992 resultados para São Paulo state


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Objective. - In a pioneer way, we investigated the morbidity of sports injuries referred by judo athletes from São Paulo State Championship.Material and methods. - Data collection from 93 senior judokas in State of São Paulo Judo Championship, through Referred Morbidity Inquiry about last year.Results. - One hundred and ten events were registered with a distribution frequency gradient of sprain > contusion > strain > ligament injury > partial and total dislocation. The most injured body areas were: knee (26.3%), shoulder (21.8%), fingers (17.3%), and ankle (10.0%). The most risky situation was when the athlete was training (standing, applying a blow) and it can be explained by the frequent and unprepared exposition of the athletes. Yearly lesion rate was 1.18 injuries per athlete/year.Conclusion. - Sprains constitute the most common judo injury, and athletes are more susceptible when they apply blows; discussion about the direction that the prevention should be applied remains opened. (c) 2006 Elsevier Masson SAS. All rights reserved.

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Microhabitat distribution was investigated in three populations of C. coeruleus to determine the distributional patterns and their controlling factors, as well as morphometric adaptations to varying conditions on a scale of a few centimetres. Morphometric variations and their relations with physical variables (current velocity, irradiance, depth and type of substratum) revealed some particular characteristics for each population and indicate particular adaptations. However, some trends were clear: 1) larger plants (length and/or diameter) produced a higher quantity of monosporangia in the three populations; 2) plant length and diameter were positively correlated in two populations; 3) plant diameter was positively correlated with current velocity in two populations; 4) higher percent cover was associated with substrata composed of macrophytes in two populations. C. coeruleus occurred under relatively wide microhabitat conditions and had high niche width values, suggesting a tolerance to considerable variation in physical variables. These characteristics contribute to the species' wide distribution in Brazilian streams, both spatial (at distinct scales) and seasonal. (C) ADAC / Elsevier, Paris.

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During the Brasiliano-Pan-African Orogeny, West Gondwana formed by collisional processes around the Sao Francisco-Congo Craton. The Ribeira belt, in southeastern Brazil, resulted from northwestward collision (650-600 Ma), followed by large-scale northeast-southwest dextral strike-slip shear movements related to late-collisional escape tectonics (ca 600 Ma).In São Paulo State, three groups, also interpreted as terranes, are recognised in the Ribeira Belt, the Embu, Itapira and Sao Rogue Groups. The Embu and Itapira Groups are formed of sillimanite-gneisses, schists and migmatites intruded by Neoproterozoic calc-alkaline granitoids, all thrusted northwestward. The Sao Rogue Group is composed of metasediments and metavolcanics in greenschist-facies. Its deformation indicates a transpressional regime associated with tectonic escape. Sub-alkaline granites were emplaced in shallow levels during this regime. Microstructural studies along the Itu, Moreiras and Taxaquara Shear Zones demonstrate the coexistence of horizontal and Vertical displacement components during the transpressional regime. The vertical component is regarded as responsible for the lateral juxtaposition of different crustal levels. (C) 1999 Elsevier B.V. Limited. All rights reserved.

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The inappropriate use of antimicrobials in hospitals presents a negative impact on patient outcome and is associated with the emergence and spread of multidrug-resistant microorganisms. Antimicrobial stewardship programs (ASPs) have been instituted in order to improve the quality of prescriptions in hospitals. In this setting, the identification of patterns of inappropriate antimicrobial prescription is a valuable tool that allows ASPs to identify priorities for directing educative/restrictive policies. With this purpose, a study was conducted in the Bauru State Hospital, a teaching hospital with 285 beds affiliated to the Botucatu Medical School, São Paulo State University. The hospital maintains an active ASP since it was opened, in 2002. We selected 25% of the requests for parenteral antimicrobials (RPAs) from 2005 for analysis. Prescriptions for prophylactic purposes were excluded. All other RPAs were classified according to a modified Kunin and Jones categories. Univariate and multivariable analyses were performed to identify predictors of general inappropriateness and of specific prescription errors. Prescriptions classified as "appropriate'' or "probably appropriate" were selected as controls in all stages of the study. Among 963 RPAs included in our study, 34.6% were inappropriate. General predictors of inappropriateness were: prescription on weekends/holidays (OR = 1.67, 95% CI = 1.20-2.28, p = 0.002), patient from intensive care unit (OR = 1.57, 95% CI = 1.11-2.23, p = 0.01), peritoneal (OR = 2.15, 95% CI = 1.27-3.65, p = 0.004) or urinary tract infection (OR = 1.89, 95% CI = 1.25-2.87, p = 0.002), combined therapy with two or more antimicrobials (OR = 1.72, 95% CI = 1.15-2.57, p = 0.008) and prescriptions including penicillin (OR = 2.12, 95% CI = 1.39-3.25, p = 0.001) or first-generation cephalosporins (OR = 1.74, 95% CI = 1.01-3.00, p = 0.048). Previous consultation with an infectious diseases (ID) specialist had a protective effect against inappropriate prescription (OR = 0.34, 95% CI = 0.24-0.50, p < 0.001). Factors independently associated with specific prescription errors varied. However, consultation with an ID specialist was protective against both unnecessary antimicrobial use (OR = 0.04, 95% CI = 0.01-0.26, p = 0.001) and requests for agents with insufficient spectrum (OR = 0.14, 95% CI = 0.03-0.30, p = 0.01). In conclusion, the analysis of factors predictive of inappropriateness in antimicrobial prescription allowed us to identify issues requiring intervention. Also, it provided a positive feedback of the ASP efficacy, demonstrating the importance of previous consultation with an ID specialist to assure the quality of antimicrobial prescriptions.

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

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Abundance and ecological distribution of the rock shrimp Sicyonia dorsalis from the northern coast of São Paulo State (Brazil) was investigated during a two-year period (July 2001 to June 2003). Monthly collections were conducted in the Ubatuba (UBA) and Caraguatatuba (CA) regions, using a commercial shrimp boat equipped with double-rig nets. In each region, seven depths were delimited (5 m to 35 m). A total of 1,752 and 1,894 shrimp were obtained at UBA and CA, respectively. The distribution of S. dorsalis differed among depths, years, and seasons. Highest abundance values were recorded in depths where silt and clay comprised more than 70% of the sediment. The majority (89%) of captured specimens were caught in the first year, in periods of lower mean temperature, mainly in the spring of 2001, when the intrusion of cold South Atlantic Central Waters (SACW) was more intense. In such period, the differences in the abundance of shrimps in each region (UBA = 1,118 and CA = 493) suggested that S. dorsalis migrated to the north (UBA), during the SACW intrusion. Thus, sediment type and water temperature are among the most important variables affecting the bathymetric distribution of S. dorsalis in these regions.

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A new outbreak of Vaccinia virus was observed in Southwest region of São Paulo State. Brazil. The disease was observed in four small dairy farms with manual milking. Lesions were detected in cattle and in humans previously vaccinated and not vaccinated against smallpox. Although several reports of Vaccinia virus outbreaks have been occuring in Brazil, it was not yet reported in this region. This Outbreak reinforces the Viral circulation in Our country. The disease in persons previously vaccinated and not vaccinated against smallpox reinforces the absence of immunity, the risk to the human health, and the need for more epidemiologic and immunologic studies.