Spatial and temporal distribution of perfluoroalkyl substances (PFAS) detected after an aqueous film forming foam (AFFF) spill.

In 2015, > 460,000 L of aqueous film-forming foam (AFFF) and fire suppressors containing per- and polyfluoroalkyl substances (PFAS) were used to combat a fire at a petrochemical fuel storage terminal in the Port of Santos (Brazil). Sediments from seven sites were sampled repeatedly from 2 weeks to 1 year after the fire (n = 30). Æ©15PFAS concentrations ranged from 115 to 15,931 pg g-1 dry weight (dw). Perfluorooctane sulfonic acid (PFOS) was the most frequently detected compound with concentrations ranging from 363 to 4517 (average = 1603) pg g-1dw to <47.1 to 642 (average = 401) pg g-1 dw, followed by perfluorohexanoic acid (PFHxA) (from 38.8 to 219 (average = 162) pg g-1 dw after 15 days and from <20.8 to 161 (average = 101) pg g-1 dw one year later). Together, the hydrodynamics and fire events documented in the region were important features explaining the spread of PFAS.

Occurrence and biomagnification of perfluoroalkyl substances (PFAS) in Lake Michigan fishes.

We measured perfluoroalkyl substances (PFAS) in prey and predator fish from Lake Michigan (USA) to investigate the occurrence and biomagnification of these compounds in this important ecosystem. Twenty-one PFAS were analyzed in 117 prey fish obtained from sites across Lake Michigan and in 87 salmonids collected in four lake quadrants. The mean concentration of sum (∑) PFAS above the method detection limit was 12.7 ± 6.96 ng g-1 wet weight in predator fish (all of which were salmonids) and 10.7 ± 10.4 ng g-1 in prey fish, with outlier levels found in slimy sculpin, Cottus cognatus (187 ± 12.2 ng g-1 ww). Perfluorooctanoic sulfonic acid (PFOS) was the most frequently detected and most abundant compound of the 21 PFAS, occurring in 98 % of individuals with a mean concentration of 9.86 ± 6.36 ng g-1 ww without outliers. Perfluoroalkyl carboxylates (PFCA) concentrations were higher in prey fish than in predators, with some compounds such as perfluorooctanoic acid (PFOA) being detected in higher frequency in prey fish. Besides PFOS, detection of several long-chain (C8-C12) PFCAs were observed in >80 % of the prey fish. Overall, the observed concentrations in Lake Michigan fish were lower than those reported in other Laurentian Great Lakes except for Lake Superior. Biomagnification factors (BMFs) for PFOS exceeded 1.0 (range, 1.80 to 5.12) in all predator-prey relationships analyzed, indicating biomagnification of these compounds, whereas BMFs of other long-chain PFCAs varied according to the fish species. PFAS were found in all fish species measured from Lake Michigan and commonly biomagnified from prey to predator fish, strongly suggesting a dietary connection.

Benefits of the Dermocosmetic Mineral 89 Probiotic Fractions Adjunct to Topical Retinoids for Anti-Aging Benefits.

Purpose: Tretinoin is a topical gold standard for photoaging treatment. However, patient adherence can be impaired by local tolerability in the first 1-2 weeks of treatment. Mineral 89 Probiotic Fractions® (M89PF) containing Vichy volcanic mineralizing water®, probiotic fractions, hyaluronic acid, niacinamide and tocopherol was developed to fulfill the need for adjunctive products that can reinforce skin barrier and manage retinoid induced irritation. Patients and Methods: The study included 38 women, aged 44-60 years, phototype II-VI, applying 0.025% tretinoin gel once nightly for 84 days. For 28 days, one hemi face was treated with M89PF and sunscreen SPF 50+ while other hemi face received sunscreen only. Then, M89PF application was changed to full face. Evaluations were performed at days 0, 7, 28 and 84. Erythema, dryness, fine lines, skin tone, radiance and pore appearance were assessed by a dermatologist. Tolerability was evaluated through self-assessment questionnaire. Skin hydration levels, inflammatory and oxidative stress biomarkers were analyzed by immunological assay: Interleukin(IL)-8, IL1-alpha, IL1-Receptor Antagonist (IL-1Ra), Prostaglandin E2 (PGE2), Catalase and Superoxide Dismutase (SOD). Results: Hemiface analysis showed that erythema, fine lines, skin tone, radiance, pore appearance, hydration, tightness, dryness, burning, itching and stinging sensations were improved (p<0.05) on the M89PF side. At full face analysis on D84, erythema, fine lines, skin tone, radiance and pore appearance were improved compared to D0 (p<0.001). Tightness, dryness, burning, itching and stinging were reduced when compared to D7 (p<0.05). Dermatology Life Quality Index (DLQI) and Skindex 16 showed improvement in quality of life (p<0.05). IL-1RA increased at D28 (p=0.003) and PGE2 decreased at D28 and D84 compared to D0 (p<0.01). Conclusion: M89PF reduced retinoid induced irritation with a good tolerability profile and, used as an adjunct to topical tretinoin, significantly improved skin hydration, erythema, fine lines, skin tone, radiance and pore appearance.

A worldwide evaluation of trophic magnification of per- and polyfluoroalkyl substances in aquatic ecosystems.

A review of the published literature on the trophic magnification factor (TMF) for per- and polyfluoroalkyl substances (PFAS) was conducted to assess how biomagnification varies across aquatic systems worldwide. Although the TMF has been recognized as the most reliable tool for assessing the biomagnification of organic contaminants, peer-reviewed studies reporting TMFs for PFAS are few and with limited geographical distribution. We found 25 published studies of the biomagnification of 35 specific PFAS, for which the TMF was generated through linear regression of individual log-PFAS concentration and the δ15 N-based trophic position of each organism in the food webs. Studies were concentrated mainly in China, North America, and Europe, and the most investigated compound was perfluorooctane sulfonate (PFOS), which was frequently shown to be biomagnified in the food web (TMFs ranging from 0.8 to 20). Other long-chain carboxylates displayed substantial variation in trophic magnification. Observed differences in the TMF were associated with length of the food web, geographic location, sampling methodologies, tissue analyzed, and distance from known direct PFAS inputs. In addition to biomagnification of legacy PFAS, precursor substances were observed to bioaccumulate in the food web, which suggests they may biotransform to more persistent PFAS compounds in upper trophic levels. This review discusses the variability of environmental characteristics driving PFAS biomagnification in natural ecosystems and highlights the different approaches used by each study, which can make comparisons among studies challenging. Suggestions on how to standardize TMFs for PFAS are also provided in this review. Integr Environ Assess Manag 2022;18:1500-1512. © 2022 SETAC.

Perfluoroalkyl Substances in the Western Tropical Atlantic Ocean.

The dispersion of perfluoroalkyl substances (PFAS) in surface and deep-water profiles (down to 5845 m deep) was evaluated through the Western Tropical Atlantic Ocean (TAO) between 15°N and 23°S. The sum concentrations for eight quantifiable PFAS (∑8PFAS) in surface waters ranged from 11 to 69 pg/L, which is lower than previously reported in the same area as well as in higher latitudes. Perfluoroalkyl carboxylic acids (PFCAs) were the predominant PFASs present in the Western TAO. The 16 surface samples showed variable PFAS distributions, with the predominance of perfluorooctanoic acid (PFOA) along the transect (67%; 11 ± 8 pg/L) and detection of perfluoroalkyl sulfonic acids (PFSAs) only in the Southern TAO. Perfluoroheptanoic acid (PFHpA) was often detected in the vertical profiles. PFAS distribution patterns (i.e., profiles and concentrations) varied with depth throughout the TAO latitudinal sectors (North, Equator, South Atlantic, and in the Brazilian coastal zone). Vertical profiles in coastal samples displayed decreasing PFAS concentrations with increasing depth, whereas offshore samples displayed higher PFAS detection frequencies in the intermediate water masses. Together with the surface currents and coastal upwelling, the origin of the water masses was an important factor in explaining PFAS concentrations and profiles in the TAO.

Bioaccumulation of Per- and polyfluoroalkyl substances (PFASs) in a tropical estuarine food web.

The biomagnification of per- and polyfluoroalkyl substances (PFASs) was investigated in a tropical mangrove food web from an estuary in Bahia, Brazil. Samples of 44 organisms (21 taxa), along with biofilm, leaves, sediment and suspended particulate matter were analyzed. Sum (∑) PFAS concentrations in biota samples were dominated by perfluorooctane sulfonate (PFOS, 93% detection frequency in tissues; 0.05 to 1.97 ng g-1 ww whole-body (wb)), followed by perfluorotridecanoate (PFTrDA, 57%; 0.01 to 0.28 ng g-1 ww wb). PFOS precursors such as perfluorooctane sulfonamide (FOSA, 54%; 0.01 to 0.32 ng g-1 ww wb) and N-ethyl perfluorooctane sulfonamide (EtFOSA; 30%; 0.01 to 0.21 ng g-1 ww wb) were also detected. PFAS accumulation profiles revealed different routes of exposure among bivalve, crustacean and fish groups. Statistics for left-censored data were used in order to minimize bias on trophic magnification factors (TMFs) calculations. TMFs >1 were observed for PFOS (linear + branched isomers), EtFOSA (linear + branched isomers), and perfluorononanoate (PFNA), and in all cases, dissimilar accumulation patterns were observed among different trophic positions. The apparent biodilution of some long-chain PFCAs through the food chain (TMF < 1) may be due to exposure from multiple PFAS sources. This is the first study investigating bioaccumulation of PFASs in a tropical food web and provides new insight on the behavior of this ubiquitous class of contaminants.

Biosurfactant Production by Bacillus strains isolated from sugar cane mill wastewaters

Abstract Biosurfactants possess diverse chemical properties and provide important characteristics to the producing microorganisms, which can act as surface-actives and emulsifiers of hydrocarbon and others water insoluble substances. Most of them are lipopeptides synthetized by Bacillus. This study evaluated the biosurfactant production by strains of Bacillus previously obtained from liquid residues of sugar-alcohol industry. The bacterial isolates LBPMA: BSC, BSD, J1, J2 and L1 were cultivated in medium that induces production of biosurfactants (Landy medium). During 48 h of incubation, at intervals of 12 h, the total contents of proteins, reducing carbohydrates and surfactant activity of the filtrated growth media free of cells were evaluated. The results showed that these strains use glucose as a source of carbon, energy and for synthesis of surfactant. In this medium (24 h), the best producer of biosurfactant was the strain LBPMA-J2, molecularly identified as Bacillus thuringiensis. Once the supernatant free of cells of this microorganism disperses the oil phase in the water, this strain has potential for being utilized on bioremediation processes.

Polychlorinated biphenyls and chlorinated pesticides in king mackerel caught off the coast of Pernambuco, northeastern Brazil: Occurrence, contaminant profile, biological parameters and human intake.

Persistent organic pollutants such as PCBs and DDTs are ubiquitous worldwide. Their lipophilic nature facilitates accumulation in fish tissues. This study investigated 182 PCB congeners and 14 organochlorine pesticides (DDTs, HCHs, chlordanes, heptachlor and mirex) in muscle and liver of king mackerel (Scomberomorus cavalla) caught off the northeastern coast of Brazil. Concentration of PCBs, DDTs and chlordanes in muscle averaged 31.5, 4.70 and 0.15ngg(-1) dry weight (dw), respectively. Mean levels of the same contaminants in liver were 145, 18.7 and 1.11ngg(-1) dw, respectively. HCHs, heptachlor and mirex were not detected in the samples. The metabolite p,p'-DDE dominated the composition of DDTs in both muscle and liver. However, a clear shift was observed in the proportions of p,p'-DDT and p,p'-DDD when comparing both tissues, suggesting metabolism in the liver. The PCBs profile revealed a depletion in mono- through tetra-CBs and an enrichment in penta- through deca-CBs. Biological parameters such as sex, maturity stage, age, body weight and total length did not influence contaminant levels in tissues. Dietary risk assessment indicated that S. cavalla from the northeastern coast of Brazil does not pose a health risk for humans.

Hazards in hanging gardens: A report on failures of recognition by green turtles and their conservation implications.

Marine species are experiencing unprecedented global impacts due to anthropogenic debris. Many recent studies have pointed out the hazards associated with marine litter ingestion, especially plastic debris - the most abundant and ubiquitous items in coastal and oceanic environments worldwide. In this study we provide the first in situ evidence of consumption of non-discarded synthetic rope fragments by green turtles. We explored the environmental risks to this endangered species associated with the grazing and consumption of anthropogenic debris in zones of human activity. Efforts to combat debris ingestion and reduce anthropogenic debris discharged into the world's oceans should be a priority for decision-makers and will need to involve multiple-approaches and the adoption of more environmentally friendly products and practices by the international community.

Are we eating plastic-ingesting fish?

Yes, we are eating plastic-ingesting fish. A baseline assessment of plastic pellet ingestion by two species of important edible fish caught along the eastern coast of Brazil is described. The rate of plastic ingestion by king mackerel (Scomberomorus cavalla) was quite high (62.5%), followed by the Brazilian sharpnose shark (Rhizoprionodon lalandii, 33%). From 2 to 6 plastic resin pellets were encountered in the stomachs of each fish, with sizes of from 1 to 5 mm, and with colors ranging from clear to white and yellowish. Ecological and health-related implications are discussed and the potential for transferring these materials through the food-chain are addressed

Molecular studies on larvae of Pseudoterranova parasite of Trichiurus lepturus Linnaeus, 1758 and Pomatomus saltatrix (Linnaeus, 1766) off Brazilian waters.

Pseudoterranova larvae parasitizing cutlassfish Trichiurus lepturus and bluefish Pomatomus saltatrix from Southwest Atlantic coast of Brazil were studied in this work by morphological, ultrastructural and molecular approaches. The genetic analysis were performed for the ITS2 intergenic region specific for Pseudoterranova decipiens, the partial 28S (LSU) of ribosomal DNA and the mtDNA cox-1 region. We obtained results for the 28S region and mtDNA cox-1 that was amplified using the polymerase chain reaction and sequenced to evaluate the phylogenetic relationships between sequences of this study and sequences from the GenBank. The morphological profile indicated that all the nine specimens collected from both fish were L3 larvae of Pseudoterranova sp. The genetic profile confirmed the generic level but due to the absence of similar sequences for adult parasites on GenBank for the regions amplifyied, it was not possible to identify them to the species level. The sequences obtained presented 89% of similarity with Pseudoterranova decipiens (28S sequences) and Contracaecum osculatum B (mtDNA cox-1). The low similarity allied to the fact that the amplification with the specific primer for P. decipiens didn't occur, lead us to conclude that our sequences don't belong to P. decipiens complex.

Molecular and morphological characterization of Contracaecum pelagicum (Nematoda) parasitizing Spheniscus magellanicus (Chordata) from Brazilian waters.

Three new sequences of Mitochondrial cytochrome c-oxidase subunit 2 (mtDNA cox-2) from C. pelagicum parasite of Spheniscus magellanicus, the Magelanicus penguin, were determined from Brazilian waters. The sequences presented 99 and 98% of similarity with C. pelagicum sequences from Argentina, deposited on GenBank for the same genetic region and with a strong statistical support inferred from the phylogenetic tree. The morphological and ultrastructural studies that were carried out confirmed the genetic analysis.

Molecular and morphological characterization of Contracaecum pelagicum (Nematoda) parasitizing Spheniscus magellanicus (Chordata) from Brazilian waters / Caracterização molecular e morfológica de Contracaecum pelagicum (Nematoda) parasito de Spheniscus magellanicus (Chordata) em águas brasileiras

Three new sequences of Mitochondrial cytochrome c-oxidase subunit 2 (mtDNA cox-2) from C. pelagicum parasite of Spheniscus magellanicus, the Magelanicus penguin, were determined from Brazilian waters. The sequences presented 99 and 98% of similarity with C. pelagicum sequences from Argentina, deposited on GenBank for the same genetic region and with a strong statistical support inferred from the phylogenetic tree. The morphological and ultrastructural studies that were carried out confirmed the genetic analysis.

Foram determinadas três novas sequências da região do Citocromo c-oxidase da subunidade II do DNA mitocondrial (cox-2 mtDNA) de Contracaecum pelagicum, parasito de Spheniscus magellanicus, pinguim Magalhães, de águas brasileiras. As sequências apresentaram 99 e 98% de similaridade com sequências de C. pelagicum da Argentina depositadas no GenBank da mesma região genética com forte suporte estatístico inferido pela arvore filogenética. Estudos morfológicos e ultraestruturais realizados confirmaram a identidade genética.

Herpetofauna da floresta do baixo rio Moa em Cruzeiro do Sul, Acre - Brasil / Herpetofauna of the forest of Lower Moa River, Cruzeiro do Sul, Acre - Brazil

O presente trabalho tem como objetivo apresentar o resultado de um levantamento herpetofaunístico realizado na floresta do baixo rio Moa, em Cruzeiro do Sul, Acre. O estudo foi realizado entre fevereiro de 2008 e setembro de 2009, sendo as espécies registradas através de armadilhas de interceptação e queda (AIQ), procura limita por tempo (PLT), busca ativa (BA), amostragem em sítios reprodutivos (ASR) e encontros ocasionais (EO). A herpetofauna foi amostrada em uma área de aproximadamente 256 hectares em áreas de propriedades particulares, incluindo área aberta antropizada, adjacente a floresta, composta principalmente por pastagens. Na área florestada a amostragem foi realizada em duas trilhas com fisionomias diferentes (Mata de Terra Firme e Mata de Várzea). Foram registradas 103 espécies, sendo 50 de anfíbios anuros e 53 de répteis (35 serpentes, 17 lagartos e um crocodiliano). A curva do coletor atingiu a assíntota para os anfíbios anuros, mas não para os lagartos, serpentes e a herpetofauna (todos os grupos). Nas áreas florestadas foi registrada a maioria das espécies de anfíbios anuros, o mesmo sendo observado para os répteis, sendo que a maioria destes foi registrada na mata de terra firme. A maioria dos anfíbios foi registrada durante a PLT e a ASR, enquanto os répteis foram através de EO e também por PLT. Espera-se um número maior de espécies de serpentes para a localidade do que a riqueza registrada (35 espécies). Salienta-se a importância da preservação de áreas florestadas particulares abrangendo tanto habitats nas margens de rios sujeitos a alagação periódica como de terra firme, uma vez que existem diferenças na composição herpetofaunística em relação a estrutura das florestas. A preservação das áreas de floresta é fundamental para manutenção da diversidade de anfíbios e répteis na Amazônia, que tem sua riqueza diminuída com a transformação de florestas em pastagens e também com a retirada de madeira e abertura de clareiras.

We report the results of a herpetofauna survey carried out in the forest of Lower Moa River, Cruzeiro do Sul, state of Acre, northern Brazil. The study was carried out from February 2008 to September 2009; the species were sampled through pitfall traps with drift fences (AIQ), time-constrained search (PLT), active search (BA), sampling at breeding sites (ASR), and occasional encounters (EO). The herpetofauna was sampled in an area of approximately 256 ha located within private properties, including an open area of pastures adjacent to a forest. In the forest area, sampling was carried out in two trails with different physiognomies: terra firme (upland forest) and várzea (flooded forest). We recorded 103 species: 50 anurans and 53 reptiles (35 snakes, 17 lizards and one crocodilian). The collector's curve reached the asymptote for anurans, but not for lizards, snakes or the whole herpetofauna (all groups together). Most species of anurans and reptiles were recorded in forest areas, mainly terra firme. Most amphibians were recorded through PLT and ASR, whereas reptiles were recorded through EO and PLT. A higher number of snakes were expected for the locality than the richness actually recorded (35 species). We emphasize the importance of preserving private forests that encompass both kinds of habitat (terra firme and várzea), since they differ in herpetofauna composition due to differences in forest structure. The preservation of forests is crucial to the maintenance of amphibian and reptile biodiversity in the Amazon, which loses species due to the conversion of forests into pastures and logging.

Uso do hábitat, atividade e comportamento de Bothriopsis bilineatus e de Bothrops atrox (Serpentes: Viperidae) na floresta do Rio Moa, Acre, Brasil / Activity, habitat use, and behavior of the Bothriopsis bilineatus and of the Bothrops atrox (Serpentes: Viperidae) in Moa river forest, Acre - Brazil

As serpentes Bothriopsis bilineatus e Bothrops atrox são viperídeos simpátricos na Amazônia, sendo B. atrox comum e B. bilineatus mais rara. Ambas espécies apresentam uma dieta generalista, sendo que B. atrox forrageia principalmente sobre o chão e B. bilineatus é mais arborícola. Aqui, nós descrevemos o uso do habitat e padrão de atividade dessas duas serpentes em uma floresta amazônica no Rio Moa, Cruzeiro do Sul, Acre. Esse estudo foi baseado em observações durante procura visual limitada por tempo e encontros ocasionais de serpentes em uma trilha que é sazonalmente alagada e outra de floresta de terra firme. Durante um total de 360 horas de procura visual limitada por tempo, 11 B. bilineatus e seis B. atrox foram encontradas, enquanto uma B. bilineatus e seis B. atrox foram encontradas durante encontros ocasionais. Todas 12 B. bilineatus foram observadas sobre a vegetação, enquanto somente cinco B. atrox estavam sobre a vegetação (todos juvenis). Durante procura visual limitada por tempo B. bilineatus foi mais comum (0,03 serpentes/hora) do que B. atrox (0,016 serpentes/hora). Essas duas espécies apresentaram diferenças no uso do espaço, sendo que B. bilineatus ocorreu principalmente na área da floresta de terra firme, rica em palmeiras e que não é sazonalmente alagada. Bothrops atrox foi mais abundante na área da floresta próxima aos lagos, que é sazonalmente alagada. Diferenças entre essas duas áreas como a estrutura da vegetação, tipos de ambientes aquáticos, disponibilidade de presas e fatores históricos são possivelmente os fatores responsáveis pela diferença na ocorrência dessas espécies. Estas duas serpentes foram encontradas nos meses mais chuvosos e não foram registradas nos meses mais secos, período em que também existe menor disponibilidade de anuros nesses ambientes. Na maior parte da Amazônia, B. bilineatus parece ser menos frequente que B. atrox, mas na área do presente estudo, a primeira parece ser mais frequente que a última durante procura visual limitada por tempo.

The snakes Bothriopsis bilineatus and Bothrops atrox are sympatric vipers in the Amazon. While B. atrox is common, Bothriopsis bilineatus is considered relatively rare. Both species are dietary generalists, with B. atrox foraging mostly on the ground while B. bilineatus is more arboreal. Here, we describe habitat use and activity patterns for these two snakes in Amazonian forest near the Moa River, Cruzeiro do Sul (Acre). This study was based on observations during both time constrained visual searches and opportunistic encounters along trails that included both seasonally flooded and terra firme forests. During a total of 360 hours of time constrained visual search, 11 B. bilineatus and six B. atrox were found, while one B. bilineatus and six B. atrox were found during opportunistic encounters. All 12 B. bilineatus were found on vegetation above the ground, while only five B. atrox were on vegetation, and these were all juveniles. Thus, during time constrained visual searches B. bilineatus was more common (0.03 snake/hour) than B. atrox (0.016 snake/hour). These two species use different habitats. Bothriopsis bilineatus was most commonly found in upland terra firme forests, with many palms and free from seasonal floods. Bothrops atrox was most commonly found in lower, wetter seasonally flooded areas. Perhaps structural differences in the vegetation in these two forest types influence the distribution of these two species, possibly due to a related influence on prey abundance, besides historical factors. Both species are found more often during the rainy season, rarely being found during the dry season, when their amphibian prey are less abundant. In most of the Amazon, B. bilineatus seems less common than B. atrox, but in the present study, the former was the most frequent snake during time constrained visual search.

Avaliação de saúde mental em gestantes / Mental health assessment of pregnant women

O período gravídico-puerperal é a fase de maior incidência de transtornos psíquicos na mulher, necessitando de atenção especial para manutenção de bem-estar e prevenção de dificuldades futuras para o desenvolvimento cognitivo e emocional do filho. A presente pesquisa objetivou verificar, através de um estudo piloto, a prevalência de sintomas psiquiátricos e uso de álcool entre gestantes do sistema público de saúde de Juiz de Fora, MG. Foram entrevistadas 33 gestantes de três unidades de saúde, e utilizados os instrumentos QMPA e MINI/DSM-IV. Verificou-se que 54,5% das entrevistadas apresentou sete ou mais sintomas psiquiátricos descritos no QMPA, com destaque para a subescala de ansiedade. Dentre os resultados do MINI/DSM-IV, destacaram-se os índices elevados de Agorafobia atual (37,7%), Agorafobia sem Transtorno de Pânico (33,3%), Síndrome Psicótica (25,0%), Episódio Depressivo Maior Atual (24,2%) e Transtorno de Ansiedade Generalizada (15,2%). Os altos índices encontrados de transtornos psiquiátricos indicaram a necessidade de investigações clínicas mais detalhadas para a avaliação da saúde mental dessas gestantes e possível indicação para tratamento. O estudo piloto se configura numa importante etapa da pesquisa, pois os resultados preliminares, bem como as dificuldades metodológicas iniciais, servem para o aprofundamento e a qualificação do estudo definitivo.

The pregnancy and puerperium period is a phase of increased incidence of mental disorders in women, requiring special attention to ensure the maintenance of their well-being and prevention of future cognitive and emotional difficulties for their child. The present research aimed at verifying, through a pilot study, the incidence of psychiatric symptoms and alcohol use among pregnant women attending the public health system of Juiz de Fora, MG. 33 pregnant women of 3 health units had been interviewed using the instruments QMPA and MINI/DSM-IV. It was verified that 54.5% of the women interviewed presented seven or more psychiatric symptoms described in the QMPA, with a prominence of the anxiety subscale. Amongst the results of the MINI/DSM-IV, the high incidence of current Agoraphobia can be highlighted (37.7%), Agoraphobia without Panic Disorder (33.3%), Psychotic Syndrome (25.0%), Bigger Depressive Episode Current (24.2%) and Generalized Anxiety Disorder (15.2%). The high incidence of psychiatric disorders found indicated the necessity of detailed clinical inquiries for the evaluation of the mental health of pregnant women and possible referal for treatment. The pilot study constitutes an important stage of the research, since the preliminary results, as well as the initial methodological difficulties, will ensure the improvement of the final study.

Viver melhor: uma experiência de educação em saúde no climatério / Live Better - an educational experience in health during menopause

O climatério é a fase de vida da mulher que começa aos quarenta anos e termina aos sessenta e cinco anos de idade. É caracterizado pela diminuição fisiológica da função ovariana durante a qual existem alterações endócrinas, somáticas e psíquicas. Um momento marcante do climatério é a menopausa, que significa a última menstruação. O déficit hormonal no organismo pode provocar uma série de sintomas físicos e emocionais que, em conjunto, recebem o nome de síndrome climatérica. O climatério tem sido alvo de mitos e vítima de mal-entendidos por muito tempo. Sua sintomatologia não é universal, mas varia de acordo com fatores socioculturais que determinam a maneira como estes sintomas são percebidos. Visando melhorar a assistência a mulheres nessa faixa etária, criou-se, em 2001, o Projeto de Extensão da Universidade Federal de Juiz de Fora Viver Melhor - Assistência Integral às Mulheres no Climatério, que tem por objetivo atender a mulher climatérica, abordando aspectos emocionais, biológicos e sociais de sua saúde, deixando de lado a intervenção convencional, de enfoque exclusivamente biomédico. É um projeto multidisciplinar que pretende avançar em direção a uma prática de promoção da saúde global, prevenção de doenças e, conseqüentemente, à busca de uma melhor qualidade de vida, a partir da troca de informações, de vivências, da problematização de conceitos e da aquisição de novos conhecimentos. Assim, este estudo é um relato de experiência desse trabalho. (AU)

Viver melhor: uma experiência de educação em saúde no climatério / Live better: an educational experience in health during menopause

O climatério é a fase de vida da mulher que começa aos quarenta anos e termina aos sessenta e cinco anos de idade. É caracterizado pela diminuição fisiológica da função ovariana durante a qual existem alterações endócrinas, somáticas e psíquicas. Um momento marcante do climatério é a menopausa, que significa a última menstruação. O déficit hormonal no organismo pode provocar uma série de sintomas físicos e emocionais que, em conjunto, recebem o nome de síndrome climatérica. O climatério tem sido alvo de mitos e vítima de mal-entendidos por muito tempo. Sua sintomatologia não é universal, mas varia de acordo com fatores socioculturais que determinam a maneira como estes sintomas são percebidos. Visando melhorar a assistência a mulheres nessa faixa etária, criou-se, em 2001, o Projeto de Extensão da Universidade Federal de Juiz de Fora ? Viver Melhor - Assistência Integral às Mulheres no Climatério?, que tem por objetivo atender a mulher climatérica, abordando aspectos emocionais, biológicos e sociais de sua saúde, deixando de lado a intervenção convencional, de enfoque exclusivamente biomédico. É um projeto multidisciplinar que pretende avançar em direção a uma prática de promoção da saúde global, prevenção de doenças e, conseqüentemente, à busca de uma melhor qualidade de vida, a partir da troca de informações, de vivências, da problematização de conceitos e da aquisição de novos conhecimentos. Assim, este estudo é um relato de experiência desse trabalho.

Menopause is the phase in a woman’s life that beginnings in her 40s and stops at 65 yrs. It is characterized by the physiological decline of ovarian function during which there are endocrine, body and psychological alterations. The hormonal deficit in the body can cause a series of physical and emotional symptoms that, together, are called the menopausal syndrome (climacteric). Menopause has been the target of myths and the victim of misunderstanding for a long time. Its symptomatology is not universal, but varies in accordance with socio-cultural factors that determine the way that symptoms are perceived. An extension project of Federal University de Juiz de Fora - “Viver Melhor - Assistência Integral às Mulheres no Climatério” (Live Better, Integrated Service to Menopausal Women) - was created in 2001 to improve the care of women 40 to 65 years old, addressing the emotional, biological and social aspects of their health, and leaving aside the conventional interventions which focus exclusively on biomedical issues . It is a multidisciplinary project that proposes a wide ranging practice of health promotion, illness prevention and consequently, the search for a better quality of life through the sharing of information and experiences, questioning concepts and the acquisition of new knowledge. The aim of this paper is to provide an account of the experience of carrying out this study.