Comparação entre sistemas de saúde oral de 8 países da união europeia e intervenções por estes desenvolvidas no seguimento das linhas de atuação definidas pela Organização Mundial de Saúde para o ano 2020

RESUMO - Hoje, facilmente se poderá constatar que as doenças orais possuem uma expressiva influência perante a saúde geral, não apenas pela presença da condição por si só, mas também a nível pessoal, social e económico. O seu reflexo traduz-se em parte, no absentismo escolar e laboral, diminuição considerável de produtividade e eficiência, falta de atenção e objetividade. Pelo que é então considerado, um grave problema de saúde pública, afetando de forma mais expressiva, grupos socioeconomicamente desfavorecidos. O acompanhamento e análise do desenvolvimento de iniciativas internacionais, no que ao seguimento das recomendações da Organização Mundial de Saúde diz respeito, poderá ser um ótimo beneficio e impulso para a identificação e aplicação de novos planos de ação. O presente projeto, pretendeu contribuir para a identificação de duas propostas de intervenção em saúde oral ajustadas ao alcance das recomendações da OMS que simultaneamente possam sejam proveitosas para a resolução dos problemas de saúde oral nacionais. Foi realizado um estudo observacional, descritivo e retrospetivo onde foram recolhidos dados acerca de 8 Sistemas de Saúde Oral europeus, previamente selecionados segundo critérios específicos, e iniciativas de saúde oral por eles desenvolvidas. Por fim, foram eleitas duas iniciativas de interesse, possíveis de aplicação futura. Os resultados do estudo apontam para a existência de diferentes iniciativas, enquadradas com as recomendações da OMS. De entre as mesmas, destaca-se uma implementada em 2009, na Suécia, que estando essencialmente assente num acessível subsidio anual fixo pago por cada indivíduo adulto, procura fundamentalmente preservar os esforços de prevenção aplicados nas últimas décadas.

Sistemas prisionais europeus

Ao longo dos últimos anos a reforma dos sistemas prisionais e a eficácia da reinserção social têm vindo a integrar as agendas políticas dos governos dos países europeus. Esta reforma deriva de vários problemas e carências com que se debatem os diversos sistemas prisionais, nomeadamente a sobrelotação, o ambiente propício à violência, o consumo de drogas, a inactividade do recluso e o elevado índice de reincidência criminal. Porém, qualquer reforma que se venha a delinear compreende matérias muito complexas que vão desde os direitos humanos aos recursos humanos e financeiros, imperativos legais, bem como a conciliação entre a punição e a ressocialização. Estas matérias não dependem apenas da vontade política, mas igualmente da sociedade, a qual ainda ergue barreiras à reinserção, tratando o ex-recluso como um excluído da sociedade. Neste sentido, os estudos universitários constituem um elemento chave na procura de soluções para esta problemática, na medida em que se servem das várias áreas do saber para de alguma forma contribuir com possíveis soluções, tendo em vista a melhoria de todo o sistema prisional e a eficácia da reinserção social. Esta dissertação tem assim como objectivo apresentar os principais modelos de sistemas prisionais adoptados em países europeus e efectuar uma comparação entre estes. Pretende-se retirar os aspectos mais relevantes de cada sistema e que têm contribuído para a melhoria das condições dos reclusos e do aumento da reinserção destes na sociedade, bem como na diminuição da taxa de reincidência criminal.

Infecções urinárias adquiridas no hospital : resultados de um estudo de coorte realizado num serviço de medicina interna

RESUMO - Introdução: As infecções associadas aos cuidados de saúde são um importante problema de saúde pública. Entre elas, as infecções urinárias são as mais frequentes associando‐se a elevados custos e morbilidade. Pretende‐se caracterizar as ITU adquiridas no Hospital (ITUaH) ocorridas num serviço de Medicina Interna de um hospital português. Métodos: Efectuou‐se um estudo de coorte (histórica) para determinação da incidência da ITUaH e da bacteriúria assintomática. Analisaram-se os dados correspondentes a uma amostra aleatória sistemática de 388 doentes, representativa dos 3492 admissões ocorridas, em 2014, nesse Serviço. Resultados: A taxa de incidência global de ITUaH foi de 6,2% (24/388; IC 95%:[3,8--‐8,6%]). Ocorreram 19,76 ITU por mil dias de cateter vesical (ITUaCV) e 4,17 ITUaCV por mil dias de internamento. A taxa de incidência de ITUaCV foi de 4% (15/388; IC 95%:[2%--‐6%]). Oitenta por cento destas infecções ocorreram em doentes sem indicação para a algaliação. Um quarto dos doentes desta coorte foram algaliados (24,7%; IC 95%: [20%--‐29%]), não se verificando indicação para o procedimento em 36,5% dos casos. Os principais factores de risco para a algaliação identificados foram a dependência total (OR: 24,47; IC 95%: [5,50--‐ 108,87]; p<0,001) a dependência grave (OR:11,43; IC 95% [2,56--‐50,93]; p=0,001) (escala de Barthel) e a carga de doença (OR: 1,19; IC 95% [1,03--‐1,38]; p=0,017) (índice de comorbilidade de Charlson). Foram utilizados CV em 759 dias dos 3591 dias de internamento quantificados neste estudo (21%). A Taxa de incidência de Bacteriúria Assintomática (BA) foi de 4,4% (IC 95%:[2--‐6%]). Cerca de 60% (10/17) desses doentes foram submetidos a tratamento contrariamente às recomendações clínicas actuais. Conclusões: Este estudo evidencia a necessidade de implementação de estratégias de prevenção, das quais se destaca a redução do número de algaliações. O tratamento da BA deve ser evitado.

Representações da mulher em telenovelas de língua portuguesa

A presente dissertação de mestrado visa reflectir acerca da construção e exposição da imagem feminina constante em três produtos de ficção, transmitidos pela televisão portuguesa desde a entrada no novo século. Considerando a televisão um dos meios de comunicação social mais dominantes da sociedade atual, a telenovela destaca-se da programação desde 1977, com a chegada de Gabriela, tornando-se, a partir de então, um dos produtos líderes de audiências, sendo portanto dos formatos mais consumidos pelos espetadores desse meio. Atua, na maior parte das vezes, como um veículo de representação social, uma forma particular de ver o mundo e um modo válido de denúncia das problemáticas sociais. A partir da transcrição de dois pequenos fragmentos de cada uma das três obras ficcionais selecionadas, pretende-se analisar e descrever os fenómenos e processos discursivos utilizados na representação das três personagens femininas, observando comportamentos e examinando relações sociais que possam conduzir à denúncia de situações de discriminação de género.

A Presença islâmica em al-Qasr : uma análise sobre o urbanismo e o sistema defensivo

Alcácer do Sal é uma cidade que esteve desde sempre ligada ao rio Sado, permitindo essa mesma ligação, que nela se fossem fixando ao longo do tempo, distintos povos, provindos das mais diversas partes do mundo. Esta ocupação por parte das populações, só foi possível, porque o território era abundante em recursos naturais e, entre eles, possuía solos bastante férteis para a agricultura. Uma das comunidades que mais marcas deixou da sua presença naquele núcleo urbano, foi, sem dúvida, a muçulmana, tal como se pode verificar no topónimo que dá o nome à cidade, assim como pela presença dos vários vestígios materiais, como a imponente fortificação militar, que se ergue na colina mais alta da povoação, assim como pelas estruturas e espólios encontrados nas diversas intervenções arqueológicas realizadas naquela cidade. Tendo em conta estes aspetos, esta dissertação pretende fazer uma aproximação ao estudo do urbanismo da medina islâmica de al-Qasr, abarcando cronologicamente o século IX, altura em que os Banu Danis se fixam na cidade, até aos inícios do século XIII, correspondente à última fase de ocupação muçulmana da cidade.

Stage of change of cigarette smoking in drug dependent patients.

Nicotine cessation programmes in Switzerland, which are commonly based on the stage of change model of Prochaska and DiClemente (1983), are rarely offered to patients with illicit drug dependence. This stands in contrast to the high smoking rates and the heavy burden of tobacco-related problems in these patients. The stage of change was therefore assessed by self-administered questionnaire in 100 inpatients attending an illegal drug withdrawal programme. Only 15% of the patients were in the contemplation or decision stage. 93% considered smoking cessation to be difficult or very difficult. These data show a discrepancy between the motivation to change illegal drug consumption habits and the motivation for smoking cessation. The high proportion of patients remaining in the precontemplation stage for smoking cessation, in spite of their motivation for illicit drug detoxification, may be due to the perception that cessation of smoking is more difficult than illicit drug abuse cessation.

Macroalgal Defenses Against Herbivory: Causes and Consequences of Intraspecific Variation

In marine benthic communities, herbivores consume a considerable proportion of primary producer biomass and, thus, generate selection for the evolution of resistance traits. According to the theory of plant defenses, resistance traits are costly to produce and, consequently, inducible resistance traits are adaptive in conditions of variable herbivory, while in conditions of constant/strong herbivory constitutive resistance traits are selected for. The evolution of resistance plasticity may be constrained by the costs of resistance or lack of genetic variation in resistance. Furthermore, resource allocation to induced resistance may be affected by higher trophic levels preying on herbivores. I studied the resistance to herbivory of a foundation species, the brown alga Fucus vesiculosus. By using factorial field experiments, I explored the effects of herbivores and fish predators on growth and resistance of the alga in two seasons. I explored genetic variation in and allocation costs of resistance traits as well as their chemical basis and their effects on herbivore performance. Using a field experiment I tested if induced resistance spreads via water-borne cues from one individual to another in relevant ecological conditions. I found that in the northern Baltic Sea F. vesiculosus communities, strength of three trophic interactions strongly vary among seasons. The highly synchronized summer reproduction of herbivores promoted their escape from the top-down control of fish predators in autumn. This resulted into large grazing losses in algal stands. In spring, herbivore densities were low and regulated by fish, which, thus,enhanced algal growth. The resistance of algae to herbivory increased with an increase in constitutive phlorotannin content. Furthermore, individuals adopted induced resistance when grazed and when exposed to water-borne cues originating from grazing of conspecific algae both in the laboratory and in field conditions. Induced resistance was adopted to a lesser extent in the presence of fish predators. The results in this thesis indicate that inducible resistance in F. vesiculosus is an adaptation to varying herbivory in the northern Baltic Sea. The costs of resistance and strong seasonality of herbivory have likely contributed to the evolution of this defense strategy. My findings also show that fish predators have positive cascading effects on F. vesiculosus which arise via reduced herbivory but possibly also through reduced resource allocation to resistance. I further found evidence that the spread of resistance via water-borne cues also occurs in ecologically realistic conditions in natural marine sublittoral. Thus, water-borne induction may enable macroalgae to cope with the strong grazing pressure characteristic of marine benthic communities. The results presented here show that seasonality can have pronounced effects on the biotic interactions in marine benthic communities and thereafter influence the evolution of resistance traits in primary producers.

First Degree Bestowed

The first graduate, John Auld, receives his convocation hood from (?) during the first ever Convocation held at Brock in 1967. Chancellor R. L. Hearn stands in front of John Auld.

Concordia Statue

The 8-foot tall Concordia statue made of bronze was unveiled in July of 1969. It was created by Canadian sculptress Eza Mayhew and weighs over 2500 lbs. Originally commissioned for Expo 67, it was later donated to Brock by Seagram's Distilling Company. The statue was placed just southeast of the Brock Tower, and still stands there today - between the Thistle Complex, Taro Hall, and Mackenzie Chown A Block. View facing northwest.

SchmonTower and Thistle East

The Schmon Tower can be seen here behind several tall trees located on the eastern edge of the Thistle Complex. This view is taken from approximately where Taro Hall stands.

The human rights dilemma : an east-west encounter : Germany and China in 1996 /

Conflicts over human rights in relations between East Asia and the West have increased since the end of the Cold War. Western governments express concern about human rights standards in East Asian countries. In the East, these expressions have been perceived as interference in internal affairs. Due to dramatic economic development, East Asian nations recently have gained in pride and self-confidence as global actors. Such development is observed with suspicion in the West. Concerned about the decline of global U.S. influence, some American scholars have re-invented the notion of "culture" to point at an alleged East Asian threat. Also East Asian statesmen use the cultural argument by claiming the existence of so-called 'Asian values', which they allege are the key to Eastern economic success. This thesis argues that issues of human rights in East-West relations are not only a consequence of well-intended concern by Western governments regarding the human rights and welfare of the citizens of East Asian nations, but are in fact dominated by and used as a pawn in interplay with more complicated questions of global power and economic relations between East and West. The thesis reviews the relevance of culture in East-West relations. In the West, particularly Samuel P. Huntington with his prediction of the Clash of Civilizations stands out. Singapore's Lee Kuan Yew has been very vocal on the Eastern side. Whereas the West tries to cope with its decrease of global influence, after hundreds of years under Western hegemonism, the East believes in an Asian way of development without interference form the West. Most of this dispute revolves around the issue of human rights. The West claims the universality of rights which in fact emphasizes political and civil rights. Western countries critizise poor human rights standards in East Asia. The East, in return, accuses the West of hypocritical policies that seek global dominance. East Asian governments assert that due to a different stage of development they have to stress first their rights to development in order to assure stability. In particular, China argues this way. The country's leadership, however, shows concern about human rights and has already improved its human rights record over the past years. This thesis analyses the dispute over human rights in a case study on Germany and China. Both countries have a mutual interest in trade relations which has conflicted with Germany's criticism of China's problematic human rights record. In 1996, the two countries clashed after the German parliament passed a resolution condemning China's treatment of Tibet. This caused a lot of damage to the Chinese-German relationship which in the course of the year went back to normality. In the light of these frictions a German human rights policy that focuses on unspectacular grass-roots support of China, for example in strengthening China's legal system, would be preferable. Such co-operation must be based on mutual respect.

The Princeps Optimus : towards a new reading of Velleius Paterculus' history

Abstract This thesis works towards a new reading ofVelleius Paterculus' survey of Roman history, published in AD 29 or 30. Modem scholarship has tended to condemn Velleius as historian and stylist. Though opinions have started to change in the last few decades, even the most recent works generally treat him as a passive and perhaps unconscious conveyor of Roman cultural ideals and Augustan ideology. This thesis argues that the historian is, in fact, manipulating these themes to make definite political points. It focuses on the negativity of the history's conclusion as it stands in stark contrast to the preceding narrative celebrating the principates of Augustus and Tiberius. The thesis tentatively concludes that Velleius was trying to express concern over Rome's future, and specifically to influence Tiberius to return to Rome from his retreat on the island of Capri and curb the power of his "assistant," Sejanus.

Dedication of the Pralle-Sodaro Residence Hall, chapman University, Orange, California

Dedication of the Pralle-Sodaro Residence Hall, 323 East Walnut Avenue, Chapman University, Orange, California, October 21, 1991. At the podium, George L. Argyros, Chairman of the Board of Trustees is speaking to Helga Pralle while President James L. Doti stands directly behind, and Bob Pralle applauds at right. Don and Dee Dee Sodaro are in the back at left. Pralle-Sodaro Hall (3 floors, 75,382 sq.ft.) is a three-story building containing one-hundred-fifty-five units. This state-of-the-art residence hall was made possible by the tremendous generosity of Bob and Helga Pralle and Don and DeeDee Sodaro. Bob Pralle served as a trustee for eighteen years beginning in 1984 and Don Sodaro as Chairman of the board of trustees and has served on the board for fourteen years beginning in 1988. Pralle-Sodaro Hall (3 floors, 75,382 sq.ft.) is a three-story building containing one-hundred-fifty-five units.

Tintype of Young African American Woman Standing with Purse [n.d.]

An unidentified young African American woman stands beside a chair in this small black and white tintype, undated. The name of the photographer is unknown. This tintype was in the possession of the Iris Sloman Bell, of St. Catharines. The Sloman - Bell families have relatives who are descended from former American slaves who settled in Canada."Tintypes were the invention of Prof. Hamilton Smith of Ohio. They begin as thin sheets of iron, covered with a layer of black paint. This serves as the base for the same iodized collodion coating and silver nitrate bath used in the ambrotype process. First made in 1856, millions were produced well into the twentieth century. When tintypes were finished in the same sorts of mats and cases used for ambrotypes, it can be almost impossible to distinguish which process was used without removing the image to examine the substrate." Source: American Museum of Photography http://www.photographymuseum.com/primer.html

Image of Niagara Falls n.d.

In 1818 Parkhurst Whitney built stairs leading to the river’s edge at Prospect Point. In 1825 Porter Brother replaced that staircase with a spiral one. In 1844 Whitney started a water powered incline railway there although the staircase was also used until 1890. In 1906 the water wheel was replaced by an electric power plant. There were lower buildings which included Shadow of the Rock which was a concession stand and also rented raincoats to the tourists. This was destroyed by fire and ice in 1892 and replaced by a chalet-style building in 1894-95. On July 6th, 1907 a cable on the incline railway broke. One person was killed and several sustained injuries. An elevator was constructed and it opened in January of 1910. It was condemned in 1954 when water entered the shaft, this was at the time of the collapse of Prospect Point which occurred at 4:50 pm. on July 28, 1954. This photograph was taken prior to 1954. Today the New York State Observation Tower stands at Prospect Point and The Maid of the Mist boat ride is available from the base of the tower. with information from: Niagara Falls Canada: a History by the Kiwanis Club of Stamford, Ontario