Metropolitan Region Of Recife Research Articles

Unorganized machines and linear multivariate regression model applied to atmospheric pollutant forecasting

Air pollution is a relevant issue studied worldwide, and its prediction is important for social and economic management. Linear multivariate regression models (LMR) and artificial neural networks (ANN) are widely applied to forecasting concentrations of pollutants. However, unorganized machines are scarcely used. The present investigation proposes the application of unorganized machines (echo state networks - ESN and extreme learning machines - ELM) to forecast hourly concentrations of particulate matter with the aerodynamic diameter up to 10 µm (PM10), carbon monoxide (CO), and ozone (O3) at the metropolitan region of Recife, Pernambuco, Brazil. The results were compared with multilayer perceptron neural network (MLP) and LMR. The prediction was made using or not meteorological variables (wind speed, temperature, and relative humidity) as input data. The results showed that the inclusion of these variables could increase the general performance of the models considering one step ahead forecasting horizons. Also, the ELM and the LMR achieved the best overall results.

Tendência espaço-temporal do número de casos de dengue em Pernambuco-Brasil

A dengue é uma doença infecciosa emergente, transmitida por mosquitos do gênero Aedes, particularmente Ae. aegypti e Ae. albopictus. O clima tropical, vasta extensão territorial e grande fluxo de pessoas no Brasil são fatores que propicia expressivas epidemias do vírus dengue (DENV). Neste contexto, a pesquisa objetivou analisar a distribuição espaço-temporal da tendência dos números de casos de dengue no estado de Pernambuco. A base de dados foi composta pelos registros epidemiológicos semanais sobre os casos de dengue de 2000 a 2018, disponibilizado através da Secretaria de Informação e Comunicação (SIC). A distribuição espacial da tendência dos quadros clínicos de dengue demonstrou concentração elevada no litoral do estado, com maior frequência de casos na Mesorregião Metropolitana do Recife (100%), seguida pela Mata Pernambucana (71,42%), Agreste Pernambucano (60,56%), São Francisco Pernambucano (60,0%) e Sertão Pernambucano (36,58%). A espacialização da tendência permitiu delinear o cenário epidemiológico dos números de casos dengue, constituindo numa ferramenta capaz de nortear planejamentos estratégicos no controle epidêmico em Pernambuco a fim de reduzir o crescimento desenfreado da doença.

Bovine Mastitis Caused by Multidrug-Resistant Nocardia farcinica

Background: Mastitis caused by Nocardia is characterized by pyogranulomatous inflammation related to inadequate hygiene conditions and is difficult to treat. Prompted by the absence of documentation of Nocardia farcinica associated to bovine mastitis in the Northeast region of Brazil, this is the first report to describe bovine mastitis caused by multidrug-resistant N. farcinica. Case: Four milk samples (one from each teat) obtained from a 3-year-old Jersey cow raised on a property located in the metropolitan region of Recife, Pernambuco state, Brazil, were submitted to the Laboratory of Infectious-Contagious Diseases of the Veterinary Hospital at Universidade Federal Rural de Pernambuco. At the laboratory, samples were cultured in base agar enriched with 7% sheep blood (blood agar) in a microbiological incubator at 37°C under aerobic conditions for 72 h. After only 48 h, however, pure bacterial colony growth was observed in all samples. Macroscopic analysis revealed small colonies, with an irregular shape, dry aspect, and greyish in color. Gram-positive rods forming filaments and/or ramifications were observed using a Gram staining method. Nocardia spp. were identified according to morphotinctorial characteristics. Susceptibility testing using the disc-diffusion method in agar (antibiogram) was performed using the following antibiotics: penicillin (10 IU), tetracycline (30 µg), amoxicillin (10 µg), gentamicin (10 µg), cephalexin (30 µg), erythromycin (15 µg), cephalothin (30 µg) and ampicillin (30 µg). However, the organism exhibited resistance to all drugs; as such, a new milk sample was obtained at the same location the initial samples were collected. Samples (approximately 5 mL) were collected aseptically and separately from all four teats in sterile bottles, during which the presence of granular material was noted. Bacterial culture was performed as previously described and, after 48 h, colony growth with the same characteristics as the first isolation were observed, and with same morphotinctorial characteristics in the Gram stain. A resistance profile was observed for 14 of the antimicrobial drugs tested; sensitivity was verified only for ciprofloxacin and amoxicillin with clavulanic acid. One bacterial colony was selected and sent to the Center of Strategic Technology of Northeast (CETENE-PE) for species identification using a matrix-associated laser desorption ionization-time of flight (MALDI-TOF/MS) technique, which confirmed the species to be N. farcinica. Molecular characterization of 16s ribosomal DNA was performed using polymerase chain reaction with universal prokaryotic primers 516F-13R. Subsequently, the amplified product was subjected to sequencing, and the result was analyzed for quality using Phred base calling software; bases with a Phred value > 20 were kept. The sequence was evaluated using GenBank, in which the isolate exhibited 99% similarity to N. farcinica. Discussion: Clinical findings and animal history associated with microbiological culture and bacterial identification using the MALDI-TOF technique, as well as DNA sequencing, confirmed the case of clinical mastitis to be caused by N. farcinica. These bacteria are considered saprophytes, and their occurrence is associated with deficiencies in hygienic-sanitary management, such as not using pre- and post-dipping, which may favor mammary gland infection. Treatment of N. farcinica mastitis is effective only when properly performed, with agent identification and antibiotic sensitivity tests in vitro associated with the adoption of hygienic-sanitary measures. This is the first description of bovine mastitis caused by N. farcinica in the northeast of Brazil. Multidrug resistance should raise awareness of producers searching for laboratory aids in agent identification as well as antibiotic sensitivity tests, and to develop a proper therapeutic protocol based on results obtained in laboratory examinations.

Spatiotemporal Analysis of the Population Risk of Congenital Microcephaly in Pernambuco State, Brazil.

Since an outbreak in Brazil, which started in 2015, Zika has been recognized as an important cause of microcephaly. The highest burden of this outbreak was in northeast Brazil, including the state of Pernambuco. The prevalence of congenital microcephaly in Pernambuco state was estimated from the RESP (Registro de Eventos em Saúde Pública) surveillance system, from August 2015 to August 2016 inclusive. The denominators were estimated at the municipality level from official demographic data. Microcephaly was defined as a neonatal head circumference below the 3rd percentile of the Intergrowth standards. Smoothed maps of the prevalence of microcephaly were obtained from a Bayesian model which was conditional autoregressive (CAR) in space, and first order autoregressive in time. A total of 742 cases were identified. Additionally, high and early occurrences were identified in the Recife Metropolitan Region, on the coast, and in a north–south band about 300 km inland. Over a substantial part of the state, the overall prevalence, aggregating over the study period, was above 0.5%. The reasons for the high occurrence in the inland area remain unclear.

Educação permanente como ferramenta de integração entre agentes de saúde e de endemias

Objective: To report the experience of developing continuing health education (EPS) workshops with a focus on health promotion for the community with a group formed by community health workers (ACS) and combating endemic disease workers (ACE). Data Synthesis: Materialized experience report focusing on health promotion for the community, carried out between December 2018 and February 2019, with ACS and ACE registered in nine Basic Health Units (UBS) in a municipality in the Metropolitan Region of Recife, Pernambuco Brazil. The planning of the workshops was built using participatory methodologies, being carried out in two stages: The importance of the ACS and ACE for the promotion of health in the community and ACS and ACE integration: planning health promotion actions for the community. Conclusion: The impact of EPS on strengthening health promotion actions for the community was observed. The workshops showed potential, mainly regarding the aspects of professional integration. In this sense, it can be said that we should invest in EPS as a potential tool to promote a work process shared between community health workers and combating endemic disease workers.

Clinical and surgical evaluation of gynecomastia: tactic and results

Objectives: To perform an assessment of the clinical and surgical characteristics of gynecomastia as a tactic used and the results obtained in the breast. Methods: A prospective and observational study was carried out in the mastology service of Hospital Barão de Lucena in 40 patients. To determine which factors are associated with the cosmetic outcome, the contingency table was constructed and the χ2 test for independence was applied. In cases in which the assumptions of the χ2 test were violated, Fisher’s exact test was applied. Results: Findings showed that most patients were from the metropolitan region of Recife (72.5%), studied until high school (62.5%), were aged 10 to 20 (42.5%), were in gynecomastia grade III (47.5%), underwent double incision (52.5%), had no complications (75.0%), and had a good and excellent cosmetic outcome (75.0%). The proportion comparison test was significant in all factors evaluated (p<0.05), except for the variable level of education (p=0.114), indicating that the numbers of patients who studied until high school and had higher education are close. The independence test was significant only in the variable complications (p<0.001), indicating that having complications significantly increases the risk for regular/bad cosmetics. Conclusion: Gynecomastia is a pathology of strong social impact. We observed this after analyzing the epidemiological, clinical, and surgical characteristics of our patients. In patients who underwent surgical treatment and who had no complications, there was a greater degree of satisfaction.

Measuring social effective speed to improve sustainable mobility policies in developing countries

Over the last few decades, many developing countries have experienced car fleet growth, which has contributed to congestion, increased travel times, and deteriorated public transport reliability and punctuality. However, alternatives to urban mobility can be found by creating policies to stimulate sustainable transportation modes with equal opportunities for all citizens. In this paper, measures of social effective speeds are presented to improve sustainable urban mobility policies in developing countries. Data from the 2018 Origin-Destination Survey of the Metropolitan Region of Recife (Brazil) were used to estimate social effective speeds. The results showed that motorized modes had lower effective speed than non-motorized modes. In addition, total external costs were $2 billion USD per year. The social effective speed will be valuable if inserted in sustainable urban mobility policies in developing countries.

ASSISTÊNCIA PRÉ-NATAL NO ESTADO DE PERNAMBUCO: UM ESTUDO COMPARATIVO DE INQUÉRITOS

A assistência pré-natal se destaca como fator essencial na proteção e prevenção a eventos adversos sobre a saúde do binômio mãe e filho, possibilitando a identificação e o manuseio clínico de intervenções oportunas sobre potenciais fatores de risco para complicações à saúde. Objetiva-se descrever e comparar as principais características da assistência pré-natal nos anos de 1997 e 2006, no estado do Pernambuco. Realizou-se estudo de base populacional, observacional, de coorte transversal, utilizando dados secundários, extraídos de informações dos bancos de dados das segunda e terceira Pesquisas Estaduais de Saúde e Nutrição, realizadas nos anos de 1997 e 2006, respectivamente. Considerou- -se satisfatória, em 2006, a assistência pré-natal que atendeu três das recomendações mínimas preconizadas pelo Ministério da Saúde: início do pré-natal até a 16ª semana de gestação, seis ou mais consultas e orientações sobre razões e prática do aleitamento materno. Houve importante melhora na assistência pré-natal em 2006 (acréscimo de 17,1%) quando comparada a 1997. O pré-natal no ano de 2006 foi mais satisfatório para as mulheres com 20 a 35 anos (60,7%), brancas (60,0%), de maior escolaridade (71,8%), com renda superior ou igual a um salário-mínimo (75,8%), com dois a três filhos (63,1%) e residentes na Região Metropolitana do Recife (68,3%). Apresentou-se menos satisfatório para as mulheres trabalhadoras (54,7%) e do interior rural (49,1%, p < 0,001). Apesar da ampliação da cobertura do pré-natal, ressalta-se a necessidade de melhorar sua qualidade, visando promover a saúde de forma integral, especialmente em comunidades carentes, onde prevalecem os fatores de risco.

Assessment of transmission in areas of uncertain endemicity for lymphatic filariasis in Brazil.

BackgroundThe objective of the Global Program to Eliminate Lymphatic Filariasis (GPELF) is to phase out this endemic disease as a public health problem by 2020. Validation of elimination is obtained from the World Health Organization through evidence of non-transmission in countries that have already been subjected to mass drug administration (MDA) and in places adjoining these endemic areas. While three municipalities in Brazil have completed MDA, the epidemiological situation remains uncertain in nine adjoining municipalities. To determine the epidemiological status, this study was to perform a review of the literature and a school-based survey to describe the past and recent endemicity of lymphatic filariasis (LF) theses nine municipalities in Brazil.Methodology/Principle findingsFor review of the literature, both formal and informal literature sources were accessed since the first reports of filariasis in the Metropolitan Region of Recife, Brazil. We conducted a school-based survey in 2016 using immunochromatographic card tests (ICTs) among schoolchildren aged 6–10 years living in nine municipalities contiguous with the endemic areas in which MDA was conducted. Our review of the literature identified eight studies involving surveys demonstrating that microfilariae had been circulating in eight of the municipalities since 1967, with a low prevalence of microfilaremia, isolated autochthonous cases, and treatment of individual cases. The school-based survey included 17,222 children in 185 urban schools in the nine areas of Brazil with uncertain endemicity. One child affected by allochthonous transmission was antigen positive based on ICT and lived in a municipality adjacent to Recife; this child’s family came from Recife, but no other case was diagnosed within the family.Conclusions/SignificanceThe study results suggest that there is no transmission of LF in the municipalities investigated. However, these areas have population migration and socioenvironmental conditions favorable to mosquito breeding grounds; therefore, surveillance is strongly recommended in these areas.

Silêncios e silenciamentos na cobertura midiática da Copa do Mundo em Pernambuco

Os megaeventos aconteceram no Brasil em um período de grandes turbulências políticas e também de mudanças no contexto da comunicação. A partir do olhar de alguém que atuou na cobertura da Copa do Mundo, a presente pesquisa tenta identificar na cobertura do Mundial de 2014 em Pernambuco elementos que mostram como foram utilizados os silenciamentos pela imprensa ou em quais situações o silêncio se efetivou.

O transporte público coletivo sob a lógica da produção capitalista do espaço: uma análise do serviço de ônibus na Região Metropolitana do Recife

Resumo Nas sociedades urbanas atuais, o crescimento do papel do Estado convive com o processo de privatização dos serviços prestados por esse aparelho. A justificativa tradicional está na busca por maior competitividade e eficiência nos serviços prestados. Mesmo o Estado sendo cada vez mais indispensável na mediação entre os interesses privados e coletivos, no caso do transporte público coletivo, no contexto brasileiro, a lógica que o constituiu, enquanto serviço de “caráter essencial”, o exime da responsabilidade pública que lhe cabe, abrindo janelas para uma discussão em torno da dinâmica de gestão e de funcionamento desse equipamento. Este artigo analisa o transporte público coletivo, na Região Metropolitana do Recife, sob a lógica da produção capitalista do espaço.

No evidence of Zika, dengue, or chikungunya virus infection in field-caught mosquitoes from the Recife Metropolitan Region, Brazil, 2015

Background: The Recife Metropolitan Region (RMR), north-eastern Brazil, was the epicentre of the 2015 Zika virus (ZIKV) epidemic, which was followed by a 2016 chikungunya virus (CHIKV) epidemic. It historically has amongst the highest incidence of dengue virus (DENV) infections and is the only remaining focus of lymphatic filariasis (LF) in Brazil. In early 2015, a molecular xenomonitoring surveillance project focused on Culex (Cx.) quinquefasciatus commenced to inform LF elimination activities. Aedes (Ae.) aegypti mosquitoes were also collected, concurrent with the first microcephaly cases detected in the RMR. In terms of the 2015 ZIKV epidemic, these are the earliest known field-collected mosquitoes, preserved for potential RNA virus detection, when ZIKV was known to be circulating locally. Methods: Adult mosquitoes were collected in two sites (0.4 km 2) of Sítio Novo, Olinda, RMR, from July 22 to August 21, 2015. Mosquitoes were morphologically identified, sorted by physiological status, and pooled (up to 10 mosquitoes per house per day or week). RNA was extracted, reverse transcribed and the cDNA tested by real-time PCR. Results: A total of 10,139 adult female Cx. quinquefasciatus and 939 adult female Ae. aegypti were captured. All female Ae. aegypti specimens were included within 156 pools and screened for ZIKV, DENV and CHIKV. In addition, a sub-set of 1,556 Cx. quinquefasciatus adult females in 182 pools were screened for ZIKV. No evidence of infection with any of the three arboviruses was found. Conclusions: The absence of arbovirus detection may have been expected given the extremely restricted geographic area and collection of mosquitoes during a very short time period of peak mosquito abundance (July–September), but low arbovirus circulation (November–March). However, this study demonstrates the potential to retrospectively screen for additional unexpected pathogens in situations of rapid emergence, such as occurred during the outbreak of ZIKV in the RMR.

No evidence of Zika, dengue, or chikungunya virus infection in field-caught mosquitoes from the Recife Metropolitan Region, Brazil, 2015.

Background: The Recife Metropolitan Region (RMR), north-eastern Brazil, was the epicentre of the 2015 Zika virus (ZIKV) epidemic, which was followed by a 2016 chikungunya virus (CHIKV) epidemic. It historically has amongst the highest incidence of dengue virus (DENV) infections and is the only remaining focus of lymphatic filariasis (LF) in Brazil. In early 2015, a molecular xenomonitoring surveillance project focused on Culex (Cx.) quinquefasciatus commenced to inform LF elimination activities. Aedes (Ae.) aegypti mosquitoes were also collected, concurrent with the first microcephaly cases detected in the RMR. In terms of the 2015 ZIKV epidemic, these are the earliest known field-collected mosquitoes, preserved for potential RNA virus detection, when ZIKV was known to be circulating locally. Methods: Adult mosquitoes were collected in two sites (0.4 km 2) of Sítio Novo, Olinda, RMR, from July 22 to August 21, 2015. Mosquitoes were morphologically identified, sorted by physiological status, and pooled (up to 10 mosquitoes per house per day or week). RNA was extracted, reverse transcribed and the cDNA tested by real-time PCR. Results: A total of 10,139 adult female Cx. quinquefasciatus and 939 adult female Ae. aegypti were captured. All female Ae. aegypti specimens were included within 156 pools and screened for ZIKV, DENV and CHIKV. In addition, a sub-set of 1,556 Cx. quinquefasciatus adult females in 182 pools were screened for ZIKV. No evidence of infection with any of the three arboviruses was found. Conclusions: The absence of arbovirus detection may have been expected given the extremely restricted geographic area and collection of mosquitoes during a very short time period of peak mosquito abundance (July-September), but low arbovirus circulation (November-March). However, this study demonstrates the potential to retrospectively screen for additional unexpected pathogens in situations of rapid emergence, such as occurred during the outbreak of ZIKV in the RMR.

An Additional Asset for the FLOTAC Technique: Detection of Gastrointestinal Parasites in Vegetables.

Gastrointestinal parasites are considered amongst the most important threats to veterinary and human health worldwide. The transmission of these parasitic diseases usually involves the accidental ingestion of oocysts, cysts, eggs, and larvae, whose detection is generally achieved by classical coproparasitological methods, based on sedimentation and/or flotation techniques. These procedures might be inefficient or display a low sensitivity when performed on food matrices. This study aimed to assess the value of the FLOTAC technique for the detection of different parasitic stages of gastrointestinal parasites of domestic animals in fresh lettuce. Samples (n = 100) were purchased from public markets located in the metropolitan region of Recife (Brazil). A total of 79% scored positive for eggs and/or cysts of gastrointestinal parasites. Protozoa and nematodes were detected in 32% (32/100) and 64% (64/100) of samples, respectively, with cysts of the genus Entamoeba (32%) and eggs of nematodes of the order Strongylida (30%) being the most frequently diagnosed. The findings herein reported demonstrate that the FLOTAC technique can be successfully applied for recovering food-borne parasites of medical and veterinary concern in food matrices.

Localization patterns within urban areas: evidence from Brazil

ABSTRACTAlthough agglomeration gains in cities are now amply recognized, there is not so much evidence about the levels of concentration of economic activities within urban areas in developing countries. Based on a unique data set of geocoded firms of the Recife Metropolitan Region, the fifth largest region in Brazil, this research uses a distance-based measure to provide evidence about the levels of concentration of economic activities. The results indicate stronger levels of concentration in service industries characterized by higher levels of human capital within short distances (up to 5 km) and a non-linear association between localization and product differentiation.

?E eu, o que faço com esses números??: Importância da utilização de informações contábeis

A contabilidade é uma ferramenta na gestão de empresas e, nos dias atuais, o conhecimento de importantes relatórios trazidos por essa Ciência Social Aplicada tem passado despercebido por uma considerável parte dos empresários. Nesse sentido, o objetivo deste estudo é identificar quais informações provenientes dos relatórios contábeis os empreendedores de micro e pequenas empresas utilizam para sua tomada de decisão. Do ponto de vista metodológico, o estudo se caracteriza como descritivo e quantitativo, sendo os dados obtidos por meio de questionários elaborados e disponibilizados na ferramenta Google Formulários. A aplicação do questionário foi direcionada a micro e pequenos empresários da região metropolitana do Recife. Os principais resultados apontam que os gestores das micros e pequenas empresas recebem as informações por meio dos relatórios fornecidos pela contabilidade e as põem em uso, considerando-as para a tomada de decisões. Entretanto, os respondentes apontam as informações fiscais como as mais utilizadas e, que o balanço patrimonial e demonstração de resultado não são recebidos da contabilidade em mais da metade das empresas, o que pode indicar que as empresas podem estar subutilizando as informações que a contabilidade pode proporcionar.

Uma análise do recrutamento e formação de reservistas na RMR (Região Metropolitana do Recife) e sua importância para a Mobilização Nacional

TThis study analyzes how the Seventh Military Region (7th RM), subordinate to the Military Command of the Northeast (MCN - CMNE), manages the recruitment and training of reservists of the Brazilian Army in the Metropolitan Region of Recife (MRR - RMR). Thus, we understand its importance for National Mobilization in the face of a hypothetical need to expand the capabilities of the Army in the Amazon region through its numerical enlargement and deployment of troops. To this end, this study refers to the recent global and regional instabilities, and analyzes the geopolitical importance of the Northeast region of Brazil. Next, we explore the vision of scholars who studied this issue as well as the federal laws and documents produced by the Ministry of Defense and the Brazilian Army on mobilization and recruitment. In this research, we analyze the role of the 7th RM in the recruitment and training of reservists in the RMR and draw conclusions on the importance of the management of the Mandatory Military Service (MMS - SMO) in times of peace.

Survey of the Seaweeds of the Beach of Pina, Recife Pernambuco

The constant interference of human activities has had direct and indirect impacts on aquatic environments with consequences for water quality for aquatic biota and the functioning of ecosystems, thereby reducing the ability to use. This study aimed to describe the qualitative and quantitative variation of species of macroalgae from Praia do Pina, Recife-PE, in the rainy season and drought. The collections were made in August 2007 (rainy season) and January 2008 (period of drought). Data on the occurrence of macroalgae were collected by snorkeling using the combined techniques of sampling belt transects (50m x 1m) and quadrats (1m x1m). The species of greatest abundance in both periods were almost the same: Ulva lactuca, U. fasciata, U. intestinalis, Caulerpa sertularioides, C. filiformis; C.prolifera; C.racemosa, and C. lentillifera; being found in smaller quantities: Pterocladia capillaceous, Hypnea musciformis, H. pannosa, H. cervicornis, Sargassum Muticum, S. vulgare, S. ilicifolium, Padin Pavoni, P. tetrastromatica, Dictyota dichotoma, Gracilaria warts and G. Salicornia. The two species were only found in Glacilaria period of drought and the species S. ilicifolium was found during the rainy season. About 80% of macroalgal distribution in reef studied is composed of individuals belonging to the phylum Chlorophyta, 12% are representatives of the phylum Phaeophyta and 8% are belonging to the phylum Rodhophyta. These percentages are very close to the values presented in two urban beaches in the Metropolitan Region of Recife and a beach on the northern coast of the state of Pernambuco, where areas have been intensified the processes of human occupation and exploitation, and increasing industrialization. The predominance of species of Chlorophyta may represent a greater tolerance to the flora of the pollutants.

Butterflies (Lepidoptera: Papilionoidea) of an urban park in northeastern Brazil

Abstract Despite being one of the groups most well studied in Brazil, the butterfly fauna of northeastern Brazil, especially north of the mouth of São Francisco River, is poorly known. The aim of this study was to inventory the butterfly fauna in a remnant of Atlantic Forest in the state of Pernambuco as a contribution to understanding the distribution of these insects. The study was carried out in a 384.7 hectares fragment of Parque Estadual Dois Irmãos, in the metropolitan region of Recife. The butterflies were sampled monthly with insect nets from August 2011 to July 2012 and from January to August 2016. Additional records were obtained from two entomological collections and from two previous visits to the area in July 2003 and August 2006. A total of 273 species was sampled in 464 hours, with an additional 15 species recorded from the Entomological Collections, totaling 288 butterfly species recorded. The richest family was Hesperiidae (108 species), followed by Nymphalidae (80), Lycaenidae (43) Riodinidae (37), Pieridae (16) and Papilionidae (4). The fauna was dominated by generalist species with a broad geographical distribution, many of them commonly found on open areas, forest edges and secondary vegetation. Roeberella lencates (Hewitson, 1875) and Pheles atricolor atricolor (Butler, 1871) (Riodinidae) represent new records for northeastern Brazil.

Estratégias terapêuticas na função sexual de homens com lesão medular traumática

Introdução: Repercussões estruturais e fisiológicas são causadas após a lesão medular e, dependendo da extensão e localização da lesão, a resposta sexual será alterada. Movidos pelo conhecimento sociocultural e dificuldade de satisfação na relação sexual, muitos indivíduos recorrem a estratégias alternativas para tratamento das disfunções. Objetivos: Conhecer as principais estratégias terapêuticas utilizadas por homens com lesão medular traumática nas disfunções sexuais. Métodos: Trata-se de um estudo observacional descritivo, realizado com 24 homens com média de idade de 32,62 (IC 28,65 – 36,60), com lesão medular traumática, recrutados em serviços de referência em lesão medular na cidade do Recife (PE). Os indivíduos passaram por avaliação neurológica de acordo com as diretrizes da International Standards for Neurological Examination and Functional Classification of Spinal Cord Injury (ISNCSCI), a American Spinal Injury Association (ASIA), avaliação da função sexual através do Índice Internacional de Função Erétil (IIFE) e responderam a um formulário semiestruturado para identificar as estratégias terapêuticas utilizadas na função sexual. Para a coleta de informações acerca das plantas medicinais, foi feita uma pesquisa nos entornos dos mercados públicos localizados na Região Metropolitana do Recife (PE). Resultados: As estratégias terapêuticas utilizadas foram: uso de plantas medicinais (25%) e uso drogas inibidoras da fosfodiesterase tipo 5 (33,3%). Das plantas medicinais, as mais utilizadas foram Catuaba - Trichilia catigua (33,3%), Guaraná- Paullinia cupana (33,3%), Maca Peruana Lepidium meyenii (33,3%) e Tríbulus Terrestris (33,3%). Considerações finais: As principais estratégias terapêuticas utilizadas pelos participantes foram plantas medicinais e uso drogas inibidoras da fosfodiesterase tipo 5.Palavras-chave: Traumatismo da Medula Espinhal. Sexualidade. Terapias Complementares. Plantas medicinais.ClinicalTrials.gov ID: NCT02908867