The Brazilian policy for reduction of accidents and violence aligns with international perspectives?

The study analyzed The Brazilian Policy for Reduction of Morbidity and Mortality from Accidents and Violence, in the socio-political perspective. We used as a base the chapter “Violence: a global public health problem” from the World Report on Violence and Health. The analysis revealed convergent and divergent elements of the Brazilian Policy in comparison with the international perspectives. We verified that the Brazilian Policy tried to converge to the international policies, however: it emphasizes the health promotion actions, but are limited to the context and behavior of individuals and individual communities; the performance of health professionals is expected without providing more structural investments, as the improvement in work conditions, the increase of financial and material resources; there are few clear definitions of the government and economical sector responsibilities.

Quality of life of caregivers for patients of cerebrovascular accidents: association of (socio-demographic) characteristics and burden

OBJECTIVE Investigating the association between quality of life with socio-demographic characteristics and the burden of caregivers for individuals with cerebrovascular accident sequelae. METHOD A descriptive, cross-sectional study with a sample composed of 136 caregivers. For data collection, a semi-structured questionnaire, the Barthel, Burden Interview and Short-Form-36 scales were used. Correlation analysis, t-Student test and F-test were used for the analysis in order to compare averages. RESULTS Significant averages in quality of life were demonstrated in association with female caregivers and those over 60 years in the field 'functional capacity,' and in the domains of 'mental health' and 'vitality' for those with higher income. Regarding burden association, the highlighted areas were 'functional capacity,' 'physical aspects,' 'emotional aspects' and 'pain.' CONCLUSION The creation of public policies and social support to effectively reduce the burden on caregivers is a necessity.

Management of major accidents with on-site 144 dispatcher

Introduction: An excellent coordination between firefighters, policemen and medical rescue is the key to success in the management of major accidents. In order to improve and assist the medical teams engaged on site, the Swiss "medical command and control system" for rescue operations is based on a binomial set up involving one head emergency doctor and one head rescue paramedic, both trained in disaster medicine. We have recently experimented an innovative on-site "medical command and control system", based on the binomial team, supported by a dedicated 144 dispatcher. Methods: A major road traffic accident took place on the highway between Lausanne and Vevey on April 9th 2008. We have retrospectively collected all data concerning the victims as well as the logistics and dedicated structures, reported by the 144, the Hospitals, the Authority of the State and the Police and Fire Departments. Results: The 72-car pileup caused one death and 26 slightly injured patients. The management on the accident site was organized around a tripartite system, gathering together the medical command and control team with the police and fire departments. On the medical side, 16 ambulances, 2 medical response teams (SMUR), the Rega crew and the medical command and control team were dispatched by the 144. On that occasion an advanced medical command car equipped with communication devices and staffed with a 144 dispatcher was also engaged, allowing efficient medical regulation directly from the site. Discussion: The specific skills of one doctor and one paramedic both trained for disaster's management proved to be perfectly complementary. The presence of a dispatcher on site with a medical command car also proved to be useful, improving orders transmission from the medical command team to all other on- and off-site partners. It relieved the need of repeated back-and-forth communication with the 144, allowing both paramedic and doctor to focus on strategy and tactics rather than communication and logistics.

A motivação e satisfação organizacional como factores essenciais de conquista de melhores resultados empresariais: Estudo de caso no Hotel Marine Club Beach Resort

A motivação no âmbito organizacional está relacionada à qualidade de desempenho e esforços de seus colaboradores, constituindo a energia motriz para atingir os resultados desejados. Com a chegada da globalização, o avanço tecnológico, aumento da competitividade entre as empresas, custos de contratação, treinamentos e processo de automação industrial, a exigência do melhor desempenho de seus colaboradores está cada vez maior. Por esse motivo, as empresas estão sempre buscando alternativas que motivem seus colaboradores, com o intuito de proporcionar um melhor clima organizacional e desempenho dos seus profissionais. O presente trabalho tem por objectivo estudar a satisfação dos trabalhadores como factores essenciais de motivação e sucesso empresarial no Hotel Marine Club Beach Resort, da ilha de Boa vista. Além de se valorizar o conhecimento técnico e científico do profissional é igualmente importante ter em consideração estas condicionantes (satisfação e motivação no trabalho), que embora sejam de carácter psicológico e emocional, desempenham um papel preponderante na produtividade do trabalhador, acabando por influenciar o sucesso de qualquer empresa. Conclui-se que o grau de motivação e satisfação do hotel é bom, o ambiente organizacional também é satisfatório mas é preciso que o hotel melhora as políticas de gestão tais como, benefícios em relação a promoções, salários e valorização do colaborador para mantê-los motivados e satisfeitos no trabalho.

Photoinhibition of photosynthesis in natural assemblages of marine phytoplankton

estudia la fotosÍntesis en el fitoplancton, como función unica y continua de luz disponible, desde la respuesta linear inicial hasta la inhibición extrema