Assistência ao portador de diabetes mellitus na atenção primária: papel do enfermeiro e importância na equipe multidisciplinar

Diabetes Mellitus is a chronic disease that must be tracked and monitored by the entire primary care team, with nurses being a fundamental player in the support of this pathology. The aim was to analyze the role of nurses in assisting DM patients as a family health team. Integrative literature review with descriptive analysis and quantitative approach. The main scientific databases were consulted with keywords such as “diabetes mellitus”, “family health” and “primary care”, resulting in 16 more recent articles and 9 were selected for data analysis. The nurse is an integral part of a fundamental multidisciplinary team in the adhesion and monitoring of the DM patient, with several attributions from their reception in primary care to the continuity at home for life, with the main preventive action of complications, the encouragement of self-care.A Diabetes Mellitus é uma doença crônica que deve ser rastreada e acompanhada por toda equipe na atenção básica, sendo o enfermeiro peça fundamental no amparo desta patologia. Objetivou-se analisar o papel do enfermeiro na assistência ao portador de DM como equipe da saúde da família. Revisão integrativa da literatura com análise descritiva e abordagem quantitativa. Foram consultadas as principais bases de dados científicos com palavras-chave como “diabetes mellitus”, ”saúde da família” e “atenção básica”, resultando em 16 artigos mais recentes e 9 foram selecionados para análise de dados. O enfermeiro é parte integrante de uma equipe multidisciplinar fundamental na adesão e monitoramento do portador da DM, com diversas atribuições desde o seu acolhimento na atenção básica até a continuidade em domicílio por toda vida, tendo como principal ação preventiva das complicações, o incentivo ao autocuidado

Assistência ao portador de diabetes mellitus na atenção primária: papel do enfermeiro e importância na equipe multidisciplinar

Diabetes Mellitus is a chronic disease that must be tracked and monitored by the entire primary care team, with nurses being a fundamental player in the support of this pathology. The aim was to analyze the role of nurses in assisting DM patients as a family health team. Integrative literature review with descriptive analysis and quantitative approach. The main scientific databases were consulted with keywords such as “diabetes mellitus”, “family health” and “primary care”, resulting in 16 more recent articles and 9 were selected for data analysis. The nurse is an integral part of a fundamental multidisciplinary team in the adhesion and monitoring of the DM patient, with several attributions from their reception in primary care to the continuity at home for life, with the main preventive action of complications, the encouragement of self-care.A Diabetes Mellitus é uma doença crônica que deve ser rastreada e acompanhada por toda equipe na atenção básica, sendo o enfermeiro peça fundamental no amparo desta patologia. Objetivou-se analisar o papel do enfermeiro na assistência ao portador de DM como equipe da saúde da família. Revisão integrativa da literatura com análise descritiva e abordagem quantitativa. Foram consultadas as principais bases de dados científicos com palavras-chave como “diabetes mellitus”, ”saúde da família” e “atenção básica”, resultando em 16 artigos mais recentes e 9 foram selecionados para análise de dados. O enfermeiro é parte integrante de uma equipe multidisciplinar fundamental na adesão e monitoramento do portador da DM, com diversas atribuições desde o seu acolhimento na atenção básica até a continuidade em domicílio por toda vida, tendo como principal ação preventiva das complicações, o incentivo ao autocuidado

A comparative analysis of adaptive middleware architectures based on computational reflection and aspect oriented programming to support mobile computing applications

Mobile computing applications are required to operate in environments in which the availability for resources and services may change significantly during system operation. As a result, mobile computing applications need to be capable of adapting to these changes to offer the best possible level of service to their users. However, traditional middleware is limited in its capability of adapting to environment changes and different users requirements. Computational Reflection and Aspect Oriented Programming paradigms have been used in the design and implementation of adaptive middleware architectures. In this paper, we propose two adaptive middleware architectures, one based on reflection and other based on aspects, which can be used to develop adaptive mobile applications. The reflection based architecture is compared to an aspect oriented based architecture from a quantitative perspective. The results suggest that middleware based on Aspect Oriented Programming can be used to build mobile adaptive applications that require less processor running time and more memory space than Computational Reflection while producing code that is easier to comprehend and modify.8th IFIP/IEEE International conference on Mobile and Wireless CommunicationRed de Universidades con Carreras en Informática (RedUNCI

The Effect of Adverse Oil Price Shocks on Monetary Policy and Output Using a Dynamic Small Open Economy General Equilibrium Model With Staggered Price for Brazil

The aim of the present research is to use a model economy built for Brazil, based on an optimizing dynamic general equilibrium model, in order to perform numerical simulations to derive the ability of the artificial economy to explain the impact of monetary policy interventions on Brazilian short run economic performance in terms of the inflation rate, output gap, interest rate and level of economic activity in the face of an adverse oil shock. It is an extension of Bugarin et al. (2005) concentrating on the consequence of energy price increases, facing different monetary policy rules. Following Hall (1988 e 1990) and Finn (2000) it is considered that an increase in energy prices acts like a negative productivity shock. The model provides an accessible description of an artificial economy with a tractable micro-founded dynamic setting with forward looking rational agents in a small open economy with a staggered pricing mechanism that generates inflation inertia and recessionary disinflations. Alternative specification of monetary reaction functions are introduced into the model economy in order to perform a sensitivity analysis of derived impulse responses to those interventions facing the negative productivity shock. The preliminary results suggest that the introduction of habit persistence into the consumption hypothesis does not make much difference. However the introduction of different monetary reaction functions does alter the impulse response of output, inflation rate, and nominal interest rate. A common result is the decline in potential output for all models. Additionally, the only case where a reduction in the output gap is observed is when using the Taylor rule that takes into consideration the output gap and past interest rates with high persistence.

Impact of health concepts on healthcare-seeking practices of low-income population in South Coast of Bahia, Brazil / Impacto dos conceitos de saúde nas práticas de busca de atenção à saúde da população de baixa renda no litoral sul da Bahia, Brasil

Objective: By using geospatial and social perspectives, this paper aimed to show the most prevalent health self-concepts among inhabitants living near a specific community health centre in South Bahia, Brazil, in order to investigate the importance of social determinants and the association between health concepts and self-care habits. Methodology: A descriptive research based on the quantitative approach of using qualitative variables was carried out by using Chi-square and Cramer's V tests. A semi-structured questionnaire was administered to participants (N= 501) with geographic coordinates recorded for geospatial analysis. Results: The most prevalent health concepts were the positive and the most addressed care habits were of those in the ‘common sense’ category (p = 0.01). The associations with health concepts were considered statistically significant in terms of age (p = 0.001), level of education (p = 0.0004), and household income (p = 0.0125), and an additional criterion of presence or absence of any disease (p = 0.001). The majority of participants (n=323, CI 122–460 p<0.001) reported they have known the precise location of the community healthcare unit. However, those who lived a greater distance from the unit were unaware of its location. Conclusions: Our results on geospatial analysis corroborate the importance of space planning as an additional social framework for measuring the performance of health policy. Our findings suggest that a more structured and better planning based on health self-concepts and of health service promotion could drive effective strategies that would promote health outcomes in the low- and middle-income communities

CASH HOLDINGS IN BRAZIL: A STUDY CONSIDERING THE EFFECTS OF FINANCIAL CONSTRAINTS AND THE ADOPTION OF INTERNATIONAL FINANCIAL REPORTING STANDARDS

Firms use of internal and external sources to finance their activities. However, in the presence of imperfections in capital market, such as information asymmetry, agency problems and transaction costs, they may opt for one over another. In this sense, evidence obtained from previous studies suggests that cash holdings are more valuable for restricted companies than for unrestricted ones. Furthermore, the IFRS adoption is one of the most important subjects in recent accounting history. We analyze, in this article, the effects of financial constraints and the IFRS adoption on cash management in Brazil. For that, we used the Generalized Method of Moments (GMM) by dynamic panel data in order to explicitly consider the problems of endogeneity. The sample used comprises 219 public firms from 2000 to 2017. Our results indicate that, on average, the cash management of firms is influenced by its level of financial constraint. Financially constrained firms by size criteria and dividend-paying hold more cash than the smaller ones and non-dividend paying firms, respectively. We also verify a significant reduction in cash levels after the mandatory adoption of IFRS. Finally, our results reveal that firms’ leverage, profitability, growth opportunities, current liquidity, net working capital and short-term debt are important in determining cash holdings in Brazil

On the Influence of Latent Semantic Analysis Parameterization for Bug Localization

The bug localization problem has benefited from modern information retrieval techniques, such as Latent Semantic Analysis. There are many factors that influence the quality of results of this approach, such as, stop-words, term-documentmatrix transformations, dimensionality reduction and filtering criteria of the corpus. In this paper, we study the effect of different combinations for these factors on the impact of the accuracy of the query results in the proposed technique for bug localization. Bugs of three real-world software systems were analyzed with different combinations of input parameters for the LSA technique. Our results suggest that the term-document matrix transformations and filtering criteria of the corpus have major influence in the quality of the result and that the combination of adequate individual parameter values does not necessarily produce the best combination. Furthermore, some general guidance for parameterization of the LSA technique for bug localization could also besuggested from the observed results

シゼンブツヲテニスルヨウジハドノヨウナヒョウゲンヲスルノカ ヨウジノコウドウキロクヲテガカリニ

　森で遊ぶ幼児は，自然物の中でも木の枝によく触れて遊ぶ。幼児は，枝を持ち，加工し，どのような，表現を生みだすのかを行動記録を手がかりに整理した。特に，道具を使い，枝を持つ対象児における手の動きの表しや，なぜそうするのかに着目して，考察を加えた。　枝に触れて，「いじる」だけの対象児の動きの記録からは，何かをつくろうとする遊びの出発点と想定できるのではないかと分析ができる。また，その時点で別の遊びをする他児による言葉の響きや，侍ごっこの勇壮な視覚情報が森のあちこちにあり，枯れ葉の斜面を勢いにまかせて走る足音や，ブランコを揺らして幼児同志がかかわる声や歓声の聴覚情報といった，様々な感覚情報が集まる。そこから対象児は，遊びの方向性を見出し，目的を生みだす。しばらくすると，対象児は内なる気持ちを，枝を叩く音で表し，自分で決めた目的をつぶやき言葉にする。この他に，対象児は，これまで人とのかかわりが多くはなかった他者への伝達を行うといった行為や，つくる目的に向かう対象児なりの身体の多様な動きが見られることなど，素朴ではあるが数分前とは違う対象児の変容を確認することができた

SIMULAÇÃO E SIMULACRO: A REALIDADE DO BIG BROTHER BRASIL

Resumo:O gênero reality shows nos faz questionar sobre como a realidade se apresenta neste contexto televisual híbrido. Neste trabalho, analisa-se o Big Brother Brasil e a promessa de realidade do programa, apresentando um questionamento sobre o que é realidade, relacionando-se com os conceitos de cópia e simulacro, de Platão, às ideias de simulação, simulacro e hiper-realidade de Jean Baudrillard Resúmen: El género reality shows nos hace preguntarnos acerca de la realidad se presenta en el contexto de este híbrido televisivo. En este trabajo se analiza el Big Brother Brasil y la promesa de la realidad del programa, la presentación de una pregunta acerca de qué es la realidad, en relación con los conceptos de la copia y la imitación de Platón, las ideas de la simulación, simulacro y la hiperrealidad de Jean BaudrillardPalabras Clave: Realidad; Simulación; Simulacro; Reality Show.Abstract: The reality show’s genre makes us wonder about the reality presents itself in this context televisual hybrid. In this paper, we analyze the Big Brother Brasil and the promise of reality of the program, presenting a question about what is reality, relating to the concepts of copying and imitation of Plato, the ideas of simulation, simulacrum and hyperreality of Jean BaudrillardKeywords: Reality; Simulatio; Simulacrum; Reality Show

Scalar product according to Klein-Fock-Gordon equation in the context of light cone coordinates / Produto escalar associado a equação de Klein-Fock-Gordon no contexto de coordenadas de cone de luz

The objective of the present work is to didactically analyze, in the context of relativistic quantum mechanics, the algebraic structuring of the dot product between two quantum wavefunctions relative to a spin-0 quantum particle, assuming the light cone coordinates. For that, the linear momentum tensor is used in four dimensions, considering the description of the operational and quantum character of energy and linear momentum in three dimensions, as well as defining a pseudo volumetric probability density from which the product is reached scalar, properly written in terms of light cone coordinates