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  • Mose Bang posted an update 9 days ago

    The factors were used to form clusters, classified in 3 to 5 strata. Three proposals were drafted for perinatal health regions. The study’s principal contribution was having presented parameters for monitoring the regionalization and systematic reevaluation of this process based on administrative records.This article presents the history and construction of the National Health Survey (PNS) 2019, a household survey conducted in partnership with the Brazilian Institute of Geography and Statistics. The objective of PNS 2019 was to provide the country with information on the health determinants, conditionants and needs of the Brazilian population. The expected sample was 108,525 households, considering a 20% non-response rate. The questionnaire had three parts, covering (i) the household; (ii) all residents of the household, focusing on collection of socioeconomic and health information; and (iii) the selected resident (15 years old or more) for whom lifestyles, chronic diseases, violence, among other topics were investigated, as well as their anthropometric measurements (subsample). The information provided by PNS 2019 will serve as a basis for the (re)formulation of health policies, as well as support for existing actions and programs of the Brazilian National Health System.

    To analyze association between prevalence and severity of dental caries and demographic, socioeconomic, behavioral and oral health status in adolescents.

    This was a cross-sectional study with secondary data on 5,558 adolescents examined in the São Paulo State Oral Health Survey in 2015. The zero-inflated negative binomial regression model was used, considering sample weights. Prevalence ratios (PR), ratios of mean (RM) and confidence intervals (CI) were estimated.

    Caries prevalence was 71.7%, and was higher in females (PR=1.09 – 95%CI 1.04;1.15), associated with being behind at school (PR=1.11 – 95%CI 1.03;1.18), dental calculus (PR=1.10 – 95%CI 1.01;1.20) and no access to fluoridated water (PR=1.21 – 95%CI 1.01;1.45).

    Identification of factors associated with dental caries can instruct the programming of health services aimed at controlling the disease.

    Identification of factors associated with dental caries can instruct the programming of health services aimed at controlling the disease.A histopathological survey was conducted to investigate the presence of microparasites in fish Archosargus probatocephalus in a river near Maceió, Brazil. Light microscope observations of fragments of gill showed the presence of small cysts containing numerous myxospores that were morphologically identified as Henneguya. Transmission electron microscopy observations further revealed several gill cells containing groups of prokaryotic cells within large cytoplasmic vacuoles. Each infected host cell displayed a single vacuole containing a variable number of Rickettsia-like cells (up to 11), some of which presented the dumbbell shape characteristic of binary fission. The Rickettsia-like cells were pleomorphic, without a nucleus and with chromatin dispersed in the cytoplasm. They had a thin electron-dense wall of Gram-negative type. The morphology of these prokaryotic was similar to those of the order Rickettsiales and was described as a Rickettsia-like organism. Histopathological evaluation showed that several vacuole membranes had a lysed appearance. Some had ruptured, thus allowing direct contact between the Rickettsia-like organism and the cytoplasm of the host cell. The rupturing of the branchial epithelium may have contributed towards reduction of the surface area of the gills, but it is not possible to say that this was the cause of the host’s death.Dogs are hosts of the protozoans Toxoplasma gondii, which causes an important public health disease, and Neospora caninum. Studies that have evaluated toxoplasmosis and neosporosis for prolonged periods in dog populations are rare. We analyzed infection by both parasites in a domestic dog population over three consecutive years in São Paulo state, Brazil. In the 1st, 2nd and 3rd years of collection, 181, 193 and 172 domiciles were visited, and blood samples of 331, 371 and 348 dogs were collected for antibody serology, respectively. The seroprevalence of T. gondii in each year was 27.2%, 22.5% and 43.9%, respectively, and that of N. caninum was 7.8%, 4.8% and 6.8%, respectively. The incidence rates for T. gondii in the 2nd and 3rd collections were 13.2% and 30.0%, and those for N. caninum were 3.3% and 4.4%, respectively. Positive and negative serological conversions for both agents occurred at high frequencies during the study period. This study reveals the canine population’s serological profile and demonstrates the constant exposure of dogs to the investigated pathogens, indicating the need for prevention and control measures in the region.Native foxes face serious threats related to anthropic activities and the uncontrolled pets. However, the transmission of several pathogens such as parasites by domestic dogs is an important conservation issue with limited attention in Chile. The lack of a proper identification of the helminths of wild canids in the country, based mostly in coprological studies, limited our knowledge in potential interspecific transmission. Thus, the aim of the present survey was to identify the parasitic fauna of two native canids, the Andean fox (Lycalopex culpaeus) (n=49) and Chilla (Lycalopex griseus) (n=17), from several localities in Chile through a complete parasitological survey. Sixteen different species were identified, 9 of which are new host records for Andean fox and two for Chilla fox in South America, and three are recorded for first time in Chile. Also, five of them are of zoonotic concern and six are known to use domestic dogs as their principal hosts. These findings have implications for public health and the conservation of canids whose interspecific transmission of parasites with domestic dogs is confirmed through these findings. The need for an exhaustive surveillance of wild carnivores is emphasized considering these hosts as important sources of micro- and macroparasites.Soil samples collected near municipal schools (public/EMEI and private/EPEI schools), clubs (CLB), public squares (PS) and residential condominiums (CND) and samples of animal faeces from the Zoonosis Control Centre (CCZ) of the municipality of Votuporanga/SP were analysed using the Baermann method for the detection of zoonotic helminth larvae. The prevalence rates of the nematode genera identified were determined, and the results were compared using Fisher’s exact and chi-square frequency tests. Information about cases of larvae migrans in the population were collected from the Family Health Units and the private health plans. All sites were positive for Ancylostoma spp. and, with the exception of EPEIs and dog faeces, for Strongyloides spp. The prevalence of Ancylostoma spp. was 87.5% for CND samples, 74.29% for EMIEs, 63.64% for CLB, 61.76% for PS and 64.29% for dog’s and 42.86% for cats at CCZ. The prevalence of Strongyloides spp. PKI1422amide,myristoylated ranged from 14.29% (cats/CCZ) to 41.18% (PS). Cases of cutaneous larva migrans were reported during interviews.

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