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O presente trabalho académico tem por objetivo explorar e analisar quais foram as principais estratégias comunicacionais utilizadas no perfil de Instagram da marca Puravita. Os procedimentos metodológicos utilizados foram a revisão bibliográfica, através de livros e artigos de revistas online. Ainda foi possível observar a análise de conteúdos e a observação participante. Abordaram-se as mudanças no paradigma comunicacional, assim como, a evolução do Marketing, desde os seus primórdios até aos dias de hoje. Um dos objetivos foi, então, perceber a forma como as marcas se posicionam, mantendo a boa reputação, e quais as estratégias de comunicação digital mais indicadas, de modo, a que consigam fidelizar clientes e estreitar relações com os mesmos. Quis-se, também, compreender a forma como as agências de comunicação digital organizam o seu trabalho e como retiram o melhor proveito das redes sociais para desenvolverem conteúdos, fomentando relações com base na proximidade e levando a que as marcas que contratam os seus serviços atinjam valores elevados ao nível da interação e do engagement com os seus públicos-alvo. Para comprovar isto mesmo, definiu-se uma pergunta de partida: “Em que medida é que a rede social Instagram foi importante para a comunicação da Puravita e para a construção de relações de proximidade e interatividade com os seus potenciais clientes/consumidores?”. A partir deste ponto, procedeu-se a uma análise atenta do Instagram de Puravita, tendo-se observado os conteúdos publicados no perfil, de janeiro a junho. The present academic work aims to explore and analyze what were the main communicational strategies applied in the Puravita´s Instagram profile. The methodological procedure used was a literature review, through books and online journal articles, as well as content analysis and participant observation. Changes in the communicational paradigm were discussed, as well as the evolution of Marketing, from its beginnings to the present day. One of the objectives was, therefore, to understand how brands position themselves, maintaining a good reputation, and which digital communication strategies are most suitable, so that they can retain customers and strengthen relationships with them. We also wanted to understand how digital communication agencies organize their work and how they make the best use of social networks to develop content, fostering relationships based on proximity, and leading the brands that hire their services to achieve high values in terms of interaction and engagement. To prove this, a starting question was defined: "To what extent was the social network Instagram important for Puravita's communication and for building close and interactive relationships with its potential customers/consumers? From this point on, a careful analysis of Puravita's Instagram was carried out, having observed the contents published on the profile, from January to June.

Resumo Mudanças nas estratégias de atenção à saúde têm sido propostas visando maior autonomia e autocuidado de usuários que apresentam problemas crônicos de saúde. O objetivo deste estudo foi compreender as percepções e os significados atribuídos às estratégias de cuidados desenvolvidas nos encontros semanais de exercícios posturais pelos usuários com dores musculoesqueléticas crônicas em uma Unidade Básica de Saúde. O estudo foi de caráter qualitativo e as informações coletadas a partir de entrevistas com oito usuários foram agrupadas em duas unidades de significação: Compartilhando experiências - o cuidado a cada encontro e Para além dos encontros - daquilo que se leva para a vida. Concluímos que os fatores mais relevantes para frequentarem os encontros foram o espaço de escuta, o compartilhamento de momentos de descontração e a troca de experiências, sendo esses elementos centrais para promoção do bem-estar emocional e melhor entendimento da dor. Abstract Changes in health care strategies aimed at greater autonomy and self-care for users with chronic health problems have been proposed. This study looks into perceptions and meanings ascribed by participants to health care strategies developed in weekly postural exercise meetings by users with chronic musculoskeletal pain at a Basic Health Unit. The study was qualitative, and the information collected from interviews with eight users was grouped in two units of meaning: Sharing experiences - care in each meeting; and Beyond meetings - on what one takes from life. We concluded that the most relevant factors to attend were the space for listening; sharing moments of relaxation; and exchange of experiences. There were the core elements for promoting emotional well-being and better understanding of pain. Resumen Los cambios en las estrategias de atención a la salud han sido propuestos buscando una mayor autonomía y autocuidado de usuarios que presentan problemas crónicos de salud. El objetivo de este estudio fue comprender las percepciones y los significados atribuidos a las estrategias de cuidado de la salud desarrolladas en encuentros semanales de ejercicios posturales por los participantes con dolores musculoesqueléticos crónicos en una Unidad Básica de Salud. El estudio fue de carácter cualitativo y las informaciones, recolectadas a partir de entrevistas con ocho usuarios, fueron agrupadas en dos unidades de significación: Compartiendo experiencias -el cuidado a cada encuentro y Más allá de los encuentros -de lo que se lleva a la vida. Concluimos que los factores más relevantes que los llevan a frecuentar los encuentros fueron el espacio de escucha, el compartir momentos de relajación y el intercambio de experiencias, siendo estos los elementos centrales para la promoción del crecimiento, el bienestar emocional y la mejor comprensión del dolor.

O objectivo desta dissertação é a modelação, diagnóstico, e avaliação da capacidade de integração de energia renovável na rede elétrica da ilha de Santiago no arquipélago de Cabo Verde. Para o efeito, foram desenvolvidos cenários operacionais que correspondem a diferentes modos de integração de fontes de energia renovável e avaliados tendo em consideração critérios de segurança de planeamento. Foi igualmente analisado o impacto da ligação de uma nova linha de alta tensão que auxilia o transporte de energia entre duas importantes subestações do sistema, no que concerne não só ao perfil de tensão como à capacidade de integração de renováveis. Para o efeito foi desenvolvido um algoritmo para o cálculo de capacidades de injeção nodais não simultâneas de forma a quantificar o benefício da mesma no aumento da integração de renováveis na rede eléctrica de Santiago. Foi possível concluir que houve um aumento no valor médio de potência de injecção em cada barramento para todos os cenários, exceto quando o parque eólico e a central solar fotovoltaica se encontram simultaneamente em funcionamento. A vantagem foi mais expressiva nos cenários de utilização de apenas energia de origem térmica, e de participação da central solar fotovoltaica, onde se verificaram aumentos no valor médio de potência injetável de 9% e 3%, respetivamente. Foi também concluído que o principal limitador das capacidades nodais atuais não é a infra-estrutura, mas sim a folga da rede relativamente às necessidades energéticas, sendo que esta nova linha poderá ser útil para as necessidades energéticas futuras do país. The goals of this dissertation are the modelling, diagnostic and evaluation of the renewable energy integration in the electric grid of Santiago, an island in Cape Verde. To achieve these goals different operational scenarios were developed, relating to different ways in which renewable energy production is integrated in the energy mix, and evaluated considering all the safety criteria regarding the grid’s operation and planning. It was also analysed the impact that a new high voltage power line, which complements the connection between two important substations, has on the voltage profile and on the grid’s ability to integrate renewable energy. An algorithm was developed to calculate the non-simultaneous nodal power injection capacity, so that a quantification of the benefits of the line may be obtained, relatively to the increase of the grid’s renewable energy integration capability. It was possible to conclude that there was an increase on the average injection power value in the node of the grid for all the operational scenarios, except when both the solar plant and the wind farm are in the energy mix. The most significant advantage was when the energy came from thermal generators and when the solar plant was in the energy mix, in these cases it was detected respectively a 9% and a 3% increase in the average power value. It was also found that the main inhibitor to the power injection capacity is not the infrastructure, but the grid’s margin between the energy needs and the production, meaning that this new power line might be important when the energy needs of the country rise.

Este estudo investiga o impacto do conhecimento de domínio (SCARDAMALIA; BEREITER, 1991) e das subcompetências bilíngue, instrumental e conhecimento sobre tradução (PACTE, 2003) na avaliação da qualidade de textos traduzidos. Trechos de um manual de instrução traduzidos do inglês para o português por tradutores profissionais (LIPARINI CAMPOS, 2010) foram avaliados por informantes brasileiros, divididos em quatro grupos: bilíngues, de outras ocupações; tradutores profissionais; profissionais da área de saúde; pós-graduados e pós-graduandos em tradução, os quais deveriam informar os critérios utilizados na avaliação da qualidade. O critério mais informado pelos quatro grupos foi a equivalência de sentido com o texto-fonte, confirmando ser este o principal critério para avaliação da qualidade do texto traduzido (HOUSE, 2015). O segundo critério mais importante para os avaliadores com conhecimento de domínio da área de saúde foi o uso de vocabulário específico. Além disso, as traduções mais explícitas geralmente foram as mais bem avaliadas pelos quatro grupos.

Fungi are powerful biodeteriogens and when colonizing stone monuments are often responsible for severe physical, chemical and aesthetical modifications. Recently the old cathedral of Coimbra (Portugal) was awarded the UNESCO World Heritage Site distinction as an integrant part of the “University of Coimbra- Alta and Sofia” area. The limestone walls in this cathedral show clear visual signs of biological colonization and biodeterioration. The aim of this work was to obtain an extensive fingerprint of the biodeteriorating fungal agents in this affected ancient limestone through the application of traditional cultivation and modern Next Generation Sequencing techniques. Due to high diversity of distinctive biodeterioration phenomena affecting this site, a rapport between the identified fungal populations and the different biodeterioration types found was also established and their importance for the monument preservation discussed. The results obtained through the application of this approach, not only allowed a robust characterization of the fungal communities colonizing this monument, but also elucidated that distinct fungal communities are dissimilar according to the type of biodeterioration analyzed. In addition, we verified that both cultivation and metagenomics methodologies should be employed synergistically in limestone biodeterioration studies in order to tackle inherent limitations regarding both techniques.

Resumo A pandemia por COVID-19, em 2020, provocou em Portugal um impacto em vários domínios da vida dos indivíduos. É ainda desconhecido como os indivíduos vivem o estado de emergência, caracterizado pelo confinamento social. Assim, este estudo teve como objetivo avaliar o impacto psicossocial, durante o período de estado de emergência nacional, numa amostra de adultos portugueses. Criou-se um projeto de suporte psicossocial, durante e após o confinamento social por COVID-19 - Psiquarentena. Delineou-se um estudo exploratório, no qual se avaliou o impacto emocional, o tipo de preocupações, e as necessidades face à exigência do confinamento social. No total, 1 698 participantes, preencheram um protocolo online que foi divulgado seis vezes, durante seis semanas consecutivas no período de estado de emergência, constituindo seis avaliações transversais, com amostras independentes (não emparelhadas). Considerando a amostra total, a principal preocupação foi a saúde (57,5%) e a principal necessidade foi o convívio social (54,1%). Comparando as seis semanas de confinamento verificaram-se diferenças significativas para a irritação (X 2df(5) = 15,417; p= 0,017), depressão (X 2 df(5) =16,216; p

SAICT-POL/23439/2016| LISBOA-01-0145-FEDER-023439). This Grant covers all the planned activities for this study including, the design of the study, data collection, data analysis and interpretation and the writing of this manuscript.The funder did not play any role in the study design, data collection and analysis, decision to publish, or preparation of this manuscript Background Non-specific low back pain (NSLBP) is the most prevalent musculoskeletal condition in western countries and is associated with persistent disability and high consumption of health care resources. NSLBP patients first seek primary health care services but the outcomes are often uncertain. This study aimed to examine the clinical course of the outcomes and to identify prognostic indicators for poor outcomes in NSLBP patients who consulted primary care. Methods A prospective cohort study of 115 patients seeking treatment for NSLBP in primary care was conducted. Participants were consecutively recruited by their General Practitioners (GPs) and then assessed at baseline and 2 and 6 months later. Baseline assessment included socio-demographic and clinical data, psychosocial factors, pain, disability, and health related quality of life (HRQoL). Pain, disability, HRQoL and global perception of change were also assessed at 2 and 6-months’ follow-up. In addition, information regarding the GP’ practice was collected. Poor outcomes were determined according to the cut-off point used to define a persistent disabling condition and the minimal important change established for disability, pain and for global perception of change. The relationship between variables on baseline and poor outcomes was modulated through binary logistic regression analysis. The significance of associations was evaluated at ≤ 0.05 p-value with 95% confidence intervals (CI) and adjusted odds ratios (AOR). Results 110 (94.8%) and 104 (89.7%) participants completed the follow-up assessment at 2 and 6 months, respectively. The mean age (±SD) was 48.06 ± 11.41, with 53.9%, (N = 62) reporting an acute presentation of NSLBP. Six months after GP consultation, 53.8% (N = 56) of the participants reported a persistent disabling condition. An “LBP episode of less than 12 weeks” [AOR: 0.26; 95% CI (0.10, 0.65); AOR: 0.34; 95% CI (0.14, 0.81); AOR: 0.21; 95% CI (0.09, 0.53)],”maladaptive psychosocial factors” [AOR: 2.06; 95% CI (1.40, 3.04); AOR: 1.82; 95% CI (1.27, 2.59); AOR: 1.72; 95% CI (1.20, 2.47)] were significantly associated with poor outcomes on disability, pain and global perception of change, respectively. Besides these factors, being employed reduces the chances of poor outcomes on disability [AOR 0.31; 95% CI (0.11, 0.92)]. Conclusions A large proportion of LBP patients seeking primary health care reported poor outcomes 6 months after GP consultation. Patients who report chronic LBP, maladaptive psychosocial factors and are unemployed have a significant increase in the risk of poor outcome. These findings suggest the need of implementing effective models of care able to provide early screening and appropriate treatment to those at greatest risk of a poor outcome. publishersversion published

O som tridimensional, nomeadamente o som binaural, não é uma tecnologia recente. Desde os finais do século XVIII que as primeiras experiências deram aso às contínuas tentativas para percecionar o som tal como o ser humano o escuta. As mais recentes inovações, nomeadamente no século XX, permitiram a melhoria deste tipo de tecnologia e a possibilidade de a aplicar às mais diversas indústrias, como o cinema ou os videojogos. A rádio não escapou a esta tendência e o som binaural é utilizado tanto no entretenimento como no jornalismo. Neste artigo, pretendemos destacar o papel do áudio e contrariar a premissa de que o "vídeo matou a estrela da rádio". Começamos por abordar o conceito de som binaural através de um levantamento dos trabalhos académicos que, nos últimos anos, têm recuperado este conceito para, partindo dele, estabelecerem uma ligação com a rádio, os podcasts e/ou as novas narrativas radiofónicas. Num segundo momento concentramo-nos no mapeamento de alguns dos trabalhos que têm sido realizados no campo da rádio, a nível nacional e internacional, e que têm recorrido a esta tecnologia, sejam eles jornalísticos ou da área do entretenimento. Através deste cruzamento, entre a investigação académica e a produção de conteúdos, procuramos destacar a forma como temos vindo a assistir a uma revitalização da importância do áudio e ao despertar de novas experiências sonoras. Three-dimensional sound, namely binaural sound, is not a recent technology. Since the end of the 18th century, the first experiences gave rise to the continuous attempts to perceive sound as the human being listens to it. The most recent innovations, namely in the 20th century, allowed the improvement of this type of technology and the possibility of applying it to the most diverse industries, such as cinema or video games. Radio has not escaped this trend and binaural sound is used in both entertainment and journalism. In this article, we aim to highlight the role of audio and counter the premise that "video killed the radio star". We started by approaching the concept of binaural sound through a survey of academic works that, in recent years, have recovered this concept in order to establish a connection with the radio, podcasts and / or new radio narratives. In a second step, we focus on mapping some of the works that have been carried out in the field of radio, both nationally and internationally, and that have resorted to this technology, whether they are journalistic or entertainment. Through this intersection, between academic research and content production, we seek to highlight the way in which we have been witnessing a revitalization of the importance of audio and the awakening of new sound experiences.

Changes in health care strategies aimed at greater autonomy and self-care for users with chronic health problems have been proposed. This study looks into perceptions and meanings ascribed by participants to health care strategies developed in weekly postural exercise meetings by users with chronic musculoskeletal pain at a Basic Health Unit. The study was qualitative, and the information collected from interviews with eight users was grouped in two units of meaning: Sharing experiences – care in each meeting; and Beyond meetings – on what one takes from life. We concluded that the most relevant factors to attend were the space for listening; sharing moments of relaxation; and exchange of experiences. There were the core elements for promoting emotional well-being and better understanding of pain., Los cambios en las estrategias de atención a la salud han sido propuestos buscando una mayor autonomía y autocuidado de usuarios que presentan problemas crónicos de salud. El objetivo de este estudio fue comprender las percepciones y los significados atribuidos a las estrategias de cuidado de la salud desarrolladas en encuentros semanales de ejercicios posturales por los participantes con dolores musculoesqueléticos crónicos en una Unidad Básica de Salud. El estudio fue de carácter cualitativo y las informaciones, recolectadas a partir de entrevistas con ocho usuarios, fueron agrupadas en dos unidades de significación: Compartiendo experiencias —el cuidado a cada encuentro y Más allá de los encuentros —de lo que se lleva a la vida. Concluimos que los factores más relevantes que los llevan a frecuentar los encuentros fueron el espacio de escucha, el compartir momentos de relajación y el intercambio de experiencias, siendo estos los elementos centrales para la promoción del crecimiento, el bienestar emocional y la mejor comprensión del dolor., Mudanças nas estratégias de atenção à saúde têm sido propostas visando maior autonomia e autocuidado de usuários que apresentam problemas crônicos de saúde. O objetivo deste estudo foi compreender as percepções e os significados atribuídos às estratégias de cuidados desenvolvidas nos encontros semanais de exercícios posturais pelos usuários com dores musculoesqueléticas crônicas em uma Unidade Básica de Saúde. O estudo foi de caráter qualitativo e as informações coletadas a partir de entrevistas com oito usuários foram agrupadas em duas unidades de significação: Compartilhando experiências - o cuidado a cada encontro e Para além dos encontros - daquilo que se leva para a vida. Concluímos que os fatores mais relevantes para frequentarem os encontros foram o espaço de escuta, o compartilhamento de momentos de descontração e a troca de experiências, sendo esses elementos centrais para promoção do bem-estar emocional e melhor entendimento da dor.

Background: Low back pain (LBP) is the leading cause of disability in Portugal and worldwide. The majority of the patients use primary health care services but the treatment outcomes are unknown. Findings of prognostic studies indicate that a marked reduction in mean pain and disability is expected in the first 6-8 weeks, for acute or persistent LBP. Beyond that time frame period, improvement slows and thereafter the probability to develop a persistent disabling back pain condition improves. Therefore, it seems important to measure the patients’ outcomes at this time-point to better assess the effectiveness of the care provided. Objectives: This study aims to describe the short-term outcomes for LBP patients treated in a primary health care centre in Portugal and to identify the prognostic factors for non-recovery and poor health related quality of live (HRQoL). Methods: 116 patients with LBP were consecutively recruited from 7 different primary care units in Portugal. Baseline assessment includes socio-demographic and clinical data, psychosocial factors, pain, disability, and HRQoL. Pain, disability and HRQoL were then assessed at 8-weeks follow-up. A Global Rating of Change Scale to assess patient perception of improvement with treatment was added in the follow-up reassessment. Recovery criteria were determined according to the Minimal Clinically Important Difference established for pain and disability (reduction of ≥30% from baseline). The EQ-5D,3L index was dichotomised into ‘poor’ HRQoL ( Results: Of the 116 participants enrolled, 110 completed the 8-weeks follow-up. (mean age of 48,06±11,41). Approximately half of the participants (53.4%) were acute presentations of LBP. The main treatment strategy was medication (83.5%), with only 8.3% of patients having been referred for physiotherapy. At 8 weeks follow-up, there were statistically significant improvements on pain, disability and HRQoL (p≤ 0.05). However, 38% of the patients reported they felt the same or worse, 76.4% had a poor HRQoL, and only half of the patients reached the established recovery criteria (49% in disability and 50% in pain). In the adjusted model, the probability of non-recovery (p≤0.05) was associated with the presence of maladaptive psychosocial factors (OR: 1.65, 95% CI 1.13-2.40, for pain; OR: 1.61, 95% CI 1.15-2.24, for disability), a chronic pain condition (OR: 1.71, 95% CI 1.33-1.88, for pain; OR: 1.76, 95%CI 1.43-1.89, for disability), and high levels of pain at baseline for pain (OR: 1.26, 95%CI 1.09-1.39). Poor HRQoL was associated to the female gender (OR: 1.88, 95%CI 1.61-1.96), chronic pain condition (OR: 1.68, 95%CI 1.03-1.89) and high levels of pain intensity at baseline (OR: 1.36, 95%CI 1.11-1.67). Conclusion: These results suggest there is a room for improvement in the healthcare delivered to LBP patients in the Portuguese primary healthcare setting. Disclosure of Interests: None declared

Background The results of a recent study have suggested that the current clinical practice is not in line with clinical guideline recommendations and may not be delivering the best outcomes to Low Back Pain (LBP) Portuguese patients. Since the stratified primary care approach has demonstrated clinical and cost-effectiveness in the UK and other countries, the SPLIT project aimed to introduce a similar approach that involves general practitioners (GPs) and physiotherapists (PTs) in the triage and targeted treatment for LBP patients, in Portugal. In order to facilitate the implementation of this project a training program for GPs and PTs was delivered by rheumatologists and PTs. Considering the specific organization of the Portuguese primary care, it was important to explore the perceptions of the GPs and PTs, who attended to the training, regarding the implementation of the SPLIT stratified model of care in the Portuguese context. Objectives Identify and understand the potential barriers and facilitators to the implementation of the SPLIT stratified model of care. Methods After obtaining ethical approval, two focus groups (one for each professional group) were carried out. The focus groups were based on a semi-structured interview schedule, audio-recorded and transcribed verbatim. A thematic analysis was conducted. Firstly, two researchers independently coded the transcripts. Secondly, these researchers discussed the codes and examined their scope and relevance. Thirdly, the researchers developed a coding scheme that included the main themes and sub-themes, as well as the connections among them. Results The potential barriers were identified and explored by both professional groups. The introduction of change into the routine delivery care was identified as one of the most important barriers. According to the GPs` perspective, the possibility of inadequate referral was considered as an issue. The PTs highlighted the challenges inherent to the psychosocial informed physiotherapy treatment of patients classified with high risk of developing persistent and disabling pain. More specifically, they emphasised the need to receive mentoring sessions in clinical practice, in order to develop competences for the management of psychosocial issues. In what concerns to the potential facilitators to the implementation of the model, the participants` personal motivation was considered as one of the most important factors. The alignment of the SPLIT model with the mission and goals of the health care units where the project was going to be piloted was also identified as an important facilitator. Finally, both professionals groups considered that the SPLIT model may facilitate the interdisciplinary approach to the management of this condition, as it clarifies the specific contribution of GPs and PTs in the approach to LBP patients Conclusion The knowledge about the potential barriers and facilitators to the implementation of the SPLIT stratified model of care may contribute to the successful implementation of stratified care for LBP patients in Portugal. References [1] Foster, N., et al. (2018) Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 10137(391): 2368-2383. [2] Gouveia, N., et al. (2016) Prevalence and social burden of active chronic low back pain in the adult Portuguese population: results from a national survey. Rheumatology International. 36(2): 183-97. Disclosure of Interests None declared

Aeminium ludgeri is an extremotolerant microcolonial black fungus isolated from a biodeteriorated limestone art piece in the Old Cathedral of Coimbra, Portugal (a UNESCO World Heritage Site). The high-quality draft genome sequence of Aeminium ludgeri presented here represents the first sequenced genome for both the recently described fungal family Aeminiaceae and the genus Aeminium.

When colonizing stone monuments, microcolonial black fungi are considered one of the most severe and resistant groups of biodeteriorating organisms, posing a very difficult challenge to conservators and biologists working with cultural heritage preservation. During an experimental survey aimed to isolate fungi from a biodeteriorated limestone art piece in the Old Cathedral of Coimbra, Portugal (a UNESCO World Heritage Site), an unknown microcolonial black fungus was retrieved. The isolated fungus was studied through a complete examination based on multilocus phylogeny of a combined dataset of ITS rDNA, LSU and rpb2, in conjunction with morphological, physiological, and ecological characteristics. This integrative analysis allows for the description of a new family, Aeminiaceae fam. nov., a new genus Aeminium gen. nov., and a new species, Aeminiumludgeri sp. nov., in the order Capnodiales.

Background: The use of the Hearing Handicap Inventory for the Elderly (HHIE) questionnaire enables us to measure self-perceived psychosocial handicaps of hearing impairment in the elderly as a supplement to pure-tone audiometry. This screening instrument is widely used and it has been going through adaptations and validations for many languages; all of these versions have kept the validity and reliability of the original version. Purpose: To validate the HHIE questionnaire, translated into Portuguese of Portugal, on the Portuguese population. Research Design: This study is a descriptive correlational qualitative study. The authors performed the translation from English into Portuguese, the linguistic adaptation, and the counter translation. Study Sample: Two hundred and sixty patients from the Ear, Nose, and Throat (ENT) Department of Coimbra University Hospitals were divided into a case group (83 individuals) and a control group (177 individuals). Intervention: All of the 260 patients completed the 25 items in the questionnaire and the answers were reviewed for completeness. Data Collection and Analysis: The patients volunteered to answer the 25-item HHIE during an ENT appointment. Correlations between each individual item and the total score of the HHIE were tested, and demographic and clinical variables were correlated with the total score, as well. The instrument’s reproducibility was assessed using the internal consistency model (Cronbach’s alpha). Results: The questions were successfully understood by the participants. There was a significant difference in the HHIE-10 and HHIE-25 total scores between the two groups (p < 0.001). Positive correlations can be seen between the global question and HHIE-10 and HHIE-25. In the regression study, a relationship was observed between the pure-tone average and the HHIE-10 (p < 0.001). Reliability of the instrument was proven by a Cronbach alpha index of 0,79. Conclusions: The HHIE translation into Portuguese of Portugal maintained the validity of the original version and it is useful to assess the psychosocial handicap of hearing impairment in the elderly.

When colonizing stone monuments, microcolonial black fungi are considered one of the most severe and resistant groups of biodeteriorating organisms, posing a very difficult challenge to conservators and biologists working with cultural heritage preservation. During an experimental survey aimed to isolate fungi from a biodeteriorated limestone art piece in the Old Cathedral of Coimbra, Portugal (a UNESCO World Heritage Site), an unknown microcolonial black fungus was retrieved. The isolated fungus was studied through a complete examination based on multilocus phylogeny of a combined dataset of ITS rDNA, LSU and rpb2, in conjunction with morphological, physiological, and ecological characteristics. This integrative analysis allows for the description of a new family, Aeminiaceae fam. nov., a new genus Aeminium gen. nov., and a new species, Aeminiumludgeri sp. nov., in the order Capnodiales.

Enquadramento: A literacia em saúde condiciona a capacidade da grávida em aceder, compreender, avaliar e utilizar informações sobre saúde que lhe permita tomar decisões fundamentadas sobre cuidados de saúde, prevenção da doença e promoção de uma vida saudável para si e para os seus filhos. Objetivos: Determinar o nível de literacia em saúde da grávida; apurar as relações existentes entre os determinantes sociodemográficos, obstétricos, contextuais à gravidez e o empoderamento com a literacia em saúde. Métodos: Estudo quantitativo, não experimental, transversal, descritivo e correlacional. Amostra não probabilística por conveniência composta por 264 grávidas no terceiro trimestre. Recolha de dados realizada por questionário constituído por caraterização sociodemográfica, dados obstétricos, escala HLS-EU-PT (Escola Nacional de Saúde Pública, 2014), adaptada para grávidas por Ferreira et al. (2017) e Escala de Empoderamento da Grávida (Kameda & Shimada, 2008), adaptada por Ferreira et al. (2013). Resultados: As grávidas apresentam um nível de literacia em saúde suficiente (58,7%) sendo secundado pelo problemático (21,6%) e, posteriormente, pelo nível excelente (15,5%) e inadequado (4,2%). O índice geral é influenciado pela nacionalidade (p=0,007), habilitações literárias (p=0,000), profissão (p=0,000), situação profissional (p=0,000), rendimento familiar mensal (p=0,000), internet no domicílio (p=0,002), número de gravidezes anteriores (p=0,017), tipo de parto (p=0,041), planeamento da gravidez (p=0,000), frequência ou intensão de frequentar o curso de preparação para o parto e parentalidade (p=0,010), consumo de tabaco (p=0,002), consumo de álcool (p=0,016) e pela vigilância da gravidez (p=0,000). A autoeficácia (t=9,066; p=0,000), o apoio e garantias de outros (t=4,722; p=0,000) e o número de gravidezes anteriores (t=-2,131; p=0,034) predizem a literacia em saúde. Conclusões: A literacia em saúde materna é um indicador de saúde complexo, determinada por múltiplos fatores e influída pelo contexto, cultura e ambiente em que a grávida se insere. Concluímos que um quarto das grávidas possuem um nível de literacia problemático/inadequado, inferindo que são necessários esforços para elaborar e implementar medidas que a promovam. O EEESMO tem a competência de desenvolver intervenções educacionais orientadas para a informação, capacitação e autonomia da grávida, favorecendo o desenvolvimento dos seus conhecimentos e competências a respeito das decisões relativas à gravidez e maternidade. Palavras-chave: Assistência em saúde pré-natal, literacia em saúde, literacia em saúde materna. Abstract Background: Health literacy conditions the pregnant woman’s capacity to access, understand, appraise and use health information to perform substantiated decisions about healthcare, disease prevention and promotion of a healthy life for herself and their children. Objectives: To determine the health literacy level of the pregnant woman; to investigate relations between sociodemographic, obstetric and pregnancy contextual determinants and the empowerment with health literacy. Methods: Quantitative study, non-experimental, cross-sectional, descriptive and correlational. Non-probabilistic sample for convenience composed by 264 pregnant women in the third trimester. The collection of data was carried out by applying a questionnaire consisting of sociodemographic questions, obstetric data, HLS-EU-PT scale (National School of Public Health, 2014) adapted for pregnant women by Ferreira et al. (2017) and Pregnancy Empowerment Scale (Kameda & Shimada, 2008) adapted by Ferreira et al. (2013). Results: The pregnant women manifest a health literacy level as sufficient (58,7%), problematic (21,6%), excellent (15,5%) and inadequate (4,2%). Health literacy is influenced by nationality (p=0,007), educational level (p=0,000), profession (p=0,000), professional situation (p=0,000), family income (p=0,000), internet within the household (p=0,002), number of previous pregnancies (p=0,017), type of childbirth (p=0,041), pregnancy planning (p=0,000), frequency or intention of attending the preparation course for childbirth and parenting (p=0,000), tobacco consumption (p=0,041), alcohol consumption (p=0,016) and pregnancy surveillance (p=0,000). Self-efficacy (t=9,066; p=0,000), support and assurance from others (t=4,722; p=0,000) and number of previous pregnancies (t=-2,131; p=0,034) predict health literacy. Conclusions: Maternal health literacy is a complex health indicator, settled by multiple factors and influenced by context, culture and environment where the pregnant woman is. We conclude that one quarter of pregnant women have a problematic or an inadequate literacy level, inferring that efforts are needed to develop and implement wider information disclosure. Midwives have the competence to develop educational interventions oriented to the information, empowerment and autonomy of the pregnant woman, favouring the improvement of their knowledge and competence regarding pregnancy and motherhood decisions. Keywords: Prenatal care, health literacy, maternal health literacy.

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Objective To translate the International Outcome Inventory for Hearing Aids (IOI-HA) Questionnaire from English to Portuguese (from Portugal) and to validate this instrument of study on the Portuguese population. Design In this prospective study, a translation from English into Portuguese of the IOI-HA was performed, and linguistic adaptation and counter translation were also accomplished. The data were analysed for internal consistency testing for correlations between each individual item and the total score of the IOI-HA, assessing the Cronbach α and performing test–retest analysis. Setting and participants 80 hearing aid users aged 18 years or older were recruited from an ear, nose and throat (ENT) appointment in Coimbra9s hospital, Portugal. 84% of the participants were unilateral hearing aid users, whereas 16% were bilateral users. Interventions The patients volunteered to answer the questionnaire during an ENT appointment. All of the patients had been using the hearing aids for more than 3 years. After the first application of the questionnaire, a new appointment was planned for retesting, within at least 7 days to no more than 60 days. 29 participants answered the questionnaire again according to the same procedure. Results The mean IOI-HA total score in the study population was 27.33±4.93 (9–35). The mean values obtained for each item of the questionnaire ranged from 3.19 to 4.54. The Cronbach α was 0.838 and the Cronbach α values when the item was removed, were also significantly strong. The test–retest analysis revealed no differences between the paired groups. Conclusions In the present study a valid and reliable translation and adaptation of the IOI-HA into Portuguese from Portugal is proposed. This tool will be available for clinical assessment of hearing aid users.

The acute tendinitis of the longus colli muscle is an unusual diagnosis in the cases of acute dysphagia with cervical pain. Is a self-limiting condition caused by abnormal calcium hydroxyapatite deposition in the prevertebral space and can cause pharyngeal swelling with impaired swallow. It is absolutely critical to make the differential diagnosis with deep cervical infections in order to avoid invasive treatments. info:eu-repo/semantics/publishedVersion

Background and objectiveThe SPLIT project aims to introduce an interdisciplinary stratified model of care for patients with low back pain. This study aimed to explore the acceptability and identify potential barriers and facilitators regarding the upcoming implementation of this project, based on the general practitioners' and physiotherapists' perceptions.MethodsA qualitative study was carried out supported by two focus groups, which were conducted by two researchers. A focus group was carried out with each professional group. One focus group included six general practitioners and the other included six physiotherapists. The focus groups were based on a semi-structured interview schedule, audio-recorded and transcribed verbatim. A thematic analysis was conducted.ResultsThe participants explored aspects related to the acceptability of the SPLIT project, emphasising the satisfactory amount of effort that is expected to be required for its implementation. Potential facilitators to the implementation of the model were identified, such as the participants`motivation. Potential barriers were also explored, with particular emphasis on the challenges related to the change of routine care. Lastly, the need for particular adjustments in the health services was also highlighted.ConclusionsThis study`s participants highlighted the feasibility and acceptability of the SPLIT project. The identification of potential barriers and facilitators to its implementation also attained major relevance to better prepare the upcoming implementation of this project. The generalizability of findings to the larger population of relevant practitioners is limited, since only two focus groups were carried out. Therefore, this study`s findings should be considered in terms of transferability to contexts that may have some similarities to the context where the study was carried out.

A previous work that used documents from the Archive of the University of Coimbra, described a high fungal diversity colonizing different types of documents. Cladosporium, Aspergillus and Penicillium were the most common genera found in documents where biodegradation was more evident. The presence of arthropods circulating through the Archive suggested that zoochoric dispersion could play a significant role in the dispersion of fungal species between documents in similar environments. The aims of this study were to evaluate the role of arthropods as fungal dispersers and potential vectors of contamination between the documents from the Archive of the University of Coimbra; to study the effects of seasonality in the diversity of fungal species associated with invertebrates; and to understand the relationship between the identified fungal species and the different arthropod taxa. The sequencing of the total ITS region combined with the analysis of macroscopic and microscopic taxonomic traits, provided data on the fungal diversity carried by arthropods. Results show a high fungal diversity associated with invertebrates: from a total of over 148 isolates, 25 fungal genera and 59 species were identified and kept in culture. The most common genera were Penicillium, Aspergillus and Cladosporium.

Psoriasis is a chronic and immune-mediated skin disease with a considerable negative impact on quality of life. The link between psoriasis, especially guttate psoriasis, and streptococcal infections, namely tonsillitis, has been studied for several years. Some authors have also suggested an association with other types of psoriasis, such as plaque psoriasis, which is the most common. The role of tonsillectomy in the treatment of plaque psoriasis is not consensual. This case report aims to discuss this topic. The authors intend to highlight the growing evidence of a relationship between plaque psoriasis and an infectious pathology of the otolaryngology area. A clinical case of severe chronic plaque psoriasis with exacerbations linked to acute tonsillitis is described. The case was recalcitrant to dermatological treatment and tonsillectomy was included in the treatment options. After surgery, the skin disease was evidently controlled and significant improvement on the patient's quality of life was also evident.

HYPOTHESIS: The Portuguese version of Mini-Tinnitus Questionnaire (Mini-TQ) is as valid as the English version to assess tinnitus-associated distress in the Portuguese-speaking population. BACKGROUND: Tinnitus is a major symptom in ENT practice affecting subjects in all demographic groups. Our objective is to validate a Portuguese version of Mini-TQ (Mini-TQ-pv) to be used in clinical practice and research. METHODS: Mini-TQ-pv was administered to 51 patients with chronic tinnitus. Statistical analysis was done to determine the psychometric properties of the instrument. RESULTS: After double translation, face and content validity were confirmed by high internal consistency (Cronbach alpha = 0.861) and significant correlation between individual items and total score. The questionnaire was easy and quick to administer (2.57 min). CONCLUSION: We provide a suitable Mini-TQ-pv to be used in the assessment of Portuguese-speaking patients with tinnitus

Relatório de estágio do Mestrado Integrado em Ciências Farmacêuticas apresentado à Faculdade de Farmácia da Universidade de Coimbra

Submitted by Maria Helena Ribeiro (helena.ribeiro@lisboa.ucp.pt) on 2021-09-01T11:30:02Z No. of bitstreams: 1 Ana Albuquerque.pdf: 1377083 bytes, checksum: 85876dd49d59fc596e1c5ab59286ec36 (MD5) Made available in DSpace on 2021-09-01T11:30:02Z (GMT). No. of bitstreams: 1 Ana Albuquerque.pdf: 1377083 bytes, checksum: 85876dd49d59fc596e1c5ab59286ec36 (MD5) Previous issue date: 2021-07-19