Elaboração e avaliação de indicadores comportamentais de aderência ao tratamento hemodialítico

Introduction: This work intents to characterize behavioral indicators of tack to the hemodialysis treatment in a sample of carrying patients of chronic kidney failure (CKF) in the great Natal/RN. The therapeutical adherence represents the agreement degree between the patient behavior and the health team lapsings. The CKF is the gradual and irreversible loss of the renal function, being the hemodialysis treatment an important alternative to assist or to substitute the kidneys. Method: The sample consisted in 80 chronic kidney patients in hemodialysis treatment in two located clinical centers in the region of the great Natal, RN. It was used as instruments (a) a protocol of clinical data collection, (b) the Millon Index of Personality Styles (MIPS) and (c) a script of halfstructuralized interview. Results: The results show a balance between the genders (51% of female and 48.8% of the male sex), average age and equal average time of dialysis respectively to the 43,4 years (±13,25 years) and 22,04 years (±4,24 years). The marital status of half of the sample is married, predominating basic education (43.6%) and a familiar income until a minimum wage (43.8%). It had been defined six physicianlaboratorial indicators to evaluate the therapeutical adherence, further the use of the evaluation of the health team and the patient themselves. Thus, there was an average adherence around 55.97% of the sample ±18.37%). However only between selfassessment of the patients about the adherence and the assessment made by blood pressure post-dialysis indicated a significant association (p=0,029, qui-square test). On the other hand, there was a significant association (p <0.05, chi-square test) among the criteria for treatment adherence and issues investigated in the interview - the perception on the quality of the health services provided to patients, the difficulties following the prescribed diet, the characterization of the days between dialysis sessions and the perception of patients about the dialysis sessions. It was also noted a significant association (p <0.05, Levene test) between adherence to therapy and scales that constitute the MIPS. The health team characterized the patients more adherent behavior as an attitude of acceptance of the treatment, looking actively for their implementation, for more information and knowledge, and establishing a positive communication with the team and with other patients. Similar results were confirmed by the MIPS evaluation. According to that assessment the more compliant patients adopt a more optimistic attitude, trying to act or adapt themselves to their environment, processing cognitively both concrete and objective information, such as more speculative and symbolic information. In addition they establish a gregarious, cooperative, submissive and flexibly pattern of interpersonal relationships to social demands. These characteristics managed to explain 55.7% of the adherence variation according the health team and 23.3% of the variation according the CaxP laboratory indicator. Conclusions: The MIPS shown to be able to identify the most and least adherent to therapy patients. The use of different adherence indicators is important for an evaluation covering the different facets of this process. The adhesion levels are observed within registered by the relevant literature. There is need for further studies with a larger sample to deepen the data findings in this work

Perfil de fumantes atendidos em serviço público para tratamento do tabagismo

OBJETIVO: Avaliar o perfil dos fumantes que procuraram serviço público de cessação do tabagismo. MÉTODOS: Foram avaliados retrospectivamente os dados coletados durante a avaliação para a admissão no programa de cessação do tabagismo do Ambulatório de Tabagismo da Faculdade de Medicina de Botucatu/Universidade Estadual Paulista, na cidade de Botucatu (SP) entre abril de 2003 e abril de 2007. Variáveis demográficas, uso prévio de abordagem comportamental e/ou farmacológica e/ou tratamentos alternativos para o tabagismo, grau de dependência à nicotina e comorbidades foram avaliados em 387 fumantes. RESULTADOS: em nossa casuística, 63% dos tabagistas eram do sexo feminino. A idade média dos sujeitos foi de 50 ± 25 anos. Mais da metade dos fumantes (61%) não tinha cursado o ensino médio, e 66% tinham renda mensal menor que dois salários mínimos. O grau de dependência foi elevado/muito elevado em 59%, médio em 17% e baixo/muito baixo em 24%. Embora 95% dos pacientes apresentavam comorbidades, apenas 35% foram encaminhados ao programa por um médico. Mais da metade (68%) tinha feito pelo menos uma tentativa de cessação, 83% sem um programa de tratamento estruturado. CONCLUSÕES: Os tabagistas que procuraram assistência para cessar o tabagismo apresentaram desvantagem social, dependência à nicotina alta e tentativas anteriores de cessação sem tratamento estruturado. Portanto, a intervenção para o controle do tabagismo deve contemplar as características gerais dos fumantes nos serviços públicos para que seja eficaz.

Fatores associados à realização dos exames de rastreamento para o câncer de próstata: um estudo de base populacional

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

Estudo de sobrevivência de uma coorte de pessoas de 60 anos e mais no município de Botucatu (SP) - Brasil

O aumento proporcional do número de idosos na população tem motivado estudos no sentido de melhorar a qualidade de vida desta faixa etária através de políticas sociais e, entre elas, o planejamento em saúde. Com o objetivo de conhecer riscos de mortalidade para a população de sessenta anos e mais, um estudo de sobrevida foi realizado rastreando, no ano de 1992, os idosos participantes de um inquérito de morbidade referida realizado na cidade de Botucatu em 1983/84. Foram localizados 89,6% destes idosos. Curvas de sobrevivência foram calculadas com o método de Kaplan-Meier e a análise de riscos, utilizando-se a Regressão Múltipla de Cox ajustando-se o modelo agregando as variáveis por blocos. Para o sexo masculino foram encontradas associadas, independentemente, ao aumento da mortalidade as seguintes categorias de variáveis: idade de 70 anos e mais: Hazard Ratio (HR)=2,4 (1,6 - 3,7); salário menor que um salário mínimo: HR=2,2 (1,3 - 3,8); ter outras rendas: HR=2,2 (1,3 - 3,9); ser o chefe da família ou seu cônjuge: HR=2,3 (1,2 - 2,4); referência de doenças do aparelho circulatório: HR=1,6 (1,1 - 2,4); referência de diabetes mellitus: HR=3,0 (1,3 - 7,0). Para o sexo feminino, foram encontradas associadas a idade de 70 anos e mais: HR=4,6 (3,0 - 7,1); referência de diabetes mellitus: HR=3,0 (1,7-5,3) e ter outras rendas: HR=2,0 (1,1 - 4,0).

Economic Survey of Latin America and the Caribbean 2008-2009: Policies for creating quality jobs

Includes bibliography

Social Panorama of Latin America 2002-2003

Includes bibliography

Consensus and dissension among Mexican economists

Includes bibliography

Perfil demográfico, sócio-econômico e morbidade referida na população do município de Pratânia, SP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Aproveitamento integral dos resíduos da filetagem de tilápia e avaliação do impacto econômico

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Estado nutricional de indivíduos alcoolistas crônicos na internação e na alta médica, em um hospital psiquiátrico, Araçatuba/SP

Pós-graduação em Alimentos e Nutrição - FCFAR

Beneficio de prestação continuada - um instrumento de inclusão social

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

The employment situation in Latin America and the Caribbean: Labour productivity and distribution issues

Although the economies of Latin America and the Caribbean grew more slowly in 2011 than in 2010, there were some improvements on the employment front. Workers benefited from the region’s satisfactory economic performance in an increasingly complex international setting. The unemployment rate fell from 7.3% in 2010 to 6.7% in 2011 thanks to a halfpercentage- point gain in the urban employment rate. Both rates are at levels that have not been seen for a long time. The proportion of formal jobs with social benefits rose as well, and underemployment declined. The average wage and the minimum wage both increased in real terms, albeit only moderately. Economic performance and the employment situation varied widely among the subregions. The unemployment rate dropped by 0.6 percentage points in South America but 0.4 percentage points in the countries of the northern part of Latin America. In the countries of the Caribbean, the employment rate was up by 0.2 percentage points. The data show that substantial labour market gaps and serious labour-market insertion issues remain. This is especially the case for women and young people, for whom unemployment rates and other labour indicators are still unfavourable. The second part of this report looks at whether the fruits of economic growth and rising productivity have been distributed equitably between workers and companies. Between 2002 and 2008 (the most recent expansionary economic cycle), wages as a percentage of GDP fell in 13 of the 21 countries of the region for which data are available and rose in just 8. This points to redistribution that is unfavourable to workers, which is worrying in a region which already has the most unequal distribution of income in the world. Underlying this trend is the fact that, worldwide, wages have grown less than productivity. Beyond the ethical dimension of this issue, it jeopardizes the social and economic sustainability of growth. For example, one of the root causes of the recent financial crisis was that households in the United States responded to declining wage income by borrowing more to pay for consumption and housing. This turned out to be unsustainable in the long run. Over time, it undermines the labour market’s contribution to the efficient allocation of resources and its distributive function, too, with negative consequences for democratic governance. Among the triggers of this distributive worsening most often cited in the global debate are market deregulation and its impact on financial globalization, technological change that favours capital over labour, and the weakening of labour institutions. What is needed here is a public policy effort to help keep wage increases from lagging behind increases in productivity. Some countries of the region, especially in South America, saw promising developments during the second half of the 2000s in the form of a positive trend reversal in wages as a percentage of GDP. One example is Brazil, where a minimum wage policy tailored to the dynamics of the domestic market is considered to be one of the factors behind an upturn in the wage share of GDP. The region needs to grow more and better. Productivity must grow at a steady pace, to serve as the basis for sustained improvements in the well-being of the populace and to narrow the gap between the economies of Latin America and the Caribbean and the more advanced economies. And inequality must be decreased; this could be achieved by closing the productivity gap between upgraded companies and the many firms whose productivity is low. As set out in this report, the region made some progress between 2002 and 2010, with labour productivity rising at the rate of 1.5% a year. But this progress falls short of that seen in other regions such as Sub-Saharan Africa (2.1%) and, above all, East Asia (8.3%, not counting Japan and the Republic of Korea). Moreover, in many of the countries of the region these gains have not been distributed equitably. Therein lies a dual challenge that must be addressed: continue to increase productivity while enhancing the mechanisms for distributing gains in a way that will encourage investment and boost worker and household income. The Economic Commission for Latin America and the Caribbean (ECLAC) and the International Labour Organization (ILO) estimate that the pace of economic growth in the region will be slightly slower in 2012 than in 2011, in a global economic scenario marked by the cooling of several of the main economic engines and a high degree of uncertainty concerning, above all, prospects for the euro zone. The region is expected to continue to hold up well to this worsening scenario, thanks to policies that leveraged more favourable conditions in the past. This will be felt in the labour markets, as well, so expectations are that unemployment will edge down by as much as two tenths of a decimal point.

Domestic Workers in Jamaica

This paper addresses how and why domestic workers in Jamaica are disenfranchised, with particular emphasis on the law’s inability to combat their exploitation in the labour force. My starting point is an online newspaper article entitled “Coping as a Domestic Helper”, which was based on a study investigating the living standard and coping strategies of minimum wage earners. In Jamaica domestic workers fall into three main categories - the residential worker, the non-residential weekly worker and the daily worker. Domestic workers are undervalued and their plight is especially grievous because they are characterized by a number of features that combine to have an exponentially negative effect on their social worth.

Avaliação do apoio social em idosos em município do inteiror paulista

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Associação dos padrões alimentares com variáveis sócio-demográficas e componentes da síndrome metabólica de adultos de uma unidade de estratégia de saúde da família (Rubião Junior, Botucatu)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)