Portugal nautical stations: Strategic alliances for sport tourism and environmental sustainability.

Nautical tourism is a tourist product with great development in the European space and a lot of potential to promote and develop tourist destinations. Considering the dynamics of nautical tourism management and the importance of meeting the specificities of this market niche, the objective of this study was to analyse the strategic alliances for the development of the offer of nautical tourism products, namely the strategic goals and sustainable environmental practices adopted by their actors which integrated the strategic alliances in order to certificate a plethora of nautical stations in Portugal. Between September and December 2021, 17 Portuguese nautical stations' application forms were collected. Content analysis using Nvivo software was the technique used for data analysis. The results showed a multiplicity of strategic objectives associated with the strategic alliance established between the nautical stations. The strategic vision of nautical stations for the development of strategic alliances is built, firstly, on the objective of structuring the tourism offer, followed by increasing governance and promoting and marketing nautical tourism using the image of the destination. Based on these results, it is possible to infer the importance of nautical stations in destination competitiveness and the role of strategic alliances in facilitating penetration in the nautical tourism market. The managers of nautical stations should consider the use of strategic alliances to make a cooperative marketing in order to improve the experience of the clients. Regarding environmental sustainability practices, the results exposed the prominence of environmental education actions in contrast to the reduced number of nautical stations developing actions for the adoption of sustainable transport. This study contributes to a better understanding of nautical tourism and Portuguese nautical stations, a project of strategic investment in sport and tourism, inferring on the objectives underlying the formation of strategic alliances and on the adopted environmental sustainability practices. The conclusions of this study point to the need for future scientific research on the actual operationalization of the objectives underlying the formation of strategic alliances, as well as the environmental practices developed by nautical stations.

Promoção do autocuidado no regresso a casa da pessoa com doença cardíaca / Promoting self-care when people with heart disease return home

As doenças cardiovasculares continuam a ser a principal causa de morte a nível nacional. De entre estas, a doença cardíaca tem particular destaque e crê-se que uma percentagem significativa dessa mortalidade possa ser evitada. De acordo com a FPC, a prevenção passa pelo controlo de fatores de risco modificáveis. Fruto dessas patologias ocorrem alterações significativas que podem proporcionar incapacidades e dependências nos doentes. Do mesmo modo, são exigidos novos papéis interventivos aos familiares. O défice de autocuidado que daí advém é um espaço de intervenção próprio do EEER, capaz de utilizar as suas competências específicas na reabilitação do doente. O presente relatório versa sobre as competências ­ comuns e específicas ­ desenvolvidas para a obtenção do título de EEER. Retrata as diversas atividades e intervenções implementadas no decorrer dos ensinos clínicos, com posterior análise e reflexão sobre o seu impacto no desenvolvimento de competências. Procura ainda revelar a pertinência do papel do EEER na promoção do autocuidado no regresso a casa da pessoa com doença cardíaca. A teoria de enfermagem que suporta tais cuidados é a de Dorothea Orem, cujo conceito de autocuidado aponta a capacidade de autonomia da pessoa no seu processo de saúde, utilizando-o em benefício próprio para a promoção da sua qualidade de vida. É o EEER que, através dos seus conhecimentos e competências, orienta o seu exercício profissional de acordo com as necessidades manifestadas pelo doente e famílias. Igualmente, o regresso a casa, devido às transições daí decorrentes, carece de toda a atenção do EE contribuindo para que este seja um processo satisfatório. Incumbe-lhe o desenvolvimento de áreas comunicacionais entre profissionais e de articulação institucionais. Finalmente, revela a importância da RC na prevenção da doença, na capacitação do doente e na maximização da sua independência.

Cardiovascular diseases continue to be the leading cause of death nationwide. Of these, heart disease is particularly prominent and it is believed that a significant percentage of such mortality can be avoided. According to the PCF, prevention is controlled by modifiable risk factors. As a result of these pathologies, there are significant changes that can lead to disability and dependence in patients. Similarly, new interventional roles are required of family members. The resulting self-care deficit is na Rehabilitation Nurse Specialist (RNS) intervention area capable of using its specific skills in patient rehabilitation. This report deals with the common and specific competences developed to obtain the RNS title. It portrays the various activities and interventions implemented during the course of clinical teaching, with subsequent analysis and reflection on their impact on the development of competencies. It also seeks to reveal the relevance of the role of the RNS in promoting self-care on the return home of the person with heart disease. The nursing theory that supports such care is that of Dorothea Orem, whose concept of self-care indicates the person's capacity for autonomy in his health process, using it to his own advantage to promote his quality of life. It is the RNS, which through its knowledge and skills guides its professional practice according to the needs expressed by the patient and families. Likewise, discharge planning, due to the resulting transitions, lacks the full attention of the RNS and contributes to this satisfactory process. It is responsible for the development of communication areas between professional and institutional articulation. Finally, it reveals the importance of CR in preventing disease, in empowering the patient, and in maximizing their independence.

Hybrid Coatings Enriched with Tetraethoxysilane for Corrosion Mitigation of Hot-Dip Galvanized Steel in Chloride Contaminated Simulated Concrete Pore Solutions.

Hybrid sol-gel coatings, named U(X):TEOS, based on ureasilicate matrices (U(X)) enriched with tetraethoxysilane (TEOS), were synthesized. The influence of TEOS addition was studied on both the structure of the hybrid sol-gel films as well as on the electrochemical properties. The effect of TEOS on the structure of the hybrid sol-gel films was investigated by solid state Nuclear Magnetic Resonance. The dielectric properties of the different materials were investigated by electrochemical impedance spectroscopy. The corrosion behavior of the hybrid coatings on HDGS was studied in chloride-contaminated simulated concrete pore solutions (SCPS) by polarization resistance measurements. The roughness of the HDGS coated with hybrids was also characterized by atomic force microscopy. The structural characterization of the hybrid materials proved the effective reaction between Jeffamine® and 3-isocyanate propyltriethoxysilane (ICPTES) and indicated that the addition of TEOS does not seem to affect the organic structure or to increase the degree of condensation of the hybrid materials. Despite the apparent lack of influence on the hybrids architecture, the polarization resistance measurements confirmed that TEOS addition improves the corrosion resistance of the hybrid coatings (U(X):TEOS) in chloride-contaminated SCPS when compared to samples prepared without any TEOS (U(X)). This behavior could be related to the decrease in roughness of the hybrid coatings (due TEOS addition) and to the different metal coating interaction resulting from the increase of the inorganic component in the hybrid matrix.

Prenatal ultrasound diagnosis of Tessier number 7 cleft: Case report and review of the literature.

Lateral or transverse facial clefts are the most frequent of the atypical facial clefts, classified by Tessier as no. 7 clefts. Most of the cases are diagnosed at birth, while few cases are diagnosed prenatally. We report a case of prenatal ultrasound detection and three-dimensional characterisation of a lateral facial cleft at 21 weeks of gestation, which was terminated at 22 weeks. It was a transverse cleft, running through the left cheek towards the ear, along with micrognathia and mild polyhydramnios. We also present a review on classification, anatomical features and prenatal diagnosis of Tessier no. 7 cleft.

Predicción del abandono deportivo en la adolescencia a través del estúdio de la calidad percibida / Previsão de abandono esportivo na adolescência, através do estudo da qualidade percebida / Prediction of drop-out in teenagers through the study of perceived quality

El objetivo de este trabajo es averiguar si existe relación entre la calidad percibida y el abandono deportivo. La población objeto de estudio fueron 1109 adolescentes. Utilizamos el cuestionario EPOD. Las técnicas estadísticas utilizadas fueron tablas de contingencia, comparación de medias, correlaciones y regresión lineal. Los resultados muestran que un 40% de adolescentes ha abandonado el deporte, que la calidad percibida es buena, siendo el factor "técnicos" el mejor valorado, mientras que los "espacios" deportivos han obtenido la peor calificación. Hemos hallado relación entre la calidad del servicio y abandono. Los servicios deportivos peor valorados presentan tasas de abandono más altas.

This study aimed to analyse the relationship between perceived quality and sport drop-out. Our sampling was 1109 teenagers. The data collection method was the EPOD survey. For data analysis we used the statistical techniques of tables of contingency, average comparison, correlation and linear regression. The results showed that 40% of the teenagers dropped-out sport activities, the perceived quality was good, and the "sports coach" was the most valued, whilst the "sports facilities" obtained the worst classification. The results suggest a relationship between perceived quality and sport drop-out. The sports services which had obtained lower evaluations presented higher levels of drop-out.

O objetivo deste trabalho foi averiguar se existe relação entre a qualidade percebida e o abandono desportivo. A população objeto de estudo foram 1.109 adolescentes. O método de coleta de dados foi o questionário EPOD. Na análise dos dados foram utilizadas as técnicas estatísticas de tabelas de contingência, comparação de médias, correlações e regressão linear. Os resultados mostraram que 40% dos adolescentes abandonaram o desporto e que a qualidade percebida é boa, sendo que os "treinadores" foram o mais valorizado e que os "espaços" esportivos foram os menos valorizados. Os resultados demonstram que existe relação entre a qualidade do serviço e o abandono. Os serviços desportivos que obtem avaliações mais baixas apresentam taxas de abandono mais elevadas.

Função sexual e saúde reprodutiva em mulheres adolescentes com lúpus eritematoso sistêmico juvenil / Sexual function and reproductive health in adolescent females with systemic lupus erythematosus

OBJETIVO: Avaliar a função sexual e a saúde reprodutiva em adolescentes com Lúpus Eritematoso Sistêmico Juvenil (LESJ) e compará-las com controles. PACIENTES E MÉTODOS: Cinquenta e duas pacientes com LESJ do sexo feminino foram avaliadas com dados demográficos, função sexual, exame ginecológico, ciclo menstrual, citologia cérvico-vaginal, características clínicas e tratamento. O grupo controle incluiu 52 mulheres pareadas por idade. RESULTADOS: A média da idade foi similar nas pacientes com LESJ e controles (16,7±1,94 versus 16,13 ± 2,16 anos, P = 0,92). A média da idade da menarca foi maior nas pacientes com LESJ (12,82 ± 1,62 versus 11,55 ± 1,45 anos, P = 0,0004). A frequência de atividade sexual foi significativamente menor nas pacientes com LESJ (23 por cento versus 60 por cento, P = 0,0003). Em contraste, os percentuais de disfunção sexual, lubrificação vaginal reduzida, desempenho diminuído, orgasmo reduzido e insatisfação com a vida sexual foram significativamente maiores nas pacientes com LESJ (58 por cento versus 23 por cento, P = 0,03; 50 por cento versus 16 por cento, P = 0,046; 58 por cento versus 23 por cento, P = 0,03 por cento; 50 por cento versus 16 por cento, P = 0,046; respectivamente). Por outro lado, nenhuma diferença foi observada nas pacientes com LESJ e controles em relação a dados demográficos, alterações pubertárias, anormalidades do ciclo menstrual e citologia cérvico-vaginal (P > 0,05). Nenhuma diferença foi evidenciada nas pacientes com LESJ com e sem disfunção sexual em relação aos dados demográficos, alterações pubertárias, anormalidades do ciclo menstrual e citologia cérvico-vaginal, atividade da doença, dano cumulativo e tratamento (P > 0,05). CONCLUSÃO: Este é o primeiro estudo que identificou disfunção sexual em adolescentes do sexo feminino com LESJ. Aspectos relacionados à sexualidade necessitam uma atenção especial dos profissionais de saúde que atendem adolescentes com lúpus.

OBJECTIVE: To evaluate the reproductive health of female adolescents with Juvenile Systemic Lupus Erythematosus (JSLE) and compare them with a control group. PATIENTS AND METHODS: The demographic data, sexual function, gynecologic exam, menstrual cycle, cervicovaginal cytology, clinical characteristics, and treatment of 52 female patients with JSLE were evaluated. The control group was composed of 52 women matched for age. RESULTS: The mean age of patients with JSLE was similar to that of the control group (16.7 ± 1.94 versus 16.13 ± 2.16 years, P = 0.92). The mean age of menarche was higher in JSLE patients (12.82 ± 1.62 versus 11.55 ± 1.45 years, P = 0.0004). The frequency of sex activity was significantly lower in patients with JSLE (23 percent versus 60 percent, P = 0.0003). In contrast, the percentage of sexual dysfunction, reduced vaginal lubrication, decreased performance, reduced orgasm, and dissatisfaction with one's sex life were significantly higher in JSLE patents (58 percent versus 23 percent, P = 0.03; 50 percent versus 16 percent, P = 0.046; 58 percent versus 23 percent, P = 0.03; 50 percent versus 26 percent, P = 0.046, respectively). On the other hand, demographic data, pubertal changes, abnormalities in menstrual cycle, and cervicovaginal cytology were similar in JSLE patients and the control group (P > 0.05). Demographic data, pubertal changes, abnormalities in menstrual cycle, cervicovaginal cytology, disease activity, cumulative damage, and treatment did not differ between JSLE patients with and without sexual dysfunction (P > 0.05). CONCLUSION: This is the first study to identify sexual dysfunction in female adolescents with JSLE. Sexuality-related aspects require special attention from health care professionals who treat adolescents with lupus.

A galvanic sensor for monitoring the corrosion condition of the concrete reinforcing steel: relationship between the galvanic and the corrosion currents.

This work reports a study carried out on the design and performance of galvanic and polarization resistance sensors to be embedded in concrete systems for permanent monitoring of the corrosion condition of reinforcing steel, aiming to establish a correlation between the galvanic currents, I(gal), and the corrosion currents, I(corr), estimated from the polarization resistance, R(p). Sensors have been tested in saturated Ca(OH)(2) aqueous solutions, under a variety of conditions, simulating the most important parameters that can accelerate the corrosion of concrete reinforcing steel, such as carbonation, ingress of chloride ions, presence or absence of O(2). For all the conditions, the influence of temperature (20 to 55 °C) has also been considered. From this study, it could be concluded that the galvanic currents are sensitive to the various parameters following a trend similar to that of the R(p) values. A relationship between the galvanic and the corrosion current densities was obtained and the limiting values of the I(gal), indicative of the state condition of the reinforcing steel for the designed sensor, were established.