Service Provision for Children and Young People with Acquired Brain Injury; Practice Recommendations: – International Paediatric Brain Injury Society (IPBIS).

Background: Providing appropriate rehabilitation services for Acquired Brain Injury (ABI) in childhood presents a number of challenges for caregivers, health and education professionals and the young person as they develop.
Primary Objective: To record the challenges and possible creative solutions generated by an international group of professionals to address the needs of children with ABI.
Review of Information: Recommendations were generated from children’s special interest group meetings of the International Brain Injury Association (Turin Italy, 2001, Stockholm Sweden, 2003, Melbourne Australia, 2005, Lisbon Portugal, 2008) and through meetings of the International Paediatric Brain Injury Society (IPBIS), formed in 2009. Delegates participating in the workshops were representative of nations from around the world and included The Netherlands, New Zealand, Australia, UK, Finland, Germany, South Africa, USA, Canada, Sweden, Brazil and Italy.
Outcomes: The information presented is based on a retrospective review of those meetings and the summaries of the topics considered.

Medication regimen complexity in institutionalized elderly people in an aging society

Background Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research. Objective To use the MRCI to assess medication regimen complexity in institutionalized elderly people. Setting Five nursing homes in mainland Portugal. Methods A descriptive, cross-sectional study of institutionalized elderly people (n = 415) was performed from March to June 2009, including all inpatients aged 65 and over taking at least one medication per day. Main outcome measure Medication regimen complexity index. Results The mean age of the sample was 83.9 years (±6.6 years), and 60.2 % were women. The elderly patients were taking a large number of drugs, with 76.6 % taking more than five medications per day. The average medication regimen complexity was 18.2 (±SD = 9.6), and was higher in the females (p < 0.001). The most decisive factors contributing to the complexity were the number of drugs and dosage frequency. In regimens with the same number of medications, schedule was the most relevant factor in the final score (r = 0.922), followed by pharmaceutical forms (r = 0.768) and additional instructions (r = 0.742). Conclusion Medication regimen complexity proved to be high. There is certainly potential for the pharmacist’s intervention to reduce it as part as the medication review routine in all the patients.

Prevenção e detecção de incêndios

Os fogos florestais, embora possam ser encarados como um fenómeno natural, constituem igualmente uma ameaça com impactos negativos a vários níveis. A alteração dos regimes naturais do fogo por acção antrópica tem vindo a maximizar o potencial catastrófico do fenómeno em diferentes regiões do planeta, destacando-se, em particular, a Região Mediterrânica, onde o fogo constitui uma perturbação recorrente associada, por um lado, às características climáticas desta região e, por outro, às práticas tradicionais decorrentes da presença humana nessa área, numa extensão temporal de milhares de anos. Em Portugal, o problema dos fogos florestais assume uma expressividade de particular relevo, colocando-o entre os países do sul da Europa mais atingidos pelo fogo a cada Verão. Reconhecendo o papel das condições meteorológicas nas interacções envolvidas no processo de deflagração e propagação de incêndios, a identificação de condições meteorológicas propícias à ocorrência de incêndios, expressa sob a forma de índices de risco reveste-se de crucial importância para as operações de prevenção e combate aos incêndios, para além da mais-valia que constituem para os restantes sectores da sociedade. Adicionalmente, a detecção e monitorização de ocorrências de incêndios a partir de satélites tem vindo a assumir um papel preponderante, revelando-se fundamental enquanto fonte de alerta e pelas potencialidades que as bases de dados resultantes da observação contínua da Terra pelos satélites oferecem, no que às mais diversas áreas de investigação diz respeito. O presente trabalho explora, nas vertentes da prevenção de incêndios, a utilização de previsões de tempo de alta resolução espacial obtidas com o modelo WRF para a determinação das componentes do sistema FWI canadiano e sua disponibilização operacional. Os resultados apontam para um impacto positivo, em virtude do incremento da resolução espacial, da representação espacial do risco meteorológico de incêndio no território português. Paralelamente, apresentam-se os resultados do desenvolvimento de produtos de detecção de incêndios activos a partir da infra-estrutura de recepção de dados de satélite implementadas na Universidade de Aveiro, destacando a sua adequabilidade para a monitorização e identificação, em tempo quase-real, da ocorrência de fogos florestais em Portugal Continental.

Mythotextuality and the evolution of ideologies the reuse of the Epic of Gilgamesh in North American texts

When the scribes of ancient Mesopotamia rewrote the Epic of Gilgamesh over a period of over two thousand years, the modifications made reflected the social transformations occurring during the same era. The dethroning of the goddess Inanna-Ishtar and the devaluation of other female characters in the evolving Epic of Gilgamesh coincided with the declining status of women in society. Since the 1960s, translations into modern languages have been readily available. The Mesopotamian myth has been reused in a wide variety of mythic and mythological texts by Quebecois, Canadian and American authors. Our analysis of the first group of mythic texts, written in the 1960s and 1970s, shows a reversal of the tendency of the Mesopotamian texts. Written at a time when the feminist movement was transforming North American society, these retellings feature a goddess with her high status restored and her ancient attributes re-established. Another group of writers, publishing in the 1980s and 1990s, makes a radical shift away from these feminist tendencies while still basically rewriting the Epic. In this group of mythic texts, the goddess and other female characters find their roles reduced while the male gods and characters have expanded and glorified roles. The third group of texts analysed does not rewrite the Epic. The Epic is reused here intertextually to give depth to mythological works set in the twentieth century or later. The dialogue created between the contemporary text and the Epic emphasises the role that the individual has in society. A large-scale comparative mythotextual study of texts that share a common hypotext can, especially when socio-historical factors are considered, provide a window onto the relationship between text and society. A comparative study of how the Epic of Gilgamesh is rewritten and referred to intertextually through time can help us relativize the understanding of our own time and culture.

Compte rendu: Johann Wolfgang Unger (2013), The Discursive Construction of the Scots Language : Education, Politics and Everyday Life, Amsterdam, John Benjamins, coll. « Discourse Approaches to Politics, Society and Culture, 51 », 178 p. [ISBN : 978-9-027-20642-8]

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Letter, Society Hill, SC, to George Washington Spencer, Chesterfield, SC, 1892 February 22

This letter is from the King Iron Bridge Manufacturing Company to G. W. Spencer.