scholarly journals Trauma and envenoming caused by stingrays and other fish in a fishing community in Pontal do Paranapanema, state of São Paulo, Brazil: epidemiology, clinical aspects, and therapeutic and preventive measures

2012 ◽  
Vol 45 (2) ◽  
pp. 238-242 ◽  
Author(s):  
Vidal Haddad Junior ◽  
Edson Luiz Fávero Junior ◽  
Felipe Augusto Horácio Ribeiro ◽  
Bruno da Costa Ancheschi ◽  
Gabriel Isaac Pereira de Castro ◽  
...  

INTRODUCTION: Accidents caused by fish are common in inland fishing communities in Brazil, being work-related injuries in the majority of cases. These populations have no information on the mechanisms of trauma or envenoming. METHODS: Through a questionnaire administered to fishermen, we obtained clinical and epidemiological data on accidents in Rosana, Pontal do Paranapanema, State of São Paulo, Brazil. These data were analyzed and converted into an easily understood prevention and treatment program for the colony. RESULTS: Thirty-nine fishermen replied to the survey. All of the patients had been hurt by fish. Of those mentioned, the yellow catfish (Pimelodus maculatus) was the main fish species associated with injuries, but others also caused trauma to the fishermen. Six fishermen had been envenomed by stingrays. Pain and ulcers were the main symptoms and were described as intolerable. Approximately half of those injured were treated using traditional folk remedies. CONCLUSIONS: The fishermen suffered multiple accidents with catfish, which are venomous and cause intense pain, as well as trauma due to other fish, such as surubins, traíras, freshwater croakers, and piranhas. Approximately 16% of those interviewed presented with envenomation from stingrays. Our data and previous experience in the area led to the creation of a pamphlet with clear language that can effectively help fishermen in the region, an area in need of health services and disease prevention. This initiative also applies to the whole La Plata River basin, which has similar fauna.

2018 ◽  
Vol 33 (1) ◽  
pp. 33
Author(s):  
Gabriella Barreto Soares ◽  
Carlos Eduardo Gomes Siqueira ◽  
Lorena Estrada-Martinez ◽  
Cléa Adas Saliba Garbin ◽  
Artênio José Ísper Garbin

OBJECTIVE: This study aimed at investigating the relationships between health and work-related musculoskeletal disorders (WMSDs) in dentists, and the relationship with socio-demographic, work and health variables.METHODS: We conducted a cross-sectional study of 204 dentists who work in public clinics in the state of São Paulo, Brazil. We used a self-administered survey that included questions on sociodemographic and health aspects, work-related factors, and the Nordic questionnaire.RESULTS: WMSDs were often reported in the neck, shoulder, lower back, and hand/wrists. Logistic regression analysis revealed that there was a correlation between reports of WMSD in the neck and age (OR = 9.48) and health problems (OR = 6.71). Moreover, strong associations were found between MSDs in the shoulders, gender (OR = 5.88) and breaks between appointments (OR = 4.17).CONCLUSION: We concluded that the health problems diagnosed, work-related activities and gender contributed to musculoskeletal disorders in dentists in this clinic.


1997 ◽  
Vol 39 (4) ◽  
pp. 213-216 ◽  
Author(s):  
Jorge CASSEB ◽  
Adele CATERINO-DE ARAUJO ◽  
Marisa A. HONG ◽  
Simone SALOMÃO ◽  
Dana GALLO ◽  
...  

Human immunodeficiency virus (HIV-1)-infected subjects with acquired immunodeficiency syndrome (AIDS) are often infected with multiple pathogens. In particular, HTLV-I and HTLV-II infections have been found more frequently in AIDS patients than in asymptomatic individuals in Europe and Japan. We carried out a serosurvey among asymptomatic HIV-1-infected subjects in São Paulo, Brazil and compared our results with those of other investigators. In this study, we found HTLV infection in 1.5% of 266 asymptomatic and 14% of 28 AIDS patients. Epidemiological data obtained from patients pointed out the use of intravenous drugs as the principal risk factor for acquiring retroviruses. In conclusion, our results are in accordance with other studies done in Brazil and elsewhere where the principal risk group for HIV/HTLV-I/II coinfection was IDU


2004 ◽  
Vol 62 (3b) ◽  
pp. 808-814 ◽  
Author(s):  
Fernanda Andrade ◽  
Paulo Henrique Aguiar ◽  
Ricardo Bragança de Vasconcellos Fontes ◽  
Edison Nakagawa ◽  
Joel Augusto Teixeira ◽  
...  

INTRODUCTION: Secondary neoplasias are the most common tumors affecting the central nervous system and several clinical aspects of this disease are still controversial. METHOD: Forty-seven consecutive patients with the diagnosis of cerebral metastases (CM) were retrospectively studied at the Clinical Hospital of São Paulo University Medical School. Mean age was 53.9 years and 25 patients were female. RESULTS: The most frequent primary sites were breast, lung and skin. Symptoms were related to increased intracranial pressure (ICP) in 48.9%, focal neurological events in 27.7% and both in 17.0%. Single brain metastases were found in 57.4% of those cases, the frontal lobe being most frequently affected. Surgical treatment was performed in 68.1%, radiotherapy in 40.4% and chemotherapy in 17.0%. CONCLUSION: After statistical analysis, there was a trend towards prolonged survival of female patients, patients with ICP symptoms and the surgical group. Data from different centers are essential to establish the best management of CM.


2000 ◽  
Vol 44 (12) ◽  
pp. 2-547-2-550
Author(s):  
L. I. Sznelwar ◽  
M. Zilbovicius ◽  
R. F. R. Soares

The organizational structures of “Call Centers” are based on standardized and rigorously controlled tasks. This article, based on studies done in companies located in São Paulo, Brazil, during the 90s, discusses the difficulties of learning and work-related anxieties present in these types of organization.


1997 ◽  
Vol 39 (4) ◽  
pp. 231-234 ◽  
Author(s):  
Marcos Vinicius da SILVA ◽  
Marileide Januária VASCONCELOS ◽  
Neuma Terezinha Rossetto HIDALGO ◽  
Ana Paula Rocha VEIGA ◽  
Mauro CANZIAN ◽  
...  

The hantavirus pulmonary syndrome was first recognized in cases that occurred in the U.S. in 1993, which served as an alert not only for American physicians but also for physicians in other countries for the identification of the disease. In the city of São Paulo, Brazil, 3 cases of the syndrome were recorded in 1993. The patients were young brothers residing in the Mata Atlântica (Atlantic Forest) region submitted to recent deforestation. Two of the patients died of acute respiratory insufficiency and the third recovered without sequelae. In the surviving patient the diagnosis was established by a laboratory criterion based on the detection of specific IgM and IgG class antibodies by indirect immunofluorescence. In the two patients who died, the diagnosis was confirmed by laboratory tests using immunoperoxidase technique for hantavirus in tissue, in histological lung and heart sections in one case, and by clinical and epidemiological data in the other


2013 ◽  
Vol 4 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Aline Caldas Martins ◽  
Vanda Elisa Andres Felli

As afecções músculo-esqueléticas relacionadas ao trabalho representam o principal grupo de agravos à saúde entre as doenças ocupacionais. Esta é uma pesquisa exploratório-descritiva, realizada em uma universidade pública do estado de São Paulo, com o objetivo de investigar a ocorrência de sintomas músculo-esqueléticos entre os graduandos de Enfermagem. Os dados foram coletados através de questionário composto por dados sociodemográficos e pelo Questionário Nórdico de Sintomas Músculo-esqueléticos. Os resultados evidenciaram a participação de 51 alunos, e todos apresentaram algum sintoma músculo-esquelético nos últimos 12 meses. O estudo aponta a necessidade de abordar temas relacionados à saúde do trabalhador durante a graduação.Descritores: Saúde do Trabalhador, Ensino Superior, Transtornos Traumáticos Cumulativos.Musculoskeletal symptoms in undergraduate students of nursingThe work-related musculoskeletal symptoms represent the main group of risks among the occupational diseases. This is an exploratory, descriptive research, carried out in a public university in the State of São Paulo, aiming to investigate the occurrence of musculoskeletal symptoms among the undergraduate students of Nursing. The data were collected through a questionnaire comprised by socio-demographic data and the Nordic Musculoskeletal Questionnaire Symptoms. 51 students participated in the study and the results showed that all of them experienced some musculoskeletal symptom in the last 12 months. The study points out the need for approaching themes related to occupational health in the curriculum framework of undergraduate studies.Descriptors: Occupational Health, Higher Education, Cumulative Traumatic Disorders.Síntomas musculares y esqueléticos en graduados en enfermeríaLas afecciones musculares y esqueléticas relacionadas al trabajo representan el principal grupo de agravios a la salud entre las enfermedades ocupacionales. Esta es una investigación exploratoria y descriptiva, llevada a cabo en una universidad pública del Estado de San Pablo, con el objetivo de investigar la ocurrencia de síntomas musculares y esqueléticos entre los graduandos en Enfermería. Los datos fueron colectados a través de un cuestionario compuesto por datos sociodemográficos y por el Cuestionario Nórdico de Síntomas Musculares y Esqueléticos. Los resultados pusieron en evidencia la participación de 51 alumnos, y todos presentaron algún síntoma muscular o esquelético en los últimos 12 meses. El estudio apunta a la necesidad de abordar temas relacionados a la salud del trabajador durante la graduación.Descriptores: Salud del Trabajador, Enseñanza Superior, Trastornos Traumáticos Cumulativos.


2020 ◽  
Vol 66 (9) ◽  
pp. 1247-1251
Author(s):  
Gustavo Mercuri ◽  
Sérgio Augusto Rodrigues ◽  
Regina Helena Garcia Martins

SUMMARY BACKGROUND: Recurrent laryngeal papillomatosis, caused by the Human Papilloma Virus, has a significant economic impact worldwide and there are no epidemiological data of this disease in Brasil. OBJECTIVE: The objective of the study was to estimate the incidence and prevalence of laryngeal papillomatosis of some otorhinolaryngology centers in São Paulo State (Brasil). METHODS: A questionnaire containing data on the number of new and follow-up cases diagnosed with laryngeal papillomatosis was sent to the Otorhinolaryngology services (n=35) of São Paulo State (Brasil). RESULTS: A total of 20 otorhinolaryngology centers answered the questionnaire. Of these, the five largest regional health centers were selected as follows: Campinas (42 cities – 4,536,657 inhabitants), Sao Jose do Rio Preto (102 cities – 1,602,845 inhabitants), Ribeirão Preto (26 cities – 1,483,715 inhabitants), Bauru (68 cities – 1,770,427 inhabitants), and Sorocaba (47 cities – 2,478,208 inhabitants). The incidence and prevalence of each regional health centers were, respectively: Campinas (5.51;7.27), Sorocaba (2.02;6.86), São José do Rio Preto (1.87;7.49), Ribeirão Preto (11.46;22.92), and Bauru (3.95;7.91). CONCLUSION: The incidence and prevalence of the laryngeal papillomatosis of the five largest regional health centers of the interior of São Paulo State (Brasil) varied between 1.87 to 11.46 and 6.86 to 22.92 per 1,000,000 inhabitants, respectively for a total population of 11,871,852 inhabitants.


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