Prevalência de doença renal crônica em adultos atendidos na Estratégia de Saúde da Família

Resumo Introdução: Doença renal crônica (DRC) é um importante problema de saúde pública que, no Brasil, tem como principais etiologias a hipertensão arterial (HA) e odiabetes mellitus (DM). O diagnóstico precoce possibilita a implementação de medidas preventivas que retardam ou mesmo interrompem a progressão para os estágios mais avançados da DRC. Objetivo: Identificar a prevalência e os fatores associados à DRC entre adultos atendidos pela Estratégia de Saúde da Família (ESF). Métodos: Estudo transversal com delineamento epidemiológico, descritivo e observacional, realizado com 511 adultos maiores de 20 anos, atendidos na ESF em região de Goiânia, GO. Definiu-se DRC como TFG < 60 mL/min/1,73 m2 e/ou albuminúria ≥ 30 mg/g. A taxa de filtração glomerular (TFG) foi estimada pela equação de Cockcroft-Gault e a albuminúria por meio da razão entre albumina e creatinina urinária em amostra de urina. Constituíram variáveis independentes: idade, sexo, pressão arterial, uso de álcool, DM, tabagismo e sobrepeso/obesidade. Resultados: A prevalência de DRC foi 32,53%, enquanto TFG < 60 mL/min/1,73 m2 ocorreu em 10,64% e albuminúria em 25,29% da amostra. A análise identificou associação significativa entre idade ≥ 60 anos e TFG < 60 mL/min/1,73 m2 (p < 0,001). Quanto à albuminúria ≥ 30 mg/g, encontrou-se associação com sexo masculino (p = 0,043), DM (p = 0,002) e consumo de álcool (p = 0,035). Conclusão: Observou-se alta prevalência de DRC nos estágio iniciais na ESF, sendo os fatores associados à doença idade ≥ 60 anos, sexo masculino, DM e consumo de álcool. Logo, sugere-se a realização de triagem e monitoramento para DRC em adultos atendidos na ESF.

Nova estratégia de desenvolvimento para o Brasil: um enfoque de longo prazo

The foremost aim of the article is to propose a new development strategy for Brazil, replacing the neoliberal model presently used. In short, the point is to recover a long term vision of the economic policies. And for that it is indispensable to take into consideration the recent evolution of the Development Economics which considers the existence of market, instead of the availability of savings, as the main condition in economic development policies. The acceptance of the market as the basic condition for successful development policies has as one of its consequences the unacceptability of the process of globalization with its present characteristics.

Estratégia nacional e desenvolvimento

After a review of the concept of economic growth as a historical process beginning with the capitalist revolution and the formation of the modern national states, the author claims that growth is almost invariably the outcome of a national development strategy. Effective economic development occurs historically when the different social classes are able to cooperate and formulate an effective strategy to promote growth and face international competition. It follows a discussion of the main characteristics and of the basic tensions that such strategies face in the central countries which first developed, and in the underdeveloped countries, which, besides their domestic problems, confront major challenges in their relations with the rich countries.

O milagre irlandês como exemplo da adoção de uma estratégia nacional de desenvolvimento

This paper discusses the Irish experience in the 90s, and details the main aspects of the impressive and rapid transition from a situation of excessive indebtedness, economic stagnation and high unemployment to sustainable growth. The presence of a national development strategy seems to be the crucial institutional tool that allowed this transition.

Uma análise da estratégia nacional de desenvolvimento da Malásia

This paper aims at studying Malaysia's national development strategy in the last three decades. Firstly, we will give emphasis to the country's economic planning development, its medium-term and long-term plans, as well as Mahathir's political influence. Secondly, we will try to identify key elements in the Malaysian growth process, such as its exchange rate and current account policies, the participation of the government in the whole process and matters related to domestic savings and foreign direct investment. We will also talk about the 1997 financial crisis.

A política industrial chinesa como determinante de sua estratégia going global

China has experienced not only high rates of economic growth as well as an unprecedented competitive international insertion since the turn of the century. This process was not guided solely by market forces or influenced by Government intervention in the economy. Although much has been argued that China's "going global" strategy is rooted in state action, and especially its policy of exchange rate depreciation and trade policy incentives for exports and investments abroad, we argue that the major determinant of this strategy, which established the basic conditions for industrial competitiveness, was its industrial policy. The focus of this article is on the changes in China's industrial structure, emphasizing that Chinese industrial policy is a central determinant of its international insertion strategy.