Description of the risk factors for relapse in patients diagnosed with severe mental disorders

Objective: The objective of this paper is to describe the population served in mental health institutionsfor mental illness relapse, and the process of identifying risk factors in relapsing patientsdiagnosed with severe mental illness. To this end a descriptive exploratory multicenter, multistageepidemiological study was carried out in mental health institutions of the Order of San Juan deDios Hospital (OHSJD) with hospitalized relapsing patients with a diagnosis of severe mentaldisorder. This study comes from a working network of Psychology professionals in the OHSJDnationwide. Materials and methods: The population sample was of 1005 patients diagnosed withsevere mental disorders, who had presented relapse during the last year. First, the characterizationof the general population was conducted; then, it was narrowed down to the centers, taking intoaccount similarities and differences found according to the clinical and demographic variables.Results: Major risk factors for relapse found in patients diagnosed with severe mental disorderswere: having between 38 and 58 years of age, being female, single, graduates, unemployed, witha prevalence of bipolar affective disorder diagnosis, number of hospitalizations between 2 and10, number of drugs at the time of leaving hospital 2 to 6, with severe difficulties relating withothers and difficulties in adherence to treatment. The need for a caregiver was also found, as wellas a limited number of received psychological interventions. How the system of beliefs affects thedisease and the poor adherence to treatment was identified. Conclusions: These results indicatethe requirement of a design of team intervention strategies, ranging from the assessment team(home), definition of therapeutic action plans (for) and the posthospitalizacion (egress) following.There is a poor support network and limited adherence to comprehensive treatment.

Description and analysis of pulmonary rehabilitation care programs current state in four cities of Colombia

Purpose: there are many studies reporting the benefits of pulmonary rehabilitation, but few of them exhibit the behavior and activities of these services. This article presents the characteristics of services, parts management and training level of team members, in addition to the variables or instruments used to measure the effectiveness and impact in these programs. Method: it was made a cross sectional convenience sample which included seven pulmonary rehabilitation services in four Colombian cities (Bogotá, Medellín, Manizales and Cali), selected by the coverage, for having at least one year of experience and for being formally established and recognized nationwide. The interdisciplinary team of each service answered a survey that was validated through a pilot test and expert consensus. Participation was voluntary. Results: labor onset pulmonary rehabilitation services correspond to an average of a decade, with COPD and asthma pathologies of attention. The programs are characterized by an outpatient treatment with an average duration of eight to twelve weeks, with a frequency of an hour three times a week. Also, the director of the service is regularly a pulmonologist and the coordinator a physiotherapist (57.14%). The posgradual training of these professionals is notable, and they report to have procedural, administrative and communicative skills, but qualify regular there research skills. The physical and technological resources are well tested. 71.42% have done impact studies, but only 28.57% have been published. All have in common training in upper limbs, lower limbs, respiratory muscles, counseling, functional assessment and quality of life. The effectiveness and impact of programs is measured by the walking test, quality of life questionnaires and activities of daily living.

La Fiera del Libro per Ragazzi de Bologna i el Salon du livre et de la presse Jeunesse de Montreuil : dues maneres de posar-se (o millor treure' s) el barret. 'La Fiera del Libro per Ragazzi de Bologna y el Salon du livre et de la presse Jeunesse de Montreuil : dos maneras de ponerse (o mejor quitarse) el sombrero'.

En el artículo la autora nos relata sus experiencias al visitar la Fiera del Libro per Ragazzi y el Salon du livre et de la presse Jeunesse.

O papel do desenho livre no processo de projecto

A composição do espaço urbano parece hoje uma questão um pouco esquecida na prática da construção da cidade. Este processo de empobrecimento da riqueza formal e compositiva do espaço urbano esclarece-se quando entendidas as prioridades que disciplinas várias adquirem no planeamento, que passa a actuar a uma macro-escala, movendo o centro das preocupações urbanísticas para campos excêntricos à composição formal, alicerçada sobre a experimentação compositiva e a criatividade individual do projectista. É o percurso desta mudança que este artigo procura traçar sumariamente, relacionando-o com o processo de desenho ao longo das suas diversas fases.

Desafios da inclusão em Portugal : a importância das atividades de tempo livre na promoção das aprendizagens

O presente texto analisa os desafios da inclusão a partir da relação globalização e currículo na realidade educacional portuguesa em que se situa o prolongamento do tempo escolar - escola a tempo inteiro e o Programa de Enriquecimento Curricular que integram o 1º ciclo do ensino básico. Trata-se de uma investigação do tipo de estudo de caso desenvolvida a partir da aplicação de questionários, entrevista e análise de documentos em que se busca focar o desenvolvimento das aprendizagens a partir de atividades que envolvem processos de construção e ludicidade. A análise do processo de inclusão pretende ultrapassar os limites do debate que aponta as dificuldades e refletir sobre o processo de inclusão de uma criança com síndrome de Down em uma escola do ensino regular de Lisboa, que passa a frequentar o Centro de Actividade de Tempo Livre, em que se busca assinalar ações proactivas, capazes de avançar como o paradigma da inclusão.

A segurança nas actividades de ar livre e de aventura

RESUMO: A temática da segurança é uma das preocupações principais da sociedade actual. Dentro deste tema que é estudado nas mais diversas áreas da sociedade, a sua aplicação nas actividades de ar livre e de aventura é uma questão fundamental. As atividades de ar livre e de aventura caracterizam-se por um meio incerto, onde é importante o domínio das técnicas e aplicação das regras de segurança. É certo que cada vez existem mais praticantes das actividades de ar livre e de aventura, o aumento dos praticantes faz-se ao nivel desportivo, recreativo ou de lazer. O turismo de aventura está em crescimento em todo o mundo ocidental, sendo cada vez mais importante estudar o risco e a segurança nestas actividades. Sabemos que um dos locais mais importantes para trabalhar o risco e a segurança é ao nivel da escola, sendo o objectivo deste estudo verificar se a preocupação com a segurança está presente nos programas leccionados. Este estudo procurou identificar vários modelos de gestão de risco e verificar se estes seriam abordados nos três programas. Todas as entidades falam em segurança, diminuição do risco mas é importante clarificar o conceito e estudar se existe uma efectiva preocupação com esta questão. Este estudo procura enquadrar e discutir vários modelos de gestão de risco, verificando se essa existência está presente nos programas de EF, nos do Desporto Escolar e nos da ULHT. ABSTRACT: Security is a major concern of nowadays society. Within this subject that is studied in various areas of society, its applications in outdoor activities and adventure are a key issue. Outdoor activities and adventure are characterized by an uncertain environment, where it is important to master the techniques and application of safety rules. It is true that every day there are more people practicing outdoor activities and adventure, this increase is at the level of sport, recreation or leisure. Adventure tourism is growing throughout the Western world, and as so, it is increasingly important to study the risk and safety in these activities. We know that one of the most important places to study risk and safety is at school level, aiming to verify if security is present in the taught programs. This study sought to identify several models of risk management and verify if these would be addressed in the three programs. António Pedro Raposo Marques Vidal A SEGURANÇA NAS ACTIVIDADES DE AR LIVRE E DE AVENTURA 6 Many entities talk about safety and risk reduction, but it is important to clarify the concept and it is important to study if there is a real concern with this issue. This study seeks to encompass and discuss various models of risk management, ensuring that they are present in the programs of Physical Education in Sports School and the ULHT.

Edificio Lúdico de livre utilização: anti-edificio contemporâneo

A presente dissertação centra-se num estudo sobre, a conceção de um edifício lúdico, de utilização livre, sendo o projeto uma proposta atualizada e contemporânea de um edifício, relativamente utópico, que encontra no Fun Palace de Cedric Price o seu melhor antecedente. Apresenta-se uma breve referência a dois espaços sociais que sofreram influência deste anti edifício: o centro George Pompidou em Paris e Jaaga, na India. Os dois casos de estudo aqui apresentados, Downtowm Athletic Club em Nova Iorque e o pavilhão da Holanda em Xangai, revelam características relacionadas com o tema do dissertação – liberdade no espaço lúdico e enquanto locais onde o mote da sexualidade é integrado. O projeto resulta da análise das evoluções sofridas, desde 1960, no que diz respeito aos novos conhecimentos científicos que vieram contribuir para a geração de novas formas de apropriação de conceitos como é o caso do conceito da liberdade em espaços públicos e o da sexualidade. O conceito da sexualidade que evolui com os avanços que as neurociências atingem sobre o conhecimento do cérebro e das emoções e que se traduzem em novas demandas do viver contemporâneo

A description of characteristics of very young children referred for speech and language evaluation at Central Institute for the Deaf

This paper discusses the early identification and assessment of children younger than six who were referred to the Central Institute for the Deaf Speech and Hearing Clinic.

A description of the FAMOUS (version XDBUA) climate model and control run

FAMOUS is an ocean-atmosphere general circulation model of low resolution, capable of simulating approximately 120 years of model climate per wallclock day using current high performance computing facilities. It uses most of the same code as HadCM3, a widely used climate model of higher resolution and computational cost, and has been tuned to reproduce the same climate reasonably well. FAMOUS is useful for climate simulations where the computational cost makes the application of HadCM3 unfeasible, either because of the length of simulation or the size of the ensemble desired. We document a number of scientific and technical improvements to the original version of FAMOUS. These improvements include changes to the parameterisations of ozone and sea-ice which alleviate a significant cold bias from high northern latitudes and the upper troposphere, and the elimination of volume-averaged drifts in ocean tracers. A simple model of the marine carbon cycle has also been included. A particular goal of FAMOUS is to conduct millennial-scale paleoclimate simulations of Quaternary ice ages; to this end, a number of useful changes to the model infrastructure have been made.

U.K. HiGEM: The New U.K. High-Resolution Global Environment Model—Model Description and Basic Evaluation

This article describes the development and evaluation of the U.K.’s new High-Resolution Global Environmental Model (HiGEM), which is based on the latest climate configuration of the Met Office Unified Model, known as the Hadley Centre Global Environmental Model, version 1 (HadGEM1). In HiGEM, the horizontal resolution has been increased to 0.83° latitude × 1.25° longitude for the atmosphere, and 1/3° × 1/3° globally for the ocean. Multidecadal integrations of HiGEM, and the lower-resolution HadGEM, are used to explore the impact of resolution on the fidelity of climate simulations. Generally, SST errors are reduced in HiGEM. Cold SST errors associated with the path of the North Atlantic drift improve, and warm SST errors are reduced in upwelling stratocumulus regions where the simulation of low-level cloud is better at higher resolution. The ocean model in HiGEM allows ocean eddies to be partially resolved, which dramatically improves the representation of sea surface height variability. In the Southern Ocean, most of the heat transports in HiGEM is achieved by resolved eddy motions, which replaces the parameterized eddy heat transport in the lower-resolution model. HiGEM is also able to more realistically simulate small-scale features in the wind stress curl around islands and oceanic SST fronts, which may have implications for oceanic upwelling and ocean biology. Higher resolution in both the atmosphere and the ocean allows coupling to occur on small spatial scales. In particular, the small-scale interaction recently seen in satellite imagery between the atmosphere and tropical instability waves in the tropical Pacific Ocean is realistically captured in HiGEM. Tropical instability waves play a role in improving the simulation of the mean state of the tropical Pacific, which has important implications for climate variability. In particular, all aspects of the simulation of ENSO (spatial patterns, the time scales at which ENSO occurs, and global teleconnections) are much improved in HiGEM.