Itinerário terapêutico de mulheres com câncer / Therapeutic itinerary of women with cancer

Objetivou - se conhecer o itinerário terapêutico de mulheres com câncer de colo de útero ou de mama. O câncer se configura como um problema de saúde pública mundial. O diagnóstico precoce é a melhor medida preventiva e a que permite o melhor prognóstico, sendo que a organização do sistema de saúde é o principal fator que influencia o fluxo e contrafluxo do usuário na rede e consequentemente, a otimização do tempo entre o início dos sinais e sintomas e o tratamento. Nesse sentido, entender o funcionamento do fluxo é fundamental para orientar o usuário na busca por cuidado em seus itinerários terapêuticos. Trata se de uma pesquisa descritiva, exploratória de natureza qualitativa. A pesquisa foi realizada no setor de quimioterapia oncológica de um Hospital e Maternidade, localizado no município de Barbalha, na Região Metropolitana do Cariri. Para a coleta de dados, utilizou- se um roteiro de entrevista-semiestruturada e para a análise dos dados realizou-se a análise de conteúdo orientada por Bardin. Quanto ao itinerário todas as mulheres não conseguiram o tratamento exclusivamente e em tempo oportuno nas redes de saúde, todas fizeram opção em algum momento pelo tratamento particular. Nos relatos as mudanças de vida desde o diagnóstico foram:  financeiramente, emocionalmente e principalmente na luta pelo tratamento. Em suma o tratamento poucos conseguem iniciar o tratamento precocemente, e mesmo perante tantas barreiras existem as facilidades, as quais são enaltecidas para ajudarem na luta ao tratamento

Malacofauna límnica do Aproveitamento Hidrelétrico de Simplício Queda Única, RJ/MGaspectos ecológicos e parasitológicos

Submitted by Gilvan Almeida ([email protected]) on 2017-01-18T12:41:25Z No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 72262.pdf: 3640214 bytes, checksum: ecc512757f26ffafacd8f1a43d194495 (MD5)Approved for entry into archive by Anderson Silva ([email protected]) on 2017-04-19T13:19:48Z (GMT) No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 72262.pdf: 3640214 bytes, checksum: ecc512757f26ffafacd8f1a43d194495 (MD5)Made available in DSpace on 2017-04-19T13:19:48Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 72262.pdf: 3640214 bytes, checksum: ecc512757f26ffafacd8f1a43d194495 (MD5) Previous issue date: 2016Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, BrasilO impacto decorrente da implantação de usinas hidrelétricas em ecossistemas naturais contribui para o estabelecimento e proliferação de espécies que podem afetar de forma negativa o ambiente, além da saúde humana e animal. Durante a fase de construção do Aproveitamento Hidrelétrico de Simplício Queda Única (AHE Simplício Queda Única), no rio Paraíba do Sul, foi realizado um estudo da malacofauna límnica, entre julho de 2008 e julho de 2011, pela equipe do Laboratório de Malacologia do Instituto Oswaldo Cruz, que revelou a ocorrência de duas espécies transmissoras naturais de Schistosoma mansoni. O trabalho aqui apresentado resultou da continuidade desse estudo que visou a avaliar a malacofauna límnica e a helmintofauna associada após a instalação deste empreendimento. Para tanto, foram realizadas oito expedições bimensais entre setembro de 2014 e janeiro de 2016, sendo os moluscos coletados por busca direta (10 minutos em cada biótopo georreferenciado) e analisados os seguintes fatores abióticos: pH, condutividade, turbidez, dureza de cálcio e temperatura da água. Os dados das 303 buscas realizadas anteriormente foram analisados através da curadoria de todo o material obtido. Das 44 estações de amostragem trabalhadas no pós-enchimento (352 buscas), 21 foram avaliadas comparando os períodos de pré e pósenchimento dos reservatórios. Foram observados 21 táxons, destacando-se três espécies transmissoras de trematódeos de importância médica (Biomphalaria straminea, Biomphalaria tenagophila e Lymnaea columella) e quatro exóticas (Corbicula fluminea, Corbicula largillierti, Melanoides tuberculata e Physa acuta) Planorbidae foi a família mais encontrada, representada por sete espécies, sendo observada a ampliação da área de ocorrência de B. straminea e B. tenagophila no Brasil e a diminuição da riqueza do gênero Drepanotrema na área do AHE Simplício Queda Única após a instalação do empreendimento. Não foram encontradas formas larvais de Schistosoma mansoni ou Fasciola hepatica, mas seis tipos cercarianos foram diagnosticados (Brevifurcate Apharingeate cercaria, Echinostome cercaria, Strigea cercaria, Ubiquita cercaria, Ornatae cercaria e Virgulate cercaria), com destaque para o primeiro por ser o responsável pela dermatite cercariana. A presença de Pomacea sp., gênero pertencente à segunda família mais encontrada na área, não mostrou influenciar a abundância de B. straminea e B. tenagophila. A análise dos fatores abióticos mostrou haver influência da turbidez sobre a abundância de B. straminea (> turbidez > abundância) e da condutividade sobre M. tuberculata (> condutividade < abundância). No total, serão acrescentados 450 lotes à Coleção de Moluscos do Instituto Oswaldo Cruz. A presença de espécies de importância médica, as alterações ambientais na área do AHE Simplício Queda Única e o uso dos reservatórios para atividades de lazer, apontam a necessidade do monitoramento da área do AHE Simplício Queda Única como medida de prevenção ao estabelecimento de doenças parasitárias, principalmente a esquistossomoseThe impact of the implementation of hydroelectric plants in natural ecosystems contributes to the establishment and proliferation of animal species that may negatively affect the environment, besides human and animal health. Considering the hydroelectric plant of Simplicio \2013 Queda Unica (AHE Simplício) during the period of its construction, the team of the Malacology Laboratory at the Instituto Oswaldo Cruz/Fiocruz performed a malacological survey between July 2008 and July 2011, which revealed the occurrence of two natural carrier species of Schistosoma mansoni, Biomphalaria straminea and Biomphalaria tenagophila. The present work resulted from the continuation of such studies, aiming to assess the freshwater molluscs as well as the larval parasitic trematodes after the construction of the hydroelectric power plant. In all, eight collecting trips each two months were performed from September 2014 to January 2016. Molluscs were collected with the aid of forceps, two collectors for 10 minutes at each georeferenced sampling site. Regarding the abiotic factors there were analyzed: pH, conductivity, turbidity, calcium hardness and water temperature. In all, molluscs from 303 collecting sites of the previous study were analyzed and from the period after the construction, 252 molluscs were analyzed. There were investigated 44 sampling sites after the filling of the reservoir and in 21 of them they were made comparisons with collecting sites of the previous study. In all, 21 taxa were identified, outstanding Biomphalaria straminea, Biomphalaria tenagophila and Lymnaea columella for their medical and veterinary importance and four exotic species: Corbicula fluminea, Corbicula largillierti, Melanoides tuberculata and Physa acuta Planorbidae was the most found Family with seven species. The distribution range of Biomphalaria straminea and B. tenagophila was expanded in Brasil with this study and it was also observed a decrease of the richness of the genus Drepanotrema in the AHE Simplício Queda Unica after the filling of the reservoir. No Schistosoma mansoni or Fasciola hepatica larval forms were observed, but five different cercarial types were identified: Brevifurcate Apharingeate cercaria, Echinostome cercaria, Strigea cercaria, Ubiquita cercaria, Ornatae cercaria and virgulate cercaria. The first one causes cercarial dermatitis and deserves special attention. The occurence of Pomacea sp., a genera of the second most found Family, does not influence the abundance of B. straminea and B. tenagophila. Regarding the abiotic factors turbidity showed influence over the abundance of B. straminea (> turbidez > abundance) as well as the conductivity over M. tuberculata (> conductivity < abundance). The constant occurrence of species of medical importance, the environmental changes that had taken place in the AHE Simplício Queda Unica in addition to the use of the reservoir for leisure activities indicate the need of epidemiological surveillance in the region in order to prevent new focus of parasitic diseases, specially schistosomiasi

Snail transmitters of schistosomiasis and other mollusks of medical and economic importance at the Simplício Queda Única Hydroelectric Plant, Southeast Brazil

Submitted by Sandra Infurna ([email protected]) on 2019-02-12T11:26:01Z No. of bitstreams: 1 elizangelafeitosa_silva_etal_IOC_2018.pdf: 1183389 bytes, checksum: 8a262a6246b70d4a9922e08883b01c0d (MD5)Approved for entry into archive by Sandra Infurna ([email protected]) on 2019-02-12T11:33:14Z (GMT) No. of bitstreams: 1 elizangelafeitosa_silva_etal_IOC_2018.pdf: 1183389 bytes, checksum: 8a262a6246b70d4a9922e08883b01c0d (MD5)Made available in DSpace on 2019-02-12T11:33:14Z (GMT). No. of bitstreams: 1 elizangelafeitosa_silva_etal_IOC_2018.pdf: 1183389 bytes, checksum: 8a262a6246b70d4a9922e08883b01c0d (MD5) Previous issue date: 2018Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Malacologia. Rio de Janeiro, RJ. Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Malacologia. Rio de Janeiro, RJ. Brasil.Universidade do Estado do Rio de Janeiro. Instituto de Biologia Roberto Alcântara Gomes. Programa de Pós-Graduação em Meio Ambiente. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Malacologia. Rio de Janeiro, RJ. Brasil.Introduction: This paper presents the results of an extensive survey of freshwater mollusks in the Simplício Queda Única Hydroelectric Development area, Southeast Brazil. Methods: Mollusks were collected between 2008 and 2013. All specimens were examined for the presence of larval trematodes. Results: In total, 12,507 specimens classified into 16 genera were obtained. Known snail vectors of schistosomiasis and fascioliasis and exotic species were identified, and new records are reported. Conclusions: No specimens parasitized by larval trematodes of medical interest were detected. However, the results reinforce the importance of surveillance in study areas vulnerable to the occurrence of schistosomiasis transmission

A malacological survey in the Manso Power Plant, State of Mato Grosso, Brazil: new records of freshwater snails, including transmitters of schistosomiasis and exotic species

Made available in DSpace on 2015-06-01T19:34:20Z (GMT). No. of bitstreams: 2 license.txt: 1914 bytes, checksum: 7d48279ffeed55da8dfe2f8e81f3b81f (MD5) monica_fermandezetal_IOC_2014.pdf: 1682897 bytes, checksum: a8d71b56bcc6064f72845b159664df76 (MD5) Previous issue date: 2014Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Malacologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Malacologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Malacologia. Rio de Janeiro, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Instituto de Biologia Roberto Alcantara Gomes. Laboratório de Malacologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Malacologia. Rio de Janeiro, RJ, Brasil.Introduction: Schistosomiasis is a parasitic disease of public health concern in Brazil, and the construction of hydroelectric dams, in addition to increasing permanent human settlement and tourism, has created conditions suitable for the establishment of mollusks that can transmit schistosomiasis. Such areas require a number of actions to prevent the establishment of schistosomiasis. This paper reports on a freshwater malacological survey carried out in the geographical area of the Manso Power Plant. Methods: Mollusks were collected in 18 municipalities in the State of Mato Grosso between February 2002 and February 2004 (qualitative study) and from April 2009 to February 2011 (quantitative study). Results: Thirty-one species of mollusks were collected, including newly recorded species (Antillorbis nordestensis and Burnupia ingae). In addition, the geographic distributions of known species, including Biomphalaria straminea, a snail vector of Schistosoma mansoni, were expanded. A total of 4,507 specimens were collected in the APM Manso reservoir (Usina Hidrelétrica de Aproveitamento Múltiplo de Manso) during the quantitative study, and Biomphalaria amazonica was found in six of the 10 localities analyzed. The Afroasiatic species Melanoides tuberculata, introduced after February 2009, was the dominant species (relative abundance 94.96%). Conclusions: The study area is epidemiologically important due to the occurrence of B. straminea and B. amazonica, which are vectors of schistosomiasis, and M. tuberculata, a snail host of Centrocestus formosanus, which is responsible for centrocestiasis transmission. Observations of M. tuberculata and the exotic freshwater clams Corbicula fluminea and Corbicula largillierti raise concerns about biodiversity

A malacological survey in the Manso Power Plant, State of Mato Grosso, Brazil: new records of freshwater snails, including transmitters of schistosomiasis and exotic species

Introduction Schistosomiasis is a parasitic disease of public health concern in Brazil, and the construction of hydroelectric dams, in addition to increasing permanent human settlement and tourism, has created conditions suitable for the establishment of mollusks that can transmit schistosomiasis. Such areas require a number of actions to prevent the establishment of schistosomiasis. This paper reports on a freshwater malacological survey carried out in the geographical area of the Manso Power Plant. Methods Mollusks were collected in 18 municipalities in the State of Mato Grosso between February 2002 and February 2004 (qualitative study) and from April 2009 to February 2011 (quantitative study). Results Thirty-one species of mollusks were collected, including newly recorded species (Antillorbis nordestensis and Burnupia ingae). In addition, the geographic distributions of known species, including Biomphalaria straminea, a snail vector of Schistosoma mansoni, were expanded. A total of 4,507 specimens were collected in the APM Manso reservoir (Usina Hidrel&#233;trica de Aproveitamento M&#250;ltiplo de Manso) during the quantitative study, and Biomphalaria amazonica was found in six of the 10 localities analyzed. The Afroasiatic species Melanoides tuberculata, introduced after February 2009, was the dominant species (relative abundance 94.96%). Conclusions The study area is epidemiologically important due to the occurrence of B. straminea and B. amazonica, which are vectors of schistosomiasis, and M. tuberculata, a snail host of Centrocestus formosanus, which is responsible for centrocestiasis transmission. Observations of M. tuberculata and the exotic freshwater clams Corbicula fluminea and Corbicula largillierti raise concerns about biodiversity