Impacto econômico do absenteísmo de enfermagem por doença em um hospital universitário do Rio de Janeiro-RJ

Trata-se de uma pesquisa documental, retrospectiva de fonte secundária,que adota uma abordagem quantitativa descritiva-exploratória. A partir da constatação de altos índices de absenteísmo nas unidades hospitalares, despertou-se o interesse em estudar os custos diretos das doenças ocupacionais que levam aos afastamentos e seu impacto econômico para o orçamento de recursos humanos de um hospital universitário do Rio de Janeiro. Neste contexto, definiu-se como objeto de estudo, o impacto econômico do absenteísmo por doença na equipe de enfermagem e, como objetivos: identificar as causas prevalentes de afastamentos no hospital universitário, de acordo com Classificação Internacional de Doenças e Problemas Relacionados a Saúde (CID-10); estimar os custos diretos mínimos das doenças que afastaram o trabalhador de enfermagem; estimar o custo real aproximado do absenteísmo relacionado a 1 (um) dia de trabalho prestado pelos trabalhadores de enfermagem, com projeção de 1 (um) mês e 1(um) ano numa visão operacional do Sistema Único de Saúde (SUS). Foi utilizada uma amostra estratificada de prontuários dos profissionais de saúde da equipe de enfermagem (enfermeiros e técnicos de enfermagem), a partir do seguinte critério de inclusão: profissionais de enfermagem concursados com afastamento no ano de 2010 e com diagnóstico médico determinante do afastamento, definido claramente. Para a coleta das informações foi feita a apreciação dos documentos arquivados no Serviço de Saúde do Trabalhador do hospital estudado e contou com a apreciação de especialistas médicos relativos aos grupos de diagnósticos estudados, orientados por roteiros criados pela pesquisadora. Os dados foram analisados e armazenados no programa Statistical Package for the Social Sciences (SPSS) versão 15 e no editor Microsoft excel 2003. Dentre os resultados obtidos tiveram destaque para as seguintes causas de afastamento, respectivamente, às doenças do sistema osteomuscular, os fatores que influenciam o estado de saúde e o contato com serviços de saúde, os transtornos mentais e comportamentais, as lesões, envenenamento e outras consequencias de causas externas e, as doenças do sistema circulatório, que representam um custo estimado aproximado de R$ 2,6 milhões. Pôde-se constatar que o impacto econômico do absenteísmo decorrentes dos agravos à saúde para o orçamento de recursos humanos do hospital universitário foi de aproximadamente 2,7%. O custo real aproximado do absenteísmo de enfermagem por dia, foi avaliado em R$ 92,50, tendo projeção mensal de R$ 2.775,00 e anual de R$ 33.300,00. Recomenda-se avaliar o absenteísmo dos profissionais regularmente para identificar as causas reais do absenteísmo por doença, a fim de definir metas para os programas de intervenção à saúde dos trabalhadores e promover uma Gestão participativa que favoreça uma análise do processo de trabalho no que concerne o atendimento das necessidades de saúde e operacionais da força de trabalho, determinantes do absenteísmo.

Anos de vida perdidos por morte prematura por causas externas: análise da tendência e uma proposta metodológica para redistribuição dos códigos-lixo

A violência é considerada uma questão social, ou ainda, um fenômeno social e histórico, que ocorre nas diversas formas de relações humanas e que pode se manifestar em atos individuais ou institucionais, ou seja, realizados por pessoas, grupos, nações, com o objetivo de provocar algum dano físico ou psicológico em outrem. O termo violência, no presente trabalho, refere-se às mortes por causas externas, que incluem as mortes intencionais e as mortes não intencionais, ou seja, agressões, suicídios e acidentes em geral. O objetivo é analisar a evolução da carga de mortalidade no estado do Rio de Janeiro e propor a realocação dos óbitos cuja intenção é indeterminada através de uma nova metodologia. Os dados utilizados são provenientes do Sistema de Informações sobre Mortalidade. Neste estudo, foi utilizado o indicador YLL (Years of Life Lost Anos de Vida Perdidos) na avaliação do comportamento das causas violentas ao longo do tempo, no período de 1996 a 2009, para as macrorregionais de saúde do estado do Rio de Janeiro, através de modelos de efeitos mistos. Foi aplicada a regressão logística multinomial nos óbitos com causa básica conhecida, utilizando as informações como lesões e características individuais das vítimas, para prever qual seria a causa básica de morte nos registros indeterminados com características semelhantes aos óbitos com causas conhecidas. Os resultados encontrados mostram que a violência aumentou em regiões do interior do estado, com destaque para a macrorregional Norte. Na capital e nas regiões metropolitanas, houve uma estabilização das taxas, com exceção para as mortes por agressão que sofreram queda, porém as taxas de YLL permaneceram elevadas. As duas metodologias de realocação, da Carga de Doença e desta nova proposta, aumentam todas as taxas de mortalidade por grupo de causas, porém o grupo que sofreu maior impacto foi o de quedas. Os resultados encontrados, apesar das limitações, apontam para uma proposta de combinação das duas metodologias. Para os óbitos com causa básica de Y10 (Envenenamento [intoxicação] por e exposição a analgésicos, antipiréticos e anti-reumáticos nãoopiáceos, intenção não determinada) a Y33 (Outros fatos ou eventos especificados, intenção não determinada), seria utilizada a metodologia da Carga de Doenças e, para os óbitos de Y34 (Fatos ou eventos não especificados e intenção não determinada), seria utilizado o método proposto.

Estudo dos compostos reduzidos de enxofre na formação do ozônio troposférico na cidade do Rio de Janeiro

O petróleo é uma complexa mistura de compostos orgânicos e inorgânicos em que predominam os hidrocarbonetos e que apresentam contaminações variadas, entre essas os compostos de enxofre. Esses além de gerarem inconvenientes durante os processos de refino do petróleo, como corrosão nos equipamentos e envenenamento de catalisadores dos processos de craqueamento, também representam um grande problema para o meio ambiente e para a saúde da população, principalmente em relação à poluição atmosférica. Além das emissões de compostos de enxofre oriundas da própria refinaria, com destaque para os óxidos de enxofre e o sulfeto de hidrogênio, os compostos de enxofre, que não são retirados durante o refino e estão presentes nos derivados do petróleo, provocam a emissão de uma grande quantidade de poluentes na atmosfera durante o processo de queima dos combustíveis. Os efeitos dos CRE na atmosfera urbana ainda não são muito conhecidos, o que justifica um estudo mais profundo desses compostos, que além de causarem danos a saúde da população, podem influenciar na formação do ozônio troposferico

Compostos de enxofre em misturas de diesel e biodiesel

É difundido na literatura especializada que o uso de misturas de biodiesel e diesel de petróleo reduz as emissões dos compostos de enxofre. Esses compostos são responsáveis por inúmeras enfermidades respiratórias, além de provocar danos ao catalisador automotivo, contribuindo desta forma para a emissão de outros poluentes. Neste trabalho fez-se uma identificação dos compostos de enxofre, antes da queima no motor, presentes no diesel e em misturas de biodiesel/diesel de diferentes fontes. A metodologia empregada foi a cromatografia de fase gasosa e inicialmente empregou-se um detector de ionização por chama de hidrogênio para ajuste das condições operacionais, por ser um detector considerado universal e capaz de identificar tanto os majoritários hidrocarbonetos como os compostos de enxofre. Em seguida aplicou-se os parâmetros operacionais obtidos a um cromatógrafo à gás acoplado a um detector seletivo para enxofre, o SCD (sulphur chemiluminescence detector) para a identificação apenas dos compostos de enxofre. Após a obtenção dos dados teóricos em laboratório, foi realizada a análise de compostos mercaptídicos produzidas pelas emissões de um ônibus do Rio de Janeiro abastecido com diesel puro e misturas diesel/biodiesel nas proporções (v/v) 2% (B2), 5% (B5), 10% (B10), and 20% (B20). Os resultados indicaram uma redução dos compostos de enxofre proporcional à adição do biodiesel tanto na teoria quanto na prática

Length-weight relationship of some marine fish species in Reunion Island, Indian Ocean

The length-weight relationship of 29 marine fish species form Reunion Island (SW Indian Ocean) belonging to 14 families were computed. Data from 5,340 individuals were used for this purpose. Fish were sampled using different techniques, mainly with rotenone poisoning on coral reef flats, beach seine and handlines on shallow coastal bays, and longline fishing in the nearby open sea.

Length-weight relationship of fishes from coral reefs and lagoons of New Caledonia: an update

Length-weight relationships of 316 reef and lagoon fish from New Caledonia (SW Pacific Ocean) belonging to 68 families are computed. A total of 43,750 individuals was used for this purpose. Fish were sampled by different techniques such as rotenone poisoning, handline and bottom longline fishing, gill and trammel nets, and trawling in various isotopes (coral reefs, lagoon bottoms and mangroves).

Geomorphological Evolution of Estuaries: The Dynamic Basis for Morpho-Sedimentary Units in Selected Estuaries in the Northeastern United States

The coastal geomorphological processes of alongshore transport and tidal currents are interacting with the attendant influences of sea-level rise and sediment supply to generate morphosedimentary units in selected estuarine systems. Constrained by the conditions promoted by microtidal situations in barrier island settings, vectors of sediment transport have established spatial sequences of morphologies and sediment types that are components of shellfish habitats. Greater depth and decreasing grain-size toward the mainland are common characteristics in five northeastern U.S. estuarine systems. The patterns are repeated at various scales among the lagoon-type estuaries as well as within the estuarine settings to establish geospatial associations of geomorphology and habitat.

The History of Oyster Farming in Australia

Aboriginal Australians consumed oysters before settlement by Europeans as shown by the large number of kitchen middens along Australia's coast. Flat oysters, Ostrea angasi, were consumed in southeastern Australia, whereas both flat and Sydney rock oysters, Saccostrea glomerata, are found in kitchen middens in southern New South Wales (NSW), but only Sydney rock oysters are found in northern NSW and southern Queensland. Oyster fisheries began with the exploitation of dredge beds, for the use of oyster shell for lime production and oyster meat for consumption. These natural oyster beds were nealy all exhausted by the late 1800's, and they have not recovered. Oyster farming, one of the oldest aquaculture industries in Australia, began as the oyster fisheries declined in the late 1800's. Early attempts at farming flat oysters in Tasmania, Victoria, and South Australia, which started in the 1880's, were abandoned in the 1890's. However, a thriving Sydney rock oyster industry developed from primitive beginnings in NSW in the 1870's. Sydney rock oysters are farmed in NSW, southern Queensland, and at Albany, Western Australia (WA). Pacific oysters, Crassostrea gigas, are produced in Tasmania, South Australia, and Port Stephens, NSW. FLant oysters currently are farmed only in NSW, and there is also some small-scale harvesting of tropical species, the coarl rock or milky oyster, S. cucullata, and th black-lip oyster, Striostrea mytiloides, in northern Queensland. Despite intra- and interstate rivalries, oyster farmers are gradually realizing that they are all part of one industry, and this is reflected by the establishment of the national Australian Shellfish Quality Assuarance Program and the transfer of farming technology between states. Australia's oyster harvests have remained relatively stable since Sydney rock oyster production peaked in the mid 1970's at 13 million dozen. By the end of the 1990's this had stabilized at around 8 million dozen, and Pacific oyster production reached a total of 6.5 million dozen from Tasmania, South Australia, and Port Stephens, a total of 14.5 million dozen oysters for the whole country. This small increase in production during a time of substantial human population growth shows a smaller per capita consumption and a declining use of oysters as a "side-dish."

Recreational Fisheries in Biscayne National Park, Florida, 1976–19

Recreational creel survey data from 28,923 intercepts collected from Biscayne National Park, Florida and surrounding waters were analyzed for January 1976 through July 1991, prior to disruptions caused by Hurricane Andrew in 1992. A total of 261,268 fish and shellfish representing 170 species or higher taxa were recorded. The average trip landed 9.03 fish and/or shellfish. Mean annual landings per angler were 4.77 fish/angler/trip (from 3.8 in 1991 to 5.83 in 1981) and dropped significantly for each of the 2 years following Florida's adoption of mutiple new minimum size limits in 1985 and 1990. The relative contribution to total numerical landings by recreational party type were: skilled anglers (34.0%), food (19.8%), family (14.5%), novice (11.5%), spearfishing (10.3%), lobstering (9.6%), and other (0.3%). FIve species or higher taxa accounted for more than 50% of total landings by number: white grunt, Haemulon plumieri, 15.8%; spiny lobster, Panulirus argus, (10.6%; gray snapper, Lutjanus griseus, 10.6%; unidentified grunts, Haemulon spp., 7.3%; and dolphin, Coryphaena hippurus, 6.6%. An average of 4.39 fish or shellfish were reported released per trip. Five taxa accounted for 67% of all releases. Lobster divers reported the highest average release rate (5.73 per trip) and spearfishing the lowest (0.70 per trip). The ratio of releases to landings was 0.49:1 for all taxa, but ranged from 0.03:1 for dolphin to 1.19:1 for unidentified grunts. Spearfishing accounted for 12.0% of the total fishing trips sampled but only 10.3% of the total number organisms landed and 7.6% of all organisms caught. Hogfish, Lachnolaimus maximus, accounted for 49% if total spearfishing landings (13,286 of 27,015) and 84.3% of total 15,762 hogfish landed.

Reef Habitats in the Middle Atlantic Bight: Abundance, Distribution, Associated Biological Communities, and Fishery Resource Use

One particular habitat type in the Middle Atlantic Bight is not well recognized among fishery scientists and managers, although it is will known and used by recreational and commercial fisheries. This habitat consists of a variety of hard-surface, elevated relief "reef" or reef-like environments that are widely distributed across the predominantly flat or undulating, sandy areas of the Bight and include both natural rocky areas and man-made structures, e.g. shipwrecks and artificial reefs. Although there are natural rock and shellfish reefs in southern New England coastal waters and estuaries throughout the Bight, most reef habitats in the region appear to be man-made reef habitat modification/creation may be increasing. Very little effort has been devoted to the study of this habitat's distribution, abundance, use by living marine resources and associated biological communities (except on estuarine oyster reefs) and fishery value or management. This poorly studied and surveyed habitat can provide fish refuge from trawls and can be a factor in studies of the distribution and abundance of a variety of reef-associated fishery resources. This review provides a preliminary summary of information found on relative distribution and abundance of reef habitat in the Bight, the living marine resources and biological communities that commonly use it, threats to this habitat and its biological resources, and the value or potential value of artificial reefs to fishery or habitat and its biological resources, and the value or potential value of artificial reefs to fishery or habitat managers. The purpose of the review is to initiate an awareness among resource managers about this habitat, its role in resource management, and the need for research.

A History of Benthic Research in the NMFS Northeast Fisheries Science Center

The Northeast Fisheries Science Center of NOAA's National Marine Fisheries Service has a long history of research on benthic invertebrates and habitats in support of the management of living marine resources. These studies began in the 1870's under Spencer F. Baird's guidance as part of an effort to characterize the Nation's fisheries and living marine resources and their ecological interactions. This century and a quarter of research has included many benthic invertebrate studies, including community characterizations, shellfish biology and culture, pathology, ecosystem energy budget modeling, habitat evaluations, assessments of human impacts, toxic chemical bioaccumulation in demersal food webs, habitat or endangered species management, benthic autecology, systematics (to define new species and species population boundaries), and other benthic studies. Here we review the scope of past and current studies as a background for strategic research planning and suggest areas for further research to support NOAA's goals of sustainable fisheries management, healthy coastal ecosystems, and protected species populations.

A Guide for Enhancing Estuarine Molluscan Shellfisheries

In the eastern United States as well as in many countries where most shellfish originate in public beds, shellfishermen, local communities, distributors, and consumers have been dependent on wild stocks for shellfish supplies. Abundance of shellfish is usually much lower than the carrying capacity of the beds and can fluctuate widely among seasons. Thus shellfisheries are built upon a relatively weak foundation: Uncertin supplies, abundance of which is governed by several natural factors.

Regional Fisheries Advisory Committee 20th May, 1985

This is the report from the Regional Fisheries Advisory Committee meeting, which was held on the 20th May, 1985. The report contains sections on fishing licence duties in 1986, lead poisoning in swans, Authority investigations into acidity problems in rivers in Cumbria, fishing offences processed, Fish Counter statistics, and the fisheries liaison meeting report. The section on Authority investigations into acidity problems in rivers in Cumbria pays attention on investigations carried out by the University of Lancaster and Freshwater Biological Association about acidity problems, particularly in the Rivers Duddon and Esk since 1980. This section contains biological findings, a chemical sampling programme, results from continuous pH monitors, and catchment liming. The Fisheries Advisory Committee was part of the Regional Water Authorities, in this case the North West Water Authority. This preceded the Environment Agency which came into existence in 1996.

Regional Fisheries Advisory Committee 21st October, 1985

This is the report from the Regional Fisheries Advisory Committee meeting, which was held on the 21st October, 1985. The report contains sections on River Lune Special Byelaws, proposed haaf net limitation order for the Solway Firth and lead poisoning in swans. Also included is information on River Kent fish passes, reservoirs, total available Residual Chlorine (TARC) in the River Lune, fish hatcheries, and Authority investigations into acidity problems in rivers in Cumbria. The Fisheries Advisory Committee was part of the Regional Water Authorities, in this case the North West Water Authority. This preceded the Environment Agency which came into existence in 1996.

Fish surveys on the Leven and Kent estuaries

This is the Wetland resource evaluation and the NRA's role in its conservation: Resource assessment report produced by North West Water in 1982. In this report data from a variety of sources in river Leven and Leven estuary have been examined to determine if there was any objective foundation for the allegations and for the assertion that poor fish catches were related to discharges of industrial effluent to the estuary. Catches of salmon and sea trout from the Leven did not appear to have suffered any long term declines and year to year fluctuations did not appear to be any more extreme than in other North West rivers. Fish surveys did not show any marked differences in the diversity or distribution of fish between the Kent and Leven estuaries but catches of flounders were consistently lower from the Leven estuary. Analysis of fisheries statistics of landings of fish and shellfish from Morecambe Bay did not show any evidence of localised declines in catches from the Leven estuary. Results of laboratory experiments suggested that populations of bivalve molluscs might be more at risk from the effects of discharges to the Leven estuary than resident or migratory fish.