Avaliação dos óbitos neonatais no Departamento Regional de Saúde VI - Bauru

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo do perfil epidemiológico do melanoma cutâneo na cidade de Jaú-SP através do registro de base populacional

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Análise da relação entre a distribuição espacial das morbidades por obesidade e hipertensão arterial para o estado de São Paulo, Brasil, de 2000 a 2010

A expansão da obesidade em diversos países do mundo na última década tem resultado no aumento da morbidade e mortalidade por hipertensão arterial e suas complicações. O objetivo deste trabalho é analisar a distribuição espacial da obesidade e hipertensão arterial no estado de São Paulo no período de 2000 a 2010, a partir de registros hospitalares e internação do Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH - SUS). Foram utilizados coeficientes de prevalência das doenças em cada município suavizadas pelo método bayesiano empírico, permitindo uma visualização do padrão espacial dessas morbidades no Estado. Foi explorada a dependência espacial destes padrões verificando a autocorrelação entre os indicadores por meio do cálculo do Índice de Autocorrelação Espacial de Moran. Além disso, estudou-se a correlação positiva (Pearson) entre obesidade e hipertensão. Os dados e os mapas mostraram clusters de 87 municípios onde há maior e menor prevalência de hipertensão e obesidade no espaço com forte autocorrelação entre os municípios vizinhos. O coeficiente correlação de Pearson encontrado para esses municípios foi de 0,404 e sugere associação entre as morbidades. As técnicas de análise espacial mostraram-se úteis para o planejamento de ações de saúde pública.

Sobrepeso pré-gestacional associa-se a ganho ponderal excessivo na gestação

PURPOSE: To evaluate the adequacy of gestational weight gain and to determine its association with maternal socioeconomic, demographic and nutritional factors and health care, to estimate the prevalence of low birth weight, macrosomia, preterm birth and cesarean delivery and to identify the association of these outcomes with the adequacy of weight gain. METHODS: A cross-sectional study was performed in 2009/2010 to obtain socioeconomic, demographic, nutritional, dietary and physical activity data of pregnant women assisted by primary health care in a municipality of the state of São Paulo. Subsequently, data were collected from the medical records to evaluate gestational weight gain. Type of delivery, birth weight and gestational age at delivery were obtained from the Livebirths Information System. Gestational weight gain was evaluated according to the recommendations of the Institute of Medicine (2009). Associations were investigated by comparing the frequencies and by logistic regression, with excessive weight gain (yes, no) and insufficient gain (yes, no) being the dependent variables. RESULTS: A total of 212 pregnant women were studied: 50.5% had excessive gain and 19.8% insufficient weight gain. Only prepregnancy nutritional status was associated with adequacy of weight gain: compared with normal weight, prepregnancy overweight women had a four-fold higher chance to gain excessive weight (OR 4.66, 95%CI 2.19-9.4). Nearly a third of babies were born by caesarian section, 5.7% were premature, 7.1% were underweight and 4.7% were macrosomic. There was no association between adequacy of gestational weight gain and these outcomes. CONCLUSION: The proportion of inadequate gestational weight gain was high. Overweight pregnant women have a four-fold higher chance to gain excessive weight, and priority should be given to actions promoting adequate prenatal weight gain.

Mortalidade de idosos em município do Sudeste brasileiro de 2006 a 2011

O objetivo foi descrever a mortalidade entre idosos em Araraquara (SP), no período de 2006 a 2011. Estudo epidemiológico descritivo, tendo como fontes de dados o Sistema de Informações sobre Mortalidade e a Fundação Sistema Estadual de Análise de Dados. Foi calculada razão entre coeficientes de mortalidade por ponto (R) e por intervalo de 95% de confiança (IC95%). Observou-se mais de 60% dos idosos com nível baixo de escolaridade, sendo que 76% faleceram em hospitais. Entre 2006 e 2008, as diferenças foram estatisticamente significantes entre homens e mulheres, predominando as doenças circulatórias com R = 1,41 (IC95%:1,24-1,58), respiratórias com R = 1,49 (IC95%:1,22-1,76) e neoplasias com R = 1,79 (IC95%: 1,40-2,18). Entre 2009 e 2011, obteve-se, para as causas circulatórias R = 1,18 (IC95%:1,03-1,33), sendo significativas as diferenças para as respiratórias com R = 1,33 (IC95%:1,11-1,55) e câncer sendo R = 1,94 (IC95%:1,53-2,35). O diabetes mellitus e as causas externas apareceram, respectivamente, como quarta e quinta causas de mortes mais frequentes na população idosa. O padrão de mortalidade encontrado ressalta a importância de ações voltadas à redução das principais causas de morte, como o incremento da cobertura da vacina contra a influenza e o controle da hipertensão arterial e do diabetes mellitus.

Avaliação quantitativa da água subterrânea no estado de Mato Grosso do Sul

Pós-graduação em Engenharia Civil - FEIS

Avaliação espaço-temporal da disponibilidade hídrica subterrânea do município de São José do Rio Preto

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Classes de capacidade de uso do solo da bacia hidrográfica da Serra da Mantiqueira - UGRI 1

Pós-graduação em Engenharia Civil e Ambiental - FEB

Atlas interativo do Pontal do Paranapanema: uma contribuição à educação ambiental

A área do Pontal do Paranapanema está localizada no Extremo Oeste do Estado de São Paulo, na região sudeste do Brasil, em uma posição estratégica considerando tanto sua proximidade com os Estados de Mato Grosso do Sul e Paraná quanto o advento do Mercosul - o mercado comum do Cone Sul. No Estado de São Paulo há três áreas muito carentes, uma das quais é o Pontal do Paranapanema, onde têm havido muitos conflitos sociais relativos à posse e propriedade da terra, envolvendo disputas entre o Estado e os latifundiários. Nos últimos anos os trabalhadores rurais têm realizado ocupações nesta região e reivindicado terras - eles criaram um grupo denominado MST (Movimento dos Trabalhadores Rurais Sem Terra), que tem ganhado popularidade e apoio de vários segmentos da comunidade, estando diariamente na mídia (jornais, TV etc). A comunidade acadêmica tem estado consciente e preocupada com esta situação e, portanto, tem desenvolvido estudos e pesquisas sobre o assunto, tanto individualmente quanto através de grupos de pesquisa. Uma das mais importantes Universidades Brasileiras é a Universidade Estadual Paulista (unesp), que tem um de seus campus localizado no município de Presidente Prudente (o qual está localizado no Pontal do Paranapanema). Desde a década de 1960 diversos pesquisadores têm desenvolvido pesquisas técnico-científicas almejando produzir um Atlas do Pontal do Paranapanema em formato convencional. O principal objetivo seria o de reunir, através de mapas topográficos e temáticos, todas as informações geográficas sobre o Pontal do Paranapanema, a fim de servir de base para projetos e planejamentos governamentais (municipais ou estaduais), bem como para o setor privado. O Atlas seria também um produto de informação sobre os recursos naturais e as condições sócio-econômicas desta área, sendo voltado para estudos acadêmico...(Resumo completo, clicar acesso eletrônico abaixo)

Tendência de mortalidade de idosos por doenças crônicas no município de Marília-SP, Brasil: 1998 a 2000 e 2005 a 2007

OBJECTIVE: to describe elderly mortality from cardiovascular and respiratory diseases and neoplasms in Marilia (SP). METHODS: this is a descriptive study of mortality from three diseases as defined by the 10th International Classification of Diseases, between 1998-2000 and 2005-2007. Mortality Information System records were used. Mortality rates by age and sex were calculated. RESULTS: circulatory diseases were the main causes of death among the elderly (39.25%). Neoplasm decline was noticed in both sexes and in those aged 60-69, particularly prostate cancer in men (-83.86%) and breast cancer (-70.96%) in this age group. Deaths from respiratory diseases increased in patients aged 80 and older: 39.31% in men and 57.92% in women. CONCLUSION: mortality from circulatory diseases and neoplasms among the elderly showed a decline, with increased mortality from respiratory system problems in patients 80 years of age and older.

Perfil materno e dos recém-nascidos nascidos vivos na primeira década do século XXI em município do interior paulista com ênfase na prematuridade

The concern with infant mortality has been a priority in public policies, especially for Brazil to achieve the Millennium Development Goal number four: reducing child mortality by 75% by the year 2015. It is known that prematurity has an intimate relationship with mortality of children under one year and therefore it is necessary an effective intervention in risk factors linked to premature births. To evaluate the profile of mothers and newborn babies living in Botucatu-SP, in the period 2001 to 2009, focusing on prematurity. A quantitative study, retrospective, descriptive, epidemiological, from the Information System Newborn Alive. The prevalence of preterm births was 15.1%, and low birth weight 14.7%. Among infants, the Apgar score below 7 at 1 and at 5 minutes was 13.1% and 2.4% respectively. Considering the total of pregnant women studied, 20.3% were adolescents and 10.3% were aged 35 years or more and most (63.2%) had eight or more years of school approval. The profile of mothers of premature infants shows that 23.6% were teenagers, 14.1% had at least 35 years and 60.4% had at least primary education. With regard to premature deliveries, caesarean sections and 58.4% were between the total newborns, this type of delivery was achieved in 46.6% of cases. Prematurity was associated with an Apgar score below seven in the first and fifth minutes of life, presence of malformation and multiple pregnancy. Among maternal variables, prematurity was associated with extremes of maternal age, maternal education, history of stillbirth, primiparas, white and presence of the mother's partner. With regard to delivery was associated with cesarean section and outside the hospital. This study assessed maternal characteristics associated with prematurity and point out how relevant the pregnancies at the extremes of age and those that occur in women with low education level, indicating the interference... (Complete abstract click electronic access below)

Análise multitemporal de indicadores geoambientais como subsídio ao plano de gestão ambiental - Floresta Nacional de Ipanema - SP

The objective of this research was to conduct an analysis of multitemporal landscape Ipanema National Forest, located in the municipalities of Iperó, Capela do Alto and Araçoiaba da Serra – São Paulo estate, Brazil, considering the scenarios of 1965, 2007 and 2011. The multitemporal analysis, using aerial photographs and satellite images, contributed to the contextualization and spatialization of the evolution of the landscape area. Through analysis interpretation of the images, performed by means of supervised classification were obtained thematic maps of the area, equivalent to approximately 53 km2. Through geoprocessing techniques, especially Geographic Information Systems, it was possible the integration and manipulation of data, both spatial and statistical, allowing integrated analysis of data from the entire area of the National Forest of Ipanema. As the main result, we found that the Ipanema National Forest is in landscape evolution positive, with those 46 years examined the increase of native heavy foliage areas. Increasing from 7.1 km2 of the total area of dense vegetation in 1965 to 35.9 km2 in 2011. Overall, it was possible to realize a scenario landscape quite optimistic about the evolution of forest conservation area

Proposta de traçado de alcoolduto ligando a hidrovia Tietê Paraná à refinaria do planalto paulista com uso de avaliação multicritérios e geotecnologias

From the beginning of the century, with the advent of the flex fuel car, successor fluctuations in oil prices and the rise of awareness of the impending shortage of fossil fuels, the alcohol sector begins to reappear in the panorama of national economy making Brasill reaches the point of becoming a leading exporter of this product. Ethanol assumed the role of such importance in Brazilian exports, which Petrobras through the Growth Acceleration Program (PAC) has made investments in the Brazilian pipeline network to better ensure the production of ethanol to major ports. The means of transport in pipelines are safe and inexpensive, but require careful evaluation in its implementation, they may lead to negative social and environmental impacts. Thus, the purpose of this project is to propose the best route for an ethanol pipeline connectin the Tietê-Paraná, leaving the municipality of Santa Maria da Serra (SP), to the Planalto Paulista Refinery (REPLAN), located in Paulinia (SP), belonging to the passage of ethanol export corridor, currently under revelopment. The technique used for the development of the stroke is the association of multicriteria evaluation, the geographical information system (SIG) and geotechnologies. This study presented three possible layouts for the ethanol pipeline, highlighting the best option, in addition, demonstrated the suitability of the area to receive projects of similar nature to a pipeline

Avaliação das ocorrências de nitrato e fluoreto nas águas subterrâneas do Estado de São Paulo

Concerns about the quality of groundwater have been continuously rising, considering its importance for the public water supply in the State of São Paulo, and even more due to the impact that anthropic action has been causing to the original quality of that natural resource. It is extremely relevant to identify the contamination focuses along the aquifers of the State of São Paulo. This report aims to evaluate nitrates and fluorides concentrations along the aquifers present in the state, in order to identify places where change in the quality of groundwater is observed, through the comparison between measured concentrations and reference values, such as: “Intervention Value” (maximum allowed value) and “Alert Value” (attention required value). To perform this research, a full compilation and organization has been done on chemical analysis data from the “Sistema de Informações de Águas Subterrâneas - SIDAS”, made available by the “Divisão de Procedimentos de Outorga – DPO” of the “Departamento de Água e Energia Elétrica – DAEE”. This work has made possible the build-up of a database composed by 6,860 wells, with analytical data ready to be interpreted, containing information about water pH, electrical conductivity, hardness and chloride, iron, fluoride, nitrogen, nitrates and total dissolved solids concentrations. This database shows concentration data for nitrates (6,157 wells) and fluoride (3,316 wells). From this information, maps for nitrates and fluorides concentration distributions have been made, by each aquifer and each “Unidade de Gerenciamento de Recursos Hídricos – UGRHI”, which has enabled the identification of wells where the concentrations of these chemical compounds exceeds the reference values. Concerning nitrates, these analysis indicated the existence of contamination sources from rural and urban zones, mostly present in the west region... (Complete abstract click electronic access below)

Uso e ocupação da terra e impactos ambientais na subprefeitura de Butantã, município de São Paulo - SP, com aplicação de geotecnologias

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