Estudo da distribuição dos casos de Diabetes Mellitus em Presidente Prudente - SP

The main causes of illness and consequent death in patients affected by Diabetes Mellitus are the long-term complications. Depression can make it harder to control the level of glucose in the blood, as well as intensifying and worsening the clinical complications, thus reducing the quality of life. The aim of this study was to estimate the incidence of Diabetes Mellitus in Public Health Clinic in Presidente Prudente (SP) in patients enrolled in the Hiper-Dia Program. From October 2003 to July 2004, a descriptive survey was carried out. Data were obtained from doctor's records of 50 diabetes patients and also their answers to a specific questionnaire. The majority of the patients were female, had not completed elementary school, with a family income below five minimum wages, a nationally-defined amount related to the poverty line. It was observed that 24% of the patients had depression and 76% never followed a controlled diet. Pharmacological treatment was prescribed for 82% of the patients. Twenty-eight patients were receiving psyicological treatment, together with oral hypoglycemic agents. The glycated hemoglobin was measured in 68%. The association between depression and submission to treatment was not significant. No statistical association was found between the psychologically assisted patient's group and glucose control (p= 0.40), diet control (p= 0.37) and physical activities (p= 0.77). It was concluded that 24% patients had depression and the majority not under diet control, but 82% were under pharmacological treatment.

Efetividade de um programa de exercícios no condicionamento físico, perfil metabólico e pressão arterial de pacientes hipertensos

Background and objective: It has been shown that aerobic exercise is useful to reduce arterial pressure, however, the effectiveness of an exercise program is still controversial and not very well analyzed among populations with low-income. The objective of the present study was to set up an individualized physical fitness program - Projeto Hipertensão - focused on hypertensive people, patients from a Health Basic Unit (HBU) and, after that, to investigate the effects of this program on physical fitness, metabolic profile and pressure levels. Methods: Sixteen hypertensive women (56 ± 3yrs) under regular pharmacological treatment underwent 4 months of a supervised aerobic and stretching exercise program (3 sessions/wk, 90 min/session, 60% of V̇O 2 max). Several physical and metabolic variables were compared before and after 4 months of training. Results: Training significantly reduced systolic arterial pressure (SAP, -6%), improved cardio-respiratory fitness (+42% of V̇O2max), flexibility (+11%) and plasma glucose content (-4%). BMI and % fat did not change. Besides modifying metabolic profile, it was found that training presented significant correlations between individual initial values of cholesterol total level (CT), high density lipoprotein (HDL-C) and low density lipoprotein (LDL-C) and its responses after exercise. Conclusions: The study shows that exercise programs can be personalized for hypertensive patients from a HBU and confirms the effectiveness of exercise on AP, physical fitness, flexibility and lipid profile on hypertensive patients. The expressive reduction of AP in hypertensive subjects suggests that this exercise intervention should be emphasized on other health centers which assist low-income population.

Avaliação de política ambiental e sustentabilidade: Estudo de caso do município de Santo André - SP

The management of the São Paulo Metropolitan Area has as one of the challenges to bring a sustainable solution for land use in watershed protection areas, aiming at regional water resources protection. This paper has the objective to contribute to the discussion about Sustainable Development Strategy Assessment, from an analisys with focus at the environmental policies of the Santo André City - SP Brazil, in the context of water resources protection. For this, the proposal is to verify, based on the Bellagio Principles, the use of systemic approach, transparency, participatory process and social engagement in its policy formulation and implementation process. It was observed coherence within the policies, programmes and actions analysed, nevertheless, gaps were identified, which, within a strategic approach, means weakness for the construction of the local sustainability, as the lack of a consolidated sustainability indicators system.

Os efeitos de um programa de atividade física de carga progressiva nas propriedades físicas e na força óssea de ratas osteopênicas

Background: Many studies have shown that physical exercises are able to stimulate bone formation and increase bone mass, constituting a therapeutic modality to treat bone loss due to osteoporosis. However, some points about the intensity, duration and frequency of the exercises remain confusing and contradictory. Thus, the aim of this study was to determine the effects of a progressive loading exercise program on femur of osteopenic rats. To induce osteopenia we used the animal model of ovariectomy (OVX). Forty animals was studied and divided into 4 groups: sham-operated sedentary (SS); ovariectomy-sedentary (OS); sham-operated training (ST) and ovariectomy training (OT). The trained groups performed jumps into water: 4 series of 10 jumps each, with an overload of 50% to 80% of the animal's body weight, during 8 weeks. Femora were submitted to a physical properties evaluation, a biomechanical test, calcium and phosphorus content measurement and a morphometric histological evaluation. Results: osteopenic animals showed a decrease of bone strength and lower values of bone weights, bone density and calcium content. The exercised osteopenic rats showed higher values of geometrical, physical properties, bone strength and calcium content compared to controls. The results of the present study indicate that the progressive loading exercise program had stimulatory effects on femora of osteopenic rats. It seems that the intensity and duration of the protocol used produced bone structural adaptations, which contributed to reverse bone loss due to ovariectomy.

Impactos do uso público EM atrativos turísticos naturais no município de AltinóPolis (SP)

This work was developed aiming to evaluate the environmental impacts of the public use in natural touristic attractive at Altinópolis city (SP), using the Visitor Impact Management method (VTM). In each analyzed natural resource a specific questionnaire was elaborated in accordance with the appropriate pointers that allowed to determinate environmental quality of each point. The results indicated that only two tourist areas need special attention for their preservation. Minimization methods, monitoring and educational practices are proposals in order to tourist practices be made with environmental responsibility.

Flebotomíneos (Diptera, Psychodidae) de área de cerrado no Município de Corumbataí, Centro-leste do Estado de São Paulo, Brasil.

Distribution and ecology knowledge of sandfly species is essential for epidemiology vigilance and risk determination for transmission of leishmaniasis. Sandfly trapping was carried out in a cerrado strictu sensu vegetation fragment in a rural area of Corumbataí Municipality, São Paulo State, Brazil, during July to November 2004. Two CDC light traps were used from 18h to 8h, once a month, resulting in 112 total hours of capture. During this period, 60 sandfly specimens of ten different species were sampled. The most abundant species and the one found in all captures was Pintomyia monticola totalizing 15 (25.0%) specimens, the second more abundant one was P. pessoai with 14 (23.3%) and the third one was Brumptomyia guimaraesi with 12 (20.0%) individuals collected. Other captured species were Psathyromyia aragaoi, B. avellari, B. brumpti, B. cunhai, P. bianchigalatiae, Evandromyia termitophila and Nyssomyia whitmani which corresponded to 19 (31.2%) specimens captured. Pintomyia pessoai and N. whitmani presence indicates transmission risk of American Cutaneous Leishmaniasis in the area.

Características fenotípicas de 44 progênies de espinheira-santa (Maytenus ilicifolia Mart. ex Reiss) cultivadas no município de Ponta Grossa, PR

Due to the confirmation of its medicinal properties, the demand and the area planted with 'espinheira-santa' have been increasing. However, there are no sources of propagation material with known characteristics. Progenies of Maytenus ilicifolia Martius ex Reiss (espinheira-santa), originating from Southern Brazil have been analyzed, and currently comprise a germplasm inventory for the species. Studies included the assessment of in natura growth features (height and production of biomass canopy) and plant chemistry (lignin, phenols and mineral element contents), and targeted the creation of a data base, characterizing populations/progenies to be used in future selection and breeding programs of the species. Among the features assessed, were considered desirable the ones related to productivity (high foliar mass to branch mass ratio) and also the absence of thorns on the leaves. High total phenol and tannin content were observed in all the progenies assessed and these features is desirable as long the absence of toxic effects and preservation of the therapeutic quality of the plant medicinal elements produced can be proved.

Efeito de um mês de destreinamento sobre a aptidão física relacionada à saúde em programa de mudança de estilo de vida

Physical exercise induces hemodynamic/ventilatory and neuromuscular adaptations that can be reverted with interruption of the training program. The aim of the present study was to evaluate the effect of detraining on physical fitness related to health. Forty-four healthy subjects, both male and female, aged 57.6±8.9 years performed the 'Mexa-se Pró-Saúde' protocol with nutritional orientation and supervised physical exercises for nine months. The program consisted of aerobic, localized muscular endurance and flexibility exercises, with duration 80 minutes/session, five days/week. Only subjects who participated in the program for more than three days/week have been selected. The detraining period was one month. Weight (kg) and height (m) were measured and the body mass index (BMI) calculated. Additionally, motors tests to evaluate the flexibility (FLEX), strength of lower limbs (SLL) and upper limbs (SUL), and maximal oxygen uptake (VO2máx) were conducted in the beginning of the study (MI), after nine months of practicing (MT) and after detraining period (MD). ANOVA (p<0.05) and Tukey test to show the difference between groups when it evidence were used for statistical treatment. The results showed that the gains of 22% and 7% on SLL and VO2máx respectively, obtained with the training, have not changed during the detraining period; however, the flexibility gain of 8% returned back to baseline after the detraining period. BMI and SUL did not change during the study. Although the lower limbs strength gains and maximal oxygen uptake obtained have been kept, one month of detraining was enough for losing the flexibility acquired.

Caracterização morfométrica da microbacia hidrográfica do Córrego da fazenda glória, Município de Taquaritinga, SP.

The analysis of morphometric characteristics is used to understand the relationship between soil and surface as a result of erosive processes on different structures and lithologies. The objective of this study was to study the morphometric characteristics of Fazenda Gloria watershed from 1983 to 2000, a fourth-order watershed in Taquaritinga Municipality, São Paulo State. The study was based on photointerpretation techniques. Drainage net and the respective watersheds were selected and the morphometric variables were determined. The watersheds consisted of 7 second-order watersheds and 2 third-order watersheds. The morphometric characteristics showed a reduction in the number of segments of first-order rivers and in the length of the drainage net during the study period. These findings could be related to several influences on land development considering occupation and use of land. A different hydrological behavior could also be observed. The analysis of Fazenda Glória Watershed showed that the length of the segment of fourth order river remained constant during the study period.

Estudos ecológicos em taxocenoses helmínticas de Chaunus ictericus (Spix, 1824) e C. schneideri (Werner, 1894) (Anura: Bufonidae) simpátricos, capturados no distrito de São Cristóvão, Município de Três Barras, Santa Catarina.

Fifty eight Chaunus ictericus and 42 C. schneideri specimens were collected on São Cristóvão district, Três Barras, SC for helminthological studies. Fourteen helminth species were diagnosed, from which only five species were found on both hosts. Chaunus ictericus showed higher values of species richness (2,8448+/-1,1516) and diversity (H = 1,374), with mild dominance (1-D = 0,642, J = 0,5528), in comparison with C. schneideri (0,6428+/-1,007; H = 1,165; 1-D = 0,5822 e J = 0,5985). Also, descriptors of helminthic infection were superior in the former host. Little number of shared species between the analyzed toad species suggests parasitic host-specificity.

Analise da relação entre escorregamento e formas de vertentes no município de cubatão (SP) e seus arredores

The city of Cubatão is a densely populated area with high industrial activity. In the area there are also important linear works as roads, railways, pipelines, aqueducts and lines of transmission of energy. The geological and geomorphological features of the municipality, combined with the human activities, make the site an area heavily prone to the landslides, so a region at high risk. In this work, landslide scars were extracted in aerial photos from 1985 and 1994, years that recorded a high incidence of landslides. Quantitative analysis of the relationship between the occurrence of scars and the forms of tracks were conducted, based on an intensive survey of scars in the region, represented by 2595 extracted scars, with the aim of contributing to a better understanding of the slipping processes in the Serra do Mar paulista and thus to the reduction of risks in the region. Achievements have concluded that the greatest percentage of slides in the region is linked to the strands straitght, followed by convex, which confirms previous studies conducted in the region, in a qualitative way or with a much lower number of scars.

Análise temporal do uso e ocupação do solo na microbacia hidrográfica do córrego da Fazenda Glória, Município de Taquaritinga, SP

The role of environmental concern is important due to the disorganized land occupation and intense exploitation of natural resources which lead to the degradation and exhaustion of the environment. Remonte sensing techniques allow identifying, recognizing and mapping areas modifiers besides estimating the extension of alterations made by man. Thus, the objective of this study was to map land use and occupation in order to evaluate the development of the Gloria Farm Stream watershed in Taquaritinga, SP, Brazil, from 1983 to 2000. The drainage network and agricultural and natural vegetation areas were identified by stereoscopic analyses of 2000 aerial photographs and by data analyses of the field and cartographic documents. The results verified that sugarcane became predominat in 2000 and it is distributed in relatively large areas with detriment to citrus orchards and other crops. The presence of dams, which is not noted in 1983 data, and the increase of forest and natural vegetal fragment areas in the analyzed period was observed. Recovered areas dur to reforestation with native species were identified along the streams and springs of Jabuticabal Mountain Range.

Os Répteis do Município de São Paulo: Diversidade e ecologia da fauna pretérita e atual

The reptile fauna in the municipality of São Paulo is well sampled due to intensive collection in the last 100 years. In the present work we provide a checklist of reptile species in São Paulo municipality based on preserved specimens in scientific collections. The reptile fauna was also characterized by three ecological parameters: habitat use, substrate use, and diet. We recorded a total of 97 reptile species (two turtles, one crocodilian, 19 lizards, seven amphisbaenians, and 68 snakes). Approximately 70% of the lizards and 40% of the snakes are typical of forest habitats of the Serra do Mar mountain range. Other squamates are typical of open formations that occur mainly on inland Cerrado habitats. All turtles and the crocodilian are associated to riparian habitats. Approximately 63% of the lizards are predominantly terrestrial, and the remaining species are arboreal. Most species of snakes are terrestrial (38%) or subterranean/criptozoic (25%) whereas a smaller proportion are arboreal (18%) or aquatic (9%). Lizards feed upon arthropods. Almost 50% of the snake species are specialized or feed mainly upon anuran amphibians. Other important items consumed by snakes are mammals (24%), lizards (18%), subterranean vertebrates (10%), and invertebrates (earthworms, mollusks and arthropods; 15%). A total of 51 reptile species have not been recorded for the last six years. Probably many of these species are extinct in the region due the intense local urbanization and habitat loss. The survey of species collected in São Paulo municipality and received in the Instituto Butantan in recent years allowed the identification of 10 lizards at least 42 snake species already occurring in the region. The high species richness of the original fauna seems related to the geographic location of the municipality, in a contact zone between forested areas of the Atlantic Forest (ombrophilous forest) and open formations (savannas, high-altitude grassland). Thus, the original habitat composition probably allowed sympatry among different species pools typical of both open and forested formations. The extant snake fauna recorded in the last three years indicates a higher loss of the species in open formations when compared to the forested areas.

A ótica do usuário na avaliação da qualidade do programa de atenção odontológica à gestante

Objective: To evaluate the pregnant women's perception of the FOA-UNESP's Pregnant Women Dental Care Program (Araraquara, SP, Brazil). Method: The sample included 75 pregnant women and used a questionnaire with 16 closed questions, containing variables grouped in the following categories: the didactic-psychological meetings, clinical treatment, professional's profile, clinical facility, fear/confidence in the treatment, and learning. Except for the variables fear/confidence in the treatment and learning, to which 'yes' or 'no' answers were attributed, the remaining variables were attributed answers varying from weak to excellent. The questionnaire pretested in a pilot-study and applied after informed consent was obtained from all pregnant women treated between 2005 and 2006. Results: Most women rated as excellent the information addressed during the didactic-psychological meetings (81.1%), the clinical treatment (90.6%), the professional as to personal appearance, kindness and attention (88.7%, 96.2% and 90.6%, respectively), and the clinical facility as to cleanness, ventilation and comfort (92.5%, 86.8% and 90.6%, respectively). Most of them stated to feel confident (96.2%) and have no fear (86.8%) during the treatment and also affirmed having learned new information in the didactic-psychological meetings of the program (92.5%). Conclusion: The services and actions developed in the program have reached successful outcomes, providing health to the pregnant women and their forthcoming babies.

Paisagem natural paleógena da bacia sedimentar de São Paulo no município de guarulhos, estado de São Paulo

Paleogene sediments of this region represent a significant source of water for urban, industrial and agricultural activities. This basin is part of the Southeastern Brazilian Continental Rift, which occupies a large portion of this geographical area. This study aims to present the evolution of the natural Paleogene landscape, through an analysis of its stratigraphic intcrops and underground portions based on the concept of facies and facies associations. A total of nine clastic and separate lithofacies were recognized and grouped into two main facies associations. These data suggest the existence of two depositional interdigitated systems: fluvial braided fans, which were predominant in parts of the northern and central area, and another composed of lacustrine sediments found in its central-south region. The paleogeography herein outlined will help considerably in the detection of new areas for mineral and water resources prospection, as well as in urban planning projects of this region.