Acesso aos níveis de atenção à saúde em um município do Estado de São Paulo: perspectivas de gestores, profissionais e usuários

Pós-graduação em Saúde Coletiva - FMB

Identificação dos benefícios e dificuldades da produção mais limpa em empresas industriais do estado de São Paulo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação normativa das salas de vacinas na rede pública de Saúde do municipio de Marilia, Estado de São Paulo, Brasil 2008 -2009.

Objective: to evaluate the standardization of vaccination rooms in the Municipality of Marília, State of São Paulo, Brazil. Methods: descriptive and exploratory study, realized in 2008-2009; the instrument used was the Supervision in Vaccination Rooms, of the Ministry of Health; variables analyzed were general aspects of the vaccination room, technical procedures, cold chain, information system, post-vaccination adverse events, special immunobiologicals, epidemiological surveillance and health education; the score achieved classifies the room (90.0-100.0% = ideal; 76.0-89.0% = good; 50.0-75.0% = fair; <50.0% = insufficient); overall index for each point was calculated as the average score of all rooms. Results: technical procedures, information system, post-vaccination adverse events and special immunobiologicals were scored as ideal; cold chain, epidemiological surveillance and health education were scored as good; and to general aspects of the vaccination room, the evaluation was fair. Conclusion: general index for vaccination rooms in the municipality was considered ideal.

Legislação ambiental incidente sobre cemitérios do Estado de São Paulo

A expansão urbana acarreta a necessidade de mitigações ambientais, em que um planejamento do uso do solo, bem como seu processo de ocupação traz a necessidade também de estudos para viabilizar tais ações. Nesse processo de expansão, os cemitérios necessitam de maiores atenções, já que evidenciaram indícios de contaminações no solo e fontes de água próximas. Atualmente, o CONAMA (Conselho Nacional de Meio Ambiente) possui duas resoluções que discorrem sobre os aspectos construtivos, visando controlar os resíduos existentes, tais como o Liquame da Coliquação (também conhecido por Necrochorume), um dos responsáveis pela contaminação do solo e aquíferos subterrâneos. Tendo esse escopo em pauta, este trabalho exibe um levantamento da legislação que incide sobre a implantação e regularização de cemitérios no estado de São Paulo.

Mapeamento geológico-geotécnico por meio de análise integrada no Parque Estadual do Juquery - Franco da Rocha-SP

Pós-graduação em Geociências e Meio Ambiente - IGCE

Caracterização hidrogeoquímica, isotópica e diagenética do sistema aquífero Bauru no Estado de São Paulo

Pós-graduação em Geociências e Meio Ambiente - IGCE

Caracterização hidrogeoquímica, isotópica e diagenética do sistema aquífero Bauru no Estado de São Paulo

Pós-graduação em Geociências e Meio Ambiente - IGCE

A new species of Leptodactylus (Anura : Leptodactylidae) from the Atlantic forest of Sao Paulo State, Brazil

A new species of Leptodactylus from Bertioga municipality, Sao Paulo State, Brazil is described. Leptodactylus ajurauna sp. nov. differs from others species in the L. marmoratus group by its dark brown throat and the advertisement call. The taxonomy of other species in the group and the status of the population of Leptodactylus marmoratus sympatric with the new species are discussed. The advertisement call is also described.

Homogeneity assessment of a station climate series (1933-2005) in the Metropolitan Area of Sao Paulo: instruments change and urbanization effects

This work assessed homogeneity of the Institute of Astronomy, Geophysics and Atmospheric Sciences (IAG) weather station climate series, using various statistical techniques. The record from this target station is one of the longest in Brazil, having commenced in 1933 with observations of precipitation, and temperatures and other variables later in 1936. Thus, it is one of the few stations in Brazil with enough data for long-term climate variability and climate change studies. There is, however, a possibility that its data may have been contaminated by some artifacts over time. Admittedly, there was an intervention on the observations in 1958, with the replacement of instruments, for which the size of impact has not been yet evaluated. The station transformed in the course of time from rural to urban, and this may also have influenced homogeneity of the observations and makes the station less representative for climate studies over larger spatial scales. Homogeneity of the target station was assessed applying both absolute, or single station tests, and tests relatively to regional climate, in annual scale, regarding daily precipitation, relative humidity, maximum (TMax), minimum (TMin), and wet bulb temperatures. Among these quantities, only precipitation does not exhibit any inhomogeneity. A clear signal of change of instruments in 1958 was detected in the TMax and relative humidity data, the latter certainly because of its strong dependence on temperature. This signal is not very clear in TMin, but it presents non-climatic discontinuities around 1953 and around 1970. A significant homogeneity break is found around 1990 for TMax and wet bulb temperature. The discontinuities detected after 1958 may have been caused by urbanization, as the observed warming trend in the station is considerably greater than that corresponding to regional climate.

Macroalgal composition and its association with local hydrodynamics in the Laje de Santos Marine State Park, southwestern Atlantic, São Paulo, Brazil

The Laje de Santos Marine State Park (LSMSP), located in southeastern Brazil, is the only marine park in Sao Paulo State. This conservation unit has been established as a protected area of high biological diversity. Despite its importance for the conservation of the marine biota, little is known about the park's seaweed flora. The objectives of this study were as follows: to furnish increased knowledge of the composition of the macroalgae in the Park area; to relate the area's macroalgal composition to the presence of an important water mass in the region, the South Atlantic Central Water (SACW); and to investigate the possible influence of the Port of Santos on the composition of the macroalgae of the LSMSP. This study registered 31 new records for the LSMSP, 11 for Sao Paulo State, four for Brazil, one for the western Atlantic and one for the South Atlantic Ocean, in addition to the possible occurrence of one new species of Osmundea (Rhodomelaceae) and one new genus belonging to Ceramiaceae. The taxonomic composition of the macroalgae had a direct correlation with the arrival of the SACW in the summer-fall season. The SACW generated a strong thermocline and increased the supply of nutrients in the water column. Hydrodynamic and dispersion modeling analyses suggested that the Port of Santos influenced the composition of the LSMSP phycoflora.

Risk factors for computer visual syndrome (CVS) among operators of two call centers in Sao Paulo, Brazil

The aims of this study were to investigate work conditions, to estimate the prevalence and to describe risk factors associated with Computer Vision Syndrome among two call centers' operators in Sao Paulo (n = 476). The methods include a quantitative cross-sectional observational study and an ergonomic work analysis, using work observation, interviews and questionnaires. The case definition was the presence of one or more specific ocular symptoms answered as always, often or sometimes. The multiple logistic regression model, were created using the stepwise forward likelihood method and remained the variables with levels below 5% (p < 0.05). The operators were mainly female and young (from 15 to 24 years old). The call center was opened 24 hours and the operators weekly hours were 36 hours with break time from 21 to 35 minutes per day. The symptoms reported were eye fatigue (73.9%), "weight" in the eyes (68.2%), "burning" eyes (54.6%), tearing (43.9%) and weakening of vision (43.5%). The prevalence of Computer Vision Syndrome was 54.6%. Associations verified were: being female (OR 2.6, 95% CI 1.6 to 4.1), lack of recognition at work (OR 1.4, 95% CI 1.1 to 1.8), organization of work in call center (OR 1.4, 95% CI 1.1 to 1.7) and high demand at work (OR 1.1, 95% CI 1.0 to 1.3). The organization and psychosocial factors at work should be included in prevention programs of visual syndrome among call centers' operators.

Incidence of Leptospirosis infection in the East Zone of Sao Paulo City, Brazil

Abstract Background Leptospirosis is a zoonosis which is spread through contamined running water. This contaminations is seriously affected by the flooding which occurs in the area surrounding the Aricanduva river. The transmission of the disease results mainly from the contact of water with soil contaminated by the urine of infected animals. We aimed to conduct an epidemiological survey on Leptospirosis cases in Sao Paulo East Zone area. Method The analysis conducted in this study was based on data collected from the health authorities of that region close the Aricanduva river between 2007 and 2008 years, which give the rates of confirmed cases, mortality and death from human Leptospirosis. Other information concerned with the relationships among rainfall index, points of flooding and incidence of Leptospirosis. Results We observed a direct and important water contamination. Records of flooding points and dates of the reported cases in the region showed a direct relationship from which the period of higher rainfall also recorded an increase in cases. The annual record of the city and the region and rainfall regions also presented correlation. Conclusion The association between the indices of flooding and Leptospirosis cases indicates that preventive measures are necessary to avoid exposing the community.

TUBERCULOSIS AMONG HIV-1-INFECTED SUBJECTS IN A TERTIARY OUT-PATIENT SERVICE IN SÃO PAULO CITY, BRAZIL

TB is currently considered to be the most important infectious disease among HIV-1-infected subjects in developing countries, such as Brazil. A retrospective analysis of TB cases was performed, occurring from January 1995 to December 2010 in our cohort of 599 HIV positive patients. The primary outcome was the occurrence of active TB. Forty-one TB cases were diagnosed over this period of 16 years, among 599 HIV positive patients in an open cohort setting in the city of Sao Paulo, Brazil. All-time lowest mean CD4 T cell count at the time of TB diagnosis was 146 and 186 cells/mm3, respectively. The mean HIV viral load was 5.19 log10 copies/mL, and 59% of the patients were on HAART. TB incidence was 1.47 per 100 person-years, for a total follow-up time of 2775 person-years. The probability of surviving up to 10 years after diagnosis was 75% for TB patients as opposed to 96% for patients with other, non-TB opportunistic diseases (p = 0.03). TB can be considered a public health problem among people living with HIV in Brazil despite of the widespread use of antiretrovirals for the treatment of HIV infection/AIDS.

Avaliação da influência de condições meteorológicas na ocorrência e manutenção de um episódio prolongado com altas concentrações de ozônio sobre a região metropolitana de São Paulo

Na Região Metropolitana de São Paulo, a rede de monitoramento da qualidade do ar registra frequentemente valores de concentração de ozônio superiores aos estabelecidos pela legislação em vigor no Brasil. Em algumas ocasiões, condições meteorológicas favoráveis ao processo de formação de ozônio possibilitam a ocorrência de altas concentrações de ozônio durante diversos dias consecutivos na região. A influência de condições meteorológicas no episódio de poluição, registrado entre os dias de 24 de fevereiro e 05 de março de 2003, foi avaliada através de simulações numéricas com o modelo SPM-BRAMS. Estudos observacionais mostram que a ocorrência de ventos fracos, principalmente, durante o período noturno e durante as manhãs, favorece a formação de altas concentrações de ozônio sobre a região. O horário de entrada e a atuação da brisa marítima são fundamentais para o transporte do ozônio e de seus precursores. Essas condições foram bem simuladas pelo modelo. Para os dias mais críticos, quando diversas estações de monitoramento registraram a ocorrência de violações ao padrão nacional de qualidade do ar, o modelo simulou adequadamente as condições atmosféricas determinantes para a manutenção de valores elevados nas concentrações de ozônio, sem a necessidade de nenhum procedimento artificial ao longo das integrações.

Macroalgal composition and its association with local hydrodynamics in the Laje de Santos Marine State Park, southwestern Atlantic, São Paulo, Brazil

The Laje de Santos Marine State Park (LSMSP), located in southeastern Brazil, is the only marine park in São Paulo State. This conservation unit has been established as a protected area of high biological diversity. Despite its importance for the conservation of the marine biota, little is known about the park's seaweed flora. The objectives of this study were as follows: to furnish increased knowledge of the composition of the macroalgae in the Park area; to relate the area's macroalgal composition to the presence of an important water mass in the region, the South Atlantic Central Water (SACW); and to investigate the possible influence of the Port of Santos on the composition of the macroalgae of the LSMSP. This study registered 31 new records for the LSMSP, 11 for São Paulo State, four for Brazil, one for the western Atlantic and one for the South Atlantic Ocean, in addition to the possible occurrence of one new species of Osmundea (Rhodomelaceae) and one new genus belonging to Ceramiaceae. The taxonomic composition of the macroalgae had a direct correlation with the arrival of the SACW in the summer-fall season. The SACW generated a strong thermocline and increased the supply of nutrients in the water column. Hydrodynamic and dispersion modeling analyses suggested that the Port of Santos influenced the composition of the LSMSP phycoflora.