Management assessment of drug waste and other health care waste in upland region of Santa Catarina, Brazil [Avaliação do gerenciamento dos resíduos de medicamentos e demais resíduos de serviços de saúde na Região Serrana de Santa Catarina]
Amarante J.A.S.,University of the Catarina Plateau |
Rech T.D.,University of the Catarina Plateau |
Siegloch A.E.,University of the Catarina Plateau
Engenharia Sanitaria e Ambiental | Year: 2017
The management of health services waste is a major challenge for the government, because, despite progress in the legal aspects, it still presents serious problems, especially regarding the incorrect disposal of pharmaceutical waste. This study aimed at characterizing the process of pharmaceutical disposal and other types of waste from human health and veterinary services in a medium-sized city in the upland region of Santa Catarina, Brazil. Visits were made to the participating health units, selected by convenience criteria, covering municipal health centers, pet shops, veterinary clinics, human care hospital, animal care hospital and waste collection service companies, totaling 15 units. Data collection took place from March to May 2014, with questionnaires and field observation script. The results revealed deficiencies in the management of pharmaceuticals waste, as well as in the management of health services waste, in segregation and storage stages, both in human as animal care institutions, with few exceptions. The greatest difficulties were observed in the animal care facilities, especially regarding the segregation and storage of contaminated waste, lack of care with sharps and a non-accordance with the biosafety standards. The absence of a Management Plan of Health Services Waste in health facilities and in the veterinary hospital, as well as the lack of training for professionals, dissimilarity in relation to the disposal of medicines, and lack of supervision by competent organs were the main causes for the current scenario of improper waste disposal in the region. © 2017, ABES - Associacao Brasileira de Engenharia Sanitaria e Ambiental. All rights reserved.
de Oliveira A.F.,University of the Catarina Plateau |
de Oliveira Filho H.,Clinica Ana Carolina
Jornal Vascular Brasileiro | Year: 2016
Use of totally implantable catheters for chemotherapy treatment is a necessity, but one which brings with it risks of multiple complications, some inherent to insertion of the device and others related to the catheter itself. We describe three cases in which the catheter became disconnected from its reservoir. In the first case, the catheter became completely detached from its reservoir and in the second and third cases the catheter itself underwent fragmentation. In all three cases it was necessary to withdraw the endovascular catheter. This event is described as rare, but it tends to be present in the majority of reviews and it is associated with the risk of serious complications, even though it is often asymptomatic. It is advisable to follow-up patients who have these catheters implanted in order to detect these complications early and to enable understanding of the factors that cause these situations to occur. © 2016, Sociedade Brasileira de Angiologia e Cirurgia Vascular. All rights reserved.
Siegloch A.E.,Federal University of Santa Catarina |
Siegloch A.E.,University of the Catarina Plateau |
Suriano M.,Federal University of São Carlos |
Spies M.,Federal University of Pampa |
Fonseca-Gessner A.,Federal University of São Carlos
Anais da Academia Brasileira de Ciencias | Year: 2014
The aim of this study was to test the effect of agricultural and forestry land use on the structure of mayfly assemblages in low-order streams. Twenty-nine headwater streams were investigated in the state of São Paulo. We analyzed 15 streams in pristine areas (mixed tropical rainforest, semideciduous forest and dense tropical rainforest), and 14 streams covered with sugarcane, eucalyptus and pasture. Mayfly richness obtained by rarefaction curves was higher in pristine areas (21 genera), especially in mixed and semideciduous forest when compared to land use (9 genera), where values were particularly low in sugarcane plantation (3 genera). The non-metric multidimensional scaling (NMDS) ordination showed clear difference in mayfly assemblages between land uses and pristine areas, supported by analysis of similarity (R=0.67, p=0.001). In partial redundancy analysis (pRDA), the environmental descriptors that best explained differences in assemblage structure were Riparian, Channel and Environmental Inventory (RCE) index score, percentage of fine sediment stream substrate, water pH and land elevation. Our results show that agricultural and forestry land use has a strong negative effect on the structure of mayfly assemblages. These results also support the use of mayfies as environmental indicators, as some genera were sensitive to changes in land use, while others responded to naturally occurring changes in the study area. © 2014 Academia Brasileira de Ciencias. All Rights reserved.
Sakata V.M.,University of Sao Paulo |
da Silva F.T.,University of the Catarina Plateau |
Hirata C.E.,University of Sao Paulo |
Marin M.L.C.,University of Sao Paulo |
And 5 more authors.
Graefe's Archive for Clinical and Experimental Ophthalmology | Year: 2015
Purpose: To analyse the rate of clinical recurrences in Brazilian patients with Vogt–Koyanagi–Harada (VKH) disease after early high-dose corticosteroid treatment. Methods: Retrospective study including patients treated with early high-dose corticosteroids (prednisone, 1–1.5 mg/kg/day, or 3-day 1 g methylprednisolone pulsetherapy) within 1 month from disease onset followed by slow taper (at least 6 months). Patients with a minimum 12-month follow-up were subdivided based on the presence of disease recurrence or persistence after 6 months from initial presentation into: acute–resolved (AR, no recurrences), chronic–recurrent (CR), and chronic–recurrent with subretinal fibrosis (SRF). Recurrences were defined as the presence of clinical and/or fluorescein angiography findings. Results: Twenty-nine patients (58 eyes) with a median follow-up of 65 months were included. Six (21 %), 11 (38 %) and 12 (41 %) patients were allocated to AR, CR, and SRF groups respectively. Though having received treatment within 1 month of onset, median time to initial treatment differed among groups (11, 15, and 25 days, in AR, CR, and SRF groups respectively). Intensity of immunosuppression, cataract development, and longer time to achieve logMAR visual acuity ≤0.8 differed significantly among the groups, being more severe in SRF group. HLA-DRB1*0405 allele followed the same trend, though not reaching significance (0.5 in AR group, 0.6 in CR, and 0.8 in SRF). Conclusion: VKH disease in Brazilian patients evolved to chronic–recurrent disease in 79 % of cases; 38 % developed subretinal fibrosis, in spite of similar initial treatment regimens. Time to initiate treatment influenced outcomes. © 2015, Springer-Verlag Berlin Heidelberg.
Boing A.F.,Federal University of Santa Catarina |
Matos I.B.,University of the Catarina Plateau |
de Arruda M.P.,University of the Catarina Plateau |
de Oliveira M.C.,University of the Catarina Plateau |
Njaine K.,University of the Catarina Plateau
Revista da Associacao Medica Brasileira | Year: 2010
Objective: To describe the prevalence of medical visits and associated factors in an adult population of a medium-sized municipality in Southern Brazil. Methods: A cross-sectional population-based study was carried out in a representative random cluster sampling in Lages, state of Santa Catarina, Brazil. The reference population comprised adults (aged 20 to 59 years) and 2,022 individual were interviewed. The outcome was medical visits during the 12 months prior to the study. Data related to the type of service (public/private) and evaluation of this services were also collected. The independent variables were gender, race/skin color, marital status, income, schooling, health self-perception, nutritional status, self-reported diabetes, high blood pressure, smoking, and alcohol-related problems. Poisson regression was carried out and the prevalence rate was obtained. Results: The prevalence of medical visits was 76.0% (95%CI 73.6-78.4). Women, those with higher income, those who had diabetes, smokers, ex-smokers, those having alcohol-related problems, and those who evaluated their health negatively reported a higher prevalence of medical visits. We also found that among lower income people, medical visits to the Unified Health System (Sistema Único de Saúde) were more frequent. Conclusion: Prevalence of medical visits varied according to the population studied. Health policies at the three government levels must acknowledge such inequality to subsidize actions in the sector to suggest equality policies.
Factors associated with insufficient physical activity: A population-based study in southern Brazil [Fatores associados à atividade física insuficiente em adultos: Estudo de base populacional no sul do Brasil]
Lopes J.A.,University of the Catarina Plateau |
Longo G.Z.,University of the Catarina Plateau |
Peres K.G.,Federal University of Santa Catarina |
Boing A.F.,University of the Catarina Plateau |
de Arruda M.P.,University of the Catarina Plateau
Revista Brasileira de Epidemiologia | Year: 2010
The aim of this study was to estimate the prevalence of insufficient physical activity and to find the factors associated to this outcome in Lages, Santa Catarina, Brazil (2007). A cross-sectional population-based study was carried out in a representative sample of individuals between 20 and 59 years of age (n=2,051). Physical activity was estimated using the short version of the International Physical Activity Questionnaire. Insufficient physical activity was defined as less than 150 minutes per week spent in moderate or vigorous physical activity. The prevalence of insufficient physical activity was 29.6% (95%CI: 27.6; 31.7). The associated factors were to be male, obese, have high income, and negative self-perception of health status. The prevalence of insufficient physical activity was lower than reported by other Brazilian studies. Studies that distinguish different types of physical activity can contribute to a better understanding of the problem. The implementation of public policies that encourage the practice of regular exercises is required.
Diez G.F.,University of the Catarina Plateau |
Fontao F.N.G.K.,Latin American Institute of Dental Research and Education ILAPEO |
Bassi A.P.F.,São Paulo State University |
Gama J.C.,Latin American Institute of Dental Research and Education ILAPEO |
Claudino M.,Latin American Institute of Dental Research and Education ILAPEO
International Journal of Oral and Maxillofacial Surgery | Year: 2014
Autogenous bone is still considered the gold standard, and the applicability of autogenous bone grafts is well established. However, the possibility of second harvesting from the same donor region remains unclear. The aim of this study was to perform a prospective evaluation of hard tissue deposition in the mandibular ramus after bone block harvesting using cone beam computed tomography (CBCT). Twenty-two patients with indications for augmentation procedures using autogenous bone from the mandibular ramus were selected. Three CBCT scans were performed with a tomographic guide before bone harvesting (T1) and at 14 days (T2) and 6 months (T3) after the surgical procedures. Measurements were obtained in 2D (area, mm2) and 3D (volume, mm3), and were subsequently compared. In the 2D analysis, the mean bone formation rate was 56%, while for the 3D analysis the mean rate was 9.7%. Despite this difference, there was a significant correlation between area and volume measurements. Our findings demonstrated the presence of hard tissue in the mandibular ramus at 6 months after bone harvesting, which suggests that it would be possible to reuse the same region for a second block harvesting. However, the second bone harvesting would involve less bone for transplantation when compared to the first bone harvesting. © 2013 International Association of Oral and Maxillofacial Surgeons.
Schlemper V.,University of the Catarina Plateau |
Freitas S.A.,University of the Catarina Plateau |
Schlemper S.R.M.,Federal University of Santa Maria
Research Journal of Medicinal Plant | Year: 2011
The effects of hydroalcoholic extract from the leaves of Gochnatia polymorpha sp. floccosa on the contractile responses of the isolated guinea-pig ileum were investigated using a force displacement transducer amplifier connected to a physiograph. Isolated ileum preparations were set up for recording of isometric contractions in 5 mL jacketed organ baths containing oxygenated Krebs-Henseleit solution at 37°C under 1 g of load. G. polymorpha floccosa extract inhibited the contractile responses in a dose-dependent manner against different agonists. The profile of inhibition was noncompetitive to acetylcholine, histamine, serotonin and bradykinin- induced contractions. IC50s (and maximal inhibitions) values obtained were 247 μg mL-1 (83.1%), 818 μg mL-1 (72.62%), 450 -μg mL-1 (75.82%) and 210.09 μg mL-1 (97.35%), respectively. These findings support the popular use in folk medicine of this plant as an antispasmodic on smooth muscles contractions. © 2011 Academic Journals Inc.
Mazzolli M.,University of the Catarina Plateau
Neotropical Biology and Conservation | Year: 2013
Biting behaviour of pumas at the moment of killing their prey is mentioned in the literature as being delivered either to the throat, nape of the neck and base of skull. Detailed anatomic descriptions of it are, however, largely absent in literature. In this article, the biting behaviour of a puma while attacking a peccary is described based on the perforations found on the skull of the prey. An observer looking at the prey-predator struggle would mistakenly conclude that the bite was meant to reach the throat region with the intent of suffocation, when in fact the bite reached and damaged the ventral and posterior region of the skull, and the spinal cord. According with the most likely hypothesis derived from matching a puma skull with that of the collared-peccary, the predator grasped it with its forepaws from behind, and bit at the upper throat region while the peccary held its head back exposing the throat region, allowing the upper canines to reach and damage the occipital bone and auditory bulla. Although there are no marks on the vertebrae, the evidence from the skull match indicate that the penetration of the upper canines into the skull allowed the top incisors to reach exactly where the atlas vertebrae and the occipital condyle connect. The lower canines held the upper part of the cranium, puncturing slightly at the postorbital process. The unusual behaviour of biting the skull from below may be partially due to the presence of an extended nuchal crest in collared-peccaries, which prevent predators to reach the spinal cord from above. © 2013 by Unisinos.
Medicinal trees from riparian forests along Canoas River: Potential use in restoration projects [Arbóreas medicinais das matas ciliares do Rio Canoas: Potencialidade de uso em projetos de restauração]
Chaves C.L.,University of the Catarina Plateau |
Manfredi C.S.,University of the Catarina Plateau
Revista Brasileira de Plantas Medicinais | Year: 2010
This study aimed to identify the medicinal arboreal species from riparian forests at three small farms in Urubici Municipality, Santa Catarina State, Brazil, and relate their ecological features to the possibilities of their use for restoration of degraded riparian environments. In order to survey individuals with circumference at breast height (CBH) ≥15 cm, the quadrant method was adopted. The sampled specimens were herborized, incorporated into the Herbarium LUSC and categorized according to their medicinal use, employed part, frequency, dispersal syndrome (anemochory, autochory and zoochory), ecological group (pioneer, early secondary, late secondary) and use for forest restoration. Of the 240 sampled specimens, 197 belonging to 22 species of 15 families were potentially medicinal. The most abundant families were Euphorbiaceae, Rosaceae, Myrtaceae, Sapindaceae, Lauraceae and Anacardiaceae. More than 85% potentially medicinal species had zoochoric dispersal syndrome, around 78% were categorized as early secondary and pioneer, and around 88% were recommended for restoration. Medicinal arboreal species are quite common in degraded riparian forests along Canoas River. They can provide genetic resources for restoration and adequacy of permanent preservation areas (PPAs) to the environmental legislation; moreover, they are exploitable non-timber forest products.