Data Mining Practical Machine Learning Tools and Techniques

https://www.healio.com/psychiatry/journals/psycann/1976-12-6-12/{806b8887-c02e-40c8-a228-57f1cdb2bdba}/the-stress-of-life.pdf

The stress of life

福祉関連職におけるMaslach Burnout Inventoryの因子構造の比較

A Metodologia Cientifica, mais do que uma disciplina, que em principio desperta a ideia de uma linha puramente teorica, deve ser encarada como um conjunto de procedimentos sistematicos e racionais, base da formacao tanto do estudioso quanto do profissional. Ambos atuam, alem da pratica, no mundo das ideias, ou seja, suas linhas basicas caminham pelo campo teorico, porem, o acumulo do conhecimento cientifico teorico, permite a sua aplicacao pratica no desenvolvimento tecnologico, alem de sua utilizacao nas atividades profissionais. Pode-se afirmar que a pratica nasce da concepcao sobre o que deve ser realizado e qualquer tomada de decisao fundamenta-se naquilo que se afigura como o mais logico, racional, eficiente e eficaz. Desta forma, deve-se encarar a Pesquisa Cientifica e o Metodo Cientifico, que fornece os subsidios para a sua realizacao, como fundamentais para o modelo de sociedade que estamos inseridos. Os alunos devem compreender a Metodologia da Pesquisa Cientifica como um instrumento que deve auxilia a humanidade a encontrar as respostas para os problemas que surgem em nossa vida cotidiana, alem da sua importância para a elaboracao do Trabalho Cientifico, que deve ser apresentado ao final do curso de Pos-Graduacao. Para atingir este objetivo, os alunos deverao produzir um resumo cientifico.

Metodologia da pesquisa científica

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Oral Health Surveys: Basic Methods

Domestic violence reporting by health providers contributes to the epidemiological assessment of the magnitude of the problem, which allows the development of specific programs and actions The aim of the study was to assess the level of responsibility of these providers towards reporting violence, especially domestic violence, and potential related legal and ethical implications The Brazilian legislation and ethics code of Medicine, Dentistry, Nursing and Psychology were studied Legal sanctions are found in the Criminal Law of Misdemeanor Offenses, the Child and Adolescent Statute, the Elderly Statute and in the law establishing mandatory reporting of violence against women There are also penalties in all ethics codes reviewed It is concluded that health providers have the legal duty of reporting known domestic violence cases and they can even be charged with omission

/pdf/responsabilidade-do-profissional-de-saude-sobre-a-4yv8gtk1u1.pdf

Responsabilidade do profissional de saúde sobre a notificação de casos de violência doméstica

A avaliacao do grau de satisfacao dos usuarios do sistema de saude e um importante indicador a ser considerado no planejamento das acoes. O objetivo deste estudo foi avaliar o grau de satisfacao de usuarios dos servicos de saude publica municipal quanto aos servicos utilizados. Este estudo tipo inquerito foi conduzido em cinco municipios do Estado de Sao Paulo. A amostra foi selecionada de forma estratificada e aleatoria, sendo entrevistados 471 chefes de familia ou respectivos conjuges. Os dados qualitativos foram analisados pelo metodo de Analise de Conteudo, e os dados quantitativos foram processados utilizando-se o software estatistico Epi Info. Dentre os usuarios dos cinco municipios, 93,0% utilizam o servico municipal de saude. Para 72,0%, os servicos de saude prestados estao resolvendo os problemas e necessidades da populacao. Com base no acesso ao atendimento, 57,6% da populacao queixaram-se da presenca de filas para o atendimento. Mais da metade (69,5%) afirmou ter confianca na equipe de saude; no entanto, muitos relatos demonstraram a carencia de um atendimento humanizado. Em relacao aos servicos de saude, 61,7% classificaram-os como otimo ou bom. Conclui-se que a maior parte dos usuarios mostrou-se satisfeita com os servicos de saude municipais, apesar da grande quantidade de queixas quanto ao atendimento, falta de humanizacao e acolhimento, deficiencia de recursos fisicos e materiais. A percepcao do usuario e de extrema importância ao se dimensionar o reflexo das acoes que vem sendo desenvolvidas no setor saude, e serve como vetor de direcionamento e planejamento do servico.

/pdf/satisfacao-e-percepcao-do-usuario-do-sus-sobre-o-servico-2iyrxw5ev5.pdf

Satisfação e percepção do usuário do SUS sobre o serviço público de saúde

This study aimed to evaluate the prevalence of head and neck injuries in females based on complaints registered as bodily harm or cruel and unusual punishment at the Women's Defense Precinct in Aracatuba, Sao Paulo State, Brazil, in 2002. A total of 204 police inquiries were conducted in 2002, resulting in 33 police reports of bodily harm and cruel and unusual punishment to females. The police reports were examined as to victim's age and site of injury. The results showed that injuries are inflicted on various age brackets, with a higher prevalence in children and adolescents. In addition, the highest prevalence of injuries was in the head and neck, encompassing the area where dentists work and where they should be prepared to treat victims of such violence.

/pdf/violencia-domestica-analise-das-lesoes-em-mulheres-4kli65lpbf.pdf

Violência doméstica: análise das lesões em mulheres

The increased prevalence of malocclusions represents a secular trend attributed to the interaction of genetic and environmental factors. The analysis of factors related to the causes of these changes is essential for planning public health policies aimed at preventing and clinically intercepting malocclusion. This study investigated the sucking habits, nocturnal mouth breathing, as well as the relation of these factors with malocclusion. This is a longitudinal study in which 80 mother-child pairs were monitored from the beginning of pregnancy to the 30th month after childbirth. Home visits for interviews with the mothers were made on the 12th, 18th and 30th months of age. Finger sucking, pacifier sucking, bottle feeding, breastfeeding and nocturnal mouth breathing, were the variables studies. On the 30th month, clinical examinations were performed for overjet, overbite and posterior crossbite. A previously calibrated single examiner (Kappa coefficient = 0.92) was responsible for all examinations. Data were analyzed using the chi-squared or Fisher’s exact tests, at a significance level of 5%. Bottle feeding was the most prevalent habit at 12, 18 and 30 months (87.5%; 90% and 96.25%, respectively). Breastfeeding was 40%, 25% and 12.50% at 12, 18 and 30 months, respectively. Nearly 70% of the children in this study had some sort of malocclusion. Pacifier sucking habit at 12, 18 and 30 months of age was associated with overjet and open bite; and at 30 months, an association with overbite was also observed. Finger sucking habit and breastfeeding at 12, 18 and 30 months were also associated with overjet and open bite. The posterior crossbite was associated with bottle feeding at 12 and 30 months, and nocturnal mouth breathers at 12 and 18 months. Sucking habits, low rates of breastfeeding, and nocturnal mouth breathing were risk factors for malocclusion.

/pdf/longitudinal-study-of-habits-leading-to-malocclusion-acz2hsehys.pdf

Longitudinal study of habits leading to malocclusion development in childhood

The use of potentially inappropriate medications (PIM) among the elderly is a serious public health problem because it is intrinsically linked to increased morbidity and mortality, causing high costs to public health systems. This study’s objective was to verify the prevalence of and the factors associated with the use of PIMs by elderly Brazilians in institutional settings. We performed a transversal study, by consulting the case files of elderly people living in Long Term Care for the Elderly (LTC) in towns in the State of Sao Paulo, Brazil, as well as structured interviews with the nurses responsible for them. We identified PIMs using the list of recently updated Beers criteria developed by a group of specialists from the American Geriatrics Society (AGS), who reviewed the criteria based on studies with high scientific evidence levels. We defined the factors studied to evaluate the association with PIM use prior to the statistical analyses, which were the chi-square test and multiple logistic regression. Among the elderly who used drugs daily, 82.6% were taking at least one PIM, with antipsychotics (26.5%) and analgesics (15.1%) being the most commonly used. Out of all the medications used, 32.4% were PIMs, with 29.7% of these being PIMs that the elderly should avoid independent of their condition, 1.1% being inappropriate medication for older adults with certain illnesses or syndromes, and 1.6% being medications that older adults should use with caution. In the multivariate analysis, the factors associated with PIM use were: polypharmacy (p = 0.0187), cerebrovascular disease (p = 0.0036), psychiatric disorders (p < 0.0001) and dependency (p = 0.0404). The results of this study showed a high prevalence of PIM use in institutionalized elderly Brazilian patients. and the associated factors were polypharmacy, psychiatric disorders, cerebrovascular diseases and dependency.

/pdf/potentially-inappropriate-medications-used-by-the-elderly-4zq1xww1es.pdf

Cléa Adas Saliba Garbin

Papers

Responsabilidade do profissional de saúde sobre a notificação de casos de violência doméstica

Satisfação e percepção do usuário do SUS sobre o serviço público de saúde

Violência doméstica: análise das lesões em mulheres

Longitudinal study of habits leading to malocclusion development in childhood

Potentially inappropriate medications used by the elderly: prevalence and risk factors in Brazilian care homes