Ceftiofur Resistance in Salmonella enterica Serovar Heidelberg from Chicken Meat and Humans, Canada

Use of this drug in chickens may limit effectiveness of cephalosporins in treating human infections

Canguilhem, G. Escritos Sobre A Medicina. Rio De Janeiro: Forence Universitária, 2005

Resenha de livro22125-128Serviço Socia

CANGUILHEM, G. Escritos sobre a Medicina. Rio de Janeiro: Forence Universitária, 2005

Resenha de livr

Sociodemografic profile of elderly patients with neoplasia attended in the hospital complex of Campinas University

Orientadores: Maria Elena Guariento, Carmen Silvia Passos LimaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências MédicasResumo: As doenças neoplásicas incidem mais frequentemente na população idosa, e, embora ainda não se tenha comprovação definitiva, podem ter um curso mais grave na medida em que se associam com outras enfermidades crônicas, com incapacidade funcional e com as síndromes geriátricas. Um dos recursos para melhorar esse quadro constitui-se na detecção precoce e fácil acesso ao tratamento. O presente estudo buscou avaliar algumas características sociodemográficas (idade, sexo, IDH-M, distância entre município de origem e Campinas) dos idosos com neoplasia atendidos em três das oito unidades do complexo hospitalar da Universidade Estadual da Campinas - SP (Unicamp), na busca de traçar um perfil loco - regional dessa classe de enfermidades no segmento idoso da população, e de avaliar, ainda que indiretamente, a qualidade da assistência oferecida aos idosos portadores de doenças oncológicas. Os dados sociodemográficos forma confrontados com o tempo entre primeira consulta na Unicamp e início do tratamento. Foram analisados os registros de idosos, de ambos os sexos, com diagnóstico de câncer e que foram atendidos no Gastrocentro, Hemocentro, ou Hospital de Clínicas / Unicamp, no período de janeiro de 2.000 a julho de 2010. Os dados foram obtidos junto ao Serviço de Estatística do Câncer vinculado à Fundação Oncocentro de São Paulo. Dos 5.891 registros avaliados, 66,3% eram de homens, sendo que 48,8% dos pacientes tinham entre 60 a 69 anos; 67,1% provinha de municípios que distavam até no máximo 50 km de Campinas, e 22,3% eram desse município. Além disso, 65,3% dos pacientes avaliados provinham de municípios com IDH-M entre 0,707 e 0,740. Apenas IDH-M (p = 0,003) e distância entre município de origem e Campinas (p = 0,019) mostraram associação com tempo entre primeira consulta e início do tratamento antineoplásico. Esse estudo permite constatar a relevância dos indicadores sociais no que se refere ao acesso ao tratamento antineoplásico na população idosaAbstract: Oncologic diseases are more frequent in the elderly population, and although we do not have definitive proof yet, the elders may have a more severe course when associated with other chronic diseases, functional disability and geriatric syndromes. A resource to improve this situation is based on the early detection and easy access to treatment. This study aimed to assess sociodemographic characteristics (age, gender, HDI-M, distance between the city of origin and Campinas) of the elderly with cancer treated at three of the eight units of the hospital complex at the University of Campinas ¿ SP, Brazil (Unicamp), trying to delineate loco regional profile of this class of diseases in the elderly segment of the population, and to assess, even indirectly, the quality of care provided to elderly patients with malignancies. Sociodemographic data were faced with the time between first consultation at Unicamp and early treatment. It was analyzed the elderly profiles, of both sexes, diagnosed with cancer and who were treated at Gastrocentro, Hemocentro and Clinic Hospital of Unicamp, from January, 2000 to July, 2010. The data were obtained from the Statistical Service of Cancer linked to the Oncocentro Foundation in the State of São Paulo. From the 5,891 evaluated profiles, 66.3% were men, and 48.8% of the patients were between 60-69 years old; 67.1% came from municipalities that were far until a maximum of 50 km from Campinas and 22.3 % were from Campinas. In addition, 65.3% of patients were from municipalities with HDI-M between 0.707 and 0.740. Only HDI-M (p = 0.003) and distance between the city of origin and Campinas (p = 0.019) were associated with time between first consultation and beginning of anticancer treatment. This study highlights the relevance of social indicators to access the anticancer treatment in the elderlyMestradoGerontologiaMestra em Gerontologi

Sociodemographic profile of elderly patients with cancer in a tertiary care service of SUS

OBJECTIVES: Evaluation of the association between social status and access to the cancer treatment of elderly patients with cancer. METHODS: This study evaluated some sociodemographic characteristics (age, sex, HDI, the distance between hometown and Campinas) of elderly patients with cancer who were assisted in three units of Unicamp Hospital Complex (Campinas, SP), in order to profile this class of disease in the region, and to evaluate, indirectly, the quality of the assistance offered to them. The sociodemographic data were compared with the period between the first appointment at Unicamp and the beginning of the treatment. The elderly's registers were analyzed, both sexes, with a diagnosis of cancer, assisted at Gastrocentro, Hemocentro, or Unicamp Clinical Hospital, between January 2000 and July 2010. The data came from the Service of Statistics of the Cancer linked to the S&atilde;o Paulo Oncocentro Foundation. RESULTS: Of all the 5,891 evaluated registers, 66.3% were men; 48.8% had between 60 and 69 years old; 67.1% came from cities situated lesser than 51 km from Campinas; 65.3% came from cities with HDI between 0.707 and 0.740. HDI (p = 0,003) and distance between hometown and Campinas (p = 0,019) had shown an association with the period between the first appointment and the beginning of the treatment. CONCLUSION: This study showed the relevance of social factors in the access to the cancer treatment in elderly people.</p

GESTÃO ÁGIL DE PROJETOS USANDO METODOLOGIA SCRUM: UMA ANÁLISE EM UMA EMPRESA DA ÁREA DE TECNOLOGIA DE INFORMAÇÃO

Atualmente vive-se um cenário altamente competitivo e volátil, onde organizações de software vem enfrentando rápidas mudanças tecnológicas conforme a velocidade em que a informação e as inovações vão surgindo. As transformações do comportamento da indústria e os aperfeiçoamentos tecnológicos em diversos campos do mercado, são fatores desafiadores que comprometem a sobrevivência das empresas de software. Diante desta situação, estas organizações vêm empregando esforços substanciais na melhoria, agilidade e flexibilidade dos seus processos por meio da adoção de métodos ágeis (Scrum) em sua equipe de desenvolvimento de softwares. Neste contexto, o presente trabalho tem como objetivo analisar, por meio de um estudo de caso, os benefícios e desafios da implementação de métodos ágeis no trabalho das equipes de desenvolvimento de software de uma empresa multinacional brasileira em serviços de TI

Outbreak of Escherichia coli O157:H7 Infections Linked to Mechanically Tenderized Beef and the Largest Beef Recall in Canada, 2012

Contaminated beef is a known vehicle of Escherichia coli O157:H7 infection, although more attention is given to the control of E. coli O157:H7 in ground, rather than whole-cut, beef products. In September 2012, an investigation was initiated at an Alberta, Canada, beef plant after the detection of E. coli O157:H7 in two samples of trim cut from beef originating from this plant. Later in September 2012, Alberta Health Services identified five laboratory-confirmed infections of E. coli O157:H7, and case patients reported eating needle-tenderized beef steaks purchased at a store in Edmonton, Alberta, produced with beef from the Alberta plant. In total, 18 laboratory-confirmed illnesses in Canada in September and October 2012 were linked to beef from the Alberta plant, including the five individuals who ate needle-tenderized steaks purchased at the Edmonton store. A unique strain of E. coli O157:H7, defined by molecular subtyping and whole genome sequencing, was detected in clinical isolates, four samples of leftover beef from case patient homes, and eight samples of Alberta plant beef tested by industry and food safety partners. Investigators identified several deficiencies in the control of E. coli O157:H7 at the plant; in particular, the evaluation of, and response to, the detection of E. coli O157 in beef samples during routine testing were inadequate. To control the outbreak, 4,000 tons of beef products were recalled, making it the largest beef recall in Canadian history. This outbreak, in combination with similar outbreaks in the United States and research demonstrating that mechanical tenderization can transfer foodborne pathogens present on the surface into the interior of beef cuts, prompted amendments to Canada's Food and Drug Regulations requiring mechanically tenderized beef to be labeled as such and to provide safe cooking instructions to consumers. A detailed review of this event also led to recommendations and action to improve the safety of Canada's beef supply