Avaliação da prescrição médica em pediatria, baseada nos indicadores do uso de medicamentos selecionados pela oms em municipio do interior do estado de São Paulo

The World Health Organization (WHO) recommends that prescriptions of medicaments must be one parameter utilized to know how the medication is used by people. To do so, one specific methodology has been indicated, that is, the selected indicators of the use the medicaments. We applied this methodology with the aim of presenting a descriptive study of the physician prescription in Pediatric Clinic of the Health Basics Units. The results obtained are: the average number of medicaments prescribed with prescription was 2.6; the percentage of the medicaments prescribed with the generic name was 32%; the percentage of the prescriptions with antibiotics was 44.6%; the percentage of the prescriptions with injections was 10.4%; the percentage of the medicaments prescribed that are part of the municipal list was 22.8%, 27.5% for the program Dose Certs of the secretary of the State of São Paulo, and 50.4% by adding by adding the two lists. The essentiality of the medicaments prescribed may be considered very low, because only 32.6% appear in the RENAME. The percentage of the medicaments really dispensed was 39.9%. The medicaments more prescribed, according to the classification of the Anatomic-Therapeutic-Chemical (ATC), were the ones which acted in Respiratory System (26.8%), followed by anti-infectives for systemic use (16.4%) and by medicaments with acted in Alimentary tract and metabolism (15.8%). The conclusion is that the prescribers are moved by commercial influence of the drug makers, first because of the low prescription of medicaments by their generic name, second by the low number of medicaments effectively dispensed and then the low concordance between the ones prescribed and the ones included in the lists patterned by Tabatinga and by the State of São Paulo.

Animais aquáticos de importância médica no Brasil

The injuries caused by venomous and poisonous aquatic animals may provoke important morbidity in the victim. The cnidarians (jellyfishes, especially cubomedusas and Portuguese-Man-of-War) caused nearly 25% of 236 accidents by marine animals, while sea urchins were responsible for about 50% and catfish, stingrays and scorpionfish nearly 25%). In freshwater, stingrays and catfish cause injuries with a very similar mechanism to the poisoning and the effects of the toxins of marine species. In a series of about 200 injuries observed among freshwater fishermen, nearly 40% were caused by freshwater catfish, 5% freshwater stingrays and 55% by traumatogenic fish, such as piranhas and trairas. The author presents the aquatic animals that cause injuries to humans in Brazil, the clinical aspects of the envenoming and the first measures for the control of the severe pain observed mainly in the accidents caused by cnidarians and venomous fishes.

Consumo de medicamentos por idosos segundo prescrição médica em Jaú-SP

This study was carried out in order to identify the interactions that occur most often between prescribed drugs as they are taken by elderly patients attending municipal public health centers in the city of Jaú, São Paulo State, Brazil. It is known that older people frequently have to live with chronic health problems, which oblige them to use the health service a great deal and to consume large quantities of medicines. When concomitant diseases are present, and polytherapy is being applied, the likelihood of adverse reactions and interactions between drugs increases. The population under study consisted of 148 persons aged 65 or more who frequented the pharmacy at the Núcleo de Gestão Assistencial (Municipal Health Centre, NGA25) in Jaú, between August and December 2004. Data were collected from medical prescriptions, the independent variables being the age and sex of the patient. For each patient, the pharmacological classes of drugs taken and drug-drug interactions were recorded. It was found that the mean numbers of drugs consumed were 3.8 among women and 3.9 among men. In terms of age, the highest number of drugs (4.2) was used in the group aged 75 to 84 years. The most frequently prescribed classes, in decreasing order, were: antihypertensives, 25.0%, heart drugs, 15.5%, diuretics, and anti-diabetic drugs, 10.7%. It was concluded that the classes most involved in drug-drug interactions were heart drugs, diuretics and antihypertensives. The most problematic active constituents were digoxin, amiodarone, frusemide, captopril, propranolol and nifedipine.

Importância de Yersinia enterocolitica em microbiologia médica

Y. enterocolitica is a human invasive enteropathogen which causes a number of intestinal and extraintestinal clinical symptoms of various degrees of severity, ranging from mild gastroenteritis to mesenteric lymphadenitis, which mimics appendicitis and in rare cases can evolve to septicemia. Infection by Y. enterocolitica can also lead to post-infection immunological sequelae including arthritis, erythema nodosum and glomerulonephritis. Pathogenic Y. enterocolitica strains have traditionally been linked to specific biotypes and serogroups and associated to a variety of phenotypic characteristics related to virulence. Molecular genetics studies have pointed to the importance of the pYV virulence plasmid, which encodes various virulence genes, as well that of specific chromosomal virulence genes, in determining the pathogenesis of this bacterium. Intestinal infections by Y. enterocolitica are mostly self-limiting and usually do not need an antibiotic treatment. The occurrence of this microorganism is not as frequently described in Brazil as it is in other countries, such as Japan, USA and many European countries. This review focuses on the general characteristics, pathogenesis, clinical symptoms, virulence characteristics, treatment and antibiotic susceptibility of Yersinia enterocolitica strains isolated in Brazil and around the world.

Cursos de geologia: expansão, interiorização e consolidação do ensino de geologia no brasil

A short time after the creation of the first Geology courses in Brazil (in 1957 with the pioneers in the University of São Paulo and in the Federal Universities of Ouro Preto, Pernambuco and Rio Grande do Sul, and then in the following year in the Federal Universities of Bahia and Rio de Janeiro), there arose other initiatives that spread almost twenty Geology courses throughout Brazil. In addition to expanding the Geology teaching in the South, Southeast and Northeast regions, these initiatives succeeded in allowing access to geological education for the population in the North and Central-west of Brazil. In the 1960s, the courses in the Federal University of Para in Belém (1964), University of Brasilia (1965) and São Paulo State University in Rio Claro (1969) were implanted. In the following decade, the courses in the Federal Rural University of Rio de Janeiro in Seropédica (1970), the Federal University of Ceará in Fortaleza (1970), the University of Rio dos Sinos in São Leopoldo (1973), the Federal University of Paraná in Curitiba (1973), the Federal University of Minas Gerais in Belo Horizonte (1973), the Federal University of Amazonas in Manaus (1976), the Federal University of Mato Grosso in Cuiabá (1976), the Federal University of Rio Grande do Norte in Natal (1976), and the State University of Rio de Janeiro in Rio de Janeiro (1977) were all created. At the close of the twentieth century, the course was implanted in the State University of Campinas (1998). Now, at the beginning of the twenty-first century, new Geology courses are being implanted, accentuating the movement inland of Geology teaching in Brazil. The Federal University of Pará began a new course in its campus in Marabá in the south-east of Pará and the Federal University of Bahia implanted a new course in its campus in Barreiras in the west of Bahia. Finally, the Federal Universities of Sergipe, Espírito Santo and Roraima commenced Geology courses in Aracaju, Alegre and Boa Vista, respectively. This chapter will present the synthesis of the Geology courses which, over the last decades of the twentieth century, contributed to the expansion of Geology teaching in the country, taking it to every region and giving opportunities to a large number of Brazilian citizens to realize their dreams and tread the paths of their professional vocation.

Geologia e litogeoquímica da formação serra geral nos estados de mato grosso e mato grosso do sul

The basalts of the Formação Serra Geral in Parana Basin in the Mato Grosso do Sul and Mato Grosso states cover an area of 180,000 km2. They rest on the Botucatu sandstones and they are recovered by the sedimentary rocks of Bauru and Caiuá Groups. The mineralogical composition of these rocks are plagioclase (40%-55%), clinopyroxenes (19%-40%; augite and pigeonite), opaque minerals (2%-10%; magnetite and ilmenite) and olivine (1.5%). Geochemical data show two different types of basalts, named ATi-Pitanga (2.6% < TiO2 < 4.2%; 396 ppm < Sr < 438 ppm) and BTi-Ribeira (1.7% TiO2 <2.4%, 246 ppm < Sr < 286 ppm). In general, ATi-Pitanga have gently higher La/Yb(n) (6,1 ± 1,5ppm) than those BTi-Ribeira (5.6 ± 1,7ppm). The geochemical differences between ATi-Pitanga and BTi-Ribeira probably are related to different degrees of partial melt of a same mantle source, or to different mantle sources. The field relations show that BTi-Ribeira is displaced towards the north-western margin of the Paraná Basin and the thickness of lava flows increases towards the Paraná Graben, suggesting that ATi-Pitaga overlies BTi-Ribeira.

Gestión de la imagen médica digital

Incluye bibliografía

La experiencia de la salud electrónica en la Federación Médica del Interior del Uruguay

Incluye bibliografía

Instituciones de asistencia médica colectiva en el Uruguay: regulación y desempeño

Incluye Bibliografía

Geologia e Caracterização Tecnológica do Minério de Manganês da Mina Córrego do Cocho, Itapira (SP)

The objects of this study are three manganese ore deposits and one mine derived from lateritic weathering of gondites (spessartine quartzites). These deposits are associated with Mn-rich garnet metasediments of the Itapira Group (Paleoproterozoic) and the reserves were estimated at approximately 2.0 × 10 6 tons with an average grade of 23% MnO 2. The ore minerals are cryptomelane, pyrolusite, lithiophorite, spessartine and psilomelane. Several crystal shapes and textural characteristics were identifi ed in this study, which are related to the degree of liberation, as confi rmed by heavy media separation method. In this study, we determined the main characteristics of the liberation of manganese, which is concentrated in the fi ne grain-size fraction and is lost during ore dressing. Therefore, the low average content of MnO 2 (28%) is due to this loss, whereas at grain size of minus 0.074 mm, contents near 40% MnO 2 were observed. This suggests that the ore can be used for manufacturing manganese sulphate fertilizers. A comparative study with the ore deposits located at Ouro Fino (MG), mainly with the Caneleiras mine, showed that higher degree of liberation occurs in the coarse grain-size fractions (0.84 to 0.074 mm with MnO 2 content of 38%). As a consequence, the ore can be used for manufacturing Fe-Si-Mn alloys.

Elementos de política de indexação em biblioteca universitária da área médica

In the context of university libraries, the optimization and streamlining of services and processes related to informational content indexing and retrieval are strongly influenced by the indexing policy adopted. This article is aimed at researching the indexing policy elements that are more suitable for medical university libraries. To achieve our objective, we applied three instruments: organizational culture analysis, individual verbal protocol and evaluation of indexing. Results emphasize the importance of developing an indexing policy to improve the processes and services offered by university libraries, as well as the retrieval of information by the user community. More studies are necessary in the medical area involvoving catalogers, experts, users and managers for the development of the indexing manual.

Análise das propagandas dos medicamentos isentos de prescrição veiculadas em revistas para prescritores na área médica

This article presents an analysis of the quality of advertisements for over-the-counter (OTC) drugs addressed to the medical profession, based on the new Anvisa resolution RDC 96 (17/12/2008). For this analysis, 16 volumes of the Brazilian Journal of Medicine (RBM) were collected, from August 2009 to December 2010. To investigate the quality of the adverts, we prepared a questionnaire divided into three parts. In total, 160 advertisements were found, of which 27 were related to drugs exempt from prescription, from 9 laboratories. It was observed that none of the advertisements complied fully with the new rules, as required by legislation (RDC 96/08), with violations ranging from identification of the advert to prohibitions of human figures and subjective messages. Therefore, it was concluded that there is a need to implement more effective monitoring, so as to improve the quality of the adverts, so they can be used as a reliable source of information and update by prescribers.

Equidad en la atención médica del adulto mayor en Chile: papel de la previsión

Incluye Bibliografía

Influência da prática de atividades físicas sobre os gastos com saúde de pacientes vinculados a uma cooperativa médica

Pós-graduação em Ciências da Motricidade - IBRC