Investigação farmacoepidemiológica do uso do clonazepam no distrito sanitário leste em Natal-RN

Prescription errors are the most serious type of medication errors found in the health system. The main purpose of this study was to evaluate the quality of clonazepam prescriptions. A descriptive and observational study with retrospective data collection was conducted at 30 community pharmacies in Natal/RN, Brazil, after informed consent was obtained from the pharmacists. A sample of 313 prescription notifications was randomly collected in October 2009. They were analyzed for legible handwriting and completeness. During the study, one researcher, two pharmacists, and one pharmacy undergraduate student evaluated patient and purchaser identification, pharmaceutical form, dosing regimen, administration route, and prescription by generic name. This research was approved by the institutional Ethics Committee. Among the 313 collected notifications, only 44.1% were legible. A total of 55.91% (175/313) had at least one illegible item, 100% contained incomplete information, and 97.12% (304/313) contained one or more abbreviations. The proportion of illegible handwriting related to the patient s identification (p=0.0001) was statistically significantly greater than that related to the drug purchaser s identification (p=0.0004). Contrary to legal requirements, prescriptions with the generic name accounted for 13.42% (42/313) of the total. All the examined notifications were handwritten. Prescription errors, which potentially can have serious consequences, have been evaluated worldwide, although little is known about this subject as it relates to community pharmacies. This study showed high percentages of prescribing problems, which justifies the development of future research about medication errors in community pharmacies and education activities for prescribers

Competitividade da cadeia produtiva do coco: visão dos extensionistas da EMATER/RN na mesorregião leste Potiguar do Rio Grande do Norte

The present study presents an investigation concerning the factors that, in the perception of the extension of Emater/RN they affect the competitiveness of the productive chain of the coconut in Rio Grande do Norte. For so much it is used of a theory structured starting from the several aspects that delineate the competitiveness and your respective factors, besides the aspects that compose the productive chain of the coconut in Rio Grande do Norte. The research was accomplished at the mesorregião Leste Potiguar of Rio Grande do Norte, territory of larger index of coconut production in the state. The used methodological approach was the one of descriptive exploratory research together to the conduction of a rising type Survey. The field research obtained 35 valid questionnaires, whose interviewees were the extension of Emater/RN in performance in the municipal districts that compose the mesorregião Leste Potiguar of Rio Grande do Norte. The results allow to end that in the perception of the extension, the level of competitiveness of the productive chain of the coconut in Rio Grande do Norte is still low, presenting as larger fetter the low price of the coconut and the high costs of the productive process, being recommended a larger support to the producing of coconut in relation to technical attendance, incentive actions to the quality, understanding with relationship to the benefits of the creation of partnerships, associations and cooperatives, as well as the promotion of the knowledge of the productive chain of the coconut in Rio Grande do Norte for subsequent ends of all the agents' of that chain training with relationship to the importance of the development of competitive advantages

Macroalgas de riachos da Serra da Prata, leste do Estado do Paraná, Sul do Brasil

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

Tratamento do Centro de Atenção Psicossocial para usuários de álcool e outras drogas CAPSad II Leste Natal/RN : uma avaliação da efetividade

The treatment for abusive users of alcohol and other drugs suffered significant modifications until arriving to the psychosocial model that is used by Centro de Atenção Psicossocial CAPSad II Eastern Natal/RN (Psychosocial Support Center). That model appears starting from Brazilian sanitary and psychiatric reforms which are expressed in the principles and propositions of Sistema Único de Saúde SUS (Unique System of Health). The Psychiatric Reform meant a rupture with the mental hospital and hospital centered treatment pattern which was destined to the abusive users of alcohol and other drugs. The new proposal offers the universalization, democratization, regionalization and completeness of the actions in the field of mental health. It gathers a strictly interdisciplinary health staff. The purpose of this study is to evaluate the effectiveness of the treatment for abusive users of alcohol and other drugs offered by CAPSad II Eastern Natal/RN. The evaluation used, as priority, the qualitative social research through an evaluating study starting from the non-experimental model. The methodological process used different instruments of data collection: bibliographical and documental researches, systematic observations at CAPSad II Eastern Natal/RN and, mainly, the semistructured interviews (21) that were accomplished with the professionals, users and relatives of CAPSad II Eastern Natal/RN. The investigation showed the effectiveness of the service and, therefore, CAPSad II Eastern Natal/RN constitute itself as the main confronting strategy to the mental hospital and hospital centered treatment pattern of caring the abusive users of alcohol and other drugs

Estruturas tectônicas cenozóicas na porção leste da Bacia Potiguar - RN

This thesis encompasses the integration of geological, geophysical, and seismological data in the east part of the Potiguar basin, northeastern Brazil. The northeastern region is located in South American passive margin, which exhibits important areas that present neotectonic activity. The definition of the chronology of events, geometry of structures generated by these events, and definition of which structures have been reactivated is a necessary task in the region. The aims of this thesis are the following: (1) to identify the geometry and kinematics of neotectonic faults in the east part of the Potiguar basin; (2) to date the tectonic events related to these structures and related them to paleoseismicity in the region; (3) to present evolutional models that could explain evolution of Neogene structures; (4) and to investigate the origin of the reactivation process, mainly the type of related structure associated with faulting. The main type of data used comprised structural field data, well and resistivity data, remote sensing imagery, chronology of sediments, morphotectonic analysis, x-ray analysis, seismological and aeromagnetic data. Paleostress analysis indicates that at least two tectonic stress fields occurred in the study area: NSoriented compression and EW-oriented extension from the late Campanian to the early Miocene and EW-oriented compression and NS-oriented extension from the early Miocene to the Holocene. These stress fields reactivated NE-SW- and NW-SE-trending faults. Both set of faults exhibit right-lateral strike-slip kinematics, associated with a minor normal component. It was possible to determine the en echelon geometry of the Samambaia fault, which is ~63 km long, 13 km deep, presents NE-SW trend and strong dip to NW. Sedimentfilled faults in granite rocks yielded Optically Stimulated Luminescence (OSL) and Single-Aliquot Regeneration (SAR) ages at 8.000 - 9.000, 11.000 - 15.000, 16.000 - 24.000, 37.000 - 45.500, 53.609 - 67.959 e 83.000 - 84.000 yr BP. The analysis of the ductile fabric in the João Câmara area indicate that the regional foliation is NE-SW-oriented (032o - 042o), which coincides with the orientation of the epicenters and Si-rich veins. The collective evidence points to reactivation of preexisting structures. Paleoseismological data suggest paleoseismic activity much higher than the one indicated by the short historical and instrumental record

Caracterização geológica, geoquímica e geocronológica da suíte plutônica enoproterozóica da região de Serrinha, porção centro-leste do maciço São José de Campestre, sudeste do RN

The of Serrinha plutonic suite, northeastern portion of the Borborema Province (NE Brazil), is characterized by a voluminous and diversified magmatism of Neoproterozoic age, intrusive in the Archean to Paleoproterozoic gneissic-migmatitic basement of the São José de Campestre massif. Field relations and petrographic and geochemical data allowed us to individualize different lithologic types among this plutonic suite, which is represented by intermediate to mafic enclaves, porphyritic diorites, porphyritic granitoids, porphyritic granodiorites, microporphyritic granites and dykes/sheets of microgranite. The intermediate-to-mafic enclaves occur associated with porphyritic granitoids, showing mixture textures. The porphyrytic diorites occur as isolated bodies, generally associated with intermediate-to-mafic enclaves and locally as enclaves within porphyritic granites. The granodiorites represent mixing between an intermediate to mafic magma with an acidic one. The micropophyritic granites occur as isolated small bodies, generally deformed, while the microgranite dykes/sheets crosscut all the previous granitoids. A U-Pb zircon age of 576 + 3 Ma was obtained for the Serrinha granite. This age is interpreted as age of the peak of the regional ductile deformational event (D3) and of the associated the E-W Rio Jacu shear zone, which control the emplacement of the Neoproterozoic syntectonic plutons. The porphyrytic granitoids show monzogranitic composition, transitional between peraluminous and metaluminous types, typically of the high potassium subalkaline-calc-alkaline series. The intermediate-to-mafic enclaves present vary from quartz diorite to tonalite/granodiorite, with metaluminous, shoshonitic affinity. The diorites are generally quartz-monzodiorite in composition, with metaluminous, subalkaline affinity. They display coarse-grained, inequigranular, porphyrytic texture, with predominance of plagioclase phenocrystals immersed in a matrix composed of biotite and pyroxenes. The microporphyrytic granites are essentially monzogranites of fine- to medium-grained texture, whereas microgranite dikes/sheets varying from monzogranites to syenogranites, with fine to media texture, equigranular. The diversified magmatism occurring at a relatively small surface associated with shear zones, suggests lithospheric dimensions for such structures, with magma extractions from different depths within the lower crust and upper mantle. The geological, geochemical and geochronological characteristics of the Serrinha plutonic suite suggest a pos-collisional geodynamic context for the Neoproterozoic magmatism. Thermobarometric data show emplacement conditions in the range 5-6 kbar (AlTamphibole) and 730-740°C (plagioclase-amphibole) for the porphyrytic granitoids (Serrinha body) and the intermediate-to-mafic enclaves

Novos registros de Lutzomyia longipalpis (Lutz & Neiva, 1912)(Diptera: Psychodidae) na região Centro-Leste do estado de São Paulo, Brasil

A incidência das leishmanioses tegumentar (LTA) e visceral (LVA) americanas, especialmente essa última, em hospedeiros caninos e humanos, encontra-se em expansão no Estado de São Paulo. Na vigilância epidemiológica dessas endemias, torna-se fundamental o conhecimento da distribuição e ecologia das diferentes espécies de flebotomíneos. Assim, a divulgação de novos registros de seus vetores é fundamental para apontar novas áreas de risco para a transmissão dessas doenças. Neste estudo, realizaram-se capturas de flebotomíneos em ambiente de mata, em diferentes localidades dos municípios de Ipeúna, Itirapina e Analândia, entre agosto e setembro de 2007. Foram capturados 248 flebotomíneos de nove espécies diferentes, em Ipeúna, seis e sete espécimes de duas espécies distintas coletados respectivamente em Itirapina e Analândia. A espécie mais abundante em Ipeúna foi Pintomyia pessoai (37,5%), seguida de P. fischeri (33,06%) e Migonemyia migonei (16,53%). Essas três espécies são consideradas importantes vetores de LTA no território paulista. O registro de Lutzomyia longipalpis pela primeira vez em Ipeúna e Analândia e a confirmação de sua presença em Itirapina indicam risco de essabelecimento da LVA na área e a necessidade de mais estudos locais sobre sua ecologia, sobretudo em relação à ocupação de ambientes antrópicos.

Crescimento de genótipos de sorgo plantados nos sentidos Norte-Sul e Leste-Oeste

O objetivo do presente trabalho foi estudar o crescimento de plantas de seis genótipos de sorgo (Sorghum bicolor (L.) Moench), a saber: dois sacarinos, dois graníferos e dois forrageiros, cultivadas com as linhas de plantio orientadas no sentido Norte-Sul e Leste-Oeste. Instalou-se, em setembro de 1994, o ensaio em área experimental da Faculdade de Ciências Agrárias e Veterinárias (FCAVJ) - UNESP, utilizando delineamento em blocos casualizados, com doze tratamentos e três repetições. As avaliações foram feitas mediante amostragens semanais, determinando-se massa seca acumulada, área foliar e distribuição da massa seca nas diferentes partes da planta. Os materiais sacarinos cresceram mais que os graníferos, e os graníferos tiveram ciclo mais curto que os demais. A distribuição de massa seca caracterizou aptidão de cada genótipo, ou seja, alta eficiência na exportação de material para os colmos nos sacarinos, exportação preferencialmente para os grãos nos graníferos, e exportação para colmos e grãos, evidenciando dupla aptidão, nos forrageiros. O padrão de distribuição de massa seca não foi afetado pela orientação das linhas de plantio.

Erosão hídrica pós-plantio em florestas de eucalipto na região centro-leste de Minas Gerais

O objetivo deste trabalho foi avaliar as perdas de solo e água por erosão hídrica, em parcelas-padrão sob chuva natural, no período pós-plantio, em diferentes sistemas de manejo de florestas de eucalipto. O experimento foi instalado em Latossolo Vermelho-Amarelo, muito argiloso, relevo ondulado. As coletas de dados foram realizadas no período de outubro de 2002 a fevereiro de 2004, em eventos de chuva considerada erosiva. Os sistemas estudados foram: mata nativa; pastagem plantada; eucalipto plantado em nível; eucalipto plantado na direção do declive; eucalipto plantado na direção do declive com queima de restos culturais; e solo descoberto. Entre os sistemas florestais, o eucalipto em nível é o que mais se aproxima da mata nativa, em perdas de solo, indicando assim maior sustentabilidade desse sistema. Os maiores valores de perda de água são encontrados no sistema eucalipto plantado na direção do declive com queima de restos culturais, sugerindo que o fogo aumenta a repelência à água e diminui a taxa de infiltração de água no solo. Todos os sistemas de manejo do eucalipto estudados apresentaram perdas de solo inferiores ao limite de tolerância.

Lutzomyia longipalpis (Diptera, Psychodidae) em Cuesta Basáltica, na bacia hidrográfica do Rio Corumbataí, Região Centro-leste do Estado de São Paulo

A incidência das leishmanioses tegumentar e visceral americanas, em especial esta última (LVA), em hospedeiros caninos e humanos, encontra-se em crescente processo de expansão no Estado de São Paulo. Para a vigilância epidemiológica dessas endemias, torna-se fundamental o conhecimento da distribuição e da ecologia das diferentes espécies da fauna flebotomínea vetoras. Assim, a divulgação de novos encontros de seus vetores, sobretudo da Lutzomyia longipalpis, o principal vetor da LVA, é fundamental para apontar novas áreas de risco para a transmissão dessas doenças. Neste estudo, capturas de flebotomíneos foram realizadas em ambiente domiciliar, peridomiciliar e de mata, em diferentes localidades rurais dos municípios de Ipeúna e Itirapina, entre outubro de 2001 e fevereiro de 2004. Foram utilizadas armadilhas luminosas automáticas do tipo CDC, das 18h às 8h, em 14 noites, resultando 420 horas de exposição. Foram capturados 177 flebotomíneos pertencentes a doze espécies. A espécie mais abundante, Nyssomyia neivai, apontada como a principal vetora de LTA no Estado, contribuiu com 85,4% dos espécimes capturados em Ipeúna. O encontro de Lutzomyia longipalpis em uma caverna em Itirapina, aponta para o risco de estabelecimento da LVA na área e a necessidade de mais estudos locais sobre sua ecologia, sobretudo em relação à ocupação de ambientes antrópicos.

Argilominerais de Coberturas Sedimentares Cenozóicas do Centro-leste do Estado de São Paulo

Clay mineral analysis contributed to the mineralogical characterization and stratigraphic setting of continental Cenozoic deposits of central-eastern portion of São Paulo State, southeastern Brazil. These deposits, often thin and discontinuous, comprise the Itaqueri Formation (Cretaceous-Paleogene), Rio Claro Formation (Pliocene) and associated Neocenozoic deposits. X-ray diffractometry provided mineralogical and semiquantitative constitution of clays, while scanning electron microscopy (SEM) provided details about mineralogical constitution, packing of microscopic grains and nature (detrital or diagenetic) of clays. These results supported interpretations about paleoenvironmental conditions during sedimentation, revealing possible links between changing climates (dry or humid) and correlative Cenozoic deposits in southeastern Brazil. In addition, SEM images showed microstructures which influence on geotechnical behaviour (erosion and collapse phenomena) of sedimentary materials.

Modelagem gravimétrica da Bacia de Taubaté-vale do Rio Paraíba do Sul, leste do estado de São Paulo

This paper presents the gravity survey refinement of the Paraíba do Sul river valley, east region of São Paulo state, by acquisition of 646 gravity stations. Further than the traditional Free-Air and Bouguer corrections, it was necessary to apply the Terrain Correction due the proximity of the Mantiqueira and Mar mountain ranges. An enhanced understanding of Taubaté Basin structural framework was the main objetive of this work. As result, we present the Bouguer Gravity Map of the east region of São Paulo State and the Residual Bouguer Gravity Map generated by Upward Continuation and High-pass filtering. The 2D Gravity Modeling was applied in 4 sections, using bi-dimensional models for the bodies that produced the anomalies (Talwani Method). After integrating the gravity data with the interpretation of 11 seismic sections, it was possible to delineate the Taubate Basin structural framework, which shows an utmost sedimentary thickness of 800 m in the depocenters. It was also interpreted an ultramaphic alkaline plug in the subsurface of Caçapava city.

Estratigrafia de seqüências das formações Taciba e Rio Bonito (Membro Triunfo) na região de Mafra/SC, leste da Bacia do Paraná

The Taciba and Rio Bonito (lower Triunfo Mbr) formations are divided into six depositional sequences based on cores, gamma-ray and electrical logs from shallow drillings from northern Santa Catarina State, Each sequence is formed by two systems tracts, a lower one, sandy (lowstand) and an upper one, shaly (highstand). The Taciba Formation has three sequences, S 0 to S 0 sequence S 0 has a thick turbidite sandstone at the base (Rio Segredo Member) that pinches out towards the eastern margin and even disappears in the Mafra outcrop area. Sequence S 1 varies from a thin fluvial-estuarine system to a thick turbidite sandstone of a channelized fan system; S 1 upper shaly system tract is marine in well PP-11, and it is glacially-influenced in well PP-10. Sequence S 2 is a thick sand-stone body of shallow marine origin, but restricted to one well (PP-11); its upper shaly tract is dominated by massive siltstones intercalated with thin, distal tempestites. The lower Triunfo Member (or Taciba-Triunfo transition) begins with the arrival of deltaic clastics of sequence S 3 lower tract, coarsening-up from medial- to proximal delta front sandstones. Sequence S 4 is quite similar to S 3, both showing sand-stone progradation from north to south, as opposed to the southwest-sourced transgressive diamictites. Sequence S 5 consists of fluvial deposits at well PP-12, and two transgressive cycles from wells PP-11 to PP-9, each one of them composed of fluvial-estuarine to marine systems. Well PP-10 is an exception, where the lower cycle presents deglaciation to marine deposits.

Erosão hídrica de Latossolo Vermelho muito argiloso relevo ondulado em área de pós-plantio de eucalipto no Vale do Rio Doce, região Centro Leste do Estado de Minas Gerais

The erosion caused by running water constitutes important cause of environmental degradation and productivity reduction, which justifies its evaluation in areas of eucalypt commercial plantations, mainly in ondulated slope conditions. The present study was intended to evaluate the influence of different management systems, in an undulated eucalypt pos-planting area, upon soil and water losses by erosion. The experiment was installed in a very clayey Red Latosol (Oxisol) under three eucalypt management systems (downhill planting with burning of crop residues - EDq; downhill planting with maintenance of crop residues on soil surface - ED; level planting with maintenance of crop residues on soil surface - EN), native forest (FN), bare soil (SD), and native pasture (PN). The soil and water losses evaluations were performed in standard plots installed in the field. All eucalypt systems presented very low values of soil losses in relation to the established tolerance limit, indicating the adequacy of these management systems concerning water erosion. The sustainability of these environments regarding erosion is indicated by the fact that soil losses in eucalipt were very close to those observed in native forest (reference).