Validity and Reliability of the Frontotemporal Dementia Rating Scale (FTD-FRS) for the Progression and Staging of Dementia in Brazilian Patients

Introduction: Few studies on instruments for staging frontotemporal dementia (FTD) have been conducted.  Objective: The objective of this study was to analyze the factor structure, internal consistency, reliability, and convergent validity of the Brazilian version of the Frontotemporal Dementia Rating Scale (FTD-FRS).  Methods: A total of 97 individuals aged 40 years and above with >2 years’ education took part in the study, 31 patients diagnosed with behavioral variant FTD (bvFTD), 8 patients with primary progressive aphasia, 28 with Alzheimer disease, 8 with mild cognitive impairment, and a control group of 22 healthy subjects. The FTD-FRS was completed by family members or caregivers, and Neurologists completed the 8-item Clinical Dementia Rating for Frontotemporal Lobar Degeneration (CDR-FTLD) scale (6 original domains plus Language and Behavior). The Alzheimer disease and FTD patients had equivalent disease severity level.  Results: The internal consistency of the FTD-FRS, estimated by Cronbach α, was 0.975 whereas test-retest reliability was 0.977. Scree plot and exploratory factor (Varimax rotation) analyses revealed the existence of 4 factors, with eigenvalues >1, which together explained 77.13% of the total variance with values of 1.28 to 17.52. The domains of the Brazilian version of the FTD-FRS scale correlated with the domains of the CDR-FTLD.  Conclusions: The present study is the first to document the factorial structure of the FTD-FRS and its convergent validity with the CDR-FTLD. These tools are key to determine dementia severity in FTD. The Brazilian FTD-FRS demonstrated adequate psychometric properties for use in Brazil. This instrument may contribute to disease staging in FTD and may help to document intervention-related changes

Epidemiologia molecular do gênero arcobacter

Pertencente à família Campylobacteriaceae, os bacilos gram-negativos curvos Arcobacter apresentam quatrosubtipos: A. cryaerophylos, A. butzleri, A. nitrofrigilis e A. skirrowii. Estudos de DNA e rRNA foram usados para evidenciaras diferenças genotípicas entre estas e as dos gêneros Campylobacter e Helicobacter. Tais bactérias foram encontradas emcarcaças de suínos, bovinos e aves, bem como em esgotos, sedimentos de pântanos salgados e humanos com enterites, o quesugere que possam ser patógenos humanos transmitidos principalmente através de água não tratada e carnes pouco cozidas

Fatores de virulência de Neisseria spp

O gênero Neisseria é constituído de dez espécies, duas das quais são patógenos estritamente humanos, a Neisseriagonorrheae e a Neisseria meningitidis. As neissérias são diplococos Gram-negativas imóveis, exigente para o crescimentoe capinofílicas. N. meningitidis apresentam cápsulas enquanto N. gonorrhoeae não é capsulado. N. meningitidis apresentacomo fatores antigênicos, polissacárides que permitem a divisão antigênica em vários subgrupos, proteínas de membranaexterna (Omp) e os lipossacárides. A bactéria também possui receptores específi cos dos pili meningocócicos que favorecema sua colonização na nasofaringe; e a cápsula protege da fagocitose mediada por anticorpos. Pode apresentar duas formasclínicas: a meningite (que pode ser causada também por outros microrganismos) e a meningococcinemia (septicemia com ousem meningite, fatal). N. gonorrhoeae aparesenta como fator de virulência: a cápsula e as proteínas pilina, Por, Opa, ProteínaIII, Tbp1 e Tbp2, Lbp, LOS e β-lactamase. A bactéria causa a doença conhecida como gonorréia, que pode se apresentar comodoença pélvica infl amatória, salpingite em mulheres, epididimite em homens e oftalmia neonatal em crianças. Além disso, abactéria pode-se disseminar para outras partes do copo

WATER DEMAND AND WATER USE EFFICIENCY IN ‘PALMER’ MANGO CULTIVATION IN THE LOW-MIDDLE SÃO FRANCISCO VALLEY

ABSTRACT The study aimed to determine the evapotranspiration (ETc) of the mango cv. ‘Palmer’ over two productive cycles, analyzing water-use efficiency (WUE) and crop water productivity (CWP) to propose average crop coefficient (Kc) values for improving irrigation management under cultivation conditions in the Low-Middle São Francisco Valley. The study was conducted from July 2019 to May 2021 in a commercial ‘Palmer’ mango orchard in Petrolina, State of Pernambuco, Brazil. Micrometeorological data was collected throughout the experimental period. The crop evapotranspiration (ETc) was determined using Bowen ratio energy balance (BREB), and then the Kc, WUE, and CWP were determined. The highest ETc values occurred during the floral induction phase (5.14 ± 0.85 mm day-1), with a Kc of 0.85; however, the lowest values were observed during the fruit maturation phase (3.60 ± 0.73 mm day-1), with a Kc of 0.91. Average water consumption per cycle was 1445 mm, with a daily average of 4.39 mm day-1. WUE and CWP were 16.9 and 24.5 kg ha-1 mm-1, respectively. Average Kc values of 0.81, 0.76, 0.85, 0.90, 0.95, and 0.91 are recommended for the vegetative growth, rest period and shoot maturation, floral induction, flowering, fruit development, and fruit maturation phases, respectively

Avaliação ecológica rápida de indicadores bentônicos de qualidade de água: uma experiência de sucesso na formação de pós-graduandos em ecologia no Brasil

Rapid Ecological Assessment protocols are important tools for the training of postgraduate students, as well as the collection of data on poorly-known and protected areas with the potential for the preservation of water supplies for urban areas. The objective of this study was to perform a survey of water quality and diversity of benthic macroinvertebrates in two sub-basins at the Mata do Junco Wildlife Refuge in the Brazilian state of Sergipe. The collection of data in the field, laboratory processing, and the interpretation and discussion of data were conducted in groups by students from two postgraduate programmes in Ecology and Conservation (UFMG and UFS), personnel of the state environment agency (SEMARH), school teachers from the local town of Capela, and members of the reserve's voluntary fire brigade. The results of the assessment were organised, analysed, and presented at the reserve headquarters in the form of posters, for the development of environmental education activities with pupils from local schools, as well as contributing to a SEMARH seminar. Samples were characterised by distinct taxonomic compositions and diversity, as confirmed by MDS and additive partitioning of diversity analyses. The gravel substrate presented the lower mean taxonomic richness in each sampling unit (a1 = 28%), while the average difference among samples (b1 diversity) was elevated for both substrates (39% for leaf litter, 41% for gravel), reflecting the pronounced variation among samples, even adjacent ones within the same stream. Diversity between streams was lower in the case of leaf litter in comparison with gravel (b2 = 21 and 31%, respectively). A total of 57 fish specimens were collected with a predominance of individuals of the orders Characiformes (62%) and Perciformes (21%). This rapid ecological assessment confirmed the importance of the conservation unit and emphasised the need for its continuation, given its importance for the maintenance of water quality and its other ecological services, such as the conservation of the region's aquatic biodiversity and providing the local town of Capela (circa 20,000 inhabitants) with its water supply, the Mata do Junco being its only source._________________________________________________________________________________ RESUMO: Protocolos de avaliação ecológica rápida são ferramentas importantes para treinamento de pós-graduandos e levantamento de informações em áreas pouco conhecidas. O objetivo deste estudo foi realizar um levantamento de qualidade de água e diversidade de macroinvertebrados bentônicos em duas sub-bacias em uma área protegida. Atividades de campo, processamento em laboratório, interpretação e discussão de dados foram realizados em grupos com a participação de representantes dos Programas de Pós-graduação em Ecologia da UFMG e da UFS, SEMARH, professores do município de Capela e "brigada voluntária de incêndio" do Refúgio de Vida Silvestre (RVS) Mata do Junco em Sergipe. Os resultados foram sintetizados, analisados e disponibilizados na Unidade de Conservação (UC) RVS Mata do Junco na forma de banners de divulgação, atividades de educação ambiental com alunos de escolas locais e em um seminário de recursos hídricos no estado de Sergipe. As amostras de fundo apresentaram composições taxonômicas e diversidade diferentes, como mostraram as análises de ordenação MDS e de partição aditiva da diversidade. O substrato cascalho apresentou menor riqueza taxonômica média em cada unidade amostral (a1 = 28%) e a diferença média entre amostragens (diversidade b1) foi elevada nos dois casos (39% em folhiço, 41% em cascalho), indicando a alta variação que há entre amostras espacialmente próximas em um mesmo riacho. A diversidade entre riachos foi menor em folhiço do que em cascalho (b2 = 21 e 31%, respectivamente). Foram capturados 57 peixes, com predomínio de Characiformes (62%) e Perciformes (21%). Esta avaliação ecológica rápida corrobora a importância da criação e manutenção desta unidade de conservação, a fim de manter a boa qualidade de suas águas e serviços ecológicos, destacando-se a conservação da biodiversidade aquática e o abastecimento do município de Capela, com cerca de 20 mil habitantes que têm no RVS Mata do Junco seu único manancial de abastecimento de água

Expanding the phenotypic spectrum of CLCN2-related leucoencephalopathy and ataxia

Mutations in CLCN2 are a rare cause of autosomal recessive leucoencephalopathy with ataxia and specific imaging abnormalities. Very few cases have been reported to date. Here, we describe the clinical and imaging phenotype of 12 additional CLCN2 patients and expand the known phenotypic spectrum of this disorder. Informed consent was obtained for all patients. Patients underwent either whole-exome sequencing or focused/panel-based sequencing to identify variants. Twelve patients with biallelic CLCN2 variants are described. This includes three novel likely pathogenic missense variants. All patients demonstrated typical MRI changes, including hyperintensity on T2-weighted images in the posterior limbs of the internal capsules, midbrain cerebral peduncles, middle cerebellar peduncles and cerebral white matter. Clinical features included a variable combination of ataxia, headache, spasticity, seizures and other symptoms with a broad range of age of onset. This report is now the largest case series of patients with CLCN2-related leucoencephalopathy and reinforces the finding that, although the imaging appearance is uniform, the phenotypic expression of this disorder is highly heterogeneous. Our findings expand the phenotypic spectrum of CLCN2-related leucoencephalopathy by adding prominent seizures, severe spastic paraplegia and developmental delay

Structural and functional papez circuit integrity in amyotrophic lateral sclerosis

Cognitive impairment in amyotrophic lateral sclerosis (ALS) is heterogeneous but now recognized as a feature in non-demented patients and no longer exclusively attributed to executive dysfunction. However, despite common reports of temporal lobe changes and memory deficits in ALS, episodic memory has been less explored. In the current study, we examined how the Papez circuit—a circuit known to participate in memory processes—is structurally and functionally affected in ALS patients (n = 20) compared with healthy controls (n = 15), and whether these changes correlated with a commonly used clinical measure of episodic memory. Our multimodal MRI approach (cortical volume, voxel-based morphometry, diffusion tensor imaging and resting state functional magnetic resonance) showed reduced gray matter in left hippocampus, left entorhinal cortex and right posterior cingulate as well as increased white matter fractional anisotropy and decreased mean diffusivity in the left cingulum bundle (hippocampal part) of ALS patients compared with controls. Interestingly, thalamus, mammillary bodies and fornix were preserved. Finally, we report a decreased functional connectivity in ALS patients in bilateral hippocampus, bilateral anterior and posterior parahippocampal gyrus and posterior cingulate. The results revealed that ALS patients showed statistically significant structural changes, but more important, widespread prominent functional connectivity abnormalities across the regions comprising the Papez circuit. The decreased functional connectivity found in the Papez network may suggest these changes could be used to assess risk or assist early detection or development of memory symptoms in ALS patients even before structural changes are established

Combining remote sensing and household level data for regional scale analysis of land cover change in the Brazilian Amazon

Land cover change in the Brazilian Amazon depends on the spatial variability of political, socioeconomic and biophysical factors, as well as on the land use history and its actors. A regional scale analysis was made in Rondônia State to identify possible differences in land cover change connected to spatial policies of land occupation, size and year of establishment of properties, accessibility measures and soil fertility. The analysis was made based on remote sensing data and household level data gathered with a questionnaire. Both types of analyses indicate that the highest level of total deforestation is found inside agrarian projects, especially in those established more than 20 years ago. Even though deforestation rates are similar inside and outside official settlements, inside agrarian projects forest depletion can exceed 50% at the property level within 10–14 years after establishment. The data indicate that both small-scale and medium to large-scale farmers contribute to deforestation processes in Rondônia State encouraged by spatial policies of land occupation, which provide better accessibility to forest fringes where soil fertility and forest resources are important determinants of location choic