Relation between oral health and nutritional condition in the elderly

Oral health is a prerequisite for a good chewing function, which may have an impact on food choices and nutritional well-being. OBJECTIVE: This study was designed to evaluate the relationship between oral health status and nutritional status in the elderly. MATERIAL AND METHODS: In this cross-sectional study, 33 elderly people from the Group for the Elderly Interdisciplinary Geriatrics and Gerontology Program, at Fluminense Federal University, Niteroi, RJ, Brazil, completed a questionnaire to collect information on socioeconomic status, eating habits, physical activity and health habits, undertook a clinical oral examination, blood test, and anthropometric measurements, and were allocated into groups according to age. The oral health status was assessed using the index for decayed, missing and filled teeth (DMFT). The nutritional status was assessed using hemoglobin, hematocrit and albumin concentrations in blood, anthropometric values and the body mass index. RESULTS: Tooth loss was the biggest nuisance to the elderly subjects (57.6%), followed by the use of dentures (30.3%) and ill-fitting dentures (33.3%). 66.6% of patients had difficulty in chewing, and 54.5% reported this to be due to prostheses and 13.6% to the absence of teeth. A significant correlation was found between DMFT and the value of suprailiac skinfold thickness (rho=0.380, p=0.029). CONCLUSION: The results support the temporal association between tooth loss and detrimental changes in anthropometry, which could contribute to increased risk of developing chronic diseases

A dor é total e não apenas um sintoma físico - acerca de um caso clínico em cuidados paliativos

info:eu-repo/semantics/publishedVersio

Avaliação microbiológica e da higiene de mãos de profissionais de enfermagem: uma abordagem investigativa: Microbiological and hand hygiene assessment of nursing professionals: an investigative approach

A higienização das mãos é a forma mais importante de prevenção primária a infecções hospitalares que se tem dentro de um serviço de saúde e medidas simples, porém eficazes, como a utilização de água e sabão podem reduzir drasticamente o número de microrganismos que podem estar presente nas mãos de profissionais da saúde. O objetivo deste estudo foi avaliar a qualidade da higienização das mãos de profissionais da enfermagem. A pesquisa foi realizada com 12 profissionais que atuam nos setores UTI adulto com pacientes clínicos e UTI neonatal de um hospital da rede privada na região metropolitana do Vale do Paraíba, SP – Brasil e a avaliação se deu mediante questionamento da técnica utilizada pelos profissionais e por determinação de número de UFC de bactérias coletadas em swab das mãos, coletado antes e após procedimento de higienização. Observou-se que a maioria dos participantes (83,2%) antes e após contato com pacientes, fluidos e superfícies,  e que 91,6% usa alcool quando não consegue higienizar as mãos. Os profissionais de nível técnico apresentaram maior redução no número de UFC que os profissionais de nível superior, com diferença de 22,13% e em geral houve redução considerável no número de microrganismos. Conclui-se que o procedimento de higienização de mãos que foi preconizado pelos profissionais independentes da classe resultou eficácia, porém com algumas falhas pontuais, o que trazem à tona a não conformidade nos procedimentos de higienização das mãos sendo necessário intensificar treinamentos e capacitações através de educação continuada

Indicadores de cobertura vacinal/taxa de abandono nas capitais da região norte do Brasil: um desafio a educação popular em saúde na perspectiva da Atenção Primária / Indicators of vaccination coverage/ dropout rate in the capitals of the northern region of Brazil: a challenge to popular education in health from the perspective of Primary Health Care

Instituído pelo Ministério da Saúde (MS), o Programa Nacional de Imunização (PNI) foi elencado para cumprir os objetivos da Organização Mundial da Saúde (OMS), e controlar principalmente o sarampo, tuberculose, difteria, tétano, coqueluche, poliomielite e manter até então, a já erradicada varíola. Este estudo objetivou-se em discutir sob a perspectiva da Atenção Primária à Saúde (APS) os desafios da cobertura vacinal nas capitais da região norte do Brasil. Trata-se de um estudo epidemiológico, descritivo, com abordagens quantiqualitativa. A pesquisa incluiu os 6 milhões de habitantes residentes das sete capitais dos estados que compõem a região norte do país, analisados sob a perspectiva da cobertura vacinal/taxa de abandono. Quanto a cobertura vacinal em relação ao índice populacional, nota-se maior abrangência em Palmas (TO), onde os índices na média comparativa entre os dois anos pesquisados encontraram-se em 74,30% e a maior taxa de abandono vacinal em Macapá (AP), 42,26%. Ressalta-se a importância da educação popular em saúde, principalmente na Atenção Primária à Saúde (APS), principal porta dos usuários aos serviços disponibilizados pelo Sistema Único de Saúde (SUS). 

Differential cross section measurements for the production of a W boson in association with jets in proton–proton collisions at √s = 7 TeV

Measurements are reported of differential cross sections for the production of a W boson, which decays into a muon and a neutrino, in association with jets, as a function of several variables, including the transverse momenta (pT) and pseudorapidities of the four leading jets, the scalar sum of jet transverse momenta (HT), and the difference in azimuthal angle between the directions of each jet and the muon. The data sample of pp collisions at a centre-of-mass energy of 7 TeV was collected with the CMS detector at the LHC and corresponds to an integrated luminosity of 5.0 fb[superscript −1]. The measured cross sections are compared to predictions from Monte Carlo generators, MadGraph + pythia and sherpa, and to next-to-leading-order calculations from BlackHat + sherpa. The differential cross sections are found to be in agreement with the predictions, apart from the pT distributions of the leading jets at high pT values, the distributions of the HT at high-HT and low jet multiplicity, and the distribution of the difference in azimuthal angle between the leading jet and the muon at low values.United States. Dept. of EnergyNational Science Foundation (U.S.)Alfred P. Sloan Foundatio

Optimasi Portofolio Resiko Menggunakan Model Markowitz MVO Dikaitkan dengan Keterbatasan Manusia dalam Memprediksi Masa Depan dalam Perspektif Al-Qur`an

Risk portfolio on modern finance has become increasingly technical, requiring the use of sophisticated mathematical tools in both research and practice. Since companies cannot insure themselves completely against risk, as human incompetence in predicting the future precisely that written in Al-Quran surah Luqman verse 34, they have to manage it to yield an optimal portfolio. The objective here is to minimize the variance among all portfolios, or alternatively, to maximize expected return among all portfolios that has at least a certain expected return. Furthermore, this study focuses on optimizing risk portfolio so called Markowitz MVO (Mean-Variance Optimization). Some theoretical frameworks for analysis are arithmetic mean, geometric mean, variance, covariance, linear programming, and quadratic programming. Moreover, finding a minimum variance portfolio produces a convex quadratic programming, that is minimizing the objective function ðð¥with constraintsð ð 𥠥 ðandð´ð¥ = ð. The outcome of this research is the solution of optimal risk portofolio in some investments that could be finished smoothly using MATLAB R2007b software together with its graphic analysis

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Search for stop and higgsino production using diphoton Higgs boson decays

Results are presented of a search for a "natural" supersymmetry scenario with gauge mediated symmetry breaking. It is assumed that only the supersymmetric partners of the top-quark (stop) and the Higgs boson (higgsino) are accessible. Events are examined in which there are two photons forming a Higgs boson candidate, and at least two b-quark jets. In 19.7 inverse femtobarns of proton-proton collision data at sqrt(s) = 8 TeV, recorded in the CMS experiment, no evidence of a signal is found and lower limits at the 95% confidence level are set, excluding the stop mass below 360 to 410 GeV, depending on the higgsino mass

Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI