What are the design possibilities for the adaptive reuse of an outdated mall into a community centered case study model of pediatric palliative care?This thesis therefore explores the following questions. What solutions are possible in the adaptive reuse of Cloverleaf Mall? As designers what is our responsibility when reusing existing spaces? How and in what ways can design build community? How can design create a place which meets the personal needs of patients with a wide variety of illnesses in various stages of progression? What does the design of a centralized prototype for pediatric palliative care look like?

Introduction Cloverleaf skull syndrome, or Kleeblattschädel syndrome, is a rare malformation in which the skull has a cloverleaf appearance. It is caused by the premature closure of several sutures, being evident before birth. Objective To present our experience in a case of cloverleaf skull syndrome, and update the information from the literature. Clinical case A female infant of 5 months of age, diagnosed at birth with cleft lip and palate and hydrocephaly. A peritoneal ventricle valve was implanted at 30 days of life, and an ocular enucleation was performed due to an infectious process. The patient was followed-up in Genetics, where it confirmed a macrocephaly and craniosynostosis type cloverleaf skull. The 46XX cytogenetic study and echocardiography were normal. The brain CT scan showed multiple anomalies associated with hydrocephaly and non-specific malformations. Conclusion Cloverleaf skull may be present in isolated form or associated with other congenital abnormalities, leading to various craniosynostosis syndromes, such as Crouzon, Pfeiffer or Carpenter. It may also be a component of the amniotic rupture sequence or to different dysplasias, such as campomelic dysplasia, thanatophoric dysplasia type 2, or the asphyxiating thoracic dystrophy of Jeune. The case presented does not fulfil all the characteristics needed to be included within a specific syndrome, and on not having a family history that suggests a hereditary pattern or chromosome abnormalities, it is concluded that it is a case of a congenital anomaly of sporadic presentation. / Introducción El síndrome del cráneo en trébol, o síndrome de Kleeblattschädel, es una malformación rara en la cual el cráneo presenta un aspecto de trébol. Es causado por el cierre prematuro de varias suturas, evidenciándose desde antes del nacimiento. Objetivo presentar nuestra experiencia en un caso de síndrome del cráneo en trébol, y actualizar la información de la literatura. Caso clínico lactante de sexo femenino, 5 meses de edad, diagnósticos al nacimiento de Fisura labio-Palatina e Hidrocefalia. A los 30 dias de vida se instaló valvula ventrículo peritoneal, y se procedió a enucleación ocular bilateral por proceso infeccioso. Se controla en Genética donde se confirma macrocefalia y craneosinostosis tipo cráneo en trébol. El estudio citogenético 46XX, Ecocardiografía normal, TAC de cerebro mostró anomalias múltiples asociadas a hidrocefalia y malformaciones inespecíficas. Conclusion El cráneo en trébol puede presentarse aisladamente o asociado a otras anomalías congénitas, conformando varios síndromes de craneosinostosis, como Crouzon, Pfeiffer o Carpenter. También puede ser componente de la secuencia de rotura amniótica o de diversas displasias, como la campomélica, tanatofórica tipo ii, o la distrofia torácica asfixiante de Jeune. El caso descrito no cumple con todas las características necesarias para incluirlo dentro de un síndrome específico, y no habiendo antecedentes familiares que sugieran patrón de herencia ni anomalías cromosómicas se concluye que se trata de un caso de anomalías congénitas de presentación esporádica. / Revisión por pares

Made available in DSpace on 2016-05-02T13:53:51Z (GMT). No. of bitstreams: 1 CarlosRobertoSilvaMagalhaes-pt 3.pdf: 2000981 bytes, checksum: 1beedacedb41461e2c502e13730d3f24 (MD5) Previous issue date: 2011-11-28 / Cities are constantly upgrading themselves, going through various processes duo to an increasingly fast urbanization, and this can cause a lack of harmony between man and vegetation. The lack of vegetation in cities has led to an increase of the gardening market, with influence on issues such as esthetics, environment, and the psychological conditions of people affected by day-to-day stress. Because of this situation, a gardening project was designed for the road cloverleaf of Poço Fundo, MG. To carry out the project, plant species were surveyed wich might be adequate to the region, regarding climate, soil, and specific characteristics of each plant. After such an evaluation, the following plants were chosen for the city cloverleaf: dragon-tree agave (Agave atenuata), purpleheart (Tradescantia pallida), emerald grass (Zoysia japonica), yellow lilly (Hemerocallis flava), imperial palm tree (Roystonea oleracea), jerivá palm tree (Syagrus romanzoffiana), parakeet flower (Althernanthera ficoidea), pita (Agave americana), Agave angustifolia, and sage-of-gardens (Salvia coccinea). These plants were chosen for being resistant to external factors, for not disturbing the visibility of drivers and preserving the safety of those driving by, and for being inexpensive. Before and after the development of the project, the inhabitants and visitors of the city were asked to give their opinion about it by answering a questionnaire. Upon completion of the project, people realized that the new cloverleaf landscaping became the show window of the city, bringing visual, environmental and economical benefits to Poço Fundo, attracting tourists and even customers to the sugar-cane juice business located there. / As cidades estão constantemente modernizando-se e passando por diversos processos em decorrência de uma urbanização cada vez mais acelerada, ocorrendo uma desarmonia entre o homem e a vegetação. Por causa da falta de vegetação nas cidades, o mercado paisagístico vem crescendo de forma significativa, tendo influência com questão da estética, do ambiente e do psíquico das pessoas, afetado este devido ao estresse do dia a dia. Em decorrência dessa necessidade, foi elaborado um projeto paisagístico para o trevo de Poço Fundo MG. Para a realização do projeto foi realizada uma pesquisa de espécies de plantas adequadas para a região, analisando-se o clima, o tipo de solo e as características específicas de cada planta. No entanto, depois da análise de todos esses critérios, as plantas selecionadas para o paisagismo do trevo da cidade foram a agave-dragão, o coração-roxo, a grama-esmeralda, o lírio amarelo, a palmeira imperial, a palmeira jerivá, periquito, pita, piteira-do-caribe e sálvia-dos-jardins, também por apresentarem uma boa resistência contra os fatores externos, não atrapalharem a visibilidade dos motoristas e preservar a segurança das pessoas que trafegam pelo local, além de não serem plantas caras. Entretanto, antes e depois da implantação do paisagismo nesta área, foi elaborado um questionário para saber a opinião dos moradores e visitantes do município. Após o término do projeto, as pessoas perceberam que o paisagismo somente trouxe benefícios à cidade de Poço Fundo, tanto visuais, ambientais e econômicos, pois valorizou a entrada do município, atraindo turistas e até mais fregueses para o comércio de caldo de cana-de-açúcar, uma vez que é o seu cartão de visita.