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Sample records for brazil preventive measures

  1. Perinatal programming prevention measures.

    Science.gov (United States)

    Larguía, A Miguel; González, María Aurelia; Dinerstein, Néstor Alejandro; Soto Conti, Constanza

    2015-01-01

    Over the past 10 years, there has been outstanding scientific progress related to perinatal programming and its epigenetic effects in health, and we can anticipate this trend will continue in the near future. We need to make use and apply these achievements to human neurodevelopment via prevention interventions. Based on the concept of the interaction between genome and ambiome, this chapter proposes low-cost easy-implementation preventive strategies for maternal and infant health institutions.Breastfeeding and human milk administration are the first preventive measures, as has been reviewed in the policy statement of the American Academy of Pediatrics. Another strategy is the Safe and Family-Centered Maternity Hospitals initiative that promotes and empowers the inclusion of the families and the respect for their rights, especially during pregnancy and birth. (This change of paradigm was approved and is recommended by both United Nations Children's Fund, UNICEF, and Pan American Health Organization, PAHO.) Then, there is also an important emphasis given to the sacred hour-which highlights the impact of bonding, attachment, and breastfeeding during the first hour of life-the pain prevention and treatment in newborns, the control of the "new morbidity" represented by late preterm infants, and finally, the importance of avoiding intrauterine and extrauterine growth restriction. (However, there are not yet clear recommendations about nutritional interventions in order to diminish the potential metabolic syndrome consequence in the adult.).

  2. Workaholism in Brazil: measurement and individual differences.

    Science.gov (United States)

    Romeo, Marina; Yepes-Baldó, Montserrat; Berger, Rita; Netto Da Costa, Francisco Franco

    2014-01-01

    The aim of this research is the measurement and assessment of individual differences of workaholism in Brazil, an important issue which affects the competitiveness of companies. The WART 15-PBV was applied to a sample of 153 managers from companies located in Brazil, 82 (53.6%) women and 71 (46.4%) men. Ages ranged from 20 to 69 years with an average value of 41 (SD=9.06). We analyzed, on one hand, the factor structure of the questionnaire, its internal consistency and convergent (with the Dutch Work Addiction Scale - DUWAS) and criterion validity (with General Health Questionnaire – GHQ). On the other hand, we analyzed individual gender differences on workaholism. WART15-PBV has good psychometric properties, and evidence for convergent and criterion validity. Females and males differed on Impaired Communication / Self-Absorption dimension. This dimension has a direct effect only on men’s health perception, while Compulsive tendencies dimension has a direct effect for both genders. The findings suggest the WART15-PBV is a valid measure of workaholism that would contribute to the workers’ health and their professional and personal life, in order to encourage adequate conditions in the workplace taking into account workers’ individual differences.

  3. Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil

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    Rita de Cássia de Sousa Nascimento

    2017-08-01

    Full Text Available ABSTRACT OBJECTIVE To identify the spatial distribution patterns and areas of higher risk of preventable perinatal mortality in the city of Salvador, State of Bahia, Brazil. METHODS We carried out a spatial aggregated study in 2007, considering the weighting areas (census tracts contiguous sets of Salvador, of which the center and north present low life conditions. Data were obtained from national vital statistics systems and the 2010 Census. Addresses of live births and stillbirths were geocoded by weighting area. The spatial distribution of the perinatal mortality rate was analyzed from thematic maps. Spatial dependence was evaluated by the Global and Local Geary’s and Moran’s Indexes. RESULTS Crude and smoothed perinatal mortality rates were high in areas situated to the north, west, and in center of Salvador. The smoothed rates in weighting areas ranged from 4.9/1,000 to 22.3/1,000 births. Of all perinatal deaths, 92.1% could have been prevented. We identified spatial dependence for preventable perinatal mortality for care in pregnancy, with neighboring areas with high risk in the north of the city. CONCLUSIONS The preventability potential of perinatal mortality was high in Salvador, in 2007. The spatial distribution pattern with higher rates in disadvantaged areas of the city suggests the existence of social inequalities in health. The characteristics of the process of urban development of Salvador, which has inadequate prenatal care, possibly influenced the magnitude and spatial distribution pattern of this mortality.

  4. Population attributable fraction: planning of diseases prevention actions in Brazil.

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    Rezende, Leandro Fórnias Machado de; Eluf-Neto, José

    2016-06-10

    Epidemiology is the study of occurrence, distribution and determinants of health-related events, including the application of that knowledge to the prevention and control of health problems. However, epidemiological studies, in most cases, have limited their research questions to determinants of health outcomes. Research related to the application of knowledge for prevention and control of diseases have been neglected. In this comment, we present a description of how population attributable fraction estimates can provide important elements for planning of prevention and control of diseases in Brazil. RESUMO Epidemiologia é o estudo da ocorrência, distribuição e determinantes de eventos relacionados à saúde da população, incluindo a aplicação desse conhecimento para a prevenção e o controle dos problemas de saúde. Entretanto, estudos epidemiológicos, na maioria das vezes, têm limitado suas perguntas de pesquisa aos fatores determinantes de desfechos em saúde. Pesquisas relacionadas à aplicação do conhecimento para ações de prevenção e controle de doenças têm sido negligenciadas. Nesse comentário, apresentamos uma descrição de como as estimativas de fração atribuível populacional podem fornecer importantes elementos para planejamento de ações de prevenção e controle de doenças no Brasil.

  5. A decade of malaria during pregnancy in Brazil: what has been done concerning prevention and management

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    Paola Marchesini

    2014-08-01

    Full Text Available In Brazil, malaria remains a disease of major epidemiological importance because of the high number of cases in the Amazonian Region. Plasmodium spp infections during pregnancy are a significant public health problem with substantial risks for the pregnant woman, the foetus and the newborn child. In Brazil, the control of malaria during pregnancy is primarily achieved by prompt and effective treatment of the acute episodes. Thus, to assure rapid diagnosis and treatment for pregnant women with malaria, one of the recommended strategy for low transmission areas by World Health Organization and as part of a strategy by the Ministry of Health, the National Malaria Control Program has focused on integrative measures with woman and reproductive health. Here, we discuss the approach for the prevention and management of malaria during pregnancy in Brazil over the last 10 years (2003-2012 using morbidity data from Malaria Health Information System. Improving the efficiency and quality of healthcare and education and the consolidation of prevention programmes will be challenges in the control of malaria during pregnancy in the next decade.

  6. A decade of malaria during pregnancy in Brazil: what has been done concerning prevention and management.

    Science.gov (United States)

    Marchesini, Paola; Costa, Fabio Trindade Maranhão; Marinho, Claudio Romero Farias

    2014-08-01

    In Brazil, malaria remains a disease of major epidemiological importance because of the high number of cases in the Amazonian Region. Plasmodium spp infections during pregnancy are a significant public health problem with substantial risks for the pregnant woman, the foetus and the newborn child. In Brazil, the control of malaria during pregnancy is primarily achieved by prompt and effective treatment of the acute episodes. Thus, to assure rapid diagnosis and treatment for pregnant women with malaria, one of the recommended strategy for low transmission areas by World Health Organization and as part of a strategy by the Ministry of Health, the National Malaria Control Program has focused on integrative measures with woman and reproductive health. Here, we discuss the approach for the prevention and management of malaria during pregnancy in Brazil over the last 10 years (2003-2012) using morbidity data from Malaria Health Information System. Improving the efficiency and quality of healthcare and education and the consolidation of prevention programmes will be challenges in the control of malaria during pregnancy in the next decade.

  7. Prevention of HIV infection among migrant population groups in Northeast Brazil.

    Science.gov (United States)

    Kerr-Pontes, Ligia Regina Sansigolo; González, Fernando; Kendall, Carl; Leão, Elda Maria Area; Távora, Fábio Rocha; Caminha, Iusta; do Carmo, Alexandre Medeiros; França, Marcela Moura; Aguiar, Melícia Holanda

    2004-01-01

    HIV infection is spreading among the poor, women, and migrant communities in the interior of Northeast Brazil. The research focused on different configurations, beliefs, representations, and forms of social organization of behavior thought to be associated with the population's capacity to efficiently follow AIDS prevention measures. Participants located in neighborhoods known for having large migrant populations were identified by Family Health Program Workers in Fortaleza and Teresina. The study adopted a qualitative methodology. Several belief-system concepts and values, as well as the social organization of sexuality revealed in the study, represent obstacles both to AIDS prevention and condom use. Hunger, lack of prospects, and fear are associated with a social situation of poverty, exclusion, prejudice, and total absence of basic human rights. When examined together, these elements define different configurations in the migrants' increased vulnerability to HIV/AIDS. The groups' increased vulnerability relates to the socioeconomic complexity that must be considered in HIV/AIDS control and prevention programs.

  8. Development of Preventive Measures to Prevent School Absenteeism in Twente

    NARCIS (Netherlands)

    Van Liere, Annette; Ritzen, Henk; Brand-Gruwel, Saskia

    2011-01-01

    Van Liere, A., Ritzen, H., & Brand-Gruwel, S. (2011, August). Development of Preventive Measures to Prevent School Absenteeism in Twente. Paper presented at 14th Biennial Conference for Research on Learning and Instruction of EARLI, Exeter, England.

  9. Preventive behavior for toxoplasmosis in pregnant adolescents in the state of Ceara, Brazil

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    Costa Fabianne

    2012-01-01

    Full Text Available Abstract Background When toxoplasmosis is acquired during pregnancy, it can be transmitted to the fetus causing severe lesions in the first two gestational trimesters. This study analyzed the main factors associated with the preventive behavior for toxoplasmosis among pregnant adolescents in the city of Fortaleza in northeast Brazil. Methods It is a cross-sectional study conducted from March 2009 to November 2010, with a sample of 320 pregnant adolescents, ages ranging from 12 to 19 years old, receiving prenatal care in the Public Health Care System. Bivariate and multivariate logistic regression model analyses were used to identify the association between preventive behavior for toxoplasmosis, and the independent variables and 95% confidence interval. Results We observed that 16.3% of the pregnant adolescents showed preventive behavior for toxoplasmosis. The factors positively associated to the preventive behavior for toxoplasmosis were: age group between 12 and 14 years old (OR = 2.75; 95%CI 1.23-6.12 and more than two prenatal consultations (OR = 2.19; 95%CI 1.17-4.09. Conclusions Noteworthy is the importance of a serologic follow-up for pregnant adolescents with clearer and more precise information about risk factors and the importance of adopting preventive behaviors. Thus, it is necessary to establish educational measures for handling food and raising kittens during prenatal care.

  10. Qualidade da atenção básica mediante internações evitáveis no Sul do Brasil Quality of primary care as measured by preventable hospitalizations in the South of Brazil

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    Juvenal Soares Dias-da-Costa

    2008-07-01

    Full Text Available Realizou-se estudo para avaliar mediante taxa de internações hospitalares evitáveis a qualidade dos cuidados oferecidos pela rede básica de saúde em Pelotas, Rio Grande do Sul, Brasil, no período entre 1995 a 2004. Foram consideradas como internações evitáveis: diabetes mellitus, insuficiência cardíaca, hipertensão arterial sistêmica, doença pulmonar obstrutiva crônica e doenças imunopreveníveis (poliomielite, difteria, tétano, coqueluche, sarampo. Foram incluídos homens e mulheres de 20 a 59 anos. Os percentuais entre as mulheres foram superiores aos encontrados nos homens. Foi observada uma diminuição dos percentuais de internações tanto nos homens como nas mulheres no decorrer do período. Mesmo após a padronização direta revelou-se que as taxas de internação de Pelotas foram inferiores às do Rio Grande do Sul. Os custos das hospitalizações evitáveis acompanharam a queda observada nas taxas de internações. Aparentemente, a diminuição verificada nas taxas de internações evitáveis pode estar relacionada à qualificação dos serviços de atenção básica. Contudo, os resultados podem ser conseqüências do financiamento do sistema de saúde. Os valores de pagamento desses procedimentos são baixos e podem estar direcionando os hospitais a uma diminuição da oferta de leitos.This study assessed the quality of primary care in Pelotas, Rio Grande do Sul, Brazil, through preventable hospitalization rates (1995-2004. Preventable hospitalizations were defined as those related to the following diseases: diabetes mellitus, congestive heart failure, hypertension, chronic obstructive pulmonary disease, and vaccine-preventable diseases (polio, diphtheria, tetanus, whooping cough, and measles. Men and women from 20 to 59 years of age were included in the study. The proportion of preventable causes among hospital admissions was higher for women than for men. From 1995 to 2004 there was a decrease in preventable

  11. Measuring inflation persistence in Brazil using a multivariate model

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    Vicente da Gama Machado

    2014-06-01

    Full Text Available We estimate inflation persistence in Brazil in a multivariate framework of unobserved components, accounting for the following sources affecting inflation persistence: Deviations of expectations from the actual policy target; persistence of the factors driving inflation; and the usual intrinsic measure of persistence, evaluated through lagged inflation terms. Data on inflation, output and interest rates are decomposed into unobserved components. To simplify the estimation of a great number of unknown variables, we employ Bayesian analysis. Our results indicate that expectations-based persistence matters considerably for inflation persistence in Brazil.

  12. Risk communication concerning welding fumes for the primary preventive care of welding apprentices in southern Brazil.

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    Cezar-Vaz, Marta Regina; Bonow, Clarice Alves; Vaz, Joana Cezar

    2015-01-19

    This study's aim was to assess the perceptions of welding apprentices concerning welding fumes being associated with respiratory and cardiovascular disorders and assess the implementation of risk communication as a primary prevention tool in the welding training process. This quasi-experimental, non-randomized study with before-and-after design was conducted with 84 welding apprentices in Southern Brazil. Poisson Regression analysis was used. Relative Risk was the measure used with a 95% confidence interval and 5% (p ≤ 0.05) significance level. Significant association was found between perceptions of worsened symptoms of respiratory disorders caused by welding fumes and educational level (p = 0.049), the use of goggles to protect against ultraviolet rays (p = 0.023), and access to services in private health facilities without insurance coverage (p = 0.001). Apprentices younger than 25 years old were 4.9 times more likely to perceive worsened cardiovascular symptoms caused by welding fumes after risk communication (RR = 4.91; CI 95%: 1.09 to 22.2). The conclusion is that risk communication as a primary preventive measure in continuing education processes implemented among apprentices, who are future welders, was efficacious. Thus, this study confirms that risk communication can be implemented as a primary prevention tool in welding apprenticeships.

  13. Measuring Cognitive Achievement Gaps and Inequalities: The Case of Brazil

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    Soares, Jose Francisco

    2006-01-01

    This paper introduces a new measure of educational inequalities based on cognitive achievement data, and uses it to examine achievement inequalities in mathematics between groups of students enrolled in basic education in Brazil. The groups of students are defined by their race, sex, socioeconomic status (SES), and region of residence. The…

  14. Prevention of HIV infection among migrant population groups in Northeast Brazil

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    Kerr-Pontes Ligia Regina Sansigolo

    2004-01-01

    Full Text Available HIV infection is spreading among the poor, women, and migrant communities in the interior of Northeast Brazil. The research focused on different configurations, beliefs, representations, and forms of social organization of behavior thought to be associated with the population's capacity to efficiently follow AIDS prevention measures. Participants located in neighborhoods known for having large migrant populations were identified by Family Health Program Workers in Fortaleza and Teresina. The study adopted a qualitative methodology. Several belief-system concepts and values, as well as the social organization of sexuality revealed in the study, represent obstacles both to AIDS prevention and condom use. Hunger, lack of prospects, and fear are associated with a social situation of poverty, exclusion, prejudice, and total absence of basic human rights When examined together, these elements define different configurations in the migrants' increased vulnerability to HIV/AIDS. The groups' increased vulnerability relates to the socioeconomic complexity that must be considered in HIV/AIDS control and prevention programs.

  15. Prevention of HIV infection among migrant population groups in Northeast Brazil

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    Ligia Regina Sansigolo Kerr-Pontes

    2004-02-01

    Full Text Available HIV infection is spreading among the poor, women, and migrant communities in the interior of Northeast Brazil. The research focused on different configurations, beliefs, representations, and forms of social organization of behavior thought to be associated with the population's capacity to efficiently follow AIDS prevention measures. Participants located in neighborhoods known for having large migrant populations were identified by Family Health Program Workers in Fortaleza and Teresina. The study adopted a qualitative methodology. Several belief-system concepts and values, as well as the social organization of sexuality revealed in the study, represent obstacles both to AIDS prevention and condom use. Hunger, lack of prospects, and fear are associated with a social situation of poverty, exclusion, prejudice, and total absence of basic human rights When examined together, these elements define different configurations in the migrants' increased vulnerability to HIV/AIDS. The groups' increased vulnerability relates to the socioeconomic complexity that must be considered in HIV/AIDS control and prevention programs.

  16. Foodborne illnesses in Brazil: control measures for 2014 FIFA World Cup travellers.

    Science.gov (United States)

    Ritter, Ana Carolina; Tondo, Eduardo Cesar

    2014-03-13

    Foodborne diseases are typically caused by the ingestion of food contaminated with micro-organisms or their toxins, resulting in gastrointestinal disorders and in some severe cases hospitalization and death. In Brazil, foodborne illnesses are caused mainly by Salmonella, Staphylococcus aureus and Escherichia coli. The most important contributing factors for outbreaks are exposure of foods to unsuitable temperatures, inadequate food preparation and contamination of raw material or water used to prepare food. Recently, aiming to prevent foodborne illnesses during the 2014 FIFA World Cup, Brazil has developed a risk-based evaluation tool able to assess and grade Brazilian food services in cities that will host football matches. This tool has been used by the Brazilian sanitary surveillance officers during the inspection of facilities where food services. This is considered an innovative preventative sanitary action because it was created based on scientific information, statistical calculation and on risks of foodborne diseases occurrence. In this mini-review we summarize general data, control measures and how travellers can prevent foodborne illness in Brazil during the 2014 FIFA World Cup.

  17. Measuring Prevention More Broadly, An Empirical...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Measuring Prevention More Broadly, An Empirical Assessment of CHIPRA Core Measures Differences in CHIP design and structure, across states and over time, may limit...

  18. Policies for control and prevention of infections related to healthcare assistance in Brazil: a conceptual analysis.

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    Oliveira, Hadelândia Milon de; Silva, Cristiane Pavanello Rodrigues; Lacerda, Rúbia Aparecida

    2016-01-01

    This article is a theoretical-reflexive study that aims to discuss the development and changes in the quality of healthcare assistance to the patient over the years in Brazil, in light of the policies of control and prevention of Healthcare-associated Infection (HAI). Aspects of HAI and the process of change in health policy in Brazil, as well as the quality of assistance associated with its control, are approached in relation to policies of patient safety. There are various new theoretical and practical proposals created in Brazil. In spite of the difficulty of measuring patient safety, directed to the prevention and control of HAI, we emphasize that to only create policies and establish norms, guidelines, and indicators is not sufficient. If no structural support or conditions exist for interventions in the practices of healthcare professionals, aiming at results in acceptable levels, the control of HAI will not be achieved. Resumo Trata-se um estudo teórico-reflexivo, que objetiva discutir a evolução e as mudanças na qualidade da assistência ao paciente, ao longo dos anos no Brasil, à luz das políticas de controle e prevenção da Infecção Relacionada à Assistência à Saúde (IRAS). Aspectos sobre IRAS e o processo de mudança nas políticas de saúde no Brasil, bem como a qualidade da assistência associada ao seu controle, são abordados em relação às políticas de segurança do paciente. Há novas e várias propostas teóricas e práticas criadas no Brasil. Apesar da dificuldade de medir a segurança do paciente, direcionada à prevenção e controle das IRAS, enfatiza-se que somente criar políticas, estabelecer normas, diretrizes e indicadores não são suficientes. Se não houver suporte de estrutura e condições para as intervenções nas práticas dos profissionais na assistência prestada ao paciente, visando resultados em níveis aceitáveis, o controle das IRAS não será alcançado.

  19. Ultraviolet Index measurements in Southern Bahia, Brazil

    Science.gov (United States)

    de Paula Corrêa, Marcelo; Morégula, Andréa; Fausto, Agnes; Okuno, Emico; Mol, Anderson; Santos, João C.

    2009-03-01

    This work presents results of the Joint Project for Solar UV Index Measurements in Southern Bahia State (PIU Project), and represents the first effort to measure UV radiation in this tourist region. The project goal is twofold: it has a scientific component in which the distribution of UV Index will be mapped out, and it also intends to disseminate the data as a mean of divulgation of the UV Index levels to the population. This constitutes a meaningful effort to reduce health risks from excessive solar radiation exposure in a country that reports more than 120,000 new skin cancer cases each year. This project is within the framework of a larger initiative to studying UV index distribution in Brazilian regions. PIU project has had two phases: 1) seasonal measurements were performed during the summer and winter seasons of 2006 and 2007 on a sandy beach in Ilhéus (15,0° S; 39,0° W; sea level), as well as on an asphalt surface in the urban perimeter of Itabuna (14,8° S; 39,3° W; 54 m ASL); and 2) since October 2007, measurements have been continuously conducted on a concrete surface, about 20 km from the beach, in a urban area of Ilhéus. During the summer season, UV Index reaches extreme values (>11), and in winter, results range between high (6measurements. In these conditions, aerosol optical depth will be retrieved from MODIS sensors (Aqua and Terra satellites) and UV theoretical calculations should be used to quantify the radiation attenuation.

  20. [Preventive measures against minor's smoking].

    Science.gov (United States)

    Bessho, Fumio

    2013-03-01

    Adolescents are unique for tobacco control. They are easy to become tobacco-addicted and more than 70 % of adult smokers start to smoke tobacco during adolescence. Therefore, they are good targets for sales campaign by tobacco industry to secure their profit by making a large reservoir of smokers. Tobacco industry's tactics are very ingenious. It conducts many kinds of hidden advertisement. It supports many activities of youth and nonprofit organizations. Therefore, our effort should also put targets on adolescents. Adolescence is a unique stage of development and it is important to know its characteristics for effective approach to prevent starting and to facilitate quitting smoking. It is important to make tobacco-free environment surrounding adolescents, such as school campuses and other public places.

  1. Preventive health measures in inflammatory bowel disease

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    Abegunde, Ayokunle T; Muhammad, Bashir H; Ali, Tauseef

    2016-01-01

    We aim to review the literature and provide guidance on preventive health measures in inflammatory bowel disease (IBD). Structured searches were performed in PubMed, MEDLINE, EMBASE, Web of Science and Cochrane Library from January 1976 to June 2016 using the following keywords: (inflammatory bowel disease OR Crohn’s disease OR ulcerative colitis) AND (health maintenance OR preventive health OR health promotion). Abstracts of the articles selected from each of these multiple searches were reviewed, and those meeting the inclusion criteria (that is, providing data regarding preventive health or health maintenance in IBD patients) were recorded. Reference lists from the selected articles were manually reviewed to identify further relevant studies. Patients with IBD are at increased risk of developing adverse events related to the disease course, therapeutic interventions, or non-adherence to medication. Recent studies have suggested that IBD patients do not receive preventive services with the same thoroughness as patients with other chronic diseases. Preventive health measures can avert morbidity and improve the quality of life of patients with IBD. Gastroenterologists and primary care physicians (PCPs) should have an up to date working knowledge of preventive health measures for IBD patients. A holistic approach and better communication between gastroenterologists and PCPs with explicit clarification of roles will prevent duplication of services and streamline care. PMID:27678347

  2. Strategic analysis of tuberculosis prevention and control actions in Brazil and Ethiopia: one size fits all?

    Science.gov (United States)

    Cardoso, Gisela; Dos Santos, Elizabeth Moreira; Kiflie, Yibeltal; Woldemichael, Kifle; Wilson, Suzanne; Lemma, Wuleta

    2017-03-01

    This study aimed at conducting a strategic analysis of Tuberculosis prevention and control actions in Brazil and Ethiopia, looking at the potential of directly observed treatment short-course strategy (DOTS) and community DOTS in both countries. Literature review was conducted using PubMed, Medline-Ovid, EMBASE, and SCIELO databases. The reviewed terms were Tuberculosis, prevention and control and Brazil (or Brasil) or Ethiopia (or Etiopia). Study's eligibility included article's title or abstract in English or Portuguese and comprised the following Tuberculosis policy components: management; care; communication, and social mobilization; training and professional development; epidemiological surveillance, and monitoring and evaluation. The study identified, compared, and analyzed the challenges and recommendations reported in the literature. Although DOTS was not able to address all the difficulties regarding Tuberculosis control and prevention, it contributes to overcome challenges identified in the literature review. Decentralizing DOTS in Ethiopia and implementing DOTS in Brazil were key recommendations to overcome problems of access and treatment default. DOTS and Community DOTS cannot solve every identified Tuberculosis challenge, but together they complement each other. Both strategies need to be tailored to site's challenges.

  3. Danish preventive measures and deradicalization strategies

    DEFF Research Database (Denmark)

    Bertelsen, Preben

    2015-01-01

    The Danish anti- and de-radicalization strategy involves three interwoven elements: (a) an early prevention and exit programme, (b) prosecution of radicalized persons who have committed violent crimes (in Denmark or in a foreign country), including measures such as confiscation of passport, and (c...

  4. Danish preventive measures and deradicalization strategies

    DEFF Research Database (Denmark)

    Bertelsen, Preben

    2015-01-01

    ) prevention and countering of threats to national security, by the Danish Security and Intelligence Service (PET). The last two elements are in line with measures adopted by the international community. The element (a) is well known in some countries; however, the Danish programme and in particular the so...

  5. Environmental and economic assessment of a pilot stormwater infiltration system for flood prevention in Brazil

    OpenAIRE

    Petit, Anna; Sevigné Itoiz, Eva; Rojas-Gutierrez, Lorena Avelina; Barbassa, Ademir Paceli; Josa Garcia-Tornel, Alejandro; Rieradevall, Joan; Gabarrell Durany, Xavier

    2015-01-01

    Green and grey stormwater management infrastructures, such as the filter, swale and infiltration trench (FST), can be used to prevent flooding events. The aim of this paper was to determine the environmental and economic impacts of a pilot FST that was built in São Carlos (Brazil) using Life Cycle Assessment (LCA) and Life Cycle Costing (LCC). As a result, the components with the greatest contributions to the total impacts of the FST were the infiltration trench and the grass cover. The syste...

  6. Conjectures Regarding the Adoption of Fair Value Measurements in Brazil

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    Fernando Dal-Ri Murcia

    2008-01-01

    Full Text Available The issue of relevance versus reliability has always been a debate in accounting. Far from being a consensus among the community, the adoption of fair value measurements is intended to present a more realistic view of an entity¿s financial position. However, it could also cause a loss of credibility due to the subjectivity inherent in the valuation process. Wishing to make a contribution to the existing literature on this issue, this paper presents a discussion about the adoption of fair value measurements in Brazil. First, we present a brief examination of asset and liability valuation using the accounting theory as a framework. Following, we conduct a review of the International Accounting Standards Board (IASB and the Financial Accounting Standards Board (FASB standards regarding fair value measurements. Empirical studies addressing fair value are also reviewed. Finally, a discussion about its implementation is presented, aiming to take into account the specificities of the Brazilian Market. This paper intends to contribute to the construction of academic knowledge in accounting by debating an issue which is a real problem for organizations, and yet incipient in the national literature.

  7. Brazil.

    Science.gov (United States)

    1985-09-01

    Brazil's population in 1985 was 135 million, with an annual growth rate (1982) of 2.3%. The infant mortality rate (1981) was 92/1000, and life expectancy stood at 62.8 years. 76% of the adult population was literate. Brazil is a federal republic which recognizes 5 political parties. 55% of the population is Portuguese, Italian, German, Japanese, African, or American Indian; 38% is white. Of the work force of 50 million, 35% are engaged in agriculture, 25% work in industry, and 40% are employed in services. Trade union membership totals 6 million. The agricultural sector accounts for 12% of the GDP and 40% of exports. Brazil is largely self-sufficient in terms of food. The GDP was US$218 billion in 1984, with an annual growth rate of 4%. Per capita GDP was US$1645. Brazil's power, transportation, and communications systems have improved greatly in recent years, providing a base for economic development. High inflation rates have been a persistent problem.

  8. Ações de prevenção dos acidentes e violências em crianças e adolescentes, desenvolvidas pelo setor público de saúde de Fortaleza, Ceará, Brasil Measures developed by the public health system to prevent accidents and violence in children and adolescents in Fortaleza, Ceará, Brazil

    Directory of Open Access Journals (Sweden)

    Augediva Maria Jucá Pordeus

    2003-08-01

    Full Text Available Este artigo trata das ações de prevenção de acidentes e violências, desenvolvidas pelo setor público de saúde de Fortaleza, Estado do Ceará, Brasil. Originou-se da necessidade sentida pelas autoras diante das estatísticas de mortalidade por estas causas na infância e adolescência, que parecia não haver por parte do setor público de saúde ações de prevenção. Realizamos um levantamento junto aos gerentes das Coordenadorias de Saúde das seis Secretarias Executivas Regionais (SER, setores geográficos onde está organizada a rede de saúde de Fortaleza, por meio da aplicação de questionário. O levantamento mostrou que as ações desenvolvidas são pontuais, não existindo como política de saúde, visto que ocorrem na forma de campanhas, têm como foco principal a educação em saúde voltada para a prevenção do uso de álcool e outras drogas ilícitas, violência e acidentes domésticos e delinqüência juvenil. Apenas na SER-I existia parceria com outros setores nas atividades desenvolvidas. Concluímos que o setor público de saúde de Fortaleza, necessita incorporar em sua agenda a prevenção de acidentes e violências na infância e adolescência, utilizando a intersetorialidade e somando esforços para que o conhecimento até agora adquirido sobre a prevenção destes agravos se transforme em realidade.This article deals with measures developed by the public health system to prevent accidents and violence in children in Fortaleza, Ceará State, Brazil. The program resulted from the need perceived by the authors in light of statistics on mortality from external causes in childhood and adolescence and the fact that there was apparently no preventive action being taken by the public health system. We conducted a questionnaire-based survey of health administrators in the six Regional Executive Secretariats (SERs corresponding to the geographic districts in which the health system is divided in Fortaleza. According to the

  9. Time poverty in Brazil: measurement and analysis of its determinants

    Directory of Open Access Journals (Sweden)

    Lilian Lopes Ribeiro

    2012-06-01

    Full Text Available This article analyzes well-being on an individual level, through the allocation of work hours done by adults and children and thus it measures time poverty in Brazil. In order to achieve such measurement, poverty indicators such as Foster, Greer and Thorbecke (FGT were adapted into a time poverty mode. Additionally, an analysis of its determinants was also conducted. Among other findings, the fact that women (either children and adult ones are the time-poorest individuals in urban or rural areas. Another unfortunate finding is that the high rate of time poverty among children, numerically 16,1% is not far from the adult rate which is of 19,7%. The overall composite time poor individual profile is of an African-Brazilian adult woman of little education, not necessarily income poor and residing in an urban area of the northeast region, living in a household of few people, she is the mother of children who are younger than 14 years old.

  10. Reliability and Validity of a Questionnaire to Measure Consumer Knowledge regarding Safe Practices to Prevent Microbiological Contamination in Restaurants

    Science.gov (United States)

    Uggioni, Paula Lazzarin; Salay, Elisabette

    2013-01-01

    Objective: The objective of this study was to develop a validated and reliable questionnaire to measure consumer knowledge regarding safe practices to prevent microbiological contamination in restaurants and commercial kitchens. Methods: Non-probabilistic samples of individuals were interviewed in the city of Campinas, Brazil. Questionnaire items…

  11. Reliability and Validity of a Questionnaire to Measure Consumer Knowledge regarding Safe Practices to Prevent Microbiological Contamination in Restaurants

    Science.gov (United States)

    Uggioni, Paula Lazzarin; Salay, Elisabette

    2013-01-01

    Objective: The objective of this study was to develop a validated and reliable questionnaire to measure consumer knowledge regarding safe practices to prevent microbiological contamination in restaurants and commercial kitchens. Methods: Non-probabilistic samples of individuals were interviewed in the city of Campinas, Brazil. Questionnaire items…

  12. Brazil nut sorting for aflatoxin prevention: a comparison between automatic and manual shelling methods

    Directory of Open Access Journals (Sweden)

    Ariane Mendonça Pacheco

    2013-06-01

    Full Text Available The impact of automatic and manual shelling methods during manual/visual sorting of different batches of Brazil nuts from the 2010 and 2011 harvests was evaluated in order to investigate aflatoxin prevention.The samples were tested as follows: in-shell, shell, shelled, and pieces in order to evaluate the moisture content (mc, water activity (Aw, and total aflatoxin (LOD = 0.3 µg/kg and LOQ 0.85 µg/kg at the Brazil nut processing plant. The results of aflatoxins obtained for the manually shelled nut samples ranged from 3.0 to 60.3 µg/g and from 2.0 to 31.0 µg/g for the automatically shelled samples. All samples showed levels of mc below the limit of 15%; on the other hand, shelled samples from both harvests showed levels of Aw above the limit. There were no significant differences concerning the manual or automatic shelling results during the sorting stages. On the other hand, the visual sorting was effective in decreasing the aflatoxin contamination in both methods.

  13. [Physical inactivity and anthropometric measures in school children from Paranavaí, Paraná, Brazil].

    Science.gov (United States)

    Guilherme, Flávio Ricardo; Molena-Fernandes, Carlos Alexandre; Guilherme, Vânia Renata; Fávero, Maria Teresa Martins; dos Reis, Eliane Josefa Barbosa; Rinaldi, Wilson

    2015-01-01

    To investigate the association between physical inactivity and anthropometric measurements in school children from Paranavaí-Paraná, Brazil. Cross-sectional survey, conducted in July and August 2013. Sample of 566 students (287 boys and 278 girls) from 6th to 9th grade aged 10 to 14 years of public and private schools from Paranavaí-PR, Southern Brazil. The variables analyzed were: time of weekly physical activity by a questionnaire (physical inactivity <300 minutes/week), body mass index (BMI) and waist circumference (WC). In the statistical analysis the U Mann-Whitney and Student t test were used for comparison between genders. To identify factors associated with insufficient levels of physical activity, univariate and multivariate logistic regression analysis was applied and expressed in Odds ratio (OR) and 95% confidence interval (CI). There was an association between physical inactivity and anthropometric measurements for BMI (p<0.001) and WC (p<0.001), with a prevalence rate of 56.1% and 52.7% of inactive adolescents, respectively. In the multivariate analysis, there was significant association of physical inactivity and overweight (OR 1.8, 95%CI: 1.1-3.0) and with increased waist circumference (OR 2.8, 95%CI: 1.4-3.8). Inadequate levels of physical activity is a determining factor for overweight and abdominal adiposity. Accordingly, preventive measures should be taken, especially in schools, emphasizing the importance of exercise in the control of body composition and reduction of weight. Copyright © 2014 Associação de Pediatria de São Paulo. Publicado por Elsevier Editora Ltda. All rights reserved.

  14. Working session 4: Preventative and corrective measures

    Energy Technology Data Exchange (ETDEWEB)

    Clark, R. [Golder Federal Services Inc., Redmond, WA (United States); Slama, G. [Framatome, Paris (France)

    1997-02-01

    The Preventive and Corrective Measures working session included 13 members from France, Germany, Japan, Spain, Slovenia, and the United States. Attendee experience included regulators, utilities, three steam generator vendors, consultants and researchers. Discussions centered on four principal topics: (1) alternate materials, (2) mechanical mitigation, (3) maintenance, and (4) water chemistry. New or replacement steam generators and original equipment steam generators were separately addressed. Four papers were presented to the session, to provide information and stimulate various discussion topics. Topics discussed and issues raised during the several meeting sessions are provided below, followed by summary conclusions and recommendations on which the group was able to reach a majority consensus. The working session was composed of individuals with diverse experience and varied areas of specialized expertise. The somewhat broad range of topics addressed by the group at times saw discussion participation by only a few individuals. As in any technical meeting where all are allowed the opportunity to speak their mind, straying from an Individual topic was not unusual. Where useful, these stray topics are also presented below within the context In which they occurred. The main categories of discussion were: minimize sludge; new steam generators; maintenance; mechanical mitigation; water chemistry.

  15. Measures of Knowledge and Attitude Toward Preventive Cardiology.

    Science.gov (United States)

    Allred, Charlene A.; And Others

    1985-01-01

    The development and validation of an inventory of preventive cardiology at the University of Virginia is described. The inventory contains two instruments designed to measure medical students' preinstructional and postinstructional knowledge of and attitude toward preventive cardiology. (Author/MLW)

  16. Measures of Knowledge and Attitude Toward Preventive Cardiology.

    Science.gov (United States)

    Allred, Charlene A.; And Others

    1985-01-01

    The development and validation of an inventory of preventive cardiology at the University of Virginia is described. The inventory contains two instruments designed to measure medical students' preinstructional and postinstructional knowledge of and attitude toward preventive cardiology. (Author/MLW)

  17. Impacto das ações de imunização pelo Programa Saúde da Família na mortalidade infantil por doenças evitáveis em Olinda, Pernambuco, Brasil Impact of immunization measures by the Family Health Program on infant mortality from preventable diseases in Olinda, Pernambuco State, Brazil

    Directory of Open Access Journals (Sweden)

    Tânia Maria Rocha Guimarães

    2009-04-01

    Full Text Available Este artigo aborda o impacto do Programa Saúde da Família (PSF na saúde infantil no Município de Olinda, Pernambuco, Brasil, por meio da avaliação da vacinação e mortalidade infantil por causas evitáveis. Realizou-se um estudo de série temporal com os dados dos principais sistemas de informação em saúde, usando-se a análise dos indicadores ex-ante e ex-post da implantação do PSF, em 1995. A variável independente foi o ano de nascimento relacionado com grau de cobertura da população pelo PSF. Analisou-se três períodos: 1990/1994 (anterior, 1995/1996 (implantação: cobertura de 0% a 30%, 1997/2002 (intervenção: cobertura de 38,6% a 54%. A tendência dos indicadores foi analisada pela regressão linear simples, sendo testada a significância pelo teste t. No período de implantação houve aumento de todas as médias das coberturas vacinais (176% BCG, 223% pólio, 52% DPT, 61% sarampo e redução da mortalidade infantil por causas evitáveis (12,7 óbitos/ano, mesmo não havendo diminuição da pobreza absoluta no município ou aumento das coberturas das redes públicas de saúde nem de esgotamento. A melhoria nos indicadores demonstra a efetividade das ações do PSF no município.This article analyzes the impact of the Family Health Program (FHP on infant health in Olinda, Pernambuco State, Brazil, evaluating immunization and infant mortality from vaccine-preventable diseases. A time-series study was conducted with data from the principal health information systems, analyzing indicators before and after implementation of the FHP in 1995. The independent variable was year of birth, related to degree of population coverage by the FHP. Three periods were analyzed: 1990-1994 (prior, 1995-1996 (implementation phase: 0 to 30% coverage, and 1997-2002 (intervention: coverage of 38.6% to 54%. Trends in the indicators were analyzed by simple linear regression, testing significance with the t test. During the implementation period

  18. Worker Retrenchment: Preventive and Remedial Measures.

    Science.gov (United States)

    Evans-Klock, Christine; Kelly, Peggy; Richards, Peter; Vargha, Corinne

    1999-01-01

    Reviews the range of responses taken in industrialized countries seeking to deal with substantial worker displacement. Practices discussed include preventive subsidies, buyouts, retraining, job-search assistance, job creation, local and regional development, and local enterprise development. (Author/JOW)

  19. [Counterfeit and contraband drugs in Brazil: overview and prospects for preventing their use].

    Science.gov (United States)

    Hurtado, Renato Lopes; Lasmar, Marcelo Carvalho

    2014-04-01

    The problem of counterfeit medicines is increasing rapidly, aggravated by globalization and the lure of profit from this illegal activity. Various types of drugs have been counterfeited, posing a serious public health and safety problem. The current article provides an overview of the issue in Brazil and the resulting measures taken by the National Health Surveillance Agency (ANVISA) in collaboration with the Federal Police from 2007 to March 2011. The study analyzed seizures of counterfeit drugs, arrests, and other factors. No professional pharmacist was present in 90% of the establishments were some type of crime occurred (sale of counterfeit drugs and lack of control of narcotics and other drugs). Among the products seized, most were drugs for erectile dysfunction. The study showed the importance of inter-agency collaboration for combatting this type of irregular drug sales.

  20. Soldier at High Altitude: Problem & Preventive Measures

    Directory of Open Access Journals (Sweden)

    S.S Purkayastha

    2000-04-01

    Full Text Available Due to military and j trategic reasons, a large body of troops is being regularly dcployed in the snowbound areas through ut the Himalayan regions to guard Ihe Ironliers. Thc mountain environment at high 'allitude (HA consisls of several faclors alien lo plain dwellers, which evoke a series of physiological responses in human system. Some of the sea' level residents on induction to HA suffer from several unloward symploms of HA" ailmenls varying from mild-lo-severe degrees. Suddenexposure to HA is detrimental to physical and mental  performance of the low landers and  certain cases, may even lead to dreaded condition like high altitude pulmonary oedema (HAPO. These may make a man Jisturbed physically and mentally. So, there is a need lo prevent such hazards v(hich ispossible if the individual is aware of the problems and prevenlive measures ofHA ailments in advance, before going to HA for a safe and happy living there. Hence, a noble effort has been made to provide guidelines to create awareness about physical and physiological problems of life at HA and themethods of protection against its ill-effects for the soldiers, mountaineers and sojourners conducting scientific trials it HA. In th.:s revieJ, an attempt has been made to describe vital aspects of HA in a popular way, st~ing with its concept and various environmental factors which exert considerableettects on human body functions, heallh and performance on exposure to such environment, on the b¥is of a series of studies coitlucted at Ithe Defence Institute of Physiology & Allied Sciences, Delhi, oVer the years. The most important featurelof HA (3,000 m and above is hypoxia or deficiency ofoxygej1 in the body. Olher cnvironmental tactors are: scverc cold, high velocity wind, low rclalivc humidily, high solar radiatior, increased ultraviolet radialion and difficult terrain. These faclors are responsible for various HA cWtdc old syndromes, viz., acute mountain sickness, HAPO, dehydration,4

  1. Measurement Invariance in a Measure of Prosocial Moral Reasoning to Use with Adolescents from the USA and Brazil

    Science.gov (United States)

    Carlo, Gustavo; McGinley, Meredith; Roesch, Scott C.; Kaminski, Jennifer W.

    2008-01-01

    Scholars have noted the need to examine the psychometric properties of measures that can be used in evaluating moral education programs. The present study was designed to examine the best-fitting factor model of a commonly-used measure of prosocial moral reasoning (PROM) across samples from Brazil and the USA, gender and adolescent age groups. The…

  2. Preventive measures in speech and language therapy

    OpenAIRE

    Slokar, Polona

    2014-01-01

    Preventive care plays an important role in speech and language therapy. Through training, a speech and language therapist informs the expert and the general public about his efforts in the field of feeding, speech and language development, as well as about the missing elements that may appear in relation to communication and feeding. A speech and language therapist is also responsible for early detection of irregularities and of those factors which affect speech and language development. To a...

  3. ARP Storm Detection and Prevention Measures

    Directory of Open Access Journals (Sweden)

    S Vidya

    2011-03-01

    Full Text Available The Address Resolution Protocol (ARP is used by computers to map network addresses (IP to physical addresses (MAC. The protocol has proved to work well under regular circumstances, but it was not designed to cope with malicious hosts. By performing ARP storming attacks, an intruder can create Denial of Service (DoS in another host and prevent it's functioning or just cause network slowdowns. Several methods to mitigate, detect and prevent these attacks do exist at the router level and through certain customized software tools. In this paper we propose an algorithm to detect the ARP storm at the local sub network level within the ARP boundary in real-time and in offline mode. In real-time, the software detects dynamically, the IPs from which the ARP storm emanates. The inexpensive and portable software developed can be implemented in SOHOs in each machine in the local network. The attempt was successful and also effective in terms of cost, portability and ease of use. The offline packet analysis software, detects all the possible malicious IPs that are responsible for the ARP storm from among the packets captured in real-time using Wireshark. The proposed method also suggests the means of preventing the ARP storm.

  4. Barriers to prevention of cervical cancer in the city of Porto Velho, Rondônia, Brazil

    Directory of Open Access Journals (Sweden)

    Daiana Evangelista Rodrigues

    Full Text Available Objective.Identify the related factors with the no adhesion of women in preventive practices of cervical cancer (CC, in a coverage area of a Family Health Team in the city of Porto Velho (Rondônia, Brazil. Methods. Descriptive, cross-sectional study held in 2013. It was applied a questionnaire containing questions related to the health belief model (HBM of the instrument "Champion's Health Belief Model Scale", validated and culturally adapted to Brazil, to 286 women. Results. 87.7% of women state that they have been submitted to prevention of CC; Regarding the parameters of the HBM, it was found that 74.5% of the women had low scores for the perception of susceptibility to the disease; equal percentage of women had an moderate perception of severity; 52.8% have an moderate perception of the benefits gained from the examination of prevention; and 51.4% have moderate perception of barriers to perform the same test. Conclusion. the process involving the prevention of CC involves the supply of services and availability of skilled professionals. However, the adoption of preventive behavior depends not only on external factors, but also own subjective factors to women.

  5. Suicide in Japan: present condition and prevention measures.

    Science.gov (United States)

    Shiho, Yamashita; Tohru, Takizawa; Shinji, Sakamoto; Manabu, Taguchi; Yuka, Takenoshita; Eriko, Tanaka; Ikuko, Sugawara; Naoki, Watanabe

    2005-01-01

    This article introduces the reader to present conditions and suicide prevention measures in Japan. The suicide rate has increased gradually since the early 1990s, reaching a postwar peak in 1998. The number of suicides has remained at about 30,000 every year since 1998. Middle-aged (55-59 years) and elderly men have especially high suicide rates. In 2002, The Council of Learned People on Measures Against Suicides (organized by the Japanese Ministry of Health, Labor, and Welfare) released its report on national suicide prevention strategies. Although national suicide prevention strategies have just begun to be established, some prefectures or regions have undertaken unique suicide prevention measures.

  6. [Suicide Prevention and Mental Health Measures for Japanese University Students].

    Science.gov (United States)

    Ohnishi, Masaru; Koyama, Shihomi; Senoo, Akiko; Kawahara, Hiroko; Shimizu, Yukito

    2016-01-01

    According to the nationwide survey of the National University students in Japan, the annual suicide rate in 2012 was 15.7 per 100,000 undergraduate students. In many universities, suicide prevention is an important issue regarding mental health measures, and each university is actively examining this. The current situation concerning measures for suicide prevention in the Japanese National Universities was investigated in 2009. In 2010, the "college student's suicide prevention measures guideline, 2010" was established based on the results of this investigation. This guideline refers to the basic philosophy of suicide prevention in Chapter 1, risk factors for suicide in Chapter 2, and systems and activities for suicide prevention in Chapter 3. The Health Service Center, Okayama University plays central roles in mental health and suicide prevention measures on the Medical Campus. The primary prevention includes a mini-lecture on mental health, classes on mental health, and periodic workshops and lectures for freshmen. The secondary prevention includes interviews with students with mental health disorders by a psychiatrist during periodic health check-ups and introducing them to a hospital outside the university. The tertiary prevention includes support for students taking a leave of absence to return to school, periodic consultation with such students with mental disorders, and postvention following a suicide. We believe that for mental health measures on the university campus, it is important to efficiently make use of limited resources, and that these efforts will eventually lead to suicide prevention.

  7. [Spasticity. Physical therapy, preventive measures and treatment].

    Science.gov (United States)

    Gay, S; Egon, G

    2005-06-01

    Spasticity is one of the most common motor and tonus disorders during the initial phase with traumatic brain injured patients. The evaluation of spasticity is mainly clinical but it is very important to prevent complications such as limitation of range of motion, pain, decubitus ulcers. The therapeutic options consist in classical indications such as baclofen, dantrolene, tizanidine, benzodiazepine, associated with physiotherapy. Other additive therapeutic options could be discussed: use of toxin botulinum in focal spasticity and intrathecal baclofen infusion in case of severe spasticity (often associated with dysautonomic disorders.).

  8. A Medical Student–Delivered Smoking Prevention Program, Education Against Tobacco, for Secondary Schools in Brazil: Study Protocol for a Randomized Trial

    Science.gov (United States)

    Xavier, Luiz Eduardo De Freitas; Bernardes-Souza, Breno; Lisboa, Oscar Campos; Seeger, Werner; Groneberg, David Alexander; Tran, Thien-An; Fries, Fabian Norbert; Corrêa, Paulo César Rodrigues Pinto

    2017-01-01

    Background Smoking is the largest preventable cause of morbidity and mortality in Brazil. Education Against Tobacco (EAT) is a large network of medical students in 13 countries who volunteer for school-based prevention in the classroom setting. A recent quasi-experimental EAT study conducted in Germany showed significant short-term smoking cessation effects on 11- to 15-year-old adolescents. Objective The aim of this study is both to describe and to provide the first randomized long-term evaluation of the EAT intervention involving a photoaging app for its effectiveness to reduce the smoking prevalence among 12- to 17-year-old pupils in Brazilian public schools. Methods A randomized controlled trial will be conducted among approximately 1500 adolescents aged 12 to 17 years in grades 7-11 of public secondary schools in Brazil. The prospective experimental study design includes measurements at baseline and at 6 and 12 months postintervention. The study groups will consist of randomized classes receiving the standardized EAT intervention (90 minutes of mentoring in a classroom setting) and control classes within the same schools (no intervention). The questionnaire measures smoking status, gender, social, and cultural aspects as well as predictors of smoking. Biochemical validation of smoking status is conducted via random carbon monoxide measurements. The primary end point is the difference of the change in smoking prevalence in the intervention group versus the difference in the control group at 12 months of follow-up. The differences in smoking behavior (smoking onset, quitting) between the 2 groups as well as effects on the different genders will be studied as secondary outcomes. Results The recruitment of schools, participating adolescents, and medical students was conducted from August 2016 until January 2017. The planned period of data collection is February 2017 until June 2018. Data analysis will follow in July 2018 and data presentation/publication will

  9. Awareness And Preventive Measures Against Hepatitis B Virus ...

    African Journals Online (AJOL)

    Awareness And Preventive Measures Against Hepatitis B Virus Infection Among Dental ... Results: A high level of awareness and knowledge of HBV infection was ... to be compliantwith an inventory of standard infection control procedures.

  10. Measuring quality of dental care: Caries prevention services for children

    National Research Council Canada - National Science Library

    Herndon, Jill Boylston; Tomar, Scott L; Catalanotto, Frank A; Rudner, Nancy; Huang, I-Chan; Aravamudhan, Krishna; Shenkman, Elizabeth A; Crall, James J

    2015-01-01

    The authors conducted a study to validate the following 3 evidence-based, process-of-care quality measures focused on dental caries prevention for children with an elevated risk of experiencing caries...

  11. AMS-{sup 14}C measurements for the carbonate platform of the offshore Campos Basin, Rio de Janeiro State, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Coimbra, Melayne M. E-mail: melayne@onda.com.br; Barbosa, Catia F.; Soares-Gomes, Abilio; Silva, Cleverson G.; Rios-Netto, Aristoteles; Mueller, Ken A

    2000-10-01

    As part of our accelerator mass spectrometry (AMS) program in Brazil we prepared and measured some red algae carbonate crust samples from Campos Basin, Rio de Janeiro, Brazil. The measurements were performed at Purdue Rare Isotope Measurement Laboratory (PRIME Lab), Purdue University, IN, USA. This carbonate material is interlaminated with foraminiferal lime mud reflecting recurrent intervals of carbonate development, which might be linked to outer-shelf oceanographic circulation.

  12. Effectiveness and reliability analysis of emergency measures for flood prevention

    NARCIS (Netherlands)

    Lendering, K.T.; Jonkman, S.N.; Kok, M.

    2014-01-01

    During flood events emergency measures are used to prevent breaches in flood defences. However, there is still limited insight in their reliability and effectiveness. The objective of this paper is to develop a method to determine the reliability and effectiveness of emergency measures for flood

  13. Effectiveness and reliability analysis of emergency measures for flood prevention

    NARCIS (Netherlands)

    Lendering, K.T.; Jonkman, S.N.; Kok, M.

    2014-01-01

    During flood events emergency measures are used to prevent breaches in flood defences. However, there is still limited insight in their reliability and effectiveness. The objective of this paper is to develop a method to determine the reliability and effectiveness of emergency measures for flood def

  14. Radiocarbon measurements of stromatolite heads and crusts at the Salgada Lagoon, Rio de Janeiro State, Brazil

    Science.gov (United States)

    Coimbra, Melayne M.; Silva, Cleverson G.; Barbosa, Cátia F.; Mueller, Ken A.

    2000-10-01

    In this work, we prepared and measured some stromatolite carbonate samples, from Salgada Lagoon, Rio de Janeiro, Brazil. Stromatolites are bio-sedimentary, laminated, carbonate structures produced by sedimentary, chemical and biological processes related to the development and growth of microbial benthic communities, mainly dominated by blue algae and cyanobacteria. These structures are present in the geological record in rocks older than 3.0 billion years and have been used to study the origin of primitive life and variations in past environmental conditions. Detailed AMS measurements were performed at PRIME Lab (Purdue Rare Isotope Measurement Laboratory, Purdue University, IN, USA).

  15. Domestic drinking water--an effective way to prevent anemia among low socioeconomic families in Brazil.

    Science.gov (United States)

    Dutra-de-Oliveira, José Eduardo; de Almeida, Carlos Alberto Nogueira

    2002-09-01

    Iron deficiency and iron-deficiency anemia are common in the developing world. We evaluated the feasibility of iron fortification of domestic drinking water to prevent and control iron deficiency and iron-deficiency anemia. Twenty-one families representing 88 persons, including children, were selected to participate in this study. Twelve families added an iron solution plus ascorbic acid to their domestic drinking water over a four months period and nine families added a placebo. Blood samples were collected, before and after the four months, for hemoglobin and serum ferritin measurements. Iron-fortified drinking water increased hemoglobin (children 10.9 +/- 1.1 g/dl to 11.7 +/- 1.1 g/dl p Iron fortification of household drinking water can be a simple and effective alternative to deal with iron deficiency and iron-deficiency anemia in less developed areas.

  16. CARIES PREVENTIVE MEASURES AMONG RAJASTHANI ORTHODONTISTS: A QUESTIONNAIRE STUDY

    Directory of Open Access Journals (Sweden)

    Ruchi

    2014-08-01

    Full Text Available : INTRODUCTION: Patients undergoing fixed orthodontic therapy are at high risk of developing decalcification, caries and white spot lesions. AIM: As little information is available about preventive measures taken by orthodontists, this study surveyed the measures used by orthodontists those practicing in Rajasthan in prevention of such problems. MATERIALS AND METHODS: A questionnaire regarding preventive measures undertaken before, during and after the orthodontic treatment was sent to 128 orthodontists, out of them 100 orthodontists replied to the questionnaire. All the data obtained from this questionnaire was tabulated and analyzed statistically using ANOVA test. RESULTS: Before starting the treatment, majority of orthodontists always prescribed oral hygiene instructions and recommended the use of fluoride rinses while chlorhexidine rinses and other cleansing aids were usually recommended. During the treatment when demineralization was seen developing, majority of orthodontists explained the consequences, gave extra oral hygiene instructions and recommended the use of fluoride rinses as well as other oral hygiene aids which was found to be statistically significant (p < 0.05. At the completion of treatment, majority of orthodontists always gave extra oral hygiene instructions and recommended the use of fluoride rinses as well as fluoride gel. Fluoride varnish, chlorhexidine rinses, oral hygiene aids like brushes and other measures such as polishing of white spot lesions were occasionally recommended which was also found to be statistically significant (p < 0.05. CONCLUSION: Rajasthani orthodontists undertake satisfactory measures to prevent demineralization and caries within practical limits.

  17. Violence in the Family Therapist's Workplace: Prevention Measures.

    Science.gov (United States)

    Arthur, Gary L.; Brende, Joel O.; McBride, J. LeBron

    1999-01-01

    Study of marriage and family therapists reports that 44% had experienced a physical or psychological assault from a client and that 30% had feared for their lives. Describes basic preventive, assessment, management, and coping measures for working with violent clients. Emphasizes the importance of training and continuing education in the…

  18. Damage preventing measures for wind turbines. Phase 1- Reliability data

    Energy Technology Data Exchange (ETDEWEB)

    Carlsson, Fredrik; Eriksson, Emil; Dahlberg, Magnus

    2010-08-15

    The state of existing reliability and failure data in the public sources has been investigated. The prime goal has been to evaluate the data's usefulness for developing damage preventing measures. Some publicly available databases exist, and the data has been presented in several papers in the literature. The results from the investigation can seem quite negative. Detailed data are lacking and the level of detailed reporting has even been decreasing in recent years. Information on the impact of load condition on failures, which is an important question, are lacking throughout in the statistics. Some components dominate the failure statistics. These are for example the gearboxes, where failures lead to long down times. Failures of the electrical system lead to considerably shorter down times but the failure rate is much higher. Severe rotor failures seem to be rare, but they occur and the consequences can be dramatic. Operators and insurance companies are demanding improved insight in damage collection, maintenance and overall damage preventing measures. Closer cooperation with these parties could be a fruitful way of gathering more useful data. Improvements for future databases are suggested. A structure for damage collection is proposed. Comparing experience of damage preventing measures from other industries, knowledge about the nature of the damage mechanism and current practice in the wind industry will be an important tool in the evaluation of different damage preventing measures. This will be done in the following phases of this project

  19. Damage preventing measures for wind turbines. Phase 1- Reliability data

    Energy Technology Data Exchange (ETDEWEB)

    Carlsson, Fredrik; Eriksson, Emil; Dahlberg, Magnus

    2010-08-15

    The state of existing reliability and failure data in the public sources has been investigated. The prime goal has been to evaluate the data's usefulness for developing damage preventing measures. Some publicly available databases exist, and the data has been presented in several papers in the literature. The results from the investigation can seem quite negative. Detailed data are lacking and the level of detailed reporting has even been decreasing in recent years. Information on the impact of load condition on failures, which is an important question, are lacking throughout in the statistics. Some components dominate the failure statistics. These are for example the gearboxes, where failures lead to long down times. Failures of the electrical system lead to considerably shorter down times but the failure rate is much higher. Severe rotor failures seem to be rare, but they occur and the consequences can be dramatic. Operators and insurance companies are demanding improved insight in damage collection, maintenance and overall damage preventing measures. Closer cooperation with these parties could be a fruitful way of gathering more useful data. Improvements for future databases are suggested. A structure for damage collection is proposed. Comparing experience of damage preventing measures from other industries, knowledge about the nature of the damage mechanism and current practice in the wind industry will be an important tool in the evaluation of different damage preventing measures. This will be done in the following phases of this project

  20. Measures and programs for preventing violence in school

    Directory of Open Access Journals (Sweden)

    Gašić-Pavišić Slobodanka Ž.

    2004-01-01

    Full Text Available In many countries across the world schools are no longer a safe place for both students and school staff. Violence in school is an issue scarcely studied in Serbia and there are few articles in domestic professional literature. At national and local level there are not developed strategies nor programs for preventing violence among students in our schools. There are no data about planned, systematic and organized prevention of violence in the practice of our schools. The data obtained by investigations indicate that it is necessary to apply adequate programs for preventing violence among students in our schools, despite the finding that violence in school is not that much conspicuous and serious problem like in other countries (USA Israel, Japan, Austria, Germany. On the basis of relevant literature review the present paper high­lights some very popular and less notorious measures and prevention programs applied in various countries. The aim of the paper is to transmit basic and essential pieces of information so as to gain insight into diverse existing approaches to prevention of violent behavior in school hopefully to encourage our schools to pay more attention to preventing violence in school as soon as possible before it is too late.

  1. The Program for the Prevention of Childhood Asthma: a specialized care program for children with wheezing or asthma in Brazil

    Science.gov (United States)

    Urrutia-Pereira, Marilyn; Avila, Jennifer; Solé, Dirceu

    2016-01-01

    Objective : To present the Programa Infantil de Prevenção de Asma (PIPA, Program for the Prevention of Childhood Asthma) and the characteristics of the patients followed in this program. Methods : Implemented in the city of Uruguaiana, Brazil, PIPA has as its target population children and adolescents ( 3 years of age, respectively. Physician-diagnosed asthma was reported in 26.5% and 82.2%, respectively. In the sample as a whole, the prevalence of passive smoking was high (> 36%), occurring during pregnancy in > 15%; > 40% of the patients had been born by cesarean section; and 30% had a mother who had had < 8 years of schooling. Conclusions : A prevention program for children with asthma is an effective strategy for controlling the disease. Knowledge of local epidemiological and environmental characteristics is essential to reducing the prevalence of the severe forms of asthma, to improving the use of health resources, and to preventing pulmonary changes that could lead to COPD in adulthood. PMID:26982040

  2. Annual national direct and indirect cost estimates of the prevention and treatment of cervical cancer in Brazil

    Science.gov (United States)

    Novaes, Hillegonda Maria Dutilh; Itria, Alexander; Silva, Gulnar Azevedo e; Sartori, Ana Marli Christovam; Rama, Cristina Helena; de Soárez, Patrícia Coelho

    2015-01-01

    OBJECTIVE: To estimate the annual direct and indirect costs of the prevention and treatment of cervical cancer in Brazil. METHODS: This cost description study used a "gross-costing" methodology and adopted the health system and societal perspectives. The estimates were grouped into sets of procedures performed in phases of cervical cancer care: the screening, diagnosis and treatment of precancerous lesions and the treatment of cervical cancer. The costs were estimated for the public and private health systems, using data from national health information systems, population surveys, and literature reviews. The cost estimates are presented in 2006 USD. RESULTS: From the societal perspective, the estimated total costs of the prevention and treatment of cervical cancer amounted to USD $1,321,683,034, which was categorized as follows: procedures (USD $213,199,490), visits (USD $325,509,842), transportation (USD $106,521,537) and productivity losses (USD $676,452,166). Indirect costs represented 51% of the total costs, followed by direct medical costs (visits and procedures) at 41% and direct non-medical costs (transportation) at 8%. The public system represented 46% of the total costs, and the private system represented 54%. CONCLUSION: Our national cost estimates of cervical cancer prevention and treatment, indicating the economic importance of cervical cancer screening and care, will be useful in monitoring the effect of the HPV vaccine introduction and are of interest in research and health care management. PMID:26017797

  3. Knowledge and prevention measures against dengue in southern Nepal

    Directory of Open Access Journals (Sweden)

    Biswas Neupane

    2014-12-01

    Full Text Available Objective: To ascertain the knowledge and prevention measures against dengue among selected adult population in southern Nepal. Methods: A cross sectional study was conducted in Rapti Zonal Hospital, Dang and Bharatpur Hospital, Chitwan during August-November, 2011. A total of 212 patients were interviewed regarding their knowledge and practices about dengue fever. Serum samples were collected and investigated for the presence of anti-dengue IgM antibodies by IgM-ELISA. Results: Data from 156 patients greater than 15 years were analyzed. Among them, 21 samples were found to possess anti-dengue IgM antibodies by ELISA. Females, economically active people, farmers, unemployed and housewives were more frequently affected by dengue. Of the total, 118 (76% were reported to know the disease dengue. Fever, headache and myalgia were the most known symptoms and house drains and kitchen garden were known as the most common breeding sites of mosquitoes. Garbage disposal, use of mosquito nets and covering water containers were the best known preventive measures. Conclusions: The overall knowledge of dengue was high, but females, old persons, unemployed and housewives had relatively little knowledge of dengue. Therefore, these groups may need special attention in future dengue education programs. Persons with knowledge of the disease more frequently reported the use of preventive measures, indicating the value of education programs as a tool in dengue prevention.

  4. Knowledge and prevention measures against dengue in southern Nepal

    Institute of Scientific and Technical Information of China (English)

    Biswas Neupane; Komal Raj Rijal; Megha Raj Banjara; Basu Dev Pandey

    2014-01-01

    Objective: To ascertain the knowledge and prevention measures against dengue among selected adult population in southern Nepal. Methods: A cross sectional study was conducted in Rapti Zonal Hospital, Dang and Bharatpur Hospital, Chitwan during August-November, 2011. A total of 212 patients were interviewed regarding their knowledge and practices about dengue fever. Serum samples were collected and investigated for the presence of anti-dengue IgM antibodies by IgM-ELISA. Results: Data from 156 patients greater than 15 years were analyzed. Among them, 21 samples were found to possess anti-dengue IgM antibodies by ELISA. Females, economically active people, farmers, unemployed and housewives were more frequently affected by dengue. Of the total, 118 (76%) were reported to know the disease dengue. Fever, headache and myalgia were the most known symptoms and house drains and kitchen garden were known as the most common breeding sites of mosquitoes. Garbage disposal, use of mosquito nets and covering water containers were the best known preventive measures.Conclusions:The overall knowledge of dengue was high, but females, old persons, unemployed and housewives had relatively little knowledge of dengue. Therefore, these groups may need special attention in future dengue education programs. Persons with knowledge of the disease more frequently reported the use of preventive measures, indicating the value of education programs as a tool in dengue prevention.

  5. Measurement and modeling of race and health in Brazil: continuing the discussion.

    Science.gov (United States)

    Hicken, Margaret T

    2017-05-25

    Recent reviews have discussed the conceptualization of race in health studies in Brazil. This review further documents and discusses specific measurement and modeling issues with regard to race and how this can impact result interpretation. Three scientific databases were used to search the literature on race and three health outcomes. The search yielded 38 empirical studies on birth outcomes, self-rated health, and weight. Results suggest that, while there are racial patterns in the overall literature, conceptual and methodological challenges can be addressed to clarify the ways in which racial group membership is linked to health.

  6. Measuring quality of dental care: Caries prevention services for children.

    Science.gov (United States)

    Herndon, Jill Boylston; Tomar, Scott L; Catalanotto, Frank A; Rudner, Nancy; Huang, I-Chan; Aravamudhan, Krishna; Shenkman, Elizabeth A; Crall, James J

    2015-08-01

    The authors conducted a study to validate the following 3 evidence-based, process-of-care quality measures focused on dental caries prevention for children with an elevated risk of experiencing caries: sealants for 6- to 9-year-olds, sealants for 10- to 14-year-olds, and topical fluoride. Using evidence-based guidelines, the Dental Quality Alliance developed measures for implementation with administrative data at the plan and program levels. To validate the measures, the authors used data from the Florida and Texas Medicaid programs and Children's Health Insurance Programs and from national commercial dental benefit plans. Data were extracted from 414 randomly selected dental office records to validate the use of administrative data to accurately calculate the measures. The authors also assessed statistically significant variations in overall measure performance. Agreement between administrative data and dental records was 95% for sealants (κ = 0.82) and 90% for topical fluoride (κ = 0.78). Sensitivity and specificity were 90.7% and 88.5% for topical fluoride and 77.8% and 98.8% for sealants, respectively. Variation in overall measure performance was greatest for topical fluoride (χ(2) = 5,887.1; P caries received at least 2 topical fluoride applications during the reporting year. Although there was greater variation in performance for sealants for 6- to 9-year-olds (range, 21.0-31.3%; χ(2) = 548.6; P caries prevention process-of-care quality measures can be implemented feasibly and validly using administrative claims data. The measures can be used to assess, monitor, and improve the proportion of children with an elevated risk of experiencing dental caries who receive evidence-based caries prevention services. Copyright © 2015 American Dental Association. Published by Elsevier Inc. All rights reserved.

  7. In situ measurements of contributions to the global electrical circuit by a thunderstorm in southeastern Brazil

    Science.gov (United States)

    Thomas, J.N.; Holzworth, R.H.; McCarthy, M.P.

    2009-01-01

    The global electrical circuit, which maintains a potential of about 280??kV between the earth and the ionosphere, is thought to be driven mainly by thunderstorms and lightning. However, very few in situ measurements of electrical current above thunderstorms have been successfully obtained. In this paper, we present dc to very low frequency electric fields and atmospheric conductivity measured in the stratosphere (30-35??km altitude) above an active thunderstorm in southeastern Brazil. From these measurements, we estimate the mean quasi-static conduction current during the storm period to be 2.5 ?? 1.25??A. Additionally, we examine the transient conduction currents following a large positive cloud-to-ground (+ CG) lightning flash and typical - CG flashes. We find that the majority of the total current is attributed to the quasi-static thundercloud charge, rather than lightning, which supports the classical Wilson model for the global electrical circuit.

  8. Early detection of skin cancer: experience of a skin cancer prevention campaign in Piauí-Brazil

    Directory of Open Access Journals (Sweden)

    Rafael Bandeira Lages

    2012-06-01

    Full Text Available Objectives: To evaluate the correlation between the diagnoses of skin cancer and known risk factors through analysis of data from the National Skin Cancer Prevention Campaign held by Brazilian Society of Dermatology in the state of Piauí, Brazil, in recent years. Methods: Cross-sectional descriptive and analytical report using quantitative data obtained from a prevention campaign in the state of Piauí, in 2009 and 2010. Collected data was submitted to a descriptive analysis, and multivariate logistic regression, using as dependent variable the skin cancer diagnosis. Results: In 2009 and 2010, this campaign was responsible for 1141 consultations, diagnosing 122 (10.7% cases of skin cancer: 108 basal cell carcinomas (BCC, 10 squamous cell (SCC and four melanomas. Of those examined, 35.4% were male, 73.1% reported inadequate sun protection, 16.4% had a family history of skin cancer and 7.2% had personal history. Those with history of skin cancer were 5.24 times more likely to have a new diagnosis of cancer, while those presenting non-black skin were 4.91 times more likely to diagnosis. Conclusion: Personal or family history of epithelial neoplasia, non-colored black skin and the male gender were associated to higher chances of developing skin cancer. In addition, unprotected sun exposure remains routine.

  9. [The historical evolution of dengue prevention and control programs in Brazil].

    Science.gov (United States)

    Ferreira, Beatriz Jansen; Souza, Maria de Fátima Marinho; Soares Filho, Adauto Martins; Carvalho, André Anderson

    2009-01-01

    An epidemiological analysis of the forms and distribution of Dengue fever in Brazil and worldwide was carried out. The National Program of Dengue Control (NPDC) was evaluated based on the data available at 'Diagdengue' an official computerized information system allowing to follow-up the implantation and impact of the Program. A factorial analysis was performed by means of a set of indicators contributing to variability. The indicator scores were added and the cities demanding for prior attention of the NPCD were classified for the construction of an index, which is presented three-monthly for every state, with intervals distributed between 0 and 9. The implantation of the NCPD is irregular. Cities with bad implantation are predominating in the north and northeast of the country. In the second analysis, socio-economic variables of the selected cities were added. For the association tests these cities were classified into two groups: 'Bad' and 'Good/Very Good', based on the association of the index of building infestation informed in the FAD (Yellow Fever and Dengue) database and the constructed index. Associations were verified based on variance analysis, trend test and trend estimate. It was observed that cities with low rates of illiteracy, efficient garbage collection and high ratio of sanitary installations are correlated with a good classification of the city according to Diagdengue.

  10. [Preventive measures and the strife against nosocomial infection].

    Science.gov (United States)

    Kane, O; Bèye, M D; Diop, Ndoye M; Ndiaye, P I; Diouf, E; Sall, Ka B

    2007-01-01

    The nosocomial Infections are associated to an increase of the morbidity, of the mortality and costs. Their frequency stay on raised in our service of cares. Then it is recommended and broadly admitted what each hospital must dispose of a unity of nosocomial infections prevention and to dispose a staff specially vested in those duties. Of the fact the nosocomial infections frequency in reanimation, an imported part of the activity of this specialized staff will have to run out in services of intensive cares. The principal nosocomial infections feature observed is being directly or indirectly associated to engineerings of acting as invasives deputy used to palliate a vital lapse. Of a general manner, all sharp grave affection, as anything severe traumatism (accidental or surgical) drag a capacities reduction of defense against the infection, component so important factors of nosocomial infections installations. Preventive measures pass by the engineerings respect of hands hygiene, the harbour of clean conformable dress, the measures respect of isolation (septic or preventive), the cares grading, the upkeep of the hardware and the bedroom, the respect of the circuit of the linen salts and lastly the sorting and the losses management of activity of cares. For that it must a policy of strife against nosocomial infections with the placing in place of operational unities of hygiene in all hospitals and the redynamisation of the committee of strife against nosocomial infections already existed in different public establishments of health.

  11. A model of genetic guidance for hemoglobinopathy patients and laboratory diagnosis of family members as educational and preventive measures

    Directory of Open Access Journals (Sweden)

    Tatiana Dela-Sávia Ferreira

    2012-01-01

    Full Text Available BACKGROUND: The high frequency of hemoglobinopathies in Brazil constitutes a public health problem and thus educational and preventive measures are necessary to reduce the incidence. Genetic guidance, a modality of genetic counseling, and family screening are measures that can assist in reproductive decisions and mitigate clinical, psychological and social problems of families with these disorders. OBJETIVE: The objective of the current study was to evaluate the effectiveness of educational and preventive measures for hemoglobinopathies using genetic guidance and laboratory screening of families. METHODS: The diagnoses of patients with hemoglobinopathies were confirmed and then the level of knowledge about their disease was evaluated and genetic guidance was provided. Three months later, the level of assimilated information of these patients was evaluated. In addition, laboratory diagnosis of family members was carried out. RESULTS: Diagnosis of sickle cell anemia was confirmed for most patients. Moreover, the majority of the patients who had a low level of knowledge before genetic guidance (68.8% demonstrated a higher level of assimilated information after the process (81.8%. Almost 70% of the family members had hemoglobin changes and some had hemoglobinopathies (2.6%. They were duly informed about the results of the examinations, which made it possible to investigate further. CONCLUSION: Genetic guidance and family screening were effective preventive and educational measures that improved the quality of life of patients, preventing complications and sequels and allowed the referral of those who may transmit altered genes for clinical diagnosis and to genetic counseling services.

  12. Chikungunya risk for Brazil

    Directory of Open Access Journals (Sweden)

    Raimunda do Socorro da Silva Azevedo

    2015-01-01

    Full Text Available This study aimed to show, based on the literature on the subject, the potential for dispersal and establishment of the chikungunya virus in Brazil. The chikungunya virus, a Togaviridae member of the genusAlphavirus, reached the Americas in 2013 and, the following year, more than a million cases were reported. In Brazil, indigenous transmission was registered in Amapa and Bahia States, even during the period of low rainfall, exposing the whole country to the risk of virus spreading. Brazil is historically infested by Ae. aegypti and Ae. albopictus, also dengue vectors. Chikungunya may spread, and it is important to take measures to prevent the virus from becoming endemic in the country. Adequate care for patients with chikungunya fever requires training general practitioners, rheumatologists, nurses, and experts in laboratory diagnosis. Up to November 2014, more than 1,000 cases of the virus were reported in Brazil. There is a need for experimental studies in animal models to understand the dynamics of infection and the pathogenesis as well as to identify pathophysiological mechanisms that may contribute to identifying effective drugs against the virus. Clinical trials are needed to identify the causal relationship between the virus and serious injuries observed in different organs and joints. In the absence of vaccines or effective drugs against the virus, currently the only way to prevent the disease is vector control, which will also reduce the number of cases of dengue fever.

  13. Chikungunya risk for Brazil

    Science.gov (United States)

    Azevedo, Raimunda do Socorro da Silva; Oliveira, Consuelo Silva; Vasconcelos, Pedro Fernando da Costa

    2015-01-01

    This study aimed to show, based on the literature on the subject, the potential for dispersal and establishment of the chikungunya virus in Brazil. The chikungunya virus, a Togaviridae member of the genus Alphavirus, reached the Americas in 2013 and, the following year, more than a million cases were reported. In Brazil, indigenous transmission was registered in Amapa and Bahia States, even during the period of low rainfall, exposing the whole country to the risk of virus spreading. Brazil is historically infested by Ae. aegypti and Ae. albopictus, also dengue vectors. Chikungunya may spread, and it is important to take measures to prevent the virus from becoming endemic in the country. Adequate care for patients with chikungunya fever requires training general practitioners, rheumatologists, nurses, and experts in laboratory diagnosis. Up to November 2014, more than 1,000 cases of the virus were reported in Brazil. There is a need for experimental studies in animal models to understand the dynamics of infection and the pathogenesis as well as to identify pathophysiological mechanisms that may contribute to identifying effective drugs against the virus. Clinical trials are needed to identify the causal relationship between the virus and serious injuries observed in different organs and joints. In the absence of vaccines or effective drugs against the virus, currently the only way to prevent the disease is vector control, which will also reduce the number of cases of dengue fever. PMID:26398876

  14. Dangerousness, long prison terms, and preventive measures in Germany

    Directory of Open Access Journals (Sweden)

    Axel Dessecker

    2009-10-01

    Full Text Available The article gives an overview on the historical development of life sentences, preventive detention, and hospital orders for mentally disordered offenders in Germany on the basis of official conviction statistics. The life sentence is the most severe punishment today, while its role was less important as long as capital punishment existed. Preventive detention and hospital orders both are viewed as preventive measures, and they are indefinite from the beginning. While preventive detention is widely discussed today, convictions by the courts have been increasing from a low level. The level of hospital orders is much higher today.S’appuyant sur les statistiques des condamnations officielles en Allemagne, notre article entend donner un aperçu de l’évolution historique de la peine d’empri-sonnement à perpétuité, de la détention préventive ainsi que des ordonnances de détention en milieu hospitalier pour personnes souffrant de troubles mentaux. En Allemagne, la peine d’emprisonnement à perpétuité est actuellement la punition la plus sévère, mais son rôle était moins important du temps de la peine capitale. La détention préventive et les ordonnances de détention en milieu hospitalier sont, elles, toutes deux perçues comme des mesures préventives dont la durée d’exécution apparaît d’emblée indéterminée. Alors que la question des détentions préventives est largement débattue aujourd’hui, les condamnations prononcées par les cours ont légèrement augmenté. Quant aux ordonnances, elles semblent toujours plus nombreuses.

  15. The cumulative effect of risk compensation on infection preventive measures.

    Science.gov (United States)

    Maxin, Daniel; Sega, Laurentiu; Eaton, Lisa

    2016-12-01

    We study several epidemic models (with and without gender structure) that incorporate risk compensation behavior in response to a lower chance of acquiring the infection as a result of preventive measures that are only partially effective. We show that the cumulative risk compensation that occurs between a high risk susceptible and infectious individual may play an important role in whether the implementation of these measures is successful in lowering the epidemic reproductive number. In addition, we show that certain levels of risk compensation may cancel the benefit of the low infection risk practiced by diagnosed infectious individuals when the goal is a reduction of the epidemic reproductive number. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. From mission to measures: performance measure development for a Teen Pregnancy Prevention Program.

    Science.gov (United States)

    Farb, Amy Feldman; Burrus, Barri; Wallace, Ina F; Wilson, Ellen K; Peele, John E

    2014-03-01

    The Office of Adolescent Health (OAH) sought to create a comprehensive set of performance measures to capture the performance of the Teen Pregnancy Prevention (TPP) program. This performance measurement system needed to provide measures that could be used internally (by both OAH and the TPP grantees) for management and program improvement as well as externally to communicate the program's progress to other interested stakeholders and Congress. This article describes the selected measures and outlines the considerations behind the TPP measurement development process. Issues faced, challenges encountered, and lessons learned have broad applicability for other federal agencies and, specifically, for TPP programs interested in assessing their own performance and progress.

  17. Measuring, Rating, Supporting, and Strengthening Open Access Scholarly Publishing in Brazil

    Science.gov (United States)

    Neto, Silvio Carvalho; Willinsky, John; Alperin, Juan Pablo

    2016-01-01

    This study assesses the extent and nature of open access scholarly publishing in Brazil, one of the world's leaders in providing universal access to its research and scholarship. It utilizes Brazil's Qualis journal evaluation system, along with other relevant data bases to address the association between scholarly quality and open access in the…

  18. Assessment of the measurement properties of the post stroke motor function instruments available in Brazil: a systematic review

    Science.gov (United States)

    Lima, Elaine; Teixeira-Salmela, Luci F.; Simões, Luan; Guerra, Ana C. C.; Lemos, Andrea

    2016-01-01

    Background While there are several instruments in Brazil that measure motor function in patients after stroke, it is unknown whether the measurement properties of these instruments are appropriate. Objective To identify the motor function instruments available in Brazil for patients after stroke. To assess the methodological quality of the studies and the results related to the measurement properties of these instruments. Method Two independent reviewers conducted searches on PubMed, LILACS, CINAHL, Web of Science, and Scopus. Studies that aimed to cross-culturally adapt an existing instrument or create a Brazilian instrument and test at least one measurement property related to motor function in patients after stroke were included. The methodological quality of these studies was checked by the COSMIN checklist with 4-point rating scale and the results of the measurement properties were analyzed by the criteria developed by Terwee et al. Results A total of 11 instruments were considered eligible, none of which were created in Brazil. The process of cross-cultural adaptation was inadequate in 10 out of 11 instruments due to the lack of back-translation or due to inappropriate target population. All of the instruments presented flaws in the measurement properties, especially reliability, internal consistency, and construct validity. Conclusion The flaws observed in both cross-cultural adaptation process and testing measurement properties make the results inconclusive on the validity of the available instruments. Adequate procedures of cross-cultural adaptation and measurement properties of these instruments are strongly needed. PMID:26982452

  19. Advances on the Measure of Judgment and Meaning of the Product for Brazil

    Directory of Open Access Journals (Sweden)

    Solange Alfinito

    2012-09-01

    Full Text Available The purpose of this paper was the development a measure of judgment and meaning of the product valid for Brazilian consumers. It consisted in a two-stage study including both qualitative and quantitative approaches. In the qualitative stage, focus groups with 16 Brazilian participants allowed the generation of 40 items for a new scale of judgment and meaning of the product. After semantic validation and expert analysis, the found items composed a questionnaire administered to 684 participants in a paper-and-pencil survey. Results suggest that the items performed considerably better when compared to the previous version, indicating their potential of usage not only in Brazil, but also in other countries. The final measure remained with 20 items that were distributed in four factors, as pointed by the literature review. Two factors are related to judgment types (piecemeal and affective, whilst the other two are related to meaning types (utilitarian and symbolic. Additional results, as expected, showed that product's utilitarian meaning is positively correlated to a piecemeal judgment, whereas symbolic meaning is positively related to affective judgment. Managerial implications for marketing, and future research directions are proposed.

  20. Measurement and verification of low income energy efficiency programs in Brazil: Methodological challenges

    Energy Technology Data Exchange (ETDEWEB)

    Martino Jannuzzi, Gilberto De; Rodrigues da Silva, Ana Lucia; Melo, Conrado Augustus de; Paccola, Jose Angelo; Dourado Maia Gomes, Rodolfo (State Univ. of Campinas, International Energy Initiative (Brazil))

    2009-07-01

    Electric utilities in Brazil are investing about 80 million dollars annually in low-income energy efficiency programs, about half of their total compulsory investments in end-use efficiency programs under current regulation. Since 2007 the regulator has enforced the need to provide evaluation plans for the programs delivered. This paper presents the measurement and verification (MandV) methodology that has been developed to accommodate the characteristics of lighting and refrigerator programs that have been introduced in the Brazilian urban and peri-urban slums. A combination of household surveys, end-use measurements and metering at the transformers and grid levels were performed before and after the program implementation. The methodology has to accommodate the dynamics, housing, electrical wiring and connections of the population as well as their ability to pay for the electricity and program participation. Results obtained in slums in Rio de Janeiro are presented. Impacts of the programs were evaluated in energy terms to households and utilities. Feedback from the evaluations performed also permitted the improvement in the design of new programs for low-income households.

  1. Preventive measures reducing superficial mycobiotic contamination of grain.

    Science.gov (United States)

    Steponavičius, Dainius; Raila, Algirdas; Steponavičienė, Aušra; Lugauskas, Albinas; Kemzūraitė, Aurelija

    2012-01-01

    Search for the preventive measures reducing the accumulation of mycotoxin producers in food raw material was carried out. Active ventilation was used; the impact of the electro-chemically activated air (ozone) and electro-chemically activated water (anolyte) on the micromycetes prevailing in grain raw material for food (GRMF) was determined. The GRMF was dried by active ventilation using the ozone-air mixture. Ozone (concentration 1250 ppb) disinfects the surface of the raw material and creates conditions unfavourable for the increase of mycobiotic contamination in drying upper layers of the grain mound. Within 8 days the contamination of GRMF in a mound decreased by 50%, while in its lower layers - more than 3 times. Ventilation of the mound with the above-mentioned concentration of the ozone-air mixture has ceased the active functioning of Fusarium avenaceum, F. graminearum, F. poae, F. solani, F. tricinctum F. sporotrichioides micromycetes and has considerably retarded the development of Alternaria alternata and other fungi. Anolyte (0.05% of chlorine concentration) reduced the mycobiotic contamination of GRMF by almost 2.5 times. The optimal treatment duration is from 0.5 to 1 hour. The optimal technical parameters, allowing the use of these measures for the preparation of grain food safety technologies, were elaborated; they are designed for more efficient protection of human health against micromycetes and their toxic metabolites, which are abundantly produced and released into the environment.

  2. Environmental management maturity of local and multinational high-technology corporations located in Brazil: the role of business internationalization in pollution prevention

    Directory of Open Access Journals (Sweden)

    Giovanna Maialle

    2016-06-01

    Full Text Available Abstract This paper identifies and characterizes the environmental maturity level of local and multinational high-technology corporations located in Brazil. This characterization is achieved by discussing the adoption of environmental management practices and considering aspects of the productive process stage. An eight-case study was conducted through data triangulation using interviews with employees in diverse organizational areas, direct observations and secondary data. The results indicate the differences in environmental positioning among the studied corporations with a predominance of preventive practices, i.e., an emphasis on eco-efficiency and compliance with legislation. It was also noted that environmental concerns in the corporations are related to internationalization and, in some cases, to the pressure exerted by corporations that represent the brand of the products produced in Brazil. Moreover, the adoption of environmental practices based on the productive process stage supported the environmental maturity classifications of the studied companies.

  3. Indoor radon measurements in dwellings and workplaces of Curitiba urban area, Parana state, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Del Claro, Flavia; Paschuk, Sergei A.; Correa, Janine N.; Kappke, Jaqueline; Perna, Allan F.N.; Schelin, Hugo R., E-mail: sergei@utfpr.edu.br [Universidade Tecnologica Federal do Parana (UTFPR), Curitiba, PR (Brazil); Rocha, Zildete; Santos, Talita O., E-mail: rochaz@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2011-07-01

    Considering that radon and its progeny exposure is proved to be the main cause of lung cancer among nonsmokers and occupation-time at some commercial establishments and workplaces is equal or even bigger then at domiciles and dwelling, present study has been spread to the constructed closed environment and workplaces of commerce and productive sector. The measurements were performed by the Laboratory of Applied Nuclear Physics of UTFPR in 2009 - 2011 when 120 detectors were installed at domiciles and workplaces of Curitiba, Parana St., Brazil. Experimental setup was based at CR-39 detectors that were installed in diffusion chambers protected with filters. In collaboration with CDTN/CNEN it was performed the calibration of CR-39 detectors at the NIRS in Japan. The exposure time was set to be of 100 days. Alpha particle track development was performed using 6.25M sodium hydroxide (NaOH) solution and ethanol (2%) during 14 hours at 70 deg C. The counting was conducted using an optical microscope. Measured {sup 222}Rn activity levels in dwellings varied between 4.37 Bq/m{sup 3} and 320.82 Bq/m{sup 3} resulting at an average of 46.94 Bq/m{sup 3}. Indoor measurements at workplaces presented the variation of radon activity concentration between 3.08 Bq/m{sup 3} and 67.50 Bq/m{sup 3} resulting at the average of 34.51 Bq/m{sup 3}. Considering the recommendations of the World Health Organization, UNSCEAR and the International Commission on Radiological Protection (ICRP) concerning the radon-in-air concentration inside the dwellings that can reach 200 Bq/m{sup 3} taking into account the occupation-time of 7000 hours/year, obtained results are within normal limits and no mitigation measures have to be performed. (author)

  4. Measurement and mitigation of methane emissions from beef cattle in tropical grazing systems: a perspective from Australia and Brazil.

    Science.gov (United States)

    Berndt, A; Tomkins, N W

    2013-06-01

    The growing global demand for food of animal origin will be the incentive for countries such as Australia and Brazil to increase their beef production and international exports. This increased supply of beef is expected to occur primarily through on-farm productivity increases. The strategies for reducing resultant greenhouse gas (GHG) emissions should be evaluated in the context of the production system and should encompass a broader analysis, which would include the emissions of methane (CH4) and nitrous oxide (N2O) and carbon sequestration. This paper provides an insight into CH4 measurement techniques applicable to grazing environments and proposed mitigation strategies, with relevance to the production systems that are predominant in grazing systems of Australia and Brazil. Research and technology investment in both Australia and Brazil is aimed at developing measurement techniques and increasing the efficiency of cattle production by improving herd genetics, utilization of the seasonal feed-base and reducing the proportion of metabolizable energy lost as CH4. Concerted efforts in these areas can be expected to reduce the number of unproductive animals, reduce age at slaughter and inevitably reduce emission intensity (EI) from beef production systems. Improving efficiency of livestock production systems in tropical grazing systems for Australia and Brazil will be based on cultivated and existing native pastures and the use of additives and by-products from other agricultural sectors. This approach spares grain-based feed reserves typically used for human consumption, but potentially incurs a heavier EI than current intensive feeding systems. The determination of GHG emissions and the value of mitigation outcomes for entire beef production systems in the extensive grazing systems is complex and require a multidisciplinary approach. It is fortunate that governments in both Australia and Brazil are supporting ongoing research activities. Nevertheless, to achieve

  5. Gamma radiation measurement in select sand samples from Camburi beach - Vitoria, Espirito Santo, Brazil: preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Barros, Livia F.; Pecequilo, Brigitte R.S.; Aquino, Reginaldo R., E-mail: lfbarros@ipen.b, E-mail: brigitte@ipen.b, E-mail: raquino@ipen.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2011-07-01

    The variation of natural radioactivity along the surface of the beach sands of Camburi, located in Vitoria, capital of Espirito Santo, southeastern Brazil, was determined from the contents of {sup 226}Ra, {sup 232}Th and {sup 40}K. Eleven collecting points was selected along all the 6 km extension of the Camburi beach. Sand samples collected from all established points on January 2011 were dried and sealed in standard 100 mL polyethylene flasks and measured by high resolution gamma spectrometry after a 4 weeks ingrowth period, in order to allow the secular equilibrium in the {sup 238}U and {sup 232}Th series. The {sup 226}Ra concentration was determined from the weighted average concentrations of {sup 214}Pb and {sup 214}Bi. The {sup 232}Th concentration was determined from the weighted average concentrations of {sup 228}Ac, {sup 212}Pb and {sup 212}Bi and the {sup 40}K from its single gamma transition. Preliminary results show activity concentrations varying from 5 Bq.kg{sup -1} to {sup 222} Bq.kg{sup -1} for {sup 226}Ra and from 14 Bq.kg{sup -1} to 1074 Bq.kg{sup -'}1 for {sup 232}Th, both with the highest values for Camburi South and Central. For {sup 40}K, the activity concentrations ranged from 14 Bq.kg{sup -1} to 179 Bq.kg{sup -1} and the highest values were obtained for Camburi South. (author)

  6. Measurements of indoor 222RN activity in dwellings and workplaces of Curitiba (Brazil)

    Science.gov (United States)

    Corrêa, Janine N.; Paschuk, Sergei A.; Del Claro, Flávia; Kappke, Jaqueline; Perna, Allan F. N.; Schelin, Hugo R.; Denyak, Valeriy

    2014-11-01

    The present work describes the results of systematic measurements of radon (222Rn) in residential environments and workplaces in the Metropolitan Region of Curitiba (Paraná State, Brazil) during the period 2004-2012. For radon in air activity measurements, polycarbonate Track Etch Detectors CR-39, mounted in diffusion chambers protected by borosilicate glass fiber filters, were used. After being exposed in air, the CR-39 detectors were submitted to a chemical etching in a 6.25 M NaOH solution at 70 °C for 14 h. The alpha particle tracks were identified and manually counted with an optical microscope, and with the results of previously performed calibrations, the indoor activity concentration of 222Rn was calculated. The calibration of CR-39 and the alpha particle tracks chemical development procedures were performed in collaboration the National Institute of Radiological Sciences (NIRS, Japan). The major part of indoor 222Rn concentration in residences was found to be below 100 Bq/m3. In the case of working places, all measurements of 222Rn concentrations were below 100 Bq/m3. These values are considered within the limits set by international regulatory agencies, such as the US EPA and ICRP, which adopt up to 148 and 300 Bq/m3 as upper values for the reference levels for radon gas activity in dwellings, respectively. The latest value of 300 Bq/m3 for radon activity in air is proposed by ICRP considering the upper value for the individual dose reference level for radon exposure of 10 mSv/yr.

  7. Measurements of environmental radiation exposure dose rates at selected sites in Brazil.

    Science.gov (United States)

    Pfeiffer, W C; Penna-Franca, E; Ribeiro, C C; Nogueira, A R; Londres, H; Oliveira, A E

    1981-12-01

    Two types of portable instruments were developed by the former Health and Safety Laboratory of the U.S. Atomic Energy Commission to characterize external gamma radiation fields and to estimate individual exposure dose rates from major natural or fission radionuclides distributed in the soil: a pressurized ionization chamber and a NaI(T1) gamma-ray spectrometer. The two instruments were used to measure environmental radiation exposure rates at three distinct geological areas of Brazil: - in the towns of Guarapari and Meaípe located on the monazite sand belt, ES. - on the vicinities of the uranium mine of Poços de Caldas, MG. - around the site of the Brazilian first nuclear power plant, in Angra dos Reis, RJ. The radiometric survey demonstrated once more the usefulness and versatility of the two instruments used. The measurements around the nuclear installations of Poços de Caldas and Angra dos Reis, allowed a rapid assessment of the local radiation background and its variability, as well as the selection of stations for the routine monitoring program. Radioactive anomalies were detected and characterized previously to the start of plant operations. The survey in Guarapari and Meaípe confirmed the results obtained by Roser and Cullen in 1958 and 1962, except on sites where considerable changes took place since then. The spectrometric measurements gave estimations of the relative proportion of 40K, 238U and 232Th series in the ground and also indications on the homogeneity of their distribution in the soil.

  8. Evaluating the use of in-store measures in retail food stores and restaurants in Brazil

    Directory of Open Access Journals (Sweden)

    Ana Clara Duran

    2015-01-01

    Full Text Available ABSTRACTOBJECTIVE To assess inter-rater reliability, test-retest reliability, and construct validity of retail food store, open-air food market, and restaurant observation tools adapted to the Brazilian urban context.METHODS This study is part of a cross-sectional observation survey conducted in 13 districts across the city of Sao Paulo, Brazil in 2010-2011. Food store and restaurant observational tools were developed based on previously available tools, and then tested it. They included measures on the availability, variety, quality, pricing, and promotion of fruits and vegetables and ultra-processed foods. We used Kappa statistics and intra-class correlation coefficients to assess inter-rater and test-retest reliabilities in samples of 142 restaurants, 97 retail food stores (including open-air food markets, and of 62 restaurants and 45 retail food stores (including open-air food markets, respectively. Construct validity as the tool’s abilities to discriminate based on store types and different income contexts were assessed in the entire sample: 305 retail food stores, 8 fruits and vegetable markets, and 472 restaurants.RESULTS Inter-rater and test-retest reliability were generally high, with most Kappa values greater than 0.70 (range 0.49-1.00. Both tools discriminated between store types and neighborhoods with different median income. Fruits and vegetables were more likely to be found in middle to higher-income neighborhoods, while soda, fruit-flavored drink mixes, cookies, and chips were cheaper and more likely to be found in lower-income neighborhoods.CONCLUSIONS The measures were reliable and able to reveal significant differences across store types and different contexts. Although some items may require revision, results suggest that the tools may be used to reliably measure the food stores and restaurant food environment in urban settings of middle-income countries. Such studies can help .inform health promotion interventions and

  9. ["Where there's a woman, there's a Pap smear": the meanings assigned to cervical cancer prevention among women in Salvador, Bahia State, Brazil].

    Science.gov (United States)

    Rico, Ana María; Iriart, Jorge Alberto Bernstein

    2013-09-01

    This study focuses on the meanings assigned to practices for cervical cancer prevention among women from low-income neighborhoods in Salvador, Bahia State, Brazil. This was a qualitative study based on content analysis of semi-structured interviews with 15 women 24 to 68 years of age. The results showed high appreciation of the Pap smear test, performed as part of routine gynecological examination (but without the patient necessarily having biomedical knowledge of its role). Besides accessibility and quality of health services, other factors influence the way the women assign meaning to cervical cancer prevention. Moral values associated with sexuality and gender influence risk perception, adoption of preventive practices, and interpretation of cervical cytology results. The ongoing practice of the Pap smear test is part of the construction of femininity, which is associated with maturity and personal responsibility for self care in a context of medicalization of the female body.

  10. RESISTANCE TO INNOVATION: ESSENCE, PREVENTIVE MEASURES AND WAYS OUT

    Directory of Open Access Journals (Sweden)

    V. I. Zagvyazinsky

    2014-01-01

    Full Text Available The paper raises the issue of school teachers’ resistance to innovations related to modernization procedures, updates of educational content, methods and forms. The rejection of innovations is regarded by the authors as a psychological and pedagogical phenomenon; its roots and causes being analyzed including the consequences of some ineffective, poorly developed and even harmful innovations introduced or proposed by the Russian Ministry of Education and Science. The research findings demonstrate different innovation barriers along with the resulting inner skepticism and its external manifestation. However, in spite of partially justified skepticism, the authors maintain that the firm resistance to any innovation adversely affects both the education quality and teachers’ personal and professional characteristics. In conclusion, the paper suggests some preventive measures for overcoming teachers’ resistance to positive innovations in educational practices, and describes a successful experience of one of the rural schools applying a psychological mechanism of internalization of innovations. Additionally, the role of the school principal in developing teachers’ motivation for innovations is emphasized.

  11. Fluoroquinolone-induced tendinopathy: etiology and preventive measures.

    Science.gov (United States)

    Kaleagasioglu, Ferda; Olcay, Ercan

    2012-04-01

    Tendinopathy is a serious health problem and its etiology is not fully elucidated. Among intrinsic and extrinsic predisposing factors of tendinopathy, the impact of therapeutic agents, especially fluoroquinolone (FQ) group antibiotics, is recently being recognized. FQs are potent bactericidal agents widely used in various infectious diseases, including community acquired pneumonia and bronchitis, chronic osteomyelitis, traveler's diarrhea, typhoid fever, shigellosis, chronic bacterial prostatitis, uncomplicated cervical and urethral gonorrhea and prophylaxis of anthrax. FQs have an acceptable tolerability range. However, many lines of evidence for developing tendinitis and tendon rupture during FQ use have resulted in the addition of a warning in patient information leaflets. FQ-induced tendinopathy presents a challenge for the clinician because healing response is poor due to low metabolic rate in mature tendon tissue and tendinopathy is more likely to develop in patients who are already at high risk, such as elderly, solid organ transplant recipients and concomitant corticosteroid users. FQs become photo-activated under exposure to ultraviolet light, and this process results in formation and accumulation of intracellular reactive oxygen species (ROS). The subsequent FQ-related oxidative stress disturbs mitochondrial functions, leading to apoptosis. ROS overproduction also has direct cytotoxic effects on extracellular matrix components. Understanding the mechanisms of the FQ-associated tendinopathy may enable designing safer therapeutic strategies, hence optimization of clinical response. In this review, we evaluate multi-factorial etiology of the FQ-induced tendinopathy and discuss proposed preventive measures such as antioxidant use and protection from natural sunlight and artificial ultraviolet exposure.

  12. Circulation of the thermocline salinity maximum waters off the Northern Brazil as inferred from in situ measurements and numerical results

    OpenAIRE

    A. C. Silva; Bourles, B; Araujo, M

    2009-01-01

    High resolution hydrographic observations of temperature and salinity are used to analyse the subsurface circulation along the coast of North Brazil, off the Amazon mouth, between 2° S and 6° N. Observations are presented from four cruises carried out in different periods of the year (March–May 1995, May–June 1999, July–August 2001 and October–November 1997). Numerical model outputs complement the results of the shipboard measurements, and are used to complete the descriptions...

  13. Summary of appropriate measures to prevent natural rubber latex allergy

    Directory of Open Access Journals (Sweden)

    Xaver Baur

    1999-01-01

    Full Text Available This paper presents a short overview of the diagnostics and background of type I allergy to natural rubber latex proteins and makes recommendations for preventing corresponding allergic diseases in the future. These recommendations and prevention strategies are based on the current knowledge of latex allergy presented in the literature and are addressed to legislative bodies; manufacturers; directors of hospitals; those working at nursing facilities and physicians' and dentists' practices; as well as to other health service employees. Primary prevention is the focus but advice is also given on secondary prevention. The major preventive aim is the elimination of causative protein allergens in all latex devices and thus, the minimization of latex-related health problems.

  14. Lightning risk warnings based on atmospheric electric field measurements in Brazil

    Directory of Open Access Journals (Sweden)

    Marco Antonio da Silva Ferro*

    2011-09-01

    Full Text Available This paper presents a methodology that employs the electrostatic field variations caused by thundercloud formation or displacement to generate lightning warnings over a region of interest in Southeastern Brazil. These warnings can be used to prevent accidents during hazardous operations, such as the manufacturing, loading, and test of motor-rockets. In these cases, certain equipment may be moved into covered facilities and personnel are required to take shelter. It is also possible to avoid the threat of natural and triggered lightning to launches. The atmospheric electric field database, including the summer seasons of 2007/2008 and 2008/2009 (from November to February, and, for the same period and region, the cloud-to-ground lightning data provided by the Brazilian lightning detection network – BrasilDAT – were used in order to perform a comparative analysis between the lightning warnings and the cloud-to- ground lightning strikes that effectively occurred inside the area of concern. The analysis was done for three areas surrounding the sensor installation defined as circles with 5, 10 and 15 km of radius to determine the most effective detection range. For each area it was done using several critical electric field thresholds: +/- 0.5; +/- 0.8; +/- 0.9; +/- 1.0; +/- 1.2; and +/- 1.5 kV/m. As a result of the reduction of atmospheric electric field data provided by the sensor installed in area of concern and lightning provided by BrasilDAT, it was possible, for each of the areas of alert proposals, to obtain the following parameters: the number of effective alarms; the number of false alarms; and the number of failure to warning. From the analysis of these parameters, it was possible to conclude that, apparently, the most interesting critical electric field threshold to be used is the level of 0.9 kV/m in association with a distance range of 10 km around the point where the sensor is installed.

  15. 21 CFR 118.4 - Salmonella Enteritidis (SE) prevention measures.

    Science.gov (United States)

    2010-04-01

    ... cross contamination when persons move between poultry houses; (4) Prevent stray poultry, wild birds... methods to achieve satisfactory rodent control; (2) Monitor for flies by spot cards, Scudder grills,...

  16. [Preventive measures against tuberculosis in working facilities and companies].

    Science.gov (United States)

    Suzuki, Kiminori; Satou, Ken

    2007-03-01

    The health care program in working facilities and companies have played a significant part in prevention of tuberculosis. However, the ordinary national tuberculosis survey policy was abolished in April, 2005 and the tuberculosis survey for salary-earners is on the brink of drastic change. In this symposium the current status of the prevailing survey of tuberculosis in working facilities and companies was reviewed and the future direction of the tuberculosis survey in comparison to that in lung cancer survey was discussed. 1. Epidemiological trends of tuberculosis from the tuberculosis surveillance data: Masako OHMORI (Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association). The estimated rate of tuberculosis case discovery by periodical mass screening in the working facilities was 0.033% and it was higher than that in general adult population. The detection rate of tuberculosis in nurses who suffered from tuberculosis reached 40.4% by an aid of mass X-ray screening and 8.7% by contact tracing. The risk of onset of the disease was 4.3 times higher nurses than in general at the same years of age. The importance of infection control measures in the medical facilities was emphasized. 2. Current status and problems in tuberculosis control in a large-sized company: Yusuke NAKAOKA (Department of Occupational Health, Osaka Railway Hospital, West Japan Railway Company). Some preventive modalities against TB such as periodical medical check-up and awareness programs have been done for the purpose of prevention in our company. The prevalence of the disease has significantly reduced in number. The specific circumstances in large-sized company should be taken into consideration, and it is important for company workers and health professionals to recognize their roles in preventing the infectious disease. 3. Are there any differences between clinical cases and control people working for small-sized companies in the onset of tuberculosis?: Osamu NAKASHIMA, Kohei

  17. Outbreak of resistant Acinetobacter baumannii: measures and proposal for prevention and control

    Directory of Open Access Journals (Sweden)

    Roberta Maia de Castro Romanelli

    2009-10-01

    Full Text Available Acinetobacter baumannii colonization and infection, frequent in Intensive Care Unit (ICU patients, is commonly associated with high morbimortality. Several outbreaks due to multidrug-resistant (MDR A. baumanii have been reported but few of them in Brazil. This study aimed to identify risk factors associated with colonization and infection by MDR and carbapenem-resistant A. baumannii strains isolated from patients admitted to the adult ICU at HC/UFMG. A case-control study was performed from January 2007 to June 2008. Cases were defined as patients colonized or infected by MDR/carbapenem-resistant A. baumannii, and controls were patients without MDR/carbapenem-resistant A. baumannii isolation, in a 1:2 proportion. For statistical analysis, due to changes in infection control guidelines, infection criteria and the notification process, this study was divided into two periods. During the first period analyzed, from January to December 2007, colonization or infection by MDR/carbapenem-resistant A. baumannii was associated with prior infection, invasive device utilization, prior carbapenem use and clinical severity. In the multivariate analysis, prior infection and mechanical ventilation proved to be statistically significant risk factors. Carbapenem use showed a tendency towards a statistical association. During the second study period, from January to June 2008, variables with a significant association with MDR/carbapenem-resistant A. baumannii colonization/infection were catheter utilization, carbapenem and third-generation cephalosporin use, hepatic transplantation, and clinical severity. In the multivariate analysis, only CVC use showed a statistical difference. Carbapenem and third-generation cephalosporin use displayed a tendency to be risk factors. Risk factors must be focused on infection control and prevention measures considering A. baumanni dissemination.

  18. Evaluation of preventative and control measures for congenital syphilis in State of Mato Grosso

    Directory of Open Access Journals (Sweden)

    Leila Regina de Oliveira

    2014-06-01

    Full Text Available Introduction Congenital syphilis is an important health problem in Brazil. This study assessed measures aimed at the prevention and control of syphilis in the State of Mato Grosso and its capital, Cuiabá. Methods A descriptive study cross-sectional and of time trends assessing the congenital syphilis was performed in Cuiabá and Mato Grosso between 2001 and 2011. We compared maternal sociodemographic characteristics and health care utilization related to cases of congenital syphilis during the periods from 2001 to 2006 and from 2007 to 2011. We assessed the temporal trends in this disease's incidence using a simple linear regression. Results Between 2001 and 2006 in Mato Grosso, 86.8% of the mothers who had live births with congenital syphilis received prenatal care, 90.6% presented with a nontreponemal test reagent at delivery, 96.2% had no information regarding a treponemal confirmatory test at delivery, and 77.6% received inadequate treatment for syphilis; additionally, 75.8% of their partners were not treated. There was a statistically significant reduction in prenatal visits (p = 0.004 and an increase in the proportion of mothers reactive to nontreponemal tests at delivery (p = 0.031 between the two periods. No other variables were found to differ significantly between the periods. In Cuiabá, we observed a similar distribution of variables. In the state and in the capital, the increasing trend of congenital syphilis was not statistically significant. Conclusions The high incidence of congenital syphilis in Mato Grosso and the low levels of health care indicators for pregnant women with syphilis suggest the need to improve the coverage and quality of prenatal care.

  19. Outbreak of resistant Acinetobacter baumannii- measures and proposal for prevention and control.

    Science.gov (United States)

    Romanelli, Roberta Maia de Castro; Jesus, Lenize Adriana de; Clemente, Wanessa Trindade; Lima, Stella Sala Soares; Rezende, Edna Maria; Coutinho, Rosane Luiza; Moreira, Ricardo Luiz Fontes; Neves, Francelli Aparecida Cordeiro; Brás, Nelma de Jesus

    2009-10-01

    Acinetobacter baumannii colonization and infection, frequent in Intensive Care Unit (ICU) patients, is commonly associated with high morbimortality. Several outbreaks due to multidrug-resistant (MDR) A. baumanii have been reported but few of them in Brazil. This study aimed to identify risk factors associated with colonization and infection by MDR and carbapenem-resistant A. baumannii strains isolated from patients admitted to the adult ICU at HC/UFMG. A case-control study was performed from January 2007 to June 2008. Cases were defined as patients colonized or infected by MDR/carbapenem-resistant A. baumannii, and controls were patients without MDR/carbapenem-resistant A. baumannii isolation, in a 1:2 proportion. For statistical analysis, due to changes in infection control guidelines, infection criteria and the notification process, this study was divided into two periods. During the first period analyzed, from January to December 2007, colonization or infection by MDR/carbapenem-resistant A. baumannii was associated with prior infection, invasive device utilization, prior carbapenem use and clinical severity. In the multivariate analysis, prior infection and mechanical ventilation proved to be statistically significant risk factors. Carbapenem use showed a tendency towards a statistical association. During the second study period, from January to June 2008, variables with a significant association with MDR/carbapenem-resistant A. baumannii colonization/infection were catheter utilization, carbapenem and third-generation cephalosporin use, hepatic transplantation, and clinical severity. In the multivariate analysis, only CVC use showed a statistical difference. Carbapenem and third-generation cephalosporin use displayed a tendency to be risk factors. Risk factors must be focused on infection control and prevention measures considering A. baumanni dissemination.

  20. Vector control measures failed to affect genetic structure of Aedes aegypti in a sentinel metropolitan area of Brazil.

    Science.gov (United States)

    Souza, Kathleen R; Ribeiro, Gilmar; Silva dos Santos, Carlos Gustavo; de Lima, Eliaci Couto; Melo, Paulo R S; Reis, Mitermayer G; Blanton, Ronald E; Silva, Luciano K

    2013-12-01

    In order to evaluate subpopulation differentiation, effective population size (Ne) and evidence for population bottlenecks at various geographic levels, Aedes aegypti larvae were collected longitudinally from 2007 to 2009 from four areas in the city of Salvador, Brazil. The DNA from each larva was isolated and genotyped with five independent microsatellite markers. FST and Jost's D revealed significant population structuring (Pcontrol measures did contribute to vector reduction, but this was not enough to decrease A. aegypti population genetic diversity in Salvador. The understanding of A. aegypti population dynamics may be helpful for planning and evaluation of control measures to make them more effective.

  1. [Skin cancer: use of preventive measures and demographic profile of a risk group in the city of Botucatu].

    Science.gov (United States)

    Popim, Regina Célia; Corrente, José Eduardo; Marino, Jaqueline Aparecida Geromel; de Souza, Carolina Arantes

    2008-01-01

    The aim of this paper was to establish the demographic profile of an at-risk group for skin cancer and to assess the preventive measures taken by the studied individuals and by the employer. The methods chosen was a quantitative study with a sample of 33 mail carriers from the Empresa Brasileira de Correios e Telégrafos in Botucatu, Brazil. Information regarding the demographic profile, how long the individual had been working for the company, hours of sun exposure, history of sunburns, family cancer history and skin cancer prevention strategies used by the company was collected by means of a questionnaire. The data were analyzed using Fisher's Exact Test at a 5% probability. The predominant age groups were 26-30 and 31-35 years corresponding to 42,42%. The predominant skin color was white (93,94%) and 81,82% of the studied individuals were working in the company for over five years. 63,63% of the interviewees use sunscreen habitually; those who do not explain this with a lack of habit (in 75% of the cases). As refers to supply of protective equipment by the company, 100% of the subjects answered positively. These findings allow characterizing the studied population as a skin cancer risk group. Prophylactic measures in form of educational actions for awareness building should be adopted and stimulated.

  2. Prevention of birth defects in the pre-conception period: knowledge and practice of health care professionals (nurses and doctors in a city of Southern Brazil

    Directory of Open Access Journals (Sweden)

    Flávia Romariz Ferreira

    2015-10-01

    Full Text Available Background: Some congenital defects can be prevented in the pregestational stage. However, many health professionals are not prepared to provide counselling to couples regarding the same. Objective: This study aimed to assess the performance of doctors and nurses from a primary health-care unit in Florianopolis, Brazil, in preventing birth defects in the preconception period based on the recommendations of the Control Center of Disease Prevention. Materials and Methods: This descriptive cross sectional study was performed at a tertiary referral center. In this study, a semi-structured questionnaire was provided to 160 health professionals comprising doctors and nurses who were actively involved in providing primary health care in family health programs. The non-parametric Chi-square (χ2 test was used to analyse the data obtained through multiple choice questions. Results: Our results showed that although 81.9% of health professionals provided health-care assistance based on protocols, and only 46.2% professionals were aware of the presence of the topic in the protocol. Of the recommendations provided by the Control Center of Disease Prevention, the use of folic acid was the most prescribed. However, this prescription was not statistically different between nurses and doctors (P=0.85. Conclusion: This study identified the fragile nature in these professional’s knowledge about the prevention of birth defects in pre-conception period, as evidenced by the inconsistency in their responses.

  3. Gully erosion in the Caatinga biome, Brazil: measurement and stochastic modelling

    Science.gov (United States)

    Lima Alencar, Pedro Henrique; de Araújo, José Carlos; Nonato Távora Costa, Raimundo

    2017-04-01

    In contrast with inter-rill erosion, which takes a long time to modify the terrain form, gully erosion can fast and severely change the landscape. In the Brazilian semiarid region, a one-million km2 area that coincides with the Caatinga biome, inter-rill erosion prevails due to the silty shallow soils. However, gully erosion does occur in the Caatinga, with temporal increasing severity. This source of sediment impacts the existing dense network of small dams, generating significant deleterious effects, such as water availability reduction in a drought-prone region. This study focuses on the Madalena basin (124 km2, state of Ceará, Brazil), a land-reform settlement with 20 inhabitants per km2, whose main economic activities are agriculture (especially Zea mays), livestock and fishing. In the catchment area, where there are 12 dams (with storage capacity ranging from 6.104 to 2.107 m3), gully erosion has become an issue due to its increasing occurrence. Eight gully-erosion sites have been identified in the basin, but most of them have not yet reached great dimensions (depth and/or width), nor interacted with groundwater, being therefore classified as ephemeral gullies. We selected the three most relevant sites and measured the topography of the eroded channels, as well as the neighboring terrain relief, using accurate total stations and unmanned aerial vehicle. The data was processed with the help of software, such as DataGeosis (Office 7.5) and Surfer (11.0), providing information on gully erosion in terms of (μ ± σ): projection area (317±165 m2), eroded mass (61±36 Mg) and volume (42±25 m3), length (38±6 m), maximum depth (0.58±0.13 m) and maximum width (6.00±2.35 m). The measured data are then compared with those provided by the Foster and Lane model (1986). The model generated results with considerable scatter. This is possibly due to uncertainties in the field parameters, which are neglected in the deterministic approach of most physically-based models

  4. Simple measures to prevent a massive upper gastrointestinal bleed.

    Science.gov (United States)

    Bansal, Raghav; Vyas, Neil; Companioni, Rafael Antonio Ching; Rajnish, Ishita; Salehi, Ilnaz

    2017-08-01

    Nasogastric (NG) tube is frequently used in clinical practice for a variety of indications; however, NG tubes are not without risks, and there are a multitude of gastrointestinal complications that are associated with their use. Simple precautions can help prevent these NG tube-related injuries.

  5. Adolescent Sex Education: A Preventive Mental Health Measure.

    Science.gov (United States)

    Obstfeld, Lisa S.; Meyers, Andrew W.

    1984-01-01

    This article addresses the issue of adolescent sex education as a means of preventing sexuality-related disorders, including: sexual dysfunction; sexual deviance; physical health problems often contracted from sexual activity; and various psychological and sociological ill effects resulting from unplanned pregnancies. (Author/CJB)

  6. Determination of smoking and drinking and preventive measures in adolescents.

    Science.gov (United States)

    Altay, Naime; Toruner, Ebru Kilicarslan; Citak, Ebru Akgun

    2014-01-01

    Smoking and alcohol drinking in adolescents cause significant problems in most countries. The aim of this cross-sectional descriptive study was to determine the prevalence, causes, risk factors, and preventive factors for cigarette and alcohol use in adolescents. The sample included 1,133 students enrolled in grades 9-12. Data were collected using a descriptive data form, the Psychological Resilience and Adolescent Development Scale, and the Family Environment Scale. Most adolescents stated that stress and psychological problems were the causes of smoking and alcohol use. Preventive factors were indicated as developing skills for saying "no," good coping skills, and peer groups not using cigarettes. The Psychological Resilience and Adolescent Development Scale mean score for cigarette and alcohol use was significantly higher than for nonuse. The Family Environment Scale mean score for cigarette and alcohol use was significantly lower than for nonuse.

  7. The role of the implementation of policies for the prevention of exposure to Radon in Brazil-a strategy for controlling the risk of developing lung cancer.

    Science.gov (United States)

    Lino, Aline da Rocha; Abrahão, Carina Meira; Amarante, Marcus Paulo Fernandes; de Sousa Cruz, Marcelo Rocha

    2015-01-01

    Lung cancer is the leading cause of cancer death in the United States and other industrialised countries. The most important risk factor is active smoking. However, given the increased incidence of lung cancer in non-smokers, it is necessary to improve knowledge regarding other risk factors. Radon (Rn) is a noble gas and is the most important natural source of human exposure to ionizing radiation. Exposure to high levels of this radioactive gas is related to an increased risk of developing lung cancer. The objective of this work is to highlight the importance of measuring indoor concentration of this gas and identify which steps should be taken for achieving radiological protection. A survey was conducted on the websites of the National Health Surveillance Agency (ANVISA), LAMIN (Mineral Analysis Laboratory), CPRM (Geological Survey of Brazil), Ministry of Health and PubMed. Using the words 'radon', 'lung', 'cancer', and PubMed®, 1,371 results were obtained; when using the words 'radon', 'lung', 'cancer', and with 'Brazil' or 'Brazilians', only six results were obtained. We emphasise that lung cancer is a major public health problem and the exposure to Rn indoors should be considered as a risk factor for lung cancer in non-smokers. Buildings or houses with high concentrations of Rn should be identified. However, currently in Brazil-a country with great potential for mineral extraction-there are no specific regulated recommendations to control indoor exposure to Rn.

  8. In situ measurements of benthic primary production, respiration and nutrient fluxes in a hypersaline coastal lagoon of SE Brazil

    OpenAIRE

    Bastiaan Knoppers; Weber Friederichs Landim de Souza; Marcelo Friederichs Landim de Souza; Eliane Gonzalez Rodriguez; Elisa de Fátima da Cunha Vianna Landim; Antonio Romanazzi Vieira

    1996-01-01

    Bentbic oxygen and nutrient ftuxes were measured in a section of the hypersaline carbonate-rich coastal lagoon of Araruama, SE-Brazil. In situ incubations of the sediment surface (Zm - 1.5) were performed at one station with light/dark chambers during september 1993 (early spring period) and april 1995 (earlyautumn period). The carbonate..rich aediments were covered by 1-3 mm thick microalgal mats, dominated by the cyanobaeteria Phormidium sp, Oscillatoria sp, and Lyngbya sp. Benthic net prim...

  9. 33 CFR Appendix A to Part 274 - Preventive Safety Measures in Handling of Pesticides

    Science.gov (United States)

    2010-07-01

    ... protective clothing are rubber aprons, coveralls, chemical splash goggles, safety shoes, and hard hats. A... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Preventive Safety Measures in... Appendix A to Part 274—Preventive Safety Measures in Handling of Pesticides 1. Follow the label on...

  10. 33 CFR Appendix E to Part 273 - Preventive Safety Measures in Handling of Herbicides

    Science.gov (United States)

    2010-07-01

    ... are rubber aprons, coveralls, chemical splash goggles, safety shoes and hard hats. A lightweight water... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Preventive Safety Measures in...—Preventive Safety Measures in Handling of Herbicides 1. Follow the label on each container before using...

  11. Prevention

    Science.gov (United States)

    ... Error processing SSI file About Heart Disease & Stroke Prevention Heart disease and stroke are an epidemic in ... secondhand smoke. Barriers to Effective Heart Disease & Stroke Prevention Many people with key risk factors for heart ...

  12. Prevention measures and exploratory pharmacological treatments of celiac disease.

    Science.gov (United States)

    Pinier, Maud; Fuhrmann, Gregor; Verdu, Elena F; Verdu, Elena; Leroux, Jean-Christophe

    2010-12-01

    Increasing prevalence, protean clinical manifestations, and lack of pharmacological therapy make celiac disease (CD) a complex and highly relevant illness in gastroenterology. This chronic inflammatory disorder of the small intestine is caused by the ingestion of gluten containing cereals in genetically susceptible individuals, leading to a variety of gastrointestinal (GI) and non-GI manifestations. Awareness among physicians is growing due to accessible and highly accurate diagnostic and screening methods. Recent evidence suggests a possible rising incidence of CD. Environmental factors such as early life gluten exposure, intestinal infections, short duration of breast-feeding, and changes in intestinal microbiota have been proposed to have a role in CD pathogenesis. Thus, prevention approaches to diminish the rising prevalence of CD are currently being evaluated. Still, the cornerstone treatment of CD remains a strict gluten-free diet. This nutritional regime is demanding, and non-adherence is common because of social isolation, financial issues, or restriction of food diversity. Allowing patients to occasionally consume small amounts of gluten would greatly improve their quality of life. Owing to recent advances in the understanding of the pathogenesis of CD, different targets have been identified and have motivated the development of several experimental therapeutic strategies. The main goal of this review is to discuss the mechanisms that can be exploited therapeutically to prevent or delay CD, disease associations and its complications. Current treatments for complications of CD, including refractory CD and malignancy, are beyond the scope of this review.

  13. Prevention validation and accounting platform: a framework for establishing accountability and performance measures of substance abuse prevention programs.

    Science.gov (United States)

    Kim, S; McLeod, J H; Williams, C; Hepler, N

    2000-01-01

    The field of substance abuse prevention has neither an overarching conceptual framework nor a set of shared terminologies for establishing the accountability and performance outcome measures of substance abuse prevention services rendered. Hence, there is a wide gap between what we currently have as data on one hand and information that are required to meet the performance goals and accountability measures set by the Government Performance and Results Act of 1993 on the other. The task before us is: How can we establish the accountability and performance measures of substance abuse prevention programs and transform the field of prevention into prevention science? The intent of this volume is to serve that purpose and accelerate the processes of this transformation by identifying the requisite components of the transformation (i.e., theory, methodology, convention on terms, and data) and by introducing an open forum called, Prevention Validation and Accounting (PREVA) Platform. The entire PREVA Platform (for short, the Platform) is designed as an analytic framework, which is formulated by a collectivity of common concepts, terminologies, accounting units, protocols for counting the units, data elements, and operationalizations of various constructs, and other summary measures intended to bring about an efficient and effective measurement of process input, program capacity, process output, performance outcome, and societal impact of substance abuse prevention programs. The measurement units and summary data elements are designed to be measured across time and across jurisdictions, i.e., from local to regional to state to national levels. In the Platform, the process input is captured by two dimensions of time and capital. Time is conceptualized in terms of service delivery time and time spent for research and development. Capital is measured by the monies expended for the delivery of program activities during a fiscal or reporting period. Program capacity is captured

  14. Alzheimer’s disease: oral manifestations, treatment and preventive measures.

    Directory of Open Access Journals (Sweden)

    Jordi Ortega-Martínez

    2014-08-01

    Full Text Available In the treatment of patients with dementia types such as Alzheimer’s, non-current and tough situations are faced. Treatment should be tailored to each stage of the disease and for each patient. In this type of disease, it is very important to involve families and caregivers to improve the patients´ quality of life. The main goal with these patients is prevention. All oral manifestations caused by the lack of inadequate oral hygiene, xerostomia and manifestations derived from taking drugs should be controlled. The aim of this review is to describe the main oral manifestations which can result from this disease and the best treatment options taking into account the patients’ clinical stages.

  15. Cancer in numbers: Do preventive measures for colorectal cancer apply?

    Directory of Open Access Journals (Sweden)

    Pedro J. Tárraga López

    2017-10-01

    Full Text Available Abstract: Introduction: Cancer is a global problem as it will affect one in three men and one in four women during their lifetime. Colorectal cancer (CRC is the second most common cancer in men, after lung cancer, and is the second most common cancer in women after breast cancer. It is also the second leading cause of death in men and women separately, and is the second most common cause of cancer death if both genders are considered together. CRC accounts for approximately 10% of cancer deaths. Modifiable risk factors for CRC include smoking, physical inactivity, overweight and obesity, processed meat consumption, and excessive alcohol consumption. CRC screening programs are possible in economically developed countries. However, attention should be paid in the future to geographically populated areas and western lifestyles. Objective: To evaluate the effect on the incidence and mortality of diet and lifestyle of CRC and to determine the effect of secondary prevention through the early diagnosis of CRC. Methodology: An exhaustive search of Medline and Pubmed articles related to primary and secondary prevention of CRC is carried out and a meta-analysis of the same blocks is carried out. Results: 301 items related to primary or secondary prevention of CRC were recovered. Of these, 177 were considered valid in the meta-analysis: 12 in epidemiology, 56 in diet and lifestyle, and over 77 different projections for the early detection of CRC. Cancer is a global problem as it will affect one in three men and one in four women during their lifetime. There is no question of which environmental factors, probably diet, may explain these cancer rates. Excessive consumption of alcohol and high cholesterol diet are associated with a high risk of colon cancer. A diet low in folic acid and vitamin B6 is also associated with an increased risk of developing colon cancer with overexpression of p53. Eating pulses at least three times a week reduces the risk of

  16. Circulation of the thermocline salinity maximum waters off the Northern Brazil as inferred from in situ measurements and numerical results

    Directory of Open Access Journals (Sweden)

    A. C. Silva

    2009-05-01

    Full Text Available High resolution hydrographic observations of temperature and salinity are used to analyse the subsurface circulation along the coast of North Brazil, off the Amazon mouth, between 2° S and 6° N. Observations are presented from four cruises carried out in different periods of the year (March–May 1995, May–June 1999, July–August 2001 and October–November 1997. Numerical model outputs complement the results of the shipboard measurements, and are used to complete the descriptions of mesoscale circulation. The Salinity Maximum Waters are here analyzed, principally in order to describe the penetration of waters originating in the Southern Hemisphere toward the Northern Hemisphere through the North Brazil Current (NBC/North Brazil Undercurrent (NBUC. Our results show that, if the Equatorial Undercurrent (EUC is fed by Northern Atlantic Waters, this contribution may only occur in the ocean interior, east of the western boundary around 100 m depth. Modeling results indicate a southward penetration of the Western Boundary Undercurrent (WBUC below the thermocline, along the North Brazilian coast into the EUC or the North Equatorial Undercurrent (NEUC (around 48° W–3° N. The WBUC in the region does not flow more south than 3° N. The northern waters are diverted eastward either by the NBC retroflection or by the northern edge of the associated clockwise rings. The existence of subsurface mesoscale rings associated to the NBC retroflection is evidenced, without any signature in the surface layer, so confirming earlier numerical model outputs. These subsurface anticyclones, linked to the NBC/NBUC retroflection into the North Equatorial Undercurrent and the EUC, contribute to the transport of South Atlantic high salinity water into the Northern Hemisphere.

  17. Circulation of the thermocline salinity maximum waters off the Northern Brazil as inferred from in situ measurements and numerical results

    Energy Technology Data Exchange (ETDEWEB)

    Silva, A.C. [Universidade Federal do Ceara, Fortaleza, CE (Brazil). Inst. de Ciencias do Mar; Bourles, B. [Inst. de Recherche pour le Developpement, Cotonou (Benin); Araujo, M. [UFPE, Recife, PE (Brazil). Lab. de Oceanografia Fisica Estuarina e Costeira

    2009-07-01

    High resolution hydrographic observations of temperature and salinity are used to analyse the subsurface circulation along the coast of North Brazil, off the Amazon mouth, between 2 S and 6 N. Observations are presented from four cruises carried out in different periods of the year (March-May 1995, May-June 1999, July-August 2001 and October-November 1997). Numerical model outputs complement the results of the shipboard measurements, and are used to complete the descriptions of mesoscale circulation. The Salinity Maximum Waters are here analyzed, principally in order to describe the penetration of waters originating in the Southern Hemisphere toward the Northern Hemisphere through the North Brazil Current (NBC)/North Brazil Undercurrent (NBUC). Our results show that, if the Equatorial Undercurrent (EUC) is fed by Northern Atlantic Waters, this contribution may only occur in the ocean interior, east of the western boundary around 100 m depth. Modeling results indicate a southward penetration of the Western Boundary Undercurrent (WBUC) below the thermocline, along the North Brazilian coast into the EUC or the North Equatorial Undercurrent (NEUC) (around 48 W-3 N). The WBUC in the region does not flow more south than 3 N. The northern waters are diverted eastward either by the NBC retroflection or by the northern edge of the associated clockwise rings. The existence of subsurface mesoscale rings associated to the NBC retroflection is evidenced, without any signature in the surface layer, so confirming earlier numerical model outputs. These subsurface anticyclones, linked to the NBC/NBUC retroflection into the North Equatorial Undercurrent and the EUC, contribute to the transport of South Atlantic high salinity water into the Northern Hemisphere. (orig.)

  18. Pivot and cluster strategy: a preventive measure against diagnostic errors

    Directory of Open Access Journals (Sweden)

    Shimizu T

    2012-11-01

    Full Text Available Taro Shimizu,1 Yasuharu Tokuda21Rollins School of Public Health, Emory University, Atlanta, GA, USA; 2Institute of Clinical Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, JapanAbstract: Diagnostic errors constitute a substantial portion of preventable medical errors. The accumulation of evidence shows that most errors result from one or more cognitive biases and a variety of debiasing strategies have been introduced. In this article, we introduce a new diagnostic strategy, the pivot and cluster strategy (PCS, encompassing both of the two mental processes in making diagnosis referred to as the intuitive process (System 1 and analytical process (System 2 in one strategy. With PCS, physicians can recall a set of most likely differential diagnoses (System 2 of an initial diagnosis made by the physicians’ intuitive process (System 1, thereby enabling physicians to double check their diagnosis with two consecutive diagnostic processes. PCS is expected to reduce cognitive errors and enhance their diagnostic accuracy and validity, thereby realizing better patient outcomes and cost- and time-effective health care management.Keywords: diagnosis, diagnostic errors, debiasing

  19. Common rugby league injuries. Recommendations for treatment and preventative measures.

    Science.gov (United States)

    Gibbs, N

    1994-12-01

    Rugby league is the main professional team sport played in Eastern Australia. It is also very popular at a junior and amateur level. However, injuries are common because of the amount of body contact that occurs and the amount of running that is required to participate in the game. Injuries to the lower limbs account for over 50% of all injuries. The most common specific injuries are ankle lateral ligament tears, knee medial collateral and anterior cruciate ligament tears, groin musculotendinous tears, hamstring and calf muscle tears, and quadriceps muscle contusions. Head injuries are common and consist of varying degrees of concussion as well as lacerations and facial fractures. Serious head injury is rare. Some of the more common upper limb injuries are to the acromioclavicular and glenohumeral joints. Accurate diagnosis of these common injuries using appropriate history, examination and investigations is critical in organising a treatment and rehabilitation plan that will return the player to competition as soon as possible. An understanding of the mechanism of injury is also important in order to develop preventative strategies.

  20. International measures to prevent and suppress the financing of terrorism

    OpenAIRE

    Eden, Paul

    2005-01-01

    This chapter considers the range of international measures adopted both before and after September 11, 2001 to deny terrorists and their supporters access to the international financial system including the International Convention for the Suppression of Financing of Terrorism, the terrorist financing aspects of Security Council Resolution 1373 and the role played by the Financial Action Task Force (FATF).

  1. Effectiveness and reliability of emergency measures for flood prevention

    NARCIS (Netherlands)

    Lendering, K.T.; Jonkman, S.N.; Kok, M.

    2014-01-01

    Floods in the summer of 2013 in Central Europe demonstrated once again that floods account for a large part of damage and loss of life caused by natural disasters. During flood threats emergency measures, such as sand bags and big bags, are often applied to strengthen the flood defences and attempt

  2. Effectiveness and reliability of emergency measures for flood prevention

    NARCIS (Netherlands)

    Lendering, K.T.; Jonkman, S.N.; Kok, M.

    2014-01-01

    Floods in the summer of 2013 in Central Europe demonstrated once again that floods account for a large part of damage and loss of life caused by natural disasters. During flood threats emergency measures, such as sand bags and big bags, are often applied to strengthen the flood defences and attempt

  3. Measuring Performance and Effectiveness in Irregular Warfare: Preventing Dysfunctional Behavior

    Science.gov (United States)

    2009-05-04

    behavior, it will also support operational commanders in diagnosing problems, making critical decisions, fostering learning, adjusting strategies , and...the area where Netflix continues to dominate…Blockbuster is doomed.” 11 While bottom line figures such as monthly earnings are important, unless...how to adapt and manage its metrics to better support its strategy . The reality of a measurement failure has grave consequences for the military

  4. Prevention

    DEFF Research Database (Denmark)

    Halken, S; Høst, A

    2001-01-01

    , breastfeeding should be encouraged for 4-6 months. In high-risk infants a documented extensively hydrolysed formula is recommended if exclusive breastfeeding is not possible for the first 4 months of life. There is no evidence for preventive dietary intervention neither during pregnancy nor lactation....... Preventive dietary restrictions after the age of 4-6 months are not scientifically documented....

  5. Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. A systematic review.

    NARCIS (Netherlands)

    Derks, A.; Katsaros, C.; Frencken, J.E.F.M.; Hof, M.A. van 't; Kuijpers-Jagtman, A.M.

    2004-01-01

    A systematic review was performed of published data on the caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. The purpose was to develop evidence-based recommendations about the most effective means of preventing white spot lesions in orthodontic pati

  6. Infectious diseases following natural disasters: prevention and control measures.

    Science.gov (United States)

    Kouadio, Isidore K; Aljunid, Syed; Kamigaki, Taro; Hammad, Karen; Oshitani, Hitoshi

    2012-01-01

    Natural disasters may lead to infectious disease outbreaks when they result in substantial population displacement and exacerbate synergic risk factors (change in the environment, in human conditions and in the vulnerability to existing pathogens) for disease transmission. We reviewed risk factors and potential infectious diseases resulting from prolonged secondary effects of major natural disasters that occurred from 2000 to 2011. Natural disasters including floods, tsunamis, earthquakes, tropical cyclones (e.g., hurricanes and typhoons) and tornadoes have been secondarily described with the following infectious diseases including diarrheal diseases, acute respiratory infections, malaria, leptospirosis, measles, dengue fever, viral hepatitis, typhoid fever, meningitis, as well as tetanus and cutaneous mucormycosis. Risk assessment is essential in post-disaster situations and the rapid implementation of control measures through re-establishment and improvement of primary healthcare delivery should be given high priority, especially in the absence of pre-disaster surveillance data.

  7. A systematic review of the literature on safety measures to prevent railway suicides and trespassing accidents.

    Science.gov (United States)

    Havârneanu, Grigore M; Burkhardt, Jean-Marie; Paran, Françoise

    2015-08-01

    This review covers a central aspect in railway safety which is the prevention of suicides and trespassing accidents. The paper attempts to answer the following research question: 'What measures are available to reduce railway suicide and trespass, and what is the evidence for their effectiveness?' The review is based on 139 relevant publications, ranging from 1978 to 2014. The analysis aimed to identify the past and current trend in the prevention practice by looking both quantitatively and qualitatively at the recommended measures. According to the results, there has been a constant focus on suicide prevention, and only relatively recent interest in trespass countermeasures. The content analysis revealed 19 main preventative categories which include more than 100 specific measures. We identified 16 common categories against railway suicide and trespass, and 3 categories of specific measures to prevent suicide. There are only 22 studies which provide empirical support for the effectiveness of measures. Actual combinations of measures are barely evaluated, but several challenges emerge from the literature. The discussion focuses on the need for a unified approach to suicide and trespass prevention, and on the importance to consider the effect mechanism of the measures in order to design better interventions. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Antibiotics or probiotics as preventive measures against ventilator-associated pneumonia: a literature review

    NARCIS (Netherlands)

    Schultz, M.J.; Haas, L.E.

    2011-01-01

    Mechanically ventilated critically ill patients frequently develop ventilator-associated pneumonia (VAP), a life-threatening complication. Proposed preventive measures against VAP include, but are not restricted to, selective decontamination of the digestive tract (SDD), selective oropharyngeal

  9. [MEDICAL AND PREVENTIVE MEASURES FOR REDUCING CHEMICAL OCCUPATIONAL RISKS IN THE PRODUCTION OF TITANIUM ALLOYS].

    Science.gov (United States)

    Bazarova, E L; Osherov, I S; Roslyĭ, O F; Tartakovskaia, L Ia

    2015-01-01

    An innovative approach in the prevention and rehabilitation of workers employed in the production of titanium alloys envisages the implementation of targeted multi-stage rehabilitation measures in groups with high occupational risk.

  10. Antibiotics or probiotics as preventive measures against ventilator-associated pneumonia: a literature review

    NARCIS (Netherlands)

    Schultz, M.J.; Haas, L.E.

    2011-01-01

    Mechanically ventilated critically ill patients frequently develop ventilator-associated pneumonia (VAP), a life-threatening complication. Proposed preventive measures against VAP include, but are not restricted to, selective decontamination of the digestive tract (SDD), selective oropharyngeal deco

  11. Early detection of skin cancer: experience of a skin cancer prevention campaign in Piauí-Brazil - doi: 10.5020/18061230.2012.p221

    Directory of Open Access Journals (Sweden)

    Rafael Bandeira Lages

    2012-11-01

    Full Text Available Objectives: To evaluate the correlation between the diagnoses of skin cancer and known risk factors through analysis of data from the National Skin Cancer Prevention Campaign held by Brazilian Society of Dermatology in the state of Piauí, Brazil, in recent years. Methods: Cross-sectional descriptive and analytical report using quantitative data obtained from a prevention campaign in the state of Piauí, in 2009 and 2010. Collected data was submitted to a descriptive analysis, and multivariate logistic regression, using as dependent variable the skin cancer diagnosis. Results: In 2009 and 2010, this campaign was responsible for 1141 consultations, diagnosing 122 (10.7% cases of skin cancer: 108 basal cell carcinomas (BCC, 10 squamous cell (SCC and four melanomas. Of those examined, 35.4% were male, 73.1% reported inadequate sun protection, 16.4% had a family history of skin cancer and 7.2% had personal history. Those with history of skin cancer were 5.24 times more likely to have a new diagnosis of cancer, while those presenting non-black skin were 4.91 times more likely to diagnosis. Conclusion: Personal or family history of epithelial neoplasia, non-colored black skin and the male gender were associated to higher chances of developing skin cancer. In addition, unprotected sun exposure remains routine

  12. [Sexuality and STD/AIDS prevention: social representations by rural men in a county in the Zona da Mata region in Pernambuco, Brazil].

    Science.gov (United States)

    Alves, Maria de Fátima Paz

    2003-01-01

    This study analyzes the concepts displayed by rural men in the Zona da Mata region in the State of Pernambuco, Brazil, concerning their sexual practices and STD/AIDS prevention. The study adopts a qualitative methodology, having interviewed 22 men According to the interviews, their first sexual intercourse is characterized as a learning experience and is sometimes marked by violence. They make a distinction between the "woman at home" and "street women"; they acknowledge women's sexual desire and value reciprocity in sexual relations, differentiating between the kinds of sex they have with different categories of women. Seven men report homoerotic experiences during adolescence, which they ascribe to immaturity, not affecting their heterosexual identity. Condom use, perceived in a negative light, is inconstant and irregular, inversely proportional to knowing the female partner. STDs in general inspire little fear, while AIDS is associated with death; the interviewees do not see themselves at risk of acquiring HIV. Ambiguities in the men's discourse, together with a basically ineffective approach by health services and preventive campaigns, reveal a high level of exposure to the risk of contracting STDs/AIDS among the interviewees and their female or male partners.

  13. [Economic class syndrome: epidemiological features and preventive measures].

    Science.gov (United States)

    Signorelli, Carlo; Pasquarella, Cesira; Trabacchi, Valeria; Carreri, Vittorio; Blangiardi, Francesco; Fara, Gaetano Maria

    2011-01-01

    The term "economic class syndrome" is generally used to describe the occurrence of venous thromboembolism (VTE) in travelers after long-distance airline travel in economic class. However, cases of VTE have also been reported in business class travelers and in subjects exposed to prolonged periods of immobilization while using other forms of transportation such as automobile, train, and bus. VTE manifests with deep vein thrombosis and pulmonary embolism but may also present with less severe, reversible manifestations such as headache, vertigo, and respiratory symptoms. Epidemiological studies have shown that the risk of VTE doubles following airline travel lasting longer than four hours. The risk of VTE increases with increased duration of air travel even in the presence of multiple stop-overs. In subjects with known risk factors, incidence of VTE depends on the degree of risk (low, medium, high) and on the duration of the flight. The main factor leading to VTE is prolonged immobilization and the pathogenesis is based on Virchow's triad: venous stasis, vessel wall injury, and hypercoagulability of blood. Specific characteristics of airline travel such as jet lag, low air quality and dehydration may increase the risk of VTE with respect to other forms of travel. This article discusses epidemiological aspects and pathogenesis of travel-related VTE and prophylactic measures that should be undertaken.

  14. [Obesity in children: new controversies and present prevention measures].

    Science.gov (United States)

    Moraru, Evelina; Luchian, Ana-Maria; Bozomitu, Laura; Rusu, Tania; Sacaci, Paula; Antonesei, Luiza; Stana, B A; Tugurlan, Demetra Simona; Grudnicki, Alice; Popoiu, Anne-Marie; Ozkan, Mirçan; Moraru, D

    2006-01-01

    The authors realise a synthesis on classical data and recent pathogenic explanations in childhood obesity. The obesity is a nutritional disorder of great interest nowadays and surpasses the incidence of the major problem of pediatrics until now--the malnutrition. There is documented data concerning the global incidence of obesity which is continuously growing when it comes to children. That is why the prophylaxis must become a priority by using measures in the first period of life (natural feeding, the need of late diversification, the avoidance of hyperproteic diets). The recent pathogenic data and the long term populational studies change the old conceptions regarding the risk of some categories of children. Thus mother's malnutrition, the low birth weight, children that followed hyperproteic diets paradoxically represent categories of risk for obesity. A recent recorded phenomenon, which amplifies the risk for obesity is the early adiposity rebound which is recorded nowadays even for ages lower than five years. There are described the hormonal mechanisms involved in appetite and satiety up to the receptor level: leptin, ghrelin, adiponectin, endocannabinoid receptors. There are pointed out all the long term risk elements (high birth weight, low birth weight, the pregnant woman's nutrition) and the modern medical treatments for obesity.

  15. New possibilities in the prevention of eating disorders: The introduction of positive body image measures.

    Science.gov (United States)

    Piran, Niva

    2015-06-01

    Delineating positive psychological processes in inhabiting the body, as well as quantitative measures to assess them, can facilitate progress in the field of prevention of eating disorders by expanding outcome evaluation of prevention interventions, identifying novel mediators of change, and increasing highly needed research into protective factors. Moreover, enhancing positive ways of inhabiting the body may contribute toward the maintenance of gains of prevention interventions. Integrated social etiological models to eating disorders that focus on gender and other social variables, such as the Developmental Theory of Embodiment (Piran & Teall, 2012a), can contribute to positive body image intervention development and research within the prevention field. Using the Developmental Theory of Embodiment as a lens, this article explores whether existing prevention programs (i.e., Cognitive Dissonance and Media Smart) may already work to promote positive body image, and whether prevention programs need to be expanded toward this goal.

  16. VAR Methodology Used for Exchange Risk Measurement and Prevention

    Directory of Open Access Journals (Sweden)

    Florentina Balu

    2006-05-01

    Full Text Available In this article we discuss one of the modern risk measuring techniques Value-at-Risk (VaR. Currently central banks in major money centers, under the auspices of the BIS Basle Committee, adopt the VaR system to evaluate the market risk of their supervised banks. Banks regulators ask all commercial banks to report VaRs with their internal models. Value at risk (VaR is a powerful tool for assessing market risk, but it also imposes a challenge. Its power is its generality. Unlike market risk metrics such as the Greeks, duration and convexity, or beta, which are applicable to only certain asset categories or certain sources of market risk, VaR is general. It is based on the probability distribution for a portfolio’s market value. Value at Risk (VAR calculates the maximum loss expected (or worst case scenario on an investment, over a given time period and given a specified degree of confidence. There are three methods by which VaR can be calculated: the historical simulation, the variance-covariance method and the Monte Carlo simulation. The variance-covariance method is easiest because you need to estimate only two factors: average return and standard deviation. However, it assumes returns are well-behaved according to the symmetrical normal curve and that historical patterns will repeat into the future. The historical simulation improves on the accuracy of the VAR calculation, but requires more computational data; it also assumes that “past is prologue”. The Monte Carlo simulation is complex, but has the advantage of allowing users to tailor ideas about future patterns that depart from historical patterns.

  17. VAR Methodology Used for Exchange Risk Measurement and Prevention

    Directory of Open Access Journals (Sweden)

    Ion Stancu

    2006-03-01

    Full Text Available In this article we discuss one of the modern risk measuring techniques Value-at-Risk (VaR. Currently central banks in major money centers, under the auspices of the BIS Basle Committee, adopt the VaR system to evaluate the market risk of their supervised banks. Banks regulators ask all commercial banks to report VaRs with their internal models. Value at risk (VaR is a powerful tool for assessing market risk, but it also imposes a challenge. Its power is its generality. Unlike market risk metrics such as the Greeks, duration and convexity, or beta, which are applicable to only certain asset categories or certain sources of market risk, VaR is general. It is based on the probability distribution for a portfolio’s market value. Value at Risk (VAR calculates the maximum loss expected (or worst case scenario on an investment, over a given time period and given a specified degree of confidence. There are three methods by which VaR can be calculated: the historical simulation, the variance-covariance method and the Monte Carlo simulation. The variance-covariance method is easiest because you need to estimate only two factors: average return and standard deviation. However, it assumes returns are well-behaved according to the symmetrical normal curve and that historical patterns will repeat into the future. The historical simulation improves on the accuracy of the VAR calculation, but requires more computational data; it also assumes that “past is prologue”. The Monte Carlo simulation is complex, but has the advantage of allowing users to tailor ideas about future patterns that depart from historical patterns.

  18. Consideration on Preventive and Protective Measures Against Insider Threats at R.O.K. Nuclear Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Seung Min; Lee, Jung Ho; Koh, Moon Sung [Korea Institute of Nuclear Nonproliferation and Control, Daejeon (Korea, Republic of)

    2016-05-15

    This paper focuses on the current status of measures used to prevent, detect and respond to potential insiders at nuclear facilities in the Republic of KOREA. Measures against insiders are then analyzed based on IAEA guidelines. Insiders are able to take advantage of their access rights and knowledge of a facility to bypass dedicated security measures. They can also threaten cyber security, safety measures, and material control and accountancy (MC and A). Insiders are likely to have the time to plan their actions. In addition, they may work with an external adversary who shares their objectives. An insider threat is a great risk to a security system because of the access, authority, and special knowledge that someone within a facility possesses. Therefore, it is imperative that effective measures be taken to prevent insider incidents. A combination of preventive and protective measures offers the best solution to mitigating rogue elements within a facility.

  19. Validation of three satellite-derived databases of surface solar radiation using measurements performed at 42 stations in Brazil

    Science.gov (United States)

    Thomas, Claire; Wey, Etienne; Blanc, Philippe; Wald, Lucien

    2016-06-01

    The SoDa website (www.soda-pro.com) is populated with numerous solar-related Web services. Among them, three satellite-derived irradiation databases can be manually or automatically accessed to retrieve radiation values within the geographical coverage of the Meteosat Second Generation (MSG) satellite: the two most advanced versions of the HelioClim-3 database (versions 4 and 5, respectively HC3v4 and HC3v5), and the CAMS radiation service. So far, these databases have been validated against measurements of several stations in Europe and North Africa only. As the quality of such databases depends on the geographical regions and the climates, this paper extends this validation campaign and proposes an extensive comparison on Brazil and global irradiation received on a horizontal surface. Eleven stations from the Brazilian Institute of Space Research (INPE) network offer 1 min observations, and thirty-one stations from the Instituto Nacional de Meteorologia (INMET) network offer hourly observations. The satellite-derived estimates have been compared to the corresponding observations on hourly, daily and monthly basis. The bias relative to the mean of the measurements for HC3v5 is mostly comprised between 1 and 3 %, and that for HC3v4 between 2 and 5 %. These are very satisfactory results and they demonstrate that HC3v5, and to a lesser extent HC3v4, may be used in studies of long-term changes in SSI in Brazil. The situation is not so good with CAMS radiation service for which the relative bias is mostly comprised between 5 and 10 %. For hourly irradiation, the relative RMSE ranges from 15 to 33 %. The correlation coefficient is very large for all stations and the three databases, with an average of 0.96. The three databases reproduce well the hour from hour changes in SSI. The errors show a tendency to increase with the viewing angle of the MSG satellite. They are greater in tropical areas where the relative humidity in the atmosphere is important. It is concluded

  20. Corporate Governance Country Assessment : Brazil

    OpenAIRE

    World Bank

    2005-01-01

    This report assesses Brazil's corporate governance policy framework. It highlights recent improvements in corporate governance regulation, makes policy recommendations, and provides investors with a benchmark against which to measure corporate governance in Brazil. It is an update of the 2005 corporate governance Report on the Observance of Standards and Codes (ROSC). Brazil's experience o...

  1. Brazil : Eradicating Child Labor in Brazil

    OpenAIRE

    World Bank

    2001-01-01

    The report reviews evidence of child labor in Brazil, and the Government's efforts to eradicate its worst forms, by examining background assessments of ongoing programs for its prevention. It seeks to identify promising strategies, addressing the needs of highly vulnerable children in urban areas, engaged in activities such as drug commerce, prostitution, or other dangerous activities. One...

  2. Surgical site infections in dermatologic surgery: etiology, pathogenesis, and current preventative measures.

    Science.gov (United States)

    Saleh, Karim; Schmidtchen, Artur

    2015-05-01

    Surgical site infections (SSIs) after dermatologic surgery continue to represent undesirable complications that affect patients in several aspects. The etiology and pathogenesis of SSIs are not completely understood, and as a result, current preventative measures are debatable. To review and summarize the current available literature specific to SSIs in dermatologic surgery. The pathogenesis of SSIs, factors contributing to SSIs, current preventative guidelines, and evidence supporting their use are explored. A review of the medical literature. Most measures used to prevent SSIs in dermatologic surgery are based on studies of wounds in general surgery. Evidence specific to dermatologic surgery is scarce. More research related to the pathogenesis of SSIs is needed to establish effective preventative measures that are key to reducing incidences of SSIs.

  3. Temporal abundance of Aedes aegypti in Manaus, Brazil, measured by two trap types for adult mosquitoes

    Science.gov (United States)

    Degener, Carolin Marlen; de Ázara, Tatiana Mingote Ferreira; Roque, Rosemary Aparecida; Codeço, Cláudia Torres; Nobre, Aline Araújo; Ohly, Jörg Johannes; Geier, Martin; Eiras, Álvaro Eduardo

    2014-01-01

    A longitudinal study was conducted in Manaus, Brazil, to monitor changes of adult Aedes aegypti (L.) abundance. The objectives were to compare mosquito collections of two trap types, to characterise temporal changes of the mosquito population, to investigate the influence of meteorological variables on mosquito collections and to analyse the association between mosquito collections and dengue incidence. Mosquito monitoring was performed fortnightly using MosquiTRAPs (MQT) and BG-Sentinel (BGS) traps between December 2008-June 2010. The two traps revealed opposing temporal infestation patterns, with highest mosquito collections of MQTs during the dry season and highest collections of BGS during the rainy seasons. Several meteorological variables were significant predictors of mosquito collections in the BGS. The best predictor was the relative humidity, lagged two weeks (in a positive relationship). For MQT, only the number of rainy days in the previous week was significant (in a negative relationship). The correlation between monthly dengue incidence and mosquito abundance in BGS and MQT was moderately positive and negative, respectively. Catches of BGS traps reflected better the dynamic of dengue incidence. The findings help to understand the effects of meteorological variables on mosquito infestation indices of two different traps for adult dengue vectors in Manaus. PMID:25494470

  4. Application of biological measures for stream integrity assessment in south-east Brazil.

    Science.gov (United States)

    Silveira, M P; Baptista, D F; Buss, D F; Nessimian, J L; Egler, M

    2005-02-01

    The sensitivity of eleven metrics using macroinvertebrate assemblages were evaluated in an environmental gradient in a tropical river in south-east Brazil. Eight sites were sampled in an altitudinal range of 160-650 m.a.s.l. during 1999 (April and August) and 2000 (February). Four substrates were sampled at each site: riffle litter, pool litter, stony substrates and sediment. Correspondence Analysis indicated that assemblages were primarily more influenced by physical changes (like deforestation and erosion processes) than the water chemistry. The sensitivity of each metric was evaluated through the application of box-and-whisker plot method by its power to assess impairment (metrics should be able to discriminate reference sites from impaired sites) and natural variability (metrics should not discriminate two reference sites). Metrics that failed in at least one of the above premises were not considered as sensitive. In this study, the most sensitive metrics were Shannon index, BMWP-ASPT, %_EPT, and relative abundance of EPT to Chironomidae.

  5. [Preventive measures against plague and the control of Chinese coolies in colonial Korea].

    Science.gov (United States)

    Kim, Youngsoo

    2014-12-01

    This paper aims to examine the preventive measures taken against the plague in colonial Korea, particularly as applied to the control of Chinese coolies in 1911, soon after the annexation. The Government General of Korea began preventive measures with a train quarantine in Shin'uiju and Incheon in response to the spread of the plague to the Southern Manchuria. Shin' uiju had become urbanized due the development of the transportation network, and the seaport of Incheon was the major hub for traffic with China. Examining the transportation routes for the entry and exit of Chinese to and from Korea makes clear the reason why the Korea Government General initiated preventive measures in mid-January, 1911. The Government General of Korea tried to block the entry of Chinese through the land border crossing with China and through ports of entry, primarily Incheon. During the implementation of the preventive measures, quarantine facilities were built, including a quarantine station and isolation facility in Incheon. It was also needed to investigate the population and residential locations of Chinese in Korea to prevent the spread of plague. A certificate of residence was issued to all Chinese in Korea, which they needed to carry when they travelled. The preventive measures against plague which broke out in Manchuria were removed gradually. However, there was no specific measures against Chinese coolies, those who had migrated from China to work in the spring in Korea. Still the Government General of Korea had doubt about an infection of the respiratory system. As a result, the labor market in colonial Korea underwent changes in this period. The Government General recruited Korean laborers, instead of Chinese coolies whose employment had been planned. This move explains the Government General's strong preventive measures against plague and uncertainty in the route of plague infection, which influenced subsequent regulations on the prohibition of Chinese coolies working on

  6. Preventive measures and treatments for cholera in the 19th century in Ottoman archive documents.

    Science.gov (United States)

    Erer, Sezer; Erdemir, Aysegul Demirhan

    2010-06-01

    Cholera spread all over the world starting from India and made major outbreaks. Cholera, a highly effective disease, also had been a pioneer effect on taking health measures worldwide.The first international health organization and health conferences organized in different countries to determine preventive measures and treatments for cholera. In this article, preventive measures and treatments for cholera in the 19th century in the Ottoman period were analyzed according to Republic of Turkey Prime Ministry Ottoman Archives and compared with the current methods.

  7. The flora of Early Permian coal measures from the Parana Basin in Brazil: A review

    Energy Technology Data Exchange (ETDEWEB)

    Iannuzzi, Roberto [Centro de Investigacoes do Gondwana, Instituto de Geociencias, Universidade Federal do Rio Grande do Sul, Av. Bento Goncalves, 9500, Porto Alegre, RS, 91.509-900 (Brazil)

    2010-08-01

    This paper presents an updated overview integrating both previous and newly published data on the most important floras found associated with Early Permian coal seams in the Parana Basin, Brazil. These floras occur within the Rio Bonito Formation and correspond to the Gondwana ''Glossopteris Flora.'' For this review, five floras are selected, in ascending stratigraphic order: the ''Sao Joao do Triunfo,'' ''Figueira,'' ''Quiteria,'' ''Morro do Papaleo'' and ''Irapua Bed'' floras. They are the best-known floras of the basin in terms of taxonomic composition, paleoecology and environments of deposition. An early-mid Sakmarian to earliest Artinskian age is indicated for the Rio Bonito Formation based on absolute radiometric and relative biostratigraphic ages. Integration of available information about the selected floras allows evaluation of taphonomic and paleoecological factors to provide a more comprehensive understanding of the Early Permian floral record in the Parana Basin. The variation observed in both the taxonomic composition of individual floras and in the frequency of occurrence of different plant groups is due to the broad range of environmental/edaphic conditions that prevailed in the many different depositional settings represented in the Rio Bonito Formation. A more precise age determination obtained for the plant-bearing deposits permits the establishment of a more confident correlation between the Early Permian floral succession in the Parana Basin and other Early Permian floral successions in other basins. The Sakmarian global warming favored the appearance of pecopterid and sphenopterid ferns amongst the spore-producing plants, and the glossopterids amongst the pollen-producing plants. (author)

  8. HIV rapid testing as a key strategy for prevention of mother-to-child transmission in Brazil

    Science.gov (United States)

    Veloso, Valdiléa G; Bastos, Francisco I; Portela, Margareth Crisóstomo; Grinsztejn, Beatriz; João, Esau Custodio; da Silva Pilotto, Jose Henrique; Araújo, Ana Beatriz Busch; Santos, Breno Riegel; da Fonseca, Rosana Campos; Kreitchmann, Regis; Derrico, Monica; Friedman, Ruth Khalili; Cunha, Cynthia B; Morgado, Mariza Gonçalves; Saines, Karin Nielsen; Bryson, Yvonne J

    2015-01-01

    OBJECTIVE To assess the feasibility of HIV rapid testing for pregnant women at maternity hospital admission and of subsequent interventions to reduce perinatal HIV transmission. METHODS Study based on a convenience sample of women unaware of their HIV serostatus when they were admitted to delivery in public maternity hospitals in Rio de Janeiro and Porto Alegre, Brazil, between March 2000 and April 2002. Women were counseled and tested using the Determine HIV1/2 Rapid Test. HIV infection was confirmed using the Brazilian algorithm for HIV infection diagnosis. In utero transmission of HIV was determined using HIVDNA-PCR. There were performed descriptive analyses of sociodemographic data, number of previous pregnancies and abortions, number of prenatal care visits, timing of HIV testing, HIV rapid test result, neonatal and mother-to-child transmission interventions, by city studied. RESULTS HIV prevalence in women was 6.5% (N=1,439) in Porto Alegre and 1.3% (N=3.778) in Rio de Janeiro. In Porto Alegre most of women were tested during labor (88.7%), while in Rio de Janeiro most were tested in the postpartum (67.5%). One hundred and forty-four infants were born to 143 HIV-infected women. All newborns but one in each city received at least prophylaxis with oral zidovudine. It was possible to completely avoid newborn exposure to breast milk in 96.8% and 51.1% of the cases in Porto Alegre and Rio de Janeiro, respectively. Injectable intravenous zidovudine was administered during labor to 68.8% and 27.7% newborns in Porto Alegre and Rio de Janeiro, respectively. Among those from whom blood samples were collected within 48 hours of birth, in utero transmission of HIV was confirmed in 4 cases in Rio de Janeiro (4/47) and 6 cases in Porto Alegre (6/79). CONCLUSIONS The strategy proved feasible in maternity hospitals in Rio de Janeiro and Porto Alegre. Efforts must be taken to maximize HIV testing during labor. There is a need of strong social support to provide this

  9. Infection prevention and control in dental surgeries in the Pará state prison system in Brazil.

    Science.gov (United States)

    Lima, Clelia Maria A; Smith, Andrew J; Fonseca Silva, Almenara S; Flório, Flávia M; Zanin, Luciane

    2016-11-01

    Prison populations have higher levels of bloodborne viruses with consequently higher risks of cross-infection. This study assessed infection prevention and occupational hazards in prison dental surgeries in the Brazilian state of Pará. Investigations were undertaken by a single examiner in 11 prison clinics. Manual washing of instruments with no detergents and dry heat sterilization were the main instrument decontamination methods used. Most surgeries had insufficient instruments for daily clinical work requirements. Half of dentists interviewed worked single-handed with no documented policies or health and safety procedures. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  10. [Health education actions for the prevention and control of dengue fever: a study at Icaraí, Caucaia, Ceará State, Brazil].

    Science.gov (United States)

    Sales, Fátima Maria de Sousa

    2008-01-01

    This study analyses education actions and their strategies for preventing and controlling dengue fever, highlighting constraints and difficulties. Conducted through a qualitative approach at the Primary Care Unit and 8 properties in Icaraí, Ceará State, Brazil, its 17 subjects are divided into groups: I (8 PCU users); II (4 Endemic Disease Control Agents); and III (5 healthcare practitioners). The data was collected through semi-structured interviews; participative observation and documentary analyses, using a hermeneutic dialectic analysis method. The findings indicate that health education actions are divergent, while transforming actions are ineffective in terms of impacts on the disease. Difficulties include: weak location-specific actions; educational messages whose contents are not tailored to their contexts; authoritarian and coercive strategies; absence of public policies; gaps between PCU and local population; stress on public health campaigns; practitioners who do not listen to the population and vice-versa; with technical expertise still prevailing over users. The evidence underscores the need for actions strengthening the possibilities of empowering the subjects, helping them become responsible for their own lives and citizenship construction processes.

  11. Mother-to-child Transmission of HIV From 1999 to 2011 in the Amazonas, Brazil: Risk Factors and Remaining Gaps in Prevention Strategies.

    Science.gov (United States)

    de Andrade, Solange Dourado; Sabidó, Meritxell; Marcelo Monteiro, Wuelton; Canellas, Luiz; Prazeres, Vania; Schwartz Benzaken, Adele

    2016-02-01

    The purpose of the study was to estimate rates of mother-to-child transmission (MTCT) of HIV in the Amazonas, Brazil, and to identify the associated factors. This was a retrospective cohort study of 1210 children born to HIV-infected women between 1999 and 2011 and enrolled before age of 18 months in a reference HIV/AIDS pediatrics service in Manaus. We used multivariable logistic regression to assess the effect of maternal, obstetric and prophylactic interventions on MTCT of HIV. Ten children were excluded because of undocumented maternal HIV status. Among 1200 children, 163 (13.6%) were lost to follow-up. We included in the analysis 1037 children with known HIV status. Of those, 68 children were HIV infected, resulting in a MTCT rate of 6.6% [95% confidence interval (CI): 5.3-8.3]. Among mothers, 76.1% had received antiretroviral therapy during pregnancy, 59.3% elective caesarean, and 9.7% were breastfed. Factors associated with lower odds of MTCT of HIV were antiretroviral therapy during pregnancy [odds ratio (OR): 0.26; 95% CI: 0.12-0.58], elective caesarean (OR: 0.48; 95% CI: 0.23-0.98) and with MTCT: being breastfed (OR: 4.56; 95% CI: 2.19-9.50). Transmission decreased from 7.5% in 2007-2008 to 3.2% in 2011, while breastfeeding decreased from 30.8% in 1999-2000 to 3.9% in 2011-2012. The HIV rate of MTCT is still high in the Amazonas and challenges for its prevention prevail including lost to follow-up and gaps in critical strategies such as antiretroviral use during pregnancy. More efforts are needed to increase the number of women and babies who successfully complete the prevention of MTCT cascade and work toward elimination of MTCT of HIV.

  12. Considerations for the definition, measurement, consequences, and prevention of dating violence victimization among adolescent girls.

    Science.gov (United States)

    Teten, Andra L; Ball, Barbara; Valle, Linda Anne; Noonan, Rita; Rosenbluth, Barri

    2009-07-01

    Violence experienced by adolescent girls from their dating partners poses considerable threat to their health and well-being. This report provides an overview of the prevalence and consequences of heterosexual teen dating violence and highlights the need for comprehensive prevention approaches to dating violence. We also discuss some considerations and future directions for the study and prevention of dating violence. We begin with a discussion of the definition of dating violence and also discuss measurement concerns and the need for evaluation of prevention strategies. Although women and men of all ages may be the victims or perpetrators, male-to-female dating violence experienced by adolescent girls is the main focus of this article. We incorporate research regarding girls' perpetration of dating violence where appropriate and as it relates to prevention.

  13. Sellers to Preventive and Control Measures on Bird Flu, Benin City, Nigeria

    Directory of Open Access Journals (Sweden)

    V. Y. Adam

    2014-01-01

    Full Text Available Investigated was the knowledge of preventive measures of avian influenza from farmers, live chicken sellers, and poultry veterinarian in Benin City, Edo State, Nigeria. A cross-sectional descriptive study using standardized questionnaire was conducted. Respondents included 236 poultry farmers, live chicken sellers (LCS, and veterinarian aged 12–70 years in contact with birds through husbandry. The study duration was from October 2010 to May 2011. Participants knowledge on transmission sources showed low understanding with highest being from bird-bird (57.3%. The medium most commonly utilized was electronic media (82.5% as information source. Respondents thought that vaccination of birds (80.6% would prevent infection. Farmers’ education on bird flu needs to be improved through veterinary public health and health promotion approach. Nonpharmaceutical preventive measures such as hand washing freely and avoidance of eye, nose, and mouth touching must be improved.

  14. Effect of Preventive Oral Hygiene Measures on the Development of New Carious lesions.

    Science.gov (United States)

    Ashkenazi, Malka; Bidoosi, Mervat; Levin, Liran

    2014-01-01

    To evaluate the effect of preventive oral hygiene measures on the development of new carious lesions. Children regularly and irregularly attending recall appointments in a paediatric dental clinic were interviewed regarding their preventive measures performance. Newly developed carious lesions were also recorded. The files of 651 children were analysed. A significant negative correlation was found between newly developed carious lesions and total number (P carious lesions: brushing regularly twice a day, concentration of fluoride in the toothpaste greater than 1100 ppm and frequency of follow-ups. Regular toothbrushing twice a day is of high importance for caries prevention. Fluoride concentration of > 1100 ppm in toothpaste should be recommended for children (considering the child's age) in order to maximise the fluoride protective effect. The importance of attending periodic recall appointments in order to maintain long term oral health should be emphasised.

  15. Relevance of balance measurement tools and balance training for fall prevention in older adults

    Directory of Open Access Journals (Sweden)

    Majumi M. Noohu, MPTh

    2014-06-01

    Full Text Available Approximately one in three older people fall each year owing to gait/balance disorder/weakness, the second leading cause of falls in older adults. This review evaluates the capability of different balance measurement tools to predict falls in the elderly, which are used routinely for assessing balance impairment. Balance measurement tools reviewed are the Timed Up and Go test, Berg Balance Scale, Tinetti Performance Oriented Mobility Assessment, Functional Reach Test, Clinical Test of Sensory Integration for Balance, and the postural sway measurements or center of pressure. The effect of balance training on the postural control mechanism and its efficacy in fall prevention in older adults were also reviewed. The current evidence is not conclusive enough to favor existing balance measurement tools and balance training implemented for fall prevention in older adults.

  16. Desigualdade de indicadores de mortalidade no Sudeste do Brasil Mortality risk measure inequalities among workers in Southeast Brazil

    Directory of Open Access Journals (Sweden)

    Ricardo Cordeiro

    1999-12-01

    Full Text Available INTRODUÇÃO: Há indícios de que a deterioração das condições de trabalho ocorrida em anos recentes influencie a mortalidade. O objetivo do estudo é estimar indicadores de mortalidade para a população de Botucatu, classificada de acordo com as ocupações exercidas. MÉTODO: Foram calculados os indicadores coeficiente de mortalidade padronizado (CMP, razão de risco padronizada e anos potenciais de vida perdidos (APVP para a população de Botucatu, em 1997, segundo ocupações e causas básicas do óbito. RESULTADOS: Os indicadores CMP e APVP variaram entre 0,6 e 39,9 óbitos/1000 trabalhadores e entre 33 e 334 anos/1000 trabalhadores, respectivamente, de acordo com a ocupação principal exercida. Observou-se que a ordenação quantitativa das causas de óbito depende da ocupação e do indicador utilizado. CONCLUSÕES: Os indicadores de mortalidade verificados apresentam uma grande heterogeneidade quando analisados de acordo com ocupação e causas básicas de óbito, refletindo a enorme desigualdade social existente na população estudada.INTRODUCTION: The main causes of illness and death in Brazil have been migrating backwards into the younger population during the last few years, increasing especially in the more productive age groups. Given the relationship between work and health/disease process, the hypothesis to be considered is that this phenomenon is partially due to the deterioration of workplace conditions. To contribute to investigating this hypothesis, this study estimates mortality risk indicators for the population of Botucatu, in the Southeast region of Brazil, classified according to their occupation. METHODS: Standardized mortality coefficient, standardized risk ratio, and years of potential life lost were calculated for the inhabitants of Botucatu who died after their 10th birthday, between January 1997 and March 1998, and classified according to their occupation and main cause of death. Occupational and medical

  17. Occurrence of occupational asthma in aluminum potroom workers in relation to preventive measures

    NARCIS (Netherlands)

    Sorgdrager, B; de Looff, AJA; de Monchy, JGR; Pal, TM; Dubois, AEJ; Rijcken, B

    The purpose of this study was to investigate whether preventive measures such as reduction of exposure and the introduction of the histamine provocation test (HPT) as a selection instrument resulted in a lower incidence of potroom asthma (PA) and a longer time lag between the commencement of

  18. Which preventive measures against mastitis can increase the technical efficiency of dairy farms?

    Science.gov (United States)

    Hansson, H; Szczensa-Rundberg, M; Nielsen, C

    2011-02-01

    The aim of this paper was to explore if, and in that case how, various preventive measures against mastitis influenced the whole-farm economic outcome, measured as technical efficiency, of a sample of specialised dairy farms in Sweden. In particular, the paper aimed at analysing whether a change to preventive measures applied by fully efficient farms would be a way for inefficient farms to become fully efficient. First, technical efficiency was assessed for each farm in the sample based on farm-level accounting data and the data envelopment analysis. In a second step, the effects of preventive measures against mastitis (collected through a mail questionnaire) on technical efficiency were assessed with logistic regression. Keeping cows in a loose-housing barn, stimulating udders manually during milking, and having cows standing on clean bedding during milking were found to significantly increase the probability of a farm being fully efficient. Once the farmer considers the somatic cell count (SCC) to be too high, undertaking measures such as contacting a veterinarian, checking overall hygiene routines, and culling cows with high SCC were found to significantly increase the probability of a farm being fully efficient. Thus, these measures may be plausible targets for advisory services aimed at assisting farmers to become fully efficient, especially if they are confirmed in future studies. Several common preventive measures against mastitis, that is, choice of bedding material, frequency of cleaning stalls, pre-milking, post-milking teat disinfection, applying a milking order based on the SCC of cows, and milking high-SCC cows with a separate cluster, were found to have no statistically significant effect on farm economic outcome. However, these measures may still be valuable for non-economic goals, such as increased animal welfare, and the results imply that they can be implemented without negative impact on the economic performance of the farm.

  19. Traceability from governmental producers of radiopharmaceuticals in measuring (18)F in Brazil.

    Science.gov (United States)

    Oliveira, A E; Iwahara, A; Silva, C J; Cruz, P A L; Poledna, R; Silva, R L; Laranjeira, A S; Delgado, J U; Tauhata, L; Loureiro, J S; Toledo, B C; Braghirolli, A M S; Andrade, E A L; Silva, J L; Hernandes, H O K; Valente, E S; Dalle, H M; Almeida, V M; Silva, T G; Fragoso, M C F; Oliveira, M L; Nascimento, E S S; Oliveira, E M; Herrerias, R; Souza, A A; Bambalas, E; Bruzinga, W A

    2016-03-01

    Since the inception of its proficiency test program to evaluate radionuclide measurement in hospitals and clinics, the National Metrology Laboratory of Ionizing Radiation-LNMRI, that represents Brazilian National Metrology Institute (NMI) for ionizing radiation has expanded its measurement and calibration capability. Requirements from the National Health Surveillance Agency from Ministry of Health (ANVISA), to producers of radiopharmaceuticals provided an opportunity to improve the full traceability chain to the highest level. Fluorodeoxyglucose (FDG-(18)F) is the only radiopharmaceutical simultaneously produced by all Brazilian radiopharmaceutical production centers (RPCs). By running this proficiency test, LNMRI began to provide them with the required traceability. For evaluation, the ratio of RPC to reference value results and ISO/IEC17043:2010 criteria were used. The reference value established as calibration factor on the secondary standard ionization chamber was obtained from three absolute measurements systems, and routinely confirmed in each round of proficiency test by CIEMAT/NIST liquid scintillation counting. The γ-emitting impurities were checked using a High-Purity Germanium (HPGe) detector. The results show that Brazilian RPCs are in accordance with (accuracy within ±10%) the Brazilian standard for evaluation of measurements with radionuclide calibrators (CNEN NN 3.05., 2013). Nevertheless, the RPCs should improve the methodology of uncertainty estimates, essential when using the statistical criteria of ISO/IEC 17043 standard, in addition to improving accuracy to levels consistent with their position in the national traceability chain. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Awareness on causes, consequences and preventive measures of obesity among urban married women in India

    Directory of Open Access Journals (Sweden)

    Praween Agrawal

    2013-10-01

    Full Text Available Background: In spite of the numerous chronic diseases that have been linked to obesity, studies focusing on the awareness regarding causes, consequences and strategies to prevent and control of obesity among women are lacking in the literature, especially in developing countries such as India, where obesity is culturally accepted and nurtured and women bearded the highest weight gain in the recent decade. Objective: We explored the awareness regarding causes, consequences and preventive measures of obesity among 325 ever-married aged 20-54 years women with different levels of body mass index (BMI in the national capital territory of Delhi representing urban India. Materials and Methods: A population based follow-up survey of women systematically selected from the second round of National Family Health Survey (NFHS-2, 1998-99 samples who were re-interviewed after four years in 2003. As a part of qualitative data collection, the respondents were asked to free list open-ended questions on causes, consequences and preventive measures of obesity. Responses were analyzed through Anthropac software package. Results: Over eating was reported as the most important cause of obesity by normal and overweight women whereas obese women reported fried food consumption as the most important cause of weight gain. A few women from each group reported changing lifestyle as a cause of obesity. Also, there were lots of misconceptions about the cause of obesity among women (such as no tension in life, more tension, happiness, constipation, problem in Delhi's water etc.. In terms of the consequences of obesity, the participants were well aware of the common physical consequences. Normal and obese women reported breathlessness as the most important consequence whereas overweight women reported problem in standing and sitting. Regarding preventive measures, overweight and obese women reported 'walking' as most important preventive measure of obesity whereas normal women

  1. Awareness on causes, consequences and preventive measures of obesity among urban married women in India.

    Science.gov (United States)

    Agrawal, Praween; Gupta, Kamla; Mishra, Vinod; Agrawal, Sutapa

    2013-10-01

    In spite of the numerous chronic diseases that have been linked to obesity, studies focusing on the awareness regarding causes, consequences and strategies to prevent and control of obesity among women are lacking in the literature, especially in developing countries such as India, where obesity is culturally accepted and nurtured and women bearded the highest weight gain in the recent decade. We explored the awareness regarding causes, consequences and preventive measures of obesity among 325 ever-married aged 20-54 years women with different levels of body mass index (BMI) in the national capital territory of Delhi representing urban India. A population based follow-up survey of women systematically selected from the second round of National Family Health Survey (NFHS-2, 1998-99) samples who were re-interviewed after four years in 2003. As a part of qualitative data collection, the respondents were asked to free list open-ended questions on causes, consequences and preventive measures of obesity. Responses were analyzed through Anthropac software package. Over eating was reported as the most important cause of obesity by normal and overweight women whereas obese women reported fried food consumption as the most important cause of weight gain. A few women from each group reported changing lifestyle as a cause of obesity. Also, there were lots of misconceptions about the cause of obesity among women (such as no tension in life, more tension, happiness, constipation, problem in Delhi's water etc.). In terms of the consequences of obesity, the participants were well aware of the common physical consequences. Normal and obese women reported breathlessness as the most important consequence whereas overweight women reported problem in standing and sitting. Regarding preventive measures, overweight and obese women reported 'walking' as most important preventive measure of obesity whereas normal women reported 'doing exercise'. In addition, 'dieting' was reported as the

  2. Temporal distribution of Aedes aegypti in different districts of Rio de Janeiro, Brazil, measured by two types of traps.

    Science.gov (United States)

    Honório, N A; Codeço, C T; Alves, F C; Magalhães, M A F M; Lourenço-De-Oliveira, R

    2009-09-01

    Dengue dynamics in Rio de Janeiro, Brazil, as in many dengue-endemic regions of the world, is seasonal, with peaks during the wet-hot months. This temporal pattern is generally attributed to the dynamics of its mosquito vector Aedes aegypti (L.). The objectives of this study were to characterize the temporal pattern of Ae. aegypti population dynamics in three neighborhoods of Rio de Janeiro and its association with local meteorological variables; and to compare positivity and density indices obtained with ovitraps and MosquiTraps. The three neighborhoods are distinct in vegetation coverage, sanitation, water supply, and urbanization. Mosquito sampling was carried out weekly, from September 2006 to March 2008, a period during which large dengue epidemics occurred in the city. Our results show peaks of oviposition in early summer 2007 and late summer 2008, detected by both traps. The ovitrap provided a more sensitive index than MosquiTrap. The MosquiTrap detection threshold showed high variation among areas, corresponding to a mean egg density of approximately 25-52 eggs per ovitrap. Both temperature and rainfall were significantly related to Ae. aegypti indices at a short (1 wk) time lag. Our results suggest that mean weekly temperature above 22-24 degrees C is strongly associated with high Ae. aegypti abundance and consequently with an increased risk of dengue transmission. Understanding the effects of meteorological variables on Ae. aegypti population dynamics will help to target control measures at the times when vector populations are greatest, contributing to the development of climate-based control and surveillance measures for dengue fever in a hyperendemic area.

  3. Measuring Bystander Behavior in the Context of Sexual Violence Prevention: Lessons Learned and New Directions.

    Science.gov (United States)

    McMahon, Sarah; Palmer, Jane E; Banyard, Victoria; Murphy, Megan; Gidycz, Christine A

    2015-07-05

    Bystander intervention is receiving increased attention as a potential sexual violence prevention strategy, especially to address campus sexual assault. Rather than focusing on potential perpetrators or victims, the bystander approach engages all members of a community to take action. A growing body of evaluative work demonstrates that bystander intervention education programs yield increased positive attitudes and behaviors related to sexual violence and greater willingness to intervene in pro-social ways. Future program outcome studies, however, would benefit from more refined measures of bystander action as it is a key variable that prevention education programs attempt to influence. The purpose of the current article is to present key issues, identified by four different research teams, on the measurement of bystander behavior related to sexual violence in the context of college campuses. Comparisons among the methods are made to suggest both lessons learned and new directions for bystander behavior measurement using self-report surveys in program evaluation. © The Author(s) 2015.

  4. Indoor radon measurements in dwellings and other buildings in the metropolitan region of Belo Horizonte, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Talita de Oliveira [Centro Federal de Educacao Tecnologica de Minas Gerais (CEFET-MG), Belo Horizonte, MG (Brazil)]. E-mail: talitaolsantos@yahoo.com.br; Rocha, Zildete [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil). Servico de Quimica e Radioquimica]. E-mail: rochaz@cdtn.br

    2007-07-01

    Radon is a radioactive noble gas derived from the natural decay series of {sup 238}U, {sup 235}U, and {sup 232}Th, which are present in rocks and soils. By diffusion and convection, radon migrates from the rocks and soils to the surface and through fissures, pipes and holes it may enter the dwellings and other buildings. Another important indoor radon source is the building material construction. Therefore, it may accumulate indoor environments with reduced ventilation rates. Radon progeny attach to the aerosol particle in the air. The attached and unattached radon progeny may deposit in the lungs and irradiate to the lung tissue as they decay. Radon has been recognized as a radiation hazard, that causes excess of lung cancer among underground miners and there is an evidence that radon is also a heath hazard in dwellings and other indoor environments. Radon accounts for about half of all human exposure to natural radiation. Radon concentration measurements were carried out in dwellings, schools and shopping centers in the Metropolitan Region of Belo Horizonte - RMBH. Most part of the inhabitants of the RMBH lives over the granitic gneissic complex, which has a variable depth out coming in some areas. For the radon concentration measurement continuous detectors, AlphaGUARD PQ2000PRO, RAD7 and Pylon Lucas Cells were used and, for Potential Alpha Energy Concentration-PAEC measurement a solid state alpha spectroscope, the DOSEman PRO was used. The experiments showed that most results are below 50 Bqm{sup -3} (mean+3{sigma}). This value is bellowing the action levels of the USEPA, ICRP and others, which varies in the range from 148 to 200 Bqm{sup -3}. The values are in the low range, as it was expected for a tropical climate. (author)

  5. Measurement and modeling of wind waves at the northern coast of Santa Catarina, Brazil

    Directory of Open Access Journals (Sweden)

    José Henrique G. M. Alves

    2001-01-01

    Full Text Available Directional measurements of wind-wave spectra made during the year of 1996 are used in a preliminary investigation of the wind-wave climate and its transformation at the São Francisco do Sul island, northern coast of the Santa Catarina state. Four major sea states and associated meteorological conditions are identified through analyses of joint distributions of observed wave parameters. Transformations of these main sea-state patterns due to refraction and shoaling are investigated through a numerical modeling approach that allows the reconstruction of the wave field within extensive coastal areas, using single point measurements of the wave spectrum in shallow waters. Cross-validation of measured and reconstructed spectra at the study site yield consistent results, suggesting that the proposed methodology works well for the São Francisco do Sul coast.Medições do espectro direcional de ondas geradas pelo vento realizadas em 1996 são utilizadas em uma investigação preliminar do clima de ondas no litoral norte de Santa Catarina, Brasil. Quatro estados de mar predominantes são identificados, em conjunto com os padrões meteorológicos associados a sua ocorrência, através de análises estatísticas. As transformações desses quatro estados de mar devido a refraçâo e empinamento são investigadas através de modelos numéricos, que permitem obter estimativas do campo de ondas em áreas extensas a partir de medições pontuais feitas em águas rasas. Comparações entre espectros medidos e modelados produzem resultados consistentes, sugerindo que a metodologia proposta é válida para a costa de São Francisco do Sul.

  6. Mortalidade infantil e evitabilidade em Mato Grosso do Sul, Brasil, 2000 a 2002 Infant mortality and its preventability in Mato Grosso do Sul State, Brazil, 2000-2002

    Directory of Open Access Journals (Sweden)

    Ana Lúcia Gomes da Silva Gastaud

    2008-07-01

    Full Text Available Este estudo retrospectivo caracteriza o perfil epidemiológico da mortalidade infantil em 16 municípios sul-mato-grossenses em 2000-2002 e avalia seu grau de evitabilidade, utilizando a Classificação Internacional de Doenças, 10ª Revisão (CID-10 e a Lista de Causas de Morte Evitáveis por Intervenções no Âmbito do Sistema Único de Saúde do Brasil. Dados do Sistema de Informações sobre Mortalidade (SIM revelaram óbitos por causas perinatais em 54,3% dos 1.537 casos; anomalias congênitas em 14,9%; doenças infecciosas e parasitárias em 9,4% e doenças do aparelho respiratório em 7%. As mortes evitáveis e reduzíveis perfizeram 73,1%, na maior parte (69,5% decorrendo de inadequada atenção à mulher na gestação e parto e ao recém-nascido. Outras causas relacionaram-se à imunoprevenção (0,7%, ações de diagnóstico e tratamento (10,4% e promoção à saúde (11,2%. As mortes por causas não claramente evitáveis totalizaram 24,3%. Os resultados reforçam a relevância da monitorização de agravos materno-infantis para redução da mortalidade infantil, principalmente em menores de sete dias.This retrospective study describes the epidemiological profile of infant mortality in 2000-2002 in 16 counties in Mato Grosso do Sul State, Brazil, and evaluates the preventability of such deaths, using the International Statistical Classification of Diseases and Related Health Problems (ICD-10 and the List of Causes of Death Preventable by Interventions in the Setting of the Brazilian Unified National Health System in Children Under Five Years. Perinatal causes accounted for 54.3% of the 1,537 deaths, according to the Mortality Information System; congenital anomalies 14.9%; infectious and parasitic diseases 9.4%; and respiratory disorders 7%. A full 73.1% of deaths were preventable, and most (69.5% resulted from inadequate prenatal, obstetric, and neonatal care. Additional causes were related to vaccine prevention (0.7%, diagnosis and

  7. Prevention of HIV infection among migrant population groups in Northeast Brazil O papel da migração na prevenção da infecção pelo HIV no Nordeste Brasileiro

    Directory of Open Access Journals (Sweden)

    Ligia Regina Sansigolo Kerr-Pontes

    2004-02-01

    Full Text Available HIV infection is spreading among the poor, women, and migrant communities in the interior of Northeast Brazil. The research focused on different configurations, beliefs, representations, and forms of social organization of behavior thought to be associated with the population's capacity to efficiently follow AIDS prevention measures. Participants located in neighborhoods known for having large migrant populations were identified by Family Health Program Workers in Fortaleza and Teresina. The study adopted a qualitative methodology. Several belief-system concepts and values, as well as the social organization of sexuality revealed in the study, represent obstacles both to AIDS prevention and condom use. Hunger, lack of prospects, and fear are associated with a social situation of poverty, exclusion, prejudice, and total absence of basic human rights When examined together, these elements define different configurations in the migrants' increased vulnerability to HIV/AIDS. The groups' increased vulnerability relates to the socioeconomic complexity that must be considered in HIV/AIDS control and prevention programs.A infecção pelo HIV entre pobres, mulheres e populações migrantes do interior do Nordeste Brasileiro vem crescendo. As diferentes configurações, crenças e representações e formas de organização do comportamento, associadas à capacidade de seguir adequadamente medidas de prevenção, foram o foco desta investigação. Os participantes foram localizados em bairros com altas taxas de migração através do Programa Saúde da Família em Fortaleza e Teresina. Empregou-se a metodologia qualitativa nesta investigação. Vários sistemas de crenças, valores e organização social da sexualidade desta população representam obstáculos à prevenção da AIDS e inibem o uso do preservativo. Pobreza, falta de perspectiva e medo estão associados à situação de pobreza, exclusão social e preconceito e à total ausência de direitos

  8. The problems of the late implementation of the legal prevention measures for flood risk

    Directory of Open Access Journals (Sweden)

    Sanseverino-Godfrin Valérie

    2016-01-01

    Full Text Available Three main laws, 13th July 1982, 2nd February 1995 and 30th July 2003, have reformed the French legal framework and introduced special measures to prevent flood risks. Besides, completing these measures, the urban planning law have imposed since the 1987 Law that the urban planning documents have had to take into account the natural hazards to define the buildable areas. But, the late implementation of the prevention provisions and the lack of the urban planning documents concerning the natural hazards have led to a development of the urbanism in the flood prone areas. As consequences, most of the constructions are not flood proof, and many large damages are caused each time a flood occurs. We present this problematic through 8 municipalities in three departments (Aude, Gard, and Var.

  9. Current and Ongoing Internet Crime Tendencies and Techniques. Preventive Legislation Measures in Romania

    Directory of Open Access Journals (Sweden)

    Florin Postolache

    2010-06-01

    Full Text Available Internet crime techniques that pilfer from victims millions each year continue to plague the Internet through a range of methods. Trends and techniques identified by many organizations along with itsdescription are followed by preventative measures that will support you in being informed prior to entering into dealings and transactions over the Internet. Techniques as Auction Fraud, Counterfeit Cashier's Check, Credit Card Fraud, Debt Elimination, Parcel Courier Email Scheme, Employment/Business Opportunities,Escrow Services Fraud, Identity Theft, Internet Extortion, Investment Fraud, Lotteries, Nigerian Letter or "419", Phishing/Spoofing, Ponzi/Pyramid, Reshipping, Spam, Third Party Receiver of Funds are clarified in this paper and, also the internet crime prevention and legislative measures are treated, too.

  10. The prevalence and preventive measures of the respiratory illness among Malaysian pilgrims in 2013 Hajj season.

    Science.gov (United States)

    Hashim, Suhana; Ayub, Zeti N; Mohamed, Zeehaida; Hasan, Habsah; Harun, Azian; Ismail, Nabilah; Rahman, Zaidah A; Suraiya, Siti; Naing, Nyi Nyi; Aziz, Aniza A

    2016-02-01

    Respiratory illness continues to exert a burden on hajj pilgrims in Makkah. The purpose of this study is to determine the prevalence of respiratory illness and its associated factors among Malaysian hajj pilgrims in 2013 and to describe its preventive measures. A cross-sectional study was conducted in Makkah and Malaysia during the 2013 hajj season. A self-administered proforma on social demographics, previous experience of hajj or umrah, smoking habits, co-morbid illness and practices of preventive measures against respiratory illness were obtained. A total of 468 proforma were analysed. The prevalence of the respiratory illness was 93.4% with a subset of 78.2% fulfilled the criteria for influenza-like illness (ILI). Most of them (77.8%) had a respiratory illness of travel medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Study on Causes of Cracks & its Preventive Measures in Concrete Structures

    Directory of Open Access Journals (Sweden)

    Pooja Nama

    2015-05-01

    Full Text Available The problem of cracking in building is becoming a difficult puzzle for engineers nowadays. Cracking is an unavoidable response of any structure while designers are trying to eliminate many of the causes of cracking and design tolerance for other factors. We all want our building structurally safe but it is not so easy. Some faulty steps during construction and some unavoidable reasons different type of cracks starts to appear on various structural and non- structural parts of the building. So, timely identification of such cracks and adopting preventive measure are essential. The repair materials and repair technique are different depending upon forms of cracks according to their positions in structure. Some types of cracks seriously need attention as they are structurally hazardous. In this paper, we will discuss about the problem engineers are facing i.e. of cracking after construction and what preventive measures should be taken along with the techniques to cure cracks.

  12. Study on the Status Quo and Prevention-control Measures of Seawater Intrusion in Qingdao City

    Institute of Scientific and Technical Information of China (English)

    SUN; Jian-ming; LI; Jia-jia; GAO; Zong-jun

    2012-01-01

    Firstly, the general situation, influencing factors and damage of seawater intrusion in Qingdao City, Shandong Province were analyzed, and then some appropriate remedial measures were put forward, such as improving groundwater monitoring system in costal areas, exploiting groundwater reasonably, building underground cut-off walls and strengthening river management, which would provide a new approach for the prevention and control of seawater intrusion in Qingdao City.

  13. Survey of use of malaria prevention measures by Canadians visiting India

    Science.gov (United States)

    dos Santos, C C; Anvar, A; Keystone, J S; Kain, K C

    1999-01-01

    BACKGROUND: Imported malaria is an increasing problem, particularly among new immigrant populations. The objective of this study was to determine the malaria prevention measures used by Canadians originating from a malaria-endemic area when returning to visit their country of origin. METHODS: A 35-item English-language questionnaire was administered by interview to travellers at a departure lounge at Pearson International Airport, Toronto, between January and June 1995. Information was collected on subject characteristics, travel itinerary, perceptions about malaria, and pretravel health advice and malaria chemoprophylaxis and barriers to their use. RESULTS: A total of 324 travellers departing on flights to India were approached, of whom 307 (95%) agreed to participate in the study. Participants were Canadian residents of south Asian origin with a mean duration of residence in Canada of 12.8 years. Most of the respondents were returning to visit relatives for a mean visit duration of 6.8 weeks. Although 69% of the respondents thought malaria was a moderate to severe illness and 54% had sought advice before travelling, only 31% intended to use any chemoprophylaxis, and less than 10% were using measures to prevent mosquito bites. Only 7% had been prescribed a recommended drug regimen. Family practitioners were the primary source of information for travellers and were more likely to prescribe an inappropriate chemoprophylactic regimen than were travel clinics or public health centres (76% v. 36%) (p = 0.003). Respondents who had lived in Canada longest and those with a family history of malaria were more likely to use chemoprophylaxis (p < 0.01). INTERPRETATION: Few travellers were using appropriate chemoprophylaxis and mosquito prevention measures. Misconceptions about malaria risk and appropriate prevention measures were the main barriers identified. PMID:9951440

  14. The school counsellor's role in recognizing eating disorders and implementing preventive measures

    OpenAIRE

    Berčnik, Sanja

    2012-01-01

    The present article discusses eating disorders. Eating disorders are defined as a serious health threat due to an abnormal relation to food which has become a way of coping with stress. They are also often linked to personality disorders. We have focused mainly on the three most common types of eating disorder – anorexia, bulimia, and compulsive (binge) eating – their recognizable features, the causes that lead to eating disorders, and on preventive measures practiced in ...

  15. Utility of ketone measurement in the prevention, diagnosis and management of diabetic ketoacidosis.

    Science.gov (United States)

    Misra, S; Oliver, N S

    2015-01-01

    Ketone measurement is advocated for the diagnosis of diabetic ketoacidosis and assessment of its severity. Assessing the evidence base for ketone measurement in clinical practice is challenging because multiple methods are available but there is a lack of consensus about which is preferable. Evaluating the utility of ketone measurement is additionally problematic because of variability in the biochemical definition of ketoacidosis internationally and in the proposed thresholds for ketone measures. This has led to conflicting guidance from expert bodies on how ketone measurement should be used in the management of ketoacidosis. The development of point-of-care devices that can reliably measure the capillary blood ketone β-hydroxybutyrate (BOHB) has widened the spectrum of applications of ketone measurement, but whether the evidence base supporting these applications is robust enough to warrant their incorporation into routine clinical practice remains unclear. The imprecision of capillary blood ketone measures at higher values, the lack of availability of routine laboratory-based assays for BOHB and the continued cost-effectiveness of urine ketone assessment prompt further discussion on the role of capillary blood ketone assessment in ketoacidosis. In the present article, we review the various existing methods of ketone measurement, the precision of capillary blood ketone as compared with other measures, its diagnostic accuracy in predicting ketoacidosis and other clinical applications including prevention, assessment of severity and resolution of ketoacidosis.

  16. 35 cases ventilator-associated pneumonia of prevention and care measures

    Institute of Scientific and Technical Information of China (English)

    杨文斌

    2014-01-01

    Objects: To discuss 35 cases ventilator-associated pneumonia of prevention and care measures. Method: It col ected 35 cases patients of ventilator-associated pneumonia from January 2007 to January 2010 in our hospital, It selects U.S. production of 7200 and 760 ventilator, began to control ventilation (ACMV). Results:The group of 35 patients with VAP, 30 cases were improved and offline successful after treatment, including machine 2 times on three cases of myasthenia gravis, successful weaning 2. Conclusion: The development of rational treatment and care measures can improve the survival rate of patients, shorter mechanical ventilation and length of stay, thus reducing the financial burden on patients.

  17. Developing measures of community-relevant outcomes for violence prevention programs: a community-based participatory research approach to measurement.

    Science.gov (United States)

    Hausman, Alice J; Baker, Courtney N; Komaroff, Eugene; Thomas, Nicole; Guerra, Terry; Hohl, Bernadette C; Leff, Stephen S

    2013-12-01

    Community-Based Participatory Research is a research paradigm that encourages community participation in designing and implementing evaluation research, though the actual outcome measures usually reflect the "external" academic researchers' view of program effect and the policy-makers' needs for decision-making. This paper describes a replicable process by which existing standardized psychometric scales commonly used in youth-related intervention programs were modified to measure indicators of program success defined by community partners. This study utilizes a secondary analysis of data gathered in the context of a community-based youth violence prevention program. Data were retooled into new measures developed using items from the Alabama Parenting Questionnaire, the Hare Area Specific Self-Esteem Scale, and the Youth Asset Survey. These measures evaluated two community-defined outcome indicators, "More Parental Involvement" and "Showing Kids Love." Results showed that existing scale items can be re-organized to create measures of community-defined outcomes that are psychometrically reliable and valid. Results also show that the community definitions of parent or parenting caregivers exemplified by the two indicators are similar to how these constructs have been defined in previous research, but they are not synonymous. There are nuanced differences that are important and worthy of better understanding, in part through better measurement.

  18. Hydrology evaluation of the Soil and Water Assessment Tool considering measurement uncertainty for a small watershed in southern Brazil

    Science.gov (United States)

    Areas under intensive tobacco crop cultivation have impacted the water balance and have become sources of environmental contamination in Southern Brazil. Correct determination of the area’s hydrology is essential since it is the driving force of sediment and nutrient loading dynamics. The Soil and W...

  19. Be-7 and Pb-210 deposition measured in rainfall in the city of São Paulo - Brazil

    Science.gov (United States)

    Damatto, S.; Souza, J. M.; Frujuele, J. V.; Máduar, M. F.; Pecequilo, B. S.

    2013-12-01

    The short-lived cosmogenic isotope Be-7 (T1/2 = 53.3 d) and the natural daughter product of Ra-222, Pb-210 (T1/2 = 22.3 y) have been widely used as tracer soil erosion, transport processes in watershed and chronometers in the environment. These isotopes have also been utilized to determine the aerosol residence time as well as removal rates of aerosols. The concentrations of these radionuclides were determined in samples of rainfall during the period of April 2011 to July 2013 at Instituto de Pesquisas Energéticas e Nucleares - IPEN's campus located in the city of São Paulo, São Paulo, Brazil. The sampling site is approximately 10 km west from downtown São Paulo (23o32'S - 46o37'W at 760 m above sea level). Climate in the area is temperate tropical with dry period in winter and rainy in summer with the annual rainfall ranged from 443 mm to 2081 mm. The annual average temperature is 19.1oC, showing minimum and maximum of 15.3oC and 24.9oC, respectively. Be-7 was measured by non-destructive gamma-ray spectrometry and Pb-210 was measured by beta gross counting in a gas flow proportional detector, after radiochemistry procedure. For gamma-ray spectrometry a coaxial Be-layer HPGe detector with 25% relative efficiency, 2.09 keV resolution at 1.33 MeV and associated electronic devices were used, with live counting time varying from 100,000 s to 300,000 s. The spectra were acquired by multichannel analyzer Ethernim and, for the analysis, WinnerGamma software was used. The obtained results for both radionuclides in all samples show that they present a similar behavior with zones of analogous latitude, but in Northern hemisphere, in spite of São Paulo city being situated in low latitudes of Southern hemisphere. The concentrations displayed clearly seasonal variations with higher values in spring and summer time and with the amount of precipitation.

  20. 10 CFR 50.60 - Acceptance criteria for fracture prevention measures for lightwater nuclear power reactors for...

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Acceptance criteria for fracture prevention measures for lightwater nuclear power reactors for normal operation. 50.60 Section 50.60 Energy NUCLEAR REGULATORY... of Licenses and Construction Permits § 50.60 Acceptance criteria for fracture prevention measures...

  1. Analysis of occupational accidents: prevention through the use of additional technical safety measures for machinery.

    Science.gov (United States)

    Dźwiarek, Marek; Latała, Agata

    2016-01-01

    This article presents an analysis of results of 1035 serious and 341 minor accidents recorded by Poland's National Labour Inspectorate (PIP) in 2005-2011, in view of their prevention by means of additional safety measures applied by machinery users. Since the analysis aimed at formulating principles for the application of technical safety measures, the analysed accidents should bear additional attributes: the type of machine operation, technical safety measures and the type of events causing injuries. The analysis proved that the executed tasks and injury-causing events were closely connected and there was a relation between casualty events and technical safety measures. In the case of tasks consisting of manual feeding and collecting materials, the injuries usually occur because of the rotating motion of tools or crushing due to a closing motion. Numerous accidents also happened in the course of supporting actions, like removing pollutants, correcting material position, cleaning, etc.

  2. Healthcare workers' challenges in the implementation of tuberculosis infection prevention and control measures in Mozambique.

    Directory of Open Access Journals (Sweden)

    Miranda Brouwer

    Full Text Available Healthcare Workers (HCWs have a higher frequency of TB exposure than the general population and have therefore an occupational TB risk that infection prevention and control (IPC measures aim to reduce. HCWs are crucial in the implementation of these measures. The objective of the study was to investigate Mozambican HCWs' perceptions of their occupational TB risk and the measures they report using to reduce this risk. In addition, we explored the challenges HCWs encounter while using these TBIPC measures.Focus group discussion. Analysis according content method.Four categories of HCWs: auxiliary workers, medical (doctors and clinical officers, nurses and TB program staff.HCWs are aware of their occupational TB risk and use various measures to reduce their risk of infection. HCWs find it challenging to employ measures that minimize such risks and a lack of clear guidelines contributes to these challenges. HCWs' and patient behavior further complicate the use of TBIPC measures.HCWs in Mozambique perceive a high occupational risk of TB infection. They report several challenges using measures to reduce this risk such as shortage of material, lack of clear guidelines, insufficient motivation and inadequate training. Robust training with motivational approaches, alongside supervision and support for HCWs could improve implementation of TBIPC measures. Healthcare management should address the areas for improvement that are beyond the individual HCW's control.

  3. Outdoor Hazards & Preventive Measures: West Nile Virus: A Clinical Commentary for the Camp Health Care Community; Poison Ivy: A Primer for Prevention; Lyme Disease Prevention and Control.

    Science.gov (United States)

    Reynolds, Ellen; Bauer, Holly; Ratner-Connolly, Heidi

    2003-01-01

    Transmitted by mosquitos, West Nile virus may cause serious illness, but the actual likelihood of infection is low. Prevention, implications, and recommendations for camps are discussed. Poison ivy identification, treatment, and complications are presented; a prevention quiz is included. Signs and symptoms of Lyme disease are described, as are…

  4. Measures Taken to Prevent Zika Virus Infection During Pregnancy - Puerto Rico, 2016.

    Science.gov (United States)

    D'Angelo, Denise V; Salvesen von Essen, Beatriz; Lamias, Mark J; Shulman, Holly; Hernandez-Virella, Wanda I; Taraporewalla, Aspy J; Vargas, Manuel I; Harrison, Leslie; Ellington, Sascha R; Soto, Leslianne; Williams, Tanya; Rodriguez, Aurea; Shapiro-Mendoza, Carrie K; Rivera, Brenda; Cox, Shanna; Pazol, Karen; Rice, Marion E; Dee, Deborah L; Romero, Lisa; Lathrop, Eva; Barfield, Wanda; Smith, Ruben A; Jamieson, Denise J; Honein, Margaret A; Deseda, Carmen; Warner, Lee

    2017-06-09

    Zika virus infection during pregnancy remains a serious health threat in Puerto Rico. Infection during pregnancy can cause microcephaly, brain abnormalities, and other severe birth defects (1). From January 1, 2016 through March 29, 2017, Puerto Rico reported approximately 3,300 pregnant women with laboratory evidence of possible Zika virus infection (2). There is currently no vaccine or intervention to prevent the adverse effects of Zika virus infection during pregnancy; therefore, prevention has been the focus of public health activities, especially for pregnant women (3). CDC and the Puerto Rico Department of Health analyzed data from the Pregnancy Risk Assessment Monitoring System Zika Postpartum Emergency Response (PRAMS-ZPER) survey conducted from August through December 2016 among Puerto Rico residents with a live birth. Most women (98.1%) reported using at least one measure to avoid mosquitos in their home environment. However, only 45.8% of women reported wearing mosquito repellent daily, and 11.5% reported wearing pants and shirts with long sleeves daily. Approximately one third (38.5%) reported abstaining from sex or using condoms consistently throughout pregnancy. Overall, 76.9% of women reported having been tested for Zika virus by their health care provider during the first or second trimester of pregnancy. These results can be used to assess and refine Zika virus infection prevention messaging and interventions for pregnant women and to reinforce measures to promote prenatal testing for Zika.

  5. Measuring the burden of preventable diabetic hospitalisations in the Mexican Institute of Social Security (IMSS).

    Science.gov (United States)

    Lugo-Palacios, David G; Cairns, John; Masetto, Cynthia

    2016-08-02

    The prevalence of diabetes among adults in Mexico has increased markedly from 6.7 % in 1994 to 14.7 % in 2015. Although the main diabetic complications can be prevented or delayed with timely and effective primary care, a high percentage of diabetic patients have developed them imposing an important preventable burden on Mexican society and on the health system. This paper estimates the financial and health burden caused by potentially preventable hospitalisations due to diabetic complications in hospitals operated by the largest social security institution in Latin America, the Mexican Institute of Social Security (IMSS), in the period 2007-2014. Hospitalisations in IMSS hospitals whose main cause was a diabetic complication were identified. The financial burden was estimated using IMSS diagnostic-related groups. To estimate the health burden, DALYs were computed under the assumption that patients would not have experienced complications if they had received timely and effective primary care. A total of 322,977 hospitalisations due to five diabetic complications were identified during the period studied, of which hospitalisations due to kidney failure and diabetic foot represent 78 %. The financial burden increased by 8.4 % in real terms between 2007 and 2014. However, when measured as cost per IMSS affiliate, it decreased by 11.3 %. The health burden had an overall decrease of 13.6 % and the associated DALYs in 2014 reached 103,688. Resources used for the hospital treatment of diabetic complications are then not available for other health care interventions. In order to prevent these hospitalisations more resources might need to be invested in primary care; the first step could be to consider the financial burden of these hospitalisations as a potential target for switching resources from hospital care to primary care services. However, more evidence of the effectiveness of different primary care interventions is needed to know how much of the burden could

  6. Cost and impact analysis of preventive and remedial measures for safe drinking water

    Directory of Open Access Journals (Sweden)

    M. A. Tahir

    2013-01-01

    Full Text Available Preventive measures yield much higher cost effective benefits as compared to remedial measures. To verify this hypothesis, a survey was conducted in two different regions of Rawalpindi district of Pakistan by comparing the cost on medication and mitigation expenditures for reduction in the burden of water borne diseases. Water Quality monitoring of the study areas in comparison to WHO Drinking Water Guidelines revealed the satisfactory level of physico-chemical parameters, however; significant bacteriological contamination was found at 86% of the monitored sites in Gujar Khan and 87% in Murree region. A field questionnaire was used to estimate the expenditures on disinfection and sanitation and concluded that 8.09% of total income of each family were spent by the inhabitants of the study area on medication for water borne diseases. Correlation was worked out between the rate of water related diseases (VWRD, unsafe drinking water (CDW, poor sanitation (PS, unhealthy personal hygiene and environment (UHPHE. A simulation model "Victim's Rate Calculator" was developed to forecast the estimated number of victims within a population. Findings of the study verified the hypothesis that preventive measures are better choice than remedial measures due to cost benefit ratio (1 : 1.6 with a clear advantage of 60%.

  7. Travel advice for the immunocompromised traveler: prophylaxis, vaccination, and other preventive measures

    Science.gov (United States)

    Patel, Rupa R; Liang, Stephen Y; Koolwal, Pooja; Kuhlmann, Frederick Matthew

    2015-01-01

    Immunocompromised patients are traveling at increasing rates. Physicians caring for these complex patients must be knowledgeable in pretravel consultation and recognize when referral to an infectious disease specialist is warranted. This article outlines disease prevention associated with international travel for adults with human immunodeficiency virus, asplenia, solid organ and hematopoietic transplantation, and other immunosuppressed states. While rates of infection may not differ significantly between healthy and immunocompromised travelers, the latter are at greater risk for severe disease. A thorough assessment of these risks can ensure safe and healthy travel. The travel practitioners’ goal should be to provide comprehensive risk information and recommend appropriate vaccinations or prevention measures tailored to each patient’s condition. In some instances, live vaccines and prophylactic medications may be contraindicated. PMID:25709464

  8. The Effects of Mitigation Measures on Flood Damage Prevention in Korea

    Directory of Open Access Journals (Sweden)

    Cheol-Hee Son

    2015-12-01

    Full Text Available This study analyzed the characteristics of flood damages and the effects of structural and non-structural flood damage mitigation measures in Korea. First, a theoretical discussion of the structural and non-structural measures to mitigate flood damages was used to select the variables and devise the hypotheses. An analysis was conducted using the Auto-Regressive Integrated Moving-Average (ARIMA time series methodology, Korean socioeconomic data, and damage characteristics of major flood events. The effects of flood damage mitigation measures on the extent of flood damages were assessed using an intervention time series model. The major findings were that the intervention effects of structural and non-structural measures were statistically significant from 1958 to 2013 (a period of 55 years and that while the former were ineffective at mitigating flood damages, the latter were successful in doing so. Based on the above findings, policy suggestions for future flood damage mitigation measures in Korea were offered. For structural measures, the government should manage its existing facilities, recover ecosystems of damaged rivers, and devise mitigation measures for urban areas. For non-structural measures, the government should enhance its flood forecasting capacity, revise laws related to flood control and prevention, and update and rationalize land-use plans.

  9. Challenges associated with drunk driving measurement: combining police and self-reported data to estimate an accurate prevalence in Brazil.

    Science.gov (United States)

    Sousa, Tanara; Lunnen, Jeffrey C; Gonçalves, Veralice; Schmitz, Aurinez; Pasa, Graciela; Bastos, Tamires; Sripad, Pooja; Chandran, Aruna; Pechansky, Flavio

    2013-12-01

    Drunk driving is an important risk factor for road traffic crashes, injuries and deaths. After June 2008, all drivers in Brazil were subject to a "Zero Tolerance Law" with a set breath alcohol concentration of 0.1 mg/L of air. However, a loophole in this law enabled drivers to refuse breath or blood alcohol testing as it may self-incriminate. The reported prevalence of drunk driving is therefore likely a gross underestimate in many cities. To compare the prevalence of drunk driving gathered from police reports to the prevalence gathered from self-reported questionnaires administered at police sobriety roadblocks in two Brazilian capital cities, and to estimate a more accurate prevalence of drunk driving utilizing three correction techniques based upon information from those questionnaires. In August 2011 and January-February 2012, researchers from the Centre for Drug and Alcohol Research at the Universidade Federal do Rio Grande do Sul administered a roadside interview on drunk driving practices to 805 voluntary participants in the Brazilian capital cities of Palmas and Teresina. Three techniques which include measures such as the number of persons reporting alcohol consumption in the last six hours but who had refused breath testing were used to estimate the prevalence of drunk driving. The prevalence of persons testing positive for alcohol on their breath was 8.8% and 5.0% in Palmas and Teresina respectively. Utilizing a correction technique we calculated that a more accurate prevalence in these sites may be as high as 28.2% and 28.7%. In both cities, about 60% of drivers who self-reported having drank within six hours of being stopped by the police either refused to perform breathalyser testing; fled the sobriety roadblock; or were not offered the test, compared to about 30% of drivers that said they had not been drinking. Despite the reduction of the legal limit for drunk driving stipulated by the "Zero Tolerance Law," loopholes in the legislation permit many

  10. Qualification and recovering of solar radiation data measured at Florianopolis, state of Santa Catarina, Brazil; Qualificacao e recuperacao de dados de radiacao solar medidos em Florianopolis - Santa Catarina

    Energy Technology Data Exchange (ETDEWEB)

    Abreu, Samuel L. de; Colle, Sergio; Almeida, Anand P.; Mantelli Neto, Sylvio Luiz [Santa Catarina Univ., Florianopolis (Brazil). Lab. de Energia Solar]. E-mail: samuel@emc.ufsc.br; colle@emc.ufsc.br; anand@labsolar.ufsc.br; sylvio@labsolar.ufsc.br

    2000-07-01

    The incident solar radiation is one of the most important inputs for simulation programs of solar thermal systems and of thermal behavior of buildings. Actually, these kind of data are well known for countries where long-term measurements of incident solar radiation are available. This fact allows the use of statistical procedures to generate typical meteorological years for simulation. In Brazil, solar radiation data are measured in sites spread all over the country by individual efforts. These data are usually measured only during short periods of time, does not have any standardization, and also are not easy to access. The present work describes the steps of qualification and data-filling used to handle the raw data measured in a specific location. The present data were measured in the radiometric station of the Solar Energy Laboratory (Federal University of Santa Catarina) in Florianopolis, for the period of 1990 to 1999. (author)

  11. Parental knowledge and use of preventive asthma care measures in two pediatric emergency departments.

    Science.gov (United States)

    Deis, Jamie N; Spiro, David M; Jenkins, Cathy A; Buckles, Tamara L; Arnold, Donald H

    2010-06-01

    Parents of children who visit the pediatric emergency department (PED) for asthma exacerbations may have inadequate knowledge of preventive asthma care. The primary objective of this study was to assess knowledge and use of preventive asthma care measures among parents of children with asthma who present to the PED with asthma exacerbations. The secondary objective was to identify variables that predict adherence to four key preventive care measures. The authors administered a 38-item questionnaire to 229 parents of children ages 2 to 18 years with asthma exacerbations who presented to two urban PEDs, one in the southeast and one in the northwest United States. Descriptive statistics were calculated to assess parental knowledge of preventive care. Multivariable logistic regression was used to identify variables associated with the use of four key preventive care measures. Thirty-two percent of the children had an action plan, and 52% received the influenza vaccine within the preceding year. Sixty-six percent of the children had persistent asthma by National Institutes of Health (NIH) criteria. Of these, 51% received daily inhaled corticosteroids (ICSs). When parents were asked how an ICS medicine worked, 29% (64/221) responded "immediately opens the airway," and 24% (53/221) responded "I do not know." Daily use of ICS in these children was significantly associated with parent education level beyond high school (odds ratio [OR] = 2.81; 95% confidence interval [CI]: 1.26, 6.24; p = .011). Non-African Americans were more likely to have received an action plan than African Americans (OR = 2.18; 95% CI: 1.17, 4.06; p = .014). A secondary analysis of the parent's perception of his/her ability to provide care during an asthma exacerbation was significantly associated with receipt of an action plan in a multivariable proportional odds model (OR = 3.63; 95% CI: 1.99, 6.62; p Parents of children with persistent asthma presenting to urban tertiary care PEDs with asthma

  12. Course Setting as a Prevention Measure for Overuse Injuries of the Back in Alpine Ski Racing

    Science.gov (United States)

    Spörri, Jörg; Kröll, Josef; Fasel, Benedikt; Aminian, Kamiar; Müller, Erich

    2016-01-01

    Background: A combination of frontal bending, lateral bending, and torsion in the loaded trunk has been suggested to be a mechanism leading to overuse injuries of the back in Alpine ski racing. However, there is limited knowledge about the effect of course setting on the aforementioned back-loading patterns. Purpose: To investigate the effect of increased gate offset on the skier’s overall trunk kinematics and the occurring ground-reaction forces and to compare these variables between the competition disciplines giant slalom (GS) and slalom (SL). Study Design: Controlled laboratory study. Methods: Ten top-level athletes were divided into GS and SL groups. Both groups performed a total of 240 GS and 240 SL turns at 2 different course settings. The overall trunk movement components (frontal bending, lateral bending, and torsion angle) were measured using 2 inertial measurement units fixed on the sacrum and sternum. Total ground-reaction forces were measured by pressure insoles. Results: In SL, ground-reaction force peaks were significantly lower when the gate offset was increased, while in GS, no differences between course settings were observed. During the turn phase in which the highest spinal disc loading is expected to occur, the back-loading patterns in both GS and SL included a combination of frontal bending, lateral bending, and torsion in the loaded trunk. SL was characterized by shorter turns, lower frontal and lateral bending angles after gate passage, and a trend toward greater total ground-reaction force peaks compared with GS. Conclusion: Course setting is a reasonable measure to reduce the skier’s overall back loading in SL but not in GS. The distinct differences observed between GS and SL should be taken into account when defining discipline-specific prevention measures for back overuse injuries. Clinical Relevance: To reduce the magnitude of the overall back loading, in SL, minimal gate offsets should be avoided. Prevention measures in GS might

  13. [Preventive measures for avoiding transmission of microorganisms between hospitalised patients. Hand hygiene].

    Science.gov (United States)

    Lupión, Carmen; López-Cortés, Luis Eduardo; Rodríguez-Baño, Jesús

    2014-11-01

    Health-care associated infections are an important public health problem worldwide. The rates of health-care associated infections are indicators of the quality of health care. The infection control activities related to prevention of transmission of hospital microorganisms can be grouped in 4 mayor areas: standard precautions, specific precautions (including isolation if appropriate), environmental cleaning and disinfection, and surveillance activities (including providing infection rates and monitoring procedures). Hand hygiene and the correct use of gloves are the most important measures to prevent health-care associated infections and to avoid the dissemination of multidrug-resistant microorganisms. Continuous educational activities aimed at improving adherence to hand hygiene are needed. Periodical assessment of adherence to hand hygiene recommendations with feed-back have been shown to provide sustained improvement. Several complementary activities are being evaluated, including skin decolonization prior to certain surgeries, a package of measures in patients with central venous catheters or mechanical ventilation, and universal body hygiene with chlorhexidine. The present area of discussion concerns in which situations and in which groups would such measures be effective and efficient. Copyright © 2014 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  14. Do women in rural areas of Serbia rarely apply preventive measures against cervical cancer?

    Directory of Open Access Journals (Sweden)

    Antić Ljiljana

    2014-01-01

    Full Text Available Background/Aim. The incidence of cervical cancer in Central Serbia has the higher rate as compared with that in other European countries. Considering mortality rate for cervical cancer, the standardized rate in Serbia is 10.1 per 10,000 females, which is the second highest one after that in Romania with 13.0. The aim of this study was to examine application of preventive measures for cervical cancer in women both from rural and urban areas in Serbia and if they are associated with sociodemographic characteristics and sexual behaviour. Methods. We analyzed secondary data of the 2006 National Health Survey of the population of Serbia focused on characteristics of adult females aged 25 to 65 years (5.314 in total taking into consideration that programme of the organized screening will include female population aged over 25 years. Results. Respondents from rural areas have gynecological examination less than once a year in comparison with those from urban areas (OR = 0.60, 95% Cl 0.54-0.68. Less women from rural areas did Pap test during the last 12 months in comparison with respondents from urban areas (OR = 0.55, 95% Cl 0.48- 0.64. Respondents from urban areas less often do the Pap test on doctor's advice in comparison with those from rural one (OR = 0.55, 95% Cl 0.42-0.62. Conclusion. This study shows that women in rural areas rarely implement preventive gynecological measures againt cervical cancer in comparison with those in urban areas. Implementation of preventive measures among rural women is conditioned by lower levels of education and lower socioeconomic status. [Projekat Ministarstva nauke Republike Srbije, br. 175025

  15. Accident patterns and prevention measures for fatal occupational falls in the construction industry.

    Science.gov (United States)

    Chi, Chia-Fen; Chang, Tin-Chang; Ting, Hsin-I

    2005-07-01

    Contributing factors to 621 occupational fatal falls have been identified with respect to the victim's individual factors, the fall site, company size, and cause of fall. Individual factors included age, gender, experience, and the use of personal protective equipment (PPE). Accident scenarios were derived from accident reports. Significant linkages were found between causes for the falls and accident events. Falls from scaffold staging were associated with a lack of complying scaffolds and bodily action. Falls through existing floor openings were associated with unguarded openings, inappropriate protections, or the removal of protections. Falls from building girders or other structural steel were associated with bodily actions and improper use of PPE. Falls from roof edges were associated with bodily actions and being pulled down by a hoist, object or tool. Falls through roof surfaces were associated with lack of complying scaffolds. Falls from ladders were associated with overexertion and unusual control and the use of unsafe ladders and tools. Falls down stairs or steps were associated with unguarded openings. Falls while jumping to a lower floor and falls through existing roof openings were associated with poor work practices. Primary and secondary prevention measures can be used to prevent falls or to mitigate the consequences of falls and are suggested for each type of accident. Primary prevention measures would include fixed barriers, such as handrails, guardrails, surface opening protections (hole coverings), crawling boards/planks, and strong roofing materials. Secondary protection measures would include travel restraint systems (safety belt), fall arrest systems (safety harness), and fall containment systems (safety nets).

  16. Measuring and explaining the willingness to pay for forest conservation: evidence from a survey experiment in Brazil

    Science.gov (United States)

    Bakaki, Zorzeta; Bernauer, Thomas

    2016-11-01

    Recent research suggests that there is substantial public support (including willingness to pay) for forest conservation. Based on a nationwide survey experiment in Brazil (N = 2500) the largest and richest of the world’s tropical developing countries, we shed new light on this issue. To what extent does the public in fact support forest conservation and what factors are influencing support levels? Unlike previous studies, our results show that the willingness to pay for tropical forest conservation in Brazil is rather low. Moreover, framing forest conservation in terms of biodiversity protection, which tends to create more local benefits, does not induce more support than framing conservation in terms of mitigating global climate change. The results also show that low levels of trust in public institutions have a strong negative impact on the public’s willingness to pay for forest conservation, individually and/or via government spending. What could other (richer) countries do, in this context, to encourage forest conservation in Brazil and other tropical developing countries? One key issue is whether prospects of foreign funding for forest conservation are likely to crowd out or, conversely, enhance the motivation for domestic level conservation efforts. We find that prospects of foreign funding have no significant effect on willingness to pay for forest conservation. These findings have at least three policy implications, namely, that the Brazilian public’s willingness to pay for forest conservation is very limited, that large-scale international funding is probably needed, and that such funding is unlikely to encourage more domestic effort, but is also unlikely to crowd out domestic efforts. Restoring public trust in the Brazilian government is key to increasing public support for forest conservation in Brazil.

  17. Research on Chinese life cycle-based wind power plant environmental influence prevention measures.

    Science.gov (United States)

    Wang, Hanxi; Xu, Jianling; Liu, Yuanyuan; Zhang, Tian

    2014-08-19

    The environmental impact of wind power plants over their life cycle is divided into three stages: construction period, operation period and retired period. The impact is mainly reflected in ecological destruction, noise pollution, water pollution and the effect on bird migration. In response to these environmental effects, suggesting reasonable locations, reducing plant footprint, optimizing construction programs, shielding noise, preventing pollution of terrestrial ecosystems, implementing combined optical and acoustical early warning signals, making synthesized use of power generation equipment in the post-retired period and using other specific measures, including methods involving governance and protection efforts to reduce environmental pollution, can be performed to achieve sustainable development.

  18. Use of preventive measures of childhood injuries at household level: Community-based findings from Nepal

    OpenAIRE

    Pant, P. R.; Towner, E.; Ellis, M; Pilkington, P.

    2013-01-01

    Introduction: Child injuries are a major public health problem in low- and middle- income countries but they are\\ud not recognised at policy or community level. Prevention of injuries is neglected due to lack of awareness. Only a\\ud few community-based studies have been conducted to explore this problem.\\ud Objectives: To explore the practice of safety measures applied by the household after childhood injury among the\\ud survey households of Makwanpur.\\ud Methods: A community-based household ...

  19. Consensus report: Preventive measures for Crimean-Congo Hemorrhagic Fever during Eid-al-Adha festival

    Directory of Open Access Journals (Sweden)

    Hakan Leblebicioglu

    2015-09-01

    Full Text Available Crimean-Congo hemorrhagic fever (CCHF is endemic in Eurasian countries such as, Turkey, Pakistan, Afghanistan and Iran. CCHF virus is spread by the Hyalomma tick, which is found mainly on cattle and sheep. Muslim countries, in which these animals are sacrificed during Eid-Al-Adha, are among the countries where CCHF is endemic, and it has been observed that CCHF is associated with practices surrounding the Eid-ad-Adha festival. The dates for Eid-Al-Adha drift 10 days earlier in each year according to Georgian calendar. In previous years Eid-al-Adha occurred in autumn-winter months however in the next 10-15 years it will be take place in the summer months when CCHF is more prevalent. This may lead to a rise in the number of cases due to increased dissemination of CCHF virus with uncontrolled animal movements in and between countries. This consensus report focuses on the variable practices regarding animal handling in different regions and possible preventative measures to reduce the incidence of CCHF. Environmental hygiene and personal protection are essential parts of prevention. There is a need for international collaborative preparedness and response plans for prevention and management of CCHF during Eid-Al-Adha in countries where the disease is prevalent.

  20. PREVENTIVE MEASURES - EXCEPTION TO THE PRINCIPLE OF THE RIGHT TO LIBERTY AND SECURITY

    Directory of Open Access Journals (Sweden)

    Marin-Alin DĂNILĂ

    2016-05-01

    Full Text Available Considering the specific obligations arising from the exercise of criminal action and civil action in criminal proceedings and taking into account the need to ensure a better conduct of activities that are undertaken in solving criminal cases, it sometimes appears necessary, taking certain procedural measures. Procedural measures were defined [1] as institutions available for criminal procedural law and criminal judicial bodies consisting of privations or certain constraints, real or personal, of the conditions and circumstances under which the criminal proceedings are being realized. By the function pursued by the legislature, these measures work as a legal means of prevention or suppression of circumstances or situations likely to jeopardize the effectiveness of the criminal proceedings through the obstacles, difficulties and confusion which they can produce [2]. Procedural measures arise as opportunities, but not being specific to any criminal case, judicial bodies take measures according to the specific circumstances of each criminal case. From this derives the adjacent character of the criminal procedural measures to the main job [3].

  1. Dose measurements in pediatric radiology in state of Sergipe, BR; Medidas de dose em radiologia pediatrica no Estado de Sergipe, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Azevedo, J.P.A.; Magalhaes, C.M.S.; Souza, D.N. [Universidade Federal de Sergipe, Aracaju, SE (Brazil). Dept. de Fisica

    2004-07-01

    Dose measurements are acknowledged to be a vital part of the quality assurance process in diagnostic radiology, and the use of thermoluminescent dosimeters (TLD) is a recommended method of entrance dose quantification. Measurement of doses in radiographic examinations is widely adopted in clinical practice for adults as well as for children. Phantoms can be used to simulate different parts of the body, depending on the materials used to build them. In this work three different sets of phantoms have been prepared with acrylic blocks to simulate thorax children of different ages. The dosimetric measurements have been carried out using TLD and an ionising chamber. Measurements were realised in two X-rays equipment in Aracaju, Brazil. The entrance, half depth and exit surface doses were analysed. (author)

  2. Knowledge, Attitude and Practice among Dental Practitioners Pertaining to Preventive Measures in Paediatric Patients

    Science.gov (United States)

    Sahu, Amitkumar; Kambalimath, Halaswamy V; Panchakshari, Bharath Kashetty; Jain, Manish

    2016-01-01

    Introduction Prevention at primary level is of great value in Paediatric Dentistry. Since use of preventive measures can prevent future complications, dental professionals share an important responsibility toward early screening, prompt referral and treatment and this knowledge must transfer into the practice of dentistry. Aim To evaluate Knowledge, Attitude and Practice (KAP) among dental practitioners in Bhopal city (central part of India) pertaining to sealants, topical fluorides usage and orthodontic consideration in paediatric patients. Materials and Methods A descriptive cross-sectional survey was conducted using a 20-item self-administered, closed ended, structured questionnaire. A total of 200 available private dental practitioners of Bhopal city made up the sampling frame of study. Results Out of 200 practicing dentists, 147 participated with response rate of 73.5% in which 69.4% were males and 30.6% were females. A total of 83% dentists were less than 35 years of age, while 17% were equal to or more than 35 years of age. Qualification distribution revealed 67.3% dental graduate and 32.6% dental specialist. A highly significant difference in knowledge in relation to age was observed. The mean±SD were found for Knowledge as 8.46±1.82, Attitude as 2.65±0.780, and Practice as 1.66±1.57. Statistically significant correlations were found between attitude and practice (r=0.58, p<0.001). Conclusion Dentists in Bhopal city have vast knowledge towards preventive dentistry. The attitude is highly commendable but underutilized in practice, which needs to be improved. PMID:28209009

  3. The impact of interventions to improve adherence to preventive measures on the incidence of nosocomial infections in ICUs

    OpenAIRE

    2014-01-01

    Half of all life-threating nosocomial infections occur in intensive care units (ICUs) and, despite the advances in intensive care, the incidence of nosocomial infections is still high. About one third of nosocomial infections are considered preventable. Awareness of risk factors, adherence to preventive measures and collaboration of all members participating in preventive programmes can lead to reduction of the incidence of nosocomial infections and thus can produce a positive impact...

  4. El prejuicio racial en Brasil: medidas comparativas O preconceito racial no Brasil: medidas comparativas Racial prejudice in Brazil: comparative measures

    Directory of Open Access Journals (Sweden)

    Ana Maria Lacerda Teixeira Pires

    2010-04-01

    Brazilian population, using McConahay, Hardees and Batts's scales of modern racism (1981 and Datafolha (1995 and Ventury, G's (2003 scale of cordial racism. The questionnaires were applied to a total of 101 students of several universities in southern Brazil. The results demonstrate that both scales differ among themselves according to capturing prejudice expressions. The citizens had declared greater modern racism than cordial racism. Also, the variables related with the influence on racial prejudice, stated by the participants, were analyzed. The gender and orientation to social dominancy variables are variables that predict the modern racism in the sample studied. The participants indicated, in greater measure, the manifestation of racial prejudice in an uncovered form, being this manifestation in a more open way, when there was the possibility of a more personal and closer contact.

  5. Bicycling crashes on streetcar (tram) or train tracks: mixed methods to identify prevention measures.

    Science.gov (United States)

    Teschke, Kay; Dennis, Jessica; Reynolds, Conor C O; Winters, Meghan; Harris, M Anne

    2016-07-22

    Streetcar or train tracks in urban areas are difficult for bicyclists to negotiate and are a cause of crashes and injuries. This study used mixed methods to identify measures to prevent such crashes, by examining track-related crashes that resulted in injuries to cyclists, and obtaining information from the local transit agency and bike shops. We compared personal, trip, and route infrastructure characteristics of 87 crashes directly involving streetcar or train tracks to 189 crashes in other circumstances in Toronto, Canada. We complemented this with engineering information about the rail systems, interviews of personnel at seven bike shops about advice they provide to customers, and width measurements of tires on commonly sold bikes. In our study, 32 % of injured cyclists had crashes that directly involved tracks. The vast majority resulted from the bike tire being caught in the rail flangeway (gap in the road surface alongside rails), often when cyclists made unplanned maneuvers to avoid a collision. Track crashes were more common on major city streets with parked cars and no bike infrastructure, with left turns at intersections, with hybrid, racing and city bikes, among less experienced and less frequent bicyclists, and among women. Commonly sold bikes typically had tire widths narrower than the smallest track flangeways. There were no track crashes in route sections where streetcars and trains had dedicated rights of way. Given our results, prevention efforts might be directed at individual knowledge, bicycle tires, or route design, but their potential for success is likely to differ. Although it may be possible to reach a broader audience with continued advice about how to avoid track crashes, the persistence and frequency of these crashes and their unpredictable circumstances indicates that other solutions are needed. Using tires wider than streetcar or train flangeways could prevent some crashes, though there are other considerations that lead many

  6. Adherence to vector preventive measures decrease cases of acute Dengue among Abuja residents, Nigeria

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    Idris Abdullahi Nasir

    2017-07-01

    Full Text Available Background: Nigeria is one of the dengue hyper-endemic nations. This study investigated the level of knowledge about dengue and vector preventive practices and their impacts on acute dengue among febrile patients at Abuja, Nigeria. Materials and methods: This cross-sectional survey was conducted on febrile patients attending University of Abuja Teaching Hospital, Abuja, Nigeria. Blood samples were individually collected from 171 febrile patients residing at Gwagwalada suburb. Interviewer administered questionnaires were used to assess subjects’ knowledge about preventive measures against vector breeding and bites. Blood samples were tested for dengue virus Nonstructural glycoprotein-1antigen using enzyme linked Immunosorbent assay (ELISA. Results: Fifteen out of 171 febrile persons (8.8% were Dengue NS1 positive. Sixty percent of the subjects do not know about dengue, while 33% knew about dengue virus infection through television/ radio programs, 5% through healthcare professionals and 2% from friends/families. Those who persistently use indoor residual spraying and long sleeves/trousers during daytime had less cases of DENV NS1 than those who do not. There was statistical association between DENV NS1 and residence in proximity to waste dumpsites (P<0.0001 and frequent use of long sleeve clothing and trousers (P=0.005. However, there was no statistical association between DENV NS1 antigenemia and persistent use of indoor residual spraying and presence of in-door water containers (P>0.05. Conclusions: Findings from this study imply that proper education and adherence to preventive measures minimize people from being susceptible to Dengue virus infections.

  7. Effect of Crime Prevention through Environmental Design (CPTED Measures on Active Living and Fear of Crime

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    Jae Seung Lee

    2016-08-01

    Full Text Available Crime prevention through environmental design (CPTED has become a popular urban planning approach to preventing crime and mitigating fear of crime through the improvement of physical neighborhood environments. CPTED is widely used to improve deteriorated neighborhoods that suffer from crime. However, few studies have empirically examined the complex relationships among CPTED, fear of crime, and active living. Our study, therefore, investigated the effects of CPTED measures on walking frequency and fear of crime, analyzing behavioral data of residents living in participatory neighborhood regeneration areas and matched neighborhoods. We analyzed survey data from 12 neighborhoods that implemented CPTED approaches and 12 matched neighborhoods in Seoul, Korea, using structural equation modeling, which could consistently estimate complex direct and indirect relationships between a latent variable (fear of crime and observable variables (CPTED measures and walking frequency. We designed the survey instrument as a smartphone app. Participants were recruited from 102 locations within the 24 selected neighborhoods; in total, 623 individuals returned surveys. The results revealed that sufficient closed-circuit television, street lighting, and maintenance played a significant role in mitigating fear of crime. This study has implications for planning and policy issues related to CPTED, mental health, and active living.

  8. Urban crime prevention and the logics of public security policies in Brazil – a relational perspective on the local fields of negotiation

    Directory of Open Access Journals (Sweden)

    Haubrich, Dominik

    2015-03-01

    Full Text Available Public security is a highly contested issue in urban societies. It involves, stresses or excludes a wide spectrum of actors, policies and spaces on different scales and time lapse. Meanwhile, public security possesses a central position in the recent transcontextual discussion of area-based urban security studies. Therein, both questions of social change and the spatial, political and economical reflection of (insecurity issues are increasingly concerning the current transforming logic of public security policies. To capture this transformation from a theoretical as well as empirical perspective, this papers looks at the local security governance field in the municipality of São Paulo. It argues that the political field of local crime prevention councils (CONSEG, hosted on the district level once a month, is suited to understand the conceptual shift of the crime control paradigm in general and its spatial translation into discourses, programs, instruments and measures of local security provision in particular.

  9. Method for screening prevention and control measures and technologies based on groundwater pollution intensity assessment

    Energy Technology Data Exchange (ETDEWEB)

    Li, Juan, E-mail: lijuan@craes.org.cn [College of Water Sciences, Beijing Normal University, Beijing 100875 (China); Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Yang, Yang [College of Environment, Beijing Normal University, Beijing 100875 (China); Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Huan, Huan; Li, Mingxiao [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Xi, Beidou, E-mail: xibd413@yeah.net [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Lanzhou Jiaotong University, Lanzhou 730070 (China); Lv, Ningqing [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Wu, Yi [Guizhou Academy of Environmental Science and Designing, Guizhou 550000 (China); Xie, Yiwen, E-mail: qin3201@126.com [School of Chemical and Environmental Engineering, Dongguan University of Technology, Dongguan, 523808 (China); Li, Xiang; Yang, Jinjin [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China)

    2016-05-01

    This paper presents a system for determining the evaluation and gradation indices of groundwater pollution intensity (GPI). Considering the characteristics of the vadose zone and pollution sources, the system decides which anti-seepage measures should be implemented at the contaminated site. The pollution sources hazards (PSH) and groundwater intrinsic vulnerability (GIV) are graded by the revised Nemerow Pollution Index and an improved DRTAS model, respectively. GPI is evaluated and graded by a double-sided multi-factor coupling model, which is constructed by the matrix method. The contaminated sites are categorized as prior, ordinary, or common sites. From the GPI results, we develop guiding principles for preventing and removing pollution sources, procedural interruption and remediation, and end treatment and monitoring. Thus, we can select appropriate prevention and control technologies (PCT). To screen the technological schemes and optimize the traditional analytical hierarchy process (AHP), we adopt the technique for order preference by the similarity to ideal solution (TOPSIS) method. Our GPI approach and PCT screening are applied to three types of pollution sites: the refuse dump of a rare earth mine development project (a potential pollution source), a chromium slag dump, and a landfill (existing pollution sources). These three sites are identified as ordinary, prior, and ordinary sites, respectively. The anti-seepage materials at the refuse dump should perform as effectively as a 1.5-m-thick clay bed. The chromium slag dump should be preferentially treated by soil flushing and in situ chemical remediation. The landfill should be treated by natural attenuation technology. The proposed PCT screening approach was compared with conventional screening methods results at the three sites and proved feasible and effective. The proposed method can provide technical support for the monitoring and management of groundwater pollution in China. - Highlights: • An

  10. Measuring Associations of the Department of Veterans Affairs' Suicide Prevention Campaign on the Use of Crisis Support Services.

    Science.gov (United States)

    Karras, Elizabeth; Lu, Naiji; Zuo, Guoxin; Tu, Xin M; Stephens, Brady; Draper, John; Thompson, Caitlin; Bossarte, Robert M

    2016-08-01

    Campaigns have become popular in public health approaches to suicide prevention; however, limited empirical investigation of their impact on behavior has been conducted. To address this gap, utilization patterns of crisis support services associated with the Department of Veterans Affairs' Veterans Crisis Line (VCL) suicide prevention campaign were examined. Daily call data for the National Suicide Prevention Lifeline, VCL, and 1-800-SUICIDE were modeled using a novel semi-varying coefficient method. Analyses reveal significant increases in call volume to both targeted and broad resources during the campaign. Findings underscore the need for further research to refine measurement of the effects of these suicide prevention efforts.

  11. A quality control circle process to improve implementation effect of prevention measures for high-risk patients.

    Science.gov (United States)

    Feng, Haixia; Li, Guohong; Xu, Cuirong; Ju, Changping; Suo, Peiheng

    2017-06-04

    The aim of the study was to analyse the influence of prevention measures on pressure injuries for high-risk patients and to establish the most appropriate methods of implementation. Nurses assessed patients using a checklist and factors influencing the prevention of a pressure injury determined by brain storming. A specific series of measures was drawn up and an estimate of risk of pressure injury determined using the Braden Scale, analysis of nursing documents, implementation of prevention measures for pressure sores and awareness of the system both before and after carrying out a quality control circle (QCC) process. The overall scores of implementation of prevention measures ranged from 74.86 ± 14.24 to 87.06 ± 17.04, a result that was statistically significant (P control. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  12. Prevenção da Aids com adolescentes encarcerados em São Paulo, SP AIDS prevention among incarcerated teenagers, Brazil

    Directory of Open Access Journals (Sweden)

    Camila Alves Peres

    2002-08-01

    family support, drug use, and knowledge, practices and attitudes related to AIDS and its prevention among male teenagers. METHODS: Participants were 275 male teenagers interned in a youth detention center (FEBEM - State Foundation for Juvenile Well-Being in São Paulo, Brazil. There were two segments. In segment 1, semi-structured interviews with 20 detainees took place. In segment 2, close-end self-administered questionnaires covering sociodemographic data, criminal records, sexual practices, drug use, attitudes, knowledge and AIDS-related practices were applied. RESULTS: Ninety percent of the detainees lived previously with their families. All of them had attended public schools, although 61% had already dropped out. Twelve percent had never used drugs, and 5.5% were intravenous drug users. Most (98% were sexually active; 35% had had more than 15 sexual partners, 8% had homosexual experiences (inside or outside the center, 12% had exchanged sex for material return and 22% were fathers. Many said that getting HIV infected "that's life " and that they face greater risks in their lives, such as surviving on the streets. They think condoms are easily broken (83% and interfere with sex (58%; 72% had used condoms but only 9% used them with all their partners. CONCLUSIONS: These teenagers have a very high risk of HIV infection. It is necessary to integrate AIDS prevention programs to their life ills and related problems such as racism, expectations for the future, criminality, drug use, basic rights including sexual and reproductive rights, and show them there are alternatives other than exposing themselves to HIV infection or dying as criminals.

  13. Measuring Fidelity and Adaptation: Reliability of a Instrument for School-Based Prevention Programs.

    Science.gov (United States)

    Bishop, Dana C; Pankratz, Melinda M; Hansen, William B; Albritton, Jordan; Albritton, Lauren; Strack, Joann

    2014-06-01

    There is a need to standardize methods for assessing fidelity and adaptation. Such standardization would allow program implementation to be examined in a manner that will be useful for understanding the moderating role of fidelity in dissemination research. This article describes a method for collecting data about fidelity of implementation for school-based prevention programs, including measures of adherence, quality of delivery, dosage, participant engagement, and adaptation. We report about the reliability of these methods when applied by four observers who coded video recordings of teachers delivering All Stars, a middle school drug prevention program. Interrater agreement for scaled items was assessed for an instrument designed to evaluate program fidelity. Results indicated sound interrater reliability for items assessing adherence, dosage, quality of teaching, teacher understanding of concepts, and program adaptations. The interrater reliability for items assessing potential program effectiveness, classroom management, achievement of activity objectives, and adaptation valences was improved by dichotomizing the response options for these items. The item that assessed student engagement demonstrated only modest interrater reliability and was not improved through dichotomization. Several coder pairs were discordant on items that overall demonstrated good interrater reliability. Proposed modifications to the coding manual and protocol are discussed.

  14. Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team

    Directory of Open Access Journals (Sweden)

    Adriana Cristina de Oliveira

    2015-10-01

    Full Text Available AbstractOBJECTIVEEvaluate pre- and intraoperative practices adopted by medical and nursing teams for the prevention of surgical infections.METHODA prospective study carried out in the period of April to May 2013, in a surgical center of a university hospital in Belo Horizonte, Minas Gerais.RESULTS18 surgeries were followed and 214 surgical gloves were analyzed, of which 23 (10.7% had postoperative glove perforation detected, with 52.2% being perceived by users. Hair removal was performed on 27.7% of patients in the operating room, with the use of blades in 80% of the cases. Antibiotic prophylaxis was administered to 81.8% of patients up to 60 minutes prior to surgical incision. An average of nine professionals were present during surgery and the surgery room door remained open in 94.4% of the procedures.CONCLUSIONPartial adhesion to the recommended measures was identified, reaffirming a need for greater attention to these critical steps/actions in order to prevent surgical site infection.

  15. New Concept and Measures in the Prevention and Therapy for the Acute Ischemic Stroke

    Institute of Scientific and Technical Information of China (English)

    Zhang Suming M.D.,Ph.D.

    2000-01-01

    Albeit so far there has been a dilenna situation in the prevention and treatment of cerebral vascular disease in China, the knowledge about its prevention, diagnostic and therapeutic technology has came the new age in the world. Since last decade, the revolution of a series of the advances in theory and technology in studying stroke occurred. It has been especially advanced to detect stroke related focus by the use of the neuroimage, such as functional MRI, spiral CT and PET, etc. And to explore thc pathogenesis by cellular and molecular biology and its new advanced technology. It became possible that the pathophysiologic alteration after stroke could be rapidly, safely, accurately, individually and even non-invasively figured out on almost real time by the vell-developed technology. On the other hand, etiologic focus on the wall of cerebral and cardiac vessels, the injured focus in the ischemic brain could also be checked out as early as possible. Above all, it may offer the stroke researchers more information on the accurate location, severity of injury and potential reversibility in ischemic brain tissue with the time windows as a four-dimension baclground after stroke. At present, with these diagnostic and theory advances have ca ne a series of newer concepts and treatments in clinical therapeutics for stroke, meanwhile with more information related to traditional measures turn out.

  16. Infection prevention and control measures currently applied in South African audiology.

    Science.gov (United States)

    Ehlert, Katerina; Naude, Alida M

    2014-11-11

    To counter the global increase in infection-related deaths, infection control has recently developed into an active area of research. Many diseases can be prevented by infection control. In the confines of the audiology clinic, cross-contamination by micro-organisms associated with opportunistic infections remains a real concern. The primary aim of the study was to ascertain the methods that audiologists in South Africa use to prevent and control the spread of infections during and after consultation with clients. A survey study was conducted, using a self-administered questionnaire. Fifty currently practising audiologists participated in the study. The majority (84%; n = 42) of respondents acknowledged the importance of hand hygiene for the purpose of infection control, with 76% (n = 38) making use of no-rinse hand sanitisers. Approximately a third of audiologists wear gloves during procedures such as otoscopy and immittance, and while handling hearing aids. Disinfecting audiological equipment seem to be the preferred choice of infection control, with only 60% (n = 30) of respondents sterilising audiological equipment after each individual patient consultation. Less than half of the respondents disinfected touch surfaces and toys in the reception area. Based on the results, further education and training should focus on measures implemented in infection control, awareness of possible risk factors at work settings, and vaccination as an effective means of infection control.

  17. Infection prevention and control measures currently applied in South African audiology

    Directory of Open Access Journals (Sweden)

    Katerina Ehlert

    2014-06-01

    Full Text Available Background: To counter the global increase in infection-related deaths, infection control has recently developed into an active area of research. Many diseases can be prevented by infection control. In the confines of the audiology clinic, cross-contamination by micro-organisms associated with opportunistic infections remains a real concern.Objective: The primary aim of the study was to ascertain the methods that audiologists in South Africa use to prevent and control the spread of infections during and after consultation with clients.Method: A survey study was conducted, using a self-administered questionnaire. Fifty currently practising audiologists participated in the study.Results: The majority (84%; n = 42 of respondents acknowledged the importance of hand hygiene for the purpose of infection control, with 76% (n = 38 making use of no-rinse hand sanitisers. Approximately a third of audiologists wear gloves during procedures such as otoscopy and immittance, and while handling hearing aids. Disinfecting audiological equipment seem to be the preferred choice of infection control, with only 60% (n = 30 of respondents sterilising audiological equipment after each individual patient consultation. Less than half of the respondents disinfected touch surfaces and toys in the reception area.Conclusions: Based on the results, further education and training should focus on measures implemented in infection control, awareness of possible risk factors at work settings, and vaccination as an effective means of infection control.

  18. Peripartum depression and anxiety as an integrative cross domain target for psychiatric preventative measures.

    Science.gov (United States)

    Babb, Jessica A; Deligiannidis, Kristina M; Murgatroyd, Christopher A; Nephew, Benjamin C

    2015-01-01

    Exposure to high levels of early life stress has been identified as a potent risk factor for neurodevelopmental delays in infants, behavioral problems and autism in children, but also for several psychiatric illnesses in adulthood, such as depression, anxiety, autism, and posttraumatic stress disorder. Despite having robust adverse effects on both mother and infant, the pathophysiology of peripartum depression and anxiety are poorly understood. The objective of this review is to highlight the advantages of using an integrated approach addressing several behavioral domains in both animal and clinical studies of peripartum depression and anxiety. It is postulated that a greater focus on integrated cross domain studies will lead to advances in treatments and preventative measures for several disorders associated with peripartum depression and anxiety.

  19. Pancreatic Fistula after Pancreatectomy: Definitions, Risk Factors, Preventive Measures, and Management—Review

    Directory of Open Access Journals (Sweden)

    Norman Oneil Machado

    2012-01-01

    Full Text Available Resection of pancreas, in particular pancreaticoduodenectomy, is a complex procedure, commonly performed in appropriately selected patients with benign and malignant disease of the pancreas and periampullary region. Despite significant improvements in the safety and efficacy of pancreatic surgery, pancreaticoenteric anastomosis continues to be the “Achilles heel” of pancreaticoduodenectomy, due to its association with a measurable risk of leakage or failure of healing, leading to pancreatic fistula. The morbidity rate after pancreaticoduodenectomy remains high in the range of 30% to 65%, although the mortality has significantly dropped to below 5%. Most of these complications are related to pancreatic fistula, with serious complications of intra-abdominal abscess, postoperative bleeding, and multiorgan failure. Several pharmacological and technical interventions have been suggested to decrease the pancreatic fistula rate, but the results have been controversial. This paper considers definition and classification of pancreatic fistula, risk factors, and preventive approach and offers management strategy when they do occur.

  20. Nosocomial keratitis caused by methicillin-resistant Staphylococcus aureus: case report and preventative measures

    Directory of Open Access Journals (Sweden)

    Puneet S. Braich

    2015-10-01

    Full Text Available A 47-year-old African-American woman was admitted to the intensive care unit of our community hospital for respiratory failure secondary to severe decompensated heart failure, requiring intubation. In the ensuing days, she developed a methicillin-resistant Staphylococcus aureus (MRSA infection of the cornea, despite no growth of MRSA in multiple blood, sputum, and urine cultures. This unexpected corneal infection complicated her hospital stay, and increased morbidity and disease-related cost. Risk factors, warning signs, and preventative measures for MRSA keratitis secondary to lagophthalmos (inability to completely close one's eyelids are outlined in this case report. Implementing simple precautions such as taping eyelids shut or using artificial lubrication may reduce patient morbidity and disease-related costs. These recommendations are directed to non-ophthalmic clinicians who provide care to patients in settings where MRSA colonization is widespread.

  1. Mothers' and their daughters' use of preventive measures against cervical cancer

    DEFF Research Database (Denmark)

    Sander, Bente Braad; Vazquez-Prada Baillet, Miguel; Rebolj, Matejka;

    2015-01-01

    Aims: Vaccination against human papillomavirus (HPV) and screening are complementary preventive measures against cervical cancer. In Denmark, screening and vaccination are free of charge for the women. In total, 75% of women are screened and about 90% of girls are vaccinated with at least one dose....... Our aim was to determine whether, in Denmark, daughters of unscreened mothers are less likely to be vaccinated against HPV than are daughters of screened mothers. Methods: We used population-based data from the Danish Patient Register, Health Service Registration, Pathology Data Bank, and Civil...... calculated birth cohort-specific relative risks (RRs) of non-initiation of HPV vaccination in daughters depending on their mothers' screening status. Results: In total, 8% of girls did not receive any vaccination, and 35% of their mothers were unscreened. Among the 92% of girls receiving at least one vaccine...

  2. Socioeconomic driving factors of nitrogen load from food consumption and preventive measures.

    Science.gov (United States)

    Liu, Chen; Fei, Jinling; Hayashi, Yoshitsugu; Yasunari, Tetsuzo

    2014-09-01

    To diagnose environmental nitrogen (N) load from food consumption and to suggest preventive measures, this study identified relationships between nitrogen load from food consumption and driving factors by examining six representative countries and regions for the period 1970-2009 as an example. The logarithmic mean Divisia index technique was used to disassemble nitrogen load growth into four driving factors: population, economic activity, food intensity of the economy, and nitrogen content of food. In all study areas, increased economic activity was the main factor driving nitrogen load increase. The positive effect of population growth was relatively small but not negligible and changes in food intensity had a decreasing effect on nitrogen load. Changes in nitrogen content of food varied between areas. Broad strategies to reduce and mitigate nitrogen loading and decouple nitrogen load from economic growth in both developed and developing countries are suggested.

  3. Crisis prevention centers as confidence building measures: Suggestions for Northeast Asia

    Energy Technology Data Exchange (ETDEWEB)

    Pregenzer, A.L.

    1995-05-01

    Relationships between countries generally exist somewhere in the grey area between war and peace. Crisis prevention activities are particularly important and should have two goals: stabilizing tense situations that could push countries toward war, and supporting or reinforcing efforts to move countries toward peace. A Crisis Prevention Center (CPC) should facilitate efforts to achieve these goals. Its functions can be grouped into three broad, inter-related categories: establishing and facilitating communication among participating countries; supporting negotiations and consensus-building on regional security issues; and supporting implementation of agreed confidence and security building measures. Technology will play a critical role in a CPC. First, technology is required to establishing communication systems and to provide the means for organizing and analyzing this information. Second, technically-based cooperative monitoring can provide an objective source of information on mutually agreed issues. In addition, technology can be a neutral subject of interaction and collaboration between technical communities from different countries. Establishing a CPC in Northeast Asia does not require the existence of an Asian security regime. Potential first steps for such a CPC should include establishing communication channels and a dedicated communications center in each country, together with an agreement to use the system as a {open_quotes}Hot Line{close_quotes} in bilateral and multilateral emergency situations. A central CPC could also be established as a regional communications hub. The central CPC could coordinate a number of functions aimed at stabilizing regional tensions and supporting confidence building activities, perhaps initially in an unofficial capacity. Specific recommendations for confidence building measures are discussed.

  4. Crisis prevention centers as confidence building measures: Suggestions for Northeast Asia

    Energy Technology Data Exchange (ETDEWEB)

    Pregenzer, A.L.

    1995-05-01

    Relationships between countries generally exist somewhere in the grey area between war and peace. Crisis prevention activities are particularly important and should have two goals: stabilizing tense situations that could push countries toward war, and supporting or reinforcing efforts to move countries toward peace. A Crisis Prevention Center (CPC) should facilitate efforts to achieve these goals. Its functions can be grouped into three broad, inter-related categories: establishing and facilitating communication among participating countries; supporting negotiations and consensus-building on regional security issues; and supporting implementation of agreed confidence and security building measures. Technology will play a critical role in a CPC. First, technology is required to establishing communication systems and to provide the means for organizing and analyzing this information. Second, technically-based cooperative monitoring can provide an objective source of information on mutually agreed issues. In addition, technology can be a neutral subject of interaction and collaboration between technical communities from different countries. Establishing a CPC in Northeast Asia does not require the existence of an Asian security regime. Potential first steps for such a CPC should include establishing communication channels and a dedicated communications center in each country, together with an agreement to use the system as a {open_quotes}Hot Line{close_quotes} in bilateral and multilateral emergency situations. A central CPC could also be established as a regional communications hub. The central CPC could coordinate a number of functions aimed at stabilizing regional tensions and supporting confidence building activities, perhaps initially in an unofficial capacity. Specific recommendations for confidence building measures are discussed.

  5. Crisis Prevention Centers as confidence building measures: Suggestions for the Middle East

    Energy Technology Data Exchange (ETDEWEB)

    Pregenzer, A.L.

    1995-05-01

    Relationships between countries generally exist somewhere in the grey area between war and peace. Crisis prevention activities are important in this area, and should have two goals: stabilizing tense situations that could push countries toward war, and supporting or reinforcing efforts to move countries toward peace. A Crisis Prevention Center (CPC) should facilitate efforts to achieve these goals. Its functions can be grouped into three broad, interrelated categories: establishing and facilitating communication among participating countries; supporting negotiations and consensus-building on regional security issues; and supporting implementation of agreed confidence and security building measures. Technology will play a critical role in a CPC. Technology is required for establishing communication systems to ensure the timely flow of information between countries and to provide the means for organizing and analyzing this information. Technically-based cooperative monitoring can provide an objective source of information on mutually agreed issues, thereby supporting the implementation of confidence building measures and treaties. Technology can be a neutral subject of interaction and collaboration between technical communities from different countries, thereby providing an important channel for improving relationships. Potential first steps for a CPC in the Middle Ease could include establishing communication channels and a dedicated communications center in each country, together with an agreement to use the system as a ``Hot Line` in bilateral and multilateral-lateral emergency situations. Bilateral cooperative monitoring centers could be established to assist with implementation of agreements. A centrally located CPC could serve as a regional communications hub, coordinating a number of functions aimed at stabilizing regional tensions and supporting confidence building activities. Specific recommendations for confidence building activities are discussed.

  6. Measuring factors that influence the utilisation of preventive care services provided by general practitioners in Australia

    Directory of Open Access Journals (Sweden)

    Oldenburg Brian

    2009-12-01

    Full Text Available Abstract Background Relatively little research attention has been given to the development of standardised and psychometrically sound scales for measuring influences relevant to the utilisation of health services. This study aims to describe the development, validation and internal reliability of some existing and new scales to measure factors that are likely to influence utilisation of preventive care services provided by general practitioners in Australia. Methods Relevant domains of influence were first identified from a literature review and formative research. Items were then generated by using and adapting previously developed scales and published findings from these. The new items and scales were pre-tested and qualitative feedback was obtained from a convenience sample of citizens from the community and a panel of experts. Principal Components Analyses (PCA and internal reliability testing (Cronbach's alpha were then conducted for all of the newly adapted or developed scales utilising data collected from a self-administered mailed survey sent to a randomly selected population-based sample of 381 individuals (response rate 65.6 per cent. Results The PCA identified five scales with acceptable levels of internal consistency were: (1 social support (ten items, alpha 0.86; (2 perceived interpersonal care (five items, alpha 0.87, (3 concerns about availability of health care and accessibility to health care (eight items, alpha 0.80, (4 value of good health (five items, alpha 0.79, and (5 attitudes towards health care (three items, alpha 0.75. Conclusion The five scales are suitable for further development and more widespread use in research aimed at understanding the determinants of preventive health services utilisation among adults in the general population.

  7. Spotlight: Brazil.

    Science.gov (United States)

    Carter, M

    1996-08-01

    Brazil is South America's largest country and home to nearly half of the continent's people. Despite solid economic growth, Brazil has one of the world's widest income disparities. In the early 1990s, nearly 40% of urban and 66% of rural Brazilians lived in poverty. The streets of Brazil's cities are home to a large population of street children. Although it is difficult to estimate, 10 million children and youths may be either homeless or making a meager living off of the streets. Street children may be linked to prostitution and drugs and be the targets or perpetrators of violence. Child labor is an issue in Brazil. Today an estimated 30% of rural children and 9% of urban children ages 10-13 work in the formal economy. In some rural areas, 60% of workers are ages 5-17. Child labor also contributes to Brazil's relatively low educational attainment levels. UNICEF estimates that around 1990 only 1/3 of all Brazilian children continued on to secondary school, compared to 74% and 47%, respectively, for the Latin America and Caribbean regions. Immunization rates among Brazil's children are rising but still lag slightly behind regional averages. The mortality rate for children under age 5 decreased dramatically from 181 deaths for every 1000 live births in 1960 to 61/1000 in 1994. During the same time period, the average number of children born to a woman during her lifetime dropped from 6.2 to 2.8. This fertility decline is related in part to increased access to and acceptance of family planning. Contraceptive prevalence, including traditional and modern methods, is around 66%, with female sterilization and the pill being the most popular methods. Brazil's abortion rates are high, despite laws limiting access to abortion services. One estimate suggests that about 30% of all pregnancies are terminated through abortion each year.

  8. Nursing workload and adherence to non-pharmacological measures in the prevention of ventilator-associated pneumonia. A pilot study.

    Science.gov (United States)

    Jam, R; Hernández, O; Mesquida, J; Turégano, C; Carrillo, E; Pedragosa, R; Gómez, V; Martí, L; Vallés, J; Delgado-Hito, P

    2017-09-07

    To analyse whether adherence to non-pharmacological measures in the prevention of ventilator-associated pneumonia (VAP) is associated with nursing workload. A prospective observational study performed in a single medical-surgical ICU. Nurses in charge of patients under ventilator support were assessed. knowledge questionnaire, application of non-pharmacological VAP prevention measures, and workload (Nine Equivalents of Nursing Manpower Use Score). Phases: 1) the nurses carried out a educational programme, consisting of 60-minute lectures on non-pharmacological measures for VAP prevention, and at the end completed a questionnaire knowledge; 2) observation period; 3) knowledge questionnaire. Among 67 ICU-staff nurses, 54 completed the educational programme and were observed. A total of 160 observations of 49 nurses were made. Adequate knowledge was confirmed in both the initial and final questionnaires. Application of preventive measures ranged from 11% for hand washing pre-aspiration to 97% for the use of a sterile aspiration probe. The Nine Equivalents of Nursing Manpower Use Score was 50±13. No significant differences were observed between the association of the nurses' knowledge and the application of preventive measures or between workload and the application of preventive measures. Nurses' knowledge of VAP prevention measures is not necessarily applied in daily practice. Failure to follow these measures is not subject to lack of knowledge or to increased workload, but presumably to contextual factors. Copyright © 2017 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Travel and Border Health Measures to Prevent the International Spread of Ebola.

    Science.gov (United States)

    Cohen, Nicole J; Brown, Clive M; Alvarado-Ramy, Francisco; Bair-Brake, Heather; Benenson, Gabrielle A; Chen, Tai-Ho; Demma, Andrew J; Holton, N Kelly; Kohl, Katrin S; Lee, Amanda W; McAdam, David; Pesik, Nicki; Roohi, Shahrokh; Smith, C Lee; Waterman, Stephen H; Cetron, Martin S

    2016-07-08

    During the 2014-2016 Ebola virus disease (Ebola) epidemic in West Africa, CDC implemented travel and border health measures to prevent international spread of the disease, educate and protect travelers and communities, and minimize disruption of international travel and trade. CDC staff provided in-country technical assistance for exit screening in countries in West Africa with Ebola outbreaks, implemented an enhanced entry risk assessment and management program for travelers at U.S. ports of entry, and disseminated information and guidance for specific groups of travelers and relevant organizations. New and existing partnerships were crucial to the success of this response, including partnerships with international organizations, such as the World Health Organization, the International Organization for Migration, and nongovernment organizations, as well as domestic partnerships with the U.S. Department of Homeland Security and state and local health departments. Although difficult to assess, travel and border health measures might have helped control the epidemic's spread in West Africa by deterring or preventing travel by symptomatic or exposed persons and by educating travelers about protecting themselves. Enhanced entry risk assessment at U.S. airports facilitated management of travelers after arrival, including the recommended active monitoring. These measures also reassured airlines, shipping companies, port partners, and travelers that travel was safe and might have helped maintain continued flow of passenger traffic and resources needed for the response to the affected region. Travel and border health measures implemented in the countries with Ebola outbreaks laid the foundation for future reconstruction efforts related to borders and travel, including development of regional surveillance systems, cross-border coordination, and implementation of core capacities at designated official points of entry in accordance with the International Health Regulations

  10. Materno-infantilism, feminism and maternal health policy in Brazil.

    Science.gov (United States)

    Diniz, Simone

    2012-06-01

    In the last days of 2011, President of Brazil Dilma Rousseff issued a provisional measure (or draft law) entitled "National Surveillance and Monitoring Registration System for the Prevention of Maternal Mortality" (MP 557), as part of a new maternal health programme. It was supposed to address the pressing issue of maternal morbidity and mortality in Brazil, but instead it caused an explosive controversy because it used terms such as nascituro (unborn child) and proposed the compulsory registration of every pregnancy. After intense protests by feminist and human rights groups that this law was unconstitutional, violated women's right to privacy and threatened our already limited reproductive rights, the measure was revised in January 2012, omitting "the unborn child" but not the mandatory registration of pregnancy. Unfortunately, neither version of the draft law addresses the two main problems with maternal health in Brazil: the over-medicalisation of childbirth and its adverse effects, and the need for safe, legal abortion. The content of this measure itself reflects the conflictive nature of public policies on reproductive health in Brazil and how they are shaped by close links between different levels of government and political parties, and religious and professional sectors. Copyright © 2012 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  11. Mortality by sickle cell disease in Brazil.

    Science.gov (United States)

    Arduini, Giovanna Abadia Oliveira; Rodrigues, Letícia Pinto; Trovó de Marqui, Alessandra Bernadete

    This work aimed to characterize mortality by sickle cell disease in Brazil. The MEDLINE electronic database was searched using the terms 'mortality' and 'sickle cell disease' and 'Brazil' for articles published in the last five years aiming to provide a current analysis of the subject in question. Eight studies on mortality by sickle cell disease were carried out in the Brazilian states of Maranhão, Bahia, Minas Gerais, Rio de Janeiro and Mato Grosso do Sul. The majority of the deaths occurred in patients with sickle cell anemia, which is the most common genotype and causes the most severe clinical manifestation of the disease. In summary, there are few published studies on mortality related to sickle cell disease in Brazil, and most are from the state of Minas Gerais. This study emphasizes the importance of developing more studies on sickle cell disease mortality, so that it may be possible to profile gene carriers and give health professionals more data to strategize the delivery of more effective assistance to these individuals. Despite the early diagnosis of sickle cell disease by the Neonatal Screening Program and the use of preventive and therapeutic measures (penicillin, immunization and hydroxyurea), mortality by sickle cell disease on the world stage is still significant.

  12. Oil-suspended particulate material aggregates as a tool in preventing potential ecotoxicological impacts in the São Paulo river, Todos os Santos Bay, Bahia, Brazil: Influence of salinity and suspended particulate material.

    Science.gov (United States)

    Miranda, Lorena S; Moreira, Ícaro T A; Oliveira, Olívia M C; Santos, Carlito P; Pinheiro, Samires M M; Oliveira, Lua M L; Martins, Adriele B O; Filho, Milton S C

    2016-11-15

    Recent studies have revealed the occurrence of a natural process of interaction between oil droplets and suspended particulate material, resulting in the formation of aggregates which are dispersed in the water column, known as oil-suspended particulate material aggregates (OSAs). The experiments aimed to investigate the contribution of OSAS in indicating where most likely is the oil sedimentation in the São Paulo river, Todos os Santos Bay, Brazil, in order to predict possible ecotoxicological risks caused by oil spills. The results showed that salinity and MPS concentration interfere on the formation of aggregates. In addition, the point 3 was nominated as the most vulnerable area to the potential ecotoxicological impacts of oil spills and should be treated as a priority area for the application of preventive and mitigating techniques. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. In situ measurements of benthic primary production, respiration and nutrient fluxes in a hypersaline coastal lagoon of SE Brazil

    Directory of Open Access Journals (Sweden)

    Bastiaan Knoppers

    1996-01-01

    Full Text Available Bentbic oxygen and nutrient ftuxes were measured in a section of the hypersaline carbonate-rich coastal lagoon of Araruama, SE-Brazil. In situ incubations of the sediment surface (Zm - 1.5 were performed at one station with light/dark chambers during september 1993 (early spring period and april 1995 (earlyautumn period. The carbonate..rich aediments were covered by 1-3 mm thick microalgal mats, dominated by the cyanobaeteria Phormidium sp, Oscillatoria sp, and Lyngbya sp. Benthic net primary production rates were 15.4 ± 0.7 mmolC/m²/d in early spring and 33.8 ± 8.8 mmolC/m²/d in early autumn, total community respiration rates attained 35.3 ± 7.2 and 65.7 ± 16.9 mmolC/m²/d, and pelagic primary production rates 1.7 ± 0.7 and 4.0 ± 1.4 mmolC/m²/d, respectively. Total community metabolism was thus heterauophic and mainly driven by benthic metabolism. The benthic release rates af ammonia were 0.65 ± 0.32 mmolC/m²/day in early spring and 0.58± 0.42mmoVm ldaym early autumn, butwere near to negligible for orthophosphate. Pelagic primaryproduction was limited byphosphorous, in part, by the preferential release of étmmonia over orthophosphate from the sediment-water interface. The benthic primary production and nutrient release rates were within the range of other eury-to hypersaline carbonate-rich environments characterized by non- consolidated algat rats.Fluxos bênticos de oxigênio e nutrientes foram medidos numa seção da lagoa hipersalina e carbonática de Araruama, SE-Brasil Incubações in situ da superfície do sedimento (Zm = 1,5 foram realizadas em uma estação com câmaras claras/escuras nos meses de setembro de 1993 (início da primavera e abril de 1995 (início do outono. Os sedimentos ricos em carbonatos eram recobertos por um tapete microalgal de 1-3 mm, dominados pelas cianobactérias Phormidium sp,Oscillatoria spLyngbya sp. As taxas de produção primária yquida foram 15,4 ± 0,7 mmolC/m²/d Id no iníCIO da primavera e

  14. Injuries in skiing and snowboarding: Epidemiology and risk factors as a basis for prevention measures

    Directory of Open Access Journals (Sweden)

    Ropret Robert

    2014-01-01

    Full Text Available This paper deals with the subject of injury in alpine skiing and snowboarding and the aim was to define the characteristics of injuries and the risk factors as the basis for establishing preventive measures. The types of injuries and risk factors were analyzed by examining previous papers. During the last thirty years, the number of injuries has generally decreased by 50-70%. The changes were recorded in the types of injuries, and the number of certain injuries increased. It was found that there was a mutual difference in the number and structure of the injuries of skiers and snowboarders. Injuries can be classified topologically and according to risk factors. The risk factors may be manifold: the characteristics of the equipment, the characteristics of the trail and snow surface, protective equipment, age, gender, physical fitness, risky behaviours, time of day, skiing discipline, climate factors, the presence of other skiers and others. By the analysis of these factors it was concluded that there were three entities in the implementation of security measures: the state that stipulates laws (relevant ministries, owners or organizers who provide services in skiing (ski centres, ski services, ski schools, clubs and skiers and snowboarders themselves.

  15. [Preventive measures for the control of fungal infections in the clinic].

    Science.gov (United States)

    Seeliger, H P; Schröter, G

    1984-06-01

    Hospital acquired infections due to fungi are primarily caused by yeast species of the genus Candida and mould species of the genus Aspergillus. Underlying disease with severely impaired defence mechanisms as well as certain forms of immunosuppressive and aggressive chemotherapy are the most important prerequisites for such secondary fungal infections. Aspergillus spec. usually infect man via exogenous routes, whereas Candida spec. mostly originate from the patient's own microbial flora. Under certain circumstances invasion of tissues follows (endomycoses). Exogenous Candida infections may likewise occur through contaminated hands of personnel and medical devices. The density of yeast cell distribution in hospital wards decreases with the distance from the primary source: the Candida infected human patient. Preventive measures protecting the patient at risk include: Permanent surveillance by routine cultural and serological examinations for the detection of an early infection of the skin, mouth, oesophagus, urinary tract, vagina and the bowel. Monitoring of patients is essential for early detection of dissemination and contributes to the control of fungal decontamination measures. Selective local decontamination is effected by the use of nonabsorbable compounds such as nystatin and amphotericin B in the gastrointestinal tract, and in oral and genital mucous membranes. Oral administration of ketoconazole has also been recommended. For the disinfection of skin appropriate chemicals are available. In the control of the environment of the endangered patient special attention must be paid to meticulous management of catheters.(ABSTRACT TRUNCATED AT 250 WORDS)

  16. Method for screening prevention and control measures and technologies based on groundwater pollution intensity assessment.

    Science.gov (United States)

    Li, Juan; Yang, Yang; Huan, Huan; Li, Mingxiao; Xi, Beidou; Lv, Ningqing; Wu, Yi; Xie, Yiwen; Li, Xiang; Yang, Jinjin

    2016-05-01

    This paper presents a system for determining the evaluation and gradation indices of groundwater pollution intensity (GPI). Considering the characteristics of the vadose zone and pollution sources, the system decides which anti-seepage measures should be implemented at the contaminated site. The pollution sources hazards (PSH) and groundwater intrinsic vulnerability (GIV) are graded by the revised Nemerow Pollution Index and an improved DRTAS model, respectively. GPI is evaluated and graded by a double-sided multi-factor coupling model, which is constructed by the matrix method. The contaminated sites are categorized as prior, ordinary, or common sites. From the GPI results, we develop guiding principles for preventing and removing pollution sources, procedural interruption and remediation, and end treatment and monitoring. Thus, we can select appropriate prevention and control technologies (PCT). To screen the technological schemes and optimize the traditional analytical hierarchy process (AHP), we adopt the technique for order preference by the similarity to ideal solution (TOPSIS) method. Our GPI approach and PCT screening are applied to three types of pollution sites: the refuse dump of a rare earth mine development project (a potential pollution source), a chromium slag dump, and a landfill (existing pollution sources). These three sites are identified as ordinary, prior, and ordinary sites, respectively. The anti-seepage materials at the refuse dump should perform as effectively as a 1.5-m-thick clay bed. The chromium slag dump should be preferentially treated by soil flushing and in situ chemical remediation. The landfill should be treated by natural attenuation technology. The proposed PCT screening approach was compared with conventional screening methods results at the three sites and proved feasible and effective. The proposed method can provide technical support for the monitoring and management of groundwater pollution in China. Copyright © 2015

  17. Severe accident approach - final report. Evaluation of design measures for severe accident prevention and consequence mitigation.

    Energy Technology Data Exchange (ETDEWEB)

    Tentner, A. M.; Parma, E.; Wei, T.; Wigeland, R.; Nuclear Engineering Division; SNL; INL

    2010-03-01

    An important goal of the US DOE reactor development program is to conceptualize advanced safety design features for a demonstration Sodium Fast Reactor (SFR). The treatment of severe accidents is one of the key safety issues in the design approach for advanced SFR systems. It is necessary to develop an in-depth understanding of the risk of severe accidents for the SFR so that appropriate risk management measures can be implemented early in the design process. This report presents the results of a review of the SFR features and phenomena that directly influence the sequence of events during a postulated severe accident. The report identifies the safety features used or proposed for various SFR designs in the US and worldwide for the prevention and/or mitigation of Core Disruptive Accidents (CDA). The report provides an overview of the current SFR safety approaches and the role of severe accidents. Mutual understanding of these design features and safety approaches is necessary for future collaborations between the US and its international partners as part of the GEN IV program. The report also reviews the basis for an integrated safety approach to severe accidents for the SFR that reflects the safety design knowledge gained in the US during the Advanced Liquid Metal Reactor (ALMR) and Integral Fast Reactor (IFR) programs. This approach relies on inherent reactor and plant safety performance characteristics to provide additional safety margins. The goal of this approach is to prevent development of severe accident conditions, even in the event of initiators with safety system failures previously recognized to lead directly to reactor damage.

  18. Blood pressure and BMI in adolescents in Aracaju, Brazil.

    Science.gov (United States)

    Polderman, Jorinde; Gurgel, Ricardo Queiroz; Barreto-Filho, José Augusto S; Roelofs, Rik; Ramos, Ricardo Emanoel de O; de Munter, Jeroen S; Wendte, Johannes F; Agyemang, Charles

    2011-06-01

    To assess the prevalence of high blood pressure (BP) and the association of overweight and obesity with high BP among adolescents in Aracaju, Brazil. Cross-sectional study. The main outcome measure was the proportion of adolescents with high BP (sex-, age- and height-specific ≥ 95th percentile). The main predictor variables were overweight and obesity defined according to the criteria of the International Obesity Task Force. Other covariates included age, socio-economic status and leisure-time physical activity. Aracaju, Brazil, capital city of Sergipe State, north-eastern Brazil. A random sample of 1002 adolescents (442 boys and 560 girls) aged 12-17 years selected from twenty public schools and ten private schools were studied. The prevalence of high BP was 16.9 % (95 % CI 13.1, 21.7) in boys and 12.9 % (95 % CI 9.0, 18.0) in girls. After adjusting for age, socio-economic status and leisure-time physical activity in both boys and girls, overweight (prevalence ratio (PR) = 1.93, 95 % CI 1.08, 3.48; PR = 4.34, 95 % CI 2.58, 7.30, respectively) and obesity (PR = 4.87, 95 % CI 2.35, 10.11; PR = 5.18, 95 % CI 2.67, 10.06, respectively) were found to be associated with high BP. These findings indicate a high prevalence of high BP in both boys and girls in Aracaju, Brazil. Overweight and obesity were strongly associated with high BP. These findings underscore the urgent need for public health measures to prevent increasing high BP in adolescents in Brazil. Targeting intervention in adolescence may be a critical method for preventing high BP in later life.

  19. Environmental Restoration Program pollution prevention performance measures for FY 1993 and 1994 remedial investigations: Generator training manual

    Energy Technology Data Exchange (ETDEWEB)

    1993-03-01

    This computer-based program is designed to help waste generators in the Environmental Restoration (ER) Program prevent pollution at the DOE Oak Ridge Field Office (DOE-OR) facilities in Oak Ridge, Paducah, and Portsmouth. The Numerical Scoring System (NSS) is an interactive system designed to maintain data on ER Program pollution prevention efforts and to measure the success of these efforts through the ER Program life cycle.

  20. Prevention of eating disorders among minority youth: a matched-sample repeated measures study.

    Science.gov (United States)

    Cook-Cottone, Catherine; Jones, Lakaii A; Haugli, Sara

    2010-01-01

    The purpose of this study was to examine ethnic differences in primary prevention programs for eating disorders in young girls. In order to address the dearth of research in this area, this study examined the comparative response to an eating disorder prevention program on fifth-grade minority and White females. Pre- and post-test data were collected from 10 groups participating in the prevention program for a total of 50 girls. Minority participants and White participants were then matched based on Body Mass Index (BMI) and socioeconomic status in order to examine ethnic differences in group effectiveness. Findings indicated that minority and White participants were equally responsive to the prevention program.

  1. Preventive or punitive disciplinary measures in South African schools: Which should be favoured?

    Directory of Open Access Journals (Sweden)

    I.J. Oosthuizen

    2003-08-01

    Full Text Available Recent research shows a major paradigm shift towards preventive and positive rather than punitive disciplinary measures. Since the essence of learner discipline is correctional and educational rather than punitive, this approach seems to be the correct one – especially after the abolition of corporal punishment in South African schools. However, the question remains: is there still room for punitive and reactive learner discipline in our schools? And if so, which is the better approach, and where should the emphasis be? This article endeavours to evaluate the two approaches by means of a normative framework. Rather than ruling which approach is the more successful one, the authors argue that it is not the one or the other, but rather a combination of the two approaches. One of the guiding determinants for correct decision-making is vested in maintaining a safe, harmonious and orderly environment conducive to education and learning. The decision regarding the most effective form of discipline in a particular instance should therefore be determined by the context of the situation. For example, it depends on the seriousness of the misconduct, the attitude of the learners (e.g. was it as a result of intent or negligence?, the age of the learner, the influence it had on the teaching-learning environment, et cetera.

  2. [DYNAMICS OF DENTAL CARIES' INDEXES IN CHILDREN WITH DENTOALVEOLAR ANOMALIES UNDER THE INFLUENCE OF PREVENTIVE MEASURES].

    Science.gov (United States)

    Kaskova, L F; Marchenko, K V; Berezhnaja, E E; Amosova, L I

    2015-01-01

    Frequency dentition anomalies in children and adolescents according to different authors, ranging from rising 50.8 to 81%. Anomalies of dental systems lead to aesthetic and functional disturbances affecting the child's psyche, and often lead to the development of dental caries and periodontal diseases. So, the purpose of our study was to investigate the dynamics of dental caries' indexes in children with dentoalveolar anomalies under the influence of preventive measures. We observed 50 children aged 12, who were divided into four groups. The most effective prophylactic complex in terms of reduction of growth of caries (59.4%) was the one that involved the use of "Tooth Mousse" (applying to the surface of the teeth 5 minutes after eating one time a day, in the morning after brushing teeth), "Osteovit" (one tablet three times a day), "Pektodent--dentifrice? (dental cleaning powder twice a day--in the morning and evening). This complex creates conditions for increasing the resistance of hard dental tissues, resulting in low levels of intensity of caries in children.

  3. Preventive measures for safety and helth at work with the amphibious transporter PTS-M

    Directory of Open Access Journals (Sweden)

    Nenad V. Kovačević

    2014-04-01

    Full Text Available Nowadays, the knowledge of using the amphibious transporter STM-M ( STM-M is very limited. A small number of professional soldiers in the Serbian Armed Forces know how to use thisvery useful and high-quality military vehicle in a regular way. From the day onethis vehicle has remained in its basic shape without any modifications since it was made in the former Soviet Union. Today, the Serbian Armed Forces have only 12 of these vehicles in the operational use. The Serbian Armed Forces have two amphibious platoons in two pontoon batalions in the River Flotilla. As the author of this article was an officer in charge of maintaining this complex and “unusual” vehicle, the article deals with the provisions from the Regulations on preventive measures for safety and health while using work equipment (Ministry of Labour, 2012, applied to work with STM-Ms, The article makes a parallel between the provisions of the Regulations and the actual situation and specific conditions of using and maintaining STM-Ms . Introduction Some basic information about the STM-M is given here, twith Figure 1 of this vehicle and its tactical and technicalspecifications.The dangerous places onthe vehicle are presented as well. Mesuares and rules for safe work This part ofthe article presents all speciall tools on the STM-M that are used for safe work. Each piece of tool is described in detail -itslocationon the STM-M, its physical characteristics,  and most common mistakes during its use. Some measures for better maintenance and improved safety at work are also proposed. Conclusion The conclusion deals with the misuse and wrong maintenance of STM-Ms and gives some proposals for their better use. A critical commentary about the conditions of safety engineering in the Serbian Armed Forces can be found here as well.  

  4. Effect of caries preventive measures directed to expectant mothers on caries experience in their children

    Directory of Open Access Journals (Sweden)

    Zanata Régia Luzia

    2003-01-01

    Full Text Available The aim of this prospective study was to determine the effectiveness of caries preventive measures started during pregnancy on the caries experience of first-time mothers and their infants. Eighty-one pregnant women with low social background were selected on the basis of the presence of active carious lesions and were randomly divided into control (38 and experimental (43 groups. The initial dental status (DMFS and white spot lesions was established through clinical examination. The prophylactic measures were repeated during pregnancy and 6 and 12 months after delivery. Both groups received primary care intervention. They were instructed in relation to the etiologic factors of dental caries and received oral hygiene kits. Oral hygiene instructions were reinforced through interactive brushing. The experimental group also received antimicrobial treatment (topical application of NaF and iodine solution immediately after prophylaxis and 3 and 5 days later and restorative care using glass ionomer cement. By the time the children were 2 years of age, 33.3% of the infants in the control group and 14.7% in the experimental group had caries activity. A significant difference in caries prevalence was observed between children with and without visible dental plaque. The mean number of tooth surfaces with carious lesions (including areas of demineralization was higher among the children in the control group compared to the experimental group (6.3 x 3.2, however, with no statistical significance. Maternal caries increase was a significant factor influencing the caries experience of the children. These data support the evidence of an association between caries prevalence in young children and clinical (dental plaque and maternal factors.

  5. The environmental public policy context in the prevention and control aspects of oil incidents for the exploration and production phases in Brazil; O contexto das politicas publicas ambientais nos aspectos de prevencao e controle dos incidentes com oleo durante as etapas de exploracao e producao de petroleo no Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Seifert Junior, Carlos Alberto; Walter, Tatiana; Nicolodi, Joao Luis [Universidade Federal do Rio Grande (FURG), RS (Brazil)

    2012-07-01

    It is not possible to state that Brazil is unprepared to respond oil incidents emergencies, in Coastal Zone, Continental Shelf and EEZ oil E and P, without an analysis with clear premises. First, we need to understand the context that lays this question, which it is not limited in the National Contingency Plan, as lately evidenced in media. Thus, we note that Brazil has a complex political and legal arrangements targeted to oil incidents prevention and control. In this context, comes this paper, in order to reveal this curtain, listing actors, legislation and other aspects that underlie the public policy governance in reference. (author)

  6. Quantitative measures of corrosion and prevention: application to corrosion in agriculture

    NARCIS (Netherlands)

    Schouten, J.C.; Gellings, P.J.

    1987-01-01

    The corrosion protection factor (c.p.f.) and the corrosion condition (c.c.) are simple instruments for the study and evaluation of the contribution and efficiency of several methods of corrosion prevention and control. The application of c.p.f. and c.c. to corrosion and prevention in agriculture in

  7. Cost effective measures to prevent obesity: epidemiological basis and appropriate target groups

    NARCIS (Netherlands)

    Seidell, J.C.; Nooyens, A.C.J.; Visscher, T.L.S.

    2005-01-01

    Cost-effective prevention strategies to prevent weight gain and the development of obesity should be based on appropriate knowledge of the determinants of weight gain. The body of evidence on the dietary determinants of weight gain is, however, fragmentary at best, partly because inappropriate

  8. Quantitative measures of corrosion and prevention: application to corrosion in agriculture

    NARCIS (Netherlands)

    Schouten, J.C.; Gellings, P.J.

    1987-01-01

    The corrosion protection factor (c.p.f.) and the corrosion condition (c.c.) are simple instruments for the study and evaluation of the contribution and efficiency of several methods of corrosion prevention and control. The application of c.p.f. and c.c. to corrosion and prevention in agriculture in

  9. A study on fatigue measurement of operators for human error prevention in NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Ju, Oh Yeon; Il, Jang Tong; Meiling, Luo; Hee, Lee Young [KAERI, Daejeon (Korea, Republic of)

    2012-10-15

    The identification and the analysis of individual factor of operators, which is one of the various causes of adverse effects in human performance, is not easy in NPPs. There are work types (including shift), environment, personality, qualification, training, education, cognition, fatigue, job stress, workload, etc in individual factors for the operators. Research at the Finnish Institute of Occupational Health (FIOH) reported that a 'burn out (extreme fatigue)' is related to alcohol dependent habits and must be dealt with using a stress management program. USNRC (U.S. Nuclear Regulatory Commission) developed FFD (Fitness for Duty) for improving the task efficiency and preventing human errors. 'Managing Fatigue' of 10CFR26 presented as requirements to control operator fatigue in NPPs. The committee explained that excessive fatigue is due to stressful work environments, working hours, shifts, sleep disorders, and unstable circadian rhythms. In addition, an International Labor Organization (ILO) developed and suggested a checklist to manage fatigue and job stress. In domestic, a systematic evaluation way is presented by the Final Safety Analysis Report (FSAR) chapter 18, Human Factors, in the licensing process. However, it almost focused on the interface design such as HMI (Human Machine Interface), not individual factors. In particular, because our country is in a process of the exporting the NPP to UAE, the development and setting of fatigue management technique is important and urgent to present the technical standard and FFD criteria to UAE. And also, it is anticipated that the domestic regulatory body applies the FFD program as the regulation requirement so that a preparation for that situation is required. In this paper, advanced researches are investigated to find the fatigue measurement and evaluation methods of operators in a high reliability industry. Also, this study tries to review the NRC report and discuss the causal factors and

  10. ON MATHEMATICAL MODEL OF THE IMPACT OF NON-COMPLIANCE WITH PREVENTIVE MEASURES FOR THE PREVENTION OF THE SPREAD OF HIV/AIDS AMONG HETEROGENEOUS POPULATION

    Directory of Open Access Journals (Sweden)

    Bassey B. E.

    2015-04-01

    Full Text Available In this article we consider a mathematical model of effect of non-compliance with the prevention of HIV/AIDS among a heterogeneous population based on known model by Kimbir et al (2006. The effectiveness of a condom use and implications of non-compliance with a population of preventive measures (condoms are the aim of this research work. In this work, with definite coefficients, nonlinear model is used, which consists of system of six differential equations for different population groups (six groups of the population to obtain the model equations. Compared with the existing model by Kimbir, the proposed model to a large extent, takes into account the birth rate of the studied population. Numerical simulation of the model equations shows that reducing the rate of transmission of HIV/AIDS can be effectively achieved within a certain time, and only where relatively high condom efficacy and high compliance by susceptible and infected are observed. From the obtained results, we can see that the control of HIV/AIDS in the heterosexual population depends on the net compliance and effectiveness of the recommended prevention (condom use. As a recommendation, the model focuses on intensive training and ongoing campaigns to raise the awareness of the population by governmental and non-governmental agencies on the effective use of the condom

  11. Preventive measures to reduce the transfer of Streptococcus mutans from pregnant women to their babies†

    Directory of Open Access Journals (Sweden)

    Eda Güler

    2011-03-01

    Conclusions: Streptococcus mutans is commonly transferred from mothers to their babies, and the preventive program applied to the pregnant women reduced both the amount of plaque and S. mutans colonization and thus had a positive effect.

  12. Socioeconomic status and in-hospital mortality of acute coronary syndrome: Can education and occupation serve as preventive measures?

    Directory of Open Access Journals (Sweden)

    Seyed Hesameddin Abbasi

    2015-01-01

    Conclusions: This study found that patients with low SES were at a higher risk of in-hospital mortality due to the ACS. Furthermore, the results suggest the need for increased availability of jobs as well as improved levels of education as preventive measures to curb the unfolding deaths owing to coronary artery syndrome.

  13. Design and implementation of highway distress and preventive measures decision support system based on WebGIS

    Institute of Scientific and Technical Information of China (English)

    ZHANG Pu; TAO Li-Na; XIA Ying; Dong-wook Lee; Hae-young Bae

    2007-01-01

    A highway distress and preventive measures decision support system based on WebGIS and J2EE architecture were studied, and the key issues for the system are presented. Such issues as spatial data and attribute data organization, technology of enhancing user experience, database connection pool were investigated. The feasibility of the theories and methods were tested through the system.

  14. Evaluation of Parameter Related to Preventative Measures on the Child Injuries at Home

    Directory of Open Access Journals (Sweden)

    Hatamabadi HR

    2013-10-01

    Full Text Available Background and Aims: The harms resulted from home injuries are a major factor in child mortality. The current study aims to evaluate the factors associated with the knowledge and performance level of mothers in terms of adopting preventive behaviors to avoid home injuries. Materials and Methods: The target population of this descriptive - analytical study is all mothers of preschool children suffering from home injuries referring to Imam Hossein and Haft-E-Tir hospitals. Mothers’ data were collected using a valid and reliable questionnaire. After dividing the knowledge level and the status of mothers’ preventive behaviors into two groups, the relationship between factors was assessed by using Chi-square and multivariate logistic regression and the status of mothers preventive behaviors were studied as well. Results: Finally, 230 mothers (mean age 5.2 ± 29.4 were studied. 75.0 of them had good awareness, and 56.0 % also had a good performance. Mother's absence for at least 8 hours per day (0.12 = OR, increase of the number of preschool children (0.03 = OR and employed mother (0.01 = OR are the things that hinder preventive behaviors in home injuries. While the history of home injuries during the past 3 weeks (13.3 = OR, mother’s appropriate awareness of preventive behaviors (28.9 = OR and high-income families (2.4 = OR lead to the adoption of preventive behaviors by mothers. Conclusion: Awareness is the only modifiable factor and it can be improved by educational interventions. Support of assistance and social welfare agencies for employed mothers can improve the current status of preventive behaviors in home injuries. Keywords: Preventive Behaviors, Awareness, Effective Factors

  15. Developing quality measures for adolescent care: validity of adolescents' self-reported receipt of preventive services.

    OpenAIRE

    Klein, J D; Graff, C A; Santelli, J S; Hedberg, V A; Allan, M. J.; Elster, A. B.

    1999-01-01

    OBJECTIVE: To demonstrate the feasibility of directly surveying adolescents about the content of preventive health services they have received and to assess the validity of adolescent self-reported recall. DATA SOURCES/SETTING: Audiotaped encounters, telephone interviews, and chart reviews with 14-21 year olds being seen for preventive care visits at 15 pediatric and family medicine private practices, teaching hospital clinics, and health centers. DESIGN: 537 adolescents presenting for well v...

  16. Assessment of biomass burnings activity with the synergy of sunphotometric and LIDAR measurements in São Paulo, Brazil

    Science.gov (United States)

    Mariano, G. L.; Lopes, F. J. S.; Jorge, M. P. P. M.; Landulfo, E.

    2010-11-01

    In the period of July-November of 2007 an aerosol profiling campaign was carried out with a backscattering LIDAR system in São Paulo, Brazil (23° 33‧S, 46° 44‧W). The goals of this campaign were to perform an aerosol long period observation in the lower atmosphere (up to 10 km) and extract correlations among the microphysical properties obtained from different plataforms, as well to pinpoint events where strong indications of biomass burning plumes were present above the planetary boundary layer (PBL) and still impact quality reports emitted by ground stations provided by the local environmental agency. In this context the present study aims to investigate the impact that this type of aerosol has on the environment of São Paulo when active fires in South America are observed in close and remote areas. Besides the LIDAR system, an AERONET Sunphotometer was used to help in characterizing the aerosol optical properties. Ten cases were selected as an identification of biomass burning layer entrance and after they were confirmed by NOAA-12 AVHRR sensor and 5-day Hysplit generated backtrajectories. A statistical analysis was carried out for analysis of the extinction-to-backscattering ratio (LIDAR ratio - LR) together with the sunphotometer retrieved Angström Exponent (AE) and aerosol optical depth (AOD) data. The observed layer sources were potentially from remote regions as the South Amazon basin and the north portion of Argentina and closer parts of São Paulo state related to sugar cane harvesting activities. The biomass burning plume heights were between 3 and 8 km. It has been found that LR, AE and AOD values ranged from 44 to 147 sr, from 0.85 to 1.58 and from 0.14 to 0.53, respectively. In a case study for September 7, 2007, an air mass with influence of biomass burning reached the city of São Paulo leading to a LR of 59 sr. Despite the AOD value of 0.33, the aerosol size distribution analysis showed a higher amount of fine particulate matter in

  17. Preventive measures to prevent loss to follow-up in highly active antiretroviral therapy (HAART): implementing a strategy in Ziguinchor (Casamance, Senegal) in 2014.

    Science.gov (United States)

    Randé, H; Rouffy, D

    2016-05-01

    Since 2010, the Pharmacie et Aide Humanitaire (PAH) in Casamance (Senegal) has been maintaining a software package (Tacojo) that allows monthly monitoring of the distribution of treatment to every patient with HIV infection receiving highly active antiretroviral therapy (HAART). We used this program to set up measures to prevent the loss to follow-up of patients receiving HAART. Our involvement focused on two main areas. First, each patient is routinely contacted after inclusion, to help us to understand the patient's experience of the disease and the treatment. This process aims to improve adherence to the treatment. Then, all patients who miss an appointment are routinely contacted by telephone within seven days of that appointment. The goal is to understand the reasons for the absence and to encourage patients to continue their treatment. Despite the lack of distance due to the relative newness of this program, these preventive measures have shown hopeful results (80% of the patients came back after a call). It would be interesting to apply it in a sustainable manner and in more medical facilities.

  18. The Youth Daily Life Before Fulfilling Socio-educational Measures of Deprivation of Liberty in Brazil: Ordinary Experiences That Are Tangent to the Inclusion in Drug Trafficking.

    Science.gov (United States)

    Costa, Luciana Assis; Rocha, Daniete Fernandes; Vieira, Gabriela; Reis, Adriene

    2016-09-01

    The aim of this paper is to demonstrate some understanding of the daily lives of young people facing socio-educational measures of incarceration, especially regarding the predisposing factors that may explain their involvement in criminal occupations and activities (Although the socio-educational measures applicable to adolescents configures as a response to committing of an offence, it has a mostly educational and not punitive character.). This is an exploratory study with a qualitative approach. The data collection instrument used was semi-structured interviews with 22 young men aged between 12 and 17 years, on condition of deprivation of freedom in four youth centres in Belo Horizonte, Minas Gerais, Brazil. The results showed that these adolescents had a way of life associated with a scarcity of resources owned by households (including little control over them, despite the efforts of their mothers); low adherence to school; limited institutional access to activities in their free time; exposure to predisposing factors to crime, such as early contact with crime through neighbourhood and family relationships; and profiting from crime. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  19. Measurements of the total ozone column using a Brewer spectrophotometer and TOMS and OMI satellite instruments over the Southern Space Observatory in Brazil

    Science.gov (United States)

    Vaz Peres, Lucas; Bencherif, Hassan; Mbatha, Nkanyiso; Passaglia Schuch, André; Toihir, Abdoulwahab Mohamed; Bègue, Nelson; Portafaix, Thierry; Anabor, Vagner; Kirsch Pinheiro, Damaris; Paes Leme, Neusa Maria; Valentin Bageston, José; Schuch, Nelson Jorge

    2017-01-01

    This paper presents 23 years (1992-2014) of quasi-continuous measurements of the total ozone column (TOC) over the Southern Space Observatory (SSO) in São Martinho da Serra, Brazil (29.26° S, 53.48° and 488 m altitude). The TOC was measured by a Brewer spectrometer, and the results are also compared to daily and monthly observations from the TOMS (Total Ozone Mapping Spectrometer) and OMI (Ozone Monitoring Instrument) satellite instruments. Analyses of the main interannual modes of variability computed using the wavelet transform method were performed. A favorable agreement between the Brewer spectrophotometer and satellite datasets was found. The seasonal TOC variation is dominated by an annual cycle, with a minimum of approximately 260 DU in April and a maximum of approximately 295 DU in September. The wavelet analysis applied in the SSO TOC anomaly time series revealed that the Quasi-Biennial Oscillation (QBO) modulation was the main mode of interannual variability. The comparison between the SSO TOC anomaly time series with the QBO index revealed that the two are in opposite phases.

  20. Aspirin combined with mechanical measures to prevent venous thromboembolism after total knee arthroplasty: a randomized controlled trial

    Institute of Scientific and Technical Information of China (English)

    Jiang Yi; Du Hui; Liu Jian; Zhou Yixin

    2014-01-01

    Background Venous thromboembolism (VTE) is an important complication after major orthopedic surgery.Pharmaceutical methods represent the main strategy of VTE prevention.The use of aspirin in VTE prevention is still controversial worldwide,especially in China.The purpose of this study was to evaluate the role of aspirin combined with mechanical measures in the prevention of VTE after total knee arthroplasty (TKA).Methods Between January 2012 and May 2013 and in accordance with the inclusion criteria,120 patients undergoing TKA were randomly allocated to two groups.To prevent VTE,patients in group A received aspirin combined with mechanical measures postoperatively,while patients in group B received low-molecular-weight heparin (LMWH) sodium and rivaroxaban sequentially in combination with mechanical measures postoperatively.All surgeries were performed by one surgeon using a posterior-stabilized cemented prosthesis.The two groups were followed up and compared for the incidence of deep vein thrombosis (DVT) by duplex ultrasound scan and clinical VTE events.The adverse events,the blood loss index,and the cost of VTE prevention were also compared.Results DVT was detected in 10 of 60 patients in group A (16.7%,95% CI:7.3%-26.1%) compared with 11 of 60 in group B (18.3%,95% CI:8.5%-27.8%) (P=0.500).There is no statistical evidence supporting the inferior effect of aspirin in preventing DVT as compared with the other medications.There were no cases of symptomatic VTE or death during the follow-up period.Area of ecchymosis was lower in group A than in group B,and the differences were statistically significant.Patients in group A had the lower blood loss index as compared with patients in group B.No transfusion cases were found in both groups.The differences were statistically significant.The cost of VTE prevention analysis indicated a cost reduction using aspirin in group A compared with using LMWH and rivaroxaban in group B.Conclusion Aspirin combined with

  1. Assessment of Critical Care Provider's Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units.

    Science.gov (United States)

    Bagheri-Nesami, Masoumeh; Amiri-Abchuyeh, Maryam; Gholipour-Baradari, Afshin; Yazdani-Cherati, Jamshid; Nikkhah, Attieh

    2015-08-01

    The implementation of guidelines for the prevention of Ventilator-associated pneumonia has been shown to have a significant effect in reducing the incidence of VAP. The aim of the present study was to evaluate the implementation of the preventive strategies for VAP in ICUs of university hospitals of Sari, Iran. This cross-sectional study was carried out in 600 beds/day in the ICUs of university hospitals of Sari from April to June 2012. Sampling was done by availability technique in patients receiving mechanical ventilation in the ICU. The implementation of the preventive measures was assessed by a standard checklist with previously approved validity and reliability. The percentage of implementing each of the measures was as follows: sterile suction, 88.44%; semi-recumbent position, 76.8%; oral hygiene, 58.45%; using heat and moisture exchanges (HMEs), 58%; controlling cuff pressure, 46.8%; hand hygiene, 32.8%; using anti-coagulants, 26.8% and physiotherapy, 25.5%. Closed suction system, continuous drainage of subglottic secretions and kinetic beds were not used at all. The overall mean percentage of implementing preventive measures was low and required designing integrated guidelines by considering the conditions of the ICUs in each country, as well as educating and encouraging the staffs to use the recommended guidelines.

  2. Leprosy New Case Detection Trends and the Future Effect of Preventive Interventions in Pará State, Brazil: A Modelling Study.

    Science.gov (United States)

    de Matos, Haroldo José; Blok, David J; de Vlas, Sake J; Richardus, Jan Hendrik

    2016-03-01

    Leprosy remains a public health problem in Brazil. Although the overall number of new cases is declining, there are still areas with a high disease burden, such as Pará State in the north of the country. We aim to predict future trends in new case detection rate (NCDR) and explore the potential impact of contact tracing and chemoprophylaxis on NCDR in Pará State. We used SIMCOLEP, an existing individual-based model for the transmission and control of M. leprae, in a population structured by households. The model was quantified to simulate the population and observed NCDR of leprosy in Pará State for the period 1990 to 2014. The baseline scenario was the current control program, consisting of multidrug therapy, passive case detection, and active case detection from 2003 onwards. Future projections of the NCDR were made until 2050 given the continuation of the current control program (i.e. baseline). We further investigated the potential impact of two scenarios for future control of leprosy: 1) discontinuation of contact tracing; and 2) continuation of current control in combination with chemoprophylaxis. Both scenarios started in 2015 and were projected until 2050. The modelled NCDR in Pará State after 2014 shows a continuous downward trend, reaching the official elimination target of 10 cases per 100,000 population by 2030. The cessation of systematic contact tracing would not result in a higher NCDR in the long run. Systematic contact tracing in combination with chemoprophylaxis for contacts would reduce the NCDR by 40% and bring attainment of the elimination target two years forward to 2028. The NCDR of leprosy continues to decrease in Pará State. Elimination of leprosy as a public health problem could possibly be achieved around 2030, if the current control program is maintained. Providing chemoprophylaxis would decrease the NCDR further and would bring elimination forward by two years.

  3. Cascade of access to interventions to prevent HIV mother to child transmission in the metropolitan area of Rio de Janeiro, Brazil

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    Elaine S. Pires Araujo

    Full Text Available OBJECTIVES: To describe the access to the interventions for the prevention of Human Immunodeficiency Virus (HIV mother to child transmission and mother to child transmission rates in the outskirts of Rio de Janeiro, from 1999 to 2009. METHODS: This is a retrospective cohort study. Prevention of HIV mother to child transmission interventions were accessed and mother to child transmission rates were calculated. RESULTS: The study population is young (median: 26 years; interquartile range: 22.0-31.0, with low monthly family income (40.4% up to one Brazilian minimum wage and schooling (62.1% less than 8 years. Only 47.1% (n = 469 knew the HIV status of their partner; of these women, 39.9% had an HIV-seronegative partner. Among the 1259 newborns evaluated, access to the antenatal, intrapartum and postpartum prevention of HIV mother to child transmission components occurred in 59.2%, 74.2%, and 97.5% respectively; 91.0% of the newborns were not breastfed. Overall 52.7% of the newborns have benefited from all the recommended interventions. In subsequent pregnancies (n = 289, 67.8% of the newborns received the full package of interventions. The overall rate of HIV vertical transmission was 4.7% and the highest annual rate occurred in 2005 (7.4%, with no definite trend in the period. CONCLUSIONS: Access to the full package of interventions for the prevention of HIV vertical transmission was low, with no significant trend of improvement over the years. The vertical transmission rates observed were higher than those found in reference services in the municipality of Rio de Janeiro and in the richest regions of the country.

  4. Lifestyle measures for primary prevention of T2 Diabetes Mellitus (T2DM

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    M S A Mansur Ahmed

    2014-12-01

    Full Text Available Worldwide, the number of adults with diabetes was 285 million in 2010 and it will be 439 million in the year 2030. Although the genes we inherit may influence the development of type 2 diabetes, they take a back seat to behavioral and lifestyle factors. Data from the Nurses’ Health Study suggest that 90 percent of type 2 diabetes in women can be attributed to five such factors: excess weight, lack of exercise, a less-than-healthy diet, smoking, and abstaining from alcohol. From this data it can be said that up to 90 percent of diabetes prevention is possible with behavioral and lifestyle factors intervention. This intervention should be given to the people through primary prevention. The purpose of primary prevention is to limit the number of people who develop a disease by controlling causes and risk factors for the disease.

  5. Vertical profile of peroxyacetyl nitrate (PAN from MIPAS-STR measurements over Brazil in February 2005 and its contribution to tropical UT NOy partitioning

    Directory of Open Access Journals (Sweden)

    A. Roiger

    2008-08-01

    Full Text Available We report on the retrieval of PAN (CH3C(OOONO2 in the upper tropical troposphere from limb measurements by the remote-sensor MIPAS-STR on board the Russian high altitude research aircraft M55-Geophysica. The measurements were performed close to Araçatuba, Brazil, on 17 February 2005. The retrieval was made in the spectral range 775–820 cm−1 where PAN exhibits its strongest feature but also more than 10 species interfere. Especially trace gases such as CH3CCl3, CFC-113, CFC-11, and CFC-22, emitting also in spectrally broad not-resolved branches, make the processing of PAN prone to errors. Therefore, the selection of appropriate spectral windows, the separate retrieval of several interfering species and the careful handling of the water vapour profile are part of the study presented. The retrieved profile of PAN has a maximum of about 0.14 ppbv at 10 km altitude, slightly larger than the lowest reported values (<0.1 ppbv and much lower than the highest reported in the literature (0.65 ppbv. Besides the NOy constituents measured by MIPAS-STR (HNO3, ClONO2, HO2NO2, PAN, the in situ instruments aboard the Geophysica provide simultaneous measurements of NO, NO2, and the sum NOy. Comparing the sum of in-situ and remotely derived NO+NO2+HNO3+ClONO2+HO2NO2+PAN with total NOy a deficit of 30–40% (0.2–0.3 ppbv in the troposphere remains unexplained whereas the values fit well in the stratosphere.

  6. Vertical profile of peroxyacetyl nitrate (PAN from MIPAS-STR measurements over Brazil in February 2005 and the role of PAN in the UT tropical NOy partitioning

    Directory of Open Access Journals (Sweden)

    A. Roiger

    2008-04-01

    Full Text Available We report on the retrieval of PAN (CH3C(OOONO2 in the upper tropical troposphere from limb measurements by the remote-sensor MIPAS-STR on board the Russian high altitude research aircraft M55-Geophysica. The measurements were performed close to Araçatuba, Brazil, on 17 February 2005. The retrieval was made in the spectral range 775–820 cm−1 where PAN exhibits its strongest feature but also more than 10 species interfere. Especially trace gases such as CH3CCl3, CFC-113, CFC-11, and CFC-22, emitting also in spectrally broad not-resolved branches, make the processing of PAN prone to errors. Therefore, the selection of appropriate spectral windows, the separate retrieval of several interfering species and the careful handling of the water vapour profile are part of the study presented. The retrieved profile of PAN has a maximum of about 0.14 ppbv at 10 km altitude, slightly larger than the lowest reported values (<0.1 ppbv and much lower than the highest (0.65 ppbv. Besides the NOy constituents measured by MIPAS-STR (HNO3, ClONO2, PAN, the situ instruments aboard the Geophysica provide simultaneous measurements of NO, NO2, and the sum NOy. Comparing the sum of in-situ and remotely derived NO+NO2+HNO3+ClONO2+PAN with total NOy a deficit of 30–40% (0.2–0.3 ppbv in the troposphere remains unexplained whereas the values fit well in the stratosphere.

  7. Vertical profile of peroxyacetyl nitrate (PAN) from MIPAS-STR measurements over Brazil in February 2005 and its contribution to tropical UT NOy partitioning

    Science.gov (United States)

    Keim, C.; Liu, G. Y.; Blom, C. E.; Fischer, H.; Gulde, T.; Höpfner, M.; Piesch, C.; Ravegnani, F.; Roiger, A.; Schlager, H.; Sitnikov, N.

    2008-08-01

    We report on the retrieval of PAN (CH3C(O)OONO2) in the upper tropical troposphere from limb measurements by the remote-sensor MIPAS-STR on board the Russian high altitude research aircraft M55-Geophysica. The measurements were performed close to Araçatuba, Brazil, on 17 February 2005. The retrieval was made in the spectral range 775 820 cm-1 where PAN exhibits its strongest feature but also more than 10 species interfere. Especially trace gases such as CH3CCl3, CFC-113, CFC-11, and CFC-22, emitting also in spectrally broad not-resolved branches, make the processing of PAN prone to errors. Therefore, the selection of appropriate spectral windows, the separate retrieval of several interfering species and the careful handling of the water vapour profile are part of the study presented. The retrieved profile of PAN has a maximum of about 0.14 ppbv at 10 km altitude, slightly larger than the lowest reported values (<0.1 ppbv) and much lower than the highest reported in the literature (0.65 ppbv). Besides the NOy constituents measured by MIPAS-STR (HNO3, ClONO2, HO2NO2, PAN), the in situ instruments aboard the Geophysica provide simultaneous measurements of NO, NO2, and the sum NOy. Comparing the sum of in-situ and remotely derived NO+NO2+HNO3+ClONO2+HO2NO2+PAN with total NOy a deficit of 30 40% (0.2 0.3 ppbv) in the troposphere remains unexplained whereas the values fit well in the stratosphere.

  8. Vertical profile of peroxyacetyl nitrate (PAN) from MIPAS-STR measurements over Brazil in February 2005 and the role of PAN in the UT tropical NOy partitioning

    Science.gov (United States)

    Keim, C.; Liu, G. Y.; Blom, C. E.; Fischer, H.; Gulde, T.; Höpfner, M.; Piesch, C.; Ravegnani, F.; Roiger, A.; Schlager, H.; Sitnikov, N.

    2008-04-01

    We report on the retrieval of PAN (CH3C(O)OONO2) in the upper tropical troposphere from limb measurements by the remote-sensor MIPAS-STR on board the Russian high altitude research aircraft M55-Geophysica. The measurements were performed close to Araçatuba, Brazil, on 17 February 2005. The retrieval was made in the spectral range 775-820 cm-1 where PAN exhibits its strongest feature but also more than 10 species interfere. Especially trace gases such as CH3CCl3, CFC-113, CFC-11, and CFC-22, emitting also in spectrally broad not-resolved branches, make the processing of PAN prone to errors. Therefore, the selection of appropriate spectral windows, the separate retrieval of several interfering species and the careful handling of the water vapour profile are part of the study presented. The retrieved profile of PAN has a maximum of about 0.14 ppbv at 10 km altitude, slightly larger than the lowest reported values (<0.1 ppbv) and much lower than the highest (0.65 ppbv). Besides the NOy constituents measured by MIPAS-STR (HNO3, ClONO2, PAN), the situ instruments aboard the Geophysica provide simultaneous measurements of NO, NO2, and the sum NOy. Comparing the sum of in-situ and remotely derived NO+NO2+HNO3+ClONO2+PAN with total NOy a deficit of 30-40% (0.2-0.3 ppbv) in the troposphere remains unexplained whereas the values fit well in the stratosphere.

  9. PREVENTION AND POSSIBLE PRIORITY MEASURES IN TREATING THE PATIENTS SUFFERING FROM DIABETES KETOACIDOSIS IN THE HEALTH CENTER

    Directory of Open Access Journals (Sweden)

    Aca Spasic

    2000-11-01

    Full Text Available The prevention measures and possible priority measures in treating the patients suffering from diabetes ketoacidosis at the Health Center are defined. A retrospective analysis of the patients suffering from diabetes in the Health Center of Bela Palanka for the period from January, 1,1995 to December, 31,1991 is used. The series numbers 461 patients while the newly-detected ones is 134. The registered number of the patients with ketoacidosis is 17. The priority measures in treating the patients suffering from ketoacidosis in the health centers have a multi - functional character.

  10. Did we get our money's worth? Bridging economic and behavioral measures of program success in adolescent drug prevention.

    Science.gov (United States)

    Griffith, Kevin N; Scheier, Lawrence M

    2013-11-08

    The recent U.S. Congressional mandate for creating drug-free learning environments in elementary and secondary schools stipulates that education reform rely on accountability, parental and community involvement, local decision making, and use of evidence-based drug prevention programs. By necessity, this charge has been paralleled by increased interest in demonstrating that drug prevention programs net tangible benefits to society. One pressing concern is precisely how to integrate traditional scientific methods of program evaluation with economic measures of "cost efficiency". The languages and methods of each respective discipline don't necessarily converge on how to establish the true benefits of drug prevention. This article serves as a primer for conducting economic analyses of school-based drug prevention programs. The article provides the reader with a foundation in the relevant principles, methodologies, and benefits related to conducting economic analysis. Discussion revolves around how economists value the potential costs and benefits, both financial and personal, from implementing school-based drug prevention programs targeting youth. Application of heterogeneous costing methods coupled with widely divergent program evaluation findings influences the feasibility of these techniques and may hinder utilization of these practices. Determination of cost-efficiency should undoubtedly become one of several markers of program success and contribute to the ongoing debate over health policy.

  11. Did We Get Our Money’s Worth? Bridging Economic and Behavioral Measures of Program Success in Adolescent Drug Prevention

    Directory of Open Access Journals (Sweden)

    Lawrence M. Scheier

    2013-11-01

    Full Text Available The recent U.S. Congressional mandate for creating drug-free learning environments in elementary and secondary schools stipulates that education reform rely on accountability, parental and community involvement, local decision making, and use of evidence-based drug prevention programs. By necessity, this charge has been paralleled by increased interest in demonstrating that drug prevention programs net tangible benefits to society. One pressing concern is precisely how to integrate traditional scientific methods of program evaluation with economic measures of “cost efficiency”. The languages and methods of each respective discipline don’t necessarily converge on how to establish the true benefits of drug prevention. This article serves as a primer for conducting economic analyses of school-based drug prevention programs. The article provides the reader with a foundation in the relevant principles, methodologies, and benefits related to conducting economic analysis. Discussion revolves around how economists value the potential costs and benefits, both financial and personal, from implementing school-based drug prevention programs targeting youth. Application of heterogeneous costing methods coupled with widely divergent program evaluation findings influences the feasibility of these techniques and may hinder utilization of these practices. Determination of cost-efficiency should undoubtedly become one of several markers of program success and contribute to the ongoing debate over health policy.

  12. Measurement of movement patterns to enhance ACL injury prevention – A dead end?

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    Kam-Ming Mok

    2016-07-01

    Full Text Available Vertical drop jump has been suggested to be an effective movement screening task for ACL injury risk, but recent studies have questioned the ability of such tasks to accurately identify players with increased risk of injury. In this paper, we discuss the usefulness of movement screening tests from an injury prevention perspective.

  13. Vocabulary is an appropriate measure of premorbid intelligence in a sample with heterogeneous educational level in Brazil.

    Science.gov (United States)

    de Oliveira, Maira Okada; Nitrini, Ricardo; Yassuda, Mônica Sanches; Brucki, Sonia Maria Dozzi

    2014-01-01

    Crystallized intelligence refers to one's knowledge base and can be measured by vocabulary tests. Fluid intelligence is related to nonverbal aspects of intelligence, depends very little on previously acquired knowledge, and can be measured by tests such as Block Design (BD) and Raven Colored Matrices (RCM). Premorbid intelligence quotient (IQ) refers to one's intellectual ability level previous to the onset of disorders like mild cognitive impairment (MCI) and Alzheimer's disease (AD) and it is important to estimate disease severity. The objective was to compare performance in tests that measure crystallized and fluid intelligence in healthy subjects and patients with amnestic MCI (aMCI) and AD. One hundred forty-four participants (aMCI (n = 38), AD (n = 45), and healthy controls (n = 61)) were submitted to neuropsychological tests (WAIS-III vocabulary, BD, and RCM). There were significant among groups, except for vocabulary, indicating a relative stability of crystallized intelligence in the continuum from normal to pathological cognitive decline. Vocabulary seems to be stable during the progression of the disease and useful as a measure of premorbid intelligence, that is, to estimate previous function in relation to the level of education and, as a collateral measure of cognition in people with low education.

  14. Vocabulary Is an Appropriate Measure of Premorbid Intelligence in a Sample with Heterogeneous Educational Level in Brazil

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    Maira Okada de Oliveira

    2014-01-01

    Full Text Available Crystallized intelligence refers to one’s knowledge base and can be measured by vocabulary tests. Fluid intelligence is related to nonverbal aspects of intelligence, depends very little on previously acquired knowledge, and can be measured by tests such as Block Design (BD and Raven Colored Matrices (RCM. Premorbid intelligence quotient (IQ refers to one’s intellectual ability level previous to the onset of disorders like mild cognitive impairment (MCI and Alzheimer’s disease (AD and it is important to estimate disease severity. The objective was to compare performance in tests that measure crystallized and fluid intelligence in healthy subjects and patients with amnestic MCI (aMCI and AD. One hundred forty-four participants (aMCI (n=38, AD (n=45, and healthy controls (n=61 were submitted to neuropsychological tests (WAIS-III vocabulary, BD, and RCM. There were significant among groups, except for vocabulary, indicating a relative stability of crystallized intelligence in the continuum from normal to pathological cognitive decline. Vocabulary seems to be stable during the progression of the disease and useful as a measure of premorbid intelligence, that is, to estimate previous function in relation to the level of education and, as a collateral measure of cognition in people with low education.

  15. Enamel-sealing liquid employment as preventive measures and as medical treatment of caries and dental hyperesthesia

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    Viryasova N.A.

    2011-03-01

    Full Text Available The purpose of the research -to determine the effectiveness of enamel-sealing liquid employment as preventive measures and as medical treatment of caries and dental hyperesthesia. Employment of the enamel-sealing liquid for children is an effective method of fissures mineral sealing and is used as preventive measures and as medical treatment of caries. After the process of deep fluoridation is complete, the enamel-sealing liquid action results as remineral-ization and mostly stabilization of so called tiny spots on the surface of the enamel is observed. The employment of the medicine for dental hyperesthesia treatment that occurred after the dental bleaching is of a high effectiveness as well

  16. Oral health information systems--towards measuring progress in oral health promotion and disease prevention

    DEFF Research Database (Denmark)

    Petersen, Poul Erik; Bourgeois, Denis; Bratthall, Douglas

    2005-01-01

    programmes oriented towards disease prevention and health promotion. The WHO Oral Health Country/Area Profile Programme (CAPP) provides data on oral health from countries, as well as programme experiences and ideas targeted to oral health professionals, policy-makers, health planners, researchers...... systems are being developed within the framework of the WHO STEPwise approach to surveillance of noncommunicable, chronic disease, and data stored in the WHO Global InfoBase may allow advanced health systems research. Sound knowledge about progress made in prevention of oral and chronic disease......This article describes the essential components of oral health information systems for the analysis of trends in oral disease and the evaluation of oral health programmes at the country, regional and global levels. Standard methodology for the collection of epidemiological data on oral health has...

  17. Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review

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    Daniele Cristina Perin

    Full Text Available ABSTRACT Objective: to identify evidence-based care to prevent CLABSI among adult patients hospitalized in ICUs. Method: systematic review conducted in the following databases: PubMed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf and Cochrane Studies addressing care and maintenance of central venous catheters, published from January 2011 to July 2014 were searched. The 34 studies identified were organized in an instrument and assessed by using the classification provided by the Joanna Briggs Institute. Results: the studies presented care bundles including elements such as hand hygiene and maximal barrier precautions; multidimensional programs and strategies such as impregnated catheters and bandages and the involvement of facilities in and commitment of staff to preventing infections. Conclusions: care bundles coupled with education and the commitment of both staff and institutions is a strategy that can contribute to decreased rates of central line-associated bloodstream infections among adult patients hospitalized in intensive care units.

  18. PREVENTIVE MEASURES FOR THE IMPROVEMENT OF THE SAFETY OF BLOOD TRANSFUSION AND VIRTUAL TRANSFUSION LABORATORY

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    Primož Rožman

    2002-04-01

    Full Text Available Background. Even though blood transfusion is a relatively safe form of therapy, because of the eventual administrative errors in the transfusion chain between the blood donor and the recipient of blood, transfusion errors still occur. Therefore, it is imperative to ensure an utmost extent of safety and reliability of all transfusion related procedures. The safety of blood transfusion can be improved by preventive actions, i.e. implementation of the total quality management concept, haemovigilance and virtual transfusion laboratory. In the resulting system, the information web, robotics, computer sciences and communication technologies ensure safe and reliable identification of the patients, blood donors, corresponding test samples and blood products. Apart form this; the modern technologies enable the automation of laboratory testing, the integrity of laboratory results and enable an optimal use of blood.Conclusions. For an improved transfusion safety in Slovenia, adoption of corresponding prevention as well as haemovigilance is necessary. Identification errors can be prevented by implementation of the wristbands systems with the code bars for the tagging of the patient and his biological samples, whereas the administrative errors in the blood bank and transfusion laboratory can be prevented by implementation of information systems and automation.We assume that the virtual transfusion laboratory will become an integral part of the new Slovenian transfusion web and will speed up, unify and simplify today’s methods of ordering and administering blood products. To the attending physician, it will enable the choice of optimal transfusion therapy schedule and at the same time, it will enable the supervision of individual orders, deviations and indications, all of which is needed in order to analyse and improve the quality and the costs of the treatment. These services represent the first obligatory step for the modernisation of the transfusion

  19. Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team

    OpenAIRE

    Adriana Cristina de Oliveira; Camila Sarmento Gama

    2015-01-01

    AbstractOBJECTIVEEvaluate pre- and intraoperative practices adopted by medical and nursing teams for the prevention of surgical infections.METHODA prospective study carried out in the period of April to May 2013, in a surgical center of a university hospital in Belo Horizonte, Minas Gerais.RESULTS18 surgeries were followed and 214 surgical gloves were analyzed, of which 23 (10.7%) had postoperative glove perforation detected, with 52.2% being perceived by users. Hair removal was performed on ...

  20. The role of routine measurement of intra-abdominal pressure in preventing abdominal compartment syndrome

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    G Raghavendra Prasad

    2017-01-01

    Conclusion: Routine measure of IAP facilitates early recognition of IAH. This facilitates therapeutic measures to be initiated to reduce IAP. Early decision to decompress by laparotomy/laparostomy saves lives. Hence, routine IAP measurement should be a part of standard care in pediatric abdominal surgery.

  1. Information from teachers on viral hepatitis transmission and prevention in Brazil Información de los maestros sobre la transmisión y la prevención de las hepatitis virales en el Brasil

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    Rosangela Gaze

    2003-08-01

    Full Text Available OBJECTIVE: To assess school teachers' level of knowledge on prevention of viral hepatitis (VH. MATERIAL AND METHODS: A cross-sectional study was conducted in three cities of Brazil, from August to November of 1999. The sample was composed of 360 subjects: 334 women and 26 men, 81 (22.5% from Belém, 123 (34.2% from Natal and 156 (43.3% from Rio de Janeiro. Cultural differences in knowledge were identified using a questionnaire to classify, according to semantic content, categories of transmission and preventive practices. Responses were scored as right or wrong. Data were tabulated and analyzed using EPIINFO 6.04 and open answers were classified according to semantic content. Comparison of the answer frequencies between cities was done through the chi-square test. RESULTS: Transmission category (TC (n=837 answers and prevention category (PC (n=771 answers "food-and waterborne" transmission items were the most frequently mentioned (40%. For TC, "food-and waterborne" answers were followed by "bloodborne" (16%, "inadequate knowledge" (9%, "possible causes of hepatic disease" (9%, and "sexual transmission" (7% answers. For PC items, "food-and waterborne" answers were followed by "general aspects of prevention" (13%, "immunization" (9%, "quality of health services" (8% and "sexual prevention" (5% items. "Right" scores for transmission mechanisms and prevention practices varied from zero to 80%. CONCLUSIONS: Study findings suggest that investments should be made to disseminate appropriate knowledge on VH prevention, mainly addressing sexual transmission and intravenous drug use.OBJETIVO: Evaluar los conocimientos y prácticas de profesores escolares en la prevención de hepatitis viral. MATERIAL Y MÉTODOS: Se llevó a cabo un estudio transversal en tres ciudades de Brasil, de agosto a noviembre de 1999. La muestra estuvo constituida por 360 sujetos: 334 mujeres y 26 hombres, 81 (22.5% de Belém, 123 (34.2% de Nataly 156 (43.3% de Río de Janeiro. Se

  2. O direito à prevenção e os desafios da redução da vulnerabilidade ao HIV no Brasil The right to prevention and the challenges of reducing vulnerability to HIV in Brazil

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    Vera Paiva

    2006-04-01

    Full Text Available O estudo analisa a resposta brasileira em contraste com as metas estabelecidas para a prevenção do HIV/Aids pela UNGASS. Analisaram-se pesquisas nacionais, documentos e informações do Programa Nacional de DST/Aids e dos planos de ações e metas estaduais. O Brasil conta com vários programas de prevenção que atendem às metas da UNGASS propostas para 2005. Incluem o confronto do estigma e da discriminação, o estímulo ao teste anti-HIV, a distribuição de preservativos, a troca de seringas, a abordagem franca da sexualidade nas escolas, a prevenção entre trabalhadores do sexo e homossexuais e nos locais de trabalho, que resultaram no crescimento da testagem e do uso do preservativo masculino. Foram discutidos vários desafios: superar a descontinuidade das ações, especialmente junto a alguns grupos mais vulneráveis; capacitar equipes de prevenção; ampliar o monitoramento da qualidade e quantidade das ações de prevenção; superar as desigualdades regionais, de raça e de gênero. Concluiu-se que o direito à prevenção não é prioridade nas instâncias públicas de controle social ou nas agendas do movimento social, como tem sido o direito ao melhor tratamento dos portadores do HIV. Para ampliar a efetividade dessas ações, sugere-se compreendê-las e pactuá-las tendo como referência a promoção e garantia de direitos humanos, abrindo espaços para o debate ético-político no nível local e nacional.The study evaluates the Brazilian response to the targets established by UNGASS for the prevention of HIV/AIDS. The analysis was based on national research, documents and information from the National Program STD/AIDS and on state-level action plans and targets. Brazil relies on various prevention policies to attain the UNGASS targets proposed for 2005. These include: addressing discrimination issues, promotion of HIV testing, distribution of condoms, needle exchange programs, discussion of sexuality in schools, prevention

  3. Primary Health Care and Cervical Cancer Mortality Rates in Brazil

    Science.gov (United States)

    Rocha, Thiago Augusto Hernandes; da Silva, Núbia Cristina; Thomaz, Erika Bárbara Abreu Fonseca; Queiroz, Rejane Christine de Sousa; de Souza, Marta Rovery; Lein, Adriana; Alvares, Viviane; de Almeida, Dante Grapiuna; Barbosa, Allan Claudius Queiroz; Thumé, Elaine; Staton, Catherine; Vissoci, João Ricardo Nickenig; Facchini, Luiz Augusto

    2017-01-01

    Cervical cancer is a common neoplasm that is responsible for nearly 230 000 deaths annually in Brazil. Despite this burden, cervical cancer is considered preventable with appropriate care. We conducted a longitudinal ecological study from 2002 to 2012 to examine the relationship between the delivery of preventive primary care and cervical cancer mortality rates in Brazil. Brazilian states and the federal district were the unit of analysis (N = 27). Results suggest that primary health care has contributed to reducing cervical cancer mortality rates in Brazil; however, the full potential of preventive care has yet to be realized. PMID:28252500

  4. An interdisciplinary framework for measuring and supporting adherence in HIV prevention trials of ARV-based vaginal rings

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    Kathleen M MacQueen

    2014-09-01

    Full Text Available Introduction: Product adherence and its measurement have emerged as a critical challenge in the evaluation of new HIV prevention technologies. Long-acting ARV-based vaginal rings may simplify use instructions and require less user behaviour, thereby facilitating adherence. One ARV-based ring is in efficacy trials and others, including multipurpose rings, are in the pipeline. Participant motivations, counselling support and measurement challenges during ring trials must still be addressed. In previous HIV prevention trials, this has been done largely using descriptive and post-hoc methods that are highly variable and minimally evaluated. We outline an interdisciplinary framework for systematically investigating promising strategies to support product uptake and adherence, and to measure adherence in the context of randomized, blinded clinical trials. Discussion: The interdisciplinary framework highlights the dual use of adherence measurement (i.e. to provide feedback during trial implementation and to inform interpretation of trial findings and underscores the complex pathways that connect measurement, adherence support and enacted adherence behaviour. Three inter-related approaches are highlighted: 1 adherence support – sequential efforts to define motivators of study product adherence and to develop, test, refine and evaluate adherence support messages; 2 self-reported psychometric measures – creation of valid and generalizable measures based in easily administered scales that capture vaginal ring use with improved predictive ability at screening, baseline and follow-up that better engage participants in reporting adherence; and 3 more objective measurement of adherence – real-time adherence monitoring and cumulative measurement to correlate adherence with overall product effectiveness through innovative designs, models and prototypes using electronic and biometric technologies to detect ring insertion and/or removal or expulsion

  5. Nosocomial sepsis: evaluation of the efficacy of preventive measures in a level-III neonatal intensive care unit.

    Science.gov (United States)

    Almeida, Catarina Cardoso de; Pissarra da Silva, Susana Maria Saraiva; Flor de Lima Caldas de Oliveira, Filipa Silveira Dias; Guimarães Pereira Areias, Maria Hercília Ferreira

    2017-09-01

    To evaluate nosocomial infections preventive bundle, implemented in April 2010 in Centro Hospitalar de São João (CHSJ) Neonatal Intensive Care Unit (NICU) effectiveness. Newborns admitted to level-III NICU of CHSJ, between 1 April 2007 and 31 March 2013, with sepsis as discharge diagnosis, were selected and divided into two periods (Period 1 and 2, before and after new preventive bundle introduction). Data from the two periods were compared. Nosocomial sepsis incidence density decreased significantly from 8.6 to 4.8 per 1000 patient days from Period 1 to 2. Nosocomial infections preventive bundle implementation led to a significant decrease in central line-associated bloodstream infections (CLABSI) rates from 14.1 to 10.4 per 1000 catheter days. Nosocomial infections preventive bundle implemented revealed efficient in decreasing the incidence density of nosocomial sepsis. However, CLABSI rates remain high. Physicians should be alert to the need to adhere to strict infection control protocols and institute effective measures for nosocomial infection surveillance.

  6. Knowledge of AIDS and condom as a preventive measure against AIDS among married males and factors influencing it in Bangladesh.

    Science.gov (United States)

    Rahman, M M; Kabir, M; Shahidullah, M

    2007-01-01

    The acquired immunodeficiency syndrome (AIDS) is now a global scourge of mankind. Nevertheless, Bangladesh is categorized as a low HIV prevalence country, from an epidemiological point of view, the HIV epidemic in Bangladesh is evolving rapidly. The majority of the studies on HIV/AIDS and condom use were carried out among the risk segment of people in the country. This study aimed to investigate the knowledge of AIDS and use of condoms among general population for prevention of HIV/AIDS in Bangladesh. Both quantitative and qualitative study designs were adopted in this study. Cross-sectional data were collected from rural and urban areas. Married males aged 20 years and above constituted the study population. Data on 524 male respondents were analyzed using SPSS software version 11.5. For qualitative data, selective in-depth interview was done using unstructured guidelines. Analysis indicated that 26 of the respondents had no knowledge about AIDS. More than one-fifth 23 had poor, 26 had well and 25 had excellent knowledge on AIDS. Only 29 reportedly mentioned that condom might be a preventive measure against AIDS. Multivariate logistic regression analysis revealed that urban residents with access to electronic and printed media, better socioeconomic condition and service holders appeared to be significantly associated with knowledge of condom as a preventive measure for AIDS pcondom as a preventive measure against AIDS. Useful and fruitful media campaigns to educate the people regarding the health consequences of STDs including HIV/AIDS and integrated approach is strongly suggested for disseminating knowledge and awareness to control the spread of HIV/AIDS among people in Bangladesh.

  7. Electrical failure during cardiopulmonary bypass: an evaluation of incidence, causes, management and guidelines for preventative measures.

    LENUS (Irish Health Repository)

    Hargrove, M

    2012-02-03

    The incidence of electrical failure during cardiopulmonary bypass (CPB) has been reported to occur in approximately 1 per 1000 cases. While the resultant morbidity and mortality is low, electrical failure is a life-threatening scenario. We report three major electrical failures during CPB in a patient population of 3500 over a 15-year period. These cases involved mains failure and generator shut down, mains failure and generator power surge, and failure of the uninterruptable power supply (UPS), which caused protected sockets to shut down. Protocols for preventative maintenance, necessary equipment, battery backup and guidelines for the successful management of such accidents during CPB are discussed.

  8. Mortalidade infantil por causas evitáveis no Brasil: um estudo ecológico no período 2000-2002 Infant mortality from preventable causes in Brazil: an ecological study in 2000-2002

    Directory of Open Access Journals (Sweden)

    Antonio Fernando Boing

    2008-02-01

    Full Text Available O objetivo desse estudo foi testar as associações entre a mortalidade infantil por causas evitáveis no Brasil com indicadores sócio-econômicos e de serviços e investimentos em saúde. Trata-se de um estudo ecológico, cujas unidades de análise foram os 296 municípios brasileiros com população superior a 80 mil habitantes. Realizaram-se os testes de Kruskall-Wallis e ANOVA para identificar diferenças significativas entre os quartis de mortalidade infantil segundo as variáveis independentes, e foram calculados os coeficientes de correlação de Pearson e de Spearman para testar as associações entre todas as variáveis. Os municípios que compuseram os quartis com maior mortalidade infantil por causas evitáveis apresentaram também menor Índice de Desenvolvimento Humano Municipal, Produto Interno Bruto per capita, pessoas que vivem em domicílios com banheiro e água encanada, despesa total com saúde por habitante e médicos por mil habitantes; e maior coeficiente de Gini. A compreensão do papel protagonista das condições sócio-econômicas e de investimentos em saúde sobre a mortalidade infantil por causas evitáveis deve permear as ações que visem à minimização da magnitude e da desigualdade desses óbitos.This study aims to test the associations between infant mortality from preventable causes in Brazil and socioeconomic factors, including those pertaining to health services and investments. This was an ecological study using 296 Brazilian counties (municipalities with more than 80,000 inhabitants each as the analytical units. Kruskall-Wallis and ANOVA tests were performed to compare independent variables according to infant mortality quartile, and Pearson and Spearman's correlation coefficients were computed to test the associations. As the infant mortality quartile from preventable causes increases, there is a gradual decrease in the municipal human development index, per capita gross domestic product, households with

  9. Compliance with anti-infective preventive measures: A multicentre survey among paediatric oncology patients.

    Science.gov (United States)

    Lehrnbecher, Thomas; Laws, Hans-Jürgen; Boehm, Alexandra; Dworzak, Michael; Janssen, Gisela; Simon, Arne; Groll, Andreas H

    2008-09-01

    Infections are significant causes of morbidity and mortality among immunocompromised patients, but little is known about the adherence by the paediatric cancer patients to preventive anti-infective interventions. A voluntary and anonymised questionnaire was distributed to all patients, completing intensive anticancer therapy. Compliance was analysed by using a panel of eight commonly recommended preventive interventions and semi-quantitative scoring of adherence by the patient and/or its caretaker. Satisfaction with information and belief in the efficacy of the interventions were similarly assessed. Relationships of these factors to compliance were explored by using an overall compliance score and non-parametric correlation and/or ANOVA and logistic regression, respectively. In 216 children and adolescents (mean age: 8 years; 94 girls) included in the study, compliance rates were the highest for food restriction (89.3%), the use of topic antimycotics (88.2%) and trimethoprim/sulfamethoxazole (86.6%), and the lowest for the use of face masks (68.8%), antiseptic mouth rinses (67.1%), non-absorbable antibiotic agents (66.5%) and restrictions in social contacts (65.5%). The most frequent reasons for drug non-compliance were forgetfulness and patient refusal. Compliance correlated with haematological malignancy, younger age and belief in its efficacy, but not with the perceived degree of information, burden of interventions and overall satisfaction with quality of information and medical care. Compliance to recommended anti-infective prophylactic interventions was variable and correlated with haematological malignancy, younger age and belief in efficacy.

  10. Discussion on Computer Virus Prevention Measures%对计算机病毒防治措施的探讨

    Institute of Scientific and Technical Information of China (English)

    张爱香

    2012-01-01

    随着计算机病毒的泛滥,给网络信息的安全造成了巨大的破坏和潜在的威胁。为维护计算机信息的安全与有效利用,探究计算机病毒的防治措施已迫在眉睫。本文从计算机病毒的定义入手,主要总结了计算机病毒分类、特征和传播途径,并在此基础上重点探讨了防范与检测防治的措施等。%With the proliferation of computer viruses,network information security caused huge damage and potential threats.To maintain the safe and effective use of computer information, explore the computer virus prevention measures have been imminent.Start from the definition of computer viruses,the main summary of the classification, characteristics and route of transmission of computer viruses,and on this basis,focuses on the prevention and detection prevention and control measures.

  11. A study of ventilator-associated pneumonia: Incidence, outcome, risk factors and measures to be taken for prevention

    Directory of Open Access Journals (Sweden)

    Hina Gadani

    2010-01-01

    Full Text Available Ventilator-associated pneumonia (VAP is a major cause of hospital morbidity and mortality despite recent advances in diagnosis and accuracy of management. However, as taught in medical science, prevention is better than cure is probably more appropriate as concerned to VAP because of the fact that it is a well preventable disease and a proper approach decreases the hospital stay, cost, morbidity and mortality. The aim of the study is to critically review the incidence and outcome, identify various risk factors and conclude specific measures that should be undertaken to prevent VAP. We studied 100 patients randomly, kept on ventilatory support for more than 48 h. After excluding those who developed pneumonia within 48 h, VAP was diagnosed when a score of ≥6 was obtained in the clinical pulmonary infection scoring system having six variables and a maximum score of 12. After evaluating, the data were subjected to univariate analysis using the chi-square test. The level of significance was set at P96 h was 73%. Late-onset VAP had poor prognosis in terms of mortality (66% as compared to the early-onset type (20%. The mortality of patients of the non-VAP group was found to be 41% while that of VAP patients was 54%. Targeted strategies aimed at preventing VAP should be implemented to improve patient outcome and reduce length of intensive care unit stay and costs. Above all, everyone of the critical care unit should understand the factors that place the patients at risk of VAP and utmost importance must be given to prevent VAP.

  12. Medical and health economic evaluation of prevention- and control measures related to MRSA infections or -colonisations at hospitals

    Directory of Open Access Journals (Sweden)

    Korczak, Dieter

    2010-03-01

    Full Text Available Introduction: Methicillin-resistant Staphylococcus aureus (MRSA are dangerous agents of nosocomial infections. In 2007 the prevalence of MRSA is 20.3% in Germany (Oxacilline-resistance according to EUCAST-criteria [EUCAST = European Committee on Antimicrobial Susceptibility Testing]. Objectives: * Which measurements are effective in the prevention and control of MRSA-infections in the hospital? * How effective are contact precautions, screening, decolonisation, education and surveillance? * Which recommendations can be given to health care politics on the basis of cost-effectiveness studies? * Have there been any adverse effects on patients and clinical staff? * What kind of liability problems exist?MethodsBased on a systematic review of the literature studies are included which have been published in German or English language since 2004. Results: 1,508 articles have been found. After having surveyed the full text, 33 medical, eight economic and four ethical/juridical studies are included for the Health Technology Assessment (HTA report. The key result of the HTA report is that different measurements are effective in the prevention and control of MRSA-infections in hospitals, though the majority of the studies has a low quality. Effective are the conduction of differentiated screening measurements if they take into account the specific endemic situation, the use of antibiotic-control programs and the introduction and control of hygienic measurements. The break even point of preventive and control measurements cannot be defined because the study results differ too much. In the future it has to be more considered that MRSA-infections and contact precautions lead to a psycho-social strain for patients. Discussion: It is hardly possible to describe causal efficacies because in the majority of the studies confounders are not sufficiently considered. In many cases bundles of measurements have been established but not analyzed individually. The

  13. El prejuicio racial en Brasil: nuevas medidas y perspectivas Racial prejudice in Brazil: new measures and perspectives

    Directory of Open Access Journals (Sweden)

    Ana Maria Lacerda Teixeira Pires

    2008-08-01

    Full Text Available Se realizaron dos estudios. El primer estudio trataba de comprobar si la escala de racismo moderno de McConahay, Hardee y Batts (1981, resultaba un instrumento válido en la medición de las actitudes prejuiciosas en una muestra de la población brasileña. Se aplicó los cuestionarios a un total de 206 estudiantes de dos colegios. Los datos obtenidos muestran una fiabilidad aceptable de la escala. Los resultados muestran que el prejuicio declarado hacia los afrobrasileños es relativamente bajo. El segundo estudio analizó la percepción general de prejuicio y discriminación en una muestra de la población negra/mestiza. Los resultados muestran una moderada percepción general de prejuicio hacia su grupo y la frecuencia en la que han sido discriminados personalmente ha sido baja. Encontramos diferencias entre la variable etnia y discriminación personal percibida.Two studies were performed. The first study was done in order to verify the validity of the scale of modern racism proposed by McCohahay, Hardee and Batts (1981 to measure the prejudiced attitudes in a sample of the Brazilian population. Questionnaires were applied in 206 students from two schools. The obtained data showed an acceptable reliability of the scale. Results show that the expression of prejudice declared by the African-Brazilians is relatively low. The second study examined the general perception of prejudice and discrimination on a sample of a black/mestizo population. The results show a moderate general perception of prejudice with this group but the frequency which they had been personally discriminated was low. We found differences between different ethnic groups and perceived personal discrimination.

  14. Coastal erosion in China under the condition of global climate change and measures for its prevention

    Institute of Scientific and Technical Information of China (English)

    Feng Cai; Xianze Su; Jianhui Liu; Bing Li; Gang Lei

    2009-01-01

    The general characteristics of coastal erosion in China are described in terms of the regional geography,the form of erosion,the causes of erosion,and the challenges we are facing.The paper highlights the relationship between coastal erosion and sea level rises,storm waves and tides,and the influence of global climate changes on coastal erosion along the coastal zone of China.The response of the risk of coastal erosion in China to climate changes has obvious regional diversity.Research into and the forecasting of the effects of climate changes on coastal erosion are systemic work involving the natural environment,social economy,and alongshore engineering projects in the global system.Facing global warming and continual enhancement of coastal erosion,suggestions for basic theoretical study,prevention technology,management system assurance,and strengthening the legal system are presented here.

  15. Relevance of balance measurement tools and balance training for fall prevention in older adults

    OpenAIRE

    Majumi M. Noohu, MPTh; Aparajit B. Dey, MD; Mohammed E. Hussain, PhD

    2014-01-01

    Approximately one in three older people fall each year owing to gait/balance disorder/weakness, the second leading cause of falls in older adults. This review evaluates the capability of different balance measurement tools to predict falls in the elderly, which are used routinely for assessing balance impairment. Balance measurement tools reviewed are the Timed Up and Go test, Berg Balance Scale, Tinetti Performance Oriented Mobility Assessment, Functional Reach Test, Clinical Test of Sensory...

  16. Treatment effect expressed as the novel Delay of Event measure is associated with high willingness to initiate preventive treatment - A randomized survey experiment comparing effect measures.

    Science.gov (United States)

    Berglund, Erik; Westerling, Ragnar; Sundström, Johan; Lytsy, Per

    2016-12-01

    This study aimed to investigate patients' willingness to initiate a preventive treatment and compared two established effect measures to the newly developed Delay of Events (DoE) measure that expresses treatment effect as a gain in event-free time. In this cross-sectional, randomized survey experiment in the general Swedish population,1079 respondents (response rate 60.9%) were asked to consider a preventive cardiovascular treatment. Respondents were randomly allocated to one of three effect descriptions: DoE, relative risk reduction (RRR), or absolute risk reduction (ARR). Univariate and multivariate analyses were performed investigating willingness to initiate treatment, views on treatment benefit, motivation and importance to adhere and willingness to pay for treatment. Eighty-one percent were willing to take the medication when the effect was described as DoE, 83.0% when it was described as RRR and 62.8% when it was described as ARR. DoE and RRR was further associated with positive views on treatment benefit, motivation, importance to adhere and WTP. Presenting treatment effect as DoE or RRR was associated with a high willingness to initiate treatment. An approach based on the novel time-based measure DoE may be of value in clinical communication and shared decision making. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  17. Oral health policies in Brazil

    Directory of Open Access Journals (Sweden)

    Gilberto Alfredo Pucca Junior

    2009-06-01

    Full Text Available Since Oral Health policies in Brazil have been constructed according to circumstances and possibilities, they should be understood within a given context. The present analysis contextualizes several issues of the Brazilian Oral Health Policy, called "Smiling Brazil", and describes its present stage of development. Today it involves re-organizing basic oral health care by deploying Oral Health Teams within the Family Health strategy, setting up Centers of Dental Specialists within an Oral Health network as a secondary care measure, setting up Regional Laboratories of Dental Prosthesis and a more extensive fluoridation of the public water supply.

  18. Analysis of Deflection Problems of Large-span Continuous Rigid Frame Bridge and Prevention Measures

    Directory of Open Access Journals (Sweden)

    Chen Dong

    2015-01-01

    Full Text Available The large-span continuous rigid frame bridge is a kind of common structural form in long-span bridges of our country, but one of the main diseases of these bridges is the excessive deflection in the mid-span, which seriously affects the safety of the structure. This paper makes a comprehensive analysis for the causes of the excessive deflection, and lists the commonly-used control measures in engineering. Simultaneously, new improvement measures and the comparative analysis of before-and-after improvements are put forward on this basis. However, these measures can be used to inhibit deflection in a certain extent, but cannot avoid the occurrence of deflection completely.

  19. Counter-measure to prevent temperature rise of stand pipe and primary upper shielding in HTTR

    Energy Technology Data Exchange (ETDEWEB)

    Kunitomi, Kazuhiko; Tachibana, Yukio; Hontani, Kohji [Japan Atomic Energy Research Inst., Oarai, Ibaraki (Japan). Oarai Research Establishment] [and others

    1997-09-01

    When primary coolant temperature reached approximately 110degC during a preliminary non-nuclear heat up test in the High Temperature Engineering Test Reactor (HTTR), temperatures of stand pipes and a primary upper shielding increased more than expected. The cause of the temperature rise was investigated by tests and analyses, and we determined a counter-measure. We also confirmed that a modified structure due to this counter-measure does not affect flow distribution in the core, and is not in contact with a control rod wire. This paper describes the cause of the temperature rise, the modified structure and evaluation of effect of the modified structure. (author)

  20. Relationship between respiratory and food allergy and evaluation of preventive measures.

    Science.gov (United States)

    Vega, F; Panizo, C; Dordal, M T; González, M L; Velázquez, E; Valero, A; Sánchez, M C; Rondón, C; Montoro, J; Matheu, V; Lluch-Bernal, M; González, R; Fernández-Parra, B; Del Cuvillo, A; Dávila, I; Colás, C; Campo, P; Antón, E; Navarro, A M

    2016-01-01

    Food allergy and respiratory allergy are two frequently associated diseases and with an increasing prevalence. Several reports show the presence of respiratory symptoms in patients with food allergy, while certain foods may be related to the development or exacerbation of allergic rhinitis and asthma. The present update focuses on this relationship, revealing a pathogenic and clinical association between food and respiratory allergy. This association is even more intense when the food hypersensitivity is persistent or starts in the early years of life. Food allergy usually precedes respiratory allergy and may be a risk factor for allergic rhinitis and asthma, becoming a relevant clinical marker for severe atopic asthma. Furthermore, the presence of co-existing asthma may enhance life-threatening symptoms occurring during a food allergic reaction. Recommendations for dietary restrictions during pregnancy and breastfeeding to prevent the development of respiratory allergy are controversial and not supported by consistent scientific data. Current recommendations from medical societies propose exclusive breastfeeding during the first four months of life, with the introduction of solid food in the fourth to the seventh month period of life. A delayed introduction of solid food after this period may increase the risk of developing subsequent allergic conditions. Further studies are encouraged to avoid unjustified recommendations involving useless dietary restrictions.

  1. [A survey of preventive measures against infection risk in dental surgery].

    Science.gov (United States)

    Napoli, Christian; Tatò, Daniela; De Benedittis, Michele; Pastore, Luca; Serpico, Rosario; Quarto, Michele; Montagna, Maria Teresa

    2005-01-01

    In dental healthcare surgeries, both workers and patients are regularly exposed to various infectious agents. It is essential therefore that dental healthcare workers have a good knowledge of disinfection systems and that dentists' surgeries be effectively managed so as to reduce or even eliminate the risk of cross infections. In order to evaluate infectious risk prevention methods and describe the procedures used by dental healthcare workers on a daily basis, a sample of dentists who work in public surgeries were asked to anonymously fill up a questionnaire. The results of this survey show that dental healthcare workers are sufficiently well-informed about the infectious hazards present in the workplace and are aware of the high risk of exposure to infections but seem to be especially concerned about blood-borne infections (hepatitis, AIDS). Only 67.5%, however, are immunised against HBV. Individual safety devices are used correctly while there seems to be a lack of knowledge about the proper use of disinfection and sterilization systems. In addition, some dental healthcare workers still today refuse to treat HIV-positive patients.

  2. Maternal anemia in pregnancy: assessing the effect of routine preventive measures in a malaria-endemic area.

    Science.gov (United States)

    Ouédraogo, Smaïla; Koura, Ghislain K; Bodeau-Livinec, Florence; Accrombessi, Manfred M K; Massougbodji, Achille; Cot, Michel

    2013-02-01

    We investigated the effectiveness of routine preventive measures for anemia in Beninese pregnant women during pregnancy. Anemia (hemoglobin < 110 g/L) was common: 68.3% at first antenatal visit (ANV1), 64.7% at second antenatal visit (ANV2), and 40.6% at delivery. Parasitic infections and nutritional deficiencies were the most preventable causes. After intermittent preventive treatment (IPTp) and antihelminthic treatments, malaria prevalence decreased from 15.1% (ANV1) to 4.0% (ANV2) and increased again to 9.6% at delivery. Helminth infections dropped from 11.1% (ANV1) to 7.2% (ANV2) and 2.4% at delivery. Malaria was associated with lower mean hemoglobin on ANV1 and delivery, and iron deficiency was associated with lower mean hemoglobin on ANV1 and ANV2. IPTp and antihelminthic treatments were efficacious to clear parasitic infections and improve hematologic status, whereas the effectiveness of daily iron and folic acid supplements to correct iron and folate deficiencies and decrease anemia was less marked, possibly because of lack of compliance.

  3. A Measure for Evaluating the Effectiveness of Teen Pregnancy Prevention Programs.

    Science.gov (United States)

    Somers, Cheryl L.; Johnson, Stephanie A.; Sawilowksy, Shlomo S.

    2002-01-01

    The Teen Attitude Pregnancy Scale (TAPS) was developed to measure teen attitudes and intentions regarding teenage pregnancy. The model demonstrated good internal consistency and concurrent validity for the samples in this study. Analysis revealed evidence of validity for this model. (JDM)

  4. 49 CFR 192.935 - What additional preventive and mitigative measures must an operator take?

    Science.gov (United States)

    2010-10-01

    ... detection systems, replacing pipe segments with pipe of heavier wall thickness, providing additional... accordance with one of the risk assessment approaches in ASME/ANSI B31.8S (incorporated by reference, see § 192.7), section 5, a risk analysis of its pipeline to identify additional measures to protect the...

  5. Adoption of Preventive Measures and Attitudes toward the H1N1 Influenza Pandemic in Schools

    Science.gov (United States)

    Pérez, Anna; Rodríguez, Tània; López, Maria José; Continente, Xavier; Nebot, Manel

    2016-01-01

    Background: This study describes the perceived impact of H1N1 influenza and the adoption of the recommended measures to address the pandemic in schools. Methods: A cross-sectional self-reported survey was conducted in 433 schools in Barcelona addressed to the school principal or the H1N1 influenza designated person. A descriptive analysis was…

  6. Oxygen-tension measurements - The first step towards prevention and early detection of anastomotic leakage

    NARCIS (Netherlands)

    Tanase, D.; French, P.J.; Komen, N.; Kleinrensink, G.J.; Jeekel, J.; Lange, J.F.; Draaijer, A.

    2007-01-01

    Many patients still die every year as a result of anastomotic leakage after surgery. The medical world needs an objective aid to detect leakage during surgery and during the critical recovery period. We propose a miniature measurement system to detect adequate tissue oxygenation pre- and

  7. Preventing School Bullying: Should Schools Prioritize an Authoritative School Discipline Approach over Security Measures?

    Science.gov (United States)

    Gerlinger, Julie; Wo, James C.

    2016-01-01

    A common response to school violence features the use of security measures to deter serious and violent incidents. However, a second approach, based on school climate theory, suggests that schools exhibiting authoritative school discipline (i.e., high structure and support) might more effectively reduce school disorder. We tested these approaches…

  8. LAND DEGRADATION AND PREVENTIVE MEASURES FROM THE PERSPECTIVE OF THE STAKEHOLDERS

    Directory of Open Access Journals (Sweden)

    Mosayeb Heshmati

    2013-01-01

    Full Text Available Land degradation at the catchment scale in Iran is widespread, usually assumed to be accelerated by the activities of local inhabitants. Social issues such as low income, poverty and low level of welfare and education contribute to land degradation. A study was conducted to identify the causes of land degradation in Merek catchment, Iran and to propose appropriate measures to curtail it. In this study, land/soil surveys were carried out and soil samples analyzed. Subsequently, farmers, herders and nomads were interviewed and relevant experts were consulted. The results revealed that improper tillage practices, overgrazing and forest clearance were the worst significant human-induced factors causing land degradation. The other factors include crop cultivation without rotation and fallow period, improper tillage practices, crop residues burning and conversion of rangelands and forest to agricultural areas. Training and extension, soil conservation measures with farmers’ participation, enactment of new laws and amending of current laws (for monitoring agricultural activities such as fertilizers and pesticide application and burning of crop residues, forest preservation, improving the current grazing systems and empowering government employees are the possible measures to curtail land degradation in the study area. It is suggested that the government should create job opportunities among the unemployed in the village and enhance their welfare by introducing insurance, health services and educational level. These measures would result in sustainable agricultural practices in the Merek catchment and help ensure conservation of its rangeland and forest.

  9. Effectiveness of a randomized school-based intervention involving families and teachers to prevent excessive weight gain among adolescents in Brazil.

    Directory of Open Access Journals (Sweden)

    Diana B Cunha

    Full Text Available OBJECTIVE: To evaluate the effectiveness of a school-based intervention involving the families and teachers that aimed to promote healthy eating habits in adolescents; the ultimate aim of the intervention was to reduce the increase in body mass index (BMI of the students. DESIGN: Paired cluster randomized school-based trial conducted with a sample of fifth graders. SETTING: Twenty classes were randomly assigned into either an intervention group or a control group. PARTICIPANTS: From a total of 574 eligible students, 559 students participated in the study (intervention: 10 classes with 277 participants; control: 10 classes with 282 participants. The mean age of students was 11 years. INTERVENTION: Students attended 9 nutritional education sessions during the 2010 academic year. Parents/guardians and teachers received information on the same subjects. MAIN OUTCOME MEASUREMENT: Changes in BMI and percentage of body fat. RESULTS: Intention-to-treat analysis showed that changes in BMI were not significantly different between the 2 groups (β = 0.003; p = 0.75. There was a major reduction in the consumption of sugar-sweetened beverages and cookies in the intervention group; students in this group also consumed more fruits. CONCLUSION: Encouraging the adoption of healthy eating habits promoted important changes in the adolescent diet, but this did not lead to a reduction in BMI gain. Strategies based exclusively on the quality of diet may not reduce weight gain among adolescents. TRIAL REGISTRATION: Clinicaltrials.gov NCT01046474.

  10. Co-ownership and Collaboration: Insights into the Measurement of Impact and Change from Evidence-Based Community and State Violence Prevention Partnerships

    OpenAIRE

    Tariro Mutongwizo; Lezanne Leoschut; Patrick Burton

    2015-01-01

    Effective partnerships in community crime and violence prevention interventions are challenging to foster. While this may be the case, their merits cannot be denied, thus it is necessary to involve diverse stakeholders in processes that aim to address violence and crime prevention in order to better approach the causes of crime. However practical experiences have identified the challenges of crime prevention partnerships, particularly in developing indicators that appropriately measure and wo...

  11. The sources, pathway, and preventive measures for fluorosis in Zhijin County, Guizhou, China

    Energy Technology Data Exchange (ETDEWEB)

    Dai, S.F.; Li, W.W.; Tang, Y.G.; Zhang, Y.; Feng, P. [China University of Mining Technology, Beijing (China)

    2007-05-15

    The F content of several materials from households of Zhijin County, one of the most severe endemic fluorosis-stricken areas in western Guizhou, was determined using the pyrohydrolysis/fluoride ion-selective electrode method to determine the sources of F and the pathways causing the disease. The average F content of the coal burned is 237 {mu} g/g, the clay used as a binder for fine coal is 2262 {mu} g/g, with 828 {mu} g/g in the mixed coal and clay, while the F content of corn is 1419 {mu} g/g, with 110 {mu} g/g in chilies. The binder clay is found to be the main F source for the endemic fluorosis. Fluorine in the clay not only occurs in apatite and hornblende, but also is associated with illite and mixed-layer clay minerals of smectite and illite. About 80% of the F is released during combustion of the mixture. The F content of corn and chilies is about 1000 and 110 times higher, respectively, than the permitted level of F in foodstuffs according to the Chinese Standard GB 4809-84. Most of the F in corn and chilies probably occurs either in smoke dusts attached to the surface or is adsorbed onto the outer peel, rather than being absorbed by the inner part. Thus, in addition to developing F-sequestration technologies, changing the living habits of the residents in the endemic area, for example, washing corn and chilies before cooking and peeling corn before being pulverized into corn flour, will remove a large proportion of the F, and thus it can play an important role in endemic fluorosis prevention.

  12. A systematic review on status of lead pollution and toxicity in Iran; Guidance for preventive measures

    Directory of Open Access Journals (Sweden)

    Abdollahi Mohammad

    2012-07-01

    Full Text Available Abstract Lead is an old environmental metal which is presented everywhere and lead poisoning is an important health issue in many countries in the world including Iran. It is known as a silent environmental disease which can have life-long adverse health effects. In children, the most vulnerable population, mental development of children health effects is of the greatest influence. Low level lead exposure can significantly induce motor dysfunctions and cognitive impairment in children. The sources of lead exposure vary among countries. Occupational lead exposure is an important health issue in Iran and mine workers, employees of paint factories, workers of copying centers, drivers, and tile making factories are in higher risk of lead toxicity. Moreover lead processing industry has always been a major of concern which affects surface water, drinking waters, and ground waters, even water of Caspian Sea, Persian Gulf and rivers due to increasing the number of industries in vicinity of rivers that release their waste discharges into river or sea. In addition, lead contamination of soil and air especially in vicinity of polluted and industrialized cities is another health problem in Iran. Even foods such as rice and fishes, raw milk, and vegetables which are the most common food of Iranian population are polluted to lead in some area of Iran. Adding lead to the opium is a recently health hazard in Iran that has been observed among opium addicts. There are few studies evaluated current status of lead exposure and toxicity in the Iranian children and pregnant women which should be taken into account of authorities. We recommend to identify sources, eliminate or control sources, and monitor environmental exposures and hazards to prevent lead poisoning.

  13. A Systematic Review on Status of Lead Pollution and Toxicity in Iran; Guidance for Preventive Measures

    Directory of Open Access Journals (Sweden)

    Parissa Karrari

    2012-07-01

    Full Text Available Lead is an old environmental metal which is presented everywhere and lead poisoning is an important health issue in many countries in the world including Iran. It is known as a silent environmental disease which can have life-long adverse health effects. In children, the most vulnerable population, mental development of children health effects is of the greatest influence. Low level lead exposure can significantly induce motor dysfunctions and cognitive impairment in children. The sources of lead exposure vary among countries. Occupational lead exposure is an important health issue in Iran and mine workers, employees of paint factories, workers of copying centers, drivers,and tile making factories are in higher risk of lead toxicity. Moreover lead processing industry has always been amajor of concern which affects surface water, drinking waters, and ground waters, even water of Caspian Sea,Persian Gulf and rivers due to increasing the number of industries in vicinity of rivers that release their waste discharges into river or sea. In addition, lead contamination of soil and air especially in vicinity of polluted andindustrialized cities is another health problem in Iran. Even foods such as rice and fishes, raw milk, and vegetables which are the most common food of Iranian population are polluted to lead in some area of Iran. Adding lead to the opium is a recently health hazard in Iran that has been observed among opium addicts. There are few studiesevaluated current status of lead exposure and toxicity in the Iranian children and pregnant women which should be taken into account of authorities. We recommend to identify sources, eliminate or control sources, and monitor environmental exposures and hazards to prevent lead poisoning.

  14. The Pepcon Disaster-Causative Factors and potential Preventive and Mitigative Measures

    Energy Technology Data Exchange (ETDEWEB)

    Lambert, H E; Alvares, N J

    2003-07-25

    On May 4, 1988, the PEPCON plant experienced three major and several smaller explosions that caused over $70 million in property damage and caused two deaths. The PEPCON plant produced Ammonium Perchlorate (AP), a major ingredient for rocket fuel. The PEPCON plant and the nearby Kidd Marshmallow plant were totally destroyed by the detonations. The initiating event for the explosions was a fire that originated in the Batch Dryer Building and spread to adjacent storage. Several factors combined to cause the AP in the major storage fields to detonate, the most important being lack of adequate separation between storage units. Welding and flame cutting procedure with poor fire watch protocol was the prime candidate for fire ignition. There were no automatic fire suppression systems at the plant. Buildings including the Batch Dryer Building were made of combustible building material (fiberglass). There was poor housekeeping and no control of AP dust generation. AP was stored in combustible polyethylene drums, aluminum tote bins, 30-gallon steel storage drums and fiber reinforced tote bags. There were high-density storage practices. In addition, a contributing factor to the rapid fire-spread was that the wind that day was blowing directly from the batch dryer building to the storage areas. This paper claims that if codes, standards, and well-known hazard identification safety techniques were implemented at PEPCON, then the disaster would have been averted. A limited scope probabilistic risk assessment was conducted to establish the effectiveness of various preventive and mitigative features that could have been deployed to avert the disaster. The major hazard at the PEPCON site was fire and explosion involving the processing, production and storage of AP, which was then and is currently stored as a class 4 oxidizer. Since minute quantities of contamination can cause AP to be detonable by shock, there has been an ongoing debate concerning its reclassification to a class

  15. A systematic review on status of lead pollution and toxicity in Iran; Guidance for preventive measures.

    Science.gov (United States)

    Karrari, Parissa; Mehrpour, Omid; Abdollahi, Mohammad

    2012-01-01

    Lead is an old environmental metal which is presented everywhere and lead poisoning is an important health issue in many countries in the world including Iran. It is known as a silent environmental disease which can have life-long adverse health effects. In children, the most vulnerable population, mental development of children health effects is of the greatest influence. Low level lead exposure can significantly induce motor dysfunctions and cognitive impairment in children. The sources of lead exposure vary among countries. Occupational lead exposure is an important health issue in Iran and mine workers, employees of paint factories, workers of copying centers, drivers, and tile making factories are in higher risk of lead toxicity. Moreover lead processing industry has always been a major of concern which affects surface water, drinking waters, and ground waters, even water of Caspian Sea, Persian Gulf and rivers due to increasing the number of industries in vicinity of rivers that release their waste discharges into river or sea. In addition, lead contamination of soil and air especially in vicinity of polluted and industrialized cities is another health problem in Iran. Even foods such as rice and fishes, raw milk, and vegetables which are the most common food of Iranian population are polluted to lead in some area of Iran. Adding lead to the opium is a recently health hazard in Iran that has been observed among opium addicts. There are few studies evaluated current status of lead exposure and toxicity in the Iranian children and pregnant women which should be taken into account of authorities. We recommend to identify sources, eliminate or control sources, and monitor environmental exposures and hazards to prevent lead poisoning.

  16. Pre-travel malaria chemoprophylaxis counselling in a public travel medicine clinic in São Paulo, Brazil.

    Science.gov (United States)

    Chaves, Tânia do Socorro Souza; Monteiro, Wuelton Marcelo; Alves, Jessé Reis; Lacerda, Marcus; Lopes, Marta Heloisa

    2017-02-07

    Malaria is one of the most prevalent parasitic diseases in the world and represents a threat to travellers visiting endemic areas. Chemoprophylaxis is the prevention measure used in travel medicine, avoiding clinical manifestations and protecting against the development of severe disease and death. Retrospective and descriptive analysis of malaria prevention data in travellers was recorded from a travel medicine clinic in São Paulo, Brazil, between January 2006 and December 2010. All the medical records of travellers, who had travelled to areas with risk of disease transmission, including Brazil, were analysed. Demographic characteristics of travellers, travel details and recommendations for preventing malaria were also seen. During the study period, 2836 pre-travel consultations were carried out on 2744 individuals (92 were consulted twice). The most common reasons for travelling were tourism and work. The most common destinations were Africa (24.5%), Europe (21.2%), Asia (16.6%) and locations within Brazil (14.9%). In general prophylaxis against malaria was recommended in 10.3% of all the consultations. African destinations vs Asian, Brazilian and other destinations and length of stay ≤30 days were independently associated with the higher odds of chemoprophylaxis recommendation after the logistic regression. The prophylaxis against malaria was recommended in 10.3% of the consultations. The authors believe that a coherent measure of malaria prevention in Brazil and for international travellers would be to recommend for all parts of the North Brazil, avoidance of mosquito bites and immediate consultation of a physician in case of fever during or after the journey is recommended.

  17. Prostituição juvenil feminina e a prevenção da Aids em Ribeirão Preto, SP Female juvenile prostitution and AIDS prevention programs in Brazil

    Directory of Open Access Journals (Sweden)

    Cristiane Paulin Simon

    2002-08-01

    Full Text Available OBJETIVOS: Investigar as percepções sobre a Aids para o desenvolvimento de programas de prevenção de Aids com a prostituição juvenil feminina. MÉTODOS: Foram entrevistadas 13 jovens com idades entre 18 e 21 anos, que trabalham como prostitutas na cidade de Ribeirão Preto, por meio de um roteiro semi-estruturado com questões referentes a: dados sociodemográficos; conhecimentos sobre Aids; comportamentos sexuais; tipos de relacionamentos com clientes, namorados ou companheiros; e sugestões para programas de prevenção de doenças sexualmente transmissíveis (DST e Aids. RESULTADOS: Embora todas as entrevistadas tenham demonstrado conhecimento sobre HIV e práticas sexuais seguras, essas informações se contradizem com a crença no destino como o determinante para a infecção pelo HIV, bem como com a busca de afetividade nos relacionamentos, seja com o companheiro, namorado ou cliente fixo. Essas contradições agem como possíveis fatores impeditivos para adoção de comportamentos preventivos consistentes. CONCLUSÕES: As estratégias de prevenção para o HIV e a Aids devem levar em consideração que é necessário criar espaços nos quais se possibilitem a discussão e reflexão, que facilitem a clarificação de crenças e concepções que ainda fazem parte do imaginário social desse segmento social sobre a Aids. Também são necessárias discussões sobre os envolvimentos afetivos que são percebidos como relacionamentos imunes, dispensando a negociação de práticas preventivas. Outro ponto fundamental é o tipo de abordagem a ser utilizado para contatar as jovens. Estratégias sensíveis às características das jovens deverão ser empregadas.OBJECTIVE: To investigate perception of AIDS and to obtain information for developing AIDS prevention programs targeting female juvenile prostitution. METHODS: Thirteen young women aged 18 to 21 years working as prostitutes in the city of Ribeirão Preto, Brazil, were interviewed using

  18. The Utilizing of Agro-climatic Resources and Preventing Measures of Meteorological Disasters in Fushun

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Based on the meteorological data in Fushun,Qingyuan and Xinbing from 1961 to 2008,the status quo of major agro-climatic resources in Fushun were analyzed.The abundant rainfall,sufficient sunshine and rich thermal resources were suitable for the development of modern agricultural production.The specific measures of effective use of climate resources were put forward according to geographical location and climatic characteristics of Fushun.The advantages of agro-climate resources were exerted for large edible...

  19. Hospital deaths and adverse events in Brazil

    Directory of Open Access Journals (Sweden)

    Pavão Ana Luiza B

    2011-09-01

    Full Text Available Abstract Background Adverse events are considered a major international problem related to the performance of health systems. Evaluating the occurrence of adverse events involves, as any other outcome measure, determining the extent to which the observed differences can be attributed to the patient's risk factors or to variations in the treatment process, and this in turn highlights the importance of measuring differences in the severity of the cases. The current study aims to evaluate the association between deaths and adverse events, adjusted according to patient risk factors. Methods The study is based on a random sample of 1103 patient charts from hospitalizations in the year 2003 in 3 teaching hospitals in the state of Rio de Janeiro, Brazil. The methodology involved a retrospective review of patient charts in two stages - screening phase and evaluation phase. Logistic regression was used to evaluate the relationship between hospital deaths and adverse events. Results The overall mortality rate was 8.5%, while the rate related to the occurrence of an adverse event was 2.9% (32/1103 and that related to preventable adverse events was 2.3% (25/1103. Among the 94 deaths analyzed, 34% were related to cases involving adverse events, and 26.6% of deaths occurred in cases whose adverse events were considered preventable. The models tested showed good discriminatory capacity. The unadjusted odds ratio (OR 11.43 and the odds ratio adjusted for patient risk factors (OR 8.23 between death and preventable adverse event were high. Conclusions Despite discussions in the literature regarding the limitations of evaluating preventable adverse events based on peer review, the results presented here emphasize that adverse events are not only prevalent, but are associated with serious harm and even death. These results also highlight the importance of risk adjustment and multivariate models in the study of adverse events.

  20. Knowledge and use of prevention measures for chikungunya virus among visitors — Virgin Islands National Park, 2015

    Science.gov (United States)

    Cherry, Cara C.; Beer, Karlyn D.; Fulton, Corey; Wong, David; Buttke, Danielle; Staples, J. Erin; Ellis, Esther M.

    2016-01-01

    Summary Background In June 2014, the mosquito-borne chikungunya virus (CHIKV) emerged in the U.S. Virgin Islands (USVI), a location where tourists comprise the majority of the population during peak season (January–April). Limited information is available concerning visitors’ CHIKV awareness and prevention measures. Methods We surveyed a convenience sample of Virgin Islands National Park visitors aged ≥18 years. Respondents completed a questionnaire assessing CHIKV knowledge, attitudes, and practices; health information-seeking practices; and demographics. Results Of 783 persons contacted, 443 (57%) completed the survey. Fewer than half (208/441 [47%]) were aware of CHIKV. During trip preparation, 28% of respondents (126/443) investigated USVI-specific health concerns. Compared with persons unaware of CHIKV, CHIKV-aware persons were more likely to apply insect repellent (134/207 [65%] versus 111/231 [48%]; p < 0.001), wear long-sleeves and long pants (84/203 [41%] versus 57/227 [25%]; p < 0.001), and wear insect repellent-treated clothing (36/204 [18%] versus 22/227 [10%]; p = 0.02). Conclusions The majority of visitors surveyed did not research destination-related health concerns and were unaware of CHIKV. However, CHIKV awareness was associated with using multiple prevention measures to reduce disease risk. These findings underscore the importance of providing tourists with disease education upon destination arrival. PMID:27597388

  1. Compliance of an elderly hip fracture population with secondary preventative measures. Efficacy of a simple clinical practice intervention.

    LENUS (Irish Health Repository)

    Street, John

    2012-02-03

    Secondary pharmaceutical measures are effective in all age groups for the prevention of osteoporotic fractures. This prospective study determines the demographics of 566 consecutive osteoporotic hip fractures presenting to a Level 1 Trauma Center. We examine the efficacy of simple treatment recommendations for pharmaceutical treatment of osteoporosis and the factors determining general practitioner and patient compliance with these recommendations in a community setting. One out of four patients (24.5%) had sustained a previous fragility fracture. Mean age was 80 years. Twenty five percent were resident in a nursing home and only 10% were taking anti-resorptive therapy preoperatively. In hospital mortality was 6%, and 39% of recruited patients were dead at 12 months. By this time more than half the survivors were resident in a nursing home. The compliance with anti-resorptive therapy had increased to over 70% consequent to our simple recommendations. Significant differences in GP and patient compliance were observed between nursing home and own residence dwellers. This study demonstrates the efficacy of a simple clinical practice intervention in increasing patient and GP compliance with secondary fracture prevention measures. We also discuss many of the confounding issues determining this compliance.

  2. Investigation of errors by radiological technologists and evaluation of preventive measures: general and mobile X-ray examinations.

    Science.gov (United States)

    Igarashi, Hiroshi; Fukushi, Masahiro; Shinoda, Naoki; Miyamoto, Akira; Hirata, Masaharu; Ishidate, Miyako; Kuraishi, Masahiko; Doi, Kunio

    2010-07-01

    The first objective in this study was to identify the errors of incidents and accidents that occurred in general and mobile X-ray examinations. Based on the analysis of results, the second purpose in this study was to propose useful measures to prevent such errors. As much as 553 radiological technologists in the Gunma Prefecture were surveyed on their experience with errors related to general and mobile X-ray examinations. The questionnaire asked for descriptions of errors experienced during examinations and the responses given (multiple answers possible), and evaluations of the degree of busyness on a five-point scale. A total of 115 questionnaires were returned. Analysis revealed that there was no significant relationship between errors and degree of busyness for either general or mobile examinations. The most frequent error both in general and in mobile examinations was to X-ray a patient mistakenly, the cause of which was cited as failure to confirm the patient's name. After the use of solution priority number to evaluate proposed preventive measures, such as finger-pointing and call, independent double-checks, and verbal self-confirmation would be the simplest and most easily implemented countermeasure.

  3. Fatores associados à realização da prevenção secundária do câncer de mama no Município de Maringá, Paraná, Brasil Factors associated with secondary breast cancer prevention in Maringá, Paraná State, Brazil

    Directory of Open Access Journals (Sweden)

    Jéssica Carvalho de Matos

    2011-05-01

    Full Text Available Este estudo analisou a prevalência e os fatores associados à realização da prevenção secundária do câncer de mama em mulheres de 40-69 anos do Município de Maringá, Paraná, Brasil. Realizou-se um estudo exploratório de corte transversal, tipo inquérito populacional, no Município de Maringá. A prevalência observada de realização do autoexame das mamas foi de 64,5%, do exame clínico das mamas, 71,5%, e de mamografia, 79%. Os fatores que influenciaram na realização dessas ações foram: idade, escolaridade, raça, classe econômica, religião e realização de terapia hormonal. A classe econômica e a escolaridade influenciaram significativamente na realização das práticas preventivas, ou seja, quanto maior o nível socioeconômico, maior a realização. A orientação e realização das práticas preventivas devem estar ao alcance de todas as mulheres na faixa etária de maior risco, diminuindo, dessa maneira, o diagnóstico tardio e mortes desnecessárias e aumentando as chances de cura do câncer de mama.This study analyzed the prevalence of secondary breast cancer prevention and associated factors in women 40 to 69 years of age in Maringá, Paraná State, Brazil. Prevalence was 64.5% for breast self-examination, 71.5% for clinical examination, and 79% for mammography. The data suggest that age, schooling, ethnicity, socioeconomic status, religion, and prior hormone replacement therapy influenced the rates of the three types of examination. Preventive practices were significantly more common among women of higher socioeconomic status. Proper orientation and performance of preventive measures and tests should be at the reach of all women in the highest-risk age bracket, thereby decreasing late diagnosis and avoidable deaths and increasing the odds of curing breast cancer.

  4. A new proxy measure for state-level gun ownership in studies of firearm injury prevention.

    Science.gov (United States)

    Siegel, Michael; Ross, Craig S; King, Charles

    2014-06-01

    Since many states are considering gun control laws, researchers need reliable data on rates of gun ownership at the state level. Survey measures of gun ownership in all 50 states, however, are only available for 3 years, and no state-level data have been collected since 2004. Consequently, the National Research Council has declared the development of a valid proxy that can be constructed from accessible, annual, state-level data to be a priority. While such a proxy does exist (the proportion of suicides in a state committed using a gun (FS/S), its correlation with state estimates of gun ownership in recent years is only 0.80. Using state-level data for the years 2001, 2002 and 2004, we developed an improved proxy for state-level gun ownership that uses FS/S (firearm suicides divided by all suicides) and also the per capita number of hunting licenses. We validated this measure using data from surveys of gun ownership conducted in 48 states during 1996 and 1999, and in 21 states during 1995-1998. Adding per capita hunting licenses to the proxy increased its correlation with survey-measured gun ownership from 0.80 to 0.95. The correlations of the new proxy with gun ownership in the two validation studies were 0.95 and 0.97. We conclude that the combination of FS/S and per capita hunting licenses improves substantially upon FS/S alone. This new proxy is easily computed from data that are available annually by state and may be useful for investigating the effect of gun prevalence on firearm-related morbidity and mortality. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. Entropic measure to prevent energy over-minimization in molecular dynamics simulations

    CERN Document Server

    Rydzewski, Jakub; Nowak, Wieslaw

    2015-01-01

    Geometry optimization via energy minimization is one of the most common steps in computer modelling of biological structures. Nowadays computer power encourage numerous researches to use conjugated gradient minimizations exceeding 1000 steps. However, our research reveals that such over-minimization may lead to thermodynamically unstable conformations. We show that these conformations are not optimum starting points for equilibrium molecular dynamics simulations. We propose a measure based on the Pareto front of total entropy for quality assessment of minimized protein which warrants a proper selection of minimization steps.

  6. The experience of some European Countries in the implementation of preventive measures against the phenomenon of violence and aggression at football stadiums

    Directory of Open Access Journals (Sweden)

    Samuel Uhrin

    2013-12-01

    Full Text Available The article sets forward the experience of the Slovak Republic in the field of prevention of violence and aggression in football stadiums. The text discusses initiatives aiming at dimnishing this alarming and increasing in size phenomenon. The experiences stemming from preventive measures which have been taken in this regard in other European countries, have also been brought closer in the text.

  7. Biochemical Education in Brazil.

    Science.gov (United States)

    Vella, F.

    1988-01-01

    Described are discussions held concerning the problems of biochemical education in Brazil at a meeting of the Sociedade Brazileira de Bioquimica in April 1988. Also discussed are other visits that were made to universities in Brazil. Three major recommendations to improve the state of biochemistry education in Brazil are presented. (CW)

  8. Biochemical Education in Brazil.

    Science.gov (United States)

    Vella, F.

    1988-01-01

    Described are discussions held concerning the problems of biochemical education in Brazil at a meeting of the Sociedade Brazileira de Bioquimica in April 1988. Also discussed are other visits that were made to universities in Brazil. Three major recommendations to improve the state of biochemistry education in Brazil are presented. (CW)

  9. Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review.

    Science.gov (United States)

    Perin, Daniele Cristina; Erdmann, Alacoque Lorenzini; Higashi, Giovana Dorneles Callegaro; Sasso, Grace Teresinha Marcon Dal

    2016-09-01

    to identify evidence-based care to prevent CLABSI among adult patients hospitalized in ICUs. systematic review conducted in the following databases: PubMed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf and Cochrane Studies addressing care and maintenance of central venous catheters, published from January 2011 to July 2014 were searched. The 34 studies identified were organized in an instrument and assessed by using the classification provided by the Joanna Briggs Institute. the studies presented care bundles including elements such as hand hygiene and maximal barrier precautions; multidimensional programs and strategies such as impregnated catheters and bandages and the involvement of facilities in and commitment of staff to preventing infections. care bundles coupled with education and the commitment of both staff and institutions is a strategy that can contribute to decreased rates of central line-associated bloodstream infections among adult patients hospitalized in intensive care units. identificar evidências de cuidados para prevenção de infecção de corrente sanguínea relacionada a cateter venoso central em pacientes adultos em Unidades de Terapia Intensiva. revisão Sistemática realizada por meio de busca nas bases de dados Pubmed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf e Cochrane. Foram buscadas pesquisas com cuidados com a cateterização e manutenção do cateter venoso central, publicados de janeiro de 2011 a julho de 2014. Os 34 estudos incluídos foram organizados em um instrumento e avaliados por meio da classificação do The Joanna Briggs Institute. os estudos apresentaram bundles de cuidados com elementos como a higiene das mãos e precauções máximas de barreira; programas multidimensionais e estratégias como cateteres e curativos impregnados e o envolvimento da instituição e engajamento da equipe nos esforços para prevenção de infecção. os cuidados no formato de bundles aliados com a educação e engajamento da equipe e

  10. Individualization of the preventive approach among children of preschool age with speech infringements. Preventive measures for preschool children with speech disorders

    Directory of Open Access Journals (Sweden)

    Kharitonova T.L.

    2011-03-01

    Full Text Available Preschool children with speech infringements are group of the raised risk of development of caries and parodentium diseases, therefore need the especial approach to preventive maintenance. Application of photoactivated disinfection «FotoSan» as an alternative method of treatment of parodentium diseases with speech infringements has allowed to achieve desirable results of the preventive program spent by us from children

  11. Climate services for adapting landslide hazard prevention measures in the Vrancea Seismic Region

    Science.gov (United States)

    Micu, Dana; Balteanu, Dan; Jurchescu, Marta; Sima, Mihaela; Micu, Mihai

    2014-05-01

    The Vrancea Seismic Region is covering an area of about 8 000 km2 in the Romanian Curvature Carpathians and Subcarpathians and it is considered one of Europe's most intensely multi-hazard-affected areas. Due to its geomorphic traits (heterogeneous morphostructural units of flysch mountains and molasse hills and depressions), the area is strongly impacted by extreme hydro-meteorological events which are potentially enhancing the numerous damages inflicted to a dense network of human settlements. An a priori knowledge of future climate change is a useful climate service for local authorities to develop regional adapting strategies and adequate prevention/preparedness frameworks. This paper aims at integrating the results of the high-resolution climate projections over the 21st century (within the FP7 ECLISE project) into the regional landslide hazard assessment. The requirements of users (Civil Protection, Land management, local authorities) for this area refer to reliable and high-resolution spatial data on landslide and flood hazard for short and medium-term risk management strategies. An insight into the future behavior of climate variability in the Vrancea Seismic Region, based on future climate projections of three regional models, under three RCPs (2.6, 4.5, 8.6), suggests a clear warming, both annually and seasonally and a rather limited annual precipitation decrease, but with a strong change of seasonality. A landslide inventory of 2485 cases (shallow and medium seated earth, debris and rock slides and earth and debris flows) was obtained based on large scale geomorphological mapping and aerial photos support (GeoEye, DigitalGlobe; provided by GoogleEarth and BingMaps). The landslides are uniformly distributed across the area, being considered representative for the entire morphostructural environment. Landslide susceptibility map was obtained using multivariate statistical analysis (logistic regression), while a relative landslide hazard index was computed

  12. Zika virus outbreak in Brazil.

    Science.gov (United States)

    Heukelbach, Jorg; Alencar, Carlos Henrique; Kelvin, Alyson Ann; de Oliveira, Wanderson Kleber; Pamplona de Góes Cavalcanti, Luciano

    2016-02-28

    Zika virus (ZIKV) infection is spreading rapidly within the Americas after originating from an outbreak in Brazil. We describe the current ZIKV infection epidemic in Brazil and the neurological symptoms arising. First cases of an acute exanthematic disease were reported in Brazil's Northeast region at the end of 2014. In March 2015, autochthonous ZIKV was determined to be the causative agent of the exanthematic disease. As cases of neurological syndromes in regions where ZIKV, dengue and/or Chikungunya viruses co-circulate were reported, ZIKV was also identified in the cerebrospinal fluid of patients with acute neurological syndromes and previous exanthematic disease. By the end of September 2015, an increasing number of infants with small head circumference or microcephaly were noted in Brazil's Northeast which was estimated to be 29 cases between August and October. ZIKV was identified in blood and tissue samples of a newborn and in mothers who had given birth to infants with microcephaly and ophthalmological anomalies. In 2015, there were an estimated 440,000 - 1,300,000 Zika cases in Brazil. There have been 4,783 suspected cases of microcephaly, most of them in the Northeast of Brazil associated with 76 deaths. The Ministry of Health is intensifying control measures against the mosquito Aedes aegypti and implemented intensive surveillance actions. Further studies are needed to confirm the suspected association between ZIKV infection and microcephaly; to identify antiviral, immunotherapy, or prophylactic vaccine; to introduce diagnostic ELISA testing. Clinical and epidemiological studies must be performed to describe viral dynamics and expansion of the outbreak.

  13. Lightning-produced NOx over Brazil during TROCCINOX: Airborne measurements in tropical and subtropical thunderstorms and the importance of mesoscale convective systems

    Directory of Open Access Journals (Sweden)

    C. Schwierz

    2007-02-01

    Full Text Available During the TROCCINOX field experiments in February–March 2004 and February 2005, airborne in situ measurements of NO, NOy, CO, and O3 mixing ratios and the J(NO2 photolysis rate were carried out in the anvil outflow of thunderstorms over southern Brazil. Both tropical and subtropical thunderstorms were investigated, depending on the location of the South Atlantic convergence zone. Tropical air masses were discriminated from subtropical ones according to the higher equivalent potential temperature (Θe in the lower and mid troposphere, the higher CO mixing ratio in the mid troposphere, and the lower wind velocity and proper wind direction in the upper troposphere. During thunderstorm anvil penetrations, typically at 20–40 km horizontal scales, NOx mixing ratios were on average enhanced by 0.2–1.6 nmol mol−1. This enhancement was mainly attributed to NOx production by lightning and partly due to upward transport from the NOx-richer boundary layer. In addition, CO mixing ratios were occasionally enhanced, indicating upward transport from the boundary layer. For the first time, the composition of the anvil outflow from a large, long-lived mesoscale convective system (MCS advected from northern Argentina and Uruguay was investigated in more detail. Over a horizontal scale of about 400 km, NOx, CO and O3 mixing ratios were significantly enhanced in these air masses in the range of 0.6–1.1, 110–140 and 60–70 nmol mol−1, respectively. Analyses from trace gas correlations and a Lagrangian particle dispersion model indicate that polluted air masses, probably from the Buenos Aires urban area and from biomass burning regions, were uplifted by the MCS. Ozone was distinctly enhanced in the aged MCS outflow, due to photochemical production and entrainment of O3-rich air masses from the upper troposphere – lower stratosphere region. The aged MCS outflow was transported to the north, ascended and circulated, driven by the Bolivian High over the

  14. Lightning-produced NOx over Brazil during TROCCINOX: airborne measurements in tropical and subtropical thunderstorms and the importance of mesoscale convective systems

    Directory of Open Access Journals (Sweden)

    C. Schwierz

    2007-06-01

    Full Text Available During the TROCCINOX field experiments in February–March 2004 and February 2005, airborne in situ measurements of NO, NOy, CO, and O3 mixing ratios and the J(NO2 photolysis rate were carried out in the anvil outflow of thunderstorms over southern Brazil. Both tropical and subtropical thunderstorms were investigated, depending on the location of the South Atlantic convergence zone. Tropical air masses were discriminated from subtropical ones according to the higher equivalent potential temperature (Θe in the lower and mid troposphere, the higher CO mixing ratio in the mid troposphere, and the lower wind velocity in the upper troposphere within the Bolivian High (north of the subtropical jet stream. During thunderstorm anvil penetrations, typically at 20–40 km horizontal scales, NOx mixing ratios were distinctly enhanced and the absolute mixing ratios varied between 0.2–1.6 nmol mol−1 on average. This enhancement was mainly attributed to NOx production by lightning and partly due to upward transport from the NOx-richer boundary layer. In addition, CO mixing ratios were occasionally enhanced, indicating upward transport from the boundary layer. For the first time, the composition of the anvil outflow from a large, long-lived mesoscale convective system (MCS advected from northern Argentina and Uruguay was investigated in more detail. Over a horizontal scale of about 400 km, NOx, CO and O3 absolute mixing ratios were significantly enhanced in these air masses in the range of 0.6–1.1, 110–140 and 60–70 nmol mol−1, respectively. Analyses from trace gas correlations and a Lagrangian particle dispersion model indicate that polluted air masses, probably from the Buenos Aires urban area and from biomass burning regions, were uplifted by the MCS. Ozone was distinctly enhanced in the aged MCS outflow, due to photochemical production and entrainment of O3-rich air masses from the upper troposphere – lower stratosphere region. The aged MCS

  15. Role of Transitional Care Measures in the Prevention of Readmission After Critical Illness.

    Science.gov (United States)

    Peters, Jessica S

    2017-02-01

    Transitioning from the critical care unit to the medical-surgical care area is vital to patients' recovery and resolution of critical illness. Such transitions are necessary to optimize use of available hospital resources to meet patient care needs. One in 10 patients discharged from the intensive care unit are readmitted to the unit during their hospitalization. Critical care readmission is associated with significant increases in illness acuity, overall length of stay, and health care costs as well as a potential 4-fold increased risk of mortality. Patients with complex illness, multiple comorbid conditions, and a prolonged initial stay in the critical care unit are at an increased risk of being readmitted to the critical care unit and experiencing poor outcomes. Implementing nurse-driven measures that support continuity of care and consistent communication practices such as critical care outreach services, transitional communication tools, discharge planning, and transitional care units improves transitions of patients from the critical care environment and reduces readmission rates.

  16. Durability investigation of Calvaria Bridge and electrochemical realkalinisation as a preventive measure

    Directory of Open Access Journals (Sweden)

    Meda NEDELCU

    2014-12-01

    Full Text Available The purpose of this study is to investigate the performance of reinforced concrete structures during their service life. Environmental attacks, such as the atmospheric carbon dioxide and the deicing chloride salts ingression, may seriously affect both the concrete section and the embedded reinforcement and may lead to failure, if immediate measures are not taken. Therefore, a case study of a real structure, the Calvaria Bridge, an intense traffic node in Cluj-Napoca, Romania, was performed, with emphasis on the effects of durability aspects on the structural performance of the elements, namely in terms of deflection. A modern repair method, electrochemical realkalinisation, was also tested in the laboratory, in order to provide a proper intervention solution to the structure, for the concrete elements affected by the ingress of carbon dioxide and thus, by carbonation.

  17. Prevalence of malaria, prevention measures, and main clinical features in febrile children admitted to the Franceville Regional Hospital, Gabon

    Directory of Open Access Journals (Sweden)

    Maghendji-Nzondo Sydney

    2016-01-01

    Full Text Available Recently, major progress has been made in controlling malaria in Africa. However, in Gabon, little information is available on the role of malaria in childhood febrile syndromes, the use and efficacy of preventive measures, and Plasmodium species distribution. Here, we characterized malaria in febrile children in Franceville, Gabon through a cross-sectional study at the pediatric unit of the Franceville Regional Hospital. We registered 940 febrile children. Their general condition was markedly altered in 11.7% of cases (n = 89/760; among them 19 (21.4% had a severely altered condition. Malaria was the second most frequent etiology (22.0%; n = 162/738, after respiratory tract infections (37.3%; n = 275/738. Children with malaria (63 ± 39 months were older than children without malaria (40 ± 37 months (p = 0.0013. Hemoglobin, red blood cell, white blood cell, and platelet values were lower in children with malaria than in those without malaria (p < 0.0001. Anemia was the most common feature of severe malaria (70.6%; n = 12/17, followed by neurological involvement (23.5%; n = 4/17. The prevalence of malaria was significantly higher in children older than 60 months than in younger children (40% vs. 15.5%; p < 0.0001. Plasmodium falciparum accounted for 97.5% of cases (158/162, followed by Plasmodium malariae (2.5%; n = 4/162. Bed net use was high (74.4%; n = 697/936 and contributed to malaria prevention (p = 0.001. Good basic knowledge of malaria also had a preventive effect (p < 0.0001. The prevalence of malaria in children in Franceville did not decrease significantly from 2009 to 2012, remaining at about 20%, highlighting that preventive measures should be reinforced.

  18. Measures and modelling of PAR (photosynthetically-active radiation) for the Northeast of Brazil; Medidas e modelagem da radiacao PAR (photosynthetically-active radiation) para o nordeste do Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Tiba, Chigueru; Leal, Sergio da S.A. [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil). Dept. de Energia Nuclear], e-mail: tiba@rce.neoline.com.br

    2004-07-01

    Photosynthetically active solar radiation, known by its acronym in the English language as PAR, is the principal driving force of innumerable biological and physical processes related to biomass production, such as, the evolution of vegetal covering, agricultural productivity, and countless environment aspects, among others. Unfortunately in Brazil and particularly in the Northeast of Brazil, the PAR radiation measures are not a routine part of meteorological station measures, and therefore are still rarer than solar irradiation measures. In this context, a station was installed in Recife, Pernambuco in 2003, to carry out simultaneous measures of daily solar irradiation and PAR irradiation, which permits the modelling and valuation of the relationship between these two parameters and thus makes the estimation of PAR radiation possible, where there used to be only information on solar irradiation. Three others stations are being installed, one on Fernando de Noronha-PE, another in Pesqueira-PE, and the other in Xingo-SE, which complete a group of 4 between Latitudes 8 deg and 10 deg South and Longitudes 34 deg to 38 deg West, each having differentiated Equatorial Climates: island maritime, continental maritime, sylvan (Agreste) and semi-arid. (author)

  19. The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.

    Science.gov (United States)

    Daskalopoulou, Stella S; Rabi, Doreen M; Zarnke, Kelly B; Dasgupta, Kaberi; Nerenberg, Kara; Cloutier, Lyne; Gelfer, Mark; Lamarre-Cliche, Maxime; Milot, Alain; Bolli, Peter; McKay, Donald W; Tremblay, Guy; McLean, Donna; Tobe, Sheldon W; Ruzicka, Marcel; Burns, Kevin D; Vallée, Michel; Ramesh Prasad, G V; Lebel, Marcel; Feldman, Ross D; Selby, Peter; Pipe, Andrew; Schiffrin, Ernesto L; McFarlane, Philip A; Oh, Paul; Hegele, Robert A; Khara, Milan; Wilson, Thomas W; Brian Penner, S; Burgess, Ellen; Herman, Robert J; Bacon, Simon L; Rabkin, Simon W; Gilbert, Richard E; Campbell, Tavis S; Grover, Steven; Honos, George; Lindsay, Patrice; Hill, Michael D; Coutts, Shelagh B; Gubitz, Gord; Campbell, Norman R C; Moe, Gordon W; Howlett, Jonathan G; Boulanger, Jean-Martin; Prebtani, Ally; Larochelle, Pierre; Leiter, Lawrence A; Jones, Charlotte; Ogilvie, Richard I; Woo, Vincent; Kaczorowski, Janusz; Trudeau, Luc; Petrella, Robert J; Hiremath, Swapnil; Stone, James A; Drouin, Denis; Lavoie, Kim L; Hamet, Pavel; Fodor, George; Grégoire, Jean C; Fournier, Anne; Lewanczuk, Richard; Dresser, George K; Sharma, Mukul; Reid, Debra; Benoit, Geneviève; Feber, Janusz; Harris, Kevin C; Poirier, Luc; Padwal, Raj S

    2015-05-01

    The Canadian Hypertension Education Program reviews the hypertension literature annually and provides detailed recommendations regarding hypertension diagnosis, assessment, prevention, and treatment. This report provides the updated evidence-based recommendations for 2015. This year, 4 new recommendations were added and 2 existing recommendations were modified. A revised algorithm for the diagnosis of hypertension is presented. Two major changes are proposed: (1) measurement using validated electronic (oscillometric) upper arm devices is preferred over auscultation for accurate office blood pressure measurement; (2) if the visit 1 mean blood pressure is increased but blood pressure measurements using ambulatory blood pressure monitoring (preferably) or home blood pressure monitoring should be performed before visit 2 to rule out white coat hypertension, for which pharmacologic treatment is not recommended. A standardized ambulatory blood pressure monitoring protocol and an update on automated office blood pressure are also presented. Several other recommendations on accurate measurement of blood pressure and criteria for diagnosis of hypertension have been reorganized. Two other new recommendations refer to smoking cessation: (1) tobacco use status should be updated regularly and advice to quit smoking should be provided; and (2) advice in combination with pharmacotherapy for smoking cessation should be offered to all smokers. The following recommendations were modified: (1) renal artery stenosis should be primarily managed medically; and (2) renal artery angioplasty and stenting could be considered for patients with renal artery stenosis and complicated, uncontrolled hypertension. The rationale for these recommendation changes is discussed.

  20. Safety in ready mixed concrete industry: descriptive analysis of injuries and development of preventive measures.

    Science.gov (United States)

    Akboğa, Özge; Baradan, Selim

    2017-02-07

    Ready mixed concrete (RMC) industry, one of the barebones of construction sector, has its distinctive occupational safety and health (OSH) risks. Employees experience risks that emerge during the fabrication of concrete, as well as its delivery to the construction site. Statistics show that usage and demand of RMC have been increasing along with the number of producers and workers. Unfortunately, adequate OSH measures to meet this rapid growth are not in place even in top RMC producing countries, such as Turkey. Moreover, lack of statistical data and academic research in this sector exacerbates this problem. This study aims to fill this gap by conducting data mining in Turkish Social Security Institution archives and performing univariate frequency and cross tabulation analysis on 71 incidents that RMC truck drivers were involved. Also, investigations and interviews were conducted in seven RMC plants in Turkey and Netherlands with OSH point of view. Based on the results of this research, problem areas were determined such as; cleaning truck mixer/pump is a hazardous activity where operators get injured frequently, and struck by falling objects is a major hazard at RMC industry. Finally, Job Safety Analyses were performed on these areas to suggest mitigation methods.

  1. Effects of air pollution on human health and practical measures for prevention in Iran

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    Adel Ghorani-Azam

    2016-01-01

    Full Text Available Air pollution is a major concern of new civilized world, which has a serious toxicological impact on human health and the environment. It has a number of different emission sources, but motor vehicles and industrial processes contribute the major part of air pollution. According to the World Health Organization, six major air pollutants include particle pollution, ground-level ozone, carbon monoxide, sulfur oxides, nitrogen oxides, and lead. Long and short term exposure to air suspended toxicants has a different toxicological impact on human including respiratory and cardiovascular diseases, neuropsychiatric complications, the eyes irritation, skin diseases, and long-term chronic diseases such as cancer. Several reports have revealed the direct association between exposure to the poor air quality and increasing rate of morbidity and mortality mostly due to cardiovascular and respiratory diseases. Air pollution is considered as the major environmental risk factor in the incidence and progression of some diseases such as asthma, lung cancer, ventricular hypertrophy, Alzheimer′s and Parkinson′s diseases, psychological complications, autism, retinopathy, fetal growth, and low birth weight. In this review article, we aimed to discuss toxicology of major air pollutants, sources of emission, and their impact on human health. We have also proposed practical measures to reduce air pollution in Iran.

  2. Effects of air pollution on human health and practical measures for prevention in Iran.

    Science.gov (United States)

    Ghorani-Azam, Adel; Riahi-Zanjani, Bamdad; Balali-Mood, Mahdi

    2016-01-01

    Air pollution is a major concern of new civilized world, which has a serious toxicological impact on human health and the environment. It has a number of different emission sources, but motor vehicles and industrial processes contribute the major part of air pollution. According to the World Health Organization, six major air pollutants include particle pollution, ground-level ozone, carbon monoxide, sulfur oxides, nitrogen oxides, and lead. Long and short term exposure to air suspended toxicants has a different toxicological impact on human including respiratory and cardiovascular diseases, neuropsychiatric complications, the eyes irritation, skin diseases, and long-term chronic diseases such as cancer. Several reports have revealed the direct association between exposure to the poor air quality and increasing rate of morbidity and mortality mostly due to cardiovascular and respiratory diseases. Air pollution is considered as the major environmental risk factor in the incidence and progression of some diseases such as asthma, lung cancer, ventricular hypertrophy, Alzheimer's and Parkinson's diseases, psychological complications, autism, retinopathy, fetal growth, and low birth weight. In this review article, we aimed to discuss toxicology of major air pollutants, sources of emission, and their impact on human health. We have also proposed practical measures to reduce air pollution in Iran.

  3. Vulnerability Assessment and Prevention Measures for Tsunami Flooding of Coastal Areas in Mexico

    Science.gov (United States)

    Farreras, S. F.; Ortiz, M.

    2003-12-01

    The Middle-America Trench subduction zone adjacent to the southwestern coast of Mexico accounts for a consistent and regular history of locally destructive tsunamis generated by large earthquakes. 3 and 5 meters are the maximum wave heights representative of low and middle risk for the most frequent of these tsunamis. This coast is the site of industrial ports, tourist resorts and urban communities. The main industrial port, located on the sand shoals of a river delta, has two steel mill plants, a fertilizer factory, container, metal and mineral docks, grain storage silos, and a fuel oil terminal. An important element for the vulnerability assessment is the determination of probable tsunami wave elevations and expected inundation limits. The two cases mentioned above were computer simulated. An ocean water disturbance produced by a sea-floor earthquake was assumed. Linear wave theory for the deep ocean, and non-linear one for the near shore and interaction with the coast, were used. Non-fixed boundaries were considered. The equations were solved by a finite-difference algorithm for interconnected grids of different sizes. The model was validated comparing the results with sea level data, run-up and flooding extensions measured from past tsunamis. Results of the numerical simulations show maximum water levels and boundaries of the inundation areas under threat. Inundation maps were produced. Vulnerability assessments for two cases, an urban settlement and the main industrial port, are described. A low risk event will produce slight damage, railroad tracks destroyed, access bridges washed out, and ledges of sand removed or deposited on the beaches; and a middle risk event will produce major and extensive damage to the installations and danger to life. Recommendations include the relocation of urban settlements, installations and services, and the establishment of evacuation routes and emergency shelters.

  4. Preventive Medicine.

    Science.gov (United States)

    Jozwiak, Dick

    1998-01-01

    Argues the importance of regularly inspecting thermoplastic roofs to avoid costly repairs. Preventive measures such as access restriction and the use of protective mats and pads to prevent third-party accidents are discussed as is the importance of checking for drain blockages. (GR)

  5. [The simple measure of handwashing to prevent the risk from biological agents: what has changed since the theories of Semmelweis].

    Science.gov (United States)

    D'Ovidio, Maria Concetta

    2013-01-01

    In this manuscript, we consider the importance of hand hygiene as the chief measure of prevention and protection in the occupational context. In particular, we remember the physician who lived in the middle of the 19th century, Ignazio Semmelweis, genius but not understood creator of the theory for infection control, based on hand hygiene. Subsequent studies have clearly demonstrated the validity of Semmelweis' research, through scientific publications and the establishment of international guidelines, such as by the World Health Organization (WHO). It is important to remember the initial work and then, sharpen this tool, resulting in the adoption of simple, but effective behavioural practices, that should be spread by several means and tools of information, education and communication, addressed at all involved, for the reduction of exposure to the occupational biological risk.

  6. A Brief Review of Intimate Partner Violence in the United States: Nature, Correlates, and Proposed Preventative Measures

    Directory of Open Access Journals (Sweden)

    Pamela C. Regan

    2015-12-01

    Full Text Available Aggression and violence are themes which characterize a significant proportion of many close romantic relationships. Both women and men may find themselves caught in a web of intimate terror – controlled, manipulated, and hurt by a coercive and violent partner. In this brief review article, we summarize existing literature on the form of intimate partner violence known as coercive controlling violence (CCV, domestic abuse, or intimate terrorism. We begin by discussing the nature and consequences of CCV relationships. Personal or individual (e.g., biological sex, age, immigrant status, socioeconomic status, attitudes and beliefs, mental health and psychopathology, relational or interpersonal (e.g., relationship type, relationship satisfaction, and environmental (e.g., economic strain, social isolation risk factors associated with the occurrence of domestic abuse are identified. Finally, potential preventative measures at the individual, interpersonal, and sociocultural level that may serve to reduce the likelihood of this pernicious interpersonal phenomenon are considered.

  7. 沥青砼路面裂缝预防措施%Prevention Measures on the Asphalt Concrete Pavement Crevices

    Institute of Scientific and Technical Information of China (English)

    贾陇春

    2014-01-01

    文章简单介绍了沥青砼路面裂缝的集中类型,对沥青砼路面产生裂缝的原因进行了分析,着重提出了相应的沥青砼路面裂缝预防措施。希望能进一步延长沥青砼路面的使用寿命,提升路面服务质量,为工程技术人员提供一定的参考和借鉴。%This paper briefly introduces the main types of asphalt concrete pavement crevices and analyzed the causes of crevices, focusing on corresponding prevention measures. By this, the author hoped to further extend the service life of asphalt concrete pavement and improved the pavement quality, providing a reference for engineering and technical personnel.

  8. Proactive infection control measures to prevent nosocomial transmission of carbapenem-resistant Enterobacteriaceae in a non-endemic area

    Institute of Scientific and Technical Information of China (English)

    CHENG Vincent Chi-Chung; CHAN Jasper Fuk-Woo; WONG Sally Cheuk-Ying; CHEN Jonathan Hon-Kwan; TAI Josepha Wai-Ming; YAN Mei-Kum; KWAN Grace See-Wai

    2013-01-01

    Background Identification of hospitalized carbapenem-resistant Enterobacteriaceae (CRE)-positive patient is important in preventing nosocomial transmission.The objective of this study was to illustrate the implementation of proactive infection control measures in preventing nosocomial transmission of CRE in a healthcare region of over 3200 beds in Hong Kong between October 1,2010 and December 31,2011.Methods The program included active surveillance culture in patients with history of medical tourism with hospitalization and surgical operation outside Hong Kong within 12 months before admission,and "added test" as an opportunistic CRE screening in all fecal specimens submitted to the laboratory.Outbreak investigation and contact tracing were conducted for CRE-positive patients.Serial quantitative culture was performed on CRE-positive patients and the duration of fecal carriage of CRE was analyzed.Results During the study period,a total of 6533 patients were screened for CRE,of which 76 patients were positive (10 from active surveillance culture,65 from "added test",and 1 secondary case from contact tracing of 223 patients with no nosocomial outbreak),resulting in an overall rate of CRE fecal carriage of 1.2%.The median time of fecal carriage of CRE was 43 days (range,13-119 days).Beta-lactam-beta-lactamase-inhibitors,cephalosporins,and fluoroquinolones were associated significantly with high fecal bacterial load when used 90 days before CRE detection,while use of cephalosporins,carbapenems,and fiuoroquinolones after CRE detection are significantly associated with longer duration of carriage.The duration of fecal carriage of CRE also correlates significantly with the initial fecal bacterial load (Pearson correlation:0.53; P=0.02).Conclusion Proactive infection control measures by enhanced surveillance program identify CRE-positive patients and data obtained are useful for the planning of and resource allocation for CRE control.

  9. Pressure ulcer prevalence, use of preventive measures, and mortality risk in an acute care population: a quality improvement project.

    Science.gov (United States)

    Leijon, Siv; Bergh, Ingrid; Terstappen, Karin

    2013-01-01

    The primary aim of this quality improvement project was to determine pressure prevalence, risk of mortality, and use of preventive measures in a group of hospitalized patients. Two hundred fifty-eight patients recruited from Skaraborg Hospital in Sweden were assessed. A 1-day point prevalence study was carried out using a protocol advocated by the European PU Advisory Panel. Patients' age, gender, severity of PU (grades I-IV), anatomical location of PU, and use of preventive measures were recorded. The Swedish language version of the Modified Norton Scale was used for PU risk assessment. Data were collected by nurses trained according to the Web-based training: PU classification, "ePuclas2." After 21 months, a retrospective audit of the electronic records for patients identified with pressure ulcers was completed. The point prevalence of pressure ulcers was 23%. The total number of ulcers was 85, most were grade 1 (n = 39). The most common locations were the sacrum (n = 15) and the heel (n = 10). Three percent of patients (n = 9) had been assessed during their current hospital stay using a risk assessment tool. There was a statistically significant relationship between pressure ulcer occurrence and a low total score on the Modified Norton Scale. The patients' ages correlated significantly to the presence of a pressure ulcer. Patients with a pressure ulcer had a 3.6-fold increased risk of dying within 21 months, as compared with those without a pressure ulcer. Based on results from this quality improvement project, we recommend routine pressure ulcer risk assessment for all patients managed in a hospital setting such as ours. We further recommend that particular attention should be given to older and frail patients who are at higher risk for pressure ulcer occurrence and mortality.

  10. Analysis of the return on preventive measures in musculoskeletal disorders through the benefitecost ratio: A case study in a hospital

    OpenAIRE

    Ramos, Delfina G.; Arezes, Pedro M.; Afonso, Paulo

    2015-01-01

    Work-related musculoskeletal disorders (WMSDs) are among the most costly health problems that society is facing today. Prevention involves investments and it is important for organizations to make a cost ebenefit analysis of ergonomic projects. Return on prevention is a recent concern in the domain of occupational safety and health (OSH). There are many studies concerning the return on the prevention of WMSDs, in terms of the benefits for the organization in which the preventive m...

  11. Pattern of Hepatitis A Virus Epidemiology in Nursing Students and Adherence to Preventive Measures at Two Training Wards of a University Hospital

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    Campagna

    2016-02-01

    Full Text Available Background Nursing students can be exposed to patients with hepatitis A virus (HAV and can represent a vehicle of transmission both for health personnel, patients and relatives. Objectives The aim of this study was to assess the risk of HAV infection in nursing students during their internship. Patients and Methods A seroprevalence survey on HAV infection was performed on nursing students at the Cagliari university-hospital, together with the assessment of the compliance to preventive measures to decrease the risk of infection during their internship. Blood specimens were obtained from 253 students. All serum samples were tested for anti-HAV antibodies (IgG by the enzyme-linked immunosorbent assay (ELISA. Compliance to preventive measures was recorded by trained personnel. Results Overall HAV seropositivity in nursing students (mean age 24, range 17 - 45 years was 3%. Compliance to preventive measures was not uniform (6% - 76% and extremely low in some specific measures targeted to decrease the oral-fecal transmission. Conclusions The high proportion of susceptible nursing students can contribute to an increase in the risk of nosocomial transmission, especially when specific preventive measures are not completely applied. Nursing education packages, before starting medical internship, should be implemented in order to increase their compliance to preventive measures, especially in wards at higher risk. Vaccination should be considered in wards at higher risk.

  12. [The situation and preventive measures against the spread of avian influenza on the territory of the country].

    Science.gov (United States)

    Onishchenko, G G

    2007-01-01

    The Russian Federation, as the whole world community, is anxious about the established situation associated with the prevalence of avian influenza and a threat of its pandemic. Today avian influenza is a complex, i.e. medical, veterinary, social, and economic, problem. Since December 2003, the world has notified an avian influenza panepizootic that has covered 54 countries to date. Despite emergency measures to prevent the prevalence of this infection, resulting in the elimination of more than 100 million poultries, the virus has fixed in the natural population of wild birds and gained the capacity to infect human beings, which serves as a guide for considering it a possible predictor of pandemic virus. According to the WHO classification, the Russian Federation is at Step II of an interpandemic period when cases of the disease are not notified among the population; however, the subtype circulating among the animals can cause the disease to sufficient probability. To prevent mass mortality of influenza virus-infected birds and human contagion in the inhabited localities wherein epizootic is seen, the Russian Federation has organized and implemented a package of antiepizootic, veterinary-sanitary, and sanitary-antiepidemic measures, including on-line exchange of information on the epizootic and epidemiological situation with veterinary surveillance bodies; farmstead rounds are made for the early detection of ill persons among human beings, for which an additional medical personnel has been picked out; daily medical monitoring of the population and the workers of poultry factories, wherein poultry death has been recorded, has been organized; the places of annihilation of utilized fallen and forcedly killed poultry are notified; supervision of the sanitary and veterinary state of the market where alive poultry and ornamental birds are sold has been tightened; measures to lay in a stock of chemotherapeutical and chemoprophylactic agents producing an antiinfluenza

  13. Comparison of waste prevention behaviors among three Japanese megacity regions in the context of local measures and socio-demographics.

    Science.gov (United States)

    Kurisu, Kiyo H; Bortoleto, Ana Paula

    2011-07-01

    Waste prevention behaviors (WPBs) should be investigated separately from recycling behaviors and analyzed in the context of local policies and measures. Previous studies on WPBs have been mainly conducted in the USA and Europe (mainly in the UK), and studies in Japan have remained very limited to date. Moreover, the effects of socio-demographic factors have been rarely described correctly based on appropriate large sampling. In this study, we conducted an on-line questionnaire survey and obtained 8000 respondents in three megacity regions (Tokyo, Osaka, and Aichi) in Japan. Among these three regions, Osaka respondents showed significantly lower practice rates in nine of 18 WPBs. Particularly in My-bag behavior, the charging of plastic shopping bags strongly affects the practice rate. As shown in the results, local policies and measures affect WPBs. Based on the practice rates, latent four factors were extracted by factor analysis. Multiple regression analysis revealed that gender and age significantly affect WPB factors before local policy effects.

  14. Mid-Thoracic Spinal Injuries during Horse Racing: Report of 3 Cases and Review of Causative Factors and Prevention Measurements

    Directory of Open Access Journals (Sweden)

    Ioannis Triantafyllopoulos

    2013-01-01

    Full Text Available We report three cases of a rare pattern of mid-thoracic spine injuries after horse racing falls and discuss possible causative factors and prevention measurements to reduce injury rates in professional riding and racing. Three patients, 2 male and 1 female with a mean age of 28 years old, underwent surgical treatment for mid-thoracic fractures after professional equestrian activities. The ASIA scale was E in one patient, B in the other one and A in the third. Multilevel posterior fusion was used in two patients and somatectomy plus fusion in the other. Follow up evaluation included changing of the ASIA scale, functional outcome and participation in equestrian activities. One patient fully recovered after surgery. Two patients remained paraplegic despite early surgical treatment and prolonged rehabilitation therapy. All patients had ended their professional equestrian career. This report analyzes possible mechanisms of injury and the pattern of mid-thoracic spine fractures after professional horse riding injuries. Despite skill improvements and continued safety education for horse riding, prophylactic measures for both the head and the spine should be refined. According to our study, additional mid-thoracic spinal protection should be added.

  15. The right to health in Brazil: A Constitutional guarantee threatened by fiscal austerity.

    Science.gov (United States)

    de Souza, Luis Eugenio Portela Fernandes

    2017-06-28

    After 25 years of expanding coverage and improving the quality of preventive public health measures and publicly financed medical care associated with positive outcomes for the health of Brazil's population, our country suffers from deterioration of social policies. Among the areas of policy affected by new economic austerity measures is health-with potential to damage lives. These threats stem mainly from the 2016 approval of a Constitutional amendment that limits, for the next 20 years, public investments in health, education, social assistance, and social security. This viewpoint addresses how the changes have come about and the possible consequences.

  16. Evaluation of possible mitigation measures to prevent introduction and spread of African swine fever virus through wild boar

    Directory of Open Access Journals (Sweden)

    European Food Safety Authority

    2014-03-01

    Full Text Available This scientific report has been prepared in response to a request for urgent scientific and technical assistance under Art 31 of Regulation (EC No 178/2002, in relation to possible mitigation measures to prevent introduction and spread of African swine fever virus (ASFV. It was requested to assess the feasibility to drastically reduce the wild boar population by hunting or by the use of traps, and to assess if prevention of movement of wild boars by feeding or by artificial physical barriers reduces the risk of spread of ASFV. No evidence was found in scientific literature proving that wild boar populations can be drastically reduced by hunting or trapping in Europe. The main reasons are the adaptive behaviour of wild boar, compensatory growth of the population and the possible influx of wild boar from adjacent areas. Thus, drastic hunting is not a tool to reduce the risk for introduction and spread of ASFV in wild boar populations. Furthermore, wild boar density thresholds for introduction, spread and persistence of ASFV in the wild boar populations are currently impossible to establish, due to the uncertainty regarding the extent of the spread and maintenance of ASFV, the biases in population datasets, the complex population structures and dynamics. Furthermore, attempts to drastically reduce wild boar populations may even increase transmission and facilitate progressive geographical spread of ASFV, since intensive hunting pressure on wild boar populations leads to dispersion of groups and individuals. Artificial feeding of wild boar might increase the risk of ASFV spread. Fencing can restrict wild boar movements, however further knowledge of the ASF epidemiology and spatial distribution of wild boar is required to identify the areas where fencing could be used as one possible element of a control programme and to assess the feasibility of its implementation.

  17. Compliance of asthmatic families with a primary prevention programme of asthma and effectiveness of measures to reduce inhalant allergens--a randomized trial.

    NARCIS (Netherlands)

    Schonberger, H.J.; Maas, T.; Dompeling, E.C.; Knottnerus, J.A.; Weel, C. van; Schayck, C.P. van

    2004-01-01

    BACKGROUND: Compliance to and the effect of pre- and post-natal exposure reduction measures to prevent asthma in high-risk children from asthmatic families were studied. METHOD: Families were randomized to a special care group (n=222) and a control group (n=221). Educational advice on measures to re

  18. Compliance of asthmatic families with a primary prevention programme of asthma and effectiveness of measures to reduce inhalant allergens--a randomized trial.

    NARCIS (Netherlands)

    Schonberger, H.J.; Maas, T.; Dompeling, E.C.; Knottnerus, J.A.; Weel, C. van; Schayck, C.P. van

    2004-01-01

    BACKGROUND: Compliance to and the effect of pre- and post-natal exposure reduction measures to prevent asthma in high-risk children from asthmatic families were studied. METHOD: Families were randomized to a special care group (n=222) and a control group (n=221). Educational advice on measures to

  19. The importance of oral hygiene on adults with the focus on preventive measures resulting in the reduction of oral cavity diseases frequency.

    OpenAIRE

    2015-01-01

    The Dissertation work presented herein monitors the significance of oral hygiene in adults, while aiming at preventive measures leading to lowering mouth cavity illness occurrences. Within the theoretical part, I focus on the delineation of important terms relating to preventive care for oral cavity, information concerning anatomy, physiology of oral cavity, influence of foods and other problems within the oral cavity, among which there are tooth cavities and diseases of gingiva. In the pract...

  20. Media Monopoly in Brazil.

    Science.gov (United States)

    Amaral, Roberto; Guimaraes, Cesar

    1994-01-01

    Documents the process of broadcasting media development in Brazil, the failure of new technologies to produce democratization, and the barriers to democratization erected by monopolization and "metastasis." (SR)

  1. Epidemiological Scenario of Dengue in Brazil

    Directory of Open Access Journals (Sweden)

    Rafaelle C. G. Fares

    2015-01-01

    Full Text Available Dengue is the most important reemerging mosquito-borne viral disease worldwide. It is caused by any of four Dengue virus types or serotypes (DENV-1 to DENV-4 and is transmitted by mosquitoes from the genus Aedes. Ecological changes have favored the geographic expansion of the vector and, since the dengue pandemic in the Asian and Pacific regions, the infection became widely distributed worldwide, reaching Brazil in 1845. The incidence of dengue in Brazil has been frequently high, and the number of cases in the country has at some point in time represented up to 60% of the dengue reported cases worldwide. This review addresses vector distribution, dengue outbreaks, circulating serotypes and genotypes, and prevention approaches being utilized in Brazil.

  2. Country watch. Brazil.

    Science.gov (United States)

    Szterenfeld, C; Lopes, V

    1993-01-01

    A fictional story using publicity-type language was depicted in an AIDS prevention video produced by the Health in Prostitution Project in Rio de Janeiro to support its work with prostitutes. The video was produced through the volunteer efforts of a professional cast and crew who used cultural entertainment codes to raise awareness. Although both established and new actors participated, the cast was comprised of largely famous soap opera and movie artists. This approach was chosen was the understanding that Brazilians watch soap operas 4-5 hours/day and would therefore readily recognize and pay attention to messages conveyed by the protagonists. The video was shot 2 weeks before Carnival when most actors usually rest and received wide media coverage and attention from the public sector. Prostitutes participated in all stages of production, from script-writing to casting to final editing. The video, Venus Fire, describes a pleasure lottery of which the prize is a lucky condom. The video was officially released on World AIDS Day 1992, and broadcast nationwide in January 1993. It was then subsequently aired in public squares and other street worker sites with question-and-answer sessions and public debates among average audience of 200-300 people. Similar health projects elsewhere in Brazil have also show the film with very good audience response. The prostitutes are happy that their profession is being treated with respect, while clients are attracted by the sexy images.

  3. Educação em saúde para prevenção do câncer de colo do útero em mulheres do município de Santo Ângelo/RS Education in health for prevention of uterine cervical cancer in women in Santo Ângelo, state of Rio Grande do Sul, Brazil

    Directory of Open Access Journals (Sweden)

    Micheli Renata Casarin

    2011-09-01

    Full Text Available No Brasil, o câncer cérvico-uterino constitui importante problema de saúde, pois apresenta alto índice de letalidade entre mulheres de varias idades. O exame citopatológico foi preconizado como medida de prevenção deste tipo de câncer, devendo ser realizado a partir do início da vida sexual. O estudo teve um caráter prático de promover educação em saúde sexual e conhecer o perfil da saúde sexual de mulheres de Santo Ângelo/RS. As palestras abordaram formas de prevenção e identificação de possíveis sintomas da doença. O levantamento do perfil de saúde sexual das participantes foi realizado através da aplicação de um questionário estruturado. Participaram das palestras 140 mulheres com idades entre 15 e 60 anos. Verificou-se que, mesmo enfrentando dificuldades e medo, a maioria delas realiza exame preventivo, motivada por aparecimento de sintomas e pelo hábito de cuidar da saúde. As participantes referiram a importância da integração entre profissionais e educadores em Saúde. O estudo foi direcionado no sentido de dar relevância à promoção da saúde e à prevenção do câncer, buscando evitar a doença e obter melhores condições de vida para as mulheres.In Brazil, cervical uterine cancer is a major public health problem as it has high mortality rate indices among women of different ages. A cytopathological examination is recommended for preventing this type of cancer from the early stages of a woman's reproductive life. The scope of this study was both to give talks on sexual health education and establish the sexual health profile of women from St. Angelo/RS. The lectures included measures for prevention as well as identification of possible symptoms of the disease. The research into the sexual health profile of the participants was conducted by a structured questionnaire applied to 140 women aged between 15 and 60. It was found that even experiencing difficulties and apprehension, the majority of the women

  4. Prevenção de infecção pelo HIV por intermédio da utilização do grupo operativo entre homens que fazem sexo com homens, São Paulo, Brasil HIV prevention using the operative group approach among men who have sex with men in São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Robson Colosio

    2007-04-01

    Full Text Available Este estudo focaliza o grupo operativo como intervenção preventiva de HIV para HSH (homens que fazem sexo com homens, usuários de serviços de saúde pública de São Paulo, Brasil. Foram distribuídos, por sorteio aleatório, 100 voluntários em dois grupos (intervenção e controle - 50 cada um. Todos eles responderam a questionários em duas fases distintas: antes da intervenção e seis meses depois de serem submetidos a ela. A avaliação do efeito da intervenção foi obtida pela variação do número médio de relações sexuais anais sem preservativo e análise de respostas sobre infecção pelo HIV. Terminaram o estudo 69 participantes (34 - grupo de intervenção; 35 - grupo de controle. No grupo de intervenção, observou-se, pelos dados obtidos, uma diminuição da prática de sexo anal desprotegida (p = 0,029 e aumento do número médio de respostas favoráveis à prevenção. Esses índices indicam ser a população estudada sensível à mudança em favor da adoção da prática de sexo mais seguro mediante participação no grupo operativo. Novos estudos são necessários para avaliar a possibilidade de utilização dessa abordagem nos serviços públicos de saúde e para outras populações.This study aimed to evaluate the operative group as a preventive approach among men who have sex with men that use two public health services in the city of São Paulo, Brazil. One hundred volunteers were randomly allocated to two groups (intervention and control, with 50 each. All participants answered questionnaires in two phases: before the intervention and six months after its conclusion. Effect was measured by comparing the groups for the following outcomes: median number of anal sex acts without condoms and responses from the participants to questions about HIV infection. 69 participants completed the study (34 in the prevention group and 35 in the control group. Analysis showed a decrease in the number of unprotected anal sex acts (p

  5. Stochastic analysis of motor-control stability, polymer based force sensing, and optical stimulation as a preventive measure for falls

    Science.gov (United States)

    Landrock, Clinton K.

    Falls are the leading cause of all external injuries. Outcomes of falls include the leading cause of traumatic brain injury and bone fractures, and high direct medical costs in the billions of dollars. This work focused on developing three areas of enabling component technology to be used in postural control monitoring tools targeting the mitigation of falls. The first was an analysis tool based on stochastic fractal analysis to reliably measure levels of motor control. The second focus was on thin film wearable pressure sensors capable of relaying data for the first tool. The third was new thin film advanced optics for improving phototherapy devices targeting postural control disorders. Two populations, athletes and elderly, were studied against control groups. The results of these studies clearly show that monitoring postural stability in at-risk groups can be achieved reliably, and an integrated wearable system can be envisioned for both monitoring and treatment purposes. Keywords: electro-active polymer, ionic polymer-metal composite, postural control, motor control, fall prevention, sports medicine, fractal analysis, physiological signals, wearable sensors, phototherapy, photobiomodulation, nano-optics.

  6. Knowledge, attitudes and practices regarding influenza prevention and control measures among Hispanics in San Diego County--2006.

    Science.gov (United States)

    Bethel, Jeffrey W; Waterman, Stephen H

    2009-01-01

    Influenza vaccination is the most effective method to avoid influenza virus infection and its potential serious complications; however, influenza vaccine is underutilized especially among minority groups. We assessed the knowledge, attitudes, and practices (KAP) regarding influenza prevention and control measures among Hispanics in San Diego County. We used a multistage cluster sampling scheme to administer an in-person, door-to-door KAP survey to 226 Hispanics aged > or = 18 years in three regions of San Diego County during July-August 2006. Hispanics in the three regions sampled for this survey varied widely by age, country of birth, years living in the United States, number of border crossings in previous month, and number of people in household. Awareness of the influenza vaccine was nearly 90% among survey respondents. The percentage of Hispanic males and females aged 50-64 years who received an influenza vaccination in the previous 12 months was 7.7% and 23.5%, respectively, and the percentage of Hispanic males and females aged > or = 65 years who received an influenza vaccination in the previous 12 months was 33.3% and 59.1%, respectively. This survey showed high awareness of the influenza vaccine among Hispanics in San Diego County but relatively low vaccination rates among respondents aged > or = 50 years, a group targeted for influenza vaccination. Differences in awareness and vaccination rates between Hispanic males and females across all age groups indicate that educational outreach efforts should specifically target Hispanic men.

  7. Research into cellular phone leakage and its preventive measures%手机泄密防范与对策

    Institute of Scientific and Technical Information of China (English)

    张玉水; 樊中山; 金风

    2013-01-01

    针对移动通信系统的不断更新换代,移动终端的功能日渐强大,并支持越来越多的业务,其手机的泄密问题日趋严重,本文就手机的泄密防范与对策进行了研究.首先分析了手机的通信信息传输过程,指出手机终端面临的安全威胁,然后对手机的泄密样式和流程进行分析,并举证一些常见的手机窃密技术与手段,最后对手机的信息安全和防泄密提出了相应对策,以有效提高手机使用者的信息安全防护意识和能力,预防手机泄密.%With mobile communication system developing constantly, mobile phone terminals are becoming powerful and can support more and more operation. Along with this, the problem of cellular phone leakage is beco9ming serious, and the paper is focused on the research into some preventive measures against cellular phone leakage. First, the paper analyzes its information transmitting procedure and points out some risks cellular phone terminals are faced. And then, the author examines different kinds of cellular phone leakage and their mechanism, and makes a detailed list of some common techniques and skills which may lead to information leakage. Finally, the paper proposes some measure for the cellular phone users to enhance their awareness of information security and enhance their anti-leakage ability, and thereby to ensure the security of cellular phone use.

  8. Measurement of oxidative DNA damage by gas chromatography-mass spectrometry: ethanethiol prevents artifactual generation of oxidized DNA bases.

    Science.gov (United States)

    Jenner, A; England, T G; Aruoma, O I; Halliwell, B

    1998-04-15

    Analysis of oxidative damage to DNA bases by GC-MS enables identification of a range of base oxidation products, but requires a derivatization procedure. However, derivatization at high temperature in the presence of air can cause 'artifactual' oxidation of some undamaged bases, leading to an overestimation of their oxidation products, including 8-hydroxyguanine. Therefore derivatization conditions that could minimize this problem were investigated. Decreasing derivatization temperature to 23 degrees C lowered levels of 8-hydroxyguanine, 8-hydroxyadenine, 5-hydroxycytosine and 5-(hydroxymethyl)uracil measured by GC-MS in hydrolysed calf thymus DNA. Addition of the reducing agent ethanethiol (5%, v/v) to DNA samples during trimethylsilylation at 90 degrees C also decreased levels of these four oxidized DNA bases as well as 5-hydroxyuracil. Removal of guanine from hydrolysed DNA samples by treatment with guanase, prior to derivatization, resulted in 8-hydroxyguanine levels (54-59 pmol/mg of DNA) that were significantly lower than samples not pretreated with guanase, independent of the derivatization conditions used. Only hydrolysed DNA samples that were derivatized at 23 degrees C in the presence of ethanethiol produced 8-hydroxyguanine levels (56+/-8 pmol/mg of DNA) that were as low as those of guanase-pretreated samples. Levels of other oxidized bases were similar to samples derivatized at 23 degrees C without ethanethiol, except for 5-hydroxycytosine and 5-hydroxyuracil, which were further decreased by ethanethiol. Levels of 8-hydroxyguanine, 8-hydroxyadenine and 5-hydroxycytosine measured in hydrolysed calf thymus DNA by the improved procedures described here were comparable with those reported previously by HPLC with electrochemical detection and by GC-MS with prepurification to remove undamaged base. We conclude that artifactual oxidation of DNA bases during derivatization can be prevented by decreasing the temperature to 23 degrees C, removing air from the

  9. Advancing a smart air cushion system for preventing pressure ulcers using projection Moiré for large deformation measurements

    Science.gov (United States)

    Cheng, Sheng-Lin; Tsai, Tsung-Heng; Lee, Carina Jean-Tien; Hsu, Yu-Hsiang; Lee, Chih-Kung

    2016-03-01

    A pressure ulcer is one of the most important concerns for wheelchair bound patients with spinal cord injuries. A pressure ulcer is a localized injury near the buttocks that bear ischial tuberosity oppression over a long period of time. Due to elevated compression to blood vessels, the surrounding tissues suffer from a lack of oxygen and nutrition. The ulcers eventually lead to skin damage followed by tissue necrosis. The current medical strategy is to minimize the occurrence of pressure ulcers by regularly helping patients change their posture. However, these methods do not always work effectively or well. As a solution to fundamentally prevent pressure ulcers, a smart air cushion system was developed to detect and control pressure actively. The air cushion works by automatically adjusting a patient's sitting posture to effectively relieve the buttock pressure. To analyze the correlation between the dynamic pressure profiles of an air cell with a patient's weight, a projection Moiré system was adopted to measure the deformation of an air cell and its associated stress distribution. Combining a full-field deformation imaging with air pressure measured within an air cell, the patient's weight and the stress distribution can be simultaneously obtained. By integrating a full-field optical metrology with a time varying pressure sensor output coupled with different active air control algorithms for various designs, we can tailor the ratio of the air cells. Our preliminary data suggests that this newly developed smart air cushion has the potential to selectively reduce localized compression on the tissues at the buttocks. Furthermore, it can take a patient's weight which is an additional benefit so that medical personnel can reference it to prescribe the correct drug dosages.

  10. 德国食品安全保障和食品风险防范措施%Food Safety Security and Food Risk Prevention Measures in Germany

    Institute of Scientific and Technical Information of China (English)

    丁声俊

    2011-01-01

    Food safety security and food risk prevention measures in Germany were reviewed, including objectives and principles of food safety security, sound security policy and system, strict preventive systems and measures, and the mass, science, and transparency character of effective monitor.%概述了德国食品质量安全保障和食品风险防范措施,包括食品安全保障的目标和原则;健全的保障政策和体系;严格的防范制度和措施;有效监督的群众性、科学性和透明性.

  11. Effects of an influenza prevention program using non-pharmaceutical prevention measures to improve the knowledge, attitudes and practices of elementary school students in Nakhon Phanom province, Thailand.

    Science.gov (United States)

    Mangklakeeree, Nutcharat; Pinitsoontorn, Somdej; Srisaenpang, Sompong

    2013-07-04

    We evaluated an influenza prevention educational program using educational media, e-books and cartoons conducted among students in grades 4 through 6. The course was 8 hours long. The study was conducted at 4 schools; 230 students at each school were in the experimental group and 224 students at each school were in the control group (no educational intervention). The data were analyzed using the Wilcoxon matched-pair signed-rank test. The students in the experimental group had significantly greater knowledge (p<0.001), attitudes (p<0.001) and practices (p<0.001) scores after the intervention. However, the control group also had significantly greater knowledge (p<0.001) and attitudes (p<0.001) scores but not practices scores (p = 0.326). Further studies are needed to determine the factors that influenced these differences.

  12. New WHO recommendations on preoperative measures for surgical site infection prevention : an evidence-based global perspective

    NARCIS (Netherlands)

    Allegranzi, Benedetta; Bischoff, Peter; de Jonge, Stijn; Kubilay, N Zeynep; Zayed, Bassim; Gomes, Stacey M; Abbas, Mohamed; Atema, Jasper J; Gans, Sarah; van Rijen, Miranda; Boermeester, Marja A; Egger, Matthias; Kluytmans, Jan; Pittet, Didier; Solomkin, Joseph S

    2016-01-01

    Surgical site infections (SSIs) are among the most preventable health-care-associated infections and are a substantial burden to health-care systems and service payers worldwide in terms of patient morbidity, mortality, and additional costs. SSI prevention is complex and requires the integration of

  13. Type 2 diabetes in Brazil: epidemiology and management

    Directory of Open Access Journals (Sweden)

    Almeida-Pititto B

    2015-01-01

    Full Text Available Bianca de Almeida-Pititto,1 Monike Lourenço Dias,2 Ana Carolina Franco de Moraes,3 Sandra RG Ferreira,3 Denise Reis Franco,4 Freddy Goldberg Eliaschewitz4,5 1Department of Preventive Medicine, Federal University of São Paulo, São Paulo, Brazil; 2Department of Endocrinology, Federal University of Goiás, Goiânia, Goiás, Brazil; 3Department of Epidemiology, School of Public Health, University of São Paulo, São Paulo, Brazil; 4CPClin Clinical Research Center, 5Albert Einstein Hospital, São Paulo, Brazil Abstract: Type 2 diabetes mellitus (T2DM is one of the most important epidemic diseases in the world this century, and accounts for 90% of cases of diabetes globally. Brazil is one of the most important examples of the alarming picture of T2DM in emergent societies, being the country with the fourth largest number of people with diabetes. The aim of this paper is to review the literature on diabetes in Brazil, specifically looking at the epidemiology and management of T2DM. A literature search was conducted using PubMed and LILACS to identify articles containing information on diabetes in Brazil. Official documents from the Brazilian government, World Health Organization, and International Diabetes Federation were also reviewed. Keywords: type 2 diabetes, Brazil, epidemiology, management

  14. 产后出血防治措施临床分析%Prevention and control of measures postpartum hemorrhage

    Institute of Scientific and Technical Information of China (English)

    韩玉新; 苗苗; 郜小燕

    2015-01-01

    目的 分析产后出血发生的原因及高危因素,针对产后出血的原因,积极预防及处理产后出血,降低孕产妇产后出血的发生率及死亡率.方法 回顾性分析解放军第91中心医院产科2014年1至12月53例产妇产后出血的原因及高危因素.结果 产后出血的发生率为2.76%.产后出血的原因依次为:宫缩乏力64.15%,胎盘因素30.19%,软产道损伤3.77%,凝血功能障碍1.89%.产后出血的高危因素有巨大儿、妊娠合并贫血、瘢痕子宫、双胎妊娠、IVF-ET、妊娠期糖尿病、妊娠期高血压疾病、前置胎盘、胎盘植入、胎盘早剥.结论 规范产前检查,加强孕期营养的宣教及指导,管理孕期体重,降低高危妊娠,促进自然分娩;产前充分评估,术中积极预防及处理产后出血,降低孕产妇产后出血的发生率及死亡率.%Objective To explore the causes and high-risk factors of postpartum hemorrhage and to prevent and treat postpartum hemorrhage according the causes to reduce the incidence and maternal mortality.Methods The clinical data of 53 parturient women with postpartum hemorrhage were collected from our department from January to December, 2014 and were retrospectively analyzed to explore the causes and high-risk factors of postpartum hemorrhage.Results The incidence of postpartum hemorrhage was 2.76%.The causes of postpartum hemorrhage were uterine atony(64.15%), placenta related factors (30.19%), soft birth canal laceration(3.77%), and coagulation defects (1.89%).The high-risk factors of postpartum hemorrhage were macrosomia, anemia in pregnancy, scar uterus, twin pregnancy, IVF-ET,gestational diabetes, hypertensive disorder complicating pregnancy, placenta previa, placenta increta,and placental abruption.Conclusions To reduce the incidence of postpartum hemorrhage and to lower maternal mortality, some measures should be taken.Theses measures contain standardized prenatal examination, education and

  15. Interdependence of domestic malaria prevention measures and mosquito-human interactions in urban Dar es Salaam, Tanzania

    Science.gov (United States)

    Geissbühler, Yvonne; Chaki, Prosper; Emidi, Basiliana; Govella, Nicodemus J; Shirima, Rudolf; Mayagaya, Valeliana; Mtasiwa, Deo; Mshinda, Hassan; Fillinger, Ulrike; Lindsay, Steven W; Kannady, Khadija; de Castro, Marcia Caldas; Tanner, Marcel; Killeen, Gerry F

    2007-01-01

    Background Successful malaria vector control depends on understanding behavioural interactions between mosquitoes and humans, which are highly setting-specific and may have characteristic features in urban environments. Here mosquito biting patterns in Dar es Salaam, Tanzania are examined and the protection against exposure to malaria transmission that is afforded to residents by using an insecticide-treated net (ITN) is estimated. Methods Mosquito biting activity over the course of the night was estimated by human landing catch in 216 houses and 1,064 residents were interviewed to determine usage of protection measures and the proportion of each hour of the night spent sleeping indoors, awake indoors, and outdoors. Results Hourly variations in biting activity by members of the Anopheles gambiae complex were consistent with classical reports but the proportion of these vectors caught outdoors in Dar es Salaam was almost double that of rural Tanzania. Overall, ITNs confer less protection against exophagic vectors in Dar es Salaam than in rural southern Tanzania (59% versus 70%). More alarmingly, a biting activity maximum that precedes 10 pm and much lower levels of ITN protection against exposure (38%) were observed for Anopheles arabiensis, a vector of modest importance locally, but which predominates transmission in large parts of Africa. Conclusion In a situation of changing mosquito and human behaviour, ITNs may confer lower, but still useful, levels of personal protection which can be complemented by communal transmission suppression at high coverage. Mosquito-proofing houses appeared to be the intervention of choice amongst residents and further options for preventing outdoor transmission include larviciding and environmental management. PMID:17880679

  16. Interdependence of domestic malaria prevention measures and mosquito-human interactions in urban Dar es Salaam, Tanzania

    Directory of Open Access Journals (Sweden)

    Mshinda Hassan

    2007-09-01

    Full Text Available Abstract Background Successful malaria vector control depends on understanding behavioural interactions between mosquitoes and humans, which are highly setting-specific and may have characteristic features in urban environments. Here mosquito biting patterns in Dar es Salaam, Tanzania are examined and the protection against exposure to malaria transmission that is afforded to residents by using an insecticide-treated net (ITN is estimated. Methods Mosquito biting activity over the course of the night was estimated by human landing catch in 216 houses and 1,064 residents were interviewed to determine usage of protection measures and the proportion of each hour of the night spent sleeping indoors, awake indoors, and outdoors. Results Hourly variations in biting activity by members of the Anopheles gambiae complex were consistent with classical reports but the proportion of these vectors caught outdoors in Dar es Salaam was almost double that of rural Tanzania. Overall, ITNs confer less protection against exophagic vectors in Dar es Salaam than in rural southern Tanzania (59% versus 70%. More alarmingly, a biting activity maximum that precedes 10 pm and much lower levels of ITN protection against exposure (38% were observed for Anopheles arabiensis, a vector of modest importance locally, but which predominates transmission in large parts of Africa. Conclusion In a situation of changing mosquito and human behaviour, ITNs may confer lower, but still useful, levels of personal protection which can be complemented by communal transmission suppression at high coverage. Mosquito-proofing houses appeared to be the intervention of choice amongst residents and further options for preventing outdoor transmission include larviciding and environmental management.

  17. Modeling the population-level effects of male circumcision as an HIV-preventive measure: a gendered perspective.

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    Jonathan Dushoff

    Full Text Available BACKGROUND: Evidence from biological, epidemiological, and controlled intervention studies has demonstrated that male circumcision (MC protects males from HIV infection, and MC is now advocated as a public-health intervention against HIV. MC provides direct protection only to men, but is expected to provide indirect protection to women at risk of acquiring HIV from heterosexual transmission. How such indirect protection interacts with the possibility that MC campaigns will lead to behavior changes, however, is not yet well understood. Our objective here is to investigate the link between individual-level effects of MC campaigns and long-term population-level outcomes resulting from disease dynamics, looking at both genders separately, over a broad range of parameters. METHODS AND FINDINGS: We use simple mathematical models of heterosexual transmission to investigate the potential effects of a circumcision scale-up, combined with possible associated behavioral disinhibition. We examine patterns in expected long-term prevalence using a simple equilibrium model based on transmission factors, and validate our results with ODE-based simulations, focusing on the link between effects on females and those on males.We find that the long-term population-level effects on females and males are not strongly linked: there are many possible ways in which an intervention which reduces prevalence in males might nonetheless increase prevalence in females. CONCLUSIONS: Since an intervention that reduces long-term male prevalence could nonetheless increase long-term female prevalence, MC campaigns should explicitly consider both the short-term and long-term effects of MC interventions on females. Our findings strongly underline the importance of pairing MC programs with education, support programs and HIV testing and counseling, together with other prevention measures.

  18. Fatores sócio-econômicos e atitudes em relação à prevenção domiciliar da leishmaniose tegumentar americana, em uma área endêmica do sul da Bahia, Brasil Socioeconomic factors and attitudes towards household prevention of American cutaneous leishmaniasis in an endemic area in southern Bahia, Brazil

    Directory of Open Access Journals (Sweden)

    João Barberino Santos

    2000-09-01

    Full Text Available Foi realizado um inquérito visando identificar condições sócio-econômicas e atitudes de uma população em relação à prevenção domiciliar da LTA, na localidade de Corte de Pedra, Município de Tancredo Neves, área endêmica do sul da Bahia, Brasil. O questionário foi aplicado em julho de 1997, com perguntas sobre aspectos sociais e econômicos, hábitos e atitudes da população em relação à prevenção contra a picada de artrópodos. Foram entrevistadas 100% das famílias habitantes da área selecionada, distribuídas em 168 moradias, correspondendo a 851 pessoas. Cerca de 66,7% das famílias percebem um ou menos de um salário mínimo mensal para o sustento de uma média de 5,1 moradores por residência. A maioria das famílias (57,2% não usa qualquer tipo de proteção. O meio de prevenção mais comum é a fumegação pela incineração de diversos tipos de materiais. As medidas de proteção individual são raramente usadas. Uma vez que na área de estudo têm sido relatadas evidências de transmissão intra e peridomiciliar de LTA, o uso de mosquiteiros impregnados com inseticida seria uma alternativa à proteção intradomiciliar.A survey was conducted to identify socioeconomic conditions and attitudes towards household prevention of American cutaneous leishmaniasis in Corte de Pedra, located in the county of Tancredo Neves, an endemic region in southern Bahia, Brazil. A questionnaire was applied in July 1997, focusing on social and economic variables, habits, and attitudes towards prevention of arthropod bites. All families (100% living in the study area were surveyed, comprising 168 households with 851 individuals. Approximately 66.7% of the families earned up to one minimum wage, supporting an average of 5.1 residents per household. Most (57.2% of the families did not use any type of protection against bites. Fumigation by burning various types of materials was the most customary form of prevention. Individual

  19. Exercício físico para prevenção de quedas: ensaio clínico com idosos institucionalizados em Goiânia, Brasil Physical exercises to prevent falls: a clinical trial with institutionalized elderly in the city of Goiânia in Brazil

    Directory of Open Access Journals (Sweden)

    Ana Claudia Antonio Maranhão Sá

    2012-08-01

    Full Text Available Este estudo teve como objetivo avaliar um programa de intervenção com exercícios físicos em grupo na prevenção de quedas em idosos residentes em instituições de longa permanência. Trata-se de um ensaio clínico não randomizado realizado com 20 idosos institucionalizados na cidade de Goiânia, Brasil. As intervenções ocorreram durante cinco meses, sendo que o programa de exercícios proposto foi baseado em estudos anteriores. Medidas padronizadas foram utilizadas para avaliar quedas, equilíbrio e marcha, força muscular, flexibilidade e medo de quedas. A partir do período de 12 meses do início da intervenção houve redução significativa no número de quedas (p = 0,046. A partir do programa foram observadas diferenças significantes para pontuação das manobras de equilíbrio (p = 0,001, pontuação total das manobras de equilíbrio e marcha (p = 0,007, força muscular de preensão palmar (p = 0,001 e de membros inferiores (p The scope of this study was to evaluate an intervention program with group physical exercises to prevent falls in the elderly in long-term care institutions. This is a non-randomized clinical trial conducted with 20 institutionalized elderly people in the city of Goiânia in Brazil. The interventions occurred over the period of five months, though the proposed exercise program was based on earlier studies. Standardized measures were used to assess falls, balance and gait, muscle strength, flexibility and fear of falling. After the period of 12 months from the start of intervention there was a significant reduction in the number of falls (p = 0.046. Based on the program, significant differences were observed for point allocation of the maneuvers of balance (p = 0.001, total scores of the maneuvers of balance and gait (p = 0.007, muscle strength of hand grip (p = 0.001 and of lower limbs (p < 0.001, flexibility of movement of shoulder flexion (p = 0.001. The intervention using an exercise program proved to be

  20. EVALUATION OF A PORTABLE FOURIER TRANSFORM INFRARED GAS ANALYZER FOR MEASUREMENTS OF AIR TOXICS IN POLLUTION PREVENTION RESEARCH

    Science.gov (United States)

    A portable Fourier transform infrared gas analyzer with a photoacoustic detector performed reliably during pollution prevention research at two industrial facilities. It exhibited good agreement (within approximately 6%) with other analytical instruments (dispersive infrared and ...

  1. Measuring implementation of a school-based violence prevention program : Fidelity and teachers' responsiveness as predictors of proximal outcomes

    NARCIS (Netherlands)

    Schultes, Marie Therese; Stefanek, Elisabeth; van de Schoot, Rens; Strohmeier, Dagmar; Spiel, Christiane

    2014-01-01

    When school-based prevention programs are put into practice, evaluation studies commonly only consider one indicator of program implementation. The present study investigates how two different aspects of program implementation - fidelity and participant responsiveness - jointly influence proximal ou

  2. Danger and preventive measures of pinhole problem of ion-exchange membrane%离子交换膜针孔的危害与预防措施

    Institute of Scientific and Technical Information of China (English)

    王世荣

    2015-01-01

    The cause and danger of ionic membrane ’s pinhole problem were analyzed on basis of production cases, the targeting preventive measures were put forward.%分析了离子膜出现针孔的原因及危害并提出了预防措施。

  3. Reactions of community members regarding community health workers' activities as a measure of the impact of a training program in Amazonas, Brazil.

    Science.gov (United States)

    Kawasaki, Ryoko; Sadamori, Toru; Ferreira de Almeida, Terezinha; Akiyoshi, Megumi; Nishihara, Mika; Yoshimura, Toshiro; Ohnishi, Mayumi

    2015-01-01

    The aim of this study was to evaluate the impact of community health worker (CHW) training on recognition and satisfaction regarding the performance of CHWs among members of the community in Amazonas, Brazil, which is a resource-poor area underserved with regard to medical health-care accessibility. Baseline and endline surveys concerning recognition and satisfaction with respect to CHW performance among members of the community were conducted by interview using a questionnaire before and after implementation of a program to strengthen community health projects in Manicoré, Amazonas, Brazil. One of the components of the project was CHW refresher training, which focused on facilitating adequate use of health-care services and providing primary health care, including health guidance. The baseline survey was performed in February 2004 at the beginning of the project, and the endline survey was performed in February 2006 at the end of the project. There were 82 and 120 CHWs working in Manicoré at the times of the baseline and endline surveys, respectively. Statistical analysis was performed to determine the significance of changes in experience with CHW activities, expected functions of CHWs, and satisfaction regarding the performance of CHWs between the baseline and endline surveys. In addition, qualitative analysis was conducted to evaluate the acceptability, feasibility, and sustainability of CHW refresher training. Overall recognition and level of satisfaction regarding CHW performance among members of the community were improved from the baseline to the endline survey, regardless of type of residential area, such as town and/or remote area. Members of the community came to not expect CHWs to "provide strong medicine" (P < 0.001) and "provide injections" (P < 0.001), and came to appreciate "go to hospital with a sick person" (P = 0.031) as a function and role of CHWs. The results of the present study indicated that steady approaches to motivate and support CHWs

  4. Co-ownership and Collaboration: Insights into the Measurement of Impact and Change from Evidence-Based Community and State Violence Prevention Partnerships

    Directory of Open Access Journals (Sweden)

    Tariro Mutongwizo

    2015-04-01

    Full Text Available Effective partnerships in community crime and violence prevention interventions are challenging to foster. While this may be the case, their merits cannot be denied, thus it is necessary to involve diverse stakeholders in processes that aim to address violence and crime prevention in order to better approach the causes of crime. However practical experiences have identified the challenges of crime prevention partnerships, particularly in developing indicators that appropriately measure and work to monitor and evaluate progress. It has also been noted that it is difficult to discern which interventions yield success, particularly in partnerships with various stakeholders. This article therefore encourages joint assessments from the onset of crime prevention projects with the development of indicators that are relatable to all partners. The paper will draw on three violence and crime prevention pilot projects, conducted in South Africa. The discussion will focus on the processes of developing performance measurement frameworks and the challenges and successes experienced throughout the monitoring, evaluation and learning process.

  5. Brachiaria spp. poisoning of ruminants in Brazil

    Directory of Open Access Journals (Sweden)

    B. Riet-Correa

    2011-03-01

    Full Text Available Brachiaria species are the most important grasses for cattle production in Brazil. However, a limiting factor for the use of Brachiaria spp. is their toxicity. Most outbreaks of hepatogenous photosensitization are caused by B. decumbens; however B. brizantha, B. humidicola and B. ruziziensis can also cause poisoning. The poisoning affects cattle, sheep, goats and buffalo. Sheep are more susceptible than other animal species and the young are more susceptible than adults. There are differences in susceptibility among animals of the same species and it has been suggested that this resistance is genetic. Also has been suggested that buffalo and probably some sheep are resilient, i.e. when poisoned these animals have histologic lesions and high GGT serum concentrations, but do not show clinical signs. In general, saponin concentrations are higher in growing plants, but outbreaks occur all over the year, probably due to unexplained rise in saponin concentration in the plant. A clinical syndrome of progressive weight loss and death, without photosensitization, has been reported in cattle poisoned by B. decumbens. Main preventive measures are based on the selection of resistant or resilient animals and on the development of Brachiaria species or varieties with low saponin concentration.

  6. Country watch: Brazil.

    Science.gov (United States)

    Szterenfeld, C

    1995-01-01

    The Health in Prostitution Project was launched in 1991 in Rio de Janeiro, Brazil. The project offers a multi-year training program of health education designed to both fight the stigmatization of and violence against commercial sex workers and enhance their self-esteem, self-determination, and access to civil rights. The project therefore promotes individual awareness while influencing public opinion and policies. At first, health agents were recruited among women and transvestites who work in street-based sex work. The program was then gradually expanded to include young male sex workers and other locations, such as private parlors, saunas, and escort services. People of all sexes and sexual orientation now comprise the health agent group. The program has a paid staff of five women, three young men, and three transvestites, and approximately 70 sex workers are trained annually. Basic training includes topics such as human sexuality, personal risk assessment, HIV/STD infection, negotiation of safer sex, and STD referral services. Year two training emphasizes reproductive and women's health issues, while year three courses prioritize street work methodologies. Theatrical performances, speaking English as a second language, and performing Bach flower therapy for clients take place during the fourth year. Program trainers include medical specialists, nurses, psychologists, health educators, lawyers, and university students. At least half of the 350 health agents trained thus far are estimated to be currently engaged in paid or voluntary prevention work. Two surveys with female sex workers in 1991 and 1993 found that reported regular condom use increased from 57% to 73%; the health agents are having an effect. The program is constantly evaluated and revised.

  7. Comparison of atmospheric instability indices derived from radiosonde observations and precipitation values measured with a weather radar and a rain gauge network in Sao Paulo, Brazil.

    Science.gov (United States)

    Alves, Mauro; Martin, Inacio; Shkevov, Rumen; Gusev, Anatoly; De Abreu, Alessandro

    2016-07-01

    Radio soundings are carried out daily in more than 800 stations throughout the world. The data collected in the soundings are used in many meteorological applications such as numerical weather prediction and climate models. Despite the relatively large number of sounding stations, they are unevenly distributed over the globe. It is generally assumed that the desired distance between stations is 300 km. In this study, we performed a comparison of 20 soundings of two stations located 85 km apart (State of São Paulo, Brazil; 23.511811° S, 46.637528° W, and 23.212578° S, 45.866581° W) to determine whether there is a concordance between atmospheric instability indices derived from the data collected by soundings at the these different locations. Additionally, precipitation data obtained by a meteorological radar and a rain gauge network during the same period as the soundings are compared to the stability indices to establish a correlation between precipitation values and these indices.

  8. Occurrence and prevention and control measures of swine high fever disease%猪高热病的发生及防控措施

    Institute of Scientific and Technical Information of China (English)

    施通华

    2012-01-01

    分析猪高热病的发病症状及猪群高死亡率发生原因,并提出"以生物安全为基础,保健为重,预防为主,治疗为辅"的综合防控措施。%Symptoms and high mortality causes of swine high fever disease were analyzed,and the comprehensive prevention and control measures,including "to lie on the basis of biological safety,pay attention on health care,an ounce of prevention is worth a pound of cure" were put forward.

  9. Neuropeptide Y stimulation as primary target for preventive measures of maladaptative cardiovascular reactions in occupational chronic stress exposure.

    Science.gov (United States)

    Ciumaşu-Rîmbu, Mălina; Popa, Livia; Vulpoi, Carmen

    2012-01-01

    Chronic stress may produce a decrease in central NPY expression and subjects exposed to it may prove hypersensitivity to a novel stressor with dysfunctions in the NPY system and cardiovascular maladaptation to stress, even hypertension. Upregulation of NPY expression may contribute to successful behavioral adaptation to stress by reducing cardiovascular tone and suppressing anxious behaviors. Adaptogens, a new class of metabolic regulators stimulate NPY expression and release. The aim of this study is to increase tolerance and adaptation to stress of hypersensitive to novel stressor, occupational chronic stress exposed subjects with cardiovascular maladaptation to mild new stressor using adaptogens as part of prevention protocol. 40 military personnel with known cardiostressor reactional mode and occupational chronic stress exposure were exposed to mild novel stressor: occupational medicine routine evaluation and clinically assessed for maladaptative cardiovascular response prior and before application of 30 day prevention protocol. Employees were randomly split in two groups, one receiving standard prevention protocol (lifestyle counseling) plus adaptogens in multiple dose administration, twice daily and the other receiving only standard prevention protocol. We found significant statistic differences in all cardiovascular parameters in adaptogen group and only in diastolic blood pressure in control group. Adaptogens could be an important factor in successful prevention protocols of chronic occupational stress dysfunctions involving NPY systems.

  10. Methodology and measures for preventing unacceptable flow-accelerated corrosion thinning of pipelines and equipment of NPP power generating units

    Science.gov (United States)

    Tomarov, G. V.; Shipkov, A. A.; Lovchev, V. N.; Gutsev, D. F.

    2016-10-01

    Problems of metal flow-accelerated corrosion (FAC) in the pipelines and equipment of the condensate- feeding and wet-steam paths of NPP power-generating units (PGU) are examined. Goals, objectives, and main principles of the methodology for the implementation of an integrated program of AO Concern Rosenergoatom for the prevention of unacceptable FAC thinning and for increasing operational flow-accelerated corrosion resistance of NPP EaP are worded (further the Program). A role is determined and potentialities are shown for the use of Russian software packages in the evaluation and prediction of FAC rate upon solving practical problems for the timely detection of unacceptable FAC thinning in the elements of pipelines and equipment (EaP) of the secondary circuit of NPP PGU. Information is given concerning the structure, properties, and functions of the software systems for plant personnel support in the monitoring and planning of the inservice inspection of FAC thinning elements of pipelines and equipment of the secondary circuit of NPP PGUs, which are created and implemented at some Russian NPPs equipped with VVER-1000, VVER-440, and BN-600 reactors. It is noted that one of the most important practical results of software packages for supporting NPP personnel concerning the issue of flow-accelerated corrosion consists in revealing elements under a hazard of intense local FAC thinning. Examples are given for successful practice at some Russian NPP concerning the use of software systems for supporting the personnel in early detection of secondary-circuit pipeline elements with FAC thinning close to an unacceptable level. Intermediate results of working on the Program are presented and new tasks set in 2012 as a part of the updated program are denoted. The prospects of the developed methods and tools in the scope of the Program measures at the stages of design and construction of NPP PGU are discussed. The main directions of the work on solving the problems of flow

  11. Injury/Fatality-Causing Incidents Involving the Rearward Movement of Agricultural Machinery: Types, Causes, and Preventive Measures

    Directory of Open Access Journals (Sweden)

    Shawn G. Ehlers

    2017-02-01

    The specific cause was loss of visual contact between the operator and co-worker/bystander due to visual obstruction, the operator’s physical limitations, or the operator’s and/or bystander’s lack of alertness. To reduce the likelihood of future occurrences of agricultural machinery rearward travel-related incidents, preventive measures aimed at addressing the key causative factors for each scenario are offered.

  12. Generation and Measurement of Chlorine Dioxide Gas at Extremely Low Concentrations in a Living Room: Implications for Preventing Airborne Microbial Infectious Diseases.

    Science.gov (United States)

    Ogata, Norio; Sogawa, Koushirou; Takigawa, Yasuhiro; Shibata, Takashi

    2017-01-01

    Preventing respiratory diseases caused by airborne microbes in enclosed spaces is still not satisfactorily controlled. At extremely low concentrations (about 30 parts per billion), chlorine dioxide (ClO2) gas can inactivate airborne microbes and prevent respiratory disease. It has no toxic effect on animals at this level. However, controversies still remain regarding how to measure concentrations of ClO2 gas at such low levels. It is therefore necessary to prove that measured gas concentrations are accurate and reproducible. ClO2 gas was released from a gas generator and its concentration was measured by a novel highly sensitive gas analyzer. We compared its data with those from ion chromatography. We demonstrate that the gas concentrations measured in a room using the gas analyzer are accurate and reproducible after comparing the results with those from ion chromatography. However, the temperature dependence of the gas analyzer was found. Therefore, data correction is required for each temperature at which gas concentration is measured. A theoretical analysis of the gas concentrations predicted by the rate of ClO2 gas released from the ClO2 generator was also performed. Our results advance progress toward using low concentration ClO2 gas to prevent airborne infectious diseases such as influenza. © 2016 S. Karger AG, Basel.

  13. Audiology in Brazil.

    Science.gov (United States)

    Bevilacqua, Maria Cecilia; Novaes, Beatriz Caiuby; Morata, Thais C

    2008-02-01

    The profession of audiology took root in Brazil nearly a half a century ago and has since blossomed into a flourishing, well-developed field. Currently, audiologists in Brazil work at private institutions, including private medical practices and dedicated speech and hearing clinics. They are also employed in a wide array of public institutions, including community clinics, elementary schools, colleges, and universities. In both the private sector and health clinics, audiologists perform diagnostic evaluations of auditory and vestibular disorders, select and fit hearing aids, and provide aural rehabilitation. At the public level, they assist with workers' health programs, dispense hearing aids, and aural rehabilitation. There is always room to grow, however, and the future of audiology in Brazil holds both challenges and opportunity. The following article will sketch the development of audiology training and practice in Brazil, provide a picture of how the field stands today, and summarize the unique challenges which the profession faces in this large and diverse nation.

  14. [Adaptation and validation of the CCAENA(©) scale for the measurement of continuity of care between healthcare levels in Colombia and Brazil].

    Science.gov (United States)

    Garcia-Subirats, Irene; Aller, Marta Beatriz; Vargas Lorenzo, Ingrid; Vázquez Navarrete, María Luisa

    2015-01-01

    To adapt and to validate the scale of the questionnaire Continuity of Care between Care Levels (CCAENA(©)) in the context of the Colombian and Brazilian health systems. The study consisted of two phases: 1) adaptation of the CCAENA(©) scale to the context of each country, which was tested by two pretests and a pilot test, and 2) validation by means of application of the scale in a population survey in Colombia and Brazil. The following psychometric properties were analyzed: construct validity (exploratory factor analysis), internal consistency (Cronbach's alpha and item-rest correlations), the multidimensionality of the scales (Spearman correlation coefficients), and known group validity (chi-square test). Of the 21 items of the original scale, 14 were selected and reformulated based on a statement with response options of agreement to a question with frequency response options. Factor analysis showed that items could be grouped into three factors: continuity across healthcare levels, the patient-primary care provider relationship, and the patient-secondary care provider relationship. Cronbach's alpha indicated good internal consistency (>0.80 in all the scales). The correlation coefficients suggest that the three factors could be interpreted as separated scales (<0.70) and had adequate ability to differentiate between groups. The adapted version of the CCAENA(©) shows adequate validity and reliability in both countries, maintaining a high equivalence with the original version. It is a useful and feasible tool to assess the continuity of care between healthcare levels from the users' perspective in both contexts. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

  15. Psychometric characteristics of process evaluation measures for a school-based childhood obesity prevention study: Louisiana Health

    Science.gov (United States)

    Process evaluations of large-scale school based programs are necessary to aid in the interpretation of the outcome data. The Louisiana Health (LA Health) study is a multi-component childhood obesity prevention study for middle school children. The Physical Education (PEQ), Intervention (IQ), and F...

  16. A comparison of the cost associated with pollution prevention measures to that required to treat polluted water resources

    CSIR Research Space (South Africa)

    Oelofse, Suzanna HH

    2012-03-01

    Full Text Available Pollution of water resources is largely as a result of human activity and therefore could be prevented to a large degree. The quality of our water resources is deteriorating and downstream water users have to deal with the pollution impacts caused...

  17. Carnival or football, is there a real risk for acquiring dengue fever in Brazil during holidays seasons?

    Science.gov (United States)

    Aguiar, Maíra; Rocha, Filipe; Pessanha, José Eduardo Marques; Mateus, Luis; Stollenwerk, Nico

    2015-02-01

    More than 600,000 football fans, coming from all over the world, were expected to visit Brazil during the FIFA World Cup 2014. International travel can become a public health problem when the visitors start to become sick, needing medical intervention and eventually hospitalization. The occurrence of dengue fever infections in Brazil is persistent and has been increasing since the 1980s, and the health authorities were expected to take preventive measures and to warn the visitors about the risks during the tournament period. Before the World Cup started, studies have been published stating that dengue could be a significant problem in some of the Brazilian cities hosting the games. These conclusions were taken after a brief observation of the available data, analyzing its mean and standard deviation only, or based on seasonal climate forecasts, causing alarm for the world cup in Brazil. Here, with a more careful data analysis, we show that the seasonality of the disease plays a major role in dengue transmission. The density of dengue cases in Brazil is residual during winter in the Southern hemisphere (mid June to mid September) and the fans of football were not likely to get dengue during the tournament period.

  18. Carnival or football, is there a real risk for acquiring dengue fever in Brazil during holidays seasons?

    Science.gov (United States)

    Aguiar, Maíra; Rocha, Filipe; Pessanha, José Eduardo Marques; Mateus, Luis; Stollenwerk, Nico

    2015-02-16

    More than 600,000 football fans, coming from all over the world, were expected to visit Brazil during the FIFA World Cup 2014. International travel can become a public health problem when the visitors start to become sick, needing medical intervention and eventually hospitalization. The occurrence of dengue fever infections in Brazil is persistent and has been increasing since the 1980s, and the health authorities were expected to take preventive measures and to warn the visitors about the risks during the tournament period. Before the World Cup started, studies have been published stating that dengue could be a significant problem in some of the Brazilian cities hosting the games. These conclusions were taken after a brief observation of the available data, analyzing its mean and standard deviation only, or based on seasonal climate forecasts, causing alarm for the world cup in Brazil. Here, with a more careful data analysis, we show that the seasonality of the disease plays a major role in dengue transmission. The density of dengue cases in Brazil is residual during winter in the Southern hemisphere (mid June to mid September) and the fans of football were not likely to get dengue during the tournament period.

  19. Knowledge, attitudes and preventive behaviors related to dengue vector breeding control measures among adults in communities of Vientiane, capital of the Lao PDR.

    Science.gov (United States)

    Sayavong, Chanthalay; Chompikul, Jiraporn; Wongsawass, Somsak; Rattanapan, Cheerwit

    2015-01-01

    This research aimed to determine the knowledge, attitudes and preventive behaviors (KAP) of adults in relation to dengue vector control measures in the communities of Vientiane, the capital of the Lao PDR. A total of 207 respondents were actively participating in this cross-sectional descriptive study in 2011. Representatives of households were interviewed face-to-face by six trained interviewers using a structured questionnaire. KAP reliabilities of 0.89, 0.91 and 0.95 were reported in the pilot sample of 30 cases. The associations between each independent variable and prevention behavior were tested with chi-square tests. Multiple logistic regression was used to determine the factors that were significantly associated with preventive behavior while controlling for the other variables. The results revealed that 51.69% of the respondents had a high level of knowledge. More than 94% of the respondents knew that dengue fever is a dangerous communicable disease and that dengue fever is transmitted from person to person via mosquitoes. More than half (56.52%) of the participants had positive attitudes toward vector control measures, and 52.17% exhibited a high level of preventive behavior in terms of dengue vector control measures. Preventive behaviors were significantly associated with information provided from sources that included health personnel (p = 0.038) and heads of villages (p=0.031) and with knowledge levels (p < 0.001). This study suggests that proactive health education through appropriated mass media and community clean-up campaigns should strengthen and encourage community participation, particularly in terms of addressing mosquito larvae in overlooked places, such as the participants' own homes, for example, in flower vases and ant traps.

  20. Update on Brazil's pharma patent landscape.

    Science.gov (United States)

    Gosain, Rana

    2016-09-01

    Brazil's Pharma market is a dynamic and promising one. It ranks within the top ten market. There are peculiar hurdles that patentees have to overcome, such as, a two-tier examination, a serious backlog at the Brazilian Patent and Trademark Office. Several measures to accelerate examination have been adopted given the meager number of Examiners.

  1. Brazil research in selected scientific areas

    DEFF Research Database (Denmark)

    Ingwersen, Peter

    2009-01-01

    for Brazil and Mexico are identical, with a vast increase since 1991. In contrast, RSA follows the global growth rate. From 1996 to 2005 both Latin American countries almost doubles their research publications in English, probably influencing the growth in relative citation impact, as measured by FCI......  The paper analyses the general development of research in Brazil, 1981-2005 and compares to Mexico, Republic of South Africa (RSA) and the world. Publications from 15 research areas and their citations are analyzed for the three countries covering two five-year periods 1996-2005. The paper...... applies publication growth as well as Citedness and Field Crown Indicators (FCI). Results show that across all research fields, including the Social Sciences, from 1996 the absolute citation impact of Brazil and Mexico are alike, steadily increasing, and just below that of RSA. Publication growth patterns...

  2. 肉鸡场的防暑降温措施%Measures of Preventing Heatstroke and Lowering Temperature of Chicken in Broiler Chicken Farm

    Institute of Scientific and Technical Information of China (English)

    张豪豪; 赵利; 孙永霞; 范花云

    2014-01-01

    夏季高温天气给鸡群带来的应激非常大,往往易引起鸡中暑死亡。主要介绍了养鸡场防暑降温的几种措施,通过联合实施防暑降温措施,可以有效地避免鸡中暑情况的发生,进而提高养鸡场的经济效益。%High temperature in summer brought great stress on chicken, which easily caused the heatstroke and death of chicken. The several measures of preventing sunstroke and lowering temperature in chicken farm were mainly introduced. The occurrence of chicken stroke could be effectively avoided by taking these measures of preventing sunstroke and lowering temperature, so as to improve the economic benefits of chicken farm.

  3. Common Defects of Pressure Vessel Welding and Prevention Measures%压力容器焊接常见缺陷的产生和防治措施

    Institute of Scientific and Technical Information of China (English)

    赵振芳

    2012-01-01

    The welding quality of pressure vessels is to ensure the safe operation of a pressure vessel key.The paper introduced several kinds of common pressure vessel welding defects and preventive measures.%压力容器焊接质量是保证压力容器安全运行的关键。文章介绍了压力容器焊接中几种常见缺陷并提出预防措施。

  4. Vloga svetovalnega delavca pri prepoznavanju motenj hranjenja in preventivnem delovanju: The school counsellor's role in recognizing eating disorders and implementing preventive measures:

    OpenAIRE

    Berčnik, Sanja

    2012-01-01

    The present article discusses eating disorders. Eating disorders are defined as a serious health threat due to an abnormal relation to food which has become a way of coping with stress. They are also often linked to personality disorders. We have focused mainly on the three most common types of eating disorder – anorexia, bulimia, and compulsive (binge) eating – their recognizable features, the causes that lead to eating disorders, and on preventive measures practiced in ...

  5. Preventing stroke

    Science.gov (United States)

    Stroke - prevention; CVA - prevention; cerebral vascular accident - prevention; TIA - prevention, transient ischemic attack - prevention ... something that increases your chance of having a stroke. You cannot change some risk factors for stroke. ...

  6. Development and psychometric testing of a new instrument to measure factors influencing women's breast cancer prevention behaviors (ASSISTS).

    Science.gov (United States)

    Khazaee-Pool, Maryam; Majlessi, Fereshteh; Montazeri, Ali; Pashaei, Tahereh; Gholami, Ali; Ponnet, Koen

    2016-07-22

    Breast cancer preventive behaviors have an extreme effect on women's health. Despite the benefits of preventive behaviors regarding breast cancer, they have not been implemented as routine care for healthy women. To assess this health issue, a reliable and valid scale is needed. The aim of the present study is to develop and examine the psychometric properties of a new scale, called the ASSISTS, in order to identify factors that affect women's breast cancer prevention behaviors. A multi-phase instrument development method was performed to develop the questionnaire from February 2012 to September 2014. The item pool was generated based on secondary analyses of previous qualitative data. Then, content and face validity were applied to provide a pre-final version of the scale. The scale validation was conducted with a sample of women recruited from health centers affiliated with Tehran University of Medical Sciences. The construct validity (both exploratory and confirmatory), convergent validity, discriminate validity, internal consistency reliability and test-retest analysis of the questionnaire were tested. Fifty-eight items were initially extracted from the secondary analysis of previous qualitative data. After content validity, this was reduced to 49 items. The exploratory factor analysis revealed seven factors (Attitude, supportive systems, self-efficacy, information seeking, stress management, stimulant and self-care) containing 33 items that jointly accounted for 60.62 % of the observed variance. The confirmatory factor analysis showed a model with appropriate fitness for the data. The Cronbach's alpha coefficient for the subscales ranged from 0.68 to 0.85, and the Intraclass Correlation Coefficient (ICC) ranged from 0.71 to 0.98; which is well above the acceptable thresholds. The findings showed that the designed questionnaire was a valid and reliable instrument for assessing factors affecting women's breast cancer prevention behaviors that can be used both

  7. New concepts in acute pain management: strategies to prevent chronic postsurgical pain, opioid-induced hyperalgesia, and outcome measures.

    Science.gov (United States)

    Grosu, Irina; de Kock, Marc

    2011-06-01

    Chronic postsurgical pain (CPSP) is a pain syndrome that has attracted attention for more than 10 years. CPSP is a pain syndrome that develops postoperatively and lasts for at least 2 months in the absence of other causes for pain (eg, recurrence of malignancy, chronic infection, and so forth). Pain continuing from a preexisting disease is not considered as CPSP. In this article, the authors discuss the etiopathogenesis of CPSP and interventions that can help prevent and treat this condition.

  8. Using a knowledge, attitudes and practices survey to supplement findings of an outbreak investigation: cholera prevention measures during the 1991 epidemic in Peru.

    Science.gov (United States)

    Quick, R E; Gerber, M L; Palacios, A M; Beingolea, L; Vargas, R; Mujica, O; Moreno, D; Seminario, L; Smithwick, E B; Tauxe, R V

    1996-08-01

    To assess the effectiveness of the cholera prevention activities of the Peruvian Ministry of Health, we conducted a knowledge, attitudes, and practices (KAP) survey in urban and rural Amazon communities during the cholera epidemic in 1991. We surveyed heads of 67 urban and 61 rural households to determine diarrhoea rates, sources of cholera prevention information, and knowledge, attitudes, and practices regarding ten cholera prevention measures. Twenty-five per cent of 482 urban and 11% of 454 rural household members had diarrhoea during the first 3-4 months of the epidemic. Exposure to mass media education was greater in urban areas, and education through interpersonal communication was more prevalent in rural villages. Ninety-three per cent of rural and 67% of urban respondents believed they could prevent cholera. The mean numbers of correct responses to ten knowledge questions were 7.8 for urban and 8.2 for rural respondents. Practices lagged behind knowledge and attitudes (mean correct response to ten possible: urban 4.9, rural 4.6). Seventy-five per cent of respondents drank untreated water and 91% ate unwashed produce, both of which were identified as cholera risk factors in a concurrently conducted case-control study. The cholera prevention campaign successfully educated respondents, but did not cause many to adopt preventive behaviours. Direct interpersonal education by community-based personnel may enhance the likelihood of translating education into changes in health behaviours. Knowledge, attitudes, and practices surveys conducted with case-control studies during an epidemic can be an effective method of refining education/control programmes.

  9. Zika: Why Brazil, Why Now

    Science.gov (United States)

    ... medlineplus.gov/news/fullstory_160251.html Zika: Why Brazil, Why Now Several factors -- including economics, climate and ... 5, 2016 THURSDAY, Aug. 4, 2016 (HealthDay News) -- Brazil, by a wide margin, has been the country ...

  10. Characterization of epidemiological surveillance systems for healthcare-associated infections (HAI) in the world and challenges for Brazil.

    Science.gov (United States)

    Nogueira Junior, Cassimiro; Mello, Débora Silva de; Padoveze, Maria Clara; Boszczowski, Icaro; Levin, Anna Sara; Lacerda, Rubia Aparecida

    2014-01-01

    Surveillance systems for healthcare-associated infections (HAI) are essential for planning actions in prevention and control. Important models have been deployed in recent decades in different countries. This study aims to present the historical and operational characteristics of these systems and discuss the challenges for Brazil. Various models around the world have drawn on the experience of the United States, which pioneered this process. In Brazil, several initiatives have been launched, but the country still lacks a full national information system on HAI, thus indicating the need to promote action strategies, strengthen the role of States in communication between the Federal and local levels, pursue a national plan to organize surveillance teams with the necessary technological infrastructure, besides updating the relevant legislation for dealing with these challenges. Such measures are essential in the Brazilian context for the unified surveillance of HAI, aimed at healthcare safety and quality.

  11. Cause of Maternal Postpartum Depression and Prevention Measures%产妇产后抑郁症病因分析及预防措施初探

    Institute of Scientific and Technical Information of China (English)

    王天真

    2011-01-01

    This paper analyzes the causes of postpartum depression, takes some measures to prevent the occurrence of postpartum depression, such ; constructing comfortable training environment, leading the mental health status of pregnant women, adjusting lifestyle measures, and so on.%本文通过分析产后抑郁的形成原因,采取营造舒适修养环境、疏导产妇心理、调整生活习惯等措施,能够较好地预防产后抑郁症的发生.

  12. Bovine cysticercosis situation in Brazil

    Directory of Open Access Journals (Sweden)

    Gabriel Augusto Marques Rossi

    2014-02-01

    Full Text Available The taeniasis-cysticercosis complex is a long known zoonotic parasitosis characteristic of underdeveloped countries. In addition to its public health significance, this parasitosis is cause of economic losses to the beef production chain, and synonymous of technical inadequacy in relation to the adoption of Good Agricultural Practices. The occurrences of both human teniasis and bovine cysticercosis could and should be controlled with basic sanitary measures. However, there is much variation in the occurrence of the disease in cattle, characterizing a low rate of technical development as well as problems related to the adoption of basic sanitation measures. This review describes, in details, the causative agent and its epidemiological chain, besides raising current information about the occurrence of bovine cysticercosis in different regions of Brazil, aiming at the adoption of prophylactic measures by different segments responsible.

  13. Preventing cervical cancer

    African Journals Online (AJOL)

    Prevention of disease. Disease prevention strategies can be categorised into primary ... decrease drastically. These may include measures like education about safe sexual practices ... In many First-World countries the introduction of the ...

  14. Societal impact of dengue outbreaks: Stakeholder perceptions and related implications. A qualitative study in Brazil, 2015

    Science.gov (United States)

    Rodrigues, Mariana; Davis, Ben; Besson, Marie-Hélène; Audureau, Etienne; Saba, Joseph

    2017-01-01

    Background The growing burden of dengue in many countries worldwide and the difficulty of preventing outbreaks have increased the urgency to identify alternative public health management strategies and effective approaches to control and prevent dengue outbreaks. The objectives of this study were to understand the impact of dengue outbreak on different stakeholders in Brazil, to explore their perceptions of approaches used by governmental authorities to control and prevent dengue outbreaks and to define the challenges and implications of preventing future outbreaks. Methods In 2015, a qualitative study was conducted in two urban states in Brazil: São Paulo, which was experiencing an outbreak in 2015, and Rio de Janeiro, which experienced outbreaks in 2011 and 2012. Face-to-face interviews using a semi-structured questionnaire were conducted with nine different categories of stakeholders: health workers (physicians, nurses), hospital administrators, municipal government representatives, community members and leaders, school administrators, business leaders and vector control managers. Interviews were focused on the following areas: impact of the dengue outbreak, perceptions of control measures implemented by governmental authorities during outbreaks and challenges in preventing future dengue outbreaks. Results A total of 40 stakeholders were included in the study. Health workers and community members reported longer waiting times at hospitals due to the increased number of patients receiving care for dengue-related symptoms. Health workers and hospital administrators reported that there were no major interruptions in access to care. Overall financial impact of dengue outbreaks on households was greatest for low-income families. Despite prevention and control campaigns implemented between outbreak periods, various stakeholders reported that dengue prevention and control efforts performed by municipal authorities remained insufficient, suggesting that efforts should

  15. Canine vector-borne diseases in Brazil

    Directory of Open Access Journals (Sweden)

    Dantas-Torres Filipe

    2008-08-01

    Full Text Available Abstract Canine vector-borne diseases (CVBDs are highly prevalent in Brazil and represent a challenge to veterinarians and public health workers, since some diseases are of great zoonotic potential. Dogs are affected by many protozoa (e.g., Babesia vogeli, Leishmania infantum, and Trypanosoma cruzi, bacteria (e.g., Anaplasma platys and Ehrlichia canis, and helminths (e.g., Dirofilaria immitis and Dipylidium caninum that are transmitted by a diverse range of arthropod vectors, including ticks, fleas, lice, triatomines, mosquitoes, tabanids, and phlebotomine sand flies. This article focuses on several aspects (etiology, transmission, distribution, prevalence, risk factors, diagnosis, control, prevention, and public health significance of CVBDs in Brazil and discusses research gaps to be addressed in future studies.

  16. Measures to prevent oil pollution in oceans, and their preservation effect; Kaiyo no abura osen no boshi taisaku to hozen koka ni tsuite

    Energy Technology Data Exchange (ETDEWEB)

    Shinoda, T.; Fukuchi, N.; Fujii, H. [Kyushu University, Fukuoka (Japan). Faculty of Engineering; Sato, S.

    1996-04-10

    It was intended to confirm, based on various problems surrounding oil flow-out accidents, that oil fences whose use is first considered when an oil flow-out accident occurs cause oil leakage due to oil pass-through phenomenon as the largest defect in performance of oil fences. Therefore, oil fence performance was analyzed by using a simulation. Furthermore, several types of diffusion prevention and avoidance measures, and combinations thereof were evaluated by using multi-criteria analysis. It was also elucidated how recognitions on the importance of methods to prevent oil pollution differ depending on standpoints. Difference in oil flow-out prevention performance of oil fences due to variation in tidal currents was made clear by combining a diffusion simulation using the finite element method with the prevention performance of oil fences relative to the tidal currents. In areas with no good hydrographic conditions where pollution spreads rapidly, it is necessary to suppress oil diffusion by extending oil fences double or triple, and using gelling agents. 4 refs., 8 figs.

  17. Risk, knowledge and preventive measures of smallholder dairy farmers in northern Malawi with regard to zoonotic brucellosis and bovine tuberculosis

    Directory of Open Access Journals (Sweden)

    Stanly Fon Tebug

    2014-02-01

    Full Text Available Milk production using local cattle breed-types is an age-old practice in Malawi. Although dairy farming is becoming more common as a result of the increasing population and demand for milk and milk products, there is limited knowledge of the farmers’ awareness of zoonotic disease risks, their preventative practices and the disease burden in animals. This study determined dairy farmers’ general knowledge of zoonoses, assessed their risks for infection with zoonotic bovine tuberculosis (bTB and brucellosis, and evaluated farm practices to prevent disease transmission. A questionnaire was drawn up and administered by the authors. It was used to collect information about the knowledge and preventive practices of 140 out of 684 registered dairy farmers at Mzuzu Agricultural Development Division, northern Malawi. During a second visit to 60 out of the 140 farms, a total of 156 and 95 cattle were tested for brucellosis and tuberculosis, respectively. Most farmers (77.1% knew or had heard of zoonotic diseases, whilst 75.0% correctly named at least one zoonotic disease. More survey participants named tuberculosis as a zoonotic disease compared to brucellosis (74.3% versus 2.9%. The most commonly named means of transmission were milk (67.0% and meat (56.0%. Almost all survey participants (96.4% practised at least one farm activity that could lead to potential transmission of brucellosis or bTB, including sale (67.0% and consumption (34.0% of unpasteurised milk. Antibodies against brucellosis were found in 12 cattle (7.7%, whilst one animal (1.1% reacted to the tuberculin skin test. General knowledge about possible transmission of diseases between humans and animals was high, although most farmers practised risk behaviours that could potentially expose the public to milk-borne zoonotic diseases such as brucellosis and bTB. Furthermore, some animals had positive results for brucellosis and tuberculosis tests. Therefore, improvement of zoonotic disease

  18. Risk, knowledge and preventive measures of smallholder dairy farmers in northern Malawi with regard to zoonotic brucellosis and bovine tuberculosis.

    Science.gov (United States)

    Tebug, Stanly Fon; Njunga, Gilson R; Chagunda, Mizeck G G; Mapemba, Jacob P; Awah-Ndukum, Julius; Wiedemann, Steffi

    2014-02-28

    Milk production using local cattle breed-types is an age-old practice in Malawi. Although dairy farming is becoming more common as a result of the increasing population and demand for milk and milk products, there is limited knowledge of the farmers' awareness of zoonotic disease risks, their preventative practices and the disease burden in animals. This study determined dairy farmers' general knowledge of zoonoses, assessed their risks for infection with zoonotic bovine tuberculosis (bTB) and brucellosis, and evaluated farm practices to prevent disease transmission. A questionnaire was drawn up and administered by the authors. It was used to collect information about the knowledge and preventive practices of 140 out of 684 registered dairy farmers at Mzuzu Agricultural Development Division, northern Malawi. During a second visit to 60 out of the 140 farms, a total of 156 and 95 cattle were tested for brucellosis and tuberculosis, respectively. Most farmers (77.1%) knew or had heard of zoonotic diseases, whilst 75.0% correctly named at least one zoonotic disease. More survey participants named tuberculosis as a zoonotic disease compared to brucellosis (74.3% versus 2.9%). The most commonly named means of transmission were milk (67.0%) and meat (56.0%). Almost all survey participants (96.4%) practised at least one farm activity that could lead to potential transmission of brucellosis or bTB, including sale (67.0%) and consumption (34.0%) of unpasteurised milk. Antibodies against brucellosis were found in 12 cattle (7.7%), whilst one animal (1.1%) reacted to the tuberculin skin test. General knowledge about possible transmission of diseases between humans and animals was high, although most farmers practised risk behaviours that could potentially expose the public to milk-borne zoonotic diseases such as brucellosis and bTB. Furthermore, some animals had positive results for brucellosis and tuberculosis tests. Therefore, improvement of zoonotic disease prevention

  19. Role of nondrug methods in a package of measures for the prevention and treatment of osteoporosis: A review of literature

    Directory of Open Access Journals (Sweden)

    N. G. Badalov

    2016-01-01

    Full Text Available The review represents the results of investigations into the role of nondrug methods in the treatment and prevention of osteoporosis (OA. The data available in the literature suggest that a number of non-drug technologies, first of all exercise therapy, aquatic therapy, reflexotherapy, electrical stimulation, and electromagnetic therapy, have proven efficiency and a certain potential for reducing the risk of osteoporosis and its complications and for improving bone metabolism. Expanding the range of these methods and increasing their validity for clinical introduction are very promising.

  20. Revisiting the use of condoms in Brazil

    Directory of Open Access Journals (Sweden)

    Inês Dourado

    2015-09-01

    Full Text Available ABSTRACTIntroduction:It is known that a single prevention strategy is not enough to control multiple HIV epidemics around the world and in Brazil. However, it is not only necessary to recognize the importance of condoms as part of the policy of HIV/AIDS prevention but also discuss its limits. In this article, we aim to investigate the use of condoms in Brazil, draw critical reflections, and understand how they can once again be highlighted in Brazil's prevention strategy going forward.Methods:A narrative review of literature was conducted using keywords in PubMed. Reports from national surveys that guide the epidemiological and behavioral surveillance of the Brazilian Ministry of Health were also included.Results:A total of 40 articles and 3 reports were included in the review and 11 intervention studies to promote the condom use; the main findings were as follows: 1 Despite the increase in national studies on sexual behavior, little attention is given to the role of condom use; 2 There are few studies examining the factors associated with condom use among key populations such as men who have sex with men (MSM, female sex workers (FSW, drug users (DU, and transvestites and transexuals (TT, while substantial studies focus on adolescents and women; 3 Evidence suggests that a combination of interventions is more effective.Discussion:new prevention technologies must not lose sight of the critical importance of condoms, and efforts to reintroduce them should focus on the role of pleasure in addition to their potential to minimize the risk of HIV.

  1. [A better Brazil].

    Science.gov (United States)

    Lesser, Jeffrey

    2014-01-01

    Many countries in the Americas describe themselves as "nations of immigrants." In the United States, the myth of the "promised land" suggests that foreigners better themselves upon arrival because the nation is intrinsically great. In Brazil, however, the relationship between immigration and national identity is different. Many intellectuals, politicians, and cultural and economic leaders saw (and see) immigrants as improving an imperfect nation that has been tainted by the history of Portuguese colonialism and African slavery. As a result, immigrants were often hailed as saviors because they modified and improved Brazil, not because they were improved by Brazil. This "improvement" took place through absorption, mixture and with the use of increasingly flexible racial and ethnic categories.

  2. Vested interests in addiction research and policy. Alcohol industry use of social aspect public relations organizations against preventative health measures.

    Science.gov (United States)

    Miller, Peter G; de Groot, Florentine; McKenzie, Stephen; Droste, Nicolas

    2011-09-01

    It has been proposed that alcohol industry 'social aspects/public relations' organizations (SAPROs) serve the agenda of lending credibility to industry claims of corporate responsibility while promoting ineffective industry-friendly interventions (such as school-based education or TV advertising campaigns) and creating doubt about interventions which have a strong evidence base (such as higher taxes on alcoholic beverages). This paper investigated whether submissions to Australia's National Preventative Health Taskforce (NPHT) from alcohol industry bodies regarding the Australian SAPRO, Drinkwise, have used this organization to demonstrate corporate responsibility while promoting industry-friendly interventions. Submissions to the Australian National Preventative Health Taskforce (NPHT) discussion paper Australia, the healthiest country by 2020 (n = 375) were examined to identify those with primary alcohol content. A thematic analysis of the resulting 33 submissions was conducted to determine which organization, institution or individual discussed Drinkwise. Australia. Nine of the 33 submissions discussed Drinkwise; all were submitted by the alcohol industry or its affiliates. Every industry submission referred to Drinkwise either as providing evidence of social responsibility or by suggesting the industry-friendly actions of Drinkwise as alternatives to those recommended by the NPHT report. Drinkwise has been used by the alcohol industry to create an impression of social responsibility while promoting interventions that maintain profits and campaigning against effective interventions such as higher taxes on alcohol. © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.

  3. Young people's perspectives on the adoption of preventive measures for HIV/AIDS, malaria and family planning in South-West Uganda: focus group study.

    Science.gov (United States)

    Graffy, Jonathan; Goodhart, Clare; Sennett, Karen; Kamusiime, Gloria; Tukamushaba, Herbert

    2012-11-22

    Despite the possibility of preventing many cases of HIV, malaria and unplanned pregnancy, protective measures are often not taken by those at risk in Uganda. The study aim was to explore young people's perspectives on the reasons why this is so. Focus groups were conducted with 100 secondary school and college students in Kanungu, Uganda in 2011. Three parallel groups considered HIV, malaria and family planning, and common messages were then explored jointly in a workshop based on the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation and Maintenance). Participants identified various reasons why preventive action was not always taken. They worried about the effectiveness and side effects of several key interventions: condoms, antiretroviral treatment, various contraceptives and impregnated mosquito nets. Cost, rural isolation and the quality and availability of health services also limited the extent to which people were able to follow health advice. Although there was respect for policy supporting abstinence and fidelity, it was seen as hard to follow and offering inadequate protection when gender imbalance put pressure on women to have sex. There is an opportunity to improve the uptake of preventive measures by tackling the misconceptions and fears that participants reported with clear, evidence-based messages. This should be done in a way that encourages more open communication about reproductive health between men and women, that reaches out to isolated communities, that draws on both voluntary and government services and enlists young people so that they can shape their future.

  4. Young people’s perspectives on the adoption of preventive measures for HIV/AIDS, malaria and family planning in South-West Uganda: focus group study

    Directory of Open Access Journals (Sweden)

    Graffy Jonathan

    2012-11-01

    Full Text Available Abstract Background Despite the possibility of preventing many cases of HIV, malaria and unplanned pregnancy, protective measures are often not taken by those at risk in Uganda. The study aim was to explore young people’s perspectives on the reasons why this is so. Methods Focus groups were conducted with 100 secondary school and college students in Kanungu, Uganda in 2011. Three parallel groups considered HIV, malaria and family planning, and common messages were then explored jointly in a workshop based on the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation and Maintenance. Results Participants identified various reasons why preventive action was not always taken. They worried about the effectiveness and side effects of several key interventions: condoms, antiretroviral treatment, various contraceptives and impregnated mosquito nets. Cost, rural isolation and the quality and availability of health services also limited the extent to which people were able to follow health advice. Although there was respect for policy supporting abstinence and fidelity, it was seen as hard to follow and offering inadequate protection when gender imbalance put pressure on women to have sex. Conclusions There is an opportunity to improve the uptake of preventive measures by tackling the misconceptions and fears that participants reported with clear, evidence-based messages. This should be done in a way that encourages more open communication about reproductive health between men and women, that reaches out to isolated communities, that draws on both voluntary and government services and enlists young people so that they can shape their future.

  5. Prevention Measures of Disease and Insect Pest on Sterilization Cultivated Edible Fungi%熟料栽培食用菌的病虫害防治措施

    Institute of Scientific and Technical Information of China (English)

    何竹青; 杨蒙

    2011-01-01

    熟料栽培食用菌具有较多优点,但要求较高,操作不当就会导致经济损失。该文介绍了熟料栽培时的病虫害种类及发生特点,并提出防治方法,建议食用菌病虫害防治应以预防为主,配合相应理化措施,以减少病虫害的发生。%Sterilization cultivation of edible fungi has many advantages,but it has the higher demands.Improper operation can lead to economic loss.The types,occurrence charcteristics and prevention measures of sterilization cultivation were introduced in this paper,and it′s suggested that the methods of prevention disease and insect pest on edible fungi should focus on prevention and coordinate with other measures to reduce the incidence of diseases and pests.

  6. Scientific integrity in Brazil.

    Science.gov (United States)

    Lins, Liliane; Carvalho, Fernando Martins

    2014-09-01

    This article focuses on scientific integrity and the identification of predisposing factors to scientific misconduct in Brazil. Brazilian scientific production has increased in the last ten years, but the quality of the articles has decreased. Pressure on researchers and students for increasing scientific production may contribute to scientific misconduct. Cases of misconduct in science have been recently denounced in the country. Brazil has important institutions for controlling ethical and safety aspects of human research, but there is a lack of specific offices to investigate suspected cases of misconduct and policies to deal with scientific dishonesty.

  7. Measurements and modelling of evapotransiration to assess agricultural water productivity in basins with changing land use patterns : a case study in the São Francisco River basin, Brazil

    NARCIS (Netherlands)

    Castro Teixeira, de A.H.

    2008-01-01

    Key words: Vineyards, mango, energy balance, evapotranspiration, water productivity, Bowen ratio, eddy correlation, water balance, natural vegetation, latent heat flux, sensible heat flux, biomass, water productivity, remote sensing, water management. . The São Francisco River basin in Brazil is

  8. A questionnaire survey of perceptions and preventive measures related to animal health amongst cattle owners of rural communities in KwaZulu-Natal, South Africa

    Directory of Open Access Journals (Sweden)

    U.W. Hesterberg

    2007-06-01

    Full Text Available A questionnaire survey of 315 cattle owners from the rural districts of KwaZulu-Natal was carried out. The aim of the survey was to improve our understanding of local farmers' perceptions and practices of animal disease prevention and control and to establish the extent of their relationship with veterinary services. The survey showed that many owners practice preventive measures such as deworming, tick control and vaccination. Traditional medicines were in use by over half the respondents (58.9 %. Diseases are regarded as an important management problem (56.1 %; ticks, worms and diarrhoea dominated the mentioned health problems in cattle. Veterinary services still play an important role and are a frequent source of advice to owners. The findings of the survey and their context are discussed.

  9. 丁二烯抽提装置防聚合措施的应用分析%Application of polymerization prevention measures in Butadiene Extraction Plant

    Institute of Scientific and Technical Information of China (English)

    张新

    2015-01-01

    分析了某丁二烯抽提装置丁二烯的聚合原理,指出控制氧的进入和减少设备死角是防止聚合发生的主要方法;对比讨论了NMP和DMF法在防聚合方面的应用情况,并提出了完善措施。%The article analyzed the butadiene polymerization mechanism of butadiene extraction plant and pointed out that the control of oxygen in system and reduction of dead area in equipment is the main method to prevent polymerization .Comparison and discussion were made to the application situation of NMP and DMF processes in polymerization prevention and perfection measures were put forward.

  10. [The risk for illegal behaviour and corruption in the healthcare sector: what preventive measures can be taken?].

    Science.gov (United States)

    Rivoiro, Chiara

    2016-05-01

    In the healthcare sector risk factors for illegal behavior and corruption are peculiar and greater than in other social areas, as it plays a crucial role in the community's economical, political and cultural life. The healthcare services is a complex network that require interaction between may people, constant contacts with the industry, safety and adequate facilities that require regular maintenance, upgrade and replacement of medical technology, connection with local and regional policy makers. This provides the opportunity of being exposed to improper influence. However, illegal behaviors can be prevented: first of all supporting all professionals that everyday work to protect our health with ethics and expertise; then with all instruments that anti-corruption action plans, such as the one introduced in Italy in 2012, aim to identify and target those areas most at risk of corruption phenomena.

  11. Electrocardiographic measures of left ventricular hypertrophy in the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial.

    Science.gov (United States)

    Ernst, Michael E; Davis, Barry R; Soliman, Elsayed Z; Prineas, Ronald J; Okin, Peter M; Ghosh, Alokananda; Cushman, William C; Einhorn, Paula T; Oparil, Suzanne; Grimm, Richard H

    2016-12-01

    Left ventricular hypertrophy (LVH) predicts cardiovascular risk in hypertensive patients. We analyzed baseline/follow-up electrocardiographies in 26,376 Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial participants randomized to amlodipine (A), lisinopril (L), or chlorthalidone (C). Prevalent/incident LVH was examined using continuous and categorical classifications of Cornell voltage. At 2 and 4 years, prevalence of LVH in the C group (5.57%; 6.14%) was not statistically different from A group (2 years: 5.47%; P = .806, 4 years: 6.54%; P = .857) or L group (2 years: 5.64%; P = .857, 4 years: 6.50%; P = .430). Incident LVH followed similarly, with no difference at 2 years for C (2.99%) compared to A (2.57%; P = .173) or L (3.16%; P = .605) and at 4 years (C = 3.52%, A = 3.29%, L = 3.71%; P = .521 C vs. A, P = .618 C vs. L). Mean Cornell voltage decreased comparably across treatment groups (Δ baseline, 2 years = +3 to -27 μV, analysis of variance P = .8612; 4 years = +10 to -17 μV, analysis of variance P = .9692). We conclude that risk reductions associated with C treatment in secondary end points of the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial cannot be attributed to differential improvements in electrocardiography LVH.

  12. Avaliação do programa de prevenção e promoção da saúde de fenilcetonúricos Evaluation of the program for prevention and health promotion in phenylketonuria patients in Brazil

    Directory of Open Access Journals (Sweden)

    Salete do Rocio Cavassin Brandalize

    2004-04-01

    Screening Program in the State of Paraná, Brazil, from 1996 to 2001, were evaluated. Socioeconomic data were investigated and the gross motor function measure was applied to determine the motor score among 32 PKU infants with early diagnosis and treatment. Pearson's correlation coefficient was adopted to investigate the relationship between the target variable (motor score and other quantitative variables (mean post-treatment serum phenylalanine level, parents' educational level, infant's age at the start of treatment, and family income. RESULTS: Among all the children evaluated, 93.7% showed development within normal limits as reported in the literature. Treatment was initiated in the first month of life in 71.9% of the PKU cases. Socioeconomic data showed 39.5% of parents having completed the fourth grade of primary school or less. There was a significant correlation between infant's motor score and parents' educational level (N=32, as well as between motor score and early treatment (N=27. CONCLUSIONS: The results highlighted the program's effectiveness. The correlation between parents' low educational level and lower motor score emphasizes the importance of support for parents in their use of diet therapy. The association between motor score and early initiation of treatment confirms the need for immediate admission into the program. The paucity of other evaluation studies in the literature makes generalization of the results difficult.

  13. Microcephaly and Zika virus: a clinical and epidemiological analysis of the current outbreak in Brazil,

    Directory of Open Access Journals (Sweden)

    Magda Lahorgue Nunes

    2016-06-01

    Full Text Available Abstract Objective: This study aimed to critically review the literature available regarding the Zika virus outbreak in Brazil and its possible association with microcephaly cases. Sources: Experts from Instituto do Cérebro do Rio Grande do Sul performed a critical (nonsystematic literature review regarding different aspects of the Zika virus outbreak in Brazil, such as transmission, epidemiology, diagnostic criteria, and its possible association with the increase of microcephaly reports. The PubMed search using the key word “Zika virus” in February 2016 yielded 151 articles. The manuscripts were reviewed, as well as all publications/guidelines from the Brazilian Ministry of Health, World Health Organization and Centers for Disease Control and Prevention (CDC – United States. Summary of findings: Epidemiological data suggest a temporal association between the increased number of microcephaly notifications in Brazil and outbreak of Zika virus, primarily in the Brazil's Northeast. It has been previously documented that many different viruses might cause congenital acquired microcephaly. Still there is no consensus on the best curve to measure cephalic circumference, specifically in preterm neonates. Conflicting opinions regarding the diagnosis of microcephaly (below 2 or 3 standard deviations that should be used for the notifications were also found in the literature. Conclusion: The development of diagnostic techniques that confirm a cause–effect association and studies regarding the physiopathology of the central nervous system impairment should be prioritized. It is also necessary to strictly define the criteria for the diagnosis of microcephaly to identify cases that should undergo an etiological investigation.

  14. [Response of the tobacco industry to the creation of smoke-free environments in Brazil].

    Science.gov (United States)

    Bialous, Stella Aguinaga; Presman, Sabrina; Gigliotti, Analice; Muggli, Monique; Hurt, Richard

    2010-04-01

    To document the response of the tobacco industry to the regulation of smoking in public places in Brazil starting in 1996. The Legacy Tobacco Documents Library (legacy.library.ucsf.edu/) and the British American Tobacco (BAT) Company Documents (bat.library.ucsf.edu/) were searched. The following key words were used: Brasil/Brazil; Souza Cruz; fumo passivo, tabagismo passivo/passive smoking; fumo de segunda mão/secondhand smoking; convivência em harmonia/courtesy of choice; along with the names of institutions, politicians, and individuals associated with tobacco control. We also searched the websites of cigarette manufacturers and hospitality industry organizations and businesses, news websites, and online newspapers and magazines. The search was limited to the period from 1995 to 2005. The text of the first law restricting smoking in Brazil (no. 9 294, of 1996) benefited the industry by stating that smokers and nonsmokers could share the same space provided that specific areas were designated as smoking and nonsmoking. As in other countries, the tobacco industry established partnerships with hotel, bar, and restaurant associations to prevent the passing of laws creating 100% smoke-free environments, as recommended by the World Health Organization. However, local state and city laws in major cities and states (such as Rio de Janeiro and São Paulo) have been successful in ensuring the creation of 100% smoke-free places. It is essential that Brazil recognize the damage caused by smoking and revise its federal law regulating smoking in closed environments. The knowledge concerning the strategies employed by the industry may be useful for politicians and health care professionals to prepare arguments opposing measures that can be detrimental to public health.

  15. Eand P opportunities in Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Castilho, Marcelo [National Petroleum Agency of Brasil (Brazil)

    2011-07-01

    Brazil is one of the world's largest economies and the country also has significant heavy oil reserves. This report from the National Petroleum Agency of Brazil aims at presenting the situation of the oil and gas sector in Brazil in terms of resources, production, regulatory framework and opportunities for the future. Brazil has numerous sedimentary basins at its disposal, most of them being prospected by both national and foreign companies from all over the world. Brazil has over 14 billion barrels of proven reserves, its production is 2,1 MMBbl/d and heavy oil represents almost 40% of that production. The National Petroleum Agency of Brazil is responsible for the implementation of oil sector policy with the aims of maintaining self-sufficiency, implementing good practices in terms of health and safety, and increasing local content. This paper pointed out that Brazil has an important opportunity to enhance its energy sector through the development of heavy oil.

  16. A randomised controlled trial to measure the effects and costs of a dental caries prevention regime for young children attending primary care dental services: the Northern Ireland Caries Prevention In Practice (NIC-PIP) trial.

    Science.gov (United States)

    Tickle, Martin; O'Neill, Ciaran; Donaldson, Michael; Birch, Stephen; Noble, Solveig; Killough, Seamus; Murphy, Lynn; Greer, Margaret; Brodison, Julie; Verghis, Rejina; Worthington, Helen V

    2016-09-01

    Dental caries is the most common disease of childhood. The NHS guidelines promote preventative care in dental practices, particularly for young children. However, the cost-effectiveness of this policy has not been established. To measure the effects and costs of a composite fluoride intervention designed to prevent caries in young children attending dental services. The study was a two-arm, parallel-group, randomised controlled trial, with an allocation ratio of 1 : 1. Randomisation was by clinical trials unit, using randomised permuted blocks. Children/families were not blinded; however, outcome assessment was blinded to group assessment. The study took place in 22 NHS dental practices in Northern Ireland, UK. The study participants were children aged 2-3 years, who were caries free at baseline. The intervention was composite in nature, comprising a varnish containing 22,600 parts per million (p.p.m.) fluoride, a toothbrush and a 50-ml tube of toothpaste containing 1450 p.p.m. fluoride; plus standardised, evidence-based prevention advice provided at 6-monthly intervals over 3 years. The control group received the prevention advice alone. The primary outcome measure was conversion from caries-free to caries-active states. Secondary outcome measures were the number of decayed, missing or filled tooth surfaces in primary dentition (dmfs) in caries-active children, the number of episodes of pain, the number of extracted teeth and the costs of care. Adverse reactions (ARs) were recorded. A total of 1248 children (624 randomised to each group) were recruited and 1096 (549 in the intervention group and 547 in the control group) were included in the final analyses. A total of 87% of the intervention children and 85% of control children attended every 6-month visit (p = 0.77). In total, 187 (34%) children in the intervention group converted to caries active, compared with 213 (39%) in the control group [odds ratio (OR) 0.81, 95% confidence interval (CI) 0.64 to

  17. Adult Education in Brazil.

    Science.gov (United States)

    Ministerio da Educacao e Cultura, Rio de Janeiro (Brazil).

    The status and goals of adult education programs in Brazil are discussed in this report. Supplemental systems such as the Brazilian Literacy Movement (Mobral) and their results are described and evaluated. Charts detailing the evolution of literacy are shown and priorities in education are suggested. The progress of other educational entities is…

  18. Scientific ballooning in Brazil

    Science.gov (United States)

    Corrêa, R.; Rinke, E.; Fernandes, J. O.; Villela, T.

    We present an overview of the scientific ballooning activities that took place in Brazil over the past 30 years as well as the current ongoing efforts in the area. We also briefly describe the balloon launching facility that exists at the Instituto Nacional de Pesquisas Espaciais (National Institute for Space Research) — INPE. Up to now, over 100 scientific balloon experiments, related to Astrophysics, Aeronomy, and Geophysics were launched from Brazil taking advantage of the country's continental dimensions, a well-defined rain season, and a low population density, which offer excellent conditions for scientific ballooning activities. Balloons with volumes up to 500,000 cubic meters can be launched from INPE's balloon launching base (latitude S 22° 4' 2″; longitude W 044° 58' 41″). The availability of good roads and several inland airports in Brazil provides the necessary structure for safe payload retrieval and its rapid return to the balloon base. There are several airports throughout Brazil that can also be used as balloon launching bases, mainly in the country's Eastern region. Overflights of more than 1,000 kilometers are possible and easily attained. Balloon flights ranging from a few hours to long duration flights can be safely verified. The constant climate monitoring through the use of weather satellites information received at INPE provides the necessary data to determine the necessary conditions for a long duration flight. INPE's Center for Weather Forecast and Climate Studies (CPTEC) provides the necessary weather forecast support for launch and payload retrieval.

  19. English Teaching Profile: Brazil.

    Science.gov (United States)

    British Council, London (England). English Language and Literature Div.

    This review of the status of English language instruction in Brazil provides an overview of the Brazilian geographic, historical, and political context and the role of English in the society in general and in the educational system. The following topics are covered: an outline of the status of English use and instruction in the educational system…

  20. The Centers for Disease Control and Prevention's Healthy Days Measures – Population tracking of perceived physical and mental health over time

    Directory of Open Access Journals (Sweden)

    Kobau Rosemarie

    2003-09-01

    Full Text Available Abstract To promote the health and quality of life of United States residents, the U.S. Department of Health and Human Services' Centers for Disease Control and Prevention (CDC – with 54 state and territorial health agencies – has supported population surveillance of health-related quality of life (HRQOL. HRQOL was defined as "perceived physical and mental health over time." Commonly-used measures of health status and activity limitation were identified and a set of "Healthy Days" HRQOL measures was developed and validated. A core set of these measures (the CDC HRQOL-4 asks about self-rated general health and the number of recent days when a person was physically unhealthy, mentally unhealthy, or limited in usual activities. A summary measure combines physically and mentally unhealthy days. From 1993 to 2001, more than 1.2 million adults responded to the CDC HRQOL-4 in each state-based Behavioral Risk Factor Surveillance System (BRFSS telephone interview. More than one fifth of all BRFSS respondents also responded to a set of related questions – including five items that assess the presence, main cause and duration of a current activity limitation, and the need for activity-related personal and routine care; as well as five items that ask about recent days of pain, depression, anxiety, sleeplessness, and vitality. The Healthy Days surveillance data are particularly useful for finding unmet health needs, identifying disparities among demographic and socioeconomic subpopulations, characterizing the symptom burden of disabilities and chronic diseases, and tracking population patterns and trends. The full set of 14 Healthy Days Measures (the CDC HRQOL-14 has shown good measurement properties in several populations, languages, and settings. The brief standard CDC HRQOL-4 is now often used in surveys, surveillance systems, prevention research, and population health report cards.

  1. Occupational exposure in central sterilization supply department and its preventive measures%消毒供应室职业暴露及防范措施

    Institute of Scientific and Technical Information of China (English)

    刘敏

    2011-01-01

    目的 探讨消毒供应室工作人员职业暴露及防护措施.方法 根据消毒供应室工作人员暴露的危险因素,制定并落实规范化的防护措施.结果 提高了职业暴露防护意识,加强了职业安全管理,有效地防止职业感染的发生,确保了工作人员身心健康.结论 重视工作人员的职业暴露教育,减少或消除造成职业暴露的各种因素是防范措施的关键.%OBJECTIVE To discuss the risk factors and treatment measures of the occupational exposure and protection among the staff in the disinfecting supply division.METHODS The standardized treatment measures were formulated and implemented according to the risk factors for the occupational exposure among the staff in central sterilization supply department.RESULTS The awareness about the protection of occupational infection was improved, the management of occupational safety was strengthened, the occupational infections were effectively prevented, and the health of medical workers was guarranteed.CONCLUSION To think highly of the safety caution of occupational exposure among the staff, to reduce or eliminate the various factors causing occupational exposur e are crucial preventive measures.

  2. Current observation on Aedes mosquitoes: A survey on implication of dengue infection, human lifestyle and preventive measure among Malaysia resident in urban and sub-urban areas

    Directory of Open Access Journals (Sweden)

    Aminodin Sumayyah

    2016-11-01

    Full Text Available Objective: To evaluate the current knowledge level and information on Aedes mosquitoes and dengue among Penang resident in urban (Sungai Dua and sub- urban areas (Batu Maung. Methods: The questionnaire comprises of twenty-three questions, surveyed on 202 respondents regarding socio-demographic, the observation of general Aedes’ mosquito behaviour, dengue infection threat, preventive measures against mosquitoes and lifestyle (on usage of artificial light in changing the behaviour of Aedes mosquitoes. Results: The respondents in sub-urban Batu Maung showed less knowledge level regarding Aedes mosquitoes as compared to respondents in urban Sungai Dua. There was a positive association between biting frequency of mosquitoes with the lifestyle of respondents (in relation to the light use, the use of personal protection and fogging operations conducted by the Ministry of Health. There is a positive relationship between the knowledge of preferred mosquitoes resting place and the respondent aged between 17 to 24 (78.2% in sub-urban Batu Maung. Urban Sungai Dua respondents showed a significant relation between the use of lights and the resting places for Aedes mosquitoes. The preventive measures chosen by both sub-distinct areas against mosquitobites were significantly affected by the biting time and the mosquitoes biting frequency (P < 0.05. Conclusions: In this study, we concluded that there is a direct link between the knowledge of the Aedes biting frequency with dengue infection, human lifestyle on the light use and preventive measures against mosquitoes. However, the level of knowledge is poor on the subject of Aedes mosquitoes and dengue for both urban and sub-urban respondents.

  3. Brazil's staple food and incident diabetes.

    Science.gov (United States)

    Rosa, Maria Luiza Garcia; Falcão, Paula M; Yokoo, Edna Massae; da Cruz Filho, Rubens Antunes; Alcoforado, Veronica Miranda; de Souza, Barbara da Silva Nalin; Pinto, Fernanda Neves; Nery, Aline Barreto

    2014-03-01

    The aim of this study was to investigate the association of Brazil's staple food, rice, beans and manioc, and the incidence of type 2 diabetes mellitus type 2 (T2DM) in adults assisted by a Brazilian Family Doctor Program (FDP). The baseline information was collected on visits to 13 units of the FDP from July 2006 to December 2007 (CAMELIA Study). The units were revisited by trained researchers between July and December 2011, who reviewed medical records of all participants of the baseline. Biochemical, anthropometrical and blood pressure measurements, new diagnoses, and medical prescriptions were collected. Individuals ages ≥20 y, who were non-diabetic at baseline were included (N = 409). Food consumption was estimated using a validated semi-quantitative food frequency questionnaire. Incident of diabetes was classified according to fasting serum glucose (≥126 mg/dL), individual's use of antidiabetic drugs, and/or diagnosis of diabetes described in the medical record. Individuals who were negative at baseline and also were negative for the above conditions were classified as non-diabetics. Individuals who developed T2DM (N = 30) reported higher consumption of red meat and beans and less consumption of cassava flour, independent of the interval between visits and other potential confounding variables. The cassava flour showed a protective effect (relative risk, 0.910; 95% confidence interval, 0.842-0.982). The consumption of cassava flour, a low-cost product, could be considered in diets for the prevention and control of diabetes. The hypothesis must be investigated in cohorts from different populations and tested in randomized controlled trials. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Internal contamination monitoring through measurements in vivo at whole body contamination unity of IRD-CNEN, Rio de Janeiro, Brazil; Monitoracao da contaminacao interna atraves de medicoes in vivo na Unidade de Contador de Corpo Inteiro do IRD-CNEN, Rio de Janeiro, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Dantas, Ana Leticia A.; Lucena, Eder A.; Dantas, Bernardo M., E-mail: adantas@ird.gov.b, E-mail: eder@ird.gov.b, E-mail: bmdantas@ird.gov.b [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil). Lab. de Monitoracao In Vivo. Servico de Monitoracao Individual Interna

    2011-10-26

    The present work approaches the internal contamination monitoring capacity through measurements performed at the Whole-body Counter Unity of the in-vivo monitoring laboratory (LABMIV) of the IRD-CNEN, Rio de Janeiro, Brazil, present thr main parameters related to the monitoring techniques developed, and the the available instrumentation for identification and quantification in vivo of photon emitter radionuclides with energy in the range of 10-3000 keV, incorporated by workers and public individuals

  5. 安溪茶园水土流失综合治理措施%The Comprehensive Measures to Prevent Soil Erosion of Anxi Tea Plantation

    Institute of Scientific and Technical Information of China (English)

    陈进火

    2013-01-01

    The paper analyzes the reason and types of soil erosion of Anxi tea plantation. Meanwhile, comprehensive measures to prevent soil erosion were presented, such as returning tea to forest, planting trees, remaking the ditch, cultivating green manure, taking refined management and so on.%  分析安溪茶园水土流失的原因及类型,提出退茶还林、种植生态树、改造前梗后沟、种植绿肥、精细化管理等综合治理技术措施。

  6. Study on Prevention and Treatment Measures of Rot Foot Disease of Dairy Cattle%奶牛腐蹄病的病因及防制措施

    Institute of Scientific and Technical Information of China (English)

    余彦国; 张瑾

    2012-01-01

    通过对奶牛腐蹄病的病因、治疗、预防及控制等方面的综述,从日粮营养、环境卫生、饲养管理、遗传育种等诸多方面探讨,提出了实用有效的防制措施。%The paper summarized the newly research progress on causes,discussed in several aspects,such as dietary nutrition,environmental hygiene,feeding management,genetica and breeding,and put forward practical and effective prevention measures.

  7. Prevention Measures of Indoor Air Pollutant%室内空气污染的防治措施

    Institute of Scientific and Technical Information of China (English)

    农柳燕

    2015-01-01

    Health is the precondition of happy life. According to modern medical certificate, about eighty-five percent of human diseases are related to indoor air pollution. The indoor air pollution has become a hot issue in today's society. A wide variety of indoor air pollutants endanger human body health. It is particularly important to effective control and purify the polluted indoor air. The control of indoor air pollution sources and prevention to reduce the concentrations of indoor air pollutants were introduced.%健康是人们幸福生活的前提。据现代医学证明,人类约有百分之八十五的疾病都与室内空气污染有关。室内空气污染已经成为当今社会的热点问题。室内空气污染的种类繁多,污染源广,严重危害人们的身体健康,高效控制和净化室内空气污染显得尤为重要。本文详细介绍了室内空气污染源的控制以及降低室内空气污染物浓度的防治措施。

  8. [Measures to prevent patient identification errors in blood collection/physiological function testing utilizing a laboratory information system].

    Science.gov (United States)

    Shimazu, Chisato; Hoshino, Satoshi; Furukawa, Taiji

    2013-08-01

    We constructed an integrated personal identification workflow chart using both bar code reading and an all in-one laboratory information system. The information system not only handles test data but also the information needed for patient guidance in the laboratory department. The reception terminals at the entrance, displays for patient guidance and patient identification tools at blood-sampling booths are all controlled by the information system. The number of patient identification errors was greatly reduced by the system. However, identification errors have not been abolished in the ultrasound department. After re-evaluation of the patient identification process in this department, we recognized that the major reason for the errors came from excessive identification workflow. Ordinarily, an ultrasound test requires patient identification 3 times, because 3 different systems are required during the entire test process, i.e. ultrasound modality system, laboratory information system and a system for producing reports. We are trying to connect the 3 different systems to develop a one-time identification workflow, but it is not a simple task and has not been completed yet. Utilization of the laboratory information system is effective, but is not yet perfect for patient identification. The most fundamental procedure for patient identification is to ask a person's name even today. Everyday checks in the ordinary workflow and everyone's participation in safety-management activity are important for the prevention of patient identification errors.

  9. The 2014 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.

    Science.gov (United States)

    Dasgupta, Kaberi; Quinn, Robert R; Zarnke, Kelly B; Rabi, Doreen M; Ravani, Pietro; Daskalopoulou, Stella S; Rabkin, Simon W; Trudeau, Luc; Feldman, Ross D; Cloutier, Lyne; Prebtani, Ally; Herman, Robert J; Bacon, Simon L; Gilbert, Richard E; Ruzicka, Marcel; McKay, Donald W; Campbell, Tavis S; Grover, Steven; Honos, George; Schiffrin, Ernesto L; Bolli, Peter; Wilson, Thomas W; Lindsay, Patrice; Hill, Michael D; Coutts, Shelagh B; Gubitz, Gord; Gelfer, Mark; Vallée, Michel; Prasad, G V Ramesh; Lebel, Marcel; McLean, Donna; Arnold, J Malcolm O; Moe, Gordon W; Howlett, Jonathan G; Boulanger, Jean-Martin; Larochelle, Pierre; Leiter, Lawrence A; Jones, Charlotte; Ogilvie, Richard I; Woo, Vincent; Kaczorowski, Janusz; Burns, Kevin D; Petrella, Robert J; Hiremath, Swapnil; Milot, Alain; Stone, James A; Drouin, Denis; Lavoie, Kim L; Lamarre-Cliche, Maxime; Tremblay, Guy; Hamet, Pavel; Fodor, George; Carruthers, S George; Pylypchuk, George B; Burgess, Ellen; Lewanczuk, Richard; Dresser, George K; Penner, S Brian; Hegele, Robert A; McFarlane, Philip A; Khara, Milan; Pipe, Andrew; Oh, Paul; Selby, Peter; Sharma, Mukul; Reid, Debra J; Tobe, Sheldon W; Padwal, Raj S; Poirier, Luc

    2014-05-01

    Herein, updated evidence-based recommendations for the diagnosis, assessment, prevention, and treatment of hypertension in Canadian adults are detailed. For 2014, 3 existing recommendations were modified and 2 new recommendations were added. The following recommendations were modified: (1) the recommended sodium intake threshold was changed from ≤ 1500 mg (3.75 g of salt) to approximately 2000 mg (5 g of salt) per day; (2) a pharmacotherapy treatment initiation systolic blood pressure threshold of ≥ 160 mm Hg was added in very elderly (age ≥ 80 years) patients who do not have diabetes or target organ damage (systolic blood pressure target in this population remains at hypertension to only those ≥ 50 years of age. The 2 new recommendations are: (1) advice to be cautious when lowering systolic blood pressure to target levels in patients with established coronary artery disease if diastolic blood pressure is ≤ 60 mm Hg because of concerns that myocardial ischemia might be exacerbated; and (2) the addition of glycated hemoglobin (A1c) in the diagnostic work-up of patients with newly diagnosed hypertension. The rationale for these recommendation changes is discussed. In addition, emerging data on blood pressure targets in stroke patients are discussed; these data did not lead to recommendation changes at this time. The Canadian Hypertension Education Program recommendations will continue to be updated annually.

  10. The Means of Stealing Electricity and Preventive Measures%浅谈窃电方法及防范措施

    Institute of Scientific and Technical Information of China (English)

    田海涛

    2013-01-01

    The behavior of stealing electricity is not only seriously infringed upon the legitimate interests of power supply enterprises,but also against the rights and interests of the electrical users in the very great degree.It will not only result in huge loss of state-owned property,and seriously disturb the order of power supply.Therefore,the problem of stealing electricity is increasingly valued by the power supply enterprise,how to effectively prevent theft have been became the important factor to guarantee the safe and stable operation of power grid.%  窃电行为不但严重侵害了供电企业的合法利益,而且在很大程度上也侵害了守法用户的权益。它不仅会造成国有资产巨大流失,而且会严重扰乱供用电秩序。因此,窃电问题越来越被供电企业所重视,如何有效的防治窃电成为保障电网安全稳定运行的重要因素。

  11. The 2013 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.

    Science.gov (United States)

    Hackam, Daniel G; Quinn, Robert R; Ravani, Pietro; Rabi, Doreen M; Dasgupta, Kaberi; Daskalopoulou, Stella S; Khan, Nadia A; Herman, Robert J; Bacon, Simon L; Cloutier, Lyne; Dawes, Martin; Rabkin, Simon W; Gilbert, Richard E; Ruzicka, Marcel; McKay, Donald W; Campbell, Tavis S; Grover, Steven; Honos, George; Schiffrin, Ernesto L; Bolli, Peter; Wilson, Thomas W; Feldman, Ross D; Lindsay, Patrice; Hill, Michael D; Gelfer, Mark; Burns, Kevin D; Vallée, Michel; Prasad, G V Ramesh; Lebel, Marcel; McLean, Donna; Arnold, J Malcolm O; Moe, Gordon W; Howlett, Jonathan G; Boulanger, Jean-Martin; Larochelle, Pierre; Leiter, Lawrence A; Jones, Charlotte; Ogilvie, Richard I; Woo, Vincent; Kaczorowski, Janusz; Trudeau, Luc; Petrella, Robert J; Milot, Alain; Stone, James A; Drouin, Denis; Lavoie, Kim L; Lamarre-Cliche, Maxime; Godwin, Marshall; Tremblay, Guy; Hamet, Pavel; Fodor, George; Carruthers, S George; Pylypchuk, George B; Burgess, Ellen; Lewanczuk, Richard; Dresser, George K; Penner, S Brian; Hegele, Robert A; McFarlane, Philip A; Sharma, Mukul; Reid, Debra J; Tobe, Sheldon W; Poirier, Luc; Padwal, Raj S

    2013-05-01

    We updated the evidence-based recommendations for the diagnosis, assessment, prevention, and treatment of hypertension in adults for 2013. This year's update includes 2 new recommendations. First, among nonhypertensive or stage 1 hypertensive individuals, the use of resistance or weight training exercise does not adversely influence blood pressure (BP) (Grade D). Thus, such patients need not avoid this type of exercise for fear of increasing BP. Second, and separately, for very elderly patients with isolated systolic hypertension (age 80 years or older), the target for systolic BP should be patients. We also discuss 2 additional topics at length (the pharmacological treatment of mild hypertension and the possibility of a diastolic J curve in hypertensive patients with coronary artery disease). In light of several methodological limitations, a recent systematic review of 4 trials in patients with stage 1 uncomplicated hypertension did not lead to changes in management recommendations. In addition, because of a lack of prospective randomized data assessing diastolic BP thresholds in patients with coronary artery disease and hypertension, no recommendation to set a selective diastolic cut point for such patients could be affirmed. However, both of these issues will be examined on an ongoing basis, in particular as new evidence emerges.

  12. Pentecostalism and premarital sexual initiation in Brazil

    Directory of Open Access Journals (Sweden)

    Ana Paula A. Verona

    2014-06-01

    Full Text Available Pentecostal denominations in Brazil are recognized for their promotion of conservative norms and punitive sanctions related to the sexual behavior of their young members. Moreover, they have created unique space for their followers to actively participate in a religious environment. Using data from the PNDS-2006 (National Survey on the Demography and Health of Children and Women, Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher de 2006, we examine the associations, in Brazil between religion, as measured by religious affiliation and attendance at religious services, and premarital adolescent sexual initiation. Our main results confirm a strong association between delay in sexual initiation and Pentecostalism in Brazil and suggest that this association be related to frequent attendance at religious services. These findings are intriguing, especially because Pentecostalism has emerged and concentrated among socioeconomically disadvantaged populations, including the least-educated women, with lower income, and residents of urban areas. We conclude by suggesting that religion may be taking the place of family and school in communication on adolescent sexual behavior in Brazil. This hypothesis should be carefully investigated, since the religious teachings may sometimes be in favor of what families and the state see as beneficial for adolescents and youth in general, but sometimes in disaccord.

  13. Ground and remote sensing-based measurements of leaf area index in a transitional forest and seasonal flooded forest in Brazil

    Science.gov (United States)

    Biudes, Marcelo Sacardi; Machado, Nadja Gomes; Danelichen, Victor Hugo de Morais; Souza, Maísa Caldas; Vourlitis, George Louis; Nogueira, José de Souza

    2014-08-01

    Leaf area index (LAI) is a key driver of forest productivity and evapotranspiration; however, it is a difficult and labor-intensive variable to measure, making its measurement impractical for large-scale and long-term studies of tropical forest structure and function. In contrast, satellite estimates of LAI have shown promise for large-scale and long-term studies, but their performance has been equivocal and the biases are not well known. We measured total, overstory, and understory LAI of an Amazon-savanna transitional forest (ASTF) over 3 years and a seasonal flooded forest (SFF) during 4 years using a light extinction method and two remote sensing methods (LAI MODIS product and the Landsat-METRIC method), with the objectives of (1) evaluating the performance of the remote sensing methods, and (2) understanding how total, overstory and understory LAI interact with micrometeorological variables. Total, overstory and understory LAI differed between both sites, with ASTF having higher LAI values than SFF, but neither site exhibited year-to-year variation in LAI despite large differences in meteorological variables. LAI values at the two sites have different patterns of correlation with micrometeorological variables. ASTF exhibited smaller seasonal variations in LAI than SFF. In contrast, SFF exhibited small changes in total LAI; however, dry season declines in overstory LAI were counteracted by understory increases in LAI. MODIS LAI correlated weakly to total LAI for SFF but not for ASTF, while METRIC LAI had no correlation to total LAI. However, MODIS LAI correlated strongly with overstory LAI for both sites, but had no correlation with understory LAI. Furthermore, LAI estimates based on canopy light extinction were correlated positively with seasonal variations in rainfall and soil water content and negatively with vapor pressure deficit and solar radiation; however, in some cases satellite-derived estimates of LAI exhibited no correlation with climate variables

  14. Cardiovascular Health in Brazil: Trends and Perspectives.

    Science.gov (United States)

    Ribeiro, Antonio Luiz P; Duncan, Bruce B; Brant, Luisa C C; Lotufo, Paulo A; Mill, José Geraldo; Barreto, Sandhi M

    2016-01-26

    Brazil is a large country, with an evolving economy, but marked social inequalities. The population is formed by an admixture of native Brazilians, Europeans, and Africans; is predominantly urban; and faces rapid aging. Time trends related to health behaviors show a substantial reduction in smoking rates, but a rising prevalence of overweight and obesity, unhealthy eating habits, and insufficient physical activity. The high prevalence of hypertension and the increasing prevalence of diabetes mellitus are also causes for concern. Cardiovascular disease (CVD) has been the leading cause of mortality since the 1960s and has accounted for a substantial percentage of all hospitalizations. In 2011, CVD was responsible for 31% of all deaths, with ischemic heart disease (31%) and cerebrovascular diseases (30%) being the leading CVD causes. Despite an increase in the overall number of CVD deaths, the age-adjusted mortality rates for CVD declined 24% between 2000 and 2011. Health care delivered by Brazil's universal public health system, which focuses on primary prevention, has contributed to this achievement. However, the decline in age-adjusted mortality differs according to race, sex, and socioeconomic status with black individuals and lower-income populations sustaining the greatest impact of CVD, especially at younger ages. With one of the world's largest public health systems in terms of population coverage, Brazil has the means to implement actions to confront the high burden of CVD, focusing on health promotion and comprehensive care. Insufficient funding, low education levels, and social inequalities remain as the main barriers to be overcome.

  15. Medical Care or Disciplinary Discourses? Preventive Measures against the Black Death in Late Medieval Paris: A Brief Review.

    Science.gov (United States)

    Hong, Yong Jin; Park, Sam Hun

    2017-03-01

    This paper examined the political and social implications of the Compendium de epidemia prescription written by the Masters of the Faculty of Medicine of the University of Paris in the mid-14th century during the Black Death. This study aimed to examine how the effects of power as a discourse owned by medical knowledge are revealed. This paper outlines the composition of the contents based on the 1888 edition edited and translated by Émile H. Rébouis and notes the features of the prescription examined by the existing study of medical history rather than the causes of diseases. Compendium de epidemia seems to have been written primarily for the royal family and nobles who ordered them when looking at prescription-related technologies. At the same time, under the influence of Islamic-Arabic academia, it clearly distinguishes the world of faith and the world of academia (intelligence), explaining the pathogenesis and infection pathways based on causality. The onset substrate is due to heat and humidity, and the prescription is to prevent the two from overdoing in the body. In particular, issues related to heat are criticized in connection with the value of life of knight-noblesse. This is in response to political criticism of the ineffectual French royal family and nobility at the beginning of the Hundred Years' War and shows why this tract sets the utilitas publica at the forefront as an important purpose. The conclusion has shown how medical knowledge produced on the Black Death pandemic how they function as discourses that have a sort of power effect on the value of life of knight-noblesse. It is necessary to conduct if these phenomena can be found in other contemporary medical writings.

  16. THE REFLECTION OF PROCEDURAL GUILT IN THE CRIMINAL PROCEDURE PROVISIONS. LIABILITY FOR UNJUST CONDEMNATION OR FOR TAKING PREVENTIVE MEASURES UNLAWFULLY

    Directory of Open Access Journals (Sweden)

    ELIZA EMANUELA OPREA

    2013-05-01

    Full Text Available In the criminal proceedings of some law states the wrongful sentencing of individuals is very rare, having a comprehensive system of procedural safeguards which prevent such a situation. The purpose of the criminal proceedings is to punish only the culprits, the Criminal Procedure code frontispiece being stated the idea that no innocent person should be held criminally liable. By achieving this aspect of purpose is ensured observance of legality and the rule of law. All the basic rules and the whole organization of the criminal trial are polarized around this major goal of justice. Also the professional qualification level of those summoned to administer criminal justice in the modern state to minimizes the risk of judiciar miscarriages. The deep humanism of our law requires though the regulation of those procedural arrangements, through which in the event of an act of injustice, the wrongly convicted is able to obtain prompt repairs that society owes them. A very important aspect related to the evolution over time of the regulation of this institution, is that in its doctrine of integration in the European Union, Romania has adopted a series of laws and regulations designed to ensure our legislation’s alignment with the relevant legislation of the countries from the European community and to ensure the compliance with the European Convention on Human Rights. This process is still ongoing, therefore the establishment and the subsequent modification of the special procedure concerning the remedies for the material or moral damage in the event of unjust sentence or unlawful deprivation of liberty was based on the desire to avoid the conviction situation of the Romanian state by the international courts for failure to comply with the Art. 5 paragraph 5 of the Convention for the Protection of Human Rights and Fundamental Freedoms that 'any individual who is the victim of arrest or detention in conditions contrary to the provisions of this article

  17. Type 2 diabetes in Brazil: epidemiology and management

    OpenAIRE

    Almeida-Pititto B; Dias ML; Moraes ACF; Ferreira SRG; Franco DR; Eliaschewitz FG

    2015-01-01

    Bianca de Almeida-Pititto,1 Monike Lourenço Dias,2 Ana Carolina Franco de Moraes,3 Sandra RG Ferreira,3 Denise Reis Franco,4 Freddy Goldberg Eliaschewitz4,5 1Department of Preventive Medicine, Federal University of São Paulo, São Paulo, Brazil; 2Department of Endocrinology, Federal University of Goiás, Goiânia, Goiás, Brazil; 3Department of Epidemiology, School of Public Health, University of São Paulo, São...

  18. Measuring collective efficacy among children in community-based afterschool programs: exploring pathways toward prevention and positive youth development.

    Science.gov (United States)

    Smith, Emilie Phillips; Osgood, D Wayne; Caldwell, Linda; Hynes, Kathryn; Perkins, Daniel F

    2013-09-01

    Collective efficacy refers to a perceived sense of connectedness and willingness to intervene among youth, and is a potential aspect of positive youth development (Larson in Am Psychol 55:170-183, 2000; Lerner et al. in Child Dev 71:11-20, 2000; Sampson et al. in Science 277:918-924, 1997). Theoretically, those who feel connected to a group that is empowered to positively influence the behavior of their peers may demonstrate fewer problem behaviors. Few studies, however, have measured the impact of youth perceptions of collective efficacy. As a relatively new child-related research topic, there is much to be learned. One contribution to the foundation of this research agenda begins by evaluating the reliability and validity of a measure of collective efficacy with elementary children attending community-based afterschool programs. This paper describes the internal consistency reliability and various indicators of construct and concurrent validity of the Collective Efficacy Among Children Scale. The measure was found to have high internal consistency reliability. Construct validity was tested using exploratory factor analyses of collective efficacy including the dimensions of willingness to intervene and cohesion found in previous research (Sampson et al. in Science 277:918-924, 1997). Concurrent validity assessed relations between the scale and other measures in theoretically congruent ways. Using Hierarchical Linear Models to account for children's nestedness in after-school programs, connectedness was found to be more related to emotional adjustment, particularly children's prosocial attitudes (caring about others and sharing). Children's perception of the willingness of the group to intervene was found to be related to less problem behavior, (i.e. smoking tobacco, drinking alcohol, vandalism, and stealing). The implications suggest that future research should further explore children's collective efficacy, and ways to foster its development in youth

  19. Hydrochemical measures and salinity studies in Inhanhuns` waters, Ceara State, Brazil; Medidas hidroquimicas e estudo da salinizacao das aguas nos Inhamuns

    Energy Technology Data Exchange (ETDEWEB)

    Lima, Carlos Henrique; Santiago, Marlucia Freitas; Mendes Filho, Josue; Frischkorn, Horst [Ceara Univ., Fortaleza, CE (Brazil)

    1996-08-01

    The Inhamuns region is one of the most arid in Ceara Waters exhibit very high salinity. Here we evaluate measurements of chemical parameters (electrical conductivity, EC, and major ions) and {delta}{sup 18} O for waters from wells, springs and surface reservoirs. Results show that springs, with EC of up to nearly 5000 {mu}S/cm, are fed by pluvial water, exchange through dams can be excluded. Electrical conductivity is well correlated with Na{sup +} Mg{sup ++} and Cl{sup -} for waters of various origins, whereas Ca{sup ++} correlates reasonably only for wells. We conclude that aerosol deposition is a major source of salt, Enrichment through evaporation constitutes the most important process for surface water salination. Dissolution of chlorite-silicates is the cause for the magnesian character of underground water. (author) 1 ref., 1 tab.

  20. Exploring Attitudes and Beliefs towards Implementing Cattle Disease Prevention and Control Measures: A Qualitative Study with Dairy Farmers in Great Britain

    Science.gov (United States)

    Brennan, Marnie L.; Wright, Nick; Wapenaar, Wendela; Jarratt, Susanne; Hobson-West, Pru; Richens, Imogen F.; Kaler, Jasmeet; Buchanan, Heather; Huxley, Jonathan N.; O’Connor, Heather M.

    2016-01-01

    Simple Summary Further understanding of why dairy farmers do not engage in disease prevention and control strategies (biosecurity) is required. Using semi-structured interviews informed by a health psychology approach with 25 dairy farmers, a number of barriers, such as disease testing inaccuracies, types of disease transmission, perceived lack of risk and effectiveness of measures, were identified. Motivators included being advised to undertake measures by veterinarians, and the increased threat and severity of the disease in focus. These results suggest there is an advantage to farm advisors and herd health professionals understanding and working with the beliefs of individual dairy farmers to target appropriate communication and advice strategies relating to biosecurity recommendations. Abstract Disease prevention and control practices are frequently highlighted as important to ensure the health and welfare of farmed animals, although little is known as to why not many practices are carried out. The aim of this study was to identify the motivators and barriers of dairy cattle farmers towards the use of biosecurity measures on dairy farms using a health psychology approach. Twenty-five farmers on 24 farms in Great Britain (GB) were interviewed using the Theory of Planned Behaviour framework. Results indicated that farmers perceived they had the ability to control what happened on their farms in terms of preventing and controlling disease, and described benefits from being proactive and vigilant. However, barriers were cited in relation to testing inaccuracies, effectiveness and time-efficiency of practices, and disease transmission route (e.g., airborne transmission). Farmers reported they were positively influenced by veterinarians and negatively influenced by the government (Department for Environment Food & Rural Affairs (DEFRA)) and the general public. Decisions to implement practices were influenced by the perceived severity of the disease in question, if

  1. Absence Of Zonation In A Mangrove Forest In Southeastern Brazil

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    João Marcos Miragaia Schmiegelow

    2014-07-01

    Full Text Available The mangrove forest of the estuarine system of Santos, Brazil, occupies 71 km2 - an area consisting of a complex system of canals and rivers forming a predominantly depositional environment. The climate provides high rainfall, with no water deficit and minimum temperatures above 18oC. In this environment, 3,870 mangrove trees, distributed on 20 random transects, were identified, counted and measured and the litterfall measured. The phytosociological data (density, height and basal area were measured in parcels at different distances from the waterline. Three species of trees were identified: Rhizophora mangle, Avicennia schaueriana and Laguncularia racemosa. The data showed large variability between stands but with no zonation perpendicular to the fringe in relation to phytosociological descriptors, the distribution of the tree species and litterfall production. This phenomenon is attributed to the low energy subsidy occurring as a function of the microtidal regime, the reduced velocity of the water in the innermost regions of the estuarine system, the homogeneous sediment (silt and mostly the absence of any water deficit in the region. All these factors reduce the environmental gradient from the fringe to the interior of the basin. Some stands also showed immature features which were attributed to the anthropogenic impacts of many kinds, mainly over the last 60 years, that have been preventing the mangroves from attaining their full development.

  2. RELATED FACTORS AND PREVENTIVE MEASURES FOR POSTPARTUM DEPRESSION%产后抑郁症的相关因素及预防措施

    Institute of Scientific and Technical Information of China (English)

    方国英

    2011-01-01

    [Objective] To investigate the occurrence of postpartum depression analysis of the relevant factors, and make women's postpaitum mental health care prevention measures. [Methods] 42d postpartum were reviewed in hospital, and investigated by questionnaires. The mother's mental state and adverse emotional reasons was recorded. Edinburgh Postnatal Depression Scale (EPDS) were evaluated. [Results] The incidence of postpartum depression rate of 12.86%, and neonatal gender and health status of labor pain and prolonged endurance were closely related. [Conclusion] The incidence of postpartum depression are closely related with the birth of mothers to provide targeted prevention measures and social support to prevent and reduce the incidence of postpartum depression.%[目的]调查分析产妇产后发生抑郁症的相关影响因素,提出产褥期妇女的精神卫生保健工作的预防措施.[方法]产妇产后42 d到医院进行产后复查时,采用调查问卷的方法,记录产妇的精神状态及出现不良情绪的原因,使用爱丁堡产后抑郁量表(EPDS)进行评定.[结果]本组产妇产后抑郁症的发生率为12.86%,与新生儿性别及健康状况、对分娩疼痛承受力及产程延长有密切的关系.[结论]产后抑郁的发生与分娩状况密切相关,对产妇提供有针对性的预防措施及社会支持,可以预防和降低产后抑郁症的发生.

  3. 浅析计算机病毒及防范的措施%Analysis of Computer Virus and Preventive Measures

    Institute of Scientific and Technical Information of China (English)

    何泳

    2011-01-01

    The computer virus can permeate every field of information society at present, which brings great destruction and potential threat. In order to ensure the security and clear of information, we must study the preventive measures of computer virus immediately. The methods and measures of coping with computer virus were discussed from the characteristics of computer in this thesis.%目前计算机病毒可以渗透到信息社会的各个领域,给计算机系统带来了巨大的破坏和潜在的威胁.为了确保信息的安全与畅通,研究计算机病毒的防范措施已迫在眉睫.本文从计算机的特点入手,来初步探讨对付计算机病毒的方法和措施.

  4. [Preventive measures of food poisoning at care facilities for the elderly--current status and problems in food poisoning by noroviruses].

    Science.gov (United States)

    Ezoe, Kumiko; Nagatomi, Hideki; Imaizumi, Iwao

    2012-08-01

    Food poisoning at care facilities for the elderly has been breaking out approximately ten cases per year nationwide from 2001 to 2010. Especially, it reflected the characteristics of food poisoning caused by noroviruses at a high rate. Usually we have been preventing from food poisoning by noroviruses working on existing measures such as temperature control of food materials, sanitary handlings of cooking tools and table wares, and so on. Additionally, the most effective measures to avoid secondary pollution at care facilities for the elderly is that all members at these facilities have to have a sense of crisis about food poisoning by noroviruses and managers at these facilities must take care of health control for all staff.

  5. 产后出血的临床原因以及预防措施%Cause of postpartum hemorrhage and its preventive measures

    Institute of Scientific and Technical Information of China (English)

    吴金华

    2014-01-01

    目的:探讨孕妇产后出血的临床常见原因以及如何进行预防。方法本院收治孕产妇36例,其中16例出现产后出血,搜集临床病例进行总结分析。结果宫缩乏力、产道裂伤、胎盘因素以及凝血功能障碍是造成孕妇产后出血的主要原因。结论加强孕期保健以及产程的处理是预防出血的主要措施。%Objective To investigate the clinical common causes of postpartum hemorrhage and its preventive measures. Methods Chose 36 cases of pregnant women as research object, including 16 cases of postpartum hemorrhage, clinical cases were collected and analyzed. Results Uterine atony, laceration of birth canal, placental factors and coagulation dysfunction were the main causes of postpartum hemorrhage. Conclusion Strengthening the pregnancy health care and labor nursing are the main measures to prevent hemorrhage.

  6. 关于湿法熄焦系统中水锤现象防护的比较%Measures for water hammer prevention in wet quenching system

    Institute of Scientific and Technical Information of China (English)

    张春才; 张晓光

    2014-01-01

    介绍了水锤现象的成因、危害、机理及防护措施,通过对比分析国内几种典型湿法熄焦工艺中水锤现象的防护措施,发现在熄焦水泵出口选用缓闭止回阀,在熄焦水输送管道中部选用自动液力阀,可防止湿法熄焦系统中水锤现象发生。%With description of the cause , harmfulness , mechanism and prevention measures against water hammer , and by analyzing several typical measures for water hammer prevention in wet quenching system ,this paper concluded that delay-close check valve can be selected at the outlet of quenching pump and automatic hydraulic pump can be used on the pipeline carrying quenching water so that the water hammer can be effectively avoided in the wet quenching process .

  7. Preliminary study of the effects of preventive measures on the prevalence of Canine Leishmaniosis in a recently established focus in northern Italy

    Directory of Open Access Journals (Sweden)

    Rudi Cassini

    2013-06-01

    Full Text Available Canine Leishmaniosis is endemic in Mediterranean areas, with a well-documented northward spread. The mass use of preventive measures against sandfly bites (collar and spot-on formulations was tested in a small focus recently established in an isolated hilly area of north-eastern Italy (Colli Euganei. In 2006 and 2007, a total of 449 dogs living in the southern part of Colli Euganei were screened against Leishmania infantum using an immunofluorescence antibody test (IFAT, and 31 (6.9% were seropositive. A risk factor analysis clearly described the focus as limited to a small village named Calaone. In 2010, 63 animals from Calaone were sampled and their owners interviewed to verify the effectiveness of the preventive measures. According to what reported by owners, dogs started to be protected in 2006 (66.7% dogs protected, and protection rate incremented (around 90% during the subsequent years. The seroprevalence value (4.2% of the youngest age class (<5 years was significantly lower than other classes, demonstrating that animals born after 2006 had low probabilities of getting infected. Besides, seroprevalence value referred only to dogs living in Calaone was 32.4% (23/71 in 2006-2007 and 20.6% (13/63 in 2010, showing a decreasing trend. Although still preliminary, the results show high sensitization of dog owners and suggest that the mass use of collars and spot-on acts positively in reducing the circulation of L. infantum.

  8. Impact of educational intervention regarding hazards of obesity and its preventive measures among students of commerce colleges of Ahmedabad city, Gujarat, India

    Directory of Open Access Journals (Sweden)

    Varsha Shah

    2016-09-01

    Results: Overall, the total number of obese adults identified in whole study population was 64 (10.2% and numbers of overweight adults were 65 (10.3%. Baseline knowledge of the students regarding hazards of obesity like hypertension, cancer, heart attack and diabetes mellitus was 19.7%, 16.1%, 16.5% and 24.5% respectively which was significantly increased to 93.6%, 94.5%, 96.0% and 94.1% respectively after the intervention. Baseline knowledge of the students regarding preventive measure of obesity like avoiding junk food/ healthy diet, exercise and meditation was 23.6%, 24.4% and 25.9% respectively which was significantly increased to 95.3%, 96.9 and 97.4% respectively after the intervention. Conclusions: There was significant improvement in the knowledge regarding hazards of obesity and its preventive measures among college students after our single educational session. [Int J Res Med Sci 2016; 4(9.000: 3820-3823

  9. 儿童用药的隐患与防范措施%Hidden Troubles and Preventive Measures of Children's Medication

    Institute of Scientific and Technical Information of China (English)

    陈红梅

    2015-01-01

    This paper analyzes the risks and preventive measures of clinical pediatric proposed system through the estab-lishment of a relatively complete, timely education and training of relevant personnel and other measures to establish pedi-atric risk prevention system. Need doctors, nurses, pharmacy staff actively cooperate to improve drug safety, reduce medica-tion risks and guarantee an effective means children safe.%该文分析临床儿童用药的隐患与防范措施,提出通过建立相对完善的制度,及时教育和培训相关工作人员等措施建立儿童用药风险防范体系. 需医生、护士、药房工作人员积极配合,以提高用药安全性,减少用药风险、保障儿童安全的有效手段.

  10. High malaria transmission in a forested malaria focus in French Guiana: How can exophagic Anopheles darlingi thwart vector control and prevention measures?

    Science.gov (United States)

    Vezenegho, Samuel B; Adde, Antoine; de Santi, Vincent Pommier; Issaly, Jean; Carinci, Romuald; Gaborit, Pascal; Dusfour, Isabelle; Girod, Romain; Briolant, Sébastien

    2016-01-01

    In French Guiana, malaria vector control and prevention relies on indoor residual spraying and distribution of long lasting insecticidal nets. These measures are based on solid epidemiological evidence but reveal a poor understanding of the vector. The current study investigated the behaviour of both vectors and humans in relation to the ongoing prevention strategies. In 2012 and 2013, Anopheles mosquitoes were sampled outdoors at different seasons and in various time slots. The collected mosquitoes were identified and screened for Plasmodium infection. Data on human behaviour and malaria episodes were obtained from an interview. A total of 3,135 Anopheles mosquitoes were collected, of which Anopheles darlingi was the predominant species (96.2%). For the December 2012-February 2013 period, the Plasmodium vivax infection rate for An. darlingi was 7.8%, and the entomological inoculation rate was 35.7 infective bites per person per three-month span. In spite of high bednet usage (95.7%) in 2012 and 2013, 52.2% and 37.0% of the participants, respectively, had at least one malaria episode. An. darlingi displayed heterogeneous biting behaviour that peaked between 20:30 and 22:30; however, 27.6% of the inhabitants were not yet protected by bednets by 21:30. The use of additional individual and collective protective measures is required to limit exposure to infective mosquito bites and reduce vector densities. PMID:27653361

  11. 枣树裂果防治技术研究综述%Research Summary on Preventive Measures for Jujube Cracking

    Institute of Scientific and Technical Information of China (English)

    梁晓娟

    2016-01-01

    In recent years, jujube fruit cracking problem is very serious.From breeding crack resistance jujube cultivars, jujube cultivation measures, jujube fruit cracking research reagents and jujube shelter cultivation four aspects were intro-duced in recent years of Chinese jujube and crack preventive measures induding spraying nutriene solution, exogenous hor-mone, liguid protective film, so as to provide a theoretical basis for the prevention and control of jujube fruit cracking.%近年来,红枣裂果问题十分严重。笔者从选育枣树抗裂品种方面介绍了枣树的防裂措施,从灌溉、施肥、套袋、整形修剪4方面介绍了枣树综合栽培防裂措施,从喷施营养液、外源激素、液体保护膜3方面介绍了枣果实防裂试剂的研究,最后介绍了枣树避雨栽培防裂技术,旨在为防治枣树裂果提供理论依据。

  12. Nursing care of adult patients with measles and preventive measures%成人麻疹患者护理及预防措施

    Institute of Scientific and Technical Information of China (English)

    林桂梅

    2015-01-01

    本文探讨成人麻疹的临床护理及预防措施。通过对成人麻疹患者20例开展临床护理及健康宣教,全部治愈出院,未发生并发症及造成医源性的麻疹感染和流行。因此,加强预防接种是控制麻疹发病率的基本措施,做好麻疹患者的护理和管理也是预防麻疹发病率的关键。%In this paper,we explored the nursing care of adult patients with measles and preventive measures.20 adult patients with measles were given clinical nursing and health education,and they were all cured,and there was no complication and cause of iatrogenic infection and epidemic of measles.Therefor,to strengthen the vaccination is the basic measure to control the incidence of measles,and good nursing and management for patients with measles is the key to prevent the incidence of measles.

  13. High malaria transmission in a forested malaria focus in French Guiana: How can exophagic Anopheles darlingi thwart vector control and prevention measures?

    Science.gov (United States)

    Vezenegho, Samuel B; Adde, Antoine; Pommier de Santi, Vincent; Issaly, Jean; Carinci, Romuald; Gaborit, Pascal; Dusfour, Isabelle; Girod, Romain; Briolant, Sébastien

    2016-09-01

    In French Guiana, malaria vector control and prevention relies on indoor residual spraying and distribution of long lasting insecticidal nets. These measures are based on solid epidemiological evidence but reveal a poor understanding of the vector. The current study investigated the behaviour of both vectors and humans in relation to the ongoing prevention strategies. In 2012 and 2013, Anopheles mosquitoes were sampled outdoors at different seasons and in various time slots. The collected mosquitoes were identified and screened for Plasmodium infection. Data on human behaviour and malaria episodes were obtained from an interview. A total of 3,135 Anopheles mosquitoes were collected, of which Anopheles darlingi was the predominant species (96.2%). For the December 2012-February 2013 period, the Plasmodium vivax infection rate for An. darlingi was 7.8%, and the entomological inoculation rate was 35.7 infective bites per person per three-month span. In spite of high bednet usage (95.7%) in 2012 and 2013, 52.2% and 37.0% of the participants, respectively, had at least one malaria episode. An. darlingi displayed heterogeneous biting behaviour that peaked between 20:30 and 22:30; however, 27.6% of the inhabitants were not yet protected by bednets by 21:30. The use of additional individual and collective protective measures is required to limit exposure to infective mosquito bites and reduce vector densities.

  14. To Talk about the Aging, Causes and Prevention Measures of Transformer Oil%谈谈变压器油的老化、原因和防止措施

    Institute of Scientific and Technical Information of China (English)

    郭艳红

    2011-01-01

    This paper describes the aging and its causes of transformer oil, and prevention measures to prevent the transformer oil aging.%本文介绍了变压器油的老化现象、老化原因以及防止变压器油老化的预防措施.

  15. [Incidence of zoonoses in petting zoos and evaluation of hygiene measures to prevent the transmission to humans].

    Science.gov (United States)

    Bütikofer, B; Bissig-Choisat, B; Regula, G; Corboz, L; Wittwer, M; Danuser, J

    2005-12-01

    In summer 2003, a study was performed in thirty Swiss petting zoos with the objective to determine the prevalence of zoonotic agents, and to describe hygiene measures implemented to reduce the risk of human infection. Fecal samples from different animal species were collected from the floor of pens to determine the prevalence of Salmonella spp., Campylobacter spp., verocytotoxin producing E. coli/ VTEC and Francisella tularensis. A questionnaire on hygiene measures, number of animals per species, housing system, care procedures and feeding was administered to every petting zoo to estimate exposure of visitors to zoonotic microorganisms. In total, 423 fecal samples were examined. Of these samples, 41 were positive for Campylobacter spp., which were mainly isolates from pigs and poultry (35% positive samples from each species). In pigs, 50% of the positive samples (6 samples) were typed as C. jejuni. The others were typed as C. coli (3) and C lan' (3), respectively. Five poultry isolates were typed as C. jejuni, and two as C. coli. Two samples were positive for Salmonella spp. Salmonella typhimurium was isolated from a goat, the other isolate could not be identified by serotyping. Neither Francisella tularensis nor verocytotoxin producing E. coli/ VTEC were found. The low prevalence of zoonotic microorganisms in Swiss petting zoos could be attributed to the cleanness of enclosures and animals, low stocking rates and good animal care. However, there is room for improvement concerning visitors' information on hygiene and hand washing. Furthermore, a strict separation between picnic - areas and animals should be enforced.

  16. The use of typing methods and infection prevention measures to control a bullous impetigo outbreak on a neonatal ward

    Directory of Open Access Journals (Sweden)

    Koningstein Maike

    2012-11-01

    Full Text Available Abstract Background We describe an outbreak of Bullous Impetigo (BI, caused by a (methicillin susceptible, fusidic acid resistant Staphylococcus aureus (SA strain, spa-type t408, at the neonatal and gynaecology ward of the Jeroen Bosch hospital in the Netherlands, from March-November 2011. Methods We performed an outbreak investigation with revision of the hygienic protocols, MSSA colonization surveillance and environmental sampling for MSSA including detailed typing of SA isolates. Spa typing was performed to discriminate between the SA isolates. In addition, Raman-typing was performed on all t408 isolates. Results Nineteen cases of BI were confirmed by SA positive cultures. A cluster of nine neonates and three health care workers (HCW with SA t408 was detected. These strains were MecA-, PVL-, Exfoliative Toxin (ETA-, ETB+, ETAD-, fusidic acid-resistant and methicillin susceptible. Eight out of nine neonates and two out of three HCW t408 strains yielded a similar Raman type. Positive t408 HCW were treated and infection control procedures were reinforced. These measures stopped the outbreak. Conclusions We conclude that treatment of patients and HCW carrying a predominant SA t408, and re-implementing and emphasising hygienic measures were effective to control the outbreak of SA t408 among neonates.

  17. Behavior, preferences, and willingness to pay for measures aimed at preventing pollution by pharmaceuticals and personal care products in China.

    Science.gov (United States)

    Wang, Xiaowen; Howley, Peter; Boxall, Alistair Ba; Rudd, Murray A

    2016-10-01

    The release of pharmaceuticals and personal care products (PPCPs) into the environment has been held up as a potential threat to ecosystem and human health. Using a custom-designed survey of residents living in Xiamen, China, this paper examines individuals' disposal practices, awareness of the environmental impact of PPCPs, and willingness to pay for measures aimed at reducing the likelihood of PPCPs being released into the environment. The vast majority of respondents report that they dispose of PPCPs through the thrash. The results of a contingent valuation experiment suggest a substantial willingness to pay (WTP) for policy measures aimed at reducing PPCP pollution. Income as well as subjective perceptions relating to overall financial health, expenditure on PPCPs, and overall concern with environmental issues emerged as significant predictors of respondents' WTP. Our results should be of interest to policymakers looking for ways to mitigate the introduction of PPCPs in the environment. Integr Environ Assess Manag 2016;12:793-800. © 2015 SETAC. © 2015 SETAC.

  18. Decline of hepatitis C infection in hemodialysis patients in Central Brazil: a ten years of surveillance

    Directory of Open Access Journals (Sweden)

    Megmar AS Carneiro

    2005-07-01

    Full Text Available Hepatitis C virus (HCV has been a significant problem for hemodialysis patients. However this infection has declined in regions where the screening for anti-HCV in blood banks and hemodialysis-specific infection control measures were adopted. In Brazil, these measures were implemented in 1993 and 1996, respectively. In addition, all studied units have implemented isolation of anti-HCV positive patients since 2000. In order to evaluate the impact of these policies in the HCV infection prevalence, accumulated incidence, and risk factors in hemodialysis population of Goiânia City, Central Brazil, all patients were interviewed and serum samples tested for HCV antibodies in 1993, 1996, 1999, and 2002. In the first six years (1993-1999, anti-HCV prevalence increased from 28.2 to 37.2%, however a b decrease in positivity was detected between 1999 and 2002 (37.8 vs 16.5% when the measures were fully implemented. Also, a decrease of the anti-HCV accumulated incidence in cohorts of susceptible individuals during 1993-2002 (71%, 1996-2002 (34.2%, and 1999-2002 (11.7% was found. Analysis of risk factors showed that length of time on hemodialysis, blood transfusion before screening for anti-HCV and treatment in multiple units were statistically associated with anti-HCV (p < 0.05. Our study showed a significant decline of hepatitis C infection in hemodialysis patients of Central Brazil, ratifying the importance of public health strategies for control and prevention of hepatitis C in the hemodialysis units.

  19. Occurrence of Mycobacterium bovis and non-tuberculous mycobacteria (NTM) in raw and pasteurized milk in the northwestern region of Paraná, Brazil.

    Science.gov (United States)

    Sgarioni, Sônia Aparecida; Hirata, Rosario Dominguez Crespo; Hirata, Mario Hiroyuki; Leite, Clarice Queico Fujimura; de Prince, Karina Andrade; de Andrade Leite, Sergio Roberto; Filho, Dirceu Vedovello; Siqueira, Vera Lucia Dias; Caleffi-Ferracioli, Katiany Rizzieri; Cardoso, Rosilene Fressatti

    2014-01-01

    Milk is widely consumed in Brazil and can be the vehicle of agent transmission. In this study, was evaluated the occurrence of Mycobacterium bovis and non-tuberculous mycobacteria (NTM) in raw and pasteurized milk consumed in the northwestern region of Paraná, Brazil. Fifty-two milk samples (20 pasteurized and 32 raw) from dairy farms near the municipality of Maringa, Parana State, Brazil were collected. Milk samples were decontaminated using 5% oxalic acid method and cultured on Lowenstein-Jensen and Stonebrink media at 35 °C and 30 °C, with and without 5-10% CO2. Mycobacteria isolates were identified by morphological features, PCR-Restriction Fragment Length Polymorphism Analysis (PCR-PRA) and Mycolic acids analysis. Thirteen (25%) raw and 2 (4%) pasteurized milk samples were positive for acid fast bacilli growth. Nine different species of NTM were isolated (M. nonchromogenicum, M. peregrinum, M. smegmatis, M. neoaurum, M. fortuitum, M. chelonae, M. flavescens, M. kansasii and M. scrofulaceum). M. bovis was not detected. Raw and pasteurized milk may be considered one source for NTM human infection. The paper reinforces the need for intensification of measures in order to avoid the milk contamination and consequently prevent diseases in the south of Brazil.

  20. IHY activities in Brazil

    Science.gov (United States)

    Dal Lago, Alisson

    The International Heliophysical Year is a program of international scientific colaboration planned to be held in the period from 2007-2009. Many brazilian institutions have shown interest in participating in the IHY activities. All of them provided information about their instrumental facilities and contact person. A list of institutions and their information is shown in the Latin-American IHY webpage (http://www.alage.org/IHYLA/ihyla.html), hosted by the Latin American Association on Space Geophysics - ALAGE. IHY Brazilian activities are being conducted in close colaboration with Latin-American Institutions. Five Coordinated Investigation programs (CIPs) have been proposed by scientists from brazilian institutions. Recentely, in February 2008, there has been the Latin American IHY School in Sao Paulo (Brazil), with the participation of 80 students from Brazil, Argentina, Peru, Mexico and Cuba. In this work, a report on the brazilian activities will be presented.

  1. Equine influenza in Brazil

    Directory of Open Access Journals (Sweden)

    Patricia Filippsen Favaro

    2016-06-01

    Full Text Available Equine influenza virus (EIV (H3N8 and H7N7 is the causative agent of equine influenza, or equine flu. The H7N7 subtype has been considered to be extinct worldwide since 1980. Affected animals have respiratory symptoms that can be worsened by secondary bacterial respiratory infection, thereby leading to great economic losses in the horse-breeding industry. In Brazil, equine influenza outbreaks were first reported in 1963 and studies on hemagglutination antibodies against viral subtypes in Brazilian horses have been conducted since then. The objective of the present review was to present the history of the emergence of EIV around the world and in Brazil and the studies that have thus far been developed on EIV in Brazilian equines.

  2. 康复科病人烧烫伤的因素分析及防范措施%Rehabilitation section burn patients with factor analysis and preventive measures

    Institute of Scientific and Technical Information of China (English)

    吕梅芬; 李菊华; 赵友兰; 李凤花

    2014-01-01

    皮肤是保护人体抵抗外来病原的首道防线,因此维护皮肤完整性是重要的医疗护理目标之一。尽管病人在医疗机构中接受密集的专业治疗护理,不预期的烧烫伤仍有可能发生。烧烫伤可导致病人病程延迟,甚至死亡,增加病人及医疗机构额外的医疗成本,若因为医疗护理过失造成皮肤受损,医院将承担相关责任或面临法律诉讼。预防烧烫伤是医务人员、病人及照顾者共同的责任。因此从制度方面要建立预防烫伤的护理指导标准,执行预防烫伤标准流程及护理指导,给予医务人员、病人及家属预防烧烫伤的观念,强化病人及照顾者认识烧烫伤倾向;及早评估病人发生烧烫伤的原因,制定预防烧烫伤的防范措施,可降低烧烫伤对病人的伤害与合并症。%The skin is the first line of defense to protect the body against foreign pathogens,thus maintain skin integrity is one of the important goal of medical care.AlG though patients in medical institutions receiving intensive professional care,don't expect burns could stil happen.To prevent burns is both the responsibility of the medical staff,patients and caregivers.Therefore from the aspects of system to establish guidelines for nursing to prevent burns,perform to prevent burns standard procedures and nursing instructions,giving medical staff,patients and their families to prevent burns the concept of strengthening patients and caregivers know burn tendency;As soon as possible causes of burn and assessment of the patient,make effective measures to prevent burns,can reduce burn injuries and complications of patients.

  3. A time for dogma, a time for the Bible, a time for condoms: building a Catholic theology of prevention in the face of public health policies at Casa Fonte Colombo in Porto Alegre, Brazil.

    Science.gov (United States)

    Seffner, Fernando; Garcia, Jonathan; Muñoz-Laboy, Miguel; Parker, Richard

    2011-01-01

    The Casa Fonte Colombo (CFC) is a religious organisation that assists people living with HIV/AIDS (PLWHA). The funding for its activities comes from public sources such as the Brazilian National STD/AIDS Program as well as the Catholic Church. Capuchin (Franciscan) priests run the CFC and it has an extensive group of volunteers made up mostly of women. Between 2006 and 2009, we observed daily life at the CFC and interviewed priests, volunteers, employees, service providers, and clients. We also attended meetings, group sessions, and celebrations. Everyday actions carried out by the CFC reveal the efforts to resolve the tension between the position of the Catholic Church and the Brazilian state in the politics of AIDS. These efforts affirm that the CFC presents itself as a space where the position of the Catholic Church, as much as the politics of public health, are re-worked, giving way to a progressive act of Catholic prevention and assistance for AIDS that we call 'theology of prevention'.

  4. Measurement properties of a novel survey to assess stages of organizational readiness for evidence-based interventions in community chronic disease prevention settings

    Directory of Open Access Journals (Sweden)

    Stamatakis Katherine A

    2012-07-01

    Full Text Available Abstract Background There is a great deal of variation in the existing capacity of primary prevention programs and policies addressing chronic disease to deliver evidence-based interventions (EBIs. In order to develop and evaluate implementation strategies that are tailored to the appropriate level of capacity, there is a need for an easy-to-administer tool to stage organizational readiness for EBIs. Methods Based on theoretical frameworks, including Rogers’ Diffusion of Innovations, we developed a survey instrument to measure four domains representing stages of readiness for EBI: awareness, adoption, implementation, and maintenance. A separate scale representing organizational climate as a potential mediator of readiness for EBIs was also included in the survey. Twenty-three questions comprised the four domains, with four to nine items each, using a seven-point response scale. Representatives from obesity, asthma, diabetes, and tobacco prevention programs serving diverse populations in the United States were surveyed (N = 243; test-retest reliability was assessed with 92 respondents. Results Confirmatory factor analysis (CFA was used to test and refine readiness scales. Test-retest reliability of the readiness scales, as measured by intraclass correlation, ranged from 0.47–0.71. CFA found good fit for the five-item adoption and implementation scales and resulted in revisions of the awareness and maintenance scales. The awareness scale was split into two two-item scales, representing community and agency awareness. The maintenance scale was split into five- and four-item scales, representing infrastructural maintenance and evaluation maintenance, respectively. Internal reliability of scales (Cronbach’s α ranged from 0.66–0.78. The model for the final revised scales approached good fit, with most factor loadings >0.6 and all >0.4. Conclusions The lack of adequate measurement tools hinders progress in dissemination and implementation

  5. Heliostat tailored to Brazil

    OpenAIRE

    Pfahl, Andreas; Bezerra, Pedro; Hölle, Erwin; Liedke, Phillip; Teramoto, Erico Tadao; Hertel,Johannes; Lampkowski, Marcelo; Oliveira, L

    2015-01-01

    For Brazil it is important to realize a high local production share because of high import tax rates. The rim drive concept offers an alternative for expensive heliostat drive solutions with slew and linear drives from abroad. By (locally produced) rims the demands on the drives regarding strength and precision are reduced to a very low value and low cost drives can be used. Sandwich facets (which are usually foreseen for rim drive heliostats) are not available from Brazilian manufacturers an...

  6. Innovation Policies of Brazil

    Science.gov (United States)

    2013-09-01

    by the other BRIC countries, particularly China. 18 Discussions with experts. See the appendix. 19 Brazil can have a low actual tariff rate of...Cassiolato, J. E., M. G Podcameni, M. C. Couto Soares, M. Szapiro, P. Koeller, F. Stalivieri, and F. Geremia. 2010. “ BRICS Description and Dynamics of...the Future of Internation Order. Center for a New American Security. Koeller, P, and J. L. Gordon. 2010. “ BRICS the Role of the State in National

  7. How to Prevent Corruption Without Affecting Efficiency? An Overview of Safeguard Measures for Contracting Out Public Services

    Directory of Open Access Journals (Sweden)

    Roger E. HAMLIN

    2006-02-01

    Full Text Available The paper addresses the issue of finding the right balance between regulatory oversight, decision-making flexibility and reliance on market forces to safeguard the contracting-out process from corruption. The paper analyses the corrupt practices associated with contracting out local public services and the causes and consequences of this behavior. Taking into consideration new anticorruption strategies, we make recommendations for attaining equilibrium between flexible safeguard measures and accountable and transparent practices aimed at verifying whether regulations and standards are met. The strategy also emphasizes the training of public officials, to provide them with appropriate skills and professional capacity to identify and manage corruption risks. The last part of the paper recommends future research to identify best practices among different communities and states attempting to control corruption practices when contracting out public services.

  8. Evaluation of corrective measures implemented for the preventive conservation of fresco paintings in Ariadne’s house (Pompeii, Italy)

    Science.gov (United States)

    2013-01-01

    Background A microclimate monitoring study was conducted in 2008 aimed at assessing the conservation risks affecting the valuable wall paintings decorating Ariadne’s House (Pompeii, Italy). It was found that thermohygrometric conditions were very unfavorable for the conservation of frescoes. As a result, it was decided to implement corrective measures, and the transparent polycarbonate sheets covering three rooms (one of them delimited by four walls and the others composed of three walls) were replaced by opaque roofs. In order to examine the effectiveness of this measure, the same monitoring system comprised by 26 thermohygrometric probes was installed again in summer 2010. Data recorded in 2008 and 2010 were compared. Results Microclimate conditions were also monitored in a control room with the same roof in both years. The average temperature in this room was lower in 2010, and it was decided to consider a time frame of 18 summer days with the same mean temperature in both years. In the rooms with three walls, the statistical analysis revealed that the diurnal maximum temperature decreased about 3.5°C due to the roof change, and the minimum temperature increased 0.5°C. As a result, the daily thermohygrometric variations resulted less pronounced in 2010, with a reduction of approximately 4°C, which is favorable for the preservation of mural paintings. In the room with four walls, the daily fluctuations also decreased about 4°C. Based on the results, other alternative actions are discussed aimed at improving the conservation conditions of wall paintings. Conclusions The roof change has reduced the most unfavorable thermohygrometric conditions affecting the mural paintings, but additional actions should be adopted for a long term preservation of Pompeian frescoes. PMID:23683173

  9. Evaluation of corrective measures implemented for the preventive conservation of fresco paintings in Ariadne's house (Pompeii, Italy).

    Science.gov (United States)

    Merello, Paloma; García-Diego, Fernando-Juan; Zarzo, Manuel

    2013-05-17

    A microclimate monitoring study was conducted in 2008 aimed at assessing the conservation risks affecting the valuable wall paintings decorating Ariadne's House (Pompeii, Italy). It was found that thermohygrometric conditions were very unfavorable for the conservation of frescoes. As a result, it was decided to implement corrective measures, and the transparent polycarbonate sheets covering three rooms (one of them delimited by four walls and the others composed of three walls) were replaced by opaque roofs. In order to examine the effectiveness of this measure, the same monitoring system comprised by 26 thermohygrometric probes was installed again in summer 2010. Data recorded in 2008 and 2010 were compared. Microclimate conditions were also monitored in a control room with the same roof in both years. The average temperature in this room was lower in 2010, and it was decided to consider a time frame of 18 summer days with the same mean temperature in both years. In the rooms with three walls, the statistical analysis revealed that the diurnal maximum temperature decreased about 3.5°C due to the roof change, and the minimum temperature increased 0.5°C. As a result, the daily thermohygrometric variations resulted less pronounced in 2010, with a reduction of approximately 4°C, which is favorable for the preservation of mural paintings. In the room with four walls, the daily fluctuations also decreased about 4°C. Based on the results, other alternative actions are discussed aimed at improving the conservation conditions of wall paintings. The roof change has reduced the most unfavorable thermohygrometric conditions affecting the mural paintings, but additional actions should be adopted for a long term preservation of Pompeian frescoes.

  10. [Obesity among the poor in Brazil: female vulnerability].

    Science.gov (United States)

    Ferreira, Vanessa Alves; Magalhães, Rosana

    2011-04-01

    The increase in obesity among women in the lower income bracket in Brazil has been singled out as a priority issue in the field of Public Health today. Concern about future repercussions of obesity in the less privileged groups calls for an in-depth theoretical approach and the energetic definition of public policy for prevention and control of the affliction in these segments. In this respect, the scope of this work is to attempt to pinpoint some analytical categories in the phenomenon of obesity among the underprivileged female population in Brazil. Biological, socioeconomic and cultural factors appear to interact in the dynamics of female obesity in the context of poverty revealing the complexity of this problem. Public policies of job creation, social inclusion and gender equality in the labor market would appear to be more promising ways of tackling obesity in underprivileged females in Brazil.

  11. Evolução histórica dos programas de prevenção e controle da dengue no Brasil The historical evolution of dengue prevention and control programs in Brazil

    Directory of Open Access Journals (Sweden)

    Beatriz Jansen Ferreira

    2009-06-01

    Full Text Available Avaliou-se a dengue mundial e nacionalmente, através de uma análise epidemiológica quanto à distribuição e formas. Avaliou-se o Programa Nacional de Controle à Dengue (PNCD quanto a sua implantação através do estudo do Diagdengue. Foi feita uma análise fatorial através de um conjunto de indicadores contributivos para a variabilidade. Somou-se os escores dos indicadores e a classificação dos municípios prioritários para o PNCD, para a construção de um índice, apresentando-o por estado e por trimestre, com intervalos distribuídos num intervalo de 0 a 9. A implantação do PNCD se dá de forma irregular, prevalecendo municípios com implantação ruim na região Norte e Nordeste. Na segunda análise, agregou-se a variáveis socioeconômicas dos municípios selecionados. Para os testes de associação, agrupou-se em duas classes: "ruim" e "bom/muito bom". Considerou-se a associação entre o índice de infestação predial informados no banco de dados do FAD e o índice construído. Foram usados para a verificação de associação testes de análise variância, teste de tendência e estimativa de razões de chance. Observou-se que municípios com baixo analfabetismo, alta coleta de lixo, alta proporção de instalações sanitárias estão correlacionados com uma boa cl