CUIDADOS E PREVENÇÕES AO DIABETES NO BRASIL

Diabetes, as well as other chronic diseases such as hypertension, occupy a place of relevance with regard to the diseases that more affect the population and more cause deaths. Public policies aimed at its eradication, although advantageous, are insufficient and costly. Thus, there is the alternative of early diagnosis of the disease, screening, which obtained, of the total, 44% representing new cases. The objective is the solution through new policies and knowledge of the disease. The degrading factor of the disease requires its study, when observed in close relatives. The surveys used closed questionnaires to obtain data. The conclusion is that the research proposals are efficient as complementary to existing policies.O diabetes, assim como outras doenças crônicas tais como hipertensão, ocupa um lugar de relevância no que diz respeito às doenças que mais atingem a população e mais causam mortes. As políticas públicas voltadas à sua erradicação, embora vantajosas, são insuficientes e custosas. Sendo assim, há a alternativa do diagnóstico precoce da doença, rastreamento, que obteve, do total, 44% representando novos casos. Objetiva-se a solução por meio de novas políticas e conhecimento da doença. O fator degradante da doença exige seu estudo, ao ser observada em familiares próximos. As pesquisas utilizadas usaram questionários fechados para obter dados. A conclusão é que as propostas das pesquisas se mostram eficientes como complementos às políticas existentes

A primeira ocorrência de Psammolestes coreodes Bergroth, 1911 (Hemiptera: Reduviidae: Triatominae) no Estado de Mato Grosso do Sul, Brasil

Em processament

Triatomines (Hemiptera, Reduviidae) prevalent in the northwest of Peru: species with epidemiological vectorial capacity

ABSTRACT: The development of strategies for the adequate control of the vector transmission of Chagas disease depends on the availability of updated data on the triatomine species present in each region, their geographical distribution, natural infections by Trypanosoma cruzi and/or T. rangeli, eco-biological characteristics and synanthropic behavioral tendencies. This paper summarizes and updates current information, available in previously published reports and obtained by the authors our own field and laboratory studies, mainly in northwest of Peru. Three triatomine species exhibit a strong synanthropic behavior and vector capacity, being present in domestic and peridomestic environments, sometimes showing high infestation rates: Rhodnius ecuadoriensis, Panstrongylus herreri and Triatoma carrioni The three species should be given continuous attention by Peruvian public health authorities. P. chinai and P. rufotuberculatus are bugs with increasing potential in their role as vectors according to their demonstrated synanthropic tendency, wide distribution and trophic eclecticism. Thus far we do not have a scientific explanation for the apparent absence ofT. dimidiata from previously reported geographic distributions in Peru. It is recommended, in the Peruvian northeastern Amazon region, the development of field studies on species of the genus Rhodnius, as well as of other triatominae, to evaluate their present Trypanosomatidae vector capacity. _______________________________________________________________________________________ RESUMENEl desarrollo de estrategias adecuadas para el control de la transmisión vectorial de la Enfermedad de Chagas depende: de la disponibilidad de datos actualizados de las especies de triatominos presentes en cada región, de su distribución geográfica, infección natural por Trypanosoma cruzi ylo T. rangeli, características eco-biológicas y tendencias de comportamiento sinantrópico. Este trabajo resume y actualiza la información disponible en la literatura y aquella obtenida en nuestros estudios de campo y de laboratorio desarrollados en los últimos años por los autores, predominantemente, en la región Nor-Occidental del Perú. El resultado de esas observaciones es la detección de que, tres especies de triatominos presentan un importante comportamiento sinantrópico y capacidad vectorial, ocupando ambientes intradomiciliares y peridomiciliares: Rhodnius ecuadoriensis, Panstrongylus herreriy Triatoma carrioni. Las tres especies deben recibir constante atención por parte de las autoridades de Salud Pública Peruana. P. chinai y P rufotuberculatus tienen potencial creciente en su papel de vectores, por la comprobada tendencia sinantrópica, distribución geográfica y eclecticismo trófico. Se desconocen las causas de la aparente ausencia actual de Triatoma dimidiata, dada su presencia constatada anteriormente en el Perú. Se recomienda que en la región Nor-Oriental Amazónica Peruana se realicen en forma urgente estudios sobre las especies del genero Rhodnius y de otros triatominos que permitan evaluar la real capacidad vectorial de los Trypano-somatideos

Geographic Distribution of Chagas Disease Vectors in Brazil Based on Ecological Niche Modeling

Although Brazil was declared free from Chagas disease transmission by the domestic vector Triatoma infestans, human acute cases are still being registered based on transmission by native triatomine species. For a better understanding of transmission risk, the geographic distribution of Brazilian triatomines was analyzed. Sixteen out of 62 Brazilian species that both occur in >20 municipalities and present synanthropic tendencies were modeled based on their ecological niches. Panstrongylus geniculatus and P. megistus showed broad ecological ranges, but most of the species sort out by the biome in which they are distributed: Rhodnius pictipes and R. robustus in the Amazon; R. neglectus, Triatoma sordida, and T. costalimai in the Cerrado; R. nasutus, P. lutzi, T. brasiliensis, T. pseudomaculata, T. melanocephala, and T. petrocchiae in the Caatinga; T. rubrovaria in the southern pampas; T. tibiamaculata and T. vitticeps in the Atlantic Forest. Although most occurrences were recorded in open areas (Cerrado and Caatinga), our results show that all environmental conditions in the country are favorable to one or more of the species analyzed, such that almost nowhere is Chagas transmission risk negligible

A INCLUSÃO EDUCACIONAL NO ENSINO SUPERIOR

The creation of policies aimed at including those who are unable to afford graduation costs has been increasing. The main problem is the lack of financial conditions. It is assumed that with the deepening of investments at the higher level, the socio- economic situation of the country will progress. It is intended to emphasize the importance of higher education as attention is given to basic education. The choice of theme was due to the particular knowledge of one of the policies of private order. There is the analysis of the policies, and finally a comparison between the two chosen ones of private initiative. With this, it is tried to solve the doubt of if the Brazilian policies directed to the education are sufficient.A criação de políticas que visam a inclusão daqueles incapazes de arcar com os custos da graduação vem crescendo. A maior problemática consiste na falta de condições financeiras. Supõe-se que com o aprofundamento dos investimentos em nível superior, a situação socioeconômica do País progredirá. Pretende-se enfatizar a importância do ensino superior como é dada atenção à educação básica. A escolha do tema deveu-se ao conhecimento particular de uma das políticas de ordem privada. Há a análise das políticas, e finalmente uma comparação entre as duas escolhidas de iniciativa privada. Com isso, busca-se solucionar a dúvida de se as políticas brasileiras voltadas à educação são suficientes

Ecological niche modelling and differentiation between Rhodnius neglectus Lent, 1954 and Rhodnius nasutus Stål, 1859 (Hemiptera: Reduviidae: Triatominae) in Brazil

Ecological niche modelling was used to predict the potential geographical distribution of Rhodnius nasutus Stål and Rhodnius neglectus Lent, in Brazil and to investigate the niche divergence between these morphologically similar triatomine species. The distribution of R. neglectus covered mainly the cerrado of Central Brazil, but the prediction maps also revealed its occurrence in transitional areas within the caatinga, Pantanal and Amazon biomes. The potential distribution of R. nasutus covered the Northeastern Region of Brazil in the semi-arid caatinga and the Maranhão babaçu forests. Clear ecological niche differences between these species were observed. R. nasutus occurred more in warmer and drier areas than R. neglectus. In the principal component analysis PC1 was correlated with altitude and temperature (mainly temperature in the coldest and driest months) and PC2 with vegetation index and precipitation. The prediction maps support potential areas of co-occurrence for these species in the Maranhão babaçu forests and in caatinga/cerrado transitional areas, mainly in state of Piaui. Entomologists engaged in Chagas disease vector surveillance should be aware that R. neglectus and R. nasutus can occur in the same localities of Northeastern Brazil. Thus, the identification of bugs in these areas should be improved by applying morphometrical and/or molecular methods

Infestation of thornbird nests (Passeriformes: Furnariidae) by Psammolestes tertius (Hemiptera: Reduviidae) across Brazilian Cerrado and Caatinga ecoregions

Psammolestes tertius Lent & Jurberg, 1965 is a sylvatic triatomine bug species that occurs in thornbird nests in Brazil. We studied infestation of 527 nests of Phacellodomus rufifrons Wied, 1821 and Phacellodomus ruber Vieillot, 1817 by P. tertius in eight Brazilian states across the Cerrado and Caatinga ecoregions. Psammolestes tertius occurred in 44% of the nests, mainly in those of P. ruber. Overall, 3,261 specimens (52% nymphs) were captured, with an average of 14 bugs per infested nest (range 1-75). While P. tertius occurrence and age structure (percentage of nymphs) were similar in Cerrado and Caatinga nests, infestation intensity (bugs/infested nest) was higher in the Cerrado. Last-stage nymphs and adults were predominant in P. tertius populations from both P. ruber and P. rufifrons nests. The results indicate that Phacellodomus nests are favourable habitats for P. tertius in the open/dry ecoregions of Brazil. The percentage of adult P. tertius specimens (48%) was higher than that observed in other triatomine species (usually less than 5% under either experimental or natural conditions), suggesting that adult bugs tend to remain in thornbird nests. The stable blood supply provided by resident/breeding birds would favor steady P. tertius infestation of thornbird nests across Brazilian Cerrado and Caatinga ecoregions

Deep Learning Algorithms Improve Automated Identification of Chagas Disease Vectors

This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Medical Entomology following peer review. The version of record is available online at: https;//doi.org/https://doi.org/10.1093/jme/tjz065Vector-borne Chagas disease is endemic to the Americas and imposes significant economic and social burdens on public health. In a previous contribution, we presented an automated identification system that was able to discriminate among 12 Mexican and 39 Brazilian triatomine (Hemiptera: Reduviidae) species from digital images. To explore the same data more deeply using machine-learning approaches, hoping for improvements in classification, we employed TensorFlow, an open-source software platform for a deep learning algorithm. We trained the algorithm based on 405 images for Mexican triatomine species and 1,584 images for Brazilian triatomine species. Our system achieved 83.0 and 86.7% correct identification rates across all Mexican and Brazilian species, respectively, an improvement over comparable rates from statistical classifiers (80.3 and 83.9%, respectively). Incorporating distributional information to reduce numbers of species in analyses improved identification rates to 95.8% for Mexican species and 98.9% for Brazilian species. Given the ‘taxonomic impediment’ and difficulties in providing entomological expertise necessary to control such diseases, automating the identification process offers a potential partial solution to crucial challenges