993 resultados para 531.52
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1998
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1998
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Practice Links is a free e-publication for practitioners working in Irish social services, voluntary and nongovernmental sectors. Practice Links was created to enable practitioners to keep up-to-date with new publications, electronic resources and conference opportunities. Issue 52 contains reviews on publications covering Irish adoption stories, hospital to home discharge planning, cyber technology for social workers and meeting the service needs of young care-leavers.
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Los pastizales son los ecosistemas terrestres más extensos que existen en el mundo y se estima que ocupan un área de 52,2 millones de kilómetros cuadrados. Su productividad primaria neta aérea (PPNA) es una propiedad fundamental ya que determina la cantidad de energía que se encuentra disponible para otros niveles tróficos y está controlada por la calidad del suelo y la cantidad el agua. Suele intervenirse el pastizal para lograr diversos objetivos, tales como, aumentar y concentrar o distribuir la PPNA durante el año y aumentar la calidad forrajera de las especies que lo componen. Este trabajo tiene por objetivo responder a dos cuestiones inherentes a la productividad primaria neta de los pastizales: la primera es evaluar el impacto de la fertilización sobre la producción de los pastizales con Nitrógeno (N), Fósforo (P) y ambos (N+P). Y la segunda es evaluar el efecto sobre la producción de biomasa aérea del reemplazo de las comunidades originales del pastizal por una o varias especies forrajeras, las cuales pueden ser exóticas o naturalizadas. Para conseguir estos objetivos se realizó una revisión bibliográfica y un análisis de los datos cuantitativos publicados en diferentes revistas científicas y técnicas con y sin referato. La productividad de los tratamientos de corrección de la fertilidad edáfica con N; N+P y P se diferenciaron estadísticamente (p menor a 0,0001) de la producción del pastizal natural. Al analizar, en promedio, el incremento de biomasa producido se destaca en primer lugar el tratamiento N+P con 1825 kg MS/ha/año, le sigue el tratamiento con N con 768 kg MS/ha/año y en último lugar es el tratamiento P con 531 kg MS/ha/año. En el rango de precipitación entre los 800 y 1.140 mm, similar a los de la región pampeana, la PPNA de las pasturas implantadas se diferenció estadísticamente, (p menor a 0,0001), mediante una prueba t, de la PPNA de los pastizales. La media de producción de los pastizales fue de 3.933 kg MS/ha/año y de las pasturas fue de 5.763 kg MS/ha/año. En la mayoría de los ensayos la productividad de la pastura bajo la misma precipitación fue superior a la del pastizal.
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The Bolsa Família Program goal is to promote social development and poverty reduction, through the direct transfer of conditional cash, in association with other social programs. This study aims to analyze whether Bolsa Família had an association with children’s school attendance, which is one of the educational conditions of the program. Our main hypothesis is that children living in households receiving Bolsa Família had greater chances of attending school. Data from the Ministry of Social Development and Combating Famine indicated that children living in households with Bolsa Família had greater school enrolment levels. By using data from the 2010 Demographic Census, collected by the Brazilian Institute of Geography and Statistics (IBGE), some descriptive analyzes and binary logistic regression models were performed for different thresholds of household per capita income. These estimates were made by comparing children who lived in households receiving Bolsa Família to those children not receiving the program. We took into consideration characteristics about the household, mothers, and children. The results were clustered by the municipality of residence of the child. In all income thresholds, children benefi ting from Bolsa Família were more likely to be enrolled in school, compared to children not receiving the benefi t.
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Hepatitis C virus (HCV) and hepatitis B virus (HBV) have been associated with hematopoietic malignancies, but data for many subtypes are limited. From the U.S. Surveillance, Epidemiology, and End Results-Medicare database, we selected 61,464 cases (=67 years) with hematopoietic malignancies and 122,531 population-based controls, frequency-matched by gender, age, and year (1993-2002). Logistic regression was used to compare the prevalence of HCV, HBV, and alcoholic hepatitis in cases and controls, adjusted for matching factors, race, duration of Medicare coverage, and number of physician claims. HCV, HBV, and alcoholic hepatitis were reported in 195 (0.3%), 111 (0.2%), and 404 (0.7%) cases and 264 (0.2%), 242 (0.2%), and 798 (0.7%) controls, respectively. HCV was associated with increased risk of diffuse large B-cell lymphoma [odds ratio (OR) 1.52, 95% confidence interval (95% CI) 1.05-2.18], Burkitt lymphoma (OR 5.21, 95% CI 1.62-16.8), follicular lymphoma (OR 1.88, 95% CI 1.17-3.02), marginal zone lymphoma (OR 2.20, 95% CI 1.22-3.95), and acute myeloid leukemia (OR 1.54, 95% CI 1.00-2.37). In contrast, HBV was unrelated to any hematopoietic malignancies. Alcoholic hepatitis was associated with decreased risk of non-Hodgkin lymphoma overall, but increased risk of Burkitt lymphoma. In summary, HCV, but not other causes of hepatitis, was associated with the elevated risk of non-Hodgkin lymphoma and acute myeloid leukemia. HCV may induce lymphoproliferative malignancies through chronic immune stimulation. Copyright © 2008 American Association for Cancer Research.
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OBJECTIVE: To assess challenges in providing palliative care in long-term care (LTC) facilities from the perspective of medical directors. DESIGN: Cross-sectional mailed survey. A questionnaire was developed, reviewed, pilot-tested, and sent to 450 medical directors representing 531 LTC facilities. Responses were rated on 2 different 5-point scales. Descriptive analyses were conducted on all responses. SETTING: All licensed LTC facilities in Ontario with designated medical directors. PARTICIPANTS: Medical directors in the facilities. MAIN OUTCOME MEASURES: Demographic and practice characteristics of physicians and facilities, importance of potential barriers to providing palliative care, strategies that could be helpful in providing palliative care, and the kind of training in palliative care respondents had received. RESULTS: Two hundred seventy-five medical directors (61%) representing 302 LTC facilities (57%) responded to the survey. Potential barriers to providing palliative care were clustered into 3 groups: facility staff's capacity to provide palliative care, education and support, and the need for external resources. Two thirds of respondents (67.1%) reported that inadequate staffing in their facilities was an important barrier to providing palliative care. Other barriers included inadequate financial reimbursement from the Ontario Health Insurance Program (58.5%), the heavy time commitment required (47.3%), and the lack of equipment in facilities (42.5%). No statistically significant relationship was found between geographic location or profit status of facilities and barriers to providing palliative care. Strategies respondents would use to improve provision of palliative care included continuing medical education (80.0%), protocols for assessing and monitoring pain (77.7%), finding ways to increase financial reimbursement for managing palliative care residents (72.1%), providing educational material for facility staff (70.7%), and providing practice guidelines related to assessing and managing palliative care patients (67.8%). CONCLUSION: Medical directors in our study reported that their LTC facilities were inadequately staffed and lacked equipment. The study also highlighted the specialized role of medical directors, who identified continuing medical education as a key strategy for improving provision of palliative care.
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Purpose: Aspirin use is associated with reduced risk of, and death from, prostate cancer. Our aim was to determine whether low-dose aspirin use after a prostate cancer diagnosis was associated with reduced prostate cancer-specific mortality.
Methods: A cohort of newly diagnosed prostate cancer patients (1998–2006) was identified in the UK Clinical Practice Research Datalink (confirmed by cancer registry linkage). A nested case–control analysis was conducted using conditional logistic regression to compare aspirin usage in cases (prostate cancer deaths) with up to three controls (matched by age and year of diagnosis).
Results: Post-diagnostic low-dose aspirin use was identified in 52 % of 1,184 prostate cancer-specific deaths and 39 % of 3,531 matched controls (unadjusted OR 1.51, 95 % CI 1.19, 1.90; p < 0.001). After adjustment for confounders including treatment and comorbidities, this association was attenuated (adjusted OR 1.02 95 % CI 0.78, 1.34; p = 0.86). Adjustment for estrogen therapy accounted for the majority of this attenuation. There was also no evidence of dose–response association after adjustments. Compared with no use, patients with 1–11 prescriptions and 12 or more prescriptions had adjusted ORs of 1.07 (95 % CI 0.78, 1.47; p = 0.66) and 0.97 (95 % CI 0.69, 1.37; p = 0.88), respectively. There was no evidence of a protective association between low-dose aspirin use in the year prior to diagnosis and prostate cancer-specific mortality (adjusted OR 1.04 95 % CI 0.89, 1.22; p = 0.60).
Conclusion: We found no evidence of an association between low-dose aspirin use before or after diagnosis and risk of prostate cancer-specific mortality, after potential confounders were accounted for, in UK prostate cancer patients.
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Trabalho que investiga a recepção dos Kinder - und Hausmärchen em Portugal, fruto duma aturada e minuciosa pesquisa documental. Com efeito, Teresa Cortez passa em revista os livros e publicações periódicas enquadrados entre 1837 — data do aparecimento das primeiras traduções de contos dos KHM, no periódico lisboeta Biblioteca Familiar e Recreativa — e 1910, data a que a autora estendeu a sua pesquisa. Cada incidência da presença dos contos dos Grimm em Portugal é cuidadosamente investigada, contextualisada e analisada, Assim, à medida que vemos surgir, primeiro esparsas em revistas destinadas a um público infantil, e sem indicação de autoria, traduções (do francês) dos KHM, vamo-nos inteirando sobre o epírito e motivações do seu aparecimento, quer partindo do estudo comparativo com o texto de origem, quer de um exame da publicação de chegada, alargando-se a pesquisa aos seus editores e autores. Todo o processo de recepção dos contos de Grimm vai sendo examinado pela autora à luz dos movimentos das últimas décadas do séc. XIX e primeira do séc. XX, nomeadamente o nacionalismo neo-romântico e o positivismo.
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Revista elaborada pela Assessoria de Comunicação e Imprensa da Reitoria da UNESP