Resultados da atenção farmacêutica no Brasil: uma revisão

The practice of pharmaceutical care (PC) is recent in Brazil and little is known about its impact on the health system or patients. The aim of this review was thus to identify the clinical, humanistic and economic outcomes achieved by the practice of PC in Brazil. In order to assess those outcomes, data published in studies from 1997 to 2011 were collected from Lilacs and MEDLINE databases, using the technique of content analysis. Original studies on PC that included pharmacotherapeutic follow-up were considered eligible for this descriptive review. A total of 306 articles were identified through the chosen descriptors. Of those, ten studies were eligible for this review and only two did not report significant results. The others reported increased adherence to pharmacotherapy, resolution of pharmacotherapeutic issues and control of clinical parameters of diseases (such as maintenance or reduction of blood pressure, reduction in HIV viral load and increase in lymphocyte count), promoting improvements in the general state of health and behavioral changes. However, economic impact was not assessed in any article analyzed, nor was a direct measurement of life quality performed. Although there are few studies on the outcomes of pharmaceutical care services in Brazil, it is demonstrated in this review that positive results were obtained when the pharmacist acted as a provider of optimized pharmacotherapy. This may be considered a result of the actions that followed the Brazilian Pharmaceutical Care Consensus of 2002, such as the restructuring of the curricular basis of pharmacy courses. From this point on, Brazilian researchers and pharmacists should think of a strategy to expand the offer of pharmaceutical care beyond academia and reach people in general who need this type of health care.

Selección del tratamiento farmacológico en el estado de mal epiléptico en niños

The status epilepticus (SE) is characterized by a series of crises which occur without recovery of consciousness or a single seizure lasting more than 30 minutes and can damage the central nervous system and systemic. The duration and frequency of attacks are directly related to patient prognosis. Whether seizures occur often and are longer, increase the risk of neurological and systemic complications. Child population has a higher frequency of seizures and it is associated with a lower threshold of immature brain to trigger these episodes. Aim: To determine the safest drugs prescribed for children in SE, their doses and schedules. A bibliographic survey was performed in electronic databases. Methods: The scientific health descriptors used for search was: “status epilecticus” and “anticonvulsivants” and “child”. Results: This strategy identified 396 manuscripts, of whom four were considered eligible for the study, after the assessment by floating reading and criteria. Of these, two were randomized trials and two descriptive. The studies address the use of oral midazolam, rectal diazepam and intravenous lorazepam. Conclusions: All investigated drugs were effective in treat in status epilepticus. Lorazepam is highlight, since it has fewer secondary effects and, as an alternative to the intravenous, oral midazolam. However, there is a need for further studies to demonstrate the efficacy and safety in the use of drugs in children.

Avaliações farmacoeconômicas em vigilância de medicamentos

The study aimed to identify pharmacoeconomic studies in pharmacovigilance and to observe the economic outcomes in post-marketing surveillance. Therefore, a bibliographic survey was performed in databases Lilacs, PubMed/ Bireme. The search strategy was done by using scientific health descriptors [ "adverse drug reaction reporting systems " OR " medication errors " OR "product surveillance, postmarketing" OR " sentinel surveillance" ] AND [ " cost-benefit analysis" OR "cost efficiency analysis " OR " costs and cost analysis " OR " hospital costs " OR " cost-effectiveness " OR " cost-effectiveness evaluation " OR " drug costs " ]. Manuscripts published in the last 10 years were selected. We chose 13 articles, of which 12 corresponded to cost-benefit analysis and only one to cost-effectiveness assessment. In only one study there was no economy, all the other ones generated savings, ranging from 13.7 to 30% in spending valued service. Surveillance actions were: continuing education; active search through tracking devices and / or implementation of round; teamwork and multidisciplinary deployment; computerized security services management, enabling traceability of information and alerts. The results of the proposed actions have led to the prevention of adverse drug reactions, to decline of risks to the patient, to the reduction of inappropriate prescriptions, as well as the length of hospital stay spending valued service. Surveillance actions were: continuing education; active search through tracking devices and / or implementation of round; teamwork and multidisciplinary deployment; computerized security services management, enabling traceability of information and alerts. The results of the proposed actions have led to the prevention of adverse drug reactions, to decline of risks to the patient, to the reduction of inappropriate prescriptions, as well as the length of hospital stay

Causes for the underreporting of adverse drug events by health professionals: a systematic review

Objective: Identifying the main causes for underreporting of Adverse Drug Reaction (ADR) by health professionals. Method: A systematic review carried out in the following databases: LILACS, PAHO, SciELO, EMBASE and PubMed in the period between 1992 and 2012. Descriptors were used in the search for articles, and the identified causes of underreporting were analyzed according to the classification of Inman. Results: In total, were identified 149 articles, among which 29 were selected. Most studies were carried out in hospitals (24/29) for physicians (22/29), and pharmacists (10/29). The main causes related to underreporting were ignorance (24/29), insecurity (24/29) and indifference (23/29). Conclusion: The data show the eighth sin in underreporting, which is the lack of training in pharmacovigilance. Therefore, continuing education can increase adherence of professionals to the service and improve knowledge and communication of risks due to drug use.

Swarm-based descriptor combination and its application for image classification

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Estudos helmintológicos em quirópteros no bioma Amazônia

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Saberes docentes, sistema de avaliação de rendimento escolar do Estado de São Paulo e ensino de Ciências: um estudo de caso a partir de situações de ensino-aprendizagem

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Privatização da educação no Brasil: como o tema vem sendo tratado em publicações de periódicos que estão no Scielo

Education is a basic right of every citizen guaranteed by the Federal Constitution of 1988, so that everyone is able to exercise their civil, political, economic and social. But in Brazil, this right has not yet been effected in all its concreteness and current privatization strategy have brought change to the right to education. Recent research from GREPPE (Group of Studies and Research in Educational Policy) identify different modalities of privatization of basic education, with emphasis on the privatization of supply, management and organization of the pedagogical work through the adoption of private educational systems. This study aimed to identify and discuss how the issue of privatization of education in Brazil is currently being treated in journal articles contained in the database SciELO - Scientific Electronic Library Online. SciELO is an electronic library covering a selected collection of Brazilian scientific journals. The research is qualitative and the same descriptors privatization were used + education

Design e semântica: investigação de técnicas estatísticas para auxílio no projeto de produto

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Caracterização morfológica e divergência genética em acessos de meloeiro

Pós-graduação em Agronomia (Genética e Melhoramento de Plantas) - FCAV

Use of music and play in pediatric nursing care in the hospital context

Objective. To identify and analyze scientific publications on the use of music and play in pediatric nursing care in the hospital context. Method. In this bibliographic study, papers were sought that were published in Portuguese or English between 2004 and 2009 and included the descriptors: hospitalized child, childhood, child recreation, nursing team, nursing, pediatric nursing, alternatives therapies, music, music therapy, play and playthings, play therapy, playing. For the review, the bibliographic databases used were MEDLINE, ScIELO and LILACS. Results. Seventeen publications were obtained, among which: 59% adopted a quantitative method; mainly nursing developed the activities (88%); per type of article, reviews on the theme and assessments of clinical changes associated with the use of music and play were frequent (59% and 18%, respectively); and the utility of this kind of therapies in nursing care is acknowledged (94%). Conclusion. Play and music are useful therapies that can be used in nursing care for pediatric patients.

Construção de índice percentual de “status” de desenvolvimento sus-tentável de assentamentos rurais utilizando procedimento estatísti-co multivariado

The objective of the present work is the construction of percentual indexes of sustainable development "Status" - PIDSD (%) aiming to order and classify the rural settlements, considering agricultural, socioeconomic and environmental aspects, in order to diagnose their sustainable reality. This way, we considered multivariate statistical procedure to establish analytical descriptors - indexes - like the principal components technique (CP). The CP technique was used in a matrix formed by 47 variables observed in 50 rural settlements, distributed in seven different regions of the state of Mato Grosso, obtained from diagnostics, provided by "Mato-Grossense" Enterprise of Research, Assistance and Rural Extension S/A - EMPAER - MT, in order to obtain the indexes used in the construction of PIDSD (%). The settlements with higher PIDSD (%) were considered "higher potential" or "higher sustainable" in relation to the analyzed variables, making the establishment of assistance strategies and cooperation possible, allowing the government and civil society in general, to improve those with worse results ("lower potential" or "lower sustainable"), and search for ways to strengthen and multiply the results of the "higher potential" settlements. Vale do Seringal settlement had the best conditions in relation to the variables, mainly those of higher weigh and was considered the one with "higher potential". São Sebastião had the worst conditions and was considered "lower potential".

Prevendo mudanças climáticas: resposta da meiofauna a mudanças na distribuição espacial de espécies-chave

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise do descritor de padrões mapeados localmente em multiescala para classificação de textura em imagens digitais

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Vocabulário controlado para arquivos: análise de viabilidade e propostas

Pós-graduação em Ciência da Informação - FFC