Conservation of geosites as a tool to protect geoheritage: the inventory of Ceará Central Domain, Borborema Province - NE/Brazil

The Ceará Central Domain, in the northern Borborema Province/NE Brazil, encompasses important geological records (geosites) which allow understanding a relevant period of the Earth’s evolution, mainly associated to Neoproterozoic Brazilian/Pan-African Cycle and West Gondwana amalgamation, besides Neoarchean to Ordovician records. The presented geoheritage inventory aims to characterise the geosites with scienti c relevance of Ceará Central Domain. By applying a method for large areas, the nal selection resulted in eight geological frameworks represented by 52 geosites documented in a single database. This is the rst step for a geoconservation strategy based on systematic inventories, statutory protection, geoethical behaviour and awareness about scienti c, educational and/or cultural relevance of geosites.We specially thank all experts that helped us with this inventory: Afonso Almeida, Carlos E.G. de Araújo, César Veríssimo, Christiano Magini, Clóvis Vaz Parente, Felipe G. Costa, Irani C. Mattos, Neivaldo de Castro, Otaciel de Melo, Sebástian G. Chiozza, Ticiano Santos and Stefano Zincone. We are also thankful to Kátia Mansur, Ricardo Fraga Pereira and anonymous reviewers for their valuable contributions. PM is grateful to Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) for PhD mobility scholarship PDSE Program/Process n 88881.132168/2016-01info:eu-repo/semantics/publishedVersio

Gall-inducing insects from Campos de Altitude, Brazil

Insetos indutores de galhas são muito ricos em espécies nas formações vegetais do sudeste do Brasil. O objetivo deste estudo foi descrever a riqueza de morfotipos de galha por meio da caracterização de suas formas externas e os padrões de ocorrência nas plantas hospedeiras. As amostragens foram realizadas em campos rupestres e altitudinais de quatro regiões da Serra da Mantiqueira: 1) campos de altitude do Parque Estadual do Brigadeiro e 2) Parque Nacional do Caparaó, 3) Parque Estadual do Ibitipoca e Parque Nacional do Itatiaia. Foram registradas 93 espécies de galhas induzidas por insetos em 13 famílias, 30 gêneros e 50 espécies de plantas hospedeiras. Sendo 38 a riqueza de insetos indutores de galhas do Parque Estadual do Brigadeiro, 21 do Parque Nacional do Caparaó, 23 do Parque Nacional do Caparaó e 20 do Parque Nacional do Itatiaia. As famílias com maior riqueza foram Asteraceae (33%) e Melastomataceae (17%). A família Cecydomiidae (Diptera) foi a mais frequente (98%). O órgão mais atacado foi o caule (56%) seguido de folha (23%). O fato de apenas 12% das galhas descritas neste estudo já terem sido registradas em trabalhos anteriores, reforça a necessidade em aumentar o esforço amostral na direção de um maior conhecimento sobre a riqueza e história natural dos insetos indutores de galhas no Brasil. ____________________________________________________________________________________ABSTRACT: Gall-inducing insects are very specious in vegetations of southeastern Brazil. Our goal was describe the gall richness by characterizing their external forms and their patterns of occurrence on host plants. Samples were collected from Campos de Altitude at four regions of the Mantiqueira Range: 1) Parque Estadual da Serra do Brigadeiro, 2) Parque Nacional do Caparaó, 3) Parque Estadual do Ibitipoca, 4) Parque Nacional do Itatiaia. We found 93 gall species within 13 families, 30 genera and 50 host plant species. We recorded 38 gall species in Parque Estadual da Serra do Brigadeiro, 21 in Parque Nacional do Caparaó, 23 in Parque Estadual do Ibitipoca and 20 in Parque Nacional do Itatiaia. Asteraceae represented 33% of the species collected, followed by Melastomataceae at 17%; with each one concentrating 56% and 18% of the galling insects, respectively. 98% of galls were Cecydomiidae (Diptera). The most attacked organ was the stem (56%), followed by the leaf (23%). Only 12% of the galls described in our study had been already recorded in previous studies, thus reinforcing the need to increase the sampling effort toward a better understanding of the richness and the natural history of gall-inducing insects from Brazil

Hydroxychloroquine with or without Azithromycin in Mild-to-Moderate Covid-19

BACKGROUND: Hydroxychloroquine and azithromycin have been used to treat patients with coronavirus disease 2019 (Covid-19). However, evidence on the safety and efficacy of these therapies is limited. METHODS: We conducted a multicenter, randomized, open-label, three-group, controlled trial involving hospitalized patients with suspected or confirmed Covid-19 who were receiving either no supplemental oxygen or a maximum of 4 liters per minute of supplemental oxygen. Patients were randomly assigned in a 1:1:1 ratio to receive standard care, standard care plus hydroxychloroquine at a dose of 400 mg twice daily, or standard care plus hydroxychloroquine at a dose of 400 mg twice daily plus azithromycin at a dose of 500 mg once daily for 7 days. The primary outcome was clinical status at 15 days as assessed with the use of a seven-level ordinal scale (with levels ranging from one to seven and higher scores indicating a worse condition) in the modified intention-to-treat population (patients with a confirmed diagnosis of Covid-19). Safety was also assessed. RESULTS: A total of 667 patients underwent randomization; 504 patients had confirmed Covid-19 and were included in the modified intention-to-treat analysis. As compared with standard care, the proportional odds of having a higher score on the seven-point ordinal scale at 15 days was not affected by either hydroxychloroquine alone (odds ratio, 1.21; 95% confidence interval [CI], 0.69 to 2.11; P = 1.00) or hydroxychloroquine plus azithromycin (odds ratio, 0.99; 95% CI, 0.57 to 1.73; P = 1.00). Prolongation of the corrected QT interval and elevation of liver-enzyme levels were more frequent in patients receiving hydroxychloroquine, alone or with azithromycin, than in those who were not receiving either agent. CONCLUSIONS: Among patients hospitalized with mild-to-moderate Covid-19, the use of hydroxychloroquine, alone or with azithromycin, did not improve clinical status at 15 days as compared with standard care. (Funded by the Coalition Covid-19 Brazil and EMS Pharma; ClinicalTrials.gov number, NCT04322123.)

Concordância de informações de adolescentes e suas mães em inquérito de saúde

OBJETIVO: Estimar o grau de concordância entre informações obtidas de trabalhadores adolescentes e suas mães em inquérito de saúde. MÉTODOS: Os dados provêm de inquérito populacional, de base domiciliar, conduzido com amostra aleatória de superfície de residentes da área urbana de Salvador, capital do Estado da Bahia. A amostra compõe-se de 82 pares de adolescentes trabalhadores de 10 a 14 anos de idade e suas mães. Após entrevista com os adolescentes, numa outra visita, suas mães foram convidadas a responder um questionário similar por um entrevistador cego. Sintomas respiratórios, depressivos, alterações do padrão do sono e problemas na vizinhança e na escola foram as variáveis analisadas. O grau de concordância foi estimado com proporções de acordo e Índice Kappa. RESULTADOS: Estimativas de acordo foram, em geral, baixas, com as mães fornecendo mais freqüentemente respostas positivas que os adolescentes, determinando vieses negativos, ou seja, estimativas menores, caso os resultados se baseassem no informante. A confiabilidade foi mais elevada entre os meninos em comparação com as meninas, para todas variáveis exceto para alterações do padrão de sono. Para sintomas depressivos, o nível de escolaridade da mãe se associou negativamente com o grau de concordância. CONCLUSÕES: Informações obtidas de adolescentes diferem das obtidas de suas mães. Baixas concordâncias não equivalem a um problema de validade, que deverá ser avaliada em estudos futuros para essa população.OBJECTIVE: To estimate the reliability of data obtained from questionnaires applied to adolescents and their mothers in a health survey. METHODS: Data from population-based survey conducted with a one-stage random cluster area sampling of residents in the urban area of Salvador, Brazil, were assessed. The study sample comprised 82 pairs of adolescent workers aged 10 to 14 years and their mothers. After interviewing the adolescents, in a second visit, their mothers were invited to answer a similar questionnaire applied by a blinded interviewer. Respiratory and depressive symptoms, sleep pattern changes and distress in the neighborhood and at school were the variables analyzed. Reliability was measured using proportion of agreements and kappa index of agreement statistics. RESULTS: Overall ageement and kappa index were low. Mothers have provided more positive answers than adolescents, resulting in a negative bias. Reliability was higher among boys for all answers when compared to girls, except for sleep patterns changes. For depressive symptoms, mother's education level was negatively associated with agreement for both genders. CONCLUSIONS: Information from adolescents differs from that obtained from mothers. It is worth noticing that poor agreement does not impair validity, which needs to be examined in further studies