Gerenciamento dos resíduos de serviços de saúde da Unidade de Terapia Intensiva do Pronto Socorro do Hospital das Clínicas da Faculdade de Medicina de Botucatu – UNESP

Health care waste (HCW) is the type of waste that results from activities performed in health care services during care provision to humans or animals. Presently, according to RDC 306/04, issued in 2004 by Anvisa, and Resolution no. 358/05, by CONAMA, waste groups have the following classification: Group A (biological waste), Group B (chemical waste), Group C (waste containing radionucleotides), Group D (common waste) and Group E (piercing and cutting waste). In Brazil, 149 tons of wastes are collected every day, and HCW corresponds to approximately 1% to 3 % of that total. An efficient way to adequately manage HCW is through the Health Care Waste Management Plan (HCWMP), and it is possible to reduce the risk posed by certain materials in addition to ensuring disposal in an ecologically correct and economical fashion. According to the Pan-American Health Organization (PAHO), the management process enables health care establishments to adequately manage waste. Hence, there is greater control and reduction in the health risks caused by infectious or special waste, in addition to facilitated recycling, treatment, storage, transport and final disposal of solid hospital waste in an environmentally safe fashion. To evaluate the management of HCW of Groups A and D from the Intensive Care Unit of the University Emergency Hospital - FMB - UNESP in the city of Botucatu according to the guidelines presently in force. The waste flow was followed up, and during four random days in the month of September 2011, waste was quantified by estimating daily and monthly values, according to its classification. : In 2011, the University hospital has produced an average of 57,676.8 kg/month of biological and common waste. By adding Groups A and D, during the four days, approximately 209.8 Kg of waste (202.2 Kg of Group A and 7.6 Kg of Group D) were produced in the establishment under study, which... (Complete abstract click electronic access below)

O material didático para alunos surdos: a literatura infantil em libras

The reading of history is a fundamental part of early literacy for children as part of the goals for all children's education. The wheel of history or storytelling is an important moment of great help in the cognitive development of children, including a child with disabilities. Searching the accessibility of communication is that the present study aimed to make accessible in Brazilian Sign Language (LIBRAS) the book O Penuginha by Luiz Vitor Martinello. To facilitate the achievement of this objective, it was considered appropriate to develop a descriptive study following the methodology of qualitative research, to survey the literature on how learning takes place in the Portuguese language by deaf students. This study resulted in a DVD with video recording with the translation of the book O Penuginha in LIBRAS and the narration of the book in Portuguese. Therefore, this project became relevant as the paradigm of the twenty first century is the inclusion of all people in different scenarios and the school is one of the first places where the removal of barriers is essential

Levantamento de diferentes técnicas de controle de cupins subterrâneos (Isoptera, Rhinotermitidae) em áreas urbanas e rurais

Os cupins são conhecidos também como térmitas ou térmites, formam um grupo extenso e diverso e, atualmente, há mais de 2.800 espécies descritas que se distribuem em sete famílias. Pertencentes à ordem Isoptera, os térmitas são insetos eussociais que apresentam uma organização social altamente desenvolvida e vivem em ninhos denominados de cupinzeiros, geralmente, construídos no solo. Os cupinzeiros podem ser bem resistentes e estruturalmente complexos, e neles são encontrados indivíduos morfologicamente distintos adaptados a determinadas funções que constituem as diferentes castas (reprodutores, operários e soldados), além de indivíduos imaturos (“ninfas” e “larvas”) e ovos. A presença dos cupins nos ecossistemas é de extrema importância em diversos e diferentes processos. Em linhas gerais, os cupins são bastante importantes como decompositores de matéria orgânica fragmentando os detritos orgânicos, são mediadores da humificação, participam da ligação e formação de agregados e complexos minerais argilosos, e também atuam na fixação do nitrogênio, pois seus simbiontes têm a capacidade de fixar o gás nitrogênio da atmosfera, contribuindo, dessa forma, com a fertilidade do solo. Contudo, os cupins são bem conhecidos porque causam prejuízos enormes, ou seja, pelo potencial como pragas, danificando diversos tipos de materiais celulósicos e não celulósicos, além de edificações, monumentos, plantações, etc. Os cupins subterrâneos são os que causam maiores problemas, pois possuem grande capacidade de dispersão e são animais, que devido aos hábitos crípticos, têm o estudo e o controle dificultado. Além disso, estão entre os insetos mais abundantes, sendo a maioria pertencente à família Rhinotermitidae. O controle de cupins subterrâneos é um controle diferenciado, já que possuem o ninho sob o solo e com um grande número de indivíduos. A eliminação de uma parte da colônia muitas...

Metodologia microbiológica convencional e reação em cadeia pela polimerase (PCR) na detecção de Salmonellasp. a partir de caldos de enriquecimento – Tetrathionato e Rappaport-Vassiliadis

The progressive increase in consumption and production of poultry meat in later years comes forth with an increase of the occurrence of foodborne diseases, including salmonellosis. Salmonellosis is caused by the ingestion of contaminated products, mainly by the consumption of poultry meat which processing and preparation for consumption were not effective to eliminate pathogens. Thus, there is a need for the development of faster more sensitive methods of detection of pathogens as a way to ensure the quality of the food offered to consumers. The goal of this essay was to evaluate the effect of enrichment broths on naturally contaminated poultry meat samples. A total of 65 samples was collected, these samples were rinsed with 370 mL of buffered peptone water (BPS) 1% according with the traditional methodology. All of the samples were enriched with both Tetrathionate (TT) and Rappaport-Vassiliadis (RV) and all were analyzed by the convencional identification method and polimerasis chain reaction (PCR). Of the 65 analized samples, 34 (52%) were positive when analized by the conventional method, while 45 (69%) were positive when analized by the PCR. Amongst the 45 positive PCR samples, 44 samples were positive when enriched with TT, while just 32 samples were positive when enriched by RV. Of the 34 positive conventional samples, 29 samples were positive when enriched by TT and 31 were positive when enriched by RV

Tratamento farmacológico da epilepsia em cães

Seizure is a clinical manifestation of abnormal neuronal hyperactivity of the cerebral cortex, presentation clinical varies according to the location and extent of the brain. The classic seizure begins with an inicial period, named prodrome, followed by the aura, the ictus and finally the post-ictus phase. Seizures can be generalized or focal/partial types. Focal seizures with secondary generalization are the most common type in dogs. The seizure can be divided etiologically in intracraneal (idiopathic epilepsy; sintomatic; probably sintomatic epilepsy) and extracraneal disorders. After determining the etiology of seizures and critical analysis of the frequency, severity, and worry they cause to the owner, you should make the decision whether to launch an anticonvulsant drug therapy. Although the ideal is the elimination of seizures, the real goal should be to decrease the frequency and intensity of crises, without affecting the quality of life of patients taking the drugs used side effects acceptable. The veterinary should consider the bioavailability of the drug, contraindications, toxicity, drug interactions, the amount of daily administration, the availability of the owner and the cost of therapy. Seizures can be controlled in about 70- 80% of the dogs and in the majority of the cats when treated with Phenobarbital alone. Addition of a second drug (usually potassium bromide), decreases the number of seizures in more that 50% in about 70-80% of dogs. However, approximately 20-30% of dogs are refractory to this treatment. In these cases, it will be necessary to think in other pharmacological alternatives, like felbamate, gabapentin, levetiracetam, zonisamid, among others. It has been concluded that... (Complete abstract click eletronic access below)

Método de pontos interiores no planejamento ótimo do tratamento de câncer por radioterapia

The Medical Physics has been developing very fast due to the progress of the technologies and to the increase of the concerns with cure of diseases. One of the Medical Physics main performances at the present time is the use of ionizing radiations for cancer treatment, especially, services as Radiotherapy. The radiotherapy technique uses ionizing radiation with therapeutic end of cancer controls, avoiding your proliferation and it worsens of the patient. For the treatment a radiation bunch is used, with rectangular form, that it passes through the different types of tissues of the patient's body, and depending on the attenuation and of the depth of the fabrics, a great amount of energy is deposited inside in different points of the body. Like this, to plan this treatment type it should be obtained the dimension of the distribution and dose absorption along the volume. For this, it is necessary in the planning of the treatment of the cancer for radiotherapy to build isodose curves, which are lines that represent points of same amount of dose to be deposited in the area to be treated. To aid the construction of the curves of form isodose to reach the best result in the planning of the treatment, in other words, a great planning, providing the maximum of dose in the tumor and saving the healthy and critical organs, it has been using mathematical tools and computational. A plan of cancer treatment for radiotherapy is considered great when all the parameters that involve the treatment, be them physical or biological, they were investigated and adapted individually for the patient. For that, is considered the type and the location of the tumor, worrying about the elimination of the cancer without damaging the healthy tissue of the treated area, mainly the risk organs, which are in general very sensitive to the radiations. This way, the optimization techniques... (Complete abstract click electronic access below)

Estudo morfológico do fígado de camundongos expostos a ação do fipronil (ingrediente ativo do acaricida Frontline®)

O fipronil, ingrediente ativo do acaricida Frontiline®, é um derivado fenil-pirazólico e sua eficácia na eliminação de diversas pragas, mesmo em baixas concentrações, já foi demonstrada, porém, sua atuação sobre os organismos não alvos, ainda não foi totalmente esclarecida. Neste sentido, o presente estudo teve por objetivo avaliar os efeitos de diferentes doses do fipronil sobre o fígado de camundongos. Os resultados mostraram que os animais expostos ao fipronil apresentaram alterações ultraestruturais significativas no tecido e nas células hepáticas com evidente desorganização celular e citoplasmática dos hepatócitos, com aumento do número de organelas, principalmente mitocôndrias e retículo endoplasmático rugoso, organelas que, no caso dos indivíduos expostos, foram provavelmente responsáveis pela síntese de enzimas inativadoras do produto tóxico. Houve acúmulo de lipídeos no citoplasma dos hepatócitos (esteatose) além de extensas áreas vacuolizadas, principalmente em regiões próximas ao núcleo. As alterações observadas no núcleo dos hepatócitos sugeriram a ocorrência de processos de morte celular. As células de Kupffer aumentaram em número o que sugerindo aumento de processos fagocitários nos fígados dos animais expostos

Melhorias dos processos no setor de expedição em uma transportadora de cargas fracionadas

The transport market has forced organizations reduce the cost of services and processes, resulting from the highly competitive and, for such waste at all levels and processes are a focus of study for its elimination. This study refers to carrier fractional loads, located in the municipality of Itapecerica da Serra Layout and headquartered in São Paulo, which requires a rapid development throughout its structure, because its expansion was not accompanied by an evolution of effective processes. The need to increase efficiency in delivery with a reduced cost of transport forced the company to hire a logistics consulting to help identify potential bottlenecks in processes, suggest improvements with greater impact and implementation at the end of a critical analysis of results. This work focuses on the Layout of the warehouse shipping area of this organization and we used the method of action research to the consultant and involved could reach this conclusion collaboratively, as well as interviews with those involved in the process and also visual observation. Tools such as Key Performance Indicator, Mapping Workflow, Analytic Hierarchy Process, Applied Statistics and Standard Operating Procedure were used to assist in the identification, analysis and implementation of the proposed improvements

Avaliação do desempenho ambiental da produção canavieira com colheita mecanizada: contribuição à implantação de um sistema simplificado de gestão ambiental da propriedade

The consuming of the natural resources in the agricultural sector does not represent only one external factor of the productive process, but also it implies in a bigger cost for the production, justified for this environmental degradation. In view of the necessity of evaluating the sustainment of the agricultural businesses, the use of performance indicators if makes of extreme importance. The measurement of the support through environmentalindicators is one of the most accepted forms of performing the evaluation of one given agricultural activity. In this context, the Base System for Eco-certification of Agricultural Businesses (Eco-cert Rural) developed by the Embrapa Environment at Jaguariúna/SP, has for purpose to present a method of evaluation of the agricultural businesses, not only of the point of view of the ecological performance, as well as considering the social, economic and organizational aspects. Through the analysis of the performance of the activity and the regularization of the disconformities found, it makes possible the eco-certification of the activities in the varied existing protocols, offering technologies designed to the sustainable development of the agricultural businesses. Using Eco-cert.Rural, this work evaluated the contribution of the use of mechanized harvest in sugar cane handling, front to the traditional system of manual harvest, using the fire. In the Sugar Cane Activity General Performance Index, Agrícola Rio Claro scored 2,08 of a maximum of 15. Amongst all the indicators, those wich reached performance worse had been related to the Use of Energy and the Income, by increasing fossil fuel consumptiom, and implying income concentration due to resignations of rural workers. However, the improvements on the environment quality by supressing manual harvest through fire are very significant. Beyond the great reduction in...(Complete abstract click electronic access below)

Importância da avaliação de hematúrias através do dismorfismo eritrocitário

A hematúria é a eliminação de um número anormal de hemácias na urina e suas causas são múltiplas e nem sempre a investigação clínica é simples. A indicação para se estabelecer a diferenciação entre as causas das hematúrias, se glomerulares ou não glomerulares é feita através de solicitação específica do exame de dismorfismo eritrocitário. Esse exame é realizado em urina recém emitida, colhida em jato médio, por meio de microscopia de contraste de fase onde a morfologia das hemácias pode sugerir a origem da hematúria, direcionando o diagnóstico e conduta terapêutica pelo clínico. Neste projeto estudou-se a aplicação da caracterização das hemácias por microscopia de contraste de fase nos casos de hematúrias detectadas, sem a presença de leucocitúrias (sinais que sugerem infecção do trato urinário) nos achados de sedimentoscopia urinária realizados na rotina do setor de bioquímica clínica do CRD-Nac-UNESP, avaliando assim a importância da indicação da aplicação deste procedimento para a clínica

Condições mínimas para o encerramento de áreas que abrigaram resíduos sólidos domiciliares

In 2010 Brazil produced about 60.8 million of municipal solid waste, an amount 6.8% higher than in 2009 and six times the rate of urban population growth recorded in the same period. According to a study by the Brazilian Association of Companies of Special Wasteand Public Cleansing (Abrelpe), the average waste generated per person in the same period the country was 378 Kilograms, an amount 5.3% higher to 2009 (359 Kg). The total reached 60.8 milion tons of waste, 6.5 million tons were collected and not end up inrivers, streams and vacant lots. Of this total production, 42.4% or 22.9 million Tons, did not receive proper destination and destiny had dumps and landfills. The data show that the country is in upward trend in waste generation, but did not advance the appropriate destination at the same pace. The waste thus throw open cause public helth problems, such as proliferation of disease vectors (flies, mosquitoes, cockroaches, rats, and others). Generation of odors and especially the pollution of soil, surface water and groundwater through slurry ( liquid black, smelly and high pollution potential produced by the decomposition of organic matter contained in waste), affecting the water. This Study shows the popper closure of the areas, wich long has been degrading our natural resources, not to cause damage to nature and therefore society

Geração de vacinas antitumorais de células dendríticas humanas sensibilizadas com RNA de células tumorais pré-tratadas com agentes antineoplásicos

O câncer colorretal (CCR) é a terceira causa mais comum de câncer no mundo em ambos os sexos e a segunda causa em países desenvolvidos. Seu tratamento convencional é baseado na cirurgia associada à radioterapia e à quimioterapia em dose máxima tolerável, para tentativa de eliminação massiva das células tumorais. Tal abordagem, no entanto, pode causar efeitos colaterais importantes, entre eles as alterações hematopoiéticas e a supressão da resposta imune. As vacinas de células dendríticas mostram-se como opção terapêutica promissora para muitos tipos de câncer, havendo diferentes protocolos de preparação e sensibilização dessas células para dirigir a resposta antitumoral específica. Alguns agentes antineoplásicos em doses ultrabaixas mostraram modular positivamente as células dendríticas (DCs) e, na célula tumoral, promover alterações na transcrição de vários genes imunologicamente relevantes. Considerando que, em estudos prévios, tais mudanças transcricionais resultaram em aumento de imunogenicidade das células tumorais, hipotetizamos que o RNA das células pré-tratadas deve ser mais eficiente do que o RNA das células originais para preparação de vacinas de células dendríticas. Assim, objetivamos avaliar se o tratamento de células do tumor de cólon humano (HT-29) com PAC ou 5-FU/LEUCO torna seu RNA mais eficiente para preparação dessas vacinas. Para essa investigação, DCs humanas geradas a partir de monócitos de sangue periférico foram transfectadas com RNA total das células tumorais pré-tratadas e, a seguir, testadas quanto à capacidade de apresentação de antígenos e indução de células T citolíticas específicas. Apesar da baixa viabilidade celular pós eletroporação, os resultados obtidos sugerem que o tratamento de células tumorais com concentrações não tóxicas de 5-FU ou PAC promove alteração de expressão... (Resumo completo, clicar acesso eletrônico abaixo)

Gerenciamento dos resíduos de serviços de saúde do pronto socorro de um hospital escola na cidade de Botucatu

Health Care Waste (HCW) represents 1%, and it has presently gained a lot of importance. Adequate management is one of the great challenges to be faced by health care centers. It has gained distinction and been widely discussed by members of the sectors involved with sanitation, public health and environmental issues due to waste physical, chemical biological characteristics, which pose potential risk to the environment and public health. The present study aims at evaluating HCW internal management by following all its phases, determining indicators, classifying and quantifying, establishing production rates (kg /patient/day) for the sector and designing materials to disseminate appropriate HCW disposal in the Emergency Room of the UNESP University Hospital in the city of Botucatu according to the guidelines presently in force. : From June to October 2011, the waste flow was observed from its production to final disposal. Four weight measurements were performed on four consecutive days in the month of August by using a properly calibrated (in grams) digital scale at the times scheduled for collection of the produced waste. Hence, the daily and monthly amounts were estimated according to their classification. All the waste packaged in the bags in garbage cans in the Emergency Room for a 24-hour period was considered to be a sample. Separation was not adequately performed in that sector, and waste from Group A was mixed with that from Group D. The amount of infectious waste produced in the sector corresponded to 87.80 %, common waste to 10.93 % and recyclable waste to 1.27%. The mean daily HCW production was of 123.300 kg/day, and the total monthly production was of 3,822 kg/month, which was distributed as follows: Group A 3,355,750 kg/month; Group D 417,570 kg/month and recyclables 48,670 kg/month. The production rate corresponded to 0.47 kg/patient/day, thus showing... (Complete abstract click electronic access below)

Diagnóstico dos resíduos de construção e demolição: uma contribuição à elaboração e implantação da gestão integrada dos RCD no município de Guaratinguetá – SP

The problem of solid waste has caused discussions about the huge amount that is generated in Brazilian cities, in particular the waste from construction and demolition (CDW), called spoil. In many cases these wastes are disposed of improperly and even criminally in urban areas, causing serious economic, social and environmental problems. Due to the lack of public policies and appropriate management of such waste came up with the CONAMA, in its resolution nº 307 of 2002, the obligation of municipalities in deploy the integrated management of construction and demolition wastes for the resolution of problems caused by inadequate management and disposal of such waste. By following a methodology suggested by Pinto & González (2005), with adaptations of other authors, it is proposed in this work the lifting of a diagnosis of the CDW in the municipality of Guaratinguetá-SP, through theoretical analysis and field research, with purpose to guide the public servants in the elaboration and implementation of integrated management. The results must contain information necessary for that end, such as the knowledge of generators, agents, collectors and transporters, disposition areas and the disposal of waste

Estudo sobre a condição de coleta e tratamento de esgoto sanitário do município de Ubatuba-SP

The actual work broaches a study about the collection and treatment of sanitary sewage from the municipality of Ubatuba in its operational aspects and the tariff policy from the service. Themes related to the subject like the history of collection and treatment of sewage, its development in Brazil and its importance for public health and environmental preservation, as well as historical and geographical aspects of Ubatuba/SP, are present in the literature review. The methodology consists in guided visit in the colletion and treatment of sewage facilities and interview with technical managers. With the technical data obtained, it is made a discussion of the results and possible recommendations