Patients' Perceptions on the Performance of a Local Health System to Eliminate Leprosy,Paraná State,Brazil

Background

In Brazil, leprosy has been listed among the health priorities since 2006, in a plan known as the “Pact for life” (Pacto pela Vida). It is the sole country on the American continent that has not reached the global goal of disease elimination. Local health systems face many challenges to achieve this global goal. The study aimed to investigate how patients perceive the local health system''s performance to eliminate leprosy and whether these perceptions differ in terms of the patients'' income.

Methodology/Principal Findings

A cross-sectional study was conducted in Londrina, State of Paraná, Brazil. Interviews were performed with the leprosy patients. The local health system was assessed through a structured and adapted tool, considering the domains judged as good quality of health care. The authors used univariate, bivariate and multivariate analyses. One hundred and nineteen patients were recruited for the study, 50.4% (60) of them were male, 54.0% (64) were between 42 and 65 years old and 66.3% (79) had finished elementary school. The results showed that patients used the Primary Health Care service near their place of residence but did not receive the leprosy diagnosis there. Important advances of this health system were verified for the elimination of leprosy, verifying protocols for good care delivery to the leprosy patients, but these services did not develop collective health actions and did not engage the patients'' family members and community.

Conclusions/Significance

The patients'' difficulty was observed to have access to the diagnosis and treatment at health services near their homes. Leprosy care is provided at the specialized level, where the patients strongly bond with the teams. The care process is individual, with limited perspectives of integration among the health services for the purpose of case management and social mobilization of the community to the leprosy problem.     

Behaviour of Sotalia guianensis (van Beneden, 1864) (Cetacea, Delphinidae) and ethnoecological knowledge of artisanal fishermen from Canavieiras, Bahia, Brazil

ABSTRACT: Artisanal fishermen, because of their direct and frequent contact with the aquatic environment, possess a wealth of knowledge about the natural history of the fauna of the region in which they live. This knowledge, both practical and theoretical, has been frequently utilized and integrated into academic research. Taking this into consideration, this study discusses the ethnoecological knowledge of artisanal fishermen from a community in Canavieiras, state of Bahia, Brazil regarding the Guiana dolphin (Sotalia guianensis), a typically costal member of the family Delphinidae that is little studied in this region. To this end, the behaviour of S. guianensis in Canavieiras was recorded over one year and the data obtained were compared with fishermen's reports. A total of 609 hours of behavioural observations of S. guianensis was conducted from a fixed point in alternate morning and afternoon sessions between October 2009 and September 2010. Observations were conducted from a pier (15o40'59"S and 38o56'38"W) situated on the banks of the Pardo River estuary - the region's main river - at 5.5 m above water level. For ethnoecological data collection, semi-structured interviews were carried out with 26 fishermen in May, June and September 2010 and January 2011 in the fishing community of Atalaia. Occasional boat expeditions were made with the fishermen to compare their reports with direct observations of the behaviour of S. guianensis. The results demonstrate that fishermen possess a body of knowledge about S. guianensis that describes in detail the main behavioural aspects of the species. They reported the presence of S. guianensis in the Pardo River estuary throughout the year and its gregarious behaviour. They cited a relationship between the movement of dolphins and tidal cycles, and their presence in the estuary associated with the search for food. In addition, the fishermen reported that numbers of infants in groups were proportional to group size. Behaviours described were compatible with the observations made in situ and with data found in the scientific literature, confirming the importance of traditional knowledge in complementing scientific data. One behaviour mentioned by the fishermen that had no equivalence in the scientific literature was confirmed in situ and, therefore, constitutes the first record for this species.     

<Emphasis Type="Italic">Aeromonas</Emphasis> and <Emphasis Type="Italic">Plesiomonas</Emphasis> species from scarlet ibis (<Emphasis Type="Italic">Eudocimus ruber</Emphasis>) and their environment: monitoring antimicrobial susceptibility and virulence

The present study aimed at evaluating the role of captive scarlet ibises (Eudocimus ruber) and their environment as reservoirs of Aeromonas spp. and Plesiomonas spp., and analyzing the in vitro antimicrobial susceptibility and virulence of the recovered bacterial isolates. Thus, non-lactose and weak-lactose fermenting, oxidase positive Gram-negative bacilli were recovered from cloacal samples (n = 30) of scarlet ibises kept in a conservational facility and from water samples (n = 30) from their environment. Then, the antimicrobial susceptibility, hemolytic activity and biofilm production of the recovered Aeromonas spp. and Plesiomonas shigelloides strains were assessed. In addition, the virulence-associated genes of Aeromonas spp. were detected. Ten Aeromonas veronii bv. sobria, 2 Aeromonas hydrophila complex and 10 P. shigelloides were recovered. Intermediate susceptibility to piperacillin-tazobactam and cefepime was observed in 2 Aeromonas spp. and 1 P. shigelloides, respectively, and resistance to gentamicin was observed in 4 P. shigelloides. The automated susceptibility analysis revealed resistance to piperacillin-tazobactam and meropenem among Aeromonas spp. and intermediate susceptibility to gentamicin among P. shigelloides. All Aeromonas isolates presented hemolytic activity, while 3 P. shigelloides were non-hemolytic. All Aeromonas spp. and 3/10 P. shigelloides were biofilm-producers, at 28 °C, while 10 Aeromonas spp. and 6/10 P. shigelloides produced biofilms, at 37 °C. The most prevalent virulence genes of Aeromonas spp. were asa1 and ascV. Scarlet ibises and their environment harbour potentially pathogenic bacteria, thus requiring monitoring and measures to prevent contamination of humans and other animals.     

Evolvulus flavus sp. nov. (Convolvulaceae) from the Brazilian Caatinga

Evolvulus flavus is a new species of Convolvulaceae found in the semiarid region of Paraíba State, Brazil. It is characterized by flowers with a yellow corolla and 4‐locular ovary. Illustrations and taxonomic notes are presented. Only four individuals of this new species have been located, resulting in its classification as ‘Endangered’ (EN) in accordance with the IUCN criteria.     

Termites that build conspicuous nests in two areas of Atlantic Forest under different levels of anthropogenic disturbance

The effects of selective logging on termite assemblages that build conspicuous nests were studied in two areas of semideciduous Atlantic Forest, located in the Reserva Biológica Guaribas, Northeastern Brazil. The two study areas went through selective logging until 1985 (A17) and 1972 (A30). In 2002, termite nests were studied in two plots of 1 ha (100 x 100 m), being one plot in each area. The nests were placed in each plot and the species were categorized in feeding groups. The structure of the study assemblages was different between the two areas. Diversity and richness of builder species were greater in the A30 area. Species that consume humus were more sensitive to selective logging. Nest abundance of humus feeding species was significantly higher in the A30 area, whereas nests of wood feeding species were significantly more abundant in the area A17. Nest ratio between humus and wood feeding species was 1:3 in the A30 area and 1:12 in the A17 area. Nests with greater volume were observed in the area A30, whereas abundance of inactive nests was significantly higher in A17. The time for habitat resilience after the selective logging influenced patterns of assemblage structure of termites in similar ways as described in other studies in tropical forests.     

Characterization of COX19, a widely distributed gene required for expression of mitochondrial cytochrome oxidase

COX19, a nuclear gene of Saccharomyces cerevisiae, was cloned by transformation of a respiratory-deficient mutant from complementation group G188 of a pet mutant collection. The gene codes for an 11-kDa protein (Cox19p) required for expression of cytochrome oxidase. Because cox19 mutants are able to synthesize the mitochondrial and nuclear gene products of cytochrome oxidase, Cox19p probably functions post-translationally during assembly of the enzyme. Cox19p is present in the cytoplasm and mitochondria, where it exists as a soluble intermembrane protein. This dual location is similar to what was previously reported for Cox17p, a low molecular weight copper protein thought to be required for maturation of the CuA center of subunit 2 of cytochrome oxidase. The similarity in their subcellular distribution, combined with the presence of four cysteines in Cox19p that align with a subset of the cysteines in Cox17p, suggests that like the latter, Cox19p may function in metal transport to mitochondria.     

Molecular cloning of crustins from the hemocytes of Brazilian penaeid shrimps

Crustins are antimicrobial peptides initially identified in the hemocytes of the crab Carcinus maenas (11.5-kDa peptide or carcinin) and recently also recognized in penaeid shrimps and other crustacean species. The aim of this study was to identify sequences encoding for crustins from the hemocytes of four Brazilian penaeid species: Farfantepenaeus paulensis, Farfantepenaeus subtilis, Farfantepenaeus brasiliensis and Litopenaeus schmitti. Using primers based on consensus nucleotide alignment of crustins from different crustaceans, cDNA sequences coding for crustins in all indigenous penaeid species were amplified. The obtained four crustin sequences encoded for peptides containing a hydrophobic N-terminal region rich in glycine repeats and a C-terminal part with 12 cysteine residues and a conserved whey acidic protein domain. All obtained crustin sequences showed high amino acidic similarity among each other and with crustins from litopenaeid shrimps (76-98%). This is the first report of crustins in native Brazilian penaeid shrimps.     

Synthesis,Antioxidant Activity and Cytotoxicity of N-Functionalized Organotellurides

The use of antioxidants is the most effective means to protect the organism against cellular damage caused by oxidative stress. In this context, organotellurides have been described as promising antioxidant agents for decades. Herein, a series of N-functionalized organotellurium compounds has been tested as antioxidant and presented remarkable activities by three different in vitro chemical assays. They were able to reduce DPPH radical with IC₅₀ values ranging from 5.08 to 19.20?µg?mL^?1, and some of them also reduced ABTS⁺ radical and TPTZ-Fe³⁺ complex in ABTS⁺ and FRAP assays, respectively. Initial structure-activity relationship discloses that the nature of N-substituent strongly influenced both activity and cytotoxicity of the studied compounds. Furthermore, radical scavenging activities of N-functionalized organotellurides have been compared with those of their selenilated congeners, demonstrating that the presence of tellurium atom has an essential role in antioxidant activity.     

Spectral networks: a new approach to de novo discovery of protein sequences and posttranslational modifications

Significant technological advances have accelerated high-throughput proteomics to the automated generation of millions of tandem mass spectra on a daily basis. In such a setup, the desire for greater sequence coverage combines with standard experimental procedures to commonly yield multiple tandem mass spectra from overlapping peptides-typical observations include peptides differing by one or two terminal amino acids and spectra from modified and unmodified variants of the same peptides. In a departure from the traditional spectrum identification algorithms that analyze each tandem mass spectrum in isolation, spectral networks define a new computational approach that instead finds and simultaneously interprets sets of spectra from overlapping peptides. In shotgun protein sequencing, spectral networks capitalize on the redundant sequence information in the aligned spectra to deliver the longest and most accurate de novo sequences ever reported for ion trap data. Also, by combining spectra from multiple modified and unmodified variants of the same peptides, spectral networks are able to bypass the dominant guess/confirm approach to the identification of posttranslational modifications and alternatively discover modifications and highly modified peptides directly from experimental data. Open-source implementations of these algorithms may be downloaded from peptide.ucsd.edu.