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- Última Lição - Leonor Fini, o retrato impossível de uma artista do século XXPublication . Luísa Soares de Oliveira
- Conversas Infinitas: A curadoria como uma narrativa de relaçõesPublication . Franco, OrlandoEscrevo a partir de um lugar híbrido, conscientemente instável, entre o trabalho enquanto artista visual, o artista-professor e prática da curadoria. Na ausência de melhor definição, este lugar tem o nome de artista-curador. Contudo, coexiste com posições próximas como artista/curador e a de curador independente, que se entende enquanto prática não regular e não dependente de uma instituição. Esta publicação reúne seis textos curatoriais acompanhados pela documentação visual das respetivas exposições, que decorreram entre 2019 e 2025 em várias instituições do território português, nomeadamente, Museu Coleção Berardo — Centro Cultural de Belém (atual MAC-CCB), Lisboa, Espaço.Arte em Campo Maior, Centro Cultural de Lagos, Banco das Artes em Leiria, Biblioteca de Marvila e galeria Braço Perna, ambas em Lisboa. Este conjunto de exposições, por mim organizadas, reflete sobre uma parte do meu projeto de doutoramento1 e funciona como um campo de reflexão prática sobre essa condição “entre”, onde a curadoria pode surgir como uma derivação direta do ato artístico.
- Development and validation of a Portuguese psychologist's empathy scale: A pilot studyPublication . Cruz, Márcia; Grilo, Ana; Custódio, Susana; Dores, Artemisa R.; Silva, Carina; Alves, PauloThe systematic assessment of empathy is essential for identifying psychologists' competencies and developmental needs, ultimately contributing to more effective clinical practice. Given the multidimensional nature of empathy, comprehensive evaluation requires consideration of its cognitive, affective, and behavioural dimensions. However, no existing instrument is specifically validated to assess psychologists' self-perceived empathy in clinical contexts. To address this limitation, the present pilot study aimed to develop and undertake a preliminarily validation of the Portuguese Psychologists' Empathy Scale (PPES), a self-report instrument designed to assess empathy among psychologists working in Portuguese-speaking contexts across these three components. The study proceeded in two phases: item construction and initial psychometric testing. A total of 106 Portuguese psychologists completed a 57-item Likert-type instrument. Bartlett's test of sphericity was significant ( χ 2 (45) = 811.56, p < .001), and the KMO index (0.73) indicated moderate adequacy for factor analysis. Exploratory factor analysis revealed three core factors explaining 48% of the total variance, with strong internal consistency. A subsequent confirmatory factor analysis supported model refinement, leading to the removal of items with low factor loadings. The final PPES comprises 43 items distributed across cognitive (16), affective (16), and behavioural (11) dimensions. The findings provide encouraging preliminary evidence for the PPES, demonstrating robust internal consistency and acceptable initial factorial validity. Nevertheless, further studies using independent samples and external validation procedures are required to fully establish its psychometric soundness and clinical applicability with Portuguese-speaking psychologists.
- Population-Based Cancer Screening analysis in Northern Portugal Using Process MiningPublication . Monteiro, Hugo; Oliveira, Mariana; Martinho, Ricardo; Reis, João; Tavares, Fernando; Felgueiras, Óscar; Martins, CarlosBackground This study focuses on the Colorectal Cancer Screening Program in Northern Portugal, aiming to evaluate the disruption effects on its performance and efficiency. Methods We conducted an observational analyses of 271 637 administrative records from 2020 to 2022. Administrative timestamps were converted into a step-by-step dataset of screening activities (an “event log”) and analysed using process mining and comparative performance analysis across time periods and ACeS (primary care administrative clusters). Results Consultation‑to‑colonoscopy time lengthened by 53 %, rising from a median 58 days (IQR 29–92) in early 2020 to 89 days (IQR 53–127) in 2021, before improving to 73 days in 2022. Conversely, referral‑to‑consultation time fell from 110 days to 26 days (−76 %), reflecting targeted backlog clearance. Screening volumes declined in 2020 but recovered above baseline levels by 2022. Performance differences across primary care administrative clusters were significant (p < 0.001), with some units outperforming regional median transition times. Early adoption of automated electronic referrals and flexible consultation scheduling may have contributed to improved programme performance during the recovery period following pandemic-related disruptions. Substantial heterogeneity across units was observed for key transitions, indicating uneven disruption and recovery patterns across administrative units. Conclusion Process Mining techniques revealed critical vulnerabilities in the screening program during the initial stages of the period in analysis (matching the pandemic). These findings support targeted monitoring and prioritisation of operational improvements to reduce avoidable delays and strengthen continuity of population-based screening. Policy summary Policies aimed at strengthening healthcare service continuity and operational capacity benefit from analytical methods like process mining. Key recommendations include standardizing workflows, enhancing coordination between primary care and hospital services, and investing in digital monitoring systems to mitigate disruptions and ensure continuity in cancer screening programs during periods of system stress.
- Managing Data in Screening Programs: Challenges and SolutionsPublication . Monteiro, Hugo; Oliveira, Mariana; Martinho, Ricardo; Martins, CarlosPopulation-based screening programs are vital public health initiatives that enable the early detection of diseases, significantly reducing both morbidity and healthcare costs. As these programs expand, the management of the extensive data they generate becomes increasingly complex, highlighting the need for structured digital solutions. This narrative review article presents a pragmatic framework aimed at clarifying big data analytics tailored to the needs and practices of healthcare professionals and administrators, focusing on effective integration into routine screening workflows. To achieve effective data utilization, the process begins with systematic archiving, which involves cloud-based storage solutions capable of securely maintaining various data formats in compliance with regulatory standards, thus ensuring long-term accessibility and continuity. Subsequent real-time processing of screening data facilitates rapid decision-making and patient management by providing immediate validation and analysis, essential for maintaining the responsiveness of screening services. Transformation processes play a critical role in converting diverse data inputs into standardized, consistent formats, enabling seamless communication and exchange among multiple healthcare systems. Integration further builds upon this standardization, merging data from different healthcare providers and diagnostic centers into centralized analytical platforms. This unified approach enables comprehensive patient monitoring and supports predictive modeling for early identification of at-risk individuals. Advanced analytics, particularly process mining and predictive techniques, reveal inefficiencies within screening workflows, highlighting areas needing improvement. These methods help healthcare managers to streamline operations, optimize resources, and enhance overall program performance. Real-time visualization tools provide administrators with continuous, practical insights into operational dynamics, despite existing challenges related to data governance and system interoperability. This article illustrates these concepts through concrete examples from the colorectal cancer screening program in Northern Portugal and the response to the COVID-19 pandemic. The colorectal cancer screening scenario demonstrates how structured data management significantly boosts operational efficiency and healthcare accessibility. Meanwhile, the COVID-19 experience highlights the importance of having flexible digital infrastructures capable of quickly adapting to unexpected crises. Finally, ongoing investments in digital infrastructure, professional training, and comprehensive data governance are crucial for sustaining these improvements. This review provides clear, actionable knowledge to support healthcare professionals in adopting big data analytics effectively within preventive healthcare programs.
- Fall Prevention and Geriatric NursingPublication . Baixinho, Cristina Lavareda; Henriques, Maria; Costa, Andreia1. Introduction Falls among older people remain one of the most pressing and persistent public health challenges worldwide [1]. Given the increased life expectancy, and prevalence of disability, dependency, and comorbidities in this ageing population, there is a high risk that this will become a pandemic. On the other hand, as populations age the consequences of falls increase, ranging from physical injury and loss of functional independence to psychological distress, fear of falling, social isolation, and increased mortality, posing significant challenges not only to individuals and families but also to healthcare systems and societies [2,3]. Falls are a leading cause of injury-related hospitalizations among older persons and contribute substantially to escalating healthcare costs, long-term care admissions, and diminished quality of life [2]. The growing proportion of older adults, many living with multimorbidity, frailty, cognitive impairment, and social vulnerability, demands a critical rethinking of health, social, and urban policies to support healthy ageing [2,3,4]. While fall prevention is often framed as an individual responsibility, this perspective risks overlooking structural, educational, and systemic barriers that limit older adults’ capacity to engage in effective prevention strategies, such as low health literacy, unequal access to preventive services, and environments that are not age-friendly [4].
- Person-centered practice in the Portuguese healthcare system: A documentary studyPublication . Vareta, Diana; Santana, Elaine; Oliveira, Célia; Baixinho, Cristina Lavareda; Ventura, Filipa; Prazeres, FilipeBackground Person-centered practice has increasingly become a key structural component of health systems, driving the progressive reformulation of public health policies internationally. Despite broad consensus regarding its importance, its integration into clinical practice continues to face significant challenges. The Person-Centred Practice Framework identifies the macro context as a critical domain for sustainable implementation, as it encompasses the structural and strategic factors that shape healthcare delivery. Objective To characterize the person-centered practice framing within the macro context of the Portuguese healthcare system. Methodology Qualitative, descriptive, and retrospective documentary study. A systematic literature search was conducted on the websites of entities responsible for defining, guiding, and regulating healthcare in Portugal. Using predefined eligibility criteria, 40 documents were selected. Textual analysis was performed using IRAMUTEQ® software and guided by the constructs of the macro context domain of the Person-Centred Practice Framework. Results The lexicometric analysis identified five classes, grouped into two thematic fields: i) Structural and organizational determinants of person-centered practice, comprising the classes Systemic vision and integrated response, Organizational culture and participation, Digital transformation and information management, and Political vision and governance structures; and ii) Operationalization of person-centered practice, represented solely by the class Care approach, reflecting its thematic specificity. Factorial analysis revealed distinct and poorly connected discursive patterns associated with different action levels within the healthcare system. Similarity analysis highlighted a discourse centered on the health-care-person nucleus, showing relations with service organization, care integration, and person participation, albeit with word dispersion suggesting misalignment between organizational and practice levels. Conclusion The macrocontextual framing of person-centered practice in the Portuguese healthcare system demonstrates significant political and strategic advances, as seen in the emphasis on humanized care, investment in health literacy and digitalization, and the introduction of Integrated Care Pathways. However, implementation remains limited due to the absence of clear formative guidelines, biomedical paradigm persistence, and lack of evaluation mechanisms sensitive to care experience.
- Refletindo sobre a Prática Pedagógica em Educação de Infância e 1.º CEB: Visitas de estudo virtuais como estratégia pedagógica em contexto de pandemia Covid-19Publication . Machado, Fabiana Simões; Magueta, Lúcia GraveO presente relatório de Prática de Ensino Supervisionada foi realizado no âmbito do Mestrado em Educação Pré-Escolar e Ensino do 1.º Ciclo do Ensino Básico, nos anos letivos 2019/2020 e 2020/2021, e encontra-se dividido em duas grandes dimensões: dimensão reflexiva e dimensão investigativa. A dimensão reflexiva incide sobre o percurso formativo ao longo das práticas pedagógicas realizadas em diferentes contextos educativos: creche, jardim de infância e 1.º Ciclo do Ensino Básico. Em cada um dos contextos é apresentada uma análise reflexiva sobre os desafios enfrentados, as aprendizagens desenvolvidas e a evolução da prática profissional enquanto futura educadora/professora. A dimensão investigativa reporta-se a um estudo desenvolvido no 1.º Ciclo do Ensino Básico, mais especificamente com uma turma do 3.º ano de escolaridade, centrando-se na implementação de uma visita de estudo virtual, como resposta às limitações impostas pelo contexto pandémico da COVID-19. O estudo insere-se no paradigma qualitativo, adotando uma abordagem de estudo de caso, e teve como finalidade compreender o impacto desta estratégia pedagógica na aprendizagem ativa e no envolvimento dos alunos. Através da observação participante, análise de produções dos alunos e notas de campo, foi possível compreender que a visita de estudo virtual constituiu uma oportunidade de contacto com o meio envolvente, ainda que de forma mediada pelas Tecnologias de Informação e Comunicação.
- TREINO DE FORÇA ISOMÉTRICO NA PREPARAÇÃO FÍSICA DE ATLETAS – UMA REVISÃO NARRATIVAPublication . Rosa, Daniel Alexandre Felizardo da; Gonçalves, Ricardo RebeloO treino isométrico tem revelado um interesse crescente. Porém, permanece ainda envolto em muitas incertezas, o que contribui para a disseminação de informações incorretas e potencialmente prejudiciais. Assim, o presente trabalho tem como principal objetivo sintetizar, sob a forma de artigo, a informação existente sobre o treino de força isométrico no âmbito da preparação física de atletas. A metodologia adotada corresponde a uma scoping review, onde apenas foram incluídos estudos que utilizam a isometria como método de treino de força em atletas, recorrendo a motores de busca como a Web of Science e a PubMed. A partir de um total de 164 resultados, 27 estudos empíricos revistos por pares publicados entre 2000 e 2023 foram identificados e analisados para inclusão. Os resultados evidenciam que o treino de força isométrico ocupa um lugar relevante na preparação física de atletas, demonstrando ser uma metodologia eficaz, segura e aplicável a diversos contextos. Apresenta vantagens como a redução do risco de lesão e uma menor fadiga associada, em comparação com outras formas de treino. Contudo, esta revisão também revelou lacunas na literatura, muitas das quais resultam da dificuldade de acesso a dados provenientes de atletas de alto rendimento. Nestes contextos, qualquer variável pode ser determinante, e muitas organizações desincentivam a participação dos seus atletas em estudos académicos ou científicos. As conclusões reforçam a importância do treino isométrico na mitigação da fadiga e na gestão de lesões, salientando ainda a sua relevância na otimização do desempenho desportivo. Importa, no entanto, sublinhar a necessidade de respeitar o princípio da individualidade biológica, uma vez que cada atleta poderá responder de forma distinta a este tipo de estímulo.
- Inflammatory Biomarkers in Diabetic Macular EdemaPublication . Campos, António; Furtado, Maria João; Carneiro, Ângela; Meireles, Angelina; Neves, Carlos; Ambrósio, António Francisco; Leal, Inês; Figueira João; Marques, João Pedro; Henriques, José; Falcão, Manuel; Gomes, Nuno; Flores, Rita; Silva, Rufino; Pessoa, BernardeteDiabetic retinopathy (DR) is a major complication of both Type 1 and Type 2 diabetes mellitus (T1DM and T2DM). Disease progression can result in visual impairment, primarily due to diabetic macular edema (DME) or proliferative diabetic retinopathy (PDR). Although several ocular treatments are available for DME, a subset of patients fails to respond, reflecting the multifactorial, complex, and systemic nature of DR. Inflammatory biomarkers can be classified according to different characteristics, including imaging biomarkers—most commonly assessed using optical coherence tomography (OCT)—and molecular biomarkers, which are defined by their biochemical and biophysical properties. Pro- and anti-inflammatory cytokines, chemokines, adipokines, and inflammation-related enzymes are recognized as key inflammatory biomarkers and can be detected in the vitreous humour, aqueous humour, tears, serum, and other biological tissues. The identification and characterization of reliable biomarkers may help determine disease severity, monitor disease progression, and predict the risk of specific outcomes, thereby aiding in the prevention of end-stage disease (prognostic biomarkers). In addition, biomarkers may serve as predictive tools for therapeutic response, guiding personalized treatment strategies and enabling ongoing monitoring. This review provides a comprehensive overview of the role of inflammatory biomarkers in the diagnosis and management of DR and DME.