Macroglossia como manifestação de amiloidose : caso clínico

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Longitudinal relationship between cardiorespiratory fitness and academic achievement

Copyright © 2016 by the American College of Sports Medicine

Síndrome de Melkersson-Rosenthal : um diagnóstico a ponderar numa doente com edema do lábio

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Labour Mobility in Europe: An untapped resource? CEPS Policy Brief No. 327, March 2015

Despite public perceptions, labour mobility is low in the EU, particularly within the euro area. The authors of this Policy Brief make four main points: first, that the economic and financial crisis has affected mobility patterns by redirecting flows away from the periphery, thus showing the limits of labour mobility potential within the current eurozone - largely due to the negligible mobility of nationals from large countries hit by the crisis. Second, east-west mobility has not been fundamentally affected by the crisis, and ten years after the eastern enlargement the number of East Europeans living in EU15 should be of no overall concern. Third, the long-term economic effects of mobility are uncertain, but potential negative effects are more likely to show up in sending countries than in receiving ones. Finally, in view of the lessons learned from the economic crisis, the Commission and member states should adopt a longer-term view on labour mobility. The authors recommend a further upgrade of job-matching tools, namely the EURES system, and should foster better recognition of qualifications and the exchange of best practices among mobility networks. In order to improve mobility in the longer term, the Commission and member states should improve the mobility of third-country nationals – starting with those completing tertiary education at an EU institution and able to find employment. The aim of improving mobility gives new impetus to the ‘mother tongue + two foreign languages’ objective and the European Benchmark of Language Competences Initiative, in particular competence in the first foreign language taught at school.

Palavras que nos embalam: a escrita criativa no 1º ciclo do ensino básico

A leitura e a escrita mantêm entre si relações de grande proximidade sendo praticamente indissociáveis. Na verdade, nas últimas décadas, a investigação tem vindo a demonstrar que a aprendizagem da leitura e da escrita se processa praticamente em simultâneo e que, ao longo do processo de ensino-aprendizagem, essa relação entre os dois domínios se vai intensificando. Assim, sabemos hoje, que quanto mais se lê melhor se escreve, da mesma forma que quanto mais se escreve maior é a capacidade de compreender os textos lidos. Ao professor de Português compete a tarefa de desenvolver nos seus alunos, em qualquer nível de ensino, competências várias em todos os domínios contemplados nos documentos legais e programáticos em vigor. No entanto, e dada a natureza deste Relatório Final de Prática de Ensino Supervisionada, não podemos deixar de frisar que, relativamente aos domínios da leitura e da escrita, o professor de língua materna deve promover e estimular nos seus alunos o desenvolvimento gradual e articulado de competências relacionadas com a compreensão leitora e a expressão escrita, nas suas várias dimensões – ortográfica, textual e criativa. Encarando a escrita criativa como uma modalidade fundamental para a criança, não só por alargar a sua capacidade imaginativa, mas também por permitir adquirir, consolidar e utilizar com progressiva autonomia e criatividade todos os aspetos relacionados com a estrutura da língua, perspetivamo-la como fundamental nas aulas de Português, pelas potencialidades de que a mesma se reveste e não apenas como ferramenta utilizada para desbloquear nos alunos o receio da página em branco. Daí que tenhamos concebido e implementado, numa sala de 3º ano de escolaridade, num dos agrupamentos de escolas de Portalegre, um projeto de investigação-ação centrado no domínio da escrita criativa, mas alicerçado em práticas de leitura compreensiva de textos literários, práticas essas que antecederam os momentos de escrita. Desse projeto em particular, e das atividades implementadas ao longo da Prática de Ensino Supervisionada nas diversas disciplinas em geral, no 1º e no 2º CEB, dar-se-á conta, de forma reflexiva, neste Relatório Final.

(Appendix) Relative abundance of planktonic foraminifera in ODP Site 138-846 late Quaternary sediments

High-resolution records of d18O and relative abundances of planktonic foraminifers were generated for ODP Leg 138 Site 846 for the past 800 k.y., with an average sampling interval of 3.6 k.y. The time scale was constructed by correlating the benthic d18O record to the SPECMAP and ODP Site 677 d18O time scales using the mapping function technique of Martinson et al. (1981). Our observations show that variations in the foraminiferal assemblages, although influenced by dissolution, are interpretable in terms of changing characteristics of upper ocean waters. Carbonate dissolution as indicated by fragmentation of planktonic foraminifers shows concentrated variance that is coherent with d18O at the 100 and 41 k.y. orbital periods. At these periods, maximum dissolution occurs during interglacial extremes. This finding differs from previous studies that have indicated that in this region percent carbonate minimum lags global ice volume minimum. N. dutertrei and dextral N. pachyderma dominate the assemblages, but do not show consistent relationships relative to glacial-interglacial cycles. However, less abundant species G. ruber, G. menardii, G. glutinata and G. sacculifer show positive and G. bulloides negative correlation with the d18O record. Q-mode factor analysis of the Site 846 assemblages and comparison with modern assemblages suggest the following. Prior to and during interglacials, the area was considerably warmer and more subtropical than at present; during glacials, the area was colder than at present with greater upwelling and advection off the eastern boundary, and possibly a stronger Peru Current; the equatorial ôcool tongueö was also possibly stronger.

Figure 2. Downcore variations of total diatom concentration in core MD02-2529

The modern eastern equatorial Pacific (EEP) is a major natural source for atmospheric carbon dioxide and is thought to be connected to high-latitude ocean dynamics by oceanic teleconnections on glacial-interglacial timescales. A wealth of sedimentary records aiming at reconstructing last Quaternary changes in primary productivity and nutrient utilization have been devoted to understanding those linkages between the EEP and other distant oceanic areas. Most of these records are, however, clustered in the pelagic EEP cold tongue, with comparatively little attention devoted to coastal areas. Here we present downcore measurements of the composition and concentration of the diatom assemblage together with opal (biogenic silica) concentration at site MD02-2529 recovered in the coastal Panama Basin. Piston core MD02-2529, collected in an area affected by a multitude of processes, provides evidence for strong variations in diatom production at the millennial timescale during the last glacial cycle. The maxima in total diatom concentration occurred during the early marine isotopic stage (MIS) 4 as well as during the MIS 4/3 transition and MIS 3. Rapid changes in diatom concentrations during the MIS 3 mimics Bond cycles as independently recorded by the SSS estimation derived from planktonic foraminifera from the same core. Such patterns indicate a clear linkage between diatom production in the coastal EEP and rapid climate changes in the high-latitude North Atlantic. In parallel, the long-term succession of the diatom community from coastal diatoms, predominantly thriving during MIS 5 and 4, towards pelagic diatoms, dominant during MIS 3 and 2, points to a long-term change in the surface hydrology. During Heinrich Events, diatoms strongly reduced their production, probably due to enhanced stratification in the upper water column. After the last glacial maximum, diatom production and valve preservation strongly decreased in response to the advection of nutrient (H2SiO4)-depleted, warmer water masses. Our high-resolution record highlights how regional climatic processes can modulate rapid changes in siliceous primary production as triggered by wind-induced local upwelling, indicating that millennial climatic variability can overtake other prominent hydrological processes such as those related to silicic acid leakage.

(Table 1) Annual melt rates of the South Branch of Jacobshavn Isbrae between July 1984-1985

Photogrammetric reanalysis of 1985 aerial photos has revealed substantial submarine melting of the floating ice tongue of Jakobshavn Isbrae, west Greenland. The thickness of the floating tongue determined from hydrostatic equilibrium tapers from ~940 m near the grounding zone to ~600 m near the terminus. Feature tracking on orthophotos shows speeds on the July 1985 ice tongue to be nearly constant (~18.5 m/d), indicating negligible dynamic thinning. The thinning of the ice tongue is mostly due to submarine melting with average rates of 228 ± 49 m/yr (0.62 ± 0.13 m/d) between the summers of 1984 and 1985. The cause of the high melt rate is the circulation of warm seawater (thermal forcing of up to 4.2°C) beneath the tongue with convection driven by the substantial discharge of subglacial freshwater from the grounding zone. We believe that this buoyancy-driven convection is responsible for a deep channel incised into the sole of the floating tongue. A dramatic thinning, retreat, and speedup began in 1998 and continues today. The timing of the change is coincident with a 1.1°C warming of deep ocean waters entering the fjord after 1997. Assuming a linear relationship between thermal forcing and submarine melt rate, average melt rates should have increased by ~25% (~57 m/yr), sufficient to destabilize the ice tongue and initiate the ice thinning and the retreat that followed.

Greenland and Antarctic ice sheet topography, cavity geometry, and global bathymetry (RTopo-2), links to NetCDF files

The ocean plays an important role in modulating the mass balance of the polar ice sheets by interacting with the ice shelves in Antarctica and with the marine-terminating outlet glaciers in Greenland. Given that the flux of warm water onto the continental shelf and into the sub-ice cavities is steered by complex bathymetry, a detailed topography data set is an essential ingredient for models that address ice-ocean interaction. We followed the spirit of the global RTopo-1 data set and compiled consistent maps of global ocean bathymetry, upper and lower ice surface topographies and global surface height on a spherical grid with now 30-arc seconds resolution. We used the General Bathymetric Chart of the Oceans (GEBCO, 2014) as the backbone and added the International Bathymetric Chart of the Arctic Ocean version 3 (IBCAOv3) and the Interna- tional Bathymetric Chart of the Southern Ocean (IBCSO) version 1. While RTopo-1 primarily aimed at a good and consistent representation of the Antarctic ice sheet, ice shelves and sub-ice cavities, RTopo-2 now also contains ice topographies of the Greenland ice sheet and outlet glaciers. In particular, we aimed at a good representation of the fjord and shelf bathymetry sur- rounding the Greenland continent. We corrected data from earlier gridded products in the areas of Petermann Glacier, Hagen Bræ and Sermilik Fjord assuming that sub-ice and fjord bathymetries roughly follow plausible Last Glacial Maximum ice flow patterns. For the continental shelf off northeast Greenland and the floating ice tongue of Nioghalvfjerdsfjorden Glacier at about 79°N, we incorporated a high-resolution digital bathymetry model considering original multibeam survey data for the region. Radar data for surface topographies of the floating ice tongues of Nioghalvfjerdsfjorden Glacier and Zachariæ Isstrøm have been obtained from the data centers of Technical University of Denmark (DTU), Operation Icebridge (NASA/NSF) and Alfred Wegener Institute (AWI). For the Antarctic ice sheet/ice shelves, RTopo-2 largely relies on the Bedmap-2 product but applies corrections for the geometry of Getz, Abbot and Fimbul ice shelf cavities.

Geochemistry of Globigerinoides ruber from ODP Hole 130-806B

A sea surface temperature (SST) record based on planktonic foraminiferal magnesium/calcium ratios from a site in the western equatorial Pacific warm pool reveals that glacial-interglacial oscillations in SST shifted from a period of 41,000 to 100,000 years at the mid-Pleistocene transition, 950,000 years before the present. SST changes at both periodicities were synchronous with eastern Pacific cold-tongue SSTs but preceded changes in continental ice volume. The timing and nature of tropical Pacific SST changes over the mid-Pleistocene transition implicate a shift in the periodicity of radiative forcing by atmospheric carbon dioxide as the cause of the switch in climate periodicities at this time.

Age model, radiocarbon dates and dinoflagellate cyst measurements from sediment core DA06-139G

A marine sediment core from Vaigat in Disko Bugt, West Greenland, has been analysed in terms of lithology, dinoflagellate cysts and foraminifera in order to evaluate the influence of oceanographic variability on West Greenland glacier stability. The data show that during the past 5200 years the Atlantic foraminiferal abundance in the subsurface waters of the West Greenland Current (WGC) episodically increased, indicating periods of increases in the inflow of subsurface warm Atlantic water at 2000 - 1500 cal. yr BP and 1300 cal. yr BP as well as periods of less pronounced increased bottom-water temperatures around 4700 - 4000 cal. yr BP, 3100 - 2800, 2600, 1000 - 800, 500 - 400, and at 200 cal. yr. The sedimentological and dinoflagellate cyst data indicate that these episodes with enhanced advection of Irminger Sea-derived waters are accompanied by increased iceberg rafting, which we link to increased iceberg calving in relation to destabilization of the Jakobshavn Isbrae. The long-term trend in the data documents the end of a late-Holocene Thermal Maximum between 5200 and 4300 cal. yr BP and a final onset of the Neoglaciation at 3500 cal. yr BP. Increased responses of the iceberg rafting after 3500 cal. yr BP, reflects a westward/seaward advance of the glacier margin in relation to onset of Neoglaciation and a development of the glacier into a floating tongue after 2000 cal. yr BP. A comparison of our record with a record from the eastern North Atlantic indicates that a NAO-like anomaly pattern between subsurface waters in West Greenland and atmospheric temperature in the Eastern North Atlantic may have been operating during most of the late Holocene. However, during the past 1000 years the NAO signal may have weakened as some other mode of climate variability overprints the anti-phase climate signal in this region.

Volume changes of Jacobshavn Isbrae between 1985, 1997 and 2007

Following three decades of relative stability, Jakobshavn Isbrae, West Greenland, underwent dramatic thinning, retreat and speed-up starting in 1998. To assess the amount of ice loss, we analyzed 1985 aerial photos and derived a 40 m grid digital elevation model (DEM). We also obtained a 2007 40 m grid SPOT DEM covering the same region. Comparison of the two DEMs over an area of ~4000 km**2 revealed a total ice loss of 160 ± 4 km**3, with 107 ± 0.2 km**3 in grounded regions (0.27 mm eustatic sea-level rise) and 53 ± 4 km**3 from the disintegration of the floating tongue. Comparison of the DEMs with 1997 NASA Airborne Topographic Mapper data indicates that this ice loss essentially occurred after 1997, with +0.7 ± 5.6 km**3 between 1985 and 1997 and -160 ± 7 km**3 between 1997 and 2007. The latter is equivalent to an average specific mass balance of -3.7 ± 0.2 m/a over the study area. Previously reported thickening of the main glacier during the early 1990s was accompanied by similar-magnitude thinning outside the areas of fast flow, indicating that the land-based ice continued reacting to longer-term climate forcing.

Age determinations for ODP Sites in the Norwegian-Greenland Sea

Records of biogenic and terrigenous components have been obtained from the interval corresponding to the last 2.6 m.y. of ODP Sites 643 and 644 in order to reconstruct surface and deep water regimes in the Norwegian Sea. Surface water regimes record long lasting moderate glacial conditions during the interval 2.6 1.0 Ma. Small intrusions of Atlantic water episodically penetrated into the Norwegian Sea forming a narrow tongue along the eastern margin, which is documented at Site 644. The polar front was most probably situated between the Site 644 and 643 locations on the outer Voring Plateau during these time intervals. Deep water regimes reflect long-term persistent corrosive bottom waters, most probably due to a weakly undersaturated water column and a low rate of carbonate shell production in surface waters. Deep water production in the Norwegian-Greenland Sea may have operated in a different way, e.g. brine formation during winter sea ice growth. Bottom waters were oxygenated throughout the entire period, and deep water was exchanged persistently with the North Atlantic. Increased glacial/interglacial enviromental contrasts are documented, reflecting a strengthening of the Norwegian Current and intensified glaciations on the surrounding land masses during the interval 1.0 0.6 Ma. During this time a major shift in the mode of deep water production occurred. Tile onset of large amplitudes in glacial/interglacial environmental conditions with maximum contrasts in surface water regimes, different modes of deep water production, and intensified exchange with the North Atlantic marks the last 0.6 Ma. A broad development of the Norwegian Current is observed during peak interglacials, while during glacials seasonally variable sea ice cover and iceberg drift dominate surface water conditions.

(Table 2) Radiocarbon ages of eastern equatorial Pacific sediment cores

We use planktonic oxygen isotope (d18O) records spanning the last 30,000 years (kyr) to constrain the magnitude and spatial pattern of glacial cooling in the upwelling environment of the eastern equatorial Pacific (EEP). Fourteen new downcore d18O records were obtained from surface-dwelling planktonic foraminifera Globigerinoides sacculifer and Globigerinoides ruber in eight cores from the upwelling tongue of the EEP. All sites have sedimentation rates exceeding 5 cm/kyr and, with one exception, lie above the modern depth of the foraminiferal lysocline. Sites directly underlying the cool band of upwelling immediately south of the equator record mean late Holocene (LH)-Last Glacial Maximum (LGM) d18O amplitudes ranging between 1.0 and 1.3 per mil. We estimate that mean sea surface temperatures (SST) in this region during the LGM were on average 1.5 ± 0.5°C lower than the LH. Larger d18O amplitudes are observed in sites north of the equator, indicating a spatial pattern of reduced meridional SST gradient across the equator during the LGM. This result is supported by comparison of Mg/Ca SST reconstructions from two sites straddling the equator. We interpret the reduction of this gradient during the LGM as evidence for a less intense cold tongue-Intertropical Convergence Zone (ITCZ) frontal system, a more southerly position of the ITCZ, and weaker southeast equatorial trades in the EEP.