Training proposal in the degree of Master of Early Childhood Education for working the method of historical research in the classroom

Future teachers must be competent in creating educational settings, which provide tools to their students future they can develop a conscious mind, able to interpret their experiences, to make decisions and imagine innovative solutions to help you participate autonomously and responsible in society. This requires an educational system that allows them to integrate the subjective into a broader spatial and temporal context. La patrimonializatión of “Cultural artefacts” and oral history, the basis of which, are found in the active mind and links both the personal and the group experience, don’t only serve as a catalyst to achieving this goal, but rather, they facilitate the implementation of established practice in infant education. To gain this experience we offer the opportunity for students of their degree in Infant Education in the Public University of Navarre, training within the framework of social didactics, allowing students to learn about established practice from iconic, materials and oral sources in the Archive of Intangible Cultural Heritage of Navarra. The vidences points to their effectiveness and presented in a work in progress.

Physiotherapy in Malawi – a step in the right direction

Physiotherapists in Malawi are in short supply and the demand for this service is increasing. This profession is instrumental in the rehabilitation of patients following accident and disease. Early input from a physiotherapist can be life changing; for example, timely physiotherapy could prevent a patient from becoming wheelchair-bound for life. This article explores the role of physiotherapists, in the context of what they do, the medical conditions that benefit from physiotherapy and the services available in Malawi. The clinical focus will be on orthopaedic, musculoskeletal and neurological conditions, since those are the specialties of the authors. With the start of the physiotherapy degree programme at the College of Medicine, University of Malawi, huge steps have been taken to address this neglected profession.

Upper Limb Posture Estimation in Robotic and Virtual Reality-based Rehabilitation.

New motor rehabilitation therapies include virtual reality (VR) and robotic technologies. In limb rehabilitation, limb posture is required to (1) provide a limb realistic representation in VR games and (2) assess the patient improvement. When exoskeleton devices are used in the therapy, the measurements of their joint angles cannot be directly used to represent the posture of the patient limb, since the human and exoskeleton kinematic models differ. In response to this shortcoming, we propose a method to estimate the posture of the human limb attached to the exoskeleton. We use the exoskeleton joint angles measurements and the constraints of the exoskeleton on the limb to estimate the human limb joints angles. This paper presents (a) the mathematical formulation and solution to the problem, (b) the implementation of the proposed solution on a commercial exoskeleton system for the upper limb rehabilitation, (c) its integration into a rehabilitation VR game platform, and (d) the quantitative assessment of the method during elbow and wrist analytic training. Results show that this method properly estimates the limb posture to (i) animate avatars that represent the patient in VR games and (ii) obtain kinematic data for the patient assessment during elbow and wrist analytic rehabilitation.

Relatório de estágio : Associação Crescer com Sentido : intervenção psicomotora nas perturbações do desenvolvimento

O presente relatório procura refletir o trabalho desenvolvido no âmbito do estágio profissionalizante, inserido no Ramo de Aprofundamento de Competências Profissionais do Mestrado em Reabilitação Psicomotora, da Faculdade de Motricidade Humana. Este estágio decorreu na Associação Crescer com Sentido, em Lisboa, onde se procurou aprofundar as competências ao nível da observação, avaliação e intervenção psicomotora. Nesta instituição foi feita observação de sessões de psicomotricidade de crianças com Perturbações do Desenvolvimento e Dificuldades de Aprendizagem. A estagiária teve ainda oportunidade de realizar as suas atividades de estágio noutras instituições, com as quais a Associação Crescer com Sentido estabeleceu parceria. Uma das instituições foi a Creche e Jardim-de-Infância “O Botãozinho”, sediada em Carcavelos, onde foram feitos rastreios das competências pré-académicas a todas as crianças do último ano da educação pré-escolar. Após a análise dos rastreios foi selecionado um grupo de crianças, com resultados mais baixos, que foi alvo de sessões de estimulação das competências de literacia emergente, de forma a prevenir eventuais dificuldades de aprendizagem. Noutra instituição, o Externato “A Ritinha”, foram realizadas sessões semanais, em grupo, de psicomotricidade, de forma a estimular o desenvolvimento das crianças em idade pré-escolar. Por fim, a estagiária teve, ainda, oportunidade de avaliar e acompanhar uma criança, de nove anos, com Perturbação do Espectro do Autismo. As intervenções realizadas consideram-se benéficas e contributivas para um melhor desenvolvimento e percurso académico destas crianças.

Empregabilidade nos recém licenciados da Faculdade de Motricidade Humana

Esta investigação enquadra-se nos estudos sobre o percurso académico e inserção profissional dos recém-licenciados dos anos letivos de 2007/08, 2008/09 e 2009/10 da Faculdade de Motricidade Humana (FMH) em colaboração com o Observatório da Empregabilidade da FMH. Tem como principal objetivo a caracterização do emprego dos recém-licenciados pela Faculdade. A metodologia aproveitou e aperfeiçoou uma plataforma eletrónica proprietária (AgonScopio v.1.7.51), para o desenvolvimento de questionários online, no meio Web. O universo do estudo foi representado pelos recém-licenciados dos três (3) anos letivos em estudo, das seguintes Licenciaturas: Ciências do Desporto, Ergonomia, Gestão do Desporto, Reabilitação Psicomotora e Dança. A amostra foi representada pelos resultados obtidos das duzentas e vinte e quatro (224) respostas conseguidas, de um universo de seiscentos e oitenta e seis (686) licenciados, permitindo caracterizar o comportamento dos recém-licenciados, de acordo com nove (9) dimensões estudadas, nomeadamente: dados gerais, enquadramento sociocultural com o objeto da FMH, primeiro emprego, formação, experiência profissional, trabalho e remuneração, expetativas, mobilidade e formação pós licenciatura. Aferimos que os recém-licenciados da FMH têm uma boa emprega-bilidade e o emprego é maioritariamente na sua área de formação. A maioria dos licenciados está empregada ao fim de 12 meses após a conclusão das suas licenciaturas (79,4%).

Teaching / learning process through the case method in the law degree

This project in teaching innovation and improvement aims to disseminate the case method as one of the most innovative educational instruments inteaching of Law in general, and specifically with regard to Family and Inheritance Law. The methodology used ensures learning through a legal conflict, which must be resolved by the students themselves from different viewpoints as legal agents. This is an activity in teaching innovation, in which students become the protagonists. Participation is voluntary, and the main aim is student motivation. The subject's aim is for students to learn public speaking skills fundamental to the profession while familiarising themselves with judicial practice. Theteacher sets up a legal conflict in order for students to resolve the dispute as legal agents with divergent viewpoints - in other words, as judges, attorneys, lawyers and so on. The project seeks alternatives to traditional teaching methods and is an innovative teaching method aimed at professionally training future lawyers as well as being a model that involves students more in their own learning.

New Source of Muscle-Derived Stem Cells with Potential for Alveolar Bone Reconstruction in Cleft Lip and/or Palate Patients

Cleft lip and palate (CLP), one of the most frequent congenital malformations, affects the alveolar bone in the great majority of the cases, and the reconstruction of this defect still represents a challenge in the rehabilitation of these patients. One of the current most promising strategy to achieve this goal is the use of bone marrow stem cells (BMSC); however, isolation of BMSC or iliac bone, which is still the mostly used graft in the surgical repair of these patients, confers site morbidity to the donor. Therefore, in order to identify a new alternative source of stem cells with osteogenic potential without conferring morbidity to the donor, we have used orbicular oris muscle (OOM) fragments, which are regularly discarded during surgery repair (cheiloplasty) of CLP patients. We obtained cells from OOM fragments of four unrelated CLP patients (CLPMDSC) using previously described preplating technique. These cells, through flow cytometry analysis, were mainly positively marked for five mesenchymal stem cell antigens (CD29, CD90, CD105, SH3, and SH4), while negative for hematopoietic cell markers, CD14, CD34, CD45, and CD117, and for endothelial cell marker, CD31. After induction under appropriate cell culture conditions, these cells were capable to undergo chondrogenic, adipogenic, osteogenic, and skeletal muscle cell differentiation, as evidenced by immunohistochemistry. We also demonstrated that these cells together with a collagen membrane lead to bone tissue reconstruction in a critical-size cranial defects previously induced in non-immunocompromised rats. The presence of human DNA in the new bone was confirmed by PCR with human-specific primers and immunohistochemistry with human nuclei antibodies. In conclusion, we showed that cells from OOM have phenotypic and behavior characteristics similar to other adult stem cells, both in vitro and in vivo. Our findings suggest that these cells represent a promising source of stem cells for alveolar bone grafting treatment, particularly in young CLP patients.

Trends in dermatomyositis- and polymyositis-related mortality in the state of Sao Paulo, Brazil, 1985-2007: multiple cause-of-death analysis

Background: Dermatomyositis (DM) and polymyositis (PM) are rare systemic autoimmune rheumatic diseases with high fatality rates. There have been few population-based mortality studies of dermatomyositis and polymyositis in the world, and none have been conducted in Brazil. The objective of the present study was to employ multiple-cause of-death methodology in the analysis of trends in mortality related to dermatomyositis and polymyositis in the state of Sao Paulo, Brazil, between 1985 and 2007. Methods: We analyzed mortality data from the Sao Paulo State Data Analysis System, selecting all death certificates on which DM or PM was listed as a cause of death. The variables sex, age and underlying, associated or total mentions of causes of death were studied using mortality rates, proportions and historical trends. Statistical analysis were performed by chi-square and H Kruskal-Wallis tests, variance analysis and linear regression. A p value less than 0.05 was regarded as significant. Results: Over a 23-year period, there were 318 DM-related deaths and 316 PM-related deaths. Overall, DM/PM was designated as an underlying cause in 55.2% and as an associated cause in 44.8%; among 634 total deaths females accounted for 71.5%. During the study period, age-and gender-adjusted DM mortality rates did not change significantly, although PM as an underlying cause and total mentions of PM trended lower (p < 0.05). The mean ages at death were 47.76 +/- 20.81 years for DM and 54.24 +/- 17.94 years for PM (p = 0.0003). For DM/PM, respectively, as underlying causes, the principal associated causes of death were as follows: pneumonia (in 43.8%/33.5%); respiratory failure (in 34.4%/32.3%); interstitial pulmonary diseases and other pulmonary conditions (in 28.9%/17.6%); and septicemia (in 22.8%/15.9%). For DM/PM, respectively, as associated causes, the following were the principal underlying causes of death: respiratory disorders (in 28.3%/26.0%); circulatory disorders (in 17.4%/20.5%); neoplasms (in 16.7%/13.7%); infectious and parasitic diseases (in 11.6%/9.6%); and gastrointestinal disorders (in 8.0%/4.8%). Of the 318 DM-related deaths, 36 involved neoplasms, compared with 20 of the 316 PM-related deaths (p = 0.03). Conclusions: Our study using multiple cause of deaths found that DM/PM were identified as the underlying cause of death in only 55.2% of the deaths, indicating that both diseases were underestimated in the primary mortality statistics. We observed a predominance of deaths in women and in older individuals, as well as a trend toward stability in the mortality rates. We have confirmed that the risk of death is greater when either disease is accompanied by neoplasm, albeit to lesser degree in individuals with PM. The investigation of the underlying and associated causes of death related to DM/PM broaden the knowledge of the natural history of both diseases and could help integrate mortality data for use in the evaluation of control measures for DM/PM.

Cluster analysis of self-awareness levels in adults with traumatic brain injury and relationship to outcome

The purpose of this study was to investigate the relationship between self-awareness, emotional distress, motivation, and outcome in adults with severe traumatic brain injury. A sample of 55 patients were selected from 120 consecutive patients with severe traumatic brain injury admitted to the rehabilitation unit of a large metropolitan public hospital. Subjects received multidisciplinary inpatient rehabilitation and different types of outpatient rehabilitation and community-based services according to availability and need, Measures used in the cluster analysis were the Patient Competency Rating Scale, Self-Awareness of Deficits Interview, Head Injury Behavior Scale, Change Assessment Questionnaire, the Beck Depression Inventory, and Beck Anxiety Inventory; outcome measures were the Disability Rating Scale, Community Integration Questionnaire, and Sickness Impact Profile. A three-cluster solution was selected, with groups labeled as high self-awareness (n = 23), low self-awareness (n = 23), and good recovery (n = 8). The high self-awareness cluster had significantly higher levels of self-awareness, motivation, and emotional distress than the low self-awareness cluster but did not differ significantly in outcome. Self-awareness after brain injury is associated with greater motivation to change behavior and higher levels of depression and anxiety; however, it was not clear that this heightened motivation actually led to any improvement in outcome. Rehabilitation timing and approach may need to be tailored to match the individual's level of self-awareness, motivation, and emotional distress.

A 1-year longitudinal study of severe traumatic brain injury in Australia using the Sickness Impact Profile

Objective: To document outcome and to investigate patterns of physical and psychosocial recovery in the first year following severe traumatic brain injury (TBI) in an Australian patient sample. Design: A longitudinal prospective study of a cohort of patients, with data collection at 3, 6, 9, and 12 months post injury. Setting: A head injury rehabilitation unit in a large metropolitan public hospital. Patients: A sample of 55 patients selected from 120 consecutive admissions with severe TBI. Patients who were more than 3 months post injury on admission, who remained confused, or who had severe communication deficits or a previous neurologic disorder were excluded. Interventions: All subjects participated in a multidisciplinary inpatient rehabilitation program, followed by varied participation in outpatient rehabilitation and community-based sen ices. Main Outcome Measures: The Sickness impact Profile (SIP) provided physical, psychosocial, and total dysfunction scores at each follow-up. Outcome at 1 year was measured by the Disability Rating Scale. Results: Multivariate analysis of variance indicated that the linear trend of recovery over time was less for psychosocial dysfunction than for physical dysfunction (F(1,51) = 5.87, P < .02). One rear post injury, 22% of subjects had returned to their previous level of employability, and 42% were able to live independently. Conclusions: Recovery from TBI in this Australian sample followed a pattern similar to that observed in other countries, with psychosocial dysfunction being more persistent. Self-report measures such as the SIP in TBI research are limited by problems of diminished self-awareness.

Rehabilitation of executive dysfunction: A controlled trial of an attention and problem solving treatment group

In this study, the effectiveness of a group-based attention and problem solving (APS) treatment approach to executive impairments in patients with frontal lobe lesions was investigated. Thirty participants with lesions in the frontal lobes, 16 with left frontal (LF) and 14 with right frontal (RF) lesions, were allocated into three groups, each with 10 participants. The APS treatment was initially compared to two other control conditions, an information/education (IE) approach and treatment-as-usual or traditional rehabilitation (TR), with each of the control groups subsequently receiving the APS intervention in a crossover design. This design allowed for an evaluation of the treatment through assessment before and after treatment and on follow up, six months later. There was an improvement on some executive and functional measures after the implementation of the APS programme in the three groups. Size, and to a lesser extent laterality, of lesion affected baseline performance on measures of executive function, but there was no apparent relationship between size, laterality or site of lesion and level of benefit from the treatment intervention. The results were discussed in terms of models of executive functioning and the effectiveness of domain specific interventions in the rehabilitation of executive dysfunction.

Evaluation of hepatobiliary excretion and enterobiliary reflux in rats with biliary obstruction submitted to bilioduodenal or biliojejunal anastomosis

Bilioduodenal and biliojejunal anastomoses are effective for the treatment of biliary obstruction. The objective of this study was to compare the effects of these anastomoses on hepatobiliary excretion and enterobiliary reflux. Enterobiliary reflux and biliary excretion were evaluated respectively after oral administration of technetium (Tc-99m) in combination with sodium phytate and intravenous infusion of Tc-99m with diisopropyl-iminodiacetic acid. Enterobiliary reflux occurred to an equal degree in the bilioduodenal and biliojejunal groups. Maximum hepatic activity time (T-max) and radiotracer clearance half-time (T-1/2) were similar in both groups. However, when compared with that found for the sham-operated group, T-max, and T-1/2 were higher in the biliojejunal group (P = 0.02 and P = 0.01, respectively). Histopathological analysis showed marked reduction in ductal proliferation in both groups. These data undermine the theoretical advantages attributed to biliojejunal anastomosis and further the understanding of the pathophysiology of cholangitis that occurs even with patent anastomosis.

Seedling responses of three Australian tree species to toxic concentrations of zinc in solution culture

A frequently desired outcome when rehabilitating Zn toxic sites in Australia is to establish a self-sustaining native ecosystem. Hence, it is important to understand the tolerance of Australian native plants to high concentrations of Zn. Very little is known about the responses of Australian native plants, and trees in particular, to toxic concentrations of Zn. Acacia holosericea, Eucalyptus camaldulensis and Melaleuca leucadendra plants were grown in dilute solution culture for 10 weeks. The seedlings (42 days old) were exposed to six Zn treatments viz., 0.5, 5, 10, 25, 50 and 100 muM. The order of tolerance to toxic concentrations of Zn was E. camaldulensis > A. holosericea > M. leucadendra, the critical external concentrations being approximately 20, 12 and 1.5 muM, respectively. Tissue Zn concentrations increased as solution Zn increased for all species. Root tissue concentrations were higher than shoot tissue concentrations at all solution Zn concentrations. The critical tissue Zn concentrations were approximately 85 and 110 mug g(-1) DM for M. leucadendra, 115 and 155 mug g(-1) DM for A. holosericea and 415 and 370 mug g(-1) DM for E. camaldulensis for the youngest fully expanded leaf and total shoots, respectively. The results from this paper provide the first comprehensive combination of growth responses, critical external concentrations, critical tissue concentrations and plant toxicity symptoms for three important Australian genera, viz., Eucalyptus, Acacia and Melaleuca, for use in the rehabilitation of potentially Zn toxic sites.

Reforço estrutural de uma edificação pombalina: acompanhamento em obra

Este trabalho Final de Mestrado consiste na elaboração de um relatório de estágio que reportará o acompanhamento por parte do discente de um reforço estrutural de uma edificação pombalina. Desta forma são definidas as principais características construtivas destas edificações, fazendo um enquadramento histórico-cultural e urbanístico do edifício alvo deste trabalho. Uma vez estudado um tipo de construção especial, são mencionados diversos sistemas e metodologias de reforço que se adequam às características singulares destas construções, ilustrando-se procedimentos e técnicas que normalmente são utilizadas na reabilitação. Procedeu-se ao relato dos trabalhos executados na obra, desde a demolição dos elementos degradados e dissonantes com esta tipologia construtiva, a um estudo mais pormenorizado ao solo de fundação encontrado na zona da edificação e soluções de fundação adoptadas. São descritas neste trabalho quais as medidas adoptadas no reforço da estrutura da edificação, evidenciando os procedimentos e técnicas aplicadas pela empresa. No final deste trabalho, foi efectuada uma modelação do edifício da Rua do Carmo num software de análise estrutural SAP 2000, com o objectivo de modelar de forma aproximada a real geometria do edifício e, através da introdução das variadas acções actuantes na estrutura, fazer determinadas considerações do comportamento da mesma face às solicitações impostas. Pretendeu-se ainda estabelecer uma relação entres os resultados obtidos e as técnicas de reforço utilizadas na reabilitação destes edifícios.

Prestação de serviços de assessoria e fiscalização da obra de "reabilitação das coberturas, acessibilidades e segurança da antiga escola Veiga Beirão - Palácio Valadares, em Lisboa"

O presente relatório diz respeito a um estágio de natureza profissional realizado com o objectivo de constituir Trabalho Final de Mestrado para obtenção do grau de Mestre em Engenharia Civil no perfil de Edificações, do Instituto Superior de Engenharia de Lisboa. O estágio subordinado ao tema “Prestação de serviços de Assessoria, Fiscalização e Coordenação de Segurança da Obra de REABILITAÇÃO DAS COBERTURAS, ACESSIBILIDADES E SEGURANÇA DA ANTIGA ESCOLA VEIGA BEIRÃO – PALÁCIO VALADARES, EM LISBOA”, decorreu na Pengest – Planeamento, Engenharia e Gestão, S.A., empresa vocacionada para a prestação de serviços de Assessoria, Gestão, Coordenação e Fiscalização de Obras, sector no qual possui vasta e diversificada experiência, e reconhecidos mérito e competência. O objectivo da empreitada é o de recuperação deste imóvel, intervenção necessária à instalação no local da Exposição “República e Ensino” enquadrada no âmbito das Comemorações do Centenário da República. A empreitada foi adjudicada ao Empreiteiro Teixeira Duarte, S.A, pelo valor de €998.072,76. O prazo é de 4,5 meses prevendo-se a conclusão para 18 de Março de 2010. Embora a proposta de estágio tenha decorrido no início de 2010, no âmbito do tema que viria a ser proposto e de forma a integrar a Estagiária numa empresa em pleno funcionamento, o estágio teve início aquando do início da empreitada, em Novembro de 2009. Exceptuando os trabalhos de montagem da grua-torre e dos andaimes para a cobertura provisória, que decorreram antes da consignação, foi acompanhado todo o processo de Fiscalização. A Estagiária participou na análise do Plano de Trabalhos, nas vistorias às fracções autónomas e edifícios adjacentes, nas visitas à obra e na elaboração de relatórios mensais. Acompanhou os procedimentos da Pengest no Controlo do Planeamento, da Qualidade e Financeiro. Em relação à Coordenação de Segurança em obra, por ser um tema tão vasto e específico, teve acesso aos relatórios, não tendo efectivamente participado nas actividades desenvolvidas sobre esta matéria. Sob a co-orientação da Eng.ª Isabel Vicente, responsável da Fiscalização e orientação do Eng.º José Pedro Fernandes do ISEL, a estagiária desenvolveu este estágio de forma proveitosa, sempre com o auxílio de uma equipa experiente em Gestão e Fiscalização.