Influência da atividade física no uso de serviços de saúde da atenção básica de saúde no município de Rio Claro, SP

Introdução: A prevenção e o controle das DCNT’s adquiridas com a prática regular de atividade física podem contribuir para a melhora da saúde dos indivíduos, e consequentemente, pode colaborar na redução do uso dos serviços de saúde e nos gastos referentes a esse serviço além de refletir uma melhor qualidade de vida do indivíduo. Objetivo: 1) Descrever as consultas realizadas pelos participantes do programa e 2)Analisar a influência da atividade física na utilização dos serviços de saúde. Metodologia: Esse trabalho é de caráter retrospectivo e transversal, e foi desenvolvido em Unidades de Saúde da Família no município de Rio Claro, SP. Dentre as 250 mulheres participantes do Programa de exercícios físicos em unidades Básicas de Saúde e Unidades Saúde da Família (USF), com faixa etária acima de 20 anos, foram selecionados dentre essesparticipantes aqueles que possuam prontuários nas sete Unidades Saúde da Família, totalizando 48 prontuários. Foram analisados 1350visitas às unidades no total. Foi analisado o uso dos serviços de saúde através do número de visitas ás unidades de saúde comparando os dados encontrados no ano anterior e no ano posterior do início do programa. Foi utilizado o Termo de Consentimento Livre e Esclarecido para os participantes da pesquisa. Foi realizada análise descritiva dos dados, utilizando-se frequência, média, desvio-padrão máximo e mínimo. Foi realizada análise de comparação dos dados contínuos. Resultados: O grupo participante do Programa Saúde Ativa Rio Claro eram em sua maioria idosos, com alto número de doenças crônicas, principalmente hipertensão (60,4%) e diabetes (37,5%), no entanto, menos da metade com uso de medicamentos para essas doenças. A maioria das consultas eram agendadas (61,7%) ou eram realizadas para triagem/acolhimento (23,0%), com uma menor frequência para controle de pressão arterial ou glicose (5,2%). Os sujeitos analisados...

Aspectos reprodutivos e sociais e resistência óssea em ratos machos submetidos ao exercício físico e/ou a um anabolizante esteróide

Nowadays the regular practice of sports is known as a way to obtain a better quality of life. On the other hand, the media has been distorting this idea, determining the ideal body as the hypertrophy phenotype. It is well known that the genetic factor does not allow all individuals to have this body shape. Besides the fact that, the anxiety of these people in obtain quick results, as one of the globalization’s consequence, make use of anabolic steroid to achieve this goal. However the bodybuilding or the strength muscle gain, make anabolic steroids users abuse and in major cases the users do not know the side effects. In front of these considerations, the present study evaluated the effects of the treatment with anabolic steroids and/or high intensity physical training on the corporal developing, the reproductive organs, bone parameters (strength and bone deformation) and seminal parameters as well the social behavior (aggressiveness). In other to obtain the experimental group, male Wistar rats were used, with 75 days old. The groups were divided into: Vehicle Non-Training (NV), Anabolic Steroid-Non-Training (NA), Vehicle-Training (TV) and Anabolic Steroid-Training (TA). These rats received i.m. injections, twice a week, of anabolic steroid (5mg/kg per animal of nandrolona decanoate) or vehicle (the same volume of peanut oil per animal) and the group TV and TA were submitted to physical training three times per week, during eight weeks. The body mass, wet weight of reproductive organs, femur and semen of the different groups were measured. The aggressive test was also realized in two steps: the first, within 4 weeks of the treatment and the other step in the end of the treatment, in this period the animal was isolated. It was not observed alterations in body mass of the groups. Though it was observed a benefic effect on the maximum strength of the... (Complete abstract click electronic access below)

Dosimetria Física e Controle de Qualidade em Radioterapia

Radiotherapy is a multidisciplinary speciality which uses complex equipment and radiation sources for delivery of treatment, using high-energy ionizing radiation to treat cancer at several stages of complexity. Since radiation therapy is a technique which involves a precalculated radiation dose, it shall be established quality assurance programs that provide an efficient and safety treatment. The International Commission on Radiation Units and Measurements (ICRU) report No. 50 has recommended dose uniformity between 5% of the prescribed dose throughout the region of interest. This is one of the most primordial points that justify the importance of a suitable attendance of the equipments quality and performance. For quality control, the medical physicist will be involved with establishing and running a Quality Control Program (QCP). He must adapt or develop the procedures of equipment acceptance and commissioning, besides verifying the use of principles and accepted protocols of national and international reports to assure the correct quality, quantity, and placement of radiation during the performance of a radiological procedure, establishing adequate protocols to ensure accurate patient dosimetry. This present work consists of a description of the activities carried through the Sectors of Radiation Therapy of the Hospital of Clinics of the Campinas State University (Unicamp), particularly in the implementation of the Quality Control Program

Método de pontos interiores no planejamento ótimo do tratamento de câncer por radioterapia

The Medical Physics has been developing very fast due to the progress of the technologies and to the increase of the concerns with cure of diseases. One of the Medical Physics main performances at the present time is the use of ionizing radiations for cancer treatment, especially, services as Radiotherapy. The radiotherapy technique uses ionizing radiation with therapeutic end of cancer controls, avoiding your proliferation and it worsens of the patient. For the treatment a radiation bunch is used, with rectangular form, that it passes through the different types of tissues of the patient's body, and depending on the attenuation and of the depth of the fabrics, a great amount of energy is deposited inside in different points of the body. Like this, to plan this treatment type it should be obtained the dimension of the distribution and dose absorption along the volume. For this, it is necessary in the planning of the treatment of the cancer for radiotherapy to build isodose curves, which are lines that represent points of same amount of dose to be deposited in the area to be treated. To aid the construction of the curves of form isodose to reach the best result in the planning of the treatment, in other words, a great planning, providing the maximum of dose in the tumor and saving the healthy and critical organs, it has been using mathematical tools and computational. A plan of cancer treatment for radiotherapy is considered great when all the parameters that involve the treatment, be them physical or biological, they were investigated and adapted individually for the patient. For that, is considered the type and the location of the tumor, worrying about the elimination of the cancer without damaging the healthy tissue of the treated area, mainly the risk organs, which are in general very sensitive to the radiations. This way, the optimization techniques... (Complete abstract click electronic access below)

Incorporação do lodo da estação de tratamento de água (ETA II) do município de Rio Claro-SP, na argila, para produção de cerâmica vermelha

The slugde from decanters in Water Treatment Plants (WTP) has different composition varying, according to the region, coagulant type and dosages, the plant layout. In this work, the physical characterization of the sludge generated from decenties (ETAII the municipality of Rio Claro, Brazil), the manufacture of bodies of evidence-sludge mixture of clay (with humidity of 8% and concentrations of sludge, 5, 15 and 30%) the testing technology after burning the mixture to a temperature of 950 ° C were investigated. The main aim assess the possibility of its use as raw material in the ceramic red production. For comparison of the obtained results it was used values of the testing technology of bodies of evidence only with clay, prepared under the same conditions. In general, the addition of sludge from ETA made worse the properties of the ceramic body, however, the values obtained from the tests on the concentration of 5% of sludge, still remain within the acceptable limits for the production of red pottery pieces.

Possíveis relações entre esquizofrenia e atividade física: uma revisão temática

Esse estudo tem como objetivo, utilizando revisão de literatura, evidenciar a importância na atividade física para pacientes com transtornos mentais, com foco mais específico na esquizofrenia. Por ser uma doença neurodegenerativa e que o paciente geralmente convive muitos anos com o seu agravamento, busco mostrar os benefícios das práticas corporais na qualidade de vida e agravantes da doença, nos indivíduos acometidos por esta. Assim como saliento a importância de mais estudos com foco específico na atividade física, por se tratar de um tratamento não medicamentoso que traz benefícios físicos, fisiológicos, moral, afetivos e cognitivos. Apesar de não ser evidente o desaparecimento de sintomas específicos da doença, o exercício físico auxilia, principalmente, nos sintomas negativos da doença, os quais os medicamentos pouco afetam; além de ser uma das formas de tratamento para as doenças cardiorrespiratórias muito evidenciadas nos pacientes esquizofrênicos. Não obstante, vale ressaltar a importância de considerar a individualidade de cada sujeito, pois cada um responde de uma forma as atividades, seja por experiências anteriores, ou pelo agravo da doença; assim como o tipo de prática utilizada, a qual pode ser mais motivadora para alguns, e menos para outros

Usuários de serviço de saúde mental: o que conhecem sobre os direitos de cidadania

This is an exploratory descriptive study with a qualitative approach. It aimed at apprehending what users undergoing treatment at a mental health service know about their rights. A semistructured interview was used as a data collection strategy. Five users were interviewed. Thematic content analysis was used for data analysis, and three categories emerged: process of falling ill, experiences of treatment and users’ rights. The users reported voluntary and involuntary hospitalization experiences and that, after treatment commencement at the psychosocial care center, they perceived significant changes in mental health care. They reported that they did not know the mental health legislation, but they knew about the rights stemming from experiencing mental disorder. For users to be able to recognize and take advantage of their citizens’ rights, awareness must be developed by health care professionals, which also includes their academic education

Coleta de dados, modelagem e controle de qualidade do sistema de planejamento pinnacle3

Qualidade na coleta de dados do feixe de radiação, modelagem por meio do sistema de planejamento de tratamento (SPT) e controle da qualidade do processo envolvido são cruciais à fidedignidade do serviço de radioterapia de forma a contribuir à eficácia do tratamento e segurança do principal ente envolvido no final de toda essa sistemática, o paciente. Para isso foi proposto nesse presente trabalho a coleta de dados do feixe de raios-x de 6MV seguido da introdução desses dados ao SPT para processo de modelagem computacional que teve agregado, a todo esses processos, o controle da qualidade segundo critérios de aceitação

Efeito da atividade física no uso de serviços de saúde na atenção primária no município de Rio Claro, SP

Introduction: Physical inactivity is identified as the fourth greatest risk factor of mortality worldwide. Little is known about how physical inactivity alters the demand for use of primary health care services, and it is a subject which demands further investigation. Objective: This study aims to determine the influence that physical activity has on the demand for use of primary health care services. Methods: This is a retrospective and cross-sectional study. The Rio Claro Active Health Program (SARC), studied in this research, is a partnership between the Municipal Health Foundation and Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), represented by the Nucleus of Physical Activity, Sport and Health (NAFES) department of Physical Education and coordinated by Prof. Dr. Eduardo Kokubun. The study was carried out on residents of Rio Claro of both sexes seen at SARC. To assess the influence that physical activity had on the demand of the use of health services a questionnaire was given to participants who had attended the program since 2009. This questionnaire contains questions concerning the level of physical activity, health service use, number of both blood pressure and glucose measurement takings, number of spontaneous and scheduled medical visits, number of medications taken, number of illnesses and hospitalizations, comparing the data found in the previous year and the year after the program began. An informed term of consent was used for research participants. Descriptive analysis was carried out, using frequency, mean, maximum and minimum standard deviation. Results: Active participation in The Rio Claro Active Health program has positively influenced the following variables: perception of health, uncontrolled blood pressure, did not modify the number of diseases, number of medications in general, ...(Complete abstract click electronic access below)

Uma avaliação do uso do NCRP 151 na realidade brasileira

Medical Physics is an interdisciplinary field that applies concepts and laws of physics in medical practices. Currently, one of its main applications is the use of ionizing radiation in the treatment of oncological diseases. Due to its wide use and highly dangerous, many of radioprotection procedures should be adopted with the objective of protecting human beings from harmful effects of radiation. Thus, you can better enjoy the benefits that the practice can offer. The methodology proposed by the National Council on Radiation Protection 151 (NCRP 151), relates technical information necessary to Structural Shielding Design and Evaluation for Megavoltage X- and Gamma- Ray Radiotherapy Facilities. However, many parameters used to calculate the shield are based on estimates only, and it is an international standard that may not be adequate to the Brazilian reality. Thus, the central idea of this study is the collection of data from the routine of the Radiotherapy Service of the Real e Benemérita Associação Portuguesa de Beneficência, in particular equipment cobalt therapy Theratron 780 (Atomic Energy of Canada Ltd.) and the linear accelerator Varian Clinac 2100C for measurement of workload, number of patients, fields, and dose factors to determine the best use of barrier protection. Furthermore, this work features a profile of radiotherapy treatments carried out closer to the Brazilian reality

Mídia e futebol feminino: indiferença e distorções

É perceptivo para todos que o futebol feminino não tem o mesmo tratamento e espaço dentro da mídia como tem o esporte masculino, várias seriam as razões que explicam tal acontecimento como, por exemplo, o histórico do futebol em nosso país e a difícil inserção da mulher dentro deste esporte que é tratado como uma reserva exclusivamente masculina, constituindo-se em um espaço privilegiado de exercício de poder. Compondo este cenário, o futebol, juntamente com outros esportes, como lutas, rugby, pólo aquático tiveram sua prática permitida por lei para a mulher há apenas 30 anos atrás. A questão que move este estudo busca compreender se este pouco espaço que lhe é dado está sendo tratado de forma digna e não preconceituosa. Neste sentido, o estudo se justifica devido ao aparente preconceito ainda existente no Brasil que é considerado o país do futebol, mas que ainda não consegue inserir as mulheres de maneira efetiva dentro dessa cultura, o que mostra o predomínio de mitos historicamente construídos. Para compreender este cenário a pesquisa teve como objetivo analisar o discurso midiático, expresso por meio da narração e comentários dos atores que realizam a cobertura televisiva do futebol feminino, sendo que, mais especificamente, esta análise está circunscrita à cobertura da Rede Bandeirantes de Televisão ao Campeonato Mundial de Futebol Feminino da FIFA 2007, realizado na China, no período de 10 a 30 de setembro. Foram analisados, de maneira preliminar, três jogos desta competição, sendo um deles (Brasil x Austrália) selecionado para uma análise mais pormenorizada. Com base no que foi assistido dos jogos foram encontrados três tipos de comentários, os que comparam o jogo feminino com o masculino, os que dão ênfase à beleza das jogadoras, e os que buscam incentivar o futebol feminino no país. Conclui-se que o Brasil ainda precisa... (Resumo completo, clicar acesso eletrônico abaixo)

Estudo de um caso de tratamento de câncer com um produto alternativo às técnicas convencionais

This work consists of a case study, a qualitative methodology, which aims to show the effects of TIVALLEC, a supplement in vitamins, as an alternative treatment of cancer. This study had also the objective of evaluating one patient’s quality of life thirteen years after being diagnosed with an advanced prostate cancer, and having decided for an alternative treatment using TIVALLEC instead of conventional treatments, having obtained excellent results. An open interview was conducted with patient, evaluating various aspects of his life after the initial diagnosis and the chosen treatment. The answers were transcribed after being limitedly edited for readability. At the end of the study, with the support of recent literature, the interview allowed the conclusion that TIVALLEC was greatly effective, creating good quality of life and wellness for the patient during all the period of thirteen year after the diagnosis up to now. These alternative treatment results may be seen as demanding new studies to help cancer patients who embrace or not the conventional treatments

Marketing de relacionamento e relações públicas: uma aplicação no serviço de pós-venda da Embraer Executive Jets

The present study aims to investigate the interrelationship between the Relationship Marketing and Public Relations areas, high lighting its strategic value. The main goal is to discuss how the public relations professional can manage the customer loyalty by improving the after-sales services provided, applying it to a specific market such as business a viation. To establish the foundation to support the hypotheses, a revision of the subject literature was made, seeking to break down the barriers between marketing-mainly of relationship and public relations knowledge fields. A consult of the relevant literature was a continuous activity throughout the work. Divided into three chapters, the two first ones of fundamentals concepts, presents an after-sales services scenario, emphasizing the importance of the relationship and the definition of audiences in this area, in addition to a detailed description of the luxury market, a business aviation reality. The third chapter ends the discussion with a relationship proposal for Embraer Executive Jets, through actions based on the studied concepts. By gathering ideas and reflecting about the subject, using them to develop the proposal, a conclusion was resulted: the public relations professional is prepared and essential to build an effective after-sales relationship, since it's concerned about the communication excellence and knows the audiences significance in this process

Resolução de problema de valor no contorno associado ao projeto de reatores de fluxo disperso empregados no tratamento de efluentes

The objective of this work was to develop a numerical method to solve boundary value problems concerning to the use of dispersion model for describing the hydraulic behavior of chemical or biological reactors employed in the wastewater treatment. The numerical method was implemented in FORTRAN language generating a computational program which was applied to solve cases involving reaction kinetics of both integer and fractional orders. The developed method was able to solve the proposed problems evidencing to be a useful tool that provides more accurate design of wastewater treatment reactors

Aplicação da descarga por barreira dielétrica (DBD) em diferentes frequências no tratamento de polipropileno

In this work, air dielectric barrier discharge (DBD) operating at two different frequencies (60 Hz and 17 kHz) was used to improve surface properties of polypropylene (PP). The changes in surface hydrophilicity were investigated by contact angle measurements. The modifications in chemical composition of PP surface were studied by X-ray photoelectron spectroscopy (XPS) and Fourier-transformed infrared spectroscopy (FTIR). The PP roughness were analyzed before and after the DBD treatment using atomic force microscopy (AFM). In order to compare the results obtained at different frequencies, the analyses are presented as a function of the deposited energy density. The results show that both DBD treatments led to formation of low-molecular weight oxidized material (LMWOM). It tends to agglomerate into small mounts on the surface, as shown by AFM analyses. These structures are weakly bounded to the surface and can be easily removed by rinsing in polar solvents. After washing the DBD-treated samples, the PP partially recovers its original wetting characteristics. This suggests that oxidation also occurred at deeper and more permanent levels on the PP samples. Comparing both DBD treatments, the 17 kHz process was found to be more efficient in introducing oxygen groups to the PP surface