ABSTRACT Background: Leprosy, a neglected tropical disease, is reported in over 120 countries, with upwards of 200,000 new cases annually. This Cross-Sectional Cohort Study aimed to delineate the epidemiological profile of leprosy in a low-endemic area in southern Brazil, both before and after implementing an active search strategy. Methods: The study examined two surveillance periods in Cac ador, Santa Catarina, Brazil. The active search strategy was carried out through the application of the LSQ by the community health workers as a screening and detection tool for new cases of leprosy and this was compared with passive case detection. The first spanned from 2014 to 2020, and the second from January 2021 to August 2023. Findings: 48 leprosy cases were reported throughout the study, 83.3 % of which were diagnosed as multibacillary. The first period had an average detection rate of 0.38 cases per 10,000 inhabitants, increasing to 1.19 cases per 10,000 inhabitants in the second period. Notably, there was a substantial shift in the degree of physical disability (GD), with more Grade 0 and Grade 1 disabilities observed post-active search. Main Conclusions: The study underscores the efficacy of active search strategies in early diagnosis, highlighting a 300 % increase in the annual average of diagnosed cases. This large number of detected cases demonstrates the high sensitivity of the LSQ. This approach significantly aids in uncovering hidden cases of leprosy, enhancing disease management and control in low-endemic areas indicating that the Ministry of Health should intensify leprosy control activities in these regions. Background Leprosy 12 countries 200000 200 000 200,00 annually CrossSectional Cross Sectional lowendemic low endemic Brazil Methods ador Catarina 201 2020 202 2023 Findings 4 833 83 3 83. multibacillary 038 38 0.3 10000 10 10,00 119 19 1.1 Notably GD, GD , (GD) postactive post Conclusions diagnosis 30 regions 20000 20 00 200,0 8 03 0. 1000 10,0 11 1. (GD 2000 2 200, 100 10,

RESUMO: O objetivo deste trabalho foi avaliar a inclusão do extrato de Yucca schidigera e da zeólita (Clinoptilolita) nas dietas para cães e seus efeitos sobre os coeficientes de digestibilidade aparente (CDA) dos componentes da dieta (matéria seca, matéria orgânica, proteína bruta, extrato etéreo em hidrólise ácida e energia) e no pH urinário. Foram utilizados 21 cães Beagles, machos e fêmeas, com peso médio de 12,5±1,5kg e quatro anos e meio de idade, distribuídos em delineamento inteiramente casualizado com sete repetições para cada um dos três tratamentos experimentais: controle (sem adição de Yucca schidigera e zeólita), Yucca schidigera (375ppm) e zeólita (1%), administrados na forma de suplemento encapsulado. Os CDA dos componentes da dieta e o pH urinário não foram afetados pela inclusão dos aditivos (P>0,05), exceto o CDA do extrato etéreo em hidrólise ácida, que reduziu com a suplementação de Yucca schidigera em comparação aos demais tratamentos (P<0,05). A adição de 375ppm de extrato de Yucca schidigera reduziu a digestibilidade da gordura dietética pelos cães e tanto a adição de Yucca schidigera como a de zeólita não alteraram o pH urinário.

ABSTRACT: This study aimed to evaluate the inclusion of Yucca schidigera extract and zeolite (Clinoptilolite) added to the diets for dogs and its effect on apparent digestibility coefficients (ADC) of diet components (dry matter, organic matter, crude protein, acid hydrolyzed fat, and energy) and urinary pH. Twenty-one adult Beagles, males and females, body weight mean of 12.5±1.5kg and four and a half years old, distributed in a completely randomized design with seven replicates per treatment within three experimental treatments: control (no addition of Yucca schidigera and zeolite), Yucca schidigera (375ppm) and zeolite (1%), administered in the encapsulated form of the supplement. The ADC of diet components and urinary pH were not affected by the inclusion of additives (P>0.05), except the ADC acid hydrolyzed fat showed reduction with Yucca schidigera supplementation compared to the other treatments (P<0.05). The addition of 375ppm of Yucca schidigera extract reduced the digestibility of dietary fat by dogs and both Yucca schidigera extract and zeolite did not affect the urinary pH of dogs.

A manutenção do pH da urina na faixa ideal (6,2 - 6,4) é de grande importância para a promoção da saúde do trato urinário inferior de felinos. Em alimentos do segmento econômico e standard essa é uma grande preocupação, já que a urina dos animais tende a ser alcalina, após o consumo de alimentos desses segmentos comerciais, predispondo à formação de urólito de estruvita. Nesse sentido, neste trabalho, objetivou-se estudar os efeitos de níveis crescentes de acidificante urinário (0,0%; 0,3%; 0,6%; e 0,9%, em base de matéria seca) em alimento com elevado excesso de bases sobre o balanço ácido-básico do organismo, coeficientes de digestibilidade aparente dos nutrientes, pH urinário, equilíbrio hidro-eletrolítico de gatos, bem como a adequação de equações propostas na literatura para estimar o pH urinário. Foram utilizados vinte e quatro gatos adultos, machos e fêmeas, distribuídos em delineamento inteiramente casualizado, constituído de seis animais por tratamento. A matéria seca da urina apresentou comportamento quadrático (p<0,05; y = 9.5863 + 3.2299x + 0.7871x² R² = 99,91%), o HCO3-, CO2 total e excesso de bases sanguíneos, no período em que os animais estavam alimentados, apresentaram-se elevados, na inclusão de 0,9% de acidificante em comparação a 0,6% (p<0,05). Em contrapartida, a utilização do aditivo não alterou o pH urinário, a concentração de eletrólitos sanguíneos, digestibilidade dos nutrientes, escore fecal, consumo de alimento e de água (p>0,05). As equações propostas na literatura, que utilizam o excesso de bases do alimento para estimar o pH urinário, superestimaram os valores de pH encontrados no presente estudo.

Maintaining the pH of urine in the ideal range (6.2 - 6.4) is of great importance for health promotion in the lower urinary tract of cats. In the economic and standard feed sector this is a major concern, given that the animal urine tends to be alkaline after food consumption of those commercial segments, which predispose to the formation of struvite urolith. Therefore, this study aimed to study the effects of increasing levels of urinary acidifiers (0.0%, 0.3%, 0.6% and 0.9%, on a dry matter base) in feed with high excess base over the acid-basic balance in the organism, apparent digestibility coefficients of nutrients, urinary pH, hydro-electrolyte balance in cats, as well as the adequacy of equations proposed in the literature to estimate the urinary pH. Twenty-four adult cats, males and females were distributed in a completely randomized design, consisting of six animals per treatment. The dry matter content of urine presented a quadratic behavior (p<0,05; y = 9.5863 + 3.2299x + 0.7871x² R² = 99,91%), HCO3-, total CO2 and excess blood base during the period in which the animals were fed were high when including 0.9% acidifier compared to 0.6% (p<0.05). In contrast, the use of the additive did not change the urinary pH, blood electrolyte concentration, nutrient digestibility, fecal score, food and water intake (p>0.05). The equations proposed in the literature, which use excess of base in feed to estimate urinary pH, overestimated the pH values found in this study.