Lógicas, racionalidades e contextos dos itinerários de saúde/doença de universitários

"Os estudantes universitários em Ciências da Saúde, são tipicamente bem educados, saudáveis, são um grupo relativamente homogéneo e privilegiado relativamente a cultura e status socioeconómico, constituindo sem dúvida, um potencial de liderança futura que poderá influenciar outros grupos sociais em diversos momentos do ciclo de vida, assumindo o papel de agentes de mudança. Na Sociedade e Cultura do nosso tempo, encontramos inquietações que não são fáceis de estudar, como a medicalização da sociedade, os fenómenos de comorbilidade, iatrogenia, a prevenção quaternária, para além de toda a complexidade relacionada com a medicina, médicos e medicamentos. A partir desta temática e com recurso a vários patamares de conhecimento fomos desenvolvendo a construção de um objecto teórico de forma a seguidamente desenvolvermos a sua análise, que se concretizou no objectivo deste estudo, ou seja, conhecer e caracterizar as práticas de saúde e/ou doença, de jovens universitários, bem como representações sociais acerca dos médicos da medicina e dos medicamentos. Desejámos compreender, se existem práticas medicalizantes, promotoras da autonomia e/ou dependência, novas formas de gestão do corpo e do bem-estar, práticas de risco, recurso à automedicação, crenças acerca da medicina, metáforas acerca dos medicamentos, bem como se existe alinhamento com o conceito e filosofia da prevenção quaternária. Foram inquiridos, através de questionário, 502 estudantes universitários da área de Ciências da Saúde. Tratou-se de um estudo exploratório, descritivo e transversal. Os resultados foram sujeitos a análise descritiva e inferencial utilizando-se neste caso o teste qui-quadrado, a análise factorial e a análise de componentes principais com nível de significância de (p<=0,05). Encontramos sinais de bom senso e espírito crítico nas escolhas efectuadas pelos jovens, não encontramos significativas diferenças de género maior parte das variáveis em analise, o que nos leva a questionar, como será a Sociedade do Futuro?"

Evaluación antimicrobiana de rifampicina nanoencapsulada contra aggregatibacter actinomycetemcomitans presente en la periodontitis

Introducción. A pesar de los esfuerzos tanto de la medicina como de la industria farmacéutica, el incremento en la prevalencia de resistencia en bacterias patógenas frente a antibióticos se ha vuelto uno de los mayores problemas en la medicina moderna. El área odontológica tampoco se encuentra exenta, siendo común el uso excesivo de antibióticos lo que contribuye al desarrollo de resistencia antimicrobiana. La primera etapa para el desarrollo de la enfermedad periodontal es la formación de un biofilm de bacterias periodontopatógenas, siendo el Aggregaribacter actinomycetemcomitans (A.a) uno de los más asociados a dicha enfermedad. El tratamiento de esta patología se basa en remover mecánicamente la placa dentobacteriana y, en segunda instancia, en el apoyo de terapia antimicrobiana para coadyuvar la eliminación de las bacterias periodontopatógenas, cuales tienen gran similitud con Mycobacterium tuberculosis. La rifampicina es uno de los antibióticos efectivos contra bacterias multi-resistentes y la primera elección en el tratamiento de tuberculosis activa. Con el fin de mejorar la terapia farmacológica y evadir la resistencia del agente infectivo, se han propuesto nuevas estrategias basadas en sistemas de liberación controlada. Entre los más estudiados en los últimos 10 años se encuentran las nanopartículas poliméricas. El objetivo del presente estudio fue evaluar la actividad antimicrobiana de la rifampicina nanoencapsulada contra el A.a presente en la periodontitis. Materiales y Métodos. Para el estudio, Se tomaron muestras de fluido crevicular en pacientes con bolsas periodontales de 5-10 mm de profundidad. Se inoculo caldo de tripticaseina de soya (TCS) con las muestras tomadas y se incubaron a 37 ° C en condiciones aeróbicas por 7 días. La presencia de Aggregatibacter actinomycetemcomitans (A.a) fue determinado mediante PCR en tiempo real. La Concentración Mínima Inhibitoria (MIC) de rifampicina para interferir con el crecimiento de bacterias orales fue determinada mediante la técnica de dilución de tubos. Posteriormente se prepararon mediante la técnica de nanoprecipitación NP de Eudragit® EPO, L100-55 y PLA entre 100 y 200 nm y su IP con distribución de tamaño homogéneo. Resultados. A.a fue detectado en muestras de fluido crevicular en pacientes con periodontitis, corroborando su asociación con dicha patología. La efectividad de la rifampicina libre contra bacterias orales fue confirmada, obteniéndose una CMI de 1 µg/ml. Las NP con Rifampicina se ajustaron a la misma CMI que la Rif libre. Las NP de Eudragit® EPO cargadas con Rif mostraron que la liberación de la Rif de la NP fue inmediata, mientras que el Eudragit® L100-55 y PLA con Rif no mostró inhibición durante los 5 días de incubación. Esto hace suponer que el fármaco no fue liberado o solo se liberó en una baja proporción que no permitió llegar a la CMI. Conclusión. La rifampicina es una excelente alternativa terapéutica para el tratamiento de la enfermedad periodontal, promoviendo resultados favorables en la evaluación clínica de pacientes. Sería interesante continuar con estudios utilizando otro polímero o mezcla de ellos para favorecer la liberación del fármaco en la NP.

Prevalencia de hiperlipidemia y factores asociados en adolescentes de los colegios de la ciudad de Cuenca. Cuenca 2007

Se realizó un estudio transversal en 237 adolescentes con edades comprendidas entre 12 y 19 años. La muestra fue aleatoria, estratificada, proporcional de un universo finito y homogéneo. Se determinaron los valores en suero de colesterol, triglicéridos LDL y HDL en mg/dl. Se midieron los índices antropométricos de peso, talla y se clasificó el estado nutricional de acuerdo a IMC según normas del International Task Force; los antecedentes familiares, la actividad física, el estado nutricional y los hábitos alimenticios. Se realizó un análisis univariado, bivariado y multivariado. La prevalencia de hiperlipidemia fue de 29.1 por ciento (IC: 23.3 por ciento - 34.8 por ciento). Hipertrigliceridemia 17.3 por ciento. Hipercolesterolemia 16.5 por ciento. La prevalencia de sobrepeso fue de 16 por ciento y la obesidad un 2.5 por ciento. El 54 por ciento de adolescentes son sedentarios. El 67.5 por ciento manifiesta tener antecedentes familiares. En cuanto a los patrones de ingesta alimenticia se halló bajo consumo de lácteos y huevos 59.9 por ciento, de frutas 51.1 por ciento, de verduras, 70 por ciento, de carnes 72.2 por ciento, y de cereales 30.4 por ciento. El exceso de consumo de cereales (OR 2.4 IC 1.2 - 4.8) y el sobrepeso (OR 3.4 IC 1.6 - 6.9) resultaron ser factores de riesgo para la hiperlipidemia, mientras que la talla (OR 0.5 IC 0.2 - 0.9) resultó ser un factor protector. Existe una alta prevalencia de hiperlipidemia en los adolescentes escolarizados de la ciudad de Cuenca. Es necesario implementar programas d intervención adcuados para adoptar estilos de vida saludables

Estudo paramétrico da recuperação de petróleo pesado por aquecimento eletromagnético resistivo

Electrical resistive heating (ERH) is a thermal method used to improve oil recovery. It can increase oil rate and oil recovery due to temperature increase caused by electrical current passage through oil zone. ERH has some advantage compared with well-known thermal methods such as continuous steam flood, presenting low-water production. This method can be applied to reservoirs with different characteristics and initial reservoir conditions. Commercial software was used to test several cases using a semi-synthetic homogeneous reservoir with some characteristics as found in northeast Brazilian basins. It was realized a sensitivity analysis of some reservoir parameters, such as: oil zone, aquifer presence, gas cap presence and oil saturation on oil recovery and energy consumption. Then it was tested several cases studying the electrical variables considered more important in the process, such as: voltage, electrical configurations and electrodes positions. Energy optimization by electrodes voltage levels changes and electrical settings modify the intensity and the electrical current distribution in oil zone and, consequently, their influences in reservoir temperature reached at some regions. Results show which reservoir parameters were significant in order to improve oil recovery and energy requirement in for each reservoir. Most significant parameters on oil recovery and electrical energy delivered were oil thickness, presence of aquifer, presence of gas cap, voltage, electrical configuration and electrodes positions. Factors such as: connate water, water salinity and relative permeability to water at irreducible oil saturation had low influence on oil recovery but had some influence in energy requirements. It was possible to optimize energy consumption and oil recovery by electrical variables. Energy requirements can decrease by changing electrodes voltages during the process. This application can be extended to heavy oil reservoirs of high depth, such as offshore fields, where nowadays it is not applicable any conventional thermal process such as steam flooding

Análise paramétrica da simulação composicional do processo de Drenagem Gravitacional Assistida por Gás (GAGD)

In Brazil and around the world, oil companies are looking for, and expected development of new technologies and processes that can increase the oil recovery factor in mature reservoirs, in a simple and inexpensive way. So, the latest research has developed a new process called Gas Assisted Gravity Drainage (GAGD) which was classified as a gas injection IOR. The process, which is undergoing pilot testing in the field, is being extensively studied through physical scale models and core-floods laboratory, due to high oil recoveries in relation to other gas injection IOR. This process consists of injecting gas at the top of a reservoir through horizontal or vertical injector wells and displacing the oil, taking advantage of natural gravity segregation of fluids, to a horizontal producer well placed at the bottom of the reservoir. To study this process it was modeled a homogeneous reservoir and a model of multi-component fluid with characteristics similar to light oil Brazilian fields through a compositional simulator, to optimize the operational parameters. The model of the process was simulated in GEM (CMG, 2009.10). The operational parameters studied were the gas injection rate, the type of gas injection, the location of the injector and production well. We also studied the presence of water drive in the process. The results showed that the maximum vertical spacing between the two wells, caused the maximum recovery of oil in GAGD. Also, it was found that the largest flow injection, it obtained the largest recovery factors. This parameter controls the speed of the front of the gas injected and determined if the gravitational force dominates or not the process in the recovery of oil. Natural gas had better performance than CO2 and that the presence of aquifer in the reservoir was less influential in the process. In economic analysis found that by injecting natural gas is obtained more economically beneficial than CO2

Estudo de sistemas multicomponentes no processo de injeção cíclica de vapor

In Brazilian Northeast there are reservoirs with heavy oil, which use steam flooding as a recovery method. This process allows to reduce oil viscosity, increasing its mobility and consequently its oil recovery. Steam injection is a thermal method and can occurs in continues or cyclic form. Cyclic steam stimulation (CSS) can be repeated several times. Each cycle consisting of three stages: steam injection, soaking time and production phase. CSS becomes less efficient with an increase of number of cycles. Thus, this work aims to study the influence of compositional models in cyclic steam injection and the effects of some parameters, such like: flow injection, steam quality and temperature of steam injected, analyzing the influence of pseudocomponents numbers on oil rate, cumulative oil, oil recovery and simulation time. In the situations analyzed was compared the model of fluid of three phases and three components known as Blackoil . Simulations were done using commercial software (CMG), it was analyzed a homogeneous reservoir with characteristics similar to those found in Brazilian Northeast. It was observed that an increase of components number, increase the time spent in simulation. As for analyzed parameters, it appears that the steam rate, and steam quality has influence on cumulative oil and oil recovery. The number of components did not a lot influenced on oil recovery, however it has influenced on gas production

Análise comparativa entre simuladores de linha de fluxo e diferenças finitas para um reservatório de petróleo submetido a injeção de água

Water injection is the most widely used method for supplementary recovery in many oil fields due to various reasons, like the fact that water is an effective displacing agent of low viscosity oils, the water injection projects are relatively simple to establish and the water availability at a relatively low cost. For design of water injection projects is necessary to do reservoir studies in order to define the various parameters needed to increase the effectiveness of the method. For this kind of study can be used several mathematical models classified into two general categories: analytical or numerical. The present work aims to do a comparative analysis between the results presented by flow lines simulator and conventional finite differences simulator; both types of simulators are based on numerical methods designed to model light oil reservoirs subjected to water injection. Therefore, it was defined two reservoir models: the first one was a heterogeneous model whose petrophysical properties vary along the reservoir and the other one was created using average petrophysical properties obtained from the first model. Comparisons were done considering that the results of these two models were always in the same operational conditions. Then some rock and fluid parameters have been changed in both models and again the results were compared. From the factorial design, that was done to study the sensitivity analysis of reservoir parameters, a few cases were chosen to study the role of water injection rate and the vertical position of wells perforations in production forecast. It was observed that the results from the two simulators are quite similar in most of the cases; differences were found only in those cases where there was an increase in gas solubility ratio of the model. Thus, it was concluded that in flow simulation of reservoirs analogous of those now studied, mainly when the gas solubility ratio is low, the conventional finite differences simulator may be replaced by flow lines simulator the production forecast is compatible but the computational processing time is lower.

Estudo de modelos composicionais de óleo na injeção contínua de vapor

The objective of the thermal recovery is to heat the resevoir and the oil in it to increase its recovery. In the Potiguar river basin there are located several heavy oil reservoirs whose primary recovery energy provides us with a little oil flow, which makes these reservoirs great candidates for application of a method of recovery advanced of the oil, especially the thermal. The steam injection can occur on a cyclical or continuous manner. The continuous steam injection occurs through injection wells, which in its vicinity form a zone of steam that expands itself, having as a consequence the displace of the oil with viscosity and mobility improved towards the producing wells. Another possible mechanism of displacement of oil in reservoirs subjected to continuous injection of steam is the distillation of oil by steam, which at high temperatures; their lighter fractions can be vaporized by changing the composition of the oil produced, of the oil residual or to shatter in the amount of oil produced. In this context, this paper aims to study the influence of compositional models in the continuous injection of steam through in the analysis of some parameters such as flow injection steam and temperature of injection. Were made various leading comparative analysis taking the various models of fluid, varying from a good elementary, with 03 pseudocomponents to a modeling of fluids with increasing numbers of pseudocomponents. A commercial numerical simulator was used for the study from a homogeneous reservoir model with similar features to those found in northeastern Brazil. Some conclusions as the increasing of the simulation time with increasing number of pseudocomponents, the significant influence of flow injection on cumulative production of oil and little influence of the number of pseudocomponents in the flows and cumulative production of oil were found

Estudo do processo de drenagem gravitacional do óleo assistido com injeção de vapor e solvente

Como os recursos de hidrocarbonetos convencionais estão se esgotando, a crescente demanda mundial por energia impulsiona a indústria do petróleo para desenvolver mais reservatórios não convencionais. Os recursos mundiais de betume e óleo pesado são estimados em 5,6 trilhões de barris, dos quais 80% estão localizados na Venezuela, Canadá e EUA. Um dos métodos para explorar estes hidrocarbonetos é o processo de drenagem gravitacional assistido com injeção de vapor e solvente (ES-SAGD Expanding Solvent Steam Assisted Gravity Drainage). Neste processo são utilizados dois poços horizontais paralelos e situados verticalmente um acima do outro, um produtor na base do reservatório e um injetor de vapor e solvente no topo do reservatório. Este processo é composto por um método térmico (injeção de vapor) e um método miscível (injeção de solvente) com a finalidade de causar a redução das tensões interfaciais e da viscosidade do óleo ou betume. O objetivo deste estudo é analisar a sensibilidade de alguns parâmetros operacionais, tais como: tipo de solvente injetado, qualidade do vapor, distância vertical entre os poços, porcentagem de solvente injetado e vazão de injeção de vapor sobre o fator de recuperação para 5, 10 e 15 anos. Os estudos foram realizados através de simulações concretizadas no módulo STARS (Steam Thermal, and Advanced Processes Reservoir Simulator) do programa da CMG (Computer Modelling Group), versão 2010.10, onde as interações entre os parâmetros operacionais, estudados em um modelo homogêneo com características de reservatórios semelhantes aos encontrados no Nordeste Brasileiro, foram observadas. Os resultados obtidos neste estudo mostraram que os melhores fatores de recuperação ocorreram para níveis máximos do percentual de solvente injetado e da distância vertical entre os poços. Observou-se também que o processo será rentável dependendo do tipo e do valor do solvente injetado

Estudo do processo de combustão in-situ em reservatórios maduros de óleos médios e leves (high pressure air injection)

Nearly 3 x 1011 m3 of medium and light oils will remain in reservoirs worldwide after conventional recovery methods have been exhausted and much of this volume would be recovered by Enhanced Oil Recovery (EOR) methods. The in-situ combustion (ISC) is an EOR method in which an oxygen-containing gas is injected into a reservoir where it reacts with the crude oil to create a high-temperature combustion front that is propagated through the reservoir. The High Pressure Air Injection (HPAI) method is a particular denomination of the air injection process applied in light oil reservoirs, for which the combustion reactions are dominant between 150 and 300°C and the generation of flue gas is the main factor to the oil displacement. A simulation model of a homogeneous reservoir was built to study, which was initially undergone to primary production, for 3 years, next by a waterflooding process for 21 more years. At this point, with the mature condition established into the reservoir, three variations of this model were selected, according to the recovery factors (RF) reached, for study the in-situ combustion (HPAI) technique. Next to this, a sensitivity analysis on the RF of characteristic operational parameters of the method was carried out: air injection rate per well, oxygen concentration into the injected gas, patterns of air injection and wells perforations configuration. This analysis, for 10 more years of production time, was performed with assistance of the central composite design. The reservoir behavior and the impacts of chemical reactions parameters and of reservoir particularities on the RF were also evaluated. An economic analysis and a study to maximize the RF of the process were also carried out. The simulation runs were performed in the simulator of thermal processes in reservoirs STARS (Steam, Thermal, and Advanced Processes Reservoir Simulator) from CMG (Computer Modelling Group). The results showed the incremental RF were small and the net present value (NPV) is affected by high initial investments to compress the air. It was noticed that the adoption of high oxygen concentration into the injected gas and of the five spot pattern tends to improve the RF, and the wells perforations configuration has more influence with the increase of the oil thickness. Simulated cases relating to the reservoir particularities showed that smaller residual oil saturations to gas lead to greater RF and the presence of heterogeneities results in important variations on the RF and on the production curves

Manejo de cultivo do paricá (Schizolobium amazonicum) em um Latossolo amarelo distrófico no sistema de integração lavourapecuária-floresta no Nordeste Paraense.

Objetivou-se avaliar o (Schizolobium amazonicum) no sistema de Integração Lavoura-Pecuária-Floresta (ILPF) e no sistema homogêneo para recuperar áreas de pastagens degradadas. O cultivo de grãos foi realizado com milho (BRS 1030), a forragem utilizada foi Urochlroa ruziziensis e a espécie florestal foi o paricá. O crescimento do paricá foi mensurado até o quinto ano e a circunferência à altura do peito (CAP) foi mensurada a partir do segundo ano da instalação do sistema ILPF. Na avaliação dos 5 anos, as plantas de paricá no ILPF apresentaram menores valores de altura de planta e maiores valores de CAP, quando comparadas com o sistema homogêneo. O excesso de chuva nos meses de fevereiro a maio de 2009 causou prejuízos na produtividade e na qualidade dos grãos de milho (Zea mays). Mesmo assim, apresentou bons resultados no consórcio com forragem intercalado com paricá. Houve recuperação e manutenção da capacidade produtiva do solo, redução de carbono (C), fósforo (P), saturação por bases e aumento no teor de alumínio trocável (Al3+) com o aumento da profundidade do solo. Essas peculiaridades do iLPF implicam em diferentes estratégias de manejo da fertilidade do solo. Para tanto, as recomendações devem ser mais bem estudadas, respeitando as situações especificamente.

Efeito da perda de carga e calor no poço injetor no processo de drenagem gravitacional assistido com vapor e solvente

Nowadays, most of the hydrocarbon reserves in the world are in the form of heavy oil, ultra - heavy or bitumen. For the extraction and production of this resource is required to implement new technologies. One of the promising processes for the recovery of this oil is the Expanding Solvent Steam Assisted Gravity Drainage (ES-SAGD) which uses two parallel horizontal wells, where the injection well is situated vertically above the production well. The completion of the process occurs upon injection of a hydrocarbon additive at low concentration in conjunction with steam. The steam adds heat to reduce the viscosity of the oil and solvent aids in reducing the interfacial tension between oil/ solvent. The main force acting in this process is the gravitational and the heat transfer takes place by conduction, convection and latent heat of steam. In this study was used the discretized wellbore model, where the well is discretized in the same way that the reservoir and each section of the well treated as a block of grid, with interblock connection with the reservoir. This study aims to analyze the influence of the pressure drop and heat along the injection well in the ES-SAGD process. The model used for the study is a homogeneous reservoir, semi synthetic with characteristics of the Brazilian Northeast and numerical simulations were performed using the STARS thermal simulator from CMG (Computer Modelling Group). The operational parameters analyzed were: percentage of solvent injected, the flow of steam injection, vertical distance between the wells and steam quality. All of them were significant in oil recovery factor positively influencing this. The results showed that, for all cases analyzed, the model considers the pressure drop has cumulative production of oil below its respective model that disregards such loss. This difference is more pronounced the lower the value of the flow of steam injection

Diseño de un vector no viral basado en nanopartículas lipídicas para el tratamiento de la hepatitis C mediante ARN de interferencia

199 p.

La propiedad intelectual en el TLC CA-EE.UU. con énfasis en la propiedad intelectual de seres vivos

Introducción El capítulo de propiedad intelectual (PI) es simultáneamente uno de los más desmentidos y mas imprecisos del Tratado. Ello deja abiertas posibilidades para que Estados Unidos presione a fin de conseguir eventualmente concesiones más allá de lo estipulado en el texto actual. Su lectura pone de manifiesto la agobiante tendencia –que ya se observa en el Acuerdo en Aspectos Relacionados con la Propiedad Intelectual (ADPIC o TRIPs), de la Organización Mundial del Comercio (OMC)– enel sentido de buscar imponer un régimen homogéneo de PI, concebido sin consideración alguna al grado de desarrollo de cada país y de la soberanía de cada nación para darse sus propias leyes y normativa en éste y otros campos…

Un repositorio RDF para la Integración de Flujos de Datos de Analítica Web y Comercio Electrónico

La Analítica Web supone hoy en día una tarea ineludible para las empresas de comercio electrónico, ya que les permite analizar el comportamiento de sus clientes. El proyecto Europeo SME-Ecompass tiene como objetivo desarrollar herramientas avanzadas de analítica web accesibles para las PYMES. Con esta motivación, proponemos un servicio de integración de datos basado en ontologías para recopilar, integrar y almacenar información de traza web procedente de distintas fuentes.Estas se consolidan en un repositorio RDF diseñado para proporcionar semántica común a los datos de análisis y dar servicio homogéneo a algoritmos de Minería de Datos. El servicio propuesto se ha validado mediante traza digital real (Google Analitics y Piwik) de 15 tiendas virtuales de diferentes sectores y países europeos (UK, España, Grecia y Alemania) durante varios meses de actividad.