Rastreamento de uso de álcool por gestantes de serviços públicos de saúde do Rio de Janeiro

OBJETIVO: Avaliar a prevalência de casos suspeitos de uso inadequado de álcool durante a gestação entre mulheres atendidas na rede pública de saúde. MÉTODOS: Estudo transversal com 537 parturientes selecionadas aleatoriamente em maternidades públicas do Rio de Janeiro entre março e outubro de 2000. Entrevistadoras adequadamente treinadas identificaram os casos suspeitos de uso inadequado de álcool utilizando os instrumentos Cut-down, Annoyed, Guilty e Eye-opener (CAGE), Tolerance Cut-down, Annoyed e Eye-opener (T-ACE) e Tolerance Worry Eye-opener Annoyed Cut-down (TWEAK). Na análise segundo variáveis socioeconômicas e demográficas utilizou-se o teste qui-quadrado. RESULTADOS: Cerca de 40% das mulheres relataram fazer uso de algum tipo de bebida alcoólica durante a gestação, sendo a cerveja a bebida mais consumida (83,9%). Dependendo do instrumento de identificação, estimou-se que entre 7,3% e 26,1% das mulheres eram casos suspeitos de uso inadequado de álcool. A suspeição de utilização inadequada foi mais comum entre as mulheres de idade mais avançada; de baixa escolaridade; que não se declararam brancas; que não viviam com companheiro; que relataram tabagismo e uso de drogas ilícitas por um dos membros do casal; e com pouco apoio social. CONCLUSÕES: A alta prevalência de suspeição de uso inadequado de álcool e sua superposição com diferentes fatores de risco para desfechos deletérios na gestação indicam um importante problema de saúde pública, merecendo ser rotineiramente rastreada durante o acompanhamento pé-natal.

Obesity and dental caries: systematic review

OBJECTIVE Identifying, through a systematic literature review, evidence of a possible association between obesity and dental caries. METHODS A search of articles published between 2005 and January 2012 was performed in the Medline/PubMed, LILACS and Web of Science databases. The quality of scientific evidence of the selected articles was assessed by the items proposed for observational studies in the Downs & Black instrument. RESULTS Initially, 537 references were found; after checking the titles and abstracts by two independent researchers, twenty-eight articles were selected for complete reading. Ten of them that assessed the primary and/or permanent dentition observed a positive association between obesity and dental caries and one study found an inverse association. According to the Downs & Black classification, thirteen articles with good scientific evidence were found. CONCLUSIONS The present review did not find sufficient evidence regarding the association between obesity and dental caries, and it did not clarify the possible role of diet and other possible effect modifiers on this association.

Factors associated with lack of prenatal care in a large municipality

OBJECTIVE To analyze the factors associated with a lack of prenatal care in a large municipality in southern Brazil. METHODS In this case-control age-matched study, 716 women were evaluated; of these, 179 did not receive prenatal care and 537 received prenatal care (controls). These women were identified using the Sistema Nacional de Informação sobre Nascidos Vivos (Live Birth Information System) of Pelotas, RS, Southern Brazil, between 2009 and 2010. Multivariate analysis was performed using conditional logistic regression to estimate the odds ratios (OR). RESULTS In the final model, the variables associated with a lack of prenatal care were the level of education, particularly when it was lesser than four years [OR 4.46; 95% confidence interval (CI) 1.92;10.36], being single (OR 3.61; 95%CI 1.85;7.04), and multiparity (OR 2.89; 95%CI 1.72;4.85). The prevalence of a lack of prenatal care among administrative regions varied between 0.7% and 3.9%. CONCLUSIONS The risk factors identified must be considered when planning actions for the inclusion of women in prenatal care by both the central management and healthcare teams. These indicated the municipal areas with greater deficits in prenatal care. The reorganization of the actions to identify women with risk factors in the community can be considered to be a starting point of this process. In addition, the integration of the activities of local programs that target the mother and child is essential to constantly identify pregnant women without prenatal care.

Validity and reliability of the Questionnaire for Compliance with Standard Precaution

ABSTRACT OBJECTIVE : To evaluate the validity and reliability of the Questionnaire for Compliance with Standard Precaution for nurses. METHODS : This methodological study was conducted with 121 nurses from health care facilities in Sao Paulo's countryside, who were represented by two high-complexity and by three average-complexity health care facilities. Internal consistency was calculated using Cronbach's alpha and stability was calculated by the intraclass correlation coefficient, through test-retest. Convergent, discriminant, and known-groups construct validity techniques were conducted. RESULTS : The questionnaire was found to be reliable (Cronbach's alpha: 0.80; intraclass correlation coefficient: (0.97) In regards to the convergent and discriminant construct validity, strong correlation was found between compliance to standard precautions, the perception of a safe environment, and the smaller perception of obstacles to follow such precautions (r = 0.614 and r = 0.537, respectively). The nurses who were trained on the standard precautions and worked on the health care facilities of higher complexity were shown to comply more (p = 0.028 and p = 0.006, respectively). CONCLUSIONS : The Brazilian version of the Questionnaire for Compliance with Standard Precaution was shown to be valid and reliable. Further investigation must be conducted with nurse samples that are more representative of the Brazilian reality. The use of the questionnaire may support the creation of educational measures considering the possible gaps that can be identified, focusing on the workers' health and on the patients' safety.

Diagnosing schistosomiasis: where are we?

In light of the World Health Organization's initiative to extend schistosomiasis morbidity and mortality control programs by including a disease elimination strategy in low endemic settings, this paper reviews diagnostic tools described during the last decades and provide an overview of ongoing efforts in making an efficient diagnostic tool available worldwide. A literature search on PubMed using the search criteria schistosomiasis and diagnosis within the period from 1978 to 2013 was carried out. Articles with abstract in English and that used laboratory techniques specifically developed for the detection of schistosomiasis in humans were included. Publications were categorized according to the methodology applied (parasitological, immunological, or molecular) and stage of development (in house development, limited field, or large scale field testing). The initial research generated 4,535 publications, of which only 643 met the inclusion criteria. The vast majority (537) of the publications focused on immunological techniques; 81 focused on parasitological diagnosis, and 25 focused on molecular diagnostic methods. Regarding the stage of development, 307 papers referred to in-house development, 202 referred to limited field tests, and 134 referred to large scale field testing. The data obtained show that promising new diagnostic tools, especially for Schistosoma antigen and deoxyribonucleic acid (DNA) detection, which are characterized by high sensitivity and specificity, are being developed. In combination with international funding initiatives these tools may result in a significant step forward in successful disease elimination and surveillance, which is to make efficient tests accessible and its large use self-sustainable for control programs in endemic countries.

Isoenzymes Detect Variation in Populations of Triatoma brasiliensis (Hemiptera: Reduviidae: Triatominae)

Triatoma brasiliensis is one of the most important vectors of Chagas disease in the semiarid zone of the northeast of Brazil. Intraspecific morphological and behavioural variation has been reported for different populations. Results for four distinct populations using eight isoenzymes are reported here. The literature describes three subspecies: T. brasiliensis brasiliensis Neiva, 1911; T. brasiliensis melanica Neiva & Lent, 1941 and T. brasiliensis macromelasoma Galvão, 1956. These subspecies differ mainly in their cuticle colour pattern and were regarded as synonyms by Lent and Wygodzinsky (1979). In order to evaluate whether the chromatic pattern is a morphological variation of different melanic forms within T. brasiliensis or due to interspecific variation, field collections were performed in localities where these three subspecies have been described: Caicó (Rio Grande do Norte), the type-locality for T. b. brasiliensis; Petrolina (Pernambuco) for T. b. macromelasoma and Espinosa (Minas Gerais) for T. b. melanica. A fourth distinct chromatic pattern was found in Juazeiro (Bahia). A total of nine loci were studied. Values of Nei's genetic distance (D) were calculated. T. b. brasiliensis and T. b. macromelasoma are the closest populations with a D=0.295. T. b. melanica had a D ³ 0.537 when compared to the others, a distance in the range of interspecific variation for other triatomine species

Dispersão de Latossolos em resposta à utilização de pré-tratamentos na análise textural

O resultado mais acurado da análise textural depende da completa dispersão da amostra de solo e da manutenção da estabilidade da fase dispersa. Alguns Latossolos podem apresentar problemas de dispersão, graças à presença de microagregados de alta estabilidade. Esses grupamentos, muito argilosos, são parcialmente desagregados pela dispersão química e mecânica, contribuindo, pelo seu tamanho, para superestimar, fundamentalmente, a proporção de silte do solo analisado. Assim, visando minimizar a proporção de pseudocomponentes na análise textural dos Latossolos, realizou-se um experimento de laboratório, para verificar a efetividade da dispersão em resposta à utilização de pré-tratamentos na remoção de agentes cimentantes. Os tratamentos corresponderam a um arranjo fatorial 7 x 2². Os fatores em estudo foram amostras de sete Latossolos dispersos com NaOH 0,01 mol L-1, com presença ou ausência de pré-tratamentos para remoção da matéria orgânica e dos óxidos de ferro e alumínio mal cristalizados. A fração silte foi novamente dispersa, determinando-se a proporção de argila e silte após a segunda dispersão. A remoção de matéria orgânica e a de óxidos de ferro e alumínio mal cristalizados provocaram incremento na proporção de argila, indicando a dispersão de microagregados com tamanhos correspondentes aos de outras frações texturais, em particular da fração silte. A presença do pseudo-silte foi confirmada em todos os solos estudados, sobretudo nos solos mais oxídicos. As frações areia fina e areia grossa também apresentaram microagregados de argilas. Após a segunda dispersão, a fração silte apresentou valores que variaram de 0,199 a 0,537 kg kg-1 de argila. Para reduzir a proporção de pseudo-silte, há necessidade de realizar pré-tratamentos. Como a resposta aos pré-tratamento testados não foi cumulativa, sugere-se utilizar o pré-tratamento para remover óxidos de ferro e alumínio mal cristalizados.

CARACTERÍSTICAS FÍSICAS E QUÍMICAS DE FRUTOS DE MAMOEIRO DO GRUPO 'SOLO' COMERCIALIZADOS EM 4 ESTABELECIMENTOS DE BRASÍLIA-DF

As características físicas e químicas do mamão do grupo 'Solo' comercializado em 4 estabelecimentos de Brasília-DF, foram analisadas durante o período de setembro de 1997 a agosto de 1998. Foram coletados, mensalmente, 15 frutos em cada estabelecimento para determinar a sua qualidade. Frutos de plantas hermafroditas representaram 88% do total. O peso médio variou de 372,2 a 537,1g, sendo maior em junho. O comprimento e o diâmetro médio oscilaram entre 12,4 a 14,5cm e 7,6 a 8,7cm, respectivamente. O grau de maturação dos frutos coletados, na sua maioria, não estava no ponto de consumo. A firmeza da polpa dos frutos oscilou de 0,56 a 1,04 kg/cm², estando abaixo da firmeza adequada para comercialização. O teor médio de SST variou de 9,9º a 12,5(0) Brix, sendo mais alto em agosto. O pH oscilou entre 5,20 e 5,71 e foi mais alto em agosto e setembro. A acidez titulável, expressa em ácido cítrico, variou de 0,04 a 0,16%, e a relação SST-AT entre 74,7 e 275,7.

Somatic embryogenesis from zygotic embryos of Euterpe oleracea Mart.

The aim of this work was to study the morphogenetic responses of zygotic embryos of açai palm (Euterpe oleracea Mart.) submitted to several conditions of in vitro culture. Several research experiments were conducted, in laboratory, using vegetable material collected from açai palm plants at Embrapa Amazon Oriental, Belém-PA, Brazil. It was possible to verify the expression of a direct, repetitive and no-synchronized model of somatic embryogenesis in mature zygotic embryos cultivated in primary MS medium supplemented with 2,4-D (339.36 muM) and transferred to a secondary MS medium in the presence of NAA (0.537 muM) and 2iP (12.30 muM). The conversion of somatic embryos into seedlings was reached after 210 days with the transfer of the cultures to a third medium with sucrose and mineral salts concentrations reduced to a half, without growth regulators.

A reliable method of quantification of trace copper in beverages with and without alcohol by spectrophotometry after cloud point extraction

A new cloud point extraction (CPE) method was developed for the separation and preconcentration of copper (II) prior to spectrophotometric analysis. For this purpose, 1-(2,4-dimethylphenyl) azonapthalen-2-ol (Sudan II) was used as a chelating agent and the solution pH was adjusted to 10.0 with borate buffer. Polyethylene glycol tert-octylphenyl ether (Triton X-114) was used as an extracting agent in the presence of sodium dodecylsulphate (SDS). After phase separation, based on the cloud point of the mixture, the surfactant-rich phase was diluted with acetone, and the enriched analyte was spectrophotometrically determined at 537 nm. The variables affecting CPE efficiency were optimized. The calibration curve was linear within the range 0.285-20 µg L-1 with a detection limit of 0.085 µg L-1. The method was successfully applied to the quantification of copper in different beverage samples.

Viabilidade econômica da utilização do biogás produzido em granja suínícola para geração de energia elétrica

A produção de biogás por meio de biodigestão anaeróbia representa um avanço para equacionar o problema dos dejetos produzidos pela suinocultura e disponibilidade de energia no meio rural. Este trabalho teve como objetivo estimar a viabilidade econômica de um sistema biointegrado para geração de eletricidade a partir do aproveitamento de dejetos de suínos. Os dados para este estudo foram coletados em uma agroindústria, onde são realizadas diversas atividades agrícolas; entretanto, a suinocultura foi selecionada para o processo de análise de biodigestão anaeróbia, pelo fato de gerar uma grande quantidade de dejetos, com dificuldade de disposição no meio ambiente, configurando um estudo de caso. O biodigestor analisado é um modelo tubular contínuo, com calha de água em alvenaria e com uma manta plástica como gasômetro, onde são depositados diariamente os dejetos de 2.300 suínos em fase de terminação. O investimento inicial para implantação foi estimado em R$ 51.537,17, e os custos anuais do sistema foram de R$ 5.708,20 com manutenção, R$ 4.390,40 com depreciação e R$ 1.366,77 com juros. Concluiu-se que o sistema de produção de biogás é viável do ponto de vista econômico, se o consumo de energia elétrica for de 35 kWh por dia, em média, onde o valor presente líquido (VLP) é de R$ 9.494,90, e a taxa interna de retorno (TIR) é de 9,34% ao ano.

Technological development of 40mg furosemide tablets: equivalence and bioavaibility study in dogs

Furosemide (40mg) was administered to 20 street dogs, 10 males and 10 females, in two different pharmaceutical forms: (1) compressed furosemide 40mg formulated at the Federal University of Pernambuco (UFPE-tablet), and (2) a commercial formulation with equal bioequivalence produced by the Laboratory for Pharmaceutical Technology of Pernambuco State (LAFEPE), the LAFEPE-furosemide. The study aimed to evaluate the kinetics of dissolution of the UFPE-tablet in order to analyze the behavior of bioavailability of the best formulation for veterinary use. The plasmatic concentrations of furosemide for the determination of parameters of pharmacological kinetics were analyzed by high-performance liquid chromatographic method (HPLC). The in vitro study accomplished through physiochemical analyses demonstrated that the formulas of the furosemide tablets attained the pharmaceutical requirements in agreement with USP 23 and the Brazilian Pharmacopoeia. The evaluation accomplished in dogs with UFPE-tablets given in only dose demonstrated uniformity in blood levels indicating stability in maintenance of the pharmaceutical formulation and efficiency in absorption of the active compound. These values are not significantly different in relation to the 5% confidence limit. Regarding maximum concentration (Tmax) time and global bioavaibility assessed by AUC means, there were no considerable differences as well. UFPE-furosemide displayed 743.492µg/mL.h as AUC average value whereas LAFEPE-furosemide had an average of 537.284µg/mL.h.

Goniometria dos membros pélvicos de pacas (Cuniculus paca) criadas em cativeiro

O trabalho teve por objetivo avaliar por meio de estudos goniométricos os membros pélvicos de pacas criadas em cativeiro. Foram utilizadas oito pacas (Cuniculus paca), sendo três fêmeas e cinco machos, com peso entre 6,0 kg e 8,2 kg, nos quais foi aferido o movimento de extensão e flexão das articulações coxofemoral, joelho e tarsocrural utilizando-se um goniômetro de plástico. Foram realizadas duas aferições para cada membro pelo mesmo avaliador, com intervalo de uma semana entre cada aferição, com os animais sob anestesia dissociativa. Não houve diferença estatística nas aferições dos ângulos entres os momentos. As variações entre as medidas de flexão e extensão, efetuadas em cada momento pelo mesmo avaliador, foi entre 1º e 5º para cada membro. Os valores goniométricos médios foram: flexão de 43,96º±7,62 e extensão de 118,31º±9,79 para a articulação coxofemoral; flexão de 54,25º±10,24 e extensão 131,53º±7,89 para o joelho; flexão de 45,94º±7,16 e extensão de 145,03º±5,06 para a articulação tarsocrural. Sendo assim, observou-se que a amplitude de movimento das pacas é maior na articulação tarsocrural, seguida respectivamente do joelho e da articulação coxofemoral.

Effects of chronic treadmill training on body mass gain and visceral fat accumulation in overfed rats

This study evaluated the effects of chronic treadmill training on body mass gain and visceral fat accumulation in overfed rats. Overfeeding was induced by reducing the litter size to 3 male pups per mother during the suckling period. The litter size of control rats was adjusted to 10 male pups per mother. Seven weeks after birth overfed and normally fed rats were selected and assigned to a sedentary protocol or to a low-intensity treadmill training protocol (60 min, 5 times/week, for 9 weeks). Four groups (overfed sedentary, N = 23; normally fed sedentary, N = 32; overfed exercised, N = 18, and normally fed exercised, N = 18) were evaluated at 18 weeks. Data are reported as means ± SEM. Initial body weight was similar in control and overfed rats [8.0 ± 0.2 g (N = 42) vs 8.0 ± 0.1 g (N = 50); P > 0.05] and body weight gain during the suckling period was higher in the overfed rats (30.6 ± 0.9 vs 23.1 ± 0.3 g; P < 0.05). Exercise attenuated the body weight gain of overfed compared to sedentary rats (505 ± 14 vs 537 ± 12 g; P < 0.05). The sedentary overfed rats showed higher visceral fat weight compared to normally fed animals (31.22 ± 2.08 vs 21.94 ± 1.76 g; P < 0.05). Exercise reduced visceral fat by 36.5% in normally fed rats and by 35.7% in overfed rats. Exercise attenuated obesity in overfed rats and induced an important reduction of visceral fat.

Morphometric analysis of the phrenic nerve in male and female Wistar-Kyoto (WKY) and spontaneously hypertensive rats (SHR)

Ventilatory differences between rat strains and genders have been described but the morphology of the phrenic nerve has not been investigated in spontaneously hypertensive (SHR) and normotensive Wistar-Kyoto (WKY) rats. A descriptive and morphometric study of the phrenic nerves of male (N = 8) and female (N = 9) SHR, and male (N = 5) and female (N = 6) WKY is presented. After arterial pressure and heart rate recordings, the phrenic nerves of 20-week-old animals were prepared for epoxy resin embedding and light microscopy. Morphometric analysis performed with the aid of computer software that took into consideration the fascicle area and diameter, as well as myelinated fiber profile and Schwann cell nucleus number per area. Phrenic nerves were generally larger in males than in females on both strains but larger in WKY compared to SHR for both genders. Myelinated fiber numbers (male SHR = 228 ± 13; female SHR = 258 ± 4; male WKY = 382 ± 23; female WKY = 442 ± 11 for proximal right segments) and density (N/mm²; male SHR = 7048 ± 537; female SHR = 10355 ± 359; male WKY = 9457 ± 1437; female WKY = 14351 ± 1448) for proximal right segments) were significantly larger in females of both groups and remarkably larger in WKY than SHR for both genders. Strain and gender differences in phrenic nerve myelinated fiber number are described for the first time in this experimental model of hypertension, indicating the need for thorough functional studies of this nerve in male and female SHR.