Apoio social e síndrome da fragilidade em idosos residentes na comunidade

Introduction: The frailty in the elderly is the result of a complex interplay between many social and clinical factors involved in its genesis. Although there is an understanding of its association with increased risk of adverse clinical outcomes, still it is unclear whether this syndrome can be aggravated due to lack of social support. So, the objective of this study was to analyze the association between social support and frailty syndrome in elderly community residents. Materials and methods: Observational analytical cross-sectional study, with a sample of 300 elderly living in the city of Natal-RN. Were collected informations about socialdemographic, economics and physical health data. The Social support was assessed by the status of cohabitation; marital status; contact frequency and diversity rate; received and given attendance frequency rate; and Map Minimum Relations of the Elderly. The frailty was assessed using the following criteria: unintentional weight loss, weakness, low physical activity, exhaustion and Slowness. To observe any possible associations, we performed the Pearson chi-square test, the Student t test and multivariate analysis using binary logistic regression, adopting a significance level of 5%. Results: It was observed that there were no associations of frailty with the social support variables, except for housekeeping mode (p = 0.046) of the MMRI. For the sociodemographic, economic, physical health and social support data, only age (p <0.001), sedentary lifestyle (p = 0.002) and poor perceived health (p = 0.001) were the ones that remained in the logistic regression model, with strong association for the presence of frailty. Conclusion: Among the variables related to social support, only to help with housekeeping was significantly associated with frailty. However, more studies need to be developed to characterize the social vulnerability, as well as health services need to recognize the importance of social support as an integral part of care for the elderly

Logística reversa numa empresa de laminação de vidros: um estudo de caso

Este trabalho apresenta uma aplicação da Logística Reversa numa empresa multinacional que atua na área de laminação de vidros no Brasil. Na empresa estudada, a sucata gerada pelos seus clientes pode ser usada para realimentar o seu processo de produção. Inicialmente, são discutidos os principais aspectos relacionados ao tema, tais como, definição de Logística Reversa, ciclo de vida do produto, motivos e destinos do retorno, além dos fatores que influenciam a eficiência de um processo de Logística Reversa. A seguir, ilustradas pelo estudo de caso, são apresentadas e comentadas as etapas para uma implementação de um sistema de Logística Reversa ser bem sucedida. Finalmente, comentam-se as dificuldades, ganhos e vantagens competitivas obtidas por empresas que adotaram soluções da Logística Reversa, em particular na empresa em que o estudo de caso foi desenvolvido.

Estratégias de cuidado integral à saúde: os CAPS no processo de implementação do apoio matricial em Natal/RN

This study aims to analyzing the implementation of the Matrix Support proposal with professionals of Substitutive Services in Mental Health in the city of Natal/RN. The Matrix Support (MS) is an institutional arrangement which has been recently adopted by the Health Ministry, as an administrative strategy, for the construction of a wide care net in Mental Health, deviating the logic of indiscriminate follow-through changed by one of co-responsibility. In addition to this, its goal is to promote a major resolution as regards health assistance. Integral attention, as it is intended by the unique health system, may be reached by means of knowledge and practices interchange, establishing an interdisciplinary work logic, through an interconnected net of health services. For the accomplishment of this study, individual interviews of semi-structured character were used as instrument, with the coordinators and technical staff of the CAPs. The data collection was done in the following services: CAPS II ( East and West) and CAPS ad ( North and East), in the city of Natal/RN. The results point out that the CAPs to initiate of the discussion the process in the implementation of the MS aiming, to promote the reorganization and redefinition of the flow in the net, thus not acting in a fragmented way. Nevertheless, there is no effective articulation concerning the basic attention services, there is a major focus of the attention in mental health on the specialized services, little insertion in the territory and in the everyday life of the community

Cauchy-Stieltjes Integral on Time Scales in Banach Spaces and Hysteresis Operators

The play operator has a fundamental importance in the theory of hysteresis. It was studied in various settings as shown by P. Krejci and Ph. Laurencot in 2002. In that work it was considered the Young integral in the frame of Hilbert spaces. Here we study the play in the frame of the regulated functions (that is: the ones having only discontinuities of the first kind) on a general time scale T (that is: with T being a nonempty closed set of real numbers) with values in a Banach space. We will be showing that the dual space in this case will be defined as the space of operators of bounded semivariation if we consider as the bilinearity pairing the Cauchy-Stieltjes integral on time scales.

Fluidez territorial e logística: o PAC no Rio Grande do Norte

The state is responsible for creating regulatory and infrastructural conditions in a determined territory. These actions generate macrodynamics, however, in some cases they show selective and restricted, as in the case concerning the transportation sector. The actions of the Brazilian government aimed at territorial fluidity nowadays are evidenced especially by the Growth Acceleration Program (PAC). The PAC in the axes allocated to the transport sector, called logistics, which in turn appears as a pressing necessity and as an ideology of the current period. Therefore, within this context of territorial transformations resulting from this program we situate our work that aims to understand how the actions of the State implemented and planned under the PAC are configuring or can configure the brazilian territorial logistics, particularly in the state of Rio Grande do Norte

Fatores de risco associados à mortalidade de recém-nascidos de muito baixo peso na cidade de Botucatu, São Paulo, no período 1995-2000

OBJETIVOS: avaliar as práticas assistenciais, a ocorrência de doenças, a mortalidade durante a hospitalização e os fatores associados em recém-nascidos prematuros de muito baixo peso (PT-MBP). MÉTODOS: estudo transversal comparando dois períodos: 1995-1997 e 1998-2000 e envolvendo todos os PT-MBP nascidos vivos (n= 451), em um centro perinatal, em Botucatu, São Paulo, Brasil. Os fatores de risco pré-natal e pós-natal foram submetidos a análise multivariada. RESULTADOS: a mortalidade diminuiu de 36,2% para 29,5%. A sobrevida melhorou e foi superior a 50% a partir de 28 semanas e de 750 g de peso. O uso de corticosteróide antenatal aumentou de 25% para 42%, o surfactante exógeno de 14% para 28%, com redução na incidência e gravidade da síndrome do desconforto respiratório. A regressão logística mostrou que a síndrome do desconforto respiratório grave, Odds ratio=18, e a sepse precoce, Odds ratio=2,8, foram importantes fatores de risco para morte em 1995-1997. No período de 1998-2000, a sepse precoce e tardia, Odds ratio=10,5 e 12, respectivamente, aumentaram o risco de morte. CONCLUSÕES: a melhora na assistência perinatal diminuiu a mortalidade do PT-MBP. O aumento na exposição antenatal ao corticosteróide diminuiu a gravidade da síndrome do desconforto respiratório. em 1998-2000, a sepse foi o único fator de risco para morte.

Integral equations of scattering in one dimension

A self-contained discussion of integral equations of scattering is presented in the case of centrally symmetric potentials in one dimension, which will facilitate the understanding of more complex scattering integral equations in two and three dimensions. The present discussion illustrates in a simple fashion the concept of partial-wave decomposition, Green's function, Lippmann-Schwinger integral equations of scattering for wave function and transition operator, optical theorem, and unitarity relation. We illustrate the present approach with a Dirac delta potential. (C) 2001 American Association of Physics Teachers.

Dressed coordinates: the path-integral approach

The recently introduced dressed coordinates are studied in the path-integral approach. These coordinates are defined in the context of a harmonic oscillator linearly coupled to massless scalar field and it is shown that in this model the dressed coordinates appear as a coordinate transformation preserving the path-integral functional measure. The analysis also generalizes the sum rules established in a previous work. (c) 2006 Elsevier B.V. All rights reserved.

A path integral approach to the full Dicke model with dipole-dipole interaction

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Path integral quantization of generalized quantum electrodynamics

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Path integral approach to the full Dicke model

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

Approximations for the generalized temperature integral: a method based on quadrature rules

The generalized temperature integral I(m, x) appears in non-isothermal kinetic analysis when the frequency factor depends on the temperature. A procedure based on Gaussian quadrature to obtain analytical approximations for the integral I(m, x) was proposed. The results showed good agreement between the obtained approximation values and those obtained by numerical integration. Unless other approximations found in literature, the methodology presented in this paper can be easily generalized in order to obtain approximations with the maximum of accurate.

Rational approximations of the Arrhenius integral using Jacobi fractions and gaussian quadrature

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

Fatores familiares associados à obesidade abdominal entre adolescentes

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Articulação entre produção e logística no final do século XX e início do XXI: reflexos no estado de São Paulo

A produção tem-se mostrado cada vez mais vinculada ao sistema logístico. Com a reestruturação produtiva é possível apontar transformações no sistema produtivo como: vinculação mais acentuada entre a produção e a distribuição, nas localizações das unidades industriais, comerciais e de serviços. Tais mudanças exigiram do Estado maiores investimentos nos sistemas de transportes e de comunicações que são imprescindíveis à logística, além de optarem pela privatização ou pelas concessões de rodovias e ferrovias. Por meio dessas afirmações o artigo tem a pretensão de mostrar como ocorreu e ocorrem estes processos utilizando-se de exemplos e manifestações desses acontecimentos no Estado de São Paulo.