Time needed to schedule dermatological consultations in Brazil

BACKGROUND: It is not clear what the population's demand for dermatologists is, nor how many professionals are needed in order to provide adequate care in this area of expertise. Knowledge of the flow of patients at dermatological clinics throughout the country allows for the formation of expansion and distribution policies regarding professionals, and provides backing for the decision to increase medical residency places. OBJECTIVES: To evaluate the time it takes to schedule a private dermatological consultation in Brazil, and other factors concerning consultations. METHODS: Survey with a random sample of 14% of Brazilian dermatologists, simulating the scheduling of emergency clinical and cosmetic consultations, and botulinum toxin procedures. Also, details relating to cost and professionals, were studied. Data were adjusted for each region of the country. RESULTS: A total of 873 dermatologists were evaluated. Full SBD members represented 85%, and 66% were women. The median time to schedule a consultation ranged from 6 (out-of-pocket payment) to 7 (medical insurance) consecutive working days. Times varied depending on the region. A multivariate analysis showed that out-of-pocket consultations and procedures were scheduled sooner than with medical insurance, regardless of whether they were clinical or cosmetic. CONCLUSION: The characteristics of dermatologists are varied throughout regions of the country. Private consultations and procedures are scheduled sooner than with insurance companies.

Oral health associated with quality of life of people living with HIV/AIDS in Brazil

Background: The epidemic of HIV/AIDS enters into its fourth decade and is still considered an important public health problem in developed and developing countries. The purpose is verify the oral health and other factors that influence the quality of life of people living with HIV/AIDS attending a public service reference in Brazil.Methods: The participants answered the questionnaire on socio-demographic conditions, issues related to HIV and daily habits. The quality of life was analyzed by the HIV/AIDS Targeted Quality of Life (HAT-QoL) instrument with 42 items divided into nine domains: General Activity, Sexual Activity, Confidentiality concerns, Health Concerns, Financial Concern, HIV Awareness, Satisfaction with Life Issues related to medication and Trust in the physician. The oral health data were collected by means of the DMFT index, use and need of dentures and the Community Periodontal Index, according to the criteria proposed by the World Health Organization, by a calibrated researcher. Bivariate and multiple linear regressions were performed.Results: Of the participants, 53.1% were women and had a mean age of 42 years, 53.1% had eight years or less of schooling and 20.3% were not employed. In analyzing the quality of life domain of the HAT-QoL, with a lower average there was: Financial concern (39.4), followed by Confidentiality concern (43.2), Sexual activities (55.2) and Health concerns (62. 88). There was an association between the variables: do not have link to employment (p < 0.001), is brown or black (p = 0.045), alcohol consumption (p = 0.041), did not make use of antiretroviral therapy (p = 0.006), high levels of viral load (p = 0.035) and need for dentures (p = 0.025), with the worse quality of life scores.Conclusion: Socioeconomic and inadequate health conditions had a negative impact on the quality of life of people with HIV/AIDS.

Entre a fábrica e a senzala: um estudo sobre o cotidiano dos africanos livres na Real Fábrica de Ferro São João do Ipanema - Sorocaba - SP (1840-1870)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Análise da relação desempenho/custo de alguns coletores solares comerciais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Um divórcio entre escola e comunidade?: Bananal/SP, um laboratório a céu aberto no Vale Histórico do Rio Paraíba do Sul

Pós-graduação em Educação Escolar - FCLAR

Avaliação da eficácia de primers para metal na resistência ao cisalhamento da união entre cimentos resinosos e metais não nobres. Efeito do armazenamento em água

O sucesso das restaurações metálicas indiretas depende, dentre outros fatores, de uma união eficaz entre a estrutura metálica e o cimento dentário empregados. Sabe-se que os primers para metal atuam com comprovada eficácia na resistência adesiva dos cimentos resinosos às ligas nobres. Entretanto, pouco foi estudado sobre o efeito de tais materiais em ligas não nobres. O propósito deste estudo foi avaliar a eficácia de primers para metal na resistência ao cisalhamento da união entre cimentos resinosos e metais não nobres. Discos (9 mm de diâmetro e 3 mm de altura) foram fundidos em liga de NiCr (n=80) e em titânio comercialmente puro (Ti c.p.) (n=80) e foram incluídos em anel de PVC com resina acrílica quimicamente ativada. As superfícies dos discos foram regularizadas com lixas de carbeto de silício de granulação 320, 400 e 600 e jateadas com partículas de óxido de alumínio de 50 µm. Espécimes de cada metal foram divididos em quatro grupos (n=20). Uma matriz metálica bi-partida (5 mm de diâmetro interno e 2 mm de altura) foi posicionada na superfície do espécime. As áreas adesivas receberam um dos seguintes tratamentos: 1) Panavia F; 2) Alloy Primer e Panavia F; 3) Bistite DC e 4) Metaltite e Bistite DC. Para evitar a exposição dos cimentos à luz, estes foram espatulados e inseridos na matriz dentro de uma câmara de revelação radiográfica. Quarenta minutos após a confecção, os espécimes foram armazenados em água destilada a 37ºC por 24 horas e então termociclados (1.000 ciclos, 5ºC e 55ºC, 30 segundos cada banho). Após a termociclagem, os espécimes foram armazenados novamente nas mesmas condições descritas anteriormente por um período de 24 horas (n=10) ou de 6 meses (n=10) antes do ensaio de cisalhamento em uma máquina de ensaios mecânicos (Material Test System 810).

A influência da ginástica laboral na flexibilidade de seus praticantes

Nowadays is more than proven by several studies in the area that flexibility is one of the first physical abilities to be impaired with advancing age. Around 40 years old, there is an acceleration in the loss of flexibility that is heavily influenced by other factors as like standard level of physical activity and health, and this could eventually lead to a difficulty in performing activities of daily basis. Active Break was created with the intention to minimize the negative impacts from the sedentary life and health of workers and encourage healthier habits in employees through stretching exercises. A lot is said about the loss of flexibility with advancing age and various ways to minimize these losses. It is necessary for us as physical educators, using techniques learned through years of learning to prove the validity of a physical activity program in improving worker health. Therefore the aim of the study was to investigate the influence of the Active Break in different flexibility joints of the participants of physical activity program offered by the NAFES laboratory and compare whether there are differences in flexibility between workers who participate in classes with those who are not. The study included 15 workers of Institute of Geosciences and Exact Sciences (IGCE) UNESP - Rio Claro. Where were two weekly gymnastics sessions lasting 15 minutes each, Within this environment were divided two groups, one who carried out the activities and the other served as control group that participated only in the evaluations. Three assessments were conducted, one before the start of a study, another 2 months later and the last one at the end of the study. On these assessments were collected measures of the angles of joints using a Fleximeter and the greatest distance achieved by the sit and reach test. The results showed no significant difference...(Complete abstract click electronic access below)

Avaliação da erosão hídrica, transporte de sedimentos e qualidade da água na bacia do córrego Monjolo Grande

Understanding the linkages between the natural elements is essential for being promoted the land use, occupation and sustainable management of environmental systems. Universal Soil Loss Equation (USLE), as a predictive model of erosion, is important to allowing the prevention of possible environmental impacts which may drastically interfere in natural or anthropic environments, as well as prevent potential financial wastes and even contribute to greater efficiency of agricultural production. This research will be working some USLE parameters, emphasizing topographic factor from Ribeirão Monjolo Grande watershed. Among the factors considered by the USLE, the Topographic Factor interferes directly in the erosive dynamic of a watershed because it involves variables related to hydrological processes that occur on it. In this research, were discussed different methods for obtaining the Topographic Factor (BERTONI e LOMBARDI NETO, 1985; MOORE e BURCH, 1986; DESMET E GOVERS, 1996) in GIS environment. After comparison between the methods, was indicated that best represents the conditions of geometry strand of the study area. Finally, other factors (R, K, C, P) considered by the USLE were obtained. The attainment of these parameters were guided by the use of geotechnologies, especially in Geographic Information Systems (GIS), with the assistance of secondary data and periodic field visits. The results obtained contributed to the understanding of hydrosedimentological dynamic in this area and serve as a viable strategy for studies of soil loss, aiming at developing consistent material for future researches about environmental planning and land management

Parametrização de modelo para simulação de distribuição de combustíveis em um terminal

A great competition between companies happens nowadays, due to, among other factors, the globalized economic system, the growing consumer demand and the technological advances. This fact implies the need for fast and efficient tools in decision making. A validated simulation model is able to perform this task. Thus, it was parameterized a simulation model of a fuel distribution terminal. It is a complex system because of its great variability. The model´s data input were collected, however the model was not statistically validated, in other word, does not adequately represent the real system. A search was made for the possible causes of this fact: dividing the compartments of tanker trucks, data collection may have been insufficient, inefficient model for unloading of biofuels

A fisiologia da paisagem e as potencialidades turísticas ao longo do vale histórico da Serra da Bocaina-SP

The region encompassed by the cities of Bocaina’s Historic Valley has your formation closely linked to the coffee´s culture, that were installed during the nineteenth century bringing, at first, a great economic and population growth. However, with the time, the incorrect wear land of the area combined with the antislavery movement and the discovery of more fertile soils in western of São Paulo, among other factors, brought serious setbacks for coffee production in the region which ultimately migrate to other areas, causing an economic crisis in the region that endures to this day. Thus, this paper aims to conduct a study that part of an update of the concept of physiology landscape to identify the physical, ecological and social facts that make up the area of this region, to understand the real causes and consequences of the crisis and what potential persist to circumvent it

A inserção da Família nos serviços de Saúde Mental: uma revisão sistemática da Literatura

It is a systematic literature review, wich aimed to analyze documents, as is the inclusion of the family in Mental Health Services. To do so was based on a literature in the database of the Latin American and Caribbean Health Sciences (LILACS). And the documents were selected from the question which funded the research to evaluate the contribution of scientific research published in journals in the period 2000 to 2011. Data analysis reveals that the government's efforts in having the family as an ally, not a recent phenomenon. But this is a process that depends not only on government, also depends on the professionals involved and of their own families, and other factors. It is concluded that much remains to be done, both in terms of research for the topic, the actions in the reality of such a process

Degradação ambiental e qualidade de vida na microbacia do Córrego do Gramado – Presidente Prudente/São Paulo

The late industrialization, together with other factors, ended up directing much of the rural population to cities, without adequate planning, resulting in high density and irregular settlements in risk areas to low-income population. The man settled in the urban site to break environmental laws that eventually causing an imbalance in the natural environment, causing or exacerbating the shortage in availability of water resources. This situation also happened in Presidente Prudente, especially in the east, the focus of this research. Therefore, this study aims to understand the causes of degradation of waterways in urban areas, focusing on society's relationship with nature and its consequences on environmental quality and quality of life of urban population located in the watershed of stream of Gramado, Presidente Prudente - São Paulo. In this catchment there is the irregular deposition of solid waste in the valley, remnants of old pollution release of domestic sewage and industrial (currently collected and intended for treatment), accelerated processes of erosion in some areas of intensive use of the relief and consequently, the bed siltation of streams that are part of the basin. The quality of urban life was seen through socioeconomic and environmental indicators, which were identified through questionnaires to residents, according to local residence in the landscape, divided into three segments: the tops 60 residents, 90 residents and 112 residents in the areas in valley bottoms. With these data we can relate them to the degradation of the basin and aggregate them to the quality of life of residents. Field studies were needed to visualize the changes that occurred in the watershed over the past three years, with the implementation of works aimed at improvements to the community as the conduit stream of Gramado and construction and operation of Sewage Pumping Stations... (Complete abstract click electronic access below)

Seleção de áreas potenciais para implantação da zona de processamento e exportação de Fernandópolis - SP utilizando geotecnologia

The implementation of an Export and Processing Zone (ZEPs) brings several benefits to the local, state and federal economy, but often, only socioeconomic factors are considered, apart from several other factors that should be analyzed, such as the environment. In this context of industrialization and the struggle for sustainable development, this work propose to incorporate the environmental variable in the decision process for establishing industrial areas, in particular, the ZPE in the city of Fernandópolis, São Paulo state, Brazil, by examining several physical and environmental factors such as slope intervals, geological features, pedological factors and land use. Developed using a multicriteria analysis, a model has been elaborated, where these factors have received a proportional value according with their importance, supported by a GIS tool (Geographical Information System) and remote sensing products, such as images from CBERS satellite and SRTM radar, showing the suited areas for industrial activities, considering environmental conditions. This model may assist to take better decision about the ZPE implementation area and to reduce the negative environmental impacts that would result of poorly planned locations

Plano real e a nova realidade brasileira

This paper analyzes the Real Plan and its effects on two administrations of President Fernando Henrique Cardoso (FHC), a period which extends from 1995 to 2002. To this end, the study includes a brief review of the problems faced by previous plans, especially the Cruzado Plan and the reasons for the belief that it has been successfull in relation to inflation control. Additionally, seeking to describe the process of moving to the new currency towards stabilization, the paper describes the theoretical foundations of the Plan. In sequence, it defines the backround of both international and domestic monetary reform which was one important part of the Plan and therefore the reasons for the implementation of the monetary reform. Subsequently the paper deals with the effects of the Plan on the economy as a whole, covering also the way the economic measures were taken concerning the Mexican and Asian crisis, the policies used fot the exchange rate, interest rate, fiscal accounts, balance of payments, among other factors and the relationship between them. Hence, it describes the immediate and the long-term consequences of stabilization program in terms of output, employment, public deficit and debt. Therefore, it is important to note the various junctures to which the economy was exposed, and also to point out the challenges and obstacles arising from these changes for growth, which was sometimes fast, sometimes slowing down - the so-called stop and go. Of course, facts as the moving to floating exchange rate regime, the adoption of inflation targeting regime and the adoption of fiscal responsibility law along with the primary surplus policy were able to create a new economic environment and to contribute to later success of the Cardoso years

Análise quantitativa de demanda em uma empresa siderúrgica

Companies, in general, operate due to the work of its subsystems and this is possible thanks to operational planning that tries to promote the best way to integrate them without giving up the mission, vision and values of the company. The main purpose of a business is to serve customers, but to be successful must take into account other factors such as survival, profitability, growth and operational standpoint to use their resources effectively. The use of tools to support the process of analysis of management decision-making is gaining importance in the context of competitiveness in the world market. The objective of this paper is to present a simulation of the process of forecasting demand to obtain optimal results for a steel company, compare the actual results with order entry and assess the magnitude of the error