Healthcare for children with congenital Zika syndrome: analysis of access to social rights / Atendimento das crianças com síndrome da Zika congênita: análise do acesso aos direitos sociais

Abstract The objective of this study was to describe if the victims of the Zika have access to essential public policies to guarantee social rights. Methods: We used a cross-sectional study of a historical cohort of children with congenital Zika syndrome (CZS) in a reference hospital. CZS diagnosis was based on the Ministry of Health protocol. The variables analyzed were sociodemographic and social rights of children. Results: Of the 161 children seen from April 2016 to July 2018, 42 were diagnosed with CZS. Of these, 37 children participated in the study and 75.7% of them had severe neurological disorders. Anticonvulsants were used by 73% of the children, with 81% paid by families. The families were also responsible for purchasing nutritional formulas and diapers in, respectively, 79% and 100% of cases, and 89% of the children had access to rehabilitation therapy, although 70% of them faced several barriers to do it. Of the 24 working mothers, 83% did not return to the labor market after the birth of their children. Conclusions: The results showed that the families were at an intersection between the integral activity of caring for a child with severe disabilities and inefficient and omissive public authorities, a disincentive and discouraging context that made them give up in seeking their rights.

Resumo Este estudo teve como objetivo analisar se as vítimas da epidemia da Zika têm acesso às políticas públicas essenciais à garantia dos direitos sociais. Métodos: Estudo transversal de uma coorte histórica de crianças com síndrome da Zika congênita (SZC) em um hospital de referência. Utilizou-se o protocolo do Ministério da Saúde para o diagnóstico de SZC. As variáveis analisadas foram características sociodemográficas e direitos sociais das crianças. Resultados: Das 161 crianças avaliadas de abril/2016 a julho/2018, 42 apresentavam SZC. Destas, 37 participaram do estudo, 75,7% com grave comprometimento neurológico. Anticonvulsivantes eram utilizados em 73% dos casos, 81% custeados pelas famílias. As famílias ainda custeavam fórmulas nutricionais (79%) e fraldas (100%). A terapia de reabilitação era realizada por 89% das crianças, embora 70% enfrentassem diversas barreiras para tal. Das 24 mães que trabalhavam, 83% não retornaram ao mercado de trabalho após o nascimento dos filhos. Conclusões: As famílias estavam situadas na interseção entre a atividade integral de cuidado de um filho com deficiências graves e a ineficiência e omissão do poder público, um contexto de desincentivo e desalento que, vencendo-as pelo cansaço, fazia com que muitas acabassem desistindo de tentar buscar seus direitos.

Seroprevalence of zika virus in a cattle flock

The present research evaluated the seroprevalence of anti-zika virus (anti-ZIKV) antibodies by virus neutralization test (VNT) in 529 bovines from Andradina city, São Paulo state, Brazil. The reading was performed in an inverted optical microscope, considering reagents when the antibodies were capable to neutralize the ZIKV. Of the 529 samples, 53 (10.01%) were reagents. The animals were healthy at the time of collection. The samples were collected in February 2018, a favorable period for the multiplication of the vector and the highest risk of disease transmission. None of the animals showed anti-bovine viral diarrhea virus (anti-BVDV) antibodies, ruling out a possible cross-reaction, reinforcing the possible contact of the bovine with the ZIKV. In the herd, 88 pregnant females were evaluated; of these, 12 cows were reactive, with no history of reproductive problems or fetal malformations. This is the first research on the seroprevalence of ZIKV in cattle in Brazil, and studies should continue to evaluate cattle as a possible host of this arbovirus and its possible consequences for unique health and agribusiness.

Post-surgical atypical mycobacteriosis in 125 patients in Rio de Janeiro

Abstract INTRODUCTION: The growing incidence of post-surgical atypical mycobacteriosis (PSAM) may be related to the increased use of low- and medium-complexity video-assisted surgery. METHODS: Between April 2007 and June 2009, 125 patients were referred from the State Health Department of Rio de Janeiro for the treatment of confirmed, probable, or suspected PSAM. RESULTS: Laparoscopic cholecystectomy was the most frequent surgical procedure (48.8%) among patients. Clarithromycin, ethambutol, and terizidone were used to treat 113 patients for a mean duration of 226 days. CONCLUSIONS: Despite the need for multidrug therapy and long treatment duration, most included patients adhered to treatment and experienced cure without relapse.

Isolation and genetic characterization of Toxoplasma gondii from free-ranging and captive birds and mammals in Pernambuco state, Brazil / Isolamento e caracterização genética de Toxoplasma gondii de aves e mamíferos de vida livre e cativeiro em Pernambuco

Abstract Recent genetic population studies on Toxoplasma gondii in Brazil have shown large genetic variability. The objective of the present study was to isolate and genotypically characterize T. gondii from free-ranging and captive wild mammals and birds in Pernambuco state, Brazil. Fragments of heart, brain, skeletal muscle and diaphragm tissue from 71 birds and 34 mammals, which were either free-ranging or captive, were collected. Samples from 32 of these animals were subjected to bioassays in mice. Samples from the remaining 73 animals underwent biomolecular diagnosis, using PCR technique, targeting a repetitive DNA fragment of 529 bp in T. gondii. A non-virulent isolate (TgButstBrPE1) was obtained from a free-ranging striated heron (Butorides striata) and, based on primary samples, seven animals were found to be positive. The primary samples and the isolate obtained were subjected to PCR-RFLP using the markers SAG1, 5'3'SAG2, alt.SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, Apico and CS3. ToxoDB-RFLP genotype #13 from the striated heron isolate and Type BrIII genotype from a captive otter ( Lontra longicaudis) (PS-TgLonloBrPE1) were obtained. The present study describes the first isolation and genotypic characterization of T. gondii in free-ranging striated heron, and the first genotypic characterization of T. gondii in a captive otter.

Resumo Recentes estudos genéticos nas populações deste parasita no Brasil têm mostrado grande variabilidade genética. O objetivo do presente estudo foi isolar e caracterizar genotipicamente T. gondii de aves e mamíferos de vida livre e de cativeiro no estado de Pernambuco, Brazil. Fragmentos de tecido do coração, cérebro, músculo esquelético e diafragma de 71 aves e 34 mamíferos de vida livre ou cativeiro foram colhidos. Amostras de 32 destes animais foram submetidas a bioensaios em camundongos. As amostras dos 73 animais restantes foram submetidas a diagnóstico biomolecular usando a técnica de PCR, tendo como alvo o fragmento repetitivo de 529 pb do DNA de T. gondii. Dentre os 32 bioensaios conduzidos, obteve-se um isolado não-virulento (TgButstBrPE1) de um socozinho (Butorides striata ) de vida livre, e dentre as amostras primárias, sete animais foram positivos. As amostras primárias e o isolado foram submetidos a PCR-RFLP usando os marcadores SAG1, 5'3'SAG2, alt.SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, Apico e CS3. Foram obtidos o genótipo ToxoDB-RFLP #13 do isolado do socozinho e o genótipo Type BrIII de uma lontra (Lontra longicaudis) de cativeiro (PS-TgLonloBrPE1). O presente estudo descreve o primeiro isolamento e caracterização genotípica de T. gondii em socozinho de vida livre, e a primeira caracterização genotípica de T. gondii em lontra em cativeiro.

Predictive factors of dengue severity in hospitalized children and adolescents in Rio de Janeiro, Brazil

Abstract INTRODUCTION: Dengue is one of the most important mosquito-borne infections. Severe cases are more frequently observed in adults. However, in 2008, the State of Rio de Janeiro, Brazil, experienced a severe dengue epidemic that primarily affected children and caused many cases of dengue hemorrhagic fever (DHF) and death. METHODS: A cross-sectional analytical study was conducted to examine laboratory diagnosis and clinical epidemiologic factors for confirmed dengue cases in patients aged less than 16 years, from January to June 2008, at a municipal hospital in the City of Rio de Janeiro, Brazil. Variables associated with severe outcomes and P values less than .05 were evaluated by means of a logistic regression model. RESULTS: Of the 419 dengue cases studied, 296 were classified as DHF and 123 as classical dengue. Six patients who had DHF died. In multivariate analysis, some laboratory and clinical variables were independently associated with DHF: age 5 years or older (odds ratio [OR], 4.94; 95% confidence interval [CI], 1.30-18.71), abdominal pain (OR, 8.59; 95% CI, 3.17-23.27), hepatomegaly (OR, 15.87; 95% CI, 5.38-46.85), and positive tourniquet test (OR, 10.84; 95% CI, 3.96-29.71). Hypoalbuminemia occurred more frequently than hemoconcentration in DHF cases, and high aminotransferase levels were associated with severity. CONCLUSIONS: Age greater than 5 years, abdominal pain, painful hepatomegaly, and positive tourniquet test were predictors of DHF. The high frequency of hepatic impairment suggests that acetaminophen should be avoided in severe cases of dengue.

Fatal toxoplasmosis in an immunosuppressed domestic cat from Brazil caused by Toxoplasma gondii clonal type I / Toxoplasmose fatal em um gato doméstico imunossuprimido do Brasil causada por Toxoplama gondii clonal tipo I

Abstract The objective of the study was to report on a fatal case of feline toxoplasmosis with coinfection with the feline leukemia virus (FeLV). A domestic cat (Felis silvestris catus) presented intense dyspnea and died three days later. In the necropsy, the lungs were firm, without collapse and with many white areas; moderate lymphadenomegaly and splenomegaly were also observed. The histopathological examination showed severe necrotic interstitial bronchopneumonia and mild necrotic hepatitis, associated with intralesional cysts and tachyzoites of Toxoplasma gondii that were positive by anti-T. gondii immunohistochemical (IHC) evaluation. The bone marrow showed chronic myeloid leukemia and the neoplastic cells were positive by anti-FeLV IHC evaluation. DNA extracted from lungs was positive for T. gondii by PCR targeting REP-529. T. gondii was characterized by PCR-RFLP and by the microsatellites technique. ToxoDB-PCR-RFLP #10, i.e. the archetypal type I, was identified. Microsatellite analysis showed that the strain was a variant of type I with two atypical alleles. This was the first time that a T. gondii clonal type I genotype was correlated with a case of acute toxoplasmosis in a host in Brazil.

Resumo O objetivo deste estudo foi relatar um caso de toxoplasmose felina fatal com coinfecção com o vírus da leucemia felina (FeLV). Um gato doméstico (Felis silvestris catus) apresentou intensa dispneia e morreu três dias depois. Na necropsia, observaram-se pulmões firmes, não colabados e com múltiplas áreas brancas, além de linfoadenomegalia e esplenomegalia moderadas. No exame histopatológico, evidenciaram-se broncopneumonia intersticial necrótica acentuada e hepatite necrótica discreta associada a cistos e taquizoítas de T. gondii intralesionais positivos na imuno-histoquímica (IHC) anti-T. gondii. Evidenciou-se ainda, na medula óssea, leucemia mieloide crônica com IHC anti-FeLV positiva nas células neoplásicas. O DNA extraído dos pulmões foi positivo para T. gondii por meio da PCR-REP-529. T. gondii foi caracterizado por PCR-RFLP e pela técnica de microssatélites. Foi identificado o genótipo ToxoDB-PCR-RFLP #10, i.e., o arquétipo tipo I. A análise por microssatélites mostrou que a cepa era uma variante do tipo I, com dois alelos atípicos. Esta é a primeira vez que T. gondii clonal tipo I foi relacionado com um caso agudo de toxoplasmosis em um hospedeiro no Brasil.

Molecular diversity of human parvovirus B19 during two outbreaks of erythema infectiosum in Brazil

Abstract This study was conducted to provide information on the genetic diversity of human parvovirus B19 (B19V) circulating in the municipality of Niterói, Rio de Janeiro, Southeast Brazil during 1996-2006, a period with two distinct outbreaks of B19V infection: 1999-2000 and 2004-2005. A total of 27 sera from patients with erythema infectiosum and five sera from HIV-infected patients that tested positive for B19V DNA during the study period were analyzed. To genotype B19V strains, a semi-nested PCR for partial amplification of the capsid gene was performed and sequence analysis revealed that 31 sequences belonged to subgenotype 1a (G1a) of the main genotype 1 and one sequence was characterized as subgenotype 3b (G3b). The phylogenetic tree supported the division of the G1a into two well-defined clades with 1.3% of divergence. The low diversity of the G1a strains may be explained by the fact that all patients had acute B19V infection and 30/32 sera were collected during two distinct outbreaks. The G3b strain was from an HIV-infected patient who seroconverted to anti-B19 IgG antibodies in September/2005. This is the first report of G3b in the state of Rio de Janeiro.

Isolation and genetic characterization of Toxoplasma gondii from free-ranging and captive birds and mammals in Pernambuco state, Brazil

Abstract Recent genetic population studies on Toxoplasma gondii in Brazil have shown large genetic variability. The objective of the present study was to isolate and genotypically characterize T. gondii from free-ranging and captive wild mammals and birds in Pernambuco state, Brazil. Fragments of heart, brain, skeletal muscle and diaphragm tissue from 71 birds and 34 mammals, which were either free-ranging or captive, were collected. Samples from 32 of these animals were subjected to bioassays in mice. Samples from the remaining 73 animals underwent biomolecular diagnosis, using PCR technique, targeting a repetitive DNA fragment of 529 bp in T. gondii. A non-virulent isolate (TgButstBrPE1) was obtained from a free-ranging striated heron (Butorides striata) and, based on primary samples, seven animals were found to be positive. The primary samples and the isolate obtained were subjected to PCR-RFLP using the markers SAG1, 53SAG2, alt.SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, Apico and CS3. ToxoDB-RFLP genotype /13 from the striated heron isolate and Type BrIII genotype from a captive otter ( Lontra longicaudis) (PS-TgLonloBrPE1) were obtained. The present study describes the first isolation and genotypic characterization of T. gondii in free-ranging striated heron, and the first genotypic characterization of T. gondii in a captive otter.

Resumo Recentes estudos genéticos nas populações deste parasita no Brasil têm mostrado grande variabilidade genética. O objetivo do presente estudo foi isolar e caracterizar genotipicamente T. gondii de aves e mamíferos de vida livre e de cativeiro no estado de Pernambuco, Brazil. Fragmentos de tecido do coração, cérebro, músculo esquelético e diafragma de 71 aves e 34 mamíferos de vida livre ou cativeiro foram colhidos. Amostras de 32 destes animais foram submetidas a bioensaios em camundongos. As amostras dos 73 animais restantes foram submetidas a diagnóstico biomolecular usando a técnica de PCR, tendo como alvo o fragmento repetitivo de 529 pb do DNA de T. gondii. Dentre os 32 bioensaios conduzidos, obteve-se um isolado não-virulento (TgButstBrPE1) de um socozinho (Butorides striata ) de vida livre, e dentre as amostras primárias, sete animais foram positivos. As amostras primárias e o isolado foram submetidos a PCR-RFLP usando os marcadores SAG1, 53SAG2, alt.SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, Apico e CS3. Foram obtidos o genótipo ToxoDB-RFLP /13 do isolado do socozinho e o genótipo Type BrIII de uma lontra (Lontra longicaudis) de cativeiro (PS-TgLonloBrPE1). O presente estudo descreve o primeiro isolamento e caracterização genotípica de T. gondii em socozinho de vida livre, e a primeira caracterização genotípica de T. gondii em lontra em cativeiro.

Occurrences of antibodies against Toxoplasma gondii, Neospora spp. and Sarcocystis neurona in horses and dogs in the municipality of Pauliceia, São Paulo, Brazil / Ocorrências de anticorpos anti-Toxoplasma gondii, Neospora spp. e Sarcocystis neurona em equinos e cães do município de Pauliceia, São Paulo, Brasil

Serum samples from 116 horses and 47 dogs from the municipality of Paulicéia, in the state of São Paulo, Brazil, were examined for anti-Toxoplasma gondii, -Neospora spp. and -Sarcocystis neurona antibodies by means of the indirect fluorescent antibody test (IFAT). The results showed that only one horse was seropositive for T. gondii (0.9%) and anti-Neospora spp. antibodies were detected in three out of the 116 horses tested (2.6%). However, 27 horses showed antibodies against S. neurona (23.8%). Amongst the serum samples from the dogs, 10 out of the 47 dogs showed antibodies against T. gondii (21.3%) and three dogs showed antibodies against Neospora caninum (6.4%). This study reports that in the municipality of Paulicéia dogs in both the rural and the urban area were exposed to T. gondii and N. caninum, while horses in the rural area were exposed to all three protozoa studied, with high occurrence of anti-S. neurona antibodies.(AU)

Amostras de soro de 116 equinos e 47 cães provenientes do município de Paulicéia, São Paulo, foram testadas para detecção de anticorpos anti-Toxoplasma gondii, -Neospora spp. e -Sarcocystis neurona por meio da reação de imunofluorescência indireta (RIFI). Apenas um equino, entre 116 equinos testados, teve diagnóstico soropositivo para T. gondii (0,9%), e três deles (2,6%) apresentaram anticorpos anti-Neospora spp. Entretanto, 27 equinos apresentaram anticorpos anti-S. neurona (23,8%). Nas amostras de cães, dez dos 47 animais apresentaram anticorpos anti-T. gondii (21,3%) e três tiveram diagnóstico soropositivo para Neospora caninum (6,4%). Este estudo relata que no município de Paulicéia os cães das áreas urbana e rural foram expostos a T. gondii e N. caninum, enquanto os equinos da área rural foram expostos aos três protozoários estudados, com alta ocorrência de anticorpos anti- S. neurona.(AU)

Arthur Bispo do Rosario além dos muros da Colônia / Arthur Bispo do Rosario au-delà des murs de l’asile / Arthur Bispo do Rosario más allá de los muros del asilo / Arthur Bispo do Rosario beyond the walls of the asylum

Este trabalho propõe um olhar sobre a obra de Arthur Bispo do Rosario, que secundariza a patologia e prioriza o vivido. É frequente o cotejamento com Marcel Duchamp por conta da similaridade formal sustentada por algumas de suas obras. Mas a heterogeneidade dos percursos desafia a recepção a uma reflexão mais detida sobre suas respectivas experiências. Em Arthur Bispo do Rosario, a condição de recluso notadamente incorre em fortes restrições materiais e contextualiza a obra...

Cet article propose un regard sur le travail d’Arthur Bispo do Rosario, en mettant la pathologie dans un second plan et priorisant l’expérience vécue. La comparaison avec Marcel Duchamp est fréquente en raison de la similitude formelle entre certaines de leurs œuvres. Mais l’hétérogénéité des leurs chemins défie la réception à une réflexion plus déténue sur leurs respectives expériences. Chez Arthur Bispo do Rosario, sa condition de reclus notamment entraîne de fortes restrictions matérielles et contextualise son ouvrage...

En este trabajo se propone a reflejar sobre la obra de Arthur Bispo do Rosario, dejando en segundo plano la patología y priorizando lo vivido. Es frecuente la comparación de su produción con la de Marcel Duchamp, debido a la similitud formal con base en algunas de sus obras. Sin embargo, la heterogeneidad de los caminos por ellos vividos desafía la interpretación a una reflexión más contenida sobre sus respectivas experiencias. En Arthur Bispo do Rosario, su condición de recluso notadablemente incurre en fuertes restricciones materiales y contextualiza su obra. En su inventivo e inusitado proyecto funda mucho menos una estética basada en la fealdad, y mucho más -por su fuerza de verdad- lo bello artístico no como ley formal y plástica, pero como resultado, éxito de una experiencia estética que se convierte en una experiencia artística...

This article proposes a perspective on Arthur Bispo do Rosario’s work that assigns a secondary role to the pathology and prioritizes his experience. The comparison with Marcel Duchamp is usually made due to the formal similarity among their works of art. However, the heterogeneity of their trajectories challenges the audience to reflect carefully about the experiences of each one. In Arthur Bispo do Rosario, his status as an inmate clearly entails heavy constraints of the material and contextualizes his work...

O sudário e o rosário: Arthur Bispo entre mistérios dolorosos e gloriosos / The shroud and the rosary: Arthur Bispo between mysteries painful and glorious

Consideradas sob certas situações tensas, às vezes fatais, existem imagens que, não obstante ofereçam uma volumetria visivelmente discernível, nos impõem um vazio. Essa cisão evocada de antemão é experiência paradoxal. O "Manto da Apresentação" percorre essa direção, nos constrange por insinuar-se como obra de perda. Suas tramas conexas conformam um talhe humano, antropométrico - evidência corpórea, portanto -, no entanto, latências antropomórficas clamam vazão. Este artigo pretende discutir a questão da origem e da finitude sob uma dialética do olhar, a partir da obra de maior expressão na produção do sergipano Arthur Bispo do Rosario.

Considered under certain tense situations, sometimes even fatal, there are images which, despite offering a visibly discernible volumetry, impose us a void. This division, evoked beforehand, is a paradoxical experience. The "Mantle of Presentation" walks in this direction: it constrains us for insinuating itself as a work of loss. Its connected webs conform a human fit, anthropometric - therefore a corporeal evidence - however, anthropomorphic latencies long for a way out. This article intends to discuss the question of the origin and the finitude through the dialetics of seeing, starting with the work of greatest expression in the production of brazilian artist Arthur Bispo do Rosario.

Occurrence of antibodies against Neospora caninum in wild pigs (Sus scrofa) in the Pantanal, Mato Grosso do Sul, Brazil / Ocorrência de anticorpos contra Neospora caninum em porcos-monteiro (Sus scrofa) do Pantanal, Mato Grosso do Sul, Brasil

Serum samples from 83 free living wild pigs (Sus scrofa) from the Nhecolândia region, Pantanal do Mato Grosso, Brazil, were examined for the presence of antibodies against Neospora caninum by means of the indirect fluorescence antibody test (IFAT) with a cut off of 50. Antibodies were present in 10.8%, with titers of: 1:200 in one animal, 1:400 in four and 1:800 in four. Analysis using the χ2 test showed an association between sex and presence of antibodies, with females showing occurrence of 20.5% and males 2.3% (p = 0.017). No association was found between age and occurrences of antibodies against this parasite. This was the first observation of N. caninum antibodies in Brazilian wild pigs from Pantanal...

Amostras de soro de 83 porcos-monteiro (Sus scrofa) selvagens, oriundos da região de Nhecolândia, Pantanal do Mato Grosso, Brasil, foram examinadas para a presença de anticorpos contra Neospora caninum pela reação de imunofluorescência indireta (RIFI) com ponto de corte de 50. A ocorrência de anticorpos foi de 10,8%, com um animal apresentando título de 1:200, quatro com 1:400 e quatro com 1:800. Quando analisados pelo teste do X2, foi observada a existência de associação entre sexo e presença de anticorpos, com as fêmeas apresentando ocorrência de 20,5% e os machos 2,3% (p = 0,017). Não houve associação entre idade e ocorrência de anticorpos contra este parasito. Esta é a primeira observação de porcos-monteiro da região do Pantanal, apresentando anticorpos contra N. caninum...

Presence of anti-Toxoplasma gondii, -Neospora caninum, - Leishmania spp. and -Ehrlichia canis antibodies in free-ranging maned wolves (Chrysocyon brachyurus) in the northeastern region of the state of São Paulo, Brazil / Presença de anticorpos anti-Toxoplasma gondii, -Neospora caninum, -Leishmania spp. e - Ehrlichia canis em lobos-guará (Chrysocyon brachyurus) de vida livre na Região Nordeste do Estado de São Paulo, Brasil

The maned wolf (Chrysocyon brachyurus), an inhabitant of the Brazilian savanna, is considered the largest canid of South America and is classified as a near-threatened species by the International Union for Conservation of Nature (IUNC). The purpose of this study was to investigate the presence of antibodies against Toxoplasma gondii, -Neospora caninum, - Leishmania spp., and -Ehrlichia canis in free-ranging maned wolves in the northeastern region of the state of São Paulo, Brazil. Of the 17 serum samples tested by the indirect fluorescent antibody test (IFAT), 88.2% (15/17), 17.6% (3/17) and 52.9% (9/17) showed anti-T. gondii, -Leishmania spp., and -E. canis antibodies, respectively. None of the studied maned wolves tested positive for N. caninum antibodies. Our results indicated the exposure of free-ranging maned wolves to the agents in question. The presence of industrial complexes, extensive agriculture and habitat fragmentation in the northeastern region of the state of São Paulo puts these wild animals in proximity to urban areas, possibly contributing to the transmission of diseases between wild and domestic animals and human beings.(AU)

O lobo-guará (Chrysocyon brachyurus) habita o ecossistema de Cerrado e é considerado o maior canídeo da América do Sul e uma espécie ameaçada de extinção pela "International Union for Conservation of Nature" (IUNC). O objetivo desse estudo foi investigar a presença de anticorpos anti-Toxoplasma gondii, -Neospora caninum, -Leishmania spp. e -Ehrlichia canis em lobosguará da região nordeste do estado de São Paulo, Brasil. Das 17 amostras de soro testadas por meio da reação de imunofluorescência indireta (RIFI), 88,2% (15/17), 17,6% (3/17) e 52,9% (9/17) apresentaram anticorpos anti-T. gondii, - Leishmania spp. e -E. canis, respectivamente. Todos os animais testados foram soronegativos para N. caninum. Esses resultados indicam a exposição dos lobos-guará dessa região aos agentes pesquisados. A presença de um complexo industrial, agricultura extensiva e fragmentação de habitat na região nordeste do estado de São Paulo, favorece a proximidade desses animais silvestres a ambientes urbanos o que pode contribuir para a transmissão de doenças entre os animais silvestres, domésticos e o homem.(AU)

Soroprevalência para toxoplasmose, sífilis, hepatite b, hepatite c, rubéola,citomegalovírus e vírus da imunodeficiência humana em gestantes atendidas no hospital universitário Antônio Pedro, Niterói (RJ) entre 2008 e 2012 / Seroprevalence of toxoplasmosis, syphilis, hepatitis b, hepatitisc, rubella, cytomegalovirosis and human immunodeficiency virus infection among pregnant patients followed up from 2008 to 2012 at hospital universitário Antônio Pedro, Niterói (RJ)

A triagem e o tratamento das doenças infecciosas em gestantes são de grande importância para o planejamento de ações preventivas e a elaboração de políticas de saúde materno-infantil. Objetivo: Determinar a soroprevalência de toxoplasmose, sífilis, hepatite B, hepatite C, rubéola, citomegalovírus (CMV) e infecção pelo vírus da imunodeficiência humana (HIV) em gestantes acompanhadas no Hospital Universitário Antônio Pedro, Niterói (RJ). Métodos: Foi feito um estudo transversal por meio de revisão de testes sorológicos registrados nos prontuários médicos de gestantes atendidas, de 2008 a 2012, no Ambulatório de Pré-Natal. Resultados: As prevalências encontradas foram: 61,4 (IgG) e 2,4% (IgM) para toxoplasmose; 95,1 (IgG) e 0,5% (IgM) para rubéola; 95,1 (IgG) e 1,2% (IgM) para CMV; 0,9% para hepatite B (HBsAg); 1,6% para hepatite C; 1,5% para sífilis; e 5,8% para infecção pelo HIV. Não houve, entre gestantes infectadas e não infectadas pelo HIV, diferenças estatisticamente significativas nas frequências das infecções estudadas. As taxas de transmissão vertical foram de 4,2% (2/48) para o HIV; 33,3% (5/15) para toxoplasmose; e 22,2% (2/9) para sífilis. Foram detectadas alterações compatíveis com rubéola congênita em 1/5 crianças cuja mãe apresentava IgM e IgG positivas para tal infecção durante a gestação. A coinfecção HIV/toxoplasmose ocorreu em uma criança. Conclusão: O número de gestantes susceptíveis à toxoplasmose (38,8%) e ao vírus da hepatite B (VHB) (66,3%) revela a necessidade de medidas diagnósticas e preventivas da toxoplasmose durante a gestação e vacinação para o VHB, visando diminuir o risco dessas infecções durante a gravidez, melhorando, assim, a saúde materno-infantil.

Screening and treatment of infectious diseases in pregnant women have great importance in planning preventive actions and development of maternal and child health policies. Objective: To evaluate the seroprevalence of toxoplasmosis, syphilis, hepatitis B, hepatitis C, rubella, cytomegalovirosis and human immunodeficiency virus (HIV) infection among pregnant women followed up at a University Hospital of Niterói, RJ. Methods: A cross-sectional study was done by reviewing serological tests recorded in the medical records of pregnant women attending the antenatal service of the Hospital Antônio Pedro, Universidade Federal Fluminense, from 2008 to 2012. Results: The seroprevalences found were 61.4 (IgG) and 2.4% (IgM) for toxoplasmosis; 95.1 (IgG) and 0.5% (IgM) for rubella; 95.1 (IgG) and 1.2% (IgM) for cytomegaloviruosis; 0.9% for hepatitis B surface antigen; 1.6% for hepatitis C virus; 1.5% for syphilis and 5.8% for HIV infection. There were no statistically significant differences between seroprevalences of patients with or without HIV infection. The rates of congenital transmission were 4.2% (2/48) for HIV, 33.3% (5/15) for toxoplasmosis, and 22.2% (2/9) for syphilis. There were congenital abnormalities in 1/5 newborn whose mother was seropositive for rubella IgG and/or IgM in the prenatal routine. Coinfection HIV/toxoplasmosis was found in one newborn. Conclusion: The large proportion of pregnant women susceptible to toxoplasmosis (38.8%) and hepatitis B (66.3%) shows the necessity of diagnostic and preventive measures for toxoplasmosis and HBV vaccination to reduce the risk of vertical transmission of these infections, thus improving the health of mother and newborn.

Casulos: sobre os segredos de Judith Scott / Cocoons: about the secrets of Judith Scott

O presente trabalho pretende propor uma reflexão sobre a experiência estética na feitura e na leitura das obras de Judith Scott, artista considerada outsider ou bruta. Seu fazer é marginal. É um fazer livre e anárquico, cujo projeto espontâneo e descompromissado resiste ao assujeitamento normativo. A artista coloca em situação um vivido encoberto ou segredado por fios. Seus objetos demandam um perfazer artístico que supra a completude e a indeterminação suscitadas pela infinita capacidade de mobilização a que essa obra nos desafia. Assim, interpretar o acervo é se implicar nas suas tramas tecidas. O exercício de reflexão solicitado por essa obra é importante instrumento de entendimento não só da experiência estética aludida pelo fazer bruto, mas também do olhar crítico, que nos requisita sobre determinados critérios organizadores de conteúdos dentro de um sistema de artes. As obras de Judith Scott convidam a esse esforço de reflexão.

This paper proposes a reflection about an aesthetic experience in the process of making and the interpretation of the Judith Scott's work. She is an artist considered outsider or brut. Her work is marginal. It's a free and anarchic work, whose spontaneous and disengaged process resist to a normative submission. The artist brings up a life experience through her threads hidden or whispered by wires, that is, kept in secret. Her objects require an artistic making up that meets the completeness and indeterminacy claimed by it, which is able to attend the infinite capacity of mobilization that this work challenges us. Thus, interpreting this collection is engaged with their woven webs. The reflective exercise requested by this work is an important knowledge tool and it does not only allude the aesthetics experience of the outsider artistic work, but also of the critical examination which is required to us about certain criteria that containts inside the art system. The Judith Scott's work invited us to this careful reflection.

Nutritional Status of HIV-positive Patients in Niterói, Rio de Janeiro, Brazil.

The objective of this cross-sectional study was to assess the nutritional status of HIV-positive patients in a hospital in the city of Niterói, Rio de Janeiro, Brazil. We studied 235 patients (130 men and 105 women) from May 2009 to June 2010. The frequency of undernourishment among women was 7.6%; 26.7% of the women were overweight, and 16.2% were obese. Among men, the frequency of undernourishment was 3.8%; 25.4% of the men were overweight, and 6.9% were obese. A logistic regression was done to investigate the relationship between nutritional status and potential predisposing factors. Women were more frequently affected by obesity and undernourishment than men. However, only the difference in obesity was significant, and women had almost three times higher odds of being obese (OR 2.6; 95% CI 1.03-6.65). According to a nationwide survey done in Brazil during 2008-2009, 50.1% of the Brazilian healthy males were overweight, and 12.5% were obese; 48% of healthy females were overweight, and 16.9% were obese. Although the prevalence of undernourishment in HIV-positive patients is now lower than that observed in the beginning of the AIDS epidemic and excess weight is increasingly common among people living with HIV/AIDS, the proportion of excess weight was found lower and of undernourishment was higher in the present study than that found in the Brazilian population.

Clinical features and laboratory findings of human parvovirus B19 in human immunodeficiency virus-infected patients

Immunocompromised patients may develop severe chronic anaemia when infected by human parvovirus B19 (B19V). However, this is not the case in human immunodeficiency virus (HIV)-infected patients with good adherence to highly active antiretroviral treatment (HAART). In this study, we investigated the clinical evolution of five HIV-infected patients receiving HAART who had B19V infections confirmed by serum polymerase chain reaction. Four of the patients were infected with genotype 1a strains and the remaining patient was infected with a genotype 3b strain. Anaemia was detected in three of the patients, but all patients recovered without requiring immunoglobulin and/or blood transfusions. In all cases, the attending physicians did not suspect the B19V infections. There was no apparent relationship between the infecting genotype and the clinical course. In the HAART era, B19V infections in HIV-positive patients may be limited, subtle or unapparent.

Genotyping of gastroenteric viruses in hospitalised children: first report of norovirus GII.21 in Brazil

This retrospective study (April-September 2003) was designed to investigate the roles of the main viruses responsible for cases of acute infantile gastroenteritis in hospitalised children up to two years of age. The viruses were identified in 64.7% (88/136) of the cases and the detection rates of rotavirus A (RVA), norovirus (NoV) and astrovirus were 41.9% (57/136), 30.3% (24/79) and 12.7% (7/55), respectively. RVA and NoV were detected in 20 of the 24 reported nosocomial infection cases. This study identified the first circulation of the genotype NoV GII.21 in Brazil and highlights the need to establish differential diagnoses through active laboratorial surveillance.

Método FAMACHA©, escore corporal e de diarreia como indicadores de tratamento anti-helmíntico seletivo de ovelhas em reprodução / FAMACHA© system, body condition score and diarrhea score as indicators for the targeted selective anthelmintic treatment of breeding ewes

As parasitoses gastrintestinais constituem o principal entrave sanitário à ovinocaprinocultura, principalmente devido à resistência aos anti-helmínticos. Uma das formas de limitar a progressão da resistência aos fármacos é evitar a sua utilização em lotes ou rebanhos inteiros, restringindo seu uso aos animais que necessitam tratamento (tratamento seletivo). O objetivo deste trabalho foi estudar o uso dos escores corporal (EC) e de diarreia (ED) como indicadores do tratamento seletivo em ovinos, em comparação com o método FAMACHA© (GF) e indicadores laboratoriais de parasitismo. Foram acompanhadas quinzenalmente 15 ovelhas em lactação (agosto-novembro 2009) e após o desmame (dezembro 2009 ­ fevereiro de 2010) pelo GF, EC, ED, e análises laboratoriais para determinação do hematócrito (HT), proteínas plasmáticas totais (PPT) e contagem de ovos de helmintos por grama de fezes (OPG). A média de OPG se manteve estável, exceto no segundo mês de lactação (média 6057,69 OPG). Durante todo o acompanhamento, o GF foi moderadamente correlacionado ao OPG (0,37); EC (-0,32); PPT (-0,34) e HT (-0,54). Para o EC, os valores de correlação com o OPG foram de -0,35; -0,32 com GF; 0,45 com PPT e de 0,50 com HT. O ED não se mostrou um bom indicador indireto de verminose, pois não foi obtida nenhuma correlação significativa com as outras variáveis estudadas. Como o escore corporal foi correlacionado às variáveis laboratoriais em índices semelhantes aos obtidos pelo método FAMACHA© , seu uso é sugerido como ferramenta adicional de tratamento seletivo para ovelhas em lactação e nos meses subsequentes ao desmame.

The gastrointestinal parasitic infections constitute the main obstacle to the health of sheep and goat, mainly due to anthelmintic resistance. An alternative to limit the progression of drug resistance is to avoid to deworm the hole heard or group, treating individually only those animals that require so (selective treatment). The goal of this work was to study the condition score (BS) and the diarrhea score (DS) as indicators of selective treatment in sheep, in comparison to the FAMACHA© system (EF) and to laboratory analyses that indicate parasitism. Fifteen lactating (Aug.- Nov. 2009) or post weaning (Dez. 2009- Feb.2010) ewes were sampled fortnightly for EF, BS, DS and also for the laboratorial analysis to determine packed cell value (PCV/HT), total plasma protein fraction (TPP) and faecal egg counts (FEC/OPG). The mean FEC remained stable except in the second month of lactation period (average 6057.69 EPG). Throughout the monitoring, the GF was moderately correlated with FEC (0.37), BS (-0.32), TPP (-0.34) and PCV (-0.54). For the BS, the value of correlation with FEC was -0.35, -0.32 to GF; 0.45 to TPP and 0.50 to PCV. The DS was not a good indicator of parasite infection, because there was no significant correlation obtained with the other variables. As the body condition score was correlated to the laboratory variables in similar indices of the FAMACHA© system, we suggest the its use as an additional tool of selective treatment for ewes during lactation period and after weaning.

Parvovirus B19 seroconversion in a cohort of human immunodeficiency virus-infected patients

Erythrovirus B19 (B19V) infection may cause red cell aplasia in patients infected with human immunodeficiency virus (HIV). The introduction of highly active antiretroviral therapy (HAART) has improved the immune function of these patients by modifying the course of B19V infection. The purpose of this study was to estimate the frequency of B19 seroconversion in a cohort of HIV-infected patients and evaluate the occurrence of B19V-related anaemia during the seroconversion period. Adult HIV-infected patients were studied at a public hospital in Niterói, state of Rio de Janeiro, Brazil. IgG and IgM antibodies against B19V were detected by an enzyme-linked immunosorbent assay and B19 viraemia was assayed by polymerase chain reaction. Medical records were reviewed for any clinical evaluation of anaemia. Seroconversion was detected in 31.8% of the 88 individuals who began the study as anti-B19V IgG-negative. No clinical manifestations of B19V infection were detected during the period of seroconversion. Patients who seroconverted were 5.40 times more likely to have anaemia than those who did not [odds ratio 5.40 (95% confidence interval: 1.33-22.93)]. Anaemia was detected in eight patients. All patients recovered from anaemia by either beginning or continuing HAART, without requiring blood transfusions. In the HAART era, B19V infection may only be associated with a course of disease characterised by less severe chronic anaemia. This milder course of B19V-associated disease is likely due to the increased immune function of HAART-treated patients.