RESUMO
Compliance with antihypertensive drug treatmentis essential for the management of patients with highblood pressure, which contributes to the reduction ofmorbidity and mortality from this disease. Thus, theaim of this study was to determine antihypertensivedrug treatment compliance and associated factorsin elderly patients with high blood pressure enrolledat a district Family Health Clinic, Londrina, Paraná,Brazil. This was a cross-sectional study of elderlypatients (60 or older), selected from the PrimaryCare Information System. The variables of interest(socioeconomic and demographic, lifestyle, accessto health services and medication adherence) werecollected by applying a semi-structured questionnairein a household survey. Compliance was assessed by theMorisky-Green test and blood pressure control. Of the117 elderly surveyed, 54.7% were identified as adheringto the antihypertensive drug treatment and 61.4%had controlled blood pressure. The average number ofantihypertensive drugs used was 1.97, the commonestbeing hydrochlorothiazide (30.8%), enalapril (24.8%)and captopril (14.5%). Adherence to pharmacologicaltreatment was shown to be associated with femalesex (61.8%; p<0.05) and age between 60 and 79 years(67.9%; p<0.01). Better control of blood pressurewas associated with less education (75.6%; p<0.05)and a lack of paid work (69.4%; p<0.02). Resultsindicated moderate adherence to antihypertensive drugtreatment and blood pressure control. Furthermore,it was found that the socioeconomic and demographiccharacteristics were more strongly associated withadherence to treatment and blood pressure control.
A adesão ao tratamento anti-hipertensivo é fundamental para o manejo dos pacientes portadores de hipertensão arterial, o que contribui para a redução da morbi-mortalidade por esta enfermidade. Desta forma, este estudo teve como objetivo determinar a adesão ao tratamento anti-hipertensivo e fatores associados em idosos hipertensos cadastrados em uma Unidade de Saúde da Família, Londrina-PR. Desenvolveu-se um estudo transversal com idosos (60 anos ou mais), selecionados a partir do Sistema de Informação da Atenção Básica. As variáveis de interesse (socioeconômicas e demográficas, hábitos de vida, acesso aos serviços de saúde e adesão ao tratamento medicamentoso) foram obtidas pela aplicação de um formulário semiestruturado através de um inquérito domiciliar. A adesão foi avaliada por meio do Teste de Morisky-Green e o controle pressórico. Dos 117 idosos investigados, 54,7% foram identificados como aderentes ao tratamento anti-hipertensivo e 61,4% apresentaram pressão arterial controlada. A média de medicamentos anti-hipertensivos utilizados foi de 1,97, destacando-se hidroclorotiazida (30,8%), enalapril (24,8%) e captopril (14,5%). A adesão ao tratamento farmacológico apresentou-se associada ao sexo feminino (61,8%; p<0,05) e a idade entre 60 e 79 anos (67,9%; p<0,01). O controle pressórico mostrou-se associado à menor escolaridade (75,6%; p<0,05) e não possuir trabalho remunerado (69,4%; p<0,02). Os resultados observados indicam moderada adesão ao tratamento anti-hipertensivo e ao controle pressórico. Além disso, detectou-se que as variáveis socioeconômicas e demográficas mostraram-se mais fortemente associadas à adesão e controle pressórico.
RESUMO
The conductance of interpenetrated polymer networks (IPNs) containing quaternary amino groups was studied in cyclohexane, toluene, ethyl ether, ethyl acetate, and tetrahydrofurane as a function of water content by electrochemical impedance spectroscopy. IPNs were then used as sensitive materials to detect water traces in organic solvents with promising results for the construction of a moisture sensor. The detection onset for water concentration increased with the dielectric constant of the solvent. Different IPN-based sensors in the same solvent showed a detection limit at lower water concentration if their characteristic plot [conductance/relative humidity (RH%) in air] was shifted toward lower RH%. This suggests that the composition of this class of polymers can be tuned to achieve the best performance for each solvent.
RESUMO
Teamwork is emerging like a model of prevailing reference in many working fields: the interaction and, above all, integration between several persons can be an instrument to empower the individual skills, allowing to reach different and higher levels of creativity and efficiency than the sum of the single members' capacities. However, the capacity of interaction, tolerance, and focusing on the problem is required to the members who also need training for this way of working. After a brief historical summary of some ''creative groups'' experiences in the fields of literature, science and arts, a vast review of theoretical model references is presented. Starting from specific North-American guidelines, a hypothesis of nutritional teamwork is introduced. This hypothesis aims at optimizing therapeutic interventions, at the critical review of the provided services and at a greater care for the cost-benefit ratio.
RESUMO
The strategies of management of the turnover of nursing personnel have been explored in 5 hospitals of the Veneto region. A questionnaire distributed to 200 permanent staff nurses moved for different reasons to another ward during the year 1998, was returned by up to the 62.5% of the recipients. Sixty nurses changed the ward at their request, 18 had to move only for work reasons and 47 for a combination of both reasons. The main reasons (50%) for moving nurses for work reasons (18/125) is the lack of personnel or the restructuration or closure of wards with reduction of the number of beds (50% of the moves). Professional development and acquisition of new competences and skills is the main reason (42%) for nurses who ask to change ward at their request. The reasons for changing the ward are obscure for 1/3 of nurses moved for work reasons. Overall mobility is valued as opportunity for professional development, but it is suggested it should be mainly at personnel's request and after an evaluation of the curriculum.
