Que "boa família"?: assistência e solidariedade familiar em Cuba

O reforço da assistência e da intervenção sociais em Cuba responde mais aos efeitos sociais da crise econômica e das transformações estruturais que a acompanham do que ao crescimento da pobreza. Este artigo examina as práticas de intervenção social à luz das normas familiares subjacentes: que "boa família" elas prometem? De que modo a assistência e a intervenção sociais abordam estruturas familiares fragilizadas quando se exacerba a contradição entre individualização e igualdade, de um lado, e necessidade de família e de solidariedade, de outro? A assistência em Cuba não está mais no tempo dos princípios, mas em um momento pragmático de contenção dos problemas sociais que precisa muito da família.

Serviço de informação e assistência tecnológica para o segmento agroindustrial de alimentos

A necessidade de desenvolvimento econômico imposta pela conjuntura atual vem exigir alta demanda de serviços especializados que se proponham a oferecer ao mercado valor agregado a partir da matéria-prima que representa a informação. É de vital importância a possibilidade de assessoria, consultoria e capacitação que este serviço pode oferecer a fim de garantir a adoção das recomendações propostas e, fundamentalmente, obter resultados importantes para o cliente e o mercado. Indicadores de desempenho devem ser estabelecidos como ferramenta crítica de gestão, e atenção muito especial deve ser dada à definição quanto ao perfil do gerente de um serviço desse porte. Recomenda-se que seu gerenciamento seja delegado a um empresário de informação, que possa imprimir ao serviço uma capacidade multidisciplinar, na busca da excelência do desempenho.

The Iowa Perinatal Letter, 2014, Vol. 34, no. 1

This newsletter from The Department of Public Health about perinatal health care and statistics.

The Iowa Perinatal Letter, April-May-June 2005, Vol. 26, no.2

This newsletter from The Department of Public Health about perinatal health care and statistics.

The Iowa Perinatal Letter, January, February, March 2005, Vol. 26, no.1

This newsletter from The Department of Public Health about perinatal health care and statistics.

The Iowa Perinatal Letter, July, August, September 2005, Vol. 26, no.3

This newsletter from The Department of Public Health about perinatal health care and statistics.

The Iowa Perinatal Letter, October, November, December 2005, Vol. 26, no.4

This newsletter from The Department of Public Health about perinatal health care and statistics.

The Iowa Perinatal Letter Index

This newsletter has a index from The Department of Public Health about perinatal health care and statistics.

The circadian rhythm of the perinatal mortality rate in Switzerland.

The authors examine the relation between the perinatal mortality rate (PMR), birth weight in four categories, and hour of birth throughout the week in Switzerland, using data on 672,013 births and 5,764 perinatal deaths recorded between 1979 and 1987. From Monday to Friday, the PMR follows a circadian rhythm with a regular increase from early morning to evening, with a peak for babies born between 7 and 8 p.m. This pattern of variation has two main components: The circadian rhythms for the proportion of births in the four weight categories and the PMR circadian rhythm for babies weighing more than 2.5 kg. According to a cosinor model, which describes about 40% of the total variation in the PMR, the most important determinants are changes in the proportions of births: Low birth weight increases toward the afternoon and night. Mechanisms underlying the weight-specific timing of birth are discussed, including time selection of birth according to obstetric risks, the direct effect of neonatal and obstetric care, and chronobiologic behavior.

The Iowa Perinatal Letter, 2014, Vol. 33, no. 2

This newsletter from The Department of Public Health about perinatal health care and statistics.

Renovació del sistema de gestió d'assistència a l'Institut de Vidreres

Implantació i adaptació de l'aplicació django-aula, per a passar llista i anotar incidències de l'alumnat a un institut, incloent la renovació de la interfície gràfica per a adaptar-la a dispositius petits i tàctils.

Impaired chemical coupling of cerebral blood flow is compatible with intact neurological outcome in neonates with perinatal risk factors.

Early detection of pathophysiological factors associated with permanent brain damage is a major issue in neonatal medicine. The aim of our study was to evaluate the significance of the CO2 reactivity of cerebral blood flow (CBF) in neonates with perinatal risk factors. Fourteen ventilated neonates with perinatal risk factors (pathological cardiotocogramm, low cord pH, postpartal encephalopathy) were enrolled into this prospective study. The study was performed 18-123 h after birth. CBF was measured using the noninvasive intravenous 133Xe method. Two measurements were taken with a minimal PaCO2-difference of 5 mm Hg. From the two CBF values the CO2 reactivity was calculated. Outcome was evaluated 1 year after birth. The CBF values at a lower PaCO2 ranged from 6.6 to 115. 2 ml/100 g brain issue/min (median = 18.2) and at a higher PaCO2 level from 7.1 to 125.7 ml/100 g brain tissue/min (median = 18.75). The calculated CO2 reactivity ranged from -9.6 to 6.6% (median 1.1%) change in CBF/mm Hg change in PaCO2. CO2 reactivity correlated with lowest pH (r2 = 0.35, p = 0.02). Two infants died, one of neonatal sepsis, the other of heart failure. Neurological outcome at the age of 1 year was normal in 11 patients, 1 had severe cerebral palsy. From the 12 surviving patients the patient with severe neurological deficit showed the highest CBF values (125.7 ml/100 g/min). Impaired chemical coupling of cerebral blood flow is compatible with intact neurological outcome in neonates with perinatal risk factors. CO2 reactivity in these newborns correlates with the lowest pH and may reflect the severity of perinatal asphyxia.

Prognostic value of early MR imaging in term infants with severe perinatal asphyxia.

The prognostic significance of magnetic resonance imaging (MRI) in the neonatal period was studied prospectively in 43 term infants with perinatal asphyxia. MRI was performed between 1 and 14 days after birth with a high field system (2.35 Tesla). Neurodevelopmental outcome was assessed by a standardized neurological examination and the Griffiths developmental test at a mean age of 18.9 months. The predictive value of the various MRI patterns was as follows: Severe diffuse brain injury (pattern AII+III; n = 7) and lesions of thalamus and basal ganglia (pattern C; n = 5) were strongly associated with poor outcome and greatly reduced head growth. Mild diffuse brain injury (pattern AI; n = 7), parasagittal lesions (B; n = 7), periventricular hyperintensity (D; n = 2), focal brain necrosis and hemorrhage (E; n = 3) and periventricular hypointense stripes (on T2-weighted images; F; n = 3) led in one third of the infants to minor neurological disturbances and mild developmental delay. Infants with normal MRI findings (G; n = 9) developed normally with the exception of one infant who was mildly delayed at 18 months. The results indicate that MRI examination during the first two weeks of life is of prognostic significance in term infants suffering from perinatal asphyxia. Severe hypoxic-ischemic brain lesions were associated highly significantly with poor neuro-developmental outcome, whereas infants with inconspicuous MRI developed normally.

Guidelines for Perinatal Services, Eight Edition, 2008

This document represents the Eighth Edition of what formerly was called Standards for Perinatal Centers. Since then, the name has changed to Guidelines for Perinatal Services, because use of the term “standards” connotes an inflexibility of application that is not intended. As noted in the preface to an earlier edition, so-called standards that apply to major urban areas are not always practical in rural America. Unfortunately, when a bad outcome occurs and litigation ensues, the differences between urban and rural are frequently ignored. These guidelines are not meant to hold Iowa hospitals and Iowa perinatal professionals to an impractical ideal.