Incidência de acidentes do trabalho não-fatais em localidade do Sudeste do Brasil

Estimou-se a proporção de incidência de acidentes do trabalho na Cidade de Botucatu, São Paulo, Brasil, segundo sexo, idade, existência de contrato de trabalho e ocupações. Para tanto, foi realizado inquérito domiciliar em amostra aleatória sistemática por conglomerados (195 setores censitários). Coletaram-se informações de todos os moradores dos domicílios amostrados com idade maior que nove anos. Para aqueles que trabalhavam nos últimos noventa dias que precederam a entrevista, foram obtidas informações sobre ocupação, posição na ocupação, contrato de trabalho e ocorrência de acidentes. Foram estudados 9.626 domicílios residenciais (fração amostral de 0,26). A proporção de acidentes não-fatais no município foi de 3,3% (IC95%: 2,7-3,9), sendo maior em homens 4,5% (IC95%: 3,6-5,5), variando com o tipo de contrato de trabalho e grande grupo de ocupação. Comparando-se esses resultados com períodos anteriores, observa-se diminuição significativa do risco de acidentes na cidade.

Uso de nifedipina e incidência de lesão renal aguda em pós-operatório de cirurgia de revascularização do miocárdio com CEC

OBJETIVO: Avaliar durante o período perioperatório o uso da nifedipina na incidência de lesão renal aguda dos pacientes submetidos à revascularização do miocárdio com circulação extracorpórea. MÉTODOS: Foram estudados, de modo prospectivo e sequencial, 94 pacientes submetidos à revascularização do miocárdio com circulação extracorpórea. As dosagens da creatinina sérica foram realizadas durante pré-operatório e pós-operatório de 24, 48 horas e no 7º dia. Estabeleceu-se como definição para presença de lesão renal a elevação da creatinina sérica 30% em relação ao seu valor basal nas primeiras 24 ou 48 horas de pós-operatório. Os pacientes foram divididos em quatro grupos: G1, que recebeu nifedipina no pré-operatório; G2, que recebeu nifedipina no pós-operatório; G3, que recebeu nifedipina no pré e pós-operatórios e, G4, que não recebeu nifedipina. RESULTADOS: O grupo G4 mostrou maior elevação do percentual de creatinina sérica e maior percentual de pacientes que apresentaram insuficiência renal aguda em relação aos demais grupos no pós-operatório. CONCLUSÃO: Os valores da creatinina sérica e a incidência de lesão renal aguda no pós-operatório sugerem possível efeito nefroprotetor da nifedipina em pacientes submetidos à revascularização do miocárdio com circulação extracorpórea.

Tempo de jejum dos suínos no manejo pré-abate sobre a perda de peso corporal, o peso do conteúdo estomacal e a incidência de úlcera esofágica-gástrica

O objetivo deste trabalho foi avaliar os efeitos do tempo de jejum (9, 12, 15 e 18 horas) dos animais na granja (TJG) e da posição na carroceria do caminhão (PBO) durante o transporte da granja ao frigorífico sobre: a perda de peso corporal (PPC), o peso do estômago cheio (PEC) e vazio (PEV), o peso do conteúdo estomacal (PCE) e o escore de lesão na mucosa esofágica-gástrica (ELG). Foram utilizadas 192 fêmeas, com peso vivo médio de 134,51±11,80kg. No modelo, foram considerados os efeitos de bloco (estação do ano, BL), TJG, PBO e da interação entre BL x TJG. Verificou-se efeito significativo do TJG apenas sobre o peso do conteúdo estomacal. Não se observou efeito significativo da PBO sobre qualquer das variáveis avaliadas. Dos suínos avaliados, 90,3% apresentaram PEC menor que 500 gramas e 8,56% com PEC entre 500 e 800 gramas. A prevalência de suíno com ELG foi baixa (14,97%), sendo que, dos animais com ELG, 13,90% apresentaram lesão de grau 1 e 1,09% eram grau dois. Conclui-se que animais submetidos a jejum na granja de 15 horas apresentam menor peso do conteúdo estomacal ao abate.

Ação do Profident sobre os tecidos gengivais. 2. Efeitos da ação do jato de bicarbonato de sódio sobre os tecidos gengivais, sob variação do ângulo de incidência. Análise histológica.

The effect of sodium bicarbonate jet (Profident System) on the gingival tissue was tested with comparison of application from 2 different angles: the angulation recommended by the manufacturer and ponted to the occlusal surface. The results showed a definite influence of the angulation on tissue trauma, with lesser degrees of injury when the modified angulation was applied.

Incidência e tratamento dos cistos.

The records of 78 patients (1978-1987 period) submitted to surgical treatment of cysts, were analysed to verify the cyst location, etiology, types of cysts, and surgical techniques. There were made commentaries and orientations on the necessity of radiography, cytological and histopathological examination and post-operative radiological control.

Efeito da aplicação de prostaglandina (PGF2α) no pós-parto imediato sobre a incidência de retenção de placenta em vacas de leite

The purpose of this study was to evaluate the effect of an intramuscular injection of prostaglandin, within the first hour post partum, on the incidence of retained fetal membranes in cows, at 8 and 12 hours post-partum. Eighty-two cows were used as controls and 82 were treated with 25mg of prostaglandin (LUTALYSE®, 5ml), in two different farms. Cows treated with PGF 2α released the placenta faster (P < 0.10) than cows in the control group (7.72±0.84 vs. 10.07±1.09h). The incidence of retained placenta with more than 8h post partum was 30.5% in the control group and 17.1% in the treated group (P < 0.05), and with more than 12h was 19.5% in the control group and 12.2% in the treated group (P < 0.10). Farm, body condition score and parity showed influence on retained placenta rates, whereas sex of calf and help during calving did not have influence. These data showed that prostaglandin treatment within the first hour post-partum is capable of reduce the incidence of retained placenta and may work as a preventive treatment.

Carta de Aptidão para a implantação de rodovias e avaliação de alternativas de traçado com uso de geotecnologias

This study discuss the use of the geotechnologies to aid the planners on the terrain aptness definition for highways implantation and on the different trace evaluation to the extention of the Governador Carvalho Pinto highway, between Taubaté-SP and Aparecida do Norte-SP. Fratures on the area were mapping using Landsat ETM+, band Pan. In order to elaborate the phisical aptness chart for highway implantation was used the Analitical Hierarchy Process (AHP) operation, in on geographical information system (GIS). Using GIS were realized a ponderate middle with the soils, rocks, relief, slope, fractures and land use/cover maps. Using this physical aptness chart and joinning it with urban and restrict areas (that was inserted by the Boolean operation), were obtained a viability chart for highway implantation. Based on it were proposed three aleatory traces for the Carvalho Pinto highway. This traces were evaluated with the cross tabulation operation. The integration of the restrict areas, land use and phisical aptness in digital media can offer for the planners the cartography of the viability for the highway implantation. The evaliation of these three traces, based on the viability chart, can subsidyse the decision by the planners.

Incidência de malformações congênitas em crianças concebidas através de injeção intracitoplasmática de espermatozóides

Purpose: to evaluate the incidence and types of major congenital malformations (MCM) in liveborn children conceived by intracytoplasmic sperm injection (ICSI). Methods: a total of 680 liveborn children resulted from 511 couples submitted to ICSI from January, 1999 to December, 2002. Data collection of the children was performed through standardized questionnaire and clinical examination. Of the 511 couples, 366 had been contacted for a sampling of 371 gestations. Of the 680 liveborn, 520 had been evaluated, 250 of them (48.1%) through questionnaire and 270 (51.9%) through questionnaire and physical examination. Two hundred and fifty children were from singleton pregnancies and 270 from multiple pregnancies. Malformations were classified according to the 10th revision of the International Statistical Classification of Diseases and Related Health. Only MCM were analyzed in this study. The incidence of MCM was compared with that of the general population obtained by the Latin American Collaborative Study of Congenital Malformations. The statistical analysis was performed by the χ 2 test (level of significance p<0.05). Results: of the 520 children, 15 presented MCM, resulting in an incidence of 2.9%. There was no difference in relation to the control group (p>0.05), which showed 2.6% incidence of MCM. The most frequent malformations were of cardiac origin (four isolated and two associated), corresponding to 40% of the total. The other types of MCM were: renal (three), neural tube (two), skull (one), cleft lip (one), genital (one), Down syndrome (associated with cardiac malformations) (two), and musculoskeletal (one). Six MCM occurred in children from singleton pregnancies and nine in children from multiple pregnancies. Conclusion: the liveborn children conceived by ICSI presented incidence of major congenital malformations (2.9%) near to the expected for the general population (2.6%). However, to establish the risks of MCM with precision it is necessary to continue the evaluation of the children conceived by ICSI.

Etiologia e incidência das fraturas faciais em adultos e crianças: Experiência em 513 casos

Facial trauma has presented an increasing occurrence in the last four decades, due especially to the growth of accidents with automobiles as well as to the urban violence. Both of which continue being the main cause of such traumas. Aim: To evaluate the features of the population victim of facial trauma as to gender, age, occupation, origin, type of fracture and its cause. Design study: retrospective clinical with transversal cohort. Material and Method: Retrospective study consulting hospital registers of 513 patients victms of the facial trauma. Results: There was a higher incidence of facial trauma on men (84,9%), white (82,7) and with an average age of 29. Regarding occupation, the trauma was mostly occurred to students (16,6%) and Masons (11,2%). The jaw was the most affected place (35%), followed by zygoma (24%) and by the nose (23%), though most patients presented a single facial fracture (82,5%). Among the causes, accidents with automobiles (28,3%), aggressions (21%) and accidental fall s (19,5%) were the most common. Conclusions: Accidents with automobiles continue being the main cause of facial trauma, especially of multiple factures due to the great transmission of kinetic energy.

Efeito da adição de probiótico e/ou prebiótico em dietas de leitões desmamados sobre o desempenho, incidência de diarréia e contagem de coliformes totais

In the Experiment 1, 50 pigs weaned at the 21 days were fed with either of five diets: T1 - basal diet; T2 - basal diet + antibiotic; T3 - basal diet + probiotic; T4 - basal diet + prebiotic; T5 - basal diet + simbiotic. The variables studied were body weight, feed intake and feed conversion in the Phase 1 (21 to 43 days), Phase 2 (44 to 57 days), Phase 3 (58 to 70 days) and Total Phase (21 to 70 days). During the performance experiment, a fecal survey score was conducted to verify diarrhea incidence. In the Experiment 2, 44 pigs weaned at 21 days were fed with the same diets of Experiment 1. Pigs were slaughtered at three differents ages (at weaning, at seven and 14 days after weaning). A segment of the small intestine was collected for analisys of total coliformes. The results showed that the best performance was obtained with the utilization of prebiotic and simbiotic. There were not differences in relation to diarrhea incidence among the treatments studied. The addition of probiotic and/or prebiotic in the diet prevented increase of colonization by pathogenic bacterias from seven to 14 days after weaning.

Uso de probiótico em dietas de suínos: Incidência de diarréia, desempenho zootécnico e digestibilidade de rações

Two trials were conducted aiming to of evaluate the effect of probiotic supplementation in pig's diet: Trial 1: diarrhea incidence and performance; Trial 2: feed intake and digestibility. In the Trial 1, forty weaning barrow piglets were distributed in four treatments: T0-basal diet; T100-basal diet +100ppm of probiotic; T200-basal diet +200ppm e T300-basal diet +300ppm. The trial 2 was a digestibility trial, where eight barrow pigs were used, distributed in two treatments: T1-basal diet and T2-basal diet + 200 ppm of same probiotic used in the Experiment 1. In the Period 1 the animals of T0 and T100 groups showed higher diarrhea incidence (P<0.05) than the T200 and T300 groups. The performance of animals of T100 group were lower than other treatment groups (P<0.05). In the Period 2 the T200 and T300 animals, showed better FG ratio than the animals of T0 (P<0.05). In the total period it was not observed significative difference concerning performance, except for DFI. In the trial 2, the animals of treatment T2, showed an increase of feed intake when compared with animals of T1. Digestibility coefficients showed no significative differences among treatments. It was concluded that the addition of 200 and 300 ppm of probiotic in the Period 1 reduces incidences of diarrhea. But, in the total period of trial 1, the performance was similar among treatments. In the trial 2 it was observed better adaptation of animals receiving probiotics which was represented by higher feed intake.

Incidência e evolução da polipose nasal em crianças e adolescentes com fibrose cística

Nasal polyps are a clinical sign of alert for investigating Cystic Fibrosis (CF). Aims: To study the incidence of nasal polyps in children and adolescents with cystic fibrosis, its possible association with age, gender, clinical manifestations, genotype and sweat chlorine level, and its evolution with topical steroid therapy. Methods: Clinical symptoms, sweat chlorine level and genotype were studied in 23 cystic fibrosis patients. Nasal polyps were diagnosed by nasal endoscopy and treated with topical steroids during 6 months, followed by a second nasal endoscopy. Fisher test was used for statistical analysis. Results: Nasal polyps were found in 39.1% of the patients (five bilateral, four unilateral), all older than six years, recurrent pneumonia in 82.6%, pancreatic insufficiency in 87% and malnutrition in 74%. No association was seen between nasal polyps and sweat chlorine level, genotype, clinical sings of severity and nasal symptoms. Seven patients improved in their nasal polyps with topical steroids, six showed complete resolution. Conclusion: The study showed a high incidence of nasal polyps in older children, who span the entire range of clinical severity, even in the absence of clinical nasal symptoms. Topical steroid therapy showed good results. An interaction among pediatricians and otolaryngologists is necessary for diagnosis and follow-up. 2008 © Revista Brasileira de Otorrinolaringologia. All Rights reserved.