Perinatal factors associated with early deaths of preterm infants born in Brazilian Network on Neonatal Research centers

Objective: To evaluate perinatal factors associated with early neonatal death in preterm infants with birth weights (BW) of 400-1,500 g.Methods: A multicenter prospective cohort study of all infants with BW of 400-1,500 g and 23-33 weeks of gestational age (GA), without malformations, who were born alive at eight public university tertiary hospitals in Brazil between June of 2004 and May of 2005. Infants who died within their first 6 days of life were compared with those who did not regarding maternal and neonatal characteristics and morbidity during the first 72 hours of life. Variables associated with the early deaths were identified by stepwise logistic regression.Results: A total of 579 live births met the inclusion criteria. Early deaths occurred in 92 (16%) cases, varying between centers from 5 to 31%, and these differences persisted after controlling for newborn illness severity and mortality risk score (SNAPPE-II). According to the multivariate analysis, the following factors were associated with early intrahospital neonatal deaths: gestational age of 23-27 weeks (odds ratio - OR = 5.0; 95%CI 2.7-9.4), absence of maternal hypertension (OR = 1.9; 95%CI 1.0-3.7), 5th minute Apgar 0-6 (OR = 2.8; 95%CI 1.4-5.4), presence of respiratory distress syndrome (OR = 3.1; 95%CI 1.4-6.6), and network center of birth.Conclusion: Important perinatal factors that are associated with early neonatal deaths in very low birth weight preterm infants can be modified by interventions such as improving fetal vitality at birth and reducing the incidence and severity of respiratory distress syndrome. The heterogeneity of early neonatal rates across the different centers studied indicates that best clinical practices should be identified and disseminated throughout the country.

Circuit board accident - organizational dimension hidden by prescribed safety

This study analyzes an accident in which two maintenance workers suffered severe burns while replacing a circuit breaker panel in a steel mill, following model of analysis and prevention of accidents (MAPA) developed with the objective of enlarging the perimeter of interventions and contributing to deconstruction of blame attribution practices. The study was based on materials produced by a health service team in an in-depth analysis of the accident. The analysis shows that decisions related to system modernization were taken without considering their implications in maintenance scheduling and creating conflicts of priorities and of interests between production and safety; and also reveals that the lack of a systemic perspective in safety management was its principal failure. To explain the accident as merely non-fulfillment of idealized formal safety rules feeds practices of blame attribution supported by alibi norms and inhibits possible prevention. In contrast, accident analyses undertaken in worker health surveillance services show potential to reveal origins of these events incubated in the history of the system ignored in practices guided by the traditional paradigm.

Trade, investment and fragmentation of the global market: is Latin America lagging behind?

Includes bibliography

Inclusion of the European Nordic model in the debate concerning social protection reform: the long-term development of Nordic welfare systems (1890-2005) and their transferability to Latin America in the twenty-first century

Includes bibliography

The strategies of multinational companies in 1990s Argentina

Includes bibliography

The expansion model of the major Chilean retail chains

Includes bibliography

Gestão ambiental em cadeias de suprimentos: Perspectivas atuais e futuras de pesquisa

This article aims to identify the main definitions, practices and related avenues for future research on green supply chain management (GSCM). From a systematic literature review and analysis in major journals related to the topic and indexed in Scopus, was possible: a) identify key research goals of the articles analyzed, b) the research methodology adopted, c) the predominant industrials sectors studied, and d) the practices of GSCM considered relevant by researchers. Results are presented in each of these analytical perspectives. These results may be useful both for those interested in environmental management and in supply chain management, in view of the growing interest in GSCM.

Marine Protected Areas in Brazil: An ecological approach regarding the large marine ecosystems

The objective of this study was to address the importance of implementing Coastal and Marine Protected Areas in Brazil and to examine their distribution, based on the delimitation of Large Marine Ecosystems. Out of a total of 336 protected areas identified in Brazilian coastal and marine areas, the North Platform has the largest protected area, but the ecosystem with the largest number of protected area, predominantly sustainable areas, was the East Coast followed by the South Platform. One of the reasons the eastern coast of Brazil to have more protected areas is the fact that there is a largest amount of coral reefs. Additionally there was political opportunities for the creation of protected areas for sustainable use. The coastal region of Brazil has achieved the goal proposed by the Seventh Conference of the Parties to the Convention on Biological Diversity - 7, but only then through the category V of the International Union for Conservation of Nature, which is not the best efficient means of conserving resources. The goal for marine conservation shows only the area above the recommended under protection in North Platform. The Marine portion of the East Coast and the South Platform has few protected areas, regardless of category management. We consider the coastal region the range of 12 nautical miles from baselines determined in accordance with the United Nations Convention on the Law of the Sea. As for the number of strategies permitted by law and used for the conservation of coastal and marine systems, coastal systems show a higher number when compared with the marine system. We suggest that the Brazilian government should specify strategies for the protection of marine systems and expand the protected areas of all Large Marine Ecosystems. © 2013 Elsevier Ltd.

Lean and green? Evidências empíricas do setor automotivo brasileiro

The aim of this paper is to verify whether the practices of lean manufacturing are positively associated with the adoption of environmental management practices in Brazilian companies in the automotive sector to test the hypothesis that by being lean the business tends to become green. To this purpose, a framework associating these concepts with the research hypothesis was proposed. The data collected from 75 companies were analyzed using Structural Equation Modeling. The main results show that lean manufacturing (LM) is positively associated with environmental management (EM), but the explanation power of LM over EM is considered weak/moderate. In fact, being lean also means being green, but other organizational variables not considered in this study may influence the greening of organizations.

Princípios e práticas sustentáveis em eficiência energética aplicados em TI

Pós-graduação em Engenharia Elétrica - FEB

Efeito da bidestilação na qualidade sensorial da cachaça

Pós-graduação em Alimentos e Nutrição - FCFAR

Emissão de CO2 e sua relação com propriedades, manejo do solo e palha em áreas de cana-de-açúcar

Pós-graduação em Agronomia (Ciência do Solo) - FCAV

Comunicação pública e participação nos conselhos gestores de políticas públicas: um estudo de caso do Conselho Estadual de Saúde de Mato Grosso do Sul

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

Representações sociais: rupturas e protagonismos nas práticas docentes no ensino superior

Pós-graduação em Educação Escolar - FCLAR

A gestão da produtividade na manufatura como fator indutivo na formação do valor agregado de produtos e serviços: um exemplo de aplicação na indústria aeronáutica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)