A general methodology for adaptative planning of urban water systems under deep uncertainty

ABSTRACT Urban Water Systems (UWS) operate under a broad list of uncertainties. They usually depend on large amount of investments requiring long-term planning for a future full of changes with high degree of uncertainties (climate, social and economic). Many of these uncertainties do not have analytical representation neither they count on agreement among experts or decision makers concerning their influence in the performance of the UWS. The literature has named these changes as deep uncertainties (DU). This work presents a general approach to incorporate the influence of DU on planning and management processes of three types of UWS: 1) Water Supply Systems; 2) Drainage Systems and 3) Rainwater Harvesting Systems. The proposed framework defines steps toward the selection of the best policies and their evaluation in a broad set of scenarios. The particularities of each urban system led to adjustments in some steps of the general methodology. The approach proposed in this work was applied to a practical case, the Rainwater Harvesting Systems in the city of Ipameri, located in the State of Goiás, Brazil. The results highlight the impacts of DU factors on the system performance and reinforce this type of approach as a contribution towards adaptive planning for UWS

Virulence profile of tigecycline-resistant Gram-negative bacilli isolated from river waters using the Caenorhabditis elegans infection model / Perfil de virulência de bacilos Gram-negativos resistentes à tigeciclina isolados das águas dos rios usando o modelo de infecção por Caenorhabditis elegans

Last-resort antibiotics act as ultimate force to overcome multidrug-resistant strains infections. Cases of tigecycline resistance in gram-negative bacilli in clinical settings are reported worldwide, however, there is no data related to tigecycline resistant strains in river water. This study demonstrates seven tigecycline gram-negative bacilli isolated from river water in Rio de Janeiro metropolitan area, their resistance genes, ability of biofilm formation with/without antibiotics and behavior using the nematode Caenohabidits elegans as infection in vivo model. From 24 gram-negative isolated strains, 16 (66.6%) were classified as multidrug-resistant, however, seven (29.1%) presented resistant to all antimicrobial agents tested, including tigecycline and have been identified by MALDI-TOF as A. baumannii, E. aerogenes and P. agglomerans. All tigecycline-resistant strains presented amplification products for ESBL, AME and PMQR and ability of biofilm formation on hydrophilic and hydro­phobic abiotic surfaces with and without antimicrobial agents. The presence of antimicrobials did not inhibit biofilm formation. Tigecycline-resistant strains differed of OP50 control with P<0,0001 indicating its virulence potential, however, none of them were capable to kill all nematodes during 5 days infection. In conclusion, tigecycline-resistant gram-negative strains have important global public health implications due to the therapeutic problems they pose. Further studies and continuous surveillance of tigecycline-resistant strains in both clinical and aquatic environment remains necessary to track and understand the dissemination of tigecycline resistance

Biofilm formation, interaction and survival within A549 pneumocytes of Klebsiella pneumoniae clinical strains: identification of pulsotypes, multidrug-resistance and genes coding for adhesins: Formação de biofilme, interação e sobrevivência dentro dos pneumócitos A549 de cepas clínicas de Klebsiella pneumoniae: identificação de pulsótipos, multirresistência a drogas e codificação de genes para adesinas

Klebsiella pneumoniaehas become one of the major causes of hospital-acquired infections over decades due to the spread of virulent clones harboring resistant genes to multiple antimicrobial agents. The aim of this study was to investigate phenotypic and genotypic features of virulence mechanism expressed by K. pneumoniae clinical isolates of different PFGE types, including biofilm formation, interaction with pneumocytes A549 lineage and experimental infection by using C. elegans nematodes.  A total of 17 K. pneumoniae strains were isolated from different clinical specimens including blood, urine and respiratory infections. In this present study, 11 strains presented a varied multidrug-resistance profile harboring resistance genes coding for betalactams, aminoglicosydes, fluorquinolones and carbapenemases. PFGE analysis demonstrated the presence of four distinct pulsotypes among K. pneumoniae strains harboring virulence genes for siderophores and fimbiae type 1 and type 3. High adherence and biofilm formation were positively correlated for both polystyrene and glass surfaces in all K. pneumoniae strains analyzed. K. pneumoniae clinical strains showed the ability of adherence, internalization and persistence within human pulmonary epithelial A549 cell line, at different levels. Respiratory infections demonstrated a higher heterogeneity of PFGE types and levels of adherence, intracellular survival and persistence.K. pneumoniae strains were also submitted to Carnohabidits elegans in vivo infection model and data showed that after 24 hr almost 10% of urine-culture isolates worms were dead evidencing virulence profile. Notably, K. pneumoniae strains, presenting virulence genes, was significantly more virulent than those who did not presented any virulence gene after 5 days (survival >60% and >40%)

Serum levels of oxidative stress biomarkers is changed in pharmacoresistant mesial temporal lobe epilepsy patients with or without psychiatric disorders

The objective of the present study was to assess the levels of oxidative stress biomarkers (OSB) in patients with pharmacoresistant temporal lobe epilepsy and mesial temporal sclerosis (TLE-MTS) in order to investigate a possible role of oxidative stress (OS) in the pathophysiology of such disease. Ninety-eight participants were included and distributed in three groups: group 1 (G1) - 25 patients with pharmacoresistant TLE-MTS, without comorbid PD; Group 2 (G2) - 21 patients with pharmacoresistant TLE-MTS with PD; Group 3 (G3) - 52 healthy control subjects. Serum levels of catalase (CAT), glutathione peroxidase (GPx), glutathione reductase (GR), reduced glutathione plus oxidated glutathione (total GSH), glucose-6-phosphate dehydrogenase (G6PD), Trolox-equivalent antioxidant capacity (TEAC), and thiobarbituric acid reactive substances (TBARS) were analyzed through spectrometry. The significance level was set at P0.05). A family history of epilepsy was more frequent among G1 and G2 groups when compared to G3 (P = 0.0002). Compared to controls, G1 and G2 presented higher CAT (P0.05). The lower levels of GPx, G6PD, and total GSH, as well as the higher CAT and TBARS levels observed in pharmaco-resistant TLE-MTS patients can indicate an imbalance between oxidizing agent production and elimination, supporting the hypothesis of a possible role of OS in the pathogenesis of this condition

Paradoxical role of matrix metalloproteinases in liver injury and regeneration after sterile acute hepatic failure

Acetaminophen (APAP) poisoning is one of the leading causes of acute hepatic failure and liver transplantation is often the only lifesaving alternative. During the course of hepatocyte necrosis, an intense accumulation of neutrophils is often observed within the liver microenvironment. Despite the classic idea that neutrophil accumulation in tissues causes collateral tissue damage, there is a growing body of evidence showing that neutrophils can also orchestrate the resolution of inflammation. In this work, drug-induced liver injury was induced by oral administration of APAP and pharmacological intervention was made 12 h after this challenge. Liver injury and repair kinetics were evaluated by a novel combination of enzyme quantifications, ELISA, specific antagonists of neutrophil enzymes and confocal intravital microscopy. We have demonstrated that neutrophil infiltration is not only involved in injury amplification, but also in liver tissue repair after APAP-induced liver injury. In fact, while neutrophil depletion led to reduced hepatic necrosis during APAP poisoning, injury recovery was also delayed in neutropenic mice. The mechanisms underlying the neutrophil reparative role involved rapid degranulation and matrix metalloproteinases (MMPs) activity. Our data highlights the crucial role of neutrophils, in particular for MMPs, in the resolution phase of APAP-induced inflammatory response

Atividade microbiana de solo e serapilheira em áreas povoadas com Pinus elliottii e Terminalia ivorensis Microbial activity of soil and litter in areas with forest stands of Pinus elliottii e Terminalia ivorensis

No Brasil, as espécies Pinus elliottii e Terminalia ivorensis vêm sendo indicadas para reflorestamento. No entanto, pouco se sabe sobre as características ecológicas destas florestas, o ciclo de nutrientes e suas conseqüências sobre a produtividade e sustentabilidade sob condições tropicais. Visando melhor compreender a dinâmica do C nestes ecossistemas, objetivou-se neste trabalho avaliar a atividade microbiana do solo, serapilheira e da mistura solo + serapilheira em povoamentos florestais de P. elliottii e T. ivorensis. Amostras de solos e serapilheira foram incubadas e a atividade microbiana avaliada por meio da evolução de CO2. Ao final da incubação, a respiração acumulada foi superior para a serapilheira de T. ivorensis. Os demais substratos com serapilheira não diferiram entre si, mas diferiram do solo sob T. ivorensis, que, por sua vez, diferiu do solo sob P. elliottii. Nas condições testadas, a incorporação de solo à serapilheira, bem como a incorporação alternada de solo de um povoamento à serapilheira de outro, não promoveu aumentos significativos na respiração da serapilheira, mostrando que as características químicas da própria serapilheira alteram mais fortemente sua velocidade de degradação que as características químicas e microbianas do solo onde é incorporada.<br>In Brazil, the species Pinus elliottii and Terminalia ivorensis are being recommended for reforestation. However, little is known about the ecological characteristics of such forests, the nutrient cycle and possible consequences on yields and sustainability under tropical conditions. For a better understanding of the C dynamic in these ecosystems, this study aimed to evaluate the microbial activity of soil, litter, and the mixture of soil + litter in forest stands of P. elliottii and T. ivorensis. Samples of soil, litter and mixture were incubated and the microbial activity was evaluated on the basis of CO2 released. At the end of incubation, the accumulated respiration was significantly higher in litter of T. ivorensis. The other substrates with litter did not differ from each other, but differed from the soil under T. ivorensis, which in turn differed from soil under P. elliottii. In the tested conditions, the soil incorporation to litter, as well as the alternate incorporation of soil from one forest with the litter of another did not cause a significant increase in litter respiration. This indicates that the influence of the chemical characteristics of the litter itself on degradation speed is stronger than the chemical and microbiological characteristics of the soil where it is incorporated