Adsorption/desorption of arsenic by tropical peat: influence of organic matter, iron and aluminium

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Adequacy of antenatal care and its relationship with low birth weight in Botucatu, Sao Paulo, Brazil: a case-control study

Background: Birth weight reflects gestational conditions and development during the fetal period. Low birth weight (LBW) may be associated with antenatal care (ANC) adequacy and quality. The purpose of this study was to analyze ANC adequacy and its relationship with LBW in the Unified Health System in Brazil.Methods: A case-control study was conducted in Botucatu, Sao Paulo, Brazil, 2004 to 2008. Data were collected from secondary sources (the Live Birth Certificate), and primary sources (the official medical records of pregnant women). The study population consisted of two groups, each with 860 newborns. The case group comprised newborns weighing less than 2,500 grams, while the control group comprised live newborns weighing greater than or equal to 2,500 grams. Adequacy of ANC was evaluated according to three measurements: 1. Adequacy of the number of ANC visits adjusted to gestational age; 2. Modified Kessner Index; and 3. Adequacy of ANC laboratory studies and exams summary measure according to parameters defined by the Ministry of Health in the Program for Prenatal and Birth Care Humanization.Results: Analyses revealed that LBW was associated with the number of ANC visits adjusted to gestational age (OR = 1.78, 95% CI 1.32-2.34) and the ANC laboratory studies and exams summary measure (OR = 4.13, 95% CI 1.36-12.51). According to the modified Kessner Index, 64.4% of antenatal visits in the LBW group were adequate, with no differences between groups.Conclusions: Our data corroborate the association between inadequate number of ANC visits, laboratory studies and exams, and increased risk of LBW newborns. No association was found between the modified Kessner Index as a measure of adequacy of ANC and LBW. This finding reveals the low indices of coverage for basic actions already well regulated in the Health System in Brazil. Despite the association found in the study, we cannot conclude that LBW would be prevented only by an adequate ANC, as LBW is associated with factors of complex and multifactorial etiology. The results could be used to plan monitoring measures and evaluate programs of health care assistance during pregnancy, at delivery and to newborns, focusing on reduced LBW rates.

The stream fish fauna from the rio Machado basin, Rondônia State, Brazil

The rio Machado (also known as Ji-Paraná) is a tributary of the rio Madeira in the Amazon basin. Currently, the rio Madeira contains the greatest fish species richness of the world, with approximately 1,000 species. The present study presents the fish inventory from streams of the rio Machado basin. In total, 75 stream reaches, 80 meter-length, randomly selected, were sampled in 2011 (August to October) and 2012 (June to July). Overall, 22,875 fish in eight orders, 32 families, 89 genera, and 140 species were collected. Richness estimators indicate that almost 90% of the expected richness was registered. The great majority of specimens (52.2%) was represented by small sized piabas such as Serrapinnus aff. notomelas, Moenkhausia collettii, Serrapinnus microdon, and Hemigrammus melanochrous. Of the total richness, 25 species were restricted to 9°00’ S and 10°00’ S; among them, 14 were exclusive to the lower portion of the basin, which exhibits the larger proportion of native vegetation covering.

Obesity induced by a sucrose-rich diet promotes deficits in bone mineralization and microarchitecture

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Giroversão dental: formação de imagem radiográfica virtual

Entre as diversas anomalias dentárias, a giroversão dental constitui uma anomalia de grande prevalência, na qual o dente realiza rotação em torno do seu próprio eixo. No exame radiográfico panorâmico é possível verificar a presença de giroversão, porém, quando a dinâmica de giro do eixo do equipamento não coincide com a curvatura da maxila e mandíbula, a imagem dos dentes apresenta-se girovertida ou com apinhamento dental. O presente trabalho teve por objetivo avaliar se as giroversões dentais presentes nas radiografias panorâmicas são verdadeiras ou apenas “virtuais”. Foram selecionadas 71 radiografias panorâmicas com imagens sugestivas de dentes girovertidos, de pacientes que também possuíam a documentação da cavidade bucal por fotografia e modelo de estudo. A média de idade dos pacientes avaliados foi 15 anos de idade. A imagem radiográfica panorâmica, fotografia e modelo de estudo foram avaliadas por um único examinador. Na avaliação das radiografias panorâmicas foram encontradas 246 dentes girovertidos. Porém, ao avaliar a fotografia e o modelo de estudo destes pacientes comprovou-se apenas 127 dentes com giroversão. Estes resultados indicam uma correspondência clinica/radiográfica de 51,4 %, ou seja, 48,6% das giroversões identificadas radiograficamente, eram “virtuais”. Pode-se concluir que o diagnóstico de giroversão dental utilizando a radiografia panorâmica deve ser confirmado pelo exame clínico para evitar diagnósticos falsos positivos.

Odontoma composto: relato de caso clínico

Os odontomas são os tipos mais comuns de tumores odontogênicos, sendo sua constituição principalmente de esmalte e dentina, com quantidade variável de cemento e polpa. Apresenta relação com dentes inclusos e sua etiopatogenia é desconhecida. Radiograficamente pode ser classificado como composto ou complexo. Acomete com mais frequência pacientes entre a primeira e segunda década de vida, e não há predileção por sexo. Localiza-se principalmente em região anterior de maxila, assintomático e tem associação com dentes inclusos e supranumerários. Neste trabalho relatamos um caso clínico, cuja paciente foi encaminhada para avaliação devido a ausência do dente 33. O diagnóstico clinico-radiográfico inicial foi de odontoma composto. Realizou-se a remoção cirúrgica da lesão e do dente incluso tendo o exame histopatológico confirmado o diagnóstico de odontoma composto.

Caracterização de hambúrguer elaborado com farinha de folhas de Moringa (Moringa oleífera Lam.)

The aim of this study was to determine the antioxidant activity of Moringa (Moringa oleifera Lam.) leaves flour in beef burger during storage for 120 days. Six hamburger formulations were processed: one control (without the use of additives), four with addition of Moringa leaves flour (0.10, 0.15, 0.20, and 0.25 g/100 g aggregate), and one with addition of synthetic antioxidant Propyl Gallate (0.01 g/100 g aggregate). The products were analyzed for their chemical composition with determinations of moisture, protein, dietary fiber, lipids, ash, carbohydrate, and caloric value after preparation. Microbiological and acceptance testing were performed at the beginning and after 120 days of storage. Determination of pH, instrumental color and lipid oxidation (TBARS) were performed at 1, 30, 60, 90 and 120 days of storage. All samples showed physical-chemical and microbiological tests in accordance with the Brazilian legislation. pH measurements were between 5.48 and 5.90; however, the intensity of red has changed according to the treatments and storage periods. The addition of Moringa leaves flour had no antioxidant effect on burgers, but its inclusion not only contributed to the improvement of nutritional quality, but also did not harm product acceptance.

Paricipation in Bauru marter plans, Brazil: analysis of the historical evolution of the consultation process

In Brazil, a policy on citizen participation and consultation in urban intervention programs, in particular in the development of master plans, was first introduced into the Federal Constitution in 1988. This article presents an historical reconstitution of Master Plans in Bauru – State of São Paulo – Brazil. The 1968, 1988 and 2005/2006 consultation methods are analyzed using established criteria. The degree of community participation in the processes is estimated by drawing on a typology based on the level of involvement by residents. The effects of participation caused by changes in political regime, technical planning vision, legal support to consultation, recognition of community importance and knowledge acquired during the process are highlighted and discussed.

Mortalidade Materna: uma abordagem atualizada

Purpose: to review literature, highlighting current aspects of maternal mortality.  Method: research initiated through electronic data base PubMed [http:// www.ncbi.nlm.nih.gov/pubmed], limited to the last 10 years. The selected cases which related to pre-defined aspects of interest to the study, such as vulnerable population, risk factors, causes, difficulties in obtaining data, preventive measures e new approaches to the problem, among them, ‘near misses’ and severe maternal morbidity.  Results: maternal death is directly related to the quality of life of the population, with relevant disparities among the different social economic areas. Although maternal mortality is the proper indicator to the female population health, its numbers are presented in unrealistic manners due to the difficulties in identifying the cases through death certificates. Preventive measures associated to early and adequate diagnose and treatment are benefic factors in decreasing those maternal deaths. Apart from these, identification and classification of ‘near misses’ and maternal morbidity are featured in the contemporary approach to the issue.  Final considerations: In spite of advanced technology and recognition of preventive measures, a large number of women die daily due to complications in the pregnancy and puerperal cycle. To decrease such tragedy political, social and economical commitment to Health is necessary, in order to promote the needed reforms in the assistance of such cycle.

Insuficiência de vitamina D em pacientes infectados pelo HIV tratados com terapia antirretroviral contendo tenofovir

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Eventos extremos de precipitação em Belém-PA: uma revisão de notícias históricas de jornais

Os impactos socioeconômicos dos Eventos Extremos de Precipitação Diária em Belém-Pará foram estudados com base em histórias relatadas nas notícias dos jornais da cidade durante o período de 1987 a 2009. Estes eventos foram caracterizados como extremos por meio da Técnica do Decil. O objetivo foi identificar as consequências e os principais bairros afetados pelos eventos extremos de precipitação diária. Os anos que estiveram sob influência do fenômeno El Niño (La Niña) foram os que apresentaram menor (maior) frequência de Eventos Extremos de Precipitação e de noticias publicadas nos jornais da cidade. A variação mensal mostrou que os Eventos Extremos e as notícias dos jornais foram maiores no período "mais chuvoso" (verão/outono austral). As histórias relatadas nas notícias dos jornais da cidade indicaram que o alagamento das ruas é a principal consequência dos eventos extremos para a cidade de Belém-Pará e os bairros mais afetados são Cremação, Jurunas e Batista Campos. Esses bairros são vizinhos e tem como fator comum a presença da bacia hidrográfica da Travessa Quintino Bocaiúva, a qual apresenta baixa declividade e dificulta o escoamento da água, favorecendo a formação de pontos de alagamentos. Identificou-se que a falta de infraestrutura da cidade é o fator predominante quanto à consequência dos eventos extremos de precipitação diária.

Insuficiência de vitamina D em pacientes infectados pelo HIV tratados com terapia antirretroviral contendo tenofovir

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)