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  1. 9661
    Icone de Cobertura

    Práticas de recuperação de clientes: winback strategies

    Publicação
    dissertação de mestrado Portugal Acesso Aberto
  2. 9662
  3. 9663
    Icone de Cobertura

    Design de embalagem e rotulagem.

    Publicação
    conference object Portugal Acesso Aberto
  4. 9664
    Icone de Cobertura

    Preterm premature rupture of membranes: CNGOF Guidelines for clinical practice - Short version

    Publicação
    "Objectif Déterminer la prise en charge des patientes avec une rupture prématurée des membranes avant 37 semaines d’aménorrhée (SA). Méthodes Synthèse de la littérature à partir des bases de données PubMed et Cochrane et des recommandations des sociétés et collèges français et étrangers. Résultats En France, la fréquence de la rupture prématurée des membranes (RPM) est de 2 à 3 % avant 37 SA (Niveau de preuve [NP] 2) et de moins de 1 % avant 34 SA (NP2). La prématurité et l’infection intra-utérine sont les complications majeures de la RPM avant terme (NP2). La prolongation de la durée de latence est bénéfique (NP2). Par rapport aux autres causes de prématurité, la RPM avant terme n’est pas associée à un sur-risque évident de morbi-mortalité néonatale, sauf en cas d’infection intra-utérine, qui est associée à une augmentation des morts fœtales in utero (NP3), des infections néonatales précoces (NP2) et des entérocolites ulcéronécrosantes (NP2). Le diagnostic de la RPM avant terme est principalement clinique (accord professionnel). En cas de doute diagnostique, il est recommandé d’utiliser les tests de détection d’IGFBP-1 ou de PAMG-1 (accord professionnel). Il est recommandé d’hospitaliser les patientes lors du diagnostic de RPM avant terme (accord professionnel). Il n’existe pas d’argument suffisant pour recommander ou ne pas recommander une tocolyse initiale (grade C). Si une tocolyse était prescrite, il est recommandé de ne pas la prolonger plus de 48 heures (grade C). Il est recommandé d’administrer une cure anténatale de corticoïdes si l’âge gestationnel est inférieur à 34 SA (grade A) et du sulfate de magnésium en cas d’accouchement imminent avant 32 SA (grade A). Il est recommandé de prescrire une antibioprophylaxie à l’admission (grade A) pour réduire la morbidité néonatale et maternelle (NP1). L’amoxicilline, les céphalosporines de 3ème génération et l’érythromycine (accord professionnel) peuvent être utilisées en monothérapie, ou l’association érythromycine–amoxicilline (accord professionnel), pour une durée de 7 jours (grade C). Toutefois, un arrêt précoce de l’antibioprophylaxie semble acceptable en cas de prélèvement vaginal initial négatif (accord professionnel). Il n’est pas recommandé de prescrire comme antibioprophylaxie l’association amoxicilline-acide clavulanique (accord professionnel), des aminosides, des glycopeptides, des céphalosporines de première ou deuxième génération, de la clindamycine ou du métronidazole (accord professionnel). La prise en charge à domicile des patientes cliniquement stables après au moins 48 heures de surveillance hospitalière est possible (accord professionnel). Au cours de la surveillance, il est recommandé d’identifier les éléments cliniques et biologiques évocateurs d’une infection intra-utérine (accord professionnel). Il n’est pas possible d’émettre de recommandations sur la fréquence de cette surveillance (accord professionnel). En cas d’examen de surveillance isolément positif chez une patiente asymptomatique (CRP augmentée, hyperleucocytose, prélèvement vaginal positif), il n’est pas recommandé d’initier systématiquement une antibiothérapie (accord professionnel). En cas d’infection intra-utérine, il est recommandé d’administrer immédiatement une antibiothérapie associant une bêtalactamine à un aminoside (grade B), par voie intraveineuse (grade B) et de faire naître l’enfant (grade A). La césarienne en cas d’infection intra-utérine est réservée aux indications obstétricales habituelles (accord professionnel). Il est recommandé d’avoir une attitude expectative en cas de RPM non compliquée avant 37 SA (grade A), même en cas de prélèvement positif pour le streptocoque B, sous couvert d’une antibioprophylaxie à l’admission (accord professionnel). L’ocytocine et les prostaglandines sont deux options envisageables pour le déclenchement du travail en cas de RPM avant terme (accord professionnel). Conclusion La prise en charge de la rupture prématurée des membranes avant terme non compliquée repose sur l’expectative jusqu’à 37 SA (grade A).
    livro Portugal Acesso Fechado
  5. 9665
  6. 9666
  7. 9667
    Icone de Cobertura

    Breves considerações sobre a insolação

    Publicação
    bachelor thesis Portugal Acesso Aberto
  8. 9668
    Icone de Cobertura

    Editorial

    Publicação
    journal article Portugal Acesso Aberto
  9. 9669
  10. 9670
  11. 9671
  12. 9672
    Icone de Cobertura

    A Biblioteca Pública Municipal do Porto: das Origens à Contemporaneidade. Compreensão do Sentido e Processos de Sucessiva Adaptação e transformação do Convento de Santo António...

    Publicação
    This Master´s Dissertation is aimed at developing the intervention in the architectural heritage. The research subject of this work is the Municipal Library of Porto. Taking into account the subject matter, in the first chapter it is developed an analysis of different views regarding on how to intervene in this field. For this matter, the starting point was examining various Charters and points of view of different authors that approach distinguished ways of understanding the interference in architectural heritage, so it can reveal different hypothesis of intervening to the preservation, restoration and renovation associated to the building's preservation, improvement and renovation. To complete this reflection related to the established case study, it has been realised an analysis on the evolution of the particular program for a library, since the antiquity till contemporaneity. It emphasizes a set of references that allowed mixing different periods of time and identifying ways of thinking for this specific plan. The idea of that is to determine principles and to suggest program hypotheses that allow the adjustment and update of the equipment to the nowadays requirements and conditions of use in construction. Chapter two highlights the subject of study, the Municipal Library of Porto, contextualizing it in time from its origin to what was associated to a religious activity while Convento de Santo António until it was decisively located there the Municipal Library of Porto. In order to complete this review, there are provided two chronologies, so the evolving sequence of different modifications of the building can be cleared and comprehensive: initially - at structural level and later - at inner level. This sequence introduces the different changes for the program, having the purpose to make it welcoming and it develops restoration and preservation works in places with visible damages. The third chapter includes the analysis of the construction and its program in the current context, recognising the various rooms that form the Library. It represents both, the open access and the place for the management of this building. It is also a place of different ways of circulation based on plants, cuttings and elevations design. In the end, it is presented a proposal of intervention in the building and in the empty area of the location. It is aimed to create solutions in order to add and improve the existing program, as well as giving a feedback to the restrictions due to lack of space, so this existent heritage can be hosted.
    dissertação de mestrado Portugal Acesso Aberto
  13. 9673
    Icone de Cobertura

    Catering dos dividendos: evidências no mercado acionista português

    Publicação
    dissertação de mestrado Portugal Acesso Aberto
  14. 9674
  15. 9675
  16. 9676
  17. 9677
  18. 9678
  19. 9679
    Icone de Cobertura

    Prevalência do estigma em relação à Doença Mental em profissionais de saúde portugueses: Um estudo descritivo e comparativo

    Publicação
    Background: Stigmatizing attitudes by healthcare professionals can be a barrier to accessing health care. Therefore, this study aimed to explore the prevalence of stigma related to mental illness, comparing it between mental health professionals and other healthcare workers, including General Practitioners (GPs), as well as the influence of personal history or contact with a friend/relative with mental illness. Materials and methods: An observational, cross-sectional, and quantitative study was conducted, with online data collection via Google Forms®. Participants were recruited from different professional associations and Health Center Groups. The Opening Minds Stigma Scale for Healthcare Providers (OMS-HC), validated for Portugal, was used. Results: Overall, healthcare professionals in Portugal showed low to moderate levels of stigma. Mental health professionals showed significantly lower levels of stigma compared to other healthcare professionals (including GPs). Having a close friend/relative with mental illness also appears to be a protective factor against stigma, while a personal history of mental illness indicates higher levels of stigma. Conclusion: Future studies are necessary to evaluate the impact of potential anti-stigma measures and to understand why experiencing mental illness oneself can contribute to increased stigma.
    dissertação de mestrado Portugal Acesso Fechado
  20. 9680
    Icone de Cobertura

    O Comportamento Visual de Basquetebolistas sub14 em Jogos Reduzidos e Condicionados

    Publicação
    In this dissertation the visual search behavior of U14 basketball players in different competitive levels (such as national and regional) was evaluated during small-sided and conditioned games (i.e. 1vs1 and 2vs1), from the defensive point of view. A total of 48 male players (13,7 ± 0,7 years of age) were tested, 12 players (13,8 ± 0,8 years of age) were included in the national competition group and the remaining 36 athletes (13,7 ± 0,8 years) formed the regional group. The visual search behavior was recorded through the eye tracking system Tobbi Pro Glasses 2®, having used the following visual indicators: medium fixation duration, number of fixations per repetition, medium fixation duration per area of interest, number of fixations per area of interest and percentage of the time of fixation per area of interest. The obtained results showed significative statistical differences in the strategies of visual search among situations of 1vs1 and 2vs1, being the first situation characterized by a larger number of fixations than the second situation (7,223 ± 1,882 vs 6,517 ± 1829). Statistical evidence was also observed among both groups of different competitive levels. Regarding the situation of 1vs1, the group of national competition accomplished a larger number of fixations in the area of ball (National Group=1,113 ± 0,968; Regional group=0,661 ± 0,522) and area upper limb with the ball of the player in ball possession (National Group=0,992 ± 0,602; Regional Group=0,594 ± 0,462), also showing a higher percentage of time fixation for the same areas of interest (Ball: National Group=15,628 ± 14,310, Regional Group=8,342 ± 7,485; Upper limb with the ball of the player in ball possession: National Group=13,284 ± 9,812, Regional Group=7,567 ± 6,638) when compared with the group of regional competition. No differences were found for the 2vs1 situation among groups. By so, we can infer that youth basketball players showed different visual search behaviors according to the task and competitive level.
    dissertação de mestrado Portugal Acesso Aberto