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- Fragmentação e Multiplicidade - a construção da identidade no autorretratoPublication . Gomes, Jéssica Carolina Figueira; Silva, Rodrigo Eduardo Rebelo; Pereira, Catarina Maria Lusitano Leal da CâmaraEsta dissertação investiga o autorretrato como prática artística e como instrumento de construção e desconstrução da identidade pessoal na contemporaneidade. Parte-se da premissa de que o “eu” é um conceito fluido, fragmentado e em constante transformação, moldado pela relação com o outro, com a imagem e com o tempo. Através da análise da fragmentação da imagem como estratégia artística, explora-se a multiplicidade e a complexidade da identidade, questionando os limites entre o verdadeiro e o falso, o consciente e o inconsciente, a máscara e a essência. A investigação desenvolve-se no entrelaçamento de uma abordagem prática e teórica, integrando diferentes técnicas como a pintura a óleo, escultura e a fotografia, em diálogo com uma pesquisa e reflexão sobre o modo como alguns ensaístas pensaram a redefinição da identidade da contemporaneidade e o modo como o autorretrato permite explorar e recolher evidências sobre a condição contemporânea da identidade. A prática artística autoral centrou-se na exploração da fragmentação visual como metáfora da fragmentação interior, refletindo sobre como a identidade se revela ou se oculta na autorrepresentação. São abordados alguns conceitos fundamentais como o papel do espelho e do reflexo na construção da identidade, assim como o paradoxo da representação, como um ato simultaneamente revelador e encenado.
- Early Post-Discharge Predictors of Sedentary Behavior Following COPD Exacerbation: An Observational StudyPublication . Coluccia, Maria Gabriela; Cruz, Joana Patrícia Dos Santos; Brusaca, Luiz Augusto; Kawakami, Débora Mayumi de Oliveira; Araujo, Gustavo Henrique Guimarães; Karloh, Manuela; Mendes, Renata Gonçalves; Lorenzo, Valéria Amorim Pires DiPatients hospitalized due to an exacerbation of chronic obstructive pulmonary disease (ECOPD) often exhibit increased sedentary behavior (SB), which may persist after discharge and negatively affect recovery. However, early determinants of SB during this period remain unclear. To identify the factors at hospital discharge that predict SB 30 days later in patients with ECOPD. This observational longitudinal study included patients hospitalized for ECOPD, assessed during the first week after discharge and reassessed 30 days later. Data collected included sociodemographic information (age, sex, name, telephone number, and address), anthropometric measurements (weight, height, and body mass index [BMI]), clinical history (previous hospitalizations, exacerbations, and smoking status), dyspnea (Medical Research Council scale, mMRC), health status (COPD Assessment Test, CAT), co-morbidities (Charlson Comorbidity Index), and exercise capacity (6-minute walk test, 6MWT). Physical activity and sedentary behavior—including SB, light (LPA), moderate (MPA), and vigorous (VPA) physical activity, step count, and sleep—were measured using a triaxial accelerometer worn for seven consecutive days. Accelerometer data were processed with ActiPASS software, and statistical analyses were performed in RStudio. Stepwise regression analysis was used to identify the discharge variables that could predict SB at 30 days. Forty-four patients (61% female; age 66 ± 8 years; FEV1 53 ± 13%; Charlson 1 [1–2]; hospital stay 5 [3–6] days) were included. At discharge, median mMRC was 3 (2–3), CAT 21 ± 8, 6MWT 274 ± 102 m, steps/day 3,148, SB 619 ± 226 min/day, and LPA 216 min/day. At 30 days, SB was 615 ± 166 min/day. Dyspnea (mMRC) and LPA at discharge explained SB at 30 days (R2 = 0.31, p < 0.001). Higher levels of dyspnea and lower levels of LPA during the first week after discharge are the significant predictors of SB 30 days after hospitalization for ECOPD.
- Cross-cultural adaptation and psychometric validation of the Children with Special Health Care Needs Screener© for European Portuguese in a school settingPublication . Pires, Maria do Céu Coelho Monteiro; Barbieri-Figueiredo, Maria do Céu Aguiar; Silva, Armando Manuel Marques; Arrué, Andrea Moreira; Guarda-Rodrigues, Joana; Neves, Eliane Tatsch; Menino, Eva Guilherme; Lito, David; Azevedo, InêsIntroduction and Objectives: Children with special health care needs (CSHCN) constitute a growing and heterogeneous group. The Children with Special Health Care Needs Screener© (CSHCN Screener©) is a brief (five-item), reliable, and clinically useful instrument for identifying these children. The objective of this study was to culturally adapt and evaluate the psychometric properties of the CSHCN Screener© for Portuguese children in a school setting, based on the translation and adaptation of the instrument validated for Brazilian Portuguese. Method: The study comprised two phases: (a) cross-cultural adaptation with experts and a pre-test, including face validity, with 54 parents/guardians (PG); and (b) reliability assessment in a sample of 301 PG through internal consistency (Cronbach’s alpha), test-retest (kappa coefficient), and content validity with experts, using the content validity index (CVI). Results: The final instrument is culturally appropriate. The items demonstrated adequate reliability (α = 0.75 and 0.77). The overall test-retest concordance coefficient (Test 1 – Retest 1 to Test 5 – Retest 5) demonstrated considerable temporal stability (kappa > 0.8). Face validity indicated that the CSHCN Screener© is easily understood by PG. Experts agreed on the relevance, comprehensibility, and comprehensiveness of the content (CVI = 1.00). Discussion: The CSHCN Screener©, culturally adapted to European Portuguese, is reliable and useful for identifying CSHCN who present one or more of the five consequences included in the questionnaire, and will contribute to developing policies that promote health, with an emphasis on transdisciplinary intervention, specifically in the school context. It shows high potential for adaptation and applicability in different care contexts.