A EXPANSÃO DA COVID-19 NA BAIXADA FLUMINENSE – RJ: SEUS CAMINHOS E EFEITOS SOCIAIS NA PERIFERIA

Introdução:  O contexto da pandemia do novo coronavírus apontou para a importância de compreender a expansão geográfica desta doença, seus caminhos e efeitos, em especial nos territórios periféricos. Objetivo:  Analisar e visibilizar os impactos da pandemia na porção da periferia oeste da Região Metropolitana do Rio de Janeiro, conhecida como Baixada Fluminense. Métodos (opcional):  Baseado no método qualiquantitativo, utilizamos dados da Covid-19 disponibilizados pela Secretaria Estadual de Saúde do Rio de Janeiro nos primeiros meses da pandemia [março, abril e maio do ano de 2020], e realizamos uma análise da produção territorial da região de estudo para avaliar os efeitos e impactos do avanço desta doença. Resultados: Construção de mapas de calor da incidência da Covid-19 pelos bairros dos municípios da Baixada Fluminense que demonstraram as centralidades e os caminhos da doença pelos territórios periféricos, e produção de gráficos com o número de contaminados e novos casos em perspectiva comparada de parte da Região Metropolitana do Rio de Janeiro. Conclusão: A expansão geográfica do novo coronavírus tem revelado que as periferias metropolitanas são espaços privilegiados de contaminação, os dados apresentados demonstram um rápido crescimento do número de casos nessas áreas. Outrossim a maior incidência corresponde aos territórios que apresentam os caminhos de circulação metropolitana, maior centralidade no contexto dos municípios, grande adensamento populacional e maior vulnerabilidade econômica e social

Cinética das alterações na membrana plasmática relacionadas com a apoptose e necrose em espermatozóides bovinos em diferentes tempos de incubação

O tempo de incubação causa danos nas células espermáticas relacionados a necrose e/ou apoptose. O objetivo deste estudo foi avaliar as mudanças na membrana plasmática relacionadas a apoptose e necrose em espermatozóides bovinos durante 2 horas de incubação. Os espermatozóides foram incubados a 5% (v/v) CO2 em ar por 0, 30, 60, 90 e 120 minutes. Depois de cada periodo, as células espermáticas foram incubadas com as sondas fluorescentes Yo-pro e iodito de propideo (PI) para detectar mudanças na membrana plasmática relacionadas a apoptose e a necrose, respectivamente. Usando Yo-pro/PI assay, três subpopulações diferentes de células espermáticas são detectadas pelo citômetro de fluxo: a) células espermáticas em necrose (PI+ and Yo-pro-/+); b) células espermáticas em apoptose (Yo-pro+ and PI-) e c) células espermáticas vivas (Yo-pro- and PI-). A porcentagem de células vivas (membrana plasmática integra) significativamente diminui durante 2 horas de incubação, por outro lado, a porcentagem de espermatozóides em necrose e apoptose aumentaram durante a incubação. As mudanças na integridade da membrana plasmática foram correlacionadas com o tempo de incubação. Enquanto as células vivas foram correlacionadas negativamente com o aumento do tempo de incubação, necrose e apoptose foram correlacionadas positivamente. Também foi observado que necrose foi o principal dano causado pelo tempo de incubação nas células espermáticas. Conclui-se que o tempo de incubação causa alteração na integridade da membrana plasmática relacionadas a necrose e apoptose nas células espermáticas, sendo que necrose foi observada em maior quantidade em todos os tempos de incubação.Incubation time induce damages in sperm cells by necrosis and/or apoptosis. The aim of this study was the evaluation of changes in plasma membrane related to apoptosis and necrosis in bovine sperm cells through 2 hours of incubation. Sperm cells were incubated at 5% (v/v) CO2 in air for 0, 30, 60, 90 and 120 minutes. After each period, sperm cells were incubated with fluorescent probes Yo-pro and propidium iodide (PI) to detect change in plasma membrane related to apoptosis and necrosis respectively. Using Yo-pro/PI assay, three different subpopulations of sperm cells were detected by flow cytometry: a) necrotic sperm cells (PI+ and Yo-pro-/+); b) apoptotic sperm cells (Yo-pro+ and PI-) and c) living cells (Yo-pro- and PI-). The percentage of live cells (plasma membrane integrity) significantly decreases over 2 hour of incubation, on the other hand, the percentage of necrotic and apoptotic cells increase during incubation. Changes in plasma membrane integrity were correlated to incubation time. While live cells were negatively correlated with the increase of incubation time, necrosis and apoptosis were positively correlated. It was also observed that necrosis was the main damage in sperm cells in all incubation times. In conclusion, incubation time induces changes in plasma membrane integrity related to necrosis and apoptosis, whether necrosis is present in higher quantity in all incubation times

a randomized comparative effectiveness trial

Funding Information: The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was sponsored by CUF and Pingo Doce, as part of the Menos Sal Portugal project, and with support from the Centro de Medicina Laboratorial Germano de Sousa. The sponsors did not play a role in the study design or the interpretation of the results. The study was also promoted by the CINTESIS@RISE (UIDB/4255/2020 and UIDP/4255/2020), NOVA Medical School of Universidade NOVA de Lisboa and supported by national funds through FCT Fundação para a Ciência e a Tecnologia, I.P., within the scope of the project “RISE-LA/P/0053/2020”. Publisher Copyright: Copyright © 2023 Moreira-Rosário, Ismael, Barreiros-Mota, Morais, Rodrigues, Castela, Mendes, Soares, da Costa, Oliveira, Henriques, Pinto, Pita, de Oliveira, Maciel, Serafim, Araújo, Rocha, Pestana, Silvestre, Marques, Faria, Polonia and Calhau.Introduction: Empowerment lifestyle programs are needed to reduce the risk of hypertension. Our study compared the effectiveness of two empowerment-based approaches toward blood pressure (BP) reduction: salt reduction-specific program vs. healthy lifestyle general program. Methods: Three hundred and eleven adults (median age of 44 years, IQR 34–54 years) were randomly assigned to a salt reduction (n = 147) or a healthy lifestyle program (n = 164). The outcome measures were urinary sodium (Na+) and potassium (K+) excretion, systolic (SBP) and diastolic (DBP) blood pressure, weight, and waist circumference. Results: There were no significant differences in primary and secondary outcomes between the two program groups. When comparing each program to baseline, the program focused on salt reduction was effective in lowering BP following a 12-week intervention with a mean change of −2.5 mm Hg in SBP (95% CI, −4.1 to −0.8) and − 2.7 mm Hg in DBP (95% CI, −3.8 to −1.5) in the intention-to-treat (ITT) analysis. In the complete-case (CC) analysis, the mean change was −2.1 mm Hg in SBP (95% CI, −3.7 to −0.5) and − 2.3 mm Hg in DBP (95% CI, −3.4 to −1.1). This effect increases in subjects with high-normal BP or hypertension [SBP − 7.9 mm Hg (95% CI, −12.5 to −3.3); DBP − 7.3 mm Hg (95% CI, −10.2 to −4.4)]. The healthy lifestyle group also exhibited BP improvements after 12 weeks; however, the changes were less pronounced compared to the salt reduction group and were observed only for DBP [mean change of −1.5 mm Hg (95% CI, −2.6 to −0.4) in ITT analysis and − 1.4 mm Hg (95% CI, −2.4 to −0.3) in CC analysis, relative to baseline]. Overall, improvements in Na+/K+ ratio, weight, and Mediterranean diet adherence resulted in clinically significant SBP decreases. Importantly, BP reduction is attributed to improved dietary quality, rather than being solely linked to changes in the Na+/K+ ratio. Conclusion: Salt-focused programs are effective public health tools mainly in managing individuals at high risk of hypertension. Nevertheless, in general, empowerment-based approaches are important strategies for lowering BP, by promoting health literacy that culminates in adherence to the Mediterranean diet and weight reduction.publishersversionpublishe

Empowerment-based nutrition interventions on blood pressure: a randomized comparative effectiveness trial

IntroductionEmpowerment lifestyle programs are needed to reduce the risk of hypertension. Our study compared the effectiveness of two empowerment-based approaches toward blood pressure (BP) reduction: salt reduction-specific program vs. healthy lifestyle general program.MethodsThree hundred and eleven adults (median age of 44 years, IQR 34–54 years) were randomly assigned to a salt reduction (n = 147) or a healthy lifestyle program (n = 164). The outcome measures were urinary sodium (Na+) and potassium (K+) excretion, systolic (SBP) and diastolic (DBP) blood pressure, weight, and waist circumference.ResultsThere were no significant differences in primary and secondary outcomes between the two program groups. When comparing each program to baseline, the program focused on salt reduction was effective in lowering BP following a 12-week intervention with a mean change of −2.5 mm Hg in SBP (95% CI, −4.1 to −0.8) and − 2.7 mm Hg in DBP (95% CI, −3.8 to −1.5) in the intention-to-treat (ITT) analysis. In the complete-case (CC) analysis, the mean change was −2.1 mm Hg in SBP (95% CI, −3.7 to −0.5) and − 2.3 mm Hg in DBP (95% CI, −3.4 to −1.1). This effect increases in subjects with high-normal BP or hypertension [SBP − 7.9 mm Hg (95% CI, −12.5 to −3.3); DBP − 7.3 mm Hg (95% CI, −10.2 to −4.4)]. The healthy lifestyle group also exhibited BP improvements after 12 weeks; however, the changes were less pronounced compared to the salt reduction group and were observed only for DBP [mean change of −1.5 mm Hg (95% CI, −2.6 to −0.4) in ITT analysis and − 1.4 mm Hg (95% CI, −2.4 to −0.3) in CC analysis, relative to baseline]. Overall, improvements in Na+/K+ ratio, weight, and Mediterranean diet adherence resulted in clinically significant SBP decreases. Importantly, BP reduction is attributed to improved dietary quality, rather than being solely linked to changes in the Na+/K+ ratio.ConclusionSalt-focused programs are effective public health tools mainly in managing individuals at high risk of hypertension. Nevertheless, in general, empowerment-based approaches are important strategies for lowering BP, by promoting health literacy that culminates in adherence to the Mediterranean diet and weight reduction

Adenosine A2A receptor as a potential regulator of Mycobacterium leprae survival mechanisms: new insights into leprosy neural damage

BackgroundLeprosy is a chronic infectious disease caused by Mycobacterium leprae, which can lead to a disabling neurodegenerative condition. M. leprae preferentially infects skin macrophages and Schwann cells–glial cells of the peripheral nervous system. The infection modifies the host cell lipid metabolism, subverting it in favor of the formation of cholesterol-rich lipid droplets (LD) that are essential for bacterial survival. Although researchers have made progress in understanding leprosy pathogenesis, many aspects of the molecular and cellular mechanisms of host–pathogen interaction still require clarification. The purinergic system utilizes extracellular ATP and adenosine as critical signaling molecules and plays several roles in pathophysiological processes. Furthermore, nucleoside surface receptors such as the adenosine receptor A2AR involved in neuroimmune response, lipid metabolism, and neuron–glia interaction are targets for the treatment of different diseases. Despite the importance of this system, nothing has been described about its role in leprosy, particularly adenosinergic signaling (AdoS) during M. leprae–Schwann cell interaction.MethodsM. leprae was purified from the hind footpad of athymic nu/nu mice. ST88-14 human cells were infected with M. leprae in the presence or absence of specific agonists or antagonists of AdoS. Enzymatic activity assays, fluorescence microscopy, Western blotting, and RT-qPCR analysis were performed. M. leprae viability was investigated by RT-qPCR, and cytokines were evaluated by enzyme-linked immunosorbent assay.ResultsWe demonstrated that M. leprae-infected Schwann cells upregulated CD73 and ADA and downregulated A2AR expression and the phosphorylation of the transcription factor CREB (p-CREB). On the other hand, activation of A2AR with its selective agonist, CGS21680, resulted in: 1) reduced lipid droplets accumulation and pro-lipogenic gene expression; 2) reduced production of IL-6 and IL-8; 3) reduced intracellular M. leprae viability; 4) increased levels of p-CREB.ConclusionThese findings suggest the involvement of the AdoS in leprosy neuropathogenesis and support the idea that M. leprae, by downmodulating the expression and activity of A2AR in Schwann cells, decreases A2AR downstream signaling, contributing to the maintenance of LD accumulation and intracellular viability of the bacillus

ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ