9 resultados para 7809

em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"


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

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Although the quality of sea recreational waters is already monitored by programs implanted in some Brazilian states, including the State São Paulo, little attention has been given to beach sands, which have been disregarded from the point of view of public health. However, this panorama is changing in recent years due to an increasing number of cases of mycoses and bacterial infections affecting people who frequent beaches and use sands as recreation places. This has caused greater concerns with the contamination of this environment, also measurable by the increase of the number of scientific works on sediments and recreational beach sands microbiota. Currently one knows that in general these sediments contain more microorganisms than the water and are therefore potential sources of contamination of human beings by pathogenic microorganisms. The results of works carried through in some countries are worrying, and have demonstrated the necessity of establishing standards and limits so that monitoring programs of the microbiological quality of beach sands are implanted. Such concern is especially high in Brazil, a country of a tropical climate where thousands of beaches, used for recreation, extend for almost eight thousand kilometers of the coast. In the context of Baixada Santista, studies carried through have shown that in certain situations beach sands can contain more microorganisms than waters and may be a risk to the health of users.

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With more than 60% of its territory under environmental protection, the city of Cubatão shelters the Industrial Pole and is located midway of two great metropolitan regions of State of São Paulo: Grande São Paulo and Baixada Santista. Both the implantation of industries and the construction of highways stimulated a process of migration and irregular occupation of the territory, with significant loss of the original vegetal covering of Atlantic Forest, in addition to pollution of water resources and the soil. The present work analyzed the dynamics of the landscape of a stretch of the city of Cubatão, associated to the Highway System Anchietas-Imigrantes, on the basis of economic cycles and regional public policies, aiming at helping the urban and environmental planning of coastal cities. We used a temporal series of air photographs of five decades and bibliographical surveys on the description of the region occupation. A non planned urban expansion for the city was evidenced, closely related with regional economic cycles and road building, directed to areas adjacent to highways and railroads, marshland and flooded plains landfills and mounts hillsides, including areas near Serra do Mar State Park. One suggests that the questions of environmental and urban planning of coastal cities are dealt with in the regional domain and in a participative way on the basis of studies of economic expansion and tourist activities in Baixada Santista, guaranteeing the maintenance of the remainders of Atlantic Forest in São Paulo coast.

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One of the basic principles of the Brazilian Public Health System (SUS) is integral assistance, which considers the integrality of the individual, of service and care, which should necessarily include end of life care. Our aim was to analyze the work process of health professionals at the Family Health Strategy / Primary Care that already cared for people in the dying process to propose viable contributions to the Public Health area as regards the implementation of Palliative Care in Primary Care. We present data referring to the following themes: Singular Therapeutic Project (PTS); death quality as PTS goal (work purpose); the team's ways of doing (bonding as a pact condition). Eleven health professionals (four nurses and seven physicians) linked to the Family Health Strategy (ESF) of Campinas (São Paulo) participated on this research. From the interviews, data analysis followed the Socio-Historical Psychology theoretical and methodological approach. The professionals' activity was analyzed in articulation with the specificities of caring for people in the dying process. We found that action planning in health is oriented by the Singular Therapeutic Project (PTS), with an emphasis in social diagnosis and the need of a bond for attaining a pact. It is understood that the purpose of health professionals' activity is to promote dignity and life quality in the dying process, but integral care should include not only individual and family care, but also the defence of full human development during all phases of life.

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The objective of this paper was to review data on residues of medical products in aquatic environments and at wastewater treatment plants. Secondarily the paper presents a discussion about the need for a good management of drugs residues and effluents generated by this sector. Bringing the evidences of environmental possible damages reported by ecotoxicity data on the effects of fluoxetine to Vibrio fischeri and H. azteca, aquatic organisms daily exposed to environmental contaminants. From the results we observed that 0.3 mg.l-1 of fluoxetine hidrochloride induced lethality to H. azteca and 30 mg.l-1 reduced the luminescence of Vibrio fischeri. This assay evidenced higher toxicity when we used the generic product.

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Coastal cities attract a large number of tourists for their beautiful landscape and recreational activities, increasing the municipalities' income source. Thus, a need is clear for the establishment of beach quality monitoring programs to ensure bathers health. Although there is an effective monitoring program for recreational waters in Brazil there are no programs to certify the quality of beach sands. In this sense, the aim of this work was to analyze the density of bacteria from the genus Enterococcus in both sand and water from two beaches from São Vicente, São Paulo (Brazil) and correlate these densities to abiotic parameters such as: temperature, salinity, particle size, organic matter and tides). Water and sand samples were collected during February 2006 on the beaches of Gonzaguinha e Ilha Porchat and bacterial densities were determined by membrane filter technique. Temperature and salinity were measured in situ with a thermometer and a refractometer while particle size and organic matter were determined according to methods described by Suguio and Dean. There were significant differences between densities found in water and sand (p=0.004), being approximately 20 times higher in Gonzaguinha's beach sands. Similar results were found for Ilha Porchat beach samples, being the densities found in sand 3 times greater than those found in water. Both beaches showed a negative correlation between bacterial densities and salinity and temperature, suggesting a deleterious effect of these parameters on the bacterial community. On the other hand, no correlation was found between organic matter and particle size and bacterial densities. This work demonstrates that there is a great necessity for monitoring beach sand since the evaluation of beach quality is an important part of integrated coastal management programs.

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The Ribeira de Iguape River basin received intense mining activities for lead exploiting and, as a result, the river received the discharges of estimated amounts of 5.5 tons/month of material rich in As, Ba, Cd, Pb, Cu, Cr and Zn. In this article, the toxicity of waters and sediments collected in Ribeira de Iguape River was assessed aiming to estimate environmental quality. Three sampling campaigns were conducted, from 2009 to 2010. Toxicity tests with the cladoceran Daphnia similis were done for water samples and for sediments, in this case using sediment-water interface exposure. Results showed in general absence of toxicity for sediments and waters, and only eventually were acute effects registered (marginal toxicity). Results are consistent with the conditions indicated by the literature, of low concentrations of metals in waters and sediments; however they differ from the monitoring made by the state environmental agency, which registered chronic toxicity. The occurrence of eventual acute toxicity indicates that although Ribeira de Iguape River quality is being restored, conditions still are not totally under control.

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Oceanic disposal systems of domestic sewage, or submarine sewage outfalls, have been historically used around the world as a solution for urban effluents, in special due to economic aspects. However, release into the ocean, in shallow or deep waters, may induce a set of negative environmental impacts, as eutrophication, toxic algal blooms, pathogenic microorganisms introduction and contamination by chemical substances which are capable of causing toxic effects to the biota and bioaccumulation. Thus, the release of untreated sewage into the sea does not constitute an adequate environmental practice; then, urban effluents should be treated in order to remove nutrients, contaminants and pathogenic organisms and avoid environmental degradation.

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In 2003 the construction team of the 1st grade of the medical and nursing courses from a medical school began a work aiming at curriculum reconstruction, and restructured cognitive contents and the integration of basic and clinical aspects, in order to adapt to the incentive program for Curriculum Changes (PROMED) which allows for the continuity of curricular innovations. This team worked considering the group dynamics, a method already used in tutorial sessions which teachers have some familiarity with. For a good group performance the team participants were divided into two subgroups: one for constructing educational problems and the other for doing cognitive assessment exercises. The team and the subgroups met weekly, and every 15 days the group met for socialization of information, identifying the strengths and weaknesses of the process and/or products. A good adhesion, an active involvement of participants and satisfaction expressed by each participant with their inclusion in the group were reflected in the final product and contributed to the subjects' commitment to the proposal. This way, in the process the individual transformations and relations in a situation requiring the collaboration of professionals were essential in the process of permanent curricular reconstruction.