Avaliação da prescrição médica em pediatria, baseada nos indicadores do uso de medicamentos selecionados pela oms em municipio do interior do estado de São Paulo

The World Health Organization (WHO) recommends that prescriptions of medicaments must be one parameter utilized to know how the medication is used by people. To do so, one specific methodology has been indicated, that is, the selected indicators of the use the medicaments. We applied this methodology with the aim of presenting a descriptive study of the physician prescription in Pediatric Clinic of the Health Basics Units. The results obtained are: the average number of medicaments prescribed with prescription was 2.6; the percentage of the medicaments prescribed with the generic name was 32%; the percentage of the prescriptions with antibiotics was 44.6%; the percentage of the prescriptions with injections was 10.4%; the percentage of the medicaments prescribed that are part of the municipal list was 22.8%, 27.5% for the program Dose Certs of the secretary of the State of São Paulo, and 50.4% by adding by adding the two lists. The essentiality of the medicaments prescribed may be considered very low, because only 32.6% appear in the RENAME. The percentage of the medicaments really dispensed was 39.9%. The medicaments more prescribed, according to the classification of the Anatomic-Therapeutic-Chemical (ATC), were the ones which acted in Respiratory System (26.8%), followed by anti-infectives for systemic use (16.4%) and by medicaments with acted in Alimentary tract and metabolism (15.8%). The conclusion is that the prescribers are moved by commercial influence of the drug makers, first because of the low prescription of medicaments by their generic name, second by the low number of medicaments effectively dispensed and then the low concordance between the ones prescribed and the ones included in the lists patterned by Tabatinga and by the State of São Paulo.

Composição e abundância da ictiofauna na zona litorânea de um tributário, na zona de sua desembocadura no reservatório de Jurumirim, Estado de São Paulo, Brasil

Monthly collections of fishes using a trawl net were carried out from August 1996 to December 1997 with the objective of evaluating the composition and diversity of fish species in the littoral area of the transition zone between Veados Stream and Jurumirim Dam (Upper Paranapanema River, São Paulo State). Diversity and similarity indices of ichthyofauna at the sites were determined and correlated with abiotic factors such as dissolved oxygen, temperature, pluviometric precipitation and hydrological level. Twenty-six (26) fish species (the majority small-sized) of the family Characidae (Tetragonopterinae and Cheirodontinae) were registered. Representatives of the orders Siluformes, Gymnotiformes, Perciformes and Synbranchiformes occurred in lower abundance. Significant differences were found in the site diversity indices, but not in the abiotic factors. Significant correlations between the abundance of the ichthyofauna and the variations in the abiotic factors were not detected. The presence of fish larvae in the samples indicates the importance of the transition zone as a reproduction area of the fish species registered in this study.

Composição faunística de insetos predadores em fragmento florestal e em área de hortaliças na região de Jaboticabal, estado de São Paulo

A population survey was carried out in a forest fragment and in an area of vegetables, from November/1996 to February/1998, aiming to determine the predator insect species and the influence of abiotic factors. The samples were taken weekly by light traps. The results were evaluated using faunistic analysis and simple correlation with temperature, relative humidity and rainfall. In the forest fragment higher similarity in the abundance of species was observed comparing to the area of vegetables, but the largest number of captured individuals (95%) occurred in this last habitat. Metius sp., Polpochila impressifrons (Dej.), Eulissus sp. and Doru sp. were predominant species in both areas, evidencing they may play an important role as pest predators in areas of vegetables. Arthrostictus speciosus (Dej.) and Leptotrachelus sp. predominated in the forest fragment, and the same was observed with Paederus sp. in the vegetable area. This species is probably adapted for open and hot places, while A. speciosus and Leptotrachelus sp. can be adapted for dark and humid places of forests.

Análise filogenética de Phytophthora capsici Leonian do estado de São Paulo baseada na seqüência de nucleotídeos da região ITS-5.8S rDNA

Phylogenetic analysis through morphological and cultural traits is considered inconsistent and hard to be scientifically accepted once there is no way to establish the direction of evolution on morphological traits. Molecular markers are suitable for phylogenetic analysis. The sequencing of ITS1 and ITS2 (internal transcribed spacers) regions and of 5.8S gene from ribosomal DNA were used to estimate the genetic variation and distance of 10 Phytophthora capsici isolates. The amount of genetic variation amongst isolated P. capsici from distinct regions of São Paulo State was 0.1 to 1.6 and 0.1 to 1.1% at ITS1 and ITS2, respectively, and a phylogenetic distance of about 78.5% between P. capsici and Phytophthora spp. was observed.

Soroprevalência de Toxoplasma gondii em rebanhos caprinos no Estado de São Paulo

Four hundred forty-two serum samples were collected from dairy goats in seven regions of São Paulo State. These were tested for Toxoplasma gondii antibodies using the indirect immunofluorescent antibody test. Sixty-four (14,5%) serologically positive animals were found from all these goat farms studied.

Efeito da salinidade e do esgoto orgânico sobre a comunidade zooplanctônica, com ênfase nos copépodes, do estuário do rio Itanhaém, Estado de São Paulo

The objective of this work is to analyze the effects of salinity and wastewater on the zooplankton community of the Itanhaém river estuary, São Paulo state. Samples of zooplankton as well as physical and chemical variables of water were collected in four sites, located between the coastal line and the superior part of the estuary, including a secondary channel where wastewater is thrown without previous treatment. The samples were collected in low and high tide in winter and summer. Results showed that the estuary presents a temporal and spatial variation of physical and chemical characteristics, especially salinity, in function of the tide and seasonal variation of rain. The high values of salinity occurred in winter and high tide. Zooplankton community was adapted to the dynamic of salinity, and marine and estuarine species occurred in the low part of the estuary in winter. Although the Itanhaém river estuary has the same temporal and spatial dynamic of other estuaries, the values of salinity are low when compared with others located in the southern coast of São Paulo. Consequently, mainly oligohaline and fresh water species constitute the zooplankton community. These characteristics are due to the great drainage area of the Itanhaém river basin. The waste water modified physical and chemical characteristics of water that now presents higher concentrations of nutrients, higher values of suspended matter and lower concentrations of oxygen. It was observed a positive relation between the density of nauplii of copepods and organic pollution in this estuary.

Habitat, distribuição e aspectos adaptativos de peixes da microbacia do ribeirão Grande, Estado de São Paulo, Brasil

The ichthyofauna of ribeirão Grande microbasin that runs through one of the few remaining fragments of Atlantic Forest (in Mantiqueira mountain range, Valley of Paraíba) was studied. Fish samples were obtained with an electric fishing powered by a maximum capacity generator of 155 V and 60-Hz alterning current, gill-nets and traps. In three collecting days, during July/2001, October/2001, January/2002 and April/2002, 2865 fishes were sampled. These fishes belonged to 12 families, 23 genera and 37 species. The species were more abundant between the piedmont and the plain of the Valley of Paraíba. The Characidium, Trichomycterus genera and the Imparfinis minutus species presented only one ovary or testis and no swim bladder. The ecological significance of morphological features in stream mountain fishes was used to predict the niche adaptation for those conditions, towards K-strategy.

Espécies do gênero Eimeria Schneider, 1875 (Apicomplexa: Eimeriidae) em caprinos leitros mantidos em sistema intensivo na região de São Jose do Rio Preto, estado de São Paulo, Brasil.

Were examined 58 dairy goats, 41 kids and 17 adults, Saanen and Alpine breeds, males and females, in intensive system, in the São José do Rio Preto region, São Paulo state, for detection and identification of Eimeria spp. oocysts. The 58 feces samples analyzed by the Centrifugal-flotation technique, were positive for, at least, one Eimeria species. The Eimeria species found in this research were: E. ninakohlyakimovae (77,6%), E. jolchijevi (72,4%), E. alijevi (63,8%), E. christenseni (63,8%), E. arloingi (62,1%), E. caprovina (56,9%), E. hirci (50,0%) and E. caprina (48,3%). It follows that the high rate of the positive animals and the high frequency of the Eimeria species among the animals demonstrated that the disease is common in dairy goats, kids and adults, in intensive system.

As rochas intrusivas da Formação Serra Geral na Porção leste da Bacia do Paraná no Estado de São Paulo: Aspectos petrográficos e geoquímicos - Resultados preliminares

The purpose of this paper is to present preliminary aspects of the petrography and chemistry of intrusive rocks (sills and dykes) from the eastern portion of the Parana Basin in the State of Säo Paulo. Data from 80 samples of the region show a subaphyric and subophitic nature and have plagioclase (25-50%), augite (3-39%), pigeonite (0-10%) and magnetite (4-20%) as an essential minerals. Apatite and quartz are present as accessory minerals. The geochemical data of intrusive rocks show a basic to intermediate composition (48% < SiO 2 < 56%) and a high Ti nature (TiO 2 > 2%). Based on the minor and trace composition of the intrusive rocks, two different magma types were recognized, named Paranapanema and Pitanga. The spatial distribution of these magma types is not alleatory in the studied region. The intrusive rocks of Pitanga magma type are displayed in the Campinas-Paulinia region, while the Paranapanema magma type cover a large region above that one, between Rio Claro and Cajuru. Furthermore, the chemical composition of the lava flows of the Serra Geral Formation, sampled in this work, reveals a magma of Urubici type. So, the intrusive rocks of the eastern portion of the of State Säo Paulo are not the extension of the lava flows, or they aren't a portions which don't reach the surface.

Propriedades físicas e infiltração de água de um Latossolo Vermelho Amarelo (Oxisol) do noroeste do estado de São Paulo, Brasil, sob três condições de uso e manejo

This study presents the results obtained in a field experiment carried out at Glicério, Northwest of São Paulo state, Brazil, whose objective was to analyze changes of selected soil physical properties and water infiltration rates on a Yellow-Red Latosol, under three different management conditions. The experimental design was arranged as completely randomized split-block with twelve treatments, which corresponded to four depths (0-0.05 m; 0.05-0.10 m; 0.10-0.20 m and 0.20-0.40 m) and three conditions of soil use and management with four replications. The soil surface conditions were: conventional tillage (one disking with moulboard plus two levelling passes with harrow), nine months before starting filed experiences; recent conventional tillage (also one disking with moulboard plus two levelling passes with harrow) and native forest. The conventional tillage areas were cropped for about fifteen years with annual cultures. The considered soil general physical properties were: macroporosity, microporosity, total porosity, bulk density, soil moisture and penetration resistance and, in addition; soil water infiltration rates were also recorded. According to our results, differences on general soil physical properties and infiltration rates appeared when both tilled sub-treatments and native forest were compared. Both, plots recently prepared by conventional tillage and those prepared by tillage but left nine months in rest, presented a statistically significant decrease of constant (final) water infiltration rates of 92.72% and 91.91% when compared with native forest plots.

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.

Fitoterapia no sistema de saúde pública (SUS) no Estado de São Paulo, Brasil

Phytotherapy is a form of familiar treatment throughout the world and recommended by the World Health Organisation to be used in all regions, especially in the poorer countries, to improve the state of health of their people. The aim of this study was to describe the use of herbal medicine as an alternative therapy in the public health system in Sao Paulo State. The fieldwork consisted in obtaining information, from all the Regional Health Authorities in the State, about which municipal health areas use this therapy and sending them a questionnaire requesting details about the application of phitotherapy: when the therapy had been adopted, which plants were used, whether the programme had been discontinued or not and if so, for what reason. The cities that use the phytotherapy are: Campinas; Canas; Guaratingueta; Herculandia; Piquete; Pindamonhangaba; Roseira e Sao Jose do Barreiro, Ribeirao Preto, Sao Lourenço da Serra, Cruzeiro e Dobrada. And the three plant more used are: Guaco (Mikania glomerate); Calendula (Calendula officinalis) e Babosa (Aloe vera) The lack of support has led some Authorities to discontinue their active in 08 programmes. Nevertheless, it is concluded that the efficacy and low cost of herbal treatments has engendered a growing interest among health professionals in placing proposals for implanting this therapy in 13 cities in the Municipal Health. Thus, there should be growing practical support for the establishment of such programmes in the future.

Relação peso-comprimento e fator de condição de Brycon opalinus (Pisces, Characiformes) no Parque Estadual da Serra do Mar-Núcleo Santa Virgínia, Mata Atlântica, Estado de São Paulo, Brasil

In this study, the length-weight relationship and the condition factor of Brycon opalinus were analyzed in three rivers within the Santa Virgínia Unit, at Serra do Mar State Park, in São Paulo State. The different conditions in these three environments were evidenced, such as the seasonality, reproductive period, and the differences between females and males according to the parameters which evidenced the best physiological condition of the fish. In this species, the condition factor varied along the seasons at all three collection sites. The length of the first gonadal maturation and the reproductive period were long, with the highest intensity in the spring and summer.

Concentração de flúor nas águas de abastecimento público de municípios da região noroeste do estado de São Paulo, Brasil

It may be difficult for small and medium cities to obtain information about the fluoride content of public water, because of the lack of equipments and technicians. This study aimed to analyze the fluoride levels of the water supplied by the public treatment stations of 40 cities situated in the northwest region of São Paulo State, during a period of 6 months, to verify if fluoridation occurs in a continuous manner and if the fluoride levels are within the recommended. Maps of the water distribution system were obtained from the water treatment companies and utilized to randomize the addresses of the collection sites, so that they included all regions with treated water sources. One water sample by month was collected and analyzed in duplicate using an ion-specific-electrode. Samples with 0.6 to 0.8 mgF/L were considered acceptable. In the 38 cities that regularly provided the samples in the 6 months of the study, water from 144 collection sites was collected and a total of 864 samples were analyzed, of which 61.81 percent were classified as unacceptable. It was observed that 33 cities performed fluoridation but in 78.79 percent of these cities there were variations in the fluoride level among the sites and in the same site during the period of study. One can conclude that most of these cities do not control the fluoride levels in the public water, since fluoridation occurs in a discontinuous manner and in most of the situations not within the recommended concentrations.

Distribuição e tamanho populacional do papagaio-de-cara-roxa Amazona brasiliensis no estado de São Paulo

The Red-tailed Amazon Amazona brasiliensis is one of most threatened psitacid in the world. In the state of São Paulo, SE Brazil, it is restricted to a narrow coastal zone. The total population of A. brasiliensis has been estimated to be around 4,000 birds, but no detailed information is known for São Paulo. We studied the population status and mapped the distribution of A. brasiliensis in the state of São Paulo. Simultaneous censuses were carried out in three main islands (Cananéia, Ilha do Cardoso and Ilha Comprida) with A. brasiliensis populations in 2003 and 2004. We searched the parrots in an area of 1413.28 km2 and visited 69 sites. Amazona brasiliensis were recorded in 55 localities and 12 sleeping roosts. Our census estimated a population of at least 1,221 parrots in the stronghold of their distribution in the state of São Paulo. The highest number of parrots were recorded outside the main protected areas in the region (64% of the population), which may threaten the future of this population. Urban growing is the main threat for the population of São Paulo, and the creation of protected areas in Cananéia and Comprida island is critical for the future of the A. brasiliensis in the area.