Can occupational therapy intervention play a part in maintaining independence and quality of life in older people? A randomised controlled trial Jeannine Liddle 1 , 2 , Lyn March 3 , Barbara Carfrae 4 , Terence Finnegan 5 , Jane Druce 6 , Jennifer Schwarz 7 Peter Brooks

The main objective of this study was to see if older people could maintain their quality of life and independence after their homes had been modified and they were using community services as recommended by an occupational therapist. There were 167 study participants aged 69 to 94 years from the Northern Sydney Area, After being assessed at home by an occupational therapist, 105 were randomly allocated to one of two groups, to either have or not have the occupational therapist's recommendations carried out, They were assessed again after six months, A third group did not require any intervention, This group was followed up by telephone and postal questionnaire at six months. The main outcome measures used were the Sickness Impact Profile, the Philadelphia Geriatric Center Morale Scale, the Life Satisfaction Index, assessment of Activities of Daily Living, the Health Assessment Questionnaire and change in residence. After six months there were no difference in outcomes among the three groups. Most study participants remained at a satisfactory level on each measure. Three people had died, One had moved to hostel care and one had moved to a nursing home. A further 14 from the group having no intervention had withdrawn from the study, A secondary objective of this study was to indicate the responsiveness of these outcome measures to change in the short term (over six months) in an elderly population. Twelve-month assessments are in progress and may indicate what to expect from these outcome measures in the medium term.

Commentationes botanicae :observationes botanique /dédiées a la Société d'horticulture de Tournay par B.-C. Dumortier.

1822

Manual de plantas de Costa Rica /B.E. Hammel ... [et al.] editores ; Silvia Troyo, ilustraciones.

v.1 (2004) [ser. v.97]

Manual de plantas de Costa Rica /B.E. Hammel ... [et al.] editores ; Silvia Troyo, ilustraciones.

v.2 (2003) [ser. v.92]

Manual de plantas de Costa Rica /B.E. Hammel ... [et al.] editores ; Silvia Troyo, ilustraciones.

v.3 (2003) [ser. v.93]

Report CR-A-219-B - Cabo Verde Estudo do Sector Agrícola

A. A Singularidade de Cabo Verde Cabo Verde e unica entre a familia de na90es. ~ uma republica de ilhas (Fig. 1.1) suficientemente distanciadas umas das outras e do continente africano (600 km) para dissuadir visitas imprevistas ou fortuitas. Seu isolamento serviu para fortalecer sua singular cultura crioula, porem a cllsta de contactos frequentes com influencias e inforrna90es externas. Cabo Verde e muito pequeno. Sua popula9ao de 300.000 habitantes, que mal chegaria para tornar uma cidade auto-suficiente num complexo industrial, esta dividida entre nove ilhas. A capital, Praia, conta somente com 23.000 habitantes, e e, essencialmente, urna pequena e simpatica cidade onde a maior parte dos vercursos pode ser feita a pe e onde encontros casuais entre funcionarios do governo sao provavelmente tao irnportantes quanto os formais meios de comunica9ao pelo telefone ou por escrito. Cabo Verde e tambem pequeno ern termos de area territorial, embora ocupe urna area relativamente grande de ocea~o. Sua superficie total e pouco mais de 4.000 km2 , porem suas nove ilhas principais estao espalhadas por uma POr9aO grande, quadrangular, do Atlantico medindo aproximadamente 240 qUilometros de urn lado. A superficie total (nao incluindo partes da plataforma continental que se estende para alem do litoral externo das ilhas) e comparavel as republicas de Togo ou Sri Lanka, ou cerca de metade da Guatemala. A nao ser pelo servi90 de barcas entre Fogo e Brava, e entre Sao Vicente e Santo Antao, as ilhas estao demasiado distantes entre si para urn conveniente transporte maritimo. Avioes sao, portanto, essenciais as comunica90es e trafego entre as ilhas, embora para transac90es lentas e volurnosas 0 transporte maritimo, seja por embarca90es a vela ou a motor, e sempre urna alternativa devido aos ventos constantes e condi90es atmosfericas geralmente boas.