Evaluation of cases of pemphigus vulgaris and pemphigus foliaceus from a reference service in Pará state, Brazil

BACKGROUND: Pemphigusis a bullous, rare and chronic autoimmune disease. There are two major forms of pemphigus: vulgaris and foliaceus. Epidemiological data and clinical outcome in patients diagnosed in the Brazilian Amazon states are still rare. OBJECTIVES: To study the occurrence of the disease during the study period and analyze the epidemiological profile of patients, the most common subtype of pemphigus, and the clinical evolution of patients. METHODS: Retrospective analysis of medical records of hospitalized patients with pemphigus foliaceus and pemphigus vulgaris in the period from 2003 to 2010 in Dermatology Service of Hospital Fundação Santa Casa de Misericórdia do Pará, Belém, Northern Brazil. RESULTS: We found a total of 20 cases of pemphigus during the study period, 8 of which were of foliaceus pemphigus and 12 of vulgaris pemphigus. Pemphigus foliaceus had the predominance of male patients (75%), showed satisfactory clinical evolution, and was characterized by absence of pediatric cases. Pemphigus vulgaris affected more women (66.7%), showed mean hospital stay of 1 to 3 months (50%), and there were three cases of death (25%). The prescribed immunosuppressive drugs included prednisone with or without combination of azathioprine and/or dapsone. Sepsis was associated with 100% of the deaths. CONCLUSIONS: The occurrence of the disease is rare, there are no familiar/endemic outbreaks in the sample. Evolution is usually favorable, but secondary infection is associated with worse prognosis. The choice of best drugs to treat pemphigus remains controversial.

Genetic variation in native and farmed populations of Tambaqui (Colossoma macropomum) in the Brazilian Amazon: regional discrepancies in farming systems

O tambaqui, Colossoma macropomum, é a espécie de peixes mais popularmente usada para a aquicultura no Brasil, mas não há nenhum estudo comparando a variação genética entre as populações nativas e de cultivo desta espécie. No presente estudo foram analisadas sequências de DNA mitocondrial para avaliar a diversidade genética entre duas populações selvagens, um plantel de produção de alevinos, e uma amostra de estoques de piscicultura, todos da região de Santarém, no oeste do estado do Pará. Níveis similares de diversidade genética foram encontrados em todas as amostras e, surpreendentemente, o plantel mostrou expressiva representação da diversidade genética registrada em populações selvagens. Estes resultados contrastam consideravelmente com os do estudo anterior de estoques cultivados nos estados do Amapá, Pará, Piauí, Rondônia, que registrou apenas dois haplótipos, indicando uma longa história de endogamia nas matrizes utilizadas para a produção de alevinos. Os resultados dos dois estudos mostram dois cenários distintos de aquicultura do tambaqui na Amazônia, que devem ser melhor avaliados, a fim de garantir o sucesso da expansão da atividade na região, e no resto do Brasil, já que o tambaqui e seus híbridos agora são cultivados em todo o país.

A socio-environmental development programme in action in Brazilian Amazonia

This paper deals with the process of scaling up and scaling down grassroots demands through a state-sponsored socio-environmental development programme in Brazilian Amazonia called Proambiente (Pro-environment). The paper attempts to understand the links between the three different levels of the programme actions: the macro (federal government), intermediate (NGOs), and local (community) levels. The central paper s issue is to understand how a state-sponsored socio-environmental development programme interacts with and impacts local communities. The theoretical paper s framework involves the approaches of participatory development and governance. The methodology is based on three levels of qualitative analysis (macro-, intermediary- and local-level). The paper (a) describes the trajectory of the Proambiente and the process of scaling up communities demands; (b) reveals contradictions within the Proambiente implementation; and (c) debates the impacts of the programme actions at local level. The paper reveals that once the state encompasses local people s demands and creates a development programme, the development model absorbs multi-actor interests that change local people s proposals. It also shows that the challenge facing a socio-environmental development programme like the Proambiente is to find a balance between production and conservation aims.

Spatio-temporal distribution of fish larvae in relation to ontogeny and water quality in the oligohaline zone of a North Brazilian estuary

O padrão de distribuição das larvas de peixes na Baía do Guajará foi estudado através de coletas trimestrais e discutido em relação aos estágios de desenvolvimento dos indivíduos e a exposição dos mesmos aos contaminantes despejados pela Capital do Estado do Pará, Belém. A densidade e a diversidade larval foram baixas com forte dominância dos clupeídeos, engraulídeos e, em menor grau, os cianídeos. O principal período de reprodução foi definido no início do período chuvoso. Larvas de Clupeiformes em pré-flexão e flexão foram encontradas nos pontos de coletas mais afastados da cidade, enquanto aquelas em pós-flexão prevaleceram nas margens da cidade. Por outro lado, os cianídeos em pré-flexão e flexão foram capturados perto dos centros de atividade urbana, enquando aqueles em pós-flexão foram pouco abundantes. É sugerido que a baía se encontra na rota migratória dos cianídeos entre a área de desova e os berçários mais distantes. Apesar das águas no entorno da cidade de Belém mostraram sinais de contaminação, a qualidade ambiental na Baía do Guajará no momento do estudo estava apropriada para a vida das larvas de peixes. Nitrato com pH foram as variáveis que melhor explicaram a distribuição larval.

Prevalence of hereditary risk factors for thrombophilia in Belém, Brazilian Amazon

Different risk factors for venous thromboembolism (VTE) have been identified, including hereditary abnormalities in the mechanisms of coagulation and fibrinolysis. We investigated five genetic polymorphisms (FVL G1691A, FII G20210A, MTHFR C677T, TAFI A152G and TAFI T1053C) associated with VTE in individuals from the city of Belém in the Brazilian Amazon who had no history of VTE. No significant difference was found between the observed and expected genotype frequencies for the loci analyzed. We found high frequencies of MTHFR C677T (33.9%) and TAFI T1053C (74%) and low frequencies of FVL (1.6%), FII G20210A (0.8%) and TAFI A152G (0.8%). The FVL G1691A, FII G20210A and MTHFR C677T frequencies were similar to those for European populations and populations of European descent living in the city of Ribeirão Preto in the Brazilian state of São Paulo. The frequency of the two TAFI mutations in the Belém individuals was not significantly different from that described for individuals from Ribeirão Preto. We suggest that the risks for VTE in the population of Belém are of the same magnitude as that observed in European populations and in populations with an expressive European contribution.

Collecting and evaluation of germplasm of spiked pepper from Brazilian Amazon

Piper aduncum L. é uma planta que ocorre na Amazônia Brasileira com elevado teor de óleo essencial e que apresenta propriedades biológicas utilizáveis na agricultura e saúde humana. Com o objetivo de avaliar germoplasma visando ao melhoramento genético e cultivo econômico, realizaram-se coletas (inflorescências, estacas, folhas e ramos finos) em dez municípios da Amazônia Brasileira (Manaus, Marabá, Goianésia, Moju, Belém, Santa Izabel, Americano, Bonito, Santarém Novo e Aveiro). Tomaram-se dados do ambiente, populações e de doze caracteres morfoagronômicos (número de folhas por ramo, comprimento da folha, largura da folha, circunferência do ramo mais velho, altura da planta, número de ramos ortotrópicos, número de ramos plagiotrópicos, comprimento do entrenó, número de espigas por ramo, rendimento de óleo, teor e produção de dilapiol). As inflorescências e estacas foram identificadas e encaminhadas para a UFRA em Belém-PA e, as folhas e ramos finos, para o Museu Paraense Emílio Goeldi-MPEG, para extração do óleo essencial (hidrodestilação). Utilizaram-se estimadores de média, desvio padrão, coeficiente de variação e amplitude total para estudo da variabilidade fenotípica. As matrizes prevalenceram em ambientes antropizados, solos argilosos, condições de drenagem variáveis, terrenos planos e clima Ami, como também predominaram populações definíveis pela agregação dos indivíduos, em terra alta e a pleno sol, serrapilheira, tamanho das populações e presença de plântulas no chão muito variáveis. Os caracteres de maior variabilidade foram número de ramos ortotrópicos, número de espigas por ramo, circunferência do ramo mais velho (morfológicos), teor e produção de dilapiol (agronômicos). Concluiu-se que a espécie apresenta adaptação a diferentes ambientes com relação à vegetação, solo, clima, relevo e drenagem, facilitando o cultivo e domesticação. Há variabilidade morfoagronômica favorecendo a seleção e fitomelhoramento.

Population structure and relative growth of the Amazon shrimp Macrobrachium amazonicum (Heller, 1862) (Decapoda: Palaemonidae) on two islands in the fluvial-estuarine plain of the Brazilian Amazon

This study aimed to describe the population structure of the Amazon shrimp Macrobrachium amazonicum, as well as their relative growth between the length of the cephalothorax and the total length, and between the length of the cephalothorax and the total mass of shrimps of a fluvial-estuarine plain in the State of Pará. Shrimps were sampled monthly from August 2006 to July 2007, using trawl nets, taking three replicates at each site (Arapiranga and Mosqueiro) per month, totaling 72 replicates. We caught 5,510 specimens, being 90.90% from Arapiranga Island and 9.1% from Mosqueiro Island. The highest densities occurred in July (1.33 individuals/m²), at the beginning of the dry season and in December (1.66 individuals/m²), at the beginning of the rainy season. The morphometric analysis for separate and grouped sexes resulted in negative and positive allometric growth. Ovigerous females were observed in all months, indicating continuous reproduction and the majority (67.81%) was caught during the less rainy season. The abundance and continuous reproduction of M. amazonicum show that this estuary offers conditions for the proper development of this population.

Ordering of representational level adverbial modifiers in spoken Brazilian Portuguese

Supported by the Functional Discourse Grammar theoretical model, as proposed by Hengeveld (2005), this paper aims to show that the order of modifiers of the Representational Level in spoken Brazilian Portuguese is determined by scope relations according to the layers of property, state-of-affairs and propositional content. This kind of distribution indicates that, far from being free-ordered as suggested by traditional grammarians, modifiers have a preferred position determined by semantic relations that may be only changed for pragmatic and structural reasons.

Novas estratégias sindicais: a experiência das redes internacionais

O atual c ontexto internacional é reflexo de uma transformaçãosignificativa na ordem mundial baseada cada vez mais nas interações comerciaise financeiras condicionantes dos interesses e estratégias de ação dos países,fenômeno este identificado com o conceito de globalização. Esta nova realidadeimplicou adequações e mudanças nos comportamentos de alguns grupos e atoressociais brasileiros – como o movimento sindical – à medida que o Estado-naçãoperde capacidade de controlar a atuação empresarial neste novo contexto e,consequentemente, teve alterado o seu papel, ganhando um perfil supervisor emdetrimento de sua função de regulamentador. Neste artigo, discutimos como algumasorganizações sindicais brasileiras estão reagindo perante esta nova realidade e quetipo de iniciativas estão sendo tomadas a fim de fortalecer sua posição neste mundoglobalizado.

Possible adverse drug events leading to hospital admission in a Brazilian teaching hospital

OBJECTIVES: Drug safety problems can lead to hospital admission. In Brazil, the prevalence of hospitalization due to adverse drug events is unknown. This study aims to estimate the prevalence of hospitalization due to adverse drug events and to identify the drugs, the adverse drug events, and the risk factors associated with hospital admissions. METHOD: A cross-sectional study was performed in the internal medicine ward of a teaching hospital in São Paulo State, Brazil, from August to December 2008. All patients aged ≥18 years with a length of stay ≥24 hours were interviewed about the drugs used prior to hospital admission and their symptoms/complaints/causes of hospitalization. RESULTS: In total, 248 patients were considered eligible. The prevalence of hospitalization due to potential adverse drug events in the ward was 46.4%. Overprescribed drugs and those indicated for prophylactic treatments were frequently associated with possible adverse drug events. Frequently reported symptoms were breathlessness (15.2%), fatigue (12.3%), and chest pain (9.0%). Polypharmacy was a risk factor for the occurrence of possible adverse drug events. CONCLUSION: Possible adverse drug events led to hospitalization in a high-complexity hospital, mainly in polymedicated patients. The clinical outcomes of adverse drug events are nonspecific, which delays treatment, hinders causality analysis, and contributes to the underreporting of cases.

Prevalence of Diabetes and Diabetic Retinopathy in a Brazilian Population

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Serological investigation of rabies virus neutralizing antibodies in bats captured in the eastern Brazilian Amazon

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

A continuous multi-millennial record of surficial bivalve mollusk shells from the Sao Paulo Bight, Brazilian shelf

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Environmental fragility evaluation and guidelines for environmental zoning: a study case on Ibiuna (the Southeastern Brazilian region)

Environmental fragility models are important decision tools for policy makers as they help quantify environmental sensitivity and understand the relationship between human activities and environmental quality. The objective of this study was to evaluate three different environmental fragility models within the Brazilian rainforest region and to use the results to develop environmental zone classes. Two rural river basins located in Ibiuna, Sao Paulo state, Brazil, were studied. Input variables, including slope class, relief dissection rate, soil class, lithology, land cover, and climate data, were used to compute environmental fragility classes using three standard models. The model outputs were evaluated on their ability to accurately predict the most sensitive and least sensitive areas. The best models for each region were used to derive environmental zoning maps, including restoration priorities, best regions for agriculture, and areas with high needs for soil management. These maps will help support land use strategies for environmental restoration. This study provides insight into territorial ordering and management of environmental services with a regional perspective.

Maintenance of Manioc Diversity by Traditional Farmers in the State of Mato Grosso, Brazil: A 20-Year Comparison

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)