ABSTRACT Background: The school community was heavily impacted by the Covid-19 pandemic, especially with the long time of school closures. This study aimed to analyze the seroprevalence of SARS-CoV-2 antibodies and possible factors associated with seropositivity for COVID-19 in teachers and other school staff, and to estimate the fraction of asymptomatic individuals by sex and age group. Methods: We conducted a serological survey of SARS-CoV-2 infections. An analytical cross-sectional study was conducted in Fortaleza, Brazil. Teachers and other staff members from pre-schools to universities of higher education to were investigated. Results: A total of 1,901 professionals participated in the study, of which 1,021 were staff and 880 were teachers. The seroprevalence of SARS-CoV-2 was 8.0% (152/1901). In the seropositive group, 48.3% were asymptomatic. There was a predominance of women (68.4%); and, 47.1% of the participants were between 31 and 45 years old. There was an increase in prevalence with increasing age. An inverse relationship was found for education level: more professionals with less education tested positive for COVID-19. The presence of an infected person living in the same household was significantly associated with positive results for COVID-19 among the professionals. Conclusions: This is the first study to report the seroprevalence of IgG against SARS-CoV-2 in Brazilian educational staff after the first wave of the disease. In this study, the seroprevalence was much lower than that in the general population. During school reopening, a small fraction of school workers showed serologically detectable signs of SARS-CoV-2 exposure.

Resumo Este estudo avaliou a eficácia antihelmíntica de sementes de Cucurbita maxima e Carica papaya no controle de monogenéticos das brânquias de Leporinus macrocephalus, além do índice hepatossomático e esplenossomático e do fator de condição do hospedeiro. Os peixes foram alimentados com sementes de C. maxima ou C. papaya durante sete dias, e os tratamentos não causaram mortalidade. Monogenéticos Jainus leporini, Urocleidoides paradoxus, Urocleidoides eremitus e Tereancistrum parvus tiveram prevalência de 100% nos peixes alimentados com sementes de C. papaya, enquanto nos peixes alimentados com C. maxima a prevalência foi de 42,8%. Os peixes alimentados com sementes de C. papaya apresentaram diminuição na intensidade média e abundância média de monogenéticos, enquanto os peixes alimentados com sementes de C. maxima apresentaram uma diminuição na abundância média. A alimentação de L. macrocephalus com sementes de C. maxima ou C. papaya teve eficácia de 69,6 e 67,8%, respectivamente. O índice hepatossomático dos peixes alimentados com sementes de C. maxima ou C. papaya não foi afetada pelos tratamentos. No entanto, o índice esplenossomático e o fator de condição dos peixes alimentados com sementes de C. maxima diminuíram. Sementes de C. maxima e C. papaya podem ser usadas no controle de monogenéticos das brânquias de L. macrocephalus em piscicultura.

Abstract This study was carried out to evaluate the anthelminthic efficacy of seeds of Cucurbita maxima and Carica papaya for controlling monogeneans in the gills of Leporinus macrocephalus, besides hepatosomatic and splenosomatic index and condition factor of host. The fish were fed with seeds of C. maxima or C. papaya for seven days, and these treatments did not cause any mortality among them. Jainus leporini, Urocleidoides paradoxus, Urocleidoides eremitus and Tereancistrum parvus were the monogeneans found, and their prevalence in fish fed with seeds of C. papaya was 100%, while in fish fed with C. maxima the prevalence was 42.8%. Fish fed with seeds of C. papaya showed decreased in intensity and abundance of monogeneans, while fish fed with seeds of C. maxima presented decreased in abundance. Feeding of L. macrocephalus with seeds of C. maxima or C. papaya had efficacy of 69.6 and 67.8%, respectively. The hepatosomatic index of fish fed with seeds of C. maxima or C. papaya was not affected by the treatments. However, the splenosomatic index and condition factor of fish fed with C. maxima seeds decreased. Seeds of C. maxima and C. papaya may be used for controlling monogeneans of L. macrocephalus in fish farming.

ABSTRACT OBJECTIVE: To estimate the seroprevalence of SARS-CoV-2 in the state of Maranhão, Brazil. METHODS: A population-based household survey was performed, from July 27, 2020 to August 8, 2020. The estimates considered clustering, stratification and non-response. Qualitative detection of IgM and IgG antibodies was performed in a fully-automated Elecsys® Anti-SARS-CoV-2 electrochemiluminescence immunoassay on the Cobas® e601 analyzer (Roche Diagnostics). RESULTS: In total, 3,156 individuals were interviewed. Seroprevalence of total antibodies against SARS-CoV-2 was 40.4% (95%CI 35.6-45.3). Population adherence to non-pharmaceutical interventions was higher at the beginning of the pandemic than in the last month. SARS-CoV-2 infection rates were significantly lower among mask wearers and among those who maintained social and physical distancing in the last month compared to their counterparts. Among the infected, 26.0% were asymptomatic. The infection fatality rate (IFR) was 0.14%, higher for men and older adults. The IFR based on excess deaths was 0.28%. The ratio of estimated infections to reported cases was 22.2. CONCLUSIONS: To the best of our knowledge, the seroprevalence of SARS-CoV-2 estimated in this population-based survey is one of the highest reported. The local herd immunity threshold may have been reached or might be reached soon.

ABSTRACT OBJECTIVE: To estimate the seroprevalence of SARS-CoV-2 in the state of Maranhão, Brazil. METHODS: A population-based household survey was performed, from July 27, 2020 to August 8, 2020. The estimates considered clustering, stratification and non-response. Qualitative detection of IgM and IgG antibodies was performed in a fully-automated Elecsys® Anti-SARS-CoV-2 electrochemiluminescence immunoassay on the Cobas® e601 analyzer (Roche Diagnostics). RESULTS: In total, 3,156 individuals were interviewed. Seroprevalence of total antibodies against SARS-CoV-2 was 40.4% (95%CI 35.6-45.3). Population adherence to non-pharmaceutical interventions was higher at the beginning of the pandemic than in the last month. SARS-CoV-2 infection rates were significantly lower among mask wearers and among those who maintained social and physical distancing in the last month compared to their counterparts. Among the infected, 26.0% were asymptomatic. The infection fatality rate (IFR) was 0.14%, higher for men and older adults. The IFR based on excess deaths was 0.28%. The ratio of estimated infections to reported cases was 22.2. CONCLUSIONS: To the best of our knowledge, the seroprevalence of SARS-CoV-2 estimated in this population-based survey is one of the highest reported. The local herd immunity threshold may have been reached or might be reached soon.

Abstract INTRODUCTION: COVID-19 emerged in late 2019 and quickly became a serious public health problem worldwide. This study aim to describe the epidemiological course of cases and deaths due to COVID-19 and their impact on hospital bed occupancy rates in the first 45 days of the epidemic in the state of Ceará, Northeastern Brazil. METHODS: The study used an ecological design with data gathered from multiple government and health care sources. Data were analyzed using Epi Info software. RESULTS: The first cases were confirmed on March 15, 2020. After 45 days, 37,268 cases reported in 85.9% of Ceará’s municipalities, with 1,019 deaths. Laboratory test positivity reached 84.8% at the end of April, a period in which more than 700 daily tests were processed. The average age of cases was 67 (<1 - 101) years, most occurred in a hospital environment (91.9%), and 58% required hospitalization in an ICU bed. The average time between the onset of symptoms and death was 18 (1 - 56) days. Patients who died in the hospital had spent an average of six (0 - 40) days hospitalized. Across Ceará, the bed occupancy rate reached 71.3% in the wards and 80.5% in the ICU. CONCLUSIONS: The first 45 days of the COVID-19 epidemic in Ceará revealed a large number of cases and deaths, spreading initially among the population with a high socioeconomic status. Despite the efforts by the health services and social isolation measures the health system still collapsed.

RESUMEN Objetivo: Analizar prescripciones electrónicas y manuales en cuanto a la ocurrencia de polifarmacia y tipos potenciales de errores de medicación en el contexto de la atención primaria. Material y método: Estudio de carácter descriptivo, transversal y retrospectivo, basado en la evaluación de prescripciones manuales y electrónicas archivadas en la farmacia de la Unidad Básica de Salud (UBS) del Distrito Federal (Brasil). Se incluyeron los duplicados de las prescripciones para las enfermedades crónicas no transmisibles. Resultados: Se analizaron 1.500 prescripciones considerando la no totalidad de los criterios de evaluación propuestos en este estudio, entre ellos: ilegibilidad (35,5%), abreviaturas (97,7%), forma farmacéutica (57,6%), concentración (32,4%). Se identificó polifarmacia en el 46% de los usuarios y que estaba directamente relacionada a la edad del usuario. Conclusión: Las prescripciones presentaron información incompleta en relación a lo establecido por la legislación. Se requieren estrategias que busquen mejorar la promoción de salud en la atención básica, como educación permanente y sensibilización de los prescriptores y demás actores involucrados en el acto de prescribir medicamentos.

ABSTRACT Objective: To analyze electronic and manual prescriptions regarding the occurrence of polypharmacy and potential types of medication errors in the context of primary care. Material and method: A descriptive, cross-sectional and retrospective study based on the evaluation of prescriptions filed at the pharmacy of a Basic Health Unit of the Federal District of Brazil. Copies of prescriptions for chronic non-communicable diseases were included. Results: 1500 prescriptions were analyzed according to evaluation criteria, such as illegibility (35.5 %), abbreviations (97.7%), dosage form (57.6%), and concentration (32.4%). Polypharmacy was identified in 46% of users and it was directly related to the age of the user. Conclusion: Prescriptions presented incomplete information regarding current legislation. Strategies that seek to improve health promotion in primary care, such as permanent education and more awareness from prescribers and other actors involved in the process of prescribing medications, are required.

RESUMO Objetivo: Analisar prescrições eletrônicas e manuais quanto à ocorrência de polifarmácia e tipos potenciais de erros de medicação no contexto da atenção primária. Material e método: Estudo de caráter descritivo, transversal e retrospectivo, baseado na avaliação de prescrições manuais e eletrônicas arquivadas na farmácia da Unidade Básica de Saúde do Distrito Federal de Brasília (DF). Foram incluídas as segundas vias das prescrições para as doenças crônicas não transmissíveis. Resultados: 1500 prescrições foram analisadas. Apontaram a não totalidade dos critérios de avaliação proposto neste estudo, dentre eles: ilegibilidade (35,5%), abreviaturas (97,7%), forma farmacêutica (57,6%), concentração (32,4%). A polifarmácia foi identificada em 46% dos usuários e estava diretamente relacionada à idade do usuário. Conclusão: As prescrições apresentaram incompletude de informações em relação ao que estabelece a legislação, são necessárias estratégias que busquem melhorar a promoção de saúde na atenção básica, como trabalhos de educação permanente e que visem sensibilizar os prescritores e demais atores envolvidos neste processo sobre o ato de prescrever medicamentos.

ABSTRACT Ferrimagnetic Fe-oxides are important soil components, which are present in most of the agricultural soils of Brazil. Distinction, origin, and assessment of the influence of these minerals on magnetism and geochemistry is a challenge for mineralogists. This study aimed to characterize mineralogically Fe-rich Rhodic Oxisols ( Latossolos Vermelhos ) originating from several mafic rocks in Brazil, and assess the implications on their magnetic and geochemical properties. We present results on magnetic measurements, chemical dissolutions, X-ray diffractometry, Rietveld refinement, Raman, and Mössbauer spectroscopies of Fe-rich Rhodic Oxisols originating from several mafic rocks. They show that magnetite is inherited from the parent material, and its oxidation leads to the formation of maghemite. In the coarse fractions (sand and silt), magnetite and maghemite coexist and are interstratified with hematite, confirmed by Raman spectroscopy. This limited the distinction between magnetite and maghemite by Mössbauer spectroscopy. Maghemite represents the only ferrimagnetic Fe oxide in the clay fraction. The influence of both ferrimagnetic minerals, magnetite and maghemite, on magnetic susceptibility and total content of trace elements is determined by the pedogenic development, even among highly weathered soils. In general, the coarse fractions contribute with most of the total trace element contents, while the clay fraction contributes to trace elements availability and magnetic susceptibility of soils.

In the present work, the application of a didactic activity proposed for the teaching-learning of mass transfer initial concepts unit operations for students of Introduction to Chemical Engineering course of a public institution was evaluated. For this, the class was separated in four moments: brief introduction to the subject, pre-test application, experimental activity and post-test application. Also, a survey of students' satisfaction about the activity was conducted by e-mail and on a voluntary basis. The results obtained from the pre- and post-test were analyzed using Wilcoxon's nonparametric statistical test. This way, it could be verified that the proposed didactic methodology contributed positively in the teaching-learning process of these students.

RESUMO Objetivo: determinar a prevalência da Síndrome de Burnout (SB) em médicos cirurgiões que trabalham em hospital de referência para o trauma em Maceió e avaliar a possível correlação entre SB e a carga horária semanal de trabalho. Métodos: estudo transversal com 43 cirurgiões de plantão do Hospital Geral do Estado Professor Osvaldo Brandão Vilela, Maceió, entre julho e dezembro de 2015. Um formulário autoadministrado foi utilizado para avaliar SB por meio do Maslach Burnout Inventory (MBI) e as características sociodemográficas entre os participantes. Foi utilizado o teste de Spearman S para comparar SB e carga horária semanal. O nível de significância foi 5%. Resultados: entre os cirurgiões estudados, 95,35% eram do sexo masculino e a média de idade foi 43,9±8,95 anos. A média da carga horária semanal de plantão no trauma foi 33,90±16,82 horas. A frequência de pontuações elevadas em pelo menos uma das três dimensões do MBI foi 46,5%. Realização profissional foi correlacionada com a carga de trabalho semanal (P=0,020). Conclusão: a prevalência da Síndrome de Burnout entre cirurgiões plantonistas em hospital de referência para o trauma foi 46,5%. Nesta amostra houve correlação entre a carga horária semanal de trabalho e a Síndrome de Burnout.

ABSTRACT Objective: to determine the prevalence of Burnout Syndrome (BS) for surgeons working in referral hospital for trauma in Maceio and to evaluate the possible correlation between BS and weekly workload. Methods: cross-sectional study with 43 on-call surgeons at Professor Osvaldo Brandão Vilela General State Hospital, Maceió, between July and December, 2015. A self-administered form was used to evaluate BS through the Maslach Burnout Inventory (MBI) and socio-demographic characteristics among participants. Spearman's S test was used to compare BS and weekly workload. Significant level was 5%. Results: among the surgeons studied, 95.35% were male and the mean age was 43.9 ± 8.95 years. The mean weekly workload on call in trauma was 33.90 ± 16.82 hours. The frequency of high scores in at least one of the three dimensions of MBI was 46.5%. Professional achievement was correlated with weekly workload (P = 0.020). Conclusion: the prevalence of Burnout Syndrome among on-call surgeons in referral hospital for trauma was 46.5%. In this sample there was correlation between weekly workload and the Burnout Syndrome.

RESUMO. Este estudo avaliou as propriedades do solo e a produtividade do feijão-caupi após seis anos de aplicações consecutivas de lodo de curtume compostado. Anualmente, o composto foi aplicado a 0, 2,5, 5, 10 e 20 Mg ha-1 e no sexto ano as propriedades químicas e físicas do solo e a produtividade do feijão-caupi foram avaliadas em experimento de blocos casualizados. Cr, P, K, C orgânico, pH, Ca, Na, e a capacidade de troca de cátions aumentaram linearmente após seis anos de aplicação do composto. A densidade do solo diminuiu linearmente enquanto a estabilidade de agregados aumentou após a aplicação do composto. Em consequência das mudanças nas propriedades químicas e físicas do solo, a produtividade do feijão-caupi apresentou resposta quadrática às doses de lodo de curtume compostado com máxima produtividade estimada encontrada na dose de 8,3 Mg ha-1. Em conclusão, as propriedades químicas e físicas do solo melhoraram após seis anos de aplicação do lodo de curtume compostado. Entretanto, o pH do solo, bem como os teores de Cr e Na aumentaram com aplicação do lodo de curtume compostado e estes parâmetros influenciaram a produtividade do feijão-caupi que apresentou resposta quadrática.

ABSTRACT. This study evaluated soil properties and cowpea yield after six years of consecutive amendment of composted tannery sludge. The compost was applied annually at 0, 2.5, 5, 10, and 20 Mg ha-1 and at the end of the sixth year, the chemical and physical properties of the soil were evaluated using a randomized block design. The Cr, P, K, Ca, Na and organic C contents and the pH and cation exchange capacity increased linearly after six years of compost amendment. The soil bulk density decreased linearly while the aggregate stability index increased after compost amendment. As a consequence of the changes in the chemical and physical properties of the soil, cowpea yield showed a quadratic response to the tannery rates, with an estimated maximum cowpea yield at 8.3 Mg ha-1. In conclusion, the soil chemical and physical properties improved after six years of composted tannery sludge amendment. However, the soil pH and the Cr and Na contents increased with composted tannery sludge amendment, which influenced the cowpea yield and resulted in a quadratic response to the compost.

RESUMO Objetivou-se avaliar os efeitos do farelo de arroz sobre as perdas por gases e efluente, o perfil fermentativo e a composição química das silagens de Brachiaria decumbens cv. Basilisk ensilado em silos de laboratório. Utilizou-se delineamento inteiramente casualizado, com cinco tratamentos: 0; 10; 20, 30 e 40g/kg de farelo de arroz, com base na matéria natural da gramínea. Os valores das perdas por gases e efluentes foram reduzidos linearmente em 0,11 e 0,39g/kg MS, enquanto a recuperação da matéria seca aumentou linearmente em 0,32g/kg MS. Houve comportamento quadrático nos valores de pH e, redução linear para os valores de N-amoniacal e poder tampão, estimados em 1,1 e 0,5g/kg MS. As concentrações de ácido acético, butírico e propiônico foram reduzidas linearmente em 0,1; 0,008 e 0,006g/kg MS, enquanto a de ácido láctico aumentou linearmente em 0,5g/kg MS. Cada unidade porcentual de farelo de arroz promoveu aumento linear de 4,3; 1,8; 7,1 e 7,0g/kg nos teores de matéria seca, proteína bruta, extrato etéreo e nutrientes digestíveis totais, e redução linear de 6,9; 4,3 e 2,6g/kg MS nos teores de fibra em detergente neutro, fibra em detergente ácido e hemicelulose. A inclusão de 10g/kg de farelo de arroz já assegura diminuição das perdas por gases e efluentes, aumento na recuperação de matéria seca, proporcionando melhorias no perfil fermentativo e na composição química das silagens.

SUMMARY The objective was to assess the effects of rice meal over losses by gas and effluent, the fermentative profile and the chemical composition of Brachiaria decumbens cv. Basilisk silage in laboratory bags. Entirely random lining was used, with five treatments: 0; 10; 20; 30 and 40g/kg rice meal, based on natural grass matter. The values of losses by gas and effluents were reduced linearly in 0.11 and 0.39g/kg DM, while recovery of dry matter increased linearly in 0.32g/kg DM. There was quadratic behavior for pH values and linear decrease for the values of N-ammoniacal and buffering power estimated in 1.1 and 5g/kg DM. Concentrations of acetic, butyric and propionic acids were reduced linearly in 0.1; 0.008 and 0.006g/kg DM, while lactic acid increased linearly in 0.5g/kg DM. Each 1g/kg rice meal promoted linear increase of 4.3; 1.8; 7.1 and 7.0g/kg dry matter levels, crude protein, ethereal extract and total digestible nutrients and linear decrease of 6.9; 4.3 and 2.6g/kg DM of fiber in neutral detergent, fiber in acidic detergent and hemicellulose levels. Inclusion of 10g/kg rice meal already ensures lowering losses by gas and effluents, increase in dry matter recovery, allowing improvements on the fermentative profile and the chemical composition of silage.

The objective of this experiment was to evaluate the losses of nutrient through gases and effluents, the nutrient recovery, fermentation parameters and the chemical parameters of silages of Brachiaria decumbens with the addition of soybean hulls, testing five levels of inclusion: 0, 10, 20, 30 and 40% (as is), with five replications per treatment. After the standardization cut of the forage, performed at 5 cm from the soil level, the soil was fertilized with nitrogen and potassium in the form of ammonium sulfate and potassium chloride, respectively, at 60 kg/ha. After 60 days, the grass was cut at 10 cm from the soil and ensiled. Experimental silos with capacity of 10 liters with Bunsen valve were used. Silos had 3 kg of sand conditioned at the bottom for retention of the effluents. The results show that the contents of dry matter, crude protein, acid detergent insoluble fiber and total digestible nutrients presented positive linear behavior with the inclusion of soybean hulls. In the grass silages with addition of soybean hulls, there was greater recovery of dry matter in relation to the control silage, which is a reflection of the negative linear behavior for the values of losses of gases and effluent. There was quadratic behavior in the pH values and negative linear behavior for the ammonia N values and buffering capacity with the inclusion of the additive in the grass silage. Inclusion of soybean hulls is sufficient to improve the fermentation pattern and minimize the losses through gases and effluents, contributing to the nutrient recovery, in addition to promoting overall improvement of the nutritional value of Brachiaria grass silages.

This experiment was conducted to evaluate the protein and carbohydrate fractions, and to estimate the in situ rumen degradation kinetic parameters of Brachiaria decumbens grass silage with inclusion of rice bran. Five rice bran inclusion levels were tested: 0, 10, 20, 30 and 40% of the natural matter, distributed into a completely randomized design with five replications. The brachiaria grass was obtained at 60 days of regrowth by cutting the forage at 10 cm from the soil and ensiling it in 10-L experimental silo bags, which were opened after 40 days. The degradability profiles for DM, CP, NDF and of the feeds for each animal utilized made it possible to obtain the estimates of the parameters analyzed. The contents of total carbohydrates (TCH), fibrous carbohydrates and fraction A+B1 of the TCH decreased linearly as the rice bran levels were elevated. Fraction A of the protein was increased linearly by 0.64% for every 1% of rice bran added to the silage. For nitrogenous fractions B3 and C, there was a decrease of 0.11 and 0.40% for each 1% of rice bran added to the silage, respectively. For the rumen degradability parameters of the dry matter, fractions A and I had estimated increases of 0.54 and 0.04% for every 1% inclusion of rice bran. For the degradation rate of fraction B (c), treatments had no effect. Fractions A and I of the crude protein degradability parameters increased by 0.22 and 0.72%, respectively, with inclusion of 1% rice bran. Inclusion levels of rice bran had no effect on fraction D, on the degradation rate of fraction B (c) or lag time (L) estimated for neutral detergent fiber. Inclusion of 10 and 20% rice bran in the brachiaria grass silage improves protein and carbohydrate fractions and rumen degradation kinetic parameters of dry matter, crude protein and neutral detergent fiber.

OBJETIVO: Identificar os fatores associados à qualidade de vida de idosos que frequentam uma unidade de saúde de Ceilândia-DF. MÉTODO: Pesquisa de abordagem quantitativa do tipo descritiva com delineamento transversal, realizada com 277 idosos, por meio de entrevista para investigação das variáveis demográficas, socioeconômicas, clínicas e aplicação do WHOQOL-bref, com análise estatística descritiva. RESULTADOS: Os idosos avaliados demonstraram melhor qualidade de vida no domínio "relações sociais", seguido do "psicológico", "físico" e, por último, "meio ambiente". CONCLUSÕES: Os fatores significativamente associados à qualidade de vida neste estudo foram: doença, tabagismo, atividade física, alteração visual e história de queda. Os problemas/barreiras conhecidos neste estudo podem direcionar os profissionais de saúde que atuam na atenção primária. A assistência direcionada poderá permitir uma relação de confiança entre o profissional de saúde e o idoso, além de auxiliá-los a resolver os problemas/barreiras que estão afetando sua qualidade de vida.

OBJECTIVE: To identify factors associated with quality of life of elderly attending a Health Unit in Ceilandia, Federal District, Brazil. METHOD: Quantitative approach with descriptive cross-sectional design conducted with 277 elderly through interviews to investigate demographic, socioeconomic, and clinical variables and application of the WHOQOL-bref, with descriptive statistical analysis. RESULTS: The elderly showed better quality of life in the domain "social relations", followed by "psychological", "physical" and finally "environment". CONCLUSIONS: Factors significantly associated with quality of life in this study were: disease, smoking, physical activity, visual and history of falls. The problems / barriers known in this study can guide the health professionals who work at primary health care. The targeted assistance may enable a trusting relationship between the health professional and the elderly as well as help them to solve the problems / barriers that affect their quality of life.