Leishmania infection and host-blood feeding preferences of phlebotomine sandflies and canine leishmaniasis in an endemic European area, the Algarve Region in Portugal

The Algarve Region (AR) in southern Portugal, which is an international tourist destination, has been considered an endemic region of zoonotic leishmaniasis caused by Leishmania infantum since the 1980s. In the present study, phlebotomine and canine surveys were conducted to identify sandfly blood meal sources and to update the occurrence of Leishmania infection in vectors and dogs. Four sandfly species were captured: Phlebotomus perniciosus, Phlebotomus ariasi, Phlebotomus sergenti and Sergentomyia minuta. In one P. perniciosus female, L. infantum DNA was detected. Blood meal tests showed that this species had no host preferences and was an opportunistic feeder. An overall canine leishmaniasis (CanL) seroprevalence of 16.06% was found; the seroprevalence was 3.88% in dogs housed in kennels and 40.63% in dogs that attended veterinary clinics. The simultaneous occurrence of dogs and P. perniciosus infected with L. infantum in the AR indicates that the region continues to be an endemic area for CanL. Our results reinforce the need for the systematic spatial distribution of phlebotomine populations and their Leishmania infection rates and the need to simultaneously perform pathogen monitoring in both invertebrate and vertebrate hosts to investigate the transmission, distribution and spreading of Leishmania infection.

Phenols, flavonoids and antioxidant activity of aqueous and methanolic extracts of propolis (Apis mellifera L.) from Algarve, South Portugal

Propolis is a resinous substance collected by honeybees to seal honeycomb, which has been used in folk medicine due to its antimicrobial and antioxidant properties. In the present study, water and methanol were used to extract phenols and flavonoids from propolis collected in thirteen different areas in the Algarve region during the winter and spring. The ABTS•+, DPPH•, and O2•- scavenging capacity, and metal chelating activity were also evaluated in the propolis samples. Methanol was more effective than water in extracting total phenols (2.93-8.76 mg/mL) (0.93-2.81 mg/mL). Flavones and flavonols were also better extracted with methanol (1.28-2.76 mg/mL) than with water (0.031-0.019 mg/mL). The free radical scavenging activity, ABTS (IC50=0.006-0.036 mg/mL), DPPH (IC50=0.007-0.069 mg/mL) and superoxide (IC50=0.001-0.053 mg/mL), of the samples was also higher in methanolic extracts. The capacity for chelating metal ions was higher in aqueous extracts (41.11-82.35%) than in the methanolic ones (4.33-29.68%). Propolis from three locations of Algarve region were richer in phenols and had better capacity for scavenging free ABTS and DPPH radicals than the remaining samples. These places are part of a specific zone of Algarve known as Barrocal.

Melhoria da proteção radiológica mediante um ciclo de avaliação interna da qualidade

OBJETIVO: Determinar o nível de qualidade da proteção radiológica para os pacientes durante a realização de exames radiológicos e avaliar a efetividade de uma intervenção dirigida a melhorar a qualidade. MATERIAIS E MÉTODOS: Realizou-se um ciclo de melhoria em um serviço de radiologia da Administração Geral de Saúde do Algarve, Portugal. Utilizando seis critérios de qualidade, foram efetivadas uma avaliação, uma intervenção focada nos critérios mais problemáticos (durante oito meses) e uma reavaliação. As amostras foram aleatórias (n = 60), possibilitando a inferência sobre as estimativas pontuais e intervalos de confiança do cumprimento de cada critério, assim como o cálculo da significância estatística da melhoria identificada, através do teste Z. RESULTADOS: Na avaliação inicial, todos os critérios de qualidade apresentaram falhas. Após a intervenção, a melhoria relativa mínima foi de 33% em cinco dos seis critérios, sendo significativa (p < 0,05) em dois deles. A frequência absoluta de não conformidades diminuiu de 38 (primeira avaliação) para 21 (segunda avaliação), que corresponde a uma melhoria de 44,7%. CONCLUSÃO: O início do ciclo de avaliação institucional revelou uma margem de melhoria que antes parecia incipiente, porém, a intervenção implementada foi efetiva para estimular boas práticas e aumentar o nível de proteção radiológica para os pacientes.