Intelligent outcome measures in liaison psychiatry:essential even if not desirable. Commentary on... a multidimensional Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP)

Service development is guided by outcome measures that inform service commissioners and providers. Those in liaison psychiatry should be encouraged to develop a positive approach that integrates the collection of outcome measures into everyday clinical practice. The Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP) is a very useful tool to measure service quality and clinical effectiveness, using a combination of clinician-rated and patient-rated outcome measures and patient-rated experience measures. However, it does not include measures of cost-effectiveness or training activities. The FROM-LP is a significant step towards developing nationally unified outcome measures.

Moléculas simples com aplicação na medicina

O trabalho apresentado, foi realizado no âmbito do mestrado em Química para o ensino, da Universidade de Évora e tem como tema " Moléculas Simples de Aplicação na Medicina". A abordagem deste tema deve-se à necessidade cada vez maior de um ensino que motive os alunos e lhes proporcione um gosto maior pelo estudo das ciências, uma vez que cada vez mais os jovens estudantes revelam pouca motivação e gosto pelo estudo das áreas científicas quer ao nível do ensino secundário quer ao nível do ensino superior. Pretende-se também tentar compreender e explicar o porquê das suas desmotivações e tentar adaptar novas abordagens a temas que suscitem nos jovens um maior interesse, uma melhor compreensão da importância das ciências, da tecnologia na vida quotidiana de todos nós no que respeita ao nosso bem-estar e à nossa saúde. Numa primeira parte é feita uma revisão sobre os principais conteúdos propostos a desenvolver em sala de aula, conteúdos esses que sustentam o estudo do xénon como anestésico e dos perfluorocarbonetos como substitutos do sangue. A segunda parte integra um programa orientador, seguindo as metodologias e estrutura do programa homologado pelo ME para o 12º ano de escolaridade, e protocolos de algumas actividades de carácter experimental laboratorial propostas. Estas actividades têm como finalidade estimular a curiosidade e facilitar a consolidação das matérias. ABSTRACT: The present study was carried out under the Master's Degree in Chemistry for Teaching, taught at the University of Évora under the theme "lmplementation of Simple Molecules in Medicine". The approach to this issue is due to an increasing need for teaching that motivates students and sharpen their senses for the study of science because, increasingly, young students show little motivation and passion for the study of science, both at secondary school and higher education terms. The aim is also trying to understand and explain the reason of their discouragement and try new approaches to issues that raise young in a better understanding of the importance of science and technology in everyday life for all of us in what concerns to our welfare and our health. ln the first part there is an overview of the major content areas to develop in the classroom. These contents support the study of xenon as an anesthetic and perfluorocarbons as blood substitutes. The second part includes the syllabus, following the methodologies and structure of the curriculum approved by the ME to the 12th grade and protocols of some activities for an experimental laboratory. These activities intend to stimulate curiosity and facilitate the consolidation of materials.

Híbrido simples de milho (BRS 1030) submetido a diferentes sistemas de cultivo.

O consórcio de culturas, além de melhorar a qualidade do solo, proporciona maior produção por área do que o monocultivo. O estudo objetivou avaliar o desempenho do híbrido simples de milho BRS 1030 semeado em sistema iLPF, Santa Fé e Convencional. O delineamento experimental para análise das características agronômicas e produtivas do milho foi o de blocos casualizados, com seis repetições. Os valores de altura (planta e espiga) foram similares, comparando as médias dos sistemas. Os números de produtividade de grãos por ha não apresentaram diferença significativa, entretanto, verificou-se que os sistemas iLPF e Santa Fé, ambos com população cerca de 14% menordo que o sistema Convencional, proporcionaram maior produção por indivíduo, cerca de 13% superior à obtida no sistema Convencional. A produção de palhada foi superior no sistema Santa Fé (5.612,68 kg.ha-1) em relação aos demais sistemas. O desenvolvimento do milho nos sistemas iLPF e Santa Fé foram semelhantes e superiores ao sistema Convencional.

Desempenho de híbridos simples de milho para produtividade de grãos e forragem em região semiárida.

Resumo: A cultura do milho sofre grande instabilidade de cultivo em regiões semiáridas, ocasionada principalmente pela insuficiência de cultivares adaptadas somado a escassez pluviométrica. O presente trabalho tem por finalidade verificar o potencial de genótipos de híbridos de milho, comerciais e experimentais, quanto à produtividade de grãos e forragem nas condições semiárida Cearense. Na presente pesquisa, foram avaliados 36 genótipos de milho, sendo todos híbridos simples, desses, 32 são genótipos experimentais e quatro são comerciais. O delineamento utilizado foi o de blocos ao acaso com duas repetições. As parcelas foram constituídas de duas linhas de quatro metros com densidade de aproximadamente 66.667 mil plantas ha-1 . Observou-se que o ciclo fenológico da cultivar não influencia na produtividade de grão e de forragem. O índice de seleção de níveis independentes é uma opção eficiente para identificar cultivares com aptidão para produção de forragem. [Simple hybrid performance of maize for grain and forage yield in semiarid region]. Abstract: The maize crop suffers great instability cultivation of in semi-arid regions, mainly occasioned by insufficient adapted cultivars. The present study aims to verify the potential of genotypes of maize hybrids, commercial and experimental, as the grain yield and forage in semiarid conditions in the Northeast. In the present survey were evaluated 36 genotypes of maize, all of simple hybrids of these, 32 are experimental genotypes and four are commercial. The design utilized was a randomized block design with two replications. The plots consisted of two lines of four meters with a density of approximately 66,667 plant ha-1 . It was observed that the phenological cycle of the cultivar does not influence the grain and forage yield. The independent levels selection index is an efficient option to identify cultivars with the suitability for forage production.

ESTRATÉGIAS DE REPRODUÇAO SIMPLES E AMPLIADA: AGRICULTORES FAMILIARES VERSUS CAPITAL OLIGOPOLISTA DO SETOR PNEUMÁTICO

A presente pesquisa tem como tema central de análise a importância econômica e social da cultura de seringueira na Microrregião Geográfica de São José do Rio Preto. Diante do sistemático processo de exclusão social no campo, em especial após a modernização agrícola, a qual privilegiou a grande exploração em detrimento da pequena, o estudo se propõe analisar em que medida a heveicultura se apresenta como alternativa de geração de renda e fixação do homem na terra. Constatou-se que na Microrregião Geográfica de São José do Rio Preto a cultura da seringueira sempre se apresentou vantajosa ao produtor, sobretudo pelo seu baixo custo de manutenção e por ser menos susceptível ao prejuízo em caso de crise no setor. Outra constatação refere-se a escassez da matéria-prima no mercado nacional, fator o qual somado à baixa dependência do segmento agrícola de insumos e maquinários, proporciona ao setor agroindustrial da borracha algumas peculiaridades. Entre essas se destaca a menor subordinação do segmento agrícola a capital industrial e, a menor diferenciação entre pequenos e grandes produtores no que se refere à produtividade e à qualidade da matéria-prima.

Componentes de rendimento e produtividade de grãos de híbridos simples de milho transgênico no sul e leste maranhense.

2016

Les livres VI à VIII du traité des Simples de Galien. Tradition du texte et traduction annotée

La thèse se propose d’offrir la première traduction française des livres VI à VIII du traité des Simples de Galien portant sur la flore à intérêt pharmacologique. Afin de comprendre l’esprit et le but de l’œuvre, nous avons situé le médecin dans son contexte historique et culturel, le IIe siècle de notre ère, et nous avons fourni les données fondamentales de sa biographie et de sa production littéraire et, plus particulièrement, des textes pharmacologiques. Nous avons également étudié le rôle des plantes médicinales dans la médecine d’époque romaine, ainsi que les sources de l’œuvre, en particulier Dioscoride. Malgré le succès du traité au cours des siècles qui ont suivi, il n’a pas fait l’objet d’études approfondies et l’édition la plus récente demeure celle de K. G. Kühn du XIXe siècle. Une édition critique s’impose et c’est dans cette perspective que nous avons entrepris de dresser la liste définitive des manuscrits transmettant le texte galénique. Nous espérons que ces recherches permettront de comprendre un peu mieux l’importance des simples dans la pharmacologie de Galien et qu’elles seront un point de départ pour d’autres travaux sur le traité des Simples.

Extending the 2P-Kt ecosystem: CLP and Labelled LP

The ability to create hybrid systems that blend different paradigms has now become a requirement for complex AI systems usually made of more than a component. In this way, it is possible to exploit the advantages of each paradigm and exploit the potential of different approaches such as symbolic and non-symbolic approaches. In particular, symbolic approaches are often exploited for their efficiency, effectiveness and ability to manage large amounts of data, while symbolic approaches are exploited to ensure aspects related to explainability, fairness, and trustworthiness in general. The thesis lies in this context, in particular in the design and development of symbolic technologies that can be easily integrated and interoperable with other AI technologies. 2P-Kt is a symbolic ecosystem developed for this purpose, it provides a logic-programming (LP) engine which can be easily extended and customized to deal with specific needs. The aim of this thesis is to extend 2P-Kt to support constraint logic programming (CLP) as one of the main paradigms for solving highly combinatorial problems given a declarative problem description and a general constraint-propagation engine. A real case study concerning school timetabling is described to show a practical usage of the CLP(FD) library implemented. Since CLP represents only a particular scenario for extending LP to domain-specific scenarios, in this thesis we present also a more general framework: Labelled Prolog, extending LP with labelled terms and in particular labelled variables. The designed framework shows how it is possible to frame all variations and extensions of LP under a single language reducing the huge amount of existing languages and libraries and focusing more on how to manage different domain needs using labels which can be associated with every kind of term. Mapping of CLP into Labeled Prolog is also discussed as well as the benefits of the provided approach.

Atividade física: uma alternativa simples com grandes repercussões na vida dos idosos.

O tema promoção da saúde do idoso tem sido objeto de muitos estudos, isso se deve à necessidade de buscar novas alternativas de enfrentamento ao envelhecimento da população que favoreçam o envelhecimento ativo, saudável e independente. Trata-se de um estudo exploratório de referência bibliográfica, no qual se objetivou investigar alternativas de atividades físicas que promovam a saúde dos idosos e abordar os principais benefícios da atividade física no processo de envelhecimento. A amostra para este estudo compreendeu 11 artigos, 3 livros e 3 manuais com publicação entre 2002 e 2011. A literatura constatou que há diversas modalidades de atividades físicas a serem exploradas e que é muito importante que elas sejam escolhidas pelo público alvo com apoio profissional, considerando as especificidades da faixa etária. Apontou que o exercício físico praticado de forma regular é uma técnica relativamente simples, que pode promover inúmeras vantagens à saúde como bem estar físico, mental e social, tão necessários nesta fase da vida.

Evaluation Of The Radiopacity Of Esthetic Root Canal Posts.

The radiopacity of esthetic root canal posts may impair the assessment of their fit to the root canal when using radiographic images. This study determined in vitro the radiographic density of esthetic root canal posts using digital images. Thirty-six roots of human maxillary canines were assigned to six groups (N=6 per group): Reforpost (RP); Aestheti-Plus (AP); Reforpost MIX (RPM); D.T. Light Post (LP); Reforpost Radiopaque (RPR); and White Post DC (WP). Standardized digital images of the posts were obtained in different conditions: outside the root canal, inside the canal before and after cementation using luting material, and with a tissue simulator. Analysis of variance was used to compare the radiopacity mean values among the posts outside the root canal and among the posts under the other conditions, and the t unpaired test to compare the radiopacity between the posts and the dentin, and between the posts and the root canal space. There was no statistically significant difference in radiopacity between RP and RPM, and LP and WP. AP posts showed radiopacity values significantly lower than those for dentin. No statistically significant difference was found between posts (RP and AP) and the root canal space. A statistically significant difference was observed between the luted and non-luted posts; additionally, luted posts with and without tissue simulator showed no significant differences. Most of the cement-luted posts analyzed in this study were distinguishable from the density of adjacent dentin surfaces, allowing radiographic confirmation of the fit of the post in the canal. The success of using esthetic root canal posts depends mainly on the fit of the post within the canal.[1] The radiopacity of a post allows for radiographic imaging to be used to determine the fit, an important factor in a clinical perspective.

Reduced Insulin Clearance And Lower Insulin-degrading Enzyme Expression In The Liver Might Contribute To The Thrifty Phenotype Of Protein-restricted Mice.

Nutrient restriction during the early stages of life usually leads to alterations in glucose homeostasis, mainly insulin secretion and sensitivity, increasing the risk of metabolic disorders in adulthood. Despite growing evidence regarding the importance of insulin clearance during glucose homeostasis in health and disease, no information exists about this process in malnourished animals. Thus, in the present study, we aimed to determine the effect of a nutrient-restricted diet on insulin clearance using a model in which 30-d-old C57BL/6 mice were exposed to a protein-restricted diet for 14 weeks. After this period, we evaluated many metabolic variables and extracted pancreatic islet, liver, gastrocnemius muscle (GCK) and white adipose tissue samples from the control (normal-protein diet) and restricted (low-protein diet, LP) mice. Insulin concentrations were determined using RIA and protein expression and phosphorylation by Western blot analysis. The LP mice exhibited lower body weight, glycaemia, and insulinaemia, increased glucose tolerance and altered insulin dynamics after the glucose challenge. The improved glucose tolerance could partially be explained by an increase in insulin sensitivity through the phosphorylation of the insulin receptor/protein kinase B and AMP-activated protein kinase/acetyl-CoA carboxylase in the liver, whereas the changes in insulin dynamics could be attributed to reduced insulin secretion coupled with reduced insulin clearance and lower insulin-degrading enzyme (IDE) expression in the liver and GCK. In summary, protein-restricted mice not only produce and secrete less insulin, but also remove and degrade less insulin. This phenomenon has the double benefit of sparing insulin while prolonging and potentiating its effects, probably due to the lower expression of IDE in the liver, possibly with long-term consequences.

Taurine Supplementation Reduces Blood Pressure And Prevents Endothelial Dysfunction And Oxidative Stress In Post-weaning Protein-restricted Rats.

Taurine is a sulfur-containing amino acid that exerts protective effects on vascular function and structure in several models of cardiovascular diseases through its antioxidant and anti-inflammatory properties. Early protein malnutrition reprograms the cardiovascular system and is linked to hypertension in adulthood. This study assessed the effects of taurine supplementation in vascular alterations induced by protein restriction in post-weaning rats. Weaned male Wistar rats were fed normal- (12%, NP) or low-protein (6%, LP) diets for 90 days. Half of the NP and LP rats concomitantly received 2.5% taurine supplementation in the drinking water (NPT and LPT, respectively). LP rats showed elevated systolic, diastolic and mean arterial blood pressure versus NP rats; taurine supplementation partially prevented this increase. There was a reduced relaxation response to acetylcholine in isolated thoracic aortic rings from the LP group that was reversed by superoxide dismutase (SOD) or apocynin incubation. Protein expression of p47phox NADPH oxidase subunit was enhanced, whereas extracellular (EC)-SOD and endothelial nitric oxide synthase phosphorylation at Ser 1177 (p-eNOS) were reduced in aortas from LP rats. Furthermore, ROS production was enhanced while acetylcholine-induced NO release was reduced in aortas from the LP group. Taurine supplementation improved the relaxation response to acetylcholine and eNOS-derived NO production, increased EC-SOD and p-eNOS protein expression, as well as reduced ROS generation and p47phox expression in the aortas from LPT rats. LP rats showed an increased aortic wall/lumen ratio and taurine prevented this remodeling through a reduction in wall media thickness. Our data indicate a protective role of taurine supplementation on the high blood pressure, endothelial dysfunction and vascular remodeling induced by post-weaning protein restriction. The beneficial vascular effect of taurine was associated with restoration of vascular redox homeostasis and improvement of NO bioavailability.

Aspectos técnicos da monitorização da pressão intracraniana pelo método subaracnóideo no traumatismo craniencefálico grave

Two hundred and six patients with severe head injury (Glasgow Coma Scale of 8 points or less after nonsurgical resuscitation on admission), managed at Intensive Care Unit-Hospital das Clínicas - Universidade Estadual de Campinas were prospectively analysed. All patients were assessed by CT scan and 72 required neurosurgical intervention. All patients were continuously monitored to evaluate intracranial pressure (ICP) levels by a subarachnoid device (11 with subarachnoid metallic bolts and 195 with subarachnoid polyvinyl catheters). The ICP levels were continuously observed in the bedside pressure monitor display and their end-hour values were recorded in a standard chart. The patients were managed according to a standard protocol guided by the ICP levels. There were no intracranial haemorrhagic complications or hematomas due the monitoring method. Sixty six patients were punctured by lateral C1-C2 technique to assess infectious complications and 2 had positive cerebrospinal fluid samples for Acinetobacter sp. The final results measured at hospital discharge showed 75 deaths (36,40%) and 131 (63,60%) survivors. ICP levels had significantly influenced the final results (p<0,001). The subarachnoid method to continuously assess the ICP levels was considered aplicable, safe, simple, low cost and useful to advise the management of the patients. The ICP record methodology was practical and useful. Despite the current technical advances the subarachnoid method was considered viable to assess the ICP levels in severe head injury.

Características físicas e mecânicas de misturas de solo, cimento e cinzas de bagaço de cana-de-açúcar

This work was done with the objective of studying some physical and mechanical characteristics of the sugarcane bagasse ash added to a soil-cement mixture, in order to obtain an alternative construction material. The sugarcane bagasse ash pre-treatment included both sieving and grinding, before mixing with soil and cement. Different proportions of cement-ash were tested by determining its standard consistence and its compressive resistance at 7 and 28 days age. The various treatments were subsequently applied to the specimens molded with different soil-cement-ash mixtures which in turns were submitted to compaction, unconfined compression and water absorption laboratory tests. The results showed that it is possible to replace up to 20% of Portland cement by sugarcane bagasse ash without any damage to the mixture's compressive strength.

Desempenho físico-mecânico de minipainéis de terra crua tratada com aditivos químicos

The aim of this research was to study the effect of chemical additives (lime and Portland cement) associated with sodium silicate on soil in order to obtain compressed soil bricks. Mini panels were constructed with such bricks being their physical and mechanical characteristics determined in laboratory conditions and their behavior evaluated through the association of destructive and non-destructive methods. For this purpose a sandy soil and a finely divided one were added to Portland cement and lime in the dosage of 6% and 10% taken in dry weight basis in relation to the dry soil. The sodium silicate dosage of 4% was also taken in dry weight basis in relation to the dry soil-cement or to the dry soil-lime. The compressed soil bricks were cured in a humidity chamber for 7; 28; 56 and 91 days. The bricks were laid on the fourteenth day to form prismatic mini panels each one with four layers of bricks. After 28; 56 and 91 days the mini panels were submitted to both; ultrasonic and compressive tests to determine its elastic properties (dynamic modulus) and the compressive resistance. The best results in terms of compressive strength, water absorption capacity or dynamic elastic modulus, were reached by the sandy soil added to 10% of Portland cement or lime associated with sodium silicate.