Functional and Taxonomic Diversity of Stinging Wasps in Brazilian Atlantic Rainforest Areas.

Vespoidea are the most functionally diverse superfamily of Hymenoptera. Ecological studies involving this family are primarily based on eusocial groups, including ants and social paper wasps. In the present study, we examine stinging wasp (Vespoidea) faunal diversity in the Atlantic Rain Forest, which is one of the most diverse and threatened ecosystems in the World. Three conservation areas were sampled employing a standardized sample protocol. Families and functional groups of Vespoidea were collected in each area, with the exception ants (Formicidae), and analyzed using diversity analyses, to generate taxonomic diversity and distinctness indices. Results indicated Pompilidae was the most diverse family, and the idiobiont parasitoid type was the most diverse functional group in the three study areas. Núcleo Picinguaba of the Parque Estadual da Serra do Mar was taxonomically and functionally the most diverse and species rich area. Parque Estadual Intervales showed the highest number of dominant species and diversity of koinobiont parasitoids, while the Rebio Sooretama exhibited a decrease in several diversity parameters.

Use of antibacterial agents in an intensive care unit in a hospital in Brazil.

It is essential to monitor the utilisation of antibacterial drugs in order to establish appropriate measures for their control. The pattern of usage of antibacterial drugs, and its association with indicators of hospital infection, has been investigated in a non-specialized adult intensive care unit (ICU) located in Santa Luzia Hospital (Brasília, DF, Brazil). The study was conducted between January 2001 and June 2004. Data concerning the utilisation of systemic antibacterial drugs, classified according to the Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD) system, and indicators of hospital infection, defined according to the National Nosocomial Infections Surveillance (NNIS) system, were obtained from appropriate hospital archives. During the study period, the average utilisation of antibacterial drugs was 1918.5 DDD units per 1000 patient-day (DDD(1000)). The three most used drugs were penicillins/beta-lactamase inhibitors (535.3 DDD(1000)), third generation cephalosporins (239.1 DDD(1000)) and quinolones (212.5 DDD(1000)). The total utilisation of antibacterial drugs was correlated significantly with the incidence of hospital infection (R = 0.62; p < 0.01) and the index of invasive procedures (R = 0.41; p < 0.01). Furthermore, the latter two indicators were significantly and positively correlated with the use of recently commercialized, broad spectrum antibacterial drugs (except for carbapenems). It is concluded that improved infection control procedures, together with more rigorous criteria regarding the use of invasive procedures, should be implemented by the ICU studied in order to diminish the utilisation of antibacterial drugs.

[Epistaxis as a manifestation of Bernard-Soulier Syndrome]. / Epistaxe como manifestação da Síndrome de Bernard-Soulier.

OBJECTIVE: To call pediatrician's attention to an infrequent cause of severe repetitive epistaxis. METHODS: The authors report a case of Bernard-Soulier Syndrome and also make a review of the literature available in MEDLINE from 1970. RESULTS: The authors describe a 3 year-old boy with severe repetitive epistaxis with hemodinamic repercussions, who required many blood and hemoderivates transfusions. Many diagnostic hypotheses had been formulated, until macroplatelets were found. This finding enabled the diagnosis of Bernard-Soulier Syndrome. A maxillary artery embolization was performed, and the bleedings stopped. CONCLUSIONS: Pediatricians should have a high index of suspection in children with severe repetitive nasal bleedings to diagnose uncommon causes of epistaxis, like Bernard-Soulier Syndrome and other trombocytopaties.