O Direito à Participação nas Casas de Acolhimento Residencial

A discussão em torno dos direitos de participação que nesta dissertação se fez, irá refletir imagens, conceções e paradigmas vigentes sobre as crianças e jovens, emergindo assim a necessidade de as compreender como sujeitos de direitos, competentes e ativos, escutando-as nas decisões que afetam as suas vidas. O acolhimento residencial, enquanto resposta social, tem genericamente como objetivo a proteção da criança e jovem em situações que os seus direitos são violados, mas simultaneamente tem de os promover. Os resultados obtidos através da aplicação de questionários às crianças e jovens e às equipas educativas, afirmam que o direito à participação está presente no quotidiano das casas de acolhimento residencial. Relativamente às crianças e jovens, tem especial relevo nos assuntos que dizem respeito à definição do seu projeto de vida e assuntos relacionados com a escola, já nas equipas educativas, nos assuntos que dizem respeito a organização e dinâmica da casa de acolhimento residencial. Podemos ainda dizer que a equipa educativa considera importante que as crianças e jovens participem nos assuntos que lhe dizem respeito, nomeadamente o seu futuro, a escola, a família e os assuntos do dia-a-dia. / The discussion about participation rights in this dissertation will reflect existing images, conceptions and paradigms about children and young people, thus emerging the need to understand them as competent and active subjects of rights, listening to them in decisions that affect their lives. Residential Care, as a social response, is generally aimed at protecting children and young people in situations where their rights are violated, but at the same time have to promote them. The results obtained through the application of questionnaires to children and young people and educational teams, affirm that the right to participation is present in the daily life of residential homes. With regard to children and young people, it is especially important in matters relating to the definition of their life project and school-related matters, in educational teams, in matters concerning the organization and dynamics of the residential home. We can also say that the educational team considers it important that children and young people take part in matters that concern them, namely their future, school, family and everyday life

Da Úlcera de Perna à sua Classificação e Tratamento: estudo de caso (Trabalho nº 78)

Cuidar da pessoa com úlcera de perna constitui uma preocupação no dia-a-dia dos enfermeiros devido a sua recorrência e cronicidade. A sua diferenciação e classificação torna-se importante na seleção do tratamento para reduzir as implicações na qualidade de vida da pessoa, nos custos dos cuidados de saúde, assim como na aplicação de boas praticas de cuidados. Pela avaliação e diagnostico etiológico, história clínica, avaliação da úlcera, exame clinico e avaliação vascular pode fazer-se a classificação da mesma em venosa ou arterial. A úlcera venosa surge de forma espontânea ou traumática a nível dos membros inferiores, apesar de em 70% dos casos ser uma complicação da insuficiência venosa. A terapia compressiva é considerada o tratamento de eleição deste tipo de úlcera. Estudos revelam que a compressão aumenta a cicatrização da mesma em comparação com a não compressão, pois cria retorno venoso promovendo assim a cicatrizaçãoN/

Unraveling the genetic background of individuals with a clinical familial hypercholesterolemia phenotype

Familial hypercholesterolemia (FH) is a common genetic disorder of lipid metabolism caused by pathogenic/likely pathogenic variants in LDLR, APOB, and PCSK9 genes. Variants in FH-phenocopy genes (LDLRAP1, APOE, LIPA, ABCG5, and ABCG8), polygenic hypercholesterolemia, and hyperlipoprotein (a) [Lp(a)] can also mimic a clinical FH phenotype. We aim to present a new diagnostic tool to unravel the genetic background of clinical FH phenotype. Biochemical and genetic study was performed in 1,005 individuals with clinical diagnosis of FH, referred to the Portuguese FH Study. A next-generation sequencing panel, covering eight genes and eight SNPs to determine LDL-C polygenic risk score and LPA genetic score, was validated, and used in this study. FH was genetically confirmed in 417 index cases: 408 heterozygotes and 9 homozygotes. Cascade screening increased the identification to 1,000 FH individuals, including 11 homozygotes. FH-negative individuals (phenotype positive and genotype negative) have Lp(a) >50 mg/dl (30%), high polygenic risk score (16%), other monogenic lipid metabolism disorders (1%), and heterozygous pathogenic variants in FH-phenocopy genes (2%). Heterozygous variants of uncertain significance were identified in primary genes (12%) and phenocopy genes (7%). Overall, 42% of our cohort was genetically confirmed with FH. In the remaining individuals, other causes for high LDL-C were identified in 68%. Hyper-Lp(a) or polygenic hypercholesterolemia may be the cause of the clinical FH phenotype in almost half of FH-negative individuals. A small part has pathogenic variants in ABCG5/ABCG8 in heterozygosity that can cause hypercholesterolemia and should be further investigated. This extended next-generation sequencing panel identifies individuals with FH and FH-phenocopies, allowing to personalize each person’s treatment according to the affected pathway

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora