Recidiva de câncer labial em pacientes atendidos no hospital DR. Luiz Antônio (Natal-RN) entre 1997-2004

Introduction: Cancer of the lip is very common in tropical countries, being noticeable the squamous cell carcinoma as the main histological type. Objective: Evaluate the socialdemographic profile, habits, occupation, clinical characteristics of the cancer lesions and the aftermath of treatment of the patients treated on the Luiz Antônio Hospital (Natal-RN). Design: Retrospective cohort. Methods: We analyzed 181 medical records of patients from the Luiz Antônio Cancer Hospital (Natal-RN) in the period between 1997 and 2004. The statistic evaluation of time between the diagnosis and the relapse or the cure of the patient were done through the Kaplan-Meier method and the comparison of survivor functions were done through the Log-rank test. Later, was estimated the proportional risk model of Cox. Results: The study population were composed by 69,1% males, 95,2% unlettered, the mean age of 66,5 years, 89,0% of smokers and 64,1% had an occupation involving sun exposure. In regard to the clinical characteristics, most lesions were in the lower lip (77,9%), the size of the tumor was smaller than 2 cm (51,8%), 92,6% had localized lesions. Were verified 16,3% of local relapse and 13% of regional. Almost the totally of the cases corresponded to squamous cell carcinoma (97,2%). We observed smaller accumulated probability of not occurrence of local relapse when the base and borders were free of lesions (p=0,041), as well as a smaller probability of regional relapse when the sort of treatment was surgery, associated with other therapeutics modalities (p=0,001). The patients with advanced pathologic stage (p=0,016), treated with surgery associated with other therapeutics modalities (p=0,001) and diameter above 4cm (p=0,019) presented a bigger possibility of any kind of relapse. The multivariable analysis pointed the complex treatments (surgery plus other therapeutics modalities) as a predictor variable for occurrence of new local lesions (p=0,001) and total (p=0,046), besides the age above 70 years to the regional relapse (p=0,050). Conclusion: Cancer of the lip occur in the lower lip, in males, smokers and individuals exposed to Sun light. The relapse was frequent, even being localized and without great consequences to the patient s health. The probability of relapse is related to the size and borders of the lesion and to the histological exam, as well as to the patient s age and complexity of the treatment chosen

Distribuição diária do comportamento da mosca da fruta Anastrepha zenildae Zucchi, (Diptera: Tephritidae) em laboratório.

The knowledge of Anastrepha zenildae behavioral aspects combined with the biology of Tephritidae may contribute to monitoring and control programs of this fruit fly that is considered as economically important to the Rio Grande do Norte state. In order to characterize the daily activity profile of this species, we studied the behaviors of resting, locomotion, feeding, cleaning, courtship, copulation and oviposition of animals submitted to an artificial 12:12h light-dark cycle (750:1lux) with controlled temperature (26±2 °C). The observations were made with groups of 16 males and 16 females during 3 consecutive days each generation from parental to F5. Resting, locomotion, feeding and cleaning data were recorded as frequency and time of occurrence by scanning technique in 15 minutes windows per hour, with a record each minute. Courtship, copulation and oviposition were recorded as frequency, time of occurrence and duration by al occurrences technique. Resting was the most frequent behavior with males resting more than females. Locomotion was more evident in the first half of the ligh phase with higher values in females. Cleaning and feeding behaviors were more frequent in the second half of the light phase for both sexes with females eating more frequently than males. During the courtship, males were grouped in lek formations showing wings vibration and pheromone liberation. Courtship occurred more frequently 4 to 7 h after lights on (81,9%) with copulations being more frequent 6 h after lights on with a mean duration of 58,1±40,4 min. Copulation attempts were observed in males inside and outside the lek with aggressive behavior being observed only between males in the lek. Oviposition behavior was similar to that described for other species of the genus with a peak of this activity 2-3 h after the lights on, mean duration of 43, 7±34, 8 sec and 2 to 5 eggs by event. According to the results, sexual behavior of A. zenildae is temporally different of other sympatric species of the genus, being favorable to the reproductive isolation as well as the use of resources as oviposition substrate.

Hidrocarbonetos policíclicos aromáticos no meio ambiente: diferenciação de fontes em sedimentos e metabólitos em bile de peixes

Many studies on environmental ecosystems quality related to polycyclic aromatic hydrocarbons (PAH) have been carried out routinely due to their ubiquotus presence worldwide and to their potential toxicity after its biotransformation. PAH may be introduced into the environmet by natural and anthropogenic processes from direct runoff and discharges and indirect atmospheric deposition. Sources of naturally occurring PAHs include natural fires, natural oil seepage and recent biological or diagenetic processes. Anthropogenic sources of PAHs, acute or chronic, are combustion of organic matter (petroleum, coal, wood), waste and releases/spills of petroleum and derivatives (river runoff, sewage outfalls, maritime transport, pipelines). Besides the co-existence of multiples sources of PAH in the environmental samples, these compounds are subject to many processes that lead to geochemical fates (physical-chemical transformation, biodegradation and photo-oxidation), which leads to an alteration of their composition. All these facts make the identification of the hydrocarbons sources, if petrogenic, pyrolytic or natural, a challenge. One of the objectives of this study is to establish tools to identify the origin of hydrocarbons in environmental samples. PAH diagnostic ratios and PAH principal component analysis were tested on a critical area: Guanabara Bay sediments. Guanabara Bay is located in a complex urban area of Rio de Janeiro with a high anthropogenic influence, being an endpoint of chronic pollution from the Greater Rio and it was the scenario of an acute event of oil release in January 2000. It were quantified 38 compounds, parental and alkylated PAH, in 21 sediment samples collected in two surveys: 2000 and 2003. The PAH levels varied from 400 to 58439 ng g-1. Both tested techniques for origin identification of hydrocarbons have shown their applicability, being able to discriminate the PAH sources for the majority of the samples analysed. The bay sediments were separated into two big clusters: sediments with a clear pattern of petrogenic introduction of hydrocarbons (from intertidal area) and sediments with combustion characteristics (from subtidal region). Only a minority of the samples could not display a clear contribution of petrogenic or pyrolytic input. The diagnostic ratios that have exhibited high ability to distinguish combustion- and petroleum-derived PAH inputs for Guanabara Bay sediments were Phenanthrene+Anthracene/(Phenanthrene+Anthracene+C1Phenanthrene); Fluorantene/(Fluorantene+Pyrene); Σ (other 3-6 ring PAHs)/ Σ (5 alkylated PAH series). The PCA results prooved to be a useful tool for PAH source identification in the environment, corroborating the diagnostic indexes. In relation to the temporal evaluation carried out in this study, it was not verified significant changes on the class of predominant source of the samples. This result indicates that the hydrocarbons present in the Guanabara Bay sediments are mainly related to the long-term anthropogenic input and not directly related to acute events such as the oil spill of January 2000. This findings were similar to various international estuarine sites. Finally, this work had a complementary objective of evaluating the level of hydrocarbons exposure of the aquatic organisms of Guanabara Bay. It was a preliminary study in which a quantification of 12 individual biliar metabolites of PAH was performed in four demersal fish representing three different families. The analysed metabolites were 1-hydroxynaphtalene, 2-hidroxinaphtalene, 1hydroxyphenanthrene, 9-hydroxyphenanthrene, 2-hydroxyphenanthrene, 1hydroxypyrene, 3-hidroxibiphenil, 3- hydroxyphenanthrene, 1-hydroxychrysene, 9hydroxyfluorene, 4-hydroxyphenanthrene, 3-hydroxybenz(a)pyrene. The metabolites concentrations were found to be high, ranging from 13 to 177 µg g-1, however they were similar to worldwide regions under high anthropogenic input. Besides the metabolites established by the used protocol, it was possible to verified high concentrations of three other compounds not yet reported in the literature. They were related to pyrolytic PAH contribution to Guanabara Bay aquatic biota: 1-hydroxypyrine and 3-hydroxybenz(a)pyrine isomers

Avaliação do programa de atenção à saúde do trabalhador: uma abordagem da atenção primária

The accelerated industrialization, coming with the Industrial Revolution, caused profound changes in the working world. These changes led to the households risks from work environment. Trying to assist comprehensively the health of workers, Brazil has a program of Health Care Workers in the Primary Care, and the Family Health Strategy is the main entrance for this system. The study sought to determine if the actions of the health care worker have been developed in primary care through the Family Health Strategy. This is a quantitative study with a methodological evaluation, focusing on normative assessment. The sample was formed by professionals from Team Family Health Strategy, in the municipalities of Pau dos Ferros, Caicó and Natal in Rio Grande do Norte state. The sample consists of 202 professionals (Doctors, Nurses, Assistant / Technician Nursing and Community Health Workers) in 52 Health Family Units from the 3 municipalities cited. The instrument used consists of a checklist, from Manual of Primary Care 5 - Family Health - Occupational Health, Ministry of Health. The data were analyzed describing the variables by its frequency and doing a classification of cities from the scores obtained by each. It was observed that the Family Health professionals know the program of health care worker, however do not know the Manual of Primary Care 5, which is a guidance tool. As a result of non-appropriation of the FHT professionals with worker health, these activities are not performed, mainly surveillance in occupational health and health education labor

Avaliação de variante somaclonal de porte baixo de bananeira 'Nanicão Jangada' (Musa sp) em duas densidades

Avaliou-se, sob duas densidades de plantio, um variante somaclonal de porte baixo de bananeira, comparando-o com a variedade Nanicão Jangada que lhe deu origem. Os materiais genéticos 'Nanicão Jangada'(controle) e o variante somaclonal representado pelas seleções 224 e 225 de um ensaio anterior, foram avaliados nos espaçamentos 2,0m X 2,0m (densidade 2500 plantas ha-1) e 3,0m X 2,0m (1666plantas ha-1), na Fazenda de Ensino e Pesquisa da Faculdade de Engenharia - UNESP, Campus de Ilha Solteira-SP. O ensaio foi conduzido em blocos ao acaso com cinco repetições, com utilização de mudas micropropagadas, sob irrigação por gotejamento, no período de dezembro de 1998 a março de 2001, com avaliação dos dois primeiros ciclos de produção. Constatou-se efeito da densidade e do ciclo sobre a produção estimada de frutos sendo que no cultivo mais denso, a média foi de 81,25 t.ha-1 no primeiro ciclo de produção e 67,93 t.ha-1 no segundo ciclo. No cultivo de menor densidade a produção estimada no primeiro ciclo foi de 51,35 t.ha-1 e 44,08 t.ha-1 no segundo. As seleções do variante de porte baixo apresentaram menor altura da planta e mostraram-se relativamente mais precoces e com produção semelhante a cv. Nanicão Jangada no primeiro ciclo. No segundo ciclo houve uma queda na produção do bananal, com maior intensidade para a seleção 225 do variante.

O cotidiano do(a) Assistente Social frente as demandas apresentadas pela paciente portadora do câncer de mama em tratamento no Hospital Doutor Luiz Antônio em Natal/RN

This work deals with an analysis related to the social worker s practice in the oncology area. It aims to identify demands, work conditions as well as current challenges related to this profession. It considers the specificities of breast cancer and relates it to political decisions in the health sector considering the concept of contemporary capitalism. The study analyzes professional action and the demands presented by breast cancer patients who are currently in treatment in Hospital Dr. Luiz Antônio em Natal-Rio Grande do Norte-Brazil. The methodological procedures considered of documental analysis, semi-structured interviews (with two social workers that work with fifteen breast cancer patients) as well as participant observation; which was done counting with my own professional practice in the oncology area. Thus, the research also discusses the breast cancer issue in the life of the users considering their social-economical, cultural and political determinants. Factors such as age in which the diagnosis was known, the relation user/social workers, number of children, rights of the oncology patient, place where he/she lives, education, civil status, (re)insertion of the professional in the work field, perception of self-esteem and bio-psycho-social representation of breast cancer in the lives of these women, all of which were dealt with in this research

Turismo e pobreza: percepções dos guias de turismo, moradores e não moradores que trabalham na favela da Rocinha Rio de Janeiro

This project refers to a study somewhat controversial , as in focusing less recognized and valued hand, although the dynamics of tourism pass to take another view , you can not beforehand consider favorable or unfavorable . Analyzes the phenomenon related to conception or perception of poverty from tourism residents and non residents of the Favela of Rocinha in Rio de Janeiro tourist guides . It is a subject to an object of research somewhat controversial , but about which there is already an academic and scientific concern and deserves an investigator look. Fits as a qualitative study whose methodological procedure based on interviews and participant observation , and the geographic divisions chosen the Rocinha slum , for its expressiveness and for being a pioneer in this type of tourism , had to conducting fieldwork lasting six months, which was accompanied by at least four hours walking work of sixteen tour guides, eight residents and eight non- residents in the community, working for different travel agencies and tourism. End of each tour, all tour guides answered a semi-structured questionnaire, containing nineteen questions. Most respondents tour guides authorized record interview, which has made it possible to analyze the speech through spoken language. In tourism, foreign tourists are the main target, although rarely also count with the participation of domestic tourists. Notes that the relationship between poverty and slums, from the perceptions of tourist guides residents better reflects the reality of favela residents compared with non residents guides, since they fully know all the intricacies and better the difficulties they have endured and still go, when it comes to the issue of stigmatization respect, by which has suffered by Brazilian society, in relation to live in slums, and have your dwelling place as a tourist attraction. While presenting the social reality of Rocinha consistently during his work, the non residents guides worry about being as natural as possible with tourists as much as the locals show slum, in the same way they avoid authorize tourists to take compromising photos and that will expose the intimacy of community residents . Concludes that, while recognizing the importance of elevation to the rank of tourist attraction and its promising prospects, requires attention and priority, given the greater precariousness of the human condition in relation to the prime areas in which it operates tourism should be a vector of development, not a masking of reality

Comparação de desempenho da deconvolução preditiva multicanal e da filtragem f-k na atenuação de múltiplas do fundo do mar

The seismic reflection is used on a large scale in oil exploration. In case of marine acquisition the presence of high impedance contrast at the interfaces water/air generates multiple reflections events. Such multiple events can mask primary events; thus from the interpretational viewpoint it is necessary to mitigate the multiples. In this manuscript we compare two methods of multiple attenuation: the predictive multichannel deconvolution (DPM) and the F-K filtering (FKF). DPM is based in the periodicity of the multiples while FKF is based in multiples and primaries splitting in F-K domain. DPM and FKF were applied in common-offset and CDP gathers, respectively. DPM is quite sensible to the correct identification of the period and size of the filter while FKF is quite sensible to an adequate choice of the velocity in order to split multiples and primaries events in the F-K domain. DPM is a method that is designed to act over a specific event. So, when the parameters are well selected, DPM is very efficient in removing the specified multiple. Then DPM can be optimized by applying it several times, each time with a different parameterization. A deficiency of DPM occurs when a multiple is superposed to a primary event: in this situation, DPM can attenuate also the primary event. On the other hand, FKF presents almost the same performance to all multiples that are localized in the same sector of the F-K domain. The two methods can be combined in order to take advantage of their associated potentials. In this situation, DPM is firstly applied, with a focus in the sea bed multiples. Then FKF is applied in order to attenuate the remaining multiples

Marsh deer (Blastocerus Dichotomus) reintroduction in the Jataí Ecological Station (Luís Antônio, SP): spatial preferences

A destruição dos habitats naturais e a extinção de espécies têm crescido muito a partir da última metade do século XX. Nesse contexto, o aumento do número de espécies ameaçadas tem proporcionado maior uso da reintrodução como estratégia de conservação no combate à atual taxa de extinção. O presente trabalho focaliza um estudo de 16 meses realizado com cervos-do-pantanal reintroduzidos na Estação Ecológica de Jataí. Os animais foram marcados com rádio-colares e monitorados diariamente entre dezembro de 1998 e abril de 2000, tendo suas atividades de deslocamento e uso do espaço acompanhadas por triangulação. Os animais exploraram várzeas dentro da unidade de conservação e também uma área de várzea pertencente a uma propriedade particular localizada na fronteira oeste da estação. Durante o período de estudo, a maioria dos cervos reintroduzidos utilizou a área de várzea particular mais intensivamente que as várzeas da unidade de conservação. A preferência demonstrada por essa área confirmou sua importância ecológica, evidenciando a necessidade de proteção por meio de sua incorporação aos limites da Estação Ecológica de Jataí.

Caracterização dos elementos físicos da bacia do córrego Santo Antônio (Rio Claro/SP)

O objetivo desta pesquisa foi caracterizar os elementos físicos da bacia do córrego Santo Antônio, buscando compreender a influência que a área de entorno dessa bacia exerce sobre a Floresta Estadual Edmundo Navarro de Andrade (FEENA). Para isto, foram elaboradas as cartas geomorfológica e de uso do solo, além da compilação de dados geológicos, pedológicos e climáticos. Essa influência foi avaliada em termos da dinâmica de remobilização de materiais provenientes das nascentes, que não pertencem a FEENA, e que se constituem, portanto, em área de uso agrícola. A análise das características físicas indicou que essa área é susceptível a ação dos processos morfogenéticos e que estes foram intensificados e acelerados pelo uso do solo ao redor das nascentes. Verifica-se, assim, a necessidade de se reavaliar esse uso e de se fiscalizar o cumprimento da própria legislação ambiental, no que se refere ao uso e ocupação do território, em fundos de vale.

Os convivas da morte no banquete das almas: presença de eguns em um conto de João Antônio

A literatura escrita tem sido um espaço privilegiado para a representação e, consequentemente, para o registro e divulgação dos valores e costumes de variados grupos e segmentos sociais. No conto analisado neste ensaio – Eguns –, o escritor paulistano João Antônio (1937-1996) traz um narrador que descreve com detalhes uma rara festa religiosa ocorrida na Bahia, destinada ao culto dos ancestrais. Contemplativo e respeitoso, limita-se a contar o que a tradição religiosa permite. O contato com a alteridade ganha foros de rito iniciático e a experiência – em sentido forte – é transferida ao leitor.

Avaliação final de clones IAC de cana-de-açúcar da série 1982, em latossolo roxo da região de Ribeirão Preto

Doze clones de cana-de-açúcar, provenientes de hibridações realizadas em 1982, foram avaliados em três experimentos, em latossolo roxo, da região de Ribeirão Preto (SP). Para tanto, utilizou-se o delineamento em blocos ao acaso, com seis repetições, efetuando-se a análise estatística com a média das quatro colheitas (1. º, 2.º, 3.º e 4.º cortes). Avaliaram-se as produtividades de cana e açúcar, pol% cana, fibra% cana, população de colmos e intensidade de florescimento. Considerando-se essas características, assim como a curva de maturação dos clones, e tomando-se como padrões as variedades SP70-1143, SP71-1406, IAC64-257 e RB76-5418, o clone IAC82-2045 apresentou um desempenho equivalente, caracterizando-se como material de alta produtividade agrícola, boa riqueza, com a maturação do meio para o final de safra, podendo ser incluído em novos estudos de manejo varietal para outras condições paulistas. Ainda se destacou, com algumas restrições, indicadas pela interação ambiente x clone para a produtividade agrícola, o clone IAC82-2120, com boa riqueza e possibilidade de ser colhido a partir de junho. Estimando-se os parâmetros genéticos, observou-se, mediante a componente da variância genótipo x ambiente, a significativa resposta dos genótipos a ambientes específicos, mais acentuadamente para os caracteres produtivi-dade agrícola e produtividade média de açúcar, e menos expressiva para teor de sacarose.

Regeneração natural em remanescentes florestais e áreas reflorestadas da várzea do rio Mogi-Guaçu, Luiz Antônio - SP

O trabalho objetivou descrever e avaliar a estrutura da regeneração de espécies arbóreas em dois remanescentes naturais e em três áreas reflorestadas com espécies nativas e em um povoamento de Eucalyptus robusta, situados em área de várzea do rio Mogi-Guaçu, Luiz Antônio, SP (21º31'S e 47º55'W). Foram amostradas 40 subparcelas de 2 m² em cada remanescente natural e sub-bosque de eucalipto e 60 subparcelas de 3,5 m² em cada área reflorestada. Foram amostrados todos os indivíduos arbóreos de regeneração com altura > a 10 cm e diâmetro do caule até a altura do peito (DAP) < 5,0 cm e analisados separadamente, em quatro classes de altura, a diversidade florística, a regeneração natural (Rn%), o valor de importância (VI) e a similaridade da regeneração com indivíduos de DAP > 5 cm. Foram identificados 1.990 indivíduos, pertencentes a 24 famílias, 46 gêneros e 51 espécies. Cabralea canjerana, Psidium cattleyanum, Nectandra megapotamica, Acacia polyphylla e Syzygium cumini estavam entre as espécies mais representadas nas quatro categorias de tamanho. O reflorestamento com espécies nativas em áreas degradadas da várzea do rio Mogi-Guaçu promoveu a regeneração natural com biodiversidade superior aos remanescentes naturais de florestas ciliares sob efeito de borda e contribuiu para com o processo de restauração de ecossistemas florestais. O povoamento de Eucalyptus robusta com cerca de 20 anos de idade favoreceu a regeneração de espécies climácicas e secundárias.

Study of the proteins in the defatted flour and protein concentrate of baru nuts (Dipteryx alata Vog)

O baru (Dipteryx alata Vog.) é uma leguminosa abundante no Cerrado brasileiro, cuja castanha pode ser explorada através do uso sustentável para o aproveitamento das frações proteicas e lipídicas. Este trabalho teve como objetivo estudar as proteínas desta castanha, presentes na farinha desengordurada e no concentrado proteico, quanto as suas propriedades funcionais, ao perfil das frações proteicas e à digestibilidade in vitro. A farinha desengordurada com hexano foi submetida à extração no pH de maior solubilidade das proteínas, obtendo-se o concentrado proteico. O perfil eletroforético das frações proteicas foi avaliado em gel de SDS-PAGE. As propriedades funcionais indicaram a possibilidade de emprego em diversos alimentos, assim como a soja, conferindo capacidade de absorção de água, capacidade de absorção de óleo, propriedades emulsificantes e espumabilidade. As globulinas, seguidas das albuminas, são as frações majoritárias da farinha e do concentrado proteico, respectivamente. A digestibilidade foi superior no concentrado em relação à farinha desengordurada.

Tempo de implantação de sistemas ERP: análise da influência de fatores e aplicação de técnicas de gerenciamento de projetos

Freqüentemente, a implantação de sistemas ERP é complexa e demorada, requerendo, em alguns casos, três ou quatro anos. em geral, um sistema ERP divide-se em módulos cujas implantações são feitas em vários estágios. Um problema sério é que os prazos para a implantação desses módulos são críticos e raramente são cumpridos. Esses atrasos geram insatisfação dos clientes, pois resultam em custos adicionais não previstos. A implantação de sistemas ERP depende de vários fatores, alguns dos quais têm muita influência nos prazos de implantação. Considera-se neste trabalho a técnica de planejamento de experimentos para a determinação dos principais fatores. Além disso, são usados métodos de caminhos críticos para a identificação das atividades que requerem mais investimentos para que haja redução no tempo total de implantação do projeto.