Conocimientos, actitudes y prácticas asociados a diarrea aguda en la zona norte de Bucaramanga. Estudio observacional analítico, 2014-2015 / Knowledge, attitudes and practices associated with acute diarrhea in the northern zone of Bucaramanga. An observational analytic study. 2014 to 2015

RESUMEN Introducción: la diarrea aguda y la mortalidad por diarrea continúan siendo un problema de salud pública a nivel mundial, especialmente en los países de ingreso medio o bajo. Gran parte de las enfermedades diarreicas son prevenibles mediante el acceso al agua potable y a servicios adecuados de saneamiento e higiene. Objetivo: caracterizar los conocimientos, actitudes y prácticas de cuidadores de niños menores de cinco años asociados a prevalencia de diarrea. Materiales y métodos: estudio observacional analítico de corte transversal, realizado durante el periodo 2014-2015. Se realizó un muestreo por conglomerados en la comuna norte de la ciudad de Bucaramanga y se aplicó una encuesta dirigida. Resultados: solo uno de cada diez cuidadores conoce todas las características de la diarrea aguda (cambios en la consistencia, número y duración de los síntomas) y ninguno reconoce totalmente los signos de deshidratación. El uso de remedios caseros y la creencia en causas sobrenaturales y esotéricas como causas de diarrea tuvo una alta prevalencia. La menor edad del cuidador, tener aseguramiento y mayor nivel conocimientos sobre la diarrea se asociaron a un mayor reporte de episodios de diarrea en los últimos seis meses. Conclusiones: el 49% de todos los cuidadores encuestados manifestaron que sus niños han tenido al menos un episodio de diarrea en los últimos seis meses. El nivel de conocimientos de los cuidadores es bajo. Se encontró asociación estadísticamente significativa entre la edad del cuidador, conocimiento de los síntomas diarreicos, régimen de aseguramiento y prevalencia de diarrea en menores de cinco años. MÉD.UIS. 2017;30(1):21-33.

ABSTRACT Introduction: acute diarrhea and mortality from diarrhea remains a public health problem worldwide, particularly in middle-income countries or low. Much of diarrheal diseases are preventable through access to safe water and adequate sanitation and hygiene. Objective: to characterize the knowledge, attitudes and practices of caregivers of children under five years associated with prevalence of diarrhea. Materials and methods: cross-sectional observational study, made during the period 2014-2015. Cluster sampling was conducted in the northern district of the city of Bucaramanga. A targeted survey was conducted. Results: only one in ten caregivers know all the characteristics (changes in consistency, number and duration of symptoms) of acute diarrhea. None fully recognize the signs of dehydration. The use of home remedies and belief in supernatural and esoteric causes as causes of diarrhea had a high prevalence. Caregiver younger, having higher-level assurance and knowledge on diarrhea associated with increased reporting of episodes of diarrhea in the last six months. Conclusions: 49% of all respondents report that their children caregivers have had at least one episode of diarrhea in the last six months. The level of knowledge of caregivers is low. Age of the caregiver, knowledge about diarrhea symptoms and healthcare affiliation was statistically associated with the onset of diarrhea in children up to five years. MÉD.UIS. 2017;30(1):21-33.

Effects of endurance training on reduction of plasma glucose during high intensity constant and incremental speed tests in Wistar rats

The aim of this research was to investigate the effects of endurance training on reduction of plasma glucose during high intensity constant and incremental speed tests in Wistar rats. We hypothesized that plasma glucose might be decreased in the exercised group during heavy (more intense) exercise. Twenty-four 10-week-old male Wistar rats were randomly assigned to sedentary and exercised groups. The prescription of endurance exercise training intensity was determined as 60% of the maximum intensity reached at the incremental speed test. The animals were trained by running on a motorized treadmill, five days/week for a total period of 67 weeks. Plasma glucose during the constant speed test in the exercised group at 20 m/min was reduced at the 14th, 21st and 28th min compared to the sedentary group, as well at 25 m/min at the 21st and 28th min. Plasma glucose during the incremental speed test was decreased in the exercised group at the moment of exhaustion (48th min) compared to the sedentary group (27th min). Endurance training positively modulates the mitochondrial activity and capacity of substrate oxidation in muscle and liver. Thus, in contrast to other studies on high load of exercise, the effects of endurance training on the decrease of plasma glucose during constant and incremental speed tests was significantly higher in exercised than in sedentary rats and associated with improved muscle and hepatic oxidative capacity, constituting an important non-pharmacological intervention tool for the prevention of insulin resistance, including type 2 diabetes mellitus.

Yersiniose em Trachinotus marginatus (pampo): diagnóstico histopatológico e imuno-histoquímico / Yersiniosis in Trachinotus marginatus (pampo): histopathological and immunohistochemical diagnostic

Descreveu-se um surto de yersiniose em uma criação de pampo Trachinotus marginatus estudado no Laboratório de Piscicultura Estuarina e Marinha da Universidade Federal do Rio Grande. A enfermidade manifestou-se por transtornos natatórios, exoftalmia com panoftalmite e pela clássica boca vermelha, nome pelo qual se denomina "enfermidade da boca vermelha" (EBV). Na necropsia, foram observados focos de hemorragia peritoneal, esplenomegalia e hepatomegalia. Microscopicamente, foi observada panoftalmite com infiltrados inflamatórios densos que afetavam quase todas as estruturas oculares. Esses infiltrados estavam constituídos por granulócitos, linfócitos, macrófagos e células granulares eosinofílicas. No exsudado, observaram-se estruturas pequenas, pouco coradas, de aspecto bacteriano Gram negativo. O estudo imuno-histoquímico, que se utilizou de um anticorpo monoclonal anti-Yersinia ruckeri, resultou positivo. Este é o primeiro surto conhecido de yersiniose em Trachinotus marginatus no Brasil.

In the "Laboratório de Piscicultura Estuarina e Marinha da Universidade Federal do Rio Grande" the rearing of Trachinotus marginatus (pompano) is studied, and in one of these rearing a yersioniosis outbreak occured. The disease was manifested by swimming disturbances, exophthalmiawith panophthalmitis and the classic red mouth, (red mouth disease (RMD). The necropsies revealed focus of peritoneal hemorrhage, esplenomegalyand hepatomegaly.Microscopically a panophthalmitis with dense inflammatory infiltrates was observed, which affected almost all ocular structures. These infiltrates were constituted by granulocytes, lymphocytes, macrophages and eosinophylicgranular cells (ECG), in the exudatessmall structures less colored with Gram negative bacteria aspect were observed. The immunohistochemical, which used a monoclonal antibody anti- Yersinia ruckeri waspositive. The RMD is caused by enterobacteriaGram negative, which affects both freshwater and saltwater fish, with predominance in salmonids. This is the first known yersiniosis outbreak in Trachinotus marginatus in Brazil and it is necessary to keep this disease in mind at the moment of rearing fish of this species.

Expression of schistosomal cathepsin L1 in Escherichia coli and evaluation of its protective capacity in an animal challenge

Schistosomes use proteinases to accomplish some tasks such as tissue penetration, tissue digestion for nutrition and evasion of host immune responses. The Cathepsin L is a cysteine proteinase of the papain superfamily detected in the gut lumen indicating that this enzyme contributes to the proteolysis of ingested hemoglobin. Due to these roles they play in the schistosome biology, proteolytic enzymes are considered potential targets to develop and direct anti-schistosomal therapies. In this work, the cDNA coding Cathepsin L1 of Schistosoma mansoni was cloned into the pAE vector that provides high-level expression of heterologous proteins in Escherichia coli. The recombinant protein was expressed as inclusion bodies, purified under denaturing conditions through nickel charged chromatography and used for experimental animal vaccination. ELISA was performed with the pooled sera. Although this protein showed to be immunogenic, mice immunized with three doses of recombinant protein plus aluminum hydroxide as adjuvant did not protect against S. mansoni infection.

Myxobolus platanus n. sp. (Myxosporea, Myxobolidae), a parasite of Mugil platanus Günther, 1880 (Osteichthyes, Mugilidae) from Lagoa dos Patos, RS, Brazil

Myxobolus platanus n. sp. infecting the spleen of Mugil platanus Günther, 1880 (Osteichthyes, Mugilidae) from Lagoa dos Patos, Brazil is described The parasites formed round or slightly oval whitish plasmodia (about 0.05-0.1mm in diameter) on the surface of the organ. The spores were round in frontal view and oval in lateral view, 10.7µm (10-11) long, 10.8µm (10-11) wide and 5µm thick, and presented four sutural marks along the sutural edge. The polar capsules, equal in size, were prominent, surpassing the mid-length of the spore, and were oval with the posterior extremity rounded, and converging with their anteriorly tapered ends. They were 7.7µm (7-8) long and 3.8µm (3.5-4) wide. A small intercapsular appendix was present. The polar filament formed five to six coils obliquely placed to the axis of the polar capsule. No mucous envelope or distinct iodinophilous vacuole were found

Descreve-se Myxobolus platanus n. sp. infectando o baço de Mugil platanus Günther, 1880 (Osteichthyes, Mugilidae) da Lagoa dos Patos, Brasil. Os parasitas formavam plasmódios brancos redondos ou ligeiramente ovais (diâmetro de cerca de 0,05-0,1mm) à superfície do órgão. Os esporos eram circulares em observação frontal e ovais em obervação lateral, medindo, em média, 10,7µm (10-11) de comprimento, 10,8µm (10-11) de largura e 5µm de espessura, e tinham quatro marcas suturais ao longo da linha de sutura. As cápsulas polares eram grandes e do mesmo tamanho ultrapassando a zona média do esporo. Eram de forma oval, tendo a extremidade posterior arredondada, e convergiam pelas extremidades anteriores afiladas, medindo 7,7µm (7-8) de comprimento por 3,8µm (3,5-4) de largura. Um pequeno apêndice intercapsular estava presente. O filamento polar formava cinco a seis dobras colocadas obliquamente em relação ao eixo da cápsula. Não havia envelope mucígeno nem vacúolo iodofílico

Condições térmicas ambientais e desempenho de aves criadas em aviários com e sem o uso de forro / Environmental thermal conditions and performance of broilers raised in aviaries with and without the use of polyethylene lining

O experimento foi realizado em delineamento inteiramente ao acaso, em esquema fatorial 2x2, para avaliar o efeito de época de ano, o tipo de forro de polietileno sobre as condições térmicas, de umidade e o desempenho de aves de corte. Foram utilizados quatro aviários, cada um dividido internamente em quatro boxes para alojar 200 aves cada. As variáveis de desempenho avaliadas foram peso vivo, ganho de peso, consumo de ração, conversão alimentar e mortalidade das aves do nascimento ao 42º dia de idade. O desempenho das aves foi melhor com aviários com forro. As condições térmicas foram melhoradas cm a utilização de forro nos aviários

This experiment was carried out in a completely randomized experimental design, factorial arrangement 2x2, to evaluate the effect of period of year and type polyethylene liming on thermal and humidity of aviaries and performance of broiler. Four aviaries were divided in four boxes to house 200 chickens each. The recorded performance traits were body weight, weight gain feed intake, feed:weght gain ratio and mortality from hatch to 42 days of age. Better thermal conditions and higher chicken performance were observed in the polyethylene liming aviaries

A high-copy T7 Escherichia coli expression vector for the production of recombinant proteins with a minimal N-terminal His-tagged fusion peptide

We report here the construction of a vector derived from pET3-His and pRSET plasmids for the expression and purification of recombinant proteins in Escherichia coli based on T7 phage RNA polymerase. The resulting pAE plasmid combined the advantages of both vectors: small size (pRSET), expression of a short 6XHis tag at N-terminus (pET3-His) and a high copy number of plasmid (pRSET). The small size of the vector (2.8 kb) and the high copy number/cell (200-250 copies) facilitate the subcloning and sequencing procedures when compared to the pET system (pET3-His, 4.6 kb and 40-50 copies) and also result in high level expression of recombinant proteins (20 mg purified protein/liter of culture). In addition, the vector pAE enables the expression of a fusion protein with a minimal amino-terminal hexa-histidine affinity tag (a tag of 9 amino acids using XhoI restriction enzyme for the 5'cloning site) as in the case of pET3-His plasmid and in contrast to proteins expressed by pRSET plasmids (a tag of 36 amino acids using BamHI restriction enzyme for the 5'cloning site). Thus, although proteins expressed by pRSET plasmids also have a hexa-histidine tag, the fusion peptide is much longer and may represent a problem for some recombinant proteins.

Neurodevelopmental risk factors in schizophrenia

The authors review environmental and neurodevelopmental risk factors for schizophrenic disorders, with emphasis on minor physical anomalies, particularly craniofacial anomalies and dermatoglyphic variations. The high prevalence of these anomalies among schizophrenic subjects supports the neurodevelopmental theory of the etiology of schizophrenia, since they suggest either genetically or epigenetically controlled faulty embryonic development of structures of ectodermal origin like brain and skin. This may disturb neurodevelopment that in turn may cause these subjects to be at increased risk for the development of schizophrenia and related disorders. The precise confirmation of this theory, at least in some cases, will provide further understanding of these illnesses, allowing easy and inexpensive identification of subjects at risk and providing guidelines for the development of new pharmacological interventions for early treatment and even for primary prevention of the illness

Os direitos do paciente segundo o posicionamento de médicos e enfermeiros: pesquisa exploratória / The rights of the patient according to the position of doctors and nurses: exploration research

Considerando que os Direitos do Paciente devem ser respeitados por todos os profissionais da área de saúde, desenvolveu-se esta pesquisa exploratória a fim de analisar o posicionamento de médicos e enfermeiros diante da vivência desses princípios. Aplicou-se o método descritivo e a técnica de investigaçäo social, no Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro, no período de setembro a dezembro de 1994, junto a uma amostra aleatória composta por 26 enfermeiros e 24 médicos. Utilizou-se um questionário com 30 questöes que foi distribuído aos mesmos para respondê-lo. O marco referencial compreendeu os princípios éticos e legais que determinaram os direitos humanos, a atitude dos profissionais de saúde no relacionamento com os clientes e os próprios direitos do paciente...

Anemia e gravidez / Anemia and pregnancy

As anemias constituem um sério problema de saúde pública, principalmente quando incidem em gestantes e puérperas. Na gravidez podemos encontrar todas as formas de anemia, podendo ter como conseqüência desde o retardo de crescimento intra-uterino até a morte fetal intra-útero e, principalmente, constituir importante causa de mortalidade materna. Nos países em desenvolvimento, a desnutriçäo e as verminoses säo as principais causas do aparecimento da anemia, levando geralmente a uma taxa de hemoglobina inferior a 11g%, o que caracateriza, segundo a O.M.S., a presença de anemia