Made available in DSpace on 2014-08-20T13:57:55Z (GMT). No. of bitstreams: 1 Dissertacao_Bruna_Celestino_Schneider.pdf: 1031191 bytes, checksum: 9e915661e045b444e739ce934e235a37 (MD5) Previous issue date: 2010-11-09 / Estudo transversal de base populacional que avaliou indivíduos com 20 anos ou mais residentes na zona urbana de Pelotas, Rio Grande do Sul que objetivou descrever a frequência do consumo de carnes e o hábito de consumi-las com excesso de gordura. . Foi avaliado o consumo no último ano de carnes vermelhas (com osso, bife e carne moída), brancas (frango e peixes), vísceras e embutidos. Dos 2.730 entrevistados, 99,1% (IC95% 98,7 - 99,5) consumiu algum tipo de carne no último ano, sendo que, em torno de 32% referiu consumo diário. A prevalência do consumo de carnes vermelhas (99,3% IC95% 98,9 - 99,6) e brancas (99,4% IC95% 99,1 - 99,7) foi semelhante. A carne de frango foi a mais consumida (98,0% IC95% 97,4 - 98,5), enquanto que as vísceras as menos (59,1% IC95% 56,4 - 61,7). Os embutidos, consumidos por 85,5% (IC95% 83,7 - 87,2) das pessoas, apresentaram a maior prevalência de consumo diário (16,6%). As carnes com excesso de gordura foram consumidas por 52,3% (IC95% 49,8 - 54,8) dos adultos, principalmente homens e pessoas de menor escolaridade e nível econômico. / Estudo transversal de base populacional que avaliou indivíduos com 20 anos ou mais residentes na zona urbana de Pelotas, Rio Grande do Sul que objetivou descrever a frequência do consumo de carnes e o hábito de consumi-las com excesso de gordura. . Foi avaliado o consumo no último ano de carnes vermelhas (com osso, bife e carne moída), brancas (frango e peixes), vísceras e embutidos. Dos 2.730 entrevistados, 99,1% (IC95% 98,7 - 99,5) consumiu algum tipo de carne no último ano, sendo que, em torno de 32% referiu consumo diário. A prevalência do consumo de carnes vermelhas (99,3% IC95% 98,9 - 99,6) e brancas (99,4% IC95% 99,1 - 99,7) foi semelhante. A carne de frango foi a mais consumida (98,0% IC95% 97,4 - 98,5), enquanto que as vísceras as menos (59,1% IC95% 56,4 - 61,7). Os embutidos, consumidos por 85,5% (IC95% 83,7 - 87,2) das pessoas, apresentaram a maior prevalência de consumo diário (16,6%). As carnes com excesso de gordura foram consumidas por 52,3% (IC95% 49,8 - 54,8) dos adultos, principalmente homens e pessoas de menor escolaridade e nível econômico.

Made available in DSpace on 2014-08-20T13:57:56Z (GMT). No. of bitstreams: 1 Dissertacao_Everton_Jose_Fantinel.pdf: 361570 bytes, checksum: 358e3247ab150dabf9b0250dfc706290 (MD5) Previous issue date: 2010-10-18 / Insomnia is the most common sleep disorder. It affects millions of people constituting a public health problem with social and individual consequences. This study aimed to evaluate the prevalence of insomnia and its association with sociodemographic, behavioral and drug use. We used a cross-sectional population-based sample of 2732 adults aged 20 years or more living in Pelotas, Brazil. The outcome was operationalized by Insomnia Severity Index. Analysis was adjusted by Poisson regression. The prevalence of insomnia was 28.2% (95% CI: 26.2 to 30.3), with an increased likelihood in women, younger, poorer and do not work people. There was an apparent increase in the prevalence of insomnia in the city over the past ten years, with a marked change in age, becoming more prevalent in young than old. / A insônia é o mais frequente dos problemas relacionados ao sono. Afeta milhões de pessoas constituindo-se em um problema de saúde pública com consequências sociais e individuais. Este estudo teve por objetivo avaliar a prevalência de insônia e sua associação com variáveis sociodemográficas, comportamentais e de uso de medicamentos. Utilizou-se o delineamento transversal de base populacional, com amostra de 2732 indivíduos de 20 anos de idade ou mais, residentes em Pelotas, RS. O desfecho foi operacionalizado através do Insomnia Severity Index. A análise foi ajustada por regressão de Poisson. A prevalência de insônia foi de 28,2% (IC95%: 26,2 30,3), com uma probabilidade aumentada em mulheres, pessoas mais jovens, mais pobres e que não trabalham. Houve um aparente incremento da prevalência de insônia na cidade nos últimos dez anos, com uma marcante mudança de faixa etária, passando a ser mais prevalente em jovens do que em idosos.

Made available in DSpace on 2014-08-20T13:57:56Z (GMT). No. of bitstreams: 1 Dissertacao_Arnildo_Agostinho_Hackenhaar.pdf: 306557 bytes, checksum: e4cfcd2b150bbe8aa2e680ef206162bc (MD5) Previous issue date: 2005-02-25 / Objective: This study aims to determinate the prevalence and factors associated to women living in Pelotas, Southern Brazil, RS, who have undergone Pap smear within the 20- 59 age range. Methods: A population-based cross-sectional study was carried out from October to December, 2003. 144 census tracts were sampled through a multiple-stage clustered method. Socio-demographic variables were investigated, as well as wommen s undergoing Pap smear exam. Results: Among 1404 women who are the polulation included in the prophylactic program of the cervix uterine cancer, 83% had Pap smear exam in the previous three years before the study. Variables statistically associated (p<0.05) to women not undergonig the exam in the previos three years were: ages range of 20- 29 years and 50-59 compared with 40-49 years-old women, lower schooling level, worst social level, mixed races and black skined, not seeing a gynecologist in the previous 12 months. Conclusions: Although this study presents a high coverage regarding women undergoing Pap smear exam, women that present higher risk factors for this kind of cancer had fewer exams. Compared to a previous similar study carried out in the same setting a decade ago, an increase in the number of women undergoing the exam has been verified, regardless the skin color, monthly family income and whether they are living with a partner or not. / Objetivo: Determinar a prevalência e fatores associados a não realização de exame citopatológico do colo uterino em mulheres com idade entre 20 e 59 anos residentes na cidade de Pelotas, RS. Métodos: Entre outubro e dezembro de 2003 foi realizado um estudo transversal de base populacional. Através de amostragem por conglomerados foram sorteados 144 setores censitários em múltiplos estágios. Foram investigadas variáveis sociodemográficas e a realização de exame citopatológico do colo uterino. Resultados: Dentre as 1404 mulheres que constituem a população-alvo dos programas de prevenção do câncer do colo uterino, 83,0% realizaram o exame citopatológico do colo uterino nos três anos antecedentes a este estudo. Mostraram-se significativamente associadas (P<0,05) a não realização deste tipo de exame nos últimos três anos as seguintes variáveis: faixas etárias de 20 a 29 anos e 50 a 59 anos em relação às mulheres de 40 a 49 anos de idade, menor escolaridade, menor quintil de pontos obtidos para construção do nível socioeconômico segundo a Associação Nacional de Empresas de Pesquisa (ANEP), cor da pele mulata ou preta e não consultar com ginecologista nos últimos 12 meses. Conclusões: Apesar de este estudo mostrar alta cobertura na realização de citopatológico do colo uterino nos três anos antecedentes a entrevista, as mulheres com maior número de fatores de risco ao câncer de colo uterino apresentaram menor índice de realização deste exame. Em relação ao estudo similar realizado na mesma localidade em 1992, verificou-se aumento na realização deste exame independentemente da cor da pele, renda familiar mensal e viver ou não com companheiro.

Made available in DSpace on 2014-08-20T13:57:58Z (GMT). No. of bitstreams: 1 Dissertacao_Raquel_Siqueira_Barcelos.pdf: 1041764 bytes, checksum: 13725e8c323a6880506d7a7f9441cce3 (MD5) Previous issue date: 2012-12-17 / To assess the prevalence of menstrual disturbances and their distribution according to parity and demographic, social and behavioral characteristics among 1.078 women aged 15-54 years, a cross-sectional population-based study was carried out in Pelotas, Brazil. The menstrual disturbances investigated included heavy menstrual bleeding, inter-menstrual bleeding, short cycle, long cycle, and prolonged menses. Prevalence rates and 95% confidence intervals were calculated. Global prevalence of menstrual disturbances was 46.4% (95%CI 43.3-49.4). The most prevalent disturbance was heavy menstrual bleeding (23.2%; 20.5-25.8), followed-up by short cycle (19.2%; 16.6-21.8), long cycle (14.8%; 12.7-16.9), inter-menstrual bleeding (11.1%; 9.1-13.2), and prolonged menses (7.9%; 6.3-9.4). Menstrual disturbances are frequent at the population and are more prevalent among women with 35 years or older, with low level of formal education, high parity, with tubal ligation, and smokers. / Para avaliar a prevalência de distúrbios menstruais e sua distribuição conforme paridade e características demográficas, sociais e comportamentais, entre 15-54 anos de idade, realizou-se estudo transversal de base populacional, em Pelotas, RS, com 1.078 mulheres. Foram investigados sangramento menstrual excessivo, sangramento intermenstrual, ciclo menstrual curto, ciclo menstrual longo e menstruação prolongada. Foram calculadas as taxas de prevalência, com intervalos de confiança de 95%. A prevalência global de distúrbios menstruais foi 46,4% (IC95% 43,4-49,4). O mais prevalente foi sangramento menstrual excessivo (23,2%; 20,5-25,8), seguido de ciclo menstrual curto (19,2%; 16,6-21,8), ciclo menstrual longo (14,8%; 12,7-16,9), sangramento intermenstrual (11,1%; 9,1-13,2) e menstruação prolongada (7,9%; 6,3-9,4). Os distúrbios menstruais são frequentes na população, estando associados à idade maior que 34 anos, escolaridade menor que cinco anos, maior paridade, laqueadura tubária e tabagismo.

Doctor of Philosophy / Department of Civil Engineering / Sunanda Dissanayake / Lane-departure crashes are the most predominant crash type in Kansas which causes very high number of motor vehicle fatalities. Therefore, the Kansas Department of Transportation (KDOT) has implemented several different types of countermeasures to reduce the number of motor vehicle fatalities associated with lane-departure crashes. This research was conducted to estimate the safety effectiveness of commonly used lane-departure countermeasures in Kansas on all crashes and lane-departure crashes using Crash Modification Factors (CMFs). Paved shoulders, rumble strips, safety edge treatments and median cable barriers were identified as the commonly used lane-departure countermeasures on both tangent and curved road segments while chevrons and post-mounted delineators were identified as the most commonly used lane-departure countermeasures on curved road segments. This research proposes a state-of-art method of estimating CMFs using cross-sectional data for chevrons and post-mounted delineators. Furthermore, another state-of-art method is proposed in this research to estimate CMFs for safety edge treatments using before-and-after data. Considering the difficulties of finding the exact date of implementation of each countermeasure, both cross-sectional and before-and-after studies were employed to estimate the CMFs. Cross-sectional and case-control methods, which are the two major methods in cross-sectional studies were employed to estimate CMFs for paved shoulders, rumble strips, and median cable barriers. The conventional cross-sectional and case-control methods were modified when estimating CMFs for chevrons and post-mounted delineators by incorporating environmental and human behaviors in addition to geometric and traffic-related explanatory variables. The proposed method is novel and has not been used in the previous cross-sectional models available in the literature. Generalized linear regression models assuming negative binomial error structure were used to develop models for cross-sectional method to estimate CMFs while logistic regression models were used to estimate CMFs using case-control method. Results showed that incorporating environmental and human-related variables into cross-sectional models provide better model fit than in conventional cross-sectional models. To validate the developed models for cross-sectional method, mean of the residuals and the Root Mean Square Error (RMSE) were used. For the case-control method, Receiver Operational Characteristic (ROC) was used to evaluate the predictive power of models for a binary outcome using classification tables. However, it was seen that the case-control method is not suitable for estimating CMFs for all crashes since the range of the crash frequency is wide in each road segment. A regression-based method of estimating CMFs using before-and-after data was proposed to estimate CMFs for safety edge treatments. This method allows researchers to identify the safety effectiveness of an individual CMFs on road segments where multiple treatments have been applied at the same time. Since this method uses road geometric and traffic-related characteristics in addition to countermeasure information as the explanatory variables, the model itself would be the Safety Performance Function (SPF). Therefore, developing new SPF is not necessary. Finally, the CMFs were estimated using before-and-after Empirical Bayes method to validate the results from the regression-based method. The results of this study can be used as a decision-making tool when implementing lane-departure countermeasures on similar roadways in Kansas. Even though there are readily available CMFs from the national level studies, having more localized CMFs will be beneficial due to differences in traffic-related and geometric characteristics on different roadways.

Abstract Background: Maternal mortality is one of the most sensitive indicators of the health disparities between poorer and richer nations. It is also one of the most difficult health outcomes to measure reliably. In many settings, major challenges remain in terms of both measuring and reducing maternal mortality effectively. This thesis aims to quantify overall levels, identify specific causes, and evaluate local interventions in relation to efforts to reduce maternal mortality in Tigray Region, Northern Ethiopia, thereby providing a strong empirical basis for decision making by the Tigray Regional Health Bureau using methods that can be scaled at national level.   Methods: This study employed a combination of community-based study designs to investigate the level and determinants of maternal mortality in six randomly selected rural districts of Tigray Region. A census of all households in the six districts was conducted to identify all live births and all deaths to women of reproductive age occurring between May 2012 and September 2013. Pregnancy-related deaths were screened through verbal autopsy with the data processed using the InterVA-4 model, which was used to estimate Maternal Mortality Ratio. To identify independent determinants of maternal mortality, a case-control study using multiple logistic regression analysis was done, taking all pregnancy-related deaths as cases and a random sample of geographical and age matched mothers as controls. Uptake of ambulance services in the six districts was determined retrospectively from ambulance logbooks, and the trends in pregnancy-related death were analyzed against ambulance utilization, distance from nearest health center, and mobile network coverage at local area level. Lastly, implementation of the Family Folder paper health register, and its potential for accurately capturing demographic and health events, were evaluated using a capture-recapture assessment.   Results: A total of 181 deaths to women of reproductive age and 19,179 live births were documented from May 2012 to April2013. Of the deaths, 51 were pregnancy-related. The maternal mortality ratio for Tigray region was calculated at 266 deaths per 100,000 live births (95% CI 198-350), which is consistently lower than previous “top down” MMR estimates. District–level MMRs showed strong inverse correlation with population density (r2 = 0.86). Direct obstetric causes accounted for 61% of all pregnancy–related deaths, with hemorrhage accounting for 34%. Non-membership in the voluntary Women’s Development Army (AOR 2.07, 95% CI 1.04-4.11), low husband or partner involvement during pregnancy (AOR 2.19, 95% CI 1.14-4.18), pre-existing history of other illness (AOR 5.58, 95% CI 2.17-14.30), and never having used contraceptives (AOR 2.58, 95% CI 1.37-4.85) were associated with increased risk of maternal death in a multivariable regression model. In addition, utilization of free ambulance transportation service was strongly associated with reduced MMR at district level. Districts with above-average ambulance utilization had an MMR of 149 per 100,000 LB (95% CI: 77-260) compared with 350 per 100,000 (95% CI: 249-479) in districts with below average utilization. The Family Folder implementation assessment revealed some inconsistencies in the way Health Extension Workers utilize the Family Folders to record demographic and health events.   Conclusion: This work contributes to understanding the status of and factors affecting maternal mortality in Tigray Region. It introduces a locally feasible approach to MMR estimation and gives important insights in to the effectiveness of various interventions that have been targeted at reducing maternal mortality in recent years.

The aim of this thesis was to acquire knowledge about patient participation in everyday life of persons with dementia living in SCUs in nursing homes. Data collection and analysis in studies I-III was carried out according to Grounded Theory. Data was collected by open non- participant observations during 51 hours, and conversations with 8 residents and 17 health care personnel (I), interviews carried out twice with 12 relatives (II) and 11 nursing personnel (III), and by a study specific questionnaire based on the findings from study I-II to 233 relatives (IV). Descriptive and non-parametric statistics were used (IV). Presence of nursing personnel in body, mind and morality was found to be the prerequisite for patient participation (I). This required personnel with high competence in dementia care, commitment to and interest in the resident, and continuity in their work (I, III). Wellbeing and dignity in the resident’s everyday life was found to be the most important goal, not necessarily a high level of patient participation (II-III). The level of participation had to be adjusted to the resident’s ability and wish to take part in decisions in the very moment. However, the level was often primarily adjusted to suit the personnel’s ideas about how to carry out daily care (I, III). Relatives had an important role in the participation process by interacting, and exchanging information, with the personnel. By forming a basis for individualised care in this way, relatives made a difference to the resident’s everyday life and contributed to their wellbeing and dignity (II-IV). The SCU’s context also affected patient participation (I-IV). Patient participation must be given attention by leaders and be prioritised in dementia care. Nursing personnel can enhance patient participation by promoting relatives’ partaking in the participation process, as this has potential for further contributing to quality of care.

Magister Public Health - MPH / A cross- sectional descriptive study using a self-administered close-ended questionnaire was conducted with pupils in standards four to seven (aged 10 - 17 years) in ten government primary schools in Meru District. The sample of 400 school pupils was obtained by a simple random sampling technique. Data analysis was done using Statistical Package for Social Sciences SPSS (version 15) computer software and the results were presented in frequencies using simple percentages, tables and graphs. The Chi-square test was used to assess the significance where a p-value of <0.05 was considered statistically significant. In conclusion, Primary school pupils in Meru district engage in several risky sexual behaviors including substance use, sexual coercion, early sexual debut and engaging in various sexual practices. This calls for a more comprehensive approach in the fight against HIV among primary school children in Tanzania, which could include life skill training at an early age, behaviour change communication interventions, advocacy activities to influence policy formulation, condom promotion and incorporating key stakeholders in the rollout of school based HIV programmes such as parents, community leaders and faith-based organizations leaders. / South Africa

The operating efficiency and reliability of modern jet engines have undergone significant improvement largely owing to the advances of the materials science over the past 60 years. The use of both superalloys and TBCs in engine components such as turbine blades has made it possible for jet engines to operate at higher temperatures, allowing an optimal balance of fuel economy and thrust power. Despite the vast improvement in high temperature capability of superalloys, the utilization of TBCs has brought the concern of coating adhesion during their usage. TBCs are prone to spallation failure due to interfacial rumpling, which is driven primarily by thermal coefficient mismatch of the multi-layered structure. Although interfacial degradation of TBCs has been widely studied by detailed numerical and analytical models, the predicted results (i.e. stress state and rumpling amplitude) often deviate from that obtained by experiments. This is largely due to the lack of consideration of the influence of bond coat and substrate chemistry on the interfacial evolution of TBC systems. It is only in recent year that more and more study has been focused on studying the role of chemistry on the interfacial degradation of TBCs. The purpose of this PhD project is to clarify how the bond coat and substrate chemical compositions dictate the mechanisms of interfacial degradation, leading to the final spallation. A cross-sectional indentation technique was utilized to quantitatively characterize the adhesion of oxide-bond coat interface among 5 systematically prepared TBC systems. The adhesion of isothermally exposed oxide-bond coat interface was then correlated with different microstructure parameters, in an attempt to identify the key parameters controlling the TBC spallation lifetime. EBSD and EPMA analyses were conducted on the bond coat near the oxide-bond coat interface, in order to understand the relationship between the key parameters and specific alloying elements. The results clearly demonstrated that the phase transformation of bond coat near the oxide-bond coat interface plays the dominant role in the degradation of interfacial adhesion. Particularly, the co-existence of gamma prime and martensitic phases, each having very different thermomechanical response under thermal exposure, can generate a misfit stress in the TGO layer, and ultimately causes early TBC spallation. In addition, the phase transformation behavior has been closely associated with the inherent chemistry of the bond coat and substrate.

Orientador: Herling Gregorio Aguilar Alonzo / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-26T19:45:31Z (GMT). No. of bitstreams: 1 Germano_LucasCoraca_M.pdf: 2927353 bytes, checksum: 0acf11b60ff7d23a33ff0ac8280c2046 (MD5) Previous issue date: 2015 / Resumo: As intoxicações constituem um problema de saúde pública global, com crescente número de ocorrências e óbitos. No Brasil, os dados deste agravo decorrem principalmente dos atendimentos de hospitais, que notificam ao Sistema de Informação de Agravos de Notificação (SINAN) ou solicitam auxílio dos Centros de Informação e Assistência Toxicológica (CIAT) no tratamento. Estes centros, por sua vez, enviam dados de seus atendimentos ao Sistema Nacional de Informações Tóxico-farmacológicas (SINITOX), entretanto, mesmo com ambos os sistemas de informação, grande parcela das ocorrências é ainda desconhecida. O objetivo do trabalho foi analisar os atendimentos por exposição, intoxicação ou envenenamento em um município do Estado de São Paulo, no período entre um de janeiro e 31 de dezembro de 2012, quanto às características de exposição, assistência, desfecho e de notificação. Foram revisadas as fichas de todos os atendimentos ocorridos na Unidade de Urgência e Emergência (UUE) e selecionados os decorrentes de exposição, intoxicação ou envenenamento, das quais foram coletadas variáveis de ocorrência e assistência, e analisadas com auxílio de software estatístico. Dos 95.923 atendimentos ocorridos, 3.184 (3,3%) decorreram dos eventos toxicológicos, destes, 68,6% eram do gênero masculino com mediana de idade de 38 anos, ao feminino corresponderam 31,4% e mediana de 30 anos, ambos com predomínio das faixas etárias entre 20 e 59 anos (74,5%). A taxa da prevalência foi de 46,4 atendimentos/mil habitantes. Predominaram as exposições agudas (48,5%) e crônicas (31,9%), e os principais agentes foram as drogas de abuso (58,1%), animais peçonhentos (15,8%) e medicamentos (10,0%). Em 71,0% dos atendimentos foram adotadas medidas de suporte. Foram notificados ao SINAN apenas acidentes por animais peçonhentos e o contato ao CIAT ocorreu em 10 atendimentos (0,3%), o que correspondeu a 3,1 notificações a CIATs para cada mil ocorrências toxicológicas atendidas. Em 1,7% a internação foi necessária e 4,8% receberam alta com orientação de acompanhamento em outros serviços. Em 30,8% dos expostos a drogas de abuso foram solicitadas internações em instituição de tratamento para dependência química. Em 16,7% foram identificados agravos/doenças com ou sem associação a exposição química. Ocorreram oito (0,2%) óbitos, a maioria associados a outros agravos ou doenças. O perfil apresentado dos atendimentos foi parcialmente semelhante ao apresentado em outros estudos, porém, é grande a variação entre diferentes países e regiões do mundo, inclusive no Brasil. Foi elevada a proporção de atendimentos dentre o total de urgências médicas e isso se deu ao ampliado critério de inclusão adotado, o que proporcionou uma alta representatividade das ocorrências em uma UUE. A alta subnotificação ao SINAN e SINITOX, bem como as diferenças observadas quanto aos dados destes sistemas, apontam para a necessidade de reformulação/qualificação dos dados sobre intoxicações no País, uma vez que sua representatividade pode estar comprometida. Discussões e ações devem ser tomadas para estruturação e qualificação da atenção ao exposto/intoxicado no SUS, com vistas ao conhecimento, redução e resolutividade das ocorrências / Abstract: Poisoning is a global public health problem, with an increasing number of cases and deaths. In Brazil, the data of this problem stem mainly from hospital care, which notify the National Information System of Diseases Notification (NISDN) or request assistance of Information and Toxicological Care Centers (ITCC) in the treatment. These centers, send data from your calls to the National System of Toxic-Pharmacological Information (NSTI), however, even with both information systems, large portion of cases is still unknown. The objective of this study was to analyze consultations for chemical exposures and poisonings in a municipality of San Paul State, Brazil, in the period between January 1 and December 31, 2012, for the chemical exposure characteristics, received medical care, and outcomes reporting to national systems of health information. All chart records of medical assistances occurred in Emergency Department (ED) were reviewed and selected those arising from chemical exposures and poisonings, in addition the occurrence characteristics and support variables were collected and analyzed with the statistical software. Of the 95,923 visits to ED, 3,184 (3.3%) arose from chemical exposures and poisonings, of these, 68.6% were male with a median age of 38 years, and 31.4% were female with median age of 30 years, both with predominance of age groups between 20 and 59 years (74.5%). The rate of prevalence was 46.4 ED visits / thousand inhabitants. The acute (48.5%) and chronic (31.9%) were the predominant exposures, and major toxic agents were drugs of abuse (including tobacco and alcohol) (58.1%), venomous animals (15.8%) and drugs (10.0%). Support measures were adopted in 71.0% of cases and were reported to NISDN only envenomations by venomous animals contact. ITCC consultations occurred in 10 ED visits (0.3%) corresponding to 3.1 notifications to ITCC per thousand toxicological occurrences met. 1.7% hospitalization was required and 4.8% were discharged with accompanying guidance in other services. In 30.8% of exposed to drug abuse were requested admission to the institution of treatment for chemical dependency. In 16.7% cases were identified diseases / disorders with or without associated chemical exposure. There were eight (0.2%) deaths, most associated with other health problems or diseases. The presented profile of the visits was partially similar to that shown in other studies and there is great variation between different countries and regions worldwide, including others Brazilian municipalities. The proportion of visits among the total number of medical emergencies and it took the extended inclusion criteria, which proportional representation of high occurrences in a UUE. The high underreporting to NISDN and NSTI as well as the differences on the data from these systems point to the need to reformulate / qualification of data on poisoning in the country, since their representation may be compromised. Discussion and action must be taken to structure and improve care of the intoxicated in Brazilian Universal Health System, with the objective to know, prevent, reduce and resolve all toxicologic events / Mestrado / Epidemiologia / Mestre em Saude Coletiva