilation of these theories can be used to strengthen the scientific area and profession: development of theoretical knowledge as professional autonomy and power, internal control for the profession, guidance to professional practice, practice standardization, inter and intra-professional communication, and outcomes assessment and improvement.
- Influence of oncology nurses' decision-making and personality traits on missed nursing care and related factors: A correlational studyPublication . Paiva, Ivo C.S.; Ventura, Filipa I.Q.S.; Vilela, Carlos; Moreira, Isabel M.P.B.Purpose: To identify Missed Nursing Care (MNC) and related factors, as well as analyze the influence of nurses' decision-making and personality traits on MNC in two Portuguese hospitals dedicated to cancer care. Methods: A cross-sectional, multicentric, descriptive-correlational study was conducted using a convenience sample of 298 nurses working in two hospitals dedicated to cancer care. Data were collected in the first semester of 2023 using a questionnaire that included sociodemographic and professional questions and the Portuguese versions of the MISSCARE Survey, the Nursing Decision-Making Instrument (NDMI-PT), and the Ten-Item Personality Inventory (TIPI-P). Results: Nurses missed care occasionally, namely in the dimensions related to Patient empowerment/autonomy care and Efficacy of feeding and medication. Staffing, Patient volume and acuity, and Management and organization were moderate to significant reasons for MNC. The flexible decision-making style was predominant (81.5%). The most prevalent personality traits were Conscientiousness, Agreeableness, and Openness to experience. Significant correlations were found between the four stages of the decision-making process and the personality traits and several dimensions of MNC. Data collection to assess a patient's condition was negatively correlated with Team communication and Material resources. Similarly, the Emotional stability trait was negatively correlated with Team communication and Patient volume and acuity. Conclusions: This study identified MNC and factors that can influence the quality of care. It is crucial to promote nurses' training and specialization within healthcare teams, with a particular focus on enhancing some of their personality traits to make them more effective and efficient therapeutic agents.