Mastites caprinas: Utilização do Teste Californiano de Mastites.

A mastite é uma das patologias mais desafiantes no setor de lacticínios, esta patologia está diretamente relacionada com perdas de produção, decréscimo da qualidade e higiene do leite, elevados custos na terapêutica e com problemas para a saúde pública. Para o diagnóstico de MSC, como não há alterações visíveis nem no úbere nem no leite, faz-se uma análise ao leite. O método de diagnóstico mais utilizado é o Teste Californiano de Mastites (TCM). Este teste faz uma estimativa da contagem de células somáticas (CCS) presente no leite. No caso do leite de cabra, existe controvérsia devido ao facto de a secreção do leite ser apócrina, em que é eliminado o produto de secreção e parte do citoplasma da célula. Foi realizado um estudo em 308 metades mamárias, respeitantes a 158 cabras para avaliar a utilização do TCM como indicador de infeção intramamária.FCT – Fundação para a Ciência e a Tecnologia no âmbito do Projecto UID/AGR/00115/2013

Utilização de própolis como alternativa no controlo de mastites para garantir a qualidade do leite e proteção da saúde pública.

Os antimicrobianos e antisséticos são utilizados para o controlo das mastites. Esta prática conduz a eliminação de resíduos no leite além de induzir a pressão de seleção sobre estirpes resistentes a antimicrobianos. A própolis é uma massa, utilizada para proteger as colmeias das abelhas (Apis mellifera), formada por resinas retiradas de vários vegetais, selecionadas de forma natural pelas abelhas. Este produto altamente variável, consoante os vegetais utilizados, apresenta colorações diversas e também qualidades antimicrobianas variáveis. O objetivo deste estudo foi testar a suscetibilidade, de isolados de Staphylococccus aureus provenientes de amostras de leite de cabras e ovelhas com mastite, a 16 antimicrobianos utilizados em Portugal no controlo desta doença, e analisar “in vitro” a ação antimicrobiana de extratos etanólicos de própolis (EEP).FCT – Fundação para a Ciência e a Tecnologia no âmbito do Projecto UID/AGR/00115/2013. M. Laranjo agradece a bolsa de Pós-Doutoramento da FCT (SFRH/BPD/108802/2015)

Evidence-based planning and costing palliative care services for children : novel multi-method epidemiological and economic exemplar

Background: Children’s palliative care is a relatively new clinical specialty. Its nature is multi-dimensional and its delivery necessarily multi-professional. Numerous diverse public and not-for-profit organisations typically provide services and support. Because services are not centrally coordinated, they are provided in a manner that is inconsistent and incoherent. Since the first children’s hospice opened in 1982, the epidemiology of life-limiting conditions has changed with more children living longer, and many requiring transfer to adult services. Very little is known about the number of children living within any given geographical locality, costs of care, or experiences of children with ongoing palliative care needs and their families. We integrated evidence, and undertook and used novel methodological epidemiological work to develop the first evidence-based and costed commissioning exemplar. Methods: Multi-method epidemiological and economic exemplar from a health and not-for-profit organisation perspective, to estimate numbers of children under 19 years with life-limiting conditions, cost current services, determine child/parent care preferences, and cost choice of end-of-life care at home. Results: The exemplar locality (North Wales) had important gaps in service provision and the clinical network. The estimated annual total cost of current children’s palliative care was about £5.5 million; average annual care cost per child was £22,771 using 2007 prevalence estimates and £2,437- £11,045 using new 2012/13 population-based prevalence estimates. Using population-based prevalence, we estimate 2271 children with a life-limiting condition in the general exemplar population and around 501 children per year with ongoing palliative care needs in contact with hospital services. Around 24 children with a wide range of life-limiting conditions require end-of-life care per year. Choice of end-of-life care at home was requested, which is not currently universally available. We estimated a minimum (based on 1 week of end-of-life care) additional cost of £336,000 per year to provide end-of-life support at home. Were end-of-life care to span 4 weeks, the total annual additional costs increases to £536,500 (2010/11 prices). Conclusions: Findings make a significant contribution to population-based needs assessment and commissioning methodology in children’s palliative care. Further work is needed to determine with greater precision which children in the total population require access to services and when. Half of children who died 2002-7 did not have conditions that met the globally used children's palliative care condition categories, which need revision in light of findings

Opening access to administrative data for evaluating public services: the case of the Justice Data Lab

As government administrative data sets are increasingly made available for new (non-administrative) purposes, there is a need to improve access to such resources for voluntary and community organizations, social enterprises and private businesses for statistical analysis and evaluation purposes. The Justice Data Lab set up by the Ministry of Justice in the UK presents an innovative case of how administrative data can be linked to other data held by organizations delivering public services. The establishment of a unit within a secure setting holding evaluation and statistical expertise has enabled providers of programmes aimed at reducing re-offending to obtain evidence on how the impact of their interventions differs from that of a matched comparison group. This article explores the development of the Justice Data Lab, the methodological and other challenges faced, and the experiences of user organizations. The article draws out implications for future development of Data Labs and the use of administrative data for the evaluation of public services

Staphylococci that carry the nuc gene

Inflammation of the mammary gland, known as mastitis, is a serious problem, because it is responsible for the decrease in milk yield and quality. Bacteria of the species Staphylococcus aureus, causing intramammary infections in small ruminants, are often isolated from milk samples and frequently resistant to antimicrobials. The thermostable nuclease encoded by the nuc gene is a virulence factor, as it promotes evasion of neutrophil extracellular traps (NETs), which are networks of DNA strands with antimicrobial proteins. The nuc gene is present in most S. aureus, however some isolates not carrying this gene have been described. Moreover, the nuc gene has also been detected in other Staphylococcus species, notably in S. intermedius, S. hyicus and S. simulans. The aim of this study was to assess the presence of the nuc gene in staphylococci isolated from goat and sheep milk samples. Three hundred and sixty-eight samples of milk were collected, from 187 animals, belonging to six flocks in Alentejo. Ninety-one isolates of the genus Staphylococcus were identified by classical biochemical methods and through the VITEK2 microbial identification system (BioMérieux, France). The presence of the nuc gene was assessed by PCR. The reference strain S. aureus ATCC 25923 was used as positive control. According to VITEK2, 24 S. caprae, 13 S. epidermidis, 13 S. chromogenes, 11 S. aureus, nine S. simulans, five S. warneri, five S. lentus, four S. capitis, four S. haemolyticus, one S. auricularis, one S. hominis spp. hominis and one Staphylococcus spp. (not identified to species level) were identified. Twenty-three out of the 91 isolates (25.3%) carry the nuc gene. With the pair of primers used, this gene was detected in seven different Staphylococcus species: 10 S. aureus (43.5%), three S. warneri (13%), three S. lentus (13%), two S. caprae (8.7%), two S. epidermidis (8.7%), two S. chromogenes (8.7%) and one S. capitis (4.3%). Furthermore, the nuc gene was not detected in one S. aureus isolate. We suggest that the presence/absence of the nuc gene is not a reliable method for the identification of S. aureus and that this virulence factor may be involved in small ruminant mastitis pathophysiology.CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico-Brasil 249398/2013-3 and by National Funds through FCT - Foundation for Science and Technology under the Project UID/AGR/00115/2013. M. Laranjo acknowledges a Post-Doc research grant also from FCT (SFRH/BPD/108802/2015)

Environmental effects on the construction and physical properties of Bombyx mori cocoons

Published studies of silks focus on processed fibres or the optimum conditions for their production. Consequently, the effects of the environment on the physical properties of the cocoon are either poorly understood or kept as closely guarded industrial secrets. In this study, we test the hypothesis that silkworms as ectothermic animals respond to environmental conditions by modifying their spinning behaviour in a predictable manner, which affects the material properties of the cocoons in predictable ways. Our experiments subjected spinning Bombyx mori silkworms to a range of temperatures and relative humidities that, as we show, affect the morphology and mechanical properties of the cocoon. Specifically, temperature affects cocoon morphology as well as its stiffness and strength, which we attribute to altered spinning behaviour and sericin curing time. Relative humidity affects cocoon colouration, perhaps due to tanning agents. Finally, the water content of a cocoon modifies sericin distribution and stiffness without changing toughness. Our results demonstrate environmentally induced quality parameters that must not be ignored when analysing and deploying silk cocoons, silk filaments or silk-derived bio-polymers

Prevalence and factors associated with non-utilization of healthcare facility for childbirth in rural and urban Nigeria: Analysis of a national population-based survey

Aim: The aim of this study was to assess the rural–urban differences in the prevalence and factors associated with non-utilization of healthcare facility for childbirth (home delivery) in Nigeria. Methods: Dataset from the Nigeria demographic and health survey, 2013, disaggregated by rural–urban residence were analyzed with appropriate adjustment for the cluster sampling design of the survey. Factors associated with home delivery were identified using multivariable logistic regression analysis. Results: In rural and urban residence, the prevalence of home delivery were 78.3% and 38.1%, respectively (p < 0.001). The lowest prevalence of home delivery occurred in the South-East region for rural residence (18.6%) and the South-West region for urban residence (17.9%). The North-West region had the highest prevalence of home delivery, 93.6% and 70.5% in rural and urban residence, respectively. Low maternal as well as paternal education, low antenatal attendance, being less wealthy, the practice of Islam, and living in the North-East, North-West and the South-South regions increased the likelihood of home delivery in both rural and urban residences. Whether in rural or urban residence, birth order of one decreased the likelihood of home delivery. In rural residence only, living in the North-Central region increased the chances of home delivery. In urban residence only, maternal age ⩾ 36 years decreased the likelihood of home delivery, while ‘Traditionalist/other’ religion and maternal age < 20 years increased it. Conclusion: The prevalence of home delivery was much higher in rural than urban Nigeria and the associated factors differ to varying degrees in the two residences. Future intervention efforts would need to prioritize findings in this study