Quality of life of men with AIDS and the model of social determinants of health

OBJETIVO: analizar la calidad de vida (CV) de hombres con Sida bajo la perspectiva del modelo de la determinación social de la salud (MDSS). MÉTODO: estudio transversal, realizado en ambulatorio de enfermedades infecciosas de un hospital universitario en Brasil, durante un año, con una muestra de 138 pacientes. Para recolección de datos se utilizaron el formulario de caracterización sociodemográfica basado en el MDSS, conteniendo los determinantes individuales, proximales, intermediarios y la influencia de las redes sociales, además del instrumento de evaluación de la CV de personas con HIV/Sida. Proyecto aprobado por el comité de ética con el protocolo n° 040.06.12. RESULTADOS: según el MDSS, la mayoría de los hombres con Sida se encontraba en el intervalo etario de 30 a 49 años (68,1%), color parda (59,4%), heterosexuales (46,4%), solteros (64,5%), católicos (68,8%), nivel superior (39,2%), sin hijos (61,6%) y con vínculo de empleo (71,0%). La percepción de la CV fue intermedia en los dominios: físico, nivel de independencia, medio ambiente y espiritualidad, y para los dominios psicológicos y relaciones sociales, fue superior. Hubo menor percepción de la CV para homosexuales (p=0,037), casados (p=0,077) y con renta menor que un salario mínimo (p=0,042). Hubo mayor percepción de la CV para personas sin religión (p=0,005), que vivían con compañero (p=0,049) y con vínculo de empleo (p=0,045). CONCLUSIÓN: los determinantes sociales influencian la CV de hombres con Sida.OBJETIVO: analisar a qualidade de vida (QV) de homens com AIDS, na perspectiva do modelo da determinação social da saúde (MDSS). MÉTODO: Estudo transversal, realizado em ambulatório de infectologia de um hospital universitário no Brasil durante um ano, com amostra de 138 pacientes. Para coleta de dados, utilizaram-se o formulário de caracterização sociodemográfica baseado no MDSS, envolvendo os determinantes individuais, proximais, intermediários e influência das redes sociais, além do instrumento de avaliação da QV de pessoas com HIV/AIDS. Projeto aprovado pelo comitê de ética sob protocolo no 040.06.12. RESULTADOS: segundo o MDSS, a maioria dos homens com AIDS possuíam faixa etária de 30-49 anos (68,1%), cor parda (59,4%), heterossexuais (46,4%), solteiros (64,5%), católicos (68,8%), nível superior (39,2%), sem filhos (61,6%) e com vínculo empregatício (71,0%). A percepção da QV foi intermediária nos domínios físico, nível de independência, meio ambiente e espiritualidade, e para domínios psicológico e relações sociais, foi superior. Houve menor percepção da QV para homossexuais (p=0,037), casados (p=0,077) e com renda menor que um salário mínimo (p=0,042). Houve maior percepção da QV para pessoas sem religião (p=0,005), que moravam com parceiro (p=0,049) e com vínculo empregatício (p=0,045). CONCLUSÃO: os determinantes sociais influenciam na QV de homens com AIDS.OBJECTIVE: to analyze the quality of life (QoL) of men with AIDS from the perspective of the model of social determinants of health (MSDH). METHOD: cross-sectional study conducted in an outpatient infectious diseases clinic from a Brazilian university hospital over the course of one year with a sample of 138 patients. A form based on the MSDH was used to collect sociodemographic data addressing individual, proximal, intermediate determinants and the influence of social networks together with an instrument used to assess the QoL of people with HIV/AIDS. The project was approved by the Institutional Review Board (Protocol No. 040.06.12). RESULTS: according to MSDH, most men with AIDS were between 30 and 49 years old (68.1%), mixed race (59.4%), heterosexual (46.4%), single (64.5%), Catholic (68.8%), had a bachelor's degree (39.2%), had no children (61.6%), and had a formal job (71.0%). The perception of QoL in the physical, level of independence, environment, and spirituality domains was intermediate, while QoL was perceived to be superior in the domains of psychological and social relationship. A perception of lower QoL was presented by homosexual (p=0.037) and married men (p=0.077), and those with income below one times the minimum wage (p=0.042). A perception of greater QoL was presented by those without a religion (p=0.005), living with a partner (p=0.049), and those who had a formal job (p=0.045). CONCLUSION: social determinants influence the QoL of men with AIDS

Climate seasonality limits leaf carbon assimilation and wood productivity in tropical forests

The seasonal climate drivers of the carbon cycle in tropical forests remain poorly known, although these forests account for more carbon assimilation and storage than any other terrestrial ecosystem. Based on a unique combination of seasonal pan-tropical data sets from 89 experimental sites (68 include aboveground wood productivity measurements and 35 litter productivity measurements), their associated canopy photosynthetic capacity (enhanced vegetation index, EVI) and climate, we ask how carbon assimilation and aboveground allocation are related to climate seasonality in tropical forests and how they interact in the seasonal carbon cycle. We found that canopy photosynthetic capacity seasonality responds positively to precipitation when rainfall is  < 2000 mm yr⁻¹ (water-limited forests) and to radiation otherwise (light-limited forests). On the other hand, independent of climate limitations, wood productivity and litterfall are driven by seasonal variation in precipitation and evapotranspiration, respectively. Consequently, light-limited forests present an asynchronism between canopy photosynthetic capacity and wood productivity. First-order control by precipitation likely indicates a decrease in tropical forest productivity in a drier climate in water-limited forest, and in current light-limited forest with future rainfall  < 2000 mm yr⁻¹

IDENTIFICATION OF ADULT PEOPLE IN PALLIATIVE CARE IN PRIMARY HEALTH CARE: INTEGRATIVE REVIEW

Analyze the process of identifying adults and older adults in palliative care in Primary Health Care. An Integrative Literature Review is proposed, based on the following steps: elaborating the research question, literature search, categorization of studies, critical evaluation, interpretation of results, and presentation of the integrative review. For the definition of the research, the PICo strategy was considered, represented by (P) patient - “adults and elderly people”, (I) intervention “identification of palliative care” and (Co) context “primary health care”, which resulted in: What evidence is available in the scientific literature about the process of identifying adult people in palliative care in primary health care? The search will be carried out in the PubMed, CINAHL, LILACS, and Web of Science databases

Quality of life of men with AIDS and the model of social determinants of health

OBJECTIVE: to analyze the quality of life (QoL) of men with AIDS from the perspective of the model of social determinants of health (MSDH). METHOD: cross-sectional study conducted in an outpatient infectious diseases clinic from a Brazilian university hospital over the course of one year with a sample of 138 patients. A form based on the MSDH was used to collect sociodemographic data addressing individual, proximal, intermediate determinants and the influence of social networks together with an instrument used to assess the QoL of people with HIV/AIDS. The project was approved by the Institutional Review Board (Protocol No. 040.06.12). RESULTS: according to MSDH, most men with AIDS were between 30 and 49 years old (68.1%), mixed race (59.4%), heterosexual (46.4%), single (64.5%), Catholic (68.8%), had a bachelor's degree (39.2%), had no children (61.6%), and had a formal job (71.0%). The perception of QoL in the physical, level of independence, environment, and spirituality domains was intermediate, while QoL was perceived to be superior in the domains of psychological and social relationship. A perception of lower QoL was presented by homosexual (p=0.037) and married men (p=0.077), and those with income below one times the minimum wage (p=0.042). A perception of greater QoL was presented by those without a religion (p=0.005), living with a partner (p=0.049), and those who had a formal job (p=0.045). CONCLUSION: social determinants influence the QoL of men with AIDS

Vermicompostos como substratos no desempenho de mudas de alface e rúcula

Success in vegetables production is closely linked to the quality of seedlings, using substrates in placeof the soil in the formation of seedlings. The objective of this study was to evaluate the performance of lettuce and arugula seedlings using substrates produced with vermicompost along with sawdust and rice husks as conditioning agents. Two experiments were carried in Vilhena, Rondônia, using a completely randomized design, in a 3x2 factorial scheme with seven replicates, corresponding to three substrates and two cultivars, for both lettuce and arugula. The proportion of the material was 1: 3 of the total volume of soil, of poultry manure and conditioning agent, using the earthworm Californian Redworm (Eisenia foetida). For the cultivars, both lettuce and arugula, the height of seedlings, the diameter of the colon, dry mass of shoot, roots, and total were evaluated. There was no significant difference between the evaluated treatments in relation to the dry mass of the roots of Crespa cultivar lettuce, but for the American cultivar, the treatments using vermicompost with conditioning agent the sawdust or rice husk were superior to the commercial substrate in relation to dry mass of the roots. Among the cultivars of the arugula, no significant difference was observed between the treatments on the variables evaluated. Therefore, it is possible to conclude that substrates produced from vermicompost with sawdust and rice husks as conditioning agents can replace the commercial substrate during the production of lettuce and arugula.Uma das razões para obter sucesso na horticultura é a produção de mudas de qualidade, utilizando substratos em substituição do solo na formação de mudas. Desse modo, objetivou-se com este trabalho avaliar o desempenho de mudas de alface e rúcula utilizando substratos produzidos com vermicompostos juntamente com a serragem e casca de arroz como agentes condicionantes. Foram realizados dois experimentos em Vilhena, Rondônia, utilizando o delineamento experimental inteiramente casualizado, em esquema fatorial 3x2 com sete repetições, correspondendo a três substratos e duas cultivares, tanto para alface quanto para rúcula. A proporção dos materiais foi de 1:3 do volume total de solo, de esterco de aves e agente condicionante, sendo utilizada a minhoca Vermelha Californiana (Eisenia foetida). Para as cultivares, tanto de alface quanto de rúcula, foram avaliadas a altura de plântulas, diâmetro do colo, massa seca da parte aérea, das raízes e total. Não foi observada diferença significativa entre os tratamentos avaliados em relação a massa seca das raízes de alface da cultivar Crespa, porém para a cultivar Americana, os tratamentos utilizando vermicomposto com agente condicionante a serragem ou casca de arroz, foram superiores ao substrato comercial em relação a massa seca das raízes. Entre as cultivares de rúcula, não foi observado diferença significativa entre os tratamentos sobre as variáveis avaliadas. Portanto, é possível concluir que os substratos produzidos a partir de vermicompostos com serragem e casca de arroz como agentes condicionantes, podem substituir o substrato comercial durante a produção de mudas de alface e rúcula

Vermicompostos como substratos no desempenho de mudas de alface e rúcula

Success in vegetables production is closely linked to the quality of seedlings, using substrates in placeof the soil in the formation of seedlings. The objective of this study was to evaluate the performance of lettuce and arugula seedlings using substrates produced with vermicompost along with sawdust and rice husks as conditioning agents. Two experiments were carried in Vilhena, Rondônia, using a completely randomized design, in a 3x2 factorial scheme with seven replicates, corresponding to three substrates and two cultivars, for both lettuce and arugula. The proportion of the material was 1: 3 of the total volume of soil, of poultry manure and conditioning agent, using the earthworm Californian Redworm (Eisenia foetida). For the cultivars, both lettuce and arugula, the height of seedlings, the diameter of the colon, dry mass of shoot, roots, and total were evaluated. There was no significant difference between the evaluated treatments in relation to the dry mass of the roots of Crespa cultivar lettuce, but for the American cultivar, the treatments using vermicompost with conditioning agent the sawdust or rice husk were superior to the commercial substrate in relation to dry mass of the roots. Among the cultivars of the arugula, no significant difference was observed between the treatments on the variables evaluated. Therefore, it is possible to conclude that substrates produced from vermicompost with sawdust and rice husks as conditioning agents can replace the commercial substrate during the production of lettuce and arugula.Uma das razões para obter sucesso na horticultura é a produção de mudas de qualidade, utilizando substratos em substituição do solo na formação de mudas. Desse modo, objetivou-se com este trabalho avaliar o desempenho de mudas de alface e rúcula utilizando substratos produzidos com vermicompostos juntamente com a serragem e casca de arroz como agentes condicionantes. Foram realizados dois experimentos em Vilhena, Rondônia, utilizando o delineamento experimental inteiramente casualizado, em esquema fatorial 3x2 com sete repetições, correspondendo a três substratos e duas cultivares, tanto para alface quanto para rúcula. A proporção dos materiais foi de 1:3 do volume total de solo, de esterco de aves e agente condicionante, sendo utilizada a minhoca Vermelha Californiana (Eisenia foetida). Para as cultivares, tanto de alface quanto de rúcula, foram avaliadas a altura de plântulas, diâmetro do colo, massa seca da parte aérea, das raízes e total. Não foi observada diferença significativa entre os tratamentos avaliados em relação a massa seca das raízes de alface da cultivar Crespa, porém para a cultivar Americana, os tratamentos utilizando vermicomposto com agente condicionante a serragem ou casca de arroz, foram superiores ao substrato comercial em relação a massa seca das raízes. Entre as cultivares de rúcula, não foi observado diferença significativa entre os tratamentos sobre as variáveis avaliadas. Portanto, é possível concluir que os substratos produzidos a partir de vermicompostos com serragem e casca de arroz como agentes condicionantes, podem substituir o substrato comercial durante a produção de mudas de alface e rúcula