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Inflammatory bowel disease consists of multifactorial diseases whose common manifestation is inflammation of the gastrointestinal tract and their pathogenesis remains unknown. This study aimed to analyse the gene polymorphisms in Brazilian patients with inflammatory bowel disease. A total of 101 patients diagnosed with inflammatory bowel disease were analysed for the tumour necrosis factor-alpha (-308 G/A; rs1800629) and interleukin-10 (-1082 G/A; rs1800896) gene polymorphisms. Genotyping was performed through polymerase chain reaction-sequence-specific primer, then fractionated on 2% agarose gel and visualized after staining by ethidium bromide. The anatomic-clinical form of Crohn's disease ( CD) predominant was the inflammatory (32.75%), followed by fistulizing (29.31%) and 27.58% stricturing. As control group, a total of 136 healthy subjects, from the same geographical region, were enrolled. The statistical analyses were performed using R program. The frequency of the A allele at tumour necrosis factor-alpha was high in ulcerative colitis ( UC) patients (51%) than in controls (22%; P > 0.01). No statistical difference was found with the genotypic and allelic frequencies of CD patients compared to controls ( P = 0.54). The polymorphism -1082G/A of interleukin-10 was not statistical different between the diseases compared to controls. Tumour necrosis factor-alpha (TNF- α) (-308G/A) is associated with UC onset, suggesting that the presence of -308A allele could confer a relative risk of 3.62 more to develop UC in general population. Further studies, increasing the number of individuals, should be performed to ratify the role of TNF- α in the inflammatory bowel disease pathogenesis. [ABSTRACT FROM AUTHOR]

Copyright of Brazilian Journal of Biology is the property of Instituto Internacional de Ecologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Brazilian Journal of Biology is the property of Instituto Internacional de Ecologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article reports a study that evaluates habitual intake of fat foods in the context of the Brazilian diet as risk factor for oral cancer using a case-control design. Researchers conclude that habitual intake of fat food is significantly associated with increased risk of oral cancer. Besides having high fat content, sausages in Brazil are usually served fried. Besides being usually served hot, which may harm the oral mucosa, soups in the Brazilian diet are rich in animal kit. Margarine is probably the most effective vehicle for vitamin A ingestion in the Brazilian diet, which may account for its indication as a protective factor, in spite of recent controversies regarding the use of beta-carotene supplements by smokers.

Abstract: The polychaetes assemblage structure was used in order to investigate taxonomic sufficiency in a heavily polluted tropical bay. Species abundance was aggregated into progressively higher taxa matrices (genus, family, order) and was analyzed using univariate and multivariate techniques. Polychaetes distribution in Guanabara Bay (GB) was in accordance with a pollution gradient, probably ruled by the organic enrichment, consequent effects of hypoxia and altered redox conditions coupled with prevailing patterns of circulation. Within the sectors of GB, an increasing gradient in species richness and occurrence was observed, ranging from the azoic and impoverished stations in the inner sector to a well-structured community in terms of species composition and abundance inhabiting the outer sector. Multivariate statistical analysis showed similar results when species were aggregated into genera and families, while greater difference occurred at coarser taxonomic identification (order). The literature about taxonomic sufficiency has demonstrated that faunal patterns at different taxonomic levels tend to become similar with increased pollution. In GB, an analysis carried out solely at family level is perfectly adequate to describe the environmental gradient, considered a useful tool for a quick environmental assessment. [Copyright &y& Elsevier]

Chronic mastitis varies in etiology between its lactational and nonlactational forms and can be challenging to diagnose. This study aimed to assess the epidemiological profile and diverse etiologies of nonlactational mastitis in Amazonas, Brazil, focusing on distinguishing between tuberculous mastitis (TM) and idiopathic granulomatous mastitis (IGM). This is a retrospective and prospective study that was carried out at the mastitis outpatient clinic of Fundação de Medicina Tropical Doutor Heitor Vieira Dourado from 2013 to 2021 and evaluated epidemiological data, imaging, and laboratory tests. Descriptive statistics were performed. In this retrospective and prospective analysis, 124 medical records were initially considered, with 12 excluded for various reasons. The remaining 112 cases underwent thorough evaluation through epidemiological data, imaging, and laboratory tests, by employing descriptive statistics for analysis. The pathology revealed a predominant prevalence of IGM (64.3%), followed by various forms of mastitis, including confirmed TM (4.5%), presumable TM (8.9%), and others. Our findings indicate that IGM, though a rare cause of breast masses and abscesses, accounts for a significant portion of mastitis cases. Histopathological studies were essential for diagnosis, with ultrasound being the primary imaging tool. This study is one of the largest Brazilian series on nonlactational mastitis, highlighting the condition's complexity and diverse manifestations in the Amazon region.

The alpheid shrimp Automate isabelae Ramos-Tafur, 2018 was described based on material found in stomachs of the lane snapper Lutjanus synagris (L.) in the Florida Keys and south-western coast of Florida, USA (24°N). In the present study, A. isabelae is reported from Araçá Bay, São Sebastião, São Paulo, Brazil (23°S), the first time since its original description, representing the first record of the species for the south-western Atlantic. The colour pattern of A. isabelae is illustrated for the first time. The differentiating characters between A. isabelae and its presumed eastern Pacific sister species A. rugosa Coutière, 1902 are discussed.

The World Health Organization (WHO) declared an international state of emergency in order to contain the rapid spread of COVID-19. To ensure that there is adherence to preventive measures by the population aimed at controlling the pandemic in Alagoas, it is expected that knowledge, behavior and practices play an important role in preventing and controlling the disease. In this sense, it becomes relevant to understand the knowledge of the population about the disease. To evaluate the knowledge, behavior and practices of social media users during social isolation to prevent the transmission of the SARS-CoV-2 in the state of Alagoas, Northeast, Brazil. A probabilistic sample was carried out across the entire territory of the state of Alagoas with those who have access to a device that accesses the internet and a cross-sectional study was carried out using an online questionnaire applied to a convenience sample, recruited between August 2021 and July 2022 by snowball sampling. The questionnaire consisted of seven sessions, the first collecting data on the socioeconomic and sociodemographic profile of the participants, and the other sessions involving knowledge, attitudes and practices, including topics related to the vaccination that had to be administered at that time. High popular knowledge about signs and symptoms, means of transmission and risk groups. Low knowledge about seeking health services. Based on the results obtained, information from official channels became relevant to better teach the population in order to reduce the impact of COVID-19.

Lissosabinea tridentata (Pequegnat, 1970) known hitherto from the Gulf of Mexico off Florida (24N) and only western Atlantic representative of the genus, is reported here for the first time from much further south, Brazil off the coast of Esprito Santo, Vitria-Trindade Seamount Chain, Montague Bank (20S), between 310 and 391 m. A second western Atlantic species, Lissosabinea christofferseni sp. nov., is described here as new from material collected in the Abrolhos Bank, at depth between 340360 m. One exuviae and one damaged specimen, reported in 1988 from off the coast of Chu, Brazil (34S) (at that time mistakenly referred to as Uruguay) and attributed to Lissosabinea cf. tridentata are herein referred to the new species. It has been clarified that Lissosabinea christofferseni sp. nov. and L. tridentata have a transverse row of teeth adjacent to the posterior margin of the sixth pleonal sternite; in crangonids, such a feature is so far known only in Placopsicrangron formosa Komai Chan, 2009.

Brazil is a continental country with a history of massive immigration waves from around the world. Consequently, the Brazilian population is rich in ethnic, cultural, and religious diversity, but suffers from tremendous socioeconomic inequality. Brazil has a documented history of categorizing individuals with culturally specific behaviors as mentally ill, which has led to psychiatric institutionalization for reasons that were more social than clinical. To address this, a "network for psychosocial care" was created in Brazil, that included mental health clinics and community services distributed throughout the country. This generates local support for mental health rehabilitation, integrating psychiatric care, family support and education/work opportunities. These clinics and community services are tailored to provide care for each specific area, and are more attuned to regional culture, values and neighborhood infrastructure. Here we review existing reports about the Brazilian experience, including advances in public policy on mental health, and challenges posed by the large diversity to the psychosocial rehabilitation.  In addition, we show how new digital technologies in general, and computational speech analysis in particular, can contribute to unbiased assessments, resulting in decreased stigma and more effective diagnosis of the mental diseases, with methods that are free of gender, ethnic, or socioeconomic biases., (Copyright © 2022. Published by Elsevier B.V.)

Innovation and improved practices in the livestock sector represent key opportunities tomeet global climate goals. This paper provides evidence that extension services can pro-mote pasture restoration in cattle ranching in Brazil. We use a randomized controlledtrial implemented in the context of the ABC Cerrado (a large-scale program launched in2014 aimed at fostering technology adoption through a combination of training andtechnical assistance) to examine the effects of different types of extension on agriculturalpractices, input use, and productivity. Providing technical assistance to previously trainedproducers promoted pasture restoration, induced farmers to use inputs more intensively,helped them to improve their management and soil conservation practices, and substan-tially increased revenues. A cost–benefit calculation indicates that US$1 invested in theABC Cerrado program increased profits by US$1.08 to $1.45. Incorporating carbonsavings amplifies this return considerably.

A new species of Dendrochirotida sea cucumber, Parathyone itapuaensis, is described and illustrated herein based on specimens collected from rocky intertidal regions of the northeastern coast of Brazil. The new species is characterized by a suite of morphological characters revealed by light stereomicroscope, SEM and microCT studies of the calcareous ring, dermal ossicles, Polian vesicles and madreporite. Parathyone itapuaensis sp. nov. is characterized by having 10 tentacles, two Polian vesicles and single madreporite; length of anterior process (radial plate) larger than length of the base of the radial plate; body wall with buttons with triangular knobs and knobbed multiperforated plates in the anal region; and tentacles with arched rods, knobbed in the margins and shallow cups knobbed in the outer and inner surfaces. A key to the recognition of Parathyone species is given.

Background: Steroid use for coronavirus disease 2019 (COVID-19) is based on the possible role of these drugs in mitigating the inflammatory response, mainly in the lungs, triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This study aimed to evaluate the efficacy of methylprednisolone (MP) among hospitalized patients with suspected COVID-19., Methods: A parallel, double-blind, placebo-controlled, randomized, Phase IIb clinical trial was performed with hospitalized patients aged ≥18 years with clinical, epidemiological, and/or radiological suspected COVID-19 at a tertiary care facility in Manaus, Brazil. Patients were randomly allocated (1:1 ratio) to receive either intravenous MP (0.5 mg/kg) or placebo (saline solution) twice daily for 5 days. A modified intention-to-treat (mITT) analysis was conducted. The primary outcome was 28-day mortality., Results: From 18 April to 16 June 2020, 647 patients were screened, 416 were randomized, and 393 were analyzed as mITT, with 194 individuals assigned to MP and 199 to placebo. SARS-CoV-2 infection was confirmed by reverse transcriptase polymerase chain reaction in 81.3%. The mortality rates at Day 28 were not different between groups. A subgroup analysis showed that patients over 60 years old in the MP group had a lower mortality rate at Day 28. Patients in the MP arm tended to need more insulin therapy, and no difference was seen in virus clearance in respiratory secretion until Day 7., Conclusions: The findings of this study suggest that a short course of MP in hospitalized patients with COVID-19 did not reduce mortality in the overall population., Clinical Trials Registration: NCT04343729., (© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.)

Enterococci are commensals that proliferated as animals crawled ashore hundreds of millions of years ago. They are also leading causes of multidrug-resistant hospital-acquired infections. While most studies are driven by clinical interest, comparatively little is known about enterococci in the wild or the effect of human activity on them. Pharmaceutical pollution and runoff from other human activities are encroaching widely into natural habitats. To assess their reach into remote habitats, we investigated the identity, genetic relatedness, and presence of specific traits among 172 enterococcal isolates from wild Magellanic penguins. Four enterococcal species, 18 lineage groups, and different colonization patterns were identified. One Enterococcus faecalis lineage, sequence type 475 (ST475), was isolated from three different penguins, making it of special interest. Its genome was compared to those of other E. faecalis sequence types (ST116 and ST242) recovered from Magellanic penguins, as well as to an existing phylogeny of E. faecalis isolated from diverse origins over the past 100 years. No penguin-derived E. faecalis strains were closely related to dominant clinical lineages. Most possessed intact CRISPR defenses, few mobile elements, and antibiotic resistances limited to those intrinsic to the species and lacked pathogenic features conveyed by mobile elements. Interestingly, plasmids were identified in penguin isolates that also had been reported for other marine mammals. Enterococci isolated from penguins showed limited anthropogenic impact, indicating that they are likely representative of those naturally circulating in the ecosystem inhabited by the penguins. These findings establish an important baseline for detecting the encroachment of human activity into remote planetary environments. IMPORTANCE Enterococci are host-associated microbes that have an unusually broad range, from the built hospital environment to the guts of insects and other animals in remote locations. Despite their occurrence in the guts of animals for hundreds of millions of years, we know little about the properties that confer this range or how anthropogenic activities may be introducing new selective forces. Magellanic penguins live at the periphery of human habitation. It was of interest to examine enterococci from these animals for the presence of antibiotic resistance and other markers reflective of anthropogenic selection. Diverse enterococcal lineages found discount the existence of a single well-adapted intrinsic penguin-specific species. Instead, they appear to be influenced by a carnivorous lifestyle and enterococci present in the coastal sea life consumed. These results indicate that currently, the penguin habitat remains relatively free of pollutants that select for adaptation to human-derived stressors., (Copyright © 2020 American Society for Microbiology.)

A new species of intertidal ghost shrimp, Biffarius botterae, is described from Maranhão and Ceará in northeastern Brazilian coast. Diagnostic features of the new species include: (1) antennular peduncle shorter than antennal peduncle; (2) male major cheliped massive; (3) male pleopod 2 uniramous, vestigial; (4) uropodal endopod widening distally, inner lateral margin convex; and (5) anterodorsal plate of uropodal exopod absent. Biffarius Manning Felder, 1991, now consists of four species: B. biformis (Biffar, 1971), B. botterae sp. nov., B. delicatulus Rodrigues Manning, 1992, and B. limosus (Poore, 1975). A key to the species of Biffarius is provided.

The Trindade and Martin Vaz (TMV) volcanic archipelago is highly isolated, being located some 1200 km off the Brazilian coast and about 4200 km away from the nearest African coast. The only axiidean known from the archipelago is Coralaxius nodulosus (Meinert, 1877), a species extensively reported in the western Atlantic. From 2012 to 2018, 263 SCUBA diving and intertidal samplings were conducted at TMV and yielded 46 axiidean specimens in three species, one of which is a new species: Corallianassa longiventris (A. Milne-Edwards, 1870), Neocallichirus grandimana (Gibbes, 1850), and Fragillianassa joeli sp. nov., a species closely related to F. fragilis (Biffar, 1970). Hitherto unreported specimens from along the Vitória-Trindade Seamounts Chain (VTSC) and the Abrolhos Bank were also included in this report, namely C. nodulosus and Michelea vandoverae (Gore, 1987). The occurrence of M. vandoverae at the Abrolhos Bank extends its range into the southwestern Atlantic. Coralaxius abelei Kensley Gore, 1981 is herein considered a junior synonym of Coralaxius nodulosus (Meinert, 1877). Meinertaxius Sakai, 2011, therefore becomes a subjective synonym of Coralaxius Kensley Gore, 1981. Axiideans from the tropical southern-central Atlantic oceanic islands (Ascension, Fernando de Noronha, Rocas Atoll, Saint Helena, Trindade and Martin Vaz) are listed with their gross distribution in the Atlantic Ocean revealing a strongly depauperate axiidean insular fauna, totaling six species. Except for Axiopsis serratifrons (A. Milne-Edwards, 1873), a pantropical species, the insular southwestern-central Atlantic axiideans are entirely of western Atlantic affinities, with F. joeli sp. nov. being the only endemic so far.

Trindade and Martin Vaz (TMV) is a highly isolated, oceanic volcanic archipelago located some 1200 km off the Brazilian coast and about 4200 km away from the nearest African coast. For almost 100 years Calcinus tibicen (Herbst, 1791) was the only hermit crab species known from TMV. From 2012 to 2018, 263 daytime SCUBA diving and intertidal samplings conducted at TMV yielded 1075 paguroid specimens in 10 species, three of which are established herein as new species: Iridopagurus martinvaz sp. nov., Nematopagurus micheleae sp. nov., and Pagurus carmineus sp. nov. Iridopagurus margaritensis García-Gómez, 1983, and Phimochirus leurocarpus McLaughlin, 1981, both only known from the northern hemisphere, are recorded for the first time from the southwestern Atlantic. Opportunity was taken herein to include hitherto unreported or little known specimens from along the Vitória-Trindade Seamount Chain, namely, Dardanus venosus H. Milne Edwards, 1848, Nematopaguroides pusillus Forest de Saint Laurent, 1968, Pagurus provenzanoi Forest de Saint Laurent, 1968, and Phimochirus holthuisi (Provenzano, 1961). The lectotype of Pagurus venosus H. Milne Edwards, 1848 is designated as the neotype for the obscure Pagurus arrosor divergens Moreira, 1905, which thus becomes an objective junior synonym of the former. A list of all paguroid species known from the tropical southern-central Atlantic oceanic archipelagoes and islands (Ascension, Cape Verde, Fernando de Noronha, Gulf of Guinea, Rocas Atoll, Saint Helena, Trindade and Martin Vaz) with their gross distribution in the Atlantic Ocean is provided. Investigation on the existence of patterns of geographic distribution for the paguroid fauna of the tropical southern-central Atlantic oceanic islands showed that 70% percent of the paguroids from TMV are western Atlantic in origin and 30% endemic. No amphi-Atlantic paguroid species are known from TMV. Conversely, the affinity of Ascension's (33%) and Saint Helena's (50%) paguroids is with the eastern Atlantic; no western Atlantic paguroids have been reported from these two islands so far. Exploration on the existence of trends of correlation between islands area and species richness through the Spearman's coefficient of correlation showed that the patterns in the number of paguroid species cannot be explained by variation in island area alone (rs = 0.4728; p = 0.28571).

Sclerothyone Thandar, 1989, currently restricted to two South African species, is here expanded to include two new species from off coast of Brazil. These new species expand the distribution of the genus to the southwestern Atlantic Ocean. Sclerothyone reichi sp. nov. is characterized by having body wall with multilocular two pillared tables with multiperforate disc and short spire, ending in a narrow crown of teeth; tentacles with rods and introvert with two pillared tables and rosettes; tube feet with only end plates. Sclerothyone oloughlini sp. nov. is distinctive in having a body wall with multilocular, two pillared tables; handles present and multilocular two-pillared tables; circular disc without handle; and plates (near the anus). The new species resemble each other in the tentacles with rods. However, Sclerothyone oloughlini sp. nov. stands apart from S. reichi sp. nov. in the introvert with rosettes; tube feet with two pillared supporting tables, arched plates and end plates. The possible assignment of Cucumaria nozawai Mitsukuri, 1912 and Thyone adinopoda Pawson Miller, 1981 to Sclerothyone, and the position of Thyone neofusus Deichmann, 1941 in Temparena Thandar, 1989, are briefly discussed. A key to all genera and species of Sclerodactylinae is provided.

Parasitoids of Ceroplastes Gray were surveyed in the State of São Paulo, Brazil. Among the parasitoids reared, seven species of Metaphycus Mercet (Hymenoptera, Encyrtidae) were obtained. Metaphycusanaluciaesp. nov., M. floridensissp. nov., and M. grandissp. nov., are described as new species, and M. ceros Noyes, M. comes Noyes, M. dardanus Noyes, M. opis Noyes are recorded for the first time from Brazil. Ten new host-parasitoid associations are reported: M. analuciaesp. nov. parasitizing C. formicarius Hempel, C. glomeratus Peronti and C. iheringi Cockerel; M. ceros parasitizing C. cirripediformis Comstock; M. comes parasitizing C. formicarius; M. dardanus parasitizing C. glomeratus; M. floridensissp. nov. parasitizing C. floridensis; M. grandissp. nov. parasitizing C. grandis Hempel; and M. opis parasitizing C. glomeratus and C. janeirensis (Gray). A checklist of Metaphycus species associated with Ceroplastes, their distribution and host ranges are summarized and discussed.

All previous records of Pachycheles rugimanus A. Milne-Edwards, 1880, from the Brazilian coast are reviewed and prove to represent a new species, P. coelhoi sp. nov. (from Amapá, northern Brazilian coast), and P. ackleianus A. Milne-Edwards, 1880, a species already known from Brazil (from Pará to Rio de Janeiro). The new species is described and illustrated, and compared to its most similar congeners: P. rugimanus and P. ackleianus from the western Atlantic, and P. velerae Haig, 1960, from the eastern Pacific (Galapagos Island and Cocos Island). Pachycheles coelhoi sp. nov. is distinguishable from the other three species by a suite of morphological characters, which include the ornamentation of the carapace and chelipeds, and the shape of the third thoracic sternite. All previous records of P. rugimanus from Brazil are considered invalid.

We re-describe and confirm the validity of Ophiothrix trindadensis Tommasi, 1970 (Echinodermata: Ophiuroidea). This is a native species from Brazil, however it lacked a type series deposited in scientific collections. The recognition of O. trindadensis was made possible using integrative taxonomy applied to many specimens from the type locality (Trindade Island) as well as from different locations along the Brazilian coast (Araçá Bay and Estuarine Complex of Paranaguá). Initially, 835 specimens were studied and divided into four candidate species (CS) inferred from external morphological characters. Afterwards, the CSs were compared using integrative taxonomy based on external morphology, arm microstructures morphology (arm ossicle), morphometry, and molecular studies (fragments of the mitochondrial genes 16S and COI). Analyses indicated CS1 and CS2 as O. trindadensis, and CS3 as O. angulata, both valid species. CS4 remains O. cf. angulata as more data, including their ecology and physiology, are needed to be definitively clarified. Our integrative investigation using specimens from the type locality overcame the lack of type specimens and increased the reliable identification of O. trindadensis and O. angulata., Competing Interests: The authors have declared that no competing interests exist.

The present study deals with shrimps of the family Alpheidae collected in the shallow waters around the remote Trindade & Martin Vaz Archipelago, situated 1200 km off the coast of Espírito Santo, Brazil. A few additional samples came from dredges on top of the seamounts of the Vitória-Trindade Seamount Chain. A total of 23 species in eight genera are reported, the vast majority representing new records for the area. One species is described as new, Synalpheus trinitatis sp. nov., based on the type material from Trindade Island. The new species clearly belongs to the Synalpheus brooksi Coutière, 1909 species complex, differing from all its other members by at least two morphological features. Four species represent new records for Brazil and the southwestern Atlantic: Alpheopsis aequalis Coutière, 1897 sensu lato, Alpheopsis chalciope de Man, 1910 sensu lato, Alpheus crockeri (Armstrong, 1941) and Prionalpheus gomezi Martínez-Iglesias & Carvacho, 1991; the two species of Alpheopsis are recorded from the Atlantic Ocean for the first time. The colour pattern of the recently described Alpheus rudolphi Almeida & Anker, 2011, a species endemic to Brazil, is shown for the first time and compared to the colour patterns of the four closely related species of the A. armatus Rathbun, 1901 complex from the Caribbean-Florida region. A brief zoogeographical analysis of the alpheid fauna of the oceanic islands of the tropical southern Atlantic (Trindade & Martin Vaz, Fernando de Noronha, Atol das Rocas, São Pedro & São Paulo, Ascension, Saint Helena, Cape Verde, São Tomé & Príncipe) is also provided.

Enterococci are natural inhabitants of the gastrointestinal tracts in humans and animals. Epidemiological data suggest that enterococci are important reservoirs of antimicrobial resistant genes that may be transmitted from other bacterial species The aim of this study was to investigate the species composition, antimicrobial resistance and virulence genes in enterococci recovered from fecal samples of wild Arctocephalus australis and A. tropicalis found dead along the South Coast of Brazil. From a total of 43 wild fur seals, eleven were selected for this study. Phenotypic and genotypic characterizations were used to classify Enterococcus species. Strains were tested for susceptibility to 10 antibiotics, presence of ace, gelE, asa, cylA, tet(L), tet(M) and erm(B) genes by PCR, and genetic variability using RAPD-PCR. Among the 50 enterococci isolated, 40% were Enterococcus faecalis, 40% E. hirae, 12% E. casseliflavus and 8 % other enterococcal species. Resistance profiles were observed to erythromycin, nitrofurantoin, tetracycline, norfloxacin and ciprofloxacin. The prevalence of virulence genes was ace (68%), gelE (54%), asa (22%) and cylA (4%). In erythromycin- and tetracycline strains, erm(B) and tet(M) were detected, respectively. The RAPD-PCR demonstrated a close phylogenetic relationship between the enterococci isolated from A. australis and A. tropicalis. In conclusion, different enterococcus species showing antimicrobial resistance and virulence determinates were isolated from fecal samples of fur seals. Antibiotic resistant strains in these animals could be related within food chain and aquatic pollutants or linked to environmental resistome, and demonstrates the potential importance of these animals as reservoirs and disseminators of such determinants in marine environmental.

A new species of freshwater crab, Kingsleya celioi, from the Brazilian Amazon (Pará State) is described and illustrated. The new species can be easily separated from their congeners by a suite of morphological characters, including the apical plate of the first gonopod large, widest medially in abdominal view, with single large spine-like outgrowth in midlength of mesial margin; distal, proximal lobes of apical plate unequal in size, distal lobe largest, tapering distally in lateral view.

Importance: In 1939, English mathematician, geneticist, and psychiatrist Lionel Sharples Penrose hypothesized that the numbers of psychiatric hospital beds and the sizes of prison populations were inversely related; 75 years later, the question arises as to whether the hypothesis applies to recent developments in South America., Objective: To explore the possible association of changes in the numbers of psychiatric hospital beds with changes in the sizes of prison populations in South America since 1990., Design, Setting, and Participants: We searched primary sources for the numbers of psychiatric hospital beds in South American countries since 1990 (the year that the Latin American countries signed the Caracas Declaration) and compared these changes against the sizes of prison populations. The associations between the numbers of psychiatric beds and the sizes of prison populations were tested using fixed-effects regression of panel data. Economic variables were considered as covariates. Sufficiently reliable and complete data were obtained from 6 countries: Argentina, Bolivia, Brazil, Chile, Paraguay, and Uruguay., Main Outcomes and Measures: The numbers of psychiatric beds and the sizes of prison populations., Results: Since 1990, the numbers of psychiatric beds decreased in all 6 countries (ranging from -2.0% to -71.9%), while the sizes of prison populations increased substantially (ranging from 16.1% to 273.0%). Panel data regression analysis across the 6 countries showed a significant inverse relationship between numbers of psychiatric beds and sizes of prison populations. On average, the removal of 1 bed was associated with 5.18 more prisoners (95% CI, 3.10-7.26; P = .001), which was reduced to 2.78 prisoners (95% CI, 2.59-2.97; P < .001) when economic growth was considered as a covariate. The association between the numbers of psychiatric beds and the sizes of prison populations remained practically unchanged when income inequality was considered as a covariate (-4.28 [95% CI, -5.21 to -3.36]; P < .001)., Conclusions and Relevance: Since 1990, the numbers of psychiatric beds have substantially decreased in South America, while the sizes of the prison populations have increased against a background of strong economic growth. The changes appear to be associated because the numbers of beds decreased more extensively when and where the sizes of prison populations increased. These findings are consistent with and specify the assumption of an association between the numbers of psychiatric beds and the sizes of prison populations. More research is needed to understand the drivers of the capacities of psychiatric hospitals and prisons and to explore reasons for their association.

A new species of spider crab, Naxia atlantica n. sp., is described and illustrated from deep waters off São Paulo (southeastern Brazil). The new species can be separated from its congeners by a suite of characters including shapes of the propodi of the walking legs, rostrum and basal antennal article. This is the first record of the genus outside southern Australia and New Zealand.

Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members. The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest. The project was developed in several stages, during which the selected topics were distributed among experts recommended by both societies with recent publications on the subject of interest and/or significant teaching and research activity in the field of mechanical ventilation in Brazil. The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic. All the experts met at the Forum on Mechanical Ventilation, which was held at the headquarters of AMIB in São Paulo on August 3 and 4, 2013, to collaboratively draft the final text corresponding to each sub-topic, which was presented to, appraised, discussed and approved in a plenary session that included all 58 participants and aimed to create the final document.

The present study deals with four species of benthic deep-water caridean shrimps collected on the continental slope off southeastern Brazil, between 360 m and 900 m. The deepwater pandalid Bitias stocki Fransen, 1990, previously known only from a few localities in the eastern Atlantic, is reported for the first time from the western Atlantic (Brazil). The Brazilian material of B. stocki also represents the first record of the genus Bitias Fransen, 1990 in the western Atlantic. The palaemonid Periclimenes tenellus (Smith, 1882), previously known only from South Carolina and New Jersey, USA, is reported for the first time from Brazil, representing a considerable range extension of this uncommon species into the southwestern Atlantic. Another deepwater palaemonid shrimp is described as new: Periclimenes bathyalis sp. nov. The new species is morphologically closest to the echinoid associates Periclimenes milleri Bruce, 1986 and Periclimenes ingressicolumbi Berggren & Svane, 1989. Finally, the bizarre deepwater crangonid genus Prionocrangon Wood-Mason in Wood-Mason & Alcock, 1891 is reported for the first time from Brazil and the southwestern Atlantic, where it is represented by a new species, Prionocrangon brasiliensis sp. nov.

Objective: To translate the Leicester Cough Questionnaire (LCQ) to Portuguese and adapt it for use in Brazil., Methods: Cross-cultural adaptation of a quality of life questionnaire requires a translated version that is conceptually equivalent to the original version and culturally acceptable in the target country. The protocol used consisted of the translation of the LCQ to Portuguese by three Brazilian translators who were fluent in English and its back-translation to English by another translator who was a native speaker of English and fluent in Portuguese. The back-translated version was evaluated by one of the authors of the original questionnaire in order to verify its equivalence. Later in the process, a provisional Portuguese-language version was thoroughly reviewed by an expert committee. In 10 patients with chronic cough, cognitive debriefing was carried out in order to test the understandability, clarity, and acceptability of the translated questionnaire in the target population. On that basis, the final Portuguese-language version of the LCQ was produced and approved by the committee., Results: Few items were questioned by the source author and revised by the committee of experts. During the cognitive debriefing phase, the Portuguese-language version of the LCQ proved to be well accepted and understood by all of the respondents, which demonstrates the robustness of the process of translation and cross-cultural adaptation., Conclusions: The final version of the LCQ adapted for use in Brazil was found to be easy to understand and easily applied.

Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumonia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members. The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest. The project was developed in several stages, during which the selected topics were distributed among experts recommended by both societies with recent publications on the subject of interest and/or significant teaching and research activity in the field of mechanical ventilation in Brazil. The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic. All the experts met at the Forum on Mechanical Ventilation, which was held at the headquarters of AMIB in São Paulo on August 3 and 4, 2013, to collaboratively draft the final text corresponding to each sub-topic, which was presented to, appraised, discussed and approved in a plenary session that included all 58 participants and aimed to create the final document.

A new species of deep-water brachyuran crab, Robertsella meridionalis, from Brazil is described and illustrated. The new species can be easily separated from its northwestern Atlantic counterpart, R. mystica Guinot, 1969, by a suite of carapace and appendage characters. Robertsella mystica is redescribed and illustrated. Putative sound-producing structures in the genus Robertsella are first described.

This study examined the variation in the diurnal profile of cortisol, with an emphasis on the cortisol awakening response (CAR), in relation to mood states and performance during a professional swimming contest. Eleven athletes were examined during 2 consecutive days of competition and during a recreated event 2 weeks later that was matched to the time of the day and day of the week of the competition. On each day, salivary cortisol was determined upon awakening (07:00 hours); 30 and 60 minutes post-awakening; immediately before warming up for competition (16:00 hours); and 5 minutes (18:20 hours), 20 minutes (18:40 hours), and 40 minutes (19:00 hours) after competition. Psychometric instruments included the Profile of Mood States and self-reports of performance. Cortisol awakening responses did not differ between days of competition and control and were not related to performance on any day. However, a difference was observed in the concentration of cortisol before and after the contest between the competition and control days. Higher levels of cortisol before competition were associated with feelings of tension, anxiety, and hostility. The perceived demands of the day ahead might not produce the same magnitude of variation in the CAR in well-trained men. Explanations for this probably include better coping mechanisms and responses to the phase and time of competition.

This is the first report of Brachymeria pandora (Crawford) (Hymenoptera: Chalcididae)-parasitizing pupae of the eucalyptus defoliator Thyrinteina leucocerae (Rindge) (Lepidoptera: Geometridae) in Brazil.

Context: The first degree relatives of celiac patients represent a high risk group for the development of this disorder, so their screening may be crucial in the prevention of long-term complications., Objective: In order to determine the prevalence of celiac disease in a group of first degree relatives of children with proven gluten intolerance, we conducted a prospective study that consisted in the screening of celiac disease, using a capillary immunoassay rapid test that allows a qualitative detection of IgA antibody to human recombinant tissue transglutaminase (IgA-TTG)., Methods: When the screening test was positive subjects were advised to proceed with further investigation. The screening test was performed in 268 first degree relatives (143 mothers, 89 fathers, 36 siblings) corresponding to 163 children with celiac disease., Results: Screening test was positive in 12 relatives (4.5%), of which 1 refused to continue the investigation. In the remaining 11 relatives celiac disease was diagnosed in 7 cases (2.6%, 5 mothers, 2 fathers) who had a median age of 39 years (27-56 years), mild gastrointestinal symptoms, high titre of IgA-TTG and histology abnormalities confirming the diagnosis. All these patients are currently on a gluten-free diet., Conclusion: The prevalence of celiac disease among first degree relatives (2.6%) was 5 times higher than that in the general population. Although the recommendations for screening asymptomatic high risk groups, such as first degree relatives, are not unanimous the early diagnosis is crucial in preventing complications, including nutritional deficiency and cancer.

There have been few studies on Magellanic penguins (Spheniscus magellanicus). In 2008, these penguins washed ashore along the Brazilian coast in unusually high numbers, some reaching as far as northeast Brazil. As Magellanic penguins show little sexual dimorphism, sex determination by morphological features is not accurate. Here, we tested a molecular procedure for sexing specimens of S. magellanicus washed ashore along the coasts of Sergipe, Rio de Janeiro and Rio Grande do Sul in 2008, comparing the sex ratio between these localities. Tissue samples were collected from 135 dead, beached specimens. We carried out total genomic DNA extraction and CHD-Z/CHD-W gene amplification by PCR using P2 and P8 primers. Amplicons were separated by 12% acrylamide gel electrophoresis. We found a greater proportion of females (70%). Sex could be determined because females have two intronic regions of CHD gene of different size in the sex chromosomes, visualized as two bands on the gel (380 and 400 bp approximately), while males have only one (400 bp). Therefore, this method proved to be effective and sensitive for sex determination of S. magellanicus individuals. Data on sex ratios are useful for understanding the dynamics and ecology of Magellanic penguin populations.

Background: Although treatment of latent tuberculosis infection (LTBI) is an essential component of tuberculosis (TB) control in countries such as the United States, it is not widely practiced in most TB-endemic countries., Objective: To examine the practice of and adherence to LTBI treatment in a high-risk population in Brazil., Design: We followed household contacts (HHCs) of patients hospitalized with pulmonary TB in Salvador, Brazil, for 6 months after they initiated LTBI treatment with isoniazid (INH). HHCs were asked to return to the hospital once a month for 6 months for follow-up visits and INH refills., Results: Of 101 HHCs who initiated LTBI treatment, 54 (53.5%) completed the 6-month regimen. The risk of treatment non-completion was significantly higher in HHCs who reported side effects to INH (RR 2.69, 95%CI 1.3-5.8, P = 0.01), and in those who had to take two buses for a one-way trip to the hospital (RR 1.8, 95%CI 1.01-3.3, P = 0.04). Of the 101 HHCs, 29 (28.7%) did not return for any follow-up visits; these HHCs were significantly more likely to have a 2-bus commute to the hospital compared to HHCs who completed treatment (OR 20.69, 95%CI 2.1-208.4, P = 0.01)., Conclusion: Nearly 50% of HHCs at high risk for developing TB completed a 6-month course of LTBI treatment. Completion of LTBI treatment was most affected by medication intolerance and commuting difficulties for follow-up visits.

An evaluation was made of the clinical and hematological aspects of 115 dogs infected naturally by Hepatozoon sp. and treated at the Hospital School of the Faculty of Veterinary Medicine in Uberlândia, MG, Brazil. Of the 115 dogs for whom peripheral blood films were evaluated, 89 (77.39%) presented parasitemia by Hepatozoon sp. solely, while 26 (22.61%) had combination of Hepatozoon sp., Babesia sp. and Ehrlichia sp. Young male dogs less than a year old, of undefined breed (UB), were the most commonly affected. Thirty-nine (33.92%) of the dogs were asymptomatic while 76 (66.08%) presented varied clinical symptoms, the most frequent being anorexia, pulmonary alterations, hyperthermia, pale mucosae, apathy and/or prostration, and diarrhea. The majority of hematological alterations were normochromic-normocytic anemia, leukocytosis, neutrophilia, and nuclear deviation of neutrophils to the left (NDNL). The findings of this study confirm that Hepatozoon sp. causes clinical and hematological alterations of varied intensity, which, albeit not specific to canine hepatozoonosis, reinforce the notion that the discovery of the agent in dogs, even with low parasitemia, should be taken into consideration.

Guanabara Bay (GB) is considered to be one of the most polluted environments of the southern Brazilian coastline. This typical estuarine system is impacted by the heavy discharge of both industrial and domestic waste from the Rio de Janeiro metropolitan area. The mollusc community structure and distribution was investigated between 2000 and 2001, using a three month sampling design of 38 stations, according to austral seasons. Species abundance was aggregated into progressively higher taxa matrices (genus, family, order) and were analysed using multivariate techniques. Mollusc distribution in GB varied significantly in space and time and was probably ruled by the organic enrichment effects of hypoxia and altered redox conditions coupled with prevailing patterns of circulation. Within the sectors of GB an increasing gradient in mollusc diversity and occurrence was observed, ranging from the azoic and impoverished stations in the inner sector to a well-structured community in terms of species composition and abundance inhabiting the outer sector. The non-metric multidimensional scaling (nMDS) and cluster analysis showed similar results when species were aggregated into genera and families, while greater difference occurred at coarser taxonomic identification (order). The literature about taxonomic sufficiency has demonstrated that faunal patterns at different taxonomic levels tend to become similar with increased pollution. In Guanabara Bay, an analysis carried out solely at family level is perfectly adequate to describe the ecophysiological stress. Further aggregation to order level changed the perceived patterns of differences. However, a different taxonomic resolution can be chosen depending on the type of ecological patterns investigated.

The hymenopteran Partamona helleri is found in southwestern Brazil in the Mata Atlântica from the north of the state of Santa Catarina until the south of Bahia. This work shows that P. helleri can carry up to four B chromosomes per individual. In order to obtain more information about P. helleri B chromosomes, the RAPD technique was used to detect DNA fragments associated with these chromosomes. The results showed that the RAPD technique is useful to detect specific sequences associated with B chromosomes. One RAPD marker was identified, cloned and used as probe in a DNA blot analysis. This RAPD marker hybridized with sequences present only in individuals containing B chromosomes., (Copyright 2004 S. Karger AG, Basel)

The objective of this study was to appraise the occurrence of parasitoids of the family Chalcididae in Itumbiara County, State of Goiás, central Brazil. Insect samples were collected in pastures and native forest areas using pan traps, from January to December 1998. The traps consisted of circular yellow plastic containers (30 cm in diameter and 12 cm in height) containing a mixture of 2 L of water, 2 ml of detergent, and 2 ml of formaldehyde. Samplings were performed weekly by placing 10 traps at soil level (5 traps in the pasture and 5 in the woods). During 1998, 121 specimens of Chalcididae were collected. Haltichella sp.4 was the most abundant species collected (15.7%).

Background: Current guidelines for antiretroviral (ARV) therapy recommend at least triple-drug combination, the so-called highly active antiretroviral therapy (HAART). Not all patients respond to HAART and the development of drug resistance remains one of the most serious obstacles to sustained suppression of HIV., Objective: In an attempt to correlate the HIV therapeutic failure with reverse transcriptase (RT) and protease resistance mutations, we describe the ARV resistance profile in patients failing HAART in Brazil. We studied 267 Brazilian HIV-1 infected patients failing HAART looking for mutations in RT and protease genes. The mutation profile of the viruses infecting these individuals were deduced and correlated to laboratorial parameters., Study Design: Two different HIV-1 genomic regions were targeted for PCR amplification, the protease (pro) and pol RT (palm finger region) genes. The mutations related to drug resistance in RT gene was analyzed using a line probe assay (LIPA(R)) and pro amino acids positions 82 and 90 were screened through RFLP using HincII restriction digestion., Results: There was strong correlation between the mutation in the pro and RT genes and therapeutic failure. The main mutation found in RT gene was the M184V (48%) followed by T69D/N (47%), T215Y/F (46%), M41L (39%), and L74V (7%). In the pro gene the main mutation found was L90M (26%) followed by dual substitution in L90M and V82A (6%). All mutations profiles matched very well with the patients drug regimen., Conclusions: This study has shown that 84.7% of HIV infected subjects failing HAART for more than 3 months presented viral genomic mutations associated with drug resistance.

This study aims at learning about and identifying the causes leading to maternal death. Data were obtained from the Ribeirão Preto Committee for Studies and Prevention of Maternal Death and from obituaries. It is an exploratory study in which 72 maternal deaths occurring in Ribeirão Preto were analyzed from 1991 to 1995. In 1995, the maternal death rate was 60.3 in 100,000 births, with the predominance of avoidable causes, such as hemorrhage (33.3%), other causes (26.4%), hypertension (15.3%), abortion (11.1%), infection (8.3%) and puerperium (5.6%). Maternal death is a public health problem which must be faced by government authorities.

HIV-1 serotype B-Br (GWGR) is rare in the United States but predominates in Brazil. Differences in prognosis for patients infected with serotype B-Br or serotype B (GPGR) have not been addressed previously. In this prospective cohort study, we compared the rate of disease progression between patients infected with the HIV-1 V3 serotype B or B-Br in Brazil. Progression to AIDS or death was studied by the Kaplan-Meier and Cox proportional hazard methods. Among 445 HIV-infected patients who were tested with a specific enzyme immune assay, 204 (46%) had serotype B-Br infection and 127 (28%) had serotype B infection. Both groups were similar with regard to baseline CD4+ cell count, serum HIV RNA viral load, initial clinical stage, and the proportions who were treated with antiretroviral drugs. Patients with serotype B infection were significantly younger (p = 0.005) and tended to report homosexual behavior more frequently (p = 0.08). Mean follow-up was 30 +/- 13.5 months. During the study period, 41 (32%) patients infected with serotype B and 44 (22%) infected with serotype B-Br developed AIDS (p = 0.03). In a regression model adjusted for age and risk factor for HIV infection, progression to AIDS was faster in patients infected with serotype B (hazard ratio [HR] 1.59; 95% CI, 1.03-2.43; p = 0.03). A similar trend was observed in a model that considered AIDS or death as the outcome (HR, 1.43; 95% CI, 0.95-2.0; p = 0.09). These results suggest that patients infected with closely related HIV-1 serotypes may differ in the rate of progression to AIDS and indicate that serotype should be taken into account in HIV vaccine studies in Brazil.

This study had the purpose to identify the positive and negative aspects of pre natal care at the public health system of the city of Ribeirão Preto-SP, considering users and health professionals' opinions. Authors used a qualitative approach and found some improvements regarding pre-natal care such as: the proximity of the Health Unit, the improvement of physical and human resources structures and the opening of places for the obstetrics unit. Despite these positive aspects, authors were unable to find a hospital reference at the different levels of the Unified Health System. Results also showed a lack of articulation among prenatal, birth and puerperium periods.

Immunization coverage was evaluated in all 12-23 month-old children living in the area were five years before a Primary Care Practice had been set up. All children were investigated through home visits, checking of the immunization chart and relying on mothers' information. In 1986, a baseline study had identified an immunization coverage of under 60% for each of the scheduled vaccines. The current study confirmed that coverage was of 87% for three doses of DTP, 89% for Sabin, 88% for one dose of measles vaccine and 79% for BCG. Despite the high coverage achieved for each specific vaccine, when the basic schedule for the first year was verified, it was observed that only 75% of the children had received the full scheme. Immunization coverage is uneven in different census tracts, being higher in the poorest and more remote areas, where seam the health was given extra attention. A comparison with the routine administrative evaluation of the immunization coverage showed that this underestimated the real coverage. Maternal immunization uptake was also evaluated (antitetanus vaccine during pregnancy) and only 49% of the women were found to be adequately protected. The information collected led to a reorganization of the whole immunization program in a 100% coverage.

In order to evaluate the validity of self-reported weight for use in obesity prevalence surveys, self-reported weight was compared to measured weight for 659 adults living in the Porto Alegre county, RS Brazil in 1986-87, both weights being obtained by a technician in the individual's home on the same visit. The mean difference between self-reported and measured weight was small (-0.06 +/- 3.16 kg; mean +/- standard deviation), and the correlation between reported and measured weight was high (r = 0.97). Sixty-two percent of participants reported their weight with an error of < 2 kg, 87% with an error of < 4 kg, and 95% with an error of < 6 kg. Underweight individuals overestimated their weight, while obese individuals underestimated theirs (p < 0.05). Men tended to overestimate their weight and women underestimate theirs, this difference between sexes being statistically significant (p = 0.04). The overall prevalence of underweight (body mass index < 20) by reported weight was 11%, by measured weight 13%; the overall prevalence of obesity (body mass index > or = 30) by reported weight was 10%, by measured weight 11%. Thus, the validity of reported weight is acceptable for surveys of the prevalence of ponderosity in similar settings.

The effectiveness of the Quality Control System (QCS) implemented by the Fundação de Assistência ao Escolar (FAE) for quality control of food products from different types and origins purchased by the National School-Feeding Programme (NSFP) in Pernambuco, Northeast Brazil, was evaluated. Physicochemical, microbiological, microscopical and organopetical analyses were performed in 4,860 food samples and the main causes of alterations were detected. Perishability was the characteristic used for distribution of food items into 3 main groups: A, B, and C. In accordance with 972 Quality Certificates between 1985 and 1988, 31.89 of the samples were rejected. The main reasons for rejection were innacuracies of net weight and drained weight and high moisture contents. Group B presented the smallest number of altered samples (27%); for Groups A and C these values were 33% and 44%, respectively. Our data lead to the conclusion that the QCS implemented by FAE is of paramount importance for an adequate quality control of foods provided to beneficiaries and for a good cost effectiveness of the school-feeding programme.