Atitudes e conhecimentos de agentes comunitários de saúde e suas relações com idosos

OBJETIVO: Analisar as relações entre agentes comunitários de saúde e os cuidados prestados a idosos. MÉTODOS: Estudo transversal descritivo, com 213 agentes comunitários das 12 unidades básicas de saúde e das 29 unidades de saúde da família de Marília em 2010. Os dados foram coletados por meio de um questionário sociodemográfico, um instrumento de escala de atitudes em relação à velhice (Escala de Neri) e um questionário para avaliar conhecimentos gerontológicos (Questionário Palmore-Neri-Cachioni). Para a análise dos dados, foi utilizado o programa Statistical Package for the Social Sciences versão 16.0 para Windows. RESULTADOS: Predominaram no quadro dos agentes comunitários os adultos jovens, do sexo feminino, casados, escolaridade > 12 anos e inseridos na atividade há mais de seis anos. A maioria dos agentes relatou experiência com grupo de idosos e convivência intradomiciliar com pessoas dessa faixa etária, porém menos da metade referiu capacitação no tema envelhecimento. As avaliações positivas dos agentes quanto às atitudes perante a velhice ocorreram principalmente em aspectos como a sabedoria e generosidade dos idosos, porém foram marcantes as atitudes negativas para lentidão e rigidez. O número de acertos sobre gerontologia foi baixo e esteve diretamente associado às capacitações recebidas pelos agentes. Foram observados estereótipos em relação ao idoso, na medida em que muitos agentes os consideravam insatisfeitos e dependentes. CONCLUSIONES: Mudar as atitudes e melhorar o conhecimento que se tem acerca do envelhecimento é essencial no enfrentamento das demandas advindas dessa fase da vida. Qualificar a formação do agente comunitário de saúde é fundamental no cuidado ao idoso na atenção primária.

Avaliação qualitativa do efeito de agentes de limpeza na camada de lama dentinária: estudo ultra-estrutural em microscopia eletrônica de varredura

Quando qualquer instrumento abrasiona ou corta a dentina, produz na superfície uma camada de lama dentinária ou smear layer. Dependendo do agente de união indicado em Odontologia adesiva, há a necessidade ou não da remoção da camada de lama da superfície dentinária. Com a finalidade de verificar a ação de diferentes substâncias para a limpeza dentinária, utilizamos 20 dentes pré-molares superiores íntegros, mantidos em soro fisiológico, nos quais as coroas foram seccionadas ao meio no sentido mésio-distal. Com instrumento diamantado, removeu-se o esmalte da porção vestibular e da porção lingual da coroa e, com uma broca carbide cilíndrica lisa nº 56, cortou-se aproximadamente 1 mm de dentina com alta rotação sob abundante refrigeração ar/água, para produzir a camada de lama dentinária. em seguida, essa superfície foi tratada com diferentes substâncias e lavada por 30 segundos com spray ar/água. No controle, foi simplesmente utilizado o spray ar/água. Os espécimes foram montados em suportes metálicos, preparados e visualizados no MEV-DSM 950 da Zeiss, em aumentos que variaram de 100 a 5.000 vezes. Os materiais que mais removeram a camada de lama foram, em ordem crescente: 1. spray ar/água; 2. fluoreto de sódio 2%; 3. associação alternada de Dakin/Tergensol; 4. água oxigenada 3%; 5. jateamento com óxido de alumínio 50 mm; 6. flúor acidulado 1,27%; 7. ácido poliacrílico 25%; 8. ácido fosfórico 10%.

Efeitos alelopaticos de alguns extratos vegetais na germinação do tomateiro (Lycopersicon esculentum Mill. cv. Santa Cruz)

O presente trabalho teve por finalidade avaliar os possíveis efeitos alelopáticos de três plantas daninhas (Cyperus rotundus, Sorghum halepense e Cynodon dactylon), uma leguminosa (Canavalia ensiformis) e colza (Brassica napus), na germinação das sementes do tomateiro (Lycopersicon esculentum cv. Santa Cruz) utilizado como indicador. Tubérculos de tiririca, rizomas de capim massambará, o sistema radicular de grama seda, além de folhas e raízes de feijão-de-porco e colza, foram homogeneizados em solução aquosa, submetidos a filtração e centrifugação. A aplicação do sobrenadante no substrato de germinação das sementes de tomateiro mostrou afetar o processo germinativo e o desenvolvimento da radícula e do hipocótilo. C. rotundus, S. halepense e raízes de C. ensiformis possuem substâncias altamente inibitórias à germinação do tomateiro 'Santa Cruz'', sendo que a planta indicadora também mostrou-se sensível às substâncias presentes nas folhas de B. napus e em C. dactylon.

Jogo da Minoria: um modelo baseado em agentes aplicado ao mercado financeiro

Nos últimos anos houve uma contribuição significativa dos físicos para a construção de um tipo de modelo baseado em agentes que busca reproduzir, em simulação computacional, o comportamento do mercado financeiro. Esse modelo, chamado Jogo da Minoria consiste de um grupo de agentes que vão ao mercado comprar ou vender ativos. Eles tomam decisões com base em estratégias e, por meio delas, os agentes estabelecem um intrincado jogo de competição e coordenação pela distribuição da riqueza. O modelo tem demonstrado resultados bastante ricos e surpreendentes, tanto na dinâmica do sistema como na capacidade de reproduzir características estatísticas e comportamentais do mercado financeiro. Neste artigo, são apresentadas a estrutura e a dinâmica do Jogo da Minoria, bem como as contribuições recentes relacionadas ao Jogo da Minoria denominado de Grande Canônico, que é um modelo mais bem ajustado às características do mercado financeiro e reproduz as regularidades estatísticas do preço dos ativos chamadas fatos estilizados.

Ação de antibióticos e quimioterápicos sobre alguns agentes baxterianos da mastite bovina, isolados da água utilizada no processo de obtenção do leite

Three strains of Staphylococcus aureus, 73 coagulase negative Staphylococcus and 28 Escherichia coli strains,isolated from water samples from 10 dairy farms, were tested for ''in vitro'' sensitivity to antibiotics and chemotherapeutics. The results showed that all samples isolated presented resistance to at least one active drug tested. The percentage of S. aureus, coagulase negative Staphylococcus and E. coli strains that exhibited resistance to the three active drugs were 100.00%, 84.93% and 71.43%, respectively. These results are important mainly due to the role of water as a vehicle for transmission of mastitis bacterial agents during the milking process.

Estudo da penetração de agentes ácidos para o condicionamento do esmalte dental em cimentos à base de hidróxido de cálcio.

It was verified the penetration of phosphoric acid into 3 commercial calcium hydroxide-based cements (Life, Renew and Prisma VLC Dycal). The colorimetric method employed permitted the identidication of phosphorus amount in representative samples of 6 successive layers 0.1 mm thick of each material. The acid etching used were the commercial products Scotchbond Etching Gel--3M at 36.114% by weight and Solução Condicionadora--Johnson & Johnson at 36.054% by weight. The contact time was 60 seconds. The result showed that layers 0.1 mm tick for Life and Prisma VLC Dycal and 0.2 mm thick for Renew were able to block the penetration of phosphoric acid solution whereas layers 0.1 mm thick for the 3 cements were able to block the penetration of phosphoric acid gel.

Influência de diferentes agentes de fixação na resistência de união, por tração, de ligas metálicas fixadas à dentina.

They were casted pieces using three kinds of alloy (Ni-Cr, Ag-Sn and Cu-Al) with circular and smooth surface. They were cemented to human teeth, on occlusal surface, grounded at dentin level, through three different materials kind (zinc polycarboxylate cement, glassionomer cement and composite). After 24 hours storing, the samples were subjected to the tensile test. The results showed that the samples cemented with composite and the casts made with Ag-Sn alloy had higher bond strength.

Aspectos toxicológicos do bissulfito e outros agentes tóxicos sobre a síntese de glicerol-3-fosfato desidrogenase citoplasmá tica de levedura de panificação

The synthesis of intracellular glycerol-3-phosphate dehydrogenase (EC 1.1.1.8) in baker's yeast was investigated in submerged culture supplied with glucose or glycerol as sole carbon sources. Inhibitors of the glycolytic pathway, Krebs cycle and respiratory chain did not stimulate glycerol-3-phosphate dehydrogenase synthesis when added in low concentrations in up 7.5 × 10 -5 mol/L. The repression exercised by glucose on the synthesis of glycerol-3-phosphate dehydrogenase in YP-glucose medium was reduced by the addition of fermentation products and of sodium bisulfite. Synthesis of the enzyme was raised 22-110%. However, in YP-glycerol medium, the addition of 0.06% (w/v) sodium bisulfite reduced (29%) the synthesis of the enzyme, while 0.012% (v/v) acetaldehyde stimulated the synthesis of glycerol-3-phosphate dehydrogenase by 12%.

Espectro de agentes etiológicos associados a surtos de doenças transmitidas por alimentos em núcleos receptores turísticos de três regiões geográficas do Estado de São Paulo

Foodborne and waterborne diseases are spread by the consumption of food or water contaminated with bacteria and/or their toxins, viruses, parasites or chemicals. The aim of the research reported here was to establish the spectrum of etiologic agents of foodborne outbreaks at 15 tourist resorts in three geographic regions of the State of Sao Paulo (Brazil). The study was based on the cases reported to the Epidemic Surveillance Center (CVE) of the Public Health Authority of the State of São Paulo (SES), from 2002 to 2005. The tourist centers were chosen at random in three regions of the state (Capital, Interior and Coast) and offered the following attractions: events, agribusiness, cultural history, shopping, town center, gastronomy, health and leisure, sun and sea. Among the bacteria, the results showed that Salmonella spp. were most frequently associated with outbreaks, followed by Shigella spp., enterotoxigenic Escherichia coli, Staphylococcus aureus, Clostridium perfringens, Bacillus cereus and Campylobacter spp. Viruses (Rotavirus and Hepatitis A) played a part in many of the cases, while the frequency of parasites and worm infestations was low in the foodborne disease outbreaks at these resorts. The mixed foods (rice, beans, liver, potatoes, barbecue, juice), fish and poultry were the three commonest vehicles implicated in the outbreaks.

Germinação de sementes de pinho-cuiabano sob deficiência hídrica com diferentes agentes osmóticos

The species Schizolobium amazonicum (Huber ex Ducke) commonly known as pinho-cuiabano or paricá, is one of the trees in Amazonian area used for plantings in degraded areas, reforestations and agroforestry systems. The present work evaluated the germinative behaviour of seeds of Schizolobium amazonicum in relation to the hydric stress, defining their levels of tolerance to those limitations in the environment. The seeds were collected from 30 trees in Alta Floresta-MT and submitted the dormancy treatment by submersion into water at 100°C for 1 minute; followed by treatment with fungicide Ridomil and Cercobin 0,25% each, then being left to germinate in a BOD camera at 30°C under a photoperiod of 12 hours. For evaluating the effect of different water potentials in the germinative process, polyethylene glicol (PEG 6000) was used and the salts NaCI and CaCl 2 used to simulate saline stress. The seeds were put to soak in potentials of 0 (control); -0.1 ; -0.2; -0.3; -0.4 and -0.5MPa. For each treatment 5 repetitions of 20 seeds were used in gerbox, placed between filter paper moistened with 20 mL of PEG, NaCI and CaCl 2 solutions. The solutions were changed at intervals of 24 hours for maintenance of the potential. The evaluations of percentages and germination speed were carry out daily for 8 days, being considered germinated the seeds that presented a 2mm root extension or longer. The data were submitted to analysis of variance and averages compared by the Tukey test at 5% probability. It was concluded that osmotic potentials between -0.4 and -0.5MPa inhibited the germination of seeds of Schizolobium amazonicum completely. The osmotic stress caused by CaCl 2, and PEG injured the germination more than did the stress caused by NaCl.

Influência dos agentes clareadores na microdureza de resina composta nanoparticulada

Objective: To assess the effect of bleaching agents on the microhardness of nanoparticle resin composite. Methods: Twenty-eight cylindrical test specimens (8× 1mm) of Filtek™ Supreme XT resin (3M/ESPE) were prepared and divided into 5 groups. The initial Vickers microhardness was measured (load of 50 grams force for 30 seconds) on the top surface of the test specimens. The groups were treated and divided as follows: G1 - artificial saliva (21 days - control); G2 - 7% hydrogen peroxide gel applied for 4h/day, for 14 days; G3 - 10% carbamide peroxide for 4h/day, for 14 days: G4 - 35% hydrogen peroxide gel applied in three sessions of 30 minutes each, with an interval of one week (21 days) between the sessions; G5 - 35% carbamide peroxide, three sessions of 30 minutes each, with an interval of one week (21 days) between the sessions. The top surfaces of the test specimens received treatment and were submitted to the Vickers microhardness test. Results: The results obtained were submitted to the Analysis of Variance at a fixed criterion, at a level of significance of p=0.05. No significant differences were observed among the treatments tested (p=0.42) when compared with G1. Significant differences (Tukey test) were found when the initial microhardness values were compared with the values after experimental treatments (p<0.01). Conclusion: The application of bleaching agents did not alter the microhardness of resin composites. Therefore, there is no need to change restorations after bleaching.

Agentes tróficos na dieta de leitões desmamados sobre a atividade das enzimas digestivas e o desempenho

It was evaluated the effect of the addition of glutamine, polyunsaturated fatty acids or cellular wall of yeast to the diet of weaned pigs on the activity of the pancreatic enzymes (lipase, amylase and trypsin) and the intestinal mucous membrane (dipeptidase, sucrase and maltase) and on the performance. Forty-five weaned pigs were used and distributed in a randomized block design, in factorial outline, with four diets (T1 - basal diet (BD); T2 - BR + 1% glutamine; T3 - BD + 0,2% cellular wall of yeast; T4 - BD + 5% fish oil) and two slaughter ages (seven and 14 days post weaning). The performance was measured in the first two weeks post-weaning. The addition of 1% glutamine in the diet of pigs increased the specific and total activity of the amylase, and total activity of the trypsin in the second week post weaning. The others supplements not change the activity of the digestive enzymes in the pigs. Also an increase was observed in the total activity of the lipase, and specific activity of the trypsin and maltase in function of the age post-weaning. In general, the activities of the digestive enzymes were correlated positively, except for the dipeptidase that was not correlated with any other enzyme. Positive correlation was observed between weight gain and activity of the lipase and of the amylase. The supplements included in the diet not influence the performance of weaned pigs.

Seleção de agentes alternativos ao ágar para propagação de plântulas de Cattleya loddigesii Lindley (Orchidaceae)

The aim of this study was to evaluate the in vitro growth of Cattleya loddigesii in alternative agents to agar with starch and physical matrix with acclimatization of regenerated plants. Protocorms with 90 days after sowing (0.5 cm of length) were subcultured in 1/2 MS culture medium among the treatments consisting of: agar 7 g L-1 (T1, which corresponds the control), agar 3,5 g L-1 with cassava starch 30 g L-1 (T2), cassava starch 60 g L-1 (T3), cotton fiber (T4) and chopped polyurethane foam (T5). Plantlets were retained in these treatments for over 150 days, and at the end of in vitro culture, were analyzed by their biometric data and acclimatized in a greenhouse during 120 days and evaluated the survival and relative growth rate (RGR). The substrate comprising of chopped polyurethane foam (T5) showed greater efficiency for growth in vitro and also increased survival rate, while substrate cassava starch (T3) provided delay for plantlet growth. Therefore, chopped polyurethane foam is recommended because of low cost and suitable characteristics for the propagation of Cattleya loddigesii.

Pesquisa e desenvovimento de novos materiais microporosos e mesoporosos para uso em ressonância magnética nuclear por imagem como agentes de contraste

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)