Variant Musculo-tendinous Slip between Teres major and Triceps brachii

A variation of the muscles of the scapular region is a very rare finding. During the routine dissection for the undergraduates, a variant short musculo-tendinous slip in between the teres major and the long head of triceps brachii muscles was seen. This slip could cause compression of the underlying brachial vessels and the cords of brachial plexus. Therefore this type of variation is worthy of being noted by the surgeons

Community perceptions of a malaria vaccine in the Kintampo districts of Ghana.

BACKGROUND: Malaria remains the leading cause of morbidity and mortality in sub-Saharan Africa despite tools currently available for its control. Making malaria vaccine available for routine use will be a major hallmark, but its acceptance by community members and health professionals within the health system could pose considerable challenge as has been found with the introduction of polio vaccinations in parts of West Africa. Some of these challenges may not be expected since decisions people make are many a time driven by a complex myriad of perceptions. This paper reports knowledge and perceptions of community members in the Kintampo area of Ghana where malaria vaccine trials have been ongoing as part of the drive for the first-ever licensed malaria vaccine in the near future. METHODS: Both qualitative and quantitative methods were used in the data collection processes. Women and men whose children were or were not involved in the malaria vaccine trial were invited to participate in focus group discussions (FGDs). Respondents, made up of heads of religious groupings in the study area, health care providers, traditional healers and traditional birth attendants, were also invited to participate in in-depth interviews (IDIs). A cross-sectional survey was conducted in communities where the malaria vaccine trial (Mal 047RTS,S) was carried out. In total, 12 FGDs, 15 IDIs and 466 household head interviews were conducted. RESULTS: Knowledge about vaccines was widespread among participants. Respondents would like their children to be vaccinated against all childhood illnesses including malaria. Knowledge of the long existing routine vaccines was relatively high among respondents compared to hepatitis B and Haemophilus influenza type B vaccines that were introduced more recently in 2002. There was no clear religious belief or sociocultural practice that will serve as a possible barrier to the acceptance of a malaria vaccine. CONCLUSION: With the assumption that a malaria vaccine will be as efficacious as other EPI vaccines, community members in Central Ghana will accept and prefer malaria vaccine to malaria drugs as a malaria control tool. Beliefs and cultural practices as barriers to the acceptance of malaria vaccine were virtually unknown in the communities surveyed

Investigação dos casos de doenças febris exantemáticas com IgM reagente contra o sarampo na ausência de transmissão documentada do vírus do sarampo, Estado de São Paulo, 2000-2004

Introdução: Revisar os casos de doenças febris exantemáticas com IgM reagente contra o sarampo, no estado de São Paulo, Brasil, durante os cinco anos seguidos a interrupção da transmissão do vírus do sarampo. Métodos: Nós revisamos 463 casos de doenças febris exantemáticas com IgM reagente contra o sarampo, no estado de São Paulo, Brasil, de 2000 a 2004. Indivíduos vacinados contra o sarampo 56 dias antes da coleta de amostra foram considerados expostos à vacina. Soros da fase aguda e de convalescença foram testados para a evidência de infecção de sarampo, rubéola, parvovírus B19 e herpes vírus 6. Na ausência de soroconversão para imunoglobulina G contra o sarampo, casos com IgM reagente contra o sarampo foram considerados falsos positivos em pessoas com evidência de outras infecções virais. Resultados: Entre as 463 pessoas com doenças febris exantemáticas que testaram positivo para anticorpos IgM contra o sarampo durante o período, 297 (64 por cento) pessoas foram classificadas como expostas à vacina. Entre os 166 casos não expostos à vacina, 109 (66 por cento) foram considerados falsos positivos baseado na ausência de soroconversão, dos quais 21 (13 por cento) tiveram evidência de infecção por vírus da rubéola, 49 (30 por cento) parvovírus B19 e 28 (17 por cento) infecção por herpes vírus humano 6. Conclusões: Após a interrupção da transmissão do vírus do sarampo é necessária exaustiva investigação dos casos com IgM reagente contra o sarampo, especialmente dos casos não expostos à vacina. Testes laboratoriais para etiologias das doenças febris exantemáticas ajudam na interpretação destes casosIntroduction: To review measles IgM-positive cases of febrile rash illnesses in the state of São Paulo, Brazil, over the five-year period following interruption of measles virus transmission. Methods: We reviewed 463 measles IgM-positive cases of febrile rash illness in the state of São Paulo, from 2000 to 2004. Individuals vaccinated against measles ≤ 56 days prior to specimen collection were considered to be exposed to the vaccine. Serum from the acute and convalescent phases was tested for evidence of measles, rubella, parvovirus B19 and human herpes virus-6 infection. In the absence of seroconversion to measles immunoglobulin-G, measles IgM-positive cases were considered false positives in individuals with evidence of other viral infections. Results: Among the 463 individuals with febrile rash illness who tested positive for measles IgM antibodies during the period, 297 (64 per cent) were classified as exposed to the vaccine. Among the 166 cases that were not exposed to the vaccine, 109 (66 per cent) were considered false positives based on the absence of seroconversion, among which 21 (13 per cent) had evidence of rubella virus infection, 49 (30 per cent) parvovirus B19 and 28 (17 per cent) human herpes virus-6 infection. Conclusions: Following the interruption of measles virus transmission, thorough investigation of measles IgM-positive cases is required, especially among cases not exposed to the vaccine. Laboratory testing for etiologies of febrile rash illness aids interpretation of these case

Impact of pulmonary exposure to gold core silver nanoparticles of different size and capping agents on cardiovascular injury

Background:The uses of engineered nanomaterials have expanded in biomedical technology and consumer manufacturing. Furthermore, pulmonary exposure to various engineered nanomaterials has, likewise, demonstrated the ability to exacerbate cardiac ischemia reperfusion (I/R) injury. However, the influence of particle size or capping agent remains unclear. In an effort to address these influences we explored response to 2 different size gold core nanosilver particles (AgNP) with two different capping agents at 2 different time points. We hypothesized that a pulmonary exposure to AgNP induces cardiovascular toxicity influenced by inflammation and vascular dysfunction resulting in expansion of cardiac I/R Injury that is sensitive to particle size and the capping agent. Methods: Male Sprague–Dawley rats were exposed to 200 μg of 20 or 110 nm polyvinylprryolidone (PVP) or citrate capped AgNP. One and 7 days following intratracheal instillation serum was analyzed for concentrations of selected cytokines; cardiac I/R injury and isolated coronary artery and aorta segment were assessed for constrictor responses and endothelial dependent relaxation and endothelial independent nitric oxide dependent relaxation. Results: AgNP instillation resulted in modest increase in selected serum cytokines with elevations in IL-2, IL-18, and IL-6. Instillation resulted in a derangement of vascular responses to constrictors serotonin or phenylephrine, as well as endothelial dependent relaxations with acetylcholine or endothelial independent relaxations by sodium nitroprusside in a capping and size dependent manner. Exposure to both 20 and 110 nm AgNP resulted in exacerbation cardiac I/R injury 1 day following IT instillation independent of capping agent with 20 nm AgNP inducing marginally greater injury. Seven days following IT instillation the expansion of I/R injury persisted but the greatest injury was associated with exposure to 110 nm PVP capped AgNP resulted in nearly a two-fold larger infarct size compared to naïve. Conclusions: Exposure to AgNP may result in vascular dysfunction, a potentially maladaptive sensitization of the immune system to respond to a secondary insult (e.g., cardiac I/R) which may drive expansion of I/R injury at 1 and 7 days following IT instillation where the extent of injury could be correlated with capping agents and AgNP size.This work was supported by the National Institute of Environmental Health Sciences U19ES019525, U01ES020127, U19ES019544 and East Carolina Universit

Are larger primates less faunivorous? Consumption of arthropods by Amazonian primates does not fulfil the Jarman-Bell and Kay models

Terrestrial arthropod groups, including insects, spiders, and millipedes, represent an important food resource for primates. However, species consumed and patterns and rates of arthropod-related feeding for most frugivorous primates are still poorly known. We examined stomach contents of 178 Amazonian primate specimens of nine genera and three families obtained from community-based collections voluntarily donated by subsistence hunters. Based on our results, we assessed whether consumption patterns followed the expected negative relationship between arthropod ingestion and body size as postulated in the Jarman-Bell and Kay models. We identified 12 consumed arthropod taxa, including insects (beetles, grasshoppers, ants, flies, caterpillars, praying mantises, and others), spiders and millipedes. Medium and large-bodied primates consumed a greater diversity (measured by Simpson’s diversity index) and richness of arthropods, but differed in terms of composition of taxa consumed. Cacajao, Sapajus and Cebus consumed proportionally more Orthoptera and Coleoptera compared to the other primate genera analyzed. We did not find significant correlations between richness and diversity of arthropods consumed and primate body mass. There was a slight tendency for the decrease in the relative content of arthropods in the diet with increased body mass in medium and large primates, which does not provide full support for the Jarman-Bell and Kay models. The study of arthropod consumption by arboreal primates in the wild remains challenging. Our study suggests that arthropods supply essential nutrients for frugivorous primates, and provides an alternative method to analyse faunal consumption patterns in primates

High occurrence of giardiasis in children living on a 'landless farm workers' settlement in Araras, São Paulo, Brazil

Enteric parasitosis remains an important public health problem in many areas around the world including in Brazil, and it is frequently associated with poverty and lack of sanitation facilities. Research carried out over the course of a year revealed that 96.6% (28/29) of children randomly selected from a 'landless farm workers' settlement in Araras, São Paulo, aged 4 - 15 years, presented Giardia intestinalis cysts. After referral to the neighborhood Health Office, all the children received tinidazole, given as a single dose of 50 mg/kg and 12 months later, new fecal samples were collected and analyzed. Despite the low adherence to the study, a high percentage (64.3% - 9/14) of the children remained positive for the parasite. This study showed a high positivity of giardiasis in child residents of the settlement, even after treatment; adults were not sensitized to the study and did not collected and/or deliver children fecal samples. The precarious living conditions are consistent with a high susceptibility to parasitic diseases, suggesting that the treatment of the infected individuals without identifying and eradicating the means of contamination is simply a palliative measure

Effect of cover crops and nitrogen rates on sprinkler irrigated wheat in low altitude cerrado

RESUMO A produção de trigo no cerrado brasileiro enfrenta grandes desafios, principalmente por não ser a região tradicionalmente tritícola e pela ocorrência de inverno quente e seco. Assim, o objetivo deste trabalho foi avaliar o efeito residual das culturas antecessoras, milho e Urochloa ruziziensis (R. Germ & Evrard), em cultivo exclusivo e em consórcio entre ambas, na presença e ausência da inoculação de sementes com Azospirillum brasilense e adubação nitrogenada (N) em cobertura, no desenvolvimento e na produtividade do trigo. O experimento foi desenvolvido em Selvíria, MS, em 2011/12. O delineamento experimental foi o de blocos ao acaso, disposto em esquema fatorial 8x4, com quatro repetições, cujos tratamentos foram constituídos pela combinação de restos culturais (associações de milho, Urochloa ruziziensis e Azospirillum brasilense) e doses de N (0, 30, 60 e 90 kg ha-1) em cobertura, no trigo. Realizaram-se as seguintes avaliações: cobertura vegetal residual (quantidade), características agronômicas, componentes de produção e produtividade da cultura do trigo. As culturas antecessoras apresentaram efeitos positivos na produtividade do trigo cultivado em sucessão, sendo o consórcio de milho e Urochloa ruziziensis, com ou sem inoculação excelente opção de manejo; o incremento da dose de N, em cobertura, até 90 kg ha- 1 aumenta a produtividade de grãos de trigo irrigado, dependendo da cultura antecessora

OCCURRENCE OF Calodium hepaticum (BANCROFT, 1893) MORAVEC, 1982 EGGS IN FECES OF DOGS AND CATS IN LAGES, SANTA CATARINA, BRAZIL

This study aims to report the incidence of Calodium hepaticum among dogs and cats, pets or stray animals, captured by the Zoonosis Control Center (CCZ) in Lages, Santa Catarina, Brazil. Fecal samples from 108 pet dogs and eight pet cats, and from 357 stray dogs and 97 stray cats, captured by CCZ, were analyzed within the period from July 2010 to November 2012. Coproparasitological exams were performed by techniques of sedimentation, centrifuge-flotation, and simple flotation. Among 465 fecal samples from dogs and 105 from cats, the overall spurious infections for C. hepaticum eggs were 1.05%. For dogs, this positivity was 0.43% and for cats it was 3.81%. The two positive dogs were stray and out of the four cats, three were stray and one was a pet. Although the occurrence of C. hepaticum eggs was low, these data reveal the existence of infected rodents, especially in public places, since, out of the six infected animals, five (83.33%) were stray. These results are discussed and analyzed with an emphasis on the risk to public health

Qualidade físico-química e de fritura de tubérculos de cultivares de batata na safra de inverno

Com o aumento do consumo de batata processada na forma de fritura, torna-se essencial a identificação dos parâmetros de qualidade dos tubérculos de batata. Objetivou-se avaliar a composição físico-química e qualidade de fritura de tubérculos de cultivares de batata, produzidos na safra de inverno. Os tubérculos foram provenientes de experimento de campo conduzido durante a safra de inverno de 2008, no município de Itaí-SP. o delineamento experimental utilizado foi blocos casualizados, com quatro repetições e cinco tratamentos, representados pelas cultivares Agata, Asterix, Atlantic, Markies e Mondial. Os tubérculos das cultivares Mondial e Agata apresentaram características adequadas para o mercado fresco, sendo indicadas para a preparação de massas e pratos assados em que é essencial a manutenção de sua forma. Markies apresentou dupla aptidão culinária, ou seja, possui qualidade adequada ao preparo de massas e fritura. Os tubérculos das cultivares Atlantic, Asterix e Markies apresentaram boa qualidade de fritura, no entanto, a cultivar Markies apresentou polpa dos tubérculos, palitos e chips de coloração amarela mais intensa.Given the raising consumption of potato chips, the identification of quality parameters of potato tubers has become essential. The purpose of this work was to evaluate the physicochemical characteristics and frying quality of potato tubers of different cultivars grown in the winter cropping season. Tubers were obtained from a field experiment in the winter season in Itaí, São Paulo State, Brazil. The experimental design was of completely randomized blocks with four replications. Treatments consisted of five potato cultivars (Agata, Asterix, Atlantic, Markies and Mondial). Tubers of Mondial and Agata cultivars showed suitable characteristics for fresh market, so they can be recommended for the preparation of pasta and baked dishes, for which the preservation of the tuber shape is essential. Markies showed double cooking ability, i.e., suitable for preparation of pasta as well as for frying. The tubers of Atlantic, Asterix and Markies cultivars presented good frying quality, however, Markies cultivar showed pulp, sticks and chips with more intense yellow color

The Role of Research in Viral Disease Eradication and Elimination Programs: Lessons for Malaria Eradication

Using their experiences from, and analysis of, global campaigns to eradicate smallpox, poliomyelitis, and measles, Myron Levine and colleagues derive lessons for malaria eradication