Regiões de saúde e escalas geográficas

O presente artigo tem como objetivo central discutir o processo de regionalização da saúde no país, considerando-se o novo cenário de direcionamento do investimento de unidades públicas de saúde, a partir da publicação da Norma Operacional de Assistência à Saúde (NOAS - SUS 01/2001). Para isso, um esforço faz-se necessário: o de superação da compreensão predominante a respeito de alguns conceitos, principalmente o de região e de escala geográfica. A proposta de divisão regional dessa NOAS baseia-se no conceito de região de planejamento que, desde a fundação do Instituto Brasileiro de Geografia e Estatística, tem subsidiado as políticas territoriais do Estado brasileiro. Contudo, a regionalização da saúde no Brasil é uma necessidade para o fortalecimento do SUS e uma mudança qualitativa da política nacional de saúde. É preciso avançar, relacionando a divisão regional do Brasil com a questão da escala. O que está em questão é se a regionalização da saúde brasileira representa ou não um aprimoramento das mediações entre as diversas escalas do SUS.

Perfil dos acidentes de trabalho ocorridos no município de Araçatuba-SP nos anos de 2000 e 2001

O objetivo do presente estudo consiste em descrever o perfil dos acidentes de trabalho ocorridos no município de Araçatuba-SP nos anos de 2000 e 2001. Para tanto, foram analisadas as Comunicações de Acidentes de Trabalho (CATs) emitidas no referido período e as informações pertinentes transcritas em formulário específico elaborado através do programa estatístico Epi-Info versão 6.04, utilizado para tabulação e análise dos dados obtidos. Foram analisadas 772 CATs, das quais 656 correspondiam à ocorrência de acidentes típicos, 92 a acidentes de trajeto e 24 a doenças ocupacionais. A média de idade dos acidentados foi de 32,42 anos (d.p. 10,88) e o tempo médio trabalhado até o momento do acidente foi de 4,15 horas (d.p. 2,73). Quanto ao gênero, 632 acidentes (81,9%) ocorreram com trabalhadores do sexo masculino e 140 (18,1%) com trabalhadores do sexo feminino. O presente estudo revela um amplo predomínio de acidentes de trabalho classificados como típicos, além de uma maior prevalência em trabalhadores do sexo masculino.

Influence of Intensive Agriculture on Dry Deposition of Aerosol Nutrients

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Excipientes de medicamentos e as informações da bula

Aim: To evaluate the presence of preservatives, dyes, sweeteners and flavouring substances in 73 pharmaceutical preparations of 35 medicines for oral administration, according to drug labeling information about the excipients. Methods: 35 medications were selected, both over-the-counter and prescription durgs, marketed in Brazil. The sample included: analgesic/antipyretic, antimicrobial, mucoregulatory, cough and cold, decongestant, antihistamine, bronchodilator, corticosteroid, antiinflammatory and vitamin medications. We collected data on 73 preparations of these drugs, according to drug labeling information regarding preservatives, dyes, sweeteners and flavourings. Results: Methylparaben and propylparaben were the most common preservatives found (43% and 35.6% respectively). The most common sweeteners were: sucrose (sugar) (53.4%), sodium saccharin (38.3%) and sorbitol (36.9%). Twenty-one medicines (28,7%) contained two sweeteners. Colourless medicines predominated (43.8%), followed by those with sunset yellow dye (FD&C yellow no. 6) (15%). Five products (6.8%) contained more than one colour agent. Tartrazine (FD&C yellow no. 5) was present in seven preparations (9.5%). Fruit was the most common flavouring found (83%). Labelings of drugs which contained sugar frequently omitted its exact concentration (77%). Of the four labelings of medicines which contained aspartame, two did not warn patients regarding phenylketonuria. Conclusions: Omission and inacuracy of drug labeling information on pharmaceutical excipients may expose susceptible individuals to adverse reactions caused by preservatives and dyes. Complications of inadvertent intake of sugar-containing medicines by diabetics, or aspartame intake by patients with phenylketonuria may also occur.

Comparação entre um modelo teórico e o real, no investimento em construção de estradas de uso florestal, relacionado com o volume de madeira transportado

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O turismo como alternativa de renda no município de Rancharia

This present work talk about the tourism and the historic evolution of this conception, also it brings some thoughts about the increase of the tourism activity in the all around the world. The territorial slash study is in Rancharia, the research the shows aspect of localization, description, natural and socials. During this work was introduced a study about the most important programs and projects that were initiate in the country by the public authorities with the focus in the tourism development, and also was noted the current tendency in the formation of intermunicipal consortium that has the aim to develop the activity of the regional tourism. It was presented the mains tourism attractions in the municipal district, such as, municipal watering- place. To develop this current work it was made some researches by the application of a formulary to the tourist, and the interview was made by representatives of the private and public sector, which was exposed their vision about the activity tourism development and the importance of the municipal district participation in the public politics that is turned to the tourism. The work concludes that the tourism activity could come to turn one alternative of job and lacework to the city, but is necessary that develop it in the base of the local tourism, that brings benefits to all the community involved in this process

Impacto da saúde bucal na qualidade de vida de pacientes maiores de 50 anos de duas instituições públicas do município de Araraquara-SP

Introduction: Oral health can affect quality of life, and the OHIP-14 index (Oral Health Impact Profile) is useful for evaluating this impact. Objective: to investigate the impact of oral health conditions on the quality of life of patients over  50  years, assessing, initially, the consistency of the short form of the Oral Health Impact Profile index (OHIP-14). Material and method: A cross-sectional study was performed among 149 patients of two public institutions for routine dental (UNESP) and medical practice (Municipal). They were interviewed using the OHIP-14 formulary, assessing its internal consistency (Cronbach´s alpha coefficient) and the OHIP-mean (additive method). The patients were distributed according to sex, age, and education level. The comparisons of interest were made using Student´s t test at a 5% level of significance. Result: A total of consecutive patients (n = 149) participated of this study (87% response rate). Cronbach´s alpha coefficient was 0.78, denoting a good consistency of the OHIP index. The OHIP mean was 4.98. The most prevalently affected OHIP domains were dimensions of physical pain: painful aching (11.40%) and uncomfortable eating foods (21.50%). There was non-significant difference (p > 0.05) between the mean OHIP value in relation to each of gender, age, and education level. Conclusion: The OHIP-14 is a reliable instrument of assessing oral health-related quality of life, and among patients under routine practice, it was found a low impact of oral conditions on their quality of life in the studied institutions (UNESP and Municipal).

Violência interpessoal: estudo descritivo dos casos não fatais atendidos em uma unidade de urgência e emergência referência de sete municípios do estado de São Paulo, Brasil, 2008 a 2010

Objective: to describe the profile of non-fatal cases related to interpersonal violence treated in an emergency care unit of reference that serves seven municipalities of the state of São Paulo, Brazil, from 2008 to 2010. Methods: the study data came from the cases reported from the Epidemiological Vigilance in Penápolis-SP to the Brazilian Information System for Notifiable Diseases; variables were shown according to the Notification/Investigation Individual Formulary of Domestic, Sexual, and/or other Types of Violences. Results: 109 occurrences were studied; most of the victims were young and female (93.6%); and the aggressors, mostly were men (57.8%), partners or relatives/acquaintances of victims. Physical violence was the main form of aggression (93.6%), principally in the home (67.9%), on Sunday (16.5%), between 6:01pm and 12:00pm (57.8%). Conclusion: the cases reported had a consistent profile of domestic family violence against women, different from other studies about interpersonal violence in large cities and metropolitan regions

Caracterização da produção e qualidade físico-química de méis produzidos no Estado de Pernambuco

The present study had as objective contribute to the characterization of beekeeping in the Pernambuco State and evaluate the physical-chemical quality of the honeys produced in the region. For this, was applied a directed formulary to the representative organ of beekeeping class aboutthe productives and technicals aspects of beekeepers. Was obtained 14 samples of honey by Apis mellifera africanized, stored in sterile plastic vessels was sent to the Beekeeping Products Quality Control Laboratory (CEA-UNITAU). Was observed that the most of beekeepers have of 50 to 100 hives (57,14%), 28,57% of 100 to 200 hives and 14,28% more than 500 hives, being that 85,71% produce 30 to 50 kg honey/hives/flowering. All use the standard hive Langstroth and 85,71% obtain their swarm by capture. About the physical-chemical quality of the honey, was observed that moisture content varied from 18,2% to 22,0%, with mean value of 19,80±1,11; the water activity varied from 0,70 to 0,84 aw, with mean value of 0,79±0,05 aw; the total acidity was 24,91±8,99 meq/kg and the average index of hydroxymethylfurfural was 16,32±17,88 meq/kg. The results obtained are according to the quality limits established by the brazilian legislation, excepted the water activity that exceeded the maximum limit of 0,65 aw. The datasobtained in this paper shows the development of beekeeping in Pernambuco State and the honey presents nice quality.