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Abstract In this work, we explore a Schwarzschild-like black hole within the framework of metric-affine bumblebee gravity. First, we investigate the behavior of the Kretschmann scalar and singularities in this modified gravity approach. Next, we introduce a newly defined time coordinate related to a stationary asymptotically flat spacetime. We also analyze the scattering effects and numerically calculate and comprehensively examine the partial and total absorption cross sections. At the high-frequency approximation, we find that the absorption cross section tends to the geodesic capture cross section. The continued fraction method is applied to investigate the quasinormal modes, and we explore the deviations of both the real and imaginary terms of the quasinormal modes from the Schwarzschild case in detail. We verify the relation between the shadow radius and the real part of the quasinormal frequencies at the eikonal limit within this modified gravity framework. Finally, we examine the energy emission rate.

Abstract Arapaima gigas, an emblematic species of the Amazon region and a longstanding primary fishing resource, currently holds a “Data Deficient” status on the International Union for Conservation of Nature Red List, and is listed as an endangered species in Brazil. The Tocantins River is the most extensively modified large tributary of the Amazon Basin, and thus can affect the dynamics of ichthyofaunal populations. Over a period of 1 year, representatives of the fishing communities and fishermen from 25 fishing communities from four municipalities in the lower Tocantins River region were interviewed, and the obtained information was evaluated based on the literature to survey the population abundance status of A. gigas in the region and its impact on local communities. Among the fishermen interviewed, only one reported still encountering and fishing A. gigas on Jaracuera Island. The disappearance of A. gigas in the region are viewed as having economically disastrous consequences for the residents. Additionally, other endemic fish species are no longer observed in this locality either. If fishery management officials do not work together with local communities, A. gigas could disappear from the northern region of Brazil, where information on the dynamics of A. gigas fishing is lacking.

Abstract Ortho-eugenol is a synthetic derivative from eugenol, the major compound of clove essential oil, which has demonstrated antidepressant and antinociceptive effects in pioneering studies. Additionally, its effects appear to be dependent on the noradrenergic and dopaminergic systems. Depression and anxiety disorders are known to share a great overlap in their pathophysiology, and many drugs are effective in the treatment of both diseases. Furthermore, high levels of anxiety are related to working memory deficits and increased oxidative stress. Thus, in this study we investigated the effects of acute treatment of ortho-eugenol, at 50, 75 and 100 mg/kg, on anxiety, working memory and oxidative stress in male Swiss mice. Our results show that the 100 mg/kg dose increased the number of head-dips and reduced the latency in the hole-board test. The 50 mg/kg dose reduced malondialdehyde levels in the prefrontal cortex and the number of Y-maze entries compared to the MK-801-induced hyperlocomotion group. All doses reduced nitrite levels in the hippocampus. It was also possible to assess a statistical correlation between the reduction of oxidative stress and hyperlocomotion after the administration of ortho-eugenol. However, acute treatment was not able to prevent working memory deficits. Therefore, the present study shows that ortho-eugenol has an anxiolytic and antioxidant effect, and was able to prevent substance-induced hyperlocomotion. Our results contribute to the elucidation of the pharmacological profile of ortho-eugenol, as well as to direct further studies that seek to investigate its possible clinical applications.

In recent years, there has been an increasing interest in the development of antimicrobial materials for different applications, especially in the biomedical field. In this context, chitosan is one of the most employed materials due to its highly attractive properties, such as biocompatibility, biodegradability, non-toxicity, and antimicrobial activity against gram-negative and gram-positive bacteria and fungi. In this review, we discuss the different methods used to obtain chitosan and point out how they affect the structural and chemical properties of this material, followed by a detailed discussion on how these properties influence its antimicrobial activities. Additionally, we summarize the most accepted antimicrobial mechanisms of action for chitosans. Specifically, we aim to provide a comprehensive overview on the last findings and progress reported in the literature on the factors that influence the antimicrobial activity of chitosan, e.g., polymeric average molecular weight ( M W ¯), average degree of acetylation ( D A ¯), water-soluble derivatization and sample degree of purity. The data available in the literature indicate that in addition to the structural properties, the effectiveness of such antimicrobial activity of chitosan is also dependent on the target microorganisms. This review will help researchers to better understand the mechanism of action of chitosan against microorganisms based on its structural characteristics.

Abstract Black holes can be inserted in very rich astrophysical environments, such as accretion disks. Although isolated black holes are simple objects in general relativity, their accretion disks may significantly enrich the field configurations of their surroundings. Alternative theories of gravity can lead to novel black hole solutions, which can be represented by small deviations in the metric due to an effective stress-energy tensor. Among the key aspects of the interaction of black holes with their surroundings, stand tidal forces phenomena. We study the tidal forces of spherically symmetric black holes in the presence of effective matter fields, dubbed as dirty black holes. These effective fields can generically represent usual or exotic matter associated to a variety of gravity theories. We show that this dirtiness leads to characteristic imprints in the tidal forces, which are absent in the case of a black hole surrounded by vacuum. We apply our results to particular cases, such as black holes coupled to linear and nonlinear electrodynamics theories and a Schwarzschild black hole surrounded by a spherical shell.

AimPrevious studies showed that granulocyte-colony stimulating factor (G-CSF) improved heart function in a mice model of Chronic Chagas Cardiomyopathy (CCC). Herein, we report the interim results of the safety and efficacy of G-CSF therapy vs. placebo in adults with Chagas cardiomyopathy.MethodsPatients with CCC, New York Heart Association (NYHA) functional class II to IV and left ventricular ejection fraction (LVEF) 50% or below were included. A randomization list using blocks of 2 and 4 and an allocation rate of 1:1 was generated by R software which was stratified by functional class. Double blinding was done to both arms and assessors were masked to allocations. All patients received standard heart failure treatment for 2 months before 1:1 randomization to either the G-CSF (10 mcg/kg/day subcutaneously) or placebo group (1 mL of 0.9% saline subcutaneously). The primary endpoint was either maintenance or improvement of NYHA class from baseline to 6–12 months after treatment, and intention-to-treat analysis was used.ResultsWe screened 535 patients with CCC in Salvador, Brazil, of whom 37 were randomized. Overall, baseline characteristics were well-balanced between groups. Most patients had NYHA class II heart failure (86.4%); low mean LVEF was 32 ± 7% in the G-CSF group and 33 ± 10% in the placebo group. Frequency of primary endpoint was 78% (95% CI 0.60–0.97) vs. 66% (95% CI 0.40–0.86), p = 0.47, at 6 months and 68% (95% CI 0.43–0.87) vs. 72% (95% CI 0.46–0.90), p = 0.80, at 12 months in placebo and G-CSF groups, respectively. G-CSF treatment was safe, without any related serious adverse events. There was no difference in mortality between both arms, with five deaths (18.5%) in treatment vs. four (12.5%) in the placebo arm. Exploratory analysis demonstrated that the maximum rate of oxygen consumption during exercise (VO2 max) showed an improving trend in the G-CSF group.ConclusionG-CSF therapy was safe and well-tolerated in 12 months of follow-up. Although prevention of symptom progression could not be demonstrated in the present study, our results support further investigation of G-CSF therapy in Chagas cardiomyopathy patients.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NCT02154269].

Este artigo aborda os aspectos históricos dos conceitos de sublime e de vazio, e reflete sobre possíveis maneiras de pensá-los com relação a projetos artísticos na contemporaneidade. Os projetos estudados lidam com a mediação da ciência e tecnologia na relação humana com a natureza, e sua articulação na arte. Investigam-se, portanto, trabalhos artísticos que fazem uso de aparatos tecnológicos para interagir com animais e meio ambiente. Entre os projetos abordados, estão: desenhos e fotografias de Tim Knowles, projeto The Greenhouse and the Shed, de Gilles Bruni e Marc Batarit, projeto Cads - Cricket-Activated Defense System, PigeonBlog de Beatriz da Costa, Russian Beluga Project, de Jim Nollman.

The mitochondrial antiviral signaling protein (MAVS) is part of the cell’s innate immune mechanism of defense. MAVS mRNA is bicistronic and can give rise to a full length-MAVS and a shorter isoform termed miniMAVS. In response to viral infections, viral RNA can be sensed by the cytosolic RNA sensors retinoic acid-inducible gene I (RIG-I) and/or melanoma differentiation-associated protein 5 (MDA5) and activate NF-κB through interaction with MAVS. MAVS can also sense cellular stress and activate an anti-oxidative stress (AOS) response through the activation of NF-κB. Because NF-κB is a main cellular transcription factor for HIV-1, we wanted to address what role MAVS plays in HIV-1 reactivation from latency in CD4 T cells. Our results indicate that RIG-I agonists required full length-MAVS whereas the AOS response induced by Dynasore through its catechol group can reactivate latent HIV-1 in a MAVS dependent manner through miniMAVS isoform. Furthermore, we uncover that PKC agonists, a class of latency-reversing agents, induce an AOS response in CD4 T cells and require miniMAVS to fully reactivate latent HIV-1. Our results indicate that the AOS response, through miniMAVS, can induce HIV-1 transcription in response to cellular stress and targeting this pathway adds to the repertoire of approaches to reactivate latent HIV-1 in ‘shock-and-kill’ strategies.

It is unclear what mechanisms govern latent HIV infection in vivo or in primary cell models. To investigate these questions, we compared the HIV and cellular transcription profile in three primary cell models and peripheral CD4+ T cells from HIV-infected ART-suppressed individuals using RT-ddPCR and RNA-seq. All primary cell models recapitulated the block to HIV multiple splicing seen in cells from ART-suppressed individuals, suggesting that this may be a key feature of HIV latency in primary CD4+ T cells. Blocks to HIV transcriptional initiation and elongation were observed more variably among models. A common set of 234 cellular genes, including members of the minor spliceosome pathway, was differentially expressed between unstimulated and activated cells from primary cell models and ART-suppressed individuals, suggesting these genes may play a role in the blocks to HIV transcription and splicing underlying latent infection. These genes may represent new targets for therapies designed to reactivate or silence latently-infected cells.

The reinforced concrete structures degradation even before reaching useful life, is a very recurrent process in buildings, and it is necessary to execute corrective techniques to strengthen the structural elements. Therefore, it is noted that research in this field is very important to civil engineering. Consequently, the present study consisted in performing a static and dynamic analysis of a school building that presented structural flaws to identify the causes of it and propose a rehabilitation solution. Through the static analysis of the structure, performed with the CAD/TQS program, it was verified that the slabs and beams of the building were mostly executed with a thickness lower than ideal and that, in some slabs, the deflection obtained were higher than allowable. Through modal analysis, performed with Altair HyperWorks program, it was verified that the fourth, fifth and sixth vibration modes of the structure did not meet the ELS-VE, since they present natural frequencies between the critical range indicated by NBR 6118 (ABNT, 2014), thus showing the occurrence of excessive vibration. As a result, a rehabilitation solution was proposed, using steel beams, which were calculated according to the methodology of NBR 8800 (ABNT, 2008) and, verified with the aid of Altair HyperWorks program. This methodology for strengthening the concrete structure was verified with the aid of the platform Altair HyperWorks, where it was concluded that the steel beam used are able to solve the problem with the excessive deflection in the slabs without harming the displacements of the beans who support them, maintaining unaltered the natural frequencies.

Abstract Background Recent studies demonstrated that changes in DNA methylation (DNAm) and inactivation of two imprinted genes (MKRN3 and DLK1) alter the onset of female puberty. We aimed to investigate the association of DNAm profiling with the timing of human puberty analyzing the genome-wide DNAm patterns of peripheral blood leukocytes from ten female patients with central precocious puberty (CPP) and 33 healthy girls (15 pre- and 18 post-pubertal). For this purpose, we performed comparisons between the groups: pre- versus post-pubertal, CPP versus pre-pubertal, and CPP versus post-pubertal. Results Analyzing the methylome changes associated with normal puberty, we identified 120 differentially methylated regions (DMRs) when comparing pre- and post-pubertal healthy girls. Most of these DMRs were hypermethylated in the pubertal group (99%) and located on the X chromosome (74%). Only one genomic region, containing the promoter of ZFP57, was hypomethylated in the pubertal group. ZFP57 is a transcriptional repressor required for both methylation and imprinting of multiple genomic loci. ZFP57 expression in the hypothalamus of female rhesus monkeys increased during peripubertal development, suggesting enhanced repression of downstream ZFP57 target genes. Fourteen other zinc finger (ZNF) genes were related to the hypermethylated DMRs at normal puberty. Analyzing the methylome changes associated with CPP, we demonstrated that the patients with CPP exhibited more hypermethylated CpG sites compared to both pre-pubertal (81%) and pubertal (89%) controls. Forty-eight ZNF genes were identified as having hypermethylated CpG sites in CPP. Conclusion Methylome profiling of girls at normal and precocious puberty revealed a widespread pattern of DNA hypermethylation, indicating that the pubertal process in humans is associated with specific changes in epigenetically driven regulatory control. Moreover, changes in methylation of several ZNF genes appear to be a distinct epigenetic modification underlying the initiation of human puberty.

The presence of latent HIV-1 in infected individuals represents a major barrier preventing viral eradication. For that reason, reactivation of latent viruses in the presence of antiretroviral regimens has been proposed as a therapeutic strategy to achieve remission. We screened for small molecules and identified several benzotriazole derivatives with the ability to reactivate latent HIV-1. In the presence of IL-2, benzotriazoles reactivated and reduced the latent reservoir in primary cells, and, remarkably, viral reactivation was achieved without inducing cell proliferation, T cell activation, or cytokine release. Mechanistic studies showed that benzotriazoles block SUMOylation of phosphorylated STAT5, increasing STAT5’s activity and occupancy of the HIV-1 LTR. Our results identify benzotriazoles as latency reversing agents and STAT5 signaling and SUMOylation as targets for HIV-1 eradication strategies. These compounds represent a different direction in the search for “shock and kill” therapies.

The elimination of both cellular and tissue latent reservoirs is a challenge toward a successful HIV cure. “Shock and Kill” are among the therapeutic strategies that have been more extensively studied to target these reservoirs. These strategies are aimed toward the reactivation of the latent reservoir using a latency-reversal agent (LRA) with the subsequent killing of the reactivated cell either by the cytotoxic arm of the immune system, including NK and CD8 T cells, or by viral cytopathic mechanisms. Numerous LRAs are currently being investigated in vitro, ex vivo as well as in vivo for their ability to reactivate and reduce latent reservoirs. Among those, several toll-like receptor (TLR) agonists have been shown to reactivate latent HIV. In humans, there are 10 TLRs that recognize different pathogen-associated molecular patterns. TLRs are present in several cell types, including CD4 T cells, the cell compartment that harbors the majority of the latent reservoir. Besides their ability to reactivate latent HIV, TLR agonists also increase immune activation and promote an antiviral response. These combined properties make TLR agonists unique among the different LRAs characterized to date. Additionally, some of these agonists have shown promise toward finding an HIV cure in animal models. When in combination with broadly neutralizing antibodies, TLR-7 agonists have shown to impact the SIV latent reservoir and delay viral rebound. Moreover, there are FDA-approved TLR agonists that are currently being investigated for cancer therapy and other diseases. All these has prompted clinical trials using TLR agonists either alone or in combination toward HIV eradication approaches. In this review, we provide an extensive characterization of the state-of-the-art of the use of TLR agonists toward HIV eradication strategies and the mechanism behind how TLR agonists target both cellular and tissue HIV reservoirs.

The majority of blunt trauma is secondary to motor vehicle crashes,especially in those wearing seatbelts or sitting in the front or passenger seat location.Hollow viscus gastrointestinal injuries occur more frequently in small bowel, followed by colorectal, duodenum, stomach and appendix. A 25-year-old male presents after being involved in a motor vehicle accident. Initialworkup was significant for moderate amount of pelvic free fluid and curvilinear,cystic­like structures in the pelvis. He subsequently developed peritonitis and underwentdiagnostic laparoscopy, which revealed multiple cystic nodules arising from theperitoneum. Pathology demonstrated benign cystic mesothelioma (BCM). BCM is a very rarecondition of mesothelial­lined, variably sized, fluid­filled cysts that arises from theserous, pericardial or peritoneal lining. Due to the scarcity of cases, its management and prognosis are not fully established. This singular case highlights the necessity for a clinician to have a widedifferential forunusual causes of free pelvic fluid after blunt abdominaltrauma.

SUMMARY Prader-Willi syndrome (PWS) is a genetic disorder frequently characterized by obesity, growth hormone deficiency, genital abnormalities, and hypogonadotropic hypogonadism. Incomplete or delayed pubertal development as well as premature adrenarche are usually found in PWS, whereas central precocious puberty (CPP) is very rare. This study aimed to report the clinical and biochemical follow-up of a PWS boy with CPP and to discuss the management of pubertal growth. By the age of 6, he had obesity, short stature, and many clinical criteria of PWS diagnosis, which was confirmed by DNA methylation test. Therapy with recombinant human growth hormone (rhGH) replacement (0.15 IU/kg/day) was started. Later, he presented psychomotor agitation, aggressive behavior, and increased testicular volume. Laboratory analyses were consistent with the diagnosis of CPP (gonadorelin-stimulated LH peak 15.8 IU/L, testosterone 54.7 ng/dL). The patient was then treated with gonadotropin-releasing hormone analog (GnRHa). Hypothalamic dysfunctions have been implicated in hormonal disturbances related to pubertal development, but no morphologic abnormalities were detected in the present case. Additional methylation analysis (MS-MLPA) of the chromosome 15q11 locus confirmed PWS diagnosis. We presented the fifth case of CPP in a genetically-confirmed PWS male. Combined therapy with GnRHa and rhGH may be beneficial in this rare condition of precocious pubertal development in PWS.

Convective heating is a traditional method used for the drying of wet porous materials. Currently, microwave drying has been employed for this purpose, due to its excellent characteristics of uniform moisture removal and heating inside the material, higher drying rate, and low energy demand. This paper focuses on the study of the combined convective and microwave drying of porous solids with prolate spheroidal shape. An advanced mathematical modeling based on the diffusion theory (mass and energy conservation equations) written in prolate spheroidal coordinates was derived and the numerical solution using the finite-volume method is presented. Here, we evaluated the effect of the heat and mass transport coefficients and microwave power intensity on the moisture removal and heating of the solid. Results of the drying and heating kinetics and the moisture and temperature distribution inside the solid are presented and discussed. It was verified that the higher the convective heat and mass transfer coefficients and microwave power intensity, the faster the solid will dry and heat up.

Resumen. Los campos constituyen una de las regiones de los pastizales del Río de la Plata que se extiende en Uruguay y en la porción meridional de Rio Grande do Sul (Brasil), cuya potencialidad para realizar estudios palinológicos aún está escasamente explorada. En este trabajo se revisa y analiza el estado actual de las investigaciones palinológicas actuales y fósiles en la región de los campos. Se discuten los modelos de la relación polen-vegetación actual como análogo moderno y se sintetiza la información proveniente de los registros polínicos fósiles. La integración de estos resultados y la utilización de los modelos actuales para interpretar las secuencias fósiles permitieron realizar una reconstrucción preliminar de la historia de la vegetación de la región de los campos durante el Pleistoceno Tardío y Holoceno. Los cambios de la vegetación fueron relacionados con forzantes abióticos (cambios en el nivel relativo del mar o en las condiciones climáticas) y bióticos (antrópicos), y se postulan posibles rutas de migración de distintos taxones y vinculaciones de los campos con otras regiones fitogeográficas. Finalmente se discuten las potencialidades de la región de los campos para los estudios palinológicos, las dificultades que frecuentemente se presentan para la integración de la información y se puntualizan aquellos aspectos que podrían considerarse en futuros trabajos para realizar interpretaciones más ajustadas de la información paleoecológica disponible. Palabras clave. Análisis polínico. Pastizales del Río de la Plata. Bosques. Pleistoceno. Holoceno. Abstract. MODERN AND LATE QUATERNARY PALYNOLOGICAL ANALYSIS IN THE CAMPOS REGION (URUGUAY AND SOUTHERN BRAZIL): STATUS OF INVESTIGATIONS, DIFFICULTIES AND POTENTIALITIES. The campos constitute one of the regions of the Río de la Plata grasslands which extends in Uruguay and southern Rio Grande do Sul (Brazil), whose potentiality for carrying out palynological studies is still scarcely explored. This paper reviews and analyzes the current state of modern and fossil palynological research in the campos region. The potential use of modern pollen-vegetation relationship models as modern analogues is discussed and the information obtained from fossil pollen records is synthesized. The integration of these results and the use of modern pollen-vegetation relationship models to interpret fossil sequences allowed the preliminarily reconstruction of the vegetation history of the campos region during the late Pleistocene and Holocene. Vegetation changes were related to abiotic (relative sea level changes or climatic conditions) and biotic (anthropogenic) forcing factors, and possible taxa migration routes and links between the campos and other phytogeographic regions were postulated. Finally, the potentialities of the campos region for palynological studies are discussed, as well as the difficulties that frequently arise for the integration of the information and also those aspects that could be considered in future works to make more accurate interpretations of the available paleoecological information. Key words. Pollen analysis. Río de la Plata grasslands. Forests. Pleistocene. Holocene.

OBJECTIVES: To describe the degree of disability, anthropometric variables, quality of life (QoL), and school backpack weight in boys and girls aged 11-17 years. The differences in QoL between those who did or did not report low back pain (LBP) were also analyzed. METHODS: Eighty-six girls (13.9 ± 1.9 years of age) and 63 boys (13.7 ± 1.7 years of age) participated. LBP was assessed by questionnaire, and disability using the Roland-Morris Disability Questionnaire. QoL was assessed by the Pediatric Quality of Life Inventory (PedsQL). Multivariate analyses of variance and covariance were used to assess differences between groups. RESULTS: Girls reported higher disability than boys (p = 0.01), and lower QoL in the domains of physical (p < 0.001) and emotional functioning (p < 0.01), psychosocial health (p = 0.02) and physical health summary score (p < 0.001), and on the total PedsQL score (p < 0.01). School backpack weight was similar in both genders (p = 0.61) and in participants with and without LBP (p = 0.15). After adjustments, participants with LBP reported lower physical functioning (p < 0.01), influencing lower physical health summary score (p < 0.01). CONCLUSIONS: Girls had higher disability and lower QoL than boys in the domains of physical and emotional functioning, psychosocial health, and physical health summary scores, and on the total PedsQL score; however, similar school backpack weight was reported. Participants with LBP revealed lower physical functioning and physical health summary score, yet had similar school backpack weight to those without LBP.

ABSTRACT This paper presents a paleoenvironmental reconstruction from palynological analyses of a sedimentary core of Holocene age, drilled at municipality of Garopaba (Santa Catarina), Southern Brazil. A total of 46 samples was collected for palynological analyses in the 450 cm-long core PCSC-3, as also three samples for radiocarbon dating and granulometric analyses. The palynological content includes 84 taxa related to pollen grains of angiosperms (38) and gimnosperm (3), spores of pteridophyta (16) and bryophyta (2), spores of fungi (8), algae (3), acritarchs (3), dinoflagellate cysts (2) and microforaminiferal linings (1). Three specimens of acritarchs are described and illustrated in detail. Three palynological phases were defined based on changes in assemblages: Phase I, Phase II and Phase III. The Phase I is characterized as a lagoonal paleoenvironment with marine influence from the beginning of the sedimentation (5390 cal yr BP), based on occurrences of acritarchs, dinoflagellate cysts and microforaminiferal linings. The Phase II (3032 yr BP until 858 cal yr BP) also is characterized by a lagoonal paleoenvironment, however, presented decrease in percentage of marine elements and increase in freshwater algae record, suggesting less marine influence in the lagoonal body. In Phase III (last 856 years), underwater sedimentation prevailed, under swamp-like conditions.

HIV-specific CD8+ T-cell responses limit viral replication in untreated infection. After the initiation of antiretroviral therapy (ART), these responses decay and the infected cell population that remains is commonly considered to be invisible to T-cells. We hypothesized that HIV antigen recognition may persist in ART-treated individuals due to low-level or episodic protein expression. We posited that if persistent recognition were occurring it would be preferentially directed against the early HIV gene products Nef, Tat, and Rev as compared to late gene products, such as Gag, Pol, and Env, which have higher barriers to expression. Using a primary cell model of latency, we observed that a Nef-specific CD8+ T-cell clone exhibited low-level recognition of infected cells prior to reactivation and robust recognition shortly thereafter. A Gag-specific CD8+ T-cell clone failed to recognized infected cells under these conditions, corresponding with a lack of detectable Gag expression. We measured HIV-specific T-cell responses in 96 individuals who had been suppressed on ART for a median of 7 years, and observed a significant, direct correlation between cell-associated HIV DNA levels and magnitudes of IFN-γ-producing Nef/Tat/Rev-specific T-cell responses. This correlation was confirmed in an independent cohort (n = 18). Correlations were not detected between measures of HIV persistence and T-cell responses to other HIV antigens. The correlation with Nef/Tat/Rev-specific T-cells was attributable to Nef-specific responses, the breadth of which also correlated with HIV DNA levels. These results suggest that ongoing Nef expression in ART-treated individuals drives preferential maintenance and/or expansion of T-cells reactive to this protein, implying sensing of infected cells by the immune system. The direct correlation, however, suggests that recognition does not result in efficient elimination of infected cells. These results raise the possibility that enhancing the cytolytic activity of Nef-specific T-cells may lead to reductions in infected cell frequencies, even in the absence of therapeutic latency reversal.

Following proviral integration into the host cell genome and establishment of a latent state, the human immunodeficiency virus type 1 (HIV-1) can reenter a productive life cycle in response to various stimuli. HIV-1 reactivation occurs when transcription factors, such as nuclear factor-κB (NF-κB), nuclear factor of activated T cells (NFAT), and activator protein -1 (AP-1), bind cognate sites within the long terminal repeat (LTR) region of the HIV-1 provirus to promote transcription. Interestingly, pattern recognition receptors (PRRs) that recognize pathogen-associated molecular patterns (PAMPs) can reactivate latent HIV-1 through activation of the transcription factor NF-κB. Some PRRs are expressed on central memory CD4+ T cells (TCM), which in HIV-1 patients constitute the main reservoir of latent HIV-1. Mycobacterium tuberculosis (Mtb), the causative agent of tuberculosis (TB), interacts with PRRs through membrane components. However, the ability of Mtb to reactivate latent HIV-1 has not been extensively studied. Here we show that phosphatidylinositol mannoside 6 (PIM6), a component of the Mtb membrane, in addition to whole bacteria in co-culture, can reactivate HIV-1 in a primary TCM cell model of latency. Using a JLAT model of HIV-1 latency, we found this interaction to be mediated through Toll-like receptor-2 (TLR-2). Thus, we describe a mechanism by which Mtb can exacerbate HIV-1 infection. We hypothesize that chronic Mtb infection can drive HIV-1 reactivation. The phenomenon described here could explain, in part, the poor prognosis that characterizes HIV-1/Mtb co-infection.

Background Community pharmacies are major contributors to health care systems across the world. Several studies have been conducted to evaluate community pharmacies services in health care. The purpose of this study was to estimate the social and economic benefits of current and potential future community pharmacies services provided by pharmacists in health care in Portugal. Methods The social and economic value of community pharmacies services was estimated through a decision-model. Model inputs included effectiveness data, quality of life (QoL) and health resource consumption, obtained though literature review and adapted to Portuguese reality by an expert panel. The estimated economic value was the result of non-remunerated pharmaceutical services plus health resource consumption potentially avoided. Social and economic value of community pharmacies services derives from the comparison of two scenarios: “with service” versus “without service”. Results It is estimated that current community pharmacies services in Portugal provide a gain in QoL of 8.3% and an economic value of 879.6 million euros (M€), including 342.1 M€ in non-remunerated pharmaceutical services and 448. 1 M€ in avoided expense with health resource consumption. Potential future community pharmacies services may provide an additional increase of 6.9% in QoL and be associated with an economic value of 144.8 M€: 120.3 M€ in nonremunerated services and 24.5 M€ in potential savings with health resource consumption. Conclusions Community pharmacies services provide considerable benefit in QoL and economic value. An increase range of services including a greater integration in primary and secondary care, among other transversal services, may add further social and economic value to the society. Published in: BMC Health Serv Res. 2017;17:606.

A sedimentar core collected at Santo Antônio da Patrulha, Rio Grande do Sul State, southmost Brazil, was submitted to pollen analysis to provide the vegetational history of this region, and the paleoecological and paleoclimatic changes. A total of 98 taxa of palynomorphs was identified from 35 subsamples. Three radiocarbonic datings were obtained along a section of 115 cm depth, including the basal age of 4730 ± 50 yr BP. Pollen diagrams and cluster analysis were performed based on palynomorphs frequencies, demonstrating five distinct phases (SAP-I to SAP-V), which reflected different paleoecological conditions. The predominance of plants associated with grasslands in the phase SAP-I suggests warm and dry climate conditions. A gradual increasing of humidity conditions was observed mainly from the beginning of the phase SAP-III, when the vegetation set a mosaic of grasslands and Atlantic rainforest. Furthermore, the presence of some forest taxa ( Acacia-type, Daphnopsis racemosa, Erythrina-type and Parapiptadenia rigida-type), from the phase SAP-IV, is interpreted as an influence of the seasonal semideciduous forest in the study region. From the phase SAP-V (ca. 4000 yrs BP), the vegetation became similar to the modern one (extant Atlantic rainforest Biome), especially after 2000 yrs BP (calibrated age).Um testemunho de sondagem coletado em Santo Antônio da Patrulha, Rio Grande do Sul, Brasil, foi submetido para análise polínica a fim de revelar a história vegetacional e mudanças paleoecológicas e paleoclimáticas. Um total de 98 táxons foi identificado a partir de 35 subamostras. Três datações radiocarbônicas foram obtidas ao longo de uma seção de 115 cm de profundidade, incluindo a idade basal de 4730 ± 50 anos AP. Diagramas polínicos e análises de agrupamentos foramrealizadas com base nas freqüências dos palinomorfos, demonstrando cinco fases distintas (SAP-I a SAP-V), as quais refletiram diferentes condições paleoecológicas. A predominância de plantas relacionadas à vegetação campestre na fase SAP-I sugere condições climáticas quentes e secas. Um gradual aumento nas condições de umidade foi observado principalmente no início da fase SAP-III, quando a vegetação conformou um mosaico de Campos e Floresta Atlântica. Além disso, a presença de certos táxons florestais (tipo- Acacia, Daphnopsis racemosa, tipo Erythrina e tipo Parapiptadenia rigida), a partir da fase SAP-IV, é interpretada como influência da Floresta Estacional Semidecidual na região de estudo. A partir da fase SAP-V (ca. 4000 anos AP) a vegetação tornou-se similar à moderna (atual Bioma da Floresta Atlântica), especialmente após 2000 anos AP (idade calibrada).

O presente artigo apresenta dados de uma pesquisa que levantou as vivências de prazer e sofrimento de cinco componentes de uma banda de blues, e o trabalho como construtor de identidade por meio do discurso de profissionais: uma banda de blues com renome no mercado fonográfico da região Centro-Oeste do Brasil. O delineamento deste estudo privilegiou os preceitos "dejourianos" como perspectiva norteadora de prazer e sofrimento. Os dados coletados através de entrevistas foram tratados por meio da Análise Gráfica do Discurso de Lane (1985). Como resultados, emergiram categorias relacionadas à percepção que tinham sobre: as condições de trabalho, as relações de trabalho, organização de trabalho, as vivências de prazer e sofrimento no trabalho e as estratégias de enfrentamento. Como indicadores de prazer e sofrimento, foram citados: a dupla jornada de trabalho, o sentido do trabalho de criação vinculado á arte e o preconceito social que enfrentam pelo fato de ser artista e trabalhar à noite.This article presents the results of a research that was carried out with blues band musicians in the center-west region of Brazil. It seeks to learn about the suffering and pleasure experiences of the five components of this blues band, which is famous in the region. The delineation of this study had privileged the concepts developed by Dejours as a guideline, focusing on the pleasure and suffering experiences. Data had been collected by interview and had been treated by Lane's Graphic Analysis of Speech. The results indicate pleasure and suffering experiences as: double work journey, sense of work as a creative one and related to art, and social prejudice for being artists and working at night. Categories related to the musicians' perceptions had also emerged involving work conditions, work relations, organization, pleasure and suffering experiences and strategies of confrontation.

Early institution of extracorporeal perfusion support (ECPS) may improve survival after cardiac arrest. Two patients sustained unexpected cardiac arrest in the Intensive Care Unit (ICU) following cardiac interventions. ECPS was initiated due to failure to restore hemodynamics after prolonged (over 60 minutes) advanced cardiac life support (ACLS) protocol-guided cardiopulmonary resuscitation. Despite relatively late institution of ECPS, both patients survived with preserved neurological function. This communication focuses on the utility of ECPS in the ICU as a part of resuscitative efforts.

Twelve species of parasitic helminths, seven trematodes, four nematodes and one acanthocephalan are reported from various hosts. Creptotrema lynchi, a parasite from Bufo marinus in Colombia, is described for the first time in fish and from Brazil, parasitizing two different species. A list of the host species, measurements and figures of most parasites are included with particular reference to the tegument of Bellumcorpus major recovered from a new host. The genus Zonocotyloides Padilha, 1978 is considered a synonym of Zonocotyle and the new combination: Zonocotyle haroltravassosi is proposed to the species Zonocotyloides haroltravassosi Padilha, 1978. The nematodes Cucullanus pinnai and Procamallanus (Spirocamallanus) inopinatus and the trematode Pararhipidocotyle jeffersoni are reported in new hosts. The description of the acanthocephalan Neoechinorhynchus curemais (new locality record) is supplemented. Other parasites recovered include the nematodes Travnema travnema (new locality record), Rondonia rondoni and the digenetic trematodes Cladocystis intestinalis, Pseudosellacotyla lutzi (new locality record), Teratotrema sp. and Zonocotyle bicaecata.No presente trabalho são apresentados sete trematódeos, quatro nematóides e um acantocéfalo parasitas de diferentes espécies de peixes do rio Mogi-Guassu. Creptotrema lynchi, tramatódeo descrito originalmente de anfíblio (Bufo marinus) na Colômbia, é referido pela primeira vez em peixes e no Brasil. Bellumcorpus major é assinalado em um novo hospedeiro e são apresentados novos dados morfológicos referentes ao tegumento. O gênero Zonocotyloides Padilha, 1978 é considerado sinônimo de Zonocotyle Travassos, 1948 e é proposta uma nova combinação para a espécieZonocotyloides haroltravassosi Padilha, 1978. Os nematóides Cucullanus pinnai e Procamallanus (Spirocamallanus) inopinatus e o trematódeo Pararhipidocotyle jeffersoni são assinalados em novos hospedeiros. O acantocéfalo Neoechinorhynchus curemai é redescrito de nova localidade. São também registrados nematóides Travnema travnema (referido em nova localidade) e Rondonia rondoni; e os trematódeos Cladocystis intestinalis, Pseudosellacotyla lutzi (em nova localidade), Teratotrema sp. e Zonocotyle bicaecata.