Análise retrospectiva da toxicidade de gotas otológicas, medicamentos tópicos nasais e orofaríngeos registrada na Grande São Paulo.

BACKGROUND: Retrospective analysis of human toxicity files involving topical medicines for treatment of upper airways diseases (eardrops, topical nasal medicines, lozenges, drops and sprays for oropharyngeal affections). METHODS: Thirty-four brands of eardrops, 48 of topical nasal medicines and 22 of tablets, lozenges and sprays for oropharyngeal affections were selected, from a total of 104 products available in Brazil. We analyzed the registries in the electronic database from the Poison Control Centre of São Paulo (CCI-Jabaquara), Brazil, for the period from January 1996 through December 2000. The cases related to selected pharmaceuticals were collected. RESULTS: 10,823 cases of human toxicity caused by medicines were voluntarily reported to CCI-Jabaquara. Topical medicines for treatment of upper airways diseases accounted for 291 cases (2.68%), from which 240 (82.5%) represented poisoning; 12 (4.1%) involved ear drops, 268 (92%), topical nasal medicines and 11 (3.9%), topical medicines for oropharyngeal affections. Among topical nasal medicines, vasoconstrictors predominated (233 cases), and among medicines for oropharyngeal affections, it was tetracaine (four cases). Considering age distribution, toxicity predominated significantly in children aged from 1 to 4 years (p=0.0003). The main causes of toxicity were: accidental intake of medicines (43%) and error in drug administration (14.8%). Hypereflexia and vomiting were the most frequent symptoms related to toxicity. CONCLUSIONS: There was significant incidence of systemic toxicity due to eardrops, topical nasal and oropharyngeal medicines in children 1 to 4 years-old, whose main cause was accidental intake of these medicines.

As rochas intrusivas da Formação Serra Geral na Porção leste da Bacia do Paraná no Estado de São Paulo: Aspectos petrográficos e geoquímicos - Resultados preliminares

The purpose of this paper is to present preliminary aspects of the petrography and chemistry of intrusive rocks (sills and dykes) from the eastern portion of the Parana Basin in the State of Säo Paulo. Data from 80 samples of the region show a subaphyric and subophitic nature and have plagioclase (25-50%), augite (3-39%), pigeonite (0-10%) and magnetite (4-20%) as an essential minerals. Apatite and quartz are present as accessory minerals. The geochemical data of intrusive rocks show a basic to intermediate composition (48% < SiO 2 < 56%) and a high Ti nature (TiO 2 > 2%). Based on the minor and trace composition of the intrusive rocks, two different magma types were recognized, named Paranapanema and Pitanga. The spatial distribution of these magma types is not alleatory in the studied region. The intrusive rocks of Pitanga magma type are displayed in the Campinas-Paulinia region, while the Paranapanema magma type cover a large region above that one, between Rio Claro and Cajuru. Furthermore, the chemical composition of the lava flows of the Serra Geral Formation, sampled in this work, reveals a magma of Urubici type. So, the intrusive rocks of the eastern portion of the of State Säo Paulo are not the extension of the lava flows, or they aren't a portions which don't reach the surface.

Propriedades físicas e infiltração de água de um Latossolo Vermelho Amarelo (Oxisol) do noroeste do estado de São Paulo, Brasil, sob três condições de uso e manejo

This study presents the results obtained in a field experiment carried out at Glicério, Northwest of São Paulo state, Brazil, whose objective was to analyze changes of selected soil physical properties and water infiltration rates on a Yellow-Red Latosol, under three different management conditions. The experimental design was arranged as completely randomized split-block with twelve treatments, which corresponded to four depths (0-0.05 m; 0.05-0.10 m; 0.10-0.20 m and 0.20-0.40 m) and three conditions of soil use and management with four replications. The soil surface conditions were: conventional tillage (one disking with moulboard plus two levelling passes with harrow), nine months before starting filed experiences; recent conventional tillage (also one disking with moulboard plus two levelling passes with harrow) and native forest. The conventional tillage areas were cropped for about fifteen years with annual cultures. The considered soil general physical properties were: macroporosity, microporosity, total porosity, bulk density, soil moisture and penetration resistance and, in addition; soil water infiltration rates were also recorded. According to our results, differences on general soil physical properties and infiltration rates appeared when both tilled sub-treatments and native forest were compared. Both, plots recently prepared by conventional tillage and those prepared by tillage but left nine months in rest, presented a statistically significant decrease of constant (final) water infiltration rates of 92.72% and 91.91% when compared with native forest plots.

Faecal contamination (viral and bacteria) detection in groundwater used for drinking purposes in São Paulo, Brazil

This project has been developed to evaluate the possible relationship between the cesspit (pit latrine) in as far as it degrades the quality of underground water. Its importance is due to the fact that in the rural communities in the State of São Paulo (Brazil) this type of cesspit is very common as a means of sewage disposal and these communities use underground water for their supply of drinking water. Rural properties distributed over the rural area in the municipality of São José do Rio Preto were selected. A preliminary study was then set up to determine the social situation and health of the households as well as qualitative evaluations on the type of water supply and sewage disposal of these communities. Campaigns of water sampling then followed and laboratory analyses of water taken from wells were carried out. Parameters were set up to evaluate the potability according to Brazilian legislation (2004) paying attention to microbiologic (coliforms, Crytosporidium sp., and adenovirus). The analyses showed evidence of possible interaction between the wells and the sewage effluents and drainage in these communities. A PCR reaction to detect adenovirus showed a presence in 53.3% of the samples. The tests for the detection of Cryotosporidium sp all showed a negative result.

Concentração de flúor nas águas de abastecimento público de municípios da região noroeste do estado de São Paulo, Brasil

It may be difficult for small and medium cities to obtain information about the fluoride content of public water, because of the lack of equipments and technicians. This study aimed to analyze the fluoride levels of the water supplied by the public treatment stations of 40 cities situated in the northwest region of São Paulo State, during a period of 6 months, to verify if fluoridation occurs in a continuous manner and if the fluoride levels are within the recommended. Maps of the water distribution system were obtained from the water treatment companies and utilized to randomize the addresses of the collection sites, so that they included all regions with treated water sources. One water sample by month was collected and analyzed in duplicate using an ion-specific-electrode. Samples with 0.6 to 0.8 mgF/L were considered acceptable. In the 38 cities that regularly provided the samples in the 6 months of the study, water from 144 collection sites was collected and a total of 864 samples were analyzed, of which 61.81 percent were classified as unacceptable. It was observed that 33 cities performed fluoridation but in 78.79 percent of these cities there were variations in the fluoride level among the sites and in the same site during the period of study. One can conclude that most of these cities do not control the fluoride levels in the public water, since fluoridation occurs in a discontinuous manner and in most of the situations not within the recommended concentrations.

Distribuição e tamanho populacional do papagaio-de-cara-roxa Amazona brasiliensis no estado de São Paulo

The Red-tailed Amazon Amazona brasiliensis is one of most threatened psitacid in the world. In the state of São Paulo, SE Brazil, it is restricted to a narrow coastal zone. The total population of A. brasiliensis has been estimated to be around 4,000 birds, but no detailed information is known for São Paulo. We studied the population status and mapped the distribution of A. brasiliensis in the state of São Paulo. Simultaneous censuses were carried out in three main islands (Cananéia, Ilha do Cardoso and Ilha Comprida) with A. brasiliensis populations in 2003 and 2004. We searched the parrots in an area of 1413.28 km2 and visited 69 sites. Amazona brasiliensis were recorded in 55 localities and 12 sleeping roosts. Our census estimated a population of at least 1,221 parrots in the stronghold of their distribution in the state of São Paulo. The highest number of parrots were recorded outside the main protected areas in the region (64% of the population), which may threaten the future of this population. Urban growing is the main threat for the population of São Paulo, and the creation of protected areas in Cananéia and Comprida island is critical for the future of the A. brasiliensis in the area.

Caracterização geométrica de um sistema fluvial, formação Ttaquaquecetuba, Terciário da Bacia de São Paulo

The objective of this study is the geometric characterization of a fluvial system, exemplified by the Itaquaquecetuba Formation. The studied area is a quarry located in Itaquaquecetuba, distant 35 km from the city of São Paulo, which is inserted in the context of São Paulo Basin. Fluvial systems are important hydrocarbon reservoirs, and this study may contribute with an analogue for ancient reservoirs. It was elaborated ten facies logs along a distance of 200 m (log spacing of 20 m), with a vertical column (thickness) of 40 m for each log. Eight facies cycles, and its lateral chrono-correlation allowed to map the potential reservoir and non-reservoir facies within each cycle. Regarding the depositional model for the studied section, it is assumed an alluvial fan system composed of meandering and ribbon-type fluvial channels.

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.

Avaliação da assistência pré-natal e puerperal desenvolvidas em região do interior do Estado de São Paulo em 2005

Objectives: to evaluate the structure and process of the prenatal and puerperal care given by Direção Regional de Saúde (DIR) XI, at the city of Botucatu, State of São Paulo, Brazil. Methods: an evaluation of resources and activities developed during prenatal and puerperal care in twenty municipalities comprising DIR XI which had adhered the Prenatal and Birth Humanization Program until 2003. Interviews with city managers and analysis of 385 sampled patient charts taking into account recommendations by the Health Department. Results: structure analysis showed that caregiving was centered on medical work; basic equipment and instruments were available; 85.2% of patients began prenatal care with up to 120 days of pregnancy, and 75.9% had at least six prenatal consultations. The active search for absentees and strategies for early prenatal care initiation were observed in 30% and 50% of the municipalities, respectively. Process indicators showed that 3.6% of women had six prenatal consultations, one puerperal consultation, all basic exams and tetanus immunization. Recording of gestational age, arterial blood pressure and weight was of approximately 90%; 58.7% of the women underwent childbirth review and 31.5% were vaccinated. Conclusions: the performance of the set of activities is a challenge to prenatal care at DIR XI.

Global citizens or faraway viewers? São Paulo residents talk about the 2006 Lebanon conflict

As the emergence of a global public sphere becomes a possibility, growing out of denser economic, political and communicative networks as well as demanded by increasingly complex international problems, questions arise about the capacity and willingness of various national publics to engage in the global debate. This paper shows the results of a news reception analysis with the public of the city of São Paulo, Brazil during the months of July-November 2006, when the Lebanon conflict was broadly covered by the Brazilian media. The paper identifies the modes of engagement with the news about the international conflict, the types of reasoning used by these publics in interpreting the news, and the types of debates and conversations they have or don't have about the conflict. Special attention is given to the personal experience of learning about conflicts abroad and to the relationship between this experience and the construction of a new civic identity where participation in global affairs is an important element. The research shows that São Paulo residents are informed and care about international events, but to a large extent lack the resources and the spaces where they could reflect upon them. It also shows that young people tend to experience global events more intensely as part of their world than the general population. © 2008 Springer Science+Business Media, LLC.

Análise da evolução da paisagem no entorno da represa dos rios jaguari e jacareí, estado de são paulo, com base em sensoriamento remoto e SIG

The primary objective of this study is to evaluate by means of remote sensing and GIS, the landscape evolution around the Jaguari and Jacareí River Dam, located in the eastern section of the State of São Paulo, Brazil. For this purpose we used LANDSAT 5/YM and CBERS-2/CCD images from 1984/1985 and 2006, respectively, considering the following classes of land use: forest, cultivated forest, agriculture, urban areas and water bodies. The two selected dates reflect important changes in the region such as the installation of the dam and subsequent urbanization of parts of its margins and the enlargement of the Fernão Dias Federal Highway, which contributed to an increase of areas of anthropic activities in the studied region. The results also indicate an increase in areas covered by native and planted forests, thus confirming a similar trend in other areas of the State of São Paulo.

Impact of chronic disease on quality of life among the elderly in the state of Sao Paulo, Brazil: A population-based study

Objectives. To assess the impact of chronic disease and the number of diseases on the various aspects of health-related quality of life (HROOL) among the elderly in Såo Paulo, Brazil. Methods. The SF-36® Health Survey was used to assess the impact of the most prevalent chronic diseases on HRQOL. A cross-sectional and population-based study was carried out with two-stage stratified cluster sampling. Data were obtained from a multicenter health survey administered through household interviews in several municipalities in the state of São Paulo. The study evaluated seven diseases - arthritis, back-pain, depression/anxiety, diabetes, hypertension, osteoporosis, and stroke - and their effects on quality of life. Results. Among the 1 958 elderly individuals (60 years of age or older), 13.6% reported not having any of the illnesses, whereas 45.7% presented three or more chronic conditions. The presence of any of the seven chronic illnesses studied had a significant effect on the scores of nearly all the SF-36® scales. HROOL achieved lower scores when related to depression/ anxiety, osteoporosis, and stroke. The higher the number of diseases, the greater the negative effect on the SF-36® dimensions. The presence of three or more diseases significantly affected HROOL in all areas. The bodily pain, general health, and vitality scales were the most affected by diseases. Conclusions. The study detected a high prevalence of chronic diseases among the elderly population and found that the degree of impact on HROOL depends on the type of disease. The results highlight the importance of preventing and controlling chronic diseases in order to reduce the number of comorbidities and lessen their impact on HROOL among the elderly.

Categorização functional trófica das comunidades de macroinvertebrados de dois reservatórios na região centro-oeste do Estado de São Paulo, Brasil

The use of the concept of guild can be useful for the functional trophic categorization of communities, because there is no requirement identification of organisms in the level of species and not to treat each species as a separate entity. The aim of this study was to analyze the functional feeding groups (collectors-gatherers, collectors-filterers, shredders, predators and grazer-scrapers) of the macroinvertebrate communities of two reservoirs in the Midwestern region of São Paulo State. Sampling was carried out in rainy (March/April - 2001) and dry (July/August - 2001) seasons and the data obtained indicate that 'collectors-gatherers' is the most frequent guild. This fact suggests a great importance of organic matter as a food source in the diet of the macroinvertebrates analyzed.

Socialists vs. fascists and communists in Italian São Paulo in the 1920s

The action of São Paulo's Italian reformist socialists at the beginning of the 20th century had a political impact on the way of considering the question of democracy both in the state of São Paulo and the whole of Brazil. In fact not only did the socialists oppose the fascist political project and the symbolic roots of its aggressive behavior, but they also faced the opposition of the theoretical proposals coming from other leftist groups. This article intends to present the main interlocutors of these socialists and understand how this theoretical dispute has developed.

Qualidade da água para irrigação na microbacia do Coqueiro, Estado de São Paulo

The aim of this study was to evaluate the physico chemical characteristics of water quality for irrigation purposes in the micro basin of Coqueiro, a tributary on the right bank of the São José dos Dourados river, located between the municipalities of Jales, São Francisco, Palmeira d'Oeste and Dirce Reis, in the state of São Paulo, Brazil. Water samples were collected at five geo-referenced points along the stocam and analysed monthly for one year. The parameters analysed were: suspended and dissolved solids, turbidity, electrical conductivity, pH, calcium, magnesium, hardness and total iron. The result showed that the physico chemical parameters had the classification of medium potential for damage to the irrigation system, except total iron, which was classified as having medium to high potential for damage by clogging for localized irrigation systems.