Hanseníase no município de Fortaleza, CE, Brasil: aspectos epidemiológicos e operacionais em menores de 15 anos (1995-2006)

Estudo transversal que objetiva analisar a ocorrência de casos de hanseníase em menores de 15 anos de idade residentes no Município de Fortaleza e notificados no SINAN. Os indicadores epidemiológicos nesta população mostram hiperendemicidade. Operacionalmente observa-se a manutenção da concentração de atendimento em algumas unidades de referência, apesar de alguns avanços. Diagnóstico tardio, elevado grau de incapacidade no diagnóstico e baixo grau de avaliação de contatos registrados revelam a fragilidade das ações de controle. Ressalta-se a possibilidade de erro diagnóstico frente às características da infecção nesta população. A ocorrência de casos de hanseníase nesta população representa um indicador epidemiológico de grande relevância e sua análise amplia a discussão sobre problemas operacionais na rede de serviços de saúde.

Necessidade energética estimada, valor energético e adequação de macronutrientes da alimentação dos idosos de Fortaleza/CE

O objetivo deste estudo foi verificar a necessidade energética estimada, o valor energético e a adequação de macronutrientes da alimentação dos idosos de Fortaleza. Este estudo é epidemiológico, transversal, com coleta de dados primários. As variáveis de estudo foram: necessidade energética estimada, valor energético da alimentação e adequação dos macronutrientes da alimentação. O inquérito alimentar utilizado para obtenção do valor energético da alimentação (VEA) foi o recordatório de 24 horas (R24). O cálculo da necessidade energética estimada (NEE) da população foi realizado a partir das equações propostas pelo Institute of Medicine (IOM, 2002). A adequação dos macronutrientes da alimentação foi verificada a partir dos valores propostos nos intervalos da distribuição aceitável de macronutrientes (IOM, 2002). Foi avaliada a alimentação de 458 idosos (153 homens e 305 mulheres). A média etária dos idosos foi 70,9 anos (DP= 7,9 anos). O valor energético médio da alimentação dos homens foi superior ao das mulheres. O valor energético médio da alimentação dos idosos foi inferior ao valor médio da necessidade energética estimada, tanto dos homens como das mulheres (p=0,000). Quanto à proporção de proteína da alimentação, a maioria dos idosos (91,7 por cento), apresentou valores adequados. A proporção de carboidratos da alimentação, também se mostrou adequada na maioria das dietas (59,8 por cento). O consumo de alimentação com adequada proporção de lipídio foi verificado em 53,9 por cento dos idosos. Sendo assim, conclui-se que os idosos de Fortaleza apresentam alimentação com valor energético insuficiente em relação à necessidade energética estimada para os mesmos

Avaliação do estado nutricional dos idosos residentes em Fortaleza/CE: o uso de diferentes indicadores antropométricos

O objetivo deste estudo foi avaliar, utilizando diferentes indicadores antropométricos, o estado nutricional dos idosos de Fortaleza. Este estudo é de base populacional, do tipo transversal, com coleta de dados primários. As variáveis antropométricas analisadas foram: índice de massa corporal (IMC), dobra cutânea tricipital (DCT) e circunferência muscular do braço (CMB). O estado nutricional foi definido a partir dos diagnósticos obtidos com a análise das variáveis antropométricas: eutrófico (idoso, no qual as três variáveis antropométricas (IMC, DCT e CMB), simultaneamente, indicassem o estado de eutrofia, segundo os padrões adotados) e não eutrófico (demais idosos). Foram selecionados 385 domicílios para comporem a amostra deste estudo, nos quais foram entrevistados 483 idosos (68% mulheres). Quanto ao IMC, 47,3% do total de idosos foram considerados eutróficos. As mulheres apresentaram maior proporção de valores de IMC excessivo (21,9%), quando comparadas aos homens (13,5%). Foi verificada associação estatisticamente significativa entre adequação de IMC e sexo. Os valores de DCT mostraram que 54,4% do total de idosos eram eutróficos. Não houve associação estatisticamente significativa entre a adequação da DCT e sexo. Quanto à CMB, os homens apresentaram maior prevalência de desnutrição (66,5%), quando comparados às mulheres (40,6%). Foi verificada associação estatisticamente significativa entre adequação da CMB e sexo. Ao verificar o estado nutricional por meio das variáveis antropométricas, observou-se que 83,9% dos homens foram considerados não eutróficos, assim como maior parte das mulheres (74,2%). Foi observada associação estatisticamente significativa entre estado nutricional e sexo. Os idosos de Fortaleza apresentam estado nutricional vulnerável, visto as prevalências de não eutróficos

Saúde e adolescentes: possibilidades de violência simbólica

Este artigo se propõe a analisar o tipo de relação que as Unidades de Saúde estabelecem com os adolescentes no município de Fortaleza, CE, na perspectiva da violência simbólica de Pierre Bourdieu. Para tanto, foram organizados seis grupos focais constituídos de profissionais das Unidades Básicas de Saúde da Família. O número de participantes variou de 10 a 15 pessoas. Os critérios de escolha das Unidades foram: aquelas que já realizaram algum projeto de promoção à saúde ou prevenção de doenças com adolescentes; que possuem profissionais que são reconhecidos por desenvolverem atendimento junto aos adolescentes. As falas do grupo foram anotadas e transcritas por um observador independente. O material coletado foi analisado de acordo com os critérios clássicos da análise de conteúdo. Os resultados mostraram que há uma descrença na implantação de políticas públicas para a saúde na adolescência e que a sustentabilidade de programas e projetos fica fragilizada pela ausência dessa estrutura de apoio às ações no cuidado aos adolescentes

Evapotranspiration and crop coefficients of seedless watermelon

The research was developed in Fortaleza, CE (latitude 3 degrees 43`S, longitude of 38 degrees 32`W and altitude of 19.5 m). It aimed to determine the Evapotranspiration and the crop coefficients for the different stadiums of seedless watermelon (Citrullus lanatus, Schrad), using the water balance method in drainage lysimeter. The experimental unit consisted of four located drainage lysimeter in an area of 600 m(2). The culture Evapotranspiration (ETc) was determined by the method of the water balance, in a volume of soil control with depth of 0.45 m, whose humidity was monitored by tensiometers. The reference Evapotranspiration (ETo) was estimated by the method of the class A pan. The crop coefficients were obtained from the rate between ETc and ETo in the different stages. The ETc presented growing values from the vegetative stage to the fruiting stage, dropping straight away in the mature stage. The maximum value of kc was observed in the fruiting stage.

Adjunctive benefits of systemic etoricoxib in non-surgical treatment of aggressive periodontitis: Short-term evaluation

Background: This pilot study assessed the effect of short-duration treatment with etoricoxib as adjuvant therapy to scaling and root planing (SRP) on the clinical and radiographic parameters and prostaglandin E-2 (PGE(2)) levels in aggressive periodontitis. Methods: Subjects were randomly allocated to test or control treatment (n = 10 in each group) and submitted to SRP and treatment with etoricoxib, 120 mg/day, or placebo for 7 days. Probing depth, clinical attachment level (CAL), gingival recession, visible plaque index, bleeding on probing, linear distance (LD) from the cemento-enamel junction to the alveolar crest, and analysis of the gray levels were recorded before and 1 month after the therapies. The prostaglandin E-2 (PGE(2)) level in the gingival crevicular fluid (GCF) was measured by radioimmunoassay at the beginning of the study and 7 and 30 days after treatment. Results: No significant difference in the clinical parameters was observed between the groups at the end of the experimental period, although both groups presented significant improvement in all variables examined. There was a decrease in CAL from 5.54 +/- 0.47 mm to 3.59 +/- 0.53 mm in the test group and from 5.92 +/- 1.10 mmto 3.69 +/- 0.80 mm in the control group. A significant reduction in PGE(2) was found after 7 days of treatment. LD differed between the groups. Conclusion: Etoricoxib did not promote additional improvement in the clinical parameters; however, it produced an initial reduction in the PGE(2) levels in the GCF, which could be related to the discrete improvement in the bone condition.

Capillary electrophoresis (CE): a powerful tool to characterize humic acid (HA)

The present study evaluates the possibility of eliminating the purification steps involved in the characterization of HA by capillary zone electrophoresis (CZE). The HAs of various sources were analyzed, showing different electropherograms by CZE, which depend on the charge and size of HA. The data suggest that the purification of the sample is not necessary to characterize HAs. Based on the results, CZE showed to be a promising tool to characterize HA of different origins without the purification step of the sample.

Eletroforese capilar acoplada à espectrometria de massas (CE-MS): vinte anos de desenvolvimento

CE-MS has been increasingly used for analysis of a vast array of compounds. This article reviews the different electrophoretic modes, interfaces and mass analyzers that are commonly used in the CE-MS coupling, as well as the technique advantages and performance characteristics. A large compilation of CE-MS applications is also presented. Therefore, this review is both a guide for beginners and a collection of key references for people who are familiar to the technique. Furthermore, this is the first CE-MS review published in a Brazilian journal and marks the installation of the first two commercial CE-MS units in Sao Paulo State.

Estratégias de pré-concentração em eletroforese capilar (CE): parte 1. Manipulação da velocidade eletroforética do analito

Capillary electrophoresis has become a well-established and routine-based separation technique. It is based on the differences between charged analyte mobility in aqueous or organic electrolytes. Its major limitation is the sensitivity due to small sample injection volumes and the narrow diameter of the capillaries, especially when UV detection is used. There are a number of ways to increase the concentration sensitivity. This report shows some on-line preconcentration strategies to perform it in free solution capillary electrophoresis that are based on manipulation of the analyte electrophoretic velocity during the sample introduction (stacking, field amplification and transient isotachophoresis).

Modelo de programação linear para otimização econômica do projeto de irrigação Baixo Acaraú - CE

The present work had as objective uses a model of lineal programming algorithm to optimize the use of the water in the District of Irrigation Baixo Acarau-CE proposing the best combination of crop types and areas established of 8,0 ha. The model aim maximize the net benefit of small farmer, incorporating the constraints in water and land availability, and constraints on the market. Considering crop types and the constraints, the study lead to the following conclusions: 1. The water availability in the District was not a limiting resources, while all available land was assigned in six of the seven cultivation plans analyzed. Furthermore, water availability was a restrictive factor as compared with land only when its availability was made to reduce to 60% of its actual value; 2. The combination of soursop and melon plants was the one that presented the largest net benefit, corresponding to R$ 5,250.00/ha/yr. The planting area for each crop made up to 50% of the area of the plot; 3. The plan that suggests the substitution of the cultivation of the soursop, since a decrease in annual net revenue of 5.87%. However, the plan that contemplates the simultaneous substitution of both soursop and melon produced the lowest liquid revenue, with reduction of 33.8%.

A urbanização crítica na metrópole de São Paulo, a partir de fundamentos da geografia urbana

Over time the city has been involved in constant changes related with its diversity, processes and internal structure. As urban reality, the concepts of urban geography as a discipline shows a metamorphosis based on the agitation of urban reality. This investigation aims to update the geographical literature, without extreme simplifications and including as much perspectives as possible. Pierre George gives and extraordinary example about the extension of that knowledge, abruptly become obsolete.

EPR study of local symmetry sites of Ce(3+) in Pb(1-x)Ce(x)A (A=S, Se, and Te)

The local site symmetry of Ce(3+) ions in the diluted magnetic semiconductors Pb(1-x)Ce(x)A (A=S, Se, and Te) has been investigated by electron-paramagnetic resonance (EPR). The experiments were carried out on single crystals with cerium concentration x ranging from 0.001 to 0.035. The isotropic line due to Ce(3+) ions located at the substitutional Pb cation site with octahedral symmetry was observed for all the studied samples. We determined the effective Lande factors to be g=1.333, 1.364, and 1.402 for A=S, Se, and Te, respectively. The small difference with the predicted Lande factor g of 10/7 for the Gamma(7) (J=5/2) ground state was attributed to crystal-field admixture. In addition, EPR lines from Ce(3+) ions located at sites with small distortion from the original octahedral symmetry were also observed. Two distinct sites with axial distortion along the < 001 > crystallographic direction were identified and a third signal in the spectrum was attributed to sites with the cubic symmetry distorted along the < 110 > direction. The distortion at these distinct Ce sites is attributed to Pb lattice vacancies near the cerium ions that compensate for its donor activity.

Sequential Injection Analysis (SIA) for Arsenic Speciation by Capillary Electrophoresis Hyphenated to Inductively Coupled Plasma Sector Field Mass Spectrometry (CE-ICP-SFMS)

Sequential injection analysis (SIA) is proposed for managing microvolumes of sample and arsenic species solutions for speciation analysis by capillary electrophoresis focusing on the reduction of hazardous waste residues. An electronically controlled hydrodynamic injector was projected to introduce microvolumes of solutions prepared by SIA into the CE capillary with precision better than 2%. The determination of arsenite, arsenate, monomethylarsonic acid, dimethylarsinic acid, and arsenobetaine was performed from 50 mu L volumes of lyophilized urine and extract of shrimp with the system hyphenated to inductively coupled plasma mass spectrometry (CE-ICP-SFMS).

Enantioselective analysis of propranolol and 4-hydroxypropranolol by CE with application to biotransformation studies employing endophytic fungi

A CE method is described for the enantioselective analysis of propranolol (Prop) and 4-hydroxypropranolol (4-OH-Prop) in liquid Czapek medium with application in the study of the enantioselective biotransformation of Prop by endophytic fungi. The electrophoretic conditions previously optimized were as follows: an uncoated fused-silica capillary, 4%w/v carboxymethyl-beta-CD in 25 mmol/L triethylamine/phosphoric acid (H(3)PO(4)) buffer at pH 9 as running electrolyte and 17 kV of voltage. UV detection was carried out at 208 nm. Liquid-liquid extraction using diethyl ether: ethyl acetate (1:1 v/v) as extractor solvent was employed for sample preparation. The calibration curves were linear over the concentration range of 0.25-10.0 mu g/mL for each 4-OH-Prop enantiomer and 0.10-10.0 mu g/mL for each Prop enantiomer (r >= 0.995). Within-day and between-day relative standard deviations and relative errors for precision and accuracy were lower than 15% for all the enantiomers. Finally, the validated method was used to evaluate Prop biotransformation in its mammalian metabolite 4-OH-Prop by some selected endophytic fungi. The screening of five strains of endophytic fungi was performed and all of them could biotransform Prop to some extent. Specifically, Glomerella cingulata (VA1) biotransformed 47.8% of (-)-(S)-Prop to (-)-(S)-4-OH-Prop with no formation of (+)-(R)4-OH-Prop in 72 h of incubation.