BF Integrase Genes of HIV-1 Circulating in Sao Paulo, Brazil, with a Recurrent Recombination Region

Although some studies have shown diversity in HIV integrase (IN) genes, none has focused particularly on the gene evolving in epidemics in the context of recombination. The IN gene in 157 HIV-1 integrase inhibitor-naive patients from the Sao Paulo State, Brazil, were sequenced tallying 128 of subtype B (23 of which were found in non-B genomes), 17 of subtype F (8 of which were found in recombinant genomes), 11 integrases were BF recombinants, and 1 from subtype C. Crucially, we found that 4 BF recombinant viruses shared a recurrent recombination breakpoint region between positions 4900 and 4924 (relative to the HXB2) that includes 2 gRNA loops, where the RT may stutter. Since these recombinants had independent phylogenetic origin, we argue that these results suggest a possible recombination hotspot not observed so far in BF CRF in particular, or in any other HIV-1 CRF in general. Additionally, 40% of the drug-naive and 45% of the drug-treated patients had at least 1 raltegravir (RAL) or elvitegravir (EVG) resistance-associated amino acid change, but no major resistance mutations were found, in line with other studies. Importantly, V151I was the most common minor resistance mutation among B, F and BF IN genes. Most codon sites of the IN genes had higher rates of synonymous substitutions (dS) indicative of a strong negative selection. Nevertheless, several codon sites mainly in the subtype B were found under positive selection. Consequently, we observed a higher genetic diversity in the B portions of the mosaics, possibly due to the more recent introduction of subtype F on top of an ongoing subtype B epidemics and a fast spread of subtype F alleles among the B population.

Strategies and results of the oral cancer prevention campaign among the elderly in Sao Paulo, Brazil, 2001 to 2009

Objective. To describe the strategies and results obtained by the early diagnosis and prevention of an oral cancer campaign targeting the population aged 60 years or older developed since 2001 in the state of Sao Paulo. Methods. The main strategies used to develop the campaign were described based on the review of documents issued by the Health Ministry, National Cancer Institute, Sao Paulo State Health Department, Oncocentro Foundation of Sao Paulo, Sao Paulo City Health Department, School of Public Health at the University of Sao Paulo (USP), and Santa Marcelina Health Care Center. The impact of the campaign on the incidence of new cases of oral cancer in the target population was evaluated. Results. In 2001, 90 886 elderly were examined vs. 629 613 in 2009. The following strategies were identified: training of professionals, development of printed materials to guide municipal governments in developing the campaign and using standardized codes and criteria, guidelines for data consolidation, establishment of patient referral flows, practical training with a specialist at the basic health care unit after the follow-up examination of individuals presenting changes in soft tissues, and increase in the number of oral diagnosis services. Between 2005 and 2009, there was a significant reduction in the rate of confirmed cases of oral cancer per 100 000 individuals examined, from 20.89 to 11.12 (P = 0.00003). Conclusions. The campaign was beneficial to the oral health of the elderly and could be extended to include other age groups and regions of the country. It may also provide a basis for the development of oral cancer prevention actions in other countries, as long as local characteristics are taken into account.

Lifetime Prevalence, Age and Gender Distribution and Age-of-Onset of Psychiatric Disorders in the Sao Paulo Metropolitan Area, Brazil: Results from the Sao Paulo Megacity Mental Health Survey

Objectives: To estimate prevalence, age-of-onset, gender distribution and identify correlates of lifetime psychiatric disorders in the Sao Paulo Metropolitan Area (SPMA). Methods: The Sao Paulo Megacity Mental Health Survey assessed psychiatric disorders on a probabilistic sample of 5,037 adult residents in the SPMA, using the World Mental Health Survey Version of the Composite International Diagnostic Interview. Response rate was 81.3%. Results: Lifetime prevalence for any disorder was 44.8%; estimated risk at age 75 was 57.7%; comorbidity was frequent. Major depression, specific phobias and alcohol abuse were the most prevalent across disorders; anxiety disorders were the most frequent class. Early age-of-onset for phobic and impulse-control disorders and later age-of-onset for mood disorders were observed. Women were more likely to have anxiety and mood disorders, whereas men, substance use disorders. Apart from conduct disorders, more frequent in men, there were no gender differences in impulse-control disorders. There was a consistent trend of higher prevalence in the youngest cohorts. Low education level was associated to substance use disorders. Conclusions: Psychiatric disorders are highly prevalent among the general adult population in the SPMA, with frequent comorbidity, early age-of-onset for most disorders, and younger cohorts presenting higher rates of morbidity. Such scenario calls for vigorous public health action.

Razao Sr:Ba:Rb e tipologia de zircao em granitoides dos Estado de Sao Paulo, Parana e Minas Gerais

Chemical (Sr:Ba:Rb) and zircon typology data from the Nazare Paulista, Mairipora/Cantareira, Cunhaporanga, Tres Corregos, Morungaba, Socorro, Itu, Graciosa and Serra Carambei granitoid complexes from the states of Minas Gerais, Sao Paulo and Parana (SE/S Brazil) are presented and discussed. By the zircon typology method these complexes are refered, respectively, to the 2nd crustal, 3rd crustal/low temperature C-A, low temperature C-A, medium temperature C-A, medium/light temperature C-A, K-SA/Alkaline and alkaline series which are considered as generated under increasing temperature associated with a progressive major participation of mantle material. All these series display different positions and behaviour in the Sr:Ba:Rb diagram which reinforces the use of the zircon typology method in the study of granitoids. -from English summary

Modelos geotectonicos aplicados ao Pre-Cambriano superior do NE do Estado de Sao Paulo e areas adjacentes do Estado de Minas Gerais: uma discussao

The main geotectonics models presented during the last 25 yr to explain the evolution of the Late Precambrian (Brasiliano Cycle) terranes of the NE of the State of Sao Paulo and the adjacent areas of the State of Minas Gerais, domain of the Guaxupe Massif, SE Brazil, are presented and discussed. The models can be classified in: 1) classic; 2) mainly ensialic; and 3) applications of the plate tectonic theory. -from English summary

Comportamento fractal de tracos de fraturas na borda sul do macico granitico de itu, estado de Sao Paulo

Fractal geometry is relevant to understand and explain many natural complex geometries. Using the fractal set concept (fig. 1) many authors have shown that shorelines, landscapes and fractures follow a fractal behaviour. These authors have developed many methods, including the Cantor's Dust Method (CDM) (VELDE et al., 1992), a linear method of analysis adapted for the determination of two-dimensional phenomena. The Itu Granitic Complex (IGC) is a wide granitic body that that crops out at northwest of Cabreuva City, Sao Paulo State (fig. 2) and was affected in its south border by dextral Itu-Jundiuvira Shear Zone (IJSZ) that produced fractures and alignment of feldspars crystals. The different types of fractures (compression, distension and shear) was discriminated from the relationship between them and medium stress ellipsoid of IJSZ (fig. 3). A modified version of CDM was used to study a possible fractal behaviour of the fracture traces in the south border of IGC. The main modification was the use only one direction of analysis (NE/SW). Four parallel profiles were traced with lengths between 9.75km and 12.75km, each one them was divided into six classes of segments (x) with 375m, 500m, 750m, 1.000m, 1.250m and 1.500m. The parameter (N) is provided by he rate between profile length and choiced segment. For each x the number of intervals is counted with at least one event (fracture intersection) which supplied the parameter(n). The n/N rate provide the parameter (p) that represents the relationship between frequency of events and x. And finally the parameters p and x were plotted in a logarithmic graphics (fig. 4) that provide a line with such a declivity (1) which is related to effective dimension (De). In theory, granitics bodies are isotropics and they would have a same fractal dimension in all segments, but the logarithmic graphics (fig. 4) show that fracture traces of IGC has a fractal behaviour in a restrict interval. This fact probably occurs from the passage of a ductil-brittle deformation condition to a more brittle deformation condition of IGC.

A continuous multi-millennial record of surficial bivalve mollusk shells from the Sao Paulo Bight, Brazilian shelf

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

Entoepidemiology of Chagas disease in northwest Sao Paulo and cytogenetic analysis of its main vector, Triatoma sordida (Hemiptera: Triatominae)

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

Factors associated with smoking in the elderly: a health survey in Sao Paulo (ISA-SP)

This article reports on smoking prevalence and associated factors in the elderly, based on a population-based cross-sectional study with multistage sampling including 1,954 individuals 60 years or older living in four areas of Sao Paulo State, Brazil. Overall smoking prevalence was 12.2%, and higher rates were associated with male gender, age 60-69 years, not belonging to an Evangelical church, lower income, low body weight, lack of leisure-time physical activity, depression/anxiety, and hypertension. There was a high prevalence of smokers among individuals with a history of stroke, cancer, and chronic obstructive pulmonary disease. The results point to the need for effective interventions in healthcare services to promote smoking cessation among the elderly, since many are unable to stop on their own, even when they have tobacco-related illnesses. Special attention should be paid to individuals that depend on the National Health System, since smoking prevalence is higher in underprivileged socioeconomic groups.

Seroprevalence and isolation of Toxoplasma gondii from free-range chickens from Espirito Santo state, southeastern Brazil

Prevalence of Toxoplasma gondii infection in 510 free-range (FR) chickens (380 from 33 small farms, and 130 from a slaughter house for FR chickens) from Espirito Santo state, southeastern Brazil, was investigated. Antibodies to T. gondii were sought using commercial indirect haemagglutination (IHAT, Imuno-HAI Toxo (R), Wama Diagnostica, Sao Paulo, Brazil, cut-off 1:16) and the modified agglutination test (MAT, cut-off 1:25) tests. Attempts were made to isolate viable T. gondii from seropositive chickens by bioassay in mice. Pooled samples of brain, heart and quadriceps muscle of one thigh (total 40 g) from 64 chickens with IHAT titers of >= 1:16 were minced, digested in pepsin and bioassayed in mice. Antibodies to T. gondii were found in 40.4% (206/510) FR chickens by IHAT (titer >= 1:16) and 38.8% (198/510) by MAT (titer >= 1:25); concordance between IHAT and MAT was 81.6% (kappa index = 0.614). Viable T. gondii was isolated (designated TgCkBr234-281) from 48 of 64(75%) seropositive (IHAT titers >= 1:32) FR chickens. Most isolates of T. gondii were virulent for mice; 100% of mice inoculated with 44 of 48 isolates died of toxoplasmosis within 30 days post inoculation (p.i). An epidemiological investigation revealed that people living in rural areas have little knowledge about the parasite and about the risk of acquiring it from raw meat. Results indicated that the locally available IHAT was useful for screening of chicken sera for T. gondii antibodies. (C) 2012 Elsevier B.V. All rights reserved.

Mudancas nas formas de comercio varejista e a implantacao dos supermercados na Grande Sao Paulo

Shows the social-economic determinants that act on the transformation process of retail commerce at the Great Sao Paulo. -from English summary

Local and regional features of surface radiation fluxes over the tropical Atlantic ocean near Sao Pedro and Sao Paulo archipelago: Evidence of small scale upwelling

To properly describe the interactions between the ocean and atmosphere, it is necessary to assess a variety of time and spatial scales phenomena. Here, high resolution oceanographic and meteorological data collected during an observational campaign carried out aboard a ship in the tropical Atlantic Ocean, on May 15-24, 2002, is used to describe the radiation balance at the ocean interface. Data collected by two PIRATA buoys, along the equator at 23°W and 35°W and satellite and climate data are compared with the data obtained during the observational campaign. Comparison indicates remarkable similarity for daily and hourly values of radiation fluxes components as consequence of the temporal and spatial consistence presented by the air and water temperatures measured in situ and estimated from large scale information. The discrepancy, mainly in the Sao Pedro and Sao Paulo Archipelago area, seems to be associated to the local upwelling of cold water, which is not detected in all other estimates investigated here. More in situ data are necessary to clarify whether this upwelling flow has a larger scale effect and what are the meteorological and oceanographic implications of the local upwelling area on the tropical waters at the Brazilian coast.

Rubella Vaccination of Unknowingly Pregnant Women: The Sao Paulo Experience, 2001

Background. Rubella vaccination is contraindicated during pregnancy. During mass immunization of women of childbearing age against rubella, women unknowingly pregnant may be vaccinated. To evaluate the effects of rubella vaccination during pregnancy, the Brazilian state of Sao Paulo conducted a follow-up study of pregnant women vaccinated during a rubella campaign in 2001.Methods. Women vaccinated during pregnancy were reported to a national surveillance system. In the state of Sao Paulo, follow-up of vaccinated women included household interviews. Serum samples from vaccinated women were tested for antirubella antibodies to classify susceptibility to rubella infection. Children born to susceptible mothers were tested for evidence of congenital rubella infection and evaluated for signs of congenital rubella syndrome.Results. The Sao Paulo State Health Department received 6473 notifications of women vaccinated during pregnancy. Serology performed for 5580 women identified 811 (15%) that were previously susceptible. Incidence of spontaneous abortion or stillbirth among previously susceptible vaccinated women was similar to women with prior immunity. Twenty-seven (4.7%) of 580 newborns tested had evidence of congenital rubella infection; none had congenital rubella syndrome.Conclusions. Mass rubella vaccination of women of childbearing age was not associated with adverse birth outcomes or congenital rubella syndrome among children born to women vaccinated during pregnancy.

Macroalgae of a stream in southeastern Brazil: composition, seasonal variation and relation to physical and chemical variables

Macroalgal seasonality was studied monthly in a second-order stream in the north-west of São Paulo State, S.E. Brazil. Seasonal variation was based on frequency and percentage cover. Seven species were found during the study period, three of which ('Chantransia' stage of Sirodotia delicatula, Homoeothrix juliana and Klebsormidium subtile) were encountered throughout the year and showed well-defined seasonal patterns as well as the highest value of frequency and percentage cover. 'Chantransia' and H. juliana dominated in summer and fall, while for K. subtile winter was the most favourable period. The remaining species (Oscillatoria agardhii, Microcoleus subtorulosus, Oedogonium sp. and Chaetophora elegans) had no clear seasonal pattern, in addition to their low values of frequency and percentage cover. Individually, K. subtile correlated with higher number of physical and chemical variables (oxygen, pH, precipitation, temperature, daylength, conductance and turbidity) than 'Chantransia' and H. juliana (discharge and depth). Principal component analyses revealed that no single variable was responsible for the macroalgal seasonal dynamics. The variables most closely related to seasonal variation of the macroalgal community were daylength, precipitation, discharge, turbidity and dissolved oxygen. Precipitation and flow were suggested as key factors in determining seasonality of the macroalgae. © 1991 Kluwer Academic Publishers.

Nutrient cycling in two south-east Brazilian forests. I. Litterfall and litter standing crop

Examined litterfall and litter standing crops in Altitudinal forest (AF and Semideciduous forest (SF) at Serra do Japi, Jundiai, Sao Paulo State. Total litterfall was 7 t ha-1 y-1 for AF: 4.9 leaves, 1.8 woody, 0.13 flower, 0.16 fruits; and the total for SF was 8.6 t ha-1 y-1; 5.5 leaves, 2.1 woody, 0.5 flower, 0.4 fruits. Litter standing crop was 5.5 t ha-1 y-1 for the two forest sites studied with a turnover coefficient (K1) of 1.3 for AF and 1.6 for SF. Litterfall occurred throughout the year but was greater during the dry season (August-September); seasonality of litter and leaf fall was greater in SF than in AF. -from Author