Influência de diferentes concentrações de flúor na água em indicadores epidemiológicos de saúde/doença bucal

O objetivo deste estudo foi avaliar o acesso a fontes de fluoreto e as condições de saúde bucal de 237 escolares de nove a dezesseis anos, de três localidades com diferentes concentrações de fluoreto na água. O teor de flúor na água de cada região foi analisado pela técnica do eletrodo seletivo para o íon flúor e a foi avaliada prevalência de cárie e fluorose, respectivamente, pelo índice CPOD e TSIF, apresentando diferença estatisticamente significante (ANOVA; p < 0,05) nas três localidades: área sem fluoretação artificial (CPOD 5,32 ± 3,49) e 16% de fluorose; área com fluoretação artificial de 0,8 ppmF (CPOD 1,88 ± 2,22) e 94% de fluorose; área com fluoretação natural de 2,54 ppmF (CPOD 3,96 ± 2,38) e 100% de fluorose. Os achados sugerem que os indicadores epidemiológicos de saúde/doença bucal estudados são influenciados pela presença de fluoreto na água de consumo e que a supervisão e a orientação são fundamentais na correta utilização dos compostos fluoretados, aproveitando-se o máximo benefício no controle da cárie dentária com o mínimo risco de ocorrência de fluorose.

A influência das condições termo-pluviométricas nos indicadores do comércio de Maringá, Estado do Paraná: um ensaio metodológico na perspectiva da valoração ambiental

This article analyzes the degree of thermopluviometric influence on certain indicators in the commerce of Maringa, state of Parana. To the end, climate elements, such as the temperature and prectipitation as well as certain economic indicators, namely: ICMS (taxes), SCPC, Video-Check, Consumption and Consumers of Electric Energy were studied. Graphical analyses along with statistical applications of correlation and regression were performed, as well as the examination of a case study. It is believed that the groups investigated showed variations in the forms of correlation. The results herein presented are in the manner of preliminary trial, representing a first attempt at measuring the actual relationship between the climatic variables (temperature and precipitation) with certain behavioural indicators of commerce in the city of Maringa.

Uso de indicadores para estimar fluxos de matéria seca ileal em eqüinos fistulados

This experiment was carried out with six half-bred Bretao-Campolinacolts with ileum fistulated to evaluate the difference in the ileum dry matter flow estimated by chromic oxide, cellulose, NDF, lignin and fecal lignin through the collection of ileum samples digesta at 28 h intervals, totalizing six samples per animal, starting at 10:00 a.m. The animals were fed ad libitum with the following diets: R1: clephantgrass, R2: elephantgrass plus ground corn, and R3: elephantgrass plus ground corn plus soybean meal. The data was statistically described, based on the coefficient of variation. The values of dry matter prececal digestion coefficients were, respectively, for diets 1, 2 and 3, at six schedules, for cellulose (-16.4; 21.4 and 6.6%), NDF(-34.7; 28.8 and -12.8%), to lignin (-51.5; -5.1 and -25.7%), in two schedules for cellulose (-13.4; 25.6 and 21.5%), fecal lignin (-37.1, 16.6 and -6.4%) and chromic oxide (-219.3, 36.4 and 9.5%). The coefficients of variation were, respectively, for the diets i, 2 and 3, at six schedules, for cellulose (148.3; 107.5 and 522.7%), NDF (95.4; 80.9 and 314.3%), lignin (210.2; 752.3 and 209.6%), at two schedules for cellulose(148.5; 80.7 and 70.0%), fecal lignin, (262.4; 177.9 and 723.5%) and chromic oxide (141.1; 158.9 and 473.4%). In diet i, the ileum dry matter now were over estimated for all markers, showing that chosen collection lime to estimate the flows were not adequate. Based on the coefficient of variation of the diets 2 and 3, the cellulose at two schedules was the most marker indicator to determine the ileum dry matter flow.

Seletividade e eficácia de herbicidas inibidores da enzima accase na cultura da mamona

This experiment aimed to evaluate the selectivity and efficacy of ACCase-inhibiting herbicides in castor bean crop, at Paraguacu Paulista, São Paulo, during the 2002/03 agricultural season. The experimental design used was randomized complete blocks, with eleven treatments and four replicates, constituted by the following herbicides and adjuvants: fluazifop-p-butyl 313 g ha(-1)) + Agral (TM) 0.2% v/v); sethoxydim 322 g ha(-1)) + Assist (TM) 0.5% v/v); haloxyfop-methyl 120 g ha(-1)) + Assist (TM) 0.5% v/v); clethodim+ fenoxaprop-p-ethyl 75 g ha(-1)) + Assist (TM) 0.5% v/v); quizalofop-pethyl 125 g ha(-1)) + Assist (TM) 0.5% v/v); clethodim 156 g ha(-1)) + Assist (TM) 0.5% v/v); propaquizafop 175 g ha(-1)) + Assist (TM) 0.5% v/v); tepraloxydim 400 g ha(-1)) + Dash (TM) 0.5% v/v); butroxydim 100 g ha(-1)) + Dash (TM) 0.5% v/v); isoxaflutole 60 g ha(-1)) and weed-free check. At the moment of application, castor bean plants presented 4 to 6 leaves and Cenchrus echinatus, 1 to 5 tillers. AL Guarany 2002 cultivar presented high selectivity to ACCase-inhibiting herbicides, without visible symptoms of phytotoxicity in 14 DAA days after application), except for tepraloxydim, whose symptoms persisted until 21 DAA, and isoxaflutole HPPD inhibiting), which showed injuries in older leaves and significant yield reduction. C. echinatus infestation was efficiently controlled by ACCase-inhibiting herbicides between 14 and 21 DAA (>= 95.0%).

Indices de atividade da doença inflamatória do intestino: indicadores clínicos e laboratoriais.

The quantification of the degree of activity of inflammatory bowel disease is assuming growing importance nowadays. The activity index of the disease can be attained by clinical and laboratorial indicators. For ulcerative colitis the mostly used clinical parameters are daily bowel movements and presence of bloody diarrhea whereas albumin, hemoglobin, ESR and positive acute phase protein measurements are the laboratory parameters. For Crohn's disease activity besides the daily bowel movements the presence of abdominal pain and discomfort sensation are also frequently used whereas the C-reactive protein is the most used laboratory test which is able to detect the disease reactivation even before the appearance of any clinical sign. The combinations of clinical signs with the laboratory tests earned the sympathy of the specialists and the set of ensembled indicators has been recognized by the author's name. In this sense, the classification of the ulcerative colitis activity originally proposed by Truelove and Witts deserves presently a wide acceptance whereas such agreement is still lacking for Crohn's disease activity. In the mean time, the Bristol index is clinically the most feasible, once the Crohn's disease activity index and the Van Hees index are considered too complex. However the latter indexes are still useful mainly for comparisons among multicentric data. It seems that the currently existing clinical signs used for Crohn's disease activity would be quantitatively improved by adding some easily made laboratory tests such as C-reactive protein.

Eficácia e segurança do uso inalatório da adrenalina-L na laringite pós-intubação utilizada em associação com a dexametasona

Objective: to assess the efficacy and safety of the use of nebulized L-epinephrine associated with dexamethasone in post-intubation laryngitis. Method: we carried out a prospective, randomized, double-blind, placebo controlled study with two cohorts of patients with postintubation laryngitis graded 3 to 6 by Downes and Raphaely score and during two years. Our population was divided into two groups: A and B; both groups received intravenous dexamethasone and nebulized saline with (group B) and without (group A) L-epinephrine. The efficacy was assessed by Downes and Raphaely's score. The side effects of epinephrine were evaluated according to occurrence of arrhythmia, to increased blood pressure, and to average heart rate of group B in comparison to group A. Results: twenty-two patients were included in group A (average score = 4.8) and 19 in group B (average score = 5.2). During treatment, 3 patients in group A presented a score of 8 and were reintubated. This group also showed higher clinical scores than group B during the first two hours of the protocol; these results were not statistically significant. No side effects were observed due to epinephrine. The gasometric parameters were adequate in both groups, but better in the control group. Conclusions: we did not observe increased efficacy for the treatment of post-intubation laryngitis when nebulized L-epinephrine was used simultaneously with intravenous dexamethasone. Some indicators, however, did present a favorable trend when combined therapy was used and should be submitted to further evaluation.

Avaliação da prescrição médica em pediatria, baseada nos indicadores do uso de medicamentos selecionados pela oms em municipio do interior do estado de São Paulo

The World Health Organization (WHO) recommends that prescriptions of medicaments must be one parameter utilized to know how the medication is used by people. To do so, one specific methodology has been indicated, that is, the selected indicators of the use the medicaments. We applied this methodology with the aim of presenting a descriptive study of the physician prescription in Pediatric Clinic of the Health Basics Units. The results obtained are: the average number of medicaments prescribed with prescription was 2.6; the percentage of the medicaments prescribed with the generic name was 32%; the percentage of the prescriptions with antibiotics was 44.6%; the percentage of the prescriptions with injections was 10.4%; the percentage of the medicaments prescribed that are part of the municipal list was 22.8%, 27.5% for the program Dose Certs of the secretary of the State of São Paulo, and 50.4% by adding by adding the two lists. The essentiality of the medicaments prescribed may be considered very low, because only 32.6% appear in the RENAME. The percentage of the medicaments really dispensed was 39.9%. The medicaments more prescribed, according to the classification of the Anatomic-Therapeutic-Chemical (ATC), were the ones which acted in Respiratory System (26.8%), followed by anti-infectives for systemic use (16.4%) and by medicaments with acted in Alimentary tract and metabolism (15.8%). The conclusion is that the prescribers are moved by commercial influence of the drug makers, first because of the low prescription of medicaments by their generic name, second by the low number of medicaments effectively dispensed and then the low concordance between the ones prescribed and the ones included in the lists patterned by Tabatinga and by the State of São Paulo.

Indicadores de floresta urbana a partir de imagens aéreas multiespectrais de alta resolução

The present work evaluated urban forest indicators, acquired through airborne high-resolution multiespectral images, on the quality of the urban design and its vegetative fraction, in special its trees, in nine neighborhoods of Piracicaba, SP. There were made supervised classifications for characterization of intra-urban elements and the proportions obtained, as exposed soil, tree cover, lawns, asphalt, concrete pavements and roofs. They were studied for the measurement of the urban forest in each place. These variables were related to each other, as well as with the independent variables: population density, people with more than fifteen years of study and family heads with income above twenty minimum wages, obtained through population census. Through the analysis of linear regression variables were identified for intra-urban areas evaluation. Correlations were made and linear regressions among the data obtained from the image and among the proposed indicators. Negative correlations were obtained among population density and arboreal covering and the evaluated indices, in accordance with the predicted in the literature. Composite indicators are proposed, as: the proportion between arboreous space on waterproof space (PAW) and the proportion between arboreous space on building space (PAB). It is concluded by the possibility of the use of those indicators for evaluation of the urban forest and definition of priorities in the execution of ordinances to the improvement of the urban forestry, being prioritized the application of resources in the most lacking neighborhoods.

Eficácia e segurança da atorvastatina no tratamento de pacientes com hipercolesterolemia primária

Introduction: Hypercholesterolemia is an important risk factor for cardiovascular disease, the first cause of death and third reason for hospital admissions in Brazil. The reduction of serum cholesterol levels reduces morbidity and mortality from cardiovascular disease. The present study evaluated the efficacy and safety of atorvastatin in the treatment of Brazilian patients with primary hypercholesterolemia (types IIA and IIB dyslipidemias). Patients and methods: After a 4-week wash-out period, 152 patients were treated with atorvastatin at the initial dose of 10 mg/day. According to treatment efficacy within the first 8 weeks this dose could be increased to 20 mg/day. Treatment lasted for a total of 16 weeks, and its efficacy was evaluated by the reduction of serum levels of LDL-cholesterol, total cholesterol, HDL-cholesterol, and triglycerides, as well as by the propotion of patients that achieved the target levels recommended by the National Cholesterol Education Program - Adult Treatment Panel II (NCEP ATP II) Results: The analysis of efficacy was conducted in 145 patients. Atorvastatin led to significant reductions in the levels of LDL-cholesterol after 8 and 16 weeks of treatment (P<0.001 for both comparisons). The relative reduction of such levels was 38% (P<0.001 after 8 and 16 weeks). Atorvastatin also led to significant reductions of total cholesterol and triglycerides. At the end of the study, 81% of patients achieved the target LDL-cholesterol levels recommended by NCEP ATP II. Treatment was well tolerated, and was interrupted due to creatine phosphokinase elevation in only one patient. Conclusion: Atorvastatina is efficacious and safe in the treatment of patients with primary hypercholesteromia. © Copyright Moreira Jr. Editora. Todos os direitos reservados.

Avaliação de diferentes híbridos suínos submetidos à insensibilização elétrica e gasosa (CO 2). Parte 1 - Mensuração de indicadores sanguíneos de estresse

Pigs of three genetics lineages A, B and C marketed in Brazil, with alive weight from 100 to 120 kg were submitted to the manual electric stunning (Karl Schermer 220-230/250 volts, 45-60 Hz and 1.4 -1.5 A) and to the collective gaseous system (COMBI-BUTINA 90% CO 2). Blood samples, for levels determination of creatine phosphokinase (CPK), lactate and cortisol, as well as samples of the semimembranosus muscle (10 g) for the determination of the gene halothane, were collected. Being compared the electric and gaseous stunning systems, the electric stunning did demonstrate to be more stressful providing larger plasmatic concentrations of cortisol (p ≤ 0.001) and lactate (p ≤ 0.001) for the genetic lineages A and C, in the studied conditions. However it didn't observe significant differences beween the sanguine indicators and stunning systems in subject when the lineage B was considered. Significant differences among the genetic lineages A, B and C were obtained being compared the plasmatic values of creatine phosphokinase (p ≤ 0.001), lactate (p ≤ 0.001) and cortisol (p ≤ 0.001) when stunned with the gaseous system, however when the electric system was used only the cortisol values presented significant differences (p ≤ 0.001). The presence of the gene halothane (Nn) was only observed in the lineage B.

Uso de indicadores hidrológicos para classificação de trechos de estradas florestais quanto ao escoamento superficial

Forest roads are frequently pointed as source of environmental problems related to erosion and they also influence harvest cost due to maintenance operations. Roads not well designed are sources of hydrological problems on catchments and the current attention to sustainability of forest exploration projects point out to the need of diagnostics tools for guiding the redesign of the road system. At this study, runoff hydrological indicators for forest road segments were assessed in order to identify critical points of erosion and water concentration on soils. A road network of a forest production area was divided into 252 road segments that were used as observations of four variables: mean terrain slope, main segment slope, LS factor and topographic index. The data analysis was based on descriptive statistics for outliers' identification, principal component analysis and for variability study between variables and between observations, and cluster analysis for similar segments groups' identification. The results allowed classifying roads segments into five mains road types: road on the ridge, on the valley, on the slopes, on the slopes but in a contour line and on the steepest slope. The indicators were able to highlight the most critical segments that differ of others and are potential sources of erosion and water accumulation problems on forest roads. The principal component analysis showed two main variability sources related to terrain topographic characteristics and also road design, showing that indicators represent well those elements. The methodology seems to be appropriated for identification of critical road segments that need to be redesigned and also for road network planning at new forest exploration projects.

Um método de gestão de fornecedores baseado na avaliação da eficácia de auditorias realizadas na fase de desenvolvimento de produtos

The main goal of this work is to present a supplier's management method based on evaluation of audits performed at suppliers during products development phase. Audits are prioritized according to the impact of supplied parts on the development and its main goals are identification of risks, to propose and perform action plans and to evaluate periodically the supplier's performance to prevent problems. It is proposed that if the audits in the development phase be efficient, the supplied products will have good maturity to entry into service and stable performance. This issue was evaluated in a aeronautic company and the analyzed results in 2006 were considered good.

Avaliação comparativa da eficácia de fitoterápicos e produtos químicos carrapaticidas no controle do boophilus microplus (Canestrini, 1887) por meio do biocarrapaticidograma

The aim of this research was to evaluate the efficacy of plant extracts and chemical products for the control of Boophilus microplus. Three commercial products for the control of Boophilus microplus were in vitro evaluated, chemical compounds of cypermethrin + DDVP and organophosphate as recomended by the manufacturer, and also four plant extracts, Azadirachta indica (1%), Cymbopogon densiflorus, Lippia alba and Ipomoea asarifolia at different concentrations. The results showed that the chemical compounds tested had efficacy lower than 95% against the Boophilus microplus samples in the experiment. The extracts of all plants have shown some biological activity in the mortality of ingurgitated females and inhibition of egg crash, however the extract of Azadirachta indica presented efficacy higher than 95% in all tested concentrations, being the best sample tested in this experiment.