DESAFIOS NA GESTÃO PÚBLICA DE SAÚDE:: REALIDADE DOS MUNICÍPIOS DE PEQUENO PORTE

A pesquisa buscou compreender quais são os desafios na gestão dos serviços de saúde. A pesquisa é de natureza qualitativa, descritiva e exploratória. Os sujeitos da pesquisa foram gestores municipais de saúde de 26 municípios pertencentes a uma coordenadoria regional de saúde no Estado do Rio Grande do Sul. Os resultados indicam que há sérias deficiências na oferta de serviços em diversas áreas, principalmente, nas áreas de urgência, emergência, terapia renal substitutiva e terapia intensiva, evidenciando também carências de médicos e enfermeiros na maioria dos municípios. O estudo mostra que dos 26 municípios, 21 municípios têm 100% de cobertura de Estratégias de Saúde de Família, enquanto que cinco têm cobertura superior a 90%. Conclui-se que as condições de saúde ofertadas aos usuários na região pesquisada estão aquém das reais necessidades, principalmente no que se refere à organização, estruturação e oferta de especialidades, assim como também o reduzido número de profissionais em algumas áreas. Descritores: Gestão em Saúde, Processo de Trabalho, Atenção em Saúde, Educação permanente em saúde

Functional capacity and quality of life between healthy subjects and patients with obstructive sleep apnea

Study Model: Case – control. Study Objectives: To compare the functional capacity, respiratory parameters and quality of life between healthy subjects and patients with obstructive sleep apnea. Methodology: 19 patients with obstructive sleep apnea and 19 healthy subjects were evaluated regarding their quality of life (The Medical Study 36-Item Short-Form Health Survey), their functional capacity (six-minute walk test), pulmonary function (spirometry) and their strength respiratory muscle (manovacuometer). Results: Patients showed a decline in the quality of life concerning functional capacity domains, general state of health and mental health. The distance walked in the six-minute walk test was shorter for patients with obstructive sleep apnea. Respiratory parameters did not differ between groups. Conclusion: Patients with obstructive sleep apnea present impairment regarding their quality of life and functional capacityModelo do estudo: Caso-controle. Objetivos do estudo: Comparar a capacidade funcional, parâmetros respiratórios e qualidade de vida entre sujeitos saudáveis e pacientes com apneia obstrutiva do sono. Metodologia: Em 19 pacientes com apneia obstrutiva do sono e 19 sujeitos saudáveis foram avaliadas a qualidade de vida (The Medical Study 36-item Short-Form Health Survey), capacidade funcional (teste de caminhada de seis minutos), função pulmonar (espirometria) e força muscular respiratória (manovacuometria). Resultados: Os pacientes apresentaram declínio na qualidade de vida pelos domínios capacidade funcional, estado geral de saúde e saúde mental. A distância percorrida no teste de caminhada de seis minutos foi menor nos pacientes com apneia obstrutiva do sono. Os parâ- metros respiratórios não diferiram entre os grupos. Conclusão: Pacientes com apneia obstrutiva do sono apresentam comprometimento da qualidade de vida e da capacidade funciona

European soybean to benefit people and the environment.

Europe imports large amounts of soybean that are predominantly used for livestock feed, mainly sourced from Brazil, USA and Argentina. In addition, the demand for GM-free soybean for human consumption is project to increase. Soybean has higher protein quality and digestibility than other legumes, along with high concentrations of isoflavones, phytosterols and minerals that enhance the nutritional value as a human food ingredient. Here, we examine the potential to increase soybean production across Europe for livestock feed and direct human consumption, and review possible effects on the environment and human health. Simulations and field data indicate rainfed soybean yields of 3.1 ± 1.2 t ha-1 from southern UK through to southern Europe (compared to a 3.5 t ha-1 average from North America). Drought-prone southern regions and cooler northern regions require breeding to incorporate stress-tolerance traits. Literature synthesized in this work evidenced soybean properties important to human nutrition, health, and traits related to food processing compared to alternative protein sources. While acknowledging the uncertainties inherent in any modelling exercise, our findings suggest that further integrating soybean into European agriculture could reduce GHG emissions by 37-291 Mt CO2e year-1 and fertiliser N use by 0.6-1.2 Mt year-1, concurrently improving human health and nutrition

Food soybean varieties in low-input conditions. Grain yield and quality from three NE Italy environments

Soybean has been diffusely grown in northern Italy since early 1980s. Indeed, at present the organic area (less than 3% of the total area) and the practical absence of certified non-GM productions are key issues for farmers and food processors. In 2013, four food-grade varieties were tested under organic or low-input conditions in three environments of Friuli, NE Italy. Environments had a large impact on grain yields, genotypes on grain composition. Late planting resulted in lower yields and high-protein seed composition. Seed protein levels were associated to visual seed quality

Experimental and simulation study of the effect of precipitation structure and grain size on-the behavior of ad730tm ni-based polycrystalline superalloy under tensile loading

International audienc

Experimental and Simulation Study of the Effect of Precipitation Distribution and Grain Size on the AD730TM Ni-Based Polycrystalline Superalloy Tensile Behavior

International audienc

Prévision des propriétés mécaniques de superalliages base nickel en fonction de leur microstructure

International audienc

Microstructure-sensitive modeling of the macroscopic behavior of ad730 nickel-based polycrystalline superalloy using crystal plasticity finite element simulations

International audienc