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Chagas disease (CD) is a neglected disease and endemic in Brazil. In the Brazilian Northeast Region, it affects millions of people. Therefore, it is necessary to identify the spatiotemporal trends of CD mortality in the Northeast of Brazil. This ecological study was designed, in which the unit of analysis was the municipality of the Brazilian northeast. The data source was the Information System of Mortality. It was calculated relative risk from socioeconomic characteristics. Mortality rates were smoothed by the Local Empirical Bayes method. Spatial dependency was analysed by the Global and Local Moran Index. Scan spatial statistics were also used. A total of 11 287 deaths by CD were notified in the study. An expressive parcel of this number was observed among 70-year-olds or more (n = 4381; 38.8%), no schooling (n = 4381; 38.8%), mixed-race (n = 4381; 62.3%), male (n = 6875; 60.9%). It was observed positive spatial autocorrelation, mostly in municipalities of the state of Bahia, Piauí (with high-high clusters), and Maranhão (with low-low clusters). The spatial scan statistics has presented a risk of mortality in 24 purely spatial clusters (P < 0.05). The study has identified the spatial pattern of CD mortality mostly in Bahia and Piauí, highlighting priority areas in planning and control strategies of the health services.
This study aimed to examine the effects of re-ensiling time and Lactobacillus buchneri on the fermentation profile, chemical composition and aerobic stability of sugarcane silages. The experiment was set up as a repeated measure design consisting of four air-exposure periods (EP)(0, 6, 12, and 24 h) microbial additive (A) (L. buchneri; or lack of there), with five replicates. Sugarcane was ground through a stationary forage chopper and ensiled in four plastic drums of 200-L capacity. After 210 days of storage, the drums were opened and half of the silage mass was treated with L. buchneri at the concentration of 105 cfu/g of forage. Subsequently, the silages were divided into stacks. The re-ensiling process was started immediately, at 0, 6, 12 and 24-hour intervals, by transferring the material to PVC mini-silos. Silos were opened after 120 days of re-ensiling. The use of L. buchneri reduced butyrate concentration but did not change ethanol or acetic acid concentrations and aerobic stability. An interaction effect between L. buchneri and re-ensiling time was observed for dry matter (DM) losses and composition. Lactobacillus buchneri is not effective in improving aerobic stability in re-ensiled sugarcane silages. However, less DM is lost in silages treated with L. buchneri and exposed to air for 24 h. Re-ensiling sugar cane in up to 24 h of exposure to air does not change final product quality.
To investigate the association between body image disorders and the lifestyle and body composition of female adolescents.
Design:
Cross-sectional study.
Setting:
The Body Shape Questionnaire (BSQ) and Silhouette Scale and Sociocultural Attitudes Towards Appearance Questionnaire-3 were used to evaluate the participants’ body image. Body composition was evaluated by a Dual-Energy X-ray Absorptiometry equipment, and lifestyles were identified by latent class analysis (LCA) using the poLCA package for R.
Participants:
Female adolescents aged 14–19 years old, in the city of Viçosa-MG, Brazil.
Results:
In total, 405 girls participated in the study. Almost half of the participants were dissatisfied with their current physical appearance (51·4 %), presented body perception distortions (52·9 %). 47·3 % of the adolescents were dissatisfied with their body according to the BSQ, and another 8 % severely so. Subjects with an ‘Inactive and Sedentary’ latent lifestyle were 1·71 times as likely to feel dissatisfied as those with active and sedentary or inactive and non-sedentary lifestyles (95 % CI 1·08, 2·90, P = 0·047). Body image disorders showed an association with decreased amounts of moderate and vigorous physical activity, high screen time, increased alcohol consumption and excess body fat.
Conclusions:
Particular patterns of lifestyle and body composition seem to be associated in female adolescents with dissatisfaction with, distortion of and excessive concern about appearance. Specifically, physical inactivity, sedentary behaviour, alcohol consumption and high body fat percentage may be strongly linked to body image disorders.
People with mental illness are frequently perceived as dangerous, suffering social stigma and exclusion. Deinstitutionalization movement implies a closer contact between citizen and individuals with mental illness. However, social perceptions can be a barrier to social inclusion, provoking unfavorable attitudes. Some studies found that social rejection is different according the pathology. Vogel and Boysen (2008) found that different mental illnesses provoke different attitudes of social distance. Norman and colleagues (2008) found that social distance was associated with the diagnosis, provoking schizophrenia greater social distance than depression.
Aims
Compare the perceptions about mental illness (in general), depression, bipolar disorder and schizophrenia.
Methods
Data were collected using a translation of Mental Illness Stigma Scale (Day, 2007), fulfill on-line and in an anonym way by 315 Portuguese polytechnic students, studying in brief technological courses. The sample was composed by 69% male and 31% female; mean age 26.5 years.
Results
Students have little contact with people with mental illness (mean = 1.5 in a Likert scale 1–5 points) but they fell comfortable when they contact a friend or a neighbor with mental illness (respectively, mean = 3.2 and mean = 2.7). They present some anxiety when they interact with people with mental illness and they avoid this contact, revealing attitudes of social exclusion. Schizophrenia and bipolar disorder was perceived more negatively than depression.
Conclusions
Deinstitutionalization movement provokes more contact between citizens and individuals with mental illness, but social stigma still exist. Students can learn how to interact with those persons without anxiety and help to do better social inclusion.
Frontotemporal dementia (FTD) generally has a presenile onset, behavioral manifestations dominate the clinical picture during which cognitive functions are still relatively intact. Therefore, particularly in the early stages of FTD it is difficult to differentiate this type of dementia from other types of dementia and psychiatric disorders.
Although most patients with frontotemporal dementia (FTD) present with neuropsychiatric symptoms, the frequency of psychotic symptoms, assumed to be rare, is still unclear possibly due to limited temporal-limbic involvement in this disorder. We report the case of a 48-year old man admitted in a psychiatric ward with delusions and hallucinations.
Significant behavior impairment was present related to social isolation and personality changes. Structural and functional neuroimaging methods disclosed asymmetric frontal and bitemporal damage, mainly on the left. Differential diagnosis consisted of psychotic disorders as well as one of the subtypes of the frontotemporal lobar degeneration group.
Sexual dysfunction is a common consequence of cancer treatment that affects at least half of men and women treated for pelvic tumors and more than one quarter of individuals with other malignancies.
Objectives/aims
Identification of the main sexual dysfunctions related to cancer treatments. Awareness to the importance of addressing sexuality to cancer patients, identifying the main reasons why healthcare providers usually do not.
Methods
Literature review concerning researched articles published in Pubmed/Medline as well as related bibliography.
Results
Most sexual problems are not caused by the cancer itself, but by toxicities of cancer treatment. Damage during cancer treatment to pelvic nerves, blood vessels and organ structures leads to the highest rates of sexual dysfunction. The most common sexual dysfunction in men under cancer treatment is the loss of desire for sex and erectile dysfunction. In women, the most common sexual dysfunctions are vaginal dryness, dyspareunia and loss of sexual desire, usually accompanied by difficulties in both the arousal and orgasm phases. According to literature, there are many cancer patients who would like to be informed and advised by their healthcare providers about the consequences of cancer treatment on their sexual health. Unfortunately, this rarely happens.
Conclusions
This work intends to publicize current existing information on sexual dysfunction in oncology, focusing on the prevalence, etiology and clinical presentation. The authors also intend to promote communication about sexual function and possible sexual dysfunctions resulting from cancer treatments.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Human neurocysticercosis (NCC) is a worldwide neglected disease caused by Taenia solium metacestode and responsible for various complications and neurological disorders. This study aimed to evaluate the use of specific immunoglobulin Y (IgY) produced by laying hens immunized with a hydrophobic fraction of Taenia crassiceps metacestodes (hFTc) in NCC diagnosis. Egg yolk IgY antibodies were fractionated, purified and characterized. Enzyme-linked immunosorbent assay (ELISA) was carried out to evaluate the production kinetics and avidity maturation of anti-hFTc IgY antibodies throughout the IgY obtention process. Antigen recognition tests were carried out by Western blotting and immunofluorescence antibody test using purified and specific anti-hFTc IgY antibodies for detection of parasitic antigens of T. crassiceps and T. solium metacestodes. Sandwich ELISA was performed to detect circulating immune complexes formed by IgG and parasitic antigens in human sera. The results showed high diagnostic values (93.2% sensitivity and 94.3% specificity) for immune complexes detection in human sera with confirmed NCC. In conclusion, specific IgY antibodies produced from immunized hens with hFTc antigens were efficient to detect T. solium immune complexes in human sera, being an innovative and potential tool for NCC immunodiagnosis.
The bovine appeasing substance (BAS) is expected to have calming effects in cattle experiencing stressful situations. Therefore, this study investigated the impacts of BAS administration during two of the most stressful events within beef production systems: weaning and feedlot entry. In experiment 1, 186 Bos indicus-influenced calves (73 heifers, 113 bulls) were weaned at 211 ± 1 days of age (day 0). At weaning, calves were ranked by sex and BW, and assigned to receive BAS (Nutricorp, Araras, SP, Brazil; n = 94) or water (CON; n = 92). Treatments (5 ml) were topically applied to the nuchal skin area of each animal. Calf BW was recorded and samples of blood and tail-switch hair were collected on days 0, 15 and 45. Calves that received BAS had greater (P < 0.01) BW gain from day 0 to 15 compared with CON. Overall BW gain (days 0 to 45) and BW on days 15 and 45 were also greater (P ≤ 0.03) in BAS v. CON. Plasma haptoglobin concentration was less (P < 0.01) in BAS v. CON on day 15, whereas cortisol concentrations in plasma and tail-switch hair did not differ between treatments (P ≥ 0.13). In experiment 2, 140 B. indicus-influenced bulls (∼27 months of age) from 2 different pasture-based systems (70 bulls/origin) were transported to a commercial feedlot (≤ 200-km transport; day -1). On day 0, bulls were ranked by source and BW, and assigned to receive BAS (n = 70) or CON (n = 70) and the same sampling procedures as in experiment 1. Bulls receiving BAS had greater (P = 0.04) BW gain from day 0 to 15, but less (P < 0.01) BW gain from day 15 to 45 compared to CON. No other treatment effects were detected (P > 0.14). Therefore, BAS administration to beef calves alleviated the haptoglobin response associated with weaning, and improved calf growth during the subsequent 45 days. Administration of BAS to beef bulls at feedlot entry improved BW gain during the initial 15 days, but these benefits were not sustained throughout the 45-day experiment.
The rocky shores of the north-east Atlantic have been long studied. Our focus is from Gibraltar to Norway plus the Azores and Iceland. Phylogeographic processes shape biogeographic patterns of biodiversity. Long-term and broadscale studies have shown the responses of biota to past climate fluctuations and more recent anthropogenic climate change. Inter- and intra-specific species interactions along sharp local environmental gradients shape distributions and community structure and hence ecosystem functioning. Shifts in domination by fucoids in shelter to barnacles/mussels in exposure are mediated by grazing by patellid limpets. Further south fucoids become increasingly rare, with species disappearing or restricted to estuarine refuges, caused by greater desiccation and grazing pressure. Mesoscale processes influence bottom-up nutrient forcing and larval supply, hence affecting species abundance and distribution, and can be proximate factors setting range edges (e.g., the English Channel, the Iberian Peninsula). Impacts of invasive non-native species are reviewed. Knowledge gaps such as the work on rockpools and host–parasite dynamics are also outlined.
In this work, we report evidences of the improvement of X-ray attenuation efficiency by the addition of a very small amount of Graphene Oxide (GO) in polymer-based nanocomposite. Poly(vinylidene fluoride) (PVDF) homopolymer and barium sulfate (BaSO4) nanoparticles were mixed. PVDF/BaSO4 nanocomposite was found to attenuate 9.14% of a 20 kV X-ray beam. The addition of only 4.0 wt % of GO nanosheets to the nanocomposite improved this X-Ray attenuation efficiency to 24.56%. The respective linear attenuation coefficients (μ) were 39.9 cm-1 and 54.4 cm-1, respectively. The X-ray attenuation gradually decreases until 6.71% and 17.62%, respectively, for the X-ray beam with higher energy (100 kV). Fourier transform infrared data revealed that, due to the lack of the bending vibration modes of CF2 molecule at 656 cm-1, 688 cm-1, 723 cm-1, 776 cm-1and 796 cm-1, characteristics of the γ-crystalline phase of PVDF, the nanocomposites casted from solution are mostly in the β-ferroelectric phase of PVDF, besides the γ-paraelectric phase. SEM micrographs were used to evaluate the dispersion state of graphene sheets and the BaSO4 nanoparticles into the polymeric matrix. UV-Vis spectrometry and Differential Scanning Calorimetry (DSC) were also performed in order to complement the structural analysis. The results confirm that the addition of graphene sheets in PVDF polymer-based nanocomposites enhances the X-ray shielding efficiency. The phenomenon is discussed in terms of the reported anomalous negative thermal expansion coefficient of graphene sheets
Integrated crop-livestock systems (ICLS) are currently promoted agricultural production systems that aim to use better resources through production integration and intensification. While this system reduces some risks, it adds complexity and new risks to businesses due to interdependence between the agricultural modules. To deal with these issues, integrated risk management is required to reduce the effects of risks and to take advantage of the opportunities of an ICLS. Generically, enterprise risk management (ERM) meets this need by proposing comprehensive and coherent risk management, instead of managing agricultural module risks individually. However, there is a need to customize the ERM approach to ICLS. Therefore, the current study aims to develop a method to manage risks for ICLS based on ERM, integrating the management of risks and aligning risk management with the strategic objectives. A literature review, a pilot study, interviews with experts, four case studies and 20 practitioners supported the method development and evaluation through three versions. As a result, the method identifies and relates risks through process mapping with a qualitative and quantitative analysis of their impacts, determines risk responses based on willingness to take risks, and helps identify processes to control, communicate and monitor the risks. The method also stimulates the implementation of ICLS in market-oriented farms, providing an approach to increase the chances of ICLS success. The main difference from previous research lies in the integrative management of multiple risks, the alignment of risks with strategy and the consideration that a risk might be considered an opportunity.
A growing number of infectious pathogens are spreading among geographic regions. Some pathogens that were previously not considered to pose a general threat to human health have emerged at regional and global scales, such as Zika and Ebola Virus Disease. Other pathogens, such as yellow fever virus, were previously thought to be under control but have recently re-emerged, causing new challenges to public health organisations. A wide array of new modelling techniques, aided by increased computing capabilities, novel diagnostic tools, and the increased speed and availability of genomic sequencing allow researchers to identify new pathogens more rapidly, assess the likelihood of geographic spread, and quantify the speed of human-to-human transmission. Despite some initial successes in predicting the spread of acute viral infections, the practicalities and sustainability of such approaches will need to be evaluated in the context of public health responses.
American tegumentary leishmaniasis is caused by different species of Leishmania. This protozoan employs several mechanisms to subvert the microbicidal activity of macrophages and, given the limited efficacy of current therapies, the development of alternative treatments is essential. Animal venoms are known to exhibit a variety of pharmacological activities, including antiparasitic effects. Crotoxin (CTX) is the main component of Crotalus durissus terrificus venom, and it has several biological effects. Nevertheless, there is no report of CTX activity during macrophage – Leishmania interactions. Thus, the main objective of this study was to evaluate whether CTX has a role in macrophage M1 polarization during Leishmania infection murine macrophages, Leishmania amazonensis promastigotes and L. amazonensis-infected macrophages were challenged with CTX. MTT [3-(4,5dimethylthiazol-2-yl)-2,5-diphenyl tetrasodium bromide] toxicity assays were performed on murine macrophages, and no damage was observed in these cells. Promastigotes, however, were affected by treatment with CTX (IC50 = 22·86 µg mL−1) as were intracellular amastigotes. Macrophages treated with CTX also demonstrated increased reactive oxygen species production. After they were infected with Leishmania, macrophages exhibited an increase in nitric oxide production that converged into an M1 activation profile, as suggested by their elevated production of the cytokines interleukin-6 and tumour necrosis factor-α and changes in their morphology. CTX was able to reverse the L. amazonensis-mediated inhibition of macrophage immune responses and is capable of polarizing macrophages to the M1 profile, which is associated with a better prognosis for cutaneous leishmaniasis treatment.
In this work we explore the radiocarbon (14C) signal as an independent tool to assess the year of formation of individual tree rings of tropical species in northern Brazil. Three different species were analyzed in this work: Dipteryx magnifica, Enterolobium maximum, and Hymenolobium petraeum. The studied samples are from the stem of only one individual of each species, all cut down in 2008 in Porto Trombetas, Pará, Brazil. Individual tree rings were identified based on wood anatomy and they were counted from bark to pith. Several rings were selected for 14C analysis in order to cover the overall shape of the 14C atmospheric bomb peak (after 1955). The 14C content was measured at Laboratory of Radiocarbon, Universidade Federal Fluminense (LAC-UFF). Results are compared with the Southern Hemisphere 14C atmospheric calibration curves. For E. maximum and H. petraeum the 14C signal exhibits an overall good match with the SH zone 3 and suggests annual seasonality in the growth-ring formation. These species offer suitable characteristics for dendrochronology. The D. magnifica shows mismatches in the 14C measurements that are likely a result of difficulties in identifying ring boundaries with certainty. Additional techniques may be helpful to disentangle the origin of this discrepancy.
N-3 polyunsaturated fatty acids (PUFAs) have been hypothesised to be protective for depression during pregnancy. However, there are few data and no consensus regarding this association. In this line, we aim to evaluate if the concentration of n-3 and n-6 PUFAs, and their ratio, are associated with depressive symptoms throughout pregnancy.
Method.
A prospective cohort of 172 Brazilian women was followed at 5–13th, 20–26th and 30–36th weeks of gestation. The presence of depressive symptoms was evaluated using the Edinburgh Postnatal Depression Scale (EPDS) at each pregnancy trimester. Depression was defined as an EPDS score ≥11. The concentrations of n-3 [α-linolenic acid; eicosapentaenoic acid (EPA); docosapentaenoic acid (DPA) and docosahexaenoic acid (DHA)] and n-6 PUFAs [linoleic acid; γ linolenic acid; eicosadienoic acid; eicosatrienoic acid; arachidonic acid; docosatetraenoic acid and docosapentaenoic acid] were expressed as absolute (μg/ml) values. The total n-6/n-3 ratio was calculated. Statistical analyses were performed using univariate and adjusted random intercept logistic model for each fatty acid (FA) considering the longitudinal nature of data. Covariates were selected as potential confounders based on their biological plausibility of having an association with the concentration of FA and depressive symptoms during pregnancy.
Results.
The prevalence of depressive symptoms was high in all pregnancy trimesters (1st = 33.7%; 2nd = 18.9%; 3rd = 17.4%). We did not find differences in means FA concentrations by depressive symptom classification, for each follow-up visit. The women presented a 5% decrease in the odds of having depressive symptoms for each one-week increase in the gestational age. As individual women progressed through pregnancy, higher concentrations of EPA (odds ratio (OR) = 0.92; 95% CI: 0.86–0.99), DHA (OR = 0.96; 95% CI: 0.93–0.99), DPA (OR = 0.87; 95% CI: 0.77–0.99) and total n-3 (OR = 0.98; 95% CI: 0.96–0.99) were associated with a lower odds of depressive symptoms, while higher total n-6/n-3 ratio were associated with greater odds of depressive symptoms (OR = 1.40; 95% CI: 1.09–1.79). We detected a decrease in the probability of depressive symptoms as concentrations of total n-3 FA, α-linolenic acid, DPA, and DHA increased. We also observed a sharper decline for women with initial greater chance of depressive symptoms compared with those with lower chance of having these symptoms.
Conclusions.
We found a high prevalence of depressive symptoms in low-income Brazilian pregnant women and no significant associations between n-6 FA and depressive symptoms. Lower serum concentrations of DHA, EPA and DPA and a higher n-6/n-3 ratio at each pregnancy trimester were associated with higher odds of depressive symptoms throughout pregnancy.
Brazil is one of the most important soybean producers in the world. Soybean is a very important crop for the country as it is used for several purposes, from food to biodiesel production. The levels of soybean yield in the different growing regions of the country vary substantially, which results in yield gaps of considerable magnitude. The present study aimed to investigate the soybean yield gaps in Brazil, their magnitude and causes, as well as possible solutions for a more sustainable production. The concepts of yield gaps were reviewed and their values for the soybean crop determined in 15 locations across Brazil. Yield gaps were determined using potential and attainable yields, estimated by a crop simulation model for the main maturity groups of each region, as well as the average actual famers’ yield, obtained from national surveys provided by the Brazilian Government for a period of 32 years (1980–2011). The results showed that the main part of the yield gap was caused by water deficit, followed by sub-optimal crop management. The highest yield gaps caused by water deficit were observed mainly in the south of Brazil, with gaps higher than 1600 kg/ha, whereas the lowest were observed in Tapurah, Jataí, Santana do Araguaia and Uberaba, between 500 and 1050 kg/ha. The yield gaps caused by crop management were mainly concentrated in South-central Brazil. In the soybean locations in the mid-west, north and north-east regions, the yield gap caused by crop management was <500 kg/ha. When evaluating the integrated effects of water deficit and crop management on soybean yield gaps, special attention should be given to Southern Brazil, which has total yield gaps >2000 kg/ha. For reducing the present soybean yield gaps observed in Brazil, several solutions should be adopted by growers, which can be summarized as irrigation, crop rotation and precision agriculture. Improved dissemination of agricultural knowledge and the use of crop simulation models as a tool for improving crop management could further contribute to reduce the Brazilian soybean yield gap.
Leptospirosis is a zoonosis of worldwide distribution, caused by infection with pathogenic spirochaetes of the genus Leptospira. The wild boar (Sus scrofa), an important hunting species in Europe, seems to play a significant role in the epidemiological cycle of leptospirosis. A total of 101 serum samples from wild boar hunted in Northern Portugal were analysed for leptospiral antibodies detection by microscopic agglutination test. Sera were collected during hunting seasons (2011–2013) and tested with 17 different pathogenic serovars of Leptospira. Antibodies against nine serovars were detected in 66 (65·4%) of these sera. Serovars Tarassovi and Altodouro exhibited the highest seroreactivity rates (23·8% and 16·8%, respectively), followed by Autumnalis (7·9%) and Bratislava (6·9%). Age and district of origin were found to be risk factors for the presence of leptospiral antibodies in contrast to gender. From a One Health perspective, this study revealed that wild boar should be considered as a potential source of leptospirosis dissemination for humans and animal species (domestic and wild) in shared environments, particularly in the Trás-os-Montes region.
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Scholarship in Anglo-Iberian relations developed during the second half of the twentieth and first decade of the twenty-first century to such an extent that few readers would subscribe today to the often quoted statement made in 1906 by the eminent hispanophile James Fitzmaurice-Kelly about the “almost complete insulation of each country with regard to one another” in the Middle Ages, or his other affirmation that “the first step to sustained intellectual commerce” started at the end of the fifteenth century, in allusion to the thirteen Fables of Alfonce (by the Aragonese Jewish convert, Pedro Alfonso, or Petrus Alphonsus) which were included in the 1483 edition of Caxton's Aesop. María Bullón-Fernández, among others, has also drawn our attention to this fact. Two historians in the 1950s had indeed opened the ground for new views in relation to the fourteenth century: the Spanish medievalist Luis Suárez Fernández and the Oxford scholar Peter E. Russell, although in more recent years the current interest in Al-Andalus as a decisive factor in the conformation of Europe and European culture has yielded books such as those by Jeffrey Jerome Cohen, Simon R. Doubleday and David Coleman, Sharon Kinoshita, Lisa Lampert-Weissig, or, some decades earlier, one by Alice E. Lasater.
My purpose in this chapter is not to focus on this latter sort of exploration, but rather to look back again on the particular historical, political, and dynastic conditions that linked England to Iberia during the fourteenth century, a period when writers such as John Gower, Geoffrey Chaucer, and Canciller Pero López de Ayala lived and composed their best known works.
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida
Edited by
Ana Sáez-Hidalgo, Associate Professor at the University of Valladolid, Spain,R. F. Yeager, Professor of English and World Languages and chair of the department at the University of West Florida