RESUMEN
INTRODUCTION: The association regarding the atopic sensitization to mite aeroallergens and the socio-environmental features is still inconsistent. OBJECTIVES: We analyzed the role played by socioeconomic and environmental factors in the prevalence of sensitization to house dust mite (HDM) allergens, and associated with the risk of developing asthma symptoms. PATIENTS AND METHODS: This is a case-control study conducted with 108 patients, aged 1-17. We inquired about family habits, socioeconomic and environmental features. We applied the International Study of Asthma and Allergies in Childhood questionnaire. RESULTS: We observed patients sensitized to all HDM tested, Derp (42%), Derf (37%) and Blot (33%). Middle family income (OR: 2.74; CI95%: 1.127-6.684), exposure to dog (OR: 3.758, CI95%: 1.127-6.684) and artificial climatization (OR: 4.319, CI95%: 1.398-13.348) were associated with sensitization to Derp. We also observed protective factors, such as sharing of dormitories, washing cycle for bedspreads and the presence of basic sanitation. An increased risk of sensitization to Derf was associated with Blot sensitization (OR: 3.172, CI95%: 1.083-9.292) and presence of mold on the walls (OR: 3.095, CI95%: 1.063-9.008). A protective factor was dormitory sharing. For sensitization to Blot, we observed an increase in the risk associated with Derp sensitization (OR: 3.462, CI95%: 1.191-10.061) and exposure to dog (OR: 3.255, CI95%: 0.987-10.736). In addition, sensitization to Blot increases the risk of developing asthma symptoms (OR: 2.732, CI95%: 0.981-7.606). CONCLUSION: Our data show distinct sociodemographic and environmental relations that lead to HDM sensitization and increased probability of development of allergic diseases.
Asunto(s)
Asma/epidemiología , Exposición a Riesgos Ambientales/efectos adversos , Hipersensibilidad/epidemiología , Factores Socioeconómicos , Adolescente , Animales , Antígenos Dermatofagoides/inmunología , Brasil/epidemiología , Estudios de Casos y Controles , Niño , Preescolar , Polvo , Femenino , Humanos , Lactante , Masculino , Prevalencia , Pyroglyphidae/inmunologíaRESUMEN
This paper presents the experiments carried out in a hybrid sequencing batch reactor (HSBR), used for biological treatment of sewage. The HSBR was built in a cylindrical shape and made of stainless steel, with a volume of 1.42 m3. Besides the biomass in suspension, the reactor also carried fixed biomass (hybrid process), adhered in the support material. This consisted of a nylon net disposed in a grille for biofilm biomass adhesion. The reactor worked fully automated in operational cycles of maximum 8 hours each, presenting the following phases: filling, anoxic, aerobic, settle and draw of treated effluent, with 3 fillings per cycle. Increasing organic loads (0.14 to 0.51 kg TCOD/m3 day) and ammonium loads (0.002 to 0.006 kg NH4-N/m3.day) were tested. We monitored the reactor's performance by measuring the liquid phase (COD, pH, temperature, DO, nitrogen and phosphorus) during the cycles and by measuring the sludge through respirometric tests. The results obtained demonstrated TCOD removal efficiency between 73 and 96%, and ammonium removal efficiency between 50 and 99%. At the end of the cycles, the effluent presented ammonium concentration <20 mg/L, meeting the Brazilian environmental legislation standards (CONAMA 357/2005) regarding discharges into the water bodies. Respirometric tests showed biomass dependency on FCOD concentrations. Results have demonstrated the potential of this type of reactor for decentralized treatment of domestic wastewater.