Análise da qualidade microbiológica em leite pasteurizado, tipo C, recém pasteurizado e na data de validade

The conservation of raw milk for long periods of time under refrigeration can result in the lost of its quality. This happens because bacterias, capable of developing in low temperatures, as psichrotrophics, in milk, associates with its enzymatic activities, are capable to degradate it. Although the pasteurization of milk sufficiently diminishes the transmission of the illnesses, that generally eliminates such microorganisms, is not a total efficient process because many enzymes produced for such bacterias are termostable, being able to resist the treatment and to remain active, leading to the loss of the quality of milk and its derivatives. The Normative Instruction 51 of 2002 established that milk must be cooled and stored in the production property, what resulted increasing the incidence of such bacteria in population destined milk. In some parts of the world contaminated milk is causing serious risks to the health of the population, assuming great importance in Public Health, mainly in relation to the hygienic-sanitary conditions of the product. ANVISA establishes, thus, maximum bacteriological concentration that must be evidenced before commercializing the product, guaranteeing the quality of milk as proper for consumption. Based on these aspects, the objective of this work is the microbiological analysis of 30 milk samples type C, collected in bakeries of the city Botucatu, in the state of São Paulo. Analysis were made to determinate the most likely number of termotolerants coliforms, as well the number of colony units of psichrotrophics bacterias, the presence of Salmonella and the enumeration of positive Staphylococcus aureus, at the moment of purchase and validity of the products

Variação espacial e temporal da qualidade da água de três córregos tributários do Rio Bauru: respostas ao processo de recuperação de nascentes

Este trabalho objetivou analisar a qualidade da água de três córregos tributários do rio Bauru, levando em conta a poluição causada por produtos orgânicos e industriais que vinham sendo descartados nos mesmos e as eventuais melhorias conseqüentes das medidas paliativas assumidas pelo DAE-Bauru, mediante a instalação de interceptores-coletores de águas residuárias ao longo Daqueles corpos de água, até que a Estação de Tratamento de Esgotos do município seja construída e se dê início ao seu funcionamento. O monitoramento destes corpos de água durante o período de estiagem e de cheias proposto nesta pesquisa, incluiu investigações sobre as variáveis químicas e físicas de amostras das águas, obtidas mensalmente em 7 pontos de coleta, localizados a montante e a jusante dos pontos de instalação dos emissários, ao longo dos córregos. As amostras de água foram posteriormente analisadas para fossem obtidas informações sobre a eficácia da instalação dos interceptores com relação ao processo de recuperação da saúde dos corpos aquáticos em questão. Os resultados obtidos mostraram que, de um modo geral, as águas de todos os sistemas estudados ainda sofrem impactos, até porque ainda há aquelas que recebem o esgoto descartado “in natura”. No entanto, como ja era esperado, nos pontos de coleta localizados em segmentos dos córregos nos quais os emissários já foram instalados, o impacto ambiental é menor. Mediante a comparação dos resultados obtidos das análises das características físicas e químicas das águas dos sistemas estudados realizadas durante esta investigação com aqueles obtidos nos mesmos corpos de água, em 2007, pudemos observar melhorias da água em alguns dos pontos de coleta

Estratégia Saúde da Família: implantação de uma rede em Presidente Prudente - SP

This project was developed with the aim of contributing to the construction of a system of Unidades de Saúde da Família (USFs) to Presidente Prudente, a city located in the western region of São Paulo state. It was tried to bring to the architectural space the existing guidelines for the public service with the intention of create welcoming and functional environments and a net identity. Given these characteristics it was developed a modular construction system that allows the creation of new units in an agile manner and with a minimum quality standard. Since many of Presidente Prudente’s features are present in other Brazilian cities, the guidelines presented in this proposal will be useful to the work of managers in other cities of the country

Elaboração de manual da qualidade e manual de segurança em laboratório para a unidade operacional de equivalência farmacêutica da UNESP

No ambiente competitivo em que as empresas estão inseridas, verifica-se um crescimento significativo da divulgação sobre a importância de uma gestão adequada, objetivando a manutenção de sua sustentação competitiva. As exigências de mercado fazem crescer continuamente a preocupação em implantar Sistemas de Gestão da Qualidade, não só no universo das grandes corporações, mas também das empresas prestadoras de serviços, como por exemplo, os laboratórios de ensaio. A Promulgação da Lei dos medicamentos Genéricos (LEI 9787), por meio da RDC 299/99 estabelece que os laboratórios possuem o dever de prestar serviços que atendam aos princípios fundamentais de gestão da qualidade analítica e de boas práticas de laboratório. Nesse contexto e visando a condução dos ensaios exigidos para o registro de medicamentos genéricos, a Rede Brasileira de Laboratórios Analíticos em Saúde teve sua origem. Dentre os requisitos estabelecidos pela REBLAS para habilitação de laboratórios na condução de ensaios de Equivalência Farmacêutica, é determinado que “o laboratório deve estabelecer, implementar e manter um Sistema da Qualidade apropriado ao escopo das suas atividades” (ANVISA, 2002). Assim, torna-se indispensável a existência de um Manual da Qualidade, ferramenta que descreve o Sistema de Gestão da Qualidade de acordo com a política e objetivos que são declarados pela organização, bem como um Manual de Segurança em Laboratório para a Unidade Operacional de Equivalência Farmacêutica da UNESP.

Avaliação da qualidade da atenção ao parto nos colegiados de gestão regional Cuesta Botucatu e Vale do Jurumirim

The humanization of childbirth implies the understanding of this event as an important experience, and requires the redefinition of human relationships from the review of the assistance project, the understanding of pregnant women condition and human rights. To evaluate child birth assistance using a score that was developed by Botucatu Cuesta Regional Management and Jurumirim Valley Collegiates. This is an epidemiological, descriptive study that is inserted in the field of evaluation of services, programs or health projects. The data has been obtained by direct observation of deliveries, emphasizing the humane care. Results: Approximately one third of the women gave birth in a tertiary hospital (34.1%) and it was their first babies (33%).24.8% of the women received prenatal care in high-risk services. 67.1% of the births were normal, and 84.7% had no companions in the delivery room. In 47.1% of the cases the delivery was performed by obstetrician who used anesthesia in 44.7% and episiotomy in 48.2% of the deliveries. More than half of the newborns were attended by the pediatrician in the delivery room and had a delivery graph completed. Although the present study shows that 67.1% of the births were normal, caesarean rate can be considered excessive, as the WHO points out that c-sections above 15% are unlikely to be justifiable. It is important to emphasize that the Ministry of Health has to have a commitment with all women to promote safe motherhood, even in cases when the pregnancy involves a risk for both the mother and the fetus. It is noteworthy that the created score allowed us to assess variables related to the humanization of childbirth and only average and quite similar situations among the three services were evidenced. We hope that with this study, managers and professionals that work in this area can be subsidized in order to offer effective humane assistance and quality service in the delivery

Qualidade de vida e vulnerabilidade social na percepção do idoso

According to data from the World Health Organization, the older population will grow sixteenfold from 1950 to 2025 in comparison to a fivefold population growth in the same period, which is referred to by UNO as the “Ageing Era”. This places Brazil in the sixth position in the contingent of older individuals worldwide, with a number that is higher than 32 million. Considering how topics such as quality of life and social vulnerability are important in face of the growing older population, these topics must be furthered studied so that they can be understood as important variables for both better clinical practice and scientific research. To describe the social vulnerability and evaluate the quality of life of older individuals in a population hospitalized in the internal medicine ward of Bauru State Hospital. This is a descriptive qualitative study that was conducted by means of interviews and using Bardin’s discourse analysis. The inclusion criteria used in this study were: individuals at 60 years of age who were mentally capable of answering the proposed questions. Two categories concerning Quality of Life and Social Vulnerability emerged from the interviews. The following emerged from the theme Quality of Life: “Life as something important” and subcategories that involved feeling useful in society, having a supportive family, independence, optimism and joy and survival. Also, the following emerged from the theme Social Vulnerability: “Negative recognition of older individuals in society” and subcategories that involved lack of respect, functional disability, family indifference, housing-related insecurity, an inefficient health care system and loneliness. Quality of Life and Social Vulnerability are largely discussed themes in the present scenario. In this study, it was possible to perceive that the older population needs social support, effective public... (Complete abstract click electronic access below)

Staphylococcus sp na produção primária de leite: aspectos de saúde pública

Staphylococcus is one of the more important causes of the called Foodborne Disease(FD), being that from the 40 species described from genus, the more important is Staphylococcus aureus. During years believed that the S. aureus was the only specie from genus able to produce enterotoxins, responsable for the clinical frame in humans, but latest studies report the isolation of other species both positive coagulase (PC) as negative with enterotoxigenic potential. The symptoms of this intoxication appear after a short period of incubation (2-6 hours) and usually characterized by nausea, vomits, abdominal ache, diarrhea, and rarely is fatal. For the toxin to be formed in food is necessary that bacteria population to be at least 105 UFC/g, being that such toxins characterized by presenting great resistance front of gastrointestinal proteases and of homemade termical treatment. Among the main foods that might carry the microorganism, the milk and its derivatives have highlights. The contamination of the product might happen as from the milk from cows with clinical and/or subclinical mastitis, as the Staphylococcus genus is one of the main agents etiologic from this disease, equipments utensils badly sanitized equipments and utensils and from the manipulators. The control of these factors configures as fundamental condition for the achievement of a safe, quality product, which doesn’t offer risk to the consumers

Controle de qualidade e levantamento radiométrico em aparelho de Raios-X médico convencional

Along with the advance of technology, in terms of the expansion of medical exams that uses the ionizing radiation for diagnosis, there is also the concern about quality control for maintaining quality in radiographic imaging and for delivering low dose to the patient. Based on the Federal Order 453 of the Secretariat of Health Surveillance, which takes account of the practical and justification of individual medical exposures, the optimization of radiological protection, limitation of individual dose, and the prevention of accidents, were done through this paper radiodiagnostic tests on medical equipment in order to accept it or not, according to SVS-453. Along with the help and support of P&R Consulting and Medical Physics Marilia, SP, were made Quality Control and Radiometric Control in equipment from various cities across the state of São Paulo. The equipment discussed in this work is classified as conventional X-ray. According to the Federal Order SVS-453, the quality control in the program of quality assurance should include the following minimum set of constancy tests, with following minimum frequency: biennial tests for representative values of dose given to the patients of radiography and CT performed in the service; annual tests for accuracy of the indicator tube voltage (kVp), accuracy of exposure time, half-value layer, aligning the central axis of the beam of x-ray tube, performance (mGy / mA.min.m²), linearity of the rate of kerma on air with the mAs, reproducibility of the kerma on air rates, reproducibility of the automatic exposure, focal spot size, integrity of accessories and clothing for individual protection; semiannually for collimation system accuracy; weekly for temperature processing system and sensitometry processing system. For the room Radiometric Survey it was done a sketch...(Complete abstract click electronic access below)

Qualidade de vida do trabalhador de enfermagem de um hospital Estadual

The search for quality of life (QOL) is now an ideal among thousands of people worldwide and is currently the subject has been studied in different areas of knowledge. Thus, one can perceive it in different dimensions, each with its due importance to people's lives. The verification of quality indexes of work life (QWL) may provide information on factors that directly interfere with the satisfaction and personal motivation and collective, with reflections on the structure and excellent service. To this end, we carried out a study to know the characacteristics of quality of life of nursing professionals in a state hospital in São Paulo State, based on short range of quality of life of the World Health Organization (WHOQOL-BREF). This work is a study with a quantitative approach, cross-sectional descriptive and exploratory data analysis using descriptive statistics, involving a sample of 281 nurses who answered the scale for measuring quality of life, composed of four areas: physical, psychological, social relationships and environment. In the study, these areas were related to the professional position, and shift work. There was a satisfactory quality of life in the study population in different areas of WHOQOL-BREF. There was no statistically significant changes in quality of life among the variables. It follows that the population presented data consistent with an adequate quality of life, thus making relevant to addressing the quality of life of nursing in a healthcare organization which has as fundamental to the pursuit of quality through the accreditation process second hospital established by the National Accreditation Organization (ONA) that aims at establishing and implementing a process of improving health care, thereby stimulating the services to achieve higher standards of quality

A dinâmica do setor de serviços de saúde na região administrativa de Barretos

The dynamics of the health services sector can be seen in studies of geographical features as analysis on the quantity and quality of médical and hospital services provided and the demand or need sensed by the population, whether the public sector, whether private sector within a defined portion of space, in analysis in this study, the Administrative Region of Barretos, State of São Paulo. This study seeks to better understand the dynamics of the health services sector (Public and Private) in the production of urban space of the Administrative Region of Barretos, for it will be reviewed, in particular, the Cities Health Centers, Bebedouro and Barretos. Also proposes through this, try to clarify the central regional Barretos and Bebedouro in the context of health services

Avaliação da qualidade da água no sistema de abastecimento da cidade de Santa Lúcia - SP

água que abastece uma cidade se não for tratada pode tornar-se importante veículo de transmissores de doenças. O controle da qualidade é uma medida que visa, principalmente, garantir a saúde da população. O objetivo desta pesquisa foi avaliar a qualidade da água distribuída pelo sistema de abastecimento da cidade de Santa Lúcia – SP. A água proveniente desse sistema chega até as residências e, muitas vezes, é consumida sem nenhum tratamento doméstico complementar. A cidade de Santa Lúcia é abastecida por três poços profundos (P2, P3, e P4). Com o intuito de avaliar a qualidade da água captada desses poços e distribuídas para consumo humano foram coletadas amostras diretamente dos poços e de um ponto de consumo nas áreas abastecidas por cada poço. Foram feitas três coletas em cada ponto, em três diferentes épocas do ano. Realizaram-se análises físico-químicas e bacteriológicas em todas as amostras. As análises bacteriológicas foram feitas para determinação da presença de coliformes totais, E. coli e contagem padrão de bactérias heterotróficas em placa. As análises físico-químicas avaliaram cloro residual livre, fluoreto, turbidez, pH, cor aparente e sólidos totais dissolvidos. Duas amostras foram positivas para coliformes totais, apenas uma amostra coletada no poço 2 foi positiva para E. coli. Para bactérias heterotróficas todas a amostras apresentaram contagem em placa inferior a 500 UFC/mL. Todas as amostras estavam dentro do padrão determinado pela legislação para pH, turbidez e sólidos totais dissolvidos. Todas as amostras coletadas no poço 2 tiveram como resultado ausência de cloro residual livre, o mesmo resultado para os demais pontos na segunda coleta de amostras. Todas as amostras apresentaram fluoreto com valores abaixo do VMP estabelecido pela legislação brasileira porém apenas cinco com concentrações dentro da faixa estabelecida pela legislação do Estado de São Paulo ...

Acesso a dados financeiros da gestão da saúde pública: uma análise do sítio do Datasus

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Risco, saúde e obesidade na prática de trabalho dos policiais militares do Estado de São Paulo

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

Fatores que influenciam a qualidade de vida de pessoas com epilepsia

Epilepsy is a chronic disorder that impairs life quality (LQ) and interferes in emotional, personal, social and family relationship aspects. This study evaluated 165 people with epilepsy diagnosis, ranging from 18 to 75 years old (M=41,28; SD= 13,26), by means of the QQV-65 (Life Quality Questionnaire with 65 questions) and investigated the association between the questionnaire scores and the disease features, comparing patients who showed refrectory seizures with patients with partially controled seizures. There was no difference in relation to the two groups regarding the LQ factor. The QQV-65 emotional factor was the most affected in both groups, since the estimated mean z-escore was 51,0±14,4 for Group I and 49,9±14,7 for Group II. Regarding the type of crisis, the analysis of variance (ANOVA) revealed that Health was the only factor in QQV-65 that showed a statistically significant difference between the z-scores (P = 0.024). However, for the frequency of epileptic seizures, except Health (P = 0.185), other factors QQV-65 proved to be related in a statistically significant way (P> 0.05). The research demonstrated that seizure control perception is quite important in the evaluation of life quality in all its aspects (health, body, society, emotion, locus of control, self-concept and cognition).

Avaliação audiológica, metabólica e de qualidade de vida no indivíduo jovem com zumbido usuário de estéreo pessoal

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