Virtual teachers: Negotiating new spaces for teaching bodies

In 2002, the authors reviewed the educational performance of a state education department virtual schooling service during its first 2 years of operation, 2000-2001 (Pendergast, Kapitzke, Land, Luke, & Bahr, 2002). Established by Education Queensland, the Virtual Schooling Service (VSS) utilises synchronous and asynchronous online delivery strategies and a range of learning technologies to support students at a distance (see http://education.qld.gov.au/learningplace/vss/). The service commenced with a focus on senior secondary subjects. At present, there are over 700 students in 89 schools across the state enrolled in 9 subjects. In response to the recommendations of the study, a series of professional development activities were conducted with the VSS teachers by the authors. Opportunity for critical reflection was provided, including consideration of the ways in which the teachers were developing as a learning community. Some data, including visual representations, were collected from participants with the purpose of understanding how VSS teachers are constructed as professionals. This study compares and contrasts that data with self-constructions of teacher professionals in other fields.

PI Toolset Methodology for Virtual Enterprise Performance Assessment and Governance

Part 16: Performance Measurement Systems

Long-term Follow-up Of Patients With 46,xy Partial Gonadal Dysgenesis Reared As Males.

Background/Aims. Studies on 46,XY partial gonadal dysgenesis (PGD) have focused on molecular, gonadal, genital, and hormone features; little is known about follow-up. Our aim was to analyze long-term outcomes of PGD. Methods. Retrospective longitudinal study conducted at a reference service in Brazil. Ten patients were first evaluated in the 1990s and followed up until the 2010s; follow-up ranged from 13.5 to 19.7 years. All were reared as males and had at least one scrotal testis; two bore NR5A1 mutations. Main outcomes were: associated conditions, pubertal development, and growth. Results. All patients had normal motor development but three presented cognitive impairment; five had various associated conditions. At the end of the prepubertal period, FSH was high or high-normal in 3/6 patients; LH was normal in all. At the last evaluation, FSH was high or high-normal in 8/10; LH was high or high-normal in 5/10; testosterone was decreased in one. Final height in nine cases ranged from -1.57 to 0.80 SDS. All had spontaneous puberty; only one needed androgen therapy. Conclusions. There is good prognosis for growth and spontaneous pubertal development but not for fertility. Though additional studies are required, screening for learning disabilities is advisable.

Análise de fatores geográficos e climáticos relacionados à distribuição de Phlebotominae (Diptera: Psychodidae) em área de transmissão de leishmaniose tegumentar americana no estado do Espírito Santo, Brasil

A leishmaniose tegumentar americana (LTA) é uma doença que acomete pele e mucosas causada por parasitos dermotrópicos do gênero Leishmania Ross, 1903. Os parasitos são transmitidos através da picada de pequenos dípteros da família Psychodidae, os flebotomíneos. O município de Cariacica, Espírito Santo, Brasil, esteve nos últimos cinco anos (2009 a 2013) entre os cinco que apresentaram maior número de casos notificados no estado, segundo a Secretaria de Estado de Saúde (SESA-ES, 2014). A localidade de Roda D’Água demonstra grande importância, por concentrar elevado número de casos, contribuindo com grande parte das notificações do município. Avaliando os casos da doença na região, registrados nos prontuários médicos do serviço de referência, na Unidade de Medicina Tropical da Universidade Federal do Espírito Santo, observou-se que estes ocorriam a até 550 m de altitude, numa área que vai de 20 a 718 m. A hipótese mais provável seria a de que o fenômeno fosse relacionado aos vetores, já que o homem e os animais estariam presentes em todas as altitudes. De fevereiro de 2002 a janeiro de 2004 foram realizadas coletas mensais de flebotomíneos em Roda D’Água, que aconteciam simultaneamente em três níveis de altitude, sendo: nível 1 - até 250 m; nível 2 - entre 250 e 500m e nível 3 - acima de 500m. Em cada nível as coletas aconteciam em dois ambientes: mata e peridomicílio. As capturas eram feitas em armadilhas de Shannon modificadas e por busca ativa em repouso, com capturador de Castro. Avaliou-se o comportamento das espécies quanto à pluviosidade (períodos seco e chuvoso) e às estações do ano. Analisaram-se estatisticamente as principais espécies antropofílicas de importância epidemiológica (Falqueto, 1995). Foram calculados os índices ecológicos abundância, riqueza, diversidade, equitabilidade e dominância. Coletou-se um total de 13233 flebotomíneos, com identificação de 23 espécies. A espécie predominante foi Nyssomyia intermedia (61,12%), seguida por Pintomyia fischeri (18,20%) e Migonemyia migonei (8,68%), todas antropofílicas. Somou-se a estas a espécie Pintomyia monticola, que representou 1,67% do total de espécimes coletados e também é altamente antropofílica. As demais espécies somaram 10,10% do total de flebotomineos. A altitude influenciou a distribuição das quatro espécies analisadas, tendo Ny. intermedia e Pi. fischeri sido mais abundantes no nível 2, Mg. migonei mais abundante no nível 1 e Pi. monticola no nível 3. Em relação ao ambiente, as espécies Ny. intermedia e Mg. migonei foram estatisticamente mais abundantes no peridomicílio e Pi. monticola na mata. A distribuição de Pi. fisheri não apresentou diferença significativa entre os dois ambientes, porém foi a única afetada pelas chuvas e estações do ano, sendo a espécie mais encontrada no período seco e no inverno. Nyssomyia intermedia parece ser a principal espécie vetora da LTA em Roda D’Água, com Mg. migonei provavelmente tendo papel secundário. Pi. fisheri não parece estar envolvido localmente na transmissão da doença para humanos, apesar de já ter sido incriminado em outras regiões. A distribuição de Pi. monticola em relação à altitude e ao ambiente indica ser improvável sua participação na transmissão da LTA naquela região.

Seguimento de plataformas móveis

Este relatório apresenta o trabalho realizado no âmbito da unidade curricular de Tese/Dissertação do Mestrado em Engenharia Electrotécnica e de Computadores - área de especialização de Telecomunicações. Pretende-se desenvolver um sistema distribuído de seguimento, no exterior, de plataformas móveis equipadas com receptores de baixo custo. O sistema deve, em tempo útil, realizar a aquisição, descodificação e tratamento dos dados emiti- dos pelo Global Navigation Satellite System (GNSS), das observações efectuadas pelo receptor e da informação proveniente do European Geostationary Navigation Overlay System (EGNOS). O objectivo é determinar, a partir deste conjunto de informação e para cada plataforma ligada, a posição em modo absoluto, as correcções diferenciais e, finalmente, a posição em modo diferencial. Optou-se por receber as correcções diferenciais de área alargada do EGNOS através da Internet, permitindo, assim, que receptores sem capacidade de receber directamente informação do EGNOS possam também usufruir desta fonte de informação complementar. As correcções diferenciais a aplicar às observações de cada receptor são geradas através do conceito de estacão de referência virtual - Virtual Reference Station (VRS) - a partir da posição aproximada do receptor e das correcções de área alargada provenientes do EGNOS. A determinação da posição em modo diferencial das plataformas móveis é efectuada segundo o conceito de Inverted Di®erential Global Navigation Satellite System (IDGNSS) e utilizando uma arquitectura do tipo Cliente-Servidor. Por último, os resultados, que são armazenados numa base de dados, são disponibilizados ao utilizador através de uma aplicação Web. O utilizador pode, assim, efectuar o seguimento de qualquer plataforma móvel ligada ao sistema a partir de qualquer dispositivo com navegador e acesso à Internet.

Internet based VRS Code Positioning

Absolute positioning – the real time satellite based positioning technique that relies solely on global navigation satellite systems – lacks accuracy for several real time application domains. To provide increased positioning quality, ground or satellite based augmentation systems can be devised, depending on the extent of the area to cover. The underlying technique – multiple reference station differential positioning – can, in the case of ground systems, be further enhanced through the implementation of the virtual reference station concept. Our approach is a ground based system made of a small-sized network of three stations where the concept of virtual reference station was implemented. The stations provide code pseudorange corrections, which are combined using a measurement domain approach inversely proportional to the distance from source station to rover. All data links are established trough the Internet.

Fisioterapia cardiorrespiratória em pacientes vítimas de queimaduras: projeto de intervenção precoce

Mestrado em Fisioterapia

Lymph scrotum: an unusual urological presentation of lymphatic filariasis. A case series study

Lymphatic filariasis (LF) causes a wide range of clinical signs and symptoms, including urogenital manifestations. Transmission control and disability/morbidity management/control are the two pillars of the overall elimination strategy for LF. Lymph scrotum is an unusual urological clinical presentation of LF with important medical, psychological, social and economic repercussions. A retrospective case series study was conducted on outpatients attended at the National Reference Service for Filariasis, in an endemic area for filariasis (Recife, Brazil), between 2000 and 2007. Over this period, 6,361 patients were attended and seven cases with lymph scrotum were identified. Mean patient age was 45 years (range, 26 to 64 years). Mean disease duration was 8.5 years (range, two to 15 years). All patients had evidence of filarial infection from at least one laboratory test (parasitological, antigen investigation or "filarial dance sign" on ultrasound). Six patients presented histories of urological surgery. The authors highlight the importance of the association between filarial infection and the inadequate surgical and clinical management of hydrocele in an endemic area, as risk factors for lymph scrotum. Thus, filarial infection should be routinely investigated in all individuals presenting urological morbidity within endemic areas, in order to identify likely links in the transmission chain.

Chagas' disease and ageing: the coexistence of other chronic diseases with Chagas' disease in elderly patients

This study aimed to identify the main comorbidities in elderly chagasic patients treated in a reference service and identify possible associations between the clinical form of Chagas' disease and chronic diseases. Ninety patients aged 60 years-old or over were interviewed and their clinical diagnoses recorded. The study population profile was: women (55.6%); median age (67 years); married (51.1%); retired (73.3%); up to four years' education (64.4%); and earning less than two minimum wages (67.8%). The predominant forms of Chagas' disease were the cardiac (46.7%) and mixed forms (30%). There was a greater proportion of mild cardiac dysfunction (84.1%), frequently in association with megaesophagus. The mean number of concurrent diseases was 2.856 ± 1.845, and 33% of the patients had four or more comorbidities. The most frequent were systemic arterial hypertension (56.7%), osteoporosis (23.3%), osteoarthritis (21.2%) and dyslipidemia (20%). Positive correlations were verified between sex and comorbidities and between age group and comorbidities.

Rentabilidade económica de medidas de melhoria do desempenho energético e de produção - utilização de energias renováveis

Dissertação de mestrado integrado em Engenharia Civil

Ageing prisoners' health care: analysing the legal settings in Europe and the United States.

BACKGROUND: Relatively little is known about the current health care situation and the legal rights of ageing prisoners worldwide. To date, only a few studies have investigated their rights to health care. However, elderly prisoners need special attention. OBJECTIVE: The aim of this article is to critically review the health care situation of older prisoners by analysing the relevant national and international legal frameworks with a particular focus on Switzerland, England and Wales, and the United States (U.S.). METHODS: Publications on legal frameworks were searched using Web of Science, PubMed, MEDLINE, HeinOnline, and the National Criminal Justice Reference Service. Searches utilizing combinations of keywords relating to ageing prisoners were performed. Relevant reports and policy documents were obtained in order to understand the legal settings in Switzerland, England and Wales, and the U.S. All articles, reports, and policy documents published in English and German between 1774 to June 2012 were included for analysis. Using a comparative approach, an outline was completed to distinguish positive policies in this area. Regulatory approaches were investigated through evaluations of soft laws applicable in Europe and U.S. Supreme Court judgements. RESULTS: Even though several documents could be interpreted as guaranteeing adequate health care for ageing prisoners, there is no specific regulation that addresses this issue completely. The Vienna International Plan of Action on Ageing contributes the most by providing an in-depth analysis of the health care needs of older persons. Still, critical analysis of retrieved documents reveals the lack of specific legislation regarding the health care for ageing prisoners. CONCLUSION: No consistent regulation delineates the provision of health care for ageing prisoners. Neither national nor international institutions have enforceable laws that secure the precarious situation of older adults in prisons. To initiate a change, this work presents critical issues that must be addressed to protect the right to health care and well-being of ageing prisoners. Additionally, it is important to design legal structures and guidelines which acknowledge and accommodate the needs of ageing prisoners.

Virtuaalinen asiakaspalvelu - soveltuvuus ja tuottavuushyödyt kuntaorganisaatiolle Case: Oulun kaupunki

Suomalainen julkisen sektorin asiakaspalvelu elää tällä hetkellä merkittävää murrosvaihetta. Julkisesta asiakaspalvelusta on tehty kansainvälisestikin vain vähän tieteellistä tutkimusta, ja tähän asti tehty tutkimus on keskittynyt pääasiassa valtiollisiin toimijoihin. Tässä tutkimuksessa tutkittiin virtuaalisen asiakaspalvelun soveltuvuutta ja potentiaalisia tuottavuushyötyjä kuntaorganisaatiolle. Tutkimuksen tavoitteena oli selvittää millainen virtuaalinen asiakaspalvelun toimintamalli soveltuu nimenomaan kuntaorganisaatiolle. Tutkimus toteutettiin kvalitatiivisena tapaustutkimuksena, ja tutkimuskohteena oli Oulun kaupunki. Tutkimuksen empiirinen osa toteutettiin puolistrukturoituna teemahaastatteluna. Haastateltavana oli Oulun kaupungin työntekijöitä sellaisilta toimialoilta, jotka joko asioivat kuntalaisten kanssa suoraan tai osallistuvat kuntalaisille suunnatun asiakaspalvelun kehittämiseen. Tutkimus osoitti, että kuntaorganisaatiolle soveltuva virtuaalinen asiakaspalvelun toimintamalli ottaa huomioon kuntakontekstin erityispiirteet, automatisoi helpot tehtävät ja mahdollistaa tehokkaan resurssien käytön ohjaamalla asiakaspalvelukontaktit automaattisesti ja paikkariippumattomasti vapaana olevalle asiakaspalvelijalle. Virtuaalisen asiakaspalvelun pitää olla vaikuttavaa sekä kuntalaiselle että kuntaorganisaatiolle. Toimintamallin tulee vastata tietoturvan ja tietosuojan vaatimuksiin, jotta sitä voidaan soveltaa kattavasti volyymipalveluissa, joista on potentiaalisesti saavutettavissa suurimmat hyödyt. Toimintamallin tulee olla toimialariippumaton ja helposti monistettavissa mittakaavahyötyjen aikaansaamiseksi.

Factors associated with adherence to antiretroviral therapy in HIV/AIDS patients: a cross-sectional study in Southern Brazil

A cross-sectional study was conducted on HIV-infected adults being treated with antiretroviral drugs at a reference service in Southern Brazil. Participants answered a sociodemographic questionnaire and were tested by scales assessing sociocognitive variables. Adherence to treatment was assessed by a self-report inventory developed for the study. Clinical information was obtained from the patients' records. Significance tests were conducted using univariate logistic regressions followed by multivariate logistic regression analysis. A total of 195 patients participated in the study and 56.9% of them reported > or = 95% adherence on the previous two days. In univariate analysis, the odds of adherence increased with self-efficacy (a person's conviction that he/she can successfully execute the behavior required to produce a certain desired outcome) in taking medications as prescribed (OR = 3.50, 95% CI 1.90-6.55), and decreased with perception of negative affect and physical concerns (OR = 0.71, 95% CI 0.53-0.95). The odds were lower for taking antiretroviral medications >4 times a day (OR = 0.44, 95% CI 0.20-0.94) and higher for patients with 8 years of schooling (OR = 2.28, 95% CI 1.12-4.66). In the multivariate analysis, self-efficacy (OR = 3.33, 95% CI 1.69-6.56) and taking medication >4 times a day (OR = 0.34, 95% CI 0.14-0.80) were independently associated with adherence. Self-efficacy was the most important predictor of adherence, followed by number of times antiretroviral medication was taken per day. Among sociodemographic and clinical variables, only the number of years of schooling was associated with adherence. Motivational interventions based on self-efficacy may be useful for increasing treatment adherence.

A recuperação da informação sob a ótica dos usuários: um estudo de caso da base de dados Accessus

Trata das questões de organização e recuperação da informação no caso específico do acervo do Centro de Pesquisa e História Contemporânea do Brasil – CPDOC. Baseia essa análise num estudo de caso do uso do serviço de referência da instituição prestado pela Sala de Consulta e também no utilização da base de dados Accessus. Traça um perfil do usuário do acervo da instituição além de um perfil de pesquisa desses indivíduos ao mapear o comportamento dos usuários diante da ferramenta Accessus. Aborda o contexto da elaboração da base de dados e investiga a criação da linguagem controlada em história e ciências afins que serviu de base para o Accessus. Problematiza as questões de acessibilidade da linguagem a um público não relacionado com a área. Pareia essa problematização com análise dos diferentes perfis de usuários. Discute a forma de indexação do acervo do CPDOC e suscita reflexões sobre esse processo que considere uma relação direta com o perfil dos usuários.