Comparison of Cardiovascular Risk Factors in Different Areas of Health Care Over a 20-Year Period

Background:Cardiovascular diseases (CVDs) are the leading cause of death worldwide. Knowledge about cardiovascular risk factors (CVRFs) in young adults and their modification over time are measures that change the risks and prevent CVDs.Objectives:To determine the presence of CVRFs and their changes in different health care professionals over a period of 20 years.Methods:All students of medicine, nursing, nutrition, odontology, and pharmacy departments of Federal University of Goiás who agreed to participate in this study were evaluated when they started their degree courses and 20 years afterward. Questionnaires on CVRFs [systemic arterial hypertension (SAH), diabetes mellitus, dyslipidemia, and family history of early CVD, smoking, alcohol consumption, and sedentarism] were administered. Cholesterol levels, blood sugar levels, blood pressure, weight, height, and body mass index were determined. The Kolmogorov-Smirnov test was used to evaluate distribution, the chi-square test was used to compare different courses and sexes, and the McNemar test was used for comparing CVRFs. The significance level was set at a p value of < 0.05.Results:The first stage of the study included 281 individuals (91% of all the students), of which 62.9% were women; the mean age was 19.7 years. In the second stage, 215 subjects were reassessed (76% of the initial sample), of which 59.07% were women; the mean age was 39.8 years. The sample mostly consisted of medical students (with a predominance of men), followed by nursing, nutrition, and pharmacy students, with a predominance of women (p < 0.05). Excessive weight gain, SAH, and dyslipidemia were observed among physicians and dentists (p < 0.05). Excessive weight gain and SAH and a reduction in sedentarism (p < 0.05) were observed among pharmacists. Among nurses there was an increase in excessive weight and alcohol consumption (p < 0.05). Finally, nutritionists showed an increase in dyslipidemia (p < 0.05).Conclusion:In general, there was an unfavorable progression of CVRFs in the population under study, despite it having adequate specialized knowledge about these risk factors.

Tolerância de cultivares de trigo (Triticum aestivum L.) ao alumínio e ao manganês: III. influência do alumínio e do grau de tolerância ao alumínio sobre as concentrações de P, Ca e Mg das partes aéreas

Este estudo foi feito visando verificar a influência do Al sobre as concentrações de P, Ca e Mg das partes aéreas e detectar possíveis relações entre as concentrações desses mesmos elementos com o grau de tolerância ao Al de cultivares de trigo. Nas partes aéreas de plantas de 10 cultivares de trigo apresentando tolerância diferencial ao alumínio e desenvolvidas em soluções nutritivas contendo 0,0, 2,5, 5,0, 7,5 e 10,0 ppm de Al foram determinados o P, Ca e Mg. Os resultados mostraram que o grau de tolerância ao Al dos cultivares de trigo não está relacionado com as concentrações de P, Ca e Mg das partes aéreas e que as concentrações desses mesmos elementos se comportam diferentemente em função das concentrações de Al na solução.

Tolerância de cultivares de trigo (Triticum aestivum L.) ao alumínio e ao manganês: IV. influência do manganês e do grau de tolerância ao manganês sobre as concentrações de P, Ca, Mg, Fe, Mn, Zn e Cu das partes aéreas e Ca, Fe e Mn das raízes

Este estudo foi feito com a finalidade de verificar a influência do Mn sobre as concentrações de P, Ca, Mg, Mn, Zn e Cu das partes aéreas e Ca, Fe e Mn das raízes, bem como detectar possíveis relações entre as concentrações dos elementos determinados em ambos os órgãos com o grau de tolerância ao Mn dos cultivares. Concluiu-se que o grau de tolerância ao Mn não está relacionado com as concentrações de P, Ca, Mg, Fe, Mn, Zn e Cu das partes aéreas e Ca, Fe e Mn das raízes e que as concentrações dos elementos determinados em ambos os órgãos se comportam diferentemente em função das concentrações de Mn na solução.

Infaunal recruitment patterns in soft bottom habitats of the Patos Lagoon estuary, southern Brazil: influence of Chasmagnathus granulata (Brachyura, Grapsidae) disturbance

A comparative study of the infaunal recruitment patterns among disturbed surface sediment mounds around Chasmagnathus granulata Dana, 1851 burrows and undisturbed adjacent sediments was done in two intertidal soft bottom habitats (an upper and a lower mudflat zone) in an estuarine inlet of Patos Lagoon, southern Brazil. The most abundant infaunal organisms were recruits of the polychaete Laeonereis acuta Treadwell, 1923 and of the tanaid Kalliapseudes schubartii Mañé-Garzón, 1949. The densities of these species did not differ significantly between upper and lower mudflat habitats. These species showed lower densities around crab burrows than in adjacent areas, where differences in sediment characteristics were observed as well. The results indicate that C. granulata disturbances may play an important role in regulating the soft bottom benthic community by controlling infaunal recruitment in the estuarine intertidal mudflats of the Patos Lagoon.

Drosophilidae (Diptera) associated to fungi: differential use of resources in anthropic and Atlantic Rain Forest areas

This study investigates the Drosophilidae species associated to fruiting bodies of fungi in forested and anthropized environments of the Atlantic Rain Forest Biome, in south and southeastern Brazil. We collected samples of imagoes flying over and emerging from fruiting bodies of species of five fungi families, in six collection sites. We obtained 18 samples, from which emerged 910 drosophilids of 31 species from the genera Drosophila Fallen, 1823, Hirtodrosophila Duda, 1923, Leucophenga Mik, 1886, Mycodrosophila Oldenberg, 1914, Scaptomyza Hardy, 1849, Zaprionus Coquillett, 1901 and Zygothrica Wiedemann, 1830. The Drosophila species collected on fungi, as well as Zaprionus indianus Gupta, 1970, had previously been recorded colonizing fruits, demonstrating their versatility in resource use. Most of these species belong to the immigrans-tripunctata radiation of Drosophila. Our records expands the mycophagous habit (feeding or breeding on fungi) to almost all species groups of this radiation in the Neotropical region, even those supposed to be exclusively frugivorous. Assemblages associated to fungi of forested areas were more heterogeneous in terms of species composition, while those associated to fungi of anthropized areas were more homogeneous. The drosophilids from anthropized areas were also more versatile in resource use.

Benthic macroinvertebrates as bioindicators of water quality in an Atlantic forest fragment

The objective of this study was to evaluate benthic macroinvertebrate communities as bioindicators of water quality in five streams located in the "Reserva Particular do Patrimônio Natural" (RPPN) Mata Samuel de Paula and its surroundings, in the municipality of Nova Lima near the city of Belo Horizonte, Minas Gerais State, southeastern Brazil. This region has been strongly modified by human activities including mining and urbanization. Samples were collected in the field every three months between August 2004 and November 2005, totaling six samplings in the rainy and dry seasons. This assessment identified one area ecologically altered while the other sampling sites were found to be minimally disturbed systems, with well-preserved ecological conditions. However, according to the Biological Monitoring Work Party (BMWP) and the Average Score Per Taxon (ASPT) indices, all sampling sites had excellent water quality. A total of 14,952 organisms was collected, belonging to 155 taxa (148 Insecta, two Annelida, one Bivalvia, one Decapoda, one Planariidae, one Hydracarina, and one Entognatha). The most abundant benthic groups were Chironomidae (47.9%), Simuliidae (12.3%), Bivalvia (7.5%), Decapoda (6.1%), Oligochaeta (5.2%), Polycentropodidae (3.7%), Hydropsychidae (2.5%), Calamoceratidae (1.8%), Ceratopogonidae (1.7%), and Libellulidae (1.2%). The assessment of the benthic functional feeding groups showed that 34% of the macroinvertebrates were collector-gatherers, 29% predators, 24% collector-filterers, 8% shredders, and 5% scrapers. The RPPN Mata Samuel de Paula comprises diversified freshwater habitats that are of great importance for the conservation of many benthic taxa that are intolerant to organic pollution.

Use of camera-traps in natural trails and shelters for the mammalian survey in the Atlantic Forest

In order to evaluate the efficiency of different mammalian survey methods, we compared traditional sampling techniques (use of camera-traps on roads and artificial trails, track censuses, and direct field visualization) with an alternative sampling design (camera-traps positioned in natural areas such as natural trails and shelters). We conducted the study in a deciduous Atlantic-Forest park in southern Brazil, and additionally compared our results with a previous intensive study carried out in the same area. Our considerably smaller sampling effort (example: 336 trap.day for our camera-traps versus 2,154 trap.day for the earlier study) registered the presence of 85% of the local known species, with camera-traps being 68% efficient. Moreover, shelter camera-traps revealed a different species composition regarding most of other sampling methods. This sampling strategy involving natural forest sites was therefore able to effectively optimize the chances of evaluating species composition in a shorter period, especially with respect to lower-density and cryptic species, as well as to detect species that avoid open, disturbed sites such as roads and man-made forest trails.

Occurrence of Hirudinea species in a post urban reach of a Patagonian mountain stream

Temporal (May 2005 to February 2006) and habitat distribution (pools and riffles) of Hirudinea species was analyzed at a post urban reach from Esquel stream (Chubut province, Patagonia, Argentina). Site was located 5.7 km downstream a Waste Treatment Plant. Mean values of nutrients: ammonia, nitrates and soluble reactive phosphate, as well water conductivity, turbidity and total suspended solids indicated physical and organic pollution. Leeches assemblage was composed by the glossiphonids: Helobdella scutifera Blanchard, 1900, H. michaelseni (Blanchard, 1900), H. simplex (Moore, 1911), Helobdella sp., H. hyalina Ringuelet, 1942, H. obscura Ringuelet, 1942 and the semiscolecid Patagoniobdella variabilis (Blanchard, 1900). From these H. hyalina and H. obscura are new records for Chubut province. Helobdella hyalina (810 ind.m-2) and H. simplex (465 ind. m-2) clearly dominated the assemblage at the reach. Only H. simplex displayed a spatial preference being significantly more abundant in pools than in riffle habitats (p<0.001). Species recruitment occurred mostly at September, December and March when juveniles were very abundant. Although several species of Helobdella were able to live in the disturbed section of the stream, only H. simplex and H. hyalina sustained large populations at the site and can be considered as tolerant to organic enrichment. This information is valuable to future studies on stream condition assessment in mountainous areas in Patagonia, and in other areas in which these species are present.

Poliomyelitis: epidemiological aspects in Rio de Janeiro (Guanabara State) and adjacent areas in the period from 1961 to 1970

Based on the available data from the Hospital responsible for the care of paralitic poliomyelitis cases in Rio de Janeiro City (Guanabara State) and adjacent areas, and the laboratory studies carried out on these patients, the authors analize epidemiological aspects of poliomyelitis in a period of ten years (1961 to 1970). Paralitic poliomyelitis remains a public health problem, with a typical incidence in the less than 4 year age group. All three poliovirus types have been prevalent for at least one period of time during the last ten years. Trivalent oral vaccine has been used since 1961 but the vaccination levels achieved were not enough to a permanent control of the disease. A definite seasonal distribution of cases could not be observed with the available data. Active mass campaign vaccinations with previous motivation of all segments of the population, specially the low-income groups instead of passive waiting of children in Vaccination Centers seems to be the best aproach to control poliomyelitis in this area.

A surgery for American cuteneous and visceral leishmaniasis among 1,342 dogs from areas in Rio de Janeiro (Brazil) where the human diseases occur

There are areas in the periphery of Rio de Janeiro city where human cases of Visceral and/or Cutaneous Leishmaniasis occur. The parasites have been identified as Leishmania donovani and Leishmania braziliensis braziliensis respectively. A survey for Leishmaniasis was done among 1,342 dogs from those areas using an indirect immunofluorescent test. From the dogs, 616 came from areas where only human cases of Visceral Leishmaniasis occurred, 373 from an area where all human cases were of Cutaneous Leishmaniasis and 353 from a third area (Campo Grande) where both visceral and cutaneous human cases were detected. The prevalence of parasite antibody titers among dogs from areas of Cutaneous Leishmaniasis was significantly higher than that of Visceral Leishmaniasis (8.6% vs. 4.3%, p < 0.02). The highest prevalence was observed among dogs from the area where both diseases are present (12.7%).

A review of achievements of the national schistosomiasis control program in middle and upper Egypt areas

In Egypt the "national schistosomiasis control program" was formulated to control transmission by reduction of prevalence and intensity of current infections, and thereby achieve an acceptable level of schistosomiasis disease control. The program was implemented foremost in Middle Egypt (1977) and Upper Egypt (1980), collectively extending 800 km alongside of the River Nile and accommodate about 10.5 million people. Schistosoma haematobium has been essentially the prevailing species infection in both areas. The strategy of control entailed both area-wide mollusciciding with niclosamide, and selective population chemotherapy with metrifonate. Evaluation in 1986 showed that prevalence dropped from pre-control 29.4% in Middle Egypt and 26.3% in Upper Egypt to 6% and 7.8% respectively, together with a remarkable drop of infections among children. Also mean intensity attained low levels consistent of low grade infections. It is evident therefore that in these areas where an enhancement of schistosomiasis infections had been anticipated the employment of the twofold strategy effected a state of low-prevalence/low-intensity signifying a lowered reservoir of infection and a substantial interference with the potentials of transmission.

Effects of immigration on the prevalence of malaria in rural areas of the Amazon basin of Brazil

Epidemiological studies were conducted on malaria in three rural areas of the Amazon basin in the State of Rondônia: the town of Costa Marques, Forte Príncipe da Beira (Fort), and an immigrant settlement in the nearby forest. These studies were instituted to document the malaria problem and to describe the role of immigration on its distribution and prevalence. Hospital records in the town show that the number of malaria cases increased five fold from 1983 to 1987 and that the predominant malaria parasite changel from Plasmodium vivax to P. falciparum. Increased malaria followed increased immigration and colonization of the forest. A series of epidemiologic studies suggested the linkage between malaria and immigration as the prevalence of malaria was 1-2% at the Fort, a stable community, 8-9% at Costa Marques, a growing community, and 14-26% in the new settlements in the forest.

Anopheline species, some of their habits and relation to malaria in endemic areas of Rondônia State, Amazon region of Brazil

In view of recent studies incriminating several species of anophelines, besides Anopheles darlingi, as malaria vectors in the Brazilian Amazon, we performed an anopheline survey in four localities - Ariquemes, Cujubim, Machadinho and Itapoã do Oeste - in Rondônia, the most malarious State in the Country. Twenty species were found. An. darlingi was, by far, the dominant species and the only one whose density coincided with that of malaria. On human baits it was more numerous in the immediate vincinity of houses than indoors whre, however, it was almost the only species encountered. On both situations it fed mostly at sunset and during the first half of the night. It was less numerous far from houses and scarce inside the forest. Other species (An. triannulatus, An. evansae, An. albitarsis, An. strodei) appeared in appreciable numbers only in Ariquemes, both in areas with and without malaria. The remaining species were scanty. An. darlingi was confirmed as the primary local vector.