Mortalidade por doenças cardiovasculares no Brasil e na região metropolitana de São Paulo: atualização 2011

FUNDAMENTO: As doenças cardiovasculares (DCV) são as principais causas de morte na população brasileira. Observou-se redução progressiva da mortalidade por tais doenças até o ano de 2005. OBJETIVO: Atualizar as tendências da mortalidade das DCV no Brasil e na região metropolitana de São Paulo (RMSP) de 1990 a 2009. MÉTODOS: Dados populacionais e de mortalidade foram obtidos do Instituto Brasileiro de Geografia e Estatística e do Ministério da Saúde. O risco de morte foi ajustado pelo método direto, tendo como referência a população mundial de 2000. RESULTADOS: Observou-se progressiva redução do risco de morte por doenças isquêmicas do coração (DIC) e por doenças cerebrovasculares (DCbV) no Brasil e na RMSP. De 1990 a 2009, constatou-se redução da mortalidade por DIC e DCbV em mulheres e homens no Brasil e na RMSP. Observou-se maior redução da mortalidade por DIC nos homens na RMSP do que no Brasil (36,24% vs. 23,35%; p < 0,001) e nas mulheres na RMSP (44,55% vs. 29,5%; p < 0,001). Foi registrada maior redução da mortalidade por DCbV nos homens na RMSP que no Brasil (42,43% vs. 34,9%; p = 0,036) e igual redução nas mulheres na RMSP e no Brasil (42,98% vs. 36,15%; p = 0,082). A redução da mortalidade foi significativa para todas as faixas etárias analisadas. CONCLUSÃO: Observamos uma progressiva redução na mortalidade por DCV, DIC e DCbV no Brasil e na RMSP. Apesar dessa redução, ainda apresentamos taxas elevadas de morte por tais doenças.

Mortality by Heart Failure and Ischemic Heart Disease in Brazil from 1996 to 2011

Background:Circulatory system diseases are the first cause of death in Brazil.Objective:To analyze the evolution of mortality caused by heart failure, by ischemic heart diseases and by ill-defined causes, as well as their possible relations, in Brazil and in the geoeconomic regions of the country (North, Northeast, Center-West, South and Southeast), from 1996 to 2011.Methods:Data were obtained from DATASUS and death declaration records with codes I20 and I24 for acute ischemic diseases, I25 for chronic ischemic diseases, and I50 for heart failure, and codes in chapter XIII for ill-defined causes, according to geoeconomic regions of Brazil, from 1996 to 2011.Results:Mortality rates due to heart failure declined in Brazil and its regions, except for the North and the Northeast. Mortality rates due to acute ischemic heart diseases increased in the North and Northeast regions, especially from 2005 on; they remained stable in the Center-West region; and decreased in the South and in the Southeast. Mortality due to chronic ischemic heart diseases decreased in Brazil and in the Center-West, South and Southeast regions, and had little variation in the North and in the Northeast. The highest mortality rates due to ill-defined causes occurred in the Northeast until 2005.Conclusions:Mortality due to heart failure is decreasing in Brazil and in all of its geoeconomic regions. The temporal evolution of mortality caused by ischemic heart diseases was similar to that of heart failure. The decreasing number of deaths due to ill-defined causes may represent the improvement in the quality of information about mortality in Brazil. The evolution of acute ischemic heart diseases ranged according to regions, being possibly confused with the differential evolution of ill-defined causes.

Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011

Background: Healthcare-associated infective endocarditis (HCA-IE), a severe complication of medical care, shows a growing incidence in literature. Objective: To evaluate epidemiology, etiology, risk factors for acquisition, complications, surgical treatment, and outcome of HCA-IE. Methods: Observational prospective case series study (2006-2011) in a public hospital in Rio de Janeiro. Results: Fifty-three patients with HCA-IE from a total of 151 cases of infective endocarditis (IE) were included. There were 26 (49%) males (mean age of 47 ± 18.7 years), 27 (51%) females (mean age of 42 ± 20.1 years). IE was acute in 37 (70%) cases and subacute in 16 (30%) cases. The mitral valve was affected in 19 (36%) patients and the aortic valve in 12 (36%); prosthetic valves were affected in 23 (43%) patients and native valves in 30 (57%). Deep intravenous access was used in 43 (81%) cases. Negative blood cultures were observed in 11 (21%) patients, Enterococcus faecalis in 10 (19%), Staphylococcus aureus in 9 (17%), and Candida sp. in 7 (13%). Fever was present in 49 (92%) patients, splenomegaly in 12 (23%), new regurgitation murmur in 31 (58%), and elevated C-reactive protein in 44/53 (83%). Echocardiograms showed major criteria in 46 (87%) patients, and 34 (64%) patients were submitted to cardiac surgery. Overall mortality was 17/53 (32%). Conclusion: In Brazil HCA-IE affected young subjects. Patients with prosthetic and native valves were affected in a similar proportion, and non-cardiac surgery was an infrequent predisposing factor, whereas intravenous access was a common one. S. aureus was significantly frequent in native valve HCA-IE, and overall mortality was high.

Predictors of Arrhythmic Events Detected by Implantable Loop Recorders in Renal Transplant Candidates

AbstractBackground:The recording of arrhythmic events (AE) in renal transplant candidates (RTCs) undergoing dialysis is limited by conventional electrocardiography. However, continuous cardiac rhythm monitoring seems to be more appropriate due to automatic detection of arrhythmia, but this method has not been used.Objective:We aimed to investigate the incidence and predictors of AE in RTCs using an implantable loop recorder (ILR).Methods:A prospective observational study conducted from June 2009 to January 2011 included 100 consecutive ambulatory RTCs who underwent ILR and were followed-up for at least 1 year. Multivariate logistic regression was applied to define predictors of AE.Results:During a mean follow-up of 424 ± 127 days, AE could be detected in 98% of patients, and 92% had more than one type of arrhythmia, with most considered potentially not serious. Sustained atrial tachycardia and atrial fibrillation occurred in 7% and 13% of patients, respectively, and bradyarrhythmia and non-sustained or sustained ventricular tachycardia (VT) occurred in 25% and 57%, respectively. There were 18 deaths, of which 7 were sudden cardiac events: 3 bradyarrhythmias, 1 ventricular fibrillation, 1 myocardial infarction, and 2 undetermined. The presence of a long QTc (odds ratio [OR] = 7.28; 95% confidence interval [CI], 2.01–26.35; p = 0.002), and the duration of the PR interval (OR = 1.05; 95% CI, 1.02–1.08; p < 0.001) were independently associated with bradyarrhythmias. Left ventricular dilatation (LVD) was independently associated with non-sustained VT (OR = 2.83; 95% CI, 1.01–7.96; p = 0.041).Conclusions:In medium-term follow-up of RTCs, ILR helped detect a high incidence of AE, most of which did not have clinical relevance. The PR interval and presence of long QTc were predictive of bradyarrhythmias, whereas LVD was predictive of non-sustained VT.

Medien, Bildung, Schule : Dokumentation der ersten Netzwerktagung Medienkompetenz Sachsen-Anhalt, Halle (Saale), 19. und 20. September 2011

Johannes Fromme (Hrsg.)

GoldenLichtung : Jahrbuch der Landschaftsarchitekten und Umweltplaner Bernburg 2011/2012

Seit nunmehr 20 Jahren bildet die Hochschule Anhalt am Standort Bernburg Studierende im Bereich der Landschaftsentwicklung aus. Mehr als 1000 Absolventen erlangten bisher erfolgreich Abschlüsse in den Studiengängen LPF – Landespflege, LAU – Landschaftsarchitektur und Umweltplanung sowie MLA – Master of Landscape Architecture. Dabei liegen die Qualitäten des Studiums in der praxisorientierten Ausbildung und dem teamorientierten, interdisziplinären Arbeiten, um einen berufsqualifizierenden und kammerfähigen Abschluss zu erlangen. Im Studiengang LAU ist das nach vierjähriger Ausbildung der Grad Bachelor of Engineering, im zweijährigen MLA der Titel Master of Sciences.Mit Rückblick auf das erste Heft der Landschaftsarchitekten und Umweltplaner Bernburg GoldenLichtung, wurde das Jahrbuch in 2012 weiterentwickelt. Auf den kommenden Seiten sind ausgewählte Beiträge zu Projektergebnissen, Präsentationen, Bildungsreisen und Praxiserfahrungen zu finden, die im Wintersemester 2011/2012 sowie im Sommersemester 2012 bearbeitet wurden. Wir wünschen viel Spaß beim Lesen und bedanken uns herzlich bei unseren Studierenden und Absolventen für Ihren Entschluss sich an der Hochschule Anhalt für die Praxis zu qualifizieren.

GoldenLichtung : Jahrbuch der Landschaftsarchitekten und Umweltplaner Bernburg 2010/2011

Mit dem achtsemestrigen Bachelor Landschaftsarchitektur und Umweltplanung sowie dem zweijährig konzipierten Master of Landscape Architecture bietet die Hochschule Anhalt im Fachgebiet Landschaftsentwicklung zwei nach international gültigen Kriterien akkreditierte Studiengänge. Sie verhelfen unseren Studierenden zu den berufsqualifizierenden und kammerfähigen Abschlüssen Bachelor of Engineering und Master of Arts auf der bewährten Basis von der Vermittlung wissenschaftlich und praktisch fundierter Kernkompetenzen im Bachelorstudium, der Möglichkeit einer international ausgerichteten Spezialisierung im Masterprogramm, einem selbstbestimmten und eigenverantwortlichen, modular aufgebauten Studium, das teamorientiertes und interdisziplinäres Arbeiten fordert und fördert, dem Lernen anhand konkreter Planungsaufgaben im studentischen Projektstudium und einer einsemestrigen Praxisphase zur Anwendung sowie der Vertiefung und Festigung des erworbenen Wissens und der erlernten Fähigkeiten in einer praxisnahen Umgebung.So entstehen an unserer Hochschule für Angewandte Wissenschaften in jedem Semester aufs Neue kreative Projektergebnisse und innovative Abschlussarbeiten. Einen Auszug aus den Beiträgen des Wintersemesters 2010/11 sowie des Sommersemesters 2011 finden Sie auf den kommenden Seiten. Wir wünschen Ihnen viel Spaß beim Lesen, übermitteln einen großen Dank an unsere Studierenden und Absolventen und freuen uns, dass Sie den Weg an die Hochschule Anhalt gefunden haben!

Motive, Informationsquellen und Determinanten der Wahl des Studienorts : Befunde aus einer Befragung von Neuimmatrikulierten an der Otto-von-Guericke-Universität Magdeburg im WS 2011/12

Barbara Dippelhofer-Stiem ; Till Krenz. Otto-von-Guericke-Universität Magdeburg, Fakultät für Geistes-, Sozial- und Erziehungswissenschaften, Institut für Soziologie

Stereotaktische Strahlentherapie beim Akustikusneurinom : Langzeitbeobachtung nach Behandlungen von 1998 bis 2011

Universität Magdeburg, Univ., Dissertation, 2016

Estrutura da comunidade de Phlebotominae (Diptera, Psychodidae) em mata ciliar do município de Urbano Santos, Maranhão, Brasil

A diversidade, abundância relativa e a distribuição de Phlebotominae foram estudadas em três setores (bordas e centro) de um fragmento de mata ciliar no município de Urbano Santos, Maranhão, Brasil. Os espécimes foram capturados em junho e novembro/2003 e em janeiro e março/2004 das 18 às 6 horas. Em cada noite de coleta foram instaladas 18 armadilhas, seis em cada setor da mata, totalizando um esforço de 864 horas. Foram encontradas 17 espécies. O centro do fragmento obteve a maior riqueza de espécies (14), seguido da borda B (13) e da borda A (12). As espécies Lutzomyia infraspinosa (Mangabeira, 1941), L. flaviscutellata (Mangabeira, 1942) e L. evandroi (Costa Lima & Antunes, 1936) foram as únicas que apareceram como dominantes nos três setores da mata. Quatorze espécies ocorreram em ambas estações, sendo que L. fluviatilis (Floch & Abonnenc, 1944) foi encontrada apenas na estação chuvosa (janeiro e março) e L. migonei (França, 1920) e L. pinottii (Damasceno & Arouck, 1956) apenas na estação seca (junho e novembro). As diferenças registradas na abundância de indivíduos entre as estações não foram estatisticamente significativas. A presença frequente de L. flaviscutellata pode explicar um caso de leishmaniose cutânea difusa em uma paciente deste município.

New or rare frogs from the Coastal Ranges of Brazil: eleutherodactylus venancioi n.sp., E. hoehnei n.sp. Holoaden bradei n.sp. e H. lüderwaldti Mir. Rib., 1920

Field-work in the sierras near the sea-board of south-eastern Brazil continues to yield new or rare frogs. Four more of these forms are presented here. Two of them, both new, are put into the genus Eleutherodactylus, to which they belong by their general habitat, morphology, and also by the osteological characters. They differs from the known regional species of this genus only by the wider and shorter disks of some of the digits and the more lanceolate build. The other two species belong to the very little known genus Holoaden, established by MIRANDA RIBEIRO in 1920. One of them is his type-species, H. lüderwaldti, which continues to be very rare. The other, H. bradei, is new. It seems endemic to the Upper Itatiaia and is very plentiful there.