Ethnic Influence in Clinical and Functional Measures of Brazilian Patients with Spondyloarthritis

Objective. Spondyloarthritides (SpA) can present different disease spectra according to ethnic background. The Brazilian Registry of Spondyloarthritis (RBE) is a nationwide registry that comprises a large databank on clinical, functional, and treatment data on Brazilian patients with SpA. The aim of our study was to analyze the influence of ethnic background in SpA disease patterns in a large series of Brazilian patients. Methods. A common protocol of investigation was prospectively applied to 1318 SpA patients in 29 centers distributed through the main geographical regions in Brazil. The group comprised whites (65%), African Brazilians (31.3%), and people of mixed origins (3.7%). Clinical and demographic variables and various disease index scores were compiled. Ankylosing spondylitis (AS) was the most frequent disease in the group (65.1%); others were psoriatic arthritis (18.3%), undifferentiated SpA (6.8%), enteropathic arthritis (3.7%), and reactive arthritis (3.4%). Results. White patients were significantly associated with psoriasis (p = 0.002), positive HLA-B27 (p = 0.014), and use of corticosteroids (p < 0.0001). Hip involvement (p = 0.02), axial inflammatory pain (p = 0.04), and radiographic sacroiliitis (p = 0.025) were associated with African Brazilian descent. Sex distribution, family history, and presence of peripheral arthritis, uveitis, dactylitis, urethritis, and inflammatory bowel disease were similar in the 3 groups, as well as age at disease onset, time from first symptom until diagnosis, and use of anti-tumor necrosis factor-a agents (p > 0.05). Schober test and thoracic expansion were similar in the 3 groups, whereas African Brazilians had higher Maastricht Ankylasing Spondylitis Enthesitis Scores (p = 0.005) and decreased lateral lumbar flexion (p = 0.003), while whites had a higher occiput-to-wall distance (p = 0.02). African Brazilians reported a worse patient global assessment of disease (p = 0.011). Other index scores and prevalence of work incapacity were similar in the 3 groups, although African Brazilians had worse performance in the Ankylosing Spondylitis Quality of Life questionnaire (p < 0.001). Conclusion. Ethnic background is associated with distinct clinical aspects of SpA in Brazilian patients. African Brazilian patients with SpA have a poorer quality of life and report worse disease compared to whites, (First Release Nov 1 2011; J Rheumatol 2012;39:141-7; doi:10.3899/jrheum.110372)

Essays on the history of Brazilian dipterology: II. notices about Brazilian Diptera (17th century)

Essays on the history of Brazilian dipterology. II. Notices about Brazilian Diptera (17th century). Notices from the Brazilian Diptera from the 17th century come mainly from two foreign invasions occurred in Brazil, the first one by the French in Maranhão and the second by the Dutch in northeastern Brazil. This paper includes reports of Fathers Claude d'Abbeville and Yves d'Evreux and from Piso and Marcgrave, the last two presenting the first illustrations of Brazilian Diptera. The paper also includes reports of Friar Laureano de la Cruz, Father João de Sotto Mayor and Maurício de Heriarte.

Essays on the history of brazilian dipterology: III. Three remarkable notices from the 18th century, mainly related to myiasis-producing flies (Cochliomyia and Dermatobia)

This paper registers reports about dipterans made by three Portuguese who lived in Brazil during the 18th century. Luiz Gomes Ferreira, in his book "Erário mineral" ["Mineral revenue"], wrote curious passages related with myiasis-causing flies of the genus Cochliomyia. José Rodrigues de Mello registered, in Latin verses, the folklore for curing myiases caused by Cochliomyia hominivorax in cattle. Luiz dos Santos Vilhena, in the last of his twenty letters dealing with several aspects of life in Brazil, made reference to horseflies, human bot flies and mosquitos.

Jesus of Nazareth in the light of Jewish and Christian thought and history : a sunday lecture delivered January 10, 1926

by Samuel H. Goldenson

Brazilian Portuguese from thought to word,

Includes index.

A geographical history of mammals.

"Appendix. List of works and papers most frequently referred to in this volume": p. [383]-385.

History of Seneca County : containing a detailed narrative of the principal events that have occurred since its first settlement down to the present time ; a history of the Indians that formerly resided within its limits ; geographical descriptions, early customs, biographical sketches, &c., &c., with an introd., containing a brief history of the state, from the discovery of the Mississippi River down to the year 1817, to the whole of which is added an appendix, containing tabular views, &c. /

"Constitution of Ohio ... A.D. 1802": p. [191]-213.

The mediaeval mind; a history of the development of thought and emotion in the middle ages,

Mode of access: Internet.

The mediaeval mind : a history of the development of thought and emotion in the Middle Ages /

Mode of access: Internet.

Gregory the Great, his place in history and thought /

Includes bibliographical references (v. 1, p. viii-xv) and indexes.

A new and accurate history of South-America : containing a particular account of some accidents leading to the discovery of the New World, of the discovery made by Columbus, and other adventures ... : with a full description of the spanish provinces of Chili, Paraguay, and Terra Firma : of Guiana, particularly of Surinam ..., and of Cayenne belonging to the french : of Brazil, subject to the Crown of Portugal : of that part of Paraguay possessed by the Jesuits, where they have established a new monarchy ... : including the geographical, natural, political, and commercial history of every province, with the religion, manners, and customs of the inhabitants : with Dissertations on the british, spanish, portuguese, french, dutch, and indian settlements /

Sabin,

Arabic thought and its place in history /

Mode of access: Internet.

Outlines of history; illustrated by numberous geographical and historical notes and maps: embracing: Part I. Ancient history. Part II. Modern history.

Mode of access: Internet.