Minimalist revision of Mesochorus Gravenhorst, 1829 (Hymenoptera: Ichneumonidae: Mesochorinae) from Área de Conservación Guanacaste, Costa Rica, with 158 new species and host records for 129 species / Revisión minimalista de Mesochorus Gravenhorst, 1829 (Hymenoptera: Ichneumonidae: Mesochorinae) del Área de Conservación Guanacaste, Costa Rica, con 158 especies nuevas y registros de hospedantes para 129 especies

Introduction: Species of Mesochorus are found worldwide and members of this genus are primarily hyperparasitoids of Ichneumonoidea and Tachinidae. Objectives: To describe species of Costa Rican Mesochorus reared from caterpillars and to a lesser extent Malaise-trapped. Methods: The species are diagnosed by COI mtDNA barcodes, morphological inspection, and host data. A suite of images and host data (plant, caterpillar, and primary parasitoid) are provided for each species. Results: A total of 158 new species of Mesochorus. Sharkey is the taxonomic authority for all. Conclusions: This demonstrates a practical application of DNA barcoding that can be applied to the masses of undescribed neotropical insect species in hyperdiverse groups.

Introducción: Las especies de Mesochorus se encuentran en todo el mundo y los miembros de este género son principalmente hiperparasitoides de las familias Ichneumonoidea y Tachinidae. Objetivos: Describir las especies de Mesochorus costarricenses obtenidas de orugas y en menor medida por trampas Malaise. Métodos: Las especies se diagnosticaron mediante el uso de código de barra molecular por COI del ADNmt, inspección morfológica y datos del huésped. Se proporciona un conjunto de imágenes y datos de los huéspedes (planta, oruga y parasitoide primario) para cada especie. Resultados: Se encontró un total de 158 nuevas especies de Mesochorus. Sharkey es la autoridad taxonómica para todas las especies. Conclusiones: Se demuestra una aplicación práctica del código de barras de ADN que se puede aplicar a grandes cantidades de especies de insectos neotropicales no descritas para grupos hiperdiversos.

A survey of aquatic macroinvertebrates in a river from the dry corridor of Nicaragua using biological indices and DNA barcoding.

Aquatic macroinvertebrates are widely used as indicators for water quality assessment around the world. Modern strategies for environmental assessment implement molecular analysis to delimitate species of aquatic macroinvertebrates. Delimitation methods have been established to determine boundaries between species units using sequencing data from DNA barcodes and serve as first exploratory tools for taxonomic revisions. This is useful in regions such as the neotropics where aquatic macroinvertebrate habitats are threatened by human interference and DNA databases remain understudied. We asked whether the biodiversity of aquatic macroinvertebrates in a stream in Nicaragua, within the Central American Dry Corridor, could be characterized with biological indices and DNA barcoding. In this study, we combined regional biological indices (BMWP-CR, IBF-SV-2010) along with distance-based (ASAP, BIN) and tree-based (GMYC, bPTP) delimitation methods, as well as nucleotide BLAST in public barcode databases. We collected samples from the upper, middle, and low reaches of the Petaquilla river. The three sites presented excellent water quality with the BMWP-CR index, but evidence of high organic pollution was found in the middle reach with the IBF-SV-2010 index. We report a total of 219 COI sequences successfully generated from 18 families and 8 orders. Operational taxonomic units (OTUs) designation ranged from 69 to 73 using the four methods, with a congruency of 92% for barcode assignation. Nucleotide BLAST identified 14 species (27.4% of barcodes) and 33 genera (39.3% of barcodes) from query sequences in GenBank and BOLD system databases. This small number of identified OTUs may be explained by the paucity of molecular data from the Neotropical region. Our study provides valuable information about the characterization of macroinvertebrate families that are important biological indicators for the assessment of water quality in Nicaragua. The application of molecular approaches will allow the study of local diversity and further improve the application of molecular techniques for biomonitoring.

DNA barcoding of the leaf-miner flies (Diptera, Agromyzidae) of Mitaraka, French Guiana.

Species level identification of Agromyzidae based on morphology is often challenging due to their small size and morphological homogeneity. DNA barcoding has been used regularly to assist with the identification of economically important species of Agromyzidae, but rarely as a tool for species delineation or identification in biodiversity surveys. The main objective of this study was to investigate whether DNA barcoding and the BIN (Barcoding Index) system could assist with species identification, species delineation, male/ female association, and diversity assessment of Agromyzidae material previously determined to morphospecies from Mitaraka, French Guiana. Amplification success was low, with sequences over 400 bp recovered for only 24 (48%) of the selected specimens. Sequences assigned to 17 morphospecies formed 16 distinct branches or clusters separated by very high (minimum of 10%) sequence divergence. Following the reassessment and subsequent reassignment of one specimen, congruence between morphology and DNA barcodes was high with a single instance of two morphospecies sharing identical sequences. While DNA barcoding did not assist with identification (none of our sequences matched those of named taxa in BOLD or GenBank), it did provide support for most of our morphospecies concepts, including male/female associations. The BIN system also provided access to information about the distribution and habitat preferences of several taxa. We conclude that DNA barcoding was a useful approach to study the species diversity of our samples but that much work remains to be done before it can be used as an identification tool for the Agromyzidae fauna of Mitaraka and the rest of the Neotropical region.

Solving the bin location-allocation problem for household and recycle waste generated in the commune of Renca in Santiago, Chile.

In the commune of Renca in Santiago, Chile, the household waste is currently collected on the kerbside and then thrown in the rear of a compactor truck. This system becomes inefficient when not all citizens are always serviced, yielding high overall collection costs and negative impacts on the environment and the society. Recently, recyclable waste collection sites have been situated throughout the commune, which need to be examined with respect to population coverage and average travel distances to these sites. This study employs mixed-integer linear programming models and geographic information systems to solve the bin location-allocation problem for household and recyclable waste separately. The results are shown for different values of waste generation, bin capacities, and travel distances, in addition to considering the users' and municipality's preferences in the decision-making process. The proposed recyclable waste bin locations present a more efficient solution than the existing collection sites in the commune of Renca since more users are serviced within a shorter travel distance to dispose of their recyclable waste.

Polycystin-1 Is a Crucial Regulator of BIN1 Expression and T-Tubule Remodeling Associated with the Development of Dilated Cardiomyopathy.

Cardiomyopathy is commonly observed in patients with autosomal dominant polycystic kidney disease (ADPKD), even when they have normal renal function and arterial pressure. The role of cardiomyocyte polycystin-1 (PC1) in cardiovascular pathophysiology remains unknown. PC1 is a potential regulator of BIN1 that maintains T-tubule structure, and alterations in BIN1 expression induce cardiac pathologies. We used a cardiomyocyte-specific PC1-silenced (PC1-KO) mouse model to explore the relevance of cardiomyocyte PC1 in the development of heart failure (HF), considering reduced BIN1 expression induced T-tubule remodeling as a potential mechanism. PC1-KO mice exhibited an impairment of cardiac function, as measured by echocardiography, but no signs of HF until 7-9 months of age. Of the PC1-KO mice, 43% died suddenly at 7 months of age, and 100% died after 9 months with dilated cardiomyopathy. Total BIN1 mRNA, protein levels, and its localization in plasma membrane-enriched fractions decreased in PC1-KO mice. Moreover, the BIN1 + 13 isoform decreased while the BIN1 + 13 + 17 isoform was overexpressed in mice without signs of HF. However, BIN1 + 13 + 17 overexpression was not observed in mice with HF. T-tubule remodeling and BIN1 score measured in plasma samples were associated with decreased PC1-BIN1 expression and HF development. Our results show that decreased PC1 expression in cardiomyocytes induces dilated cardiomyopathy associated with diminished BIN1 expression and T-tubule remodeling. In conclusion, positive modulation of BIN1 expression by PC1 suggests a novel pathway that may be relevant to understanding the pathophysiological mechanisms leading to cardiomyopathy in ADPKD patients.

Description of Chilearinus Sharkey gen. nov. and status of Nearctic Earinus Wesmael, 1837 (Braconidae, Agathidinae) with the description of new species.

The Neotropical members formerly included in Earinus Wesmael, 1837 are transferred to a new genus, Chilearinus Sharkey gen. nov. Presently three Nearctic species of Earinus are recognized, i.e., Earinuserythropoda Cameron, 1887, Earinuslimitaris Say,1835, and Earinuszeirapherae Walley, 1935, and these are retained in Earinus. Earinuschubuquensis Berta, 2000 and Earinusscitus Enderlein, 1920 are transferred to Chilearinus, i.e., C.chubuquensis, and C.scitus, comb. nov. One other species is transferred to Chilearinus, i.e., Microgasterrubricollis Spinola, 1851, Chilearinusrubricollis, comb. nov. Two other Neotropical species, Earinushubrechtae Braet, 2002 and Earinusbourguignoni Braet, 2002 were described under the genus Earinus but are here transferred to Lytopylus, L.hubrechtae, and L.bourguignoni comb. nov. Two new species of Chilearinus are described, C.covidchronos and C.janbert spp. nov. The status of Agathislaevithorax Spinola,1851, Agathisrubricata Spinola,1851, and Agathisareolata Spinola, 1851 is discussed. A neotype is designated for Earinuslimitaris (Say, 1835) and diagnosed with a COI barcode. Earinusaustinbakeri and Earinuswalleyi spp. nov. are described. The status of both Earinus and Chilearinus in the Americas is discussed. A revised key to the genera of Agathidinae of the Americas is presented.

GWAS-Top Polymorphisms Associated With Late-Onset Alzheimer Disease in Brazil: Pointing Out Possible New Culprits Among Non-Coding RNAs.

Several genome-wide association studies (GWAS) have been carried out with late-onset Alzheimer's disease (LOAD), mainly in European and Asian populations. Different polymorphisms were associated, but several of them without a functional explanation. GWAS are fundamental for identifying loci associated with diseases, although they often do not point to causal polymorphisms. In this sense, functional investigations are a fundamental tool for discovering causality, although the failure of this validation does not necessarily indicate a non-causality. Furthermore, the allele frequency of associated genetic variants may vary widely between populations, requiring replication of these associations in other ethnicities. In this sense, our study sought to replicate in 150 AD patients and 114 elderly controls from the South Brazilian population 18 single-nucleotide polymorphisms (SNPs) associated with AD in European GWAS, with further functional investigation using bioinformatic tools for the associated SNPs. Of the 18 SNPs investigated, only four were associated in our population: rs769449 (APOE), rs10838725 (CELF1), rs6733839, and rs744373 (BIN1-CYP27C1). We identified 54 variants in linkage disequilibrium (LD) with the associated SNPs, most of which act as expression or splicing quantitative trait loci (eQTLs/sQTLs) in genes previously associated with AD or with a possible functional role in the disease, such as CELF1, MADD, MYBPC3, NR1H3, NUP160, SPI1, and TOMM40. Interestingly, eight of these variants are located within long non-coding RNA (lncRNA) genes that have not been previously investigated regarding AD. Some of these polymorphisms can result in changes in these lncRNAs' secondary structures, leading to either loss or gain of microRNA (miRNA)-binding sites, deregulating downstream pathways. Our pioneering work not only replicated LOAD association with polymorphisms not yet associated in the Brazilian population but also identified six possible lncRNAs that may interfere in LOAD development. The results lead us to emphasize the importance of functional exploration of associations found in large-scale association studies in different populations to base personalized and inclusive medicine in the future.

Network design of a household waste collection system: A case study of the commune of Renca in Santiago, Chile.

This study proposes a design of a household waste collection system based on a two-stage procedure. First, the bin location-allocation problem is solved by selecting collection sites from a set of potential sites, and determining the type and number of bins at each selected collection site. Second, bin-to-bin waste collection routes are obtained for a fleet of homogeneous vehicles that are restricted by either work shift duration or vehicle capacity. Mixed integer linear programming (MILP) models are proposed for both stages, considering the particular characteristics of the problem. The models are applied to a real-world instance in the commune of Renca in Santiago, Chile. The results of first stage indicate an important preference for small bins since they have a lower unitary cost. Due to the large size of the real instance, a Large Neighborhood Search (LNS) heuristic is used in the second stage to find good feasible vehicle routing solutions in a reasonable period of time. The results for the routing phase suggest a larger number of routes in the morning work shift since these routes have shorter distances. The LNS heuristic presents a satisfactory behavior when compared to the MILP model with small instances. The proposed bin-to-bin household waste collection vehicle routing presents a more efficient solution than the existing door-to-door waste collection in the commune of Renca with respect to the total daily traveled distance and the average work shift duration. Finally, a sensitivity analysis is presented and discussed for both models.

A Smart Waste Management Solution Geared towards Citizens.

Global industry is undergoing major transformations with the genesis of a new paradigm known as the Internet of Things (IoT) with its underlying technologies. Many company leaders are investing more effort and money in transforming their services to capitalize on the benefits provided by the IoT. Thereby, the decision makers in public waste management do not want to be outdone, and it is challenging to provide an efficient and real-time waste management system. This paper proposes a solution (hardware, software, and communications) that aims to optimize waste management and include a citizen in the process. The system follows an IoT-based approach where the discarded waste from the smart bin is continuously monitored by sensors that inform the filling level of each compartment, in real-time. These data are stored and processed in an IoT middleware providing information for collection with optimized routes and generating important statistical data for monitoring the waste collection accurately in terms of resource management and the provided services for the community. Citizens can easily access information about the public waste bins through the Web or a mobile application. The creation of the real prototype of the smart container, the development of the waste management application and a real-scale experiment use case for evaluation, demonstration, and validation show that the proposed system can efficiently change the way people deal with their garbage and optimize economic and material resources.

Functional Bacillus thuringiensis Cyt1Aa Is Necessary To Synergize Lysinibacillus sphaericus Binary Toxin (Bin) against Bin-Resistant and -Refractory Mosquito Species.

The binary (Bin) toxin from Lysinibacillus sphaericus is effective to mosquito larvae, but its utilization is threatened by the development of insect resistance. Bin toxin is composed of the BinB subunit required for binding to midgut receptors and the BinA subunit that causes toxicity after cell internalization, mediated by BinB. Culex quinquefasciatus resistance to this toxin is caused by mutations that prevent expression of Bin toxin receptors in the midgut. Previously, it was shown that the Cyt1Aa toxin from Bacillus thuringiensis subsp. israelensis restores Bin toxicity to Bin-resistant C. quinquefasciatus and to Aedes aegypti larvae, which are naturally devoid of functional Bin receptors. Our goal was to elucidate the mechanism involved in Cyt1Aa synergism with Bin in such larvae. In vivo assays showed that the mixture of Bin toxin, or its BinA subunit, with Cyt1Aa was effective to kill resistant larvae. However, no specific binding interaction between Cyt1Aa and the Bin toxin, or its subunits, was observed. The synergy between Cyt1Aa and Bin toxins is dependent on functional Cyt1Aa, as demonstrated by using the nontoxic Cyt1AaV122E mutant toxin affected in oligomerization and membrane insertion, which was unable to synergize Bin toxicity in resistant larvae. The synergism correlated with the internalization of Bin or BinA into anterior and medium midgut epithelial cells, which occurred only in larvae treated with wild-type Cyt1Aa toxin. This toxin is able to overcome failures in the binding step involving BinB receptor by allowing the internalization of Bin toxin, or its BinA subunit, into the midgut cells.IMPORTANCE One promising management strategy for mosquito control is the utilization of a mixture of L. sphaericus and B. thuringiensis subsp. israelensis insecticidal toxins. From this set, Bin and Cyt1Aa toxins synergize and display toxicity to resistant C. quinquefasciatus and to A. aegypti larvae, whose midgut cells lack Bin toxin receptors. Our data set provides evidence that functional Cyt1Aa is essential for internalization of Bin or its BinA subunit into such cells, but binding interaction between Bin and Cyt1Aa is not observed. Thus, this mechanism contrasts with that for the synergy between Cyt1Aa and the B. thuringiensis subsp. israelensis Cry toxins, where active Cyt1Aa is not necessary but a specific binding between Cry and Cyt1Aa is required. Our study established the initial molecular basis of the synergy between Bin and Cyt1Aa, and these findings enlarge our knowledge of their mode of action, which could help to develop improved strategies to cope with insect resistance.

An Assessment of Chemical and Microbiological Properties of Different Types of Poultry Waste Compost Prepared by Bin and Windrow Composting System

The present study aimed to evaluate the physical, chemical, and microbiological characteristics of 4 different poultry waste (dead birds, hatchery waste, offal, and a mixture of all) processed under two composting systems (bin and windrow). For this purpose, 12 compost bins and 12 windrow piles having different poultry waste were placed according to 2 × 4 factorial arrangements under Completely Randomized Design. Treatments consisted of 2 composting systems (bin and windrow) and 4 compost types (dead birds, offal, hatchery waste, and a mixture of all). The bins were comprised of 3 compartments (primary, secondary, and curing) and filled with dead birds, offal, hatchery waste, and a mixture of all. A similar procedure was adopted for the windrow composting system. Samples from each experimental material were collected and analyzed for proximate, amino acid, mineral, and bacterial analysis during the initial and curing phase. Results revealed that the highest crude protein (CP) content was found in dead birds while the lowest in hatchery waste compost processed under both composting systems. The highest temperature was recorded in dead birds compost during the primary phase while the minimum was found in hatchery waste. Microbial count of salmonella, mycoplasma, E. coli, and total plate count was found minimum in all types of compost. Macrominerals like Na, K, and P were the highest in dead birds while the lowest in hatchery waste compost. It can be concluded that dead birds compost processed through bin composting system had ideal proximate composition having minimal pathogenic load with superior amino acid and mineral profile as compared to other waste materials.(AU)

An Assessment of Chemical and Microbiological Properties of Different Types of Poultry Waste Compost Prepared by Bin and Windrow Composting System

The present study aimed to evaluate the physical, chemical, and microbiological characteristics of 4 different poultry waste (dead birds, hatchery waste, offal, and a mixture of all) processed under two composting systems (bin and windrow). For this purpose, 12 compost bins and 12 windrow piles having different poultry waste were placed according to 2 × 4 factorial arrangements under Completely Randomized Design. Treatments consisted of 2 composting systems (bin and windrow) and 4 compost types (dead birds, offal, hatchery waste, and a mixture of all). The bins were comprised of 3 compartments (primary, secondary, and curing) and filled with dead birds, offal, hatchery waste, and a mixture of all. A similar procedure was adopted for the windrow composting system. Samples from each experimental material were collected and analyzed for proximate, amino acid, mineral, and bacterial analysis during the initial and curing phase. Results revealed that the highest crude protein (CP) content was found in dead birds while the lowest in hatchery waste compost processed under both composting systems. The highest temperature was recorded in dead birds compost during the primary phase while the minimum was found in hatchery waste. Microbial count of salmonella, mycoplasma, E. coli, and total plate count was found minimum in all types of compost. Macrominerals like Na, K, and P were the highest in dead birds while the lowest in hatchery waste compost. It can be concluded that dead birds compost processed through bin composting system had ideal proximate composition having minimal pathogenic load with superior amino acid and mineral profile as compared to other waste materials.

Cell survival regulation during receptor-mediated endocytosis of chemically-modified lipoproteins associated to the formation of an Amphiphysin 2 (Bin1)/c-Myc complex.

Amphiphysin 2 and members of the BAR-domain family of proteins participate in a wide array of cellular processes including cell cycle and endocytosis. Given that amphiphysin 2 is related to diverse cell responses as a result of metabolic stress, we investigated in macrophages whether oxidative stress originated by the internalization of oxidized low density lipoproteins (oxLDL) affect both, the expression of amphiphysin 2 and its binding partner c-Myc. Here we report that under oxidative stress, a complex formation between amphiphysin 2(Bin1) and c-Myc allows the cell to develop a novel survival equilibrium state established between cell proliferation and cell death. We propose that under conditions of oxidative stress given by the internalization of oxLDL, macrophages employ the formation of the amphiphysin 2(Bin1)/c-Myc complex as a control mechanism to initially avoid the process of cell death in an attempt to prolong cell survival.

Deciphering the synergism of endogenous glycoside hydrolase families 1 and 9 from Coptotermes gestroi.

Termites can degrade up to 90% of the lignocellulose they ingest using a repertoire of endogenous and symbiotic degrading enzymes. Termites have been shown to secrete two main glycoside hydrolases, which are GH1 (EC 3.2.1.21) and GH9 (EC 3.2.1.4) members. However, the molecular mechanism for lignocellulose degradation by these enzymes remains poorly understood. The present study was conducted to understand the synergistic relationship between GH9 (CgEG1) and GH1 (CgBG1) from Coptotermes gestroi, which is considered the major urban pest of São Paulo State in Brazil. The goal of this work was to decipher the mode of operation of CgEG1 and CgBG1 through a comprehensive biochemical analysis and molecular docking studies. There was outstanding degree of synergy in degrading glucose polymers for the production of glucose as a result of the endo-ß-1,4-glucosidase and exo-ß-1,4-glucosidase degradation capability of CgEG1 in concert with the high catalytic performance of CgBG1, which rapidly converts the oligomers into glucose. Our data not only provide an increased comprehension regarding the synergistic mechanism of these two enzymes for cellulose saccharification but also give insight about the role of these two enzymes in termite biology, which can provide the foundation for the development of a number of important applied research topics, such as the control of termites as pests as well as the development of technologies for lignocellulose-to-bioproduct applications.

A molecular marker approach using intron flanking EST-PCR to map candidate genes in peach (Prunus persica)

In Peach (Prunus persica) several physiological changes, such as woolliness, triggered by chilling injury are involved in major production losses due to cold storage of the fruits during shipping. Additionally, the low level of polymorphisms among peach varieties is an important limitation in the search for new molecular markers that could be associated with economically important traits. Therefore, a functional approach was employed to associate candidate genes with an informative marker in peach. The data was obtained from the results of an in silico analysis of four different cold peach treatments. Thirty two candidate genes were selected that were aligned against Arabidopsis thaliana genomic sequences to design intron-flanking EST-PCR markers. These markers were used to position the candidate genes on the Prunus genetic reference map. In the physiological response to chilling injury, cell wall integrity, carbohydrate metabolism and stress response pathways could be involved, therefore candidate genes associated by Gene Ontology annotation to these pathways were included in the analysis. The designed markers were positioned to the Texas X Earlygold (TxE) genetic reference map through selective mapping methodology (Bin mapping). 72 percent of these new markers showed polymorphism in the TxE Binset population and 31 percent of them were successfully mapped to a genetic position on the Prunus reference map. The bioinformatic methodology used in this work includes a first approach in search for functional molecular markers associated to differentially expressed genes under certain physiological condition which in addition to the Bin mapping approach allows addressing a genetically anchored position to these new markers.

Base molecular da interação da toxina binária do biolarvicida Bacillus shaericus com a-glicosidases de larvas de culicídios vetores / Molecular basis of interaction of the binary toxin of Bacillus biolarvicide shaericus with a-glucosidase from larvae culicids vectors

O principal fator larvicida do Bacillus sphaericus (Bs) para culicídeos é a toxina binária (Bin), produzida sob a forma de um cristal, durante a esporulação. Esta toxina, ativada por meio da ação de proteases no lúmen intestinal, reconhece e liga-se a receptores específicos no intestino de larvas por meio de sua subunidade BinB, etapa crítica no seu modo de ação e essencial para a atividade larvicida. Os receptores em Culex pipiens, C. quinquefasciatus e Anopheles gambiae, denominados Cpm1, Cqm1, e Agm3, respectivamente, são alfa glicosidases de 66 kDa ligadas à membrana apical do epitélio intestinal por uma âncora de glicosilfosfatidilinositol (GPI). Larvas de Aedes aegypti expressam a alfaglicosidase Aam1, ortóloga ao receptor Cqm1 que, no entanto, não apresenta capacidade de ligação à toxina Bin. O principal objetivo deste trabalho foi caracterizar a base molecular da interação da toxina Bin do Bs com alfaglicosidases em larvas de culicídeos vetores. Para tal, a sequência protéica de Cqm1 foi alinhada a sequências ortólogas e parálogas de Ae. aegypti e An. gambiae, o que indicou trechos mais conservados na porção N-terminal e divergentes na porção C-terminal. A banálise funcional de fragmentos protéicos de 45 kDa da porção N-terminal de proteínas ortólogas e parálogas à Cqm1 sugeriu que o epitopo de ligação à toxina Bin está potencialmente localizado nesta região e que o estado conformacional nativo das proteínas é determinante para sua funcionalidade. Em seguida, foram avaliadas algumas características das alfa glicosidases Cqm1 e Aam1 de 66 kDa que podem estar envolvidas na sua capacidade de ligação à toxina Bin. Os resultados mostraram que as proteínas possuem diferenças estruturais e conformacionais que podem ter um papel determinante para a interação com a toxina Bin. A análise do padrão de glicosilação das proteínas revelou que a Aam1 posssui glicosilações em sua cadeia polipeptídica ao contrário da Cqm1 e que a ligação do receptor Cqm1...

Desinstitucionalização dos cuidados a pessoas com transtornos mentais na atenção básica: aportes para a implementação de ações / De-institutionalization of care for people with mental disorders within primary healthcare settings: contributions towards implementation of actions / Aportes para la implementación de acciones ajenas a la institución en los cuidados a personas con transtornos mentales en atención básica

Parte-se do interesse dispensado contemporaneamente às articulações entre saúde mental e atenção básica. Após uma breve síntese histórica e conceitual neste campo, discutem-se aspectos operativos da desinstitucionalização dos cuidados a pessoas com transtornos mentais na atenção básica. Com a análise de alguns estudos e experiências são destacados, a seguir, componentes fundamentais para avançar neste sentido: (1) desenvolver processos de comunicação que visem ampliar a legibilidade profissional, (2) superar a centralização em ações restritas aos enquadres tradicionais, (3) manter questionamento permanente com relação ao risco de psiquiatrização do cuidado em saúde mental, (4) superar concepções culpabilizantes do grupo familiar, e (5) investir na formação das equipes de atenção básica para as múltiplas dimensões do cuidado em saúde mental. Apontam-se, desta forma, alguns caminhos e direções possíveis para o desenho de ações de saúde mental na atenção básica que tenham, no horizonte, a perspectiva antimanicomial.

This paper starts from current interest in linkages between mental healthcare and primary care. After a brief historical and conceptual synthesis of this field, operational issues relating to de-institutionalization of care for people with mental disorders within primary healthcare settings are discussed. From analysis of some studies and experiences, the fundamental components for advancing in this direction are then highlighted: (1) development of communication processes that aim towards enhancing professional skills; (2) overcoming of the centralization around actions restricted to traditional settings; (3) maintenance of continual questioning regarding the risk of psychiatrization of mental healthcare; (4) overcoming of conceptions that place blame on family groups; and (5) investment in training for primary healthcare teams for the multiple dimensions of mental healthcare. Thus, some possible paths and directions for designing mental healthcare actions within primary care from a perspective away from the loony bin approach are pointed out.

Se parte del interés dispensado contemporáneamente a las articulaciones entre salud mental y atención básica. Tras breve síntesis histórica y conceptual en este campo, se discuten aspectos operativos de los cuidados con los transtornos mentales en la atención básica fuera la institución. Con el análisis de algunos estudios y experiencias se destacan componentes fundamentales para avanzar en este sentido: (1) desarrollar procesos de comunicación para ampliar la legibilidad profesional, (2) superar la centralización en acciones restringidas a los encuadres tradicionales, (3) mantener cuestionamiento permanente con relación al riesgo del cuidado psiquiátrico en salud mental, (4) superar concepciones de culpabilidad del grupo familiar y (5) invertir el la formación de los equipos de atención básica para las múltiples dimensiones del cuidado en salud mental. De esta manera se apuntan algunos caminos y direcciones posibles para el diseño de acciones de salud mental en la atención básica que tengan en el horizonte la perspectiva anti-manicomio.