Clinical patterns and seasonal trends in respiratory syncytial virus hospitalizations in São Paulo, Brazil

The respiratory viruses are recognized as the most frequent lower respiratory tract pathogens for infants and young children in developed countries but less is known for developing populations. The authors conducted a prospective study to evaluate the occurrence, clinical patterns, and seasonal trends of viral infections among hospitalized children with lower respiratory tract disease (Group A). The presence of respiratory viruses in children's nasopharyngeal was assessed at admission in a pediatric ward. Cell cultures and immunofluorescence assays were used for viral identification. Complementary tests included blood and pleural cultures conducted for bacterial investigation. Clinical data and radiological exams were recorded at admission and throughout the hospitalization period. To better evaluate the results, a non- respiratory group of patients (Group B) was also constituted for comparison. Starting in February 1995, during a period of 18 months, 414 children were included- 239 in Group A and 175 in Group B. In Group A, 111 children (46.4%) had 114 viruses detected while only 5 children (2.9%) presented viruses in Group B. Respiratory Syncytial Virus was detected in 100 children from Group A (41.8%), Adenovirus in 11 (4.6%), Influenza A virus in 2 (0.8%), and Parainfluenza virus in one child (0.4%). In Group A, aerobic bacteria were found in 14 cases (5.8%). Respiratory Syncytial Virus was associated to other viruses and/or bacteria in six cases. There were two seasonal trends for Respiratory Syncytial Virus cases, which peaked in May and June. All children affected by the virus were younger than 3 years of age, mostly less than one year old. Episodic diffuse bronchial commitment and/or focal alveolar condensation were the clinical patterns more often associated to Respiratory Syncytial Virus cases. All children from Group A survived. In conclusion, it was observed that Respiratory Syncytial Virus was the most frequent pathogen found in hospitalized children admitted for severe respiratory diseases. Affected children were predominantly infants and boys presenting bronchiolitis and focal pneumonias. Similarly to what occurs in other subtropical regions, the virus outbreaks peak in the fall and their occurrence extends to the winter, which parallels an increase in hospital admissions due to respiratory diseases.

American cutaneous leishmaniasis: presentation and problems of patient management

We report our experience with the diagnosis and treatment of 60 patients with American cutaneous leishmaniasis. They were infected in Panama (55), Brazil (4) or Colombia (I). Among 35 patients with a 3 week exposure in Panama, the mean maximum incubation period was 33 days (range 4-81 days). Diagnosis was delayed an average of 93 days after onset of skin lesions, due to the patient's delay in seeking medical attention (31 days), medical personnel's delay in considering the diagnosis (45 days), and the laboratory's delay in confirming the diagnosis (17 days). Forty-four patients (73%) developed ulcers typical of cutaneous leishmaniasis. Sixteen additional patients (27%) had atypical macular, papular, squamous, verrucous or acneiform skin lesions that were diagnosed only because leishmanial cultures were obtained. Of the 59 patients treated with pentavalent antimonial drugs, only 34 (58%) were cured after the first course of treatment. Lesions which were at least 2 cm in diameter, ulcerated, or caused by Leishmania braziliensis were less likely to be cured after a single course of treatment than were lesions smaller than 2 cm, nonulcerated or caused by Leishmania mexicana or Leishmania donovani.

Avaliação da diversidade alfa de Passalidae (Coleoptera: Scarabaeoidea) na Amazônia Colombiana (Parque Nacional Natural La Paya, Putumayo)

Este trabalho apresenta um inventário da fauna de Passalidae da região sudeste do Parque Nacional Natural La Paya, sendo a primeira coleta deste grupo de insetos para o Estado colombiano de Putumayo. As coletas, de indivíduos adultos, foram feitas durante os dias 9 a 16 de fevereiro de 2008, em percursos livres, nos quais foram revisados 80 troncos em decomposição. A porcentagem de troncos colonizados por passalídeos foi de 40%, nos quais foram coletados 225 indivíduos pertencentes a duas tribos, quatro gêneros e 16 espécies, representando entre 73-96% da riqueza estimada por curvas de acumulação de espécies. A tribo com maior riqueza foi Passalini, enquanto o gênero com maior diversidade foi Passalus Fabricius, 1792 com 12 espécies. A diversidade local do grupo estudado é alta, em comparação a outros registros obtidos na região neotropical.

Initial experience in Brazil with the Helex septal occluder for percutaneous occlusion of atrial septal defects

OBJECTIVE: To evaluate the initial clinical experience with the Helex septal occluder for percutaneous closure of atrial septal defects. METHODS: Ten patients underwent the procedure, 7 patients with ostium secundum atrial septal defects (ASD) with hemodynamic repercussions and 3 patients with pervious foramen ovale (PFO) and a history of stroke. Mean age was 33.8 years and mean weight was 55.4 kg. Mean diameter by transesophageal echocardiography and mean stretched ASD diameter were 11.33 ± 3.3mm, and 15.2 ± 3.8mm, respectively. The Qp/Qs ratio was 1.9 ± 0.3 in patients with ASD. RESULTS: Eleven occluders were placed because a patient with 2 holes needed 2 devices. It was necessary to retrieve and replace 4 devices in 3 patients. We observed immediate residual shunt (< 2mm) in 4 patients with ASD, and in those with patent foramen ovale total occlusion of the defect occurred. No complications were noted, and all patients were discharged on the following day. After 1 month, 2 patients with ASD experienced trivial residual shunts (1mm). In 1 patient, we observed mild prolapse in the proximal disk in the right atrium, without consequences. CONCLUSION: The Helex septal occluder was safe and effective for occluding small to moderate atrial septal defects. Because the implantation technique is demanding, it requires specific training of the operator. Even so, small technical failures may occur in the beginning of the learning curve, but they do not involve patient safety.

Immune Dysfunction and the Pathogenesis of AIDS-associated non-Hodgkin's Lymphoma

Much has been learned about how HIV-induced immune dysfunction contributes to B cell hyperactivation, and potentially, to the pathogenesis of AIDS-lymphoma. However, further studies are needed to fully understand how HIV infection and immune dysfunction promote B cell hyperactivation and the development/growth of AIDS-lymphoma. In particular, studies are needed to define the role of HHV8 vIL6, IL6 receptor-expression, and lymphocyte surface stimulatory molecules, in promoting B cell hyperactivation or lymphoma cell growth.

Uso de opalas biogênicas na identificação de sedimentos lacustres e marinhos

Procurou-se utilizar opalas biogênicas, também conhecidas como espículas ou "pó-de-mico", como identificadoras de sedimentos lacustres ou marinhos. Para isso, analisaram-se camadas e horizontes de um Gleissolo Tiomórfico Húmico na região do rio Riacho, Aracruz, ES. Cada amostra de solo foi submetida a tratamentos específicos para o isolamento das espículas; posteriormente, elas foram identificadas em microscópico eletrônico de varredura. Verificou-se a presença de espículas de origem tanto lacustre como marinha e que estas, além de serem úteis na identificação da origem dos sedimentos, podem propiciar, pela sua forma, as condições geoquímicas do ambiente e a distância de transporte dos sedimentos.

Volatilização de amônia em solos alagados influenciada pela forma de aplicação de ureia

A volatilização de amônia (NH3) e a nitrificação seguida pela desnitrificação são os principais mecanismos de perdas de N nos solos alagados destinados ao cultivo do arroz. Se os fertilizantes nitrogenados não forem manejados adequadamente, os índices de recuperação de N pelas plantas serão muito baixos. O objetivo deste trabalho foi quantificar a volatilização de amônia em solos alagados influenciada pela forma de aplicação de ureia, em casa de vegetação. Foram conduzidos dois experimentos, sendo um em Cambissolo (Thermic Vertic Haplaquepts), no Estado do Mississippi, EUA, e outro em Gleissolo (Entisol Aeric Typic), em Santa Catarina, Brasil. A captação de amônia foi realizada por esponjas acidificadas, colocadas dentro de tubos de PVC (15 cm de diâmetro e 60 cm de altura) encravados dentro de baldes com 15 cm de espessura de solo, sem a presença de plantas. Em cada vaso, foram aplicados 353 mg de N, equivalente a 200 kg ha-1 de N, nas seguintes formas: ureia sólida aplicada sobre a superfície do solo úmido, sem alagamento posterior; ureia solubilizada em água deionizada e aplicada sobre a lâmina de água de alagamento; ureia sólida aplicada sobre a lâmina de água de alagamento; ureia incorporada na lama, seguida de alagamento; ureia aplicada sobre solo seco, seguida de alagamento 48 h depois; e uma testemunha alagada (sem N). As esponjas captadoras de amônia foram trocadas ao serem completados 1, 3, 6, 9, 13, 17 e 22 dias de alagamento, e nelas determinou-se a quantidade de amônia volatilizada. Na água de alagamento do solo, determinaram-se o pH e a concentração de amônio. A emissão de amônia variou com a forma de aplicação da ureia, e o comportamento foi similar nos dois solos. A volatilização de amônia na testemunha foi insignificante. Nos tratamentos com ureia, as menores perdas ocorreram quando ela foi incorporada na lama (com posterior alagamento) seguida pela aplicação em solo seco com alagamento 48 h após, tendo atingido, respectivamente, 4 e 15 % do N aplicado no Cambissolo (CXbe) e 6 e 10 % no Gleissolo (GXbd). As maiores perdas ocorreram quando a ureia foi aplicada na lâmina de água, tanto na forma líquida (34 % no CXbe e 38 % no GXbd) quanto na sólida (29 % no CXbe e 37 % no GXbd), seguida pela ureia aplicada em solo úmido, sem alagamento (26 % no CXbe e 22 % no GXbd). A fim de evitar excessiva volatilização de amônia em solos cultivados com arroz no sistema inundado, a ureia deve ser aplicada na lama ou em condições de solo seco e, em ambos os casos, seguida de alagamento imediato.

Polyethylene glycol and polyvinylpirrolidone effect on bacterial rRNA extraction and hybridization from cells exposed to tannins

In order to detect fluctuations in ruminal microbial populations due to forage tannins using 16S ribosomal RNA (rRNA) probes, recovery of intact rRNA is required. The objective of this work was to evaluate the effect of polyethylene glycol (PEG) and polyvinylpirrolidone (PVP) on extraction of bacterial rRNA, in the presence of tannins from tropical legume forages and other sources, that hybridize with oligonucleotide probes. Ruminococcus albus 8 cells were exposed to 8 g/L tannic acid or 1 g/L condensed tannins extracted from Acacia angustissima, banana (Musa sp.) skin, Desmodium ovalifolium, red grape (Vitis vinifera) skin and Inga edulis, or no tannins. Cells were rinsed with Tris buffer pH 7 containing either 8% PEG or 6% PVP prior to cell lysis. Total RNA samples rinsed with either PEG or PVP migrated through denaturing agarose gels. The 16S rRNA bands successfully hybridized with a R. albus species-specific oligonucleotide probe, regardless of tannin source. The effect of rinsing buffers on the density of 16S rRNA bands, as well as on the hybridization signals was compared. There were significant effects (P<0.01) when the controls were compared to either buffer treatments due to tannin type, buffer used and the interaction of tannin type and buffer. The significant interaction indicates the influence of tannin type on the parameters evaluated.

Citrus root distribution under water stress grown in sandy soil of central Florida

The experiment was conducted in an orchard located in University of Florida (Citrus Research and Education Center), Lake Alfred, Polk County, Florida, USA. The objective of this study was to evaluate the effects of water stress in root distribution of 'Valencia' orange tree on 'Swingle' citrumelo rootstock. Three treatments were imposed on the trees: 1) normal irrigation with microsprinklers, 2) no irrigation in winter (November through mid-March) and 3) rainfall exclusion by placing a water repelling fabric (Tyvek) under the trees. Trees in treatments 1 and 2 received normal rainfall during the winter, but treatment 3 received no rain. Normal irrigation was resumed on all treatments in mid March. Soil was collected using root auger head (0.09 m diameter and height 0.25 m) in two opposing quadrants (West and East at 3 horizontal distances from tree trunk (1, 2 and 3 m) and 4 depths (0.0-0.15; 0.15-0.30; 0.30-0.60 and 0.60-0.90 m). The results from root sampling showed that there was a significant difference in root distribution between irrigated treatment and non irrigated/non rainfall.