Epidemiological Aspects of Head Lice in Children Attending Day Care Centres, Urban and Rural Schools in Uberlândia, Central Brazil

From November 1996 to March 2000, a total of 884 children between 0 and 15 years, from 11 institutions including day care centres, public urban and public rural schools in Uberlândia, State of Minas Gerais, central Brazil, were examined for head louse infestation. Children's sex, race, age and some hairs characteristics were shown to be associated to parasite infestation. A prevalence rate of 35% was found and the highest rates were observed in black, female children, with long, dark, wavy hairs. Hairs density and thickness did not seem to influence significantly the distribution of this pediculosis in Uberlândia's schoolchildren. Differences observed between the prevalence rates of head lice in children from the urban institutions suggest there is a greater epidemiological heterogeneity in this group when compared to the rural schoolchildren.

Effect of diflubenzuron on immature stages of Haematobia irritans (L.) (Diptera: Muscidae) in Uberlândia, State of Minas Gerais, Brazil

Horn fly immatures were raised in media containing different concentrations of diflubenzuron in order to verify their susceptibility to this insect growth regulator (IGR). The 50% and 95% lethal concentrations of diflubenzuron for the population (LC50, LC95) were determined as well as the effect of this IGR on the different immature horn fly stages. The tests were performed using the progeny of adults collected in the field. The immatures were maintained in a growth chamber at 25.0 ± 0.5ºC and 12-12 h photoperiod. IGR concentrations of 300 ppb, 100 ppb and 50 ppb were lethal for 100% of the sample. Pupae malformation occurred in the breeding media containing different diflubenzuron concentrations. Values for LC50 , LC95 (± 95% fiducial limits) and the slope of the regression line were respectively, 25.521 ± 1.981 ppb, 34.650 ± 2.001 ppb and 12.720 ± 1.096. The third larval instar was more sensitive to the sub-lethal concentration of the product than the first and second ones were. The results indicate that this IGR can be an important tool for controlling horn fly populations as well as for managing horn fly resistance to conventional insecticides against Haematobia irritans in Uberlândia, State of Minas Gerais.

Determinants of Human Immunodeficiency Virus (HIV) prevalence in homosexual and bisexual men screened for admission to a cohort study of HIV negatives in Belo Horizonte, Brazil: Project Horizonte

Project Horizonte, an open cohort of homosexual and bisexual human immunodeficiency virus (HIV-1) negative men, is a component of the AIDS Vaccine Program, in Belo Horizonte, Minas Gerais, Brazil. The objective of this study was to compare volunteers testing HIV positive at cohort entry with a sample of those who tested HIV negative in order to identify risk factors for prevalent HIV infection, in a population being screened for enrollment at Project Horizonte. A nested case-control study was conducted. HIV positive volunteers at entry (cases) were matched by age and admission date to three HIV negative controls each. Selected variables used for the current analysis included demographic factors, sexual behavior and other risk factors for HIV infection. During the study period (1994-2001), among the 621 volunteers screened, 61 tested positive for HIV. Cases were matched to 183 HIV negative control subjects. After adjustments, the main risk factors associated with HIV infection were unprotected sex with an occasional partners, OR = 3.7 (CI 95% 1.3-10.6), receptive anal intercourse with an occasional partner, OR = 2.8 (95% CI 0.9-8.9) and belonging to the negro racial group, OR = 3.4 (CI 95% 1.1-11.9). These variables were associated with an increase in the risk of HIV infection among men who have sex with men at the screening for admission to an open HIV negative cohort.

Molecular characterization of adenoviruses from children presenting with acute respiratory disease in Uberlândia, Minas Gerais, Brazil, and detection of an isolate genetically related to feline adenovirus

Human adenoviruses (HAdV) are a major cause of acute respiratory diseases (ARD), gastroenteritis, conjunctivitis and urinary infections. Between November 2000-April 2007, a total of 468 nasopharyngeal aspirate samples were collected from children with ARD at the Clinics Hospital of Uberlândia. These samples were tested by immunofluorescence assay (IFA) and 3% (14/468) tested positive for the presence of HAdV. By performing polymerase chain reaction (PCR) to detect HAdV DNA in samples that tested negative or inconclusive for all viruses identifiable by IFA (respiratory syncytial virus, parainfluenza viruses 1, 2 and 3, influenza viruses A and B and HAdV), as well as negative for rhinoviruses by reverse transcription-PCR, additional 19 cases were detected, for a total of 33 (7.1%) HAdV-positive samples. Nucleotide sequences of 13 HAdV samples were analyzed, revealing that they belonged to species B, C and E. Further analyses showed that species C (HAdV-2) was the most prevalent among the sequenced samples. To our knowledge, this is the first report describing the presence of HAdV-4 in Brazil. We also detected an isolate that was 100% identical to a part of the feline adenovirus hexon gene sequence.

Cotrimoxazole enhances the in vitro susceptibility of Coccidioides posadasii to antifungals

The aim of the present study was to evaluate the effect of cotrimoxazole on the in vitro susceptibility of Coccidioides posadasii strains to antifungals. A total of 18 strains of C. posadasii isolated in Brazil were evaluated in this study. The assays were performed in accordance with the Clinical and Laboratory Standards Institute guidelines and the combinations were tested using the checkerboard method. The minimum inhibitory concentrations were reduced by 11, 2.4, 4.3 and 3.5 times for amphotericin B, itraconazole, fluconazole and voriconazole, respectively. Moreover, it was seen that cotrimoxazole itself inhibited C. posadasii strains in vitro. The impairment of folic acid synthesis may be a potential antifungal target for C. posadasii.

Disruption of the peritrophic matrix by exogenous chitinase feeding reduces fecundity in Lutzomyia longipalpis females

Lutzomyia longipalpis is the most important vector of visceral leishmaniasis in Brazil. When female sandflies feed on blood, a peritrophic matrix (PM) is formed around the blood bolus. The PM is secreted by midgut cells and composed of proteins, glycoproteins and chitin microfibrils. The PM functions as both a physical barrier against pathogens present in the food bolus and blood meal digestion regulator. Previous studies of mosquitoes and sandflies have shown that the absence of a PM, resulting from adding an exogenous chitinase to the blood meal, accelerates digestion. In the present study, we analysed biological factors associated with the presence of a PM in L. longipalpis females. Insects fed blood containing chitinase (BCC) accelerated egg-laying relative to a control group fed blood without chitinase. However, in the BCC-fed insects, the number of females that died without laying eggs was higher and the number of eggs laid per female was lower. The eggs in both groups were viable and generated adults. Based on these data, we suggest that the absence of a PM accelerates nutrient acquisition, which results in premature egg production and oviposition; however, the absence of a PM reduces the total number of eggs laid per female. Reduced fecundity in the absence of a PM may be due to inefficient nutrient conversion or the loss of the protective role of the PM.

Coccidioidomycosis in armadillo hunters from the state of Ceará, Brazil

Coccidioidomycosis is a systemic mycosis with a variable clinical presentation. Misdiagnosis of coccidioidomycosis as bacterial pneumopathy leads to inappropriate prescription of antibiotics and delayed diagnosis. This report describes an outbreak among armadillo hunters in northeastern Brazil in which an initial diagnosis of bacterial pneumonia was later confirmed as coccidioidomycosis caused by Coccidioides posadasii. Thus, this mycosis should be considered as an alternative diagnosis in patients reporting symptoms of pneumonia, even if these symptoms are only presented for a short period, who are from areas considered endemic for this disease.

Plasmodium simium/Plasmodium vivax infections in southern brown howler monkeys from the Atlantic Forest

Blood infection by the simian parasite, Plasmodium simium, was identified in captive (n = 45, 4.4%) and in wild Alouatta clamitans monkeys (n = 20, 35%) from the Atlantic Forest of southern Brazil. A single malaria infection was symptomatic and the monkey presented clinical and haematological alterations. A high frequency of Plasmodium vivax-specific antibodies was detected among these monkeys, with 87% of the monkeys testing positive against P. vivax antigens. These findings highlight the possibility of malaria as a zoonosis in the remaining Atlantic Forest and its impact on the epidemiology of the disease.

Prospective multicenter study of the impact of carbapenem resistance on mortality in Pseudomonas aeruginosa bloodstream infections.

The impact of antimicrobial resistance on clinical outcomes is the subject of ongoing investigations, although uncertainty remains about its contribution to mortality. We investigated the impact of carbapenem resistance on mortality in Pseudomonas aeruginosa bacteremia in a prospective multicenter (10 teaching hospitals) observational study of patients with monomicrobial bacteremia followed up for 30 days after the onset of bacteremia. The adjusted influence of carbapenem resistance on mortality was studied by using Cox regression analysis. Of 632 episodes, 487 (77%) were caused by carbapenem-susceptible P. aeruginosa (CSPA) isolates, and 145 (23%) were caused by carbapenem-resistant P. aeruginosa (CRPA) isolates. The median incidence density of nosocomial CRPA bacteremia was 2.3 episodes per 100,000 patient-days (95% confidence interval [CI], 1.9 to 2.8). The regression demonstrated a time-dependent effect of carbapenem resistance on mortality as well as a significant interaction with the Charlson index: the deleterious effect of carbapenem resistance on mortality decreased with higher Charlson index scores. The impact of resistance on mortality was statistically significant only from the fifth day after the onset of the bacteremia, reaching its peak values at day 30 (adjusted hazard ratio for a Charlson score of 0 at day 30, 9.9 [95% CI, 3.3 to 29.4]; adjusted hazard ratio for a Charlson score of 5 at day 30, 2.6 [95% CI, 0.8 to 8]). This study clarifies the relationship between carbapenem resistance and mortality in patients with P. aeruginosa bacteremia. Although resistance was associated with a higher risk of mortality, the study suggested that this deleterious effect may not be as great during the first days of the bacteremia or in the presence of comorbidities.

Prospective multicenter study of the impact of carbapenem resistance on mortality in Pseudomonas aeruginosa bloodstream infections.

The impact of antimicrobial resistance on clinical outcomes is the subject of ongoing investigations, although uncertainty remains about its contribution to mortality. We investigated the impact of carbapenem resistance on mortality in Pseudomonas aeruginosa bacteremia in a prospective multicenter (10 teaching hospitals) observational study of patients with monomicrobial bacteremia followed up for 30 days after the onset of bacteremia. The adjusted influence of carbapenem resistance on mortality was studied by using Cox regression analysis. Of 632 episodes, 487 (77%) were caused by carbapenem-susceptible P. aeruginosa (CSPA) isolates, and 145 (23%) were caused by carbapenem-resistant P. aeruginosa (CRPA) isolates. The median incidence density of nosocomial CRPA bacteremia was 2.3 episodes per 100,000 patient-days (95% confidence interval [CI], 1.9 to 2.8). The regression demonstrated a time-dependent effect of carbapenem resistance on mortality as well as a significant interaction with the Charlson index: the deleterious effect of carbapenem resistance on mortality decreased with higher Charlson index scores. The impact of resistance on mortality was statistically significant only from the fifth day after the onset of the bacteremia, reaching its peak values at day 30 (adjusted hazard ratio for a Charlson score of 0 at day 30, 9.9 [95% CI, 3.3 to 29.4]; adjusted hazard ratio for a Charlson score of 5 at day 30, 2.6 [95% CI, 0.8 to 8]). This study clarifies the relationship between carbapenem resistance and mortality in patients with P. aeruginosa bacteremia. Although resistance was associated with a higher risk of mortality, the study suggested that this deleterious effect may not be as great during the first days of the bacteremia or in the presence of comorbidities.

Desenvolupament d'un sistema d'adquisició i gestió de dades integrat en una arquitectura modular en xarxa (orientat a la ramaderia de precisió)

Desenvolupament d'un sistema d'adquisició, filtrat, emmagatzetmament i gestió de dades provinents d'un sistema de control de subministrament d'aliment d'una explotació porcina. D'altra banda, l'eina informàtica incorporarà dos bases de dades (bruta i neta) les quals es podran consultar amb un VI específic, tant de manera local com remota amb l'ajuda del webserver de labview, també conté un VI específic de generació d'informes (via internet) que facilita la inspecció de dades. Tots els programes estan implementats en labview i connectats en xarxa.

Utilização de isótopos estáveis de 13C e 15N na identificação de bacalhau Gadus e outras espécies de peixes salgados secos

O Brasil é dos países líderes na importação de peixes salgados e secos. Em 2008, importou da Noruega cerca de 30 mil toneladas destes produtos, a um custo de aproximadamente 190 milhões de dólares. O bacalhau é um produto salgado e seco bastante apreciado no país, mas espécies afins, de menor valor comercial, são também utilizadas na fabricação de peixes salgados secos e muitas vezes comercializadas como o bacalhau do Atlântico (Gadus morhua). A variação da razão de isótopos estáveis de carbono (13C/12C) e de nitrogênio (15N/14N) é medida com alta precisão por espectrômetro de massa de razão isotópica (IRMS) e nos últimos 20 anos tem aumentado significativamente a aplicação desta tecnologia na avaliação de fraudes e adulterações dos alimentos. O objetivo deste trabalho foi utilizar isótopos estáveis de 15N e 13C na identificação de bacalhau e espécies afins. Utilizando a análise isotópica, em músculos e ossos, foi possível diferenciar o bacalhau (do Atlântico e do Pacífico) de Ling, Zarbo e Saithe (p < 0,01), que são três produtos salgados e secos de menor valor comercial. Com a pele não foi possível tal distinção entre bacalhau do Pacífico e Ling (p > 0,05). A combinação de análises de valores de 15N de diferentes tecidos – músculo, pele e ossos – possibilitou a separação das espécies. A comparação gráfica de valores de 15N de músculo vs. pele, músculo vs. ossos e pele vs. ossos permite estabelecer três regiões de confiança: uma com bacalhau do Atlântico e bacalhau do Pacífico; outra com Ling e Zarbo; e finalmente, uma terceira região com o Saithe isolada de todos. Os resultados obtidos demonstram que a metodologia é viável para a distinção entre bacalhau e outros peixes salgados secos. No entanto, conclusões mais seguras serão obtidas com uma base de dados, para que, isotopicamente, se faça um histórico da origem desses peixes

Utilização de isótopos estáveis de 13C e 15N na identificação de bacalhau Gadus e outras espécies de peixes salgados secos

O Brasil é dos países líderes na importação de peixes salgados e secos. Em 2008, importou da Noruega cerca de 30 mil toneladas destes produtos, a um custo de aproximadamente 190 milhões de dólares. O bacalhau é um produto salgado e seco bastante apreciado no país, mas espécies afins, de menor valor comercial, são também utilizadas na fabricação de peixes salgados secos e muitas vezes comercializadas como o bacalhau do Atlântico (Gadus morhua). A variação da razão de isótopos estáveis de carbono (13C/12C) e de nitrogênio (15N/14N) é medida com alta precisão por espectrômetro de massa de razão isotópica (IRMS) e nos últimos 20 anos tem aumentado significativamente a aplicação desta tecnologia na avaliação de fraudes e adulterações dos alimentos. O objetivo deste trabalho foi utilizar isótopos estáveis de 15N e 13C na identificação de bacalhau e espécies afins. Utilizando a análise isotópica, em músculos e ossos, foi possível diferenciar o bacalhau (do Atlântico e do Pacífico) de Ling, Zarbo e Saithe (p < 0,01), que são três produtos salgados e secos de menor valor comercial. Com a pele não foi possível tal distinção entre bacalhau do Pacífico e Ling (p > 0,05). A combinação de análises de valores de 15N de diferentes tecidos – músculo, pele e ossos – possibilitou a separação das espécies. A comparação gráfica de valores de 15N de músculo vs. pele, músculo vs. ossos e pele vs. ossos permite estabelecer três regiões de confiança: uma com bacalhau do Atlântico e bacalhau do Pacífico; outra com Ling e Zarbo; e finalmente, uma terceira região com o Saithe isolada de todos. Os resultados obtidos demonstram que a metodologia é viável para a distinção entre bacalhau e outros peixes salgados secos. No entanto, conclusões mais seguras serão obtidas com uma base de dados, para que, isotopicamente, se faça um histórico da origem desses peixes.

Sociedade civil e Educação:A Experiência de Trabalho com ONGs em Angola

As organizações da sociedade civil têm desempenhado um papel de prestador de serviços de educação, de influência de políticas e práticas de educação, essencialmente nos estados considerados frágeis, onde o papel do estado se encontra mais enfraquecido. Esta comunicação visa analisar o papel das ONG’s na educação, em particular na educação básica, com foco nas práticas, modelos de actuação, limites e impacto na possível definição de políticas educativas mais equitativas, no caso concreto de Angola. Tem por base a parceria desenvolvida pela Escola Superior de Educação do Instituto Politécnico de Viana do Castelo neste país, referindo o caso da colaboração com a ONG Acção para o Desenvolvimento Rural e Ambiente em Angola. Esta organização da sociedade civil mostrou ser um veículo de divulgação de inovações, de definição e possível adopção de políticas e de modelos de desenvolvimento mais ajustadas aos contextos.

Percurso escolar das pessoas cegas da cidade da Praia

Com o presente trabalho, subordinado ao tema “Percurso Escolar das Pessoas Cegas da Cidade da Praia”, pretendemos compreender o percurso escolar dos indivíduos portadores desta deficiência e identificar as dificuldades que enfrentam no seu dia-a-dia escolar. Escolhemos o método qualitativo na realização desta investigação. Assim, os dados foram recolhidos através da entrevista. Os dados recolhidos foram analisados através da análise de conteúdo, isto é, os relatos dos nossos entrevistados foram agrupados em categorias. Pela análise dos dados recolhidos neste estudo, concluímos que existe uma tendência para as pessoas cegas entrarem tardiamente na escola. Mesmo nestas circunstâncias é notório o envolvimento das famílias neste processo. Concluímos que as pessoas cegas que participaram no estudo são escolarizadas na escola regular, excepção apenas aos que entram na escola com idade superior à idade legal exigida para o ingresso no Ensino Básico Integrado (EBI). Nessas circunstâncias, normalmente entram para a escola já adultos, e frequentam o EBI na Escola de Deficientes Visuais «Manuel Júlio». Inferimos também que existe um bom relacionamento entre alunos cegos, restantes colegas, professores e funcionários da escola onde estes estudam ou estudavam. Inferimos ainda que existem algumas limitações, entre elas a falta ao até a inexistência dos materiais específicos e equipamentos especializados nas escolas regulares frequentadas pelos nossos entrevistados para um atendimento mais eficaz dos alunos cegos.