23 results
The Salto Morato Manifest for Conservation Translocations
- Fernando Fernandez, Caroline Leuchtenberger, Valquíria Araújo, Antonio Barbosa, Gonzalo Barquero, Christine Bernardo, Arnaud Desbiez, Daniel Felippi, Maron Galliez, Mariane Kaizer, Vanessa Kanaan, Mariana Landis, Fabiana Lopes-Rocha, Camile Lugarini, Paulo Mangini, Joares May-Junior, Fabiano Melo, Everton Miranda, Fabio Nunes, Marcos Oliveira, Rogério Paula, Denise Rambaldi, Lara Renzeti, Carlos Ruiz-Miranda, Elenise Sipinski, Marina Somenzari, Mônica Valença-Montenegro, Marcelo Rheingantz
-
- Article
-
- You have access Access
- Open access
- HTML
- Export citation
Genomic epidemiology of SARS-CoV-2 in large university hospital cohort: the UnCoVER-Brazil project
- Felipe Santos de Carvalho, Sarah Danielle Slack, Francisco Barbosa-Júnior, Mateus Rennó de Campos, Guilherme Silveira Castro, Sabrina Baroni, Livia Mara Torres Bueno, Fernanda Borchers Coeli, Aparecida Yulie Yamamoto, Jorgete Maria Silva, Rodrigo do Tocantins Calado, Benedito Antônio Lopes Fonseca, Leandro Machado Colli, Fernando Bellissimo-Rodrigues
-
- Journal:
- Epidemiology & Infection / Volume 151 / 2023
- Published online by Cambridge University Press:
- 20 July 2023, e126
-
- Article
-
- You have access Access
- Open access
- HTML
- Export citation
-
This work aimed to study the role of different SARS-CoV-2 lineages in the epidemiology of multiple waves of the COVID-19 pandemic in Ribeirão Preto (São Paulo state), with comparison within Brazil and globally. Viral genomic sequencing was combined with clinical and sociodemographic information of 2,379 subjects at a large Brazilian hospital. On the whole 2,395 complete SARS-CoV-2 genomes were obtained from April 2020 to January 2022. We report variants of concern (VOC) and interest (VOI) dynamics and the role of Brazilian lineages. We identified three World Health Organization VOCs (Gamma, Delta, Omicron) and one VOI (Zeta), which caused distinct waves in this cohort. We also identified 47 distinct Pango lineages. Consistent with the high prevalence of Gamma in Brazil, Pango lineage P.1 dominated infections in this cohort for half of 2021. Each wave of infection largely consisted of a single variant group, with each new group quickly and completely rising to dominance. Despite increasing vaccination in Brazil starting in 2021, this pattern was observed throughout the study and is consistent with the hypothesis that herd immunity tends to be SARS-CoV-2 variant-specific and does not broadly protect against COVID-19.
Tree density-dependence effects on seed dispersal of a large-seeded tropical tree
- Fernanda Cristina Souza, Arleu Barbosa Viana-Junior, Pedro Uchoa Mittelman, Fernando Cesar Cascelli de Azevedo
-
- Journal:
- Journal of Tropical Ecology / Volume 39 / 2024
- Published online by Cambridge University Press:
- 13 April 2023, e17
-
- Article
- Export citation
-
One of the biggest issues in plant ecology is determining the interaction outcome between seeds and scatter-hoarding rodents because the latter has a dual role as dispersers and predators of seeds. Density-dependence contexts involving resource abundance largely influence the outcome of this interaction. Here, we investigated how the variation in the density of a large-seeded tropical tree (Joannesia princeps Vell) affects its probability of seed removal, consumption, dispersal, and burial by a neotropical rodent (Dasyprocta azarae Lichtenstein). We tested whether the elevated resource availability in high tree density areas would cause scatter hoarder’s satiation by decreasing seed removal and consumption (predator satiation hypothesis) or increasing seed dispersal and burial (predator dispersal hypothesis). We tracked the fate of 461 seeds in 14 plots with distinct J. princeps abundances inside a large Atlantic Forest fragment. We used spool-and-line tracking and camera trappings to determine seed fate and identify interacting animals. Agouti was the only species removing J. princeps seeds. Tree density benefitted J. princeps by increasing seed dispersal through buried seed but not affecting seed removal and consumption. This result shows how density-dependent contexts, such as tree density, may alter seed fate in seed–rodent interactions supporting future studies aiming to reestablishing seed dispersal functions in Atlantic Forest fragments.
Tissue eosinophilia correlates with mice susceptibility, granuloma formation and damage during Toxocara canis infection
- Thaís Leal-Silva, Camila de Almeida Lopes, Flaviane Vieira-Santos, Fabrício Marcus Silva Oliveira, Lucas Kraemer, Luiza de Lima Silva Padrão, Chiara Cássia Oliveira Amorim, Jorge Lucas Nascimento Souza, Fernando Sérgio Barbosa, Milene Alvarenga Rachid, Remo Castro Russo, Ricardo Toshio Fujiwara, Lilian Lacerda Bueno
-
- Journal:
- Parasitology / Volume 149 / Issue 7 / June 2022
- Published online by Cambridge University Press:
- 10 February 2022, pp. 893-904
-
- Article
- Export citation
-
An increase in peripheral blood eosinophils in helminth infections is expected, and these cells are known to promote immunity against these parasites. However, studies have suggested that in some specific helminths, eosinophils may promote the needs and longevity of these parasites, and their role in these infections remains undefined, including in Toxocara canis infection. Thus, this study aimed to investigate the role of eosinophils in the context of larval migration of T. canis and the immunopathological aspects of infection. For this, we used wild-type mice and mice genetically deficient for the transcription factor GATA-binding factor 1 (GATA1−/−), infected with 1000 eggs of T. canis. At 0, 3, 14 and 63 days post-infection, parasite load, tissue cytokine production, leucocyte profile, bronchoalveolar lavage cells and histopathological analyses were carried out. Collectively, our results demonstrate that the presence of eosinophils mediates susceptibility to T. canis, inducing leucocytosis and the formation of granulomas, increasing the pulmonary and cerebral parasite load, and reducing the number of neutrophils, which may be necessary to control the infection.
Genetically determined variations of selenoprotein P are associated with antioxidant, muscular, and lipid biomarkers in response to Brazil nut consumption by patients using statins
- Lígia Moriguchi Watanabe, Ana C. Bueno, Livia F. de Lima, Rafael Ferraz-Bannitz, Renata Dessordi, Mariana P. Guimarães, Maria C. Foss-Freitas, Fernando Barbosa, Jr., Anderson M. Navarro
-
- Journal:
- British Journal of Nutrition / Volume 127 / Issue 5 / 14 March 2022
- Published online by Cambridge University Press:
- 05 May 2021, pp. 679-686
- Print publication:
- 14 March 2022
-
- Article
-
- You have access Access
- HTML
- Export citation
-
Several single nucleotide polymorphisms (SNPs) could indirectly, as well directly, influence metabolic parameters related to health effects in response to selenium (Se) supplementation. This study aimed to investigate whether the selenoprotein SNPs were associated with the response of Se status biomarkers to the Brazil nut consumption in patients using statins and if the variation in Se homoeostasis could affect antioxidant protection, lipid profile, muscle homoeostasis and selenoproteins mRNA. The study was performed in the Ribeirão Preto Medical School University Hospital. Thirty-two patients using statins received one unit of Brazil nut daily for 3 months. Body composition, blood Se concentrations, erythrocyte glutathione peroxidase (GPX) activity, total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triacylglycerol (TAG), creatine kinase (CK) activity and gene expression of GPX1 and selenoprotein P (SELENOP) were evaluated before and after Brazil nut consumption. The volunteers were genotyped for SNP in GPX1 (rs1050450) and SELENOP (rs3877899 and rs7579). SNPs in selenoproteins were not associated with plasma and erythrocyte Se, but SNPs in SELENOP influenced the response of erythrocyte GPX activity and CK activity, TAG and LDL after Brazil nut consumption. Also, Brazil nut consumption increased GPX1 mRNA expression only in subjects with rs1050450 CC genotype. SELENOP mRNA expression was significantly lower in subjects with rs7579 GG genotype before and after the intervention. Thus, SNP in SELENOP could be associated with interindividual differences in Se homeostasis after Brazil nut consumption, emphasising the involvement of genetic variability in response to Se consumption towards health maintenance and disease prevention.
Diagnostic comparison of stool exam and point-of-care circulating cathodic antigen (POC-CCA) test for schistosomiasis mansoni diagnosis in a high endemicity area in northeastern Brazil
- Danielle de Freitas Bezerra, Marta Cristhiany Cunha Pinheiro, Luciene Barbosa, Agostinho Gonçalves Viana, Ricardo Toshio Fujiwara, Fernando Schemelzer de Moraes Bezerra
-
- Journal:
- Parasitology / Volume 148 / Issue 4 / April 2021
- Published online by Cambridge University Press:
- 16 November 2020, pp. 420-426
-
- Article
- Export citation
-
This study aimed to evaluate the performance of the point-of-care circulating cathodic antigen (POC-CCA) test in a highly endemic area in Brazil, comparing it to the Kato-Katz (KK) technique for sensitivity, specificity and the intensity of the reaction of the test in relation to the parasitic load. The community in Sergipe, Brazil, participated in the study, providing three stool samples, one of urine (POC-CCA) and fingers tick blood sample was tested by enzyme-linked immunosorbent assay (ELISA). Sensitivity, specificity, positive predictive value, negative predictive value, accuracy, kappa coefficient and Spearman's correlation were calculated for the POC-CCA test using the KK as the reference. The prevalence of schistosomiasis by KK testing was 48.82%; POC-CCA (t+) 66.14%; POC-CCA (t−) 45.24%. ELISA results showed 100% agreement in individuals with high and moderate eggs per gram (EPG). POC-CCA presented good diagnostic performance in individuals with medium and high EPG, but there were a high number of false negatives in individuals with low intensity infections. As observed, POC-CCA-filter test improves accuracy and sensitivity compared to a conventional test.
Evaluation of Initial Outcomes of an Antimicrobial Stewardship Program in a Nonprofit Hospital in Brazil
- Adelino Freire Junior, Fernando Fagundes, Mozar Castro Neto, Carine Barbosa, Thais Alves
-
- Journal:
- Infection Control & Hospital Epidemiology / Volume 41 / Issue S1 / October 2020
- Published online by Cambridge University Press:
- 02 November 2020, pp. s228-s229
- Print publication:
- October 2020
-
- Article
-
- You have access Access
- Export citation
-
Background: One of the main global public health challenges is the fight against microbial resistance, according to the World Health Organization. Inadequate use of antimicrobials is considered one of the main factors related to the phenomenon and is quite common in the hospital environment. Managing the use of antimicrobials in hospitals has become a necessity and has shown positive results in many ways, such as maximizing the effects of pharmacotherapy, preventing the emergence of resistant microorganisms, and reducing healthcare costs. Methods: The prescriptions for patients admitted to a 380-bed nonprofit private hospital in Belo Horizonte, Brazil were monitored from January 1, 2019, to August 31, 2019, with a monthly average of 251 patients followed by the antimicrobial stewardship (AMS) team (1 infectious diseases doctor and 2 clinical pharmacists). Patients selected for follow-up and intervention were those submitted to intravenous, intramuscular, and/or oral antibiotic therapy with the following antimicrobial agents: piperacillin/tazobactam, carbapenem, polymyxin B, tigecycline, vancomycin, teicoplanin, daptomycin, third- and fourth-generation cephalosporins, quinolone, and aminoglycosides. Patients on prophylactic or antimicrobial treatment not mentioned above were excluded from surveillance. Interventions were dose adjustments, drug adjustment by culture results, intravenous to oral treatment switch, and discontinuation of therapy. Results: There were 318 interventions, and 64.82% of the interventions performed by the AMS team were accepted by prescribers. The interventions provided a total savings of BR$ 119,706 (~US$30,000) in direct antimicrobial spending. Correlating the interventions with the defined daily dose (DDD) measurement and comparing data from the same period in 2018, we detected a reductions in the consumption of several antimicrobials: ceftriaxone (25.6%), ciprofloxacin (45.7%), meropenem (34%), piperacillin/tazobactam (12.7%), teicoplanin (18.8%), vancomycin (20.6%), cefepime (23.9%) and polymyxin B (26%). We also detected reductions in days of therapy (DOT) for most of these drugs, such as polymyxin B, with an average reduction of 2 DOT. Conclusions: Reducing antimicrobial use is one of the key strategies for avoiding unnecessary exposure and selective pressure leading to the emergence of resistant microorganisms. The measured data point to a favorable trend in the rational use of antimicrobials in our institution with simple interventions. The results presented were used to reaffirm the importance of the AMS team in our institution. More data on length of stay, indirect costs, reduction of side effects, mortality, and occurrence of microbial resistance should be made.
Funding: None
Disclosures: None
Epidemiological aspects and spatial patterns of human visceral leishmaniasis in Brazil
- Iolanda Graepp-Fontoura, David Soeiro Barbosa, Luiz Fernando Costa Nascimento, Volmar Morais Fontoura, Adriana Gomes Nogueira Ferreira, Francisca Aline Arrais Sampaio Santos, Benedito Salazar Sousa, Floriacy Stabnow Santos, Marcelino Santos-Neto, Leonardo Hunaldo dos Santos, Ana Lúcia Abreu-Silva
-
- Journal:
- Parasitology / Volume 147 / Issue 14 / December 2020
- Published online by Cambridge University Press:
- 21 September 2020, pp. 1665-1677
-
- Article
- Export citation
-
Human visceral leishmaniasis (HVL) cases are important public health problems due to their zoonotic aspect, with high rates of morbidity and mortality in Brazil. The aim of this this study was to identify spatial patterns in both rates of HVL cases in Brazilian states during the period from 2006 to 2015. This is an ecological study, using geoprocessing tools to create choropleth maps, based on secondary data from open access platforms, to identify priority areas for control actions of the disease. Data were collected in 2017 and analysed according to the global and local Moran's I, using TerraView 4.2.2 software. Similar clusters were observed in neighbouring municipalities in thematic maps of HVL, suggesting spatial similarity in the distribution of the disease in humans mainly in the North and Northeast Regions, which concentrate the states with the highest rates of HVL. Heterogeneous spatial patterns were observed in the distribution of HVL, which show municipalities that need higher priority in the intensification of disease surveillance and control strategies.
Timing of the Middle-to-Upper Palaeolithic transition in the Iberian inland (Cardina-Salto do Boi, Côa Valley, Portugal)
- Thierry Aubry, Luca Antonio Dimuccio, António Fernando Barbosa, Luís Luís, André Tomás Santos, Marcelo Silvestre, Kristina Jørkov Thomsen, Eike Rades, Martin Autzen, Andrew Sean Murray
-
- Journal:
- Quaternary Research / Volume 98 / November 2020
- Published online by Cambridge University Press:
- 19 June 2020, pp. 81-101
-
- Article
- Export citation
-
The timing of the Neanderthal-associated Middle Palaeolithic demise and a possible overlap with anatomically modern humans (AMH) in some regions of Eurasia continues to be debated. The Iberian Peninsula is considered a possible refuge zone for the last Neanderthals, but the chronology of the later Middle Palaeolithic record has undergone revision and has increased the debate on the timing of Neanderthal extinction. Here we report on a study of the 5-m-thick archaeological stratigraphy of the Cardina-Salto do Boi, an open-air site located in inland Iberia, from which optically stimulated luminescence (OSL) ages were obtained for Middle and Upper Palaeolithic occupations preserved in overbank alluvial deposits. Geomorphology, archaeostratigraphy, stone-tool evolution, and OSL dating support the persistence of Neanderthals after 41 ka in central Iberia; the transition between the Middle Palaeolithic material culture and the AMH-associated Aurignacian blade and bladelet production is estimated to lie between 34.0 ± 2.0 ka and 38.4 ± 1.9 ka. Our results demonstrate that investigations focusing on different geomorphological situations are necessary to overcome the current limitations of the evidence and to establish more consistent models for Neanderthal disappearance and AMH expansion in the Iberian Peninsula.
The multiple facets of psychopathy in attack and defense conflicts
- Tiago O. Paiva, Rui C. Coelho, Rita Pasion, Beatriz Ribeiro, Pedro R. Almeida, Fernando Ferreira-Santos, João Marques-Teixeira, Fernando Barbosa
-
- Journal:
- Behavioral and Brain Sciences / Volume 42 / 2019
- Published online by Cambridge University Press:
- 13 August 2019, e135
-
- Article
- Export citation
-
With respect to De Dreu and Gross's article, we comment on the psychological functions for attack and defense, focusing on associations between individual differences in psychopathic personality traits and the behavioral patterns observed in attack-defense conflicts. We highlight the dimensional nature of psychopathy and formulate hypothetical associations between distinct traits, their different behavioral outcomes, and associated brain mechanisms.
Improving Graphene-metal Contacts: Thermal Induced Polishing – CORRIGENDUM
- Eliezer Fernando Oliveira, Ricardo Paupitz Barbosa dos Santos, Pedro Alves da Silva Autreto, Stanislav Moshkalev, Douglas Soares Galvão
-
- Journal:
- MRS Advances / Volume 3 / Issue 1-2 / 2018
- Published online by Cambridge University Press:
- 19 February 2018, p. 127
- Print publication:
- 2018
-
- Article
-
- You have access Access
- Export citation
Recurrent Criminal Behavior and Executive Dysfunction
- Manuel Fernando Santos Barbosa, Luis Manuel Coelho Monteiro
-
- Journal:
- The Spanish Journal of Psychology / Volume 11 / Issue 1 / May 2008
- Published online by Cambridge University Press:
- 10 April 2014, pp. 259-265
-
- Article
- Export citation
-
Objective:
To experimentally test the hypothesis that people who repeatedly participate in forms of non-violent crime exhibit an executive deficit detected in tests of high ecological validity, having changes in prefrontal functioning as neurophysiologic basis.
Participants and Methods:A battery to assess executive dysfunction was administered – the Behavioural Assessment of the Dysexecutive Syndrome (BADS) –to an experimental group of 30 inmates convicted of crimes against property (mean age = 39.3, SD =9.98), and a control group of 30 (mean age = 32.7, SD = 11.8), all male.
Results:The group of recurrent inmates performed significantly worse than the control group in their global scores on the battery, as well as in the majority of subscales.
Conclusion:Without removing from consideration the fact that sample size was not very large and, primarily, alerting ourselves to the dangerous hypothesis of a “frontal criminogenesis,” the authors interpret criminal recurrence and resistance to penal measures in terms of the scarcity of control that individuals from the experimental group have over their behavior and its respective consequences.
Morphometric and biotic variables as potential predictors of Ludwigia sedoides (Humb. & Bonpl.) Hara in a large Amazonian reservoir
- Marcus Vinicius Moreira Barbosa, Josilaine Taeco Kobayashi, Fernando Mayer Pelicice
-
- Journal:
- Annales de Limnologie - International Journal of Limnology / Volume 50 / Issue 2 / 2014
- Published online by Cambridge University Press:
- 04 April 2014, pp. 163-171
- Print publication:
- 2014
-
- Article
- Export citation
-
Reservoirs cause hydrological changes (i.e., water level stabilization) that favor the colonization of aquatic macrophytes. Knowing the ecological factors that determine the occurrence of these plants is critical for water management (e.g., plant control) and biodiversity conservation. In this sense, the present study investigated colonization patterns of Ludwigia sedoides in Lajeado reservoir (Tocantins River, Amazon Basin), in order to identify variables that influence colonization at habitat scale. We investigated the relationship between colonization (coverage area and occurrence) and morphometric (fetch, slope, depth and distance from shoreline) and biotic variables (local diversity of macrophytes and co-occurrence patterns). Stepwise regression selected fetch, depth and slope as the best variables to explain the variation in L. sedoides coverage, which together explained 46% of data variability. Fetch and slope were negatively correlated with coverage, whereas depth showed a positive correlation. No biotic variable was included in the model (P>0.05). However, the investigation of the geometric shape of bivariate correlations (null models) showed positive relationships with local species richness and richness of life forms (i.e., submerged, emergent, floating and epiphytic). In addition, an analysis of species co-occurrence (C-score) revealed that L. sedoides is negatively associated with some macrophyte species. We believe, however, that these results may be associated with species preferences for particular environmental conditions. In conclusion, the present study indicated that morphometric variables are potential predictors of the colonization of L. sedoides in Lajeado reservoir. Sheltered sites with low slope and moderate depths represent favorable environment for colonization and growth.
EUDORYLAS (METADORYLAS) SP. (DIPTERA: PIPUNCULIDAE): A PREVIOUSLY UNREPORTED PARASITOID OF DALBULUS MAIDIS (DELONG AND WOLCOTT) AND DALBULUS ELIMATUS (BALL) (HOMOPTERA: CICADELLIDAE)
- Fernando E. Vega, Pedro Barbosa, Alejandro Perez Panduro
-
- Journal:
- The Canadian Entomologist / Volume 123 / Issue 1 / February 1991
- Published online by Cambridge University Press:
- 31 May 2012, pp. 241-242
-
- Article
- Export citation
-
The genus Dalbulus (Homoptera: Cicadellidae) consists of 11 species, 10 of which can be found in México (Nault 1990). Some members in the genus, such as the corn leafhopper, Dalbulus maidis (DeLong and Wolcott), and the Mexican corn leafhopper, Dalbulus elimatus (Ball) are serious pests of maize due to their transmission of three corn stunting pathogens: corn stunt spiroplasma (CSS; Spiroplasma kunkelii Whitcomb et al.), maize bushy stunt mycoplasmalike organism (MBSM), and maize rayado fino virus (MRFV) (Nault 1990). Due to the widespread damage that these leafhopper-vectored pathogens cause in maize-growing regions in Latin America, a search for the leafhopper natural enemies was conducted in maize agroecosystems in central México.
Life history traits of the sand stargazer Dactyloscopus tridigitatus (Teleostei: Blennioidei) from south-eastern Brazilian coast
- Rogério Luiz Teixeira, Eduardo Hoffman de Barros, Rodrigo Barbosa Ferreira, Rafael Magno Costa Melo, Luiz Fernando Salvador-Jr
-
- Journal:
- Journal of the Marine Biological Association of the United Kingdom / Volume 93 / Issue 2 / March 2013
- Published online by Cambridge University Press:
- 14 December 2011, pp. 397-403
-
- Article
- Export citation
-
Individuals of the sand stargazer Dactyloscopus tridigitatus were collected monthly over a period of one year in an urban-sandy beach in south-eastern Brazil. We sampled 57 males, 64 females, and 6 juveniles, indicating a sex-ratio of approximately 1:1. Total length and weight did not differ significantly between sexes, showing no sexual dimorphism in size. The growth of D. tridigitatus was highly positive allometric and the correlation coefficient was significant for both sexes. Males were observed carrying two egg clumps under each enlarged pectoral fin during most of the year. In contrast, females showed a more restricted reproductive period, concentrated during the austral rainy season. The number of eggs in each clump carried by males did not differ significantly from the number of vitellogenic oocytes of mature females. The number of eggs carried by males was weakly correlated to male total length; however, female fecundity was strongly correlated to female total length. Dactyloscopus tridigitatus consumed a high variety of prey items, including crustaceans, annelids, molluscs, teleosts, insects and eggs. Isopods were the most important component of the diet followed by polychaetes and amphipods. We concluded that promiscuous breeding, paternal care behaviour and invertivorous feeding habits seem to be important traits for the species' success in the studied habitat.
Visual acuity in fish consumers of the Brazilian Amazon: risks and benefits from local diet
- Myriam Fillion, Mélanie Lemire, Aline Philibert, Benoît Frenette, Hope Alberta Weiler, Jason Robert Deguire, Jean Remy Davée Guimarães, Fabrice Larribe, Fernando Barbosa, Jr, Donna Mergler
-
- Journal:
- Public Health Nutrition / Volume 14 / Issue 12 / December 2011
- Published online by Cambridge University Press:
- 06 September 2011, pp. 2236-2244
-
- Article
-
- You have access Access
- HTML
- Export citation
-
Objective
To examine the associations between near and distant visual acuity and biomarkers of Hg, Pb, n-3 fatty acids and Se from the local diet of fish-eating communities of the Tapajós River in the Brazilian Amazon.
DesignVisuo-ocular health and biomarkers of Hg (hair, whole blood, plasma), Pb (whole blood), Se (whole blood and plasma) and n-3 fatty acids (plasma total phospholipids) were assessed in a cross-sectional study.
SettingLower Tapajós River Basin (State of Pará, Brazil), May to July 2006.
SubjectsTwo hundred and forty-three adults (≥15 years) without diagnosed age-related cataracts or ocular pathologies.
ResultsNear visual acuity was negatively associated with hair Hg and positively associated with %DHA, with a highly significant Log Hg × age interaction term. Stratifying for age showed that while young people presented good acuity, for those aged ≥40 years, clinical presbyopia was associated with hair Hg ≥ 15 μg/g (OR = 3·93, 95 % CI 1·25, 14·18) and %DHA (OR = 0·37, 95 % CI 0·11, 1·11). A similar age-related pattern was observed for distant visual acuity in relation to blood Pb, but the evidence was weaker.
ConclusionsThese findings suggest that Hg and Pb may affect visual acuity in older persons, while DHA appears to be protective for near visual acuity loss. In this population, with little access to eye care, diet may have an important influence on visuo-ocular ageing.
Contributors
-
- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. Chapman, James H. Charlesworth, Kenneth R. Chase, Chen Zemin, Luciano Chianeque, Philip Chia Phin Yin, Francisca H. Chimhanda, Daniel Chiquete, John T. Chirban, Soobin Choi, Robert Choquette, Mita Choudhury, Gerald Christianson, John Chryssavgis, Sejong Chun, Esther Chung-Kim, Charles M. A. Clark, Elizabeth A. Clark, Sathianathan Clarke, Fred Cloud, John B. Cobb, W. Owen Cole, John A Coleman, John J. Collins, Sylvia Collins-Mayo, Paul K. Conkin, Beth A. Conklin, Sean Connolly, Demetrios J. Constantelos, Michael A. Conway, Paula M. Cooey, Austin Cooper, Michael L. Cooper-White, Pamela Cooper-White, L. William Countryman, Sérgio Coutinho, Pamela Couture, Shannon Craigo-Snell, James L. Crenshaw, David Crowner, Humberto Horacio Cucchetti, Lawrence S. Cunningham, Elizabeth Mason Currier, Emmanuel Cutrone, Mary L. Daniel, David D. Daniels, Robert Darden, Rolf Darge, Isaiah Dau, Jeffry C. Davis, Jane Dawson, Valentin Dedji, John W. de Gruchy, Paul DeHart, Wendy J. Deichmann Edwards, Miguel A. De La Torre, George E. Demacopoulos, Thomas de Mayo, Leah DeVun, Beatriz de Vasconcellos Dias, Dennis C. Dickerson, John M. Dillon, Luis Miguel Donatello, Igor Dorfmann-Lazarev, Susanna Drake, Jonathan A. Draper, N. Dreher Martin, Otto Dreydoppel, Angelyn Dries, A. J. Droge, Francis X. D'Sa, Marilyn Dunn, Nicole Wilkinson Duran, Rifaat Ebied, Mark J. Edwards, William H. Edwards, Leonard H. Ehrlich, Nancy L. Eiesland, Martin Elbel, J. Harold Ellens, Stephen Ellingson, Marvin M. Ellison, Robert Ellsberg, Jean Bethke Elshtain, Eldon Jay Epp, Peter C. Erb, Tassilo Erhardt, Maria Erling, Noel Leo Erskine, Gillian R. Evans, Virginia Fabella, Michael A. Fahey, Edward Farley, Margaret A. Farley, Wendy Farley, Robert Fastiggi, Seena Fazel, Duncan S. Ferguson, Helwar Figueroa, Paul Corby Finney, Kyriaki Karidoyanes FitzGerald, Thomas E. FitzGerald, John R. Fitzmier, Marie Therese Flanagan, Sabina Flanagan, Claude Flipo, Ronald B. Flowers, Carole Fontaine, David Ford, Mary Ford, Stephanie A. Ford, Jim Forest, William Franke, Robert M. Franklin, Ruth Franzén, Edward H. Friedman, Samuel Frouisou, Lorelei F. Fuchs, Jojo M. Fung, Inger Furseth, Richard R. Gaillardetz, Brandon Gallaher, China Galland, Mark Galli, Ismael García, Tharscisse Gatwa, Jean-Marie Gaudeul, Luis María Gavilanes del Castillo, Pavel L. Gavrilyuk, Volney P. Gay, Metropolitan Athanasios Geevargis, Kondothra M. George, Mary Gerhart, Simon Gikandi, Maurice Gilbert, Michael J. Gillgannon, Verónica Giménez Beliveau, Terryl Givens, Beth Glazier-McDonald, Philip Gleason, Menghun Goh, Brian Golding, Bishop Hilario M. Gomez, Michelle A. Gonzalez, Donald K. Gorrell, Roy Gottfried, Tamara Grdzelidze, Joel B. Green, Niels Henrik Gregersen, Cristina Grenholm, Herbert Griffiths, Eric W. Gritsch, Erich S. Gruen, Christoffer H. Grundmann, Paul H. Gundani, Jon P. Gunnemann, Petre Guran, Vidar L. Haanes, Jeremiah M. Hackett, Getatchew Haile, Douglas John Hall, Nicholas Hammond, Daphne Hampson, Jehu J. Hanciles, Barry Hankins, Jennifer Haraguchi, Stanley S. Harakas, Anthony John Harding, Conrad L. Harkins, J. William Harmless, Marjory Harper, Amir Harrak, Joel F. Harrington, Mark W. Harris, Susan Ashbrook Harvey, Van A. Harvey, R. Chris Hassel, Jione Havea, Daniel Hawk, Diana L. Hayes, Leslie Hayes, Priscilla Hayner, S. Mark Heim, Simo Heininen, Richard P. Heitzenrater, Eila Helander, David Hempton, Scott H. Hendrix, Jan-Olav Henriksen, Gina Hens-Piazza, Carter Heyward, Nicholas J. Higham, David Hilliard, Norman A. Hjelm, Peter C. Hodgson, Arthur Holder, M. Jan Holton, Dwight N. Hopkins, Ronnie Po-chia Hsia, Po-Ho Huang, James Hudnut-Beumler, Jennifer S. Hughes, Leonard M. Hummel, Mary E. Hunt, Laennec Hurbon, Mark Hutchinson, Susan E. Hylen, Mary Beth Ingham, H. Larry Ingle, Dale T. Irvin, Jon Isaak, Paul John Isaak, Ada María Isasi-Díaz, Hans Raun Iversen, Margaret C. Jacob, Arthur James, Maria Jansdotter-Samuelsson, David Jasper, Werner G. Jeanrond, Renée Jeffery, David Lyle Jeffrey, Theodore W. Jennings, David H. Jensen, Robin Margaret Jensen, David Jobling, Dale A. Johnson, Elizabeth A. Johnson, Maxwell E. Johnson, Sarah Johnson, Mark D. Johnston, F. Stanley Jones, James William Jones, John R. Jones, Alissa Jones Nelson, Inge Jonsson, Jan Joosten, Elizabeth Judd, Mulambya Peggy Kabonde, Robert Kaggwa, Sylvester Kahakwa, Isaac Kalimi, Ogbu U. Kalu, Eunice Kamaara, Wayne C. Kannaday, Musimbi Kanyoro, Veli-Matti Kärkkäinen, Frank Kaufmann, Léon Nguapitshi Kayongo, Richard Kearney, Alice A. Keefe, Ralph Keen, Catherine Keller, Anthony J. Kelly, Karen Kennelly, Kathi Lynn Kern, Fergus Kerr, Edward Kessler, George Kilcourse, Heup Young Kim, Kim Sung-Hae, Kim Yong-Bock, Kim Yung Suk, Richard King, Thomas M. King, Robert M. Kingdon, Ross Kinsler, Hans G. Kippenberg, Cheryl A. Kirk-Duggan, Clifton Kirkpatrick, Leonid Kishkovsky, Nadieszda Kizenko, Jeffrey Klaiber, Hans-Josef Klauck, Sidney Knight, Samuel Kobia, Robert Kolb, Karla Ann Koll, Heikki Kotila, Donald Kraybill, Philip D. W. Krey, Yves Krumenacker, Jeffrey Kah-Jin Kuan, Simanga R. Kumalo, Peter Kuzmic, Simon Shui-Man Kwan, Kwok Pui-lan, André LaCocque, Stephen E. Lahey, John Tsz Pang Lai, Emiel Lamberts, Armando Lampe, Craig Lampe, Beverly J. Lanzetta, Eve LaPlante, Lizette Larson-Miller, Ariel Bybee Laughton, Leonard Lawlor, Bentley Layton, Robin A. Leaver, Karen Lebacqz, Archie Chi Chung Lee, Marilyn J. Legge, Hervé LeGrand, D. L. LeMahieu, Raymond Lemieux, Bill J. Leonard, Ellen M. Leonard, Outi Leppä, Jean Lesaulnier, Nantawan Boonprasat Lewis, Henrietta Leyser, Alexei Lidov, Bernard Lightman, Paul Chang-Ha Lim, Carter Lindberg, Mark R. Lindsay, James R. Linville, James C. Livingston, Ann Loades, David Loades, Jean-Claude Loba-Mkole, Lo Lung Kwong, Wati Longchar, Eleazar López, David W. Lotz, Andrew Louth, Robin W. Lovin, William Luis, Frank D. Macchia, Diarmaid N. J. MacCulloch, Kirk R. MacGregor, Marjory A. MacLean, Donald MacLeod, Tomas S. Maddela, Inge Mager, Laurenti Magesa, David G. Maillu, Fortunato Mallimaci, Philip Mamalakis, Kä Mana, Ukachukwu Chris Manus, Herbert Robinson Marbury, Reuel Norman Marigza, Jacqueline Mariña, Antti Marjanen, Luiz C. L. Marques, Madipoane Masenya (ngwan'a Mphahlele), Caleb J. D. Maskell, Steve Mason, Thomas Massaro, Fernando Matamoros Ponce, András Máté-Tóth, Odair Pedroso Mateus, Dinis Matsolo, Fumitaka Matsuoka, John D'Arcy May, Yelena Mazour-Matusevich, Theodore Mbazumutima, John S. McClure, Christian McConnell, Lee Martin McDonald, Gary B. McGee, Thomas McGowan, Alister E. McGrath, Richard J. McGregor, John A. McGuckin, Maud Burnett McInerney, Elsie Anne McKee, Mary B. McKinley, James F. McMillan, Ernan McMullin, Kathleen E. McVey, M. Douglas Meeks, Monica Jyotsna Melanchthon, Ilie Melniciuc-Puica, Everett Mendoza, Raymond A. Mentzer, William W. Menzies, Ina Merdjanova, Franziska Metzger, Constant J. Mews, Marvin Meyer, Carol Meyers, Vasile Mihoc, Gunner Bjerg Mikkelsen, Maria Inêz de Castro Millen, Clyde Lee Miller, Bonnie J. Miller-McLemore, Alexander Mirkovic, Paul Misner, Nozomu Miyahira, R. W. L. Moberly, Gerald Moede, Aloo Osotsi Mojola, Sunanda Mongia, Rebeca Montemayor, James Moore, Roger E. Moore, Craig E. Morrison O.Carm, Jeffry H. Morrison, Keith Morrison, Wilson J. Moses, Tefetso Henry Mothibe, Mokgethi Motlhabi, Fulata Moyo, Henry Mugabe, Jesse Ndwiga Kanyua Mugambi, Peggy Mulambya-Kabonde, Robert Bruce Mullin, Pamela Mullins Reaves, Saskia Murk Jansen, Heleen L. Murre-Van den Berg, Augustine Musopole, Isaac M. T. Mwase, Philomena Mwaura, Cecilia Nahnfeldt, Anne Nasimiyu Wasike, Carmiña Navia Velasco, Thulani Ndlazi, Alexander Negrov, James B. Nelson, David G. Newcombe, Carol Newsom, Helen J. Nicholson, George W. E. Nickelsburg, Tatyana Nikolskaya, Damayanthi M. A. Niles, Bertil Nilsson, Nyambura Njoroge, Fidelis Nkomazana, Mary Beth Norton, Christian Nottmeier, Sonene Nyawo, Anthère Nzabatsinda, Edward T. Oakes, Gerald O'Collins, Daniel O'Connell, David W. Odell-Scott, Mercy Amba Oduyoye, Kathleen O'Grady, Oyeronke Olajubu, Thomas O'Loughlin, Dennis T. Olson, J. Steven O'Malley, Cephas N. Omenyo, Muriel Orevillo-Montenegro, César Augusto Ornellas Ramos, Agbonkhianmeghe E. Orobator, Kenan B. Osborne, Carolyn Osiek, Javier Otaola Montagne, Douglas F. Ottati, Anna May Say Pa, Irina Paert, Jerry G. Pankhurst, Aristotle Papanikolaou, Samuele F. Pardini, Stefano Parenti, Peter Paris, Sung Bae Park, Cristián G. Parker, Raquel Pastor, Joseph Pathrapankal, Daniel Patte, W. Brown Patterson, Clive Pearson, Keith F. Pecklers, Nancy Cardoso Pereira, David Horace Perkins, Pheme Perkins, Edward N. Peters, Rebecca Todd Peters, Bishop Yeznik Petrossian, Raymond Pfister, Peter C. Phan, Isabel Apawo Phiri, William S. F. Pickering, Derrick G. Pitard, William Elvis Plata, Zlatko Plese, John Plummer, James Newton Poling, Ronald Popivchak, Andrew Porter, Ute Possekel, James M. Powell, Enos Das Pradhan, Devadasan Premnath, Jaime Adrían Prieto Valladares, Anne Primavesi, Randall Prior, María Alicia Puente Lutteroth, Eduardo Guzmão Quadros, Albert Rabil, Laurent William Ramambason, Apolonio M. Ranche, Vololona Randriamanantena Andriamitandrina, Lawrence R. Rast, Paul L. Redditt, Adele Reinhartz, Rolf Rendtorff, Pål Repstad, James N. Rhodes, John K. Riches, Joerg Rieger, Sharon H. Ringe, Sandra Rios, Tyler Roberts, David M. Robinson, James M. Robinson, Joanne Maguire Robinson, Richard A. H. Robinson, Roy R. Robson, Jack B. Rogers, Maria Roginska, Sidney Rooy, Rev. Garnett Roper, Maria José Fontelas Rosado-Nunes, Andrew C. Ross, Stefan Rossbach, François Rossier, John D. Roth, John K. Roth, Phillip Rothwell, Richard E. Rubenstein, Rosemary Radford Ruether, Markku Ruotsila, John E. Rybolt, Risto Saarinen, John Saillant, Juan Sanchez, Wagner Lopes Sanchez, Hugo N. Santos, Gerhard Sauter, Gloria L. Schaab, Sandra M. Schneiders, Quentin J. Schultze, Fernando F. Segovia, Turid Karlsen Seim, Carsten Selch Jensen, Alan P. F. Sell, Frank C. Senn, Kent Davis Sensenig, Damían Setton, Bal Krishna Sharma, Carolyn J. Sharp, Thomas Sheehan, N. Gerald Shenk, Christian Sheppard, Charles Sherlock, Tabona Shoko, Walter B. Shurden, Marguerite Shuster, B. Mark Sietsema, Batara Sihombing, Neil Silberman, Clodomiro Siller, Samuel Silva-Gotay, Heikki Silvet, John K. Simmons, Hagith Sivan, James C. Skedros, Abraham Smith, Ashley A. Smith, Ted A. Smith, Daud Soesilo, Pia Søltoft, Choan-Seng (C. S.) Song, Kathryn Spink, Bryan Spinks, Eric O. Springsted, Nicolas Standaert, Brian Stanley, Glen H. Stassen, Karel Steenbrink, Stephen J. Stein, Andrea Sterk, Gregory E. Sterling, Columba Stewart, Jacques Stewart, Robert B. Stewart, Cynthia Stokes Brown, Ken Stone, Anne Stott, Elizabeth Stuart, Monya Stubbs, Marjorie Hewitt Suchocki, David Kwang-sun Suh, Scott W. Sunquist, Keith Suter, Douglas Sweeney, Charles H. Talbert, Shawqi N. Talia, Elsa Tamez, Joseph B. Tamney, Jonathan Y. Tan, Yak-Hwee Tan, Kathryn Tanner, Feiya Tao, Elizabeth S. Tapia, Aquiline Tarimo, Claire Taylor, Mark Lewis Taylor, Bishop Abba Samuel Wolde Tekestebirhan, Eugene TeSelle, M. Thomas Thangaraj, David R. Thomas, Andrew Thornley, Scott Thumma, Marcelo Timotheo da Costa, George E. “Tink” Tinker, Ola Tjørhom, Karen Jo Torjesen, Iain R. Torrance, Fernando Torres-Londoño, Archbishop Demetrios [Trakatellis], Marit Trelstad, Christine Trevett, Phyllis Trible, Johannes Tromp, Paul Turner, Robert G. Tuttle, Archbishop Desmond Tutu, Peter Tyler, Anders Tyrberg, Justin Ukpong, Javier Ulloa, Camillus Umoh, Kristi Upson-Saia, Martina Urban, Monica Uribe, Elochukwu Eugene Uzukwu, Richard Vaggione, Gabriel Vahanian, Paul Valliere, T. J. Van Bavel, Steven Vanderputten, Peter Van der Veer, Huub Van de Sandt, Louis Van Tongeren, Luke A. Veronis, Noel Villalba, Ramón Vinke, Tim Vivian, David Voas, Elena Volkova, Katharina von Kellenbach, Elina Vuola, Timothy Wadkins, Elaine M. Wainwright, Randi Jones Walker, Dewey D. Wallace, Jerry Walls, Michael J. Walsh, Philip Walters, Janet Walton, Jonathan L. Walton, Wang Xiaochao, Patricia A. Ward, David Harrington Watt, Herold D. Weiss, Laurence L. Welborn, Sharon D. Welch, Timothy Wengert, Traci C. West, Merold Westphal, David Wetherell, Barbara Wheeler, Carolinne White, Jean-Paul Wiest, Frans Wijsen, Terry L. Wilder, Felix Wilfred, Rebecca Wilkin, Daniel H. Williams, D. Newell Williams, Michael A. Williams, Vincent L. Wimbush, Gabriele Winkler, Anders Winroth, Lauri Emílio Wirth, James A. Wiseman, Ebba Witt-Brattström, Teofil Wojciechowski, John Wolffe, Kenman L. Wong, Wong Wai Ching, Linda Woodhead, Wendy M. Wright, Rose Wu, Keith E. Yandell, Gale A. Yee, Viktor Yelensky, Yeo Khiok-Khng, Gustav K. K. Yeung, Angela Yiu, Amos Yong, Yong Ting Jin, You Bin, Youhanna Nessim Youssef, Eliana Yunes, Robert Michael Zaller, Valarie H. Ziegler, Barbara Brown Zikmund, Joyce Ann Zimmerman, Aurora Zlotnik, Zhuo Xinping
- Edited by Daniel Patte, Vanderbilt University, Tennessee
-
- Book:
- The Cambridge Dictionary of Christianity
- Published online:
- 05 August 2012
- Print publication:
- 20 September 2010, pp xi-xliv
-
- Chapter
- Export citation
Case-Crossover Study of Burkholderia cepacia Complex Bloodstream Infection Associated with Contaminated Intravenous Bromopride
- Ianick Souto Martins, Flávia Lúcia Piffano Costa Pellegrino, Andrea d'Avila Freitas, Marisa da Silva Santos, Giovanna lanini d'Alemeida Ferraiuoli, Màrcia Regina Guimarães Vasques, Efigenia Lourdes Teixeira Amorim, Sandra Oliveira, Simone Aranha Nouér, Fernando Luiz Lopes Cardoso, Luiz Affonso Mascarenhas, Ana Cristina Gouveia Magalhães, Isabella Barbosa Cleinman, Agnes Marie Sá Figueiredo, Beatriz Meurer Moreira
-
- Journal:
- Infection Control & Hospital Epidemiology / Volume 31 / Issue 5 / May 2010
- Published online by Cambridge University Press:
- 02 January 2015, pp. 516-521
- Print publication:
- May 2010
-
- Article
- Export citation
-
Objective.
To investigate an outbreak of healthcare-associated Burkholderia cepacia complex (BCC) primary bloodstream infections (BCC-BSI).
Design and Setting.Case-crossover study in a public hospital, a university hospital and a private hospital in Rio de Janeiro, Brazil, from March 2006 to May 2006.
Patients.Twenty-five patients with BCC-BSI.
Design.After determining the date BCC-BSI symptoms started for each patient, 3 time intervals of data collection were defined, each one with a duration of 3 days: the case period, starting just before BCC-BSI symptoms onset; the control period, starting 6 days before BCC-BSI symptoms onset; and the washout period, comprising the 3 days between the case period and the control period. Exposures evaluated were intravascular solutions and invasive devices and procedures. Potential risk factors were identified by using the McNemar χ2 adjusted test. Cultures of samples of potentially contaminated solutions were performed. BCC strain typing was performed by pulsed-field gel electrophoresis using Spel.
Results.The statistical analysis revealed that the use of bromopride and dipyrone was associated with BCC-BSI. A total of 21 clinical isolates from 17 (68%) of the 25 patients and an isolate obtained from the bromopride vial were available for strain typing. Six pulsotypes were detected. A predominant pulsotype (A) accounted for 11 isolates obtained from 11 patients (65%) in the 3 study hospitals.
Conclusion.Our investigation, using a case-crossover design, of an outbreak of BCC-BSI infections concluded it was polyclonal but likely caused by infusion of contaminated bromopride. The epidemiological finding was validated by microbiological analysis. After recall of contaminated bromopride vials by the manufacturer, the outbreak was controlled.
Positive Deviance A New Strategy for Improving Hand Hygiene Compliance
- Alexandre R. Marra, Luciana Reis Guastelli, Carla Manuela Pereira de Araújo, Jorge L. Saraiva dos Santos, Luiz Carlos R. Lamblet, Moacyr Silva, Jr, Gisele de Lima, Ruy Guilherme Rodrigues Cal, Ângela Tavares Paes, Miguel Cendoroglo Neto, Luciana Barbosa, Michael B. Edmond, Oscar Fernando Pavão dos Santos
-
- Journal:
- Infection Control & Hospital Epidemiology / Volume 31 / Issue 1 / January 2010
- Published online by Cambridge University Press:
- 02 January 2015, pp. 12-20
- Print publication:
- January 2010
-
- Article
- Export citation
-
Objective.
To evaluate the effectiveness of a positive deviance strategy for the improvement of hand hygiene compliance in 2 adult step-down units.
Design.A 9-month, controlled trial comparing the effect of positive deviance on compliance with hand hygiene.
Setting.Two 20-bed step-down units at a tertiary care private hospital.
Methods.The first phase of our study was a 3-month baseline period (from April to June 2008) in which hand hygiene episodes were counted by use of electronic handwashing counters. From July to September 2008 (ie, the second phase), a positive deviance strategy was implemented in the east unit; the west unit was the control unit. During the period from October to December 2008 (ie, the third phase), positive deviance was applied in both units.
Results.During the first phase, there was no statistically significant difference between the 2 step-down units in the number of episodes of hand hygiene per 1,000 patient-days or in the incidence density of healthcare-associated infections (HAIs) per 1,000 patient-days. During the second phase, there were 62,000 hand hygiene episodes per 1,000 patient-days in the east unit and 33,570 hand hygiene episodes per 1,000 patient-days in the west unit (P < .01). The incidence density of HAIs per 1,000 patient-days was 6.5 in the east unit and 12.7 in the west unit (P = .04). During the third phase, there was no statistically significant difference in hand hygiene episodes per 1,000 patient-days (P = .16) or in incidence density of HAIs per 1,000 patient-days.
Conclusion.A positive deviance strategy yielded a significant improvement in hand hygiene, which was associated with a decrease in the overall incidence of HAIs.
Results from a 15-year study on hydrocarbon concentrations in water and sediment from Admiralty Bay, King George Island, Antarctica
- Márcia C. Bícego, Eliete Zanardi-Lamardo, Satie Taniguchi, César C. Martins, Denis A.M. da Silva, Sílvio T. Sasaki, Ana C.R. Albergaria-Barbosa, Fernando S. Paolo, Rolf R. Weber, Rosalinda C. Montone
-
- Journal:
- Antarctic Science / Volume 21 / Issue 3 / June 2009
- Published online by Cambridge University Press:
- 18 February 2009, pp. 209-220
-
- Article
- Export citation
-
Admiralty Bay on the King George Island hosts the Brazilian, Polish and Peruvian research stations as well as the American and Ecuadorian field stations. Human activities in this region require the use of fossil fuels as an energy source, thereby placing the region at risk of hydrocarbon contamination. Hydrocarbon monitoring was conducted on water and sediment samples from the bay over 15 years. Fluorescence spectroscopy was used for the analysis of total polycyclic aromatic hydrocarbons (PAHs) in seawater samples and gas chromatography with flame ionization and/or mass spectrometric detection was used to analyse individual n-alkanes and PAHs in sediment samples. The results revealed that most sites contaminated by these compounds are around the Brazilian and Polish research stations due to the intense human activities, mainly during the summer. Moreover, the sediments revealed the presence of hydrocarbons from different sources, suggesting a mixture of the direct input of oil or derivatives and derived from hydrocarbon combustion. A decrease in PAH concentrations occurred following improvement of the sewage treatment facilities at the Brazilian research station, indicating that the contribution from human waste may be significant.