Recém-nascidos de muito baixo peso e famílias migrantes : maternidade Dr. Alfredo da Costa : uma janela sobre a sociedade contemporânea portuguesa…

RESUMO - A migração transnacional de pessoas tem-se afirmado como um fenómeno global e crescente, provocando, nos diversos contextos nacionais implicados, mudança social e desafios adaptativos das sociedades e instituições. O universo da saúde poderá contudo constituir uma esfera privilegiada de interacção senão de inclusão e coesão social, requestionando os conceitos de cidadania. A sustentação de bons indicadores de saúde, nomeadamente materna e infantil, decorre de estratégias abrangentes de saúde pública e de políticas visionárias que contemplem sempre e também os mais necessitados. Procurando conhecer melhor os contextos em que ocorre o nascimento de recém-nascidos de muito baixo peso, este projecto corresponde a um estudo exploratório na maior maternidade do país, procurando entender a eventual associação de factores de índole social e familiar, nomeadamente ser de origem migrante. --------------------------- ABSTRACT - Transnational migration of people has clearly become a global and growing issue causing, on different national grounds, social change and adaptative challenges to society and its institutions. The health universe may, however, be a privileged scenery for integration and social cohesion making one re-think the concept of citizenship. Keeping up good health statistics, including maternal and child health results from wide public health strategies and fore seeking health policies not disregarding the underprivileged or the less visible fringes of society. Aiming to clarify on what context very low birth weight happens this project consists mainly in an explorative study on the biggest maternity in Portugal. Social and familiar factors are screened for possible association with migrant origin in ver

Le Crétacé terminal de Beira Litoral, Portugal: remarques stratigraphiques et écologiques, étude complémentaire de Rosasia soutoi (Cbelonii, Bothremydidae)

The synthetic study of the uppermost Cretaceous of the Beira Litoral (fauna, floral confirms its upper Campanian-Maastrichtian age. It shows the presence of a tropical to subtropical climate in an area constituted by a low coastal plain only occasionally linked to the sea, saturared with fresh water and possessing accordingly, a predominantely freshwater fauna (Viso, Aveiro); this plain changed towards the interior into a drier more forested zone with a more abundant terrestrial fauna which includes mammals (Taveiro). A thorough study of the chelonian Rosasia, abundant on the coastal plain, was made possible thanks to the discovery of a skull: it demonstrates that the genus belongs to the family Bothremydidae, revalided here. The composition of this family is presented, its phylogenetic and paleobiogeographic relation with the other pleurodires are analyzed, and its diagnosis established. The family is constituted of three groups; Rosasia belongs to one of rhese, the Bothremys group.

Castor fiber na gruta do Caldeirão Existência, distribuição e extinção do castor em Portugal

Beaver only had been found in Portugal in a Chalcolithic locality, the Vila Nova de S. Pedro castrum. It has now been idenrified in the Upper Paleolithic (Solurrean) from Gruta do Caldeirão, near Tomar. The species has been found recently at «Gruta do Almonda»; 4 teeth were collected in bed C, older than a Solutrean sequence (see Anexo for details). The species seems to have been rare, as it was also the case with portuguese miocene Castoridae Enroxenomys minutus and Chalicomys jaegeri. If account is taken of the presence in the Middle Ages until Castille of words meaning beaver (related to the popular latin Fiber/Biber), it is obvious that these animals still existed then. Such nouns were largely predominant over the rather erudite larin (greek derived) words as Castor, -óris and derived ones, as it could be expected. This allowed us to recognize that veiro should be the corresponding word with Fiber affinities in archaic portuguese. It was previously supposed to mean only expensive furs then imported into Portugal. Indeed it was also a zoonym. Anyway, beaver should be scarce by XIIIth century since it is not included in the quite detailed price list imposed by the «Lei da Almotaçaria» from December 26, 1253 (see Quadro II). Toponyms in veiro and derived words (fig. 2; Quadro III) (plural, feminines, diminutives, inhabited places) give a restrictive view of the Middle Age distribution. Some of them are certainly older than Portugal itself (first half of XIIth century); others existed by the XIVth century but were probably older. Some rare toponyms seem to be derived from rhe erudite latin Castor, -óris. Nothing suggests that these words were still in use as zoonyms during the Middle Ages. All toponyms are located in regions near rivers and other freshwaters ecologically suitable for beavers, so wecan approximately retrace irs former, Middle Age distribution in Portugal (fig. 2; Quadro III). Most of them are located in the Center-West and Northwest of Portugal, with a suitable c1imate (rainfall in general over 800 milimeters per year); the only sure geographical exception is Veiros, in Alto Alentejo province, in a region with comparable precipitations and less dry climare conditions than most of the territories South of the Tagus. There are less and less of these toponyms towards the South and the inner part of the country, and they are enrirely lacking in ali drier regions from Trás-os-Montes, Beira, Alentejo beyond Tagus' basin, and in Algarve. Nothing suggests beavers lived there, No pose-medieval toponym is known, nor any reference after middle XVth century. No such locality was at, or close by to, any frontier. Hence the hypothesis of veiro (e: al.) as meaning but points where expensive furs(supposedly known as veiros in general but without clearly saying from what animal they were obtained from) is to be discarded. During the Middle Ages, beaver distribution concerned all the main river basins from Minho to Tagus ones. Quice racefied in the XIIIth, the beavers may have disappeared from Portugal during the XVth century. Ecological requirements restricted their former distribution. Vulnerability to natural causes (i.e., severe drought) and to human pressure may have accounted heavily for this species extinction. Last (1446) reference for Portugal known to us suggests the species was by then almost extinct.

Palinomorfos ante-cenomanianos do «Grés do Buçaco» (Lousã, Portugal) *

The palynological study of sediments from lower levels of Lousã basin (Lomba do Alveite Arkoses). is presented. The palynological association includes several species of Appendicisporites and Cicatricosisporites, Costatoperforosporites sp., Ischyosporites teixeirae, Pattelasporites tavaredensis, Echinatisporis sp., Spheripollenites perinatus, Tricolpopollenites sp. and Retitricolpites maximus. The presence of the last two forms, and the absence of Normapolles, suggest an ante-Cenomanian, most probably Albian age for the assemblage. From these results, the begining of the infilling of the Lousã basin, is, at least in part, synchronous with the deposition of the «Grés Grosseiro Inferior» from the Occidental portuguese Basin. The presence of Lower Cretaceous sediments directly overlying the Paleozoic basement, hence outside of the Occidental Portuguese Basin,is shown for the first time.

Rupicapra rupicapra (Mammalia) In the Late Pleistocene of Portugal

The presence of the genus Rupicapra in Portugal is shown for the first time, on some dental and skeletal remains from the upper Pleistocene (Solutrean) of Salemas cave. The fossil material may be ascribed to R. rupicapra pyrenaica.

Nouvelles espèces d'ostracodes du miocène du bassin du Tage (Portugal)

Twelve new species of miocene ostracoda from the Tagus basin (Portugal) are described. Paleoenvironments concerning each of these species are given.

Paleolítico médio e superior em Portugal: datas 14C, estado actual dos conhecimentos, síntese e discussão

New radiocarbon measurements were obtained from middle and upper Paleolithic sites currendy under research by the CEPUNL, in well defined stratigraphical situations. With other dates, they yield an approximative chronological global view. Measurement dístribution in function of time does not seem to be an hazardous one. ln the actual status of our knowledge, this distribution seems to fit in some assemblages: (a) 14000 to 15000 BP, Solurrean ; (b) about 20 000 BP, Solurrean ; (e) area 25 000 BP, already Solurrean, and slightly older than 26 000 BP, still Mousterian ; (d) between 29 000 and 31 000 BP, Mousterian. The persistance of Mousterian much later than its acknowledged upper limit at about 34 000 BP (and hence the survival of its neanderthalian authors) is demonstrated. For the first time it has been possible to ascertain the upper time limit of the marine 5-8 metres raised beach (Tyrrhenian III) at Serra da Arrábida, and also the age of archaeological sires wirhout srone arrifacts, or with uncharacteristic ones. The obtained measurements allow us to correlate localities and sedimentary units with last glaciation events. There seems to have been a distinct correlation between cave and shelter human occupation and events marked by the worsening of climate.

Surveillance technology and strategy for management of Portugal's EEZ

EEZ International, Summer 2003, p. 43-47

Percepção do estado de saúde de doentes com anticoagulação oral

RESUMO - O aumento da incidência das doenças crónicas representa um desafio enorme para todos os Sistemas de Saúde, pelo que a assistência de Saúde a doentes crónicos se tornou num problema das sociedades ocidentais. Os países mais pobres são os que mais sofrem, embora nos países desenvolvidos também se verifique um aumento notável das doenças crónicas. Estima-se que estas representem mais de 60% do total das doenças mundiais no ano 2020 (WHO, 2001). A adaptação dos actuais modelos de saúde aos doentes crónicos não atingiu os objectivos, o que conduziu a que, de há alguns anos a esta parte, se procure alternativas mais eficazes e eficientes. Uma das pressões do mercado que se fazem sentir será caracterizada por uma maior aposta na Promoção da Saúde e Prevenção da doença. O conceito de “Saúde” migrou de “não existência de doença” para “Bem-estar Físico e Psicológico”. Desta forma, o foco dos cuidados de saúde teve que ser adaptado, o que conduziu a uma situação em que o âmbito da prestação de cuidados de saúde é um contínuo de serviços que vai desde a promoção da saúde, medicina preventiva e medicina curativa aos cuidados continuados e cuidados paliativos. As tecnologias de informação e comunicação desempenharão um importante papel nesta tendência, permitindo estabelecer ligações contínuas entre os consumidores e prestadores de cuidados de saúde. Por outro lado, as potencialidades da Internet, das comunicações móveis, dispositivos portáteis e do instrumental electrónico, tornam-se evidentes no desenvolvimento de serviços de e-Saúde: para monitorização, seguimento e controlo dos doentes extra hospitalar - serviços estes centrados no doente. O objectivo geral do presente estudo consiste no desenho de um projecto de investigação para posterior avaliação da percepção do estado de saúde dos doentes seguidos na consulta de hipocoagulação do Hospital de Santa Marta. Devido à escassez de investigação na temática deste trabalho em Portugal, procedeu-se a um trabalho exploratório, descritivo, de carácter comparativo e enquadrado na abordagem quantitativa. O campo de análise consiste em comparar doentes que fazem anticoagulação oral, seguidos na consulta de cardiologia (consulta convencional), com os doentes seguidos no programa Airmed (através das comunicações móveis). 4 Para avaliação da percepção do estado de saúde foi utilizado o questionário SF-36.----ABSTRACT - The increasing incidence of chronic diseases represents an enormous challenge to the Health Systems and on cause of that, the Health Assistance to chronic patients became a concern of the Occidental society. The Countries with lower economical resources are the ones that suffers the most, but also the Developed countries have a noticeable increase of chronic diseases. It is estimated these will represent over 60% of total diseases world wide in 2020 (WHO,2001). The adaptation of the actual Health Models to chronic patients did not achieved it’s goals, what leaded to look for more effective and efficient alternatives. One of the more sensitive market pressure factor is to look for a better Health Promotion and Disease Prevention. The concept of “Health” merged from “Disease absence” to “Physic and Psychic Wellness”. In this way the Health Care focus had to be adapted, what drove to a status where the scope of the Health care is a continuum of services that goes from the Health Promotion, Preventive and Curative to Continued and Palliative Medical Care. The Information and Communication Technologies will play a crucial role in this trend, allowing to establish continued connections between patients and Health Care providers. In parallel the potential of the Internet, mobile communications, portable devices and electronic instruments became evident to deploy e-Health services: to monitor, follow-up and control of patients outside the Hospital. The overall objective of the present study is an Investigation Project Design to further evaluate the health status perception of the patients followed in the consultation for Hypocoagulation in the “Hospital de Santa Marta”. Due to lack of investigation in this thematic, in Portugal, this study is developed in an exploratory way, descriptive, comparative, within a scope of a quantified approach. The analysis field consists on comparing patients prescribed with oral anticoagulants and followed-up at the

Quaternary elephants in Portugal: new data

In this paper, a synopsis on the already known data, and the study of further specimens either new (*) or hither to undescribed are presented. The specimens dealt with have been collected at the Condeixa travertines; in the Tagus terraces near Carregado(*) and at Foz do Enxarrique(*); in the mousterian, about 31000 BP infilling from the Figueira Brava cave(*); and at Algar de Joao Ramos(*). Some specimens are ascribed to Elephas antiquus, the best represented form. Material from Figueira Brava cave and Algar de João Ramos is ascribed to Mammuthus primigenius, a species recognized here for the first time in Portugal.

Présence de Cuon alpinus europaeus BOURGUIGNAT, 1868 (Mammalia, Carnivora) dans le Pléistocène du Portugal

A fragment of the lower jaw of cuon (Cuon alpinus europaeus BOURGUIGNAT, 1868) found at gruta do Escoural is studied. It is the first occurrence recorded for the Pleistocene of Portugal.

Contributions to the Eocene palaeontology and stratigraphy of Beira Alta, Portugal II - New Late Eocene mammalian remnants from Coja (Portugal) and the presence of Palaeotherium magnum Cuvier

The presence of Palaeotherium magnum in the fauna from Coja is recorded. It is well in agreement with the earlier reporting to the Montmartre level from the Ludian stage. Field data as well as compatibility with the remaining taxa and the identical fossilization of all the specimens indicate that all the vertebrate fossils come from the same horizon in the lithostratigraphic unit "Arcoses de Côja".

Contributions to the Eocene palaeontology and stratigraphy of Beira Alta, Portugal III - Eocene plant remains from Naia and Sobreda (Beira Alta, Portugal)

The result of research conducted in trunk fragments from the Coja Arkoses Formation at Naia and Sobreda is reported. It is also reported the palynological study of the lutaceous black level surrounding the Naia trunk. Comparisons with trunks from Nave de Haver are established. Comments on palaeoecology and palaeoclimatology are presented.

The Transversarium-Bifurcatus Zone boundary at Rocha (Peral area, East-Central Algarve, Portugal)

This paper represents the first detailed study of the Transversarium-Bifurcatus Zone boundary in the Algarve. The boundary studied in the Peral area is associated with a stratigraphic discontinuity, whose hiatus partially affects the Transversarium-Bifurcatus Zones. A discontinuity was also recognized in the Bifurcatus-Birnammatum Zone boundary, which can be correlated with the traces of a Type II unconformity, which separates cycles 4.3-4.4 in HAQ et al. (1987), present on the South Iberian palaeomargin. An analysis was made of the ecostratigraphic evolution in the interval between the uppermost Transversarium Zone and the lower part of the Bimammatum Zone on the basis of the faunal spectra obtained. We conclude that ammonites are the most tolerant cephalopods to the ecological stress caused by the increase of inflows and the decrease of the shelf's ecospace. Benthic fauna decreased considerably in these conditions. A relatively abundant and diversified fauna ofDichotomoceras is noteworthy among the ammonites collected, as this genus was previously little known in the Algarve.