Estresse ocupacional segundo o modelo demanda-controle e suas repercussões na saúde do trabalhador de enfermagem: análise das variações de cortisol salivar

O objeto de estudo foi o estresse no trabalho e os níveis de cortisol salivar. O objetivo geral foi avaliar a associação entre estresse no trabalho e variações de cortisol salivar de trabalhadores de Enfermagem inseridos na assistência hospitalar no Rio de Janeiro. A hipótese do estudo foi que existe associação entre trabalhadores expostos à alta exigência no trabalho e as variações de cortisol salivar. Trata-se de estudo epidemiológico observacional analítico seccional, realizado em hospital estadual localizado no Rio de Janeiro com amostra de 103 trabalhadores. Para avaliação dos aspectos psicossociais do trabalho, utilizou-se o questionário Job Content Questionnaire. O cortisol salivar foi medido através da coleta de 04 amostras de cada participante em um dia do plantão: ao acordar, 30 minutos depois, às 12h e 18 h. A coleta de dados foi realizada entre março e abril de 2012. Utilizou-se o programa SPSS 18.0 para análise dos dados. As dimensões demanda psicológica e controle e a subtração foram utilizadas sob a forma contínua nas análises de correlação com as covariáveis e desfecho. Os níveis de cortisol foram quantificados por meio de cinco índices: o cálculo da área sob a curva em relação ao zero ou base (AUCg), área sob a curva em relação ao aumento (AUCi), o aumento médio (MnInc), a excreção do cortisol no período pós acordar (AUCtrab) e a área sob a curva em relação ao zero ou base do ciclo diurno (AUCCD). Para avaliar a associação entre as covariáveis e exposição e desfecho utilizou-se os testes de Mann Whitney e Kruskall-Wallis. As covariáveis associadas à exposição ou ao desfecho com nível de significância de 20% (p≤0,20) foram testadas no modelo de regressão linear. Realizada análise de correlação utilizando-se o coeficiente de correlação de Spearmans. Como resultado encontrou-se que os trabalhadores de Enfermagem obtiveram médias para demanda psicológica e controle que tendem para o limite superior, bem como para a subtração, caracterizando alta demanda e alto controle, ou seja, trabalho ativo. O valor médio de cortisol observado ao acordar, 30 minutos após, 12h e 18h foi de 5,82 nmol/L) (4,86), 16,60 nmol/L ( 8,31), 7,49 nmol/L ( 6,97) e 3,93 nmol/L ( 3,15), respectivamente. O aumento do cortisol entre o acordar e 30 minutos após foi em média de 64%. Já para os índices de cortisol adotados observa-se o valor médio da MnInc, AUCg, AUCi, AUCtrab e AUCCD foi de 10,78 nmol/L (6,99), 5,61 nmol/L ( 2,92) 2,69 nmol/L ( 1,75), 32,51 nmol/L ( 21,99) e 107,99 nmol/L ( 61,63), respectivamente. Este estudo demonstrou que os níveis de cortisol salivar livre não estão associados à alta exigência no trabalho, mesmo quando ajustadas pelas possíveis variáveis de confusão ou modificadoras de efeito. A hipótese do estudo não foi confirmada. Os dados obtidos neste estudo revelaram aspectos importantes dos riscos psicossociais a que estão expostos os trabalhadores de Enfermagem durante o processo de trabalho, oferecendo subsídios para que sejam implementados programas de orientação e promoção à saúde do trabalhador e fornecem um contributo para entender os caminhos biológicos pelos quais o estresse no trabalho influencia a saúde.

Model Refinement for the Active Control of Thermoacoustic Instability

Active control has been shown as a feasible technology for suppressing thermoacoustic instability in continuous combustion systems, and the control strategy design is substantially dependent on the reliability of the flame model. In this paper, refinement of G-equation flame model for the dynamics of lean premixed combustion is investigated. Precisely, the dynamics between the flame speed S_u and equivalence ratio phi are proposed based on numerical calculations and physical explanations. Finally, the developed model is tested on one set of experimental data.

Low molar mass organosiloxane liquid crystals for telecommunication applications

Mixtures of two proprietary low molar mass organosiloxane liquid crystals were studied in order to improve their alignment and optimize their electro-optic properties for telecommunication applications. Over a certain concentration range, mixtures exhibited an isotropic-chiral smectic A-chiral smectic C (Iso-SmA*-SmC*) phase sequence leading to exceptionally good alignment. At room temperature, the spontaneous polarization of these samples was reduced from 225 nC cm -2 in the pure SmC* liquid crystal to as low as 75 nC cm -2 in the mixture. Within this concentration range, the ferroelectric tilt angle could be varied between 35° and 15°, while the rise time decreased by 69.4%. The rise times were < 45 μs for moderate electric fields of ± 10 V μm -1 in the SmC* phase and ∼ 4 μs, independent of electric field, in the SmA* phase. At λ = 1550 nm, these mixtures exhibited very large extinction ratios of {\sim} 60 dB for binary switching in the SmC* phase and ∼ 55 dB continuous variable attenuation in the SmA* phase. © 2012 IEEE.

Invariant measure selection by noise. An example

We consider a deterministic system with two conserved quantities and infinity many invariant measures. However the systems possess a unique invariant measure when enough stochastic forcing and balancing dissipation are added. We then show that as the forcing and dissipation are removed a unique limit of the deterministic system is selected. The exact structure of the limiting measure depends on the specifics of the stochastic forcing.

Entanglers: Beam splitters and thermal fields

Entanglement is an important ingredient for quantum information processing. We discuss some sources of entanglement, namely a beam splitter and a thermal field. For the generation of entangled continuous-variable states, we consider a beam splitter and find some conditions for input fields to see entanglement in the output. While a beam splitter is a unitary device to generate an entangled state for a bipartite continuous-variable system, a thermal field is shown to mediate entanglement of two qubits.

Asymmetric quantum channel for quantum teleportation

We propose an optimal strategy for continuous-variable teleportation in a realistic situation. We show that the typical imperfect quantum operation can be described as a combination of an asymmetrically decohered quantum channel and perfect apparatuses for other operations. For the asymmetrically decohered quantum channel, we find some counterintuitive results: teleportation does not necessarily get better as the channel is initially squeezed more. We show that decoherence-assisted measurement and transformation may enhance fidelity for an asymmetrically mixed quantum channel.

Qubit state guidance without feedback

We study a protocol for two-qubit-state guidance that does not rely on feedback mechanisms. In our scheme, entanglement can be concentrated by arranging the interactions of the qubits with a continuous variable ancilla. By properly post-selecting the outcomes of repeated measurements performed on the state of the ancilla, the qubit state is driven to have a desired amount of purity and entanglement. We stress the primary role played by the first iterations of the protocol. Inefficiencies in the detection operations can be fully taken into account. We also discuss the robustness of the guidance protocol to the effects of an experimentally motivated model for mixedness of the ancillary states.

Dynamical and steady-state requirements for effective entanglement transfer

Entanglement transfer processes from a continuous-variable (CV) to a qubit system have primary importance in quantum information processing due to some practical implications in the realization of a quantum network. A CV system can propagate entanglement while a qubit system is easy to manipulate. We study conditions to entangle two atomic qubits with a two-mode squeezed field driving two cavities containing the atoms.

Dynamical entanglement transfer for quantum-information networks

A key element in the architecture of a quantum-information processing network is a reliable physical interface between fields and qubits. We study a process of entanglement transfer engineering, where two remote qubits respectively interact with an entangled two-mode continuous-variable (CV) field. We quantify the entanglement induced in the qubit state at the expenses of the loss of entanglement in the CV system. We discuss the range of mixed entangled states which can be obtained with this setup. Furthermore, we suggest a protocol to determine the residual entangling power of the light fields inferring, thus, the entanglement left in the field modes which, after the interaction, are no longer in a Gaussian state. Two different setups are proposed: a cavity-QED system and an interface between superconducting qubits and field modes. We address in detail the practical difficulties inherent in these two proposals, showing that the latter is promising in many aspects.

d-outcome measurement for a nonlocality test

For the purpose of a nonlocality test, we propose a general correlation observable of two parties by utilizing local d- outcome measurements with SU(d) transformations and classical communications. Generic symmetries of the SU(d) transformations and correlation observables are found for the test of nonlocality. It is shown that these symmetries dramatically reduce the number of numerical variables, which is important for numerical analysis of nonlocality. A linear combination of the correlation observables, which is reduced to the Clauser- Home-Shimony-Holt (CHSH) Bell's inequality for two outcome measurements, leads to the Collins-Gisin-Linden-Massar-Popescu (CGLMP) nonlocality test for d-outcome measurement. As a system to be tested for its nonlocality, we investigate a continuous- variable (CV) entangled state with d measurement outcomes. It allows the comparison of nonlocality based on different numbers of measurement outcomes on one physical system. In our example of the CV state, we find that a pure entangled state of any degree violates Bell's inequality for d(greater than or equal to2) measurement outcomes when the observables are of SU(d) transformations.

Characterization of the entanglement of two squeezed states

We study a continuous-variable entangled state composed of two states which are squeezed in two opposite quadratures in phase space. Various entanglement conditions are tested for the entangled squeezed state and we study decoherence models for noise, producing a mixed entangled squeezed state. We briefly describe a probabilistic protocol for entanglement swapping based on the use of this class of entangled states and the main features of a general generation scheme.

Complete conditions for entanglement transfer

We investigate the conditions to entangle two qubits interacting with local environments driven by a continuous-variable correlated field. We find the conditions to transfer the entanglement from the driving field to the qubits both in dynamical and steady-state cases. We see how the quantum correlations initially present in the driving field play a critical role in the entanglement-transfer process. The system we treat is general enough to be adapted to different physical setups.

Coronary heart disease: health knowledge and behaviour

Objective To determine the current level of knowledge and understanding of CHD in the general public in Northern Ireland and to identify factors that are associated with higher knowledge levels. Setting Six provincial centres in Northern Ireland. Methods The data in the present study were collected using an interview administered questionnaire. 1,000 members of the general public were interviewed face-to-face. CHD knowledge was computed as a continuous variable, i.e. higher score represents better CHD knowledge. Main outcome measure CHD knowledge in the general public in Northern Ireland. Results Study respondents displayed limited knowledge and understanding of CHD. Study respondents who achieved higher CHD knowledge scores were more likely to report: exercising for 30 min three times or more per week, paying attention to their diet, being overweight, having a family history of CHD, living in a higher socioeconomic area (according to postcode) and having attended tertiary education. Respondents in the present study while recognising the role that community pharmacists had to play in helping patients manage their prescribed medicines, did not recognise the community pharmacists' role in other aspects of CHD detection or management. Conclusion The deficit in CHD knowledge could translate into inadequate preventative behaviour patterns and suboptimal clinical outcomes. If community pharmacists wish to become increasingly involved in public health delivery relating to CHD they need to develop effective and accessible services and promote these to the public who at present do not recognise this role of the community pharmacist.

Non-locality of two ultracold trapped atoms

We undertake a detailed analysis of the non-local properties of the fundamental problem of two trapped, distinguishable neutral atoms that interact with a short-range potential characterized by an s-wave scattering length. We show that this interaction generates continuous variable (CV) entanglement between the external degrees of freedom of the atoms and consider its behaviour as a function of both, the distance between the traps and the magnitude of the inter-particle scattering length. We first quantify the entanglement in the ground state of the system at zero temperature and then, adopting a phase-space approach, test the violation of the Clauser-Horn-Shimony-Holt inequality at zero and non-zero temperature and under the effects of general dissipative local environments.

Hyperglycemia and adverse pregnancy outcome (HAPO) study:Associations with neonatal anthropometrics

OBJECTIVE-To examine associations of neonatal adiposity with maternal glucose levels and cord serum C-peptide in a multicenter multinational study, the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study, thereby assessing the Pederson hypothesis linking maternal glycemia and fetal hyperinsulinemia to neonatal adiposity. RESEARCH DESIGN AND METHODS-Eligible pregnant women underwent a standard 75-g oral glucose tolerance test between 24 and 32 weeks gestation (as close to 28 weeks as possible). Neonatal anthropometrics and cord serum C-peptide were measured. Associations of maternal glucose and cord serum C-peptide with neonatal adiposity (sum of skin folds >90th percentile or percent body fat >90th percentile) were assessed using multiple logistic regression analyses, with adjustment for potential confounders, including maternal age, parity, BMI, mean arterial pressure, height, gestational age at delivery, and the baby's sex. RESULTS-Among 23,316 HAPO Study participants with glucose levels blinded to caregivers, cord serum C-peptide results were available for 19,885 babies and skin fold measurements for 19,389. For measures of neonatal adiposity, there were strong statistically significant gradients across increasing levels of maternal glucose and cord serum C-peptide, which persisted after adjustment for potential confounders. In fully adjusted continuous variable models, odds ratios ranged from 1.35 to 1.44 for the two measures of adiposity for fasting, 1-h, and 2-h plasma glucose higher by 1 SD. CONCLUSIONS-These findings confirm the link between maternal glucose and neonatal adiposity and suggest that the relationship is mediated by fetal insulin production and that the Pedersen hypothesis describes a basic biological relationship influencing fetal growth. © 2009 by the American Diabetes Association.