913 resultados para Poisson regression model
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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This work presents a study in quality of health care, with focus on consulting appointment. The main purpose is to define a statistical model and propose a quality grade of the consulting appointment time. The time considered is that from the day the patient get the appointment done to the day the consulting is realized. It is used reliability techniques and functions that has as main characteristic the analysis of data regarding the time of occurrence certain event. It is gathered a random sample of 1743 patients in the appointment system of a University Hospital - the Hospital Universitário Onofre Lopes - of the Federal University of Rio Grande do Norte, Brazil. The sample is randomly stratified in terms on clinical specialty. The data were analyzed against the parametric methods of the reliability statistics and the adjustment of the regression model resulted in the Weibull distribution being best fit to data. The quality grade proposed is based in the PAHO criteria for a consulting appointment and result that no clinic got the PAHO quality grade. The quality grade proposed could be used to define priority for improvement and as criteria to quality control
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Este experimento foi conduzido para avaliar as exigências de triptofano e o padrão de recuperação do desempenho de poedeiras alimentadas com rações deficientes em triptofano. Foram utilizadas 160 poedeiras comerciais da linhagem Hisex White distribuídas em um delineamento inteiramente casualizado com cinco níveis de triptofano nas dietas (0,13; 0,15; 0,17; 0,19 e 0,21%), com oito repetições de quatro aves. As poedeiras permaneceram por duas semanas em adaptação (51 a 52 semanas), por seis semanas para avaliação da exigência de triptofano (53 a 58 semanas) e por quatro semanas para determinação do padrão de recuperação do desempenho (59 a 62 semanas). A produção e a massa de ovos foram prejudicadas quando as poedeiras foram alimentadas com rações contendo 0,13% de triptofano, no entanto, o desempenho foi recuperado após uma semana de alimentação com ração contendo 0,21% desse aminoácido. A qualidade interna dos ovos não foi influenciada pelos níveis de triptofano estudados (ingestão de 137,1 a 228,0 mg triptofano/dia). As exigências de triptofano foram estabelecidas entre 161 e 188 mg/dia, dependendo da característica avaliada (produção ou massa de ovos) e do modelo de regressão aplicado (polinomial, exponencial ou segmentado).
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Objetivou-se neste trabalho avaliar diferentes períodos de controle e de convivência de uma comunidade de plantas daninhas na cultura da batata 'Atlantic'. O experimento foi realizado no município de Botucatu-SP, e o delineamento experimental utilizado foi de blocos ao acaso com quatro repetições. Os tratamentos constituíram-se de seis períodos de controle, nos quais a cultura foi mantida livre da comunidade de plantas daninhas e após cada período, as plantas daninhas foram deixadas crescer livremente; e de seis períodos de convivência, nos quais a cultura foi mantida na presença da comunidade de plantas daninhas e após cada período, as plantas daninhas foram eliminadas até a colheita. Os períodos foram de 7, 14, 21, 28, 35 e 42 dias após o plantio dos tubérculos, além de uma testemunha mantida sempre livre de plantas daninhas e outra mantida sempre na presença dessas plantas. Foram identificadas 9 famílias e 15 espécies de plantas daninhas, com destaque para Bidens pilosa, Galinsoga parviflora,Brachiaria plantaginea,Commelina benghalensis e Digitaria horizontalis. Os resultados de produção de tubérculos ajustaram-se ao modelo de regressão não-linear: y = 8,907+(17,722/[1+(x/16,865)-8,412]), (R² = 0,963*) - equação para os períodos de controle e y = 5,728+(24,789/[1+(x/39,292)2,247 ]), (R² = 0,947*) - equação para os períodos de convivência. Assim, considerando perda de 5% na produtividade como aceitável, foram determinados o período anterior à interferência (PAI), que foi de 20 dias; o período total de prevenção à interferência (PTPI), de 21 dias; e o período crítico de prevenção da interferência (PCPI), de apenas de um dia, dos 20 aos 21 dias após o plantio dos tubérculos.
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Objetivou-se com este trabalho estimar os períodos de interferência das plantas daninhas na cultura do sorgo granífero BRS 310. O experimento foi realizado no município de Botucatu/SP, em delineamento experimental de blocos ao acaso, com quatro repetições. Os tratamentos constituíram-se de oito períodos de controle, nos quais a cultura foi mantida livre da comunidade de plantas daninhas, e de oito períodos de convivência, nos quais a cultura foi mantida na presença da comunidade infestante. Os períodos foram: 7, 14, 21, 28, 35, 42, 49 e 56 dias após a semeadura (DAS), além de uma testemunha mantida livre da interferência das plantas daninhas e outra mantida na presença destas. Foram identificadas 11 famílias e 17 espécies de plantas daninhas, destacando-se as famílias Asteraceae e Poaceae, com o maior número de espécies. Para determinação dos períodos de interferência, os dados de produtividade de grãos, comprimento da panícula e massa seca da parte aérea das plantas de sorgo obtidos foram ajustados ao modelo de regressão não linear: y = a/[1+(x/b)c]. Considerando como aceitável perda de 5% para a produtividade de grãos, o comprimento da panícula e a massa seca da parte aérea das plantas de sorgo, determinou-se o período anterior à interferência (PAI) de 42, 72 e 15 DAS e o período total de prevenção à interferência (PTPI) de 26, 17 e 12 DAS, respectivamente. Não houve período crítico de prevenção da interferência (PCPI) para os parâmetros avaliados.
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To investigate the nutrition-related habits (NRH) of Brazilian adolescents and evaluate the associations with risk factors.Cross-sectional school-based was carried out among high school adolescents aged 14-18 years (n = 1,759) from public and private schools from two cities. The NRH were investigated by the weekly consumption of vegetables, fruit, sweet food and fried food. Risk factors investigated were: city, sex, age, socioeconomic status and nutritional status. In statistics, Poisson regression was used with robust variance adjustment.Data indicated low consumption of fruits and vegetables, 70.0 and 71.0%, respectively, and high consumption of sweets and fried food, 66.7 and 63%, respectively. Boys showed risk of inadequate intake of vegetables [prevalence ratios (PR) 1.10, 95% CI 1.01-1.16] and fruit (PR 1.09, 95% CI 1.01-1.16). Furthermore, adolescents who live in Maringa had greater likelihood of consuming vegetables and fruit (20 and 25%, respectively). However, they presented risk of inadequate consumption of sweets (PR 1.19, 95% CI 1.11-1.28) for adolescents who live in Presidente Prudente.We concluded that inadequate NRH show high prevalence among adolescents and indicate the need to employ educational strategies that promote the adoption of more healthy habits and behaviors.
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The aim of this study was to analyze the association between nutritional status and blood pressure in adolescents from a private school. Were recruited 316 young of both gender with age raging from 11 to 15 years old. Were measured body mass, stature, systolic blood pressure and diastolic blood pressure. The statistic procedures were composed by median, interquartile range, chi-square test and Poisson regression. The prevalence of overweight and high blood pressure was significantly higher in boys (38% and 24%, respectively) when compared to girls (19.3% and 14.4%, respectively). Overweight adolescents presented a higher risk (about 2-fold) to develop high blood pressure. In conclusion, overweight seems to be associate with high blood pressure in adolescents.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Introduction: The aging process causes quantitative and qualitative changes in sleeping. Such changes affects more than half of the adults above 65 years old, that live in the community and 70% of the institutionalized, a great negative impact in their quality of life. One of the pathological displays of aging, that share some characteristics with sleeping disorders and predict similar results, is the Frailty Syndrome, that characterize the most weakened and vulnerable elderly. The way sleeping disorders play a role in the frailty pathogeneses remains uncertain. Objective: Evaluate the relation between the sleeping and the frailty syndrome on institutionalized elderly. Methodology: A transversal study was performed with 69 elderly in institutions in the city of João Pessoa PB. Were used the Pittsburgh Sleeping Quality Index and actigraphy to subjective and objective variables, respectively, and questionnaires and specific tests to frailty phenotype variant (Fried Frailty Criteria). In the statistic analysis were used the Pearson correlation test, Chi Square and One-way ANOVA test, with Tukey-Krammer posttest. Subsequently, a Simple Linear Regression model was built. On every statistical analysis were considered a confidence interval of 95% and a p < 0,05. Results: The sample was characterized by the prevalence of the frail (49,3%), women (62,3%), single (50,7%) and 77,52 (±7,82).The frail elderly obtained the worst sleeping quality 10,37 (±4,31) (f = 4,15, p = 0,02), when compared with the non-frail. The sleep latency influenced more the frailty (R2 = 0,13, β standard = 1,76, β = 0,41, p = 0,001). Weren t found differences between the standard resting-activity variable and the frailty phenotype categories. Conclusion: Sleeping alterations, including bad sleeping quality, prolonged sleep latency, low sleep efficiency and day drowsiness, influenced the frailty in institutionalized elderly
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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
Characteristics of family nucleus as correlates of regular participation in sports among adolescents
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Objectives To estimate the relationship between family nucleus and sport practice among adolescents.Methods A school-based cross-sectional study carried out with 1,752 Brazilian adolescents (812 male and 940 female), aged 11-17 years. Characteristics of the family nucleus (parental education, socioeconomic status and number of siblings) and sport practice (>= 240 min/week) were assessed by questionnaires. Adjusted prevalence ratios were estimated using Poisson regression models.Results The overall prevalence of sport practice was 14.8% (boys 21.2% and girls 9.4%, P = 0.001). Higher socioeconomic status, number of siblings and parents' educational level were associated with more sport practice.Conclusion Despite the low engagement, family nucleus plays an essential role in the sport practice of our sample of Brazilian adolescents.
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The term fatigability concerns the degree of fatigue associated with performing an activity of any type (physical, mental, emotional and / or social). Recently scales for assessing fatigue in the English language were created, however, gaps exist regarding the validity of these scales in relation to oxygen consumption and levels of perceived fatigue. Objective: To investigate the validity of perceived fatigability scale in older women frail and non-frail by the expired gases kinetics. Methods: This is a study of type validation, where were evaluated 48 elderly. The evaluation was conducted at two different sessions. In the first, data were collected demographic partners, as well as assessment of cognitive function, physical health, and the phenotype of frailty. The second was composed by the test 6-minute walk (6MWT) associated the expired gases kinects and assessment of perceived fatigability. Statistical analysis was performed a descriptive analysis and then we used the Pearson correlation test to evaluate the relationship between the measure of perceived fatigue and variables oxygen consumption (VO2), carbon dioxide production (VCO2), respiratory exchange ratio (RER)before and after 6MWT. We used a linear regression model initially considering the following explanatory variable: age, Body Mass Index (BMI), presence of frailty, comorbidities, level of physical activity, distance covered in the 6MWT , the energy cost of walking and severity of fatigability on performance. Results: The final sample consisted of 44 elderly women, 4 elderly were excluded because they didn t complete all phases of this study. The mean age obtained was 75 years (± 7.2 years). There was no significant correlation between fatigability measures and the values of VO2 ( r = .09 , p = .56 ) , VCO2 ( r = .173 , p = .26 ) , RER ( r = - .121 , p = .43 ). The final linear regression model showed that the energy cost of walking, the usual level of physical activity and the performance severity of fatigability explained 83.5 % (R2 = 0.835, p < 0.01) of the variation in the perceived fatigability. Conclusion: Our findings indicate a relationship between greater severity of fatigability and lower levels of physical activity and increased energy cost in walking, suggesting that the fatigability analyses using a simple numeric scale is valid and viable for assessment of fatigue in older women
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Instruments are used in odontology to measure the Quality of Life Related to Oral Health (OHRQoL) to scale how the oral condition interferes with functional areas, of the people s psychological and social life. This cross-sectional study, held in Natal/RN, with 215 students from the Federal Institute of Education, Science and Technology of Rio Grande do Norte (IFRN) has investigated the association between the performance of daily activities and oral health status of school adolescents from 15 to 19 years of age, through the normative index DMFT (permanent teeth decayed, missing and filled), CPI (Community Periodontal Index) and DAI (dental Aesthetic Index) and subjective questionnaire assessment of quality of life related oral health OIDP index (oral impacts on daily performance). It was also carried out the socioeconomic characteristics of students through IFRN own data. Concerning the analysis of data was performed a descriptive analysis of the variables by their absolute and relative frequencies and measures of central tendency. The chi-square test was used to assess the association between the dependent variable and the independent categorical variables and the Student t test for quantitative. It was also conducted a further multiple analysis out using Poisson regression with robust variance between the outcome "presence of impact" and the independent variables that showed p <0.20. It was used for all the statistical tests a significance level of 5%. Among the adolescents surveyed, 51.16% reported that at least one activity assessed by OIDP had hampered its implementation due to some dental problem. The difficulties were more pronounced in the activities of eating (31.6%), oral hygiene (25.6%) and smile (25.1%).The tooth position, followed by toothache, were the causes of the impacts reported by most teenagers. There was a significant association between the presence and impact of the presence of one or more decayed teeth (p = 0.012), the presence of gum bleeding (p = 0.012) and for orthodontic treatment (p = 0.003), independently of other variables. There was no significant association between oral health status and socioeconomic and demographic characteristics of the adolescents. The survey results showed that there is an association between oral health status of the population studied and reports of difficulties in carrying out daily activities evaluated. The worse the oral health status, the greater the impact of this condition on the adolescents quality of life