Accuracy of routine diagnostic tests used in paracoccidioidomycosis patients at a university hospital

The identification of appropriate laboratory measures to confirm clinical hypotheses is important in routine paracoccidioidomycosis medical care. The clinical records and laboratory reports of 401 paracoccidioidomycosis patients attended at the Tropical Diseases Area, Faculdade de Medicina de Botucatu, from 1974 to 2008 were reviewed. Direct mycological (DM), cell block (CB), histopathological (HP), and double immunodiffusion (DID) tests were evaluated before treatment. Typical Paracoccidioides brasiliensis yeast forms were observed in clinical specimens of 86% of the patients, but 14% were detected only by serological test. DM of 51 different tissue specimens produced 74.5% sensitivity, and 62.5% sensitivity was observed in 112 sputum samples. CB in 483 sputum samples generated 55.3% sensitivity. HP performed in 239 samples from different tissues revealed 96.7% sensitivity. Serology carried out in 351 patients and 200 healthy controls provided 90.0% sensitivity, 100.0% specificity, 100.0% positive predictive value, 85.1% negative predictive value and 93.6% accuracy. Comparisons of laboratory measurements performed in the same patient showed that sensitivity decreases from HP to DID to CB and DM, with the last two assays providing similar sensitivities. This study demonstrated that P. brasiliensis identification by HP, CB, and/or DM associated with DID is sufficient to establish the laboratorial diagnosis of paracoccidioidomycosis in practically all cases. (C) 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

Validade das informações ocupação e causa básica em declarações de óbito de Botucatu, São Paulo

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

Logistic regression analysis of potential prognostic factors for pulmonary thromboembolism

Objective: To identify potential prognostic factors for pulmonary thromboembolism (PTE), establishing a mathematical model to predict the risk for fatal PTE and nonfatal PTE.Method: the reports on 4,813 consecutive autopsies performed from 1979 to 1998 in a Brazilian tertiary referral medical school were reviewed for a retrospective study. From the medical records and autopsy reports of the 512 patients found with macroscopically and/or microscopically,documented PTE, data on demographics, underlying diseases, and probable PTE site of origin were gathered and studied by multiple logistic regression. Thereafter, the jackknife method, a statistical cross-validation technique that uses the original study patients to validate a clinical prediction rule, was performed.Results: the autopsy rate was 50.2%, and PTE prevalence was 10.6%. In 212 cases, PTE was the main cause of death (fatal PTE). The independent variables selected by the regression significance criteria that were more likely to be associated with fatal PTE were age (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.00 to 1.03), trauma (OR, 8.5; 95% CI, 2.20 to 32.81), right-sided cardiac thrombi (OR, 1.96; 95% CI, 1.02 to 3.77), pelvic vein thrombi (OR, 3.46; 95% CI, 1.19 to 10.05); those most likely to be associated with nonfatal PTE were systemic arterial hypertension (OR, 0.51; 95% CI, 0.33 to 0.80), pneumonia (OR, 0.46; 95% CI, 0.30 to 0.71), and sepsis (OR, 0.16; 95% CI, 0.06 to 0.40). The results obtained from the application of the equation in the 512 cases studied using logistic regression analysis suggest the range in which logit p > 0.336 favors the occurrence of fatal PTE, logit p < - 1.142 favors nonfatal PTE, and logit P with intermediate values is not conclusive. The cross-validation prediction misclassification rate was 25.6%, meaning that the prediction equation correctly classified the majority of the cases (74.4%).Conclusions: Although the usefulness of this method in everyday medical practice needs to be confirmed by a prospective study, for the time being our results suggest that concerning prevention, diagnosis, and treatment of PTE, strict attention should be given to those patients presenting the variables that are significant in the logistic regression model.

Nematodes of Lizards (Reptilia: Squamata) from Caatinga Biome, Northeastern Brazil

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Helminths of Lizards (Reptilia: Squamata) from Mato Grosso State, Brazil

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

Helminths from Lizards (Reptilia: Squamata) at the Cerrado of Goias State, Brazil

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

Helminths from Seven Species of Lizards (Reptilia: Squamata) at the Cerrado of Mato Grosso do Sul State, Brazil

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

Epiphyte plants use by birds in Brazil

This study firstly reviewed the interspecific interaction records between birds and epiphyte plants in Brazil. Forty two documents, including articles, scientific notes, books and thesis, and 35 personal records and from collaborators were argued, totaling 112 species of birds that interacted with 97 species of epiphyte plants. Two articles treated the theme specifically and another 40 treated related subjects, such as: pollination of epiphytes, ecology and feeding behavior of birds. Studies were concentrated mainly in Atlantic Forest, in the southeastern Brazilian region. The epiphyte species more visited by birds was Aechmea nudicaulis (Bromeliaceae). The main visitor of epiphytes was Ramphodon naevius (Trochilidae). According to the number of authors' citations an index of generality in bird-epiphyte interactions was created. As result the index inferred that the ovenbird Cichlocolaptes leucophrus and the bromeliad Nidularium procerum are less generalist and more specialist species in bird-epiphyte interactions. The totality of the papers showed a considerable number of bird species that use the epiphytes plants and its resources, including nectar, fruits, invertebrates, nest material, nesting place, water and bath. Considering the importance of epiphytes to supply a variety of resources for birds, these results highlighted the necessity of additional and specific studies about the theme in various Brazilian regions and biomes.

Birds from cerradão woodland, an overlooked forest of the Cerrado region, Brazil

O Cerrado ainda recebe pouca atenção no que diz respeito à ornitologia embora seja a única savana tropical do mundo considerada um hotspot de biodiversidade. O cerradão é uma das fisionomias menos conhecidas e mais desmatadas do bioma e poucos levantamentos avifaunísticos foram realizados nessas florestas. Para revisar os estudos sobre aves de cerradão e complementar os poucos inventários já existentes realizados nesse tipo florestal no estado de São Paulo, foi realizado um levantamento bibliográfico dos estudos publicados sobre aves de cerradão. Adicionalmente foi conduzido um levantamento das aves de um fragmento de cerradão de 314 ha localizado na região central do estado de São Paulo, Brasil, entre setembro de 2005 e dezembro de 2006 com a utilização de transecções lineares com raio ilimitado de detecção. de 95 estudos envolvendo aves de cerradão, apenas 17 (18%) discriminaram espécies registradas dentro desta fisionomia daquelas que obtiveram registros em outros ambientes de Cerrado. Exceto por um estudo, nenhuma outra investigação encontrou mais de 64 espécies de aves neste ambiente, resultado compartilhado com diversas regiões do Brasil e também da Bolívia. Diferenças no número de espécies entre cerradões não puderam ser atribuídas à degradação dos ambientes estudados ou tamanho de fragmento. Considerando os registros de cerradões no Brasil e na Bolívia, a compilação de dados acumulou 250 espécies distribuídas em 36 famílias e 15 ordens. Durante nossos trabalhos de campo em localidade do interior paulista foram registradas 48 espécies distribuídas em 20 famílias, incluindo o fruxu-do-cerradão (Neopelma pallescens), ameaçada em São Paulo, e o soldadinho (Antilophia galeata), quase ameaçada no estado e endêmica do Cerrado. Dentre as espécies mais abundantes no fragmento, nenhuma delas é ameaçada ou endêmica do bioma.

Treatment of traumatized primary teeth: A conservative approach

This retrospective study examined some different types of treatment to primary teeth. The aim of this study was to assess the treatment of traumatized primary teeth and the importance of a long-term follow up. Brazilian children in the age group of 1-4 years from a baby clinic took part in the study. Three hundred and fifteen patients suffered some type of traumatic injury, a total of 338 affected teeth. Data were registered in specific records and submitted to statistic analysis. The most prevalent type of treatment was monitor only (85%) followed by tooth extraction and endodontic procedure. Invasive treatments were performed in case of severe traumas, usually 6 months after the injury. We verified that a careful follow up might be the preferential choice to the treatment of traumatic primary teeth even in some severe cases.

Culicidae (Diptera) em área de barragem em Santa Catarina e no Rio Grande do Sul

The Culicidae composition of the Barra Grande Lake Situated between the Municipalities of Esmeralda (Rio Grande do Sul State) and Anita Garibaldi (Santa Catarina State) was assessed by monthly samplings. Twenty-four species were identified from a total of 1, 185 specimens (74.7% as adults and 25.3% as immatures), with Aedes fluviatilis Lutz as the most frequent species. Several species are new records, and some of them are of public health interest. It is suggested that local environmental changes may alter the relationship between humans and vector mosquitoes.

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.

Das plantas medicinais aos fitofármacos

The plants, since the antiquity, have been a resource within reach of the human being. Along millenniums, the man empirically deepened its knowledge for the improvement in the alimentation and cure conditions of its illnesses, demonstrating a narrow relation between plant use and its own evolution. A lot of people described the herbs utilization like medication form in their records and manuscripts, but many centuries have been passed until the true power of the plants was recognized. The great discoveries of the active plants principles only were possible after technological advances for the isolation and structural elucidation. Several active substances with pharmacological activity, many times indicated by the popular use, were going proved scientifically. Nowadays, the man still seeks solutions for several diseases and health problems and maybe the plants can contribute of more significant way for resolve them.