Coliform density in oyster culture waters and its relationship with environmental factors

O objetivo deste trabalho foi avaliar as densidades de coliformes totais e termotolerantes, em água de cultivo de ostra de Cananeia, SP, e correlacionar estas densidades com variáveis ambientais e as variações das marés. Foram coletadas amostras de água superficial em duas condições de maré (sizígia e quadratura) de três áreas do Município de Cananéia (Mandira, Itapitangui e Cooperostra). As três áreas estudadas apresentaram boas condições para cultivo, quanto à densidade de coliformes. Diferenças significativas foram registradas entre as condições de marés quanto à concentração total de coliformes; no entanto, o mesmo procedimento não se aplicou para coliformes termotolerantes. Nenhuma correlação foi observada entre a temperatura da água, o pH e as concentrações de coliformes total e termotolerantes. As densidades de coliformes correlacionaram-se positivamente com a pluviosidade e negativamente com a salinidade. O número de coliformes foi significativamente diferente nas marés de sizígia e de quadratura. O simples diagnóstico das condições ambientais é insuficiente para avaliar a qualidade da água de cultivo de ostras. Um programa de monitoramento contínuo de áreas cultivadas é necessário tanto para avaliar o potencial dessas águas, como para garantir o consumo seguro de frutos do mar, além de constituir-se como instrumento importante para a compreensão das relações entre a contaminação por coliformes e as variáveis ambientais envolvidas. The objective of this work was to evaluate the total and thermotolerant coliform densities in the oyster culture water of Cananeia, SP, Brazil, correlating these densities with environmental variables and tidal variations. Superficial water samples were collected in two tide conditions (spring and neap) from three areas of Cananéia municipality (Mandira, Itapitangui and Cooperostra). The three studied areas showed good conditions for the culture regarding coliform densities. The two tidal conditions differed significantly as to total coliform concentration; however, the same procedure was not performed for thermotolerant coliforms. No correlation was observed between water temperature, pH, and concentrations of total and thermotolerant coliforms. Coliform density was positively correlated with rainfall and negatively correlated with salinity. Spring and neap tides differed significantly as to coliform number. Simple diagnosis of environmental conditions of the crop fields is insufficient to assess water quality of shellfish cultivation. A continuous monitoring program of planted areas is necessary both for the assessment of water quality potential for marine culture and for ensuring safe consumption of seafood, besides constituting an important tool to understand the relationships between contamination and the involved environmental variables

Uma visão abrangente acerca do diagnóstico e do gerenciamento clínico da Doença Celíaca

A Doença Celíaca (DC) é uma condição autoimune desencadeada pela ingestão de glúten em indivíduos geneticamente predispostos, levando a danos na mucosa do intestino delgado e uma ampla gama de manifestações clínicas. Embora sua prevalência global seja estimada em cerca de 1%, muitos casos permanecem subdiagnosticados, o que é influenciado por fatores como geografia, genética e demografia. A DC pode se manifestar em qualquer idade, apresentando sintomas gastrointestinais e extraintestinais, tornando o diagnóstico um desafio. O tratamento principal é a adesão estrita a uma dieta sem glúten, mas isso enfrenta obstáculos, incluindo desafios sociais, econômicos e psicológicos. Além disso, a não adesão à dieta pode resultar em complicações graves, como osteoporose e câncer intestinal. Portanto, a conscientização, a pesquisa e o aprofundamento dos mecanismos patogênicos são essenciais para melhorar o diagnóstico, o manejo e a qualidade de vida dos pacientes com DC. O alto custo da dieta sem glúten e as implicações psicossociais são desafios adicionais que precisam ser abordados. Portanto, uma abordagem multidisciplinar que envolve profissionais de saúde, pesquisa contínua e conscientização é fundamental para enfrentar os desafios da DC e melhorar o prognóstico dos pacientes afetados

O Papel fundamental da atenção primária na saúde sexual e planejamento familiar das mulheres

OBJECTIVE: To describe the fundamental role of primary care in women's sexual health and family planning. METHOD: It consists of an integrative review, carried out based on the following guiding question: What is the fundamental role of primary care in women's sexual health and family planning? using the PICO strategy, where “p” population: women receiving primary health care, “I” interest: Assessment of the influence of primary health care on women’s sexual health and family planning, and “C” and “O ” context: Impact of primary health care on women’s sexual health and family planning. The filter used for the searches was with the descriptors: “Primary health care”; "Family planning"; “Women’s health”, using the Boolean operator “AND” and “OR”. RESULTS: The final sample consisted of 6 articles, which resulted in 2 categories: Primary care for women's health in Brazil and its emergence; Importance of primary care in women's sexual health and family planning. CONCLUSION: It is understood that the support of the health professional is of great importance when providing care to women. Comprehensive support must be offered to women, welcoming them into Primary Care and resolving all their doubts.OBJETIVO: Descrever o papel o papel fundamental da atenção primária na saúde sexual e planejamento familiar das mulheres. MÉTODO: Consiste numa revisão integrativa, realizada com base na seguinte pergunta norteadora: Qual o papel fundamental da atenção primária na saúde sexual e planejamento familiar das mulheres? sendo utilizado a estratégia PICO, em que “p” população: mulheres atendidas na atenção primária a saúde, “I” interesse: Avaliação da influência da atenção primária à saúde na saúde sexual e planejamento familiar das mulheres, e “C” e “O” contexto: Impacto da atenção primária à saúde na saúde sexual e planejamento familiar das mulheres. O filtro utilizado para as buscas foi com os descritores: “Atenção Primária à saúde”; “Planejamento Familiar”; “Saúde da mulher”, utilizando o operador booleano “AND” e “OR”.  RESULTADOS: A amostra final foi constituída de 6 artigos, que resultaram em 2 categorias: Atenção primária a saúde da mulher no Brasil e seu surgimento; Importância da atenção primária na saúde sexual da mulher e planejamento familiar. CONCLUSÃO: Entende-se que, o apoio do profissional de saúde é de grande importância durante o atendimento a mulher, deve-se oferecer um suporte integral a mulher, acolhê-la na Atenção Básica sanando todas as suas dúvidas

Diagnóstico diferencial da Síndrome de Takotsubo e infarto agudo do miocárdio: uma revisão sistemática: Differential diagnosis of Takotsubo Syndrome and acute myocardial infarction: a systematic review

A cardiomiopatia de Takotsubo e o infarto agudo do miocárdio compartilham apresentação clínica e risco de morte semelhantes, embora uma das diferenças mais importantes seja a ausência de doença coronariana obstrutiva na cardiomiopatia de Takotsubo. Neste estudo, tem-se como objetivo analisar a literatura disponível avaliando o diagnóstico diferencial entre pacientes com CTT em comparação com pacientes com infarto agudo do miocárdio. Para isso, foi realizada uma revisão sistemática, utilizando-se a Pubmed e a Medline como base de dados. A partir da análise dos estudos e interpretação de suas principais descobertas, concluiu-se que para pacientes com CTT, outras condições e comorbidades, em vez de apenas dislipidemia e/ou outros fatores de risco estabelecidos, sejam responsáveis por um risco de morte comparável ao de IAM. No entanto, as conclusões desse estudo têm várias limitaçõe

Uso de telas pela população pediátrica e seus impactos oftalmológicos a curto e a longo prazo: uma revisão sistemática : Use of screens by the pediatric population and its short and long-term ophthalmological impacts: a systematic review

Ao se discorrer sobre a formação e formatação da nossa sociedade, pode-se notar que cada vez mais esta está permeada pela tecnologia e pelos sistemas integrativos, processo esse benéfico para comunicação, gestão e tomada de decisões para além de ser uma ferramenta de trabalho e entretenimento, porém, com a progressiva quantidade de horas que ficamos expostos a este tipo de tecnologia também podem acarretar prejuízos a acuidade visual dos usuários. Juntamente a isso, nota-se que as crianças estão tendo cada vez mais precocemente acesso os equipamentos eletrônicos e deixando de lado as brincadeiras, desta forma a partir de uma pesquisa qualitativa, feita a partir de um levantamento bibliográfico, pode-se dispor que esta busca compreender quais são os sintomas e efeitos do uso excessivo deste tipo de ferramenta e algumas formas de tratamento e profilaxia que podem ser dispostas sobre o tema, com enfoque na população pediátrica

ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

Catálogo Taxonômico da Fauna do Brasil: setting the baseline knowledge on the animal diversity in Brazil

The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Diversidade de microrganismos indicadores utilizados na avaliação da contaminação fecal de areias de praias recreacionais marinhas: Estado atual do conhecimento e perspectivas

Although the quality of sea recreational waters is already monitored by programs implanted in some Brazilian states, including the State São Paulo, little attention has been given to beach sands, which have been disregarded from the point of view of public health. However, this panorama is changing in recent years due to an increasing number of cases of mycoses and bacterial infections affecting people who frequent beaches and use sands as recreation places. This has caused greater concerns with the contamination of this environment, also measurable by the increase of the number of scientific works on sediments and recreational beach sands microbiota. Currently one knows that in general these sediments contain more microorganisms than the water and are therefore potential sources of contamination of human beings by pathogenic microorganisms. The results of works carried through in some countries are worrying, and have demonstrated the necessity of establishing standards and limits so that monitoring programs of the microbiological quality of beach sands are implanted. Such concern is especially high in Brazil, a country of a tropical climate where thousands of beaches, used for recreation, extend for almost eight thousand kilometers of the coast. In the context of Baixada Santista, studies carried through have shown that in certain situations beach sands can contain more microorganisms than waters and may be a risk to the health of users

Determinação de coliformes na água e no tecido mole das ostras extraídas em Cananéia, São Paulo, Brasil

This study sought to evaluate the microbiological quality of water from the various locations where specimens of the oysters Crassostrea sp. were harvested in Cananéia estuary, as well as of the bivalve itself, through values of coliforms based on the Multiple Tube Technique. During the period from 2005 to 2011, samples of water were collected at ten points. The water analysis presented a geometric mean of thermotolerant coliforms of 24.67 MPN 100 mL-1 and, in the soft tissues of the oysters, of 15.53 MPN g-1. There was a significant difference between the locations analyzed as to the density of total and thermotolerant coliforms in water. After analysis of the variations of bacterial counting with regard to seasonal mean, autumn presented the highest mean numbers of coliforms in oysters, and most data were collected in April. There was a positive correlation between the coliforms found in water and those in the oyster.Este estudo objetivou avaliar a qualidade microbiológica da água de várias localidades em que são produzidas ostras Crassostrea sp. no estuário de Cananéia, tanto como nos bivalves, por meio dos valores de coliformes baseados na Técnica dos Tubos Múltiplos. Foram realizadas coletas de água em dez localidades durante os anos de 2005 a 2011. A análise da água apresentou média geométrica de coliformes termotolerantes de 24,67 NMP 100 mL-1 e, nos tecidos das ostras, de 15,53 NMP g-1. Verificou-se uma diferença significativa entre as localidades analisadas quanto à densidade de coliformes totais e termotolerantes na água. Analisaram-se as variações das contagens bacterianas em relação à sazonalidade, verificando-se que o outono apresentou a maior média de coliformes nas ostras, sendo os maiores dados coletados em abril. Houve correlação positiva entre coliformes na água e na ostra.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq