scholarly journals The Worth of Surveillance for Vancomycin-Resistant Enterococci in the Hematology-Oncology Unit

Blood ◽  
2014 ◽  
Vol 124 (21) ◽  
pp. 6009-6009
Author(s):  
Marcelo Bellesso ◽  
Edson Abdala ◽  
Juliana Pereira ◽  
Rodrigo Santucci ◽  
Karim Yaqub Ibrahim ◽  
...  

Abstract Background: Vancomycin-resistant enterococcus (VRE) has become a nosocomial pathogen of increasing importance. First identified in Europe in 1988, it has since been identified in multiple sites in the United States and Canada, as well as in Latin America. A 20-fold increase in the percentage of enterococci associated with nosocomial infections that were resistant to vancomycin, from 0.4% in 1989 to 7.9% in 1993, has been reported by the Centers for Disease Control and Prevention. VRE outbreak has been identified on February 2012 in hematology-oncology unit. It has since implemented some outbreak measures in order to control this outbreak, and as part of the control program during this outbreak of VRE infection in oncology-hematology unit of our tertiary care hospital, swab anal cultures have been performed weekly for inpatients as well as at the moment of their hospitalization. Objectives: To assess the incidence of colonization and infection by VRE of admitted patients in oncology-hematology unit and to evaluate the role of neutropenia and central line as well as their impact on blood stream infection (BSI) by VRE in previous colonized patients. Methods: All patients admitted to hematology-oncology unit in Instituto do Câncer do Estado de São Paulo São Paulo (ICESP) were undertaken to surveillance for VRE by Hospital Infection Control Committee from March 1, 2012 to May 31, 2014. It is important to highlight that ICESP has not promoted bone marrow transplantation. Neutropenia was defined as a neutrophil count ≤0.5 x 109/L. Feces (in patients with neutropenia) or rectal swab for those with a neutrophil count >0.5 x 109/L were collected for research VRE on admission and weekly for those that persist with negative results. Enterococci were isolated by standard microbiological methods. It was considered patients with colonized VRE when a bacterium is present, without any signs or symptoms of infection. BSI by VRE was defined in patients with positive blood culture for VRE. Results: A total of 1,666 patients had been screening for VRE colonization. One hundred sixty-one cases of VRE colonization were detected among them. The rate of VRE colonization during hospitalization was 9.7%. The incidence rate of VRE colonization was 9.4 cases per 1,000 inpatient-days. Twenty (12.4%) out of 161 VRE colonized patients developed BSI by VRE. The incidence of BSI by VRE was 1.2 cases per 1,000 inpatient-days. Eleven (55%) patients with BSI by VRE presented Acute Leukemia. A hundred percent of patients with BSI by VRE presented neutropenia and 14 (70%) out of 20 had central venous catheter inserted as well. Conclusions: We conclude that it is important to perform surveillance for VRE due to our incidence of patients colonized by VRE such as BSI by VRE. We believe these data may justify surveillance attendance and contact precautions. It was observed the importance of neutropenia to BSI by VRE in patients previously colonized. Thus, this fact could suggest that others studies are necessary in order to evaluate the role of antibiotic as linezolid for febrile neutropenia treatment in patients colonized by VRE. Disclosures No relevant conflicts of interest to declare.

2020 ◽  
Vol 41 (S1) ◽  
pp. s253-s253
Author(s):  
Silvia Fonseca ◽  
Ivana Lucca ◽  
Franceliana Sgobi ◽  
Andre Fioravante ◽  
Alexandre Celia ◽  
...  

Background: Measles was considered eradicated in Brazil in 2016, but the virus reemerged in the country in 2018, causing large outbreaks. Ribeirao Preto has been measles free since 1997, but the outbreak in Sao Paulo City, 180 miles away in June 2019, alerted us to the possibility of measles patients coming to our emergency room (ER). The preparedness challenge was considerable: most healthcare workers (HCWs) had never seen a measles case before, and confirmatory measles laboratory tests were not readily available to us. Objective: To describe the hospital preparedness for the coming community measles outbreak. Methods: Hospital So Francisco is a 170-bed, general, tertiary-care hospital with 10,000 ER visits monthly. Measles preparedness consisted of measles training classes for HCWs, and flow charts with pictures and measles information in every ER office, also sent to HCW cell phones. We also designated areas for suspected measles patients for prompt medical evaluation; and we implemented mass measles vaccination for all hospital HCWs regardless of vaccination status, excluding pregnant or immunosuppressed HCWs. We considered a measles suspected case any person with fever, 1 of 3 symptoms (cough, coryza or conjunctivitis), and a generalized maculopapular rash with head-to-toe distribution. All contacts for suspected cases were recommended to obtain a measles vaccination. Detection of viral RNA in a biological sample and or a positive IgM result in serum was used to confirm a clinically suspected case. The study period spanned July 2019 to September 2019. Results: Measles training occurred for 3 weeks in July–August and reached 200 HCWs. The measles vaccination was offered July 23 to August 15; 1,362 HCWs were already vaccinated (93% of target population). In total, 35 clinical suspected measles cases were seen in the ER, and 3 of these were HCWs who had received the measles vaccine in their incubation period. Also, 3 patients were admitted to the hospital and 1 to the intensive care unit; there were no deaths. Overall, 8 patients had laboratory-confirmed measles, and 1,343 community contacts of these patients were vaccinated. We did not detect measles transmission to inpatients or to other HCWs after mass vaccination began. In the same period, Sao Paulo state had >7,000 laboratory-confirmed measles cases and 12 deaths. Conclusions: Community measles outbreaks are a challenge for the hospital infection control team, and they can potentially disrupt the daily activities in the hospital. We were able to adequately prepare for the largest state outbreak in 20 years without secondary cases or deaths.Funding: NoneDisclosures: None


2018 ◽  
Vol 10 (2) ◽  
pp. 85-113
Author(s):  
Nathalia Gleyce dos Santos Salazar

Resumo:  Apresenta-se uma discussão sobre o conhecimento e a tese dos três mundos no qual a interação entre estes nos aproxima da verdade do problema corpo-mente, tendo em vista, uma nova proposta de solução. O terceiro mundo é uma peça importante neste trabalho; sendo assim, analisaremos o que Popper designa como Mundo 3, em que ele consiste e o papel da linguagem como diferencial do ser humano. Apresentamos as críticas popperianas às correntes monistas e dualistas, ousando fazer uma crítica a Teoria do Conhecimento tradicional. Desta forma, a proposta apresentada por este filósofo da ciência diferencia-se de tudo que estava sendo feito até então, por isso, o interesse de apresentar essa abordagem pouco trabalhada de Popper. Palavras-chave: Conhecimento. Corpo-Mente. Mundo 3.Abstract: In this work, we present a discussion about knowledge and the theory of the three worlds in which the interaction between them approaches to the truth of the mind-body problem, in view of a proposed solution. The third world is an important piece in this work. Therefore, we will analyze what Popper describes as World 3, what it is and the role of language as a differential of human beings. We present Popper’s criticisms to the monistic and dualistic currents, daring to criticize the theory of traditional knowledge. Thus, the proposal of science presented by this philosopher differs from everything that was being done until then. This explains the interest in presenting this unusual approach to Popper.Keywords: Knowledge. Body-Mind.  World 3. REFERÊNCIASLEAL-TOLEDO, Gustavo . Popper e seu Cérebro. Revista da Faculdade de Letras. Série Filosofia, v. XXIII, p. 59-68, 2007.POPPER, Karl Raimund. A Lógica da Pesquisa Científica. Tradução de Leonidas Hegenberg e Octanny Silveira de Mota.  São Paulo: editora Cultrix. 2007.POPPER, Karl Raimund. Conhecimento Objetivo: uma abordagem evolucionária. Tradução de Milton Amado.  Belo Horizonte, Ed. Itatiaia Ilimitada. São Paulo, Ed. Da Universidade São Paulo, 1975._______.  O Conhecimento e o Problema Corpo –Mente. Tradução Joaquim Alberto Ferreira Gomes. Lisboa, Ed. 70. 1996.   _______. Conjecturas e Refutações: o desenvolvimento do conhecimento científico. Trad. Benedita Bettencourt. Ed. Livraria Almedina, 2006._______.  O Eu e Seu Cérebro. Karl Popper, Jonh C. Eccles;Tradução Silvio Meneses Garcia, Helena Cristina F. Arantes e Aurélio Osmar C. de Oliveira. – Campinas, SP: Papirus; Brasília, DF: Editora Universidade de Brasília. 1991.   _______. O Racionalismo Crítico na Política. Tradução de Maria da Conceição Côrte – Real. Brasília, Editora Universidade de Brasília, 2ª edição, 1994, 74p.SEARLE, John R. La construcción de la realidad social. Trad. Antoni Domènech. Barcelona: Paidós Ibérico, 1995.  


Clinics ◽  
2020 ◽  
Vol 75 ◽  
Author(s):  
Izabel Marcilio ◽  
Anna Miethke-Morais ◽  
Leila Harima ◽  
Amanda C. Montal ◽  
Beatriz Perondi ◽  
...  

2019 ◽  
Vol 13 (3) ◽  
pp. 827
Author(s):  
João Dos Reis Silva Júnior

The text seeks the understanding of the reform of the state apparatus in Brazil and the resulting reforms of republican institutions and the regulatory processes and control of society in a frightening globalized context. It tries to show economic and political dimensions of the structural changes in the state university, the research and the science of the country, considering the relations center-periphery.ResumoO texto busca o entendimento da reforma do aparelho de Estado no Brasil e das decorrentes reformas das instituições republicanas, bem como os processos de regulação e controle da sociedade, num contexto globalizado assustador. Busca mostrar dimensões econômicas e políticas das mudanças estruturais na universidade estatal, na pesquisa e na ciência do país, considerando as relações centro-periferia.Palavras-chave: Universidade estatal no Brasil atual, Mundialização, Dependência, Subdesenvolvimento.Keywords: State University in current Brazil, Globalization, Dependency, Underdevelopment.ReferencesBRESSER-PEREIRA, Luis Carlos. Crise econômica e reforma do estado no Brasil: para uma nova interpretação da América Latina. São Paulo: Editora 34, 1996.CATANI, Afrânio Mendes; OLIVEIRA, João Ferreira de. Educação superior no Brasil: reestruturação e metamorfose das universidades públicas. Petrópolis (RJ): Vozes, 2002.FERNANDES, Florestan. A revolução burguesa no Brasil. Rio de Janeiro: Zahar Editores, 1976.FURTADO, Celso. A formação econômica do Brasil. São Paulo: Cia Brasileira de Letras, 2007.HARVEY, David. 17 contradições e o fim do capitalismo. São Paulo, Boitempo Editorial, 2016.LOCKE, John. Segundo tratado sobre o governo civil e outros escritos: ensaio sobre a origem, os limites e os fins verdadeiros do governo civil. Petrópolis (RJ): Vozes, 2006.MANCEBO, Deise; SILVA JÚNIOR, João dos Reis; SCHUGURENSKY, Daniel. A educação superior no Brasil diante da mundialização do capital. Educação em Revista, v. 32, n. 04, p. 205-225, 2016.MARINI, Ruy Mauro. A dialética da dependência. Tradução de Marcelo Carcanholo e Carlos Eduardo Martins. México: Editora Era, 1973.ROBERTO, Michael Joseph. The Coming of American Behemoth – the origins of fascism in The United States (1920-1940). NYC: Monthly Review Press, 2018.SADER, Emir. Ruy Mauro Marini, intelectual revolucionário. In: MARTINS, Carlos Eduardo; VALENCIA, Adrián Sotelo. América Latina e os desafios da globalização. Rio de Janeiro: Editora PUC-Rio. São Paulo: Boitempo Editorial, 2009.SGUISSARDI, Valdemar; SILVA JÚNIOR, João dos Reis. Trabalho intensificados nas federais: pós-graduação e produtivismo acadêmico. São Paulo: Xamã Editora, 2009.SILVA JÚNIOR, João dos Reis; SGUISSARDI, Valdemar. As novas faces da educação superior no Brasil – reforma do Estado e mudança na produção. 2. ed. São Paulo: Cortez; Bragança Paulista: EDUSF, 2001.SILVA JÚNIOR, João dos Reis. Trabalho do professor nas federais: estranhamento e significados. Tese de Livre-docência, Universidade de São Paulo, São Paulo, 2011.SILVA JÚNIOR, João dos Reis. The new Brazilian university: a busca por resultados comercializáveis: para quem? Bauru: Projeto Editorial Praxis, 2017.


2011 ◽  
Vol 4 (1) ◽  
pp. 91-104
Author(s):  
Huang Wen Hsien ◽  
Matheus Alberto Cônsoli ◽  
Antonio Carlos Giuliani

This article talks about purchase decision from small and medium retailers from Piracicaba Region, São Paulo State. The bibliographic and field research showed the main influence factors and decision criteria of small retailers for purchase, related to the choice between the traditional wholesale and the wholesale and retail outlet, which is a type of store that allows the wholesaler sales to sell to small or medium-sized retailers and for end consumers who are looking for the best price. The topics treated are the distribution channels, types of agents, the role of each one and the retailers' decision of purchasing. The exploratory research was applied to small and medium-sized retailers from Piracicaba Region, Sao Paulo State Countryside. From the eight case studies it was possible to identify the aspects considered relevant for retailers in the purchase decision and partner choice. Retailers were expressed by five attributes considered the most relevant, they are: convenience, variety, price, reliability and quantity.


2020 ◽  
Vol 10 (20) ◽  
pp. 520-540
Author(s):  
Eden Correia Carli ◽  
Jerusa Vilhena de Moraes

Nosso interesse neste artigo é refletir a respeito da importância do papel da argumentação para a aprendizagem em Geografia. Para isso, elencamos neste texto leituras e reflexões feitas através das pesquisas realizadas no campo da Argumentação Científica e das investigações que estamos desenvolvendo junto ao grupo de Pesquisa “Ensino de Geografia em Múltiplos Contextos”, da UNIFESP (Universidade Federal de São Paulo). Em nossas pesquisas temos articulado a importância do desenvolvimento da competência de argumentar cientificamente com o papel que as ciências humanas têm para sua efetivação. Desejamos relacionar esta articulação ao nosso campo de pesquisas em Geografia Escolar, na medida em que estamos interessados em apreender como a Geografia contribui para a tarefa de argumentar cientificamente e como ao argumentar os estudantes podem aprender Geografia. PALAVRAS-CHAVE Ensino de Geografia, Argumentação Científica, Natureza das Ciências.   ARGUES  CIENTIFICALLY: perspectives and investigation for school geography ABSTRACT Our interest in this article is reflect about the importance of the role of argumentation for learning in Geography. For that, we list in this text readings and reflections made through the researches carried out in the field of Scientific Argumentation and the investigations that we are developing in the research group “Teaching Geography in Multiple Contexts”, from the Federal University of São Paulo (UNIFESP). In our research we have articulated the importance of developing the competence to argue scientifically with the role that the human sciences have for its effectiveness. We wish to relate this articulation to our field of research in School Geography, inasmuch as we are interested in learning how Geography contributes to the task of arguing scientifically and how in arguing students can learn Geography. KEYWORDS Teaching of Geography, Scientific Argumentation, Nature of Sciences.


2015 ◽  
Vol 8 (1) ◽  
pp. 01-07
Author(s):  
Ruberval Leone Azevedo ◽  
Marcel Faria Lima

A citricultura no Brasil exerce um papel de grande importância econômica, social, gerando empregos, renda e desenvolvimento. O Brasil é o maior produtor mundial de citros, o Estado de Sergipe destaca-se em 5º lugar nacional em produção. Dentre os vários problemas fitossanitários enfrentados pela citricultura brasileira está a Clorose Variegada dos Citros (CVC), conhecida como amarelinho, causada pela bactéria Xylella fastidiosa Wells et al. A CVC foi identificada oficialmente no Brasil, em 1987, em pomares do Triângulo Mineiro e do Norte e Noroeste do Estado de São Paulo. No Nordeste, foi constatada em 1996 em Sergipe no município de Boquim, e em 1997 na Bahia, nos municípios de Rio Real e Itapicuru. O objetivo foi revisar a literatura sobre as espécies de cigarrinhas vetores da CVC, e verificar se ocorrem no estado de Sergipe. Os primeiros sintomas são vistos nas folhas, passam posteriormente para os frutos e acabam afetando toda a planta, e para serem percebidos pode levar entre 5 meses e 2 anos. Os principais vetores da X. fastidiosa em citros são as cigarrinhas da família Cicadellidae. No Brasil já foram confirmadas 12 espécies de cigarrinhas vetoras. Para o estado de Sergipe, são escassas a informações sobre Cicadellidae vetoras, os dados são limitados ao Litoral Norte da Bahia, com exceção de vaga citação sobre quatro gêneros (Oncometropia, Acrogonia, Dilobopterus e Homolodisca) e três espécies (Homolodisca ignorata Melichar, Acrogonia sp. e Homolodisca spottii Takiya, Cavichioli & McKamey). Citrus leafhoppers, Vectors of of Bacterium Xylella fastidiosa Wells et al.: Potential Pest of Citrus Crops in Sergipe State Abstract. The citrus industry in Brazil plays a role of great economic, social, generating jobs, income and development. Brazil is the largest producer of citrus, the State of Sergipe stands out in 5th place in national production. Among the many pest problems faced by Brazilian citrus is Citrus Variegated Chlorosis (CVC), known as the yellowing caused by the bacterium Xylella fastidiosa Wells et al. The CVC was officially identified in Brazil in 1987, in orchards of “Triângulo Mineiro” and North and northwest of the state of São Paulo. In the Northeast Region of Brazil, was found in 1996 in the municipality of Boquim Sergipe, and Bahia in 1997, the municipalities of Rio Real and Itapicuru. The aim was to review the literature on the species of leafhoppers vectors of CVC, and verify that occur in the state of Sergipe. The first symptoms are seen in the leaves, then go for the fruits and end up affecting the entire plant, and to be perceived can take between five months and two years. The main vectors of X. fastidiosa in citrus are the sharpshooters of the family Cicadellidae. In Brazil 12 sharpshooters species have already been confirmed. For the state of Sergipe, is scarce information about the Cicadellidae vectors, the data are limited to the northern coast of Bahia, except for vague quote about four genus (Oncometropia, Acrogonia, Dilobopterus and Homolodisca) and three species (Homolodisca ignorata Melichar, Acrogonia sp. and Homolodisca spottii Takiya, Cavichioli & McKamey).


2021 ◽  
Vol 19 (2) ◽  
pp. 365-376
Author(s):  
ANDRÉ CAVALLER GUZZI

Abstract This paper aims to analyze the role of social protection structures in the economic integration of refugees. While most of the literature on economic integration focuses on refugee access to formal workforce, this paper explores the importance of social protection in the integration process and how it paves the way for greater economic integration. This paper investigates both formal social protection structures and informal ties within immigrant communities that help refugees obtain a basic income while they are in the process of integration. Brazil has no national program for economic integration of refugees and, in terms of social protection structures, they are recipients of the same social assistance programs that are offered to the low-income population. By looking at a conditional cash transfer program, Bolsa Família, and analyzing the access and outcomes of this program for Syrian refugees in the city of São Paulo, this paper shows the limitations of providing these programs to refugees without considering their specificities. In conclusion, for a stronger economic integration, formal structures of social protection need to be more efficient and better address refugees’ needs. In order to conduct this work, I used academic and news articles, and interviewed members from the government and civil society organizations who work with refugee integration.


2018 ◽  
Vol 14 (1) ◽  
pp. 202-219
Author(s):  
Nathalia Cunha da Silva ◽  
Elizabeth Moraes Gonçalves

This article aims to understand how female photojournalists see maternity within the profession in the contemporary world through the use of a study on the cultural and historical influence of gender roles on the performance and development of female photojournalists in the city of São Paulo. A qualitative methodology was adopted using semi-structured interviews. The interviews were conducted with nine female photojournalists from three different age groups who work both formally and informally. For the purposes of this study, we selected only the parts of the interview where the interviewees referred to their role of mother and professional. The analysis was based on a discursive approach, with theoretical support from French Discourse Analysis. The results show the influence gender roles have on forming symbolic barriers that connect having a career with an imbalance between paid work and maternity.O artigo objetiva compreender como as mulheres fotojornalistas percebem a maternidade dentro da profissão na contemporaneidade por meio de um estudo sobre a influência cultural e histórica dos papéis atribuídos de gênero na atuação e desenvolvimento feminino no fotojornalismo paulistano. A metodologia empregada é qualitativa, com uso de entrevista do tipo semiaberta. As entrevistas foram realizadas com nove mulheres que têm o fotojornalismo como principal atividade, com relações de trabalho formais e informais, divididas em três grupos etários. Para este texto foram selecionadas apenas as falas em que as entrevistadas faziam referência ao papel de mãe e profissional. O procedimento de análise seguiu uma abordagem discursiva, com subsídios teóricos na Análise do Discurso de linha francesa. Os resultados apontam a influência dos papéis atribuídos aos gêneros sobre a configuração de barreiras simbólicas que atrelam a permanência na carreira à exigência de um desequilíbrio entre trabalho remunerado e a maternidade. El artículo objetiva comprender cómo las mujeres fotoperiodistas perciben la maternidad dentro de la profesión en la contemporaneidad por medio de un estudio sobre la influencia cultural e histórica de los roles socialmente asignados de género en la actuación y el desarrollo de mujeres en el fotoperiodismo de la ciudad de Sao Paulo. La metodología empleada es cualitativa, con uso de entrevista del tipo semiabierta. Se entrevistó a nueve mujeres que actúan en el fotoperiodismo, con relaciones de trabajo formales o informales. Ellas han sido divididas en tres categorías de edad. Para este texto se seleccionaron sólo las palabras en las que las entrevistadas se referían al papel de madre y profesional. Los resultados apuntan a la influencia de los papeles atribuidos a los géneros sobre la configuración de barreras simbólicas que atrevan la permanencia en la carrera a la exigencia de un desequilibrio entre trabajo remunerado y maternidad.


Author(s):  
Beatriz Kalichman ◽  
Beatriz Rufino

This chapter examines the use of aesthetic and discursive elements in the production of a narrative about República, a district in the central area of São Paulo (Brazil) that has been transformed through a real estate boom in the past ten years. We focus on newly built studio apartments, and on the efforts to differentiate them from the quitinetes, apartments with similar features built in the 1950s and 1960s that have been heavily stigmatized. We situate our analysis of this purposeful urban transformation within a context intertwined with urban marketing, publicity, and image making. Our research shows the strong presence of an industrial aesthetic in the area, which we understand as being a deliberate echo of the gentrification process that took place in SoHo in New York City in the 1970s.


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