Search

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.

An evaluation of the efficiency of bacterial biomass augmentation was performed at lab-scale for the pollution treatment of the Derby-Tacaruna canal. The canal is located at the central area of Great Recife, alongside an important urban corridor. The characterization of the canal water in different tidal conditions showed that the actual pollution is organic and inorganic (heavy metals). Degradation experiments of water from the canal and rain-off system polluted by synthetic wastewater were performed, using activated sludge and an industrial bioadditive. Continuous reactors under two different conditions were evaluated: with diffuse aeration and without aeration. The channel reactor was operated under steady state conditions at a flow rate of 2.5 L h-1 and with an average residence time of 22 h without aeration and 17 h with aeration. The organic matter removal was in the range of 60% for the system inoculated with the bioadditive and 85% with activated sludge. It was concluded that the water of the Derby-Tacaruna canal may be treated by activated sludge without being affected by its salt content, while the bioaugmentation technique was not satisfactory due to inhibition by inorganics. [ABSTRACT FROM AUTHOR]

Background: Yellow fever virus (YFV) is an arbovirus that, despite the existence of a safe and effective vaccine, continues to cause outbreaks of varying dimensions in the Americas and Africa. Between 2017 and 2019, Brazil registered un unprecedented sylvatic YFV outbreak whose severity was the result of its spread into zones of the Atlantic Forest with no signals of viral circulation for nearly 80 years., Methods: To investigate the influence of climatic, environmental, and ecological factors governing the dispersion and force of infection of YFV in a naïve area such as the landscape mosaic of Rio de Janeiro (RJ), we combined the analyses of a large set of data including entomological sampling performed before and during the 2017-2019 outbreak, with the geolocation of human and nonhuman primates (NHP) and mosquito infections., Results: A greater abundance of Haemagogus mosquitoes combined with lower richness and diversity of mosquito fauna increased the probability of finding a YFV-infected mosquito. Furthermore, the analysis of functional traits showed that certain functional groups, composed mainly of Aedini mosquitoes which includes Aedes and Haemagogus mosquitoes, are also more representative in areas where infected mosquitoes were found. Human and NHP infections were more common in two types of landscapes: large and continuous forest, capable of harboring many YFV hosts, and patches of small forest fragments, where environmental imbalance can lead to a greater density of the primary vectors and high human exposure. In both, we show that most human infections (~ 62%) occurred within an 11-km radius of the finding of an infected NHP, which is in line with the flight range of the primary vectors., Conclusions: Together, our data suggest that entomological data and landscape composition analyses may help to predict areas permissive to yellow fever outbreaks, allowing protective measures to be taken to avoid human cases., (© 2022. The Author(s).)

Objective: To define the prevalence of adverse outcomes of maternal infection in a large cohort of ZIKV-infected Brazilian women and their infants., Design: Prospective population-based cohort study., Setting: Ribeirão Preto's region's private and public health facilities., Population: Symptomatic ZIKV-infected mothers and their infants., Methods: Prenatal/early neonatal data were obtained for all mother-child pairs. A subgroup of infants had cranial ultrasonography, eye fundoscopy, hearing and neurological examinations and Bayley III screening tests within 3 months of age., Main Outcome Measures: Prevalence of pregnancy losses and anomalies detected at birth or within 3 months according to the gestational age of infection., Results: Overall, 511 ZIKV-infected women were identified from a total of 1116 symptomatic women; as there were two twins, there were a total of 513 fetuses included. Of these, 13 (2.5%; 95% CI 1.5-4.3) presented with major signs of congenital Zika syndrome (CZS). Of the 511 women, there were 489 livebirths and 24 (4.7%) pregnancy losses (20 miscarriages and four stillbirths). ZIKV-related anomalies occurred in the offspring of 42/511 (8.2%) mothers. Microcephaly or other CNS malformations were diagnosed in 1/4 (25.0%) stillbirths and in 19/489 (3.9%; 95% CI 2.5-5.9) of the liveborn infants. Fetal abnormalities were 14.0 (95% CI 7.6-26.0) times more likely with gestational infection occurring in ≤11 weeks. On follow up of 280 asymptomatic infants, 2/155 (1.3%) had eye abnormalities, 1/207 (0.5%) had CNS imaging findings and 16/199 (8%) presented neurological alert signs., Conclusions: This prospective population-based study represents the largest Brazilian cohort study of ZIKV in pregnancy. Congenital anomalies potentially associated with CZS are less frequent than previously thought. There is a strong association between the gestational age of infection (≤11 weeks) and a poorer early infant prognosis. A notable proportion of apparently asymptomatic newborns can present with subclinical findings within 3 months of age., Tweetable Abstract: ZIKV and pregnancy: adverse outcomes are less common, more prevalent for first-trimester infections, and potentially subclinical., (© 2020 John Wiley & Sons Ltd.)

In this research article, we propose a class of models for positive and zero responses by means of a zero-augmented mixed regression model. Under this class, we are particularly interested in studying positive responses whose distribution accommodates skewness. At the same time, responses can be zero, and therefore, we justify the use of a zero-augmented mixture model. We model the mean of the positive response in a logarithmic scale and the mixture probability in a logit scale, both as a function of fixed and random effects. Moreover, the random effects link the two random components through their joint distribution and incorporate within-subject correlation because of the repeated measurements and between-subject heterogeneity. A Markov chain Monte Carlo algorithm is tailored to obtain Bayesian posterior distributions of the unknown quantities of interest, and Bayesian case-deletion influence diagnostics based on the q-divergence measure is performed. We apply the proposed method to a dataset from a 24 hour dietary recall study conducted in the city of São Paulo and present a simulation study to evaluate the performance of the proposed methods., (Copyright © 2015 John Wiley & Sons, Ltd.)

The aim of this study was to understand how the nursing team perceives its interdependence within the work body of the emergency unit. The study used a qualitative descriptive approach with the participation of three registered nurses, six nursing technicians and two nursing assistants from the largest public emergency unit in Porto Alegre, Brazil. The Creative and Sensitive Method was used for data collection, with reflection workshops and content analysis, providing three categories: Perceptions of the body; relationship of the body systems; and the nursing body in the emergency unit. The results revealed the interdependence of the members in the work and a certain impotence and frustration emerged due to the overload of the nursing body and to the (un)caring within the context of intense human productivity of the emergency services. Moments of reflection about the biological body allowed the team to visualize and feel themselves essential in the group, revealing an efficient care strategy to the nursing caregiver.

Setting: Itaboraí Municipality in Rio de Janeiro, Brazil., Objective: To evaluate access to tuberculosis (TB) diagnosis for users of the Family Health Program (FHP) and Reference Ambulatory Units (RAUs)., Design: A cross-sectional study was conducted in Itaboraí City, Rio de Janeiro, Brazil. Between July and October 2007, a sample of 100 TB patients registered consecutively with the TB Control Program was interviewed using the primary care assessment tool. The two highest scores, describing 'almost always' and 'always', or 'good' and 'very good', were used as a cut-off point to define high quality access to diagnosis., Results: FHP patients were older and had less education than RAU interviewees. Sex and overcrowding did not differ in the two groups. Patient groups did not differ with regard to the number of times care was sought at a unit, transport problems, cost of attending units and availability of consultation within 24 h. Adequate access to diagnosis was identified by 62% of the FHP patients and 53% of the RAU patients (P = 0.01)., Conclusion: In Itaboraí, Rio de Janeiro, TB patients believe that the FHP units provide greater access to TB diagnosis than RAUs. These findings will be used by the Department of Health to improve access to diagnosis in Itaboraí.

A morphological study of larval, pupal and adult life stages (including genitalia characters) was performed in order to evaluate the classification of the subgenus Dendromyia, genus Wyeomyia Theobald. Six species are included: Wy. ypsipola Dyar, Wy. jocosa (Dyar & Knab), Wy. testei Senevet & Abonnenc, Wy. complosa (Dyar), Wy. luteoventralis Theobald and Wy. trifurcata Clastrier, the first four of which are redescribed. The descriptions include illustrations of the male and female genitalia, fourth-instar larva and pupa. The result firmly supports Dendromyia as a monophyletic group, with well defined characters. Keys for the identification of all life stages of species included in Dendromyia are provided.

Objective: To evaluate the discrepancy index between the clinical and histological diagnosis and the prevalence of epithelial dysplasia and carcinoma in 45 patients with potentially malignant epithelial oral lesions (PMEL)., Patients and Methods: We submitted 45 patients with PMEL to clinical examination and obtained a biopsy from each. The results of histological diagnosis were compared to the clinical diagnosis., Results: Clinical diagnosis showed that the most common PMEL was leukoplakia followed by lichen planus and by actinic cheilitis associated with leukoplakia. The most common site was the buccal mucosa. Histological diagnosis revealed that 46.7% of the PMEL were lichen planus. The discrepancy index between clinical and histological diagnosis was 24.4%. The higher discrepancy index occurred among leukoplakias. The prevalence of epithelial dysplasia and carcinoma was 17.8%., Conclusions: We conclude that all PMEL should be submitted to a microscopic analysis because the discrepancy between clinical and histological diagnosis was present in a quarter of these lesions. Otherwise, the epithelial dysplasia and carcinoma were more frequent in the leukoplakias.

In view of recent studies incriminating several species of anophelines, besides Anopheles darlingi, as malaria vectors in the Brazilian Amazon, we performed an anopheline survey in four localities--Ariquemes, Cujubim, Machadinho and Itapoã do Oeste--in Rondônia, the most malarious State in the Country. Twenty species were found. An. darlingi was, by far, the dominant species and the only one whose density coincided with that of malaria. On human baits it was more numerous in the immediate vicinity of houses than indoors where, however, it was almost the only species encountered. On both situations it fed mostly at sunset and during the first half of the night. It was less numerous far from houses and scarce inside the forest. Other species (An. triannulatus, An. evansae, An. albitarsis, An. strodei) appeared in appreciable numbers only in Ariquemes, both in areas with and without malaria. The remaining species were scanty. An. darlingi was confirmed as the primary local vector.