Características clínico - epidemiológicas de los accidentes ofídicos en un hospital de la Amazonía del Perú / Clinico-epidemiologic characteristics of ophidic accidents in a hospital of the amazonia of Peru

Introducción: En el Perú, los accidentes ofídicos son un importante problema de salud pública, debido a una amplia distribución territorial de diferentes tipos de serpientes. Objetivo: Describir las características clínico - epidemiológicas y el manejo de los accidentes ofídicos registrados en un hospital de Perú. Métodos: Estudio de serie de casos, realizado entre enero del 2011 a diciembre 2015 en el Hospital Santa Rosa de Puerto Maldonado. Se revisaron 256 historias clínicas de pacientes con diagnóstico definitivo de ofidismo. Se analizaron variables sociodemográficas, clínicas y evolución de los pacientes. Resultados: El 78,5 por ciento de pacientes fueron varones, el grupo de edad más afectado fueron los adultos. La mayoría de los accidentes ocurrieron en el mes de marzo (12,5 por ciento). Un 39 por ciento de los pacientes se dedicaba al trabajo agrícola. Entre las 16:00 y 19:59 horas se produjeron 35,2 por ciento de los accidentes, 71,1 por ciento reportó como causante del accidente a la serpiente Bothrops atrox. El 71,5 por ciento de las mordeduras se presentaron en miembros inferiores. La mayoría de pacientes recibió tratamiento específico con antibotrópico polivalente (90,6 por ciento). Conclusiones: En la población estudiada, el sexo más afectado es el masculino con una edad entre 27 a 59 años. La serpiente más frecuente causante de los accidentes fue la Bothrops atrox, más conocida entre los pobladores como "jergón". En la mayoría de los casos se administró como tratamiento específico el suero antiofídico(AU)

Introduction: In Peru, ophidian accidents are an important public health problem due to a wide territorial distribution of different types of snakes. Objective: To describe the clinical-epidemiological characteristics and the management of ophidian accidents registered in a hospital in Peru. Methods: Case series study carried out between January 2011 to December 2015 at the Santa Rosa Hospital in Puerto Maldonado, 256 medical records of patients with a definitive diagnosis of ophidism were reviewed. Sociodemographic and clinical variables and the evolution of the patients were analyzed. Results: A total of 78.5 percent of patients were men, the age group most affected were adults. Most of the accidents occurred in March (12.5 percent). 39 percent of the patients were engaged in agricultural work. Between 4:00 p.m. and 7:59 p.m., 35.2 percent of the accidents occurred. 71.1 percent reported the Bothrops atrox snake as the cause of the accident. 71.5 percent of the bites occurred on the lower limbs. Most patients received specific treatment with polyvalent anti-botropic (90.6 percent). Conclusions: In the studied population, the most affected sex is the male with an age between 27 and 59 years. The most frequent snake causing the accidents was the Bothrops atrox, better known among the inhabitants as "jergón". In most cases, antivenom was administered as a specific treatment(AU)

Cold Urticaria: Clinical Features and Natural Course in a Tropical Country

PURPOSE: To review the clinical features and natural courses of cold urticaria (ColdU) in a tropical country. METHODS: A retrospective chart review was performed of patients who visited Siriraj Urticaria Clinic, Siriraj Hospital, Bangkok, Thailand, and were diagnosed with ColdU between 2007 and 2018. Data on provocation and threshold tests, clinical courses, and laboratory work-up were analyzed and compared with data reported by studies in temperate countries. RESULTS: Of 1,063 chronic urticaria patients, 27 (2.5%) were diagnosed with ColdU, with a mean age of symptom onset of 34.8 years. Half of the patients had a history of atopy, and 1 (3.7%) had a history of anaphylaxis. All patients were positive to 1 of 3 provocation tests: an ice cube test; TempTest 4.0; or a tray filled with ice, salt and water. Thirteen patients underwent the ice cube test, and all had positive results. TempTest was performed on 15 patients, 8 of whom had positive results, with a mean critical temperature threshold (CTT) of 21.0°C. All of the 7 patients who had a negative TempTest result later produced positive results to the immersion of their hand and forearm in a tray filled with ice, salt, and water. All patients were treated with H1-antihistamines, the vast majority (96.3%) being non-sedating H1-antihistamines. Some (14.8%) needed to be administered oral corticosteroids, ciclosporin, or omalizumab. Six patients (22.2%) were in remission. A Kaplan-Meier survival curve demonstrated 5-year and 10-year remission rates of 13.8% and 42.6%, respectively. CONCLUSIONS: The rate of anaphylaxis in patients with ColdU in a tropical country was lower than those reported by other studies conducted intemperate climates. On the other hand, the number of female patients, mean age at symptom onset, atopy rate, rate of concomitant chronic spontaneous urticaria and mean CTT were higher.

Características edificas y su relación con usos del suelo en Santa Marta, Colombia / Soil characteristics and its relationship with soil uses in Santa Marta, Colombia / Características edáficas e sua relação com usos de solo em Santa Marta, Colombia

RESUMEN El análisis de cambios de uso de la tierra es esencial para comprender la condición actual y prospectar el estado del suelo toda vez que puede generar impactos en las condiciones del mismo, pero estas respuestas no han sido suficientemente caracterizadas en las condiciones de clima seco tropical. Mediante muestreo aleatorio estratificado, se recolectaron muestras de suelo (n=5) a dos profundidades y tres tipos de uso de la tierra (natural, agrícola y zonas verdes) en Santa Marta Colombia, para evaluar los efectos del uso sobre características físicas y químicas del suelo. Los resultados mostraron cambios significativos en el contenido de carbono, nitrógeno total, humedad, temperatura, densidad aparente, porosidad total y CIC. El análisis de componentes principales logró separar las características edáficas por uso donde los mayores contenidos de carbono se asociaron a las zonas verdes, los de porosidad a la zona de bosque y los mayores valores en conductividad, pH y humedad se encontraron en la zona agrícola, demostrando que el uso del suelo influye sobre las características físicas y químicas, por lo que se requiere seguimiento para un manejo sostenible del recurso.

ABSTRACT The analysis of land use change is essential to understand the current condition and prospect the soil state soil whenever it can generate impacts in soil conditions, but these responses are not well characterized under dry tropical climate conditions. Using a stratified random sampling, samples (n = 5) at two soil depths and three types of land use (natural, agricultural and green zones) were collected in Santa Marta, Colombia, to evaluate the land use effects on some physical and chemical soil properties. The results showed significant changes in carbon content, total nitrogen, humidity temperature, bulk density total porosity and CEC. The principal components analysis differed edaphic characteristics by use, where the higher contents carbon was associated to green areas, the porosity to forest area and the highest values in conductivity, pH and humidity were found in the agricultural area, thus, the soil use influences physical and chemical characteristics, so it is necessary to follow up for a sustainable soil management.

RESUMO A análise das mudanças no uso da terra é essencial para entender a condição atual e prospectar o estado do solo sempre que ele pode gerar impactos nas condições da terra, mas essas respostas são mal caracterizadas em condições climáticas tropicais secas. As amostras (n = 5) foram coletadas em duas profundidades do solo e três tipos de uso do solo (natural, agrícola e verde) em Santa Marta, Colombia, para avaliar os efeitos do uso em algumas características físicas e químicas do solo. Os resultados mostraram mudanças significativas no teor de carbono, nitrogênio total, umidade, temperatura, densidade aparente, porosidade total e CTC. A análise dos componentes principais foi capaz de separar as características edáficas pelo uso em que o maior teor de carbono estava associado às áreas verdes, a porosidade na área da floresta e os maiores valores de condutividade, pH e umidade foram encontrados na área agrícola, demonstrando que o uso do solo influencia as características físicas e químicas, razão pela qual o monitoramento é necessário para uma gestão sustentável do recurso.

Factors affecting seasonal changes in blood pressure in North India: A population based four-seasons study

Objective There are no community based, longitudinal, intra individual epidemiological studies on effect of weather and season on blood pressure (BP). We evaluated the effect of season and temperature on prevalence and epidemiology of BP in tropical climate. Methods and results It was a longitudinal cross sectional survey of rural and urban subjects in their native surroundings. BP was measured in four different seasons in same subjects. A total of 978 subjects (452 rural and 521 urban) were included in the current analysis. Demographic characteristics such as age, gender, education, occupational based physical activity and body mass index (BMI) were recorded. Mean BP, both systolic and diastolic were significantly higher in winter season as compared to summer season. Mean difference between winter and summer was 9.01 (95% CI: 7.74–10.28, p < 0.001) in systolic BP and 5.61 (95% CI: 4.75–6.47, p < 0.001) in diastolic BP. This increase in BP was more marked in rural areas and elderly subjects. Prevalence of hypertension was significantly higher during winter (23.72%) than in summer (10.12%). Conclusion BP increases significantly during winter season as compared to summer season. Increase is more marked in rural areas and elderly subjects. Seasonal variation in BP should be taken into account while looking at prevalence of hypertension in epidemiological studies.

Irrigation water consumption modelling of a soilless cucumber crop under specific greenhouse conditions in a humid tropical climate / Modelação de consumo de água de irrigação de pepino sem solo em condições específicas de uma casa de vegetação em um clima tropical húmido

ABSTRACT: The irrigation water consumption of a soilless cucumber crop under greenhouse conditions in a humid tropical climate has been evaluated in this paper in order to improve the irrigation water and fertilizers management in these specific conditions. For this purpose, a field experiment was conducted. Two trials were carried out during the years 2011 and 2014 in an experimental farm located in Vinces (Ecuador). In each trial, the complete growing cycle of a cucumber crop grown under a greenhouse was evaluated. Crop development was monitored and a good fit to a sigmoidal Gompertz type growth function was reported. The daily water uptake of the crop was measured and related to the most relevant indoor climate variables. Two different combination methods, namely the Penman-Monteith equation and the Baille equation, were applied. However, the results obtained with these combination methods were not satisfactory due to the poor correlation between the climatic variables, especially the incoming radiation, and the crop's water uptake (WU). On contrary, a good correlation was reported between the crop's water uptake and the leaf area index (LAI), especially in the initial crop stages. However, when the crop is fully developed, the WU stabilizes and becomes independent from the LAI. A preliminary model to simulate the water uptake of the crop was adjusted using the data obtained in the first experiment and then validated with the data of the second experiment.

RESUMO: Com o objetivo de melhorar a gestão da água de irrigação e fertilizantes em condições específicas, foi avaliado, neste trabalho, o consumo de água de irrigação de pepinos cultivados sem solo em casa de vegetação. Para avaliar este efeito, conduziu-se um experimento de campo. O trabalho de pesquisa foi composto de dois ensaios realizados durante os anos de 2011 e 2014 em Vinces (Equador), onde predomina o clima tropical. Em cada ensaio, avaliou-se o ciclo de crescimento completo da cultura do pepino cultivada em estufa.O desenvolvimento da cultura foi monitorado e um bom ajuste para a função de crescimento tipo sigmoidal Gompertz foi encontrado. A absorção de água diária da cultura foi medida e relacionada às variáveis climáticas mais relevantes. Com o objetivo de modelar o consumo de água das culturas, dois métodos de combinação diferentes, isto é, a equação de Penman-Monteith e a equação Baille, foram aplicadas. No entanto, os resultados obtidos com estes métodos de combinação não foram satisfatórios devido a fraca correlação entre as variáveis climáticas, especialmente, a radiação incidente e absorção de água pela cultura (WU). Por outro lado, foi encontrada uma boa correlação entre a captação de água da cultura e o índice de área foliar (LAI), especialmente, nos estágios iniciais da cultura. No entanto, quando a cultura está completamente desenvolvida, o WU estabiliza e torna-se independente do LAI. Um modelo preliminar para simular a absorção de água da cultura foi ajustado e utilizado e, os dados obtidos do primeiro experimento foram comparados com os dados do segundo.

Perfil hematológico de cabras Saanen e mestiças (1/2 Saanen e 1/2 Anglo-nubiana) criadas em clima tropical do Ceará / Hematological profile of Saanen and mixed-breed (1/2 Saanen x 1/2 Anglo-Nubian) raised in the tropical climate of Ceará, Brazil

Objetivou-se verificar a influência das condições climáticas sobre o perfil hematológico de cabras Saanen e mestiça (1/2 Saanen x 1/2 Anglo-nubiana), bem como determinar valores de referência para esses animais criados no Ceará. Foram utilizadas 30 cabras que tiveram o sangue coletado mensalmente durante a época chuvosa (fevereiro a maio) e seca (agosto a novembro) para realização do eritrograma e leucograma. As médias foram comparadas pelo teste t-Student e Mann Whitney, quando constatada distribuição paramétrica e não paramétrica dos dados, respectivamente, com significância quando p<0,05. Procedeu-se ainda um estudo de correlações simples de Pearson dos parâmetros hematológicos com variáveis ambientais e fisiológicas. O número de hemácias foi maior em cabras Saanen e na época chuvosa, enquanto que o hematócrito foi maior na época seca (p<0,05). Os leucócitos e linfócitos foram maiores em cabras mestiças nas duas épocas (p<0,05). Nos dois genótipos, os leucócitos e linfócitos foram maiores na época seca e os neutrófilos segmentados maiores na época chuvosa (p<0,05). Os demais parâmetros não diferiram (p>0,05). As hemácias e neutrófilos segmentados apresentaram uma correlação negativa com a temperatura ambiente, porém positiva com a umidade do ar e a temperatura retal (p<0,05). O hematócrito correlacionou-se positivamente com a temperatura ambiente e frequência respiratória (p<0,05). Os leucócitos e linfócitos mostraram uma correlação negativa com a temperatura retal (p<0,05). Conclui-se, portanto, que fêmeas Saanen sofrem mais influência das variações climáticas e a época chuvosa tem maior impacto negativo sobre os parâmetros hematológicos. Os valores obtidos poderão servir como referência para esses genótipos no Ceará...

The aim of this study was to determine the influence of climatic conditions on the hematological profile of Saanen and mixed-breed (1/2 Saanen x 1/2 Anglo-Nubian) goats, as well as to define reference values for these animals bred in Ceará, Brazil. Thirty goats were utilized and blood samples were collected monthly during the rainy (February to May) and dry (August to November) periods to obtain an erythrogram a leukogram. The averange were compared by the t-Student test and Mann Whitney test, with parametric and non-parametric distribution of the data, respectively, where p<0.05 was considered significant. A study was carried out of simple Pearson correlations of the hematological parameters with environmental and physiological variables. The number of red blood cells (RBCs) was higher in the Saanen goats and in the rainy period, while the hematocrit was higher in the dry period (p<0.05). The leukocytes and lymphocytes were higher in the 1/2S1/2AN goats in the two periods (p<0.05). In the two genotypes, the leukocytes and lymphocytes were higher in the dry season and the segmented neutrophils higher in the rainy season (p<0.05). The other parameters did not differ (p>0.05). The RBCs and segmented neutrophils displayed a negative correlation with air temperature, but positive with relative humidity and rectal temperature (p<0.05). The hematocrit positively correlated with air temperature and respiratory rate (p<0.05). The leukocytes and lymphocytes showed a negative correlation with rectal temperature (p<0.05). It was therefore concluded that Saanen females are more affected by climatic variations and that the rainy season has a greater negative impact on hematological parameters. The values obtained could serve as a reference for these genotypes in Ceará...

The epidemiology of scorpion stings in tropical areas of Kermanshah province, Iran, during 2008 and 2009

Background Scorpion stings are an acute health problem in tropical regions. Awareness of this problem is fundamental for establishing preventive interventions, thus prompting the present study to determine the scorpion-sting incidence in tropical areas of Kermanshah province during 2008 and 2009. Methods In a retrospective study, all records related to scorpion sting patients from the health centers of tropical areas of Kermanshah were studied by a census and checklist. Data were analyzed by the software SPSS-16 using descriptive and inferential tests. Results The incidence of scorpion stings was 334.37/100,000 inhabitants in 2008 and 339.07/100000 in 2009. Mean and standard deviation of age were 30.55 ± 16.99. Scorpion stings were more common in rural areas (59.6 %) and occurred more often in summer (52.9 %). Nearly 48 % of bites were to patients' hands and 47.5 % of patients were injured between midnight and 6 a.m. While 92.9 % of patients had mild symptoms, scorpion antivenom was prescribed to 88.8 % of victims, 94.5 % of whom were discharged after outpatient treatment. The relationship between antivenom therapy and clinical symptoms was not significant. Conclusions Due to the relatively high incidence of scorpion stings in tropical areas of Kermanshah, it is recommended that the inhabitants be educated through the mass media about how to prevent the stings and apply preliminary treatment.(AU)

The epidemiology of scorpion stings in tropical areas of Kermanshah province, Iran, during 2008 and 2009

Background Scorpion stings are an acute health problem in tropical regions. Awareness of this problem is fundamental for establishing preventive interventions, thus prompting the present study to determine the scorpion-sting incidence in tropical areas of Kermanshah province during 2008 and 2009. Methods In a retrospective study, all records related to scorpion sting patients from the health centers of tropical areas of Kermanshah were studied by a census and checklist. Data were analyzed by the software SPSS-16 using descriptive and inferential tests. Results The incidence of scorpion stings was 334.37/100,000 inhabitants in 2008 and 339.07/100000 in 2009. Mean and standard deviation of age were 30.55 ± 16.99. Scorpion stings were more common in rural areas (59.6 %) and occurred more often in summer (52.9 %). Nearly 48 % of bites were to patients hands and 47.5 % of patients were injured between midnight and 6 a.m. While 92.9 % of patients had mild symptoms, scorpion antivenom was prescribed to 88.8 % of victims, 94.5 % of whom were discharged after outpatient treatment. The relationship between antivenom therapy and clinical symptoms was not significant. Conclusions Due to the relatively high incidence of scorpion stings in tropical areas of Kermanshah, it is recommended that the inhabitants be educated through the mass media about how to prevent the stings and apply preliminary treatment.

Effect of Shading on Incidence of Black Rot Disease and Yield Quality of Broccoli in Humid Tropical Regions of Thailand.

The study was carried out in the experimental location of Department of Plant Science, Faculty of Natural Resources, Prince of Songkla University, Thailand, from April to June, 2012. Split-plot in randomized complete block design was used in this experiment with four replications. The broccoli plants under the shading had the lowest incidence of black rot disease (14.48%) which was significantly lower than the full sunlight (76.91%). There was a positive impact of the shading on yield quality of the broccoli. The Yok Kheo had the highest head length and diameter (39.13 cm and 12.11 cm, respectively) when planting under the shading. These results consistent with broccoli total yield, the highest total yield was obtained from the Yok Kheo under the both shading and full sunlight (10.92 t.ha-1 and 8.29 t.ha-1, respectively), followed by the Green Queen under the shading (6.21 t.ha-1). Therefore, the appropriate variety for planting during dry season in humid tropical regions of Thailand was the Yok Kheo and Green Queen because its total yield per hectare was higher than of the Top Green and they also had higher quality of head.

Impacto do estresse térmico sobre a fisiologia, reprodução e produção de caprinos / Impact of heat stress on the physiology, reproduction and production of goats

Apesar dos caprinos serem considerados animais rústicos, do ponto de vista bioclimático, a associação entre elevadas temperaturas, umidade e radiação solar pode acarretar alterações fisiológicas, hematológicas, hormonais, reprodutivas e produtivas. Portanto, informações que possam esclarecer o impacto do estresse térmico sobre a eficiência desses aspectos em caprinos, analisando o ambiente em que estão inseridos, e como se comportam frente às adversidades impostas pelo clima, darão uma grande contribuição para a caprinocultura e o fortalecimento de sua cadeia produtiva. Assim, para aumentar a produtividade nas regiões tropicais, deve ser ressaltada a criação de raças que apresentem maior potencial genético de adaptabilidade para uma condição climática adversa, sendo capazes de sobreviver, reproduzir e produzir em situações de estresse térmico.

Even though goats are considered rustic animals, regarding the bioclimatic aspect, the association of high temperature, humidity and solar radiation may cause physiological, hematological, hormonal, reproductive and productive changes. Therefore, information explaining the impact of heat stress on the efficiency of these aspects on goats by analyzing the surrounding environment and how these animals behave themselves before the adversities imposed by the climate, will give a great contribution to goat breeding and the strengthening of this productive chain. Thus, to increase the productivity in tropical regions, the breed of animals presenting a major genetic potential of adaptability to adverse climatic conditions must be emphasized breeds that may be able to survive, reproduce and produce efficiently in a situation of heat stress.

Efeito da sazonalidade climática na ocorrência de sintomas respiratórios em uma cidade de clima tropical / Effect of seasonality on the occurrence of respiratory symptoms in a Brazilian city with a tropical climate

OBJETIVO: Avaliar o efeito da sazonalidade climática na ocorrência de sintomas respiratórios em uma cidade de clima tropical no Brasil. MÉTODOS: Estudo de corte transversal relacionando dados de indivíduos que procuraram assistência médica em uma Unidade Básica de Saúde na cidade de Goiânia (GO) com dados meteorológicos coletados diariamente. No intervalo de um ano, todos os pacientes que preenchiam os critérios de inclusão foram entrevistados em 44 dias distintos (11 em cada estação) escolhidos aleatoriamente. ANOVA foi usada para a comparação das médias das variáveis dependentes por estação. Correlação foi conduzida entre as variáveis dependentes e cada variável meteorológica. Os efeitos das variáveis meteorológicas foram analisados com um modelo de AutoRegressive Moving Average with eXogenous input (ARMAX, média móvel autorregressiva com entrada exógena). RESULTADOS: Dos 3.354 participantes, 494 (14,6 por cento) apresentavam sintomas respiratórios. A variação de temperatura não foi suficiente para provocar mudanças no número de indivíduos com sintomas respiratórios; porém, houve aumento desse número com baixos níveis de umidade no inverno, com diferença estatisticamente significativa entre as estações (p < 0,01). Foi observado que a média da umidade relativa mínima dos três dias que antecederam as observações correlacionou-se negativamente com o número de indivíduos com sintomas respiratórios (p = 0,04), e um modelo ARMAX incluindo a mesma variável apresentou um coeficiente estatisticamente significativo (p < 0,0001). CONCLUSÕES: Nesta amostra, o número de indivíduos com sintomas respiratórios aumentou significativamente com a redução da umidade relativa do ar, e esse aumento pôde ser previsto a partir de dados meteorológicos.

OBJECTIVE: To evaluate the effect that seasonality has on the occurrence of respiratory symptoms in a Brazilian city with a tropical climate. METHODS: This was a cross-sectional study, in which data related to subjects who sought outpatient treatment at a primary health care clinic in the city of Goiânia, Brazil, were correlated with daily meteorological data. Over a one-year period, all the patients who met the inclusion criteria were interviewed on 44 distinct, randomly selected days (11 days per season). We used ANOVA in order to compare the means of the dependent variables by season. Correlations were drawn between each dependent variable and each meteorological variable. The effects of the meteorological variables were analyzed with an AutoRegressive Moving Average with eXogenous input (ARMAX) model. RESULTS: Of the 3,354 participants, 494 (14.6 percent) had respiratory symptoms. Although temperature variation alone had no effect on the number of individuals with respiratory symptoms, the low levels of humidity during winter resulted in a statistically significant difference among the seasons (p < 0.01). The mean minimum relative humidity on the three days prior to the interviews correlated negatively with the number of subjects with respiratory symptoms (p = 0.04). An ARMAX model including the same variable showed a statistically significant coefficient (p < 0.0001). CONCLUSIONS: In this sample, the number of subjects with respiratory symptoms increased significantly when the relative humidity dropped, and this increase could be predicted using meteorological data.

Factores climáticos y casos de dengue en Montería, Colombia: 2003-2008 / Climatic factors and cases of dengue in Monteria, Colombia: 2003-2008

Objetivo Evaluar la relación entre los casos de dengue y los factores climáticos pluviosidad (PLUV), humedad relativa (HUM) y la temperatura (TEMP) en el municipio de Montería en el periodo 2003 a 2008. Métodos Estudio descriptivo, retrospectivo que relacionó tres variables climáticas y los casos de dengue en Montería. Se tomaron los promedios y medianas anuales y mensuales, se realizaron análisis de Shapiro-Wilk, coeficiente de correlación y análisis de varianza no paramétrica de Kruskal-Wallis, entre otros. Resultados Los casos de dengue no presentaron una distribución normal ni diferencia significativa. Se registraron 1 050 casos, en 2005 se reporto la cifra más alta con 305 y en 2004 solo 80 casos; el promedio anual fue de 175. El análisis univariado de los casos dengue no estuvieron influenciados de forma significativa por la HUM relativa (R² 17 por ciento), la PLUV (R² 18,3 por ciento) y la TEMP (R² 1,8 por ciento). Las variables PLUV y HUM relativa presentaron una alta correlación positiva de 0,798171. La PLUV y TEMP tuvieron un coeficiente de correlación negativa de -0,1310772. La HUM relativa y la TEMP presentaron una correlación negativa de -0,6048030. Las correlaciones más contundentes de casos de dengue vs clima se presentaron cuando se asociaron las tres variables conjuntas (TEMP, HUM y PLUV). Los fenómenos continentales del Niño y la Niña no influenciaron los casos de dengue. Conclusiones Las asociaciones en conjunto entre la TEMP, HUM relativa y PLUV en la transmisión del dengue en Montería, son fuertes y consistentes a través del estudio retrospectivo realizado.

Objective Assessing the relationship between cases of dengue and climatic factors rainfall (PLUV), temperature (TEMP) and relative humidity (HUM) in Monteria during 2003-2008. Methods This was a descriptive, retrospective study related to climatic variables and dengue cases in Monteria. Rainfall (PLUV), relative humidity (HUM) and temperature (TEMP) data recorded annual and monthly medians and averages. The Shapiro-Wilks correlation coefficient and Kruskal-Wallis non-parametric variance tests were performed. Results Dengue cases did not present normal distribution or significant difference. There were 1,050 cases; the highest number was reported in 2005 (305) but only 80 cases in 2004 (annual average was 175). Univariate analysis of dengue cases was not significantly influenced by HUM (R² 17 percent), PLUV (R² 18.3 percent) or TEMP (R² 1.8 percent). HUM and PLUV variables presented high positive correlation (0.798171). TEMP and PLUV had -0.1310772 negative correlation coefficient; TEMP and HUM had -0.6048030 negative correlation. The strongest climate-dengue case correlation was associated with combining the three variables (TEMP, HUM and PLUV). The Niño and Niña continental phenomena did not influence dengue cases. Conclusions This retrospective study showed a strong and consistent overall association between TEMP, HUM and PLUV affecting dengue transmission in Monteria.

Por qué no hay fármacos contra las enfermedades tropicales olvidadas? / Why are there no medicines for neglected tropical diseases?

El artículo inicialmente plantea las discusiones que se han dado en torno a las enfermedades tropicales olvidadas, sus características y clasificación. En segunda instancia, examina la prevalencia, población a riesgo, regiones afectadas y la mortalidad asociada a estas enfermedades. Por último, se presenta un análisis crítico del estado actual del conocimiento en materia de investigación para el desarrollo de fármacos para el control y erradicación de estas enfermedades...

The article initially plants the discussions that have been given around the neglected tropical diseases, their characteristics and classification. In second instance, examines the prevalence, population at risk, affected regions and the associated mortality to these diseases. Finally, a critical analysis of the current state of the knowledge in issue of research for the development of medicines for the eradication and control of these diseases is presented...

Desenvolvimento e migração de larvas infectantes de ciatostomíneos (Nematoda: Cyathostominae) em gramínea coast cross (Cynodon dactylon) em clima tropical, na Baixada Fluminense, RJ, Brasil / Development and migration of cyathostome infective larvae (Nematoda: Cyathostominae) in bermuda grass (Cynodon dactylon) in tropical climate, in Baixada Fluminense, RJ, Brazil

Esse estudo foi realizado no período de julho de 2003 a novembro de 2004, para avaliar o desenvolvimento, a sobrevivência, a migração das larvas infectantes em gramínea "coast cross" (Cynodon dactylon) e o horário de maior disponibilidade, em condições de clima tropical, na Baixada Fluminense, RJ, Brasil. De julho de 2003 a setembro de 2004, massas fecais de equinos naturalmente infectados foram depositadas mensalmente sobre a gramínea. Sete dias após, amostras de fezes e gramínea foram coletadas semanalmente em diferentes horários (8, 13 e 17 horas), pesadas e processadas pela técnica de Baermann. O desenvolvimento, a sobrevivência e a migração das larvas infectantes nas fezes e na gramínea foram observados durante todo o período. A sobrevivência das L3 foi de até 15 semanas nas fezes e 12 semanas na gramínea no período seco e de nove e oito semanas, respectivamente, para o período chuvoso. No período chuvoso, maior número de L3 foi recuperado nas fezes e, no período seco, na gramínea. Condições climáticas influenciaram diretamente o número larvas infectantes. Pela análise multivariada, ficou demonstrado uma forte relação entre o tempo e o número de L3 nas fezes, sendo esta relação menos acentuada para a gramínea. Não se observou diferença significativa entre os horários de coleta.

A study following the development and migration of Cyathostominae infective larvae was conducted from July 2003 to November 2004 in tropical climate, Baixada Fluminense, RJ, Brazil. Samples of naturally infected feces were placed on 12 m² plot each month on a cyathostomin-free "Bermuda grass" pasture (Cynodon dactylon). After Seven days, samples of feces and grass were collected every week at 8 a.m, 1 and 5 p.m., weighed and processed by Baermann technique. Higher survival of L3 was found at dry season, 15 and 12 weeks on feces and sward respectively, at rainy season the survival was smaller. The multivariable analysis of main components was evident the influence of time and environment variables on L3 recovery from feces and grass. Close relationship between time and the number of L3 in feces could be noted, in contrast with L3 in sward. The climatic conditions influenced directly the number of infective larvae. The infective larvae were recovered during three times and the Kruskal-Wallis test did not present significance among them.

Influence of tropical climate in Southeast Asia on disease onset and strategies of applying TCM for regulating and treatment / 中华中医药杂志

People living in Southeast Asia Tropical Zone (Indonesia) have their unique life style. Climatic characteristics of that area are high temperature and high humidity. These factors tend to cause the constitution of local people with insufficiency of the qi and yin and yin deficiency or with inner heat. Pathologic factors are mainly the summer hea and usually together with the dampness. The summer heat can be further divided into the yang and yin categories. Most diseases occur in tropical zone have characteristics of the outside dampness resulting in the damp-heat, wind-damp and cold-damp under different seasons and environment. The dampness can also be generated within the human body which is usually caused by taking plenty of spicy and greasy foods. These pathologic factors will cause various diseases by affecting different parts of human body. Application of Traditional Chinese Medicine(TCM) in Southeast Asia tropical zone can get satisfactory effect both in treating diseases and health cultivating by syndrome differentiation with consideration of individual physique, season's change and local pathologic factors. Replenishing qi, nourishing yin and expelling dampness are important therapeutic principles. Dosages of herbal medicine should be light and flexible when applying TCM in that tropical zone.