Emergent and re-emergent parasites in HIV-infected children: immunological and socio-environmental conditions that are involved in the transmission of Giardia spp. and Cryptosporidium spp.

ABSTRACT INTRODUCTION: Emergent and re-emergent waterborne protozoans have become a worldwide public health problem, especially among vulnerable groups. METHODS: This cross-sectional study evaluated 17 HIV-infected children and their families. RESULTS: A high (76.5%) percentage of parasite-infected children was observed, even among children with CD4+ T-cell counts of >200 cells/mm3. Giardia spp., Cryptosporidium spp. and Cyclospora spp. were observed in 41.2% of these children Low income, poor hygiene practices, and co-infection in domestic, peridomestic and scholastic environments were significant sources of these intestinal infections. CONCLUSIONS: Early diagnosis, timely treatment, and socio-educational interventions may improve the health conditions of this vulnerable population.

Indicators of inflammation and cellular damage in chronic asymptomatic or oligosymptomatic alcoholics: correlation with alteration of bilirubin and hepatic and pancreatic enzymes

Biochemical and hematimetric indicators of inflammation and cell damage were correlated with bilirubin and hepatic and pancreatic enzymes in 30 chronic male alcoholics admitted into psychiatric hospital for detoxification and treatment of alcoholism. Aspartate aminotransferase, alanine aminotransferase, gamma-glutamyltransferase, alkaline phosphatase, and total bilirubin were altered, respectively, in 90%, 63%, 87%, 23% and 23% of the cases. None of the indicators of inflammation (lactic dehydrogenase, altered in 16% of the cases; alpha-1 globulin, 24%; alpha-2 globulin, 88%; leucocyte counts, 28%) was correlated with alterations of bilirubin or liver enzymes. Lactic dehydrogenase was poorly sensitive for detection of hepatocytic or muscular damage. Alterations of alpha-globulins seemed to have been due more to alcohol metabolism-induced increase of lipoproteins than to inflammation. Among indicators of cell damage, serum iron, increased in 40% of the cases, seemed to be related to liver damage while creatine phosphokinase, increased in 84% of the cases, related to muscle damage. Hyperamylasemia was found in 20% of the cases and significantly correlated with levels of bilirubin, alkaline phosphatase and gamma-glutamyltransferase. It was indicated that injuries of liver, pancreas, salivary glands, and muscle occurred in asymptomatic or oligosymptomatic chronic alcoholics.

Liver synthesis function in chronic asymptomatic or oligosymptomatic alcoholics: correlation with other liver tests

Liver function and its correlation with bilirubin and hepatic enzymes were evaluated in 30 male chronic asymptomatic or oligosymptomatic alcoholics admitted into the psychiatric hospital for detoxification and treatment of alcoholism. Hypoalbuminemia, lowered prothrombin activity, hypotransferrinemia and hypofibrinogenemia were detected in 32 %, 32 %, 28 %, and 24 % of patients, respectively. Transferrin was elevated in 8 %. Greater prevalence of hyperbilirubinemia was found in patients with lowered prothrombin activity, hypofibrinogenemia, or hypotransferrinemia. No correlation was found between serum bilirubin or aminotransferase levels and normal or elevated albumin levels, time or activity of prothrombin, and fibrinogen levels. Serum alkaline phosphatase was elevated in normoalbuminemics and gamma-glutamyltransferase in patients with lowered prothrombin activity. Hypoalbuminemia was associated with hypofibrinogenemia, hypotransferrinemia with elevated aspartate aminotransferase or gamma-glutamyltransferase, and hypertransferrinemia with elevation of alanine aminotransferase. These data indicated the occurrence of hepatic dysfunction due to liver damage caused directly by alcohol or by alcoholism-associated nutritional deficiencies.

Correlation between osteochondral changes depicted by magnetic resonance imaging and disease progression

PURPOSE: To determine the consequences of the chronic use of systemic corticosteroids in children with juvenile rheumatoid arthritis by means of evaluating osteochondral effects depicted by magnetic resonance imaging. PATIENTS AND METHODS: We reviewed clinical and magnetic resonance imaging findings in 69 children (72 knees) with juvenile rheumatoid arthritis. Two groups were studied. Group I: 34 (49.3%) children had previous or current use of systemic corticotherapy (22 girls; 12 boys; mean age: 11.3 years; mean disease duration: 5.9 years; mean corticotherapy duration: 2.9 years; mean cumulative dose of previous corticosteroids: 5000 mg); Group II: 35 (50.7%) children had no previous use of corticosteroids (27 girls; 8 boys; mean age: 11.7 years; mean disease duration: 5.3 years). The groups were compared statistically. RESULTS: In the group that had received corticotherapy (Group I), osteochondral abnormalities were significantly correlated to long-standing disease (>3.5 years; p<0.001). This correlation was not found in the group that had no previous history of corticotherapy (Group II). No correlations were established between median dose of corticosteroids and magnetic resonance imaging findings. CONCLUSION: It is important to further investigate the long-term intra-articular effects of systemic corticotherapy to ensure that the side effects of the aggressive therapy will not be more harmful for the joints than the symptoms suffered over the natural course of the disease.

Distúrbios osteomioarticulares : lombalgia e escoliose : prevalência e fatores associados : um estudo analítico e transversal em adolescentes da região do Algarve

RESUMO - Introdução: Os distúrbios osteomioarticulares envolvem diversas condições donde se destacam a lombalgia e a escoliose, a primeira considerando o fato que a sua prevalência tem vindo a aumentar em adolescentes consistindo num problema crescente de saúde pública que envolve custos indiretos e a escoliose pela ausência de estudos nacionais. Diversos fatores físicos, genéticos, mecânicos, comportamentais e ambientais podem estar envolvidos na patogénese das lombalgias e escolioses. O ambiente escolar, incluindo as posturas adotadas pelos alunos e o transporte das mochilas escolares, e alguns hábitos de estilos de vida constituem fatores que podem contribuir para o desenvolvimento destes distúrbios osteomioarticulares. Este estudo também aborda o estado ponderal, nomeadamente o excesso de peso e a obesidade, pois este é referido frequentemente como um potencial fator de risco destes distúrbios osteomioarticulares (apesar de ainda apresentar controvérsia na literatura), além de ser, por si só, atualmente considerado como um dos mais graves problemas de saúde pública a nível mundial. Objetivos do estudo: (1) determinar a prevalência pontual, anual e ao longo da vida de lombalgia, assim como a prevalência de escoliose em adolescentes da região do Algarve; (2) identificar os fatores associados ao desenvolvimento destes distúrbios osteomioarticulares; (3) determinar a prevalência de excesso de peso e de obesidade e explorar a sua eventual associação com a prevalência de lombalgia e escoliose em adolescentes; (4) comparar os resultados obtidos nos diferentes métodos antropométricos (Índice de massa corporal - IMC, medição das pregas cutâneas e circunferência abdominal) e verificar a sua concordância. Material e métodos: O desenho deste estudo foi de natureza observacional, analítico e transversal. O estudo foi aprovado pela Comissão de Ética da Administração Regional de Saúde do Algarve, pela Direção Regional de Educação do Algarve, pela Direção-Geral de Inovação e de Desenvolvimento Curricular, Ministério da Educação e Ciência, e pelas Direções dos Agrupamentos de Escolas que participaram do projeto. A amostra incluiu 966 adolescentes da região do Algarve, sul de Portugal, com idades compreendidas entre os 10 e 16 anos (12,24±1,53 anos), sendo 437 (45,2%) do sexo masculino e 529 (54,8%) do feminino. O método de amostragem foi aleatório estratificado, com base nos concelhos da região do Algarve, assumindo que poderia existir heterogeneidades geográficas. Os instrumentos de medida foram aplicados num único momento (2011/2012) e incluíram o Questionário de Lombalgia e Hábitos Posturais para caracterizar a presença de lombalgia e os hábitos posturais adotados pelos alunos em casa e na escola, o escoliómetro para avaliar a presença de escoliose, a balança, o estadiómetro (sendo posteriormente calculado o IMC), o adipómetro e a fita métrica. A análise dos dados incluiu técnicas de estatística descritiva, gráficas e analíticas aplicadas à todas as variáveis em estudo. Para determinar a associação entre as variáveis do estudo foi utilizada a estatística inferencial, nomeadamente o teste de independência do Qui-quadrado. Para analisar as correlações entre as medidas obtidas com os métodos antropométricos (na sua forma quantitativa), foi utilizado o coeficiente de Spearman. A influência das diversas variáveis na presença de lombalgia foi aferida através de regressões logísticas binárias, sendo os resultados apresentados como odds ratios brutos e ajustados e respetivos intervalos de confiança. Resultados: O presente estudo revelou uma elevada prevalência de lombalgia (anual: 47,2%; pontual: 15,7%; ao longo da vida: 62,1%). As raparigas apresentaram 2,05 de probabilidade de apresentar lombalgia comparativamente aos rapazes (IC 95%: 1,58-2,65; p<0,001), assim como os alunos com idades mais avançadas (13-16 anos) comparativamente aos mais novos (10-12 anos) que tiveram 1,54 de chances (IC 95%: 1,19-1,99; p=0,001). Os alunos que indicaram adotar uma postura de sentado com a coluna vertebral posicionada incorretamente apresentaram 2,49 de probabilidade de revelar lombalgia (IC 95%: 1,91-3,24; p<0,001), os alunos que afirmaram se posicionar de forma inadequada para assistir televisão ou jogar videojogos tiveram a probabilidade de 2,01 (IC 95%: 1,55- 2,61; p<0,001) e aqueles que adotaram a postura de pé incorretamente tiveram 3,39 de chance de apresentar lombalgia (IC 95%: 2,19-5,23; p<0,001). A escoliose esteve presente em 41 (4,2%) alunos. As raparigas apresentaram a maior prevalência (4,5% versus 3,9%) do que os rapazes e o mesmo foi observado nas raparigas que apresentaram a menarca tardia (8,6% versus 3,3%) e os que foram classificados como magros (7,1%), não sendo no entanto estas diferenças estatisticamente significativas. Relativamente à prevalência de excesso de peso e obesidade, os valores variaram de 31,6%, 61,4% e 41,1% de acordo com a medição do IMC, pregas cutâneas e circunferência abdominal, respetivamente. Os valores obtidos com a avaliação dos três métodos antropométricos apresentaram um elevado alto grau de correlação entre o IMC e as pregas cutâneas (p<0,001; r=0,712), entre o IMC e circunferência abdominal (p<0,001; r=0,884) e entre a circunferência abdominal e as pregas cutâneas (p<0,001; r=0,701). Conclusões: O presente estudo revelou valores de prevalência de lombalgia semelhante a estudos anteriores sendo que os alunos com idade mais avançada, ou do sexo feminino ou aqueles que adotavam a postura sentada e de pé de forma inadequada ou os que transportavam indevidamente a mochila escolar apresentaram a maior prevalência. Quanto à presença de escoliose, observou-se uma baixa prevalência não sendo verificada nenhuma associação significativa com os fatores analisados. Relativamente ao estado ponderal, verificou-se uma elevada prevalência de excesso de peso e obesidade, com a utilização dos três métodos antropométricos: IMC, medição das pregas cutâneas e circunferência abdominal, tendo sido verificado um elevado grau de correlação entre estes três métodos antropométricos. Este estudo contribuiu para determinar a magnitude destes distúrbios osteomiarticulares nesta população específica, assim como seus possíveis fatores associados. De acordo os resultados obtidos no presente estudo, torna-se necessário ações de intervenção nas escolas, envolvendo não somente os alunos, mas toda a comunidade escolar, com o objetivo de prevenção destes distúrbios osteomioarticulares através da promoção de hábitos de vida saudável.

Electrokinetic treatment of environmental matrices. Contaminants removal and phosphorus recovery

There is a need to develop viable techniques for removal and recovery organic and inorganic compounds from environmental matrices, due to their ecotoxicity, regulatory obligations or potential supplies as secondary materials. In this dissertation, electro –removal and –recovery techniques were applied to five different contaminated environmental matrices aiming phosphorus (P) recovery and/or contaminants removal. In a first phase, the electrokinetic process (EK) was carried out in soils for (i) metalloids and (ii) organic contaminants (OCs) removal. In the case of As and Sb mine contaminated soil, the EK process was additionally coupled with phytotechnologies. In a second phase, the electrodialytic process (ED) was applied to wastes aiming P recovery and simultaneous removal of (iii) toxins from membrane concentrate, (iv) heavy metals from sewage sludge ash (SSA), and (v) OCs from sewage sludge (SS). EK enhanced phytoremediation showed to be viable for the remediation of soils contaminated with metalloids, as although remediation was low, it combines advantages of both technologies while allowing site management. EK also proved to be an effective remediation technology for the removal and degradation of emerging OCs from two types of soil. Aiming P recovery and contaminants removal, different ED cell set-ups were tested. For the membrane concentrates, the best P recovery was achieved in a three compartment (3c) cell, but the highest toxin removal was obtained in a two compartment (2c) cell, placing the matrix in the cathode end. In the case of SSA the best approach for simultaneous P recovery and heavy metals removal was to use a 2c-cell placing the matrix in the anode end. However, for simultaneous P recovery and OCs removal, SS should be placed in the cathode end, in a 2c-cell. Overall, the data support that the selection of the cell design should be done case-by-case.

Assessment of NDVI, land surface temperature and precipitation anomalies for drought monitoring in Bayankhongor province, Mongolia

During the last decade Mongolia’s region was characterized by a rapid increase of both severity and frequency of drought events, leading to pasture reduction. Drought monitoring and assessment plays an important role in the region’s early warning systems as a way to mitigate the negative impacts in social, economic and environmental sectors. Nowadays it is possible to access information related to the hydrologic cycle through remote sensing, which provides a continuous monitoring of variables over very large areas where the weather stations are sparse. The present thesis aimed to explore the possibility of using NDVI as a potential drought indicator by studying anomaly patterns and correlations with other two climate variables, LST and precipitation. The study covered the growing season (March to September) of a fifteen year period, between 2000 and 2014, for Bayankhongor province in southwest Mongolia. The datasets used were MODIS NDVI, LST and TRMM Precipitation, which processing and analysis was supported by QGIS software and Python programming language. Monthly anomaly correlations between NDVI-LST and NDVI-Precipitation were generated as well as temporal correlations for the growing season for known drought years (2001, 2002 and 2009). The results show that the three variables follow a seasonal pattern expected for a northern hemisphere region, with occurrence of the rainy season in the summer months. The values of both NDVI and precipitation are remarkably low while LST values are high, which is explained by the region’s climate and ecosystems. The NDVI average, generally, reached higher values with high precipitation values and low LST values. The year of 2001 was the driest year of the time-series, while 2003 was the wet year with healthier vegetation. Monthly correlations registered weak results with low significance, with exception of NDVI-LST and NDVI-Precipitation correlations for June, July and August of 2002. The temporal correlations for the growing season also revealed weak results. The overall relationship between the variables anomalies showed weak correlation results with low significance, which suggests that an accurate answer for predicting drought using the relation between NDVI, LST and Precipitation cannot be given. Additional research should take place in order to achieve more conclusive results. However the NDVI anomaly images show that NDVI is a suitable drought index for Bayankhongor province.

Electromagnetic fields and environmental noise: human health impacts in Serzedelo, Guimarães (Portugal)

The present paper investigates the risks that arise from exposure to noise from powerpoles and powerlines in Serzedelo, in the municipality of Guimarães, in Portugal. This research focused on four guiding questions: Can powerlines cause noise? Do powerlines cause discomfort? Do powerlines cause discomfort due to noise? And can powerlines effect human health? Two groups were the basis of the study: people that were exposed to electromagnetic waves and people that were not. the research pointed to the harmful influence of the presence of powerlines and high-voltage masts in residential areas and the damage to the cells in the human body. This type of environmental noise, which has the spectral content of a low frequency, typically tonal noise and a very high speed of propagation, is a complex source to explain in terms of the health profiles of the human population living in Serzedelo, located in an area that is densely occupied by high voltage powerlines and powerpole.

Using stated preference methods to assess environmental impacts of forest biomass power plants in Portugal

As a renewable energy source, the use of forest biomass for electricity generation is advantageous in comparison with fossil fuels, however the activity of forest biomass power plants causes adverse impacts, affecting particularly neighbouring communities. The main objective of this study is to estimate the effects of the activity of forest biomass power plants on the welfare of two groups of stakeholders, namely local residents and the general population and we apply two stated preference methods: contingent valuation and discrete choice experiments, respectively. The former method was applied to estimate the minimum compensation residents of neighbouring communities of two forest biomass power plants in Portugal would be willing to accept. The latter method was applied among the general population to estimate their willingness to pay to avoid specific environmental impacts. The results show that the presence of the selected facilities affects individuals’ well-being. On the other hand, in the discrete choice experiments conducted among the general population all impacts considered were significant determinants of respondents’ welfare levels. The results of this study stress the importance of performing an equity analysis of the welfare effects on different groups of stakeholders from the installation of forest biomass power plants, as their effects on welfare are location and impact specific. Policy makers should take into account the views of all stakeholders either directly or indirectly involved when deciding crucial issues regarding the sitting of new forest biomass power plants, in order to achieve an efficient and equitable outcome.

Effect of environmental ageing on the numerical response of FRP-strengthened masonry walls

Recent durability studies have shown the susceptibility of bond in fiber-reinforced polymer (FRP) strengthened masonry components to hygrothermal exposures. However, it is not clear how this local material degradation affects the global behavior of FRP-strengthened masonry structures. This study addresses this issue by numerically investigating the nonlinear behavior of FRP-masonry walls after aging in two different environmental conditions. A numerical modeling strategy is adopted and validated with existing experimental tests on FRP-strengthened masonry panels. The model, once validated, is used for modeling of four hypothetical FRP-strengthened masonry walls with different boundary conditions, strengthening schemes, and reinforcement ratios. The nonlinear behavior of the walls is then simulated before and after aging in two different environmental conditions. The degradation data are taken from previous accelerated aging tests. The changes in the failure mode and nonlinear response of the walls after aging are presented and discussed.

Strategies of the small-scale fisheries on the Central Amazon floodplain

A multivariate approach was applied to data of small-scale fisheries developed in Central Amazon, using information about catch composition, environment, fishing gear and season of the hydrological cycle. The correspondence analysis demonstrated to be a good tool for the analysis related multispecies fisheries. The analysis identified patterns of use of fisheries resources by the riverine communities, showing the correlation between the environmental factors and the fishing strategy for the capture of target fish species, indicating the high level of empiric knowledge about the environment and fisheries.

Comparative environmental life-cycle analysis of concretes using biomass and coal fly ashes as partial cement replacement material

Nowadays, the concrete production sector is challenged by attempts to minimize the usage of raw materials and energy consumption, as well as by environmental concerns. Therefore, it is necessary to choose better options, e.g. new technologies or materials with improved life-cycle performance. One solution for using resources in an efficient manner is to close the materials' loop through the recycling of materials that result either from the end-of-life of products or from being the by-product of an industrial process. It is well known that the production of Portland cement, one of the materials most used in the construction sector, has a significant contribution to the environmental impacts, mainly related with carbon dioxide emission. Therefore, the study and utilization of by-products or wastes usable as cement replacement in concrete can supply more sustainable options, provided that these type of concrete produced has same durability and equivalent quality properties as standard concrete. This work studied the environmental benefits of incorporating different percentages of two types of fly ashes that can be used in concrete as cement replacement. These ashes are waste products of power and heat production sectors using coal or biomass as fuels. The results showed that both ashes provide a benefit for the concrete production both in terms of environmental impact minimization and a better environmental performance through an increase in cement replacement. It is possible to verify that the incorporation of fly ashes is a sustainable option for cement substitution and a possible path to improve the environmental performance of the concrete industry.

Measurement of Spin Correlation in Top-Antitop Quark Events and Search for Top Squark Pair Production in pp Collisions at s√=8 TeV Using the ATLAS Detector

A measurement of spin correlation in tt¯ production is presented using data collected with the ATLAS detector at the Large Hadron Collider in proton-proton collisions at a center-of-mass energy of 8 TeV, corresponding to an integrated luminosity of 20.3 fb−1. The correlation between the top and antitop quark spins is extracted from dilepton tt¯ events by using the difference in azimuthal angle between the two charged leptons in the laboratory frame. In the helicity basis the measured degree of correlation corresponds to Ahelicity=0.38±0.04, in agreement with the Standard Model prediction. A search is performed for pair production of top squarks with masses close to the top quark mass decaying to predominantly right-handed top quarks and a light neutralino, the lightest supersymmetric particle. Top squarks with masses between the top quark mass and 191 GeV are excluded at the 95% confidence level.

(Un)suitability of the use of pH buffers in biological, biochemical and environmental studies and their interaction with metal ions - a review

The use of buffers to maintain the pH within a desired range is a very common practice in chemical, biochemical and biological studies. Among them, zwitterionic N-substituted aminosulfonic acids, usually known as Good's buffers, although widely used, can complex metals and interact with biological systems. The present work reviews, discusses and updates the metal complexation characteristics of thirty one commercially available buffers. In addition, their impact on biological systems is also presented. The influences of these buffers on the results obtained in biological, biochemical and environmental studies, with special focus on their interaction with metal ions, are highlighted and critically reviewed. Using chemical speciation simulations, based on the current knowledge of the metal-buffer stability constants, a proposal of the most adequate buffer to employ for a given metal ion is presented.

Extreme value Birnbaum-Saunders regression models applied to environmental data

Extreme value models are widely used in different areas. The Birnbaum–Saunders distribution is receiving considerable attention due to its physical arguments and its good properties. We propose a methodology based on extreme value Birnbaum–Saunders regression models, which includes model formulation, estimation, inference and checking. We further conduct a simulation study for evaluating its performance. A statistical analysis with real-world extreme value environmental data using the methodology is provided as illustration.