Epidemiologia e Saúde Públi

RESUMO - Visa-se explicitar a origem, a razão de ser, a natureza e o que se perspectiva da relação entre a Epidemiologia e a Saúde Pública, através de uma leitura histórica. As duas entidades foram-se definindo e fazendo sentido em conjunto, com sucessos e, também, muita polémica, desde há milénios e até meados do século XIX. Nesta época, uma combinação de circunstâncias proporcionou-lhes uma explosão de crescimento e de definição, de par com várias outras áreas disciplinares. Desde o antigo relato bíblico de como boa alimentação explica o bom estado de saúde, até à valorização científica das condicionantes sociais e económicas da saúde por Marmot e Rose, passando por «miasmas» causando doença e pela deslocação do conceito de risco individual de saúde para o de risco populacional — com as implicações inerentes a essa importante inovação —, este percurso permite identificar as fundações de tão notável simbiose, explicar o estado presente, vê-la evoluir e achar nela o significado do património hoje disponível, e o que ele promete. Algumas discrepâncias quanto à designação dos seus métodos, bem como a contínua discussão quanto à sua verdadeira natureza e orientação futura, atestam a juventude da Epidemiologia como disciplina científica. Entretanto, a Saúde Pública esforça-se por manter a sua essência integradora, à medida que outras disciplinas contribuem mais para que concretize os seus objectivos; é desafiada pela exposição das populações, em larga escala, a factores de doença, por vezes de intensidade mínima, e pelo surgimento de novas doenças ou a ampliação do volume de outras na população, muitas vezes não respeitando fronteiras. A história dessa simbiose mostra bem que conhecer o modo como uma doença se origina permite controlá-la na população, ou mesmo evitá-la, e que é grande o número de problemas que, em sinergia, as duas disciplinas podem clarificar e resolver. Assim, a Epidemiologia oferece à Saúde Pública explicações (olhos, inteligência e linguagem) para os problemas de saúde das populações — o que permite à segunda saber sobre o quê agir —, cenários de possível evolução dos problemas — o que permite aos decisores optarem em função de diferentes pressupostos, sobre como agir — e capacidade de juízo sobre os resultados das acções empreendidas, em simultâneo com a elevação do nível de consciência, de compreensão e de intervenção quanto ao que se está a passar, tanto pelos profissionais, como pela população — transferência do conhecimento. Facilmente se antecipa que a relação entre as duas disciplinas irá evoluir para maior complexidade e, também, solicitação e exigência da Saúde Pública sobre a Epidemiologia, que terá que corresponder em utilidade. E esta, continuando a subespecializar-se e a sofisticar-se tanto nos métodos, como nos enfoques sobre categorias específicas de factores, precisará de progredir muito na gestão da sua consistência enquanto corpo de conhecimento integrado e com peculiaridades metodológicas, à semelhança da Saúde Pública.O modo como evoluirá a relação entre ambas depende ainda da evolução dos próprios problemas, conceitos, teorias e soluções relacionados com a saúde das populações, e ainda do desenvolvimento das demais disciplinas chamadas à integração por ambas, para enfrentarem esses desafios. Nomeadamente, a Epidemiologia terá que gerir com perícia dificuldades já identificadas, como: incorporar métodos qualitativos de investigação na sua fortíssima tradição e cultura quantitativa; operacionalizar satisfatoriamente o conceito de «risco atribuível na população», ao serviço da definição de prioridades de acção dirigida às necessidades de saúde; aperfeiçoar modelos de interpretação causal que respeitem a multicausalidade; aproveitar as técnicas estatísticas de análise multivariada, sem se perder na abstracção dos seus modelos; desenvolver a investigação nas dimensões positivas de saúde, além da doença, para contribuir melhor para a realização da Saúde Pública, sua principal cliente e fornecedora de oportunidades.--------------------------ABSTRACT - The aim of the author is to explicit the origin, the rationale, the nature and the prospects of the relationship between Epidemiology and Public health, through an historic approach. The two entities have been defining and making sense together, by achieving successes, but also with much controversy, since millennia ago, until mid XIX century. A combination of circumstances provided them the opportunity for an explosion of growth and definition, then, alongside several other disciplines. From the ancient biblical report on how good food explains good health, up to the scientific appreciation of both social and economical constraints to health by Marmot and Rose, passing through «miasma» causing disease and through displacing from individual health risk to population risk — with the inherent implications of that important innovation —, this route allows the identification of the foundations of such remarkable symbiosis, the explanation of current status, to see its evolution and find in it the meaning of today’s heritage and what it promises. Some discrepancies on the name of its methods, as well as the continuing discussion about its true nature and future orientation, attest Epidemiology’s youth as a scientific discipline. Meanwhile, Public Health strives to keep its integrating essence, while other disciplines increasingly contribute so that it achieves its objectives; it is challenged by large scale population exposure to disease factors, sometimes with a minimum intensity, and by new diseases emerging in the population or by old ones getting amplified, often not respecting regions boundaries. The history of such a symbiosis shows that knowing the way a disease is generated allows to control it in the population, or even to avoid it, and that the number of problems that the two disciplines are able to clarify and solve together in synergy is considerable. Therefore, Epidemiology offers Public Health explanations (eyes, intelligence and language) for populations’s health problems — allowing that the latter knows on what to act —, scenarios on how problems may tend to evolve — allowing decision-makers to make their choices as a function of different assumptions, on how to act — and judgement capabilities on the results of already undertaken actions, accompanied by the raising of conscience level, understanding and intervention of what is going on by both professionals and the population – knowledge transfer. It is easy to anticipate that the relationship between both disciplines will develop towards increasing complexity and demand from Public Health to Epidemiology, and that this one will have to correspond in usefulness. And the latter, while continuing its subspecialisation and sophistication either in its methods, or in its approaches to specific factor categories, will need to progress in managing its consistency as an integrated body of knowledge having methodological peculiarities, similarly to Public Health. Further, the way the relationship between both will evolve depends on the evolution of the problems themselves, of the concepts, theories and solutions related to the health of populations, and on the development of remaining disciplines called to integration by both, in other to face those problems. Namely, Epidemiology will have to manage with expertise some already known difficulties, as: the inclusion of qualitative research methods in its very strong quantitative tradition and culture; to grant satisfactory operation to the «population attributable risk» concept, in support to the definition of action priorities envisaging health needs; to improve causal interpretation models that comply with multicausality; to take advantage of multivariate statistical techniques, without get

Res Antiquitatis. Journal of Ancient History

FCT

Res Antiquitatis. Journal of Ancient History 1

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A technical investigation of an oil painting on copper support, including a study on consolidants for treatment

Paper submitted to e-conservation Journal: Maria Leonor Oliveira, Leslie Carlyle, Sara Fragoso, Isabel Pombo Cardoso and João Coroado, “Investigations into paint delamination and consolidation of an oil painting on copper support”.

Lima de Freitas: O simbólico da obra pública – contributos para uma estética educacional

Tese de Doutoramento em Ciências da Educação - Especialidade em Filosofia da Educação

Agostinho da Silva: a "vida conversável" como fundamento da educação

Tese de Doutoramento em Ciências da Educação (área de especialização em Filosofia da Educação).

Literatura russa em Portugal: das vias de difusão aos sentidos de receção: o caso de Leão Tolstói

Tese de Doutoramento em Ciências da Literatura (área de especialização em Literatura Comparada).

Logificação da Psicologia o itinerário intelectual de Edmundo Curvelo sobre a Mente, a Lógica e a Filosofia

Tese de Doutoramento em Filosofia - Especialidade de Filosofia da Mente

Enfoques sobre la ciudadanía. Philosophical Perspectives on Citizenship.

La necesidad que da origen al presente proyecto se relaciona con la ausencia de un tratamiento de la cuestión de la ciudadanía que haga interactuar distintos enfoques filosóficos -el principal indicador de esta carencia es la ausencia de producciones académicas que den cuenta de la complejidad que adquiere la temática si se la aborda desde los problemas que nos proporcionan otras perspectivas filosóficas y políticas-. En este sentido, el problema general del proyecto apunta a hacer discutir diferentes abordajes conceptuales para pensar la ciudadanía. Específicamente, trabajamos a partir de dos enfoques: 1) la discusión entre liberales y comunitaristas y sus actuales derivas y 2) la cuestión de la biopolítica y su relación con la temática de la ciudadanía. Se procura revisar la discusión liberales-comunitaristas propia de las ciencias políticas, interpelándola a partir de conceptos como los de dominación, relaciones de poder, control sobre la vida, disciplina, entre otros provenientes de la filosofía práctica, la teoría social, las ciencias de la educación, etc. Nuestra investigación parte de la hipótesis de que hacer discutir las problemáticas que se disputan liberales-comunitaristas, con la Teoría Crítica de la Escuela de Frankfurt y con los recientes fenómenos biopolíticos, permite un abordaje que atiende a la efectiva complejidad de las prácticas de ciudadanía en nuestra vida en común en las sociedades democráticas contemporáneas. Esto permitirá complejizar los presupuestos con los que tradicionalmente se ha pensado la ciudadanía, a partir sobre todo de los fenómenos socio-políticos más recientes, como los nuevos movimientos sociales, las discusiones acerca de la legislación del aborto y la eutanasia, los esfuerzos de los estados nacionales por incrementar medidas de seguridad que van desde la imposición de fuertes barreras a la inmigración hasta la realización de guerras preventivas. Entendemos que estos, entre otros fenómenos, desafían la hermenéutica tradicional sobre la ciudadanía. Es de esta manera que se buscará comprender los límites y alcances de las ideas de ciudadanía, entendiéndola como un concepto histórico formador de subjetividades. La metodología se basa en una perspectiva interdisciplinaria que proporciona las herramientas para un análisis conceptual de la temática de la ciudadanía. Esta metodología está orientada al desarrollo de un marco teórico que resulte productivo para investigaciones de campo en las ciencias sociales, así como también para la elaboración de un material bibliográfico destinado a docentes abocados a la ciudadanía. Otro de los propósitos fundamentales es el de formar una red entre diferentes equipos de investigación a nivel nacional a partir de las “I Jornadas Nacionales sobre Ciudadanía” y de la organización de un seminario especializado con un profesor visitante. As far as the general topic of citizenship concerns philosophy, the theoretical problem of how to reconcile the different perspectives, assuming that this is an enterprise that can be done, remains an open question. Furthermore, the absence of academic material dealing with the problem seems to be a good indicator of this tendency. The main focus of the present Project aims at coping with some of the most notorious theoretical approaches to citizenship. More specifically, we will analyze the next two approaches: 1) the debate libertarians-communitarians and 2) the relationship between biopolitics and citizenship. Our purpose is to revise the discussion libertarians-communitarians incorporating concepts such as domination, power-relationships, life-control, among others that find their roots in practical philosophy, social theory, education and so on. To the extent that theories of citizenship are only provided with the usual conceptual machinery, some of the most remarkable phenomena of our democratic societies will stand for them out of reach: the existence of new social movements, abortion and euthanasia, inmigration, etc. Our hypothesis is that by making the debate libertarians-communitarians interact with the Critical Theory as well as with biopolitical concepts, we will be in a better position to try to understand these diverse phenomena. With the development of some sort of a new hermeneutics, we expect to criticize the old ideas related to citizenship and to re-elaborate them in a way that allows us to understand this concept in a less-fundamental, historical sense. Methodologically, we will adopt a multi-dimensional approach which expects to be fruitful to many other investigations in the area of social sciences. The Project pretends to be useful as a consultation resource for educators in a bibliographical index to design their curricula. At the same time,a seminar with a visiting profesor, the organization of a Congres will be our main objectives.

The Sanctified ‘Adultress’ and Her Circumstantial Clause: Bathsheba’s Bath and Self-Consecration in 2 Samuel 11

Bathsheba's actions in 2 Sam. 11.2-4 identify crucial aspects of her character. Past commentators interpret these words in connection with menstrual purification, stressing the certain paternity of David's adulterine child. This article demonstrates that the participles rōheset and mitqaddesšet and the noun mittum'ātāh do not denote menstrual cleansing. Bathsheba's washing is an innocent bath. She is the only individual human to self-sanctify, placing her in the company of the Israelite deity. The syntax of the verse necessitates that her action of self-sanctifying occurs simultaneously as David lies with her. The three focal terms highlight the important legitimacy of Bathsheba before the Israelite deity, her identity as a non-Israelite, her role as queen mother of the Solomonic line, and her full participation in the narrative.

How to Read Bible stories

A welcome supplement to the bestselling How to Read the OT and How to Read the NT, indicating more recent developments in biblical studies especially in the area of narrative criticism.

L'usage du narratif dans le Testament de Joseph

(Résumé de l'ouvrage) Seventeen innovative studies are collected in this volume which has been produced under the aegis of the Centre for Biblical Studies, University of Manchester, and L'Institut des sciences bibliques, Université de Lausanne. The majority of the studies engage with narrative through providing insightful working examples. Building on the many contributions of recent narratological research, for the most part the studies in this collection avoid the technical language of narratology as they present fresh insights at many levels. Some essays focus more on the implied author, some on the implied reader or hearer, and some on the way particular messages are constructed; some of the studies consider how author, message and reader are all interconnected. There are several creative proposals for refining genre definition, from law and wisdom to gospel and apocryphal writings. Some studies highlight the way in which narratives can contain ethical, religious, and cultural messages. Sensitivity to narrative is also shown by some contributors to expose in intruing ways the redactional processes behind the final form of texts. Students of narrative in the ancient world will find much to consider in this book, and others engaged with literary studies more generally will discover that scholars of the worlds of the Bible and Late Antiquity have much to offer them.

The God of the Book of Acts

(Résumé de l'ouvrage) Seventeen innovative studies are collected in this volume which has been produced under the aegis of the Centre for Biblical Studies, University of Manchester, and L'Institut des sciences bibliques, Université de Lausanne. The majority of the studies engage with narrative through providing insightful working examples. Building on the many contributions of recent narratological research, for the most part the studies in this collection avoid the technical language of narratology as they present fresh insights at many levels. Some essays focus more on the implied author, some on the implied reader or hearer, and some on the way particular messages are constructed; some of the studies consider how author, message and reader are all interconnected. There are several creative proposals for refining genre definition, from law and wisdom to gospel and apocryphal writings. Some studies highlight the way in which narratives can contain ethical, religious, and cultural messages. Sensitivity to narrative is also shown by some contributors to expose in intruing ways the redactional processes behind the final form of texts. Students of narrative in the ancient world will find much to consider in this book, and others engaged with literary studies more generally will discover that scholars of the worlds of the Bible and Late Antiquity have much to offer them.