Basic knowledge about visceral leishmaniasis before and after educational intervention among primary health care professionals in Midwestern Brazil

Health education and training of primary health care (PHC) professionals are highly recommended to reduce the occurrence and lethality of visceral leishmaniasis (VL). This study assessed the impact of an educational intervention on the basic knowledge about visceral leishmaniasis (VL) among PHC professionals from the Brazilian municipality of Rondonopolis, an important endemic area for VL. Responses provided by physicians, nurses, nursing technicians and community health agents from 12 PHC facilities were recorded through the application of self-completed and semi-structured questionnaires before (n=92) and after (n=64) an in-person health training course covering various aspects of VL. Closed- and open-ended responses were compared by the chi-square test and analyses of word clouds, respectively. The proportion of professionals aware of the correct etiological agent (p<0.001) and transmission route (p<0.001) of VL increased post-intervention. In addition, they increased their ability to recognize fever (p<0.001), weakness (p<0.001), weight loss (p<0.001), pallor (p<0.001) and abdominal distention (p=0.013) as clinical manifestations of human VL, and weakness (p<0.001), alopecia (p<0.001) and weight loss (p=0.019) as signs of canine VL. Analyses of word clouds suggested that the participants became more aware of the role of dogs in VL transmission and the role of environmental management in the prevention of VL. In conclusion, the intervention positively impacted the baseline knowledge concerning VL among the professionals. This can support the planning of educational activities for the PHC team regarding early case detection, prevention and control of VL in endemic areas

PARP inhibition: a promising therapeutic target in ovarian cancer

Ovarian cancer is burdened by the highest mortality rate among gynecological cancers. Gold standard is represented by the association of platinum-taxane -based chemotherapy and radical surgery. Despite several adjustments occurred in cytotoxic drug in last decades, most patients continue to relapse, and no significant enhancement has been reached in the overall survival. The development of drug resistance and the recurrence of disease have prompted the investigations of other targets that can be used in the treatment of ovarian cancers. Among such targets, polyadenosine diphosphate-ribose polymerase (PARP) represents a novel way to target specific patways involved in tumor growth. PARP accelerates the reaction of the polyADP-ribosylation of proteins implicated in DNA repair. PARP inhibitors have shown activity in cancers with BRCA mutations, with other deficient DNA repair genes or signaling pathways that modulate DNA repair, or in association with DNA damaging agents not involved in DNA repair dysfunction. A number of inhibitors for PARP has been developed, and such drugs are under investigation in clinical trials to identify their impact in the treatment of ovarian cancers. This review aims to summarize the recent researches and clinical progress on PARP inhibitors as novel target agents in ovarian cancer

Analysis and prediction of COVID-19 for EU-EFTA-UK and other countries Situation report

The present report aims to provide a comprehensive picture of the pandemic situation of COVID-19 in the EU countries, and to be able to foresee the situation in the next coming days. We employ an empirical model, verified with the evolution of the number of confirmed cases in previous countries where the epidemic is close to conclude, including all provinces of China. The model does not pretend to interpret the causes of the evolution of the cases but to permit the evaluation of the quality of control measures made in each state and a short-term prediction of trends. Note, however, that the effects of the measures’ control that start on a given day are not observed until approximately 7-10 days later. The model and predictions are based on two parameters that are daily fitted to available data: a: the velocity at which spreading specific rate slows down; the higher the value, the better the control. K: the final number of expected cumulated cases, which cannot be evaluated at the initial stages because growth is still exponential. We show an individual report with 8 graphs and a table with the short-term predictions for different countries and regions. We are adjusting the model to countries and regions with at least 4 days with more than 100 confirmed cases and a current load over 200 cases. The predicted period of a country depends on the number of datapoints over this 100 cases threshold, and is of 5 days for those that have reported more than 100 cumulated cases for 10 consecutive days or more. For short-term predictions, we assign higher weight to last 3 points in the fittings, so that changes are rapidly captured by the model. The whole methodology employed in the inform is explained in the last pages of this document. In addition to the individual reports, the reader will find an initial dashboard with a brief analysis of the situation in EU-EFTA-UK countries, some summary figures and tables as well as long-term predictions for some of them, when possible. These long-term predictions are evaluated without different weights to datapoints. We also discuss a specific issue every day.These reports are funded by the European Commission (DG CONNECT, LC-01485746) PJC and MC received funding from “la Caixa” Foundation (ID 100010434), under agreement LCF/PR/GN17/50300003; CP, DL, SA, MC, received funding from Ministerio de Ciencia, Innovación y Universidades and FEDER, with the project PGC2018-095456-B-I00Postprint (published version

Efecto de altas concentraciones de arsénico y flúor en el suelo sobre plantas de soja

Arsénico (As) y Fluor (F) están presentes en muchos suelos, afectando a los cultivos y presentando riesgos en la cadena alimenticia. Nosotros llevamos a cabo un experimento en macetas con suelo enriquecido en ambos elementos, en un amplio rango de concentraciones, tanto individual como simultáneamente. Se determinaron la producción de biomasa de soja, su rendimiento en granos, la acumulación de As y F y su distribución dentro de la planta, así como la respuesta antioxidante de las planta a ambos estreses. El As fue más tóxico que el F. Con concentraciones de As mayores a 35 mg/kg y de F mayores a 375 mg/kg, las pérdidas de rendimiento alcanzaron un 60% y 30%, respectivamente. Las plantas de soja murieron dentro de las 2 semanas frente a la dosis mayor de As, mientras que el F no mostró ser letal en ninguna concentración. Los efectos detrimentales fueron más importantes cuando As y F fueron aplicados simultá neamente. La concentración de As y F en plantas se incrementó en todos los órganos de la soja, aunque los granos presentaron la concentración más baja. La concentración de enzimas antioxidantes se incrementó en las plantas pero este incremento no fue suficiente para resistir el daño oxidativo.Arsenic (As) and Fluoride (F) are present in many soils, affecting crops and posing risks in the food chain. We performed pot experiments on spiked soils enriched in these elements either individually or simultaneously, over a wide range of concentrations. Soybean biomass production, grain yield, As and F accumulation and distribution within the plant, and the antioxidant response to these stresses were analyzed. Arsenic was more toxic than F. At As levels >35 mg/kg and F levels >375 mg/kg, yield loss reached 60% and 30%, respectively. At the highest dose of As plants died within 2 weeks, whereas F showed no lethality. When they were applied simultaneously, detrimental effects were more important. As and F in plants increased in all soybean organs although grains presented the lowest concentrations. Antioxidant enzymes were enhanced in plants but this increase was not high enough to cope with the oxidative damage.Fil: Bustingorri, Carolina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones en Biociencias Agrícolas y Ambientales. Universidad de Buenos Aires. Facultad de Agronomía. Instituto de Investigaciones en Biociencias Agrícolas y Ambientales; ArgentinaFil: Balestrasse, Karina Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones en Biociencias Agrícolas y Ambientales. Universidad de Buenos Aires. Facultad de Agronomía. Instituto de Investigaciones en Biociencias Agrícolas y Ambientales; ArgentinaFil: Lavado, Raul Silvio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones en Biociencias Agrícolas y Ambientales. Universidad de Buenos Aires. Facultad de Agronomía. Instituto de Investigaciones en Biociencias Agrícolas y Ambientales; Argentin

Host reticulocytes provide metabolic reservoirs that can be exploited by malaria parasites

Human malaria parasites proliferate in different erythroid cell types during infection. Whilst Plasmodium vivax exhibits a strong preference for immature reticulocytes, the more pathogenic P. falciparum primarily infects mature erythrocytes. In order to assess if these two cell types offer different growth conditions and relate them to parasite preference, we compared the metabolomes of human and rodent reticulocytes with those of their mature erythrocyte counterparts. Reticulocytes were found to have a more complex, enriched metabolic profile than mature erythrocytes and a higher level of metabolic overlap between reticulocyte resident parasite stages and their host cell. This redundancy was assessed by generating a panel of mutants of the rodent malaria parasite P. berghei with defects in intermediary carbon metabolism (ICM) and pyrimidine biosynthesis known to be important for P. falciparum growth and survival in vitro in mature erythrocytes. P. berghei ICM mutants (pbpepc-, phosphoenolpyruvate carboxylase and pbmdh-, malate dehydrogenase) multiplied in reticulocytes and committed to sexual development like wild type parasites. However, P. berghei pyrimidine biosynthesis mutants (pboprt-, orotate phosphoribosyltransferase and pbompdc-, orotidine 5′-monophosphate decarboxylase) were restricted to growth in the youngest forms of reticulocytes and had a severe slow growth phenotype in part resulting from reduced merozoite production. The pbpepc-, pboprt- and pbompdc- mutants retained virulence in mice implying that malaria parasites can partially salvage pyrimidines but failed to complete differentiation to various stages in mosquitoes. These findings suggest that species-specific differences in Plasmodium host cell tropism result in marked differences in the necessity for parasite intrinsic metabolism. These data have implications for drug design when targeting mature erythrocyte or reticulocyte resident parasites

An overview of visceral leishmaniasis in the city of Gurupi, south region of Tocantins

Visceral leishmaniasis (VL) is an endemic disease in the region of Gurupi, with higher prevalence in the pediatric age group, aggravated by the high morbidity and low prophylaxis and prevention strategies of this anthropozoonosis. Objective: To characterize the data reported in the municipality of Gurupi - TO in the years 2013 to 2020 and to outline the epidemiological profile of the disease by determining the risk factors for high prevalence of the disease in this locality. Methods: This is a cross-sectional descriptive epidemiological research, retrospective and documental based, extracted from the database of SINAN (Notifiable Diseases Information System) of Gurupi in the interval between 2013 and 2020. Evaluative questionnaires were applied to all patients notified and found, analyzing the variables described in the study and subsequent statistical application of the chi-square test. Results: In the city of Gurupi, the most affected age group was between 2 and 9 years (37.29%); the most affected gender was male (66.10%); the year of highest prevalence was the year 2017 a total of 37.28% of cases in the analyzed period; and the location of highest prevalence in the municipality were the neighborhoods farthest from the city center.  As for the probable sites for contamination, most people point to their own home as a source of contamination. Conclusion: The epidemiological cut shows the prevalence of VL in the city of Gurupi and highlights the need for preventive intervention protocols for the prevention of the disease in endemic areas to decrease morbidity and mortality and control the number of cases