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3.
Rev. esp. salud pública ; 86(6): 565-574, nov.-dic. 2012. tab, ^ilus
Artigo em Espanhol | IBECS | ID: ibc-107928

RESUMO

El Sistema para la Autonomía y Atención a la Dependencia (SAAD) fue creado con el fin de proporcionar un marco de protección a las personas en situación de dependencia. La prioridad de las prestaciones en servicios frente a las económicas, según la Ley, y la gestión eficiente de los recursos públicos destinados al SAAD hacían prever retornos económicos, como la generación de empleo. Las variables que influyen en la implantación del SAAD son extremadamente complejas y dinámicas, existiendo múltiples relaciones entre las mismas. El objetivo de este trabajo es analizar la problemática de satisfacer una demanda creciente de protección al mínimo coste y aprovechar los retornos económicos mediante la lógica borrosa (mapa cognitivo borroso). Esta técnica se configura como una herramienta para la toma de decisiones en este ámbito, porque permite analizar la evolución de las variables causales hasta un estado de equilibrio. Para ello, se han ideado 4 escenarios (E1:Envejecimiento, E2: Envejecimiento y prestaciones en servicios, E3: Envejecimiento y prestaciones económicas, E4: Envejecimiento y prestación económica para cuidados en el entorno familiar), con el fin de analizar la evolución de las variables, especialmente el gasto público y el empleo. Entre los principales resultados obtenidos destacan: el envejecimiento es determinante en el incremento del gasto en todos los escenarios, pero solamente en E1 y E2 se genera empleo. La prestación residencial no se altera, ni siquiera en E2. La teleasistencia aumenta en todos los escenarios y la prestación económica por asistente personal aumenta en E1 y E2(AU)


System for Autonomy and Care for Dependency (Spanish acronym SAAD) was created to provide a framework for the protection of dependent people. The priority established by law on benefits in kind over cash benefits, together with the efficient management of public resources provided economic returns for the SAAD, such as employment generation. The variables that influence the implementation of the SAAD are extremely complex and dynamic, and there are multiple relationships between them. The aim of this paper is to analyze the problem of satisfying a growing demand for protection, at minimum cost, and reaps the economic returns using fuzzy logic (fuzzy cognitive map). This technique is designed as a tool for decision-making in this area, to analyze the evolution of causal variables to a state of equilibrium. To do this, we have developed 4 scenarios (E1: Ageing, E2: Ageing and benefits in kind, E3: Ageing and cash benefits, E4: Ageing and cash benefit for care in the family), to analyze the evolution of variables, especially public expenditure and employment. Among the main results are: ageing is critical for the increased spending in all scenarios, but only in E1 and E2 is generated employment, residential care is not altered, even in E2; Telecare increases in all scenarios, and the cash benefit for personal attendant increases in E1 and E2(AU)


Assuntos
Humanos , Masculino , Feminino , Envelhecimento/fisiologia , Apoio Social , Política Pública/legislação & jurisprudência , Política Pública/tendências , Controle Social Formal/classificação , Controle Social Formal/métodos , Financiamento Governamental/economia , Financiamento Governamental/métodos , Setor Público/economia , /métodos , /estatística & dados numéricos , Impacto Psicossocial , Indicadores de Impacto Social
4.
Rev Esp Salud Publica ; 86(6): 565-74, 2012 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-23325132

RESUMO

System for Autonomy and Care for Dependency (Spanish acronym SAAD) was created to provide a framework for the protection of dependent people. The priority established by law on benefits in kind over cash benefits, together with the efficient management of public resources provided economic returns for the SAAD, such as employment generation. The variables that influence the implementation of the SAAD are extremely complex and dynamic, and there are multiple relationships between them. The aim of this paper is to analyze the problem of satisfying a growing demand for protection, at minimum cost, and reaps the economic returns using fuzzy logic (fuzzy cognitive map). This technique is designed as a tool for decision-making in this area, to analyze the evolution of causal variables to a state of equilibrium. To do this, we have developed 4 scenarios (E1: Ageing, E2: Ageing and benefits in kind, E3: Ageing and cash benefits, E4: Ageing and cash benefit for care in the family), to analyze the evolution of variables, especially public expenditure and employment. Among the main results are: ageing is critical for the increased spending in all scenarios, but only in E1 and E2 is generated employment, residential care is not altered, even in E2; Telecare increases in all scenarios, and the cash benefit for personal attendant increases in E1 and E2.


Assuntos
Atenção à Saúde/legislação & jurisprudência , Lógica Fuzzy , Transição Epidemiológica , Assistência de Longa Duração/legislação & jurisprudência , Orçamentos , Controle de Custos/economia , Controle de Custos/legislação & jurisprudência , Tomada de Decisões , Dedutíveis e Cosseguros/economia , Dedutíveis e Cosseguros/legislação & jurisprudência , Atenção à Saúde/economia , Atenção à Saúde/organização & administração , Emprego/legislação & jurisprudência , Serviços de Assistência Domiciliar/economia , Serviços de Assistência Domiciliar/legislação & jurisprudência , Humanos , Assistência de Longa Duração/economia , Espanha
5.
Exp Parasitol ; 96(3): 130-8, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11162363

RESUMO

The mitotic phases and the changes that the chromatin and mitotic microtubules undergo during mitosis in the sexually transmitted parasite Trichomonas vaginalis are described. Parasites arrested in the gap 2 phase of the cell cycle by nutrient starvation were induced to mitosis by addition of fresh whole medium. [(3)H] Thymidine labeling of trichomonad parasites for 24 h showed that parasites have at least four synchronic duplications after mitosis induction. Fixed or live and acridine orange (AO)-stained trichomonads analyzed at different times during mitosis by epifluorescence microscopy showed that mitosis took about 45 min and is divided into five stages: prophase, metaphase, early and late anaphase, early and late telophase, and cytokinesis. The AO-stained nucleus of live trichomonads showed green (DNA) and orange (RNA) fluorescence, and the nucleic acid nature was confirmed by DNase and RNase treatment, respectively. The chromatin appeared partially condensed during interphase. At metaphase, it appeared as six condensed chromosomes, as recently reported, which decondensed at anaphase and migrated to the nuclear poles at telophase. In addition, small bundles of microtubules (as hemispindles) were detected only in metaphase with the polyclonal antibody anti-Entamoeba histolytica alpha-tubulin. This antibody showed that the hemispindle and an atractophore-like structure seem to duplicate and polarize during metaphase. In conclusion, T. vaginalis mitosis involves five mitotic phases in which the chromatin undergoes different degrees of condensation, from chromosomes to decondensed chromatin, and two hemispindles that are observed only in the metaphase stage.


Assuntos
Cromatina/fisiologia , Mitose , Fuso Acromático/fisiologia , Trichomonas vaginalis/citologia , Laranja de Acridina , Animais , Cromatina/ultraestrutura , DNA de Protozoário/análise , Técnica Indireta de Fluorescência para Anticorpo , Corantes Fluorescentes , Humanos , Microscopia de Fluorescência , RNA de Protozoário/análise , Fuso Acromático/ultraestrutura , Timidina , Fatores de Tempo , Trichomonas vaginalis/ultraestrutura
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