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Ações de promoção, proteção e recuperação da saúde integral voltadas à sexualidade na adolescência são preconizadas por diversas Políticas Públicas, no entanto, para o avanço de ações neste campo, desafios e limites têm sido investigados. Nesta pesquisa objetivou-se identificar, sob a ótica de profissionais inseridos em serviços públicos de Saúde e Educação, os avanços e desafios implicados nas Políticas Públicas vinculadas à adolescência e à Educação Sexual. Tratou-se de um estudo de abordagem qualitativa, no qual 20 profissionais do serviço público de Saúde e Educação de um município de grande porte do interior de São Paulo foram entrevistados. Os resultados de ambos os setores revelaram a percepção de que as Políticas Públicas vinculadas à Educação Sexual e à adolescência trazem contribuições para as práticas, embora apresentem fragilidades. Como contribuições, destacaram-se: os subsídios e o respaldo legais para a execução das práticas. Dentre as fragilidades reveladas têm-se as propostas descontextualizadas, falta de suporte prático e desconhecimento dos profissionais sobre as políticas. As informações apreendidas contribuem para a identificação de potencialidades e lacunas que podem ser utilizadas como ferramentas para a avaliação e elaboração das políticas. Nesta direção, somam-se elementos para a implementação do que está previsto pelas políticas públicas na realidade das práticas de Educação Sexual.

Objetivo: Analisar o perfil da produção científica sobre disfagia orofaríngea em idosos nos periódicos brasileiros, no período de 1995 a 2015. Método: Trata-se de uma pesquisa de revisão bibliográfica, de tipo descritiva, com análise bibliométrica. A busca foi realizada a partir da estratégia de cruzamento dos descritores "idoso", "transtornos de deglutição" e "envelhecimento" e do termo "disfagia", aplicando, em seguida, a seletividade para os critérios de inclusão. Foram considerados quatro grupo de variáveis: identificação da publicação, características dos autores, tipo de estudo e aspectos bibliométricos. Os dados foram submetidos à análise descritiva. Resultado: Foram identificados 9987 artigos, sendo excluídos 9827 por não cumprirem os critérios de inclusão, sendo selecionados 43 artigos para leitura final do texto completo e análise bibliométrica. As instituições com maior número de estudos se encontram na região Sudeste do Brasil, assim como seus autores; a abordagem dos estudos foi majoritariamente quantitativa, seguida da abordagem mista; o tipo de estudo mais encontrado foi o transversal e as amostras concentradas entre 20 e 39 participantes. Os periódicos com maior número de publicações foram os especializados em Fonoaudiologia. Conclusão: Neste estudo constatou-se grande polarização das publicações na Região Sudeste, em especial nas universidades públicas do estado de São Paulo. Houve predomínio da abordagem quantitativa e de estudos transversais, com maior produção sobre o tema na área da Fonoaudiologia.

A presente pesquisa refere-se a um estudo realizado em uma organização localizada na região central do Rio grande do Sul. A área de recursos humanos tem como princípio desenvolver os colaboradores, pois quanto mais se aproxima deste conceito maior é a chance de se obter um melhor resultado diante ao mercado competitivo. Para alcançar os objetivos propostos, busca-se por meio deste trabalho compreender a percepção dos colaboradores, referente ao tema clima organizacional, utilizando as ferramentas básicas da qualidade para melhor entendimento da situação da área. Desta maneira, a pesquisa caracterizou-se como um estudo de caso, considerando-o exploratório-descritivo, com abordagem qualitativa e qualitativa. O universo da população foi representado por 20 colaboradores, sendo nestes, aplicados os questionários. Para análise dos dados, utilizou-se o software Microsoft Excel®, através do uso de estatística descritiva, seguida pelo Diagrama de Pareto e o Diagrama de Ishikawa. De acordo com os resultados, foi possível perceber que a empresa necessita investir na área de gestão de pessoas, pois, conforme as respostas do questionário, 55% dos colaboradores se sentem insatisfeitos, parcialmente, diante ao tema. O investimento e a atenção dos gestores vêm a contribuir para a satisfação e desenvolvimento dos colaboradores. Como sugestão recomenda-se a realização de novas pesquisas tais como: endomarketing e liderança.

Background: Human resource data is essential for planning and implementation of health care delivery system. However, very few information is available on dental health human resource in the country. The aim of study was to assess the number of dentists in the country and to explore their distribution according to demographic and professional characteristics.Methods: A census was performed during July 2015 to July 2016 about the Nepali dentists. The study assessed demographic and professional characteristics of dentists including age, gender, ethnicity, education attainment, university, country/year of graduation, and work place using data collection sheet by trained data collectors. For those not accessible for direct contact, the information was obtained through secondary data. Data entry was done in CSPro software application and was analyzed in SPSS 20. Results: The total number of registered Nepali dentists was 1803 with 419 specialists until June 2015. The male to female ratio was 1:1.46. Among all; 1318 (73%) were present in the country, 1047 (58%) were professionally active, and 1366 (76%) were below the age of 35 years. Among the professionals; 831 (79%) were employed in private sector and 601 (57%) worked in Kathmandu valley.Conclusions: The dentist-population ratio is decreasing exponentially in capital and major cities of Nepal however it remains very high in rural areas. Compared to other provinces,Province 6 and Province 7 lack service of dentists.

Background: The gold standard of quick and definitive treatment of Abdominal compartment syndrome (ACS) is surgical decompression by opening the abdomen and leaving it open until intra-abdominal pressure decreases. Temporary abdominal closure techniques are used to postpone definite closure until predisposing factors causing pathologic elevation of intra-abdominal pressure are resolved.This study aim to analyze feasibility of Bogota Bag placement as a way of temporary abdominal closure.Methods: Cases admitted in the period of eight years that were diagnosed to have or at risk to develop ACS and managed with 'Bogota Bag', irrespective of primary diagnosis were reviewed retrospectively. Cause of ACS, reasons to place Bogota bag, its complications and final outcome in terms of mortality related or not related with Bogota Bag placement were assessed.Results: Total of ten patients had placement of Bogota Bag in the period of eight years. Laparotomy for bowel perforation with peritonitis was the most common primary condition contributing to ACS. Bogota bag was placed in two cases after emergency decompression as a therapeutic measure whereas others were done as prophylactic measure. There were two mortalities (20%) which were not directly related to abdominal compartment syndrome. Conclusions: Abdomen closure with Bogota Bag for patients with ACS or likely to develop ACS is a feasible technique with minimal procedure related morbidities.

This study aims to examine and analyze empirically the effect of work motivation, competence and Islamic leadership on job satisfaction and teacher performance. The research was conducted on all teachers at vocational high school (SMK) in South Halmahera district with a sample of 154 teachers as respondents. Data from the questionnaires were analyzed by Structural Equation Models with the AMOS program Ver.20. The results of the study provide evidence of work motivation and no significant negative effect on job satisfaction. High teacher competences give real effect to increase job satisfaction. Islamic Leadership is either not able to provide a significant effect on job satisfaction. High motivation and demonstrated by teachers today significant effect on teachers performance. High competency has a positive influence but not real on teacher performance. Islamic Leadership is good and indicated by the head of school at this time have a positive and significant effect on teachers performance. The low of job satisfaction demonstrated has a negative and significant effect on teacher performance. The effect of Islamic leadership and work motivation through job satisfaction on performance<strong> </strong>teachers is positive but not significant. On the other hand the effect of competence through job satisfaction on teacher's performance has a negative and significant effect.

Abstract
Increase in population contributes and it is also affected by climate change, hence it deserves consideration in any climate change policy development strategies. Based on the importance of population growth on climate change, this study was embarked on to ascertain the perception of students to the influence of population growth on the consequences of climate change. The population of the study consisted of undergraduate students in a Federal University in Southern part of Nigeria. A sample size of 362 respondents were selected using systematic sampling to select every one and other halls of residence (3 halls of residence selected out of 6) and simple random sampling of balloting by replacement to select 14% each from the three halls of residence. The questionnaires administered were analyzed using SPSS version 20 and the descriptive and inferential statistical tools were employed to analyze the data gotten. The study revealed that there was a significant difference on the respondents perception based on their gender, age group and home of residence(Urban or rural). Based on these findings, it was recommended among other things that population control measures should be effectively implemented in the country. And any policy on climate change, gender, age group and location should be considered because a gender, age group and location bias policy will increase the severity of the problem.

There is ample evidence on how bank structure (bank concentration, development of the banking sector, and presence of foreign banks) is related to credit supply and economic growth. However, little is known about how bank structure affects credit supply when the banking sector itself is in crisis and thus credit supply is impaired. The paucity of studies in examining the relationship between bank structure and credit supply during financial crisis is probably due to the complication that bank structure itself is significantly related to financial crisis. In this study, we avoid the endogeneity problem caused by the correlation between bank structure and financial crisis by studying the stock price performance of firms in 20 emerging countries during the 2008 financial crisis because the financial hardship in these countries was caused exogenously by the crisis originated from the U.S. We find firms that are more dependent on external financing tend to suffer greater stock price declines. However, the severity of the decline is significantly smaller for firms in countries with higher level of bank concentration, greater advancement in banking sector, and higher level of foreign bank presence. The results suggest that bank concentration, bank development, and foreign bank presence all contribute to the alleviation of liquidity crunch caused by crisis transmitted from other countries.

The authors examine racial disparities in infants' exposure to economic disadvantage at the family and local area levels. Using data from the 2008–2014 files of the American Community Survey, the authors provide an up-to-date empirical benchmark of newborns' exposure to poverty. Large shares of Hispanic (36.5 percent) and black (43.2 percent) infants are born poor, though white infants are also overrepresented among the poor (17.7 percent). The authors then estimate regression models to identify risk factors and perform decompositions to identify compositional factors underlying between-race differences. Although more than half of the black-white poverty gap is explained by differences in family structure and employment, these factors account for less than one quarter of white-Hispanic differences. The results also highlight the unmet need for social protection among babies born to poor families lacking access to assistance programs and the safety net. Hispanic infants are particularly likely to be doubly disadvantaged in this manner. Moreover, large and disproportionate shares of today's black (48.3 percent) and Hispanic (40.5 percent) babies are born into poor families and places with poverty rates above 20 percent. These results raise important questions about persistent and possibly growing racial inequality as America makes its way to a majority-minority society as early as 2043.

É possível que o equilíbrio da biosfera esteja sendo modificado pelas mudanças globais de origem natural e/ou antrópica. Esta pesquisa teve como objetivo avaliar a variação sazonal dos atributos químicos do solo em uma floresta amazônica. As amostragens do solo foram realizadas nos períodos chuvoso, de transição e menos chuvoso, em parcela de exclusão de água de experimento do Projeto Seca Floresta (ESECAFLOR) e na parcela 13 do plote do Programa de Pesquisa em Biodiversidade (PPBio) (área controle), na FLONA Caxiuanã (Pará). As amostras de solo para as análises químicas e para a determinação da umidade atual do solo foram coletadas nas profundidades de 0-5, 5-10 e 10-20 cm, com auxílio de trado holandês. Os maiores teores dos nutrientes foram encontrados na área do PPBio. Foi identificada diferença significativa entre as áreas, exceto para o magnésio, e entre a soma de bases. Houve diferença significativa entre os períodos sazonais no ESECAFLOR somente para o pH e para a saturação por bases, e no PPBio somente para o sódio. Também houve variação vertical em ambas as áreas. A área do ESECAFLOR apresentou as menores concentrações para a maioria dos nutrientes estudados, evidenciando a influência do processo de exclusão das águas pluviais na disponibilidade desses elementos no solo.

Background and Objective Lumbar spinal stenosis (LSS) is a common degenerative condition that occurs in the spine with increasing age. Clinically, LSS causes a progressive reduction in walking autonomy, resulting in a poor quality of life and impaired functional capacity. The aim of this study was to evaluate the clinical outcome and quality of life of elderly patients presenting with LSS and associated comorbidities after a 5-year follow-up who were treated with an interspinous process device (IPD).
Material and Methods Sixty patients > 75 years of age presenting with symptomatic degenerative LSS were included. All were treated with an IPD under local anesthesia. American Society of Anesthesiology score, Zurich Claudication Questionnaire, and Short Form 36 were evaluated pre- and postoperatively and at the follow-up visit each year for 5 years.
Results The mean surgery time while under local anesthesia was 20 minutes. Forty-eight patients were followed for 5 years. Significant clinical improvements in all outcome scores (p < 0.05) both postoperatively or at follow-up were found.
Conclusions IPD seems to be an effective and safe treatment for LSS in elderly patients with general comorbidities. In our study, all followed up patients had a meaningful improvement of their quality of life even at 5 years after surgery.

Este estudo foi realizado em área inserida no ecossistema Savana-Estépica Arborizada, do bioma Caatinga, localizada no município de Campina Grande, estado da Paraíba. O objetivo deste estudo foi conhecer a composição florística e a estrutura da vegetação através de estudo florístico e inventário florestal em oito parcelas de 10 x 40 m, onde foram mensuradas todas as árvores e arbustos com diâmetro ao nível do solo > 2 cm e altura > 100 cm. Foram calculados parâmetros fitossociológicos, índices de Shannon (H') e equitabilidade de Pielou (J). O estrato da vegetação predominante é o arbustivo, com alturas variando entre 1 e 2 m, com presença de árvores emergentes, cuja altura máxima é de 5 m. A área basal total foi de 2,94 m2.ha-1. A fitossociologia registrou uma diversidade baixa de espécies (n=20), com o valor de Shannon H'=1,89 nats.ind-1. As espécies vegetais de maior densidade foram Mimosa tenuiflora, Croton blanchetianus, Poincianella pyramidalis, Croton heliotropiifolius, Jatropha mutabilis e Piptadenia stipulacea. As espécies com maior valor de importância foram Mimosa tenuiflora, Ziziphus joazeiro, Croton blanchetianus, Poincianella pyramidalis e Commiphora leptophloeos. A florística registrou 65 espécies, entre árvores, arbustos, ervas, lianas e epífitas. Com os resultados concluiu-se que a vegetação encontra-se no estágio inicial de sucessão ecológica com diferentes graus de antropização.

A síndrome de Down é uma condição genética resultante da presença extra de um cromossomo 21, que pode gerar diversos problemas de saúde durante o desenvolvimento do sujeito. Uma dessas alterações é o atraso no desenvolvimento da linguagem e cognição da criança, que apresenta um déficit maior na linguagem expressiva do que na compreensiva. Por isso, a intervenção fonoaudiológica precoce é essencial para a promoção de uma melhor habilidade comunicativa do sujeito com a síndrome. Nesse sentido, este estudo objetivou analisar as produções científicas nacionais acerca do desenvolvimento da linguagem e comunicação na síndrome de Down e intervenções precoces nessa população. Para isso, foi realizada uma busca em bases de dados de artigos, teses e dissertações, utilizando a combinação dos descritores "linguagem", "síndrome de Down" e "desenvolvimento da linguagem". Foram obtidas 106 publicações que tiveram seus títulos e resumos analisados. Após essa análise inicial, foi identificado que 20 estudos contemplavam a temática pesquisada, estes foram analisados integralmente. Constatou-se que é consensual a presença de um déficit no desenvolvimento da linguagem, quando comparado com o processo de crianças com desenvolvimento típico; que há um maior uso das produções gestuais nessa população e isso pode favorecer a aquisição lexical; e que a intervenção fonoaudiológica é eficaz no desenvolvimento da linguagem na síndrome de Down.

AbstractThis paper examines the relationship between employee engagement and job satisfaction. People spend most of their time at work, and their motivation is considered to be an important factor for job performance. Enthusiastic employees, who focus their efforts on achieving their companies′ goals are a key competitive advantage in the modern world. The effect of employee engagement on business performance has been studied by various experts. They found out the similar conclusion: "the more enthusiastic the workers are, the better operating results they achieve for the company". An occasional sample of 594 respondents who are employed in the public and non-public sector in Slovenia was used for the purpose of this study. The main goal of the research is to determine whether (and how) the employee engagement influences job satisfaction. A written survey was conducted from 4 January 2016 to 14 March 2016. IBM SPSS 20 was used for the statistical analysis. The results confirm that the relationship between employee engagement and job satisfaction is positive and statistically significant (5 % significance level), based on the linear regression F (1, 583) =296.14, p-value = 0.000, R-square = 0.337. The results also show that there is no statistically significant difference between employee engagement and gender and there is no statistically significant difference between job satisfaction and gender.

Abstract. Due to the small-scale and non-stationary nature of the convective wind gusts usually associated with thunderstorms, there is a considerable lack of knowledge regarding their characteristics and statistics. In an effort to remedy this situation, we investigated in this study a set of 110 climate stations of the German Weather Service between 1992 and 2014 to analyze the temporal and spatial distribution, intensity, and occurrence probability of convective gusts. Similar to thunderstorm activity, the frequency of convective gusts decreases gradually from southern to northern Germany. No further spatial structures, such as a relation to orography or climate conditions, can be identified regarding their strength or likelihood. Rather, high wind speeds of above 30 m s−1 can be expected everywhere in Germany with almost similar occurrence probabilities. A comparison of the 20-year return values of convective gusts with those of turbulent gusts demonstrates that the latter have higher frequencies, especially in northern Germany. However, for higher return periods, this effect can be reversed at some stations. The values of the convective gust factors are mainly in a range between 1 and 4 but can even reach values up to 10. Besides the dependency from the averaging time period of the mean wind, the values of the gust factors additionally depend on the event duration and the storm type, respectively.