Risk factors for falls in hospitalized adult patients: an integrative review

Objective: Identifying risk factors for the occurrence of falls in hospitalized adult patients. Method: Integrative review carried out in the databases of LILACS, SciELO, MEDLINE and Web of Science, including articles published between 1989 and 2012. Results: Seventy-one articles were included in the final sample. Risk factors for falls presented in this review were related to patients (intrinsic), the hospital setting and the working process of health professionals, especially in nursing (extrinsic). Conclusion: The systematic screening of risk factors for falls was identified as a contributing factor to the reduction of this injury, helping the non-occurrence of this event that, despite being preventable, can have serious consequences including death.


Current multiple myeloma treatment strategies with novel agents: a European perspective.

The treatment of multiple myeloma (MM) has undergone significant developments in recent years. The availability of the novel agents thalidomide, bortezomib, and lenalidomide has expanded treatment options and has improved the outcome of patients with MM. Following the introduction of these agents in the relapsed/refractory setting, they are also undergoing investigation in the initial treatment of MM. A number of phase III trials have demonstrated the efficacy of novel agent combinations in the transplant and nontransplant settings, and based on these results standard induction regimens are being challenged and replaced. In the transplant setting, a number of newer induction regimens are now available that have been shown to be superior to the vincristine, doxorubicin, and dexamethasone regimen. Similarly, in the front-line treatment of patients not eligible for transplantation, regimens incorporating novel agents have been found to be superior to the traditional melphalan plus prednisone regimen. Importantly, some of the novel agents appear to be active in patients with high-risk disease, such as adverse cytogenetic features, and certain comorbidities, such as renal impairment. This review presents an overview of the most recent data with these novel agents and summarizes European treatment practices incorporating the novel agents.

Formação em Enfermagem na Cruz Vermelha Brasileira na década de 1940: uma abordagem Foucaultiana*

RESUMO Objetivos Identificar e analisar os enunciados discursivos que caracterizam a formação de RH em enfermagem, na década de 1940 pela Cruz Vermelha Brasileira. Método A abordagem das fontes documentais se deu através dos pressupostos do Método Histórico, problematizado a partir do pensamento de Michel Foucault. Resultados Historicamente, a formação dos recursos humanos (RH) em enfermagem, sobretudo na década de 1940, foi influenciada por um modelo peculiar de ensino, o militar. A Cruz Vermelha Brasileira vinculava-se ao Ministério da Guerra e a formação em enfermagem tinha ênfase na conduta moral, na disciplina, no respeito à hierarquia, que culminava na produção de “corpos dóceis” femininos na enfermagem. Os atributos esperados da enfermeira se constituíam na tríade da formação da identidade profissional à época: abnegação, disciplina e obediência. Conclusão O referido modelo reverbera práticas na formação ainda arraigadas na atualidade, seja no âmbito da gestão, da assistência e do ensino na enfermagem.

Enfermeiras americanas do Serviço Especial de Saúde Pública e a formação de recursos humanos na Enfermagem Brasileira

RESUMO Objetivo Historicizar as mudanças na formação de recursos humanos em enfermagem no Brasil, no período de 1942 a 1961, a partir da presença de 35 enfermeiras americanas designadas para trabalhar em cooperação com o SESP. Método O estudo utilizou como fontes relatórios redigidos pelas enfermeiras, que descrevem suas impressões, sugestões e atividades desenvolvidas no país, e foram analisadas a partir da análise de discurso de Michel Foucault. Resultados O período mencionado foi marcado pela presença americana nos projetos de enfermagem desenvolvidos pelo Serviço Especial de Saúde Pública (SESP). Os discursos indicaram que o período foi marcado por muitas mudanças na enfermagem brasileira, em especial no que diz respeito à captação e formação de recursos humanos para a profissão. Conclusão Pode-se afirmar que elas, através de seus discursos e influência, foram centrais para a consolidação de um novo paradigma na formação de profissionais de enfermagem no Brasil.

Implicit collusion on wide spreads

Recent empirical findings suggest that spreads quoted in dealershipmarkets might be uncompetitive. This paper analyzes theoretically if pricecompetition between risk--averse market--makers leaves room for implicitcollusive behavior. We compare the spread and risk--sharing efficiencyarising in several market structures differing in terms of i) the priorityrule followed in case of ties, and ii) the type of schedules market makersmay use, namely: general schedules, linear schedules, or limit orders. Ingeneral, competitive pricing does not arise in equilibrium, and there isa conflict between risk sharing efficiency and the tightness of the spread.This conflict can be mitigated by an appropriate market structure design.The limit order market is the only market structure in which the competitiveequilibrium is the unique equilibrium.

Evaluating Spanish pension expenditure under alternativa reform scenario

In this paper we evaluate the quantitative impact that a number ofalternative reform scenarios may have on the total expenditure for publicpensions in Spain. Our quantitative findings can be summarized in twosentences. For all the reforms considered, the financial impact of themechanical effect (change in benefits) is order of magnitudes larger thanthe behavioral impact or change in behavior. For the two Spanish reforms,we find once again that their effect on the outstanding liability of theSpanish Social Security System is essentially negligible: neither themechanical nor the behavioral effects amount to much for the 1997 reform,and amount to very little for the 2002 amendment.

Minimum price variations, time priority and quotes dynamics

We analyze the impact of a minimum price variation (tick) and timepriority on the dynamics of quotes and the trading costs when competitionfor the order flow is dynamic. We find that convergence to competitiveoutcomes can take time and that the speed of convergence is influencedby the tick size, the priority rule and the characteristics of the orderarrival process. We show also that a zero minimum price variation is neveroptimal when competition for the order flow is dynamic. We compare thetrading outcomes with and without time priority. Time priority is shownto guarantee that uncompetitive spreads cannot be sustained over time.However it can sometimes result in higher trading costs. Empiricalimplications are proposed. In particular, we relate the size of thetrading costs to the frequency of new offers and the dynamics of theinside spread to the state of the book.

Assessing the wellbeing of the Spanish elderly

In this paper we use a variety of data sources, both micro and macro, time series, crosssection, and panel data to provide an empirical evaluation of the current level of economicwellbeing of the Spanish elderly, and of its determinants. We focus, in particular on the role played by the pension system and its generosity in terms of minimum pension supplements and non-contributive pensions. In an IV context, we find that actual Social Security benefits contribute substantially to explain income and consumption poverty levels and trends of low income and consumption percentiles. Thus we offer support to previous evidence for Spain emphasizing the role of minimum benefit policies.

A Small Baseline DIFSAR Approach for Investigating Deformations on Full Resolution SAR Interferograms

This paper presents a differential synthetic apertureradar (SAR) interferometry (DIFSAR) approach for investigatingdeformation phenomena on full-resolution DIFSAR interferograms.In particular, our algorithm extends the capabilityof the small-baseline subset (SBAS) technique that relies onsmall-baseline DIFSAR interferograms only and is mainly focusedon investigating large-scale deformations with spatial resolutionsof about 100 100 m. The proposed technique is implemented byusing two different sets of data generated at low (multilook data)and full (single-look data) spatial resolution, respectively. Theformer is used to identify and estimate, via the conventional SBAStechnique, large spatial scale deformation patterns, topographicerrors in the available digital elevation model, and possibleatmospheric phase artifacts; the latter allows us to detect, onthe full-resolution residual phase components, structures highlycoherent over time (buildings, rocks, lava, structures, etc.), as wellas their height and displacements. In particular, the estimation ofthe temporal evolution of these local deformations is easily implementedby applying the singular value decomposition technique.The proposed algorithm has been tested with data acquired by theEuropean Remote Sensing satellites relative to the Campania area(Italy) and validated by using geodetic measurements.

Correlação linear e espsacial entre a produtividade de feijão e a porosidade de um Latossolo Vermelho de Selvíria (MS)

A porosidade do solo exerce grande influência sobre o crescimento e desenvolvimento vegetal, uma vez que o crescimento das raízes, tal como a produtividade das culturas, é limitado pela profundidade que atingem. Portanto, o objetivo deste trabalho foi estudar a variabilidade espacial e as correlações lineares entre a produtividade de feijão e a porosidade do solo. No ano de 2004/2005, no município de Selvíria, MS, foram analisadas a produtividade de grãos de feijão (PG), cultivar IAC Carioca, irrigado, a macroporosidade (MA), a microporosidade (MI) e a porosidade total (PT) do solo em quatro profundidades: 1 (0,0-0,10); 2(0,10-0,20); 3(0,20-0,30) e 4(0,30-0,40 m), num Latossolo Vermelho distroférrico. As amostras de solo e planta foram coletadas em uma malha geoestatística com 75 pontos espaçados de 10 x 10 m, mais 60 pontos de quatro malhas de refinamento numa área de 50 x 150 m. Os atributos estudados, além de não terem variado aleatoriamente, apresentaram média e baixa variabilidades. Seguiram padrões espaciais bem definidos, com alcances entre 11,70 e 104,40 m. A correlação linear entre o atributo da planta e os do solo, em função do elevado número de observações, foi baixa. As de melhor correlação linear com a PG foram a MA1, MI1 e a PT3. Entretanto, do ponto de vista espacial, houve excelente correlação inversa entre a PG e a #PT2. Assim, nos sítios onde a #PT2 diminuiu (0,030-0,045 m³ m-3 ), a PG variou entre 2.173 e 3.529 kg ha-1. Já naqueles onde aumentou (0,045-0,076 m³ m-3 ), a PG ficou entre 1.630-2.173 kg ha-1. Assim, a porosidade total do solo, quando avaliada na camada de 0,10-0,20 m (#PT2), indicou a importância do contato raiz/solo e, de modo inverso, apresentou satisfatório indicador da qualidade física do solo estudado, quando destinado à produtividade de grãos de feijão irrigado.

Veille bibliographique sur la surveillance biologique de l'exposition aux produits chimiques en milieu de travail : mise en place d'un réseau francophone multidisciplinaire

L'article présente les étapes de la mise en place d'une veille bibliographique (ou veille scientifique) thématique effectuée conjointement depuis 2005 par 4 institutions francophones du domaine de la santé au travail : l'INRS (France), l'IRSST (Québec), l'IST (Suisse) et l'UCL (Belgique).La thématique suivie est celle de la surveillance biologique de l'exposition aux produits chimiques en milieu de travail. Les données recueillies et mises en forme par les documentalistes servent aux chercheurs spécialistes du sujet non seulement pour suivre les nouveautés du domaine, mais aussi pour documenter des cours et mettre à jour des guides de surveillance biologique. Les différentes étapes de l'approche méthodologique du projet sont décrites : le choix des bases de données à interroger et la mise au point de la stratégie de recherche, la mise en place d'une procédure de partage des tâches pour toutes les étapes du processus de veille qui se répètent à chaque mise à jour (interrogation, création de bases de données avec le logiciel Reference Manager, mise en forme et indexation des références, création et mise à disposition des partenaires des bases de données consolidées au fil du temps avec tous les articles analysés), les moyens administratifs, humains et techniques d'échange de fichiers et les essais pour élargir la veille à la surveillance de pages Web sélectionnées.Un bilan chiffré des six années de la veille est également donné.L'information récoltée et analysée durant les deux dernières années par les partenaires du projet fera l'objet d'un second article axé sur les principales tendances de la thématique choisie.