ABSTRACT Congeneric species have similarities in phenotypic and ecological traits. The sympatry of congeneric species constitutes an opportunity for studies on coexistence. Two bird species of Mimidae, the native Tropical mockingbird, Mimus gilvus Oberholser, 1919, and the restinga invader Chalk-browed mockingbird, Mimus saturninus (Lichtenstein, 1823), currently occur in sympatry across the sandy-coastal ecosystem (restinga) of Espírito Santo state, Southeastern Brazil. We studied the spatial distribution of Tropical mockingbird and Chalk-browed mockingbird to understand the degree of competition across a preserved and urban gradient. We sampled 1,451 sampling units across a preserved and urban landscape in a coastal area of southeastern Brazil. The best-fitting model for abundance (Punctual Abundance Index) included urbanization index, distance from the coast, and distance from the closest protected area, which explained 63% and 97% of the abundance of Tropical mockingbird and Chalk-browed mockingbird, respectively. The species exhibited a segregated spatial pattern at small scale, indicating that both species are avoiding one another. Chalk-browed mockingbird showed ecological plasticity in modified environments, whereas Tropical mockingbird was more sensitive to urbanization. We suggested that the coexistence of these species is associated with resource partitioning. Monitoring Tropical mockingbird populations may be a proxy for the assessment of habitat quality and restoration success in the highly threatened restinga ecosystem. traits Mimidae Oberholser 1919 Chalkbrowed Chalk browed Lichtenstein, Lichtenstein (Lichtenstein 1823, 1823 , 1823) sandycoastal sandy (restinga state Brazil gradient 1451 1 451 1,45 bestfitting best fitting Punctual Index index coast 63 97 respectively scale another environments partitioning 191 182 145 45 1,4 6 9 19 18 14 4 1,

Resumo Objetivo: fornecer uma visão geral das associações entre exposição ocupacional e risco da ocorrência ou morte por câncer. Métodos: esta revisão guarda-chuva da literatura utilizou as bases Medline e Web of Science. A partir de protocolo de busca, foram incluídas metanálises para diversas circunstâncias ocupacionais e cânceres selecionados que possuíssem algum nível de evidência para associação com ocupação. Resultados: foram incluídas 37 metanálises, abrangendo 18 localizações de câncer. Considerando a avaliação da heterogeneidade dos estudos, da qualidade da evidência e da força de associação, obteve-se evidências altamente sugestivas de associações entre exposição a solvente e mieloma múltiplo; amianto e câncer de pulmão; hidrocarbonetos e câncer de trato aerodigestivo superior; e estresse ocupacional e câncer colorretal. Conclusão: há evidências robustas para associar exposições ocupacionais e tipos de câncer não previstos, inicialmente, nas orientações de vigilância do câncer relacionado ao trabalho no Brasil. Permanecem lacunas sobre exposições de grande relevância, que carecem de metanálises mais consistentes, por exemplo, exposição a poeiras inorgânicas e câncer de pulmão e mesotelioma; exposição a solventes e tumores hematológicos. Evidências de câncer em outras regiões anatômicas foram menos robustas, apresentando indícios de incerteza ou viés.

Abstract Objective: to provide an overview of the associations between occupational exposure and risk of occurrence or death from cancer. Methods: this umbrella review used the Medline and Web of Science databases. Based on the search protocol, meta-analysis was included for several occupational circumstances and selected cancers that had some level of evidence associated with the occupation. Results: 37 meta-analysis were included, covering 18 cancer locations. By assessing the heterogeneity of studies, quality of evidence, and strength of association, results highly indicated associations between solvent exposure and multiple myeloma, asbestos and lung cancer, hydrocarbons and upper aerodigestive tract cancer, occupational stress and colorectal cancer. Conclusion: robust evidence shows an association between occupational exposures and types of cancer not initially foreseen in the guidelines for work-related cancer surveillance in Brazil. Gaps in relevant exposures require further research and more consistent meta-analysis, including: exposure to inorganic dust and lung cancer and mesothelioma; solvents and hematological tumors. Evidence of cancer in other anatomical regions was less robust, showing signs of uncertainty or bias.

Resumo Este estudo buscou avaliar a relação entre fatores sociodemográficos e o impacto na Qualidade de Vida Relacionada à Saúde Bucal (QVRSB), em gestantes brasileiras usuárias do Sistema Único de Saúde. Trata-se de um estudo epidemiológico observacional transversal, desenvolvido com gestantes residentes em duas regiões com características sociodemográficas distintas. Foram entrevistadas 1.777 puérperas. Um questionário estruturado e previamente testado coletou as variáveis sociodemográficas e o Oral Health Index Profile (OHIP-14) avaliou o impacto na QVRSB. A análise estatística foi realizada utilizando o teste Qui-quadrado e a regressão logística múltipla, ambos com significância de 5%. A dimensão “desconforto psicológico” foi a única com diferença entre as puérperas da RMGV e MRSM (p=0,042). Associou-se ao impacto na QVRSB as variáveis: residir na RMGV (OR=1,69; IC95%: 1,16-2,47); ter pouca escolaridade (OR=1,80; IC95%: 1,03-3,18) e realizar consulta odontológica durante a gestação (OR=2,15; IC95%: 1,50-3,07). Os fatores sociodemográficos devem ser considerados no planejamento das ações em saúde bucal das gestantes, pois influenciam no impacto na QVRSB.

Abstract This study aimed to evaluate the relationship between sociodemographic factors and the impact on Oral Health-Related Quality of Life (OHR-QoL) in Brazilian pregnant women users of the Unified Health System. This is a cross-sectional epidemiological study developed with pregnant women living in two regions with different sociodemographic characteristics. In total, 1,777 puerperae were interviewed. A structured and previously tested questionnaire collected sociodemographic variables, and the Oral Health Index Profile (OHIP-14) assessed the impact on the OHR-QoL. The statistical analysis was performed using the Chi-square test and multiple logistic regression, both with a significance of 5%. The “psychological discomfort” realm was the only one with a difference between the puerperae of the RMGV and the MRSM (p=0.042). The following variables were associated with the impact on the OHR-QoL: residing in the RMGV (OR=1.69; 95%CI: 1.16-2.47); having a low level of schooling (OR=1.80; 95%CI: 1.03-3.18) and visit to the dentist during pregnancy (OR=2.15, 95%CI: 1.50-3.07). Sociodemographic factors should be considered in the planning of oral health actions of pregnant women, as they influence the impact on the OHR-QoL.

Abstract This is a case report about the only confirmed death in the State of Espírito Santo due to acute Chagas-related myocarditis in a 2-year-old child living in the rural area of Guarapari. He presented with fever, abdominal pain, headache, and vomiting, resulting in death 21 days after the presentation of symptoms. Amastigote forms were observed in the myocardial fibers in histological examination. The boy’s mother had reported finding “kissing bugs” in the child’s hand. This case highlights the need to include Chagas disease in the differential diagnosis in health care to provide early treatment and avoid death in affected individuals.

Resumo Este estudo buscou avaliar a relação entre fatores sociodemográficos e o impacto na Qualidade de Vida Relacionada à Saúde Bucal (QVRSB), em gestantes brasileiras usuárias do Sistema Único de Saúde. Trata-se de um estudo epidemiológico observacional transversal, desenvolvido com gestantes residentes em duas regiões com características sociodemográficas distintas. Foram entrevistadas 1.777 puérperas. Um questionário estruturado e previamente testado coletou as variáveis sociodemográficas e o Oral Health Index Profile (OHIP-14) avaliou o impacto na QVRSB. A análise estatística foi realizada utilizando o teste Qui-quadrado e a regressão logística múltipla, ambos com significância de 5%. A dimensão “desconforto psicológico” foi a única com diferença entre as puérperas da RMGV e MRSM (p=0,042). Associou-se ao impacto na QVRSB as variáveis: residir na RMGV (OR=1,69; IC95%: 1,16-2,47); ter pouca escolaridade (OR=1,80; IC95%: 1,03-3,18) e realizar consulta odontológica durante a gestação (OR=2,15; IC95%: 1,50-3,07). Os fatores sociodemográficos devem ser considerados no planejamento das ações em saúde bucal das gestantes, pois influenciam no impacto na QVRSB.

Abstract This study aimed to evaluate the relationship between sociodemographic factors and the impact on Oral Health-Related Quality of Life (OHR-QoL) in Brazilian pregnant women users of the Unified Health System. This is a cross-sectional epidemiological study developed with pregnant women living in two regions with different sociodemographic characteristics. In total, 1,777 puerperae were interviewed. A structured and previously tested questionnaire collected sociodemographic variables, and the Oral Health Index Profile (OHIP-14) assessed the impact on the OHR-QoL. The statistical analysis was performed using the Chi-square test and multiple logistic regression, both with a significance of 5%. The “psychological discomfort” realm was the only one with a difference between the puerperae of the RMGV and the MRSM (p=0.042). The following variables were associated with the impact on the OHR-QoL: residing in the RMGV (OR=1.69; 95%CI: 1.16-2.47); having a low level of schooling (OR=1.80; 95%CI: 1.03-3.18) and visit to the dentist during pregnancy (OR=2.15, 95%CI: 1.50-3.07). Sociodemographic factors should be considered in the planning of oral health actions of pregnant women, as they influence the impact on the OHR-QoL.

RESUMO JUSTIFICATIVA E OBJETIVOS: Os distúrbios musculoesqueléticos se acentuam com o avanço da idade. Dentre eles, a dor crônica pode influenciar em diversos aspectos funcionais, como a força de preensão manual, especialmente em idosos institucionalizados. O objetivo deste estudo foi verificar a prevalência de dor crônica e analisar a força de preensão manual em idosos institucionalizados. MÉTODOS: Estudo transversal de base populacional, realizado em instituições de longa permanência de Passo Fundo/RS (2016-2018). A população foi composta por 281 residentes, avaliados quanto às variáveis sociodemográficas (registros médicos), a força de preensão manual (dinamometria manual) e a dor crônica (autorrelato). A análise estatística utilizou a estatística descritiva e o teste t Student de amostras independentes (p≤0,05). RESULTADOS: A amostra foi composta por 173 idosos (80,95±8,94 anos). A maioria residia em instituições privadas, eram mulheres, viúvas e com escolaridade de 1 a 8 anos. A prevalência de dor crônica foi de 39,3% e a força de preensão manual média foi de 7,0±6,42kg (mão direita) e 6,24±5,96kg (mão esquerda). A força de preensão manual foi maior nos grupos dos idosos do sexo masculino (mãos direita e esquerda: p=0,000) e dos idosos não longevos (mão direita p=0,017; mão esquerda p=0,002). Não houve diferença nos valores de força de preensão manual entre os grupos com e sem dor crônica (p>0,05). CONCLUSÃO: Idosos institucionalizados apresentam uma expressiva prevalência de dor crônica e valores de força de preensão manual muito abaixo do esperado, sendo influenciada pelo sexo e pela idade.

ABSTRACT BACKGROUND AND OBJECTIVES: Musculoskeletal disorders are accentuated with aging. Among these, chronic pain can influence several functional aspects such as handgrip strength, especially in institutionalized elderly. The objective of this study was to check the prevalence of chronic pain and to analyze the handgrip strength in institutionalized elderly. METHODS: A cross-sectional, population-based study was carried out at long-term care facilities in Passo Fundo/RS (2016-2018). The population was composed of 281 residents, evaluated for sociodemographic variables (medical records), handgrip strength (manual dynamometry), and chronic pain (self-report). The statistical analysis used the descriptive statistics and the Student t-test of independent samples (p≤0.05). RESULTS: The sample consisted of 173 elderly individuals (80.95±8.94 years). The majority lived in private institutions, were women, widows, with 1 to 8 years of education. The prevalence of chronic pain was 39.3%, and the mean handgrip strength was 7.0±6.42kg (right hand) and 6.24±5.96kg (left hand). The handgrip strength was higher in the groups of elderly men (right and left hands: p=0.000) and non-long-living seniors (right hand: p=0.017; left hand: p=0.002). There was no difference in handgrip strength values between the groups with and without chronic pain (p>0.05). CONCLUSION: Institutionalized elderly present an expressive prevalence of chronic pain and handgrip strength values much lower than expected, being influenced by gender and age.

Resumo Este estudo buscou investigar a experiência de atuação dos agentes comunitários de saúde em relação aos indivíduos que vivem com HIV/Aids em áreas de risco social. Trata-se de uma pesquisa de natureza qualitativa, realizada no ano de 2015 com agentes comunitários atuantes em município de médio porte do estado de São Paulo, Brasil. A produção das narrativas foi realizada pelo método do grupo focal, interpretadas e analisadas por meio da análise temática de conteúdo. O preconceito apresentou-se como a principal causa das dificuldades de atuação dos agentes; porém, a criação do vínculo com os usuários, aliada à conquista da confiança, foi a principal potencialidade nas ações desses profissionais. Torna-se essencial o rompimento da barreira gerada pelo preconceito para uma efetiva atuação dos agentes comunitários de saúde nos territórios, para que possam colaborar com o acolhimento desses usuários e com a redução dos efeitos da vulnerabilidade existente.

Abstract The present study had the goal of investigating the work experience of community health workers with individuals who live with HIV/Aids in areas of social risk. It is a qualitative research performed in 2015 with community health workers of medium-sized municipalities in the state of Paulo, Brazil. The narratives were produced using the focus group method, and they were interpreted and analyzed through the thematic analysis of content. Prejudice was the main cause of difficulties in the work of these professionals; however, the establishment of bonds with the users, coupled with the fact that the workers gained their trust, was the main potentiality in the actions of those professionals. Therefore, it is essential that we break the barrier generated by prejudice in order to guarantee and effective work in the territories on the part of the community health workers, so they can contribute to the embracement of these users and to the reduction in the effects of the existing vulnerability.

Resumen Este estudio buscó investigar la experiencia de trabajo de los agentes comunitarios de salud en relación a los individuos que viven con HIV/Sida en áreas de riesgo social. Se trata de una investigación de naturaleza cualitativa realizada en el año 2015 con agentes comunitarios de un municipio de tamaño mediano del estado de São Paulo, Brasil. La obtención de las narraciones se realizó a través del método del grupo focal, ¿interpretadas y analizadas por medio del análisis temático de contenido?. El preconcepto se presentó como la principal causa de las dificultades de trabajo de los agentes; sin embargo, la creación de un vínculo con los usuarios combinado a la conquista de la confianza fueron las principales potencialidades en las acciones de estos profesionales. Se vuelve esencial la ruptura de la barrera generada por el preconcepto para un trabajo efectivo de los agentes comunitarios de salud en los territorios, para que puedan colaborar con la acogida de estos usuarios y la reducción de los efectos de la vulnerabilidad existente.

ABSTRACT The interplay between plant-plant interactions and light heterogeneity in the understory of tropical forests has rarely been examined. We aimed to identify the relative importance of the understory light environment and terrestrial bromeliads in explaining the abundance and spatial organization of different plant life forms along a coastal forest gradient from seashore inland in southeastern Brazil. We estimated the abundance of various life forms (herbs, woody plants, bromeliads, climbers, and palms) and the degree of light availability using hemispherical photographs in 165 plots (1 m2) within a 1.75 ha site. We used ordination methods, partial redundancy analysis (pRDA), spatial filtering using Moran’s eigenvector mapping, and Moran’s I splines. Forest cover was highly heterogeneous, but did not explain variation in abundance of life forms. Spatially, bromeliads were negatively associated with woody saplings, herbs and climbing plants at scales between 5-20 m, while the distance to seashore was found to be unrelated to these patterns. Our findings revealed that terrestrial bromeliads play an important role in the spatial organization of various life forms near the forest floor. Overall, the presence of terrestrial bromeliads and the plant area index better explained the understory vegetation than forest cover and distance to seashore.

Abstract Aim: To verify the knowledge of pregnant women on mother-to-child transmission (MTCT) of HIV, the availability of HIV tests in the public health system and counseling on the disease in two cities, Birigui and Piacatu, São Paulo State, Brazil. Methods: This is a descriptive and exploratory research using as samples, the files of 141 pregnant women attending the Basic Health Unit. Data were collected by survey, followed by a semi-structured questionnaire with open and closed-end questions. Data were analyzed on Epi Info(tm) 7.1.4, by the Chi-square and Exact Fisher tests. Results: From all the 141 pregnant women, 119 were interviewed and 92.4% reported to have been informed about the need of taking the HIV test during prenatal exams. However, only 5.9% were counseled and 20.2% reported to be aware of how to prevent MTCT of HIV, usually mentioning lactation suppression and prescribed medication. The association between the knowledge about how to prevent MTCT of HIV and some social, demographic and economic variables like ethnics, educational level, home location, occupation, age and parenting was not verified. Conclusions: It is necessary to advise pregnant women on the importance of taking the HIV test regardless of the examination outcome, which was not observed in the cities where the research was conducted.

Este estudo teve por objetivo investigar as opiniões e o conhecimento de concluintes do curso de Pedagogia da cidade de Araçatuba, São Paulo, Brasil, em 2009, sobre saúde bucal. Para tanto, foi utilizado um questionário semiestruturado, abordando as opiniões dos estudantes sobre educação em saúde bucal e seu conhecimento sobre aspectos relativos à cárie dentária, à odontologia preventiva e à odontologia na primeira infância. De um universo de 120 estudantes, 92 (76,6%) consentiram participar do estudo. Destes, 86,8% acadêmicos acham que o professor deve atuar como educador em saúde bucal e 92,4% consideram importante a sua integração com profissionais de saúde. Responderam corretamente sobre o conceito de placa bacteriana e cárie dentária, respectivamente, 9% e 34,8%. Sobre o surgimento da cárie e sobre a possibilidade de se ter dentes saudáveis a vida inteira, responderam corretamente 67% e 83,7%, respectivamente. Assim, os concluintes de Pedagogia têm opiniões positivas em relação à educação em saúde bucal; entretanto, o seu conhecimento sobre a temática abordada é insatisfatório, uma vez que eles serão futuros professores e formadores de opinião.

This study aimed to investigate the opinions and knowledge on oral health among 2009 graduates in Education at the city of Araçatuba (state of São Paulo). To this end, a semi-structured interview was carried out to address the views of the students about education in oral health and their know-ledge concerning aspects related to tooth decay, to Preventive Dentistry, and Dentistry in early childhood. Of a universe of 120 students, 92 (76.6%) agreed to participate in the study. Of these, 86.8% of the students believe that the teacher should act as an educator in oral health, and 92.4% consider it important to integrate with healthcare professionals. Nine percent and 34.8%, respectively, provided correct answers about the concepts of dental plaque and cavities. On the appearance of cavities and about the possibility of having healthy teeth for life, 67% and 83.7%, responded correctly, respectively. Graduates in Education have positive opinions regarding Education in Oral Health; however, they have insufficient know-ledge on the subject, particularly considering they will be future teachers and opinion leaders.

The increased number of law suits in the Dentistry field constitutes an international trend. Patients well informed by the media and supported by the law sue their dentists, when they judge they were victim of bad practice. Professionals even with all discussion about this subject do not have the habit of prevent themselves. It is known that for a defensive practice the best way to avoid litigation is a good relationship with patient, based on dialog and on informed consent. This relation is very important, since patients who rely on their dentists rarely take them to justice. Hence, this article discusses the importance of this relation, as well as the obtaining of informed consent in order to prevent lawsuits.

La tendencia mundial del aumento del número de procesos judiciales en el área de la odontología constituye un problema internacional. Los pacientes, cada vez más informados por los medios y respaldados por la ley, promueven acciones contra los cirujanos dentistas, cuando juzgan que fueron víctimas de una mala práctica. Sin embargo los profesionales dentales, aun con la importancia en esta cuestión, no han tenido el hábito de la prevención. Se sabe que para una práctica defensiva, la mejor medida para evitar litigios es una buena relación con el paciente, basada en el diálogo y en el consentimiento informado. Esta relación es importante, debido a que los pacientes que tienen confianza en su dentista raramente se involucrarán en procesos judiciales. Este artículo discute la importancia de esta relación y de la obtención del consentimiento informado para la prevención de procesos judiciales.

Este estudio tuvo como objetivo verificar las condiciones periodontales de jóvenes y adultos y a su asociación con características socioeconómicas. Se realizó un estudio transversal en un municipio de pequeño porte del Estado de São Paulo, Brasil, envolviendo 1018 personas en las fajas etarias de 15-19, 20-34, 34-44, 45-64, 65-74, 75 y más años. Para la recolección de los datos socioeconómicos fueron realizadas entrevistas estructuradas con preguntas referentes a la escolaridad, se tiene automóvil y tipo de escuela. Para el registro del examen clínico utilizó el Índice Periodontal Comunitario (CPI), según metodología preconizada por la OMS, siendo los examinadores debidamente entrenados y calibrados (Kappa = 0,91). Se verificaron asociaciones entre las condiciones periodontales y las variables socioeconómicas por medio del test del X-cuadrado (p=0,05). El porcentual de sextantes saludables, con sangramiento y con cálculo dental fue respectivamente del 78,4%; el 8,07%; y el 13,33% en el grupo etario de 15-19 años y del 37,07%; el 5,10%; y el 29,78% en el grupo etario de 35-44 años, el cual presentó aún el 3,01% de sextantes con sacos medianos, el 0,36% con bolsas profundas y el 24,68% de excluidos. La prevalencia de sextantes saludables se asoció positivamente a todas variables socioeconómicas. La ocurrencia de sextantes con cálculo dental fue mayor en estudiantes de escuelas públicas (p<0,05). La posee de automóvil se asoció negativamente a la prevalencia de sextantes excluidos (p<0,05).

This study aimed to verify the association between periodontal conditions and socioeconomic characteristics. It was accomplished a transversal study in a small city from São Paulo State, Brazil, involving 1018 people aged 15-19, 20-34, 34-44, 45-64, 65-74, 75 and more. Structured interviews regarding to educational level, automobile ownership and type of school were used to obtain the socioeconomic data. Community Periodontal Index (CPI) was used to register the clinical examination according to the methodology commended by WHO. The examiners were trained and calibrated (Kappa = 0.91). Associations between periodontal conditions and the socioeconomic characteristics were verified using the qui-square test (p=0,05). The percentage of healthy sextants, bleeding and dental calculus was respectively 78,4%; 8.07%; e 13.33% in the people of 15-19 years old and 37,07%; 5.10%; e 29.78% in the people of 35-44 years old, who still presented 3.01% of sextants with pocket depth 4-6 mm, 0.36% with pocket depth 6 mm and more and 24.68% of excluded sextants. The prevalence of healthy sextants was associated positively with all socioeconomic characteristics. The occurrence of sextants with dental calculus was higher in students of public schools than private (p<0,05). The automobile ownership was associated negative with the prevalence of excluded sextants (p<0,05).