Os 600 transplantes renais do Hospital das Clínicas da Faculdade de Medicina de Botucatu (HC da FMB) - UNESP: Mudanças ao longo do tempo

Introdução:Os resultados alcançados pelos transplantes renais nas últimas décadas têm melhorado progressivamente. Objetivo:A fim de determinar a extensão desse progresso, conduzimos uma análise dos resultados obtidos em nosso programa de transplantes através de três períodos diferentes. Métodos:Avaliamos os 600 transplantes renais realizados no HC FMB-UNESP até dezembro de 2011, subdividindo-os em três eras, de acordo com a imunossupressão vigente. Era 1: de 1987 a 2000 (n = 180); associação de ciclosporina e azatioprina. Era 2: de 2001 a 2006 (n = 120); associação de ciclosporina e micofenolato e Era 3: de 2007 a 2011 (n = 300); associação de tacrolimus e micofenolato. Resultados:Os resultados mostram aumento da idade média do receptor, da prevalência de diabetes e do número de transplantes com doador falecido (60%) na terceira era. O uso de terapia de indução foi de 75% era atual contra 46,6% (Era 2) e 3,9% (Era 1), p < 0,0001. Os dados de sobrevida geral por tipo de doador mostram dados semelhantes à literatura. Houve progressivo aumento da sobrevida do enxerto com doadores falecidos em 5 anos, saindo de 13,7% (Era 1) para 81,9% (Era 3). Conclusão:Houve significativas diferenças ao longo do tempo, culminando com aumento do volume de transplantes na atual era (média de 14 transplantes/ano na Era 1 para 75 transplantes/ano na Era 3). Inverteu-se o perfil de transplantes na era atual com predomínio de doador falecido. A melhor sobrevida com doador falecido da atual era foi atribuída a maior experiência do centro e aos esquemas de imunossupressão baseados na combinação de tacrolimus com micofenolato associados a esquema de indução.

BASTA APLICAR UMA INJEÇÃO? DESAFIOS E CONTRADIÇÕES DA SAÚDE PÚBLICA NOS TEMPOS DE JK (1956-1961). Muniz ES. Belo Horizonte: Fino Traço/Campina Grande: EDUEPB/Rio de Janeiro: Editora Fiocruz; 2013. 104 p.

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

Infection of water buffalo in Rio de Janeiro Brazil with Anaplasma marginale strains also reported in cattle

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Gerenciamento dos resíduos de serviços de saúde da Unidade de Terapia Intensiva do Pronto Socorro do Hospital das Clínicas da Faculdade de Medicina de Botucatu – UNESP

Health care waste (HCW) is the type of waste that results from activities performed in health care services during care provision to humans or animals. Presently, according to RDC 306/04, issued in 2004 by Anvisa, and Resolution no. 358/05, by CONAMA, waste groups have the following classification: Group A (biological waste), Group B (chemical waste), Group C (waste containing radionucleotides), Group D (common waste) and Group E (piercing and cutting waste). In Brazil, 149 tons of wastes are collected every day, and HCW corresponds to approximately 1% to 3 % of that total. An efficient way to adequately manage HCW is through the Health Care Waste Management Plan (HCWMP), and it is possible to reduce the risk posed by certain materials in addition to ensuring disposal in an ecologically correct and economical fashion. According to the Pan-American Health Organization (PAHO), the management process enables health care establishments to adequately manage waste. Hence, there is greater control and reduction in the health risks caused by infectious or special waste, in addition to facilitated recycling, treatment, storage, transport and final disposal of solid hospital waste in an environmentally safe fashion. To evaluate the management of HCW of Groups A and D from the Intensive Care Unit of the University Emergency Hospital - FMB - UNESP in the city of Botucatu according to the guidelines presently in force. The waste flow was followed up, and during four random days in the month of September 2011, waste was quantified by estimating daily and monthly values, according to its classification. : In 2011, the University hospital has produced an average of 57,676.8 kg/month of biological and common waste. By adding Groups A and D, during the four days, approximately 209.8 Kg of waste (202.2 Kg of Group A and 7.6 Kg of Group D) were produced in the establishment under study, which... (Complete abstract click electronic access below)

Caracterização da demanda do pronto socorro do Hospital das Clínicas da Faculdade de Medicina de Botucatu - UNESP

The demand for health services can be understood as an application needs the user has. The inability to use the outpatient services and limited supply of these make it possible for users to browse sites that focus attention on a greater possibility of entry doors, in which first-aid centers and hospital emergency match this profile, distorting the flow of patients in the network through an inverse demand of the movement hierarchy. Added to this, the burden of care in these services results in overcrowding and poor quality of care. Evaluate the demand of the visits occurred in the Emergency Room of the Hospital of the Medical School of Botucatu / UNESP (PS - HC - FMB / UNESP) during June-July 2010. A transversal, descriptive and retrospective. For data collection sheet was used in the proposed Service unit and the data it was filled out the form with the necessary items for the search. Made an exploratory analysis and frequency distributions for categorical variables of the form. Females predominated (56%) and aged 61 years or older with 30%. 96.5% were owned by DRS VI, and 62.5% of Botucatu. The attendance by the physician on duty and corresponded to 57.7% among the 23 medical specialties, Gastric (7.0%), Cardiology (4.5%), Medical (4.4%), urology (4.2%) and Pulmonology (4.1%) were the ones that stood out. The medical procedures performed that stood out were X-ray (46.4%) and electrocardiogram (ECG) (42.3%) and in most specialty care occurred, only the daily consultation with the patient. It was possible to characterize, so the demand for PS - HC - FMB / UNESP for the period June- July 2010, The predominance of the elderly shows that come along with aging diseases and addictions, causing a greater need for health services. Moreover, this study showed that the high number of visits is related to both the daily demands that the tertiary hospital has the same transformation... (Complete abstract click electronic access below)

Análise comparativa dos estudos de impacto ambiental (EIA-RIMA) de projetos dutoviários no Brasil: estudo dos gasodutos Paulínia-Jacutinga, Rio de Janeiro-Belo Horizonte e Urucu-Porto Velho

Pipelines are linear construction that intersect several environments, requiring integration of environmental and technical aspects in its various elaboration steps. Environmental impact assessment if made to integrate the environmental information to enable environmental characterization, possibility identify previously fragilities of environment what contributes to the safety forecast of the significant impacts. These studies shall consider superimpose of the elements and the worsening of critical situations that already exists. In this way, meet and analyse informations about the environmental impact assessment, constructive aspects related to pipelines transport and get environmental impact studies of the case studies, providing the student a critical vision for the discussion of the apropiate balance between description and analysis, methodological rigour and the interface between construction and the environmente with inserts. Performing the critical analysis of methodologies and applied criteria for the environmental diagnosis and impact identification, search improve the methodologies for elaboration of environmental impact studies for linear construction, particulary pipelines, minin conflicts and giving security for the license process. Await provide subsidy to direction data collection, for choosing environmental indicator and for the prognosis and indentification of impacts.

Utilização de geotecnologias no monitoramento de processos erosivos e movimentos de massa em trecho da faixa de dutos Rio de Janeiro - Belo Horizonte

The transportation of oil through pipelines raises a concern related to safety and environmental impacts they may cause, especially when exposed to risks that affect their integrity. Among the natural phenomena that can affect the pipelines are erosion and landslides. Considering the large territory involving the pipelines, remote sensing tools have a great applicability for data acquisition. For this, visual analysis techniques were applied to perform change detection in order to monitor erosion features and landslides along a stretch of pipeline Rio de Janeiro – Belo Horizonte, in the state of Rio de Janeiro. The work involved the characterization of the study area as well as the erosion and landslide processes, through bibliographical data. The satellite image processing and the application of change detection techniques were developed in two scenes for the years 2002 and 2010. It was noted a small increase in the number of the identified features, however with regard to their area, a decrease of 21.7% was observed

Distribuição e dispersão dos níveis radiométricos do setor técnico de medicina nuclear do hospital das clínicas da faculdade de medicina de botucatu

Nuclear medicine uses non-sealed sources for exams and treatments, because the movement of these sources, source of patients injected or not, involve a wide range of environmental radiometric levels. To better control of these levels this study was aimed at monitoring points strategically distributed in all environments Sector Technical Nuclear Medicine, Hospital of the Botucatu Medical School, performing two measurements at random times daily for a period of three months, sampling the normal routine of the sector. The detector Geiger-Muller was used for the acquisition of exposure rates of the points, efficiency and reprodutibility test have shown good performance of this equipment for this purpose. The results allowed to make a projection of annual dose for each environment indicating higher risks for Occupationally Exposed Individuals as well as Public Individuals compared with the limits established by the National Commission of Nuclear Energy. Was developed a spatial map of dose that can be used as a visual warning to the regions with the highest exposure to ionizing radiation, enabling reduced risk of a potential exposure

Aplicação de técnicas de geoprocessamento para a avaliação da expansão urbana no municípo de Duque de Caxias (RJ) como subsídio ao monitoramento de dutos: trecho da faixa de dutos Rio de Janeiro - Belo Horizonte

Different forms of human pressure may occur in the pipeline ranges, due to the large extensions and various configurations of land use, which can pass through the pipelines. Due to the dynamics of these pressures, it is necessary to monitor temporal changes of land use and cover the surface. Under this theme, appears as extremely important to use products and techniques of remote sensing, as they allow the identification of objects of the land surface that may compromise the security and monitoring of the pipeline, and allows the extraction of information conditions on land use at different periods of time. Based on the above, this paper aims to examine in a temporal approach, the process of urban expansion in the municipality of Duque de Caxias, located on the outskirts of the metropolitan area of the state of Rio de Janeiro, as well as settlement patterns characteristic of areas that the changes occurred in the period 1987 to 2010. We used the technique of visual analysis to perform the change detection and the technique of image classification, aimed at monitoring human pressure over a stretch of track pipeline Rio de Janeiro - Belo Horizonte, located in the state of Rio de Janeiro. The stages of work involved the characterization of the study area, urban sprawl and the existing settlement patterns, through the analysis of bibliographic data. The processing of Landsat 5 images and the application of the technique of change detection were performed in three scenes for the years 1987, 1998 and 2010, while the classification process was performed on the image RapidEye for the year 2010. Can be noted an increase in urban area of approximately 22.38% and the change of land cover from natural to built. This growth is concentrated outside to the area of direct influence of the duct, occurring in the area of indirect influence of the enterprise. Regarding the settlement patterns of growth areas, it was observed that these are predominantly

Utilização de técnicas de geoprocessamento para monitoramento de atividades de mineração ao longo de dutos: poliduto Rio de Janeiro/Minas Gerais

The transportation of oil through polyducts implies a concern related to safety and environmental impacts they may cause, especially when exposed to risks that affect their integrity. Among the various anthropogenic activities included in this scenario, mining can aggravate, increase the risks and degrade the environment. Since these polyducts go through significant extensions, remote sensing has great applicability as a tool for data acquisition. For this, change detection techniques were used to monitor mining activities in a defined study area in the state of Rio de Janeiro, along the duct ORBEL. The characterization of the study area and the mining activities were developed through bibliographical data. The satellite images processing and the application of change detection technique were performed in two scenes for the years 2002 and 2010. The growth in the mining area was about 6.67 times and it was possible to identify types of extraction involved which can represent direct risks to the pipeline

Análise das ocorrências de escorregamento por meio de imagens Geoeye em trecho da faixa de dutos Rio de Janeiro - Belo Horizonte

The analysis of natural processes, such as landslides, has a great importance for the prevention of accidents in pipelines, since it might compromise its security, with serious social and environmental implications. Considering the large territorial dimensions that pipelines can reach, remote sensing tools have great applicability for data acquisition, allowing the analysis of large areas in regular time periods. This study aims to analyze the relations between the occurrence of landslides and its natural conditionings, on a stretch of the ORBEL pipeline, in the municipalities of Duque de Caxias, Nova Iguaçu and Belford Roxo – Rio de Janeiro. GeoEye sensor system images were used with spatial resolution of 0.5 m, from November/2009, January/2010 and March/2010, that are months of summer rains. The work involved the characterization of the study area and existing landslides, through bibliographic data collection; the application of visual analysis techniques for the extraction of landslide scars and fractures; preparation of maps for the landslide constraints and preparation of the susceptibility map. In the images from November only three landslide scars were extracted, while in January there were 166 and 111 in March. Difficulties were found with the shading in the images. From the relations among landslide scars, lithological units, relief systems, slope, downhill profile and the generated map of landslide susceptibility, presented in 1:70,000 scale, it was possible to conclude that slope is the main determinant of the process, allied secondarily to downhill profile, relief systems and lithology

Transtorno mental comum nos estudantes de medicina da Faculdade de Medicina de Botucatu-UNESP: uma análise longitudinal

Pós-graduação em Saúde Coletiva - FMB

Eça de Queirós na Gazeta de Notícias (Rio de Janeiro): a função social do jornal

There will be a review on the collaboration of Eça de Queirós in Gazeta de Notícias (Rio de Janeiro-1880-1897), written directly to the Brazilian public. In some of these texts Eça makes reflections on the mediation that the newspaper plays in society, particularly in southern Europe. We believe that in these texts there are manifestations and traits of doctrinal-programmatic nature, metalitterary aspects and also a kind of history of occidental press. These press texts are now gathered in Textos de Imprensa IV – da Gazeta de Notícias, which includes the volume critical edition of the works of Eça de Queirós, coordinated by Carlos Reis. The study of these texts will contribute to the analysis and interpretation of his fiction and journalistic works.