O conhecimento e as atitudes das famílias de pacientes em tratamento em tuberculose na atenção primária à saúde

This study thus sought to examine knowledge about TB and attitudes of patients families in disease treatment in Primary Health Care in Natal- RN. To this end, a cross-sectional study was undertaken through a questionnaire with families of patients diagnosed with TB and follow up by APS from Natal. The study subjects were recruited from a non-probabilistic way, by convenience, contemplating a sample of 50 families. Among the criteria considered for inclusion of subjects, older than 18 years were considered, as well as residing with the TB patient and in Natal and availability to participate in the research. Data collection was performed by own researcher and an assistant, through a questionnaire with families of patients diagnosed with TB following the double independent digitalization of data. In the analytical phase, was initially conducted an exploratory phase and univariate data, with description of the position measurements (mean, median, mode) and dispersion (confidence interval and standard deviation). In bivariate analysis, it was conducted an intersection of dependent variables of knowledge e and changes of attitude dichotomous, with each of the independent variables, using contingency tables and calculating the chi-square test and, when appropriate, the Fisher exact test. In 2x2 tables, calculated the odds ratio (OR) with confidence intervals of 95% (95% CI). From the selected sample, 43 (86%) subjects were female, average age and median respectively of 46.64 and 46.50 years, 25 (50%) had elementary school. The knowledge expressed by family members about TB was considered satisfactory. However, the lack of interest of the family (54%) in seeking information about tuberculosis; the wrong way of reply in relation to the organism causing the disease (64%); the water content (62%) and contaminated food (54% ) as a means of spreading TB was a weakness identified in the investigation. Regarding the time of transmission, 90% of respondents indicated not know or answered wrong. From investigated independent variables, only two were associated with lack of knowledge of TB, and they did not have religion (OR: 0.146, 95% CI: 0.027 to 0.800) and income below 1, 7 minimum wages (OR: 0.155, 95% CI: 0.029 to 0.813). Thus they seem to exercise a protective effect on this outcome. As for the changes in attitude, most of the found variables had no association with statistical significance, except no internet access (OR: 0.212, 95% CI: 0,048-0, 935). Most attitudes were positive in relation to TB patient. Results have demonstrated weaknesses in TB care, which has taken on a more individual and welfare character. Data not only express health outcomes produced by health services, but also the political and social situation of the families that are affected by TB

Autoestima e qualidade de vida de pessoas com úlcera venosa atendidas na atenção primária

Venous ulcers (VU) is a chronic injury of the lower extremities and because of its high incidence and recurrence implies long and complex treatments, damaging the quality of life (QOL) and self-esteem (SE) of the people. This study aimed to analyze the association between self-esteem with the quality of life of people with venous ulcers treated in primary care. Cross sectional analytical study with a quantitative approach conducted with 44 people met with VU at 13 primary care units 2 and Mixed units in Natal/RN. The study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte (UFRN), CAAE: 07556312.0.0000.5537. Held data collection from February to April 2014 and used three instruments: a structured form covering sociodemographic, health care and clinical variables, the Rosenberg Self-Esteem Scale and the SF-36. The collected data were entered into a database and processed on computerized software for descriptive and inferential analyzes. The results showed a predominance of people with UV females (65,9%), with more than 60 years (59,1%), married or in a stable relationship (52,3%), low education (86,4%) without occupation (68,2%) and less than one minimum wage income (81,8%). Regarding assistance characteristics was observed that most patients performed the dressing with appropriate material (72,7%), professional or trained caregiver (61,4%) did not use compression therapy (81,8%), treating the injury for more than 6 months (77,3%), lack of guidelines for the use of compression therapy, elevation of legs, and regular exercise (77,3%) and consulting the angiologist last year (52,3% ). Regarding clinical features of the lesion was found that most of the recurrent lesions are (77,3%), over one year of current lesion (52,3%) medium to large lesions (54,8%), without signs of infection (61,3%) and pain (79,5%). The mean SE of respondents was 9,3 (± 5,1). The relations between the SE and the sociodemographic variables, health care and clinics showed that individuals without a partner (a) (p = 0,01), who did not wear compression therapy (p = 0,04), with more 6 months of treatment (p = 0,01) and larger lesions (p = 0,01) had a lower SE. The mean domain and the dimensions of the SF-36 were lower emphasizing the functional capacity 36.5 (± 27,6) and the physical aspects of 15.3 (± 30,6). There were significant correlations between AE people with VU and the domains and dimensions of the SF-36: physical functioning (r = -0,432), general health (r = -0,415), vitality (r = -0,573), aspects social (r = -0,517), mental health (r = -0,612) and mental health dimensions (r = -0,612) and physical health (r = -0,473). Based on these results it is concluded by rejecting the null hypothesis and accept the alternative proposed in the study in which it was found that there is a negative correlation between the SE and the QOL of people with venous ulcers

Análise da adesão ao tratamento e da qualidade de vida de pessoas com úlcera venosa

The therapeutic adherence is still a big problem among people with venous ulcers (VU) because the treatment is long, expensive and demand changes in lifestyle. In this context, this study aims to examine treatment adherence and quality of life (QOL) of people with VU assisted at primary health care. This is an analytical, cross-sectional study with a quantitative approach to treatment and data analysis. The study had the scenario 13 Family Health Units and 02 Units Mixed of Natal. The target population consisted of 44 persons with UV indicated by the teams of the Family Health Strategy between February and April 2014. Three instruments were used: an instrument to characterize the sociodemographic, health and care aspects, the Multidimensional Scale of Adherence Therapy composed of the dimensions: healthy lifestyle, compressive therapy and neurovascular monitoring and the Charing Cross Venous Ulcer Questionnaire (CCVUQ) that evaluates QOL in persons with VU composed by the domains: Total Score, Social Interaction, Domestic Activities, Aesthetics and Emotional State. The study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte, CAAE: 07556312.0.0000.5537. The data concerning the sociodemographic characteristics showed that there was a predominance of females (65.9%), age range as of 60 years (59.1%) and income of up to 1 minimum wage (81.8%). With the characterization of health, it was evident that most people reported chronic diseases (63.6%), sleep more than 6 hours (81.8%), present pain (81.8%), denying alcoholism (86 4%) and smoking (77.3%) and showed a number greater than or equal to 1 (77.3%) recurrences. Concerning the therapeutic adherence was found that in the dimension compressive therapy there poor adherence. No associations between the domains of adherence and sociodemographic and health variables were found. Was observed, however, better adherence among individuals without pain and with higher schooling. When analyzed the averages of the dimensions of therapeutic adherence with the care characteristics there was statistical significance between: adherence to compression therapy and guidance for use of compressive therapy (p = 0.002) and guidance for regular exercise (p = 0.026). Considering the mean of total score of CCVUQ (mean 51.47, SD 18.33) it is observed that the overall QOL of respondents has approximate value of the median of the scale (50). The mean of the domain Social Interaction (mean 44.23, SD 21.38) and Domestic Activities (mean 45.70, SD 23.21) were those who reported better QOL. There were weak correlations but significant between adherence to healthy lifestyle and Domains Total Score (p = 0.012), social interaction (p-value = 0.048), Aesthetics (p-value = 0.025) and Emotional State (0.017) of CCVUQ. From the data analysis it is concluded that among people with UV, there poor adherence to compressive therapy. Furthermore, we found no statistically significant association between treatment adherence and sociodemographic and health characteristics. It is added that there was a correlation between the healthy lifestyle dimension and domains CCVUQ

Úlceras de pressão: um estudo com pacientes de unidade de terapia intensiva

To characterize patients according to gender, age category, internment time, diagnostical hypothesis and location of the pressure ulcer; to identify the susceptibility conditions, intrinsical and extrinsical factors present on ICU patients and to verify on the existence of association between the susceptibility conditions and the intrinsecal and extrinsecal factors on the occurrence of PU. Methods: It is a descriptive study, of longitudinal design of the panel type, with quantitative approach, performed on two ICU s of a private hospital located in Natal/RN, with 40 patients interned at these units. The data collection was performed on all three shifts through a structured observation and physical exam of the patients' skin form seeking to identify the presence of PU. Results: The greatest occurence of PU was on individuals of the male gender (70%) when compared to the female gender (30%), that difference being statistically significant (p=0,0267), with the male gender presenting 4,3 times greater chance of developing PU than the female; the predominant age category was from 60 years of age on (85%), 60,0% presented 1 to 2 PU s after 7 (seven) days of permanence in the ICU s, the predominant diagnostical hypothesis on the patients with PU were the respiratory diseases (42,3%) and the most frequent locations of PU were the sacral region (40,0%) and heels (36,0%). 25 PU s of stage I were diagnosed on 50,0% of the followed patients, with general incidence of 50,0% on both ICUs. from the 88 variables researched, 75 were identified on the patients from the study, being the predominant conditions (anemia, hypotension, leukocytosis, other diseases hypertension blood pressure, cardiac insuffience, pneumonia - and ansiolythic), the intrinsecal factors (diminished muscular strenght and/or mass, discrete edema, totally compromised mobile coordination and total inability for movement on the bed) and the extrinsecal factors (inadequate mattress type, permanence on a single position for >2 hours, shearing/friction force, bed clothes with folds that leave marks on the body, pressure force) predominated on patients with PU. The male gender variables (p=0,0267,OR=4,3), sedation (p=0,0006,OR=4,1), psychomotive agitation (p=0,0375,OR=5,8) and leukocytosis (p=0,0285,OR=5,0) presented a significant statistical diference when analyzed independently. We verified an association of 17,3%, statistically significant (p=0,0384), between the susceptibility conditions (anemia, leukocytosis and hypotension), the intrinsecal factors (age equal or above 60 years, diminished/absent pain sensibility and smooth, fine or delicate skin) and the extrinsecal factors (inadequate mattress, pressure forces, shearing/friction force, permanence on a single position for more than 2 hours, elevation between 30 to 45 degrees and inadequate bed clothes' conditions), with a chance ratio of 4,6 times the risk of occurrence of PU on the patients that presented the referred association. Conclusion: The incidence of PU detected on the ICU-interned patients was high and we made evident the existence of association between the susceptibility conditions, the intrinsecal and extrinsecal factors on the occurrence of PU s on the ICUinterned patients, and thus we accept the alternative hypothesis proposed on the study

Variabilidade espacial de fatores de erosão em Latossolo Vermelho eutroférrico sob cultivo de cana-de-açúcar

Visando a avaliar a variabilidade espacial de fatores de erosão em Latossolo Vermelho eutroférrico, foram obtidas amostras do solo em intervalos regulares de 50 m, em forma de grid, totalizando 206 pontos de amostragem. Foram coletadas amostras nas profundidades de 0,0-0,2 m para a determinação da composição granulométrica e do conteúdo de matéria orgânica. Os fatores de erosão locais, como erosividade (R), erodibilidade (K), relevo (LS), perda de solo (A), potencial natural de erosão (PNE), risco de erosão (RE) e expectativa de erosão (EE), foram avaliados. A variabilidade do solo medida pelo coeficiente de variação registrou-se média para K, alta para o RE e EE e muito alta para A, LS e PNE. As variáveis estudadas apresentaram estrutura de dependência espacial com grau moderado para as variáveis K, A, PNE e RE, e forte para o LS e EE. Mapas obtidos por krigagem foram apresentados para descrição dos padrões de distribuição dos fatores de erosão na paisagem.

Terrain forms and spatial variability of soil properties in an area cultivatedwith citrus

A técnica de agricultura de precisão e a relação solo-paisagem permitem delimitar áreas para o manejo localizado, o que permite a aplicação localizada de insumos agrícolas e, consequentemente, pode contribuir para a preservação de recursos naturais. Portanto, o objetivo deste trabalho foi caracterizar a variabilidade espacial das propriedades químicas e do teor de argila, no contexto da relação solo-paisagem, em um Latossolo sob cultivo de citros. Amostras de solo foram coletadas na profundidade de 0,0-0,2 m, em uma área de 83,5 ha cultivada com citros, na forma de malha, com intervalos regulares de 50 m, com 129 pontos na forma de relevo côncava e 206 pontos na forma plana, totalizando 335 pontos. Os valores obtidos para as variáveis que expressam as propriedades químicas e para o teor de argila do solo foram submetidos à análise estatística descritiva e geoestatística com a modelagem de semivariogramas para a confecção de mapas de krigagem. Os valores de alcance e mapas de krigagem indicaram maiores variabilidades na forma de relevo côncava (segmento topo), quando comparada com a forma plana (segmentos meia encosta e encosta inferior). A identificação de diferentes formas de relevo mostrou-se eficiente no entendimento da variabilidade espacial das propriedades químicas e do teor de argila do solo sob cultivo de citros.

Avaliação de doses e produtos corretores da acidez em variáveis biométricas na produção de mudas de maracujazeiro

A utilização de produtos corretores da acidez do solo e a crescente busca por novos insumos agrícolas são de suma importância para uma agricultura sustentável e ecologicamente viável. O presente trabalho foi conduzido no viveiro de mudas do Setor de Fruticultura da Universidade Federal de Lavras (UFLA), Lavras, Estado de Minas Gerais. O delineamento experimental utilizado foi blocos casualizados em esquema fatorial 3 x 4, sendo três produtos, quatro doses e três repetições, as doses foram calculadas de modo que se atingisse a saturação estabelecida, de acordo com a concentração de cada produto. As doses foram: zero, metade, completa e o dobro da dose recomendada. A incubação foi realizada para o silício e calcário, e o Lithothamnium, pela liberação rápida, foi apenas incorporado ao solo. As características avaliadas foram: crescimento da parte aérea (mm), tamanho do sistema radicular (mm), número de folhas, matéria seca da parte aérea (mg), matéria seca da raiz (mg) e matéria seca total (mg). Os três produtos em questão proporcionaram mudas de qualidade, sendo a dose de 1,4 vezes a recomendada, a melhor para formação de mudas de maracujazeiro.

Efeito de Diferentes Volumosos sobre a Degradabilidade in situ de Nutrientes e Variáveis da Fermentação Ruminal, Mediante a Aplicação da Somatotropina Bovina

The objective of this work was to evaluate the effect of diets with different forages (sugarcane, corn silage, hydrolyzed bagasse and sugarcane + corn silage) on the ruminal Fermentation and ruminal nutrients degradability, by the application of bovine somatotropin. Three bovines with ruminal cannulas were used in a factorial scheme (4 x 2). The pH, number of protozoa, ammonia and volatile fatty acids concentration were quantified. The potential and the effective degradability and degradation rate of dry matter and crude protein in each diet were evaluated, beyond gross energy disappearance. There were differences among diets on the effective degradability of dry matter and potential degradability, effective degradability and potentially degradable fraction of crude protein, being verified the same for the rBST application. There was effect of different forages on the variables of ruminal Fermentation. The treatments did not affect the gross energy disappearance. The rBST application did not affect the variables of ruminal fermentation.

Eficácia anti-helmíntica comparativa da associação albendazole, levamisole e ivermectina à moxidectina em ovinos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Impactos da certificação ISO 9000 no desempenho estratégico :um estudo em empresas brasileiras do setor químico

This thesis deals with analyzing the contribution grade of the ISO 9000 quality system to the strategic performance of the Brazilian firms in the Chemistry sector, using the Balanced Scorecard system as reference. An exploratory research is developed to get technical information about these two management systems, with emphasis in their integration. After, a quantitative research is implemented using a questionnaire, to know and to obtain necessaries data for improving statistical estimations of the multiple relationships between the variables and the strategic performance for the universe of 352 Brazilians firms that make use of ISO 9000 as quality system. The size of the sample totalized 111 firms, which represent more than 31% of the selected universe. The main results show different visions of directors and managers about the significant variables that contribute for the strategic performance of the analyzed firms. The ISO 9000 system presents a big contribution to the strategic performance, when referred by the four perspectives of the Balanced Scorecard: learning and growth; internal process; customer and financial. Better performance was verified in the learning and growth perspective and reasonable performance was verified in the financial perspective

Estimação de parâmetros genéticos para peso em diferentes idades para animais da raça Tabapuã

Foram estimados parâmetros genéticos para pesos do nascimento aos 570 dias de idade para 35.308 animais da raça Tabapuã, nascidos entre 1975 e 2000, pertencentes à ABCZ (Associação Brasileira de Criadores de Zebu) sob três modelos distintos. O modelo 1 incluiu o efeito genético aditivo direto como aleatório, além dos efeitos fixos de grupo de contemporâneos, definido pelas variáveis: proprietário, rebanho, criador, rebanho do criador, sexo, condição de criação, ano e mês de nascimento, ano e mês da pesagem, e os efeitos linear e quadrático de idade do bezerro e idade da vaca ao parto como covariáveis. O modelo 2 compreendeu, além dos efeitos supracitados, o efeito de ambiente permanente materno. O modelo 3 constou dos efeitos genético aditivo direto e materno e de ambiente permanente materno (aleatórios) e os mesmos incluídos no modelo 1 (fixos). de acordo com o teste de razão de verossimilhança, o modelo 3 foi o mais adequado para ajustar os efeitos estudados. As estimativas de herdabilidade direta foram baixas a moderadas (0,08 a 0,26), decrescendo do nascimento às idades subseqüentes, com picos aos 90 e aos 180 dias de idade. Aos 345 dias de idade, ocorreu novo aumento nas estimativas, com menor oscilação entre as estimativas subseqüentes até 570 dias de idade. As estimativas de herdabilidade materna foram baixas, sendo maiores no período da desmama.

Associação genética da prenhez aos 16 meses com o peso à desmama e o ganho de peso em animais da raça Nelore

Objetivou-se verificar a possibilidade de utilização da prenhez de novilhas aos 16 meses (Pr16) como critério de seleção e as possíveis associações genéticas entre prenhez em novilhas aos 16 meses e o peso à desmama (PD) e o ganho de peso médio da desmama ao sobreano (GP). Foram realizadas análises uni e bicaracterísticas para estimação dos componentes de co-variância, empregando-se um modelo animal linear para peso à desmama e ganho de peso da desmama ao sobreano e não-linear para Pr16. A estimação dos componentes de variância e da predição dos valores genéticos dos animais foi realizada por Inferência Bayesiana. Distribuições flat foram utilizadas para todos os componentes de co-variância. As estimativas de herdabilidade direta para Pr16, PD e GP foram 0,50; 0,24 e 0,15, respectivamente, e a estimativa de herdabilidade materna para o PD, de 0,07. As correlações genéticas foram -0,25 e 0,09 entre Pr16, PD e GP, respectivamente, e a correlação genética entre Pr16 e o efeito genético materno do PD, de 0,29. A herdabilidade da prenhez aos 16 meses indica que essa característica pode ser utilizada como critério de seleção. As correlações genéticas estimadas indicam que a seleção por animais mais pesados à desmama, a longo prazo, pode diminuir a ocorrência de prenhez aos 16 meses de idade. Além disso, a seleção para maior habilidade materna favorece a seleção de animais mais precoces. No entanto, a seleção para ganho de peso da desmama ao sobreano não leva a mudanças genéticas na precocidade sexual em fêmeas.

Estratégia de produçãp agroindustrial :um estudo dos fatores que afetam a exportação do mel

This thesis approaches the situation of small and medium Brazilian companies facing the exportation process, focusing honey (Apis Mellifera). The world economy has had growing market internationalization, known as globalization. In this context, the exportation has to be faced as a way to minimize the inner market difficulties and increase the levels of quality and productivity to attend the external markets in a competitive way. A company exportation process is not linked to its dimensions, but connected to the commitment with quality, creativity and professionalism. The search for new productive frontiers has benefited Brazilian beekeeper, mainly the northeast ones. Besides, the claim for products that are free of chemical remains, with a bigger aggregate value has increased every day, and the Apismel Company is benefited for having potential to produce organic honey. This paper approaches a case study realized with Sixty-nine beekeeper from Serra do Mel, RN, that make the Apismel Company and it aims to investigate the competitive factors that affects honey exportation. In order to obtain subsidies to execute the objective of this work, it was chosen a questionnaire as instrument of research. The questionnaire was structured from variables that were considered as directions of competition in honey exportation. The results were tabled in Software (Statistics version 11.0). The descriptive, exploiter and Kolmogorov-Smirnov analyses were used to analyze the obtained results. At the end, this work recommends that the Apismel Company promote capacitating courses and technical consultations at the many villages that make the county, to ripen and add efficiency in handling implementation in order to equilibrate production factors and to attract inner and external markets

Altura da garupa e sua associação com características reprodutivas e de crescimento na raça Nelore

O objetivo deste trabalho foi determinar os fatores que afetam a altura da garupa em diferentes idades, em bovinos Nelore, e estimar a herdabilidade e as correlações genéticas entre esse caractere e as características reprodutivas e de crescimento. Os caracteres avaliados foram: altura da garupa à desmama, altura da garupa ao sobreano, peso à desmama, peso ao sobreano, perímetro escrotal e idade ao primeiro parto. Os fatores considerados foram: ano e mês de nascimento, rebanho, sexo, idade da vaca ao parto e idade do bezerro. Os componentes de variância e covariância foram estimados pela metodologia de máxima verossimilhança restrita, tendo-se utilizado um modelo animal. Todos os efeitos foram significativos para altura de garupa nas diferentes idades. As estimativas de herdabilidade quanto ao efeito genético direto indicaram que as características de crescimento e reprodutivas respondem à seleção, exceto a idade ao primeiro parto. As correlações genéticas entre as características de crescimento foram todas positivas e elevadas, de 0,42 a 0,90, o que indica que são determinadas em grande parte pelos mesmos conjuntos de genes de ação aditiva. em razão das baixas magnitudes das estimativas de correlação genética (entre -0,14 e 0,16), a eficiência reprodutiva é pouco influenciada pela seleção quanto à altura de garupa.

Comparação entre critérios de seleção de precocidade sexual e a associação destes com características de crescimento em bovinos Nelore

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)