Effect of care standard consciousness on cognitive stress levels of home caretakers

Orientador: Pedro Jose Steiner NetoMonografia(Especialização) - Universidade Federal do Paraná,Setor de Ciências Sociais Aplicadas, Curso de Especialização em Gestão EmpresarialResumo: Este trabalho tem o objetivo de apresentar e avaliar a comunicação empresarial interna da agência Bacacheri, um ponto de venda (PV) da empresa Caixa Econômica Federal (CEF). O trabalho foi divido em 3 principais partes: na primeira parte foi realizada uma recapitulação teórica do conceito de comunicação empresarial e a sua utilização como ferramenta de gestão e motivação; seguida da apresentação da Caixa Econômica, em especial da agência Bacacheri e seus instrumentos de comunicação interna utilizados; e finalizando com a apresentação de algumas considerações dos funcionários da agência acerca do tema

Effects of Activity Participation of the Elderly on Quality of Life

Quality of life (QOL) and personality were examined in 2 groups of elderly subjects with and without activity participation (AP). A survey was conducted with 321 elderly subjects over 65 years of age using a 24-item questionnaire regarding personality and depressive inclination and the visual analogue scale-happiness to measure QOL. The AP group was involved in 5 types of activity: community center activity course, learning and lecture participation, club activity, elderly manpower service activity and other activities. The QOL of the AP group was significantly higher than the non-AP group as expected. The perceptual difference between the 2 groups obtained by the correspondence and cluster analyses was that although the elderly of the AP group were satisfied and not bored with their current life, this trend was not clear for the non-AP group. Among the 5 activity types, other activities, characterized as activities adhered to by participants over a long period, showed the highest QOL compared with the 4 other types. In conclusion, the AP of the elderly should be encouraged, and continuing AP might be an important factor in improving QOL of the elderly

Knowledge of Criteria for Brain Death and Attitudes towards Organ Donation and Transplantation of Nursing Professionals in Tottori Prefecture, Japan

The nursing professional population in Tottori Prefecture, Japan, was studied for their knowledge of criteria towards brain death and their attitudes towards organ donation and organ transplantation. An attempt was also made to clarify factors involved in issues concerning organ donation and organ transplantation. We distributed 2200 questionnaires to 9 hospitals, and obtained 1879 responses, of which 1683 were valid. The rate of nursing professionals holding donor cards to all respondents was 384/1683 (22.8%). The length of nursing service showed no difference in improvement of awareness of brain death. Longer length of service tended to produce a negative attitude in nurses towards donating their own organs in both brain death and cardiac death. Subjects who were willing to donate organs to others in cardiac death were also willing to do so in brain death. We provided some general suggestions for improving education about organ transplantation in Japan, such as commencing provisions for education regarding organ donation and organ transplantation in junior high school due to ethical issues. To more clearly identify the barriers against the improvement of the situation surrounding organ transplantation, research needs to be cumulated for nursing professionals

Stress Tolerance in Subjects with Myocardial Infarction

In our course of surveys to study the relationship between stress and myocardial infarction (MI), we have investigated whether stress tolerance may play a significant role when MI develops. To elucidate the possible role of stress tolerance, we examined 96 patients with MI (68 men and 28 women, age 40-90 years) with a stress tolerance check list in which stress tolerance was quantified as total points for 20 self-evaluated items, each scored between 1 and 4 points. Their scores were compared with control values obtained from persons not suffering from MI, and further analyzed by dividing them into 3 groups according to their grade of stress tolerance; that is, low (39 or less in score), moderate (40-49) and high (50-80). The mean stress tolerance score (± SD) was significantly lower in the 96 MI patients (49.5 ± 8.90 points) than in the controls (60.8 ± 7.3 points). The stress tolerance grade was low in 13 of the 96 (13.5%), moderate in 34 (35.5%) and high in 49 (51.0%). In MI patients, lowly or moderately stress-tolerant persons were significantly higher in percentage (49.0%) than in the controls (6.3%). These results clearly indicate that low stress tolerance is a risk factor in the development of MI

Seven-Signal Proteomic Signature for Detection of Operable Pancreatic Ductal Adenocarcinoma and Their Discrimination from Autoimmune Pancreatitis

There is urgent need for biomarkers that provide early detection of pancreatic ductal adenocarcinoma (PDAC) as well as discrimination of autoimmune pancreatitis, as current clinical approaches are not suitably accurate for precise diagnosis. We used mass spectrometry to analyze protein profiles of more than 300 plasma specimens obtained from PDAC, noncancerous pancreatic diseases including autoimmune pancreatitis patients and healthy subjects. We obtained 1063 proteomic signals from 160 plasma samples in the training cohort. A proteomic signature consisting of 7 mass spectrometry signals was used for construction of a proteomic model for detection of PDAC patients. Using the test cohort, we confirmed that this proteomic model had discrimination power equal to that observed with the training cohort. The overall sensitivity and specificity for detection of cancer patients were 82.6% and 90.9%, respectively. Notably, 62.5% of the stage I and II cases were detected by our proteomic model. We also found that 100% of autoimmune pancreatitis patients were correctly assigned as noncancerous individuals. In the present paper, we developed a proteomic model that was shown able to detect early-stage PDAC patients. In addition, our model appeared capable of discriminating patients with autoimmune pancreatitis from those with PDAC