scholarly journals Geographical accessibility to the supply of antiophidic sera in Brazil: Timely access possibilities

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0260326
Author(s):  
Ricardo Antunes Dantas de Oliveira ◽  
Diego Ricardo Xavier Silva ◽  
Maurício Gonçalves e Silva

Snakebite accidents are considered category A neglected tropical diseases. Brazil stands out for snakebite accidents, mainly in the Amazon region. The best possible care after snakebite accidents is to obtain antiophidic sera on time. And the maximum ideal time to reach it is about 2 hours after an accident. Based on public health information and using a tool to analyze geographical accessibility, we evaluate the possibility of reaching Brazilian serum-providing health facilities from the relationship between population distribution and commuting time. In this exploratory descriptive study, the geographic accessibility of Brazilian population to health facilities that supply antiophidic serum is evaluated through a methodology that articulates several issues that influence the commuting time to health units (ACCESSMOD): population and facilities’ distribution, transportation network and means, relief and land use, which were obtained in Brazilian and international sources. The relative importance of the population without the possibility of reaching a facility in two hours is highlighted for Macro-Regions, States and municipalities. About nine million people live in locations more than two hours away from serum-providing facilities, with relevant variations between regions, states, and municipalities. States like Mato Grosso, Pará and Maranhão had the most important participation of population with reaching time problems to those units. The most significant gaps are found in areas with a dispersed population and sometimes characterized by a high incidence of snakebites, such as in the North of the country, especially in the Northeastern Pará state. Even using a 2010 population distribution information, because of the 2020 Census postponement, the tendencies and characteristics analyzed reveal challenging situations over the country. The growing availability of serum-providing health facilities, the enhanced possibilities of transporting accident victims, and even the availability of sera in other types of establishments are actions that would allow expanding the possibilities of access to serum supply.

2021 ◽  
Vol 15 (12) ◽  
pp. e0010035
Author(s):  
Amanda Gabriela de Carvalho ◽  
Anuj Tiwari ◽  
João Gabriel Guimarães Luz ◽  
Daan Nieboer ◽  
Peter Steinmann ◽  
...  

Background Leprosy and cutaneous leishmaniasis (CL) are neglected tropical diseases (NTDs) affecting the skin. Their control is challenging but the integration of skin NTDs control programs is recommended to improve timely detection and treatment. However, little is known about the occurrence of leprosy and CL in the same individuals, and what are the characteristics of such patients. This study aimed to identify and characterize patients diagnosed with both leprosy and CL (i.e., outcome) in the hyperendemic state of Mato Grosso, Brazil. Also, we investigated the demographic risk factors associated with the period between the diagnosis of both diseases. Methodology/principal findings A retrospective cohort study was conducted with patients diagnosed between 2008 and 2017. From the leprosy (n = 28,204) and CL (n = 24,771) databases of the national reporting system, 414 (0.8%; 414/52,561) patients presenting both diseases were identified through a probabilistic linkage procedure. This observed number was much higher than the number of patients that would be expected by chance alone (n = 22). The spatial distribution of patients presenting the outcome was concentrated in the North and Northeast mesoregions of the state. Through survival analysis, we detected that the probability of a patient developing both diseases increased over time from 0.2% in the first year to 1.0% within seven years. Further, using a Cox model we identified male sex (HR: 2.3; 95% CI: 1.7–2.9) and low schooling level (HR: 1.5; 95% CI: 1.2–1.9) as positively associated with the outcome. Furthermore, the hazard of developing the outcome was higher among individuals aged 40–55 years. Conclusions/significance Leprosy and CL are affecting the same individuals in the area. Integration of control policies for both diseases will help to efficiently cover such patients. Measures should be focused on timely diagnosis by following-up patients diagnosed with CL, active case detection, and training of health professionals.


2020 ◽  
Vol 45 (2) ◽  
pp. 340-348
Author(s):  
James Lucas da Costa-Lima ◽  
Earl Celestino de Oliveira Chagas

Abstract—A synopsis of Dicliptera (Acanthaceae) for Brazil is presented. Six species are recognized: Dicliptera ciliaris, D. sexangularis, and D. squarrosa, widely distributed in South America; D. purpurascens, which ranges from the North Region of Brazil (in the state of Acre) to eastern Bolivia; D. gracilirama, a new species from the Atlantic Forest of northeastern Brazil; and D. granchaquenha, a new species recorded in dry and semideciduous forests in Bolivia and western Brazil, in the state of Mato Grosso do Sul. Furthermore, we propose new synonyms and designate lectotypes for eleven names. An identification key to the six accepted Dicliptera species in Brazil is provided.


2017 ◽  
Vol 92 (3) ◽  
pp. 353-368 ◽  
Author(s):  
K.D.C. Ferreira ◽  
A.R.O. Rodrigues ◽  
J.-M. Cunha ◽  
M.V. Domingues

AbstractFive species of Urocleidoides (one new) and two new species of Constrictoanchoratus n. gen. are described in this study. All were collected from the gills of Hoplias malabaricus (Characiformes: Erythrinidae) captured in six localities of coastal rivers of the north-eastern sector the State of Pará (Oriental Amazon): Urocleidoides brasiliensis Rosim, Mendoza-Franco & Luque, 2011; Urocleidoides bulbophallus n. sp.; Urocleidoides cuiabai Rosim, Mendoza-Franco & Luque, 2011; Urocleidoides eremitus Kritsky, Thatcher & Boeger, 1986; Urocleidoides malabaricusi Rosim, Mendoza-Franco & Luque, 2011; Constrictoanchoratus lemmyi n. gen. n. sp.; and Constrictoanchoratus ptilonophallus n. gen. n. sp. This is the first reported occurrence of the four previously described species of Urocleidoides parasitizing H. malabaricus from streams in the Oriental Amazon Basin. The analysis of voucher specimens of U. eremitus parasitizing the gills of H. malabaricus from the Upper Paraná River floodplain in the limits of States of Paraná and Mato Grosso do Sul, Brazil, indicates that these specimens are members of a new species of Urocleidoides, described here as Urocleidoides paranae n. sp. Constrictoanchoratus n. gen. is proposed for the species with a male copulatory organ sclerotized, coiled, clockwise; ventral anchor with elongate superficial root, inconspicuous deep root; dorsal anchor with inconspicuous roots, and a constriction at the intersection between the shaft and the point. The host–parasite diversity scenario and host specificity of the species of Constrictoanchoratus n. gen. and Urocleidoides from the gills of H. malabaricus are also discussed in this study.


Author(s):  
Euzeli da Silva Brandão ◽  
Iraci dos Santos ◽  
Regina Serrão Lanzillotti ◽  
Adriano Menis Ferreira ◽  
Mônica Antar Gamba ◽  
...  

ABSTRACT Objective: identify nursing diagnoses in patients with immune-bullous dermatosis. Method: a quantitative and descriptive research, carried out in three institutions located in Rio de Janeiro and Mato Grosso do Sul, Brazil, using the Client Assessment Protocol in Dermatology during a nursing consultation. Simple descriptive statistics was used for data analysis. Results: 14 subjects participated in the study, nine with a diagnosis of pemphigus vulgaris, pemphigus two and three of bullous pemphigoid. The age ranged between 27 and 82 years, predominantly females (11). 14 nursing diagnoses were discussed and identified from a clinical rationale in all study participants, representing the most common human responses in this sample. The application of the Assessment Protocol in Dermatology facilitated the comprehensive assessment, in addition to providing the identification of diagnostics according to the North American Nursing Diagnosis Association International. Conclusion: the nursing diagnoses presented confirm the necessity of interdisciplinary work during the care for this clientele. For better description of the phenomena related to the client in question, it is suggested the inclusion of two risk factors related in three diagnoses of this taxonomy. It is worth noting the contribution of the findings for the care, education and research in nursing in dermatology.


2018 ◽  
Vol 93 (6) ◽  
pp. 2085-2096 ◽  
Author(s):  
C. A. S. Magalhães ◽  
B. C. Pedreira ◽  
H. Tonini ◽  
A. L. Farias Neto

2002 ◽  
Vol 97 (4) ◽  
pp. 459-464 ◽  
Author(s):  
Alfredo CR Azevedo ◽  
Nataly A Souza ◽  
Cláudio RV Meneses ◽  
Wagner A Costa ◽  
Simone M Costa ◽  
...  
Keyword(s):  

2018 ◽  
Author(s):  
Ernesto F. L. Amaral

Title in Portuguese: Funções de migração por idade e caracterização de migrantes das microrregiões de Goiás e Distrito Federal, 1975-1979 e 1986-1990(Dissertação de Mestrado)(M.A. Thesis)Since the 70’s, the Brazilian Middle-West Region has experienced an important modernization process in agricultural and industrial activities, which has led to an employment retraction and migration flows, especially from rural areas to the major metropolitan cities of the region. In this research the focus of analysis are the State of Goiás and the Federal District, which encompasses Brasília, the capital of Brazil. In order to understand the new population configuration, the region was divided into four sub-areas (micro-region of Goiânia, micro-region of Entorno de Brasília, the Federal District, and a group of 16 micro-regions of Goiás) and the patterns of migration, by age and sex, were estimated for the periods 1975-1979 and 1986-1991. In addition, differences between native and migrant population of each sub-area, according to the participation in the labor force, income, education and type of migration were investigated. The analysis was performed on the basis of the 1980 and 1991 Brazilian Census data.In the intra-state migration, the fluxes between the micro-region of Goiânia and the 16 other micro-regions of Goiás, and between the Federal District and the micro-region of Entorno de Brasília were the most important. In the inter-state migration, the flux from the states of Mato Grosso, Mato Grosso do Sul and the North region to the 16 micro-regions of Goiás, as well as the flux from Northeast, Southeast and South to the Federal District were significant. But there was a decline in the migration to the Federal District, between 1975-1979 and 1986-1991, while, in the same period, the migration to the Entorno of Brasília increased.The chance of the migrant population in the micro-region of Goiânia and in the Federal District to have worked in the last 12 months prior to census interview was lower than that of the native population. However, those who migrated from the Federal District to the micro-region of Entorno de Brasília had higher chance to have worked in the formal sector than those who did not migrate. Migrants who moved from the micro-region of Entorno de Brasília and the 16 other micro-regions of Goiás to the micro-region of Goiânia had lower wages than the non-migrant population. The lowest level of wages was recorded for the migrants to the 16 other micro-regions of Goiás. Migrants living in the Federal District had high level of education, while those migrants living in the micro-region of Entorno de Brasília had low level of education.In 1986-1990, the micro-regions of Goiânia and Entorno de Brasília, as well as the 16 other micro-regions of Goiás, presented a high percentage of returned migrants. In the same period, a major proportion of migrants to the micro-region of Entorno de Brasília had first moved from Southeast or from the Federal District to others regions. In addition, there was a considerable proportion of migrants with low income who had moved from Northeast to the Federal District and then to the micro-region of the Entorno de Brasília.Future research could focus other areas or regions of Brazil, and could also explore the same kind of analysis, on the basis of the incoming 2000 Brazilian Census, which requires the development of new techniques, as it did not collect information on the city of previous residence, but only on the state of residence.


2021 ◽  
Vol 7 (8) ◽  
pp. 82074-82089
Author(s):  
Ana Paula Rodrigues Da Silva ◽  
Giseudo Aparecido De Paiva ◽  
Grace Queiroz David ◽  
Julliane Dutra Medeiros ◽  
Adriana Matheus da Costa De Figueiredo

2020 ◽  
Vol 15 (4) ◽  
pp. 427-445
Author(s):  
Angélica Vilas Boas da Frota ◽  
Breno Dias Vitorino ◽  
Josué Ribeiro da Silva Nunes ◽  
Carolina Joana da Silva

Birds are considered one of the most well-known groups of animals in the Pantanal, playing an important ecological role in wetland ecosystems. Our aim was to identify the main themes and gaps in current knowledge of these birds, considering thirty years of scientific research to direct future studies. We performed a scientometric analysis based on five platforms with the search words “Aves” and “Pantanal” as well as “Bird” and “Pantanal”. We identified 145 scientific studies, with themes of ecology (64), conservation (23), health (17), fauna (15), genetics (12), geographic distribution (7), and environmental education (7). The number of publications has increased significantly over the years. However, the focus is predominantly on certain Pantanal regions, such as the municipalities of Corumbá in Mato Grosso do Sul state and Poconé in Mato Grosso state. Anodorhynchus hyacinthinus and Mycteria americana are among the species with the largest number of studies in the Pantanal, with 12 and 11 papers, respectively. We highlighted the need for new studies in regions such as the north-west and themes such as threatened species and ecosystem services. Integrated knowledge and interdisciplinary approaches can be useful in strategic decision-making and more effective for bird conservation in wetlands.


Sign in / Sign up

Export Citation Format

Share Document