Diagnóstico das infecções relacionadas a cateter em recém-nascidos e epidemiologia molecular dos Staphylococcus spp. isolados

Pós-graduação em Biologia Geral e Aplicada - IBB

Divergências entre histórico da consulta e diagnóstico médico de agressões físicas registradas nos prontuários de uma unidade de urgência e emergência

There can be several indicators of violence in society. However, in no other health unit such violence acquires visibility as in emergency. This study aimed to examine whether there is divergence between the history of medical consultation and diagnosis of physical aggressions in the emergency unit. A cross-sectional study was conducted in an emergency unit in the city of Araçatuba, state of São Paulo, Brazil, based on medical records, considering data on patients, lesions, history, diagnosis and treatment. Out of 133,537 visits, only 153 were recorded as physical aggressions, and 161 informed violence in the history of the consultation; 59.6% were male, 60.6% were between 20 and 44 years old. Excoriations, pain and injury predominated. There were no associations between state violence in the diagnosis and the characteristics of patients and visits (schedule, routing, gender, age). The conclusion is that in most cases violence reported in the history of the consultation was not mentioned in the diagnosis of injuries. The characteristics of care and patients were not related to the fact that professionals diagnosed the case as violence.

Hipertensão arterial e cuidados com a saúde: concepções de homens e mulheres

Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

A produção científica sobre diagnóstico de enfermagem NANDA no Brasil: revisão integrativa da literatura-UNESP – Botucatu

Concern about the identity of nursing professionals has existed since Florence Nightingale. The exercise of the nursing profession must be based on scientific principles so that the actual health problems of a given community can be assessed and actions targeted at improving the population’s quality of life can be designed from such assessments. This problem assessment is referred to as Nursing Diagnosis. NANDA defines diagnosis as “a clinical judgment about individual, family or community responses to actual or potential health problems/life processes. Nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which nurses are accountable”. The present study aimed at investigating the scientific production on Nursing Diagnosis (NANDA). This is an literature review. For data collection, an instrument that addressed the following items was used: identification of original articles and evaluation of their objectives, methodological characteristics, results and conclusion. In the present review, 15 articles that met the inclusion criteria were analyzed. They were all authored by nurses. Four articles addressed obstetrics, puerperium and neonatology, and the diagnosis of an unsatisfactory breastfeeding process was observed in 100% of cases. As regards chronic diseases, four articles were found, and two exclusively addressed diabetes, with a main diagnosis of an ineffective control of the therapeutic regimen. Three articles addressed the elderly, and the main diagnosis found was hindered mobility in more than 90% of cases. As regards, sexually transmitted diseases, one article was found with three diagnoses with 100% for disturbed sleep patterns, infection risk and ineffective protection. As to patients with sequelae, two articles were identified, and the diagnoses found were hindered physical mobility, with 100%; self-care deficit for... (Complete abstract click electronic access below)

Diagnóstico da gestão e do gerenciamento dos resíduos eletroeletrônicos gerados no campus da Faculdade de Engenharia de Guaratinguetá/Unesp

Currently, in Brazil, the quantity and quality of new types of wastes, discarded without criteria in urban areas, has been responsible for considerable impacts on public health and the environment. According to a report prepared by the Institute of Applied Economic Research (IPEA), the country loses about U.S. $ 8 billion annually, due lack of waste recycling, which go directly into landfills or dumps. Among these solid wastes are waste electrical and electronic equipment (WEEE), whose characteristics are complex, by having in its composition substances of high value-added and other health hazards which require different treatment of household waste. Aiming to fill the gap in Brazilian environmental legislation, on 02/08/2010, was sanctioned the National Policy Solid Waste (Law No. 12,305), already regulated on 23/12/2010 (Decree No 7404), whose based on the following principles:reduction of waste generation and toxicity of shared responsibility, proper planning management, social inclusion of waste pickers and sustainable production and consumption. Given the above, this work presented here, aims generally present a diagnosis of the current situation of electronic waste generated in the Faculty of Engineering, Campus Guaratinguetá, FEG / UNESP, to provide data for management and management of these waste, based on sustainability, the economic losses and minimizing environmental impacts and public health related to the flow and the improper disposal of these wastes

Novo Centro de Estudos da Educação e da Saúde (CEES)

A proposta do novo projeto arquitetônico para o Centro de Estudos da Educação e da Saúde pertencente à Faculdade de Filosofia e Ciências – UNESP Campus de Marília, visa, de forma geral, atuar como um estabelecimento de apoio para a cidade de Marília e demais cidades da região nas questões relativas ao diagnóstico e à reabilitação física, mental, motora e fonoaudiológica, através dos estágios supervisionados dos cursos de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da instituição. Dessa forma, através de uma arquitetura humanizada voltada e pensada no ser humano, a unidade auxiliar contribui para a inclusão social dos indivíduos portadores de deficiência ou com restrição à mobilidade através do restabelecimento e/ou melhora de suas capacidades, desenvolvendo uma sociedade inclusiva e uma vida saudável, além de proporcionar um ambiente eficiente e fundamental no processo de ensino superior

Prevalência de infecção clamidiana em mulheres com diagnóstico de infertilidade primária e secundária atendidas no ambulatório de esterilidade do Hospital das Clínicas da Faculdade de Medicna de Botucatu, Unesp

A infertilidade está se tornando um problema emergente de saúde pública em muitos países do mundo e, para muitos autores, esse aumento parece coincidir com o crescente papel desempenhado pela Chlamydia trachomatis. A infecção por C. trachomatis é uma das principais causas de lesão tubária que pode levar a oclusão desta ou processos aderentes que comprometem o complexo tubo-ovariano. O objetivo deste trabalho foi avaliar a prevalência de cervicite por Chlamydia trachomatis em mulheres diagnosticadas com infertilidade primária ou secundária atendidas no Ambulatório de Esterilidade do Hospital das Clínicas da Faculdade de Medicina de Botucatu, UNESP. Foram incluídas no estudo 112 mulheres atendidas no período de julho de 2008 a junho de 2009, que concordaram em participar do estudo e que responderam ao questionário para caracterização sóciodemográfica e ginecológica, sendo 62 pacientes com infertilidade primária e 50 com infertilidade secundária. Durante o exame especular, foi coletada secreção cervical com cytobrush para pesquisa de C. trachomatis pela técnica de reação em cadeia da polimerase (PCR) e conteúdo vaginal por meio de swab para avaliação da flora vaginal pelo método de Gram. Em relação à caracterização das pacientes, 66,7% eram moradoras de municípios com menos de 100.000 habitantes, 63,4% relataram ter vínculo empregatício, 98,2% declararam união estável, 74,1% eram brancas e 14,3% fumantes. A mediana de idade das pacientes no momento da inclusão no estudo foi de 28 anos (14-44). A mediana de idade à menarca e ao início da atividade sexual foi de 12 anos (9-17) e 16 anos (11-38), respectivamente. A mediana do tempo de infertilidade foi de 4 anos (1-17). Ainda nesse estudo, 67,9% das pacientes relataram mais de três relações sexuais por semana, 25,0% relataram infecção do trato genital inferior anteriormente ao estudo, 23,2% relataram... (Resumo Completo, clicar acesso eletrônico abaixo)

Diagnóstico dos resíduos gerados nas oficinas mecânicas de veículos automotivos do município de São Carlos-SP

The mechanical garages do varied types to activities related to the reparation from vehicles such as change from Motor oil, change and cleaning from car pieces, motor rectification, among others. These activities generate different kinds of waste and wastewater that when disposed in an inappropriate way can pollute the environmentand cause risks to the public health. Despite the environmental issues that involves these enterprises, they aren´t object of environmental licensing and there are any rules that regularizes their activities with the goal of these possible environmental impacts mitigation. The environmental diagnosis proposed by the present work has as goal the knowledge of the possible environmental aspects and their effects in the environment, for establishing control measures and from that to generate subsidy for environmental normatization of the sector in the municipal level. Furthermore, it should also define practices as waste production reduction, separation of them at the generator source and convenient final disposal, as well as wastewater production reduction and treatment of them before its launching in the wastewater network. The environmental diagnosis was based on a survey realized in garages from the city of São Carlos – SP, in order to define the more important characteristics of this activity that are related to the environment and public health. From the obtained information from the survey and the interpretation of the data, subsidy for the municipal environment management of the mechanical garages were generated.

Análise de dez anos de utilização de serviços de saúde por uma coorte de pacientes diagnosticados com hipertensão arterial, no CSE - Botucatu, em 1995

The arterial hypertension is a chronic disease, which can be controlled by changing the way of life, as well as by drug treatment, which demand specific Health Care sequence. The lack of adherence to sequence/treatment is one of the main obstacles the disease control. Characterize and analyze the profile of Health Care usage by a 192 patient cohort diagnosed with arterial hypertension in 1995, between the period of 2001 – 2005 and 2006 – 2010. It is a longitudinal study, retrospective and descriptive developed on School Health Center(SHC) which belongs to School of Medicine Botucatu –UNESP, in continuity of the previous research which has analyzed the sequence of the referred sample between the period of 1995 – 1999. The database was obtained from the patients records by using structured adapted forms appointed in the previous study phase. In the case there were transfers to other Health Care facilities, the database was obtained by the records either, while the patients attended the CSE. The database was analyzed by means of descriptive statistics. Predominated the patients in the age from 50 – 69 (47,9%), whites (93,2%), female (56,7%) with low level of education (72,7%). In the period of 2001 - 2005, 76 (39,5%) of the patients remained under sequence, and that 44 (22,9%) belonged to adherence group (GAD), 17 belonged to abandonment/adherent group (GAB/GAD) and 15 to the abandonment group (GAB), groups which were already identified by the study which has analyzed the period of 1995 – 1999. At the end of the third period of the sample sequence (2006 – 2010), 60 (31,2%) of the patients kept under medical sequence. The cohort’s mortality rate in the period reached 15,1% and 21,9% were transferred to other Municipal Health Care facilities. We conclude that the Health Care service usage by the 192 sample’s integrants kept the same model already identified in the previous analysis... (Complete abstract click electronic access below)

Desenvolvimento da microbiota oral de bebês: análise longitudinal por pirosequenciamento da microbiota de bebês e suas mães dentro de um Programa de Saúde Bucal para Primeira Infância

Pós-graduação em Biopatologia Bucal - ICT

Aspectos epidemiológicos da saúde bucal de crianças em um município brasileiro

The Health Sciences, prior to the planning of prevention programs, adopt the tools to analyze the population profile, entitled epidemiological surveys, to obtain data on the need for heathcare and the possibility of treating health events. The aim of this study was to evaluate dental conditions in schoolchildren, aged five to fourteen, enrolled in public schools in Américo Brasiliense, SP Brazil. The dmft and DMFT index, caries experience, and prevalence of fluorosis were analyzed. For this epidemiological study, 1,137 children were selected. Four calibrated dentists performed oral exams according to WHO criteria (1997). The data were collected using descriptive analyses. The results showed that 94% of the five-year-old children were caries free, and the value of dmft was 1.44. DMFT was 1.19 in 12-year-olds. The lowest and the highest fluorosis prevalence could be observed in eight and fourteen-year-olds, respectively. It could be concluded that the city of Américo Brasiliense has developed respectful educational and preventive oral health programs which presented satiosfactory results in the present epidemiological study.

O ensino da Saúde Pública Veterinária nos cursos de graduação em Medicina Veterinária da região Sudeste do Brasil

Pós-graduação em Medicina Veterinária - FCAV

Medicalização em um serviço público de Saúde Mental: um estudo sobre a prescrição de psicofármacos

News of the fifth version of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) bringing an enlarged listing of diagnostic possibilities has fomented discussion concerning the tendency, recognizable in contemporary psychiatric practices, of including ordinary suffering of everyday life in psychiatric diagnosis and submit same to psychopharmacological treatment. The present paper brings to this discussion data obtained from field research about the prescription of psychopharmacs in the psychiatric care of a public mental health service. The results reveal that the psychiatry of the service keeps practically all of its users under prescription, and that medical discharge is extremely rare. The paper organizes elements critical to this practice and concludes that due to its inadequacy as to the objectives of promotion of personalized care concerned with autonomy and citizenship, present in the current national guidelines for public policies in mental health.

Desafıos do profıssional de saúde na notifıcação da violência: obrigatoriedade, efetivação e encaminhamento

The notification of the occurrence or suspicion of violence is mandatory for health professionals and is a key tool for epidemiological surveillance and the definition of public policies for prevention and intervention. However, professionals feel unprepared for this assignment, which renders underreporting prevalent. To address this issue, the objective is to identify the means available to the professional to submit notification as well as ensure due process follow-up. For this purpose, research and document analysis was conducted in Brazilian legislation, ordinances, and government programs, codes of ethics and consultation of the literature in databases on the subject over a period of five years to establish a brief comparative analysis with other countries. The conclusion drawn is that while some measures are inapplicable, knowledge about the appropriate process for the notification and routing to specific organs will enable healthcare professionals to make the appropriate decisions for the protection and safety of the victim, besides the measures in order to change this situation of violence in the country.

Significados do corpo no trabalho em indivíduos com diagnóstico de ler

Pós-graduação em Saúde Coletiva - FMB