Safety assessment of essential medicines for elderly people: a bibliographic survey

Certain medicines are considered potentially inappropriate (PIM) for elderly people as they increase the risk of adverse drug events (ADE) and because safer alternative therapies are available on the market. In this context, in order to identify the instruments that assess the quality of medical prescriptions for elderly and to determine which drugs are considered PIM, a bibliographic survey was conducted in PUBMED, LILACS and PAHO databases, in February and March/2010. The search strategy included the use of health descriptors and a manual search in the references cited by selected papers. During the period of data collection, 15 instruments were identified. In 2012, with the publication of the update of Beers criteria, this instrument was included in the study. We identified 163 PIM of 25 therapeutic classes, of which 125 (76.7%) are marketed in Brazil. Of these, 31 (24.8%) are essential medicines (RENAME 2012), of which 13 have safer therapeutic equivalents and 19 (15.2%) are over-the-counter drugs. Data suggest the need for inclusion of safer alternatives for the elderly in the national list of essential medicines and the pharmaceutical care for early detection of ADE in this age group, in order to contribute to the safe use of medicines.

Alterações orofaciais em doenças alérgicas de vias aéreas

OBJETIVO: Apontar as possíveis alterações orofaciais decorrentes do sintoma obstrução nasal em pacientes portadores de doenças alérgicas de vias aéreas superiores, por meio de revisão de literatura. FONTES DE DADOS: Levantamento bibliográfico utilizando bancos de dados eletrônicos, como Medline, Ovid, SciELO e Lilacs, com as palavras-chave asthma, rhinitis e mouth breathing, abrangendo os 30 últimos anos. Foram incluídos artigos de revisão, estudos observacionais e ensaios clínicos. SÍNTESE DOS DADOS: A obstrução nasal é encontrada freqüentemente em doenças alérgicas de vias aéreas, como rinite e asma. A respiração bucal decorrente da obstrução nasal pode interferir de maneira direta no desenvolvimento infantil, com alterações no crescimento do crânio e orofacial, na fala, na alimentação, na postura corporal, na qualidade do sono e no desempenho escolar. CONCLUSÕES: Devido à variedade de alterações orofaciais encontradas na criança respiradora bucal decorrente de obstrução nasal por doenças alérgicas de vias aéreas, é necessário realizar diagnóstico e tratamento precoces por uma equipe multidisciplinar, composta por médico, ortodontista e fonoaudiólogo, contemplando a visão de uma via respiratória única, que traz conseqüências ao crescimento e desenvolvimento do sistema motor oral.

Gênero, sexualidade e educação formal no Brasil: uma análise preliminar da produção acadêmica entre 1990 e 2006

Cet article présente les résultats de la recherche Démocratisation de la connaissance: recherche de pointe sur le genre et l'éducation formelle comme soutien pour formuler des agendas et des actions de politiques gouvernementales et non gouvernementales. Développée entre 2006 et 2007, elle visait à met re à jour, systématiser et diffuser la connaissance accumulée dans la production universitaire brésilienne sur les liens entre l'éducation formelle et les thématiques du genre, des femmes et/ou de la sexualité. Une banque de données contenant le titre et le résumé de 1 213 dissertations, thèses et articles a été constituée. Nous soulignons autant les défis théoriques, concernant une meilleure compréhension des concepts étudiés par cete enquête, que les défis méthodologique, comme la définition des descripteurs et des sources devant être examinées. Sa conclusion présente des tableaux et graphiques qui tracent un portrait initial des documents disponibles dans la base de données et indiquent que ces thématiques ont été l'objet d'un intérêt croissant sur la période étudiée.

Estimulação elétrica neuromuscular na reabilitação da disfagia orofaríngea neurogênica

Objective. To present an overview of the literature about the efficacy of neuromuscular electrical stimulation (NMES) in the rehabilitation of neurogenic oropharyngeal dysphagia and to compare methods of therapy in stroke. Method. An extensive bibliographic survey of several databases (Medline, Scielo Brazil, Chile and Spain and Lilacs) was performed using the following keywords: deglutition disorders, therapy, electrical stimulation, pharynx and stroke between 1990 and 2011. Results. The articles reported the use of NMES in heterogeneous population; there is no consensus thus far about the method used during the NMES and about its rehabilitation efficacy in neurogenic oropharyngeal dysphagia. Conclusions. After this study, we concluded that further investigations are necessary with homogeneous groups of patients with neurogenic dysphagia, discussing the proposition of a specific NMES protocol for the rehabilitation of neurogenic oropharyngeal dysphagia.

A contribuição do Programa Saúde da Família (PSF) para o Sistema Público de Saúde do município de Araraquara

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Diagnóstico da geração e disposição dos resíduos sólidos urbanos nos municípios da 7ª região administrativa do Estado de São Paulo

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Análise de instrumentos de avaliação da competência informacional voltados para a educação superior

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

Processo de expansão urbana e conurbação em uma aglomeração urbana não-metropolitana no interior paulista

Pós-graduação em Geografia - IGCE

Educação infantil, direito à educação e gestão escolar: um retrato a partir das publicações oficiais e acadêmicas

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Preguiça: um problema da adolescência negligenciado pela pesquisa?

Pós-graduação em Pediatria - FMB

Gestão escolar e formação do pedagogo: relações e implicações a partir da análise de projetos político-pedagógicos de universidades públicas

The literature has pointed out the educational deficits of Brazilian public schools, the complexity of school management, and the need for better qualification for the exercise of this function. Considering this perspective, the present research questions: How is school management being contemplated within the initial pedagogical training in the state of Paraná? In this sense, this article aims to survey and analyze how school management in professional training in public universities Educator of Paraná is being contemplated after the publication of the National Curriculum Guidelines for the Education Course (DCNP). The study works with a qualitative approach to carry out, in the one hand, the bibliographic survey and systematization and, on the other hand, the survey, systematization and analysis of some elements in the political-pedagogical projects of different public universities. The data collected in six public universities show a significant oscillation between the workload aimed at the knowledge of School Administration and a variety of covered contents. Such differences may reflect the scope of the National Curriculum Guidelines as well as the present theoretical dispersion regarding the current knowledge on School Administration.

Validação de um instrumento de preocupação com a forma corporal aplicado a estudantes universitárias

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

Contribuição da utrassonografia para o diagnóstico do shunt portossistêmico em câes e gatos

Portosystemic shunt, an hepatobiliary anomaly, much common in dogs and less frequent in cats, can be detected by several diagnostic methods. Among them, the one which stands out is ultrasonography due to its numerous advantages: noninvasive, quick, accessible, relatively low cost and provides useful information relating to the other systems, apart from being a highly sensitive method. Portosystemic shunt diagnosis using ultrasonography becomes highly sensitive when associated with B-mode, color Doppler and pulsed Doppler. A bibliographic survey about portosystemic shunt ultrasonographic diagnosis was carried out, and the main ultrasonographic signals were: decreased hepatic size, difficulty in blood vessels visualization, presence of an anomalous vessel, tortuous with turbulent flow and, finally, increased portal blood flow velocity near the shunting vessel

Levantamento e análise dos padrões de qualidade nacionais e internacionais estabelicidos para reuso de efluentes e aproveitamento de água de chuva para fins não potáveis em áreas urbanas

The objective of this work is present and analyze the standards and guidelines associated with the protection of health of the user of waters less noble, for purposes other than drinking, and more specifically, the criteria descriptors of quality of these waters and the assessment of microbiological risk associated to its use aiming to establish, with bases and scientific criteria, the tolerable risk and the definition of standards for the microbiological quality. To this end, the author makes use of investigative exploratory method based on bibliographic survey and acquisition and posterior analysis, presentation and discussion about the topics discussed. The final text may inform and subsidise decisions regarding the definition of new values (preparation of new standards) and in the definition of appropriate technology

Geografia dos movimentos socioterritoriais no Brasil de 2000 à 2012

The struggle for land is not a recent theme in Brazilian history. Since colonization, people have fought and resisted against oppression and injustice in the countryside, as can be evidenced by the highwaymen, peasant leagues and the war of Canudos. More recently, the struggle for land and agrarian reform can be evidenced by the struggles of the MST, CONTAG, CPT and other movements. For these movements, denominated as socioterritorial movements, land/territory is an essential condition for their existence and for the maintenance of their territoriality. The present paper examines the geography of socioterritorial moviments: the construction of the concept of socioterritorial movements and their forms of action and scales of actuation in the period 2000 to 2012, focusing on the movements that have been most active. These movements are studied through as analysis of data of the Land Struggle Data Base (Banco de Dados da Luta pela Terra –DATALUTA), print and digital media reports and a bibliographic survey of the literature. The action of socioterritorial movements can be studied through the forms of land occupations and demonstrations in the countryside which are the principal means of the struggle against large landholders, agribusiness and the State. These actions question the model of development which privileges agribusiness and, as such, are viewed by some as a hindrance to the development of the country. Over the years, the number of socioterritorial moviments, and their actions have oscillated due to a series of factors, such as repression (criminalization of members and violence against them), policies adopted by Brazilian governments and the contradictions inherent in very process of the spacialization of the struggle for land. These actions can be analyzed according to the scale of the struggle of the movements – municipal, micro-regional, state, macro-regional, and national