Alexandre de Almeida

Carrapatos do gênero amblyomma (acari: ixodidae) e suas relações com os hospedeiros em área endêmica para febre maculosa no Estado de São Paulo

Seven species of mammals and 36 of birds were investigated to determine the tick prevalence and intensity of infestation. The study was conducted at the Esalq/USP in Piracicaba municipality, State of Sao Paulo. It was collected 52 mammals and 158 birds parasitized by 12,418 ticks. Adult ticks (N= 7,343) were found on capybaras, while the immature were mainly collected on small mammals and birds. The main hosts for immatures in descending order were opossums (69.1%), capybara (24.4%) and black vultures (3.7%). Among the avifauna, the black vulture (Cathartidae) had the heaviest infestation (69.9%) followed by species of the Thamnophilidae and Turdidae families. Adult ticks collected on capybaras were A. cajennense (80.8%) and A. dubitatum (19.2%). Both tick species were also found on opossums corresponding to 72.4% and 27.6%, respectively. Due to easy capture and attractiveness for ticks, opossums could be used as bioindicators in Brazilian zoonotic areas with spotted fever. Considering the prevalence and also abundance of ticks, host attractiveness, proliferation and susceptibly for R. rickettsi infection, capybaras and opossums are the main amplifying hosts for this microorganism at the ESALQ/Campus, while horses, black vultures and stray cats act as secondary hosts.

Does umbilical vein catheterization to exchange transfusion lead to portal vein thrombosis

Abstract The aetiopathology of extrahepatic portal vein obstruction is unknown. In retrospective studies, umbilical vein cannulation and sepsis have been alleged to cause portal thrombosis. This prospective study was undertaken to detect whether thrombosis and consequent obstruction of the splenoportal venous system develops after umbilical vein catheterization for exchange transfusion in newborns using Doppler ultrasound. Forty children (M = 24; F = 16) who had undergone exchange transfusion for hyperbilirubinaemia were studied at school age. Maximal duration of the venous umbilical cannulation was 120 min and sepsis did not occur. Clinical, biological and sonographic examinations were normal, except in 3 children. In 2 the left branch of portal vein could not be identified (normal variant). Conclusion Our results show that, in these children, umbilical vein catheterization did not lead to development of portal vein thrombosis. However, when other risk factors such as umbilical infection, traumatic catheterization are associated, children should be screened for obstruction of the portal vein.

Schistosoma haematobium and Schistosomiasis mansoni: production of an estradiol-related compound detected by ELISA.

Estradiol is a steroid hormone secreted principally by the ovarian follicles in vertebrate animals. We have identified the production of an estradiol-related molecule in the trematodes Schistosoma haematobium and Schistosomiasis mansoni. We show in this work that this molecule related to estradiol is present in schistosome worm extracts. The detection method ELISA specific for estradiol, revealed the expression of this estradiol-related molecule in schistosome worm extracts, but not in Fasciola hepatica worm extracts. Our results demonstrate for the first time the production of an estradiol-related compound by a human parasite of the genus Schistosoma.

AIDS Incidence and Mortality in a Hospital-Based Cohort of HIV-1–Seropositive Patients Receiving Highly Active Antiretroviral Therapy in São Paulo, Brazil

Brazilian AIDS and HIV-1-seropositive patients have had free access to highly active antiretroviral therapy (HAART) since November 1996. Although secondary data based on official mortality statistics indicate a sharp decrease in AIDS mortality, few if any studies tried to estimate the prognosis for patients with HIV who have been followed from the beginning of the HAART era. An observational study, with retrospective and prospective components, was done in 233 adult HIV-1-infected subjects who were recruited in the last 10 years at the outpatient sector of the Secondary Immunodeficiencies Clinic of the Department of Dermatology, Hospital das Clinicas da FMUSP, Sao Paulo, Brazil. The definition of AIDS followed the guidelines issued by the Centers for Disease Control (CDC) in 1987. One hundred sixty patients were asymptomatic, 46 had AIDS, 24 had AIDS-related complex, and 3 presented with acute infection at study entry. Twenty-nine (18%) of the asymptomatic subjects developed AIDS during follow-up, with 5 (3%) deaths. Among the 46 AIDS cases at entry, 7 (17%) died during follow-up. Thus, a total of 12 people (5.2%) died of AIDS in this cohort over a mean follow-up of 5.2 years and 24 people were lost to follow-up (10.3%). Ninety percent of the survivors were on combined therapy (82% with 3 or more drugs, and 8% with 2 drugs), while 10% were not taking antiretrovirals. People with AIDS at entry were 5 times more likely to die during this period compared to patients who were asymptomatic at entry (p = 0.006). Women showed better outcomes than men, reflecting differences in CD4+ T-cell counts at study entry. All but 1 patient progressed to AIDS during the pre-HAART era (before 1996). In spite of its recent decline, mortality from AIDS-related conditions remains an important public health issue.

Vaccine research, development, and innovation in Brazil: A translational science perspective

This article examines the Brazilian innovation policy for vaccines and its impact on infectious diseases, with emphasis on advances in translational science. The results indicate significant progress, with a rapid increase over the past two decades in the number of vaccine research groups, indicating scientific excellence. Advances and gaps in technological development and in public-private partnership initiatives were also identified. We stress the crucial role of partnerships, technology transfer, and targeted policies that could accelerate Brazils participation in global vaccine research and development. We propose that new strategies should be urgently conceived to strengthen the links between the scientific and technological policies, the National Health System, and the National Immunizations Program in Brazil to provide access to low-cost vaccines to address major public health challenges. We also discuss the lessons learned from the Brazilian experience in the implementation of governmental policies on vaccine innovation that could be applicable to other developing countries.

Are camouflaged seeds less attacked by wild birds

Wheat, corn and rice crops in Brazil use seeds treated with systemic insecticide/nematicide carbofuran, mixed to rhodamine B red dye. Carbofuran is toxic and rhodamine B is attractive to wild birds that eat up these seeds, resulting in notable mortality during planting. A field experiment was performed in southeast Brazil to evaluate if camouflaged seeds would be less consumed by wild birds in comparison to commercial seeds with red-colored rhodamine B and aposematic blue seeds. Camouflaged seeds were less removed than seeds with rhodamine B and natural colors. The camouflaging was more effective in the presence of irregularities and litter. There was no removal of blue-colored seeds. As legislation requires treated seeds to receive a different color to avoid accidents with humans, camouflaging may be used as replacement of rhodamine B to reduce mortality rates of wild birds.

Dendritic cell immunotherapy for HIV infection: from theory to reality

Knowledge concerning the immunology of dendritic cells (DCs) accumulated over the last few decades and the development of methodologies to generate and manipulate these cells in vitro has made their therapeutic application a reality. Currently, clinical protocols for DC-based therapeutic vaccine in HIV-infected individuals show that it is a safe and promising approach. Concomitantly, important advances continue to be made in the development of methodologies to optimize DC acquisition, as well as the selection of safe, immunogenic HIV antigens and the evaluation of immune response in treated individuals.

Camouflage of Seeds, a Control Method of the Bird Mortality in Grain Crops

This chapter discusses the development of a mitigation measure against impacts caused by the ingestion of poisoned seeds by insecticides like carbofuran and carbosulfan in wheat, corn and rice fields. In accordance with Brazilian Federal Decree no 4.074 of January 2002, agrotoxins should be added to seeds mixed with dye to avoid the risk of being ingested by humans. The toxic dye rhodamine B, whose reddish-purple colour has been used for this purpose, it’s apparent and attractive to granivorous wild birds such as Columbidae and Icterinae.

Characterization of monocyte-derived dendritic cells used in immunotherapy for HIV-1-infected individuals

AIMS A therapeutic vaccine based on monocyte-derived dendritic cells (MDDCs) has been shown to represent a promising strategy for the treatment of cancer and viral infections. Here, we characterized the MDDCs used as an immunogen in a clinical trial for an anti-HIV-1 therapeutic vaccine. PATIENTS & METHODS Monocytes obtained from 17 HIV-infected individuals were differentiated into MDDCs and, after loading with autologous HIV, the cells were characterized concerning surface molecule expression, migratory and phagocytosis capacity, cytokine production and the induction of an effective cell-mediated immune response. RESULTS The MDDCs were able to induce antigen-specific responses in autologous CD4+ and CD8+ T lymphocytes. CONCLUSIONS Despite a large interindividual variability, the results suggested that MDDCs present the potential to promote immune responses in vaccinated patients.

Crônicas de salão no Brasil e na França: João do Rio e Marcel Proust

A cronica de salao e um genero que ganha notoriedade na imprensa da Belle Epoque e que desempenha funcoes sociais bem determinadas no interior desse quadro. Este artigo compara duas cronicas sociais de Marcel Proust e de Joao do Rio, com o proposito de descrever as formulas e as convencoes que regem o genero. Nosso estudo privilegia a descricao que os dois escritores fizeram dos saloes da Belle Epoque parisiense e carioca, um retrato que oscila entre a realidade e o sonho e que, no caso de Joao do Rio, deixa evidente a ascensao da vida cultural europeia sobre a sociedade do Rio de Janeiro. The chronicle of salons, kind of venal journalism, is a genre that gained notoriety in the press during the Belle Epoque and performed specific social functions in that context. In this article we compare two society articles by Marcel Proust and Joao do Rio to describe the formulas and conventions intrinsic to the genre. We focus on the description made by both writers about the salons of the Belle Epoque in Paris and Rio, a portrait that oscillates between reality and dream and, in the case of Joao do Rio, makes evident the rise of European-like cultural life in Rio de Janeiros society.