ESS2-Artigos (em revistas ou actas indexadas)
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- Leadership, culture and performance: A case study in Portuguese SchoolsPublication . Lopo Tomaz, Mónica; Silva, Celso Filipe BotoThis study investigates the relationships between leadership systems, organizational culture and school performance in school clusters in the Eastern Algarve, Portugal. Based on the assumption that schools in similar socio-economic contexts can present different dynamics and results, the research focuses on understanding how leadership, personalized in the principal, and school culture traits influence educational performance. The central hypothesis is that effective educational leadership positively influences the school's organizational culture, and that both variables are decisive in framing teaching practice and creating learning environments that boost student results. Adopting a multiple case study methodology (“constellation of cases”) in six municipalities in the Algarve, the article analyses preliminary data to contextualize the profound territorial inequalities in school enrolment, dropout and success in the region. The preliminary results of this contextualization reveal significant disparities that serve as a backdrop for the subsequent qualitative analysis. Ultimately, the work aims to identify the mechanisms that allow schools to “make a difference”, contributing with reflections to processes of change and improvement in the Portuguese education system.
- From clinical theory to user reality: A multi-phase co-design protocol of an analog serious game for fall preventionPublication . Tome, Ana Maria; Tomás, Maria Teresa; Pais, Sandra; de Almeida Fontes, Ana Paula; Rosa, MarleneIntroduction: Developing serious games for geriatric rehabilitation requires bridging the gap between clinical guidelines and user engagement. This study presents a novel methodological protocol used in the co-development of an analog serious game for fall prevention in older adults. The objective was to validate a comprehensive co-design framework that integrates multidisciplinary stakeholder insights with end-user creativity through a sequential, participatory methodology, ensuring both clinical fidelity and high playability.
- Hidden risks in active ageing: Executive dysfunction, polypharmacy, and fall risk in senior university students – a cross-sectional studyPublication . Tome, Ana Maria; Rosa, Marlene; Tomás, Maria Teresa; Pais, Sandra; de Almeida Fontes, Ana PaulaIntroduction: Participation in Senior University programs is often viewed as a proxy for active and healthy ageing. However, the prevalence of geriatric syndromes in this specific population—particularly fall risk associated with executive decline and polypharmacy burden—remains under-characterized. This study aimed to phenotype the fall risk profile by analyzing the interplay between physical, cognitive, and extrinsic determinants in a cohort of community-dwelling older adults in Southern Portugal.
- Metacognitive training (MCT-Silver) for older adults with depressive symptoms in Portugal: a pilot studyPublication . Silva, Celso Filipe Boto; Alves, Elisabete; Schneider, Brooke C.; Sampaio, Francisco; Morgado, Bruno; Santos, Bruno M.; Correia, Tânia; Coelho, Joana; Tomaz, Mónica Lopo; Ferreira, Rogério; Fonseca, César; Pinho, LaraPurpose Depressive symptoms in older adults represent a significant concern with major life impact. This uncontrolled pilot study evaluated the safety, feasibility and acceptance of metacognitive training for depression in later life (MCT-Silver) among Portuguese older adults. MCT-Silver is an 8-week psychological group intervention targeting (meta)cognitive beliefs to reduce depressive symptoms. The study also assessed changes in depressive symptoms, metacognitive beliefs, quality of life, ruminative responses, self-esteem, and dysfunctional attitudes. Methods A pilot, uncontrolled, single-group study with twenty-nine participants aged≥60 years without cognitive impairment and beck depression inventory-II (BDI-II) scores≥14 were included. Blinded assessments occurred at baseline and post-intervention using patient health questionnaire-9 (PHQ-9) (depression), metacognitions questionnaire-30 (MCQ-30) (metacognitive beliefs), world health organization quality of life instruments-Bref, item 1 (WHOQOL-Bref) (quality of life), ruminative responses scale (RRS-10) (ruminative responses), Rosenberg self-esteem scale (RSE) (self-esteem), and dysfunctional attitudes scale-18B (DAS-18B) (dysfunctional attitudes). Acceptance was assessed with a 21-item questionnaire. Results Participants attended an average of 6 sessions (75%) and evaluated the intervention very positively, indicating they found it to be useful in daily life and fun. We did not receive any negative responses. Pre-post comparisons showed statistically significant changes in depressive symptoms, metacognitive beliefs, quality of life, rumination, self-esteem and dysfunctional attitudes; however, given the uncontrolled design, these findings should be interpreted as preliminary and exploratory rather than as evidence of efficacy. Conclusions Results of this uncontrolled single-group pilot study are encouraging, indicating safety, and feasibility of administration as well as high adherence and acceptance among Portuguese older adults. Given the uncontrolled singlegroup design, the observed pre-post improvements in clinical outcomes should not be interpreted as evidence of efficacy. Controlled studies are needed to confirm the efficacy of MCT-Silver in this population.
- Integrating three-dimensional printing into radiology practice: workflow, performance, and clinical impactPublication . Pinheiro, João; Ribeiro, Luís Pedro; Magalhães Ribeiro, Anabela de; Boeiro, H.; Seiça, E.; Gonçalves, M.; Gonçalves, R.; Luz, L.; Sousa, J. PauloTo evaluate the feasibility, performance, and workflow integration of three-dimensional printing within a radiology department, assessing imaging acquisition parameters, segmentation software, printing technologies, material selection, costs, and staff perception across multiple anatomical regions.
- Non-destructive x-ray ct characterization of the antikythera mechanism: advances in internal gear reconstructionPublication . Pinheiro, João; Anselmo, L.; Luz, L.; Seiça, E.; Silva, L.; Gonçalves, R.; Petrouleas, N.To demonstrate how high-resolution X-ray computed tomography enables the non-destructive internal characterization of Fragment A of the Antikythera Mechanism, allowing the identification, three-dimensional reconstruction, and functional interpretation of concealed gears, structural components, and inscriptions despite extensive corrosion.
- 3D Printing: A new dimension for anatomy educationPublication . Pinheiro, João; Ribeiro, Luís Pedro; Magalhães Ribeiro, Anabela de; Gonçalves, R.; Luz, L.; Seiça, E.; Gonçalves, M.; Sousa, J. Paulo; Silva, L.The purpose of this pedagogical practice was to evaluate the feasibility, cost-effectiveness, and educational value of three-dimensional (3D) printed anatomical models in the teaching of human anatomy. Advances in medical imaging and 3D printing have enabled the conversion of CT and MRI data into physical models, offering new opportunities to enhance spatial understanding, tactile learning, and student engagement beyond traditional two-dimensional resources [1–4].
- 3D printing with silicone filling: Creation of an anatomical hand modelPublication . Pinheiro, João; Luz, L.; Seiça, E.; Silva, L.; Gonçalves, R.; Sousa, J. Paulo; Boeiro, H.To develop and evaluate a low-cost anatomical hand and wrist model produced by FDM 3D printing with silicone filling, calibrated using radiographic and CT data, and to assess its anatomical fidelity, imaging realism, mechanical durability, and suitability for training in musculoskeletal radiology, orthopedics, and anatomy education.
- Ultrasound abdominal phantom - A possible training tool for radiographers and medical imaging studentsPublication . Pinheiro, João; Ribeiro, Luís PedroSimulation-based learning (SBL) is extensively utilized in healthcare education to offer students a safe environment for practicing clinical scenarios without risking patient safety. Simulation plays a crucial role in training, assessment, and research across fields such as aviation, nuclear power, and the military, and is poised to become a mandatory aspect of health professional education. It is essential for developing medical skills, guiding learners from novice to expert.
- Assessment of the morphology of the supraspinatus muscle tendon by conventional ultrasound and ultrasonographic elastographyPublication . Dolores, M. C.; Ribeiro, Luís Pedro; do Espírito Santo Rodrigues, Sónia Isabel; Caldeira Lagem Abrantes, António Fernando; Pinheiro, João; Vicente, B.Shoulder pain is one of the most common complaints among volleyball players, with the supraspinatus muscle tendon being one of the most susceptible to injury in this type of sport. The movement of the shoulder joint is highly demanding, and the energy involved is relatively high, which affects and exceeds its physiological limits, resulting in rotator cuff tendinopathies, which include the supraspinatus muscle tendon. Ultrasound, a noninvasive technique, is essential for detailed musculoskeletal injury evaluation.