669 research outputs found
PDB24 Budget Impact Analysis of Long-Acting Insulin Analogues in the Perspective of Brazilian Public Health System
Estado, direitos sociais e a Política de Assistência Social: a afirmação da assistência social como direito social / State, social rights and the Social Assistance Policy: the affirmation of social assistance as a social right
A constituição do Estado, como regulador das relações sociais, tem se modificado ao longo do tempo, e adotado medidas de intervenção sociais como a constituição dos direitos sociais, conquista social e política. A partir dessas percepções, o presente trabalho visa ratificar a concepção de Assistência Social como um direito social, através de pesquisa bibliográfica, trazendo a concepção de Estado e seu papel na sociedade, que tentam compreender as respostas dadas em determinado tempo histórico às classes fundamentais sobre o aparecimento e aprofundamento da pobreza, e a consequente intervenção do Estado. Por fim, entendendo assistência social como direito, parte-se do princípio de que existe uma grande dívida social, por parte do Estado, em relação às classes menos favorecidas, no que tange ao seu acesso aos direitos fundamentais.
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Restoration and conservation of priority areas of caatinga’s semi‐arid forest remnants can support connectivity within an agricultural landscape
Land-use and land-cover (LULC) changes are major drivers of biodiversity loss in semi-arid regions, such as the Caatinga biome located in the Northeast of Brazil. We investigated landscape dynamics and fragmentation in an area of the São Francisco Valley in the Brazilian Caatinga biome and measured the effect of these dynamics on ecological, functional and structural connectivity over a 33-year period (1985–2018). We calculated landscape connectivity indices based on graph theory to quantify the effect of further agricultural expansion on ecological connectivity at the landscape scale. We used a multicriteria decision analysis that integrates graph-based connectivity indices at the habitat patch scale, combined with an index of human disturbance to identify patches that, if conserved and restored, preserve the connectivity of the landscape most effectively. In the period studied, agriculture increased at a rate of 2104 ha/year, while native Caatinga vegetation decreased at a rate of 5203 ha/year. Both dense and open Caatinga became more fragmented, with the number of fragments increasing by 85.2% and 28.6%, respectively, whilst the average fragment size decreased by 84.8% and 6.1% for dense and open Caatinga, respectively. If agriculture patches were to expand by a 300 m buffer around each patch, the overall ecological connectivity could be reduced by 6–15%, depending on the species’ (small- to mid-size terrestrial vertebrates) mobility characteristics for which the connectivity indices were calculated. We provided explicit spatial connectivity and fragmentation information for the conservation and restoration of the Caatinga vegetation in the studied area. This information helps with conservation planning in this rapidly changing ecosystem.</jats:p
Histopathological characterization of experimentally induced cutaneous loxoscelism in rabbits inoculated with Loxosceles similis venom
Envenomation by Loxosceles bites is characterized by dermonecrotic and/or systemic features that lead to several clinical signs and symptoms called loxoscelism. Dermonecrotic lesions are preceded by thrombosis of the dermal plexus. Recent studies show that atheromatous plaque is prone to thrombosis due to endothelial cell apoptosis. To the best of our knowledge, there are no reports of microscopic dermal lesion and endothelial cell apoptosis induced by Loxosceles similis venom in the literature. Thus, the aim of the present study is to describe histological lesions induced by L. similis venom in rabbit skin and to elucidate whether apoptosis of endothelial cells is involved in the pathogenesis of loxoscelism. Forty male rabbits were split into two groups: the control group (intradermally injected with 50 µL of PBS) and the experimental group (intradermally injected with 0.5 µg of L. similis crude venom diluted in 50 µL of PBS). After 2, 4, 6 and 8 hours of injection, skin fragments were collected and processed for paraffin or methacrylate embedding. Sections of 5 µm thick were stained by HE, PAS or submitted to TUNEL reaction. Microscopically, severe edema, diffuse heterophilic inflammatory infiltrate, perivascular heterophilic infiltrate, thrombosis, fibrinoid necrosis of arteriolar wall and cutaneous muscle necrosis were observed. Two hours after venom injection, endothelial cells with apoptosis morphology were evidenced in the dermal plexus. Apoptosis was confirmed by TUNEL reaction. It seems that endothelial cell apoptosis and its consequent desquamation is an important factor that induces thrombosis and culminates in dermonecrosis, which is characteristic of cutaneous loxoscelism
The effectiveness of public health interventions to reduce the health impact of climate change:a systematic review of systematic reviews
Climate change is likely to be one of the most important threats to public health in the coming years. Yet despite the large number of papers considering the health impact of climate change, few have considered what public health interventions may be of most value in reducing the disease burden. We aimed to evaluate the effectiveness of public health interventions to reduce the disease burden of high priority climate sensitive diseases
Análise eletromiográfica de músculos do membro inferior em exercícios proprioceptivos realizados com olhos abertos e fechados
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