Reflexão sobre prevenção de acidentes à criança no âmbito doméstico

The aim was to reflect what action to prevent accidents used by caregivers / participants in the home. This is a prospecive cross-sectional descriptive study conducted at the Pediatric Inpatient Unit, Hospital of the Medical School of Botucatu – Unesp, during the months from May to August 2010.A questionnaire was used in the form of check list (Annex I) on measures to prevent accidents. The participant chose two alternatives taking into consideration the order of priority in the prevention of accidents. This study shows that for the age group from 29 days to 2 years, the companions chose these preventive measures for falls, burns, poisoning and drowning, “do not put near the windows mobile” (27.8%), “no access the match, lighter and appliances (22.2%), leave toxic substances out of reach and sight of children (41.7%) and empty buckets, tubs and pools after use (27.8% ). Regarding the age group 2-6 years, the measures for these types of accidents were not put near the windows mobile (26.5%), do not have access to matches, lighters and household appliances (20.9% ), leave toxic products out of reach and sight of children (27.9%) and maintain tanks, tanks and wells or struck with some protection (20.2%). For ages 6 to 10 years, the measures chosen to more such accidents were dry liquid spilled on the ground (23.5%), do not have access to matches, lighters and household appliances (22.5% ), leave toxic products out of reach and sight of children (31%) and keep tanks, tanks and wells or struck with some protection (23.5%). One fact that attracted our attention was that the preventive measures most frequently used by caregivers, regardless of age, show results that differ in few alternatives. It is essential to the understanding of the escorts / participants on the importance of injury prevention. Even today is predominantly defined as accident, injury must be addressed through measures

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)

Acidentes ofídicos por Bothrops jararaca no Estado de São Paulo: influências de variáveis biológicas

No Brasil ocorrem aproximadamente 20.000 acidentes ofídicos anuais, sendo um grande problema de Saúde Pública. As serpentes do gênero Bothrops são responsáveis por aproximadamente 90% dos casos, destacando-se a espécie Bothrops jararaca, responsável por aproximadamente 93% dentre os acidentes botrópicos. O presente trabalho tem como objetivo caracterizar o perfil epidemiológico dos acidentes causados por B. jararaca e avaliar possíveis influências das variáveis biológicas encontradas nos exemplares que causaram acidentes no Estado de São Paulo. Para realização desse estudo foram tomadas como base espécimes de Bothrops jararaca que causaram acidentes nos períodos de 1959 a 2011 preservadas na Coleção Vital Brasil do Instituto Butantan. Essas serpentes (N=1526) foram dissecadas e analisadas. Dados relativos à epidemiologia dos acidentes, período de atividade sazonal, processos reprodutivos e dieta foram coletados. O levantamento e análise dos dados dos acidentes mostraram que 71% dos acidentes são causados por filhotes, enquanto apenas 29% são causados por adultos. Análises preliminares mostraram que fêmeas causaram mais acidentes do que machos independente de serem filhotes ou adultos. O padrão sazonal dos acidentes foi diferente entre os filhotes e adultos de B. jararaca, o que deve estar relacionado às atividades de forrageamento, termorregulação e principalmente aos eventos reprodutivos. O perfil epidemiológico dos acidentados apontou uma maior incidência de acidentes em situações de trabalhos rurais, no caso, a maioria dos acidentados são homens jovens que foram atingidos nas mãos durante o dia

Análise dos acidentes automobilísticos atendidos no Hospital das Clínicas no ano de 2010, Botucatu

As a result of the 20th-century industrial development, and particularly after World War II, cars have become an important consumer good, and this has led to a large number of circulating vehicles. To this day, the number of cars has increased exponentially worldwide, which results in a high number of traffic accidents (TAs) every day. TAs are responsible for 1.2 million deaths worldwide each year, and in Brazil, they are considered to be a public health problem, considering that its traffic is regarded as one of the worst and most dangerous in the world. In addition to temporary or permanent physical disabilities that bring great harm to individuals, accidents also cause psychological disorders, such as the post-traumatic stress disorder. Hence, considering the importance of TAs in the country and their outcomes, this study aimed at investigating the epidemiological aspects of car accidents occurring in 2010 who were assisted in the emergency room of a university hospital in São Paulo state. By means of records made by the nursing team and medical records analysis, it was possible to extract a stratified sample of 88 cases involving adults and eight cases involving children. The sample was analyzed by the SAS software for Windows, version 9.2. As regards the accidents involving adults, there was a predominance of males (67%), with an approximate 2:1 ratio in relation to females. The victims’ most frequent age range was 20-29 years (39%), and they were mostly single (56%). The month showing the largest number of occurrences was July, with 17%, and the weekday was Sunday, with 25%. Showing 32%, the time period when most accidents occurred was from 06:00 o’clock p.m. to 11:59 p.m. As regards vehicles types involved, motorcycles were in first place, with 47% of cases, and the most common accident type was crashing between vehicles, with 43%... (Complete abstract click electronic access below)

Relações entre os acidentes de trânsito e a precipitação na área urbana de Rio Claro (SP)

Traffic accidents are considered a concern for both public agencies and for researchers that are seeking alternatives to reduce the number of deaths and incidents. Thus, the aim of this work was to compile a database of traffic accidents recorded for the 2° Sub-Grouping of the Fire Department of the city of Rio Claro (SP) during the years 2008 to 2010 and related to rain. The result allowed profiling of traffic accidents, recognize critical areas and correlate the rain as an interference factor in the occurrence of traffic accidents in Rio Claro (SP)

Acidentes na infância atendidos no pronto socorro de pediatria do Hospital das Clínicas de Botucatu que motivaram internação

Accidents represent a major public health problem as they are frequent, preventable, and account for high morbidity and mortality rates. Children are the most vulnerable to accidents due to their inherent characteristics, and as a result of their physical, sensorial, psychomotor and cognitive limitations, which will only develop with time. Watchfulness and careful attention are of paramount importance, especially as children develop locomotor skills that are accompanied by curiosity about their surroundings. Child accidents, particularly those that could have been avoided, are the accidents most commonly seen in emergency and urgency departments. Urgency and emergency departments are the greatest allies in the attention to pediatric accidents as they offer adequate, immediate and specific high complexity care to patients at risk, viewing their vital stabilization. Investigating the causes and consequences of this insult is essential to establish a diagnosis and to contribute for the adoption of measures of prevention, control, and assistance. To identify the epidemiologic characteristics of the accidents involving children that received care at the pediatric emergency department of Botucatu Medical School Hospital and required hospitalization. This quantitative, retrospective, descriptiveanalytic epidemiologic study included all children aged 0-14 years who had had an accident and were seen at the Pediatric Emergency Department of Botucatu Medical School Hospital of São Paulo State University/UNESP between January 1/2008 and December 31/2009. A total of 227 medical charts were reviewed and 178 (78.4%) patients were included in this study. Of these, 116 (65.1%) were males and 62 (34.8%) were females. Children aged 5 - 9 years (38.9%) were the most affected, followed by those aged 10 - 14 years (37.5%). Fractures occurred in 138 (77.5%) of the cases, followed by foreign bodies... (Complete abstract click electronic access below)

Análise da influência da iluminação de rodovias federais com a redução do número de acidentes

The increasing rate of traffic accidents, followed by the high rate of mortality due to these occurrences, favored to the classification of traffic accidents as a public health problem in Brazil. These accidents consume a significant portion of Gross Domestic Product (GDP), especially related to the victims. Considering this scenery with many tragedies and resources being spent only in the end, this paper seeks to examine the influence of federal highways lighting by reducing the number of accidents. Federal Highways sections that received lighting were taken up for study, therefore a survey of statistical data has been raised considering the accidents before and after the route had been illuminated. Taking advantage of the results obtained, an economic analysis has been made considering the amounts consumed by traffic accidents versus the values required for the installation of lighting on highways

Uso de rastreadores de eventos adversos a medicamentos para farmacovigilância no âmbito hospitalar

Eventos adversos a medicamentos (EAM) ainda são uma das principais limitações nos serviços de cuidados com a saúde, causando risco aos pacientes, além de grande impacto econômico. Assim, fazem-se necessários métodos de identificação de eventos adversos mais eficazes que a tradicional notificação espontânea, a qual revela apenas 5% do total de eventos. A utilização de critérios rastreadores (ou trigger tools), elaborados pelo Institute for Healthcare Improvement, tem se mostrado como a alternativa mais válida e eficiente para a triagem dos EAM. Com o objetivo principal de identificar os principais eventos adversos e medicamentos envolvidos, uma seleção de três critérios rastreadores foi utilizada, a saber: INR (razão normalizada internacional) > 6, WBC (contagem de leucócitos) < 3000/mm³ ou registros de episódios de sedação excessiva, letargia ou queda. Informações sobre os rastreadores foram coletadas e analisadas a partir dos prontuários de pacientes internados no Hospital Estadual Américo Brasiliense internados, de novembro de 2011 a janeiro de 2012 e maio a julho de 2012, a fim de se confirmar a ocorrência de evento adverso. Foram analisados prontuários referentes a 3318 hospitalizações, nas quais foram detectados 69 eventos adversos, 49 dos quais foram causados por apenas quatro das 12 classes de medicamentos envolvidos em algum EAM: anticoagulantes orais, relacionados ao rastreador INR>6 (eficácia = 0,75), sedativos e antipsicóticos, relacionados ao rastreador de sedação excessiva, letargia ou queda (eficácia = 0,52), e antivirais, relacionados ao rastreador WBC<3000 (eficácia = 0,48). Quando os rastreadores eram acionados e não estavam relacionados a EAM, os fatores de confusão mais recorrentes foram: torpor secundário ao quadro clínico, acidentes não relacionados ao medicamento e pacientes propositalmente em regime de sedação. Apesar de valores-limite menos radicais poderem aumentar a ...

Occupational exposure to contaminated biological material: perceptions and feelings experienced among dental students

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação da indicação do tratamento antirrábico humano em relação à situação epidemiológica da doença

Pós-graduação em Ciência Animal - FMVA

Aspectos das Condições e Organização do Trabalho na Ocorrência de Acidentes entre Profissionais da Enfermagem

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

Influência da existência de refeitório no ambiente de trabalho sobre os acidentes de trajeto

Pós-graduação em Engenharia de Produção - FEB

A violência contra criança e a notificação pelos profissionais de saúde

La violencia contra los niños es, sin duda, un grave problema por resolver, dado el impacto de sus efectos en todos los sectores sociales, especialmente salud. Este artículo tiene por objeto presentar los principales aspectos relacionados con la notificación obligatoria de casos de maltrato infantil por los profesionales de la salud. A pesar de obligatoria, la literatura demuestra la negligencia de los responsables de notificar. Para la notificación a convertirse en una práctica entre los profesionales es necesario saber acerca del tema, el soporte institucional, la conciencia de la importancia de este proceso y sobre todo la voluntad para tomar actitudes.

Notificação de violência contra criança: conhecimento e comportamento dos profissionais de saúde

Introduction: The violence against children and teenagers severely damages physical health and psychological development of their victims. Health professionals are in a strategic position to detect cases of assault and legally obliged to report such cases, even suspected. Objectives: This study aimed to assess the knowledge of health professionals who work in the National Health System (SUS) on reporting of violence against children and adolescents. Methods: We conducted interviews with 54 primary care team of four cities from the region of São José do Rio Preto. Results: Through the study could be seen that 92.6% of respondents suspected or witnessed violence against children exercising their profession in the SUS. About Order 1968/2001, 75.5% of practitioners claim ignoring it. 96.2% were not informed about completing the notification form of violence. 88.9% do not know about the existence of the same workplace. The association between obtaining information on work and the act of notification was significant (p = 0.0276). Conclusion: The professionals are still unaware of the legal issues related to notification. It is suggested that the training of them to deal with the bureaucratic side of the issue, once notify contributes to the delineation of the epidemiology of violence and consequent development of public policies

Prevalência de acidentes com material biológico em um município do noroeste de São Paulo, Brasil, no período de 2007 a 2011

The objective of this study is to determine the prevalence of reports of accidents involving biological material which affected health professionals, especially dental health ones, in a city in the north­western region of São Paulo State, Brazil. Data collection was con­ducted through the notification of accidents with biological material from 2007 to 2011. There were 377 notifications, in which 353 (93.6%) had female professionals involved. The most reported type of exposure was the percutaneous in 359 cases (95.2%) followed by blood in 334 cases (88.6%) which is the most mentioned biological material in the reports. Only 21 (5.6%) notifications were from den­tal staff and occurred mostly with the dentist, 14 times (66.7%) and 16 times (76.2%) during clinical procedures. The prevalence of bio­logical accidents among dental teams was little in this time, which suggests the possibility of underreporting, in addition to being sub­ject to the partial fulfillment of the same.