The mechanisms of malarial anemia induction are poorly understood, but cytokines and autoantibodies are considered to play important roles. This work aimed at evaluating the degree of anemia and the plasmatic profile of the cytokines tumor necrosis factor alpha (TNF-␣), gamma interferon (IFN-␥), interleukin-12 (IL-12), migration inhibitory factor (MIF), and IL-10 and the monocyte chemotactic protein-1 (MCP-1) chemokine, as well as evaluating the presence of antibodies directed to components of the normal erythrocyte membrane and to cardiolipin in individuals with malaria from the Brazilian Amazon. No difference was observed in the frequency of anemia between patients infected by Plasmodium vivax and those infected by Plasmodium falciparum, and there was no relationship between the levels of parasitemia and the manifestations of anemia in P. vivax and P. falciparum patients. Significant increases in the concentrations of TNF-␣, IFN-␥, MIF, and MCP-1 were observed in patients with P. falciparum and P. vivax malaria, whereas the concentrations of IL-10 was increased only in patients with P. vivax infection. Higher concentrations of IL-12 and IL-10 were observed in the P. falciparum anemic patients, while for TNF-␣ this profile was observed in the nonanemic ones. P. vivax-infected and P. falciparum-infected patients with positive immunoglobulin M (IgM) or IgM and IgG responses, respectively, against blood-stage forms of the parasites had significantly lower hemoglobin levels than did those with negative responses. There was no correlation between the presence of anti-erythrocyte and anti-cardiolipin antibodies and the presence or intensity of the anemia. Our data suggest that in areas of low endemicity and unstable transmission of malaria, P. vivax and P. falciparum infections present similar characteristics in terms of the induction of anemia and cytokine responses.Severe malarial anemia and cerebral malaria are the main complications of Plasmodium falciparum infection. They are responsible for most of the estimated one to three million malaria-related deaths every year in the world, mainly among children below 5 years of age in sub-Saharan Africa (49). Severe malarial anemia is reported to be the earliest complication, usually affecting children below 2 years of age (57). Although severe anemia is a major concern in malaria pathology due to its high mortality rates, milder forms of anemia also are important, since this manifestation is responsible for considerable morbidity and is one of the major factors for the high disability-adjusted life years attributed to malaria (50,51,66). Iron deficiency, intestinal helminths, and human immunodeficiency virus infection make significant contributions to the pathogenesis of anemia in many African countries, but now there is substantial evidence suggesting that malaria is indeed a major underlying factor (28, 48).Although it has been estimated, the real impact of malarial anemia on the affected populations is unknown. The few available data mostly are restricted to studies ...
This is a long-term follow-up of infection by Trypanosoma cruzi (TC) and Trypanosoma evansi (TE) in the free-ranging coatis (Procyonidae: Nasua nasua) from Pantanal region (Mato Grosso do Sul, Brazil). We evaluated TC and TE infection by immunofluorescence assay, hemoculture (HC), and microhematocrit centrifuge techniques (MHCT). We also examined coatis health by quantifying hematological parameters including packed cell volume (PCV), white blood cell (WBC) count, and differential leukocyte count. TC isolates thought HC were typed by miniexon gene. Mixed infections by both parasites and the two main lineages of TC (76% TCI, 3% TCII, and 14% TCI/TCII) were observed. Trypanosoma rangeli was also isolated (7%). Overall, seroprevalence of TC and TE infection were 53.5% and 42.0%, respectively. Positive HC (indicating high TC parasitemia) occurred in 34% of seropositive coatis for TC, and positive MHCT (high TE parasitemia) were observed in 36.4% of seropositive coatis for TE. We detected higher prevalence of positive HC in females (72%) than males (43%), and also during the dry season, indicating a seasonal potential of this host species on TC transmission. These features did not occur for TE infection. However, prevalence of TE based on serology and MHCT was higher among adults than subadults. Coatis with positive HC or MHCT displayed a slight decrease in their WBC. In contrast to the animals with positive HC, coatis with positive MHCT displayed a decrease on their PCV. Moreover, concurrent high TC and TE parasitemia caused a larger decrease of PCV values. This study corroborates the importance of coatis in the maintenance of TC and TE transmission cycles in the southern Pantanal and shows a seasonal character of TC transmissibility to its vector by the coati population from the study area.
O artigo apresenta uma reflexão sobre a experiência de construção coletiva do mapa de risco em um hospital público, no município do Rio de Janeiro, fundamentada nos conceitos de biossegurança, qualidade total e vigilância em saúde do trabalhador. Partiu da etapa de sensibilização dos trabalhadores e gestores do hospital, da identificação dos riscos, da elaboração do mapa, até a discussão sobre as medidas preventivas e a apresentação dos resultados pelos trabalhadores em centro de estudos. A elaboração do mapa de risco serviu como um processo educativo, que possibilitou socializar conceitos da área de saúde do trabalhador, integrar os trabalhadores, sistematizar o processo de trabalho e refletir sobre a forma de organização do trabalho, gerando desdobramentos práticos sob o ponto de vista da intervenção no ambiente de trabalho.
Após ter-se verificado que a buclizina era capaz de acelerar o crescimento de tumor maligno até 33%, animais de laboratório foram tratados com essa substância em doses subletais agudas e muito acima das doses terapêuticas, por vias subcutâneas e intraperitoneal, ocorrendo, ocasionalmente, o aparecimento de fibrosarcomas nos ratos Wistar e sarcoma indiferenciado e adenoma papilífero em camundongos Swiss. O primeiro tumor surguiu em 1970, ao qual foi dada a sigla "BUSP" (BUclizina-SPoladore). O tumor vem sendo mantido com facilidade, apresentando como características: crescimento lento, permitindo uma sobrevida do animal em torno de três meses; peso em torno de cento e vinte e cinco gramas na fase final; intensa hiperemia peritumoral; tumor maciço, quase sem necrose na parte central; persistindo bastante livre entre a pele e os tecidos subjacentes, durante toda a evolução.
Foi estabelecido que o cio não é o fator primordial para que uma rata copule com o macho. Um "Período Adaptatório" de quase dois ciclos (dez dias) é necessário. A fim de determinar a idade da placenta, foi indispensável recorrer a colpocitologia para a determinação do período gestacional de uma arata. Com isso ficou possível o cálculo do dia da cópula com uma pequena margem de erro.
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