ABSTRACT There has long been a discussion about the effects of soil management on its structure. Since changes can occur due to management and time of use, more accurate assessments can be achieved if carried out in long-term experiments. This study investigated the long-term effects of soil management on the physical quality of a Cerrado Oxisol (Latossolo Vermelho), focusing on microstructural changes. Micromorphology and computed tomography techniques were used to assess the soil's microstructure. The study compared areas under long-term and different soil management practices, including disc plowing, no-tillage, and disc harrow+subsoiler. A native Cerrado area was considered as the reference. Micromorphology revealed some changes in the pedological features of soil aggregates, but the granular structure showed good resistance even after two decades of use and management. It also indicated a decrease in larger pores and an increase in the surface soil layer micropores for the disc plowing and no-tillage treatments. These results were consistent with traditional laboratory evaluations of soil porosity. Computed tomography was limited due to increased soil bulk density in the cultivated treatments, but it showed potential for assessing soil porosity and pore connectivity. We concluded that micromorphology effectively identifies microstructural changes in Oxisols with small and strong granular structures, and the granular soil aggregates displayed resilience even after long-term management. The micromorphometric evaluation corroborates with traditional methods and suggests loss of pores associated with the disc harrow+subsoiler treatment.

RESUMO Objetivo A escassez de pulmões viáveis ainda é um grande obstáculo para o transplante. As vítimas de trauma, que constituem potenciais doadores de pulmão, comumente apresentam choque hipovolêmico que acarreta inflamação e deterioração pulmonar e rejeição após o transplante. Buscando melhorar o enxerto pulmonar, testaram-se novas abordagens ao tratamento do doador. Este estudo foca o tratamento com células-tronco mesenquimais (CTMs) ou fatores solúveis produzidos pelas CTMs (FS-CTMs), usando um modelo com ratos para doadores de pulmão após choque hemorrágico. Métodos Quarenta e oito ratos foram divididos em quatro grupos: Controle (n=12), animais sem indução de choque hipovolêmico; Choque (n=12), animais submetidos a choque hipovolêmico (pressão arterial média de 40 mmHg); CTM (n=12), animais submetidos a choque hipovolêmico e tratados com CTMs; e FS (n=12), animais submetidos a choque hipovolêmico e tratados com FS-CTMs. Os animais foram submetidos a um procedimento de choque hipovolêmico (40 mmHg) com 50 minutos de duração. Os animais tratados foram monitorados por 115 minutos. Realizamos análise histopatológica do tecido pulmonar e quantificação dos marcadores inflamatórios (TNF-α, IL-1β, IL-6, IL-10, iCAM e vCAM) no tecido pulmonar e leucócitos no sangue periférico (LSPs). Resultados O choque hemorrágico resultou em taxas mais altas de LSPs e infiltrado de neutrófilos nos pulmões. Os animais do grupo FS apresentaram menor densidade de neutrófilos em comparação com os animais dos grupos Choque e CTM (p<0,001). Não foram observadas diferenças entre os grupos quanto aos níveis de citocinas no tecido pulmonar. Conclusão Os pulmões dos ratos submetidos a choque hemorrágico e tratados com FS-CTM apresentaram inflamação reduzida indicada por uma diminuição do infiltrado de neutrófilos nos pulmões.

ABSTRACT Objective The shortage of viable lungs is still a major obstacle for transplantation. Trauma victims who represent potential lung donors commonly present hypovolemic shock leading to pulmonary inflammation and deterioration and rejection after transplantation. Seeking to improve lung graft, new approaches to donor treatment have been tested. This study focuses on treatment with mesenchymal stem cells (MSCs) or soluble factors produced by MSCs (FS-MSC) using a rat model for lung donors after hemorrhagic shock. Methods Forty-eight rats were divided into four groups: Sham (n=12), animals without induction of hypovolemic shock; Shock (n=12), animals submitted to hypovolemic shock (mean arterial pressure 40 mmHg); MSC (n=12), animals submitted to hypovolemic shock and treated with MSCs, and FS (n=12), animals submitted to hypovolemic shock and treated with FS-MSC. The animals were subjected to a 50-minute hypovolemic shock (40 mmHg) procedure. The treated animals were monitored for 115 minutes. We performed histopathology of lung tissue and quantification of inflammatory markers (TNF-α, IL-1β, IL-6, IL-10, iCAM and vCAM) in lung tissue and peripheral blood leukocytes (PBLs). Results Hemorrhagic shock resulted in higher PBLs and neutrophil infiltrate in the lungs. FS animals had lower neutrophil density comparing with Shock and MSC animals (p<0.001). No differences in the cytokine levels in lung tissue were observed between the groups. Conclusions The lungs of rats submitted to hemorrhagic shock and treated with FS-MSC showed reduced inflammation indicated in a decrease in lung neutrophil infiltrate.

Abstract Coffee crop in Brazil is typically grown as a monoculture. However, we hypothesized that agroforestry system is favorable association for arbuscular mycorrhizal fungi (AMF), affecting its community structure and potentially impacting crop productivity and agroecosystem health. This study evaluated how the microclimate, soil depth, macauba field spacing and distance between coffee plants and palms affect the structure of the AMF community. The structure of the AMF community was influenced by the soil depth, microclimate features, soil moisture, maximum air temperature, and photosynthetically active radiation (PAR). The distance at which coffee-macauba influences ecological diversity indices of AMF, and higher diversity are related to the proximity between plants. AMF diversity (Richness and Shannon) in the agroforestry system exceeded that observed in the full-sun coffee in the 0-20 soil depth layer. Our results showed that the microclimate, soil depth, plant density, and distance between coffee from macauba affected the AMF community structure.

RESUMO O Governo de Angola tem a intenção de recuperar sua alta produção de café da década de 1970, por meio de programas de financiamento agrícola direcionados especialmente aos agricultores familiares. Objetivou-se realizar o zoneamento agroclimático para a cultura do cafeeiro em território angolano. Dados ou estimativas de temperatura anual, precipitação efetiva e total, balanço hídrico climático e déficit de água anual foram avaliados para todos os 163 municípios angolanos. Os dados de precipitação efetiva e total foram utilizados para o zoneamento agroclimático da cultura do cafeeiro no país. Com o uso da precipitação efetiva, 1 %, 20 % e 79 % do território de Angola foram considerados adequado, marginal e inapto para o café Arábica, respectivamente, enquanto, para o café Robusta, esses mesmos percentuais foram de 1 %, 8 % e 91 %. Com a utilização da precipitação total, esses mesmos valores foram de 2 %, 27,5 % e 70,5 % para o café Arábica e 1 %, 11,8 % e 87,2 % para o Robusta. As áreas marginais e inaptas para a produção de café em Angola estão associadas às condições de déficit hídrico, principalmente na região sudoeste do país e ao longo da faixa costeira. Os resultados obtidos a partir do balanço hídrico climático indicam que a maior parte do território angolano é marginal ou inapta para a cultura do cafeeiro.

ABSTRACT The Angolan Government intends to recover its 1970s expressive production of coffee by means of agricultural financing programs, mainly directed to family farmers. This study aimed to perform the agroclimatic zoning for the coffee crop in the Angolan territory. Data or estimates of annual temperature, effective and total rainfall rates, climatic water balance and annual water deficit were evaluated for all the 163 Angolan municipalities. The effective and total precipitation data were used for the agroclimatic zoning of the coffee crop in the country. Based on the effective precipitation data, 1 %, 20 % and 79 % of the Angolan territory were respectively considered suitable, marginal and unsuitable for the Arabica coffee, while, for the Robusta coffee, the same rates were, respectively, 1 %, 8 % and 91 %. Based on the total precipitation data, these rates were 2 %, 27.5 % and 70.5 % for the Arabica coffee and 1 %, 11.8 % and 87.2 % for the Robusta coffee. The areas considered marginal and unsuitable for the coffee crop in Angola are related to water deficit conditions, mainly in the southwestern region and along the coastal strip. The results obtained from the climatic water balance show that most part of the Angolan territory is marginal or unsuitable for the coffee crop.

Abstract AIM The aim of this longitudinal study was to analyze the relationship between sleep disorder and intima-media thickness. METHOD Baseline measurements included carotid intima-media thickness, assessed by an ultrasound device; questionnaires about sleep and other behavioral variables; physical activity was measured by pedometer; body fatness was estimated by Dual-Energy X-ray Absorptiometry; fasting glucose, lipid profile and C-reactive protein were collected. RESULTS The occurrence rate of sleep-related disorders was 47% (95%CI= 37.2%-56.7%). Carotid intima-media thickness was related to symptoms of insomnia (r= 0.328 [0.141 to 0.493]) and, after adjustments for potential confounders, the relationship between carotid intima-media thickness and insomnia remained statistically significant (β= 0.121 [95%CI= 0.017; 0.225]). CONCLUSIONS In young adults, sleep disorder was significantly related to premature increase in carotid intima-media thickness.

Em São Paulo os parques municipais preservam resquícios da vegetação de Mata Atlântica, comportam lagos e nascentes, servem de abrigos para mamíferos, aves e artrópodes vetores. São frequentados pela população humana como ambientes de lazer. A zona Leste da cidade possui o maior índice populacional de habitantes e 24 parques municipais. O objetivo deste trabalho foi conhecer a fauna de Culicidae de dois parques da zona Leste da cidade e avaliar a presença de espécies potencialmente bioindicadoras e vetoras de patógenos ao homem. Foram feitas coletas mensais de culicídeos entre março de 2011 a fevereiro de 2012 no Parque do Carmo e no Parque Chico Mendes, com aspiradores elétricos, armadilhas de Shannon e CDC para mosquitos adultos e concha entomológica e bombas manuais de sucção para os imaturos. Para verificar a suficiência amostral foram construídas curvas de acúmulo de espécies por amostragem e a riqueza total foi estimada pelo método Jackknife 1, ambos gerados pelo programa EstimateS. No parque do Carmo foram coletados 1.092 culicídeos, distribuídos em nove gêneros (Aedes, Anopheles, Coquillettidia, Culex, Limatus, Mansonia, Trichoprosopon, Toxorhynchites e Uranotaenia), distribuídos em 19 unidades taxonômicas. Coquillettidia venezuelensis(Theobald 1912), Aedes scapularis (Rondani 1848)e Culex (Culex) spp. Linnaeus 1758 foram os adultos mais abundantes e Culex (Melanoconion) spp. Theobald 1903 e Anopheles strodei Root 1926 os imaturos. No Parque Chico Mendes obteve-se 4.487 mosquitos, distribuídos em seis gêneros e 18 unidades taxonômicas. Culex (Cux.) spp. e Ae. scapularis foram os mais abundantes dos adultos e Ae. albopictus (Skuse 1984) dos imaturos. As curvas de acúmulo de espécies por amostragem em ambos os parques chegaram próximas è assíntota e a estimativa de riqueza total mostrou-se próxima è riqueza observada. Alguns táxons de culicídeos são bioindicadores das condições ambientais dos locais onde vivem, portanto é necessário acompanhar a fauna nativa dos parques municipais porque várias espécies encontradas têm mostrado competência e capacidade para veicular patógenos e arbovírus.

Municipal parks in the city of São Paulo, which are used for leisure purposes, contain remnants of the flora of the Atlantic Forest, as well as lakes and springs, and are home to mammals, birds and arthropods, some of which can be vectors of disease. The eastern side of the city has the largest population in São Paulo and twenty-four municipal parks. The aim of this study was to investigate Culicidae fauna in two parks on this side of the city and to determine which of the Culicidae species identified have the potential to act as bioindicators and vectors of human pathogens. Culicidae were collected monthly between March 2011 and February 2012 in Carmo Park and Chico Mendes Park with battery-powered aspirators, Shannon traps and CDC traps for adult mosquitoes, and larval dippers and suction samplers for immature mosquitoes. To confirm sample sufficiency, the EstimateS program was used to plot sample-based species accumulation curves and estimate total richness by the Jackknife 1 method. In all, 1,092 culicids from nine genera (Aedes, Anopheles, Coquillettidia, Culex, Limatus, Mansonia, Trichoprosopon, Toxorhynchites and Uranotaenia) and nineteen taxonomic units were collected in Carmo Park. Coquillettidia venezuelensis (Theobald 1912), Aedes scapularis (Rondani 1848) and Culex (Culex) spp. Linnaeus 1758 were the most abundant adults, and Culex (Melanoconion) spp. Theobald 1903 and Anopheles strodei Root 1926 the most abundant immature mosquitoes. In Chico Mendes Park 4,487 mosquitoes in six genera and eighteen taxonomic units were collected. Culex (Cux.) spp. and Ae. scapularis were the most abundant adults, and Ae. albopictus (Skuse 1984) the most abundant immature mosquitoes. The species accumulation curves in both parks were close to the asymptote, and the total richness estimate was close to the observed richness. Some culicid taxons are bioindicators of environmental conditions in the areas they inhabit. It is important to monitor native fauna in municipal parks in São Paulo as various species in this study were found to have vector competence and capacity to transmit pathogens, such as arboviruses.

OBJETIVO: Analisar a relação entre prática esportiva, educação física escolar, atividade física habitual e indicadores cardiovasculares de risco em adolescentes. MÉTODOS: Estudo transversal que selecionou 120 escolares (idade média 11,7±0,7 anos), sem consumo de medicamentos. Prática esportiva fora do ambiente escolar e educação física escolar foram avaliadas por entrevista face a face, enquanto a atividade física habitual foi avaliada por pedometria. Peso corporal, estatura e altura troncocefálica foram usados para estimar a maturação biológica. Foram avaliados: gordura corporal, pressão arterial, frequência cardíaca durante o repouso, velocidade do fluxo sanguíneo, espessura mediointimal das artérias (carótida e femoral), variabilidade da frequência cardíaca (média entre batimentos cardíacos consecutivos e o índice estatístico no domínio do tempo que representa atividade do sistema nervoso autônomo parassimpático por meio da raiz quadrada da média das diferenças sucessivas ao quadrado entre intervalos R-R consecutivos). Correlação de Spearman verificou relação entre as variáveis. Relacionamentos significativos foram ajustados por: sexo, etnia, idade, gordura corporal e maturação biológica. RESULTADOS: Prática esportiva, independentemente dos ajustes, apresentou correlação positiva com atividade do sistema nervoso autônomo parassimpático (ß=0,039 [0,01; 0,76]). Por outro lado, a relação entre tal engajamento e a média entre os intervalos R-R (ß=0,031 [-0,01; 0,07]) foi mediada pela maturação biológica. CONCLUSÕES: A prática esportiva foi relacionada a uma maior variabilidade da frequência cardíaca durante o repouso.

OBJECTIVE: To analyze the relationship among sports practice, physical education class, habitual physical activity and cardiovascular risk in adolescents. METHODS: Cross-sectional study with 120 schoolchildren (mean: 11.7±0.7 years old), with no regular use of medicines. Sports practice and physical education classes were assessed through face-to-face interview, while habitual physical activity was assessed by pedometers. Bodyweight, height and height-cephalic trunk were used to estimate maturation. The following variables were measured: body fatness, blood pressure, resting heart rate, blood flow velocity, intima-media thickness (carotid and femoral) and heart rate variability (mean between consecutive heartbeats and statistical index in the time domain that show the autonomic parasympathetic nervous system activity root-mean by the square of differences between adjacent normal R-R intervals in a time interval). Statistical treatment used Spearman correlation adjusted by sex, ethnicity, age, body fatness and maturation. RESULTS: Independently of potential confounders, sports practice was positively related to autonomic parasympathetic nervous system activity (β=0.039 [0.01; 0.76]). On the other hand, the relationship between sport practice and mean between consecutive heartbeats (β=0,031 [-0.01; 0.07]) was significantly mediated by biological maturation. CONCLUSIONS: Sport practice was related to higher heart rate variability at rest.

PURPOSE: To evaluate a new perfusate solution to be used for ex vivo lung perfusion.METHODS: Randomized experimental study using lungs from rejected brain-dead donors harvested and submitted to 1 hour of ex vivo lung perfusion (EVLP) using mainstream solution or the alternative.RESULTS: From 16 lungs blocs tested, we found no difference on weight after EVLP: Steen group (SG) = 1,097±526g; Alternative Perfusion Solution (APS) = 743±248g, p=0.163. Edema formation, assessed by Wet/dry weigh ratio, was statistically higher on the Alternative Perfusion Solution group (APS = 3.63 ± 1.26; SG = 2.06 ± 0.28; p = 0.009). No difference on PaO2 after EVLP (SG = 498±37.53mmHg; APS = 521±55.43mmHg, p=0.348, nor on histological analyses: pulmonary injury score: SG = 4.38±1.51; APS = 4.50±1.77, p=0.881; apoptotic cells count after perfusion: SG = 2.4 ± 2.0 cells/mm2; APS = 4.8 ± 6.9 cells/mm2; p = 0.361).CONCLUSION: The ex vivo lung perfusion using the alternative perfusion solution showed no functional or histological differences, except for a higher edema formation, from the EVLP using Steen Solution(r) on lungs from rejected brain-dead donors.

AbstractBackground The reintroduction of sylvatic yellow fever in the state of São Paulo after about six decades was confirmed in the Northwestern region in 2000, where in 2008 there also occurred an important epizootic. The purpose of this study was to investigate the feeding habits of culicids potentially involved in the sylvatic transmission of the virus in this region.Methods Specimens were collected in 24 forested localities at ground level with hand nets and mouth aspirators. Collections were made quarterly between October 2006 and July 2008 during daylight hours. Blood-meal identification was carried out in mosquitoes of the tribes Aedini, Mansoniini and Sabethini. The biotin/avidin sandwich ELISA was employed to determine six source types: bird, bovine, equine, rat, human and monkey.Results A total of 24,879 females of the three tribes were obtained, 245 (0.98%) of which were engorged. The presence of three different blood sources per engorged female was the predominant situation, and included 35.10% of the total of samples processed. Samples with two or four different sources were represented by 25.31% and 25.71%, of the specimens, respectively, while just 9.39% had only one type and 1.22%, five different sources. Aedes scapularis, Ae. serratus(Group),Psorophora albigenu and Ps. ferox were the most abundant species and accounted for about 95% of the engorged specimens. Of the principal vector species,Haemagogus janthinomys/capricorniiwas found with bird, bovine and primate blood. These sources were predominant and alternated top ranking as the most frequent source according to the mosquito species and collection site. In general, primate blood was the most prevalent source.Conclusions The human population of the region visits this ecotone frequently, which indicates the need for the periodical assessment of vaccination coverage against yellow fever. The frequency of non-human primate blood source in mosquito species that show minor vector importance in yellow fever virus transmission deserves attention. The eclectic feeding habits and some aspects of the interactions between potential vectors and reservoirs of yellow fever may be associated with the habitat fragmentation characteristic of the region. We recommend that further studies on the capacity and vector competence be performed on secondary vectors in extra-Amazonian region.

Diante da escassez de informações sobre mosquitos (Diptera: Culicidae) na cidade de São Paulo, foi proposto um projeto para estudar esse grupo de insetos nas áreas verdes representadas pelos parques municipais da cidade. Foram investigados 35 desses parques distribuídos nas regiões sul, norte e centro-oeste da cidade, entre outubro de 2010 e fevereiro de 2011 em período diurno. Os imaturos foram coletados dos criadouros por meio de conchas entomológicas e bomba de sucção e os adultos foram capturados em seus abrigos por aspirador elétrico (bateria de 12V). A identificação e catalogação de espécimes foram feitas no Laboratório de Entomologia da Faculdade de Saúde Pública, Universidade de São Paulo. Nesta primeira fase do projeto, coletou-se um total de 5.129 espécimes distribuídos em 11 gêneros e 41 categorias taxonômicas. Culex (Cux.) quinquefasciatus foi a espécie mais abundante. O gênero Aedes foi representado principalmente por Ae. (Och.) fluviatilis e Ae. (Ste.) albopictus. Ae. (Ste.) aegypti e Ae. (Och.)scapularis também foram frequentes em alguns parques. Os demais gêneros apresentaram-se pouco abundantes. Dos parques, 25,7% apresentaram mais de dez grupos, com destaque para o Anhanguera com 26; em contrapartida, 57,1% apresentaram cinco ou menos grupos. Apesar da pressão antrópica sobre esses ambientes, diversas espécies de culicídeos se utilizam destes habitats para a manutenção e refúgio de suas populações. É recomendado que estes ambientes estejam sob constante vigilância epidemiológica, visto que algumas das espécies coletadas possuem importância em saúde pública como vetoras de patógenos à população humana.

Given the scarcity of information on mosquitoes (Diptera: Culicidae) in the city of São Paulo, led the authors to propose a project to investigate this group of insects in some of the green areas, represented by municipal parks. The captures were undertaken in 35 municipal parks in the south, north and central-west of the city, between October 2010 and February 2011, during daylight. Immature forms were collected from breeding places with entomological ladles and suction pumps and adults from resting places with electric aspirators (12V battery). The identification of the specimens was undertaken in the Culicid laboratory of the Faculdade de Saúde Pública, Universidade de São Paulo. In this first phase of the project, a total of 5,129 specimens distributed in 11 genera and 41 taxonomic categories were captured. Culex (Cux) quinquefasciatus was the most abundant species. The genus Aedes was represented mainly by Ae. (Och) fluviatilis and Ae. (Ste) albopictus. Ae. (Ste) aegypti and Ae. (Och) scapularis were frequent in some parks. Other genera were less abundant. Of the parks investigated, 25.7% presented more than ten groups of species, notably the Anhanguera with 26; on the other hand, 57.1% had five or fewer groups. Despite the anthropic pressure on these environments, several culicid species make use of these habitats as refuges. It is recommended that these environments be kept under constant epidemiological surveillance as some of the species collected constitute public health threats as pathogen vectors to the human population.

Este estudo contribui para o conhecimento de espécies de Anopheles, incluindo vetores de Plasmodium do oeste da Amazônia brasileira, em Porto Velho, no estado de Rondônia. Esta região vem passando por mudanças ambientais, como consequência de agricultura extensiva e projetos hidroelétricos que causam desmatamento, favorecendo o desenvolvimento de algumas espécies de mosquitos. Assim, a proposta deste estudo é registrar a presença de espécies de anofelinos na área, sendo conduzidas coletas de mosquitos em três locais, ao longo de uma linha de transmissão de energia elétrica. Cada uma das localidades foi amostrada três vezes, no período de 2010 a 2011. Os principais mosquitos adultos capturados em armadilhas de Shannon foram Anopheles darlingi, An. triannulatus, An. nuneztovari l.s., An.gilesi e An. costai. Assim como as formas larvárias Anopheles braziliensis, An. triannulatus, An. darlingi, An. deaneorum, An. marajoara, An. peryassui, An. nuneztovari l.s. e An. oswaldoi-konderi, coletadas em criadouros. Anopheles darlingi foi a espécie mais coletada na região. Em adição, discutiu-se sistemática de Culicidae, distribuição de fauna e aspectos da malária em ambientes modificados do oeste da Amazônia brasileira.

This study contributes to knowledge of Anopheles species, including vectors of Plasmodium from the western Brazilian Amazon in Porto Velho, Rondônia State. The sampling area has undergone substantial environmental changes as a consequence of agricultural and hydroelectric projects, which have caused intensive deforestation and favored habitats for some mosquito species. The purpose of this study was to diagnose the occurrence of anopheline species from collections in three locations along an electric-power transmission line. Each locality was sampled three times from 2010 to 2011. The principal adult mosquitoes captured in Shannon trap were Anopheles darlingi, An. triannulatus, An. nuneztovari l.s., An.gilesi and An. costai. In addition, larvae were collected in ground breeding sites for Anopheles braziliensis, An. triannulatus, An. darlingi, An. deaneorum, An. marajoara, An. peryassui, An. nuneztovari l.s. and An. oswaldoi-konderi. Anopheles darlingi was the most common mosquito in the region. We discuss Culicidae systematics, fauna distribution, and aspects of malaria in altered habitats of the western Amazon.

OBJECTIVE: This study evaluated the performance of lungs that were preserved with different solutions (Celsior, Perfadex or saline) in an ex vivo rat lung perfusion system. METHODS: Sixty Wistar rats were anesthetized, anticoagulated and randomized into three groups (n = 20). The rats were subjected to antegrade perfusion via the pulmonary artery with Perfadex, Celsior, or saline, followed by 6 or 12 hours of ischemia (4ºC, n = 10 in each group). Respiratory mechanics, gas exchange and hemodynamics were measured at 10-minute intervals during the reperfusion of heart-lung blocks in an ex vivo system (IL2-Isolated Perfused Rat or Guinea Pig Lung System, Harvard Apparatus, Holliston, Massachusetts, USA; Hugo Sachs Elektronik, Germany) for 60 minutes. The lungs were prepared for histopathology and evaluated for edema following reperfusion. Group comparisons were performed using ANOVA and the Kruskal-Wallis test with a 5% level of significance. RESULTS: Gas exchange was not significantly different between lungs perfused with either Perfadex or Celsior at the same ischemic times, but it was very low in lungs that were preserved with saline. Airway resistance was greater in the lungs that were preserved for 12 hours. Celsior lungs that were preserved for 6 and 12 hours exhibited lower airway resistance (p = 0.01) compared to Perfadex lungs. Pulmonary artery pressure was not different between the groups, and no significant differences in histopathology and apoptosis were observed between the groups. CONCLUSIONS: Lungs that were preserved with Celsior or Perfadex exhibited similar gas exchange and histopathological findings. Airway resistance was slightly lower in the Celsior-preserved lungs compared with the Perfadex-preserved lungs.

OBJECTIVE: Infections have been and remain the major cause of morbidity and mortality after lung transplantation. Because mucociliary clearance plays an important role in human defense mechanisms, the influence of drugs on the mucociliary epithelium of patients undergoing lung transplantation must be examined. Prednisone is the most important corticosteroid used after lung transplantation. The aim of this study was to evaluate the effects of bronchial transection and prednisone therapy on mucociliary clearance. METHODS: A total of 120 rats were assigned to 4 groups according to surgical procedure or drug therapy: prednisone therapy (1.25 mg/kg/day); bronchial section and anastomosis + prednisone therapy (1.25 mg/kg/day); bronchial section + saline solution (2 ml/day); and saline solution (2 ml/day). After 7, 15, or 30 days, the animals were sacrificed, and the lungs were removed from the thoracic cavity. The in situ mucociliary transport velocity, ciliary beat frequency and in vitro mucus transportability were evaluated. RESULTS: Animals undergoing bronchial section surgery and anastomosis had a significant decrease in the ciliary beat frequency and mucociliary transport velocity 7 and 15 days after surgery (p<0.001). These parameters were normalized 30 days after the surgical procedure. Prednisone improved mucous transportability in the animals undergoing bronchial section and anastomosis at 15 and 30 days (p<0.05). CONCLUSION: Bronchial section and anastomosis decrease mucociliary clearance in the early postoperative period. Prednisone therapy improves mucus transportability in animals undergoing bronchial section and anastomosis.

OBJETIVO: Apresentar um modelo experimental de administração de prostaglandina I2 (PGI2) por via inalatória vs. parenteral e avaliar o desempenho funcional dos pulmões em um sistema de perfusão pulmonar ex vivo. MÉTODOS: Quarenta ratos Wistar foram anestesiados, ventilados, submetidos a laparotomia com ressecção do esterno e anticoagulados. O tronco da artéria pulmonar foi canulado. Todos os animais foram submetidos a ventilação mecânica. Os animais foram randomizados em quatro grupos (10 ratos/grupo): salina nebulizada (SN); salina parenteral (SP); PGI2 nebulizada (PGI2N); e PGI2 parenteral (PGI2P). A dose de PGI2 nos grupos PGI2N e PGI2P foi de 20 e 10 µg/kg, respectivamente. Os blocos cardiopulmonares foram submetidos in situ a perfusão anterógrada com solução de baixo potássio e dextrana a 4ºC via artéria pulmonar, extraídos em bloco e armazenados a 4ºC por 6 h. Os blocos foram ventilados e perfundidos em um sistema ex vivo por 50 min, sendo obtidas medidas de mecânica ventilatória, hemodinâmica e trocas gasosas. RESULTADOS: Houve redução da pressão arterial pulmonar média após a nebulização em todos os grupos (p < 0,001), sem diferença entre os grupos. Na perfusão ex vivo, a mecânica ventilatória não diferiu entre os grupos. Houve redução da capacidade relativa de oxigenação ao longo da perfusão nos grupos SN e SP (p = 0,04), e houve aumento significativo da pressão arterial pulmonar no grupo SN. CONCLUSÕES: O modelo experimental de administração de PGI2 na extração pulmonar é exequível e confiável. Na reperfusão, os resultados de hemodinâmica e de trocas gasosas demonstraram tendência a um melhor desempenho com o uso de PGI2 do que com solução salina.

OBJECTIVE:To present a model of prostaglandin I2 (PGI2) administration (inhaled vs. parenteral) and to assess the functional performance of the lungs in an ex vivo lung perfusion system. METHODS: Forty Wistar rats were anesthetized and placed on mechanical ventilation followed by median sterno-laparotomy and anticoagulation. The main pulmonary artery was cannulated. All animals were maintained on mechanical ventilation and were randomized into four groups (10 rats/group): inhaled saline (IS); parenteral saline (PS); inhaled PGI2 (IPGI2); and parenteral PGI2 (PPGI2). The dose of PGI2 used in the IPGI2 and PPGI2 groups was 20 and 10 µg/kg, respectively. The heart-lung blocks were submitted to antegrade perfusion with a low potassium and dextran solution via the pulmonary artery, followed by en bloc extraction and storage at 4ºC for 6 h. The heart-lung blocks were then ventilated and perfused in an ex vivo lung perfusion system for 50 min. Respiratory mechanics, hemodynamics, and gas exchange were assessed. RESULTS: Mean pulmonary artery pressure following nebulization decreased in all groups (p < 0.001), with no significant differences among the groups. During the ex vivo perfusion, respiratory mechanics did not differ among the groups, although relative oxygenation capacity decreased significantly in the IS and PS groups (p = 0.04), whereas mean pulmonary artery pressure increased significantly in the IS group. CONCLUSIONS: The experimental model of inhaled PGI2 administration during lung extraction is feasible and reliable. During reperfusion, hemodynamics and gas exchange trended toward better performance with the use of PGI2 than that with the use of saline.

OBJECTIVE: To evaluate clinical, epidemiological and laboratorial aspects for the understanding of the disease characteristics and its relationship with diagnostic tests. METHODS: A retrospective, descriptive and analytical study involving 2,660 American cutaneous leishmaniasis (ACL) suspected patients from southern Brazil was undertaken between April 1986 and December 2005. Data on population characteristics and laboratory tests were obtained. Diagnostic laboratory tests used were direct search for Leishmania spp. (DS), Montenegro skin test (MST) and indirect immunofluorescent assay (IFA). RESULTS: 62.3% of patients were positive for at least one laboratory test. DS test was positive in 65.1%; MST in 92.3% and IFA in 70.0%. Although Cohen's Kappa test did not reveal any agreement with laboratory diagnosis for ACL, the association between MST and IFA tests increased positiveness to 98.9%; MST and DS to 97.2%; and IFA and DS to 85%. IFA and MST positiveness were higher among patients with < 2-month lesion-evolution time. Most ACL patients were male (72.6%) in the age range of 15-49 years, featuring lesions during two months or less (53.9%) and a cutaneous form of the disease (88.0%). CONCLUSION: Findings suggest that for the adequate identification of ACL cases a combination of laboratory tests that involves the association of MST with at least another test should be used.