RESUMO
Anomalocardia brasiliana is an intertidal filter-feeding clam that can accumulate enterobacteria, such as Escherichia coli, and consequently affect human health. Shellfish depuration is a procedure which reduces microbiological contaminants; however, salinity and depuration time can vary across species to adequately reduce bacteria load. To analyze the effect of salinity on the bioaccumulation and depuration of E. coli by A. brasiliana, this study evaluated salinity and depuration time in animals artificially contaminated with E. coli. Each experimental group of clams were acclimated for 6 hours in a recirculating aquaculture system (RAS) and then exposed to E. coli for 18 hours. Following exposure, clams were then held at one of four salinities (35, 30, 25 e 20) for a period of one of four depuration times (0, 12, 24, 36 and 48h). The highest bioaccumulation of E. coli in A. brasiliana was observed in clams held at salinities of 35, 30 and 25. The greatest reduction of E. coli in A. brasiliana was observed in clams held at 25 for 48 hours. A salinity of 20 showed low bioaccumulation and depuration of E. coli. The results of this study will contribute to developing a protocol for depurating A. brasiliana to mitigate human health concerns.
Anomalocardia brasiliana é um molusco de areia filtrador que habita entremarés, o qual pode acumular enterobactérias como E. coli e, consequentemente, afetar o ser humano. A depuração de moluscos é o procedimento para reduzir a contaminação; para isso, é necessária uma adequada qualidade da água. A fim de analisar o efeito da salinidade na bioacumulação e na depuração de E. coli por A. brasiliana, o presente estudo avaliou quatro salinidades (35, 30, 25 e 20) e quatro tempos de depuração (0, 12, 24, 36 e 48h) em animais contaminados artificialmente com E. coli. Todos os moluscos foram aclimatados por seis horas e posteriormente expostos a E. coli por 18h no sistema de depuração. O experimento de depuração foi realizado em um sistema de recirculação de água (RAS). A maior bioacumulação de E. coli em A. brasiliana foi observada nas salinidades de 35, 30 e 25, e a maior redução de E. coli nos animais foi observada na salinidade de 25, após 48h de depuração. A salinidade de 20 apresentou uma baixa bioacumulação de E. coli. A maior redução de E. coli em A. brasiliana foi observada na salinidade 25 depois de 48h de depuração. Os resultados do presente estudo podem contribuir para o desenvolvimento de um protocolo de depuração para essa espécie.
Assuntos
Animais , Escherichia coli/isolamento & purificação , Cardiidae/microbiologia , Bioacumulação , Taxa de Depuração Metabólica , SalinidadeRESUMO
With the high prevalence of obesity and associated comorbidities, the costs of health services produce a great economic impact. The objective of this work was to evaluate the economic benefits of bariatric surgery and to relate the costs to the impact on the health of the individual. A historic cohort study was conducted, with review of medical charts of 194 patients who fulfilled the inclusion criteria for the study. The costs for medications, professional care, and examinations in the pre- and postoperative periods were analyzed, taking into consideration the comorbidities DM2, SAH, and dyslipidemia. The study demonstrated a reduction in the medical costs in the course of the postoperative period, in relation to expenses for medications, professional care, and examinations in the preoperative period. Comparing the preoperative expenses with different times in the postoperative period, a statistically significant difference was seen at all time evaluated (p < 0.001). The resolution of comorbidities was higher than 95% at 36 months after surgery. No statistically significant difference was seen with respect to the prevalence of comorbidities between the sexes in the pre- and postoperative periods (p > 0.05). With regard to age, younger patients showed lower rates of comorbidities in the pre- and postoperative periods (p < 0.001). The costs of the surgery are high, but the expenditures for medications, professional care, and examinations decrease progressively after the operation, where this is more evident in patients with more associated comorbidities.