OCORRÊNCIA DE POLIFARMÁCIA EM IDOSOS ATENDIDOS EM UNIDADE BÁSICA DE SAÚDE DE ANÁPOLIS - GO

Objetivo: o artigo visa caracterizar a população idosa da Unidade Básica de Saúde (UBS) Bandeiras da cidade de Anápolis-GO quanto à ocorrência de polifarmácia. Método: trata-se de uma pesquisa descritiva de caráter quantitativo com delineamento transversal, realizada entre os meses de outubro de 2015 a janeiro de 2016, a fim de definir o perfil populacional em relação à prática de polifarmácia. A amostra da pesquisa é representativa da população Anapolina, e é composta por pacientes atendidos pelo serviço de clínica médica da UBS Bandeiras que tenham 60 anos ou mais e possuam prontuário completo, que é o meio de manuseio de informações dos pacientes. Os dados colhidos foram analisados de acordo com a tabela de Beers-Fick. Resultados: 30,5% das pacientes do sexo feminino analisadas realizam polifarmácia, sendo que 56,1% dessas usam de 2 a 4 medicamentos diariamente. Da lista de medicamentos inapropriados, apareceram 13 fármacos usados por idosos, dentre eles: nifedipino e fluoxetina. Conclusão: de acordo com os dados colhidos, verificou-se a maior de prevalência de polifarmácia nas mulheres do que nos homens, sendo o nifedipino o medicamento mais usado, segundo critério de Beers-Fick

Wild dogs at stake: deforestation threatens the only Amazon endemic canid, the short-eared dog (Atelocynus microtis)

The persistent high deforestation rate and fragmentation of the Amazon forests are the main threats to their biodiversity. To anticipate and mitigate these threats, it is important to understand and predict how species respond to the rapidly changing landscape. The short-eared dog Atelocynus microtis is the only Amazon-endemic canid and one of the most understudied wild dogs worldwide. We investigated short-eared dog habitat associations on two spatial scales. First, we used the largest record database ever compiled for short-eared dogs in combination with species distribution models to map species habitat suitability, estimate its distribution range and predict shifts in species distribution in response to predicted deforestation across the entire Amazon (regional scale). Second, we used systematic camera trap surveys and occupancy models to investigate how forest cover and forest fragmentation affect the space use of this species in the Southern Brazilian Amazon (local scale). Species distribution models suggested that the short-eared dog potentially occurs over an extensive and continuous area, through most of the Amazon region south of the Amazon River. However, approximately 30% of the short-eared dog's current distribution is expected to be lost or suffer sharp declines in habitat suitability by 2027 (within three generations) due to forest loss. This proportion might reach 40% of the species distribution in unprotected areas and exceed 60% in some interfluves (i.e. portions of land separated by large rivers) of the Amazon basin. Our local-scale analysis indicated that the presence of forest positively affected short-eared dog space use, while the density of forest edges had a negative effect. Beyond shedding light on the ecology of the short-eared dog and refining its distribution range, our results stress that forest loss poses a serious threat to the conservation of the species in a short time frame. Hence, we propose a re-assessment of the short-eared dog's current IUCN Red List status (Near Threatened) based on findings presented here. Our study exemplifies how data can be integrated across sources and modelling procedures to improve our knowledge of relatively understudied species

Efetividade das políticas da saúde da atenção primária para DCNT

Alterações no estilo de vida das sociedades contemporâneas e a maior expectativa de vida da população colaboram para o aumento da incidência de doenças crônicas, que hoje constituem um sério problema de saúde pública

Atendimento integral às vítimas de abuso sexual infanto-Juvenil: atitudes, sentimentos e desafios do profissional médico Comprehensive care to victims of sexual abuse children and Youth: attitudes, feelings and challenges of medical professional

O abuso sexual é um problema de saúde pública em que um adulto utiliza-se de uma criança ou adolescente para satisfazer seu desejo sexual, através de carícias, manipulação de genitália, mama ou ânus, exploração sexual, voyeurismo, pornografia, exibicionismo, até o ato sexual, com ou sem penetração, transgredindo assim, as normas sociais, morais e legais. Dada à considerável incidência, a grave complicação decorrente desta prática, da relevância do papel preventivo e de assistência da equipe de saúde às vítimas, decorre-se o presente estudo. A presente pesquisa tem por objetivo analisar as atitudes, os sentimentos e os desafios dos profissionais médicos de Anápolis durante o atendimento integral aos casos de abuso sexual infanto-juvenil, recorrendo aos laudos existentes no IML que comprovem os mesmos e por meio da aplicação de um questionário semiestruturado aos médicos que referenciaram esses casos. Serão abordadas as formas de reconhecimento, a realização da notificação, o tratamento efetuado e a adequada referência dos casos, somados aos sentimentos e aos desafios do profissional durante esse atendimento. Em um estudo feito nos Estados Unidos, as denúncias junto às autoridades legais apresentaram taxas variáveis de 16 a 32%, com cerca de 300 a 350 mil pessoas com idade de 12 anos ou mais vitimadas anualmente, e igual número de vítimas com idade abaixo de 12 anos. No Brasil, inexistem dados a respeito do fenômeno, estimando-se que menos de 10% dos casos chegam às delegacias.  Assim, constata-se a necessidade de estudos que verifiquem e levantem dados a respeito do rastreio, denúncia e amparo dos menores

Wild dogs at stake: deforestation threatens the only Amazon endemic canid, the short-eared dog (Atelocynus microtis).

The persistent high deforestation rate and fragmentation of the Amazon forests are the main threats to their biodiversity. To anticipate and mitigate these threats, it is important to understand and predict how species respond to the rapidly changing landscape. The short-eared dog Atelocynus microtis is the only Amazon-endemic canid and one of the most understudied wild dogs worldwide. We investigated short-eared dog habitat associations on two spatial scales. First, we used the largest record database ever compiled for short-eared dogs in combination with species distribution models to map species habitat suitability, estimate its distribution range and predict shifts in species distribution in response to predicted deforestation across the entire Amazon (regional scale). Second, we used systematic camera trap surveys and occupancy models to investigate how forest cover and forest fragmentation affect the space use of this species in the Southern Brazilian Amazon (local scale). Species distribution models suggested that the short-eared dog potentially occurs over an extensive and continuous area, through most of the Amazon region south of the Amazon River. However, approximately 30% of the short-eared dog's current distribution is expected to be lost or suffer sharp declines in habitat suitability by 2027 (within three generations) due to forest loss. This proportion might reach 40% of the species distribution in unprotected areas and exceed 60% in some interfluves (i.e. portions of land separated by large rivers) of the Amazon basin. Our local-scale analysis indicated that the presence of forest positively affected short-eared dog space use, while the density of forest edges had a negative effect. Beyond shedding light on the ecology of the short-eared dog and refining its distribution range, our results stress that forest loss poses a serious threat to the conservation of the species in a short time frame. Hence, we propose a re-assessment of the short-eared dog's current IUCN Red List status (Near Threatened) based on findings presented here. Our study exemplifies how data can be integrated across sources and modelling procedures to improve our knowledge of relatively understudied species

Neotropical freshwater fisheries : A dataset of occurrence and abundance of freshwater fishes in the Neotropics

The Neotropical region hosts 4225 freshwater fish species, ranking first among the world's most diverse regions for freshwater fishes. Our NEOTROPICAL FRESHWATER FISHES data set is the first to produce a large-scale Neotropical freshwater fish inventory, covering the entire Neotropical region from Mexico and the Caribbean in the north to the southern limits in Argentina, Paraguay, Chile, and Uruguay. We compiled 185,787 distribution records, with unique georeferenced coordinates, for the 4225 species, represented by occurrence and abundance data. The number of species for the most numerous orders are as follows: Characiformes (1289), Siluriformes (1384), Cichliformes (354), Cyprinodontiformes (245), and Gymnotiformes (135). The most recorded species was the characid Astyanax fasciatus (4696 records). We registered 116,802 distribution records for native species, compared to 1802 distribution records for nonnative species. The main aim of the NEOTROPICAL FRESHWATER FISHES data set was to make these occurrence and abundance data accessible for international researchers to develop ecological and macroecological studies, from local to regional scales, with focal fish species, families, or orders. We anticipate that the NEOTROPICAL FRESHWATER FISHES data set will be valuable for studies on a wide range of ecological processes, such as trophic cascades, fishery pressure, the effects of habitat loss and fragmentation, and the impacts of species invasion and climate change. There are no copyright restrictions on the data, and please cite this data paper when using the data in publications

Growing knowledge: an overview of Seed Plant diversity in Brazil

Abstract An updated inventory of Brazilian seed plants is presented and offers important insights into the country's biodiversity. This work started in 2010, with the publication of the Plants and Fungi Catalogue, and has been updated since by more than 430 specialists working online. Brazil is home to 32,086 native Angiosperms and 23 native Gymnosperms, showing an increase of 3% in its species richness in relation to 2010. The Amazon Rainforest is the richest Brazilian biome for Gymnosperms, while the Atlantic Rainforest is the richest one for Angiosperms. There was a considerable increment in the number of species and endemism rates for biomes, except for the Amazon that showed a decrease of 2.5% of recorded endemics. However, well over half of Brazillian seed plant species (57.4%) is endemic to this territory. The proportion of life-forms varies among different biomes: trees are more expressive in the Amazon and Atlantic Rainforest biomes while herbs predominate in the Pampa, and lianas are more expressive in the Amazon, Atlantic Rainforest, and Pantanal. This compilation serves not only to quantify Brazilian biodiversity, but also to highlight areas where there information is lacking and to provide a framework for the challenge faced in conserving Brazil's unique and diverse flora