Epidemiology of community-acquired meticillin-resistant Staphylococcus aureus obtained from the UK West Midlands region

Between January 2005 and December 2005, 199 meticillin-resistant Staphylococcus aureus (MRSA) isolates were obtained from nonhospitalised patients presenting skin and soft tissue infections to local general practitioners. The study area incorporated 57 surgeries from three Primary Care Trusts in the Lichfield, Tamworth, Burntwood, North and East Birmingham regions of Central England, UK. Following antibiotic susceptibility testing, pulsed-field gel electrophoresis, Panton-Valentine leukocidin gene detection and SCCmec element assignment, 95% of the isolates were shown to be related to hospital epidemic strains EMRSA-15 and EMRSA-16. In total 87% of the isolate population harboured SCCmec IV, 9% had SCCmec II and 4% were identified as carrying novel SCCmec IIIa-mecI. When mapped to patient home postcode, a diverse distribution of isolates harbouring SCCmec II and SCCmec IV was observed; however, the majority of isolates harbouring SCCmec IIIa-mecI were from patients residing in the north-west of the study region, highlighting a possible localised clonal group. Transmission of MRSA from the hospital setting into the surrounding community population, as demonstrated by this study, warrants the need for targeted patient screening and decolonisation in both the clinical and community environments.

Retail centers for community : addressing both pedestrian and car traffic

The purpose of this thesis was to redesign a commercial center in Miami, Florida in a manner that incorporates the needs of pedestrians as well as the automobile. In my research, I studied projects that had been successful at integrating cars in retail design. I applied the strategies learned from this research to the design of a center that creates a positive interaction of pedestrian and car traffic, addressing the needs of the surrounding community. I designed a master plan that includes a mix of residential, retail, commercial and parking space. The parking is designed so that the retail center is not dominated by surface parking. Rather, the automobile is introduced into the different layers of the proposed buildings. The design focused on connecting pedestrian plazas and parking areas beneath them through the introduction of light and greenery. The findings show how a shopping center might transform the area around it by including spaces for residential, civic, cultural and social functions, as well as for the automotive infrastructure that make those functions possible.

Pharmacist professionals in the prevention of drug abuse: updating roles, and opportunities

The objective of this paper was to prepare and provide resources to pharmacists and other healthcare professionals, enabling them to carry out a critical analysis on drug abuse, acquiring knowledge in several areas that effectively contribute to their personal development in this professional field. Professionals play a crucial role in the reduction and prevention of substances abuse, since they are able to advise patient about illicit drugs, psychotropic medicines and alcohol abuse. There is an urgent need to specialize pharmacists to act in the national public health service and contribute to actions aimed at the surrounding community.

Da comunidade e das famílias aos espaços de jogo na sala

Relatório de estágio de mestrado em Educação Pré-Escolar

Indisciplina, violência e delinquência na escola: a perspetiva dos professores

Dissertação de mestrado em Crime, Diferença e Desigualdade

Plant-Herbivore Interaction in a Fragmented Landscape: Local Adaptation and Inbreeding

Reciprocal selection between interacting species is a major driver of biodiversity at both the genetic and the species level. This reciprocal selection, or coevolution, has led to the diversification of two highly diverse and abundant groups of organisms, flowering plants and their insect herbivores. In heterogeneous environments, the outcome of coevolved species interactions is influenced by the surrounding community and/or the abiotic environment. The process of adaptation allows species to adapt to their local conditions and to local populations of interacting species. However, adaptation can be disrupted or slowed down by an absence of genetic variation or by increased inbreeding, together with the following inbreeding depression, both of which are common in small and isolated populations that occur in fragmented environments. I studied the interaction between a long-lived plant Vincetoxicum hirundinaria and its specialist herbivore Abrostola asclepiadis in the southwestern archipelago of Finland. I focused on mutual local adaptation of plants and herbivores, which is a demonstration of reciprocal selection between species, a prerequisite for coevolution. I then proceeded to investigate the processes that could potentially hamper local adaptation, or species interaction in general, when the population size is small. I did this by examining how inbreeding of both plants and herbivores affects traits that are important for interaction, as well as among-population variation in the effects of inbreeding. In addition to bi-parental inbreeding, in plants inbreeding can arise from self-fertilization which has important implications for mating system evolution. I found that local adaptation of the plant to its herbivores varied among populations. Local adaptation of the herbivore varied among populations and years, being weaker in populations that were most connected. Inbreeding caused inbreeding depression in both plants and herbivores. In some populations inbreeding depression in herbivore biomass was stronger in herbivores feeding on inbred plants than in those feeding on outbred ones. For plants it was the other way around: inbreeding depression in anti-herbivore resistance decreased when the herbivores were inbred. Underlying some of the among-population variation in the effects of inbreeding is variation in plant phenolic compounds. However, variation in the modification of phenolic compounds in the digestive tract of the herbivore did not explain the inbreeding depression in herbivore biomass. Finally, adult herbivores had a preference for outbred host plants for egg deposition, and herbivore inbreeding had a positive effect on egg survival when the eggs were exposed to predators and parasitoids. These results suggest that plants and herbivores indeed exert reciprocal selection, as demonstrated by the significant local adaptation of V. hirundinaria and A. asclepiadis to one another. The most significant cause of disruption of the local adaptation of herbivore populations was population connectivity, and thus probably gene flow. In plants local adaptation tended to increase with increasing genetic variation. Whether or not inbreeding depression occurred varied according to the life-history stage of the herbivore and/or the plant trait in question. In addition, the effects of inbreeding strongly depended on the population. Taken together, inbreeding modified plant-herbivore interactions at several different levels, and can thus affect the strength of reciprocal selection between species. Thus inbreeding has the potential to affect the outcome of coevolution.

Comprehensive school health, the social determinants of health, and the health status of children

As children are becoming increasingly inactive and obese, there is an urgent need for effective early prevention and intervention programs. One solution is a comprehensive school health (CSH) program, a health promotion initiative aimed at educating students about healthy behaviours and lifestyles, which also provides a link between the school, students, families, and the surrounding community. The purpose of this study was to explore the relationship between different components of CSH programs, as well as three determinants of health (gender, social support, socio-economic status), and physical activity, on the aerobic fitness and body mass index (BMI) of children. A newly developed and pilot-tested survey derived from Health Canada's fourpart CSH model (instruction, social support, support services, and a healthy physical environment) was sent to elementary school principals. Data on the gender, physical activity, parental education, and social support levels of students from these schools were gathered from a previous study. Multiple regression procedures were conducted to estimate the relationships between CSH components, the social determinants of health, physical activity, and BMI and aerobic fitness. Results showed that three CSH components were significantly associated with both BMI and aerobic fitness values in children, but accounted for less than 5% of the variance in both variables. Physical activity partially mediated the relationship between the significant CSH components, BMI, and particularly aerobic fitness. Furthermore, the social determinant and physical activity variables played independent roles in aerobic fitness values. No moderating effects of the social determinants were discovered.

Analyse de l'impact des cliniques NAOMI en matière de débris, d'activités déviantes et d'événements reliés à la sécurité publique dans leur quartier d'implantation

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

Motstånd och stöd : en studie av svenska muslimska församlingar

Opposition and Support: A Study of Swedish Muslim Congregations Anti-Islamic attitudes are deeply rooted in Western Europe, and Muslims have, especially in the post-September 11 context, experienced discrimination and demonization. But how do anti-Islamic attitudes affect practicing Muslims and their congregations? The aim of this study, the first of its kind in Europe, is to present a statistically representative view of how Muslim congregations in Sweden experienced the reactions from the surrounding community. The results of the survey carried out show that according to the representatives of the local congregations (n=105) half of the congregations have experienced opposition from the local community and in 40 percent of the congregations criminal offences have been committed against active Muslims or their places of worship.  This opposition is closely connected with two types of situations: either international occurrences (i.e. terrorist bombings in, for example, London, Madrid) or local events that have emphasized the presence of Islam in the public sphere. A multivariate analysis of the results of the study shows that the strongest opposition has taken place in small municipalities with a large proportion of immigrants. However, opposition does not preclude support. On the contrary, opposition appears to have a mobilizing effect on those who support the right of Muslims to exercise freedom of religion. However, neither opposition nor support are the key factors affecting whether congregations see themselves as established in the local community. The degree of anchorage depends on the demographic composition of the congregation and on the degree of contact that the members have with the surrounding community.

Promoting ethical and environmental awareness in vulnerable communities: a research action plan

Urban populations that live in the outskirts of major Latin American cities usually face conditions of vulnerability attached to complex environmental issues, such as the lack of sewerage, floods, pollution and soil and water contamination. This article reports an intervention research programme in Sao Paulo, Brazil that combines a moral education approach with sustainability awareness in vulnerable communities. The main conceptual foundations of the project, designed to empower the community and promote ethical and environmental awareness are: strengthening the ties between the school and the surrounding community in order to construct 'moral atmosphere'; adoption of Problem- and Project-based Learning and the Design Thinking approach to reach the proposed goals.

Evidence of hepatitis C transmission in healthcare settings in Karachi, Pakistan

Transmission of Hepatitis C (HCV) in Pakistan is a continuing public health problem. Several cultural and behavioral practices promote HCV transmission through the use of unsafe needles and blood products. This study aimed to determine the prominent risk factors associated with HCV transmission in the Indus Hospital catchment population. A case-control study design was implemented to enroll 300 laboratory confirmed HCV+ participants from consulting clinics at Indus Hospital and 300 laboratory confirmed HCV− participants from both the consulting clinics and the surrounding community. Odds ratios and their 95% were calculated for each risk factor to create a two gender specific multivariable models and a combined multivariable model. Participants who received 12 or more injections in the past year, ever received a blood transfusion, or ever had dental work performed were all independently significant more likely to be HCV+ when compared to those who received 1–4 injections in the past year, never received a blood transfusion, or never had dental work performed. Female participants who received 12 or more injections in the past year, had a blood transfusion while pregnant, or ever had dental work performed were all significantly more likely to be HCV+ while males who received 12 or more injections in the past year were also significantly more likely to be HCV+. Participants who brought their own needles to their injections or infusions along with those who were born in the Sindh province were significantly less likely to be HCV+ when compared to those who did not bring their own needles or born in the Punjab province. ^ Clearly transmission in healthcare settings are implicated for HCV transmission. A population level preventative approach must be taken to educate both the population and healthcare practitioners to prevent further transmission in the Pakistani healthcare system. Participants should also be followed and re-interviewed to ask where they received their various treatments as well as assess their knowledge and attitudes towards injections, infusions, and other unsafe medical procedures.^

Un -equal opportunity: Sex and school among first and second generation Mexican immigrant adolescent girls

The purpose of this dissertation was to determine the interactions of sexuality and education among low socioeconomic status first and second generation Mexican immigrant adolescent girls. Much of the existing research differentiates between immigrant generations with little examination of the differences within a particular immigrant generation. This study utilized qualitative methods to examine how various social institutions intersected to influence the young women's decisions about education and sexuality. The methodology included more than three years of participant observation in a South Florida high school and surrounding community; structured and unstructured interviews with twenty young women, their family members, school personnel, and community activists; and surveys conducted with the young women and their parent or guardian. ^ Moving beyond the limits of essentialist immigration theories, this project revealed within group (i.e. immigrant generation) complexities as well as between group similarities. The data included in this dissertation delineate how relationships of power and control permeated the lives of first and second generation Mexican immigrant adolescent girls. The lens of this dissertation is focused on the salient issues of sexuality and education: two dominant forces in many adolescent lives. ^ I found the young women represented a variety of positions on the academic orientation and sexuality continuums and engaged in activities that both reinforced and countered their stated positions on each of these issues. Specifically, first and second generation immigrants are often viewed as maintaining opposing viewpoints about both education and female sexuality however, for these young women the within group variation was larger than the between group variation. While all the young women in this study expressed a belief in the value of education, they engaged in activities that both fortified and contradicted that expressed position. Additionally, although acculturation can lead to increased sexual activity and decreased engagement with education, the first generation immigrant young women in this study became pregnant and/or withdrew from school in equal proportions to their second generation counterparts. In summary, structural forces combined, often inadvertently, and contributed to these young women's spiraling negative academic orientation and/or rational choice of motherhood. Finally, the findings are linked to policy implications. ^

Educação intercultural no 1º Ciclo do Ensino Básico: parcerias envolvendo a escola e a comunidade

Este estudo tem como finalidade compreender o processo de constituição de uma parceria educativa envolvendo escolas do 1.º Ciclo do Ensino Básico e outras instituições da comunidade para a promoção da educação intercultural e analisar a influência do trabalho desenvolvido por essa parceria nas práticas, atitudes, competências e conhecimentos de todos os participantes. Situa-se, por um lado, num entendimento de educação intercultural enquanto abordagem educativa fundamental para todos os alunos, assente na valorização da diversidade e na promoção de atitudes e competências de relacionamento interpessoal (como o respeito e a solidariedade), tendo em vista a formação de cidadãos responsáveis e participativos na construção de sociedades mais justas e coesas. Por outro, justifica o potencial das parcerias educativas para o desenvolvimento pessoal, profissional e institucional dos parceiros, assim como para o desenvolvimento da competência intercultural de todos os participantes (parceiros, alunos e comunidade envolvente). O desenho investigativo delineado, de natureza predominantemente qualitativa, encontra-se na interseção de três métodos investigativos: estudo de caso, estudo etnográfico e investigação-ação. Num primeiro momento (ano letivo 2008/2009) efetuou-se um estudo exploratório que visou conhecer as práticas de educação intercultural e de trabalho em parceria de professores a lecionar em escolas do 1.º CEB do concelho de Aveiro. O objetivo deste estudo era reunir sugestões de atividades e de instituições a contactar para a constituição de um grupo de parceiros com vista ao desenvolvimento posterior de um projeto sobre educação intercultural. Os dados recolhidos por meio da aplicação de um inquérito por questionário a 228 professores do 1º CEB do distrito de Aveiro (dos quais 114 foram respondidos) permitiram concluir que as práticas educativas a este nível, e no contexto em causa, são ainda escassas ou pouco divulgadas. Passou-se, então, à constituição de um grupo de parceiros educativos que contou com um total de 13 elementos: a investigadora, enquanto parceira representante da Universidade de Aveiro, seis professoras do 1.º CEB, duas professoras de Música das Atividades de Enriquecimento Curricular, um representante de uma associação de imigrantes, um representante de uma associação cultural, um representante de uma CERCI e um representante da Câmara e Biblioteca Municipal. Ao longo do ano escolar 2010/2011, o grupo de parceiros desenvolveu colaborativamente um projeto de intervenção sobre educação intercultural para alunos do 1.º CEB. Este projeto proporcionou-lhes momentos de formação sobre educação intercultural e jogos colaborativos e permitiu-lhes partilhar as suas dúvidas e experiências relativas à temática em causa, propor estratégias e metodologias e disponibilizar recursos para a conceção e implementação das atividades. Os dados foram recolhidos em diferentes momentos: antes de se dar início ao projeto de intervenção, efetuou-se uma entrevista inicial a cada um dos parceiros; durante o decorrer do projeto realizou-se um focus group e registaram-se em formato áudio todas as sessões de trabalho entre os parceiros; após a conclusão do projeto de intervenção, teve lugar uma nova entrevista individual a cada um deles. Estes dados foram transcritos e analisados de acordo com a técnica de análise de conteúdo. Para além disso, todos os documentos elaborados pela investigadora durante a gestão da parceria, os portfólios das professoras participantes e os registos fotográficos das atividades implementadas constituíram-se como dados secundários. Os resultados mostraram que a participação neste projeto: i) conduziu a que ocorresse uma alteração das representações dos parceiros sobre interculturalidade e educação intercultural; ii) permitiu a todos os participantes (parceiros, alunos e comunidade) desenvolverem a sua competência intercultural; iii) proporcionou situações de trabalho colaborativo que contribuíram para o desenvolvimento pessoal, profissional e institucional de todos os parceiros; iv) motivou os parceiros a darem continuidade ao trabalho aqui desenvolvido. Este estudo permitiu, ainda, refletir sobre a importância da formação de formadores em educação intercultural e da necessidade de sensibilização para o desenvolvimento de trabalho colaborativo entre escola, comunidade e investigadores académicos.

MOWING TO GROWING: TRANSFORMING A MUNICIPAL GOLF COURSE TO URBAN AGRICULTURE IN BALTIMORE CITY

This thesis demonstrates how landscape architects can transform underused golf course facilities located within cities for urban agriculture (UA). In the last decade more than 1000 golf courses have closed in the United States. Municipal golf courses represent some of the largest pieces of open space in cities and because of their inherent infrastructure they can provide the ideal location to support large-scale UA. In Southwest Baltimore large food deserts are a serious health concern and represent a lack of access to healthy food options for residents. Carroll Urban Agriculture Park is a design response resulting from a detailed analysis of the existing Carroll Park Golf Course and the surrounding community of Southwest Baltimore. The design will create an urban farm in a park-like setting to provide readily accessible healthy food options and various educational opportunities, and to support current and future urban agriculture related businesses in Baltimore.

Relatório final de estágio pedagógico : relatório final de estágio realizado na Escola Secundária Dona Filipa de Lencastre

O presente relatório surge como uma reflexão de todo o processo de estágio pedagógico, inserido no Mestrado em Ensino da Educação Física nos Ensinos Básico e Secundário, da Faculdade de Motricidade Humana, realizado no ano letivo 2013/2014. O estágio foi desenvolvido no Agrupamento de Escolas Dona Filipa de Lencastre, tendo como base o Guia de Estágio Pedagógico de 2012/2013 onde vêm referidas as competências a adquirir nas quatro áreas de intervenção. No relatório será apresentada uma introdução do mesmo, uma contextualização da escola e do processo de estágio, o trabalho desenvolvido nas três fases de prática pedagógica (planeamento, realização e avaliação), as relações estabelecidas entre as quatro áreas, uma reflexão final e a conclusão. Na área 1-Organização e Gestão do Ensino e da Aprendizagem é referida a relação existente entre planeamento, condução e avaliação nas aulas de Educação Física. Na área 2-Inovação e Investigação Pedagógica desenvolvi um estudo sobre a relação entre a perceção de participação dos Encarregados de Educação na vida escolar dos seus educandos e o desempenho académico dos mesmos e quais as variáveis que influenciam esta perceção de participação. Na área 3-Participação na Escola participei no Desporto Escolar, na modalidade de basquetebol e desenvolvi a atividade de “supervisão do terraço”. Na área 4-Relação com a Comunidade distingo o acompanhamento da Direção de Turma e o desenvolvimento de uma atividade na comunidade envolvente à escola. Em cada uma das áreas é realizada uma reflexão sobre a prática pedagógica, as dificuldades encontradas e as estratégias utilizadas para as ultrapassar. No final, efetuei um balanço sobre o papel que o presente processo de estágio teve na minha formação enquanto futuro docente da disciplina de Educação Física.