Navegando por Assunto "Imperatriz - MA"

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A experiência educativa de uma casa familiar rural e suas contribuições para o desenvolvimento local
(Universidade Federal do Pará, 2005) ALMADA, Francisco de Assis Carvalho de; PONTE, Tereza Maria Ferreira Ximenes; http://lattes.cnpq.br/7038744359388670
The present work consists of a study about activities of the Rural Family House of Coquelândia - Imperatriz/MA. To identify the looked for evidences and the several social actors action involved in the process, the work alicerça-if, mainly, in the analysis of the functions carried out by the Rural Family House, considering that those actions possess a clear relationship with the sistematização of knowledge, that facilitate the social actors transformation in active agents in the actions of local development. Like this being, it is underlined the Pedagogy of the Alternation and its role in the construction of the local development, its practice in the revaluation multicultural of the field and its contribution in the social actors performance transformadora in building agents of its own history. For so much we made a rising of the history of the Alternation with emphasis in its model organizativo and in its pedagogic instruments. We observed that the practice of the Rural Family House of Coquelândia allows to the families not only the youths opportunity to reconcile the work activities and studies, but also, the parents direct participation in the educational process. It was also verified that through the relationship theory-practice the families notice the youths changes comportamentais and its motivations for the studies and, with that, they are impelled more and more to collaborate with the monitors. The formation for alternation constitutes in a factor of fundamental dimensions so that they are processed and consolidate the changes in the relationship with that new reality. It is ended that the Pedagogy of the Alternation collaborates with the formation of enterprising subjects with capacity and critical conscience for interaction and transformation in fact in that live.
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A Organização social da colônia de pescadores de Imperatriz Zona 29 (CPIZ-29), Estado do Maranhão
(Universidade Federal do Pará, 2005-11-10) SILVA, Antonio Esmerahdson de Pinho da; SIMONIAN, Ligia Terezinha Lopes; http://lattes.cnpq.br/6620574987436911
This dissertation analyzes the historical processes of social, political and economic formation of the fishermen colony of Imperatriz Zone 29 (CPI Z-29), in the State of Maranhao. First, the theoretical base underlying social movements in general is introduced, followed by the origin and organizational skills of the unionized fishermen, since the colonies status is similar of that of an union. The evolution of the fishermen movement in the south of Maranhao is examined. This is the area where the city of Imperatriz is located, corresponding to Z-29 Colony. The fishermens achievements, mainly regarding public policies which favor the social movement, are also analyzed. Upon the reconstitution of historical and economic facts, we studied not only the CPI Z-29, which was established by the end of the 70s more precisely in 1978, when it was created but we also examined the production cycles which developed over the years, in Imperatriz. The fishermens modus vivendi was thoroughly analyzed, covering their habits, beliefs, and practices before and after their legal association, aiming at the organization and growth of an important, but often forgotten class. Along with the study of the foundation of the movement and the organizational abilities of the fishermen, the changes in the economic, political, cultural, environmental, and social aspects caused by the transformations in the organizational structure were also analyzed. Such aspects were intensified by the social projects implemented and encouraged by the Federal Government. Finally, we discuss the political visibility of the fishermen, as well as their participation in the decision making process at the municipal level, which is one of the many achievements of the CPI Z-29, since its foundation.
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Arranjo produtivo moveleiro da Região Tocantina
(Universidade Federal do Pará, 2006-05-25) GOMES, José Ribamar; CAMPOS, Índio; http://lattes.cnpq.br/9134366210754829
The present work seeks to analyze the economical development of the section productive moveleiro of the Tocantina Region of the State of Maranhão in the perspective of your formation as the structural and evolutionary characteristics about the Small-Scale Companies (PMEs), to the learning processes and innovations, as well as the existence of experience in cooperation among the constituent companies of the referred arrangement place.The industry of wood pieces of furniture was selected for this work, among other reasons, because it is inserted in the section of forest base amazon, with preponderance of PMEs with strong relevance in the employment creation and income in the area. Until the decade of 80, denominated area tocantina it was characterized as a great forest reservation and for the existence an enormous number of companies in the extraction and wood improvement that it caused the shortage of that natural resource. This process culminated with the transformation of some remaining sawmills in saw-mill/joinery, saw-mill/movelaria and factories of pieces of furniture. Then, the way suigêneres of the appearance of the tocantina industry moveleira.
Acesso aberto (Open Access)
Aspectos clínicos, epidemiológicos da infecção genital pelo Papilomavírus humano em gestantes do município de Imperatriz, Maranhão
(Universidade Federal do Pará, 2012) SOUSA, Graciene Pereira de; FUZII, Hellen Thais; http://lattes.cnpq.br/0026958665547973
It is known that infection with human papillomavirus (HPV) is widely distributed in the population, and is considered a sexually transmitted disease (STD) more frequent worldwide. Its transmission occurs through sexual exposure in about 98% of cases and its positive peak is observed among women of reproductive age, especially in the first years of sexual activity. In general, the infection is limited by the action of the immune system, which eliminates the virus within 2 years. Changes that interfere with the action of the immune system can influence the course of HPV infection, such as people with AIDS. During pregnancy, physiological changes occur that alter the immune response to non-rejection of semi- allogeneic fetus. This could interfere with the evolution of HPV infection, but this is still controversial. This study aimed to analyze the prevalence of HPV infection in pregnant women in the city of Imperatriz, MA and investigate possible associations between genital HPV infection and sociodemographic, behavioral, sexual, contraceptive and reproductive clinic - gynecological selected. We conducted a cross-sectional study of 168 pregnant women in the city of Empress-MA. The selected patients answered a questionnaire on socio demographic, behavioral and reproductive. Material was collected cervicovaginal cytology and conventional cervical brushed to detect HPV DNA by the technique of polymerase chain reaction (PCR). The association of HPV infection and selected risk factors was evaluated using the chi-square (x²) and/or Fisher exact test, all with an alpha level of 0.05. We studied 200 samples of cervical material was collected for Pap smear testing and identification of HPV DNA by PCR. The prevalence of genital HPV infection in pregnant women in the city of Empress was 17.6%, with the highest prevalence was in the age group between 18 to 25 years, which was 21.5%. Regarding marital status, note that unmarried pregnant women had a higher risk of acquiring HPV infection than married women (OR = 4.03, p = 0.0046). As for reproductive traits, there is the women who reported being primigravidae had higher prevalence of HPV infection, with 29%, which was statistically significant (p = 0.001), and 4 times more likely to acquire HPV infection than women who became pregnant two or more times. Interestingly, women who were taking the first PCCU on occasion, had a higher prevalence of HPV infection (25%) compared to those who had performed this test anteriormente.Os results showed a high prevalence of HPV in young pregnant women aged less than 25 years in primigravidae and among those who underwent PCCU first, so there is a need for measures to promote prevention and health of pregnant women with this specific target within the service routine Hospital. Thus, it is believed that such data can be very useful in planning programs, including the control of STDs, especially HPV.
Acesso aberto (Open Access)
Aspectos epidemiológicos da infecção pelo Papilomavírus humano em mulheres residentes às margens do rio Tocantins, na cidade de Imperatriz – MA
(Universidade Federal do Pará, 2012) SOUSA, Haigle Reckziegel de; PINHEIRO, Maria da Conceição Nascimento; http://lattes.cnpq.br/6353829454533268
The cervical cancer is the second most common cancer among women worldwide and has been associated with infection by human papillomavirus (HPV) whose diagnosis of suspicion is done through the Pap test. In general, some factors are involved in this relationship, such as early onset of sexual activity, number of sexual partners, promiscuity, however, these factors are not well known in special groups of women, such as the riverside. This study aimed to understand the magnitude of the prevalence of human papillomavirus - HPV and associated risk factors among women living on the river Tocantins, in the municipality of Empress - MA. Participants 107 women enrolled in Basic Health Unit Riverside where they were subjected to a smear test by the Papanicolaou technique. Sociodemographic and epidemiological data related to HPV infection were obtained through the standard form of the Ministry of Health PPCCU Women Study participants averaged 36 years of age, and 88.8% non-white women, most with elementary school, and living with income in the range of 1 to 3 minimum wages (57.9%). Among the risk factors there was a mean age of 16.6 years at first intercourse, an average of 3.1 sexual partners in history, parity of 3 children, high smoking prevalence 24.2%, contraceptive use by 52, 3% of women and the frequent use of condoms by 62.6% of women. Conducting annual preventive examination of cervical cancer of 43.9%. However, there was no association of any of the risk factors studied with HPV infection. The study also revealed that women's knowledge about HPV was having incipient awareness that there was need for further clarification on prevention, health risks and treatment. We conclude that the activities of health education about HPV developed in the Public Health Services of Empress of Maranhão facing special groups, particularly those socially disadvantaged, are still insufficient to make an impact in reducing morbidity by cancer lap, and requires studies on strategies to approach these actions within the Programme for Prevention of Cervical Cancer.
Acesso aberto (Open Access)
Avaliação da exposição ao mercúrio em famílias de pescadores em Imperatriz, Maranhão
(Universidade Federal do Pará, 2012) MILHOMEM FILHO, Edem Oliveira; PINHEIRO, Maria da Conceição Nascimento; http://lattes.cnpq.br/6353829454533268
In the region of the Tocantins river communities with high fish consumption through diet, located away from the gold mining area in the city of Empress of Maranhão may be exposed to mercury in view of the influence of other factors including environmental contaminants activities and hydroelectric potential of forest fires in this region. The aim of this study was to assess mercury exposure in families of fishermen District Beira Rio, Imperatriz-Maranhão. We conducted a cross-sectional study involving fishing families living in the community Beira Rio, located on the banks of the Tocantins River in the city of Imperatriz, Maranhão. The socio-demographic profile was common to the general Brazilian population and similar to the local population located in other basins. The profile food not fled the rule of dietary patterns of riparian and fish as the main source of dietary protein. The piscivorous species showed significant differences (p <0.01) compared to species herbivorous / omnivorous and detrívoras studied and zooplanctófaga species showed significant differences (p <0.01) compared the two species previously mentioned. Among the 25 families evaluated the lowest average concentration of Hgtotal / family was 0.186 ± 0.043 mg / g and 5.477 ± 2.896 was greater ug / g. Even within acceptable limits, the average concentration of Hgtotal presented by men (1.01 ppm 1.97) was higher than for women (0.69 ppm 0.82) (p <0.05). Conclude that fishing families of Empress have low levels of mercury exposure as a result of dietary intake of fish with low levels of contamination, including fish-eating species, which were below the safety limit for human consumption established by Brazilian standards, serving reference to other studies.
Acesso aberto (Open Access)
Avaliação da resposta imunológica a vacina da Hepatite B nos trabalhadores do Hospital Municipal de Imperatriz-MA
(Universidade Federal do Pará, 2012) SANTOS, Wllington Jorge dos; MARTINS, Luisa Caricio; http://lattes.cnpq.br/1799493244439769
The hospital offers risk when the exposure of health professionals and other workers to a variety of materials, especially organic. This study aims to determine the prevalence of serological markers for HBV (ABsAg, anti-HBc and anti-HBS) and analyze the immune response to hepatitis B vaccine among workers of the Municipal Hospital Imperatriz- MA. We consulted the medical records of 257 hospital workers in different categories of professionals. Was removed from the records information about the immunization schedule for hepatitis B, and the results of serological markers (HBsAg, Anti HBs, Anti HBC total) performed by them in 2010 and 2011. In search of serological markers for HBV was observed that had the HBsAg 0.4%, 10% anti-HBc and 34% anti-HBs. Based on the interpretation of serological markers surveyed 62% of employees are susceptible to HBV infection. The age group 41-60 years, the service time, where 72% of servers that had come in contact with HBV had more than three years service in the hospital was more frequent among employees reagents. The vaccination for HBV has been observed that among the servers that had come in contact with the virus most of them 84% had completed the immunization schedule. The results of this study highlights the need for intensification of strategies to improve vaccination coverage against hepatitis B, training of professionals about preventive measures against accidents with biological material and professional awareness of the use of personal protection equipment and collective.
Acesso aberto (Open Access)
Incidência de Hanseniase em menores de 15 anos acompanhados no município de Imperatriz no período de 2004 a 2010
(Universidade Federal do Pará, 2012) GORDON, Ariadne Siqueira de Araujo; XAVIER, Marília Brasil; http://lattes.cnpq.br/0548879430701901
The present study aimed to estimate the overall incidence and rate of leprosy cases in children under 15 years in the city of Imperatriz, analyzing spatial distribution and surveillance actions recommended by the Ministry of Health was a longitudinal study, the incidence of cases of leprosy among children under 15 years, retrospective information with notifications generated by the offense, aside SINAN NET system. Data collection was conducted in the month of June 2012, 284 patients were investigated that were reported in the city of Imperatriz, in the period 2004-2010, as ranked new case, the input mode. The detection rate had its peak in 2005, 83.38 / 100,000 inhabitants. The highest coefficient of patients with Grade Physical Disability (GIF) at diagnosis was in 2004 where it was 39.62%. The coefficient of contacts investigated was 24.44%. As for the detection of new cases were male (51.06%), the color brown (55.65%), aged 10-14 years with 60.22% and schooling average of 6 to 11 years study (59.8%). Regarding the classification and treatment, the type Indefinite (40.13%) and tuberculoid (31.68%) prevailed, and paucibacillary MDT was the treatment of choice in 72.17% of cases reported in the period. Disability was prevalent in 22.2% of all cases. The data confirm the maintenance of hyperendemicity leprosy, especially in children under 15 years, demonstrating the maintenance of the chain of disease transmission, with operating indicators for the surveillance and control program well short of acceptable parameters. The distribution of cases in the county occurred in the area of greatest agglomeration and poor sanitary conditions, represented by District 4, which is composed mainly by neighborhoods Santa Rita, San Jose and New Imperatriz. The number of contacts investigated was considered precarious and operational indicator that assessed degree of disability at diagnosis presented above, specifically with GIF II, demonstrating the late diagnosis of leprosy in children under 15 years in the city.
Acesso aberto (Open Access)
Infecção por Helicobacter pylori: transmissão intradomiciliar e os fenótipos de grupos sanguíneos ABO e Lewis como marcadores de predisposição entre as famílias residentes as margens do Rio Tocantins, no município de Imperatriz – MA
(Universidade Federal do Pará, 2012-09-13) BARBOSA, Marluce Sampaio Nobre; CORVELO, Tereza Cristina de Oliveira; http://lattes.cnpq.br/7253864056606024
The present study aimed to analyze the relationship between infection by Helicobacter pylori in children and their parents through diagnostic laboratory and epidemiological information, helping to clarify the possible etiological factors of this infection. A descriptive and analytical cross-sectional was conducted, from March to June 2012. The study population included 48 families living on the river in areas of the river Tocantins, in the municipal of Imperatriz-Maranhão, registered and assisted by the family health team operating in that area. Form epidemiological applied and biological material collected from children under 12 years corresponded to samples of feces and saliva, while the parents or guardians and children from 12 years corresponded to samples of blood and saliva. Serum samples were screened for the presence of anti-H. pylori by immunoassays (ELISA) was used in saliva DOT-ELISA technique on nitrocellulose membranes for identifying phenotypes ABH and Lewis, feces were used for the detection of H. pylori antigens using immune chromatographic assay qualitatively. The overall prevalence of infection in children under 12 years was 69,23%, with onset before the first year of life. The prevalence of infection in mothers and fathers was 76.60% and 59.09% respectively; between infected mothers 77,27% of the children were also infected. The prevalence of infection by H. pylori, among the members of the families studied showed no associations with the phenotypes of blood groups ABO, Lewis and secretor status. Socioeconomic aspects are suggestive of interfamilial transmission that can be facilitated by poor environmental conditions, with lack of sanitation, hygiene and poverty.
Acesso aberto (Open Access)
Investigação da prevalência da amebíase em escolares do município de Imperatriz-MA
(Universidade Federal do Pará, 2012) BELFORT, Marcia Guelma Santos; ISHIKAWA, Edna Aoba Yassui; http://lattes.cnpq.br/3074963539505872
Amoebiasis is an infection caused by Entamoeba histolytica and an important cause of morbidity and mortality worldwide. Studies have reported a high prevalence of in tropic amebiasis al regions, especially in communities living in poor sanitary conditions. The epidemiological study of amoebiasis has been reevaluated since E. histolytica, pathogenic form, was distinct from E. dispar, non-pathogenic form. The aim of this study was to estimate the prevalence of E. histolytica in the population of the municipal city Imperatriz (MA). We conducted a cross-sectional study involving 405 students. By the screening of the complex E. histolytica / E.dispar parasitological examination was performed using the sedimentation method. The positive samples for E.histolytica/ E.dispar complex were subjected to polymerase chain reaction (PCR) for species differentiation. For initial amplification by the PCR we used a outer primer set E1 and E2 that amplified a 1076 bp fragment and followed by a multiplex PCR using inner primer set Ed-L/Ed-R and Eh-L/Eh-R E.histolytica and E.dispar respectively. No sample showing positivity for E. histolytica The prevalence of E.dispar in the population was 2.7% (11/405). The PCR proved important tool for the differential diagnosis of Entamoebas. However, studies on the prevalence of amoebiasis should be conducted in population with different characteristics, in order to contribute effectively to define the epidemiological situation of this infection in Imperatriz city.
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Investigação de Leishmania SP em carrapatos de cães de bairros de Imperatriz-MA, através da Reação em Cadeia da Polimerase (PCR)
(Universidade Federal do Pará, 2012) FREITAS, Milena Sousa; ISHIKAWA, Edna Aoba Yassui; http://lattes.cnpq.br/3074963539505872
Leishmaniasis is a disease caused by the protozoan Leishmania, can affect humans and animals depending on the species of the parasite, transmitted by sandflies are female insects of the genus Lutzomyia, that in exercising hematophagism inoculated infective promastigote forms, but recently has been raised hypotheses about the transmission by ticks. According to the epidemiological surveillance of Imperatriz-MA is a city endemic for both Cutaneous Leishmaniasis (LT) and for Visceral Leishmaniasis (VL). This study aimed to investigate the presence of Leishmania spp in ticks collected from dogs presented to petshop and Zoonoses Control Centre of the Municipality of Imperatriz using the PCR technique. DNA was extracted from 640 female ticks and tested using the primer which amplifies the mini-exon gene of Leishmania sp. Ticks were collected from 41 dogs of different neighborhoods of Imperatriz. Most ticks were identified as Rhipicephalus sanguineus. The following clinical signs of leishmaniasis in dogs were observed: onychogryphosis in 53.65% (22/41); ulcers 63.41% (26/41), hair loss and loss of appetite in 39.02% (16 / 41). One hundred and seventy ticks (26.56%) of 16 dogs had collected DNA from Leishmania subgenus Viannia, responsible for the cutaneous form of the disease. DNA was not detected none of Leishmania infantum chagasi. Infected ticks were collected from both symptomatic and asymptomatic dogs. Although it has not been shown that ticks can transmit Leishmania to dogs under natural conditions, the outcome of this study has several important because it is a non-invasive method of detection, able to differentiate groups of parasites in circulation, particularly if animals do not have lesions, may be a biological indicator in places where there is an investigation done serological and entomological not and can support the programs of the local health surveillance.
Acesso aberto (Open Access)
Investigação dos genes Bla SHV, Bla TEM e Bla CTX-M produtoras de beta-lactamases de espectro estendido em E. coli e Klebsiella spp isoladas de gestantes com infecção do trato urinário atendidas em unidade básica de saúde de Imperatriz-MA
(Universidade Federal do Pará, 2012) OLIVEIRA, Adriana dos Santos; ISHIKAWA, Edna Aoba Yassui; http://lattes.cnpq.br/3074963539505872
Beta-lactamases are produced by gram-positive and gram-negative bacteria. About 40% to 50% of women developed a urinary tract infection during their adult life. The aim of the present study was the characterization of genes Bla SHV, Bla TEM e Bla CTX-M beta-lactamase-producing extended-spectrum E. coli and Klebsiella spp isolated from pregnant women with urinary tract infection treated at a Basic Health Unit of Empress - MA from May to August 2012. The study included 50 pregnant women over 18 years who presented with symptoms clinical characterization of urinary tract infection (UTI), referenced in the clinic in the Basic Health Empress - MA. Urine was collected for urine culture and sensitivity of achievement, subsequently was performed Polymerase Chain Reaction (PCR) to detect the presence of genes Bla SHV, Bla TEM e Bla CTX-M, enzymes producing beta-lactamases. The mean age of these patients was 21 years, 42% being aged 18 to 25 years, 70% of these fixed address in Empress and the other 30% come from other municipalities. Among these, 24% of the volunteers already had UTI during pregnancy and pregnancy out of state and 80% of them reported using antibiotics without prescription. Of the 12 samples with positive microbiological growth, 11 were positive for Escherichia coli with the antibiogram results that were resistant to the antibiotic cephalothin at 91.7%. Being isolated, a strain of Klebsiella spp, and this was resistant to all antibiotics tested. By analyzing the results of PCR samples isolated three genes Bla SHV, Bla TEM e Bla CTX-M, were not observed in samples P9, P11 and P12, but in the other samples was the occurrence of at least one of the genes. This study confirmed the presence of three types of genes (Bla SHV, Bla TEM e Bla CTX-M) among the samples studied.
Acesso aberto (Open Access)
Organização de lideranças no bairro da Vilinha, Imperatriz-MA, uma área de ocupação
(Universidade Federal do Pará, 2005-12-10) COSTA, Raimundo Nonato Barbosa; SIMONIAN, Ligia Terezinha Lopes; http://lattes.cnpq.br/6620574987436911
This work has as objective to present an analysis on the urban problem in an occupation area in the neighborhood of the Villa, municipal district of Empress, highlighting the organization forms and performance of leaderships with relationship to the conquests and improvements of the population, tends as base an analysis of the associative in the Vila and its invigoration in Brazil after the 1980. As theoretical foundation was approached the classic in the investigation of the phenomenon of the cities and urbanization process, like Weber, Castells, Rodrigues, Acevedo, Simonian and others. During the research, mobilizations were identified in the neighborhood towards better life conditions as the politics of health, education and safety, showing the impasses at the same time among the inhabitants and between these and the public power, in the conquest of improvements for the neighborhood. Another aspect that stands out in this analysis is the relationships of the popular movement in the Villa with the municipal public power and until Federal, standing out the negotiations with INFRAERO for the liberation of the area for the definitive territorial formation of the neighborhood and at the same time the presence of the woman's performance as pioneer leaderships in the organization of representative movements of the neighborhood. It is concluded finally that the popular movement developed an important work, but a lot of times gone back to the attendance, mainly developed by the performance of the Churches so that they didn't contribute to help in the conscience citizen's formation, what could be explained the reason of so much difficulties, that the neighborhood today mainly, as the infrastructure basic.
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As parcerias público/privadas e as feições da gestão gerencial na educação
(Universidade Federal do Pará, 2015-09-25) ALVES, Antonio Sousa; SANTOS, Terezinha Fátima Andrade Monteiro dos; http://lattes.cnpq.br/9502681594591950
The thesis "The public / private partnerships and the features of the managerial management in education" has as subject of study the relationship between the public / private partnerships and managerial management and its impact on the school management of the State System in Imperatriz / MA taking into account the public / private partnership between the Government of the State of Maranhão and the Instituto Ayrton Senna - IAS. This study has as its main question: What are the repercussions of the program Gestão Nota 10 - GN10 for the management of state school in Imperatriz / MA? Witn that in mind the following general objective was established: To analyze the repercussions that the GN10 program has left to the management of the state school system in Imperatriz / MA. The theoretical-methodological foundation that guides the analysis is based on a qualitative research, classified under the Case Study method, developed in two schools of the state system in the Regional Unity of Imperatriz - UREI in Imperatriz city / MA, Southwest Region of Maranhão state. In addition, semi-structured interviews were conducted with some education professionals (educational manager, school principals, school supervisors and the coordinator of the program GN10) who worked in the state system in Imperatriz / MA during the program implementation and execution. Interview data were treated out of the analysis of the content in order to triangulate the perception of the individuals with the information revealed by the documents. For the development of this research the contextualization of the origin of the private property and the bourgeois capitalist state took place in order to analyze and understand the characteristics of private and public spheres since the origin of the modern state. The context of metamorphosis of the public administration in Brazil was presented, revealing its differences and its dialectic in patrimonial, bureaucratical and managerial models. It was also shown the process of Reform of the Country identifying the particularities of the Master Plan of Reform of the State Apparatus - PDRAE and establishment of regulatory frameworks which reshaped the public / private partnerships for education among which stand out the law of Social Organizations - OS No. 9,637 / 98 and Law of Civil Society Organizations of Public Interest - OSCIP. The repercussions of managerial reform in the state of Maranhão were analyzed, its peculiarities in economic and social policy were identified. From the analyzes carried out it was found that, in the context of public / private partnership between the IAS and the Government of Maranhão: (i) there was an increase of illiteracy rate; (ii) there was a decrease in approval rates and increased failure rates and truancy, both in elementary school and high school in state school system; (iii) there was a significant reduction in the number of enrollments and close down of state schools; (iv) the school management presents itself weakened under aspects of autonomy, participation and decentralization. Thus, it is concluded that public / private partnerships hide educational reality with the spread of fictitious educational indicators which mask reality and also under the logic of managerial management carry out an ideological cooptation of individuals emptying the possibility of collective and dialogical construction of a democratic school management.
Acesso aberto (Open Access)
Pneumonia associada à ventilação mecânica em pacientes internados na Unidade de Terapia Intensiva no Hospital Municipal de Imperatriz, no período de 2008 a 2010
(Universidade Federal do Pará, 2012) OLIVEIRA NETTO, Raimundo Francisco de; QUARESMA, Juarez Antônio Simões; http://lattes.cnpq.br/3350166863853054
The nosocomial pneumonia, although they involve patients in various hospital areas occur more frequently in intensive care units in patients intubated and mechanically ventilated, and represent the leading cause of nosocomial infection in these centers. The aim of this study was to evaluate the prevalence and risk factors associated with pneumonia caused by intubation in an adult UTI orotraquial in the municipality of Imperatriz - MA. The study, patients admitted to the intensive care unit at the Hospital Municipal Imperatriz-MA, who underwent mechanical ventilation in the period from 2008 to 2010. Among the 1618 patients assigned per year, the prevalence of UTI-acquired pneumonia was 12.9% in 2008, 18.97% in 2009 and 14.7% in 2010. Considering the gender, the prevalence was higher in males and most affected age group was 61-80 years with 54.55% of cases in 2008. Antibiotic therapy before PAVM, immunosuppression of the patient and the time of onset of PAVM were factors associated with the risk of developing pneumonia in the UTI. Nosocomial pneumonia is a serious problem in the city of Imperatriz and new studies to assess prevalence and risk factors will be useful to guide the deploytion of preventive measures aimed at reducing this prevalence.
Acesso aberto (Open Access)
Prevalência da co-infecção por Leishmania sp. em pacientes portadores de HIV/AIDS atendidos pelo Programa Municipal de DST/AIDS no Centro de Testagem e Aconselhamento (CTA) de Imperatriz-MA
(Universidade Federal do Pará, 2012) SILVA, Lúcio André Martins da; ISHIKAWA, Edna Aoba Yassui; http://lattes.cnpq.br/3074963539505872
The co-infection with Leishmania-HIV-AIDS is a serious public health problem in most of the world. However, cases of coinfection remain underestimated, since leishmaniasis is not AIDS-defining illness. It was conducted a cross-sectional survey from December 2011 to February 2012, with the objective to investigate the prevalence of co-infection HIV/Leishmania in patients enrolled in the cityprogram STD/AIDS in the Centro de Testagem e Aconselhamento (CTA) de Imperatriz-MA. The study population consisted of 199 individuals. Data collection was conducted through a questionnaire to obtain demographic, socioeconomic and epidemiological data, and it was also performed tests through collection of biological material (blood) of all patients for detection of infection with Leishmania sp., through laboratory tests (CD4 and CD8 counting) and PCR research. Among the patients it was observed similarity between the frequency of gender, 49.2% male and 50.8% female, with an average age of 40 years. It was observed that 61.8% have a low level of education and 69.3% have an income of up to minimum wage. 2.01% (4/199) of patients analyzed presented coinfection Leishmania/HIV. From these, 3 showed mixed infection with Leishmania (V.) sp and Leishmania (L.) amazonensis causing ATL, and one patient infected by Leishmania (L.) chagasi, causing VL. Comparing the risk factors, comorbidities and complications among patients analyzed it was observed that malaria was the only factor that proved significant at around 10.05%. This was the first study that investigates the Leishmania HIV coinfection in the city of Imperatriz, Maranhão and identification of coinfected patients was of fundamental importance to the service as from which will be able to then follow up these patients. This study provided the magnitude of the prevalence of co-infection Leishmania/HIV. Thus, we suggest that the anti-Leishmania test is performed on all subjects with HIV/AIDS, and are incremented public policies for this problem.
Acesso aberto (Open Access)
Prevalência de Hepatite C em pacientes em terapia de substituição renal na cidade de Imperatriz – Maranhão
(Universidade Federal do Pará, 2012) SILVA, Maria Izabel Leite da; MARTINS, Luisa Caricio; http://lattes.cnpq.br/1799493244439769
Hepatitis C is considered a public health problem in Brazil and worldwide, with a high risk of becoming chronic, and complications such as hepatocellular carcinoma and liver cirrhosis. Patients on hemodialysis have a high risk for infection with hepatitis C for many reasons. Studies show high prevalence rates in dialysis units worldwide. In the state of Maranhao there´s no studies showing the profile of HCV in the population of patients with chronic renal failure. The main objective of this study is to evaluate the prevalence of hepatitis C in patients undergoing renal replacement therapy in the city of Imperatriz-Maranhao. As well as to investigate the main risk factors involved in transmission of HCV in this population. This is a cross-sectional study conducted at a clinic of kidney diseases, the period between January and December 2010. The target population for the study consisted of 181 patients on renal replacement therapy, hemodialysis or peritoneal dialysis. We used a questionnaire designed to obtain epidemiological data was collected peripheral blood sample, in order to perform the search for anti-HCV testing and molecular biology research and genotyping of viral RNA. The results showed a prevalence of 7.2% (13/181) in HCV patients. A higher frequency of males among patients with HCV (92%). The risk factor that stood out was the duration of hemodialysis, where 30.8% of patients over 15 years of treatment had antibodies against HCV and had abnormal ALT levels. The prevalence of Hepatitis C was high in the study unit. The duration of dialysis was considered crucial for the positivity of the virus, males had higher incidence. Individuals with chronic HCV infection had ALT levels higher than those without chronic hepatitis C infection.
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Prevalência de pneumonia em Unidade de Terapia Intensiva no Hospital Infantil de Imperatriz - MA
(Universidade Federal do Pará, 2012-09-12) ALMEIDA, Maria Olyntha Araújo de; QUARESMA, Juarez Antônio Simões; http://lattes.cnpq.br/3350166863853054
Pneumonia is an important public health problem contributing to high rates of morbidity and mortality in the world especially in developing countries. This study aims to evaluate the prevalence of pneumonia in children hospitalized in the pediatric intensive care unit, as well as to estimate the incidence of these children, with diagnosis of pneumonia and identify variables associated with the development of pneumonia, which determine the incidence of infant mortality this ICU for pneumonia. This is a descriptive study with cross-sectional and retrospective approach from a review of medical records of children who were hospitalized in a pediatric intensive care unit of a Municipal Hospital in Imperatriz Maranhão, during the period January to December 2011. data were initially obtained through the records contained in the admission book of children in the Pediatric Intensive Care Unit, where they found 230 admissions. In a second stage, were selected and included in the records of children of both sexes aged one month to 12 years of age, hospitalized pediatric intensive care unit with a diagnosis of nosocomial pneumonia research, making a sample of 60 medical records of which held the collection of the data contained therein using previously structured form. Of the 230 patients admitted to the Intensive Care Unit of the hospital, in the period January-December 2011 26% (n = 60) developed nosocomial pneumonia, age between 1 to 12 months 63% (n = 38), followed ages between 13 and 36 months with 36% (n = 13), the diagnosis of pneumonia was 26%. It was observed that pneumonia related to health care at the Children's Hospital the Imperatriz represented a common complication in pediatric patients under intensive care, being an aggravating factor for the occurrence of deaths, with important relationship to invasive procedures particularly invasive mechanical ventilation as well as therapy used.
Acesso aberto (Open Access)
Prevalência do papilomavírus humano em mulheres portadoras do vírus da imunodeficiência humana atendidas no serviço de atendimento especializado de Imperatriz-MA
(Universidade Federal do Pará, 2012) CASANOVA, Franciara Batista; FUZII, Hellen Thais; http://lattes.cnpq.br/0026958665547973
This work aims to assess the prevalence of HPV and the risk factors associated to the co-infection HIV HPV. Seventy-eight cervical samples of HIV-positive women attended at the SAE of an STD/ AIDS Program of the city of Imperatriz, Maranhão, Brazil, were analyzed. Cytopathology exams and amplification by PCR were realized. A questionnaire was used as instrument for data collection. The DNA positivity of HPV was 74,36%. In our study, the cytology diagnosed alterations in 16 (20,51%) of the cases. DNA HPV in 71% of the patients with inflammatory cytology was detected, and 93% of cytologies altered. Amongst the alterations we feature ASCUS with 100%; ASCUH 100%; LIE low level 100%; LIE high level 66,6%. By analyzing the social-demographic risk factors of this population in relation to the prevalence of infection by HPV, it was noticed that women who assumed they never had alcohol showed higher prevalence (87,5%), and women who presently use tobacco (84,6%) were infected by HPV. No differences were noticed amongst the variables “marital status”, “education”, “number of partners”, “use of preservatives” and “use of contraceptives”, with similar profile occurring. This study was a pioneer in the city of Imperatriz and confirmed a high prevalence of co-infection. The fight against uterine cancer must be adopted as a priority of public health services since it is a disease with potential to prevention, whose tracking is effective.
Acesso aberto (Open Access)
Prevalência e aspectos epidemiológicos das enteroparasitoses e sua relação com o estado nutricional em crianças residentes no Bairro Beira Rio de Imperatriz, MA em 2011
(Universidade Federal do Pará, 2012) PIRES, Renata de Cássia Coêlho; CORVELO, Tereza Cristina de Oliveira; http://lattes.cnpq.br/7253864056606024
Intestinal parasites are considered a public health problem, that despite all the advances in technology and medicine, are still strongly incidents today, being able to trigger different consequences to their patients, especially in children, who are in growth phase and development and may have harmed this time delay through the physical, mental and social. Thus, this research aims to understand the prevalence and epidemiology of intestinal parasites and their relation to nutritional status in children living in the neighborhood Beira-Rio, aged 01-10 years, who are accompanied by the Family Health Strategy of that district. Therefore, we analyzed 102 records concerning children attending the Basic Health Unit (BHU), through the care offered by the health team in the period between 2011 and underwent stool testing, hemoglobin and serum iron, beyond measure anthropometric. A prevalence of 60% for intestinal parasites, particularly Ascaris lumbricoides (20%), Giardia lamblia (14%) and Endolimax nana (14%). Regarding sex was not identified significant differences in the prevalence, however, was observed an association between intestinal parasites and serum iron anemia, unlike the analysis of hemoglobin. Nutritional assessment showed that (50.98%) of the children were with adequate nutritional status (eutrophic) and (34.32%) had abnormal underweight and nutritional risk, and of these (57.14%) were parasitized, the alerting for greater attention to this audience because of diseases and complications that may result from this condition. In epidemiology there was a significant relationship between low education and intestinal parasites, as well as disability treatment of water consumed, which reinforces that preventive measures are essential to control the condition, as well as the damage to health, reflect conditions of life to which the community is exposed as inadequate sanitation and poor quality of life, especially for children.