Gestão de Resíduos Sólidos no Município da Praia - Proposta de Uma gestão Sustentável

A gestão dos resíduos sólidos é um grande desafio que as administrações municipais enfrentam, que exige a concepção e implementação de um programa de gestão integrada dos resíduos, baseado em critérios ambientais, sanitários e económicos claramente definidos. O presente trabalho tem como objectivo a identificação dos constrangimentos com que lidam os serviços municipais de saneamento e a apresentação de alternativas para a Gestão de Resíduos Sólidos no Concelho da Praia – Cabo Verde, bem como uma proposta de gestão de RSU considerado viavel para o municipio. Partiu-se do pressuposto que a implementação de processos adequados de recolha, acondicionamento, transporte, deposição final dos Resíduos Sólidos Urbanos, pode constituir uma via para minimizar os impactos negativos sobre o ambiente no município e que o envolvimento de todos os actores e acima de tudo do munícipe, pode viabilizar o melhoramento da Gestão de Resíduos Sólidos. A pesquisa caracteriza-se como exploratória e discritiva; esploratória por se pretender dar uma visão do processo de Gestão de Resíduos Sólidos no município e se propor investigar processos alternativos ao mesmo. Descritiva porque será estudado e caracterizado o nível de atendimento que os serviços municipais prestam e as atitudes e comportamentos da população. Para efectivar a pesquisa foram realizadas: uma pesquisa documental e bibliográfica; entrevistas a responsáveis e técnicos de diferentes serviços; trabalhos de campo. Os resultados apontam para a necessidade de implementação de um programa que: i) permita o conhecimento e a caracterização minuciosa dos tipos de resíduos e quantidades geradas no município; ii) garanta a recolha, transporte e deposição adequada dos resíduos; iii) inclua uma vertente de sensibilização e educação ambiental.

Effect of sodium loading/depletion on renal oxygenation in young normotensive and hypertensive men.

The goal of this study was to investigate the effect of sodium intake on renal tissue oxygenation in humans. To this purpose, we measured renal hemodynamics, renal sodium handling, and renal oxygenation in normotensive (NT) and hypertensive (HT) subjects after 1 week of a high-sodium and 1 week of a low-sodium diet. Renal oxygenation was measured using blood oxygen level-dependent magnetic resonance. Tissue oxygenation was determined by the measurement of R2* maps on 4 coronal slices covering both kidneys. The mean R2* values in the medulla and cortex were calculated, with a low R2* indicating a high tissue oxygenation. Ten male NT (mean age: 26.5+/-7.4 years) and 8 matched HT subjects (mean age: 28.8+/-5.7 years) were studied. Cortical R2* was not different under the 2 conditions of salt intake. Medullary R2* was significantly lower under low sodium than high sodium in both NT and HT subjects (28.1+/-0.8 versus 31.3+/-0.6 s(-1); P<0.05 in NT; and 27.9+/-1.5 versus 30.3+/-0.8 s(-1); P<0.05, in HT), indicating higher medullary oxygenation under low-sodium conditions. In NT subjects, medullary oxygenation was positively correlated with proximal reabsorption of sodium and negatively with absolute distal sodium reabsorption, but not with renal plasma flow. In HT subjects, medullary oxygenation correlated with the 24-hour sodium excretion but not with proximal or with the distal handling of sodium. These data demonstrate that dietary sodium intake influences renal tissue oxygenation, low sodium intake leading to an increased renal medullary oxygenation both in normotensive and young hypertensive subjects.

Correlation between depressive symptoms and quality of life in users of psychoactive substances

Objectives: To evaluate the correlation between the presence of depressive symptoms and quality of life in users of psychoactive substances from Psychosocial Attention Centers in Mato Grosso. Method: A cross-sectional analytical study, conducted in Psychosocial Attention Centers, with 109 users. The instruments used were: Medical Outcomes Study 36, Beck Depression Inventory, socio-demographic variables and the use of psychoactive substances. A Tukey analysis and a Spearman correlation were conducted with a significance level of α<0,05. Results: The most affected domains of quality of life were emotional, social and mental health aspects, besides the strong correlation between depressive symptoms and quality of life. Conclusion: The use of psychoactive substances and the presence of symptoms significantly interfere in the life of users, which can compromise the motivation to the treatment, negatively affecting the quality of life in this population.



Landshövding Uuno Hannula 10.4.1963 Kemi

Kirje

Antibiotic treatment of experimental endocarditis due to methicillin-resistant Staphylococcus epidermidis.

The natural history and treatment of experimental endocarditis due to heterogeneous and homogeneous methicillin-resistant Staphylococcus epidermidis was investigated. Amoxicillin/clavulanate or vancomycin were administered for 3 days via a computerized pump to mimic human drug kinetics in animals. After challenge with the minimum inoculum producing 90% of infections (ID90), bacteria in the vegetations grew logarithmically for 16 h. Then, bacterial densities stabilized (at approximately 10(8) cfu/g) and growth rates sharply declined. Both regimens cured &gt; or = 60% of endocarditis (due to heterogeneous or homogeneous bacteria) when started 12-16 h after infection, although the bacterial densities in the vegetations had increased by 20 times in between. In contrast, treatment started after 24 h failed in most animals, while bacterial densities had not increased any more. Thus, while both regimens were equivalent, the therapeutic outcome was best predicted by growth rates in the vegetations, not by bacterial densities. These observations highlight the importance of phenotypic tolerance developing in vivo.

High-dose sequential chemotherapy (ICE) under circulating progenitor cells (CPC) protection in patients with small cell lung carcinoma (SCLC). Preliminary report on a multicentric study

Starting in February 1994, 20 patients (pt) with a median age of 50 years(range 41-63) from 7 European centers have been included. Completedata were obtained in 16 patients so far. CPC were mobilized with chemo(Epirubicine 75 mg/m2 /d, 01 + 02) followed by G-CSF 5 p.gfkg/d for14 days. HD chemo consisted in 3 sequential courses of ICE regimen(UOs. 10 g/m2 , Carbo. 1200 mg/m2 and Etop. 1200 mg/m2 ) underCPC protection and G-CSF 5 p.g/kg/d. Out of the 16 pt, 12 completedfull program (3 cycles). One pt died of septic shock before receivingany ICE course. One pt died during the first ICE of renal insufficiency.Two pt had only 2 courses because of toxicity. Among the 16 pt, responserate (RR) was: 7 CR, 6 PR, 1 PO; 3 pt are not evaluable dueto early withdrawal (overall RR: 13/16 = 81 %). Thirty-nine cycles ofHD chemo were given with a median hematological recovery of 9 days(range 7-12) until neutro. counts> 1.0 x 109 /1 and 9 days (range 717)until thrombo. > 20 x 109 /1. No cumulative, hematological toxicitywas seen. Accrual of patients is still ongoing and updated results will bepresented.

Siofokissa, pienessä kylpypaikassa Balaton-järven etelärannalla. Lauantaina 16/6 -28

Kirje 16.6.1928

Seppä Antti Kemppainen 20/10 1971

Kirje 20.10.1971

SNTL:n Korkeimman neuvoston puhemiehistön puheenjohtajan N.V. Podgornyin virallinen vierailu Suomeen 14.-18.10.1969 (Tasavallan Presidentin vastauspuhe Neuvostoliiton suurlähetystössä SNTL:n Korkeimman neuvoston puhemiehistön puheenjohtaja N.V. Podgornyin vierailun johdosta järjestetyillä päivällisillä 15.10.1969)

Puhe

L'hygiène des albuminuriques / par le Dr Maurice Springer,...

Collection : Bibliothèque d'hygiène thérapeutique