Análise da prescrição de medicamentos de pacientes hipertensos atendidos pelo SUS da rede municipal de saúde de Rincão - SP

The purpose of this study was to identify the drugs most often prescribed for hypertension at the Municipal Health Care Center of the town of Rincäo, State of São Paulo, Brazil, and the principal interactions arising from their association with other drugs, both anti-hypertensives and those in other classes. The study included 725 hypertensive patients registered at this health care center who were regularly seen by a physician every three months. Data were collected on age, sex, occurrence of diabetes, smoking, sedentary lifestyle and overweight, to obtain a profile of the hypertensive population of the area. Control records of all patients were available at the pharmacy in the health care center, where patients obtained their drugs once a month. Of the 725 patients, 38% were male and 62% female. Most (57%) were between 50 and 70 years of age, 21% used tobacco and 43% led a sedentary lifestyle. Single-drug therapy accounted for 33% of the prescriptions, multidrug therapy for 66%. In addition to anti-hypertensives, 50% of the patients took drugs of other therapeutic classes. Of those receiving multidrug therapy, 34% used three or more anti-hypertensives and 66% used only two of these drugs. Drug interactions were detected in as many as 47% of the prescriptions. Captopril was the drug that showed most interactions with others (54%), followed by hydrochlorothiazide (27%), furosemide (14%), propanolol (4%), and nifedipine (1%). The analysis revealed that drug consumption by the patients investigated is high, with a concomitantly high number of episodes of drug interaction.

Land parceling and neighborhood impacts in Brazil

The proposal and implementation of parceling real estate into smaller lots in Brazil is done according to legal and technical formalities. However, these instruments have proved inefficient in reducing the resulting environmental impacts. The ambiguities of the federal, state and municipal laws and regulations have limited the effectiveness of the actions of urban administrators. Law 10257/2001 emerged as an alternative to overcome these difficulties, proposing the adoption of neighborhood impact studies as an instrument to evaluate new proposals of urban occupation for purposes of environmental licensing. Thus, the purpose of this law is to provide the foundations for municipal public authorities to establish criteria for the assessment, mitigation and compensation of impacts resulting from new occupations. However, the very vagueness of the generic nature of this federal law and its incorrect application in the municipal sphere has posed the greatest obstacles to the good use of this instrument of urban environmental management. These deficiencies are classified herein in the categories of philosophical, technical and operational problems. The problems of a philosophical nature lead to technical difficulties, which in turn trigger operational deficiencies. This article discusses these deficiencies and points out ways to reduce them. © 2009 Journal of Urban and Environmental Engineering (JUEE). All rights reserved.

Absence motivated by illness: A non-concurrent prospective study of physical education teachers in the municipal education system of the city of Campinas, São Paulo, Brazil

The object of this investigation was to identify and analize aspects of the health status related to absenteism in physical education teachers in the municipal education system of the city of Campinas, Brazil, as related to the medical leave program. The non-concurrent prospective study was accomplished by means of a comparison with teachers who work only in the classroom, refering to a three year period. In the variables of greatest interest, the Pearson non-parametric chi-square (X2) statistical test was adopted. Calculations of relative risk and level of confidence were made using the Epi-info computer program. Significant differences were observed in the following diagnostic groups favoring the not exposed group: i) Supplementary Classification of factors that exercise influence over the health status and access to health services and ii) Digestive system illness; while the physical education teachers showed a significant difference in: i) diseases of the musculoskeletal and connective tissue system and ii) Injuries and poisoing. Possible explications for some of the adverse effects as well as the protective ones that were observed include physical activity as a way of life along with being a physical education teacher and on the other side, peculiar behavior of epidemiological descriptive characteristics, like sex and age, within the socio-economic context of the country. © Copyright Moreira Jr. Editora.

Anticorpos anti-Leptospira spp. em animais selvagens do zoológico municipal de Ribeirão Preto, Estado de São Paulo, Brasil

Leptospirosis may affect all domestic and wild animals as well as human beings. Some serological studies have shown the involvement of wild species in the epidemiology of the disease. Once captive wild animals are not much studied, especially in Brazil, the present study aimed to detect anti- Leptospira spp. antibodies in animals from Ribeirão Preto city zoo, in São Paulo state, Brazil. Blood samples were collected from captive birds, fish, reptiles and mammals, sinanthropics and free-living animals and also from employees between March and October, 2006. Four hundred and three blood samples were obtained, 388 animals' samples (110 reptiles, 143 birds, 110 mammals and 25 fish) and 15 humans'. The sera were analysed by Microscopic Agglutination Test using 22 serovars from pathological leptospiras and two from non-pathological serovars. Among the animal samples, 339 were from captive animals, and 49 from free-living ones, captured with traps inside the zoo. One hundred and three (103/388 = 26.5%) samples reacted to leptospirosis, ninety-two (92/339 = 27.1%) samples were from captive animals and eleven (11/49 = 22.4%) from free-living ones. All humans' samples were negative. Serological titles varied from 40 to 5.120, with predominance of titles between 40 and 80 and the most frequent serovars were Patoc, Andamana, Canicola, Icterohaemorrhagiae and Panama.

A qualidade ambiental urbana na legislação municipal: exemplo do plano diretor de araçatuba-SP 1

Environmental quality is a fundamental issue in order to characterize quality of life in the cities. The human activities interfere in environmental processes, causing impacts that must be minimized. It is the task of municipal laws to impose theoretic and practical foundations appropriated to the dimension of local problems. In this sense, the goal of this work was to propose a discussion about the recognition of environmental quality in municipal law, especially in the Municipal Master Plan of Araçatuba, city located in the state of São Paulo. It was possible to observe that in many aspects this law is far away from urban reality.

Plano municipal de saúde: Análise do instrumento de gestão

Among planning instruments used by manager instances of Brazilian Health System it pointed the Health Municipal Plan (PMS) that should be built collectively showing political intentions, directresses, priorities, objectives, goals framework, estimative of resources and need costs to get the goals of the health sector. The aim of this work was to analyze the plans in relation to attendance of legal requirements which manage the Brazilian Health System, its constitution and showing of essential items. The study included three municipalities form São Paulo State. It was used the documental analysis as research technique. Near all plans showed an analysis of situation with detailed descriptions of general situation of municipality, and only one of them realized critical analysis of their epidemiological data; the financial income applied on health was decrypted by only one municipality. About programming, all municipalities described the main problems and its solutions. Although they had goals framework, the question about cost estimative to get the goals was not approached. Any municipality showed an annual review, being one of them delayed over than two years. It was observed no participation of Municipal Health Council on elaboration and review of plans. It was concluded that there was a deficiency in the plans analyzed. It's necessary to execute continuing education with managers in relation to importance of systematic elaboration of plans and to incentive the promotion of active participation of Municipal Health Council promotion of aiming to became true the social control of health actions.

Sound pressure level in a municipal preschool

Aim: To evaluate the sound pressure level to which preschool students are exposed. Method: This was a prospective, quantitative, nonexperimental, and descriptive study. To achieve the aim of the study we used an audio dosimeter. The sound pressure level (SPL) measurements were obtained for 2 age based classrooms. Preschool I and II. The measurements were obtained over 4 days in 8-hour sessions, totaling 1920 minutes. Results: Compared with established standards, the SPL measured ranged from 40.6 dB (A) to 105.8 dB (A). The frequency spectrum of the SPL was concentrated in the frequency range between 500 Hz and 4000 Hz. The older children produced higher SPLs than the younger ones, and the levels varied according to the activity performed. Painting and writing were the quietest activities, while free activities period and games were the noisiest. Conclusion: The SPLs measured at the preschool were higher and exceeded the maximum permitted level according to the reference standards. Therefore, the implementation of actions that aim to minimize the negative impact of noise in this environment is essential.

Prospects for the use of municipal tree pruning wastes in particleboard production

The purpose of this study was to evaluate the physical and mechanical properties of particleboard made with pruning wastes from Ipê (Tabebuia serratifolia) and Chapéu-de-Sol (Terminalia catappa) trees. Particleboards were prepared with both wood species, using all the material produced by grinding the pruning wastes. The particleboards had dimensions of 45×45 cm, a thickness of approximately 11.5 mm and an average density of 664 kg/m3. A urea-formaldehyde adhesive was used in the proportion of 12% of the dry particle mass. The particleboards were pressed at a temperature of 130 C for 10 mins. The physical and mechanical properties analyzed were density, moisture content, thickness swelling, percentage of lignin and cellulose, modulus of resilience, modulus of elasticity and tensile strength parallel to the grain, accordingly to the standards NBR 14810 and CS 236-66 (1968). The particleboards were considered to be of medium density. The particle size significantly affected the static bending strength and tensile strength parallel to the grain. Ipê presented better results, demonstrating a potential for the production and use of particleboard made from this species. © The Author(s) 2013.

Aspectos físicos e sociais da geografia da disponibilidade hídrica municipal no Brasil

In managing water resources, indexes are used to simplify and quantify available information as well as report the characteristics of a region under study. These indexes may be extremely demanding concerning information required, or very simple, and the water poverty index and Falkenmark index are examples of both extreme situations, respectively. Searching for an index that considers regional and local complexities and information available in developing countries, a new index was developed to evaluate the population accessibility to water resources. This new index combines the Human Development Index and Falkenmark Index and geographic information systems. The results are presented in figures which show the situation at national level, highlighting that the Northeast and Southeast regions are the most vulnerable in Brazil.

Estudos limnológicos de balneabilidade no Parque Natural Municipal Cachoeira da Marta (Botucatu, SP, Brasil): relação com possíveis fontes poluidoras

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

O contexto educativo e cultural da pobreza no ensino público municipal em São Bernardo do Campo

Pós-graduação em Artes - IA

Formação continuada de arte educadores: políticas da rede municipal de São Paulo (1996-2008)

Pós-graduação em Artes - IA

Estado nutricional de escolares de sete a nove anos de idade da rede municipal de ensino de Mogi Guaçu, São Paulo

Pós-graduação em Alimentos e Nutrição - FCFAR

O papel dos municípios na segurança pública: relações entre CONSEG e administração municipal (1985-2008)

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

Gestão democrática do ensino público: um estudo do Conselho Municipal de Educação de Rio Claro no período de 1997 a 2004

Pós-graduação em Educação - IBRC