Consumo de exames imagiológicos nos hospitais distritais em Portugal continental entre 2002 e 2006 : análise dos dados disponibilizados on-line pela ACSS

Nos últimos anos verificou-se uma evolução significativa dos equipamentos de diagnóstico por imagem, tendo como consequência um aumento do número de exames realizados. A nível internacional assistiu-se a um aumento no consumo de exames de Tomografia Computorizada e Ressonância Magnética e uma estagnação de exames de Radiologia Geral. Este estudo pretende avaliar o consumo de exames imagiológicos nos Hospitais Distritais de Portugal Continental entre 2002-2006, consoante o tipo de Gestão hospitalar e valências imagiológicas disponíveis. Os dados analisados estavam disponíveis on-line na Associação Central dos Sistemas de Saúde. Analisaram-se 36 Hospitais, sendo 21 E.P.E. e 15 S.P.A. Foi observado um crescimento médio de 11% na valência de Radiologia Geral, 48,8% em Mamografia, 11,2% em Ecografia, 24,9% em Tomografia Computorizada e 32,5% em Ressonância Magnética. Constatou-se ainda que a valência de Ressonância Magnética apenas se encontra disponível nos Hospitais E.P.E.. Concluiu-se que apesar da aparente fragilidade dos dados disponíveis, nos Hospitais E.P.E. foi evidente uma maior capacidade tecnológica, que se traduz numa maior disponibilidade de equipamentos e técnicas. O comportamento das técnicas avaliadas é semelhante às referências internacionais, com excepção de RG, onde foi observada uma clara tendência de crescimento.

Contributos da supervisão pedagógica para a promoção de uma educação ambiental

A educação ambiental apresenta-se hoje como mais uma valência de formação e de responsabilidades atribuídas à escola, dada a importância da dimensão da sustentabilidade na relação do homem com a natureza. A supervisão e a liderança podem desempenhar nesta pro-blemática um papel importante na promoção de uma visão humana e ética da abordagem da temática ecológica – que parece não estar a ter o sucesso desejado e necessário. Nas culturas tradicionais, e em todas as sociedades em que uma visão religiosa do mundo domina sobre o livre arbítrio de cada um, a natureza era objeto de um respeito ou mesmo veneração como obra divina. Mas com a relevância dos direitos individuais, sobretudo a partir do século XVIII, e com a crise de valores comunitários, aumento do individualismo e uma visão hedonista da existência, a usufruição imediata dos recursos tornou-se hábito e até paradigma de organização social. Uma análise crítica sobre o passado docente e uma consciência de responsabilidade ambiental desperta pela experiência de infância juntaram-se a uma reflexão sobre a responsa-bilidade educativa no sentido de desenvolver nos alunos não só as aprendizagens cognitivas mas também uma dimensão formativa global em que as perspetivas de responsabilidade soli-dária por um futuro sustentável pudessem estar presentes. É para estes valores que este projeto aponta.

Compromiso político y organismos de control (Tema Central)

El texto analiza la forma en que la Constitución vigente regula la estructura, atribuciones y funcionamiento de los organismos de control y propone la forma en la que el tema debe ser tratado en una nueva Constitución. Para ello, se considera necesario tomar en cuenta la naturaleza de cada institución, lo que implica quitar a la Procuraduría General del Estado el carácter de órgano de control, y establecer un sistema de control fuerte concentrado en una única institución y no, como ocurre actualmente, disperso en varias entidades. La eliminación de la Comisión de Control Cívico de la Corrupción se muestra por ello como necesaria y, para contribuir a la independencia de la Contraloría General del Estado, poner especial atención en el período de funciones del Contralor, a fin de que éste no coincida con los períodos presidenciales. La utilización de las nuevas tecnologías para informar a la ciudadanía y permitir su participación en el control de la gestión pública es, también, indispensable.

Procesos: revista ecuatoriana de historia. 26 (S0LO LIBROS/Reseñas)

Presenta las reseñas de los siguientes libros: ALEXANDRA KENNEDY TROYA, EDIT., ARTE DE LA REAL AUDIENCIA DE QUITO, SIGLOS XVII-XIX, HONDARRIBIA, NEREA, 2002, 250 PP. -- DIEGO ARTEAGA, EL ARTESANO EN LA CUENCA COLONIAL. 1557-1670, CUENCA, CASA DE LA CULTURA ECUATORIANA NÚCLEO DEL AZUAY/CENTRO INTERAMERICANO DE ARTESANÍAS Y ARTES POPULARES (CIDAP), 2000, 175 PP. -- GERMÁN FERRO, LA GEOGRAFÍA DE LO SAGRADO: EL CULTO A LA VIRGEN DE LAS LAJAS, BOGOTÁ, UNIANDES/FACULTAD DE CIENCIAS SOCIALES/CENTRO DE ESTUDIOS SOCIOCULTURALES E INTERNACIONALES (CESO), 2004, 139 PP. -- BYRON CASTRO, EL FERROCARRIL ECUATORIANO. HISTORIA DE LA UNIDAD DE UN PUEBLO, QUITO, BANCO CENTRAL DEL ECUADOR (BCE), 2006, 414 PP. -- WILSON MIÑO GRIJALVA, LOCURA Y MUERTE DE LOS POETAS MALDITOS, QUITO, ORIOL, 2007, 174 PP.

A comparison of diatom phosphorus transfer functions and export coefficient models as tools for reconstructing lake nutrient histories

1. We compared the baseline phosphorus (P) concentrations inferred by diatom-P transfer functions and export coefficient models at 62 lakes in Great Britain to assess whether the techniques produce similar estimates of historical nutrient status. 2. There was a strong linear relationship between the two sets of values over the whole total P (TP) gradient (2-200 mu g TP L-1). However, a systematic bias was observed with the diatom model producing the higher values in 46 lakes (of which values differed by more than 10 mu g TP L-1 in 21). The export coefficient model gave the higher values in 10 lakes (of which the values differed by more than 10 mu g TP L-1 in only 4). 3. The difference between baseline and present-day TP concentrations was calculated to compare the extent of eutrophication inferred by the two sets of model output. There was generally poor agreement between the amounts of change estimated by the two approaches. The discrepancy in both the baseline values and the degree of change inferred by the models was greatest in the shallow and more productive sites. 4. Both approaches were applied to two lakes in the English Lake District where long-term P data exist, to assess how well the models track measured P concentrations since approximately 1850. There was good agreement between the pre-enrichment TP concentrations generated by the models. The diatom model paralleled the steeper rise in maximum soluble reactive P (SRP) more closely than the gradual increase in annual mean TP in both lakes. The export coefficient model produced a closer fit to observed annual mean TP concentrations for both sites, tracking the changes in total external nutrient loading. 5. A combined approach is recommended, with the diatom model employed to reflect the nature and timing of the in-lake response to changes in nutrient loading, and the export coefficient model used to establish the origins and extent of changes in the external load and to assess potential reduction in loading under different management scenarios. 6. However, caution must be exercised when applying these models to shallow lakes where the export coefficient model TP estimate will not include internal P loading from lake sediments and where the diatom TP inferences may over-estimate TP concentrations because of the high abundance of benthic taxa, many of which are poor indicators of trophic state.

Sulfation of genistein alters its antioxidant properties and its effect on platelet aggregation and monocyte and endothelial function

Soy isoflavones have been extensively studied because of their possible benefits to human health. Genistein, the major isoflavone aglycone, has received most attention; however, it undergoes extensive metabolism (e.g. conjugation with sulfuric acid) in the gut and liver, which may affect its biological proper-ties. This study investigated the antioxidant activity and free radical-scavenging properties of genistein, genistein-4'-sulfate and genistein-4'-7-disulfate as well as their effect on platelet aggregation and monocyte and endothelial function. Electron spin resonance spectroscopy (ESR) and spin trapping data and other standard antioxidant assays indicated that genistein is a relatively weak antioxidant compared to quercetin and that its sulfated metabolites are even less effective. Furthermore, genistein-4'-sulfate was less potent than genistem, and genistein-4'-7-disulfate even less potent, at inhibiting collagen-induced platelet aggregation, nitric oxide (NO) production by macrophages, and secretion by primary human endothelial cells of monocyte chemoattractant protein 1 (MCP-1), intercellular adhesion molecule 1 (ICAM-1) and vascular cell adhesion molecule 1 (VCAM-1). The current data suggest that sulfation of genistein, with the associated loss of hydroxyl groups, decreases its antioxidant activity and its effect on platelet aggregation, inflammation, cell adhesion and chemotaxis. (C) 2004 Elsevier B.V All rights reserved.

Sulfation of genistein alters its antioxidant properties and its effect on platelet aggregation and monocyte and endothelial function

Soy isoflavones have been extensively studied because of their possible benefits to human health. Genistein, the major isoflavone aglycone, has received most attention; however, it undergoes extensive metabolism (e.g. conjugation with sulfuric acid) in the gut and liver, which may affect its biological proper-ties. This study investigated the antioxidant activity and free radical-scavenging properties of genistein, genistein-4'-sulfate and genistein-4'-7-disulfate as well as their effect on platelet aggregation and monocyte and endothelial function. Electron spin resonance spectroscopy (ESR) and spin trapping data and other standard antioxidant assays indicated that genistein is a relatively weak antioxidant compared to quercetin and that its sulfated metabolites are even less effective. Furthermore, genistein-4'-sulfate was less potent than genistem, and genistein-4'-7-disulfate even less potent, at inhibiting collagen-induced platelet aggregation, nitric oxide (NO) production by macrophages, and secretion by primary human endothelial cells of monocyte chemoattractant protein 1 (MCP-1), intercellular adhesion molecule 1 (ICAM-1) and vascular cell adhesion molecule 1 (VCAM-1). The current data suggest that sulfation of genistein, with the associated loss of hydroxyl groups, decreases its antioxidant activity and its effect on platelet aggregation, inflammation, cell adhesion and chemotaxis. (C) 2004 Elsevier B.V All rights reserved.

Gravity well visibility in haptic interfaces for motion-impaired

Haptic computer interfaces provide users with feedback through the sense of touch, thereby allowing users to feel a graphical user interface. Force feedback gravity wells, i.e. attractive basins that can pull the cursor toward a target, are one type of haptic effect that have been shown to provide improvements in "point and click" tasks. For motion-impaired users, gravity wells could improve times by as much as 50%. It has been reported that the presentation of information to multiple sensory modalities, e.g. haptics and vision, can provide performance benefits. However, previous studies investigating the use of force feedback gravity wells have generally not provided visual representations of the haptic effect. Where force fields extend beyond clickable targets, the addition of visual cues may affect performance. This paper investigates how the performance of motion-impaired computer users is affected by having visual representations of force feedback gravity wells presented on-screen. Results indicate that the visual representation does not affect times and errors in a "point and click" task involving multiple targets.

New species of Amphisbaena with a nonautotomic and dorsally tuberculate blunt tail from state of Bahia, Brazil (Squamata, Amphisbaenidae)

A new species of Amphisbaena is described from Fazenda Caraibas, municipality of Mucuge, state of Bahia, Brazil, in the northern portion of the Serra do Espinhaco. The new species is a small amphisbaenian without precloacal pores, 210-213 body annuli, 12-13 tail annuli without evident autotomic site, and 14 dorsal and 14-15 ventral segments per annuli at midbody. The striking difference of this form is the presence of small tubercles on the dorsal region of its tail. This feature is unique among its congeners, although Rhineura floridana, a North American amphisbaenian, has tubercles on its tail. We suggest that the presence of tubercles on the tail of Amphisbaena sp. nov. and Rhineura floridana has arisen independently.

Advertisement call, vocal activity, and geographic distribution of Brachycephalus hermogenesi (Giaretta and Sawaya, 1998) (Anura, Brachycephalidae)

Brachycephalus hermogenesi is an endemic leaf litter inhabitant of the Atlantic forest of southeastern Brazil, whose original distribution included a restricted area near the boundaries of the States of Sao Paulo and Rio de Janeiro. We were surprised to find out, while conducting herpetofaunal surveys at Estacao Biologica de Boraceia (EBB), that the background forest insect-like sound we have been searching for corresponded to calling individuals of the species. Males call during the day at high densities, hidden under the leaf litter. Individuals do not answer playback, seem to move very infrequently, and seem to ignore nearby calling activity. We gathered data on annual and daily vocal activity of the species at EBB, observing a total of 1,549 calls given by 31 focal individuals in November 2003 and 2005. The call varies from short single note calls to calls composed of groups of two to seven similar notes emitted at regular intervals. We also extend the known distribution of the species southward to the State of Sao Paulo.

An aspect-oriented reference architecture for Software Engineering Environments

Reusable and evolvable Software Engineering Environments (SEES) are essential to software production and have increasingly become a need. In another perspective, software architectures and reference architectures have played a significant role in determining the success of software systems. In this paper we present a reference architecture for SEEs, named RefASSET, which is based on concepts coming from the aspect-oriented approach. This architecture is specialized to the software testing domain and the development of tools for that domain is discussed. This and other case studies have pointed out that the use of aspects in RefASSET provides a better Separation of Concerns, resulting in reusable and evolvable SEEs. (C) 2011 Elsevier Inc. All rights reserved.

THE RIO APA CRATON IN MATO GROSSO DO SUL (BRAZIL) AND NORTHERN PARAGUAY: GEOCHRONOLOGICAL EVOLUTION, CORRELATIONS AND TECTONIC IMPLICATIONS FOR RODINIA AND GONDWANA

The Rio Apa cratonic fragment crops out in Mato Grosso do Sul State of Brazil and in northeastern Paraguay. It comprises Paleo-Mesoproterozoic medium grade metamorphic rocks, intruded by granitic rocks, and is covered by the Neoproterozoic deposits of the Corumbi and Itapocurni Groups. Eastward it is bound by the southern portion of the Paraguay belt. In this work, more than 100 isotopic determinations, including U-Pb SHRIMP zircon ages, Rb-Sr and Sm-Nd whole-rock determinations, as well as K-Ar and Ar-Ar mineral ages, were reassessed in order to obtain a complete picture of its regional geological history. The tectonic evolution of the Rio Apa Craton starts with the formation of a series of magmatic arc complexes. The oldest U-Pb SHRIMP zircon age comes from a banded gneiss collected in the northern part of the region, with an age of 1950 +/- 23 Ma. The large granitic intrusion of the Alumiador Batholith yielded a U-Pb zircon age of 1839 +/- 33 Ma, and from the southeastern part of the area two orthogneisses gave zircon U-Pb ages of 1774 +/- 26 Ma and 1721 +/- 25 Ma. These may be coeval with the Alto Terere metamorphic rocks of the northeastern corner, intruded in their turn by the Baia das Garcas granitic rocks, one of them yielding a zircon U-Pb age of 1754 +/- 49 Ma. The original magmatic protoliths of these rocks involved some crustal component, as indicated by the Sm-Nd TDm model ages, between 1.9 and 2.5 Ga. Regional Sr isotopic homogenization, associated with tectonic deformation and medium-grade metamorphism occurred at approximately 1670 Ma, as suggested by Rb-Sr whole rock reference isochrons. Finally, at 1300 Ma ago, the Ar work indicates that the Rio Apa Craton was affected by widespread regional heating, when the temperature probably exceeded 350 degrees C. Geographic distribution, age and isotopic signature of the fithotectonic units suggest the existence of a major suture separating two different tectonic domains, juxtaposed at about 1670 Ma. From that time on, the unified Rio Apa continental block behaved as one coherent and stable tectonic unit. It correlates well with the SW corner of the Amazonian Craton, where the medium-grade rocks of the Juruena-Rio Negro tectonic province, with ages between 1600 and 1780 Ma, were reworked at about 1300 Ma. Looking at the largest scale, the Rio Apa Craton is probably attached to the larger Amazonian Craton, and the actual configuration of southwestern South America is possibly due to a complex arrangement of allochthonous blocks such as the Arequipa, Antofalla and Pampia, with different sizes, that may have originated as disrupted parts of either Laurentia or Amazonia, and were trapped during later collisions of these continental masses.

Petrology and geochemistry of the banded iron formation in the Eastern Sierras Pampeanas of San Luis (Argentina): Implications for the evolution of the Nogoli Metamorphic Complex

The metamorphosed banded iron formation from the Nogoli Metamorphic Complex of western Sierra de San Luis, Eastern Sierras Pampeanas of Argentina (Nogoli area, 32 degrees 55`S-66 degrees 15`W) is classified as an oxide facies iron formation of Algoma Type, with a tectonic setting possibly associated with an island arc or back arc, on the basis of field mapping, mineral and textural arrangements and whole rock geochemical features. The origin of banded iron formation is mainly related to chemical precipitation of hydrogenous sediments from seawater in oceanic environments. The primary chemical precipitate is a result of solutions that represent mixtures of seawater and hydrothermal fluids, with significant dilution by maficultramafic volcanic and siliciclastic materials. Multi-stage T(DM) model ages of 1670, 1854 and 1939 Ma and positive, mantle-like xi Nd((1502)) values of +3.8, +1.5 and +0.5 from the banded iron formation are around the range of those mafic to ultramafic meta-volcanic rocks of Nogoli Metamorphic Complex, which are between 1679 and 1765 Ma and +2.64 and +3.68, respectively. This Sm and Nd isotopic connection suggests a close genetic relationship between ferruginous and mafic-ultramafic meta-volcanic rocks, as part of the same island arc or back arc setting. A previous Sm-Nd whole rock isochron of similar to 1.5 Ga performed on mafic-ultramafic meta-volcanic rocks led to the interpretation that chemical sedimentation as old as Mesoproterozoic is possible for the banded iron formation. A clockwise P-T path can be inferred for the regional metamorphic evolution of the banded iron formation, with three distinctive trajectories: (1) Relict prograde M(1)-M(3) segment with gradual P and T increase from greenschist facies at M(1) to amphibolite facies at M(3). (2) Peak P-T conditions at high amphibolite-low granulite facies during M(4). (3) Retrograde counterpart of M(4), that returns from amphibolite facies and stabilizes at greenschist facies during M(5). Each trajectory may be regarded as produced by different tectonic events related to the Pampean? (1) and the Famatinian (2 and 3) orogenies, during the Early to Middle Paleozoic. The Nogoli Metamorphic Complex is interpreted as part of a greenstone belt within the large Meso- to Neoproterozoic Pampean Terrane of the Eastern Sierras Pampeanas of Argentina. (C) 2009 Elsevier Ltd. All rights reserved.