940 resultados para Conselhos de saúde - Santo André (SP) - Estudo de casos
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The purpose of this study was to identify the drugs most often prescribed for hypertension at the Municipal Health Care Center of the town of Rincäo, State of São Paulo, Brazil, and the principal interactions arising from their association with other drugs, both anti-hypertensives and those in other classes. The study included 725 hypertensive patients registered at this health care center who were regularly seen by a physician every three months. Data were collected on age, sex, occurrence of diabetes, smoking, sedentary lifestyle and overweight, to obtain a profile of the hypertensive population of the area. Control records of all patients were available at the pharmacy in the health care center, where patients obtained their drugs once a month. Of the 725 patients, 38% were male and 62% female. Most (57%) were between 50 and 70 years of age, 21% used tobacco and 43% led a sedentary lifestyle. Single-drug therapy accounted for 33% of the prescriptions, multidrug therapy for 66%. In addition to anti-hypertensives, 50% of the patients took drugs of other therapeutic classes. Of those receiving multidrug therapy, 34% used three or more anti-hypertensives and 66% used only two of these drugs. Drug interactions were detected in as many as 47% of the prescriptions. Captopril was the drug that showed most interactions with others (54%), followed by hydrochlorothiazide (27%), furosemide (14%), propanolol (4%), and nifedipine (1%). The analysis revealed that drug consumption by the patients investigated is high, with a concomitantly high number of episodes of drug interaction.
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Pós-graduação em Alimentos e Nutrição - FCFAR
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Geografia - IGCE
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Saúde Coletiva - FMB
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Pós-graduação em Saúde Coletiva - FMB
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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB
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Pós-graduação em Alimentos e Nutrição - FCFAR
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Congenital toxoplasmosis is a serious public health case, for it causes irreversible damage to the embryo/fetus, which may cause its death. The identification and the care to pregnant women with suspect acute toxoplasmosis (IgM+) is performed in prenatal monitoring. This study aimed to measure the incidence and know the profile of positive pregnant women for toxoplasmosis in a Basic Health Unit (BHU) in Matão - SP, between the years 2011 to 2013. This is a retrospective descriptive study, from the medical records of pregnant women attended. The project was approved by the Municipal Departament of Health and BHU was chosen along the Municipal Epidemiological Surveillance. From 2011 to 2013, 189 women began prenatal care in the unit, an annual median of 71(±26.91), of which 17 (8.99%) were positive for the serological test indicative of acute phase (IgM+). The distribution over the trial period was: four cases in 2011, twelve cases in 2012 and one in 2013. Pregnant women IgM positive for toxoplasmosis attend by BHU were: age 24(±5.47) years; color: equally distributed among white, black and brown; as the number of pregnancies: multiparous (2±0.97), most of them with a cesarean delivery as obstetric history and possessed no other risk factors associated with pregnancy (94.12%); gave entrance at BHU with 13.65(±7.35) weeks of gestation and had a median of 5(±2.36) consultation on their prenatal care. The examination for toxoplasmosis was requested as recommended by the Health Ministry (HM) and the medication prescribed was Roxamicina® - spiramycin, as soon as the test results (IgM+) arrived. Of the 17 pregnant women, only 10 completed the pre-natal at BHU - attendance at the postpartum consult (58.8%). Of these, the deliveries were vaginal (55.55%), made preterm with 36.5 weeks of gestation at the Municipal Hospital. The babies were born alive (100%) with the weight of 2.68(±0.77) Kg and required special care hospital scope. From the ...
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Em cativeiro, Pinguins-de-Magalhães, Spheniscus magellanicus (Forster, 1781) (Sphenisciformes, Aves) são descritos como sedentários, obesos, pouco interativos e apáticos, costumam apresentar pododermatite e baixo índice de reprodução. Atualmente, existem poucos estudos relacionados a pinguins de cativeiro, dificultando o trabalho de manejo e conservação. Diferentes parâmetros podem ser utilizados para avaliação do bem estar animal, dentre eles a diversidade comportamental e repertório típico da espécie. O presente estudo objetivou avaliar o orçamento temporal e o padrão de distribuição do comportamento de um grupo de seis animais ao longo do dia e em épocas do ano distintas, e relacionar os comportamentos aos indicadores do estado de saúde dos pinguins. Foram estudados animais residentes no Parque Escola SABINA, em Santo André, SP, nos meses de janeiro, março, maio e julho de 2014. O comportamento dos animais locais foi observado por dois dias nos seguintes horários: 8h-8h50min, 9h25- 10h15min, 10h50min-11h40, 12h20-13h10, 13h40-14h30, 15h05-15h55. As lesões de pododermatite foram classificadas seguindo o escore padronizado de 1 a 3 para a classificação de pododermatite nos pinguins. Foi observado que nenhum animal apresentou lesões avançadas de calosidades nas patas, porém quatro demonstraram evolução no bumblefoot. Os animais passaram mais tempo nos seguintes comportamentos: repouso em pé, repouso deitado, nadar, banho, arrumar penas. A duração dos comportamentos variou entre os meses: no mês de julho os pinguins passaram mais tempo nadando e banhando-se e houve uma tendência de redução do repouso. A distribuição dos comportamentos entre os períodos da manhã e da tarde foi distinta dependendo do mês. Em geral, os pinguins passaram mais tempo banhando-se e nadando pela manhã e em repouso à tarde. Dessa forma, os animais apresentaram variação sazonal que seria esperada em condição de vida livre,...
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Each year individuals have sought a better quality of life and work, in this case, the science of Bio-insurance needs to keep up with technological advances and the needs of society to minimize or eliminate the risks of accidents. This study evaluated the most common accidents involving health staff from 2007 to 2011 in Araçatuba-SP. 478 accidents were recorded, and 78.7% with percutaneous involvement, 9% with intact skin, 4% with no skin intact, with 7.3 mucous and 1.05% other types of exposures. Most accidents were caused by needles with lumen (68.0%), followed by other agents (14.1%), accidents with blades (8.5%) or needles without lumen (5.5%); 3.7% did not answer and 0.2% were accidents with glasses. When checking the condition in which the accident occurred, 26.0% did not specify, 25.1% occurred in the disposal and / or handling sharp objects, 12.0% at the time of drug administration, 6.9% puncture, 3.7% occurred during recapping the needle. These data show that the most common accidents are those involving needles with lumen and / or sharp objects and due to these factors, the industry of health materials have sought alternatives to minimize such accidents as needles with protective, vacuum collection . Thus, it appears that reporting accidents is important for the development of technical and / or safer materials for patients and health workers.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)