Birth in Brazil: national survey into labour and birth

Background: Caesarean section rates in Brazil have been steadily increasing. In 2009, for the first time, the number of children born by this type of procedure was greater than the number of vaginal births. Caesarean section is associated with a series of adverse effects on the women and newborn, and recent evidence suggests that the increasing rates of prematurity and low birth weight in Brazil are associated to the increasing rates of Caesarean section and labour induction. Methods: Nationwide hospital-based cohort study of postnatal women and their offspring with follow-up at 45 to 60 days after birth. The sample was stratified by geographic macro-region, type of the municipality and by type of hospital governance. The number of postnatal women sampled was 23,940, distributed in 191 municipalities throughout Brazil. Two electronic questionnaires were applied to the postnatal women, one baseline face-to-face and one follow-up telephone interview. Two other questionnaires were filled with information on patients' medical records and to assess hospital facilities. The primary outcome was the percentage of Caesarean sections (total, elective and according to Robson's groups). Secondary outcomes were: post-partum pain; breastfeeding initiation; severe/near miss maternal morbidity; reasons for maternal mortality; prematurity; low birth weight; use of oxygen use after birth and mechanical ventilation; admission to neonatal ICU; stillbirths; neonatal mortality; readmission in hospital; use of surfactant; asphyxia; severe/near miss neonatal morbidity. The association between variables were investigated using bivariate, stratified and multivariate model analyses. Statistical tests were applied according to data distribution and homogeneity of variances of groups to be compared. All analyses were taken into consideration for the complex sample design. Discussion: This study, for the first time, depicts a national panorama of labour and birth outcomes in Brazil. Regardless of the socioeconomic level, demand for Caesarean section appears to be based on the belief that the quality of obstetric care is closely associated to the technology used in labour and birth. Within this context, it was justified to conduct a nationwide study to understand the reasons that lead pregnant women to submit to Caesarean sections and to verify any association between this type of birth and it's consequences on postnatal health.

Are mental health problems and depression associated with bruxism in children?

Renner AC, da Silva AAM, Rodriguez JDM, Simoes VMF, Barbieri MA, Bettiol H, Thomaz EBAF, Saraiva MC. Are mental health problems and depression associated with bruxism in children? Community Dent Oral Epidemiol 2011. (C) 2011 John Wiley & Sons A/S Abstract Objectives: Previous studies have found an association between bruxism and emotional and behavioral problems in children, but reported data are inconsistent. The objective of this study was to estimate the prevalence of bruxism, and of its components clenching and grinding, and its associations with mental problems and depression. Methods: Data from two Brazilian birth cohorts were analyzed: one from 869 children in Ribeirao Preto RP (Sao Paulo), a more developed city, and the other from 805 children in Sao Luis SL (Maranhao). Current bruxism evaluated by means of a questionnaire applied to the parents/persons responsible for the children was defined when the habit of tooth clenching during daytime and/or tooth grinding at night still persisted until the time of the assessment. Additionally, the lifetime prevalence of clenching during daytime only and grinding at night only was also evaluated. Mental health problems were investigated using the Strength and Difficulties Questionnaire (SDQ) and depression using the Childrens Depression Inventory (CDI). Analyses were carried out for each city: with the SDQ subscales (emotional symptoms, conduct problems, peer problems, attention/hyperactivity disorder), with the total score (sum of the subscales), and with the CDI. These analyses were performed considering different response variables: bruxism, clenching only, and grinding only. The risks were estimated using a Poisson regression model. Statistical inferences were based on 95% confidence intervals (95% CI). Results: There was a high prevalence of current bruxism: 28.7% in RP and 30.0% in SL. The prevalence of clenching was 20.3% in RP and 18.8% in SL, and grinding was found in 35.7% of the children in RP and 39.1% in SL. Multivariable analysis showed a significant association of bruxism with emotional symptoms and total SDQ score in both cities. When analyzed separately, teeth clenching was associated with emotional symptoms, peer problems, and total SDQ score; grinding was significantly associated with emotional symptoms and total SDQ score in RP and SL. Female sex appeared as a protective factor for bruxism, and for clenching and grinding in RP. Furthermore, maternal employment outside the home and white skin color of children were associated with increased prevalence of teeth clenching in SL. Conclusions: Mental health problems were associated with bruxism, with teeth clenching only and grinding at night only. No association was detected between depression and bruxism, neither clenching nor grinding. But it is necessary to be cautious regarding the inferences from some of our results.

Contribution towards the knowledge of Rhinotragini (Coleoptera, Cerambycidae). V. Reconsideration of Rhopalessa rubroscutellaris (Tippmann, 1960)

Corrections to the revision of Rhopalessa Bates, 1873 (Clarke et al. 2011), with the transfer of two species to a new genus, Rashelapso: R. durantoni (Peñaherrera-Leiva & Tavakilian, 2004) comb. nov., and R. schmidi sp. nov. (previously considered to be conspecific with Ommata (Rhopalessa) rubroscutellaris Tippmann, 1960 by the authors). Ommata (Rhopalessa) rubroscutellaris is now considered a junior synonym of Laedorcari fulvicollis (Lacordaire, 1868).

Morphological analysis of Mecosarthron Buquet and Xixuthrus Thomson and Reevaluation of Generic Assignment of Xixuthrus domingoensis Fisher (Coleoptera, Cerambycidae, Prioninae)

The characters defining Mecosarthron Buquet, 1840 and Xixuthrus Thomson 1864 are discussed, along with a historical review of the literature that described and classified these taxa. Through morphological examination of these genera and most of the included species, we addressed the systematic placement of Xixuthrus domingoensis Fisher, 1932 that was placed in Mecosarthron by Ivie (1985). We restore its placement in the genus Xixuthrus. The first description of the female of X. domingoensis is provided, along with comparative redescriptions of Mecosarthron gounellei (Lameere, 1903), and M. buphagus Buquet, 1840. We include a key to the species currently in Mecosarthron.

Contribuição para o estudo dos Rhinotragini (Coleoptera, Cerambycidae). VI. Ecliptoides Tavakilian & Peñaherrera-Leiva, 2005

The genus Ecliptoides Tavakilian & Peñaherrera-Leiva, 2005, recently revised by Clarke (2009) to include three Bolivian species, is brought up-to-date by the inclusion of further South American species transferred from Eclipta Bates, 1873, and Odontocera Audinet-Serville, 1833. Three new species are described from Brazil: E. schmidi, E. tavakiliani, and E. hogani. Ommata eunomia var. rufula Melzer, 1934, and Ommata (Eclipta) plaumanni Fuchs, 1961, are revalidated and considered species of Ecliptoides. Species transferred from Eclipta to include Ecliptoides: E. bivitticollis (Fisher, 1952); E. eunomia (Newman, 1841); E. pilosipes (Peñaherrera-Leiva & Tavakilian, 2004); E. fanchonae (Tavakilian & Peñaherrera-Leiva, 2003); E. giuglarisi (Peñaherrera-Leiva & Tavakilian, 2004); E. vasconezi (Peñaherrera-Leiva & Tavakilian, 2004); E. vicina (Melzer, 1927); E. lauraceae (Peñaherrera-Leiva & Tavakilian, 2004); and E. bauhiniae (Peñaherrera-Leiva & Tavakilian, 2004). Species transferred from Odontocera to include Ecliptoides: O. quadrivittata Melzer, 1922; O. pusilla Gounelle, 1911; and O. monostigma (Bates, 1869). New synonymy: Ommata (Eclipta) collarti Fuchs, 1959 = Odontocera pusilla Gounelle, 1911 (= Ecliptoides pusillus). Lectotypes are designated for Ommata (Eclipta) vicina, and Ommata (Eclipta) collarti. New distribution records are provided for E. eunomia, E. pilosipes, E. plaumanni and E. fanchonae. A key to the species of Ecliptoides is given.

Contribuição para o estudo dos Rhinotragini (Coleoptera, Cerambycidae).VII. O gênero Ischasioides

Eclipta brasiliensis (Fisher, 1947) is transferred to Ischasioides Tavakilian & Peñaherrera-Leiva, 2003, and synonymized with I. crassitarsis (Gounelle, 1911). Ischasia m. atrocephala Fuchs, 1956 and Ischasia m. nigrovittata Fuchs, 1956, although without nomenclatural status, are confirmed as equal to I. crassitarsis. Ischasioides berkovae sp. nov. is described from Brazil. A key to the species of Ischasioides is provided.

O conceito de risco e os seus efeitos simbólicos nos acidentes com instrumentos perfurocortantes

O estudo objetivou compreender o risco ocupacional como um processo simbólico que estrutura as atividades diárias dos profissionais da área de saúde que manipulam instrumentos perfurocortantes. Pesquisa descritiva realizada em um hospital universitário com dados coletados por meio do levantamento dos acidentes de trabalho no Centro de Tratamento Intensivo adulto e na Lavanderia, pela aplicação de um questionário a 105 profissionais de saúde. Os dados foram analisados por meio de uma perspectiva interdisciplinar para conciliar a análise quantitativa e qualitativa dos dados. Os resultados revelaram que, embora os dados indiquem baixo índice de acidentes, ainda é preciso aprimorar instrumentos como o mapa de riscos e o uso de equipamentos de segurança, bem como investir na capacitação das equipes.

Determinação dos parâmetros cinéticos e termodinâmicos da adsorção de L-cisteína em ouro por meio da técnica de microbalança a cristal de quartzo

This article discusses the adsorption kinetics of a L-cysteine monolayer onto a gold surface by means of information obtained through the QCM technique. The results indicate that the adsorption process is rapid and follows the Langmuir isotherm, in which adsorption and desorption are considered. From these measurements the following parameter values were obtained: k d = (4.2 ± 0.4) x 10-3 s-1, k a = 75 ± 6 M-1 s-1, Keq=(1.8 ± 0.3) x 10(4) M-1 and ΔGads = - (5.8 ± 0.2) kcal mol-1.

Efeito das condições ambientais no nível de ruído emitido por leitões

Objetivou-se, com este trabalho, avaliar a influência das variáveis ambientais nos níveis de ruídos emitidos por suínos e quantificar as faixas em dB comparativamente às condições de conforto térmico estabelecidas pela literatura. O experimento foi conduzido em câmara climática, onde foram alojados cinco leitões em fase de creche, submetidos à variação na temperatura ambiente de 20°C a 38°C e umidade relativa de 50% a 80%. Decibelímetros foram instalados para o registro dos níveis de ruídos e sensores dataloggers para os dados de temperatura e umidade relativa. O nível de atividade foi utilizado para quantificar a movimentação dos animais por intermédio de análise de imagens. Análises de correlação e regressão foram aplicadas nos dados para análise estatística. As variáveis ambientais influenciam na emissão de ruídos pelos leitões quando expostos a diferentes condições térmicas. Os níveis de ruídos foram estabelecidos em faixas de acordo com a condição térmica a que animais foram submetidos. Para a condição de conforto (20 a 23°C), níveis de ruídos na faixa de 70 a 75dB; condição de alerta (23 a 30°C), níveis de ruídos na faixa de 60 a 70dB e para condição de estresse térmico (acima de 30°C), na faixa de 55 a 60dB.

Influence of apical foramen lateral opening and file size on cemental canal instrumentation

Since instrumentation of the apical foramen has been suggested for cleaning and disinfection of the cemental canal, selection of the file size and position of the apical foramen have challenging steps. This study analyzed the influence of apical foramen lateral opening and file size can exert on cemental canal instrumentation. Thirty-four human maxillary central incisors were divided in two groups: Group 1 (n=17), without flaring, and Group 2 (n=17), with flaring with LA Axxess burs. K-files of increasing diameters were progressively inserted into the canal until binding at the apical foramen was achieved and tips were visible and bonded with ethyl cyanoacrylate adhesive. Roots/files set were cross-sectioned 5 mm from the apex. Apices were examined by scanning electron microscopy at ×140 and digital images were captured. Data were analyzed statistically by Student’s t test and Fisher’s exact test at 5% significance level. SEM micrographs showed that 19 (56%) apical foramina emerged laterally to the root apex, whereas 15 (44%) coincided with it. Significantly more difficulty to reach the apical foramen was noted in Group 2. Results suggest that the larger the foraminal file size, the more difficult the apical foramen instrumentation may be in laterally emerged cemental canals.

Migrant labor and wear-out in manual sugarcane harvesting in São Paulo, Brazil

The scope of this paper is to describe the work of manual sugarcane harvesters, assessing the nutritional behavior and body composition between the beginning and the end of the harvest. A descriptive longitudinal study was made of harvesters in Piracicaba, São Paulo, Brazil, who answered a socio-demographic questionnaire and authorized measurement of Body Mass Index, Body Fat Percentage and Arm Muscle Circumference at three stages. Creatine kinase on the skeletal isoform, C-reactive protein and plasma urea were measured at the end of the harvest. Thirty male migrant harvesters with ages ranging from 18 to 44 from the Northeast (Ceará) were assessed over a nine-month period. The workers suffered significant body fat and weight loss in the first half of the harvest. Eighteen workers had abnormal levels of creatine kinase and four - out of 24 who had donated blood - had altered urea levels. Sugarcane harvesting work causes weight and body fat loss and gains in the lean body mass index, which suffers wear-out when working on consecutive harvests. It can also cause changes in biochemical markers of chronic systemic inflammation. Further studies will make it possible to comprehend the relationships between stress, wear-out, labor longevity and health in sugarcane harvesting.

Caracterização bioclimática de sistemas ao ar livre e confinado para a criação de matrizes suínas gestantes

O confinamento de matrizes suínas foi criado com o intuito de maximizar a produtividade; entretanto, existem problemas relacionados ao bem-estar animal. Objetivou-se avaliar a criação de matrizes suínas gestantes no sistema de confinamento e ao ar livre, com relação ao ambiente térmico e às respostas fisiológicas. O experimento foi realizado em Monte Mor/SP. A avaliação fisiológica foi realizada por meio do registro das variáveis: frequência respiratória e temperatura de pele. Foram registradas as variáveis meteorológicas: temperatura de bulbo seco, temperatura de bulbo úmido e temperatura de globo negro, caracterizando o ambiente por meio da entalpia e índice de temperatura de globo e umidade. Foram utilizados seis animais por tratamento. O delineamento experimental foi inteiramente casualizado em parcelas subdivididas, e as médias comparadas pelo teste de Tukey. As variáveis fisiológicas e meteorológicas apresentaram valores superiores no confinamento. O sistema de criação ao ar livre potencializou as trocas térmicas entre os animais e o ambiente, o que refletiu em menor estresse por calor observado nos animais.

Bands of respiratory rate and cloacal temperature for different broiler chicken strains

The objective of this investigation was to estimate ideal bands of respiratory rate and cloacal temperature for broiler chicken strains during the rearing period and to evaluate the influence of time of exposure on bird physiological variables under different thermal stress conditions. The research was conducted in a climatic chamber during the six weeks of the rearing period, with Avian and Cobb strains exposed to two climatic conditions (comfort and stress), in three distinct times of exposure, in three conditions (before going to the chamber; at the end of exposure time; 30 minutes after the end of exposure), in four treatments: comfort with 60 minutes of exposure; stress with 30 minutes of exposure; stress with 60 minutes of exposure; stress with 90 minutes of exposure. Bands of respiratory rate and cloacal temperature were elaborated for both strains, for each one of the weeks of the rearing period. Strains differed, regardless of treatments and conditions adopted in the research on the third, fifth and sixth weeks of life in relation to the cloacal temperature. The Cobb strain is more tolerant to thermal stress in comparison with the Avian. There was difference for both variables between comfort and stress, but time of exposure to stress did not influence the physiological response of birds, except for cloacal temperature on the second week of life.

Testing phenomenological and theoretical models of dark matter density profiles with galaxy clusters

We use the stacked gravitational lensingmass profile of four high-mass (M 1015M ) galaxy clusters around z≈0.3 from Umetsu et al. to fit density profiles of phenomenological [Navarro– Frenk–White (NFW), Einasto, S´ersic, Stadel, Baltz–Marshall–Oguri (BMO) and Hernquist] and theoretical (non-singular Isothermal Sphere, DARKexp and Kang & He) models of the dark matter distribution. We account for large-scale structure effects, including a two-halo term in the analysis.We find that the BMO model provides the best fit to the data as measured by the reduced χ2. It is followed by the Stadel profile, the generalized NFW profile with a free inner slope and by the Einasto profile. The NFW model provides the best fit if we neglect the two-halo term, in agreement with results from Umetsu et al. Among the theoretical profiles, the DARKexp model with a single form parameter has the best performance, very close to that of the BMO profile. This may indicate a connection between this theoretical model and the phenomenology of dark matter haloes, shedding light on the dynamical basis of empirical profiles which emerge from numerical simulations.

Global transcriptional response of Caulobacter crescentus to iron availability

BACKGROUND: In the alpha subclass of proteobacteria iron homeostasis is controlled by diverse iron responsive regulators. Caulobacter crescentus, an important freshwater α-proteobacterium, uses the ferric uptake repressor (Fur) for such purpose. However, the impact of the iron availability on the C. crescentus transcriptome and an overall perspective of the regulatory networks involved remain unknown. RESULTS: In this work we report the identification of iron-responsive and Fur-regulated genes in C. crescentus using microarray-based global transcriptional analyses. We identified 42 genes that were strongly upregulated both by mutation of fur and by iron limitation condition. Among them, there are genes involved in iron uptake (four TonB-dependent receptor gene clusters, and feoAB), riboflavin biosynthesis and genes encoding hypothetical proteins. Most of these genes are associated with predicted Fur binding sites, implicating them as direct targets of Fur-mediated repression. These data were validated by β-galactosidase and EMSA assays for two operons encoding putative transporters. The role of Fur as a positive regulator is also evident, given that 27 genes were downregulated both by mutation of fur and under low-iron condition. As expected, this group includes many genes involved in energy metabolism, mostly iron-using enzymes. Surprisingly, included in this group are also TonB-dependent receptors genes and the genes fixK, fixT and ftrB encoding an oxygen signaling network required for growth during hypoxia. Bioinformatics analyses suggest that positive regulation by Fur is mainly indirect. In addition to the Fur modulon, iron limitation altered expression of 113 more genes, including induction of genes involved in Fe-S cluster assembly, oxidative stress and heat shock response, as well as repression of genes implicated in amino acid metabolism, chemotaxis and motility. CONCLUSIONS: Using a global transcriptional approach, we determined the C. crescentus iron stimulon. Many but not all of iron responsive genes were directly or indirectly controlled by Fur. The iron limitation stimulon overlaps with other regulatory systems, such as the RpoH and FixK regulons. Altogether, our results showed that adaptation of C. crescentus to iron limitation not only involves increasing the transcription of iron-acquisition systems and decreasing the production of iron-using proteins, but also includes novel genes and regulatory mechanisms