Anemia em crianças menores de dois anos atendidas nas unidades básicas de saúde no Estado de São Paulo, Brasil

The present study sought to determine the prevalence of anemia in 2,992 children, aged between 6 and 23 months, who voluntarily attended 160 Basis Health Care Units, located in 63 cities of the 5 Regional Health Coordinating areas of the State of S. Paulo, Brazil. Blood samples were collected by venous puncture and hemoglobin was measured by the cianometahemoglobin method. The WHO criteria for the diagnosis of anemia (Hb < 11.0 g/dl) were used: 59.1% of the children were shown to be anemic, with prevalence varying from 47.8% to 68.7% in the 5 RHCs. RHC 1, which comprises the Greater S. Paulo Region, presented a prevalence of anemia significantly lower than the other 4 RHCs, which cover the rest of the State. Hemoglobin levels 9.5 g/dl were found in 25.1% of the children. Anemia was more frequent in male children in male children, in those born, with a weight of less than 3,000 gr, in those who were breastfed for less than 2 months and in those that who presented some degree of energy deficient proteic malnutrition, according to Gomez's criteria. This is the first of a series of 4 articles whose purpose is the determining the prevalence of anemia in the State of S. Paulo and of testing the intervention alternatives with a view to curtailing the incidence of this pathology which today is the most prevalent nutritional disturbance in the world.

Avaliacao da atividade da nova cefalosporina de quarta geracao cefpiroma contra amostras clinicas isoladas em unidades de terapia intensiva e unidades de oncoematologia de varios hospitais brasileiros

Objective: To evaluate the in vitro activity of the fourth-generation cephalosporin cefpirome in comparison to that of ceftazidime, ceftriaxone, cefotaxime and imipenem in a multicenter study involving nine hospitals from six cities (four states). Material and methods: A total of 804 isolates from patients hospitalized in either intensive care units or Oncology/Hematology units was evaluated. The isolates were collected between June and November of 1995, i.e. before cefpirome became commercially available in Brazil, and susceptibility tested by broth microdilution following the NCCLS procedures. All isolates resistant to cefpirome were retested by B-test. Results: Against Enterobacteriaceae (n = 344), cefpirome demonstrated an activity 2 to 32-fold higher than that of the third-generation cephalosporins (TGCs) and similar to that of imipenem. The percentages of Enterobacteriaceae susceptible were: 88%, 69% and 96% for cefpirome, TGCs and imipenem, respectively, The cefpirome spectrum were greater or equal to that of imipenem against Citrobacter freundii, Enterobacter aerogenes, Morganellao morganii and Serratia marcescens. Against Acinetobacter sp. (n = 77), cefpirome was slightly more active than ceftazidime; however, the percentages of isolates resistant to these compounds were high (84% and 88%, respectively). The activities of cefpirome, ceftazidime and imipenem were very similar against P. aeruginosa isolates (n = 128), with MIC50 (μg/ml) percent susceptible of 8/59%, 8/62% and 4/62% respectively, Against aerobic gram-positive bacteria, the cefpirome activity was 4 to 16-fold higher than that of TGCs but 2 to 8-fold lower than that of imipenem. Conclusion: The results of our study suggest that, in Brazil, cefpirome has a spectrum of activity which is higher than that of the TGCs against aerobic gram-negative (Enterobacteriaceae and non-Enterobacteriaceae) and gram-positive bacteria and similar to that of imipenem against some Enterobacteriaceae species and P. aeruginosa.

Diques clásticos na formação corumbataí (p) no nordeste da bacia do paraná, SP: Análise sistemática e significações estratigráficas, sedimentológicas e tectônicas

This paper aims to present the results of systematic survey on clastic dykes in the Corumbataí Formation (Permian), in the northeast region of the State of São Paulo. Besides this, the paper analyses genetic aspects of those features as well as their stratigraphic and sedimentologic implications in terms of geologic evolution of the northeastern Paraná Sedimentary Basin during Permian times. The field works had been developed in 3 main Corumbataí Formation outcrops (2 road cuts and a quarry) supposed to show the most important clastic dikes occurrences in the studied area. Basically, the sedimentary intrusions are formed by fine sand or silt size particles and had penetrated host rocks as near-vertical, centimeter thick, dykes (most common form) or as horizontal sheets, forming clastic sills (subsidiary form), both with variable geometric forms and dimensions. A lot of dyke walls show undulations suggesting pre-diagenetic clastic intrusions, probably near the ancient depositional surface. Almost all intrusions occur in the superior third portion of the Corumbataí Formation and some similar features seem to appear in the adjoining superposed Pirambóia Formation base. In this article the authors defend a seismic origin hypothesis for the clastic intrusions. It is important to mention that clastic intrusions tend to occur linked to expressive seismic events, with magnitude upper to 5. The analysis of isopach maps of the Permian and Mesozoic units of the Paraná Sedimentary Basin in the study area suggests a depositional system changing, from epicontinental sea conditions to shallow platform and, finally, to coastal deserts. Probably, this environmental change was driven by regional uplift accompanied by seismic events. It is possible that ancient seismicity triggered liquefaction processes and the resulting clastic intrusions. In this sense, those clastic features might be properly namedseismites.

Contexto geológico e estrutural do Maciço Rio Apa, sul do Cráton amazônico - MS

Rio Apa Massif crops out in the Mato Grosso do Sul state and corresponds to the southeastern portion of the Amazonian Craton dominantly Paleoproterozoic in age. Rio Apa Complex is oldest and it is composed mainly by migmatitic orthogneisses, beyond amphybolites, tonalities and granodiorite. Alto Tererê Group is composed by schists, biotitemuscovite gneisses and micaceous quartzites generally rich in garnets, beyond metabasic rocks of low amphibolite facies. The Amoguijá Group is constituted by Alumiador Intrusive Suite, which is represented by a sieno to monzogranitic batholith and Serra da Bocaina Volcanic Suite composed of volcanoclastic rocks of alkali riolites to monzoriolites compositions and pyroclastic products. Overlaying towards East and South occurs Neoproterozoic metasedimentary rocks from the Paraguai Folded Belt (Cuiabá, Corumbá and Jacadigo Groups - Urucum Formation). Structural-metamorphic framewok is identified by five deformational phases but the actual tectonic and metamorphic structure shows the superposed tectonic array of the Paraguai Folded Belt. Rocks from Rio Apa Complex, Alto Tererê Group and Amoguijá Group record an older structural evolution defined by (Dn-1 and Dn). The deformational phases (Dn+1 and Dn+2) are visible mainly in rocks of Paraguai Folded Belt beyond the last deformation (Dn+3) that imprints all sequences.

Influência do arcabouço hidroestratigráfico nas ocorrências de arsênio em águas subterrâneas ao longo do corredor termal do rio Uruguai (Argentina - Brasil - Uruguai)

The Thermal Corridor of Uruguay River is located in the triple border of Argentine, Brazil and Uruguay, and shows an intense economic thermal tourism activity, mainly based on groundwaters from Guarani Aquifer System (GAS). Recent studies have pointed out the occurrence of high concentrations of arsenic (>10 μg/L) in GAS groundwater in this area. The complex geological and hydrogeological framework in the area is associated to the Paraná Basin geological evolution south of the Assuncion-Rio Grande Arch; it encompass paleozoic marine sequences and continental sequences permian/eotriassic to mesozoic in age, which are covered by basaltic lavas of Serra Geral Formation. Iron oxide coatings have been described in sandstones of Buena Vista and Sanga do Cabral formations, which underlie GAS units. Arsenic occurrence is associated to sodium bicarbonate groundwater with pH values over 8.0. Arsenic is released to groundwater by desorption from iron oxides/hydroxides, as result of the higher pH of these waters, indicating that arsenic is released from the units that underlie GAS units. Increase in chromium and uranium concentrations are also related to high pH groundwaters, thus indicating special care on using groundwater from this region.

Aplicação do Processo Analítico Hierarquico (AHP) Para Priorização de Obras de Intervenção em Áreas e Setores de Risco Geológico nos Municípios de Itapecerica da Serra e Suzano (SP)

Municipal Plans of Risk Reducing (PMRR's) were produced in settlements in the municipalities of Itapecerica da Serra (SP) and Suzano (SP), covering areas at risk of landslides and washouts of banks of streams. The development of PMRR's provided the delimitation of areas of risk, the indication of intervention works in order to eliminate and / or reduce risks, and consequently an indication of the areas and priority sectors for implementation of intervention works. The prioritization of areas and sectors that should receive the works of reducing or eliminating risk was performed by an expert involved in risk mapping. Despite the specialist's judgment exercise caution, the decision regarding the priority sites for implementation of alternative interventions is subjective. Since there is no way to eliminate this subjectivity, the use of decision-making techniques is important to evaluate whether the expert's reasoning is consistent. One of the first techniques developed for multiple criteria is the AHP (Analytic Hierarchy Process). This paper describes the results of a research carried out in order to assess whether the use of Analytic Hierarchy Process contributes to the results of the indication of the areas and priority sectors for implementation of interventions can be considered more consistent than in situations where the priority occurs without the use of decision making techniques. Results were compared between the prioritization of interventions for implementation contained in PMRR's of Itapecerica da Serra and Suzano and those obtained from the use of Analytic Hierarchy Process (AHP). It was concluded that such techniques permits an evaluation of the expert's judgment is logically coherent, thus contributing to produce results more technically based.

As letras como unidades históricas na construção do discurso

This paper proposes we grant graphemes - the constituents of words in situations of discursive constructions - the status of meaning carrying units, in much the same way Vigotski granted the phoneme such status in relation to the spoken word. This paper also seeks to analyze these units in singular manifestations in acts of appropriation of the written language, based on data created by a six-year-old child in a discursive situation. To perform this task, we also referred to Bakhtinian studies on the role of the other in our relation with language. Since the analysis indicated spelling approximations to records found in old Portuguese, historical grammar research of Portuguese was also used. The findings indicate the diversity of reference sources for letter selection by the child, according to its function in the composition of the word.

Unidades em corpos abelianos

Pós-graduação em Matemática - IBILCE

Modelo da velocidade crítica em testes de caminhada: validade, reprodutibilidade e aplicabilidade em pacientes de Unidades de Saúde

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Distribuição ecológica das comunidades de macroalgas de ambientes lóticos em duas unidades de conservação abrangendo os biomas da Floresta Estacional Semidecidual e Campos no estado do Paraná

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo das variações elétricas em filmes ultrafinos compondo as unidades sensoriais de uma língua eletrônica

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

Desenvolvimento de um protópipo de atlas eletrônico de Unidades de Conservação para educação ambiental

Pós-graduação em Ciências Cartográficas - FCT

Controlador de demanda e fator de potência de baixo custo para unidades consumidoras de energia elétrica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Caracterização da resistência à oxacilina em Staphylococcus aureus isolados de feridas de pacientes atendidos em Unidades Básicas de Saúde da cidade de Botucatu

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O plano de desenvolvimento da escola (PDE-Escola): instrumento de autonomia para as unidades escolares?

Pós-graduação em Educação - IBRC