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@Article{CoaritiFeSpCoLePeFa:2017:RaSoUl,
               author = "Coariti, Jaime Rodriguez and Fernandez, Jos{\'e} Henrique and 
                         Spyrides, Maria Helena Constantino and Corr{\^e}a, Marcelo de 
                         Paula and Leme, Neusa Maria Paes and Pedra, George Ulguim and 
                         Faustino, Aline Berto",
          affiliation = "{Universidade Federal do Rio Grande do Norte (UFRN)} and 
                         {Universidade Federal do Rio Grande do Norte (UFRN)} and 
                         {Universidade Federal do Rio Grande do Norte (UFRN)} and 
                         {Universidade Federal de Itajub{\'a} (UNIFEI)} and {Instituto 
                         Nacional de Pesquisas Espaciais (INPE)} and {Instituto Nacional de 
                         Meteorologia (INMET)} and {Instituto Nacional de Pesquisas 
                         Espaciais (INPE)}",
                title = "Radia{\c{c}}{\~a}o solar ultravioleta e fotodermatoses em La Paz 
                         – Bol{\'{\i}}via",
              journal = "Revista Brasileira de Geografia F{\'{\i}}sica",
                 year = "2017",
               volume = "10",
               number = "2",
                pages = "371--380",
             keywords = "radia{\c{c}}{\~a}o ultravioleta, {\'{\i}}ndice ultravioleta, 
                         fotodermatoses, ultraviolet radiation, ultraviolet radiation 
                         index, photodermatoses.",
             abstract = "A Radia{\c{c}}{\~a}o Ultravioleta (R-UV) constitui o principal 
                         fator no desenvolvimento das fotodermatoses (FTD) destacando o 
                         melanoma. A altitude implica em registros elevados do 
                         {\'{\I}}ndice de Radia{\c{c}}{\~a}o Ultravioleta (IUV). La 
                         Paz, capital da Bol{\'{\i}}via, com 3.600m de altitude, 
                         re{\'u}ne condi{\c{c}}{\~o}es favor{\'a}veis para o 
                         desenvolvimento desta pesquisa cujo objetivo principal foi avaliar 
                         o comportamento dos n{\'{\i}}veis de IUV e n{\'u}mero de casos 
                         novos de FTD no per{\'{\i}}odo de 1998 - 2012. Coletaram-se 
                         informa{\c{c}}{\~o}es de casos de FTD da Policl{\'{\i}}nica 
                         Central do Hospital Caja Nacional de Salud (CNS). As 
                         informa{\c{c}}{\~o}es de RUV foram obtidas pelo 
                         espectrofot{\^o}metro Brewer. Realizou-se a avalia{\c{c}}{\~a}o 
                         descritiva das taxas de incid{\^e}ncia de FTD, IUV e Dose 
                         Eritematosa M{\'{\i}}nima (DEM). Utilizaram-se as 
                         equa{\c{c}}{\~o}es de estima{\c{c}}{\~a}o generalizada para 
                         estimar o risco relativo de FTD por sexo e faixa et{\'a}ria. 
                         Observou-se que independente da {\'e}poca do ano, no hor{\'a}rio 
                         pr{\'o}ximo ao meio dia, 94,6% dos registros de IUV 
                         corresponderam {\`a}s escalas Muito Alto e Extremo, a DEM para 
                         fototipo IV (450 Jm-2 ) foi atingida logo nas duas primeiras horas 
                         do dia. Nos ver{\~o}es a dose di{\'a}ria erit{\^e}mica 
                         acumulada (DEA) atingiu um m{\'a}ximo de 12.950 Jm-2 . No 
                         per{\'{\i}}odo de estudo registraram-se 12.153 casos de FTD dos 
                         quais 63,7% correspondem ao sexo feminino. A Taxa m{\'e}dia de 
                         Incid{\^e}ncia (TI) foi de 31 casos por 100.000 habitantes, 
                         evidenciando um risco de 4.7 vezes maior nos idosos comparado 
                         {\`a} faixa de 0 a 4 anos. Conclui-se que h{\'a} necessidade de 
                         adotar pol{\'{\i}}ticas e estrat{\'e}gias de 
                         educa{\c{c}}{\~a}o de prote{\c{c}}{\~a}o de acordo com a 
                         realidade de La Paz. ABSTRACT: Ultraviolet Radiation (UV-R) is the 
                         main factor in the development of photodermatoses (FTD), 
                         highlighting melanoma. The altitude implies high records of the 
                         Ultraviolet Radiation Index (UVI). La Paz, capital of Bolivia, 
                         with 3.600m of altitude, gathers favorable conditions for the 
                         development of this research whose main objective was to evaluate 
                         the behavior of the UVI levels and number of new cases of FTD in 
                         the period 1998-2012. Information on FTD cases has been collected 
                         from the Central Polyclinic of the Hospital {"}Caja Nacional de 
                         Salud{"}(CNS). The UV-R information was obtained by Brewer 
                         spectrophotometer. A descriptive evaluation of the incidence rates 
                         of FTD, UVI and Minimum Erythematosus Dose (MED) was performed. 
                         Generalized estimation equations were used to estimate the 
                         relative risk of FTD by sex and age group. It was observed that, 
                         regardless of the time of the year, at around midday, 94.6% of the 
                         UVI records corresponded to the {"}Very High and Extreme{"} 
                         scales, the MED for phototype IV (450Jm-2 ) was soon reached in 
                         the first two hours of the day. In summers, the accumulated 
                         erythremic daily dose (AED) reached a maximum of 12.950 Jm-2 . In 
                         the study period, 12.153 cases of FTD were recorded, of which 
                         63.7% corresponded to females. The average Incidence Rate (IR) was 
                         31 cases per 100.000 inhabitants, showing a 4.7-fold higher risk 
                         in the elderly compared to 0 to 4 years. It is concluded that 
                         there is a need to adopt policies and strategies of protection 
                         education according to the reality of La Paz city.",
                 issn = "1984-2295",
             language = "pt",
           targetfile = "coariti_radiacao.pdf",
        urlaccessdate = "27 abr. 2024"
}


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