The influence of health education on the prevalence of intestinal parasites in a low-income community of Campos dos Goytacazes, Rio de Janeiro State, Brazil.

In a recent study by our group on the prevalence of intestinal parasitic infections and on the knowledge, attitudes and practices of local residents of Campos dos Goytacazes, Rio de Janeiro, Brazil, we observed that about 50% of the inhabitants were parasitized and had some knowledge of intestinal parasitic infections but did not apply this knowledge in daily practice. We were thus motivated to implement strategies in health education to promote preventive measures in the locality. The goal of the present work was to evaluate the influence of health education on the prevalence of intestinal parasitic infections in the region in an effort to strengthen public policies for controlling these diseases in Brazil. The methodology adopted was based on action-research and a theoretical framework of health promotion. Our results demonstrate that the study population exhibited an enhanced awareness of the importance of disease from intestinal parasitic infections. Attitudes and practices related to prevention were significantly improved after the shared health education. In conclusion, this study allowed the shared construction of knowledge that reflected the true needs of the residents.

Parasitism by Monogenoidea in Piaractus mesopotamicus (Characiformes, Characidae) cultivated in Paraná River (Brazil).

This study investigated the occurrence, prevalence, mean abundance and mean intensity of monogenoidean parasites in Piaractus mesopotamicus farmed in cages in the reservoir of the Itaipu Hydroelectric Power Station, Paraná River, Brazil. The parasite distribution pattern and the correlation of prevalence and abundance with the total length of hosts were also investigated. Four monogenoidean species were collected: Anacanthorus penilabiatus, A. toledoensis, Mymarothecium ianwhitingtoni and M. viatorum. All the parasites collected in P. mesopotamicus showed the typical aggregated distribution pattern, and the abundance and the prevalence did not shown any correlation with the total length of hosts.

Megestrol acetate therapy for advanced breast cancer.

One hundred twenty-four patients with metastatic breast cancer were treated with 40 mg of megestrol acetate four times daily. Complete responses (CR) or partial responses (PR) were seen in 29 patients (23%). CR, PR, or stable disease (S) was seen in 80 patients (65%). The median duration of response was 22 months for CR and PR and ten months for S. A significantly higher response rate (CR + PR) was seen in estrogen-receptor-positive (ER-positive) patients (26%) and in patients who had not received prior therapy (39%). A significant relationship to response could not be established for menopausal status, progesterone-receptor (PrR) status, dominant site of disease, or prior administration of chemotherapy. Median survival was 66+ months for responders, 35 months for patients with stable disease, and 9 months for nonresponders. These differences are all statistically significant (P less than .001). Toxicity was minimal, and side effects consisted primarily of weight gain, which was seen in 18 patients (14.5%). Megestrol acetate can provide effective palliation in patients with advanced breast cancer.

Monogenoidea parasites of Oreochromis niloticus submitted to ractopamine supplemented diet from cultivated system / [Monogenoidea parasitos de Oreochromis niloticus provenientes de sistema de cultivo submetidos a uma dieta suplementada com ractopamina]

Oreochromis niloticus (Linnaeus) (Perciformes: Cichlidae), commonly named "tilapia", is the second most cultivated species in the world. Among the diseases that affect tilapia are parasitic diseases caused by parasites of the class Monogenoidea. The aim of the present study was to analyze parasitism rates among specimens of O. niloticus in farming systems, after dietary supplementation with ractopamine, a growth promoter that is used for fattening fish. The action of this substance on the quantitative parameters of infestation by Monogenoidea was evaluated. Samples of O. niloticus were obtained from a fish farm in Brasília, Federal District, Brazil. Their gills were removed and fixed. Four species of monogenoideans were collected: Cichlidogyrus halli, C. sclerosus, C. thurstonae and Scutogyrus longicornis. The results from this study indicate that the monogenoidean parasites of tilapias examined here presented different behaviors in relation to the ractopamine concentrations that were added to the food. The parasitological indexes did not present significant reductions through using ractopamine, thus leading to the conclusion that administration of ractopamine is not efficient as a method for controlling infestations of monogenoidean parasites.(AU)

Oreochromis niloticus (Linnaeus) (Perciformes: Cichlidae), tilápia, é a segunda espécie mais cultivada no mundo. Entre outras doenças que afetam a tilápia, estão as doenças provocadas por parasitos da classe Monogenoidea. O presente estudo teve como objetivo analisar os índices de parasitismo em espécies de O. niloticus provenientes de sistemas de cultivo, submetidos a uma dieta com suplementação de ractopamina, usada como promotor de crescimento no estágio de engorda dos peixes, para avaliar as ações dessa substância nos parâmetros quantitativos da infestação por Monogenoidea. Exemplares de O. niloticus obtidos na piscicultura "Agropecuária do Buriti Perdido", em Brasília, Distrito Federal, Brasil, foram examinados; as brânquias foram removidas e fixadas. Quatro espécies foram coletadas: Cichlidogyrus halli, C. sclerosus, C. thurstonae e Scutogyrus longicornis. Os resultados obtidos no presente estudo indicaram que as espécies de Monogenoidea parasitos de tilápia examinadas apresentam diferentes comportamentos relacionados à concentração de ractopamina adicionada ao alimento. Os índices parasitológicos não apresentaram redução significativa pelo uso da ractopamina, levando à conclusão de que a ractopamina não é eficiente como método de controle parasitário em infestações por Monogenoidea.(AU)

South American Monogenea--list of species, hosts and geographical distribution.

Five-hundred and twenty-three species of monogeneans have been recorded in South America: 43 from Argentina, one from Bolivia, 252 from Brazil, 29 from Chile, 15 from Colombia, eight from Ecuador, 26 from Falkland and Patagonian regions, four from French Guyana, 11 from Galapagos, two from Guiana, four from Paraguay, 92 from Peru, 16 from Uruguay and 20 from Venezuela. A list of these species with hosts and geographical distribution is presented.

Use of mycobacterial smears in the diagnosis of pulmonary tuberculosis in AIDS/ARC patients.

Pulmonary tuberculosis in AIDS/ARC patients is an increasing problem. To assess the utility of acid-fast smears of pulmonary secretions in this patient population, we evaluated 38 AIDS/ARC patients with culture-positive pulmonary infection. A control group consisted of 57 non-AIDS/ARC patients, who also did not belong to an AIDS risk group, diagnosed during the same period. The number of culture-positive sputum samples evaluated per patient was similar in both groups (3.82 +/- 3.11 AIDS/ARC vs 4.47 +/- 2.83 control group). Significantly fewer AIDS/ARC patients, 45 percent, however, had a positive acid-fast smear compared with the control group, 81 percent (p less than 0.001). The initial sputum smear submitted was positive in only 29 percent of the AIDS/ARC group compared with 61 percent of control subjects (p less than 0.01). Further, greater than or equal to 5 negative smears were found in 60 percent of the evaluable AIDS/ARC patients compared with just 13 percent of control subjects (p less than 0.01). More extensive findings on chest roentgenograms were not associated with a significantly higher yield of smear positivity in the AIDS/ARC group. We conclude that acid-fast smears on sputum specimens are a relatively insensitive test for pulmonary tuberculosis in AIDS/ARC patients.

Effects of antineoplastic agents on wound healing in mice.

The influence of antineoplastic agents on wound healing was evaluated in an experimental model employing surgical incisions in the skin of mice. A single injection in the therapeutic dose range of various clinically active antitumor agents was administered immediately following operation and the breaking strength of skin wounds was measured 3, 7, and 21 days later. Vincristine and methotrexate decreased wound strength at 3 days but not on days 7 or 21. Actinomycin D interfered with early phases of wound healing and had less effect on later phases. Treatment with bleomycin had no effect on wound strength at days 3 or 21 but prevented an increase in wound strength from day 3 to day 7; 1,3-bis(2-choroethyl)-1-nitrosurea (BCNU) decreased wound strength at all time points after operation, whereas 5-Fluorouracil had no significant effect at any time. The presence of a large tumor mass had no direct effect on wound strength nor did it modify the effect on wound strength of an antineoplastic agent, cyclophosphamide. These findings are discussed, taking into account the experimental and clinical literature on the effects of antitumor drugs on wound healing.

Relationships between longitudinal changes in radiographic alveolar bone height and probing depth measurements: data from postmenopausal women.

BACKGROUND: The relationship between loss of radiographic alveolar bone height and probing attachment loss has been studied by a number of investigators, with mixed results. Recent studies have found weak correlations and have suggested that the relationship between bone loss and attachment loss is complex, perhaps because changes in bone height and attachment level are separated in time. METHODS: The 85 patients in this report were part of a prospective estrogen replacement interventional study. All patients were in good oral health at entry and received annual oral prophylaxis as part of the study. Standard probing measurements were made with a pressure-sensitive probe at 6 sites on each tooth. Vertical bite-wing radiographs were taken of each patient, radiographs were digitized, and 6 linear measurements (corresponding to probing site measurements) were made from the cemento-enamel junction to the alveolar crest. These procedures were performed at baseline and at annual intervals; this study reports results after 2 years. Data were analyzed both by individual site and by averaging identical sites from all measured teeth for each patient. RESULTS: Very weak direct relationships between change in alveolar bone height and change in attachment level were found in both the site data (r2=0.0022; P = 0.189) and the patient average data (r2=0.031; P= 0.104). CONCLUSIONS: The changes in these patients were probably due to systemic changes in bone health rather than to periodontal disease. However, the weak correlations between changes in attachment level and bone height are similar to recent studies of periodontal disease. Our results support suggestions in the literature that the link between changes in attachment and alveolar bone height is complex, perhaps because changes in the 2 tissue types are separated by a considerable time delay.

Dietary exposures to mineral hydrocarbons from food-use applications in the United States.

Food-use applications of mineral hydrocarbons (MHC) derived from petroleum sources result in dietary exposure to these compounds by consumers. Food applications of MHC, including white mineral oils, paraffin waxes, microcrystalline waxes and petrolatum, include both direct-additive uses in which the MHC is intentionally applied to the food and indirect-additive uses in which the MHC become components of the food due to migration from food-contact surfaces. A key consideration in evaluating the safety of these uses of MHC is the level of exposure that results. We estimated exposures to MHC in the US from food applications based primarily on a food-consumption approach, in which MHC concentrations in foods were multiplied by the amount of these foods consumed. This was a conservative estimate, because it assumes that all foods that might contain MHC in fact do so at maximum possible concentrations. A "poundage approach", in which the amount of MHC used in food applications was divided by the US population to determine maximum potential per capita exposures, was used to validate the consumption-based estimates. Exposures to MHC from food-packaging applications were estimated using the FDA's food-factor approach, which takes into account the volume and kinds of food packaged with specific types of materials. A conservative estimate of mean exposure to all MHC types combined is 0.875 mg/kg BW/day. Half of this, 0.427 mg/kg BW/day, is white mineral oils used as pan-release lubricants in baking, for de-dusting of stored grain, in confectioneries, and in coatings for fruits and vegetables. Nearly all of the remainder, 0.404 mg/kg BW/day, is petrolatum, primarily from its use as trough grease in bakery applications. Exposure to paraffin and microcrystalline waxes combined is only 0.044 mg/kg BW/day.

Spermatogenesis and spermiogenesis in Microcotyle sp. (Microcotylidae, Monogenea).

Ultrastructural observations of spermatogenesis and spermiogenesis in Microcotyle sp. a microcotylid monogenean parasite from the gills of Hypostomus sp., are described. The spermatogonia were irregularly shaped, forming a peripheral layer of cells; spermatocytes were larger than spermatogonia and a nuclear synaptonemal complex was observed; young spermatids were joined by a central cytophore forming rosettes. Spermiogenesis was characterized by the outgrowth of a cytoplasmic protuberance, the zone of differentiation, containing the basal bodies, separated by an intercentriolar body, from which flagella grow out and fuse posteriorly with the median process. Cross sections of the anterior and the middle regions of spermatozoa revealed nuclei, mitochondria, peripheral microtubules, and paired axonemes each with a 9+1 pattern.

Paranaella luquei gen. et sp. n. (Monogenea: Microcotylidae), a new parasite of Brazilian catfishes.

Paranaella, a new microcotyline monotypic genus, is erected to accommodate Paranaella liquei sp. n., parasite of gill filaments from Hypostomus sp., Hypostomus regani (Ihering) and Rhinelepis aspera Spix et Agassiz (Loricariidae) from the Parani River, Brazil. The new genus is most closely related to Microcotyle Van Beneden et Hesse, 1863, Diplostamenides Unnithan. 1971 and Solostamenides Unnithan, 1971. From Microcotyle it differs mainly by having the genital atrium formed by a muscular ring with a concentric row of numerous elongate and straight spines; from Diplostamenides it can be distinguished by the unarmed and not differentiated cirrus and from Solostamenides it differs by the single vaginal pore and absence of larval hooks.

Endodontics and litigation: an American perspective.

Dentists can reduce the risk of legal entanglements following endodontic treatment. Dentists should not fail to meet the standard of care required at one or more of the several stages in endodontic treatment: at diagnosis, in record keeping, by accidentally treating the wrong tooth, by not using rubber dam, by breaking endodontic instruments in the root canal, by using inappropriate endodontic implants, by creating root perforations, by failing to give adequate instructions for home care and by not providing emergency care. Recognition of problems likely to rise to litigation and the methods to be used in their avoidance are emphasized.

Report on two species of Digenea from marine fishes in Brazil.

Two species of Digenea were recorded for the first time in South America and in new hosts: Acanthostomum spiniceps (Looss, 1896) (Cryptogonimidae) was reported from Astroscopus sexspinosus (Steindachner, 1877) (Uranoscopidae) and Diplomonorchis sphaerovarium Nahhas & Cable, 1964 (Monorchiidae) from Ophichthus gomesi (Castelnau, 1855) (Ophichthidae). From the latter, Heliconema heliconema Travassos, 1919 (Nematoda, Physalopteridae), was also recovered representing also a new host for this nematode species.

Ultrastructure of the tegument of Metamicrocotyla macracantha (Alexander, 1954) Koratha, 1955 (Monogenea, Microcotylidae).

The ultrastructure of the body tegument of Metamicrocotyla macracantha (Alexander, 1954) Koratha, 1955, parasite of Mugil liza from Brazil, was studied by transmission electron microscopy. The body tegument is composed of an external syncytial layer, musculature, and an inner layer containing tegumental cells. The syncytium consists of a matrix containing three types of body inclusions and mitochondria. The musculature is constituted of several layers of longitudinal and circular muscle fibers. The tegumental cells present a well-developed nucleus, cytoplasm filled with ribosomes, rough endoplasmatic reticulum and mitochondria, and characteristic organelles of tegumental cells.

Parasitism by Monogenoidea in Piaractus mesopotamicus (Characiformes, Characidae) cultivated in Paraná River (Brazil) / Parasitismo por Monogenoidea em Piaractus mesopotamicus (Characiformes, Characidae) cultivados no rio Paraná (Brasil)

Abstract This study investigated the occurrence, prevalence, mean abundance and mean intensity of monogenoidean parasites in Piaractus mesopotamicus farmed in cages in the reservoir of the Itaipu Hydroelectric Power Station, Paraná River, Brazil. The parasite distribution pattern and the correlation of prevalence and abundance with the total length of hosts were also investigated. Four monogenoidean species were collected: Anacanthorus penilabiatus, A. toledoensis, Mymarothecium ianwhitingtoni and M. viatorum. All the parasites collected in P. mesopotamicus showed the typical aggregated distribution pattern, and the abundance and the prevalence did not shown any correlation with the total length of hosts.

Resumo Neste estudo foi investigada a ocorrência, prevalência, abundância média e intensidade média de Monogenoidea parasitos de Piaractus mesopotamicus, cultivados em tanques-rede no reservatório da Usina Hidrelétrica de Itaipu, rio Paraná, Brasil. Foram investigados ainda o padrão de distribuição parasitária e a correlação entre a prevalência e abundância com o comprimento total dos hospedeiros. Quatro espécies de Monogenoidea foram coletadas: Anacanthorus penilabiatus, A. toledoensis, Mymarothecium ianwhitingtoni e M. viatorum. Todos os parasitos coletados em P. mesopotamicus apresentaram típico padrão de distribuição agregada e não foi observada correlação entre a abundância e a prevalência e o comprimento total dos hospedeiros.