Temporal trends in the prevalence of asthma and rhinoconjunctivitis in adolescents

ABSTRACT OBJECTIVE To analyze the temporal trend of asthma and rhinoconjunctivitis prevalences as well as their symptoms in adolescents. METHODS Two cross-sectional studies were conducted using the same methodology and questionnaire as was used for adolescents aged 12 to 14 years in the Brazilian city of Florianopolis, SC, Southern Brazil. Based on the international protocol of the International Study of Asthma and Allergies in Childhood (ISAAC) study, adolescents were evaluated in 2001 and 3,150 in 2012. The schools included in this study were the same as in the 2001 study. These schools were randomly selected after stratification by network (public and private) and geographic location. The total average percentage variation was estimated for the prevalence of asthma and rhinoconjunctivitis and their symptoms. RESULTS The prevalence of reported asthma was 10.9% in 2001 and 14.8% in 2012, with an average variation of 2.8% in the period. The highest average variation in the period was observed among female adolescents (4.1%). In parallel a significant increase occurred in reported physician-diagnosed asthma, 7.3% in 2001 and 11,1% in 2012, with an annual variation of 4.5%. The largest increases in reported physician-diagnosed asthma were seen in female (5.9%) and male (4.5%) public school pupils. In addition, a significant increase in reported rhinoconjunctivitis occurred, with the average variation in the period being 5.2%. Reports of severe asthma symptoms remained unchanged during the period, while the annual variation for reported current wheezing (-1.3%) and wheezing during exercise (-1.2%) decreased. CONCLUSIONS The results showed a significant increase in the annual average variation for asthma and rhinoconjunctivitis prevalence during the 2001 to 2012 period.

Influence of the support offered to breastfeeding by maternity hospitals

ABSTRACT OBJECTIVE To evaluate whether the support offered by maternity hospitals is associated with higher prevalences of exclusive and predominant breastfeeding. METHODS This is a cross-sectional study including a representative sample of 916 infants less than six months who were born in maternity hospitals, in Ribeirao Preto, Sao Paulo, Southeastern Brazil, 2011. The maternity hospitals were evaluated in relation to their fulfillment of the Ten Steps to Successful Breastfeeding. Data were collected regarding breastfeeding patterns, the birth hospital and other characteristics. The individualized effect of the study factor on exclusive and predominant breastfeeding was analyzed using Poisson multiple regression with robust variance. RESULTS Predominant breastfeeding tended to be more prevalent when the number of fulfilled steps was higher (p of linear trend = 0.057). The step related to not offering artificial teats or pacifiers to breastfed infants and that related to encouraging the establishment of breastfeeding support groups were associated, respectively, to a higher prevalence of exclusive (PR = 1.26; 95%CI 1.04;1.54) and predominant breastfeeding (PR = 1.55; 95%CI 1.01;2.39), after an adjustment was performed for confounding variables. CONCLUSIONS We observed a positive association between support offered by maternity hospitals and prevalences of exclusive and predominant breastfeeding. These results can be useful to other locations with similar characteristics (cities with hospitals that fulfill the Ten Steps to Successful Breastfeeding) to provide incentive to breastfeeding, by means of promoting, protecting and supporting breastfeeding in maternity hospitals.

Forest cover monitoring in the Bara district (Nepal) with remote sensing and geographic information systems

Dissertation submitted in partial fulfilment of the requirements for the Degree of Master of Science in Geospatial Technologies

Economic crisis and counter-reform of universal health care systems: Spanish case

The economic crisis that has been affecting Europe in the 21st century has modified social protection systems in the countries that adopted, in the 20th century, universal health care system models, such as Spain. This communication presents some recent transformations, which were caused by changes in Spanish law. Those changes relate to the access to health care services, mainly in regards to the provision of care to foreigners, to financial contribution from users for health care services, and to pharmaceutical assistance. In crisis situations, reforms are observed to follow a trend which restricts rights and deepens social inequalities.

Digital disease detection and participatory surveillance: overview and perspectives for Brazil

ABSTRACT This study aimed to describe the digital disease detection and participatory surveillance in different countries. The systems or platforms consolidated in the scientific field were analyzed by describing the strategy, type of data source, main objectives, and manner of interaction with users. Eleven systems or platforms, developed from 1996 to 2016, were analyzed. There was a higher frequency of data mining on the web and active crowdsourcing as well as a trend in the use of mobile applications. It is important to provoke debate in the academia and health services for the evolution of methods and insights into participatory surveillance in the digital age.

ECG-based biometrics: A real time classification approach

Behavioral biometrics is one of the areas with growing interest within the biosignal research community. A recent trend in the field is ECG-based biometrics, where electrocardiographic (ECG) signals are used as input to the biometric system. Previous work has shown this to be a promising trait, with the potential to serve as a good complement to other existing, and already more established modalities, due to its intrinsic characteristics. In this paper, we propose a system for ECG biometrics centered on signals acquired at the subject's hand. Our work is based on a previously developed custom, non-intrusive sensing apparatus for data acquisition at the hands, and involved the pre-processing of the ECG signals, and evaluation of two classification approaches targeted at real-time or near real-time applications. Preliminary results show that this system leads to competitive results both for authentication and identification, and further validate the potential of ECG signals as a complementary modality in the toolbox of the biometric system designer.

From design-for-test to design-for-debug-and-test: analysis of requirements and limitations for 1149.1

The increasing complexity of VLSI circuits and the reduced accessibility of modern packaging and mounting technologies restrict the usefulness of conventional in-circuit debugging tools, such as in-circuit emulators for microprocessors and microcontrollers. However, this same trend enables the development of more complex products, which in turn require more powerful debugging tools. These conflicting demands could be met if the standard scan test infrastructures now common in most complex components were able to match the debugging requirements of design verification and prototype validation. This paper analyses the main debug requirements in the design of microprocessor-based applications and the feasibility of their implementation using the mandatory, optional and additional operating modes of the standard IEEE 1149.1 test infrastructure.

Discovery and retrieval of Geographic data using Google

Dissertation submitted in partial fulfilment of the requirements for the Degree of Master of Science in Geospatial Technologies

The portuguese pharmaceutial market in the near future - A time series exploration approach

Dissertação apresentada como requisito parcial para obtenção do grau de Mestre em Estatística e Gestão de Informação

Urban change monitoring using GIS and remote sensing tools in Kathmandu valley (Nepal)

Dissertation submitted in partial fulfilment of the requirements for the Degree of Master of Science in Geospatial Technologies

A pré-fabricação em betão em edifícios

No presente trabalho apresenta-se um levantamento com base na literatura especializada, das diversas soluções estruturais em betão pré-fabricado existentes, aplicadas em edifícios correntes, mais especificamente as soluções ao nível dos elementos que as constituem, nomeadamente no que respeita a ligações estruturais dos elementos, com combinações in situ, das estruturas préfabricadas e as moldadas em obra, aproveitando o que de melhor se pode obter de ambas as técnicas, com vista a obter um melhor resultado final. Apesar do setor da construção civil estar em crise, tal como vários outros setores, as empresas de pré-fabricação apresentam soluções que poderão contrariar esta tendência, nomeadamente através da diversificação e flexibilização da sua produção, com inovação, criatividade e elevada qualidade. Num mercado em que a construção de edifícios de raiz sofreu um grande abrandamento, começa a surgir no mercado a necessidade de se reabilitar as construções existentes, nomeadamente nos grandes centros das cidades que foram perdendo população ao longo dos tempos. Esta requalificação do espaço urbano permite o desenvolvimento de soluções estruturais pré-fabricadas, no que respeita à reabilitação dos elementos existentes, quer por justaposição para reforço das estruturas, quer por inserção de elementos novos para efetuar correções. Os baixos custos de mão de obra, equipamentos e estaleiro, assim como a redução dos prazos de construção e entrega ao cliente final, dado que a produção não está dependente das condições existentes in situ para se desenvolver, destacam-se da construção civil tradicional. A produção integral dos elementos pré-fabricados de betão em fábrica tem outras vantagens, entre as quais, um melhor planeamento e controle da segurança, um controle rigoroso de qualidade, a redução dos custos de reparação e manutenção, melhor sustentabilidade com redução da quantidade de resíduos produzidos.

Integration of e-portfolios in learning management systems

The LMS plays a decisive role in most eLearning environments. Although they integrate many useful tools for managing eLearning activities, they must also be effectively integrated with other specialized systems typically found in an educational environment such as Repositories of Learning Objects or ePortfolio Systems. Both types of systems evolved separately but in recent years the trend is to combine them, allowing the LMS to benefit from using the ePortfolio assessment features. This paper details the most common strategies for integrating an ePortfolio system into an LMS: the data, the API and the tool integration strategies. It presents a comparative study of strategies based on the technical skills, degree of coupling, security features, batch integration, development effort, status and standardization. This study is validated through the integration of two of the most representative systems on each category - respectively Mahara and Moodle.

Work and citizenship: crises and alternatives

Enterprise and Work Innovation Studies, 5

Aplicação do princípio das ondas de Elliott à bolsa portuguesa

Tese para a obtenção do grau de Doutor em Economia, especialidade de Economia da Empresa

Reorganização do stiffness em indivíduos com Acidente Vascular Encefálico face à intervenção em fisioterapia. Repercussões no levantar e na marcha

Introdução: A organização estrutural e funcional do sistema nervoso face à organização dos diferentes tipos de input, no âmbito da intervenção em fisioterapia, pode potenciar um controlo postural para a regulação do stiffness e com repercussões na marcha e no levantar. Objetivo: Descrever o comportamento do stiffness da tibiotársica no movimento de dorsiflexão, no membro inferior ispi e contralesional, em indivíduos após Acidente Vascular Encefálico, face a uma intervenção em fisioterapia baseada num processo de raciocínio clínico. Pretendeu-se também observar as modificações ocorridas no âmbito da atividade electromiográfica dos flexores plantares, gastrocnémio medial e solear, durante a marcha e o levantar. Métodos: Foi implementado um programa de reabilitação em 4 indivíduos com sequelas de AVE por um período de 3 meses, tendo sido avaliados no momento inicial e final (M0 e M1). O torque e a amplitude articular da tibiotársica foi monitorizada, através do dinamómetro isocinético, durante o movimento passivo de dorsiflexão, e o nível de atividade eletromiográfica registado, através de electomiografia de superfície, no solear e gastrocnémio medial. Foram estudadas as fases de aceitação de carga no STS (fase II) e na marcha (sub-fase II). Resultados: Em todos os indivíduos em estudo verificou-se que o stiffness apresentou uma modificação no sentido da diminuição em todas as amplitudes em M1. O nível de atividade eletromiográfica teve comportamentos diferentes nos vários indivíduos. Conclusão: O stiffness apontou para uma diminuição nos indivíduos em estudo entre M0 e M1. Foram registadas modificações no nível de atividade eletromiográfica sem que seja possível identificar uma tendência clara entre os dois momentos para esta variável.