Impact of educational interventions on adverse drug events reporting

Spontaneous adverse drug events (ADE) reporting is the main source of data for assessing the risk/benefit of drugs available in the pharmaceutical market. However, its major limitation is underreporting, which hinders and delays the signal detection by Pharmacovigilance (PhV). To identify the techniques of educational intervention (EI) for promotion of PhV by health professionals and to assess their impact. A systematic review was performed in the PUBMED, PAHO, LILACS and EMBASE databases, from November/2011 to January/2012, updated in March/2013. The strategy search included the use of health descriptors and a manual search in the references cited by selected papers. 101 articles were identified, of which 16 met the inclusion criteria. Most of these studies (10) were conducted in European hospitals and physicians were the health professionals subjected to most EI (12), these studies lasted from one month to two years. EI with multifaceted techniques raised the absolute number, the rate of reporting related to adverse drug reactions (ADR), technical defects of health technologies, and also promoted an improvement in the quality of reports, since there was increased reporting of ADR classified as serious, unexpected, related to new drugs and with high degree of causality. Multifaceted educational interventions for multidisciplinary health teams working at all healthcare levels, with sufficient duration to reach all professionals who act in the institution, including issues related to medication errors and therapeutic ineffectiveness, must be validated, with the aim of standardizing the Good Practice of PhV and improve drug safety indicators.

Extended periods of alcohol intake negatively affects osseointegration in rats

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A tempestividade da prestação da tutela jurisdicional como requisito essencial à efetividade do direito

Pós-graduação em Direito - FCHS

Projeto e usinagem do cabeçote para um motor 4 tempos, a gasolina, monocilíndrico de 400 cc e refrigerado a ar

Pós-graduação em Engenharia Mecânica - FEG

Stunning method in broiler chickens meat processing

Quality is a variable concept, which involves many factors, depending on the consumer market. In meat production, the concern with environmental aspects, animal welfare and the health and safety of workers is increasing. This work studied the effect of controlled atmosphere stunning of broilers on meat features and biochemical parameters for stress. Cobb broilers were stunned by electrical stunning and by controlled atmosphere with 70% CO2 and 70% CO2 + 30% Argon. After stunning, serum levels of glucose, lactate and corticosterone were compared with those of broilers at rest, immediately before transportation and slaughter and after 12 h of feed withdrawal (control group). At slaughter, blood volume drained during bleeding was not different for the stunning methods tested, ranging from 3.3 to 3.4% birds weight. This finding was important to demonstrate that gas stunning was not responsible for the animals′ death. Final pH in breast (6.1 to 6.2) and thigh (6.3 to 6.5) also did not vary among the different stunning methods (P > 0.05). Lightness (L = 60.55) and redness (a = +8.94) values found for breasts from electrical stunning showed that they were darker and redder (P < 0.05), probably due to changes in blood pressure. Glucose and corticosterone levels were not different between gas stunned birds (302.45 to 315.7 mg/dl and 55.71 to 72.49 ng/ml respectively) and birds at rest (305.95 mg/dl and 50.65 ng/ml) (P > 0.05). These stress indicators were higher (337.65 mg/dl for glucose and 104.13 ng/ml for costicosterone) when electrical stunning was used (P < 0.05). Lactate concentrations were lower (5.4 mmol/l) for birds at rest (P < 0.05) but not different for all stunning methods tested (7.3 to 8.1 mmol/l; P > 0.05). These results show that serum glucose may be used as a stress indicator in birds, with the advantage of being a quick and cheap biochemical test. Gas stunning favored birds′ management during slaughter and so reduced workers′ effort and injury hazard and the amount of feces and dust in the room. To make this method available for a large scale process, adjustments in equipments will be necessary to avoid delays in the processing line.

Co-simulation tools for networked control systems: revision and utilization

Networked control systems (NCSs) are distributed control systems in which the sensors, actuators, and controllers are physically separated and connected through an industrial network. The main challenge related to the development of NCSs is the degenerative effects caused by the inclusion of this communication network in the closed loop control. In order to mitigate these effects, co-simulation tools for NCS have been developed to study the network influence in the NCS. This paper presents a revision about co-simulation tools for NCS and the application of two of these tools for the design and evaluation of NCSs. The TrueTime and Jitterbug tools were used together to evaluate the main configuration parameter that affects the performance of CAN-based NCS and to verify the NCS quality of control under various timing conditions including different transmission period of messages and network delays. Therefore, the simulation results led to the conclusion that despite the transmission period of messages is the most significant factor among the analyzed in the design of NCS, its influence is related to the kind of system with greater effects in NCSs with fast dynamics.

Distribuição espacial dos incêndios em vegetação registrados pelo 2º Sub-Grupamento do Corpo de Bombeiros de Rio Claro/SP e o tempo atmosférico entre 2009 e 2013

Many fire occurrences in vegetation happen annually in the city of Rio Claro, causing material losses, environmental damage and discomfort to population. When identified the source, notes that the higher index is intentional, however, climatic factors such as wind speed, temperature, relative air humidity, rainfall, or even the local relief also affects in the spread and its devastating effects. Scientific studies that would assist the local community in the prevention and repression of them still are scarce. This way, the work has as objective contributes in the understanding of the relationship among the fire occurrences in vegetation registered (recorded) by Fire Department of Rio Claro/SP, and their relationships with the atmospheric time. To achieve this goal was made to build a database related to fires in vegetation during the years 2009-2013, and subsequently correlated with data of precipitation and relative humidity the air, provided by Center for Analysis and Planning Environmental (CEAPLA). The result identified the profile of the fires, the seasons of higher frequency, neighborhoods and districts with the highest number of records and correlate events with climatic factors that act in the ignition, propagation and control of fires in the Municipal district of Rio Claro/SP

Hip fracture in a developing country: a picture in need of change

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Reproductive physiology, and physical and sexual development of female offspring born to diabetic dams

Objectives: The objective of this study was to evaluate physical and sexual development and reproductive physiology in female rat offspring that developed in hyperglycemia conditions in utero and during lactation. Materials and methods: Maternal diabetes was induced in female rats by a single IV injection of streptozotocin before mating. Female offspring development was evaluated by means of the following parameters: physical development; age of vaginal opening and first estrus; weight and histological evaluation of uterus and ovaries; duration of the estrous cycle, sexual behavior, and fertility after natural mating. Results: In the female offspring, maternal diabetes caused delays in initial physical development; diminution in ovary weight and number of follicles; and inferior reproductive performance compared with the control group. Conclusions: The exposure to hyperglycemia in uterus and during lactation caused delays in physical and sexual development, and affected the reproductive physiology of female rats negatively.

Padrão de respostas metabólicas de Curcuma zedoaria (Christm.) Roscoe sob a aplicação de reguladores vegetais e em condições de deficiência hídrica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Posicionamento por ponto preciso com solução de ambiguidades inteiras no contexto de rede GPS

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Pesquisa, projeto e construção de um sistema de ignição sem distribuidor

This work intends to know the most types of ignition systems, studying its history, the way it works, applications and some examples. The assembly of a distributor less ignition system is also required. All vehicles powered by internal combustion engines need an ignition system that allows this engine to ignite the air-fuel mixture using its ignition system in the best possible manner. The main goal of an ignition system is to obtain a spark having enough energy to start the chemical reaction of the oxygen and the fuel. It took a study dealing with the various types of ignition systems since their creation at the beginning of the last century until 2015. The work starts studying the high tension magneto ignition system and later together with the low tension ignition system, going on with the conventional ignition system and finally accomplishing with the various types of electronic ignition systems. It was studied and implemented an electronic circuit to power a double spark ignition system also known as wasted spark ignition system. This circuit was assembled with an electric pulse generator and powered mechanically by a dc electric motor of the variable rpm type

Eventos extremos de precipitação em Belém-PA: uma revisão de notícias históricas de jornais

Os impactos socioeconômicos dos Eventos Extremos de Precipitação Diária em Belém-Pará foram estudados com base em histórias relatadas nas notícias dos jornais da cidade durante o período de 1987 a 2009. Estes eventos foram caracterizados como extremos por meio da Técnica do Decil. O objetivo foi identificar as consequências e os principais bairros afetados pelos eventos extremos de precipitação diária. Os anos que estiveram sob influência do fenômeno El Niño (La Niña) foram os que apresentaram menor (maior) frequência de Eventos Extremos de Precipitação e de noticias publicadas nos jornais da cidade. A variação mensal mostrou que os Eventos Extremos e as notícias dos jornais foram maiores no período "mais chuvoso" (verão/outono austral). As histórias relatadas nas notícias dos jornais da cidade indicaram que o alagamento das ruas é a principal consequência dos eventos extremos para a cidade de Belém-Pará e os bairros mais afetados são Cremação, Jurunas e Batista Campos. Esses bairros são vizinhos e tem como fator comum a presença da bacia hidrográfica da Travessa Quintino Bocaiúva, a qual apresenta baixa declividade e dificulta o escoamento da água, favorecendo a formação de pontos de alagamentos. Identificou-se que a falta de infraestrutura da cidade é o fator predominante quanto à consequência dos eventos extremos de precipitação diária.

Land Use and Transfer Plans in the U.S. Great Plains

In the next decades, aging farmers in the United States will make decisions that affect almost 1 billion acres of land. The future of this land will become more uncertain as farm transfer becomes more difficult, potentially changing the structure of agriculture through farm consolidation, changes in farm ownership and management, or taking land out of production. The Great Plains Population and Environment Project interviewed farmers and their spouses between 1997 and 1999. Farm Family Survey participants were ambiguous about their plans to leave farming, transfer land to others, and even long-term land use, largely due to concerns about the continued economic viability of farming. Participants living far from metropolitan areas expected to sell or rent to other farmers, while those near residential real-estate markets expected to sell to developers. Delays in planning for retirement and succession were common, further threatening the success of intergenerational transitions.

Fire Frequency and the Vegetative Mosaic of a Spruce-Fir Forest in Northern Utah

Fire scar and vegetative analysis were used to construct a fire history for the Engelmann spruce/subalpine fir (Picea engelmannii/Abies lasiocarpa) vegetation type of the Utah State University (USU) T. W Daniel Experimental Forest. Three distinct periods of fire frequency were established-presettlement (1700-1855), settlement (1856-1909), and suppression (1910-1990). Mean fire interval (MFI) decreased during the settlement period and greatly increased during the suppression era. The difference was attributed to the influx of ignition sources during the settlement of nearby Cache Valley, located 40 km to the west. Logging and livestock grazing appear to have led to the reduced MFI, which in turn worked as a factor to create the vegetative mosaic now observed on the study area. The increase in MFI during the suppression era permitted the advancement of shade-tolerant species in the understory of the shade-intolerant lodgepole pine (Pinus contorta var. latifolia) and quaking aspen (Populus tremuloides). Continued suppression of disturbance from wildfire will allow the lodgepole pine cover type, which experienced the lowest MFI during the settlement period, to be further invaded by shade-tolerant species, decreasing spatial stand diversity and increasing the risk of more intense fires.