Abstract INTRODUCTION: Chagas disease remains a public health problem in the rural and urban areas of 19 countries in the Americas. METHODS: The aim of the present study was to investigate the Trypanosoma cruzi infection rate of triatomines collected from both intra- and peridomiciliary areas in eleven municipalities of Southeastern Ceará, Brazil, from 2009 to 2015. RESULTS: A total of 32,364 triatomine specimens, including nymphs and adults, were collected, and 31,736 (98.06%) of these were examined. More nymphs were collected than adults, and the greatest number of triatomines (n = 8,548) was collected in 2010, for which the infection rate was 1.3%, with the highest rate of infections observed for specimens from Quixere. The species collected during the study were identified as Triatoma pseudomaculata, Triatoma brasiliensis, Panstrongylus megistus, Panstrongylus lutzi, and Rhodnius nasutus, with T. pseudomaculata being the most abundant (n = 19,962). CONCLUSIONS: These results verify the presence of triatomines in both intra- and peridomiciliary areas, thereby ensuring persistence of the pathogen and consequently, the disease, as the presence of infected vectors in households is an important risk factor. According to these findings, the Chagas Disease Control Program should intensify its efforts in order to prevent the spread of the disease.

Electrospun nanofibers were prepared from mixed solutions of partially hydrolyzed poly(vinyl alcohol) (PVA) and medium molar mass chitosan (CS) at different solution compositions, at 15 and 20 kV. The mats were visualized by scanning electron microscopy (SEM), and the average diameters of nanofibers were determined. Three of these solutions were chosen for further studies, to elucidate the influence of CS on the mats properties. Electrospinning at 15 kV had a higher tendency to produce nanofibers free of defects, in which the diameters (157 to 189 nm) were not affected significantly by the total concentration and solution composition. Polymer interactions between the components were supported by infrared spectroscopy, thermogravimetry and dynamic mechanical analysis (DMA). The effect of CS composition was evidenced by DMA and tensile tests techniques. Immersion in water led to the breakage of nanofibers and flower-like morphologies.

Abstract Introduction Despite the high prevalence of chronic pain in individuals infected with HTLV-1, predictive and protective factors for its development are still unclear. Objective To identify factors associated with chronic pain in individuals with HTLV-1. Methods This cross-sectional study was conducted in a reference center for treatment of patients infected with HTLV-1 in Salvador, Bahia, Brazil. The study included individuals infected with HTLV-1, over 18 years, and excluded those with difficulty to respond the pain protocol. Data on sociodemographic, health behavior, and clinical characteristics were collected in a standardized way. The prevalence ratio (PR) of pain is described, as well as the factors independently associated with the presence of pain, which were assessed by multiple logistic regression. Results A total of 142 individuals were included in the study, mostly female (62.7%), aged 20–64 years (73.2%), married (61.3%), with less than eight years of education (54.2%), and with a steady income (79.6%). Multivariate analysis showed that being symptomatic for HTLV-1 – sensory manifestations, erectile dysfunction, overactive bladder, and/or HAM/TSP (PR = 1.21, 95% CI: 1.05 to 1.38), self-medication (PR = 1.29, 95% CI: 1.08–1.53), physiotherapy (PR = 1.15, 95% CI: 1.02–1.28), and depression (PR = 1.14, 95% CI: 1.01–1.29) were associated with an increased likelihood of presenting pain. On the other hand, physical activity (PR = 0.79, 95% CI: 0.67–0.93) and religious practice (PR = 0.83, 95% CI: 0.72–0.95) were associated with a decreased likelihood of having pain. Conclusion The use of self-medication, physiotherapy and the presence of depression are independently associated with neurological symptoms in HTLV-1 infected patients. Religious practice and physical activity are both protective for the development of pain.

RESUMO: O objetivo deste estudo foi o de avaliar a morfologia das diferentes regiões da córnea equina usando microscopia óptica. Foram avaliados ambos os olhos saudáveis de oito equinos, machos ou fêmeas, de diferentes idades. As córneas foram coradas com corante vital vermelho de alizarina, examinadas com microscópio óptico e fotografadas. A morfologia endotélio corneano de áreas centrais, superior, inferior, temporal e nasal foi avaliada. Foram analisadas células endoteliais da córnea de cada área. A forma das células endoteliais da córnea de cada região da córnea foi analisada. Análise estatística dos dados foi realizada por meio do teste t. Valores de P<0.01 foram considerados significativos. Em relação à análise morfológica estatisticamente significativa, não foram encontradas diferenças entre as regiões da córnea equina analisadas. O presente trabalho sugere que não houve diferença entre a morfologia das regiões da córnea de equino. Os valores obtidos em qualquer região da córnea equina podem ser extrapolados para outras regiões da córnea e são representativos da morfologia celular em todas as regiões da córnea.

ABSTRACT: The objective of this study was to evaluate the morphology of different regions of the equine cornea using optical microscopy. Both healthy eyes of eight horses, male or female, of different ages were evaluated. Corneas were stained with alizarin red vital dye and subsequently examined and photographed using optical microscopy. Corneal endothelial morphology of central, superior, inferior, temporal and nasal areas was assessed. One hundred endothelial cells from each corneal area were analyzed. The shape of the corneal endothelial cells of each corneal region was analyzed. Statistical data analysis was conducted using the Student's t test. Values of P<0.01 were considered significant. Regarding morphological analysis, no statistically significant differences were reported between the equine corneal regions analyzed. The present research suggested that there are no morphological differences between regions of the equine cornea. The values obtained in any region of the equine cornea can be extrapolated to other regions of the cornea and are representative of the cell morphology present in all regions of the cornea.

RESUMO Sarcoma de Kaposi (SK) é uma neoplasia endotelial causada pelo herpes vírus humano tipo 8 (HHV-8), e o tipo associado ao vírus da imunodeficiência humana (HIV) é considerado o mais agressivo e frequente. Relata-se um caso de SK mucocutâneo em indivíduo não anteriormente ciente de ser portador de HIV. Paciente do sexo masculino, 38 anos, procurou atendimento com queixa de múltiplas lesões orais e uma lesão em pele. A sorologia foi positiva para HIV, e a biópsia incisional das lesões teve como diagnóstico SK. Após 11 meses de terapia antirretroviral e quimioterapia, houve remissão completa do SK cutâneo e parcial das lesões orais.

ABSTRACT Kaposi's sarcoma (KS) is an endothelial neoplasia caused by infection with the human herpesvirus 8 (HHV-8), and the type associated with the human immunodeficiency virus (HIV) is considered the most aggressive and frequent. This paper reports a case of mucocutaneous KS in a patient not formerly aware of being an HIV bearer. A 38-year-old male patient has sought treatment with multiple oral lesions and one in the skin. Serology was positive for HIV and incisional biopsy diagnosed KS. After 11 months of chemotherapy and antiretroviral therapy, there was complete remission of the skin KS and partial remission of oral lesions.

This study had analyzed the antibacterial, antifungal and trypanocidal activity of the essential oils from Cinnamodendron dinisii Schwacke (Canellaceae) and Siparuna guianensis Aublet (Siparunaceae). The essential oils were obtained from fresh leaves by hydrodistillation, using a modified Clevenger apparatus. Chemical analysis by gas-liquid chromatography coupled to mass spectrometry (GC-MS) showed that these essential oils are rich in monoterpene and sesquiterpene hydrocarbons. Activity against the pathogenic bacteria Escherichia coli, Listeria monocytogenes, Pseudomonas aeruginosa, Salmonella choleraesuis and Staphylococcus aureus was evaluated with the agar cavity diffusion method, while activity on the filamentous fungi Aspergillus flavus, Aspergillus niger, Aspergillus carbonariusand Penicillium commune was evaluated by the disk diffusion technique. Trypanocidal activity was tested against Trypanosoma cruzi epimastigotes, using the Tetrazolium salt (MTT) colorimetric assay. Both essential oils exhibited low inhibitory effect towards bacteria, showing high MIC values (125–500 μg mL−1), with Gram positive bacteria being more susceptible. Better inhibitory effect was obtained for the evaluated fungi, with lower MIC values (7.81–250 μg mL−1), being A. flavus the most susceptible species. Both essential oils presented low trypanocidal activity, with IC50/24 h values of 209.30 μg mL−1 for S. guianensis and 282.93 μg mL−1 for C. dinisii. Thus, the high values observed for the MIC of evaluated bacteria and for IC50/24 h of T. cruzi, suggest that the essential oils have a low inhibitory activity against these microorganisms. In addition, the low MIC values observed for the tested fungi species indicate good inhibitory activity on these microorganisms’s growth.

As espécies de Theobroma têm importância econômica devido a sua utilização nas indústrias cosmética e alimentícia, principalmente na produção de chocolate. Entretanto, a anatomia de suas estruturas vegetativas permanece pouco conhecida. O presente estudo teve por objetivo descrever as características anatômicas de Theobroma grandiflorum, T. speciosum e T. subincanum, como contribuição ao conhecimento biológico dessas espécies, bem como, fornecer subsídios aos estudos biotecnológicos de fruteiras nativas da Amazônia. Folhas em diferentes estágios de desenvolvimento foram coletadas e analisadas sob microscopia de luz e eletrônica de varredura. Nas folhas expandidas de T. grandiflorum e T. subincanum foram observados tricomas dos tipos estrelado séssil, pedunculado e glandular digitiforme. Estas espécies também foram similares quanto à morfologia da nervura central, à organização do mesofilo e à presença de grãos de amido no parênquima medular da nervura central. Tricomas glandulares claviformes e células mucilaginosas na epiderme do limbo foliar ocorreram somente em T. speciosum. A presença de tricomas secretores de mucilagem nos ápices vegetativos (coléteres) de todas as espécies estudadas é um novo registro para o gênero Theobroma.

Theobroma species have economic importance due to their use in the cosmetic and food industries, mainly in the production of chocolate. However, the anatomy of their vegetative structures remains poorly studied. The goal of this study was to describe the anatomical features of Theobroma grandiflorum, T. speciosum and T. subincanum to contribute to the biological knowledge of these species, as well as provide support to the biotechnological studies of native fruit plants of the Amazon. Leaves at different developmental stages were collected and analyzed under light microscopy and scanning electron microscopy. Sessile and stalked stellate trichomes and digitiform glandular trichomes were observed in the expanded leaves of T. grandiflorum and T. subincanum. These species were also similar in the morphology of the midrib, the organization of the mesophyll and the presence of starch grains in the midrib pith cells. Claviform glandular trichomes and mucilage cells in the epidermis occurred only in the expanded leaves of T. speciosum. The presence of mucilage secretory trichomes in shoot apices (colleters) of all species is a new finding for the genus Theobroma.

O objetivo deste trabalho foi identificar espécies de térmitas associados à degradação de cinco espécies florestais. Um estudo sobre durabilidade deste material foi realizado com cinco espécies vegetais de importância no setor florestal brasileiro. As espécies Tectona grandis, Azadirachta indica, Inga sp., Trattinnickia rhoifolia e Bagassa guianensis foram avaliadas por um período de 18 meses, para medir o nível de deterioração dessas madeiras, em função do ataque de térmitas nas partes aéreas e subterrâneas. A coleta de dados foi feita em função das partes aéreas e subterrâneas: para a primeira, as avaliações foram feitas a cada quatro meses, e para a segunda, a cada seis meses. Na parte aérea, as espécies de A. indica e T. rhoifolia apresentaram menor e maior suscetibilidade ao ataque por térmitas, respectivamente. Por outro lado, na parte subterrânea, as espécies A. indica e T. rhoifolia apresentaram maior e menor durabilidade natural, respectivamente.

The objective of this study was to identify termite species associated with the degradation of five forest tree species. A study on the durability of this material was accomplished with five important plant species in the Brazilian forest sector. Tectona grandis, Azadirachta indica, Inga sp., Trattinnickia rhoifolia, Bagassa guianensis species were evaluated for 18 months to measure wood deterioration degree according to the attack of termites in their aerial and underground parts. Data collection was performed according to the aerial and underground parts; wherein for the first, evaluations were carried out every four months, while the second was assessed every six months. Regarding the aerial part, A. indica and T. rhoifolia species presented lower and higher susceptibility to termite attack, respectively. On the other hand, concerning the underground part, A. indica and T. rhoifolia species presented higher and lower natural durability, respectively.

OBJETIVO: Avaliar a associação entre obesidade e asma pela comparação entre idade, gênero, classificação inicial e controle da asma, valores de volume expiratório forçado no primeiro segundo (VEF1) e fluxo expiratório forçado entre 25 e 75% (FEF25-75%) basais com os índices de massa corpórea (IMC) em adolescentes asmáticos. MÉTODOS: Estudo transversal envolvendo 120 pacientes (1,9 masculino:1 feminino) asmáticos com mediana de idade de 14,1 anos (9 a 20,1 anos), classificados quanto ao controle e gravidade da asma e avaliados pela espirometria utilizando VEF1 e FEF25-75% basais. Esses dados foram descritos pela frequência, médias e desvio padrão ou medianas e variação, sendo analisados pelos testes de ANOVA, teste t não pareado, teste exato de Fisher, Kruskal-Wallis e pela correlação de Pearson, considerando-se significante p<0,05. RESULTADOS: Não houve diferença entre os gêneros em relação à classificação inicial da asma e ao nível de controle. Receberam classificação inicial persistente 91,7% (100 casos), sendo que 106 casos (88,3%) encontravam-se parcial ou totalmente controlados. Não houve diferença estatística entre os pacientes controlados e os demais em relação ao IMC. Não foram encontradas correlações significantes entre zIMC e VEF1 e entre zIMC e FEV25-75%, analisando-se todos os pacientes e apenas pacientes com sobrepeso ou obesos. CONCLUSÕES: Neste estudo, não foi encontrada correlação significante entre sobrepeso/obesidade e asma, utilizando-se parâmetros clínicos, antropométricos e espirométricos.

OBJECTIVE: To relate obesity and asthma by comparing gender, age, initial classification of asthma, clinical control, basal forced expiratory volume in one second (FEV1) and forced expiratory flow between 25 and 75% (FEF25-75%) with rates of body mass index (BMI) in asthmatic adolescents. METHODS: Cross-sectional study involving 120 asthmatics patients (1.9 male: 1 female) with a mean age of 14.1 years (9 to 20.1 years of age), classified according to asthma severity and control, and evaluated by spirometry using their basal FEV1 and FEF25-75%. The data were described by frequency, mean and standard deviation or median and range and analyzed by ANOVA, unpaired t test, Fischer's exact test, Kruskal-Wallis and Pearson's correlation, considering significant p<0.05. RESULTS: There was no difference between gender in relation to the initial classification and the level of asthma control; 91.7% (100 cases) received initial classification as persistent and 106 cases (88.3%) were partially or totally controlled. There was no statistical difference between controlled patients and the others in relation to BMI. No significant correlations were found between zBMI and FEV1 and between zBMI and FEF25-75%, analyzing all patients and only patients with overweight or obese. CONCLUSIONS: In this study, no significant correlation was found between overweight/obesity and asthma using clinical, anthropometric and spirometric parameters.

OBJETIVO: Evaluar la asociación entre obesidad y asma por la comparación entre edad, género, clasificación inicial y control del asma, valores de volumen espiratorio forzado en el primer segundo (VEF1) y flujo espiratorio forzado entre 25 y 75% basal (FEF25-75%) con los índices de masa corporal (IMC) en adolescentes asmáticos. MÉTODOS: Estudio transversal implicando a 120 pacientes (1,9M:1F) asmáticos con mediana de edad de edad de 14,1 años (9 a 20,1 años), clasificados respecto al control y gravedad del asma, y evaluados por la espirometría utilizando su VEF1 y FEF25-75% basales. Estos datos fueron descriptos por la frecuencia, promedios y desviaciones estándar o medianas y variación y analizados por las pruebas de ANOVA, prueba t no pareada, Prueba exacto de Fisher, Kruskal-Wallis y por la correlación de Pearson considerándose significantes valores de p<0,05. RESULTADOS: No hubo diferencia entre los géneros respecto a la clasificación inicial del asma y el nivel de control. Recibieron clasificación inicial persistente 91,7% (100 casos), siendo que 106 casos (88,3%) estaban parcial o totalmente controlados. No hubo diferencia estadística entre los pacientes controlados y los restantes respecto al IMC. No se encontraron correlaciones significantes entre zIMC y VEF y entre zIMC y FEF25-75% al analizar todos los pacientes y solamente los pacientes con sobrepeso u obesos. CONCLUSIONES: En este estudio, no fue encontrada correlación significante entre sobrepeso/obesidad y asma, utilizándose parámetros clínicos, antropométricos y espirométricos.

Melt blending of 1:1 poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV) and glycerol-plasticized starch (TPS) was performed in the presence of an organically-modified montmorillonite, incorporated at 2.5, 5, 7.5 and 10 wt% amounts. Scanning electron micrographs (SEM) revealed the role of the organoclay as a compatibilizing agent for the immiscible blend. The blends were also characterized by X-ray diffraction (XRD), tensile tests, humidity absorption and soil burial biodegradation tests. The results indicated improved properties of the hybrid materials in relation to TPS alone, with a faster biodegradation rate than PHBV.

The use of biopolymers for the development of oxygen carriers has been extensively investigated. In this work, three different ABA triblock copolymers were synthesized and used to encapsulate purified bovine hemoglobin, using a double emulsion technique. The effect of polymer composition, homogenization velocity, and addition of a surfactant, on the protein entrapment was evaluated. These copolymers, which have a hydrophilic block, achieved higher values of encapsulation efficiency than the corresponding homopolymers. The increase in homogenization strength also promoted an increase in encapsulation efficiency. Capsules formation occurred even in the absence of PVA.

Liquid polybutadiene (PBLH) was modified with maleic anhydride (MA). The material (PBLHM) was characterized and used to prepare hybrid materials by blending with glycerol-plasticized cassava starch (TPS) and an organophilic clay at 5 wt% content. Processing was performed by extrusion under mild conditions and led to TPS/PBLHM/clay hybrids, at 95/5 to 85/15 TPS/PBLHM compositions, which were characterized by contact angle measurements, X-ray diffraction and mechanical analysis. The results revealed a reduction in the hydrophilicity and the reinforcement of the hybrid materials. Biodegradability tests showed that the addition of clay and of PBLHM led to materials with high biodegradability.

A simple, fast and inexpensive method was developed to determine essential elements in pellets of rice samples using energy dispersive X-ray fluorescence spectrometry (EDXRF). The accuracy and precision were evaluated using Standard Reference Material (rice flour NIST 1568a), and yielding relative standard deviation below 5%. The paired t-test showed good agreement within 95% confidence values. The detection limits (3σ) of Mn and Zn were 5.1 and 2.2 mg kg-1, respectively. The proposed method proved to be effective when used to determine Mn and Zn in commercial samples of rice without go by stage of decomposition.

OBJETIVO: Analisar a variabilidade interobservadores no diagnóstico de lesões precursoras do câncer anal no cenário mais comum de um serviço constituído por patologistas sem experiência prévia no diagnóstico destas lesões. MÉTODOS: Quinhentas e duas lâminas histopatológicas com espécimes anais retirados de 372 pacientes HIV-positivos e HIV-negativos foram analisadas no Departamento de Patologia da Fundação de Medicina Tropical do Amazonas por três patologistas com ampla experiência no diagnóstico de doenças tropicais e infecciosas, mas sem experiência prévia importante no diagnóstico de lesões precursoras do câncer anal. As leituras individuais de cada patologista foram comparadas com a que se seguiu a diagnóstico de consenso em microscópio de ótica compartilhada. Os diagnósticos individuais foram confrontados com os de consenso mediante análise da estatística kappa. RESULTADOS: A concordância absoluta entre cada diagnóstico individual e o de consenso correspondente foi ruim (kappa=-0,002). Considerando os resultados apenas positivos ou negativos para lesões intraepiteliais escamosas anais, obteve-se concordância regular entre os observadores (kappa=0,35), enquanto que a concordância foi moderada quando os resultados histopatológicos foram considerados positivos ou negativos para lesão intraepitelial de alto grau ou câncer (kappa=0,52). CONCLUSÃO: A variabilidade interobservadores no diagnóstico histopatológico do câncer anal e de suas lesões precursoras entre patologistas sem grande experiência na área, apesar de experts em outras, é tal que os diagnósticos neste campo e neste cenário comum devem sempre ser de consenso.

OBJECTIVE: To assess interobserver variability in the diagnosis of anal cancer precursor lesions in the usual scenario of a service consisting of pathologists without previous experience in the diagnosis of these lesions. METHODS: Five hundred and two anal specimens taken from 372 HIV-positive and HIV-negative patients were analyzed at the Pathology Department of the Tropical Medicine Foundation of Amazonas by three pathologists with extensive experience in the diagnosis of infectious and tropical diseases, but without significant prior experience in the diagnosis of anal cancer precursor lesions. The individual readings of each pathologist were compared to the one following the consensus diagnosis in shared optical microscope by kappa statistics. RESULTS: The absolute agreement between each individual diagnosis and corresponding consensus was poor (kappa = -0.002). Considering only the positive or negative results for anal squamous intraepithelial lesions, we obtained a fair agreement between observers (kappa = 0.35), while the agreement was moderate when the histopathological findings were considered positive or negative for high-grade squamous intraepithelial lesion or cancer (kappa = 0.52). CONCLUSION: The interobserver variability in histopathologic diagnosis of anal cancer and its precursor lesions among pathologists with little experience in the area is such that the diagnoses in this field and this scenario should always be a consensus.

O presente estudo objetivou quantificar e avaliar a carga polínica classificada por coloração encontrada nas corbículas de Tetragonisca angustula Latreille (Apidae: Meliponina). Os grãos de pólen encontrados nas corbículas de T. angustula no período estudado foram de 18 tipos polínicos pertencentes a 16 famílias vegetais. As cores predominantes indicaram uma diversidade de tipos polínicos. A coloração amarela obteve maior riqueza de espécies, sendo indicativo de preferência de cor pela T. angustula. A cor marrom foi a que apresentou a menor freqüência de grãos de pólen e a cor abóbora com a menor riqueza de tipos polínicos. As cores com tonalidades claras foram as mais representativas em número de grãos coletados. Os tipos polínicos mais freqüentes foram Meliaceae, Myrtaceae (Eucalyptus spp.), Piper mollicomum (Piperaceae), Schizolobium parahyba (Caesalpiniaceae) e Tibouchina granulosa (Melastomataceae).

The objective of this study was to quantify and evaluate the pollen load, which was classified by color, found on Tetragonisca angustula Latreille (Apidae: Meliponina). Eighteen pollen types, belonging to 16 plant families, were found on T. angustula. The majority of the pollen, from different species, was yellow, indicating that T. angustula prefers this color. This was followed by brown pollen and then pumpkin colored pollen. The pollen grains that were light colored were the most common. The more frequent pollen types were Meliaceae, Myrtaceae (Eucalyptus spp.), Piper mollicomum (Piperaceae), Schizolobium parahyba (Caesalpiniaceae) and Tibouchina granulosa (Melastomataceae).