Annexin A12-26 hydrogel improves healing properties in an experimental skin lesion after induction of type 1 diabetes.

Diabetes mellitus (DM) is characterized by metabolic alterations that involve defects in the secretion and/or action of insulin, being responsible for several complications, such as impaired healing. Studies from our research group have shown that annexin A1 protein (AnxA1) is involved in the regulation of inflammation and cell proliferation. In light of these findings, we have developed a new technology and evaluated its effect on a wound healing in vivo model using type 1 diabetes (T1DM)-induced mice. We formulated a hydrogel containing AnxA12-26 using defined parameters such as organoleptic characteristics, pH, UV-vis spectroscopy and cytotoxicity assay. UV-vis spectroscopy confirmed the presence of the associated AnxA12-26 peptide in the three-dimensional hydrogel matrix, while the in vitro cytotoxicity assay showed excellent biocompatibility. Mice showed increased blood glucose levels, confirming the efficacy of streptozotocin (STZ) to induce T1DM. Treatment with AnxA12-26 hydrogel showed to improve diabetic wound healing, defined as complete re-epithelialization and tissue remodeling, with reduction of inflammatory infiltrate in diabetic animals. We envisage that the AnxA12-26 hydrogel, with its innovative composition and formulation be efficient on improving diabetic healing and contributing on the expansion of the therapeutic arsenal to treat diabetic wounds, at a viable cost.

Review of Brazilian species of Syneches Walker (Diptera, Hybotidae, Hybotinae), with description of ten new species.

We increase the knowledge on the taxonomy of Brazilian Syneches describing 10 new species: S. amorimi sp. nov., S. barrettoi sp. nov., S. digitatus sp. nov., S. fasciatus sp. nov., S. flaviscutellatus sp. nov., S. fuscus sp. nov., S. nordestino sp. nov., S. plaumanni sp. nov., S. sinclairi sp. nov., and S. smithi sp. nov., and redescribing three species: S. catarinae Smith, 1962, S. luteus (Wiedemann, 1830) and S. tomentosus Smith, 1962. Syneches ruficollis (Walker, 1852) is proposed as a nomen dubium since the type is lost and the original description does not allow identification. An identification key, high-resolution images of relevant characters, short diagnoses and maps of geographic records for all 34 Brazilian species now included in the genus are provided, as well as a checklist for the South American species of Syneches.

Cellular and Virtualization Technologies for UAVs: An Experimental Perspective.

The Unmanned Aircraft System (UAS) ecosystem is exponentially growing in both recreational and professional fields to provide novel services and applications to consumers from multiple engineering fields. However, this technology has only scraped the surface of its potential, especially in those cases that require fast reaction times. Accordingly, the UAS Traffic Management (UTM) project aims at efficiently managing the air traffic for Unmanned Aerial Vehicle (UAV) operations, including those cases where UAVs might be remotely managed from a completely different geographical location. With these considerations in mind, this article presents a cellular-assisted UAVs testbed used to complete a mission managed beyond the radio line-of-sight (BRLoS), as well as introducing a virtualization platform for deploying services using containerization technology. In addition, the article conducts a communication performance evaluation in order to determine if the testbed equipment meets the requirements to carry out this BRLoS management. Finally, indoor flight operations are carried out to demonstrate the feasibility and proper operation of the testbed.

Coexistence of the Oxazolidinone Resistance-Associated Genes cfr and optrA in Enterococcus faecalis From a Healthy Piglet in Brazil.

Oxazolidinones are one of the most important antimicrobials potentially active against glycopeptide- and ß-lactam-resistant Gram-positive pathogens. Linezolid-the first oxazolidinone to be approved for clinical use in 2000 by the US Food and Drug Administration-and the newer molecule in the class, tedizolid, inhibit protein synthesis by suppressing the formation of the 70S ribosomal complex in bacteria. Over the past two decades, transferable oxazolidinone resistance genes, in particular cfr and optrA, have been identified in Firmicutes isolated from healthcare-related infections, livestock, and the environment. Our goals in this study were to investigate the genetic contexts and the transferability of the cfr and optrA genes and examine genomic features, such as antimicrobial resistance genes, plasmid incompatibility types, and CRISPR-Cas defenses of a linezolid-resistant Enterococcus faecalis isolated in feces from a healthy pig during an antimicrobial surveillance program for animal production in Brazil. The cfr gene was found to be integrated into a transposon-like structure of 7,759 nt flanked by IS1216E and capable of excising and circularizing, distinguishing it from known genetic contexts for cfr in Enterococcus spp., while optrA was inserted into an Inc18 broad host-range plasmid of >58 kb. Conjugal transfer of cfr and optrA was shown by filter mating. The coexistence of cfr and optrA in an E. faecalis isolated from a healthy nursery pig highlights the need for monitoring the use of antibiotics in the Brazilian swine production system for controlling spread and proliferation of antibiotic resistance.

Guidelines for hypertension management in primary care: is local adaptation possible?

OBJECTIVE: Hypertension affects more than one billion people worldwide. There has been much discussion about clinical practice guidelines (CPGs) following the proposal of lower thresholds for starting pharmacological treatment. Some smaller groups or institutions could benefit from adapting CPGs to their local context, a process that requires high-quality CPGs with few points of conflict in their recommendations. To address this issue, we have compared high-quality hypertension CPGs and highlighted conflicting recommendations. METHODS: CPGs were searched in MEDLINE, Embase, the Cochrane Library, as well as specific websites. Only CPGs published between 2016 and 2019 were included. We defined CPGs as high-quality if the 'rigor of development' and 'editorial independence' AGREE II domains were scored at least 60%. We compared recommendations made by high-quality CPGs and highlighted areas of conflict (defined as disagreements between more than two CPGs). RESULTS: Nineteen CPGs were identified. The highest scoring domain was 'scope and purpose' (74.3%) and the lowest scoring was 'applicability' (40.0%). Eight CPGs were rated as high quality. Most CPG recommendations on the management of hypertension were consistent. Conflicting recommendations were regarding blood pressure (BP) levels to initiate pharmacotherapy and therapeutic goals, particularly in patients with low cardiovascular risk and older patients. CONCLUSION: It is possible to adapt hypertension CPGs once high-quality documents have been identified with agreement between most recommendations. Guideline developers can focus on the adaption process and concentrate efforts on implementation.

Insights on Zika virus envelope gene conservation in American outbreaks.

Phylogenetic studies with Zika virus (ZIKV) have been conducted in Brazil. In this study, we sequenced 8 new sequences of the ZIKV envelope (E) gene from strains of cases from the Paraná and Mato Grosso do Sul states in 2016. A low phylogenetic signal was observed, with more than 40% of unresolved quartets, and the Maximum Likelihood Tree grouped all sequences in the Brazilian branches within the Asian genotype. In addition, a Shannon entropy analysis was conducted, showing a high stability in the E protein through the ZIKV polyprotein. Taken together, these results suggest a high degree of conservation in the ZIKV E gene from the recent American outbreaks.

First records of Leptopezella Sinclair amp; Cumming (Diptera: Hybotidae: Ocydromiinae) from Brazil.

Leptopezella Sinclair Cumming, 2007 is a small genus of Ocydromiinae characterized by the absence of cell dm (Fig. 3) and presence of ventral spine-like setae on the hind first tarsomere (Fig. 2). It was first mentioned as "undescribed genus A" in the key of Sinclair Cumming (2000) and later described including four species: L. anatolica Sinclair Cumming, 2007, L. perata Sinclair Cumming, 2007 and L. spinosa Sinclair Cumming, 2007 from Australia and L. masneri Sinclair Cumming, 2007 from Bolivia (Sinclair Cumming 2007). In South America the genus has been recorded so far from Bolivia and Argentina (Sinclair Cumming 2000, 2007). In the present study we record the genus occurring for the first time in several administrative states from Brazil.

New South American species of Crossopalpus Bigot (Diptera: Hybotidae: Tachydromiinae), including biogeographical insights and a reinterpretation of female abdominal tergite 10 in Drapetidini.

Crossopalpus is a rather diverse genus of tachydromiine flies, but regionally the genus is nowhere very speciose. Knowledge on the South American Crossopalpus before this paper included two described species from Andean related habitats, with several biomes from the eastern part of the continent being completely unexplored. Herein, we describe four new species of Crossopalpus from eastern South America, namely: C. albivertex sp. nov., C. aliceae sp. nov., C. goliathus sp. nov., and C. xanthogaster sp. nov. New diagnoses and high quality photographs are made available for C. armipes (Bezzi, 1909) and C. pennescens (Melander, 1918), including some characters used for the first time to distinguish South American species. We provide a key for identification of the six South American species, discussion about the position of Crossopalpus in Drapetidini, and some biogeographical insights including preferred habitats and seasonality of the South American species. We discuss the apparent loss of tergite 10 in females of Drapetidini, introducing a reinterpretation where the sclerite may be present in some genera of the tribe, but fused to the cerci and/or sternite 10.

Co-infection between Zika and different Dengue serotypes during DENV outbreak in Brazil.

BACKGROUND: The recent introduction of new arboviruses in the Americas, as Zika virus (ZIKV) and Chikungunya virus (CHIKV), increased the risk of outbreaks and arboviral co-infections. Herein, we report twelve cases of co-infection of ZIKV and different DENV serotypes in a city located in the northwest region of São Paulo State, Brazil, which is hyper-endemic to Dengue. METHODS: Between January and November 2016, 1254 suspected cases of arboviral infection were available by our surveillance program in São José do Rio Preto. All suspected patients were examined and, when they were arboviral disease-suspectd, had sera separated and viral RNA analyzed by PCR/qPCR assays to determine the diagnosis of DENV 1-4, ZIKV, or CHIKV in the same samples. After the molecular results, twelve patients with ZIKV-DENV coinfection were identified and their clinical and laboratory characteristics were described. RESULTS: The mean between symptoms onset and collected sample of 3 days. DENV-1 was identified in seven co-infected patients and DEN2 in other five. Two patients presented alarm signs of Dengue and no one was hospitalized. CONCLUSIONS: The constant presence of co-circulating arboviruses increases the chance of co-infection and demonstrates the importance of the differential diagnosis, especially during periods of arboviral outbreaks. The impact of this co-infection is known individual and collectively.

Estado de salud bucal y factores relacionados en mujeres en situación de prostitución en Medellín (Colombia) / Oral health status and its related factors in a group of women in situation of prostitution in Medellín (Colombia)

Antecedentes: Se requiere analizar la situación de salud bucal en grupos vulnerables desde la perspectiva de los determinantes sociales para establecer estrategias de intervención efectivas. Objetivo: Describir el estado de salud bucal y factores relacionados en un grupo de mujeres en situación de prostitución en la ciudad de Medellin (Colombia). Métodos: Este fue un estudio descriptivo en una muestra por conveniencia de 53 mujeres que ejercen la prostitución. Se aplicó encuesta y examen clínico y se analizaron variables de autopercepción de salud bucal, índice COP-D (cariados, obturados y perdidos), índice de caries significativa (SiC), problemas de articulación temporomandibular (ATM) y estado protésico. Resultados: 88,2 % de las mujeres encuestadas reportaron un mal estado de salud bucal, 81 % se sentían insatisfechas con su estado bucal y 60 % reportó problemas bucales. La prevalencia de caries dental fue del 64 %, con un COP-D de 15,6 (±8,4), y un SiC de 25,5 (±3,6). Se presentaron diferencias en el estado de salud bucal en indicadores clínicos y subjetivos según factores sociodemográficos. Más de tres cuartas partes requerían cambia o realizar nuevas prótesis superiores o inferiores. En casi la mitad se hallaron ruidos articulares en la ATM según evaluación clínica. Conclusiones: El estado de salud bucal según los indicadores analizados es reflejo de las condiciones sociales en que se encuentran estas mujeres. Se encontraron diferencias en los indicadores de salud bucal de acuerdo con diferentes factores sociodemográficos, lo cual sugiere la influencia de los determinantes sociales en las desigualdades en salud bucal.

Background: The analysis of the oral health situation in vulnerable groups from a perspective of social determinants is required to implement effective intervention strategies. Purpose: To describe the oral health status and its related factors in a group of women in situation of prostitution in Medellin (Colombia). Methods: A descriptive study was conducted with a convenience sample of 53 women. A survey and clinical exanimation was earned out. The study analyzed variables related to self-perceived oral health, DTMF Index, Significant Caries Index (SiC), temporomandibular joint problems (TMJ), and the status of fixed/removable prosthesis. Results: 88.2 % of the sun-eyed women reported their oral health status was poor, 81 % of them felt unsatisfied with their mouth, and 60 % reported oral problems. The prevalence of dental caries was 64 %, with a DTMF of 15.6 (± 8.4), and a SiC of 25.5 (± 3.6). There were differences in oral health status in clinical and subjective indicators accordmg to sociodemographic factors. More than three-quarters required changing or making new upper and/or lower partial or fixed dentures. In almost half, articular noises were found in TMJ according to the clinical evaluation. Conclusions: The oral health status, from the basis of the indicators analyzed, reflects the social conditions found in these women. Differences in the oral health indicators were in accordance to sociodemographic factors. This situation suggests that there is an influence of social determinants on oral health inequalities.

Analysis of HCV quasispecies dynamic under selective pressure of combined therapy.

BACKGROUND: The quasispecies composition of Hepatitis C virus (HCV) could have important implications with regard to viral persistence and response to interferon-based therapy. The complete NS5A was analyzed to evaluate whether the composition of NS5A quasispecies of HCV 1a/1b is related to responsiveness to combined interferon pegylated (PEG-IFN) and ribavirin therapy. METHODS: Viral RNA was isolated from serum samples collected before, during and after treatment from virological sustained responder (SVR), non-responder (NR) and the end-of-treatment responder patients (ETR). NS5A region was amplified, cloned and sequenced. Six hundred and ninety full-length NS5A sequences were analyzed. RESULTS: This study provides evidence that lower nucleotide diversity of the NS5A region pre-therapy is associated with viral clearance. Analysis of samples of NRs and the ETRs time points showed that genetic diversity of populations tend to decrease over time. Post-therapy population of ETRs presented higher genetic distance from baseline probably due to the bottleneck phenomenon observed for those patients in the end of treatment. The viral effective population of those patients also showed a strong decrease after therapy. Otherwise, NRs demonstrated a continuous variation or stability of effective populations and genetic diversity over time that did not seem to be related to therapy. Phylogenetic relationships concerning complete NS5A sequences obtained from patients did not demonstrate clustering associated with specific response patterns. However, distinctive clustering of pre/post-therapy sequences was observed. In addition, the evolution of quasispecies over time was subjected to purifying or relaxed purifying selection. Codons 157 (P03), 182 and 440 (P42), 62 and 404 (P44) were found to be under positive selective pressure but it failed to be related to the therapy. CONCLUSION: These results confirm the hypothesis that a relationship exists between NS5A heterogeneity and response to therapy in patients infected with chronic hepatitis C.

Development of a certified reference material: ethanol in water - a practical case

O presente trabalho descreve o desenvolvimento de um material de referência certificado (MRC) referente a soluções de etanol em água em cinco concentrações diferentes, abordando todas as etapas necessárias para o desenvolvimento de um MRC, conforme prescreve as ISO GUIDE 30, 31, 32, 33, 34 e 35. O desenvolvimento deste MRC originou-se nas determinações da Portaria Inmetro n° 006 de 2002, que assegura que todos os etilômetros a serem utilizados no Brasil deverão ter os seus modelos aprovados, e as verificações realizadas a partir de ensaios com soluções de etanol em água. Após um treinamento, em fevereiro de 2003, no The Federal Institute for Material Research and Testing - BAM, que é um instituto metrológico alemão designado, a Dquim iniciou o processo de desenvolvimento deste MRC, o qual foi concluído em agosto de 2004. No Inmetro desenvolveu-se inicialmente o procedimento de preparo individual, onde as soluções do MRC são preparadas em garrafas de 0,5 L. Atualmente está se estudando, no Inmetro, o desenvolvimento do procedimento em batelada, o que corresponde ao preparo das soluções do MRC em garrafas de 5,0 L, com seqüente distribuição em garrafas de 0,5 L. Pode-se considerar que o processo de desenvolvimento deste material de referência certificado está num período contínuo, onde melhorias estão sendo viabilizadas, como a utilização da técnica de DSC para a determinação da pureza do etanol, e a finalização do desenvolvimento do procedimento em batelada, que será um importante passo para a agilização no processo de preparo destas soluções. Desta forma, o desenvolvimento deste MRC contribui de forma significativa, para confiabilidade nas medições realizadas com etilômetros, tendo incerteza de medição declarada. Outro ponto importante é que a partir deste desenvolvimento, possibilita-se a sociedade um MRC que pode ter aplicações variadas, não se restringindo somente a ensaios com etilômetros.