Um estudo sobre o perfil sexual e reprodutivo das adolescentes de um serviço de referência no município de Natal/RN

Adolescence is seen as a phase of life marked by a series of physical and behavioral changes, which leads to certain risk situations, such as early sexual activity, pregnancy and the occurrence of sexually transmitted diseases. Based on this statement, this research aimed generally: meet the sexual and reproductive adolescents of a reference service in Natal profile. Specifically describe the socioeconomic, sexual and reproductive individual and family characteristics of the population in question, but also verify possible association between pregnancy and age of onset of sexual activity with the socioeconomic aspects. The sectional study conducted in the database from the records of 463 adolescents seeking care in a referral center in Sexual and Reproductive Health in the period March 2011 to June 2012. The data collected were subjected to analysis by Excel 2007 and Statistical Package for Social Sciences (SPSS) 17.0. For data analysis, descriptive statistics, with absolute numbers and percentages was used, and its presentation by means of distribution and frequency tables. Results showed that the parents of these adolescents (65.7% - father; 57.8% - mother), had primary education; family income less than two minimum wages (66.2%); any type of chemical dependency in the family (33.5%) and presence of domestic violence (20.6%). A higher probability of pregnancy was verified when the mother had only primary education (26.3%), persons other than the father or mother contributed to family income (33.3%) and (26%) when there was substance abuse in the family early onset of sexual activity was observed when the mother had primary education (57.3%), persons other than the father or mother contributed to family income (63.1%) and the use of drugs / alcohol as a problem family (67.6%). It was concluded that such vulnerabilities appear as a reflection of the low social status of these young people, aggravated by emotional inheritance that is offered to every individual from birth. These findings may perhaps, support public health surveillance policies for adolescents in several areas

Identifying the Structure and Fate of Wastewater Derived Organic Micropollutants by High-resolution Mass Spectrometry

Human activities represent a significant burden on the global water cycle, with large and increasing demands placed on limited water resources by manufacturing, energy production and domestic water use. In addition to changing the quantity of available water resources, human activities lead to changes in water quality by introducing a large and often poorly-characterized array of chemical pollutants, which may negatively impact biodiversity in aquatic ecosystems, leading to impairment of valuable ecosystem functions and services. Domestic and industrial wastewaters represent a significant source of pollution to the aquatic environment due to inadequate or incomplete removal of chemicals introduced into waters by human activities. Currently, incomplete chemical characterization of treated wastewaters limits comprehensive risk assessment of this ubiquitous impact to water. In particular, a significant fraction of the organic chemical composition of treated industrial and domestic wastewaters remains uncharacterized at the molecular level. Efforts aimed at reducing the impacts of water pollution on aquatic ecosystems critically require knowledge of the composition of wastewaters to develop interventions capable of protecting our precious natural water resources.

The goal of this dissertation was to develop a robust, extensible and high-throughput framework for the comprehensive characterization of organic micropollutants in wastewaters by high-resolution accurate-mass mass spectrometry. High-resolution mass spectrometry provides the most powerful analytical technique available for assessing the occurrence and fate of organic pollutants in the water cycle. However, significant limitations in data processing, analysis and interpretation have limited this technique in achieving comprehensive characterization of organic pollutants occurring in natural and built environments. My work aimed to address these challenges by development of automated workflows for the structural characterization of organic pollutants in wastewater and wastewater impacted environments by high-resolution mass spectrometry, and to apply these methods in combination with novel data handling routines to conduct detailed fate studies of wastewater-derived organic micropollutants in the aquatic environment.

In Chapter 2, chemoinformatic tools were implemented along with novel non-targeted mass spectrometric analytical methods to characterize, map, and explore an environmentally-relevant “chemical space” in municipal wastewater. This was accomplished by characterizing the molecular composition of known wastewater-derived organic pollutants and substances that are prioritized as potential wastewater contaminants, using these databases to evaluate the pollutant-likeness of structures postulated for unknown organic compounds that I detected in wastewater extracts using high-resolution mass spectrometry approaches. Results showed that application of multiple computational mass spectrometric tools to structural elucidation of unknown organic pollutants arising in wastewaters improved the efficiency and veracity of screening approaches based on high-resolution mass spectrometry. Furthermore, structural similarity searching was essential for prioritizing substances sharing structural features with known organic pollutants or industrial and consumer chemicals that could enter the environment through use or disposal.

I then applied this comprehensive methodological and computational non-targeted analysis workflow to micropollutant fate analysis in domestic wastewaters (Chapter 3), surface waters impacted by water reuse activities (Chapter 4) and effluents of wastewater treatment facilities receiving wastewater from oil and gas extraction activities (Chapter 5). In Chapter 3, I showed that application of chemometric tools aided in the prioritization of non-targeted compounds arising at various stages of conventional wastewater treatment by partitioning high dimensional data into rational chemical categories based on knowledge of organic chemical fate processes, resulting in the classification of organic micropollutants based on their occurrence and/or removal during treatment. Similarly, in Chapter 4, high-resolution sampling and broad-spectrum targeted and non-targeted chemical analysis were applied to assess the occurrence and fate of organic micropollutants in a water reuse application, wherein reclaimed wastewater was applied for irrigation of turf grass. Results showed that organic micropollutant composition of surface waters receiving runoff from wastewater irrigated areas appeared to be minimally impacted by wastewater-derived organic micropollutants. Finally, Chapter 5 presents results of the comprehensive organic chemical composition of oil and gas wastewaters treated for surface water discharge. Concurrent analysis of effluent samples by complementary, broad-spectrum analytical techniques, revealed that low-levels of hydrophobic organic contaminants, but elevated concentrations of polymeric surfactants, which may effect the fate and analysis of contaminants of concern in oil and gas wastewaters.

Taken together, my work represents significant progress in the characterization of polar organic chemical pollutants associated with wastewater-impacted environments by high-resolution mass spectrometry. Application of these comprehensive methods to examine micropollutant fate processes in wastewater treatment systems, water reuse environments, and water applications in oil/gas exploration yielded new insights into the factors that influence transport, transformation, and persistence of organic micropollutants in these systems across an unprecedented breadth of chemical space.

Family Troubles? Exploring Changes and Challenges in the Family Lives of Children and Young People

As the everyday lives of children and young people are increasingly understood as matters of public policy and concern, the question of how we can understand the difference between normal” family troubles and troubled or troubling families has become more important. In this timely and thought-provoking book, a wide range of contributors address topics such as infant care, sibling conflict, divorce, disability, illness, substance abuse, violence, kinship care, and forced marriage, in an effort to explore how the concept of trouble features in normal families and how the concept of normal features in troubled families.

Epilepsy in Bipolar Disorder: Impact on Clinical Features, Course and Outcome

Background and Aims: It is well recognized that mood disorders and epilepsy commonly co-occur. However, the relationship between epilepsy and the clinical features and course of illness in bipolar disorder (BD) is currently unknown. Here we explore the rate of epilepsy within a large sample of individuals with BD and examine bipolar illness characteristics according to the presence or absence of epilepsy. Methods: 1596 participants recruited to the Bipolar Disorder Research Network; a well-defined sample of UK subjects with a diagnosis of BD, completed a self-report questionnaire to assess lifetime history of epilepsy (Ottman et al., 2010). A subset of participants (n = 29) completed a telephone interview assessment to determine expert-confirmed epilepsy status. Lifetime clinical characteristics of illness were compared between BD subjects with and without a history of epilepsy. Results: 127 individuals (8%) screened positively for lifetime history of epilepsy. Bipolar subjects with epilepsy experienced higher rates of: suicide attempt (64.2% vs. 47.4%, p = 0.000367); panic disorder (29.6% vs. 16.1%, p = 0.001); phobias (13.6% vs. 5.7%, 0.004); alcohol abuse (18.6% vs. 10.6%, p = 0.017); and other substance abuse (10.2% vs. 4%, p = 0.009). History of suicide attempt (OR = 1.79, p = 0.013) remained significant within a multivariate model. Similar trends were observed within bipolar subjects with well-defined, expert-confirmed epilepsy (n = 29). Conclusions: Results demonstrate an increased rate of self-reported epilepsy in the BD sample, compared to the general population, and suggest differences in the clinical course of BD according to the presence of epilepsy. Comorbid epilepsy within BD may provide an attractive opportunity for subcategorising for future genetic studies, potentially identifying common underlying mechanisms.

Cultural influences on positive affect and reward processing in depressed youth

Thesis (Ph.D.)--University of Washington, 2016-07

Global, regional, and national comparative risk assessment of 79 behavioral, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015 : a systematic analysis for the Global Burden of Disease Study 2015

One woman’s journey of recovery from mental illness : hopes, back-up plans, rebuilding self and service support

Simulação de um sistema de tratamento de águas residuais de lamas ativadas

A modelação matemática de Estações de Tratamento de Águas Residuais (ETAR) tem sido uma ferramenta de enorme utilidade nas fases de projeto e de exploração destas estruturas de tratamento. O presente estudo teve por objetivo principal construir um modelo matemático da ETAR de Bragança, em particular do seu tratamento biológico de lamas ativadas, com vista a avaliar, compreender e otimizar o seu desempenho. A construção do modelo foi efetuada com recurso ao ambiente de simulação WRc STOAT 5.0. O processo de lamas ativadas foi descrito pelo modelo de referência ASAL3. O modelo construído foi calibrado e validado com base em dados experimentais de 2015, obtidos no âmbito do programa de controlo analítico da ETAR. O modelo foi ainda utilizado para avaliar a qualidade do efluente em resposta a alterações do caudal e composição do afluente, a alterações de condições operacionais e a outras alternativas de tratamento. O modelo mostrou-se bastante adequado na descrição da evolução mensal da qualidade do efluente final da ETAR relativamente aos parâmetros Sólidos Suspensos Totais (SST) e Carência Bioquímica de Oxigénio (CBO5), embora apresente uma tendência para os subestimar em 1,5 e 3,5 mg/L, respetivamente. Em relação ao azoto total, os valores simulados aproximaram-se dos valores reais, quando se aumentaram as taxas de recirculação interna para 400%, um fator de cerca de 4 vezes superior. Os resultados do modelo e dos cenários mostram e reforçam o bom desempenho e a operação otimizada da ETAR em relação a remoção de SST e CBO5. Em relação ao azoto total, a ETAR não assegura de forma sistemática uma eficiência elevada, mas apresenta um bom desempenho, face ao que o modelo consegue explicar para as mesmas condições operacionais. Através do estudo de cenários procurou-se encontrar alternativas de tratamento eficientes e viáveis de remoção de azoto total, mas não se identificaram soluções que assegurassem decargas de azoto abaixo dos limites legais. Os melhores resultados que se alcançaram para a remoção deste contaminante estão associados ao aumento das taxas de recirculação interna do sistema pré-anóxico existente e a uma configuração do tipo Bardenpho de quatro estágios com alimentação distribuída, em proporções iguais, pelos dois estágios anóxicos. Outras soluções que envolvam tecnologias distintas podem e devem ser equacionadas em projetos futuros que visem a melhoria de eficiência de remoção de azoto da ETAR.

Programa de prevención del consumo de drogas Saluda: evaluación de una nueva versión en adolescentes españoles

En la actualidad se han evaluado numerosas intervenciones preventivas de drogodependencias en el medio escolar. Sin embargo, en España son pocos los estudios que analizan la influencia precisa de cada uno de los componentes específicos a los programas con el fin de determinar cuáles se consideran cruciales para el cambio de conducta de consumo. El objetivo del presente estudio fue evaluar los efectos de una nueva versión del programa de prevención del consumo de drogas Saluda en la que se prescinde del componente fomento del ocio saludable y las tareas para casa. Esta versión reducida fue dirigida a una muestra de 106 escolares (44.6 % chicos) entre 14 y 17 años (M = 15.20; DT = 0.92) de un centro de Educación Secundaria. Se trata de un estudio exploratorio de tipo cuasi experimental y un diseño pre-post de un único grupo. Se realizó diferencia de proporciones mediante la prueba Z y diferencia de medias mediante la prueba T para muestras relacionadas. Los resultados muestran una reducción en el porcentaje de episodios de embriaguez, así como un efecto de mejora significativa sobre las variables protectoras del consumo. Se discuten estos hallazgos y se realizan propuestas para la mejora de futuras intervenciones.

People with psychiatric disabilities, employment, and the Americans with Disabilities Act : turning policy into practice : report from the Center for Mental Health Services ADA Roundtable, January 25-26, 1995 /

"The report ... summarizes the major points of discussion at the meeting as well as integrating other pertinent information"--P. iii.

El trabajo social y la educación de Bachillerato General Unificado (BUG)

El presente trabajo monográfico consiste en establecer la importancia que tiene la intervención del Trabajo Social dentro de las instituciones públicas que brindan el servicio de educación en los niveles de Bachillerato General Unificado BGU. Como lo establecen (Merino & Namicela, 2012) dentro de estas instituciones (Colegios y/o Unidades Educativas) se identifican varias problemáticas como el acoso escolar, el consumo, uso y abuso de sustancias psicotrópicas, problemas intrafamiliares (falta de comunicación, negligencia, déficit económico, etc.) que dificultan al proceso educativo de los estudiantes, causan bajo rendimiento académico, abandono y/o deserción escolar; que finalmente repercute al desarrollo económico y social de cada persona y de la sociedad ecuatoriana en general. Ante esta problemática el Estado ecuatoriano ha implementado varios instrumentos legales, empezando desde la reforma de la Constitución en el 2008, que significo un cambio fundamental para el sistema educativo ecuatoriano, pues a partir de este hecho, se han creado y reformulado normas legales que especifican y garantizan el acceso a una educación integral de mayor calidad y calidez. Dentro de esta apuesta gubernamental para mejorar el acceso y la calidad educativa aparece la intervención del Trabajo Social como la profesión que investiga procesos concretos relacionados a las condiciones de vida de los individuos, sus necesidades y potencialidades para que atreves de sus funciones reconozca y establezca soluciones a problemas entre las interacciones humanas e institucionales, a fin de lograr un mayor bienestar social de los estudiantes.

Are adolescents/young people and their families getting the best service when being cared for by young adolescent student nurses?

The purpose of this presentation is to highlight issues that exist for student nurses who embark on a career in children's nursing at a very young age and subsequently find themselves in a situation where they are expected to deliver high quality care to young people and their families. An introductory sentence indicating the purpose of the presentation: Currently in the UK under the Making a Différence Curriculum (DOH 1999) students can enrol on a single registration programme for Children's Nursing as young as 17.5 years. Children are admitted to hospital onto the children's wards between the ages of 0-16 years (occasionally older). Using Viner's (2003) définition of adolescence as being that period between the ages of ten and twenty-five years when biopsychosocial maturation leads to functional independence in adult iife demonstrates the possibility that both the patients and the nursing students could be undergoing very similar transitional experiences. Historically, in the 1940-50's children were admitted to childrens wards between the ages of 2-12 years. Nurse education at that time tended to be undertaken for first or second level registration in the first instance, followed by post-registration training for specialist areas. Subsequently, the phenomenon of adolescent paediatric nursing students being required to care for adolescents and their families on the children's wards did not exist some 60 years ago. A brief description of the highiights of the présentation: This présentation will focus on adolescent transitions with particular reference to issues that could arise when young students are required to care for young people and their families, particularly when there is a diagnosis of self harm or substance abuse. A summary of findings and/or other relevant information: Preliminary findings have indicated that very young student nurses find caring for adolescents to be particularly challenging. Health issues pertinent to young people appear to présent particular challenges for the students which raises questions in respect of the quality of care that the young people and their families may receive. A conclusion and implications: The following need to be further explored: i) Support within the clinical areas and adequate de-briefing strategies, ii) The efficacy of single registration to children's nursing, iii) Young people and their family's perception of the quality of care they receive from very young students.

Evaluación de los rasgos de personalidad en varones internados en Centros de Adicciones

La presente investigación tuvo como propósito fundamental describir los rasgos de personalidad presentes en pacientes hospitalizados en clínicas de rehabilitación por abuso o dependencia de sustancias, además de poder establecer la presencia de los síndromes clínicos y la medida de los mismos en la muestra de estudio. Se realizó una investigación exploratoria – descriptiva con un enfoque cuantitativo, para lo cual se aplicó el Inventario Clínico Multiaxial de Millon (MCMI- III), que se encarga de evaluar 11 patrones clínicos de personalidad, 3 escalas de patología grave de personalidad y 10 síndromes clínicos. Este estudio se realizó con 50 varones en rehabilitación, 10 de los cuales fueron excluidos por no cumplir los criterios de inclusión. Los resultados obtenidos mostraron alteraciones en la personalidad de la población relacionada con el consumo de sustancias, presentando una mayor prevalencia del trastorno antisocial de la personalidad, seguida de los trastornos narcisista y paranoide respectivamente. Por su parte, los rasgos de personalidad de mayor prevalencia correspondieron a rasgos antisociales, narcisistas y paranoides.

MIECHV CQI Newsletter: Self Sufficiency, February 2016

MIECHV families in Iowa face many barriers to employment, such as: inter-generational poverty, health (including mental health and substance abuse) issues and lack of access to education and job training. Not everyone is able to work, but many people (with the right support!) are able to eventually work. As the following data shows, participation in MIECHV programs in Iowa is positively correlated with employment and income gains. These gains contribute to lifelong benefits for the families’ health, happiness, and their children’s futures.

MIECHV CQI Newsletter: Family Retention, June 2016

MIECHV families in Iowa face many barriers to employment, such as: inter-generational poverty, health (including mental health and substance abuse) issues and lack of access to education and job training. Not everyone is able to work, but many people (with the right support!) are able to eventually work. As the following data shows, participation in MIECHV programs in Iowa is positively correlated with employment and income gains. These gains contribute to lifelong benefits for the families’ health, happiness, and their children’s futures.