RESUMO
Despite the increasing interest for biochar as a soil amendment, a knowledge gap remains on its impacts on non-target soil and aquatic species. We hypothesised that biochar particle size and application rate can play a role in the toxicity to biota. Pine woodchip biochar was incorporated in a clean soil at three particle size classes: small (<0.5â¯mm), medium (1-2â¯mm), and large (<4â¯mm), and at two concentrations: 1% and 6% w/w. A laboratory screening with earthworm Eisenia andrei avoidance behaviour bioassay was carried out to test the most adequate application rates, particle sizes and soil-biochar pre-incubation period. Thereafter, a 28-day greenhouse microcosm experiment was conducted as an ecologically more representative approach. Survival, vertical distribution and weight changes of E. andrei, and bait-lamina consumption were recorded. Soil leachates from the microcosms were collected to evaluate their impact on Daphnia magna immobilisation and Vibrio fischeri (Microtox®) bioluminescence. A feeding experiment with E. andrei was also performed to address earthworm weight changes and to conduct a screening of PAH-type metabolites in their tissue. The 6% <0.5â¯mm treatment pre-incubated for 96â¯h induced significant avoidance of the earthworms. Significantly lower bait-lamina consumption was observed in microcosms for the 6% <0.5â¯mm treatment. Moreover, particle size was a statistically significant factor regarding the loss of weight in the feeding experiment and higher concentration of naphthalene-type metabolites detected in E. andrei tissue, when exposed to <0.5â¯mm biochar particles. The leachates had no adverse effects on the aquatic species. The results suggest that particles <0.5â¯mm of pine woodchip biochar can pose sub-lethal effects on soil biota.
Assuntos
Carvão Vegetal/toxicidade , Oligoquetos/efeitos dos fármacos , Poluentes do Solo/toxicidade , Animais , Biota , Carvão Vegetal/química , Daphnia/efeitos dos fármacos , Tamanho da Partícula , Solo , Poluentes do Solo/análiseRESUMO
This study focuses on the vertical distribution of total and reactive As in two contrasted coastal sedimentary environments: the Abrolhos Continental Shelf (ACS), a carbonate and siliciclastic shelf sediment, and the Doce River Continental Shelf (DRCS), a submerged delta system. The Doce River was the location of a massive ore tailings dam collapsed in November 2015. Millions of liters of tailings were dumped into the river and reached the continental shelf, causing the country's biggest environmental disaster. We evaluated the As content in sediment of the DRCS before the dam collapse. At both sites, the total As background measured in bottom sediment revealed relative natural enrichment (above 8mg/kg). Content of As decrease with depth; reactive As showed surficial peaks which were associated with Fe and Mn oxides. The ACS sediment did not show significant enrichment or contamination of As, with an enrichment factor (EF) of approximately 2 and a geoaccumulation index (Igeo) near 0. In contrast, the DRCS exhibited severe As enrichment (EF=15) and contamination (Igeo between 3-4). This enrichment is attributed to long-term iron and gold exploitation in the Doce River watershed. The high levels of reactive As, up to 108 mg/kg, alert us to an environmental risk due to potential As bioaccessibility. These data provide an important perspective on the As contamination in continental shelves and encourage the monitoring of the ore mine environmental impacts.
RESUMO
It is vital to address potential risks to aquatic ecosystems exposed to runoff and leachates from biochar-amended soils, before large scale applications can be considered. So far, there are no established approaches for such an assessment. This study used a battery of bioassays and representative aquatic organisms for assessing the acute toxicity of water-extractable fractions of biochar-amended soil, at reported application rates (80 t ha(-1)). Biochar-amended aqueous soil extracts contained cadmium (Cd), cobalt (Co), chromium (Cr), copper (Cu), manganese (Mn), zinc (Zn), nickel (Ni), lead (Pb), arsenic (As) and mercury (Hg) (Σmetals 96.3 µg l(-1)) as well as the 16 priority PAHs defined by the U.S. Environmental Protection Agency (Σ16PAHs 106 ng l(-1)) at contents in the range of current EU regulations for surface waters. Nevertheless, acute exposure to soil-biochar (SB) extracts resulted in species-specific effects and dose-response patterns. While the bioluminescent marine bacterium Vibrio fischeri was the most sensitive organism to aqueous SB extracts, there were no effects on the growth of the microalgae Pseudokirchneriella subcapitata. In contrast, up to 20 and 25% mobility impairment was obtained for the invertebrate Daphnia magna upon exposure to 50 and 100% SB extract concentrations (respectively). Results suggest that a battery of rapid and cost-effective aquatic bioassays that account for ecological representation can complement analytical characterization of biochar-amended soils and risk assessment approaches for surface and groundwater protection.
Assuntos
Organismos Aquáticos/efeitos dos fármacos , Carvão Vegetal , Ecossistema , Poluentes do Solo/toxicidade , Testes de Toxicidade , Aliivibrio fischeri/efeitos dos fármacos , Animais , Daphnia/efeitos dos fármacos , Monitoramento Ambiental , Metais Pesados/toxicidade , Microalgas/efeitos dos fármacosRESUMO
The natural LUFA 2.2 standard soil has been extensively used in hazard assessment of soil contaminants, combining representation with ecological relevance for accurate risk evaluation. This study revisited the water-extractable fraction of LUFA 2.2 soil, through consecutive soil wet-dry cycles and discusses implications of use as standard substrate in derivation of ecotoxicological data and toxicity thresholds. Potentially bioavailable contents of metals (177.9-888.7 µg/l) and the 16 polycyclic aromatic hydrocarbons (PAHs; 0.064-0.073 µg/l) were dependent on the number of soil wetting-drying cycles applied. Such contents were screened based on current EU guidelines for surface waters and reported toxicological benchmarks for aquatic organisms. Aqueous concentrations generally fit within recommended Environmental Quality Standards (EQS), except for Hg (0.13-0.22 µg/l; >Maximum Allowable Concentration-MAC-of 0.07 µg/l) and for the sum of benzo(g,h,i)perylene and indeno(1,2,3-cd)pyrene (0.005 µg/l; >double the Annual Average of 0.002 µg/l). Further, aqueous As, Zn, Cd, Ni and Cr concentrations exceeded 'lower benchmark' values for aquatic organisms, possibly reflecting an inadequate derivation for ecotoxicological data. In turn, PAHs in LUFA 2.2 soil aqueous extracts, whilst individually, are not likely to constitute a hazard to test biota exposed to its aqueous fractions. This study urges for potentially bioavailable fractions of reference and standard natural soils to be adequately characterized and addressed as part of the research aim, experimental approach and design, as well as the expected scope of the outcomes.
Assuntos
Poluentes do Solo/análise , Solo/normas , Ecotoxicologia/métodos , Monitoramento Ambiental , Metais/análise , Hidrocarbonetos Policíclicos Aromáticos/análise , Solo/química , Água/químicaRESUMO
The present paper reports on the development of new sensing active coating on the basis of nanocontainers containing pH-indicating agent. The coating is able to detect active corrosion processes on different metallic substrates. The corrosion detection functionality based on the local colour change in active cathodic zones results from the interaction of hydroxide ions with phenolphthalein encapsulated in mesoporous nanocontainers which function as sensing nanoreactors. The mesoporous silica nanocontainers are synthesized and loaded with pH indicator phenolphthalein in a one-stage process. The resulting system is mesoporous, which together with bulkiness of the indicator molecules limits their leaching. At the same time, penetration of water molecules and ions inside the container is still possible, allowing encapsulated phenolphthalein to be sensitive to the pH in the surrounding environment and outperforming systems when an indicator is directly dispersed in the coating layer.The performed tests demonstrate the pH sensitivity of the developed nanocontainers being dispersed in aqueous solutions. The corrosion sensing functionality of the protective coatings with nanocontainers are proven for aluminium- and magnesium-based metallic substrates. As a result, the developed nanocontainers show high potential to be used in a new generation of active protective coatings with corrosion-sensing coatings.
Assuntos
Nanoestruturas/química , Dióxido de Silício/química , Corrosão , Fenolftaleína/química , Porosidade , Prótons , Propriedades de SuperfícieRESUMO
Studies in animals lacking the cellular prion protein (PrP(c)) gene (Prnp) showed higher neuronal excitability in vitro and increased sensitivity to seizures in vivo. The authors previously reported a rare polymorphism at codon 171 (Asn-->Ser) of human Prnp to be associated with mesial temporal lobe epilepsy related to hippocampal sclerosis. They demonstrated that the same variant allele is also associated with symptomatic epilepsies related to different forms of malformations of cortical development.
Assuntos
Substituição de Aminoácidos , Amiloide/genética , Córtex Cerebral/anormalidades , Epilepsia/genética , Polimorfismo de Nucleotídeo Único , Precursores de Proteínas/genética , Adolescente , Adulto , Alelos , Apoptose , Brasil/epidemiologia , Divisão Celular , Movimento Celular , Córtex Cerebral/patologia , Criança , Anormalidades Congênitas/epidemiologia , Anormalidades Congênitas/genética , Anormalidades Congênitas/patologia , Análise Mutacional de DNA , Epilepsia/epidemiologia , Epilepsia/patologia , Etnicidade/genética , Europa (Continente)/epidemiologia , Feminino , Frequência do Gene , Genótipo , Humanos , Masculino , Proteínas Priônicas , PríonsRESUMO
The basis for cognitive deficits in Parkinson's disease (PD) is unknown. Hippocampal atrophy has been shown in Alzheimer's disease (AD) and PD. N-Acetyl aspartate (NAA)/creatine (Cr) ratio in the posterior cingulate gyrus (PCG) is decreased in AD, but unknown in PD. Volumetric magnetic resonance (MR) imaging (at 1.5 T) determined corrected HC volume and MR spectroscopy (MRS) PCG metabolites in 12 non-demented mild to moderately affected PD patients (six male, six female) and ten controls (five male, five female). Age (PD=60.6 years, control=62.2; P=0.62), education (PD=14.1 years, controls=13.8; P=0.89) and global cognition (Mini-Mental State Exam score: PD=28.7, controls=29.6; P=0.14) did not differ. Only recall (CVLT-II, P=0.046) and NAA/Cr (PD=1.53, controls=1.78; P=0.03) were decreased in PD. Memory correlated with NAA/Cr (r=0.65, P=0.02) in PD. In conclusion, cingulate metabolic changes occur in PD.
Assuntos
Ácido Aspártico/análogos & derivados , Giro do Cíngulo/metabolismo , Doença de Parkinson/metabolismo , Idoso , Ácido Aspártico/metabolismo , Estudos de Casos e Controles , Colina/metabolismo , Cognição/fisiologia , Creatina/metabolismo , Feminino , Giro do Cíngulo/patologia , Humanos , Imageamento por Ressonância Magnética/métodos , Espectroscopia de Ressonância Magnética/métodos , Masculino , Entrevista Psiquiátrica Padronizada , Pessoa de Meia-Idade , Doença de Parkinson/patologiaRESUMO
Tamm-Horsfall glycoprotein (THP) contains manno-oligosaccharides that are recognized by type 1 fimbriae (F1) of Escherichia coli. In the present study, we examined the in vivo phagocytic activity of mouse peritoneal macrophages after treatment of bacteria with THP. At low THP concentrations (12.5 microg/ml and 50 microg/ml) no significant difference was observed in the phagocytosis of E. coli F1+. However, at high THP concentrations (500 microg/ml and 1250 microg/ml) we obtained a reduction of bacterial phagocytosis by mouse peritoneal macrophages.
Assuntos
Adjuvantes Imunológicos/farmacologia , Escherichia coli/citologia , Fímbrias Bacterianas/efeitos dos fármacos , Macrófagos Peritoneais/efeitos dos fármacos , Mucoproteínas/farmacologia , Fagocitose/efeitos dos fármacos , Animais , Western Blotting , Eletroforese em Gel de Poliacrilamida , Escherichia coli/efeitos dos fármacos , Feminino , Humanos , Camundongos , Camundongos Endogâmicos BALB C , UromodulinaRESUMO
Tamm-Horsfall glycoprotein (THP) contains manno-oligosaccharides that are recognized by type 1 fimbriae (F1) of Escherichia coli. In the present study, we examined the in vivo phagocytic activity of mouse peritoneal macrophages after treatment of bacteria with THP. At low THP concentrations (12.5 æg/ml and 50 æg/ml) no significant difference was observed in the phagocytosis of E. coli F1+. However, at high THP concentrations (500 æg/ml and 1250 æg/ml) we obtained a reduction of bacterial phagocytosis by mouse peritoneal macrophages
Assuntos
Humanos , Animais , Camundongos , Adjuvantes Imunológicos/farmacologia , Escherichia coli/citologia , Fímbrias Bacterianas/efeitos dos fármacos , Macrófagos Peritoneais/efeitos dos fármacos , Fagocitose/efeitos dos fármacos , Western Blotting , Eletroforese em Gel de Poliacrilamida , Escherichia coli/efeitos dos fármacosRESUMO
PURPOSE: To characterize perfusion patterns of periictal single-photon emission tomography (SPECT) in patients with unilateral temporal lobe epilepsy (TLE) and to determine their relationship to the epileptogenic zone (EZ). METHODS: We studied periictal SPECT scans of 53 patients after anterior mesial temporal lobectomy who had good seizure outcome after surgery. Ictal SPECT scans were performed during video-EEG monitoring. Typical SPECT patterns consisted of ipsilateral ictal hyperperfusion or ipsilateral postictal hypoperfusion. Atypical ictal patterns included normal scans, bilateral temporal hyperperfusion, or contralateral patterns. These perfusion patterns were retrospectively analyzed searching for concordance rate with the EZ. RESULTS: We obtained 51 ictal and two early postictal scans. In the typical group, 40 (75.4%) patients had ipsilateral ictal temporal lobe hyperperfusion, and one (1.9%) patient had ipsilateral postictal temporal lobe hypoperfusion. Twelve (22.7%) patients exhibited atypical perfusion patterns: seven (13.2%) patients had bitemporal ictal hyperperfusion (four cases showed asymmetric temporal lobe changes), four (7.6%) patients had contralateral hyperperfusion, and one (1.9%) patient had a normal SPECT scan. All four patients with bitemporal asymmetric hyperperfusions showed greater perfusion lateralized to the side of the EZ. Three of the four patients who had contralateral hyperperfusion also had a complex postictal-like pattern in the ipsilateral temporal lobe consisting of anteromesial hyperperfusion with adjacent lateral hypoperfusion. CONCLUSIONS: This study analyzed typical and atypical perfusion patterns in unilateral TLE, and suggested that not only typical, but also some atypical perfusion patterns may contribute to the lateralization of EZ.
Assuntos
Epilepsia do Lobo Temporal/diagnóstico por imagem , Lateralidade Funcional/fisiologia , Lobo Temporal/irrigação sanguínea , Lobo Temporal/diagnóstico por imagem , Tomografia Computadorizada de Emissão de Fóton Único/estatística & dados numéricos , Adolescente , Adulto , Eletroencefalografia/estatística & dados numéricos , Epilepsia do Lobo Temporal/diagnóstico , Epilepsia do Lobo Temporal/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica/estatística & dados numéricos , Estudos Retrospectivos , Lobo Temporal/fisiopatologia , Gravação de VideoteipeRESUMO
Two familial X-linked dominant syndromes of cortical maldevelopment have recently been described: double cortex/lissencephaly syndrome and bilateral periventricular nodular heterotopia. We report on 12 kindreds with familial perisylvian polymicrogyria (FPP) presenting at 10 centers, examine the clinical presentation in these familial cases, and propose a possible mode of inheritance. The clinical and radiological pattern was variable among the 42 patients, with clinical differences among the families and even within members of the same family. Pseudobulbar signs, cognitive deficits, epilepsy, and perisylvian abnormalities on imaging studies were not found in all patients. When present, they displayed a spectrum of severity. The only clear correlation in this study was between bilateral imaging findings and abnormal tongue movements and/or pronounced dysarthria. Most of the families provided evidence suggestive of, or compatible with, X-linked transmission. On the other hand, the pedigrees of 2 families ruled out X-linked inheritance. The most likely mode of inheritance for these 2 families was autosomal dominant with decreased penetrance; however, autosomal recessive inheritance with pseudodominance could not be ruled out in 1 family. We conclude that FPP appears to be genetically heterogeneous. However, most of the families probably represent a third previously undescribed X-linked syndrome of cortical maldevelopment.
Assuntos
Encefalopatias/genética , Córtex Cerebral/anormalidades , Adolescente , Adulto , Idoso , Encefalopatias/patologia , Encefalopatias/fisiopatologia , Córtex Cerebral/patologia , Criança , Pré-Escolar , Epilepsia/fisiopatologia , Feminino , Humanos , Lactente , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , LinhagemRESUMO
Focal cortical dysplasia is a frequent cause of medically intractable partial epilepsy. These lesions are being increasingly identified by high quality images provided by magnetic resonance imaging (MRI), resulting in improved seizure control of surgically treated patients. Small dysplastic lesions are often missed by conventional MRI methods. The identification of subtle structural abnormalities by rectilinear slices is often limited by the complex convolutional pattern of the brain. We developed a method of curvilinear reformatting of three-dimensional MRI data that improves the anatomical display of the gyral structure of the hemispheric convexities. It also reduces the asymmetric sampling of gray-white matter that may lead to false-positive results. We present 5 patients in whom conventional two-dimensional and three-dimensional MRI with multiplanar reformatting was initially considered normal. Subsequent studies using curvilinear reformatting identified lesions in all. Four patients underwent surgery with histological diagnosis of focal cortical dysplasia. Three patients are seizure-free and 1 had significant improvement in seizure control. These results indicate that an increase in the detection of subtle focal dysplastic lesions may be accomplished when one improves the anatomical display of the brain gyral structure by performing curvilinear reformatting.
Assuntos
Encéfalo/patologia , Epilepsias Parciais/patologia , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética/métodos , Adolescente , Adulto , Feminino , Humanos , MasculinoRESUMO
The authors present the result of an educational investigation of knowledge retention concerning a Gynecology program. The research was developed by comparing the marks obtained in the fourth, fifth and sixth years. The examinations had the same content but were not identical. Between the fourth and fifth year, the loss of knowledge observed was -45.0% +/- 1.4% (average +/- standard error) and was not influenced by the time between the two examinations. The examinations between the fifth and sixth years indicated a gain of knowledge of +72.8% +/- 11.1% (average +/- standard error) and was influenced by the time between the two examinations.
Assuntos
Educação Médica , Avaliação Educacional , Ginecologia/educação , Retenção Psicológica , Feminino , Humanos , Masculino , Análise de Regressão , Fatores de TempoRESUMO
Great advances in imaging technology allows the surgeon to visualize the entire brain surface during surgery. However, the cerebral convolutions are extremely complex, so that it is often difficult to define the central area precisely. Using the curvilinear reconstruction technique (Gyroview) and MRI, we have analyzed the gyral anatomy of the central area in 20 normal brans and have recognized several patterns of topographic organization and have classified them into several categories. We divided the central area into anterior and posterior subregions with the central sulcus as the main landmark. More specifically, we studied how the pre- and postcentral gyri merge into the frontal and parietal lobe proper by anatomical bridges (roots). We describe three anterior and two main posterior roots which originate from the precentral and the postcentral gyrus, respectively. We found four different types of pattern for the anterior roots and as many as 10 different patterns for the posterior roots. The arterior roots are relatively constant, compared to the posterior ones. The most frequent pattern (type 1) was found in 33 hemispheres among the 40 analyzed (82.5%). Four main posterior root patterns were recognized in 32 hemispheres of the 40 analyzed (80%). Thus, although gyral variability was encountered for the posterior roots, a very constant global pattern was seen for the central area. One of the most important steps of frameless stereotactic-guided epilepsy surgery is the precise localization of the central area. Therefore, a knowledge of gyral patterns of the central area is essential not only for the resective epilepsy surgery, but also for the successful removal of a variety of lesions in the central area.
Assuntos
Mapeamento Encefálico , Encéfalo/anatomia & histologia , Anatomia Artística , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Ilustração MédicaRESUMO
Cortical developmental malformations are best diagnosed by MRI and are often the cause of refractory epilepsy. Little is known about the metabolic cell function on MR spectroscopy of these types of brain anomaly. We studied 23 patients with cortical developmental malformations and refractory epilepsy using proton MR spectroscopic imaging. Mean age was 28 years (range, 9 to 47 years). The lesions examined were focal cortical dysplasia (n = 5), heterotopia (four band, six periventricular, two subcortical), polymicrogyria (n = 3), tuberous sclerosis (n = 2), and polymicrogyria and periventricular nodular heterotopia (n = 1). We measured the relative signal intensity of N-acetylaspartate/creatine (NAA/Cr) in the lesion, in the perilesional region, and in the region remote from the visible lesion. The values were compared with those from similar brain regions of 25 normal control subjects. The mean NAA/Cr z score values for the 23 patients were as follows: lesion, -2.20 +/- 0.32 (mean +/- SE), n = 21; perilesional region, -1.01 +/- 0.38, n = 15; and distant region, -0.03 +/- 0.34, n = 18 (p < 0.0002). Despite the presence of a large number of neurons, heterotopia showed a relative decrease of NAA in some patients, suggesting that the neurons present were dysfunctional. The maximal NAA/Cr decrease, indicating metabolic dysfunction, colocalized to the structural malformation as defined by MRI and extended to normal-appearing regions adjacent to the visible lesion.
Assuntos
Córtex Cerebral/anormalidades , Córtex Cerebral/crescimento & desenvolvimento , Deficiências do Desenvolvimento/metabolismo , Neurônios/metabolismo , Adolescente , Adulto , Ácido Aspártico/análogos & derivados , Ácido Aspártico/metabolismo , Encéfalo/metabolismo , Córtex Cerebral/metabolismo , Criança , Creatina/metabolismo , Deficiências do Desenvolvimento/diagnóstico , Deficiências do Desenvolvimento/patologia , Eletroencefalografia , Feminino , Humanos , Espectroscopia de Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Valores de ReferênciaRESUMO
MRI signal changes within the hippocampal sulcus have been attributed to a dilated Virchow-Robin space within that sulcus, but no clinical correlates have previously been described. We present a 64-year-old man who developed right temporal seizures. MRI revealed an unusually enlarged Virchow-Robin space within the hippocampus, suggesting space-occupying effect. Such an abnormality should be considered a possible etiology in patients with late-onset temporal lobe epilepsy.
Assuntos
Epilepsia do Lobo Temporal/diagnóstico , Hipocampo/patologia , Idade de Início , Eletroencefalografia , Epilepsia do Lobo Temporal/epidemiologia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
In an attempt to better delineate the abnormalities associated with focal cortical dysgenesis, we performed curvilinear reformatting of the cortex from 3D magnetic resonance (MR) images. Illustrative patients with partial seizures and conventional orthogonal MRI evaluation show that small regions of cortical thickening suggestive of focal dysplastic lesions may not be recognized. In three such patients the curvilinear reformatting demonstrated two additional focal abnormalities of the cortical gyri and better defined the two focal lesions found on conventional orthogonal MR images. This method promises to be a useful tool in the evaluation of epileptic patients with proven or suspected subtle structure cortical abnormalities, particularly focal neuronal migration disorders where cortical thickening, abnormal gyral pattern, and poor delineation of the gray-white matter transition are the main findings.
Assuntos
Córtex Cerebral/patologia , Epilepsias Parciais/diagnóstico , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética/instrumentação , Dano Encefálico Crônico/diagnóstico , Dano Encefálico Crônico/patologia , Gráficos por Computador , Dominância Cerebral/fisiologia , Epilepsias Parciais/patologia , Lobo Frontal/patologia , Humanos , Lobo Parietal/patologia , Projetos PilotoRESUMO
Seeking an association among SEVs, parent's mental health, early family milieu, and children's mental health through an epidemiological survey on a representative 545-child sample from low income squatter population of the city of Salvador was the author's hypothesis. QMPA and QMPI were used to assess the mental health status of parents and children, respectively. A specific questionnaire collected data on social-economic variables, and the HOME inventory was used to measure the quality of stimulation within home environment. For data analysis linear, and multiple regression techniques were resorted to, stratified by children's age and sex as well as parents' working position. In the multiple regression analysis, a strong, significant relationship was found between quality of family environment and indicators of child mental health, consistent throughout all strata analyzed--and even stronger among females involved. Results do not point out a direct influence of parents' mental health, except--in the second set of variables--through the influence of an early family environment.
Assuntos
Saúde da Família , Saúde Mental , Adolescente , Brasil , Criança , Pré-Escolar , Características da Família , Feminino , Humanos , Masculino , Análise Multivariada , Fatores Socioeconômicos , Saúde da População UrbanaRESUMO
PIP: 500 sexually active women in Brazil aged 15-50 were interviewed to study their use of contraceptives. For the 350 who used contraceptives, the survey evaluated their level of education, marital status, incidence of pregnancy, and the number of abortions performed. The level of education had little effect on the choice of birth control methods. Women with 1 sex partner were more preoccupied with the use of birth control than women who had casual sex with more than 1 partner. The younger women in the group, whether or not they used birth control, had greater frequency of abortions. The preferred method of contraception was the pill, and of the women who took the pill, almost 1/2 did so without a doctor's prescription. 42% of the same group reportedf suffering side effects due to pill use. Since induced abortions are illegal in Brazil, it is certain that the information given is inaccurate. Other methods of birth control also had drawbacks. The early withdrawal method did nothing for the couple's sexual gratification, and was not an effective method of birth control. The rhythm method was rarely used, and could also be dangerous as far as effectiveness. The IUD, which has proven to be very effective in developed nations, was not widely used by this group because it was considered troublesome. It is clear from this report that all means need to be implemented to make birth control accessible to all levels of the population. Failure to utilize birth control methods on moral or religious grounds will cause an increase in abortions, many of which will be performed by unqualified people. The denial of birth control will lead to disastrous consequences.^ieng