O conhecimento das funções e a formação dos auxiliares odontológicos atuantes no serviço público de saúde de municipios do noroeste paulista

The aim of this study was to evaluate the knowledge of Hygienists (TSB) and Dental Auxiliaries (ASB) in relation to their roles regulated by Law number 11.889, December 24th, 2008, and formation of them and capacitating received before they had been admitted in public health system. It’s a transversal and descriptive study where the target population were TSB and ASB (N=76) that works in public service from 5 cities of the DRS II-SP. Data collection was performed by semi-structured instrument with opened and closed questions. The answer rate was 90.79% (n=69). The results showed that the majority of professional know part of their duties (56%) Near half of them had formation course (47.8%). In relation to information received during formation courses, 80% stated had received all information necessary to actualization of knowledge, however, 84% stated to feel necessity to actualize their knowledge to develop their works, 58% of professionals said that they don’t receive capacitating after they had been admitted. It was possible to conclude that the majority of professionals know part of their roles, has formation course and the majority don’t receive capacitating when they are admitted in public health system, however, it was observed that a part of them don’t have specific formation yet and don’t know part of their roles according to current legislation

Zoneamento do escoamento superficial da bacia hidrográfica do Rio Paciência, Ilha do Maranhão-MA

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

Elaboração de um sistema de informações georreferenciadas para o planejamento urbano: estudo de caso - centros educacionais de Bauru

The objective of this paper is to show the development of a Geographic Information System (SIG) for the management of the Educational Centers of the city of Bauru. Currently, the Educational Centers and Assistance Institutes, public or private, in Brazilian cities have some problems, for example: they have no money to manage their institutions and they have no correct form to organize and to store the information. Because of these problems, we developed a system which will manage some informations for these institutions and local authority. This system will allow visualizing the data in the internet by the community. This pilot project has used the softwares SPRING 4.1 e SPRINGWEB 3.0.

Aplicação de um método ergonômico para avaliação da permanência e atratividade em espaço público aberto: estudo de caso Parque Vitória Régia, Bauru - SP

There are several researches on evaluation of urban public space, but not all establish a relationship between the configuration of spaces with the thermal environment, ergonomics and environmental behavior of users. To understand this relationship, the aim of this paper is to present the model DEPAN (Design for Permanence and Attractiveness in niches open spaces of conviviality), based on graphical meshes, which were designed to evaluate the influence of design and ergonomics of open public spaces in the human thermal comfort and the ways in which users appropriate the space. Its applicability is demonstrated through a case study conducted in a park in the city of Bauru-SP. To perform this evaluation public space niches were chosen. They were formed by morphological elements and street furniture and defined by their spatial arrangements. The collected data were incorporated into a Geographic Information System (GIS), which allowed the overlay of meshes. The results indicate that the DEPAN model allows the verification of the spatial characteristics, thermal quality and ergonomic design generated by spaces, as well as the evaluation of the influence of these aspects in the way of using the spaces. The model allows the generation of a classification for every niche and set a value for the level of service offered.

Sistema de informação geográfica na formulação de indicadores ambientais para sustentabilidade dos recursos hídricos

Planning and sustainable management of water resources require actions that focuses on life quality, recovery and preservation of natural resources. As such, a municipality must have tools which empower the government with the right to exercise such actions, for example, the Master Plan and Sector Plans. To develop municipal plans which will guide the development of the city and provide information for establishment of public policies, it is of the utmost importance that they are designed based on primary and safe data. In view of these considerations, this study aimed at formulating environmental indicators by using a Geographic Information System – GIS. The environmental diagnosis based on the gvGIS was used as database, which made the process to be agile and accurate. The watershed of Lençóis River – SP was the study area. It has a good database from the Environmental Diagnosis of the watershed of Lençóis River, which was created through funds from the State Funds for Water Resources – FEHIDRO. The borrower was the Service of Water Supply and Sewage of Lençóis Paulista – SAAELP. Based on the diagnosis, the indicators were formulated concerning land use and occupation as well as water resources. The results were considered satisfactory and showed that the methodology used in this study is of great importance to evaluate water resources, as it provides a reliable basis for the decision-making process seeking environmental compliance and sustainable development. By using environmental indicators, the sustainability of an area as a whole can be analyzed, and the parts as well, i.e., it is possible to identify which sector is experiencing significant problems and take actions to solve them.

Aplicação de um método ergonômico em área de convívio em um campus universitário

The study presents the application of an ergonomic method based on graphical mesh, created to analyze the attributes of public open space and that influence on their usability. It was based on DePAN method, created to classify the service level offered by niches present in open relationship spaces. However, this method adopted Geographical Information System (GIS ) to make maps that represent the space attributes. This study proposed an adaptation of this method, which replaces GIS by AutoCAD software to generate maps . The goal is to test the feasibility and efficiency of producing maps in AutoCAD software to represent the service niches level. An relashionship area on a college campus for data collecting in graphical meshes and maps confection. By applying the graphical mesh the attributes of that space were evaluated to help promote people permanence on site. Although the process through AutoCAD seems to be harder by being mechanical it guarantees a satisfactory result for analysis, resembling images generated by GIS. Therefore, it is concluded that it’s possible to represent graphically the riches service level.

Implantação da vigilância do câncer relacionado ao trabalho em Londrina-PR entre 2011 e 2014

Pós-graduação em Saúde Coletiva - FMB

Mapeamento de ocorrências de eventos perigosos no município de Santos SP: integração com dados de vulnerabilidade socioambiental

This study is based on the mapping of occurrences associated with social vulnerability and natural risks, which refer to the resilience of populations and territories, regarding natural hazards associated with the functioning of natural systems (eg, earthquakes, flood, mass movements). According to UNISDR (2014), the state of São Paulo is a reference in working with Urban Resilience and Disaster in the Resilient Cities Campaign (2014), considering the high investment in Risk Areas Mapping and Public Education Campaigns implemented by the Civil Defense. Thus, this study aims to mapping the occurrence of events related to Tree Falls, Erosion, Landslides, Irregular Housing, Rocky Blocks Falls, Wall Falls, Unroofing and Irregular Construction, attended by the Civil Defense in the city of Santos, São Paulo State, from 2011 to 2014. Thereafter, correlated analyzes to the Environmental Vulnerabilities were generated. The Environmental Vulnerability databases used in this dissertation compose the results of the CNPQ Project - Environmental Vulnerability Mapping of the State of Sao Paulo - Brazil: a methodological contribution of Freitas (2013) and Bortolettoet al (2014), with information collected from the 2010 Census (IBGE, 2010), on a census sectors scale. The adopted methodological procedure involves document analysis followed by data integration in Geographic Information System, through algorithms analysis and mapscrossing.The results obtained in Maps of Social and Environmental Vulnerability Occurrences presented areas of High or Very High Vulnerability. The main variables obtained with such characteristics are Irregular Housing, Landslides and Rocky Blocks Falls, which was associated with hilly terrain formations, with slopes above 30%. To the areas of Medium, Low and Very Low Vulnerability were associated the variables Tree Falls, Wall Falls, Erosion, Unroofing and Irregular Construction, which are spatially distributed without an...

Análise multicriterial aplicado na definição de áreas prioritárias ao uso agrícola da terra da bacia do Rio Capivara, Botucatu, SP

The use of geographic information systems (GIS), combined with advanced analysis technique, enables the standardization and data integration, which are usually from different sources, allowing you to conduct a joint evaluation of the same, providing more efficiency and reliability in the decision-making process to promote the adequacy of land use. This study aimed to analyze the priority areas of the basin agricultural use of the Capivara River, Botucatu, SP, through multicriterial analysis, aiming at conservation of water resources. The results showed that the Geographic Information System Idrisi Selva combined with advanced analysis technique and the weighted linear combination method proved to be an effective tool in the combination of different criteria, allowing the determination of the adequacy of agricultural land use less subjective way. Environmental criteria were shown to be suitable for the combination and multi-criteria analysis, allowing the preparation of the statement of suitability classes for agricultural use and can be useful for regional planning and decision-making by public bodies and environmental agents because the method takes into account the rational use of land and allowing the conservation of hydrics resources.

Caracterização clínica epidemiológica e geográfica da hanseníase em município hiperendêmico do Brasil

Pós-graduação em Saúde Coletiva - FMB

A Pilot Study of the Relationship of Calcium Intake and Frequency of Injuries In High School Athletes

Little information is available related to adolescent calcium intake and relationships with injuries they might suffer from sport participation. To determine calcium intake of high school athletes, to assess their self reported injury rates, and to examine the relationship between the two over a 12 month period of time. Participants received a questionnaire at their school and completed it anywhere they found convenient. Adolescent athletes in the Lincoln Public School system (n=43) that participated in at least one sport in the past year. Four age groups participated in the study with sixteen year olds having a significantly higher calcium intake at 1297 mg that of fourteen year olds. A variety of sports were represented with largest number of respondents participating in baseball/or softball at (55%). The next most played sport was basketball at (18%). Median total diet calcium was 1144.5 mg with a mean of 1182 mg + 567 mg. For the frequency of injuries that caused a missed practice or game in the past year, ankle injuries were the most common (25%). Knee injuries were the second most common (17%), followed closely by hand injuries (8%). Mean total diet calcium of athletes with five or more injuries that caused a missed practice or game was significantly higher at 1966 mg (P<.05) than athletes mean diet calcium with zero, one, two, and three injuries. Total milk calcium of those who reported three injuries that resulted in broken or fractured bones or dislocated joints was significantly higher (P<.05) at 1286 mg of total milk calcium than those who reported having zero, one, or two breaks or fractures. Athletes with higher calcium intakes have a higher number of reported injuries. This may be the result of increased vigorous activity which leads to increased calorie and calcium consumption. More importantly, this increased activity leads to an increased chance of injury. The greater calcium intake correlated with greater number of injuries may also be because of third parties advising the athletes who get injured to drink more milk and get more calcium in their diets because they have been injuries already.

Caracterização clínica epidemiológica e geográfica da hanseníase em município hiperendêmico do Brasil

Pós-graduação em Saúde Coletiva - FMB

Prescription patterns for diabetes mellitus and therapeutic implications: a population-based analysis

Objective: To analyze drug prescriptions for insulin and oral antidiabetic drugs in type 1 and type 2 diabetes mellitus patients seen in the Brazilian Public Healthcare System (Unified Health System - SUS) in Ribeirao Preto, SP, Brazil. Subjects and methods: All the patients with diabetes seen in the SUS in the western district of Ribeirao Preto, SP, Brazil between March/2006 and February/2007 were included in the study. Results: A total of 3,982 patients were identified. Mean age of the patients was 60.6 years, and 61.0% were females. Sixty percent of the patients were treated with monotherapy. Doses of oral antidiabetic drugs were lower in monotherapy than in polytherapy. Ten patients received doses of glibenclamide or metformin above the recommended maximum doses, and in elderly patients there was no reduction in drug doses. Conclusion: Monotherapy with oral antidiabetic drugs was the predominant procedure, and the doses were not individualized according to age. Arq Bras Endocrinol Metab. 2012;56(2):120-7

Electroconvulsive Therapy in Brazil After the "Psychiatric Reform" A Public Health Problem-Example From a University Service

Objectives: The Brazilian public health system does not provide electroconvulsive therapy (ECT), which is limited to a few academic services. National mental health policies are against ECT. Our objectives were to analyze critically the public policies toward ECT and present the current situation using statistics from the Institute of Psychiatry of the University of Sao Paulo (IPq-HCFMUSP) and summary data from the other 13 ECT services identified in the country. Methods: Data regarding ECT treatment at the IPq-HCFMUSP were collected from January 2009 to June 2010 (demographical, number of sessions, and diagnoses). All the data were analyzed using SPSS 19, Epic Info 2000, and Excel. Results: During this period, 331 patients were treated at IPq-HCFMUSP: 221 (67%) were from Sao Paulo city, 50 (15.2%) from Sao Paulo's metropolitan area, 39 (11.8%) from Sao Paulo's countryside, and 20 (6.1%) from other states; 7352 ECT treatments were delivered-63.0% (4629) devoted entirely via the public health system (although not funded by the federal government); the main diagnoses were a mood disorder in 86.4% and schizophrenia in 7.3% of the cases. Conclusions: There is an important lack of public assistance for ECT, affecting mainly the poor and severely ill patients. The university services are overcrowded and cannot handle all the referrals. The authors press for changes in the mental health policies.

Treatment-resistant depression increases health costs and resource utilization

Objective: Major Depressive Disorder (MDD) is a debilitating condition with a marked social impact. The impact of MDD and Treatment-Resistant Depression (TRD+) within the Brazilian health system is largely unknown. The goal of this study was to compare resource utilization and costs of care for treatment-resistant MDD relative to non-treatment-resistant depression (TRD-). Methods: We retrospectively analyzed the records of 212 patients who had been diagnosed with MDD according to the ICD-10 criteria. Specific criteria were used to identify patients with TRD+. Resource utilization was estimated, and the consumption of medication was annualized. We obtained information on medical visits, procedures, hospitalizations, emergency department visits and medication use related or not to MDD. Results: The sample consisted of 90 TRD+ and 122 TRD-patients. TRD+ patients used significantly more resources from the psychiatric service, but not from non-psychiatric clinics, compared to TRD-patients. Furthermore, TRD+ patients were significantly more likely to require hospitalizations. Overall, TRD+ patients imposed significantly higher (81.5%) annual costs compared to TRD-patients (R$ 5,520.85; US$ 3,075.34 vs. R$ 3,042.14; US$ 1,694.60). These findings demonstrate the burden of MDD, and especially of TRD+ patients, to the tertiary public health system. Our study should raise awareness of the impact of TRD+ and should be considered by policy makers when implementing public mental health initiatives.