ABSTRACT. The goat's milk is an excellent choice to replace cow’s milk for children and adults, who are allergic to cow’s milk. Both the proteins and the fat portion of goat’s milk are absorbed by the body faster than cow's milk. Visually it is not possible to differentiate cow’s milk from goat’s milk, which can be differentiated through odor and taste which generates some concern to consumers. The objective of this study were to evaluate the acceptability of goat’s milk, compared to cow’s milk by children and young adults between 06 and 21 years old, in public network of schools Bambuí-MG, living in different socioeconomic levels, in order to verify if there is difference, in acceptance, between these two types of milk and study if the age and socioeconomic status could influence the results. Samples were prepared with chocolate powder and subjected to sensory evaluation by a group of 330 students, who are milk consumers. The samples were evaluated for preference through the hedonic scale of 5 points, asking about the score of the consumers and the preference of each type of milk. The test was conducted in two public schools. the data were submitted to ANOVA and Tukey test for comparison of means. Although goat's milk has some compositional characteristics and different physicochemical properties of cow's milk, there was no difference between them, due to acceptability between students of the public high school and elementary school network. The mixture 50% goat milk + 50% cow's milk generated greater rejection of the sampled population, a fact justified by the formation of small clots when mixing the different types of milks. Conventional cow's milk can be replaced by goat's milk in school meals, regardless of the age group and socioeconomic status of students.

Resumo Introdução O estudo mensurou o incremento de casos de tuberculose e a melhoria das informações sobre o registro da infecção por HIV e encerramento no SINAN TB, após seu relacionamento com o SIM e SINAN Aids. Métodos Estudo seccional baseado no relacionamento de casos diagnosticados de tuberculose e óbitos tendo tuberculose como causa básica ou associada em maiores de 15 anos, entre 2005-2014, residentes no Ceará. Resultados Houve acréscimo de 2.325 (6%) casos após relacionamento entre SINAN TB, óbitos por tuberculose (causa básica ou associada) do SIM e casos de coinfecção TB/HIV no SINAN Aids, como também melhoria das informações quanto aos critérios de encerramento e registro da infecção por HIV. O incremento foi maior em municípios de pequeno porte. Conclusão Destacam-se a importância da investigação de óbito por tuberculose, expansão de núcleos de vigilância epidemiológica nos hospitais e postos de saúde, uso de relacionamento de dados pela coordenação municipal para avaliar a subnotificação e captação oportuna dos casos pelas unidades de saúde.

Abstract Introduction The study measured the increase of tuberculosis (TB) cases and improved information on HIV infection registration and non-SINAN TB closure after its merger with SIM and SINAN AIDS. Methods This was a sectional study without treatment of diagnosed cases of tuberculosis and deaths, having TB as underlying or associated cause on people older than 15 years, from 2005 to 2014, residents in Ceará. Results There was an increase of 2,325 (6%) cases after the merger of SINAN TB, TB deaths (underlying or associated cause) SIM and cases of TB/HIV in SINAN AIDS, as well as improving information about the closure criteria and registration of HIV infection. The increase was higher in small municipalities. Conclusion The importance of tuberculosis death investigation, the expansion of epidemiological surveillance nuclei in hospitals and health stations, the use of data communication for municipal coordination to assess underreporting and timely collection of cases by health facilities are highlighted.

Objective to analyze the profile of the deaths of people with acquired immunodeficiency syndrome. Methods a cross-sectional study was carried out with 106 medical records of people who died in an intensive care unit, obtaining sociodemographic and clinical variables. Analysis made using Pearson’s chi-square test, Fisher’s test and Mann-Whitney test. Results most of the patients were male (80.2%), in the age group from 18 to 39 years, average age of 39.7 years, 81.6% dark-skinned, 60.4% were single and 62.5% unemployed. The proportion of patients who were unemployed (p=0.002) and who did not use antiretroviral therapy (p<0.001) were the ones that had the least regular health care. Conclusion most of the patients in the study did not follow regular health care and did not use antiretroviral therapy.

Objetivo analisar o perfil dos óbitos de pessoas com síndrome da imunodeficiência adquirida. Métodos estudo transversal, realizado com 106 prontuários de pessoas que foram a óbito em unidade de terapia intensiva, obtendo-se variáveis sociodemográficas e clínicas. Análise realizada através do teste qui-quadrado de Pearson, teste de Fisher e teste de Mann-Whitney. Resultados maior parte dos pacientes era do sexo masculino (80,2%), na faixa etária de 18 a 39 anos, média de idade de 39,7 anos, 81,6% de cor parda, 60,4% solteiros e 62,5% desempregados. A proporção de pacientes desempregados (p=0,002) e que não faziam uso de terapia antirretroviral (p<0,001) foram os que menos realizavam acompanhamento regular de saúde. Conclusão a maioria dos pacientes do estudo não realizava acompanhamento regular de saúde e não utilizava terapia antirretroviral.

Descrevem-se as características demográficas e clínicas de indivíduos com tétano acidental no Ceará. Analisou-se, retrospectivamente, 131 casos de tétano acidental notificados em hospital de referência estadual entre 2002 e 2005. Destes, a maioria (84,8%) ocorreu entre homens e em moradores da zona urbana (93,2%). A faixa etária com maior incidência foi a de 35 a 49 anos (35,2%). História vacinal completa esteve relatada em quatro (3%) casos, sendo ferimento perfurocortante o mais observado, e os membros inferiores os mais acometidos. O trismo esteve relacionado a 86,2% dos casos, seguido por contraturas (54,1%). Entre os notificados houve 95,5% confirmados, cujo óbito incidiu em 33 (26,4%) pacientes. Conclui-se que o tétano acidental no Ceará atinge a população de maneira expressiva, apesar de ser uma doença imunoprevinível. Urge autoridades e órgãos gestores da saúde programarem estratégias que visem mudanças de políticas públicas relacionadas à cobertura vacinal dos susceptíveis, principalmente adultos.

The demographic and clinical characteristics of individuals with accidental tetanus in Ceará are described. This was retrospective analysis of 131 cases of accidental tetanus notified in a state referral hospital between 2002 and 2005. Most of these cases (84. 8%) occurred among men and among people living in the urban zone (93. 2%). The age group with highest incidence was between 35 and 49 years old (35. 2%). A complete vaccination history was reported in four (3%) cases. Puncturing/cutting wounds were the cause most commonly observed and the legs were the area most affected. Trismus (lockjaw) was reported in 86. 2% of the cases, followed by muscle contractions (54. 1%). Among the notified cases, 95. 5% were confirmed and 33 patients (26. 4%) died. We conclude that accidental tetanus in Ceará significantly affects the population, in spite of being a disease that is preventable by immunization. The health authorities and health administration entities are urged to program strategies that aim towards changes in public policies concerning the vaccination coverage for susceptible individuals, particularly adults.