Objective: Patients with chronic hepatitis C (CHC) have a poorer quality of life than those with other chronic liver diseases. However, some of the factors that determine health-related quality of life (HRQOL) in these patients, such as the degree of liver fibrosis, are still controversial. Therefore, the aim of the present study was to investigate the impact of CHC on HRQOL by conducting clinical, psychiatric, and sociodemographic evaluations. Methods: One hundred and twenty-four consecutive patients attending a referral center for hepatitis were evaluated using the Mini-International Neuropsychiatry Interview, the Hamilton Depression Rating Scale, the Hospital Anxiety and Depression Scale, and the Medical Outcomes Study 36-Item Short-Form Health Survey. Multiple linear regression analyses were used to quantify independent associations between HRQOL and the clinical, psychiatric, and sociodemographic variables of interest. Results: Reduced HRQOL was independently associated with major depressive disorder (MDD) and with elevated levels of alanine aminotransferase, but was not associated with hepatic cirrhosis. Conclusions: MDD rather than the grade of liver fibrosis was strongly associated with HRQOL impairment in patients with CHC. These findings highlight that, in patients with CHC, the psychological effects of the disease deserve more attention and the implementation of integrated medical, psychiatric, and psychological care may be helpful.

The rough grind machine operation in metallic material produce a sub product with the followings components such as: metallic residue, small parts come from the resin grinds, diatomaceous earth material (filter material) and soluble oil in water for tools cooling. According [HU1UH] from ABNT, this sub product is toxic, not inert material, aggress the environment with pollution in the currency water and contaminate the ground when incorrectly go to the municipal solid waste. The final destination of this sub product, is the incineration, in the cements company, being the incorporated the sub product to the cement, during your production. With the qualitative result using the scanning electron microscopy (SEM), coupled to the dispersive energy spectroscopy (EDS), two experiments were made with objective to separate the magnetic material of the non-magnetic material, using a permanent magnet. We conclude that the magnetic material can be used by powder metallurgy process in production of pieces.