Benefícios e constrangimentos do envolvimento paterno no trabalho de parto e parto

Enquadramento - O envolvimento paterno no trabalho de parto tem suscitado o interesse de vários profissionais de saúde, nomeadamente dos enfermeiros obstetras, dado que os benefícios da presença paterna no contexto de parto ainda não são clara e totalmente assumidos por todos os profissionais. Por outro lado reconhece-se que o pai é o acompanhante ideal da grávida durante o trabalho de parto, pelo seu apoio e lugar que ocupa na tríade. Objetivos – Identificar os benefícios e constrangimentos do envolvimento paterno durante o trabalho de parto e parto. Método – Efetuada revisão integrativa da literatura sobre os “Benefícios e constrangimentos do envolvimento paterno durante o trabalho de parto e parto” nas bases de dados: PubMed, LILACS, SciELO, Repositórios Institucionais e Bibliotecas Digitais e EBSCO Host, elaborados entre 2000 e 2014. Selecionaram-se 19 artigos que obedeceram aos critérios de inclusão deste estudo. Dos 19 artigos selecionados, 4 são revisões sistemáticas da literatura, 13 são estudos qualitativos e 2 são estudos quantitativos. Resultados – Evidenciou-se um “novo” pai, que acompanha a grávida desde a gravidez, e que esteve presente no trabalho de parto. É dada grande relevância aos Enfermeiros Especialistas em Saúde Materna e Obstetrícia, pelo seu papel na inclusão do pai na sala de parto e desmitificação de tabus. Após esta pesquisa constatou-se que, ainda há lacunas relativamente à presença do pai parto. São muitos os benefícios do envolvimento paterno no parto, mas ainda são visíveis constrangimentos por parte do pai relativamente ao contexto de parto. Conclusões - A presença do pai na sala de parto permite estreitar os laços mais íntimos, consolidando a união familiar e proporcionando bem-estar à grávida. Realça-se o papel dos profissionais de saúde na integração do pai na maternidade. Caminhamos para um contexto de parto mais alargado e do qual já não faz parte apenas a grávida e o seu filho, mas no qual o pai é também elemento chave de todo o processo. Palavras- chave: “Pai”, “Nascimento”, “Envolvimento paterno” e “Recém - Nascido”.

UNIDADES DE ALIMENTAÇÃO ININTERRUPTAS E OS REGIMES DE NEUTRO – CASO DE ESTUDO

As unidades de alimentação ininterruptas, UPS’s, desempenham na atualidade um papel fundamental na alimentação de cargas críticas nas instalações elétricas. Na cada vez mais premente necessidade de garantir qualidade e continuidade de energia levou a que este tipo de equipamentos se tenha desenvolvido e aperfeiçoado do ponto de vista tecnológico. A alimentação das instalações elétricas proveniente da rede de distribuição de energia contém ou está sujeita a micro interrupções, interrupções, sobretensões, conteúdo harmónico indesejável, não garantindo os níveis exigidos por alguns dos sistemas elétricos atuais colocando em causa a cadeia de valor de muitas empresas. O nível de disponibilidade e qualidade de potência está diretamente relacionado e produz efeitos diretos na continuidade das operações. Fatores como a produtividade, qualidade de produtos e serviços, capacidade concorrencial, segurança de bens e pessoas são imprescindíveis. Os sistemas de UPS’s de elevada potência com unidades de alimentação ligadas em paralelo garantindo redundância no fornecimento de energia às cargas constituem hoje a solução para o tipo de problemas referido. Contudo, a sua inserção nas instalações elétricas obriga a cuidados específicos, nomeadamente no que se refere ao regime de neutro da instalação, o qual condiciona de forma determinante a proteção de circuitos de distribuição e de pessoas. Em Portugal o regime de neutro adotado, de uma forma generalizada, regime de terras separadas (é o regime TT), no qual a proteção de pessoas é assegurada pela colocação de dispositivos de corrente residual diferencial. Solução que no caso das configurações de paralelos redundantes de UPS’s de elevada potência não garante um normal funcionamento destes sistemas concebidos para fundamentalmente funcionarem em regime TN (regime de Terra pelo Neutro). No presente trabalho apresenta-se no caso de estudo uma situação típica de instalação na qual se registam problemas de conflitos de neutro na saída de UPS’s que obrigam à alteração do tipo de dispositivo de proteção nas entradas das máquinas e circuito de bypass. São, ainda, apresentadas propostas de solução.

The Forest for the Trees: A Comparative Analysis of Urban Forestry Regimes in Seattle, Washington and Portland, Oregon

This research project examines the development and implementation of municipal-level urban forestry policy in the cities of Seattle, Washington, and Portland, Oregon. The research examines the issue-specific context in which both developed, both broadly as an emerging area of scientific research and in the context of each state. Next, through a synthesis of interviews and analysis, it traces the development of each city’s approach and examines both its efficacy and the significant factors that emerged through the course of research as having made a significant impact on overall outcomes.

Mixing Regimes in the Amundsen Basin of the Arctic Ocean

Thesis (Ph.D.)--University of Washington, 2016-06

Harnessing Natural Resources for Development: New Legal Regimes for Localized Benefit Sharing in the Mining Sector

Thesis (Ph.D.)--University of Washington, 2016-06

Organic Matter Dynamics in the Wet Tropics Under Different Sugarcane Residue Management Regimes

Retention of sugarcane leaves and tops on the soil surface after harvesting has almost completely replaced pre- and post-harvest burning of crop residues in the Australian sugar industry. Since its introduction around 25 years ago, residue retention has increased soil organic matter to improve soil fertility as well as improve harvest flexibility and reduce erosion. However, in the wet tropics residue retention also poses potential problems of prolonged waterlogging, and late-season release of nitrogen which can reduce sugar content of the crop. The objective of this project is to examine the management of sugarcane residues in the wet tropics using a systems approach. Subsidiary objectives are (a) to improve understanding of nitrogen cycling in Australian sugarcane soils in the wet tropics, and (b) to identify ways to manage crop residues to retain their advantages and limit their disadvantages. Project objectives will be addressed using several approaches. Historic farm production data recorded by sugar mills in the wet tropics will be analysed to determine the effect of residue burning or retention on crop yield and sugar content. The impact of climate on soil processes will be highlighed by development of an index of nitrogen mineralisation using the Agricultural Production Systems Simulator (APSIM) model. Increased understanding of nitrogen cycling in Australian sugarcane soils and management of crop residues will be gained through a field experiment recently established in the Australian wet tropics. From this experiment the decomposition and nitrogen dynamics of residues placed on the soil surface and incorporated will be compared. The effect of differences in temperature, soil water content and pH will be further examined on these soils under glasshouse conditions. Preliminary results show a high ammonium to nitrate ratio in tropics soils, which may be due to low rates of nitrification that increase the retention of nitrogen in a form (ammonium) that is less subject to leaching. Further results will be presented at Congress.

Post-Bretton Woods evidence on PPP under different exchange rate regimes

This article investigates the behaviour of exchange rates across different regimes for a post-Bretton Woods period. The exchange rate regime classification is based on the classification of Frankel et al. (2004) who condensed the 10 categories of exchange rate regimes reported by the International Monetary Fund (IMF) into three categories. Panel unitroot tests and panel cointegration are used to examine the Purchasing Power Parity (PPP) hypothesis. The latter test is used to check for both the weak and strong forms of PPP. The panel unit-root tests show no evidence of PPP and suggest there is no difference in the behaviour of exchange rates across different regimes. However, failure to detect PPP across any of the regimes could be due to structural breaks. This assumption is reinforced by the results of cointegration tests, which suggest that there exists at least a weak form of PPP for the different regimes. The evidence for strong PPP decreases as the exchange rate regime moves away from a flexible exchange rate regime.

Governance regimes, corruption and growth: theory and evidence

We study the role of political accountability as a determinant of corruption and economic growth. Our model identifies two governance regimes defined by the quality of political institutions and shows that the relationship between corruption and growth is regime specific. We use a threshold model to estimate the impact of corruption on growth where corruption is treated as an endogenous variable. We find two governance regimes, conditional on the quality of political institutions. In the regime with high quality political institutions, corruption has a substantial negative impact on growth. In the regime with low quality institutions, corruption has no impact on growth.

The effect of flow regimes in the distillation of systems containing two liquid phases

Single phase solutions containing three components have been observed to exhibit foaminess near a single to two liquid phase boundary. It was seen, in a sintered plate column under mass transfer conditions, that distillation systems where the liquid appeared as one phase in one part of a column and two phases in another part, exhibited foaminess when the liquid concentration was near the one phase to two phase boundary. Various ternary systems have been studied in a 50 plate. 30mm i.d. Oldershaw column and it was observed that severe foaming occurred in the middle section of the column near the one liquid phase to two liquid phase boundary and no foaming occurred at the end of the column where liquid was either one phase or two phase. This is known as Ross type foam. Mass transfer experiments with Ross type ternary systems have been carried out in a perspex simulator with small and large hole diameter trays. It was observed that by removal of the more volatile component, Ross type foam did not build up on the tray. Severe entrainment of liquid was observed in all cases leading to a 'dry' tray, even with a low free area small diameter hole tray which was expected to produce a bubbly mixture. Entrainment was more severe for high gas superficial velocities and large hole diameters. This behaviour is quite different from the build up of foam observed when one liquid phase/two liquid phase Ross systems were contacted with air above a small sintered disc or with vapour in an Oldershaw distillation column. This observation explains why distillation columns processing mixtures which change from one liquid phase to two liquid phases (or vice versa) must be severely derated to avoid flooding. Single liquid phase holdups at the spray to bubbly transition were measured using a perspex simulator similar to that of Porter & Wong (17). i.e. with no liquid cross flow. A light transmission technique was used to measure the transition from spray regime to bubbly regime. The effect of tray thickness and the ratio of hole diameter to tray thickness on the transition was evaluated using trays of the same hole diameter and free area but having thickness of 2.38 mm, 4 mm, and 6.35 mm. The liquid holdup at the transition was less with the thin metal trays. This result may be interpreted by the theory of Lockett (101), which predicts the transition liquid holdup in terms of the angle of the gas iet leaving the holes in the sieve plate. All the existing correlations have been compared and none were found to be satisfactory and these correlations have been modified in view of the experimental results obtained. A new correlation has been proposed which takes into account the effect of the hole diameter to tray thickness ratio on the transition and good agreement was obtained between the experimental results and the correlated values of the liquid holdup at the transition. Results have been obtained for two immiscible liquids [kerosene and water] on trays to determine whether foaming can be eliminated by operating in the spray regime. Kerosene was added to a fixed volume of water or water was added to a fixed volume of kerosene. In both cases, there was a transition from spray to bubbly. In the water fixed system. the liquid holdup at the transition was slightly less than the pure kerosene system. Whilst for the kerosene fixed system, the transition occurred at much lower liquid holdups. Trends In the results were similar to those for single liquid phase. New correlations have been proposed for the two cases. It has been found that Ross type foams, observed in a sintered plate column and in the Oldershaw column can be eliminated by either carrying out the separation in a packed column or by the addition of defoaming additives.