934 resultados para epidemiology, measurement, special needs populations


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Esta pesquisa se refere a um Estudo de Caso intitulado “Educação e Conservação da Biodiversidade no contexto escolar da Reserva Extrativista Terra Grande Pracuúba”. As Reservas extrativistas (RESEX) são uma modalidade de Unidades de Conservação da Natureza (UCN), frações territoriais do espaço nacional legalmente instituídas pelo poder público como área protegida, sob regime especial de utilização. No contexto dessas UCNs, a Reserva Extrativista constitui-se em uma categoria de manejo genuinamente brasileira, nascida da luta dos seringueiros na década de 1980 no Acre e que se espalhou pelos outros biomas do Brasil. Em seu processo histórico pela efetivação de suas demandas, se constata o enfrentamento das populações tradicionais residentes nesses territórios pela a conquista de direitos, tendo a educação como elemento determinante no processo de enfretamento e superação de dificuldades e embates travados por liberdade e conquista de direitos fundamentais. Neste contexto, a educação ainda é um de seus problemas mais evidentes que necessita urgentemente de resoluções. Este estudo objetivou desenvolver uma análise crítica da educação acessada pelas populações tradicionais residentes no contexto escolar da RESEX Terra Grande Pracuúba, considerando sua concepção, a realidade socioambiental dessas populações e os objetivos de uma Reserva Extrativista”. O estudo realizado é de fundamental importância para a explicitação da problemática das populações extrativistas residentes na RESEX e sua compreensão de educação como possibilidade de liberdade, considerando sua história de expropriação e exploração, própria da sociedade capitalista. Este estudo de caso se propõe ser um referencial para subsidiar a análise da realidade de outras unidades de conservação, em especial das RESEX espalhadas pelo país, pelas suas similaridades. A presente discussão circunscreve-se no âmbito dos debates sobre Educação Escolar em Unidades de Conservação da Natureza, tendo como lócus a Reserva Extrativista Terra Grande Pracuúba – RESEX TGP, localizada no arquipélago do Marajó, entre os municípios de Curralinho e São Sebastião da Boa Vista, no Estado do Pará. Metodologicamente a pesquisa configurou-se como um estudo de caso com aporte epistemologico do materialismo histórico e dialético, possibilitando a análise a partir do processo histórico e a explicitação de suas contradições e conflitos. Concluiu-se que a educação escolar, da forma como se apresenta atualmente no interior da RESEX TGP, está distanciada dos processos de efetivação dos objetivos socioambientais da área demarcada, sendo incapaz de contribuir com a realidade histórica dos extrativistas na busca pela transformação da realidade vivenciada; constata-se o distanciamento da educação escolar ofertada em relação ao seu direito efetivo à educação e o respeito à diversidade, seu modo de vida e as relação que estabelece com o espaço e com os objetivos da unidade de conservação. A educação na RESEX se distancia da própria concepção da comunidade que vê a educação como um mecanismo de liberdade. A educação estabelecida no lugar precisa avançar na garantia do direito à educação, nos vários níveis de ensino e na implementação da política de educação do campo e da própria educação ambiental, necessitando estabelecer um diálogo sistemático entre a educação escolar e a gestão ambiental no sentido de favorecer a intervenção dessas populações no processo, a transformação de sua realidade, bem como sua compreensão no sentido de garantir a sua manutenção no território e consequentemente, a conservação da biodiversidade.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Body composition has fundamental importance in the quality of life and is a powerful predictor of mortality and morbidity in humans. The identification and monitoring of the amount of body fat have been receiving special attention in aspects related to health promotion, not just for its actions in the prevention and in the control of cardiovascular diseases but also for their induction and association with risk factors, especially in the plasmatic lipid levels and arterial pressure. It was investigated the relationship between body mass index (BMI) and body fat percentage (%BF) by bioelectrical impedance analysis (BIA) with the blood pressure levels (systolic and diastolic) and serum lipids (TC, HDL-c, LDL-c, VLDL-c, TG). In a group of fifty seven women (aged 18 to 26 years old ), obesity was detected in 5 and 19 women by BMI (≥ 30 kg/m2) and %BF (≥ 30%), respectively. BMI and % BF were positively correlated with blood pressure (systolic and diastolic), and highly significant in the obese group by %BF. Moreover, BMI and % BF were significantly correlated with all lipids and lipoprotein fractions VLDL-c and triglyceride, respectively. These results suggest that %BF is a good indicator of “occult obesity” in subjects with normal body mass index. The associated use of BMI and %BF to better evaluate obesity may improve the study of blood pressure levels and serum lipid changes that are commonly associated with obesity.

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Pós-graduação em Ciência da Informação - FFC

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Pós-graduação em Medicina Veterinária - FCAV

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

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The objective of this project was to study the epidemiology of bovine tuberculosis in the presence of a wildlife reservoir species. Cross-sectional and longitudinal studies of possum populations with endemic bovine tuberculosis infection were analyzed. The results were used to develop a computer simulation model of the dynamics of bovine tuberculosis infection in possum populations. A case-control study of breakdowns to tuberculosis infection in cattle herds in the Central North Island of New Zealand was conducted to identify risk factors other than exposure to tuberculosis in local possum populations.

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The Animal Health Board (AHB) is the agency responsible for controlling bovine tuberculosis (Tb) in New Zealand. In 2000, the AHB embarked on a strategy designed to reduce the annual period prevalence of Tb infected cattle and farmed deer herds from 1.67% to 0.2% by 2012/13. Under current rules of the Office International des Epizooties (OIE) this would allow New Zealand to claim freedom from Tb. The epidemiology of Tb in New Zealand is largely influenced by wildlife reservoirs of infection and control of Tb vector populations is central to the elimination of Tb from New Zealand’s cattle and deer herds. The AHB has classified New Zealand’s land area into Vector Risk Areas (VRAs) where Tb is established in wildlife (currently 39%) and Vector Free Areas (VFAs) where the disease is not established (61%). Within the VRAs the introduced Australian brushtail possum (Trichosurus vulpecula) is the primary wildlife maintenance host and the main source of infection for domestic cattle and deer herds. Southland is a region of New Zealand with a long history of wildlife associated Tb. Progress in reducing infected herd numbers has been impressive in recent years, primarily due to an intensive possum control program. As a result of this reduction, the focus is now shifting to that of providing increasing levels of confidence that Tb is absent from the remaining susceptible wildlife. High levels of confidence of Tb freedom in wildlife will allow the AHB to reduce the wildlife control programs and ultimately cease control altogether, with minimal risk of Tb reemerging. This paper examines the strategies being utilized to provide that confidence. The types of data, the format in which it is collected and the methods of analysis and review are outlined.

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

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Background: Cardiovascular disease is an important cause of death in patients on dialysis. Peripheral arterial disease (PAD) is a prognostic factor for cardiovascular disease. The ankle brachial index (ABI) is a noninvasive method used for the diagnosis of PAD. The difference between ABI pre- and post-dialysis had not yet been formally tested, and it was the main objective of this study. Methods:The ABI was assessed using an automated oscillometric device in incident patients on hemodialysis. All blood pressure readings were taken in triplicate pre- and post-dialysis in three consecutive dialysis sessions (times 1, 2, and 3). Results: One hundred and twenty-three patients (85 men) aged 53 +/- 19 years were enrolled. We found no difference in ABI pre- and post-dialysis on the right or left side, and there was no difference in times 1, 2, and 3. In patients with a history of PAD, the ABI pre- versus post-dialysis were of borderline significance on the right side (p = 0.088). Conclusion: ABI measured pre- and post-dialysis presented low variability. The ABI in patients with a history of PAD should be evaluated with caution. The applicability of the current method in predicting mortality among patients on hemodialysis therefore needs further investigation. Copyright (C) 2012 S. Karger AG, Basel

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This paper presents the results of an experimental study of thermal effects on filter paper calibration curves used to obtain the soil suction. When the temperature is significantly different from ambient values, it is essential to consider the influence of temperature on the filter paper calibration curves to obtain a reliable soil suction measurement. The calibration curve of Whatman No. 42 filter paper was determined at 10 degrees C, 25 degrees C, and 50 degrees C using the vapor equilibrium technique with sodium chloride solutions at different concentrations and the axis translation technique. The experimental results showed a major influence of temperature on the filter paper calibration curves. Using the obtained experimental data a calibration equation was proposed, taking into account the effect of temperature. The obtained calibration curves were then used to determine the soil water retention curve of kaolin clay, which showed lower retention capacity at higher temperatures.

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Across the Americas and the Caribbean, nearly 561,000 slide-confirmed malaria infections were reported officially in 2008. The nine Amazonian countries accounted for 89% of these infections; Brazil and Peru alone contributed 56% and 7% of them, respectively. Local populations of the relatively neglected parasite Plasmodium vivax, which currently accounts for 77% of the regional malaria burden, are extremely diverse genetically and geographically structured. At a time when malaria elimination is placed on the public health agenda of several endemic countries, it remains unclear why malaria proved so difficult to control in areas of relatively low levels of transmission such as the Amazon Basin. We hypothesize that asymptomatic parasite carriage and massive environmental changes that affect vector abundance and behavior are major contributors to malaria transmission in epidemiologically diverse areas across the Amazon Basin. Here we review available data supporting this hypothesis and discuss their implications for current and future malaria intervention policies in the region. Given that locally generated scientific evidence is urgently required to support malaria control interventions in Amazonia, we briefly describe the aims of our current field-oriented malaria research in rural villages and gold-mining enclaves in Peru and a recently opened agricultural settlement in Brazil. (C) 2011 Elsevier B.V. All rights reserved.

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To examine whether the widely used Strengths and Difficulties Questionnaire (SDQ) can validly be used to compare the prevalence of child mental health problems cross nationally. We used data on 29,225 5- to 16-year olds in eight population-based studies from seven countries: Bangladesh, Brazil, Britain, India, Norway, Russia and Yemen. Parents completed the SDQ in all eight studies, teachers in seven studies and youth in five studies. We used these SDQ data to calculate three different sorts of "caseness indicators" based on (1) SDQ symptoms, (2) SDQ symptoms plus impact and (3) an overall respondent judgement of 'definite' or 'severe' difficulties. Respondents also completed structured diagnostic interviews including extensive open-ended questions (the Development and Well-Being Assessment, DAWBA). Diagnostic ratings were all carried out or supervised by the DAWBA's creator, working in conjunction with experienced local professionals. As judged by the DAWBA, the prevalence of any mental disorder ranged from 2.2% in India to 17.1% in Russia. The nine SDQ caseness indicators (three indicators times three informants) explained 8-56% of the cross-national variation in disorder prevalence. This was insufficient to make meaningful prevalence estimates since populations with a similar measured prevalence of disorder on the DAWBA showed large variations across the various SDQ caseness indicators. The relationship between SDQ caseness indicators and disorder rates varies substantially between populations: cross-national differences in SDQ indicators do not necessarily reflect comparable differences in disorder rates. More generally, considerable caution is required when interpreting cross-cultural comparisons of mental health, particularly when these rely on brief questionnaires.

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Primary immunodeficiencies (PIDs) are genetic disorders of the immune system comprising many different phenotypes. Although previously considered rare, recent advances in their clinical, epidemiological, and molecular definitions are revealing how much we still need to learn about them. For example, geographical and ethnic variations as well as the impact of certain practices influence their frequency and presentation, making it necessary to consider their study in terms of regions. The Latin American Society for Immunodeficiencies was established as an organization dedicated to provide scientific support for basic and clinical research and to develop tools and educational resources to promote awareness in the medical community. Initiatives such as these are positively influencing the way PIDs are tackled in these countries, as shown by recent reports and publications. This paper provides a historical compilation and a current view of the many issues faced by scientists studying these diseases in these countries, highlighting the diverse scientific contributions and offering a promising perspective for the further developments in this field in Latin America.

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Background: Candidemia affects patient populations from neonates to the elderly. Despite this, little information is available about the epidemiology of candidemia in elderly patients. Methods: We performed a retrospective analysis of 987 episodes of candidemia in adults (>14 years of age) from the databases of three laboratory-based surveys of candidemia performed at 14 tertiary care hospitals. Patients aged >= 60 years were considered elderly (group 1, n = 455, 46%) and were compared to younger patients (group 2, n = 532, 54%) regarding demographics, underlying diseases, comorbidities, exposure to medical procedures, species, treatment, and outcome. Results: The median APACHE II score was significantly higher in the elderly patients (19 vs. 15, p = 0.03). Variables that were observed significantly more frequently in elderly patients included admission to an intensive care unit, diabetes mellitus, renal failure, cardiac disease, lung disease, receipt of antibiotics or H2 blockers, insertion of a central venous catheter, mechanical ventilation, and candidemia due to Candida tropicalis. The 30-day mortality of elderly patients was significantly higher than that of younger patients (70% vs. 45%, p < 0.001). Factors associated with higher mortality by multivariate analysis included APACHE II score and being in group 1 (elderly). Factors associated with mortality in elderly patients were lung disease and the receipt of mechanical ventilation. Conclusions: Elderly patients account for a substantial proportion of patients with candidemia and have a higher mortality compared to younger patients. (C) 2012 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.