Disinfection with sodium hypochlorite in hospital environmental surfaces in the reduction of contamination and infection prevention: a systematic review

OBJECTIVETo search for evidence of the efficiency of sodium hypochlorite on environmental surfaces in reducing contamination and prevention of healthcare-associated infection HAIs.METHODSystematic review in accordance with the Cochrane Collaboration.RESULTSWe analyzed 14 studies, all controlled trials, published between 1989-2013. Most studies resulted in inhibition of microorganism growth. Some decreased infection, microorganism resistance and colonization, loss of efficiency in the presence of dirty and surface-dried viruses.CONCLUSIONThe hypochlorite is an effective disinfectant, however, the issue of the direct relation with the reduction of HAIs remains. The absence of control for confounding variables in the analyzed studies made the meta-analysis performance inadequate. The evaluation of internal validity using CONSORT and TREND was not possible because its contents were not appropriate to laboratory and microbiological studies. As a result, there is an urgent need for developing specific protocol for evaluating such studies.

The influence of quality of life in treatment adherence of diabetic patients: a systematic review

AbstractOBJECTIVETo verify the influence of quality of life in treatment adherence of patients with diabetes mellitus.METHODSystematic review of the literature using the databases MEDLINE, CINAHL, Scopus, LILACS, SciELO and Web of Science with studies published between 2003 and 2014 in English, Portuguese or Spanish.RESULTSSix studies were included in the review, three were identified as having better quality of life scores, being related to better adherence to diabetes treatment measured by glycated hemoglobin or characteristics related to diet, exercise, use of medication and foot care. No association was found between quality of life and adherence in two investigations and a study found a negative association between these variables.CONCLUSIONThere is causal relationship between quality of life and adherence with diabetes treatment. It is suggested that psychosocial aspects of patients should be considered by health professionals in the search for better clinical outcomes in diabetes care.

Dysfunctional psychological responses among Intensive Care Unit nurses: a systematic review of the literature

AbstractOBJECTIVETo systematically review evidence on dysfunctional psychological responses of Intensive Care Units nurses (ICUNs), with focus on anxiety and depressive symptoms and related factors.METHODA literature search was performed in CINAHL, PubMed and Scopus databases, from 1999 to present, along with a critical appraisal and synthesis of all relevant data. The following key words, separately and in combination, were used: "mental status" "depressive symptoms" "anxiety" "ICU nurses" "PTSD" "burnout" "compassion fatigue" "psychological distress".RESULTSThirteen quantitative studies in English and Greek were included. The results suggested increased psychological burden in ICUNs compared to other nursing specialties, as well as to the general population.CONCLUSIONSStudies investigating psychological responses of ICUNs are limited, internationally. Future longitudinal and intervention studies will contribute to a better understanding of the phenomenon.

Controlling wound odor with metronidazole: a systematic review

AbstractOBJECTIVEVerifying the evidence of therapeutic efficacy in the topical application of metronidazole for controlling wound odor.METHODSA systematic literature review, according to the Cochrane Collaboration recommendations.RESULTS329 articles were identified in the Cochrane, LILACS, SciELO, CINAHL and PubMed databases, with 14 of them being included in the final sample. Two of the studies were double-blind randomized clinical trial studies.CONCLUSIONThe actual effectiveness of metronidazole in controlling wound odor cannot yet be evidenced due to the absence of strong evidence from studies on the subject, despite clinical practice recommending its benefits.

Effectiveness of heparin versus 0.9% saline solution in maintaining the permeability of central venous catheters: a systematic review

Abstract OBJECTIVE Determining which is the most effective solution (heparin flush compared to 0.9% saline flush) for reducing the risk of occlusions in central venous catheters (CVC) in adults. METHOD The systematic review followed the principles proposed by the Cochrane Handbook; critical analysis, extraction and synthesis of data were performed by two independent researchers; statistical analysis was performed using the RevMan program 5.2.8. RESULTS Eight randomized controlled trials and one cohort study were included and the results of the meta-analysis showed no difference (RR=0.68, 95% CI=0.41-1.10; p=0.12). Analysis by subgroups showed that there was no difference in fully deployed CVC (RR=1.09, CI 95%=0.53-2.22;p=0.82); Multi-Lumen CVC showed beneficial effects in the heparin group (RR=0.53, CI 95%=0.29-0.95; p=0.03); in Double-Lumen CVC for hemodialysis (RR=1.18, CI 95%=0.08-17.82;p=0.90) and Peripherally inserted CVC (RR=0.14, CI 95%=0.01-2.60; p=0.19) also showed no difference. CONCLUSION Saline solution is sufficient for maintaining patency of the central venous catheter, preventing the risks associated with heparin administration.

Hypertension prevalence among indigenous populations in Brazil: a systematic review with meta-analysis

Abstract OBJECTIVE Evaluating the evidence of hypertension prevalence among indigenous populations in Brazil through a systematic review and meta-analysis. METHODS A search was performed by two reviewers, with no restriction of date or language in the databases of PubMed, LILACS, SciELO, Virtual Health Library and Capes Journal Portal. Also, a meta-regression model was designed in which the last collection year of each study was used as a moderating variable. RESULTS 23 articles were included in the review. No hypertension was found in indigenous populations in 10 studies, and its prevalence was increasing and varied, reaching levels of up to 29.7%. Combined hypertension prevalence in Indigenous from the period of 1970 to 2014 was 6.2% (95% CI, 3.1% - 10.3%). In the regression, the value of the odds ratio was 1.12 (95% CI, 1.07 - 1.18; p <0.0001), indicating a 12% increase every year in the probability of an indigenous person presenting hypertension. CONCLUSION There has been a constant increase in prevalence despite the absence of hypertension in about half of the studies, probably due to changes in cultural, economic and lifestyle habits, resulting from indigenous interaction with non-indigenous society.

Revision of the myrmecophilous diapriid genus Bruchopria Kieffer (Hymenoptera, Proctotrupoidea, Diapriidae)

A redescription of the genus Bruchopria and its two species, B. hexatoma Kieffer (female and male) and B. pentatoma Kieffer (male only) is presented. New record for B. hexatoma from Argentina is provided. Some aspects of diapriid biology with emphasis on their myrmecophilic evidence and association with ants are discussed. Scanning photographs of morphological structures are included.

Revision of the Neotropical Xanthandrus Verral (Diptera, Syrphidae)

The Neotropical genus Xanthandrus Verral, 1901 is revised. Six species are redescribed: X. bucephalus (Wiedemann, 1830), X. cubanus Fluke, 1936, X. mellinoides (Macquart, 1846), X. mexicanus Curran, 1930, X. nitidulus Fluke, 1937, and X. plaumanni Fluke, 1937. Three species are included based on original descriptions: X. flavomaculatus Shannon, 1927, X. palliatus (Fluke, 1945), and X. simplex (Loew, 1861). New synonyms proposed: Argentinomyia longicornis (Walker, 1837) = Xanthandrus biguttatus Hull, 1945 syn. nov., and Xanthandrus bucephalus (Wiedemann, 1830) = Melanostoma quadrinotata Bigot, 1884 syn. nov. Description of terminalia, a key for Neotropical species, and illustrations are also presented.

Revision of Loboederus Guérin-Méneville (Coleoptera, Elateridae, Elaterinae, Ampedini)

The genus Loboederus Guérin-Méneville, 1831 formerly included three species: L. appendiculatus (Perty, 1830), L. fleutiauxi Lesne, 1940 and L. luederwaldti Costa-Andrade, 1935. L. fleutiauxi is considered as a junior synonym of L. luederwaldti. The generic characterization and the morphological analysis and redescriptions of both species are presented. The lectotype and paralectotypes of L. luederwaldti are designated and the geographical distribution of both species is widened.

Revision of the genus Blauta LeConte (Coleoptera, Elateridae, Elaterinae, Ampedini, Dicrepidiina)

The genus Blauta Leconte, 1853 is formed by two species, B. cribraria (Germar, 1844) and B. falli Brown, 1936, recorded from Southeast of United States. The generic characterization and the redescriptions and morphological illustrations, including mouthparts and genitalia, of both species are presented. A comparison of both species is also included.

Revision of the New World bee fly genus Heterostylum Macquart (Diptera, Bombyliidae, Bombyliinae)

The genus Heterostylum Macquart and five Neotropical species (H. ferrugineum (Fabricius, 1805), H. hirsutum (Thunberg, 1827), H. rufum (Olivier, 1789), H. haemorrhoicum (Loew, 1863) and H. pallipes Bigot, 1892) are redescribed. The other species, recently redescribed or described are only diagnosed, except for H. deani Painter, 1930, whose spermathecae are described and illustrated for the first time. The main characters of the external morphology were photographed and the male genitalia and female spermathecae illustrated. An identification key to all included species is also presented.

Revision of the genus Cosmotomidius Melzer (Coleoptera, Cerambycidae, Lamiinae)

Cosmotomidius Melzer, 1931 is revised and transferred from Acanthocinini to Acanthoderini. Cosmotomidius vincus new species is described from Bolivia (Santa Cruz). Cosmotomidius setosus is recorded from the states of Bahia, Mato Grosso, Goiás and Minas Gerais in Brazil, and also from Bolivia.

Revision of the genus Harpasus Mulsant (Coleoptera, Coccinellidae, Chilocorini)

Harpasus Mulsant, 1850 was studied based on the morphology of the exoskeleton and genitalia. The type material of Harpasus aureus Almeida & Carvalho, 2006, H. quadrifolium González, Corrêa & Almeida, 2008 and a homotype of H. zonatus (Mulsant, 1850) were examined. The lectotype of H. eversmanni (Mulsant, 1850) was designated and two new species were described, Harpasus unifasciatus sp. nov. (Teresópolis, RJ, Brazil) and Harpasus ferrugineus sp. nov. (Puerto Carreño, Vichada, Colombia). Herein a diagnosis for the genus and its seven species, identification key and information about biological aspects are presented.

Revision of the genus Altitatiayus Weinreich(Coleoptera, Lucanidae, Lucaninae)

Revision of the genus Altitatiayus Weinreich (Coleoptera, Lucanidae, Lucaninae). The South American genus Altitatiayus Weinreich is revised and now includes six species, A. rotundatus (Boileau), A. ruficollis (Lüderwaldt), A. godinhorum (Bomans & Arnaud), A. dulceae (Bomans & Arnaud), A. trifurcatus (Grossi & Racca-Filho) and A. koikei sp. nov. (Minas Gerais, Brazil). All species are described and illustrated. For the first time male and female genitalia are illustrated for five species and observations on the behavior of two species are included.

Revision of the neotropical species of empididae (Diptera) described by Mario Bezzi: IX. The species described in Atrichopleura Bezzi and the description of a new species

Revision of the Neotropical species of Empididae (Diptera) described by Mario Bezzi. IX. The species described in Atrichopleura Bezzi and the description of a new species. Four Neotropical species of Empididae described by Bezzi in Atrichopleura Bezzi, 1909 are redescribed: A. crassa (lectotype, pres. desig.), A. hirtipes (lectotype, pres. desig.), A. nitida (lectotype, pres. desig.), A. schnusei (lectotype, pres. desig.). Atrichopleura bezzii sp. nov. is described from among syntypes of A. schnusei.