Subsequent pregnancies: who has them and who wants them? Observations from an urban center in Southern Brazil

Subsequent pregnancies in mothers of a birth cohort from Pelotas, Southern Brazil, were studied in relation to maternal and socio-economic factors. Within about 3 1/2 years of the cohort child's birth, 39% of mothers had experienced at least one further pregnancy. This proportion decreased with increasing maternal age, years of schooling and family income. A U-shaped trend was observed with respect to parity. Mothers who had delivered the cohort child by caesarean section were also less likely to have another pregnancy within that time. Logistic regression analysis showed that each of these factors remained significantly associated with further pregnancies after controlling for the remaining variables. Analysis of the first subsequent pregnancy showed that a high proportion of mothers had not wanted the pregnancy. Unwanted pregnancies were also significantly associated with older women, low educational status, higher parity and low family income.

Occupational accidents among middle and high school students of the state of São Paulo, Brazil

OBJECTIVES: To estimate the prevalence of occupational injuries and identify their risk factors among students in two municipalities. METHODS: A cross-sectional survey was conducted in public schools of the municipalities of Santo Antonio do Pinhal and Monteiro Lobato, Brazil. A stratified probabilistic sample was drawn from public middle and high schools of the study municipalities. A total of 781 students aged 11 to 19 years participated in the study. Students attending middle and high school answered a comprehensive questionnaire on living and working conditions, as well as aspects of work injuries, and health conditions. Multiple logistic regression models were fitted to estimate risk factors of previous and present occupational injuries. RESULTS: Of 781 students, 604 previously had or currently have jobs and 47% reported previous injuries. Among current workers (n=555), 38% reported injuries on their current job. Risk factors for work injuries with statistically significant odds ratio >2.0 included attending evening school, working as a housekeeper, waiter or brickmaker, and with potentially dangerous machines. CONCLUSIONS: The study results reinforce the need of restricting adolescent work and support communities to implement social promotion programs.

Job control, job demands, social support at work and health among adolescent workers

OBJECTIVE: To evaluate physical and psychological dimensions of adolescent labor (such as job demands, job control, and social support in the work environment), and their relation to reported body pain, work injuries, sleep duration and daily working hours. METHODS: A total of 354 adolescents attending evening classes at a public school in São Paulo, Brazil, answered questionnaires regarding their living and working conditions (Karasek's Job Content Questionnaire, 1998), and their health status. Data collection took place in April and May 2001. Multiple logistic regression analysis was used to determine relations among variables. RESULTS: Psychological job demands were related to body pain (OR=3.3), higher risk of work injuries (OR=3.0) and reduced sleep duration in weekdays (Monday to Thursday) (p<0.01). Lower decision authority in the workplace (p=0.03) and higher job security (p=0.02) were related to longer daily working hours. CONCLUSIONS: It was concluded that besides physical stressors, psychological factors are to be taken into account when studying adolescent working conditions, as they may be associated with negative job conditions and health effects.

Clinical and ultrasound findings before and after praziquantel treatment among Venezuelan schistosomiasis patients

Abdominal ultrasound can be a useful tool for diagnosing periportal fibrosis related to Schistosoma mansoni infection, and also for planning and monitoring the evolution of hepatic morbidity following control measures. We evaluated the standardized ultrasound methodology proposed by the World Health Organization for detecting periportal fibrosis and portal hypertension, among patients from an endemic area in Venezuela, and the impact of praziquantel treatment 3-5 years later. After chemotherapy, complete reversal of periportal lesions was observed in 28.2% of the cases and progression of the disease in 5.1%. Improvement in the hepatic disease started with a reduction in the periportal thickening followed by a decrease in the size of the left hepatic lobe, spleen and mesenteric and spleen veins. Ultrasound confirmed the clinical findings after chemotherapy among the patients with reversal of the disease. However, in patients with more advanced disease, these findings were contradictory. There was no correlation between evolution of the disease seen on ultrasound and age, intensity of infection or serological findings.

Dried blood spots collected on filter paper: an international resource for the diagnosis and genetic characterization of human immunodeficiency virus Type-1

The collection of dried blood spots (DBS) on filter paper provides a powerful approach for the development of large-scale, population-based screening programs. DBS methods are particularly valuable in developing countries and isolated rural regions where resources are limited. Large numbers of field specimens can be economically collected and shipped to centralized reference laboratories for genetic and (or) serological analysis. Alternatively, the dried blood can be stored and used as an archival resource to rapidly establish the frequency and distribution of newly recognized mutations, confirm patient identity or track the origins and emergence of newly identified pathogens. In this report, we describe how PCR-based technologies are beginning to interface with international screening programmes for the diagnosis and genetic characterization of human immunodeficiency virus type 1 (HIV-1). In particular, we review recent progress using DBS specimens to resolve the HIV-1 infection status of neonates, monitor the genetic evolution of HIV-1 during early infancy and establish a sentinel surveillance system for the systematic monitoring of HIV-1 genetic variation in Asia.

Detection of respiratory viruses by real-time polymerase chain reaction in outpatients with acute respiratory infection

Viruses are the major contributors to the morbidity and mortality of upper and lower acute respiratory infections (ARIs) for all age groups. The aim of this study was to determine the frequencies for a large range of respiratory viruses using a sensitive molecular detection technique in specimens from outpatients of all ages with ARIs. Nasopharyngeal aspirates were obtained from 162 individuals between August 2007-August 2009. Twenty-three pathogenic respiratory agents, 18 respiratory viruses and five bacteria were investigated using multiplex real-time reverse transcriptase polymerase chain reaction (RT-PCR) and indirect immunofluorescence assay (IIF). Through IIF, 33 (20.4%) specimens with respiratory virus were recognised, with influenza virus representing over half of the positive samples. Through a multiplex real-time RT-PCR assay, 88 (54.3%) positive samples were detected; the most prevalent respiratory viral pathogens were influenza, human rhinovirus and respiratory syncytial virus (RSV). Six cases of viral co-detection were observed, mainly involving RSV. The use of multiplex real-time RT-PCR increased the viral detection by 33.9% and revealed a larger number of respiratory viruses implicated in ARI cases, including the most recently described respiratory viruses [human bocavirus, human metapneumovirus, influenza A (H1N1) pdm09 virus, human coronavirus (HCoV) NL63 and HCoV HKU1].

Molecular findings from influenza A(H1N1)pdm09 detected in patients from a Brazilian equatorial region during the pandemic period

After the World Health Organization officially declared the end of the first pandemic of the XXI century in August 2010, the influenza A(H1N1)pdm09 virus has been disseminated in the human population. In spite of its sustained circulation, very little on phylogenetic data or oseltamivir (OST) resistance is available for the virus in equatorial regions of South America. In order to shed more light on this topic, we analysed the haemagglutinin (HA) and neuraminidase (NA) genes of influenza A(H1N1)pdm09 positive samples collected during the pandemic period in the Pernambuco (PE), a northeastern Brazilian state. Complete HA sequences were compared and amino acid changes were related to clinical outcome. In addition, the H275Y substitution in NA, associated with OST resistance, was investigated by pyrosequencing. Samples from PE were grouped in phylogenetic clades 6 and 7, being clustered together with sequences from South and Southeast Brazil. The D222N/G HA gene mutation, associated with severity, was found in one deceased patient that was pregnant. Additionally, the HA mutation K308E, which appeared in Brazil in 2010 and was only detected worldwide the following year, was identified in samples from hospitalised cases. The resistance marker H275Y was not identified in samples tested. However, broader studies are needed to establish the real frequency of resistance in this Brazilian region.

Qualidade na educação infantil: revisão de um estudo Brasileiro e recomendações

A autora comenta evidências obtidas por pesquisa de avaliação da educação infantil no Brasil, relacionando-as ao debate sobre a qualidade dos serviços educacionais oferecidos às crianças pequenas em âmbito internacional. Refere-se a dados de inúmeros estudos realizados no exterior, os quais indicam que a boa qualidade dos programas de educação infantil impacta o desenvolvimento das crianças a longo prazo. Sugere que, para alcançar maiores níveis de qualidade, é necessário pensar a educação como um sistema constituído de duas partes principais: os programas de educação infantil e a infraestrutura para mantê-los

Mineralização de nitrogênio e enxofre em solos brasileiros sob influência da calagem e fósforo

O presente estudo, desenvolvido em laboratório no período de outubro de 1995 a janeiro de 1996, objetivou avaliar a influência da calagem e fósforo (P) sobre a mineralização de nitrogênio (N) e enxofre (S) em sete solos, com ampla variabilidade nas características químicas e físicas. Os solos (200 g), numa etapa anterior à aplicação de P (KH2PO4 p.a.), foram pré-incubados por sete dias com CaCO3p.a.Aseguir,foramincubadosnovamente,pormais70dias.OsteoresdeN (NO3- + NH4+) e S (SO4(2-)) mineralizados em condições aeróbias foram avaliados a cada catorze dias, e notou-se neles uma dinâmica diferenciada, com o N mineral apresentando maior variação do que o sulfato. As quantidades de N mineralizado não se mostraram dependentes da acidez do solo, porém notou-se uma aceleração na mineralização do N com a calagem do Glei Húmico e do Latossolo Vermelho-Amarelo coletado no Rio de Janeiro. Ao contrário, a mineralização de S no Glei Pouco Húmico e no Latossolo Vermelho-Amarelo coletado no Rio de Janeiro foi influenciada pela correção da acidez do solo, que promoveu maior disponibilidade de sulfato nesses solos. Os teores de N e S mineralizados não foram influenciados pelos níveis de P disponível. A maior prevalência de nitrato e sulfato em alguns dos solos calcariados implica maior cuidado no estabelecimento da época de aplicação de corretivo.

Dispersão de sementes de uruvalheira (Platypodium elegans vog.) (Fabaceae) em um cerradão, Uberlândia-MG

Estudou-se a dispersão de sementes de cinco árvores-matriz de Platypodium elegans Vog. (Fabaceae) em área de cerradão, na Estação Ecológica do Panga (EEP). As amostragens foram feitas em parcelas de 0,25 m2, posicionadas em linhas partindo da base da matriz em direção aos quatro pontos cardeais (Norte, Sul, Leste e Oeste), marcadas a cada metro. No laboratório, os frutos foram abertos para análise da qualidade das sementes. Foram amostradas 1.131 sementes, das quais 18,4% estavam intactas e 81,6%, danificadas e provavelmente inviáveis para germinação. A dispersão das sementes sofreu influência da topografia do local das matrizes, das respostas fisiológicas e genéticas à pré-dispersão, bem como do possível direcionamento favorável do vento. Dessa forma, a atuação conjunta desses fatores funcionaria como facilitadores relevantes na formação do banco de sementes e moldaria a probabilidade de estabelecimento de novos indivíduos, tanto na área estudada quanto nas fisionomias adjacentes..

Anatomia de folha e caule e quantificação espectrofotométrica de fenóis totais e taninos da erva-de-bicho (Polygonum acre Kunth var. aquatile Meisn.)

Com o objetivo de selecionar caracteres úteis na identificação de Polygonum acre Kunth var. aquatile Meisn., erva medicinal geralmente comercializada sob a forma de planta fragmentada, e para contribuir para o conhecimento botânico da espécie, descreveu-se sua anatomia e quantificaram-se os fenóis totais, taninos gálicos e condensados. O material foi processado segundo técnicas usuais de anatomia vegetal. Na análise anatômica, a comparação dos resultados com a bibliografia permitiu selecionar os seguintes caracteres como auxiliares à determinação de P. acre: 1) ausência de endoderme bem definida com estrias de Caspary conforme descrito para outras espécies do gênero Polygonum; 2) ócrea com numerosos tricomas pluricelulares e cavidades secretoras localizadas apenas na face abaxial da epiderme; 3) fibras presentes internamente ao xilema do caule; 4) feixe invertido na nervura principal; e 5) presença de pêlos lignificados no bordo da folha. As dosagens de fenóis totais e taninos demonstraram que a planta apresenta quantidade significativa de taninos condensados e que a princípio, os taninos gálicos não estão presentes na espécie.

Potencial fisiológico de sementes de couve-flor e desempenho das plantas em campo

A pesquisa teve como objetivo estudar a relação entre o potencial fisiológico de sementes de couve-flor e o desempenho das plantas em casa de vegetação e em campo. Dois experimentos foram conduzidos, em anos consecutivos, utilizando seis lotes de sementes do cultivar Sharon. O potencial fisiológico foi avaliado mediante testes de germinação (velocidade e percentagem), de emergência de plântulas, de deterioração controlada, de envelhecimento acelerado, de condutividade elétrica e de lixiviação de potássio. O desempenho das plântulas e plantas foi determinado, em casa de vegetação e após o transplante, por meio da avaliação da altura, número de folhas e massa seca. Para avaliação da produção determinou-se o diâmetro e peso médio das cabeças e a produtividade; no segundo experimento, também determinou-se a percentagem de replantio. O delineamento experimental utilizado nos testes de laboratório foi o inteiramente casualizado e, nos conduzidos em casa de vegetação e em campo, foi o de blocos casualizados, com quatro repetições. Os testes de envelhecimento acelerado ou de deterioração controlada devem ser usados conjuntamente com os de condutividade elétrica ou de lixiviação de potássio para a identificação de lotes de sementes de couve-flor com possibilidade de apresentar comportamento diferenciado das plantas em campo. O nível de vigor das sementes de couve flor influencia o desenvolvimento inicial das plantas, quando as diferenças entre o potencial fisiológico dos lotes são acentuadas, mas esse efeito não persiste em fases mais adiantadas e não afeta a produção da cultura.