903 resultados para Specific areas of management


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RESUMO: As células endoteliais definem e delineiam todo o sistema vascular...Nesta tese procurámos explorar o papel que o ambiente tumoral exerce sobre as células endoteliais. ... Avaliamos também a capacidade anti-angiogénica de alguns derivados do estrogénio... Em suma os nossos resultados mostram a importância de um controlo rigoroso da regulação transcricional...

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INTRODUCTION: Deforestation, uncontrolled forest, human population migration from endemic areas, and the large number of reservoirs and wild vectors naturally infected by Trypanosoma cruzi promote the endemicity of Chagas disease in the Amazon region. METHODS: We conducted an initial serological survey (ELISA) in a sample of 1,263 persons; 1,095 (86.7%) were natives of the State of Amazonas, 666 (52.7%) were male, and 948 (75.1%) were over 20 years old. Serum samples that were found to be reactive, indeterminate, or inconclusive by indirect immunofluorescence (IFI) or positive with low titer by IFA were tested by Western blot (WB). Serologically confirmed patients (WB) were evaluated in terms of epidemiological, clinical, ECG, and echocardiography characteristics. RESULTS: Fifteen patients had serologically confirmed T. cruzi infection, and 12 of them were autochthonous to the state of Amazonas, for an overall seroprevalence of 1.2% and 0.9% for the state of Amazonas. Five of the 15 cases were males, and the average age was 47 years old; most were farmers with low education. One patient who was not autochthonous, having originated from Alagoas, showed right bundle branch block, bundle branch block, and anterosuperior left ventricular systolic dysfunction with an ejection fraction of 54%. CONCLUSIONS: The results of this study ratify the importance of monitoring CD cases in Amazonia, particularly in the state of Amazonas.

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INTRODUCTION: Knowledge concerning the fauna of Culicidae in the Brazilian Amazon States contributes to current understanding of the bionomics of the insects collected and makes it possible to observe changes in the fauna over time. METHODS: The Culicidae were captured with a BG-Sentinel® trap in extra-domiciliary area of two rural regions of Porto Velho in June and July of 2007 and 2008. RESULTS: A total of 10,695 Culicidae was collected, belonging to nine genera: Coquillettidia, Culex, Mansonia, Psorophora, Aedes, Aedeomyia, Anopheles, Uranotaenia and Wyeomyia. CONCLUSIONS: The presence of Mansonia (Mansonia) flaveola was recorded in the State of Rondônia for the first time.

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INTRODUCTION: The prevalence and intensity of geohelminth infections and schistosomiasis remain high in the rural areas of Zona da Mata, Pernambuco (ZMP), Brazil, where these parasites still represent a significant public health problem. The present study aimed to spatially assess the occurrences of schistosomiasis and geohelminthiasis in the ZMP. METHODS: The ZMP has a population of 1,132,544 inhabitants, formed by 43 municipalities. An ecological study was conducted, using secondary data relating to positive human cases and parasite loads of schistosomiasis and positive human cases of geohelminthiasis that were worked up in Excel 2007. We used the coordinates of the municipal headquarters to represent the cities which served as the unit of analysis of this study. The Kernel estimator was used to spatially analyze the data and identify distribution patterns and case densities, with analysis done in ArcGIS software. RESULTS: Spatial analysis from the Kernel intensity estimator made it possible to construct density maps showing that the northern ZMP was the region with the greatest number of children infected with parasites and the populations most intensely infected by Schistosoma mansoni. In relation to geohelminths, there was higher spatial distribution of cases of Ascaris lumbricoides and Trichuris trichiura in the southern ZMP, and greater occurrence of hookworms in the northern/central ZMP. CONCLUSIONS: Despite several surveys and studies showing occurrences of schistosomiasis and geohelminthiasis in the ZMP, no preventive measures that are known to have been effective in decreasing these health hazards have yet been implemented in the endemic area.

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Introduction Hantavirus infections have been described in several regions in Brazil through seroepidemiological studies. Usually, populations are associated with rural and wild environment mainly due to close contact to species of Sigmodontinae rodents, considered hantavirus reservoirs. Methods A retrospective serosurvey was conducted to access the hantavirus seroprevalence in people living in regions affected by bovine vaccinia outbreaks. Results Sera from 53 patients were analyzed and none of them presented anti-hantavirus IgG antibodies. Conclusions This study presents an opportunity to analyze seronegativity despite close and recurrent contact with known hantavirus reservoirs. Aspects of hantavirus and bovine vaccinia emergence are also discussed.

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INTRODUCTION: Visceral leishmaniasis (VL) is a zoonosis of great importance to public health and is considered a neglected disease by the World Health Organization. The disease has expanded and become more prevalent in urban areas in Brazil. METHODS: Geospatial analyses were performed and thematic maps of the triad of the disease were produced for the study period (2003-2012) in the urban area of the municipality of Rondonópolis in the midwestern State of Mato Grosso (MT), Brazil, TerraView 4.2.2 software was used for the analyses. RESULTS: A total of 87.9% of the 186 confirmed human cases of VL were cured. Children between the ages of 1 and 4 were the most affected. Registered deaths were predominant among adults aged 60 years or older. The urban area of the municipality consists of eight strata and 12 census districts include 237 neighborhoods. All sectors had confirmed cases of VL. During the study period, human cases of the disease were recorded in 90 neighborhoods. The 23 deaths from the disease were distributed in 21 neighborhoods. Sandflies carrying the parasite were captured in 192 out of 200 neighborhoods evaluated for the presence of the VL vector. The presence of dogs carrying the parasite was confirmed in, 140 out of 154 surveyed neighborhoods. CONCLUSIONS: The data demonstrated the endemic nature of VL, with a high percentage of infected children, a high distribution of canine infection, and a wide adaptation and dispersal of the vectors in the urban environment. These results, illustrate the process of urbanization of VL in the municipality of Rondonópolis, MT, Brazil.

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Abstract: INTRODUCTION: To characterize Trypanosoma cruzi (TcI) isolated from a Panstrongylus megistus specimen found in one of the biggest metropolitan areas of Latin America, the relationship between the TcI group of T. cruzi and the transmission cycle in the urban environment was studied. METHODS: The T. cruzi strain, Pm, was isolated in a culture medium from the evolutionary forms present in the hindgut of a live male specimen of P. megistus found in the Jabaquara subway in São Paulo City. The sample from the triatomine showed trypomastigote forms of Trypanosomatidae, which were inoculated in the peritoneum of Balb/c mice. The sample was then inoculated in Liver Infusion Tryptose medium and J774 cells for the molecular identification and characterization of the parasite. The Pm strain of T. cruzi was identified by isolation in axenic culture medium, and based on the morphology, cell infection, growth kinetics, and molecular characterization. RESULTS: After isolation, the protozoan was identified as T. cruzi. No parasites were detected in the peripheral blood of the animal, which can be a characteristic inherent to the strain of T. cruzi that was isolated. Cell invasion assays were performed in triplicate in the J774 cell line to confirm the invasive ability of the Pm strain and revealed amastigote forms of the parasite within macrophages. CONCLUSIONS: Our biological and molecular characterizations helped understand parasite-host interactions and their evolutionary history in context of the associations between vectors, ecotopes, hosts, and groups of the parasite.

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Estimates of terrestrial biomass depend critically on reliable information about the specific gravity of the wood of forest trees. The study reported on here was carried out in the southern Peruvian Amazon and involved collection of wood samples from trees (70 spp.) in intact forest stands. Results demonstrate the high degree of variability in specific gravity (ovendry weight/green volume) in trees at single locations. Three forest types (swamp, high terrace forest with alluvial soil, and sandy-soil forest) had values close to the average reported for tropical forest woods (.69). Two early successional forest types, which make up as much as 12% of the total vegetated area in this part of the Amazon, had values significantly lower (.40). An increase in specific gravity with increasing age of the tree, which has been reported in some spe cies of tropical-forest woods, is seen in a positive relationship between specific gravity and di ameter for a species prevalent in one plot. Increases in specific gravity with tree and forest age may be significant in estimating changes in carbon stores over time.

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A large population of the giant Amazon river turtle (Podocnemis expansa) nests along the beaches of the Crixás-Açu River in the central western region of Brazil. In spite of the existence of several point bars in the area, only a selected group of beaches is used for nesting by P. expansa. Geological aspects, such as river width and depth, beach height above 200 cm with sandy sediments, were indispensable for the choice of these nesting sites. The relatively reduced dimensions of the point bars and the great number of turtles, which nest in the same local, contributed to the existence of a high nest concentration. The rapid rise of the Crixás-Açu River caused the flooding of the beaches and the drowning of hatchlings and embryos. It is estimated that nearly all the nests were lost. The height of the nesting place and the time of flooding related to the incubation period are decisive in embryo survivorship. The Retiro, Júnior, Assombrado and Limoeiro beaches, which are situated at heights of 183 to 310 cm, were inundated on 8 November 2000. The Barreira Branca beach, with a height of up to 380 cm was completely inundated on 13 December 2000. All of these beaches were flooded before the hatchlings emerged.

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The tocopherol content of Brazil nut oil from different Amazon regions (Manicoré-AM, Rio Preto da Eva-AM, São João da Baliza-RR, Caroebe-RR, Belém-PA, and Xapurí-AC) was investigated by normal-phase high-performance liquid chromatography. For all authentic oils, two isomers: α- and γ-tocopherols were observed (37.92-74.48 µg g-1, 106.88-171.80 µg g-1, respectively), and their levels were relatively constant among the oils having these geographic origins, which would enable to distinguish Brazil nut oil from other plant oils for authentication purposes. Commercial Brazil nut oils were also evaluated, and some of these oils demonstrated a tocopherol content that was very different from that of the authentic oils. Therefore, we suggest that the tocopherol profile of Brazil nut oil can be useful chemical marker for quality control and authentication.

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La síntesis de materiales cristalinos micro y mesoporosos con incorporación de micro/nano partículas/clusters de especies formadas con entidades propias interaccionando con las redes, como óxidos de metales, cationes de neutralización, especies metálicas, etc., pueden potencialmente ser utilizados como "materiales hospedaje" en óptica, electrónica, sensores, como materiales magnéticos, en estrategias ambientales de control de la contaminación, catálisis en general y procesos de separación. Se sintetizaran y caracterizaran por diversas técnicas fisicoquímicas, zeolitas microporosas de poro medio (ZSM) y poro grande (Y), y materiales mesoporosos (MCM-41). La aplicación de los mismos se orientara, por una parte, a procesos catalíticos tecnológicamente innovadores relacionados con los siguientes campos: a)catálisis ambiental: transformación de desechos plásticos (polietileno, polipropileno, poliestireno o mezclas de los mismos) a hidrocarburos de mayor valor agregado (gasolinas, gasoil, gases licuados de petróleo, hidrocarburos aromáticos); b)química fina: oxidación parcial de hidrocarburos aromáticos hacia la obtención de commodities, fármacos, etc. Por otra parte, se evaluaran las propiedades magnéticas (ferromagnetismo, paramagnetismo, superparamagnetismo, diamagnetismo) que algunos de estos materiales presentan, en busca de su correlación con sus propiedades catalíticas, cuando sea factible. Se estudiaran las condiciones óptimas de síntesis de los materiales, aplicando técnicas hidrotermicas o sol gel, controlando variables como temperaturas y tiempos de síntesis, pH de geles iniciales-intermedios-finales, tipo de fuentes precursoras, etc. La modificación de las matrices con Co, Cr, Mn, H, o Zn, se realizara mediante diversos tratamientos químicos (intercambio, impregnación) a partir de las sales correspondientes, con el objeto de incorporar elementos activos al estado iónico, metálico, clusters, etc.; y la influencia de distintos tratamientos térmicos (oxidantes, inertes o reductores; atmósferas dinámicas o estáticas; temperaturas). La caracterización estructural de los materiales será por: AA (cuantificación elemental de bulk); XRD (determinacion de presencia de especies oxidos o metalicas de Zn, Co, Cr, o Mn; determinacion de cristalinidad y estructura); BET (determinacion de area superficial); DSC-TG-DTA (determinacion de estabilidad de las matrices sintetizadas); FTIR de piridina (determinacion de tipo-fuerza-cantidad de sitios activos); Raman y UV-reflectancia difusa (determinacion de especies ionicas interacturando o depositadas sobre las matrices); TPR (identificacion de especies reducibles); SEM-EDAX (determinacion de tamaño de particulas de especies activas y de las matrices y cuanfiticacion superficial); Magnetómetros SQUID y de muestra vibrante (medición de magnetización y susceptibilidad magnética a temperatura ambiente con variación de campo externo aplicado, y variación de temperaturas (4 a 300 K) con campo externo fijo). En síntesis, se plantean tres grandes áreas de trabajo: No1)Síntesis y caracterización de materiales micro y mesoporosos nanoestructurados; No2) Evaluación de las propiedades catalíticas; No3) Evaluación de las propiedades magnéticas. Estos lineamientos nos permitirán generar nuevos conocimientos científicos-tecnológicos, formando recursos humanos (dos becarios posdoctorales; un becario doctoral; tres becarios alumnos de investigación; aproximadamente 15 pasantes de grado al año) aptos para emprender tales desafíos. Los conocimientos originados son constantemente trabajados en las actividades docentes de grado y posgrado que los integrantes del proyecto poseen. Finalmente serán transmitidos y puestos a consideración de pares evaluadores en presentaciones a congresos nacionales e internacionales y revistas especializadas.

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La Enfermedad de Chagas es considerada en términos sociales y económicos, una de las enfermedades parasíticas más importantes de América Latina. La transmisión vectorial de esta enfermedad ha sido interrumpida en gran parte de América Latina sin embargo, el control vectorial no ha podido lograr la sostenibilidad y la efectividad necesarias para interrumpir la transmisión vectorial en la región del Gran Chaco de Argentina, Bolivia y Paraguay. La permanencia de poblaciones residuales de triatominos en estructuras peridomiciliarias permite una rápida recuperación del vector, sugiriéndose que estas poblaciones serían la principal fuente de reinfestación de la vivienda humana. Este escenario plantea por lo tanto la necesidad de estudiar con más profundidad las poblaciones de triatominos presentes en los peridomicilios para comprender su dispersión, capacidad de domiciliación y así entender el posible peligro que pueden presentar para el hombre como especies vectoras de la enfermedad de Chagas. Dentro de la provincia de Córdoba existen áreas que por la presencia histórica de triatomineos, la notificación reciente de casos de Chagas vectorial y el registro de especies silvestres invadiendo los domicilios merecen un estudio más profundo. Es por ello que se propone realizar un relevamiento de las especies de triatomineos que habitan los domicilios y peridomicilios en estas zonas, calcular los índices de infección con Trypanosoma cruzi que presentan, caracterizar su perfil alimentario, los factores de riesgo que favorecen su refugio, su capacidad dispersiva y diferenciar fenotípicamente entre las poblaciones peridomésticas para comprender mejor el posible peligro que pueden presentar para el hombre como especies vectoras de la enfermedad de Chagas. Además, y de manera complementaria, se aplicarán estrategias educativas en el ámbito escolar que sirvan para la vigilancia entomológica y acciones preventivas de la Enfermedad de Chagas. La determinación del perfil alimentario pautará la potencialidad de cada vector, siendo esta información fundamental para el análisis de situaciones epidemiológicas de riesgo. La capacidad dispersiva y la diferenciación fenotípica de las poblaciones permitirán conocer el posible movimiento y flujo de triatominos desde y hacia la vivienda humana. La determinación de los factores que favorecen el refugio de triatominos permitirá conocer el nivel de riesgo en que se encuentra cada domicilio. Además, considerando la importancia de las poblaciones peridomésticas en los procesos de reinfestación, se analizará la capacidad dispersiva que presentan los triatominos a través de su estado nutricional y, mediante la morfometría clásica y geométrica, se analizará como se estructura la diversidad fenotípica en los domicilios y peridomicilios. La aplicación de estrategias educativas en el ámbito escolar favorecerá el conocimiento en general de esta enfermedad, la vigilancia entomólogica y las acciones preventivas por parte de los niños en edad escolar. Chagas disease is considered socially and economically, one of the most important parasitic diseases in Latin America. Vector transmission of this disease has been interrupted in much of Latin America, however, vector control has failed to achieve sustainability and effectiveness necessary to interrupt the vector transmission in the Gran Chaco region of Argentina, Bolivia and Paraguay. The permanence of residual populations of triatomine in the peridomiciliary structures enables fast recovery of the vector, suggesting that these populations would be the main source of reinfestation of human dwellings. Within the province of Córdoba, there are areas that the historical presence of triatomines, the recent notification of cases of Chagas vector and recording of wild species invading the homes deserve further study. That is why, there will be a survey of Triatominae species that inhabit the domiciles and peridomiciles in these areas, rates of infection with Trypanosoma cruzi, their host feeding preferences, the risk factors that favor its shelter, their dispersive capacity and phenotypic differentiation between peridomestic populations, to better understand the potential danger they may present to the man and vector species of Chagas disease. In addition, complementary, educational strategies in schools were implemented that serve for entomological surveillance and preventive actions of Chagas disease. The determination of the potential food profile patterns of each vector is essential for epidemiological analysis of risk situations. Dispersive capacity and phenotypic differentiation of populations may allow understanding the movement and flow of triatomines and from human habitation.

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ჩატარებულია რადონის განაწილების რაოდენობრივი შეფასება დასავლეთ საქართველოს ცალკეულ რაიონებში. მიღებული მონაცემები მოწმობს, რომ 100-ზე მეტი წყლის სინჯში აღინიშნება რადონის მაღალი შემცველობა. ამ უბნებთანაა დაკავშირებული ბინებში რადონის დაგროვების მაღალი მაჩვენებლები.ჩვენს მიერ ჩატარებული კვლევა კიდევ ერთხელ ადასტურებს კორელაციურ კავშირს რადონის კონცენტრაციასა და ფილტვის კიბოს გავრცელებას შორის.

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Background:Cardiovascular diseases (CVDs) are the leading cause of death worldwide. Knowledge about cardiovascular risk factors (CVRFs) in young adults and their modification over time are measures that change the risks and prevent CVDs.Objectives:To determine the presence of CVRFs and their changes in different health care professionals over a period of 20 years.Methods:All students of medicine, nursing, nutrition, odontology, and pharmacy departments of Federal University of Goiás who agreed to participate in this study were evaluated when they started their degree courses and 20 years afterward. Questionnaires on CVRFs [systemic arterial hypertension (SAH), diabetes mellitus, dyslipidemia, and family history of early CVD, smoking, alcohol consumption, and sedentarism] were administered. Cholesterol levels, blood sugar levels, blood pressure, weight, height, and body mass index were determined. The Kolmogorov-Smirnov test was used to evaluate distribution, the chi-square test was used to compare different courses and sexes, and the McNemar test was used for comparing CVRFs. The significance level was set at a p value of < 0.05.Results:The first stage of the study included 281 individuals (91% of all the students), of which 62.9% were women; the mean age was 19.7 years. In the second stage, 215 subjects were reassessed (76% of the initial sample), of which 59.07% were women; the mean age was 39.8 years. The sample mostly consisted of medical students (with a predominance of men), followed by nursing, nutrition, and pharmacy students, with a predominance of women (p < 0.05). Excessive weight gain, SAH, and dyslipidemia were observed among physicians and dentists (p < 0.05). Excessive weight gain and SAH and a reduction in sedentarism (p < 0.05) were observed among pharmacists. Among nurses there was an increase in excessive weight and alcohol consumption (p < 0.05). Finally, nutritionists showed an increase in dyslipidemia (p < 0.05).Conclusion:In general, there was an unfavorable progression of CVRFs in the population under study, despite it having adequate specialized knowledge about these risk factors.