Occupational roles of people with disabilities: work, family, independence and social participation

The objective of this study is to describe the everyday needs and occupational roles of adults and old adults with disabilities in a medium port city of the Sao Paulo provincy, Brazil. Method: sixteen adults and older adults age mean 61.7 an standard deviation 17.2 participated in this study. Those selected were people with physical and/ or sensory impairment, to the exclusion of people with alterations in verbal and / or cognitive impairments. The instruments used for data collection were the Mini Mental State Examination (as a criteria to exclude subjects with cognitive imnpairments), the Role Checklist and semi-structured interviews. The results revealed the predominance of elderly females among people with disabilities (n = 10). The interviews showed labor relations and family functions as important roles, followed by the desire for independence in carrying out other activities such as leisure, housework and greater social participation. Conclusion: The research highlighted the importance of looking at the occupational roles of people with disabilities in their daily lives, understanding that the expansion of the role of these people in their occupational performance can promote good health and increased participation in social life

Comparação entre amostragem foliar convencional e de precisão para análise de micronutrientes na cafeicultura

One of the technologies that has been outstanding for the management of crops is the precision of coffee growing. However, there are still many fears on the part of growers in their adoption due to the lack of information to justify its use, compared to the current conventional management. This study aimed to evaluate the spatial and temporal variability of micronutrients (Zn, Fe, Mn, Cu and B) obtained through foliar analysis of a coffee plantation, allowing the creation of thematic maps in order to visualize their distribution in space. We also aimed to compare the results of precision coffee growing versus conventional management seeking to find results that justify its adoption in managing crops. The trial was carried out in Brejão farm, located in the municipality of Três Pontas - MG, in a coffee crop cultivate Topaz. Leaves were collected for foliar analysis according to two types of sampling: Precision coffee growing, with 100 collection points, and conventional management, dividing the area into two plots. The evaluations were performed at three different times: June / 2012, December / 2012 and June/2013. Through geostatistics, spatial and temporal variability of all variables was identified, enabling the creation of maps. For a given time, there are differences between the two types of management. In general, the accuracy of coffee allowed greater detail crop compared to the conventional management, allowing prevent management errors.Uma das tecnologias que vem se destacando para o gerenciamento das lavouras é a cafeicultura de precisão. Entretanto, ainda há muitos receios por parte dos cafeicultores na sua adoção em virtude da falta de informações que justifiquem seu uso, frente ao manejo convencional vigente. O presente trabalho buscou avaliar a variabilidade espacial de micronutrientes (Zn, Fe, Mn, Cu e B) obtidos por meio de análise foliar de uma lavoura cafeeira, permitindo a criação de mapas temáticos a fim de visualizar a sua distribuição no espaço em diferentes épocas. Objetivou-se também comparar os resultados da cafeicultura de precisão com o manejo convencional, buscando encontrar resultados que justifiquem a adoção da primeira no gerenciamento das lavouras. O experimento foi realizado na fazenda Brejão, localizada no município de Três Pontas - MG, em uma lavoura de café cultivar Topázio. Foram coletadas folhas para análise foliar segundo dois tipos de amostragem: cafeicultura de precisão, com 100 pontos de coleta, e manejo convencional, dividindo a área em dois talhões. A coleta foi realizada em três épocas: Junho/2012, Dezembro/2012 e Junho 2013. Por meio de geoestatística, foi identificada a variabilidade espacial e temporal de todas as variáveis, possibilitando a criação de mapas. Para uma mesma época, verificaram-se diferenças entre os dois tipos de manejos. De modo geral, a cafeicultura de precisão permitiu maior detalhamento da lavoura em comparação com o manejo convencional, permitindo evitar erros de gerenciamento

Síndrome dos ovários policísticos: aspectos etiopatogênicos, métodos diagnósticos e condutas terapêuticas

A síndrome dos ovários policísticos (SOP), caracteriza-se por uma das endocrinopatias mais comuns na vida das mulheres no período da menacme, afetando cerca de 8% a 13% dessa população. Consiste em uma patologia cada vez mais prevalente, a qual afeta significativamente o bem-estar e a qualidade de vida daquelas que convivem com a síndrome, estando associada ao risco de desenvolvimento de complicações a longo prazo, como subfertilidade/infertilidade, diabetes tipo 2, síndrome metabólica e até mesmo câncer de endométrio. Etiologicamente, sabe-se que a SOP é multifatorial e está relacionada com fatores genéticos, ambientais, epigenéticos, hormonais, entre outros. A patogênese ainda carece de esclarecimentos, contudo sabe-se que está relacionada ao hiperandrogenismo a nível ovariano e à hiperinsulinemia, agravada pela resistência insulínica adquirida pela obesidade, que é comum ser observada nessa população. Devido aos vários fenótipos da SOP e da diversidade sintomatológica observada, usualmente, é subdiagnosticada e não tratada ou tem o manejo estabelecido tardiamente e sintomático. Em virtude da variedade etiológica da SOP, a epidemiologia é variada, e a incidência depende de diversos fatores. Ademais, a depender da etiologia da SOP e da evolução do quadro, o manejo terapêutico e o prognóstico são diferentes. No que tange ao diagnóstico, este é, frequentemente, tardio. Contudo, a avaliação inicial deve ser feita seguindo o critério de Rotterdam, sendo necessários 2 dos 3 critérios para confirmação do diagnóstico. Apesar de ser o mais usado, também existem outros critérios para o diagnóstico. O manejo terapêutico é imprescindível, a fim de evitar evolução do quadro e possíveis complicações. Pode-se utilizar o tratamento farmacológico ou cirúrgico, a depender de cada caso. Vale salientar a importância das mudanças de estilo de vida, incentivando a prática de exercícios físicos e a adoção de uma dieta saudável, o que demonstra resultados promissores

A IMPORTÂNCIA DA CLASSIFICAÇÃO DE RISCO NOS SERVIÇOS DE URGÊNCIA E EMERGÊNCIA

Objective: To discuss the importance of risk classification in urgent and emergency care through the existing literature. Methods: This is a qualitative integrative literature review. The search for works involved in the research was carried out in the following databases: SCIELO, LILACS, BDENF and MEDLINE, using the health sciences descriptors: "Hospice care", "Palliative care" and "Intensive care unit". The inclusion criteria were: published between 2013 and 2023, with free access to full texts, articles in Portuguese, English and Spanish and related to the theme. Exclusion criteria were: duplicate articles, incomplete articles, abstracts, reviews, debates, articles published in event proceedings and unavailable in full. Results: When risk classification is applied, there is integration between various organizational services so that patients' health needs can be resolved in a shorter time and properly applied. Conclusion: It can be concluded that risk classification used effectively in emergency services favors quality care, as well as assertiveness when it comes to stratifying each case and knowing which priority to allocate the patient to.Objetivo: Discutir por meio da literatura existente acerca da importância da classificação de risco nos serviços de urgência e emergência. Métodos: Trata-se de uma revisão integrativa da literatura de caráter qualitativo. A busca dos trabalhos envolvidos na pesquisa foi realizada nas seguintes bases de dados: SCIELO, LILACS, BDENF e MEDLINE, a partir dos descritores em ciências da saúde: “Assistência hospitalar”, “Cuidados paliativos” e “Unidade de terapia intensiva”. Os critérios de inclusão foram: publicados no período entre 2013 e 2023, cujo acesso ao periódico era livre aos textos completos, artigos em idioma português, inglês e espanhol e relacionados a temática. Critérios de exclusão foram: artigos duplicados, incompletos, resumos, resenhas, debates, artigos publicados em anais de eventos e indisponíveis na íntegra. Resultados: Na aplicação da classificação de risco há integração entre diversos serviços de organização para que se tenha resolutividade da necessidade de saúde dos pacientes em um tempo menor e uma aplicação adequada. Conclusão: Conclui-se que a classificação de risco usada de forma efetiva nos serviços de emergência favorece para um atendimento de qualidade, assim como assertividade no momento de estratificar cada caso e saber em qual prioridade alocar esse paciente

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

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

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

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