HEPATITIS B VACCINATION COVERAGE AND POSTVACCINATION SEROLOGIC TESTING AMONG MEDICAL STUDENTS AT A PUBLIC UNIVERSITY IN BRAZIL

The aim of this cross-sectional study was to determine the hepatitis B vaccination coverage among medical students at a public university in Rio de Janeiro, Brazil, and their compliance with the postvaccination serologic testing recommendations. Of the total of 858 students, 675 (78.7%) participated in the study. Among the participants, 48.9% (95% CI: 45.1% to 52.7%) were vaccinated against hepatitis B (received ≥ 3 doses of the vaccine), 31.6% were not (received 0, 1 or 2 doses), and 19.6% did not know their vaccination status. Hepatitis B vaccination coverage increased from 26.0% among first-year students to 70.6% among sixth-year students while the prevalence of unknown vaccination status decreased from 39.7% among first-year students to 2.4% among sixth-year students. The frequency of unvaccinated students ranged from 23.7% among fifth-year students to 34.4% among first-year students. Only 34.8% of the vaccinated students performed the anti-HBs testing after vaccination. Among these medical students, we found a low adherence to the hepatitis B vaccination and to the postvaccination serologic testing. A comprehensive hepatitis B immunization program should be offered to students at this medical school

OCCUPATIONAL EXPOSURES TO BODY FLUIDS AND BEHAVIORS REGARDING THEIR PREVENTION AND POST-EXPOSURE AMONG MEDICAL AND NURSING STUDENTS AT A BRAZILIAN PUBLIC UNIVERSITY

A cross-sectional study was conducted to assess the frequencies and characteristics of occupational exposures among medical and nursing students at a Brazilian public university, in addition to their prevention and post-exposure behavior. During the second semester of 2010, a self-administered semi-structured questionnaire was completed by 253/320 (79.1%) medical students of the clinical course and 149/200 (74.5%) nursing students who were already performing practical activities. Among medical students, 53 (20.9%) suffered 73 injuries, which mainly occurred while performing extra-curricular activities (32.9%), with cutting and piercing objects (56.2%), in the emergency room (39.7%), and as a result of lack of technical preparation or distraction (54.8%). Among nursing students, 27 (18.1%) suffered 37 injuries, which mainly occurred with hollow needles (67.6%) in the operating room or wards (72.2%), and as a result of lack of technical preparation or distraction (62.1%). Among medical and nursing students, respectively, 96.4% and 48% were dissatisfied with the instructions on previously received exposure prevention; 48% and 18% did not always use personal protective equipment; 67.6% and 16.8% recapped used needles; 49.3% and 35.1% did not bother to find out the source patient's serological results post-exposure; and 1.4% and 18.9% officially reported injuries. In conclusion, this study found high frequencies of exposures among the assessed students, inadequate practices in prevention and post-exposure, and, consequently, the need for training in “standard precautions” to prevent such exposures

Efeitos da amonização sobre o valor nutritivo do feno de capim-braquiária

This work was conducted to determine the effects of ammoniation and supplementation on the nutritive value of signal grass (Brachiaria decumbens Stapf) hay. The hay was treated with anhydrous ammonia (3.0% DM) and introduced into the rations for sheep with 12.00% of CP, identified as T1 grass hay without NH3 + cotton seed meal; T2 = treated hay (3.0% de NH3); T3 = treated hay (3.0% de NH3) + com grain meal; T4 = hay + cotton seed meal + corn grain meal. nit: following coefficients of digestibility were determined for T1, T2, T3 e T4, respectively: DM (54.90; 55.50); 54.50; and 56.12%); NI)I: (51.36; 60.20; 55.30; and 48.35%); ADF (47.36; 58.66; 56.03; and 47.07%); hemicellulose (58.80; 63.32; 56.00; and 49.70%); cellulose (55.58; 71.80; 68.07; and 58.21%); lignin (10.10; 32.18; 31.74; and 0.72%) and protein (64.6; 59.36; 56.16; and 70. 15%). nle N balances for T1, T2, T3 and T4 were 5.69; 3.88; 3.90; and 8,82 g N/day. It was concluded that the ammoniation was equivalent to the vegetable protein supplementation in the rations. Furthermore, this treatment showed a greater potential to increase fiber digestion, particulary for ADF and cellulose.O estudo foi realizado na UNESP/Jaboticabal com o objetivo de avaliar os efeitos da amonização e da suplementação energética ou protéica sobre o valor nutritivo do feno de Brachiaria decumbens Stapf. Os níveis de amônia anidra estudados foram 0,0 e 3,0% da matéria seca (% MS), formulando-se rações isoprotéicas (12% de PB): T1 = feno + far. de algodão; T2 = feno tratado (3,0% de NH3); T3 = feno tratado (3,0% de NH3) + milho; T4 = feno + far. de algodão + milho, e fornecidas para ovinos em crescimento. Os coeficientes de digestibilidade obtidos foram: para MS (54,9; 55,5; 54,5 e 56,12%), para FDN (51,36; 60,20; 55,30 e 48,35%), para FDA (47,36; 58,66; 56,03 e 47,07%), para hemicelulose (58,80; 63,32; 56,00 e 49,70%), para celulose (55,58; 71,80; 68,07 e 58,21%), para lignina (10,10; 32,18; 31,74 e 0,72%), para PB (64,60; 59,36; 56,16 e 70,15%), respectivamente para T1, T2, T3 e T4; o balanço de N, para os respectivos tratamentos foi 5,69; 3,88; 3,90 e 8,82 g N/dia. Concluiu-se que a amonização foi equivalente à adição da fonte protéica vegetal na utilização das rações. Ademais, esse tratamento teve um grande efeito no aumento de digestibilidade da fibra, em especial FDA e celulose