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Search Results: 1 - 10 of 156307 matches for " Doroteia Aparecida H?felmann "
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Identification of confounders in the association between self-reported diseases and symptoms and self-rated health in a group of factory workers
Hfelmann, Doroteia Aparecida;Blank, Nelson;
Cadernos de Saúde Pública , 2008, DOI: 10.1590/S0102-311X2008000500005
Abstract: self-related health is an important predictor of morbidity and mortality, and much of its effect is influenced by the presence of chronic diseases and/or symptoms. the current study aimed to identify confounders in the association between reported chronic diseases and/or symptoms and self-rated health among workers at a metallurgical factory in santa catarina state, brazil. the study design was cross-sectional, with a probabilistic sample of 482 workers. the information was obtained through a self-administered questionnaire and anthropometric measurements. hierarchical multiple logistic regression models were adjusted. the response rate was 98.6% (n = 475), with 84.8% men, mostly employed on the factory floor (79.4%). back pain was the most common complaint. the association between chronic diseases and self-rated health showed an odds ratio (or) of 7.3 (95%ci: 3.7;14.5). after statistical modeling, psychosocial (-25.59%), socioeconomic (-9.29%), and occupational variables (10.54%) were identified as confounders between the outcome and chronic diseases and/or symptoms. the way diseases and/or symptoms act on self-rated health among workers transcends physical aspects.
Auto-avalia??o de saúde entre trabalhadores de uma indústria no sul do Brasil
Hfelmann,Doroteia Aparecida; Blank,Nelson;
Revista de Saúde Pública , 2007, DOI: 10.1590/S0034-89102007000500012
Abstract: objective: to analyze the prevalence of negative self-rated health and its factors associates among industrial workers. methods: cross-sectional study with a probabilistic sample of 482 metal mechanic industrial workers of a city in southern brazil. data was collected by means of self-administered questionnaire and anthropometric measures. the magnitude of the association between self-rated health and the study variables was estimated by odds ratio with 95% confidence intervals (95% ci). multivariate logistic regression models were obtained using a theoretical hierarchical model. results: response rate was 98.6%. negative self-rated health was seen in 16.6% of the employees and most (84.8%) were males engaged in predominantly production activities (79.4%). the most common complaint was back pain (30.9%). after statistical modeling the following variables remained associated with negative self-rated health: females (or=3.0 95% ci 1.5;6.2), physical inactivity (or=1.8 95% ci 1.0;3.4), psychological stress (or=3.0 95% ci 1.6;5.6), lack of control over life (or=3.0 95% ci 1.5;6.1), reporting of one (or=3.2 95% ci 1.4;7.2) or two or more chronic conditions (or=7.7 95% ci 3.4;17.8), short-term medical leave (or=2.9 95% ci 1.5;5.5), and incapacitating illness (or=2.8 95% ci 1.2;6.6). conclusions: the prevalence of negative self-rated health was associated with socioeconomic/demographic, lifestyle, psychosocial and health-related dimensions. the variable causing the greatest impact on the outcome was reporting of more than two chronic conditions.
Avalia o da saúde de crian as em creches de cidade do sul do Brasil Evaluación de la salud en ni os en guarderías de ciudad del sur de Brasil Health assessment of children in daycare centers in a city of Southern Brazil
Doroteia Aparecida Hfelmann,Ayama Dallabona
Revista Paulista de Pediatria , 2012, DOI: 10.1590/s0103-05822012000300004
Abstract: OBJETIVO: Analisar a avalia o da saúde de crian as de creches públicas e privadas de uma cidade do Sul do Brasil feita por seus responsáveis e investigar sua associa o com fatores socioecon micos, demográficos e aqueles relacionados ao estado de saúde. MéTODOS: Estudo transversal com amostragem em duplo estágio (n=589). A coleta de dados incluiu medidas antropométricas e questionário com variáveis infantis e do responsável. A avalia o do responsável sobre a saúde infantil foi coletada como muito boa, boa, regular, ruim ou muito ruim. Para a análise, as duas primeiras categorias foram agrupadas e as três últimas indicaram saúde negativa. As raz es de prevalência brutas e ajustadas e seus respectivos intervalos de confian a de 95% (IC95%) foram calculadas por meio da regress o de Poisson, com ajuste para delineamentos complexos. RESULTADOS: Foram avaliadas 531 crian as (90,2%) com idades de 1,5 meses a 7,5 anos, a maioria de creches públicas (75,9%). Apenas 8,1% (IC95% 5,8 - 10,4) tiveram sua saúde classificada como regular. Crian as hospitalizadas no ano anterior, as de ra a negra, amarela ou indígenas, que ficavam mais de 20 horas por semana na creche e com consumo alimentar considerado "pequeno" pelos pais apresentaram maior prevalência de saúde classificada como regular. Pais que relataram consumir bebidas alcoólicas avaliaram como pior a saúde de seus filhos. CONCLUS ES: A maioria dos responsáveis avaliou positivamente a saúde de seus filhos. Cor da pele, hospitaliza es e consumo alimentar foram variáveis independentemente associadas à pior avalia o de saúde infantil pelos responsáveis. OBJETIVOS: Analizar la evaluación de la salud de ni os en guarderías públicas y privadas de una ciudad del Sur de Brasil por sus responsables e investigar su asociación con factores socioeconómicos, demográficos y relacionados al estado de salud. MéTODOS: Estudio transversal, con muestreo en doble etapa (n=589). La recolección de datos incluyó medidas antropométricas y cuestionario con variables infantiles y del responsable. La evaluación del responsable sobre la salud infantil fue clasificada como muy buena, buena, regular, mala o muy mala. Para el análisis, las dos primeras categorías fueron agrupadas y las tres últimas indicaron salud negativa. Las razones de prevalencia brutas y ajustadas y sus respectivos intervalos de confianza de 95% (IC95%) fueron calculados por medio de la regresión de Poisson, con ajuste para delineaciones complejas. RESULTADOS: Se evaluaron a 531 ni os (90,2%), con edades de 1,5 meses a 7,5 a os, la mayoría era de guarderías públicas (7
Self-rated health and working conditions among workers from primary health care centers in Brazil
Garcia, Leila Posenato;Hfelmann, Doroteia Aparecida;Facchini, Luiz Augusto;
Cadernos de Saúde Pública , 2010, DOI: 10.1590/S0102-311X2010000500019
Abstract: this cross-sectional study with 1,249 workers from all 49 municipal primary health care centers was conducted in florianópolis, santa catarina state, brazil, with the objective of investigating the prevalence of poor self-rated health and its association with working conditions and other factors. multivariate statistical analyses were conducted using poisson regression. the prevalence of poor self-rated health was 21.86% (95%ci: 19.56%-24.15%). the largest prevalence was found among dental assistants (35.71%), and the lowest among physicians (10.66%). in the adjusted analysis, the outcome was associated with female gender (pr = 1.48; 95%ci: 1.03-2.14), older age (pr = 1.29; 95%ci: 1.05-1.59), higher education (pr = 0.69; 95%ci: 0.55-0.87), more time working at the primary care center (pr = 1.57; 95%ci: 1.29-1.98), higher workload score (pr = 1.67; 95%ci: 1.35-2.05), obesity (pr = 1.74; 95%ci: 1.37-2.21), and often or always experiencing musculoskeletal symptoms (pr = 2.69; 95%ci: 1.90-3.83). a higher workload score remained associated with the outcome, suggesting an association between working conditions and self-rated health.
Percep??o materna do estado nutricional de crian?as de creches de cidade do Sul do Brasil
Giacomossi, Maiara Cristina;Zanella, Tamyris;Hfelmann, Doroteia Aparecida;
Revista de Nutri??o , 2011, DOI: 10.1590/S1415-52732011000500003
Abstract: objective: this study assessed the prevalence and factors associated with mother's or guardian's perception error of the nutritional status of children in public and private kindergartens of balneário camboriu, santa catarina, brazil. methods: this cross-sectional study had a two stage sample (n=589). data collection included anthropometric measurements and administration of a questionnaire with infant and maternal variables. the prevalence ratios (pr) and confidence intervals 95% (ci 95%) were calculated using the poisson regression, adjusted for complex sampling. results: four hundred and ninety-three children were evaluated (83.7%). gender distribution was homogeneous. most of the questionnaires were answered by the mothers (95.7%) who were mostly caucasian with average education level. the prevalence of error in the classification of nutritional status was 18.9% (ic 95% 15.5-22.4%). after adjusted analysis, overweight (rp 4.8 ic 95% 3.8-7.1) or childhood malnutrition (rp 4.6 ic 95% 2.8-7.7) and non-caucasian caregiver (rp 1.7 ic 95% 1.1-2.6) were associated with greater outcome prevalence, while caregiver aged 24 to 35 years (rp 0.5 ic 95% 0.3-0.8), with higher income (rp 0.6 ic 95% 0.4-0.9) and obesity (rp 0.3 ic 95% 0.1-1.0) had an opposite effect. conclusion: prevalence of error was similar to that observed in other studies, and was associated with maternal compositional variables and child's nutritional status.
Nutrition intervention in scholars
Carolina Anzolin,Camila Marcon Ouriques,Doroteia Aparecida Hfelmann,Tatiana Mezadri
Revista Brasileira em Promo??o da Saúde , 2010,
Abstract: Objective: To verify the effectiveness of nutrition intervention in changing dietary intake among school children aged 6 to 10 years old in private school, in the city of Itajaí - SC, Brazil. Methods: A non-randomized and uncontrolled intervention study, carried through four educational activities in the period from August to November, 2008 and food intake reassessed at the end. We evaluated the nutritional status by means of body mass index for age and sex, and waist circumference. The frequency of consumption before and after intervention was compared using the paired Student t test. Results: Joined in the survey 93 students (69.92%) of whom 48 children (54.5%) were normal weight, while 36 (40.9%) were overweight or presented obesity. The most consumed food groups, before and after intervention were: crackers and pasta; rice and fruit juice. The average frequency of sweets intake decreased after the intervention (0.54 to 0.24 times per day, p <0.001), however increased the intake of fried potatoes (0.25 to 0.65, p <0.001), pizza and hamburger (0.30 to 0.46, p = 0.028). Among girls, the intake of sweets decreased after the educational activities (0.58 to 0.12, p <0.001). Conclusions: Nutritional interventions, despite the short period of time, were effective in changing the consumption of certain foods / food groups. The results reinforce the need to carry out interventions more often and for longer periods, to promote effective changes in food consumption.
Insatisfa o corporal e transtornos mentais comuns em adolescentes Insatisfacción corporal y trastornos mentales comunes en adolescentes Body dissatisfaction and common mental disorders in adolescents
Fernanda de Azevedo Marques,Eduardo José Legal,Doroteia Aparecida Hfelmann
Revista Paulista de Pediatria , 2012, DOI: 10.1590/s0103-05822012000400014
Abstract: OBJETIVO: Verificar a prevalência de insatisfa o corporal em adolescentes e sua associa o com fatores socioecon micos, comportamentais, antropométricos e psicossociais, em especial a presen a de transtornos mentais comuns. MéTODOS: Foram estudados adolescentes de uma escola de Itajaí, nos quais foram realizadas medidas antropométricas para análise do índice de massa corpórea. Aplicou-se um questionário sobre dados pessoais e transtornos mentais comuns. O desfecho principal foi a presen a da insatisfa o corporal, sendo a análise ajustada dos fatores associados realizada por meio da regress o de Poisson. As raz es de prevalência e seus respectivos intervalos de confian a de 95% (IC95%) foram calculados. RESULTADOS: Foram avaliados 214 adolescentes (77,5%) com idade média de 12,4 anos e predomínio do sexo feminino (65,4%). A maioria dos adolescentes avaliados foi classificada como eutrófica (79,4%) e 28,0% deles apresentaram escores indicativos de transtornos mentais comuns. A prevalência de insatisfa o corporal foi de 74,3%, (IC95% 67,9-80,0). Dentre os fatores associados ao desfecho, destacaram-se: menor escolaridade materna, obesidade abdominal, percep o do estado nutricional como acima ou abaixo do peso, interferência da forma física em atividades diárias e relacionamentos. A presen a de transtornos mentais comuns esteve associada, após análise ajustada, ao nível de 6,6% à insatisfa o corporal. CONCLUS ES: A maioria dos adolescentes possuía índice de massa corporal e circunferência da cintura dentro da normalidade; entretanto, grande parte relatou insatisfa o com a imagem corporal, em ambos os sexos. Variáveis maternas e comportamentos relacionados ao peso corporal estiveram associados ao desfecho. Para transtornos mentais comuns, a associa o foi próxima ao limiar de significancia adotado. OBJETIVO: Verificar la prevalencia de insatisfacción corporal en adolescentes y su asociación con factores socioeconómicos, comportamentales, antropométricos y psicosociales, en especial la presencia de trastornos mentales comunes (TMC). MéTODOS: Se estudiaron adolescentes de una escuela de Itajaí, realizándose las medidas antropométricas para análisis del índice de Masa Corporal (IMC) y aplicación de cuestionario sobre datos personales y TMC. El desenlace principal fue la presencia de la insatisfacción corporal, siendo el análisis ajustado de los factores asociados realizada por medio de la Regresión de Poisson y calculadas razones de prevalencia (RP) y sus respectivos intervalos de confianza de 95% (IC95%). RESULTADOS: Se evaluaron 214 adolescentes (77,5%),
Excesso de peso entre trabalhadores de uma indústria: prevalência e fatores associados
Hfelmann, Dorotéia Aparecida;Blank, Nelson;
Revista Brasileira de Epidemiologia , 2009, DOI: 10.1590/S1415-790X2009000400015
Abstract: excess weight has taken epidemic proportions in recent decades. the present cross-sectional study with a random sample aimed to estimate the prevalence and factors associated with excess weight among workers of a metal-mechanic industry in joinville, santa catarina. anthropometric data were collected and a self-administered questionnaire completed. crude and adjusted prevalence ratios (pr), and 95% confidence intervals (95% ci) were calculated, using the poisson regression. the response rate was 98.6% (n = 475), 84.8% were men, and 79.4% were employed in manufacturing. the prevalence of overweight was 53.0% (95% ci 48.5% - 57.6%). after adjusted analysis, women had a lower prevalence of the outcome (pr 0.19 95% ci: 0.05 to 0.73). the prevalence was higher among those aged over 30 (pr 1.69 95% ci 1.33 to 2.15) or 40 years (pr 2.00 95% ci 1.56 to 2.57), reporting a chronic disease (pr 1.23 95% ci 1.04 to 1.45), or who assessed their health as poor (pr 1.23 95% ci 1.02 to 1.49). furthermore, there was an interaction between education and sex: for men with basic education, the prevalence of overweight was 30% lower than among those with more schooling (pr 0.71 95% ci 0.51 to 0.99), while among women with basic education, the prevalence was almost six times higher than among those with higher education (pr 5.57 95% ci 1.28 to 24.25). the results strengthen the differences between genders and various socioeconomic indicators on the prevalence of overweight.
Variáveis infantis e maternas associadas à presen?a de sobrepeso em crian?as de creches
Dallabona, Ayama;Cabral, Simone Chaves;H?felman, Doroteia Aparecida;
Revista Paulista de Pediatria , 2010, DOI: 10.1590/S0103-05822010000400004
Abstract: objective: to estimate the prevalence of overweight and associated factors among children from public and private day care centers in balneário camboriú, santa catarina, brazil. methods: cross-sectional study. in the first stage, 20 day care centers were chosen, then 564 children were chosen by lot to be enrolled in the study. data collection included a questionnaire with children's and caretakers' characteristics and anthropometric measurements. adjusted odds ratios, and 95% confidence intervals (95% ci) were calculated by unconditional logistic regression. results: the response rate was 83.7% (n=491). most children were attending public day care centers (75.7%); they were over two years old, and distributed evenly by gender. the eutrophic status was predominant (87.8%), followed by overweight (9.5%). only 2.6% of the individuals were at risk of malnutrition or malnourished. after adjustement, children younger than two years old (or 2.8; 95%ci 1.1-7.7), with birth weight >4kg (or 6.3; 95%ci 1.2-34.6) or those whose caretakers considered their food intake as high (or 21.1; 95%ci 5.9-75.4) had an increased risk of overweight. caretakers overweight, marital status, age and years of education were not associated with overweight among the assessed children. conclusions: the prevalence of overweight found in this study was about four times higher than the prevalence of malnutrition and it was associated to children's characteristics.
The development of an enterprise resource planning system (ERP) for a research and technology institute: the case of the Nuclear and energy research institute - IPEN
Sousa, Willy Hoppe de;Giardino, Adriano;Trezza, Maria Aparecida H.;
JISTEM - Journal of Information Systems and Technology Management , 2011, DOI: 10.4301/S1807-17752011000100001
Abstract: this paper reports the history of the development of an enterprise resource planning (erp) dedicated to managing the technical activities of the nuclear and energy research institute, a governmental research and technology institute in brazil. after the implementation of the new planning process, the development of a new management information system named sigepi was immediately initiated. the implementation of this system followed a strategy of integrating databases already available and developing new ones in order to facilitate the data collecting process and to improve the quality and the reliability of these data. this paper describes the evolution of sigepi, its main features and it also reports the difficulties faced for almost ten years of developments. the success factors of the case were classified into three groups: strategic, technical and behavioral ones. the impact of these factors and recommendation for future similar developments are presented.
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