The needs of gender-variant children and their parents

Approaches to gender diversity in Western culture have had a chequered past. Gender-variant children have been institutionalised, subjected to aversion therapies and pressured into maintaining secrecy and conforming to society’s gendered expectations while also dealing with bullying and harassment at school. Gender-variant adults struggle with a lack of acceptance and live in fear of violence and discrimination while at the same time dealing with the legacy of their childhood. Parents of gender-variant children are forced to contend with societal bias and assumptions that allow their children to be marginalised. Moreover, they have scarce resources to help them manage their child’s welfare and deal with their concerns on a day-to-day basis. The idea of gender variance confronts widely held assumptions that children born as male will act like ‘boys’ and children born as female will act like ‘girls’. This imposed binary perpetuates negativity towards people who express themselves with gendered variations in attire, behaviour or preferences. Despite the existence of cross-gender presentations and behaviour in every culture and throughout time, society still appears to be unaware that diversity in gender expression and sexual formation is a naturally occurring phenomenon. Previous research on gender-variant children has largely been focussed on the etiology and treatments of gender identity disorder, investigating demographics, heritability, co-morbid conditions, gender development, and genetic and environmental influences. However, current research within the social sciences draws attention to a range of gender variance topics such as: the challenges and inequalities affecting children presenting with gender diversity; their victimisation; their social transitions; and professionals’ use of language in referring to gender variance. Research studies on the parents of gender-variant children have generally utilised parent-reports on gender identity questionnaires relating to their child. Recent studies have explored parents’ stories and mental health ratings of their child as well as their emotions and attitudes towards their child. Combined child and parent reports have focussed on therapeutic support procedures and outcomes for parents and families with gender-variant children. These studies contribute important information that aids in the diagnosis of gender identity disorder and work continues towards suitable approaches for the support of these children and their parents. However, much of the evidence provided thus far is anecdotal and interventions are based on little or no evidence. Anecdotal reports, although important contributions to understanding individual circumstances, tend to privilege certain viewpoints. By establishing the needs of gender-variant children and their parents, this qualitative enquiry aims to contribute to research-based evidence and the development of supportive programs, training and policies. This study brings into the open forum some of the challenges that children with gender variance and their parents face, identifies ways in which the children and their parents are marginalised and explores how they cope. Evidence is provided so as to inform the practices, interventions and recommendations relied upon in supporting gender-variant children and their families. This research was conducted through three Internet surveys which used open-ended questions to provide a rich source of thick description of personal experiences. These questions enabled a thematic and reflective analysis of data sourced from the experiences of parents raising a gender-variant child, the childhood experiences (retrospective) of transgender adults, and the views of professionals who work with the transgender community. The results of this study indicate a severe lack of resources and access to professional help for gender-variant children and their parents. The needs of the children emerged as: the need to be heard and accepted by their parents without punishment; the need for information and peer contact; the need for personal gender expression; and the need for safety. The most common needs for parents were for information in the way of stories, research and guidelines as well as educational resources to prepare schools, professionals and local communities for providing trans-positive support for them and their child. Other identified needs of the parents addressed support from community, professionals, peers and governments. The goals of this project include the promotion of trans-positive approaches, and awareness and education regarding bullying and ostracism of gender-variant children. Outcomes are suggested in the form of recommendations and training policies for professionals, governments, schools and parents. These suggestions aim to reduce the debilitating experiences and outcomes that gender-variant adolescents and adults have to endure. This study of the needs of gender-variant children and their parents relies upon the voices of those in the community and fills a void in the current understanding and treatment of gender non-conforming children. The identification of these needs provides fundamental information for the development and application of resources and services that will foster positive mental health for gender-variant children during their formative years

Arte Nova e Eclectismo no palacete projectado por Ernesto Korrodi para a família Bouhon

In the early twentieth century, Interior Design resulted from the work of architects, decorators, painters and carvers. Although then integrated into the world of decorative arts, we believe that already existed as a profession regulated by a coherent network design principles and the understanding of interior space as global web of relationships established between plans, ornament, lighting and furniture solutions. At the end of the previous century, before the need for a reform of industrial training, the Portuguese Government opened a tender for hiring of foreign teachers. We emphasize the role of Ernesto Korrodi (1870-1944). His works arise from an attitude paradoxically modern and eclectic, leaning one hand on a reinterpretation of solutions referenced in the medieval period or the Renaissance, on the other, based on formulas from Arts and Crafts movement, Art Nouveau or Secession. In his projects certain rooms and hierarchies remain, but these are intersect with the needs aroused by technical innovations, which causes an attempt to answer to the emergence of new functions and features in the house, along with the hygienists demands of the moment. This article consists in the analysis of Bouhon home, located in the city of Covilhã, Portugal. If Art Nouveau is visible in the elevations, inside we find a cleaner space, marked by decorative notes which we can find in tiles and embedded in the stucco or coffered ceilings. The ornament thus contributes to the dignity of the walls, wainscots and ceiling plans, assuming a key role in the spatial composition.No início do século XX, o design de interiores resultava do trabalho desenvolvido por arquitectos, decoradores, pintores ou entalhadores. Embora então integrado no universo das artes decorativas, acreditamos que já existia como prática profissional regulada por uma rede coerente de princípios de concepção e pelo entendimento do espaço interior como teia global de relações que se estabelece entre planos, ornamento, iluminação e mobiliário. No final do século anterior, perante a necessidade de proceder a uma reforma do ensino industrial, o governo português abrira um concurso para contratação de professores estrangeiros. Evidenciamos o papel de Ernesto Korrodi (1870-1944). As suas obras decorrem de uma atitude paradoxalmente ecléctica e moderna, apoiando-se por um lado, numa reinterpretação de soluções referenciadas no período medieval ou na Renascença; por outro, em fórmulas sediadas nos movimentos Arts and Crafts, Arte Nova (Art Nouveau) ou Secessão. Nos seus projectos persistem determinadas dependências e hierarquias, mas estas se cruzam com as necessidades despertadas pelas inovações técnicas, o que faz com que se preocupe também com a resposta à eclosão de novas funções e mobiliário na casa, a par das exigências higienistas do momento. O presente artigo consiste na análise da casa da família Bouhon, localizada na cidade da Covilhã, Portugal. Se a Arte Nova marca as suas fachadas, no interior deparamo-nos com espaços mais depurados, marcados por apontamentos decorativos, incorporados na azulejaria e nos tectos estucados ou em caixotões. O ornamento contribui, deste modo, para a dignificação dos planos das paredes, lambris e tectos, assumindo um papel fundamental na composição espacial

Expressão múltipla VI : desenho aplicado e teoria e prática do desenho : atas das conferências : 2022

Obra publicada no âmbito do 6.º Colóquio de Expressão Múltipla, decorrido a 13 e 14 de Dezembro de 2022Foi apresentada em linha no dia 13 e 14 de dezembro de 2022 a sexta edição do Colóquio Expressão Múltipla: Teoria e Prática do Desenho. Esta edição é marcada por um desdobramento do colóquio em dois momentos distintos e complementares - o Colóquio Expressão Múltipla: Desenho Aplicado e o Colóquio Expressão Múltipla: teoria e prática do Desenho. Se o Colóquio Expressão Múltipla já se edificou enquanto plataforma para pensar a teoria e a prática do Desenho, surge agora a vertente do Desenho Aplicado. Importa referir que esta adição desponta em grande parte por uma direção tomada pelos alunos dos diversos ciclos de estudo do ensino superior, que os liga a secções do desenho próximas de áreas como o Desenho Digital, Banda Desenhada, Concept Art, Ilustração, Desenho em Realidade Virtual, Desenho de reconstrução, Desenho Científico, entre tantos outros tipos de Desenho Aplicado. Por Desenho Aplicado entende-se então um tipo de desenho abrangente que não sendo necessariamente um fim em si mesmo, vai contribuir para o desenvolvimento de outras áreas.info:eu-repo/semantics/publishedVersio

Gastrite crónica e cancro do estômago: Contribuição para o estudo da sua relação. Coimbra, ed. aut., 1990, p. 445.

O propósito fundamental do presente trabalho foi o de contribuir para o esclarecimento da relação gastrite crónica/cancro do estômago, partindo do conhecimento de alguns dados da realidade daquela afecção no nosso país. Assim, e após uma 1.a PARTE - INTRODUÇÃO, onde se tenta justi-ficar a oportunidade do tema escolhido e se apontam os objectivos do estudo, apresenta-se uma 2.a PARTE - REVISÃO DA LITERATURA, centrada sobre diversos aspectos da problemática actual das gastrites crónicas, com particular destaque para a sua relação com o cancro do estômago. Finalmente, numa 3.a PARTE o Autor expõe a sua CONTRIBUIÇÃO PESSOAL para a dilucidação do tema proposto, a qual foi genericamente intitulada Estudo comparativo das gastrites crónicas e lesões associadas (metaplasia intestinal e displasia intestinal) entre duas populações portuguesas com diferentes taxas de mortalidade por cancro do estômago

Beyond Maastricht IV: are standard empiric triple therapies for Helicobacter pylori

BACKGROUND: Empiric triple treatments for Helicobacter pylori (H. pylori) are increasingly unsuccessful. We evaluated factors associated with failure of these treatments in the central region of Portugal. METHODS: This single-center, prospective study included 154 patients with positive (13)C-urea breath test (UBT). Patients with no previous H. pylori treatments (Group A, n = 103) received pantoprazole 40 mg 2×/day, amoxicillin 1000 mg 12/12 h and clarithromycin (CLARI) 500 mg 12/12 h, for 14 days. Patients with previous failed treatments (Group B, n = 51) and no history of levofloxacin (LVX) consumption were prescribed pantoprazole 40 mg 2×/day, amoxicillin 1000 mg 12/12 h and LVX 250 mg 12/12 h, for 10 days. H. pylori eradication was assessed by UBT 6-10 weeks after treatment. Compliance and adverse events were assessed by verbal and written questionnaires. Risk factors for eradication failure were determined by multivariate analysis. RESULTS: Intention-to-treat and per-protocol eradication rates were Group A: 68.9% (95% CI: 59.4-77.1%) and 68.8% (95% CI: 58.9-77.2%); Group B: 52.9% (95% CI: 39.5-66%) and 55.1% (95% CI: 41.3-68.2%), with 43.7% of Group A and 31.4% of Group B reporting adverse events. Main risk factors for failure were H. pylori resistance to CLARI and LVX in Groups A and B, respectively. Another independent risk factor in Group A was history of frequent infections (OR = 4.24; 95% CI 1.04-17.24). For patients with no H. pylori resistance to CLARI, a history of frequent infections (OR = 4.76; 95% CI 1.24-18.27) and active tobacco consumption (OR = 5.25; 95% CI 1.22-22.69) were also associated with eradication failure. CONCLUSIONS: Empiric first and second-line triple treatments have unacceptable eradication rates in the central region of Portugal and cannot be used, according to Maastricht recommendations. Even for cases with no H. pylori resistance to the used antibiotics, results were unacceptable and, at least for CLARI, are influenced by history of frequent infections and tobacco consumption.info:eu-repo/semantics/publishedVersio