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1.
Environ Sci Pollut Res Int ; 30(57): 120793-120804, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37940822

ABSTRACT

The mining and metallurgical industry sector activities often release potential toxic elements (PTE) surrounding exploitation area. We evaluated the addition of phosphate and lime using the dosage of 0.5:1, 1:1, and 2:1 molar ratio of PO43- and CO32- to the sum of PTE, respectively, and also, biochar and biosolids using the dosage of 2.5, 5, and 10% (m:m) to immobilize PTE in contaminated forest soil (Pb (270 mg kg-1) and Zn (858 mg kg-1)) near an abandoned mine site in Brazil. The desorption by stirred flow kinetics revealed that 15% of the total Zn and 12% Pb contents are mobile before any amendment application. Phosphate amendment decreased Pb desorption but increased Zn desorption. Biochar and biosolids immobilize high amounts of Zn and Pb because of their high cation exchange capacities and alkaline properties; however, 20% biosolid dose increased Pb desorption. X-ray absorption spectroscopy suggested Zn-kerolite as the major species in the contaminated soil, likely from mine dust. The change in Zn speciation after soil amendment addition indicated that biochar and lime kept a high proportion of Zn-Al species, whereas phosphate and biosolids led to more Zn-Fe species. Our results pointed out that lime might reduce both Pb and Zn mobilities; however, field trials are crucial to confirm the immobilization efficiency of lime and other amendments over long term.


Subject(s)
Metals, Heavy , Soil Pollutants , Biosolids , Lead , Phosphates/chemistry , Charcoal/chemistry , Soil/chemistry , Zinc/analysis , Soil Pollutants/analysis , Metals, Heavy/analysis
3.
Neurocrit Care ; 39(1): 191-197, 2023 08.
Article in English | MEDLINE | ID: mdl-37131089

ABSTRACT

BACKGROUND: Rebleeding from a ruptured aneurysm increases the risk of unfavorable outcomes after subarachnoid hemorrhage (SAH) and is prevented by early aneurysm occlusion. The role of antifibrinolytics before aneurysm obliteration remains controversial. We investigated the effects of tranexamic acid on long-term functional outcomes of patients with aneurysmal SAH (aSAH). METHODS: This was a single-center, prospective, observational study conducted in a high-volume tertiary hospital in a middle-income country from December 2016 to February 2020. We included all consecutive patients with aSAH who either received or did not receive tranexamic acid (TXA) treatment. Multivariate logistic regression analysis using propensity score was used to evaluate the association of TXA use with long-term functional outcomes, measured by the modified Rankin Scale (mRS) at 6 months. RESULTS: A total of 230 patients with aSAH were analyzed. The median (interquartile range) age was 55 (46-63) years, 72% were women, 75% presented with good clinical grade (World Federation of Neurological Surgeons grade 1-3), and 83% had a Fisher scale of 3 or 4. Around 80% of patients were admitted up to 72 h from ictus. The aneurysm occlusion method was surgical clipping in 80% of the patients. A total of 129 patients (56%) received TXA. In multivariable logistic regression using inverse probability treatment weighting, the long-term rate of unfavorable outcomes (modified Rankin scale 4-6) was the same in the TXA and non-TXA groups (61 [48%] in TXA group vs. 33 [33%] in non-TXA group; odds ratio [OR] 1.39, 95% confidence interval [CI] 0.67-2.92; p = 0.377). The TXA group had higher in-hospital mortality (33 vs. 11% in non-TXA group; OR 4.13, 95% CI 1.55-12.53, p = 0.007). There were no differences between the groups concerning intensive care unit length of stay (16 ± 11.22 days in TXA group vs. 14 ± 9.24 days in non-TXA group; p = 0.2) or hospital (23 ± 13.35 days in TXA group vs. 22 ± 13.36 days in non-TXA group; p = 0.9). There was no difference in the rates of rebleeding (7.8% in TXA group vs. 8.9% in non-TXA group; p = 0.31) or delayed cerebral ischemia (27% in TXA group vs. 19% in non-TXA group; p = 0.14). For the propensity-matched analysis, 128 individuals were selected (64 in TXA group and 64 in non-TXA group), and the rates of unfavorable outcomes at 6 months were also similar between groups (45% in TXA group and 36% in non-TXA group; OR 1.22, 95% CI 0.51-2.89; p = 0.655). CONCLUSIONS: Our findings in a cohort with delayed aneurysm treatment reinforce previous data that TXA use before aneurysm occlusion does not improve functional outcomes in aSAH.


Subject(s)
Aneurysm, Ruptured , Subarachnoid Hemorrhage , Tranexamic Acid , Humans , Female , Middle Aged , Male , Tranexamic Acid/pharmacology , Tranexamic Acid/therapeutic use , Prospective Studies , Brazil , Propensity Score , Treatment Outcome , Aneurysm, Ruptured/drug therapy , Retrospective Studies
4.
Sci Total Environ ; 864: 161009, 2023 Mar 15.
Article in English | MEDLINE | ID: mdl-36549526

ABSTRACT

Mining is an important component of the Brazilian economy. However, it may also contribute to environmental problems such as the pollution of soils with zinc and other potentially toxic metals. Our objective was to evaluate changes in the chemical speciation and mobility of Zn in a soil amended with phosphate. Soil samples were collected from a deactivated mining area in the state of Minas Gerais, Brazil, and amended with NH4H2PO4 saturated with deionized water to 70 % of maximum water retention and incubated at 25 ± 2 °C in open containers for 60 days. The soil was chemically and mineralogically characterized, and sequential extraction, desorption kinetics, and speciation were carried out using synchrotron bulk-sample and micro-X-ray Absorption Near-Edge Structure (XANES/µ-XANES) spectroscopy at the Zn K-edge, and X-ray fluorescence microprobe analysis (µ-XRF). The combination of µ-XRF and µ-XANES techniques made it possible to identify Zn hotspots in the main species formed after phosphate remediation. The best fit combination for bulk XANES and µ-XANES was observed in Zn-montmorillonite, Zn-kerolite, Zn-ferrihydrite, and gahnite. In the course of phosphate treatment, gahnite, Zn layered double hydroxides (Zn-LDH), Zn3(PO4), and ZnO were identified by bulk XANES, while Zn-ferrihydrite, Zn-montmorillonite, and scholzite were identified by µ-XANES. Zinc in the phosphate-amended soil had the strongest partial correlations (r' > 0.05) with Ni, Co, Fe, Cr, Mn, Si, P, Cd, Pb, and Cd, while the unamended soil showed the strongest correlation with Cu, Pb, Fe, and Si. The application of NH4H2PO4 altered Zn speciation and favored an increase in Zn desorption. The most available Zn contents after phosphate amendment were correlated with the release of exchangeable Zn fractions, associated with carbonate and organic matter.

5.
Pharmaceutics ; 14(11)2022 Oct 24.
Article in English | MEDLINE | ID: mdl-36365096

ABSTRACT

mTOR is a signaling pathway involved in cell survival, cell stress response, and protein synthesis that may be a key point in sepsis-induced cardiac dysfunction. Curcumin has been reported in vitro as an mTOR inhibitor compound; however, there are no studies demonstrating this effect in experimental sepsis. Thus, this study aimed to evaluate the action of curcumin on the mTOR pathway in the heart of septic mice. Free curcumin (FC) and nanocurcumin (NC) were used, and samples were obtained at 24 and 120 h after sepsis. Histopathological and ultrastructural analysis showed that treatments with FC and NC reduced cardiac lesions caused by sepsis. Our main results demonstrated that curcumin reduced mTORC1 and Raptor mRNA at 24 and 120 h compared with the septic group; in contrast, mTORC2 mRNA increased at 24 h. Additionally, the total mTOR mRNA expression was reduced at 24 h compared with the septic group. Our results indicate that treatment with curcumin and nanocurcumin promoted a cardioprotective response that could be related to the modulation of the mTOR pathway.

6.
Sci Total Environ ; 807(Pt 1): 150711, 2022 Feb 10.
Article in English | MEDLINE | ID: mdl-34626622

ABSTRACT

Chemical stabilization is an in-situ remediation that uses amendments to reduce contaminant availability in polluted soils. Rates of phosphate, lime, biochar, and biosolids were evaluated as affecting Pb speciation and mobility in soil samples of a mining area located in Vazante, state of Minas Gerais, Brazil. Chemical and mineralogical characterization, desorption kinetics, sequential extraction, leaching evaluation in columns and speciation using X-ray absorption near edge structure were performed. Pb adsorbed on bentonite and on anglesite were the predominant species in the unamended soil. The treatments with phosphate and lime transformed part of the Pb species to pyromorphite. Conversely, part of Pb species was transformed to Pb adsorbed on citrate in the soil amended with biochar, while PbCl2 was formed in soil samples amended with biosolids. Phosphate and lime increased the Pb extracted in the residual fraction, thus showing that more recalcitrant species, such as pyromorphite, were formed. Biosolids and biochar treatments decreased the Pb in the residual fraction, and the fraction associated to organic matter increased after the addition of biosolids. Phosphate and lime were effective to immobilize Pb and to decrease Pb desorption kinetics, but the organic amendments increased the desorption kinetics of Pb in all rates applied. The soil amended with phosphate decreased the Pb leached in the experiment with leaching columns.


Subject(s)
Soil Pollutants , Soil , Kinetics , Lead , Soil Pollutants/analysis , X-Ray Absorption Spectroscopy
8.
Clin Cancer Res ; 27(11): 3190-3200, 2021 06 01.
Article in English | MEDLINE | ID: mdl-33568347

ABSTRACT

PURPOSE: Uveal melanoma is the most common eye cancer in adults. Approximately 50% of patients with uveal melanoma develop metastatic uveal melanoma (mUM) in the liver, even after successful treatment of the primary lesions. mUM is refractory to current chemo- and immune-therapies, and most mUM patients die within a year. Uveal melanoma is characterized by gain-of-function mutations in GNAQ/GNA11, encoding Gαq proteins. We have recently shown that the Gαq-oncogenic signaling circuitry involves a noncanonical pathway distinct from the classical activation of PLCß and MEK-ERK. GNAQ promotes the activation of YAP1, a key oncogenic driver, through focal adhesion kinase (FAK), thereby identifying FAK as a druggable signaling hub downstream from GNAQ. However, targeted therapies often activate compensatory resistance mechanisms leading to cancer relapse and treatment failure. EXPERIMENTAL DESIGN: We performed a kinome-wide CRISPR-Cas9 sgRNA screen to identify synthetic lethal gene interactions that can be exploited therapeutically. Candidate adaptive resistance mechanisms were investigated by cotargeting strategies in uveal melanoma and mUM in vitro and in vivo experimental systems. RESULTS: sgRNAs targeting the PKC and MEK-ERK signaling pathways were significantly depleted after FAK inhibition, with ERK activation representing a predominant resistance mechanism. Pharmacologic inhibition of MEK and FAK showed remarkable synergistic growth-inhibitory effects in uveal melanoma cells and exerted cytotoxic effects, leading to tumor collapse in uveal melanoma xenograft and liver mUM models in vivo. CONCLUSIONS: Coupling the unique genetic landscape of uveal melanoma with the power of unbiased genetic screens, our studies reveal that FAK and MEK-ERK cotargeting may provide a new network-based precision therapeutic strategy for mUM treatment.See related commentary by Harbour, p. 2967.


Subject(s)
Focal Adhesion Kinase 1/metabolism , GTP-Binding Protein alpha Subunits, Gq-G11/genetics , Gain of Function Mutation , Genetic Testing/methods , MAP Kinase Signaling System/genetics , Melanoma/genetics , Melanoma/therapy , Molecular Targeted Therapy , Uveal Neoplasms/genetics , Uveal Neoplasms/therapy , Animals , Combined Modality Therapy , Female , HEK293 Cells , Humans , MAP Kinase Signaling System/physiology , Mice, Inbred NOD , Mice, SCID , Xenograft Model Antitumor Assays
9.
Ciênc. rural (Online) ; 50(1): e20190074, 2020. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1055846

ABSTRACT

ABSTRACT: Considering that water is extremely important in agricultural production, but with restricted availability in some Brazilian regions, this research sought to identify the water limit for the rootstocks: Cleóptra tangerine (Citrus reshni hort. Ex Tan), Volkamer lime (Citrus Volkameriano Pasquale), Citrandarin 'indio' (TSK X TRENG 256), Santa Cruz Rangpur lime (Citrus × limonia) and Sunki Tropical tangerine (Citrus sunki HORT. EX TAN) grafted orange 'Pera' (Citrus sinensis), obtained by two methods: the traditional method of determining the permanent wilting point described by SHANTZ & BRIGGS (1912) recovery of plants with saturated environment and by irrigating recovery method. The experimental design used was in a completely randomized design with four replications totaling 20 experimental plots. It was verified that the rootstocks Cravo Santa Cruz lemon and Volkamerian lemon were the most resistant in initial conditions of water restriction, evaluated by the method of BRIGGS & SHANTZ (1912), with recording of humidity of 0.0488 and 0.0489 respectively. Under more severe conditions of water restriction, determined by the irrigation method, Volkamerian lemon presented the highest resistance, with a humidity of 0.0371.


RESUMO: Considerando que a água é extremamente importante na produção agrícola, mas com restrita disponibilidade em algumas regiões brasileiras, é que esse trabalho buscou identificar o limite hídrico inferior para os porta-enxertos: tangerina Cleóptra (Citrus reshni hort. Ex Tan), limão Volkameriano (Citrus Volkameriano Pasquale), citrandarin 'Indio' -TSK X TRENG 256, limão Cravo Santa Cruz (Citrus × limonia) e tangerina Sunki Tropical (Citrus sunki HORT. EX TAN) enxertadas em laranja 'Pêra' (Citrus sinensis), obtidos por dois métodos: o método tradicional de determinação do ponto de murchamento permanente descrito por BRIGGS & SHANTZ (1912) com recuperação das plantas em ambiente saturado e o método de recuperação por rega. O delineamento experimental utilizado foi o inteiramente casualizado, com quatro repetições, totalizando 20 parcelas experimentais. Verificou-se que os porta-enxertos limão Cravo Santa Cruz e o limão Volkameriano foram os mais resistentes em condições iniciais de restrição hídrica, avaliado pelo método de BRIGGS & SHANTZ (1912), com registro das umidades de 0,0488 e 0,0489, respectivamente. Em condições mais severas de restrição hídrica, determinado pelo método de rega, o limão Volkameriano foi o que apresentou maior resistência, com a umidade de 0,0371.

11.
ROBRAC ; 27(80): 49-51, jan./mar. 2018. ilus
Article in Portuguese | LILACS | ID: biblio-906028

ABSTRACT

A moldeira individual é preconizada para a realização da moldagem funcional, confeccionada a partir de um modelo preliminar realizado com moldeiras de estoque, para determinar os limites da área basal de acordo com a fisiologia das estruturas anatômicas presentes. O objetivo deste estudo foi relatar a técnica de Tomaz Gomes para confecção de moldeira individual, com o intuito de facilitar sua execução. A técnica preconiza a inserção primeiramente do polímero, seguido de gotas de monômero auto polimerizável, em 3 camadas para cada hemi-arco, até que apresente uma espessura aproximada a 3 mm, em toda a sua extensão, lisura, transparência e distância de 2 a 3 mm entre a borda da moldeira e o fundo de sulco. Desta maneira, a moldeira individual de Tomaz Gomes flexibilizou o tempo de trabalho e não requer grandes habilidades manuais, facilitando a execução da mesma.


The individual tray is recommended to perform the functional impression made from a preliminary model performed with stock trays to determine the limits of maximum edentulous area according to the anatomical structures. Thus, the aim of this study was to report a Tomaz Gomes technique for making custom tray, in order to optimize and reduce thermal expansion and distortion during the creation. The technique demands, firstly the insertion of the polymer powder followed by monomer drops, in three layers until the individual tray presents a thickness of approximately 3 mm in its entire length, smoothness, and has a distance of 2 to 3 mm from the edge of tray to labial vestibule, and wear in the regions of the frenulum and muscle insertions, and holds the entire length of the tray. Thus, the individual tray of Tomaz Gomes produces a regular layer of molding material is anatomically and faithfully reproduces the shaped areas, in particular the total edentulous mucosa.

12.
Orig Life Evol Biosph ; 47(3): 323-343, 2017 Sep.
Article in English | MEDLINE | ID: mdl-27783188

ABSTRACT

Probably one of the most important roles played by minerals in the origin of life on Earth was to pre-concentrate biomolecules from the prebiotic seas. There are other ways to pre concentrate biomolecules such as wetting/drying cycles and freezing/sublimation. However, adsorption is most important. If the pre-concentration did not occur-because of degradation of the minerals-other roles played by them such as protection against degradation, formation of polymers, or even as primitive cell walls would be seriously compromised. We studied the interaction of two artificial seawaters with kaolinite, bentonite, montmorillonite, goethite, ferrihydrite and quartz. One seawater has a major cation and anion composition similar to that of the oceans of the Earth 4.0 billion years ago (ASW 4.0 Ga). In the other, the major cations and anions are an average of the compositions of the seawaters of today (ASWT). When ASWT, which is rich in Na+ and Cl-, interacted with bentonite and montmorrilonite structural collapse occurred on the 001 plane. However, ASW 4.0 Ga, which is rich in Mg2+ and SO42-, did not induce this behavior. When ASW 4.0 Ga was reacted with the minerals for 24 h at room temperature and 80 °C, the release of Si and Al to the fluid was below 1 % of the amount in the minerals-meaning that dissolution of the minerals did not occur. In general, minerals adsorbed Mg2+ and K+ from the ASW 4.0 Ga and these cations could be used for the formation of polymers. Also, when the minerals were mixed with ASW 4.0 Ga at 80 °C and ASWT at room temperature or 80 °C it caused the precipitation of CaSO4∙2H2O and halite, respectively. Finally, further experiments (adsorption, formation of polymers, protection of molecules against degradation, primitive cell wall formation) performed under the conditions described in this paper will probably be more representative of what happened on the prebiotic Earth.


Subject(s)
Earth, Planet , Evolution, Planetary , Minerals/chemistry , Seawater/chemistry , Adsorption , Temperature
13.
Oral Health Prev Dent ; 14(1): 13-20, 2016.
Article in English | MEDLINE | ID: mdl-25884040

ABSTRACT

PURPOSE: To determine Portuguese dentists' role in addressing obesity. MATERIALS AND METHODS: For this pilot study, the original version of the Dentists' Role In Addressing Obesity questionnaire was translated from English into Portuguese and validated to ensure that it was culturally adapted for Portuguese dentists. The questionnaire was distributed to a random sample of 400 Portuguese dentists. SPSS Statistics 20 was used to analyse the survey sampling design and assess respondents' attitudes and opinions, outcome expectations and self-efficacy both as ordinal and dichotomised variables. The analysis was a descriptive statistic based on frequencies, without symmetry test. RESULTS: In all, 141 dentists responded. Overall, 22.0% of respondents offered a form of counseling services and 58.9% reported that they were interested in offering obesity-related services. A paucity of trained personnel (58.9%) was cited by the respondents as a major barrier, followed by patients' rejection of weight-loss advice (32.6%) and fears of offending patients (29.1%). 92% of respondents agreed that dentists would be more willing to intervene if obesity were linked to oral disease. CONCLUSION: Healthcare providers must coordinate prevention and interventional efforts for maximum effect. Given the positioning of dentists willing to assist in such an effort, it appears reasonable for experts in obesity intervention in conjunction with dental educators to develop intervention models to be implemented within the scope of the dental practice.


Subject(s)
Attitude of Health Personnel , Dentists/psychology , Obesity/prevention & control , Professional Role , Adult , Child , Counseling , Dentist-Patient Relations , Education, Dental , Female , Humans , Male , Overweight/prevention & control , Patient Education as Topic , Pilot Projects , Portugal , Practice Patterns, Dentists' , Referral and Consultation , Treatment Refusal , Weight Reduction Programs
14.
Ecotoxicol Environ Saf ; 120: 41-7, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26024813

ABSTRACT

The estrogenicity of waters collected from an important hydrological system in Brazil (Paraiba do Sul and Guandu Rivers) was assessed using the yeast estrogen screen (YES) assay. Sampling was performed in rivers and at the outlets of conventional water treatment plants (WTP). The removal of estrogenic activity by ozonation and chlorination after conventional water treatment (clarification and sand filtration) was investigated employing samples of the Guandu River spiked with estrogens and bisphenol A (BPA). The results revealed a preoccupying incidence of estrogenic activity at levels higher than 1ngL(-1) along some points of the rivers. Another matter of concern was the number of samples from WTPs presenting estrogenicity surpassing 1ngL(-1). The oxidation techniques (ozonation and chlorination) were effective for the removal of estrogenic activity and the combination of both techniques led to good results using less amounts of oxidants.


Subject(s)
Estrogens/analysis , Saccharomyces cerevisiae/metabolism , Water Pollutants, Chemical/analysis , Benzhydryl Compounds/analysis , Biological Assay/methods , Brazil , Estrogens, Non-Steroidal/analysis , Estrone , Fresh Water/chemistry , Phenols/analysis , Rivers , Water Purification/methods
15.
Orig Life Evol Biosph ; 45(3): 289-306, 2015 Sep.
Article in English | MEDLINE | ID: mdl-25754589

ABSTRACT

There are currently few mechanisms that can explain how nucleic acid bases were synthesized, concentrated from dilute solutions, and/or protected against degradation by UV radiation or hydrolysis on the prebiotic Earth. A natural zeolite exhibited the potential to adsorb adenine, cytosine, thymine, and uracil over a range of pH, with greater adsorption of adenine and cytosine at acidic pH. Adsorption of all nucleic acid bases was decreased in artificial seawater compared to water, likely due to cation complexation. Furthermore, adsorption of adenine appeared to protect natural zeolite from thermal degradation. The C=O groups from thymine, cytosine and uracil appeared to assist the dissolution of the mineral while the NH2 group from adenine had no effect. As shown by FT-IR spectroscopy, adenine interacted with a natural zeolite through the NH2 group, and cytosine through the C=O group. A pseudo-second-order model best described the kinetics of adenine adsorption, which occurred faster in artificial seawaters.


Subject(s)
Evolution, Chemical , Nucleic Acids/chemistry , Zeolites/chemistry , Adsorption , Hydrogen-Ion Concentration , Seawater/chemistry
16.
Arq. odontol ; 51(3): 158-164, 2015. ilus, tab, graf
Article in Portuguese | LILACS, BBO - Dentistry | ID: biblio-850203

ABSTRACT

Objetivo: O presente trabalho propõe-se analisar a aplicabilidade do método radiográfico de estimativa da idade de Nicodemo, Moraes e Médici Filho (1974), numa população juvenil portuguesa. Material e Métodos: Foi analisada, em 43 panorâmicas, a cronologia da mineralização dos dentes permanentes, segundo o método proposto. A população em estudo corresponde a 43 crianças e adolescentes, 24 do sexo masculino e 19 do sexo feminino, de nacionalidade portuguesa, residentes no distrito de Coimbra e com idades compreendidas entre 6 e 11 anos. Os procedimentos de análise incluíram análise descritiva, pela obtenção de frequências simples e relativas, bem como as medidas de média aritmética e desvio padrão para os intervalos de idade. Resultados:A análise dos resultados obtidos permitiu estimar a idade em 71,0% (31) dos participantes. Quanto ao sexo, observou-se que em 75,0% das panorâmicas analisadas do sexo masculino, a idade cronológica situava-se no intervalo encontrado. No que concerne ao sexo feminino, verificou-se que 68,4% das idades estavam entre os intervalos obtidos. Ao se obter as médias das idades com seus respectivos desvios padrões, observa-se que a idade estimada, compreendida entre 96-108 meses, apresentou-se muito próxima da idade cronológica. Conclusão: Os dados sugerem que a avaliação da estimativa da idade em população portuguesa, por este método, pode auxiliar no processo de identificação. No entanto, faz-se necessário adaptações para esta população, nas idades que foram subestimadas ou superestimadas, além de uma equipe com maior experiência na utilização do método. Descritores: Odontologia forense. Identificação médico-legal. Ortopantomografia.


Subject(s)
Humans , Male , Female , Child , Adolescent , Age Determination by Teeth , Forensic Dentistry , Radiography, Panoramic , Epidemiology, Descriptive , Statistics as Topic
17.
Brasília méd ; 47(1)abr. 2010. graf
Article in Portuguese | LILACS | ID: lil-545696

ABSTRACT

Objetivo. Descrever a situação da mortalidade materna nos municípios do Entorno do Distrito Federal no período de 2001 a 2005. Método. É um estudo descritivo, ecológico exploratório, baseado em dados secundários obtidos no Datasus e nos Comitês de Mortalidade Materna de Goiás e Distrito Federal. Resultados. Encontrou-se aumento da razão de mortalidade materna de 2001 a 2004, seguida de diminuição em 2005. Foram 67,3% dos óbitos maternos decorrentes de causas obstétricas diretas, prevalecendo em mulheres com menos de oito anos de estudo e em não brancas. Observou-se que a razão de mortalidade materna foi mais de 3,5 vezes superior na faixa de 40 a 49 anos do que nas outras faixas etárias. Conclusão. A mortalidade materna continua um importante problema de saúde pública no Entorno do Distrito Federal, e necessita enfrentamento específico em algumas condições sociais.


Objective. To describe the situation of maternal mortality in the Distrito Federal and its vicinity from 2001 through 2005. Method. This is a descriptive, ecological exploratory study based on secondary data obtained at Datasus and the Committees of Maternal Mortality of Goiás and Distrito Federal. Results. An increase of maternal mortality ratio was found from 2001 through 2004, followed by a decrease in 2005. Among maternal casualties, 67, 3% were due to direct obstetric causes, with emphasis in women with less tha neight years of study and non-white. It was observed that the mortality ratio was over 3.5 times higher in the group ranging from 40 through 49 years of age than in other age groups. Conclusion. Maternal mortality remains a major public health problem in the greater area of the Distrito Federal, requiring attention when dealing with some specific social conditions.


Subject(s)
Humans , Female , Adolescent , Adult , Middle Aged , Mortality , Educational Status , Socioeconomic Factors , Maternal Mortality , Fertile Period , Women's Health
18.
Folha méd ; 90(5): 293-7, maio 1985. tab, ilus
Article in Portuguese | LILACS | ID: lil-31184

ABSTRACT

Foram estudados 30 pacientes idosos, portadores de hipertensäo arterial que, após um período de no mínimo duas semanas com placebo, iniciaram o tratamento de 12 semanas com indoramina. A dose média empregada ao final do tratamento foi de 70,0 mg diários, e determinou uma queda marcante dos níveis pressóricos, com resultados estatisticamente significantes já a partir da segunda semana de tratamento. Houve uma melhora nos sintomas subjetivos do quadro geriátrico, com resultados estatisticamente significantes nos parâmetros "ansiedade" e "diminuiçäo da memória recente". Reaçöes adversas ocorreram somente em três pacientes, näo obrigando a interrupçäo do tratamento


Subject(s)
Middle Aged , Humans , Male , Female , Hypertension/drug therapy , Indoramin/therapeutic use
19.
Rio de Janeiro; EBM; 1985. 360 p. tab.
Monography in Portuguese | Sec. Munic. Saúde SP, AHM-Acervo, TATUAPE-Acervo | ID: sms-9079
20.
Rio de Janeiro; EBM; 1985. 361 p. tab.
Monography in Portuguese | Sec. Munic. Saúde SP, AHM-Acervo, TATUAPE-Acervo | ID: sms-9193
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