ABSTRACT Iodinated contrast media (ICM) is increasingly necessary to improve diagnostic accuracy. Despite the lack of association, several studies show that the myth that shellfish allergy confers an increased risk of adverse reactions to ICM persists. This erroneous concept can contribute to the suboptimal use of ICM, with consequent diagnostic and therapeutic delays, and increased morbidity and associated costs. In this sense, this work aims to review shellfish allergy and adverse reactions to ICM, and explore the perpetuation of this myth.

RESUMO A utilização de meios de contraste iodados (MCI) é cada vez mais necessária para aumentar a precisão diagnóstica. Apesar da ausência de associação já demonstrada, vários estudos mostram que persiste o mito de que a alergia a marisco confere um risco aumentado de reações adversas a MCI. Este conceito erróneo pode contribuir para uma utilização subótima dos MCI, com consequentes atrasos diagnósticos e terapêuticos, e aumento da morbilidade e dos custos associados. Neste sentido, este trabalho tem como objetivo fazer uma revisão sobre alergia a marisco e reações adversas a MCI e explorar a perpetuação deste mito.

RESUMO O desastre-crime do petróleo em 2019 é tido como o maior desastre ocorrido no litoral do Brasil. Considerada a primeira linha de enfrentamento de desastres no território, a gestão municipal de saúde é fundamental no processo de gestão de risco de desastre. Objetivou-se analisar a atuação de uma secretaria municipal de saúde da região metropolitana do Recife, Pernambuco, em relação ao derramamento do petróleo ocorrido em 2019. Foi realizado um estudo de caso do tipo descritivo com abordagem qualitativa. Foi realizada Análise de Conteúdo, com utilização do software IRaMuTeQ, das entrevistas com gestores da saúde, cujos resultados revelaram quatro categorias: gestão municipal na atenção com o mar; governança de risco de desastre e suas ausências; sindemia da covid-19 e impactos na reabilitação e recuperação das comunidades afetadas pelo desastre do petróleo; o que fazer se um desastre voltar a acontecer. No município em análise, houve a organização antecipada das ações de enfrentamento, a ausência da governança no desastre-crime e o enfoque da gestão em saúde na sindemia da covid-19, que foram apontados como dificuldades e vulnerabilidades na atuação, enquanto a educação permanente e a articulação com pescadores(as) e marisqueiras foram algumas das lições aprendidas. desastrecrime crime 201 Brasil território Objetivouse Objetivou Recife Pernambuco qualitativa Conteúdo IRaMuTeQ categorias mar ausências covid19 covid 19 covid-1 acontecer análise covid19, 19, pescadoresas pescadores as pescadores(as aprendidas 20 covid1 1 covid- 2

ABSTRACT The 2019 oil disaster-crime is considered the largest disaster on the Brazilian coast. Given the frontline in disaster response, the municipal health secretariat is crucial in the disaster risk management process. This study aimed to analyze the performance of a municipal health secretariat in the metropolitan region of Recife, Pernambuco, regarding the 2019 oil spill, adopting a descriptive, qualitative case study. We performed content Analysis with the IRaMuTeQ software on interviews with health managers, and the results revealed four categories: municipal management in marine care; disaster risk governance and its absence; the COVID-19 syndemic and its impacts on the rehabilitation and recovery of oil disaster-affected communities; what to do if a disaster strikes again. In the municipality under study, we noted early organization of response actions, the lack of governance in the disaster-crime, and health management focus on COVID-19 syndemic, which were identified as difficulties and vulnerabilities in their actions, while continuing education and coordination with fishermen and shellfish gatherers were among the lessons learned. 201 disastercrime crime coast process Recife Pernambuco spill descriptive managers categories care absence COVID19 COVID 19 COVID-1 disasteraffected affected communities again actions disastercrime, crime, learned 20 COVID1 1 COVID- 2

RESUMO Em agosto de 2019, 11 estados brasileiros foram atingidos por um extenso derramamento de petróleo. Nesse contexto, quais os principais impactos socioambientais e psicossociais causados pelo derramamento de petróleo na vida de famílias e indivíduos que vivem da pesca artesanal? Trata-se de uma pesquisa com métodos mistos que utilizou como técnicas: grupo focal e aplicação de formulários desenvolvidos de forma participativa com comunidades da foz do rio Jaguaribe, Ceará, e efetuados entre julho e agosto de 2020. Sua aplicação foi selecionada a partir de uma amostragem não probabilística do tipo intencional por julgamento, cujos dados foram processados com o suporte do software IBM Statistical Package for Social Sciences (SPSS). Os resultados indicam impactos ambientais, como: presença de óleo no rio e em animais; exposição humana direta ao petróleo; sintomas na saúde após exposição; efeitos psicológicos; consumo de recursos alimentares como peixes e crustáceos; e redução da renda dos Pescadores e Pescadoras Artesanais. Assim, compreende-se que a vida, o ambiente, a saúde e o trabalho dessas populações foram agravados, principalmente aqueles de ordens socioeconômicas, de segurança alimentar e hídrica e de saúde. 2019 1 contexto artesanal Tratase Trata se técnicas Jaguaribe Ceará 2020 julgamento SPSS. SPSS . (SPSS) ambientais animais psicológicos crustáceos Artesanais Assim compreendese compreende ambiente agravados socioeconômicas 201 202 (SPSS 20 2

ABSTRACT In August 2019, eleven Brazilian states were hit by an extensive oil spill. In this context: what are the main socio-environmental and psychosocial impacts caused by the oil spill on the lives of families and individuals who make their living from artisanal fishing? This is a research with mixed methods that used the following techniques: focus group and application of forms developed in a participatory manner with communities at the mouth of the Jaguaribe River, Ceará, and applied between July and August 2020. Its application was selected from a non-probabilistic sampling of the intentional type by judgment and was processed with the support of the IBM Statistical Package for Social Sciences (SPSS) software. The results indicate environmental impacts, such as: finding oil in the river and in animals; direct human exposure to oil; health symptoms after exposure; psychological effects; consumption of food resources such as fish and shellfish; and reduction in the income of Artisanal Fishermen and Fisherwomen. That way, it is understood that the lives, environment, health, and work of these populations were aggravated, especially those of socioeconomic, food and water security, and health orders. 2019 context socioenvironmental socio fishing techniques River Ceará 2020 nonprobabilistic non probabilistic SPSS (SPSS software animals effects shellfish Fisherwomen way environment aggravated socioeconomic security orders 201 202 20 2

Abstract The work carried out by women in the artisanal fishing production chain is historically invisible, whether in the internal prestige of communities, in fishing management, or in the legal identification of workers. Women's invisibility even incurs the restriction of social security rights, such as the so-called Defeso. Over the years 2018 to 2022, the research investigated the struggle of shellfish gatherers from Farol de São Thomé, a community located in Norte Fluminense, RJ - Brazil, against gender stereotypes present in the public policy entitled Projeto Bolsa Cidadão (PBC), instituted in the municipality of Campos dos Goytacazes/RJ from 2000 to 2021. Based on qualitative methodological techniques, such as direct observation in fieldwork, semi-structured interviews, and organization of a focus group, as well as a critical legal-anthropological epistemology, the text seeks to reflect on the dimensions of redistribution, recognition, and female participation in artisanal fishing and concludes that discriminatory blocks restrict or even exclude female workers from accessing social programs. This article results from research funded by the Pescarte Environmental Education Project (PEA), a mitigation measure required by the Federal Environmental Licensing conducted by IBAMA. invisible communities management Womens Women s rights socalled so called Defeso 201 2022 Thomé Fluminense Brazil PBC, PBC , (PBC) GoytacazesRJ Goytacazes 200 2021 techniques fieldwork semistructured semi structured interviews group legalanthropological anthropological epistemology redistribution recognition programs PEA, PEA (PEA) IBAMA 20 202 (PBC (PEA 2

Resumo O trabalho desenvolvido pelas mulheres presentes na cadeia produtiva da pesca artesanal é historicamente invisível, seja no prestígio interno das comunidades, na gestão pesqueira ou na identificação legal das trabalhadoras. A invisibilidade feminina incorre, inclusive, na restrição a direitos de seguridade social, como o denominado Defeso. Ao longo dos anos de 2018 a 2022, a pesquisa investigou a luta das marisqueiras de Farol de São Thomé, comunidade situada no Norte Fluminense, RJ - Brasil, contra estereótipos de gênero presentes na política pública intitulada Projeto Bolsa Cidadão (PBC), instituída no município de Campos dos Goytacazes/RJ de 2000 a 2021. A partir de técnicas metodológicas qualitativas, como a observação direta em trabalho de campo, entrevistas semiestruturadas e organização de grupo focal, bem como de uma epistemologia jurídico-antropológica crítica, o texto busca refletir sobre as dimensões da redistribuição, do reconhecimento e da participação feminina no âmbito da pesca artesanal e conclui que bloqueios discriminatórios restringem ou mesmo excluem as trabalhadoras do acesso a programas sociais. Este artigo é resultado de pesquisa financiada pelo Projeto de Educação Ambiental (PEA) Pescarte, que é uma medida de mitigação exigida pelo Licenciamento Ambiental Federal, conduzido pelo IBAMA. invisível comunidades incorre inclusive social Defeso 201 2022 Thomé Fluminense Brasil PBC, PBC , (PBC) GoytacazesRJ Goytacazes 200 2021 qualitativas campo focal jurídicoantropológica jurídico antropológica crítica redistribuição sociais PEA (PEA Pescarte Federal IBAMA 20 202 (PBC 2

Resumo Aspectos da biologia reprodutiva de Donax striatus foram estudados. Os indivíduos foram coletados mensalmente de fevereiro de 2021 a janeiro de 2022 na praia Gado Bravo, no município de Tibau do Norte, estado do Rio Grande do Norte, Brasil. Donax striatus é uma espécie dióica sem dimorfismo macroscópico externo (na concha) ou interno (gônadas). Assim, é necessário um exame microscópico das células reprodutivas. Para a caracterização dos estágios de desenvolvimento gonadal e determinação do tamanho na primeira maturidade sexual (L50), 30 espécimes foram selecionados mensalmente entre fevereiro de 2021 e janeiro de 2022 e submetidos ao processamento histológico. O índice de Condição (IC) de cada indivíduo foi estimado e as variações mensais foram estatisticamente avaliadas. O tamanho de primeira maturação (L50) foi estimado em 14,2 mm de comprimento de concha. Para promover a conservação da espécie, recomenda-se a captura de indivíduos maiores que 14,2 mm. Os menores índices de condição foram encontrados na estação seca, com maior ocorrência de organismos em fase de eliminação e exibindo reorganização do tecido gonadal. Índices maiores foram encontrados no período chuvoso, com presença de indivíduos maduros. A natureza contínua da gametogênese em Donax stritatus reflete a influência das chuvas na região. Machos e fêmeas apresentam pico de eliminação de gametas com pausas durante o ano, mas com presença de indivíduos em maturação e eliminação ao longo do ano. Como a mariscagem visando Donax striatus é excessiva na Praia de Gado Bravo, no estado do Rio Grande do Norte, espera-se que os resultados do presente estudo possam contribuir para o estabelecimento de medidas de manejo da atividade e estratégias de conservação da espécie. estudados 202 Bravo Norte Brasil concha gônadas. gônadas . (gônadas) Assim reprodutivas L50, L50 L , 3 histológico IC (IC avaliadas (L50 142 14 2 14, recomendase recomenda se seca chuvoso maduros região ano esperase espera 20 (gônadas L5 (L5 1 (L

Abstract Aspects of the reproductive biology of Donax striatus were studied from individuals collected from Gado Bravo Beach in the municipality of Tibau do Norte, state of Rio Grande do Norte, Brazil. Donax striatus is a dioic species without external (on the shell) or internal (gonads) macroscopic dimorphism. Thus, a microscopic examination of the reproductive cells is necessary. For the characterization of the gonadal development stages and determination of the size at first sexual maturity (L50), 30 specimens were selected monthly between February 2021 and January 2022 and submitted to histological processing. The condition index (CI) of each individual was estimated and monthly variations were statistically assessed. The size at first maturity (L50) was estimated to be 14.2 mm in shell length. To foster conservation of the species, catches of individuals larger than 14.2 mm is recommended. The lowest condition indices were found in the dry season, with a greater occurrence of organisms in the elimination stage and exhibiting gonad tissue reorganization. Higher indices were found in the rainy season, with the presence of mature individuals. The continuous nature of gametogenesis in Donax stritatus reflects the influence of rainfall in the region. Males and females have peak gamete elimination with pauses during the year, but with the presence of maturing and eliminating individuals throughout the year. As shellfish gathering targeting Donax striatus is excessive on Gado Bravo Beach in the state of Rio Grande do Norte, it is hoped that the results of the present study can contribute to the establishment of management measures for the activity and conservation strategies for the species. Norte Brazil gonads (gonads dimorphism Thus necessary L50, L50 L , 3 202 processing CI (CI assessed (L50 142 14 2 14. length recommended season reorganization region year L5 20 (L5 1 (L

ABSTRACT Harmful algal blooms (HABs) can negatively affect coastal water quality, aquatic fauna, and human health from the consumption of toxin-contaminated seafood. Estuaries are especially prone to the incidence of these noxious events and sensitive to the associated damage. This study represents a comprehensive overview of previous investigations reporting the occurrence of harmful algae and/or phycotoxins in the Paranaguá Estuarine Complex (CEP), in Southern Brazil. Secondary data from 2002 to 2021 were combined with new results obtained from widely spaced sampling campaigns performed from 2018 to 2019 to assess the periods and estuarine sectors at greater risk for the incidence of HABs. In total, about 600 water/sediment samples containing harmful microalgae and 675 tissue samples of phycotoxin-contaminated fauna were analyzed. The most frequent and abundant species of potentially toxic microalgae were dinoflagellates belonging to the species complexes Dinophysis acuminata and Prorocentrum lima, producers of diarrhetic shellfish toxins (DSTs), and diatoms of the genus Pseudo-nitzschia, producers of amnesic shellfish toxins (ASTs). Okadaic acid, a DST, was by far the most common toxin in the fauna, reaching higher levels in primary consumers such as bivalve mollusks (mussels, oysters, and clams), zooplankton, and suspension-feeding crustaceans (ghost shrimps), and moderate to low levels in cephalopods, fishes, gastropods, echinoderms, sea turtles, seabirds, and cetaceans. Less rainy periods (winter-early spring) were associated with the highest incidence of DSTs and blooms of their producing algae P. lima and Dinophysis spp., mainly in the middle region of Paranaguá Bay and on the shallow continental platform adjacent to the estuarine mouth. However, certain HAB-forming species may be more successful in inner estuarine areas ( Prorocentrum cordatum) and during different periods, such as late summer—early fall ( Pseudo-nitzschia spp.). Continuous monitoring of harmful algae and toxins is therefore highly recommended to mitigate the effects of HABs in the entire estuary. (HABs quality toxincontaminated contaminated seafood damage andor or CEP, CEP , (CEP) Brazil 200 202 201 total 60 watersediment sediment 67 phycotoxincontaminated phycotoxin analyzed DSTs, (DSTs) Pseudonitzschia, Pseudonitzschia Pseudo nitzschia, nitzschia ASTs. ASTs . (ASTs) acid DST mussels, mussels (mussels oysters clams, clams clams) zooplankton suspensionfeeding suspension feeding ghost shrimps, shrimps shrimps) cephalopods fishes gastropods echinoderms turtles seabirds cetaceans winterearly winter early spring P spp spp. mouth However HABforming HAB forming cordatum summerearly summer spp.. spp.) estuary (CEP 20 6 (DSTs (ASTs 2

RESUMO O desastre-crime do petróleo em 2019 é tido como o maior desastre ocorrido no litoral do Brasil. Considerada a primeira linha de enfrentamento de desastres no território, a gestão municipal de saúde é fundamental no processo de gestão de risco de desastre. Objetivou-se analisar a atuação de uma secretaria municipal de saúde da região metropolitana do Recife, Pernambuco, em relação ao derramamento do petróleo ocorrido em 2019. Foi realizado um estudo de caso do tipo descritivo com abordagem qualitativa. Foi realizada Análise de Conteúdo, com utilização do software IRaMuTeQ, das entrevistas com gestores da saúde, cujos resultados revelaram quatro categorias: gestão municipal na atenção com o mar; governança de risco de desastre e suas ausências; sindemia da covid-19 e impactos na reabilitação e recuperação das comunidades afetadas pelo desastre do petróleo; o que fazer se um desastre voltar a acontecer. No município em análise, houve a organização antecipada das ações de enfrentamento, a ausência da governança no desastre-crime e o enfoque da gestão em saúde na sindemia da covid-19, que foram apontados como dificuldades e vulnerabilidades na atuação, enquanto a educação permanente e a articulação com pescadores(as) e marisqueiras foram algumas das lições aprendidas.

ABSTRACT The 2019 oil disaster-crime is considered the largest disaster on the Brazilian coast. Given the frontline in disaster response, the municipal health secretariat is crucial in the disaster risk management process. This study aimed to analyze the performance of a municipal health secretariat in the metropolitan region of Recife, Pernambuco, regarding the 2019 oil spill, adopting a descriptive, qualitative case study. We performed content Analysis with the IRaMuTeQ software on interviews with health managers, and the results revealed four categories: municipal management in marine care; disaster risk governance and its absence; the COVID-19 syndemic and its impacts on the rehabilitation and recovery of oil disaster-affected communities; what to do if a disaster strikes again. In the municipality under study, we noted early organization of response actions, the lack of governance in the disaster-crime, and health management focus on COVID-19 syndemic, which were identified as difficulties and vulnerabilities in their actions, while continuing education and coordination with fishermen and shellfish gatherers were among the lessons learned.

RESUMO Em agosto de 2019, 11 estados brasileiros foram atingidos por um extenso derramamento de petróleo. Nesse contexto, quais os principais impactos socioambientais e psicossociais causados pelo derramamento de petróleo na vida de famílias e indivíduos que vivem da pesca artesanal? Trata-se de uma pesquisa com métodos mistos que utilizou como técnicas: grupo focal e aplicação de formulários desenvolvidos de forma participativa com comunidades da foz do rio Jaguaribe, Ceará, e efetuados entre julho e agosto de 2020. Sua aplicação foi selecionada a partir de uma amostragem não probabilística do tipo intencional por julgamento, cujos dados foram processados com o suporte do software IBM Statistical Package for Social Sciences (SPSS). Os resultados indicam impactos ambientais, como: presença de óleo no rio e em animais; exposição humana direta ao petróleo; sintomas na saúde após exposição; efeitos psicológicos; consumo de recursos alimentares como peixes e crustáceos; e redução da renda dos Pescadores e Pescadoras Artesanais. Assim, compreende-se que a vida, o ambiente, a saúde e o trabalho dessas populações foram agravados, principalmente aqueles de ordens socioeconômicas, de segurança alimentar e hídrica e de saúde.

ABSTRACT In August 2019, eleven Brazilian states were hit by an extensive oil spill. In this context: what are the main socio-environmental and psychosocial impacts caused by the oil spill on the lives of families and individuals who make their living from artisanal fishing? This is a research with mixed methods that used the following techniques: focus group and application of forms developed in a participatory manner with communities at the mouth of the Jaguaribe River, Ceará, and applied between July and August 2020. Its application was selected from a non-probabilistic sampling of the intentional type by judgment and was processed with the support of the IBM Statistical Package for Social Sciences (SPSS) software. The results indicate environmental impacts, such as: finding oil in the river and in animals; direct human exposure to oil; health symptoms after exposure; psychological effects; consumption of food resources such as fish and shellfish; and reduction in the income of Artisanal Fishermen and Fisherwomen. That way, it is understood that the lives, environment, health, and work of these populations were aggravated, especially those of socioeconomic, food and water security, and health orders.

abstract This paper composes dialogues between indigenous anthropology and the anthropology of fishing communities. It analyzes the productive techniques and bodily experiences that women potters and women shellfish gatherers weave with the mud in its sensitive and conceptual aspects. It starts from the notion of mud/clay as a living entity that has singular material, historical and affective dynamics in each ethnographic context. Thus, it goes through narratives of women from the Kichwa Lamas communities in the Peruvian Amazon and the Island of Itaparica on the Brazilian Atlantic coast who, in the interstices of the anthropo/capitalocene, persist in the paths of the mud and the moon. aspects mudclay clay material context Thus who anthropocapitalocene anthropo capitalocene anthropo/capitalocene moon

resumo Este artigo compõe diálogos entre a antropologia indígena e a antropologia de comunidades pesqueiras. Analisa as técnicas produtivas e experiências corporais que mulheres oleiras e mulheres marisqueiras tecem com a lama em seus aspectos sensíveis e conceituais. Parte da noção de lama/barro, como entidade viva que possui dinâmicas materiais, históricas e afetivas singulares em cada contexto etnográfico. Assim, percorre relatos de mulheres das comunidades kichwa lamas na Amazônia Peruana e da Ilha de Itaparica na Costa Atlântica brasileira que, nos interstícios do antropo/capitaloceno, persistem nos caminhos da lama e da lua. pesqueiras conceituais lamabarro barro lama/barro materiais etnográfico Assim antropocapitaloceno antropo capitaloceno antropo/capitaloceno lua

Resumen Este artículo indaga en las relaciones de parentesco tejidas por las mujeres en las actividades cotidianas del marisqueo (recogida/captura de mariscos y crustáceos). El eje central del análisis se centra en la producción de parentesco entre las casas y la marea, a través de los intercambios cotidianos y ancestrales de un saber hacer: el marisqueo. A partir de la etnografía realizada entre las mariscadoras de la isla de Matarandiba (BA), buscamos comprender hasta qué punto la marea, en su sentido temporal, espacial y biosocial, puede conformar la conjunción casa/cuerpo. Se analiza cómo las relaciones de parentesco se entretejen en la circulación que tiene lugar entre la casa y la marea a través del ritmo de la recolección de marisco. Propone una narrativa basada en la trayectoria de las comadres marisqueiras, centrándose principalmente en las relaciones afectivas que han arraigado en el manglar. recogida/captura recogidacaptura recogida captura crustáceos. crustáceos . crustáceos) hacer BA, BA , (BA) temporal biosocial casacuerpo cuerpo casa/cuerpo marisco marisqueiras manglar (BA

Abstract This article deals with the kinship relationships woven by women in the daily activities of mariscagem (collecting/catching shellfish and crustaceans). The central focus of our analysis is the production of kin between houses and the tide through the daily and ancestral exchanges of a know-how: shellfish gathering. Based on ethnography carried out among shellfish gatherers on the island of Matarandiba (BA), we seek to understand the extent to which the tide, in its temporal, spatial and biosocial sense, can make up the house/body conjunction. We analyze how kinship relationships are woven into the circulation that takes place between the house and the tide through the rhythm of shellfish gathering. We propose a narrative based on the trajectory of the comadres marisqueiras, focusing mainly on the affective relationships these women have, rooted in the mangrove swamp. collecting/catching collectingcatching collecting catching crustaceans. crustaceans . crustaceans) knowhow know know-how gathering BA, BA , (BA) temporal sense housebody body conjunction marisqueiras have swamp (BA

Resumo Este artigo trata das relações de parentesco tecidas por mulheres nas atividades cotidianas de mariscagem (coleta/captura de mariscos e crustáceos). O foco central da análise é a produção de parentes entre as casas e a maré, mediante as trocas cotidianas e ancestrais de um saber-fazer: a mariscagem. Com base na etnografia realizada entre as marisqueiras da ilha de Matarandiba (BA), procurou-se entender em que medida a maré, no seu sentido temporal, espacial e biossocial, pode compor a conjunção casa/corpo. Analisa-se como as relações de parentesco são tecidas a partir de uma circulação que acontece entre a casa e a maré por meio do ritmo da mariscagem. Propõe-se uma narrativa baseada na trajetória das comadres marisqueiras, focando principalmente nas relações afetivas enraizadas por elas no mangue. coleta/captura coletacaptura coleta captura crustáceos. crustáceos . crustáceos) saberfazer saber fazer saber-fazer BA, BA , (BA) procurouse procurou se temporal biossocial casacorpo corpo casa/corpo Analisase Analisa Propõese Propõe mangue (BA

Abstract Food allergy is an immune response to proteins in food. It usually affects 8% of children and 2% of adults in Western countries. Non-IgE-mediated food allergy mainly affects the gastrointestinal tract. Gastrointestinal food allergies are classified, by their underlying pathogenesis, as: IgE-mediated, non-IgE-mediated, or mixed. The symptoms of patients with food protein-induced allergic proctocolitis originate from local inflammation of the distal colon, which causes hematochezia in neonates. It can affect the entire gastrointestinal tract and cause symptoms of intractable emesis, with subsequent metabolic disorders and hypovolemic shock. Food protein-induced enterocolitis syndrome is a non-IgE-mediated allergy that usually appears in childhood, with prolonged repetitive vomiting, starting 1 to 4 hours after ingestion of food. The manifestation in adults is usually triggered by the consumption of shellfish. Atopic diseases affect 40-60% of patients with food protein-induced enterocolitis syndrome, including 40-50% of those with food protein-induced enteropathy and proctocolitis. Probiotics (Lactobacillus GG) can alleviate the symptoms of allergic proctocolitis induced by food proteins, by altering the composition of the intestinal microbiota. Fecal microbiota transplantation (FMT) can change intestinal microecology efficiently compared to food or probiotics.

Resumen La alergia alimentaria es una respuesta inmunitaria a las proteínas de los alimentos. Suele afectar al 8% de los niños y al 2% de los adultos en países occidentales. La alergia alimentaria no mediada por IgE afecta, principalmente, el aparato gastrointestinal. Las alergias alimentarias gastrointestinales se clasifican, por su patogenia subyacente, en: mediadas por IgE, no mediadas por IgE, o mixtas. Los síntomas de pacientes con proctocolitis alérgica inducida por proteínas alimentarias se originan por la inflamación local del colon distal, que causa hematoquecia en neonatos. Puede afectar todo el conducto gastrointestinal y provocar síntomas de emesis intratable, con subsiguientes trastornos metabólicos y choque hipovolémico. El síndrome de enterocolitis inducida por proteínas alimentarias es una alergia no mediada por IgE que suele aparecer en la infancia, con vómito prolongado repetitivo, que inicia entre 1 a 4 horas después de la ingestión de alimentos. La manifestación en adultos suele desencadenarse por el consumo de mariscos. Las enfermedades atópicas afectan del 40-60% de los pacientes con síndrome de enterocolitis inducida por proteínas alimentarias, incluso al 40-50% de quienes padecen enteropatía y proctocolitis inducidas por proteínas alimentarias. Los probióticos (Lactobacillus GG) pueden aliviar los síntomas de proctocolitis alérgica inducida por proteínas alimentarias, al alterar la composición de la microbiota intestinal. El trasplante de microbiota fecal (TMF) puede cambiar la microecología intestinal de manera eficiente comparada con los alimentos o probióticos.

Abstract The prevalence of food allergy has increased in some regions of the world, and with it the incidence, according to geographical variability, in the phenotype and clinical manifestations. Food allergy arises from the specific immune response induced by exposure to the proteins of a certain food. Food intolerance refers to non-immune reactions, caused by unique physiological characteristics of the individual, including metabolic, toxic, pharmacological and undefined mechanisms. Adverse reactions to foods are classified as: IgE-mediated: Type I Hypersensitivity, non-IgE-mediated: Type IV Hypersensitivity, mixed: Types I and IV Hypersensitivity Non-Allergic; toxic, pharmacological, metabolic, intolerances. These types of alterations are rare but have increased in recent years; These include protein-induced enterocolitis syndrome, which can cause emesis, diarrhea and hypotension, and shock, which begins two hours after ingestion of the allergen. Protein-induced allergic proctocolitis is a condition that includes allergy to cow's milk protein. Delayed reactions usually affect the digestive system, are more insidious in their onset and are not immediately controlled, even with the suspension of food. There are eight foods responsible for 90% of food llergies: milk, eggs, soy, wheat, peanuts, walnuts, fish, and shellfish.

Resumen La prevalencia de alergia alimentaria se ha incrementado en algunas regiones del mundo, y con ello la incidencia, según la variabilidad geográfica, en el fenotipo y manifestaciones clínicas. La alergia alimentaria surge de la respuesta inmune específica inducida por la exposición a las proteínas de cierto alimento. La intolerancia alimentaria se refiere a reacciones no inmunitarias, causadas por características fisiológicas únicas del individuo, que incluyen mecanismos metabólicos, tóxicos, farmacológicos e indefinidos. Las reacciones adversas a los alimentos se clasifican en: mediada por IgE: Hipersensibilidad Tipo I, no mediada por IgE: ipersensibilidad Tipo IV, mixtas: Hipersensibilidad Tipos I y IV No Alérgicas; tóxicas, farmacológicas, metabólicas, intolerancias. Este tipo de alteraciones son poco frecuentes, pero se ha incrementado en los últimos años; entre estas se encuentra el síndrome de enterocolitis inducida por proteínas, que puede producir emesis, diarrea e hipotensión, y estado de shock, que inicia dos horas después de la ingestión del alergeno. La proctocolitis alérgica inducida por proteínas es una afectación que incluye la alergia a la proteína e leche de vaca. Las reacciones retardadas suelen afectar el aparato digestivo, son más insidiosas en su inicio y no se controlan inmediatamente, aún con la suspensión del alimento. Existen ocho alimentos responsables del 90% de alergia alimentaria: leche, huevo, soya, trigo, cacahuate, nuez, pescados y mariscos.

Abstract Food allergy is very common throughout the world and has become a major public health problem, with 220 million people suffering from it. Food allergy has been disproportionately observed in people from industrialized or Western countries and was previously considered to predominate in the pediatric versus adult population. However, the current exponential growth of the adult population and older adults, especially in Western countries, and environmental and lifestyle changes, have profoundly changed the epidemiology of food allergy, with a growing increase even at advanced ages. The foods that represent the greatest severity and clinical impact are peanuts, walnuts, fish, shellfish, eggs, cow's milk protein, wheat, soy and seeds. Although some types of food allergies (cow's milk and egg) may disappear, peanut and tree nut allergies may persist into adulthood. The control or cure of cow's milk protein allergy is gradual throughout childhood and adolescence. Despite the predominance of allergy to fish, shellfish, peanuts, and tree nuts in most reactions in adults, the most common form of IgE-mediated food allergy is oral allergy syndrome or pollen allergy syndrome. food.

Resumen La alergia alimentaria es muy común en todo el mundo y se ha convertido en un importante problema de salud pública, pues 220 millones de personas la padecen. La alergia alimentaria se ha observado de manera desproporcionada en personas de países industrializados u occidentales, y se considera previamente con predominio en la población pediátrica versus adultos. Sin embargo, el crecimiento exponencial actual de la población adulta y adultos mayores, especialmente en los países occidentales, y los cambios ambientales y de estilo de vida, han cambiado profundamente la epidemiología de la alergia alimentaria, con un aumento creciente incluso en edades avanzadas. Los alimentos que representan mayor gravedad y repercusión clínica son: cacahuate, nuez, pescado, mariscos, huevo, proteína de leche de vaca, trigo, soya y semillas. Aunque algunos tipos de alergia alimentaria (leche de vaca y huevo) pueden desaparecer, la alergia al cacahuete y la nuez de árbol pueden persistir hasta la edad adulta. El control o curación de la alergia a la proteína de leche de vaca es gradual a lo largo de la niñez y la adolescencia. A pesar del predominio de la alergia al pescado, mariscos, cacahuates y nueces de árbol en la mayoría de las reacciones en adultos, la forma más común de alergia alimentaria mediada por IgE en es el síndrome de alergia oral o síndrome de alergia al polen-alimento.

ABSTRACT The objective of the study is to propose educational actions that allow the population to know the importance of the consumption of fish and shellfish for their health and the benefits they provide. For this, it was necessary to know the current situation of consumption and purchase of fish and shrimp. Two study factors were proposed, the first to find out if the population of the Santo Domingo canton consumes fish and/or shellfish and to determine the preferences, frequency and quantity of fish and shrimp purchases; and the second, to find out if this population considers the need for places to sell fish and/or marinated shrimp. In this regard, the results were not high, that is, actions are needed to increase the consumption of fish and shellfish such as shrimp, due to their high protein value, and content of vitamins and minerals necessary for health. The proposal of several educational actions that can be carried out at the same time was made, in order to inform the population, and create in them the need to consume these products based on fish and shrimp.

RESUMEN El estudio tenga como objetivo proponer acciones educativas que permitan a la población conocer la importancia del consumo de pescados y mariscos para su salud y los beneficios que aportan. Para ello fue necesario conocer la situación actual de consumo y compra de pescado y camarón. Se plantearon dos factores de estudio, el primero para conocer si la población del cantón Santo Domingo consume pescado y/o mariscos y determinar las preferencias, frecuencia y cantidad de compra de pescado y camarón; y el segundo, para conocer si esta población considera la necesidad de lugares de expendio de pescados y/o camarón marinado. Al respecto los resultados no fueron elevados, es decir, que se necesita de acciones que incrementen el consumo de pescado y mariscos como el camarón, por su alto valor proteico, y contenidos de vitaminas y minerales necesarios para la salud. Se realizó la propuesta de varias acciones educativas que pueden realizarse a la vez, para lograr informar a la población, y crear en ellos la necesidad del consumo de estos productos a base de pescado y camarón.

ABSTRACT Iphigenia brasiliensis is a bivalve mollusk exploited as a shellfish and subsistence resource on the Brazilian coast, mainly in the north and northeast regions. Genetic (allozyme electrophoresis revealed eight gene loci) and morphological variations (multivariate morphometry of valves used 13 linear measurements of traditional and 19 Fourier coefficients of geometric morphometry) were studied, considering the geographic (445 km of the southwest tropical Atlantic), environmental (mangroves and channels of communication with the sea of three estuaries in the state of Rio de Janeiro), and temporal dimensions (over two years). I. brasiliensis showed high levels of genetic variation (the average number of alleles per locus ranged from 2.8 to 3.4, and the average heterozygosity ranged from 0.441 to 0.675). Bayesian analysis of population partitioning showed that the highest LnP(D) value was achieved for K = 3. These results indicated mixed ancestry, possibly oscillations in the dispersion dynamics among the different sampling groups, and temporal oscillations in the population sizes due to the anthropogenic influence on the studied estuaries. The results of morphological variation, inferred by the PERMANOVA from the Fourier analysis, indicated that a similar influence might occur in valves (also, the discriminant analysis showed that different groups could be consistently identified). In this sense, the studied populations may be organized in a dynamic of metapopulations. Finally, these are the first data on morphological and genetic variation of the species in the latitudinal, environmental, and temporal dimensions studied simultaneously, thus providing relevant information for the exploration, management, and conservation of this commercially important species.