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Detection of nosocomial malnutrition is improved in Amazon region by a standard clinical nutrition education program

ACUNA, K.; PIRES, C.; SANTOS, G.; HASHIMOTO, R.; PINHEIRO, L.; MAZUY, N.; MACHADO, A.; OHVEIRA, C.; CAMLLO, M.; WISMANN, R.; LIMA, M.; COSTA-MATOS, A.; WAITZBERG, D. L.; CRUZ, T.
Fonte: AULA MEDICA EDICIONES Publicador: AULA MEDICA EDICIONES
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.15%
Background: In Brazil hospital malnutrition is highly prevalent. physician awareness of malnutrition is low, and nutrition therapy is underprescribed. One alternative to approach this problem is to educate health care providers in clinical nutrition. The present study aims to evaluate the effect of an intensive education course given to health care professionals and students on the diagnosis ability concerning to hospital malnutrition. Materials and methods: An intervention study based on a clinical nutrition educational program, offered to medical and nursing students and professionals, was held in a hospital of the Amazon region. Participants were evaluated through improvement of diagnostic ability, according to agreement of malnutrition diagnosis using Subjective Global Assessment before and after the workshop, as compared to independent evaluations (Kappa Index, k). To evaluate the impact of the educational intervention on the hospital malnutrition diagnosis, medical records were reviewed for documentation of parameters associated with nutritional status of in-patients. The SPSS statistical software package was used for data analysis. Results: A total of 165 participants concluded the program. The majority (76.4%) were medical and nursing students. Malnutrition diagnosis improved after the course (before k = 0.5; after k = 0.64; p < 0.05). A reduction of false negatives from 50% to 33.3% was observed. During the course...

Survey of Bancroftian filariasis infection in humans and Culex mosquitoes in the western Brazilian Amazon region: implications for transmission and control

Korte, Rodolfo Luís; Fontes, Gilberto; Camargo, Juliana de Souza Almeida Aranha; Rocha, Eliana Maria Maurício da; Araújo, Edicarlos André Cavalcante de; Oliveira, Marcelo Zagonel de; Santos, Rafael Vital dos; Camargo, Luís Marcelo Aranha
Fonte: Sociedade Brasileira De Medicina Tropical; Rio de Janeiro Publicador: Sociedade Brasileira De Medicina Tropical; Rio de Janeiro
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.24%
Introduction: The aim of this work was to identify possible lymphatic filariasis foci in the western Brazilian Amazonian that could be established from the reports of Rachou in the 1950s. The study was conducted in three cities of the western Brazilian Amazon region - Porto Velho and Guajará-Mirim (State of Rondônia) and Humaitá (State of Amazonas). Methods: For human infection evaluation thick blood smear stained with Giemsa was used to analyze samples collected from 10pm to 1am. Polymerase chain reaction (PCR) was used to examine mosquito vectors for the presence of Wuchereria bancrofti DNA. Humans were randomly sampled from night schools students and from inhabitants in neighborhoods lacking sanitation. Mosquitoes were collected from residences only. Results: A total 2,709 night students enrolled in the Program for Education of Young Adults (EJA), and 935 people registered in the residences near the schools were examined, being 641 from Porto Velho, 214 from Guajará-Mirim and 80 from Humaitá. No individual examined was positive for the presence of microfilariae in the blood stream. A total of 7,860 female Culex quinquefasciatus specimens examined were negative by PCR. Conclusions: This survey including human and mosquito examinations indicates that the western Amazon region of Brazil is not a focus of Bancroftian filariasis infection or transmission. Therefore...

Molecular screening of Plasmodium sp. asymptomatic carriers among transfusion centers from Brazilian Amazon region

Fugikaha, Érica; Fornazari, Patrícia Aparecida; Penhalbel, Roberta de Souza Rodrigues; Lorenzetti, Alexandre; Maroso, Roberto Duarte; Amoras, Juvanete Távora; Saraiva, Ana Sueli; Silva, Rita Uchôa da; Bonini-Domingos, Cláudia Regina; Mattos, Luiz Car
Fonte: Instituto de Medicina Tropical Publicador: Instituto de Medicina Tropical
Tipo: Artigo de Revista Científica Formato: 1-4
ENG
Relevância na Pesquisa
66.21%
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq); A transmissão da malária no Brasil é heterogênea em todas as áreas endêmicas e a presença de portadores assintomáticos de Plasmodium sp. (PAPs) na Amazônia brasileira já foi demonstrada. A triagem de pacientes maláricos em bancos de sangue é baseada na seleção dos doadores com relação aos riscos possíveis associados com residência, evidência clínica e/ou os métodos diagnósticos não acurados que aumentam a probabilidade da infecção transmitida por transfusão. Avaliamos a freqüência de PAPs em quatro bancos de sangue em áreas distintas da região Amazônica brasileira. O DNA foi obtido a partir de 400 amostras de sangue humano usando o método do fenol-clorofórmio, seguido por um protocolo de nested-PCR com oligonucleotídeos espécie-específicos. A taxa de positividade variou de 1 a 3% de doadores do sangue das quatro áreas, com uma média de 2,3%. Todos os indivíduos positivos tinham infecções mistas entre o Plasmodium vivax e o Plasmodium falciparum. Nenhuma diferença significativa nos resultados foi detectada entre estas áreas; a maioria dos casos originou dos Hemocentros de Porto Velho, do Estado de Rondônia e de Macapá...

Concurrent dengue and malaria in the Amazon region

Santana, Vinicius dos Santos; Lavezzo, Ligia Carolina; Mondini, Adriano; Bernardes Terzian, Ana Carolina; de Moraes Bronzoni, Roberta Vieira; Baptista Rossit, Andrea Regina; Dantas Machado, Ricardo Luiz; Rahal, Paula; Lelles Nogueira, Mara Correa; Nogueir
Fonte: Soc Brasileira Medicina Tropical Publicador: Soc Brasileira Medicina Tropical
Tipo: Artigo de Revista Científica Formato: 508-511
ENG
Relevância na Pesquisa
66.3%
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); Processo FAPESP: 08/03828-1; Processo FAPESP: 02/0946-1; Introduction: The Amazon region has extensive forested areas and natural ecosystems, providing favorable conditions for the existence of innumerous arboviruses. Over 200 arboviruses have been isolated in Brazil and about 40 are associated with human disease. Four out of 40 are considered to be of public health importance in Brazil: Dengue viruses (1-4), Oropouche, Mayaro and Yellow Fever. Along with these viruses, about 98% of the malaria cases are restricted to the Legal Amazon region. Methods: This study aimed to investigate the presence of arboviruses in 111 clinical serum samples from patients living in Novo Repartimento (Para), Placido de Castro (Acre), Porto Velho (Rondonia) and Oiapoque (Amapa). The viral RNA was extracted and RT-PCR was performed followed by a Multiplex-Nested-PCR, using Flavivirus, Alphavirus and Orthobunyavirus generic and species-specific primers. Results: Dengue virus serotype 2 was detected in two patients living in Novo Repartimento (Para) that also presented active Plasmodium vivax infection. Conclusions: Despite scant data...

Evaluation of the altimetry from SRTM-3 and planimetry from high-resolution PALSAR FBD data for semi-detailed topographic mapping in the Amazon Region

Rodrigues,Thiago G.; Paradella,Waldir R.; Oliveira,Cleber G.
Fonte: Academia Brasileira de Ciências Publicador: Academia Brasileira de Ciências
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2011 EN
Relevância na Pesquisa
66.28%
The Brazilian Amazon has a deficit of 35% of coverage regarding topographic mapping at semi-detailed (1:100,000) scale. This paper presents an alternative to overcome this scenario using a combination of planialtimetric information from two orbital SAR (Synthetic Aperture Radar) missions. The altimetry was acquired from Shuttle Radar Topography Mission (SRTM), while the planimetry was provided from Fine Beam Dual (FBD) images of the Phased Array L-band Synthetic Aperture Radar (PALSAR) sensor. The research was carried out in the mountainous area of the Serra dos Carajás (Pará State), located on the Amazon region. The quality of the orbital topographic information was evaluated regarding precise planialtimetric measurements acquired from Global Positioning System (GPS) field campaigns. The evaluations were performed following two approaches: (1) the use of Root Mean Square Error (RMSE) and (2) tendency and precision hypothesis tests. The investigation has shown that the planialtimetric quality of the orbital products fulfilled the Brazilian Map Accuracy Standards requirements for 1:100,000 A Class map. Thus, the use of combination of information provided by PALSAR and SRTM-3 data can be considered a promising alternative for production and update of semi-detailed topographic mapping in similar environments of the Amazon region...

Molecular screening of Plasmodium sp. asymptomatic carriers among transfusion centers from Brazilian Amazon region

Fugikaha,Érica; Fornazari,Patrícia Aparecida; Penhalbel,Roberta de Souza Rodrigues; Lorenzetti,Alexandre; Maroso,Roberto Duarte; Amoras,Juvanete Távora; Saraiva,Ana Sueli; Silva,Rita Uchôa da; Bonini-Domingos,Cláudia Regina; Mattos,Luiz Carlos de; Ro
Fonte: Instituto de Medicina Tropical Publicador: Instituto de Medicina Tropical
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2007 EN
Relevância na Pesquisa
66.21%
The transmission of malaria in Brazil is heterogeneous throughout endemic areas and the presence of asymptomatic Plasmodium sp. carriers (APCs) in the Brazilian Amazon has already been demonstrated. Malaria screening in blood banks is based on the selection of donors in respect to possible risks associated with travel or residence, clinical evidence and/or inaccurate diagnostic methods thereby increasing the probability of transfusion-transmitted infection. We evaluated the frequency of APCs in four blood services in distinct areas of the Brazilian Amazon region. DNA was obtained from 400 human blood samples for testing using the phenol-chloroform method followed by a nested-PCR protocol with species-specific primers. The positivity rate varied from 1 to 3% of blood donors from the four areas with an average of 2.3%. All positive individuals had mixed infections for Plasmodium vivax and Plasmodium falciparum. No significant differences in the results were detected among these areas; the majority of cases originated from the transfusion centres of Porto Velho, Rondônia State and Macapá, Amapá State. Although it is still unclear whether APC individuals may act as reservoirs of the parasite, efficient screening of APCs and malaria patients in Brazilian blood services from endemic areas needs to be improved.

Prevalence of hepatitis A virus infection: the paradoxical example of isolated communities in the western Brazilian Amazon region

Braga,Wornei Silva Miranda; Borges,Fabiane Giovanella; Barros Júnior,Gildo Maia; Martinho,Ana Cristina de Souza; Rodrigues,Ivo Seixas; Azevedo,Eliete Pereira de; Davis,Gustavo Henrique Nolasco Grimmer; Queiroz,Manoel Bezerra de; Santos,Simone Helena Derz
Fonte: Sociedade Brasileira de Medicina Tropical - SBMT Publicador: Sociedade Brasileira de Medicina Tropical - SBMT
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2009 EN
Relevância na Pesquisa
66.18%
This study evaluated the prevalence of hepatitis A virus infection in the rural area of Lábrea, in the western Brazilian Amazon region. Communities and households were selected randomly. Serum samples were analyzed by means of the immunoenzymatic method for the presence of total antibodies against HAV. The study included 1,499 individuals. The prevalence of anti-HAV was 74.6% (95% CI 72.3-76.8). Univariate analysis showed associations with age (chi-square for linear trend = 496.003, p < 0.001), presence of outside toilet (p < 0.001), history of hepatitis (p < 0.001) and family history of hepatitis (p = 0.05). After adjusting for age, HAV infection also showed an association with the number of people in the family (p = 0.03). The overall prevalence rates were high, but not more than 60% of the children under the age of ten years had already been infected. Very high prevalence was detected only within older cohorts, thus paradoxically defining this as a region with intermediate endemicity, even under the conditions of poverty encountered.

Concurrent dengue and malaria in the Amazon region

Santana,Vinícius dos Santos; Lavezzo,Lígia Carolina; Mondini,Adriano; Terzian,Ana Carolina Bernardes; Bronzoni,Roberta Vieira de Moraes; Rossit,Andrea Regina Baptista; Machado,Ricardo Luiz Dantas; Rahal,Paula; Nogueira,Mara Correa Lelles; Nogueira,Maur
Fonte: Sociedade Brasileira de Medicina Tropical - SBMT Publicador: Sociedade Brasileira de Medicina Tropical - SBMT
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2010 EN
Relevância na Pesquisa
66.3%
INTRODUCTION: The Amazon region has extensive forested areas and natural ecosystems, providing favorable conditions for the existence of innumerous arboviruses. Over 200 arboviruses have been isolated in Brazil and about 40 are associated with human disease. Four out of 40 are considered to be of public health importance in Brazil: Dengue viruses (1-4), Oropouche, Mayaro and Yellow Fever. Along with these viruses, about 98% of the malaria cases are restricted to the Legal Amazon region. METHODS: This study aimed to investigate the presence of arboviruses in 111 clinical serum samples from patients living in Novo Repartimento (Pará), Plácido de Castro (Acre), Porto Velho (Rondônia) and Oiapoque (Amapá). The viral RNA was extracted and RT-PCR was performed followed by a Multiplex-Nested-PCR, using Flavivirus, Alphavirus and Orthobunyavirus generic and species-specific primers. RESULTS: Dengue virus serotype 2 was detected in two patients living in Novo Repartimento (Pará) that also presented active Plasmodium vivax infection. CONCLUSIONS: Despite scant data, this situation is likely to occur more frequently than detected in the Amazon region. Finally, it is important to remember that both diseases have similar clinical findings...

Survey of Bancroftian filariasis infection in humans and Culex mosquitoes in the western Brazilian Amazon region: implications for transmission and control

Korte,Rodolfo Luís; Fontes,Gilberto; Camargo,Juliana de Souza Almeida Aranha; Rocha,Eliana Maria Maurício da; Araújo,Edicarlos André Cavalcante de; Oliveira,Marcelo Zagonel de; Santos,Rafael Vital dos; Camargo,Luís Marcelo Aranha
Fonte: Sociedade Brasileira de Medicina Tropical - SBMT Publicador: Sociedade Brasileira de Medicina Tropical - SBMT
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2013 EN
Relevância na Pesquisa
66.24%
Introduction The aim of this work was to identify possible lymphatic filariasis foci in the western Brazilian Amazonian that could be established from the reports of Rachou in the 1950s. The study was conducted in three cities of the western Brazilian Amazon region - Porto Velho and Guajará-Mirim (State of Rondônia) and Humaitá (State of Amazonas). Methods For human infection evaluation thick blood smear stained with Giemsa was used to analyze samples collected from 10pm to 1am. Polymerase chain reaction (PCR) was used to examine mosquito vectors for the presence of Wuchereria bancrofti DNA. Humans were randomly sampled from night schools students and from inhabitants in neighborhoods lacking sanitation. Mosquitoes were collected from residences only. Results A total 2,709 night students enrolled in the Program for Education of Young Adults (EJA), and 935 people registered in the residences near the schools were examined, being 641 from Porto Velho, 214 from Guajará-Mirim and 80 from Humaitá. No individual examined was positive for the presence of microfilariae in the blood stream. A total of 7,860 female Culex quinquefasciatus specimens examined were negative by PCR. Conclusions This survey including human and mosquito examinations indicates that the western Amazon region of Brazil is not a focus of Bancroftian filariasis infection or transmission. Therefore...

Ultrastructural, Antigenic and Physicochemical Characterization of the Mojuí dos Campos (Bunyavirus) Isolated from Bat in the Brazilian Amazon Region

Wanzeller,Ana LM; Diniz,José AP; Gomes,Maria LC; Cruz,Ana CR; Soares,Manoel CP; Souza,Wanderley de; Rosa,Amélia PA Travassos da; Vasconcelos,Pedro FC
Fonte: Instituto Oswaldo Cruz, Ministério da Saúde Publicador: Instituto Oswaldo Cruz, Ministério da Saúde
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2002 EN
Relevância na Pesquisa
66.18%
The Mojuí dos Campos virus (MDCV) was isolated from the blood of an unidentified bat (Chiroptera) captured in Mojuí dos Campos, Santarém, State of Pará, Brazil, in 1975 and considerated to be antigenically different from other 102 arboviruses belonging to several antigenic groups isolated in the Amazon region or another region by complement fixation tests. The objective of this work was to develop a morphologic, an antigenic and physicochemical characterization of this virus. MDCV produces cytopathic effect in Vero cells, 24 h post-infection (p.i), and the degree of cellular destruction increases after a few hours. Negative staining electron microscopy of the supernatant of Vero cell cultures showed the presence of coated viral particles with a diameter of around 98 nm. Ultrathin sections of Vero cells, and brain and liver of newborn mice infected with MDCV showed an assembly of the viral particles into the Golgi vesicles. The synthesis kinetics of the proteins for MDCV were similar to that observed for other bunyaviruses, and viral proteins could be detected as early as 6 h p.i. Our results reinforce the original studies which had classified MDCV in the family Bunyaviridae, genus Bunyavirus as an ungrouped virus, and it may represent the prototype of a new serogroup.

Risks of endemicity, morbidity and perspectives regarding the control of Chagas disease in the Amazon Region

Coura,José Rodrigues; Junqueira,Angela CV
Fonte: Instituto Oswaldo Cruz, Ministério da Saúde Publicador: Instituto Oswaldo Cruz, Ministério da Saúde
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2012 EN
Relevância na Pesquisa
66.38%
Chagas disease, in the Amazon Region as elsewhere, can be considered an enzootic disease of wild animals or an anthropozoonosis, an accidental disease of humans that is acquired when humans penetrate a wild ecosystem or when wild triatomines invade human dwellings attracted by light or searching for human blood. The risk of endemic Chagas disease in the Amazon Region is associated with the following phenomena: (i) extensive deforestation associated with the displacement of wild mammals, which are the normal sources of blood for triatomines, (ii) adaptation of wild triatomines to human dwellings due to the need for a new source of blood for feeding and (iii) uncontrolled migration of human populations and domestic animals that are already infected with Trypanosoma cruzi from areas endemic for Chagas disease to the Amazon Region. Several outbreaks of severe acute cases of Chagas disease, as well as chronic cases, have been described in the Amazon Region. Control measures targeted to avoiding endemic Chagas disease in the Amazon Region should be the following: improving health education in communities, training public health officials and communities for vector and Chagas disease surveillance and training local physicians to recognise and treat acute and chronic cases of Chagas diseases as soon as possible.

Solar radiation use efficiency by soybean under field conditions in the Amazon region

Souza,Paulo Jorge de Oliveira Ponte de; Ribeiro,Aristides; Rocha,Edson José Paulino da; Farias,José Renato Bouça; Loureiro,Renata Silva; Bispo,Carlos Capela; Sampaio,Leila
Fonte: Embrapa Informação Tecnológica; Pesquisa Agropecuária Brasileira Publicador: Embrapa Informação Tecnológica; Pesquisa Agropecuária Brasileira
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2009 EN
Relevância na Pesquisa
66.24%
The objective of this work was to evaluate the efficiency of soybean (Glycine max) in intercepting and using solar radiation under natural field conditions, in the Amazon region, Brazil. The meteorological data and the values of soybean growth and leaf area were obtained from an agrometeorological experiment carried out in Paragominas, Pará state, during 2007 and 2008. The radiation use efficiency (RUE) was obtained from the ratio between the above-ground biomass production and the intercepted photosynthetically active radiation (PAR) accumulated to 99 and 95 days after sowing, in 2007 and 2008, respectively. Climatic conditions during the experiment were very distinct, with reduction in rainfall in 2007, which began during the soybean mid-cycle, due to the El Niño phenomenon. An important reduction in the leaf area index and biomass production was observed during 2007. Under natural field conditions in the Amazon region, the values of RUE were 1.46 and 1.99 g MJ-1 PAR in the 2007 and 2008 experiments, respectively. The probable reason for the differences found between these years might be associated to the water restriction in 2007 coupled with the higher air temperature and vapor pressure deficit, and also to the increase in the fraction of diffuse radiation that reached the land surface in 2008.

Cost-effectiveness of the vaccine against human papillomavirus in the brazilian Amazon region

Fonseca,Allex Jardim da; Ferreira,Luiz Carlos de Lima; Balbinotto Neto,Giacomo
Fonte: Associação Médica Brasileira Publicador: Associação Médica Brasileira
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2013 EN
Relevância na Pesquisa
66.24%
OBJECTIVE: To assess the cost-utility of the human papillomavirus (HPV) vaccination on the prevention of cervical cancer in the Brazilian Amazon region. METHODS: AMarkov cohort modelwas developed to simulate the natural evolution of HPV and its progress to cervical cancer, considering the current preventive programs and treatment costs. The one-year transition probabilities were mainly based on empirical data of local and national studies. The model evaluated the addition of the vaccine to three cervical cancer-screening scenarios (0, 3 or 10 exams throughout life). RESULTS: The scenario of three Pap tests resulted in satisfactory calibration (base case). The addition of HPV vaccination would reduce by 35% the incidence of cervical cancer (70% vaccination coverage). The incremental cost-effectiveness ratio was US$ 825 for each quality-adjusted life year gained. The sensitivity analysis confirms the robustness of this result, and duration of immunity was the parameter with greater variation in incremental cost-effectiveness ratio. CONCLUSION: Vaccination has a favorable profile in terms of cost-utility, and its inclusion in the immunization schedule would result in a substantial reduction in incidence and mortality of invasive cervical cancer in the Brazilian Amazon region.

CYP21 gene mutations in Brazilian patients with 21-hydroxylase deficiency from the Amazon region

Carvalho,Tarcísio André Amorim de; Souza,Izabel Cristina Neves de; Yoshioka,France Keiko Nascimento; Caldato,Milena Coelho Fernandes; Torres,Nilza Nei; Garcia,Lena Stilianidi; Guerreiro,João Farias
Fonte: Sociedade Brasileira de Genética Publicador: Sociedade Brasileira de Genética
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
66.28%
Congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (P450c21, CYP21) accounts for about 95% of all CAH cases. The incidence of CYP21 gene mutations has been extensively studied in the last years, but in Brazil it has been investigated only in Southeast Brazilian patients. This study is the first report on the distribution of CYP21 mutations in patients from the Amazon region. Direct sequencing of the CYP21 gene identified at least one mutation in 96% of the studied chromosomes. The most common mutations found were IVS2-13A/C > G (36%), Q318X (12%), V281L (12%), 1760_1761insT (9%), Cluster E6 (7%), and P30L (7%). The worldwide most common mutations were identified among patients from the Amazon region at frequencies that may be expected for a population resulting from the admixture of Europeans (predominantly Portuguese), African Blacks and Amerindians, in proportions that differ from those estimated for South Brazilian populations. Interethnic mixture may explain the differences in the frequencies of some mutations between Brazilian patients from the Amazon and from the Southeast of the country. However, the differences found may also be due to variation in the number of patients with the different clinical forms of 21-hydroxylase deficiency in the studies carried out so far.

Seroprevalence of hepatitis B virus and hepatitis C virus in Monte Negro in the Brazilian western Amazon region

El Khouri,Marcelo; Duarte,Leandro Savoy; Ribeiro,Rafael Bernadon; Silva,Luis Fernando Ferraz da; Camargo,Luis Marcelo Aranha; Santos,Vera Aparecida dos; Burattini,Marcelo Nascimento; Corbett,Carlos Eduardo Pereira
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2005 EN
Relevância na Pesquisa
66.2%
PURPOSE: This study was carried out in Monte Negro (state of Rondônia), a village in the Brazilian western Amazon region, where a University of São Paulo Medical School program for medical student training in rural assistance took place. It aimed to determine the prevalence of hepatitis B virus and hepatitis C virus, to investigate risk factors for infection, and to evaluate the State immunization program against hepatitis B virus in the region. METHODS: The study is a cross-sectional seroprevalence survey, comprising 267 volunteers who answered a comprehensive questionnaire and had blood samples collected, which were analyzed in São Paulo for the presence of antibodies against hepatitis B virus (Hbs Ag, anti-Hbs, and anti-Hbc) and hepatitis C virus using commercial kits. Data were stored in a specific data bank, and the association between seropositivity and potential risk factors was analyzed by means of uni-, bi-, and multi-variate analysis, considering ±5%. RESULTS: The seroprevalence of hepatitis B virus was 61.79% and of hepatitis C virus was 0.38%. Statistical analysis on the data bank showed that the prevalence of hepatitis B virus rose significantly with age, especially after adolescence. Infection was higher in those coming from outside the state of Rondônia. Exposure to vaccination against hepatitis B virus was higher in younger individuals and in those who were born in Rondônia. CONCLUSION: Monte Negro is a highly endemic region for hepatitis B virus but not for hepatitis C virus. Our results also provide indirect evidence indicating a significant improvement in the immunization program in Rondônia in recent years.

Solar radiation use efficiency by soybean under field conditions in the Amazon region.

SOUZA, P. J. de O. P. de; RIBEIRO, A.; ROCHA, E. J. P. da; FARIAS, J. R. B.; LOUREIRO, R. S.; BISPO, C. C.; SAMPAIO, L.
Fonte: Pesquisa Agropecuária Brasileira, Brasília, DF, v. 44, n. 10, p. 1211-1218, out. 2009. Publicador: Pesquisa Agropecuária Brasileira, Brasília, DF, v. 44, n. 10, p. 1211-1218, out. 2009.
Tipo: Artigo em periódico indexado (ALICE)
EN
Relevância na Pesquisa
66.24%
Abstract ? The objective of this work was to evaluate the efficiency of soybean (Glycine max) in intercepting and using solar radiation under natural field conditions, in the Amazon region, Brazil. The meteorological data and the values of soybean growth and leaf area were obtained from an agrometeorological experiment carried out in Paragominas, Pará state, during 2007 and 2008. The radiation use efficiency (RUE) was obtained from the ratio between the above-ground biomass production and the intercepted photosynthetically active radiation (PAR) accumulated to 99 and 95 days after sowing, in 2007 and 2008, respectively. Climatic conditions during the experiment were very distinct, with reduction in rainfall in 2007, which began during the soybean mid-cycle, due to the El Niño phenomenon. An important reduction in the leaf area index and biomass production was observed during 2007. Under natural field conditions in the Amazon region, the values of RUE were 1.46 and 1.99 g MJ-1 PAR in the 2007 and 2008 experiments, respectively. The probable reason for the differences found between these years might be associated to the water restriction in 2007 coupled with the higher air temperature and vapor pressure deficit, and also to the increase in the fraction of diffuse radiation that reached the land surface in 2008.; 2009

Surveillance, health promotion and control of Chagas disease in the Amazon Region - Medical attention in the Brazilian Amazon Region: a proposal

Coura,José Rodrigues; Junqueira,Angela CV
Fonte: Instituto Oswaldo Cruz, Ministério da Saúde Publicador: Instituto Oswaldo Cruz, Ministério da Saúde
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2015 EN
Relevância na Pesquisa
66.41%
We refer to Oswaldo Cruz’s reports dating from 1913 about the necessities of a healthcare system for the Brazilian Amazon Region and about the journey of Carlos Chagas to 27 locations in this region and the measures that would need to be adopted. We discuss the risks of endemicity of Chagas disease in the Amazon Region. We recommend that epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should be implemented through continuous monitoring of the human population that lives in the area, their housing, the environment and the presence of triatomines. The monitoring should be performed with periodic seroepidemiological surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare technicians to identify Trypanosoma cruzifrom patients’ samples and T. cruziinfection rates among the triatomines caught. We recommend health promotion and control of Chagas disease through public health policies, especially through sanitary education regarding the risk factors for Chagas disease. Finally, we propose a healthcare system through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation...

Soroprevalência de hepatite B e hepatite C em Monte Negro, Rondônia, Região Amazônica Ocidental Brasileira; Seroprevalence of hepatitis B virus and hepatitis C virus in Monte Negro in the Brazilian western Amazon region

El Khouri, Marcelo; Duarte, Leandro Savoy; Ribeiro, Rafael Bernadon; Silva, Luis Fernando Ferraz da; Camargo, Luis Marcelo Aranha; Santos, Vera Aparecida dos; Burattini, Marcelo Nascimento; Corbett, Carlos Eduardo Pereira
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/02/2005 ENG
Relevância na Pesquisa
66.2%
OBJETIVOS: O presente estudo foi realizado em Monte Negro, Rondônia, Amazônia Oriental, onde um projeto de acadêmicos de Medicina da Universidade de São Paulo promoveu assistência médica à população rural. O objetivo foi determinar a soroprevalência de Hepatite B e Hepatite C, investigar os fatores de risco para sua infecção e avaliar o status imunológico vacinal contra Hepatite B nesta região. MÉTODOS: O estudo é uma pesquisa de corte transversal de soroprevalência, compreendendo 267 voluntários que tiveram suas amostras sanguíneas coletadas após preenchimento de um questionário. As amostras foram analisadas em São Paulo usando kits comerciais pesquisando anticorpos contra Hepatite B (AgHBs, Anti-HBs e Anti-HBc) e Hepatite C . Um banco de dados montado através do questionário foi analisado em relação aos resultados sorológicos com testes uni-, bi-, e multivariado, considerando ± = 5%. RESULTADOS: A soroprevalência do VHB encontrada foi de 61.79% e do Hepatite C, 0.38%. A análise dos possíveis fatores de risco mostrou que a prevalência de Hepatite B aumenta com a idade, especialmente após a adolescência, além de ser maior em aqueles nascidos em Rondônia. A exposição à vacinação contra Hepatite B foi maior em indivíduos jovens e aqueles nascidos em Rondônia. CONCLUSÃO: Monte Negro é uma região altamente endêmica para Hepatite B ...

New species of Helicops Wagler, 1830 (Serpentes, Colubridae) from Tapajós river, Amazon region, Brazil; Nova espécie de Helicops Wagler, 1830 (Serpentes, Colubridae) do rio Tapajós, Amazônia, Brasil

Frota, Jossehan Galúcio da
Fonte: Universidade de São Paulo. Escola Superior de Agricultura Luiz de Queiróz Publicador: Universidade de São Paulo. Escola Superior de Agricultura Luiz de Queiróz
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/06/2005 POR
Relevância na Pesquisa
66.26%
Within the 14 species of Helicops known, five of them are distributed in Brazilian Amazon region. Here I describe a new species of Helicops based on three specimens from Tapajós river, western Pará state, Brazil. The new species is characterized by an opaque, green-moss uniform coloration on the vertebral and paravertebral scales, extending until the end of the tail, becoming yellow-greenish in the paraventral region, without spots, blotches or stripes on the whole dorsum. It differs from all species known of Helicops by the dorsal color pattern. Morphologically, the new species seems like H. leopardinus (as indicated by the number of dorsal scale rows, the number of ventral scales, and the number of teeth), but it has smaller lobes in the hemipenis and a very distinct color pattern. Illustrations of the type material and a dicotomic key are presented to help to distinguish the new species from other species of Helicops from Brazilian Amazon region.

Triagem molecular de portadores assintomáticos de Plasmodium sp. entre Bancos de Sangue da região Amazônica brasileira; Molecular screening of Plasmodium sp. asymptomatic carriers among transfusion centers from Brazilian Amazon region

Fugikaha, Érica; Fornazari, Patrícia Aparecida; Penhalbel, Roberta de Souza Rodrigues; Lorenzetti, Alexandre; Maroso, Roberto Duarte; Amoras, Juvanete Távora; Saraiva, Ana Sueli; Silva, Rita Uchôa da; Bonini-Domingos, Cláudia Regina; Mattos, Luiz Car
Fonte: Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo Publicador: Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/02/2007 ENG
Relevância na Pesquisa
66.21%
A transmissão da malária no Brasil é heterogênea em todas as áreas endêmicas e a presença de portadores assintomáticos de Plasmodium sp. (PAPs) na Amazônia brasileira já foi demonstrada. A triagem de pacientes maláricos em bancos de sangue é baseada na seleção dos doadores com relação aos riscos possíveis associados com residência, evidência clínica e/ou os métodos diagnósticos não acurados que aumentam a probabilidade da infecção transmitida por transfusão. Avaliamos a freqüência de PAPs em quatro bancos de sangue em áreas distintas da região Amazônica brasileira. O DNA foi obtido a partir de 400 amostras de sangue humano usando o método do fenol-clorofórmio, seguido por um protocolo de nested-PCR com oligonucleotídeos espécie-específicos. A taxa de positividade variou de 1 a 3% de doadores do sangue das quatro áreas, com uma média de 2,3%. Todos os indivíduos positivos tinham infecções mistas entre o Plasmodium vivax e o Plasmodium falciparum. Nenhuma diferença significativa nos resultados foi detectada entre estas áreas; a maioria dos casos originou dos Hemocentros de Porto Velho, do Estado de Rondônia e de Macapá, Estado do Amapá. Embora ainda não esteja claro se os indivíduos PAPs possam agir como reservatórios do parasito...