O atendimento por instituição pública de saúde: percepção de famílias de doentes com câncer

This study aimed to analyze how the families of cancer patients perceived the treatment provided at a specialist public outpatient clinic, using Bardin's method of Content Analysis. Seven families consisting of fourteen family members were interviewed. They underlined doctor-patient relationship, judging it to be impersonal and superficial, resulting in a lack of security and trust. Families try to to participate but feel undervalued and excluded from the care. Necessary information that they are not given is sought in the media, while comfort is achieved through religious or spiritual practices. Health care training must encourage professionals to view the family as a unit of care, aligning training to different modes of health care.

Molecular and serological detection of tick-borne pathogens in dogs from an area endemic for Leishmania infantum in Mato Grosso do Sul, Brazil

Patógenos transmitidos por carrapatos atingem uma variedade de hospedeiros vertebrados. Para identificar os agentes patogênicos transmitidos por carrapatos entre cães soropositivos para Leishmania infantum no município Campo Grande-MS, foi realizado um estudo sorológico e molecular para a detecção de Ehrlichia canis, Anaplasma platys e Babesia vogeli em 60 amostras de soro e baço, respectivamente. Adicionalmente, foi realizado o diagnóstico confirmatório de L. infantum por meio de técnicas sorológicas e moleculares. Também foi realizado o alinhamento e análise filogenética das sequências para indicar a identidade das espécies de parasitas que infectam esses animais. Anticorpos IgG anti-Ehrlichia spp., anti-B. vogeli e anti-L. infantum foram detectados em 39 (65%), 49 (81,6%) e 60 (100%) dos cães amostrados, respectivamente. Vinte e sete (45%), cinquenta e quatro (90%), cinquenta e três (88,3%), dois (3,3%) e um (1,6%) cães mostraram-se positivos na PCR para E. canis, Leishmania spp., Leishmania donovani complex, Babesia sp. e Anaplasma sp., respectivamente. Após o seqüenciamento, os amplicons mostraram 99% de similaridade com isolados de E. canis, B. vogeli e A. platys e Leishmania chagasi. Os resultados deste estudo indicaram que os cães soropositivos para L. infantum de Campo Grande, MS, são expostos a vários agentes transmitidos por carrapatos, e, portanto, devem ser incluídos no diagnóstico diferencial em cães com suspeita clínica de leishmaniose.

Composição florística e estrutura da comunidade vegetal em diferentes fitofisionomias do Pantanal de Poconé, Mato Grosso

The aim of this research was to analyze the composition and structure of the plant community in four phytophysiognomies at Pantanal Poconé-Mato Grosso, assuming that each sample group is a type of community, and there would be a corresponding group of species that characterize that community. We set up five plots of 50 × 50 m and subdivided each one into subplots of 10 × 10 m. In each subplot, individuals with CAP (circunference at breast height) > 10 cm were sampled. To check the structural and floristic similarity of the five vegetation types the unweighted averages grouping method was used - UPGMA, with Jaccard's coefficient and Bray-Curtis, respectively. DCA ordination of plots was used for inundation gradient analysis and TWINSPAN indicator species groups for the three strata. In the four areas 55 species belonging to 30 families were sampled. The UPMGA indicated floristic and structural differences between cambarazal, savanna types and campo de murundu and similarity between the semideciduous formations. The DCA separated the vegetation types according to the level of flooding and TWINSPAN indicated the existence of typical species for each vegetation type. In the Pantanal, some species may be restricted to certain types of vegetation, and these species can be used as indicators of the effect of flooding and possible changes in flood pulse dynamics in plant communities.

Correlação entre produção de feijão e atributos físicos de um Latossolo em Mato Grosso do Sul

In Brazil, common bean is in one of the most representative economic crops, not only because of its growing area but also because of the economic value of its production. In the crop year 2006/07, in Selvíria (MS), we analyzed the common bean yield as a function of some physical attributes of a Typic Acrustox in minimum tillage and center pivot irrigation system. The aim of this work was to evaluate among the soil physical attributes, under minimum tillage, those that better explain the variability of bean yield using the Pearson and spatial correlations,. A geostatistical grid was installed to collect data from soil and plants, with 117 sampling points in an area of 2025 m² and homogeneous slope of 0.055 m m-1. The results showed a low yield of bean, which occurred probably due to a lower density of plants that the system provided. Thus, for the minimum tillage system, the bean yield could be explained as a function of total porosity and bulk density.

Tempo para acesso ao tratamento do câncer de mama no Distrito Federal, Brasil Central

PURPOSE: To analyze the time between the first symptom and treatment in patients treated for breast cancer in public hospitals in the Federal District. METHODS: This was a cross-sectional analysis. We interviewed 250 women diagnosed with breast cancer treated in six hospitals of the State Department of Health of the Federal District from November 2009 to January 2011. The time intervals studied were the time between the detection of the symptoms and treatment subdivided into intervals until and after the first medical appointment. The variables were: age, menopausal status, color, educational level, average monthly household income, origin, reason for the initial consultation, staging, tumor size, laterality, metastasis to axillary lymph nodes, neoadjuvant chemotherapy, and type of surgery. The Mann-Whtney test was used to assess the association of these variables with the time intervals until treatment. RESULTS: The mean age was 52 years, with a predominance of white women (57.6%), from the Federal District (62.4%), with a family income of up to 2 minimum wages (78%), and up to four years of schooling (52.4%). The staging of the disease ranged from II to IV in 78.8% of the women. The time between the first symptom and treatment was 229 days (median). After detection of the first symptom, 52.9% of the women attended a consultation within 30 days and 88.8% took more than 90 days to start treatment. Women with elementary school education had a greater delay to the start of treatment (p=0.049). CONCLUSIONS: There was a significant delay to start treatment of women with breast cancer in public hospitals of the Federal District, suggesting that efforts should be made to reduce the time needed to schedule medical appointments and to diagnose and treat these patients.

Punção aspirativa de linfonodo axilar guiada pela ultrassonografia é eficaz como método de predição de acometimento linfonodal em pacientes com câncer de mama?

OBJETIVO: Avaliar a viabilidade e acurácia diagnóstica da ultrassonografia pré-operatória combinada com biopsia por agulha fina (US-PAAF) e do exame clínico da axila em pacientes com câncer de mama.MÉTODOS: Neste estudo prospectivo 171 axilas de pacientes com câncer de mama foram avaliadas pelo exame clínico e ultrassonografia (US) com e sem biopsia por agulha fina (PAAF). Os linfonodos com espessura cortical maior que 2,3 mm na ultrassonografia foram considerados suspeitos e submetidos a US-PAAF.RESULTADOS: A análise de regressão logística não mostrou correlação estatisticamente significativa entre exame clínico e axilas positivas no exame patológico. Em relação à avaliação axilar com US, o risco de achados anatomopatológicos positivos aumentou 12,6 vezes, valor Kappa de Cohen foi de 0,12 para exame clínico, 0,48 para US e 0,80 para US-PAAF. A acurácia foi de 61,4% para o exame clínico, 73,1% para os US e 90,1% para US-PAAF. Análise Receiver Operating Chracteristics (ROC) mostrou que uma espessura de 2,75 mm cortical correspondeu à mais elevada sensibilidade e especificidade na predição metástase axilar (82,7 e 82,2%, respectivamente).CONCLUSÕES: A US combinada com aspiração por agulha fina é mais precisa que o exame clínico na avaliação do status axilar no pré-operatório em mulheres com câncer de mama. Aquelas que são US-PAAF positivo podem ser direcionadas para esvaziamento linfonodal axilar imediatamente, e somente aqueles que são US-PAAF negativos devem ser considerados para biópsia de linfonodo sentinela.

Análise da estrutura arbustivo-arbórea de uma área de cerrado sensu stricto, município de Aquidauana-Mato Grosso do Sul

The objective of this work was to study the floristic composition and structure of the Cerrado (Brazilian savannah), focusing on the tree and shrub strata. A total of 30 plots (10x10m) were set up, distributed in 10 contiguous blocks where individuals with a minimum PBH of 10 cm were sampled. A total of 1,107 individuals were sampled. Such individuals belonged to 33 families and 88 species, showing high values of richness. Total basal area and total density were respectively 6,651m² and 3690 individuals per hectare. The values of diversity (3.868 nats/individual) and evenness (0.86) show high heterogeneity and low ecological dominance. The most important species were Qualea grandiflora Mart., Lafoensia pacari St. Hil., Magonia pubescens St. Hil. and Qualea parviflora Mart., which together represented 57.7% of VI.

Molecular detection of feline arthropod-borne pathogens in cats in Cuiaba, state of Mato Grosso, central-western region of Brazil

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

Avaliação quantitativa da água subterrânea no estado de Mato Grosso do Sul

Pós-graduação em Engenharia Civil - FEIS

Dicionário enciclopédico de topônimos do estado de Mato Grosso do Sul: uma proposta de modelo

Pós-graduação em Estudos Linguísticos - IBILCE

Avaliação da angiogênese em resposta ao tratamento com melatonina no câncer de mama: estudo in vitro e in vivo

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

Vivências de pacientes com câncer em cuidados paliativos e o significado da espiritualidade

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

Efeito da curcumina na angiogênese em modelo experimental de câncer de mama

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

Espacialização do banco de sementes de plantas daninhas sob diferentes manejos de cana-de-açúcar em Rio Brilhante, Mato Grosso do Sul

The State of Mato Grosso do Sul is in full growth of this sector, thus the concern about harvesting systems are being studied, and these systems may influence the weed community interference of weeds in the cane sugar. The integrated management tool attached to geostatistics is to avoid productivity losses due to weed interference. The objective of this work was to study the spatial variability of the seed bank of weeds depending on the system for collecting cane sugar (raw and burning). The experiment was conducted in the area of commercial cultivation of the plant ETH Bioenergy S/A Eldorado Unity. Soil samples were taken with auger layer from 0.00 to 0.40 m depth in both cropping systems. The experimental plot was composed by a mesh consisting of 50 points georeferenced with irregular distances. Soil samples were taken to the greenhouse for germination. The number of weed species was analyzed using descriptive statistics and geostatistical techniques. The seeds of B. pilosa, dicots, bitter grass, nutsedge, dayflower monocots and spatial dependence of the seed bank in the collection system with burning of cane sugar. For the system of harvest only the raw sedge species present spatial dependence of distribution in the seed bank. In the harvest green cane enable the mapping of these species through the kriging maps produced, spot applications of herbicides in integrated management of Cyperus rotundus.

Maintenance of Manioc Diversity by Traditional Farmers in the State of Mato Grosso, Brazil: A 20-Year Comparison

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