POPULATION-BASED INCIDENCE OF IDDM IN THE STATE OF SAO-PAULO, BRAZIL

OBJECTIVE- To study the incidence of IDDM among children, infants to 14 yr of age, in the state of São Paulo, Brazil, 1987-1991.RESEARCH DESIGN AND METHODS - A prospective population-based register was established, using physician reports of newly diagnosed IDDM patients < 15 yr of age as the primary source of case identification and school surveys as the main secondary source. Data were collected according to the methods recommended by the Diabetes Epidemiology Research International group.RESULTS - Case ascertainment was estimated at 95.0, 92.8, and 98.8% complete for each of the three cities studied. The average annual IDDM incidence was 7.6/100,000 inhabitants (95% confidence interval, 5.6-9.7). We found a higher incidence rate in girls than boys.CONCLUSIONS - the incidence of childhood IDDM in a tropical region in South America (São Paulo, Brazil) is in the middle incidence range observed in developed countries throughout the world. Increased incidence of IDDM in girls compared with boys will be tested by the ongoing Brazilian incidence study being developed in 18 other centers across the country.

RELATIVE GROWTH OF THE SPECKLED SWIMMING CRAB ARENAEUS-CRIBRARIUS (LAMARCK, 1818) (BRACHYURA, PORTUNIDAE), NEAR UBATUBA, STATE OF SAO-PAULO, BRAZIL

Arenaeus cribrarius is a mainly tropical crab that occurs in the Western Atlantic Ocean, Brazil being its type-locality. The species ranges from Vinevard Sound, Massachusetts, USA to La Paloma, Uruguay. Information about this species is scarce. The relative growth of A. cribrarius was analyzed, based on some morphometric relations, where the carapace width, excluding lateral spines (CW), was used as an independent variable. A total of 403 specimens (189 males and 214 females), was collected in Ubatuba, State of São Paulo, Brazil, with otter-trawls. The animals were sexed and sorted to maturation phase (juvenile or adult). Some measurements were made: carapace (length and width excluding lateral spines), abdomen (greatest width of the fifth somite in females and the sixth in males) and major chela (greatest length, width and height, dactylus length). This study was made by the application of the power function (y=a.x(b)) which was fitted to the data and the pattern of growth established for each parameter by the ''b''-value (constant of allometry), as positive allometry (b>1), negative allometry (b<1) or isometry (b=1). The morphometric relations of the carapace showed a tendency to isometry. In females, the abdominal width grew in positive allometry, higher in juveniles (b=1.33) than in adults (b=1.18). In this case, an overlap and discontinuity was noticed between the phases over a carapace width range of 55 to 70 mm, where the puberty molt occurs. The majority of relationships showed that the major chela of the males grew in positive allometry, however, the greatest allometric difference between the phases was observed towards the propodus length with 1.09 as juvenile and 1.26 as adult ''b''values. In the males, this variable showed an inflection between the CW range of 45' to 55 mm, where the transition to the maturation phase occurs. The relative growth of this species is similar to those of previously studied species. This indicates, that the propodus length and the abdominal width are the morphometric variables most appropriate to estimate the size of the beginning of the sexual maturity for males and females of this species, respectively.

ANTS AS POTENTIAL VECTORS OF PATHOGENS IN HOSPITALS IN THE STATE OF SAO-PAULO, BRAZIL

Baiting studies performed in large, medium and small hospitals in Brazil revealed the presence of 14 ant species, with up to nine recorded in one hospital. Dominant species were exotic ants, and in the large hospital, Tapinoma melanocephalum was the most prevalent. Ants were not uniformly spread through the hospitals, but tended to be found in the more critical areas, particularly in nursery, intensive care, obstetrics, neurology and dermatology units. Bacteriological studies using specific media for bacteria associated with intra-hospital infections indicated the potential for the mechanical vectoring of species of Staphylococcus, Serratia, Klebsiella, Acinetobacter, Enterobacter, Candida and Enterococcus by ants. Although T. melanocephalum did not have the highest rate of association with these bacteria, its ubiquitous occurrences resulted in the highest overall potential as a vector of these bacteria. Because of a large number of ant species occurring in Brazilian hospitals, ants pose a potential problem to the spread of diseases in hospitals. Because of the number of associated ant species in hospitals, the control of this potential problem is much more difficult than in registered temperate areas.

Distribution of the orchid species in the coastal plains of the fazenda beach, municipality of ubatuba, state of sao-paulo, brazil

A floristic survey for the family Orchidaceae was undertaken in a coastal forest area of ca. 8 km2 in the Picinguaba Development Center of the Serra do Mar State Park, in the municipality of Ubatuba, Brazil. The sampling used all tracks and roads of the area, up to the altitude of 50 m.s.m. and resulted in 77 species distributed in 45 genera. The spacial distribution of the species was plotted in maps of the nine physiognomical units identified for the area, based on 1:8.000 and 1:25.000 aerial photographs, and field observations. The results are shown in 1:10.000 topographic charts. Ninety percent of the species occur in at least 3 physiognomical units while 60% only occurred in a single unit, what indicates that the orchids can be used to characterize the vegetation even in large scales.

Virulence factors in Escherichia coli strains isolated from pigs in the Ribeirao Preto region, State of Sao Paulo, Brazil.

Three-hundred faecal swabs were obtained from pigs with diarrhoea in farms located in different areas of the Ribeirao Preto region in the State of Sao Paulo. One-hundred Escherichia coli strains were isolated and tested for production of thermolabile (TL) and thermostable (STRa and STb) enterotoxins, and for the presence of colonization factors F4, F5 and F6. The strains were also tested for sensitivity to 14 antibiotics and chemotherapeutic agents. Twenty-four Escherichia coli strains produced enterotoxin STb, 5 produced LT and 3 produced STa. In the mannose-resistant haemagglutination reaction, one strain reacted positively with sheep, chicken, horse and human red blood cells and another reacted positively with guinea pig, sheep, chicken, horse and human red cells. However, both strains were negative for colonization factors F4, F5 and F6 when submitted to the slide agglutination test. All Escherichia coli strains were resistant to at least one antibiotic, the highest percentages being obtained for resistance to penicillin, tetracycline and cephalotin. In addition to the importance of the virulence factors normally encountered in enterotoxigenic Escherichia coli strains from pigs, the present results show the possible existence of new colonization factors other than F4, F5 and F6 participating in E. coli-induced pigs colibacillosis in the Ribeirao Preto region.

Control of parasitic infections among school children in the peri-urban area of Botucatu, Sao Paulo, Brazil

The prevalence of intestinal parasitosis was investigated in a primary school located in Rubiao Junior, a peri-urban district of Botucatu, Sao Paulo state, Brazil, in order to assess the effect of treatment and practical measures of prophylaxis in the control of parasitic infections among 7-to-18-year-old school children of a low socio-economic status. The first series of parasitological examinations included 219 school children, of which 123 (56.1%) were found to be infected with one or more parasite species. Eighty-four children carrying pathogenic parasites were submitted to various anti-parasitic treatment schedules. We re-evaluated 75 (89%) students after 4 to 6 months postchemotherapy. The results indicate that the combination of treatment with prophylactic measures has been successful in the control of parasitic infections, since reinfection rates were generally low (≤5.3%), except for Giardia lamblia infections (18.6%), and a marked reduction on the prevalence rates was observed with a significant percentage of cure (≤73.1%) in children infected with most parasite species. The reasons for the apparent failure in the control of infections caused by Hymenolepsis nana and Strongyloides stercoralis are discussed.

Paracoccidioidomycosis: Survey and clinical aspects from the Department of Dermatology of the School of Medicine of Botucatu (Sao Paulo - Brazil)

Background - Paracoccidioidomycosis is the most frequent among the systemic mycoses in Brazil. Objective: To study the cases of paracoccidioidomycosis diagnosed from 1976 to 1996 at the Department of Dermatology of the School of Medicine of Botucatu. Methods - Descriptive study obtained from specific protocols comprising anamnesis, clinical- dermatological-laboratorial examination, treatment and follow-up of the patients. Results - Paracoccidioidomycosis was diagnosed in 1.04% of the dermatologic outpatients assisted from 1976 to 1996. In 315 cases, 89.8% were male, 61.9% were over forty and 53.7% were rural workers. The complaints were related more to oropharyngolaryngeal (53.6%) or cutaneous (23.8%) lesions or adenopathy (10.2%). Seventy patients had already been treated in other health services. The chronic multifocal clinical from was the most common: 80.6% of the cases, followed by the acute-subacute (juvenile type) 15.5%. The disease was pulmonary in 80.0%, oropharyngolaryngeal in 69.2% and cutaneous in 45.7%. Th treatment: Amphotericin B in 146 patients, Ketoconazole - 88, Itraconazole - 56, Sulfonamide derivatives - 146 and Terbinafine in 3. The lethality index resulting from the disease or its treatment was 2.0%. Conclusions - The high number of cases, showing the regional relevance of the disease and the high percentage of tegumentary complaints and the high number of relapsing are remarkable.

Hydrochemistry on a waste disposal area of sand mining activities at Analandia, Sao Paulo State, Brazil, and their implications on the mobilization of uranium

Groundwaters and surface waters from an area of treatment of sand for industrial purposes at Analandia municipality, nearly in the center of Sao Paulo State, Brazil, were chemically and isotopically analyzed with two aims: to evaluate if the anthropogenic activities that has taken place for the last 6 years is affecting the quality of the hydrological resources and to relate the hydrogeochemical behaviour of the uranium isotopes 234U and 238U with the pattern of circulation of groundwaters.

Reproductive biology and moulting cycle of the crab Callinectes ornatus (Decapoda, Portunidae) from the Ubatuba region, Sao Paulo, Brazil

To investigate the reproductive biology of Callinectes ornatus gonadal and moulting cycles were studied over two consecutive years in the Ubatuba region. Six stages of gonadal development were detected in females and four in males. Observations on the number of ovigerous females, on the moulting stages of males and females, and on the percentage of individuals exhibiting mature gonads reveal a continuous reproductive cycle, the stages of which progress at different rates. These data support the hypothesis that C. ornatus shows staggered spawning, with possibly more than one annual reproductive period. A pause in growth before the terminal moult may occur in this species.