Exfoliative cytology of the oral mucosa in type II diabetic patients: morphology and cytomorphometry

Background: In recent years, important advances have occurred in the determination of diagnostic criteria for the disease diabetes mellitus and in new strategies for its treatment. The purpose of this research was to develop a new method for diabetes diagnosis by microscopic and cytomorphometric analyses of the oral epithelium. Methods: the smears were obtained from three distinct oral sites: buccal mucosa (cheek), tongue dorsum, and floor of the mouth in 10 control individuals and 10 type II diabetic patients. The oral smears were stained with Papanicolaou EA-36 solution. The nuclear (NA) and cytoplasmic (CA) areas were evaluated from 50 integral cells predominant in each oral site by the use of the KS 300(TM) image analysis system (Carl Zeiss, Germany), by which the cytoplasmic/nuclear ratio (C/N) was calculated. Results: the results showed that: (i) the epithelial cells of the diabetic group exhibited figures of binucleation and occasional karyorrhexis in all layers; (ii) the NA was markedly higher (P<0.05) in the diabetic group; (iii) the CA did not exhibit a statistically significant difference (P>0.05) between these two groups; and (iv) the C/N mean was 37.4% lower in the type II diabetic group. Conclusions: These results associated with clinical observations suggest that diabetes mellitus can produce alterations in oral epithelial cells, detectable by microscopy and cytomorphometry, which can be used in the diagnosis of this disease.

Epidemiology of the Cnidarian Physalia physalis stings attended at a health care center in beaches of Adicora, Venezuela

Stings caused by jellyfish and jellyfish-like colonies are common all around the world, with serious manifestations and occasional deaths reported in some countries. Between December 2006 and 2007, epidemiological, clinical and treatment aspects of stings caused by the Portuguese man-of-war (Physalia physalis) in 59 patients consulting the ambulatory emergency in Adicora, Falcon State, Venezuela, were studied. Most of the stings occurred in males (59%) preschool and school-aged children (49%), visitors from other areas of the country (92%) during holidays when bathing or diving at the beach (97%). Injuries presented linear erythematous plaques at the point of contact with the animal, located in several anatomical sites. Most clinical manifestations observed were: intense burning pain, urticaria, erythema and inflammation (100%), as well dyspnea with laryngeal edema and fever (19%). Patients were treated with topical drugs, including antihistamine and antipyretic drugs, but also with systemic hydrocortisone. P. physalis stings in Adicora appeared to have a seasonal pattern, with systemic complications potentially life-threatening. Thus, epidemiological surveillance program is recommended, particularly in travelers. (C) 2012 Elsevier Ltd. All rights reserved.

Biogeography of common dolphins (genus Delphinus) in the Southwestern Atlantic Ocean

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Hunting and use of terrestrial fauna used by Caicaras from the Atlantic Forest coast (Brazil)

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

Peripheral giant cell granuloma. An immunohistochemical and ultrastructural study.

OBJECTIVE: To study the nature of multinucleated and mononuclear cells from peripheral giant cell granuloma (PGCG). MATERIALS AND METHODS: Formalin-fixed, paraffin-embedded sections of 40 cases of PGCG were immunohistochemically stained for vimentin, alpha I-antichymotrypsin, CD68, S-100 protein, lysozyme, leucocyte common antigen (LCA), factor VIII-related antigen and muscle cell actin. Six cases of PGCG were also studied by transmission electron microscopy. RESULTS: Vimentin, alpha I-antichymotrypsin and CD68 were expressed in both the mononuclear and multinucleated giant cells. Dendritic mononuclear cells, positive for S-100 protein, were noted in 67.5% of the lesions, whereas lysozyme and leucocyte common antigen were detected in occasional mononuclear cells. Ultrastructural examination showed mononuclear cells with signs of phagocytosis and sometimes interdigitations with similar cells. Others presented non-specific characteristics and the third type exhibited cytoplasmic processes and occasional Birbeck granules. Some multinucleated giant cells showed oval nuclei, abundant mitochondria and granular endoplasmic reticulum whereas others presented with irregular nuclei and a great number of cytoplasmic vacuoles. CONCLUSIONS: Immunohistochemical and ultrastructural results suggest that PGCGs of the jaws are composed mainly of cells of the mononuclear phagocyte system and that Langerhans cells are present in two thirds of the lesions.

Haematological and biochemical alterations in leprosy patients already treated with dapsone and MDT

Dapsone (DDS) is useful in the treatment of a number of inflammatory conditions which are characterized by neutrophil infiltration. It is the drug of choice for the treatment of leprosy and prophylaxis of malaria. Haematological side effects of methaemoglobinaemia and haemolysis have been long recognized. However, the frequency and severity of these side effects in patients already treated with DDS as a single drug or as part of a multidrug therapy (MDT) have not been well documented. We report herein an investigation of the effect of dapsone long-term treatment on the haematological and biochemical alterations in leprosy patients undergoing dapsone as a single drug (DDS group) or as part of a multidrug therapy in combination with rifampin and clofazimine (MDT group). Methaemoglobinaemia and haemolytic anaemia were the principal side effects observed. Reticulocytes were found to be elevated (> 1.5%) in 90% of the patients. Heinz bodies were also detected (6.6% of the patients). The osmotic fragility test showed a reduction in cell resistance and in the evaluation of white cells a severe eosinophilia was found. Hepatic, pancreatic and renal evaluation by the determination of biochemical parameters showed rare and occasional changes of no apparent clinical significance. We conclude that haematological side effects of dapsone are significant even at doses currently used to treat leprosy (100 mg/day) and that rifampin and clofazimine do not increase the incidence of these effects during long-term treatment.

Notes on Eucryptotermes with a new species from central Amazonia (Isoptera: Kalotermitidae)

Eucryptotermes breviceps, new species, is described from central Amazonia. Both imagoes and soldiers of this new species have only two apical spurs on the foretibia, a condition previously unknown for Kalotermitidae. The soldier of E. breviceps has a peculiar and extremely phragmotic head. The geographical distribution of E. wheeleri is expanded with new records, and measurements of soldiers and imagoes of this species are presented for the first time. E. wheeleri is a native of the Atlantic forest of southeastern Brazil, from Santa Catarina to Rio de Janeiro, but it has been recorded in urban areas and may be an occasional minor pest.

Birds of a eucalyptus woodlot in interior São Paulo.

Some 255 birds were recorded between 1982-2001 in and near a 2314-ha Horto of old eucalyptus plantations with native understory and a lake, near Rio Claro, in central São Paulo, Brazil. This is close to the 263 recorded in and around a ten-times smaller nearby 230-ha woodlot of semideciduous forest. Different species were 44, for a total of 307 in both areas. One hundred and fifty nonvagrant forest and border species were recorded in 1982-86, a number close to the 152 in the small native woodlot. With dry years and logging of plots in 1985-93, 21 of the 150 species were lost, 42 species decreased in numbers, 49 were stable, 19 increased (15 being border species), and 5 entered (one of dry forest and 4 of borders), so 129 species remained in 1996-2001 compared to 133 in the native woodlot. Open-area birds were 33, versus 50 in better-checked grassy swales in sugar cane near the natural woodlot, for a total of 53. Several species, like some border ones, did not enter the open but isolated and mowed interior lake area, or took years to do so. Water and marsh birds were 46 versus 40 in smaller creeks and ponds near the natural woodlot (total, 55) but many were migrants or infrequent visitors using distant areas, and perhaps should be counted as 0.1-0.9 local species rather than 1 species. Use of this more accurate method would reduce waterbird totals by 14 species in the Horto and by 11 around the native woodlot. I also recommend longer censusing at the edges in large woodlots or many edge species will be recorded only in small fragments of habitat. Several species increased and others decreased with occasional cat-tail and water-lily cleanups at the lake. A forested corridor between the Horto and natural woodlot is recommended, with old eucalyptus left to provide flowers for hummingbirds.

The complete genome sequence of Chromobacterium violaceum reveals remarkable and exploitable bacterial adaptability

Chromobacterium violaceum is one of millions of species of free-living microorganisms that populate the soil and water in the extant areas of tropical biodiversity around the world. Its complete genome sequence reveals (i) extensive alternative pathways for energy generation, (ii) ≈500 ORFs for transport-related proteins, (iii) complex and extensive systems for stress adaptation and motility, and (iv) wide-spread utilization of quorum sensing for control of inducible systems, all of which underpin the versatility and adaptability of the organism. The genome also contains extensive but incomplete arrays of ORFs coding for proteins associated with mammalian pathogenicity, possibly involved in the occasional but often fatal cases of human C. violaceum infection. There is, in addition, a series of previously unknown but important enzymes and secondary metabolites including paraquat-inducible proteins, drug and heavy-metal-resistance proteins, multiple chitinases, and proteins for the detoxification of xenobiotics that may have biotechnological applications.

Utilization of shells of the snail Achatina fúlica Bowdich, 1822 (Mollusca, Gastropoda) by the hermit crab Clibanarius vittatus (Bosc, 1802) (Decapoda, Anomura) in the São Vicente Estuary, São Paulo, Brazil

Hermit crabs depend on mollusc shells for housing. In this study, an unusual resource is reported for a hermit crab that usually inhabits marine gastropod shells. During a field study conducted from May 2001 to April 2003 in an estuarine area in São Vicente, state of São Paulo, Brazil, 21 individuals of Clibanarius vittatus (Bosc, 1802) were found inhabiting the shells of the terrestrial gastropod Achatina fullea Bowdich, 1822. A. fúlica occurs in nearshore grass patches, where occasional contact with sea water kills them, and their shells then become available to the hermit crabs.

Ant fauna (Hymenoptera: Formicidae) in Magnoliophyta native to the Atlantic forest

The aim of the study was to analyze the preferences of ant species visiting the trunks of eight species of Magnoliophyta, belonging to the families Fabaceae, Arecaceae, Myrtaceae, Melastomataceae and Euphorbiaceae, located in a fragment of the Atlantic Forest in southeastern Brazil. A total of 101 ant species, belonging to eight subfamilies and 32 genera, were sampled during the 12-month collection period. Close to 30% of the ant species can be considered arboreal, and the others are species that nest in the ground and use trees only for foraging, which can be occasional, as in the case of the Ecitoninae sampled in Arecaceae and Euphorbiaceae. Pachycondyla mesonotalis was the only species collected on all the Magnoliophyta, whereas Camponotus rufipes, Acromyrmex niger and Crematogaster spp., were found on 87.5% of the trees analyzed. No strong similarities were found, using the Jaccard Index, among plant species in the same family of Magnoliophyta based on the visiting ants, except for the Euphorbiaceae species. This result is probably related to the presence of extra-floral nectar, which is very attractive to ants and characteristic of this family.

Solid particles in the tropical lowest stratosphere

We report in situ and remote observations proving occasional occurrence of solid particles in the tropical lowest stratosphere, 200km from deep convective events. The particles were found during field campaigns in Southeast Brazil (49.03 W 22.36 S). They occur in the altitude range from 17.5 to 20.8 km, at temperatures up to at least 10 K above the expected frost point temperature. While stability of ice particles at these altitudes is unexpected from a theoretical point of view, it is argued that these observations are indications of tropospheric air masses penetrating into the stratosphere during convective overshoots. It is argued that the intrusion of tropospheric air must have carried a large amount of water with it, which effectively hydrated the lowest stratosphere, and consequently suppressed sublimation. This conclusion is further supported by a separate water vapor mixing ratio profile obtained at the same observation site.

The role of membranous urethral afferent autonomic innervation in the continence mechanism after nerve sparing radical prostatectomy: a clinical and prospective study

Purpose: We evaluated the somatic and autonomic innervation of the pelvic floor and rhabdosphincter before and after nerve sparing radical retropubic prostatectomy using neurophysiological tests and correlated findings with clinical parameters and urinary continence. Materials and Methods: From February 2003 to October 2005, 46 patients with prostate cancer were enrolled in a controlled, prospective study. Patients were evaluated before and 6 months after nerve sparing radical retropubic prostatectomy using the UCLA-PCI urinary function domain and neurophysiological tests, including somatosensory evoked potential, and the pudendo-urethral, pudendo-anal and urethro-anal reflexes. Clinical parameters and urinary continence were correlated with afferent and efferent innervation of the membranous urethra and pelvic floor. We used strict criteria to define urinary continence as complete dryness with no leakage at all, not requiring any pads or diapers and with a UCLA-PCI score of 500. Patients with a sporadic drop of leakage, requiring up to 1 pad daily, were defined as having occasional urinary leakage. Results: Two patients were excluded from study due to urethral stricture postoperatively. We evaluated 44 patients within 6 months after surgery. The pudendo-anal and pudendo-urethral reflexes were unchanged postoperatively (p = 0.93 and 0.09, respectively), demonstrating that afferent and efferent pudendal innervation to this pelvic region was not affected by the surgery. Autonomic afferent denervation of the membranous urethral mucosa was found in 34 patients (77.3%), as demonstrated by a postoperative increase in the urethro-anal reflex sensory threshold and urethro-anal reflex latency (p <0.001 and 0.0007, respectively). Six of the 44 patients used pads. One patient with more severe leakage required 3 pads daily and 23 showed urinary leakage, including 5 who needed 1 pad per day and 18 who did not wear pads. Afferent autonomic denervation at the membranous urethral mucosa was found in 91.7% of patients with urinary leakage. Of 10 patients with preserved urethro-anal reflex latency 80% were continent. Conclusions: Sensory and motor pudendal innervation to this specific pelvic region did not change after nerve sparing radical retropubic prostatectomy. Significant autonomic afferent denervation of the membranous urethral mucosa was present in most patients postoperatively. Impaired membranous urethral sensitivity seemed to be associated with urinary incontinence, particularly in patients with occasional urinary leakage. Damage to the afferent autonomic innervation may have a role in the continence mechanism after nerve sparing radical retropubic prostatectomy.

Herpetofauna, municipality of Porto Murtinho, Chaco region, state of Mato Grosso do Sul, Brazil

Among the physiographic regions included in the central South American diagonal of open formations, the Chaco, with some endemic species, represents the southernmost dry area. In Brazil, the Chaco is found in southwestern corner of Mato Grosso do Sul state, mostly in the municipality of Porto Murtinho along the Paraguay and Apa rivers. From February 2008 to December 2009, we carried out an inventory of amphibians and reptiles in Porto Murtinho, using pitfall traps, time-limited searches, and occasional encounters. A total of 34 amphibian and 39 reptile species were registered. Although some typical Chacoan species were found, most of the species are open area dwellers that also occur in other open biomes, such as the Cerrado and Caatinga. © 2010 Check List and Authors.

Hepatoencephalopathy syndrome due to Cassia occidentalis (Leguminosae, Caesalpinioideae) seed ingestion in horses

Cassia occidentalis is a bush from the Leguminosae family, subfamily Caesalpinoideae, and is a toxic plant of veterinary interest due to the occasional contamination of animal rations. This report describes the clinical and histopathological findings of an outbreak of C.occidentalis poisoning in horses. Twenty mares were poisoned after consuming ground corn contaminated with 8% of C.occidentalis seeds. Of the 20 animals affected, 12 died: 8 mares were found dead, 2 died 6h after the onset of clinical signs compatible with hepatic encephalopathy and the 2 other animals were subjected to euthanasia 12h after the onset of the clinical signs. The remaining 8 mares presented with mild depression and decreased appetite, but improved with treatment and no clinical sequelae were observed. In 6 animals that underwent a necropsy, an enhanced hepatic lobular pattern was noted and within the large intestine, a large number of seeds were consistently observed. Hepatocellular pericentrolobular necrosis and cerebral oedema were the main histological findings. In one mare, there was mild multifocal semimembranosus rhabdomyocytic necrosis and haemorrhage. Seeds collected from intestinal contents and sifted from the culpable feedstuff were planted. Examination of the leaves, flowers, fruits and seeds of the resultant plants identified C.occidentalis. Horses poisoned by C.occidentalis seeds demonstrate clinical signs associated with hepatoencephalopathy and frequently die suddenly. Lesions primarily involve the liver and secondarily, the central nervous system. Cassia occidentalis poisoning should be considered a differential diagnosis in horses with hepatoencephalopathy and special caution should be taken with horse rations to avoid contamination with seeds of this toxic plant. © 2012 EVJ Ltd.