Response to Treatment in a Prospective Cohort of Patients with Large Ulcerated Lesions Suspected to Be Buruli Ulcer (Mycobacterium ulcerans Disease)

Background: The World Health Organization (WHO) advises treatment of Mycobacterium ulcerans disease, also called Buruli ulcer'' (BU), with a combination of the antibiotics rifampicin and streptomycin (R+S), whether followed by surgery or not. In endemic areas, a clinical case definition is recommended. We evaluated the effectiveness of this strategy in a series of patients with large ulcers of >= 10 cm in longest diameter in a rural health zone of the Democratic Republic of Congo (DRC).Methods: A cohort of 92 patients with large ulcerated lesions suspected to be BU was enrolled between October 2006 and September 2007 and treated according to WHO recommendations. The following microbiologic data were obtained: Ziehl-Neelsen (ZN) stained smear, culture and PCR. Histopathology was performed on a sub-sample. Directly observed treatment with R+S was administered daily for 12 weeks and surgery was performed after 4 weeks. Patients were followed up for two years after treatment.Findings: Out of 92 treated patients, 61 tested positive for M. ulcerans by PCR. PCR negative patients had better clinical improvement than PCR positive patients after 4 weeks of antibiotics (54.8% versus 14.8%). For PCR positive patients, the outcome after 4 weeks of antibiotic treatment was related to the ZN positivity at the start. Deterioration of the ulcers was observed in 87.8% (36/41) of the ZN positive and in 12.2% (5/41) of the ZN negative patients. Deterioration due to paradoxical reaction seemed unlikely. After surgery and an additional 8 weeks of antibiotics, 98.4% of PCR positive patients and 83.3% of PCR negative patients were considered cured. The overall recurrence rate was very low (1.1%).Interpretation: Positive predictive value of the WHO clinical case definition was low. Low relapse rate confirms the efficacy of antibiotics. However, the need for and the best time for surgery for large Buruli ulcers requires clarification. We recommend confirmation by ZN stain at the rural health centers, since surgical intervention without delay may be necessary on the ZN positive cases to avoid progression of the disease. PCR negative patients were most likely not BU cases. Correct diagnosis and specific management of these non-BU ulcers cases are urgently needed.

Sprawling and Urban transportation system: Impacts in the city of Londrina, Parana, Brazil

After nearly 80 years since the construction of its core, represented today by the city's central area, Londrina, located in the state of Parana, has the appearance of a new city but its features and trends of planning policies depict the bad examples of Brazilian cities. With a booming urban growth, from north to south of the county, the urban interstices represented by big voids in the middle of the city created speculation and the concept of an ideal city slowly disappeared. With a metropolitan appearance and, at the same time, with small town aspects, Londrina stands out as an automobile-oriented city, a fact that has impacted the livelihood of the population, generating environmental impacts for all social classes. This paper discusses how the form of occupation in Londrina, characterized by the sprawl phenomenon and its relation to car preference as a mode of transportation has generated urban environmental impacts. It was concluded that the choice of using cars in Londrina, as well in other medium-sized Brazilian cities studied by the comparative method, has increased and has generated bottlenecks in traffic. As a consequence, there is a constant expropriation of properties for widening roads and at the same time, the presence of various densities and urban voids that form an uneven urban space and an obstacle to efficient urban planning. © 2012 WIT Press.

Three forms of social coordination

Includes bibliography

Movimento estudantil, gestão democrática e autonomia na Universidade

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A participação da sociedade civil organizada na gestão do patrimônio cultural de Ribeirão Preto: o CONPPAC/RP

Pós-graduação em Serviço Social - FCHS

A reeleição de vereadores evangélicos em Belém de 1992 a 2008: conexão, regra do jogo e comunicação com as bases

Em 2004 foram eleitos os vereadores que compunham a Câmara Municipal de Belém, tendo sido ocupadas às vagas deixadas por aqueles que não se reelegeram. Esse quadro da reeleição possibilitou a afirmação e fortalecimento de partidos políticos que, por vários mandatos, permanecem com representação política e assento no Parlamento Municipal. É o caso do Partido dos Trabalhadores (PT), do Partido do Movimento Democrático Brasileiro (PMDB), do Partido da Social Democracia Brasileira (PSDB), do Partido Trabalhista Brasileiro (PTB) entre outros.Esse grupo político tem estado representado no Parlamento municipal por um longo período ininterrupto. O campeão de renovação de mandato é o Vereador Pastor Paulo Queiroz da IEQ (Igreja do Evangelho Quadrangular) que está no seu quarto mandato. Em seguida, vem o Vereador Pastor Raul Batista da IURD (Igreja Universal do Reino de Deus) que está no seu terceiro mandato e o Vereador Iran Moraes da AD (Assembleia de Deus) que está no seu terceiro mandato. O ponto de partida da pesquisa, parte dos pressupostos sugeridos por Pereira e Rennó (2001) e sustentado por Downs (1958) de que, o objetivo central de um político é a busca de reeleição.Anthony Downs considera que o individuo dentro da sua racionalidade, tem a capacidade de interpretar as suas escolhas dentro de uma lógica de alternativas possíveis. Ele não se deixa ser seduzido pelos movimentos dos candidatos, mas, faz a sua escolha dentro das alternativas que se apresenta, mas mantém as escolhas racionais. Percebe-se que ao longo dos anos, os parlamentares evangélicos têm demonstrado maior força em algumas denominações em se manter no parlamento para vários mandatos. É o caso dos parlamentares da Igreja do Evangelho Quadrangular, Adventista do Sétimo Dia, Universal do reino de Deus, Assembleia de Deus. O processo de renovação contínua de mandato é baseado no apoio das lideranças e nos serviços prestados aos seguimentos internos das Igrejas.

Análise organizacional do partido da social democracia brasileira no estado de São Paulo (1988-2006): a estrutura relacional e o capital político

Pós-graduação em Ciências Sociais - FCLAR

A democratização da educação no município de Sarandi, Paraná: as diretrizes educacionais do governo do PT (2001-2008)

Pós-graduação em Educação - FFC

Isolation of Leptospira spp. from a man living in a rural area of the Municipality of Cruz Alta, RS, Brazil

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

Análise crítica da política educacional da progressão continuada e as consequencias de sua implementação na organização do trabalho do professor

This course conclusion paper has as its theme the critical analysis of the Educational Policy Continued Progression. At this juncture when much is produced on specific themes of interest in continued progression in the reflection on the consequences of implementing this policy in organizing the work of teachers an their autonomy, seeking to contribute to public policy debates.The problematization that will undertake this work wonders if the policy continued progression is, in fact, a government strategy to remove the teacher control over their work and contribute to the process of alienation and loss of autonomy of a schoolteacher. This policy was implemented in the State of São Paulo, during the administration of Mario Covas of the Brazilian Social Democratic Party, PSDB, from 1995 to 2001, managing secretary Theresa Roserley Neubauer da Silva

Revolução constitucionalista de 32: principais motivações da Frente Única Paulista

This paper aims to analyze the Constitutionalist Movement in 1932, trying to understand, more specifically, the political end sought by the Front Unique Paulista, on a literal translation, union of the political parties of São Paulo (Republican Party Paulista and Democratic Party). The research is motivated by the need to understand the political project of FUP with the movement and the existing motivations why it was articulated. The comprehension of the constitutionalists' reasons is relevant to understanding the history of the revolution, from its origin to its outcome. Based on literature and its historical analysis, the paper will demonstrate that the Front, with the advent of the Constitutionalist Revolution of 1932, had as its main purpose regain political control of the state of São Paulo lost with the revolution of 1930. More than the vaunted concern with the implementation of a new constitution for the nation, the FUP leaders had intended to retrieve the lost power with the movement of 30 and the rise of Getulio Vargas to power. Under a banner to fight for a new constitution and the expected change from a totalitarian and centralized state imposed by Vargas for a more autonomous state, the cause of São Paulo enticed sympathy and support from the community, whose social history always harbored separatist ideas, even that they have never been carried out to its ultimate consequences

Robert M. Ward Photograph Collection - Accession 502

The Robert M. Ward Photograph Collection consists of approximately 400 prints and 900 negatives from the photographs that he took in the 1940s, 1950s, and 1960s. Most of the events and individuals pictured are from the York County, SC area and include the Latta House in York, South Carolina, downtown Rock Hill, parades, baseball, military, aviation, sports, and other York County buildings and scenes. Also included are photographs of Landsford Canal State Park, York Technical College, Winthrop University, Catawba Indian chieftain King Haigler’s memorial, Andrew Jackson State Park, Kings Mountain State Park, Hall of Fame Golfer Sam Sneed's visit to Rock Hill, SC, and Charleston, South Carolina. The collection also contains newspaper articles from the York Observer, dated from 1988 to 1992, which helped to identify some of the people and events in the pictures.

Yorkville Enquirer - Accession 12

The Yorkville Enquirer collection consists of bound weekly issues of the York County, South Carolina newspaper from 1931, 1933-1935. The newspaper, published in York, S.C., highlights news from all York County and surrounding counties and South Carolina.

Hampton McNeely Jarrell Papers - Accession 343

The Hampton McNeely Jarrell Papers consists of Dr. Jarrell’s professional activities, membership in organizations, and work as a Winthrop faculty member, and includes biographical data, correspondence, teaching materials, rough notes, and drafts of his published and unpublished books, journal articles, newspaper articles, speeches, research notes, and several maps of South Carolina during the Revolutionary and Civil Wars, relating to Jarrell’s publishing efforts, his activities as a Winthrop College faculty member, and his work with various historical, literary, and educational organizations as well as the history of the Jarrell Family Plantation. Research subjects include Rock Hill, S.C.; Col. William Hill; the Revolutionary War; the Civil War; Wade Hampton; William Gilmore Simms; York County, S.C.; and South Carolina history.

Zadock Darby Smith Diary- Accession 243

The Zadock Darby Smith Diary includes information about weather conditions, death and burial of family members and about Confederate troops in the Civil War. The collection consists of photocopies of the original. Zadock Darby Smith was a captain in the Confederate Army. He was born in Mecklenburg County, NC, May 13, 1822 and died in York County, SC on November 25, 1884. Zadock Smith is buried at the Union Baptist Church cemetery in Yorkl, SC. His first wife was Martha Jane Glenn Smith (1828-1862) and his second wife was Jane Thomasson Smith (1838 - 1918). They owned a plantation on King’s Mountain Road.