997 resultados para Saúde pública - São Paulo (Estado)


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OBJETIVO: Avaliar a situação do aleitamento materno em 2004 no município de Botucatu, SP, e identificar sua tendência nos últimos 10 anos. MÉTODOS: Trata-se de um estudo epidemiológico, no qual foram comparados os resultados de 3 inquéritos populacionais transversais (1995-1999-2004), metodologicamente semelhantes, sobre a situação do aleitamento materno em crianças menores de 12 meses. Os dados foram obtidos em Campanhas de Multivacinação, a partir de questionário contendo um recordatório da alimentação das crianças no dia anterior à pesquisa. Para identificar a tendência dos diferentes tipos de aleitamento (aleitamento materno exclusivo, aleitamento materno predominante e aleitamento materno), foram comparadas as prevalências, segundo faixas etárias selecionadas (0-1 mês, 0-4 meses, 0-6 meses e 0-12 meses), nos 3 inquéritos. Os resultados foram submetidos a teste estatístico (teste z) para verificação das diferenças entre proporções. RESULTADOS: Para as crianças menores de 4 meses, houve aumento progressivo e de grande magnitude (19,1% em 1995 e 36,9% em 2004) do aleitamento materno exclusivo e diminuição do aleitamento materno predominante - diferenças estatisticamente significantes. O mesmo ocorreu para as crianças menores de 6 meses: 13,0% em aleitamento materno exclusivo em 1995, 29,6% em 2004, representando 128,0% de aumento. Com relação ao aleitamento materno, tanto para as crianças menores de 4 meses, quanto para as menores de 6 meses e de 1 ano, houve pequeno aumento de prevalência, mas as diferenças não foram estatisticamente significantes. A duração mediana do aleitamento materno exclusivo aumentou 14 dias (82,0%) e do aleitamento materno 85 dias (50,9%) no período de 10 anos. CONCLUSÃO: Com a elevação expressiva da prevalência de crianças menores de 6 meses em aleitamento materno exclusivo e o aumento da mediana da amamentação exclusiva e da amamentação, pode-se afirmar que a evolução do aleitamento no município foi favorável. Entretanto, a situação em 2004 ainda está distante das recomendações atuais sobre alimentação infantil.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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A região do litoral norte do Estado de São Paulo registrou 14, 30 e 104 casos de leishmaniose tegumentar americana nos anos de 1993, 1994 e 1995 respectivamente. Com objetivo de caracterizar a fauna e a distribuição sazonal e horária das espécies de flebotomíneos foram realizadas coletas quinzenais de formas adultas durante o período de dezembro de 1995 a novembro de 1996, utilizando-se armadilhas luminosas do tipo CDC, no interior da residência, no peridomicílio e na mata durante 12 horas a partir do crepúsculo vespertino. No peridomicílio foi utilizada, durante 6 horas também a partir do crepúsculo vespertino, armadilha de Shannon instalada a 100 metros da casa. A cada 3 meses esta armadilha foi utilizada durante 12 horas. Foram observadas flutuações das densidades populacionais, bem como as ocorrências intra e extradomiciliar das espécies predominantes. Lutzomyia intermedia foi a espécie mais abundante nas diferentes armadilhas utilizadas e nos ambientes investigados.

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Objetivou-se com este trabalho o fornecimento de informações sobre o padrão de secreção da progesterona (P4) e as características de manifestação do ciclo estral em borregas lanadas e deslanadas, durante o período de abril a novembro, no Estado de São Paulo. Amostras de sangue foram coletadas da veia jugular de 12 borregas das raças Santa Inês (SI), Romney Marsh (RM) e Suffolk (SU), e as concentrações foram determinadas pelo método de radioimunoensaio utilizando-se kits comerciais. O estro foi detectado por machos vasectomizados (impregnados com tinta pó xadrez + óleo comestível na região peitoral) em 31 borregas (10 SI, 11 RM e 10 SU). O estro foi determinado pelo confronto da observação de fêmeas marcadas pelos machos vasectomizados e dos valores de concentrações plasmáticas de progesterona inferiores a 1 ng/mL. Os resultados mostraram que a maioria dos ciclos estrais foi de duração normal (14 - 19 dias) para todas as raças. A duração dos ciclos de duração normal das borregas SU foi inferior aos das borregas SI e RM, as quais não diferiram entre si. Não houve diferença entre as raças na duração dos ciclos curtos (< 14 dias) e longos (20 - 26 dias). O padrão de secreção de P4 mostrou a presença de ciclos estrais múltiplos (27 - 57 dias) indicando a incidência de ovulações silenciosas. As borregas SI encontravam-se em atividade cíclica reprodutiva apresentando valores que variaram de 0,08 a 7,36 ng/mL, enquanto que as raças RM e SU encontravam-se em atividade somente no período de abril a julho com valores que variaram de 0,13 a 7,05 ng/mL e de 0,15 a 7,30 ng/mL, respectivamente. de agosto a novembro, estas duas raças encontravam-se em anestro. Conclui-se que, em São Paulo, a raça SI não possui estacionalidade no ciclo reprodutivo como as raças RM e SU.

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Realizou-se dois estudos transversais em 2002 (N=379) e 2003 (N=397) onde estimou-se a prevalência de enteroparasitas em crianças de cinco creches municipais de Botucatu, SP. Coletou-se variáveis socioeconômicas, sanitárias e educacionais e realizou-se exames coproparasitológicos. Giardia duodenalis apresentou prevalência de 23,7% (2002) e 21,4% (2003) seguido por Cryptosporidium sp com 15,5% (2002) e 3,7% (2003).

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The immunological reply of a population to an infectious agent can vary between races and handling of this population. Regional research becomes important, in order to know the interrelation between the agent and its host. In this way, the occurrence of immunoglobulins of class G, anti-Babesia bovis and anti-Babesia bigemina in the Nelore (Bos indicus) and Hostein breed (Bos taurus), was investigated in two regions of the State of São Paulo, 300 km distant from each other. For the indirect method of ELISA, 1, 161 bovine serum samples were tested. The medium frequencies of antibodies showed that in the two regions exists an enzootic stability for B. bovis in both breeds studied; even so there was a tendency of marginal area for the Nelore breed in one of the regions. Regarding B. bigemina, in both regions exists enzootic stability for the Hostein and enzootic instability for the Nelore breed. Therefore, acute cases of the disease or specific outbreaks by B. bigemina infection in the Nelore breed may occur in these regions.

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The purpose of this study was to evaluate methods for predicting availability of Zn in soils. Surface soil samples representing Podzolized soils from Lins and Marilia var. Marilia and var. Lins, medium texture Dark-Red Latosol, Dusky-Red Latosol and Terra Roxa Estruturada, were gathered from fields in Jaboticabal, SP, Brazil. Com was used as indicator plant in a greenhouse experiment. Availability of Zn was determined with: 0.5 M CaCl2, 2.0 N MgCl2, N CH3COONH4 (pH 6.0 and 4.8), 0.05 and 0.1 N HCl, 0.05 N H2SO4, 0.005 M DTPA (pH 7.3 and 6.0), 1.0% Na2-EDTA, 0.01 M EDTA + 1.0 M (NH4)2CO3 (pH 8.6) and 0.02 M EDTA + 0.5 M CH3COOH + 0.5 M CH3COONH4. By using the simple correlation coefficients (Zn extracted from soils x absorbed by plants it can be concluded that the complexant agents and acid solutions showed to be efficient. The salt solutions showed low extraction capacity, low correlation coefficients and less accuracy. By considering aspects as accuracy and easy management DTPA pH 7,3 and Na2-EDTA can be indicated as the most apropriates (r values, respectively, 0.873** and 0.868** and V.C. 7.52% and 7.98%).

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The purpose of this work was to analyze the variability of pluvial precipitation at the Mid-Paranapanema Hydric Resources Management Unit (UGRI II-17), both spatially and temporally. To that effect, 33 pluviometric series were used, obtained from the National Water Agency (ANA), for the period from 1940 to 2000. The averages, standard deviation, upper and lower quartiles, maximum rainfalls, within the analyzed period, as well as the anomalies in these series, were calculated. The anomalies of the 1982/1983 El Nino, as well as the classification of homogeneous areas inside the basin were also calculated. Variability was observed from one year to the other, with rainier years - for example, 1982 and 1983 - and drier years - such as 1985 and 2000.

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Pareiorhina rudolphi was sampled in streams of the Ribeirao Grande system, eastern Serra da Mantiqueira (22[degree]47[minute]08[second]S, 45[degree]28[minute]17[second] W). Samplings were carried out using an electrofishing device, during the months of July/2001, October/2001, February/2002 and April/2002. Sex-ratio diverged significantly from the expected 1: 1 ratio([chi]2 = 6.53; p < 0.05), standing at 1.6:1 (female: male). The spawning period for Pareiorhina rudolphi lasts from spring to summer, with, the highest observed, in October and February by the gonadosomantic index and the relative condition factor coincided with the spawning period. The length at sexual maturity of P. rudolphi is about 4.45 cm for both sexes. The absolute fecundity was low, and ranged from 4 to 11 oocytes. The periphyton was used as a direct food source by the species, which remain attached to the substrate with their large circular lips, and use their conspicuous Slightly Yellowish teeth to graze the periphyton. The growth parameters, natural mortality rate and survival rate for P, rudolphi were respectively: K = 0.35 year-1, L[infinity] = 7.2 cm, tmax = 8.6 years, M = 1.1 year-1, S = 33%. The characteristics presented by P. rudolphi occur in the environment function of a population adjustment, and not of species abundance.

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Reproduction and feeding aspects of Neoplecostomus microps (Loricariidae, Neoplecostominae) in the Ribeirao Grande system, eastern Serra da Mantiqueira (São Paulo State). The Ribeirao Grande system is located in the slope of the Serra da Mantiqueira and is surrounded by Atlantic forest. Eight sites were surveyed in the Ribeirao Grande system, during the winter (July 2001), spring (October 2001), summer (February 2002) and fall (April 2002). Samples were made with an electrofishing device. Gonad maturation, levels of stomach fullness and fat content were analyzed and their distributions reported in an annual cycle. Neoplecostomus microps has a spawning in the spring through to summer. The size at sexual maturity is about 5.9 cm total length for males and 6.9 cm for females. The high values in October and February by the gonadosomatic index and the relative condition factor coincided with the spawning period. In the diet of N. microps were found Diptera larvae (Simulium, Chironomus), Plecoptera nymphs and Coleoptera aquatic Larvae (Psephenus). The increased feeding from summer to fall provided fat accumulation. During subsequent seasons, fish may utilize visceral fat reserves for maintenance and reproduction. The reproductive pattern and feeding are interpreted as being an adaptation with respect to temporal and spatial variation and food availability.

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Populational biology of Imparfinis minutus (Siluriformes, Heptapteridae) in the Ribeirao Grande microbasin, eastern Mantiqueira mountain range, São Paulo State. The aim of the work was to analyze biological aspects and distribution of Imparfinis minutus in the Ribeirao Grande microbasin (22[degree]4708[minute]''S, 45[degree]28[minute]17''W), in eastern Mantiqueira mountain range, from July 2001 to April 2002. Among the 37 species sampled, I. minutus (Siluriformes, Heptapteridae), was distributed from the piedmont to the plains of the Vale do Paraiba. The occurrence of this species was associated with the environments of small water volume, bottom with stones and gravel. The amplitude length of I. minutus was 4.75 to 12.75 cm. The length-weight relationship of the population was estimated at W = 0.0052 L3,13. Analyzing the alometric (Ka) and relative (Kr) condition factors, both indexes presented similar values. The lowest value was obtained in July, increasing gradually in October and January, and peaking in April. The analysis of the gonadossomatic relationship (GSR) of females showed higher values in July and January. The reproductive period of I. minutus occurred on spring/summer (October to January), as suggested by the gonadossomatic relationship and condition factor results. Feeding activity was constant, with fat visceral deposition concentrated in April and July. Imparfinis minutus is an aquatic insectivore opportunist species, consuming Diptera and Trichoptera larvae as secondary items. Most ingested food items were autochthonous resources.

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The fauna of Ephemeroptera, Plecoptera and Trichoptera (EPT) from Intervales State Park has been recorded since the 1990s. As a result of these sampling efforts, we present in this study a list of EPT genera in riffles from streams of Intervales State Park, São Paulo State.

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Shows the viability of using the Trend Surface Analysis (TSA) in studies of the distribution of items of geographical interest in time and space; tests comparatively the techniques of cartographic representation conventionally used in TSA. It follows that the TSA offers more resources for analyses of the spatial items behaviour than the techniques commonly employed for the same purpose.- English summary

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The Preto River, located in the northwest of São Paulo State, receives a total wastewater load of 15.150 kg DBO day-1, from which 13.685 kg DBO day-1 (90.5%) corresponds to domestic sewage, and the city of São José do Rio Preto contributes with 12.400 kg DBO day-1 (90% of domestic sewage). During the period from August 1990 through January 1991, monthly sampling was carried out to evaluate the use of macroalgae as bioindicator of organic pollution. Five sampling sites were established along the main river and the following variables were analised: temperature, conductance, turbidity, dissolved oxygen, BOD, COD, total and fecal coliforms, and composition and abundance of macroalgal communities. Data were submitted to analysis of variance, correlation coefficient, cluster analysis (four different approaches) and converted to biological indices (species deficit, relative pollution, saprobity, diversity and uniformity indices). A wide range in water quality was found (particularly for conductance, oxygen, BOD and COD) among the sampling sites, which were classified into three groups (polluted, moderately polluted and unpolluted/weakly polluted). As regards the occurrence and abundance of macroalgae the Rhodophyta were found only in unpolluted or weakly polluted sites, whereas Cyanophyta occurred mostly under high pollution load; the Chlorophyta species were observed under a wide range of conditions. Among the biological indices, saprobity was the most sensitive and correlated to all water variables and the other indices. Cluster analyses showed that the composition of macroalgal communities was consistent with the levels of organic pollution in the Preto River.

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In order to investigate epidemiological and clinical aspects of beef cattle mortalities caused by botulism, a syndrome popularly known as doença da vaca caída, studies were carried out in 32 naturally affected 4 to 9 year old cows, 27 belonging to the Nellore breed and 5 to crossbred Nellore, all from 27 farms located in municipalities near Botucatu, State of São Paulo. The epidemiological and clinical features were based, respectively, on the farm and herd managements, and on the general physical examination of the cows. Mouse bioassay and complement microfixation tests were performed to detect the presence of botulinum toxins in liver samples. The results showed that the disease occurs in beef cattle of range breeding systems, reared under inadequate mineral nutrition and deficient health management. Pregnant and milking cows represented the group at risk, and the incidence was higher during the rainy season (December to March), with morbidity and mortality rates of 3,2 ± 3,6%. Clinical examination revealed cows with no alterations of vital signs, behavior, visual and auditory acuities and skin sensation; but revealed ruminal hypomotility, anorexia, dehydration, flaccid para or tetraparesis with permanent recumbency, and a paretic or paralytic tongue. The diagnosis of botulism, involving type C and D toxins, was consistent with the epidemiological and clinical findings.