The Rural Clinical Division: a student journey to rural medicine

Background: The University of Queensland has through an Australian Government initiative, established a Rural Clinical Division (RCD) at four regional sites in the southern and central Queensland. Over the fi rst four years of the existence of the RCD, an integrated package of innovative medical education has been developed. Method: The integrated aspects of the RCD program include: The Rural Medical Rotation: Every medical student undertakes an eight week rural rotation in Year 3. Year 3 and 4 MBBS - 100 students are currently spending one to two years in the rural school and demand is increasing. Interprofessional Education - Medical and Allied Health students attend lectures, seminars and workshops together and often share the same rural clinical placement. Rural health projects - allow students to undertake a project of benefi t to the rural community. Information Technology (IT) - the Clinical Discussion Board (CDB) and Personal Digital Assistants (PDA) demonstrate the importance of IT to medical students in the 21st century. Changing the Model of Medical Education - The Leichhardt Community Attachment Placement (LCAP), is a pilot study that resulted in the addition of three interns to the rural workforce. All aspects of the RCD are evaluated with surveys using both qualitative and quantitative free response questions, completed by all students regularly throughout the academic year. Results: Measures of impact include: Student satisfaction and quality of teaching surveys – 86-91% of students improved their clinical skills and understanding across all rotations. Academic results and progress – RCD students out-perform their urban colleagues. Intent to work in rural areas – 90% of students reported a greater interest in rural medicine. Intern numbers – rural / regional intern placements are increasing. Conclusions: The RCD proves to be a site for innovations all designed to help reach our primary goal of fostering increased recruitment of a rural medical workforce.

Catalytic conversion to N2O to N2 over potassium catalyst supported on activated carbon

Catalytic conversion of N2O to N-2 With potassium catalysts supported on activated carbon (K/AC) was investigated. Potassium proves to be much more active and stable than either copper or cobalt because potassium possesses strong abilities both for N2O chemisorption and oxygen transfer. Potassium redispersion is found to play a critical role in influencing the catalyst stability. A detailed study of the reaction mechanism was conducted based upon three different catalyst loadings. It was found that during temperature-programmed reaction (TPR), the negative oxygen balance at low temperatures (< 50 degrees C) is due to the oxidation of the external surface of potassium oxide particles, while the bulk oxidation accounts for the oxygen accumulation at higher temperatures (below ca. 270 degrees C). N2O is beneficial for the removal of carbon-oxygen complexes because of the formation of CO2 instead of CO and because of its role in making the chemisorption of produced CO2 on potassium oxide particles less stable. A conceptual three-zone model was proposed to clarify the reaction mechanism over K/AC catalysts. CO2 chemisorption at 250 degrees C proves to be an effective measurement of potassium dispersion. (C) 1999 Academic Press.

A note on the multiple partners assignment game

In the assignment game of Shapley and Shubik [Shapley, L.S., Shubik, M., 1972. The assignment game. I. The core, International journal of Game Theory 1, 11-130] agents are allowed to form one partnership at most. That paper proves that, in the context of firms and workers, given two stable payoffs for the firms there is a stable payoff which gives each firm the larger of the two amounts and also one which gives each of them the smaller amount. Analogous result applies to the workers. Sotomayor [Sotomayor, M., 1992. The multiple partners game. In: Majumdar, M. (Ed.), Dynamics and Equilibrium: Essays in Honor to D. Gale. Mcmillian, pp. 322-336] extends this analysis to the case where both types of agents may form more than one partnership and an agent`s payoff is multi-dimensional. Instead, this note concentrates in the total payoff of the agents. It is then proved the rather unexpected result that again the maximum of any pair of stable payoffs for the firms is stable but the minimum need not be, even if we restrict the multiplicity of partnerships to one of the sides. (C) 2009 Elsevier B.V. All rights reserved.

The ethics of germ line gene manipulation - A five dimensional debate

Contributors to the debate surrounding the ethics of germ line gene manipulation have by and large concentrated their efforts on discussions of the potential risks that are associated with the use of this technology. Many international advisory committees have ruled out the acceptability of germ line gene manipulation at least for the time being. The purpose of this work is to generate much needed discussion on the many other ethical issues concerning the implementation of not only germ line gene manipulation but also other related biotechnologies. In this paper I systematically investigate and analyse the most salient issues put forward by proponents and opponents alike. I argue that if germ line manipulation proves to be a safe and effective procedure, then the principle of beneficence imposes on the medical profession a moral duty to pursue the technology.

Sponge halogenated natural products found at parts-per-million levels in marine mammals

Several unknown, abundant brominated compounds (BCs) were recently detected in the blubber of dolphins and other marine mammals from Queensland (northeast Australia). The BC were interpreted as potential natural products due to the lack of anthropogenic sources for these compounds. This study investigated whether some of the BCs accumulated by diverse marine mammal species are identical with natural BCs previously isolated from sponges (Dysidea sp.) living in the same habitat. Isolates from sponges and mollusks (Asteronotus cespitosus) were compared with the signals detected in the mammals' tissue. Mass spectra and gas chromatography retention times on four different capillary columns of the isolates from sponges and mammals were identical in all respects. This proves that the chemical name of the compound previously labeled BC-2 is 4,6-dibromo-2-(2'-dibromo)phenoxyanisole and that the chemical name of BC-11 is 3,5-dibromo-2-(3',5'-dibromo-2'-methoxy)phenoxyanisole. Using a quantitative reference solution of BC-2, we established that the concentrations of the brominated metabolies found in the marine mammals are frequently >1 mg/kg. The highest concentration (3.8 mg/kg), found in a sample of pygmy sperm whale (Kogia breviceps), indicates that BC-2 is a bioaccumulative, natural organohalogen compound. This is supported by the concentrations of the BCs in our samples being equal to the highest concentrations of anthropogenic BCs in any environmental sample. The quantitative determination of BC-2 in blubber of marine mammals from Africa and the Antarctic suggests that BC-2 is wide-spread. These results are direct proof that marine biota can produce persistent organic chemicals that accumulate to substantial concentrations in higher trophic organisms.

O desenho da criança de cinco anos : investigando/refletindo as formas produzidas a partir de imagem da arte

O desenho infantil comprova significados e sentidos estabelecidos historicamente e revela experiências comuns da criança pensar e idealizar o mundo. Diante dessa constatação, o cerne desta pesquisa é investigar e refletir sobre as nuances no desenho da criança de cinco anos quando apresentadas às imagens de arte, analisando e compreendendo como ela se expressa verbal e graficamente diante de informações mediadas pelo professor de arte, quando manifestam suas experiências individuais e/ou em grupo, representando suas vivências e apropriando-se da linguagem artística, e assim constituindo-se como autoras. Para sustentar a pesquisa, adotamos os princípios da pesquisa qualitativa utilizando como recurso a observação participante em sala de aula, que vem ao encontro às nossas propostas por oportunizar o registro de dados in locus, potencializando assim, a estratégia da produção de dados. Os sujeitos dessa pesquisa são vinte e uma crianças de cinco anos que frequentaram o Grupo Cinco, do Centro de Educação Infantil Criarte/Ufes. A pesquisa buscou entender o desenho infantil como expressão intrínseca da criança, que, oportunizado por ações que colaboram para esse fazer, dará significados ao objeto, que, associado a sua história, sua vivência, possivelmente contribuirá para a formação artística e imagética da criança, significando sua expressão e criação. Trazemos para esse estudo conceitos do desenho infantil, bem como questões que abarcam todo o processo de elaboração e maturação do desenho, fundamentados nas pesquisas de Rosa Iavelberg, Analice Pilar, César Cola, Arno Stern e Viktor Lowenfeld, dentre outros, os quais possibilitaram nossa análise a partir do desenho e da fala das crianças. As reflexões apresentadas procuram contribuir para compreendermos o processo de diálogo, envolvimento e representação gráfica das crianças com as imagens de arte.

Between system maker and privileges taker: the role of China in the Greater Mekong Sub-region

Utilizing China's leadership projects in the Great Mekong Sub-Region (GMS) as a case study, this paper aims to investigate whether China qualifies as an international leader. This work argues that its geographic position and economic rise allow China to be a "system maker and privilege taker," which is a dual role forming in economic-political relations in the GMS in the last ten years. China is among major driving forces to set up an economic zone in GMS. Growing Chinese regional power is intimately related to the creation of various hubs connecting regional transportation, communication and energy systems that foster the economic development of this region. However, China also proves dark sides of rising powers which take advantage of their privileges to gain benefits. As a "system maker" with its own position and capability, China has notably benefited from building hydropower systems. More importantly, while China is pursuing its benefits and privileges, its hydropower projects have caused some negative effects for the ecosystem in the region. The inflation of dam constructions in both China and GMS countries is raising concerns about using natural resources of the Mekong River. Our concluding part addresses the pressing need to start a serious discussion on the balance between national interests and regional solidarity within the formulation of Chinese foreign policy in GMS.

Emoções positivas e motivação na reabilitação biopsicossocial

RESUMO: O presente estudo tem como principal objectivo verificar o fluxo emocional e a motivação para a mudança num programa de reabilitação biopsicossocial de alcoolismo e toxicodependências, com a duração de quatro semanas. Para esse efeito, procedeu-se à recolha da amostra de 30 participantes dentro do programa, utilizando para avaliar o fluxo emocional os relatos de episódios emocionais, o Teste de Positividade (TP), a Analogical Emotional Scale (AES), o Subjective Well-being (SWB), o Controlo Percebido Subjectivo (CPS) em três momentos distintos do programa, pelo que para avaliar a motivação foi utilizada a escala SOCRATES 8D no inicio e no final do programa de reabilitação. A teoria argumenta a existência de um aumento na satisfação pessoal e nas emoções positivas durante o processo de mudança, ou seja, quando o processo terapêutico decorre de forma favorável. Os resultados confirmam a existência de uma evolução linear positiva no TP, como também no SWB e CPS. Contudo não foi totalmente confirmado um aumento positivo da motivação, pelo que os resultados apenas demonstraram diferenças significativas na subescala Ambivalência da escala SOCRATES 8D, verificando-se um decréscimo acentuado entre os dois momentos, o que se revela favorável para o processo de mudança desejado no programa. ABSTRACT: The main objective of this study is to verify the emotional flow and the motivation for change process in a bio-psychosocial rehabilitation program for alcoholism and drug addictions, with a duration of four weeks. To this end, we proceeded to collect the sample of 30 participants in the program, to evaluate the emotional flow we use the emotional reports, the Positivity Test (PT), the Analogical Emotional Scale (AES), the Subjective Well-Being (SWB), the Subjective Perceived Control (PSC) in three separate moments of the program, to assess the motivation scale was used the SOCRATES 8D scale at the beginning and in the end of the rehabilitation program. The theory argues that there is an increase in personal satisfaction and positive emotions during the change process, when the therapeutic process runs optimally. The results confirm the existence of a positive linear trend in the PT, in SWB and CPS. However it was not totally confirmed an positive increase in motivation, so the results only showed significant differences in ambivalence subscale of the SOCRATES 8D, and there is a sharp decrease between the two moments, which proves favorable for the desired process of change in the program.

As teorias da origem das espécies nos manuais escolares portugueses de Ciências Naturais (1905-1959)

O ensino das teorias da origem das espécies no sistema de ensino liceal português ainda não está completamente esclarecido. Esta investigação visou contribuir para essa clarificação, ao mostrar o modo como os autores dos manuais de Ciências Naturais destinados ao ensino liceal, fizeram essa transposição, no período compreendido entre 1905 e 1959. Para tal, estudaram-se as perspectivas e as teorias da origem das espécies, os mecanismos e as provas do evolucionismo que apresentaram. Os resultados mostraram que a tipologia diversificada de mecanismos e de provas de evolução que transpuseram, evidencia que a argumentação em prol do evolucionismo continuou a dominar o discurso dos autores dos manuais desse período. Contudo, concorreram nesses manuais diversas explicações para a evolução das espécies, como o lamarckismo, o neolamarckismo, o darwinismo, o neodarwinismo, a ortogénese, o mutacionismo e o transformismo teísta. The teaching of the origin of species theories in the Portuguese secondary education hasn’t been completely clear yet. This investigation aimed to contribute to this clarification, showing the way the authors of secondary schools science textbooks, did that transposition, from 1905 to 1959. Therefore, there were studied the perspectives and the origin of species theories, the mechanisms and proves of evolutionism that they had presented. The results showed that the diverse typology of mechanisms and proves of evolution they had transposed, showed that the argumentation in favor of the evolutionism continued to domain the discourse of school textbooks authors from this period. However, there were many explanations in these textbooks for the evolution of species, such as Lamarckism, neoLamarckism, Darwinism, neoDarwinism, Orthogenesis, Mutationism and Theistic Evolutionism.

A dramatic effect of double bond configuration in N-oxy-3-aza Cope rearrangements: a simple synthesis of functionalised allenes

The first examples of low temperature N-oxy-3-aza Cope rearrangements, leading to functionalised allenes are described, where the Z-configuration of the enaminic double bond in the rearranging system proves critical.

Influence of LPG composition on straw applied one componente PU winter foam

O principal objectivo desta tese é obter uma relação directa entre a composição dos gases liquefeitos de petróleo (GLP), propano, n-butano e isobutano, usados como aerossóis propulsores numa lata de poliuretano de um componente, com as propriedades das espumas produzidas por spray. As espumas obtidas, terão de ter como requisito principal, um bom desempenho a temperaturas baixas, -10ºC, sendo por isso designadas por espumas de Inverno. Uma espuma é considerada como tendo um bom desempenho se não apresentar a -10/-10ºC (temperatura lata/ spray) glass bubbles, base holes e cell collapse. As espumas deverão ainda ter densidades do spray no molde a +23/+23ºC abaixo dos 30 g/L, um rendimento superior a 30 L, boa estabilidade dimensional e um caudal de espuma a +5/+5ºC superior a 5 g/s. Os ensaios experimentais foram realizados a +23/+23ºC, +5/+5ºC e a -10/-10ºC. A cada temperatura, as espumas desenvolvidas, foram submetidas a testes que permitiram determinar a sua qualidade. Testes esses que incluem os designados por Quick Tests (QT): o spray no papel e no molde das espumas nas referidas temperaturas. As amostras do papel e no molde são especialmente analisadas, quanto, às glass bubbles, cell collapse, base holes, cell structur e, cutting shrinkage, para além de outras propriedades. Os QT também incluem a análise da densidade no molde (ODM) e o estudo do caudal de espumas. Além dos QT foram realizados os testes da estabilidade dimensional das espumas, testes físicos de compressão e adesão, testes de expansão das espumas após spray e do rendimento por lata de espuma. Em todos os ensaios foi utilizado um tubo adaptador colocado na válvula da lata como método de spray e ainda mantida constante a proporção das matérias-primas (excepto os gases, em estudo). As experiências iniciaram-se com o estudo de GLPs presentes no mercado de aerossóis. Estes resultaram que o GLP: propano/ n-butano/ isobutano: (30/ 0/ 70 w/w%), produz as melhores espumas de inverno a -10/-10ºC, reduzindo desta forma as glass bubbles, base holes e o cell collapse produzido pelos restantes GLP usados como aerossóis nas latas de poliuretano. Testes posteriores tiveram como objectivo estudar a influência directa de cada gás, propano, n-butano e isobutano nas espumas. Para tal, foram usadas duas referências do estudo com GLP comercializáveis, 7396 (30 /0 /70 w/w %) e 7442 (0/ 0/ 100 w/w %). Com estes resultados concluí-se que o n-butano produz más propriedades nas espumas a -10/- 10ºC, formando grandes quantidades de glass bubbles, base holes e cell collapse. Contudo, o uso de propano reduz essas glass bubbles, mas em contrapartida, forma cell collapse.Isobutano, porém diminui o cell collapse mas não as glass bubbles. Dos resultados experimentais podemos constatar que o caudal a +5/+5ºC e densidade das espumas a +23/+23ºC, são influenciados pela composição do GLP. O propano e n-butano aumentam o caudal de espuma das latas e a sua densidade, ao contrário com o que acontece com o isobutano. Todavia, pelos resultados obtidos, o isobutano proporciona os melhores rendimentos de espumas por lata. Podemos concluir que os GLPs que contivessem cerca de 30 w/w % de propano (bons caudais a +5/+5ºC e menos glass bubbles a -10/-10ºC), e cerca 70 w/w % de isobutano (bons rendimentos de espumas, bem como menos cell collapse a -10/-10ºC) produziam as melhores espumas. Também foram desenvolvidos testes sobre a influência da quantidade de gás GLP presente numa lata. A análise do volume de GLP usado, foi realizada com base na melhor espuma obtida nos estudos anteriores, 7396, com um GLP (30 / 0/ 70 w/w%), e foram feitas alterações ao seu volume gás GLP presente no pré-polímero. O estudo concluiu, que o aumento do volume pode diminuir a densidade das espumas, e o seu decréscimo, um aumento da densidade. Também indico u que um mau ajuste do volume poderá causar más propriedades nas espumas. A análise económica, concluiu que o custo das espumas com mais GLP nas suas formulações, reduz-se em cerca de 3%, a quando de um aumento do volume de GLP no pré-polímero de cerca de 8 %. Esta diminuição de custos deveu-se ao facto, de um aumento de volume de gás, implicar uma diminuição na quantidade das restantes matérias-primas, com custos superiores, já que o volume útil total da lata terá de ser sempre mantido nos 750 mL. Com o objectivo de melhorar a qualidade da espuma 7396 (30/0/70 w/w %) obtida nos ensaios anteriores adicionou-se à formulação 7396 o HFC-152a (1,1-di fluoroetano). Os resultados demonstram que se formam espumas com más propriedades, especialmente a -10/-10ºC, contudo proporcionou excelentes shaking rate da lata. Através de uma pequena análise de custos não é aconselhável o seu uso pelos resultados obtidos, não proporcionando um balanço custo/benefício favorável. As três melhores espumas obtidas de todos os estudos foram comparadas com uma espuma de inverno presente no mercado. 7396 e 7638 com um volume de 27 % no prépolímero e uma composição de GLP (30/ 0 / 70 w/w%) e (13,7/ 0/ 86,3 w/w%), respectivamente, e 7690, com 37 % de volume no pré-polímero e GLP (30/ 0 / 70 w/w%), apresentaram em geral melhores resultados, comparando com a espuma benchmark . Contudo, os seus shaking rate a -10/-10ºC, de cada espuma, apresentaram valores bastante inferiores à composição benchmarking.

Avaliação da função ventricular esquerda e dimensão da aurícula esquerda por Vscan® e relatório de estágio

Mestrado em Tecnologia de Diagnóstico e Intervenção Cardiovascular. Área de especialização: Ultrassonografia Cardiovascular.

Monetary and fiscal policies interactions in a monetary union with country-size asymmetry

Within a country-size asymmetric monetary union, idiosyncratic shocks and national fiscal stabilization policies cause asymmetric cross-border effects. These effects are a source of strategic interactions between noncoordinated fiscal and monetary policies: on the one hand, due to larger externalities imposed on the union, large countries face less incentives to develop free-riding fiscal policies; on the other hand, a larger strategic position vis-à-vis the central bank incentives the use of fiscal policy to, deliberately, influence monetary policy. Additionally, the existence of non-distortionary government financing may also shape policy interactions. As a result, optimal policy regimes may diverge not only across the union members, but also between the latter and the monetary union. In a two-country micro-founded New-Keynesian model for a monetary union, we consider two fiscal policy scenarios: (i) lump-sum taxes are raised to fully finance the government budget and (ii) lump-sum taxes do not ensure balanced budgets in each period; therefore, fiscal and monetary policies are expected to impinge on debt sustainability. For several degrees of country-size asymmetry, we compute optimal discretionary and dynamic non-cooperative policy games and compare their stabilization performance using a union-wide welfare measure. We also assess whether these outcomes could be improved, for the monetary union, through institutional policy arrangements. We find that, in the presence of government indebtedness, monetary policy optimally deviates from macroeconomic to debt stabilization. We also find that policy cooperation is always welfare increasing for the monetary union as a whole; however, indebted large countries may strongly oppose to this arrangement in favour of fiscal leadership. In this case, delegation of monetary policy to a conservative central bank proves to be fruitful to improve the union’s welfare.

A importância dos fluxos de caixa na análise da solvência, liquidez e visibilidade das empresas

Orientada por: Prof. Doutora Cláudia Lopes

Dynamical analysis in growth models: Blumberg’s equation

We present a new dynamical approach to the Blumberg's equation, a family of unimodal maps. These maps are proportional to Beta(p, q) probability densities functions. Using the symmetry of the Beta(p, q) distribution and symbolic dynamics techniques, a new concept of mirror symmetry is defined for this family of maps. The kneading theory is used to analyze the effect of such symmetry in the presented models. The main result proves that two mirror symmetric unimodal maps have the same topological entropy. Different population dynamics regimes are identified, when the intrinsic growth rate is modified: extinctions, stabilities, bifurcations, chaos and Allee effect. To illustrate our results, we present a numerical analysis, where are demonstrated: monotonicity of the topological entropy with the variation of the intrinsic growth rate, existence of isentropic sets in the parameters space and mirror symmetry.