Severe early onset preeclampsia: short and long term clinical, psychosocial and biochemical aspects

Preeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks gestational age. It occurs in approximately 3-5% of pregnancies and it is still a major cause of both foetal and maternal morbidity and mortality worldwide1. As extensive research has not yet elucidated the aetiology of preeclampsia, there are no rational preventive or therapeutic interventions available. The only rational treatment is delivery, which benefits the mother but is not in the interest of the foetus, if remote from term. Early onset preeclampsia (<32 weeks’ gestational age) occurs in less than 1% of pregnancies. It is, however often associated with maternal morbidity as the risk of progression to severe maternal disease is inversely related with gestational age at onset2. Resulting prematurity is therefore the main cause of neonatal mortality and morbidity in patients with severe preeclampsia3. Although the discussion is ongoing, perinatal survival is suggested to be increased in patients with preterm preeclampsia by expectant, non-interventional management. This temporising treatment option to lengthen pregnancy includes the use of antihypertensive medication to control hypertension, magnesium sulphate to prevent eclampsia and corticosteroids to enhance foetal lung maturity4. With optimal maternal haemodynamic status and reassuring foetal condition this results on average in an extension of 2 weeks. Prolongation of these pregnancies is a great challenge for clinicians to balance between potential maternal risks on one the eve hand and possible foetal benefits on the other. Clinical controversies regarding prolongation of preterm preeclamptic pregnancies still exist – also taking into account that preeclampsia is the leading cause of maternal mortality in the Netherlands5 - a debate which is even more pronounced in very preterm pregnancies with questionable foetal viability6-9. Do maternal risks of prolongation of these very early pregnancies outweigh the chances of neonatal survival? Counselling of women with very early onset preeclampsia not only comprises of knowledge of the outcome of those particular pregnancies, but also knowledge of outcomes of future pregnancies of these women is of major clinical importance. This thesis opens with a review of the literature on identifiable risk factors of preeclampsia

Discutindo a educação ambiental no cotidiano escolar: desenvolvimento de projetos na escola formação inicial e continuada de professores

A presente pesquisa buscou discutir como a Educação Ambiental (EA) vem sendo trabalhada, no Ensino Fundamental e como os docentes desta escola compreendem e vem inserindo a EA no cotidiano escolar., em uma escola estadual do município de Tangará da Serra/MT, Brasil. Para tanto, realizou-se entrevistas com os professores que fazem parte de um projeto interdisciplinar de EA na escola pesquisada. Verificou-se que o projeto da escola não vem conseguindo alcançar os objetivos propostos por: desconhecimento do mesmo, pelos professores; formação deficiente dos professores, não entendimento da EA como processo de ensino-aprendizagem, falta de recursos didáticos, planejamento inadequado das atividades. A partir dessa constatação, procurou-se debater a impossibilidade de tratar do tema fora do trabalho interdisciplinar, bem como, e principalmente, a importância de um estudo mais aprofundado de EA, vinculando teoria e prática, tanto na formação docente, como em projetos escolares, a fim de fugir do tradicional vínculo “EA e ecologia, lixo e horta”.Facultad de Humanidades y Ciencias de la Educació

The ABC model revisited

Non peer reviewe

Construing a 'perfect knight' : a personal construct investigation of mass murder

Date of acceptance: 16/09/2013On July 22, 2011, Anders Behring Breivik emailed a compendium entitled, “2083: A Declaration of European Independence,” to more than 1,000 addresses before bombing government buildings in Oslo and attacking a Labor Party youth camp, killing 77 people. This article adopts a credulous attitude and analyzes a personal section of his compendium from a personal construct psychology perspective, as if it were a self-characterization. Its aim is to understand further the construing processes of individuals who become “radicalized” or engage in acts of extreme violence, on the assumption that such understanding is a prerequisite for preventative and restorative strategies. The personal construct formulation of Breivik's construing and actions is compared with the analysis of terrorism by an historian, Roger GriffinPeer reviewe

Note on cognitive mapping in the teaching of management

Novak and Gowin's cognitive mapping and Vee diagrams were introduced as a way of representing knowledge in two academic course settings -- accounting and business strategy. The students produced two sets of maps and diagrams, one at the start of each course and one after completing them. The accounting course aimed at helping the students to elaborate and expand their knowledge structure, i.e. to assimilate the material delivered. The purpose of the business strategy course was to impose a specific type of knowledge structure on the students. Changes were more evident in the accounting case. The difference is discussed in light of Novak and Gowin's distinction between education and rote learning. Suggestions for the further development and use of cognitive mapping in teaching are provided.Academic education cognition cognitive mapping course assessment knowledge structure methodological development understanding

Psychotherapists’ ‘personal styles’: construing and preferred theoretical orientations

Peer reviewe

Psychotherapists’ theoretical orientations as elaborative choices.

Non peer reviewe