Para além do combate à ancilostomíase: o diário do médico norte-americano Alan Gregg / Looking beyond the campaign to eradicate ancylostomiasis: the diary of the American physician Alan Gregg

Entre 1916 e 1923, o Distrito Federal e 11 estados brasileiros estabeleceram acordos de cooperação com a divisão internacional de saúde – International Health Board – da Fundação Rockefeller para combater uma endemia rural, a ancilostomíase. Este breve texto apresenta o diário de Alan Gregg, um dos médicos norte-americanos que trabalharam no Brasil entre 1919-1922. Fonte interessante para discutir questões relativas à história da saúde pública no Brasil, o diário do médico, além das informações sobre as atividades de combate à ancilostomíase desenvolvidas pela Fundação Rockefeller no país, apresenta suas impressões relativas à natureza, à cultura, à política e à sociedade brasileiras. Na seleção de trechos do diário ora apresentado, priorizamos, porém, aspectos relativos às atividades profissionais realizadas por Gregg.

Between 1916 and 1923, the Federal District and 11 Brazilian states entered into cooperation agreements with the International Health Board of the Rockefeller Foundation to combat a rural endemic disease, namely ancylostomiasis. This paper presents the diary of Alan Gregg, one of the American physicians who worked in Brazil from 1919 to 1922. An interesting source to discuss issues relating to the history of public health in Brazil, in addition to information about the activities to combat ancylostomiasis developed by the Rockefeller Foundation in the country, the diary of the physician presents his impressions concerning nature, culture, politics and society in Brazil. In the diary excerpts presented here, however, aspects related to the professional activities performed by Gregg are prioritized.

Effects of Cylindrospermopsis raciborskii strains (Woloszynska, 1912) Senayya & Subba Raju on the mobility of Daphnia laevis (Cladocera, Daphniidae) / Efeitos de cepas de Cylindrospermopsis raciborskii (Woloszynska, 1912), Senayya & Subba Raju na mobilidade de Daphnia laevis (Cladocera, Daphniidae)

Cylindrospermopsis raciborskii is a cyanobacterium distributed worldwide that is known to produce cyanotoxins. Some of the Brazilian strains can produce saxitoxins (STXs), which are classified as neurotoxins and can paralyze cladocerans .Daphnia laevis is a cladoceran with a wide distribution in the Americas and has been studied as a possible test-organism in toxicity bioassays. The present work tested the acute effect on D laevis mobility when fed a saxitoxin-producing (STX and neoSTX) C. raciborskii strain, CYRF-01, and compared the results with the effects of a non-toxic strain (NPCS-1). Neonates (6-24 hours after birth) were exposed to concentrations of C. raciborskii varying from 102 to 106 cells·mL–1 of each strain for up to three hours. The cladocerans were then transferred to a medium without toxic filaments for 24 hours. Only the organisms exposed to the STX-producing strain showed signs of the immobilization of swimming movements, confirming the effects of the toxins. There was a linear correlation between the time required to induce stopping the swimming movement, with a shorter time to needed to induce immobilization at a higher the concentration; this correlation was inverse to the time required to recover the swimming movements (longer at higher concentrations, p < 0.1). D. laevis is a tropical and subtropical species with great potential for use in toxicity tests for the detection of STXs, despite being native to and found in a great array of freshwater bodies. This is the first assay testing STX-producing and non-producing C. raciborskii strains on D. laevis, species that are both found in Brazilian ecosystems.

Cylindrospermopsis raciborskii é uma espécie de cianobactéria, difundida mundialmente, conhecida como produtora de cianotoxinas. Algumas linhagens brasileiras são conhecidas como produtoras de saxitoxinas (STXs), as quais são classificadas como neurotoxinas e podem induzir a paralização dos movimentos natatórios em cladóceros. Daphnia laevis é um cladócero de ampla distribuição nas Américas e tem sido estudado como um organismo teste para uso em ensaios de toxicidade. Neste sentido, o presente trabalho avaliou os efeitos agudos de C. raciborskii, de uma cepa produtora de STXs (STX e neoSTX) - CYRF-01 e outra não produtora de cianotoxinas (NPCS-1) sobre a mobilidade de D. laevis. Para tanto, neonatas entre 6-24 horas de idade foram submetidas a concentrações de C. raciborskii variando de 102 a 106 céls.mL–1 de ambas as cepas, por um período de 3 horas, e transferidos posteriormente para um meio isento de filamentos tóxicos por 24horas. Apenas os organismos expostos à cepa produtora de STXs apresentaram paralisia dos movimentos natatórios, confirmando o efeito da cianotoxina. Houve uma correlação linear entre o tempo de paralização e as concentrações, isto é, nas concentrações mais altas, os organismos paralisaram num curto período de tempo, e conseqüentemente, levaram mais tempo para se recuperar (p < 0,1). D.laevis é uma espécie de região tropical e subtropical com potencial uso em bioensaios para detecção de STXs. Trata-se dos primeiros relatos acerca da resposta de D.laevis quando submetida às cepas de C. raciborskii produtora e não produtora de STXs, ambas isoladas de ecossistemas brasileiros.

Aluminum and ethanol induce alterations in superoxide and peroxide handling capacity (SPHC) in frontal and temporal cortex.

Aluminum is an omnipresent neurotoxicant and has been associated with several neuropathological disorders. Cerebrum and cerebellum have been shown to face augmented oxidative stress when animals are exposed to aluminum and high doses of ethanol. To establish the link between oxidative stress and neurobehavioral alterations, the present study was conducted to determine the extent of oxidative stress in low levels of pro-oxidant (ethanol exposure) status of the functionally discrete regions of the cerebrum. Male Wistar rats were exposed to aluminum (10 mg/kg body wt) and ethanol (0.2-0.6 g/kg body wt) for 4 weeks. Spontaneous motor activity (SMA) and Rota-Rod performances (RRP) were recorded weekly during the period of exposure. At the end of 4th week, oxidative stress parameters were determined from the homogenized cerebral tissue. GSH-independent superoxide peroxide handling capacity (GI-SPHC) and GSH-dependent superoxide peroxide handling capacity (GD-SPHC) were determined for FC and TC upon exposure to ethanol in the absence and presence of aluminum exposure. Aluminum was found to augment the oxidative stress at higher doses (0.6 g Ethanol/kg body wt) of ethanol, particularly in FC. The SPHC of FC was also found to be compromised significantly in aluminum-ethanol co-exposed animals. It was concluded that even though the manifestation of oxidative stress was not observed as revealed by assaying the widely used oxidative stress biochemical markers (indices), aluminum and ethanol (low doses) exposure induced alterations in the handling capacity of oxidant imbalance that could be recognized by studying the SPHC of FC. Comparison of GD-SPHC and GI-SPHC offered a possible mechanism of compromised SPHC in FC. This observation is likely to offer insights into the mechanism of association between aluminium exposure and behavioral changes in neurodegenerative disorders towards therapeutic strategies for these disorders.

Behavioral effects of acute glyphosate exposure in male and female Balb/c mice / Efeitos comportamentais da exposição aguda ao gliposato em camundongos Balb/c machos e fêmeas

We investigated the behavioral effects induced by an acute exposure to a commercial formulation of glyphosate (GF) in a dose that was about double the concentration of the no observed adverse effect level (NOAEL) in male and female BALB/c mice. The acute neurotoxicity induced by GF exposure was determined through analysis of general activity, the sensory system, the psychomotor system, the central nervous system and the autonomous nervous system in both male and female mice. The behavioral effects on exploration, anxiety and depression induced by GF exposure were determined with the open field, elevated plus maze and tail suspension tests, respectively. GF induced few signs of acute neurotoxicity. Locomotion in the open field was decreased in only female mice. No signs of anxiety were detected in the plus maze test in both sex, however, a reduced exploration was observed in male mice in this apparatus. In the tail suspension test, both male and female mice showed an increased immobility time. No interaction between sex and treatment was detected. In conclusion, GF exposure at about a dose twice that of the NOAEL induced few signs of neurotoxicity and no sexual dimorphism in all behavioral models employed.

Neste trabalho investigou-se em camundongos BALB/c, machos e fêmeas, os efeitos comportamentais da exposição aguda a uma formulação comercial do glifosato (GF) em uma dose duas vezes maior que a dose sem efeito observado (NOAEL). A neurotoxicidade aguda ao GF foi determinada por meio da análise da atividade geral, de parâmetros sensoriais, psicomotores, do sistema nervoso central e autônomo em machos e fêmeas. Os efeitos exploratório, de ansiedade e depressão induzidos pelo GF foram observados no campo aberto, labirinto em cruz elevado e no teste da suspensão da cauda, respectivamente. O GF promoveu poucos sinais de neurotoxicidade. A capacidade exploratória de fêmeas foi reduzida no campo aberto. Nenhum sinal de ansiedade foi detectado tanto em machos como em fêmeas no labirinto em cruz elevado porém, notou-se redução da exploratória neste aparelho. No teste de suspensão da cauda tanto as fêmeas como machos mostraram aumento no tempo de imobilidade. Não foi observado neste caso interação entre sexo e tratamento. Concluiu-se que a exposição ao dobro da dose da NOAEL do GF induziu poucos sinais de neurotoxicidade e poucos efeitos sexualmente dimórficos em camundongos machos e fêmeas.

Envenenamiento de Chelydra serpentina (Reptilia: Testudines) por Tityus trivittatus (Scorpionida: Buthidae) / Envenomation of Chelydra serpentina (Reptilia: Testudines) by Tityus trivittatus (Scorpionida: Buthidae)

Se describe el caso de un ejemplar de tortuga mordedora (Chelydra serpentina) que fue hallada con los miembros tetanizados en extensión, midriasis y poca respuesta a estímulos externos, en cuyo recinto se encontró un ejemplar de escorpión Tityus trivittatus. Ante el claro cuadro de envenenamiento, se trató al quelonio con antiveneno escorpiónico específico retornando a un estado de relajación muscular a las seis horas y encontrándoselo totalmente normal a las 24 horas sin mostrar secuelas posteriores. Este es el primer comunicado sobre el envenenamiento de quelonios por escorpiones. Se discuten algunos aspectos de este envenenamiento escorpiónico y su tratamiento con antiveneno específico.

We report the case of a snapping turtle (Chelydra serpentina) found tetanized, with the limbs in extension, mydriasis and poor response to external stimuli, in whose terrarium was found a Tityus trivittatus scorpion. Based on the clear clinical picture of envenoming, the turtle was treated with a specific scorpion antivenin, returning to a state of muscle relaxation after six hours of treatment and it was found totally normal at 24 hours, without envenoming sequelae. This is the first report on turtle envenomation by scorpion. The scorpion envenomation in reptiles and the treatment with specific antivenom is discussed.

Study of acute toxicity and investigation of the presence of β-N-methylamino-L-alanine in the Gunnera manicata L. a species native to Southern Brazil / Estudo da toxicidade aguda e investigação da presença de β -N-metilamino-L-alanina no manicata Gunnera L. uma espécie nativa sul do Brasil

Gunnera (Gunneraceae) forms a complex association with the cyanobacterium Nostoc puctiforme L. Gunnera-Nostoc symbiosis is the only one reported involving a flowering plant, and results in the formation of the neurotoxic amino acid β-N-methylamino-L-alanine (BMAA). The species Gunnera manicata L., for which phytochemical, pharmacological and toxicological studies are lacking, is found in Southern Brazil. Therefore, acute toxicity and the presence of neurotoxic amino acid were investigated in aqueous extracts of G. manicata. The acute toxicity test was conducted by administering aqueous root extract of G. manicata at a concentration of 2000 mg/kg in a single dose orally to Wistar rats. Lethality was monitored daily for 14 days after treatment. The relative mass of organs was analyzed by one-way ANOVA and macroscopic changes were investigated. The analysis of BMAA, a procedure performed by GC/MS, involved a preliminary derivatization step. The ESI-MS/MS analysis was done by direct infusion. The present study demonstrated absence of neurotoxin in the samples of G. manicata analyzed and absence of acute toxicity in aqueous root extracts. These data confirm that extracts from the roots of G. manicata have a high margin of drug safety.

Gunnera (Gunneraceae) forma uma complexa associação com a cianobactéria Nostoc puctiforme L. A simbiose Gunnera-Nostoc é a única relatada envolvendo uma angiosperma e, em decorrência desta, ocorre a formação da neurotoxina β-N-metilamino-L-alanina (BMAA). No sul do Brasil, encontra-se a espécie G. manicata L., da qual não constam, na literatura científica, estudos fitoquímicos, farmacológicos e toxicológicos. Assim, o presente estudo avaliou a toxicidade aguda e a presença da neurotoxina BMAA em extratos aquosos de G. manicata. O ensaio de toxicidade aguda foi realizado com extrato aquoso das raízes de G. manicata na concentração de 2000 mg/kg, administrado em dose única via oral em ratos Wistar. Letalidade foi observada diariamente durante 14 dias pós-tratamento. Após a eutanásia, a massa relativa dos órgãos foi analisada por ANOVA de uma via e investigou-se a presença de alterações macroscópicas. A análise do BMAA por CG/EM envolveu uma etapa preliminar de derivatização, já a análise por ESI-EM/EM foi realizada por infusão direta. O presente estudo demonstrou a ausência da neurotoxina nas amostras de G. manicata analisadas bem como a ausência de toxicidade aguda no extrato aquoso das raízes. Esses dados demonstram alta margem de segurança dos extratos testados.

cDNA and deduced primary structure of basic phospholipase A2 with neurotoxic activity from the venom secretion of the Crotalus durissus collilineatus rattlesnake

To illustrate the construction of precursor complementary DNAs, we isolated mRNAs from whole venom samples. After reverse transcription polymerase chain reaction (RT-PCR), we amplified the cDNA coding for a neurotoxic protein, phospholipase A2 D49 (PLA2 D49), from the venom of Crotalus durissus collilineatus (Cdc PLA2). The cDNA encoding Cdc PLA2 from whole venom was sequenced. The deduced amino acid sequence of this cDNA has high overall sequence identity with the group II PLA2 protein family. Cdc PLA2 has 14 cysteine residues capable of forming seven disulfide bonds that characterize this group of PLA2 enzymes. Cdc PLA2 was isolated using conventional Sephadex G75 column chromatography and reverse-phase high performance liquid chromatography (RP-HPLC). The molecular mass was estimated using matrix-assisted laser desorption ionization-time-of-flight (MALDI-TOF) mass spectrometry. We tested the neuromuscular blocking activities on chick biventer cervicis neuromuscular tissue. Phylogenetic analysis of Cdc PLA2 showed the existence of two lines of N6-PLA2, denominated F24 and S24. Apparently, the sequences of the New World’s N6-F24-PLA2 are similar to those of the agkistrodotoxin from the Asian genus Gloydius. The sequences of N6-S24-PLA2 are similar to the sequence of trimucrotoxin from the genus Protobothrops, found in the Old World.

Neuroprotección mediada por BDNF y óxido nítrico frente a excitotoxicidad en neuronas corticales e hipocampales / BDNF and nitric oxide-mediated neuroprotection against excitotoxicity in cortical and hippocampal neurons

En la epilepsia del lóbulo temporal (ELT), el hipocampo y estructuras temporales adyacentes se convierten en foco epiléptico, lo que ocurre después de un insulto cerebral, como una convulsión prolongada (o Status Epilepticus [SE]). Posterior al insulto, en el hipocampo ocurre muerte neuronal por excitotoxicidad, es decir, por sobre estimulación de receptores glutamatérgicos tipo NMDA (R-NMDA) y síntesis de óxido nítrico (NO) por la óxido nítrico sintasa neuronal (nNOS), una enzima dependiente de calcio. Sin embargo, otras estructuras cerebrales, como la corteza cerebral, son más resistentes al daño excitotóxico. Postulamos que esta menor susceptibilidad de la corteza cerebral a la excitotoxicidad, se debería a neuroprotección dependiente de la neurotrofina BDNF, que se sabe estimula la sobrevida neuronal. Se utilizaron cultivos neuronales primarios de hipocampo y corteza cerebral. Para evaluar excitotoxicidad, se agregó NMDA 30 uM. Se utilizaron estrategias farmacológicas para poner a prueba esta hipótesis, como el uso de L-NNA (inhibidor NOS), y TrkB-Fc (atrapador de BDNF). Se evaluó el porcentaje de sobrevida celular mediante el test de exclusión de Azul de Tripán. La viabilidad de los cultivos después de agregar NMDA fueron: corticales 71,2 +/- 2,8 por ciento, hipocampales 24,6 +/- 2,2 por ciento (p<0,01). Al inhibir la NOS, la viabilidad fue: corticales 31 +/- 6,5 por ciento, hipocampales 79,2 +/- 5,4 por ciento (p<0,01). En ausencia de BDNF fue: corticales 28,7+/- 7,9 por ciento, hipocampales 88,9 +/- 3 por ciento (p<0,01). Concluimos que después de un insulto excitotóxico, BDNF/NO son neuroprotectores en neuronas corticales pero no hipocampales. La potenciación de mecanismos neuroprotectores podría ser una alternativa terapéutica en patologías que involucran muerte neuronal por excitotoxicidad.

In temporal-lobe epilepsy (TLE), the hippocampus and adjacent temporal structures become an epileptic focus following a brain insult, such as a prolonged seizure (or Status Epilepticus). After the insult, neuronal death by excitotoxicity ocurrs, this is, by over stimulation of NMDA-type glutamate receptors (R-NMDA) and nitric oxide sinthesis by neuronal nitric oxide synthase (nNOS), a calcium-dependant enzyme. However, other brain structures, such as the cerebral cortex, are much more resistant to an excitotoxic challenge. We propose that the decreased susceptibility of the cerebral cortex could be explained by neuroprotection mediated by the neurotrophin BDNF, which is known to stimulate neuronal survival. Primary hippocampal and cortical neuronalcultures were used. To evaluate excitotoxicity, 30 uM NMDA was added. The signaling pathways to be tested were inhibited by using pharmacological inhibitors: L-NNA (NOS inhibitor), and TrkB-Fc, a BDN-scavenger. Percentages of cellular survival were evaluated using the Trypan Blue exclusion test. The viability of the cultures after adding NMDA was: larger in cortical than in hippocampal cultures, 71,2 +/- 2,8 percent for cortical and 24,6 +/- 2,2 percent hippocampal cells (p<0,01). When inhibiting NOS, the viability was: 31 +/- 6,5 percent for cortical and 79,2 +/- 5,4 percent for hippocampal cells (p<0,01). In absence of BDNF, 28,7 +/- 7,9 percent of the cortical cells survived, while in the hippocampal cultures it was of 88,9 +/- 3 percent (p<0,01). We conclude that after an excitotoxic insult, BDNF/NO are neuroprotective in cortical but not hippocampal neurons. The potentiation of such neuroprotective mecanisms could be used as a therapeutic alternative in pathologies that involve neuronal death by excitotoxicity.

Venomous mollusks: the risks of human accidents by conus snails (gastropoda: conidae) in Brazil

Mollusks of the genus Conus present a venomous apparatus composed of radulae, a chitin structure linked to glands, which injects potent neurotoxic peptides, causing serious human envenomation and even death, associated with the blockage of certain receptors and muscular paralysis. No reported envenomation has occurred in Brazil, but certain populations are at risk of accidents.

Os moluscos do gênero Conus apresentam um aparato venenoso composto de uma rádula quitinosa ligada a glândulas de peçonha, causando envenenamentos humanos graves e mesmo óbitos pela ação neurotóxica indutora do bloqueio de vários receptores e paralisia muscular. Não há casos descritos de envenenamento no país, mas determinadas populações correm risco de acidentes.

Behavioral and electroencephalographic analysis of seizures induced by intrahippocampal injection of granulitoxin, a neurotoxic peptide from the sea anemone Bunodosoma granulifera

In this study, the behavioral and electroencephalographic (EEG) analysis of seizures induced by the intrahippocampal injection in rats of granulitoxin, a neurotoxic peptide from the sea anemone Bunodosoma granulifera, was determined. The first alterations occurred during microinjection of granulitoxin (8 µg) into the dorsal hippocampus and consisted of seizure activity that began in the hippocampus and spread rapidly to the occipital cortex. This activity lasted 20-30 s, and during this period the rats presented immobility. During the first 40-50 min after its administration, three to four other similar short EEG seizure periods occurred and the rats presented the following behavioral alterations: akinesia, facial automatisms, head tremor, salivation, rearing, jumping, barrel-rolling, wet dog shakes and forelimb clonic movements. Within 40-50 min, the status epilepticus was established and lasted 8-12 h. These results are similar to those observed in the acute phase of the pilocarpine model of temporal lobe epilepsy and suggest that granulitoxin may be a useful tool not only to study the sodium channels, but also to develop a new experimental model of status epilepticus.

Brevetoxin-3 (PbTx-3) on mouse liver slices: a histological study

Brevetoxin-3 (PbTx-3) is a marine toxin produced by the dinoflagellate Ptychodiscus brevis. Its effects on excitable tissues have been the main subject of studies, but little is known about how it affects non-excitable tissues. To study possible non-neural effects of PbTx-3 (78nM), its effects on hepatic cell structure in vitro were evaluated. PbTx-3 caused hypertrophy and increased vacuolation of hepatocytes, and an increase in basophilia in the perivenous area of the lobules. Ultrastructurally, it was evident that the vacuolation was related to swelling of the endoplasmic reticulum, changes that probably account for the increased basophilic reaction of the cells. The swelling in smooth endoplasmic reticulum, degranulation of rough endoplasmic reticulum, the deformities and lytic cristae in the mitochondria, and the presence of active lysosomes are evidence of the PbTx-3 effects upon liver cells. These responses are probably caused by the liver's detoxification role on the PbTx-3.

Efectos de los solventes orgánicos sobre el sistema nervioso: los métodos neurológicos / Effects of organic solvents on the nervous system: neurologic method

El artículo describe las técnicas neurofisiológicas disponibles en la neurotoxicología para los estudios de tamizaje y de diagnóstico individual de efectos neurotóxicos de los solventes orgánicos sobre el sistema nervioso. Se evalúan las posibilidades que cada una de ellas ofrecen y, de acuerdo a los resultados que han proporcionado, se propone un conjunto de pruebas y se hacen recomendaciones para la integración de estos datos en la información clínica, epidemiológica y toxicológica.

Diferentes concentraciones de tolueno provocan el síndrome serotonérgico / Different concentrations of toluene inducing serotonergic syndrome

Los efectos sobre la conducta observados durante la inhalación de "thiner" han sido atribuidos al tolueno. Diversos estudios definen al tolueno como una droga alucinógena, que ejerce su efecto probablemente a través de mecanismos serotonérgicos. En este trabajo se estudia el efecto de la exposición aguda a diferentes concentraciones de tolueno en la presentación del síndrome serotonérgico. Grupos de ratas macho Wistar fueronm expuestos a diversas concentraciones de tolueno durante 15 minutos por única vez, mediante un sistema estático de inhalación. Se registró la presencia de los signos que integran al síndrome serotonérgico; además se evaluó el reflejo de enderezamiento. La concentración efectiva media de tolueno para provocar el síndrome serotonérgico fue de 4,878 ppm. El efecto observado sobre el reflejo de enderezamiento fue la perdida de éste a partir de 7,638 ppm; el efecto se incrementó de manera dependiente de la concentración

Leucoencefalomalácia em equinos do norete do Paraná / Leukoencephalomalacia in equines in the north of Parana, Brazil

Resumo: Leucoencefalomalácia equina foi relatada em 14 estabelecimentos na regiäo Norte do Paraná, no período de julho de 1985 a setembro de 1989. Todas as amostras de alimentos encvolvidas continham milho em sua composiçäo, sendo que a contagem total de bolores variou de 10(elevado a dois) a 10(elevado a oito) UFC/G. Das toxinas pesquisadas, somente a zearalenona foi detectada em amostras de alimentos obtidas de 5 estabelecimentos. A interferência de componentes da raçäo impediu a análise de zearalenona em outras 5 amostras. A ausência de F. moliniformee em uma amostra e baixa contagem de bolores em raçöes granuladas envolvidas em intoxicaçäo, indicam a eliminaçäo dos fungos pelo tratamento térmico aplicado no seu preparo. Porém, sugere que a toxina de leucoencefalomalácia apresenta termo-resistência, o suficiente para suportar temperatura de processamento das raçöes

Nesidioblastosis associated with chronic experimental pancreatitis produced by a scorpion toxin, tityustoxin, in rats

Tityustoxin (TsTx), the purified venom of the Brazilian scorpion Tityus serrulatus, was inected intravenously (50 microng/Kg) into rats, producing a typical picture of chronic pancreatitis after 20 days. Nesidioblastosis, a lesions characterized by hyperplasia of the islets of Langerhans, was also detected in a high percentage (40%) of animals. TsTx-induced pancreatitis may be a useful model for the study of nesidioblastosis in laboratory animals

Estudio del accidente por picadura de escorpion y su manejo en el Hospital Ramon Gonzalez Valencia de Bucaramanga, Santander / Study on scorpion poisoning and its handling in the Hospital Ramon Gonzalez Valencia, Bucaramanga, Santander

En el presente articulo se analizan diez casos de intoxicacion que fueron atendidos en el Servicio de Urgencias del Hospital Universitario Ramon Gonzalez Valencia durante el periodo de 1978 a 1987. Se estudio la distribucion segun sexo, edad, porocedencia, tiempo de consulta luego de la picadura, expresion clinica, grado de intoxicacion, terpaia empleada y permanencia hopsitalaria. Al final se discuten los signos y sintomas de la experiencia y la revision de la literatura

Fundamental issues in clinical neurotoxicology

Considerando que existe una gran cantidad de substancias químicas potencialmente tóxica en el ambiente, lugar de trabajom y en la farmacia, es importante que los médicos estén alertas a estos principios elementales para diagnosticar la neurotoxicidad. Muchos enfermos de afecciones neurológicas de origen tóxico son encuentros casuales y las epidemias sonraras. Estos informes genuinos tienen gran valor cuando se identifica la toxina y pueden dar lugar a la comprensión de los mecanismos de alteración del sistema nervioso producido químicamente