BCG vaccination and leprosy protection: review of current evidence and status of BCG in leprosy control.

The bacillus Calmette-Guérin (BCG) vaccine, initially developed to provide protection against TB, also protects against leprosy; and the magnitude of this effect varies. Previous meta-analyses did not provide a summary estimate of the efficacy due to the heterogeneity of the results. We conducted a meta-analysis of published data including recently published studies (up to June 2009) to determine the efficacy of BCG protection on leprosy and to investigate whether age at vaccination, clinical form, number of doses, type of study, the latitude of study area and year of publication influence the degree of efficacy and explain the variation. In the light of the results, we argue for more emphasis on the role of BCG vaccination in leprosy control and research

KINETIC AND KINEMATIC FEATURES OF COUNTERMOVEMENT AND SAUTÉ JUMPS IN CLASSICAL BALLET DANCERS

The purpose of this study was to investigate how the external rotations of lower limbs influence the performance of ballet dancers in jumps. Four ballet dancers with high technical proficiency were recruited for a test, they performed three attempts the countermovement and sauté jump. Two force plates were used to determine ground reaction forces. Six cameras were used to collect the kinematic data. It was analyzed the peak of knee flexion, peak of ground force reaction and jump height. The performance in countermovement and sauté jump tests was compared through box plot analysis. In conclusion, even with a lower degree of knee flexion, dancers can produce higher jumps and more ground force reaction on countermovement jump. The results suggest that the attention focus when jumping is an important determinant of jump performance

Synthesis and characterization of fructosyltransferase from Aspergillus oryzae ipt-301 for high fructooligosaccharides production

Fructooligosaccharides (FOS) are mainly produced by microbial fructosyltransferases (FTase, E.C.2.4.1.9), and Aspergillus oryzae IPT-301 has shown high fructosyl transferring and low hydrolytic activities, which leads to high FOS production yields, but the main operating parameters for its best performance have been scarcely studied. Thus, this work aimed to evaluate the cellular growth, production and characterization of mycelial and extracellular FTases by Aspergillus oryzae IPT-301. Experimental design showed that the extracellular FTase performance was optimized (high transfructosylation activity and low hydrolytic activity) for reaction pH 5.5 - 6.75 and temperature of 45-50 °C and was fitted by the Michaelis-Menten model, while the mycelial FTase showed better performance at pH below 6.5 and temperature above 46 °C and was better fitted by the Hill model. The results obtained showed that the fungus represents a promising source for FOS production on a laboratorial scale.The authors gratefully acknowledge The State of Minas Gerais Research Foundation (FAPEMIG, Process APQ-02131-14) for providing financial support and the Institute for Technological Research (IPT/SP)/Programa Novos Talentos, through an individual research grant attributed to Cristiane Angélica Ottoni.info:eu-repo/semantics/publishedVersio

A 3D KINEMATICAL ANALYSIS OF LONG JUMP IN THE “GOLD MEETING RIO OF ATHLETICS 2007”

This study was based on the 3D kinematical analysis of long jump in an official competition of the International Association of Athletics Federation. A six camera kinematical analysis system was used to reconstruct the 3D coordinates of eighteen points, modeling the athlete’s body with the follow segments: head, trunk, arms, forearms, thighs, calves and feet. Several performance variables concerning the center of mass trajectories and velocities were used to characterize and compare the individual jumps. Descriptive statistics was used to compare the results obtained with those found in the literature

Causes of variation in BCG vaccine efficacy: examining evidence from the BCG REVAC cluster randomized trial to explore the masking and the blocking hypotheses.

BCG protection varies and in some places (nearest the equator) is low or absent. Understanding this variation can inform the efforts to develop new vaccines against tuberculosis. Two main hypotheses are used to explain this variation: under masking, new vaccines are unlikely to increase protection; under blocking new vaccines have a greater potential to be effective when BCG is not. We conducted a cluster randomized trial to explored the masking and blocking hypotheses by studying BCG vaccine efficacy of neonatal vaccination and when administered for the first or a second (revaccination) time at school age in two sites (Manaus close and Salvador further south from the equator). Seven hundred and sixty three state schools were matched on socio economic characteristics of the neighborhood and 239,934 children were randomized to vaccine (BCG vaccination at school age) or control group. Protection by first BCG vaccination at school age was high in Salvador (34%, 95% CI 7-53%, p=0.017) but low in Manaus (8%, 95% CI t0 39-40%, p=0.686). For revaccination at school age, protection was modest in Salvador (19%, 95% CI 3-33%, p=0.022) and absent in Manaus (1%, 95% CI to 27-23%, p=0.932). Vaccine efficacy for neonatal vaccination was similar in Salvador (40%, 95% CI 22-54%, p<0.001) and Manaus (36%, 95% CI 11-53%, p=0.008). Variation in BCG efficacy was marked when vaccine was given at school age but absent at birth, which points towards blocking as the dominant mechanism. New tuberculosis vaccines that overcome or by pass this blocking effect could confer protection in situations where BCG is not protective

Prevalence, treatment, and control of dyslipidemia in diabetic participants of two Brazilian cohorts: a place far from heaven

Diabetes is one of the leading causes of cardiovascular mortality. Over the last years, mortality has decreased significantly, more in individuals with diabetes than in healthy ones. That is mostly due to the control of other cardiovascular risk factors. The objective of our study was to analyze the dyslipidemia control in two diabetes cohorts. Patients from two distinct cohorts were studied, 173 patients from the BHS (Brasilia Heart Study) and 222 patients from the BDS (Brazilian Diabetes Study). The data on dyslipidemia control were studied in both different populations. All patients had diabetes. There are significant differences concerning comorbidities between the LDL-C and BDS groups. The average glycated hemoglobin is of 8.2 in the LDL-C > 100 group in comparison with 7.7 and 7.5 in the 70-100 and 100 groups (54.3% and 54.9%, respectively; p = 0.005). Diastolic pressure is higher in the group with LDL > 100, with an average of 87 mmHg, in comparison with 82.6 mmHg and 81.9 mmHg in the 70-100 and 100 has the greatest percentage of smokers (8.7%) in comparison with the groups with LDL between 70-100 and 100 groups, respectively (p < 0.001). The data in our study have shown that the dyslipidemia control in diabetic patients is inadequate and there is a tendency of direct association between lack of blood glucose control and lack of dyslipidemia control, in addition to the association with other cardiovascular risk factors, such as diastolic hypertension and smoking. This worsened control might be related to the plateau in the descending curve of mortality, and investments in this regard can improve the cardiovascular health in diabetic patients.6513

Guillain-Barré syndrome related to Zika virus infection: A systematic review and meta-analysis of the clinical and electrophysiological phenotype

BACKGROUND: The Zika virus (ZIKV) has been associated with Guillain-Barré syndrome (GBS) in epidemiological studies. Whether ZIKV-associated GBS is related to a specific clinical or electrophysiological phenotype has not been established. To this end, we performed a systematic review and meta-analysis of all published s

Hyperbaric oxygen therapy ameliorates TNBS-induced acute distal colitis in rats

Abstract\ud \ud Background\ud This study investigated the therapeutic effects of hyperbaric oxygen in experimental acute distal colitis focusing on its effect on the production of pro-inflammatory cytokines, nitric oxide and hypoxia-inducible factor 1alpha.\ud \ud \ud Methods\ud Colitis was induced with a rectal infusion of 150 mg/kg of TNBS under anesthesia with Ketamine (50 mg/kg) and Xylazine (10 mg/kg). Control animals received only rectal saline. After colitis induction, animals were subjected to two sessions of hyperbaric oxygen and were then euthanized. The distal intestine was resected for macroscopic analysis, determination of myeloperoxidase activity, western-blotting analyses of inducible nitric oxide synthase and cyclooxygenase-2 expression and immunohistochemical analysis of hypoxia-inducible factor 1alpha and cyclooxygenase-2. Cytokines levels in the distal intestine were measured using an enzyme-linked immunosorbent assay.\ud \ud \ud Results\ud Hyperbaric oxygen therapy attenuated the severity of acute distal colitis, with reduced macroscopic damage score. This effect was associated with prevention in the increase of pro-inflammatory cytokine production; myeloperoxidase activity, in the expression of inducible nitric oxide synthase and cyclooxygenase-2. Finally, hyperbaric oxygen inhibited the acute distal colitis-induced up-regulation of hypoxia-inducible factor 1alpha.\ud \ud \ud Conclusions\ud The results indicate that hyperbaric oxygen attenuates the severity of acute distal colitis through the down-regulation of pro-inflammatory events.This work was supported by FAEPA\ud (Fundação de Apoio ao Ensino, Pesquisa e Assistência), Ribeirão Preto\ud Medical School University of Sao Paulo, Brazil and Grant 2011/19670-0 from\ud São Paulo Research Foundation (FAPESP)

Diversidade de criadouros e tipos de imóveis freqüentados por Aedes albopictus e Aedes aegypti

OBJECTIVE: To assess the diversity of oviposition containers and buildings where females of Aedes albopictus and Aedes aegypti can be found. METHODS: A study was carried out in the city of Rio de Janeiro, Southern Brazil, between 2002 and 2003. Larvae in different types of buildings were investigated, and immature forms found were then sent to the laboratory for identification. The larval frequency for both mosquitoes was estimated in the oviposition containers available. The Breteau index and the building infestation index were calculated and differences were tested using the Chi-square test. RESULTS: The types of buildings that were positive for Aedes albopictus and Aedes aegypti were: dwellings (83.9%); churches, schools, clubs (6.8%); vacant land (6.4%); and businesses (2.8%). Of 9,153 larvae collected, 12.0% were Aedes albopictus and 88.0% were Aedes aegypti. Aedes albopictus were mostly found in drains (25.4%); cans, bottles, empty bottles (23.9%); and plant vases (16.2%). Aedes aegypti was much more frequently found than Aedes albopictus (chi2=145.067; pOBJETIVOS: Verificar a diversidade de criadouros e tipos de imóveis freqüentados por fêmeas de Aedes albopictus e Aedes aegypti. MÉTODOS: O estudo foi realizado nos anos de 2002 e 2003 no bairro de Campo Grande, Rio de Janeiro, RJ. Realizou-se pesquisa larvária em diferentes tipos de imóveis. As larvas encontradas foram identificadas em laboratório. A freqüência de larvas dessas duas espécies foi computada nos diversos criadouros disponíveis. Foram calculados os índices de infestação predial e de Breteau, as diferenças foram testadas pelo qui-quadrado. RESULTADOS: Os tipos de imóveis positivos para os aedinos foram: residências (83,9% do total); igrejas, escolas, clubes (6,8%); terrenos baldios (6,4%); e comércios (2,8%). Das 9.153 larvas, 12,0% eram de Aedes albopictus e 88,0% de Aedes aegypti. Para aquela espécie, os recipientes onde foram mais encontradas foram ralos (25,4%), latas, garrafas, vasilhames (23,9%) e vasos com plantas (16,2%). Aedes aegypti mostrou-se mais freqüente nos criadouros que Aedes albopictus (chi2=145,067,