Differential characteristics of young and midlife adult users of psychotherapy, psychotropic medications, or both: information from a population representative sample in São Paulo, Brazil

Mutu pelayanan di rumah sakit tak lepas dari kinerja sumber daya manusia keperawatan. Setiap organisasi memiliki budaya yang merupakan faktor penting yang menentukan keberhasilan organisasi  dalam mencapai tujuannya. Penelitian yang bertujuan untuk mengidentifikasi hubungan antara persepsi perawat pelaksana tentang budaya organisasi dengan kinerjanya di ruang rawat inap sebuah RS di Bogor ini, merupakan penelitian cross sectional yang melibatkan 113 perawat. Instrumen yang digunakan adalah instrumen budaya organisasi dan kinerja yang telah dimodifikasi. Sebanyak 79.6% perawat pelaksana mempersepsikan kinerjanya baik dan 85% mempersepsikan budaya organisasinya baik. Perawat pelaksana yang berpersepsi baik terhadap organisasinya, mereka juga berkinerja lebih baik. Karakteristik perawat pelaksana dan persepsi perawat pelaksana terhadap budaya organisasi tidak berhubungan dengan kinerja. Budaya organisasi yang sudah baik dankinerja yang optimalperlu dipertahankan dengan selalu mengevaluasi tiap komponennya,baik oleh manajemen maupun individu keperawatan. Abstract The Nurse Practitioners’ Perception on OrganizationalCulture and Work Performance. The quality of hospital services is supported by several aspects, including the work performance of human resources in nursing. Every organization has a culture which is an important factor that determines the success of the organization in achieving its goals. The research aimed to identify the relationship between the perceptions of nurses about the organizational culture with theirwork performance in inpatient ward at a hospital in Bogor, a cross-sectional study involving 113 nurses. The instrument used was the modified instrument of organizational culture and work performance. A total of 79.6% of nurses perceiving good performance and 85% perceive the organizational culture good. Nurses who have good perception for the organizational cultura, they also perform better. Characteristics of nurses and nurses’ perceptions of the organizational culture is not related to the work performance.Good organizational and optimum work performance need to maintain with evaluating each its component. Keyword: nurse practitioners, organizational culture, work performanceMutu pelayanan di rumah sakit tak lepas dari kinerja sumber daya manusia keperawatan. Setiap organisasi memiliki budaya yang merupakan faktor penting yang menentukan keberhasilan organisasi dalam mencapai tujuannya. Penelitian yang bertujuan untuk mengidentifikasi hubungan antara persepsi perawat pelaksana tentang budaya organisasi dengan kinerjanya di ruang rawat inap sebuah Rumah Sakit di Bogor ini, merupakan penelitian cross sectional yang melibatkan 113 perawat. Instrumen yang digunakan adalah instrumen budaya organisasi dan kinerja yang telah dimodifikasi. Sebanyak 79.6% perawat pelaksana mempersepsikan kinerjanya baik dan 85% mempersepsikan budaya organisasinya baik. Perawat pelaksana yang berpersepsi baik terhadap organisasinya, mereka juga berkinerja lebih baik. Karakteristik perawat pelaksana dan persepsi perawat pelaksana terhadap budaya organisasi tidak berhubungan dengan kinerja. Budaya organisasi yang sudah baik dankinerja yang optimal perlu dipertahankan dengan selalu mengevaluasi tiap komponennya,baik oleh manajemen maupun individu keperawatan. Abstract The Nurse Practitioners’ Perception on Organizational Culture and Work Performance. The quality of hospital services is supported by several aspects, including the work performance of human resources in nursing. Every organization has a culture which is an important factor that determines the success of the organization in achieving its goals. The research aimed to identify the relationship between the perceptions of nurses about the organizational culture with theirwork performance in inpatient ward at a hospital in Bogor, a cross-sectional study involving 113 nurses. The instrument used was the modified instrument of organizational culture and work performance. A total of 79,6% of nurses perceiving good performance and 85% perceive the organizational culture good. Nurses who have good perception for the organizational cultura, they also perform better. Characteristics of nurses and nurses’ perceptions of the organizational culture is not related to the work performance. Good organizational and optimum work performance need to maintain with evaluating each its component. Keyword: nurse practitioners, organizational culture, work performanc

Prevalence and Correlates of Physical Inactivity among Older Adults in Rio Grande do Sul, Brazil

BackgroundCurrent information on the epidemiology of physical inactivity among older adults is lacking, making it difficult to target the inactive and to plan for interventions to ameliorate adverse effects.ObjectivesTo present statewide representative findings on the prevalence of physical inactivity among older community residents, its correlates and associated health service use.MethodsA representative non-institutionalized random sample of 6963 individuals in Rio Grande do Sul, Brazil, aged >= 60 years, was interviewed face-to-face. Information was obtained on demographic characteristics, social resources, health conditions and behaviors, health service use, and physical inactivity. Controlled logistic regression was used to determine the association of physical inactivity with these characteristics.ResultsOverall, 62% reported no regular physical activity. Physical inactivity was significantly more prevalent among women, older persons, those with lower education and income, Afro-Brazilians (73%; White: 61%; other: 64%), those no longer married, and was associated with multiple individual health conditions and impaired activities of daily living (ADL). in adjusted analyses, associations remained for sociodemographic characteristics, social participation, impaired self-rated health, ADL, vision, and depression (odds ratios (OR) 1.2-1.7). Physically inactive respondents were less likely to report outpatient visits (OR 0.81), but more likely to be hospitalized (OR 1.41).ConclusionsPhysical inactivity is highly prevalent, particularly among Afro -Brazilians. It is associated with adverse sociodemographic characteristics; lack of social interaction; and poor self-rated health, ADL, vision, and depression; although not with other health conditions. Self-care may be neglected, resulting in hospitalization.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Bolsista de Produtividade em PesquisaNational Institute on AgingUniversidade Federal de São Paulo, Escola Paulista Med, Dept Psychiat, São Paulo, BrazilDuke Univ, Med Ctr, Ctr Study Aging & Human Dev, Durham, NC 27710 USAUniversidade Federal de São Paulo, Escola Paulista Med, Dept Psychiat, São Paulo, BrazilBolsista de Produtividade em Pesquisa: 306156/2011-3National Institute on Aging: 1P30 AG028716Web of Scienc

Prevalence and Concomitants of Arthritis in the Elderly in Rio Grande do Sul, Brazil

Objectives: Information on the prevalence and concomitants of arthritis in developing countries is sparse. It is unclear whether they are comparable to findings in developed countries. To ascertain the prevalence, demographic characteristics, and health-related concomitants of arthritis in older persons in the southern state of Rio Grande do Sul, Brazil, a middle income country.Methods: the state of Rio Grande do Sul, Brazil, was subdivided into nine regions. Stratified random sampling was used to identify 880 community residents age >= 60 years in each region. One region with suspect data was excluded. of 7040 community residents contacted in eight regions, 6963 participated (1.1% refusal rate). in 1995, trained, monitored interviewers, using structured questionnaires, conducted in-home interviews gathering information on demographic characteristics (age, sex, race/ethnicity, education, income, living arrangements, employment status), health behaviors (physical activity, tobacco use, social activity), functional limitations, depression, and 15 self-reported health conditions, including arthritis. Data were analyzed using descriptive statistics and logistic regression.Results: Arthritis, reported by 43% of the sample, was more prevalent in women, among the less educated, those with lower income, and higher age. Severity, but not prevalence, differed by race/ethnicity. Controlled analyses indicated significant association with female gender, lower education, and less social activity. Arthritis was associated with reduced odds of stroke, but increased odds of hypertension, varicosities, bronchitis, renal problems, headache, gastrointestinal disorders, and depression. Arthritis was not significantly associated with age or functional limitations, and associations did not differ by gender.Conclusions: the prevalence, demographic and health characteristics associated with self-reported arthritis in this southern state in Brazil are similar to findings elsewhere in Brazil, and in developed countries.Conselho Estadual do Idoso, Secretaria do Trabalho, Cidadania e Assistencia SocialGoverno do Estado do Rio Grande do Sul, the National Council for Scientific and Technological DevelopmentNational Institute on AgingUniversidade Federal de São Paulo, Dept Psychiat, Escola Paulista Med UNIFESP, São Paulo, BrazilDuke Univ, Med Ctr, Ctr Study Aging & Human Dev, Durham, NC 27710 USAVet Adm Med Ctr, Geriatr Res Educ & Clin Ctr, Durham, NC USAProject Sci Comm, Porto Alegre, RS, BrazilUniversidade Federal de São Paulo, Dept Psychiat, Escola Paulista Med UNIFESP, São Paulo, BrazilGoverno do Estado do Rio Grande do Sul, the National Council for Scientific and Technological Development: 470724/2011-0Governo do Estado do Rio Grande do Sul, the National Council for Scientific and Technological Development: 306156/2011-3National Institute on Aging: 1P30 AG028716-02Web of Scienc

Neuropsychological Test Performance in African-American and White Patients with Alzheimer's Disease

Little information exists on the performance of black versus white patients with Alzheimer's disease on neuropsychological tests for dementia.In this study, we compared performance on the CERAD (Consortium to Establish a Registry for Alzheimer's Disease) neuropsychological battery between white (n equals 830) and black (n equals 158) patients with Alzheimer's disease enrolled in the CERAD study at 23 university medical centers in the United States. The black patients were older, had fewer years of formal education, and were more impaired in their activities of daily living than were the white patients. After controlling for these characteristics and for duration of the disease and severity of dementia, there were differences in the performance of black and white patients on several of the cognitive measures. Black patients scored lower than whites on tests of visual naming and constructional praxis and on the Mini-Mental State Examination. There were no statistical differences in performance on tests of fluency and word list memory. These findings suggest that cultural or experiential differences may modify performance on specific neuropsychological tests. These factors, in addition to age and educational background, should be considered when interpreting performance on neuropsychological tests in elderly black patients with dementia

Identifying a National Death Index Match

Data from the National Death Index (NDI) are frequently used to determine survival status in epidemiologic or clinical studies. On the basis of selected information submitted by the investigator, NDI returns a file containing a set of candidate matches. Although NDI deems some matches as perfect, multiple candidate matches may be available for other cases. Working across data from the Duke University site of the Established Populations for Epidemiologic Studies of the Elderly (EPESE), NDI, and the Social Security Death Index (SSDI), the authors found that, for this Established Populations for Epidemiologic Studies of the Elderly cohort of 1,896 cases born before 1922 and alive as of January 1, 1999, a match on Social Security number plus additional personal information (specific combinations of last name, first name, month of birth, day of birth) resulted in agreement between NDI and Social Security Death Index dates of death 94.7% of the time, while comparable agreement was found for only 12.3% of candidate decedents who did not have the required combination of information. Thus, an easy to apply algorithm facilitates accurate identification of NDI matches

Prevalence and Correlates of Functional Status in an Older Community-Representative Sample in Brazil

Objective: Information on dependency level of elderly in rapidly aging developing countries is limited, but this is needed to ascertain the extent of need for help with activities of daily living (ADLs). Method: In-person information was obtained in 1995 from a statewide survey of representative community residents >= 60 years of age in the state of Rio Grande do Sul, Brazil (N = 7,040), on demographic characteristics, health conditions, social ties, health behaviors, and ADL performance. Results: Nearly 40% needed help with one or more ADLs. in controlled analyses, need for help approximately doubled with each succeeding decade. Increased education and income and regular physical activity reduced risk. Selected health conditions (stroke, depression, poor self-rated health) were consistently associated with need for help. Discussion: A large proportion of noninstitutionalized elderly have ADL problems. in addition to health care, interventions promoting equity of access to education and economic opportunity could reduce ADL dependency in coming generations.Duke Univ, Med Ctr, Ctr Study Aging & Human Dev, Durham, NC 27710 USAVet Adm Med Ctr, Durham, NC USAUniversidade Federal de São Paulo, São Paulo, BrazilUniv Fed Minas Gerais, Belo Horizonte, MG, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilWeb of Scienc