O papel do farmacêutico no acompanhamento de doentes com asma

A asma é uma doença inflamatória crónica das vias aéreas que, em indivíduos susceptíveis, origina sintomas característicos. Dada a prevalência, características da doença, utilização segura e correcta dos medicamentos e adesão à terapêutica, é de extrema importância incentivar os profissionais de saúde, doentes e suas famílias a tomarem medidas que permitam um melhor controlo da doença, de forma a obter ganhos em saúde. Assim, foi realizado um estudo descritivo envolvendo os doentes asmáticos da farmácia Santo António, tendo por base um questionário que avaliou o grau de controlo da asma, bem como o conhecimento sobre a doença e cuidados a ter. Após tratamento dos dados, foi possível determinar que 35% dos asmáticos em questão apresentam asma não controlada ou parcialmente controlada, 43% não conhece medidas não farmacológicas relativas a esta patologia e 12% não usa correctamente a medicação prescrita. Os resultados do estudo indicam que é necessário que o farmacêutico intervenha junto da população asmática, nomeadamente através de acções de formação sobre a utilização correcta dispositivos de inalação (no que diz respeito à importância da utilização de medicação SOS apenas nas situações adequadas e não como medicação diária), informação sobre medidas não farmacológicas (que em alguns doentes podem ser um factor decisivo no controlo da doença) e importância da monitorização do controlo da patologia pelo próprio doente.

Política de educação em cidadania e relações internacionais : aplicação de um modelo indiano no Brasil

Este trabalho teve por objetivo apresentar os aspectos relacionados com o impacto provocado pelo Programa de Educação em Valores Humanos nas crianças e seus familiares, nos professores, coordenadores, diretores e voluntários que vivenciaram essa metodologia educacional criada por Sathya Sai Baba, nas escolas de Vila Isabel e Ribeirão Preto no ano de 2008. Em primeiro momento, foi necessário definir, mesmo de uma maneira geral, o conceito de valor, chegando ao específico de valores humanos. Buscou-se a relação direta com as religiões, traçando um paralelo entre a sua origem e a influência das religiões nos valores humanos e principalmente na maneira de se comportar dos indivíduos socialmente. Discutiu-se a educação no Brasil, com sua cronologia e influências, a educação na Índia e traçou-se um paralelo entre ambas. Viu-se que a educação brasileira precisava passar por uma transformação e que a implantação de um programa como este está relacionada ao querer por parte da gestão, já que ele agrega valor ao conteúdo formal. Por fim, apresentou-se a parte central do trabalho que é o Programa de Educação em Valores Humanos – PEVH, com sua origem, metodologias, técnicas, organizações mundiais e brasileiras que trabalham parcialmente ou na íntegra com o programa e os impactos provocados por quem vive os valores humanos. Os dados foram apresentados através da pesquisa bibliográfica e de campo que, juntos, confirmaram a importância do resgate dos valores humanos e da sua prática cotidiana na transformação da sociedade, por meio do processo educacional.

A gestão da política de assistência social no municipio de Bugaru

A presente pesquisa analisa a Gestão da Assistência Social no Município de Bujaru, no período de 2009 à 2011, de forma crítica, evidenciando os avanços, as dificuldades e os desafios, enfrentados pelo órgão de assistência social – SEMTEPS – Secretaria Municipal de Trabalho e Promoção Social. Que foi criada para coordenar as políticas sociais e consolidar o tripé: Conselho, Plano e Fundo como partes de um todo, denominado de Sistema Único de Assistência Social, integrado e indissociável, fundamental para a qualidade da gestão e operacionalização dos serviços socioassistenciais. Considerando que no Plano Municipal de Assistência Social de 2011/2012 e suas modificações, observou-se que as ações relativas à assistência social em Bujaru, de modo geral, apresentaram-se tímidas, com base nos limites previstos na LOAS. Pois, embora não seja esta uma dificuldade específica, o reconhecimento do Município enquanto lócus das políticas sociais ainda não acontece de forma sistemática. E, para compreender esta realidade local, por meio de observações, visitas e análises bibliográficas foi necessário resgatar um pouco do histórico da assistência social no Brasil, seus princípios e diretrizes, regulamentadas pela LOAS, e, como esta política em constante inovação e evolução se efetiva, também, em Portugal.

An incomplete step toward a banking union. CEPS Commentary, 5 July 2012

In this Commentary, Daniel Gros applauds the decision taken by Europe’s leaders at the eurozone summit at the end of June to transfer responsibility for banking supervision in the eurozone to the European Central Bank. It represents explicit recognition of the important fact that problems might originate at the national level, but, owing to monetary union, they can quickly threaten the stability of the entire eurozone banking system. In his view, the next small, incremental step, although one not yet officially acknowledged, will necessarily be the creation of a common bank rescue fund.

Mobile Incubation in Waved Albatross (Phoebastria irrorata): Associated Hatching Failure and Artificial Mitigation

Waved albatrosses often relocate their eggs during incubation by placing the egg between the tarsi and shuffling forward. This behavior frequently results in eggs becoming lodged between rocks, accounting for at least 10%, and perhaps as much as 80%, of breeding failures. Because albatross populations worldwide are currently threatened, artificial means of augmenting reproductive success may be necessary to mitigate losses caused by anthropogenic effects. We characterize the frequency and extent of egg movement; test several hypotheses related to microhabitat, timing, and incubation location to explain the behavior; and investigate the utility of repositioning lodged eggs in a location in which breeding birds might resume incubation. Egg rescue increased both the likelihood of continued incubation as well as the hatching rate in our experiment, and provides an efficient, low-cost management option for this species.

How could construction supply chain benefit from RFID/GPS integration: a knowledge management perspective

Construction materials and equipment are essential building blocks of every construction project and may account for 50-60 per cent of the total cost of construction. The rate of their utilization, on the other hand, is the element that most directly relates to a project progress. A growing concern in the industry that inadequate efficiency hinders its success could thus be accommodated by turning construction into a logistic process. Although mostly limited, recent attempts and studies show that Radio Frequency IDentification (RFID) applications have significant potentials in construction. However, the aim of this research is to show that the technology itself should not only be used for automation and tracking to overcome the supply chain complexity but also as a tool to generate, record and exchange process-related knowledge among the supply chain stakeholders. This would enable all involved parties to identify and understand consequences of any forthcoming difficulties and react accordingly before they cause major disruptions in the construction process. In order to achieve this aim the study focuses on a number of methods. First of all it develops a generic understanding of how RFID technology has been used in logistic processes in industrial supply chain management. Secondly, it investigates recent applications of RFID as an information and communication technology support facility in construction logistics for the management of construction supply chain. Based on these the study develops an improved concept of a construction logistics architecture that explicitly relies on integrating RFID with the Global Positioning System (GPS). The developed conceptual model architecture shows that categorisation provided through RFID and traceability as a result of RFID/GPS integration could be used as a tool to identify, record and share potential problems and thus vastly improve knowledge management processes within the entire supply chain. The findings thus clearly show a need for future research in this area.

Bayesian ranking and selection of fishing boat efficiencies

The steadily accumulating literature on technical efficiency in fisheries attests to the importance of efficiency as an indicator of fleet condition and as an object of management concern. In this paper, we extend previous work by presenting a Bayesian hierarchical approach that yields both efficiency estimates and, as a byproduct of the estimation algorithm, probabilistic rankings of the relative technical efficiencies of fishing boats. The estimation algorithm is based on recent advances in Markov Chain Monte Carlo (MCMC) methods—Gibbs sampling, in particular—which have not been widely used in fisheries economics. We apply the method to a sample of 10,865 boat trips in the US Pacific hake (or whiting) fishery during 1987–2003. We uncover systematic differences between efficiency rankings based on sample mean efficiency estimates and those that exploit the full posterior distributions of boat efficiencies to estimate the probability that a given boat has the highest true mean efficiency.

Legumes regulate Rhizobium bacteroid development and persistence by the supply of branched-chain amino acids

One of the largest contributions to biologically available nitrogen comes from the reduction of N-2 to ammonia by rhizobia in symbiosis with legumes. Plants supply dicarboxylic acids as a carbon source to bacteroids, and in return they receive ammonia. However, metabolic exchange must be more complex, because effective N-2 fixation by Rhizobium leguminosarum bv viciae bacteroids requires either one of two broad-specificity amino acid ABC transporters (Aap and Bra). It was proposed that amino acids cycle between plant and bacteroids, but the model was unconstrained because of the broad solute specificity of Aap and Bra. Here, we constrain the specificity of Bra and ectopically express heterologous transporters to demonstrate that branched-chain amino acid (LIV) transport is essential for effective N-2 fixation. This dependence of bacteroids on the plant for LIV is not due to their known down-regulation of glutamate synthesis, because ectopic expression of glutamate dehydrogenase did not rescue effective N-2 fixation. Instead, the effect is specific to LIV and is accompanied by a major reduction in transcription and activity of LIV biosynthetic enzymes. Bacteroids become symbiotic auxotrophs for LIV and depend on the plant for their supply. Bacteroids with aap bra null mutations are reduced in number, smaller, and have a lower DNA content than wild type. Plants control LIV supply to bacteroids, regulating their development and persistence. This makes it a critical control point for regulation of symbiosis. MICROBIOLOGY

Characterization of recombinant influenza B viruses with key neuraminidase inhibitor resistance mutations

Objectives and methods: An influenza B virus plasmid-based rescue system was used to introduce site-specific mutations, previously observed in neuraminidase (NA) inhibitor-resistant viruses, into the NA protein of six recombinant viruses. Three mutations observed only among in vitro selected zanamivir-resistant influenza A mutants were introduced into the B/Beijing/1/87 virus NA protein, to change residue E116 to glycine, alanine or aspartic acid. Residue E116 was also mutated to valine, a mutation found in the clinic among oseltamivir-resistant viruses. An arginine to lysine change at position 291 (292 N2 numbering) mimicked that seen frequently in influenza A N2 clinical isolates resistant to oseltamivir. Similarly, an arginine to lysine change at position 149 (152 in N2 numbering) was made to reproduce the change found in the only reported zanamivir-resistant clinical isolate of influenza B virus. In vitro selection and prolonged treatment in the clinic leads to resistance pathways that require compensatory mutations in the haemagglutinin gene, but these appear not to be important for mutants isolated from immunocompetent patients. The reverse genetics system was therefore used to generate mutants containing only the NA mutation. Results and conclusions: With the exception of a virus containing the E116G mutation, mutant viruses were attenuated to different levels in comparison with wild-type virus. This attenuation was a result of altered NA activity or stability depending on the introduced mutation. Mutant viruses displayed increased resistance to zanamivir, oseltamivir and peramivir, with certain viruses displaying cross-resistance to all three drugs.

The uses of Atuna racemosa Raf. (Chrysobalanaceae) in Samoa

An ethnobotanical study was made of the uses of Atuna racemosa subsp. racemosa (Chrysobalanaceae) in Samoa. The main use is of the cotyledons to extract an anti-inflammatory massage oil and a putty to caulk boats. Minor uses as a medicinal and of the wood are reported and a survey of herbarium material shows that the fruit of Atuna is widely used throughout the Pacific region.

Acquiring, managing and applying knowledge for environmental conservation

We are experiencing an explosion of knowledge with relevance to conserving biodiversity and protecting the environment necessary to sustain life on earth. Many science disciplines are involved in generating this ne, knowledge and real progress can be made when scientists collaborate across disciplines to generate both macro- and micro-environmental knowledge and then communicate and interact with specialists in sociology, economics and public policy. An important requirement is that the often complex scientific concepts and their voluminous supporting data are managed in such ways as to make them accessible across the many specializations involved. Horticultural science has much to contribute to the knowledge base for environmental conservation. While it seems that production horticulture has been slow to embrace knowledge and concepts that would reduce the heavy reliance on agricultural chemicals, the use of peat as a growing medium, and lead to more sustainable use of water and other resources, environmental horticulture is providing valuable opportunities to rescue or protect endangered species, educate the public about plants and plant science, and demonstrate environmental stewardship and sustainable production practices. Likewise, social horticulture is drawing, attention to the many contributions of horticultural foods and parks and gardens to human health and welfare. Overall, horticulture has a vital role to play in integrating, knowledge from other scientific, social, economic and political disciplines.

Knowledge and information evaluation practice: an exploratory study in a construction firm

There are a number of challenges associated with managing knowledge and information in construction organizations delivering major capital assets. These include the ever-increasing volumes of information, losing people because of retirement or competitors, the continuously changing nature of information, lack of methods on eliciting useful knowledge, development of new information technologies and changes in management and innovation practices. Existing tools and methodologies for valuing intangible assets in fields such as engineering, project management and financial, accounting, do not address fully the issues associated with the valuation of information and knowledge. Information is rarely recorded in a way that a document can be valued, when either produced or subsequently retrieved and re-used. In addition there is a wealth of tacit personal knowledge which, if codified into documentary information, may prove to be very valuable to operators of the finished asset or future designers. This paper addresses the problem of information overload and identifies the differences between data, information and knowledge. An exploratory study was conducted with a leading construction consultant examining three perspectives (business, project management and document management) by structured interviews and specifically how to value information in practical terms. Major challenges in information management are identified. An through-life Information Evaluation methodology (IEM) is presented to reduce information overload and to make the information more valuable in the future.