Indícios no insólito : Avalovara através do espelho

Tese (doutorado)—Universidade de Brasília, Instituto de Letras, Departamento de Teoria Literária e Literatura, Programa de Pós-Graduação em Literatura, 2015.

Avaliação integrada em medicina da adolescência : a propósito de um caso de assimetria mamária

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Application of Lidocaine Spray for Tracheal Intubation in Neonates - A Clinical Trial Study

Background: Tracheal intubation is extremely distressing, painful, and may influence heart rate and blood pressure. Sedatives, analgesics, and muscle relaxants are not commonly used for intubation in neonates. Objectives: This study aimed to evaluate the effects of lidocaine spray as a non-intravenous drug before neonatal intubation on blood pressure, heart rate, oxygen saturation and time of intubation. Patients and Methods: In a randomized, controlled study each neonate was randomly assigned to one of the two study groups by staffs who were not involved in the infant's care. The allocation concealment was kept in an opaque sealed envelope, and the investigators, the patient care team, and the assessors were blinded to the treatment allocation. The selected setting was NICU unit of a teaching hospital in Ilam city, Iran and participants were 60 neonates with indication of tracheal intubation with gestational age >30 weeks. Patients in the treatment group received lidocaine spray and the placebo group received spray of normal saline prior to intubation. Main outcome measurements were the mean rates of blood pressure, heart rate, oxygen saturation, intubation time and lidocaine side effects were measured before and after intubation. Results: Totally 60 newborns including 31 boys and 29 girls were entered into the study (drug group n = 30; placebo group n = 30). Boy/girl ratio in treatment and placebo groups were 1.3 and 0.88, respectively. Mean age ± SD of participants was 34.1 ± 24.8 hours (treatment: 35.3 ± 25.7; placebo: 32.9 ± 24.3; P < 0.0001). Mean weight ± SD of neonates was 2012.5 ± 969 g. Application of lidocaine spray caused a significant reduction of mean intubation time among treatment group compared with placebo group (treatment: 15.03 ± 2.2 seconds; placebo: 18.3 ± 2.3 seconds; P < 0.0001). Mean blood pressure, heart rate and oxygen saturation rate, among neonates in treatment group was reduced after intubation compared with their relevant figures before intubation; however, their differences were not statistically significant except for mean oxygen saturation rate that was reduced significantly in placebo group. No side effects were observed during study. Conclusions: Though the current study revealed some promising results in the application of lidocaine spray during neonatal intubation without any considerable side effects; however, the current investigation could only be considered as a pilot study for further attempts in different locations with higher sample sizes and in different situations.

Observação e análise numa equipa de futebol de elite : relatório de estágio na area de observação e análise do Benfica LAB, Sport Lisboa e Benfica, equipas profissionais, época 2014-2015

Este relatório teve como objetivo a sumarização das práticas realizadas de um estagiário na área de Observação e Análise de Jogo do Benfica Lab-Sport Lisboa e Benfica. Consiste neste trabalho a descrição das diversas tarefas operacionais e complementares realizadas por um estagiário na área já referida. Acrescendo a essas descrições, é apresentado em detalhe um estudo de investigação iniciado durante o processo de estágio, tendo sido todos os dados recolhidos nesse período e fornecidos quase exclusivamente pela área de observação e análise do Benfica Lab. Este estudo demonstrou existirem diferenças significativas em medidas de centralidade individuais (nível de intermediação numa rede social; influência numa rede social) da equipa A para a equipa B na mesma posição (posto especifico). A descrição detalhada de todo o processo envolvente à realização de uma conferência (relação com a comunidade), também está presente neste documento, evento esse que teve como seu principal objetivo demonstrar o “Processo de estágio Benfica Lab/ FMH – Observação e Análise de Jogo”.

A análise de performance e o seu impacto no desempenho de uma equipa de futebol profissional

Atualmente, a preparação e desenvolvimento de uma equipa de futebol deve considerar não só aspetos relacionados com a metodologia do treino, como também da análise de performance, quer da própria equipa quer de equipas adversárias. O estágio desenvolveu-se integrado nas equipas técnicas que orientaram o plantel profissional do Estoril Praia SAD, durante a época 2014/2015. Na área 1, foi exposto o objetivo principal do trabalho apresentado neste relatório, que se prendeu com a necessidade de compreender de que forma é importante a análise da própria equipa e da equipa adversária, e ainda como essas análises são enquadradas e utilizadas no treino e na competição. Após a recolha de informação na literatura, relativa à análise de performance, e relacionada essa informação com a prática do dia-a-dia e ainda com as opiniões recolhidas através de entrevistas realizadas a dois elementos de uma das equipas técnicas, foi possível perceber a importância da análise na preparação e operacionalização das ideias de jogo da equipa técnica, não só durante os momentos competitivos, como em situações de treino. Na área 2 (Projeto de investigação/inovação) foi realizado um estudo que teve como finalidade perceber o impacto que tem a alteração de um treinador no decorrer da época desportiva, tentando relacionar essas decisões com diferentes contextos, percebendo se a alteração tem uma influência positiva ou negativa no rendimento das equipas contempladas no estudo. Posteriormente à sua realização, o estudo foi apresentado nas Jornadas Portuguesas de Psicologia do Desporto. Relativamente à área 3 (Relação com a comunidade), foi realizado um torneio que teve como principal foco, alertar os pais dos atletas para os valores positivos que podem ser promovidos e desenvolvidos através do desporto.

Práticas de observação e análise de jogo

A Observação e Análise é uma área em crescimento nos últimos anos. Hoje em dia, a presença de um departamento de Observação e Análise nos clubes é visto como essencial uma vez que, no futebol de alto rendimento, os jogos estão cada vez mais equilibrados, sendo decididos muitas vezes por pormenores. Neste sentido existe uma maior necessidade de inclusão de equipas técnicas multidisciplinares com o objetivo de melhorar o rendimento da equipa e alcançar o sucesso. As equipas de topo devem controlar ao máximo todos os fatores que influenciam o rendimento dos jogadores e, a Observação e Análise de jogo é um deles. Este relatório surge no âmbito do estágio realizado no Sport Lisboa e Benfica, mais concretamente no departamento de Observação e Análise do Benfica LAB, na época desportiva 2014/2015. Encontra-se dividido em três partes fundamentais. A Área 1 (Prática Profissional) foca-se na exposição detalhada das formações específicas que nos foram proporcionadas bem como todas as tarefas operacionais e complementares realizadas ao longo do estágio, subjacentes a um departamento de Observação e Análise. A segunda parte é referente à Área 2 (Inovação e Investigação) – desenvolvimento de um estudo de investigação que carateriza as ações técnico-táticas individuais do Sport Lisboa e Benfica por posição (posto específico) com o objetivo de averiguar diferenças significativas entre épocas desportivas. Concluiu-se a existência de diferenças significativas. As posições que apresentaram o maior número de diferenças entre épocas desportivas foram as posições médio defensivo e primeiro avançado. Finalmente, a última parte deste relatório centra-se na Área 3 (Relação com a Comunidade). São explicados detalhadamente todos os procedimentos da organização e dinamização de um evento vocacionado para a formação de agentes que intervém direta ou indiretamente na Observação e Análise de Jogo.

The Amplifier - v. 14, no. 6

In this issue...Truss contest, Ski Club, dial Soap, January Feature Girl, Columbia Riding Club, Night Courses, Basketball, WICHE, New York Times, Tech Tunnels

Pseudoangiomatous Stromal Hyperplasia in Pediatric Age: A Case Report and Review of Literature

Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign disease, characterized by abnormal proliferation of fibroglandular stroma. It was first described in 1986. The authors present a case of a twelve year-old girl with a history of kidney transplantation due to nephrotic syndrome with rapidly progressive and painful breast asymmetry with approximately six months duration. No lymphadenopathy or other signs or symptoms were associated. Ultrasound didn’t reveal specific findings. Breast magnetic resonance (MR) showed a massive heterogeneous nodular mass with regular contours and contrast enhancement. Given the degree of breast asymmetry as well as the patient’s symptoms, surgical excision of the tumor was preferred over core biopsy. Histopathological and immunohistochemical examination showed pseudoangiomatous stromal hyperplasia. The authors describe the clinical presentation, imaging and histological features as well as therapeutic approach in these patients

O nome como lugar atribuído, concedido e sentido: Um estudo de caso sobre o transgeracional

Dissertação de Mestrado apresentada no ISPA – Instituto Universitário de Ciências Psicológicas, Sociais e da Vida para obtenção do grau de Mestre na especialidade de Psicologia Clínica.

Estudo de um caso de psicose branca

Dissertação de Mestrado apresentada no Instituto Superior de Psicologia Aplicada para obtenção de grau de Mestre na especialidade de Psicologia Clínica

Character in Context: Informing Character Education Programming

The Positive Youth Development (PYD) perspective is a strength-based conceptualization of youth. It highlights the importance of mutually beneficial relationships between youth and their environment to develop the “Five Cs”, key assets that include character. Character has long been a subject of programming due to its focus on helping children lead moral, empathic, and prosocial lives. There are, however, many limitations in character research, including poorly operationalized definitions of character; a failure to examine the developmental and broader social context in which character exists; and a lack of evaluation of more practical character programming. The goal of this dissertation was to address these gaps in knowledge and inform the character education programming literature. The first study examined the relationships among age, gender, the school social context, and character. Moral character was negatively associated with grade, and being a girl was positively associated with moral character. The relationships between positive peer interactions at school and character (fairness, integrity) were stronger among students who reported low initial moral character when positive peer interactions was high. In the second study, the Build Character: Build Success Program, a character education program, was evaluated over six months to examine its effects on character behaviours, victimization, and school climate. No program effects were found for students in grades 1 to 3, but a slight decrease in victimization in one experimental school was found for students in grades 4 to 8. This lack of general program effects may be due to the short-term nature of the intervention, which may not have been long enough to result in measurable behaviour change. Implementation data indicated that teachers did not teach all program elements, which also may have influenced the results of the program evaluation. The present dissertation contributes to knowledge about character and its programming by: introducing new measures to operationalize character, discovering developmental patterns in character in school-aged children, highlighting gender differences in character, examining character within its broad social context, and evaluating short-term character education programming.

Caractérisation clinique et par la tomographie d’émission par positrons quantitative du trouble de l’acquisition de la coordination

Résumé : Le trouble de l’acquisition de la coordination (TAC), d’étiologie encore indéterminée, est une anomalie neurologique affectant environ 6% des enfants de l'âge scolaire. Le TAC se manifeste essentiellement par un déficit au niveau des exécutions motrices. Le présent travail de recherche comporte deux volets portant sur le TAC. Premièrement, une étude clinique sur 129 sujets âgés de 4 à 18 ans a permis de classifier les caractéristiques du TAC en sous-groupes cliniques. Trente-trois caractéristiques du TAC, les plus fréquemment rapportées dans la littérature, ont été recensées chez nos sujets. L'application d'évaluations statistiques a permis de faire ressortir trois classes essentielles. Le deuxième volet consistait à identifier les régions cérébrales impliquées dans une tâche motrice à l'aide de l'imagerie par la tomographie d'émission par positrons (TEP). Deux sujets avec TAC et deux sujets normaux ont été étudiés en deux séances d'imagerie TEP dont l'une au repos et l'autre en tapotant du pouce sur les doigts de la main gauche non-dominante. Les analyses du premier volet ont montré, entre autres, que le TAC touchait 3.17 garçons pour une fille, que tous les sujets étaient lents, que 47% des sujets étaient gauchers ou ambidextres alors que seulement 10% sont gauchers dans la population générale, que 26% avaient une dyspraxie verbale, et que 83% avaient été diagnostiqués anxieux. Les sujets ont été classés en trois sous-groupes: 1- maladroits et autres caractéristiques, sans problème de langage; 2- trouble de l’estime de soi et relation avec les pairs; 3- difficulté de langage. En imagerie, les structures cérébrales ont été classées selon leur captation du 18F-fluorodesoxyglucose (FDG) dans les hémisphères droit et gauche, avant et après l'activation, et en comparaison avec les sujets normaux. Trois types de structures cérébrales sont ressortis avec les statistiques: des structures activées, celles relativement non sollicitées et des structures désactivées. Il y avait plus de variations dans la captation du FDG chez les sujets avec TAC que chez les normaux. En conclusion, la caractérisation des sujets avec TAC par le diagnostic clinique et par l'imagerie peut procurer un plan de thérapie adéquat et ciblé étant donné que le TAC a un large spectre et pourrait coexister avec d'autres déficits cérébraux.

Metabolic syndrome and associated factors in a population-based sample of schoolchildren in Colombia: The FUPRECOL Study

In contrast to the definition of metabolic syndrome (MetS) in adults, there is no standard definition of MetS in pediatric populations. We aimed to assess the differences in the prevalence of MetS in children and adolescents aged 9–17 years in the city of Bogota (Colombia) using four different operational definitions for these age groups and to examine the associated variables. A total of 673 children and 1,247 adolescents attending public schools in Bogota (54.4% girls; age range 9–17.9 years) were included. The prevalence of MetS was determined by the definitions provided by the International Diabetes Federation (IDF) and three published studies by Cook et al., de Ferranti et al., and Ford et al. The prevalence of MetS was 0.3%, 6.3%, 7.8%, and 11.0% according to the IDF, Cook et al., Ford et al., and de Ferranti et al. definitions, respectively. The most prevalent components were low high-density lipoprotein cholesterol and high triglyceride levels, whereas the least prevalent components were abdominal obesity and hyperglycemia. Overall, the prevalence of MetS was higher in obese than in non-obese schoolchildren. In conclusion, MetS diagnoses in schoolchildren strongly depend on the definition chosen. These findings may be relevant to health promotion efforts for Colombian youth to develop prospective studies and to define which cut-offs are the best indicators of future morbidity.

Sobre magia, sensualidad y belleza: procesos de subjetividad femenina, sororidad y empoderamiento a través de la danza del vientre en la Academia Anasi de Bogotá

Esta investigación se centra en analizar la danza del vientre como una práctica sociocultural que transforma las subjetividades de sus practicantes, en el caso particular de las mujeres integrantes de la academia Anasi de Bogotá. Basada en la autoetnografía y a partir de experiencias individuales y colectivas de las mujeres integrantes del lugar, la danza es presentada como un proceso que conduce al empoderamiento femenino individual y colectivo. Esto sucede en el marco de una sociedad patriarcal, donde los cuerpos femeninos están cargados de connotaciones y limitaciones. Además de que el estilo dancístico ha sido dotado histórica y socialmente de prejuicios y nociones sexistas y machistas en torno a él y a sus bailarinas.

Educational Inclusion in the Regular Classroom: an Asperger Syndrome Case

The following paper resulted from the final research project conducted for my Master’s Degree in Teacher Training for Teachers of Primary Education (1st – 6th grade of the Basic General Education). This research project was conducted under the supervision of the Rural Education Division of the Center for Research and Teaching in Education (CIDE-UNA, Spanish acronym), in coordination with the Central America Educational and Cultural Coordination (CECC). The research is qualitative with an interpretative approach. Our main objective was to analyze the process of inclusive education in the regular classroom for a person with Asperger’s Syndrome, defined as a type of social impairment. The case study method was used in this research, as it allows a deeper study. A girl was chosen from a public school in an urban area of San José, Costa Rica. Three techniques were used to obtain information: interviews, questionnaires and documentation (personal file, behavior record, and psychological assessment) related to the girl with Asperger. The triangulation of sources was used as a method of analysis. The conclusion of the project was that regular schools may have children miss-diagnosed with Asperger’s Syndrome, and that our schools are still far from achieving inclusive education, but efforts are being made to achieve it. For a more opportune intervention, some recommendations based on this study were provided to the family and the school of the girl with Asperger.