Systemic Lupus Erythematosus Disease Activity Score (SLE-DAS) enables accurate and user-friendly definitions of clinical remission and categories of disease activity.

OBJECTIVES: There is an unmet need for accurate and user-friendly definitions of systemic lupus erythematosus (SLE) disease activity and remission. We aimed to derive and validate the SLE Disease Activity Score (SLE-DAS) definitions for disease activity categories and clinical remission state. METHODS: Derivation was conducted at Padova Lupus Clinic (Italy). Validation was prospectively performed at Cochin Lupus Clinic (France) and by post hoc analysis of BLISS-76 trial. At each clinic, an expert classified patients in three categories: remission, mild or moderate/severe activity. The SLE-DAS cut-offs were derived using the receiver operating characteristic curve analysis in Padova cohort; its performance was assessed against expert classification in Cochin cohort and British Isles Lupus Assessment Group (BILAG) index in BLISS-76. Gold standard for clinical remission state was the fulfilment of Definition Of Remission In SLE. A Boolean and an index-based definitions of remission were sustained by chi-square automatic interaction detection algorithm. An SLE-DAS online calculator was developed and tested. RESULTS: We included 1190 patients with SLE: 221 in the derivation cohort and 969 in the validation cohorts (150 from Cochin; 819 from BLISS-76). Derived cut-offs were: remission, SLE-DAS ≤2.08; mild activity, 2.087.64. Regarding validation in Cochin cohort, sensitivity and specificity are above 90%, 82% and 95% for remission, mild and moderate/severe activity, respectively. The SLE-DAS Boolean-based and index-based remission showed sensitivity of 100% and specificity above 97%. CONCLUSION: The SLE-DAS is an accurate and easy-to-use tool for defining SLE clinical remission state and disease activity categories, validated against expert assessment and BILAG.

Changes in hypopharyngeal glands of nurse bees (Apis mellifera) induced by pollen-containing sublethal doses of the herbicide Roundup®.

Decreasing pollinator populations worldwide has generated great concern and stimulated countless studies to understand the origin of colony losses. One main cause is the indiscriminate use of different pesticides, producing subtle negative effects on bee physiology and behavior. Royal jelly synthesized in the hypopharyngeal glands is an essential protein for feeding all individuals of the hive, especially the queen. Therefore, the present study aimed to determine the effect of sublethal concentrations of Roundup® on the hypopharyngeal glands of nursing workers, including its interference with the production of royal jelly. The herbicide was found to promote changes in the cellular ultrastructure of these glands, causing early degeneration of the rough endoplasmic reticulum and morphological and structural changes in the mitochondria. No changes were noted in the amount of royal jelly produced, but additional long-term studies are necessary to determine possible qualitative changes. This is the first study to evaluate the effect of Roundup® on the royal jelly-producing glands, showing that resultant alterations in these structures can trigger damage to the development and survival of bee colonies.

Remoção de tatuagens com laser: revisão de literatura / Laser assisted tattoo removal: a literature review

A tatuagem está presente na cultura do homem desde o começo da civilização. Tentativas de remoção de tatuagens também são muito antigas. São relatados para remoção de tatuagens os seguintes procedimentos: dermoabrasão, retirada cirúrgica e procedimentos com lasers. Os lasers mais utilizados para remoção de tatuagens são: QS- Nd:YAG (1064 e 532nm), QS Rubi (694nm) e QS Alexandrite (755nm). Nossa revisão visa ao estudo do mecanismo de ação dos lasers na remoção de tatuagens e sua indicação correta para cada tipo de pigmento, além da descrição das complicações e a melhor forma de as prevenir.

Tattooing has existed in humankind's culture since the onset of civilization. Tattoo removal attempts are also very ancient. The following current methods are reported for the removal of tattoos: dermabrasion, surgical excision, and laser procedures. The most commonly used lasers for tattoo removal are: QS-Nd:YAG (1,064 and 532nm), QS-Ruby (694nm) and QS-Alexandrite (755nm). The present review is aimed at studying the action mechanism of lasers for tattoo removal and the correct indication for each type of pigment, in addition to describing complications and the best manner of preventing them.

[The use of floral resources by Visitors on Sparattosperma leucanthum (Vell.) K. Schum. (Bignoniaceae)]. / Utilização dos recursos florais pelos visitantes em Sparattosperma leucanthum (Vell.) K. Schum. (Bignoniaceae).

Aiming to estimate the rate of exploitation of the floral resources of Sparattosperma leucanthum (Vell.) K. Schum. as well as the interaction with their floral visitors in the pollination, the number of visits by flower was sampled, according to the type of visitation, the collected resource and the visitor's behavior during the forage for flowers. The floral visitors were grouped into seven guilds, organized in decreasing order of benefit to the S. leucanthum flower's pollination: effective pollinator, occasional pollinator, endogamic pollinator, generalist visitor, thievery visitor, thievery-pillager ant and pillager visitor. The total of 48.2 +/- 8.84 visits were recorded by flower. Nearly 50% of the visits resulted in nectar thief or pillage, which posed some problems to the reproduction of S. leucanthum, such as the drop in the attractiveness to pollinators and the harm to the flower's reproductive tissues. Trigona spinipes (Fabr.) (Hymenoptera: Apidae) was considered the most harmful species owing to the high frequency of pillage and forage. Bombus sp1, however, was probably the species that pollinated S. lecanthum flowers the most, making use of the crossed pollination.

[Morphologic analysis of the venom gland of Apis mellifera L. (Hymenoptera: Apidae) in populations of Mato Grosso do Sul, Brazil]. / Análise morfológica da glândula de veneno de Apis mellifera L. (Hymenoptera: Apidae) em populações de Mato Grosso do Sul.

In Apis mellifera L. the venom gland (also called acid gland) is composed of secretory cells that surround a channel that opens into a reservoir devoid of musculature. This gland can present apical branching. In this study the frequency of branched venom glands in Africanized honeybee workers (A. mellifera) from eleven localities in the state of Mato Grosso do Sul was recorded. The relations among the length of the main duct, the length of the duct from the reservoir to the beginning of branching, the length of the branched segment (when present) and the total length of the gland were also analyzed. The frequency of branched glands varied from 50% to 83% in the workers, indicating that this characteristic is primitive in those bees. The results of the Analysis of Discriminant Functions indicated significant differences in the morphometrical segments of the venom gland (Wilks Lambda = 0.092; F (40, 55) = 3.43; P < 0.001), and permitted a differentiation of the populations studied. Using the Mantel test we verified that there does not exist a significant correlation between the morphologic characteristics and the geographical distance between the localities evaluated (Mantel r = -0.006, P = 0.48). The high frequency of workers with large venom gland in all the apiaries considered makes viable the development of a selection program in order to obtain bees with longer venom glands, aimed at the commercial production of venom by the beekeepers of those localities of Mato Grosso do Sul.

[Relation between the size of the acid gland and the quantity of venom produced in Africanized bee, Apis mellifera L. (Hymenoptera: Apidae), in the region of Dourados, MS, Brazil]. / Relação entre o tamanho da glândula ácida e a quantidade de veneno produzido em abelha Africanizada, Apis mellifera L. (Hymenoptera: Apidae), na região de Dourados, MS.

Crosses between African and European honeybees in Brazil resulted in a highly defensive hybrid bee. The acid gland is important in the expression of this characteristic, being responsible for venom production. Morphological variations in this gland could influence the quantity of venom. Glandular morphology was analyzed, along with the quantity of venom produced and the bees' genetic characteristics. The gland and the venom reservoir were removed from workers. The gland was placed on a histological frame for measurement and the contents of the reservoir were weighed. The results were submitted to an analysis of regression and submitted to Test Z, to evaluate the differences between the averages. The phenotypes were evaluated according to the standard found in literature. Gland length varied from 7.42 mm to 20.33 mm, the quantity of venom from 0.19 mg to 0.34 mg, and as far as the genetic characteristics are concerned, 63.3% of the colonies had workers with large glands. In 53.3% of the colonies, 90% of individuals had simple glands, suggesting the evolutionary process leading to the loss of branching, since the presence of branching indicates primitiveness. The production of venom is associated with the length of the gland and branching does not influence the quantity of venom. There was no statistical difference between the size of the branched and simple glands or in the quantity of venom produced, therefore the large glands can favor commercial exploration of venom, producing larger quantities.

[Chronic interstitial pneumonitis]. / Pneumonite intersticial crónica.

Interstitial lung disease includes a group of chronic diseases characterized by alterations in alveolar walls and loss of functional alveolar-capillary units. These are rare diseases in children, mostly with an unknown cause and associated with a high morbidity and mortality due to insufficient therapeutic effectiveness. The authors report a case of a previously healthy 3 years old child who presented with wheezing and severe respiratory insufficiency following a respiratory infection. The investigation performed led to the diagnosis of chronic interstitial pneumonitis. Several treatments have been tried (corticosteroids, hydroxychloroquine, N-acetylcysteine) without any obvious improvement.