Conhecimentos sobre o HPV e cancro do colo do útero nos adolescentes

O Cancro do Colo do Útero (CCU) é uma das principais causas de morte por neoplasia nas mulheres, em todo o mundo. A principal etiologia do CCU é a infeção persistente pelas estirpes oncogénicas do Vírus do Papiloma Humano (HPV) (Ferreira, 2013). Esta temática é de grande interesse para a Saúde Pública por se tratar de uma infeção que na maioria dos casos se apresenta de forma assintomática, afetando ambos os sexos (Leite, Lisboa, & Azevedo, 2011). O presente trabalho tem como objetivos avaliar os conhecimentos dos alunos do Ensino Secundário do Agrupamento de escolas Emidio Garcia, em Bragança, sobre o HPV e CCU e conhecer os dados referentes à cobertura vacinal da população do Concelho de Bragança, relativamente à vacina do HPV no ano de 2014. O estudo efetuado é de tipologia observacional-descritivo e correlacional, de paradigma quantitativo através de um processo sistemático de recolha de dados, num plano transversal. Numa amostra de 196 alunos do ensino secundário do Agrupamento de escolas Emídio Garcia em Bragança, com base num erro amostral de 5%, com um nível de confiança de fidelidade de 95%, classificada como amostra não probabilística, acidental/ocasional. O instrumento de recolha de dados utilizado foi um questionário da autoria de Diana Ramada e Rui Medeiros, validado e devidamente autorizado. As principais conclusões do estudo relativamente aos conhecimentos sobre esta temática por parte dos alunos, revelam que o maior conhecimento reside nos mais jovens com idades compreendidas entre os 15 e 16 anos em relação aos alunos de 18 e 19 anos. São alunos que estão bem informados no que diz respeito às manifestações e aos fatores de risco da infeção por HPV, conscientes de que afeta tanto o sexo feminino com o masculino e que os indivíduos do sexo masculino podem ser portadores assintomáticos. Reconhecem que a infeção pelo vírus do HPV é curável e que a persistência desta infeção pode provocar CCU. Existe uma lacuna relativamente ao HPV ser o agente mais comum das IST, em que 93,4% dos inquiridos respondeu ser o HIV. Revelam desconhecimento relativamente à localização e modos de transmissão deste vírus. Manifestaram interesse por adquirir e aprofundar conhecimentos, assinalando a escola e os profissionais de saúde como centro de informação. Existe, no entanto, um aspeto positivo a concluir, ao se verificar que a vacinação tem uma grande adesão e que é cumprido o esperado pelo Plano Nacional de Vacinação, diminuindo o risco de infeção por HPV e em consequência reduzindo a incidência do CCU, por infeção persistente de HPV.

Prevalência de úlceras de pressão em dois hospitais portugueses: Impacto da Escala de Braden associada a um protocolo de prevenção

As úlceras de pressão constituem um importante problema de saúde pública comum a diversos cenários de cuidados, em todo o mundo, e também em Portugal, nomeadamente para a população mais idosa. O presente estudo teve como objectivos determinar o impacto da escala de Braden associada a um protocolo de prevenção de úlceras de pressão na prevalência destas lesões, assim como, monitorizar o problema das úlceras de pressão em dois hospitais portugueses, em que o Hospital A utiliza estes instrumento e o Hospital 8 não usa esses instrumentos. Foi utilizado o Instrumento de Prevalência de Úlceras de Pressão validado para Portugal na recolha dos dados. Os dados foram obtidos através da observação directa dos doentes. Foram realizadas duas avaliações com um intervalo de três meses em cada hospital. Os resultados encontrados revelaram que as úlceras de pressão constituem um problema de saúde para os dois hospitais observados. No entanto, o Hospital A apresenta menor taxa de prevalência de úlceras de pressão, menor número de úlceras de pressão mais graves, menor possibilidade de um doente adquirir uma úlcera de pressão e maior utilização de medidas preventivas. Os valores encontrados foram estatisticamente significativos para p <0,05. Confirma-se que a utilização da escala de Braden associada a um protocolo de prevenção de úlceras de pressão é uma medida eficaz na redução do número de úlceras de pressão. Para uma maior eficácia deste instrumento será importante a sua utilização como ferramenta de controlo da adequação das medidas preventivas. ABSTRACT; Pressure ulcers are an important public health problem common to several scenarios of care in the world, and also in Portugal, particularly for the elderly. This study aims to determine the impact of the Braden scale associated with a protocol for prevention of pressure ulcers in prevalence of these lesions, as well as monitor the problem of pressure ulcers in two Portuguesa hospitais, the Hospital A uses these instrument and Hospital B doesn’t. It was used the instrument of Prevalence of pressure ulcers validated for Portugal in the data collection. Data were collected through direct observation of patients. There were two assessments with an interval of three months in each hospital. The results showed that the pressure ulcers are a health problem for both hospitals observed. However, the Hospital A provides a lower prevalence rate of pressure ulcers, lower number of pressure ulcers more serious, less possibility of a patient acquiring a pressure ulcer and increased use of preventive measures. The values were statistically significant for p<0.05. lt is confirmed that the use of the Braden scale associated with a protocol for prevention of pressure ulcers is an effective measure in reducing the number of pressure ulcers. For greater efficiency will be important to use it as a tool for monitoring the adequacy of preventive measures.

Attachment patterns and suicidal behaviours on higher education students

Introduction: Every individual has a necessity to establish affective relationships throughout life in order to feel comfort and support. This need is called attachment and allows the human being to explore the world, acquiring knowledge about himself and everyone else(1) There are several changes that occur on students’ lives when enrolling and attending university, a period that is known to include a set of situational and academic transitions which might lead to mental health problems, and thus making students more vulnerable and more prone to develop suicidal behaviours. Objectives: To determine the prevalence of suicidal ideation on higher education students and to assess its relationship with attachment patterns. Methods: Quantitative, descriptive and correlational study, applied on a sample of 1074 students from a Portuguese higher education institution. Data collection was possible through an online platform that included a survey with questions regarding sociodemographical and academic profiling, the Portuguese version of the Adult Attachment Scale (EVA)(2) and the Suicidal Ideation Questionnaire(3) Results: Students’ age varies between the 17 and 49 ( = 23,9 years old ± 6,107 Sd), the vast majority (64.7%) are females. Results show that the presence/severity of suicidal thoughts is low ( = 13.84; ± 20.29 Sd) on a scale from 0 to 180 and cut-off point > 41 for values that suggest potential suicidal risk, and based on that, 84 students were identified (7,8%). We verified significant relationships between suicidal ideation and anxiety and attachment (r=0.314 p=0.000). Conclusions: Although there is not a high prevalence of suicidal ideation on students, we found 84 students in our sample (7,8%) that reveal a potential risk for suicide. The results also show that young students with safe attachment patterns display less suicidal ideation. Safe attachment patterns are essential on interpersonal and social relationships and play an important role during the academic period. We cannot be indifferent towards this issue due to its individual, familiar and social repercussions. Every higher education institution should then establish student support offices and develop mental health promotion programs as well as suicide prevention campaigns.

Uncertainty Management in Acquisitions: What Scenario Analysis Could Offer

This study answers to How scenario analysis could help acquiring companies to reduce uncertainty in the acquisition process? It is due to the mismatch between academic world’s caveat emptor and business world’s eagerness to pursue acquisitions that motivated this study. Acquisitions are as popular as ever, thus, managing the uncertainty surrounding these transactions is relevant. This study creates a generic theoretical model with a strategy-level scope. Thus, the study does not discuss nor does it seek answers to operational issues related in both fields. This study is explorative and constructivist in nature. It discusses briefly the concepts and relatedness of risk and uncertainty and establishes a hierarchy between these two: Risks being a “sub-section” of uncertainty, although not with clear boundaries. Acquisition theory follows the process view that understands acquisitions as a process with various levels – some strategic, some operational. Scenario analysis is presented as tool for management to enrich their strategic discussion and understand their future options. The empirical data collection is done through interviewing. The results are reflected on literature on strategic management, scenario literature, and on a consultancy’s report picturing firm’s strategies in accordance with their acquisition processes. The study has an abductive approach as it tries to combine multiple views and generates discussion between literature review, interviews, the report, and second round of literature. The model suggests three propositions: First, at the strategic decision making level, when the decision whether or not to pursue an acquisition growth strategy has been made, it provides firms new data and enriches the strategic discussion. Second, when the acquisition strategy has been created, it can be applied as a tool to measure possible acquisition targets against the backdrop of the first set of scenarios. Third, due to the scenario analysis’ requirement to include people with various backgrounds and from multiple levels of the corporate hierarchy, it could help managers to avoid biases stemming from hubris.

Corrective feedback in oral interaction: A comparison of a CLIL and an EFL classroom

[EN] Since Long's Interaction Hypothesis (Long, 1983) multiple studies have suggested the need of oral interaction for successful second language learning. Within this perspective, a great deal of research has been carried out to investigate the role of corrective feedback in the process of acquiring a second language, but there are still varied open debates about this issue. This comparative study seeks to contribute to the existing literature on corrective feedback in oral interaction by exploring teachers' corrective techniques and students' response to these corrections. Two learning contexts were observed and compared: a traditional English as a foreign language (EFL) classroom and a Content and Language Integrated Learning (CLIL) classroom .The main aim was to see whether our data conform to the Counterbalance Hypothesis proposed by Lyster and Mori (2006). Although results did not show significant differences between the two contexts, a qualitative analysis of the data shed some light on the differences between these two language teaching settings. The findings point to the need for further research on error correction in EFL and CLIL contexts in order to overcome the limitations of the present study.

The study of correlation between sea surface temperature (SST) by using the NOAA-AVHRR data and compare this data with temperature measurement in the Caspian Sea

The changes in time and location of surface temperature from a water body has an important effect on climate activities, marine biology, sea currents, salinity and other characteristics of the seas and lakes water. Traditional measurement of temperature is costly and time consumer due to its dispersion and instability. In recent years the use of satellite technology and remote sensing sciences for data acquiring and parameter and lysis of climatology and oceanography is well developed. In this research we used the NOAA’s Satellite images from its AVHRR system to compare the field surface temperature data with the satellite images information. Ten satellite images were used in this project. These images were calibrated with the field data at the exact time of satellite pass above the area. The result was a significant relation between surface temperatures from satellite data with the field work. As the relative error less than %40 between these two data is acceptable, therefore in our observation the maximum error is %21.2 that can be considered it as acceptable. In all stations the result of satellite measurements is usually less than field data that cores ponds with the global result too. As this sea has a vast latitude, therefore the different in the temperature is natural. But we know this factor is not the only cause for surface currents. The information of all satellites were images extracted by ERDAS software, and the “Surfer” software is used to plot the isotherm lines.

A comparison of risky sexual behaviours between circumcised and uncircumcised men aged 30-44 years in Botswana.

Background: The principal mode of HIV transmission in Southern Africa is through sexual intercourse, and this has prompted uptake of safe male circumcision. Engaging in risky sexual behaviour by circumcised men increases the risks of acquiring HIV, though male circumcision coupled with preventive behaviour reduces this risk. Objective: To compare the factors associated with risky sexual behaviour among circumcised and uncircumcised men in Botswana. Methods: Nationally representative data from the Botswana AIDS Impact Survey III were used. A sample of 313 sexually active men was used. The data was analysed by cross-tabulation and logistic regression. Results: The study revealed that uncircumcised men (odds ratio, 5.711) were more likely to have sex while intoxicated with alcohol compared to circumcised men. Low levels of education (odds ratio, 8.736), urban residency (city/town: odds ratio, 1.238 and urban village: odds ratio, 1.098) were more likely to influence risky behaviour (more than one sexual partner) for circumcised men. The results also show that marital status (never married) (odds ratio, 1.947) influences risky behaviour (having sex while intoxicated with alcohol) among uncircumcised men. Conclusion: Low level of education, place of residence and alcohol consumption influences risky sexual behaviour for both circumcised and uncircumcised men. Policies and programmes should thus focus on the attitudes underlying sexual behaviour.

Das raízes

O objetivo deste projeto artístico foi desenvolver um conhecimento mais aprofundado relacionado com a execução e interpretação de técnicas de percussão tradicionais aliadas a técnicas contemporâneas. De entre as várias técnicas tradicionais de percussão optei por desenvolver as da percussão Africana (Guiné e Burkina Faso, e mais tarde Nigéria) e as da percussão Cubana. Criei assim um projeto artístico de fusão intitulado Das Raízes, no qual ao longo dos dois anos do curso de mestrado estive em contacto com a música Africana e Cubana aliada a técnicas contemporâneas e composições originais (minhas e de outros compositores). Para cada obra explorei primeiro as técnicas tradicionais e em seguida adaptei-as à percussão contemporânea, num processo onde as suas raízes africanas, cubanas ou até afro- cubanas são evidentes. Neste projeto salienta-se o papel preponderante das mãos. No século XXI o uso da baqueta predomina como a técnica mais forte para dominar os instrumentos nos conservatórios e nas escolas superiores de música. Após ter adquirido esta técnica resolvi aprofundar as técnicas tradicionais onde predominam o uso não só da baqueta mas também da mão, um mundo antigo na sua existência, mas novo para mim. Espero poder transportar o ouvinte para um mundo em que cor, movimento e som, antiguidade e contemporaneidade estão em constante vibração.

The timing and interval of mate encounter affects investment during mating

The benefits obtained from mating are usually condition-dependent, favouring the evolution of flexible investment during copulation, for instance, in terms of invested time, energy, or sperm. Flexible investment strategies are predicted to depend on the likelihood of acquiring alternative mates and therefore they should depend on the timing of mate encounter. However, scarce experimental evidence for this hypothesis exists. Here we manipulated the time delay until first mating and the interval between first and second mating in the polygynandrous common lizard, Zootoca vivipara. We determined treatment effects on fertilisation success and copulation duration, the latter being a proxy for investment in mating and for quantity of transferred sperm. The duration of the second copulation decreased with increasing inter-mating interval and depended on the fertilisation success of first mates. The former provides evidence for time-dependent investment strategies, most likely resulting from the progression of the female's reproductive cycle. Fertilisation success of first mates increased with increasing inter-mating interval and was higher when females were closer to ovulation, showing that flexible investment strategies significantly affected male reproductive success. This points to fertilisation assurance, which may mitigate negative effects of low population density on reproductive success, e.g. Allee effects.

Ciríaco de Cardoso e O burro do Sr. Alcaide : percursos de formação de um compositor de comédia musical no Portugal finissecular

O principal objetivo deste estudo foi compreender as etapas do percurso artístico do compositor portuense Ciríaco de Cardoso (1846 – 1900) e os discursos em torno de uma das suas obras mais célebres: O burro do Sr. Alcaide (1891). No primeiro capítulo procurou-se identificar e discutir os critérios que estiveram na base das opções profissionais tomadas por Ciríaco. O decurso da sua carreira leva a crer que possuía uma noção profunda das atividades que, no espaço lusófono, apresentavam maior potencial de aquisição quer de capital económico, quer de capital simbólico. É por isso que, mobilizando recursos das suas redes de sociabilidade, circula por instituições no Porto e em Lisboa mas, também, pelo lucrativo mercado teatral do Rio de Janeiro, assim como em Paris. Concentra-se no popular teatro musical – principal fonte de sustento – em paralelo com a atividade concertística e operática – forma de distinção atendendo à competitividade no mercado musico-teatral. Percebe também que a maximização do seu poder simbólico depende da legitimação alcançada pela sua associação às elites socioculturais locais, pelo que fomenta o estabelecimento de sociabilidades que se estendem inclusive às casas reais portuguesa e brasileira. Paradoxalmente, as edes mais próximas de Ciríaco estavam vinculadas a um idealismo republicano, relacionamento que exponencial proliferação de discursos dessa índole pelos media lusófonos (sobretudo a partir do tricentenário camoniano de 1880) e, por outro, pela aparente inexistência de registos que associem inequivocamente o artista ao ativismo republicano. Não obstante, é provável que Ciríaco de Cardoso tenha explorado o filão antimonárquico na programação da temporada de 1891 do Teatro da Avenida. O segundo capítulo explora a produção de O burro do Sr. Alcaide, através da análise da sua estrutura e das relações da obra com a realidade portuguesa da última década do século XIX. Embora respeite o modelo da opereta francesa, apresenta também características que poderão levar a que seja interpretada como transmissora de uma portugalidade idealizada, em linha com o nacionalismo português do último quartel do século. A ação decorre em Lisboa, cenário de interação entre personagens-tipo e caricaturas de personalidades concretas da elite sociopolítica portuguesa. Através de referências ao sebastianismo, satiriza-se o comportamento dessas elites, assim como as instituições da monarquia constitucional e a prevalência de uma visão messiânica dos governantes por parte da sociedade em geral. Faz-se a apologia da ruralidade através de tópicos musicais e de quadros onde se constrói uma imagem da música tradicional, correspondendo a uma idealização da nação – notada e enfatizada na receção pela crítica. Utiliza também outros tópicos pertencentes à paisagem sonora do público burguês, completando a expressão da urbanidade de um país onde essas duas realidades não eram ainda completamente dissociáveis. Contudo, ao não propor alterações efetivas à hierarquia da sociedade portuguesa finissecular, o desfecho da obra leva a concluir que esta terá consistido numa forma de propaganda o que, por um lado, explica o seu mediatismo e, por outro, vincula os seus autores – mais ou menos conscientes disso – às lutas políticas em curso aquando do ano da sua estreia.

Efetividade da doxiciclina na profilaxia contra letptospirose

Leptospirosis is a worldwide zoonosis of considerable medical and economical importance that affects humans in both urban and rural contexts, as well as domestic animals and wild fauna. Leptospira interrogans is the causative agent and is transmitted to humans by indirect contact with contaminated soil or water. The clinical syndromes include sub clinical infection, self-limited anicteric febrile illness, and severe and potentially fatal illness, known as Weil´s syndrome. In developed countries, leptospirosis is related to occupational or recreational activities while in developing countries, outbreaks occur during floods. In those regions, traditional strategies to prevent the transmission are difficulties to be implemented because of costs and lack of community acceptance. In addition, no efficient vaccine is available for human use. Several studies have suggested that chemoprophylaxis with doxycycline pre and post-exposure may be effective to prevent leptospirosis. Leptospirosis has been reported in rural areas of the State of Rio Grande do Norte, Brazil since 1985 in rice farmers who present the anicteric illness. The disease cause great social and economics impact. The study was conducted in São Miguel where an epidemic of leptospirosis in rice farmers was reported. The main objective was to determine the efficacy of doxycycline in preventing Leptospira exposure. A taxa de soroprevalência de leptospirose na população estudada antes e após a colheita foi de 14,2% (n=22) e de 16.6% (n=27) respectivamente. Anti-Leptospira serology was determined for 61 subjects in two instances, pre and post-exposure to potential contaminated water. There was an increased risk of 29.0 per cent in acquiring infection for individuals that did not use doxycycline. In addition, an increased risk of 30.0 % observed in farmers who did not use protection when exposed to Leptospira. The adhesion to preventive chemoprophylaxis was 55.7%. Therefore doxycycline, under specific circunstances appears to be an effective alternative to protect against leptosprirosis infection. A large sample composed of individuals to adhere to preventive therapy is needed to define time, dosage and length of use of doxycycline in this area

Projecto Oficina/Escola: Escola Municipal Amabílio Vieira dos Santos

Este estudo analisa a importância de implantar o Projeto Oficina Escola para fornecer aos alunos a oportunidade de adquirir competências e habilidades, implantando uma gestão inovadora de aprendizagem observando a flexibilidade da escola inserindo a prática da arte em período integral, como currículo alternativo. O presente trabalho é de natureza quantitativa e qualitativa, tipo estudo de caso e o campo de aplicação foi Escola Municipal Amabílio Vieira dos Santos. Quanto à revisão teórica buscou-se conceituar o currículo e suas nuances para tomá-lo adequado à realidade. A pesquisa envolveu estudos sobre diferenças sociais do Bairro Santa Cruz. Tratou-se de uma pesquisa descritiva, quanto aos fins e meios, bem como, uma pesquisa-ação participativa, pois envolveu procedimentos que integram a comunidade escolar e demais parceiros, sendo um projeto de ação social e cultural. Na finalização do trabalho elaboraram-se as considerações e limitações quanto ao desenvolvimento do Projeto Oficina Escola. ABSTRACT; This study it analyses the importance of to implement School Workshop Project to provide the students the opportunity acquiring competences and abilities, performing an innovated management of learning observing the school flexibility inserting the practice of Art in a full time system, as an alternative curriculum. The present work composition is a quantity and qualitative one, kind case study e the field of its application was the Municipal School Amabílio Vieira Dos Santos. White the theory review, it searches to give the concept of the curriculum and its particularities to become it appropriated to the reality. The research involved studies about the social differences at the District Santa Cruz. It was a descriptive research, white the finals and insides, as well a participative research, because it involved procedures that integrated the school community partners, being a social and cultural project. The finalization of this work elaborates the considerations and limitations as the development of the School Work shop Project.

‘Failure to maintain’: care rationing and the clinical and financial burden of nurse sensitive hospital-acquired complications in complex older patients

Background: The ageing population, with concomitant increase in chronic conditions, is increasing the presence of older people with complex needs in hospital. People with dementia are one of these complex populations and are particularly vulnerable to complications in hospital. Registered nurses can offer simultaneous assessment and intervention to prevent or mitigate hospital-acquired complications through their skilled brokerage between patient needs and hospital functions. A range of patient outcome measures that are sensitive to nursing care has been tested in nursing work environments across the world. However, none of these measures have focused on hospitalised older patients. Method: This thesis explores nursing-sensitive complications for older patients with and without dementia using an internationally recognised, risk-adjusted patient outcome approach. Specifically explored are: the differences between rates of complications; the costs of complications; and cost comparisons of patient complexity. A retrospective cohort study of an Australian state’s 2006–07 public hospital discharge data was utilised to identify patient episodes for people over age 50 (N=222,440) where dementia was identified as a primary or secondary diagnosis (N=44,422). Extra costs for patient episodes were estimated based on length of stay (LOS) above the average for each patient’s Diagnosis Related Group (DRG) (N=157,178) and were modelled using linear regression analysis to establish the strongest patient complexity predictors of cost. Results: Hospitalised patients with a primary or secondary diagnosis of dementia had higher rates of complications than did their same-age peers. The highest rates and relative risk for people with dementia were found in four key complications: urinary tract infections; pressure injuries; pneumonia, and delirium. While 21.9% of dementia patients (9,751/44,488, p<0.0001) suffered a complication, only 8.8% of non-dementia patients did so (33,501/381,788, p<0.0001), giving dementia patients a 2.5 relative risk of acquiring a complication (p<0.0001). These four key complications in patients over 50 both with and without dementia were associated with an eightfold increase in length of stay (813%, or 3.6 days/0.4 days) and double the increased estimated mean episode cost (199%, or A$16,403/ A$8,240). These four complications were associated with 24.7% of the estimated cost of additional days spent in hospital in 2006–07 in NSW (A$226million/A$914million). Dementia patients accounted for 22.0% of these costs (A$49million/A$226million) even though they were only 10.4% of the population (44,488/426,276 episodes). Hospital-acquired complications, particularly for people with a comorbidity of dementia, cost more than other kinds of inpatient complexity but admission severity was a better predictor of excess cost. Discussion: Four key complications occur more often in older patients with dementia and the high rate of these complications makes them expensive. These complications are potentially preventable. However, the care that can prevent them (such as mobility, hydration, nutrition and communication) is known to be rationed or left unfinished by nurses. Older hospitalised people who have complex needs, such as those with dementia, are more likely to experience care rationing as their care tends to take longer, be less predictable and less curative in nature. This thesis offers the theoretical proposition that evidence-based nursing practices are rationed for complex older patients and that this rationed care contributes to functional and cognitive decline during hospitalisation. This, in turn, contributes to the high rates of complications observed. Thus four key complications can be seen as a ‘Failure to Maintain’ complex older people in hospital. ‘Failure to Maintain’ is the inadequate delivery of essential functional and cognitive care for a complex older person in hospital resulting in a complication, and is recommended as a useful indicator for hospital quality. Conclusions: When examining extra length of stay in hospital, complications and comorbid dementia are costly. Complications are potentially preventable, and dementia care in hospitals can be improved. Hospitals and governments looking to decrease costs can engage in risk-reduction strategies for common nurse sensitive complications such as healthy nursing work environments that minimise nurses’ rationing of functional and cognitive care. The conceptualisation of complex older patients as ‘business as usual’ rather than a ‘burden’ is likely necessary for sustainable health care services of the future. The use of the ‘Failure to Maintain’ indicators at institution and state levels may aid in embedding this approach for complex older patients into health organisations. Ongoing investigation is warranted into the relationships between the largest health services expense (hospitals), the largest hospital population (complex older patients), and the largest hospital expense (nurses). The ‘Failure to Maintain’ quality indicator makes a useful and substantive contribution to further clinical, administrative and research developments.

Exploring fertility decisions among pregnant HIVpositive women on antiretroviral therapy at a health centre in Balaka, Malawi: A descriptive qualitative

Background The proportions of women of reproductive age living with the human immunodeficiency virus (HIV) vary between different regions of the world, with significantly higher proportions in sub-Saharan Africa. Family planning is one of the major issues that couples and families affected with HIV must confront. We aimed to assess the cultural and social factors associated with childbearing and family planning knowledge, decisionmaking, and practices among HIV-positive pregnant women attending antenatal clinic at a health centre in Balaka, Malawi. Methods This was a qualitative descriptive study carried out at Kalembo Health Centre in Balaka. A purposive sampling technique was used to select pregnant women enroled in the antiretroviral therapy (ART) programme. A sample size of thirty-five women was decided upon after data saturation. Qualitative inquiry was used during data collection. Data were analysed using systematic text condensation, while numbers and percentages were generated using Microsoft Excel. Results Out of 35 participants, 20 were aged between 25 and 34 years, and 18 had been married at least three times. All 35 women wished to have their own biological child. Factors, reported by participants, that promote childbearing included: the desire to please their husbands, fear of losing their husbands to others if they did not bear children, the knowledge that ART would help prevent their children from acquiring the virus, the desire to prove to others that they can also bear children, and a lack of family planning leading to unplanned pregnancies. Conclusions The factors that lead to pregnancies among women on ART in Balaka ranged from assured safety of the child from HIV, lack of contraception, to other factors related to their partners. The authors recognize and support the freedom for women to become pregnant and bear children, and, in the context of HIV infection, fertility and reproductive services should include a comprehensive approach towards addressing issues of HIV and AIDS and childbearing among infected women.

A educação global e o diálogo intercultural em contexto de aprendizagem online : os cursos de educação global

A enorme interdependência entre os povos, que caracteriza o mundo contemporâneo, justifica a importância crucial da aquisição de competências de comunicação intercultural, uma vez que poderão ter um efeito catalisador na resolução de grandes questões globais. O desafio que é colocado à Educação, para colaborar na aquisição de tais competências, é de adaptação aos novos meios de comunicação globais e de reinvenção de novas metodologias e abordagens. Destacam-se neste campo a Educação Global, como um campo interdisciplinar que se concretiza num processo de aprendizagem transformativa, focando-se nas questões e desafios globais, e o Ensino Online, possuidor da capacidade de quebrar barreiras físicas e temporais e juntar num mesmo “espaço” pessoas dos mais variados pontos do planeta. Com o objetivo geral de analisar a importância dos contextos de formação online no desenvolvimento de competências interculturais, esta investigação propõe-se mostrar de que forma cursos online, oferecidos em contexto multicultural, na área de Educação Global, promovem o desenvolvimento de competências de comunicação intercultural. De entre os resultados da investigação destaca-se a aquisição moderada de uma maior consciência intercultural e de aptidões de comunicação intercultural, considerando-se como elementos fundamentais para a promoção de diálogos interculturais ao longo do curso o facto de a turma ser multicultural, a colaboração entre pares e algumas das ferramentas de comunicação existentes na plataforma onde decorreu a formação.