Urban Solid Waste Management (USWM) is a worldwide challenge. The problems faced are even greater due to the disproportional increase of Urban Solid Waste (USW) generation in volume, especially in a context of increased urbanization, population growth and economic globalization in the BRICS countries (Brazil, Russia, India, China and South Africa). In this context, the objective of this work is to analyze the status of MSW management in the BRICS countries, as well as to promote an exchange of experience and management strategies, pointing out possible ways to improve USWM systems that have to be adapted to each local reality. Focusing on this, a systematic literature revision was carried out through a bibliometric analysis. Results showed that the management system of these BRICS countries does not possess well-developed structures. The collection stage is quite often inefficient, the solid waste being stored in inappropriate ways and also disposed of in irregular locations. The participation of the informal sector is a trademark characteristic in USWM for BRICS countries, highlighting the need to integrate and formalize these activities for USW collection. Due to the high organic fraction, it is known that composting offers advantages as a way to promote a better use of organic waste and also as a means of reducing the amount of waste sent to sanitary landfills. Finally, with a better knowledge about solid waste generation and decentralization of the offered services, the decision makers will be able to successfully provide this essential public service.
Objectiveto evaluate the clinical and radiographic medium‐term results from surgical treatment of developmental dysplasia through open reduction, Salter et al.’s osteotomy and capsuloplasty.Methods13 patients were evaluated, 13 hips treated surgically by the proposed technique between 2004 and 2011. A clinical and radiographic evaluation was conducted by Dutoit et al. and Severin et al. criteria, respectively.Resultsthe acetabular preoperative index for the 13 surgically treated hips ranged from 27° to 50° (average of 36), and after surgical correction to 18.5° (10–28°), so that the evaluations of preoperative and postoperative acetabular indexes showed up significant statistic reduction (p < 0.05). Regarding the postoperative clinical evaluation, it was found: nine excellent hips (69.2%), three good ones (23.1%), no fair hips (0%) and a poor one (7.7%). In radiographic evaluation, it was found: six excellent hips (46.1%), three good ones (23.1%), no fair hips (0%) and four poor ones (30.8%). Therefore, favorable results were obtained (92.3%), with grouped hips with excellent and good ratings as satisfactory and with fair and bad ratings as unsatisfactory. It is also important to notice that there was no significance among occurrence of complications, the patient's age, the time of surgery and the preoperative acetabular index (p > 0.05). As complications occurred, it was found that three subluxations and a subluxation associated with avascular necrosis of the femoral head.Conclusionopen reduction, Salter et al.’s osteotomy and capsuloplasty are seen to be a viable option for the treatment of developmental dysplasia of the hip, according to clinical and radiological medium‐term evaluations.
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