Southeastern Brazilian States Research Articles

Prevalence and factors associated with recurrent violence in a southeastern Brazilian state: Cross-sectional study.

Violence is a serious public health problem and its repetitive character points to a chronic phenomenon and its insertion in the daily lives of victims. To identify the frequency of repeat violence reported in adults in a Brazilian state and its association with the characteristics of the victim, the aggressor, and the aggression. This is an epidemiological cross-sectional study conducted with data from the notifications of violence recorded in the Notifiable Diseases Information System in Espírito Santo, Brazil from 2011 to 2018. Bivariate analysis was performed using Pearson Chi-Squared test and the multivariate Poisson regression, using a widely used hierarchical model, with the victim's characteristics in the first level and the aggressor's characteristics and the occurrence in the second level. In the multivariate analysis, the variables that obtained P < .2 in the bivariate analysis were included in the model, keeping those with P < .05. Data were expressed by prevalence ratio (PR), with confidence intervals of 95%. During the period, 9933 cases of violence were registered in the adult population, referring to 1061 notifications of male adults and 8872 notifications of female adults. The prevalence of repeat violence was 56.7% (95% CI: 56.0 - 57.5). It was more prevalent among women (PR: 1.73; 95% CI: 1.63 - 1.83), in the age groups over 40 years (PR: 1.12; 95% CI: 1.08 - 1.16), black and mixed-race (P: 1.04; 95% CI: 1.01 - 1.07), and with a partner (P: 1.09; 95% CI: 1.05 - 1.12). Victims with disabilities or disorders suffered 34% more from this problem (95% CI: 1.29 - 1.38) and lived in urban or peri-urban areas (PR: 1.16; 95% CI: 1.10 - 1.23). As for the aggressors, they were under 25 years of age (PR: 1.06; 95% CI: 1.02 - 1.11), of both sexes (PR: 1.32; 95% CI: 1.06 - 1.64), and were the victim's intimate partner (PR: 3.91; 95% CI: 3.25 - 4.71). The aggressions had only 1 perpetrator (PR: 1.17; 95% CI: 1.07 - 1.28) and occurred in the residence (PR: 1.33; 95% CI: 1.26 - 1.41). Repeat violence showed high frequency among notifications and was associated with characteristics of the victim, aggressor, and event. The results point to a phenomenon present in the daily life of communities that is potentially capable of negatively impacting the different areas of the subjects lives. Studies on the subject are important to understand the phenomenon and implement strategic actions to confront it.

Fertility preservation in women with cancer in Brazil: Infertility specialists' perceptions and attitudes.

e13676 Background: Oncofertility is a universal right and a global oncology priority. However, there is a lack of communication between infertility specialists and their clinical oncologists on topics relating to fertility preservation. The present study aims to evaluate the perceptions and attitudes of infertility specialists regarding fertility preservation in women with cancer in Brazil. Methods: An online questionnaire was sent to infertility specialists affiliated to the Brazilian Federation of Associations of Gynecology and Obstetrics (FEBRASGO, in the Portuguese acronym). Results: A total of 100 (30.9%) of 323 FEBRASGO infertility specialists responded, most located in the southern and southeastern Brazilian states. Experience in Human Reproduction ranged from one to 40 years (mean ± standard deviation: 15.5 ±10.2 years). Considering women with cancer in reproductive age in whom fertility preservation was indicated, 60.3% ±28.8% of them performed the procedure (ranging from 10 to 100%). Three main barriers to fertility preservation were appointed: cost (41%), knowledge and acceptance of medical oncologists (35%) and accessibility (9%). Most infertility specialists (58%) considered age above 40 years as the limit for fertility preservation in women with cancer. Breast and ovarian cancers, leukemia, and lymphoma were considered the most relevant types to be considered for fertility preservation, while lung, thyroid, gastric and brain. Conclusions: This is the first Brazilian study on specialists' impressions on cancer patient's access to fertility preservation. While most Brazilian cancer patients are treated in the public health system, most fertility specialists are in the private sector. Currently, the model of care is fragmented and a more integrated workflow between cancer and fertility experts is fundamental to improve fertility sparing access. Further studies are needed on the topic, also including clinical oncologists, hematologists, breast cancer specialists, and patients.

Factors associated with poor quality of life of transgender people

BackgroundThe term transgender (TRANS) may be used for people whose gender identity differs from the one assigned at birth. A large part of this population segment faces social (lack of social support, discrimination, rejection, transphobia) and psychological (anxiety, depression) challenges. These factors, in turn, may negatively impact the quality of life (QoL) of these individuals. In this context, the aim of this study is to identify the factors associated with QoL of TRANS people.MethodsCross-sectional study with non-probability sample, conducted with TRANS and cisgender (CIS) adults living in a southeastern Brazilian state. The research questionnaire was accessed electronically and comprised sociodemographic, health, and QoL information. QoL was assessed through the Short-Form 6 dimensions (SF-6D) instrument. Multivariable linear regression analysis (forward method) was applied to determine the influence of independent variables on QoL (outcome variable). All variables that presented p < 0.10 in the bivariate analyses were included. The analyses were carried out in the Statistical Package for the Social Sciences (SPSS)® software, version 22.0, with a significance level of 5%.ResultsThe sample included 65 TRANS individuals and 78 CIS individuals. The CIS group showed a predominance of people with higher education (p = 0.002) and higher income (p = 0.000) when compared with the TRANS sample. TRANS participants had worse QoL score (p = 0.014) and the same was observed when QoL was assessed by all dimensions (p ≤ 0.05). In addition, the place of residence and the report of recent prejudice remained associated with QoL even after adjusting for age, gender identity, occupation, and follow-up by a health professional (p < 0.05).ConclusionThe TRANS population showed worse QoL when compared with the CIS population. Moreover, living in the state’s capital and having suffered episodes of prejudice were the factors remain statistically associated with the QoL among TRANS individuals.

Brazilian Veneto (Talian)

Brazilian Veneto is a Romance language spoken by approximately 500,000 people, most of whom live in the southern Brazilian states of Rio Grande do Sul, Santa Catarina and Paraná (Margotti 2004, Pereira 2017). It is also spoken in the southeastern Brazilian states of São Paulo and Espírito Santo (see e.g. Loriato 2019). The language is often referred to by its speakers as Talian (/taˈljaŋ/), meaning ‘Italian’, given the geographical origin of the speakers who developed it, even though it is not a variety of Standard Italian. In this Illustration, I will refer to the language under examination as Talian, following many speakers’ naming preference.

&lt;strong&gt;A new &lt;em&gt;Pereskia&lt;/em&gt; (Cactaceae) from Minas Gerais, Brazil&lt;/strong&gt;

Pereskia bahiensis subsp. minensis subsp. nov. is described from agreste vegetation in the South-eastern Brazilian state of Minas Gerais. The new taxon differs from P. bahiensis subsp. bahiensis by its flowers, with more numerous, rounded bracts, the conspicuously white base of the petals, the stamens densely clustered at the centre of the flowers, and its more robust habit and leaves. We provide illustrations and an IUCN conservation Red List status assessment (Critically Endangered, CR). A key for all taxa of Pereskia is also presented.

TheArgentineAllusion:On the Significance of the Southern Cone in Early Twentieth-Century São Paulo

AbstractThis article examines a much cited but little understood aspect of the Latin American intellectual and cultural ferment of the 1910s and 1920s: the frequency with which intellectuals from the southeastern Brazilian state of São Paulo referred to developments in post Sáenz Peña Argentina, and to a lesser extent in Uruguay and Chile. In books, pamphlets, speeches, and the pages of a vibrant periodical press—all key sources for this article—São Paulo intellectuals extolled developments in the Southern Cone, holding them out for imitation, especially in their home state. News of such developments reached São Paulo through varied sources, including the writings of foreign travelers, which reached intellectuals and their publics through different means. Turning from circuits and sources to motives and meanings, the Argentine allusion conveyed aspects of how these intellectuals were thinking about their own society. The sense that São Paulo, in particular, might be “ready” for reform tending toward democratization, as had taken place in Argentina, Uruguay, and Chile, was accompanied by a belief in the difference of their southeastern state from other Brazilian states and its affinities with climactically temperate and racially “white” Spanish America. While these imagined affinities were soon forgotten, that sense of difference—among other legacies of this crucial period—would remain.

Multiple Introductions Followed by Ongoing Community Spread of SARS-CoV-2 at One of the Largest Metropolitan Areas of Northeast Brazil.

Multiple epicenters of the SARS-CoV-2 pandemic have emerged since the first pneumonia cases in Wuhan, China, such as Italy, USA, and Brazil. Brazil is the third-most affected country worldwide, but genomic sequences of SARS-CoV-2 strains are mostly restricted to states from the Southeast region. Pernambuco state, located in the Northeast region, is the sixth most affected Brazilian state, but very few genomic sequences from the strains circulating in this region are available. We sequenced 101 strains of SARS-CoV-2 from patients presenting Covid-19 symptoms that reside in Pernambuco. Phylogenetic reconstructions revealed that all genomes belong to the B lineage and most of the samples (88%) were classified as lineage B.1.1. We detected multiple viral introductions from abroad (likely from Europe) as well as six local B.1.1 clades composed by Pernambuco only strains. Local clades comprise sequences from the capital city (Recife) and other country-side cities, corroborating the community spread between different municipalities of the state. These findings demonstrate that different from Southeastern Brazilian states where the epidemics were majorly driven by one dominant lineage (B.1.1.28 or B.1.1.33), the early epidemic phase at the Pernambuco state was driven by multiple B.1.1 lineages seeded through both national and international traveling.

To what extent are threatened plant species considered in impact assessment decision-making? Insights from southeastern Brazil

The world's declining plant biodiversity depends on the efficacy of many policy tools, including Environmental Impact Assessment (EIA). While scholars have long been trying to understand how biodiversity information affects EIA decision-making, very few studies have addressed the specific challenges associated with threatened plant species. Based on content analysis of 83 EIA processes that proposed vegetation removals in the southeastern Brazilian state of Minas Gerais, this study evaluated the extent to which threatened plant species were considered in decision-making. The study found that the developers of 31 projects (37% of the 83 analyzed EIA projects) disclosed the occurrence of threatened plant species in the potentially affected areas. The detailed content analysis of their respective Environmental Impact Statement (EIS) review reports revealed that the majority of the identified impacts and respective compensation programs targeted tree habits, and under a variety of rationales. Developers' proposed compensation rates of impacted tree species varied from 1:1 to 50:1. The reviewing process reported issues related mostly to the baseline conditions. Overall, the study found that EIA, in Minas Gerais state, has been functioning mainly as a diagnostic and compensation tool for the removal of tree species. The study calls for improvements in existing legislation and the development of technical guidance and capacity-building programs for EIA stakeholders.

Yellow fever epizootics in non-human primates, Southeast and Northeast Brazil (2017 and 2018)

BackgroundYellow fever (YF) is a severe, infectious, but non-communicable arboviral hemorrhagic disease. In the last decades, yellow fever virus (YFV) infections have been prevalent in endemic areas in Brazil, affecting human and non-human primate (NHP) populations. Monitoring of NHP infection started in 1999, and reports of epizootic diseases are considered important indicators of viral transmission, particularly in relation to the sylvatic cycle. This study presents the monitoring of YFV by real-time RT-PCR and the epidemiological findings related to the deaths of NHPs in the south-eastern states and in the north-eastern state of Bahia, during the outbreak of YF in Brazil during 2017 and 2018.MethodsA total of 4198 samples from 2099 NHPs from south-eastern and north-eastern Brazilian states were analyzed by real-time reverse transcription polymerase chain reaction (rtRT-PCR).ResultsA total of 4198 samples from 2099 NHPs from south-eastern and north-eastern Brazilian states were collected between 2017 and 2018. The samples were subjected to molecular diagnostics for YFV detection using real-time reverse transcription polymerase chain reaction (rtRT-PCR) techniques. Epizootics were coincident with human YF cases. Furthermore, our results showed that the YF frequency was higher among marmosets (Callithrix sp.) than in previous reports. Viremia in species of the genus Alouatta and Callithrix differed greatly.DiscussionOur results indicate a need for further investigation of the role of Callithrix spp. in the transmission cycles of YFV in Brazil. In particular, YFV transmission was observed in a region where viral circulation has not been recorded for decades and thus vaccination has not been previously recommended.ConclusionsThis highlights the need to straighten epizootic surveillance and evaluate the extent of vaccination programmes in Brazil in previously considered “YFV-free” areas of the country.

A botanical census on pyrrolizidine alkaloid-producing species in Brazilian herbaria: data set for a potential health risk indication

Abstract This study accessed the informational potential of herbaria collections as a tool for establishing an indication of the distribution of species that produce pyrrolizidine alkaloids (PAs), which are considered natural toxins, in Brazil. A total of 55,480 registered exsiccates were recorded, comprising species belonging to 17 genera, including Ipomoea (33.2%) (Convolvulaceae), Crotalaria (23.8%) (Fabaceae), Eupatorium (16.4%), Senecio (13.4%), Erechtites (3.97%) (Asteraceae) and Pleurothallis (8.28%) (Orchidaceae). These records were more densely distributed in the herbaria of the southeastern (30%), southern (28%) and northeastern (24%) Brazilian states. PAs are toxic to animals in general and display high potential for contamination of human food-production chains. A qualitative relationship was evidenced when carrying out a simultaneous compilation of cases of livestock intoxicated by the ingestion of these species, evidencing risks associated with PA-contaminated foodstuffs such as cereals, meats, milks and honey. The botanical census carried out herein is aimed at supporting a prospective study on the health risk presented by PA-producing species while bringing about indicators for their distribution in Brazil. This previously unpublished approach highlights the value of multidisciplinary information incorporated into herbaria botanical collections, with possible impacts on public health.

Risk profile for Leishmania infection in dogs coming from an area of visceral leishmaniasis reemergence

Until the 1980s, visceral leishmaniasis was concentrated in poor rural areas of Brazil. The Vale do Rio Doce, located in the Southeastern Brazilian state of Minas Gerais, was an endemic area with high numbers of human and canine cases. Prophylactic measures adopted since the 1960s reduced the number of cases and the region became a ‘controlled endemic’ area. In the early 1990s, however, the program was interrupted, and the human disease reemerged in 2008. This cross-sectional study evaluated the prevalence and the risk profile of infection of dogs with Leishmania spp in this reemergence area of visceral leishmaniasis. Among a population of approximately 280,000 people, a total of 3835 dog owners were interviewed about socioeconomic conditions, housing, peridomicile features, and their dogs’ characteristics and behavior. Blood samples were collected from 5822 dogs of an estimated canine population of 20,000 and anti-Leishmaniasis antibodies were identified using Dual-Path Platform and ELISA. We observed that 1282 of the 5822 dogs were seropositive for the protozoan indicating a seroprevalence of 22%. The risk factors associated with Leishmania infection in dogs were: non-paved backyard (OR 1.4; 95%CI 1.2–1.7); the presence of dry leaves and decaying fruit in the backyard (OR 1.3; 95%CI 1.1–1.5); medium-sized (OR 1.3; 95% 1.1–1.5) or big-sized dogs (OR 1.8; 95%CI 1.5–2.3); short-haired dogs (OR 1.8; 95%CI 1.5–2.1); dogs that slept in the backyard (OR 2.6; 95%CI 1.8–3.6) or in the balcony (OR 1.6; 95%CI 1.1–2.3); and history of canine visceral leishmaniasis in the household (OR 1.3; 95%CI 1.1–1.5). Our results suggest a strong reemergence of canine visceral leishmaniasis after the discontinuation of the control programs. Also, the observed risk factors reinforce the role of health education and environmental management measures to the effective control of the disease.

Phylodynamics of Yellow Fever Virus in the Americas: new insights into the origin of the 2017 Brazilian outbreak

Yellow fever virus (YFV) strains circulating in the Americas belong to two distinct genotypes (I and II) that have diversified into several concurrent enzootic lineages. Since 1999, YFV genotype I has spread outside endemic regions and its recent (2017) reemergence in non-endemic Southeastern Brazilian states fuels one of the largest epizootic of jungle Yellow Fever registered in the country. To better understand this phenomenon, we reconstructed the phylodynamics of YFV American genotypes using sequences from nine countries sampled along 60 years, including strains from Brazilian 2017 outbreak. Our analyses reveals that YFV genotypes I and II follow roughly similar evolutionary and demographic dynamics until the early 1990s, when a dramatic change in the diversification process of the genotype I occurred associated with the emergence and dissemination of a new lineage (here called modern). Trinidad and Tobago was the most likely source of the YFV modern-lineage that spread to Brazil and Venezuela around the late 1980s, where it replaced all lineages previously circulating. The modern-lineage caused all major YFV outbreaks detected in non-endemic South American regions since 2000, including the 2017 Brazilian outbreak, and its dissemination was coupled to the accumulation of several amino acid substitutions particularly within non-structural viral proteins.

Comparative genomics of canine-isolated Leishmania (Leishmania) amazonensis from an endemic focus of visceral leishmaniasis in Governador Valadares, southeastern Brazil

Leishmaniasis is a highly diverse group of diseases caused by kinetoplastid of the genus Leishmania. These parasites are taxonomically diverse, with human pathogenic species separated into two subgenera according to their development site inside the alimentary tract of the sand fly insect vector. The disease encompasses a variable spectrum of clinical manifestations with tegumentary or visceral symptoms. Among the causative species in Brazil, Leishmania (Leishmania) amazonensis is an important etiological agent of human cutaneous leishmaniasis that accounts for more than 8% of all cases in endemic regions. L. (L.) amazonensis is generally found in the north and northeast regions of Brazil. Here, we report the first isolation of L. (L.) amazonensis from dogs with clinical manifestations of visceral leishmaniasis in Governador Valadares, an endemic focus in the southeastern Brazilian State of Minas Gerais where L. (L.) infantum is also endemic. These isolates were characterized in terms of SNPs, chromosome and gene copy number variations, confirming that they are closely related to a previously sequenced isolate obtained in 1973 from the typical Northern range of this species. The results presented in this article will increase our knowledge of L. (L.) amazonensis-specific adaptations to infection, parasite survival and the transmission of this Amazonian species in a new endemic area of Brazil.

First record and range extension of Ceriomydas crassipes (Westwood, 1841) (Insecta, Diptera, Mydidae) from Rio Grande do Sul, Brazil

Here we provide the first record of Ceriomydas crassipes (Westwood, 1841) from the state of Rio Grande do Sul, Brazil. Previously, this species was recorded only in the southeastern Brazilian states of São Paulo, Rio de Janeiro, Minas Gerais and Espírito Santo. Therefore, this record extends the range of C. crassipes further south to include the southernmost state of Brazil.

Two New Species ofEugenia(Myrtaceae) from Coastal Brazilian Rainforest

Two new species of the genus Eugenia L. from the Atlantic coastal forests of the southeastern Brazilian states of Bahia and Espirito Santo are described, illustrated, compared with related species, and evaluated in their IUCN conservation status. Eugenia cataphyllea M. C. Souza & Sobral is related to E. xanthoxyloides Cambess., from which it differs by the longer cataphylls, larger and pilose leaves, bracteoles persisting after anthesis and pilose flowers. Eugenia hispidiflora Sobral & M. C. Souza is apparently related to E. hirta O. Berg, from which it can be distinguished by its longer leaves and densely hispid flowers.

Analysis of job satisfaction of the nursing staff of a primary health care unit

This was a cross-sectional, observational study conducted in an outpatient specialty district health unit in the city of Ribeirão Preto, in the southeastern Brazilian state of São Paulo, with the aim to analyze the job satisfaction of the nursing staff. Data were collected using the Index of Work Satisfaction (IWS), a validated instrument which was applied to 23 members of the nursing team in January 2012. Among the components of job satisfaction, participants considered Interaction to be most important, followed by Professional Status, Job Requirements, Organizational Policies, Remuneration and Autonomy. The combined mean Index of Work Satisfaction obtained was 8.29, corresponding to poor job satisfaction among the studied population, as most of the studies in the literature that used the same instrument had scores between 12 and 37.

Adherence to the Ongoing Education Program for family doctors in a southeastern Brazilian state

Ongoing Health Education is a strategy for transformation of health practices, though the adherence of professionals is one of the challenges facing its implementation. Thus, the objective of this study was to investigate the factors associated with adherence of family doctors to the Ongoing Education Program in a southeastern Brazilian state from the perception of supervisors. It is a cross-sectional and quantitative study with the use of online questionnaires. Data were analyzed using the chi-square test with ongoing correction to determine the association between structure, topics, activities and difficulties of the supervisors working in Ongoing Health Education, difficulties of the physicians in Primary Health Care (PHC) and poor and good adherence to the program. Excellent medical participation was statistically related to the adequacy of physical space (p = 0.001), a multidisciplinary approach (p = 0.035) and epidemiological aspects (p = 0.043). Low adherence was associated with the inadequacy of the physical structure, difficulty understanding the methodology, less time in a supervisory position, multiple workdays, among others. A good adherence to Ongoing Health Education is a possibility for collective reconstruction of the everyday work of physicians in Primary Health Care.

Plinia delicata (Myrtaceae), a new species from southeastern Brazil

Here, we describe and illustrate Plinia delicata, a new species from rocky outcrops from the southeastern Brazilian states of Minas Gerais and Rio de Janeiro. The new species is related to Plinia pseudodichasiantha, from which it is distinguished mainly through the smaller leaves and longer bracteoles.

A closer look at the “Protopithecus” fossil assemblages: new genus and species from Bahia, Brazil

The recently extinct large-bodied New World monkey Protopithecus brasiliensis Lund 1836 was named based on a distal humerus and proximal femur found in the Lagoa Santa cave system in the southeastern Brazilian state of Minas Gerais. These bones are from an animal about twice the size of the largest extant platyrrhines. One hundred and seventy-five years later, a nearly complete skeleton was discovered in the Toca da Boa Vista caves in the neighboring state of Bahia and was allocated to the same taxon as it was the first platyrrhine fossil of comparable size found since the originals. Our detailed study of the equivalent elements, however, reveals important morphological differences that do not correspond to intraspecific variation as we know it in related platyrrhine taxa. The presence of both an expanded brachioradialis flange on the humerus and gluteal tuberosity on the femur of the Bahian skeleton distinguishes it from the Lagoa Santa fossil as well as from all other platyrrhines. Further cranial and postcranial evidence suggests a closer relationship of the former with the alouattine Alouatta, while the limited Lund material fits more comfortably with the ateline clade. Therefore, we propose to limit P. brasiliensis Lund to the distal humerus and proximal femur from Lagoa Santa and erect a new genus and species for the skeleton from Toca da Boa Vista. Cartelles coimbrafilhoi was a large-bodied frugivore with a relatively small brain and diverse locomotor repertoire including both suspension and climbing that expands the range of platyrrhine biodiversity beyond the dimensions of the living neotropical primates.

New species of Mesenopsis Godman & Salvin, 1886 (Lepidoptera: Riodinidae: Symmachiini) from southeastern Brazil, with an illustrated key to the genus.

A new species, Mesenopsis jordana sp. nov., from southeastern Brazilian states of Minas Gerais, Rio de Janeiro, and São Paulo is described and a taxonomic dichotomous key for species of the genus Mesenopsis is provided. Additionally, mimetic models for species of Mesenopsis are suggested and a new distribution record for M. albivitta is provided.