Seletividade de inseticidas aos predadores que ocorrem em soja.

bitstream/item/133674/1/ID12894-1987-1988sojaresultados-p83-87.pdfTrabalho apresentado na XVI Reunião de Pesquisa de Soja da Região Sul, Santa Maria, 1988

A new case manager for diabetic patients: a pilot observational study of the role of community pharmacists and pharmacy services in the case management of diabetic patients

The adherence of type 2 diabetes mellitus (DM2) patients with an individual care plan (ICP) is often not satisfactory, nor does it allow for a significant improvement in outcome, because of poor accessibility to services, poor integration of pathway articulations, poor reconciliation with the patient's life, or the lack of a constant reference person. The purpose of this study was to evaluate the contribution of community pharmacists and pharmacy services in improving adherence with periodic controls in DM2. The study was conducted at a rural pharmacy. A sample of 40 patients was calculated with respect to a historical cohort and subsequently enrolled. Clinical and personal data were collected in an electronic case report form. Pharmacists acting as a case manager followed patients carrying out their ICP developed by an attending physician. Some of the activities foreseen by the ICP, such as electrocardiogram, fundus examination, and self-analysis of blood and urine, were carried out directly in the pharmacy by the pharmacist through the use of telemedicine services and point of care units. Activities that could not be performed in the pharmacy were booked by the pharmacist at the accredited units. Examination results were electronically reported by the pharmacist to the attending physician. The primary endpoint was the variation in patient adherence with the ICP compared to a historical cohort. Secondary endpoints were variation in waiting time for the examinations, mean percentage change in glycated hemoglobin (HbA1c) and low-density lipoprotein (LDL) cholesterol levels and blood pressure, impact on healthcare-related costs, and perceived quality of care. Adherence to the ICP significantly increased. Waiting times were reduced and clinical outcomes improved with conceivable effects on costs. Patients appreciated the easier access to services. Community pharmacists and pharmacy services represent ideal actors and context that, integrated in the care network, can really favor ICP adherence and obtain daily morbidity reduction and cost savings through proper disease control and an early diagnosis of complications

Emissão de metano em sistemas de produção de bovinos de corte brasileiro.

Editores técnicos: João de Mendonça Naime, Caue Ribeiro, Maria Alice Martins, Elaine Cristina Paris, Paulino Ribeiro Villas Boas, Ladislau Marcelino Rabello

Ocorrência e danos de Sternechus subsignatus em dois sistemas de preparo de solo.

bitstream/item/133680/1/ID12886-1987-1988sojaresultados-p94-99.pdfTrabalho apresentado na XVI Reunião de Pesquisa de Soja da Região Sul, Santa Maria, 1988

Controle químico de larvas Sternechus subsignatus, em plantas de soja.

bitstream/item/133677/1/ID12893-1987-1988sojaresultados-p98-100.pdfTrabalho apresentado na XVI Reunião de Pesquisa de Soja da Região Sul, Santa Maria, 1988

Psychometric properties of a self-assessment fear scale in children aged 4 to 12 years. Scary Scale

International audienceBackgroundCaregivers encounter difficulties differentiating fear and pain experienced by children and tend to interpret what children may feel, often resulting in inadequate pain management. While many pain self-assessment scales are available, there is no validated self-assessment fear scale for children.Methods: The aim of this prospective study was to validate, in children aged 4 to 12 years, the psychometric properties of our scale. In a first part, in a school setting, five exercises were given to 484 children in order to validate the expression of fear, grade the intensity of the faces, the ability to discriminate the faces and the equality of the intervals. The scale's reproducibility was studied by assessing the children's fear in everyday situations at two different time points.In a second part, in a hospital setting, the aim was to test the scale's feasibility. Sixty children admitted to one emergency care department self-assessed their fear with the Scary Scale.FindingsThe expression of fear was validated by 57.64% (p < 0.0001) of the children in comparison with three other emotions (pain, surprise, sadness).The 7–9 year-olds validated the other properties (gradation, discrimination, equality, reproducibility). The 4–6 year-olds failed to validate the gradation exercise, but succeeded with the others.In the hospital, 95% of children self-assessed their fear using the scale.DiscussionOur self-assessment fear scale was validated in children aged 7–12 years specifically and was readily feasible in the hospital. We recommend its use in that age group in every care situation triggering fear.Trial registration: clinicaltrials.gov Identifier: NCT02675504