Selection of native trees for intercropping with coffee in the Atlantic Rainforest biome

A challenge in establishing agroforestry systems is ensuring that farmers are interested in the tree species, and are aware of how to adequately manage these species. This challenge was tackled in the Atlantic Rainforest biome (Brazil), where a participatory trial with agroforestry coffee systems was carried out, followed by a participatory systematisation of the farmers experiences. Our objective was to identify the main tree species used by farmers as well as their criteria for selecting or rejecting tree species. Furthermore, we aimed to present a specific inventory of trees of the Leguminosae family. In order to collect the data, we reviewed the bibliography of the participatory trial, visited and interviewed the farmers and organised workshops with them. The main farmers' criteria for selecting tree species were compatibility with coffee, amount of biomass, production and the labour needed for tree management. The farmers listed 85 tree species; we recorded 28 tree species of the Leguminosae family. Most trees were either native to the biome or exotic fruit trees. In order to design and manage complex agroforestry systems, family farmers need sufficient knowledge and autonomy, which can be reinforced when a participatory methodology is used for developing on-farm agroforestry systems. In the case presented, the farmers learned how to manage, reclaim and conserve their land. The diversification of production, especially with fruit, contributes to food security and to a low cost/benefit ratio of agroforestry systems. The investigated agroforestry systems showed potential to restore the degraded landscape of the Atlantic Rainforest biome

Sensorineural Hearing Loss In Hemorrhagic Dengue?

Introduction Dengue is an acute febrile infectious disease, with high fever followed by symptoms flu-like. Dengue hemorrhagic fever (DHF) is a vascular leak syndrome and could present spontaneous bleeding and worsening of symptoms after some days. Dengue could have some ENT manifestations, however hearing loss is not one of them. Sudden hearing loss is considered as sensorineural or perceptual hearing loss with a sudden onset in a person without other prior otological history. The relation between infectious diseases and sudden hearing are been investigated, some viruses were already linked, but the relation between dengue virus and sudden hearing still remains unknown. This article has the goal of presenting a case of DHF that evolved with SSHL in his hospitalization process. Presentation of case We report a 60 years-male patient of with DHF who developed bilateral secretory otitis media and sensorineural hearing loss after the fifth day of onset of symptoms. His hearing loss remained even after 7 months and the patient was referred for hearing aid fitting. Discussion and conclusion This is the first case report that brings together DHF and sudden hearing loss. In the development of this case no other cause to sudden hearing loss was found and the correlation between dengue and hearing loss was questioned. In the literature review was found that some viruses, as mumps virus, varicella-zoster virus and HSV-1 and HSV-2 are related to sudden hearing loss, all of them fit in the viral theory. Besides the viral theory of sudden hearing loss, there is the vascular theory that is the occlusion of the end artery that supplies the cochlea. DHF has a vascular commitment, and the hypothesis of a vascular cause could be elicited in this case. Many studies in this area are needed and this article has the objective of elicit the discussion about the subject. Could dengue be associated with sensorineural hearing loss?83841Simmons, C.P., Farrar, J.J., Vinh Chau, N., Wills, B., Dengue (2012) N Engl J Med, 366, pp. 1423-1432(2009) Dengue Guidelines for Diagnosis, Treatment, Prevention and Control - New Edition, , http://www.who.int/topics/dengue/en/, WHOGuzman, M.G., Kourí, G., Dengue: An update (2002) Lancet Dis, 2 (1), p. 33Srikiatkhachorn, A., Kelley, J.F., Endothelial cells in dengue hemorrhagic fever (2014) Antiviral Res, 109, pp. 160-170Fonseca, B.A., Fonseca, S.N., Dengue virus infections (2002) Curr Opin Pediatr, 14 (1), pp. 67-71Figueiredo, R.M.P., Mourão, M.P.G., Abi-Abib, Y.E.C., Oliveira, C.M., Roque, R., Azara, T., Identification of dengue viruses in naturally infected Aedes aegypti females captured with BioGents (BG) - Sentinel traps in Manaus, Amazonas, Brazil (2013) Rev Soc Bras Med Trop, 46 (2), pp. 221-222Plaza, G., Durio, E., Herráiz, C., Rivera, T., García-Berrocal, J.R., Asociación Madrileña de ORL. Consensus on diagnosis and treatment of sudden hearing loss. Asociación Madrileña de ORL (2011) Acta Otorrinolaringol Esp, 62 (2), pp. 144-157Schreiber, B.E., Agrup, C., Haskard, D.O., Luxon, L.M., Sudden sensorineural hearing loss (2010) Lancet, 375, pp. 1203-1211Merchant, S.N., Durand, M., Adams, J.C., Sudden deafness: Is it viral? (2008) ORL J Otorhinolaryngol Relat Spec, 70 (1), pp. 52-62Greco, A., Fusconi, M., Gallo, A., Marinelli, C., Macri, G.F., Vincentiis, M., Sudden sensorineural hearing loss: An autoimmune disease? (2011) Autoimmun Rev, 10, pp. 756-761Cohen, B.E., Durstenfeld, A., Roehm, P.C., Viral causes of hearing loss: A review for hearing health professionals (2014) Trends Hear, 18, pp. 1-17Scalia, G., Palermo, C.I., Maiolino, L., Costanzo, C.M., Zappalà, D., Grillo, C., Detection of serum IgA to HSV1 and its diagnostic role in sudden hearing loss (2013) New Microbiol, 36, pp. 41-47Westmore, G.A., Pickard, B.H., Stern, H., Isolation of mumps virus from the inner ear after sudden deafness (1979) BMJ, 1, pp. 14-1

In Vitro Activity Of Artemisia Annua L (asteraceae) Extracts Against Rhipicephalus (boophilus) Microplus [atividade In Vitro De Extratos De Artemisia Annua L (asteraceae) Sobre Rhipicephalus (boophilus) Microplus]

The activity of plant extracts on parasites may indicate groups of substances that are potentially useful for controlling Rhipicephalus (Boophilus) microplus. The aim of the present study was to investigate the in vitro action of Artemisia annua extracts on this tick. The concentrations of the sesquiterpene lactones artemisinin and deoxyartemisinin present in plant extracts were quantified via high-performance liquid chromatography. Four extracts produced from the concentrated crude extract (CCE) were evaluated on larvae using the impregnated paper method, with readings after 24 hours of incubation. The engorged females were immersed in the CCE and in its four derived extracts for five minutes, with incubation for subsequent analysis of biological parameters. The extracts were not effective on the larvae at the concentrations tested (3.1 to 50 mg.mL-1). The CCE showed greater efficacy on engorged females (EC50 of 130.6 mg.mL-1 and EC90 of 302.9 mg.mL-1) than did the derived extracts. These results tend to confirm that the action of artemisinin on engorged females of R. (B.) microplus is conditional to their blood intake. In this case, in vitro methods would be inadequate for effective evaluation of the action of A. annua on R. (B.) microplus.2013135Amaral, N.K., Guidelines for the evaluation of ixodicides against the cattle tick Boophilus microplus (Canestrini, 1887) (Acari: Ixodidae) (1993) Revista Brasileira De Parasitologia Veterinária, 2 (2), pp. 144-151(2009) Anuário Da Pecuária Brasileira, p. 360. , ANUALPEC, Sao Paulo: Angra FNP PesquisasBorges, L.M.F., Acao do extrato hexanico de frutos maduros de Melia azedarach (Meliaceae) sobre Boophilus microplus (Acari: Ixodidae) em bezerros infestados artificialmente (2005) Revista De Patologia Tropical, 34 (1), pp. 53-59Cala, A.C., (2010) Avaliação Da Atividade De Artemisia Annua L., Melia Azedarach L. E Trichilia Claussenii C. Sobre Nematódeos Gastrintestinais De Ovinos, p. 64. , Dissertacao (Mestrado)- Universidade Estadual Paulista, Faculdade de Ciencias Agrarias e Veterinarias, JaboticabalCeleghini, R.M.S., Desenvolvimento e validacao de metodologia analitica por CLAE-IR para determinacao de artemisinina em Artemisia annua L (2009) Química Nova, 32 (4), pp. 875-878Chagas, A.C.S., Efeito acaricida de oleos essenciais e concentrados emulsionaveis de Eucalyptus em Boophilus microplus (2002) Brazilian Journal of Veterinary Research and Animal Science, 39 (5), pp. 247-253Chagas, A.C.S., Sensibilidade do carrapato Boophilus microplus a solventes (2003) Ciência Rural, 33 (1), pp. 109-114Creek, D.J., Kinetics of ironmediated artemisinin degradation:Effect of solvent composition and iron salt (2005) Journal of Pharmaceutical Sciences, 94 (8), pp. 1820-1829Drummond, R.O., Boophilus annulatus and B. Microplus: Laboratory tests of insecticides (1973) Journal of Economic Entomology, 66 (1), pp. 130-133Ekanem, A.P., Brisibe, E.A., Effects of ethanol extract of Artemisia annua L. Against monogenean parasites of Heterobranchus longifilis (2010) Parasitology Research, 106 (5), pp. 1135-1139Fernandes, F.F., Freitas, E.P.S., Acaricidal activity of an oleoresinous extract from Copaifera reticulata (Leguminosae: Caesalpinioideae against larvae of the southern cattle tick, Riphicephalus (Boophilus) microplus (Acari:Ixodidae) (2007) Veterinary Parasitology, 147 (1-2), pp. 150-154Ferreira, J.F.S., Agrotechnological aspects of the anti-malarial plant Artemisia annua and its potential use in animal health in Appalachia (2006) International Symposium on Perfume, Aromatic and Medicinal Plants, (2-4), pp. 797-804. , Revue de Regions Arides - Numero special - Actes du seminaire international les Plants a Parfum, Aromatiques et Medicinales (English version: International Center for Agricultural Research in Dry AreasFerreira, J.F.S., Nutrient Deficiency in the Production of Artemisinin, Dihydroartemisinic Acid, and Artemisinic Acid in Artemisia annua L (2007) Journal of Agricultural and Food Chemistry, 55 (5), pp. 1686-1694Ferreira, J.F.S., Gonzalez, J.M., Chemical and biological stability of artemisinin in bovine rumen fluid and its kinetics in goats (Capra hircus) (2008) Revista Brasileira De Parasitologia Veterinária, 17 (SUPPL. 1), pp. 103-109Furlong, J., O carrapato dos bovinos e a resistencia: Temos o que comemorar? (2007) A Hora Veterinária, 159, pp. 26-32Grisi, L., Impacto economico das principais ectoparasitoses em bovinos no Brasil (2002) A Hora Veterinária, 21 (125), pp. 8-10Heimerdinger, A., Extrato alcoolico de Capim-cidreira (Cymbopogon citratus) no controle do Boophilus microplus em bovinos (2006) Revista Brasileira De Parasitologia Veterinária, 15 (1), pp. 37-39Idris, U.A., Adam, S.E., Tartour, G., The anthelmintic efficacy of Artemisia herba-alba against Haemonchus contortus infection in goats (1982) Animal Health Quarterly, 22 (3), pp. 138-143Iqbal, Z., Anthelmintic activity of Artemisia brevifolia in sheep (2004) Journal of Ethnopharmacology, 93 (2), pp. 265-268Keiser, J., Artesunate and artemether are effective fasciolicides in the rat model and in vitro (2006) Journal of Antimicrobial Chemotherapy, 57 (6), pp. 1139-1145Keiser, J., Efficacy and safety of artemether against a natural Fasciola hepatica infection in sheep (2008) Parasitology Research, 103 (3), pp. 517-522Keiser, J., Utzinger, J., Food-borne trematodiasis: Current chemotherapy and advances with artemisinins and synthetic trioxolanes (2007) Trends In Parasitology, 23 (11), pp. 555-562Klayman, D.L., Qinghaosu (Artemisinin): Na antimalarial drug from China (1985) Science, 228 (4703), pp. 1049-1055La-Scalea, M.A., Silva, H.S.R.C., Ferreira, E., Reducao voltametrica de artemisinina e sua interacao com grupo heme (hemina) (2007) Brazilian Journal of Pharmaceutical Sciences, 43 (3), pp. 371-383Martins, R.M., Estudio in vitro de la accion acaricida del aceite esencial de la graminea Citronela de Java (Cymbopogon winterianus Jowitt) en la garrapata Boophilus microplus (2006) Revista Brasileira De Plantas Medicinais De Botucatu, 8 (2), pp. 71-78Meshnick, S.R., Second-generation antimamalarial endoperoxides (1996) Parasitology Today, 12 (2), pp. 79-82Ribeiro, V.L.S., Acaricidal properties of extracts from the aerial parts of Hypericum polyanthemum on the cattle tick Boophilus microplus (2007) Veterinary Parasitology, 147 (1-2), pp. 199-203Rodrigues, R.A.F., Otimizacao do processo de extracao e isolamento do antimalarico artemisinina a partir de Artemisia annua L (2006) Química Nova, 29 (2), pp. 368-372Silva, H.S.R.C., (2006) Antimaláricos Potenciais: Pró-fármacos Poliméricos E Formas De Liberação Controlada De Artemisinina, p. 209. , Tese (Doutorado)-Universidade de Sao Paulo, Sao PauloSimoes, C.M., (2004) Farmacognosia: Da Planta Ao Medicamento, p. 1102. , 5. ed. Porto Alegre: Editora da UFRGSFlorianopolis: Editora da UFSCTaranto, A.G., Estudo sobre o mecanismo de acao da artemisinina e dos endoperoxidos, a mais nova classe de agents antimalaricos (2006) Sitientibus, 34, pp. 47-58Tariq, K.A., Anthelmintic activity of extracts of Artemisia absinthium against ovine nematodes (2009) Veterinary Parasitology, 160 (1-2), pp. 83-8

Repeated exposure to Lutzomyia intermedia sand fly saliva induces local expression of interferon-inducible genes both at the site of injection in mice and in human blood.

During a blood meal, Lutzomyia intermedia sand flies transmit Leishmania braziliensis, a parasite causing tegumentary leishmaniasis. In experimental leishmaniasis, pre-exposure to saliva of most blood-feeding sand flies results in parasite establishment in absence of any skin damages in mice challenged with dermotropic Leishmania species together with saliva. In contrast, pre-immunization with Lu. intermedia salivary gland sonicate (SGS) results in enhanced skin inflammatory exacerbation upon co-inoculation of Lu. intermedia SGS and L. braziliensis. These data highlight potential unique features of both L. braziliensis and Lu. intermedia. In this study, we investigated the genes modulated by Lu. intermedia SGS immunization to understand their potential impact on the subsequent cutaneous immune response following inoculation of both SGS and L. braziliensis. The cellular recruitment and global gene expression profile was analyzed in mice repeatedly inoculated or not with Lu. intermedia. Microarray gene analysis revealed the upregulation of a distinct set of IFN-inducible genes, an immune signature not seen to the same extent in control animals. Of note this INF-inducible gene set was not induced in SGS pre-immunized mice subsequently co-inoculated with SGS and L. braziliensis. These data suggest the parasite prevented the upregulation of this Lu. intermedia saliva-related immune signature. The presence of these IFN-inducible genes was further analyzed in peripheral blood mononuclear cells (PBMCs) sampled from uninfected human individuals living in a L. braziliensis-endemic region of Brazil thus regularly exposed to Lu. intermedia bites. PBMCs were cultured in presence or absence of Lu. intermedia SGS. Using qRT-PCR we established that the IFN-inducible genes induced in the skin of SGS pre-immunized mice, were also upregulated by SGS in PBMCs from human individuals regularly exposed to Lu. intermedia bites, but not in PBMCs of control subjects. These data demonstrate that repeated exposure to Lu. intermedia SGS induces the expression of potentially host-protective IFN-inducible genes

Height-based equations as screening tools for elevated blood pressure in the SAYCARE study

This study evaluated the accuracy of four height-based equations: blood pressure to height ratio (BPHR), modified BPHR (MBPHR), new modified BPHR (NMBPHR), and height-based equations (HBE) for screening elevated BP in children and adolescents in the SAYCARE study. We measured height and BP of 829 children and adolescents from seven South American cities. Receiving operating curves were used to assess formula performance to diagnose elevated BP in comparison to the 2017 clinical guideline. Sensitivity, specificity, and positive and negative predictive values (PPV, NPV) were calculated for the four screening formulas. The diagnostic agreement was evaluated with the kappa coefficient. The HBE equation showed the maximum sensitivity (100%) in children, both for boys and girls, and showed the best performance results, with a very high NPV (>99%) and high PPV (>60%) except for female children (53.8%). In adolescents, the highest sensitivity (100%) was achieved with the NMBPHR for both sexes. Kappa coefficients indicated that HBE had the highest agreement with the gold standard diagnostic method (between 0.70 and 0.75), except for female children (0.57). Simplified methods are friendlier than the percentile gold standard tables. The HBE equation showed better performance than the other formulas in this Latin American pediatric population

Junior doctors' experiences with interprofessional collaboration:Wandering the landscape

Context The transition from medical student to junior doctor is challenging. Junior doctors need to become part of the physician community of practice (CoP), while dealing with new responsibilities, tasks and expectations. At the same time, they need to learn how to navigate the frontiers and intersections with the other communities of practice that form the Landscape of Practice (LoP). This study aims to understand how junior doctors experience interprofessional collaboration (IPC) and what elements shape these experiences considering their transition to clinical practice. Methods In this multicentre qualitative study, 13 junior doctors individually drew two rich pictures of IPC experiences, one positive and one negative. A rich picture is a visual representation, a drawing of a particular situation intended to capture the complex and non-verbal elements of an experience. We used semi-structured interviews to deepen the understanding of junior doctors' depicted IPC experiences. We analysed both visual materials and interview transcripts iteratively, for which we adopted an inductive constructivist thematic analysis. Results While transitioning into a doctor, junior doctors become foremost members of the physician CoP and shape their professional identity based on perceived values in their physician community. Interprofessional learning occurs implicitly, without input from the interprofessional team. As a result, junior doctors struggle to bridge the gap between themselves and the interprofessional team, preventing IPC learning from developing into an integrative process. This professional isolation leaves junior doctors wandering the landscape of practice without understanding roles, attitudes and expectations of others. Conclusions Learning IPC needs to become a collective endeavour and an explicit learning goal, based on multisource feedback to take advantage of the expertise already present in the LoP. Furthermore, junior doctors need a safe environment to embrace and reflect on the emotions aroused by interprofessional interactions, under the guidance of experienced facilitators

Microbial Translocation Is Associated with Extensive Immune Activation in Dengue Virus Infected Patients with Severe Disease

Background:Severe dengue virus (DENV) disease is associated with extensive immune activation, characterized by a cytokine storm. Previously, elevated lipopolysaccharide (LPS) levels in dengue were found to correlate with clinical disease severity. In the present cross-sectional study we identified markers of microbial translocation and immune activation, which are associated with severe manifestations of DENV infection.Methods:Serum samples from DENV-infected patients were collected during the outbreak in 2010 in the State of São Paulo, Brazil. Levels of LPS, lipopolysaccharide binding protein (LBP), soluble CD14 (sCD14) and IgM and IgG endotoxin core antibodies were determined by ELISA. Thirty cytokines were quantified using a multiplex luminex system. Patients were classified according to the 2009 WHO classification and the occurrence of plasma leakage/shock and hemorrhage. Moreover, a (non-supervised) cluster analysis based on the expression of the quantified cytokines was applied to identify groups of patients with similar cytokine profiles. Markers of microbial translocation were linked to groups with similar clinical disease severity and clusters with similar cytokine profiles.Results:Cluster analysis indicated that LPS levels were significantly increased in patients with a profound pro-inflammatory cytokine profile. LBP and sCD14 showed significantly increased levels in patients with severe disease in the clinical classification and in patients with severe inflammation in the cluster analysis. With both the clinical classification and the cluster analysis, levels of IL-6, IL-8, sIL-2R, MCP-1, RANTES, HGF, G-CSF and EGF were associated with severe disease.Conclusions:The present study provides evidence that both microbial translocation and extensive immune activation occur during severe DENV infection and may play an important role in the pathogenesis