Development of experimental sporothrichosis in a murine model with yeast and mycelial forms of Sporothrix schenkii

Sporotrichosis is a subcutaneous disease that affects both men and a variety of animals caused by the dimorphic fungus Sporothrix schenckii. The aims of this study were to observe differences in virulence between inocula containing the yeast (Y) or mycelial (M) forms, to compare the reactions induced by the two inocula injected in different anatomical sites, and to verify the possibility of horizontal transmission of the disease by contact between infected and healthy animals. All animals were observed during a period of nine weeks. Mice were inoculated subcutaneously in the paw pads and in the regions of the hip and shoulder joints. Another group of non-inoculated healthy mice was kept in direct contact with mice developing the subcutaneous lesions. Animals of groups Y and M developed lesions due to infections and clinical symptoms very characteristic of sporothrichosis. Lesions were more prominent and with longer duration when occurring in the pads than in any other site of inoculation. Non-inoculated mice remained healthy as it occurred to animals in the control group. The development of typical clinical symptoms for sporothrichosis in all inoculated groups suggests that no difference exists in virulence between the yeast and mycelial forms of the same isolated of S. schenckii. Moreover, the paw pads appear to be the site of choice for the inoculation for experimental sporotrichosis in the murine model. In addition, this study also showed that the contact with sick animals and contaminated materials is insufficient to transmit the infection to immune competent animals with intact skin

Lying in Wait: The Resurgence of Dengue Virus After the Zika Epidemic in Brazil

After the Zika virus (ZIKV) epidemic in the Americas in 2016, both Zika and dengue incidence declined to record lows in many countries in 2017-2018, but in 2019 dengue resurged in Brazil, causing ~2.1 million cases. In this study we use epidemiological, climatological and genomic data to investigate dengue dynamics in recent years in Brazil. First, we estimate dengue virus force of infection (FOI) and model mosquito-borne transmission suitability since the early 2000s. Our estimates reveal that DENV transmission was low in 2017-2018, despite conditions being suitable for viral spread. Our study also shows a marked decline in dengue susceptibility between 2002 and 2019, which could explain the synchronous decline of dengue in the country, partially as a result of protective immunity from prior ZIKV and/or DENV infections. Furthermore, we performed phylogeographic analyses using 69 newly sequenced genomes of dengue virus serotype 1 and 2 from Brazil, and found that the outbreaks in 2018-2019 were caused by local DENV lineages that persisted for 5-10 years, circulating cryptically before and after the Zika epidemic. We hypothesize that DENV lineages may circulate at low transmission levels for many years, until local conditions are suitable for higher transmission, when they cause major outbreaks

Hemofilia adquirida A e B principais apresentações clínicas da doença de Pott em crianças: Hemofilia adquirida A e B main clinical presentations of Pott disease in children

A hemofilia é uma doença sanguínea caracterizada por distúrbios nos mecanismos de coagulação do sangue, podendo ser de origem hereditária ou adquirida. A hemofilia adquirida ocorre devido à produção de autoanticorpos contra a atividade pró-coagulante dos fatores VIII (Hemofilia A) e IX (Hemofilia B). O objetivo desse trabalho é a realização de um estudo observacional e exploratório sobre os artigos publicados nos últimos 5 anos sobre a hemofilia adquirida A e B, uma vez que é uma enfermidade considerada rara. Dos 68 resultados obtidos na pesquisa, apenas 7 abordaram de forma objetiva sobre o tema, sendo utilizados na confecção do estudo. Segundo a literatura, as manifestações clínicas envolvem sangramento mucocutâneo, urogenital e gastrointestinal, e são mais prevalentes em idosos. Em crianças, o sangramento pode ser menos expressivo, provocando dúvidas quanto ao diagnóstico. O tratamento da hemofilia envolve a reposição dos fatores de coagulação deficientes e o uso de imunossupressores, ainda que nas obras analisadas apenas o tratamento hemostático tenha sido descrito, revelando uma carência de estudos sobre o uso de imunossupressores nos casos de hemofilia adquirida

Paciente pediátrico portador de transtorno espectro autista em um ambulatório: relato de experiência / Pediatric patient with autistic spectrum disorder in an outpatient clinic: experience report

O transtorno do espectro autista (TEA) é um grupo de distúrbios do desenvolvimento neurológico de início precoce, caracterizado por comprometimento das habilidades sociais e de comunicação, além de comportamentos estereotipados. Este trabalho teve como objetivo relatar a experiência vivenciadas durante o período das aulas práticas em um ambulatório pediátrico, pontuando a assistência de enfermagem para um paciente pediátrico com Transtorno do Espectro Autista (TEA), e os cuidados voltados para as suas enfermidades. Trata-se de um estudo descritivo do tipo relato de experiência, realizado por acadêmicas de enfermagem da Universidade da Amazônia - UNAMA, durante as aulas práticas em um ambulatório infantil em Belém – PA, concluímos que a importância do enfermeiro sobre orientar os pais, e direciona-los a consultar o filho com outros profissionais da equipe multiprofissional de saúde, e para melhorar a qualidade de vida da criança.

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Avaliação do desenvolvimento da esporotricose experimental em camundongos com as formas leveduriforme e filamentosa do Sporothrix schenckii

A esporotricose é uma micose subcutânea causada pelo fungo dimórfico Sporothrix schenckii que acomete o homem e uma grande variedade de animais. Este trabalho teve como objetivos verificar possíveis diferenças de virulência entre inóculos das formas leveduriforme (Y) e filamentosa (M), comparar as reações induzidas pelos dois inóculos em diferentes sítios anatômicos, além de verificar a possibilidade da ocorrência de transmissão de animais doentes para sadios. Durante um período de nove semanas, foi observado o desenvolvimento da esporotricose experimental em camundongos inoculados via subcutânea na almofadinha plantar e nas regiões das articulações escapuloumeral e coxofemural. Também, camundongos não inoculados foram mantidos em contato direto com os que estavam desenvolvendo lesões subcutâneas. Os animais dos grupos Y e M desenvolveram quadro clínico muito semelhante de esporotricose. Os inóculos provocaram lesões mais evidentes e duradouras na almofadinha plantar do que nos outros sítios de inoculação Os camundongos não inoculados permaneceram hígidos à semelhança da situação observada no grupo controle. O desenvolvimento de quadro clínico semelhante de esporotricose entre os grupos sugere que, a priori, não existam diferenças entre os inóculos das formas leveduriforme e filamentosa de um mesmo isolado de S. schenckii. Os resultados também indicam que a almofadinha plantar pode ser considerada como ponto de inoculação preferencial no modelo murino de esporotricose experimental, além de comprovar que o simples contato de animais imunocompetentes, sem aparentes lesões de continuidade, com animais e materiais contaminados não é suficiente para o desenvolvimento da esporotricose.Sporotrichosis is a subcutaneous disease that affects both men and a variety of animals caused by the dimorphic fungus Sporothrix schenckii. The aims of this study were to observe differences in virulence between inocula containing the yeast (Y) or mycelial (M) forms, to compare the reactions induced by the two inocula injected in different anatomical sites, and to verify the possibility of horizontal transmission of the disease by contact between infected and healthy animals. All animals were observed during a period of nine weeks. Mice were inoculated subcutaneously in the paw pads and in the regions of the hip and shoulder joints. Another group of non-inoculated healthy mice was kept in direct contact with mice developing the subcutaneous lesions. Animals of groups Y and M developed lesions due to infections and clinical symptoms very characteristic of sporothrichosis. Lesions were more prominent and with longer duration when occurring in the pads than in any other site of inoculation. Non-inoculated mice remained healthy as it occurred to animals in the control group. The development of typical clinical symptoms for sporothrichosis in all inoculated groups suggests that no difference exists in virulence between the yeast and mycelial forms of the same isolated of S. schenckii. Moreover, the paw pads appear to be the site of choice for the inoculation for experimental sporotrichosis in the murine model. In addition, this study also showed that the contact with sick animals and contaminated materials is insufficient to transmit the infection to immune competent animals with intact skin