Intervenção psicomotora por terras de Moçambique : crianças com paralisia cerebral e jovens com DID, uma realidade escondida

O presente documento, criado no âmbito da Unidade Curricular de Atividade de Aprofundamento de Competências Profissionais, do Mestrado em Reabilitação Psicomotora, apresenta o trabalho desenvolvido no Centro de Reabilitação Psicossocial, das Irmãs Hospitaleiras em Maputo – Moçambique. O processo de intervenção psicomotora foi desenvolvido com jovens/adultos com Dificuldades Intelectuais e Desenvolvimentais e crianças com Paralisia Cerebral ou Atraso Global do Desenvolvimento, durante 8 meses. A intervenção concretizou-se em sessões de grupo e individuais em contexto de atividade motora, terapias expressivas, desenvolvimento pessoal e social com os jovens/adultos e em contexto de promoção do desenvolvimento psicomotor, atividades psicopedagógicas e terapias expressivas com as crianças, com objetivo de promoção de bem-estar, qualidade de vida, funcionalidade e autonomia dos utentes, tendo em conta o contexto cultural, familiar e as potencialidades, dificuldades e interesses. No processo de intervenção estiveram presentes as fases próprias da prática terapêutica, observação, conhecimento e criação de relação empática com os utentes, avaliação inicial, processo de intervenção planeado, avaliação final e comparação dos resultados com avaliação inicial e reflexão sobre o mesmo. É ainda apresentado um projeto de investigação centrado no estudo das atitudes da comunidade do Bairro das Mahotas perante a população com Dificuldade Intelectual e Desenvolvimental.

Análise da trajetória de poços horizontais em reservatório de óleo pesado

The application of thermal methods, to increase the recovery of heavy oil in mature fields through drainage with multilateral and horizontal wells, has been thoroughly studied, theorically, experimentally, testing new tools and methods. The continuous injection of steam, through a steam injector well and a horizontal producer well in order to improve horizontal sweep of the fluid reservoir, it is an efficient method. Starting from an heterogeneous model, geologically characterized, modeling geostatistics, set history and identification of the best path of permeability, with seismic 3D, has been dubbed a studying model. It was studied horizontal wells in various directions in relation to the steam and the channel of higher permeability, in eight different depths. Into in the same area were studied, the sensitivity of the trajectories of horizontal wells, according to the depth of navigation. With the purpose of obtaining the highest output of oil to a particular flow, quality, temperature and time for the injection of steam. The wells studied showed a significant improvement in the cumulative oil recovery in one of the paths by promoting an alternative to application in mature fields or under development fields with heavy oil

El marketing de las identidades: Los aspectos socio-políticos de las indicaciones geográficas

Resumen Aunque los aspectos productivos, económicos y legales de las indicaciones geográficas (IG) han sido analizados ampliamente, las dinámicas sociales y políticas detrás de su establecimiento, y sus efectos sobre los diferentes sectores de las comunidades involucradas, necesitan más investigación. ¿Podrían las IG ofrecer un instrumento válido para obtener diferentes formas de agricultura sostenible, orientadas a la calidad y de raíces locales? ¿O más bien son sólo una herramienta de “marketing” basada en utopías agrarias e ideas románticas del pasado, destinadas a la transformación de productos tradicionales y artesanales en mercancías de alto precio? Este artículo examina cuáles son los elementos que están siendo incluidos, excluidos o negociados en las definiciones legales de las IG. También se explora el potencial de los instrumentos jurídicos alternativos para la protección de la producción alimentaria de las comunidades rurales en los países menos desarrollados.Abstract Although the productive, economic and legal aspects of geographical indications (GI) have been widely discussed, the social and political dynamics behind their establishment, and their effect on different sectors of the communities involved need further investigation. Can GIs become a valid tool to implement community-based, sustainable and quality-oriented agriculture? Or are they rather just a marketing tool based on agrarian utopias and romanticized ideas of the past, aimed at the commoditization and high-priced sale of traditional and artisanal products? The article will examine what elements are included, excluded or negotiated in the legal definitions of GI. The potential of alternative juridical instruments in protecting the food production of rural communities in less developed countries will also be explored. 

The burden of neck pain: its meaning for persons with neck pain and healthcare providers, explored by concept mapping

PURPOSE: To empirically define the concept of burden of neck pain. The lack of a clear understanding of this construct from the perspective of persons with neck pain and care providers hampers adequate measurement of this burden. An additional aim was to compare the conceptual model obtained with the frequently used Neck Disability Index (NDI). METHODS: Concept mapping, combining qualitative (nominal group technique and group consensus) and quantitative research methods (cluster analysis and multidimensional scaling), was applied to groups of persons with neck pain (n = 3) and professionals treating persons with neck pain (n = 2). Group members generated statements, which were organized into concept maps. Group members achieved consensus about the number and description of domains and the researchers then generated an overall mind map covering the full breadth of the burden of neck pain. RESULTS: Concept mapping revealed 12 domains of burden of neck pain: impaired mobility neck, neck pain, fatigue/concentration, physical complaints, psychological aspects/consequences, activities of daily living, social participation, financial consequences, difficult to treat/difficult to diagnose, difference of opinion with care providers, incomprehension by social environment, and how person with neck pain deal with complaints. All ten items of the NDI could be linked to the mind map, but the NDI measures only part of the burden of neck pain. CONCLUSION: This study revealed the relevant domains for the burden of neck pain from the viewpoints of persons with neck pain and their care providers. These results can guide the identification of existing measurements instruments for each domain or the development of new ones to measure the burden of neck pain.

Antioxidant treatments for schizophrenia

Background: There is accumulating evidence that progressive changes in brain structure and function take place as schizophrenia unfolds. Among many possible candidates, oxidative stress may be one of the mediators of neuroprogression, grey matter loss and subsequent cognitive and functional impairment. Antioxidants are exogenous or endogenous molecules that mitigate any form of oxidative stress or its consequences. They may act from directly scavenging free radicals to increasing anti-oxidative defences. There is evidence that current treatments impact oxidative pathways and may to some extent reverse pro-oxidative states in schizophrenia. The existing literature, however, indicates that these treatments do not fully restore the deficits in antioxidant levels or restore levels of oxidants in schizophrenia. As such, there has been interest in developing interventions aimed at restoring this oxidative balance beyond the benefits of antipsychotics in this direction. If antioxidants are to have a place in the treatment of this serious condition, the relevant and up-to-date information should be available to clinicians and investigators. Objectives: To evaluate the effect of antioxidants as add-on treatments to standard antipsychotic medication for improving acute psychotic episodes and core symptoms, and preventing relapse in people with schizophrenia. Search methods: We searched the Cochrane Schizophrenia Group's Study-Based Register of Trials which is based on regular searches of CINAHL, BIOSIS, AMED, Embase, PubMed, MEDLINE, PsycINFO, and registries of clinical trials. There are no language, time, document type, or publication status limitations for inclusion of records in the register. We ran this search in November 2010, and again on 8 January 2015. We also inspected references of all identified studies for further trials and contacted authors of trials for additional information. Selection criteria: We included reports if they were randomised controlled trials (RCTs) involving people with schizophrenia who had been allocated to either a substance with antioxidant potential or to a placebo as an adjunct to standard antipsychotic treatment. Data collection and analysis: We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI). We assessed risk of bias for included studies and created a 'Summary of findings' table using GRADE. Main results: The review includes 22 RCTs of varying quality and sample size studying Ginkgo biloba, N-acetyl cysteine (NAC), allopurinol, dehydroepiandrosterone (DHEA), vitamin C, vitamin E or selegiline. Median follow-up was eight weeks. Only three studies including a minority of the participants reported our a priori selected primary outcome of clinically important response. Short-term data for this outcome (measured as at least 20% improvement in scores on Positive and Negative Syndrome Scale (PANSS)) were similar (3 RCTs, n = 229, RR 0.77, 95% CI 0.53 to 1.12, low quality evidence). Studies usually reported only endpoint psychopathology rating scale scores. Psychotic symptoms were lower in those using an adjunctive antioxidant according to the PANSS ( 7 RCTS, n = 584, MD -6.00, 95% CI -10.35 to -1.65, very low quality evidence) and the Brief Psychiatric Rating Scale (BPRS) (8 RCTS, n = 843, MD -3.20, 95% CI -5.63 to -0.78, low quality evidence). There was no overall short-term difference in leaving the study early (16 RCTs, n = 1584, RR 0.73, 95% CI 0.48 to 1.11, moderate quality evidence), or in general functioning (2 RCTs, n = 52, MD -1.11, 95% CI -8.07 to 5.86, low quality evidence). Adverse events were generally poorly reported. Three studies reported useable data for 'any serious adverse effect', results were equivocal (3 RCTs, n = 234, RR 0.65, 95% CI 0.19 to 2.27, low quality evidence). No evidence was available for relapse, quality of life or service use. Authors' conclusions: Although 22 trials could be included in this review, the evidence provided is limited and mostly not relevant to clinicians or consumers. Overall, although there was low risk of attrition and selective data reporting bias within the trials, the trials themselves were not adequately powered and need more substantial follow-up periods. There is a need for larger trials with longer periods of follow-up to be conducted. Outcomes should be meaningful for those with schizophrenia, and include measures of improvement and relapse (not just rating scale scores), functioning and quality of life and acceptability and, importantly, safety data.

Assessing the economic costs of parental mental illness

The economics discipline is broadly concerned with the allocation of scarce societal resources in the context of unlimited societal wants. Intrinsic to economics is the concept of choice – that is, how can we best use scarce societal resources when our wants are greater than the resources available to us. If we were able to satisfy all our wants and needs with our available resources, there would be no need for the discipline of economics! In most economies, markets are used to make these decisions. Markets are basically a mechanism whereby consumers and producers interact in such a way that the “best” allocation of resources is thought to occur. This “best” allocation of resources in economics is said to be an efficient allocation. Efficiency basically assumes that the correct types of services are being produced (allocative efficiency) in the least resource-intensive way (technical efficiency). Inherent within all these concepts is not just cost but also the benefit derived from the consumption of different goods and services. A central tenant of economics is the concept of opportunity cost whereby the true cost of any given action (or service) is the benefit which would have been attained if the resources used in providing that action or service were used in an alternative way. Therefore, both costs and benefits are central to the economic way of thinking. Contrary to much public perception, economics is not necessarily about cutting costs; rather, it is about using resources in the “best” possible way. Inherent within this idea of “best” is “value,” “benefit,” or “utility” (utility is the term most often seen in economics textbooks to refer to the value of using resources). Unfortunately, there are many assumptions which need to be met for markets to operate in an ideal way. One important assumption is that consumers of goods and services need to be aware of the full impact and consequences of all consumption choices. When market failures occur, governments can sometimes intervene in the operation of markets either because the markets are not working properly (largely because the assumptions underpinning the market mechanism are not met) or for social-justice or equity considerations (Rice and Unruh, 2009).

Use of the My Health Record by people with communication disability in Australia: A review to inform the design and direction of future research

BACKGROUND: People with communication disability often struggle to convey their health information to multiple service providers and are at increased risk of adverse health outcomes related to the poor exchange of health information. OBJECTIVE: The purpose of this article was to (a) review the literature informing future research on the Australian personally controlled electronic health record, 'My Health Record' (MyHR), specifically to include people with communication disability and their family members or service providers, and (b) to propose a range of suitable methodologies that might be applied in research to inform training, policy and practice in relation to supporting people with communication disability and their representatives to engage in using MyHR. METHOD: The authors reviewed the literature and, with a cross-disciplinary perspective, considered ways to apply sociotechnical, health informatics, and inclusive methodologies to research on MyHR use by adults with communication disability. RESEARCH OUTCOMES: This article outlines a range of research methods suitable for investigating the use of MyHR by people who have communication disability associated with a range of acquired or lifelong health conditions, and their family members, and direct support workers. CONCLUSION: In planning the allocation of funds towards the health and well-being of adults with disabilities, both disability and health service providers must consider the supports needed for people with communication disability to use MyHR. There is an urgent need to focus research efforts on MyHR in populations with communication disability, who struggle to communicate their health information across multiple health and disability service providers. The design of studies and priorities for future research should be set in consultation with people with communication disability and their representatives.

Epidemiological and evolutionary inference of the transmission network of the 2014 highly pathogenic Avian Influenza H5N2 outbreak in British Columbia, Canada

The first North American outbreak of highly pathogenic avian influenza (HPAI) involving a virus of Eurasian A/goose/Guangdong/1/1996 (H5N1) lineage began in the Fraser Valley of British Columbia, Canada in late November 2014. A total of 11 commercial and 1 non-commercial (backyard) operations were infected before the outbreak was terminated. Control measures included movement restrictions that were placed on a total of 404 individual premises, 150 of which were located within a 3 km radius of an infected premise(s) (IP). A complete epidemiological investigation revealed that the source of this HPAI H5N2 virus for 4 of the commercial IPs and the single non-commercial IP likely involved indirect contact with wild birds. Three IPs were associated with the movement of birds or service providers and localized/environmental spread was suspected as the source of infection for the remaining 4 IPs. Viral phylogenies, as determined by Bayesian Inference and Maximum Likelihood methods, were used to validate the epidemiologically inferred transmission network. The phylogenetic clustering of concatenated viral genomes and the median-joining phylogenetic network of the viruses supported, for the most part, the transmission network that was inferred by the epidemiologic analysis.

Building cloud-based healthcare data mining services

The linkage between healthcare service and cloud computing techniques has drawn much attention lately. Up to the present, most works focus on IT system migration and the management of distributed healthcare data rather than taking advantage of information hidden in the data. In this paper, we propose to explore healthcare data via cloud-based healthcare data mining services. Specifically, we propose a cloud-based healthcare data mining framework for healthcare data mining service development. Under such framework, we further develop a cloud-based healthcare data mining service to predict patients future length of stay in hospital.

Lessons from natural disasters, tsunami-affected Small and Medium-Sized Enterprises(SMEs) in Sri Lanka

The main objective of this paper is to identify some of the key issues encountered by tsunami-affected small and medium-sized enterprises (SMEs) in the process of rehabilitation and re-establishment in Sri Lanka. The second objective is to assess how far these affected industries have received various benefits and supports from bodies such as government agencies, private sector firms, donors and NGOs to help them get back into business. The final objective is to recommend policies and strategies to develop the tsunami-affected SMEs in a self-sustaining manner and within a certain time period. The main database of firms for this research has been obtained from the Industrial Development Board, which conducted a survey covering 4,389 tsunami-affected micro- and SMEs. In addition to this, information from various state organizations and NGOs-based sources has been used. This paper identifies the main issues related to tsunami-affected SMEs ranging from basic infrastructure provision up to finance, marketing, machinery, technology, training, product identification and development and so forth. In fact, it is shown that there are no significant differences between issues faced by SMEs in general and tsunami-affected SMEs, apart of course from the effects of a sudden disaster (the tidal wave). Consequently, these issues can be generalized as issues relevant to SMEs in Sri Lanka as a whole. However, under the flood and rain of local and foreign assistance, there have been more pledges and promises than actual deliveries and, so, tsunami-affected SMEs have received comparatively little support and assistance in recovering and no records can be found as to where the colossal amount of foreign assistance received has actually gone. Finally, this paper recommends various types of business incubator centres and entrepreneurial enhancing skill programmes for the revamping of tsunami-affected SMEs in addition to the normal disaster risk management plan.

Process capability analysis in non normal linear regression profiles

When the distribution of a process characterized by a profile is non normal, process capability analysis using normal assumption often leads to erroneous interpretations of the process performance. Profile monitoring is a relatively new set of techniques in quality control that is used in situations where the state of product or process is represented by a function of two or more quality characteristics. Such profiles can be modeled using linear or nonlinear regression models. In some applications, it is assumed that the quality characteristics follow a normal distribution; however, in certain applications this assumption may fail to hold and may yield misleading results. In this article, we consider process capability analysis of non normal linear profiles. We investigate and compare five methods to estimate non normal process capability index (PCI) in profiles. In three of the methods, an estimation of the cumulative distribution function (cdf) of the process is required to analyze process capability in profiles. In order to estimate cdf of the process, we use a Burr XII distribution as well as empirical distributions. However, the resulted PCI with estimating cdf of the process is sometimes far from its true value. So, here we apply artificial neural network with supervised learning which allows the estimation of PCIs in profiles without the need to estimate cdf of the process. Box-Cox transformation technique is also developed to deal with non normal situations. Finally, a comparison study is performed through the simulation of Gamma, Weibull, Lognormal, Beta and student-t data.

Enviropreneurial marketing in greening corporate activities: Evidence from four Chinese green firms

Purpose: The purpose of this study is to explore the enviropreneurial marketing approach used by firms in China and its impact on the success of green marketing actions, with the aim of drawing useful lessons from the literature and successful green firms. Design/methodology/approach: This study follows the inductive case study approach, and the qualitative data come from a study of four firms engaging in enviropreneurial marketing activities. Interview data were triangulated with qualitative data from other sources. Findings: The evidence from this study indicates that enviropreneurial marketing plays a central role in developing innovative product or services, adopting an innovative and pragmatic green marketing mix that differentiates and creates changes within industry and markets. Research limitations/implications: The main limitation of this study is that data samples are from successful firms labelled as “green” by the Chinese authorities, based on winning “official” awards. These do not necessarily represent the opinions of a cross section of firms within China with respect to enviropreneurial marketing. Future studies should include a mixed population of firms. Practical implications: Policy makers and marketing practitioners need to consider drivers to ensure that Chinese firms integrate enviropreneurial marketing activities, which need to complement the delivery of functional value. Social implications: Green initiatives/changes within the firm seem to be partly driven by the environmental orientation of these firms’ founders, thus, developing an environmental orientation in managers may be important to drive enviropreneurial marketing activities. Originality/value: This study contributes by confirming the current literature on green marketing and examining the positive impact of enviropreneurial marketing on firms’ performance in the context of marketing in emerging markets.

Approche basée sur des patrons pour concevoir des logiciels d’enseignement adaptés aux technologies du Web

Les applications Web en général ont connu d’importantes évolutions technologiques au cours des deux dernières décennies et avec elles les habitudes et les attentes de la génération de femmes et d’hommes dite numérique. Paradoxalement à ces bouleversements technologiques et comportementaux, les logiciels d’enseignement et d’apprentissage (LEA) n’ont pas tout à fait suivi la même courbe d’évolution technologique. En effet, leur modèle de conception est demeuré si statique que leur utilité pédagogique est remise en cause par les experts en pédagogie selon lesquels les LEA actuels ne tiennent pas suffisamment compte des aspects théoriques pédagogiques. Mais comment améliorer la prise en compte de ces aspects dans le processus de conception des LEA? Plusieurs approches permettent de concevoir des LEA robustes. Cependant, un intérêt particulier existe pour l’utilisation du concept patron dans ce processus de conception tant par les experts en pédagogie que par les experts en génie logiciel. En effet, ce concept permet de capitaliser l’expérience des experts et permet aussi de simplifier de belle manière le processus de conception et de ce fait son coût. Une comparaison des travaux utilisant des patrons pour concevoir des LEA a montré qu’il n’existe pas de cadre de synergie entre les différents acteurs de l’équipe de conception, les experts en pédagogie d’un côté et les experts en génie logiciel de l’autre. De plus, les cycles de vie proposés dans ces travaux ne sont pas complets, ni rigoureusement décrits afin de permettre de développer des LEA efficients. Enfin, les travaux comparés ne montrent pas comment faire coexister les exigences pédagogiques avec les exigences logicielles. Le concept patron peut-il aider à construire des LEA robustes satisfaisant aux exigences pédagogiques ? Comme solution, cette thèse propose une approche de conception basée sur des patrons pour concevoir des LEA adaptés aux technologies du Web. Plus spécifiquement, l’approche méthodique proposée montre quelles doivent être les étapes séquentielles à prévoir pour concevoir un LEA répondant aux exigences pédagogiques. De plus, un répertoire est présenté et contient 110 patrons recensés et organisés en paquetages. Ces patrons peuvent être facilement retrouvés à l’aide du guide de recherche décrit pour être utilisés dans le processus de conception. L’approche de conception a été validée avec deux exemples d’application, permettant de conclure d’une part que l’approche de conception des LEA est réaliste et d’autre part que les patrons sont bien valides et fonctionnels. L’approche de conception de LEA proposée est originale et se démarque de celles que l’on trouve dans la littérature car elle est entièrement basée sur le concept patron. L’approche permet également de prendre en compte les exigences pédagogiques. Elle est générique car indépendante de toute plateforme logicielle ou matérielle. Toutefois, le processus de traduction des exigences pédagogiques n’est pas encore très intuitif, ni très linéaire. D’autres travaux doivent être réalisés pour compléter les résultats obtenus afin de pouvoir traduire en artéfacts exploitables par les ingénieurs logiciels les exigences pédagogiques les plus complexes et les plus abstraites. Pour la suite de cette thèse, une instanciation des patrons proposés serait intéressante ainsi que la définition d’un métamodèle basé sur des patrons qui pourrait permettre la spécification d’un langage de modélisation typique des LEA. L’ajout de patrons permettant d’ajouter une couche sémantique au niveau des LEA pourrait être envisagée. Cette couche sémantique permettra non seulement d’adapter les scénarios pédagogiques, mais aussi d’automatiser le processus d’adaptation au besoin d’un apprenant en particulier. Il peut être aussi envisagé la transformation des patrons proposés en ontologies pouvant permettre de faciliter l’évaluation des connaissances de l’apprenant, de lui communiquer des informations structurées et utiles pour son apprentissage et correspondant à son besoin d’apprentissage.

MEF2C: expression, regulation and interaction with target genes in health and diseases

Tese de doutoramento, Ciências Biomédicas, Departamento de Ciências Biomédicas e Medicina, Universidade do Algarve, 2015

Análisis de la estrategia de política exterior del Desarrollo Pacífico china en la construcción de su identidad dentro del grupo BRICS (2003-2014)

El interés de esta monografía es interpretar la manera en la que un Estado tiene la capacidad para transformar su identidad y proyectarla satisfactoriamente hacia otros actores. En el caso de China, esto sucede gracias a su estrategia de política exterior conocida como Desarrollo Pacífico, la cual forma parte de su relación con los miembros del grupo BRICS y ha ayudado a consolidar una tendencia hacia la cooperación. Para poder realizar una buena interpretación de la construcción de identidad china dentro del foro internacional BRICS es primordial realizar un acercamiento teórico constructivista que permite un entendimiento del proceso histórico que le ha permitido a China configurar su identidad en el marco de los BRICS, a partir de un proceso constante de interacción e identificación.