Diversity of sarcosaprophagous Diptera (Calliphoridae, Sarcophagidae) in organic and conventional mango plantations in the Brazilian semi-arid region

ABSTRACT Increase on intensive monocultures is an important threat to Caatinga biodiversity decrease. The use of chemical insecticides directly affects insect natural enemies of crops, but also non-target species. We aimed to test whether the diversity of sarcosaprophagous flies would be affected by agricultural management (conventional and organic). Adult dipterans were collected monthly, from July 2015 to January 2016, using a grid composed of 12 suspended traps distant 20 m from each other, baited with 150 g of sardine or bovine spleen, in each type of management. We first calculated α-diversity by Hill numbers, then evaluated the difference of diversity metrics by ANOVA. We also graphically visualise the species composition distribution by NMDS. We recorded a total of 4,651 specimens of 15 Calliphoridae and Sarcophagidae species. Chrysomya spp. were the dominant species (93.7% of all blowflies). Sarcophagidae species were sampled in low abundance, but with exclusive presence of some species in each treatment (e.g. B laesoxipha stallengi and Ravinia belforti in organic management). Although there was no difference on sarcosaprophagous fly diversity between treatments, we demonstrate empirically that mango plantations in the Caatinga harbour diverse and abundant assemblages of sarcosaprophagous dipterans, whose richness of species is comparable to other ecosystems such as rainforests and urban areas. Our results expand the known geographical range for forensically relevant species by providing a checklist of sarcosaprophagous dipterans that can thrive in agroecosystems in the Caatinga and, potentially, colonize cadavers disposed in that type of environment.

Methylene tetrahydrofolate reductase (MTHFR) and vascular endothelial growth factor (VEGF) polymorphisms in Brazilian patients with Hepatitis C virus (HCV)-related hepatocellular carcinoma (HCC)

OBJECTIVE: The folate pathway is involved in hepatic carcinogenesis and angiogenesis. Polymorphisms in genes related to such processes, including methylene tetrahydrofolate reductase (MTHFR) and vascular endothelial growth factor (VEGF)] may play an important role in the development of hepatocellular carcinoma (HCC). The objective of this study was to evaluate MTHFR and VEGF polymorphisms in Brazilian patients with hepatitis C virus (HCV)-related HCC. METHODS: A total of 119 patients diagnosed with confirmed HCC and HCV were included in the study. SNP genotyping assays were performed using real-time PCR. VEGFA (rs2010963, rs3025039, and rs833061) and MTHFRC677T (rs1801133, rs1801131) polymorphisms were evaluated. RESULTS: The C alleles of MTHFR (rs1801131) and VEGF (rs2010963) were associated with protection against the development of multinodular HCC, while the T allele of MTHFR (rs1801133) was associated with a higher risk of multinodular presentation [p=0.04 OR 1.835 CI (1.022-3.297)]. Multivariate analysis revealed that the GG/GC genotypes of VEGF rs2010963 were independently associated with multinodular tumors at diagnosis (p=0.013; OR 4.78 CI (1.38-16.67)]. CONCLUSION: Our results suggest that these polymorphisms may increase the risk of rapid tumor progression in patients with HCV infection. This subgroup of patients with HCC and who present polymorphism is more likely to be diagnosed with multinodular disease and not be amenable to receiving curative treatments. These data must be validated in larger cohorts, and the screening intervals can be customized based on genetic history.

Effect of different doses of dexamethasone on labor in Santa Inês ewes and its influence on the onset of labor and the expulsion of fetal membranes / Efeito de diferentes doses de dexametasona para a indução do parto em ovelhas Santa Inês e sua influência sobre as características do parto

The induction of labor aims to concentrate births to follow up better the parturient and the first care to the neonates. However, even if the labor induction technique with dexamethasone administration has been successfully described since the late 1970s, few studies report the technique of birth development and neonatal vitality in Santa Inês sheep. This study aimed to evaluate the efficiency of dexamethasone use in two doses (8 and 16mg) in labor induction of Santa Inês ewes at 145 days of gestation and to evaluate its effects on the birth characteristics. In this study, 58 ewes were used, raised in an extensive system in the experimental farms of UFBA, with confirmation pregnancy after fixed-time artificial insemination or controlled breeding. These female ewes were separated into three groups according to the dose of dexamethasone administered (G1 = 0mg, G2 = 8mg, and G3 = 16mg). From these births, 79 lambs were born. This study analyzed the period from induction of labor to birth, fetal presentation at birth, the weight of the placenta, and the period for placenta expulsion. The data were analyzed by the Statistical Analysis System (SAS v.9.1.3®, 2002), and the significance level considered for all analyzes was 5%. Births of induced groups occurred on average at 48.4±22.17 hours after induction, while the females with non-induced labor gave birth 131.96±41.9 hours on average after the placebo application (P<0.05), confirming the efficiency of both doses for induction of labor. The period from induction to birth did not differ (P>0.05) between the doses used. There were no differences in delivery about the fetal static relation, time to placental attachment, and weight. With this study, it can be concluded that the induction at 145 days of gestation with eight or 16mg of dexamethasone is a useful technique and does not alter the labor in Santa Inês sheep.(AU)

A indução do parto visa concentrar os nascimentos para melhor acompanhamento das parturientes e primeiros cuidados aos neonatos. Contudo, mesmo que a técnica de indução de parto, com administração de dexametasona, tenha sido descrita com sucesso desde o final da década de 70, existem estudos escassos que relatam a influência desta técnica sobre o parto em ovinos da raça Santa Inês. Dessa forma, o objetivo do estudo foi avaliar a eficácia da dexametasona em duas doses (8 e 16mg), para a indução do parto de ovelhas Santa Inês com 145 dias de gestação e avaliar os seus efeitos nas características de desencadeamento e finalização do parto. Para este estudo foram utilizadas 58 ovelhas, criadas em sistema extensivo nas fazendas experimentais da UFBA, com prenhez confirmada após inseminação artificial em tempo fixo ou monta controlada. Essas fêmeas foram separadas em três grupos, de acordo com a dose de dexametasona administrada (G1 = 0mg, G2 = 8mg e G3 = 16mg). Destes partos nasceram 79 cordeiros. Foram avaliados o período em horas da indução do parto aos nascimentos, a apresentação fetal ao nascimento, assim como o peso da placenta e o período para o delivramento. Os dados foram analisados pelo pacote estatístico Statistical Analysis System (SAS v.9.0®, 2002) sendo considerado para todas as análises o nível de significância de 5%. Os nascimentos dos grupos induzidos ocorreram em média com 48,4±22,1 horas após a indução, enquanto que as fêmeas com parto não induzido pariram em média 131,96±41,9 horas após aplicação do placebo (P<0,05), confirmando a eficácia de ambas as doses para indução do parto. O período da indução até o parto não diferiu (P>0,05) entre as doses utilizadas. Não ocorreram diferenças no parto em relação à estática fetal, tempo para o delivramento e peso da placenta nos diferentes grupos. Com este estudo, conclui-se que a indução de parto em ovelhas aos 145 dias de gestação com oito e 16 mg de dexametasona é uma técnica eficaz e que não altera o trabalho de parto nas ovelhas da raça Santa Inês.(AU)

Evaluation of perioperative high-sensitive cardiac troponin i as a predictive biomarker of major adverse cardiovascular events after noncardiac surgery

ABSTRACT Background: Various studies suggest that perioperative concentrations of high-sensitivity troponins are incremental and predictive factors of a major adverse cardiac event (MACE) and all-cause mortality. Objective: The objective of the study was to evaluate the predictive value of high-sensitivity cardiac troponin I (hs-cTnI) in the development of MACE and all-cause mortality, within 30-days and 1-year follow-up after noncardiac surgery. Methods: In this prospective cohort study, we included men ≥ 45 years and women ≥ 55 years with ≥ 2 cardiovascular risk factors and undergoing intermediate or high-risk noncardiac surgery. Demographic and clinical information was collected from clinical charts. We measured baseline hs-cTnI 24 h before surgery, and its post-operative concentration 24 h after surgery. Results: In the entire sample, 8 patients (8.6%) developed MACE at 30-days follow-up (4 deaths), 12 (12.9%) within the 1st year (7 deaths), and 17 (18.2%) after complete post-surgical follow-up (10 deaths). We observed higher baseline and post-operative concentrations in patients who presented MACE (12 pg/ml vs. 3.5 pg/ml; p = 0.001 and 18.3 pg/ml vs. 5.45 pg/ml; p = 0.009, respectively). The hazard ratios (HRs) calculated by Cox regression analysis between the hs-cTnI baseline concentration and the post-operative development of MACE at 30-days and 1-year were 5.70 (95% confidence interval [CI], 1.10-29.40) with hs-cTnI > 6.2 pg/ml and 12.86 (95% CI, 1.42-116.34) with hs-cTnI > 3.3 pg/ml, respectively. The estimated post-operative HR death risk at 1-year was 14.43 (95% CI, 1.37-151.61) with hs-cTnI > 4.5 pg/ml. Conclusions: Pre-operative hs-cTnI was an independent predictive risk factor for MACE at 30-days and 1-year after noncardiac surgery and for all-cause mortality at 1-year after noncardiac surgery.

Desenvolvimento profissional de treinadores brasileiros medalhistas olímpicos / Professional development of brazilian coaches olympic medalists

O estudo acerca do coaching esportivo, apesar de escasso no Brasil, vem mostrando um amplo desenvolvimento nos últimos anos. Estudos foram realizados principalmente no contexto do desempenho, no entanto, nenhum destes abordou o desenvolvimento de treinadores brasileiros medalhistas olímpicos. Este estudo objetivou analisar as situações de aprendizagens realizadas ao longo da vida de treinadores brasileiros medalhistas olímpicos com o intuito de compreender quais destas possibilitaram aos treinadores construir e desenvolver os conhecimentos necessários para se engajar efetivamente na sua prática profissional. Utilizou-se um delineamento descritivo qualitativo do tipo múltiplos estudos de caso. Os participantes do estudo foram selecionados intencionalmente respeitando os seguintes critérios: treinadores brasileiros medalhistas nos Jogos Olímpicos do Rio de Janeiro; mais de dez anos de experiência como treinador esportivo; disposição para participar do estudo. Aceitaram fazer parte do estudo, 5 treinadores brasileiros, sendo três treinadores de esportes individuais e dois treinadores de esportes coletivos. Os dados foram coletados a partir da aplicação da Linha do Tempo e de entrevista semiestruturada. A análise dos dados foi realizada a partir dos preceitos da Análise de Conteúdo. Os resultados informaram a utilização de uma variedade de situações de aprendizagens mediadas, não mediadas e internas. Sendo assim, possibilitaram a identificação de um panorama de formação e desenvolvimento dos treinadores brasileiros medalhistas olímpicos, qual seja: a) possuem experiência enquanto atletas nas modalidades que atuam; b) possuem prática enquanto treinadores em outros contextos de prática; c) são formados em Educação Física; d) frequentaram cursos especializados de curta duração; e) realizam ações de prática reflexiva deliberada....(AU)

The study about sports coaching, although scarce in Brazil, has been showing a wide development in recent years. Studies were conducted mainly in the context of performance, however, none of these addressed the development of Brazilian Olympic medalist coaches. This study aimed at analyzing the lifelong learning situations of Brazilian Olympic medalists coaches in order to understand which of these enabled coaches to build and develop the knowledge needed to effectively engage their professional practice. A qualitative descriptive design of multiple case studies was used. The study participants were intentionally selected according to the following criteria: Brazilian medalists coaches at the Rio de Janeiro Olympic Games; more than ten years of experience as a sports coach; willingness to participate in the study. Five Brazilian coaches were accepted as being part of the study, being three individual sports coaches and two collective sports coaches. The data were collected from the application of the Timeline and semi-structured interview. The analysis of the data was carried out from the precepts of the Content Analysis. The results informed the use of a variety of mediated, unmediated and internal learning situations. Thus, they enabled the identification of a formation and development panorama of the Brazilian Olympic medalists trainers, which are: a) they have experience as athletes in the modalities that act; b) practice as coaches in other contexts of practice; c) are trained in Physical Education; d) attended specialized short courses; e) carry out actions of deliberate reflexive practice....(AU)

Biometría testicular y características seminales en felinos neotropicales (Carnivora: Felidae) sometidos a cateterismo uretral

Introducción: La administración de un fármaco agonista de un alfa- 2-adrenérgicos asociado con la técnica del cateterismo uretral, es un método de desarrollo reciente en la recolección seminal en felinos, ofreciendo las ventajas sobre la recolecta por electroeyaculación y la recolecta epididimaria. La técnica se ha probado en Panthera onca y felinos de pequeño porte. Objetivos: Realizar la recolección seminal en felinos neotropicales utilizando la técnica de cateterización uretral. Determinar los parámetros testiculares y seminales de muestras recolectadas por la técnica de cateterización uretral. Metodología: En este estudio se utilizó un individuo por especie de Panthera onca, Puma yagouaroundi yLeopardus wedii localizados en el parque Zoobotánico Getúlio Vargas, Salvador, Bahia, Brasil. El semen fue recolectado por medio del cateterismo uretral y se utilizaron los farmácos: clorhidrato de medetomidina (0.1 mg /kg) y ketamina (5.0 mg /kg). Durante el desarrollo del procedimiento, se realizó la recolecta de los datos biométricos corporales y testiculares, así como la ultrasonografía de los testículos. Mediante microscopia óptica, en las muestras seminales se determinó: el vigor espermático, motilidad total, motilidad progresiva, la integridad estructural y funcional de la membrana plasmática y la morfología espermática. Las muestras se sometieron al proceso de congelación - descongelación utilizando tres diferentes crioprotectores. Las muestras descongeladas fueron evaluadas por microscopía convencional, análisis seminal computarizado y citometría de flujo. Resultados: En este estudio fue realizado con éxito la técnica de recolección seminal en las tres especies, siendo el primer estudio que informa de los parámetros seminales deP. yagouaroundiy el primero que reporta la recolección seminal uretral en L. wiedii. Los datos presentados describen de forma pionera la morfocinética espermática de las especies incluidas. No hubo diferencias (P > 0.05) en la calidad seminal evaluando por grupo de crioprotector, ni diferencias en la integridad de las membranas pré e post-congelamento. Fue posible solamente la comparación con otras técnicas de recolección seminal o con resultados de calidad seminal obtenidos de muestras de gato doméstico. Conclusión: La cateterización uretral asociada al fármaco alfa- 2-adrenérgicos es una técnica eficiente para la recolección seminal en felinos neotropicales. El establecimiento de una potencial asociación de las características físicas del animal y la calidad seminal, es información de suma importancia en la aplicabilidad para la elección de reproductores en los programas de reproducción asistida.

Introduction: The urethral catheterization associated with the application of alfa- 2 adrenergic agonist drug is a recent development and application technique for the collection of feline semen, with advantages over electro-ejaculation harvesting and epididymal harvesting. Objetives: Seminal collection in neotropical felines using the urethral catheterization technique. Determine the testicular and seminal parameters of samples collected by the urethral cataterization technique. Methods: The technique has been tested on Panthera onca and others small cats. In this study, individuals of Panthera onca, Puma yagouaroundi and Leopardus wiedii were used in captivity at Getulio Vargas Zoobotanical Park, Salvador, Bahia, Brazil. Medetomidine hydrochloride (0.1 mg/kg) and ketamine (5.0 mg/kg) were used as sedatives, the semen was collected by urethral catheterization. In the process were checked the testicular biometry was performed with percutaner and ultrasonography technique. The fresh samples were evaluated for conventional microscopy in the parameters of volume, sperm vigor, total motility, progressive motility, structural and functional integrity of the plasmatic membrane and sperm morphology. The samples were subjected to a freeze - thaw process using three different extenders. The thawed samples were tested using conventional microscopy, automated system analysis and flow cytometry. Results: In this study, the urethral harvest technique was successfully used in the three species. In the literature used don't have report about seminal parameters in P. yagouaroundi and urethral seminal collection in L. wiedii. The data presented describe the spermatic morphocinetics of the included species in a pioneer study. There were no differences (P > 0.05) in the seminal quality evaluating the extender, nor differences in the integrity of pre and post-freeze membranes of the samples. Conclusion: The urethral catheterization associated with the application of alfa- 2 adrenergic agonist drug it's an efficient technique for semen collection in neotropical cats. The establishment of a potential association of physical characteristics with seminal quality is extremely important information on the applicability of reproductive traits in assisted reproduction programs.

Effect of eCG on the follicular dynamics and vascularization of crossbred cows with different circulating progesterone concentrations during synchronization of ovulation in an FTAI protocol / Efeito do eCG na dinâmica e na vascularização folicular de vacas mestiças com diferentes concentrações circulantes de progesterona durante a sincronização de ovulação em um protocolo IATF

This study aimed to evaluate the effect of treatment with equine chorionic gonadotrophin (eCG) on the follicular dynamics and function of crossbred cows with different circulating progesterone (P4) concentrations during synchronization of ovulation in a fixed-time artificial insemination (FTAI) protocol. To this end, 30 crossbred cows were submitted to a pre-synchronization protocol to ensure that all of them presented corpus luteum (CL) at the beginning of the protocol, and were evaluated by transrectal ultrasonography (TRUS) to verify the presence of CL. After that, the animals underwent an ovulation synchronization protocol and evaluation of follicular dynamics and vascularization by B-mode and power-Doppler ultrasound (US). High plasma P4 concentrations at the time of ovulation synchronization negatively influenced follicle diameter on day 10 (D10), preovulatory follicle diameter, and preovulatory follicle wall vascularization area (p<0.05). Cows with high P4 concentration at the time of ovulation synchronization that were treated with eCG showed follicle diameter on D10 and preovulatory follicle diameter and wall vascularization area (p>0.05) similar to those of animals with low P4 concentration at the time of ovulation synchronization. Therefore, high P4 concentrations at the time of ovulation synchronization negatively influence follicular diameter and vascularization, and eCG can be used as a strategy to favor better follicular and luteal response in crossbred cows with high P4 concentrations submitted to an FTAI protocol.(AU)

Objetivou-se neste estudo avaliar o efeito do tratamento com gonadotrofina coriônica equina (eCG) sobre a dinâmica e função folicular em fêmeas mestiças com diferentes concentrações circulantes de P4 durante a sincronização da ovulação em um protocolo de IATF. Para tanto, foram utilizadas 30 fêmeas mestiças e submetidas a um protocolo de pré-sincronização para garantir que todos os animais apresentassem corpo lúteo (CL) no início do protocolo, sendo avaliadas por ultrassonografia (US) transretal para a verificação da presença ou não de CL. Em seguida foram submetidas a um protocolo de sincronização da ovulação e avaliação da dinâmica e vascularização folicular por ultrassonografia (US) em modo B e Doppler colorido. Altas concentrações de P4 no momento da sincronização da ovulação impactaram negativamente no diâmetro do folículo no D10, o diâmetro do folículo pré-ovulatório e na área de vascularização da parede do folículo pré-ovulatório (P<0,05). As vacas com alta concentração de P4 no momento da sincronização da ovulação e que foram tratadas com eCG apresentaram diâmetro do folículo no D10 e no diâmetro e a área de vascularização da parede do folículo pré-ovulatório (P>0,05), semelhantes às vacas que com baixa concentração de P4 no momento da sincronização da ovulação. Conclui-se que elevadas concentrações de P4 no momento da sincronização da ovulação impactam negativamente no diâmetro e vascularização folicular e que o eCG pode ser utilizado como uma estratégia para favorecer uma melhor resposta folicular e luteal em fêmeas mestiças com altas concentrações de P4 submetidas a um protocolo de IATF.(AU)

Use of the ACP® and BTS extenders for cooling at 15°C white-lipped peccary (Tayassu pecari) semen / Uso dos diluidores ACP® e BTS para refrigeração a 15°C de sêmen de queixada (Tayassu pecari)

Knowledge about reproduction of white-lipped peccary is of great importance to assist with the conservation of this species and enable its rational use in captivity. This study aimed to evaluate the effect of ACP-103®, ACP-116® and BTS semen extenders on sperm viability during cooling of Tayassu pecari semen. Five ejaculates from four adult males were chilled. The animals were submitted to the protocols of sedation and anesthesia for semen collection by the electroejaculation method. After collection, the semen was macro- and microscopically assessed and diluted to reach 35x106 spermatozoa/mL in each of the three different extenders tested. The fresh-extended semen was packed in a BotuFLEX® thermal box to keep samples at 15°C for 24 hours. After cooling, the following semen parameters were analyzed: sperm motility, functional and structural integrity of sperm membranes, mitochondrial activity, chromatin condensation, and the thermoresistance test was performed. The parameters sperm motility, structural and functional integrity of sperm membranes, mitochondrial activity, and chromatin condensation were preserved after use of the extenders tested, and were similar to those of in natura semen (p>0.05). Curvilinear velocity (VCL) (p<0.05) was the only parameter with reduced values after cooling regardless of the extender used. The percentage of sperm with normal morphology was greater in samples cooled using the BTS extender (p<0.05). The ACP-103®, ACP-116® and BTS extenders can be used for the cooling and preservation of white-lipped peccary semen at 15°C for 24 hours.(AU)

Para auxiliar na conservação da espécie e permitir o uso racional do queixada em cativeiro é de grande importância o conhecimento sobre a reprodução da espécie. Objetivou-se avaliar o efeito dos diluidores de sêmen ACP-103®, ACP-116® e BTS na viabilidade espermática durante a refrigeração do sêmen do Tayassu pecari. Foram refrigerados cinco ejaculados provenientes de quatro machos adultos. Os animais foram contidos com auxílio de puçá e submetidos ao protocolo de sedação e anestesia para realização da coleta de sêmen pelo método da eletroejaculação. Depois da coleta, o sêmen foi avaliado macro e microscopicamente e diluído para atingir 35x106 espermatozoides/mL em cada um dos três diferentes diluidores testados. O sêmen diluído foi acondicionado em caixa térmica BotuFLEX® para manter as amostras a 15°C por um período de 24 horas. Depois da refrigeração, os espermatozoides foram avaliados quanto aos parâmetros de movimento espermático, integridade funcional e estrutural das membranas espermáticas, atividade mitocondrial, condensação da cromatina e teste de termorresistência. Os diluidores testados preservaram as características cinéticas, a integridade estrutural e funcional das membranas espermáticas, a atividade mitocondrial e a condensação da cromatina semelhante ao sêmen in natura (P>0,05). O único parâmetro que reduziu com o processo de refrigeração independente do diluidor utilizado foi a Velocidade Curvilinear (VCL) (P<0,05). Foi observado aumento do percentual de espermatozoides morfologicamente normais nas amostras refrigeradas em BTS (P<0,05). Os diluidores ACP-103®, ACP-116® e BTS podem refrigerar e conservar o sêmen de queixada a 15°C por 24 horas.(AU)

Avaliação morfofuncional do corpo lúteo para diagnóstico precoce de gestação 20 dias após IATF em vacas mestiças leiteiras / Morphological evaluation of corpus luteum for the diagnosis of 20-day pregnancy after IATF in crossbred cows

A detecção superprecoce de gestação é de grande relevância quando se trata do aumento da produtividade dos rebanhos, na tentativa de redução do tempo de serviço desses animais. Por tal relevância, objetivou-se utilizar a ultrassonografia (US) Doppler como ferramenta para predição de gestação, avaliando a irrigação do corpo lúteo (CL), vinte dias após IATF. Setenta e três vacas mestiças foram avaliadas 20 dias após IATF por US transretal. Para obtenção do diâmetro do CL (DCL) e sua área (ACL) utilizou-se o modo B, na mensuração da área de vascularização (VCL) e seu percentual no CL (VCL%) empregou-se o Doppler Colorido. As imagens foram classificadas com base na quantidade de pixels coloridos e sua distribuição no CL, em dois grupos: diagnóstico preditivo negativo de gestação (DPN) e preditivo positivo (DPP). No mesmo dia, a funcionalidade do CL foi determinada pela concentração plasmática de P4. O diagnóstico de gestação definitivo foi realizado por US 35 dias após as IATFs. Utilizou-se o teste t de Student (com P<0,05) na avaliação das variáveis. Grupo gestantes apresentou médias superiores (P<0,05) para todas as variáveis ao Grupo Não Gestantes. O diagnóstico preditivo demonstrou 83,33% de especificidade, sensibilidade de 100% e acurácia de 91,79%. Conclui-se que a US doppler do CL aos 20 dias pós IATF é um método confiável no diagnóstico precoce de gestação.(AU)

The super early gestation detection is of great relevance considering the increase of the herds' productivity, in an attempt to reduce the time of service of these animals. Due to this relevance, this study aimed to use Doppler ultrasonography as a tool for gestation prediction, evaluating the luteal body (CL) irrigation twenty days after FTAI. 73 crossbred cows were evaluated 20 days after FTAI through trans rectal US. In order to obtain the diameter of the CL (DCL) and its area (ACL), B mode was used. The Color Doppler was applied to measure the vascularization area (CLV) and its percentage in the CL (VCL %). The images were classified, based on the number of colored pixels and their distribution in CL, in two groups: negative predictive diagnosis of gestation (NPD) and positive predictive value (PPV). On the same day, LC functionality was determined based on P4 plasma concentration. The definitive gestation diagnosis was confirmed through US 35 days after the FTAIs. Student's T test (with P<0.05) was used to evaluate the variables. Pregnant group presented higher averages (P<0.05) for all variables compared to the Non-Pregnant Group. The predictive diagnosis showed 83.33% of specificity, 100% of sensitivity and 91.79% of accuracy. The conclusion is that the US Doppler at 20 days post FTAI is a reliable method for early gestation diagnosis.(AU)

Eficácia da associação dupla dose PGF2 alfa-eCG no proestro de vacas leiteiras mestiças submetidas à IATF / Efficacy of the double PGF2 alpha dose-eCG association in proestrus of crossbred dairy cows submitted to IATF

Objetivou-se avaliar o efeito de uma ou duas doses de prostaglandina F2α (PGF2α) associada ou não a gonadotrofina coriônica equina (eCG) sobre a dinâmica folicular, a função luteal pré-ovulatória, assim como as características morfofuncionais pós-ovulatórias do corpo lúteo (CL) em fêmeas mestiças cíclicas submetidas a um protocolo de inseminação artificial em tempo fixo (IATF). Para tanto, 29 vacas 3/4 Gir x Holandês multíparas foram submetidas ao exame de ultrassonografia (US) transretal e após a detecção do CL iniciou-se um protocolo de IATF em um dia denominado zero (D0), por meio da inserção do implante de progesterona (P4) associado à aplicação de 2,0mg de benzoato de estradiol. No D7 esses animais receberam 12,5mg de dinoprost trometamina. No D9 realizou a remoção dos dispositivos de P4 e aplicou 0,6mg de cipionato de estradiol. Nesse momento, as fêmeas foram subdivididas nos seguintes tratamentos: Grupo Controle (n=7), foi administrado 2,5mL de solução fisiológica; Grupo 2PGF (n=7), aplicou 12,5mg de dinoprost trometamina; Grupo eCG (n=7), administrou-se 300UI de eCG; Grupo 2PGF+eCG (n=8), realizou a aplicação de 300UI de eCG e 12,5mg de dinoprost trometamina. Para avaliar a dinâmica folicular foram realizados exames de US em modo B e power doppler (Mindray Z5, Shenzhen, China) a cada 12h do D7 até o momento da ovulação ou 96h após a remoção dos implantes de P4, mensurando-se o diâmetro folicular (DFOL), a área da parede folicular (AFOL) e a área de perfusão sanguínea da parede folicular (VFOL). Concomitante a cada exame, foram coletadas amostras de sangue sendo determinada a concentração sérica de P4 pré-ovulatória por meio da metodologia de quimioluminescência. No D24 foi realizada a US modo B e doppler analisando-se o diâmetro luteal (DCL), área luteal (ACL) e área de perfusão sanguínea do CL (VCL), assim como, foi coletada amostra de sangue para averiguar a concentração sérica de P4 pós-ovulatória. Os dados foram avaliados pelo Two-way ANOVA e análise de medidas repetidas considerando os efeitos do eCG, 2PGF e interação eCG*2PGF, P<0,05. Não houve diferença significativa entre os protocolos de sincronização para as variáveis DFOL, AFOL e VFOL ao longo do tempo da dinâmica folicular. Os grupos experimentais apresentaram uma concentração sérica de P4 pré-ovulatória semelhante em cada momento da avaliação. Não foi observada distinção da ACL e VCL entre os tratamentos hormonais, contudo o Grupo eCG demonstrou tendência (P=0,08) a apresentar maior DCL em relação ao Grupo 2PGF e 2PGF+eCG. Adicionalmente a estes achados, também foi constatado tendência (P=0,07) a maiores concentrações de progesterona no dia 24 do protocolo nos animais do Grupo eCG (11,00±3,32ng/mL) em relação ao Grupo 2PGF (6,37±1,31ng/mL), enquanto o Controle e 2PGF+eCG demonstraram resultados intermediários que se assemelham a ambos os grupos, com concentrações de 8,43±3,85 e 9,18±2,82ng/mL, respectivamente. As tentativas de ajustes no proestro foram incapazes de melhorar a qualidade folicular e minimizar a função luteal pré-ovulatória, assim como não incrementaram a morfologia do CL e a função luteal pós-ovulatória, sugerindo que em animais cíclicos mestiços protocolos de IATF com a utilização de uma única dose PGF2α e sem o suporte gonadotrófico da eCG parece promover adequada resposta folicular e luteal.(AU)

The study aimed to evaluate the effect of one or two prostaglandin doses F2α (PGF2a) with or without equine chorionic gonadotropin (eCG) in the follicular dynamics, the preovulatory luteal function, as well as the structural and functional characteristics post-ovulatory of the corpus luteum (CL) in cyclic crossbred females subjected to a fixed time artificial insemination (FTAI) protocol. For this, 29 multiparous 3/4 Gyr x Holstein cows were subjected to transrectal ultrasound examination (US) and upon detection of CL initiated a FTAI protocol on day called zero (D0) by the insertion of progesterone implant (P4) associated with the application of 2.0mg estradiol benzoate. On D7, these animals received 12.5mg of dinoprost tromethamine. At D9 happened the removal of the P4 devices and was applied 0.6mg of estradiol cypionate. At that time, the females were divided into the following treatments: control group (n=7) - which received 2.5mL of saline solution, 2PGF group (n=7) - received 12.5mg of dinoprost tromethamine, eCG group (n=7) - was administered 300IU eCG and eCG+2PGF group (n=8) - which received 300 IU eCG and 12.5mg of dinoprost tromethamine. To assess follicular dynamics were performed US scans B-mode and power doppler (Mindray Z5, Shenzhen, China) each 12h on D7 until the time of ovulation or until 96h after removal of the P4 implants, considering the follicular diameter (DFOL), the area of the follicular wall (AFOL) and the blood perfusion area of the follicular wall (VFOL). Concomitant with each test, blood samples were collected to determine the serum concentration of P4 preovulatory by chemiluminescence methodology. In D24 had held US B-mode and doppler to analyse the luteal diameter (DCL), luteal area (ACL) and blood perfusion area CL (VCL). Also, a blood sample was collected to determine the serum concentration of P4 post-ovulatory. All data was evaluated by Two-way ANOVA and repeated measures analysis considering the effects of eCG, 2PGF and eCG*2PGF, P<0.05. There was not significant difference between the synchronization protocols for DFOL, AFOL and VFOL variables over time of follicular dynamics. Experimental groups had a serum concentration of P4 preovulatory similar in every moment of evaluation. There wasn't distinction of ACL and VCL between hormone treatments. However, the eCG group showed a tendency (P=0.08) to present higher DCL compared to the 2PGF and 2PGF+eCG groups. In addition to these findings, there was also a tendency (P=0.07) to higher concentrations of P4 on D24 of the protocol in the animals of the eCG group (11.00±3.32ng/mL) compared to the 2PGF group (6,37±1.31ng/mL), meanwhile the Control and 2PGF+eCG showed intermediate results that resembled both groups, with concentrations of 8.43±3.85 and 9.18±2.82ng/mL, respectively. Attempts to adjust proestrus were unable to improve follicular quality and minimize preovulatory luteal function, nor did they increase CL morphology and post-ovulatory luteal function, suggesting that in cyclic animals, FTAI protocols using a single PGF2α dose and without the gonadotrophic support of eCG seems to promote adequate follicular and luteal responses.(AU)

Color Doppler imaging of the retrobulbar circulation and plasmatic biomarkers of vascular risk in age-related macular degeneration: A pilot study

Purpose: To evaluate preliminarily and compare the level of plasmatic biomarkers of vascular risk in patients with and without exudative age-related macular degeneration (ARMD) and to relate it to vascular resistance alterations in the ophthalmic artery (OA), central retinal artery (CRA), posterior temporal ciliary artery (PTCA), and posterior nasal ciliary artery (PNCA). Methods: Color Doppler imaging of the OA, CRA, PTCA, and PNCA was performed in 30 eyes of 30 cataract patients (control group) as well as in 30 eyes of 30 patients with naive exudative ARMD (study group), measuring the peak systolic velocity, end-diastolic velocity (EDV), and Pourcelot resistive index (RI). Likewise, in both groups, a blood test was performed to determine the plasmatic levels of homocysteine, C-reactive protein (CRP), B12 vitamin, and folic acid. Results: A positive and significant correlation was found between the level of CRP and RI of the OA in the ARMD group (r = 0.498, P = 0.005), with an increased RI in all arteries compared to controls, although differences only reached statistical significance for the PTCA (P = 0.035). Likewise, a significantly lower EDV for the CRA was found in ARMD eyes compared to controls (P = 0.041). In the study group, significantly higher plasmatic levels of homocysteine (P = 0.042) and CRP (P = 0.046) were found. In contrast, no significant differences were found between groups in the levels of folic acid (P = 0.265) and B12 vitamin (P = 0.520). Conclusion: The decrease of the choroidal perfusion related to hyperhomocysteinemia, and increase in the CRP plasmatic levels may play an etiological role on the exudative ARMD. This should be investigated in future studies with larger samples of patients.

Combined aerobic and resistance training: are there additional benefits for older hypertensive adults?

OBJECTIVES: The objective of this study was to compare the effects of a combination of aerobic and resistance training to those of isolated aerobic training on blood pressure, body composition, and insulin sensitivity in hypertensive older adults. METHOD: Forty-four patients were randomly assigned to the aerobic group, resistance and aerobic group, and control group. Before and after 10 weeks, the following data were obtained: 24-hour ambulatory blood pressure data, abdominal circumference, waist circumference, body mass index, lean mass, fat mass, and insulin sensitivity. The study was conducted with 3 training sessions per week. RESULTS: Comparison revealed significant reductions in the body mass index, abdominal and waist circumferences, and ambulatory blood pressure (24-hour, wakefulness and sleep systolic/diastolic blood pressures) in both the aerobic group and the resistance and aerobic (combined) group. The fat mass only changed in the combined group. There was no difference in the insulin sensitivity in any group. CONCLUSIONS: The combined treatment and aerobic treatment alone were equally effective in reducing the blood pressure, body mass index, and abdominal and waist circumferences, although the addition of the resistance component also helped reduce the fat mass.

Hipersensibilidade a lamivudina em paciente infectada pelo HIV: relato de caso / Lamivudine's hypersensitivity in an HIV infected patient: case report

Importância do problema: Relatar um caso de hipersensibilidade à lamivudina, droga considerada segura e antirretroviral indicado como de primeira linha para início de tratamento para pacientes infectados pelo HIV. Comentários: É relatado o caso de paciente infectada pelo HIV que evoluiu com farmacodermia associada à terapia antirretroviral (TARV) utilizando tenofovir, lamivudina e efavirenz. Inicialmente, a hipersensibilidade foi atribuída ao efavirenz, pela maior incidência de eventos desta natureza com este medicamento e este foi substituído por fosamprenavir/ ritonavir. Apesar da substituição, paciente desenvolveu síndrome de Stevens-Johnson. Foi hospitalizada e iniciou novo esquema, com introdução de droga a droga, com atazanavir/ritonavir, seguido de zidovudina e lamivudina, desenvolvendo manifestação de eritema multiforme após a última droga, sendo esta considerada a responsá- vel pela hipersensibilidade. (AU)

Relevance: To report a case of hypersensitivity to lamivudine, a medicine that is considered safe and is indicated as part of the initial therapy for HIV infected patients. Comments: It is reported the evolution of an HIV patient who developed a drug eruption due to the following antirretroviral therapy: tenofovir, lamivudine and efavirenz. It initially was attributed to efavirenz, due to its higher incidence in these adverse reactions and it was replaced by fosamprenavir/ritonavir. In spite of the replacement, the patient developed Stevens-Johnson's Syndrome. She was hospitalized and began a new therapy with atazanavir/ritonavir, followed by zidovudine and lamivudine and presented a drug reaction with the last one, which was considered to be the responsible for the hypersensitivity. (AU)

Relationship between the prevalence of hemoglobin S and the ethnic background of blood donors in Paraná state / Relação entre prevalência da hemoglobina S e origem étnica de doadores de sangue no estado do Paraná

ABSTRACTIntroduction:Hemoglobin S (HbS) is one of the most common inherited hematological disorders in humans. In Brazil, the sickle-cell disease (SCD) has significant epidemiological importance due to its prevalence and the morbidity-mortality and, therefore, it has been identified as a matter of public health.Objective:To determine the prevalence of HbS among Asian Brazilian, Afro Brazilian, and Euro Brazilian individuals of a blood bank in Curitiba.Material and method:The study was conducted from January 2008 to December 2009, and included 83,213 donors seen at the Instituto Paranaense de Hemoterapia e Hematologia.Results and discussion:The prevalence of HbS in the studied population was 0.9%, among them, 0% Asian Brazilians, 2.7% Afro Brazilians, and 0.7% Euro Brazilians. There was a positive association, statistically significant for the sickle cell trait in Afro-descendants, with odds ratio (OR) 4.01; confidence interval (CI) 3.42-4.72; and 95% confidence.Conclusion:This study showed higher rates of sickle cell trait in Afro Brazilians, which corroborates data published in other Brazilian regions and states.

RESUMOIntrodução:A hemoglobina S (HbS) é uma das alterações hematológicas hereditárias de maior frequência na espécie humana. No Brasil, a anemia falciforme (AF) tem importância epidemiológica significativa em virtude da prevalência e da morbimortalidade que apresenta e por isso tem sido apontada como uma questão de saúde pública.Objetivo:Determinar a prevalência de HbS entre indivíduos de origem asiática, afro e euro-brasileira de um banco de sangue de Curitiba.Material e método:O estudo foi realizado no período de janeiro de 2008 a dezembro de 2009, no qual foram incluídos 83.213 doadores atendidos no Instituto Paranaense de Hemoterapia e Hematologia.Resultados e discussão:A prevalência geral de HbS na população estudada foi de 0,9%, sendo 0% entre asiático-brasileiros, 2,7% entre afro-brasileiros e 0,7% entre euro-brasileiros. Houve associação positiva, significativa estatisticamente, para o traço falcêmico nos afrodescendentes, com odds ratio (OR) de 4,01 e intervalo de confiança (IC) 3,42-4,72, com 95% de confiança.Conclusão:O presente trabalho demonstrou maiores índices de traço falcêmico em afro-brasileiros, o que corrobora dados publicados em outras regiões e estados brasileiros.

Seguimento de 12 meses de pacientes complexos tratados com stentsfarmacológicos liberadores de everolimus XIENCE V® na prática diária – resultados do registro brasileiro BRAVO / Twelve-month follow-up of complex patients treated with the Xience V™ everolimus drug-eluting stents in daily practice – results of the BRAVO Brazilian Registry

O stent liberador de everolimus XIENCE V® é um stent farmacológico de nova geração que incorpora uma plataforma de cromo-cobalto de baixo perfil (81 m) e um polímero de elevada biocompatibilidade (fluoropolímero), o qual carreia e controla a liberação do fármaco everolimus. Estudos recentes demonstram segurança e eficácia sustentadas do dispositivo XIENCE V® no tratamento de populações da prática clínica. Nosso objetivo foi reportar resultados clínicos de 12 meses do protocolo brasileiro BRAVO. Métodos: O registro BRAVO foi um estudo prospectivo, não randomizado, de braço único, multicêntrico (25centros), que avaliou os resultados clínicos tardios de 535 pacientes minimamente selecionados, tratados com o stent farmacológico XIENCE V®.Resultados: Cerca de 40% dos pacientes tinham diabetes, 25% infarto agudo do miocárdio prévio e 42% apresentaram-se com síndrome coronária aguda. A maioria das lesões (69%) era de elevada complexidade(ACC/AHA tipo B2/C). As médias da extensão e do diâmetro nominais dos stents foram, respectivamente, 19,9 ± 5,3 mm e 3,0 ± 0,4 mm. Os sucessos angiográfico e de procedimento foram de 99,7 e 98%, respectivamente. Aos 12 meses, a taxa cumulativa de eventos cardíacos adversos maiores, disponível em 100% dos pacientes, foi de 5,6% (morte cardíaca: 1,3%; infarto agudo do miocárdio: 3,0%; revascularização da lesão-alvo: 2,2%). Já a trombose de stent ocorreu em cinco pacientes (0,9%), sendo reportada apenas uma ocorrência entre 6 e 12 meses. Conclusões: O stent farmacológico XIENCE V® demonstrou segurança e eficácia sustentadas ao final de 12meses no tratamento de lesões coronárias complexas em pacientes da prática diária...

The Xience VTM everolimus-eluting stents is a new generation drug-eluting stent (DES)that incorporates a low profile cobalt-chromium platform (81 m) and a highly biocompatible polymer(fluoropolymer), which carries and controls the release of everolimus. Recent studies have demonstrated sustained safety and efficacy of the Xience VTM in the treatment of real-world populations. Our aim was to report the clinical results of 12 months of the BRAVO Brazilian protocol. Methods: The BRAVO Registry was a prospective, non-randomized, single-arm, multicenter (25 centers) study that evaluated the late clinical results of 535 minimally selected patients treated with the drug eluting stent Xience VTM in Brazilian daily practice. Results: Overall, 40% of patients had diabetes, 25% prior myocardial infarction, and 42% presented with acute coronary artery syndrome. The majority of lesions (69%) was highly complex (ACC/AHA type B2 or C).The mean length and the nominal stent diameter were 19.9 ± 5.3 mm and 3.0 ± 0.4 mm, respectively.The angiographic and procedural successes were 99.7 and 98%, respectively. At 12 months, the cumulative rate of major adverse cardiac events, available in 100% of patients, was 5.6% (cardiac death: 1.3%; acute myocardial infarction: 3.0%; revascularization of the target lesion: 2.2%). Stent thrombosis occurred in 5 patients (0,9%), and only 1 case was reported between 6 and 12 months. Conclusions: The drug-eluting stent Xience V™ demonstrated sustained safety and efficacy up to 12 months in the treatment of complex coronary lesions in patients from daily practice...

Effect of fixed feeding time on growth, body composition, and hepatic histology of hybrid catfish (Pseudoplatystoma reticulatum x Leiarius marmoratus) fed with carbohydrates and lipids ratios / Efecto de la alimentación a tiempo fijo sobre el crecimiento, composición corporal e histología hepática del bagre híbrido (Pseudoplatystoma reticulatum x Leiarius marmoratus) alimentado con proporciones de carbohidratos y lípidos / Efeito do tempo de alimentação fixa no crescimento, composição corporal e histologia hepática do bagre híbrido (Pseudoplatystoma reticulatum x Leiarius marmoratus) alimentados com relações de carboidrato e lipídios

Background: feed and light are the most important factors affecting the biological rhythms of fish. This work studies fish adaptation to those factors. Objetive: to determine the influence of feeding time and dietary starch and lipid levels on growth, body composition, and liver histology of hybridized Brazilian catfish. Methods: two isoenergetic diets were formulated to contain two levels of crude starch (CHO, %) and lipids (L, %): 5/11 CHO/L and 25/2.2 CHO/L. Sixty animals (260 ± 10 g) were randomly distributed into twelve tanks (100 L). Using self-feeders, two fish groups were fed a diet containing either 5% or 25% starch during the light period (ML), while other two groups were fed the same diets during the dark period (MD). The following parameters were measured: final weight, weight gain, specific growth rate, food intake, hepatosomatic index, and viscerasomatic index. The experiment was carried out in triplicate for 60 days. Results: growth parameters such as specific growth rate (SGR), final weight, and weight gain showed statistical differences between groups, with the best results for the group fed the 25% starch diet during ML. Significant differences between groups on body lipid content, energy, and dry weight were also recorded for those feed 25% starch in the MD. A significant effect was also observed on liver lipid and glycogen content, with values generally higher for ML with 5% starch. Fish fed 25% starch showed significantly lowest lipid and glycogen content during ML. Surprisingly, the opposite occurred regarding liver composition for fish fed in MD. Conclusions: we suggest diurnal feeding should be practiced for optimal performance of juvenile fish, however dark or light phases could be used, taking into consideration its relationship with carbohydrate levels.

Antecedentes: la alimentación y la luz son los factores más importantes que afectan los ritmos biológicos en peces. En este artículo se presenta un poco de conocimiento acerca de la plasticidad de los peces para la utilización del alimento. Objetivo: este estudio se realizó para determinar la influencia del horario de alimentación y los niveles de almidón y lípidos de la dieta en el crecimiento, la composición corporal y la histología hepática en el bagre híbrido. Métodos: fueron formuladas dos dietas isoenergéticas para contener dos niveles de almidón (CHO, %) y lípidos (L, %): 5/11 CHO/L y 25/2.2 CHO/L. Sesenta animales (260 ± 10 g) fueron distribuidos aleatoriamente en 12 tanques (100 L). Un grupo de peces fue alimentado con 5% de almidón en el periodo diurno (ML), y otro grupo fue alimentado en el periodo nocturno (MD). Se realizaron los mismos procedimientos para el grupo alimentado con 25% de almidón. Los siguientes parámetros fueron medidos: peso final, ganancia de peso, tasa de crecimiento especifico, ingestión alimentaria, índice hepatosomático y índice vicerosomático. El experimento se realizó por triplicado durante 60 días. Resultados: los parámetros de crecimiento como la tasa de crecimiento específico (SGR), peso final y ganancia de peso mostraron diferencias estadísticas entre los grupos, con mejores resultados en los grupos alimentados con 25% de almidón en ML. Se observaron diferencias significativas entre los grupos para el contenido de lípidos en el cuerpo, energía y materia seca, para los animales alimentados con 25% de almidón en MD. Hubo un efecto significativo sobre los lípidos hepático y glucógeno, con los valores generalmente más altos en ML para los peces alimentados con 5% de almidón. Sin embargo, los peces alimentados con 25% de almidón presentaron significativamente menor contenido de lípidos y glucógeno en la condición de ML. Sin embargo, ocurrió lo contrario con los peces alimentados en MD, para la composición del hígado. Conclusiones: la alimentación diurna se sugirió para un mejor rendimiento de los juveniles, sin embargo, la fase nocturna o de luz se podrían utilizar, teniendo en cuenta su relación con los niveles de carbohidratos.

Antecedentes: alimentos e luz são os fatores mais importantes que arrastam os ritmos biológicos em peixes. Neste trabalho, trazemos um pouco do conhecimento sobre a plasticidade dos peixes para a utilização dos alimentos. Objetivo: este estudo foi realizado para determinar a influencia do horário de alimentação e níveis de amido e lipídio dietético no crescimento, composição corporal e histologia hepática em um bagre hibrido. Métodos: duas dietas isoenergéticas foram formuladas para conter dois níveis de amido (CHO, %) e lipídeo (L, %): 5/11 CHO/L e 25/2.2 CHO/L. Sessenta animais (260 ± 10 g) foram distribuídos aleatoriamente em 12 tanques (100 L). Um grupo de peixes foi alimentado com 5% de amido no período diurno (ML), e outro grupo foi alimentado no período noturno (MD). Os mesmos procedimentos foram realizados para o grupo que de alimentava com 25% de amido. Os seguintes parâmetros foram medidos: peso final, ganho de peso, taxa de crescimento especifico, consumo, índice hepatossomático y índice vicerossomático. O experimento foi conduzido em triplicado por 60 dias. Resultados: os parâmetros de crescimento como SGR, peso final e ganho de peso mostraram diferença estatística entre os grupos, com melhores resultados nos grupos alimentados com 25% de amido em ML. Diferença significativa entre grupos para conteúdo de lipídio na carcaça, energia e material seca foram observados para os animais alimentados com 25% de amido em MD. Foi observado efeito significativo no lipídio hepático e glicogênio com valores em geral mais altos em ML para os peixes alimentados com 5% de amido. Entretanto, os peixes alimentados com 25% de amido mostraram significativamente baixo conteúdo de lipídio e glicogênio sobre a condição de MD. Surpreendentemente, o oposto correu com os peixes alimentados em MD, para a composição do fígado. Conclusões: a alimentação diurna foi sugerida para um melhor desempenho dos juvenis, no entanto, a fase noturna ou de luz poderiam ser usados , levando em consideração sua relação com os níveis de carboidratos.

Frecuencia de episodio depresivo mayor y factores relacionados en pacientes infectados por el virus de la inmunodeficiencia humana en tratamiento antirretroviral de gran actividad (TARGA) en un hospital público de Lima / Frequency of major depressive episode and related factors in patients infected with human immunodeficiency virus in highly active antiretroviral therapy in a public hospital in Lima

Objetivo: Estimar la frecuencia de episodio depresivo mayor (EDM) y sus factores relacionados en pacientes infectados por el VIH en tratamiento antirretroviral de gran actividad (TARGA) en el Hospital Nacional Cayetano Heredia (HNCH), en el período enero - febrero 2012. Material y métodos: Estudio transversal, en el cual 205 pacientes ambulatorios del servicio de TARGA del HNCH, respondieron un cuestionario que consignaba la escala CES-D de 5 ítems para síntomas depresivos, además de las variables sociodemográficas y relativas al TARGA. De acuerdo a la sensibilidad y especificidad, nos aproximamos al diagnóstico de EDM usando un punto de corte de 6 en la escala CES-D. Se realizó análisis bivariado y multivariado para determinar los factores relacionados a la frecuencia de EDM. Resultados: Se encontró una frecuencia de EDM de 27,8% en la población descrita. Las variables significativamente relacionadas a EDM fueron trabajo estable (OR=0,16; IC95% [0,03-0,86]) y consumo pasado de marihuana (OR=4,69; IC95% [1,08-20,37]). No se encontraron relacionados a la presencia de EDM, la orientación sexual, los niveles de CD4 ni la falta de adherencia a TARGA. Conclusiones: Se encontró una alta frecuencia de EDM en la población estudiada, mayor a la prevalencia descrita en la población general y comparable con otros estudios. Posiblemente sean factores asociados a EDM en pacientes con VIH el trabajo estable como factor protector y el consumo pasado de marihuana como factor de riesgo. Se requiere realizar estudios prospectivos para esclarecer la incidencia y factores asociados a EDM en la población de riesgo estudiada.

Objective: To estimate the frequency of major depressive episode (MDE) and related factors in HIV patients on highly activity antiretroviral treatment (HAART) in Hospital Nacional Cayetano Heredia (HNCH) in January - February, 2012. Materials and methods: Cross-sectional study which addressed 205 outpatients on the HAART service at HNCH who completed a questionnaire that consigned the CES-D scale of 5 items for depressive symptoms in addition to socio-demographic and other independent variables related to HAART. According to sensibility and specificity, we approached to the diagnosis of MDE using a cut-off point of 6 on the CES-D scale. We performed bivariate and multivariate analysis to determine factors related to the frequency of major depressive episode (MDE). Results: The observed MDE frequency in the described population was 27.8%. It was found that stable job (OR=0.16, CI95% [0.03 to 0.86]) and past use of marijuana (OR=4.69, CI95% [1.08 to 20.37]) were significantly related to MDE. There was no relation between having a MDE and sexual orientation, CD4 levels and not being adherent to HAART. Conclusions: A high frequency of MDE was found, higher than the prevalence in the general population and in accordance with the results of several authors. Among the associated factors with MDE in HIV patients, stable job could be a protective factor and past use of marijuana, a risk factor. Prospective studies are required to clarify the incidence and associated factors within this mood disorder in the studied population.

Necrophagous diptera associated with wild animal carcasses in southern Brazil

Necrophagous Diptera associated with wild animal carcasses in southern Brazil. The aim of this study was to acquire a better knowledge concerning the diversity of necrophagous Diptera that develop on wild animal carcasses. For this purpose, the decomposition of six wild animal carcasses was observed in order to collect and identify the main species of necrophagous flies associated with the decomposition process. The carcasses were found on highways near the cities of Pelotas and Capão do Leão in the initial stage of decomposition, with no significant injuries or prior larval activity. Four wild animal models were represented in this study: two specimens of Didelphis albiventris Lund, 1840; two Tupinambis merianae Linnaeus, 1758; one Nothura maculosa Temminck, 1815; and one Cerdocyon thous Linnaeus, 1766. A total of 16,242 flies from 14 species were reared in the laboratory, where Muscidae presented the greatest diversity of necrophagous species. Overall, (i) carcasses with larger biomass developed a higher abundance of flies and (ii) the necrophagous community was dominated by Calliphoridae, two patterns that were predicted from published literature; and (iii) the highest diversity was observed on the smaller carcasses exposed to the lowest temperatures, a pattern that may have been caused by the absence of the generalist predator Chrysomya albiceps (Wiedemann, 1819). (iv) An UPGMA analysis revealed a similar pattern of clusters of fly communities, where the same species were structuring the groupings.