Tuberculose em indígenas menores de 15 anos, no Estado de Mato Grosso do Sul

INTRODUÇÃO O objetivo do estudo foi descrever os aspectos epidemiológicos da tuberculose na população indígena com idade inferior a quinze anos, de Mato Grosso do Sul, Brasil, no período de 2000 a 2006, após a implantação do Subsistema de Saúde Indígena. MÉTODOS: Estudo descritivo, retrospectivo, de base de dados secundários, utilizando-se o Banco de dados do Distrito Sanitário Especial Indígena de Mato Grosso do Sul e do Sistema de Informações de Agravos de Notificação. Variáveis analisadas: frequência por grupo etário, distribuição por sexo, forma clínica e desfecho dos casos. Teste de Fischer e curva de tendência para incidência, p < 0,01. RESULTADOS: A proporção de casos de tuberculose em indígenas com idade inferior a 15 anos foi de 20,4% (224/1.096). Verificou-se elevados coeficientes de incidência de tuberculose em indígenas com menos de 15 anos de idade, porém com curva descendente e uma queda anual em torno de 14%. Houve predomínio em indivíduos com idade inferior a 5 anos e elevado número de casos com idade inferior a 1 ano. Mais da metade dos casos era do sexo masculino e a forma clínica pulmonar ocorreu em 92,9%. A maioria (91,1%) dos casos evoluiu para cura, 3,6% abandonaram o tratamento e 2,2% evoluíram para óbito. CONCLUSÕES: A elevada taxa de cura, a reduzida mortalidade e a progressiva queda de incidência da doença no grupo etário inferior a 15 anos apontam para a efetividade da estratégia do tratamento supervisionado da tuberculose, no contexto do novo modelo de assistência à saúde indígena implantado no ano de 2000.

Financial depth, stock markets and economic growth in the EU-15 countries

The aim of this paper is to assess the impact of financial depth on economic growth in the EU-15 countries from 1970 until 2012, using the two-step System GMM estimator. Even though it might be expected a positive impact, the results show it is negative and sometimes even negative and statistically significant. Among the reasons presented for this, the existence of banking crises seems to better explain these results. In tranquil periods, financial deepening appears to have a positive impact, whereas in banking crises it is persistently negative and statistically significant. Also, after an assessment of the impact of stock markets on economic growth, it appears that more developed countries in the EU-15 have an economy more reliant on this segment of the financial system rather than in bank intermediation.

Epidemiological and environmental aspects of visceral leishmaniasis in children under 15 years of age between 2007 and 2012 in the City of Araguaína, State of Tocantins, Brazil

Introduction Visceral leishmaniasis (VL) stands out as a zoonosis observed on four continents and also in urban expansion zones in several regions of Brazil. Methods A cross-sectional epidemiological study of VL cases in children under 15 years of age in the period from 2007 to 2012. Clinical data were gathered from medical reports; meteorological data were obtained at the Meteorological Measurement Department of UFT. Environmental variables were divided into two periods, rainy and dry. Results The study revealed no difference by gender (p=0.67) among the 821 patients. However, the most affected age group was between one and five years of age (58.6%; p<0.01); the highest prevalence of the disease (99.03%; p<0.01) occurred in urban zones; and the most affected ethnic group (85.5%; p<0.01) was mixed race. The highest incidence coefficients in this population occurred in 2007 and 2008 (578.39/100,000 inhabitants; 18.5/100,000 inhabitants, respectively), whereas the highest lethality coefficients occurred in 2008 and 2011 (0.85/100 deaths). There was no significant correlation between average rainfall and the number of VL cases. The correlation between temperature and number of VL cases was negative (r = -0.4039; p<0.01). Conclusions In Araguaína, visceral leishmaniasis in children under 15 years is an urban-based endemic disease distributed across all districts of the city wherein temperature as an environmental factor, a higher prevalence in mixed race children between one and five years of age, and a high incidence coefficient all strongly contribute to child mortality.

Owner portraits and heraldry in the "Lamoignon Hours"

Because of the distance in time and the lack of testifying documents, one should be extremely careful when labelling portraits in medieval books of hours as donor portraits or owner portraits. There are, however, manuscripts that reveal their first owner within their decorative programme, and the Lamoignon Hours (Lisbon, Gulbenkian, ms LA 237) is one of these. This article aims to discuss the iconography of the three portraits found on f.165v, f.202v and f.286v, as well as the relevance of portraiture and heraldic insignia in books of hours and the significance of such content to the original owner and to those who possessed the book afterwards.

Mortality due to cardiovascular disease in women during the reproductive age (15 to 49 years), in the State of São Paulo, Brazil, from 1991 to 1995

OBJECTIVE: To describe mortality due to cardiovascular diseases in women during the reproductive age (15 to 49 years) in the state of São Paulo, Brazil, from 1991 to 1995. METHODS: A list of all deaths and their underlying causes, coded according to the International Classification of Diseases, 9th revision, multiple causes of death, and estimates of the female population according to age groups were provided by the SEADE Foundation. Specific coefficients for 100 thousand women for each year as well as the medians of these coefficients related to 5 years, and the percentage of death by subgroups were calculated. RESULTS: Cerebrovascular diseases have the highest coefficients (14.24 for 100 thousand females), followed by ischemic heart disease (7.37), other heart diseases (6.39), hypertensive disease (3.03), chronic rheumatic heart disease (1.58), pulmonary vascular diseases (1.29), and active rheumatic fever (0.05). Systemic arterial hypertension, as an associated cause, occurred in 55.3% to 57.8% of all the deaths due to intracerebral hemorrhage and in 30.4% to 30.8% due to subarachnoid hemorrhage. CONCLUSION: The significance of cerebrovascular diseases, coronary artery disease, and systemic arterial hypertension as causes of mortality suggests the need to emphasize preventive actions for young women who have the potential to reproduce to avoid possible complications in future pregnancies, and premature mortality.

The London journal of botany : containing figures and descriptions of such plants as recommend themselves by their novelty, rarity, history, or uses : together with botanical notices and information and and occasional portraits and memoirs of eminent botanists.

v.2 (1843)

The London journal of botany : containing figures and descriptions of such plants as recommend themselves by their novelty, rarity, history, or uses : together with botanical notices and information and and occasional portraits and memoirs of eminent botanists.

v.3 (1844)

The London journal of botany : containing figures and descriptions of such plants as recommend themselves by their novelty, rarity, history, or uses : together with botanical notices and information and and occasional portraits and memoirs of eminent botanists.

v.4 (1845)

The London journal of botany : containing figures and descriptions of such plants as recommend themselves by their novelty, rarity, history, or uses : together with botanical notices and information and and occasional portraits and memoirs of eminent botanists.

v.5 (1846)

The London journal of botany : containing figures and descriptions of such plants as recommend themselves by their novelty, rarity, history, or uses : together with botanical notices and information and and occasional portraits and memoirs of eminent botanists.

v.6 (1847)

The London journal of botany : containing figures and descriptions of such plants as recommend themselves by their novelty, rarity, history, or uses : together with botanical notices and information and and occasional portraits and memoirs of eminent botanists.

v.7 (1848)

Hortus Indicus Malabaricus :continens regni Malabarici apud Indos cereberrimi onmis generis plantas rariores, Latinas, Malabaricis, Arabicis, Brachmanum charactareibus hominibusque expressas ... /adornatus per Henricum van Rheede, van Draakenstein, ... et Johannem Casearium ... ; notis adauxit, & commentariis illustravit Arnoldus Syen ...

v.1-2 1678-1679 [#898]

Hortus Indicus Malabaricus :continens regni Malabarici apud Indos cereberrimi onmis generis plantas rariores, Latinas, Malabaricis, Arabicis, Brachmanum charactareibus hominibusque expressas ... /adornatus per Henricum van Rheede, van Draakenstein, ... et Johannem Casearium ... ; notis adauxit, & commentariis illustravit Arnoldus Syen ...

v. 3-4 1682-1683 [#899]

Hortus Indicus Malabaricus :continens regni Malabarici apud Indos cereberrimi onmis generis plantas rariores, Latinas, Malabaricis, Arabicis, Brachmanum charactareibus hominibusque expressas ... /adornatus per Henricum van Rheede, van Draakenstein, ... et Johannem Casearium ... ; notis adauxit, & commentariis illustravit Arnoldus Syen ...

v. 5-6 1685-1686 [#900]