ASPECTOS EPIDEMIOLÓGICOS E PREVALÊNCIA DE ENTEROPARASITOSES EM CRIANÇAS DO BAIRRO JAMBEIRO, SÃO LUÍS, MA

A carência de condições básicas de higiene e saneamento, aliadas à falta de limpeza dos reservatórios de água e a não utilização de água fltrada ou fervida, intensifcam a ocorrência de problemas de saúde pública. Com o intuito de contribuir para a conscientização da população acerca dos problemas de saúde decorrentes da contaminação da água, realizou-se no Bairro do Jambeiro, localizado nas mediações da Universidade Federal do Maranhão, um projeto interdisciplinar que visou, pela divulgação dos dados da pesquisa científca, avaliar a água utilizada pelos moradores através de análise físico-química, microbiológica e parasitológica, de modo que os resultados permitissem a conscientização, através de atividades educacionais dos moradores. Os resultados endossam a precariedade de condições sanitárias encontradas nessa comunidade. Os poços, as torneiras e o córrego apresentam níveis de contaminação acima do recomendável pela Resolução CONAMA e ANVISA, sendo, portanto, impróprias para o consumo. Os exames parasitológicos revelaram alta prevalência (91%) de enteroparasitoses nas crianças. A partir desses resultados os integrantes do projeto e seus parceiros realizaram palestras destinadas à comunidade sobre os meios de tratamento da água, biologia dos parasitas e medidas profláticas das principais verminoses. Concomitante, ocorreu a entrega e esclarecimentos dos laudos da análise físico-química, microbiológica e parasitológica, onde houve a distribuição de remédios às crianças que estavam infectadas.Descritores:  Enteroparasitos; Epidemiologia; Prevalência.Abstract: The lack of basic conditions hygiene and sanitation, allied to grubbiness of water reservoirs and no use of fltered or boiled water, enhance the occurrence of health public problems. With the aim of contribute to awareness of the population about the health problems resulting from the water contamination, was held in the District of the Jambeiro, located near the Federal University of Maranhão, an interdisciplinary project the aimed, by disclosure of scientifc research, to evaluate the water used by population through physico-chemical, microbiological and parasitological analyses, so that the results allow awareness through educational activities of population. The results comproved the precarious sanitary conditions found in this community. The level contamination of the wells, taps and stream is higher than recommended by Resolution CONAMA and ANVISA, therefore, unft for consumption. The parasitological revealed a high prevalence (91%) of intestinal parasites in children. Based on these results the members of the project and its partners held talks for the community about the water treatment, biology of parasites and worms and of the main prophylactic measures. Concomitantly, there was the delivery and clarifcation of reports of physico-chemical, microbiological and parasitological, where there was the distribution of drugs to children who were infected.Descriptors: Enteroparasites; Epidemiology; Prevalence

Perfil epidemiológico da sífilis gestacional em Santa Catarina: um comparativo com o Brasil / Epidemiological profile of gestational syphilis in Santa Catarina: a comparison with Brazil

Introdução: A sífilis gestacional é definida por casos em que a mulher é diagnosticada com sífilis durante o pré-natal, parto ou puerpério. No Brasil, a taxa de incidência da sífilis gestacional aumentou consideravelmente entre 2010 a 2017, além da taxa de detecção ter aumentado progressivamente nos últimos anos no estado de Santa Catarina, evidenciando um grave problema de saúde pública. Este estudo tem como objetivo avaliar o perfil epidemiológico da sífilis gestacional no estado de Santa Catarina entre 2015 e 2020, comparativamente ao cenário nacional. Metodologia: Trata-se de um estudo epidemiológico transversal descritivo, de natureza quantitativa, com dados obtidos do Sistema de Informação de Agravos de Notificação, por meio do Departamento de Informática do Sistema Único de Saúde do Brasil. Os critérios de inclusão foram: ano de diagnóstico, taxa de detecção, idade gestacional, faixa etária, escolaridade, cor ou raça, esquema de tratamento e classificação clínica. Resultados: Foram notificados 10.592 casos de sífilis gestacional em Santa Catarina e 307.689 casos no Brasil. 52,1% dos casos em Santa Catarina foram em gestantes que se encontravam no 1º trimestre da gestação, enquanto no Brasil 38,7% se encontravam nesse período gestacional. Os casos notificados foram principalmente em gestantes com ensino médio completo, tanto no estado, quanto no país, além de serem predominantes em gestantes de cor ou raça branca em Santa Catarina e em gestantes de cor ou raça parda no Brasil. A penicilina foi o tratamento mais utilizado em todos os anos. Ainda, em relação à classificação clínica, os casos, em sua maioria, foram de sífilis primária. Conclusões: O perfil epidemiológico da sífilis gestacional em Santa Catarina reflete tendência recente no Brasil, com exceção dos índices relativos à raça, os quais espelham a população catarinense. Ainda, há necessidade de fortalecimento das medidas profiláticas e terapêuticas na contenção da epidemia da sífilis, uma vez que permanece um grave desafio da saúde pública catarinense, sendo o grande preditor da sífilis congênita

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research