Change in prostaglandin signaling during sickness syndrome hyperalgesia after ovariectomy in female rats.

The present study investigated hyperalgesia during sickness syndrome in female rats. Hyperalgesia was induced by an intraperitoneal injection of lipopolysaccharide (LPS) or an intracerebroventricular injection of prostaglandin E2 (PGE2). No differences were found in basal mechanical and thermal thresholds or in LPS-induced hyperalgesia in sham-operated animals in the diestrus or proestrus phase or in ovariectomized (OVX) animals. However, higher levels of PGE2 where found in the cerebrospinal fluid of OVX animals compared to sham-operated females. Intracerebroventricular injection of PGE2 produced rapid mechanical hyperalgesia in sham-operated rats while these responses were observed at later times in OVX animals. The protein kinase A (PKA) inhibitor H-89 reduced mechanical PGE2-induced hyperalgesia in OVX female rats, whereas no effect was observed in sham-operated animals. In contrast, the exchange protein activated by cyclic adenosine monophosphate (cAMP; Epac) inhibitor ESI-09 reduced mechanical PGE2-induced hyperalgesia, whereas no effect was observed in OVX animals. PGE2 also induced thermal hyperalgesia in sham-operated and OVX female rats and a similar effect of ESI-09 was observed. These results suggest that PGE2-induced hyperalgesia that is observed during sickness syndrome has different signaling mechanisms in cycling and OVX female rats involving the activation of the cAMP-Epac or cAMP-PKA pathways, respectively.

Fever Induced by Zymosan A and Polyinosinic-Polycytidylic Acid in Female Rats: Influence of Sex Hormones and the Participation of Endothelin-1.

Sex differences in the immune response can also affect the febrile response, particularly the fever induced by lipopolysaccharide (LPS). However, other pathogen-associated molecular patterns, such as zymosan A (Zym) and polyinosinic-polycytidylic acid (Poly I:C), also induce fever in male rats with a different time course of cytokine release and different mediators such as endothelin-1 (ET-1). This study investigated whether female sex hormones affect Zym- and Poly I:C-induced fever and the involvement of ET-1 in this response. The fever that was induced by Zym and Poly I:C was higher in ovariectomized (OVX) female rats compared with sham-operated female rats. Estrogen replacement in OVX females reduced Zym- and Poly I:C-induced fever. The ETB receptor antagonist BQ788 reversed the LPS-induced fever in cycling females but not in OVX females. BQ788 did not alter the fever that was induced by Zym or Poly I:C in either cycling or OVX females. These findings suggest that the febrile response in cycling females is lower, independently of the stimulus that is inducing it and is probably controlled by estrogen. Also, ET-1 seems to participate in the febrile response that was induced by LPS in males and cycling females but not in the LPS-induced fever in OVX females. Additionally, ET-1 was not involved in the febrile response that was induced by Zym or Poly I:C in females.

Intermittent binge-like ethanol exposure during adolescence attenuates the febrile response by reducing brown adipose tissue thermogenesis in rats.

Ethanol (EtOH) consumption is a primary health risk worldwide, which generally starts during adolescence in a binge pattern (i.e., the episodic consumption of high amounts). Binge EtOH consumption can lead to modifications of the innate and adaptive immune responses, including fever. The present study evaluated the febrile response that was induced by lipopolysaccharide (LPS) and prostaglandins E2 (PGE2) and the mechanisms of thermoregulation in adolescent rats that were exposed to EtOH in a binge-like pattern. Male Wistar rats were treated with an intraperitoneal (i.p.) injection of EtOH or saline on postnatal days (PND) 25, 26, 29, 30, 33, 34, 37, and 38. On PND 51, they received a pyrogenic challenge with LPS (i.p.) or PGE2 (intracerebroventricular) to induce a febrile response. Interscapular brown adipose tissue (BAT) mass and uncoupling protein (UCP) activity in isolated mitochondria were evaluated on PND 51. The rats were then subjected to cold challenges to analyze adaptive thermogenesis. Intermittent EtOH exposure during adolescence impaired the LPS- and PGE2-induced febrile response 12 days after the end of EtOH exposure. Ethanol exposure decreased interscapular BAT mass, oxygen consumption, and UCP activity in isolated mitochondria, resulting in an impairment in thermogenesis at 5 °C. No morphological changes in BAT were observed. These findings indicate that binge-like EtOH exposure during adolescence impairs thermoregulation by reducing BAT mass and function. This reduction may last for a prolonged period of time after the cessation of EtOH exposure and may affect both cold defenses and the febrile response during the development of infectious diseases.

Natural background groundwater composition in the Azores archipelago (Portugal): a hydrogeochemical study and threshold value determination.

Groundwater discharges were sampled in selected springs from São Miguel (Furnas and Fogo trachytic central volcanoes) and Santa Maria islands (Azores, Portugal), in order to characterize natural background levels (NBLs) and proceed to the determination of threshold values (TVs). Besides being a key issue in order to fully assess the anthropogenic pressures, NBLs are also instrumental to derive TVs, therefore complying with requirements from the European Union Groundwater Directive. The composition of groundwater corresponds mainly to low mineralized Na-HCO3 to Na-Cl water types, the latter dominant in Santa Maria island, with a decreasing order of Na>Ca>Mg>K and Cl>HCO3>SO4>NO3 for cations and anion respectively. The majority of the samples are slightly acid to slightly alkaline (pH range of 5.45-7.43), and the electrical conductivity range between 180 and 1458 µS/cm. Groundwater composition is controlled by two major drivers, addition of sea salts and dissolution of silicate minerals. Results shown that TVs established along the present study are in general in the lower rank when compared to the range of values proposed by the several EU member states, with the main exception of NO3, reflecting the impact of agriculture activities over water quality in the Azores, and lower than the national ones. The comparison between the estimated NBL and TV with values derived with another dataset from the Azores, usually higher, depicts the effect of a larger and diverse number of groundwater sources over calculations. On the other hand, all samples which show a contribution from volcanic/hydrothermal systems were excluded from the dataset, which explains why the derived NBLs and TVs are lower comparing to other active volcanic areas, which is also a conservative approach on a subject that has regulatory implications.

Linking trace metals and agricultural land use in volcanic soils--a multivariate approach.

The concern about the environmental impacts caused by agriculture intensification is growing as large amounts of nutrients and contaminants are introduced into soil ecosystems. Volcanic soils are unique naturally fertile resources extensively used for agricultural purposes, with particular physical and chemical properties that may result in possible accumulation of toxic substances, such as metals. Within this particular geological context, the present study aims to evaluate the impact of different agricultural systems (conventional, traditional and organic) in trace metal (TM) soil pollution and define the tracers for each one. Physicochemical properties and TM contents in agricultural topsoils were determined. Enrichment Factors (EF) were calculated to distinguish geogenic and anthropogenic contribution to TM contents in agricultural soils. An ensemble of multivariate statistical analyses (PCA and FDA) was performed to reduce the multidimensional space of variables and samples, thus defining a set of TM as tracers of distinct agricultural farming systems. Results show that agricultural soils have low organic matter content (<5%) compared to reference soil (>30%); in addition, electric conductivity in conventional farming soils is higher (262.3 ± 162.6 µS cm(-1)) while pH is lower (5.8 ± 0.3). Regarding metal inputs, V, Ba and Hg soil contents are mainly of geogenic origin, while Li, P, K, Cr, Mn, Ni, Cu, Zn, As, Mo, Cd and Pb result primarily from anthropogenic inputs. Li revealed to be a tracer of agricultural pollution in conventional farming soils, whereas V allowed the discrimination of traditional farming soils. This study points to agriculture as a diffuse source of anthropogenic TM soil pollution and is the first step to identify priority chemicals affecting agricultural Andosols.

Spring geochemistry in an active volcanic environment (São Miguel, Azores): source and fluxes of inorganic solutes.

Mineral waters were monthly sampled in selected springs from Furnas and Fogo trachytic central volcanoes (São Miguel, Azores, Portugal). Water temperatures between 15.1 °C and 90.2 °C, characterize poorly mineralized waters of Na-HCO3 and Na-HCO3-Cl types. According to the spring location, two watersheds were selected in each volcano to evaluate solute fluxes and chemical weathering rates (Fogo volcano: Ribeira Grande river - RRG; Furnas volcano: Ribeira Quente river - RRQ). Na, Mg, K and Ca fluxes in groundwater represented 43%, 60%, 46% and 57% of the total (subsurface plus surface fluxes) in RRG, and respectively 43%, 53%, 46% and 49% in RRQ. Average HCO3 flux is ten times higher in RRQ (130.1 × 10(6) mol/yr) compared to RRG (13.8 × 10(6) mol/yr), reflecting the volcano degassing and the lower ratio between groundwater and river water fluxes. Based on these values, total CO2-consumption by weathering ranged from 1.5 × 10(6)mol/km(2)/yr (RRG) to 4 × 10(6)mol/km(2)/yr (RRQ). TDS load varied between 3772 t/yr (RRG) and 15388 t/yr (RRQ), and the ratio between values in groundwater and in surface water is respectively equal to 0.72 and 2.04. The associated chemical weathering rates in groundwater were 206 t/km(2)/yr (RRG) and 399 t/km(2)/yr (RRQ). Coupled to river water, these values indicate that total chemical weathering rates are respectively equal to 493 t/km(2)/yr and 594 t/km(2)/yr. A similar approach developed for the entire archipelago showed that the chemical weathering rates due to groundwater are in the range from 33 to 321 t/km(2)/yr, being partially controlled by the age of the islands. Results of the present study point out to the need to consider groundwater solute fluxes due to weathering when establishing geochemical budgets.

Fluvial geochemistry in São Miguel Island (Azores, Portugal): source and fluxes of inorganic solutes in an active volcanic environment.

River water chemistry in two of the major rivers in São Miguel Island (Azores archipelago, Portugal) has been characterized monthly between June 2010 and October 2011 in order to estimate the main geochemical processes that explain water composition and to estimate solute fluxes and the thermal water input to rivers. Both rivers (Ribeira Grande - RRG, and Ribeira Quente - RRQ) drain active trachytic central volcanoes. The number of sampling stations is seven in RRG and six in RRQ. Rivers are mainly slightly acid to basic in nature (pH in the range 5.41-8.70 in RRG and 5.90-8.10 in RRQ) and from the Na-HCO3 and Na-HCO3-Cl water types. In both cases water temperature increases towards the river mouth and median values are slightly higher in Ribeira Quente (15.5-22.4°C) comparing to Ribeira Grande river (15.2-19.7°C). Electrical conductivity suggests poorly mineralized waters (139-456 µS/cm in RRG and 209-402 µS/cm in RRQ, and values increase downstream. Higher solute fluxes are associated to HCO3 and Na, and the total CO2 flux is equal to 3647 t/yr in RRQ and 7546 t/yr in RRG. Mixture with thermal water discharges also influences river water chemistry and in RRQ the contribution to the annual average discharge rate was estimated in 2.96×10(6)m(3)/yr (12.8% of overall discharge rate in the watershed). In RRG thermal water discharges were estimated in 2.4×10(6)m(3)/yr (14.9% of the discharge rate). The minimum total CO2-consumption associated with low-temperature weathering is equal to 0.58×10(6)mol/km(2)/yr in Ribeira Quente river and equal to 0.78×10(6)mol/km(2)/yr in Ribeira Grande river.

Fluoride content in drinking water supply in São Miguel volcanic island (Azores, Portugal).

High fluoride contents in the water supply of the city of Ponta Delgada, located in the volcanic island of São Miguel (Azores, Portugal) have been reported. Dental fluorosis in São Miguel has been identified and described in several medical surveys. The water supply in Ponta Delgada consists entirely of groundwater. A study was carried out in order to characterize the natural F-pollution of a group of springs (30) and wells (3), that are associated to active central volcanoes of a trachytic nature. Two springs known for their high content in fluoride were sampled, both located in the central volcano of Furnas. The sampled waters are cold, ranging from slightly acidic to slightly alkaline (pH range 6.53-7.60), exhibiting a low electrical conductivity (springs range 87-502 µS/cm; wells range 237-1761 µS/cm), and are mainly from the Na-HCO(3), Na-HCO(3)-Cl and Na-Cl-HCO(3) water types. Results suggest two main trends of geochemical evolution: silicate weathering, enhanced by CO(2) dilution, and seawater spraying. Fluoride contents range between 0.17 mg/L and 2 mg/L, and no seasonal variations were detected. Results in the sources of the water supply system are lower than those of the Furnas volcano, which reach 5.09 mgF/L, demonstrating the effect of F-rich gaseous emanations in this area. Instead, the higher fluoride contents in the water supply are mainly due to silicate weathering in aquifers made of more evolved volcanic rocks.

Listeria monocytogenes: ocorrência em produtos lácteos e suas implicações em saúde pública / Listeria monocytogenes: occurrence in dairy products and its implications in public health

Listeria monocytogenes é o agente causador da listeriose, uma grave doença de origem alimentar que causa severas infecções em humanos com altas taxas de mortalidade. O leite e seus derivados estão entre os produtos alimentícios mais frequentemente envolvidos na transmissão de L. monocytogenes. A listeriose acomete, sobretudo, indivíduos imunodeprimidos, grávidas, recémnascidos e idosos, o que ressalta o caráter oportunista deste micro-organismo e sua importância para a saúde pública. No presente trabalho, faz-se uma revisão narrativa crítica sobre o risco à saúde humana decorrente da ingestão de leite e derivados contaminados por L. monocytogenes, bem como se discutem os fatores que determinam a contaminação por L. monocytogenes na cadeia de produção e distribuição de leite e derivados. São apresentados e avaliados os dados de ocorrência de L. monocytogenes em leite cru e em produtos lácteos no Brasil, tendo em vista seu potencial de envolvimento em casos de listeriose humana. Adicionalmente, são indicadas as principais áreas de pesquisa e atuação para prevenir a contaminação de L. monocytogenes em produtos lácteos.

Listeria monocytogenes is the causative agent of listeriosis, a serious foodborne disease that promotes severe human infections with high mortality rates. Milk and byproducts are among the food products most often involved in the transmission of L. monocytogenes. Listeriosis mainly affects immunodepressed individuals, pregnant women, neonates and the elderly, thus emphasizing its opportunistic character and importance to public health. The present article presents a narrative and critical review concerning the risk to human health from the consumption of dairy products contaminated with L. monocytogenes. Also, a discussion is made on the factors that determine the contamination by L. monocytogenes in the production and distribution chain of milk and dairy products. The available data on the occurrence of L. monocytogenes in raw milk and dairy products in Brazil are also presented and evaluated, taking into consideration its potential for involvement in human listeriosis outbreaks. Additionally, this review indicates the main research and work areas needed for the prevention of L. monocytogenes contamination in dairy products.

Phosphorus fractionation in volcanic lake sediments (Azores - Portugal).

The phosphorus distribution in volcanic sediments of three lakes that are under different anthropogenic pressures in São Miguel island (Azores - Portugal) was evaluated using a sequential extraction scheme. The P-fractionation scheme employs sequential extractions of sediment with NH4Cl, bicarbonate-dithionite (BD), NaOH (at room temperature), HCl and NaOH (at 85 degrees C) to obtain five P-fractions. The P-fractionation shows that in lakes with higher trophic status (Lake Furnas and Lake Sete Cidades), the NaOH extracted P is the dominant fraction, that contribute with more than 50% to total sedimentary phosphorus. The rank order of P-fractionation for these two lakes was NaOH>NaOH (85 degrees C)>HCl>BD>NH4Cl for Furnas lake and NaOH>HCl>NaOH (85 degrees C)>NH4Cl>BD for Sete Cidades lake. On the other hand, the trend of P contribution in the oligotrophic lake Fogo shows that the most inert P pools have the higher concentrations, with more than 50% of the P contribution from the last extraction step with NaOH at 85 degrees C. For this lake, the rank order of P-fractionation was NH4Cl>BD>NaOH>HCl>NaOH (85 degrees C). The Phosphorus Maximum Solubilization Potential (P-MSP) was also calculated and the results show that for the more bio-available P-fractions (first and second extraction step), the P-MSP values for Furnas and Sete Cidades lakes are sensibly higher than the results obtained in Fogo lake, an indication of the non-point diffuse load discharged in the first ones.

[Pseudomembranous colitis] / Colite pseudomembranosa.

OBJECTIVE: To alert about the pseudomembranous colitis in children, a consequence of the use of antibiotics. METHODS: This report is the result of the clinical follow-up of a patient with chronic diarrhea after the use of several antibiotics. The bibliography was obtained through Medline system. RESULTS: Case report of a girl two years and seven months old, previously healthy, with a clinical picture of chronic diarrhea with dysenteric characteristics after the use of antibiotics, associated with important weight lost and hypoproteinemia. The diagnosis of pseudomembranous was established clinically and was confirmed by colonoscopy and the presence of Clostridium difficile toxin A in the stools. CONCLUSIONS: It is necessary to consider the C. difficile infection in any child with diarrhea associated to the use of antibiotics. The antibiotics in pediatric patients should always be prescribed with caution and precise indications.

When nurses and teachers strike: public perceptions of 'the betrayal'.

This article examines how the public perceived both teachers and nurses during their first strikes in Victoria. How did the community react when two previously trusted groups of essential service workers "closed shop" and walked out. Reactions towards the teachers' and nurses' actions by the press, politicians and those members of the public who expressed themselves via the media are examined. While many of the arguments used in the public debate were similar, the most significant difference in the public's reaction was related to the gender of the leaders of the respective industrial organizations.

Towards inclusive notions of 'patient' and 'nurse'.

Nursing is commonly characterized by the process of caring in the context of nurse-patient interactions in clinical and non-clinical settings. This interactive context of nursing however should not be seen to only involve encounters of an interpersonal nature but also must be extended to include interactions set in a social-relational context. (The growing realization that most health problems in our society cannot be fully understood as only an individual phenomena lends support to this notion.) Continuity and quality of time are described as being important aspects of nursing, which make possible a holistic and unified approach to care that is quite unique to nursing. A patient-centred approach to nursing is contrasted with an illness/disease-based approach. Growing recognition of the positive outcomes of an approach to nursing which is responsive to patients (rather than primarily focused on illness/disease) suggests that patterns of nursing care should be more closely aligned with this model. The authors believe this can be accomplished through a supportive emotional atmosphere of interpersonal and social-relational involvement. The modes by which nurses will be accountable to the community will then necessarily need to reflect this broader, more inclusive context.