Spelling suggestions: "subject:"economical factors"" "subject:"conomical factors""
1 |
Darbo užmokesčio diferenciacija ir jį sąlygojančių veiksnių ekonominė analizė / Wage differentiation and its influencing factors of economic analysisButkienė, Rita 03 August 2011 (has links)
Magistro darbe yra suformuluoti darbo užmokesčio bei jo diferenciacijos sąvokų apibrėžimai, išanalizuoti ir susisteminti Lietuvos bei užsienio autorių teoriniai darbo užmokesčio funkcijų, sistemų ir modelių aspektai. Pateikiama minimalaus darbo užmokesčio įtaka pajamų diferenciacijai. Aptarti pagrindiniai darbo užmokesčio diferenciaciją lemiantys ekonominiai veiksniai. Atlikta išsami darbo užmokesčio pasiskirstymo šalyje pagal įvairius veiksnius analizė bei nustatyti tų veiksnių koreliaciniai ryšiai. Įvertintos darbo užmokesčio diferenciacijos mažinimo galimybės. Patvirtinama suformuluota mokslinio tyrimo hipotezė, jog ekonomikos pakilimo metu darbo užmokesčio diferenciacija turi tendencija didėti, o esant ekonomikos nuosmukiui – mažėti. / In this master’s work are formulated the definitions of wage and it‘s differentiation, analyzed and organized theoretical wage functions, systems and models presented by Lithuanian and foreign authors. Also shown the minimum-wage influence to income differentiation. Discussed main economical factors that influence wage differentiation. Made a detailed analysis of wage distribution in the country depending on various factors and determinated the correlation bonds between them, also assessed the potential reduction of wage differentiation. The research hypothesis that during the economic upturn wage differentiation has a tendency to go up and during the economic downturn to go down is confirmed.
|
2 |
The territorial differences of the living standards in Lithuania according to social economical factors / Gyvenimo lygio teritoriniai skirtumai Lietuvoje pagal socialinius - ekonominius rodikliusVerkulevičiūtė, Daiva 28 December 2009 (has links)
The aim of the research is to identify territorial differences of the living standards between separate Lithuania municipalities and rural - urban living areas according to the specific of social and economical factors size and dispersion of territory also to clarify the reasons of these differences. It is detailed territorial research in level of municipalities, evaluating the forces which directly and indirectly effect the living standards. The cluster analyzes and grouping involves not only the specific the living standards factors but also the other social economical meanings which helps to define its territorial specific in more adequate way. Municipalities are presented according to the living standards expression and the priorities of resolution of the problems.
The territorial distribution of most of the socio-economic phenomena illustrating the standard of living depends on the level of urbanization. It was found that in Lithuania, territorially adjacent municipal groups (clusters) are emerging with the characteristic specificity of occurrence of social and economic indicators illustrating the living standard. The municipal typology by the degree of performance of indicators of the standard of living was carried out, allowing identification of the priorities of problems to be addressed. The maximum state attention should be focused to the municipalities, where the values illustrating living standards are the lowest, and the priority areas of the life raising level... [to full text] / Šio tyrimo tikslas - nustatyti gyvenimo lygio teritorinius skirtumus tarp atskirų Lietuvos savivaldybių, miestų ir kaimų gyvenamųjų vietovių pagal socialinių ir ekonominių rodiklių dydžio ir teritorinės sklaidos specifiką bei išaiškinti nustatytų skirtumų priežastis. Tai išsamus teritorinis tyrimas savivaldybių lygiu, įvertinant gyvenimo lygį tiesiogiai bei netiesiogiai lemiančius veiksnius. Tyrime atlikta klasterinė analizė apima ne tik konkrečių gyvenimo lygio rodiklių bet ir jį lemiančių kitų socialinių ekonominių reiškinių reikšmes. Savivaldybės išdėstytos pagal gyvenimo lygio rodiklių pasireiškimo laipsnį ir nustatomi problemų sprendimo prioritetai jose.
Daugumos socialinių - ekonominių reiškinių, nusakančių gyvenimo lygį, teritorinis pasiskirstymas priklauso nuo urbanizacijos lygio. Nustatyta, kad Lietuvoje ryškėja teritoriškai gretimų savivaldybių grupės (klasteriai) su jiems būdinga gyvenimo lygį nusakančių socialinių - ekonominių rodiklių pasireiškimo specifika: Vilniaus – Kauno įtakos zonos, Vidurio ir Vakarų Lietuvos, Šiaurės Rytų ir Pietų Lietuvos ir pasienio savivaldybių.
Atlikta savivaldybių tipologija pagal gyvenimo lygio rodiklių pasireiškimo laipsnį, leidžia išskirti spręstinų problemų prioritetus. Didžiausio valstybės dėmesio turi sulaukti tos savivaldybės, kuriose gyvenimo lygį nusakančių rodiklių reikšmės yra žemiausios, o prioritetinės gyvenimo lygio gerinimo kryptys pirmiausia turi būti nukreiptos į gyventojų užimtumo bei išsilavinimo/išsimokslinimo... [toliau žr. visą tekstą]
|
3 |
Gyvenimo lygio teritoriniai skirtumai Lietuvoje pagal socialinius ekonominius rodiklius / The territorial differences of the living standards in Lithuania according to social economical factorsVerkulevičiūtė, Daiva 28 December 2009 (has links)
Šio tyrimo tikslas - nustatyti gyvenimo lygio teritorinius skirtumus tarp atskirų Lietuvos savivaldybių, miestų ir kaimų gyvenamųjų vietovių pagal socialinių ir ekonominių rodiklių dydžio ir teritorinės sklaidos specifiką bei išaiškinti nustatytų skirtumų priežastis. Tai išsamus teritorinis tyrimas savivaldybių lygiu, įvertinant gyvenimo lygį tiesiogiai bei netiesiogiai lemiančius veiksnius. Tyrime atlikta klasterinė analizė apima ne tik konkrečių gyvenimo lygio rodiklių bet ir jį lemiančių kitų socialinių ekonominių reiškinių reikšmes. Savivaldybės išdėstytos pagal gyvenimo lygio rodiklių pasireiškimo laipsnį ir nustatomi problemų sprendimo prioritetai jose.
Daugumos socialinių - ekonominių reiškinių, nusakančių gyvenimo lygį, teritorinis pasiskirstymas priklauso nuo urbanizacijos lygio. Nustatyta, kad Lietuvoje ryškėja teritoriškai gretimų savivaldybių grupės (klasteriai) su jiems būdinga gyvenimo lygį nusakančių socialinių - ekonominių rodiklių pasireiškimo specifika: Vilniaus – Kauno įtakos zonos, Vidurio ir Vakarų Lietuvos, Šiaurės Rytų ir Pietų Lietuvos ir pasienio savivaldybių.
Atlikta savivaldybių tipologija pagal gyvenimo lygio rodiklių pasireiškimo laipsnį, leidžia išskirti spręstinų problemų prioritetus. Didžiausio valstybės dėmesio turi sulaukti tos savivaldybės, kuriose gyvenimo lygį nusakančių rodiklių reikšmės yra žemiausios, o prioritetinės gyvenimo lygio gerinimo kryptys pirmiausia turi būti nukreiptos į gyventojų užimtumo bei išsilavinimo/išsimokslinimo... [toliau žr. visą tekstą] / The aim of the research is to identify territorial differences of the living standards between separate Lithuania municipalities and rural - urban living areas according to the specific of social and economical factors size and dispersion of territory also to clarify the reasons of these differences. It is detailed territorial research in level of municipalities, evaluating the forces which directly and indirectly effect the living standards. The cluster analyzes and grouping involves not only the specific the living standards factors but also the other social economical meanings which helps to define its territorial specific in more adequate way. Municipalities are presented according to the living standards expression and the priorities of resolution of the problems.
The territorial distribution of most of the socio-economic phenomena illustrating the standard of living depends on the level of urbanization. It was found that in Lithuania, territorially adjacent municipal groups (clusters) are emerging with the characteristic specificity of occurrence of social and economic indicators illustrating the living standard. The municipal typology by the degree of performance of indicators of the standard of living was carried out, allowing identification of the priorities of problems to be addressed. The maximum state attention should be focused to the municipalities, where the values illustrating living standards are the lowest, and the priority areas of the life raising level... [to full text]
|
4 |
Žemdirbių namų ūkių pajamų veiksniai / Factors Determining the Farm Household IncomeGiedraitienė, Romualda 14 January 2009 (has links)
Žemdirbių namų ūkių disponuojamų pajamų ir jų veiksnių analizė, pajamų lygis ir pokytis; Tyrime analizuojami žemdirbių namų ūkių pajamų skirtumai, grupuojant namų ūkius pagal tokius požymius: namų ūkio galvos išsilavinimą, amžių ir pagal dirbamos žemės plotą (siaurąja ir plačiąja prasme). / Analysis of disposable income of farm household and their factors. Evaluate income differences of farmers’ households while grouping households according to the following features: education, age of the household owner and according to the size of farmland (in a narrow and broad way).
|
5 |
Effects of a dialogical argumentation based instruction on grade 9 learners' conceptions of a meteorological concept: Cold Fronts in the Western Cape, South Africa.Riffel, Alvin Daniel January 2012 (has links)
<p>  / </p>
<div style="line-height: 150% / margin: 0cm 0cm 12pt"><span style="line-height: 150% / font-size: 12pt"><span style="line-height: 115% / font-family: " / Calibri" / ," / sans-serif" / font-size: 12pt / mso-ansi-language: EN-US / mso-fareast-font-family: Calibri / mso-bidi-font-family: 'Times New Roman' / mso-fareast-language: EN-US / mso-bidi-language: AR-SA" lang="EN-US">
<div style="line-height: 150% / margin: 0cm 0cm 12pt"><span style="line-height: 150% / font-size: 12pt">This study looks at the effects of a dialogical argumentation instructional model (DAIM) on grade 9 learners understanding of selected meteorological concepts: Cold fronts in the Western Cape of South Africa. Using a quasi-experimental research design model, the study employed both quantitative and qualitative (so-called &lsquo / mixed methods&rsquo / ) to collect data in a public secondary school in Cape Town, in the Western Cape Province. A survey questionnaire on attitudes and perceptions towards high school as well as conceptions of weather was administered before the main study to give the researcher baseline information and to develop pilot instruments to use in the main study.</span></div>
<div style="line-height: 150% / margin: 0cm 0cm 12pt"><span style="line-height: 150% / font-size: 12pt">  / The study employed a dialogical instructional model (DAIM) with an experimental group of learners exposed to the intervention, and recorded differences from a control group which had no intervention. Learners from the two groups were exposed to a meteorological literacy test evaluation before and after the DAIM intervention. The results from the two groups were then compared and analysed according to the two theoretical frameworks that underpin the study namely: Toulmin&rsquo / s Argumentation Pattern - TAP (Toulmin, 1958) and Contiguity Argumentation Theory - CAT (Ogunniyi, 1997).</span></div>
<span style="line-height: 115% / font-size: 12pt">  / Further analyses were conducted on learners&rsquo / beliefs and indigenous knowledge, according to their conceptual understanding of weather related concepts used in the current NCS (National Curriculum Statement).  / After completing the study some interesting findings were made and based on these findings certain recommendations were suggested on how to implement a DAIM-model into classroom teaching using Indigenous Knowledge (IK). These recommendations are suggestions to plot the way towards developing a science&ndash / IK curriculum for the Natural Sciences subjects in South African schools. </span></span></span></div>
|
6 |
Effects of a dialogical argumentation based instruction on grade 9 learners' conceptions of a meteorological concept: Cold Fronts in the Western Cape, South Africa.Riffel, Alvin Daniel January 2012 (has links)
<p>  / </p>
<div style="line-height: 150% / margin: 0cm 0cm 12pt"><span style="line-height: 150% / font-size: 12pt"><span style="line-height: 115% / font-family: " / Calibri" / ," / sans-serif" / font-size: 12pt / mso-ansi-language: EN-US / mso-fareast-font-family: Calibri / mso-bidi-font-family: 'Times New Roman' / mso-fareast-language: EN-US / mso-bidi-language: AR-SA" lang="EN-US">
<div style="line-height: 150% / margin: 0cm 0cm 12pt"><span style="line-height: 150% / font-size: 12pt">This study looks at the effects of a dialogical argumentation instructional model (DAIM) on grade 9 learners understanding of selected meteorological concepts: Cold fronts in the Western Cape of South Africa. Using a quasi-experimental research design model, the study employed both quantitative and qualitative (so-called &lsquo / mixed methods&rsquo / ) to collect data in a public secondary school in Cape Town, in the Western Cape Province. A survey questionnaire on attitudes and perceptions towards high school as well as conceptions of weather was administered before the main study to give the researcher baseline information and to develop pilot instruments to use in the main study.</span></div>
<div style="line-height: 150% / margin: 0cm 0cm 12pt"><span style="line-height: 150% / font-size: 12pt">  / The study employed a dialogical instructional model (DAIM) with an experimental group of learners exposed to the intervention, and recorded differences from a control group which had no intervention. Learners from the two groups were exposed to a meteorological literacy test evaluation before and after the DAIM intervention. The results from the two groups were then compared and analysed according to the two theoretical frameworks that underpin the study namely: Toulmin&rsquo / s Argumentation Pattern - TAP (Toulmin, 1958) and Contiguity Argumentation Theory - CAT (Ogunniyi, 1997).</span></div>
<span style="line-height: 115% / font-size: 12pt">  / Further analyses were conducted on learners&rsquo / beliefs and indigenous knowledge, according to their conceptual understanding of weather related concepts used in the current NCS (National Curriculum Statement).  / After completing the study some interesting findings were made and based on these findings certain recommendations were suggested on how to implement a DAIM-model into classroom teaching using Indigenous Knowledge (IK). These recommendations are suggestions to plot the way towards developing a science&ndash / IK curriculum for the Natural Sciences subjects in South African schools. </span></span></span></div>
|
7 |
Veiksniai lemiantys miškų naudojimą Latvijoje, Lietuvoje ir Lenkijoje / Policy drivers behind the forest utilisation in Poland, Lithuania and LatviaLinkevičius, Edgaras 16 August 2007 (has links)
Šis magistrinis darbas yra tarptautinio tiriamojo projekto, atlikto Latvijoje, Lietuvoje ir Lenkijoje, dalis. Paminėto projekto tikslas buvo ištirti politikos varomąsias jėgas, lemiančias miško naudojimą išvardintose šalyse. Šio magistrinio darbo tyrimų objektas - Lietuva, tačiau taip pat buvo atlikta palyginamoji analizė, dėl galimų miško naudojimo pokyčių per sekančius dešimt – dvidešimt metų, Latvijoje, Lietuvoje ir Lenkijoje.
Vertinant miško naudojimą lemiančius faktorius, pirmiausia, būtina išanalizuoti ir socialinės sistemos ir pačius socialinius pasikeitimus kurie daro didelę įtaką ir miškų sektoriui (Shanz 1999), taip pat tiesiogiai nulemia miško naudojimo lygį šalyje, ypač kai visuomenė pereina nuo socialistinės prie kapitalistinės sistemos. Pasirinkta socialinė santvarka apibrėžia politikos tikslus, ir nustato veikimo ribas tiek patiems politikams tiek ir suinteresuotoms grupėms (Springate – Baginski, Soussan 2004). Toliau priimami politiniai sprendimai yra įtakojami įvairių suinteresuotų interesų grupių įvairiose politinių sprendimų priėmimo stadijose tiek kalbant apie bendrąją politiką, tiek ir politiką susijusią su miškų ūkiu. Būtina pabrėžti, kad vienas iš svarbiausių miškų ūkio politikos tikslų – miško naudojimo lygio nustatymas. Toliau, suinteresuotų grupių veikimo pagrindas yra vieni ar kiti interesai, kuriuos jos atstovauja, suformuoti ekonominių, ekologinių, ar socialinių faktorių (Krott 2005). Minėti faktoriai galėtų būti apibūdinami vienu žodžiu – žinios... [toliau žr. visą tekstą] / This work is a part of international research that was carried out in Latvia, Lithuania and Poland in order to investigate policy drivers behind the harvesting level in these countries. This thesis was focused on Lithuania. However, a comparative analysis of future tendencies for possible harvesting levels in Latvia, Lithuania and Poland was done as well. First of all, it is necessary to point out the importance of a social system and social changes that are of great importance to forestry (Shanz 1999) and have a decisive impact on a harvesting level, especially when a society moves from socialist planning system to market economy. Further, the harvesting level is influenced by interests of stakeholders and their games of power in the decision making process. The interests of stakeholders are formed by ecological, economical and social factors (Krott 2005). These factors form the basis of stakeholders’ knowledge that gives directions for further actions (Krott 2005).
The understanding of policy drivers for the harvesting level in Lithuania is not possible without the understanding of Lithuanian stakeholders’ interests and their power in the national decision-making process. For defining policy drivers in Lithuania, methodological triangulation (Denscombe 1998), combining literature and inventory data analysis with questionnaire and expert interview methods, was used. The questionnaire and expert interview methods were based on a qualitative research approach, and in total... [to full text]
|
8 |
Zhodnocení projekce plánu společných zařízení v komplexních pozemkových úpravách v závislosti na socioekonomických faktorech / Common equipment plan projection assessment in complex land consolidation in connection with socio-economical factorsŠTÁDLEROVÁ, Jitka January 2015 (has links)
Land consolidation affects significantly not only appearance and layout of the area, but also life of its inhabitants. This paper is mainly focused on common facilities in selected complex land consolidation in South Bohemia and further on the possibility of influencing of socio-economical factors by these common facilities. There were chosen some locations for this particular paper: Borkovice, Bušanovice and Čejkovice. There was made an analysis of the common facilities, analysis of some selected socio-economical factors and its overall evaluation.
|
9 |
Estudo do perfil das famílias e de seus filhos internados na Unidade de Cuidados Intensivos Neonatal do Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo / A study of the profile of the families and their infants admitted in Newborn Intensive Care Unit of the Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloTragante, Carla Regina 26 March 2009 (has links)
OBJETIVO: Identificar o perfil da clientela atendida na Unidade de Cuidados Intensivos Neonatal Externa (UCINE); observar possíveis diferenças entre recém-nascidos e família de mães adolescentes e de mães adultas, e verificar a participação das famílias nos programas de humanização da unidade. MÉTODO: Estudo de coorte transversal prospectivo de 284 recém-nascidos (RN) e seus familiares admitidos na Unidade de Cuidados Intensivos Neonatal do Instituto da Criança de maio de 2005 a dezembro de 2006. Os dados foram coletados com as mães seguindo o conteúdo do formulário construído especificamente para este estudo, que incluía informações socioeconômicas e demográ-ficas, história antenatal, tipo de parto, dados relacionados ao recém-nascido como idade gestacional e cronológica, pesos de nascimento e de admissão, tipo de aleitamento à internação e na alta, doenças que geraram a internação, número de altas, óbitos e transferências, trata-mentos utilizados e participação da família durante a internação. RESULTADOS: Evidenciou-se em relação às condições sociodemográ-ficas que a maioria dos 284 pacientes (66,2%) procedia da cidade de São Paulo, principalmente da Zona Oeste, ou dos municípios. O pré-natal foi realizado por 96,1% das mães, e 59% dos RN nasceram de parto cesa-riano, com peso entre 600 e 4780g, idade gestacional mediana de 37,6 semanas, e na maioria adequados para a idade gestacional (77,5%). A mediana da idade à internação foi de 7 dias de vida, associada princi-palmente a causas infecciosas (32,0%) e respiratórias (25,0%), sendo o peso nesta ocasião de 600 a 5810g. A taxa de mães adolescentes ( 19 anos de idade) foi de 21,0%, e neste grupo observou-se índices inferiores de escolaridade e de número de consultas de pré-natal e, maior inci-dência de prematuridade (47,5%). As mães adultas apresentaram maior número de intercorrências durante a gestação e maior incidência de parto cesariano (63,6%). Em relação às características dos RN, não houve diferenças estatísticas entre mães adolescentes e adultas, entre-tanto observou-se a necessidade de internação mais precoce dos RN de mães adolescentes na unidade, e pesos menores à admissão. A sobre-vida foi de 91,2% e, a evolução dos RN não foi influenciada pela idade materna, quando questionada a participação das famílias nos programas de humanização da unidade, observou-se participação ativa dos fami-liares de ambas as faixas etárias nos cuidados ao RN e aumento da porcentagem de RN em aleitamento na alta (69,3%) comparada à admissão (51,7%). CONCLUSÕES: O perfil da clientela mostra que o atendimento é na sua maior parte regionalizado, e constituído por pacientes com doenças complexas que necessitam de atendimento em Unidade de Cuidados Intensivos Neonatal de nível terciário. As mães adolescentes apresentaram intercorrências durante a gestação como hipertensão arterial e diabetes mellitus que, além da idade, predispõem ao nascimento de recém-nascidos prematuros. A participação das famílias nos cuidados aos seus filhos demonstrou-se relevante, no entanto são necessárias medidas que aumentem a adesão e integração dos familiares nos programas de humanização / OBJECTIVES: Identify the profile of the patients assisted in the Neonatal Intensive Care Unit (NICU); observe the possible differences between the newborns from families of adult mothers and families of teenage mothers, and also verify the participation of the families in the unit humanization programs. METHOD: Prospective transversal cohort of 284 newborns (NB) and their family members, who were admitted in the Neonatal Intensive Care Unit of the Instituto da Criança, between May 2005 and December 2006. The data was collected from the mothers according to the contents of the form that was specifically designed for this study, which included demographic, social and economical information; the antenatal history; type of delivery; data related to the newborn such as gestation age and chronological age; birth and admission weight; type of feeding at the time of admission and at the time of discharge; the diseases that caused the admission; number of discharges, deaths and transfers; the treatments used; and the participation of the family during the stay in the NICU. RESULTS: We found that, as far as the social and demographical conditions are concerned, the majority of the 284 patients (66.2%) were from the city of São Paulo, mainly from its West Part, or from the cities belonging to the greater São Paulo area. The prenatal exam was carried out by 96.1% of the mothers, and 59% of the NB were delivered by cesarean sections, having a body weight varying from 600 to 4780 grams, average gestation age of 37.6 weeks, and the majority were physically adequate for their gestation age (77.5%). Their average age upon admission was of 7 days, being the causes for admission mainly associated with infectious (32%) and respiratory (25%) diseases, and their weight at the time varied from 600 to 5810 grams. The percentage of teenage mothers ( than 19 years old) was 21%, and in this particular group we found inferior schooling levels and inferior prenatal exam figures, and also in this group we found a greater incidence of preterm births (47.5%). The adult mothers presented a greater number of complications during pregnancy and a greater number of surgically assisted deliveries (63.6%). As far as the NB\'s characteristics, there were no statistical differences between teenage and adult mothers, however we found an earlier admission age of the NB from teenage mothers in the Unit, and also less weight upon admission. The survival rate was 91.2% and the evolution of the NB was not influenced by maternal age. When we asked about the families\' participation in Unit humanization programs, we found an active participation of the families of either teenage or adult mothers in the care to the NB and an increase in the percentage of NB being breastfed at the moment of discharge (69.3%) compared to the moment of admission (51.7%). CONCLUSIONS: The profile of the patients show that the assistance is in most part regionalized, being constituted of patients with complex diseases that needed care in a Level III NICU. The teenage mothers presented complications during pregnancy such as high blood pressure and diabetes mellitus, which, along with their age, prearranged the preterm birth of newborns. The participation of the families in the care to their infants has shown to be relevant, however some measures are necessary in order to increase and improve the participation of the family members in the humanization programs
|
10 |
Estudo do perfil das famílias e de seus filhos internados na Unidade de Cuidados Intensivos Neonatal do Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo / A study of the profile of the families and their infants admitted in Newborn Intensive Care Unit of the Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloCarla Regina Tragante 26 March 2009 (has links)
OBJETIVO: Identificar o perfil da clientela atendida na Unidade de Cuidados Intensivos Neonatal Externa (UCINE); observar possíveis diferenças entre recém-nascidos e família de mães adolescentes e de mães adultas, e verificar a participação das famílias nos programas de humanização da unidade. MÉTODO: Estudo de coorte transversal prospectivo de 284 recém-nascidos (RN) e seus familiares admitidos na Unidade de Cuidados Intensivos Neonatal do Instituto da Criança de maio de 2005 a dezembro de 2006. Os dados foram coletados com as mães seguindo o conteúdo do formulário construído especificamente para este estudo, que incluía informações socioeconômicas e demográ-ficas, história antenatal, tipo de parto, dados relacionados ao recém-nascido como idade gestacional e cronológica, pesos de nascimento e de admissão, tipo de aleitamento à internação e na alta, doenças que geraram a internação, número de altas, óbitos e transferências, trata-mentos utilizados e participação da família durante a internação. RESULTADOS: Evidenciou-se em relação às condições sociodemográ-ficas que a maioria dos 284 pacientes (66,2%) procedia da cidade de São Paulo, principalmente da Zona Oeste, ou dos municípios. O pré-natal foi realizado por 96,1% das mães, e 59% dos RN nasceram de parto cesa-riano, com peso entre 600 e 4780g, idade gestacional mediana de 37,6 semanas, e na maioria adequados para a idade gestacional (77,5%). A mediana da idade à internação foi de 7 dias de vida, associada princi-palmente a causas infecciosas (32,0%) e respiratórias (25,0%), sendo o peso nesta ocasião de 600 a 5810g. A taxa de mães adolescentes ( 19 anos de idade) foi de 21,0%, e neste grupo observou-se índices inferiores de escolaridade e de número de consultas de pré-natal e, maior inci-dência de prematuridade (47,5%). As mães adultas apresentaram maior número de intercorrências durante a gestação e maior incidência de parto cesariano (63,6%). Em relação às características dos RN, não houve diferenças estatísticas entre mães adolescentes e adultas, entre-tanto observou-se a necessidade de internação mais precoce dos RN de mães adolescentes na unidade, e pesos menores à admissão. A sobre-vida foi de 91,2% e, a evolução dos RN não foi influenciada pela idade materna, quando questionada a participação das famílias nos programas de humanização da unidade, observou-se participação ativa dos fami-liares de ambas as faixas etárias nos cuidados ao RN e aumento da porcentagem de RN em aleitamento na alta (69,3%) comparada à admissão (51,7%). CONCLUSÕES: O perfil da clientela mostra que o atendimento é na sua maior parte regionalizado, e constituído por pacientes com doenças complexas que necessitam de atendimento em Unidade de Cuidados Intensivos Neonatal de nível terciário. As mães adolescentes apresentaram intercorrências durante a gestação como hipertensão arterial e diabetes mellitus que, além da idade, predispõem ao nascimento de recém-nascidos prematuros. A participação das famílias nos cuidados aos seus filhos demonstrou-se relevante, no entanto são necessárias medidas que aumentem a adesão e integração dos familiares nos programas de humanização / OBJECTIVES: Identify the profile of the patients assisted in the Neonatal Intensive Care Unit (NICU); observe the possible differences between the newborns from families of adult mothers and families of teenage mothers, and also verify the participation of the families in the unit humanization programs. METHOD: Prospective transversal cohort of 284 newborns (NB) and their family members, who were admitted in the Neonatal Intensive Care Unit of the Instituto da Criança, between May 2005 and December 2006. The data was collected from the mothers according to the contents of the form that was specifically designed for this study, which included demographic, social and economical information; the antenatal history; type of delivery; data related to the newborn such as gestation age and chronological age; birth and admission weight; type of feeding at the time of admission and at the time of discharge; the diseases that caused the admission; number of discharges, deaths and transfers; the treatments used; and the participation of the family during the stay in the NICU. RESULTS: We found that, as far as the social and demographical conditions are concerned, the majority of the 284 patients (66.2%) were from the city of São Paulo, mainly from its West Part, or from the cities belonging to the greater São Paulo area. The prenatal exam was carried out by 96.1% of the mothers, and 59% of the NB were delivered by cesarean sections, having a body weight varying from 600 to 4780 grams, average gestation age of 37.6 weeks, and the majority were physically adequate for their gestation age (77.5%). Their average age upon admission was of 7 days, being the causes for admission mainly associated with infectious (32%) and respiratory (25%) diseases, and their weight at the time varied from 600 to 5810 grams. The percentage of teenage mothers ( than 19 years old) was 21%, and in this particular group we found inferior schooling levels and inferior prenatal exam figures, and also in this group we found a greater incidence of preterm births (47.5%). The adult mothers presented a greater number of complications during pregnancy and a greater number of surgically assisted deliveries (63.6%). As far as the NB\'s characteristics, there were no statistical differences between teenage and adult mothers, however we found an earlier admission age of the NB from teenage mothers in the Unit, and also less weight upon admission. The survival rate was 91.2% and the evolution of the NB was not influenced by maternal age. When we asked about the families\' participation in Unit humanization programs, we found an active participation of the families of either teenage or adult mothers in the care to the NB and an increase in the percentage of NB being breastfed at the moment of discharge (69.3%) compared to the moment of admission (51.7%). CONCLUSIONS: The profile of the patients show that the assistance is in most part regionalized, being constituted of patients with complex diseases that needed care in a Level III NICU. The teenage mothers presented complications during pregnancy such as high blood pressure and diabetes mellitus, which, along with their age, prearranged the preterm birth of newborns. The participation of the families in the care to their infants has shown to be relevant, however some measures are necessary in order to increase and improve the participation of the family members in the humanization programs
|
Page generated in 0.4425 seconds