Sorologia Anti PGL-1 e risco de ocorrência de hanseníase em área de alta endemicidade do Estado de São Paulo: quatro anos de seguimento

Os testes sorológicos para diagnóstico de hanseníase, usando o glicolipídeo-fenólico-1 (PGL-1), considerado antígeno específico do M. leprae, têm aberto algumas possibilidades de estudo do comportamento epidemiológico desta doença. Algumas questões, como tempo de latência da doença, infecção subclínica e importância do contato intra-domiciliar (contatos) no controle da endemia, puderam ser melhor analisadas usando este instrumental. Este estudo teve por objetivo verificar a existência de associação entre a situação sorológica e a ocorrência de hanseníase. Foram seguidas, durante 4 anos, 6.520 pessoas com idade igual ou superior a 5 anos, submetidas no início do seguimento ao teste sorológico Anti PGL-1, pertencentes ao universo de 7.416 habitantes da área urbana de um município paulista caracterizado por elevada endemicidade de hanseníase. Foi identificado um grupo de 590 indivíduos soropositivos (9,0 %). Foram diagnosticados, no período, 82 casos novos de hanseníase, 26 no grupo de soropositivos (441 casos novos/10.000 indivíduos) e 48 no de soronegativos (81/10.000). Entre os que não fizeram sorologia, surgiram 8 casos novos (89/10.000). Procurou-se controlar, na análise, a condição de contato, dado que a taxa de soropositividade padronizada por idade e sexo era de 9,61% no grupo de contatos e 7,65% no de não-contatos. Tomando-se os não-contatos soronegativos como o grupo de não expostos, foram calculados os riscos relativos de adoecimento no período, a partir das taxas de detecção padronizadas por idade, resultando no seguinte: os contatos ID soropositivos apresentaram a taxa de 1.704/10.000, 27 vezes maior que a dos não-expostos, igual a 63/10.000; os não-contatos soropositivos e os contatos soronegativos apresentaram taxas, respectivamente, de 274 e 198/10.000, ambas maiores que as dos não-expostos e iguais entre si. A soropositividade associou-se à elevação de 8,6 vezes do risco de hanseníase entre os contatos e de 4,4 entre os não-contatos. Na situação epidemiológica estudada, caracterizada por elevada endemicidade de hanseníase, 50% dos casos novos surgiram entre os não-contatos soronegativos, ou seja, sem fonte de infecção conhecida. Portanto, o teste anti-PGL-1 usado revela-se, na prática, de pouca aplicabilidade. Resta estudar ainda o comportamento da sorologia anti-PGL-1 em áreas de média e baixa endemicidade para que se possa tirar conclusões mais consubstanciadas sobre sua utilidade no controle da endemia. Recomenda-se o aprofundamento das pesquisas sorológicas e de outras que aprimorem o diagnóstico precoce da infecção subclínica, inclusive para detecção de formas paucibacilares, para se ampliar as possibilidades de influir no controle endêmico.

Conhecimento sobre saúde bucal por concluintes de pedagogia

Este estudo teve por objetivo investigar as opiniões e o conhecimento de concluintes do curso de Pedagogia da cidade de Araçatuba, São Paulo, Brasil, em 2009, sobre saúde bucal. Para tanto, foi utilizado um questionário semiestruturado, abordando as opiniões dos estudantes sobre educação em saúde bucal e seu conhecimento sobre aspectos relativos à cárie dentária, à odontologia preventiva e à odontologia na primeira infância. de um universo de 120 estudantes, 92 (76,6%) consentiram participar do estudo. Destes, 86,8% acadêmicos acham que o professor deve atuar como educador em saúde bucal e 92,4% consideram importante a sua integração com profissionais de saúde. Responderam corretamente sobre o conceito de placa bacteriana e cárie dentária, respectivamente, 9% e 34,8%. Sobre o surgimento da cárie e sobre a possibilidade de se ter dentes saudáveis a vida inteira, responderam corretamente 67% e 83,7%, respectivamente. Assim, os concluintes de Pedagogia têm opiniões positivas em relação à educação em saúde bucal; entretanto, o seu conhecimento sobre a temática abordada é insatisfatório, uma vez que eles serão futuros professores e formadores de opinião.

Bounds on direct couplings of superheavy metastable particles to the inflaton field from ultra high energy cosmic ray events

Top-down models for the origin of ultra high energy cosmic rays (UHECR's) propose that these events are the decay products of relic superheavy metastable particles, usually called X particles. These particles can be produced in the reheating period following the inflationary epoch of the early Universe. We obtain constraints on some parameters such as the lifetime and direct couplings of the X-particle to the inflaton field from the requirement that they are responsible for the observed UHECR flux.

Cosmological constraints on an invisibly decaying Higgs

Working in the context of a proposal for collisional dark matter, we derive bounds on the Higgs boson coupling g' to a stable light scalar particle, which we refer to as phion (phi), required to solve problems with small scale structure formation which arise in collisionless, dark matter models. We discuss the behaviour of the phion in the early universe for different ranges of its mass. We find that a phion in the mass range of 100 MeV is excluded and that a phion in the mass range of I GeV requires a large coupling constant, g' greater than or similar to 2, and m(h) less than or similar to 130 GeV in order to avoid overabundance, in which case the invisible decay mode of the Higgs boson would be dominant. (C) 2001 Elsevier B.V. B.V. All rights reserved.

Kinematics of a spacetime with an infinite cosmological constant

A solution of the sourceless Einstein's equation with an infinite value for the cosmological constant L is discussed by using Inonu-Wigner contractions of the de Sitter groups and spaces. When Lambda --> infinity, spacetime becomes a four-dimensional cone, dual to Minkowski space by a spacetime inversion. This inversion relates the four-cone vertex to the infinity of Minkowski space, and the four-cone infinity to the Minkowski light-cone. The non-relativistic limit c --> infinity. is further considered, the kinematical group in this case being a modified Galilei group in which the space and time translations are replaced by the non-relativistic limits of the corresponding proper conformal transformations. This group presents the same abstract Lie algebra as the Galilei group and can be named the conformal Galilei group. The results may be of interest to the early Universe Cosmology.

Age constraints and fine tuning in variable-mass particle models

VAMP (variable-mass particle) scenarios, in which the mass of the cold dark matter particles is a function of the scalar field responsible for the present acceleration of the Universe, have been proposed as a solution to the cosmic coincidence problem, since in the attractor regime both dark energy and dark matter scale in the same way. We find that only a narrow region in parameter space leads to models with viable values for the Hubble constant and dark energy density today. In the allowed region, the dark energy density starts to dominate around the present epoch and consequently such models cannot solve the coincidence problem. We show that the age of the Universe in this scenario is considerably higher than the age for noncoupled dark energy models, and conclude that more precise independent measurements of the age of the Universe would be useful in distinguishing between coupled and noncoupled dark energy models.

Cosmological term and fundamental physics

A nonvanishing cosmological term in Einstein's equations implies a nonvanishing spacetime curvature even in the absence of any kind of matter. It would, in consequence, affect many of the underlying kinematic tenets of physical theory. The usual commutative spacetime translations of the Poincare group would be replaced by the mixed conformal translations of the de Sitter group, leading to obvious alterations in elementary concepts such as time, energy and momentum. Although negligible at small scales, such modifications may come to have important consequences both in the large and for the inflationary picture of the early Universe. A qualitative discussion is presented, which suggests deep changes in Hamiltonian, Quantum and Statistical Mechanics. In the primeval universe as described by the standard cosmological model, in particular, the equations of state of the matter sources could be quite different from those usually introduced.

A singular conformal spacetime

The infinite cosmological constant limit of the de Sitter solutions to Einstein's equation is studied. The corresponding spacetime is a singular, four-dimensional cone-space, transitive under proper conformal transformations, which constitutes a new example of maximally-symmetric spacetime. Grounded on its geometric and thermodynamic properties, some speculations are made in connection with the primordial universe. (c) 2005 Elsevier B.V. All rights reserved.

What do very nearly flat detectable cosmic topologies Rook like?

Recent studies of the delectability of the cosmic topology of nearly flat universes have often concentrated on the range of values of Omega(0) given by current observations. Here we study the consequences of taking a range of bounds satisfying \Omega(0) - 1\ much less than 1, which include those expected from future observations such as the Planck mission, as well as those predicted by inflationary models. We show that in this limit, a generic detectable non-flat manifold is locally indistinguishable from either a cylindrical (R-2 X S) or toroidal (R x T-2) manifold, irrespective of its global shape, with the former being more likely. Importantly, this is compatible with some recent indications of the alignment of the quadrupole and octupole moments, based on the analysis of the first year WMAP data. It also implies that in this limit an observer would not be able to distinguish topologically whether the universe is spherical, hyperbolic or flat. By severely restricting the expected topological signatures of detectable isometries, our results provide an effective theoretical framework for interpreting cosmological observations, and can be used to confine the parameter spaces which realistic search strategies, such as the 'circles in the sky' method, need to concentrate on.

Consequences of dark matter-dark energy interaction on cosmological parameters derived from type Ia supernova data

Models where the dark matter component of the Universe interacts with the dark energy field have been proposed as a solution to the cosmic coincidence problem, since in the attractor regime both dark energy and dark matter scale in the same way. In these models the mass of the cold dark matter particles is a function of the dark energy field responsible for the present acceleration of the Universe, and different scenarios can be parametrized by how the mass of the cold dark matter particles evolves with time. In this article we study the impact of a constant coupling delta between dark energy and dark matter on the determination of a redshift dependent dark energy equation of state w(DE)(z) and on the dark matter density today from SNIa data. We derive an analytical expression for the luminosity distance in this case. In particular, we show that the presence of such a coupling increases the tension between the cosmic microwave background data from the analysis of the shift parameter in models with constant w(DE) and SNIa data for realistic values of the present dark matter density fraction. Thus, an independent measurement of the present dark matter density can place constraints on models with interacting dark energy.

Connection between UHECR's and supermassive relic particles

One of the models proposed for the origin of ultra high energy cosmic rays (UHECR's) suggests that these events are the decay products of relic superheavy metastable particles, which we call S particles. These particles can be produced in the reheating period following the inflationary epoch of the early Universe. We study this possibility and obtain constraints on some parameters such as the lifetime and direct couplings of the X-particle to the inflaton field from the requirement that they are responsible for the observed UHECR flux.

Topological signatures in CMB temperature anisotropy maps

We propose an alternative formalism to simulate cosmic microwave background (CMB) temperature maps in Lambda CDM universes with nontrivial spatial topologies. This formalism avoids the need to explicitly compute the eigenmodes of the Laplacian operator in the spatial sections. Instead, the covariance matrix of the coefficients of the spherical harmonic decomposition of the temperature anisotropies is expressed in terms of the elements of the covering group of the space. We obtain a decomposition of the correlation matrix that isolates the topological contribution to the CMB temperature anisotropies out of the simply connected contribution. A further decomposition of the topological signature of the correlation matrix for an arbitrary topology allows us to compute it in terms of correlation matrices corresponding to simpler topologies, for which closed quadrature formulas might be derived. We also use this decomposition to show that CMB temperature maps of (not too large) multiply connected universes must show patterns of alignment, and propose a method to look for these patterns, thus opening the door to the development of new methods for detecting the topology of our Universe even when the injectivity radius of space is slightly larger than the radius of the last scattering surface. We illustrate all these features with the simplest examples, those of flat homogeneous manifolds, i.e., tori, with special attention given to the cylinder, i.e., T-1 topology.

Incorporating memory effects in phase separation processes

We consider the modification of the Cahn-Hilliard equation when a time delay process through a memory function is taken into account. We then study the process of spinodal decomposition in fast phase transitions associated with a conserved order parameter. Finite-time memory effects are seen to affect the dynamics of phase transition at short times and have the effect of delaying, in a significant way, the process of rapid growth of the order parameter that follows a quench into the spinodal region. These effects are important in several systems characterized by fast processes, like non-equilibrium dynamics in the early universe and in relativistic heavy-ion collisions. (C) 2006 Elsevier B.V. All rights reserved.

Primeval symmetries

A detailed examination of the Killing equations in Robertson-Walker coordinates shows how the addition of matter and/or radiation to a de Sitter Universe breaks the symmetry generated by four of its Killing fields. The product U = a(2) H of the squared scale parameter by the time-derivative of the Hubble function encapsulates the relationship between the two cases: the symmetry is maximal when U is a constant, and reduces to the six-parameter symmetry of a generic Friedmann-Robertson-Walker model when it is not. As the fields physical interpretation is not clear in these coordinates, comparison is made with the Killing fields in static coordinates, whose interpretation is made clearer by their direct relationship to the Poincare group generators via Wigner-Inonu contractions.

Dilatonic current-carrying cosmic strings

We investigate the nature of ordinary cosmic vortices in some scalar-tensor extensions of gravity. We find solutions for which the dilaton field condenses inside the vortex core. These solutions can be interpreted as raising the degeneracy between the eigenvalues of the effective stress-energy tensor, namely, the energy per unit length U and the tension T, by picking a privileged spacelike or timelike coordinate direction; in the latter case, a phase frequency threshold occurs that is similar to what is found in ordinary neutral current-carrying cosmic strings. We find that the dilaton contribution for the equation of state, once averaged along the string worldsheet, vanishes, leading to an effective Nambu-Goto behavior of such a string network in cosmology, i.e. on very large scales. It is found also that on small scales, the energy per unit length and tension depend on the string internal coordinates in such a way as to permit the existence of centrifugally supported equilibrium configuration, also known as vortons, whose stability, depending on the very short distance (unknown) physics, can lead to catastrophic consequences on the evolution of the Universe.