974 resultados para guías clínicas
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The term model refers to any representation of a real system. The use of models in Hydrogeology can be valuable predictive tools for management of groundwater resources. The numeric models of groundwater flow, object of this study, consist on a set of differential equations that describe the water flow in the porous medium. In this context, numeric simulations were made for a sub-basin located at Cara Preta farm – Santa Rita do Passa Quatro – SP. The aquifer at the local is composed by rocks of Pirambóia Formation, which is part of Guarani Aquifer System. It was developed a conceptual model from previous studies in the area, and from that, simulations were made through the software Visual Modflow®. The conceptual model established previously was considered consistent through the results of simulation.
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Over the years, the concern with the detection of the levels of radionuclides in the environment has increased, given that they are carcinogenic to the human respiratory system. Present in the air, waters, soil and building materials, among other substances, radionuclides are unknown by most of the population. In this paper, we present the radioactive gas 222Rn, predominant element among all others and one way of detecting it in an example study of the waters of the Presidente Prudente - SP, through the plastic detector called CR-39. Likewise, we realized the need to approach this issue more broadly in schools and even in higher education, since this field of modern physics and environmental physics usually appears only in master's and doctorate. Thus, we attempted to perform the didactic transposition schooluniversity, through the construction of an object Educational, OE, to be placed on the Bank for International Educational Objects - bioethanol and by developing this contribute to the knowledge and understanding of the importance of monitoring of radioactivity in a way accessible to the population as a whole
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As a result of the 20th-century industrial development, and particularly after World War II, cars have become an important consumer good, and this has led to a large number of circulating vehicles. To this day, the number of cars has increased exponentially worldwide, which results in a high number of traffic accidents (TAs) every day. TAs are responsible for 1.2 million deaths worldwide each year, and in Brazil, they are considered to be a public health problem, considering that its traffic is regarded as one of the worst and most dangerous in the world. In addition to temporary or permanent physical disabilities that bring great harm to individuals, accidents also cause psychological disorders, such as the post-traumatic stress disorder. Hence, considering the importance of TAs in the country and their outcomes, this study aimed at investigating the epidemiological aspects of car accidents occurring in 2010 who were assisted in the emergency room of a university hospital in São Paulo state. By means of records made by the nursing team and medical records analysis, it was possible to extract a stratified sample of 88 cases involving adults and eight cases involving children. The sample was analyzed by the SAS software for Windows, version 9.2. As regards the accidents involving adults, there was a predominance of males (67%), with an approximate 2:1 ratio in relation to females. The victims’ most frequent age range was 20-29 years (39%), and they were mostly single (56%). The month showing the largest number of occurrences was July, with 17%, and the weekday was Sunday, with 25%. Showing 32%, the time period when most accidents occurred was from 06:00 o’clock p.m. to 11:59 p.m. As regards vehicles types involved, motorcycles were in first place, with 47% of cases, and the most common accident type was crashing between vehicles, with 43%... (Complete abstract click electronic access below)
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Nuclear medicine uses non-sealed sources for exams and treatments, because the movement of these sources, source of patients injected or not, involve a wide range of environmental radiometric levels. To better control of these levels this study was aimed at monitoring points strategically distributed in all environments Sector Technical Nuclear Medicine, Hospital of the Botucatu Medical School, performing two measurements at random times daily for a period of three months, sampling the normal routine of the sector. The detector Geiger-Muller was used for the acquisition of exposure rates of the points, efficiency and reprodutibility test have shown good performance of this equipment for this purpose. The results allowed to make a projection of annual dose for each environment indicating higher risks for Occupationally Exposed Individuals as well as Public Individuals compared with the limits established by the National Commission of Nuclear Energy. Was developed a spatial map of dose that can be used as a visual warning to the regions with the highest exposure to ionizing radiation, enabling reduced risk of a potential exposure
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The studies of this work aimed to determine the labile fractions of manganese (Mn) in natural and drainage water samples collected around the Osamu Utsumi uranium mine, located in the municipality of Caldas, south-central region of Poços de Caldas- MG, using the technique of diffusion gradient in thin films (DGT). The DGT devices were mounted with Chelex-100 resin, polyacrylamide-agarose hydrogel (conventional porosity) and cellulose acetate membrane. The device were deployed up to 48 hours in six water samples collected from different areas around the uranium mine (075, 076, 022-E, 025-E, 014, and 041). The DGT devices immersed in each sample were gradually removed after 4, 8, 12, 24 and 48 hours. The pH of the samples ranged from 3.0 to 10.5, which influenced the lability and the sampling of the analyte by the Chelex-100 resin. The results showed a linear relationship between accumulated mass and sampling time (immersion curve) for samples 014 and 025-E (pH between 6 and 8) suggesting the ability of the DGT technique for sampling the analyte. The results obtained for samples 075 and 076 (pH<5) and samples 041 and 022-E (pH around 10) were characterized by nonlinear relationships. The values obtained by DGT were compared with Solid Phase Extraction (SPE) technique using Chelex-100. For samples 014 and 025-E, there was a good agreement between the results obtained by both techniques
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Os estudos hematológicos das diferentes espécies de peixes são de interesse ecológico e fisiológico, auxiliando na compreensão da relação entre as características sanguíneas, a filogenia, a atividade física, o hábitat e a adaptabilidade dos peixes ao ambiente. No experimento realizado foram testados os efeitos de águas contaminadas em parâmetros hematológicos de peixes da espécie Prochilodus lineatus, em períodos de coleta de 7 e 20 dias, nos quais o sangue foi coletado com seringas heparinizadas, foram montadas lâminas de esfregaço , as quais foram coradas pelo corante de Leishman. Estas lâminas foram analisadas e fotografadas com o auxílio de um microscópio óptico Leica, no qual foram feitas contagens totais de células brancas e contagens diferenciais de trombócitos e leucócitos, para a análise estatística. O grupo exposto ao Lago Azul apresentou uma elevação no número de leucócitos e no total de células brancas, evidenciando que os contaminantes químicos do ambiente estavam atuando de forma semelhante a um antígeno no corpo do animal fazendo com que suas células de defesa se proliferassem. Quanto ao grupo exposto ao detergente, observou-se que após os vinte dias de experimento ocorreu uma diminuição no número de trombócitos. Tais resultados evidenciam que a variação no número de leucócitos apresentou-se como um indicador de poluição ambiental e que os detergentes biodegradáveis podem em certo tempo de exposição ocasionar um déficit em funções vitais de peixes como à coagulação e a prevenção contra infecções, eventos ligados diretamente com os trombócitos. A maioria dos vertebrados aquáticos possui brânquias, estruturas especializadas nas trocas gasosas e responsáveis por grande parte das trocas iônicas. Este órgão acaba por absorver grande parte das substâncias presentes na água, que ao caírem na...(Resumo completo, clicar acesso eletrônico abaixo)
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The DGT technique has been used to determine and better understand the dynamics and bioavailability of metals in the sea near to marine outfalls. In this work, the DGT was assessed for the determination of Cd, Pb, Cu, Zn and Ni in marine water samples from Potiguar Basin in its conventional aspect (binding agent, Chelex-100 and diffusive agent: Diffusive polyacrylamide gel (D) and restrictive (R)) and determination of Pb and Cd through its alternative aspect (binding agent: Saccharomyces cerevisiae immobilized in agarose gels and diffusive agent: 3MM Chromatography Paper). The deployment curves for long periods of immersion in the sample, showed a good linear correlation for the conventional aspect to Zn (D: R²=0.9586, R: R²=0.9444), Ni (D: R²=0.9789, R: R²=0.9286) and Cu (D: R²=0.764, R: R²=0.8143), and alternative to Pb (R²=0.9228) and Cd (R²=0.9673). The results of the organic and inorganic composition analysis in conventional aspect, showed that for every element there is no significant fraction of organic compounds in the sample. In addition, considering the alternative aspect, the comparison of obtained and expected masses suggests that some of the Pb is not labile and that the main retention mechanism of Pb for S. Cerevisiae occurs through ion exchange
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This work is proposed to evaluate the potential risk of an inert landfill in the city of Rio Claro (SP), and also suggest a source for the contamination. The study was proposed because it is known that there were legal technicalities greetings to guarantee the quality of groundwater. Given the requirements of the Environmental Company of São Paulo (CETESB) were installed monitoring wells in the area; sampled to groundwater and its contamination was found. In addition, we analyzed the main characteristics of the area, the arrangement and characteristics of the waste, the local geology and the hydrogeological system, so that I could find the source of contaminants, and predict the direction of dispersion even in groundwater. At the end of the work presents conclusions, recommendations and proposals for mitigating action
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Não disponível
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The main objective of this study is to determine the activity of Po-210, Pb-210 and gross alpha/beta radioactivity in groundwater collected in Botucatu, municipality of the São Paulo state, Brazil. Samples were collected in wells to perform the radiochemical analysis. Most wells are registered in DAEE, Sabesp or CPRM. The activity of polonium was obtained by the method of alpha spectrometry, held in LABIDRO at UNESP, Rio Claro. All samples showed radioactivity values below the maximum allowed by WHO, that are: gross alpha radioactivity = 0,5 Bq/L, gross beta radioactivity = 1,0 Bq/L, Po210 = 0,2 Bq/L and Pb210 = 0,1 Bq/L. The results of hydrochemical analysis were compared with the 1469 Ordinance of the Health Ministry, and all values are bellow the maximum allowed. The data also allowed obtain the samples classification using the Piper diagram. The samples AAB, Quinta do Manacás, Faz. Quatro Irmãs, Sesi, Sitio São José and ITE are classified as calcic bicarbonate; the samples Staroup and Caio are potassic; the samples Banespa and BTC are bicarbonate and mixed interms of dissolved cations; Sitio das Palmeiras sample is sodium bicarbonate; the sample Faz. São Paulo is chlorinated calcic; the sample Sítio Btu-Pardinho chlorinated and mixed interms of dissolved cations
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The searches for a health service it’s a part of a process, searches for a qualified evaluation can arise the perception, in form of irritating factors taking for an alert state. The personal expectation, it makes influence in its perceptions, too. The objective was to evaluate the satisfaction degree of the users of “Seção Técnica de Ambulatório Geral do Hospital das Clínicas de Botucatu”. The work is about a quantitative and transversal study, with calculated sample of 366 users, chosen randomly and invited to participate through a questionnaire. The population was compounded by a majority of women (64,5%), between 50 to 59 years old and average degree of education (38,3%). 25 specialties were cited. The evaluate about comfort, cleaning, reception, waiting time, medical attention and nursing vary between “very good” and “good”. Obtained significant “regular” assessment, the comfort in the waiting rooms (24%), silence (25%) and cleaning bathroom (63%). Others negative evaluation was the reception about the waiting time (26%), waiting time between arrival and the consultation (34%), waiting time between the request and consultation (27%). 30,6% report to know the place for complaints and 79,4% of these pointed to the ombudsman. 62% consider their problems solved, 84,4% would indicate the hospital, 57,4% would consider the hospital better than imagined. 42,62% used the opened area for thanking, critical for staff, suggestion infrastructure improvements, cleaning and waiting time. The biggest complaint was the staff turnover in the treatment. There was disharmony between the objective and subjective questions, but, all of them must be considered to propose improvements. The satisfaction evaluation makes the service more effective, bringing credibility to the health service and the patients adhere better to the treatment
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Accidents represent a major public health problem as they are frequent, preventable, and account for high morbidity and mortality rates. Children are the most vulnerable to accidents due to their inherent characteristics, and as a result of their physical, sensorial, psychomotor and cognitive limitations, which will only develop with time. Watchfulness and careful attention are of paramount importance, especially as children develop locomotor skills that are accompanied by curiosity about their surroundings. Child accidents, particularly those that could have been avoided, are the accidents most commonly seen in emergency and urgency departments. Urgency and emergency departments are the greatest allies in the attention to pediatric accidents as they offer adequate, immediate and specific high complexity care to patients at risk, viewing their vital stabilization. Investigating the causes and consequences of this insult is essential to establish a diagnosis and to contribute for the adoption of measures of prevention, control, and assistance. To identify the epidemiologic characteristics of the accidents involving children that received care at the pediatric emergency department of Botucatu Medical School Hospital and required hospitalization. This quantitative, retrospective, descriptiveanalytic epidemiologic study included all children aged 0-14 years who had had an accident and were seen at the Pediatric Emergency Department of Botucatu Medical School Hospital of São Paulo State University/UNESP between January 1/2008 and December 31/2009. A total of 227 medical charts were reviewed and 178 (78.4%) patients were included in this study. Of these, 116 (65.1%) were males and 62 (34.8%) were females. Children aged 5 - 9 years (38.9%) were the most affected, followed by those aged 10 - 14 years (37.5%). Fractures occurred in 138 (77.5%) of the cases, followed by foreign bodies... (Complete abstract click electronic access below)
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Concerns about the quality of groundwater have been continuously rising, considering its importance for the public water supply in the State of São Paulo, and even more due to the impact that anthropic action has been causing to the original quality of that natural resource. It is extremely relevant to identify the contamination focuses along the aquifers of the State of São Paulo. This report aims to evaluate nitrates and fluorides concentrations along the aquifers present in the state, in order to identify places where change in the quality of groundwater is observed, through the comparison between measured concentrations and reference values, such as: “Intervention Value” (maximum allowed value) and “Alert Value” (attention required value). To perform this research, a full compilation and organization has been done on chemical analysis data from the “Sistema de Informações de Águas Subterrâneas - SIDAS”, made available by the “Divisão de Procedimentos de Outorga – DPO” of the “Departamento de Água e Energia Elétrica – DAEE”. This work has made possible the build-up of a database composed by 6,860 wells, with analytical data ready to be interpreted, containing information about water pH, electrical conductivity, hardness and chloride, iron, fluoride, nitrogen, nitrates and total dissolved solids concentrations. This database shows concentration data for nitrates (6,157 wells) and fluoride (3,316 wells). From this information, maps for nitrates and fluorides concentration distributions have been made, by each aquifer and each “Unidade de Gerenciamento de Recursos Hídricos – UGRHI”, which has enabled the identification of wells where the concentrations of these chemical compounds exceeds the reference values. Concerning nitrates, these analysis indicated the existence of contamination sources from rural and urban zones, mostly present in the west region... (Complete abstract click electronic access below)
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A rápida expansão do espaço urbano no Brasil ocorreu e continua ocorrendo, geralmente, de forma desordenada e sem perspectivas imediatas de ordenação das práticas de uso e ocupação do solo. O planejamento da ocupação do espaço urbano, baseado na racionalidade capitalista, embora englobe fundamentos interdisciplinares, na prática tem sido realizado dentro de um âmbito mais restrito do conhecimento, desconsiderando aspectos fundamentais dessa dinâmica. Essa situação tem resultado em grandes transtorno e custos para a sociedade e para o meio ambiente, atingindo diretamente os sistemas de drenagens urbanos e resultando no crescimento dos eventos de cheia. Assim, o planejamento urbano vem buscando alternativas que possibilitem o alcance do desenvolvimento urbano sustentável. Neste sentido, este trabalho objetiva avaliar qualitativamente a implantação reservatórios de detenção implantados no alto curso da sub-bacia do Alto Tietê, de modo a avaliar os problemas apresentados através da realização de um inventário dos avanços atingidos na incorporação destas medidas no gerenciamento dos sistemas de drenagem nesta subbacia.