Soil macrofauna density and diversity across a chronosequence of tropical forest restoration in Southeastern Brazil / Densidade e diversidade da macrofauna edáfica em uma cronosequência de florestas tropicais em restauração no Sudeste do Brasil

Abstract Edaphic macrofauna must be better studied if we want to take advantage of their full potential for the restoration of tropical ecosystems. We investigated changes in edaphic macrofauna density and diversity along a secondary succession chronosequence in the Atlantic Forest. Our results show some clear patterns of change in soil macrofauna along the chronosequence. Density did not increase along secondary succession, but was correlated with canopy cover. Diversity was characterized by high dominance of social insects and evenness among other groups. We conclude soil macrofauna has a high capacity to recolonize young forests and that its recovery is considerably fast compared to other ecosystem transformations.

Resumo A macrofauna edáfica deve ser mais bem estudada se quisermos aproveitar todo o seu potencial para a restauração de ecossistemas tropicais. Nós investigamos as mudanças de densidade e diversidade da macrofauna edáfica em uma cronossequência durante a sucessão secundária na Mata Atlântica. Nossos resultados mostram padrões claros de mudança. A densidade não aumentou ao longo da sucessão secundária, mas foi correlacionada com a cobertura de dossel. A diversidade foi caracterizada pela alta dominância de insetos sociais e equidade entre os demais grupos. Nós concluímos que a macrofauna edáfica tem alta capacidade de recolonizar florestas jovens e que sua recuperação é relativamente rápida se comparada a outras transformações ecossistêmicas.

Soil macrofauna density and diversity across a chronosequence of tropical forest restoration in Southeastern Brazil.

Edaphic macrofauna must be better studied if we want to take advantage of their full potential for the restoration of tropical ecosystems. We investigated changes in edaphic macrofauna density and diversity along a secondary succession chronosequence in the Atlantic Forest. Our results show some clear patterns of change in soil macrofauna along the chronosequence. Density did not increase along secondary succession, but was correlated with canopy cover. Diversity was characterized by high dominance of social insects and evenness among other groups. We conclude soil macrofauna has a high capacity to recolonize young forests and that its recovery is considerably fast compared to other ecosystem transformations.

Soil macrofauna density and diversity across a chronosequence of tropical forest restoration in Southeastern Brazil

Abstract Edaphic macrofauna must be better studied if we want to take advantage of their full potential for the restoration of tropical ecosystems. We investigated changes in edaphic macrofauna density and diversity along a secondary succession chronosequence in the Atlantic Forest. Our results show some clear patterns of change in soil macrofauna along the chronosequence. Density did not increase along secondary succession, but was correlated with canopy cover. Diversity was characterized by high dominance of social insects and evenness among other groups. We conclude soil macrofauna has a high capacity to recolonize young forests and that its recovery is considerably fast compared to other ecosystem transformations.

Resumo A macrofauna edáfica deve ser mais bem estudada se quisermos aproveitar todo o seu potencial para a restauração de ecossistemas tropicais. Nós investigamos as mudanças de densidade e diversidade da macrofauna edáfica em uma cronossequência durante a sucessão secundária na Mata Atlântica. Nossos resultados mostram padrões claros de mudança. A densidade não aumentou ao longo da sucessão secundária, mas foi correlacionada com a cobertura de dossel. A diversidade foi caracterizada pela alta dominância de insetos sociais e equidade entre os demais grupos. Nós concluímos que a macrofauna edáfica tem alta capacidade de recolonizar florestas jovens e que sua recuperação é relativamente rápida se comparada a outras transformações ecossistêmicas.

Effect of HIV genotypic drug resistance testing on the management and clinical course of HIV-infected children and adolescents.

The clinical utility of genotypic drug resistance testing (DRT) in HIV-infected children on antiretroviral therapy (ART) is not well understood. HIV-infected patients aged <19 years undergoing DRT for virological failure were retrospectively enrolled. Indications for DRT and changes in HIV RNA load were recorded. Between January 2000 and December 2006, 57 patients had DRT. The most common indication for DRT was poor ART adherence (57.7% of patients). ART was changed in 50.9% of patients after DRT. Poor adherence was cited by clinicians for not changing ART significantly more often than any other reason (47.3%, P < 0.001). After DRT, significant improvement in HIV RNA load occurred independent of ART changes, though patients whose ART was modified were more likely to become undetectable (31.5% versus 7.0%, P < 0.001). Poor adherence was a significant factor for ordering DRT and for not changing ART in HIV-infected children.

Ação de potenciais hidrogeniônicos no crescimento e produtividade de sálvia (Salvia officinalis L. ) / Action of potentials of hydrogen on growth and productivity of sage (Salvia officinalis L. )

O potencial hidrogeniônico (pH) do solo é um parâmetro que indica o nível de acidez ou alcalinidade do mesmo. Sabe-se que as plantas respondem de diferentes maneiras às mudanças no pH dos solos. Poucos artigos relacionam o crescimento e produtividade de plantas medicinais à variação do pH dos solos. O objetivo deste experimento foi avaliar o efeito de diferentes potenciais hidrogeniônicos, em solo Latossolo Vermelho Distroférrico, no crescimento e produção de sálvia. Com o auxílio de curva de neutralização da acidez do solo foram aplicadas diferentes doses de CaCO3 para atingir pH de 4,5; 5,0; 5,5; 6,0 e 6,5. O experimento foi conduzido em casa de vegetação durante 18 meses, perfazendo as fases de semeadura, transplantio e três cortes. Os parâmetros avaliados foram altura de plantas, massa seca de folhas, raízes e da parte aérea (soma das massas secas das folhas, ramos e caule), área foliar e volume das raízes. O crescimento e produção das plantas de sálvia foram diretamente afetados com a variação do pH do solo. A manutenção de pH > 5,0 foi suficiente para aumentar significativamente a área foliar, a massa seca das folhas e da parte área das plantas de sálvia em 52,2 por cento, 60,5 por cento e 42,4 por cento, respectivamente, e não afetou o desenvolvimento das raízes de sálvia cultivadas em solos com diferentes pHs.

The soil potential of hydrogen (pH) is a parameter that indicates the acidity or alkalinity level. Plants are known to react differently to changes in the soil pH. Few studies have related growth and productivity of medicinal plants to the soil pH variation. The aim of this experiment was to evaluate the effect of different potentials of hydrogen in Oxisol on sage growth and productivity. With the aid of a soil acidity neutralization curve, different CaCO3 levels were applied to reach pH values of 4.5, 5.0, 5.5, 6.0 and 6.5. The experiment was carried out in a greenhouse during 18 months, covering sowing, transplanting and three-pruning phases. Plant height, leaf, root and shoot dry matter (sum of leaf, branch and stem dry matter), leaf area and root volume were evaluated. Sage growth and productivity were directly affected by the soil pH variation. The maintenance of pH > 5.0 was enough to significantly increase leaf area, and leaf and shoot dry matter of sage plants at 52.2 percent, 60.5 percent and 42.4 percent, respectively, and did not affect root development of sage plants grown in soils presenting different pH levels.

Poor outcome is associated with delayed tuberculosis diagnosis in HIV-infected children in Baja California, Mexico.

OBJECTIVE: To describe the morbidity and mortality associated with tuberculosis (TB) in human immunodeficiency virus (HIV) infected children in Baja California, Mexico. METHODS: Retrospective review of the medical records of all children with perinatally acquired HIV infection evaluated at Tijuana General Hospital with a diagnosis of TB between 1998 and 2007. The Stegen-Toledo (ST) clinical criteria for the diagnosis of TB were used. RESULTS: A total of 73 HIV-infected children were followed during the study period. Thirteen (18%) children were diagnosed with TB; one was confirmed by culture to be positive. Among these children, the mean ages at HIV and TB diagnosis were respectively 3.6 and 5.3 years. The mean ST score was 8.1; 10/13 had a score of >or=7, or highly probable TB. There were a cumulative 29 hospital admissions prior to TB diagnosis; 24 of these were due to pneumonia. The mean duration of symptoms at TB diagnosis was 73 days. The most common symptoms were cough (92%) and anorexia (85%). Seven patients (54%) had disseminated TB and five (39%) died as a consequence of TB. CONCLUSIONS: We observed high morbidity, hospital utilization and high mortality associated with TB among HIV-infected children in Baja California.

Prevalence of primary HIV-1 drug resistance in pregnant women and in newly diagnosed adults at Tijuana General Hospital, Baja California, Mexico.

At Tijuana General Hospital, between March 2003 and June 2005, pregnant women and other adults, recently identified as HIV infected, antiretroviral naïve, were enrolled to examine the prevalence of primary HIV drug resistance. All subjects had the Calypte HIV-1 BED Incidence enzyme immunoassay test to identify recent infection. Genotypic analysis of HIV-1 protease and reverse transcriptase regions in plasma was performed. Forty-six subjects participated, eight (17%) men, 38 (83%) women. Ten (22%) subjects were classified as having recent HIV infection. HIV genotype was performed in 41 subjects. One subject (2.5%) had a major mutation in the reverse transcriptase region (K219Q) conferring zidovudine resistance, one had a minor mutation at V118I (2.5%) and two subjects (5%) had minor mutation (V179D) associated with non-nucleoside reverse transcriptase inhibitor resistance. There were no major protease inhibitor-associated mutations but minor mutations were common. The prevalence of primary HIV drug resistance in Baja California is low.

Performance of rapid HIV testing using Determine HIV-1/2 for the diagnosis of HIV infection during pregnancy in Tijuana, Baja California, Mexico.

The aim of this study was to evaluate the performance of the rapid antibody test Determine HIV-1/2, in pregnant women at Tijuana General Hospital. Pregnant women seeking prenatal care or admitted in labour had blood drawn for a rapid HIV test (Determine HIV-1/2), enzyme immunoassay (EIA) and Western blot. Between March and November 2003, 1068 women in labour and 1529 women in prenatal care were enrolled. The sensitivity, specificity, positive and negative predictive values were 100%, 99.8%, 77% and 100%, respectively. For women in labour, the mean time between blood collection and rapid test results was 92 minutes (range: 20-205 minutes) compared with 41 hours (range 24-120 hours) for HIV EIA (P = 0.012). All HIV-exposed infants received oral zidovudine. These findings indicate that the rapid test Determine HIV-1/2 has a high sensitivity and specificity in pregnant women. Rapid HIV testing greatly diminishes the time to diagnosis and enables prompt intervention with antiretrovirals at delivery.

Effect of processing on ochratoxin A (OTA) content of coffee.

Coffee production can be roughly separated into three main steps 1) cherry processing to green coffee beans, 2) storage and transportation of green coffee to the place of consumption, and 3) green coffee processing to roasted and ground coffee and soluble coffee. The mold species which are known to produce ochratoxin A (OTA) in coffee have been identified as Aspergillus ochraceus, A. carbonarius and occasionally, A. niger. The length of time spent at a water activity > 0.80 at any moment until roasting defines the risk of mold growth and OTA production. However, the specific moment and locus of contamination have not yet been clearly identified. Since coffee husks are a significant source of OTA contamination, cleaning and grading of green coffee are effective methods for reducing OTA levels in coffee. During the process of converting green coffee to roasted and soluble coffees, up to 90% reduction in OTA levels can occur.

Gastrostomy tube insertion for improvement of adherence to highly active antiretroviral therapy in pediatric patients with human immunodeficiency virus.

OBJECTIVES: Newer combination antiretroviral therapies used to treat human immunodeficiency virus (HIV)-infected individuals have resulted in dramatic delays in HIV progression, with reduction in mortality and morbidity. However, adherence to highly active antiretroviral therapy (HAART) may be problematic, particularly in HIV-infected children. Reasons for nonadherence include refusal, drug tolerability, and adverse reactions. We assess: 1) the potential benefits of gastrostomy tube (GT) for the improvement of adherence to HAART in HIV-infected children, and 2) the factors that may result in improved viral suppression after GT placement. METHODS: The medical records of 17 pediatric HIV-infected patients, in whom GT was used to improve HAART adherence, were retrospectively reviewed for clinical and laboratory parameters. Each record was reviewed for the period of 1 year before and after GT insertion. The main outcome parameters were virologic (plasma HIV RNA polymerase chain reaction quantification) and immunologic (CD4 cell counts). Documentation of adherence to medications in medical records was also assessed during the study. Parental questionnaires were used to determine GT satisfaction and medication administration times. The Wilcoxon rank sum test was used to assess change in viral load (VL) and CD4 cell percentages. RESULTS: GT was well-tolerated with minor complications, such as local site tenderness, reported by 4 patients (23%). Before GT insertion, only 6 patients (35%) were documented as being adherent, compared with all patients after GT insertion. Ten patients (58%) had >/=2 log(10) VL decline after GT insertion (median: 3.2 log(10)), compared with 7 patients (42%) who had /=2 log(10) VL decline, therapy was changed at the time of or soon after GT insertion (median:.8 months; range: 0-6 months), compared with 7 patients with <2 log(10) VL decline who had therapy changed before GT insertion (median: 3.2 months; range: 1-8 months). Parental questionnaires reported significantly shorter medication administration times after GT insertion, with 70% of patients taking >5 minutes before GT, compared with 0% after GT. Questionnaires indicated satisfaction with GT, with perceived benefits being reduced medication administration time and improved behavior surrounding taking medications. CONCLUSIONS: GT is well-tolerated in pediatric HIV-infected patients and should be considered for selected patients to overcome difficulties with medication administration and to improve adherence. For maximal virologic response, combination therapy should be changed at the time of GT insertion.

Resolution of HIV-associated nephrotic syndrome with highly active antiretroviral therapy delivered by gastrostomy tube.

There is no consensus regarding the specific management of HIV-associated nephrotic syndrome. We report a child whose first manifestation of human immunodeficiency virus type 1 (HIV-1) infection was nephropathy and wasting syndrome associated with profound immunodeficiency. The patient had a dramatic clinical and immunologic response to triple antiretroviral therapy delivered through a gastrostomy tube, with complete resolution of nephrotic syndrome. A 51/2-year-old African-American girl presented with a 2-week history of cough, chest pain, vomiting, loose stools, abdominal distention, anorexia, and fever. In addition, she had recurrent oral thrush. Her weight and height were below the 5th percentile. She was chronically ill, appearing with oropharyngeal thrush and pitting edema in lower extremities. She had scattered rhonchi and decreased breath sounds on both lung bases. Her abdomen was distended and diffusely tender. A chest radiograph showed consolidation of the right upper and left lower lobes with bilateral pleural effusion. Admission laboratories were consistent with nephrotic syndrome. Streptococcus pneumoniae grew from the blood culture and the child responded well to treatment with intravenous ceftriaxone. She was found to be HIV-infected, her CD4(+) cell count was 3 cells/mcL and her plasma HIV-1 RNA was >750 000 copies/mL. A percutaneous gastrostomy tube was placed for supplemental nutrition. She was treated with stavudine, lamivudine, and nelfinavir via gastrostomy tube with good clinical response. Twenty-one months after instituting antiretroviral therapy, her weight and height had increased to the 50th and 10th percentile respectively, and she had complete resolution of her nephrotic syndrome. Her CD4(+) cell count increased to 1116 cells/mcL and her viral load has remained undetectable. HIV-1 associated nephrotic syndrome has been described in children with profound immunodeficiency. The course of untreated HIV-associated nephrotic syndrome is rapid progression to renal failure in up to 40% of the children. Regardless of the presence of renal insufficiency, if untreated, it is uniformly fatal. A modest improvement of HIV-1 associated nephrotic syndrome has been observed in patients treated with zidovudine. Steroid and cyclosporine treatment have resulted in improved renal function but long-term use of immunosuppressive therapy has raised concerns about safety. We have described, to our knowledge, the first child with HIV-associated nephrotic syndrome who had a remarkable clinical, immunologic, and virologic response to triple-drug combination therapy given by gastrostomy tube, with complete resolution of proteinuria and normalization of the serum albumin. She also had a striking improvement in weight, height, and quality-of-life. Whether the presence of a gastrostomy tube contributed to the excellent response because of improved compliance is unknown, but warrants systematic evaluation.

Pediatric imported malaria in New York: delayed diagnosis.

The records of 20 children with imported malaria admitted to Kings County Hospital between October 1987 and May 1995 were reviewed. All had a history of recent travel or immigration from a malaria endemic area (West-Africa [16], Central-America [three], and the Caribbean [one]). None of the 10 children with a travel history received appropriate malaria chemoprophylaxis. The most common symptoms and signs were daily fever, chills, and hepatomegaly. Diagnosis was delayed in seven children who were initially felt to have pharyngitis or viral syndrome. Common laboratory findings were anemia and thrombocytopenia. P. falciparum was identified in 70% of the patients. Other species were P. malariae and P. vivax. Complications occurred in six children, hyponatremia in five, seizures in three, and cerebral malaria in one patient. The high incidence of chloroquine-resistant malaria makes chemoprophylaxis difficult in children. The clinical presentation of malaria is nonspecific, and diagnostic delays occur, so a high index of suspicion is needed in children with a travel history.

Obturator internus muscle abscess in children: report of seven cases and review.

Obturator internus muscle (OIM) abscess is an uncommon entity often mistaken for septic arthritis of the hip. We describe seven children with OIM abscess and review seven previously reported cases. The most common presenting symptoms were hip or thigh pain (14 patients), fever (13), and limp (13). The hip was flexed, abducted, and externally rotated in 11 patients. Magnetic resonance imaging and computed tomography (CT) were diagnostic for OIM abscess in the 14 patients. Associated abscesses were located in the obturator externus muscle (5 patients), psoas muscle (2), and iliac muscle (1). The etiologic agents were Staphylococcus aureus (8 patients), Streptococcus pyogenes (2), Neisseria gonorrhoeae (2), and Enterococcus faecalis (1). Three patients underwent CT-guided percutaneous drainage, and three had surgical drainage. Three patients had ischial osteomyelitis in addition to OIM abscess. The 11 children with uncomplicated OIM abscess were treated for a median of 28 days. All patients had an uneventful recovery.

Human immunodeficiency virus type 1 phenotypes in children with advanced disease treated with long-term zalcitabine.

Baseline and posttreatment human immunodeficiency virus type 1 (HIV-1) isolates from 38 symptomatic, zidovudine-experienced HIV-1-infected children enrolled in a prospective trial of zalcitabine (dideoxycytidine) monotherapy (Pediatric AIDS Clinical Trials Group 138) were studied for the presence of syncytium-inducing (SI) phenotype and zalcitabine resistance. Twenty of the isolates were SI and 18 were non-SI (NSI) at baseline. After >44 weeks of zalcitabine treatment, the SI and NSI phenotypes were maintained in 16 and 17 patients, respectively. One patient had an NSI-to-SI phenotypic switch, while SI-to-NSI reversion occurred in 4 children (20%). Isolates from 30 of these patients were analyzed by in vitro drug susceptibility assay: Mean IC50 values were 0.14 microM at baseline and 0.18 microM following zalcitabine treatment. Only 1 child (3%) developed zalcitabine resistance. Knowledge of the low incidence of zalcitabine resistance and the switch from SI to NSI phenotype in some children may prove useful when selecting antiretroviral drugs to be used in combination.

Behavior of Ochratoxin A during Green Coffee Roasting and Soluble Coffee Manufacture.

As considerable inconsistencies are found in the literature regarding the influence of roasting and subsequent operations on the ochratoxin A (OTA) content of green coffee, experiments were undertaken to assess the evolution of OTA along an industrial soluble coffee manufacturing line. Both the variability and the amount of OTA naturally present in a lot of Thai Robusta green coffee were drastically reduced during soluble coffee manufacture. A small proportion of OTA was eliminated during green coffee cleaning, but the most significant reduction took place during roasting. The roast and ground coffee contained only 16% of the OTA originally present in the green coffee. Two phenomena are responsible for the elimination of OTA during roasting: a thermal degradation and a removal with chaff. Thermal degradation is the most important route of elimination, with <20% accounted for by the chaff. A further 20% reduction was observed during soluble coffee manufacture, so that the powder contained only 13% of the OTA initially present in the green beans.