Knowledge and attitudes of health care workers from intensive care units regarding nosocomial transmission of influenza: a study on the immediate pre-pandemic period

The transmission of influenza in health care settings is a major threat to patients, especially those with severe diseases. The attitude of health care workers (HCWs) may influence the transmission of countless infections. The current study aimed to quantify knowledge and identify attitudes of HCWs involved in intensive care units (ICUs) regarding the risk of nosocomial influenza transmission. A questionnaire was applied through interviews to HCWs who worked in one of the five ICUs from a teaching hospital. Questions about influenza were deliberately dispersed among others that assessed several infectious agents. Forty-two HCWs were interviewed: nine physicians, ten nurses and 23 nursing technicians or auxiliaries. Among the 42 HCWs, 98% were aware of the potential transmission of influenza virus in the ICUs, but only 31% would indicate droplet precautions for patients with suspected infection. Moreover, only 31% of them had been vaccinated against influenza in the last campaign (2008). Nursing technicians or auxiliaries were more likely to have been vaccinated, both by univariate and multivariable analysis. When asked about absenteeism, only 10% of the study subjects stated that they would not go to work if they had an influenza-like illness. Those findings suggest that, in non-pandemic periods, influenza control in hospitals requires strategies that combine continuous education with changes in organizational culture.

Comparison of risk factors among blood donors, volunteers and replacement individuals, infected or not by hepatitis C virus

Hepatitis C is transmitted primarily parenterally by contaminated blood and is often associated with: intravenous drug abuse, invasive procedures, blood transfusions, acupuncture, tattooing, and alcohol and tobacco use. This study aimed to quantify and evaluate the risk factors among blood donors, volunteer blood donors and replacement individuals, infected or not by the C virus. The main transmission routes of C virus were identified in 55 men and 25 women (GI) monitored by the Ambulatory Unit of the Department of Tropical Diseases, Botucatu Medical School, and in 24 men and 26 women (GII), all active blood donors at the Bauru State Hospital Transfusional Agency. Both groups were similar in: tobacco and alcohol consumption, sexual behavior, tattooing and illicit drug use. The duration of alcohol and tobacco consumption and blood transfusions in GI were longer, whereas the option for steady partners, condom use, disposable materials and piercings were predominant in GII. In conclusion, the risk factors for hepatitis C demonstrate the necessity of health policies that act on the primary and secondary prevention levels (respectively, reduction of infection incidence and hepatopathy risk).

Análise hidrodinâmica e morfodinâmica do complexo estuarino do Rio Piranhas-Açu/RN, Nordeste do Brasil

The aim of this study was the seasonal characterization of the morphology, sedimentology and hydrodynamic of the Açu, Cavalos and Conchas estuaries. These estuaries are inserted in a semi-arid climate area and form the mouth of the hydrographic basin of the Piranhas-Açu river, that represent the discharge of the largest watershed in the state. They are embedded in an environment consisting of a fluvial-marine floodplain, mangrove ecosystem, sandbanks, fields of dunes, spits and sandy beaches. Adjacent to the natural units are the main local socioeconomic activities (oil industry, salt industry, shrimp farming, fishing and tourism) are dependent on this river and its conservation. The environmental monitoring is necessary because it is an area under constant action of coastal processes and at high risk of oil spill. The acquisition and interpretation of hydrodynamic, sonographic and sediment data was conducted in two campaigns, dry season (2010) and rainy season (2011), using respectively the current profiler ADCP Doppler effect, the side-scan sonar and Van Veen sampler. In these estuaries: Açu, Cavalos and Conchas were identified the following types of bedforms: flatbed and Dunes 2-D and 3-D (small to medium size), generated at lower flow regime (Froude number <1). Structures such as ripples were observed in the Açu estuary mouth. The higher values of flow discharge and velocity were recorded in the Açu estuary (434,992 m³.s-¹ and 0,554 m.s-¹). In rainy season, despite the record of highest values of discharge and flow velocities at the mouth, the energy rates upstream did not differ much from the data of the dry season. However, in all estuaries were recorded an increase in speed and flow, with reservation to the flow in the Açu estuary and flow at the mouth of the Conchas estuary. Sediment grain sizes tend to increase towards the mouth of the estuary and these ranged from very fine sand to very coarse sand, medium sand fraction being the most recurrent. Based on the data acquired and analyzed, the estuaries Açu, Cavalos and Conchas are classified as mixed , dominated by waves and tides. According to their morphology, they are classified as estuaries constructed by bar and according to the classification by salinity, estuaries Conchas and Cavalos were ranked as hypersaline estuaries, and Açu as hypersaline and vertically well mixed type C

Rabies virus distribution in tissues and molecular characterization of strains from naturally infected non-hematophagous bats

Bats are main reservoirs for Lyssavirus worldwide, which is an important public health issue because it constitutes one of the big challenges in rabies control. Yet, little is known about how the virus is maintained among bats, and the epidemiological relationships remain poorly understood. The aim of the present study was to investigate the distribution of the rabies virus (RABV) in bat tissues and organs and to genetically characterize virus isolates from naturally infected non-hematophagous bats. The heminested reverse transcriptase polymerase chain reaction (hnRT-PCR) and sequencing using primers to the nucleoprotein coding gene were performed. The results showed a dissemination of the RABV in different tissues and organs, particularly in the salivary glands, tongue, lungs, kidneys, bladder, intestine and feces, suggesting other possible forms of RABV elimination and the possibility of transmission among these animals. The phylogenetic analysis confirmed that different variants of RABV are maintained by non-hematophagous bats in nature and have similar tissue distribution irrespective of bat species and phylogenetic characterization. (C) 2012 Elsevier B.V. All rights reserved.

Occurrence of feline immunodeficiency virus infection in cats

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Survey for Foot-and-mouth Disease in the Endangered Marsh Deer (Blastocerus dichotomus) from Marshlands of the Parana River Basin, Brazil

Habitat fragmentation and diseases have resulted in a decline of the marsh deer (Blastocerus (dichotomus) throughout its South American range. Our objectives were to determine whether marsh deer intended for translocation from a region of the Rio Parana Basin had been infected previously by foot-and-mouth disease virus (FMDV) and whether they were carrying virus We captured marsh deer from June to October 1998 and collected blood from 108 animals and esophageal-pharyngeal fluid from 53 Serum was tested for antibodies against three FMDV serotypes (O, A, and C) by liquid-phase-blocking sandwich enzyme-linked immunosorbent assay (ELISA) Esophageal-pharyngeal fluid was tested for FMDV RNA by reverse transcription polymerase chain reaction (RT-PCR) and inoculation into three successive baby hamster kidney (BHK-21) cell subcultures, followed by RT-PCR of cultures We detected low log(10) titers (range 1 0-1 5) to FM DV subtype A(24) Cruzeiro in 19 of 108 sampled marsh deer, but failed to isolate FMDV or detect FMDV RNA in any samples we conclude that marsh deer from our study site were unlikely to carry FMDV, however, as a preventive measure, the 19 animals with titers for FMDV were not sent to FMDV-free Brazilian states

Changes in abiotic characteristics of water in the Paranapanema River and three lateral lagoons at mouth zone of the Jurumirim Reservoir during the flood period, São Paulo, Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Controlling factors of benthic macroinvertebrates distribution in a small tropical pond, lateral to the Paranapanema River (São Paulo, Brazil).

The aim of the present study was to examine the benthic fauna in a marginal pond lateral to the Paranapanema River and to identify the main controlling factors of its distribution. Considering the small size of the lacustrine ecosystem, we expected that seasonal variations of the benthic community attributes are more important than spatial variations; Methods: Two samplings, one in March and another in August, were carried out at nine sites in the pond. Sediment samples were obtained through a Van Veen grab for invertebrate sorting, granulometric analysis, and for quantification of organic matter in sediment. Other abiotic factors were measured, such as water transparency, dissolved oxygen, pH, electric conductivity, temperature, and depth of sediment sampling sites. Regarding the comparative analysis at spatial scale, no significant variations in density of the benthic invertebrate community were found. Results: In relation to the studied abiotic factors, only depth presented significant differences among sampling sites; All the measured environmental parameters presented significant differences among sampling months, except depth and the physical and chemical characteristics of the sediment. The abundance of Chaoboridae and Chironomidae was the unique attribute with a significant difference in comparing the two months. A higher abundance of taxa occurred in August, especially for Oligochaeta, Nematoda, Chaoboridae, and Chironomidae; Conclusions: Because of the low structural complexity of the studied pond, we concluded that the changes in benthic macroinvertebrate community attributes were mainly due to seasonal effects.

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.

Plankton richness and abundance in several different hydrological situations in lakes lateral to a river: a case study in the mouth zone of a tributary into a tropical reservoir.

A descriptive analysis of the responses of plankton from lakes lateral to a river in its mouth zone into a tropical reservoir to water level variations is presented. Three situations were reported: 1) a comparison of species richness and diversity and of algae population abundance in prolonged drought and in periods of connection of lakes to the river, 2) the spatial distribution of abundance and richness of Rotifera species in four isolated water bodies formed by fragmentation of a lateral lake during a period of prolonged drought and in the same areas during a period of integrity as an ecosystem, 3) the variability of total zooplankton and Cladocera densities at the end of the isolation period of a lateral lake and after the recovery of connection with the river and in a year of continuous connection with the lotic ecosystem. Various idiosyncrasies were observed in connected lateral lakes, like the surface hydrologic connectivity, a primary factor in species richness modifcations and a secondary controlling factor of plankton abundance. Underground hydrologic connectivity, through the river[forward arrow] lake water fux during the high-water period and lake [forward arrow] river during drought period, appears to have an important role in richness and abundance variations of planktonic populations in the lake isolated from the river.

The fish zonation of the Itanha,m river basin in the Atlantic Forest of southeast Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Use of the freshwater crab Trichodactylus fluviatilis to biomonitoring Al and Mn contamination in river water.

Determinations of Al and Mn concentrations in the tissues (gills, hepatopancreas and muscle) of the freshwater crab Trichodactylus fluviatilis and water samples, both collected from sites on tributaries of the Corumbatai River (São Paulo, Brazil) were performed. The Bioaccumulation Factor (BAF), calculated for different sites with respect to the water concentration, ranged from 173-555 for Al and from 636 - 921 for Mn. Dissolved concentrations of Al and Mn in water samples (collected in different sites) were related to the accumulation of these metals in crabs, suggesting that T. fluviatilis is good biomonitor for Al and Mn pollution in aquatic ecosystem.

Mapping MHC Genes in River Buffalo

The major histocompatibility complex (MHC) contains a set of genes necessary for antigen presentation in the immune system. This gene dense and polymorphic region of the mammalian genome is of considerable interest due to the role of MHC genes in immune function and animal health. Previous cytogenetic studies have indicated that the MHC in river buffalo resides on the short arm of chromosome 2 (BBU2). A 5000-rad radiation hybrid mapping panel was recently generated to enable construction of a whole genome map of river buffalo. To this and, the aims of this project were to elucidate the general organization of the MHC on BBU2, and to compare gene order within this region to the MHC in cattle. PCR primers were selected from the bovine gene map and used with the BBURH(5000) panel to map a set of ten MHC class 11 genes in river buffalo. Analysis indicates that these genes fall into two linkage groups, consistent with organization of the MHC in cattle. This comparison of buffalo and bovine MHC gene order provides the first insight into the organization of the MHC on river buffalo chromosome 2.

Mercury in Amazonian fish from Madeira River basin, Rondonia state, Brazil

This investigation was carried out at the Madeira River basin, located in the state of Rondonia, Brazilian Amazon. Fish from Madeira, Jaciparana, and Jamari rivers between 7 and 11 degrees parallels south and between 62 and 65 degrees meridians west in Rondonia state, Brazil, were sampled and chemically analyzed for mercury in order to evaluate if the inputs of this metal into the food-chain is occurring in levels reaching values above those recommended by the World Health Organization. This is because such an element is very dangerous when ingested by humans and its presence was extensively identified some years ago in the area, since it was utilized as an amalgam in processes for recovering alluvial gold.

Population dynamics and net primary production of the aquatic macrophite Nymphaea rudgeana C. F. Mey in a lotic environment of the Itanhaém River basin (SP, Brazil)

Neste trabalho, foi estudada a dinâmica populacional e estimada a produção primária líquida da macrófita aquática Nymphaea rudgeana em um braço do rio Itanhaém (Estado de São Paulo, Brasil). Esta espécie apresenta uma ampla variação anual de biomassa, em função da estação do ano, no local estudado. A partir do mês de novembro (13,1 g PS/m²), pode ser observado um aumento gradual da biomassa, atingindo o máximo em fevereiro (163,1 g PS/m²). Posteriormente, a biomassa diminui, mantendo-se em níveis baixos até um novo período de crescimento. A diminuição de biomassa está associada ao desenvolvimento de macrófitas flutuantes (Pistia stratiotes e Salvinia molesta) e, subseqüentemente, às condições ambientais desfavoráveis (valores de salinidade elevados) ao seu desenvolvimento. A produção primária líquida de N. rudgeana foi obtida a partir dos dados de biomassa e seu valor é estimado entre 3,02 e 3,82 t/ha/ano.