Reflexões sobre uma proposta de integração saúde-escola: o projeto saúde e educação de Botucatu, São Paulo

Tendo como objeto de estudo a criança em idade escolar, discute-se, no presente artigo, o processo de elaboração e desenvolvimento de uma programação em saúde pública a fim de construir uma estratégia de ações que integrem os campos da saúde e da educação. Tal programação apresenta-se apoiada em três eixos de atuação: atenção integral à saúde da criança em idade escolar, priorizando a criança que está ingressando no sistema público escolar; formação de recursos humanos nas áreas saúde e educação, por meio de estágios que possibilitem vivenciar, trabalhar e refletir criticamente a ação programática junto a uma equipe interdisciplinar; trabalho com professores da rede de ensino público fundamental para a implantação e desenvolvimento de ações inovadoras nos campos da saúde e da educação que respondam às demandas da escola, da comunidade e de uma atuação crítica em face dos problemas enfrentados pelas crianças em processo de escolarização.

Projeto urbanístico para o Vale do Rio Jahu (perímetro urbano do município de Jahu): projeto paisagístico

Em 1974 a Prefeitura Municipal de Jahu interessada na urbanização do vale do Rio Jahu no trecho urbano propôs a abertura de avenidas marginais, conforme previa o plano diretor. Os autores preocupados com as potencialidades de uso do vale, sugeriram que se afastasse as avenidas do rio e se desse a oportunidade da criação de um parque às margens do rio. Esse parque teria a função de integrar o rio à paisagem urbana, compatibilizando, ao mesmo tempo, os interesses sociais da população com as necessidades da conservação da natureza.

O México como aliado dos EUA no projeto de integração das Américas

O artigo sugere que, nas duas últimas décadas, os governos mexicanos vêm adotando medidas políticas e econômicas amplamente afinadas com o modelo de integração econômica das Américas proposto pelos EUA. A adesão incondicional ao Nafta e o empenho para consolidar os projetos do Corredor Biológico Mesoamericano e do Plano Puebla-Panamá são exemplos fundamentais dessa estratégia.

Consumo de álcool e risco para doença coronariana na região metropolitana de São Paulo: uma análise do Projeto GENACIS

OBJETIVOS: Examinar a associação entre consumo de álcool e risco para doença coronariana em amostra populacional. MÉTODOS: Estudo transversal, de base populacional, conduzido de janeiro/2006 a junho/2007, na região metropolitana de São Paulo, como parte do estudo internacional (Gender, Alcohol, and Culture: an International Study). Os sujeitos (1.501, sendo 609 homens e 892 mulheres) eram residentes da região metropolitana de São Paulo, tinham 30 anos ou mais de idade e foram selecionados aleatoriamente, a partir de amostragem complexa por conglomerados. Todos os indivíduos consentiram em participar da pesquisa. A variável dependente foi risco cardíaco avaliado através do WHO Rose Angina Questionnaire. A análise multivariada consistiu em regressão logística, tendo sido realizado ajuste para uso de tabaco e índice de massa corpórea. RESULTADOS: A taxa de resposta foi 75%. Ser mulher, ter mais idade, ser negro, fumante e ter um índice de massa corpórea elevado, foram associados a maior risco para doença coronariana. Indivíduos que nunca beberam na vida (OR = 2,22) e ex-bebedores (OR = 2,42) tiveram maior risco de doença cardíaca do que aqueles que informaram beber até 19 g de álcool por dia, sem episódios de beber excessivo. Entre os que tiveram episódios de embriaguês observou-se uma tendência a maior risco (OR = 3,95, p = 0,09). CONCLUSÕES: Nossos achados sugerem um menor risco para doença coronariana entre os bebedores moderados. Destaca-se que os estudos que avaliam o impacto do álcool sobre doença cardíaca precisam identificar o padrão de uso de álcool dos sujeitos, visto que este aspecto pode modificar o risco. Políticas públicas são necessárias para reduzir o uso nocivo de álcool e a morbidade a ele relacionada no país.

Heparin, heparin plus ASA and dipyridamole, and arteriovenous fistula as adjuvant methods to prevent rethrombosis after venous thrombectomy. Experimental study in rabbits

Venous rethrombosis following thrombectomy is a common event. The aim of the present study was to verify the action of heparin, heparin plus acetyl salicylic acid (ASA) and dipyridamole, and of an arteriovenous fistula (AVF) in the prevention of this complication. Thrombosis was induced in 48 male rabbits by the injection of thrombin in a segment of the left jugular vein, in which the blood flow was arrested for 10 minutes. After 48 hours, the animals were randomly allocated into one of 4 groups of treatment: (1) control, (2) subcutaneous heparin (600 S.I. Units/kg - 8/8 hours), (3) heparin, in the same dose, plus ASA (10 mg/kg/once a day), and dipyridamole (0.5 mg/kg thrice a day), (4) an AVF was surgically constructed between the left carotid after and the left maxillar vein. After 30 minutes, thrombectomy was performed. The venous blood flow, the hematocrit, activated partial thromboplastin time and thrombin time tests were performed before, right after the thrombectomy and 48 hours after thrombectomy. Venography was performed after thrombectomy and at the end of the experiment. The animals were killed 48 hours after thrombectomy and the veins were examined macroscopically. Venous rethrombosis was significantly prevented only in the AVF group (9/12), when compared to control group (0/12), heparin group (1/12) and heparin plus antiaggregating agents group (2/12). These results validate further clinical and experimental investigations with the use of AVF to prevent rethrombosis after venous thrombectomy, when a reduction of venous flow is present.

OBTENCAO DE MESALAZINA (5-ASA) POR CARBOXILACAO DE P-AMINOFENOL

The 5-aminosalicylic acid is usually prepared: 1. by the reduction of the azodye from diazotized aniline and salicylic acid and the posterior reduction of the formed compound; 2. for carboxylation with carbon dioxide under high pressure of p-aminophenol. Both do not present high yield, but the carboxylation process of p-aminophenol can easily be used and can reduce the obtainment process of 3 steps to only 2. Another advantage of this process is the fact that the product is produced without contaminants, because only one solid reagent (p-aminophenol) and the agent of carboxylation (CO2) is used.

Um programa de saúde mental: A experiência do Projeto UNI de Botucatu

The aim of this paper was to assess the Projeto UNI (Kellogg Foundation) in one of the Mental Health Centers (ARE) of Botucatu, SP, Brazil. We analysed 20% of the charts and the number of patients seen by psychiatrists and other mental health professionals before and after. Our results showed that: 1) the service users were mainly of neurotic patients (anxious, dysthymiacs, ICD-9 V code), followed by psychotics (schizophrenics, affectives) and organics (epileptics, mental deficients, demented patients); 2) there were more treatment options after the Projeto UNI implementation and over 2,495 group consultations were made in one year (as opposed to 90 in the year prior the project); 3) medical and nurse students are evaluating the program favourably; 4) there is a clear necessity of reassessing and changing some prescription practices: 43% of the patients were taking drug associations, there was an excessive use of benzodiazepines (54%) and low use of mood stabilizers (5%). There is also a need for more availability of depot neuroleptics, other antidepressants and better quality psychotropic drugs, and 5) there is a necessity of improving quality and quantity of charts information.

Projeto E análise de uma rede neural para resolver problemas de programação dinâmica

Systems based on artificial neural networks have high computational rates due to the use of a massive number of simple processing elements and the high degree of connectivity between these elements. Neural networks with feedback connections provide a computing model capable of solving a large class of optimization problems. This paper presents a novel approach for solving dynamic programming problems using artificial neural networks. More specifically, a modified Hopfield network is developed and its internal parameters are computed using the valid-subspace technique. These parameters guarantee the convergence of the network to the equilibrium points which represent solutions (not necessarily optimal) for the dynamic programming problem. Simulated examples are presented and compared with other neural networks. The results demonstrate that proposed method gives a significant improvement.

Técnica autorradiográfica para investigação geológica - Estudo de caso na área do projeto rio preto

The auto-radiography is a photographic method to registrate in sensitive emulsion the spatial distribution a rays emitted by radioisotopes of a sample or an object. The auto-radiography was applied to detect the presence of radioactive minerals in some samples of schists and gneisses from the Ticunzal Formation, Northeast Goiás State, aiming to implement the use of this technique in LABIDRO - Hydrochemistry and Isotopes Laboratory of the Department of Petrology and Metallogenesis, State University of São Paulo/Campus of Rio Claro.

Fatores relacionados à adesão das drogarias e farmácias de Tatuí-SP no projeto Farmácias Notificadoras

Pharmacovigilance is accomplished by voluntary notification of suspected adverse reactions, medication errors, and deviations from quality, by users and health professionals, through the filling in of forms that are sent to a data bank. To broaden the sources of notifications, the National Health Surveillance Agency (ANVISA), in partnership with the Regional Pharmacy Council (CRF) and Center for Health Surveillance (CVS) of each state, introduced the scheme of Notifying Pharmacies. The present study was aimed at determining the factors influencing the decision of drugstores and private pharmacies in Tatuí/SP in 2007, to join this project A descriptive, observational survey of knowledge, attitude and practice (KAP) was applied to volunteer pharmacists in the town. The results showed that the professionals are awave of pharmacovigilance, (95.24%) and have attitude (95.24%). However, practice is limited (6.0%). Based on this information we concluded that the low support of the project was due to lack of time, interest and no information about the benefits to society of such activity and a lack of support from the pharmacists' organizations. This situation is expected to change with the current introduction of a professional profile, the fusion of professional bodies and the promotion of social awareness on pharmacovigilance.

(RE)arranjos de uma utopia do som nacional: A bossa nova como realização do projeto musical modernista de Mário de Andrade

This text aims to argument about the historic relation between Mário de Andrade's project to Brazilian music (his national sound utopia, as Arnaldo Contier called it) and one of its possible realization with bossa nova. The text presents in general lines the Andradian project, its committed character, its incursions in the problems of popular and erudite and its filiations to the national obsession with formation. It exposes punctually the possible comprehension of bossa nova as a modernist project, suggesting a logicality of continuity in Brazilian musical experience.

Retalho de rotação para defeitos da asa nasal

Surgical defects of the alar lobule can be difficult to repair with functional and aesthetically desirable results. Skin grafts are smoother and paler than the nasal skin. Flaps from the cheek and proximal nose can bridge the alar crease, resulting in obstruction. The authors describe a technique to repair nasal ala defects, with maintenance of the cosmetic unit, without airflow disturbance.

Projeto de Produção e Processo de Pré-fabricação de Componentes de Bambu

The design and production process of the workshop shed made of bamboo presented in this paper is the result of almost two years of cooperation between Viverde Farmers Association, Universidade Estadual Paulista and Unisol. The system consists of rounded aroeira pillars, a roof structure formed by in natura bamboo frames and metal connections. The development of the parts and connections detailing, through the technical drawing of each component, enabled the development of standardized precision fittings aiming at optimizing the execution and saving time, energy and raw material on the assembly line. In this process, the creation and improvement of templates was necessary in order to facilitate the assembly of parts. The component assembly phases were recorded at the Experimental Laboratory for Bamboo and Wood Processing - UNESP/FEB. The results showed the good performance of the pre-fabrication process of bamboo components.

O projeto para o pavilhão brasileiro na expo' 92 em sevilha e a chamada arquitetura paulista

This article discusses the controversy surrounding the winning project of the competition organized by the Brazilian Ministry of Foreign Affairs for the Brazilian pavilion at the Expo'92 in Seville, Spain; the views of architecture critics made at the time of the results, and, their implications for Brazilian architecture. At the beginning of the 90s, this competition was a kind of confrontation of ideas, between the architects who were in favour of a renewal of architecture and those who defended the resumption of national architectural traditions, buildings with large spans, constructed in reinforced concrete. These architects were the heirs of the so called Paulista architecture, which was characterised by the work undertaken from the 60's by important architects such as Vilanova Artigas and Paulo Mendes da Rocha. The modern references adopted by the winning project, from the architects Angelo Bucci, Alvaro Puntoni and José Oswaldo Vilela, sparked controversies because of the difficulty of resuming the teachings of the old modern masters when faced with new times. These controversies were related to the end of the military dictatorship in Brazil and the process of opening markets, and by the relevance of a re-evaluation of the so-called Paulista architecture.

O romance-projeto: um estudo de Lucinde (1799), de Friedrich Schlegel

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)