Avaliação dos dados obtidos em um programa de esterilização cirúrgica de gatos em Araçatuba, SP no período de 1996 a 2010

Cats are gradually occupying a more important position as pets and this preference is a result of how easy cat maintenance in an urban environment is, even though they are very prolific and need surgical sterilization. This paper aims at evaluating obtained data within 15 years of research in a university service program that offers free cats sterilization surgery. We carried out a statistical analysis of data shown in the records of animals treated by the program. Surgical sterilization was performed on 647 animals (409 females – 63% and 238 males – 37%). Unilateral cryptorchidism was observed in 9 (3.8%) male cats. Forty (10%) female cats were pregnant at the time of the surgery and the treatment with contraceptives was observed in 67 (16.4%) female cats. One death occurred during anesthesia recovery and 2 cats were euthanized because of wound infection, totalizing an amount of 0.5% of severe complications. From 1996 to 2004, 212 female cats were spayed (122 adults and 90 prepubertal) and during that time two different approaches for ovariohysterectomy were compared: flank laparotomy and ventral midline celiotomy. The flank laparotomy approach was used in only 46 female cats (21.7%) due to some disadvantages observed – the need of an incision on each flank in prepubertal or nulliparous animals and the difficulty or impossibility of total uterus removal. In the same period, 105 male cats underwent orchiectomy via an open technique in which the spermatic cord was linked with nylon thread. From 2005 to 2010, 197 females (106 adults and 91 prepubertal) were spayed. The minilaparotomy technique was used to perform ovariohysterectomy on 139 female cats (70.6%). In this procedure, ovaries and uterus were exteriorized in a blind fashion with a hook through a small midline incision. The traditional midline ovariohysterectomy, which incision length permits direct visualization of the ovaries and uterus, had to be performed in 58 (29.4%) female cats due to advanced pregnancy, full urinary bladder during surgery or obesity. Over the past 6 years, 133 male cats (48 adults and 85 prepubertal) were castrated by means of an open technique in which the spermatic cord was tied to itself. The demand for surgeries during the project demonstrated that people are becoming aware concerning the importance of sterilization when facing cat overpopulation and abandonment.

Avaliação dos conceitos sobre posse responsável exercida pela terceira idade em instituições não governamentais de Araçatuba-SP

Pets bring expressive benefits into the life of the elderly, so it becomes necessary to emphasize some of the concepts regarding responsible ownership consisting of a set of important attitudes that accounts for the well-being of all. In this context, non-governmental institutions represent an excellent mean of communication and information. Besides, the increase of the third aged people population indicates that a survey of parameters to this respect is necessary. Being thus, the objective of this work was to analyze the aged ones´ level of knowledge regarding their responsibility for their pet. A questionnaire was applied to 134 aged people, members of non-governmental organizations in the city of Araçatuba, SP, in order to find out how they took care of their pet animals. The pets aged from 2 to 336 months, being 43,3% mixed-breed animals. Out of that, 60,9% were male dogs and among cats, 65.2% were female cats. There was a 69.4% preference for dogs and a 17.9% preference for cats, only 10.5% of the elderly had preference for birds. From the descriptive statistics analysis it could be observed that 69.40% did not have any access to the street and that 50% did not have a veterinarian follow-up. Regarding vaccination it could be observed that 71.64% had received the rabies vaccine and 70.9% had received the combination vaccine. Also, 74.63% did not know the right moment to give medicines against animal worms. Another important fact was that 85.07% of the animals were not castrated and 84.91% were not under any preventive contraception method. In regard to food 50.75% of the animals were fed strictly with animal food, 12.69% with domestic food and 36.57% with both. Finally, 78.36% of the pets had never been ill. In this way, we can assure the importance of making responsible pet ownership measures well-known among third-aged people.

A música associada às necessidades terapêuticas de pacientes com deficiência

The use of music and/or its elements (instruments, sound, rhythm, melody and harmony) in environments with people attended by public health centers, aims at promoting communication, facilitating the expression and the relationship in the first contact, hence favoring organization of standards and other relevant therapeutic objectives to assist physical, mental, social and cognitive needs of people, thus promoting the process of environmental adaptation, behavioral conditioning and social inclusion. The purpose of this project is to use music and its sound elements, as well as recreational activities, developed in stages called: socialization session, art workshop and complementary activities, with patients assisted at CAOE (Disabled People Dental Care Center) and their relatives. The objective is to provide them psychological wellbeing, inclusion to physical space, relaxation, stimulation of rhythmic and sonorous perceptions, memorization, emotions externalization, help and encouragement for the development of motor coordination during their daily activities of daily. Recreational activities, handling and contacting with musical instruments, broadcasting and producing sounds, stimulate cognitive capacity, interactivity and entertainment activities can greatly contribute to improve the behavioral reaction and adaptation of these patients, during their dental treatment.

Humanização na assistência odontológica de pessoas com deficiência, através do projeto Cão Cidadão-Unesp

The Araçatuba School of Dentistry along with the Veterinary Medical Course, both from UNESP, develop the Extension Project called “Cão Cidadão UNESP” (Unesp Citizen Dog), which is accomplished in some assistance societies, including the Dental Assistance Center to Persons with Disabilities (“Centro de Assistência Odontológica à Pessoa com Deficiência” - CAOE-UNESP). This project develops a multidisciplinary work involving professionals and students from health sciences. The project aims at developing activities to relieve stress, fear and anxiety of patients with disabilities in the moment that precedes the dental treatment. The team performs procedures such as walking with the dogs and patients, toothbrushing the dogs so the patients can see it, in order to learn and motivate themselves, dressing the dogs with some accessories such as white clothes, mask and cap, to associate with image of the dentist, making this relationship more pleasant and welcoming. It is evidenced, through reports of professionals, that the patients become calmer and more collaborative with the dentists, distracting them from the treatment focus and creating a positive bond. It should be noted that this experience has contributed to motivate the professionals to introduce new techniques for dental approach, such as Animal Assisted Therapy. It also shows that animals can be very helpful in treating people with disabilities, because they offer a lot of love, companionship and provide moments of joy and happiness to the participants.

Saúde bucal nas escolas: relato de experiência

The need for a closer contact between students and the community reality, as well as, the necessity of providing an education that can result in social changes early in life were crucial for the development of the Extension Project : Oral Health Education, which was developed in Public Child Care Schools in Araçatuba. The aim of this article is to describe the project, emphasizing its educational aspects and to share this experience in order to allow for reflection about this practice.

Exercício físico aeróbio para promoção da saúde de pacientes com doença de Alzheimer

Introdução: Sabe-se que a prática regular e sistematizada de atividade física é uma eficiente estratégia para evitar a deterioração cognitiva e funcional associada à Doença de Alzheimer (DA), uma doença progressiva, degenerativa e irreversível. Na população idosa os benefícios observados com a prática de exercícios físicos aeróbios já se encontram bem estabelecidos, contudo pouco ainda se sabe quanto à prática deste tipo de atividade em pacientes com DA. Em estudos realizados com modelo animal pode-se observar que o exercício físico aeróbio foi capaz de reduzir os níveis da proteína β-amilóide, sendo esta uma proteína característica da DA, que provoca degeneração no cérebro dos pacientes. A redução dos marcadores característicos da doença pode promover benefícios para os pacientes. Objetivos: Promover a prática de exercícios físicos para promoção/manutenção da saúde de pacientes com DA. Métodos: O estudo está sendo desenvolvido no PRO-CDA (Programa de Cinesioterapia Funcional e Cognitiva em Idosos com Doença de Alzheimer), projeto de Extensão do Departamento de Educação Física da UNESP – Campus Rio Claro, vinculado ao Núcleo Local UNESP-UNATI. O projeto atende atualmente 34 pacientes, divididos em dois grupos: Grupo Convívio Social e Grupo Exercício. O primeiro tem por objetivo desenvolver a adaptação do paciente à rotina do projeto. Já o segundo grupo busca promover os benefícios observados com a prática de atividade física nos pacientes participantes. Ambos os grupos realizam atividades três vezes na semana, com 60 minutos de duração cada sessão. O projeto conta com a participação de alunos de graduação, dos cursos de educação física, pedagogia e biologia, bem como discentes de pós-graduação da UNESP, além de aprimorandos graduandos e graduados dos cursos de educação física, fisioterapia, gerontologia e psicologia de outras universidades, que atuam sob a coordenação de docentes vinculados ao Departamento de Educação Física e de Educação. Resultados: Por se tratar de um protocolo de intervenção motora iniciado recentemente, o presente estudo ainda não apresenta resultados. Contudo protocolos de atividade física desenvolvidos anteriormente no PRO-CDA evidenciam melhora na realização de atividades de vida diária, manutenção das funções cognitivas, qualidade de vida e redução dos distúrbios de comportamento nos pacientes participantes. Espera-se que o protocolo de exercício físico aeróbio possa influenciar positivamente os participantes do projeto, com melhora na qualidade de vida, tanto de pacientes como de cuidadores, redução de sintomas depressivos, melhora dos distúrbios do sono e da condição motora.

Notificações espontâneas de eventos adversos a medicamentos hospitalares: estudo piloto

Introduction: Post-marketing surveillance of drugs aims to detect problems related to safety, effectiveness and quality. The identification of adverse drug events (ADE) is made, mainly, by health professionals´ spontaneous reporting. This method allows risk communication in pharmacovigilance and contributes for market regulation. Objective: To estimate the prevalence of adverse drug reaction (ADR) and the suspicions of therapeutic failure (TF) reported by health professionals; to verify the active principle and type of drugs related to ADE, seriousness, causality, production mechanism and clinical manifestation of the events identified. METHODS: A cross-sectional study was performed in a teaching and public hospital which integrates the Sentinel Hospital Network, in 2008. ADR seriousness was classified according to intensity (mild, moderate, serious and lethal); drugs associated with ADE were categorized according to type (brand name drugs and non-brand name drugs); causality was imputed with Naranjo algorithm and the mechanism of occurrence was analyzed according to Rawlins e Thompson definitions (A or B). Results: There were 103 ADE reports in the period, of which 39 comprised TF and 64 ADR. Nurses reported the most ADE (53.4%). The majority of ADR were classified as type A (82.8%), mild (81.3%), possible (57.8%), according to causality assessment, and related to brand name drugs (20/35). Human immunoglobulin, docetaxel and paclitaxel were the drugs frequently associated with ADR. TF arising from no-brand name drugs (26/29), regarding, mainly, midazolam and ganciclovir. Conclusion: The results of the ADE report contribute for proposition of trigger tools for intensive monitoring of drug safety, as well as for the supplier qualification and for the improvement of quality products.

Medicamentos inadequados para idosos na estratégia da saúde da família

The ageing process can change the pharmacodynamics and pharmacokinetics parameters. Therefore, some medications are considered potentially inappropriate (PIM) for the elderly people, since they can increase the likelihood of occurrence of adverse drug events. The objectives are to estimate the frequency of use of PIM in the elderly people, with potentially hazardous drug interactions (PHDI) and to evaluate the impact of pharmaceutical intervention (PI) for the prescription of safer therapeutic alternatives. A cross-sectional study was performed in a Health Family Strategy (region of Araraquara, SP), between January and February/2012. The medical records of patients aged ≥60 years, that use at least one drug, were consulted for identification of PIM, according to the Beers criteria. The MPI identified were classified considering the Anatomical Therapeutic Chemical Classification System (ATC) and the essentiality of the drug (safety, effectiveness, quality and cost parameters) The inclusion criteria were met by 358 elderly, being that 93 of them (26%) had taken at least one PIM. Of the 114 different drugs prescribed for elderly, ten were classified as PIM, of which four of them act on the central nervous system, four on cardiovascular system and two on the digestive tract. Seven MPI are essential medicines, belonging to national list of essential drugs (RENAME-2010). Fourteen drug interactions were identified, of which two are PHDI (fluoxetine/amitriptyline and digoxin/hydrochlorothiazide).After the PI, there was no change in medical prescriptions of patients with PIM use or with DI. Medical prescriptions of elderly attended in the Health Family Strategy show pharmacotherapeutic safety problems, of which may be responsible for health hazardous for this age group. Although the intervention carried out by letter had been ineffective for the adherence of doctors in prescribing safe alternatives, wide dissemination of the lists that contain PIM and PHDI is need, as well as the inclusion of safer equivalents in RENAME, in order to contribute for rational use of drugs.

Acesso, segurança e uso de medicamentos por usuários

The present study aims to identify families who have stock and are making use of medications, as well as assess the conditions of storage, security and use of these drugs. The study was conducted in a city of São Paulo, the interviews were conducted in households enrolled in one of ten units of the Estratégia de Saúde da Família (ESF) that the city provides and the sample was defined by means of stratified random sampling (134households, IC 95%). Data collection was conducted through interviews with a semistructured questionnaire during the first half of 2011. We interviewed 118 (88.0%) households, of which 112 (95.0%) had medications that were stored n insecure or inadequate places in 75.4% of households, non-prescription self-medication was a common practice in 46 (47 4%) households, and lack of identification and security of medications stored was observed in 60 (53.6%) households. Most households had stock of medicines, which were done improperly or unsecure, or have specialties with lack of identification and security, which can lead to poisoning or e ineffective therapy. The Pharmaceutical Assistance under SUS lacks social initiatives, with actions directed for medications users, which can be supplied by the presence of the pharmacist in the ESF, essential for the promotion of racional use of medicines, that, through the Pharmaceutical Care, can identify, correct and prevent possible problems related to drugs.

Evasão no cursinho pré-vestibular da FCA/UNESP: a interpretação do aluno evadido

The popular cram schools are voluntary initiatives aimed at people who are not able to afford the cost of private cram schools. The FCA popular cram school integrates a large project from UNESP, which has 30 cram school distributed throughout Sao Paulo State and located in different University units. Among the problems found in popular cram schools, school evasion, characterized when the student quits the course and is very common in this context. Thus, the aim of this work was to identify the profile of the drop out student from the FCA cram school as well as to know the reasons that led them to leave. The survey was conducted in two phases: 1) students´ profile when entering the cram school, through a structured questionnaire, 2) semi-structured interviews by telephone with all the drop out students, trying to identify the reasons that led them to abandon the course. The statistical analysis used was descriptive. Among the reasons that led them to leave, it was found that 65% of the students attributed this attitude to external factors as opposed to 35% who put the internal factors as the decisive reason of their departure. Some of the factors that could be attest for the FCA cram school evasion are: primarily, the heterogeneity of students and their need to work in order to support themselves and their family; students lack of motivation about a long-term success; lack of family encouragement; the difficulty of the student to establish significant personal links with cram school staff and the fact that the professors are mostly undergraduate students from different courses in different areas, with little didactic-pedagogic preparation and inability to work with students' heterogeneity.

Plantas medicinais: indicação popular de uso no tratamento de hipertensão arterial sistêmica (HAS)

The aim of this study is to investigate the spontaneous use of medicinal plants by volunteer patients in the treatment of hypertension and to determine the most used plants in this situation. Data were collected through a questionnaire and a semi-structured guided interview applied to patients from a health center in the Midwest region of the state of Sao Paulo, Brazil. Quantitative analysis identified a high number of hypertensive patients spontaneously using herbal treatment. The referred plants were identified by the Herbarium Botu and researched in the literature as to their therapeutic actions. The biggest mistake was observed in the misuse of the Bilberry for the treatment of hypertension, which reveals that health professionals and the community in general should be more careful. As a result we have published an informative booklet, with emphasis on hypertension concepts and on the use of medicinal plants as an alternative therapy method for this disease in order to provide scientific knowledge and scientific research evidence to this practice.

O Ensino de Acústica nos livros didáticos de Física recomendados pelo PNLEM: análise das ligações entre a física e o mundo do som eda música

This paper presents an analysis of the content in acoustics present in physics textbooks recommended by PNLEM, which used the same criteria of evaluation from used by experts in the analysis of such books. In this way, we observed that such texts have evolved little in comparison with the textual presentations reviewed in 1998 and published in the journal Science and Education [1], which were analyzed ten physics textbooks for high school, among which the most commom, at the time, in Brazilian schools. Although we identified the inclusion of some aspects of the culture of sound and music, there are still several conceptual and historical distortions, besides the little importance has been given to links CTSA, among them, studies of soundscapes that, even, are mentioned.

Análise da incorporação de resíduos de pás eólicas em cimento portland atrvés de imagens de raios-X

Introdução: Os processos industriais geram grandes quantidades de resíduos, representando um grande desperdício de matéria prima e causando impactos negativos ao meio ambiente. No caso dos resíduos gerados pelas fábricas de pás eólicas para aerogeradores de Sorocaba-S.P., eles podem ser reaproveitados na incorporação em cimento Portland. O interesse é utilizá-los na construção civil como blocos sem fins estruturais para construção de muros, guias, calçadas, pisos, etc. Os corpos confeccionados devem obedecer às normas técnicas brasileiras e as suas propriedades relativas à resistência, compressão, absorção de água e distribuição espacial dos resíduos nestes corpos devem ser avaliadas. Objetivos: Devido à importância de se conhecer as propriedades dos corpos produzidos com a incorporação de resíduos de pás eólicas, este trabalho faz uma avaliação através de imagens de raios X de sua distribuição espacial para verificar a viabilidade do emprego desta técnica no estudo da incorporação de resíduos para, futuramente, em conjunto com outras pesquisas que estão sendo realizadas, verificar a relação desta distribuição com as propriedades mecânicas dos corpos produzidos. Métodos: Objetivando a incorporação desse resíduo como substituto parcial dos agregados miúdos em argamassa, foram fabricados corpos de prova (CPs) seguindo as normas da ABNT-NBR 5738. Todos os corpos foram desmoldados após 24 horas de sua confecção e imersos em água por 28 dias para a cura. Utilizou-se o traço 3:1, areia e cimento, em relação a massa dos componentes, ou seja, para cada 300 g de areia adicionou-se 100 g de cimento. Na confecção de argamassa com resíduo utilizou-se o mesmo traço, porém com a substituição de parte da areia pelo resíduo. Foram fabricados CPs com 5%, 15%, 50% e 0% de resíduo para que este sirva de referência. Como os corpos possuem um formato cilíndrico, foram obtidas imagens em duas projeções: frontal e superior utilizando um equipamento digital com os seguintes parâmetros: 83 kVp e 16 mAs e, 85 kVp e 30 mAs, respectivamente. Resultados: As imagens mostram que na projeção frontal é possível verificar que a distribuição do resíduo nos corpos é homogênea, o que pode proporcionar uniformidade nos resultados de testes de resistência à compressão que serão realizados futuramente. Porém, na projeção superior ainda será necessário um estudo dos parâmetros que deverão ser utilizados no equipamento de raios X para melhorar a sua qualidade. Além disso, métodos de processamento digital de imagens poderão ser aplicados nas imagens para auxiliar na visualização dos resíduos incorporados. Também pode ser visto nas imagens que a forma utilizada para a incorporação do resíduo resulta na sua distribuição uniforme, compatível com o que se deseja neste tipo de incorporação.