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This review article explores the effectiveness of antibacterial drugs that inhibit protein synthesis in treating pythiosis, a difficult-to-treat infection caused by Pythium insidiosum. The article highlights the susceptibility of P. insidiosum to antibacterial drugs, such as macrolides, oxazolidinones, and tetracyclines. We examine various studies, including in vitro tests, experimental infection models, and clinical case reports. Based on our synthesis of these findings, we highlight the potential of these drugs in managing pythiosis, primarily when combined with surgical interventions. The review emphasizes the need for personalized treatment strategies and further research to establish standardized testing protocols and optimize therapeutic approaches.
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Malassezia pachydermatis is often reported as the causative agent of dermatitis in dogs. This study aims to evaluate the in vitro and in vivo antifungal activity of azoles and terbinafine (TRB), alone and in combination with the 8-hydroxyquinoline derivatives (8-HQs) clioquinol (CQL), 8-hydroxyquinoline-5-(n-4-chlorophenyl)sulfonamide (PH151), and 8-hydroxyquinoline-5-(n-4-methoxyphenyl)sulfonamide (PH153), against 16 M. pachydermatis isolates. Susceptibility to the drugs was evaluated by in vitro broth microdilution and time-kill assays. The Toll-deficient Drosophila melanogaster fly model was used to assess the efficacy of drugs in vivo. In vitro tests showed that ketoconazole (KTZ) was the most active drug, followed by TRB and CQL. The combinations itraconazole (ITZ)+CQL and ITZ+PH151 resulted in the highest percentages of synergism and none of the combinations resulted in antagonism. TRB showed the highest survival rates after seven days of treatment of the flies, followed by CQL and ITZ, whereas the evaluation of fungal burden of dead flies showed a greater fungicidal effect of azoles when compared to the other drugs. Here we showed for the first time that CQL is effective against M. pachydermatis and potentially interesting for the treatment of malasseziosis.
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Antifúngicos , Azoles , Dermatomicosis , Drosophila melanogaster , Malassezia , Pruebas de Sensibilidad Microbiana , Animales , Antifúngicos/farmacología , Malassezia/efectos de los fármacos , Malassezia/crecimiento & desarrollo , Azoles/farmacología , Dermatomicosis/tratamiento farmacológico , Dermatomicosis/microbiología , Drosophila melanogaster/microbiología , Drosophila melanogaster/efectos de los fármacos , Perros , Terbinafina/farmacología , Sinergismo Farmacológico , Quimioterapia Combinada , Enfermedades de los Perros/microbiología , Enfermedades de los Perros/tratamiento farmacológico , Cetoconazol/farmacología , Oxiquinolina/farmacología , Sulfonamidas/farmacología , Itraconazol/farmacología , Clioquinol/farmacología , Modelos Animales de EnfermedadRESUMEN
Horse pythiosis is considered an endemic disease in the Brazilian Pantanal region, causing devastating health and economic losses. This study aimed to enhance the understanding of pythiosis epidemiology, map the distribution of horse body lesions, and investigate the correlation between these lesions and warm body surface areas, potentially implicating hematophagous vectors in the disease's transmission. A prospective study was conducted on equids in the Pantanal Mato-grossense and adjacent areas from 2012 to 2022, with 112 horses and three mules diagnosed with pythiosis. Clinical and epidemiological data, lesions' photographic records, and healthy equids' thermal imaging were collected. Most pythiosis cases occurred between January and March, correlating with regional flood cycles. Most lesions were found on limbs and the ventral abdomen, with dark-colored horses exhibiting a higher frequency of lesions. Interestingly, the thermal mapping revealed that warm areas on a healthy horse's body overlapped significantly with lesion distribution - blood-sucking insects also prefer these areas. The results suggest that pythiosis lesions in horses correlate with warmer areas of the animal body, reinforcing the hypothesis of vector involvement in disease transmission. This study underscores the need for further observational research to fully understand the complex epidemiological dynamics of pythiosis in horses.
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Enfermedades de los Caballos , Parásitos , Pitiosis , Caballos , Animales , Enfermedades de los Caballos/epidemiología , Enfermedades de los Caballos/patología , Pitiosis/epidemiología , Pitiosis/patología , Brasil/epidemiología , Estudios ProspectivosRESUMEN
Abstract Sympatric mud crab species Panopeus americanus and Panopeus austrobesus are found in intertidal environments associated with muddy and rocky habitats in the Western Atlantic coast. Therefore, they are a suitable model system to be used in studies focused on investigating biological coexistence aspects between close species, such as population structure and habitat. The aims of the current study are to describe and compare the distribution of two sympatric mud crab species - P. americanus and P. austrobesus - based on their spatial and temporal distribution, in a low human impact estuarine complex area. The hypothesis that these two species show similar distribution, although one species is more abundant than the other, was herein tested. Sampling was carried out in the intertidal zone of a specific area in Cananeia estuarine complex, São Paulo State, Southeastern Brazil, in different periods of time for two years. Both species presented similar pattern distribution and frequency, with predominance in the middle and high intertidal zones, including all demographic categories. However, Panopeus americanus was more abundant and presented smaller mean size in all sampling zones. The pronounced disparity in size between the species suggests divergent dietary preferences, potentially related to prey size allowing the coexistence of these sympatric and syntopic species. The predominance of these two species in the upper intertidal zones was understood as a strategy for avoiding competition with the intertidal alpheid shrimps.
Resumo As espécies simpátricas de caranguejo-da-lama Panopeus americanus e Panopeus austrobesus são encontradas em ambientes entremarés associados a habitats lamacentos e rochosos, bem como em simpatria na costa do Atlântico Ocidental. Portanto, constituem um sistema modelo adequado para ser utilizado em estudos focados na investigação de aspectos de coexistência biológica entre espécies semelhantes, como estrutura populacional e habitat. Os objetivos do presente estudo são descrever e comparar a microdistribuição de duas espécies simpátricas de caranguejo-da-lama - P. americanus e P. austrobesus - com base na avaliação de sua distribuição espacial e temporal, em uma área estuarina complexa e com baixo impacto antrópico. A hipótese de que estas duas espécies apresentam microdistribuição semelhante, embora uma espécie seja mais abundante que a outra, foi testada. A amostragem foi realizada na zona entremarés de uma área específica do complexo estuarino de Cananeia, Estado de São Paulo, Sudeste do Brasil, em diferentes períodos durante dois anos. Ambas as espécies apresentaram microdistribuição e frequência semelhantes, principalmente nas zonas entremarés média e alta. Entretanto, Panopeus americanus foi mais abundante e apresentou menor tamanho médio em todas as zonas amostrais. A pronunciada disparidade de tamanho entre as espécies sugere preferências alimentares divergentes, potencialmente relacionadas ao tamanho das presas possibilitando a coexistência dessas espécies simpátricas. A predominância dessas duas espécies nas zonas intermareais superiores também indica uma estratégia para evitar a competição com os camarões alfeídeos.
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BACKGROUND: Dermatophytosis is one of the most common fungal infections worldwide. The distribution of dermatophytes varies across continents, but the genera Trichophyton and Microsporum have emerged as the main isolated agents in humans and animals. OBJECTIVES: To validate Drosophila melanogaster flies as a fast and feasible model to study dermatophytic infections. METHODS: Wild-type (WT) and Toll-deficient D. melanogaster flies were infected by Trichophyton rubrum, T. mentagrophytes, Microsporum canis and Nannizzia gypsea by pricking with a needle previously dipped in inoculum concentrations ranging from 103 to 108 colony-forming units/mL. Establishment of infection was confirmed by survival curves, histopathological analysis and fungal burden. Thereafter, flies were treated with terbinafine, itraconazole and clioquinol. RESULTS: WT flies were predominantly resistant to the infection, whereas Toll-deficient flies succumbed to the four dermatophyte genera tested. The antifungal drugs protected flies from the infection, except for N. gypsea whose survival curves did not differ from the untreated group. CONCLUSIONS: This pilot study confirms that D. melanogaster is a suitable model to study the virulence and antifungal drug efficacy in dermatophyte species.
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Arthrodermataceae , Tiña , Humanos , Animales , Antifúngicos/farmacología , Antifúngicos/uso terapéutico , Drosophila melanogaster , Proyectos Piloto , Itraconazol , Trichophyton , Tiña/tratamiento farmacológico , Tiña/microbiologíaRESUMEN
O angioedema hereditário é uma doença autossômica dominante caracterizada por crises recorrentes de edema que acometem o tecido subcutâneo e o submucoso, com envolvimento de diversos órgãos. Os principais locais afetados são face, membros superiores e inferiores, as alças intestinais e as vias respiratórias superiores. Em decorrência da falta de conhecimento dessa condição por profissionais de saúde, ocorre atraso importante no seu diagnóstico, comprometendo a qualidade de vida dos indivíduos afetados. Além disso, o retardo no diagnóstico pode resultar em aumento da mortalidade por asfixia devido ao edema de laringe. A natureza errática das crises com variação do quadro clínico e gravidade dos sintomas entre diferentes pacientes, e no mesmo paciente ao longo da vida, se constitui em desafio no cuidado dos doentes que têm angioedema hereditário. O principal tipo de angioedema hereditário é resultante de mais de 700 variantes patogênicas do gene SERPING1 com deficiência funcional ou quantitativa da proteína inibidor de C1, porém nos últimos anos outras mutações foram descritas em seis outros genes. Ocorreram avanços importantes na fisiopatologia da doença e novas drogas para o tratamento do angioedema hereditário foram desenvolvidas. Nesse contexto, o Grupo de Estudos Brasileiro em Angioedema Hereditário (GEBRAEH) em conjunto com a Associação Brasileira de Alergia e Imunologia (ASBAI) atualizou as diretrizes brasileiras do angioedema hereditário. O maior conhecimento dos diversos aspectos resultou na divisão das diretrizes em duas partes, sendo nessa primeira parte abordados a definição, a classificação e o diagnóstico.
Hereditary angioedema is an autosomal dominant disease characterized by recurrent attacks of edema that affect the subcutaneous tissue and the submucosa, involving several organs. The main affected sites are the face, upper and lower limbs, gastrointestinal tract, and upper airways. Because health professionals lack knowledge about this condition, there is a significant delay in diagnosis, compromising the quality of life of affected individuals. Furthermore, delayed diagnosis may result in increased mortality from asphyxia due to laryngeal edema. The erratic nature of the attacks with variations in clinical course and severity of symptoms among different patients and in one patient throughout life constitutes a challenge in the care of patients with hereditary angioedema. The main type of hereditary angioedema results from more than 700 pathogenic variants of the SERPING1 gene with functional or quantitative deficiency of the C1 inhibitor protein, but in recent years other mutations have been described in six other genes. Important advances have been made in the pathophysiology of the disease, and new drugs for the treatment of hereditary angioedema have been developed. In this context, the Brazilian Study Group on Hereditary Angioedema (GEBRAEH) in conjunction with the Brazilian Association of Allergy and Immunology (ASBAI) updated the Brazilian guidelines on hereditary angioedema. Greater knowledge of different aspects resulted in the division of the guidelines into two parts, with definition, classification, and diagnosis being addressed in this first part.
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Humanos , Terapéutica , Clasificación , Diagnóstico , Angioedemas Hereditarios , Calidad de Vida , Asfixia , Signos y Síntomas , Sociedades Médicas , Preparaciones Farmacéuticas , Glicoproteínas , Edema Laríngeo , Alergia e Inmunología , MutaciónRESUMEN
O tratamento do angioedema hereditário tem início com a educação dos pacientes e familiares sobre a doença, pois é fundamental o conhecimento da imprevisibilidade das crises, assim como os seus fatores desencadeantes. O tratamento medicamentoso se divide em terapia das crises e profilaxia das manifestações clínicas. As crises devem ser tratadas o mais precocemente possível com o uso do antagonista do receptor de bradicinina, o icatibanto ou o concentrado de C1-inibidor. É necessário estabeler um plano de ação em caso de crises para todos os pacientes. A profilaxia de longo prazo dos sintomas deve ser realizada preferencialmente com medicamentos de primeira linha, como concentrado do C1-inibidor ou o anticorpo monoclonal anti-calicreína, lanadelumabe. Como segunda linha de tratamento temos os andrógenos atenuados. Na profilaxia de curto prazo, antes de procedimentos que podem desencadear crises, o uso do concentrado de C1-inibidor é preconizado. Existem algumas restrições para uso desses tratamentos em crianças e gestantes que devem ser consideradas. Novos medicamentos baseados nos avanços do conhecimento da fisiopatologia do angioedema hereditário estão em desenvolvimento, devendo melhorar a qualidade de vida dos pacientes. O uso de ferramentas padronizadas para monitorização da qualidade de vida, do controle e da atividade da doença são fundamentais no acompanhamento destes pacientes. A criação de associações de pacientes e familiares de pacientes com angioedema hereditário tem desempenhado um papel muito importante no cuidado destes pacientes no nosso país.
The treatment of hereditary angioedema begins with the education of patients and their families about the disease, as it is essential to know the unpredictability of attacks as well as their triggering factors. Drug treatment is divided into attack therapy and prophylaxis of clinical manifestations. Attacks should be treated as early as possible with the bradykinin receptor antagonist icatibant or C1-inhibitor concentrate. An action plan needs to be established for all patients with attacks. Long-term prophylaxis of symptoms should preferably be performed with first-line drugs such as C1-inhibitor concentrate or the anti-kallikrein monoclonal antibody lanadelumab. Attenuated androgens are the second line of treatment. In short-term prophylaxis, before procedures that can trigger attacks, the use of C1-inhibitor concentrate is recommended. There are some restrictions for the use of these treatments in children and pregnant women that should be considered. New drugs based on advances in knowledge of the pathophysiology of hereditary angioedema are under development and are expected to improve patient quality of life. The use of standardized tools for monitoring quality of life and controlling disease activity is essential in the follow-up of these patients. The creation of associations of patients and families of patients with hereditary angioedema has played a very important role in the care of these patients in Brazil.
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Humanos , Quimioterapia , Angioedemas Hereditarios , Anticuerpos Monoclonales Humanizados , Antagonistas de los Receptores de Bradiquinina , Pacientes , Calidad de Vida , Terapéutica , Bradiquinina , Preparaciones Farmacéuticas , Calicreínas , Medicamentos de ReferenciaRESUMEN
Background: HAE with normal C1 inhibitor (HAE-nC1-INH) has been identified as a bradykinin mediated angioedema. Estrogens are one of the main trigger factors. Pregnancy in HAE with C1 inhibitor deficiency showed variable course, however, few reports are available for HAE-nC1-INH. We evaluated the course of pregnancies in women diagnosed with HAE-nC1-INH. Methods: Women with diagnosis of HAE-nC1-INH according to the following criteria: clinical manifestations similar to HAE-C1-INH, normal biochemical evaluation and family history were included. A questionnaire about pregnancies was applied after consent. Genetic evaluation for known mutations was performed in all patients. Results: A total of 45 pregnancies occurring in 26 HAE-nC1-INH patients were evaluated (7/26 patients with F12 variant). Spontaneous abortion was reported in 8/45 (17.8%) pregnancies. Onset of attacks started before the pregnancy in 18/26 patients; during the pregnancy in 2/26; and after the pregnancy in 6/26. HAE attacks occurred in 24/37 pregnancies (64,7%): during the 1st trimester in 41.7%; 2nd trimester in 12.5%; 3rd trimester in 20.8%; 1st and 3rd trimesters in 4.2% and during the whole pregnancy in 20.8%. Among 15/18 patients who had attacks before pregnancy, symptoms persisted with worsening in 9/15; improvement in 4/15; no change in 1/15, and no response in 1/15. Conclusions: The occurrence of abortion in HAE-nC1-INH was similar to the expected for not affected women. The 1st trimester of the pregnancy was more symptomatic for HAE-nC1-INH women. Considering the strong relevance of estrogens in HAE-nC1-INH, pregnancy could worsen the course of disease.
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AIMS: To evaluate the antimicrobial activity and to determine the pharmacodynamic characteristics of three 8-hydroxyquinoline derivatives (8-HQs) against Pythium insidiosum, the causative agent of pythiosis. METHODS AND RESULTS: Antimicrobial activity was tested by broth microdilution and MTT assays. The antimicrobial mode of action was investigated using sorbitol protection assay, ergosterol binding assay, and scanning electron microscopy. Clioquinol, PH151, and PH153 were active against all isolates, with MIC values ranging from 0.25 to 2 µg ml-1. They also showed a time- and dose-dependent antimicrobial effect, damaging the P. insidiosum cell wall. CONCLUSIONS: Together, these results reinforce the potential of 8-HQs for developing new drugs to treat pythiosis.
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We present the structural modification of a commercially available glass ionomer cement by inserting the imidazolium salt 1-n-hexadecyl-3-methylimidazolium chloride (C16MImCl), composing a new biomaterial with antifungal biofilm activity. Test specimens were prepared using a commercial glass ionomer cement to which 10 ppm of cetylpyridinium chloride (reference ionic antifungal agent) or C16MImCl were added. The feasibility and hypoallergenicity of the new biomaterial were assessed by microhardness plastic deformation and chorioallantoic membrane assays. Colony counting and scanning electron microscopy were used to evaluate the modified specimens' antibiofilm activity against three multidrug-resistant Candida species. The modified glass ionomer cement presented a strong antibiofilm activity against Candida spp., without losing its original micromechanical and hypoallergenic properties, rendering it a promising candidate for further application in dentistry.
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Antifúngicos , Materiales Biocompatibles , Cementos de Ionómero Vítreo , Imidazoles/química , Antifúngicos/farmacología , Biopelículas/efectos de los fármacos , Candida/efectos de los fármacos , Cementos de Ionómero Vítreo/farmacología , Microscopía Electrónica de Rastreo , Propiedades de SuperficieRESUMEN
The life history traits of the snapping shrimp Alpheus carlae were investigated. We evaluated the relative growth, morphological sexual maturity, sexual dimorphism, handedness, fecundity, and egg volume. Sampling was performed monthly in an estuarine region of Cananéia, in the south-eastern coast of Brazil. The following structures were measured to perform the relative growth analysis: length of carapace and second pleonal pleuron, length, width and height of major cheliped propodus, and length of appendix interna and appendix masculina. Juveniles and adults males and females have different growth patterns, indicating distinct strategies of energy allocation. The estimated carapace length at the onset of morphological sexual maturity of females and males was 5.6 mm and 6.2 mm, respectively. The sexual dimorphism of specific body structures was evident, mainly in the appendix interna of females and major cheliped of males. There was no evidence of handedness in females or males. The mean fecundity of females was 364 ± 204 eggs (mean ± SD) eggs and was positively correlated with the carapace length. The egg volume differed between developmental stages I and II, and I and III, with an overall volume increase of 73.23% and 95.45%, respectively. The results contribute to the knowledge about A. carlae and its life history in natural environment.
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We evaluated the growth and the susceptibility to oxidative stress of Sporothrix spp., exposed to different iron concentrations in culture medium, and the susceptibility of Sporothrix spp. to itraconazole, alone and in combination with to the iron chelator deferasirox. The results showed that the growth of S. brasiliensis isolates was more affected by iron availability in comparison to S. schenckii, but both fungal species conidia became more prone to oxidative stress when iron was added to culture medium. Conversely, the combination of itraconazole and deferasirox only resulted in synergism against a minority of S. schenckii isolates.
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Antifúngicos/farmacología , Hierro/farmacología , Itraconazol/farmacología , Sporothrix/efectos de los fármacos , Sporothrix/crecimiento & desarrollo , Medios de Cultivo/química , Deferasirox/farmacología , Sinergismo Farmacológico , Hierro/metabolismo , Pruebas de Sensibilidad Microbiana , Esporas Fúngicas/efectos de los fármacos , Sporothrix/metabolismo , Esporotricosis/tratamiento farmacológico , Esporotricosis/microbiologíaRESUMEN
Herein, the Zoea I of Synalpheus apioceros is described, followed by a comparative analysis of the first larval stage from Synalpheus. Larvae were obtained from two ovigerous females sampled in Ubatuba, São Paulo. The morphology of the Zoea I of S. apioceros was compared to five other Synalpheus species whose structures were previously described: S. biunguiculatus, S. minus, S. neomeris, S. pectiniger, and S. tumidomanus. A set of unique morphological characteristics was found for S. apioceros: exopod of antennule with 4 aesthetascs and 1 plumose seta; coxal endite of maxillule with 2 simple setae plus 2 plumose setae; basial endite of maxillule with 2 simple setae plus 2 short spines; endopod of maxillule with 1 plumose seta plus 2 simple setae; basial endite of maxilla bilobed with 2 (1 plumose and 1 simple) + 2 (1 plumose and 1 simple) setae; coxal endite of maxilla bilobed with 2 + 1 plumose setae; endopod of maxilla with 3 (1 plumose and 2 simple) terminal setae + 2 simple setae; endopod of first maxilliped unsegmented with 3 terminal simple setae; basis of first maxilliped with 5 spines; endopod of second maxilliped 5-segmented with 0, 0, 0, 1 plumodenticulate, 4 (1 serrate + 3 simple) setae; endopod of third maxilliped 5-segmented with 0, 0, 0, 1 simple, 3 simple setae; pereiopods 1st to 3rd birramous and 4th and 5th uniramous. S. apioceros shows higher morphological similarity with S. minus, followed by S. tumidomanus, S. neomeris and S. pectiniger, probably since these species present extended larval development. Besides the similar morphology among species, the unique attributes presented here are important for the genus' taxonomy, being fundamental for identifying the first larval stages of Synalpheus, as well as for subsidizing information for species identification keys.
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Decápodos , Animales , Femenino , LarvaAsunto(s)
Humanos , Asma , Terapéutica , Productos Biológicos , Enfermedad , Guías como Asunto , Síndromes de InmunodeficienciaRESUMEN
O presente guia apresenta revisão extensa sobre imunobiológicos utilizados, liberados e ainda sob estudo, para o tratamento da asma, doenças alérgicas e imunodeficiências. Além das características físico-químicas de alguns desses fármacos, são revisadas as indicações e os resultados de estudos clínicos realizados para avaliar eficácia e segurança. Separados por doença específica, são apresentados os principais agentes disponíveis e aprovados para utilização segundo as normas regulatórias nacionais.
This guide presents an extensive review of immunobiological drugs used, approved and/or under investigation for the treatment of asthma, allergic diseases and immunodeficiencies. In addition to the physicochemical characteristics of some of these drugs, their indications and results of clinical studies evaluating efficacy and safety are reviewed. The main agents available and approved for use in each specific disease according to national regulatory standards are presented.
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Humanos , Asma , Sinusitis , Terapia Biológica , Proteínas Recombinantes de Fusión , Dermatitis Atópica , Angioedemas Hereditarios , Omalizumab , Hipersensibilidad a los Alimentos , Urticaria Crónica , Anafilaxia , Anticuerpos Monoclonales , Seguridad , Terapéutica , Productos Biológicos , Preparaciones Farmacéuticas , Enfermedad , Eficacia , Citocinas , Regulación Gubernamental , Alergia e Inmunología , Síndromes de Inmunodeficiencia , InmunoterapiaRESUMEN
The use of pesticides has been growing along with the demand for agricultural products. These compounds, however, are not restricted to the field, spreading easily through the soil, contaminating groundwater and reaching urban centers. Propiconazole is a triazole fungicide that has been increasingly used in agriculture. However, there are few data about its effects on non-target organisms. This study aimed to evaluate the effects of propiconazole in zebrafish. The animals were exposed for 96 h to different concentrations of propiconazole (425, 850, 1700, 8500 ng/L), then submitted to the novel tank test for behavioral analyses. The brains were collected for evaluation of oxidative stress parameters. Exposure to propiconazole (1700 and 8500 ng/L) decreased the number of crossings, entries, and time spent in the top, and increased the time spent in the bottom area of the tank. We also observed an increase in the activities of superoxide dismutase and catalase in zebrafish brain exposed to propiconazole at 425, 850, and 1700 ng/L. We conclude that propiconazole alters normal fish behavior and disrupts oxidative status. More studies are necessary to elucidate the exact mechanism underlying the effects of propiconazole on non-target-organisms.
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Catalasa/química , Fungicidas Industriales/análisis , Estrés Oxidativo/efectos de los fármacos , Superóxido Dismutasa/química , Triazoles/análisis , Agricultura , Animales , Fungicidas Industriales/química , Agua Subterránea , Plaguicidas/análisis , Plaguicidas/química , Suelo , Triazoles/química , Pez CebraRESUMEN
BACKGROUND: Geospatial Intelligence and Health Analysis have been used to identify tuberculosis (TB) hotspots and to better understand their relationship to social and economic factors. The purpose of this study was to use geospatial intelligence to assess the distribution of TB and its correlations with Human Development Index (HDI) in a city with high TB incidence in Brazil. METHODS: We conducted an ecological study, using National System of Information on Noticeable Disease (SINAN) to identify TB cases. Geocoding was performed using QGIS 2.0 software and Google Maps API 3.0. We applied geospatial intelligence to detect where in the city clustering of TB cases occurred, and assessed the association of an area's HDI (each one of the components - longevity, education, and income) with TB spatial distribution. RESULTS: During the study period (2011-2013), there were 737 TB cases. TB cases showed heterogeneity across the 29 neighborhoods. The neighborhoods with HDI-income lower than the mean had higher TB incidence (p = 0.036). CONCLUSIONS: We found several hotspots of TB across the 29 neighborhoods, and an inverse association between HDI-income and TB incidence. These findings provide useful information and may help to guide TB control programs.
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Monitoreo Epidemiológico , Sistemas de Información Geográfica , Análisis Espacial , Tuberculosis/epidemiología , Brasil/epidemiología , Ciudades/epidemiología , Análisis por Conglomerados , Femenino , Humanos , Incidencia , Masculino , Características de la Residencia , Factores de Riesgo , Factores SocioeconómicosRESUMEN
Glycerol monolaurate (GML), known as lauric acid, is a chemical compound formed from lauric acid and glycerol that presents strong antimicrobial activity. Therefore, our hypothesis is that MGL can replace conventional antimicrobials, being a new alternative to poultry farming. The aim of this study was to evaluate whether the addition of GML as a replacement for antibiotics could have positive effects on health and performance of broiler chickens. For this, 240, one-day-old, Cobb 500 broiler chicks were weighed and randomly distributed into four groups with four repetitions each (nâ¯=â¯15). The control group, T0, received a basal diet containing antibiotic (60â¯ppm of bacitracin), while the T100, T200, and T300 groups received a basal diet supplemented with 100, 200, and 300â¯mg/kg of GML, respectively. The birds were weighed at intervals of seven days, as well as at the end of the experiment (day 42). Blood samples were collected for evaluating animal health, stool for counting bacteria and coccidian, as well as muscle (chest) to measure meat quality, respectively. At the end of the experiment (day 42), body weight, weight gain, and daily weight gain of broiler chickens in the T300 group were higher than the T0 group (Pâ¯<â¯0.05). Indeed, feed conversion was lower compared to T0. Animals that received diets containing GML showed lower amounts of Eimeria spp. oocysts on day 42 in comparison to the control group. Low total bacterial counts on day 21 of the experiment were also observed in the treated groups. Conversely, plasma levels of total protein, globulins, uric acid, and glucose were higher in animals that received GML when compared to the control group. It was also observed higher carcass yields in the breast muscle of the T100 group when compared to other groups. Lower water holding capacity was observed in breast meat of animals of the groups T100, T200, and T300 when compared to T0. Histopathological findings were compatible with coccidiosis, and the degree of these lesions did not differ among groups. Based on these results, GML in the diets of broiler chickens, showing potent antimicrobial effect, growth promoter capacity, and lack of toxicity. Therefore, GML is a promising alternative to replace conventional antimicrobials used in the diets of broiler chickens.