Preparação e implementação de um programa de intervenção nos hábitos sedentários e na composição corporal de adolescentes obesos

RESUMO: O estágio contemplou a preparação e implementação de um programa, programa de Tratamento da Obesidade Pediátrica (TOP), direcionado para a redução da obesidade dos adolescentes. Foi desenvolvido num contexto clínico e teve o envolvimento de uma equipa multidisciplinar. Existiu um trabalho inicial ao nível da consulta de obesidade, no Hospital de Santa Maria, onde se procedeu ao recrutamento dos participantes. Seguidamente, foram dinamizadas sessões interativas, com exercício físico, com os adolescentes participantes, na Faculdade, no âmbito de um projeto de intervenção, que teve uma duração de seis meses, tendo tido início em janeiro de 2011 e terminado em junho de 2011. A componente científica esteve presente no estágio através da avaliação objetiva do impacte da implementação do programa TOP. No presente estudo, foi avaliado o impacte nos hábitos sedentários dos adolescentes e como objetivo secundário, pretendeu-se analisar a associação entre as atividades sedentárias e a composição corporal. Os resultados do estudo indicam uma descida significativa do peso e de todos os perímetros corporais dos participantes na amostra, bem como do tempo sedentário avaliado por acelerometria, do início para o final da intervenção. Não existiram correlações entre as alterações da composição corporal e as modificações do comportamento sedentário. ABSTRACT: The training incorporated the preparation and the implementation of an exercise program — program Tratamento da Obesidade Pediátrica (TOP) — focused on the decreasing of adolescence obesity. It was developed in a clinic context and it had the involvement of a multidisciplinary team. The work began in Hospital de Santa Maria with the obesity appointment where the participants were recruited. After, the intervention was developed in the Faculty with exercise sessions. The intervention had duration of six months. It began on January and finished on June, in year 2011. The training had a scientific character through the objetive evaluation of the implementation’s impact of the program TOP. This study analysed the impact on sedentary behavior in obese adolescents. Its secondary goal was to analyse the association between the sedentary activities and the body composition. This study’s results demonstrate that the weight and all the circumferences decreased significantly in sample’s participants, as well the sedentary time estimated by accelerometry, in response to the exercise program. There were not correlations between the alterations of the body composition and the modifications of the sedentary behavior.

Projeto eco : análise da influência da atividade física na ansiedade e depressão em indivíduos com obesidade severa

A obesidade é, hoje em dia, considerada um transtorno multifatorial, ou seja, resultante de diversos fatores: bio-psico-sociais. Sendo que os fatores psiquiátricos tais como a ansiedade e a depressão, têm vindo a ter cada vez mais importância, existindo fortes evidências em como a obesidade não é só um transtorno orgânico. Deste modo, torna-se fundamental perceber qual o efeito que a Atividade Física (AF) e o exercício podem ter em transtornos tais com a depressão e a ansiedade, em indivíduos com obesidade severa. Com a realização deste estágio pretendeu-se desenvolver diferentes estratégias de intervenção com este tipo de população, no que diz respeito à prescrição e planeamento de sessões teórico-práticas, consultas de prescrição de exercício e também averiguar qual a influência que a Atividade Física pode ter nos sintomas de Ansiedade e Depressão, em indivíduos com obesidade severa. Foi realizada uma revisão sistemática da literatura na qual se investigou o efeito que o exercício e a AF podem ter na saúde mental, mais concretamente nos sintomas de ansiedade e depressão neste tipo de população. Dos estudos analisados foi possível concluir que indivíduos que são sujeitos a um programa multidisciplinar que inclui atividade física apresentam melhorias quer no que diz respeito à qualidade de vida (2 estudos) como no que diz respeito à saúde mental (4 estudos). Apesar das diferenças metodológicas entre os estudos, concluiu-se que, de uma forma geral, os programas que incluem atividade física, mais especificamente 2 a 3 horas por semana de exercício aeróbio de intensidade moderada a vigorosa, levam a melhorias consideráveis na saúde mental, nos níveis de depressão e de ansiedade. Relativamente às sessões teórico-práticas realizadas, os resultados obtidos com a intervenção realizada não foram significativos tanto no que diz respeito aos sintomas de ansiedade tanto como os de depressão. No que diz respeito às consultas realizadas no Hospital de Santa Maria, foi possível concluir que os utentes avaliados apresentavam na sua maioria comportamentos sedentários. No entanto, apenas um utente foi avaliado pela segunda vez tendo sido reportadas algumas melhorias no que diz respeito à capacidade cardiovascular do primeiro para o segundo momento de avaliação.

Colaboração entre Agentes Educativos num caso de dificuldades de Aprendizagem Específicas no 1º Ciclo do Ensino Básico

Nowadays we live in a literate society in which reading and writing skills are highly valued. Currently, the educational interventions seek to involve people from different backgrounds to form multidisciplinary teams. The present case study aimed to analyze the collaboration process between the different members of the context involved in educational intervention regarding the oral language disorders and learning disabilities in reading and writing. Concerning psychological evaluation we used different instruments for data collection. Firstly interview and clinical history where carried out afterwards a semi-structured interviews were prepared in order to obtain information about the performance of the special education team, the special education and children with special needs and learning difficulties in pre-primary and 1st cycle of basic education. The implementation of educational policies at the school where also considered in the case study which revealed difficulties in achieving the educational support for students with these problems.

Evolving definition of sociomuseology : proposal for reflection

Sociomuseology expresses a considerable amount of the effort made to suit museological facilities to the conditions of contemporary society. The process of opening up the museum, as well as its organic relation with the social context that infuses it with life, has resulted in the need to structure and clarify the relations, notions and concepts that may define this process. Sociomuseology is thus a scientific field of teaching, research and performance which emphasizes the articulation of museology, in particular, with the areas of knowledge covered by Human Sciences, Development Studies, Services Science, and Urban and Rural Planning. The multidisciplinary approach of Sociomuseology aims to strengthen the acknowledgement of museology as a resource for the sustainable development of Humanity, based on equal opportunities as well as social and economic inclusion. Sociomuseology bases its social intervention on mankind’s cultural and natural heritage, both tangible and intangible. What characterizes Sociomuseology is not so much the nature of its premises and its goals, as is the case with other areas of knowledge, but the interdisciplinary focus which makes it draw on perfectly consolidated areas of knowledge and relate them with Museology itself.

Efficacy of the Speech Intelligibility Index as an intervention tool with pediatric cancer patients

This study evaluates the Speech Intelligibility Index (SII) as a tool to describe hearing loss and predict when hearing aids would be appropriate for pediatric oncology patients who have received or are currently receiving cisplatin. The efficacy of the SII is compared to the Brock grade which is commonly used for patients with ototoxic hearing loss secondary to cisplatin treatment. The SII is a discrete measure that precisely reflects the patient’s functional hearing status and is highly correlated with the need for audiologic intervention.

Challenges and barriers to early intervention services for children with hearing impairments between the ages of 0-3 years

This paper discusses early intervention programs in accordance with IDEA for hearing impaired children.

Identification of issues encountered by deaf educators working with multiply involved children and the related emotional affects that go along with intervention

This paper discusses common issues deaf educators face that are not directly related to a child’s hearing impairment and thus often outside the educators’ area of expertise. The study also identifies a range of emotions early interventionists experience while working with children with multiple impairments.

Migration and diversity in Roman Britain: a multidisciplinary approach to immigrants in Roman York, England

Previous anthropological investigations at Trentholme Drive, in Roman York identified an unusual amount of cranial variation amongst the inhabitants, with some individuals suggested as having originated from the Middle East or North Africa. The current study investigates the validity of this assessment using modern anthropological methods to assess cranial variation in two groups: The Railway and Trentholme Drive. Strontium and oxygen isotope evidence derived from the dentition of 43 of these individuals was combined with the craniometric data to provide information on possible levels of migration and the range of homelands that may be represented. The results of the craniometric analysis indicated that the majority of the York population had European origins, but that 11% of the Trentholme Drive and 12% of The Railway study samples were likely of African decent. Oxygen analysis identified four incomers, three from areas warmer than the UK and one from a cooler or more continental climate. Although based on a relatively small sample of the overall population at York, this multidisciplinary approach made it possible to identify incomers, both men and women, from across the Empire. Evidence for possible second generation migrants was also suggested. The results confirm the presence of a heterogeneous population resident in York and highlight the diversity, rather than the uniformity, of the population in Roman Britain. Am J Phys Anthropol 140:546-561, 2009. (C) 2009 Wiley-Liss, Inc

Biogenic nitric oxide emissions from soils: impact on NOx and ozone over West Africa during AMMA (African Monsoon Multidisciplinary Analysis) - observational study

Chemical and meteorological parameters measured on board the Facility for Airborne Atmospheric Measurements (FAAM) BAe 146 Atmospheric Research Aircraft during the African Monsoon Multidisciplinary Analysis (AMMA) campaign are presented to show the impact of NOx emissions from recently wetted soils in West Africa. NO emissions from soils have been previously observed in many geographical areas with different types of soil/vegetation cover during small scale studies and have been inferred at large scales from satellite measurements of NOx. This study is the first dedicated to showing the emissions of NOx at an intermediate scale between local surface sites and continental satellite measurements. The measurements reveal pronounced mesoscale variations in NOx concentrations closely linked to spatial patterns of antecedent rainfall. Fluxes required to maintain the NOx concentrations observed by the BAe-146 in a number of cases studies and for a range of assumed OH concentrations (1×106 to 1×107 molecules cm−3) are calculated to be in the range 8.4 to 36.1 ng N m−2 s−1. These values are comparable to the range of fluxes from 0.5 to 28 ng N m−2 s−1 reported from small scale field studies in a variety of non-nutrient rich tropical and sub-tropical locations reported in the review of Davidson and Kingerlee (1997). The fluxes calculated in the present study have been scaled up to cover the area of the Sahel bounded by 10 to 20 N and 10 E to 20 W giving an estimated emission of 0.03 to 0.30 Tg N from this area for July and August 2006. The observed chemical data also suggest that the NOx emitted from soils is taking part in ozone formation as ozone concentrations exhibit similar fine scale structure to the NOx, with enhancements over the wet soils. Such variability can not be explained on the basis of transport from other areas. Delon et al. (2008) is a companion paper to this one which models the impact of soil NOx emissions on the NOx and ozone concentration over West Africa during AMMA. It employs an artificial neural network to define the emissions of NOx from soils, integrated into a coupled chemistry-dynamics model. The results are compared to the observed data presented in this paper. Here we compare fluxes deduced from the observed data with the model-derived values from Delon et al. (2008).

Biogenic nitric oxide emissions from soils: impact on NOx and ozone over West Africa during AMMA (African Monsoon Multidisciplinary Analysis) - Modelling study

Nitrogen oxide biogenic emissions from soils are driven by soil and environmental parameters. The relationship between these parameters and NO fluxes is highly non linear. A new algorithm, based on a neural network calculation, is used to reproduce the NO biogenic emissions linked to precipitations in the Sahel on the 6 August 2006 during the AMMA campaign. This algorithm has been coupled in the surface scheme of a coupled chemistry dynamics model (MesoNH Chemistry) to estimate the impact of the NO emissions on NOx and O3 formation in the lower troposphere for this particular episode. Four different simulations on the same domain and at the same period are compared: one with anthropogenic emissions only, one with soil NO emissions from a static inventory, at low time and space resolution, one with NO emissions from neural network, and one with NO from neural network plus lightning NOx. The influence of NOx from lightning is limited to the upper troposphere. The NO emission from soils calculated with neural network responds to changes in soil moisture giving enhanced emissions over the wetted soil, as observed by aircraft measurements after the passing of a convective system. The subsequent enhancement of NOx and ozone is limited to the lowest layers of the atmosphere in modelling, whereas measurements show higher concentrations above 1000 m. The neural network algorithm, applied in the Sahel region for one particular day of the wet season, allows an immediate response of fluxes to environmental parameters, unlike static emission inventories. Stewart et al (2008) is a companion paper to this one which looks at NOx and ozone concentrations in the boundary layer as measured on a research aircraft, examines how they vary with respect to the soil moisture, as indicated by surface temperature anomalies, and deduces NOx fluxes. In this current paper the model-derived results are compared to the observations and calculated fluxes presented by Stewart et al (2008).

Factors controlling the distribution of ozone in the West African lower troposphere during the AMMA (African Monsoon Multidisciplinary Analysis) wet season campaign

Ozone and its precursors were measured on board the Facility for Airborne Atmospheric Measurements (FAAM) BAe 146 Atmospheric Research Aircraft during the monsoon season 2006 as part of the African Monsoon Multidisciplinary Analysis (AMMA) campaign. One of the main features observed in the west African boundary layer is the increase of the ozone mixing ratios from 25 ppbv over the forested area (south of 12° N) up to 40 ppbv over the Sahelian area. We employ a two-dimensional (latitudinal versus vertical) meteorological model coupled with an O3-NOx-VOC chemistry scheme to simulate the distribution of trace gases over West Africa during the monsoon season and to analyse the processes involved in the establishment of such a gradient. Including an additional source of NO over the Sahelian region to account for NO emitted by soils we simulate a mean NOx concentration of 0.7 ppbv at 16° N versus 0.3 ppbv over the vegetated region further south in reasonable agreement with the observations. As a consequence, ozone is photochemically produced with a rate of 0.25 ppbv h−1 over the vegetated region whilst it reaches up to 0.75 ppbv h−1 at 16° N. We find that the modelled gradient is due to a combination of enhanced deposition to vegetation, which decreases the ozone levels by up to 11 pbbv, and the aforementioned enhanced photochemical production north of 12° N. The peroxy radicals required for this enhanced production in the north come from the oxidation of background CO and CH4 as well as from VOCs. Sensitivity studies reveal that both the background CH4 and partially oxidised VOCs, produced from the oxidation of isoprene emitted from the vegetation in the south, contribute around 5–6 ppbv to the ozone gradient. These results suggest that the northward transport of trace gases by the monsoon flux, especially during nighttime, can have a significant, though secondary, role in determining the ozone gradient in the boundary layer. Convection, anthropogenic emissions and NO produced from lightning do not contribute to the establishment of the discussed ozone gradient.