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Objective: The present study aimed to describe breast-feeding, complementary feeding and determining factors for early complementary feeding from birth to 8 months of age in a typical Brazilian low-income urban community.Design: A birth cohort was conducted (n 233), with data collection twice weekly, allowing close observation of breast-feeding, complementary feeding introduction and description of the WHO core indicators on infant and young child feeding. Infant feeding practices were related to socio-economic status (SES), assessed by Water/sanitation, wealth measured by a set of eight Assets, Maternal education and monthly household Income (WAMI index). Two logistic regression models were constructed to evaluate risk factors associated with early complementary feeding.Results: Based on twice weekly follow-up, 65 % of the children received exclusive breast-feeding in the first month of life and 5 % in the sixth month. Complementary feeding was offered in the first month: 29 % of the children received water, 15 % infant formulas, 13 % other milks and 9·4 % grain-derived foods. At 6 months, dietary diversity and minimum acceptable diet were both 47 % and these increased to 69 % at 8 months. No breast-feeding within the first hour of birth was a risk factor for the early introduction of water (adjusted OR=4·68; 95 % CI 1·33, 16·47) and low WAMI index a risk factor for the early introduction of other milks (adjusted OR=0·00; 95 % CI 0·00, 0·02).Conclusions: Data suggest local policies should promote: (i) early breast-feeding initiation; (ii) SES, considering maternal education, income and household conditions; (iii) timely introduction of complementary feeding; and (iv) dietary diversity. [ABSTRACT FROM AUTHOR]

The article presents a study on the use of smectit clays for the preparation of the organophilic adsorber in Brazil. The study aims to prepare and use organophilic clay that is capable of promoting the separation of phenol, found in large scale in the aqueous effluent of petrochemical industries. The result shows that the Chocolate clay, in the best condition of the experimental design, has a plastic viscosity, thus was chosen as adsorbent material to continue the study.

Selenium is an essential trace element required in low amounts by humans and animals, but it can be toxic when ingested at high concentrations. Information regarding Se background levels in soils is important to prevent Se deficiency, to optimize human nutrition, and to prevent toxicological effects. Background Se levels in Brazilian soils were evaluated and correlated with other soil characteristics. Se concentrations were quantified in samples from the superficial layer (0-0.2 m) and from the subsurface layer (the highest portion of the B horizon) for 58 soils. Soils were selected across a wide range of soil types and parent materials. Se concentrations ranged from < 0.08 to 1.61 mg kg-1, with a mean of 0.19 mg kg-1. Concentrations of Se in the samples collected in the superficial layer were positively correlated with cation exchange capacity, as well as with clay, organic matter, and oxide contents of the soils. In the subsurface samples, only pH and aluminum oxide content were correlated with Se concentrations. [ABSTRACT FROM AUTHOR]

Objectives: Identifying and understanding the main risk factors associated with extubation failure of very low birthweight (VLBW) infants in different populations can subsequently help in establishing better criteria while taking decision of extubation. The aim of the study was to identify factors associated with extubation failure in VLBW infants., Methods: A cohort study of VLBW infants who underwent their first extubation between April 2018 and December 2019 in a Neonatal Intensive Care Unit, Alagoas, Brazil, were included in this study. Extubation failure was defined as reintubation within seven days of extubation. Relative risks of predictive variables different between the extubation success group (ES) and extubation failure group (EF) were estimated with a robust Poisson regression model., Results: Out of the 112 infants included, 26 (23%) cases exhibited extubation failure. Extremely low birth weight (RR 2.55, 95% CI 1.07, 6.06), mechanical ventilation duration for first extubation greater than seven days (RR 2.66, 95% CI 1.10, 6.45), vaginal delivery (RR 2.07, 95% CI 1.03, 4.18) and maternal chorioamnionitis (RR 4.89, 95% CI 1.26-18.98) remained independently associated with extubation failure. EF had a significant greater need for respiratory support, longer oxygen therapy duration, more bronchopulmonary dysplasia (BPD) and longer length of hospital stay, even when adjusted for confounding variables., Conclusions: Extremely low birth weight infants needing mechanical ventilation, wherein the duration for first extubation was longer than seven days, with vaginal delivery and maternal chorioamnionitis failed more frequently at the first attempt of extubation. And this failure increased the risk of BPD and the length of hospital stay., (© 2020 Walter de Gruyter GmbH, Berlin/Boston.)

This study aims at identifying the populations of filamentous fungi present on a Brazilian contemporary painting, whose conservation status was compromised and showed evident signs of deterioration by microbial action. In addition, to correlate the biodeterioration potential of the isolated fungal strains, cellulolytic activity testing was performed and, finally, the biocide treatment against microbial growth was carried out. A total of nine isolates of filamentous fungi were detected and three distinct taxa were identified: Aspergillus flavus, Aspergillus niger and Penicillium citrinum. The detection of the enzymatic activity of the isolates by cellulolytic plate assay revealed the potential of filamentous fungal species in causing the deterioration of paintings. Our results showed that the presence of each strain of filamentous fungi correlated with the distribution of the paint colour, suggesting a tropism of certain species for specific dyes used. In addition, strains of A. niger showed a lower enzymatic activity index, despite the aesthetic damage that this fungal specie caused on the artwork. In conclusion, this study demonstrated that the identification of the microbiota obtained from the painting may help contrasting its biodeterioration and it described a successful antifungal treatment on a contemporary art piece. Contemporary art in Brazil arose from postmodernism, through the artistic manifestations included in the Neoconcrete Manifest of 1959, as well as with the use of innovative techniques. It was a consequence of the interaction between concept and language, displayed by the artists on a set of unconventional materials and objects. Despite being a 20th century painting, the concern of the artist to keep the art object in a good conservation state has driven the realization of this work and these microbial prospecting studies, associated with artwork deterioration, may contribute to the preservation of the Brazilian contemporary heritage., (© 2018 The Society for Applied Microbiology.)

This study was conducted to determine the seroprevalence of anti-Neospora caninum antibodies and to investigate the risk factors related to seroprevalence in dogs from urban and rural areas with distinct economic activities (milk and coffee production) in Minas Gerais state, Brazil. For this purpose, blood samples from 703 dogs were collected and questionnaires addressing epidemiological aspects were completed by dog-owners. The sera were analysed for anti-N. caninum antibodies by indirect fluorescent antibody tests (IFAT ≥ 1:50). Association between epidemiological aspects and seropositivity in dogs was evaluated with multivariate logistic regression models. A total of 80 (11·4%) dogs tested positive for N. caninum. In the multivariate logistic regression models, dogs aged >4 years, dogs used as guard dogs, dogs that spontaneously hunt, and history of bovine abortion were found to be greater risk factors for canine N. caninum infection. When we considered only dogs from rural areas, an association with seroprevalence was seen for milk farms, dogs not fed with commercial food, dogs that hunt, and dogs used as guard dogs.

To explore the genetic components of susceptibility to early childhood diarrhea (ECD), we used a quantitative genetic approach to estimate the heritability of ECD among children from two Brazilian favelas. Shared environment was used to model common exposure to environmental factors. Genetic relatedness was determined from pedigree information collected by screening household participants (n = 3,267) from two geographically related favelas located in Fortaleza, Brazil. There were 277 children within these pedigrees for whom diarrheal episodes in the first two years of life were recorded. Data on environmental exposure and pedigree relationship were combined to quantitatively partition phenotypic variance in ECD into environmental and genetic components by using a variance components approach as implemented in Sequential Oligogenic Linkage Analysis Routines program. Heritability accounted for 54% of variance in ECD and proximity of residence effect accounted for 21% (P < 0.0001). These findings suggest a substantial genetic component to ECD susceptibility and the potential importance of future genetics studies.

Background: Exhaled carbon monoxide (CO(Exh)) measurement is used to confirm smoking status in smoking cessation programs, but the cut-off level is still a matter for discussion. The objective of this study was to compare CO(Exh) levels in smokers and non-smokers to validate the method in a Brazilian population and to estimate the probability of the patient still smoking according to different cut-off points., Methods: In this cross-sectional study we studied non-atopic Caucasian volunteers with no respiratory infection or steroid therapy in the preceding four weeks. Exclusion criteria were: pregnancy; breast feeding; age<18 and >65 years old; and subjects not signing informed consent. Participants filled out a questionnaire and had their CO(Exh) levels measured. Bayes' theorem was used to calculate the posttest probabilities., Results: We included 393 subjects of whom 239 (61%) were smokers. The mean CO(Exh) was 14.7 +/- 9.4 ppm and 4.3 +/- 2.5 ppm (p<0.001) in smokers and nonsmokers, respectively. Patients with CO(Exh) below 8 ppm had a likelihood ratio below 1 of still smoking. The levels 9 ppm and 10 ppm provided likelihood ratios of 1.50 and 1.93, respectively. Better discriminant power was obtained at >11 ppm, when the likelihood ratio became 63.80 (95%CI 16.1-253.1)., Conclusions: In smoking cessation practice, a likelihood ratio approach may be useful to determine the probability that an individual is still smoking according to various CO(Exh) cut-off points instead of using a fixed value for all patients.

Aims: To study tobacco abstinence and risk factors for failure in smoking cessation program and to evaluate the need for special strategies in a Brazilian cohort of smokers., Design: A non-randomized, prospective, open clinical trial., Patients and Methods: We studied smokers who attended the Smoking Cessation Clinics of Hospital Sao Lucas da PUCRS, in Porto Alegre, Brazil between July, 1999 and June, 2003. All participated in the same behavioral therapy program and, according to the Fagerstrom test, also received nicotine patches and/or bupropion. Sustained abstinence was confirmed by exhaled CO measurements