Violência entre parceiros íntimos e álcool: prevalência e fatores associados

Objective. To estimate physical violence between intimate partners and to examine the association between violence and sociodemographic variables, use of alcohol, and other related factors.Method. This epidemiologic survey included a stratified probabilistic sample representative of the population from the city of São Paulo in economic and educational terms. The Gender, Alcohol and Culture: An International Study (GENACIS) questionnaire was employed. The sampling unit was the home, where all individuals older than 18 years were candidates for interview. The final sample included 1 631 people. Statistical analysis employed the Rao Scott test and logistic regression.Results. The response rate was 74.5%. Most participants were female (58.8%), younger than 40 years of age (52%), or had 5 to 12 years of schooling. of the overall group, 5.4% reported having been victims of physical violence by an intimate partner and 5.4% declared having been aggressors of intimate partners in the past 2 years. Most men declared that none of those involved had ingested alcohol at the moment of aggression. Most women reported that nobody or only the man had drunk. Being a victim or an aggressor was associated with younger age and having a heavy-drinking partner. Women suffered more serious aggression, requiring medical care, and expressed more anger and disgust at aggression than men.Conclusions. The results underscore the importance of the association between alcohol use and risk of aggression between intimate partners, and may contribute to the design of public policies aimed to control this situation.

Antibiotic treatment schemes for very severe community-acquired pneumonia in children: a randomized clinical study

Objective. To compare clinical response to initial empiric treatment with oxacillin plus ceftriaxone and amoxicillin plus clavulanic acid in hospitalized children diagnosed with very severe community-acquired pneumonia (CAP).Methods. A prospective randomized clinical study was conducted among children 2 months to 5 years old with a diagnosis of very severe CAP in the pediatric ward of São Paulo State University Hospital in Botucatu, São Paulo, Brazil, from April 2007 to May 2008. Patients were randomly divided into two groups by type of treatment: an oxacillin/ceftriaxone group (OCG, n = 48) and an amoxicillin/clavulanic acid group (ACG, n = 56). Analyzed outcomes were: time to clinical improvement (fever and tachypnea), time on oxygen therapy, length of stay in hospital, need to widen antimicrobial spectrum, and complications (including pleural effusion).Results. The two groups did not differ statistically for age, sex, symptom duration before admission, or previous antibiotic treatment. Time to improve tachypnea was less among ACG patients than OCG patients (4.8 +/- 2.2 versus 5.8 +/- 2.4 days respectively; P = 0.028), as was length of hospital stay (11.0 +/- 6.2 versus 14.4 +/- 4.5 days respectively; P = 0.002). There were no statistically significant differences between the two groups for fever improvement time, time on oxygen therapy, need to widen antimicrobial spectrum, or frequency of pleural effusion.Conclusions. Both treatment plans are effective in treating very severe CAP in 2-monthto 5-year-old hospitalized children. The only analyzed outcome that favored amoxicillin/clavulanic acid treatment was time required to improve tachypnea.

Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area

Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the São Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions.Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of São Paulo (in 1990, 80% of deliveries and almost all admissions for children less than 1 year versus 32% and 46%, respectively, in 2002). The use of primary care units and 24-hour walk-in clinics also increased. All these changes reflect care provided by public resources. In the private sector, there was a decrease in direct payments and payments through company-paid health insurance and an increase in payments through self-paid health insurance.Conclusions. The major changes observed in the second survey occurred simultaneous to the changes that resulted from the implementation of the SUS. Population-based health surveys are adequate for analyzing and comparing the utilization of health care services at different times.

First case of an infection of the metacercariae of Austrodiplostomum compactum (Lutz, 1928) (Digenea, Diplostomidae) in Hypostomus regani (Ihering, 1905) (Siluriformes: Loricariidae).

Austrodiplostomum compactum (Lutz, 1928) (Digenea, Diplostomidae) was recorded infecting the eyes of a Hypostomus regani (Ihering, 1905) (Siluriformes: Loricariidae). This is the first report of a loricarid fish infected with A. compactum.

Endoparasites new to the Neotropical freshwater turtle, Mesoclemmys vanderhaegei (Bour 1973) (Testudines, Chelidae), from central Brazil.

Information on endoparasites infecting Neotropical turtles is scarce. The present paper reports the occurrence of endoparasites in three adult individuals of Vanderhaege's Toad-Headed Turtle (Mesoclemmys vanderhaegei). The records include an undescribed nematode species in the genus Spiroxys, not previously reported for the family Chelidae, and the first South American record of a monogenetic trematode of the genus Neopolystoma.

Rabies transmitted by vampire bats to humans: An emerging zoonotic disease in Latin America?

Human rabies transmitted by vampire bats reached new heights in Latin America in 2005. A total of 55 human cases were reported in several outbreaks, 41 of them in the Amazon region of Brazil. Peru and Brazil had the highest number of reported cases from 1975 to 2006. In Peru, outbreaks involving more than 20 cases of bat-transmitted human rabies were reported during the 1980s and 1990s. During this period, a smaller number of cases were reported from outbreaks in Brazil. A comparison of data from field studies conducted in Brazil in 2005 with those from the previous decade suggests similar bat-bite situations at the local level. The objective of this study was to review the epidemiological situation and, on the basis of this information, discuss possible factors associated with the outbreaks. Prevention and control measures already recommended for dealing with this problem are also reviewed, and some further suggestions are provided.

Composition of the aquatic invertebrate fauna associated to the mangrove vegetation of a coastal river, analyzed through a manipulative experiment.

The present study analyzed the composition of the aquatic fauna associated to the mangrove forest in a southeastern Brazilian river. The composition of the macrofauna in the roots of the marginal vegetation located at three different salinity stretches was analyzed by sampling pieces of the submerged branches of the vegetation (natural substrate) and pieces of sisal rope (artificial substrate), installed close to the natural vegetation and sampled after a period of 14 colonization days. In both types of substrate, twelve taxonomic groups were sampled, representing three phyla (Cnidaria, Annelida and Arthropoda). The crustaceans, corresponding to the most diversified group, were represented by Copepoda, Tanaidacea, Isopoda, Amphipoda and Decapoda. The highest salinity stretch showed the highest abundance, with a progressive decrease from high to low salinity for both substrates. Copepoda and Tanaidacea predominated on both substrates, although the artificial substrate exhibited the highest total abundance and species richness. Considering the relative abundance of the taxonomic groups on both substrates, the majority of groups predominated in the highest salinity range. Significant differences on the longitudinal distribution of abundance were associated to the variation on salinity and with the complexity of the substrate.

Population features of the spider crab Acanthonyx scutiformis (Dana 1851) (Crustacea, Majoidea, Epialtidae) associated with rocky-shore algae from southeastern Brazil.

Acanthonyx scutiformis, an endemic species in the Brazilian coast, is commonly found in intertidal rocky-shore algal communities. This study analyzes the population biology of A. scutiformis from Ubatuba region. A total of 371 specimens were collected over one year. Size range was 4.2[long dash]12.7 mm CW (carapace width) for females and 3.7[long dash]15.8 mm CW for males. Females predominated in intermediate size classes, whereas males prevailed in the largest ones. The estimated size when 50% crabs were mature was 10.7 mm CW for males and 8.9 mm CW for females. Sex ratio varied among the demographic groups. The processes that influence A. scutiformis population structure can be related to the different times males and females reach sexual maturity and probably to the distinct predation pressures on each sex during the adult phase.

Considerações sobre a reprodução de duas espécies de raias (Myliobatiformes, Potamotrygonidae) na região do Alto Rio Paraná, Sudeste do Brasil

This article presents preliminary information about the reproduction of two species of freshwater stingrays of the genus Potamotrygon, found in the Upper Parana River (Southwest Brazil), where these animals are exotic. Males of P. motoro and P. falkneri become sexually mature around 270 mm and 260 mm of disc width (DW), respectively. Females become sexually mature around 330 mm of DW in P. motoro and 325 mm in P. falkneri. In both species, females are bigger and heavier than males, reaching about 700 mm of DW and 20 kg. Copulating has not been recorded, but one courtship ritual has been observed during the dry season. Mature males present a different dentition from females and young males, which is probably related to their reproductive behavior instead of to their feeding habit. The female fertility has varied from one to three offspring. A miscarriage has been observed at different stages of embryonic development always when pregnant females were captured. In spite of the great history of anthropization of the study area, it seems that hydrological cycles are related to the reproduction of stingrays. Nevertheless, it would be necessary to conduct deeper studies to verify or not this influence.

Importância da vegetação ripária em região intensamente desmatada no sudeste do Brasil: um estudo com peixes de riacho

e investigated whether the presence of degraded riparian forests along streams influences the fish communities' composition in comparison with environments completely deforested. Stream stretches (1st to 3rd order) with degraded riparian forest (n = 20) and without riparian forest (n = 20) in the micro-basins of Aguape and Tiete (downstream portion) rivers, northwest of São Paulo, Brazil, were selected for ichthyofauna sampling. Overall, 6,695 individuals, representing six orders, 17 families and 55 species were registered. Forested streams presented higher observed and estimated richness than deforested streams. However, forested streams, on average, had lower total richness and richness of tolerant species than deforested streams, indicating higher beta diversity among forested streams. A difference on the species composition between streams groups was also registered. Most of the unique species to deforested streams, and of those caught in greater abundance and frequency in these streams, are tolerant to structural degradation of the habitat. In contrast, most species that occurred exclusively or preferentially in forested streams have specialized habits and are more dependent on micro-habitats associated with the presence of riparian vegetation. Our results indicate that streams with riparian vegetation, though degraded, are able to maintain distinct communities when compared to those found in completely deforested streams, allowing the occurrence of species with more specialized habits and contributing to the maintenance of communities regionally more diverse.

Developing a research agenda for promoting physical activity in Brazil through environmental and policy change

Objective. To identify the highest priorities for research on environmental and policy changes for promoting physical activity (PA) in Brazil; to uncover any gaps between researchers' and practitioners' priorities; and to consider which tools, methods, collaborative strategies, and actions could be useful to moving a research agenda forward.Methods. This was a mixed-methods study (qualitative and quantitative) conducted by Project GUIA (Guide for Useful Interventions for Activity in Brazil and Latin America) in February 2010-January 2011. A total of 240 individuals in the PA field (186 practitioners and 54 researchers) were asked to generate research ideas; 82 participants provided 266 original statements from which 52 topics emerged. Participants rated topics by "importance" and "feasibility;" a separate convenience sample of 21 individuals categorized them. Cluster analysis and multidimensional scaling were used to create concept maps and pattern matches.Results. Five distinct clusters emerged from the concept mapping, of which " effectiveness and innovation in PA interventions" was rated most important by both practitioners and researchers. Pattern matching showed a divergence between the groups, especially regarding feasibility, where there was no consensus.Conclusions. The study results provided the basis for a research agenda to advance the understanding of environmental and policy influences on PA promotion in Brazil and Latin America. These results should stimulate future research and, ultimately, contribute to the evidence-base of successful PA strategies in Latin America.

Taxonomic comments and an identification key to species for the Smooth-hound sharks genus Mustelus Link, 1790 (Chondrichthyes: Triakidae) from the Western South Atlantic.

Five species of smooth-hound sharks genus Mustelus (Family Triakidae) are know in the western South Atlantic, as follows: Mustelus canis (Mitchell 1815); Mustelus fasciatus (Garman 1913); Mustelus higmani Springer & Lowe 1963; Mustelus norrisi Springer 1939; and Mustelus schmitti Springer 1939. In the present paper, new data on the anatomy, morphometrics and meristic characters are given. Taxonomic aspects and comparison between the species are discussed. Most general body morphologic measurements and proportions are useless as a tool for species identification, since many of them show remarkable intraspecific variations. Head proportions and structures related seem to be a more adequate procedure to identify the species of Mustelus. The labial folds proportions, internasal distance and orbit diameter were the most useful character to separate the western South Atlantic species. The buccopharingeal pattern of denticles as well as tooth counts not was useful to distinguish the Mustelus species from western South Atlantic adequately, due great intraspecific variation.

Effects of a small fish cage farm on zooplankton assemblages (Cladocera and Copepoda: Crustacea) in a sub-tropicalreservoir (SE Brazil).

In Brazil, the environmental impacts of fish cage farming in water reservoirs have not been well studied. As this activity is being increasingly practiced, investigations on the impacts of this practice are strongly needed. The goal of this study was to investigate the effects of a small cage tilapia farm on zooplankton assemblages in an oligo/mesotrophic reservoir (Jurumirim Reservoir, Paranapanema River). Zooplankton, limnological variables, and water samples were obtained trimonthly during a year at two sample sites, one was located adjacent to the cage farm and the control area was located one kilometer away from it. Eighteen species were identified and Cladocera was the dominant group. The same species of microcrustaceans were identified at both sites. Among the ecological attributes studied, only evenness showed a tendency towards being higher in the control site. Significant differences between studied variables in the sites were observed only for material in suspension. The results of the study indicate that, during the studied period, the cage farm did not generate detectable changes in the zooplankton assemblages and their ecological attributes. However, small differences in some limnological variables could be an indication of some environmental changes associated with the fish farm system.

Measuring fluoride concentration in mineral waters in the Araraquara region, Brazil

It has been shown that people of all ages can benefit from the topical and systemic effects of water fluoridation. However, the increase in consumption of bottled water, either to substitute for or supplement consumption of water from public sources, has implications for safe fluoride supplementation. Taking that into consideration, in 1995 we analyzed the fluoride content in 31 commercial brands of mineral water in the region of Araraquara, state of Sao Paulo, Brazil. Fluoride concentration as determined by our analysis was compared to the concentration of fluoride specified on each label. Only 25% of the products studied listed the fluoride concentration on their labels. In addition, among 31 mineral water brands, 26 listed the date when the chemical analysis to determine chemical composition had been performed. Of these, 20 had not been put through the annual chemical analysis determined by Brazilian law. Based on these results, if the mineral waters tested had been the only source of drinking water, fluoride supplementation would have been necessary in 69% of the samples analyzed. In the case of children up to 6 years of age who use products containing fluoride, such as topical gels, mouthwashes or toothpastes, supplementation should be recommended only if commercially bottled water is the only source of water used, not only for drinking but for cooking as well.

Avaliacao das condicoes de saude bucal dos idosos em um municipio brasileiro

This study assessed the oral health of individuals 60 years or older in the city of Araraquara, Sao Paulo, Brazil, in 1998. Of the 194 people who participated in the study, 91 of them were institutionalized and had an average age of 73.6 years, and 103 were not institutionalized and had an average age of 69.3 years. The study participants were examined by a previously trained oral surgeon who determined the prevalence of the most common oral health problems. The results revealed a large number of edentulous individuals (72% of those institutionalized and 60% of the noninstitutionalized participants) and many persons with extracted teeth (93% and 90%, respectively), as well as a high frequency of periodontal pockets (57% and 75%, respectively) and of inadequate dentures (80% and 61%, respectively). Our results show reduced quality of life for a large proportion of these older individuals, and also indicate that public health services should pay greater attention to this population group.