A Relação entre a saúde organizacional e a Síndrome de Burnout

We studied about the organizational health and the syndrome of burnout in professionals of the education and health field, with the objective of establishing a connection between those two constructs. This research was realized in three public schools and in three hospitals, two publics and one from the military. We obtained 168 valid questionnaires for investigation about the syndrome of burnout, being 83 in the hospitals and 85 in the schools, among the questionnaires given in those two organizations. Worked with accidental sample, although it was decided the professional proportions, with the objective of reproducing the population characteristics. In the schools the sample was planned with the teachers. In the hospitals the sample was planned with doctors, nurses and nurse assistants, nutritionists, psychologists, dentists and social assistants. To assure the syndrome of burnout, it was used the Maslach Burnout Inventory (MBI), followed with social demographic information. We used semi-structured interviews, based in the indicators, with the organizations key persons, directors, coordinators, and people involved in the human resources department, for research about the organizational health. Only among the hospitals were found significant statistics differences between the scores of factors and the incidence of burnout. Besides that, it was observed as well that it is possible to establish a connection between the organizational health and the syndrome of burnout, this research main objective

Estudos sobre estrutura, ciclo de vida e comportamento de Sardinella brasiliensis (Steindachner, 1879), na área entre 22ºs e 28ºs, Brasil: 1. morfologia dos otólitos

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

Situação vacinal infantil e características individuais e familiares do interior de São Paulo

The aim of this study was to describe and analyze individual and family characteristics of children and those of health services, as well as their relationship with the immunization status for different kinds of vaccines and doses. Three sources of information were used: records from the Municipal Health Information System, immunization charts, and interviews using closed-ended questions. The families interviewed still had one or two growing children; caretakers were usually young unemployed mothers with easy access to health services. Around 30% of them were not instructed on the vaccine being given, its reactions or when to return for the next shot. The greatest levels of tardiness occurred with the vaccines against measles (6.3%) and Haemophilus influenzae B (4.2%). It was possible to observe that tardiness or absence of vaccinations seem to have a stronger relationship with service characteristics than with population characteristics.

Social dimensions of economic development and productivity: inequality and social performance

Includes bibliography

Análise da implementação dos planos de recuperação de áreas degradadas pela mineração em Lourenço (AP)

O estudo teve por objetivo verificar a coerência dos Planos de Recuperação de Áreas Degradadas (PRADs) pela Mineração Novo Astro - MNA no Distrito de Lourenço, Município de Calçoene (AP), a partir do conhecimento do contexto em que se estabeleceram e foram decididas as medidas de recuperação, e quais os atores que influenciaram neste processo de decisão. Foram realizadas entrevistas com membros da população e com representantes da MNA, da Ampla Engenharia (empresa responsável pela recuperação do ambiente degradado), da Cooperativa de Garimpeiros de Lourenço - COOGAL, da Secretaria Especial de Meio Ambiente do Amapá - SEMA, do Departamento Nacional da Produção Mineral - DNPM, do Ministério Público Federal, do governo do Estado, e da prefeitura Municipal de Calçoene. Estes atores influenciaram de forma decisiva para os resultados agora observados no local. A pesquisa envolveu o estudo sobre as medidas de recuperação mais eficazes em voga, a história dos acontecimentos em Lourenço e o contexto socioeconômico, para que fossem compreendidas as possibilidades de êxito das medidas escolhidas para o local. A partir destes dados foi feita a análise da eficácia destes PRADs e tecidas alternativas e direcionamentos futuros para o local, baseados nas características sociais e ambientais de Lourenço. O primeiro PRAD, finalizado em 1995, terminou por apresentar resultados pouco consistentes, de tal forma que o local no qual este foi executado voltou a ser explorado pelos garimpeiros e continuou a estar em condições degradadas. A MNA, por não ter legalizado sua situação, foi responsabilizada pela nova recuperação do local em 2002. O segundo PRAD, parcialmente implementado em 2003, possuiu baixa eficácia, com a morte de mais de 70% das espécies vegetais utilizadas em algumas áreas. A falta de conhecimentos mais profundos, por parte das empresas de mineração e de recuperação ambiental, sobre as características do meio ambiente e do contexto socioeconômico local parecem ter contribuído para os resultados negativos da implementação dos PRADs. Uma alternativa seria buscar a participação da população local nos projetos e políticas criados para a região, como forma de criar soluções que contemplem as características locais e os desejos da população.

Shell occupation by the South Atlantic endemic hermit crab Loxopagurus loxochelis (Moreira, 1901) (Anomura: Diogenidae)

The evaluation of population characteristics, particularly those of endemic species, aids in population preservation and management. Hermit crabs present an innate behavior of occupying shells, which tends to individual needs and limits their distribution. This study characterized the pattern of occupation of gastropod shells by the hermit Loxopagurus loxochelis in three bays of the southwestern coast of Brazil. Monthly collections were made from January/1998 to December/1999 in the bays Ubatumirim (UBM), Ubatuba (UBA) and Mar Virado (MV) with a shrimping boat. Overall, ten species of gastropod shells were occupied by L. loxochelis. The shell of Olivancillaria urceus represented 66.8% of those occupied. Morphometric relationships demonstrated a differential occupation of the more abundant shells among demographic groups, where most of the males occupied O. urceus, non-ovigerous females occupied O. urceus and Buccinanops cochlidium, and ovigerous females occupied B. cochlidium and Stramonita haemastoma. Most of the individuals occupied the more abundant shells, considered adequate for the morphology of this hermit crab species. Thus, the studied bays seem to be stable and propitious environments for population perpetuation and the settlement of new individuals.

Life-history traits of the red brocade hermit crab Dardanus insignis on the subtropical Brazilian coast

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

Bioremediation of PAHs - Limitations and soultions

Introduction 1.1 Occurrence of polycyclic aromatic hydrocarbons (PAH) in the environment Worldwide industrial and agricultural developments have released a large number of natural and synthetic hazardous compounds into the environment due to careless waste disposal, illegal waste dumping and accidental spills. As a result, there are numerous sites in the world that require cleanup of soils and groundwater. Polycyclic aromatic hydrocarbons (PAHs) are one of the major groups of these contaminants (Da Silva et al., 2003). PAHs constitute a diverse class of organic compounds consisting of two or more aromatic rings with various structural configurations (Prabhu and Phale, 2003). Being a derivative of benzene, PAHs are thermodynamically stable. In addition, these chemicals tend to adhere to particle surfaces, such as soils, because of their low water solubility and strong hydrophobicity, and this results in greater persistence under natural conditions. This persistence coupled with their potential carcinogenicity makes PAHs problematic environmental contaminants (Cerniglia, 1992; Sutherland, 1992). PAHs are widely found in high concentrations at many industrial sites, particularly those associated with petroleum, gas production and wood preserving industries (Wilson and Jones, 1993). 1.2 Remediation technologies Conventional techniques used for the remediation of soil polluted with organic contaminants include excavation of the contaminated soil and disposal to a landfill or capping - containment - of the contaminated areas of a site. These methods have some drawbacks. The first method simply moves the contamination elsewhere and may create significant risks in the excavation, handling and transport of hazardous material. Additionally, it is very difficult and increasingly expensive to find new landfill sites for the final disposal of the material. The cap and containment method is only an interim solution since the contamination remains on site, requiring monitoring and maintenance of the isolation barriers long into the future, with all the associated costs and potential liability. A better approach than these traditional methods is to completely destroy the pollutants, if possible, or transform them into harmless substances. Some technologies that have been used are high-temperature incineration and various types of chemical decomposition (for example, base-catalyzed dechlorination, UV oxidation). However, these methods have significant disadvantages, principally their technological complexity, high cost , and the lack of public acceptance. Bioremediation, on the contrast, is a promising option for the complete removal and destruction of contaminants. 1.3 Bioremediation of PAH contaminated soil & groundwater Bioremediation is the use of living organisms, primarily microorganisms, to degrade or detoxify hazardous wastes into harmless substances such as carbon dioxide, water and cell biomass Most PAHs are biodegradable unter natural conditions (Da Silva et al., 2003; Meysami and Baheri, 2003) and bioremediation for cleanup of PAH wastes has been extensively studied at both laboratory and commercial levels- It has been implemented at a number of contaminated sites, including the cleanup of the Exxon Valdez oil spill in Prince William Sound, Alaska in 1989, the Mega Borg spill off the Texas coast in 1990 and the Burgan Oil Field, Kuwait in 1994 (Purwaningsih, 2002). Different strategies for PAH bioremediation, such as in situ , ex situ or on site bioremediation were developed in recent years. In situ bioremediation is a technique that is applied to soil and groundwater at the site without removing the contaminated soil or groundwater, based on the provision of optimum conditions for microbiological contaminant breakdown.. Ex situ bioremediation of PAHs, on the other hand, is a technique applied to soil and groundwater which has been removed from the site via excavation (soil) or pumping (water). Hazardous contaminants are converted in controlled bioreactors into harmless compounds in an efficient manner. 1.4 Bioavailability of PAH in the subsurface Frequently, PAH contamination in the environment is occurs as contaminants that are sorbed onto soilparticles rather than in phase (NAPL, non aqueous phase liquids). It is known that the biodegradation rate of most PAHs sorbed onto soil is far lower than rates measured in solution cultures of microorganisms with pure solid pollutants (Alexander and Scow, 1989; Hamaker, 1972). It is generally believed that only that fraction of PAHs dissolved in the solution can be metabolized by microorganisms in soil. The amount of contaminant that can be readily taken up and degraded by microorganisms is defined as bioavailability (Bosma et al., 1997; Maier, 2000). Two phenomena have been suggested to cause the low bioavailability of PAHs in soil (Danielsson, 2000). The first one is strong adsorption of the contaminants to the soil constituents which then leads to very slow release rates of contaminants to the aqueous phase. Sorption is often well correlated with soil organic matter content (Means, 1980) and significantly reduces biodegradation (Manilal and Alexander, 1991). The second phenomenon is slow mass transfer of pollutants, such as pore diffusion in the soil aggregates or diffusion in the organic matter in the soil. The complex set of these physical, chemical and biological processes is schematically illustrated in Figure 1. As shown in Figure 1, biodegradation processes are taking place in the soil solution while diffusion processes occur in the narrow pores in and between soil aggregates (Danielsson, 2000). Seemingly contradictory studies can be found in the literature that indicate the rate and final extent of metabolism may be either lower or higher for sorbed PAHs by soil than those for pure PAHs (Van Loosdrecht et al., 1990). These contrasting results demonstrate that the bioavailability of organic contaminants sorbed onto soil is far from being well understood. Besides bioavailability, there are several other factors influencing the rate and extent of biodegradation of PAHs in soil including microbial population characteristics, physical and chemical properties of PAHs and environmental factors (temperature, moisture, pH, degree of contamination). Figure 1: Schematic diagram showing possible rate-limiting processes during bioremediation of hydrophobic organic contaminants in a contaminated soil-water system (not to scale) (Danielsson, 2000). 1.5 Increasing the bioavailability of PAH in soil Attempts to improve the biodegradation of PAHs in soil by increasing their bioavailability include the use of surfactants , solvents or solubility enhancers.. However, introduction of synthetic surfactant may result in the addition of one more pollutant. (Wang and Brusseau, 1993).A study conducted by Mulder et al. showed that the introduction of hydropropyl-ß-cyclodextrin (HPCD), a well-known PAH solubility enhancer, significantly increased the solubilization of PAHs although it did not improve the biodegradation rate of PAHs (Mulder et al., 1998), indicating that further research is required in order to develop a feasible and efficient remediation method. Enhancing the extent of PAHs mass transfer from the soil phase to the liquid might prove an efficient and environmentally low-risk alternative way of addressing the problem of slow PAH biodegradation in soil.

Table to accompany Religion/Spirituality and Change in Meaning after Bereavement: Qualitative Evidence for the Meaning Making Model

This table accompanies the manuscript entitled "Religion/Spirituality and Change in Meaning after Bereavement: Qualitative Evidence for the Meaning Making Model" by Wortmann & Park (2009). The table summarizes the sample characteristics for published, qualitative studies that describe the involvement of religion/spirituality in adjustment after bereavement. Fields include author(s)'s last name, publication year, population characteristics and sample size, study design, age of the bereaved, type or cause of death, and time post-loss.

Hepatitis B and C infections in U.S. incarcerated populations: Prevalence and related mortality

Published reports have consistently indicated high prevalence of serologic markers for hepatitis B (HBV) and hepatitis C (HCV) infection in U.S. incarcerated populations. Quantifying the current and projected burden of HBV and HCV infection and hepatitis-related sequelae in correctional healthcare systems with even modest precision remains elusive, however, because the prevalence and sequelae of HBV and HCV in U.S. incarcerated populations are not well-studied. This dissertation contributes to the assessment of the burden of HBV and HCV infections in U.S. incarcerated populations by addressing some of the deficiencies and gaps in previous research. ^ Objectives of the three dissertation studies were: (1) To investigate selected study-level factors as potential sources of heterogeneity in published HBV seroprevalence estimates in U.S. adult incarcerated populations (1975-2005), using meta-regression techniques; (2) To quantify the potential influence of suboptimal sensitivity of screening tests for antibodies to hepatitis C virus (anti-HCV) on previously reported anti-HCV prevalence estimates in U.S. incarcerated populations (1990-2005), by comparing these estimates to error-adjusted anti-HCV prevalence estimates in these populations; (3) To estimate death rates due to HBV, HCV, chronic liver disease (CLD/cirrhosis), and liver cancer from 1984 through 2003 in male prisoners in custody of the Texas Department of Criminal Justice (TDCJ) and to quantify the proportion of CLD/cirrhosis and liver cancer prisoner deaths attributable to HBV and/or HCV. ^ Results were as follows. Although meta-regression analyses were limited by the small body of literature, mean population age and serum collection year appeared to be sources of heterogeneity, respectively, in prevalence estimates of antibodies to HBV antigen (HBsAg+) and any positive HBV marker. Other population characteristics and study methods could not be ruled out as sources of heterogeneity. Anti-HCV prevalence is likely somewhat higher in male and female U.S. incarcerated populations than previously estimated in studies using anti-HCV screening tests alone without the benefit of repeat or additional testing. Death rates due to HBV, HCV, CLD/cirrhosis, and liver cancer from 1984 through 2003 in TDCJ male prisoners exceeded state and national rates. HCV rates appeared to be increasing and disproportionately affecting Hispanics. HCV was implicated in nearly one-third of liver cancer deaths. ^

The Hospital Study of the City of Houston and Harris County

In 1941 the Texas Legislature appropriated $500,000 to the Board of Regents of the University of Texas to establish a cancer research hospital. The M. D. Anderson Foundation offered to match the appropriation with a grant of an equal sum and to provide a permanent site in Houston. In August, 1942 the Board of Regent of the University and the Trustees of the Foundation signed an agreement to embark on this project. This institution was to be the first one in the medical center, which was incorporated in October, 1945. The Board of Trustees of the Texas Medical Center commissioned a hospital survey to: - Define the needed hospital facilities in the area - Outline an integrated program to meet these needs - Define the facilities to be constructed - Prepare general recommendations for efficient progress The Hospital Study included information about population, hospitals, and other health care and education facilities in Houston and Harris County at that time. It included projected health care needs for future populations, education needs, and facility needs. It also included detailed information on needs for chronic illnesses, a school of public health, and nursing education. This study provides valuable information about the general population and the state of medicine in Houston and Harris County in the 1940s. It gives a unique perspective on the anticipated future as civic leaders looked forward in building the city and region. This document is critical to an understanding of the Texas Medical Center, Houston and medicine as they are today. SECTIONS INCLUDE: Abstract The Abstract was a summary of the 400 page document including general information about the survey area, community medical assets, and current and projected medical needs which the Texas Medical Center should meet. The 123 recommendations were both general (e.g., 12. “That in future planning, the present auxiliary department of the larger hospitals be considered inadequate to carry an added teaching research program of any sizable scope.”) and specific (e.g., 22. That 14.3% of the total acute bed requirement be allotted for obstetric care, reflecting a bed requirement of 522 by 1950, increasing to 1,173 by 1970.”) Section I: Survey Area This section basically addressed the first objective of the survey: “define the needed hospital facilities in the area.” Based on the admission statistics of hospitals, Harris County was included in the survey, with the recognition that growth from out-lying regional areas could occur. Population characteristics and vital statistics were included, with future trends discussed. Each of the hospitals in the area and government and private health organizations, such as the City-County Welfare Board, were documented. Statistics on the facilities use and capacity were given. Eighteen recommendations and observations on the survey area were given. Section II: Community Program This section basically addressed the second objective of the survey: “outline an integrated program to meet these needs.” The information from the Survey Area section formed the basis of the plans for development of the Texas Medical Center. In this section, specific needs, such as what medical specialties were needed, the location and general organization of a medical center, and the academic aspects were outlined. Seventy-four recommendations for these plans were provided. Section III: The Texas Medical Center The third and fourth objectives are addressed. The specific facilities were listed and recommendations were made. Section IV: Special Studies: Chronic Illness The five leading causes of death (heart disease, cancer, “apoplexy”, nephritis, and tuberculosis) were identified and statistics for morbidity and mortality provided. Diagnostic, prevention and care needs were discussed. Recommendations on facilities and other solutions were made. Section IV: Special Studies: School of Public Health An overview of the state of schools of public health in the US was provided. Information on the direction and need of this special school was also provided. Recommendations on development and organization of the proposed school were made. Section IV: Special Studies: Needs and Education Facilities for Nurses Nursing education was connected with hospitals, but the changes to academic nursing programs were discussed. The needs for well-trained nurses in an expanded medical environment were anticipated to result in significant increased demands of these professionals. An overview of the current situation in the survey area and recommendations were provided. Appendix A Maps, tables and charts provide background and statistical information for the previous sections. Appendix B Detailed census data for specific areas of the survey area in the report were included. Sketches of each of the fifteen hospitals and five other health institutions showed historical information, accreditations, staff, available facilities (beds, x-ray, etc.), academic capabilities and financial information.

La memoria en escena. Identidad, memoria y política en el teatro comunitario argentino contemporáneo. Los casos : Patricios Unidos de Pie, Catalinas Sur, Los Dardos de Rocha y Teatro Popular Sansinena

El proyecto se propone estudiar los procesos de identificación y ejercicio de la memoria colectiva involucrados en la práctica del teatro comunitario contemporáneo. En esta perspectiva se examinarán las lógicas de producción artística en cuatro experiencias de teatro comunitario: Patricios Unidos de Pie /del pueblo de Patricios), Teatro Popular Sansinena (del pueblo de Sansinena), Los Dardos de Rocha (de la ciudad de La Plata) y el Grupo Catalinas Sur (del barrio de La Boca). analizando especialmente los procesos de resignificación del espacio público y el pasado compartido puestos en juego por dichos colectivos artísticos. Por otra parte, la investigación buscará indagar en las tensiones que se pueden presentar tanto en la producción y armado de las obras, como en las relaciones que los grupos mantienen entre sí, a raíz de su funcionamiento en forma de red. Para el desarrollo de esta investigación se tomarán dos campos de estudio a modo de que los mismos proporcionen miradas divergentes en torno al fenómeno: autores del campo de la memoria y del campo del teatro. El teatro comunitario, al ser una práctica inédita y reciente en la Argentina, cuenta con muy pocos trabajos teóricos que lo analicen, por lo tanto es una actividad en constante construcción, que se va resignificando y armando con la práctica a medida en que los grupos se van multiplicando. Para llevar adelante este proyecto de investigación se tendrá en cuenta la relación existente entre teoría, objetivos y metodología. Las instancias de trabajo son: revisar la bibliografía existente sobre el tema a investigar (estado del arte), confeccionar un marco teórico sobre el cuál basarse para el trabajo cualitativo, construir una metodología para el análisis, realizar el trabajo de campo, sistematizar la información, elaborar el análisis y finalmente las conclusiones. El análisis se realizará sobre los cuatro grupos de teatro comunitario elegidos por sus características poblacionales, el nivel socio-económico de los habitantes y la particularidad de su historia.

Población y ocupación del espacio en la frontera del salado. Chascomús, Ranchos y Monte entre 1815 y 1838

Los numerosos estudios sobre la sociedad rural rioplatense en el período colonial y pos independiente van mostrando, poco a poco, las características de la población, la composición familiar y la disponibilidad de mano de obra, tanto en las áreas de viejo asentamiento como en las más dinámicas de la frontera interior, de manera que puede continuarse la tarea con nuevas aproximaciones, comparando los resultados con los ya obtenidos. Esta será la perspectiva del presente trabajo, en el que se describirá la estructura poblacional de Chascomús entre 1815 y 1838, aunque sumando una relación que se aprecia ausente en los trabajos sobre el tema, como es la ocupación y acceso a la propiedad legal de la tierra. Debido a las características de las fuentes los partidos de Ranchos y Monte se incluirán parcialmente en el análisis

Población y ocupación del espacio en la frontera del salado. Chascomús, Ranchos y Monte entre 1815 y 1838

Los numerosos estudios sobre la sociedad rural rioplatense en el período colonial y pos independiente van mostrando, poco a poco, las características de la población, la composición familiar y la disponibilidad de mano de obra, tanto en las áreas de viejo asentamiento como en las más dinámicas de la frontera interior, de manera que puede continuarse la tarea con nuevas aproximaciones, comparando los resultados con los ya obtenidos. Esta será la perspectiva del presente trabajo, en el que se describirá la estructura poblacional de Chascomús entre 1815 y 1838, aunque sumando una relación que se aprecia ausente en los trabajos sobre el tema, como es la ocupación y acceso a la propiedad legal de la tierra. Debido a las características de las fuentes los partidos de Ranchos y Monte se incluirán parcialmente en el análisis

La memoria en escena. Identidad, memoria y política en el teatro comunitario argentino contemporáneo. Los casos : Patricios Unidos de Pie, Catalinas Sur, Los Dardos de Rocha y Teatro Popular Sansinena

El proyecto se propone estudiar los procesos de identificación y ejercicio de la memoria colectiva involucrados en la práctica del teatro comunitario contemporáneo. En esta perspectiva se examinarán las lógicas de producción artística en cuatro experiencias de teatro comunitario: Patricios Unidos de Pie /del pueblo de Patricios), Teatro Popular Sansinena (del pueblo de Sansinena), Los Dardos de Rocha (de la ciudad de La Plata) y el Grupo Catalinas Sur (del barrio de La Boca). analizando especialmente los procesos de resignificación del espacio público y el pasado compartido puestos en juego por dichos colectivos artísticos. Por otra parte, la investigación buscará indagar en las tensiones que se pueden presentar tanto en la producción y armado de las obras, como en las relaciones que los grupos mantienen entre sí, a raíz de su funcionamiento en forma de red. Para el desarrollo de esta investigación se tomarán dos campos de estudio a modo de que los mismos proporcionen miradas divergentes en torno al fenómeno: autores del campo de la memoria y del campo del teatro. El teatro comunitario, al ser una práctica inédita y reciente en la Argentina, cuenta con muy pocos trabajos teóricos que lo analicen, por lo tanto es una actividad en constante construcción, que se va resignificando y armando con la práctica a medida en que los grupos se van multiplicando. Para llevar adelante este proyecto de investigación se tendrá en cuenta la relación existente entre teoría, objetivos y metodología. Las instancias de trabajo son: revisar la bibliografía existente sobre el tema a investigar (estado del arte), confeccionar un marco teórico sobre el cuál basarse para el trabajo cualitativo, construir una metodología para el análisis, realizar el trabajo de campo, sistematizar la información, elaborar el análisis y finalmente las conclusiones. El análisis se realizará sobre los cuatro grupos de teatro comunitario elegidos por sus características poblacionales, el nivel socio-económico de los habitantes y la particularidad de su historia.