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In this paper, we measured B cell function in elderly healthy individuals (EH) and in elderly patients with Type-2 Diabetes Mellitus (T2DM, ET2DM), which are treatment-naive, as compared to healthy young (YH) individuals. Results show a higher serum inflammatory status of elderly versus young individuals, and especially of ET2DM versus EH. This status is associated with a reduced response to the seasonal influenza vaccine and with increased frequencies of the circulating pro-inflammatory B cell subset called Double Negative (DN) B cells. B cells from ET2DM patients are not only more inflammatory but also hyper-metabolic as compared to those from EH controls. The results herein are to our knowledge the first to show that T2DM superimposed on aging further increases systemic and B cell intrinsic inflammation, as well as dysfunctional humoral immunity. Our findings confirm and extend our previously published findings showing that inflammatory B cells are metabolically supported. [ABSTRACT FROM AUTHOR]

Several studies demonstrate the potential of models for the representation of phenomena such as urban heat islands. This article aimed to analyze atmospheric heat islands (UHIucl) by integrating primary air temperature data with spatial information such as land use and relief from a multicriteria model based on multiple linear regression. Furthermore, we compared the measured and estimated air temperature at 11 p.m. with the surface temperature at 10:51 p.m. (local time). These temperatures were obtained through the thermal band of the Landsat 8 satellite considering extraction points of interest in Presidente Prudente city, Brazil. The multicriteria model showed reliability in UHIucl spatialization, reaching the confidence interval (p-value ≤ 0.05). The model proves that urban surface materials are the main energy sources modulating heat transfer to the atmosphere, while vegetation has a temperature-reducing effect. Precise mappings such as the one proposed here are relevant for the formulation of measures that support decision-making by public authorities. These mappings aim at urban planning that is resilient to the effects of urban climate and can be replicated in other realities. [ABSTRACT FROM AUTHOR]

Purpose: Conventionally, in patients with completely edentulous mandibles, fixed prostheses have been supported by four or more implants. However, an alternative protocol employing three implants and immediate loading has been developed. The objective of the present study was to assess the rehabilitation of edentulous patients treated with a complete fixed mandibular prosthesis with immediate loading and supported by three implants. Materials and Methods: In this observational study, a total of 99 implants placed in 33 patients was evaluated after 18 months in use. Panoramic radiographs were digitized to measure bone loss at the mesial and distal surfaces of each implant. Results: Mean peri-implant bone loss was 0.66 ± 0.51 mm for the left implant, 0.92 ± 0.61 mm for the central implant, and 0.82 ± 0.53 mm for the right implant. The bone loss observed around the distal implants was similar to that seen around the central implant, and there were no statistically significant differences in peri-implant bone loss between the three implant locations. There was no significant correlation between implant length and bone loss. The results were compatible with the periimplant bone loss that has been described for prostheses of the same type supported by larger numbers of implants. Conclusions: The use of a complete fixed mandibular prosthesis with immediate loading supported by three implants proved to be an adequate option for the rehabilitation of edentulous patients. The protocol allowed simplification of treatment while maintaining similar bone loss to that reported for the same type of treatment supported by a larger number of implants. [ABSTRACT FROM AUTHOR]

Brazil’s response to the HIV/AIDS epidemic was characterised by an innovative alliance of governmental and non-governmental actors inspired by a strong progressive tradition in public health. Brazil eventually moved to decentralise HIV/AIDS programmes to its states and cities, a policy endorsed and supported financially by the World Bank as consistent with the mix of public and private elements central to the country’s HIV/AIDS strategy. However, decentralisation has not provided the results anticipated. Through interviews with key informants, government officials and patient advocates as well as observation of treatment sites, we outline how the shift of administration and resources to state and municipal bodies operated in practice. The Bank promoted decentralisation as an uncontroversial technical matter, and its programmatic guidelines implied that the nonprofit sector would be strengthened by it. However, instead of bringing HIV/AIDS policy closer to the grassroots, decentralisation has undermined the country’s early work and opened the door to a rejuvenated epidemic by empowering unsympathetic local elites, marginalising the human rights focus, and removing federal oversight. Its experience holds crucial lessons for developing countries facing similar conditions. [ABSTRACT FROM AUTHOR]

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Objectives Depressive symptoms have been associated with obesity. Little is known about this relationship among immigrants. We examined relationships between depressive symptoms and weight status in immigrant women from three ethnic groups. Methods Participants were Brazilian, Haitian, and Latina women (n = 345) enrolled in Live Well, a community-based, randomized intervention designed to prevent weight gain in recent immigrants. Study data are from baseline when participants completed the Center for Epidemiological Studies Depression Scale (CES-D), Perceived Stress Scale, a physical activity questionnaire, and socio-demographic questions; BMI was calculated from measured height and weight. Results Forty-four percent of participants (36 % of Brazilians, 66 % of Haitians, 30 % of Latinas) had high depressive symptoms (CES-D ≥ 16), and 38 % (26 % of Brazilians, 49 % of Haitians, 42 % of Latinas) were obese (BMI ≥ 30.0). Those reporting more depressive symptoms were more likely to be obese (Wald Chi square = 4.82, p < .05). An interaction between depressive symptoms, ethnic group, and income was revealed (F(4,340) = 2.91, p < .05), such that higher depressive symptoms were associated with higher BMI among Brazilians earning ≥$30,000 per year and with lower BMI among Brazilians earning <$30,000. The relationship between depressive symptoms and obesity did not differ by income among Haitians or Latinas. Conclusions Depressive symptoms and obesity were highly prevalent among these recently-immigrated women. Positive relationships between these variables were consistent across ethnic and income groups, with the exception of lower-income Brazilians. While these findings suggest similar patterns and health needs across several groups of immigrants, cultural differences should be considered when addressing these health conditions. [ABSTRACT FROM AUTHOR]

The present article aimed to present a standardized protocol for the production of a chewable test material that has been used in masticatory efficiency and performance studies. This chewable material has advantages in respect to its physical properties when compared to other artificial and natural test foods. It is constituted by mixing condensation silicon (58.3% by weight), common plaster (10.2% by weight), alginate (12.5% by weight), solid vaseline (11.5% by weight), tooth paste (7.5% by weight), and catalyst paste (20.8 mg/g), adding also three drops of mint essence. The mixed material is then inserted into an acrylic mould with perforations of 12 mm in diameter and 5 mm in height to produce rounded tablets with those measures after polymerization. It was named "Optocal - Brazilian version". A volume of 3 cm³ is indicated for a chewing test, which corresponds to 12 tablets using the present methodology. The present protocol can make the production of this chewable material easier, helping in its standardization for studies on masticatory function. [ABSTRACT FROM AUTHOR]

Abstract: This study presents new geochemical data on rocks from the Vespor suite, an important mafic unit from the Juruena arc, Roosevelt-Juruena terrain, SW Amazonian craton, northwest Mato Grosso, Brazil, attempting to define their tectonic setting and type of mantle source. The Juruena arc may be part of a magmatic belt (Jamari and Juruena arcs) at the southwestern Amazonian craton during assembly of the Columbia supercontinent. The investigated rocks represent a Paleoproterozoic subduction-related mafic suite of sigmoidal bodies, composed mainly of gabbro, norite, gabbronorite and diorite, that underwent amphibolite facies metamorphism. Here we present also preliminary petrology aspects and zircon U–Pb geochronology. Geochemical character and variation trends of major and trace elements as well as selected trace element ratios suggest that Vespor suite rocks have a tholeiitic lineage of arc affinity controlled by fractional crystallization with a prominent iron enrichment trend. Gabbros, norites and gabbronorites are characterized by enrichment of LILE and weakly to moderately differentiated HFSE patterns, suggesting their deviation from an enriched heterogeneous lithospheric mantle source. Vespor suite rocks are characterized by depletion of Nb–Ta, P and Ti, with flat distribution of HFSE, markedly large variations in most of the LILE, positive anomalies displayed by Ba, K, Th, Sr, Pb and weak negative anomalies of Hf–Zr. These features reflect limited degrees of crustal contamination associated with a subduction-related magma process where the mantle wedge was chemically modified. In addition, the enrichment in LILE and Pb, low values of the ratios (Lan/Smn – 0.83 to 4.58) and (Nbn/Lan – 0.04 to 0.45), but high Th/Yb ratios, gently to moderately sloping REE profiles (La/Ybn = 2.53–7.37), negative anomalies in HFSE (Ta, Zr, Hf, and Ti), and positive anomalies in LILE (Th, Ba, Sr), suggest derivation from a metasomatized lithospheric mantle source above a subduction zone with weak crustal contamination. Both the composition of the mantle source and the degree of partial melting that produced the parental magmas of these rocks, determined by using REE abundance and ratios, indicate that gabbroic/dioritic melts were generated at different degrees of melting of the source: about 5–20% partial melting of a garnet-spinel lherzolite, around 1–10% partial melting of spinel lherzolite source, and approximately 1–5% partial melting of intermediate source composition, and crystallizing between 1.773 and 1.764 Ma. [Copyright &y& Elsevier]