scholarly journals INTOXICAÇÃO POR MEDICAMENTOS EM TRÊS MICRORREGIÕES DO INTERIOR DE SÃO PAULO: PERFIL EPIDEMIOLÓGICO

Author(s):  
Gleice Karen Nogueira FACHINCONI ◽  
Veridiane Alves RIBEIRO ◽  
Rafael Guerra AQUINO

A intoxicação por medicamentos é o tipo de intoxicação exógena de maior incidência no Brasil. Este estudo tem como objetivo descrever e analisar o perfil epidemiológico das vítimas de intoxicação por medicamentos das microrregiões de Santa Fé do Sul, Jales e Fernandópolis no período de 2015 a 2019. É um estudo retrospectivo, descritivo e exploratório, com abordagem quantitativa. Os dados secundários foram fornecidos pelo Grupo de Vigilância Epidemiológica XXX. Durante o período, foram registrados 1855 casos, com uma média de 371 casos ao ano. O ano com maior ocorrência foi 2019, com 451 casos registrados. Houve uma maior incidência no sexo feminino (76,3%). Em relação à raça, destacou-se a branca (78%). A faixa etária com maior ocorrência foi de 20 a 29 anos, nos primeiros anos, porém, em 2019, houve um aumento de casos na faixa de 10 a 19 anos. Conclui-se que houve um aumento de 17,7% dos casos em 2019, com prevalência entre mulheres e adolescentes. Há necessidade de incentivo da notificação e prevenção dessas intoxicações, visto que sugerem que a maior causa sejam as tentativas de suicídio, sendo este um problema de saúde pública.   MEDICATION POISONING IN THREE MICRO-REGIONS OF SÃO PAULO COUNTRYSIDE: EPIDEMIOLOGIC PROFILE   ABSTRACT Medication poisoning is the kind of exogenous poisoning with the highest incidence in Brazil. This paper aims at describing, and analyzing the epidemiologic profile of medication poisoning victims in the micro-regions of Santa Fé do Sul, Jales, and Fernandópolis in the period from 2015 to 2019. It is a retrospective, descriptive and exploratory study, quantitative approach. Secondary data was provided by Grupo de Vigilância Epidemiológica XXX. During that period 1855 cases were reported with an average of 371 cases per year. The year with the highest occurrence was 2019 when 451 cases were reported. The highest incidence was in females (76,3%). Regarding race, the Caucasian race stood out (78%). The age group with the highest incidence was the 20-29 years old, in the early years, although, in 2019, there was an increase of cases in the 10-19 age group. We conclude that there was an increase of 17,7% in cases in 2019, with the prevalence of women and teenagers. It is necessary to encourage the notification and prevention of poisoning, since they suggest that the main cause of them were due to suicide attempts, which makes it a public health problem.   Descriptors: Emergency; Nursing and emergency. Poisoning. Epidemiology. Surveillance.

PEDIATRICS ◽  
1977 ◽  
Vol 60 (4) ◽  
pp. 605-608
Author(s):  
Matilda S. McIntire ◽  
Carol R. Angle ◽  
Richard L. Wikoff ◽  
Marilyn L. Schlicht

Suicide is the third leading cause of death among people in the age group 15 to 25 years.1 Self-destructive behavior in children and adolescents is a continuum that ranges from drug intoxications to gestures of low lethality to suicide attempts with high lethality of intent. In our survey of 1,100 self-poisonings in people aged 6 to 18 who were seen at poison control centers we found an incidence of 220 self-poisonings for every fatality.2 This is higher but comparable to other estimates of 50 to 150 suicide gestures for every reported death from suicide in the adolescent.3-6 Suicide attempts may account for 12% of all emergency room visits.7 This represents a public health problem of the first magnitude. It is ironically tragic that many of the adolescent suicide deaths are unintentioned-the victim did not really intend to die. In our collaborative poison study, for example, none of the six deaths could be called intended. The adolescents were not victims of suicide but of pharmacologic roulette. The single best correlate of suicidal risk appears to be lethality of intent. A diagnosis of suicide attempt, as contrasted to a gesture, implies both a lethality of intent coupled with a mature concept of death as an irreversible state. Lethality is defined by Shneidman8 as the probability of an individual's killing himself in the immediate future. In classifying all deaths as intentioned, subintentioned, and unintentioned as contrasted to the traditional classifications of natural, accidental, suicidal, and homicidal he has used the dimension of lethality to cut across the terms attempted, threatened, and completed suicide.


2013 ◽  
Vol 71 (9B) ◽  
pp. 672-676 ◽  
Author(s):  
Maristela Marques Salgado ◽  
Maria Gisele Goncalves ◽  
Lucila Okuyama Fukasawa ◽  
Fabio Takenori Higa ◽  
Juliana Thalita Paulino ◽  
...  

Bacterial meningitis (BM) is a severe disease and still represents a serious public health problem with high rates of morbidity and mortality. The most common cases of BM around the world, mainly in Brazil, have been caused by Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae type b. Bacterial culture is the gold-standard technique for BM confirmation, but approximately 50% of suspected cases are not culture-confirmed, due to problems related to improper transportation and seeding or previous antibiotic treatment. Immunological methods present low sensitivity and have possibility of cross-reactions. Real time PCR (qPCR) is a molecular technique and has been successful used for BM diagnosis at Instituto Adolfo Lutz in São Paulo State, Brazil, since 2007. The incorporation of qPCR in the Public Health surveillance routine in our state resulted in diminishing 50% of undetermined BM cases. Our efforts are focused on qPCR implementation in the BM diagnostic routine throughout Brazil.


2013 ◽  
Vol 55 (4) ◽  
pp. 245-250 ◽  
Author(s):  
Elaine Cristina Navarro ◽  
Renata Leme Goto ◽  
Isabella Silva Ricoboni ◽  
Jose Eduardo Corrente ◽  
Rita Maria Saccomano Henriques ◽  
...  

SUMMARY This study aimed at estimating the number of cases of non-negative serological reactions to Chagas disease in blood donors at the Blood Center of Botucatu, São Paulo, Brazil, from 2003 to 2010 and at relating them to their cities of origin. Five hundred and seventy-four non-negative results for Chagas disease were evaluated. Of these, 371 (64.8%) were reagent, and 203 (35.4%) were inconclusive. The prevalence of Chagas disease in blood donors was 0.05%. There were, on average, 72 cases/year, and a prevalence of males was observed (64.8%). Forty-three (7.49%) individuals were 18 to 30 years old; 92 (16.02%) were 31 to 40; 147 (25.61%) 41 to 50, and 292 (50.87%) were older than 50 years. It was observed that 29.3% of females with reagent serology were at their fertile age (18 and 45 years). The majority of donors were originally from cities in the southwestern and central regions of São Paulo, but individuals from other states contributed with 20%. The provenance of most donors was the city of Botucatu/SP, followed by the city of Taquarituba/SP. Therefore, the profile of donors at this blood center favors the occurrence of a larger number of non-negative serological reactions. Although there has been a significant reduction in the number of new cases/year for this disease, it is still a public-health problem, and results suggest the need for new epidemiological assessments in the studied region.


2020 ◽  
pp. 151-171
Author(s):  
Maria Perpétua do Socorro Beserra Soares

This article presents the results of a research about permanent formation of teachers of early years of fundamental teaching of a public district school of a city of São Paulo-SP; whose general objective is to analyze scopes and limits of permanent formation of teachers to a pedagogical practice committed to building a democratic school. The theoretical contributions is based on the pedagogy of Paulo Freire (2001, 2013b, 2015, and 2016), Imbernón (2009, 2010), and Saul (2010). The nature of the investigation is qualitative and follows Chizzotti (2005) with bibliographic study, field and documentary research. The results of the research show a strong presence of dimensions of permanent formation; materializing principles as the hearing, the dialog, the participation and the movement of action-reflection-action, demonstrated on documents, interviews done, observations, formation meetings and parent-teaching conference.


2015 ◽  
Vol 17 (33) ◽  
pp. 51
Author(s):  
Luís Otávio Bau Macedo ◽  
Renato Nataniel Wasques ◽  
Roselaine Bonfim De Almeida ◽  
Claudia Regina Heck
Keyword(s):  
Santa Fe ◽  

O presente artigo visa avaliar os impactos da implantação do terminal intermodal da Ferronorte que liga Santa Fé do Sul, em São Paulo a Rondonópolis, no sudeste de Mato Grosso. O terminal se tornará a principal via de escoamento da produção de grãos do estado ao porto de Santos/SP, com funcionamento iniciado em setembro de 2013. No artigo é descrito o processo operacional do terminal, incluindo armazenagem, pesagem, tombamento, classificação, recepção e estacionamento de caminhões, carregamento e expedição, entre outros. Em seguida é realizada a avaliação do cenário econômico de Rondonópolis e da evolução da produção agrícola de Mato Grosso. Após realiza-se a avaliação econômica do empreendimento focando em seus efeitos para a geração do produto adicionado fiscal ao município de Rondonópolis. A análise foi desenvolvida de um cenário de tendência central onde apenas 60% da produção seriam escoados via ferrovia. A variável que distingue os dois cenários é a previsão quanto à capacidade de tráfego de caminhões ao longo do trecho da BR163 entre a área urbana de Rondonópolis e o sítio do terminal.


Author(s):  
Erik de Lima Andrade ◽  
Eligelcy Augusta de Lima ◽  
Paulo Henrique Trombetta Zannin

Environmental noise is a public health problem that arises mainly from vehicular traffic. In noise-sensitive areas, such as hospitals, the harm is even greater, as noise affects the recovery of patients and causes stress and disturbance to employees. Noise control measures are usually restricted to simulations and mathematical modeling. Given this context, the present study assesses environmental noise around a public hospital in Sorocaba city, São Paulo State, Brazil, before and during the COVID-19 pandemic, benefiting from measures to restrict the circulation of vehicles and people. Measurements were performed in triplicate, on weekdays, at four points around the hospital during the day, and followed the guidelines of standard NBR 10.151/2019. The number of light and heavy vehicles was counted manually. The equipment used was the BK 2260 analyzer and a tripod with adjustable height. The circulation of light and heavy vehicles decreased significantly during the pandemic. However, this decrease was not enough for sound levels to meet the 50 dB(A) recommended for noise-sensitive areas. This fact can be due to the speed of the remaining vehicles being above the established for the surrounding streets. Vehicles are the main responsible for the high levels of noise in the area, overlapping the levels generated by the different activities in the study site.


2013 ◽  
Vol 29 (6) ◽  
pp. 1101-1108 ◽  
Author(s):  
Rodrigo Romão ◽  
Luiz Alberto Amador Pereira ◽  
Paulo Hilário Nascimento Saldiva ◽  
Patricia Matias Pinheiro ◽  
Alfésio Luiz Ferreira Braga ◽  
...  

Atmospheric pollution is a global public health problem. The adverse effects of air pollution are strongly associated with respiratory and cardiovascular diseases and, to a lesser extent, with adverse pregnancy outcomes. This study analyzes the relationship between exposure to PM10 and low birth weight in the city of Santo André, São Paulo State, Brazil. We included babies born to mothers resident in Santo André between 2000 and 2006. Data on daily PM10 levels was obtained from the São Paulo State Environmental Agency. We performed descriptive analysis and logistic regressions. The prevalence rate of low birth weight was 5.9%. There was a dose-response relationship between PM10 concentrations and low birth weight. Exposure to the highest quartile of PM10 (37,50µg/m³) in the third trimester of pregnancy increased the risk of low birth weight by 26% (OR: 1.26; 95%CI: 1.14-1.40) when compared to the first quartile. The same effect was observed in the remaining trimesters. This effect was observed for ambient particle concentrations that met the current air quality standards.


Author(s):  
Alexsandro Soares Cândido ◽  
Angélica Da Fontoura Garcia Silva

Este artigo relata uma pesquisa com um grupo composto por 30 estudantes de pedagogia de uma instituição superior de ensino localizada na grande São Paulo. O propósito desse estudo foi identificar o conhecimento profissional e o olhar com sentido dessas futuras professoras para o ensino de situações-problema envolvendo raciocínio proporcional – sobretudo, situações de valor omisso –; e relacionar esse conhecimento das futuras professoras com esse seu olhar profissional. A coleta de dados incluiu a aplicação de um questionário – de caráter diagnóstico – e depoimentos coletados durante e depois de sua aplicação. O estudo fundamenta-se em teorias que discutem o conhecimento e a competência profissional de professores que ensinam Matemática – especialmente investigações de Ball, Thames e Llinares e seus respectivos colaboradores. Apoia-se também em pesquisas que investigam questões didáticas relativas ao raciocínio proporcional em situações de valor omisso. As respostas do grupo investigado indicaram que 80% das futuras professoras resolvem a situação apresentada de maneira acertada, com predominância da estratégia escalar, seguida da funcional e do produto cruzado. Observou-se também que as limitações de conhecimentos de estratégias para resolver situações envolvendo valor omisso comprometeram os conhecimentos pedagógicos e o olhar profissional para o ensino dos participantes.Palavras-chave: Conhecimento Matemático para o Ensino. Raciocínio Proporcional. Situação de Valor Omisso. Professores dos Anos Iniciais. Formação Inicial de Professores.AbstractThis article aims to identify and relate the knowledge and professional view of students of a pedagogy course for teaching problem situations involving proportional reasoning, above all, situations of negligible value. This research involves a group composed of 30 students from the pedagogy course of a higher education institution located in the greater São Paulo. Data collection included the application of a questionnaire - of a diagnostic character - and testimonies collected during and after its application. Theoretically, this study is based on theories that discuss the knowledge and professional competence of teachers who teach Mathematics especially, investigations of Ball, Thames and Llinares. In addition, it is also supported by studies that investigate didactic issues related to the theme: proportional reasoning in non-value situations. The responses of the investigated group indicated that the majority of future teachers - 80% of them - solves the presented situation correctly. There is predominance of the scalar strategy, followed by the functional and the cross product. It was observed that the limitations of knowledge of strategies to solve situations involving missing value, also compromised the pedagogical knowledge and the professional look for the teaching of the participants.Keywords: Mathematical Knowledge for Teaching. Proportional Reasoning. Situation of Value Omitted. Teachers from the Early Years. Initial Teacher Training.


2020 ◽  
Vol 6 (11) ◽  
pp. 1
Author(s):  
Adriane Buchwitz Del TREJO

Considerando que o homem é um sujeito histórico e social, este estudo bibliográfico possui uma abordagem metodológica de natureza qualitativa e delineamento descritivo explicativo, que tem como objetivo de relacionar os pressupostos da Teoria Histórico-Cultural (THC) com o ensino de Probabilidade nos anos iniciais do Ensino Fundamental focando no desenvolvimento da literacia probabilística e fazendo apontamentos correlacionando-os com referenciais curriculares. Assim, no decorrer do texto, tem-se a intenção do diálogo entre conceitos e ideias da Teoria Histórico-Cultural com os elementos cognitivos relacionados à literacia probabilística, apontando considerações dos referenciais curriculares do estado de São Paulo e nacionais. Como principais resultados, temos que os pressupostos desta teoria podem contribuir para uma prática educativa que priorize o aspecto social e para a aquisição de um conhecimento mais rico, mais ativo e mais significativo ao aluno.Teoria Histórico-Cultural. Ensino de Probabilidade. Literacia Probabilística. Anos Iniciais. Ensino Fundamental.ABSTRACTConsidering that man is a historical and social subject, this bibliographic study has a qualitative methodological approach and explanatory descriptive design, which aims to relate the assumptions of Historical-Cultural Theory (THC) with the teaching of Probability in the early years of Elementary Education focusing on the development of probabilistic literacy and making notes correlating them with curricular references. Thus, throughout the text, the intention is to dialogue between concepts and ideas of Historical-Cultural Theory with the cognitive elements related to probabilistic literacy, pointing out considerations of the curricular frameworks of the state of São Paulo and nationally. As main results, we have that the assumptions of this theory can contribute to an educational practice that prioritizes the social aspect and to the acquisition of a richer, more active and more meaningful knowledge to the student.Historical-Cultural Theory. Probability Teaching. Probabilistic Literacy. Early Years. Elementary School.RESUMENConsiderando que el hombre es un sujeto histórico y social, este estudio bibliográfico tiene un enfoque metodológico de naturaleza cualitativa y diseño descriptivo explicativo, cuyo objetivo es relacionar los presupuestos de la teoría histórico-cultural (THC) con la enseñanza de la probabilidad en los primeros años de la escuela primaria centrados en el desarrollo de la literacia probabilística tomando notas y correlacionándolas con referencias curriculares. Por lo tanto, a lo largo del texto, la intención es dialogar entre conceptos e ideas de la teoría histórico-cultural con los elementos cognitivos relacionados con la literacia probabilística, señalando consideraciones de las referencias curriculares del estado de São Paulo y nacionales. Como resultados principales, tenemos que los presupuestos de esta teoría pueden contribuir con una práctica educativa que prioriza el aspecto social y la adquisición de un conocimiento más rico, más activo y más significativo para el estudiante.Teoría Histórico-Cultural. Enseñanza de Probabilidad. Literacia Probabilística. Años Iniciales. Enseñanza Fundamental. RIASSUNTOConsiderando che l'uomo è un soggetto storico e sociale, questo studio bibliografico ha un approccio metodologico qualitativo e un disegno descrittivo esplicativo, che mira a mettere in relazione le ipotesi della teoria storico-culturale (THC) con l'insegnamento della Probabilità nel primi anni di scuola elementare concentrandosi sullo sviluppola literacia probabilistica e prendendo appunti correlandoli con i riferimenti al curriculum. Pertanto, in tutto il testo, l'intenzione è quella di dialogare tra concetti e idee della teoria storico-culturale con gli elementi cognitivi legati alla literacia probabilistica, sottolineando considerazioni sui riferimenti al curriculum dello stato di San Paolo e nazionali. Come risultati principali, abbiamo che i presupposti di questa teoria possono contribuire a una pratica educativa che privilegia l'aspetto sociale e all'acquisizione di una conoscenza più ricca, più attiva e più significativa per lo studente.Teoria storico-culturale. Insegnamento della probabilità. Literacia probabilistica. Nei primi anni. Scuola elementare.


Author(s):  
Leandro Fraga Guimaraes ◽  
Jaciara Martins Fontes Cruz

Both Paris and São Paulo are cities which feature notably distinct occupation histories. As of secondary data and by means of a bibliographical review that sought to collate standpoints of authors engaged in the fields of urban planning and mobility - in addition to urban mobility systems ideation and development historians and scholars – the historical report wherein mobile impairments evolved at each of the mentioned large urban centres, was summarized into a case study, encompassing from emergence to the 20th. Century - a period both cities experienced pivotal transformations - although these took place in substantially diverse manners. To this effect, reasoning was also gathered so as to, in overview, characterize the challenges that urban mobility, for thousands of years, continues to bring about to cohabitation within restricted space, at large cities. Much conversely to being a recent matter of issue, it is a challenge that remains and changes, although some of its core elements have been found to be breathtakingly perseverant throughout history. Conclusion resides in comments relative to a selection of contemporary alternatives that are currently in use at both cities so as to better direct the addressing of the urban mobility issue and also includes a set of alternatives deemed best successful than that known as solutions to this problem which strong holds its very presence at all major cities of the globe.


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