New tools for cognitive and motor rehabilitation: development and clinical validation

Nervous system disorders are associated with cognitive and motor deficits, and are responsible for the highest disability rates and global burden of disease. Their recovery paths are vulnerable and dependent on the effective combination of plastic brain tissue properties, with complex, lengthy and expensive neurorehabilitation programs. This work explores two lines of research, envisioning sustainable solutions to improve treatment of cognitive and motor deficits. Both projects were developed in parallel and shared a new sensible approach, where low-cost technologies were integrated with common clinical operative procedures. The aim was to achieve more intensive treatments under specialized monitoring, improve clinical decision-making and increase access to healthcare. The first project (articles I – III) concerned the development and evaluation of a web-based cognitive training platform (COGWEB), suitable for intensive use, either at home or at institutions, and across a wide spectrum of ages and diseases that impair cognitive functioning. It was tested for usability in a memory clinic setting and implemented in a collaborative network, comprising 41 centers and 60 professionals. An adherence and intensity study revealed a compliance of 82.8% at six months and an average of six hours/week of continued online cognitive training activities. The second project (articles IV – VI) was designed to create and validate an intelligent rehabilitation device to administer proprioceptive stimuli on the hemiparetic side of stroke patients while performing ambulatory movement characterization (SWORD). Targeted vibratory stimulation was found to be well tolerated and an automatic motor characterization system retrieved results comparable to the first items of the Wolf Motor Function Test. The global system was tested in a randomized placebo controlled trial to assess its impact on a common motor rehabilitation task in a relevant clinical environment (early post-stroke). The number of correct movements on a hand-to-mouth task was increased by an average of 7.2/minute while the probability to perform an error decreased from 1:3 to 1:9. Neurorehabilitation and neuroplasticity are shifting to more neuroscience driven approaches. Simultaneously, their final utility for patients and society is largely dependent on the development of more effective technologies that facilitate the dissemination of knowledge produced during the process. The results attained through this work represent a step forward in that direction. Their impact on the quality of rehabilitation services and public health is discussed according to clinical, technological and organizational perspectives. Such a process of thinking and oriented speculation has led to the debate of subsequent hypotheses, already being explored in novel research paths.

Saudosa Maloca, Maloca querida: um estudo morfológico da relação forma/usos do espaço em moradias autoconstruídas e construídas pelo poder público após um ano de ocupação

This study intends to enhance the existing knowledge concerning the patterns of the uses of space for low cost housing in Parnamirim, Rio Grande do Norte, Brazil, by way of comparative morphological studies in spatial arrangements and articulations regarding three distinct, however inter-related, sets of social housing: (1) a development comprising 21 self-built houses erected on public routes and illegal plots within a tract of land originally designed to be an industrial development: (2) architect-designed houses built by the public authority in order to accommodate the previous 21 (plus a few additions) families occupying the self-built dwellings, and (3) modifications performed by dwellers on a total of those 24 houses built by the public authority after an occupation period of one year. The predominant uses of each room within the self-built and modified houses were represented in ground plan, based on empirical observation, surveys with dwellers and the use of analytical procedures of morphologic analysis of nature predominantly geometric (specific) and topology (space syntax analysis). A scale of priorities was identified in relation to the uses of each room, its geometrical arrangement (adjacency, front/back relations etc), and underlying structures (connectivity, depth and spatial integration) in order to establish congruencies and non-congruencies between a social-cultural order embedded in the self-built domestic space and the design logic contained in the houses offered by official agencies. The comparative analysis points towards the convivial existence of two tendencies: one that seems to reinforce a design logic inasmuch as the additions and modifications performed by the dwellers do not alter but even emphasize the original configuration of the designed houses, and another one in which those patterns are subverted in accordance with a logic which, to a lesser or greater degree, coincides with that of the self-built dwellings

Otimização do comportamento térmico de edifícios do tipo LSF

No panorama energético atual, medidas de desenvolvimento sustentável têm uma preponderância cada vez mais significativa e, sendo os edifícios responsáveis por 40% da energia consumida na EU, enquadra-se o desafio de integrar medidas de eficiência energética nos novos edifícios desde a fase de conceção. Sendo que este setor se encontra em contínua expansão, a redução dos consumos passará largamente pela otimização do comportamento térmico dos edifícios e dos sistemas energéticos que os equipam. No presente trabalho estudou-se o papel da inércia térmica na redução das necessidades de energia para climatização de edifícios com o objetivo de identificar estratégias destinadas ao melhoramento do comportamento térmico e desempenho energético de edifícios construídos com recurso à técnica construtiva LSF, caracterizados por uma fraca inércia térmica quando comparados com edifícios em tudo semelhantes mas construídos recorrendo a tecnologias convencionais sem esquecer as questões relacionadas com a respetiva viabilidade económica. Com resultado geral destaca-se desde logo a importância do local onde é mais benéfico adicionar massa térmica (paredes exteriores, cobertura, paredes interiores), assim como a necessidade de utilização de um material com elevada densidade energética e baixo custo. A análise comparativa dos diferentes modelos de edifício simulados com recurso ao software DesignBuilder/EnergyPlus, foi realizada recorrendo a uma metodologia em que cada modelo construtivo é avaliado considerando quatro níveis de isolamento térmico e duas condições de cargas térmicas internas. A análise energética e económica foi realizada tendo como referência um período de 20 anos. O custo das soluções construtivas foi maioritariamente obtido através da ferramenta computacional Gerador de Preços, da Cype, SA©, tendo-se considerado um consumo energético anual constante e igual às necessidades de climatização anuais, assim como taxas de atualização de capital e de inflação do custo da energia constantes. De uma forma geral conclui-se que edifícios do tipo LSF melhorados através da adição criteriosa de massa térmica em determinados elementos construtivos, apresentam necessidades de climatização anuais na maioria dos casos estudados, inferiores àquelas verificadas em edifícios convencionais com inércia térmica média/forte. Conclui-se, também, que o método construtivo LSF se apresenta mais eficaz em termos energéticos e económicos quando comparado com soluções semelhantes construídas com recurso a um método convencional. Na secção seguinte são identificadas as principais conclusões deste trabalho.

Vermiculitas tratadas quimicamente na obtenção de sólidos microporosos como precursores para híbridos inorgânico-orgânicos com aplicações adsortivas

ALVES, Ana paula Melo. Vermiculitas tratadas quimicamente na obtenção de sólidos microporosos como precursores para híbridos inorgânico-orgânicos com aplicações adsortivas. 2009. 124 f. Tese (Doutorado em Quimica) - Centro de Ciências Exatas e da Natureza, Universidade Federal da Paraíba, João Pessoa, PB, 2009.