Physician recommendation for invasive prenatal testing: the case of the 'precious baby'

Do clinicians manage pregnancies conceived by assisted reproductive technologies (ART) differently from spontaneous pregnancies?

Clinicians decisions about prenatal testing during pregnancy depend, at least partially, on the method of conception.

Research thus far has shown that patients decisions regarding prenatal screening are different in ART pregnancies compared with spontaneous ones, such that ART pregnancies may be considered more valuable or precious than pregnancies conceived without treatment.

In this cross-sectional study, preformed during the year 2011, 163 obstetricians and gynecologists in Israel completed an anonymous online questionnaire.

Clinicians were randomly assigned to read one of two versions of a vignette describing the case of a pregnant woman. The two versions differed only with regard to the method of conception (ART; n 78 versus spontaneous; n 85). Clinicians were asked to provide their recommendations regarding amniocentesis.

The response rate among all clinicians invited to complete the questionnaire was 16.7. Of the 85 clinicians presented with the spontaneous pregnancy scenario, 37 (43.5) recommended amniocentesis. In contrast, of the 78 clinicians presented with the ART pregnancy scenario, only 15 (19.2) recommended the test. Clinicians were 3.2 (95 confidence interval [CI]: 1.66.6) times more likely to recommend amniocentesis for a spontaneous pregnancy than for an ART pregnancy.

The study is limited by a low response rate, the relatively small sample and the hypothetical nature of the decision, as clinician recommendations may have differed in an actual clinical setting.

Our findings show that fertility history and use of ART may affect clinicians recommendations regarding amniocentesis following receipt of screening test results. This raises the question of how subjective factors influence clinicians decisions regarding other aspects of pregnancy management.

There was no funding source to this study. The authors declare no conflicts of interest.

A Novel Bradykinin-Related Dodecapeptide (RVALPPGFTPLR) from the Skin Secretion of the Fujian Large-Headed Frog (Limnonectes fujianensis) Exhibiting Unusual Structural and Functional Features

Bradykinin-related peptides (BRPs) are significant components of the defensive skin secretions of many anuran amphibians, and these secretions represent the source of the most diverse spectrum of such peptides so far encountered in nature. Of the many families of bioactive peptides that have been identified from this source, the BRPs uniquely appear to represent homologues of counterparts that have specific distributions and receptor targets within discrete vertebrate taxa, ranging from fishes through mammals. Their broad spectra of actions, including pain and inflammation induction and smooth muscle effects, make these peptides ideal weapons in predator deterrence. Here, we describe a novel 12-mer BRP (RVALPPGFTPLR-RVAL-(L1, T6, L8)-bradykinin) from the skin secretion of the Fujian large-headed frog (Limnonectes fujianensis). The C-terminal 9 residues of this BRP (-LPPGFTPLR) exhibit three amino acid substitutions (L/R at Position 1, T/S at Position 6 and L/F at Position 8) when compared to canonical mammalian bradykinin (BK), but are identical to the kinin sequence present within the cloned kininogen-2 from the Chinese soft-shelled turtle (Pelodiscus sinensis) and differ from that encoded by kininogen-2 of the Tibetan ground tit (Pseudopodoces humilis) at just a single site (F/L at Position 8). These data would imply that the novel BRP is an amphibian defensive agent against predation by sympatric turtles and also that the primary structure of the avian BK, ornithokinin (RPPGFTPLR), is not invariant within this taxon. Synthetic RVAL-(L1, T6, L8)-bradykinin was found to be an antagonist of BK-induced rat tail artery smooth muscle relaxation acting via the B2-receptor.

Evolution of Antimicrobial Peptides to Self-Assembled Peptides for Biomaterial Applications

Biomaterial-related infections are a persistent burden on patient health, recovery, mortality and healthcare budgets. Self-assembled antimicrobial peptides have evolved from the area of antimicrobial peptides. Peptides serve as important weapons in nature, and increasingly medicine, for combating microbial infection and biofilms. Self-assembled peptides harness a “bottom-up” approach, whereby the primary peptide sequence may be modified with natural and unnatural amino acids to produce an inherently antimicrobial hydrogel. Gelation may be tailored to occur in the presence of physiological and infective indicators (e.g. pH, enzymes) and therefore allow local, targeted antimicrobial therapy at the site of infection. Peptides demonstrate inherent biocompatibility, antimicrobial activity, biodegradability and numerous functional groups. They are therefore prime candidates for the production of polymeric molecules that have the potential to be conjugated to biomaterials with precision. Non-native chemistries and functional groups are easily incorporated into the peptide backbone allowing peptide hydrogels to be tailored to specific functional requirements. This article reviews an area of increasing interest, namely self-assembled peptides and their potential therapeutic applications as innovative hydrogels and biomaterials in the prevention of biofilm-related infection.

Direct and indirect antimicrobial activities of neuropeptides and their therapeutic potential

As global resistance to conventional antibiotics rises we need to develop new strategies to develop future novel therapeutics. In our quest to design novel anti-infectives and antimicrobials it is of interest to investigate host-pathogen interactions and learn from the complexity of host defense strategies that have evolved over millennia. A myriad of host defense molecules are now known to play a role in protection against human infection. However, the interaction between host and pathogen is recognized to be a multifaceted one, involving countless host proteins, including several families of peptides. The regulation of infection and inflammation by multiple peptide families may represent an evolutionary failsafe in terms of functional degeneracy and emphasizes the significance of host defense in survival. One such family is the neuropeptides (NPs), which are conventionally defined as peptide neurotransmitters but have recently been shown to be pleiotropic molecules that are integral components of the nervous and immune systems. In this review we address the antimicrobial and anti-infective effects of NPs both in vitro and in vivo and discuss their potential therapeutic usefulness in overcoming infectious diseases. With improved understanding of the efficacy of NPs, these molecules could become an important part of our arsenal of weapons in the treatment of infection and inflammation. It is envisaged that targeted therapy approaches that selectively exploit the anti-infective, antimicrobial and immunomodulatory properties of NPs could become useful adjuncts to our current therapeutic modalities. © 2012 Bentham Science Publishers.

O vidro como material plástico: transparência, luz, cor e expressão

A presente tese de doutoramento procura focar o vidro como material plástico para a concepção de obras de arte. Os seus alicerces caracterizam-se pelo estudo técnico sobre o uso do vidro e a sua aplicação na realização de obras com pressupostos estéticos e artísticos. Hoje a arte em vidro apresenta-se inovadora e contemporânea, procurando uma componente ligada à pesquisa e à experimentação. Portugal possui uma ampla história ligada à tradição do vidro, em especial ao vitral. No que concerne à sua aplicação na arte contemporânea, assistimos a um renovado interesse por parte de vários artistas. No entanto, quando se trabalha com o vidro, é necessário o artista conhecer e dominar a técnica que utiliza, para assim compreender as potencialidades que o material oferece e empregá-las de acordo com o seu modus operandi. Cria-se uma relação entre a ciência e a arte, uma descoberta e utilização de novos conhecimentos, em que se pretende manter uma relação estreita entre o cientista e o artista através do desenvolvimento de novos materiais, nomeadamente os vidros e esmaltes luminescentes e a adição de óxidos de metais de transição 3d na sua composição. Neste sentido foram desenvolvidos estudos minuciosos sobre a técnica de kilncasting onde se utilizou o vidro sonoro superior produzido no CRISFORM (Centro de Formação Profissional para o Sector da Cristalaria), na Marinha Grande. Assim, verifica-se que as premissas desta tese podem ser divididas em três vertentes: a) Uma contextualização histórica e teórica do panorama artístico do vidro em Portugal; b) Uma componente teórica/prática do estudo do vidro: a ciência do vidro, a sua composição, com a preocupação de utilizar esses conhecimentos para a elaboração de amostras práticas, onde a componente técnica é fundamental para a produção de futuras obras de arte; c) A idealização de obras de arte e a utilização do vidro como material plástico para a sua realização. Na elaboração destas obras procurou-se focar a dicotomia entre transparência versus opacidade, os efeitos cromáticos produzidos por diferentes espessuras e texturas do vidro, assim como da monocromia versus policromia, esta última através do vidro e esmaltes luminescentes. Em suma, na complementaridade laboratório/ateliê, os segredos da matéria abrem novas fronteiras à criatividade estética.

O artista pelo artista na voz do próprio

Este doutoramento em Estudos de Arte centra-se no artista plástico, em Portugal, hoje. De acordo com o seu carácter projectual, estrutura-se em dois vectores distintos, ainda que relacionados entre si e devedores um do outro: -Um corpo prático, assente na prática artística de atelier e dando continuidade ao percurso artístico autoral próprio (conducente à série de imagens fotográficas “Prática Artística Enquanto Ferramenta de Higiene Pessoal”); -Um eixo reflexivo, construído a partir da análise qualitativa do conteúdo de um conjunto de entrevistas presenciais realizadas a artistas plásticos portugueses (conducente ao manifesto artístico “O Artista pelo Artista”). Neste sentido, este estudo vai ao encontro de vinte e seis artistas plásticos contemporâneos portugueses reunidos numa amostra seleccionada pelo crítico de arte Miguel von Hafe Pérez. A saber: Alberto Carneiro, André Cepeda, André Gonçalves, Ângela Ferreira, António Olaio, Carla Cruz, Carla Filipe, Cristina Mateus, Daniel Blaufuks, Eduardo Batarda, Fernando José Pereira, Francisco Queirós, Gerardo Burmester, Joana Vasconcelos, João Pedro Vale, João Tabarra, José de Guimarães, Mafalda Santos, Marta de Menezes, Miguel Leal, Miguel Palma, Paulo Mendes, Pedro Calapez, Pedro Proença, Rui Chafes e Zulmiro de Carvalho. O documento que reúne o conjunto das entrevistas realizadas, anexo a esta investigação, distancia-se do discurso utilizado nas retóricas das narrativas históricas, teóricas ou críticas. Aqui, procuram-se as palavras dos criadores, sem mais. Decorrente do percurso metodológico que orientou a análise qualitativa do conteúdo, este estudo propõe o manifesto artístico "O Artista pelo Artista" enquanto resultado do exercício de investigação. Ainda, este trabalho apresenta a série de imagens fotográficas “Prática Artística Enquanto Ferramenta de Higiene Pessoal” como projecto-tese centrado no movimento que guiou todo o processo investigativo: da reflexão sobre o outro (e sobre as suas palavras) para a reflexão sobre o próprio (e sobre a sua intimidade). Através das vinte e seis entrevistas, do manifesto “O Artista pelo Artista” e da série de imagens “Prática Artística Enquanto Ferramenta de Higiene Pessoal”, esta investigação devolve a palavra aos próprios artistas, a todos os outros operadores da esfera artística e ao público interessado em conhecer o criador apresentado por si próprio, sem mediadores, num acto sincero, franco e generoso.

Introduction: Mapping Gwen John: Lives, Lines and Images

Nomadic Narratives, Visual Forces explores issues, questions, and problems emerging in the analysis of epistolary and visual narratives. This book focuses in particular on Gwen John's letters and paintings. It offers an innovative theoretical approach to narrative analysis by drawing on Foucault's theory of power, Deleuze and Guattari's analytics of desire, and Cavarero's concept of the narratable self. Furthermore, it examines the use of letters as documents of life in narrative research and highlights the dynamics of spatiality in the constitution of the female self in art. This study brings together theoretical insights that emerge from the analysis of life documents - some of them previously unpublished - combining innovative research with specific methodological suggestions on doing narrative analysis.

Impossible Participation

The chapter critiques the rise of participation in art since the 1990s – a development that sees artists and curators searching continually for new and increased levels of audience inclusion. While there has been much discussion about what might be gained by participating in an artwork, we ask what might be lost by this act. We also question the extent to which participation is a useful social or aesthetic strategy in circumstances where it remains bound by the institutional structures of the artworld. For this reason, our work is an attempt to transform the broader ‘apparatus of art’ and to create works in which the roles assigned to individuals and groups remain fluid and subject to continuous negotiation. As a means of an attempt at resisting absorption into the institutional structures of the artworld, we privilege a form of participation that remains immanent in the work, but that never crystallizes into a single or definable role. Kathryn Brown , art historian and editor of Interactive Contemporary Art, says, ‘It is, perhaps, a fitting end to the discussions of the present volume that the most interesting and valuable form of participation envisaged by Freee is one that must remain impossible.’

Estudando a identidade visual em comunicação : uma proposta de intervenção pensando a cultura visual

Relatório da prática de ensino supervisionada, Mestrado em Ensino de Artes Visuais, Universidade de Lisboa, 2011

A criatividade na escola : as atitudes dos alunos face às metodologias dos professores

Relatório da Prática de Ensino Supervisionada, Mestrado em Ensino de Artes Visuais, Universidade de Lisboa, 2011

Potencialidades da arte pública relacional na arte/educação:práticas da cidade como sala de aula

Tese de doutoramento, Belas-Artes (Educação Artística), Universidade de Lisboa, Faculdade de Belas-Artes, 2014

e-poltergeist

E-poltergeist takes over the user’s internet browser, automatically initiating Web searches without their permission. Web-based artwork which explores issues of user control when confronted with complex technological systems, questioning the limits of digital interactive arts as consensual reciprocal systems. e-poltergeist was a major web commission that marked an early stage of research in a larger enquiry by Craighead and Thomson into the relationship between live virtual data, global communications networks and instruction-based art, exploring how such systems can be re-contextualised within gallery environments. e-poltergeist presented the 'viewer' with a singular narrative by using live internet search-engine data that aimed to create a perpetual and virtually unstoppable cycle of search engine results, banner ads and moving windows as an interruption into the normal use of an internet browser. The work also addressed the ‘de-personalisation’ of internet use by sending a series of messages from the live search engine data that seemed to address the user directly: 'Is anyone there?'; 'Can anyone hear me?', 'Please help me!'; 'Nobody cares!' e-poltergeist makes a significant contribution to the taxonomy of new media art by dealing with the way that new media art can re-address notions of existing traditions in art such as appropriation and manipulation, instruction-based art and conceptual art. e-poltergeist was commissioned ($12,000) for 010101: Art in Technological Times, a landmark international exhibition presented by the San Francisco Museum of Modern Art, which bought together leading international practitioners working with emergent technologies, including Tatsuo Miyajima, Janet Cardiff, Brian Eno. Peer recognition of the project in the form of reviews include: Curating New Media. Gateshead: Baltic Centre for Contemporary Art. Cook, Sarah, Beryl Graham and Sarah Martin ISBN: 1093655064; The Wire; http://www.wired.com/culture/lifestyle/news/2000/12/40464 (review by Reena Jana); Leonardo (review Barbara Lee Williams and Sonya Rapoport) http://www.leonardo.info/reviews/feb2001/ex_010101_willrapop.html All the work is developed jointly and equally between Craighead and her collaborator, Jon Thomson, Slade School of Fine Art.

A arte contemporânea enquanto elemento facilitador da auto valorização dos jovens perante as suas criações artísticas

Dissertação apresentada à Escola Superior de Educação de Lisboa para obtenção de grau de mestre em Educação Artística, na Especialização de Artes Plásticas na Educação

Centro Artístico Infantil da Fundação Calouste Gulbenkian contributo para a educação artística em portugal

Dissertação apresentada à Escola Superior de Educação de Lisboa para obtenção do grau de Mestre em Educação Artística

Classificação dos créditos sobre a insolvência – Os créditos subordinados

Dissertação de Mestrado em Solicitaria