Projecto de sensibilização e educação ambiental na área da prevenção da produção dos resíduos urbanos : proposta de integração da temática nos currícula do ensino básico de Cabo Verde

This research project has as main objective the design of a project to raise awareness and environmental education in the area of prevention of the urban waste production by focusing on the presentation of a methodological proposal to incorporate this theme in the Course Curriculum of the Basic Education in Cape Verde. The study aimed beyond the project design, the preparation of a guide and a set of activities, instruments to be used by the educational community and more directly by the teachers of the Basic Education (EB) of Cape Verde for knowledge construction in study area and promove the development of skills of those teachers in terms of planning activities for waste prevention. The realized work included visits to various sources of information considered relevant, the application and validation of some activities in the population testing process using the technique of participant observation. This research involved the collaboration of the educational community of Praia namely the BE teachers, Pedagogical team teaching and Promoters of the new BE Curriculum. The study made a contribution in the view of the definition of the methodology of the work project and the assessment tool in order to reflect on the work process and its subsequent correction / improvement of future operations. We also present a proposal of monitoring and evaluation instrument of the project which will be applied during the implementation phase. Its use will enable the school community to improve their practices and will facilitate the involvement of the educational community taking into consideration an environmental sustainability

Projecto de sensibilização e educação ambiental na área da prevenção da produção dos resíduos urbanos : proposta de integração da temática nos currícula do ensino básico de Cabo Verde

O presente trabalho de projecto tem como principal objectivo a concepção de um projecto de sensibilização e educação ambiental na área da prevenção da produção dos resíduos urbanos com enfoque na apresentação de uma proposta metodológica de integração desta temática nos Currícula do Ensino Básico de Cabo Verde. Do estudo desenvolvido resultou, além da concepção do projecto, a elaboração de um guia, bem como um caderno de actividades, instrumentos a serem utilizados pela comunidade educativa e mais directamente pelos professores do Ensino Básico (EB) de Cabo Verde visando o reforço de conhecimentos na área de estudo identificada e o desenvolvimento de competências juntos dos referidos professores, para a planificação de actividades de prevenção da produção dos resíduos urbanos. O trabalho realizado compreendeu visitas a várias fontes de informação consideradas pertinentes assim como a aplicação e validação de algumas actividades numa população-teste com utilização da técnica de observação participante. Deste modo, o estudo contou com a colaboração da comunidade educativa da Cidade da Praia nomeadamente professores do EB, Equipa pedagógica e Promotores do novo Currículo do EB. O estudo permitiu dar um contributo na perspectiva da definição da metodologia do trabalho do projecto e instrumento de avaliação, visando uma reflexão sobre o trabalho desenvolvido e sua consequente correcção/melhoria de futuras acções. Apresentamos ainda uma proposta de instrumentos de acompanhamento e avaliação do projecto cuja aplicação se propõe no decorrer da implementação do mesmo. A sua utilização permitirá à comunidade escolar melhorar as suas práticas e facilitará o envolvimento da comunidade educativa tendo em vista a sustentabilidade ambiental.

Projecto de sensibilização e educação ambiental na área da prevenção da produção dos resíduos urbanos : proposta de integração da temática nos currícula do ensino básico de Cabo Verde

This research project has as main objective the design of a project to raise awareness and environmental education in the area of prevention of the urban waste production by focusing on the presentation of a methodological proposal to incorporate this theme in the Course Curriculum of the Basic Education in Cape Verde. The study aimed beyond the project design, the preparation of a guide and a set of activities, instruments to be used by the educational community and more directly by the teachers of the Basic Education (EB) of Cape Verde for knowledge construction in study area and promove the development of skills of those teachers in terms of planning activities for waste prevention. The realized work included visits to various sources of information considered relevant, the application and validation of some activities in the population testing process using the technique of participant observation. This research involved the collaboration of the educational community of Praia namely the BE teachers, Pedagogical team teaching and Promoters of the new BE Curriculum. The study made a contribution in the view of the definition of the methodology of the work project and the assessment tool in order to reflect on the work process and its subsequent correction / improvement of future operations. We also present a proposal of monitoring and evaluation instrument of the project which will be applied during the implementation phase. Its use will enable the school community to improve their practices and will facilitate the involvement of the educational community taking into consideration an environmental sustainability

Prospective study evaluating the predictability of need for retreatment with intravitreal ranibizumab for age-related macular degeneration.

PURPOSE: To investigate the rhythm and predictability of the need for retreatment with intravitreal injections of ranibizumab for neovascular age-related macular degeneration (nAMD). METHODS: This prospective study enrolled 39 patients with treatment-naïve nAMD. After three loading doses of intravitreal ranibizumab, patients underwent an intensified follow-up for 12 months (initially weekly, then with stepwise increases to every 2 weeks and to monthly after each injection). Patients were retreated on an as-needed basis if any fluid or increased central retinal thickness (CRT) (>50μm) was found on spectral domain optical coherence tomography (OCT). Statistical analysis included patients who received at least two retreatments (five injections). RESULTS: A mean of 7.5 injections (range 0-12) were given between months 3 and 15. The mean visual acuity increased by 13.1 and 12.6 ETDRS letters at months 12 and 15 respectively. Two or more injection-retreatment intervals were found in 31 patients. The variability of their intra-individual intervals up to 14 weeks was small (SD 0-2.13 weeks), revealing a high regularity of the retreatment rhythm. The SD was correlated with the mean interval duration (r = 0.89, p < 0.001). The first interval was a good predictor of the following intervals (regression coefficient =0.81). One retreatment criterion was stable in 97 % of patients (cysts or subretinal fluid). CONCLUSION: The results of this study demonstrate a high intra-individual predictability of retreatment need with ranibizumab injections for nAMD. These findings may be helpful for developing individualized treatment plans for maintained suppression of disease activity with a minimum of injections and visits.

Intravitreal ranibizumab (Lucentis) in the treatment of retinal angiomatous proliferation (RAP).

BACKGROUND: Retinal angiomatous proliferation (RAP) is a distinct variant of neovascular age-related macular degeneration (AMD). The aim of this study is to evaluate the functional and anatomic outcome after intravitreal ranibizumab (Lucentis) treatment in patients with RAP. METHODS: Prospective study of consecutive patients with newly diagnosed or recurrent RAP treated with intravitreal ranibizumab at the Jules Gonin Eye Hospital between March 2006 and December 2007. Baseline and monthly follow-up visits included best-corrected visual acuity (BCVA), fundus exam and optical coherence tomography. Fluorescein and indocyanine green angiography were performed at baseline and repeated at least every 3 months. RESULTS: Thirty-one eyes of 31 patients were treated with 0.5 mg of intravitreal ranibizumab for RAP between March 2006 and December 2007. The mean age of the patients was 82.6 years (SD:4.9). The mean number of intravitreal injections administered for each patient was 5 (SD: 2.4, range 3 to 12). The mean follow up was 13.4 months (SD: 3, range 10 to 22). The baseline mean logMAR BCVA was 0.72 (SD: 0.45) (decimal equivalent of 0.2). The mean logMAR BCVA was improved significantly (P &lt; 0.0001) at the last follow-up to 0.45, SD: 0.3 (decimal equivalent 0.35). The visual acuity (VA) improved by a mean of 2.7 lines (SD 2.5). Mean baseline central macular thickness (CMT) was 376 microm, and decreased significantly to a mean of 224 microm (P &lt; 0.001) at the last follow-up. Mean reduction of CMT was 152 microm (SD: 58). An average of 81.5% of the total visual improvement and 85% of the total CMT reduction occurred during the first post-operative month after one intravitreal injection of ranibizumab. During follow-up, an RPE tear occurred in one eye (3.2%) of the study group. No injection complications or systemic drug-related side-effects were noted during the follow-up period. CONCLUSIONS: Intravitreal ranibizumab injections appeared to be an effective and safe treatment for RAP, resulting in visual gain and reduction in macular thickness. Further long-term studies to evaluate the efficacy of intravitreal ranibizumab in RAP are warranted.

Family Development and Self-Sufficiency Program, Annual Report, 2008

Iowa’s Family Development and Self-Sufficiency (FaDSS) Grant Program was created by the 1988 Iowa General Assembly to assist Family Investment Program (FIP) families with significant or multiple barriers reach self-sufficiency. FaDSS provides services that promote, empower, and nurture families towards economic and emotional self-sufficiency. The foundation of FaDSS is regular home visits with families, using a strength-based approach. Core services include support, goal setting, and assessment. Support is given in many ways such as referrals, group activities, linking families to communities and advocacy. Assessment aids the family to identify strengths that they possess that may be used to eliminate barriers to self-sufficiency. Goal setting helps families break down goals that seem out of reach into small steps that will lead to success. Participation in FaDSS is a voluntary option for people receiving Family Investment Program (FIP) benefits.

Spatial evaluation of larvae of Culicidae (Diptera) from different breeding sites: application of a geospatial method and implications for vector control

Spatial evaluation of Culicidae (Diptera) larvae from different breeding sites: application of a geospatial method and implications for vector control. This study investigates the spatial distribution of urban Culicidae and informs entomological monitoring of species that use artificial containers as larval habitats. Collections of mosquito larvae were conducted in the São Paulo State municipality of Santa Bárbara d' Oeste between 2004 and 2006 during house-to-house visits. A total of 1,891 samples and nine different species were sampled. Species distribution was assessed using the kriging statistical method by extrapolating municipal administrative divisions. The sampling method followed the norms of the municipal health services of the Ministry of Health and can thus be adopted by public health authorities in disease control and delimitation of risk areas. Moreover, this type of survey and analysis can be employed for entomological surveillance of urban vectors that use artificial containers as larval habitat.

Observations on fragrance collection behaviour of euglossine bees (Hymenoptera, Apidae)

Male bees of the tribe Euglossini collect volatile chemicals secreted by orchids using dense patches of hair on the front tarsi. After collecting chemicals, the bee hovers while transferring these fragrances to invaginations on the hind tibiae. The fragrance collection and hovering behaviours are repeated multiple times. Here I report preliminary field observations on the length of fragrance collection and hovering phases in bees of the Eulaema meriana (Oliver, 1789) mimicry complex visiting the orchid Catasetum discolor in Kavanayén,Venezuela. I observed that in extended visits with many cycles of fragrance collection and hovering, the length of each collection phase gradually increased, while the length of hovering phase was static. This suggests either that chemicals secreted by orchids are in limited supply or that efficiency of fragrance collection drops.

Small airways function declines after allogeneic haematopoietic stem cell transplantation.

Bronchiolitis obliterans (BO) following allogeneic haematopoietic stem cell transplantation (HSCT) affects peripheral airways. Detection of BO is presently delayed by the low sensitivity of spirometry. We examined the relationship between peripheral airway function and time since HSCT, and compared it with spirometry and clinical indices in 33 clinically stable allogeneic HSCT recipients. The following measurements were performed: lung function, exhaled nitric oxide, forced oscillatory respiratory system resistance and reactance, acinar (S(acin)) and conductive airways ventilation heterogeneity and lung clearance index (LCI) measured by multiple breath nitrogen washout. 22 patients underwent repeat visits from which short-term changes were examined. Median time post HSCT was 12 months. Eight patients were clinically diagnosed as having BO. In multivariate analysis, time since HSCT was predicted by S(acin) and forced expiratory volume in 1 s % predicted. 20 patients had abnormal S(acin) with normal spirometry, whereas none had airflow obstruction with normal S(acin). S(acin) and LCI were the only measures to change significantly between two visits, with both worsening. Change in S(acin) was the only parameter to correlate with change in chronic graft-versus-host disease grade. In conclusion, peripheral airways ventilation heterogeneity worsens with time after HSCT. S(acin) may be more sensitive than spirometry in detecting BO at an early stage, which needs confirmation in a prospective study.

Use of Iowa Public Libraries 2005, January 17, 2008

This report includes the number of Iowa card holders, library checkouts and library visits in public libraries from 1995 to 2005

Use of Iowa Public Libraries 2006, January 17, 2008

This report includes the number of Iowa card holders, library checkouts and library visits in public libraries from 1995 to 2005

Use of Iowa Public Libraries 2007, January 16, 2008

This report includes the number of Iowa card holders, library checkouts and library visits in public libraries from 1995 to 2005

Use of Iowa Public Libraries 2008

This report includes the number of Iowa card holders, library checkouts and library visits in public libraries from 1995 to 2008

Emergency Department use by patients aged 85 years and over, between 2005 and 2010 in a Swiss university hospital

Introduction: Population ageing challenges Emergency Departments (ED) with a population shift toward higher age groups. People over 65 years are heterogenous with respect to polymorbidity and functional capacity. Complex situations become more prevalent among patients aged 85+, the fastest growing segment of the elderly population (+72% between 2010 and 2030). Objectives: To identify the trend of ED admission rates for patients aged 85+ and to compare the characteristics of their ED visits with the one of patients aged 65-84. Method: Retrospective analysis of 56162 ED admissions of patients aged 65+ at the University of Lausanne Medical Center (CHUV), from 2005 to 2010. All visits of patients aged 65+ at the time of admission were considered. Analyses focus on demographic characteristics, living arrangement, hospital admission, and median Length of Stay (LOS) in the ED. Data from 2010 were examined for the degree of emergency (DE), the main reason for visiting the ED (Swiss triage scale) and readmission at 30 days. Results: Between 2005 and 2010, ED visits of patients aged 65 years and over increased from 8228 to 10390/year (with a slight decrease of women from 56% to 54%). This is an increment of +26% i.e. 5.9 patients/day more. Patients aged 85+ increased by +46% vs +20% for the 65-84. ED visits of people aged 18-64 years raised by +20%. Among patients over 65 years, the proportion of patients aged 85 and more increased from 23% in 2005 to 27% in 2010. In 2010, 85+ patients were more likely than 65-84 patients to come from a NH setting (13% vs 4%), to be hospitalised (70% vs 59%) and to stay longer in the ED (median LOS 9 hours vs 7 hours). Readmission to ED within 30 days after discharge did not differ (85+: 14% vs 65-84: 12%) (similar proportions in 2005). In 2010, the first reason for patients 85+ to visit ED was fall/injury (27% vs 18% by 65-84), whereas the main cause for patients aged 65-84 years was a cardiovascular disorder (18% vs 16% by 85+). The part of high emergency cases was similar for patients 85+ and 65-84 (42%). Conclusion: Among aged patients those aged 85 and over are the fastest growing group admitted to ED. Compared to their younger counterparts, their reason to visit ED and their pattern of health services utilization differ due to specific epidemiological conditions. ED addressing specific needs of geriatric patients would improve their care and lead to a better use of available resources.

Intrahippocampal cholinergic grafts in aged rats compensate impairments in a radial maze and in a place learning task

Age-related cognitive impairments were studied in rats kept in semi-enriched conditions during their whole life, and tested during ontogeny and adult life in various classical spatial tasks. In addition, the effect of intrahippocampal grafts of fetal septal-diagonal band tissue, rich in cholinergic neurons, was studied in some of these subjects. The rats received bilateral cell suspensions when aged 23-24 months. Starting 4 weeks after grafting, they were trained during 5 weeks in an 8-arm maze made of connected plexiglass tunnels. No age-related impairment was detected during the first eight trials, when the maze shape was that of a classical radial maze in which the rats had already been trained when young. The older rats were impaired when the task was made more difficult by rendering two arms parallel to each other. They developed an important neglect of one of the parallel tunnels resulting in a high amount of errors before completion of the task. In addition, the old rats developed a systematic response pattern of visits to adjacent arms in a sequence, which was not observed in the younger subjects. None of these behaviours were observed in the old rats with a septal transplant. Sixteen weeks after grafting, another experiment was conducted in a homing hole board task. Rats were allowed to escape from a large circular arena through one hole out of many, and to reach home via a flexible tube under the table. The escape hole was at a fixed position according to distant room cues, and olfactory cues were made irrelevant by rotating the table between the trials. An additional cue was placed on the escape position. No age-related difference in escape was observed during training. During a probe trial with no hole connected and no proximal cue present, the old untreated rats were less clearly focussed on the training sector than were either the younger or the grafted old subjects. Taken together, these experiments indicate that enriched housing conditions and spatial training during adult life do not protect against all age-related deterioration in spatial ability. However, it might be that the considerable improvement observed in the grafted subjects results from an interaction between the graft treatment and the housing conditions.