Endemic and opportunistic infections in Brazilian solid organ transplant recipients.

OBJECTIVE: To evaluate the frequency and clinical features of endemic and other opportunistic infections in liver or kidney transplant recipients in four transplant centres in different geographical areas of Brazil. METHODS: Retrospective analysis of medical and laboratory records of four transplant centres on endemic and other opportunistic infections in liver or kidney transplant recipients. Analyses were performed with spss statistical software. RESULTS: From 2001 to 2006, 1046 kidney and 708 liver transplants were registered in all centres. The average age was 42 years. Among 82 (4.7%) cases with infections, the most frequent was tuberculosis (2.0%), followed by systemic protozoal infections (0.7%), toxoplasmosis (0.4%) and visceral leishmaniasis (0.3%). Systemic fungal infections occurred in 0.6%, of which 0.4% were cryptococcosis and 0.2% were histoplasmosis. Dengue was the only systemic viral infection and was registered in two cases (0.1%), of which one was classified as the classic form and the other as dengue haemorrhagic fever. Nocardiosis was described in one case (0.05%). The infectious agents most frequently associated with diarrhoea were Blastocystis sp., Schistosoma mansoni and Strongyloides stercoralis. CONCLUSIONS: Opportunistic Infections in transplant patients have a wide spectrum and may vary from asymptomatic to severe infections with high mortality. A better understanding of the epidemiology of endemic pathogens and clinical manifestations can contribute to the establishment of an early diagnosis as well as correct treatment aimed at decreasing morbidity and mortality.

Respostas do capim-Tifton 85 à aplicação de nitrogênio: cobertura do solo, índice de área foliar e interceptação da radiação solar / Responses of the grass Tifton 85 to the application of nitrogen: soil cover, leaf area index, and solar radiation interception

Estudaram-se os efeitos da adubação nitrogenada sobre o crescimento do capim Tifton 85 (Cynodon spp. cv. Tifton 85), em termos de ocorrência de plantas e altura do dossel, índice de área foliar e interceptação de radiação fotossinteticamente ativa. O estudo foi desenvolvido sobre um planossolo de ocorrência em campo experimental. Os tratamentos consistiram de níveis de N (0; 150; 300; 450 e 600kg/ha de N-ureia, aplicados em duas vezes), arranjados em um desenho experimental de blocos inteiramente ao acaso, com quatro repetições. As avaliações foram realizadas semanalmente, entre 10 e 40 dias após o corte. Tanto a ocorrência de plantas como a altura do dossel responderam à adubação nitrogenada, conforme um padrão de resposta que variou, sazonalmente, em função das doses de N em interação com as condições ambientais. A expansão da área foliar e a interceptação da radiação fotossinteticamente ativa associada, também foram controladas direta e proporcionalmente pelas doses de N aplicadas, sendo maximizadas a valores de índice de área foliar em torno de 4,0.

The effects of nitrogen (N) fertilization levels on the growth patterns of the grass Tifton 85 (Cynodon spp. cv.Tifton 85) were studied in terms of occurrence of plants, sward height, leaf area index, and photosynthetically active radiation interception (PARint). The field trial was made in an experimental area. Treatments consisted of N levels (0; 150; 300; 450; and 600kg/ha N-urea, split in two applications) arranged in an experimental design of entirely randomized blocks with four repetitions. Plots were weekly sampled, from the day 10th to 40th after cutting. Both occurrence of plants as well as sward height were responsive to nitrogen fertilization according to a response pattern that seasonally varied, depending on N rates and environmental conditions; thus, demonstrating their sensitivity as indicators of growth conditions and canopy structure. Leaf expansion and its associated PAR interception were also directly and proportionately controlled by N rates, being maximized to values of leaf area index around 4.0.