Sobre a promoção da saúde na contemporaneidade: um desafio ao farmacêutico educador

Pós-graduação em Educação - IBRC

Obesidade infantil: etiologia, consequências e formas de intervenção

Obesity is defined as excess body fat. It is considered today a serious public health problem and has reached high proportions in childhood and adolescence. Among factors highlight the lifestyle, poor diet and little physical activity for their development. Childhood obesity is not treated can become permanent in adulthood increases the risk of several diseases such as cardiovascular, metabolic and other disorders such as depression, low self-esteem among others. It's extreme need multidisciplinary intervention to prevent it, with guidelines on healthy eating habits and regular physical activity. Treatment is necessary in a multidisciplinary team of doctors, nutritionists, physical educators, psychologists and family that has a decisive weight in the treatment of obese children. The media could give more space for the disclosure of childhood obesity, so that the population is aware of this epidemic in a more serious understand its risks and health effects. This bibliographic study has character and aims to seek the causes of obesity, its consequences in adulthood and possible forms of intervention

Efeitos de doses e formas de aplicação de reguladores de crescimento em uvas sem sementes, cv. BRS Clara, em região tropical

O objetivo deste trabalho foi avaliar o efeito do uso dos reguladores vegetais, ácido giberélico e tidiazuron, no tamanho de bagas da cultivar BRS Clara em Região Tropical. Os experimentos foram conduzidos em 2006 e 2007, na Estação Experimental de Viticultura Tropical, em Jales-SP, região noroeste do Estado de São Paulo, em plantas da cv. BRS Clara. Foram testadas diferentes concentrações de GA3 aplicadas isoladamente, combinadas com Crop Set ou tidiazuron, em aplicações únicas ou sequênciais (2 e 4 vezes). As avaliações foram feitas por ocasião da maturação das uvas, considerando-se a massa fresca dos cachos, dos engaços e das bagas, determinadas por meio de balança analítica; o comprimento e o diâmetro médio das bagas, utilizando-se de paquímetro; e o teor de sólidos solúveis (SS), por meio de refratômetro manual. Os experimentos foram conduzidos em delineamento experimental de blocos casualizados, representados por uma planta, com 15 repetições, no ano de 2006, e 10 repetições, no ano de 2007. Os dados foram submetidos à análise de variância e, para a comparação das médias dos tratamentos, foi utilizado o teste Skott Nott, ao nível de 5% de probabilidade. Observou-se que o uso dos reguladores promoveu o crescimento das bagas na cultivar BRS Clara em todos os tratamentos, diferindo da testemunha.

Comportamento do cálcio e fósforo plasmáticos, em pacientes com hipoparatireoidismo, após administração de carbonato de cálcio em diferentes formas de ingestão

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Formação do técnico de enfermagem para administração segura de medicamentos: proposição de tecnologia educacional virtual

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Formas orgânicas e inorgânicas de fósforo no solo em função de plantas de cobertura e de adubação nitrogenada

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Dinâmicas de apropriação e ocupação em diferentes formas de relevo: impactos e vulnerabilidades em ambientes urbanos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Formas, processos e evolução no padrão de canal meandrante em diferentes escalas geomorfológicas: o rio do Peixe, SP

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

Formas de vida da mulher em letras de canções brasileiras: as práticas semióticas do cotidiano nos séculos XX e XXI

Pós-graduação em Linguística e Língua Portuguesa - FCLAR

Controle da placa bacteriana dentária e suas formas de registro

Dental plaque is the principal etiological agent of periodontal disease, one of oral diseases more prevalent in the world. Due existence of relation between periodontal disease and oral hygiene, on the point of periodontal view, it was developed a growing interesting by experimental research and by clinical investigations. The knowledge of problem, its extension, severity, hypothetic cause is so valuable to establish prevention, control and treatment acts. In this form, the use of plaque index becomes more and more often, being valuable the determination of discriminatory power of them. The aim of this work was to describe and analyze principal forms to register of dental plaque aiming to subsidize the researcher and dental surgeon on adoption of most adequate method for their case. Data bases: Medline, Lilacs and BBO were consulted without limit to identify the format of register of each index described on literature. It was observed the use of Oral Hygiene Index on diverse ways like: clinical evaluation of dental plaque, in products evaluation works and dental Office; patients monitoring; instruction about hygiene and oral hygiene technique. It was noted that dental plaque indexes are useful and allows the register of different forms point out the importance of its use on clinical and researches practice.

Notificações espontâneas de eventos adversos a medicamentos hospitalares: estudo piloto

Introduction: Post-marketing surveillance of drugs aims to detect problems related to safety, effectiveness and quality. The identification of adverse drug events (ADE) is made, mainly, by health professionals´ spontaneous reporting. This method allows risk communication in pharmacovigilance and contributes for market regulation. Objective: To estimate the prevalence of adverse drug reaction (ADR) and the suspicions of therapeutic failure (TF) reported by health professionals; to verify the active principle and type of drugs related to ADE, seriousness, causality, production mechanism and clinical manifestation of the events identified. METHODS: A cross-sectional study was performed in a teaching and public hospital which integrates the Sentinel Hospital Network, in 2008. ADR seriousness was classified according to intensity (mild, moderate, serious and lethal); drugs associated with ADE were categorized according to type (brand name drugs and non-brand name drugs); causality was imputed with Naranjo algorithm and the mechanism of occurrence was analyzed according to Rawlins e Thompson definitions (A or B). Results: There were 103 ADE reports in the period, of which 39 comprised TF and 64 ADR. Nurses reported the most ADE (53.4%). The majority of ADR were classified as type A (82.8%), mild (81.3%), possible (57.8%), according to causality assessment, and related to brand name drugs (20/35). Human immunoglobulin, docetaxel and paclitaxel were the drugs frequently associated with ADR. TF arising from no-brand name drugs (26/29), regarding, mainly, midazolam and ganciclovir. Conclusion: The results of the ADE report contribute for proposition of trigger tools for intensive monitoring of drug safety, as well as for the supplier qualification and for the improvement of quality products.

Medicamentos inadequados para idosos na estratégia da saúde da família

The ageing process can change the pharmacodynamics and pharmacokinetics parameters. Therefore, some medications are considered potentially inappropriate (PIM) for the elderly people, since they can increase the likelihood of occurrence of adverse drug events. The objectives are to estimate the frequency of use of PIM in the elderly people, with potentially hazardous drug interactions (PHDI) and to evaluate the impact of pharmaceutical intervention (PI) for the prescription of safer therapeutic alternatives. A cross-sectional study was performed in a Health Family Strategy (region of Araraquara, SP), between January and February/2012. The medical records of patients aged ≥60 years, that use at least one drug, were consulted for identification of PIM, according to the Beers criteria. The MPI identified were classified considering the Anatomical Therapeutic Chemical Classification System (ATC) and the essentiality of the drug (safety, effectiveness, quality and cost parameters) The inclusion criteria were met by 358 elderly, being that 93 of them (26%) had taken at least one PIM. Of the 114 different drugs prescribed for elderly, ten were classified as PIM, of which four of them act on the central nervous system, four on cardiovascular system and two on the digestive tract. Seven MPI are essential medicines, belonging to national list of essential drugs (RENAME-2010). Fourteen drug interactions were identified, of which two are PHDI (fluoxetine/amitriptyline and digoxin/hydrochlorothiazide).After the PI, there was no change in medical prescriptions of patients with PIM use or with DI. Medical prescriptions of elderly attended in the Health Family Strategy show pharmacotherapeutic safety problems, of which may be responsible for health hazardous for this age group. Although the intervention carried out by letter had been ineffective for the adherence of doctors in prescribing safe alternatives, wide dissemination of the lists that contain PIM and PHDI is need, as well as the inclusion of safer equivalents in RENAME, in order to contribute for rational use of drugs.

Avaliações farmacoeconômicas em vigilância de medicamentos

The study aimed to identify pharmacoeconomic studies in pharmacovigilance and to observe the economic outcomes in post-marketing surveillance. Therefore, a bibliographic survey was performed in databases Lilacs, PubMed/ Bireme. The search strategy was done by using scientific health descriptors [ "adverse drug reaction reporting systems " OR " medication errors " OR "product surveillance, postmarketing" OR " sentinel surveillance" ] AND [ " cost-benefit analysis" OR "cost efficiency analysis " OR " costs and cost analysis " OR " hospital costs " OR " cost-effectiveness " OR " cost-effectiveness evaluation " OR " drug costs " ]. Manuscripts published in the last 10 years were selected. We chose 13 articles, of which 12 corresponded to cost-benefit analysis and only one to cost-effectiveness assessment. In only one study there was no economy, all the other ones generated savings, ranging from 13.7 to 30% in spending valued service. Surveillance actions were: continuing education; active search through tracking devices and / or implementation of round; teamwork and multidisciplinary deployment; computerized security services management, enabling traceability of information and alerts. The results of the proposed actions have led to the prevention of adverse drug reactions, to decline of risks to the patient, to the reduction of inappropriate prescriptions, as well as the length of hospital stay spending valued service. Surveillance actions were: continuing education; active search through tracking devices and / or implementation of round; teamwork and multidisciplinary deployment; computerized security services management, enabling traceability of information and alerts. The results of the proposed actions have led to the prevention of adverse drug reactions, to decline of risks to the patient, to the reduction of inappropriate prescriptions, as well as the length of hospital stay