RESUMO
Dinosaurs possess a form of tooth attachment wherein an unmineralized periodontal ligament suspends each tooth within a socket, similar to the condition in mammals and crocodylians. However, little information is known about tooth attachment and implantation in their close relatives, the silesaurids. We conducted a histological survey of several silesaurid taxa to determine the nature of tooth attachment in this phylogenetically and paleoecologically important group of archosaurs. Our histological data demonstrate that these early dinosauriforms do not exhibit the crocodilian/dinosaur condition of a permanent gomphosis, nor the rapid ankylosis that is plesiomorphic for amniotes. Instead, all sampled silesaurids exhibit delayed ankylosis, a condition in which teeth pass through a prolonged stage where the teeth are suspended in sockets by a periodontal ligament, followed by eventual mineralization and fusion of the tooth to the jaws. This suggests that tooth attachment in crocodylians and dinosaurs represent the further retention of an early ontogenetic stage compared to silesaurids, a paedomorphic trend that is mirrored in the evolution of synapsid tooth attachment. It also suggests that the dinosaur and crocodylian gomphosis was convergently acquired via heterochrony or, less likely, that the silesaurid condition represents a reversal to a plesiomorphic state. Moreover, if Silesauridae is nested within Ornithischia, a permanent gomphosis could be convergent between the two main dinosaur lineages, Ornithischia and Saurischia. These results demonstrate that dental characters in early archosaur phylogenies must be chosen and defined carefully, taking into account the relative duration of the different phases of dental ontogeny.
Assuntos
Jacarés e Crocodilos , Anquilose , Dinossauros , Dente , Animais , Ligamento PeriodontalRESUMO
Despite the serious public health problems caused by Chagas disease in several countries, the available therapy remains with only two drugs that are poorly active during the chronic phase of the disease in addition to having severe side effects. In search of new trypanocidal agents, herein we describe the synthesis and biological evaluation of eleven new 1,6-diphenyl-1H-pyrazolo[3,4-b]pyridine compounds containing the carbohydrazide or the 2,3-dihydro-1,3,4-oxadiazole moieties. Two of them showed promising in vitro activity against amastigote forms of T. cruzi and were evaluated in vivo in male BALB/c mice infected with T. cruzi Y strain. Our results suggest that the substitution at the C-2 position of the phenyl group connected to the carbohydrazide or to the 2,3-dihydro-1,3,4-oxadiazole moieties plays an important role in the trypanocidal activity of this class of compounds. Moreover, the compound containing the 2,3-dihydro-1,3,4-oxadiazole moiety has demonstrated more favorable structural requirements for in vivo activity than its carbohydrazide analog.
Assuntos
Doença de Chagas/tratamento farmacológico , Pirazóis/farmacologia , Piridinas/farmacologia , Tripanossomicidas/farmacologia , Trypanosoma cruzi/efeitos dos fármacos , Animais , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Doença de Chagas/patologia , Relação Dose-Resposta a Droga , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Estrutura Molecular , Testes de Sensibilidade Parasitária , Pirazóis/síntese química , Pirazóis/química , Piridinas/síntese química , Piridinas/química , Relação Estrutura-Atividade , Tripanossomicidas/síntese química , Tripanossomicidas/químicaRESUMO
Discussion section, 9th paragraph.
RESUMO
An unprecedented outbreak of rabies occurred in Rio Grande do Sul state (RS) from 2012 onward, resulting in thousands of bovine deaths, important economic losses, and posing risk to human health. This article describes a genetic analysis of 145 rabies viruses (RABV) recovered from herbivorous from RS between 2012 and 2017, based on partial sequence analysis of the nucleoprotein (N) gene. High nucleotide (nt) identity (95.5 to 100%) and amino acid (aa) similarity (96.7 to 100%) were observed among the analyzed sequences. These sequences displayed a high sequence nt identity/aa similarity with bovine RABV sequences (96.4-97.9%; 98.1-100%, respectively) and vampire bat RABV sequences (96.3-97.5%; 97.8-99.5%). Phylogenetic analyzes based on the N sequence allowed for the segregation of viruses into two distinct clusters. Cluster 1 comprised RABV sequences covering the whole studied period, whereas cluster 2 grouped a lower number of viruses from 2013, 2014, 2015, to 2017. In some cases, viruses obtained from the same region within a short period of time grouped to distinct clusters or sub-clusters, indicating the co-circulation of distinct virus lineages in these outbreaks. The segregation into sub-clusters was also observed for viral sequences obtained from the same region at different times, indicating the involvement of distinct viruses. In summary, partial sequence analyses revealed a high conservation of N protein and the circulation of two lineages and different sublineages of RABV in the region. In addition, our results confirm the suitability of N gene to study the genetic relationships among RABV isolates.
Assuntos
Proteínas do Nucleocapsídeo/genética , Vírus da Raiva/genética , Raiva/veterinária , Animais , Sequência de Bases , Encéfalo/virologia , Brasil/epidemiologia , Bovinos/virologia , Herbivoria , Filogenia , RNA Viral/genética , Raiva/epidemiologia , Raiva/virologia , Vírus da Raiva/classificação , Análise de Sequência , Ovinos/virologiaRESUMO
Bats and dogs are the main reservoirs of rabies virus (RABV) in Latin America and are responsible for the maintenance of different cycles of infection. In the two neighbour and most southern Brazilian states of Rio Grande do Sul (RS) and Santa Catarina (SC), rabies in dogs has been successfully controlled for more than 30 years. However, rabies associated to the rural cycle remains endemic, with a significant, though oscillating-annual incidence of rabies in cattle. Despite the plethora of studies on genetic analyses of Brazilian RABV, isolates from southern Brazil have only scarcely been investigated. This work was performed to identify the genetic lineages of RABVs circulating in states of RS and SC. Fifty-nine RABV cattle isolates from RS and SC were selected and submitted to reverse transcription/polymerase chain reaction (RT-PCR) followed by sequencing of the nucleoprotein gene. In RS, the circulation of two sublineages (1A and 1B) of RABV was detected, both with characteristics of lineages usually detected in vampire bats (Desmodus rotundus). In SC, only one sublineage of RABV (1B) was detected. Nevertheless, the findings reported here are expected to contribute to the understanding of the biology of the virus in the region and its interactions with the natural host D. rotundus.
Assuntos
Filogenia , RNA Viral/isolamento & purificação , Vírus da Raiva/isolamento & purificação , Raiva/virologia , Animais , Brasil , Bovinos , Quirópteros/virologia , Cães , RNA Viral/genética , Raiva/diagnóstico , Raiva/epidemiologia , Vírus da Raiva/patogenicidadeRESUMO
Seed companies are looking for promising, quick and effective alternatives to determine the physiological quality of seeds. The objective of the current work was to study the efficiency of the exudate - phenolphthalein pH test to evaluate the seeds of two lots of Libidibia ferrea (Mart. ex Tul.) L. P. Queiroz var. ferrea. The statistical design for the the exudate - phenolphthalein pH test was completely randomized with four replicates of 50 seeds in a factorial design (2 x 5), two seed lots and five soaking periods (30, 60, 90, 120, and 150 minutes), respectively, using two constant temperatures (25 and 30°C). The percentage of viability and germination of the seeds did not differ in the temperatures of 25 and 30°C and in the soaking periods by the exudate - phenolphthalein pH test. Thus, it is recommended that the test be conducted for at least 30 minutes in distilled and deionized water at the constant temperature of 25 or 30°C to evaluate the vigor of the Libidibia ferrea.
Assuntos
Caesalpinia/crescimento & desenvolvimento , Germinação/fisiologia , Fenolftaleína/análise , Sementes/crescimento & desenvolvimento , Caesalpinia/fisiologia , Concentração de Íons de Hidrogênio , Controle de Qualidade , Sementes/fisiologia , TemperaturaRESUMO
BACKGROUND: Control of vivax malaria in endemic areas requires management of recurrence. The Brazilian National Malaria Surveillance System (SIVEP-Malária) records every case of malaria in Brazil, but is not designed to differentiate between primary and recurrent infections. The aim of this study was to explore whether the information provided by SIVEP-Malária could be used to identify Plasmodium vivax recurrences, its risk factors and evaluate the effectiveness of short course primaquine (7-9 days: total dose 3-4.2 mg/kg) in preventing relapses. METHODS: In this observational retrospective cohort study, data matching of SIVEP-Malária records was undertaken using bloom filters to identify potential recurrences defined as microscopically-confirmed P. vivax episodes from the same individual occurring within a year. Generalized Estimation Equation (GEE) models were used to determine predictors of recurrence. Extended Cox-based conditional Prentice-Williams-Peterson models (PWP) models were used to evaluate time to recurrence. RESULTS: Between June 1, 2014 and May 31, 2015, 26,295 episodes fulfilled the criteria of potential recurrence among 154,970 reported malaria episodes. Age ≤ 3 years, being male, literate, not-indigenous and having domestic working activities were identified as risk factors for recurrence. There was no difference in time to recurrence or recurrence frequency between patients treated with 14-day or 7-9 day primaquine regimens (HR = 1.02, 0.96-1.09) and RR = 0.97 (0.90-1.04), respectively. The use of chloroquine alone was associated with a 1.43 (1.29-1.58, p < 0.0001) increased risk of P. vivax recurrence compared to patients who used chloroquine combined with short-course primaquine, the Brazilian standard of care. This was RR = 2.06 (1.48-2.86, p < 0.0001), RR = 1.90 (1.60-2.25, p = 0.0001) and RR = 1.14 (1.00-1.29, p = 0.05) for recurrences occurring between 3-28, 29-60 and > 60 days, respectively. PWP models showed that the time to recurrence was longer in recipients of both primaquine and artemisinin-based combination therapy (ACT) compared to patients treated with chloroquine alone or with concomitant primaquine, HR = 2.2 (1.62-2.99, p < 0.0001), HR = 1.27 (0.97-1.66, p = 0.08), respectively. CONCLUSION: Short course primaquine was as effective as 14-day regimens and associated with a halving of the risk and delay in time to recurrence of P. vivax infections in comparison to chloroquine alone. The study demonstrates the feasibility of using record linkage on routine surveillance data to identify potential P. vivax recurrences, associated risk factors and impact of treatment.
Assuntos
Antimaláricos/uso terapêutico , Cloroquina/uso terapêutico , Malária Vivax/tratamento farmacológico , Malária Vivax/epidemiologia , Primaquina/uso terapêutico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Artemisininas/uso terapêutico , Brasil/epidemiologia , Criança , Pré-Escolar , Sinergismo Farmacológico , Quimioterapia Combinada/estatística & dados numéricos , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Recidiva , Estudos Retrospectivos , Fatores de Tempo , Adulto JovemRESUMO
In the last three decades, records of tribosphenidan mammals from India, continental Africa, Madagascar and South America have challenged the notion of a strictly Laurasian distribution of the group during the Cretaceous. Here, we describe a lower premolar from the Late Cretaceous Adamantina Formation, São Paulo State, Brazil. It differs from all known fossil mammals, except for a putative eutherian from the same geologic unity and Deccanolestes hislopi, from the Maastrichtian of India. The incompleteness of the material precludes narrowing down its taxonomic attribution further than Tribosphenida, but it is larger than most coeval mammals and shows a thin layer of parallel crystallite enamel. The new taxon helps filling two major gaps in the fossil record: the paucity of Mesozoic mammals in more northern parts of South America and of tribosphenidans in the Cretaceous of that continent. In addition, high-precision U-Pb geochronology provided a post-Turonian maximal age (≤87.8â Ma) for the type stratum, which is overlain by the dinosaur-bearing Marília Formation, constraining the age of the Adamantina Formation at the site to late Coniacian-late Maastrichtian. This represents the first radioisotopic age for the Bauru Group, a key stratigraphic unit for the study of Cretaceous tetrapods in Gondwana.
RESUMO
Marfan syndrome (MFS) cardiovascular manifestations such as aortic aneurysms and cardiomyopathy carry substantial morbidity/mortality. We investigated the effects of lipoic acid, an antioxidant, on ROS production and aortic remodeling in a MFS mgΔloxPneo mouse model. MFS and WT (wild-type) 1-month-old mice were allocated to 3 groups: untreated, treated with losartan, and treated with lipoic acid. At 6 months old, echocardiography, ROS production, and morphological analysis of aortas were performed. Aortic ROS generation in 6-month-old MFS animals was higher at advanced stages of disease in MFS. An unprecedented finding in MFS mice analyzed by OCT was the occurrence of focal inhomogeneous regions in the aortic arch, either collagen-rich extremely thickened or collagen-poor hypotrophic regions. MFS animals treated with lipoic acid showed markedly reduced ROS production and lower ERK1/2 phosphorylation; meanwhile, aortic dilation and elastic fiber breakdown were unaltered. Of note, lipoic acid treatment associated with the absence of focal inhomogeneous regions in MFS animals. Losartan reduced aortic dilation and elastic fiber breakdown despite no change in ROS generation. In conclusion, oxidant generation by itself seems neutral with respect to aneurysm progression in MFS; however, lipoic acid-mediated reduction of inhomogeneous regions may potentially associate with less anisotropy and reduced chance of dissection/rupture.
Assuntos
Doenças da Aorta/tratamento farmacológico , Síndrome de Marfan/tratamento farmacológico , Espécies Reativas de Oxigênio/metabolismo , Animais , Modelos Animais de Doenças , Feminino , Humanos , Camundongos , FenótipoRESUMO
BACKGROUND: Hypertrophic cardiomyopathy (HCM) is a common genetic disease that may cause left ventricular outflow tract (LVOT) obstruction, heart failure, and sudden death. Recent studies have shown a high prevalence of OSA among patients with HCM. Because the hemodynamics in patients with LVOT obstruction are unstable and depend on the loading conditions of the heart, we evaluated the acute effects of CPAP on hemodynamics and cardiac performance in patients with HCM. METHODS: We studied 26 stable patients with HCM divided into nonobstructive HCM (n = 12) and obstructive HCM (n = 14) groups (LVOT gradient pressure lower or higher than 30 mm Hg, respectively). Patients in the supine position while awake were continuously monitored with beat-to-beat BP measurements and electrocardiography. Two-dimensional echocardiography was performed at rest (baseline) and after 20 min of nasal CPAP at 1.5 cm H2O and 10 cm H2O, which was applied in a random order interposed by 10 min without CPAP. RESULTS: BP, cardiac output, stroke volume, heart rate, left ventricular ejection fraction, and LVOT gradient did not change during the study period in either group. CPAP at 10 cm H2O decreased right atrial size and right ventricular relaxation in all patients. It also decreased left atrial volume significantly and decreased right ventricular outflow acceleration time, suggesting an increase in pulmonary artery pressure in patients with obstructive HCM. CONCLUSIONS: The acute application of CPAP is apparently safe in patients with HCM, because CPAP does not lead to hemodynamic compromise. Long-term studies in patients with HCM and sleep apnea and nocturnal CPAP are warranted. TRIAL REGISTRY: ClinicalTrials.gov; No. NCT01631006; URL: www.clinicaltrials.gov.
Assuntos
Cardiomiopatia Hipertrófica/fisiopatologia , Pressão Positiva Contínua nas Vias Aéreas/métodos , Ecocardiografia , Eletrocardiografia , Feminino , Testes de Função Cardíaca , Hemodinâmica/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Segurança do PacienteRESUMO
BACKGROUND: Health care workers are exposed to bloodborne pathogens through occupational injuries, and the replacement of sharps by safety-engineered devices has been recommended as a key preventive measure. This recommendation has been difficult to implement in Brazil. METHODS: We conducted a retrospective study of selected data from a database of blood and body fluid exposures reported from January 2007 through December 2011 in a public general hospital in Rio de Janeiro where, from the end of 2009, a safety lancet for blood glucose testing (BGT) was introduced. A log-binomial model was used to evaluate the effect of the introduction of the safety lancet on the proportion of percutaneous injuries (PIs) during BGT in the nursing staff. RESULTS: Nursing staff had a significant reduction in rate of PIs per 100 full-time equivalents from 2007 to 2011 (P < .001), and medical residents had the highest rate throughout the same period. A reduction of PIs by small-gauge needles was observed since 2009, and injuries during BGT fell abruptly in 2010 and 2011 paralleling the number of purchased safety lancets (P < .001). CONCLUSION: The adoption of a single safety device, which required no training, significantly reduced PIs among the nursing team.
Assuntos
Equipamentos e Provisões , Testes Hematológicos/métodos , Ferimentos Penetrantes Produzidos por Agulha/epidemiologia , Ferimentos Penetrantes Produzidos por Agulha/prevenção & controle , Enfermeiras e Enfermeiros , Brasil/epidemiologia , Hospitais Gerais , Hospitais Públicos , Humanos , Estudos RetrospectivosRESUMO
Mangroves are sensitive ecosystems of prominent ecological value that lamentably have lost much of their areas across the world. The vulnerability of mangroves grown in proximity to cities requires the development of new technologies for the remediation of acute oil spills and chronic contaminations. Studies on oil remediation are usually performed with in vitro microcosms whereas in situ experiments are rare. The aim of this work was to evaluate oil degradation on mangrove ecosystems using in situ microcosms seeded with an indigenous hydrocarbonoclastic bacterial consortium (HBC). Although the potential degradation of oil through HBC has been reported, their seeding directly on the sediment did not stimulate oil degradation during the experimental period. This is probably due to the availability of carbon sources that are easier to degrade than petroleum hydrocarbons. Our results emphasize the fragility of mangrove ecosystems during accidental oil spills and also the need for more efficient technologies for their remediation.
Assuntos
Petróleo , Poluentes Químicos da Água/química , Áreas Alagadas , Biodegradação Ambiental , Brasil , Monitoramento Ambiental , RhizophoraceaeRESUMO
Community-Acquired Pneumonia (CAP) is a major public health problem. In Brazil it has been estimated that 2,000,000 people are affected by CAP every year. Of those, 780,000 are admitted to hospital, and 30,000 have death as the outcome. This is an open-label, non-comparative study with the purpose of evaluating efficacy, safety, and tolerability levels of IV azithromycin (IVA) and IV ceftriaxone (IVC), followed by oral azithromycin (OA) for the treatment of inpatients with mild to severe CAP. Eighty-six patients (mean age 56.6 +/- 19.8) were administered IVA (500 mg/day) and IVC (1g/day) for 2 to 5 days, followed by AO (500 mg/day) to complete a total of 10 days. At the end of treatment (EOT) and after 30 days (End of Study--EOS) the medication was evaluated clinically, microbiologically and for tolerability levels. Out of the total 86-patient population, 62 (72.1%) completed the study. At the end of treatment, 95.2% (CI95: 88.9% - 100%) reported cure or clinical improvement; at the end of the study, that figure was 88.9% (CI95: 74.1% - 91.7%). Out of the 86 patients enrolled in the study, 15 were microbiologically evaluable for bacteriological response. Of those, 6 reported pathogen eradication at the end of therapy (40%), and 8 reported presumed eradication (53.3%). At end of study evaluation, 9 patients showed pathogen eradication (50%), and 7 showed presumed eradication (38.89%). Therefore, negative cultures were obtained from 93.3% of the patients at EOT, and from 88.9% at the end of the study. One patient (6.67% of patient population) reported presumed microbiological resistance. At study end, 2 patients (11.11%) still reported undetermined culture. Uncontrollable vomiting and worsening pneumonia condition were reported by 2.3% of patients. Discussion and Conclusion Treatment based on the administration of IV azithromycin associated to ceftriaxone and followed by oral azithromycin proved to be efficacious and well-tolerated in the treatment of Brazilian inpatients with CAP.
Assuntos
Antibacterianos/administração & dosagem , Azitromicina/administração & dosagem , Ceftriaxona/administração & dosagem , Pneumonia Bacteriana/tratamento farmacológico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/efeitos adversos , Azitromicina/efeitos adversos , Ceftriaxona/efeitos adversos , Infecções Comunitárias Adquiridas/tratamento farmacológico , Quimioterapia Combinada , Seguimentos , Humanos , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Resultado do Tratamento , Adulto JovemRESUMO
São apresentados os resultados de 23 anos de diagnósticos de raiva realizados no Instituto de Pesquisas Veterinárias Desidério Finamor, no Estado do Rio Grande do Sul, Brasil. Entre os anos de 1985 e 2007, um total de 23.460 amostras foram diagnosticadas no laboratório, compreendendo cerca de 95 por cento do número total de amostras submetidas ao diagnóstico laboratorial de raiva no Estado. A metodologia utilizada seguiu técnicas padrões como a imunofluorescência direta (IFD) e inoculação em camundongos (IC). Não ocorreram casos de raiva humana no período. O vírus rábico (VR) foi detectado em 739 (3,1 por cento) amostras, sendo 656 (88,7 por cento) de origem bovina. O vírus foi também identificado em 23 caninos (3,1 por cento), 21 eqüinos (2,9 por cento), 29 quirópteros (4,0 por cento), 4 felinos (0,5 por cento), 3 ovinos (0,4 por cento), 2 suínos (0,27 por cento) e em um animal selvagem de espécie indeterminada (0,13 por cento). O último caso de raiva em cães associado com variantes do vírus endêmicas nessa espécie foi diagnosticado em 1988. Dois episódios de contaminação incidental registrados em um felino em 2001 e em um canino em 2007, associados com variantes do vírus prevalentes em morcegos. Em relação à raiva bovina, os dados aqui apresentados revelam uma marcante diminuição no número de casos de raiva nessa espécie, em comparação com registros prévios. Por outro lado, um aumento no número de casos de raiva em morcegos hematófagos e não hematófagos vem sendo observado; no entanto, não é possível associar este aumento com modificações nas relações vírus/hospedeiro, pois o número de morcegos submetidos para diagnóstico tem igualmente aumentado. Isto provavelmente reflete o aumento do conhecimento sobre o papel de morcegos no ciclo de transmissão, e não necessariamente alterações no vírus e/ou nos hospedeiros.(AU)
The results of 23 years of rabies diagnosis carried out at the Veterinary Research Institute Desidério Finamor, in the state of Rio Grande do Sul, RS, Brazil, are reported. From 1985 to 2007, a total of 23.460 specimens were examined, corresponding to 95 percent of the total number of samples submitted to rabies laboratory diagnosis notified within the state. Diagnostic methods included standard techniques such as the fluorescent antibody test (FAT) and mouse inoculation test (MIT). No cases of human rabies occurred in the period. Rabies virus (RV) was detected in 739 specimens (3.1 percent), from which 656 (88.7 percent) were from cattle. The virus was also identified in specimens from 23 dogs (3.1 percent), 21 horses (2.9 percent), 29 bats (4.0 percent), 4 cats (0.5 percent), 3 sheep (0.4 percent), 2 pigs (0.27 percent) and a wild animal of undetermined species (0.13 percent). The last case of rabies associated with a canine variant was diagnosed in 1988. Two cases of rabies associated with bat variant viruses were reported, in a domestic cat (2001) and in a dog (2007). In cattle, a marked tendency to a decrease in the number of cases was detected in the examined period. In contrast, an increase in the number of cases in haematophagous as well as in non haematophagous bats is noticed. However, as the number of bat specimens submitted for diagnosis has increased, this finding most likely reflects a higher degree of awareness on the possible role for bats in the rabies transmission cycle, rather than any particular changes on the virus or its hosts.(AU)
Assuntos
Raiva/diagnóstico , Raiva/epidemiologia , Vírus da Raiva , Padrões de Referência , Técnicas de Laboratório ClínicoRESUMO
São apresentados os resultados de 23 anos de diagnósticos de raiva realizados no Instituto de Pesquisas Veterinárias Desidério Finamor, no Estado do Rio Grande do Sul, Brasil. Entre os anos de 1985 e 2007, um total de 23.460 amostras foram diagnosticadas no laboratório, compreendendo cerca de 95 por cento do número total de amostras submetidas ao diagnóstico laboratorial de raiva no Estado. A metodologia utilizada seguiu técnicas padrões como a imunofluorescência direta (IFD) e inoculação em camundongos (IC). Não ocorreram casos de raiva humana no período. O vírus rábico (VR) foi detectado em 739 (3,1 por cento) amostras, sendo 656 (88,7 por cento) de origem bovina. O vírus foi também identificado em 23 caninos (3,1 por cento), 21 eqüinos (2,9 por cento), 29 quirópteros (4,0 por cento), 4 felinos (0,5 por cento), 3 ovinos (0,4 por cento), 2 suínos (0,27 por cento) e em um animal selvagem de espécie indeterminada (0,13 por cento). O último caso de raiva em cães associado com variantes do vírus endêmicas nessa espécie foi diagnosticado em 1988. Dois episódios de contaminação incidental registrados em um felino em 2001 e em um canino em 2007, associados com variantes do vírus prevalentes em morcegos. Em relação à raiva bovina, os dados aqui apresentados revelam uma marcante diminuição no número de casos de raiva nessa espécie, em comparação com registros prévios. Por outro lado, um aumento no número de casos de raiva em morcegos hematófagos e não hematófagos vem sendo observado; no entanto, não é possível associar este aumento com modificações nas relações vírus/hospedeiro, pois o número de morcegos submetidos para diagnóstico tem igualmente aumentado. Isto provavelmente reflete o aumento do conhecimento sobre o papel de morcegos no ciclo de transmissão, e não necessariamente alterações no vírus e/ou nos hospedeiros.(AU)
The results of 23 years of rabies diagnosis carried out at the Veterinary Research Institute Desidério Finamor, in the state of Rio Grande do Sul, RS, Brazil, are reported. From 1985 to 2007, a total of 23.460 specimens were examined, corresponding to 95 percent of the total number of samples submitted to rabies laboratory diagnosis notified within the state. Diagnostic methods included standard techniques such as the fluorescent antibody test (FAT) and mouse inoculation test (MIT). No cases of human rabies occurred in the period. Rabies virus (RV) was detected in 739 specimens (3.1 percent), from which 656 (88.7 percent) were from cattle. The virus was also identified in specimens from 23 dogs (3.1 percent), 21 horses (2.9 percent), 29 bats (4.0 percent), 4 cats (0.5 percent), 3 sheep (0.4 percent), 2 pigs (0.27 percent) and a wild animal of undetermined species (0.13 percent). The last case of rabies associated with a canine variant was diagnosed in 1988. Two cases of rabies associated with bat variant viruses were reported, in a domestic cat (2001) and in a dog (2007). In cattle, a marked tendency to a decrease in the number of cases was detected in the examined period. In contrast, an increase in the number of cases in haematophagous as well as in non haematophagous bats is noticed. However, as the number of bat specimens submitted for diagnosis has increased, this finding most likely reflects a higher degree of awareness on the possible role for bats in the rabies transmission cycle, rather than any particular changes on the virus or its hosts.(AU)
Assuntos
Animais , Raiva/diagnóstico , Raiva/epidemiologia , Raiva/veterinária , Estudos Transversais , Técnica Direta de Fluorescência para Anticorpo/métodosRESUMO
Community-Acquired Pneumonia (CAP) is a major public health problem. In Brazil it has been estimated that 2,000,000 people are affected by CAP every year. Of those, 780,000 are admitted to hospital, and 30,000 have death as the outcome. This is an open-label, non-comparative study with the purpose of evaluating efficacy, safety, and tolerability levels of IV azithromycin (IVA) and IV ceftriaxone (IVC), followed by oral azithromycin (OA) for the treatment of inpatients with mild to severe CAP. Eighty-six patients (mean age 56.6 ± 19.8) were administered IVA (500mg/day) and IVC (1g/day) for 2 to 5 days, followed by AO (500mg/day) to complete a total of 10 days. At the end of treatment (EOT) and after 30 days (End of Study - EOS) the medication was evaluated clinically, microbiologically and for tolerability levels. Out of the total 86-patient population, 62 (72.1 percent) completed the study. At the end of treatment, 95.2 percent (CI95: 88.9 percent - 100 percent) reported cure or clinical improvement; at the end of the study, that figure was 88.9 percent (CI95: 74.1 percent - 91.7 percent). Out of the 86 patients enrolled in the study, 15 were microbiologically evaluable for bacteriological response. Of those, 6 reported pathogen eradication at the end of therapy (40 percent), and 8 reported presumed eradication (53.3 percent). At end of study evaluation, 9 patients showed pathogen eradication (50 percent), and 7 showed presumed eradication (38.89 percent). Therefore, negative cultures were obtained from 93.3 percent of the patients at EOT, and from 88.9 percent at the end of the study. One patient (6.67 percent of patient population) reported presumed microbiological resistance. At study end, 2 patients (11.11 percent) still reported undetermined culture. Uncontrollable vomiting and worsening pneumonia condition were reported by 2.3 percent of patients. Discussion and Conclusion Treatment based on the administration of IV azithromycin...
Assuntos
Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Humanos , Pessoa de Meia-Idade , Adulto Jovem , Antibacterianos/administração & dosagem , Azitromicina/administração & dosagem , Ceftriaxona/administração & dosagem , Pneumonia Bacteriana/tratamento farmacológico , Antibacterianos/efeitos adversos , Azitromicina/efeitos adversos , Ceftriaxona/efeitos adversos , Infecções Comunitárias Adquiridas/tratamento farmacológico , Quimioterapia Combinada , Seguimentos , Índice de Gravidade de Doença , Resultado do Tratamento , Adulto JovemRESUMO
Tubular polymeric materials modified by radiation techniques can be used as vascular prosthesis and components of prosthetic devices. The biological interaction between these materials and blood was studied by in vitro and ex vivo methods. Silicone rubber tubes were copolymerized with acrylamide and N-vinylpyrrolidone by radiation-grafting techniques. The irradiation was performed with gamma-rays from a 60Co source at a constant dose rate (0.2 kGy/h) for various time intervals (4-15 h). To evaluate the antithrombogenicity of the grafted tubes, the surface adsorption of 125I-albumin and 125I-fibrinogen was studied. All graft copolymers show a preference for albumin, and the degree of preference appears to correlate with antithrombogenic tendency. In the ex vivo experiment with animals, tubes were implanted in the carotid artery of dogs and the blood flow in the graft copolymers was detected with an ultrasonic flow meter. The blood flow rate in the ungrafted implants decreased more rapidly (stopped completely after 15 to 210 min) compared to the flow rate in the grafted ones (decreased slowly from 38 to 35 ml/min and 70 to 60 ml/min). There was a direct relationship between both methods in the study of blood compatibility of the materials. The results suggest that the graft copolymers can be used as biomaterials for long-term use in cardiovascular systems.
Assuntos
Materiais Biocompatíveis , Prótese Vascular , Artérias Carótidas/fisiologia , Polímeros/efeitos da radiação , Acrilamidas/efeitos da radiação , Albuminas/metabolismo , Animais , Cães , Fibrinogênio/metabolismo , Pirrolidinonas/efeitos da radiação , Fluxo Sanguíneo Regional , Elastômeros de Silicone/efeitos da radiação , Propriedades de Superfície , Fatores de TempoRESUMO
Tubular polymeric materials modified by radiation techniques can be used as vascular prosthesis and components of prosthetic devices. The biological interction between these materials and blood was studied by in vitro and ex vivo methods. Silicone rubber tubes were copolymerized with acrylamide and N-vinylpyrrolidone by radiation-grafting techniques. The irradiation was performed with y-rays from a 60Co source at a constant dose rate (0.2 kGy/h) for various time intervals (4-15 h). To evaluate the antithrombogenicity of the grafted tubes, the surface adsorption of 125I-albumin and 125I-fibrinogen was studied. All graft copolymers show a preference for albumin, and the degree of preference appears to correlate with antithrombogenic tendency. In the ex vivo experiment with animals, tubes were implanted in the carotid artery of dogs and the blood flow in the graft copolymers was detected with an ultrasonic flow meter. The blood flow rate in the ungrafted implants decreased more rapidly (stopped completely after 15 to 210 min) compared to the flow rate in the grafted ones (decreased slowly from 38 to 35 ml/min and 70 to 60 ml/min). There was a direct relationship between both methods in the study of blood compatibility of the materials. The results suggest that the graft copolymers can be used as biomaterials for long-term use in cardiovascular systems
Assuntos
Animais , Cães , Artérias Carótidas/fisiologia , Materiais Biocompatíveis , Prótese Vascular , Polímeros/efeitos da radiação , Acrilamidas/efeitos da radiação , Albuminas/metabolismo , Elastômeros de Silicone/efeitos da radiação , Fibrinogênio/metabolismo , Pirrolidinonas/efeitos da radiação , Fluxo Sanguíneo Regional , Propriedades de Superfície , Fatores de TempoRESUMO
Considerando o progressivo surgimento de doentes portadores da síndrome do intestino curto, os autores apresentam as características da doença, suas causas, repercussoes e evoluçoes clínicas.
Assuntos
Humanos , Intestino Delgado/cirurgia , Síndrome do Intestino CurtoRESUMO
A ocorrência de infecçäo por rotavírus foi estudada em granjas de suínos acometidos de diarréia em 32 propriedades de 22 municípios do Rio Grande do Sul e Santa Catarina. De um total de 231 amostras fecais coletadas de leitöes na faixa etária de 1 a 60 dias, 43 (18,6%) foram positivas pela técnica de eletroforese em gel de poliacrilamida (PAGE) e 42 (17,7%) pelo ensaio imunoenzimático (ELISA). Com a exceçäo de um caso, os eletroforotipos observados foram consistentes com a descriçäo dos rotavírus "clássicos" do grupo A. Em 5 amostras o rotavírus foi detectado por ELISA e näo por PAGE, enquanto que a situaçäo inversa ocorreu em 7 casos. Estudos com diluiçöes de fezes positivas demonstraram que as discrepâncias observadas provavelmente näo foram devidas a diferenças nas concentraçöes de vírus. A presença de IgG foi verificada em uma amostra PAGE positiva ELISA negativa, sugerindo a presença de complexos imunes que poderiam ser a causa de discrepâncias entre os métodos de diagnóstico. Exames bacteriológicos e parasitológicos em 75 amostras revelaram a presença de Escherichia coli enteropatogênica em 8 (8%). Em nenhum caso foram detectados parasitos. Em somente um caso E. coli foi encontrada em associaçäo com rotavírus, que clinicamente mostrou maior gravidade do que nos demais. A distribuiçäo da infecçäo por faixas etárias revelou que 79% dos casos foram verificados em animais de 15 a 30 dias