A cadeia do leite tem um importante papel na ordem econômica e social do agronegócio brasileiro. A qualidade do leite produzido no Brasil ainda está abaixo do tecnicamente recomendável, fazendo com que fique comprometida a inocuidade dos alimentos lácteos ofertados à população e também às possibilidades do Brasil de se estabelecer como um forte competidor no mercado internacional. A melhoria da qualidade sanitária do leite está relacionada a adoção de Boas Práticas Agropecuárias (BPA), visando prevenir possíveis falhas no processo de produção. O objetivo deste trabalho foi identificar as características das propriedades produtoras de leite associadas a uma Cooperativa do estado do RS, bem como avaliar a eficácia da implantação do Programa Alimentos Seguros (PAS Leite Campo), no âmbito dos critérios legais de conformidade na qualidade higiênico-sanitária do leite produzido. Para isto foi utilizada a metodologia de Implantação Orientada desenvolvida pelo PAS Campo – Leite, em 59 produtores. No início e no final da implantação foram identificados dados para caracterização das propriedades e avaliados os indicadores de percentagem de conformidade dos itens da lista de verificação das BPA, que foram divididos em localização e instalações; segurança da água; capacitação e saúde do trabalhador; manejo da ordenha; higiene de equipamentos e utensílios; refrigeração e estocagem; controle de pragas; manejo sanitário e armazenamento dos alimentos, bem como da qualidade higiênico-sanitária da matéria-prima (leite), através de análises de contagem de células somáticas (CCS) e contagem de bactérias totais (CBT), antes e no decorrer da implantação do programa Para analisar os dados foi utilizado o software “Statistical Package for the Social Sciences” (SPSS), através do teste de ANOVA, a fim de identificar a diferença estatística entre resultados com significância de 5% para análise das médias. Todas as propriedades estudadas possuíam ordenha mecânica e equipamento de refrigeração, uma produção média de 22,91 L/vaca /dia, em um plantel de 3.127 vacas, sendo 1.577 em lactação, totalizando a produção de 36.130 litros por dia. Os resultados de conformidade geral apresentaram uma evolução positiva de 64,41% inicialmente e alcançaram no final da implantação 96,20% do total. As contagens de CCS e CBT apresentaram quedas significativas no desenvolver do projeto. Com base no exposto, pode-se concluir que a adoção da BPA através do PAS foi eficaz para adequação das propriedades produtoras de leite aos critérios legais, bem como para a melhoria-higiênico sanitária do leite. / Milk food chain has an important role in the economic and social order of Brazilian agrobusiness. Sanitary quality of milk produced in Brazil still remains well below the technically recommended, compromising both the harmlessness of dairy products offered to population and Brazil’s possibilities to be established as a strong competitor in international market. Improvements in milk sanitary quality are linked with the adoption of Good Agricultural Practices (GAP), aiming to correct possible flaws in the production process. The objective of the present study was to identify the characteristics of milk producing proprieties associated with a state’s Cooperative from Rio Grande do Sul (RS), as well as evaluate the efficacy of the implantation of the Safe Food Program (SFP Milk - Field) in the scope of conformity legal criteria in the hygienic-sanitary quality of milk produced. For that, methodology of Oriented Implantation developed by the SFP Milk - Field was used, in 59 milk producers. At the start and ending of the implantation, data for the characterization of proprieties was identified, whereas indicators of the conformity percentage of items from the verification list of GAP were evaluated, the last being divided in localization and installations; water safety; health and capacity of workers; milking handling; hygiene of equipment and utensils; refrigeration and storage; plague control; sanitary handling and food storage, as well as hygienic-sanitary quality of raw material (milk), through the analyses of somatic cell count (SCC) and total bacterial count (TBC), before and during the program’s implantation For data tabulation, software “Statistical Package for the Social Sciences” (SPSS) was used together with ANOVA test, aiming to identify the statistical difference between results with significance of 5% for average analysis. All proprieties studied had mechanical milking and refrigeration equipment; average milk production was of 21.81 L/cow/day, in a herd of 3,127 cows, being 1,577 in lactation, totalizing a production of 36,130 Liters per day. General conformity results showed a positive evolution of 64.41%, reaching up to 96.20% at the end of implantation. SCC and TBC counting showed significant decreases with the development of the project. Based on the exposed, it is possible to conclude that the adoption of GAP through SFP is effective for the adequacy of milk producing proprieties to legal criteria, as well as to the improvement of milk hygienic and sanitary quality.

A produção leiteira do Brasil vem crescendo anualmente desde a década de 1990. Em todo o país a agricultura familiar tem grande participação na produção de leite, sendo que no Rio Grande do Sul mais de 80% do volume de leite entregue à industria é oriundo de propriedades familiares, Essas propriedades adotam sistemas de produção diferenciados quanto à adoção de insumos, podendo ser convencionais ou ecológicas, e muitas vezes procura agregar valor à produção através do beneficiamento do leite a derivados lácteos. O presente trabalho teve como objetivo avaliar a qualidade do leite, produzido em sistema convencional e ecológico, e de queijos artesanais oriundos da agricultura familiar e verificar se a qualidade destes está adequada às respectivas legislações vigentes. O trabalho foi realizado entre outubro de 2008 e setembro de 2009, quando 10 UPL da agricultura familiar localizadas na região leste do Rio Grande do Sul eram visitadas mensalmente. Nessa ocasião foram coletadas amostras compostas de leite (do tanque de resfriamento) de cada uma das propriedades e encaminhadas à análise da composição química, contagem de células somáticas, contagem bacteriana total e análises físico-quimicas. Nos meses de fevereiro e julho de 2009 foram coletadas amostras dos alimentos ofertados aos animais em cada uma das propriedades, estes foram submetidos à análise bromatológica para determinação de PB, FDN e FDA, em junho de 2009 foram amostradas a agua utilizada durante a ordenha dos animais e queijos produzidos artesanalmente por essas familias. O leite da agricultura familiar apresentou CCS e CBT medias em valores acima do estabelecido na Instrução Normativa nº51, enquanto que o teor de lactose foi inferior ao esperado. Não houve diferença significativa entre os parâmetros de qualidade do leite avaliados para os diferentes sistemas, contudo a CBT apresentou interação significativa quanto ao sistema x mês. As contagens bacterianas foram maiores nos meses de primavera e verão, bem como a produção de leite. Os queijos produzidos pelas agroindustrias avaliadas e que foram produzidos a partir de leite cru apresentaram qualidade microbiológica inadequada aos padrões estabelecidos pela Resolução RDC nº12, tendo sido considerados inadequados ao consumo humano. A estrutura para a produção de queijos utilizada pelos agricultores familiares apresenta deficiências e inadequações em todas as propriedades estudadas. Na situação avaliada não houve diferença significativa entre a qualidade do leite produzido nos diferentes sistemas, ecológico e convencional, ainda assim a agricultura familiar apresentou problemas relacionados ao manejo nutricional e higiênico que podem prejudicar a qualidade do leite, tendo sido mais preocupantes os dados referentes à CCS, CBT e ESD. Quanto aos queijos e procedimentos de fabricação utilizados nas propriedades avaliadas, ficou evidente que as deficiências no tratamento térmico adequado do leite usado na produção de queijos de muito alta umidade afetam diretamente a qualidade microbiológica desses produtos, colocando em risco a saúde do consumidor. A implementação de ações de Boas Práticas de Fabricação seria importante para auxiliar o controle de contaminações e possíveis toxinfecções. / The dairy production of Brazil has been growing up yearly since the 1990 decade. In the whole country family agriculture has a high engagement in milk production, while in the State of Rio Grande do Sul, more than 80% of the milk delivered to the industry is originated in family properties. These properties adopt differentiated production systems in relation to the use of raw materials, as they could be conventional or ecological, and many times they try to add value through the manufacturing of milk to dairy products. This piece of work had the objective of evaluating the quality of milk produced through the conventional system (CONV) and ecological (ECO), and of homemade cheeses originated from family agriculture and to verify if the quality of these products is in accordance with the respective current regulations. The work was performed between October 2008 and September 2009, when 10 family agricultural UPL‟s (Dairy Production Units), located in the eastern region of Rio Grande do Sul were visited monthly. During these visits milk samples from the herds and cooling tanks from each one of the properties were collected and sent for chemical and physical analysis, counting of somatic cells and total bacterial count. During the months of February and July 2009 samples of the feed offered to the animals in each one of the properties were collected. These samples were subject of bromatology analysis to determine PB (Gross Protein), FDN (Neutral Detergent Fiber), and FDA (Acid Detergent Fiber). In June 2009 samples were taken from: water used during milking and homemade cheeses produced by these families. The milk from agricultural family presented average CCS (Somatic Cells Count) and CBT (Total Bacterial Count) above the values established by Regulatory Instruction Nº 51, while the lactose percentage was lower than expected. There was no significant difference between the evaluated milk quality parameters for the different systems, though the CBT presented a significant interaction in relation to the system/month, whereas a significant monthly variation was verified in the ECO. The bacterial counts were higher during the spring and summer months. During this period higher milk production was observed. Cheeses produced by the evaluated agroindustrial units and that were produced from raw milk presented inadequate microbiological quality according to standards established through Resolution RDC nº 12, thus considered inadequate for human consumption. The structure used by family agricultural labourers for cheese production presents deficiencies and inadequacies in all the properties studied during this work. In the evaluated situation there was no significant difference between the quality of milk produced through the different systems, ecological and conventional. The family agriculture presented problems related to the nutrition and hygienical handling that can impair milk quality, while the data in reference to CCS, CBT and ESD is more worrisome. In relation to the cheese and manufacturing practices used in the evaluated properties, it was clear and evident that the deficiencies in the thermal treatment of milk used in the production of high humidity cheeses influences directly the microbiological quality of these products, leaving the consumer‟s health under risk. The implementation of Good Manufacturing Practices would be important to help the control of contamination and possible intoxications.

Weight loss among HIV-infected African American women (AAW), results in the fall of the cluster of differentiation (CD4) cell count and an increase in the viral load. There are 48,126 HIV-infected AAW who reported weight loss within the first year. AAW who report more than 10% weight loss within the first year progress to AIDS due to a deficiency in micronutrients and poor linkage to care. The phenomenon that occurs with individuals living with HIV does not necessarily occur among individuals who have cancer, heart disease, or some other life-threatening illness, and this phenomenon indicates a direct threat to the individual's physical, mental, and social survival beyond the effects of chronic diseases. Using the health belief model in this study helped emphasize the physical change that occurs during weight loss among HIV-infected AAW. The research questions addressed if there was a direct correlation between the use of micronutrients and the decrease in weight, decrease in CD4 cell count, and the increase in viral load. The results of the multilinear regression revealed there was direct correlation between the use of micronutrients and the increase/maintain in weight, an increase in CD4 cell count, and a decrease in the viral load, thus promoting the need for more research and funding. The need to educate HIV-infected AAW on the use of micronutrients was evident. Providing research to providers on changes in standard of care for HIV-infected AAW would allow for an increase in the social, economic, and personal impact on the way an individual approaches care and treatment to prevent the progress to AIDS.

Thesis (M.Sc. (Nutrition))--North-West University, Potchefstroom Campus, 2004.

No description available.

Background: Clinical studies have shown that tea consumption leads to decreased iron absorption. This finding is however, not supported by epidemiological studies, where no relationship between an increased tea consumption and a lower iron status in a population at risk of iron depletion has been found. Objectives: The main aim of this study was to compare the effects of black tea and Rooibos consumption on the iron status of primary school children in a rural setting in Potchefstroom, South Africa. Methods: One hundred and seventy five children, aged six to fifteen years, participated in this single blind, randomised, parallel intervention trial. Subjects were randomly allocated to receive two 200ml servings of either black tea or Rooibos with milk and sugar. These beverages were consumed during breaks and at the same time as the food h m the school-feeding scheme. The trial proceeded for sixteen weeks. The children received antihelminthic treatment (500mg mebendazole) at baseline. Haemoglobii haematocrit, serum iron, ferritin and transferfin were measured and total iron binding capacity and transferrin saturation were calculated. Trained fieldworkers measured dietary intakes by means of 24-hour dietary recalls and anthropometrists took anthropometric measurements. All the above mentioned data were gathered at the beginning and at the end of the intervention period. Results: Measurements indicated a study population that is malnourished in terms of anthropometrical indices and nutrient intakes. Biochemical markers of iron status also indicated that the population could be at risk of iron depletion. Changes in red blood cell count, haemoglobin, haematocrit, mean corpuscular haemoglobin (MCH), mean corpuscular volume (MCV), serum iron, transferrin, transferrin saturation, ferritin and total iron binding capacity (TIBC) did not differ significantly between the two groups. Mean red blood cell count, haematocrit, MCV, transferrin and TIBC increased significantly h m baseline to end in both groups (all p<0.0001) and MCH decreased significantly (p<.0001). Mean haemoglobin increased significantly with black tea consumption (p=0.002), although not with the consumption of Rooibos (p=0.073). Conclusion: Black tea or Rooibos consumption has similar effects on the iron status of primary school children. Iron status was not compromised by black tea in comparison with Rooibos. This questions the proposed limitation of black tea consumption as a public health strategy in order to combat iron deficiency in a population with marginal iron status. / Thesis (M.Sc. (Nutrition))--North-West University, Potchefstroom Campus, 2004.

Background: Clinical studies have shown that tea consumption leads to decreased iron absorption. This finding is however, not supported by epidemiological studies, where no relationship between an increased tea consumption and a lower iron status in a population at risk of iron depletion has been found. Objectives: The main aim of this study was to compare the effects of black tea and Rooibos consumption on the iron status of primary school children in a rural setting in Potchefstroom, South Africa. Methods: One hundred and seventy five children, aged six to fifteen years, participated in this single blind, randomised, parallel intervention trial. Subjects were randomly allocated to receive two 200ml servings of either black tea or Rooibos with milk and sugar. These beverages were consumed during breaks and at the same time as the food h m the school-feeding scheme. The trial proceeded for sixteen weeks. The children received antihelminthic treatment (500mg mebendazole) at baseline. Haemoglobii haematocrit, serum iron, ferritin and transferfin were measured and total iron binding capacity and transferrin saturation were calculated. Trained fieldworkers measured dietary intakes by means of 24-hour dietary recalls and anthropometrists took anthropometric measurements. All the above mentioned data were gathered at the beginning and at the end of the intervention period. Results: Measurements indicated a study population that is malnourished in terms of anthropometrical indices and nutrient intakes. Biochemical markers of iron status also indicated that the population could be at risk of iron depletion. Changes in red blood cell count, haemoglobin, haematocrit, mean corpuscular haemoglobin (MCH), mean corpuscular volume (MCV), serum iron, transferrin, transferrin saturation, ferritin and total iron binding capacity (TIBC) did not differ significantly between the two groups. Mean red blood cell count, haematocrit, MCV, transferrin and TIBC increased significantly h m baseline to end in both groups (all p<0.0001) and MCH decreased significantly (p<.0001). Mean haemoglobin increased significantly with black tea consumption (p=0.002), although not with the consumption of Rooibos (p=0.073). Conclusion: Black tea or Rooibos consumption has similar effects on the iron status of primary school children. Iron status was not compromised by black tea in comparison with Rooibos. This questions the proposed limitation of black tea consumption as a public health strategy in order to combat iron deficiency in a population with marginal iron status. / Thesis (M.Sc. (Nutrition))--North-West University, Potchefstroom Campus, 2004.

A contagem de células vermelhas do sangue desempenha um papel importante no diagnóstico de animais silvestres e domésticos. Apesar da existência de muitas tecnologias em diferentes contadores automatizados para análise de sangue, quando se trata do sangue de animais silvestres ainda é difícil encontrar uma solução simples e economicamente viável para múltiplas espécies. O objetivo deste estudo é desenvolver um contador automático de células vermelhas. Amostras de sangue (1 jaguatirica - Leopardus pardalis, 1 macaco - Cebus apella, 1 quati - Nasua nasua, 62 cães - Canis familiaris e 5 cavalos - Equus caballus) foram analisadas usando três métodos: 1-contagem manual, 2-contagem automática por imagem e 3-contagem semiautomática por imagem; as amostras de cães e cavalos foram analisadas por um quarto método: 4-contagem automática por impedância. As contagens dos métodos 2 e 3 foram obtidas usando o contador de células vermelhas proposto. Os resultados foram comparados usando a correlação de Pearson e gráficos com diferentes métodos como valor de referência. As contagens dos métodos 1, 2 e 3 correlacionaram muito bem com as contagens do método 4 (r ≥ 0.94). As contagens produzidas pelo método 2 apresentaram alta correlação com o método 3 (r = 0.998). Os resultados indicam que o contador proposto pode ser usado como um método de contagem automática ou semiautomática em clínicas que usam o método manual para contagem de células vermelhas do sangue de animais. / A RBC count plays an important role in the diagnostic of wild and domestic animals. Despite the many technologies available in different automated hematology analyzers, when it comes to blood of wild animals it is still difficult to find an easy and affordable solution for multiple species. This study aims to develop an automatic red blood cell counter. Blood samples (1 ocelot - Leopardus pardalis, 1 monkey - Cebus apella, 1 coati - Nasua nasua, 62 dogs - Canis familiaris and 5 horses - Equus caballus) were analyzed using three methods: 1-manual count, 2automatic count by image and 3-semi-automatic count by image; blood from dogs and horses were also analyzed by a fourth method: 4-automatic count by impedance. The counts of methods 2 and 3 were produced by the proposed red blood cell counter. Results were compared using Pearson’s correlation and plots with different methods as the criterion standard. RBC counts of methods 1, 2 and 3 correlated very well with those on the method 4 (r ≥ 0.94). RBC counts produced by method 2 were highly correlated with method 3 (r = 0.998). The results indicate that the proposed method can be used as an automatic or semi-automatic counting method in clinics that are currently using the manual method for RBC assessment.

Le carcinome de Merkel est un cancer cutané de différenciation neuroendocrine rare, mais agressif, dont le facteur étiologique principal est le polyomavirus de Merkel (MCPyV). L’objectif de ce travail a été d’identifier des marqueurs virologiques et cellulaires pronostiques ou théranostiques à l’aide d’une cohorte historicoprospective de patients ayant un carcinome de Merkel. Les patients ayant des titres élevés d’anticorps dirigés contre la protéine de capside VP1 du MCPyV ont un pronostic favorable, tandis les anticorps dirigés contre les oncoprotéines virales reflètent l’évolution tumorale. Par ailleurs, il existe une hétérogénéité d’expression des récepteurs à la somatostatine dans les carcinomes de Merkel. Ce marqueur cellulaire peut constituer un outil théranostique lors de thérapies ciblées utilisant les analogues de la somatostatine. Enfin, nos travaux actuels portent sur l’évaluation de l’immunité cellulaire chez ces patients, avec une étude ayant montré la valeur pronostique du ratio neutrophiles/lymphocytes sanguin. / Merkel Cell Carcinoma is a rare and aggressive neuroendocrine skin cancer. The Merkel cell polymavirus has been identified as the main etiological agent of such cancer. We aimed to identify viral and cellular markers relevant as prognostic and theranostic tools in patients with Merkel Cell Carcinoma. Using serological immunoassays, we observed that patients with high levels of serum antibodies against the MCPyV major capsid protein at baseline had better outcomes, whereas antibodies directed against the MCPyV oncoproteins reflected the tumor burden and course of disease. We also demonstrated that Merkel Cell Carcinoma tumors displayed a heterogeneous expression of receptors to somatostatin, which could constitute a theranostic tool for the use of targeted therapies using somatostatin analogs. Finally, current studies focus on the assessment of cellular immunity in Merkel Cell Carcinoma patients. Our results indicate that the blood neutrophil-to-lymphocyte ratio is an independent marker of mortality in Merkel Cell Carcinoma patients.

A cadeia do leite tem um importante papel na ordem econômica e social do agronegócio brasileiro. A qualidade do leite produzido no Brasil ainda está abaixo do tecnicamente recomendável, fazendo com que fique comprometida a inocuidade dos alimentos lácteos ofertados à população e também às possibilidades do Brasil de se estabelecer como um forte competidor no mercado internacional. A melhoria da qualidade sanitária do leite está relacionada a adoção de Boas Práticas Agropecuárias (BPA), visando prevenir possíveis falhas no processo de produção. O objetivo deste trabalho foi identificar as características das propriedades produtoras de leite associadas a uma Cooperativa do estado do RS, bem como avaliar a eficácia da implantação do Programa Alimentos Seguros (PAS Leite Campo), no âmbito dos critérios legais de conformidade na qualidade higiênico-sanitária do leite produzido. Para isto foi utilizada a metodologia de Implantação Orientada desenvolvida pelo PAS Campo – Leite, em 59 produtores. No início e no final da implantação foram identificados dados para caracterização das propriedades e avaliados os indicadores de percentagem de conformidade dos itens da lista de verificação das BPA, que foram divididos em localização e instalações; segurança da água; capacitação e saúde do trabalhador; manejo da ordenha; higiene de equipamentos e utensílios; refrigeração e estocagem; controle de pragas; manejo sanitário e armazenamento dos alimentos, bem como da qualidade higiênico-sanitária da matéria-prima (leite), através de análises de contagem de células somáticas (CCS) e contagem de bactérias totais (CBT), antes e no decorrer da implantação do programa Para analisar os dados foi utilizado o software “Statistical Package for the Social Sciences” (SPSS), através do teste de ANOVA, a fim de identificar a diferença estatística entre resultados com significância de 5% para análise das médias. Todas as propriedades estudadas possuíam ordenha mecânica e equipamento de refrigeração, uma produção média de 22,91 L/vaca /dia, em um plantel de 3.127 vacas, sendo 1.577 em lactação, totalizando a produção de 36.130 litros por dia. Os resultados de conformidade geral apresentaram uma evolução positiva de 64,41% inicialmente e alcançaram no final da implantação 96,20% do total. As contagens de CCS e CBT apresentaram quedas significativas no desenvolver do projeto. Com base no exposto, pode-se concluir que a adoção da BPA através do PAS foi eficaz para adequação das propriedades produtoras de leite aos critérios legais, bem como para a melhoria-higiênico sanitária do leite. / Milk food chain has an important role in the economic and social order of Brazilian agrobusiness. Sanitary quality of milk produced in Brazil still remains well below the technically recommended, compromising both the harmlessness of dairy products offered to population and Brazil’s possibilities to be established as a strong competitor in international market. Improvements in milk sanitary quality are linked with the adoption of Good Agricultural Practices (GAP), aiming to correct possible flaws in the production process. The objective of the present study was to identify the characteristics of milk producing proprieties associated with a state’s Cooperative from Rio Grande do Sul (RS), as well as evaluate the efficacy of the implantation of the Safe Food Program (SFP Milk - Field) in the scope of conformity legal criteria in the hygienic-sanitary quality of milk produced. For that, methodology of Oriented Implantation developed by the SFP Milk - Field was used, in 59 milk producers. At the start and ending of the implantation, data for the characterization of proprieties was identified, whereas indicators of the conformity percentage of items from the verification list of GAP were evaluated, the last being divided in localization and installations; water safety; health and capacity of workers; milking handling; hygiene of equipment and utensils; refrigeration and storage; plague control; sanitary handling and food storage, as well as hygienic-sanitary quality of raw material (milk), through the analyses of somatic cell count (SCC) and total bacterial count (TBC), before and during the program’s implantation For data tabulation, software “Statistical Package for the Social Sciences” (SPSS) was used together with ANOVA test, aiming to identify the statistical difference between results with significance of 5% for average analysis. All proprieties studied had mechanical milking and refrigeration equipment; average milk production was of 21.81 L/cow/day, in a herd of 3,127 cows, being 1,577 in lactation, totalizing a production of 36,130 Liters per day. General conformity results showed a positive evolution of 64.41%, reaching up to 96.20% at the end of implantation. SCC and TBC counting showed significant decreases with the development of the project. Based on the exposed, it is possible to conclude that the adoption of GAP through SFP is effective for the adequacy of milk producing proprieties to legal criteria, as well as to the improvement of milk hygienic and sanitary quality.