Efeitos do treino de automonitoração e do treino de relato verbal no estabelecimento e na manutenção de comportamentos de seguir regras nutricionais em adultos com obesidade

A obesidade é uma doença epidêmica, crônica, multifatorial e de alto risco, que afeta milhões de pessoas e provoca uma série de prejuízos sociais, emocionais e econômicos. A análise do comportamento busca compreender os comportamentos do indivíduo obeso que propiciam o surgimento e a manutenção desta condição e as relações deste indivíduo com o seu meio ambiente. Tradicionalmente, pesquisas sobre o tratamento da obesidade, embora utilizem estratégias comportamentais como o registro em automonitoração e treino de relato verbal, em geral enfatizam resultados não comportamentais como critério de sucesso no tratamento (ex. perda de peso). Todavia, alguns autores defendem o uso de critérios comportamentais nos tratamentos de saúde que resultem em melhorias na qualidade de vida, enfatizando a construção de repertórios saudáveis ao invés da eliminação de comportamentos ditos desadaptativos. Baseado no modelo construcional de Goldiamond, este estudo teve como objetivo verificar os efeitos de um treino em automonitoração e em relato verbal no estabelecimento e na manutenção, em curto prazo, de comportamentos de seguir regras nutricionais em adultos com obesidade. Participaram da pesquisa duas mulheres adultas com obesidade, em tratamento em uma clínica nutricional particular, e com dificuldades de adesão à dieta. A coleta de dados foi realizada em ambiente disponibilizado pelas participantes, predominantemente em ambiente domiciliar, em dias alternados, sendo constituída por cinco etapas: (1) Entrevistas de Linha de Base para identificação do repertório alimentar inicial; (2) Intervenção, realizada por meio de duas condições: (I) Treino de Automonitoração e (II) Treino de Relato Verbal; (3) Manutenção em curto prazo; (4) Follow-up; e (5) Encerramento: Entrevista Final, para avaliação dos resultados obtidos. Na condição I utilizou-se registros de automonitoração e de planejamento das refeições, enquanto que na condição II utilizou-se o relato verbal para o planejamento e o acesso à refeição-alvo realizada no dia anterior à entrevista. Em todas as entrevistas de intervenção foram conduzidas análises da consistência entre o registro/relato da refeição-alvo e as regras descritas no plano alimentar; análises dos custos e benefícios dos comportamentos de seguir ou não as regras nutricionais e identificação das variáveis determinantes para a emissão ou não dos comportamentos de seguir as regras nutricionais. Os treinos foram realizados com apenas uma refeição de cada vez até que se atingisse um dos critérios de mudança de refeição-alvo, sendo o principal a ocorrência de 60% de adesão em três entrevistas consecutivas. Para tanto, a cada entrevista era calculado o Índice de Adesão à Dieta (IAD) da refeição-alvo. Nos resultados, verificou-se que ambas as participantes atingiram o critério estabelecido em todas as refeições, com exceção do lanche da tarde. Inferiu-se a efetividade de ambos os treinos na instalação de comportamentos de auto-observação do repertório alimentar, entretanto foram modestos os resultados referentes ao autocontrole, sugerindo a necessidade de outras estratégias comportamentais, como treino de autocontrole, para a manutenção dos resultados do tratamento da obesidade. Discutiu-se sobre a complexidade do tratamento desta condição de saúde e a necessidade de uma visão ampla de tratamento que atue em outros contextos, além do foco na doença.

Reconfiguração de sistemas de distribuição utilizando metaheurísticas e critérios de confiabilidade

In an ever more competitive environment, power distribution companies must satisfy two conflicting objectives: minimizing investment costs and the satisfaction of reliability targets. The network reconfiguration of a distribution system is a technique that well adapts to this new deregulated environment for it allows improvement of reliability indices only opening and closing switches, without the onus involved in acquiring new equipment. Due to combinatorial explosion problem characteristic, in the solution are employed metaheuristics methods, which converge to optimal or quasi-optimal solutions, but with a high computational effort. As the main objective of this work is to find the best configuration(s) of the distribution system with the best levels of reliability, the objective function used in the metaheuristics is to minimize the LOLC - Loss Of Load Cost, which is associated with both, number and duration of electric power interruptions. Several metaheuristics techniques are tested, and the tabu search has proven to be most appropriate to solve the proposed problem. To characterize computationally the problem of the switches reconfiguring was developed a vector model (with integers) of the representation of the switches, where each normally open switch is associated with a group of normally closed switches. In this model simplifications have been introduced to reduce computational time and restrictions were made to exclude solutions that do not supply energy to any load point of the system. To check violation of the voltage and loading criteria a study of power flow for the ten best solutions is performed. Also for the ten best solutions a reliability evaluation using Monte Carlo sequential simulation is performed, where it is possible to obtain the probability distributions of the indices and thus calculate the risk of paying penalty due to not meeting the goals. Finally, the methodology is applied in a real Brazilian distribution network, and the results are discussed.

Using ecological thresholds to evaluate the costs and benefits of set-asides in a biodiversity hotspot

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Productivity and costs of Beller-Buncher and forest processor in stands of eucalypts in first cut

The rationalization of forest harvesting and minimization costs is a constant search by the managers involved in this process, making them decide practices which are economically viable to optimize that operation. This study aimed to evaluate technically and economically the performance of feller-buncher and the forest processor in stands of eucalypts in first cut. The technique analysis included time and movements, productivity, efficiency operational and mechanical availability. The economic analysis included the parameters operational cost, harvesting cost and energy consumption. Aiming the optimization the cost of forest harvesting, the system composed by feller-buncher and processor forest presented itself as a technically and economically viable alternative to harvesting eucalypt in first cut or stands that do not have bifurcated trees.

Costs and benefits of reproducing under unfavorable conditions: an integrated view of ecological and physiological constraints in a cerrado shrub

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Response to comment on "Using ecological thresholds to evaluate the costs and benefits of set-asides in a biodiversity hotspot"

Finney claims that we did not include transaction costs while assessing the economic costs of a set-aside program in Brazil and that accounting for them could potentially render large payments for environmental services (PES) projects unfeasible. We agree with the need for a better understanding of transaction costs but provide evidence that they do not alter the feasibility of the set-aside scheme we proposed.

The impact of physical activity on mitigation of health care costs related to diabetes mellitus: findings from developed and developing settings Diabetes mellitus and physical exercise

Over the last decades, the prevalence of diabetes mellitus (DM) has been increasing globally such that nowadays the disease constitutes an important outcome related to early mortality among adults. In parallel with the high prevalence, healthcare costs related to DM treatment have increased significantly, exacerbating its burden on modern society. The scientific literature points out that obesity and physical inactivity have a central role in the development of most DM cases. In fact, either physical exercise practice or an increase in the level of physical activity, constitute relevant tools in the guidelines for treatment of the disease. On the other hand, the effect of physical activity on the economic consequences of DM is not completely clear. The identification of the actual burden of lifestyle changes on the reduction of healthcare costs related to DM is relevant, primarily for developing nations, where it could represent a cheaper strategy for treating the disease and its complications than paying for drug treatment, which is commonly related to collateral effects. That being said, the prevention of DM and other diseases and consequently the mitigation of the costs related to these outcomes seem to depend essentially on the promotion of healthy habits. The aim of the present review was therefore to discuss recent evidence on the effects of physical activity/exercise on mitigation of health care cost related to DM.

Investigação geoambiental de áreas contaminadas com elaboração do modelo conceitual em campo utilizando ferramentas de alta resolução (HRSC)

The Brazilian geo-environmental site characterizations usually do not provide a suitable Conceptual Site Model (CSM). Site assessments are mostly inappropriate and there is a lack of knowledge about the subsurface environment, generated by inconsistent data that will guide risk analyses and remediation projects full of uncertainties, causing delay on closing cases, inefficient remediation and higher global projects costs. The step of data collection must have high priority to develop a suitable CSM,, and it demands more effective high resolution site characterization (HRSC) tools than the traditional ones and, preferably, the decision-making have to be done in the field. This paper presents and discusses two geo-environmental site characterization results, in which the decision-making was done in the field based on high resolution site characterization (HRSC) used together with the traditional ones. These site investigations provided a significant time saving, allowed the detection of subsoil heterogeneities, a proper understanding of the subsurface environmental, and have generated a solid CSM in real-time. These CSM can subsidize remediation projects based on a more reliable data than those that would be obtained in traditional site investigations, concerned just in following the rules established by the environmental agencies.

Incorporating Varying Test Costs and Fault Severities into Test Case Prioritization

Test case prioritization techniques schedule test cases for regression testing in an order that increases their ability to meet some performance goal. One performance goal, rate offault detection, measures how quickly faults are detected within the testing process. In previous work we provided a metric, APFD, for measuring rate of fault detection, and techniques for prioritizing test cases to improve APFD, and reported the results of experiments using those techniques. This metric and these techniques, however, applied only in cases in which test costs and fault severity are uniform. In this paper, we present a new metric for assessing the rate of fault detection of prioritized test cases, that incorporates varying test case and fault costs. We present the results of a case study illustrating the application of the metric. This study raises several practical questions that might arise in applying test case prioritization; we discuss how practitioners could go about answering these questions.

Japanese Ag Training Program Closing Ceremony

What a pleasure it is to be here with you tonight for this year’s closing ceremony for the Japanese Ag Training Program. We have been so delighted to have those of you enrolled in the program studying with us for the past three months. You join the nearly 1,400 Japanese Ag Training Program trainees who have received animal science production, management, and agribusiness training from our faculty since the program began here in 1966, and we are so pleased to have had this opportunity to know and to work with you.

Grain Storage Costs and Rental Rates

Trends in Grain Storage - Commercial grain storage eliminates the need to monitor grain conditions and, hence, offers the peace of mind that unsold grain will remain in condition. There may be a cost trade-off between this reduced storage risk and the cost of on-farm storage.

CLOSING REMARKS - FOURTH VERTEBRATE PEST CONFERENCE

On behalf of the California Vertebrate Pest Committee, which sponsors these conferences, I wish to thank all of the speakers for their contribution to the program and the session chairmen who kept the meeting moving so smoothly. We would like to extend a special thanks to the speakers and participants who have come from other countries to share with us some of their knowledge concerning vertebrate pest problems and their solutions. Hopefully, the acquaintances made here and the exchange of information with our colleagues from distant places will be the beginning of long-lasting friendships and will foster better communications between those with mutual interests.

Costs and benefits of freezing behaviour in the harvestman Eumesosoma roeweri (Arachnida, Opiliones)

Animals present an enormous variety of behavioural defensive mechanisms, which increase their survival, but often at a cost. Several animal taxa reduce their chances of being detected and/or recognized as prey items by freezing (remaining completely motionless) in the presence of a predator. We studied costs and benefits of freezing in immature Eumesosoma roeweri (Opiliones, Sclerosomatidae). Preliminary observations showed that these individuals often freeze in the presence of the syntopic predatory spider Schizocosa ocreata (Araneae, Lycosidae). We verified that harvestmen paired with predators spent more time freezing than when alone or when paired with a conspecific. Then. we determined that predator chemical cues alone did not elicit freezing behaviour. Next, we examined predator behaviour towards moving/non-moving prey and found that spiders attacked moving prey significantly more, suggesting an advantage of freezing in the presence of a predator. Finally, as measure of the foraging costs of freezing, we found that individuals paired with a predator for 2 h gained significantly less weight than individuals paired with a conspecific or left alone. Taken together, our results suggest that freezing may protect E. roeweri harvestmen from predatory attacks by wolf spiders, but at the cost of reduced food and/or water intake. (C) 2009 Elsevier B.V. All rights reserved.

Treatment-resistant depression increases health costs and resource utilization

Objective: Major Depressive Disorder (MDD) is a debilitating condition with a marked social impact. The impact of MDD and Treatment-Resistant Depression (TRD+) within the Brazilian health system is largely unknown. The goal of this study was to compare resource utilization and costs of care for treatment-resistant MDD relative to non-treatment-resistant depression (TRD-). Methods: We retrospectively analyzed the records of 212 patients who had been diagnosed with MDD according to the ICD-10 criteria. Specific criteria were used to identify patients with TRD+. Resource utilization was estimated, and the consumption of medication was annualized. We obtained information on medical visits, procedures, hospitalizations, emergency department visits and medication use related or not to MDD. Results: The sample consisted of 90 TRD+ and 122 TRD-patients. TRD+ patients used significantly more resources from the psychiatric service, but not from non-psychiatric clinics, compared to TRD-patients. Furthermore, TRD+ patients were significantly more likely to require hospitalizations. Overall, TRD+ patients imposed significantly higher (81.5%) annual costs compared to TRD-patients (R$ 5,520.85; US$ 3,075.34 vs. R$ 3,042.14; US$ 1,694.60). These findings demonstrate the burden of MDD, and especially of TRD+ patients, to the tertiary public health system. Our study should raise awareness of the impact of TRD+ and should be considered by policy makers when implementing public mental health initiatives.

Arbitrage-Free Conditions and Hedging Strategies for Markets with Penalty Costs on Short Positions

We consider a discrete-time financial model in a general sample space with penalty costs on short positions. We consider a friction market closely related to the standard one except that withdrawals from the portfolio value proportional to short positions are made. We provide necessary and sufficient conditions for the nonexistence of arbitrages in this situation and for a self-financing strategy to replicate a contingent claim. For the finite-sample space case, this result leads to an explicit and constructive procedure for obtaining perfect hedging strategies.