Política Nacional de Saúde Bucal: fatores associados à integralidade do cuidado

OBJETIVO: Analisar fatores relacionados à integralidade na assistência à saúde bucal em centros de especialidades odontológicas segundo os princípios norteadores da Política Nacional de Saúde Bucal. MÉTODOS: Estudo exploratório transversal baseado em entrevista com 611 usuários de quatro centros de especialidades odontológicas da Bahia em 2008. A variável dependente foi descrita como "integralidade na saúde bucal", correspondente à realização de tratamento odontológico básico antes do tratamento especializado ou concomitante a este. As principais co-variáveis se referiram a cobertura da estratégia saúde da família no município, características sociodemográficas dos usuários, acessibilidade organizacional e geográfica ao serviço, além do tipo de especialidade demandada. RESULTADOS: Residentes de cidades em que o Programa Saúde da Família tinha cobertura > 50% tiveram mais chance de concluir o tratamento odontológico (RP = 2,03, IC 95%: 1,33;3,09) em relação àqueles residentes em locais com cobertura menor. Quem buscou tratamento endodôntico teve mais chance de receber assistência integral à saúde bucal do que os usuários em busca de outras especialidades (RP = 2,31, IC 95%: 1,67;3,19). Os usuários com maior facilidade no acesso geográfico ao serviço especializado (RP = 1,22, IC 95%: 1,03;1,41), com ficha de referência (RP = 2,95, IC 95%: 1,82;4,78) e oriundos da atenção primária (RP = 3,13, IC 95%: 1,70;5,77) tiveram mais chance de alcançar a integralidade na assistência à saúde bucal em relação aos demais usuários. CONCLUSÕES: Usuários com facilidade de acesso geográfico, mais jovens e necessidade de serviço endodôntico tiveram mais chance de receber assistência integral. A implantação de centros de especialidades odontológicas em municípios nos quais a atenção primária à saúde não esteja adequadamente estruturada não é recomendada, visto que a atenção secundária estaria atendendo a livre demanda e executando procedimentos básicos e, portanto, não cumprindo o princípio da integralidade pretendida.

A enfermagem e a política nacional de formação dos profissionais de saúde para o SUS

O presente artigo tem por objetivo identificar aspectos e características da formulação e implementação da política nacional de gestão da educação na saúde, ao longo dos últimos 6 anos, destacando a participação e o papel central da graduação e da profissão da Enfermagem como campo de conhecimento estruturante da gestão do cuidado e do processo de trabalho na saúde. Ressaltam-se os avanços e desafios atualmente colocados para a consolidação do SUS e o papel da articulação entre os gestores da saúde e da educação, e do estabelecimento da articulação interfederativa para o sucesso das iniciativas em curso.

Alguns aspectos da política nacional de ciência e tecnologia

The Brazilian industrialisation process, which occurred from World War II up to the early eighties, was almost totally based on imported technology and has thus not demanded local S&T capability. National S&T expenditures were limited to 0.7 % of the GNP, covering mainly expenses with basic research and training of scientists and engineers. Federal Government was then responsible for 90% of the national S&T expenditures. The globalisation of the economy, associated with the reduction of tariff barriers, has, since the early nineties, exposed Brazilian industries to international competition and, thus, forced them to invest in research and development. S&T policy fosters research activities, provides research infrastructure and human resources training. The goal is to raise national expenditures to 1.5% of GDP by 1999, with a share of the private sector of about 40%. In 1996, national S&T expenditures have already attained 1.1% of the GDP and private sector investments in this area reached a share of 30%.

Determinação da matéria-prima utilizada na produção do biodiesel adicionado ao diesel mineral através de monitoramento seletivo de íons

The selective ion monitoring acquisition mode in mass spectrometry was applied to identify, in the diesel complex matrix, the raw materials (vegetable oil and alcohol) that originate biodiesel. Biodiesel samples obtained from babassu, castor, palm and soybean vegetable oils and pure fatty acid methyl and ethyl esters were used to develop this method, using specific fragments in mass spectrometry and the "window system" in gas chromatography. The commercial Brazilian B2 samples were found to be produced with soybean oil, transesterified with methanol.

Gliceroquímica: novos produtos e processos a partir da glicerina de produção de biodiesel

Glycerol is a byproduct of biodiesel production through transesterification of oils and fat. This article discusses the chemical transformation of glycerol in ethers, acetals and esters of high technological applications, especially in the fuel sector. Glycerol hydrogenolysis, dehydration to acrolein and oxidation are discussed as well, to show the potential use of glycerol for production of plastic monomers. Finally, the article shows other transformations, such as syn gas production, epichloridrin and glycerin carbonate.

Alternativa potencial para aproveitamento do glicerol gerado na produção de biodiesel: síntese enzimática de monolaurina por esterificação

Esterification reactions of glycerol with lauric acid in solvent free system were carried out using lipases from several sources. All lipases were immobilized on polysiloxane-polyvinyl alcohol particles by covalent binding with high activity recovered. Among the tested enzymes, the Candida antarctica lipase allowed to attain the highest molar conversion (76%), giving similar proportions of monolaurin, dilaurin and low amount of trilaurin. To further improve the process, the Response Surface Methodology (RSM) was used and optima temperature and molar ratio glycerol to lauric acid were found to be 45 ºC and 5:1, respectively. Under these conditions, 31.35% of monolaurin concentrations were attained and this result was in close agreement with the statistical model prediction.

Produção de biodiesel através de transesterificação in situ de sementes de girassol via catálise homogênea e heterogênea

The objective of this work is to show the results of the in situ transesterification of sunflower seed oil with methanol on basic homogeneous and heterogeneous catalysis for the production of biodiesel. In homogeneous catalysis, the activity of KOH and K2CO3 were evaluated using the same oil:methanol ratio of 1:90. KOH showed to be more active than K2CO3, leading to total conversion in biodiesel after 1h reaction time. In the heterogeneous catalysis the activity of K2CO3/Al2O3 was comparable to the activity of K2CO3 bulk: 53.0 and 66.6% resp. The properties of samples of biodiesel produced by homogeneous and heterogeneous catalysis were evaluated and are in accordance with the recommended fuel properties.

Produção de biodiesel via transesterificação etílica com zeólitas básicas

Soybean oil transesterification with ethanol was carried out in a batch reactor using USY zeolites modified with barium and strontium (15 wt.%) as catalysts. A series of three catalytic cycles were performed for each zeolite without any loss of activity. The biodiesel product was analyzed by HPLC and FT-Raman, and the catalysts by pyridine and CO2 adsorption. Ba/USY provided higher conversions (> 97%) than Sr/USY (< 75%). The increased catalytic activity of Ba/USY was attributed to two different effects: a larger number of basic sites; and a lower interaction between barium species and HUSY BrØnsted sites.

Tratamentos dos efluentes gerados na produção de biodiesel

The wastewaters from biodiesel production contain as primarily wastes sodium or potassium soaps, fatty acids, glycerin, alcohol and other contaminants. In general, these waters are chemically unsuitable for release to any water body, so, it is necessary the adoption of techniques for the treatment of this effluent. In this review, electrochemical, biological, physicochemical, and combined treatments reported for the removal of the wastewater containing pollutants come from biodiesel production have been summarized. In addition, the recovery, the reuse, the energy production and the synthesis of new compounds from the organic matter contained in this kind of effluent are also reviewed.

Aproveitamento da glicerina proveniente da produção de biodiesel na obtenção de híbrido de caulinita para adsorção de Cr3+

The aim of this work was to contribute to the creation of new ways of treating wastewater contaminated with Cr3+, based on solid-liquid adsorption. An adsorbent material was prepared by functionalization of kaolinite with glycerin biodiesel by-product. This material was tested for adsorption performed using a batch method, and results showed that inclusion of glycerin in the structure of kaolinite led to a significant increase in the capacity of Cr3+ adsorption. This contributes to the allocation of by-product of biodiesel and to the treatment of effluents from tanneries.

Avaliação da potencialidade de microalgas dulcícolas como fonte de matéria-prima graxa para a produção de biodiesel

In this work, the fatty acid quantity and composition of six freshwater microalgae and soybean grains was determined by direct transesterification and gas chromatography analysis. The results showed that all the freshwater microalgae species presented a higher quantity of fatty acid than soybean grain. Choricystis sp. (A) provides 115% more fatty acids per gram of biomass than soybean grain. With regard to the fatty acid composition, Choricystis sp. (A) showed an adequate proportion of saturated and unsaturated fatty acids, with lower quantity of polyunsaturated fatty acids and, akin to some marine microalgae, constitutes an alternative raw material for biodiesel production.

AVALIAÇÃO DE MÉTODOS DE SOLUBILIZAÇÃO PARA DETERMINAÇÃO DE METAIS EM GLICERINA PROVENIENTE DA PRODUÇÃO DE BIODIESEL POR TÉCNICAS DE ESPECTROMETRIA ATÔMICA

This paper describes the evaluation of simple and fast solubilization methods for the determination of Ca, Mg, and K in glycerin samples from biodiesel production by atomic spectrometry. The solubilization in water was compared with two other methods: solubilization in formic acid and solubilization in ethanol. Using solubilization in water, determination of the three analytes was possible; the values of limits of detection for Ca, K, Mg were 0.31, 0.06, and 0.16 mg kg−1, respectively. Because no adequate reference material was available, the accuracy was evaluated by assessing the recoveries tests with both solubilization methods; the evaluation ranged from 90% to 115%, with values of relative standard deviation >8%, indicating good accuracy of the measure. Four crude glycerin samples obtained from biodiesel plants of Rio Grande do Sul were analyzed after treatment with the different methods of solubilization, and the obtained results of Ca, Mg, and K concentration were in agreement with the values obtained from both solubilization methods. Therefore, solubilization in water is concluded to be a simpler, faster, and viable method for sample preparation of glycerin.

PRODUÇÃO DE BIODIESEL A PARTIR DE ÁCIDOS GRAXOS PROVENIENTES DO REFINO DE ÓLEOS VEGETAIS VIA CATÁLISE ÁCIDA HETEROGENEA E MICRO-ONDAS

This work presents the biofuel production results of the esterification of fatty acids (C12-C18) and high-acid-content waste vegetable oils from different soap stocks (soybean, palm, and coconut) with methanol, ethanol, and butanol by acid catalysis. We used Amberlyst-35 (A35) sulfonic resin as a heterogeneous acid catalyst and p-toluenesulfonic acid as a homogeneous catalyst for comparison. Both the heterogeneous (A35) and homogeneous (p-toluenesulfonic acid) reactions were performed with 5% w/w of catalyst. The final products were analyzed by proton nuclear magnetic resonance (1H NMR). The homogeneous catalyzed esterification of fatty acids with methanol, ethanol, and butanol produced esters with yields higher than 90%. In the reaction with fatty acids and methanol catalyzed by A35, the best results were achieved with lauric acid and methanol, with a yield of 97%. An increase in the hydrocarbon chain decreased the rate of conversion and yield for stearic acid with methanol, which was 90%. Maximum biodiesel production was achieved from coconut and soybean soap stocks and methanol (96%-98%), which showed conversions very close to those obtained from their respective fatty acids. Microwave irradiation reduced the reaction time from 6 to 1 h in the esterification reaction of fatty acids with butanol.

OTIMIZAÇÃO DO PROCESSO DE TRANSESTERIFICAÇÃO EM DUAS ETAPAS PARA PRODUÇÃO DE BIODIESEL ATRAVÉS DO PLANEJAMENTO EXPERIMENTAL DOEHLERT

In this work, Doehlert experimental design was used to optimize the Transesterification Double Step Process (TDSP) method of methyl soybean oil biodiesel production which starts with a basic catalysis followed by an acidic catalysis. The conversion values were calculated from NMR spectra. Response surface was used to show the results of the interactions between the variables. This experimental design evaluated variables like catalyst and alcohol amount for the basic catalysis and time and temperature for the acidic catalysis. According to results obtained after Doehlert design application the alcohol amount was the main factor that influenced on the basic catalysis but for the acidic catalysis both time and temperature are important and their effects are opposite. It resulted on excellent conversions for both steps obtaining for the basic catalysis about 100% when was used like optimal conditions catalyst amount equal to 0.40 g and volume of methanol equal to 60 mL and for the acidic catalysis about 99% when was used like optimal conditions temperature of 65 °C and 90 minutes for reaction time.

Otimização da produção de biodiesel a partir de óleo de coco babaçu com aquecimento por microondas

As reações sob aquecimento por microondas geralmente apresentam significativa redução no tempo de reação e elevados rendimentos. Portanto, o objetivo desse trabalho foi adaptar um forno de microondas doméstico de forma adequada e segura para realização de reações de transesterificação, e otimizar o processo de produção de biodiesel por microondas usando óleo de coco babaçu como matéria prima. Para este fim, foi usado um planejamento composto central no qual se variou o tempo de irradiação, concentração de KOH e razão óleo:metanol. Análises estatísticas foram feitas para avaliarem a significância do modelo usado. As condições experimentais ótimas foram: razão óleo:metanol, 8,59, concentração de KOH, 2,19%, tempo de irradiação, 70 segundos, dando rendimento de aproximadamente 100%.