Grau de dependência de idosos hospitalizados para realização das atividades básicas da vida diária1

This study aimed to identify the level of dependence in elderly inpatients when performing Basic Activities of Daily Living. This quantitative, cross-sectional, descriptive study was conducted in the Adult Ward of the Botucatu University Hospital Emergency Unit - UNESP, Brazil. Data was collected by means of interviews, observation, and individual medical chart consultation, to be analyzed via logistic regression using the statistical software package SAS for Windows, version 9.2. The sample consisted of 71 subjects with a mean age of 74.30 years. It was observed that 30.99% of the older individuals showed to be independent in performing the proposed activities; 22.53% were partly dependent; and 46.48% were fully dependent. Gerontology care must aim at maintaining functional conditions, thus promoting independence and preserving these individuals' dignity.

Diagnósticos de enfermagem prevalentes em geriatria segundo o grau de dependência

This is a quantitative study conducted at the Outpatient Clinic of the Geriatrics and Gerontology Academic League of Botucatu School of Medicine. It aimed at learning about the profile of elderly patients and their level of disability in relation to basic activities of daily living. Based on this information, nursing diagnoses for the population under study were made, and the most frequent diagnosed were selected with the purpose of composing a stage of the instrument for nursing consultation in geriatric. It was found that the disabled elderly patients were predominantly females and widowed. They had a mean age of 81 years and had completed the first 4 grades of elementary school. Chronic pain related to physical disability and impaired ambulation related to the presence of osteoarticular diseases are examples of the most common diagnoses in the studied population. It is important that geriatric nurses implement Nursing Care Systematization based on the knowledge of the population to which they attend by considering the level of disability of elderly patients with respect to basic activities of daily living, so that full and individualized care can be provided and the patients’ remaining autonomy can be preserved.

Ocorrência de tabagismo e dependência nicotínica em universitários

In Brazil, smoking incidence varies between 9.5% and 21.2% and it is more common among men. In college students incidence can reach 14% depending on the region, which is quite disturbing. Joining college is a crucial period for the commencement or maintenance of smoking. The Knowledge among college students about tobacco use is critical to devise strategies for intervention in this population. The objectives were to establish the occurrence of smoking and risk factors, nicotine dependence in college students and college goers. We interviewed students, teachers and administrative personnel from the Philosophy and Science School at UNESP at Marilia, from both sexes, regardless their age, which visited the First Week Against Tobacco event. The sociodemographic data, smoking status, time as a smoker, cigarettes smoked, date when they started smoking, history of smoking in the family, friends or associates were questioned. We also assessed the degree of motivation to quit smoking and the degree of nicotine dependence. Data were presented using descriptive statistics. Comparisons between categorical variables were made using the chi-square test (p <0.05). A total of 432 people, 180 men and 252 women, average aged 22.6 ± 6.9 years were researched. From the volunteers studied, 267 (61.8) had tried cigarettes and 171 of them (64%) reported that they were offered by friends. As a whole, 79 (18.3%) of these people were smokers, 52 (65.8%) reported intending to quit smoking and in 37 of them (46.8%), the degree of nicotine dependence was very low. Of all the smokers, 63 had smokers in the family and all of them had friends who smoked. 28.9% of all men were smokers and 10.7%of all women. The occurrence of smoking was 18.3% and the risk factor associated to smoking habit is related to friendship and family, and very low nicotine dependence.

Spatial variability of soil CO2 emission in different topographic positions

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Perdas de nutrientes por erosão e sua distribuição espacial em área sob cana-de-açúcar

O presente trabalho teve como objetivo principal determinar as perdas de nutrientes por erosão em entressulcos, sulcos e global (entressulcos + sulcos, A), em área cultivada com cana-de-açúcar submetida à queima da palhada na sua pré-colheita, na Fazenda Santa Bárbara, localizada em Guariba - SP, sob um Latossolo Vermelho eutroférrico (LVef). Parcelas experimentais foram submetidas à chuva simulada com intensidade de 80 mm h-1, durante 65 minutos. Análises do sedimento erodido indicaram altas taxas de enriquecimento: 1,62 (matéria orgânica, MO); 4,30 (P); 1,17 (K); 1,33 (Ca) e 1,24 (Mg) vezes em relação ao solo original. As perdas de solo e nutrientes, em função do tipo de erosão, obedeceram à seguinte ordem: sulcos > global > entressulcos. Análises geoestatísticas indicaram que as perdas de solo (A), MO, P, K e Ca por erosão apresentaram forte grau de dependência espacial, enquanto as perdas de Mg tiveram moderado grau de dependência espacial. Mapas da distribuição dos padrões de variabilidade espacial das perdas por erosão indicaram que o cultivo de cana-de-açúcar conserva as propriedades químicas e físicas do solo na maior parte da área.

Perfil de fumantes atendidos em serviço público para tratamento do tabagismo

OBJETIVO: Avaliar o perfil dos fumantes que procuraram serviço público de cessação do tabagismo. MÉTODOS: Foram avaliados retrospectivamente os dados coletados durante a avaliação para a admissão no programa de cessação do tabagismo do Ambulatório de Tabagismo da Faculdade de Medicina de Botucatu/Universidade Estadual Paulista, na cidade de Botucatu (SP) entre abril de 2003 e abril de 2007. Variáveis demográficas, uso prévio de abordagem comportamental e/ou farmacológica e/ou tratamentos alternativos para o tabagismo, grau de dependência à nicotina e comorbidades foram avaliados em 387 fumantes. RESULTADOS: em nossa casuística, 63% dos tabagistas eram do sexo feminino. A idade média dos sujeitos foi de 50 ± 25 anos. Mais da metade dos fumantes (61%) não tinha cursado o ensino médio, e 66% tinham renda mensal menor que dois salários mínimos. O grau de dependência foi elevado/muito elevado em 59%, médio em 17% e baixo/muito baixo em 24%. Embora 95% dos pacientes apresentavam comorbidades, apenas 35% foram encaminhados ao programa por um médico. Mais da metade (68%) tinha feito pelo menos uma tentativa de cessação, 83% sem um programa de tratamento estruturado. CONCLUSÕES: Os tabagistas que procuraram assistência para cessar o tabagismo apresentaram desvantagem social, dependência à nicotina alta e tentativas anteriores de cessação sem tratamento estruturado. Portanto, a intervenção para o controle do tabagismo deve contemplar as características gerais dos fumantes nos serviços públicos para que seja eficaz.

Modelagem da variação horária da temperatura do ar em Petrolina, PE, e Botucatu, SP

The air temperature is a climatic element of interest for several agricultural related studies. Hence, daily air temperature from two locations in Brazil (Botucatu and Petrolina, with different climate classification), hourly recorded from January 2004 to December 2005, were analysed to verify if 24 h long air temperature variation can be predicted with 6 h interval records. Three data set were selected, with different first time record of air temperature, and analyses performed using geoestatistics to confirm the temporal dependency of records. Then, ordinary krigging was used to model air temperature variation within 1 h interval, and spherical model presented the best approach, with range of 11.6 h for Botucatu and 12.7 for Petrolina. For both locations, the time of air temperature recording was the most importnat factor on accuracy of estimation of air temperature variation. Records at 2, 8, 14 and 20 h and at 4, 10, 16 and 22 h presented the best approaches, but for records at 9, 15 and 21 h, the approach was worst.

Modelo agrometeorológico na estimativa da produtividade de duas variedades de café arábica considerando a variabilidade espacial

The purpose of this study was to estimate the varieties of coffee Arabic Catucáand Catuaí productivity, in Zona da Mata, Minas Gerais, through agrometeorological mathematical models, considering the spatial variability of productivity in the area. The samplings were georrefered building an irregular grid, totalizing 50 samplings per area. After that, geostatic analysis was made to quantify spatial dependence degree of the real values and the estimated productivity. According to the classification, the models superestimated the productivity for the two varieties.

Caracterização física e química do solo e avaliação do desenvolvimento de plantas de eucalipto em função do espaçamento e da adubação, visando a colheita precoce para utilização em bioenergia

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Caracterização da abordagem ao hipertenso tabagista por profissionais de saúde na zona rural do município de Gália

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Espectros de reflectância difusa como técnica auxiliar na caracterização da emissão de CO2 e atributos do solo

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Variabilidade espacial de atributos de um nitossolo vermelho distrófico de Botucatu/SP

Pós-graduação em Agronomia (Energia na Agricultura) - FCA

Sistema de classificação de pacientes cirúrgicos em hospitais especializado: construção e validação de um instrumento

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Reconhecendo a sobrecarga e a qualidade de vida de cuidadores familiares de idosos frágeis

OBJECTIVE: This study aimed to analyze the correlation between the levels of functional dependence of elderly living in the community, the burden related to care and the perception of quality of life in familiar caregivers. METHODS: This is an observational, descriptive and analytical study, using non probabilistic sampling selected by convenience in the period from December 2008 to May 2009, in the urban area of Curitiba and Colombo, state of Paraná, Brazil. Interviews were applied to caregivers, using demographic inquiry, functional evaluation of the aged, burden interview (Zarit-Burden-Interview) and quality of life instrument (WHOQOL-Bref). Spearman, Mann-Whitney and Kruskal Wallis coefficients were used to analyze the correlations between instruments and socio-demographic variables. Bivariate analyses identified which variables correlate with burden, and the most significant were included in a multiple linear regression. RESULTS: Forty-five caregivers were interviewed, mostly women (91.11%) with high educational level attending dependent elderly (66.77%). Moderate/severe burden was perceived in 75.55% of the sample. We found correlation between dependence, more severe burden in caregivers (r=-0.281, p=0.013) and worse perception of quality of life. The multiple linear regression identified strong association between burden related to care and psychological domain from WHOQOL-bref and time as caregiver (R²=0.58, p<0.001). CONCLUSION: In a sample of familiar caregivers, we identified correlations between lower burden related to care and better quality of life perceptions, as well as higher disability and less satisfactory quality of life perceptions.

Análise do transporte mucociliar de indivíduos fumantes em intervalos de abstinência do fumo

O transporte mucociliar é um mecanismo de defesa muito importante do trato respiratório, e é por meio deste que agentes agressores são carregados e expelidos. As substâncias presentes na fumaça do cigarro provocam mudanças no sistema respiratório, incluindo no transporte mucociliar. Objetivos: Avaliar o efeito agudo do fumo no transporte mucociliar de indivíduos tabagistas em diferentes momentos e comparar com grupo controle. Métodos: Foram avaliados 20 tabagistas (10 homens; 46 ± 13 anos; 26 ± 22 anos/maço; 19 ± 10 cigarros/dia) em quatro momentos: após 12 horas de abstinência, imediatamente, 20 minutos e 2 horas após fumar. No primeiro momento foram obtidos dados pessoais, história tabágica (anos/maço, cigarros/dia e grau de dependência de nicotina), e após 12 horas em abstinência do tabaco foi realizado o teste de função pulmonar (espirometria), quantificação do monóxido de carbono no ar exalado (COex) e mensuração do tempo de trânsito de sacarina (TTS) ...(Resumo completo, clicar acesso eletrônico abaixo)