Source: Masters Abstracts International, Volume: 45-05, page: 2450. Adviser: Herbert L. DuPont. Includes bibliographical references.

Orientador: Maria Jacira Silva Simões / Banca: José Paschoal Batistuti / Banca: Jonas Contiero / Resumo: A diarréia do viajante é o problema de saúde, mais comum, associado ao turista em termos de freqüência e impacto econômico contribuindo para a perda de rendimentos obtidos pelo turismo, em países em desenvolvimento. O objetivo da presente pesquisa foi identificar os agentes etiológicos mais freqüentes, nos surtos de doença transmitida por alimentos e/ou água em núcleos receptores turísticos, conhecer a sazonalidade e caracterizar a população segundo a idade e os alimentos suspeitos. Baseou-se nas notificações enviadas à Divisão de Doença de Transmissão Hídrica e Alimentar (DDTHA), Centro de Vigilância Epidemiológica (CVE), Secretaria Estadual de Saúde (SES) do Estado de São Paulo, no período 2002 a 2005 e informações das Vigilâncias Sanitárias da Direção Regional de Saúde (DIR). Os núcleos receptores turísticos selecionados foram: cidade de São Paulo e alguns municípios do interior como Águas de São Pedro, Campinas, Campos de Jordão, Franca, Jundiaí, Piracicaba, Pirassununga, Ribeirão Preto, São José dos Campos, São José do Rio Preto e do litoral como Guarujá, Peruíbe, Praia Grande, Santos e Ubatuba. Os resultados mostraram que o núcleo receptor turístico cidade de São Paulo, notificou 304 surtos, 3382 casos/doentes e dois óbitos. Do interior foram notificados 116 surtos e 8016 casos/doentes e três óbitos. Do litoral foram notificados 11 surtos, 253 casos/doentes e três óbitos, compreendendo um total de 431 surtos, sendo 129.340 comensais, 11.651 casos/doentes e 8 óbitos. Os agentes etiológicos mais freqüentes foram : vírus (58,08%), bactérias (72,72%), protozoários (4,67%), helmintos (0,83%), fungos (0,15%) e produtos químicos (0,12%). A freqüência dos agentes etiológicos foi: Rotavirus 31,86%; coliformes 28,38%; Salmonella sp. 13,55% (Salmonella Enteritidis 5,08% e Salmonella Typhimurium 2,88%)... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Travelers' diarrhea is the most common travel-related health problem in terms of frequency and economic impact. Travelers' diarrhea also contributes to loss of income from tourism in developing countries. The aim of the present study was to find the principle pathogens involved in outbreaks of food poisoning in tourist centers, and discover in what season the outbreaks occur, and age of the population. This study was based on informations sent to Divisão de Doença de Transmissão Hídrica e Alimentar (DDTHA), Centro de Vigilância Epidemiológica (CVE), Secretaria Estadual de Saúde (SES) do Estado de São Paulo and Vigilâncias Sanitárias da Direção Regional de Saúde (DIR) from 2002 - 2005. The tourist centers selected for the study were: São Paulo city; Águas de São Pedro, Campinas, Campos de Jordão, Franca, Jundiaí, Piracicaba, Pirassununga, Ribeirão Preto, São José dos Campos, São José do Rio Preto; Guarujá, Peruíbe, Praia Grande, Santos, and Ubatuba. The results showed that São Paulo city reported 304 outbreaks, 3,382 cases/disease and two deaths. From the interior of the state of São Paulo (116 outbreaks), 8016 cases/disease and 3 deaths were registered. From the coast (11 outbreaks), 253 cases/disease and 3 deaths were registered. In total there were 431 outbreaks, 129,340 persons exposed, 11,651 cases/disease and 8 deaths. The etiological agents were bacteria (72.72%), virus (58.08%), protozoa (4.67%), nematodes (0.83%), fungi (0.15%) and chemical products (0.12%). The frequency of causative pathogens was: Rotavirus 31.86%, coliforms 28.38%... (Complete abstract click electronic access below) / Mestre

INTRODUÇÃO: A doença diarréica aguda é ainda importante causa de morbidade no mundo. Sua elevada incidência e a aceitação de sua ocorrência como fato "normal" impõem desafios para seu registro e implantação de seus sistemas de vigilância. OBJETIVOS: Conhecer as características epidemiológicas da diarréia aguda e avaliar a capacidade de detecção de surtos pelo Programa de Monitorização da Doença Diarréica Aguda, no município de Avaré. MÉTODOS: De 27 de fevereiro a 16 de julho 2005, realizou-se estudo prospectivo da diarréia em unidade sentinela do programa. Os surtos identificados foram investigados por estudos descritivos e analíticos. Amostras de fezes foram coletadas para os casos envolvidos nos surtos. A avaliação dos propósitos do programa embasou-se em indicadores de utilidade, sensibilidade e oportunidade. RESULTADOS: Foram identificados 408 casos (Coeficiente de Incidência = 4,7/1000 habitantes); idade mediana de 7 anos (variação de 1 mês a 89 anos) e 54% do sexo masculino. Dos quatro surtos de diarréia confirmados, dois ocorreram em uma creche e em um orfanato, devido à Giárdia lamblia e Cryptosporidum spp.; um intradomiciliar de origem alimentar, sem identificação do agente, e uma epidemia na comunidade associada ao rotavírus. Dos casos atendidos, 63 (15,5%) pertenciam a surtos, identificando-se mais 56 casos, em um total de 119 casos (Coeficiente de Incidência de Surtos=1,4/1000 habitantes). CONCLUSÕES: O estudo mostrou que o programa responde ao seu principal propósito, respeitando-se as condições de regularidade na informação, análises dos padrões da diarréia e investigação criteriosa. Intensificar treinamentos para aumentar a habilidade das equipes locais nas avaliações e investigações é uma das principais recomendações deste estudo. / BACKGROUND: Acute diarrheal illness remains an important cause of morbidity worldwide. Its high incidence and the acceptance of its occurrence as “normal” fact impose challenges for its report and implantation of its surveillance systems. OBJECTIVES: To describe the epidemiologic characteristics of the acute diarrhea and to evaluate the capacity of the Monitoring Program of the Acute Diarrheal Illness for early detection of outbreaks, in the city of Avaré, State of São Paulo, Brazil. METHODS: From February 16 to July 28, 2005, was a prospective study of the diarrhea in a sentinel health service of the program. Descriptive and analytical studies were developed to investigate the potential outbreaks identified in this period. Stool samples were collected from the involved cases in the outbreaks. The evaluation of purpose of the program was based on indicators of usefulness, sensitivity and timeliness. RESULTS: A total of 408 cases were identified (incidence rate=4.7/1000 inhabitants). The median age was 7 years (range 1-89 years) and 54% were male. Among four confirmed diarrhea outbreaks, two occurred in a day nursery and orphanage, due to Giardia lamblia and Cryptosporidum spp., respectively; one was caused by food in dwelling-house, without identification of the agent, and one caused by rotavirus spread citywide. Of all monitored cases, 63 (15.5%) were involved in outbreaks, linked to more 56 cases, in a total of 119 cases (outbreaks incidence rate=1.4/1000 inhabitants). CONCLUSIONS: The study showed that the program enables prompt detection and investigation of outbreaks, respected the conditions of reliability of the information, evaluation of the acute diarrhea trends and careful inquiry. To intensify training to increase the ability of local professionals to recognize patterns of possible outbreaks and for suitable investigations is one of the major recommendations of this study.

Diarrhoeal disease is a major cause of infant mortality in this and other developing countries. The assessment of the degree of dehydration in these children is often based on subjective findings alone. These have been shown to be inaccurate as an assessment of the degree of dehydration. Whole-body impedance (WBI) is a method of measuring total body water which is used to assess body composition. This WBI technology, which operates at a single frequency, has been applied to the assessment of dehydration in children with diarrhoeal disease. The normal range of WBI was determined on a group of normally hydrated children and was found to have a mean of 746 Ω, a standard deviation of 85 Ω and 95 % confidence interval for the mean from 720 Ω to 772 Ω. WBI did not depend on age, mass, height or sex. The WBI of a group of children dehydrated from infantile gastroenteritis was measured both before and after rehydration. The dehydrated group had a mean WBI on admission of 1089 Ω and a standard deviation of 149 Ω with a 95 % confidence interval for the mean from 950 Ω to 1109 Ω. This value was significantly greater than that of the normal group. The WBI of the dehydrated group after rehydration was not significantly different from the normal group. In addition a variable frequency bioimpedance analyser was designed and tested. It was found to have an error of less than 1 % over the frequency range 1 to 100 kHz. The device was evaluated on 11 normal and dehydrated children. Four dehydrated children were tested before and after rehydration and this data was compared to a standard electrical model for WBI. It was found that the model could represent the measured data over this frequency range. The extracellular resistive element of the model was mainly responsible for the changes seen during rehydration, suggesting that dehydration in gastroenteritis is mainly due to fluid loss from the ECF compartment.

The purpose of this study was to explore the knowledge and practices of caregivers/mothers of under-five children with diarrhoea-related illnesses admitted at the referral hospital. The setting for this qualitative study was the referral hospital located in the Sol Plaatje Municipality, Northern Cape Province. Unstructured interviews were conducted with caregivers/mothers of under-five children with diarrhoea admitted to the referral hospital. Colliazzi’s seven steps of data analysis (1998) as cited in Bazeley (2013:65) were used to analyse data. The study population was the caregivers/mothers of children with diarrhoea admitted to the referral hospital. The findings assisted us in understanding the knowledge the caregivers/mothers had with regard to the management of diarrhoea and in improving the health education guide used to teach caregivers/mothers. / Health Studies / M.A (Public Health)

No description available.

Background Diarrhea is a common diseases and each year around 5 billion children suffer from this diseases globally. According to BDHS 2017-18, 21% mothers had no education. Moreover, maternal education might consider to be one of the important aspect which plays a great role to diarrheal incidence. So the aim of this study is to explore the association between level of maternal education and recent episode of diarrhea among under five children in Bangladesh. Method The quantitative cross-sectional study utilized the secondary data from Bangladesh Demography and Health Survey (BDHS) 2017.Data was collected from Women’s Questionnaire and total 8398 mothers having  children aged 0-59 months were selected. Descriptive analysis, crosstab chi-squared tests, and logistic regression analyses were conducted to describe the background characteristics of the participants and explore the association between exposure and outcome of interest. Result Approximately 5% of the children had diarrhea and 17% of the mothers had higher level of education. Children whose mother had higher education had 30% lower risk of having diarrhea (OR=0.70, CI 0.44-1.13) compared to the children having uneducated mother. However, findings revealed that there is no significant association between maternal education and the incidence of diarrhea in the study population.  Conclusion  Based on this study, maternal education has no association with diarrhea among under five children. However, there might be several other factors responsible for the reduction of diarrheal diseases other than maternal education.

Bovine viral diarrhea virus (BVDV) is a pestivirus that suppresses the innate and adaptive host immune responses. Each of the two classified genotypes (BVDV1 and BVDV2) has two distinct biotypes – cytopathic (cp) and non-cytopathic (ncp) – and evidence has suggested that cytopathic strains may disrupt host interferon (IFN) synthesis and IFN-mediated responses. However, inconsistent results examining ncpBVDV strains have generated controversy regarding whether they also exhibit this capability. The purpose for this study was to determine the occurrence and functionality of IFN-induced responses within the serum cattle infected with ncpBVDV2-1373. Specifically, this involved analysing the changes in both the serum levels of IFN-α and IFN-γ and the expression of genes that are classically regulated by these cytokines. Serum analysis showed that the infected cattle induced both serum IFN-α and IFN-γ during BVDV infection while PBMC analysis showed increased expression of genes that classically respond to IFN-α – Mx-1, OAS-1, and STAT-1 – and IFN-γ – SOCS-1 and SOCS-3. These findings are supported by temporal kinome analysis, which verified activation of the JAK-STAT signalling network within the PBMCs of the virus-infected animals. In addition to establishing evidence for its synthesis, results from this challenge identified IFN-γ as a possible indicator of animal mortality as analysis of its change within the non-surviving, infected animals was statistically greater than the levels of the surviving, infected animals. Collectively, these results demonstrate 1373-mediated induction of, and host cell response to, both IFN-α and IFN–γ, and the potential for IFN-γ to be a predictive marker for mortality during BVDV infection.

Doctor of Philosophy / Department of Diagnostic Medicine/Pathobiology / Robert L. Larson / Bradley J. White / Bovine viral diarrhea virus (BVDV) is an endemic pathogen in the U.S. cow herd. The virus can cross the placental barrier and infect the unborn fetus. If infection occurs between 45 – 125 days of gestation, persistent infection (PI) in the unborn fetus is likely. Upon parturition, the PI calf is a lifelong shedder of BVDV significantly elevating the risk of viral exposure to non-PI cattle. Despite reports of significant production loss, many BVDV infections are subclinical and in some cases inconsequential. Our data has highlighted various factors potentially causing disparity in clinical outcomes following BVDV exposure including: variation of BVDV serum concentration among PI cattle which may influence the quantity of virus shed into the environment, preexisting BVDV immune (i.e. antibody) status among non-PI cattle, and the degree of stress experienced by non-PI cattle all may influence the susceptibility of disease. Additionally, cattle transiently infected (TI) with BVDV may temporarily shed BVDV thereby offering another source of exposure to non-PI cattle. Programs focusing on BVDV control and prevention consist of diagnostic tests to identify PI cattle, BVDV vaccines to reduce fetal infection and increase herd immunity, and biosecurity programs intended to prevent BVDV exposure to the resident herd. Survey work performed in Montana suggest that educating beef producers with regard to BVDV has significantly increased the implementation of these tools in order to reduce the risk of introducing BVDV to their resident herd. Despite the risk of production loss, the economic benefit of instituting whole-herd BVDV tests may vary due to herd prevalence. By utilizing Monte Carlo simulation, the current BVDV herd prevalence within the U.S. does not economically justify a nationwide BVDV eradication campaign. However, known BVDV positive herds and herds with an elevated likelihood (47%) of being BVDV positive displayed a positive economic outcome when whole-herd BVDV testing strategies were implemented across herd sizes of 50, 100, and 500 cows. The value of testing various testing modalities was dependent upon herd prevalence and herd size. These data suggest that veterinarians must critically evaluate the value of implementing whole herd testing protocols in U.S. beef herds.

<p>ABSTRACT</p><p>In the western world colitis is a common chronic disease and in Sweden the prevalence is around 1%. If a patient has bloody diarrhea it is probably ulcerative proctocolitis or Crohn’s disease, whereas if the diarrhea is watery, it is microscopic colitis. For a diagnosis, the patient has to do a colonoscopy and a colonic biopsy sample has to be taken. The biopsy sample will be sent to a laboratory for sectioning, staining and microscopic analysis.</p><p>In this study we compared the effects of short and long dehydration time of the sample before the sectioning. We also compared staining with Alcianblue/Van Gieson and Van Gieson alone.</p><p>Our results showed that a short dehydration time was a milder treatment and made it easier to section the biopsy sample. The comparison of the two methods was unsuccessful because the staining with Alcianblue/Van Gieson failed.</p>