Associação entre estado nutricional e doença periodontal crônica

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

Perfil sócio-econômico e diretrizes para a gestão do agronegócio da ovinocultura no Estado de São Paulo

Pós-graduação em Zootecnia - FMVZ

Níveis de atividade física da população de sessenta anos e mais em um pequeno município do interior paulista

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

La República Popular de China y América Latina: impacto del crecimiento económico chino en las exportaciones latinoamericanas

El papel de la República Popular de China en la economía mundial se ha incrementado significativamente en las últimas décadas, convirtiéndola en un socio estratégico en el comercio exterior de gran parte de América Latina. El comercio bilateral entre la región y la nación asiática alcanzó los 120.000 millones de dólares durante el año 2009. En esta investigación se analiza la elasticidad ingreso de las exportaciones de la región a dicho país. Los resultados muestran que, asumiendo un crecimiento real del producto interno bruto (pib) chino cercano al 7% anual, el valor (a precios de 2005) de las exportaciones latinoamericanas a China crecería en torno del 10% promedio anual entre 2014 y 2019. A su vez, un escenario más conservador, en que se contemple un crecimiento promedio anual de la economía china del 4,5% para igual período, arrojaría un aumento de las exportaciones cercano al 7% anual.

Feminilidades e mídia na cultura contemporânea: culto ao corpo, consumo e sexualidade

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Cárie dentária e indicadores antropométricos do estado nutricional em pré-escolares - análise espacial

Pós-graduação em Alimentos e Nutrição - FCFAR

A relação entre crescimento econômico e desenvolvimento sustentável: a Região do Araguaia no contexto regional paraense

A relação entre crescimento econômico e desenvolvimento sustentável é a problemática deste estudo que propõe analisar esta por meio do uso do Índice de Desenvolvimento Sustentável Local. Nesse sentido, a categoria de análise usada foi à região que é definida como um sistema formado por e a partir da conjunção de elementos internos e externos. O objeto de análise selecionado foi a região do Araguaia paraense que se localiza no Estado do Pará – Brasil, essa escolha ocorreu porque, ao longo dos últimos 40 anos, essa região tem assumido expressão econômica nesse estado e, ao mesmo tempo, tem sido foco de questionamentos quanto ao modelo de desenvolvimento econômico empregado no passado e os seus resultados no presente. O objetivo central deste estudo é analisar, por meio dos elementos internos e externos de uma região considerada como fronteira de recursos, se o cenário de crescimento econômico contribuiu para o desenvolvimento sustentável. A seleção de um estudo de caso foi à estratégia de investigação e os instrumentos de levantamento de dados foram: a aplicação de questionários, a análise da evolução de dados secundários e a construção de um Índice de Desenvolvimento Sustentável (IDLS) que foi usado para dimensionar de forma integrada o desempenho social, ambiental, econômico e institucional da região pesquisada em relação ao contexto regional paraense. O principal resultado, deste estudo, foi à constatação de que crescimento econômico das regiões paraenses até a atualidade não mediou processos favoráveis ao desenvolvimento na perspectiva da sustentabilidade. Observou-se que a região do Araguaia, encontra-se em estado de alerta no IDLS, seguindo a mesma tendência de outros espaços regionais que cresceram economicamente no Estado do Pará. Para cada região do Estado do Pará, uma dimensão diferente comprometeu a sustentabilidade regional, no caso da Região do Araguaia a dimensão ambiental foi a que mais comprometeu o seu IDSL. Tal resultado comprova vários estudos que afirmaram que os impactos ambientais comprometem o desenvolvimento sustentável dessa região. Apesar disso, essa região obteve o terceiro melhor desempenho na dimensão social da sustentabilidade, dado mais importante para o desenvolvimento sustentável que este estudo se propôs medir. Por conseguinte, duas conclusões principais podem ser apontadas. A primeira é que atualmente houve uma melhora no padrão social das regiões paraense como um todo, em alguns casos as áreas centrais dos grandes investimentos superaram o desempenho social de outras regiões que não foram focos dos investimentos promovidos nas décadas anteriores. Apesar de alguns estudos apontarem que os investimentos governamentais não se revestiram em benefícios sociais. A segunda é que os elementos externos às regiões contribuíram para a mudança do quadro social descrito, mas não para alteração do quadro ambiental regional, pois criou institucionalidades que direcionassem as forças internas na produção dos resultados do quadro econômico, social, institucional e ambiental. Portanto, tanto a elevação do padrão social quanto a piora do quadro ambiental da região do Araguaia paraense são o resultado de um conjunto de políticas nacionais que, provavelmente, se somaram aos cenários de ação e decisão dos atores locais.

Crescimento econômico na fronteira e dinâmica urbana na Amazônia: uma abordagem histórica

O objetivo deste artigo é traçar uma análise histórica dos efeitos de inserção da Amazônia paraense no contexto internacional e nacional, por intermédio das ações das políticas de articulação internacional e de integração nacional sobre a formação socioespacial do estado do Pará, principalmente, dando destaque ao processo de urbanização. A periodização adotada para descrever e analisar o processo de ocupação do espaço-território da economia paraense não segue o critério dos tradicionais ciclos de produtos, tais como o ciclo das drogas do sertão, borracha, pecuária e mineração, mas sim o critério da identificação das principais características dos padrões de ocupação e desenvolvimento econômico no espaço socioeconômico, que envolve determinações à formação do mercado nacional e do mercado internacional, com a mediação do Estado.

O processo de segregação sócio-espacial no contexto do desenvolvimento econômico da cidade de Rondonópolis - MT

Pós-graduação em Geografia - IGCE

Socio-eco-efficiency of integrated and non-integrated systems of crop, forestry and livestock in the Ipameri city, at brazilian Cerrado

Pós-graduação em Ciências Ambientais - Sorocaba

Estudo da viabilidade da implantação de frotas de veículos elétricos e híbridos elétricos no atual cenário econômico, político, energético e ambiental brasileiro

Currently there are two car models that use electricity in their propulsion systems, the electric vehicle and the hybrid electric vehicle. The electric vehicles are classified as vehicles that use electric motors in their propulsion system and batteries as a power source, on the other hand, the hybrid vehicles are classified as vehicles that use both electric motors and internal combustion engines in their propulsion system, using both batteries and líquid fuels as a power source. The main goal of this work is to analyze the characteristics of electric and hybrid electric vehicles and demonstrate the unfeasibility of the electric vehicle in the current economic, political, energetic and environmental brazilian scenario, for this purpose it was realized a study about the current brazilian situation regarding to electricity generation, current conservation status of road network, lack of electrical infrastructure for charging batteries, national lithium reserves, environmental characteristics, tax incentives, economic scenario, oil market and political positioning related to the implantation of electric or hybrid electric fleets in nacional territory. The operational characteristics analysis of electric and hybrid electric vehicles in this current scenario leads to the conclusion that currently a growth of electric vehicles fleets on a national scale is totally impractical in the Brazil, Thus, the introduction of green vehicles probably will occur primarily with hybrid electric models, motivated mainly due the bigger autonomy of this models compared to electric models, lower cost of hybrid electric models compared to electric models, factors related to the lack of recharging infrastructure and also factors related to political positioning

Estudo da viabilidade da implantação de frotas de veículos elétricos e híbridos elétricos no atual cenário econômico, político, energético e ambiental brasileiro

Currently there are two car models that use electricity in their propulsion systems, the electric vehicle and the hybrid electric vehicle. The electric vehicles are classified as vehicles that use electric motors in their propulsion system and batteries as a power source, on the other hand, the hybrid vehicles are classified as vehicles that use both electric motors and internal combustion engines in their propulsion system, using both batteries and líquid fuels as a power source. The main goal of this work is to analyze the characteristics of electric and hybrid electric vehicles and demonstrate the unfeasibility of the electric vehicle in the current economic, political, energetic and environmental brazilian scenario, for this purpose it was realized a study about the current brazilian situation regarding to electricity generation, current conservation status of road network, lack of electrical infrastructure for charging batteries, national lithium reserves, environmental characteristics, tax incentives, economic scenario, oil market and political positioning related to the implantation of electric or hybrid electric fleets in nacional territory. The operational characteristics analysis of electric and hybrid electric vehicles in this current scenario leads to the conclusion that currently a growth of electric vehicles fleets on a national scale is totally impractical in the Brazil, Thus, the introduction of green vehicles probably will occur primarily with hybrid electric models, motivated mainly due the bigger autonomy of this models compared to electric models, lower cost of hybrid electric models compared to electric models, factors related to the lack of recharging infrastructure and also factors related to political positioning

Instrumental activities of daily living performance in healthy and cognitively intact seniors from a Brazilian sample and its relation to age and other socio-demographic variables

Background: Studies on functional capacity in community-dwelling older people have shown associations between declines in instrumental activities of daily living (IADL) and several factors. Among these, age has been the most consistently related to functional capacity independent of other variables. We aimed at evaluating the performance of a sample of healthy and cognitively intact Brazilian older people on activities of daily living and to analyze its relation to social-demographic variables. Methods: We conducted a secondary analysis of data collected for previous epidemiological studies with community-dwelling subjects aged 60 years or more. We selected subjects who did not have dementia or depression, and with no history of neurological diseases, heart attack, HIV, hepatitis or arthritis (n = 1,111). Functional capacity was assessed using the Brazilian version of the Older American Resources and Services Questionnaire (BOMFAQ). ADL performance was analyzed according to age, gender, education, and marital status (Pearson's chi(2), logistic regression). Results: IADL difficulties were present in our sample, especially in subjects aged 80 years or more, with lower levels of education, or widowed. The logistic regression analysis results indicated that "higher age" and "lower education" (p <= 0.001) remained significantly associated with IADL difficulty. Conclusions: Functional decline was present in older subjects even in the absence of medical conditions and cognitive impairment. Clinicians and researchers could benefit from knowing what to expect from older people regarding IADL performance in the absence of medical conditions.

The Integrated European Project "GEHA - GEnetics of Healthy Aging": recruitment, health status assessment and survival of the Italian 90+ sibpairs

The present study is part of the EU Integrated Project “GEHA – Genetics of Healthy Aging” (Franceschi C et al., Ann N Y Acad Sci. 1100: 21-45, 2007), whose aim is to identify genes involved in healthy aging and longevity, which allow individuals to survive to advanced age in good cognitive and physical function and in the absence of major age-related diseases. Aims The major aims of this thesis were the following: 1. to outline the recruitment procedure of 90+ Italian siblings performed by the recruiting units of the University of Bologna (UNIBO) and Rome (ISS). The procedures related to the following items necessary to perform the study were described and commented: identification of the eligible area for recruitment, demographic aspects related to the need of getting census lists of 90+siblings, mail and phone contact with 90+ subjects and their families, bioethics aspects of the whole procedure, standardization of the recruitment methodology and set-up of a detailed flow chart to be followed by the European recruitment centres (obtainment of the informed consent form, anonimization of data by using a special code, how to perform the interview, how to collect the blood, how to enter data in the GEHA Phenotypic Data Base hosted at Odense). 2. to provide an overview of the phenotypic characteristics of 90+ Italian siblings recruited by the recruiting units of the University of Bologna (UNIBO) and Rome (ISS). The following items were addressed: socio-demographic characteristics, health status, cognitive assessment, physical conditions (handgrip strength test, chair-stand test, physical ability including ADL, vision and hearing ability, movement ability and doing light housework), life-style information (smoking and drinking habits) and subjective well-being (attitude towards life). Moreover, haematological parameters collected in the 90+ sibpairs as optional parameters by the Bologna and Rome recruiting units were used for a more comprehensive evaluation of the results obtained using the above mentioned phenotypic characteristics reported in the GEHA questionnaire. 3. to assess 90+ Italian siblings as far as their health/functional status is concerned on the basis of three classification methods proposed in previous studies on centenarians, which are based on: • actual functional capabilities (ADL, SMMSE, visual and hearing abilities) (Gondo et al., J Gerontol. 61A (3): 305-310, 2006); • actual functional capabilities and morbidity (ADL, ability to walk, SMMSE, presence of cancer, ictus, renal failure, anaemia, and liver diseases) (Franceschi et al., Aging Clin Exp Res, 12:77-84, 2000); • retrospectively collected data about past history of morbidity and age of disease onset (hypertension, heart disease, diabetes, stroke, cancer, osteopororis, neurological diseases, chronic obstructive pulmonary disease and ocular diseases) (Evert et al., J Gerontol A Biol Sci Med Sci. 58A (3): 232-237, 2003). Firstly these available models to define the health status of long-living subjects were applied to the sample and, since the classifications by Gondo and Franceschi are both based on the present functional status, they were compared in order to better recognize the healthy aging phenotype and to identify the best group of 90+ subjects out of the entire studied population. 4. to investigate the concordance of health and functional status among 90+ siblings in order to divide sibpairs in three categories: the best (both sibs are in good shape), the worst (both sibs are in bad shape) and an intermediate group (one sib is in good shape and the other is in bad shape). Moreover, the evaluation wanted to discover which variables are concordant among siblings; thus, concordant variables could be considered as familiar variables (determined by the environment or by genetics). 5. to perform a survival analysis by using mortality data at 1st January 2009 from the follow-up as the main outcome and selected functional and clinical parameters as explanatory variables. Methods A total of 765 90+ Italian subjects recruited by UNIBO (549 90+ siblings, belonging to 258 families) and ISS (216 90+ siblings, belonging to 106 families) recruiting units are included in the analysis. Each subject was interviewed according to a standardized questionnaire, comprising extensively utilized questions that have been validated in previous European studies on elderly subjects and covering demographic information, life style, living conditions, cognitive status (SMMSE), mood, health status and anthropometric measurements. Moreover, subjects were asked to perform some physical tests (Hand Grip Strength test and Chair Standing test) and a sample of about 24 mL of blood was collected and then processed according to a common protocol for the preparation and storage of DNA aliquots. Results From the analysis the main findings are the following: - a standardized protocol to assess cognitive status, physical performances and health status of European nonagenarian subjects was set up, in respect to ethical requirements, and it is available as a reference for other studies in this field; - GEHA families are enriched in long-living members and extreme survival, and represent an appropriate model for the identification of genes involved in healthy aging and longevity; - two simplified sets of criteria to classify 90+ sibling according to their health status were proposed, as operational tools for distinguishing healthy from non healthy subjects; - cognitive and functional parameters have a major role in categorizing 90+ siblings for the health status; - parameters such as education and good physical abilities (500 metres walking ability, going up and down the stairs ability, high scores at hand grip and chair stand tests) are associated with a good health status (defined as “cognitive unimpairment and absence of disability”); - male nonagenarians show a more homogeneous phenotype than females, and, though far fewer in number, tend to be healthier than females; - in males the good health status is not protective for survival, confirming the male-female health survival paradox; - survival after age 90 was dependent mainly on intact cognitive status and absence of functional disabilities; - haemoglobin and creatinine levels are both associated with longevity; - the most concordant items among 90+ siblings are related to the functional status, indicating that they contain a familiar component. It is still to be investigated at what level this familiar component is determined by genetics or by environment or by the interaction between genetics, environment and chance (and at what level). Conclusions In conclusion, we could state that this study, in accordance with the main objectives of the whole GEHA project, represents one of the first attempt to identify the biological and non biological determinants of successful/unsuccessful aging and longevity. Here, the analysis was performed on 90+ siblings recruited in Northern and Central Italy and it could be used as a reference for others studies in this field on Italian population. Moreover, it contributed to the definition of “successful” and “unsuccessful” aging and categorising a very large cohort of our most elderly subjects into “successful” and “unsuccessful” groups provided an unrivalled opportunity to detect some of the basic genetic/molecular mechanisms which underpin good health as opposed to chronic disability. Discoveries in the topic of the biological determinants of healthy aging represent a real possibility to identify new markers to be utilized for the identification of subgroups of old European citizens having a higher risk to develop age-related diseases and disabilities and to direct major preventive medicine strategies for the new epidemic of chronic disease in the 21st century.

Health status and health care utilisation of patients in complementary and conventional primary care in Switzerland--an observational study

BACKGROUND: The study is part of a nationwide evaluation of complementary and alternative medicine (CAM) in primary care in Switzerland. OBJECTIVES: Patient health status with respect to demographic attributes such as gender, age, and health care utilisation pattern was studied and compared with conventional primary care. METHODS: The study was performed as a cross-sectional survey including 11932 adult patients seeking complementary or conventional primary care. Patients were asked to document their self-perceived health status by completing a questionnaire in the waiting room. Physicians were performing conventional medicine and/or various forms of complementary primary care such as homeopathy, anthroposophic medicine, neural therapy, herbal medicine, or traditional Chinese medicine. Additional information on patient demographics and yearly consultation rates for participating physicians was obtained from the data pool of all Swiss health insurers. These data were used to confirm the survey results. RESULTS: We observed considerable and significant differences in demographic attributes of patients seeking complementary and conventional care. Patients seeking complementary care documented longer lasting and more severe main health problems than patients in conventional care. The number of previous physician visits differed between patient groups, which indicates higher consumption of medical resources by CAM patients. CONCLUSIONS: The study supports the hypothesis of differences in socio-demographic and behavioural attributes of patients seeking conventional medicine or CAM in primary care. The study provides empirical evidence that CAM users are requiring more physician-based medical services in primary care than users of conventional medicine.