Análise das condições de saúde e de vida da população urbana de Botucatu, São Paulo (Brasil): IV - Morbidade referida em entrevistas domiciliárias, 1983-1984

Objetivou-se estudar a morbidade referida pela população urbana amostrada, no Município de Botucatu, SP, Brasil, em 1983/84, segundo sexo, idade, escolaridade e renda per capita. O método consistiu em entrevistas domiciliárias, com aplicação de dois formulários pré-codificados. Os entrevistadores eram leigos treinados e supervisionados, e a pessoa entrevistada foi quase sempre a mãe de família. O período recordatório estabelecido em relação aos eventos informados (queixas, sintomas, acidentes comuns e diagnósticos) foi de três semanas. Das 7.075 pessoas amostradas (12% da população), 56% apresentaram episódios mórbidos, totalizando 6.649 episódios. As mulheres, bem como o grupo etário de 50 e mais anos apresentaram maior freqüência de queixas. A escolaridade e a renda per capita não diferenciaram os entrevistados quanto à ocorrência maior ou menor de episódios. A prevalência de episódios mórbidos foi de 939/1.000 entrevistados. Predominaram queixas do aparelho respiratório (20% do total de queixas), principalmente as infecções respiratórias agudas. em segundo lugar, os sinais e sintomas mal definidos (19%) e, a seguir, as doenças do sistema osteo-muscular, do sistema nervoso e do sistema circulatório, com proporções similares (ao redor de 9%) e, finalmente, as do sistema digestivo e as lesões e envenenamentos (ao redor de 8%). Foram estimados os coeficientes de prevalência por grupos de doença (pela CID), segundo as variáveis estudadas. São comentadas as dificuldades de comparação dos resultados obtidos com os de trabalhos congêneres, face às diferenças nos métodos usados, apontando-se para a necessidade de uma padronização metodológica dos estudos de morbidade referida, cuja importância epidemiológica e para o planejamento em saúde vem sendo amplamente reconhecida.

Avaliação da estrutura organizacional da assistência ambulatorial em HIV/Aids no Brasil

OBJETIVO: No contexto de acesso universal à terapia antiretroviral, os resultados do Programa de Aids dependem da qualidade do cuidado prestado. O objetivo do estudo foi avaliar a qualidade do cuidado dos serviços ambulatoriais que assistem pacientes de Aids. MÉTODOS: Estudo realizado em sete Estados brasileiros, em 2001 e 2002. Foi avaliada a qualidade do atendimento a pacientes com Aids quanto à disponibilidade de recursos e a organização do trabalho de assistência. Um questionário com 112 questões estruturadas abordando esses aspectos, foi enviado a 336 serviços. RESULTADOS: A taxa de resposta foi de 95,8% (322). Os indicadores de disponibilidade de recursos mostram uma adequação maior do que os indicadores de organização do trabalho. Não faltam antiretrovirais em 95,5% dos serviços, os exames de CD4 e Carga Viral estão disponíveis em quantidade adequada em 59 e 41% dos serviços, respectivamente. em 90,4% dos serviços há pelo menos um profissional não médico (psicólogo, enfermeiro ou assistente social). Quanto à organização, 80% não agendavam consulta médica com hora marcada; 40,4% agendavam mais que 10 consultas médicas por período; 17% não possuíam gerentes exclusivos na assistência e 68,6% não realizavam reuniões sistemáticas de trabalho com a equipe. CONCLUSÕES: Os resultados apontam que além de garantir a distribuição mais homogênea de recursos, o programa precisa investir no treinamento e disseminação do manejo do cuidado, conforme evidenciado nos resultados da organização de trabalho.

Diabetes mellitus: razão de prevalências nas diferentes regiões geográficas no Brasil, 2002 2007

Considerando o Diabetes mellitus (DM) como um relevante problema de saúde no Brasil e a importância das estimativas de prevalência para planejamento e estratégias em saúde pública, propôs-se este trabalho com o objetivo de estimar a razão de prevalências do DM nos diferentes estados brasileiros nos períodos de 2002 a 2004 e 2005 a 2007. Trata-se de estudo descritivo, baseado em dados da população brasileira com diagnóstico de DM cadastrada no Sistema de Informação da Atenção Básica (SIAB) junto ao Ministério da Saúde. As taxas de prevalência foram calculadas para o período de 2002 a 2004 e para 2005 a 2007, e posteriormente estimou-se a Razão de Prevalências (R) por ponto e por intervalo de 95% de confiança (IC95%). Observou-se alta prevalência de DM nos estados brasileiros com aumento significativo (R>1; IC95%>1) entre os períodos em todos os estados brasileiros, com destaque para o Distrito Federal (R=1,9800; IC95%=1,97241,9876) e o estado do Maranhão (R=1,5217; IC95%=1,51981,5235). Pode-se concluir que houve aumento significativo na prevalência de DM no Brasil de 2002 a 2007, sinalizando para a necessidade de formulação de estratégias de prevenção e controle da doença.

Tolerância de perdas de solo na bacia do rio Itiquira, Mato Grosso, Brasil

The geographic area of the present study corresponds to the basin of the Itiquira river high course (Figure 1), in the portion that extends from the tributaries of its source, in the east of the plateau Correntes/Itiquira, in the neighbourhoods the city of Alto Garç as, to the scarp of the São Jerônimo mountain range, toward the west of Itiquira, in the state of Mato Grosso, totalizing 5,361 km 2. The area is placed in the eastern part of the Alto Paraguai basin, in the western portion of the Paraná Sedimentary Basin plateau. Through GIS techniques, it was possible to asses total soil losses from the Itiquira river basin, considering the years of 1966, 1985 and 1996, being based on the Universal Soil Loss Equation. Thus, in 1966 the basin lost 201,546.94 ton of soil, with an average loss of 0.37 ton/ha/year. Considering that the total area of the Itiquira river basin is of 536,100 ha, while in 1985 the soil losses had passed to 1,760,833.40 ton, with an increase of approximately 8.5 times. The average of soil losses in 1985 was of 3.28 ton/ha/year. In 1996 the basin lost 1,662,043.24 ton, with a reduction of only 9.4% in relation to 1985 but, in relation the 1966, the increase continued in the order of 8 times. The average losses per hectare in this year was in the order of 3.10 ton/ha/year (Chart 1). The map of potential of the laminar erosion for 1966 (Figure 3), shows to the highest values in small areas, situated in the northeast of the area, in Alto Garças, with values between 10 the 20 ton/ha/year and some spots in sources of the Itiquira and Ariranha rivers, with values between 1 the 5 ton/ha/year. In a general way, however, the area presents low soil loss for laminar erosion in this year, with inferior values to 1 ton/ha/year. The higher class of erosion, over 10 ton/ha/year, occupied 2,947 ha in 1966. In the year of 1985 (Figure 4), the erosive process spread over the entire studied area, and the class of erosion over of 10 ton/ha/year, already started to occupy 78,437 ha, implying an increase of approximately 27 times in 19 years. A strong increment in the erosive process was noticed in the western part of the area, to along the BR-163 road, exactly where great areas of natural vegetation (open pasture) had been transformed in culture and pasture areas. In the north-eastern part of the area it was also noticed an increment in the erosive process in agreement with the increase of culture areas and reduction of the natural areas, but it was not of so intense form as in the western portion of the area. In the year of 1996 (Figure 5), the class of erosion over of 10 ton/ha/year had diminished for a total of 53.499 ha noticing a retraction of the erosive process in the western part of the area, alongside the BR-163 road. On the other hand, it occurred a strong increment in the northern part of the area, in the neighbourhoods of the city of Alto Garças, alongside the BR-364 road and part of the MT-040 road. In a general way, in the outskirts of the city of Itiquira, in the central part of the area, it was verified an increase of the amount of zones with erosion between 0-1 ton/ha/year, passing to the immediately superior class, of 1-3 ton/ha/year; scarce data of hydrosedimentology in the UHE Itiquira (1999), shows good agreement with the values gotten for the EUPS (Chart 2). Based on the hydric classification proposal for FAO (1967) (Chart 3), it is noticed that areas with high degree of erosion (> 50) in the analysed area are very restricted, occupying 493 ha in 1985 and 332 ha in 1996 (Chart 4). In 1996 appeared as isolated spots in the north of Itiquira and Alto Garças, however beyond limits of the Itiquira river basin. These areas require special cares in its use as agricultural areas. Aiming at identifying and indicating the areas of potential risk of erosion and that need implementation of conservation practices, it was elaborated the map of limit of tolerance to the soil losses. In 1966 (Figure 6), areas with soil losses over of the tolerable were restricted to small spots located in the eastern part of the area, occupying 0.43% of the total of the area; already in 1985 (Figure 7), this percentage passed to 5.86%, spreading for all the area; in 1996 (Figure 8) it is observed a fast reduction of the areas with soil losses over of the tolerance limit, passing 5.43% of the total of the area. All the areas with losses over of the tolerable value must be considered as risk areas and were done in these areas studies for implementation of conservation practices.

Relación entre el recuento de células somáticas y la producción de leche de búfalas en el estado de São Paulo, Brasil

Mastitis is an inflammatory process in the udder that can affect the quality and quantity of milk produced causing economic losses and risks for health. Considering the somatic cell count (SCCs) as indicator of udder health and the milk yield (MY) of buffaloes from São Paulo State, this study aimed to quantify the related losses in milk due to somatic cells count (SCC). 9404 sources of information from 2198 lactations that occurred between 1997 and 2004 were analysed. There was no relation between MY and the SCCs in the buffaloes at first parity. For the second parity in the months 1, 2, 5, 6 and 7 of lactation, there was a negative and significant relationship between SCCs and MY. For parities of three or more there was a significant and negative regression coefficient during every month of lactation betrween MY and SCC. The average losses varied from 0,18 to 2,2 milk liters per unit of SCCs. The results indicated large losses observed in the miltiparous buffaloes and that this category needs received special attention in terms of udder health. The effect of farm, parity and year, must be considered comparison between animals.

Sinalização visual e biologia reprodutiva de Dendropsophus werneri (Anura: Hylidae) em área de Mata Atlântica no estado do Paraná, Brasil

We studied the reproductive biology and visual signaling of Dendropsophus werneri, whose distribution is limited to the Atlantic Rain Forest. The fieldwork was carried out in the Estação 2 do IAPAR, municipality of Morretes, state of Paraná, Brazil, from August 2006 to March 2007. Additional information on reproduction was gathered in the Reserva Natural Salto Morato, municipality of Guaraqueçaba, state of Paraná, Brazil, from September 2006 to March 2007. Males were smaller than females. Males called throughout all the study period in Morretes, but were active only during three months in Guaraqueçaba; males called from low vegetation along the edge of temporary ponds in open areas. The visual signaling was observed in two contexts: (1) aggressive behaviors between two males and (2) during the reproduction, by amplectant males. In the territorial behavior, males exhibited both aggressive and mixed calls, visual signaling as well as physical combats. We also recorded satellite behavior in four males. The mean egg number per clutch was 244 ± 32 eggs, varying between 188 and 310 eggs. We observed two reproductive modes: Mode 1 and Mode 24. In the present study, Dendropsophus werneri showed elaborated social interactions involving visual signaling, territorial behavior, mating bahavior with tactile stimuli, and two different reproductive modes, demonstrating its complex reproductive biology.

Manejo pré-abate de bovinos de corte no Pantanal, Brasil

This study has the objective of evaluate the influence of fluvial and road transport on the occurrence of bruising in carcass of slaughtered beef cattle. In this study was observed that from 209 evaluated carcass, 185 (88.5%) presented one or more lesions. In total of evaluated carcass occurred 523 lesions that resulted in 96.158 kg removal of bruises (0.519 kg per animal). In this study was possible the determination of age of bruises by color evaluation. We concluded that of way of transport influenced the occurrence of bruises. The most bruises occurred in the last 24 hours of transport. Educational measures will be necessary to reduce the problems of pre-slaughter management.

Influência do arcabouço hidroestratigráfico nas ocorrências de arsênio em águas subterrâneas ao longo do corredor termal do rio Uruguai (Argentina - Brasil - Uruguai)

The Thermal Corridor of Uruguay River is located in the triple border of Argentine, Brazil and Uruguay, and shows an intense economic thermal tourism activity, mainly based on groundwaters from Guarani Aquifer System (GAS). Recent studies have pointed out the occurrence of high concentrations of arsenic (>10 μg/L) in GAS groundwater in this area. The complex geological and hydrogeological framework in the area is associated to the Paraná Basin geological evolution south of the Assuncion-Rio Grande Arch; it encompass paleozoic marine sequences and continental sequences permian/eotriassic to mesozoic in age, which are covered by basaltic lavas of Serra Geral Formation. Iron oxide coatings have been described in sandstones of Buena Vista and Sanga do Cabral formations, which underlie GAS units. Arsenic occurrence is associated to sodium bicarbonate groundwater with pH values over 8.0. Arsenic is released to groundwater by desorption from iron oxides/hydroxides, as result of the higher pH of these waters, indicating that arsenic is released from the units that underlie GAS units. Increase in chromium and uranium concentrations are also related to high pH groundwaters, thus indicating special care on using groundwater from this region.

Aglomeraciones productivas locales en Brasil, formación de recursos humanos y resultados de la experiencia CEPAL-SEBRAE

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A coordenação entre as políticas fiscal e ambiental no Brasil: a perspectiva dos governos estaduais

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Hambre y desigualdad en los países andinos: la desnutrición y la vulnerabilidad alimentaria en Bolivia, Colombia, Ecuador y Perú

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Prevalência de Oestrus ovis (Diptera: Oestridae) em ovinos da região Central de São Paulo, Brasil

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

Constitución política, acuerdo nacional y planeamiento estratégico en el Perú

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Análise da produção e comercialização de mel natural no Brasil no período de 1999 a 2010

The aim of this study was to analyze the evolution of natural honey production in Brazil, as well as the Brazilian performance in the international markets and their own consumption behavior of natural honey in the domestic market. For this study, we used descriptive analysis of time series information, data production and export of natural honey understood, respectively, for the periods 1999 to 2010. To analyze the correlation between the series of apparent consumption per capita (variable X) and the international price data (variable Y), we used the statistical analysis of the correlation coefficient of Pearson (CP). Main results revealed that the Brazilian production of natural honey has more than doubled in the last decade, while the Northeast region was the largest contributor to this performance. This increase in the production was mainly directed towards supplying the international market, which currently consumes more than half of Brazilian production. It is true that the change in the international market price has a direct effect on domestic supply, but the Brazilian domestic market has potential for increasing effective consumer who deserves to be better exploited; it implies to pay attention to the supply of quality natural honey, quantity and regularity.

Financiamento das políticas sociais no Brasil

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