Análise de notificação B em uma drogaria de Araraquara e avaliação do conhecimento dos prescritores quanto à legislação vigente

Uma das diretrizes da Portaria nº3916 do Ministério da Saúde (MS) é a Relação Nacional de Medicamentos Essenciais (RENAME). A prescrição de medicamentos dentro do Sistema Único de Saúde (SUS) deve ser feita utilizando medicamentos listados nessa relação. O medicamento genérico, criado e regulamentado pela Lei nº9787, é prioridade da Política Nacional de Medicamentos do MS. De acordo com esta lei, “as prescrições médicas e odontológicas de medicamentos, no âmbito do Sistema Único de Saúde – SUS adotarão obrigatoriamente a Denominação Comum Brasileira (DCB)”. A Portaria 344/98 MS, que regulamenta o controle dos medicamentos sujeitos a controle especial, determina os itens que devem estar presentes nas notificações. Neste trabalho, 1177 notificações retidas em uma drogaria de Araraquara durante o período de junho de 2008 a outubro de 2010 foram separadas e analisadas quanto: a) à utilização da DCB; b) quanto à utilização de medicamentos listados na RENAME; e c) quanto à adequação a Portaria 344/98 MS. Também foi avaliado o conhecimento dos prescritores quanto às leis vigentes através da aplicação de um questionário semiestruturado. Entre as 1177 notificações analisadas, 779 (66,18%) foram prescritas utilizando o nome comercial e 398 (33,82%) foram prescritas utilizando a DCB. Analisando as 399 notificações vindas do SUS, 188 (47,11%) adotaram os medicamentos da RENAME. Foram encontrados 319 problemas com as notificações de acordo com a Portaria 344/98 MS, os quais foram: 22 (1,86%) notificações com algum erro na identificação do emitente e/ou assinatura do prescritor; 3 (0,25%) notificações com algum erro na identificação do usuário; 294 (24,97%) notificações com preenchimento confuso nos itens como nome do medicamento ou substância, dosagem ou concentração, forma farmacêutica , quantidade e posologia; e 465 (39,50%)... (Resumo completo, clicar acesso eletrônico abaixo)

O câncer e as alterações no estado nutricional do paciente: importância da atenção farmacêutica

O Câncer é uma doença epidêmica e multifatorial. O uso combinado ou não de cirurgia, radioterapia e quimioterapia formam o alicerce sobre o qual se assentam a quase totalidade dos tratamentos contra os mais variados tipos de câncer. Essas terapêuticas quase sempre são agressivas, o que leva a uma ameaça séria à integridade física, sabidamente associada a problemas nutricionais. Pela legislação RDC nº220, publicada pela Agência Nacional de Vigilância Sanitária (ANVISA) em 21 de setembro de 2004, que regulamenta os estabelecimentos públicos e privados do país que realizam tratamento de quimioterapia antineoplásica, o farmacêutico deve fazer parte da equipe multiprofissional em terapia antineoplásica, como responsável pela manipulação de todos os antineoplásicos. Levando isso em consideração, o trabalho realiza uma descrição geral desde o desenvolvimento da doença, passando pelos principais agentes causadores e destaca a importância da terapia nutricional, principalmente no período pós-tratamento que influencia diretamente na morbi-mortalidade do câncer. Associando conhecimentos interdisciplinares entendemos que o farmacêutico possa exercer além da manipulação de drogas, a atenção farmacêutica contribuindo positivamente na equipe de saúde, visando uma maior adesão ao tratamento além do aumento da qualidade de vida do paciente oncológico. A partir do levantamento bibliográfico apresentado ampliamos a compreensão da complexidade dos mecanismos da doença, a importância da Terapia Nutricional e o Papel que o profissional farmacêutico pode desempenhar nesse campo

Qualidade higiênico-sanitária de sorvetes e sobremesas, na cidade de Botucatu, SP, Brasil, e verificação da produção de enterotoxinas por Staphylococcus aureus

Food poisoning can cause infection on its consumers by the presence of pathogenic bacteria, such as Salmonella and Staphylococcus aureus. Therefore, it is important to check its quality, which can be affected by many factors. The sanitary quality of foods can be assessed by thermotolerant coliform. Since food safety is a matter of great concern, this study aimed to evaluate the hygienic sanitary conditions of samples of ice cream and desserts marketed in the city of Botucatu, by determining the most probable number (MPN) of thermotolerant coliform, identification and enumeration of coagulase positive staphylococci and verification of classical enterotoxin production by strains of S. aureus and also for detecting the presence of Salmonella sp. Among the ice cream analyzed, 56.3% were unfit for consumption and between the creamy desserts, the percentage of unfit samples was 33.3%. Coagulase positive Staphylococcus and Salmonella were not found in the samples. It is then an inadequacy in handling and / or storage conditions in a considerable number of samples, indicating need for improvement in the conditions of preparation

A intervenção do estado na vida familiar: um estudo da legislação a respeito

Atualmente, a criança e o adolescente são alvo de muitas discussões acerca de seu papel na sociedade e suas responsabilidades. O Estatuto da criança e do adolescente define os direitos dos menores e tem como objetivo garantir a proteção dos mesmos. As crianças sofriam junto com os adultos à falta de controle, mas com a criação de leis a sociedade passar a exercer um maior controle sobre o indivíduo. Diante do progresso da sociedade e todas as transformações que ocorrem neste mundo globalizado essa pesquisa, visa analisar a intervenção do Estado através destas leis e averiguar se elas assumem um papel importante nas famílias

Qualidade microbiológica de peixes e frutos do mar em Botucatu, SP

whole world. The world production of fish is around 100 million tons/year and 70% of them is destined exclusively to the human feeding. The fish and derived have a great importance in the human diet, contributing with ¼ of offer of protein of animal origin. Sseafood and fish are health, because they are rich in proteins, vitamins, micronutrients and insatured fats. However, one of the most important themes, in public health, refers to the safe food. Only in the USA, 76 million case of foodborne diseases occurs every year, with 325 thousand hospitalized and 5 thousand deaths. According to the microbiological parameters, the Brazilian Food Sanitation Standard (Decree No. 12, 2001) defined that fish, roes of fish, crustaceans and mollusks in natura cooled or frozen, no consumed raw should present up to 103 MPN of coagulase positive Staphylococcus in the absence of Salmonella in 25g. Based on this, this work verified the microbiological quality of fish and seafood retailed in supermarkets and fish store in Botucatu city. A hundred samples were analyzed, being 65 frozen (65%) and 35 cooled (35%). The samples included various kinds of fish and seafood. Among the frozen samples, 31 were fish and 34 seafood. About the cooled ones, 28 were fish and 7 seafood. The methods used for analysis are in agreement with APHA (2001). The samples were acquired in 4 establishments (3 supermarkets and a fish store). Ina total of 100 samples, all were negative to coagulase positive Staphylococcus and 2 were positive for Salmonella (2%). According to the results, we conclude that the presence of Salmonella is a risk factor for the consumers' health and these foods should not be consumed raw. In spite of the freezing to be a good conservation way, this process doesn't totally eliminate the pathogens of the food

Processamento e qualidade higiênico-sanitária do pescado: se tiver subtitulo

The fishery products are sources of protein of high biological value and an important component in a balanced diet. However, they are highly subject to deterioration, which represents a serious risk to public health. Thus, rigorous methods are needed for quality assurance of fish in all stages of the production chain. Traditionally, the Brazilian population does not have the habit of eating fish, although the country presents a great potential for aquaculture, which is underexploited. The consumption of fish is limited by socio-economic factors. Currently, the search for food security is a global trend. Thus, it is necessary to change the profile of the consumer, by offering a competitive and safe food. In this paper, we address issues related to quality, hygiene and health of fish

Políticas públicas na educação inclusiva: da legislação a concepção docente

This project was grounded in public policy for inclusive education in the city of Bauru / Brazil. Its objective was to examine the struture of these public policies aimed at inclusive education, which are in place and their effectiveness from the viewpoint of specialist teachers in municipal schools in Bauru/ Brazil. Subjects were 20 teachers of special education specialists who work with students from kindergarten and elementary school in the city of Bauru. To collect data were questionnaires and interviews. The theoretical studies carried out showed that the legislation today was the result of many years of changes in structure and design on the figure of people with disabilities and their integration into society. As a result it was possible to draw a profile of specialist teachers, their training, and that has knowledge about the specific legislation. As the profile of the specialist teacher noticed that they have good training, but this should be a continuous process, during his performance.Public policy for Special Education but there are geared towards a macro-structure, which makes them often decontextualized from everyday classroom, and often not enforced because of lack of policies in other areas of basic needs that are constitutional law as well as education

A antropogeomorfologia na bacia do Córrego do Cavalheiro - Analândia/SP: uma avaliação da dinâmica do uso da terra e sua adequabilidade a legislação ambiental e a capacidade de uso

The assessment of land use dynamic can be an instrument for analysis in anthropogeomorphology, which would allow one to verify the human geomorphological actions and its various implications in changing the original morphology for the creation of a human morphology. This study aimed to consider the land use dynamics and its interference in the morphology of Cavalheiro Stream Basin. From this assessment, to understand the implications of land use in the creation of a human morphology, as well as to analyze if the current use is in accordance with the legal restrictions placed by ongoing environmental legislation and with the ability to land use. The chosen of this studied area was due to assumptions raised by Pinton (2007) for changes in the dynamic of rainwater erosion of this area caused by human actions, specially the cultivation of sugar cane in morphologies that are unfit for it. The search took as methodological support the principles that concern the General Systems Theory, trying to see the watershed as an open system. The geomorphological data, of land use and of legal restrictions to the use and occupation of land, were collected from different cartographic techniques. Besides, it was developed a sketch map of land use capacity by adapting the technique proposed by Lepsch (1983). This way, the data obtained in this survey are considered capable to provide subsidies for the identification of changes in original morphology of the Cavalheiro Stream Basin and the genesis of a human morphology, as well as conflicts and adjustments of current land use in environmental system and on the legal restrictions outlined in the ongoing environmental legislation, contributing to a proper environmental planning with the characteristics of the physical environmental system of this basin

A relação educação e trabalho na legislação educacional brasileira: política pública, contexto econômico e social

Pós-graduação em Educação - IBRC

A legislação escolar brasileira e a organização da álgebra no Ensino Fundamental

This work aims to investigate the presence of algebra in Brazilian school legislation, from 1980 to the present day. The research was developed through qualitative research, with phenomenological approach, using hermeneutic procedures for the analyzes of legal texts. Survey data were obtained through a survey about the educational legislation, specifically referring to the elementary school, guided by the question how is the presence of algebra in brazilian school legislation that organizes the elementary school?. In possession of the data, the analyzes were carried out considering the historical, social and political environment in which the laws were introduced, focusing the educational landscape of the time, as well as the movements that influenced the teaching of mathematics in the country. The analysis of each text -law were arranged in a row explanatory tables of a meta understanding about the observed. The meta understanding of the documents was drawn up on the basis of the convergence of analyzes that resulted in nuclear ideas of the law texts. At the end a comprehensive synthesis is presented, outlining the movement in which algebra is inserted in schools, through the educational legislation

Análises microbiológicas e quantificação de proteína de soja pela metodologia isotípica (δ13C and δ15N) em hambúrgueres bovinos de marcas comerciais brasileiras

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

De direito social a dispositivo de saúde: o trabalho na legislação de saúde vigente

Starting from the theoretical contributions of Michel Foucault and from a critical appraisal of the Declaration of Universal Human Rights and the 1988 Brazilian Constitution, this article maps the constitution of labor as a dimension that goes from social right to health device. In our analysis we find that labor as a social right and health device has a subjective protagonism and has social and economic aspects contemplated by documents. However in defining and orienting ways of being of individuals that work delivered speeches that fall in and control, hindering the openness of workers for movements of creation expansion of life and work in its positivity of experimentations. We conclude that is not enough to recognize labor as a social right, indicate its role as a health strategy or direct political efforts without problematizing not “what kind of work” can be supportive in a more creative construction of its own work and health.

Uma análise da legislação brasileira quanto à educação inclusiva no período de 1988 a 2013

Vivemos em uma época em que a Educação Inclusiva é amplamente enfatizada. No que concerne à legislação brasileira, ela possuí inúmeros artigos e leis que citam a educação inclusiva em esfera nacional, que se movimentaram ao longo do tempo. Essa pesquisa procura trabalhar com as leis que tratam da inclusão desde 1988 até hoje, seus aspectos sociais analisadas em seu movimento histórico. Abordando referências bibliográficas que deem suporte teórico para a compreensão do tema

Elaboração e implantação do sistema de análise de perigos e pontos críticos de controle no processamento de leite pasteurizado tipo A

Hazard analysis and critical control points (HACCP) is one of the main tools currently used to ensure safety, quality and integrity of foods. So, the aim of this study was to develop and implement the HACCP program in the processing of pasteurized grade A milk Checklists were used to assess on the level of the pre requisites programs and on the sanitary classification of the dairy industry and the results were used as references for the development of the HACCP system. A "decision tree" protocol was used for the identification of the critical control points (CCP). No physical or chemical CCP were identified, whereas pasteurization and packaging were considered biological CCP For these CCP, the limits for prevention, monitoring needs, corrective actions, critical limits and verification procedures were established. The pre requisites program was essential for the establishment of the system. The implementation of the HACCP for the processing of grade A pasteurized milk was efficient to control the biological hazards and enabled the product to comply with the legislation specifications and achieve safety.

Farmácia magistral: sua importância e seu perfil de qualidade

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