The World Health Organization (WHO) roadmap and recommendations for elimination of schistosomiasis were recently updated. With significant reductions in the prevalence and intensity of schistosomiasis infections worldwide, there is a need for more sensitive diagnostic methods. There are a few remaining transmission hotspots in Brazil, although low endemicity settings comprise most of the endemic localities. For the latter, serology may represent a tool for population screening which could help eliminate transmission of schistosomiasis. Here, we review serology tests currently available in Brazil from both public health and private laboratories: immunofluorescent antibody tests (IFATs) on adult worm sections and enzyme-linked immunosorbent assays (ELISAs) with soluble egg and adult worm antigens. Both in-house and commercially available tests have received less than adequate performance evaluations. Our review of immediate basic and operational research goals may help identify local adjustments that can be made to improve control interventions aimed at elimination of schistosomiasis as a public health problem. WHO (WHO updated worldwide methods localities latter Here laboratories IFATs (IFATs enzymelinked enzyme linked ELISAs (ELISAs antigens inhouse house evaluations problem

Introdução: A glicogenose hepática (GH) é uma complicação da diabetes mellitus tipo 1 (DM1) mal controlada, caracterizada pela acumulação de glicogénio nos hepatócitos. A síndrome de Mauriac (SM) é uma hepatopatia glicogénica, descrita inicialmente em 1930, caracterizada por atraso de crescimento, puberdade tardia, fácies cushingoide, hepatomegalia, elevação das enzimas hepáticas e hipercolesterolemia. A GH é uma condição com bom prognóstico e com rápida resolução após controlo adequado da glicémia (apesar de ter potencial para recidiva), não havendo descrito nenhum caso de evolução para end-stage liver disease. Caso: Descrevemos o caso de uma mulher de 26 anos, com DM1 complicada por retinopatia grave. A doente manteve inadequado controlo glicémico desde a infância, apresentando hemoglobina glicada persistentemente superior a 10% e episódios recorrentes de cetoacidose. Na adolescência, desenvolveu hepatomegalia, elevação flutuante das aminotransferases e triglicéridos. A biópsia hepática sugeriu esteatose macrovacuolar e fibrose ligeira. Após 15 anos de evolução da diabetes, a doente foi encaminhada para consulta de gastrenterologia por diarreia crónica e hepatomegalia exuberante. Laboratorialmente verificou-se elevação persistente das aminotransferases e dos triglicéridos. A bilirrubina, o metabolismo do ferro e a coagulação eram normais; as serologias virais e o estudo auto-imune foram negativos. A endoscopia digestiva alta, ileocolonoscopia e enteroscopia não apresentavam alterações. A ressonância magnética abdominal mostrou hepatomegalia maciça. A biópsia hepática foi repetida, mostrando glicogenização nuclear acentuada, esteatose leve e ausência de fibrose; a microscopia eletrônica revelou depósitos volumosos de glicogênio e mitocôndrias pleomórficas com uma matriz extraordinariamente densa, descrita pela primeira vez nesta entidade. Foi assumido o diagnóstico de glicogenose hepática no contexto de SM e diarreia devido a neuropatia autonómica. Conclusão: Atualmente, a GH é uma entidade bem reconhecida que pode ocorrer em qualquer idade e pode estar presente sem o espectro completo das características descritas inicialmente para a SM. Na era da insulinoterapia, esta patologia representa uma complicação rara, causada pela baixa adesão à terapêutica.

Background: Hepatic glycogenosis (HG) is a complication of poorly controlled type 1 diabetes mellitus (T1DM), characterized by glycogen accumulation in hepatocytes. Mauriac syndrome (MS) is a glycogenic hepatopathy, initially described in 1930, characterized by growth failure, delayed puberty, cushingoid appearance, hepatomegaly with abnormal liver enzymes, and hypercholesterolemia. HG is a condition with good prognosis and fast resolution after adequate glycemic control (although it has potential for relapse), with no case of evolution to end-stage liver disease described. Case: We describe a 26-year-old female, with T1DM complicated by severe retinopathy. The patient maintained poor glycemic control since childhood, presenting glycated hemoglobin persistently higher than 10% and recurrent episodes of ketoacidosis. In adolescence, she developed hepatomegaly and fluctuating elevation of aminotransferases and triglycerides. A small, nonrepresentative hepatic biopsy suggested macrovacuolar steatosis and mild fibrosis. After 15 years of diabetes, the patient was referred for gastroenterology clinic due to chronic diarrhea and exuberant hepatomegaly. Laboratory showed persistent elevation of aminotransferases and triglycerides. Bilirubin, iron metabolism, and coagulation were normal; viral serologies and autoimmune study were negative. Upper endoscopy, ileocolonoscopy, and enteroscopy presented no lesions. Abdominal magnetic resonance imaging displayed massive hepatomegaly. Liver biopsy was repeated showing marked nuclear glycogenization, mild steatosis, and no fibrosis; electron microscopy revealed very large deposits of glycogen and pleomorphic mitochondria with an unusually dense matrix, described for the first time in this entity. The diagnosis of MS variant and diarrhea due to autonomic neuropathy were assumed. Conclusion: Currently, HG is a well-recognized disease that occurs at any age and can be present without the full spectrum of features initially described for MS. In the era of insulin therapy, this entity represents a rare complication, caused by low therapeutic compliance.

ABSTRACT The application of an adequate rate and splitting of nitrogen is essential for wheat grain yield and protein content. The aim of this work was to adjust nitrogen management approaches regarding agronomic performance and protein content of wheat cultivars in various environments. Field experiments were conducted under no-tillage system on soybean mulch during the 2011 and 2012 growing seasons in Londrina and Pato Branco regions. The experimental design was a randomized block in split plot with four replicates. Four wheat cultivars (IPR Catuara TM, BRS Gaivota, Quartzo, CD 120) were tested with six nitrogen (N) management forms. Were evaluated: number of ears per unit area (NEA); plant height (PH); thousand-kernel weight (TKW); test weight (TW); grain yield (GY); and protein content (PC). The combined ANOVA (p ? 0.01) and Tukey’s test (p ? 0.01) were used. The interaction between cultivars and environments influence all yield components, GY and PC. The interaction management forms of N and environments affected the TKW, NEA, GY and PC. The results showed that in low-rainfall environments, nitrogen topdressing could be suppressed with no negative effects on GY or PC. Under ideal weather conditions, the GY of wheat cultivars was enhanced on application of 60 kg.ha–1 N of urea at the beginning of tillering as well 20 kg.ha–1 of N at booting. Matching the appropriate cultivars to the ideal growth environment is essential for achieving high GY values. The nitrogen forms on the topdressing do not influence the PC of cultivars in Pato Branco.

RESUMO: A distribuição espacial e a abundância de carrapatos em estágio de vida livre foram examinadas em fragmentos de Mata Atlântica no Nordeste do Brasil. O estudo foi realizado em Unidades de Conservação de Proteção Integral Mata do Tapacurá e Mata do Camucim, localizadas no município de São Lourenço da Mata, Pernambuco. Os carrapatos foram capturados pelo método da bandeira de flanela em seis parcelas de 200m2, sendo três parcelas estabelecidas em uma borda de mata adjacente a uma matriz agropastoril e outras três parcelas estabelecidas na borda de mata adjacente ao lago de barragem. Foram capturados 2652 carrapatos do gênero Amblyomma, sendo duas ninfas identificadas como Amblyomma dissimile com distribuição espacialmente agregada, demonstrados pela relação variância/média e o índice de agregação de Lloyd. Houve variação significativa na abundância de carrapatos entre as parcelas (H=26,79, p<0,005) sendo encontrados mais carrapatos na borda da mata adjacente à matriz agropastoril. Quanto as variáveis ambientais, houve correlação positiva entre a cobertura de dossel e a densidade de carrapatos (rs=0,31, p<0,05). No presente estudo observou-se que em estágios de vida livre, notadamente larvas e ninfas, a distribuição espacial e a abundância de carrapatos são fortemente influenciadas por áreas mais fechadas das matas. A maior presença de carrapatos próximos à matriz agropastoril poderia facilitar a migração de carrapatos entre ambientes silvestres e ambientes antrópicos.

ABSTRACT: The spatial distribution and abundance of free-living ticks were examined in Atlantic Forest fragments in northeastern Brazil. The study was conducted on Integral Protection Conservation Units of Mata do Tapacurá and Mata do Camucim, located in the municipality of São Lourenço da Mata, Pernambuco. Ticks were captured by flagging method in six plots of 200m2, three plots set in a forest edge adjacent to an agropastoral matrix and three plots set in the forest edge adjacent to a dam lake. Were captured 2652 ticks of the genus Amblyomma, two nymphs identified as Amblyomma dissimile with spatially aggregated distribution, shown by the variance/mean ratio and Lloyd aggregate index. There was significant variation in the abundance of ticks between plots (H=26.79, p<0.005) and more ticks was found in the woods adjacent to the edge agropastoral matrix. There was a positive correlation between canopy cover and tick density (rs=0.31, p<0.05). In the present study, it was observed that in free-living stages, especially larvae and nymphs, the spatial distribution and abundance of ticks are strongly influenced by more enclosed areas of forests. Most ticks near agropastoral matrix could facilitate the migration of ticks between wild environments and man-made or modified environments.

RESUMO CONTEXTO: A desnutrição calórico-proteica é frequente na doença hepática crônica (DHC), no entanto, ferramentas clínicas adequadas para avaliação nutricional destes doentes não estão definidas. OBJETIVO: Em doentes com DHC, pretendeu-se: 1. Caracterizar a desnutrição calórico-proteica; 2. Comparar diferentes ferramentas clínicas, antropométricas e funcionais de avaliação nutricional; 3. Estudar a associação desnutrição/gravidade da DHC e desnutrição/prognóstico. MÉTODOS: Estudo observacional e prospetivo. Foram recrutados doentes ambulatórios/hospitalizados de 01-03-2012 a 31-08-2012 e estudados tendo em conta a idade, gênero, etiologia, consumo alcoólico e gravidade da DHC definida pelo score Child-Turcotte-Pugh. A avaliação nutricional incluiu a utilização da avaliação global subjetiva, antropometria nomeadamente índice de massa corporal (IMC), perímetro braquial, circunferência muscular do braço, prega cutânea tricipital e dinamometria. Os doentes foram seguidos durante 2 anos e foi registada a respectiva sobrevida. RESULTADOS: Foram incluídos 130 doentes com DHC (80 homens) com idade 22-89 anos (média 60 anos). A maioria apresentava cirrose alcoólica (45%). Os doentes hospitalizados apresentaram doença hepática mais severa ( P <0,001) e pior estado nutricional, definido pelo IMC ( P =0,002), perímetro braquial ( P <0,001), circunferência muscular do braço ( P <0,001), prega cutânea tricipital ( P =0,07) e avaliação global subjetiva ( P <0,001). Um terço apresentava força de preensão manual deficiente/baixa. O consumo alcoólico ( P =0,03) e a desnutrição detetada pelo IMC ( P =0,03), perímetro braquial ( P =0,001), prega cutânea tricipital ( P =0,06), circunferência muscular do braço ( P =0,02) e avaliação global subjetiva ( P <0,001) encontraram-se associados à gravidade da DHC. Dos 25 doentes que faleceram durante o seguimento, 17 apresentavam desnutrição severa definida pela prega cutânea tricipital. A desnutrição definida pela prega cutânea tricipital revelou ser um fator preditivo de mortalidade ( P <0,001). CONCLUSÃO: A desnutrição calórico-proteica é comum na DHC para a qual o álcool desempenha um papel importante. A prega cutânea tricipital é o parâmetro antropométrico mais eficiente e encontra-se associado à mortalidade. A avaliação nutricional deve ser considerada mandatória na abordagem rotineira de doentes com DHC.

ABSTRACT BACKGROUND: Protein-calorie malnutrition is common in chronic liver disease (CLD) but adequate clinical tools for nutritional assessment are not defined. OBJECTIVE: In CLD patients, it was aimed: 1. Characterize protein-calorie malnutrition; 2. Compare several clinical, anthropometric and functional tools; 3. Study the association malnutrition/CLD severity and malnutrition/outcome. METHODS: Observational, prospective study. Consecutive CLD ambulatory/hospitalised patients were recruited from 01-03-2012 to 31-08-2012, studied according with age, gender, etiology, alcohol consumption and CLD severity defined by Child-Turcotte-Pugh. Nutritional assessment used subjective global assessment, anthropometry, namely body-mass index (BMI), triceps skinfold, mid upper arm circumference, mid arm muscular circumference and handgrip strength. Patients were followed during two years and survival data was recorded. RESULTS: A total of 130 CLD patients (80 men), aged 22-89 years (mean 60 years) were included. Most suffered from alcoholic cirrhosis (45%). Hospitalised patients presented more severe disease ( P <0.001) and worst nutritional status defined by BMI ( P =0.002), mid upper arm circumference ( P <0.001), mid arm muscular circumference ( P <0.001), triceps skinfold ( P =0.07) and subjective global assessment ( P <0.001). A third presented deficient/low handgrip strength. Alcohol consumption ( P =0.03) and malnutrition detected by BMI ( P =0.03), mid upper arm circumference ( P =0.001), triceps skinfold ( P =0.06), mid arm muscular circumference ( P =0.02) and subjective global assessment ( P <0.001) were associated with CLD severity. From 25 patients deceased during follow-up, 17 patients were severely malnourished according with triceps skinfold. Malnutrition defined by triceps skinfold predicted mortality ( P <0.001). CONCLUSION: Protein-calorie malnutrition is common in CLD patients and alcohol plays an important role. Triceps skinfold is the most efficient anthropometric parameter and is associated with mortality. Nutritional assessment should be considered mandatory in the routine care of CLD patients.

Resumo: Os animais silvestres são hospedeiros de uma grande variedade de parasitos que podem interferir em sua conservação ex situ. O objetivo deste estudo foi identificar os parasitos gastrointestinais (PGI) e ectoparasitos dos animais do Centro de Triagem de Animais Silvestres (CETAS) do Instituto Brasileiro de Meio Ambiente e Recursos Naturais Renováveis (IBAMA) de Recife, Pernambuco, além de determinar os aspectos do manejo em cativeiro que possam estar relacionados com os parasitos identificados. Foram coletados ectoparasitos e amostras fecais de 223 aves e mamíferos, as quais foram processadas pelos métodos: microscopia direta, flutuação e sedimentação. Helmintos e/ou protozoários foram detectados em 91 (40,8%) amostras fecais, sendo 64 (70,3%) de aves e 27 (29,7%) de mamíferos. Ovos de Capillaria sp., Ascaridida, Spirurida e oocistos de Eimeria sp. foram detectados nas amostras fecais das aves, enquanto ovos de Trichuris trichiura, Strongyloides sp., Toxocara canis, Ancylostoma sp., Strongylida e oocistos de Coccídios foram encontrados nas amostras fecais de mamíferos. Os ectoparasitos identificados em aves foram Colpocephalum turbinatum, Kurodaia (Kurodaia) fulvofasciata, Halipeurus sp., Naubates sp., Saemundssonia sp., Austromenopon sp., Paragoniocotes sp., Brueelia sp., Myrsidea sp. and Pseudolynchia sp., enquanto em mamíferos os ectoparasitos identificados foram Rhipicephalus sanguineus, Amblyomma varium, A. calcaratum, A. nodosum, Ornithodoros talaje e Ctenocephalides felis felis. A. calcaratum e O. talaje são registrados pela primeira vez em Pernambuco e T. tetradactyla é apresentado como novo hospedeiro de O. talaje. Nenhum dos animais estudados apresentou sinais clínicos em decorrência da infecção/infestação parasitária. Parasitos com potencial zoonótico como T. trichiura, Strongyloides sp., T. canis e Ancylostoma sp. foram identificados em primatas não humanos e carnívoros. Precárias condições estruturais e sanitárias do CETAS-PE estão relacionadas com os parasitos identificados neste estudo e devem ser levadas em consideração para a adoção de medidas adequadas de controle. Os resultados deste estudo contribuirão de maneira significativa para a conservação de animais selvagens no CETAS-PE e para a saúde dos profissionais responsáveis pela manutenção destes animais.

Abstract: Wild animals are host to a variety of parasites that may interfere in their ex situ conservation. The objective of this study was to identify gastrointestinal parasites (GP) and ectoparasites of animals of Centro de Triagem de Animais Silvestres (CETAS) of Instituto Brasileiro de Meio Ambiente e Recursos Renováveis (IBAMA) in Recife/Pernambuco, Brazil, and to determine the aspects of captivity management that may be related to the parasites identified. We collected ectoparasites and fecal samples from 223 birds and mammals, which were processed by direct smear, flotation and sedimentation methods. Overall, helminthes and/or protozoa were detected in 91 (40.8%) fecal samples of 64 (70.3%) birds and 27 (29.7%) mammals. Capillaria sp., Ascaridida and Spirurida eggs and Eimeria sp. oocysts were found in fecal samples of birds, while eggs of Trichuris trichiura, Strongyloides sp., Toxocara canis, Ancylostoma sp., Strongylida and Coccidia oocysts were detected in fecal samples of mammals. Ectoparasites identified in birds were Colpocephalum turbinatum, Kurodaia (Kurodaia) fulvofasciata, Halipeurus sp., Naubates sp., Saemundssonia sp., Austromenopon sp., Paragoniocotes sp., Brueelia sp., Myrsidea sp. and Pseudolynchia sp. In mammals, the ectoparasites identified were Rhipicephalus sanguineus, Amblyomma varium, A. calcaratum, A. nodosum, Ornithodoros talaje and Ctenocephalides felis felis. A. calcaratum e O. talaje are presented for the first time in Pernambuco state and T. tetradactyla is reported as a new host of O. talaje. No animal presented clinical signs due to parasitic infection/infestation. Zoonotic parasites like T. trichiura, Strongyloides sp., T. canis and Ancylostoma sp. were identified in non-human primates and carnivores. Poor structural and sanitary conditions of CETAS-PE are related to the parasites identified in this study and should be taken into account for the adoption of appropriate control measures. The results of this study will contribute significantly to the conservation of wildlife in CETAS-PE and health of the professionals responsible for maintaining these animals.

Objetivo O objetivo deste trabalho foi avaliar objetivamente, com registro em vídeo, as dificuldades dos pacientes com glaucoma avançado na colocação de colírios hipotensores e na realização de tarefas do cotidiano. Métodos Realizou-se um estudo prospectivo observacional em pacientes com glaucoma avançado e perda visual. Os dados foram coletados durante 5 meses e posteriormente aplicados questionários (questões demográficas, qualidade de vida, autoadministração de colírios e aderência ao tratamento) e realizadas entrevistas e gravações das tarefas em vídeo (autoadministração dos colírios, leitura, subir e descer escadas, deambular em espaços apertados e pavimentos irregulares). Realizou-se avaliação oftalmológica com registro em formulário pré-definido e pesquisou-se a correlação entre os defeitos de campos visuais e as limitações dos pacientes. Resultados Com 25 participantes foram abtidos um total 12 horas de vídeo.Todos os doentes afirmaram ser capaz de colocar os colírios hipotensores e 68%afirmaram nunca ter falhado na instilação do colírio. No entanto, 20% não conseguiram instilar uma única gota no olho. Setenta e dois por cento (72%) dos pacientes afirmaram nunca tocar o frasco no olho, porém 40% afirmaram tocar. Houve dificuldade moderada nas atividades, especialmente ao deambular em espaços com obstáculos e em pavimentos irregulares. Alguns pacientes apresentaram mecanismos proprioceptivos de adaptação à baixa visão (como tatear o degrau com o pé). Houve uma correlação entre a severidade dos defeitos de campo visual e maior limitação nas atividades. Conclusão Os portadores de glaucoma avançado têm considerável dificuldade nas atividades da vida diária e na instilação de colírios, frequentemente com percepção deficiente. Alguns pacientes apresentam adaptações proprioceptivas para superar parte da limitação visual.

Objective The purpose of this study was to perform an objective videotaped evaluation of the difficulties of eyedrop instillation and daily tasks in patients with advanced glaucoma with visual impairment Methods A prospective observational study was performed in advanced glaucoma patients with visual impairment, during 5 months. Patients completed a survey (with demographic questions, quality of life, compliance and eyedrop instillation) with interview and video recording in specific daily tasks (eyedrop instillation, climbing stairs, walking in a crowded room and in an irregular floor). Ophthalmologic evaluation was performed and its results registered in a form. Correlation was searched between limitation in quality of life, tasks’ performance and visual fields. Results 25 patients were included, corresponding to 12h of videotaping. All patients reported being capable of self-instilling eyedrops. 68% of them reported no difficulty instilling the eye drops at home, however 20% of the patients were unable to instill a drop in the eye in the objective evaluation. 72% of the patients stated never touching the eye with the bottle but 40% touched the ocular surface with the bottle. There was a moderate difficulty in the other tasks, with some patients exhibiting proprioceptive mechanisms of adaptation to impaired vision. There was a tendency of correlation between limitation in tasks and visual field defects, but no statistically significant. Conclusion Patients with advanced glaucoma and visual impairment have marked difficulty in eye drop instillation and daily tasks, with a poor awareness of their inabilities. Some patients have proprioceptive adaptations that allow them to perform better than expected in tasks.

IntroductionThe diagnosis of schistosomiasis mansoni on early stages of infection is important to prevent late morbidity. A simple, cheap, sensitive and specific assay for routine diagnosis of schistosome infection based on the detection of specific IgG for schistosomula tegument antigens (ELISA-SmTeg) was developed by our group.MethodsWe describe here an acute outbreak involving a travel group of 80 individuals from a non-endemic area of the State of Minas Gerais, Brazil. These individuals were in contact with a freshwater pool where Biomphalaria glabrata was found. Results obtained from our new methodology were compared to IgG antibody titers against soluble worm antigenic preparation (SWAP) by ELISA and, also to parasitological examination, nuclear magnetic resonance and clinical findings.ResultsELISA-SmTeg was capable of detecting 64 positive cases among the 80 individuals participating at the survey with a positivity ratio of 80% and a higher sensitivity than ELISA-SWAP that was only sensitive for 56% of positive cases. Besides, a significant correlation was found for the severity of the infection and the specific IgG titers against SmTeg.ConclusionsOur data showed that ELISA-SmTeg might serve as the initial diagnostic tool for acute stages of the infection in community-based helminth control programs or for the surveillance of individuals from non-endemic areas.

A detecção da infecção pelo helminto Schistosoma mansoni quando realizada nas fases iniciais, especialmente antes da oviposição nos tecidos do hospedeiro, pode impedir de forma eficiente o desenvolvimento de graves lesões patológicas. Baseado nisto, foi desenvolvido um ensaio imunoenzimático indireto para detecção de anticorpos IgG específicos contra antígenos de esquistossômulos (ELISA-SmTeg). Este ensaio foi aplicado em amostras sorológicas de camundongos não infectados, da mesma forma que de camundongos recentemente infectados, após sete e 15 dias de infecção. Os resultados foram comparados com o número de vermes adultos obtidos por perfusão do sistema hepático murino 50 dias pós-infecção. A sensibilidade e a especificidade do novo método, denominado ELISA-SmTeg, foram de 100% (p = 0,0032, 0,0048, respectivamente, durante sete e 15 dias de infecção) com um valor de corte de 0,15 (p = 0,0002). Nossos resultados mostraram que um ensaio de baixo custo, que utiliza antígenos de fácil obtenção, é capaz de discriminar a esquistossomose mansoni em modelo experimental de forma precoce, incluindo sete dias pós-infecção.

If Schistosoma mansoni infection could be detected in its early stages, especially before the egg deposition in the host tissues, the development of severe pathologic lesions could be efficiently prevented. We therefore developed an indirect enzyme-linked immunosorbent assay based on the detection of specific IgG against schistosomula antigens (ELISA-SmTeg). The assay was applied in sera samples from non-infected and infected mice collected seven and 15 days post-infection. The results were compared to the number of adult worms obtained by perfusion of the murine hepatic system 50 days post-infection. The sensitivity and specificity of the ELISA-SmTeg were 100% (p = 0.0032 and 0.0048 respectively for seven and 15 days of infection) with a cutoff value of 0.15 (p = 0.0002). Our findings show a novel low-cost serological assay using antigens which are easy to obtain, which was able to detect all the infected mice as early as seven days post-infection.

Objetivou-se com este estudo verificar as condições higiênico-sanitárias e criar um plano de Análise de Perigos e Pontos Críticos de Controle (APPCC) para implantação em duas indústrias de processamento de lagosta no Estado de Pernambuco, Brasil. As indústrias estudadas processam lagosta inteira congelada, lagostas inteiras cozidas congeladas e caudas de lagosta congelada para exportação. A aplicação de um checklist de controle higiênico-sanitário nas indústrias visitadas resultou em uma classificação global de conformidades maior que 96% dos aspectos analisados. O desenvolvimento do plano APPCC resultou na detecção de dois pontos críticos de controle (PCC), incluindo o recebimento e etapas de classificação, no processamento de lagosta congelada e caudas de lagosta congelada, e um PCC adicional foi detectado no processamento de lagosta inteira cozida congelada na etapa de cozimento. A correta implantação do plano APPCC nas indústrias de processamento de lagosta estudadas demonstrou ser o método mais seguro e efetivo economicamente para o controle dos perigos em cada PCC.

This study aimed to verify the hygienic-sanitary working practices and to create and implement a Hazard Analysis Critical Control Point (HACCP) in two lobster processing industries in Pernambuco State, Brazil. The industries studied process frozen whole lobsters, frozen whole cooked lobsters, and frozen lobster tails for exportation. The application of the hygienic-sanitary checklist in the industries analyzed achieved conformity rates over 96% to the aspects evaluated. The use of the Hazard Analysis Critical Control Point (HACCP) plan resulted in the detection of two critical control points (CCPs) including the receiving and classification steps in the processing of frozen lobster and frozen lobster tails, and an additional critical control point (CCP) was detected during the cooking step of processing of the whole frozen cooked lobster. The proper implementation of the Hazard Analysis Critical Control Point (HACCP) plan in the lobster processing industries studied proved to be the safest and most cost-effective method to monitor each critical control point (CCP) hazards.

The development of a more sensitive diagnostic test for schistosomiasis is needed to overcome the limitations of the use of stool examination in low endemic areas. Using parasite antigens in enzyme linked immunosorbent assay is a promising strategy, however a more rational selection of parasite antigens is necessary. In this study we performed in silico analysis of the Schistosoma mansoni genome, using SchistoDB database and bioinformatic tools for screening immunogenic antigens. Based on evidence of expression in all parasite life stage within the definitive host, extracellular or plasmatic membrane localization, low similarity to human and other helminthic proteins and presence of predicted B cell epitopes, six candidates were selected: a glycosylphosphatidylinositol-anchored 200 kDa protein, two putative cytochrome oxidase subunits, two expressed proteins and one hypothetical protein. The recognition in unidimensional and bidimensional Western blot of protein with similar molecular weight and isoelectric point to the selected antigens by sera from S. mansoni infected mice indicate a good correlation between these two approaches in selecting immunogenic proteins.

Objectivos: Caracterizar o consumo de álcool nos adolescentes, verificar a sua relação com sexo e idade e determinar os motivos de consumo. Tipo de estudo: Observacional, transversal e analítico. Local: Escolas do 3.º ciclo/secundárias do distrito de Bragança. População em estudo: Jovens dos 13 aos 19 anos a frequentar as referidas escolas. Métodos: Adolescentes seleccionados por amostragem aleatória (etapas múltiplas). Dimensão calculada da amostra: 955 indivíduos (para prevalência esperada: 45%; nível de precisão: 3,0%; IC: 95%). Variáveis: sexo; idade; consumo de álcool e motivos de consumo. Dados recolhidos por questionário validado (AAIS; Pontuação: 0-79), tratados pelo teste do qui-quadrado (α = 0,05) utilizando software Excel® e SPSS®. Resultados: Obtiveram-se 1061 inquéritos validados, 51,6% do sexo feminino; 18,5% com 13-14 anos, 59,9% com 15-17 anos e 21,7% com 18-19 anos. Quanto ao consumo, 89,8% já experimentaram álcool, dos quais 96,4% no último ano e 69,5% dos jovens apresentam pelo menos consumo mensal. Destes, 226 bebem todos os fins-de-semana e 21 diariamente; 27,7% praticam «binge drinking». Verificou-se que 68,3% dos jovens apresentam consumo de risco. Relacionando o sexo com o consumo de álcool, verificou-se que o sexo masculino apresenta maior consumo (p=0,032). Na amostra obtida, o grupo etário dos 18-19 anos é aquele que apresenta um consumo mais elevado. Relativamente aos motivos de consumo, destacam-se o acompanhar os amigos (coping) e o paladar, independentemente do sexo e grupo etário. Conclusões: O consumo de álcool encontrado nesta faixa etária é elevado e superior à literatura, existindo um predomínio do sexo masculino. O meio social assume-se como um factor determinante, nomeadamente o consumo para acompanhar os amigos e assim corresponder às expectativas do grupo. Dados os resultados obtidos, torna-se fundamental o desenvolvimento de estratégias de intervenção a este nível.

Aim: To characterize consumption of alcohol by adolescents, to study the association of alcohol consumption with gender and age and to determine the main reasons for consumption of alcohol by adolescents. Type of study: Cross-sectional. Location: High schools of the district of Bragança, Portugal. Population: Teenagers aged 13 to 19 years old. Methods: In the sample, 51.6% of the subjects were females, 18.5% were 13-14 years old, 59.9% were 15-17 years old and 21.7% were 18-19 years old. The required sample size was 955 based on expected proportion of alcohol consumption of 45% with a 3% level of precision. Variables studied included gender, age, alcohol consumption and reasons for consumption. Data were collected using a validated questionnaire (AAIS) with scores ranging from 0-79. Associations between variables were tested using the with chi-square statistic with significance set at the 0.05 level. Results: The authors obtained 1061 questionnaires.In the sample, 96.4% had consumed alcohol in the previous year; 69.5% of the subjects consumed alcohol at least monthly. 226 subjects drank every weekend and 21 drank daily; 27.7% practiced binge drinking. A risky pattern of alcohol consumption occurred in 68.3% of the adolescents. Consumption was higher among boys (p=0,032) and increased with age. “Coping with peer pressure” and “taste” were given as the main reasons for drinking, independent of gender or age. Conclusions: The proportion of adolescents consuming alcohol in this study was high compared to other published figures. This was higher among males and older studernts. The social environment is a strong determinant of drinking. In light of these results, an intervention strategy appears necessary in this population.

Mycoplasma sinoviae is a major pathogen of poultry causing synovitis and respiratory infection. M. synoviae hemagglutinin (VlhA) is a lipoprotein encoded by related multigene families that appear to have arisen by horizontal gene transfer. It is an abundant immunodominant surface protein involved in host-parasite interaction mediating binding to host erythrocytes. Herein, we have performed in silico analysis of the vlhA gene product from the Mycoplasma synoviae 53 strain and compared it to the VlhA protein of M. synoviae WUV1853 strain. The VlhA of the M. synoviae 53 strain possesses 569 amino acids and showed 85% identity with the VlhA protein of the M. synoviae WUV1853 strain. Further, a signal peptide was identified from amino acid M1 to D28 and a cleavage site between D28 and Q29, both located in the N-terminal domain of the molecule. Additionally, an insertion of PAPT amino acids was observed between T30-P35 and a deletion of the amino acids GTPGNP within the PRR region of the VlhA from the M. synoviae 53 strain, which may be related to its reduced virulence. Finally, we have identified 17 B cell epitopes and 22 T cells epitopes within the VlhA from the M. synoviae 53 strain. The B cell epitope S263-D277 and the T cell epitopes N45-N54 and G58-N67 showed 100% and 87-100% identity, respectively, with regions of VlhA protein of tested Mycoplasma synoviae and Mycoplasma galisepticum strains. Thus, these peptides represent new candidate molecules for the development of efficient diagnostic assays and new subunit vaccines.

The need to develop a vaccine against schistosomiasis led several researches and our group to investigate proteins from Schistosoma mansoni as vaccine candidates. Sm22.6 is a protein from S. mansoni that shows high identity with Sj22.6 and Sh22.6 (79 and 91%, respectively). These proteins are associated with high levels of IgE and protection to reinfection. Previously, we have shown that Sm22.6 induced a partial protection of 34.5% when used together with Freund's adjuvant and produced a Th0 type of immune response with interferon-g and interleukin-4. In this work, mice were immunized with Sm22.6 alone or with aluminum hydroxide adjuvant and high levels of IgG, IgG1, and IgG2a were measured. Unfortunately, no protection was detected. Since IL-10 is a modulating cytokine in schistosomiasis, we also observed a high level of this molecule in splenocytes of vaccinated mice. In conclusion, we did not observe the adjuvant effect of aluminum hydroxide associated with rSm22.6 in protective immunity.