Municipality Of Origin Research Articles

Diagnostic delay in patients with sporadic hereditary transthyretin-mediated amyloidosis.

Hereditary transthyretin-mediated amyloidosis (ATTRv amyloidosis) is a rare progressively incapacitating condition with a wide range of genotype/phenotype presentations. It is frequently diagnosed late in its course, particularly in sporadic cases. Analysing predictors of diagnostic delay in this subpopulation should be, therefore, a priority. 109 apparently sporadic ATTRv amyloidosis patients followed in a reference centre in Hospital de Santa Maria (ULS Santa Maria-CAML), in Lisbon, were studied. Time from symptom onset to diagnosis, age, sex, municipality of origin and initial symptoms were obtained. Diagnostic delay was compared between different decades with a Kruskal-Wallis test, and its predictors were evaluated in a univariate model followed by a binary logistic regression analysis to calculate the adjusted odds ratio. The median diagnostic delay was 1262days. There was a non-significant difference in diagnostic delay between the 80s, 90s, 2000s and 2010s decades. There was a non-significant trend for a longer diagnostic delay in woman and in patients having no neurologic symptoms at onset. There is an important diagnostic delay in sporadic cases of ATTRv amyloidosis. Awareness should be spread among clinicians regarding the various manifestations of this disease, stressing the importance of family history and epidemiological data.

Impact of post-harvest processing and roasting conditions on the physicochemical properties, phenolic compounds, and antioxidant capacity of cocoa beans from the Brazilian Amazon

Interest in cocoa (Theobroma cacao L.) and its derivatives has grown mainly due to the high concentration of phenolic compounds (PC), which exhibit potentially beneficial effects on human health. Brazil is the sixth-largest producer of cocoa beans worldwide, with the Amazon region, particularly the state of Pará, playing an increasingly significant role in this production. This study evaluated the effects of pod storage, fermentation time, type of drying platform, municipality and roasting time and temperature on cocoa beans from the Brazilian Amazon. Parameters such as moisture, pH, and cut test were assessed, and individual phenolic compounds were quantified by HPLC-DAD. The Folin-Ciocalteu assay was used to evaluate total phenolic compounds (TPC), and antioxidant capacity was measured using DPPH and ORAC methods. Results showed that the phenolic content and antioxidant capacity of the beans are influenced by the municipality of origin. Fermentation time was the pre-processing condition that most significantly influenced the physicochemical and bioactive properties of the beans, causing reductions of 55–76% in individual phenolic compounds and 43.5–60.57% in antioxidant capacity after seven days. While roasting tends to degrade most phenolic compounds, catechin can form or stabilize at higher temperatures and longer roasting times.

Geographic heterogeneity of SARS-CoV-2 circulation in Abidjan, Ivory Coast: a prospective study.

Few studies on SARS-CoV-2 seroprevalence in Ivory Coast have been conducted since the first case was reported on March 11, 2020. The main objective of this study was to observe and better understand the circulation of SARS-CoV-2 in Abidjan. This prospective study collected data concerning age, sex, vaccination status, municipality of origin, monthly income, frequency of malaria, and frequency of diarrheal diseases in persons who gave their informed consent. Venous blood samples were taken to test for anti-SARS-COV-2 antibodies (IgM and IgG) using the VIDAS automated system. A total of 1504 patients were recruited and tested for antibodies directed against SARS-COV-2. Data analysis revealed the presence of anti-SARS-CoV-2 in 53.5% of participants, 17.3% of the participants had a previous symptomatic infection, 31.4% had an asymptomatic infection, and 44.8% were never in contact with the virus. Seroprevalence of SARS-CoV-2 was higher in Marcory (70.9%) and Cocody (61.1%) than in the remaining townships (48.4%). Township rates of serologically confirmed SARS-CoV-2 infection correlated with poverty index (p = 0.025), children < 5 years' proportion in the township (p = 0.026), and levels of malaria (p = 0.034). In the city of Abidjan, COVID-19 is strongly modulated by poverty, the proportion of babies and toddlers in the community, or exposure to malaria.

AFASTAMENTOS LABORAIS POR TRANSTORNOS DE HUMOR ENTRE 2018 E 2020 NO PIAUÍ

ABSTRACT Objective: To analyze work absences due to mood disorders between 2018 and 2020 in Piauí. Method: Census study, descriptive-analytical, carried out in Piauí, Brazil, between May and July 2021. Data was collected from the National Social Security Institute’s database. Analyzed with descriptive and inferential statistics. Results: 1,717 leaves were identified, 65.3% were female workers with an average age of 39.78 years, 91% had an income of one to two minimum wages, 42.7% came from other municipalities, and 82.2% worked in the urban area. Among the absences, 52% were due to depressive episodes, and 84.2% of the workers were granted social security sickness benefits. There was a statistical association between the municipality of origin, the zone of labor activities, and the average duration of work leave. Conclusion: The study contributed to the identification of absences and the provision of data that collaborate in the formulation of intervention strategies and the worker’s best working conditions and mental health.

Characterization of sheep production systems and their relation with gastrointestinal parasites in four municipalities of Campeche, Mexico

Objective: The increase in the number of sheep in herds is accompanied many times by bad practices, which lead to nutritional deficiencies, rises in parasitism and loss of homeostasis. Therefore, gastrointestinal parasites from sheep were characterized from four municipalities of the state of Campeche.&#x0D; Design/methodology/approach: The number of sheep studied was 243, evaluating the body weight, body condition, coloring of the eye mucosae, age, eggs per grams of feces, and family of parasites. The data were analyzed through an ANOVA and Tukey’s means test (P&lt;0.05), as well as Spearman’s correlation analysis using the statistical package Statistica 7.&#x0D; Results: Five parasite families were found (Trichostrongyloidae, Strongyloidae, Trichuridae, Eimeriidae and Anoplocephalidae). In the production systems of the municipality of Calakmul the five families of parasites were found, with a parasite load of 3,571 hpg. The family Trichostrongyloidae presented the highest frequency in the municipalities of Champotón and Calakmul with 52 and 75%, respectively. The animals with best body condition, FAMACHA© and lowest parasite load were observed in Hecelchakán.&#x0D; Limitations on study/implications: It is suggested to carry out a study of anthelmintic resistance, to establish a management of prevention and control of gastrointestinal parasites.&#x0D; Findings/conclusions: The frequency of gastrointestinal parasites is influenced by the management and the municipality of origin within the sheep production systems in the state of Campeche.

Prevalence and associated risk factors of intestinal parasites among schoolchildren in Ecuador, with emphasis on the molecular diversity of Giardia duodenalis, Blastocystis sp. and Enterocytozoon bieneusi.

Intestinal helminths, including Soil-Transmitted Helminth (STH), and Gastrointestinal Protist (GP) infections are major contributors to the global burden of disease, particularly in low-income countries such Ecuador. Their epidemiology in these settings is largely unknown. This prospective cross-sectional study investigates the carriage of intestinal helminths, including STH, and GP in asymptomatic schoolchildren (3-11 years) in the Chimborazo and Guayas provinces, Ecuador. Single stool samples (n = 372) and epidemiological questionnaires on demographics and potential risk factors were collected from participating schoolchildren. Conventional microscopy examination was used as screening method, and molecular (PCR and Sanger sequencing) assays were used to further investigate the epidemiology of some GP. A multivariate logistic regression analysis was used to evaluate the strength of the association of suspected risk factors with the presence of helminths and GP. At least one intestinal parasite species was observed by microscopy in 63.2% (235/372) of the participating schoolchildren. Enterobius vermicularis (16.7%, 62/372; 95% CI: 13.0-20.9) and Blastocystis sp. (39.2%, 146/372; 95% CI: 34.2-44.2) were the most prevalent among helminths and GP, respectively. Assemblages A (50.0%), B (37.5%) and A+B (12.5%) were detected within Giardia duodenalis and ST3 (28.6%), ST1 and ST2 (26.2% each), and ST4 (14.3%) within Blastocystis sp. Three genotypes, two known (A: 66.7%; KB-1: 16.7%) and a novel (HhEcEb1, 16.7%) were identified within Enterocytozoon bieneusi. Municipality of origin, household overcrowding, and poor sanitation and personal hygiene habits were risk factors for childhood intestinal parasites colonization. Despite massive government drug administration programs, STH and GP infection remain a public health concern in paediatric populations living in poor-resource settings. Molecular analytical methods are required to better understand the epidemiology of these intestinal parasites. This study provides novel information on the occurrence of Blastocystis sp. and E. bieneusi genetic variants circulating in Ecuadorian human populations.

Local-to-local electoral connections for migrants: the association between voting rights in the place of origin and the propensity to vote in the place of residence

ABSTRACT The study of transnationalism raises important questions about the effects of political rights that international migrants enjoy in different places. We contribute to this debate asking the following question: Do international migrants who retain voting rights in the place of origin have a greater propensity to vote in the local elections of the country of residence than those who do not retain such rights? We analyse individual-level survey data of voting turnout in the 2015 municipal elections in Geneva, combined with information about voting rights in the municipality of origin (local-to-local connections) and in the country of origin (national-to-local connections). We find statistical effects of national-to-local connections only in models with no additional control variables, while the statistical effects of local-to-local connections are strong and robust. This points to an association between retaining voting rights in the municipality of origin and the propensity to vote in the local elections in the country of residence. We suggest that local-to-local electoral connections are produced by spill-over: By actively pursuing the diaspora, political parties, unions, and local electoral commissions act as vehicles of greater electoral participation not only in migrants’ municipality of origin, but also in their municipality of residence.

Investigation of blaKPC and blaNDM genes in enterobacteriaceae received in a public health laboratory

Introduction: KPC and NDM carbapenemases production is an important enzymatic mechanism of resistance to carbapenens in bacteria belonging to the Enterobacteriaceae family. These enzymes degrade virtually all beta-lactam antibiotics and are encoded by the blaKPC and blaNDM genes, which can be in mobile genetic elements such as plasmids and transposons. Objectives: This study evaluated the positivity rate of the presence of blaKPC and blaNDM genes in carbapenem-resistant enterobacteria received at the Instituto Adolfo Lutz (IAL) of São José do Rio Preto, Brazil and determined the epidemiological data related to the patients whose isolates were recovered. Methods: From June 2015 to April 2019, bacterial isolates were obtained from different hospitals located in five municipalities in São José do Rio Preto region. In the bacteriology and molecular biology laboratory, DNA extraction and real-time PCR were performed to investigate the blaKPC and blaNDM genes. Afterwards, epidemiological data were surveyed such as the municipality of origin, age, and gender of the patients whose bacterial isolates were recovered. Results: A total of 934 enterobacteria isolates were recovered from the different hospitals. Of these; 93.4% were positive for blaKPC, with 96.3%, 1.85%, and 1.85% of the isolates belonged to the Klebsiella genus, Enterobacter genus, and Escherichia coli species, respectively. Also, 52.5% and 84.4% of the isolates were obtained from women and elderly patients, respectively. The blaNDM gene was detected only in three isolates, two of which originated from surveillance cultures. Conclusion: Therefore, KPC-producing enterobacteria are widespread in all health units of the five municipalities that were studied, suggesting that the blaKPC-carrying Klebsiella sp. isolates may be endemic in these institutions. Additionally, there is a significant role of surveillance cultures in preventing the spread of resistance genes, as observed for blaNDM in this study.

Quality of referrals to a rheumatology service before and after implementation of a triage system with telemedicine support

PurposeTo evaluate the quality of referrals for a first Rheumatology consultation at a tertiary care center in a southern Brazilian capital (Porto Alegre, RS), having as background findings from a similar survey performed in 2007/2008. Since then, our state has implemented referral protocols and a triage system with teleconsulting support exclusively for referrals from locations outside the capital, permitting a comparison between patients screened and not screened by the new system.MethodsPhysicians of the Rheumatology Service at Hospital Nossa Senhora da Conceição prospectively collected information regarding first visits over a 6-month period (Oct 2017 to March 2018). We recorded demographic characteristics, diagnostic hypotheses, date of referral, and the municipality of origin (within the state of Rio Grande do Sul). We considered adequate referrals from primary health care when a systemic autoimmune inflammatory disease (SIRD) was suspected at first evaluation by the attending rheumatologist.ResultsThree hundred fifty-seven patients/appointments were eligible for analysis (193 from the capital and 164 from small and medium towns). In 2007/2008, suspected SIRD occurred in 76/260 (29.2%) and 73/222 (32.9%) among patients from the capital and outside counties, respectively (P = 0.387). In 2017/2018, suspected SIRD occurred in 75/193 (38.9%) and 111/164 (67.7%) in patients from the capital and outside counties, respectively (difference: 28.8, 95% CI: 19.0 to 38.9, P < 0.001), indicating a marked improvement in referrals submitted to the new triage system.ConclusionThe quality of Rheumatology referrals in our state improved over the 10-year interval under study, particularly among patients from locations submitted to referral protocols and teleconsulting support.

Geoprocessing and prevalence of incomplete prenatal booklets and gestational diabetes screening in a southern Brazilian University Hospital

Objective: to evaluate the prevalence of an incomplete prenatal booklet and gestational diabetes mellitus (GDM) screening of postpartum women in a southern Brazilian University Hospital, relating to the municipality of origin and the neighborhood in which they live. Methods: cross-sectional study, including 283 postpartum women, aged over 18 years and who had their births at the University Hospital of Santa Maria/Brazil from January to April 2015. An incomplete prenatal booklet was defined in the absence of any data referring to the obstetric history and the current pregnancy, as well as the lack of identification of the pregnant woman and the Health Unit where prenatal care was performed. For GDM screening, information on fasting blood glucose and risk factors collected from the postpartum women was used. The SPSS 20.0 program was used for descriptive statistics and the Geolocation maps were separated by municipalities of origin and by neighborhoods where the prenatal care of the puerperal women occurred and plotted according to the variables evaluated, using the ArcGIS 10.3 software. Results: the prevalence of an incomplete prenatal booklet was 79.2%, while prevalence of positive GDM screening was 73.9%. The geolocation pointed out 14 municipalities of origin and six neighborhoods where prenatal care had the highest prevalence of incomplete prenatal booklets. For GDM screening, spatial distribution showed ten municipalities of origin and four neighborhoods with a higher prevalence of positive screening for GDM. Conclusion: the geolocation showed that 14 municipalities of origin and six neighborhoods had the highest prevalence of incomplete prenatal booklets. In addition, ten municipalities of origin and four neighborhoods presented with higher prevalence of positive screening for GDM.

Seroprevalencia de Mycobacterium avium subespecie paratuberculosis en bovinos sospechosos sacrificados en rastro de Sonora, México

Paratuberculosis is an infectious-contagious disease caused by the bacterium Mycobacterium avium subspecie paratuberculosis (MAP), which affects the digestive tract of ruminants. MAP is distributed worldwide; however, there are no publications on the seroprevalence of this disease in cattle in the state of Sonora. Therefore, the objective of this study was to detect MAP seropositivity in cattle in Sonora, as well as to know its apparent prevalence in a population of adult cattle with emaciation and cachexia. Three hundred and eighty-five serum samples were analyzed from 370 female and 15 male cattle, older than 3 years, born in the state with signs of emaciation and cachexia. Data were collected on age, breed, zootechnical purpose and municipality of origin. The zootechnical purpose of the animals was mostly dual purpose cattle with 84.93% (370/385). The samples were processed using the commercial ELISA test. The results show an apparent seroprevalence of 2.08% (8/385) and the municipalities that presented seropositive animals were Hermosillo with 3 samples, as well as Guaymas, Huachinera, Ures, Villa Pesqueira and Fronteras, with one sample each. The present study demonstrates for the first time seropositivity to Mycobacterium avium subspecies paratuberculosis in cattle in Sonora. In addition to a low apparent seroprevalence in the cattle population sampled. The presence of MAP in Sonora, which could be considered a neglected disease, highlights the need to know its possible role in public health in Mexico.

Spatial distribution and dissemination of education in Brazilian municipalities

This article aims to investigate the spatial effect of the quality of human capital and to identify if there is educational spillover from higher education in the proficiencies of elementary students. Although the role of geographical aspects has been studied in several academic areas, in the literature on the economics of education such studies are incipient and the few existing contributions use the stock of education as the object of analysis. The present study differs by using proficiency as a proxy for quality and also by examining the spillover effect of the presence and quality of university courses in the area of education. The results indicate a strong spatial dependence, suggesting the spatial dimension influences school performance. On the other hand, higher education institutions influence school performance in the municipality of origin, but not that of neighboring municipalities.

Perfil clínico das pessoas com feridas atendidas pelo ambulatório de enfermagem em estomaterapia

Objetivo: Conhecer o perfil epidemiológico das pessoas com feridas atendidas pelo ambulatório de Enfermagem em Estomaterapia.&#x0D; Método: Estudo documental com abordagem quantitativa. A coleta de dados foi realizada por meio da análise de 43 prontuários de saúde dos pacientes atendidos no ambulatório, no período de janeiro a março de 2019. O instrumento de coleta de dados foi adaptado da ficha original do serviço, com questões relacionadas aos aspectos epidemiológicos e clínicos. Os dados foram tabulados no Microsoft Excel 2013, analisados no software R e organizados em tabelas e gráficos. A pesquisa obedeceu aos princípios éticos da Resolução 466/2012, tendo sido aprovada no Comitê de Ética em Pesquisa com parecer número 3.155.662.&#x0D; Resultados: Predominaram participantes do sexo feminino (51,2%), faixa etária de 20 a 59 anos (60,4%), solteiros (62,8%), e 25,6% da amostra tinham ensino médio completo. A maioria possuía renda mensal de um salário mínimo (58,1%) e o Crato foi o município de origem predominante (39,5%). O fator de risco predominante foi o sedentarismo, e o Diabetes Mellitus a comorbidade mais frequente (14%). Os carbohidratos e as proteínas eram consumidos com frequência no café da manhã, almoço e jantar.&#x0D; Conclusão: É importante serem desenvolvidos e ampliados novos estudos desta natureza, tendo em vista que o conhecimento do perfil do indivíduo acometido por uma lesão pode ser um aliado para uma prática com enfoque preventivo, e com tratamento direcionado individualmente.

Spatially-explicit footprints of agricultural commodities: Mapping carbon emissions embodied in Brazil's soy exports

Reliable estimates of carbon and other environmental footprints of agricultural commodities require capturing a large diversity of conditions along global supply chains. Life Cycle Assessment (LCA) faces limitations when it comes to addressing spatial and temporal variability in production, transportation and manufacturing systems. We present a bottom-up approach for quantifying the greenhouse gas (GHG) emissions embedded in the production and trade of agricultural products with a high spatial resolution, by means of the integration of LCA principles with enhanced physical trade flow analysis. Our approach estimates the carbon footprint (as tonnes of carbon dioxide equivalents per tonne of product) of Brazilian soy exports over the period 2010–2015 based on ~90,000 individual traded flows of beans, oil and protein cake identified from the municipality of origin through international markets. Soy is the most traded agricultural commodity in the world and the main agricultural export crop in Brazil, where it is associated with significant environmental impacts. We detect an extremely large spatial variability in carbon emissions across sourcing areas, countries of import, and sub-stages throughout the supply chain. The largest carbon footprints are associated with municipalities across the MATOPIBA states and Pará, where soy is directly linked to natural vegetation loss. Importing soy from the aforementioned states entailed up to six times greater emissions per unit of product than the Brazilian average (0.69 t t−1). The European Union (EU) had the largest carbon footprint (0.77 t t−1) due to a larger share of emissions from embodied deforestation than for instance in China (0.67 t t−1), the largest soy importer. Total GHG emissions from Brazilian soy exports in 2010–2015 are estimated at 223.46 Mt, of which more than half were imported by China although the EU imported greater emissions from deforestation in absolute terms. Our approach contributes data for enhanced environmental stewardship across supply chains at the local, regional, national and international scales, while informing the debate on global responsibility for the impacts of agricultural production and trade.

Evaluation of data input in a rabies testing request form for herbivores

ABSTRACT: Bovines and equines are the domestic animals with the highest incidence of rabies in Brazil. This study evaluated the data input in testing request forms for rabies in herbivores accompanying samples sent to a certified laboratory of rabies diagnosis in the state of Rio Grande do Sul, Brazil. Information was obtained systematically from all forms sent to the laboratory in 2013 and 2014 using a collection instrument that listed variables about the kind of form used, municipality of origin, description of the suspected animal, clinical signs, sample collection, and conservation procedure. The 11 most relevant variables (municipality of origin, geographic coordinates, species, gender, breed, age, herd size, clinical signs, persistence of clinical signs, biological material, and sample conservation) were assessed for the quality of the data entered, and percentage data input was calculated per form. In total, 603 forms were sent to the laboratory. The most used form was the FORM SN, (82.0%, 497/603). “Excellent” and “good” data inputs were observed only for one variable describing the location of suspected rabies cases or outbreaks and animals (species, gender, biological material). Quality of data input of variables describing geographic coordinates, age, breed, herd size, clinical signs, persistence of signs, and sample conservation method varied between “average” and “poor”. The data input in testing request forms for herbivores are not dully supplied in suspected cases neurological syndromes, pointing to the need to increase awareness and improve training of field staff.

Association Between Water Sanitation and Living Conditions and Dental Caries in Brazilian Schoolchildren

Objective: To analyze the association between water sanitation and living conditions and dental caries in Brazilian schoolchildren. Material and Methods: A list containing names of children enrolled in 18 urban public schools was obtained. Then, data registered by community health agents from the family health strategy were consulted, aiming to obtain information about socio-environmental variables such as house type, number of rooms in the house, water supply, water treatment, waste, feces and urine disposal. For sample calculation, 95% confidence level, 80% test power and 5% error rate were used A total of 199 5-year-old and 137 12-year-old schoolchildren participated in the research. For examinations, World Health Organization recommendations for epidemiological surveys of dental caries were followed . Results: For 5-year-old children, dental caries prevalence was related to municipality of origin, water supply system and sewage system. For 12-year-old children, untreated water and waste collection were related to higher dental caries rates . Conclusion: Dental caries was associated to house type and water sanitation.

Prevalence of human papillomavirus infection among women from quilombo communities in northeastern Brazil

BackgroundHuman papillomavirus (HPV) is a member of the Papillomaviridae family. The prevalence of HPV genotypes may vary according to the region and the population studied. Quilombo communities are ethnic and racial groups with difficult access to health services compared to the general population in Brazil. The aim of this study was to identify specific HPV types correlating with sociodemographic/behavioral characteristics and cervical smear cytological abnormalities in Quilombola women.MethodsThis cross-sectional study included 395 Quilombola women users of the Unified Health System of the Municipalities of Maranhão for the screening of cervical cancer. The samples were analyzed for the presence of cytological abnormalities by conventional methods and tested for 37 HPV genotypes using polymerase chain reaction with primers PGMY09/11 followed by reverse line blot hybridization performed with the Linear Array HPV Genotyping Test kit by Roche Molecular System®. The association between HPV types and cytological diagnosis was investigated according to the different age groups.ResultsHPV infection was detected in 12.6% (50/395) of the women. Infections by high-risk HPV types were more frequent. Genotypes 68 (26.0%); 58 and 52 (20.0%); 31 (10.0%) and 62 (8.0%) were the most prevalent. The highest prevalence (42.0%) of HPV infection occurred in women diagnosed with high-grade squamous intraepithelial lesion. There was a statistically significant association between HPV infection and the detection of cytological abnormalities in all age groups except in women over 60 years. There was a statistically significant association between the municipality of origin and the number of partners with HPV infection.ConclusionsIt is important to incorporate new cervical cancer screening techniques incorporating the cervical-vaginal cytology. For further studies, it is necessary to determine the level of knowledge of Quilombola population on health-related issues including HPV infection and cervical cancer. This will contribute to the continuous improvement of healthcare coverage among the population and enhance the implementation of cancer care in the state of Maranhão.

Análise das demandas judiciais de saúde no Departamento Regional XII - Registro/SP

A gestão de demandas judiciais na saúde representa desafio para a maioria dos municípios brasileiros. Muitos trabalhos descritos na literatura caracterizaram adequadamente o problema e discutiram as repercussões sobre o Sistema Único de Saúde. Neste contexto, o objetivo deste trabalho foi analisar a situação dos processos judiciais da saúde na região do Departamento Regional XII – Registro, Estado de São Paulo, avaliando o perfil dos requerentes que pleiteiam em juízo o custeio do tratamento, exame, procedimento ou medicamento. Para isto, foram analisados dados sobre as demandas judiciais na saúde do Departamento Regional de Saúde XII (DRS XII), Registro/SPno período de janeiro de 2009 a outubro de 2015. As variáveis pesquisadas foram gênero, idade, município de origem da ação, doença referida, origem da prescrição, especialidade do prescritor, tipo de ação, ente acionado, ano de entrada da ação e itens solicitados.Foram analisados 38 processos judiciais contra a DRS XII Registro, identificou-se a prevalência do gênero feminino, faixa etária acima de 51 anos e originários do município de Registro. A maioria das ações é de atendimento realizado no Sistema Único de Saúde, por prescritores de especialidade em Clínica Médica e com diagnóstico de Diabetes Mellitus. Os processos foram caracterizados em sua maioria por ações do tipo Rito Ordinário, contra o Estado. Dos processos analisados, 92% solicitavam somente medicamentos e desses 11% solicitaram simultaneamente suplementos como vitaminas e dietas enterais. O volume de pacientes que passaram a ser atendidos por meio de ações judiciais nos três últimos anos atingiu 47% do volume total registrado no período de sete anos analisado, e o gasto aproximado entre 2009 e outubro de 2015 foi R$1.340.000,00. O estudo inédito na Região de Registro contribui para o diagnóstico da judicialização da saúde na área de abrangência do DRS XII. Os resultados apresentados demonstraram predomínio de processos de portadores de Diabetes Mellitus o que reforça a necessidade de discussão de políticas públicas que atendam a necessidade da comunidade, com base nas mudanças geradas pelo aumento das doenças crônicas.

Atenção terciária e o processo do cuidado

O acometimento de uma doença crônica como o câncer impacta a vida do sujeito e de seus familiares, em diversas situações em destaque para financeira e profissional, visto que dificulta a capacidade laborativa de todos envolvidos, reconfigurando a autonomia da paciente, de manter seu próprio sustento. O estudo almeja conhecer a situação previdenciária e o município de origem das pacientes atendidas na Enfermaria de Oncologia Clínica do CAISM/UNICAMP. Essa compreensão possui a finalidade de entender a relação entre atenção terciária de um Hospital de Ensino e o processo do cuidado a fim de proporcionar qualidade de vida ao sujeito com câncer. No cotidiano do trabalho do Serviço Social é necessário ter em vista o território de moradia dos seus pacientes, pois é lá que acontecem todas as ações. O território vai além do espaço geográfico, sendo um lugar de identidade, ritmos e marcas de expressão. A pesquisa foi realizada através de fonte secundária, oriundas do instrumental próprio do Serviço Social arquivado no prontuário único, com 56 pacientes que necessitavam da intervenção do Serviço Social para viabilizar o suporte protetivo para o cuidado em saúde. A atuação do assistente social na Enfermaria de Oncologia Clínica do CAISM/UNICAMP fundamenta-se na concepção do acesso, garantias de direitos e de avaliar a rede de suporte do território de moradia do paciente.

Antibodies to Neospora caninum in sheep from slaughterhouses in the state of São Paulo, Brazil.

Neosporosis is an emergent disease responsible for considerable economic impact due to reproductive losses. Its zoonotic potential remains unknown. This study involved a survey of antibodies to Neospora caninum in slaughtered sheep and their association with epidemiological variables. Serum samples from 596 sheep from the states of São Paulo and Rio Grande do Sul, Brazil, were collected in two slaughterhouses located in São Paulo and evaluated by indirect fluorescence antibody test (IFAT), using cut-off titers of 25. Among these samples, 353/596 (59.23%; 95%CI 55.23-63.10) were positive and 263/353 (74.50%; 95%CI 69.71-78.77%) were from Rio Grande do Sul. Statistical associations were determined in the univariate analysis between the serological results and sex, breed and municipality of origin. Sheep that came from extensive breeding system showed higher chance (OR=2.09) of presenting antibodies to N. caninum in relation to those from semi-intensive system. Higher chance was also observed for the different studied breeds, except Bergamácia, in relation to Hampshire Down. The results revealed the presence of infection by N. caninum in sheep from slaughterhouses.