Adverse fetal and neonatal outcomes in pregnancies with confirmed Zika Virus infection in Rio de Janeiro, Brazil: A cohort study.

OBJECTIVE: To analyze adverse fetal and neonatal outcomes of Zika virus infection by the timing of infection during pregnancy. Method: Cohort study of 190 pregnancies with 193 offspring with a positive RT-PCR test for Zika virus (March/2016 to April/2017). RESULTS: Death or defects related to congenital Zika virus infection were identified in 37.3% of fetuses and newborns, and microcephaly in 21.4% of the newborns. The proportion of small for gestational age newborns was 21.9%. Maternal symptoms in the first trimester were significantly associated with the birth of newborns with microcephaly/cerebral atrophy, small for gestational age and with the deaths (one abortion, one stillbirth and the two neonatal deaths). Maternal infection during the second trimester was further associated with asymptomatic newborns at birth. The study showed that 58.5% of the offspring with microcephaly and / or cortical atrophy were small for gestational age, with an evident decrease in symptomatic offspring without microcephaly, 24.1%, and with only 9.1% in the asymptomatic group. CONCLUSION: This study showed that the earlier the symptoms appear during gestation, the more severe the endpoints. We found a higher percentage of small for gestational age newborns exposed to Zika virus early in gestation. We also found a group of apparently asymptomatic newborns with proven Zika infection, which highlights the importance of follow up studies in this population

Contribution to the discussions on the origin of the cerrado biome: Brazilian savanna

Theories that attempt to explain the origin of the cerrado biome are mostly based on the isolated action of three major factors: climate, fire and soil. Another factor that has been mentioned is that of human interference. We hypothesise that the evolutionary origin of this biome resulted from the complex interaction of climate, fire and soil, with climate being the triggering agent of this assumed interaction. Fire, as well as acid and dystrophic soils, would be factors involved in the selection of savanna species throughout climatic events, during the Tertiary and the Quaternary, e.g. Pliocene and Pleistocene. The genesis of the physiognomies that would give rise to cerrado sensu lato, rather than forest formations, could have occurred due to the strong pressure exerted by the reduction in water availability, and the selection of the species adapted to the new conditions imposed by the environment. The characteristics of cerrado sensu lato soil, originated from edaphic impoverishment caused by lixiviation and successive past fires, would remain, even after hydric availability increased following the Pleistocene glaciations