Prevalência de cárie dentária em Brasília, Brasil

São apresentados os resultados de um levantamento de cárie dentária, prévio à fluoretação das águas de abastecimento, referentes à Brasília, capital do Brasil.

Efeito da fortificação alimentar com ácido fólico na prevalência de defeitos do tubo neural

OBJETIVO:Analisar o efeito de alimentos fortificados com ácido fólico na prevalência de defeitos de fechamento do tubo neural entre nascidos vivos. MÉTODOS: Estudo longitudinal de nascidos vivos do município de Recife (PE) entre 2000 e 2006. Os dados pesquisados foram obtidos do Sistema Nacional de Informações de Nascidos Vivos. Os defeitos de fechamento do tubo neural foram definidos de acordo com o Código Internacional de Doenças-10ª Revisão: anencefalia, encefalocele e espinha bífida. Compararam-se as prevalências nos períodos anterior (2000-2004) e posterior (2005-2006) ao período mandatório à fortificação. Analisou-se a tendência temporal das prevalências trimestrais de defeitos do fechamento do tubo neural pelos testes de Mann-Kendall e Sen's Slope. RESULTADOS: Não se identificou tendência de redução na ocorrência do desfecho (Teste de Mann-Kendall; p= 0,270; Sen's Slope =-0,008) no período estudado. Não houve diferença estatisticamente significativa entre as prevalências de defeitos do fechamento do tubo neural nos períodos anterior e posterior à fortificação dos alimentos com acido fólico de acordo com as características maternas. CONCLUSÕES: Embora não tenha sido observada redução dos defeitos do fechamento do tubo neural após o período mandatório de fortificação de alimentos com ácido fólico, os resultados encontrados não permitem descartar o seu benefício na prevenção desta malformação. São necessários estudos avaliando maior período e considerando o nível de consumo dos produtos fortificados pelas mulheres em idade fértil.

Visceral leishmaniasis caused by Leishmania (Viannia) braziliensis in a patient infected with human immunodeficiency virus

The current article reports the case of a 19-month-old-girl, from the state of Minas Gerais, Brazil, with visceral leishmaniasis, by Leishmania (Viannia) braziliensis, and Human Immunodeficiency Virus (HIV) co-infection. The child's mother and father, aged 22 and 27 years old, respectively, were both HIV positive. The child was admitted to the General Pediatric Center, in Belo Horizonte, presenting high fever, fatigue, weight loss and enlargement of liver and spleen. Indirect immunofluorescent test revealed a titer of 1:320 for Leishmania. Such result was confirmed by the presence of amastigotes in bone marrow aspirate samples and culture of promastigote forms. Parasites were identified as being Leishmania (Viannia) braziliensis through PCR, using a L. braziliensis complex primer and a generic primer, followed by hibridization. Specific leishmaniasis therapy (GlucantimeÒ antimonial) was intravenously administered.

A survey of mealybugs infesting South-Brazilian wine vineyards

ABSTRACTMealybugs (Hemiptera: Pseudococcidae) are important pests of the grapevine Vitis spp. and are responsible for direct and indirect damage to production. The main mealybug species present in wine grapevine (Vitis vinifera L.) in Southern Brazil were identified and their incidence evaluated. Bunch-samples (n = 50) from 131 vineyards located in the Serra Gaúcha Region (RS) of Brazil were analyzed at harvest, and the occurrence of mealybugs in the roots was evaluated at the time of eradication of plants for replanting. Mealybugs were reared in laboratory until adulthood for species determination. The species Dysmicoccus brevipes (Cockerell, 1983), Dysmicoccus sp., Planococcus citri (Risso, 1813), Pl. minor(Maskell, 1897), Pseudococcus viburni (Signoret, 1875) and Pseudococcus sp. were identified in bunches. Dysmicoccus sp., D. umbambae Granara de Willink, 2009, Pl. citri and Pseudococcus sp. were found in the roots. Pl. citri (31.4%) and Dysmicoccus sp. (22.7%) were the most common species found in wine grape bunches in the Serra Gaúcha Region.

Métodos de obtenção da capacidade de suporte de carga de um argissolo cultivado

O controle da capacidade de suporte à carga do solo pode minimizar os efeitos danosos da compactação. O objetivo deste estudo foi avaliar o uso de métodos de determinação da tensão de pré-consolidação num Argissolo Vermelho-Amarelo cultivado e submetido a diferentes condições. Os tratamentos empregados foram: semeadura direta (testemunha), semeadura direta com intensidade de tráfego de 24,79 Mg km ha-1 e 49,59 Mg km ha-1, cultivo mínimo há cinco meses e cultivo mínimo em solo compactado pelo tráfego de uma pá-carregadora (260 kPa de pressão ao solo e 24,67 Mg km ha-1). Os métodos usados para estimação da capacidade de suporte foram: (1) interseção da reta de compressão virgem (RCV) com o eixo x na deformação zero; (2) intercepto da RCV pela regressão com os primeiros dois pontos da curva; (3) intercepto da RCV pela regressão com os três pontos da curva; (4) resistência do solo a 2,5 % da deformação; (5) Casagrande, por meio do ajuste sigmoidal da equação de van Genuchten (1980); e (6) Pacheco & Silva (ABNT, 1990), também por esse meio. Os métodos de 2,5 % da deformação e a interseção da RCV com eixo x estimaram, no geral, valores abaixo da referência ao longo de todas as camadas analisadas. Já o método de regressão teve comportamento dependente da inclinação da RCV; em inclinações elevadas houve superestimação; e em inclinações baixas, ocorreu o contrário.

Capim-tanzânia submetido a combinações entre intensidade e freqüência de pastejo

O objetivo deste trabalho foi avaliar as características estruturais e a produção de forragem do capim-tanzânia (Panicum maximum Jacq. cv. Tanzânia) sob condições de pastejo rotativo, em um Latossolo Vermelho distrófico, num experimento realizado em Campo Grande, MS. Os tratamentos corresponderam a combinações entre três condições de pré e duas condições de pós-pastejo, e foram alocados às unidades experimentais segundo um delineamento de blocos completos casualizados, com três repetições e arranjo fatorial 3x2. As condições de pré-pastejo de 90, 95 e 100% de interceptação de luz (IL) foram atingidas consistentemente com alturas de dossel em torno de 60, 70 e 85 cm, respectivamente. Pastejos iniciados com 90% de IL resultaram em maior número de ciclos de pastejo em relação aos iniciados com 95 e 100% de IL. O acúmulo de forragem foi maior em pastejos realizados com 95% do que com 90 ou 100% de IL, mas não houve diferença entre os tratamentos de 90 e 95% de IL para acúmulo de folhas. O acúmulo de colmos aumentou após os 95% de IL, indicando a importância da freqüência de pastejo como maneira de controlar a estrutura e a composição do dossel.

Temperaturas basais e soma térmica para a figueira podada em diferentes épocas

Foram determinadas para figueiras podadas em julho, agosto, setembro e outubro, as temperaturas mínima e máxima basais, a soma térmica expressa em graus-dia e a influência da temperatura na duração do período compreendido entre a poda e o início da colheita, em Botucatu-SP, nos anos de 2002 a 2006. Os valores de temperaturas mínima e máxima basal estimados foram de 8ºC e 36 ºC, respectivamente. As épocas de poda que apresentaram melhores resultados em sazonalidade e produtividade foram, respectivamente, agosto e julho, necessitando de uma soma térmica média de 1.955 e 2.200 graus-dia.

CLONAL PROPAGATION OF NEEM (Azadirachta indica A. Juss.) VIA DIRECT AND INDIRECT IN VITRO REGENERATION

ABSTRACTThe study was conducted with shoot tip explants of neem (Azadirachta indica A. Juss) to identify a viable regenerative process. Shoot tips were obtained from neem embryos cultured alternatingly in DKW medium supplemented with BAP and medium without hormones. Initial shoot development was influenced by cotyledon presence. Basal callus, excised from in vitro stem base, also presented organogenic potential. In some cases, plant lines, obtained from each seed, presented different characteristics. The most common characteristic observed in vitro was callus formation at the stem base. However, the rarest characteristics were stem callus formation and leaf senescence. The regenerated shoot tips were further subculture and rooted on a medium supplemented with IBA so that complete plants could be obtained. The rooted plants were transplanted to a greenhouse and successfully acclimatized. No significant differences in in vivo development were observed between neem plants from callus and from shoot tip propagation.

Senses of body image in adolescents in elementary school

OBJECTIVE To comprehend the perception of body image in adolescence. METHODS A qualitative study was conducted with eight focus groups with 96 students of both sexes attending four public elementary school institutions in the city of Rio de Janeiro, Southeastern Brazil, in 2013. An interview guide with questions about the adolescents’ feelings in relation to: their bodies, standards of idealized beauty, practice of physical exercise and sociocultural influences on self-image. In the data analysis we sought to understand and interpret the meanings and contradictions of narratives, understanding the subjects’ context and reasons and the internal logic of the group. RESULTS Three thematic categories were identified. The influence of media on body image showed the difficulty of achieving the perfect body and is viewed with suspicion in face of standards of beauty broadcast; the importance of a healthy body was observed as standards of beauty and good looks were closely linked to good physical condition and result from having a healthy body; the relationship between the standard of beauty and prejudice, as people who are not considered attractive, having small physical imperfections, are discriminated against and can be rejected or even excluded from society. CONCLUSIONS The standard of perfect body propagated by media influences adolescents’ self-image and, consequently, self-esteem and is considered an unattainable goal, corresponding to a standard of beauty described as artificial and unreal. However, it causes great suffering and discrimination against those who do not feel they are attractive, which can lead to health problems resulting from low self-esteem.

Career satisfaction among medical school professors: a case study in Brazil

OBJECTIVE: To investigate the career satisfaction of medical school professors in relation to initial motivation, satisfaction factors, and the desire to remain in the profession. METHODOLOGY: A qualitative methodology was used, based on questionnaires and semi-structured interviews with faculty members at a federal institution of higher education in Brazil. RESULTS: For 42.86% of the sample, teaching began while they were medical students; 80% had chosen teaching either as a vocation or due to influence from families or professors; 20% chose teaching as a professional opportunity. The majority, 57.14%, stated they were happy with teaching, and 51.42% did not plan to leave the career. Factors involved in satisfaction with teaching were: the possibility of remaining up-to-date in the medical profession, the feeling of doing their duty, their contribution to training future doctors, and contact with young people and the university setting. Factors leading to dissatisfaction were pedagogical (33.33%), economic (30.95%), institutional (14.28%), and relational (14.28%). CONCLUSIONS: Subjects expressed a positive attitude towards teaching, and because of their great personal satisfaction with the career, they did not plan to leave it. These findings should shed light on factors that interfere with career satisfaction and help increase those that promote satisfaction, thus improving the productivity and well-being of medical professors.

Are birth weight and maternal smoking during pregnancy associated with malnutrition and excess weight among school age children?

In the late 1980's child malnutrition was still prevalent in Brazil, and child obesity was beginning to rise in the richest regions of the country. To assess the extent of the nutritional transition during the period and the influence of birth weight and maternal smoking on the nutritional condition of schoolchildren, we estimated the prevalence of excess weight and malnutrition in a cohort of Brazilian schoolchildren from 1987 to 1989. We calculated the body mass index (BMI) of 8- to 10-year-old schoolchildren born in Ribeirão Preto in 1978/79. We considered children with a BMI <5th percentile (P5) to be malnourished, children with P5³BMIschooling) and type of school using nominal logistic regression. A total of 2797 schoolchildren were evaluated. There was a significant prevalence of malnutrition (9.5%) and excess weight already tended to increase (15.7%), while 6.4% of the children were obese. Excess weight was more prevalent among children attending private schools (odds ratio, OR = 2.27) and firstborn children (OR = 1.69). Maternal smoking during pregnancy protected against malnutrition (OR = 0.56), while children with lower birth weight were at higher risk for malnutrition (OR = 4.23). We conclude that a nutritional transition was under way while malnutrition was still present, but excess weight and related factors were already emerging.

Do intrauterine growth restriction and overweight at primary school age increase the risk of elevated body mass index in young adults?

Obesity is one of the rising public health problems characterized as a risk factor for many chronic diseases in adulthood. Early life events such as intrauterine growth restriction, as well as life style, are associated with an increased prevalence of this disease. The present study was performed to determine if intrauterine growth restriction interacts with overweight at primary school age to affect body mass index (BMI) in young adults. From June 1, 1978 to May 31, 1979, 6827 singleton liveborns from Ribeirão Preto, São Paulo State, Brazil, corresponding to 98% of all births at the 8 maternity hospitals, were examined and their mothers were interviewed. Samples from the initial cohort were examined again at primary school age (8 to 11 years of age) and at the time of military service (18 years of age). There were 519 male individuals with complete measurements taken in the three surveys. Intrauterine growth-restricted individuals had a BMI 0.68 kg/m² lower than that of individuals who were not restricted (95%CI = -1.34 to -0.03) and overweight at primary school age showed a positive and strong effect on BMI at 18 years of age (coefficient 5.03, 95%CI = 4.27 to 5.79). However, the increase in BMI was much higher - 6.90 kg/m² - when the conscript had been born with intrauterine growth restriction and presented overweight at primary school age (95%CI = 4.55 to 9.26). These findings indicate that the effect of intrauterine growth restrictionon BMI at 18 years of age is modified by later weight gain during school age.

Rendering peacekeeping instrumental? The Brazilian approach to United Nations peacekeeping during the Lula da Silva years (2003-2010)

The article analyses how Brazilian state actions and policies regarding peace operations during the Presidency of Lula da Silva relate to the country's positions and attitudes towards United Nations peacekeeping. It argues that the inconsistencies identified on the Brazilian positions reflect the lack of a clear strategic horizon guiding the country's participation in UN peacekeeping, which consequentially hinders the country emergence as a great power.

Never before seen in Brazil: Luis Inácio Lula da Silva's grand diplomacy

Critical assessment of Luis Inácio Lula da Silva's diplomacy, which departed from the previous patterns of the Brazilian Foreign Service, to align itself with the political conceptions of the Workers' Party. This diplomacy has neither consolidated the position of Brazil as a regional leader, nor attained its declared goal of inserting Brazil into the United Nations Security Council, although it has reinforced Brazil's image in the international scenarios; but this was achieved much more through the personal activism of the President himself, than through normal diplomatic work.