47 research outputs found

    EPIDEMIOLOGICAL STUDY OF POST-NEONATAL MORTALITY ASSOCIATED WITH AVOIDABLE CAUSES IN PALMAS, TOCANTINS AND BRAZIL

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    A mortalidade infantil, em especial a pós neonatal, é um sensível indicador da qualidade de vida de uma população. Objetivou-se apresentar o coeficiente de mortalidade pós neonatal de Palmas, Tocantins e Brasil, no triênio 2014-2016 e expor as principais causas evitáveis desses óbitos. Trata-se de um estudo descritivo exploratório que analisa dados públicos disponibilizados pelo Sistema de Informações sobre Mortalidade (SIM) e Sistema de Informação sobre Nascidos Vivos (SINASC). Os resultados apresentaram como principais fatores vinculados a mortalidade pós neonatal a deficiência no diagnóstico e tratamento, em ações de promoção vinculadas a atenção primária, na atenção ao recém-nascido (RN), a gestação e ao parto, e imunizações. Encontrou-se uma redução significativa da mortalidade em Palmas-TO, o oposto dos panoramas Estadual e Nacional. As taxas de mortalidade apresentaram variações. Palmas e Tocantins aumentaram seu valor de 2014 (1,55/1.000 nascidos vivos (NV) e 2,00/1.000 NV, respectivamente) para 2015 (2,30/1.000 NV e 2,07/1.000 NV, respectivamente) e reduziram de 2015 para 2016 (1,34/1.000 NV e 2,06/1.000 NV, respectivamente); o Brasil reduziu seu valor de 2014 (2,05/1.000 NV) para 2015 (1,88/1.000 NV) e aumentou de 2015 para 2016 (2,21/1000 NV). Foi possível concluir que a capacitação e atualização dos profissionais seriam a chave para maior integração com a comunidade, melhoria nos atendimentos, diagnósticos precisos e atuação precoce nas patologias vinculadas à saúde materno-infantil.Infant mortality, especially post neonatal mortality, is a sensitive indicator of the quality of life of a population. The objective of this study was to present the post-neonatal mortality coefficient of Palmas, Tocantins and Brazil in the 2014-2016 triennium and to present the main avoidable causes of these deaths. It is an exploratory descriptive study that analyzes public data provided by the Mortality Information System (SIM) and the Live Birth Information System (SINASC). The results showed a significative reduction of the mortalities in Palmas-TO, the opposite of the State and National scenarios. Mortality rates presented variations, Palmas and Tocantins increased their value from 2014 (1,55/1000 born lives (BL) and 2,00/1000 BL respectively) to 2015 (2,30/1000 BL and 2,07/1000 BL respectively) and reduced from 2015 to 2016 (1,34/1000 BL and 2,06/1000 BL respectively); Brazil reduced its value from 2014 (2,05/1000 BL) to 2015 (1,88/1000 BL) and increased from 2015 to 2016 (2,21/1000 BL). It was identified that the decline in the absolute number of deaths in Palmas-TO is due to actions of health promotion, diagnosis and treatment and attention to gestation. Thus, the local decline in mortality is linked to early diagnosis, quality of care, access to primary health services and the availability of these services at the national level, associated with integral management mechanisms for maternal and child health

    Molecular epidemiological investigation of Mayaro virus in febrile patients from Goiania City, 2017-2018.

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    Mayaro virus (MAYV) has historically been associated with sylvatic transmission; however, urban outbreaks have been reported in Brazil, including cases of co-detection with dengue virus (DENV). Therefore, we performed a molecular survey to investigate MAYV circulation and cocirculation with DENV within Goiania, a major city in Central-West Brazil. Among 375 subjects with arbovirus-like symptoms, 259 were positive for DENV and 26 for MAYV. Of these, 17 were coinfected with DENV-2, suggesting co-transmission of the viruses. The most common complaints at the time of inclusion were myalgia, headache, fever, arthralgia, retro-orbital pain, and skin rash. No specific symptoms were associated with MAYV when either detected alone or co-detected with DENV, compared to that when DENV was detected alone. Most MAYV-infected subjects were women with no recent travel history to rural/sylvatic areas. Phylogenetic reconstruction indicated that the MAYV identified in this study is closely related with a lineage observed in Peru, belonging to genotype D. Our results corroborate the growing circulation of MAYV in urban environments in Brazil and reinforce the need to implement laboratory diagnosis in the Unified Health System, considering that the clinical manifestations of Mayaro fever are similar to those of other arboviruses, particularly dengue. Furthermore, most cases occurred in association with DENV-2. Further phylogenetic studies are needed to evaluate MAYV, which has not been widely examined

    MAMMALS IN PORTUGAL : A data set of terrestrial, volant, and marine mammal occurrences in P ortugal

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    Mammals are threatened worldwide, with 26% of all species being includedin the IUCN threatened categories. This overall pattern is primarily associatedwith habitat loss or degradation, and human persecution for terrestrial mam-mals, and pollution, open net fishing, climate change, and prey depletion formarine mammals. Mammals play a key role in maintaining ecosystems func-tionality and resilience, and therefore information on their distribution is cru-cial to delineate and support conservation actions. MAMMALS INPORTUGAL is a publicly available data set compiling unpublishedgeoreferenced occurrence records of 92 terrestrial, volant, and marine mam-mals in mainland Portugal and archipelagos of the Azores and Madeira thatincludes 105,026 data entries between 1873 and 2021 (72% of the data occur-ring in 2000 and 2021). The methods used to collect the data were: live obser-vations/captures (43%), sign surveys (35%), camera trapping (16%),bioacoustics surveys (4%) and radiotracking, and inquiries that represent lessthan 1% of the records. The data set includes 13 types of records: (1) burrowsjsoil moundsjtunnel, (2) capture, (3) colony, (4) dead animaljhairjskullsjjaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8),observation in shelters, (9) photo trappingjvideo, (10) predators dietjpelletsjpine cones/nuts, (11) scatjtrackjditch, (12) telemetry and (13) vocalizationjecholocation. The spatial uncertainty of most records ranges between 0 and100 m (76%). Rodentia (n=31,573) has the highest number of records followedby Chiroptera (n=18,857), Carnivora (n=18,594), Lagomorpha (n=17,496),Cetartiodactyla (n=11,568) and Eulipotyphla (n=7008). The data setincludes records of species classified by the IUCN as threatened(e.g.,Oryctolagus cuniculus[n=12,159],Monachus monachus[n=1,512],andLynx pardinus[n=197]). We believe that this data set may stimulate thepublication of other European countries data sets that would certainly contrib-ute to ecology and conservation-related research, and therefore assisting onthe development of more accurate and tailored conservation managementstrategies for each species. There are no copyright restrictions; please cite thisdata paper when the data are used in publications.info:eu-repo/semantics/publishedVersio

    Mammals in Portugal: a data set of terrestrial, volant, and marine mammal occurrences in Portugal

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    Mammals are threatened worldwide, with ~26% of all species being included in the IUCN threatened categories. This overall pattern is primarily associated with habitat loss or degradation, and human persecution for terrestrial mammals, and pollution, open net fishing, climate change, and prey depletion for marine mammals. Mammals play a key role in maintaining ecosystems functionality and resilience, and therefore information on their distribution is crucial to delineate and support conservation actions. MAMMALS IN PORTUGAL is a publicly available data set compiling unpublished georeferenced occurrence records of 92 terrestrial, volant, and marine mammals in mainland Portugal and archipelagos of the Azores and Madeira that includes 105,026 data entries between 1873 and 2021 (72% of the data occurring in 2000 and 2021). The methods used to collect the data were: live observations/captures (43%), sign surveys (35%), camera trapping (16%), bioacoustics surveys (4%) and radiotracking, and inquiries that represent less than 1% of the records. The data set includes 13 types of records: (1) burrows | soil mounds | tunnel, (2) capture, (3) colony, (4) dead animal | hair | skulls | jaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8), observation in shelters, (9) photo trapping | video, (10) predators diet | pellets | pine cones/nuts, (11) scat | track | ditch, (12) telemetry and (13) vocalization | echolocation. The spatial uncertainty of most records ranges between 0 and 100 m (76%). Rodentia (n =31,573) has the highest number of records followed by Chiroptera (n = 18,857), Carnivora (n = 18,594), Lagomorpha (n = 17,496), Cetartiodactyla (n = 11,568) and Eulipotyphla (n = 7008). The data set includes records of species classified by the IUCN as threatened (e.g., Oryctolagus cuniculus [n = 12,159], Monachus monachus [n = 1,512], and Lynx pardinus [n = 197]). We believe that this data set may stimulate the publication of other European countries data sets that would certainly contribute to ecology and conservation-related research, and therefore assisting on the development of more accurate and tailored conservation management strategies for each species. There are no copyright restrictions; please cite this data paper when the data are used in publications

    A quem pertencem os mangues?

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    Apresenta discussão sobre a titularidade dos mangues. Distingue os tipos de terrenos pertencentes à União

    Reserva Particular do Patrimônio Natural (RPPN) em terrenos de marinha

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    Discute se as Reservas particulares do patrimônio natural podem ser criadas em terrenos de marinha para enriquecendo das formas de preservação ambiental

    O Papel da ANATEL na proteção dos usuários de serviços de telecomunicações

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    A idéia que prevalece nos Estados de base democrática hoje é a de que seu papel deve ser reduzido, deixando boa parte das atividades que vinha executando à iniciativa privada. Para ajustar-se a esta prevalente constatação, alguns Estados, entre os quais o Brasil, tiveram que moldar suas estruturas para adequar-se ao novo ideário. Por esta razão, na última década, o Estado Brasileiro desestatizou sua economia e privatizou empresas estatais, abrindo espaços, antes monopolizados, ao setor privado, priorizando a competição para melhorar a qualidade dos serviços e beneficiar, em última linha, o usuárioadministrado. Paralelamente, foram criadas as agências reguladoras instituto sem precedente em nosso país - com o objetivo de regular segmentos de relevante interesse para a sociedade. Nesse contexto, a Agência Nacional de Telecomunicações - ANATEL foi criada para regular a abertura das telecomunicações no país, tendo como principais atribuições fiscalizar as novas prestadoras de serviço que assumiram o mercado e traçar diretrizes para desenvolver o setor, protegendo e favorecendo concomitantemente os usuários de tais serviços. O presente trabalho tem por escopo mostrar as ações traçadas pela ANATEL para favorecer direta ou indiretamente o usuário, analisando a eficácia de cada uma delas. Neste cenário, procuraremos demonstrar a importância da atuação das agências na proteção do usuário de serviços público
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