Quantitative analysis of risk assessment indicators for re-introduction of imported malaria in China / 中国血吸虫病防治杂志

Objective To quantitatively analyze the risk indicators of re-introduction of imported malaria in China and their weighting coefficients, so as to investigate the difference in the contribution of risk indicators included in the current risk assessment framework for re-introduction of imported malaria in China to the risk assessment of re-introduction of imported malaria. Methods Publications pertaining to the risk assessment framework for re-introduction of imported malaria in China that reported the risk indicators and their weighting coefficients were retrieved in PubMed, Web of Science, CNKI, Wanfang Data, and VIP with terms of “malaria”, “re-introduction/re-transmission/re-establishment”, “risk assessment/risk evaluation/risk prediction” from the inception of the database through 3 August 2023, and literature search was performed in Google Scholar to ensure the comprehensiveness of the retrieval. Basic characteristics of included studies were extracted using pre-designed information extraction forms by two investigators, and data pertaining to risk indicators of re-introduction of imported malaria were cross-checked by these two investigators. The risk indicators included in the risk assessment framework for re-introduction of imported malaria in China and their weighting coefficients were visualized with the Nightingale’s rose diagrams using the software R 4.2.1, and the importance of risk indictors was evaluated with the frequency of risk indicators included in the risk assessment framework and the ranking of weighting coefficients of risk indicators. In addition, the capability of risk indicators screened by different weighting methods was compared by calculating the ratio of the maximum to the minimum of the weighting coefficients of the risk indicators screened by different weighting methods. Results A total of 2 138 publications were retrieved, and following removal of duplications and screening, a total of 8 publications were included in the final analysis. In these 8 studies, 8 risk assessment frameworks for re-introduction of imported malaria in China and 52 risk indicators of re-introduction of imported malaria were reported, in which number of imported malaria cases (n = 8) and species of malaria vectors were more frequently included in the risk assessment frameworks (n = 8), followed by species of imported malaria parasites (n = 6) and population density of local malaria vectors (n = 6), and species of local malaria vectors (n = 6), number of imported malaria cases (n = 5) and species of imported malaria parasites had the three highest weighting coefficients (n = 4). The weighting methods included expert scoring method, combination of expert scoring method and analytic hierarchy process, and combination of expert scoring method and entropy weight method in these 8 studies, and the ratios of the maximum to the minimum of the weighting coefficients of the risk indicators screened by the expert scoring method were 1.143 to 2.241, while the ratios of the maximum to the minimum of the weighting coefficients of the risk indicators screened by combination of the expert scoring method and analytic hierarchy process were 34.970 to 162.000. Conclusions Number of imported malaria cases, species of imported malaria parasites, species of local malaria vectors and population density of local malaria vectors are core indicators in the current risk assessment framework for re-introduction of imported malaria in China. Combination of the expert scoring method and analytic hierarchy process is superior to the expert scoring method alone for weighting the risk indicators.

Monitoring post-release behavioural activity of captive-bred urial (Ovis vignei punjabiensis) at Togh Managara Safari Park Khyber Pakhtunkhwa, Pakistan / Monitoramento da atividade comportamental pós-liberação de urial criado em cativeiro (Ovis vignei punjabiensis) em Togh Managara Safari Park Khyber Pakhtunkhwa, Paquistão

The Punjab urial (Ovis vignei punjabiensis) is a globally threatened wild sheep species. In Pakistan the species is legally protected and bred in captivity to release into natural habitats to reinforce wild populations. Vigilance and feeding are critical to survival, though the degree to which captive-bred animals exhibit these behaviours post-release has rarely been investigated. We monitored the daily behaviours of five adult urial after release and classifying behaviours from 0600 hrs to 1800 hrs, replicating each one-hour period twice and recording four observations of each animal per hour. At the herd level, vigilance and feeding behaviours were exhibited equally. Males and females invested equal time in feeding, males were more vigilant (p = 0.001) and more aggressive (p = 0.010), and females were more restful (p = 0.019) or engaged in grooming (p = 0.044) or locomotion (p = 0.002). Females spent more time feeding than being vigilant (p = 0.002). Males maintained high levels of vigilance throughout the day. Patterns of resting 1300 hrs to 1500 hrs and feeding in early morning and late afternoon were common for both sexes. Behaviours classified as 'other' were exhibited equally between sexes. Our results reveal positive indications of captive-bred urial balancing threat detection and energy acquisition post-release and exhibiting natural behaviours and activity patterns. We encourage assessment of survivorship to evaluate long-term effectiveness of captive breeding and release as a candidate restoration programme.

O Punjab urial (Ovis vignei punjabiensis) é uma espécie de ovelha selvagem ameaçada globalmente. No Paquistão, a espécie é legalmente protegida e criada em cativeiro para ser liberada em habitats para reforçar as populações selvagens. Vigilância e alimentação são essenciais para a sobrevivência, embora o grau de comportamento que os animais criados em cativeiro apresenta raramente tenha sido estudado. Cinco uriais adultos foram monitorados diariamente, após a liberação os comportamentos foram classificados das 6 h às 18 h, replicando cada período de uma hora por duas vezes e registrando quatro observações de cada animal por hora. Em nível do rebanho, os comportamentos de vigilância e alimentação foram exibidos igualmente. Machos e fêmeas investiam tempo igual na alimentação, enquanto os machos eram mais vigilantes (p = 0,001) e mais agressivos (p = 0,010), as fêmeas eram mais repousantes (p = 0,019) ou mais engajadas no asseio (p = 0,044) ou na locomoção (p = 0,002). As fêmeas passam mais tempo se alimentando do que vigiando (p = 0,002). Os machos mantiveram altos níveis de vigilância ao longo do dia. Padrões de descanso de 1300 a 1500 horas e alimentação no início da manhã e no final da tarde eram comuns para ambos os sexos. Comportamentos classificados como "outros" foram exibidos igualmente entre os sexos. Os resultados revelam indicações positivas na detecção de ameaça em relação ao equilíbrio de criação urial em cativeiro e em aquisição de energia pós liberação, exibindo comportamentos naturais e padrões de atividade. Neste estudo, encorajou-se a utilização da avaliação de sobrevivência para avaliar a eficácia em longo prazo da reprodução em cativeiro e soltura como um programa de restauração dos candidatos.

Monitoring post-release behavioural activity of captive-bred urial (Ovis vignei punjabiensis) at Togh Managara Safari Park Khyber Pakhtunkhwa, Pakistan

Abstract The Punjab urial (Ovis vignei punjabiensis) is a globally threatened wild sheep species. In Pakistan the species is legally protected and bred in captivity to release into natural habitats to reinforce wild populations. Vigilance and feeding are critical to survival, though the degree to which captive-bred animals exhibit these behaviours post-release has rarely been investigated. We monitored the daily behaviours of five adult urial after release and classifying behaviours from 0600 hrs to 1800 hrs, replicating each one-hour period twice and recording four observations of each animal per hour. At the herd level, vigilance and feeding behaviours were exhibited equally. Males and females invested equal time in feeding, males were more vigilant (p = 0.001) and more aggressive (p = 0.010), and females were more restful (p = 0.019) or engaged in grooming (p = 0.044) or locomotion (p = 0.002). Females spent more time feeding than being vigilant (p = 0.002). Males maintained high levels of vigilance throughout the day. Patterns of resting 1300 hrs to 1500 hrs and feeding in early morning and late afternoon were common for both sexes. Behaviours classified as other were exhibited equally between sexes. Our results reveal positive indications of captive-bred urial balancing threat detection and energy acquisition post-release and exhibiting natural behaviours and activity patterns. We encourage assessment of survivorship to evaluate long-term effectiveness of captive breeding and release as a candidate restoration programme.

Resumo O Punjab urial (Ovis vignei punjabiensis) é uma espécie de ovelha selvagem ameaçada globalmente. No Paquistão, a espécie é legalmente protegida e criada em cativeiro para ser liberada em habitats para reforçar as populações selvagens. Vigilância e alimentação são essenciais para a sobrevivência, embora o grau de comportamento que os animais criados em cativeiro apresenta raramente tenha sido estudado. Cinco uriais adultos foram monitorados diariamente, após a liberação os comportamentos foram classificados das 6 h às 18 h, replicando cada período de uma hora por duas vezes e registrando quatro observações de cada animal por hora. Em nível do rebanho, os comportamentos de vigilância e alimentação foram exibidos igualmente. Machos e fêmeas investiam tempo igual na alimentação, enquanto os machos eram mais vigilantes (p = 0,001) e mais agressivos (p = 0,010), as fêmeas eram mais repousantes (p = 0,019) ou mais engajadas no asseio (p = 0,044) ou na locomoção (p = 0,002). As fêmeas passam mais tempo se alimentando do que vigiando (p = 0,002). Os machos mantiveram altos níveis de vigilância ao longo do dia. Padrões de descanso de 1300 a 1500 horas e alimentação no início da manhã e no final da tarde eram comuns para ambos os sexos. Comportamentos classificados como outros foram exibidos igualmente entre os sexos. Os resultados revelam indicações positivas na detecção de ameaça em relação ao equilíbrio de criação urial em cativeiro e em aquisição de energia pós-liberação, exibindo comportamentos naturais e padrões de atividade. Neste estudo, encorajou-se a utilização da avaliação de sobrevivência para avaliar a eficácia em longo prazo da reprodução em cativeiro e soltura como um programa de restauração dos candidatos.

Monitoring post-release behavioural activity of captive-bred urial (Ovis vignei punjabiensis) at Togh Managara Safari Park Khyber Pakhtunkhwa, Pakistan / Monitoramento da atividade comportamental pós-liberação de urial criado em cativeiro (Ovis vignei punjabiensis) em Togh Managara Safari Park Khyber Pakhtunkhwa, Paquistão

The Punjab urial (Ovis vignei punjabiensis) is a globally threatened wild sheep species. In Pakistan the species is legally protected and bred in captivity to release into natural habitats to reinforce wild populations. Vigilance and feeding are critical to survival, though the degree to which captive-bred animals exhibit these behaviours post-release has rarely been investigated. We monitored the daily behaviours of five adult urial after release and classifying behaviours from 0600 hrs to 1800 hrs, replicating each one-hour period twice and recording four observations of each animal per hour. At the herd level, vigilance and feeding behaviours were exhibited equally. Males and females invested equal time in feeding, males were more vigilant (p = 0.001) and more aggressive (p = 0.010), and females were more restful (p = 0.019) or engaged in grooming (p = 0.044) or locomotion (p = 0.002). Females spent more time feeding than being vigilant (p = 0.002). Males maintained high levels of vigilance throughout the day. Patterns of resting 1300 hrs to 1500 hrs and feeding in early morning and late afternoon were common for both sexes. Behaviours classified as 'other' were exhibited equally between sexes. Our results reveal positive indications of captive-bred urial balancing threat detection and energy acquisition post-release and exhibiting natural behaviours and activity patterns. We encourage assessment of survivorship to evaluate long-term effectiveness of captive breeding and release as a candidate restoration programme.

O Punjab urial (Ovis vignei punjabiensis) é uma espécie de ovelha selvagem ameaçada globalmente. No Paquistão, a espécie é legalmente protegida e criada em cativeiro para ser liberada em habitats para reforçar as populações selvagens. Vigilância e alimentação são essenciais para a sobrevivência, embora o grau de comportamento que os animais criados em cativeiro apresenta raramente tenha sido estudado. Cinco uriais adultos foram monitorados diariamente, após a liberação os comportamentos foram classificados das 6 h às 18 h, replicando cada período de uma hora por duas vezes e registrando quatro observações de cada animal por hora. Em nível do rebanho, os comportamentos de vigilância e alimentação foram exibidos igualmente. Machos e fêmeas investiam tempo igual na alimentação, enquanto os machos eram mais vigilantes (p = 0,001) e mais agressivos (p = 0,010), as fêmeas eram mais repousantes (p = 0,019) ou mais engajadas no asseio (p = 0,044) ou na locomoção (p = 0,002). As fêmeas passam mais tempo se alimentando do que vigiando (p = 0,002). Os machos mantiveram altos níveis de vigilância ao longo do dia. Padrões de descanso de 1300 a 1500 horas e alimentação no início da manhã e no final da tarde eram comuns para ambos os sexos. Comportamentos classificados como "outros" foram exibidos igualmente entre os sexos. Os resultados revelam indicações positivas na detecção de ameaça em relação ao equilíbrio de criação urial em cativeiro e em aquisição de energia pósliberação, exibindo comportamentos naturais e padrões de atividade. Neste estudo, encorajou-se a utilização da avaliação de sobrevivência para avaliar a eficácia em longo prazo da reprodução em cativeiro e soltura como um programa de restauração dos candidatos.

Variación de la abundancia de Lama guanicoe en el Parque Nacional Bosque Fray Jorge, Coquimbo, Chile y su relación con la cobertura vegetal / Variation of the abundance of Lama guanicoe in Bosque Fray Jorge National Park Coquimbo, Chile, and its relation with plant cover

Lama guanicoe se distribuyó en los Andes de Chile desde Arica y Parinacota hasta Magallanes. Actualmente su distribución está fragmentada con poblaciones en las regiones de Tarapacá, Coquimbo, Aysén y Magallanes. En el Parque Nacional Bosque Fray Jorge (Coquimbo), las últimas poblaciones de guanacos silvestres se observaron el año 1920. En 1994 se liberaron ocho individuos en el Parque de los cuales cinco sobrevivieron. Desde entonces se realizaron conteos ocasionales de la población reintroducida. En noviembre de 2013 se elaboró una metodología de monitoreo con base en transectos de conteo. Los objetivos fueron analizar los cambios históricos de la abundancia poblacional de guanacos en el Parque y determinar el uso y selección de hábitat. Se emplearon modelos lineales para analizar las tendencias poblacionales y el Cociente de Selección de Manly para la selección de hábitat. Se evidenció incremento de la población hasta 33 individuos. El principal uso que dieron a los tipos de cobertura fue la alimentación y seleccionaron el Matorral Desértico Mediterráneo Interior de Heliotropium stenophyllum y Fluorensia thurifera. Se recomienda marcar los guanacos con collares satelitales para hacer un seguimiento de los movimientos de las tropas, establecer territorios y medir el tamaño poblacional.

Lama guanicoe was distributed in the Andes of Chile from Arica and Parinacota to Magallanes. Currently its distribution is fragmented with populations in Tarapaca, Coquimbo, Aysen and Magallanes Regions. In the Bosque Fray Jorge National Park (Coquimbo), the last populations of wild guanacos were observed in the year 1920. In 1994, eight individuals were released in the Park, of which five survived. Since then, occasional counts of the reintroduced population were made. In November 2013, a monitoring methodology was developed based on count transects. The objectives were to analyze the historical changes in the population of guanacos in the Park and determine the use and selection of habitats. Linear models were used to analyze population trends and the Manly Selection Ratio for habitat selection. There was an increase in the population to 33 individuals. The main use that they gave to the types of cover was the feeding and they selected the Mediterranean Mediterranean Desert Scrub of Heliotropium stenophyllum and Fluorensia thurifera. It is recommended to mark the guanacos with satellite collars to monitor the movements of the troops, establish territories and measure the population size.

Captive Breeding of Threatened Mammals Native to Southeast Asia – A Review on their Ex-situ Management, Implication and Reintroduction Guidelines

Heavy deforestation and land use conversion in Southeast Asia caused most of the mammals to face the threat of extinction due to limited availability of suitable habitats, which jeopardizes their survival throughout the region. As the demand for certain body parts of threatened mammals increases, illegal poaching activities increase, and consequently their population continuously decreases. Protecting sustainable population numbers or supporting efforts to multiply the population of threatened mammals in their own natural habitats is very challenging, almost impossible until the threats in the wild are removed. Therefore, ex-situ conservation through captive breeding is another reliable method which already been practiced for years across the world. Nevertheless, transferring and raising these mammals in breeding centers requires proper guidelines to maintain their welfare and genetic variability. In this paper, we discussed threatened mammals native to Southeast Asian countries that are currently under captive breeding programs. A multi-disciplinary overview, including: group size and social structure; health, stress and mortality studies and; enclosure design and environmental enrichment, are key components of the best management and husbandry practices. The mammalian alleles may experience evolutionary change if the populations of endangered mammals are retained in captivity after few generations, and that could lead to genetic problems. Therefore, a proper gene ‘flow’ is crucial to maintain genetic variation within and between populations. Finally, an important tool for species conservation is reintroduction of well-managed captive breeding populations into the wild. A complete health screening, selection of sites and pre-release training prior to reintroduction are crucial and need to be addressed for these mammalian populations.

EVALUACIÓN DE PROCESOS DE SEGUIMIENTO Y MONITOREO POST-LIBERACIÓN DE FAUNA SILVESTRE REHABILITADA EN COLOMBIA / EVALUATION OF TRACKING PROCESSES AND POST-RELEASE MONITORING OF WILD FAUNA REHABILITATED IN COLOMBIA

Este estudio tiene por objetivo evaluar diferentes procesos de liberación de fauna silvestre realizados en Colombia, en los cuales se documentó el monitoreo y seguimiento posterior a su reintroducción durante el periodo de 1997 a 2015. Se realizó la recolección de datos en centros de documentación de autoridades ambientales, organizaciones no gubernamentales (ONG) e instituciones que trabajan con fauna silvestre; informes de gestión de las 33 corporaciones autónomas regionales (CAR) para los años 2007-2013; así como artículos científicos publicados en revistas especializadas y memorias de eventos. Se identificaron 66 estudios de caso, de los cuales 47 fueron liberaciones de mamíferos (293 ejemplares), 16 de aves (372 ejemplares) y 3 de reptiles (7 ejemplares). El objetivo de liberación en mamíferos fue principalmente el reforzamiento poblacional, mientras que en aves y reptiles fue dirigido a programas de conservación de especies amenazadas. Las liberaciones de mamíferos y aves correspondieron principalmente a especies categorizadas por la Unión Internacional para la Conservación de la Naturaleza (UICN) en Preocupación menor y de reptiles en la categoría En peligro crítico (CR). Los mamíferos y reptiles fueron marcados principalmente con radio transmisores y las aves con anillos. Las técnicas de monitoreo más usadas en mamíferos y aves fueron la observación directa y la telemetría, y en los reptiles la telemetría. Los tiempos de seguimiento y monitoreo de mamíferos, aves y reptiles variaron principalmente en el rango de 1-30 días. De acuerdo con los criterios definidos, en cada estudio de caso se consideraron exitosas el 57,4% de las liberaciones de mamíferos, el 68,7% de aves y el 66,6% de reptiles.

This study aims to evaluate different wild fauna release processes carried out in Colombia, in which the monitoring and tracking was documented during the period from 1997 to 2015. Data collection was performed at Environmental Authorities documentation centers, Non-Governmental Organizations (NGOs), and institutions that work with wildlife, and management reports of the 33 Regional Autonomous Corporations during the years 2007-2013, as well as scientific papers published in specialized journals and proceedings of scientific events. Sixty-six case studies were identified of which 47 were releases of mammals (293 specimens), 16 releases of birds (372 specimens) and 3 releases of reptiles (7 specimens). The objective of releasing mammals was mainly the population reinforcement, while in birds and reptiles the objective was directed to conservation programs of endangered species. The releases of mammals and birds corresponded mainly to species categorized by the International Union for Conservation of Nature (IUCN) as minor concern, and released reptiles in the category Critically Endangered (CE). Mammals and reptiles were mainly marked with radio transmitter, and birds were marked with rings. The most used monitoring techniques in mammals and birds were direct observation and telemetry, and telemetry in reptiles. Follow-up and monitoring times for mammals, birds and reptiles varied mainly in the range 1-30 days. According to the defined criteria in each case study, 57.4% of mammal releases, 68.7% of birds and 66.6% of reptiles were considered successful.

Reintroducción del consumo regular de Quinua en Riobamba, Ecuador: estudio piloto / Reintroucción of regular consumptin of quinoa in Riobamba, Ecuador: a piloy study

En Ecuador la incidencia de obesidad, diabetes y otras afecciones crónicas de salud, que se han asociado parcialmente con cambios en los hábitos alimentarios, está aumentando y muchas veces se acentúa en los centros urbanos más pequeños. El consumo omnipresente de arroz blanco es probablemente una práctica alimentaria presente en esta transición nutricional, mientras que el consumo de alimentos tradicionales saludables como la quinua permanece generalmente bajo. En nuestra encuesta realizada en 2013, el 67% de los 240 residentes encuestados en la pequeña ciudad andina de Riobamba informaron que preferirían comer "arroz de quinua" (quinua preparada como arroz) por lo menos dos veces por semana en lugar de arroz blanco. Con el objetivo de reintroducir el consumo regular de quinua en los hogares de esta población, a finales de 2015 se inició una intervención para promover el consumo de arroz de quinua 3 veces por semana, entre 131 adultos en Riobamba. Entre la línea de base y los datos obtenidos al final de la intervención cuatro meses más tarde, no hubo cambios significativos en el IMC observado. Sin embargo, a los 2, 4 y 7 meses post-basal, el 52%, 40% y 47% de los encuestados, respectivamente, informaron haber disfrutado del consumo de arroz de quinua en lugar de arroz blanco, afirmando que les gustaba "mucho" o "en general", y el 64%, 55% y 68% de los encuestados refirieron que "definitivamente" o "muy probablemente" continuarán consumiendo quinua en lugar de arroz, por lo menos a veces. Estos hallazgos sugieren una aceptación modesta de esta (re)introducción de un alimento tradicional y saludable, aunque otras investigaciones más amplias y extensas podrían evaluar con mayor precisión los posibles impactos en la salud de este tipo de cambio reportado en los hábitos alimentarios de la población.

Abstract: In Ecuador the incidence of obesity, diabetes and other chronic health conditions -- which are partly due to changes in dietary behavior -- has been increasing, often most dramatically in smaller urban centers. The ubiquitous consumption of white rice is likely one important factor in this nutritional transition, while the consumption of traditional healthy foods such as quinoa remains generally low. In a 2013 survey we conducted, 67% of the 240 residents surveyed in the small Andean city of Riobamba reported they would prefer eating quinoa "rice" at least twice weekly instead of white rice. With the objective of encouraging more normative household consumption of quinoa in this population, in late 2015 an intervention was begun to promote consumption of quinoa rice 3 times a week among 131 adults in Riobamba. Between the baseline and the termination of the intervention four months later, no significant change in BMI was observed. However, at 2, 4 and 7 months' post-baseline, 52%, 40% and 47% of respondents, respectively, reported enjoying consumption of quinoa rice instead of white rice either "very much" or "in general," and 64%, 55% and 68% of respondents "definitely" or "very likely" planned to continue doing so. Our findings suggest a modest acceptance of this (re)introduction of a traditional and healthy food, though further and more extensive research could assess with greater precision the potential health impacts of such reported changes in dietary habits. Reintroducción del consumo regular de Quinua en Riobamba, Ecuador: estudio piloto.

The protective effects of 4-hydroxybenzaldehyde on cerebral ischemia / reperfusion injury / 中国药理学通报

Aim To verify the mechanisms underlying the protective effects of the 4-hydroxybenzaldehyde (4-HBd)on cerebral ischemia / reperfusion in vivo and in vitro. Methods The model of focal cerebral ischemi-a / reperfusion in rats was established by the suture-oc-clusion method. After reperfusion,neurological score and cerebral infarction rate were assessed. Meanwhile, after pretreatment with 4-HBd for 24 h,the primary cultured cortical neuron cells were exposed to oxygen glucose deprivation / reoxygenation (OGD/ Rep). The survival rate, MDA, SOD, NO, Bax, Bcl-2 and caspase-3 concentrations were assessed. Results Pre-treatment with 4-HBd significantly decreased neurologi-cal score (P < 0. 05)and cerebral infarction rate (P <0. 01)in the cerebrum after MCAO/ R injury. Further-more,4-HBd significantly increased cell survival rate (P < 0. 05),decreased MDA content (P < 0. 05),in-creased SOD activity (P < 0. 05),decreased NO levels (P < 0. 05),decreased caspase-3 (P < 0. 05),in-creased Bcl-2 (P < 0. 05)but decreased Bax (P <0. 05)levels and therefore increased Bcl-2 / Bax ratio in the cerebrum after OGD/ R injury. Conclusions 4-HBd has significant protective effect on MCAO/ R rats, and the mechanism may be related to decreasing NO levels,Bax,Bcl-2,caspase-3 and reducing neuronal apoptosis.

Reacciones adversas a fármacos antituberculosos en pediatría: A propósito de 4 hermanos / Adverse Reactions to Antituberculosis Drugs in Pediatrics. Apropos of 4 Brothers

Se denomina efecto adverso a fármacos antituberculosos (RAFAs), a una respuesta nociva y no deseada de uno o varios de los fármacos utilizados, para profilaxis, diagnostico o tratamiento de la enfermedad tuberculosa. Para adjudicarlos a la medicación se debe tener en cuenta que las dosis sean adecuadas, descartar interacciones medicamentosas y comorbilidades. Es necesario conocerlos y monitorizarlos, para evitar posibles riesgos de morbi-mortalidad. Objetivo: comunicar el caso de 4 hermanos que presentaron RAFAs, a más de 1 fármaco antituberculoso.

It is called tuberculous adverse drug effect (RAFAs), to a noxious response and not desired to one or more of the drugs used for prophylaxis, diagnosis or treatment of tuberculous disease. To attribute them to the medication, it is necessary to take into account that doses should be normal; also dismiss drug interactions and co-morbidities. It is necessary to know them and monitor them, to avoid possible risks of morbidity and mortality. Objective: to communicate the case of four brothers who presented RAFAs, to more than one TB drug.

Malaria elimination in Sri Lanka: what it would take to reach the goal.

Fifty years after narrowly missing the opportunity to eliminate malaria from Sri Lanka in the 1960s, the country has now interrupted malaria transmission and sustained this interruption for more than 12 months – no indigenous malaria cases have been reported since October 2012. This was achieved through a period overlapping with a 30-year separatist war in areas that were endemic for malaria. The challenge now, of sustaining a malaria-free country and preventing the reintroduction of malaria to Sri Lanka, is examined here in the context of rapid postwar developments in the country. Increased travel to and from the country to expand development projects, businesses and a booming tourist industry, and the influx of labour and refugees from neighbouring malarious countries combine with the continued presence of malaria vectors in formerly endemic areas, to make the country both receptive and vulnerable to the reintroduction of malaria. The absence of indigenous malaria has led to a loss of awareness among the medical profession, resulting in delayed diagnosis of malaria despite the availability of an extensive malaria diagnosis service. Highly prevalent vector-borne diseases such as dengue are competing for health-service resources. Interventions that are necessary at this critical time include sustaining a state-of-the-art surveillance and response system for malaria, and advocacy to maintain awareness among the medical profession and at high levels of government, sustained funding for the Anti-Malaria Campaign and for implementation research and technical guidance on elimination. The malaria-elimination effort should be supported by rigorous analyses to demonstrate the clear economic and health benefits of eliminating malaria, which exceed the cost of a surveillance and response system. An annual World Health Organization review of the programme may also be required.

Monitoramento por radiotelemetria da área de uso de onça parda reintroduzida no entorno do Parque Estadual da Serra do Brigadeiro - MG, Brasil / Radiotelemetry monitoring of the home range of cougar reintroduced at the surroundings of the State Park of Serra do Brigadeiro - MG, Brazil

Um exemplar macho, subadulto de onça parda reintroduzido foi monitorado por técnica de radiotelemetria. O monitoramento foi de 110 dias, realizado de forma aleatória, com intervalos descontínuos. Os dados do acompanhamento sugerem que a área utilizada por este espécime seja de, aproximadamente, 26km². Esta configura o menor índice já descrito para a espécie, porém, deve-se ressaltar a importância deste monitoramento básico, visto a incipiência do comportamento de um felino de grande porte reintroduzido em habitat natural após período em cativeiro.

One subadult male specimen of a reintroduced mountain lion was monitored using the radio telemetry technique. The monitoring lasted 110 days, being randomly distributed. Data of the monitoring through radiotelemetry suggested that the home range of this specimen was of approximately 26km². This sets as the smallest home range described for this species. However, the importance of this basic monitoring should be emphasized, since information of the behavior of a large feline reintroduced in its natural habitat after a period in captivity is incipient.

Reinserção no mercado de trabalho de ex-trabalhadores com LER/DORT de uma empresa eletrônica na região metropolitana de São Paulo / Reintroduction into the job market of former workers with RSI ofan eletronics industry in São Paulo metropolitan area, Brazil

O autor analisou políticas e práticas de inclusão da pessoa com deficiência física no mercado de trabalho em Salvador, Bahia. Considera que a deficiência é, acima de tudo, um produto social, e que as estratégias de inclusão no trabalho adotadas no Brasil são insuficientes, não levando em conta aspectos relevantes do complexo mundo do trabalho e dos sujeitos envolvidos. Foram realizadas, em 2003, entrevistas semiestruturadas com 22 deficientes físicos, 6 chefes e colegas desses trabalhadores com deficiência, assim como 7 técnicos e dirigentes de instituições relacionadas à deficiência, totalizando 35 entrevistas. Foram feitas revisão de documentos e estatísticas e visitas a instituições. O autor constatou que o sistema de cotas de emprego tem se destacado principalmente pela discussão que traz sobre o tema do direito ao trabalho das pessoas com deficiência. Identificou que as estratégias e práticas de inclusão estão marcadas por situações que denomina de ironias da desigualdade como, por exemplo, a ameaça de chefes a empregados, obrigando-os a tratar os deficientes como normais, a visão da deficiência como virtude, por facilitar o acesso ao emprego, e a utilização do deficiente como exemplo de bom trabalhador e fator de disciplinamento, em razão da sua superação de limites.

The author analyzes inclusion polices and practices for workers with disability within the labor market in Salvador, Bahia, Brazil. Disability is above all a social product, and work inclusion strategies adopted in Brazil are inadequate as they do not take into account relevant aspects of the world of labor and of the actors involved in it. In 2003, thirty five interviews were conducted with 22 workers with physical disability, six of their superiors and co-workers, and seven professionals and leaders of institutions concerned with workers disability. Specific legislation and employment statistics were analyzed, and institutions were visited, evidencing that the quota system for employment is not sufficient to ensure reasonable number of jobs for workers with disability. The author identified that inclusion strategies and practices are marked by situations that could be called inequality ironies as for example, the fact that superiors at work compel employees to treat persons with disability as normal people that disability is considered as a virtue, as it facilitates job access; that workerswith disability are used as examples of good workers and discipline, due to their ability to overcome limitations.

Reabilitação profissional no Brasil: elementos para a construção de uma política pública / Occupational rehabilitation in Brazil: elements for the development of public policy

Partindo de uma retrospectiva histórica da reabilitação profissional, o objetivo do presente ensaio é refletir sobre as possibilidades de se construir uma política pública, tendo como objetivo a real reinclusão social dos acidentados e adoecidos e não um mecanismo de desfecho burocrático para a redução de custos com benefícios previdenciários. Voltado para os trabalhadores com restrições decorrentes de acidentes traumáticos, o serviço de reabilitação profissional do Instituto Nacional de Seguro Social (INSS), existente até os anos 1990, mostrava-se insuficiente para promover a reinserção de trabalhadores com agravosde perfil epidêmico, particularmente Lesões por Esforços Repetitivos/Distúrbios Osteomusculares Relacionados ao Trabalho (LER/DORT). Nessa época, reflexo da política privatizante, promoveu-se um desmonte nessas estruturas dentro do INSS e a delegação da reinserção dos trabalhadores às empresas. A construçãode uma política pública de reabilitação profissional exige: a inserção da saúde do trabalhador nas políticas de desenvolvimento econômico; a desconstrução da cultura e da máquina previdenciária voltada prioritariamente para os custos; a real articulação da Saúde e da Previdência Social em projetos nacionais e locais; a inclusão do caráter distributivo nos planos de modernização; o monitoramento da trajetória dos trabalhadores; e a transparência institucional.

Starting from a historical review of occupational rehabilitation, this essay reflects on the possibilities of structuring a public policy towards a real social reinclusin of the injured and diseased workers, and not as a bureaucratic mechanism to reduce social security benefit costs. Aimed at workers with disabilities caused by traumatic accidents, the occupational rehabilitation department of the National Social Security Institute (INSS) in Brazil, which existed until the 1990s, proved to be inadequate to reintegrate workers with health problems of epidemic profile,particularly Repetitive Strain Injuries/Work-Related Musculoskeletal Disorders (RSI/WRMD). At that time, as a consequence of a privatizing policy, these structures within INSS were dismantled and companies had to assume the reintroduction of workers. The development of an occupational rehabilitation policy requires the inclusion of occupational health as a topic in economic development policies, the deconstruction of the current thought and system geared primarily by pension costs, the real articulation of Health and Social Welfare in national and local projects, the inclusion of a distributive quality in the modernization plans, the monitoring of workers trajectory, and institutional transparency.

Opportunity for the study of critical successional processes for the restoration and conservation of mountain forest: The case of mexican pine plantations / Oportunidad para el estudio de procesos críticos sucesionales para la restauración y conservación de bosques de montaña: El caso de las plantaciones de pino en México / Oportunidade para o estudo de processos críticos sucesionais para a restauração e conservação de bosques de montanha: O caso das plantaçãos de pinheiros no México

It has become clear that native species are incorporated naturally under the canopy of many tree plantations. This process of incorporation (facilitation) can be used as an opportunity to create successional models in restoration and species reintroduction projects. The need to incorporate basic ecological information is a critical issue in the process of ecosystem restoration. Pinus is a genus widely used in plantations worldwide. In Mexico, 199 790.4ha are planted with pine each year. Many of these plantations have been established with rehabilitation and conservation goals, and provide an opportunity for restoration through the reintroduction of native species of plants and animals. Because pine species are considered as pioneers in forest successional stages, pine plantations represent natural laboratories that can be used to test scientific hypothesis to strengthen the restoration and reintroduction programs. These plantations also represent an opportunity to apply scientific knowledge in practical field conservation and address the science-policy interface. In this essay, we presented arguments focused on the importance of plantations as areas for experimentation, given the diversity of environments in which they are found, from sea level to high altitudes, as well as the diversity in their structure and composition.

Se ha evidenciado que bajo el dosel de muchas plantaciones forestales se incorporan, de manera natural, especies nativas. Este proceso de incorporación (facilitación), puede ser usado como una oportunidad para crear modelos sucesionales en proyectos de restauración y reintroducción de especies. La necesidad de incorporar información ecológica básica es una cuestión crítica en el proceso de restauración de ecosistemas. Pinus es un género ampliamente usado en plantaciones a nivel mundial. En México, las plantaciones de pino representan 199 790,4ha al año. Muchas de éstas se han establecido con objetivos de rehabilitación y conservación, y constituyen una oportunidad para la restauración a partir de la reintroducción de especies de plantas y animales nativos. Debido a que los pinos son considerados como especies pioneras de la sucesión, las plantaciones de pino representan laboratorios naturales que nos permiten invalidar hipótesis científicas para fortalecer programas de restauración o reintroducción de especies. Estas plantaciones también representan una oportunidad para aplicar el conocimiento científico en la práctica de la conservación de campo y atender la interfase política-sociedad. En el presente ensayo presentamos argumentos enfocados hacia la importancia que las plantaciones tienen como áreas de experimentación dada la diversidad de ambientes en las que se encuentran, desde el nivel del mar hasta las grandes altitudes, así como de estructura y composición de las mismas.

Tem-se evidenciado que sob o dossel de muitas plantações florestais se incorporam, de maneira natural, espécies nativas. Este processo de incorporação (facilitação), pode ser usado como uma oportunidade para criar modelos sucessionais em projetos de restauração e reintrodução de espécies. A necessidade de incorporar informação ecológica básica é uma questão crítica no processo de restauração de ecossistemas. Pinus é um gênero amplamente usado em plantações a nível mundial. No México, as plantações de pinheiros representam 199.790,4 ha ao ano. Muitas destas foram estabelecidas com objetivos de reabilitação e conservação, e constituem uma oportunidade para a restauração apartir da reintrodução de espécies de plantas e animais nativos. Devido a que os pinheiros são considerados como espécies pioneiras da sucessão, as plantações de pinheiros representam laboratórios naturais que nos permitem invalidar hipóteses científicas para fortalecer programas de restauração ou reintrodução de espécies. Estas plantações também representam uma oportunidade para aplicar o conhecimento científico na prática da conservação de campo e atender a interfase política-sociedade. No presente ensaio apresentamos argumentos focados para a importância que as plantações têm como áreas de experimentação devido à diversidade de ambientes em que se encontram, do nível do mar até as grandes altitudes, assim como de estrutura e composição das mesmas.

Toxicidad hepática por medicamentos antituberculosos / Hepatotoxicity induced by antituberculosis drugs

El fenómeno de la toxicidad hepática inducida por medicamentos cobró relevancia hace algunos años con el estudio de las reacciones adversas a medicamentos. El daño producido en el hígado por un xenobiótico que altera su función es lo que se conoce como toxicidad hepática. La importancia de reconocer y diagnosticar la toxicidad hepática por medicamentos estriba en su gravedad potencial; no en vano es la causa más frecuente por la que la industria farmacéutica retira medicamentos. La tuberculosis es una pandemia que afecta a gran parte de la población mundial y junto con el VIH es una enfermedad cada vez más frecuente en Colombia. Esta enfermedad se puede considerar como una situación especial porque para su tratamiento es preciso suministrar, por largos períodos, medicamentos con potencial tóxico para el hígado.El objetivo de este artículo es revisar algunos aspectos relacionados con la toxicidad hepática secundaria a medicamentos antituberculosos, tales como: epidemiología, factores de riesgo, mecanismos de toxicidad, manifestaciones clínicas, diagnóstico, tratamiento y seguimiento.

Hepatotoxicity is the alteration of liver structure and function induced by either drugs or other substances. The importance of its proper diagnosisrests on its potential severity. It is the most frequent reason by which the pharmaceutical industry withdraws its products. Tuberculosis is a pandemicinfection affecting a large proportion of the world population. Together with HIV infection it is becoming ever more frequent in Colombia. Tuberculosisposes a special challenge because itstreatment requires the administration, during long periods, of drugs with the potential of inducing liver injury. In this article some aspects of hepatotoxicity induced by antituberculosis drugs are reviewed, namely: epidemiology, risk factors, mechanisms, clinical manifestations, diagnosis, treatment and follow-up.