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The objective of this work was to analyze the nutritional profile of pregnant women accompanied in low-risk prenatal care. The collection started with the explanation of the research objectives and with the signature of the post-informed consent term, a semistructured questionnaire was applied, composed of objective questions, using, at the time of application, the necessary instruments for data collection, such as the SisPréNatal-Monitoring System for Pregnant Women and scales for carrying out the measures. The study was carried out in the Family Health Strategy Naíde Guedes Diógenes, in the city of Jaguaribe, which is located in the Jaguaribe valley region in the state of Ceará. Participants in the study were pregnant women who met the inclusion criteria, which were: performing low-risk prenatal care and being in the second or third trimester of pregnancy. As a result of the research, the age group was from 16 to 37 years old, with the prevalence of those who were 26. The pre-pregnancy and gestational body mass index will remain the same, with the presence of 50% of pregnant women with adequate weight and the other 50% presenting nutritional risk. This study allows us to conclude and suggest the need for more research that addresses the theme, as well as the development of programs for health education in prenatal care that include nutritional assessment and guidance. [ABSTRACT FROM AUTHOR]

Copyright of Revista da Micro e Pequena Empresa is the property of Faculdade Campo Limpo Paulista and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The State of Ceará, in Northeastern Brazil, suffers from a triple burden of arboviruses (dengue, Zika and chikungunya). We measured the seroprevalence of chikungunya, dengue and Zika and its associated factors in the population of Juazeiro do Norte, Southern Ceará State, Brazil. Methods: A cross-sectional study of analytical and spatial analysis was performed to estimate the seroprevalence of dengue, Zika and chikungunya, in the year 2018. Participants were tested for IgM and IgG against these three viruses. Those with IgM and/or IgG positive tests results were considered positive. Poisson regression was used to analyze the factors associated with positive cases, in the same way that the spatial analysis of positive cases was performed to verify whether the cases were grouped. Results: Of the 404 participants, 25.0% (103/404) were positive for CHIKV, 92.0% (373/404) for flavivirus (dengue or Zika) and of these, 37.9% (153/404) samples were classified as probable dengue infection. Of those who reported having had an arbovirus in the past, positive CHIKV cases had 58.7% arthralgia (PR = 4.31; 95% CI: 2.06–9.03; p = 0.000) mainly in the hands, ankles and feet. Age over 60 years had a positive association with cases of flavivirus (PR = 1.29; 95% CI: 1.09–1.54; p = 0.000). Fever, muscle pain, joint pain and skin rash were the most reported symptoms (46.1, 41.0, 38.3 and 28.41%, respectively). The positive cases of chikungunya and dengue or Zika were grouped in space and the city center was most affected area. Conclusions: Four years after the introduction of CHIKV, where DENV has been in circulation for over 30 years, 1/4 of the population has already been exposed, showing the extent of the epidemic. The measured prevalence was much higher than that reported by local epidemiological surveillance. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has been most severe in the poorest regions of Brazil, such as the states of the Northeast Region. The lack of national policies for pandemic control forced state and municipal authorities to implement public health measures. The aim of this study is to show the effect of these measures on the epidemic. The highest incidence of COVID-19 among the nine states in the Northeast was recorded in Sergipe, Paraíba and Ceará. Piauí, Paraíba and Ceará were the states that most tested. Factors associated with transmission included the high proportion of people in informal work. States with international airports played an important role in the entry of the virus and the initial spread, especially Ceará. All states applied social distancing measures, banned public events and closed schools. The response was a significant increase in social distancing, especially in Ceará and Pernambuco, a decline in the reproduction rate (Rt), and a separation of the curve of observed cases versus expected cases if the non-pharmacological interventions had not been implemented in all states. Poverty, inequality, and the high rates of informal work provide clues to the intensity of COVID-19 in the region. On the other hand, the measures taken early by the governments mitigated the effects of the pandemic. [ABSTRACT FROM AUTHOR]

Gullies lead to land degradation and desertification as well as increasing environmental and societal threats, especially in arid and semiarid regions. Despite this fact, there is a lack of related research initiatives. In an effort to better understand soil loss in these systems, we studied small permanent gullies, which are a recurrent problem in the Brazilian northeastern semiarid region. The increase in sediment connectivity and the reduction of soil moisture, among other deleterious consequences, endanger this desertification-prone region and reduce its capacity to support life and economic activities. Thus, we propose a model to simulate gully-erosion dynamics, which is derived from the existing physically based models of and. The models were adapted so as to simulate long-term erosion. A threshold area shows the scale dependency of gully-erosion internal processes (bed scouring and wall erosion). To validate the model, we used three gullies that were over 6 decades old in an agricultural basin in the Brazilian state of Ceará. The geometry of the channels was assessed using an unmanned aerial vehicle and the structure from motion technique. Laboratory analyses were performed to obtain soil properties. Local and regional rainfall data were gauged to obtain sub-daily rainfall intensities. The threshold value (cross-section area of 2 m 2) characterizes when erosion in the walls, due to loss of stability, becomes more significant than sediment detachment in the wet perimeter. The 30 min intensity can be used when no complete hydrographs from rainfall are available. Our model could satisfactorily simulate the gully-channel cross-section area growth over time, yielding a Nash–Sutcliffe efficiency of 0.85 and an R2 value of 0.94. [ABSTRACT FROM AUTHOR]

Mangroves are dynamic ecosystems due to influence of abiotic and biotic factors, but the latter are far less studied. Interactions between key invertebrate groups, trees, and soil properties, among others, determine the community structure throughout mangrove stand developing. Covariation among these factors, however, obscures their mutual relationships in shaping mangrove community assemblage patterns. In the estuary of Pacoti River (Ceará State, northeast Brazil), we compared the diversity and distribution of brachyurans and trees among several mid-littoral areas, and their relation with sediment features, to understand their relationships in community assemblage of new mangrove stands in developing. To discriminate the relation among these variables, ordination of data (PCA) and multivariate multiple correlation (PLS) were used. Data show that intertidal establishment of Brachyura was determined primarily by sediment properties, but further spatial distribution and diversity of this key faunal group, and the tree species that establishes, can influence each other. The prop roots habitat of Rhizophora mangle supports a higher brachyuran richness, since it allows the existence of multispecific crab burrow systems underground. Our results show that Rhizophora and brachyurans are key engineer organisms involved in shaping the physical and, hence, the ecological structure of newly established mangrove stands at Neotropics. [ABSTRACT FROM AUTHOR]

Background: Gastric cancer (GC) is an important cause of morbidity and mortality worldwide. However, population-based data on GC mortality dynamics in low and middle income countries are scarce. Methods: We analyzed GC mortality in Brazil based on all GC-related deaths registered 2000–2015. Results: A total of 17,374,134 deaths were recorded, with GC identified in 214,808 (1.24%) cases—203,941 (94.9%) as underlying cause, and 10,867 (5.1%) as associated cause of death. Adjusted rates for age and sex was 6.85 deaths/100,000 inhabitants [95% confidence interval (CI) 6.73–6.97]. The highest mortality rates were found in males [10.00; rate ratio (RR) 1.85; 95% CI 1.78–1.91; p < 0.0001] and patients ≥ 45 years of age (24.98; RR 3.79; 95% CI 3.55–4.05; p < 0.0001). The South (7.56; RR 1.62; 95% CI 1.50–1.76; p < 0.0001) and Southeast (7.36; RR 1.59; 95% CI 1.48–1.71; p < 0.0001) regions had the highest regional rates. Spatial and spatiotemporal high-risk mortality areas in 2004–2007 were located mainly in the South, Southeast, and Central-West regions. After 2008, the Northeast region became a high-risk area, especially Ceará State. Conclusion: GC remains a significant public health problem with high mortality burden and unequal distribution in Brazilian states. The new patterns in poorer regions and the high risk in some specific populations show a clear process of epidemiological transition over time. There is a need to strengthen nationwide epidemiological monitoring, surveillance, prevention, and control for GC in the country. [ABSTRACT FROM AUTHOR]

Copyright of Revista Caatinga is the property of Revista Caatinga and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Vanillosmopis arborea Baker is a native tree from Chapada do Araripe located in Crato city, state of Ceará, being a potential source of essential oil containing α-bisabolol. The study examined the anti-inflammatory and antinociceptive effects of the essential oil from Vanillosmopsis arborea bark (EOVA). The anti-inflammatory effect was evaluated on acute models of dermatitis induced by Croton oil, arachidonic acid, phenol and capsaicin, respectively, in mouse ear. EOVA was assessed in established mouse models of visceral nociception. Mice were pretreated orally with EOVA, and the pain-related behavioral responses to several noxious agents were analyzed. Similar to dexamethasone and indomethacin, topically applied EOVA potently inhibited the dermatitis. EOVA was effective in all models of visceral nociception. In mustard oil model, the antinociception produced by 200mg/kg EOVA was found to be L-NAME-, glibenclamide-, ondasetron-, yohimbine and ruthenium red-resistant. Mice showed no significant alterations in either locomotion frequency, indicating that the observed antinociception is not a consequence of motor abnormality. Collectively, the present results suggest that EOVA may be a potent anti-inflammatory and antinociceptive agent. [Copyright &y& Elsevier]

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Over time, the Brazilian health system, a growing country, has been developing to ensure good accessibility to health goods and services. This development is focusing on the principle of universality of access and completeness of health care. In this context, we aimed to evaluate the completeness of care and universality of access for women in their pregnancy and puerperal period in Ceará, Brazil. Methods: A descriptive, cross-sectional study based on a quantitative approach, using information collected from the database of the regulation system of the state of Ceará and data from the Prenatal Monitoring System. The research population comprised of 1701 women who delivered a baby in an obstetric reference unit in the Health Macro-Region of Cariri, Ceará, Brazil from January to December 2015. Results: There was a high rate of cesarean delivery (49.7%) and a high waiting time for access to high-risk delivery (32.6%) and neonatal intensive care unit (72.9%). There was also a low percentage (41.1%) of pregnant women undergoing an adequate number of prenatal consultations, dental care (20%), educational activities (15%), visits to the maternity ward (0.1%), laboratory tests of the third trimester (29.2%) and puerperal consultation (37.9%). Conclusions: It was concluded that the Maternal and Child Health Policy, especially the Rede Cegonha, which is still under development, does not ensure access and completeness of care for women during the prenatal, delivery, and puerperal periods, thus violating their reproductive rights. The results of this study allow a critical analysis by the academia and health managers in search of strategies to improve the services of Rede Cegonha in Brazil. [ABSTRACT FROM AUTHOR]

Introduction The lung transplantation (LTx) program began in Ceará in 2011 and the first LTx was performed on June 11, 2011. The aim of this study was to present the initial results of the 6-year experience of our program. Methods We retrospectively reviewed our experience on LTx from June 2011 to August 2017. Data on recipients and transoperative and postoperative outcomes were recorded in a database. Results Twenty-two (56.4%) were single LTx, 15 (38.5%) were double, and 2 (5.1%) bilateral lobar. The mean age was 47.5 ± 15 years, and 26 (66.7%) were men. Twenty-eight (71.8%) had pulmonary fibrosis; 5 (12.8%) had pulmonary emphysema, 3 (7.7%) had bronchiectasis; 2 (5.1%) had pulmonary hypertension, and 1 (2.6%) had lymphangioleiomyomatosis. Complications occurred in 82% (32/39) and in-hospital mortality was 30.8% (single LTx = 27.8% and double LTx = 33.3%). The main complications were infection in 17 (43.5%) cases and primary graft dysfunction in 7 (17.9%). There was a significant improvement in pulmonary function in the first year of follow-up (forced expiratory volume pre-LTx = 37% ± 16% and 12 months post-LTx = 72% ± 22%, P = .001); and overall survival at 36 months was 59.0%, with no difference between single- and double-lung transplants. Conclusions Idiopathic pulmonary fibrosis was the most common underlying disease and single LTx was the most commonly performed operation. There was a high incidence of postoperative complications and in-hospital mortality, but the 36-month follow-up showed a marked improvement in lung function and a global survival similar to the literature. [ABSTRACT FROM AUTHOR]