Browsing by Issue Date, starting with "2025-09-03"
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- Parental satisfaction in short-stay pediatric emergency unit: a cross-sectional, descriptive and observational studyPublication . Antunes, Vanessa; Pereira, Paula; Cardoso, Tatiana; Pereira, Célia; Ladeira, Miguel; Antunes, Ricardo; Loureiro, FernandaThis study evaluated parental satisfaction with nursing care in a pediatric emergency department short-stay unit. Using the Citizen Satisfaction with Nursing Care Scale, 205 parents of hospitalized children participated in a descriptive, cross-sectional study. Results showed consistently high satisfaction, regardless of parental sociodemographic characteristics. While parents of newborns and employed parents showed slightly higher satisfaction, differences were not statistically significant. These trends suggest areas for further qualitative research to better understand parental expectations. The findings highlight the importance of ongoing evaluation and structured feedback to maintain high-quality, responsive nursing care in pediatric emergency settings.
- From waste to wellness: sardine by-products as rich sources of bioactive ingredientsPublication . Machado, Manuela; Costa, Eduardo; Augusto, Helga; Cação, Ana; Pintado, Manuela E.The sustainable utilization of sardine by-products represents a valuable contribution to addressing global challenges in waste management and health nutrition. Sardine byproducts, typically discarded or utilized as low-value inputs in animal feed and fertilizer, have demonstrated potential as a source of bioactive ingredients. This study highlights the composition and bioactive properties of sardine protein hydrolysates, derived through enzymatic hydrolysis, emphasizing their nutritional quality and biological potential. Sardine protein hydrolysates exhibit diverse molecular weight ratios and amino acid compositions that are pivotal for fulfilling established health claims. The bioactivity of these hydrolysates was assessed across various parameters, including cytotoxicity, cellular antioxidant activity, lipolysis, and immunomodulation. At a concentration of 5 mg/mL, sardine hydrolysates were found to increase intracellular reactive oxygen species (iROS) production under basal conditions, while enhancing antioxidant activity in stimulated cells. Furthermore, they modulated adipocyte metabolism by reducing lipid accumulation, decreasing leptin secretion, and increasing adiponectin secretion, demonstrating potential for metabolic health applications. The immunomodulatory effects of sardine hydrolysates were particularly noteworthy. In lipopolysaccharide (LPS)-stimulated gut cells, these hydrolysates effectively reduce pro-inflammatory cytokine secretion while increasing TNF-a levels under basal conditions. Such properties underline their potential role in managing inflammation-related conditions. Additionally, the mineral content of sardine by-products, particularly sodium, potassium, and phosphorus, aligns with European Food Safety Authority (EFSA) requirements for health claims. This positions sardine hydrolysates as a sustainable and nutritionally rich source of bioactive compounds that could be integrated into functional foods or nutraceutical formulations. In conclusion, the findings underscore the potential of sardine by-products as sustainable, high-value bioactive ingredients that contribute to nutrition and health while addressing environmental concerns associated with fishery by-product waste.
- Referencing criteria for specialised consultation in complex wound carePublication . Miranda, Liliana Grilo; Lourenço, Óscar; Amado, João; Alves, PauloObjective: Validate a referential model for the nursing consultation for the treatment of patient with complex wounds. Methods: To validate a referencial model for the spe-cialised nursing consultation for complex wounds, bringing together a panel of nation-al and international experts in wound care, we did a Focus Group by a survey the main clinical guidelines and a Delphi panel. Results: Using these two consensus methods, the result was 14 referral criteria for specialised nursing consultations in the treatment of complex wounds. Conclusion: This study is relevant and innovative, facilitating the referral process according to the criteria identified. The most important criteria that we found for referring are Wound complexity, with exposure of fascia, exposure of surgical material, presence of non-viable tissue, vascular pathology and Need for in-novative advanced therapies (NPWT, topical oxygen therapy).
- Beyond the pandemic: tracing the evolution of activity, screen time, and sleep in European children over 3 yearsPublication . Orgilés, Mireia; Amorós-Reche, Víctor; Francisco, Rita; Godinho, Cristina; Delvecchio, Elisa; Mazzeschi, Claudia; Pedro, Marta; Morales, Alexandra; Espada, José P.During COVID-19, several studies documented a decrease in physical activity time, an increase in screen use and a worsening of sleep duration. The aim of this study was to compare the proportion of children with unhealthy amounts of time dedicated to these three habits across three different moments: before the pandemic (T1), 2 weeks after its outbreak (T2), and three and a half years later (T3), when the situation was fully restored. A total of 1248 caregivers of children and adolescents aged 3 to 18 years old (46.9% female) from Italy, Spain and Portugal reported the amount of time devoted to physical activity, screen use and sleep at each moment. At T2, an increase in the percentage of children and adolescents with unhealthy time dedicated to physical activity and screen use was recorded. Proportions decreased at T3 but remained higher than at T1. At T3, the proportion of participants with inadequate sleep hours significantly decreased in children aged 3 to 5 compared to T1–T2, showed no differences in children aged 6 to 12, and increased in adolescents compared to T2, with no significant differences compared to T1. Conclusion: Results highlight that, although unhealthy patterns in physical activity and screen use have decreased compared to the confinement in March 2020, three and a half years later they remain higher than before the COVID-19 pandemic. These findings underscore the need for continued efforts to promote healthy lifestyles and prevent potential adverse consequences.
- A transação administrativa sobre multas contratuaisPublication . Cavaco, Inês Carôla; Almeida, Mário António de Sousa Aroso deThis work intends to study the legal framework of settlement agreements as a means of solving administrative disputes. The study is divided into two parts. In the first part, we analyse the general requirements of a settlement agreement and the specificities of settlement agreements entered into by the Public Administration and individuals, particularly, the scope of application of this means of dispute resolution and the limits to the content of the settlement agreement, considering the rules and principles applicable to public acts. In the second part, we focus our attention on the specific case of settlement agreements over contractual penalties and, more particularly, on the concrete question of whether a settlement agreement under these terms can be qualified as an objective modification of the contract to which it relates and, also, on what has been the practice of the Court of Auditors, in the context of audit and financial responsibility proceedings, with (potential) impact on the control of the content of this type of administrative settlement agreements.
- O papel do balcão único eletrónico no quadro da administração pública eletrónicaPublication . Penedo, Tiago Filipe Picanço; Carvalho, Marta Vaz Canavarro Portocarrero deNowadays, electronic government is a fundamental theme in administrative law, since it has enabled a closer relationship between Administration and citizens, through the use of new information and communication technologies. This dissertation analyses one of the concretisations of the use of new technologies by Public Administration, specifically, the legal regime of the electronic one-stop shop. It begins with a theoretical overview of electronic government, as well as understanding its practical evolution in Portuguese legal system. Thereafter, the electronic one-stop shop concept is developed, taking as its starting point the concept of administrative simplification. On the other hand, the legal regime of electronic one-stop shop consecrated in Code of Administrative Procedure is analysed. It concludes with an analysis of the doctrinal criticisms of the way in which the Code of Administrative Procedure consecrates the electronic one stop-shop, as well as a critical reflection about the future of the electronic one-stop shop in the Code of Administrative Procedure.
- Recebimento indevido de vantagem e cláusula de (in)adequação social : administração estadual e desporto, realidades fora de jogo?Publication . Santarém, Ana Raquel Henriques Freire; Salinas, Henrique João Martins GomesThe object of this dissertation is to study the crime of unduly receiving an advantage. We begin by analysing the path that led to it being established as an autonomous crime, through its legislative antecedents, and then proceed to delve into its legal regime, studying it in particular in the context of sport and state administration. We will clarify the meaning of the social adequacy clause, provided for in Article 372(3) of the Criminal Code and Article 17 of Law 14/2024, by considering alternatives that can translate into more effective justice, namely by using alternative means of proof such as indicative evidence. With regard to the offence of unduly receiving an advantage in the state administration, we will also try to answer some questions that arise about the criminal liability of legal persons. From a political and criminal point of view, there is a clear need to hold collective public entities criminally responsible, and it is not enough to punish the individuals responsible for committing crimes in their name and in their interests. The state's business sector has shown a strong rapprochement with private companies, acting in the competitive market as an economic agent. In this sense, is the exercise of prerogatives of public power a sufficient criterion for exemption from liability for the legal person who, acting on behalf of and in the interests of the company, commits a crime of unduly receiving an advantage in exchange for an act that corresponds to a prerogative of public power? What is the basis for this inability to commit offences?