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.

Mapping and characterization of a green biofilm inside of Vilar de Frades Church (Portugal)

Vilar de Frades church is integrated in the Vilar de Frades Monastery, located in the North part of Portugal (Barcelos). The monastery, founded in 566, suffered several architectural modifications and restoration works, the most relevant was in the XVI century. The church, in granite, has one nave and six bays,holding ten chapels with vaults of crossed ribbings. Nowadays, the chapels present a severe biological colonization characterised by an intense green biofilm, which becoming apparent in other locations inside the church. In the course of a general survey concerning the conservation state of the church, an accurate campaign was planned in order to assess the main biodeterioration agents, map biological colonization and determine the environmental conditions. Laboratory analyses were accomplished with optical microscopy and spectrofluorometry. This study presents the results of this campaign. Details on conservation or preservation works that need to be implemented are also presented.

Bio and magnetostratigraphy of two Lower Miocene sections, Tagus basin (Portugal)

The magnetostratigraphy of two sections in early Miocene marine deposits of the Tagus Basin is studied. Thermal demagnetization was used to isolate the primary component of magnetization for 45 samples from the Foz da Fonte section, and for 74 others from Trafaria section. The succession of the polarity zones found in these sections is tentatively correlated with the geomagnetic polarity time scale (GPTS) on the basis of the biostratigraphic data yielded by planktic Foraminifera. The planktic zones and magnetic polarities recognized in these sections can be adequately correlated with the part of the GPTS [table calibrated by BERGGRENET al. (1985)] corresponding to the Anomalies 6 and 5E (Foz da Fonte) and 5D (Trafaria). This correlations suggests ages between 19,35 and 18,14 Ma for Foz da Fonte section, and 17,90 to 16,98 Ma for Trafaria.

Le gisement de Asseiceira, Portugal (Miocène supérieur) Données complémentaires sur Freiria de Rio Maior

A new upper Miocene locality at Asseiceira (Rio Maior), near the top of the "Calcários de Almoster e Santarém" unit (Almoster and Santarém limestones) is studied. Animal and plant fossils are described. Comparisons are drawn to other localities related to the same unit: Freiria and Azambujeira (middle and upper levels, both with large mammals). Small mammals from Asseiceira and Freiria point out to a rather old age amidst the upper Vallesian, MN 10 mammal-unit. This gives a fairly accurate datation for the "Calcários de Almoster e Santarém" and for the short time span of the corresponding sedimentation. Climate was warm and quite dry, with contrasting seasons and arid events. During upper Vallesian times, climate in Iberian Peninsula was varied but drier than in France, and specially so in the inner basins. However in Portugal and in Catalonia climate would he less different in comparison with that of the Rhône basin. Environmental evolution has been important: at Freiria and Azambujeira (middle level) there were mainly shallow lacustrine environments that received ressurgence waters from the nearby "Maciço calcário". Humid areas were closely surrounded by dense forests and these by broader and drier savanna or steppe areas. Still later, carbonate sedimentation ended. For some time there was still a river system with oxbows; humid areas probably were decreasing in favour of surrounding, rather dry environments. This study stressed the nced for revision of the geology of the region of Rio Maior and for a new geological mapping of that area. Environmental evolution has been important: at Freiria and Azambujeira (middle level) there were mainly shallow lacustrine environments that received ressurgence waters from the nearby "Maciço calcário".

The Neogene of Portugal

After a brief historical introduction, this paper deals with the main concerned geotectonic units: the Lower Tagus and Alvalade basins, the Western and Southern borders, and their infillings. Most of the Neogene events and record concern areas South of the Iberian Central Chain, a nearly inverse situation as that of Paleogene times. In the most important of these units, the Lower Tagus basin, there are quite thick detrital series, mostly marine in its distal part near Lisboa (albeit with several continental intercalations), and mainly continental in its inner part. Sedimentological record is almost complete since Lowermost to Upper Miocene. The richness ofdata (paleontology, isotope chronology, paleoclimate, etc.) it gives and the possibility of direct marine-continental correlations render this basin one of the more interesting ones in Western Europe. Alvalade basin is separated from the previous one by a barrier of Paleozoic rocks. Two transgressions events (Upper Tortonian and Messinian in age) are recorded. Active sedimentation may be correlated to Late Miocene tectonics events. In Algarve, chiefly marine units from Lower to Upper Miocene are well developped. The Lower unit (Lagos-Portimão Formation) is best exposed in Western Algarve, but desappears eastwards. Middle Miocene is not as well known, whereas Upper Miocene main outcrops are in Eastern Algarve. Cacela Formation is remarquable for its beautiful fossils. Sedimentation as a whole refletcts the tectonic activity and in special the evolution of the Algarve flexures. There is scant evidence of post-Lower Miocene volcanism, the latest known in Portugal. Pliocene has not been recognized there beyond doubt. Miocene sediments are much less important to the North of the Central Iberian Chain. Continental beds near Leiria that yielded the well-known "Hisp anotherium fauna" are lower Middle Miocene. Pliocene corresponds to dramatic changes in paleogeography. At Setiibal Peninsula there is some evidence of a minor Lower Pliocene transgression. Continental detrital sediments, often coarse, occupy rather large areas. In Western Portugal between the Setúbal Peninsula and Pombal there is good evidence of a marine Upper Pliocene transgression, followed up by dune sands overlain by marsh clays, diatomites, lignites and boghead levels that can be partly Pleistocene in age.

A saúde dos imigrantes em Portugal : que necessidades em saúde? : que utilização dos cuidados de saúde?

RESUMO - Portugal, país de imigração, viu aumentar a população imigrante em 4,56% de 2006 a 2008. Assim, torna-se importante conhecer não só as características socioeconómicas desta população imigrante, mas também quais as suas necessidades em saúde e que utilização fazem dos cuidados de saúde. Este trabalho baseou-se no IV Inquérito Nacional de Saúde realizado em 2005 e 2006 pelo INSA e analisou as populações portuguesa e imigrante nas variáveis de saúde e de utilização dos cuidados. Para a análise do rendimento utilizou-se a Curva de concentração proposta por Wagstaff, Índices de Concentração da Doença, de Utilização e Índice de LeGrand. Os resultados sugeriram melhor estado de saúde da população imigrante relativamente à população portuguesa (estado de saúde auto-reportado, sensação de mal-estar ou adoentado, dias de actividade limitada e dias de acamamento). Nas doenças crónicas (diabetes, asma e dor crónica), a população imigrante apresentou piores resultados na asma. Foram encontrados piores resultados em saúde entre as mulheres nos dois grupos de população, mas também mais frequência de utilização. Os imigrantes revelam também menor acessibilidade a consultas médicas e consumo de medicamentos. A análise do rendimento enquanto factor gerador de desigualdades em saúde permitiu concluir que existem desigualdades na distribuição do rendimento que condicionam tanto a população portuguesa como a população imigrante. Outros estudos poderão ser considerados para análise da saúde da população imigrante, especialmente os que incluam os cidadãos indocumentados, análise das populações por país de nascimento, os anos de permanência em Portugal e as causas de mortalidade. ---------------------------- ABSTRACT - Portugal, a country of immigration, has seen its immigrant population increasing 4.56% from 2006 to 2008. Therefore, it is important to analyse, not only the socioeconomic characteristics of immigrant population, but also their health needs and utilization of health care. This work was based on the IV National Health Survey conducted in 2005 and 2006 by INSA and analyzed the Portuguese and Immigrant populations in the variables of Health and Utilization of Health Services. In order to analyse the income, the Concentration Curve proposed by Wagstaff and the Concentration Index was used. The results suggested a better health in immigrant population compared with Portuguese population (state of self-reported health, feeling sick or ill, days of limited activity and days of lodging). For the variables of chronic diseases (diabetes, asthma and chronic pain), immigrants have shown worse results in asthma. In both groups (Immigrants and Portuguese), women have had more health problems than men. Lower utilization among Immigrants was found in outpatient visits and in prescription drug utilization. In conclusion, it can be stated that the analysis of the income as a generator of health inequalities showed inequalities in the income distribution that affects both Portuguese and immigrants’ health. Other studies may be considered to analyze immigrants’ health especially those that include undocumented immigrants, analysis of populations by country of birth, years of residence in Portugal and the causes of mortality.

Sub-notificação de reacções adversas medicamentosas : um problema com solução? : contribuição para o conhecimento da sub-notificação de RAMs em Portugal e implementação de medidas minimizadoras do impacte

RESUMO - Introdução: As Reacções Adversas Medicamentosas (RAMs) constituem um grave problema de Saúde Pública em termos da mortalidade e morbilidade provocadas, tendo também um impacto económico considerável nos Sistemas de Saúde. Os Sistemas de Notificacão Espontânea de RAMs são considerados como o método de vigilância de medicamentos mais eficaz, sendo a sub-notificação de RAMs uma das suas maiores limitações. Em termos globais, foi estimado que apenas 6% de todas as reacções adversas são notificadas. Portugal apresenta uma taxa de notificação de RAMs relativamente baixa quando comparada com os países mais notificadores da Europa. São objectivos deste estudo: 1) caracterizar as atitudes e os comportamentos dos médicos, dos farmacêuticos e dos enfermeiros em Portugal Continental relativamente à notificação de RAMs; e 2) caracterizar a efectividade de intervenções educacionais destinadas a reduzir a sub-notificação de RAMs. Métodos: Numa primeira fase será efectuado um estudo de caso-controlo em médicos, farmacêuticos e enfermeiros de Portugal Continental, a exercer actividade no Servico Nacional de Saúde (SNS), de modo a caracterizar as suas atitudes e comportamentos relativamente à notificação de RAMs. Como casos serão considerados os Profissionais de Saúde que notificaram pelo menos uma RAM num determinado período e os controlos os Profissionais de Saúde que não notificaram qualquer RAM nesse mesmo período, sendo estes útimos seleccionados aleatoriamente. O estudo será conduzido através de um questionário de auto-resposta, em que as questões relativas às atitudes e comportamentos são baseadas nos “sete pecados mortais” de Inman. Será utilizada uma Escala Visual Analógica para registar as respostas, podendo estas ir de zero (totalmente em desacordo) até 10 (totalmente de acordo). Será utilizada uma análise de regressão logística para determinar o odds ratio ajustado (ORadj) da notificação de RAMs para uma mudança de exposição correspondente ao range interquartil para cada atitude. Numa segunda fase, será efectuado ensaio aleatorizado controlado de cluster, para caracterizar a efectividade das intervenções educacionais realizadas sobre as causas identificadas na primeira parte do trabalho, com o intuito de reduzir a sub-notificação de RAMs. Com base em informacão de 2007 foram identificados 43 clusters dispersos pelas várias Regiões de Saúde. As intervenções educacionais são compostas por uma apresentação com uma hora de duração complementada por um folheto recordatório. Serão ainda realizados dois sub-estudos, em que o V1.0, Final 28Set09 viii Sub-notificação de RAMs em Portugal – Um problema com solução ? primeiro tentará caracterizar o efeito de contaminação entre Profissionais de Saúde e o segundo pretende caracterizar a duração do efeito das intervenções educacionais. Resultados a atingir: Pretende-se, com a implementação deste projecto, aumentar o número de notificações de RAMs pelos médicos, farmacêuticos e enfermeiros em cerca de 110%, de modo a atingir-se uma taxa de notificação de aproximadamente 300 notificações por milhão de habitantes por ano (i.e., multiplicar por 2,1 o número notificações existentes). -------------------ABSTRACT - Introduction: The Adverse Drug Reactions (ADRs) are a serious Public Health problem in terms of mortality and morbidity caused, being also an economic burden for the health systems. The Spontaneous Adverse Event Reporting Systems are considered as the most effective drug surveillance methods, in which the ADR under-reporting represents one of its biggest limitations. It was estimated that only 6% of all adverse reactions are notified globally. When comparing with high ADR reporting rate countries Portugal shows a low ADR reporting rate. This study aims to: 1) characterize the physicians, pharmacists and nurses attitudes and behaviours related to ADR under-reporting; 2) characterize the educational interventions effectiveness to decrease the ADRs under-reporting. Methods: During a first phase a case-control study will be conducted in physicians, pharmacists and nurses in Continental Portugal working in the National Health System (NHS) in order to characterize their attitudes and behaviours related to ADR reporting. The Healthcare Professionals that have reported at least one ADR during a determined period will be considered as the cases and those that have not reported any ADR during the same period will be considered as the controls. The controls will be randomly selected. The study will be conducted through a self-administered questionnaire in which the questions related to the attitudes and behaviours are based in the Inmans’s “seven mortal sins”. A Visual Analogue Scale will be used to record the responses. The responses can range from 0 (totally disagree) to 10 (totally agree). Logistic regression will be used to determine the ADR reporting adjusted odds ratio (ORadj) for a change in the exposure corresponding to the interquartile range for each attitude. In the second phase of the study a cluster-randomized controlled trial will be conducted to characterize the educational interventions effectiveness focused on the first phase identified causes with the aim to decrease the ADRs under-reporting. Based in 2007’s information 43 clusters have been identified throughout the several Health Regions. The educational interventions are composed of one hour presentation complemented by an informational leaflet. Two sub-studies will be also conducted in which the first one will try to characterize the contamination effect between the Healthcare Professionals and the second to characterize the educational interventions effect duration. V1.0, Final 28Set09 x Sub-notificação de RAMs em Portugal – Um problema com solução ? Outcome: With the project implementation an increase of the ADR notifications performed by the physicians, pharmacists and nurses by 110% is aimed in order to obtain approximately 300 notifications per million habitants per year (i.e., multiply by 2,1 the existent notifications).

Controlo da tuberculose em Portugal : papel e qualidade da detecção de casos

RESUMO - A impressionante evolução da incidência notificada desde 1950 evidencia o quanto o sistema de informação é sensível ao esforço de notificação, reflectindo ainda o impacte das medidas de controlo que foram sendo introduzidas, bem como alguma melhoria nas condições sociais com efeito favorável sobre a doença (Briz, 2005). Sendo a tuberculose uma doença de notificação obrigatória, nos termos da Portaria n.º 766/86, de 26 de Dezembro, os casos deverão ser sempre comunicados à Autoridade de Saúde, em impresso aprovado. O facto de a tuberculose ter um sistema de informação próprio tem permitido um conhecimento relativamente completo da situação epidemiológica. (DGS, 1995) Pretende-se caracterizar o perfil de distribuição da incidência notificada da tuberculose pulmonar, em Portugal Continental, nomeadamente a nível distrital, no período compreendido entre 2000 e 2008, inclusive, partindo-se depois para um estudo mais pormenorizado, relacionado com a sensibilidade do sistema de notificação da tuberculose, no sentido de se quantificarem os problemas de subnotificação. Para validação da notificação, serão utilizados os dados de 2007 e 2008. Procurar-se-á depois obter o perfil da incidência ajustada para a detecção em cada um desses anos, avançando-se de seguida para a identificação e caracterização de parâmetros complementares e de acesso fácil que contribuam para interpretar a distribuição geográfica da incidência notificada, em função da sua provável validade. Perante o eventual confronto com o problema da subnotificação, a identificação das razões da menor adesão à notificação de casos de tuberculose pulmonar apresenta-se quase como inevitável, sendo feita através do recurso a entrevistas a informadores-chave. --------------------------------------ABSTRACT - The impressive development of the incidence reported since 1950 shows how the system is sensitive to the effort of notification, still reflects the impact of control measures have been introduced, and some improvement in social conditions with favorable effect on the disease ( Briz, 2005). As tuberculosis a notifiable disease, according to Ordinance No. 766/86, December 26, cases should be reported to the Health Authority, approved in print. The fact that tuberculosis have an information system itself has allowed a relatively complete knowledge of the epidemiological situation. (DGS, 1995) The aim is to characterize the distribution profile of the reported incidence of pulmonary tuberculosis, in Portugal, particularly at district level in the period between 2000 and 2008, starting from then to a more detailed study, related to the sensitivity of the system notification of tuberculosis, in order to quantify the problems of underreporting. For validation of the notification, we used the data from 2007 and 2008. Search will then obtain the profile of the adjusted incidence for detection in each of those years, advancing is then for the identification and characterization of additional parameters and easy access to contribute to interpret the geographical distribution of reported incidence in according to their likely validity. Given the eventual confrontation with the problem of underreporting, the identification of reasons for the lower adherence to reporting cases of pulmonary tuberculosis has become almost as inevitable, being made through the use of interviews with key informants.

Dinossauros e Portugal: dois casos menos conhecidos

After some remarks on the protection of sites recognized as most interesting, two less known items about dinosaurs and Portugal are dealt with. The first of theme concerns the first published account on dinosaur tracks. Jacinto Pedro Gomes, then (1884) preparing a report on the Cabo Mondego coal mines, was told of the occurrence of large footprint casts that subsequently were sent to the Museum of the Escola Politécnica in Lisbon. Gomes has shown drawings of them to B. Geinitz (Dresden), who ascribed the casts to dinosaurs. Karl Zittel (München), corroborated this viewpoint, and Louis Dollo (Brussels) reported them to Ornithopods. A posthumous note by GOMES (1915-1916) is the first scientific paper on dinosaur tracks in Portugal. However, it is not the first published report. João Bonança, a reporter, presented in his large book "HISTORIA / DA / LUZITANIA E DA IBERIA ..." (1891), a new (both irrealistic and useless) stratigraphic classification. He also replaced Zoological and Botanic Nomenclature by another one devised by him. Having seen the footprint casts at the Museum of the Escola Politécnica, he referred bird or dinosaur footprints in Cabo Mondego's Upper Jurassic, this being the first published report on such fossils as far as Portugal is concerned. The second theme is about Late Cretaceous dinosaurs from Viso, Aveiro and Taveiro. Faunas are marked by generalized nannism, and seem impoverished by previous extinctions of larger forms; their probable insular character has been acknowledged. Extinctions may well be explained by non-catastrophic causes. The general fall of temperatures may have been far more important.

Restos de Anchitherium de Lisboa, Portugal

The Anchitherium remains from several Portuguese localities placed on IVb and Vb (Lisbon area) levels are studied. They are compared with the French and Spanish remains, and particularly with those from the Madrid basin. They are identified as Anchitherium cf. A. ezquerrae from the Vb level remains, because the remains are very scarce.

Sélaciens du Miocène terminal du bassin d'Alvalade (Portugal). Essai de synthèse

A rich uppermost Miocene selachian fauna from the Alvalade Basin (represented by more than 10.000 teeth) is accounted for. It is the most modern miocene fauna of neritic habit under warm-temperate to subtropical conditions, known in the european Miocene.

Veiga Ferreira e a Paleontologia em Portugal

This communication deals with the less known research activities on Palconlology by Octávio da Veiga Ferreira, since just after he became a member of the staff of the Serviços Geológicos de Portugal. These activities lasted for about 25 years (1951-1975, eventually up to 1987). Besides much field and laboralory work, Veiga Ferreira produced (alone or in collaboration} 38 papers. These concern vertebrates, echinoids, pectens and other molluscs, and malacostraca, as well as some papers of a more general or divulgation character. Studied fossils range from Jurassic to Quaternary, and from continental Portugal to Santa Maria Island (Azores), the Madeira Archipel and Angola. Veiga Ferreira is author of much valid work. He generously helped others as well. A bibliography for his paleontological papers is provided.