Consumo de medicamentos por idosos segundo prescrição médica em Jaú-SP

This study was carried out in order to identify the interactions that occur most often between prescribed drugs as they are taken by elderly patients attending municipal public health centers in the city of Jaú, São Paulo State, Brazil. It is known that older people frequently have to live with chronic health problems, which oblige them to use the health service a great deal and to consume large quantities of medicines. When concomitant diseases are present, and polytherapy is being applied, the likelihood of adverse reactions and interactions between drugs increases. The population under study consisted of 148 persons aged 65 or more who frequented the pharmacy at the Núcleo de Gestão Assistencial (Municipal Health Centre, NGA25) in Jaú, between August and December 2004. Data were collected from medical prescriptions, the independent variables being the age and sex of the patient. For each patient, the pharmacological classes of drugs taken and drug-drug interactions were recorded. It was found that the mean numbers of drugs consumed were 3.8 among women and 3.9 among men. In terms of age, the highest number of drugs (4.2) was used in the group aged 75 to 84 years. The most frequently prescribed classes, in decreasing order, were: antihypertensives, 25.0%, heart drugs, 15.5%, diuretics, and anti-diabetic drugs, 10.7%. It was concluded that the classes most involved in drug-drug interactions were heart drugs, diuretics and antihypertensives. The most problematic active constituents were digoxin, amiodarone, frusemide, captopril, propranolol and nifedipine.

Importância de Yersinia enterocolitica em microbiologia médica

Y. enterocolitica is a human invasive enteropathogen which causes a number of intestinal and extraintestinal clinical symptoms of various degrees of severity, ranging from mild gastroenteritis to mesenteric lymphadenitis, which mimics appendicitis and in rare cases can evolve to septicemia. Infection by Y. enterocolitica can also lead to post-infection immunological sequelae including arthritis, erythema nodosum and glomerulonephritis. Pathogenic Y. enterocolitica strains have traditionally been linked to specific biotypes and serogroups and associated to a variety of phenotypic characteristics related to virulence. Molecular genetics studies have pointed to the importance of the pYV virulence plasmid, which encodes various virulence genes, as well that of specific chromosomal virulence genes, in determining the pathogenesis of this bacterium. Intestinal infections by Y. enterocolitica are mostly self-limiting and usually do not need an antibiotic treatment. The occurrence of this microorganism is not as frequently described in Brazil as it is in other countries, such as Japan, USA and many European countries. This review focuses on the general characteristics, pathogenesis, clinical symptoms, virulence characteristics, treatment and antibiotic susceptibility of Yersinia enterocolitica strains isolated in Brazil and around the world.

Concentrações de ácido giberélico e períodos de estratificação na emergência do porta-enxerto de marmeleiro 'Japonês' (Chaenomeles sinensis)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A emergência da noção de comportamento simbólico em neuropsicopatologia

In this article, we present the notion of symbolic behavior in accordance with neuropsychopathology research from the first decades of the past century, carried out particularly in the context of aphasia research. The guiding axis was the presence of this notion in the first work by Merleau-Ponty, The structure of behavior. Based on research by Gelb and Goldstein, the philosopher takes ownership of the semantics of the symbolic and characterizes human corporality based on its capacity to move beyond the immediate nature of the experienced situations. We also show that the circumscription of symbolic behavior was conditioned by theoretical-methodological changes that permitted the passage from localizationist conceptions to globalist attitudes in view of pathological events of cerebral origin.

Emergência de plantas daninhas em função da posição da semente e quantidade de palha de cana-de- açúcar

This work was carried out to evaluate the effects of sugarcane straw density and positions of seeds of Euphorbia heterophylla, Mucuna cinereum, Digitaria nuda and Eleusine indica on emergence and initial development of plants. The experiment were arranged in a completely randomized design, with 15 treatments and four replications, in a factorial arrangement 3 x 5 with a additional control; the first factor was constituted by position of seeds related to the straw (under, between and on) and the second by five quantities of straw (1, 2, 4, 8 e 16 t ha -1) with a control without straw. At 15 days after sowing (DAS) it was realized evaluations of height, dry mass and emergence percentage for E. heterophylla and M. cinereum, and at 28 DAS it was analyzed dry mass and emergence percentage for D nuda e E. indica. Data obtained were submitted to F in variance analysis test and means were compared with Tukey at 5% probability. Emergence and initial development of E. heterophylla e M. cinereum were reduced with increasing of straw and were affected by seed position, but it was not inhibited in none of conditions, indicating aggressiveness of these weeds in sugarcane mechanized harvest conditions. D. nuda and E. indica emergence was not affected by seed position and coverage soil with 8 e 16 t ha -1 of sugarcane straw inhibited its emergence.

Avaliação de substratos na emergência de plântulas de araticum-de-terra-fria (Annona emarginata (Schltdl.) H. Rainer)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo da eficácia de espuma para a depopulação de aves para situações de emergência sanitaria

There are several difficulties in the control of quick spreading and highly contagious poultry diseases such as avian influenza and Newcastle disease, which require large numbers of poultry to be rapidly killed inside the poultry houses in order to minimize human exposure and disease spreading. We have built and tested an equipment that uses a waterbased foam from high expansion fire detergent that induces poultry anoxia measured by sensorial signs, time to death, lethality and macro and microscopically lesions. Two hundred 78-weeks old hens were divided into ten groups and exposed to different times of death according to exposure to water-foam varying from 5min30s to 8min15s. All poultry died after six minutes of water-foam cover. Foam bubbles were observed in oral cavity and trachea of all poultry at each time of exposure to foam, revealing physical asphyxia. Macroscopically, congestion in oral cavity and in trachea mucosa was observed. Histopathology revealed diffuse and moderate hemorrhage in lungs and no lesion in trachea. The efficacy of water-foam procedure for poultry depopulation was demonstrated validating its recommendation in case of emergency.

Elementos de política de indexação em biblioteca universitária da área médica

In the context of university libraries, the optimization and streamlining of services and processes related to informational content indexing and retrieval are strongly influenced by the indexing policy adopted. This article is aimed at researching the indexing policy elements that are more suitable for medical university libraries. To achieve our objective, we applied three instruments: organizational culture analysis, individual verbal protocol and evaluation of indexing. Results emphasize the importance of developing an indexing policy to improve the processes and services offered by university libraries, as well as the retrieval of information by the user community. More studies are necessary in the medical area involvoving catalogers, experts, users and managers for the development of the indexing manual.

Análise das propagandas dos medicamentos isentos de prescrição veiculadas em revistas para prescritores na área médica

This article presents an analysis of the quality of advertisements for over-the-counter (OTC) drugs addressed to the medical profession, based on the new Anvisa resolution RDC 96 (17/12/2008). For this analysis, 16 volumes of the Brazilian Journal of Medicine (RBM) were collected, from August 2009 to December 2010. To investigate the quality of the adverts, we prepared a questionnaire divided into three parts. In total, 160 advertisements were found, of which 27 were related to drugs exempt from prescription, from 9 laboratories. It was observed that none of the advertisements complied fully with the new rules, as required by legislation (RDC 96/08), with violations ranging from identification of the advert to prohibitions of human figures and subjective messages. Therefore, it was concluded that there is a need to implement more effective monitoring, so as to improve the quality of the adverts, so they can be used as a reliable source of information and update by prescribers.

Emergência de Rottboellia exaltata influenciada pela profundidade de semeadura, quantidade de palha de cana sobre o solo e aplicação de herbicidas residuais

Mechanical sugarcane harvest without burning and continuous straw on the soil surface may affect the Rottboellia exaltata infestation dynamics in sugarcane fields. Three greenhouse experiments were conducted with the aim of studying the effects of sowing depth (0, 2.5, 5, 7.5, and 10 cm), amount of sugarcane straw on the soil surface (0, 5, 10, and 15 ton ha-1), and residual herbicide (clomazone, flumioxazin, imazapyr, isoxaflutole, and s-metolachlor) on the emergence of Rottboellia exaltata. For each experiment, a completely randomized design with four replicates was applied. The combination of mulch on soil surface (especially with larger amounts of straw) with deeper sowing depths provides less emergence and mass accumulation of R. exaltata. In bare soil, the sowing depth did not affect the weed dynamics. Clomazone and imazapyr were effective herbicides controlling R. exaltata regardless of the amount of straw on the soil surface. Flumioxazin was also effective in controlling R. exaltata but only under bare soil conditions. Even with 60 mm of accumulated rainfall over the 4 day period after application, the amount of flumioxazin leached to the soil was not enough to ensure the same control observed when applying the herbicide on bare soil.

Intervalos de chuva na eficiência de herbicidas aplicados em pós-emergência

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

Seletividade do herbicida saflufenacil aplicado em pós-emergência em dez variedades de cana-de-açúcar na condição de soca

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Características anatômicas foliares e controle químico em pós-emergência de Brachiaria decumbens e Brachiaria plantaginea

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