Stressful working conditions and poor self-rated health among financial services employees

OBJECTIVE: To assess the association between exposure to adverse psychosocial working conditions and poor self-rated health among bank employees. METHODS: A cross-sectional study including a sample of 2,054 employees of a government bank was conducted in 2008. Self-rated health was assessed by a single question: "In general, would you say your health is (...)." Exposure to adverse psychosocial working conditions was evaluated by the effort-reward imbalance model and the demand-control model. Information on other independent variables was obtained through a self-administered semi-structured questionnaire. A multiple logistic regression analysis was performed and odds ratio calculated to assess independent associations between adverse psychosocial working conditions and poor self-rated health. RESULTS: The overall prevalence of poor self-rated health was 9%, with no significant gender difference. Exposure to high demand and low control environment at work was associated with poor self-rated health. Employees with high effort-reward imbalance and overcommitment also reported poor self-rated health, with a dose-response relationship. Social support at work was inversely related to poor self-rated health, with a dose-response relationship. CONCLUSIONS: Exposure to adverse psychosocial work factors assessed based on the effort-reward imbalance model and the demand-control model is independently associated with poor self-rated health among the workers studied.

Chronic disease prevention and health promotion. Public policies and social network analysis of the hospitals services and oyhers health and social organizations to support joint action for children with diabetes

Comunicação apresentada na 18th Conference International of Health Promotion Hospitals & Health Services "Tackling causes and consequences of inequalities in health: contributions of health services and the HPH network", em Manchester de 14-16 de april de 2010

Aggregating community resources of care and assistance services for the elderly population

Changes in population age structure are a major concern and represent a priority in the agendas and policies of the developed world, which are demanding for renewed models of social and healthcare as well as assistance services to the elderly population. Studies indicate that as far as possible these types of services should desirably be provided at the user’s home, and that ICT-based solutions can have tremendous impact on the delivery of new services. This paper highlight and discusses some of the main results of a project undertaken in a Portuguese Municipality that demonstrates the potential contribution of an e-Marketplace of care and assistance services to the well-being of elderly people. Studies undertaken allowed identifying the main services that should be provided by such e-Marketplace (termed GuiMarket), the relevance that the population grant to this platform and, conversely, the fact that the Digital Divide phenomena influences the potential utilization of this project (and alike projects). The findings support that there is a strong relation between age and qualifications, and between access to ICT and the intended use of GuiMarket.

South American Guidelines for Cardiovascular Disease Prevention and Rehabilitation

In this document, the Inter-American Committee of Cardiovascular Prevention and Rehabilitation, together with the South American Society of Cardiology, aimed to formulate strategies, measures, and actions for cardiovascular disease prevention and rehabilitation (CVDPR). In the context of the implementation of a regional and national health policy in Latin American countries, the goal is to promote cardiovascular health and thereby decrease morbidity and mortality. The study group on Cardiopulmonary and Metabolic Rehabilitation from the Department of Exercise, Ergometry, and Cardiovascular Rehabilitation of the Brazilian Society of Cardiology has created a committee of experts to review the Portuguese version of the guideline and adapt it to the national reality. The mission of this document is to help health professionals to adopt effective measures of CVDPR in the routine clinical practice. The publication of this document and its broad implementation will contribute to the goal of the World Health Organization (WHO), which is the reduction of worldwide cardiovascular mortality by 25% until 2025. The study group's priorities are the following: • Emphasize the important role of CVDPR as an instrument of secondary prevention with significant impact on cardiovascular morbidity and mortality; • Join efforts for the knowledge on CVDPR, its dissemination, and adoption in most cardiovascular centers and institutes in South America, prioritizing the adoption of cardiovascular prevention methods that are comprehensive, practical, simple and which have a good cost/benefit ratio; • Improve the education of health professionals and patients with education programs on the importance of CVDPR services, which are directly targeted at the health system, clinical staff, patients, and community leaders, with the aim of decreasing the barriers to CVDPR implementation.

Zoology of New York; or, The New York Fauna; comprising detailed descriptions of all the animals hitherto observed within the state of New York, with brief notices of those occasionally found near its borders, and accompanied by appropriate illustrations /

Introduction

Zoology of New York; or, The New York Fauna; comprising detailed descriptions of all the animals hitherto observed within the state of New York, with brief notices of those occasionally found near its borders, and accompanied by appropriate illustrations /

Part 2, Birds

Zoology of New York; or, The New York Fauna; comprising detailed descriptions of all the animals hitherto observed within the state of New York, with brief notices of those occasionally found near its borders, and accompanied by appropriate illustrations /

Part 3, Reptiles-Text

Zoology of New York; or, The New York Fauna; comprising detailed descriptions of all the animals hitherto observed within the state of New York, with brief notices of those occasionally found near its borders, and accompanied by appropriate illustrations /

Part 4, Fishes-Plates

Zoology of New York; or, The New York Fauna; comprising detailed descriptions of all the animals hitherto observed within the state of New York, with brief notices of those occasionally found near its borders, and accompanied by appropriate illustrations /

Part 3, Reptiles-Plates

Zoology of New York; or, The New York Fauna; comprising detailed descriptions of all the animals hitherto observed within the state of New York, with brief notices of those occasionally found near its borders, and accompanied by appropriate illustrations /

Part 1, Mammalia

Zoology of New York; or, The New York Fauna; comprising detailed descriptions of all the animals hitherto observed within the state of New York, with brief notices of those occasionally found near its borders, and accompanied by appropriate illustrations /

Part 6, Crustacea

Zoology of New York; or, The New York Fauna; comprising detailed descriptions of all the animals hitherto observed within the state of New York, with brief notices of those occasionally found near its borders, and accompanied by appropriate illustrations /

Part 4, Fishes-Text