An efficacy trial of brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial)

Background
Lifestyle risk factors, in particular smoking, nutrition, alcohol consumption and physical inactivity (SNAP) are the main behavioural risk factors for chronic disease. Primary health care (PHC) has been shown to be an effective setting to address lifestyle risk factors at the individual level. However much of the focus of research to date has been in general practice. Relatively little attention has been paid to the role of nurses working in the PHC setting. Community health nurses are well placed to provide lifestyle intervention as they often see clients in their own homes over an extended period of time, providing the opportunity to offer intervention and enhance motivation through repeated contacts. The overall aim of this study is to evaluate the impact of a brief lifestyle intervention delivered by community nurses in routine practice on changes in clients' SNAP risk factors.

Methods/Design
The trial uses a quasi-experimental design involving four generalist community nursing services in NSW Australia. Services have been randomly allocated to an 'early intervention' group or 'late intervention' (comparison) group. 'Early intervention' sites are provided with training and support for nurses in identifying and offering brief lifestyle intervention for clients during routine consultations. 'Late intervention site' provide usual care and will be offered the study intervention following the final data collection point. A total of 720 generalist community nursing clients will be recruited at the time of referral from participating sites. Data collection consists of 1) telephone surveys with clients at baseline, three months and six months to examine change in SNAP risk factors and readiness to change 2) nurse survey at baseline, six and 12 months to examine changes in nurse confidence, attitudes and practices in the assessment and management of SNAP risk factors 3) semi-structured interviews/focus with nurses, managers and clients in 'early intervention' sites to explore the feasibility, acceptability and sustainability of the intervention.

Discussion
The study will provide evidence about the effectiveness and feasibility of brief lifestyle interventions delivered by generalist community nurses as part of routine practice. This will inform future community nursing practice and PHC policy.

Trajetórias profissionais de executivas aos postos de alto escalão: fatores-chave, barreiras, inibidores de ascensão e estratégias de enfrentamento

Esta pesquisa buscou compreender as trajetórias profissionais de executivas aos postos de alto escalão, os fatores-chave, as barreiras e os inibidores de ascensão por elas enfrentados em seus percursos, bem como as estratégias de enfrentamento empregadas. Para tanto, efetuou-se um estudo de campo eminentemente qualitativo, cuja estratégia de pesquisa baseou-se no método de estudo de casos múltiplos, cuja unidade de análise centrou-se no nível individual, a saber, na exploração das experiências profissionais e de vida de executivas que alcançaram postos de alto escalão. Os dados foram coletados por meio de entrevistas em profundidade com 18 profissionais que atuam, ou atuaram, no board de organizações nacionais e multinacionais localizadas na cidade de Rio de Janeiro. A pesquisa revelou que o trabalho se constitui como fonte de identidade central para essas mulheres, e que suas trajetórias profissionais, apesar de únicas, apresentavam um padrão comum: essas executivas empreenderam trajetórias diagonais, devolvidas ao longo de várias organizações diferentes, o que poderia ser indicativo de como lidaram com a segregação vertical ao longo de seu desenvolvimento profissional. Chegar ao board de grandes organizações é empreendimento desafiador para homens e mulheres, a trajetória é afuniladora para ambos e, portanto, os que chegam lá – sejam homens ou mulheres – compartilham mais características comuns entre si, ou seja, o habitus do alto executivo, do que com o gênero ao qual pertencem. A pesquisa também revelou que os determinantes familiares, em especial a maternidade, somente foram apontados como barreiras de ascensão profissional pelas executivas sem filhos. Para as executivas com filhos, a maternidade foi encarada como um momento natural de suas vidas, que requereu algumas concessões, porém cujos possíveis conflitos foram equacionados de forma a que essa dimensão de suas vidas se equilibrasse com a esfera do trabalho que, para todas, se constitui em importante fonte de identidade.

Earnings dynamics and inequality in Venezuela: 1995-1997

In this paper, we decompose the variance of logarithmic monthly earnings of prime age males into its permanent and transitory components, using a five-wave rotating panel from the Venezuelan “Encuesta de Hogares por Muestreo” from 1995 to 1997. As far as we know, this is the first time a variance components model is estimated for a developing country. We test several specifications and find that an error component model with individual random effects and first order serially correlated errors fits the data well. In the simplest model, around 22% of earnings variance is explained by the variance of permanent component, 77% by purely stochastic variation and the remaining 1% by serial correlation. These results contrast with studies from industrial countries where the permanent component is predominant. The permanent component is usually interpreted as the results of productivity characteristics of individuals whereas the transitory component is due to stochastic perturbations such as job and/or price instability, among others. Our findings may be due to the timing of the panel when occurred precisely during macroeconomic turmoil resulting from a severe financial crisis. The findings suggest that earnings instability is an important source of inequality in a region characterized by high inequality and macroeconomic instability.

Exogenous shocks and misattribution of responsibility for economic performance: results from survey experiments

Recent models of economic voting assume that citizens can discount exogenous factors when assessing government's economic performance. Yet there is evidence that Latin American voters do not behave in such way, and attribute to presidents outcomes that are beyond their control. This paper presents three survey experiments designed to explore mechanisms that could potentially correct such misattribution, and therefore contribute to debiasing individual behavior towards government evaluation. Our results provide individual-level evidence of the misattribution found in aggregate studies of electorate behavior, and reinforce psychologist's skepticism towards prospects of mental decontamination, as we found very scant evidence that providing information, raising awareness, or increasing motivation to correct biases infuenced individual's evaluation of president's performance.

Rent-sharing no setor industrial brasileiro: uma análise empírica para o período de 2002 – 2012

Este trabalho visa analisar a existência de rent-sharing no setor industrial brasileiro entre os anos de 2002 e 2012. Este tema já foi amplamente abordado pela literatura internacional, onde é possível identificar evidências que corroboram a existência de rent-sharing nas economias desenvolvidas. Porém, para a economia brasileira este tema ainda foi pouco explorado e não temos conhecimento de estudos empíricos realizados para os anos mais recentes. A fim de examinar empiricamente a relação entre os lucros das firmas e a remuneração de seus trabalhadores, foram estimados dois modelos. Primeiramente, um modelo em cross section, que tem como unidade de observação o trabalhador, utilizando uma base de dados estruturada através do cruzamento da RAIS e da PIA. Também foi analisado se esta correlação ocorre de forma homogênea entre os níveis de qualificação dos trabalhadores. Em seguida, foi realizada a estimativa em painel dinâmico, cujo nível de agregação é o setor industrial, prevendo também a correção para o clássico problema de endogeneidade entre os lucros das firmas e os salários dos trabalhadores por meio de variáveis instrumentais. Os resultados indicam que um aumento no nível de rentabilidade das firmas gera, no longo prazo, uma elevação dos salários pagos naquele setor, porém este efeito é de baixa magnitude.

Tear identitário:a prática docente em arte como conhecimento compartilhado

This investigative tissue is about the formation of identification processes of teachers and pedagogical practice of Art, in Teresina city. This search comprised the sum of the needs presented, agreed upon with the teachers engaged in the process, it was developed through the establishment of interactive environment Loom Team where collaboration and critical reflection were steering actions to promote the understanding of existing connections or relations within the processes of identifications and the pedagogical practice of Art. The tissue is formed by the polyphonic plot of the critical reflection of nine teachers of Art who engaged voluntarily and this investigation of formative nature and a production of knowledge. All these teachers have degree and the course of artistic education and especial qualification in Fine Arts and/or Drawing. The texture, which we denominated Identification Loom: The pedagogical practice of Art as share knowledge is (de) (re) construction of knowledge resulting from the critical reflection, in an environment of collaboration, which may have implications and ethical political attitudes in the pedagogical practice of the group. Within this context, we pose the following question: - How does the pedagogical practice in Art influence and/or be influenced by the identification processes of the teachers, and how do they interfere with the search and manifestation of the knowledge involved and the investment in professionalization? In view of this query, we make use of the cooperative investigation, having social history as theoretical reference and as analytic perspective of interactive and dialogical-reflexive processes. Thus, social historic theory, cooperative approach and pedagogical practice were the major components of the plot. The methodological texture counted on the threads of dialogical reflexion, of mediation and of collaboration. The conceptual formulation, the recording in videos of classes and the narratives of formations were the main threads of the analytic substrate of the investigation. With this articulation, theses threads appear as developers of processes leading to a major approximation of the thought on the identity/alterity dialectical pair of the participants involved. The language within this plot had a decisive importance in all the moments of the search of signification, embracing and connecting the identification/alterative processes, the pedagogical practice of Art and the knowledge shared. In such processes involving (de) (re) construction, one can notice a close correlation of the triad social identity, pedagogical practice and knowledge shared. For this reason, the vigotskian, guetmanovian and kopnian theoretizations were the major framework for the analysis of conceptual formulations; and, as for discourse analysis, Baktin and Orlandi were our masters. For these teachers, the experience shared throughout the process of this typology of tri-axial investigation focused the experience of many theoretical and practical assumptions. Such an experience enabled them to state that this, with collaboration, can make reflection on the practice a starting and promoting element, within the individual level of self-management, in addition to being a space of (de)(re)construction of meanings, of knowledge and of reinvention per se

Edentulismo funcional e seus fatores de risco em adultos

The purpose of this study was to investigate the risk factors to the functional edentulism in adults aged 35 a 44 years old of Natal-RN, 278 adults took part in the study. They were all selected from a previous dental loss prevalence study thus being complemented by an active research. The study was a case-control based and data collection was made though a survey as well as with a clinical examination. The cases were identified through individuals with 20 or more teeth. Age and gender were used as variables of pairing off. The data was analyzed through chi-square, significant level of 95% to the checking of its force associations. The independent variables were grouped in three levels. The first one, more macro, is related to the region where the individual lives, which was also related to the second level, the family-based one, linked with a third level, at this low socio-economical level, where the domiciliary density was favorable, living in capital cities, regions with prime sanitary condicitions, with predominant possibility of accessing the public dental service, but in despite of this, only looking for this service when tooth ache is felt, where preferentially an aid dressing treatment is executed in detriment of preventive procedures. From all the samples, less than 25% of the individuals make use of tobacco and alcoholic beverages for quite a number of years. There was an association of functional edentulism with all the studied variables in a regional method. In the family-based with Critério Brasil (OR=4,45) and monthly wages (OR=9,62) and to an to an individual level, the associations took place with the current use of kind of attendance (OR=1,78), looks for dressing treatment (OR=2,51), does not look for preventive treatment (OR=3,31), pain as the main cause of demand (OR=1,92), previous treatment as the demanding reason for dental service (OR+0,28), interval of the last visit to the dental service (OR=1,35) and when advise was received (OR=1,66). It was noticed from the results that the functional edentulism is much more expressive in those families which live in environments with precarious social economical sanitary conditions. Such conditions seem to have a direct influence upon the family social economical conditions which are also shown in detriment to functional edentulism. In the same way, the collection of variants influence the social economical conditions of the individual, as well as the kind of dental service searched by them, the reason of the search and the interval of the last visit to the dental service were strong determiners to the functional edentulism. Beyond that, individual habits like the use of tobacco and its frequency on its previous use influenced in a significant way the existence of functional edentulism in the studied population

Cooperação em sagüis comuns callithrix jacchus: condições e restrições

The cooperative behavior is no longer a dilemma for the theory of evolution, since there are models that explain the evolution of this behavior by means of natural selection at the individual level. However, there have been few studies on the proximal factors that interfere with cooperative behavior. In the study of the influence of cognition on cooperation, many authors have been interested in situations in which individuals decide whether to act cooperatively and select partners with different qualities to cooperate. Of the factors studied, we highlight the need for understanding the apparatus and communication between partners to the occurrence of cooperation. Recently, highlight is the proposal that the ability to cooperate would be greater in species with cooperative breeding system. Thus, the common marmoset (Callithrix jacchus) is a New World monkey which stands as a valuable species for this type of study because it presents cooperative actions in nature, such as sharing food and protection of the community territory. Our experiment investigated whether common marmosets unrelated females (n = 6) were able to cooperate using an electrical and a mechanical apparatus, if this cooperation is a byproduct of individual actions or involve social attention, if it occurs inter-individual variation in the use of devices and formation of roles (producer / scrounger) in dyads. We use the number of rewards obtained by animals (Ratio of Correct Pulls) as indicators of cooperation and glances for partners (Ratio of Correct Glances) as indicators of social attention and communication. The results indicate that the type of apparatus was not a constraint for the occurrence of cooperation between the marmosets, but still has not been verified formation of roles in the dyads. The performance of animals in the two devices showed a large variation in the learning time, not having relationship with the performance in the tests phase. In both devices the level of social glances at control phases were casually correlated with any other phase, but the data showed that there was not social attention, that is, the monkeys realized that they gave food to the partners, but the partners did

Estimative of genetic parameters in progeny test of Pinus caribaea Morelet var. hondurensis Barret & Golfari by quantitative traits and microsatellite markers

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Impact of proximal cytoplasmic droplets on quality traits and in-vitro embryo production efficiency of cryopreserved bull spermatozoa

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Reproductive biology of Atlantoraja cyclophora (Regan 1903) (Elasmobranchii : Rajidae) off southern Brazil

A total of 459 (245 females, 214 males) Atlantoraja cyclophora was captured by bottom trawl off the coast of Rio Grande do Sul between 30 degrees 40'S and 34 degrees 30'S during surveys conducted in winter 2001 and summer/autumn 2002 at depths of 100-300 M. Total length at maturity was 52.8 cm for females and 48.5 cm for males. Symmetry and functional parity of the gonads were observed in both sexes, but there was no significant temporal variation in either sex for any of the reproductive parameters studied. Ovulation and egg-deposition were similarly intensive in both seasons. In adult females, there was an ovarian resting period at an individual level, though it was not synchronized at a population level. Distribution of egg-bearing females was not related to depth or species' range. (c) 2005 International Council for the Exploration of the Sea, Published by Elsevier Ltd. All rights reserved.

Geoprocessamento para identificar padrões do perfil de nascimentos na região do Vale do Paraíba

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Nuclear DNA content of thirty species of neotropical fishes

The present paper reports nuclear DNA content in 30 Neotropical freshwater fish species and summarizes the data on other Neotropical species presented in the literature. Among Neotropical fishes, the nuclear DNA content ranges from 1.04 ± 0.09 pg/nucleus in Corydoras cf. simulatus (2n = 62) to 248.0 pg/nucleus in Lepidosiren paradoxa (2n = 38). A general analysis of the data obtained in the present study for each species showed that DNA measurements were practically constant at the individual level, while significant differences were observed among individuals of the same population. This observation was valid for all species analyzed and was more evident in those species that presented other karyotypic particularities such as sex chromosomes or supernumerary chromosomes. The importance of changes in nuclear DNA content in the evolutionary process of Neotropical fishes is discussed.

Efeito do desbaste seletivo nas estimativas de parâmetros genéticos em progénies de Pinus caribaea Morelet var. hondurensis

The objective of this work was to study the effect of selective thinning on the estimates of genetic parameters in progenies of Pinus caribaea var. hondurensis. The progeny test was installed in June 1986, following a 10 × 10, triple square lattice design, containing ten trees in linear plots in 3.0 × 3.0m spacing. Twelve years after the planting, a selective thinning based on Multi-effect index (selection for DBH) was performed, leaving six trees per plot. The assessments were done in four situations: A (before thinning); B (among thinned trees); C (among remnant trees at 13 years of age) and D (two years after the thinning). The following traits were analyzed: total height (H), diameter at breast height (DBH), volume (VOL), stem form (FOR), foxtail (FT), wood density at 1.3 m (WD1) and wood density at the half height (WD2). The thinning led to increase in the estimates of variability among progenies for VOL and decrease for ALT and DBH. There was a high and positive genetic correlation among the growth traits, mainly between DBH and VOL. The latter remained unchanged after thinning. The narrow-sense heritabilities at the individual level, showed a slight increase while at the family mean level had a reduction with the thinning. The estimates of breeding values increased with the thinning. This may lead to an easier identification of the best progenies in further selection.

Energy efficiency potential in Jamaica: challenges, opportunities and strategies for implementation

Incluye Bibliografía