Avaliação da confiabilidade entre dois observadores em exames citopatológico e imunocitoquímico de aspirado de medula óssea no diagnóstico da leishmaniose visceral canina / Reliability evaluation between two evaluators in the cytopathologic and immunocytochemical exams from bone marrow aspirate in the canine visceral leishmaniasis diagnosis

Visceral leishmaniasis is a zoonosis in which the dog appears as the main source of infection in urban areas. Its diagnosis is complex and the cytopathological exam is a fast and cheap alternative to parasite direct visualization and its sensitivity can be increased by immunocytochemistry, though with a higher cost. The accuracy of such methods is dependent on the microscopist's experience and therefore, this study evaluated the reliability of such techniques between two observers, from bone marrow aspirates of 50 dogs from an endemic area for the disease. The parasitological culture in Novy-MacNeal-Nicolle medium was used as the reference standard. Among the main findings, the sensitivities obtained by observers I and II were respectively 62.5% and 37.5%, while specificities were 81.1% and 100%. On immunocytochemistry evaluation, the sensitivity was 0% for both evaluators and the specificity 97.3% and 100%. The agreement between evaluators was weak (κ = 0.167) for the cytopathological test and it could not be evaluated for immunocytochemistry, for which there was no detection by the evaluator II. The agreements among the diagnostic methods and the standard reference for the observer I were reasonable (κ = 0.364) for cytopathological examination and bad (κ = -0.041) for immunocytochemistry. For observer II, such agreement could be assessed only for the cytopathological test, being moderate (κ = 0.497). The results point to the possible expertise difference between evaluators, with the evaluator II demonstrating greater experience when interpreting the citopathological test. Although there was the expected sensitivity increase with immunocytochemistry, the technique used in this study was not effective for the diagnosis of infection, regardless of the evaluator.(AU)

Calibration of the maximum carboxylation velocity (Vcmax) using data mining techniques and ecophysiological data from the Brazilian semiarid region, for use in Dynamic Global Vegetation Models / Calibração da velocidade máxima de carboxilação (Vcmax), utilizando técnicas de mineração de dados e dados de ecofisiologia da região semiárida brasileira, para uso em Modelos de Vegetação Globais Dinâmicos

Abstract The semiarid region of northeastern Brazil, the Caatinga, is extremely important due to its biodiversity and endemism. Measurements of plant physiology are crucial to the calibration of Dynamic Global Vegetation Models (DGVMs) that are currently used to simulate the responses of vegetation in face of global changes. In a field work realized in an area of preserved Caatinga forest located in Petrolina, Pernambuco, measurements of carbon assimilation (in response to light and CO2) were performed on 11 individuals of Poincianella microphylla, a native species that is abundant in this region. These data were used to calibrate the maximum carboxylation velocity (Vcmax) used in the INLAND model. The calibration techniques used were Multiple Linear Regression (MLR), and data mining techniques as the Classification And Regression Tree (CART) and K-MEANS. The results were compared to the UNCALIBRATED model. It was found that simulated Gross Primary Productivity (GPP) reached 72% of observed GPP when using the calibrated Vcmax values, whereas the UNCALIBRATED approach accounted for 42% of observed GPP. Thus, this work shows the benefits of calibrating DGVMs using field ecophysiological measurements, especially in areas where field data is scarce or non-existent, such as in the Caatinga.

Resumo A região semiárida do nordeste do Brasil, a Caatinga, é extremamente importante devido à sua biodiversidade e endemismo. Medidas de fisiologia vegetal são cruciais para a calibração de Modelos de Vegetação Globais Dinâmicos (DGVMs) que são atualmente usados para simular as respostas da vegetação diante das mudanças globais. Em um trabalho de campo realizado em uma área de floresta preservada na Caatinga localizada em Petrolina, Pernambuco, medidas de assimilação de carbono (em resposta à luz e ao CO2) foram realizadas em 11 indivíduos de Poincianella microphylla, uma espécie nativa que é abundante nesta região. Estes dados foram utilizados para calibrar a velocidade máxima de carboxilação (Vcmax) usada no modelo INLAND. As técnicas de calibração utilizadas foram Regressão Linear Múltipla (MLR) e técnicas de mineração de dados como Classification And Regression Tree (CART) e K-MEANS. Os resultados foram comparados com o modelo INLAND não calibrado. Verificou-se que a Produtividade Primária Bruta (PPB) simulada atingiu 72% da PPB observada ao usar os valores de Vcmax calibrado, enquanto que o modelo não calibrado obteve-se 42% da PPB observada. Assim, este trabalho mostra os benefícios de calibrar DGVMs usando medidas ecofisiológicas de campo, especialmente em áreas onde os dados de campo são escassos ou inexistentes, como na Caatinga.

An anatomopathological study of hepatic coccidiosis (Calyptospora sp. ) in the Acará-pixuna, Aequidens plagiozonatus Kullander, 1984 from the Brazilian state of Pará / Estudo anatomopatológico de coccidiose hepática (Calyptospora sp. ) em Acará-pixuna, Aequidens plagiozonatus Kullander, 1984, no Brasil, estado do Pará

The present study focuses on the anatomopathological alterations provoked by parasitism by Calyptospora sp. in 40 specimens of Aequidens plagiozonatus collected in Pará, Brazil. Examinations of the fresh material by compression of the hepatopancreas and histological sections showed immature forms and oocysts characteristic of the genus Calyptospora, in addition to a large quantity of melanomacrophagic centers spread throughout the organ. No significant inflammation of the hepatic tissue was observed. The melanomacrophagic centers and the compression of the hepatocytes are part of the response of the host to the parasite. This study represents the first record of parasitism by Calyptospora in A. plagiozonatus.

Descreveram-se as alterações anatomopatológicas provocadas pelo parasitismo por Calyptospora sp. em 40 espécimes de Aequidens plagiozonatus, provenientes do município de Peixe-boi, Pará, Brasil. Foram encontradas formas imaturas e oocistos característicos do gênero Calyptospora, nos exames frescos por compressão e cortes histológicos, além de um grande número de centros melanomacrofágicos dispersos por todo o órgão. Digna de nota foi a ausência de inflamação significativa no tecido hepático. Centros melanomacrofágicos e compressão dos hepatócitos estão envolvidos na resposta do hospedeiro ao parasito. Este é o primeiro registro de ocorrência de parasitismo por Calyptospora sp. na espécie estudada.

Zooplankton assemblages in eutrophic reservoirs of the Brazilian semi-arid / Assembléias zooplanctônicas em reservatórios eutróficos do semiárido brasileiro

Species composition, density, and temporal dynamics of zooplankton were studied in six reservoirs in a semi-arid region in tropical northeastern Brazil (Rio Grande do Norte state). All the reservoirs are highly eutrophic, with high contents of total nitrogen (minimum of 1200 µg.L-1) and total phosphorus (minimum of 10 µg.L-1), and extremely high algal biomass was registered (surpassing 20 µg Chl a.L-1). All the reservoirs showed an enduring condition of high turbidity and phytoplankton assemblages dominated by cyanobacteria. Zooplankton also showed quantitative patterns suggestive of eutrophic conditions, expressed by high densities, mainly in Passagem das Traíras and Sabugi reservoirs. A spatial differentiation in the composition of the zooplankton community was registered. Rotifers (especially Keratella tropica, Brachionus havanensis, and Keratella americana) were the dominant forms in the zooplankton community of Itans, Passagem das Traíras, and Sabugi reservoirs, while calanoid copepods (mainly Notodiaptomus cearensis) dominated in the Armando Ribeiro, Gargalheiras, and Parelhas systems. The existence of novel relationships in zooplankton community composition in eutrophic reservoirs in this tropical semi-arid region must be considered in designating zooplankton indicators of eutrophic conditions.

A composição de espécies, a densidade e a dinâmica temporal do zooplâncton foram estudadas em seis reservatórios de uma região semiárida no nordeste do Brasil (Estado do Rio Grande do Norte). Todos os reservatórios estão altamente eutróficos, com altas concentrações de nitrogênio total (mínimo de 1.200 µg.L-1) e fósforo total (mínimo de 10 µg.L-1), e biomassa algal extremamente alta (muitas vezes, superando 20 µg.L-1 de Chl a). Todos os reservatórios apresentaram alta turbidez e assembleias fitoplanctônicas dominadas por cianobactérias. O zooplâncton também apresentou padrões quantitativos sugestivos de condições eutróficas, expressas por altas densidades, principalmente nos Reservatórios Passagem das Traíras e Sabugi. Foi registrada uma diferenciação espacial na composição da comunidade zooplanctônica. Rotíferos (especialmente Keratella tropica, Brachionus havanensis e Keratella americana) foram as formas dominantes na comunidade zooplanctônica dos Reservatórios Itans, Passagem das Traíras e Sabugi, enquanto copépodos Calanoida (principalmente Notodiaptomus cearensis) dominaram nos Reservatórios Armando Ribeiro Gonçalves, Gargalheiras e Parelhas. A existência de novas relações na composição da comunidade zooplanctônica em reservatórios eutróficos dessa região semiárida tropical deve ser considerada no estabelecimento de indicadores zooplanctônicos de condições eutróficas.

Helmintos oxiuridae parasitos de Iguana iguana (Squamata, Lacertilia, Iguanidae) procedentes do Brasil / Oxiuridae helminths parasites of Iguana iguana (Squamata, Lacertilia, Iguanidae) in Brazil

The results of a study on nematode fauna occurring in wild iguanas (Iguana iguana) from Brazilian Northeast (Alagoas and Maranhão) and Central-west (Goiás and Mato Grosso) areas were presented. Six adult iguanas, three males and three females, were necropsied and the digestive system removed to examination. All the iguana specimens were heavily parasitized. The helminths diagnosed were: Ozolaimus cirratus in the cecum and colon of five iguanas; Ozolaimus megatyphlon in cecum, colon and rectum of three iguanas; and Alaeuris vogelsangi in the small intestine, cecum, colon and rectum of five animals. Two larvae of Ozolaimus sp. were recovered from the pyloric region of the stomach of one iguana. The three diagnosed species of nematodes were reported for the first time in the Brazilian Central-West region.

Renal- and calcium-dependent vascular effects of Polybia paulista wasp venom

In the present study, the effects of Polybia paulista venom (PPV) on renal and vascular tissues were investigated. Isolated kidneys perfused with PPV (1 and 3 ìg/mL) had increased perfusion pressure, renal vascular resistance, urinary flow, and glomerular filtration rate; and reduced sodium tubular transport. Histological evaluation demonstrated deposits of proteins in Bowman's space and tubular lumen, and focal areas of necrosis. The venom promoted a cytotoxic effect on Madin-Darby canine kidney (MDCK) cells. A significant increase in lactic dehydrogenase levels was observed in response to venom exposure. In isolated mesenteric vascular beds, pressure and vascular resistance augmented in a dose-dependent manner. PPV increased the contractility of aortic rings maintained under basal tension. This contractile response was inhibited when preparations were maintained in Ca2+-free medium. Likewise, verapamil, a voltage-gated calcium channel blocker, also inhibited the contractile response. In this study, phentolamine, a blocker of á-adrenergic receptor blocker, significantly reduced the contractile effect of PPV in the aortic ring. In conclusion, PPV produced nephrotoxicity, which suggests a direct effect on necrotic cellular death in renal tubule cells. The vascular contractile effect of PPV appears to involve calcium influx through voltage-gated calcium channels via adrenergic regulation.

Renal and vascular effects of Crotalus durissus cumanensis venom and its crotoxin fraction

In this study, we evaluated the actions of Crotalus durissus cumanensis venom (CDCmV), and its crotoxin (Crtx) fraction, on renal and vascular functions in Wistar rats. In isolated perfused kidneys, CDCmV (10 µg/mL) significantly increased the perfusion pressure (PP) from 110.7 ± 2.4 to 125.3 ± 2.8 mmHg after 30 minutes. This effect was accompanied by an increased renal vascular resistance (RVR) from 5.4 ± 0.1 to 6.2 ± 0.2 mmHg/mL.g-1.min-1. We observed decreases in urinary flow (UF) from 0.13 ± 0.01 to 0.05 ± 001 mL.g-1.min-1 and glomerular filtration rate (GFR) from 0.66 ± 0.06 to 0.18 ± 0.02 mL.g-1.min-1. Crtx did not change PP or RVR, but diminished GFR (from 0.65 ± 0.05 to 0.26 ± 003 mL.g-1.min-1) and UF (from 0.11 ± 0.008 to 0.09 ± 0.008 mL.g-1.min-1). Both CDCmV and Crtx reduced the percentage of tubular transport of sodium, chloride and potassium. The cytotoxicity of these substances against MDCK cells was tested by the MTT method: only CDCmV caused a decrease in the cell viability with an IC50 of 5.4 µg/mL. In endothelium-intact isolated aortic rings, CDCmV (0.1 to 30 µg/mL) increased the sustained phenylephrine-induced contraction to a value of 130.0 ± 6.6 percent of its corresponding control, but showed a relaxant effect in endothelium-denuded preparations. Similar results were observed in aortic rings contracted with potassium (40 mM). Crtx was ineffective in aortic ring assays. Thus, it is reasonable to suggest that the renal effects induced by the CDCmV may be due to its influence on the endothelium's ability to release factors that can alter the contractile behavior of vascular smooth muscle. In conclusion, CDCmV is toxic to kidney cells. It changes parameters of the renal function including the glomerular filtration rate, renal vascular resistance and tubular transport. The actions induced by CDCmV also involve endothelium-dependent vasoactive properties. Their effects may be only partially attributed to Crtx.

Neoplasias espontâneas em camundongos de um centro de criação de animais de laboratório / Spontaneous neoplasms in mice from a center of a laboratory animal breeding

Verificaram-se a prevalência e as características anatomopatológicas de neoplasias espontâneas encontradas em camundongos, provenientes de biotério. Foram necropsiados 9.219 camundongos pertencentes a 13 linhagens, entre agosto de 2002 e janeiro de 2007, para monitoramento sanitário. Amostras de tecidos foram colhidas, fixadas em formol tamponado a 10 por cento e processadas pelas técnicas habituais para inclusão em parafina. Foram realizados 84 diagnósticos de neoplasmas, sendo acometidos 82 camundongos (0,9 por cento). As principais neoplasias diagnosticadas com as respectivas ocorrências foram: carcinoma mamário, 27,4 por cento; linfoma, 19,0 por cento; adenocarcinoma papilífero pulmonar primário, 17,9 por cento; carcinoma epidermoide, 8,3 por cento; osteossarcoma osteoblástico, 4,8 por cento; e outros com menor porcentagem de ocorrência. Houve predomínio de tumores malignos, sendo mais frequentes os carcinomas mamários. A linhagem BALB/c An foi a que apresentou a maior variedade de tipos de neoplasias, seguida das linhagens outbred Swiss Webster e NIH. Fibrossarcoma em camundongos C57BL/10 ScSn-Dmd mdx/J e carcinoma mamário na linhagem NOD foram relatados pela primeira vez.

The prevalence and the pathologic features of spontaneous neoplasms found in mice from a breeding colony were verified. Nine thousand two hundred and nineteen mice belonging to 13 strains were submitted to necropsy from August 2002 to January 2007 for health monitoring. Tissue samples were collected, fixed in 10 percent buffered formalin, and processed by the usual techniques for inclusion in paraffin. Eighty-four neoplasms were diagnosed and 82 mice had tumors (0.9 percent). The main neoplasms were diagnosed with the following occurrences: mammary carcinoma, 27.4 percent; lymphoma, 19.0 percent; primary papillary pulmonary adenocarcinoma, 17.9 percent; squamous carcinoma, 8.3 percent; osteoblastic osteosarcoma, 4.8 percent; and others with a lower percentage of occurrence. The malignant tumors predominated and the most common tumor was the mammary carcinoma. The wider variety of neoplasm types was found in the BALB/c An strain, followed by the outbred strains Swiss Webster and NIH. The fibrossarcoma in C57BL/10 ScSn-Dmd mdx/J mice and mammary carcinoma in NOD mice were reported for the first time.

Antimicrobial activity of an L-amino acid oxidase isolated from Bothrops leucurus snake venom

Some snake venom proteins present enzymatic activities, such as L-amino acid oxidase (LAAO). The aim of this paper was to investigate the effect of Bothrops leucurus total venom (BleuTV) and its fraction LAAO (BleuLAAO) on bacteria, yeast, and promastigote forms of Leishmania amazonensis and Leishmania chagasi, and epimastigote forms of Trypanosoma cruzi. BleuTV was isolated with a Protein Pack 5PW® (Waters Corporation, USA), and several fractions were obtained. BleuLAAO was purified to high molecular homogeneity, and its N-terminal amino acid sequence shared a high degree of amino acid conservation with other LAAOs. BleuTV inhibited Staphylococcus aureus growth in a dose-dependent manner, with a minimum inhibitory concentration (MIC) of 25 ìg/mL, which corresponded to its minimum lethal concentration (MLC). BleuTV also inhibited the growth of promastigote forms of L. chagasi and L. amazonensis, with respective IC50 values of 1.94 ìg/mL and 5.49 ìg/mL. Furthermore, it repressed T. cruzi growth with an IC50 of 1.14 ìg/mL. However, BleuLAAO did not inhibit the growth of the microorganisms studied and was not toxic to macrophages. BleuTV had low toxicity against macrophages at the concentrations studied. In conclusion, whole venom from Bothrops leucurus inhibited the growth of some microorganisms, including S. aureus, Leishmania sp., and T. cruzi.

Toxic nephropathies of anticholinesterase compounds.

Nephrotoxicity is not generally recognized as a major clinical feature of anticholinesterase (AntiChE) compound poisoning. While very few case reports and experimental data are available on the topic, clinical reports suggest that the nephrotoxic effects of antiChE agents may be more common than is commonly believed. The effect of antiChE agents on the human kidney has not been carefully or thoroughly evaluated. Limited experimental data indicate that acetylcholine (ACh) which accumulates in the presence of antiChE agents, as well as antiChE agents themselves, can significantly alter renal function. This may result from alterations in neural, humoral, and metabolic activity. Some experimental data also indicate that antiChE agents may have direct nephrotoxic effects on renal tubules. This article aims to highlight antiChE agents as potential nephrotoxins. Further work is needed to explore the potential nephrotoxicity of antiChE agents in humans. Patients need to be more closely and carefully evaluated for evidence of nephrotoxic injury.

Ectopic partial intrahepatic gall bladder with cholelithiasis--a rare anomaly.

The study was aimed to view the developmental anomalies of gall bladder (GB) in Nepalese cadavers. Forty GBs were studied for any anomalies during routine cadaveric dissection at the Department of Anatomy, Manipal College of Medical Sciences, Nepal. The study found that the congenital anomalies of GB are very rare. Only one case of ectopic partial intrahepatic GB with cholelithiasis was observed, which to our knowledge is the first reported case in Nepal. Awareness of GB anomalies is important to surgeons, radiologists, and clinicians in general. An ectopic partial intrahepatic GB can make cholecystectomy hazardous, when indicated.

Systematic and pathologic study of Paratanaisia bragai (Santos, 1934) Freitas, 1959 (Digenea, Eucotylidae) infestation in ruddy ground dove Columbina talpacoti (Temminck, 1811)

O trematódeo digenético Paratanaisia bragai é referido pela primeira vez parasitando a rolinha-caldo-de-feijão, Columbina talpacoti, proveniente de área suburbana do Rio de Janeiro, Brasil. Embora com baixa prevalência (10%), a intensidade de infecção foi alta, considerando que 116 exemplares do parasito foram obtidos de um dos rins. Não foram observadas lesões macroscópicas. A análise histopatológica demonstrou grande dilatação dos dutos coletores renais, com destruição e achatamento das células epiteliais de revestimento, sem reação inflamatória. Os achados patológicos foram comparados aos anteriormente relatados para P. bragai em outros hospedeiros, desde a proposição da espécie em 1934.

Aspectos clínicos e de laboratório de cães soropositivos para leishmaniose / Clinical and laboratorial aspects of seropositive dogs to leishmaniosis

Leihsmaniasis is a protozoal disease transmitted by dipteran insects. The dog is an important domestic host of both visceral and cutaneous forms of the disease. These forms affects humans in many countries, and it is considered a serious risk for human health. This study reports clinical and laboratorial data from 18 dogs. Nine dogs were positive by indirect immunofluorescence technique and the other nine were negative. The dogs were clinically monitored for 30 days and laboratorial changes were assessed. Three blood samples were collected for hemogram and serum biochemistry at 0, 15, and 30 days. The clinical signs of positive dogs were compatible with the disease, including lymphadenopathy, cutaneous ulcers, hyperthermia, apathy, cachexia and ulcerated mucosa. Marked differences were observed in the blood cell counts and blood biochemistry between positive and negative dogs. In conclusion, blood and biochemistry analyses of positive dogs were not sufficient to diagnose the disease within the period studied. The serologic test associated with the clinical signs are important to confirm the diagnosis.

A theoretical model of the evolution of virulence in sexually transmitted HIV/AIDS

Introduçäo: A evoluçäo da virulência na relaçäo hospedeiro-parasita tem sido objeto de várias publicaçöes. No caso do HIV, alguns autores sugerem que a evoluçäo da virulência do HIV correlaciona-se com a taxa de aquisiçäo de novos parceiros sexuais. Por outro lado, outros autores argumentam que o nível de virulência do HIV é independente da atividade sexual da populaçäo hospedeira. Métodos: Propöe-se um modelo matemático para estudar a influência potencial que o comportamento sexual humano possa ter na evoluçäo da virulência do HIV. Resultados: Os resultados indicam que, quando a probabilidade de aquisiçäo da infecçäo pelo HIV é uma funçäo tanto da atividade sexual da populaçäo humana quanto da virulência das cepas de HIV, a evoluçäo da virulência do HIV correlaciona-se positivamente com a taxa de aquisiçäo de novos parceiros sexuais. Conclusäo: Concluiu-se que no caso de uma populaçäo hospedeira com a baixa (alta) taxa de troca de parceiros sexuais a evoluçäo da virulência do HIV é tal que a cepa menos (mais) virulenta predomina

Transplante renal en niños: estudio analitico de 25 casos / Renal transplantation: analysis of 25 cases

Se analiza un grupo de 25 pacientes sometidos a trasplante renal, con una edad media de 11=3 años, 9 niñas y 16 varones. Se utilizaron 22 injertos de dador vivo y 3 de cadaver. El peso corporal era menor de 25 kg. En el 60 por ciento de la poblacion y todos tenian deficit pondoestatural. Las uropatias (12/25) y las glomerulopatias (9/25), fueron las enfermedades de base mas frecuentes que llevaron a estos pacientes a la insuficiencia renal. La tasa de mortalidad fue del 12 por ciento (3 casos). Las complicaciones postoperatorias y la tasa de mortalidad fueron mayores para los injertos cadavericos, pero sin significancia estadistica por el numero de casos. Los reimplantes ureterales se realizaron con tecnica de Politano-Leadbetter en 22 y con tecnica de Gregoire en 3. Las complicaciones precoces mas frecuentes fueron la discracia sanguinea (4/25) y el rechazo agudo (5/25). Las tardias fueron la infeccion urinaria (4/25) y el rechazo cronico (3/25). Catorce injertos presentan un clearence > de 80 ml/min y 2 entre 40-45 ml/min. La sobrevida actuarial del injerto fue de 64 por ciento, siendo el rechazo la principal causa de fracaso. Cuatro pacientes tenian reconstrucciones del tracto urinario a traves de un reservorio continente y mecanismo de cateterismo limpio por la tecnica de Mitrofanoff. Se concluye que el trasplante renal es una opcion terapeutica para niños con enfermedades renales, que tiene baja mortalidad y complicaciones locales del facil manejo

Estudo preliminar para detecçäo de cérvico-vaginites e lesöes precursoras do câncer de colo uterino, em índias da tribo Parakanä / Preliminary study on low-trait genital infection and cervical epithelial dysplasia in indian of the Parakanä tribe

OBJETIVO. Avaliaçao preliminar da freqüência de inflamaçoes genitais e lesoes precursoras do câncer cérvico-uterino em um grupo indígena isolado da Amazônia oriental brasileira. MATERIAL E MÉTODO. Estudo transversal, dirigido às mulheres maiores de dez anos das aldeias Maroxewara e Paranatinga, da tribo Parakana. Foram obtidas informaçoes demográficas, etno-culturais, tocoginecológicas; procedeu-se a um exame físico e ginecológico, com coleta de material para bacterioscopia e colpocitologia oncótica.RESULTADOS. Foram examinadas 80 mulheres (89,9 por cento), das quais 69 foram avaliadas laboratorialmente; 14(20,3 por cento) estavam grávidas. Na aldeia Paranatinga, a bacterioscopia revelou um maior número de mulheres com ausência de flora Döderlein (60,0 por cento vs.29,l por cento). Na colpocitologia, o padrao mais encontrado foi o inflamatório (91,5 por cento); das colpites de etiologia específica (63,1 por cento), em 63,4 por cento suspeitou-se de infecçao por Gardenerella vaginalis, em 7,3 por cento por Trichomonas vaginalis, e em 4,9 por cento por microrganismos semelhantes à Candida sp. Em 23,2 por cento dos esfregaços havia alteraçoes citopatológicas relacionadas à infecçao por papilomavírus humano (PVH). As alteraçoes celulares sugeriram NIC I em um caso, NIC II em outro e carcinoma epidermóide em uma índia de 48 anos; nos três casos, foi proposta a posterior realizaçao de biópsia dirigida e avaliaçao clínica em ambientes hospitalar. Conclusoes. A maioria das mulheres Parakanas apresenta alguma patologia cervical, a maior parte das quais de menor gravidade. Apresentam, ainda, início precoce da vida sexual, multiplicidade de parceiros, curto intervalo interparto e alteraçoes citopatológicas sugestivas de infecçao pelo PVH, condiçoes de risco para transmissao sexual de doenças e desenvolvimento de câncer cérvico-uterino.