Monitoramento do risco ambiental de agrotóxicos: princípios e recomendações.

Uso de Agrotóxicos no Brasil. Princípios do Monitoramento de Risco Ambiental. Exposição Ambiental aos Agrotóxicos. Efeitos Ambientais dos Agrotóxicos. Plano de Monitoramento do Risco Ambiental. Procedimentos de Amostragem. Indicadores de Risco Ambiental. Recomendações Técnicas para Monitoramento do Risco Ambiental.bitstream/CNPMA/5810/1/documentos_42.pd

Prevalência de infecção chagásica em doadores de sangue no estado de Pernambuco, Brasil

n/

Validation of TerraClass mapping for the Municipality of Paragominas state of Pará

This work aims to evaluate the TerraClass mapping for the year 2014, in the municipality of Paragominas, State of Pará. The validation was made by comparing the mapping with the observations found in the field. Images of the Satétile Landsat-8, OLI sensor of the year 2014, path/row 222/062, 222/063, 223/062 and 223/063 were used to aid in the field. Using this data it was possible to analyze the main representative classes in the area, including agriculture, urban area, forest, clean pasture, dirty pasture, reforestation, regeneration with pasture and secondary vegetation. The secondary vegetation presented 2,198.16 km², clean pasture with 3,332.29 km², agriculture with 896.75 km² and the forest occupying 54.21% of the total area of Paragominas. The overall concordance index was 86%, corroborating the reliability of the mapping performed. The average error was 6% and the total value of discordance was of 14%. Concerning the secondary vegetation, pasture, agriculture, urban area and forest classes, they presented concordance higher to 50%, while regeneration with pasture and reforestation presented greater intensity of omission with 40,57% and 76,31% respectively. Inclusion errors were less than 40% for the secondary vegetation, pasture regeneration, clean pasture and dirty pasture classes. The field work was essential to validate and analyze the accuracy of the 2014 TerraClass Project for the studied region, which becomes important for the understanding of the dynamics of land use

Predictors of HBeAg status and hepatitis B viraemia in HIV-infected patients with chronic hepatitis B in the HAART era in Brazil

<p>Abstract</p> <p>Background</p> <p>HBV-HIV co-infection is associated with an increased liver-related morbidity and mortality. However, little is known about the natural history of chronic hepatitis B in HIV-infected individuals under highly active antiretroviral therapy (HAART) receiving at least one of the two drugs that also affect HBV (TDF and LAM). Information about HBeAg status and HBV viremia in HIV/HBV co-infected patients is scarce. The objective of this study was to search for clinical and virological variables associated with HBeAg status and HBV viremia in patients of an HIV/HBV co-infected cohort.</p> <p>Methods</p> <p>A retrospective cross-sectional study was performed, of HBsAg-positive HIV-infected patients in treatment between 1994 and 2007 in two AIDS outpatient clinics located in the São Paulo metropolitan area, Brazil. The baseline data were age, sex, CD4 T+ cell count, ALT level, HIV and HBV viral load, HBV genotype, and duration of antiretroviral use. The variables associated to HBeAg status and HBV viremia were assessed using logistic regression.</p> <p>Results</p> <p>A total of 86 HBsAg patients were included in the study. Of these, 48 (56%) were using combination therapy that included lamivudine (LAM) and tenofovir (TDF), 31 (36%) were using LAM monotherapy, and 7 patients had no previous use of either one. Duration of use of TDF and LAM varied from 4 to 21 and 7 to 144 months, respectively. A total of 42 (48. 9%) patients were HBeAg positive and 44 (51. 1%) were HBeAg negative. The multivariate analysis revealed that the use of TDF for longer than 12 months was associated with undetectable HBV DNA viral load (serum HBV DNA level < 60 UI/ml) (<it>p </it>= 0. 047). HBeAg positivity was associated with HBV DNA > 60 UI/ml (p = 0. 001) and ALT levels above normality (<it>p </it>= 0. 038).</p> <p>Conclusion</p> <p>Prolonged use of TDF containing HAART is associated with undetectable HBV DNA viral load. HBeAg positivity is associated with HBV viremia and increased ALT levels.</p

Regulatory T Cells Phenotype in Different Clinical Forms of Chagas' Disease

CD25High CD4+ regulatory T cells (Treg cells) have been described as key players in immune regulation, preventing infection-induced immune pathology and limiting collateral tissue damage caused by vigorous anti-parasite immune response. In this review, we summarize data obtained by the investigation of Treg cells in different clinical forms of Chagas' disease. Ex vivo immunophenotyping of whole blood, as well as after stimulation with Trypanosoma cruzi antigens, demonstrated that individuals in the indeterminate (IND) clinical form of the disease have a higher frequency of Treg cells, suggesting that an expansion of those cells could be beneficial, possibly by limiting strong cytotoxic activity and tissue damage. Additional analysis demonstrated an activated status of Treg cells based on low expression of CD62L and high expression of CD40L, CD69, and CD54 by cells from all chagasic patients after T. cruzi antigenic stimulation. Moreover, there was an increase in the frequency of the population of Foxp3+ CD25HighCD4+ cells that was also IL-10+ in the IND group, whereas in the cardiac (CARD) group, there was an increase in the percentage of Foxp3+ CD25High CD4+ cells that expressed CTLA-4. These data suggest that IL-10 produced by Treg cells is effective in controlling disease development in IND patients. However, in CARD patients, the same regulatory mechanism, mediated by IL-10 and CTLA-4 expression is unlikely to be sufficient to control the progression of the disease. These data suggest that Treg cells may play an important role in controlling the immune response in Chagas' disease and the balance between regulatory and effector T cells may be important for the progression and development of the disease. Additional detailed analysis of the mechanisms on how these cells are activated and exert their function will certainly give insights for the rational design of procedure to achieve the appropriate balance between protection and pathology during parasite infections