Identification of dementia cases in the community: A Brazilian experience

OBJECTIVES: To describe the application in Brazil of a simple, low-cost procedure, developed in India by the 10/66 Dementia Research Group, for the identification of dementia cases in the community.DESIGN: Community-based dementia case-finding method.SETTING: Piraju, São Paulo, Brazil.PARTICIPANTS: Twenty-five community health workers were trained to identify dementia cases in 2,222 people aged 65 and older in Piraju, a Brazilian town with 27,871 inhabitants.MEAUREMENTS: After the training, the health workers prepared a list of possible cases that afterward an experienced psychiatrist clinically evaluated, according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), criteria and the Clinical Dementia Rating.RESULTS: of the 72 cases that were clinically assessed, 45 met the DSM-IV diagnostic criteria for dementia. Therefore, the positive predictive value of this case finding method was 62.5%; the estimated frequency of dementia was 2%. Most of the confirmed cases met clinical criteria for Alzheimer's disease and vascular dementia.CONCLUSION: This simple method was appropriate to identify cases of dementia in the general population and can possibly be extended to other developing countries with limited resources to be applied in health programs.

Brachyuran and anomuran crabs associated with Schizoporella unicornis (Ectoprocta, Cheilostomata) from southeastern Brazil

The main goals of this investigation were to describe the community structure of anomuran and brachyuran crabs inhabiting reefs constituted by colonies of Schizoporella unicornis, and to provide a species importance ranking for this community. Collections were carried out on S. unicornis reefs at two-month intervals from May 2003 to May 2004, in the rocky sublittoral of the southeastern Brazilian coast. Relative abundance and occurrence were used to rank these species in the hierarchy importance. A total of 2,018 individuals were obtained, in 11 families, 22 genera and 31 species. Porcellanidae and Pilumnidae were the most abundant families, comprising respectively almost 60% and 15% of individuals sampled. The species ranking indicated four main groups A, B, C and D, with group A subdivided. Subgroup A1 contained 9 species, including the species of greatest ecological importance for community regarding abundance and occurrence. The great abundance of crabs associated with S. unicornis seems to be the result of its recognized importance during the crab developmental cycle, and as shelter and food for some Decapod species. These observations reveal the importance of conserving the areas occupied by these reef colonies, which appear to be an important environment for maintaining local biodiversity.

Poéticas e marginalidade: experiência no Projeto Cidadãos Cantantes

Pós-graduação em Psicologia - FCLAS

Are we building competitive and liveable cities?: Guidelines for developing eco-efficient and socially inclusive infrastructure

This guideline jointly published by The UN Economic and Social Commission for Asia and the Pacific (ESCAP), the UN Economic Commission for Latin America and the Caribbean (ECLAC), and the UN Human Settlements Programme (UN-HABITAT), in partnership with the Urban Design Lab of the Earth Institute, Columbia University, provides practical tools for city planners and decision makers to reform urban planning and infrastructure design according to the principles of eco-efficiency and social inclusiveness. It includes case studies from the Republic of Korea, the Philippines, Japan and Sri Lanka.

An assessment of the economic impact of climate change on the coastal and human settlements, tourism and transport sectors in Barbados

This report analyses the coastal and human settlements, tourism and transport sectors in Barbados to assess the potential economic impact of climate change on the sectors. The fundamental aim of this report is to assist with the development of strategies to deal with the potential impact of climate change on Barbados. Some of the key anticipated manifestations of climate change for the Caribbean include elevated air and sea-surface temperatures, sea-level rise, possible changes in extreme events and a reduction in freshwater resources. The economic impact of climate change on the three sectors was estimated for the A2 and B2 IPCC scenarios until 2050 (tourism and transport sectors) and 2100 (coastal and human settlements sector). An exploration of various adaptation strategies was also undertaken for each sector using standard evaluation techniques. The analysis has shown that based upon exposed assets and population, SLR can be classified as having the potential to create potential catastrophe in Barbados. The main contributing factor is the concentration of socioeconomic infrastructure along the coastline in vulnerable areas. The A2 and B2 projections have indicated that the number of catastrophes that can be classified as great is likely to be increased for the country. This is based upon the possible effects of the projected unscheduled impacts to the economy both in terms of loss of life and economic infrastructure. These results arise from the A2 and B2 projections, thereby indicating that growth in numbers and losses are largely due to socioeconomic changes over the projection period and hence the need for increased adaptation strategies. A key adaptation measure recommended is for the government of Barbados to begin reducing the infrastructure deficit by continuously investing in protective infrastructure to decrease the country’s vulnerability to changes in the climate. With regard to the tourism sector, it was found that by combining the impacts due to a reduction in tourist arrivals, coral reef loss and SLR, estimated total economic impact of climate change is US $7,648 million (A2 scenario) and US $5,127 million (B2 scenario). An economic analysis of the benefits and costs of several adaptation options was undertaken to determine the cost effectiveness of each one and it was found that four (4) out of nine (9) options had high cost-benefit ratios. It is therefore recommended that the strategies that were most attractive in terms of the cost-benefit ratios be pursued first and these were: (1) enhanced reef monitoring systems to provide early warning alerts of bleaching events; (2) artificial reefs or fish-aggregating devices; (3) development of national adaptation plans (levee, sea wall and boardwalk); (4) revision of policies related to financing carbon neutral tourism; and (5) increasing recommended design wind speeds for new tourism-related structures. The total cost of climate change on international transportation in Barbados aggregated the impacts of changes in temperature and precipitation, new climate policies and SLR. The impact for air transportation ranges from US$10,727 million (B2 scenario) to US$12,279 million (A2 scenario) and for maritime transportation impact estimates range from US$1,992 million (B2 scenario) to US$2,606 million (A2 scenario). For international transportation as a whole, the impact of climate change varies from US$12,719 million under the B2 scenario to US$14,885 million under the A2 scenario. Barbados has the institutions set up to implement adaptive strategies to strengthen the resilience of the existing international transportation system to climate change impacts. Air and sea terminals and facilities can be made more robust, raised, or even relocated as need be, and where critical to safety and mobility, expanded redundant systems may be considered.

Metodologia para o gerenciamento integrado saudável dos resíduos sólidos da bacia da estrada nova do município de Belém/PA

O presente trabalho tem o objetivo de criar uma metodologia para o Gerenciamento Integrado dos Resíduos Sólidos (GIRS) que associa a prática pertinente ao tema, com programas que envolvam a comunidade, no sentido de manter o meio ambiente limpo e saudável, tendo como cenário o município de Belém, especificamente a Bacia Hidrográfica da Estrada Nova (BHEN). Objetiva também identificar porquê, apesar da BHEN possuir coleta de resíduos e serviços de limpeza realizada pela Secretaria Municipal de Saneamento (SESAN), a mesma permanece, constantemente, suja, principalmente, de lixo e entulho lançados nas vias públicas e canais de drenagem dessa bacia. A pesquisa de campo consistiu de entrevistas com os principais atores desse trabalho, a comunidade da BHEN. Inova no município um modelo de programas de participação da população com o nome de Cidadania e Participação Ativa da Comunidade (CIPAC) propondo 20 programas: Mascote da educação ambiental; Boteco em boteco; Eu amo minha cidade; Alô comunidade; TV SOS “Meio ambiente”; Rádio “Desperta comunidade; Coral e teatro “Reciclar”; Educa móvel; Coleta seletiva nas escolas; O meio ambiente pede carona; Centro de memória; A escola do lixo; Conhecer o lixo; Comunidade nota 10; Futuro verde; Coleta seletiva “porta a porta” Implantação dos LEVs; Criação das unidades básicas ecológicas; Criação da central de reciclagem de entulho; Criação das unidades de triagem de materiais recicláveis; Criação das cooperativas de catadores e carroceiros. Faz uma previsão de investimentos para implantação e manutenção desses programas assim como o retorno do investimento aplicado com a implantação. Como resultado, apresenta um novo modelo, baseado na prática, como sustentação para o estabelecimento de uma política municipal, de acordo com a Lei da Política Nacional de Resíduos Sólidos (PNRS) que tramita no Congresso Nacional. Também foram identificados parâmetros capazes de identificar a inadequação do processo atual de coleta de lixo e dos serviços de limpeza nessa bacia. Esses resultados alcançados permitem concluir que grande parte da população da BHEN não está preparada para aderir a um programa de Gestão de Resíduos Sólidos (GRS), que tenha como ponto de partida o GIRS. O grau de escolaridade e o nível de conhecimento da comunidade não representam obstáculos para isso, mas sim a falta de programas que envolvam a sua participação, a coleta de resíduos e serviços de limpeza urbana corretamente prestados, pois, atualmente, na pesquisa de campo realizada, foram visivelmente reprovados. Finalmente, ainda conclui que somente com a implantação de um GIRS, com apoio do CIPAC o meio ambiente seria consideravelmente beneficiado, mas não resolveria os graves problemas ambientais da BHEN, será necessária a melhoria de todos os sistemas de infra-estrutura urbana nessa importante bacia, para um efeito realmente mais saudável. É importante destacar que, no momento atual, as propostas apresentadas por este trabalho são consideradas bastante oportunas, pois com o inicio da implantação do Programa de Recuperação Urbano-Ambiental da Bacia da Estrada Nova (PROMABEM) pela Administração Municipal financiado pelo Banco Interamericano de Desenvolvimento (BID), os problemas sanitários e ambientais dessa importante bacia têm grande probabilidade de ser resolvidos.

Metodologia aplicada ao turismo de base comunitária em reservas extrativistas: valorização da atratividade turística do Resex - o exemplo de Mapuá, Arquipélago do Marajó, Breves/PA

A dissertação analisa as possibilidades, os limites e os modos de desenvolvimento do Turismo de Base Comunitária. Especificamente, discute a proposta de um método para valorar o nível de atratividade das comunidades de Reservas Extrativistas para implantar o TBC. Os objetivos específicos foram identificar os elementos de valoração turística, criar uma metodologia de valoração da atratividade turística, aplicar esta metodologia nas comunidades de Nossa Senhora de Nazaré do Lago do Jacaré, Santa Maria e Santa Rita de Cássia, localizadas na RESEX de Mapuá, Arquipélago do Marajó, Estado do Pará, capacitar os pesquisadores (técnicos e comunitários) e interpretar os dados. As informações foram coletadas com base na metodologia da Análise em Pares, que compreende em levantamento de dados e análise a partir de olhares técnicos e de membros das comunidades. A pesquisa orienta-se também pela problemática que envolve a discussão de como se iniciam os processos de implantação de projetos de turismo de base comunitária em unidades de conservação, particularmente em reservas extrativistas, e como pode ser medido e valorado o nível de atratividade turística de RESEX's, a exemplo de Mapuá. A dissertação revela que as comunidades pesquisadas possuem valoração adequada para um possível desenvolvimento de projeto de TBC, considerando a possibilidade de sanar determinados gargalos sinalizados nos resultados finais da pesquisa. Diante das evidências expostas, conclui-se que é possível valorar o nível de atratividade turística das reservas extrativistas, por meio de uma metodologia específica para este tipo de unidade de conservação, bem como a sua capacidade adaptativa para aplicabilidade em outras áreas de preservação e proteção ambiental.

Ecologia e conservação dos tubarões do arquipélago de Fernando de Noronha, com ênfase no tubarão-cabeça-de-cesto Carcharhinus perezi (Poey, 1876) (Carcharhiniformes, Carcharhinidae)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Obsessive-compulsive symptom dimensions in a population-based, cross-sectional sample of school-aged children

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Extensive Rhodolith Beds Cover the Summits of Southwestern Atlantic Ocean Seamounts

Calcium carbonate production by marine organisms is an essential process in the global budget of CO32-, and coralline reefs are the most important benthic carbonate producers. Crustose coralline algae (CCA) are well recognized as the most important carbonate builders in the tropical Brazilian continental shelf, forming structural reefs and extensive rhodolith beds. However, the distribution of CCA beds, as well as their role in CO32- mineralization in mesophotic communities and isolated carbonate banks, is still poorly known. To characterize the bottom features of several seamount summits in the Southwestern Atlantic (SWA), side-scan sonar records, remotely operated vehicle imagery, and benthic samples with mixed-gas scuba diving were acquired during two recent research cruises (March 2009 and February 2011). The tops of several seamounts within this region are relatively shallow (similar to 60 m), flat, and dominated by rhodolith beds (Vitoria, Almirante Saldanha, Davis, and Jaseur seamounts, as well as the Trindade Island shelf). On the basis of abundance, dimensions, vitality, and growth rates of CCA nodules, a mean CaCO3 production was estimated, ranging from 0.4 to 1.8 kg m(-2) y(-1) with a total production reaching 1.5 x 10(-3) Gt y(-1). Our results indicate that these SWA seamount summits provide extensive areas of shallow reef area and represent 0.3% of the world's carbonate banks. The importance of this habitat has been highly neglected, and immediate management needs must be fulfilled in the short term to ensure long-term persistence of the ecosystem services provided by these offshore carbonate realms.

The first modern solitary Agariciidae (Anthozoa, Scleractinia) revealed by molecular and microstructural analysis

Dactylotrochus cervicornis (= Tridacophyllia cervicornis Moseley, 1881), which occurs in Indo-Pacific waters between 73 and 852 m, was originally described as an astraeid but was later transferred to the Caryophylliidae. Assumed to be solitary, this species has no stolons and only one elongated fossa, and is unique among azooxanthellate scleractinians in often displaying extremely long thecal extensions that are septate and digitiform. Based on both molecular phylogenetic analyses (partial mitochondrial CO1 and 16S rDNA, and partial nuclear 28S rDNA) and morphological characteristics, we propose the transfer of D. cervicornis from the Caryophylliidae to the Agariciidae, making it the first extant representative of the latter family that is solitary and from deep water (azooxanthellate). The basal position of D. cervicornis within the agariciids implied by our analyses strengthens the case for inclusion of fossil species that were solitary, such as Trochoseris, in this family and suggests that the ancestor of this scleractinian family, extant members of which are predominantly colonial and zooxanthellate, may have been solitary and azooxanthellate.

Relationship Between Regional Brain Volumes and Cognitive Performance in the Healthy Aging: An MRI Study Using Voxel-Based Morphometry

The presence of cognitive impairment is a frequent complaint among elderly individuals in the general population. This study aimed to investigate the relationship between aging-related regional gray matter (rGM) volume changes and cognitive performance in healthy elderly adults. Morphometric magnetic resonance imaging (MRI) measures were acquired in a community-based sample of 170 cognitively-preserved subjects (66 to 75 years). This sample was drawn from the "Sao Paulo Ageing and Health" study, an epidemiological study aimed at investigating the prevalence and risk factors for Alzheimer's disease in a low income region of the city of Sao Paulo. All subjects underwent cognitive testing using a cross-culturally battery validated by the Research Group on Dementia 10/66 as well as the SKT (applied on the day of MRI scanning). Blood genotyping was performed to determine the frequency of the three apolipoprotein E allele variants (APOE epsilon 2/epsilon 3/epsilon 4) in the sample. Voxelwise linear correlation analyses between rGM volumes and cognitive test scores were performed using voxel-based morphometry, including chronological age as covariate. There were significant direct correlations between worse overall cognitive performance and rGM reductions in the right orbitofrontal cortex and parahippocampal gyrus, and also between verbal fluency scores and bilateral parahippocampal gyral volume (p < 0.05, familywise-error corrected for multiple comparisons using small volume correction). When analyses were repeated adding the presence of the APOE epsilon 4 allele as confounding covariate or excluding a minority of APOE epsilon 2 carriers, all findings retained significance. These results indicate that rGM volumes are relevant biomarkers of cognitive deficits in healthy aging individuals, most notably involving temporolimbic regions and the orbitofrontal cortex.

Hunting in Ancient and Modern Amazonia: Rethinking Sustainability

We use a recently developed computerized modeling technique to explore the long-term impacts of indigenous Amazonian hunting in the past, present, and future. The model redefines sustainability in spatial and temporal terms, a major advance over the static "sustainability indices" currently used to study hunting in tropical forests. We validate the model's projections against actual field data from two sites in contemporary Amazonia and use the model to assess various management scenarios for the future of Manu National Park in Peru. We then apply the model to two archaeological contexts, show how its results may resolve long-standing enigmas regarding native food taboos and primate biogeography, and reflect on the ancient history and future of indigenous people in the Amazon.

Understanding Research Fatigue in the Context of Community-University Relations

Community research fatigue has been understudied within the context of community-university relationships and knowledge production. Community-based research (CBR), often occurring within a limited geography and population, increases the possibility that community members feel exhausted or over-whelmed by university research —particularly when they do not see tangible results from research activities. Prompted by informal stories of research fatigue from community members, a small graduate student team sought to understand the extent to which community members experienced research fatigue, and what factors contributed to or relieved feelings of research fatigue. In order to explore these dimensions of research fatigue, semi-structured, face-to-face interviews were conducted with 21 participants, including community members (n = 9), staff and faculty (n = 10), and students (n = 2). The objective of the research was to identify university practices that contribute to research fatigue and how to address the issue at the university level. Qualitative data analysis revealed several important actionable findings: the structure and conduct of community-based research, structured reciprocity and impact, and the role of trust in research. This study’s findings are used to assess the quality of Clark University’s research relationship with its adjacent community. Recommendations are offered; such as to improve partnerships, the impact of CBR, and to develop clear principles of practice.

Real-time quantitative PCR to determine chlamydial load in men and women in a community setting

We used a PCR method to quantify the loads of Chlamydia trachomatis organisms in self-collected urine and vulvovaginal swab (VVS) samples from 93 women and 30 men participating in the Chlamydia Screening Studies Project, a community-based study of individuals not seeking health care. For women, self-collected VVS had a higher mean chlamydial load (10,405 organisms/ml; 95% confidence interval [95% CI], 5,167 to 21,163 organisms/ml) than did first-void urines (FVU) (503 organisms/ml; 95% CI, 250 to 1,022 organisms/ml; P < 0.001). Chlamydial loads in female and male self-collected FVU specimens were similar (P = 0.634). The mean chlamydial load in FVU specimens decreased with increasing age in females and males. There was no strong statistical evidence of differences in chlamydial load in repeat male and female FVU specimens taken when patients attended for treatment a median of 23.5 (range, 14 to 62) and 28 (range, 13 to 132) days later, respectively, or in VVS taken a median of 35 (range, 14 to 217) days later. In this study, chlamydial load values for infected persons in the community who were not seeking treatment were lower than those published in other studies involving symptomatic patients attending clinical settings. This might have implications for estimates of the infectiousness of chlamydia. The results of this study provide a scientific rationale for preferring VVS to FVU specimens from women.