Municipality Of Cascavel Research Articles

Aspectos clínicos dos recém-nascidos internados em unidade de terapia intensiva neonatal

Objective: To identify the clinical profile of newborns admitted to Neonatal Intensive Care Units. Methodology: This is an ecological observational study, with a quantitative approach, using data from newborns admitted to Neonatal Intensive Care Units in hospitals in the municipality of Cascavel in the western region of Paraná, Brazil. The following variables were studied: gender, color/race, type of delivery, gestational age, number of prenatal consultations, mother's age, mother's level of education, birth weight, congenital malformation, type of congenital malformation, Apgar score. Results: Based on the results of this study we can identify that the newborns, the majority were male, born by caesarean section, most of them considered adequate for gestational age (AIG), being less than 2,500grams, with apgar scores in the 1st and 5th minutes considered between normal and moderate. Discussion: Knowing the main hospitalization diagnoses and the main reasons for premature births, it is suggested that relationship studies be carried out to compare the variables studied, enhancing understanding of the findings, as well as studies of interventions carried out after identifying results similar to those of this study, in order to identify whether knowing the profile of those admitted to the Neonatal ICU, it is possible to intervene to prevent and avoid damage and sequelae. Conclusion: However, this research has provided insight into the population studied in terms of their growth and the practices carried out in the unit, bringing contributions to the service, enabling changes in the management of these babies and all those who contribute to their development.

Soybean Production in the Municipality of Cascavel - PR: Rainfall Indices as the Main Influence Factor

Objective: This work presents factors that influence soybean production in various scenarios, more specifically in Cascavel-PR, between the summer seasons 2016/17 to 2022/23. Theoretical reference: Soy production is an economic activity with great potential in Brazil and, especially, in the state of Paraná. The climatic conditions present great challenges for the producers, since different factors (shortage of chuvas, high temperatures and the incidence of rain and diseases) affect the development of culture. Method: Foram pointed out and made comparisons in the production of comfort in various contexts, cultivation areas and relevant information on the climate, specifically as rainfall precipitations below or above the average in various stages of culture in the municipality of Paranaense, and consequently, as oscillations in the summer holidays. They are used in literature, articles, information on sites, magazines and data from governmental organizations (federal and state), with quantitative and qualitative analyses, using the Sisvar software. Results and conclusion: Among the factors analyzed, climate as the main agent of influence in soybean production. Implications of the research: To minimize the impacts on productivity and its consequences in regional/economic development, it is necessary to review management techniques at the sole, plant, new technologies and also at the global level; o aquecimento, o dematamento that influences the increase in temperatures and the incidence of rain. Originality/value: Analyzing two rainfall indices and their relationships with agricultural cultures is crucial to guarantee healthy and productive production. It allows farmers to adapt their management practices, make informed decisions and minimize the risks associated with varying climatic conditions.

Application for evaluation of the uniformity of systems of pressurized irrigation

The evaluation and monitoring of the performance of irrigation systems are crucial in maintaining water efficiency and conservation of water and energy resources. Therefore, the objective of this study was to develop and validate an application for the coefficient of uniformity coordinators of pressurized irrigation systems. So, the UniIrrig® application was developed, using the integrated development environment Android Studio10 version 4.0.1, in JAVA language, with applicability in devices with the Android operating system. For quantitative verification, the same input values in the UniIrrig® application were also inserted in Microsoft® Excel 2010, in all uniformity conductors used in the application. For the qualitative analysis, together with the experience of the user, 68 students of the Agronomy course at the Federal University of Ceará (UFC) participated in tests in order to evaluate the perception of usability, design, usefulness, and general satisfaction of the tool. To validate the application in the field, a uniformity test was carried out on a center pivot in the municipality of Cascavel, Ceará state, with the aid of collectors (Kit Fabrimar) to deliver the applied depth and the consequent result of the distribution uniformity coefficient (DUC), of Hart (HDC) and weighted mean depth analysis. These values were compared to the results obtained in Microsoft® Excel 2010. The dynamic analysis of the data evolved in “r”= 1, thus providing perfect adaptation between the results obtained by the application and by Microsoft® Excel, finding an error equal to zero. In the qualitative assessment, 84.1% consider the application a good tool for coefficient determination. It is concluded that the UniIrrig® application, designed for the Android operating system, can be used to quantify the assessed irrigation uniformity coefficients.

Modos de vida e trabalho de imigrantes haitianos no Oeste do Paraná/Brasil

ABSTRACT Objective: To analyze the migratory process, ways of living, and working conditions of Haitians residing in the municipality of Cascavel, Paraná, as well as their impact on health conditions, consumption patterns, and political and ideological life. Method: cross-sectional observational design. Data was collected through semi-structured interviews conducted from December 2019 to December 2020 with 128 participants who were Haitian immigrants residing in the municipality. Simple descriptive statistics were used for the data analysis, and the findings were discussed in conjunction with relevant literature, with the social determination theory serving as a reference. Results: The majority of participants were male 75.0% (n = 96), young adults 71.0% (n = 91), speakers of two or more languages 87.5% (n = 112), catholic 61.7% (n = 79), high school education or higher 57.0% (n = 73). They consider their life and health conditions good but are unsatisfied with the working conditions and salary. Conclusion: Haitian immigrants’ arrival facilitation to work in cold stores may indicate labor exploitation of economically and socially vulnerable groups. Immigration policies and the recognition of the educational level of their country of origin may contribute to improving the living condition of this population.

Comparison Between Vegetation Index Obtained by Active and Passive Proximal Sensors

Proximal sensors have been used to characterize the crop biophysical properties by reflectance values and/or using Vegetation Indices (IV). Our goal with this work is to compare NDVI (Normalized Difference Vegetation Index) spectra-temporal profiles obtained by active (GreenSeeker 505 Handheld) and passive (FieldSpec4 model Standard-Res) proximal sensors to monitor soybeans and beans. It was monitored agricultural fields with soybeans Nidera 5909RG variety and beans Imperador variety, located in the municipality of Cascavel, Parana state, Brazil. The proximal sensors were used to monitor the crop's conditions on different Days After Sowing (DAS). NDVI from FieldSpec4 (NDVI FS) showed a higher correlation with GreenSeeker NDVI (NDVI GS) in the wavelengths of 649 nm and 771 nm for soybeans (rs = 0.9105) and 646 nm and 792 nm for beans (rs = 0.9382). The inter-calibration of NDVI GS values in function of NDVI FS, considering the entire phenological cycle, resulted in RMSE = 0.0520 and dr = 0.8630 for soybeans and RMSE = 0.0636 and dr = 0.8890 for beans. NDVI values showed saturation during the major vegetative development of the crops, interfering in the inter-calibration process. In general, the NDVI GS and NDVI FS were similar in terms of their spectral-temporal pattern. According to our results, the active sensor could be used to crop monitoring, resulting in a lower cost and less climatic interference.

Ant assemblages (Hymenoptera: Formicidae) from areas under the direct influence of two small hydropower plants in Brazil

Current energy production has been the subject of studies on environmental impacts and the need to adequately understand that the relationship to biodiversity loss is growing. One of the ways of assessing environmental changes is the use of bioindicator species, and ants represent an alternative in this regard. This study aimed to evaluate ant assemblages occurring in different environments in areas under the direct influence of two small hydropower plants (SHPP). Sampling was carried out using pitfall traps in forest and agricultural fragments, as well as pasture areas, along the Andrada River, municipality of Cascavel, state of Paraná, in July 2016 and March 2017. The sampled ant assemblages were evaluated for richness, abundance, and composition. The rarefaction analysis was used to compare the richness sampled in the two areas under direct influence. Abundance was analyzed based on the number of occurrences. The nonmetric multidimensional scaling (NMDS) was applied to test whether the abundance and composition of ant assemblages differ at the same site when sampled in both seasons. In total, 63 species belonging to 23 genera and 6 subfamilies were identified. The subfamily Myrmicinae was the most speciesrich (S = 25), followed by the subfamily Formicinae (S = 21). The most species-rich genus was Camponotus (S = 15) followed by Pheidole (S =11). A total of 41.3% richness was registered concurrently in the two assemblages. The study contributes to the expansion of knowledge of the ant fauna occurring in the state of Paraná and serves as a basis for monitoring impacts caused by the implementation of SHPP and other developments.

A IMPORTÂNCIA DO ESPAÇO LÚDICO NO AMBIENTE HOSPITALAR

O período de internação pode tornar-se traumático na vida da criança, pois geralmente a mesma está em um ambiente diferente do habitual. A Lei n°11.104 de 2005 tornou obrigatória a implementação de brinquedotecas nos hospitais. No entanto, nem todos os hospitais têm suporte para tal função. Objetivo: demonstrar a importância do espaço lúdico para crianças hospitalizadas. Trata-se de uma pesquisa de campo com abordagem qualitativa, com parecer do Comitê de Ética nº 3.337.363, fazendo parte de uma Pesquisa PIBIC. Foram realizadas entrevistas com acompanhantes de crianças de dois hospitais do município de Cascavel, sendo ao todo 20 entrevistas com acompanhantes de pacientes pediátricos, 10 no hospital onde há espaço lúdico (Hospital A) e 10 no hospital onde não há espaço lúdico (Hospital B). Os resultados obtidos vêm, de acordo com a literatura, demonstrando positivamente o aproveitamento do espaço lúdico e ao contrário dos que não possuem espaço lúdico. Além disso, foi possível averiguar a relação do uso de tecnologias no ambiente hospitalar. Evidencia-se que há aproveitamento do Espaço Lúdico para a criança em condição hospitalar de modo a colaborar com o bem-estar do cliente pediátrico.

SELETIVIDADE DA REDE DE ESPERA UTILIZADA NA CAPTURA DA SARDINHA-BANDEIRA, Opisthonema oglinum (LESUEUR, 1818)

O presente trabalho teve como objetivo determinar a seletividade das redes de espera utilizadas na captura da sardinha-bandeira, Opisthonema oglinum, na Praia da Caponga, município de Cascavel, Ceará, Brasil. Os dados de comprimento total (em cm) foram obtidos de dois grupos, cada um com 780 indivíduos, capturados por redes de espera com malhas de 5 cm e 6 cm entre nós opostos, no período de agosto a outubro de 2014. Esses dados foram descritos em histogramas de frequência de comprimento, sendo mais representativasas classes de 21,6 cm (24,23%) para a malha de 5 cm e de 25,7 cm (23,08%) para a de 6 cm. O comprimento médio de seleção foi de 23,7 cm para a malha de 5 cm e de 28,5 cm para a de 6 cm. A amplitude de seleção foi de 23,7 ± 7,9 cm e de 28,5 ± 7,9 cm para as malhas de 5 cm e 6 cm, respectivamente. As equações das curvas de seleção das redes de espera para os dois tamanhos de malha foram obtidas, e a probabilidade de capturar indivíduos com comprimento inferior ao mínimo, estabelecido pela Instrução Normativa no 53,de 22/11/2005, em 15 cm, foi muito baixa e correspondeu a 1,32% e 0,03% para as malhas de 5 cm e de 6 cm, respectivamente.

Parasites of Cambeva davisi (Siluriformes: Trichomycteridae) from the Cascavel stream, Neotropical area

The aim of the present study was to record the occurrence of parasites in Cambeva davisi (= Trichomycterus davisi) (Siluriformes: Trichomycteridae) from the Cascavel Stream, in the Iguacu River basin, municipality of Cascavel, state of Parana, Brazil, and present a review of the parasites reported infecting trichomycterids belonging to Cambeva and Trichomycterus species from the Neotropical region. Eighty-one fish specimens were collected using the electrofishing technique, with three standardized passes with a duration of 40 min, with extensions of 50 m for each site. In the laboratory, the fish were necropsied, and parasitological and histological analyses were conducted. Two parasite species were found and identified as nymphs of Sebekia oxycephala (Pentastomida) (Prevalence [P] = 8.54%) and Minilernaea floricapitella (Crustacea: Lernaeidae) (P = 1.23%), both representing new records of distribution and host-parasite relationships for genus Cambeva. The presence of the nymphs of S. oxycephala did not result in harmful histological changes or a significant inflammatory process in infected organs. Twenty-one taxa of parasites have been described parasitizing trichomycterids belonging to Trichomycterus (sensu stricto) and Cambeva from the Neotropical region. Nymphs of S. oxycephala have already been reported in freshwater fish belonging to 10 different orders, and M. floricapitella has been found parasitizing Brazilian fishes belonging to two orders. The nymphs of S. oxycephala did not cause histopathological changes and the new records of distribution and host-parasite relationships reported here enrich knowledge of the parasitic fauna of freshwater fish from the Neotropical region.

Control charts for monitoring drip irrigation with different hydraulic heads

This study monitored a drip irrigation system with different hydraulic heads, using control charts. The study included 25 tests, and was conducted at the Experimental Nucleus of Agricultural Engineering of the State University of Western Paraná, located in the municipality of Cascavel, Paraná. The drip irrigation system was operated by gravity, and had four hydraulic heads (10, 11, 12 and 15 kPa). The uniformity of the system was determined based on uniformity distribution. Uniformity monitoring was performed using Shewhart and exponentially weighted moving-average (EWMA) control charts. An increase in the hydraulic head increased uniformity. The use of 12 and 15 kPa hydraulic heads yielded good performance, whereas 10 and 11 kPa yielded regular performance. The use of control charts proved to be efficient; the Shewhart control chart was more robust, whereas the EWMA control chart, which indicated trends and deviations not shown by Shewhart control charts, was more sensitive.

Synthetic images to map daily evapotranspiration in field scale using SEBAL model and ESTARFM algorithm

Many applications in water resource management require evapotranspiration (ET) information at the daily and field-level scales; however, no satellite system currently operating is able to capture all the resources of ET dynamics in an agricultural field. Thus, the objective of this study was to apply the SEBAL (Surface Energy Balance Algorithm for Land) and ESTARFM (Enhanced Adaptive Reflectance Fusion Model) methodology to estimate the daily ET in an agricultural area in the municipality of Cascavel, Paraná. We applied the ESTARFM algorithm to MODIS and Landsat 8 images to produce 8 synthetic images. The performance of the algorithm was evaluated by comparing predicted surface reflectance values obtained to real Landsat 8 images. SEBAL was applied to obtain daily evapotranspiration values (ET24) for 3 different targets (maize, soybean and stubble crop). The observed results showed that the predictions of ET using ESTARFM had a general determination coefficient of 0.80 in all analyzed images and ranged from 0.4 < R² < 0.81 when compared with real data from the Landsat 8 images, with soybean crop yielding the worst results. Low error values were found between the synthetic time series data of ET and the real data, with mean less than 1 mm day-1, meaning high reliability of synthetic data. ESTARFM tended to overestimate the ET values when compared with the real data, with the performance strongly affected by a change in the soil cover between the analyzed dates. Input data with the same soil cover is recommended for more accurate results.

Evaluation of quality indicators of cervical cytopathology tests carried out in a municipality of Paraná, Brazil

ABSTRACT Introduction: Although the criteria and recommendations are well defined to improve the quality of cervical cytopathology tests (Pap smear) in Brazil, the quality indicators of several laboratories are below the recommended standards. Objective: To evaluate the quality indicators of cervical cytopathology tests carried out by the Brazilian Unified Health System [Sistema Unico de Saude (SUS)]. Method: Cross-sectional study based on the results of cervical cytopathology tests conducted in the municipality of Cascavel, Parana, Brazil, from January 2012 to December 2018. The study included 141,191 tests and the following variables were analyzed: sample suitability, cervical cytopathology tests result, and internal quality monitoring indicators recommended by the Brazilian Ministry of Health. Results: The percentage of unsatisfactory tests did not exceed 0.97%. The representation of the squamocolumnar junction ranged from 63% to 67.4%. The percentage of altered exams among the satisfactory samples ranged from 0.46% to 6.44%. The positivity index ranged from 0.46% to 6.44%, while the high-grade squamous intraepithelial lesion/satisfactory indicator ranged from 0.21% to 1.06%, atypical squamous cells of undetermined significance/altered ranged from 22.47% to 49.93%, atypical squamous cells of undetermined significance/satisfactory ranged from 0.1% to 2.57%: and atypical squamous cells of undetermined significance/squamous intraepithelial lesions ranged from 0.31 to 1.02. Conclusion: In 2012 and 2013, the high-grade squamous intraepithelial lesion/satisfactory and the positivity index indicators were below the recommended parameters, and in the remaining years, these indicators were within the parameters recommended. Consequently, a greater number of truly cancer precursor lesions were identified, demonstrating the importance of internal quality control in the prevention of cervical cancer.

Seed Treatment with Bacillus amyloliquefaciens for the control of Meloidogyne javanica “in vivo” bean culture and its direct effect on the motility, mortality and hatching of M. javanica “in vitro”

The gill nematode (Meloidogyne spp.) is a widely distributed phytoparasite capable of causing great yield losses in the most diverse cultures. Therefore, the objective of the present work is to evaluate the effect of Bacillus amyloliquefaciens used in the treatment of seeds as a biocontrol agent of Meloidogyne javanica in common bean, and the direct effect of M. javanica on hatching, motility and in vitro mortality. Experiments were conducted in the municipality of Cascavel, Paraná, in a greenhouse and laboratory. A randomized complete block design (DBC) was used, using five different doses of the biocontrol (0, 50, 100, 150 and 200% of the recommended dose), with five replicates for both experiments. The sowing of 3 seeds of cv. IPR Bullfinch was performed in 2 L plastic vessels with autoclaved soil and sand mix. The inoculation of 2000 eggs / J2 of M. javanica per plant was carried out in a sequence. Forty days after inoculation, the plants were removed for evaluation, where vegetative parameters and nematological parameters were analyzed. In the laboratory bacterial / nematological suspensions were added totaling 10mL per plate. Hatching in distilled water was used as control. The chambers were maintained in B.O.D. to 27 +/- 1º C with photoperiod of 12 hours / light. Hatching, motility and mortality were evaluated at 9 and 15 days. Both data were subjected to a regression analysis at 5% probability level, using the statistical software SISVAR, version 5.6. Results showed that the bacterial isolate B. amyloliquefaciens is a potential controller of M. javanica "in vitro", as well as of “in vivo" vegetative and nematological parameters.

Economic Viability of Photovoltaic Systems in a Rural Community in Brazil

Solar energy can be converted directly into electricity using photovoltaic cell technology. It is considered as the technology of the future because it uses the Sun, a clean and inexhaustible source. Thus, this study aimed to evaluate the economic viability in energy generation of a photovoltaic system in a rural community in the district of Rio do Salto. The rural community is in the municipality of Cascavel, western region of the state of Paraná, geographical coordinates latitude 25°8'31"S, longitude 53°19'40"W and altitude 781 m. Rio do Salto has regulations of 19 blocks with 241 properties. The evaluated properties belonged to block 11. The project was feasible when the payback period of the investment occurred within the expected photovoltaic system life cycle and if the internal rate of return (IRR) was higher than the minimum attractiveness expected for the project. To ensure the viability of this power generation system, the average consumption over the 12-month period should be higher than the rate of availability of the concessionaire that the owner should pay. This value varied according to the connection type (single-phase: 30 kWh, two-phase: 50 kWh and three-phase: 100 kWh). Property 9 was the only one that did not show conditions for photovoltaic system for not reaching the minimum connection tariff of the concessionaire.

Evaluation of the semen quality of patients attended in a clinical analyzes in the Cascavel municipality, Brazil

Objectives: The objective of this study was to investigate the prevalence of altered spermograms of individuals living in a municipality in the west of Paraná and attended at a private laboratory for clinical analysis, as well as the main alterations found in this study. Methods: We analyzed electronic reports of patients undergoing sperm examination in a private laboratory located in the municipality of Cascavel, Paraná, from January 2014 to December 2016. Results: It was verified that of 888 tests analyzed, only 1% presented all parameters analyzed within normality, while 99% of the cases presented some type of alteration. There was a change in the following parameters with statistical significance between the number of reports analyzed: time of liquefaction, sperm concentration, head anomalies, tail abnormalities, number of spermatocytes and spermatids (p <0.0001), viscosity (p = 0.1098), live forms (p = 0.0524), progressive motility (p = 0.0010) and total motility (p = 0.0013). Conclusions: There was a high prevalence of altered spermograms and a great number of alterations were observed, which requires the need for complementary tests to determine the causes of these alterations.

Perfil epidemiológico dos pacientes com HIV em um centro de referência no sul do Brasil. Características de dez anos.

Justificativa e Objetivos: A epidemia da infecção pelo HIV constitui um verdadeiro mosaico de sub-epidemias regionais. O estudo possuiu como objetivo descrever o perfil 2 dos pacientes recém-infectados com HIV em um centro de referência no Sul do Brasil. Métodos: Trata-se de um estudo transversal, a partir de informações de prontuários e da Rede Nacional de Sistema de Controle de Testes de Laboratório. Foi realizada uma&#x0D; análise descritiva, agrupadas pelo sexo, das características ociodemográficas, comportamentais e sorológica dos pacientes infectados pelo HIV, entre janeiro de 2005 a dezembro 2014. A associação entre as variáveis qualitativas foi realizada utilizando-se os testes Qui-quadrado ou Teste Exato de Fisher, e as quantitativas foram analisadas pelo&#x0D; Teste de Wilcoxon. O nível de significância foi fixado em 5%. Resultados: A epidemia apresentou taxas crescentes, principalmente no sexo masculino e no município de Cascavel. A mediana da idade da população foi de 33 anos, sendo que 680 (57,43 %) eram homens. Em relação ao estado civil, o sexo masculino era predominantemente solteiro (51,99% versus (vs.) 34,10%). O tempo de diagnóstico menor/igual a dois anos&#x0D; foi maior entre os homens (29,26% vs. 20,83%). A mediana da ontagem de células T CD4+ no sexo feminino foi superior ao masculino (416 células/mm3 vs. 334,5 células/mm3 ; p &lt; 0,0001). Conclusão: Os características sociodemográficas, comportamentais e as disparidades regionais devem ser levadas em conta na formulação de programas de prevenção.&#x0D; DESCRITORES: HIV. Epidemiologia. Síndrome de Imunodeficiência Adquirida.

TRANSPARÊNCIA NA GESTÃO PÚBLICA: APLICAÇÃO DA LAI NO MUNICÍPIO DE CASCAVEL SOB A ABORDAGEM DA TEORIA CONTINGENCIAL

This work aimed to evaluate the actions taken by the municipal public administration of Cascavel to effectively comply with the Law on Access to Information - LAI (Law 12,527 / 2011), regarding active and passive transparency, under a Contingency Theory approach. This study was classified as descriptive, case-study and qualitative, using semi-structured interviews. In addition, the LAI Social Questionnaire (TCE / PR, 2014) published by this Court was used as the basis. The municipality of Cascavel does not fulfill an LAI, is classified in 35o of 69 municipalities of the ranking, presenting a degree of transparency of 28.02%. The Contingency Theory was used to observe its influence on the implementation of LAI. It was observed that the contingency factors, strategy and technology, are more evident in the development of the law. However, it is necessary to observe a reality of each municipality, which seeks a balance between variables, but that is essential for the variables of strategy and strategy.

Chlorococcales sensu latu (Chlorophyceae) de um ecossistema lótico subtropical, estado do Paraná, Brasil

O presente trabalho objetivou realizar o levantamento taxonômico das Chlorococcales do rio Cascavel, município de Cascavel Estado do Paraná ou PR, Brasil. As coletas do material biológico (perifítico, metafítico e fitoplanctônico) foram realizadas mensalmente de julho de 2010 a junho de 2011, em três estações de amostragem ao longo do rio. Este trabalho resultou na identificação de 30 táxons, distribuídos em 16 gêneros (Desmodesmus (8) e Pediastrum (4) foram os que apresentaram o maior número de espécies) e seis famílias taxonômicas. Um total de cinco novas citações foi registrado para o Estado do Paraná: Chlorotetraedron incus (Teiling) Kom, Desmodesmus pseudodenticulatus (Hegew.) Hegew., Dictyosphaerium chlorelloides (Naum.) Kom. &amp; Perm., Oocystis marssonii Lemm. e Pediastrum duplex var. gracillimum West &amp; G.S. West.

O tipo vivido de familiares de usuários de um centro de atenção psicossocial infantil

The objective of this study was to understand the lived experiences of family members of children attending a Child Psychosocial Care Center. This study is a qualitative research with a phenomenological approach, developed at a Child Psychosocial Care Center (CAPSi as per its acronym in Portuguese) located in the municipality of Cascavel, State of Paraná. Participants were eleven family members of clients attending the above mentioned service and who, more actively, took part in the clients' care. Semi-structured interviews were performed and the gathered data were then analyzed by means of social phenomenology methodology The experience lived by the family members of children attending the Child Psychosocial Care Center included experiences in dealing with clients' behavior; seeking referrals to other services; waiting for treatment; hoping to see an improvement in the clinical profile of the patient and experiencing the service support provided to the family. Thus, this present study may contribute to a reflection on mental health nursing practice in caring for clients and their families.

Estudo clínico e laboratorial de pacientes com artrite reumatoide diagnosticados em serviços de reumatologia em Cascavel, PR, Brasil

Estudos epidemiológicos brasileiros sobre artrite reumatoide são bastante escassos, e os dados existentes hoje são majoritariamente de literatura internacional. Determinar a incidência e algumas características clínicas e laboratoriais de pacientes com artrite reumatoide em Cascavel, PR, Brasil. Os dados foram coletados entre agosto de 2010 e julho de 2011 em todos os serviços de saúde do município que possuíam atendimento na especialidade de reumatologia: um hospital universitário, o Centro Regional de Especialidades do Consórcio Intermunicipal de Saúde do Oeste do Paraná (CRE-CISOP) e quatro clínicas privadas da cidade. Foram identificados 38 pacientes com diagnóstico de artrite reumatoide, resultando em uma incidência estimada de 13,4 casos/100.000 habitantes/ano. Trinta e dois pacientes eram do gênero feminino, com média de idade de 47,6 anos. A faixa etária com maior incidência foi > 40 anos. O tempo médio entre os primeiros sintomas e o diagnóstico foi de 12,4 meses. O fator reumatoide foi positivo em 68,4% dos casos, e 18,4% já apresentavam alterações radiológicas no momento do diagnóstico. O tratamento farmacológico dos pacientes também foi avaliado e mostrou estar de acordo com o encontrado na literatura. A incidência de artrite reumatoide obtida em Cascavel está abaixo das incidências observadas em estudos internacionais.